89-1072 WHITE - CITV CLERK
PINK - FINANCE COVnCII
CANARV - DEPARTMENT GITY O AINT PALTL / �
BLUE - MAVOR File NO• �� °' O�
Counc 'l Resolution � ����,
�� :�
Presented By
_�
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application ( D 1810) for a State lass B Gambling
License by The Air Fo e Association at T e Starting Gate,
2516 W. 7th Street b and the same is he eby approved�-.,
COUNCIL MEMBERS Requested by De rtment of:
Yeas Nays
Dimond
�� In Fa or
Goswitz
Rettman ,J B
Sc6eibel _ A gai n t Y
��ienwen
�Ison �,� � v
�� Form Approved b City Attorn
Adopted by Council: Date .
Certified Pa.s d Counc' ,e retary BY 5 �� �
By .
Approved � avor: Date _ �� Approved by May r for Submission to Council
�
. ,
By , , _ _
� By
� PUBI J U N 2 4 98
. ���'�i=lo��
DEPARTMENT/OFFlCEICOUNpL DATE IN TE � -7� /
Fi nance/�i cense GREEN SH ET No. � °
CONTACT PERSOM R PHONE IN DATE INITIAUDATE
�DEPARTMENT DIRECTOR �CITY WUNqL
Christine Rozek/298-5056 'N�ON � �c�rr��+N�r �cmrc�r�c
MUST BE ON COUNOIL AQENDA BY(DATE� �BUDCiET DIRECTOR �FIN.8 MOT.SERWCES DIR.
6-13-89 ❑�YOR(OR ASSISTAN � R
TOTAL#�OF SIGNATURE PAGES (CLIP A L ATIONS FOR SIQNATURE)
ACT10N REWESTED:
Approval of an application fo a State Class B Gambl 'ng License.
Notification Date: 5-30-89 Hearin Date: 6-13-89
RECOMMENDATIONS:APP►�(�U a�1�(� COU MITTEE/RE3EARCH REPORT IONAL
_PLMININO COMMISSION _CML SERVICE COMMiS810N ��YST PHONE NO.
_CIB COMMITTEE _
COMME
_BTAFF _
_DIS'TRICT COURT _
SUPPORTS WHICH COUNGL OBJECTIVE?
INITIATII�Ki PROBLEM,IS8UE,OPPORTUNITY(1Nho,Whet,When,Where,Why):
Adam Diamond on behalf of The i Force Association, requests City
Council approval of his appli ti n for a State Clas B Gambling
License at The Starting Gate, 51 W. 7th Street. P oceeds from the
pulltab sales will be used for sc olarships for ROTC students. A11
fees and applications have bee s bmitted.
ADVANTA(iES IF APPROVED:
If Council approval is given, he Air Force Associati n wi11 operate
a pulltab booth at The Startin G te.
This is one of the five "large ' o ganizations se1ecte for pu1ltab
licensing.
pSADVANTAOEB IF APPROVED:
NOTE: License Divisio 's recommendation is or denial
pending transfe o liquor license.
DI$ADVANTAOE8 IF NOT APPROVED:
����:..�:' �e�^�a;�c�� Center
J��� U� �i��s�J
TOTAL AMOUNT OF TRANSACTION : COST/REVENUE BUDOETED( IRCLE ON� YES NO
FUNDING SOURCE ACTIVITY NUMBER
FlNANCIAL INFORMATION:(EXPLAIN)
.,; .
NOTE: CAMPLETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO.298-4225).
ROUTING ORDER:
Below are preferred routings for the five most frequent types of documents:
CONTRACTS (assumes authorized COUNqL RESOLUTION (Amend, Bdgts./
budget exists) Accept.arents)
1. Outside Agency 1. Depsrtment Director
2. Initiating Department 2. Budget Director
3. City Attomey 3. Ciry Attomey
4. Mayor 4. MayoNAssistant
5. Flnance&Mgmt Svcs. Director 5. Ciry Council
6. Finance Accounting 6. Chief Accountant, Fin�Mgmt Svcs.
ADMINiSTRATIVE ORDER (Budget COUNCIL RESOLUTION (ell others)
Revision) and ORDINANCE
1. Activity Manager 1. Initfating Department Director
2. DepaRment Axountant 2. Ciry Attorney
3. Department Director 3. MayodAssistant
4. Budget Director 4. City Council
5. Ciry Clerk
6. Chief Accountant, Fin 8�Mgmt SYcs.
ADMINISTRATIVE ORDERS (all others)
1. Initiating DepaRment
2. Gty Attorney
3. MayodAasistant
4. Ciry Gerk
TOTAL NUMBER OF SI(3NATURE PAGES
Indicate the#of pages on which signatures are required and paperclip
each of these pages.
ACTION REQUESTED
Describe what the projecUrequest seeks to accomp8sh in either chronologi-
cal oMer or order of importance,whfchever is most appropriate for the
issue. Do not wrlte complete sentences. Begin each item in your list with
a verb.
RECOMMENDATIONS
Complete if the issue in question has been presented before any body, public
or private.
SUPPORTS WHICH COUNCIL OBJECTIVE?
Indicate which Council objective(s)your projecUrequest supports by listing
the key woM(s)(HOUSING, RECREATION, NEI(3HBORHOODS, ECONOMIC DEVELOPMENT,
BUD(iET, SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
COUNCIL COMMITTEEIRESEARCH REPORT-OPTIONAL AS REQUESTED BY COUNCIL
INITIATING PROBLEM, ISSUE, OPPORTUNITY
Explain the situation or conditions that created a need for your project
or request.
ADVANTAGES IF APPROVED
Indicate whether this is simply an annual budget prxedure required by law/
charter or whether there are specific ways in which the Ciry of Saint Paul
and its citizens will benefit from this projectlaction.
DISADVANTAGES IF APPROVED
What negative effects or major changes to existing or past processes might
this projecUrequest produce if it is passed(e.g.,traffic delays, noise,
tax increases or assessments)?To Whom?When?For how long?
DISADVANTAGES IF NOT APPROVED
What will be the negative consequences if the promised actfon is not
approved? Inability to deliver service?Continued high traffic, noise,
accident rate? Loss of revenue7
FlNANCIAL IMPACT
Although you must tailor the information you provide here to the issue you
are addressing, in general you must answer two questions: How much is it
going to cost?Who is going to pay7
��I/07�
TiiVISION OF LICENSE AND P�RMIT ADMINI T TION DATE O�IQ �� / � Z�P O ��
INTERDFPAR1fifFNTAL REVIEW C:HECKLIST ppn rocessed/Received
a�-A m ��Q�'�Oin�nf Aud
Applicant ��� �prt� �}SSDC. Home Address �� a ��-� Sp�.►'y A'ttC-�
�' s`C. C.ou I 5 c�r t�. �--
Rusiness Name S�QY�( �'� Home Phone
Business Address � � � �P (,C) �� � Type of License s) 1��a5S g
Business Phone (�W► � <<n L i C.QinSti
Public Hearing Date � � � License I.D. 4� � � � ��
at 9:04 a.m. in the Coimcil Chauibers,
3rd floor City Hall and Courthouse State Tax I.D. � (A'
llate Notice Sent; Dealer 4� � �
to Applicant ��O" � ' � ��
rederal I'jrearm �6 _ ^-' 1 ft"
Public He�.�ring _ __ _ ��
DATE IA'S EC' IUN
REVtEW VERFIED ( 0 UTER) CUMMENTS
A roved ot A roved
�
Bldg I & D �
� � ,
Health Divn.
�
ti �
i
Fire Dept. �
; N I� I
! sE,n.+� �
Yolice Dept. �I�� I
�f 2.�' b/L
� n� Q( -
License Divn. ' v�
� j� ; � -P_n� �CC hS�-r'
I � t��r �i CII.,. S—�--
City Attorney �
s 1�1 �1 ' � �
Date Received:
Site Plan �
To Council Re earch � 2
Lease or Letter � � at
from Landlord
• �i y f Saint Paul �'�j—/U7a�
Department of F na ce and Management S rvices
Division of Li en e and Permit Regist ation
INFORMATION RE UIRED WITH �,PPLICATION OR PERMIT TO CONDUCT P LLTAB/TIPBOARD SAI,ES IN
SAINT PAUL (Class B Gambling License n iquor Establishment - New Application)
1. Full and complete name of organiz ti n which is applying for license
� r �rce 1�5� -t� c%L
2. Does your organization meet the d fi ition of a "large" rganization as outlined in
the November, 1988 revision of Se ti n 409.21 of the Leg slative Code? �p
Attach to this application pertin nt financial and/or or anizational information to
support your answer to this quest on. NOTE: Only 5 lar e organizations will be allow-
ed to open pulltab operations und r e revised city ord nance. If more than 5 organi-
zations apply, qualified applican s ill be selected ran omly by the City Council.
3. Address where games will be held .�> I(o � " - � ,- <� _ �
umber Street City Zip
4. Name of manager signing this appl" at 'on who will conduc , operate and manage
Gambling Games �}p� ,�. �� ✓� ate of Birth .S'� ,`y
(a) Length of time manager has bee m mber of applicant rganization � �f����`�., ,� '-/y:,o.�
5. Address of Manager �`=1 i�c ,,� i�� ��u-a f�VP. � ��: - �lL N�l'� �'`l�-p
Number Street City Zip
6. Day, dates, and hours this applica io is for M no( ���� �i,i��dG :oo r�,n+o 1•.o� N
��ii I I� 1 x9 �o N1a�cv1 ;1, iqko
7. Is the applicant or organization o ga ized under the laws of the State of MN? N`o
8. Date of incorporation �'�
9. Date when registered with the Stat o Minnesota !J y
L0. How long has organization been in xi tence? I? S
11. How long has organization been in xi tence in St. Paul? � u,;, , :,c,t �`u � �,a2�,�_ �
onE.� ii.,� ��ngy o �i�s,,,��^ , Gr l.:y�
12. What is the purpose of the organiz ti n?
•�1 �c -1��, 1, �� � �vU�a�� sv� .: .�r c, :'h. ' Gli(.� � IZOTC, S�kd�.�js
w��O �✓i.r{1 7�t7 fJu�.(u� f` C'b 1't�� / Ci✓,Ce 1� v n Yt'�.tG�(r C ,..[,
13. Officers of applicant organization � � e�
Name r:��� ; i�; j�. f"12�6� Name �►o liliFd���a
Address lD�j'7 ?�,1ti �4+�� S B/�v�., ��- w?�v S's`Y3/Address la7► %',�fG•-� S. 11v�•�s�v��/! ,���
��S`s3 7
Title � P'„ %.t. ,f DOB I �� � 6 Title TYc�ru�vl DOB �� %3�
Name 7�o�, l :, �,e :, Name �.. , f ':`., ;_�^-�_
Address � 1 �'�,ciL�lx;n ^� ���'1 �r►1i �N Address /7� �':�r �G.,�. (� K,., . T'"^'S �3`�:
s��3y=
Title ''��.�� �r,'_.<,,;�2 n.�' - DOB � �; Title �?C� � DOB � � ; ! .� ;o
rvwi w�o„��u-;��,v,�s
. ��,o��
14. �ive names of off'cers, or any ot er persons who paid fo services to the
organization. 1��A Ther� a'e o , -
Name Name
Address Address
Title Title
(Attach sepa at sheet for addition l names.)
15. Attached hereto is a list of name a d addresses of all embers of the organization.
16. In whose custody will organizatio 's records be kept?
Name F�l•lCt.� J. .r�l��r,� AddIeSS ":r' ''r'S��„� i�'�e �.
�.�t� C o,..., jilG /"�`v S ; `1 z G
17. List all persons with the authori y o sign checks for d spersal of gambling proceeds:
Name la�r� M (��! ;���r�� Name
Address �l`�/a,. ,�e-��< <�j��� A e, �. S �u���s t'K Address
Member of "`i26 Member of
DOB .s �1 �O�/ Organization? DOB Organization?
Name Name
Address Address
Member of Member of
DOB Organization? DOB Organization?
18. Have you read and do you thorough y nderstand the provi ions of all laws, ordinances,
and regulations governing the ope at on of Charitable Ga bling games? yQ5
19. Will your organization's pulltab pe ation be operated/m naged solely by members of
your organization? yes no
� 20. Has your organization signed, or oe it intend to sign, a consulting agreement or a
managerial agreement with any per on or company to assis your organization with the
pulltab sales and/or recording ke pi g? yes no x
If answer is yes, give the name a d ddress of the perso and/or company contracted.
Name Address
Name Address
If answer is yes, how will such a co sultant be paid? (p rcentage, flat fee, gambling
funds, general funds, etc.) Atta h copy of said contr ct to this application.
2I. Operator of premises where games il be held:
Name (�A�l�P, �,;o ^ -. ,,-.
Business Address /-" 'vVr- ;a " r' " r •� ' ' " " -
Home Address �1( '-'�' f�i�, ��r �:,,' '�� . . �,� � ' � ;
��-�y-�o�2.
�?2. a) Does vour organization pay or i te d to pay accounting fees out of gambling funds'.
yes X no
b) If you do pay accounting fees, o hom will such fees e paid?
��a,Me s D, ++w,« �p.s � n���-r ri ��e . �, �.r i:. M.N S.S`���o
Name L�.,�,�� pvte�Son Address /��o� ...: �isst.� d r��kc� r�N ��?y„?
�- 7-54 �✓o
DOB �- �_ 6 o Member of Or anization? �/�
c) How are the accounting fees ch rg d out? (flat fee, ourly, etc.)
Nou� ►
d) What do you anticipate will be yo r average monthly d duction for accounting fees?
� f ,j O(� �� . ¢ "<�,,V , �,; �.. . ,.,
23. Amount of rent paid by applicant o ga ization for rent of the hall:
9 �/00 . o� Pe. ;�io�,�-
24. The proceeds of the games will be is ursed after deducti g prize layout costs and
operating expenses for the followi g urposes and uses:
r t, .. .-i } �� !� ( �. ^L i�.d�/ h, �G�<>� {v -"�H p;� .
1
�p r L J,�N ;:�.,..�5 '�V � 1,�,, ��� �n �r., - r'ui.v.��
v� QV� Cc ' n e �Cin2 -�
25. Has the premises where the games a e o be held been cert"fied for occupancy by the
City of Saint Paul? � CS
26. Has your organization filed federa f rm 990-T? � If answer is yes, please attach
a copy with this application. If ns er is no, explain w y: `
f! G . 'C.-i, !J/'.._ l�l C� ' /'.P l\A� � . • i�. ,:,�( �.f: �a '( n / 1^�'-^Z..
Any changes desired by the applicant as oc ation may be made o ly with the consent of the
City Council.
��: � L', � S S CiG�C�(.t-;.C; r1
rganization Name
.
�
Date � � 3 �l By:\ ���/J'�%�'t- .ri'.e�'n:'.r�''-
Man ger in charge of game
,
Ci�2!±� � � /��'�:/'�;
Organ zation Presid nt or CEO
7/�io
Ci of Saint Paul
- , � Department of F na ce and Management Se ices ��--je7�-
Licen e nd Permit Division
03 City Hall
St. Pau Mi nesota 55102-298-5056
APPLI T ON FOR LICENSE
CASH CHECK CLASS NO. N w Renew
a o o . .
Date -°� 19�
Code No. Title of license -
From 19�To -°2 19�Q
��u3 C1�s� f�- Zr,� P -� 4�.�..� y �� � ,..�/ � _ -
��'._Q�'' ��l G.n rx 100 ,/�� --7�, �� C���
�r ApplicantlCo pany Name
100 ✓
LZ�� z�� Q����x-.
100 �ysine s Na %:/ y �G�
_ � ,� j /6 �7//
�oo �.S/� �� ad-�.
Business Add ss Phont No.,
too ? � �"� �-�``T�/c)
�j 7' �;fr>_,�i GG-r�,°-�d . �%`t
100 Mail to Addrg Phone No.
. f
100 �� � /
ManapeNOwn r•Name
100 ,' J
�/� .� ��,c�,� .
100 AlanageNGwn •Home dress / Phone No.
4098 Application Fee 2, 50 � , '
Recefved the Sum of ^ 10,0 ��� ' � --�� J�.��o2.�
� G� Q�
..^. �- .�.� ManageNOwn r-City.State 8 2ip Code
100 T tal 100
� � �/L
L'ICen3@ InSp8Ct0� � � By: Signature of Applicant
Bond:
Company Name Poticy No. Expiratfon Date
Insurance:
Company Name Policy No. Expiratlon Oate
Minnesota State Identification No N Social Security No.
Vehicle Information:
Serial Number late Number
Other: "
THIS IS A RE EI T FOR APPLICATION
• THIS IS NOT A LICENSE TO OPERATE.Your application for Ii �ens will either be granted or rej ted subject to the provisions of the 2oning
;
ordlnanCe and completion of the inspeCtions by the Health, ire, oninfl and/or License InspeCt �a.
$15.00 CHARGE FO A L RETURNED CHECKS
� - '� �/ '�°'�
�.�,,�,��L. � ,2.� �9 .�
_ , .
���9-�0 7�
TO 6 C MPLETED BY
ORGANIZATION PRES DE T AND GAMBLING MANA ER
I understand and will uphold Sa nt Paul Ordinance 409, Sections 409.21
and 409.22 relating to pulltabs an tipboards in bars.
Further, I understand that my j rb r must meet city st ndards; that 10°0
of the net profit from pulltab al s must be returned o the City-Wide
Youth Fund on a monthly basis; ha monthly financial tatements must be
filed with the City; and that 5 � f net proceeds must remain in St. Paul
or be used to support St. Paul es dents.
,
i'
� �!�%/� r _'/'` /
,.i G�/���� � 4
Signature - Manager
�C�G Lt, I�E.t�- � �//_.L,��,�`t='
Signature - Organization Pre ' nt
i r f'D��L�. '� O C. � I�Yl
rganization ame
, ,-, , , . . �
Gamb ing Location
�,en btGv � �j�
Date
Please retain th a tached ordinance fo your records.
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