89-1097 wHITE - Cirr CLERK COURCII
PINK - FINANCE G I TY O A I NT PALT.L /(f' �
CANARY - DEPARTMENT /�)
BLUE - MAVOR File NO. � " - •�
< �
Counc l Resolution r��
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID # 01 7) for renewal of State Class B
Gambling License by th S . Paul Turners at ot Rod's ,
1553 University Avenue, b and the same is h reby approved/
�a�d.
,
COUNCIL MEMBERS Requested by De artment of:
Yeas Nays
Dimond
�� [n F or
Goswitz
Rettman t7 B
Sc6eibel Agai t Y
-seeeee�
Wilson
� � � Form App ved b Cit Att ey
Adopted by Council: Date •
Certified Yas- b ouncil Se r By �'�'�
By
A►ppro by 1Aavor: Date
� N Approved by Ma r for Submission to Council
By
pllBIISNED .,'U N � 4 9 8
. - . • � . �c�//097
DEPARTMENTlOfFICEI�WNqL � DATE INiTI o 1816
F�i nance/�i cense GREEN SHE T No.
iNmnu re iNmnwn�
OONTACT PERSON 6 PHONE DEPARTMENTDIRECTOR GTY COUNpL
Chri sti ne Rozek/298-5056 N� GTY ATTORNEY g CITY CLERK
MUST BE ON OOUNqI A(iENDA BY(DAT� ROUTINO BUDOET DIRECTOR �FiN.3 M(iT.8ERVICES DIR.
6-15-89 MAYOR(ORA381ST � Council R
TOTAL#�OF SIQNATURE PAQES (CLIP AL L ATIONS FOR SICNATUR�
ACTION REQUESTED:
Approval of an application for r e 1 of a State Class B Gambling License.
Hearing Date 6-15-89
RECOMMENDATIONB:Appraro(Iq a Hsject(I� COUNCI CO ITTEEJRESEARCH REPORT AL
ANALYST PHONE NO.
_PLANNINQ COMMI8810N _pVIL SERVICE COMMISSION
_q8 COMMITTEE _
COMMEN :
_8TI1FF _
_DISTRICT COURT _
BUPPORT3 WHICH COUNqL OBJECTIVE7
INITIATINO PROBLEM,188UE,OPPORTUNITY(Who,Whet,When,Where,Wh�:
David Goodman on behalf of The S . aul Turners, reques s City Council
approval of his application for en wal of a State Clas B Gambling License
at Hot Rod's, 1553 University Av . . Proceeds from the ulltab sales are
used for the teaching of gymnast cs All fees and appl cations have been
submitted.
ADVANTAOE3 IF APPROVED:
If Council approval is given, Th S . Paul Turners will operate a pulltab
booth at Hot Rod's.
DISADVANTAOES IF APPROVED:
DIBADVANTAOES IF NOT APPROVED:
Counc�l Rese�rch Center
�UN � "j 1989
TOTAL AMOUNT OF TRANSACTION a COST/REVENUE BU (CIRCLE ON� YES NO
FUNDINQ SOURCE ACTIVITY NUMBER
�wwan�iNwatiumori:�exPUiN�
NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE(3REEN SHEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO.298-4225).
ROUTING ORDER:
Below are preferred routings for the flve rtrost frequent rypes of dxumeMS:
CONTRACTS (assumes suthorized COUNCIL RESOLUTION (Amend, Bdgts./
budget exists) Accept.Grants)
1. Outside Agency 1. Department Director
2. Initiating Department 2. Budget birector
3. City Attorney 3. Ciry Attomey
4. Mayor 4. MayodAssistant
5. Finance&Mgmt Svcs. Director 5. City Council
6. Finance Accounting 6. Chief Accountant, Fin&Mgmt Svcs.
ADMINISTRATIVE ORDER (Budget COUNCIL RESOLUTION (all others
Revision) and ORDINANCE
1. Activiry Manager 1. Initiating Department Dlrector
2. Department Accountant 2. Ciy Attomey
3. Department Director 3. Mayor/l�ssistant
4. Budget Director 4. City Council
5. City Clerk
6. Chief Accountant, Fin&Mgmt Svcs.
ADMINISTRATIVE ORDERS (all others)
1. Initiating Department
2. City Attomey
3. MayodAssistant
4. City Clerk
TOTAL NUMBER OF SIGNATURE PAGES
Indicate the#of pages on which signatures are required and reli
each of these ap�.
/i►CTION REQUESTED
Describe what the projecUrequest seeks to axomplish in either chronologi-
cal order or order of importance,whichever is most approp�iate for the
issue. Do not write complete sentenc�s. 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 COUNGL OBJECTIVET
indicate which Council objective(s)your projecUrequest supports by listing
the key word(s)(HOUSIN(3, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT,
BUDGET, SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
COUNCIL COMMITTEE/RESEARCH 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 procedure required by Iaw/
charter or whether there are specific ways in wh�h the City of Saint Paul
and its citizens will benefit from this pro�ect/actfon.
DISADVANTA(3ES IF APPROVED
What negative effects or major changes to existing or past prxesses 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 action is not
approved?Inabflity to deliver service? Continued hfgh traffic, noise,
accident rateT Loss of revenue?
FINANCIAL IMPACT
ARhough you must tailor the informstion 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 psy?
� � � � � � � - ��i-����
DIVISION OF I.ICENSE AND PERMIT ADMIN ST TION llATE �J �� 0 / S� 2(� ��
INTERDF.PARTMEI�TAL KEVIEW (:HECKLIST ppn Processed/Rece ved y
Lic Enf Aud
Applicant �'� . }�Gu ���I1 C Home Address (��8 C'Pn �^ ll��'fi��a/'Kl(S
_ � �t
Rusiness h'ame d S Home Phone s� r'f" 5 y7
Business Address �'�jSJ h ✓ c Type of License(s) �55 �' ��tl�'1l���/'►y
Business Phone L c r �n���-�
Public Hearing llate �t 5 License I.D. �l � � '�7
at 9:00 a.m. in the Counci Ch mbers
3rd floor City Ha11 and Courthouse State Tax I.D. �l IV�Q'
llate Notice Sent; Dealer 41 /-�
to Applicant y�-
rederal P'i_rea s 46 ��/�
Public He�.�ring
DATE Ih' PE TIUN
RE`JIEW VEKFIED CO UTER) CUMMENTS
A proved No A roved
�
Bldg I & D �
� �
Health Divn. �
�
� �
i
Fire Dept. �
i
I i
I J q
Police Dept. se►�� i ! s��l 1
��3� oK
License Divn. �
� � �
,���� � � ,�
City F,ttorney �
� � 1�, ,
Date Received:
Site Plan � �' / p
To Council P. search l4 � b
Lease or Letter Date
from Landlord �
� Ci y f Saint Paul �U ' 10��
� ' � � Department of F na ce and Management S rvices
Division of Li en e and Permit Regist ation
INFORMATION RE L'IRED WITH APPLICATION OR PERMIT TO SELL PULL ABS 6 TIPBOARDS IN SaItiT PAL'L
(Class B Gambling License in Liquor Es ab ishments - Renew)
1. Full and complete name of organiz ti n which is applying for license
�T ,�'r�C ��,P�� s ,��,�v.���s
2. Address where games will be held rj5�J � ���C ` v Z S�Q(.U�-
Number Street City Zip
3. Name of manager signing this appl ca ion who will conduc , operate and manage
Gambling Games C��� w'`' ate of Birth C�
��
(a) Length of time manager has b n ember of applicant organization �'j��S
4. Address of Manager `�� V� L`�l �� � . '
Number Street City Zip
5. Day, dates, and hours this appli at' n is for
6. Is the applicant or organization or anized under the la s of the State of hIN? �
, n
7. Date of incorporation ��`�
8. Date when registered with the St te of Minnesota � c �
9. How long has organization been i e istence? j ��
10. How long has organization been i e istence in St. Paul 13Q�.,�w
11. What is the purpose of the organ za ion? �^ � � ,��GS -t .
• �����
�
12. Officers of applicant organizati n:
Name � �� � � Name � ��. S t�
Address �y?x') S'�r�Y��C� u ' Address C � , ''
Title ��p� , ' DOB Title ►-� l: S�-� . DOB ,Zo ."
�' � �\ ` Name -. c \
Yame �
Address �- Address �i�1, rRo �'
7'''
Title' V��,;� tJCP�, DOB C> 1�c tiu Title �\ ' DOB ;�
�13. Give names of officers, or any th r persons who are p id for ServiCes t0 the
organization.
Name � V � Name
Address Address
Title Title
(Attach se ar te sheet for additi nal names.)
. . � . cC �.o��
� ' 1�. � 9ttached he'reto is a list of names an addresses of all m mbers of the organization.
15. In whose custody will orgar.ization's cords be kept?
Name ' , � ^ �C Address . 'ss �.��.• ,��!Z•J(..
16. List all persons with the authorit t sign checks for di persal of gambling proceeds:
Name u, � � - Name � � �. �'
Address rv�t�c�� �'i,.�. Address 13l �" S��
Member of Member of
DOB 1� a� �- Organization? �J DOB ,� . .. ���o�' Organization' ���.
Name Name -
Address Address
Member of Member of
DOB Organization? DOB �gC? Organization?
17. Have you read and do you thoroughl u derstand the provis'ons of all laws, ordinances,
and regulations governing the oper ti n of Charitable Gam ling games? �q�
18. Attached hereto on the form furnis ed by the city of Sai t Paul is a Financial Report
which itiemizes all receipts, expe se , and disbursements of the applicant organiza-
tion, as well as all or anizations wh have received fun s for the recedin ca endar (J
g �c��C.��i '�v'1S�t�l �tv
�'ear which has been signed, prepar d, and verified by ,
L'v�'� � .L r`-c -
`f �
� Q a s �`1-� �c,
Addre
who is the • •-� , � i �" f the applicant organization.
Nam
�19. Will your organization's pulltab pe tion 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 ji�
Ir answet is yes, give the name a d ddress of the perso and/or company contracted.
\ame - Address
��ame Address
If answer is yes, how will such a co sultant be paid? (p rcentage, f2at fee, gambling
funds, general funds, etc.) Atta h copy of said contr ct to this application.
21 . Operator of premises where games il be held:
ti ame C..C„� ; � -z~�..
Business Address � "'� '`i �.v • �� � � � . � ,
�
�Home Address � qS � v � �
• . � ' • • r, �—/OQ7
22. a) Does your organization pay or i te to pay accounting fees out of gambling funds?
yes � no
b� If you do pay accounting fees, o hom will such fees e paid?
Name �� ��cszt� � ,��� � t,W��ldress � r �n,�, S�. 'c. S"�11`�
DOB - l0 3� Member of Or anization? ��
c) How are the accounting fees ch rg d out? (flat fee, ourly, etc.)
��,-►C � -� � >c"—' { t-� ~��
d) What do you anticipate will be yo r average monthly d duction for accounting fees?
� O G`'� � A- ':2��� � � ' � � x���.� :, �r
23. Amount of rent paid ry applicant o ga ization for rent of the hall:
-��3��`�
24. The proceeds of the games will be is ursed after deducti g prize layout costs and
operating expenses for the fol�ow' g urposes and uses:
M�rv� � � � .
ti :° � v
'r , �.t 'M� a. I-� � �lr
2�5. Has the premises where the games re to be held been cer ified for occupancy by the
City of Saint Paul?
26. Has your organization filed feder 1 orm 990-T? I answer is yes, please attach
a copy with this application. If an wer is no, e lain hy:
�� � ' f J � � �(� �C.���1�5 i c�r�
- I ,�_ � �
Any changes desired by the applicant a so iation may be made nly with the consent of the
City Council.
�Z , tw�t� � o. -�� �vc.•^t�
Organization N me
�
ilate �� BY� � �• � -
M ager in charge of game
-�.
.
,
/ �
/ � ,�
Org niza n President or CEO
. , . . . _ � . .. .
_ . . • . -. . -� - -... „
. � • � ' � �
Cit of Saint Paul �`���,
. , • . Department of Fi an e and Management Se ices
Licen e a d Permit Division
2 City Hal1 /��/� �Q'��
St. Paul Min esota 55102-298-5056 �-
APPUC TI N FOR UCENSE .
, CASH CHECK CIASS NO. N - Renew .
:ca o ca 5
, �ate a ,s�
Code No. T.ttle of License From � � 1��To � 19�
a,3 3 C �ass�- � m �,; 3 9' � J
,. c� ,00 . G c�� �(,t ✓ ,�1��2 5
L, i �� �,,� ApplieanUCo pany Name
100 �� .
� U Y r1��2��
100 eusiness Na
� ,oo G f � l�vd. S
Business Add sa Phone No.
�oo �J� YI (�.�.VJ��`�
100 Mafl to Addre , Phone No.
� • (,1�, I !�1
�oo ` poC�vnG �`��j —
ManapeqOwn r-Name � �(/
100 -Y ` - � I /
g �v�"t� / � r ��e �
100 AtanageNGwn r•Home Address Phone No.
4098 Application Fee Z, 50 � 1 J ^�
Recefved the Sum of 1�0 G � �Q.(S `� �V�-I j ���� J
• 3 Z � ManagerlOw r•City,State 3 Zip Gbde
100 otal 100
c ( � � G � �.._.�
1` �
LIC@nSB InSp@CtOf __�* � By: � ignature ol Applicant
BOnd:
Company Name Policy No. Expiration Oate
Insurance:
Company Name Policy No. Expiration Date
M(nnesota State Identificatlo�No Social Security No.
Vehicle information:
Serlal Numper ate Number
Other. n
THIS IS A EC IPT FOR APPLICA'f� N •
• THIS IS NOT A LICENSE TO OPERATE.Your applicatio�fo Iice se will either be granted or rej cted subject to the provisions of the zo�in9
ordinance and completlon ot the inspections by tha Healt Fir ,Zoniny andlor License Inspe tors.
$15.00 CHARGE OR ALL RETURNED CHECKS �.
� �a�� � �, / �'�-
_ . . � � C���4��1�
Cit of Saint Paul Page t
Deparement F ance and Hanagement Servi ces
Divialon oE ie se aod Permit Adminiatra ion
UNIFORH I'i E GANDLING ELNANCIAL REP RT
uate 05/20/89
1. Naa�e oE Organization
ST. PA L TURNER' S GYMN STIC SCHOOL
2. Addrees vhere Charitable Ca�b ing is conducted HOT RO S BAR & GRILL
3. Report for period eoveting UC' ST 19 88 thtou h MARCH �9 89
4. Total number of days played 2 4
� . ; 158 , 749 . 25
S. Gross receipte for above par d
6. Groas p�ise payouts for abon pe lod (includ� essh ehore) s
122 , 950.43
= 35 , 798 . 82
7. Net receipts - lina S minue ine 6
8. Expenaee ineurred in conduet ng nd operating aa+ee:
A. Gross vagee paid. Attae vo ker list vith 7�$/��:77 �
names, eddreseee, gcoes age . numbar of houcs ;
vorked, and amount paid er our• 3 , 4 2 5 .00
B. Rent for 8 ''ve��ica� � THS �
C. Licenae fee ;
D. Insurance
�
E. Bond ;
F. Diehonoced ehecks not r cov red
; 145 .00
= 748 . 75
G. Accountiag Expense
N. Employera F.I.c.�. ( NC UDED IN WAGES) �
i. Pulltab iaa Paid [o Dep ttm nt o[ Re�enu� ,
; 3 ,932 . 20
,T. Hinn. u.C. Taa � INC UD D IN WAGES) �
� : 407 . 00
R. Pederal Excisa tax b S
L. Stat• Cambling Tax =
N. Hiecellaneous Expenses I entif� th� emount
and to vhom paid.
1, INVENTORY(LE N YR); 5 ,645 . 10 _
MISC. SUPPLI S � 421 . 60
2. -
BAIVK CHARGES 52 .45
3• ADVERTISING = --�_-�—
4. EQUIPMENT ; 1 , 184 .08
(LEAN YEAR) 2�� � 23,912.95
9. 'Iotal Expenses
= 11,885.87 _
10. N�t Lncos� - line 7 �imr• lin 9 2� 500.00 (FROM OR
� •riod ;
il. Checkbook bslance be;inni g o p
12. Total oE line 10 and I1
; 14 385t_8_7_
� 9.594.58
� 13. total contributio�a (froa att ched wotkshaet)
L4. Checkbook balance end of apo ting period - = 4, 791 . 29
line 12 lesa line 13 •
UNIFORM CNARI Bl GAMBLIP�G FINANCIA REPORT �d� l0'�/7
' � � ' LAWFUL PURPOS C TRIBUTIONS - WORKS EET
Line �13 - Total Lav+ful Purpos C ntributions. E 9594 58
List below all checks wri te from gambling fund which are
charitable lawful purpose co tributions. The to al dollar
amounts of these checks m st match the amount cl imed in
line #13. Use additional sh ets as necessary.
CHECK AMOUN PURPOSE
CNECK # DATE � PAYEE SUPPORT OF �VD�kOFIT
GYMNASTIC SCHOOL ACTIVITIE`
1. 1042 10/10/88 ST. PAUL TUR E ' S 2 ,606 . 52
2. 1052 11/23/88 CITY OF ST. A L 113 . 28 CITY YOUTH PROGRAMS
1060 12/12/88 ST. PAUL TUR E ' S 1 , 753 . 62 �IIPPOKT�-�F N�N�PRDFIT
3. GYMNASTIC SCHOOL ACTIVITIE�
4, 1065 12/27/88 CITY OF S`P. P U 179 . 71 CITY YOUTH PROGRAMS
5 , 1074 1/13/F39 CITY OF ST. P U 233 . 27 CITY YOUTFi PROGRANIS
1075 1/13/89 ST. PAUL TUR E ' S 2 , 339 .66 SUPPORT OF NON-PROFIT
6• GYMNASTIC SCHOOL ACTTVITIE:
7, 1289 3/03/89 CITY OF ST. P U 191 . 86 CITY YOUTH PROGRAMS
$, 1292 3/19/89 ST. PAUL TUR E ' S 1 , 918 . 56 UPPORT OF NOIV-PROFIT
YMIVASTIC SCHOOL ACTIVITIE:"
g, 1039 9/30/88 CITY DF ST. P l�. 263.10 CITY YOUTH PROGRAMS
10.
11.
12. .
13.
TOTAL NE K ANpUN7 � 9594.58
NOTE: These expendltures will be pr vided tocomUlete an baccurateour Council hearing.
Be sure that your financia r port is P
.
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