89-1210 WHITE - CITV CLERK
PINK - FINANCE G I TY O A I NT PA U L Council
CANARV - DEPARTMENT
BLUE - MAVOR File NO. �/�/� - -
•
� ounci eso ution " ��
�l-
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID #1 60 ) for a State Class B Gambling License
by lOth Street Boxing a 'ke's Bar, 326 Grove Street, be and the
same is hereby approved .
COUNCIL MEMBERS Requested by Departenent of:
Yeas Nays
Dimond
Long [n Favo
Goswitz J.
Rettman �.e,� (7
scheibc9 _ Against BY
Sonneq ' •
�J,• n' y�p
J{�L 6 I� Form Approved by City A orney
Adopted by Council: Date . . GQ
CertiEied Pas e b C ncil Se ry By �j�1��6 /
gy,
Appr by Navor: Da — '�L � � Approved by Mayor for Submission to Council
By
PUBltS1�D J U L 15 19
. r `�o I~�OC�
a� ' '
DEPARTMENT/OFFICEI(ltJUNqI • DATE INITIA D
Fi nance/l.i cense GREEN SHEET No. 4��4�
CONTACT PERSON 8 PHONE pEPARTMENT DIRECTOR CITY COUNpL
Christine Rozek/298-5056 N� CITYATTORNEY gCIIYCLERK
MUST BE ON COUNCIL AQENDA BY(DA'f� ROU7INO BUDOET DIRECTOR �PIN.3 MOT.SERVICES DIR.
7-6-89 MAYOR(ORA8818TANTl � Council R
TOTAL#�OF SIGNATURE PAGES (CLIP ALL OC TIONS FOR SIGNATURE)
ACTION RE�UESTED:
Approval of an application for a S at Class B Gambling License.
Notification Date: 6-15-89 Hearing Date: 7-6-89
RECOMMENDATIONS:Approvs(/U a Reject(R) COUNCIL MM EE/RESEARCH REPORT OPTIOI�IAL
_PLANNINO COMMIBSION _CIVIL SERVICE COMMISSION �A�YBT PHONE NO.
_qB COMMIT�EE _
COMMENTB:
_STAFF —
—DISTRICT COURT _
SUPPORTS WHICH COUNdL 08JECTIVE?
INITIATII�Ki PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Whxe,Why):
Lou Danna on behalf of lOth Street Bo ing requests City Council approval of
their application for a State Clas B Gambling License at Mike's Bar,
326 Grove Street. Proceeds from t e ulltab sales will be used to support
amateur boxing. All fees and appl ca ions have been submitted.
ADVANTAOES IF APPROVED:
If Council approval is given, lOth St eet Boxing will operate a pulltab
booth at Mike's Bar.
DISADVANTA(iE3 IF APPROVED:
DISADVANTA(iES IF NOT APPROVEO:
Councii Research Center
JUN 2 0 i°i89
TOTAL AMOUNT OF TRAN8ACTION s COST/REVENUE BUD(�TED(CIRCLE ON� YES NO
FUNDIN�i SOURCE ACTIVITY NUMBER
FlNANCIAL INFORMATION:(EXPLAIN)
. � � � � �F�i/��o
DIVISION OF LICENSE AND PERMIT ADMINIS RA ION llATE ,� S p / � /O ��
INTERDF.PARTMFNTAL REVIEW GHECKLZST Appn ro essed/Recei ed by
Lic Enf Aud
' C,0 U 'D�C n n�u
Applicant ��`�'h ��- �aX i�y _ Home Address /� 3 ��/-11 �v G�O
Rusiness Name �� �P� �Cc � Home Phone y 5�� 0�5 05
Eusiness Address 3°?� ��'DtJe �� Type of License(s) C�a.�s r3
Business Phone vZ cl� � ��005 �n
Public Hearing Date ��� � I License I.D. �{ 17(00�
at 9:00 a.m, in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. �l IU'/�
llate Nutice Sent; � Dealer 4� �I/�
to Applicant 6�.6'�
I'ederal I'3.rearms �� �U �
Public Hearing --�
�
DATE INSPE 'TI N
REVIEW VERFIED (CO U ER) CUMMENTS
A roved No A roved
�
Bldg I & D �
N�/�
Health Divn.
�
NA
�
Fire Dept. �
i N � I
! se n� I
Police Dept. ��l0' ��,
� � � � 0�.
License Divn. '
� � �' a K
City Attorney �
� �S I�1 , o (L.
�
Date Received:
Site Plan fU +� (_ ,� �
To Council P.PSearch �v
Lease or Letter Da e
from Landlord jJ
• � Cit of Saint Paul ��"��D
Department of Fi nc and Management Services
Division of Lic se and Permit Registration
INFORMATION RE UIRED WITH APPLICATION F IT TO CONDUCT PULLTAB/TIPBOARD SALES IN
SAINT PAUL (Class B Gambling License i Li uor Establishments - New Application)
1. Full and complete name of organizat o which is applying for license
� ' N
! N� l ��`- ��1-.,� �=.f� U x ti> �- C` � ���
2. Does your organization meet the def ni ion of a "large" organization as outlined in
the November, 1988 revision of Seet on 409.21 of the Legislative Code?
- Attach to this application pertine f nancial and/or organizational information to
� support your answer to this questio . NOTE: Only 5 large organizations will be allow-
ed to open pulltab operations under th revised city ordinance. If more than 5 organi-
zations apply, qualified applicants wi 1 be selected randomly bq the City Council.
i�M.�� p
3. Address where games will be held � ' ; �� . �j '� ��"• , ��/ �,,-
N mber Street City Zip
4. Name of manager signing this applic ti n who will conduct, operate and manage
7
Gambling Games 0 �, /S � , ,� i ,s-ji� �iC; Date of Birth � '- a�' -� �
.� (a) Length of time manager has been me ber of applicant organization
� . Addre ss of Manager �� �� w �, S� �� � •S S c 7 S
rNumber Street Cit Zip
�6 Day, dates, and hours this applicat on is fo "��� �,��CZ�� T t 8;c�'� �) a,'o� P M• �'���`J
SR . '�� �..vl . �C:u:+ .itiL. , �.�jf."�. � $.Gc
` 7. Is the applicant or organization or an zed under the laws of the State of MN? Y�p�
8, Date of incorporation � " � "
9.. Date when registered with the State of Minnesota � � :�1' J `
��.
�10 y How Iong has organization been in e ' is ence? � -O� �� � !
11. How long has organization b'een in e is ence in St. Paul? -/ ��� " � /
12. What is the purpose of the organiza io ? � G�yGff.
a.�a-1Z, ��i 9�'
, 1 f
% � �-� �G �(.G�11" �.. .!J /.-rt � 'GT r ` ►-�-
i
13. Officers of applicant organization:
Name � C/ , �� Name �C L� . /.�*/=���f{ '-1 /C. -
Address � � �. �" Y� '"! H Address �/a 3 ��,6r'�t d���'�'�' /+�"��'c��4'�.
Title� ` � DOB � �+ � Title � DOB �- ��,�"J�d
Name �0 (.(. �� If ti.� � � , Name
� �/ `�
Address ��3 µ� ��-. �u , � J� :a�' Address
Title Ui�G% � ,�� .. DOB J ' �- � Title DOB
. � � � . . ��ia�o
14. Give names of officers, or any other �pe sons who paid for services to the
organization.
,
rt /�
Name /1� - Name
Address Address
Title Title
(Attach separat s eet for additional names.)
15. Attactied hereto is a list of names a d ddresses of all members of the organization.
16. In whose custody will organization's re ords be kept?
�� � �r
Name //'� 4ii�f2� , s Address �` � �,`1�� -� ���.E-
. --�zc-c. -���/y.
�., List all persons with the authority , o ign checks for dispe sal of gambling proceeds:
Name „/ � l� Name /��%���� �� ,�L' �l�t 4c. %
Address .�./.�-� n� � ���� Address ,��Ds� �- /i �� G�I�C` •
Member of ! Member of T—
DOB —1 U `Jr� Organization? DOB (o ��j ' rp� Organization? C s
Name Name
Address Address
_ Member of Member of
DOB Organization? DOB Organization?
18. Have you read and do qou thoroughly nd rstand the provisions of all laws, ordinances,
and regulations governing the operat on of Charitable Gambling games? y��
19. Will your organization's pulltab ope at'on be operated/managed solely by members of
your organization? yes no
20. Has your organization signed, or do i intend to sign, a consulting agreement or a
managerial agreement with any perso ', or company to assist qour organization with the
pulltab sales and/or recording keep ' g? yes no �
If answer is yes, give the name and d ess of the person arid/or company contracted.
Name Address
Name Address
If answer is yes, how will such a c s ltant be paid? (percentage, flat fee, gambling
funds, general funds, etc.) Attach a py of said contract to this application.
21. � Operator of premises where games wi l e held:
Name ��
Business Address _� •� ✓� J �
Home Address Q � ���
- � � C�6��aio
22. a) Does your organization pay or in en to pay accounting fees out of gambling fnnds?
yes no
b) If you do pay accounting fees, t w om will such fees be paid?
Name �� "��� Address �-� � � � /�
� ' - Ss � a3
DOB � ��Member of rg nization? �
c) How are the accounting fees cha ge out? (flat fee, hourly, etc.)
. �
d) What do you anticipate will be ou average monthly deduction for accounting fees?
�t�
�3/ Amount of rent paid by applicant or an zation for rent of the hall:
`��� �-
` 3 y� ':.�--( :1`^..o � Y � Le.-a-a—z— "
24 The proceeds of the games will be d sb rsed after deducting prize layout costs and
operating expenses for the followin p rposes and uses:
--r � � -
� � +.� - ;` ,� �• i
� . , .
G
� , • .,
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25. s t e premises where the games ar t be held been certified for occupancy by the
City of �Saint Paul? �
26. Has your organization filed federal fo 990-T? If answer is yes, please attach
a copy with this application. If a sw r is no, explain why:
�i 0 � j� ,�,,, -. �� -l..�l`." � _ �,.
Any changes desired by the applicant ass ci tion may be made only with the consent of the
City Council.
� � �'� �u�f ,��> > U
Or �ita�ion Name
/ , �\
' � ¢ /
Date 5 �J B ��
Manager in charge of game
�
r
Organization President or CEO
/ � ��'7
, ' Cit of 'aint Paul
• Department of Flna ce nd Management Services � �/o�/a
License nd ermit Division
3 ity Hali
St. Paul, Mi nes ta 55102-298-5056
APPLICAT O FOR LICENSE
CASH CHECK CLASS NO. N w Renew _
a o - o ��� ,
_ Date 19��
Code No. Title of License From ��' a 19�To ~ 19�
� � � '
.�//_ 00� 10 �1 S���`� ��.1 r i ti C �l� h
�-/�y(.IJJ� �-N )� ApplieantlCompany Name
� �� � � j�-� S ��a�Z�
00 euslnesa Name
" G/_'
�
00 � � (a (--? ��� V�, �� �f ffx�v�
Business Address Phona No.
00 �--_ � �� ,
�� � ' �:�c.c. J, /t'i 1 -, � ` �=%l
' 00 Mail to Address Phone No.
00 t`.1 f) �ii ��Ct ;I y l'�t.,.
ManaperlOwner•Name
00 -�
( �� � '�-� a-�,,..�.� �
00 AlanagerlGwner•Home Address Phone No.
4098 Applicatfon Fee
2. � �� • � � �
Recefved the Sum of 00 �. G ' , �� �'� �`:U_i J
ManagerlOwner•City,State d 2ip Code
' 100 Tota , 00 ,� l�� ✓�• ,�Sd S
w ��lS- �78/
� ,
lieense Inspector ` �� By: � �� Signature of App�ieant
Bond•
Company Name Policy No. Expiration Date
Insurance:
Company Name Policy No. Expintion Date
Minnesota State Identification No. Social Security No.
Vehicle Information:
Serial Numbec Plsts Number
Oth@f:
THIS IS A REC IP FOR APPUCATION
THIS IS NOT A LICENSE TO OPERATE.Your application for lice se ill either be granted or rejected subject to the provisions ot the zoning
ordinanca and completion of the inspections by the Health, Fir .Zo inq and/or License Inspectora.
$15.00 CHARGE FOR AL RETURNED CHECKS
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TO BE CO PLETED BY
ORGANIZATION PRESI EN AND GAMBLING MANAGER
I understand and will uphold Sai t aul Ordinance 409, Sections 409.21
and 409.22 relating to pulltabs nd tipboards in bars.
Further, I understand that my ja ba must meet city standards; that 10%
of the net profit from pulltab s le must be returned to the City-Wide
Youth Fund on a monthly basis; t at monthly financial statements must be
filed with the City; and that 51 o net proceeds must remain in St. Paul
or be used to support St. Paul r si ents.
,
,-'
��
�..-�- > , i ; � _
�,� � ��L`-.-------- �•�-r. ,
Signature - Manager
� .
Signature - Organization Preside t
� �� (� �"�,��. -
� �
� s �
rganization ame � �
,
� �� �
` .� C , � � S i�/
Gamb ing ocation
�i ��� � �
Date
Please retain the tt ched ordinance for your records.