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89-1249 WHITE - CITY CIEFiK PINK - FINANCE COVACII CANARV - DEPARTMENT GITY O� AINT PALTL File � NO• _' BLUE - MAVOR � < < _un 'l Resolution ��- Presented By Re o Committee: Date Out of Committee By Date RESOLVED: That application (ID 41 35) for renewal of a State Class A Gambling License by M rr ck Companies, Inc. at 1060 University Avenue, be �nd the same is he eb approved/�a�ed. COUNCIL MEMBERS Requested by Departenent oE: Yeas Nays o,—. Dimond Lo� -� In F vo Goswitz � Rettman .�;��, A gai s t BY Sonnen °�i�dssw '�L �?� � a9 Form Appro ed by Cit rney Adopted by Council: Date �//�G� �p y O Certified Pa s d Council Sec ary BY By� Approved IVlavo • D J � Approved by Mayor for Submission to Council gY ��)�..—_ � V-'Z��'� BY PUBIt� J U L 2 :� � 89 , _ �-�y-,-�� DEPARTMENTr9FFICEI CIL DATE INITW D Fi nance/�i cense GREEN SHEET No. 4�� CONTACT PERSON Q PHONE DEPARTMENT DIRECTOR CITY�UNpL Chri sti ne Rozek/298-5056 � CITY ATTORNEY g CITY CLERK MUST BE ON(�UNqL AdENDA BY(DAl'� ROU7INQ BUDOET DIRECTOR �flN.6 MOT.SERVICES DIR. 7-1�-H9 MAYOR(ORA8818TANn � Council R TOTAL#�OF SICiNATURE PAGE8 (CLIP AL LO TION8 FOR SIGNATUR� ACTION REQUESTED: Approval of an application for re ew 1 of a State Class A Gambling License. Notification Date: 6-27-8g Hearing Date: 7-�H� RECOMMENDATIONS:Apprws(A)a Rs�sct(F� COUNCIL ITTEE/RESEARCH REPORT OPTIONAL ANALYST PFIONE 1�. _PLANNINQ COMMI8810N _CIVIL SERVICE COAAMISSION —CIB COMMITTEE _ OOMME STAFF — _DISTRICT COURT — SUPPORTS WHICH COUNCIL OBJECTIVE? INfTIAT1Nfi PROBLEM,ISSUE,OPPORTUNfTY(Who,What,Whe�,Where,Why): Francine Kubitschek on behalf of Me rick Companies, Inc. requests City Council approval of their application fo r newal of a State Class A Gambling License at 1060 University Avenue. Proc ed from the bingo session are used to provide habilitation programs for person w o are developmentally disabled. All fees and applications have been submi te . ADVANTAGES IF APPROVED: If Council approval is given, ri k Companies, Inc. will sponsor a bingo session at 1060 University Aven . DISADVANTAGES IF APPROVED: DISADVANTAOE8 IF NOT APPFiOVED: Counci) Research Center, JUfV 2 9 i989 " TOTAL AMOUNT OF TRAN8ACTION COST/REVENUE BUDQETED(CI�E ONE) YES NO FUNDING SOURCE ACTIVITY NUMOER �w►riaw iNr-oAManoN:�exawN� . _ ��-�� IiIVISION OF LICENSE AND P�RMIT ADMINI T TION llATE � '7 0 � / � / U / INTERDF.PARThfFNTAL REVIEW CHECKLIST Appn rocessed/Received by Lic Enf Aud Applicant ��ry'��,�C. CDM,(?2n LHome Address �� a3 G��,�s Rusiness Iv'ame Home Phone "'7 7 v� ��v Business Address Q(p� V1LVQ�' ' -t Type of License(s) I��QSS � llkr►'�h�� Business Phone �_�r�.►,� �e �u.� `�- Public Hearing Date � [3 License I.D. �{ L(�73J at 9:00 a.m, in the Council Chambers ! 3rd floor City Hall and Courthouse State Tax I.D. �� /V/�" llate Nutice Sent; Dealer 4� N/�9- to Applicant �j—a ��y rederal Pixearms �� Nl/4' Public He��ring DATE IN PE TIUN REVIEW VERFIED CO UTER) CUMMENTS Approved No A roved � Bldg I & D � �I� Health Divn. � ' � � � i Fire Dept. � �'� � i i i Police Dept. ' J��`� ` �� 6��3 0� License Divn. � � �� L City Attorney � � � � �� J Date Received• Site Plan � � 8' To Council P.esearch � �� Lease or Letter � � � Date from Landlord .' • City of Saint Paul ��`�°?�/ Finance and Management er icesjLicense & Permit Division INFORMATION REQUIRED WITH APPLICATION FO P RMIT TO CONDUCT CHARITABLE GAMBLI:VG GEV'�IE I�1 SAINT PAUL (To be used with the followi g: New A & C application, renew A & C Licenses, and new and renew B in Private C1 bs.) 1. Full and complete name of organizat on which is applying for license Merrick Com anies , Inc 2. Address where games will be held 1 60 Universit Ave. St. Paul, MN 55104 N mber Street City Zip 3. Name of manager signing this appli at' n who will conduct, operate and manage Gambling Games Francine Kubi sc ek Date of Birth 5/26/63 (a) Length of time manager has bee m mber of applicant organization 5 years 4. Address of Manager 7760 53rd t. N. Lake Elmo, MN 55042 Number Street City Zip 5. Day, dates, and hours this applica io is for Sunday year around 6 : 00-10 : 00 p.m. 6. Is the applicant or organization o ga ized under the laws of the State of MN? Y es 7. Date of incorporation 3/8/72 8. Date when registered with the Sta e f Minnesota 3/8/72 9. How Iong has organization been in ex stence? 25 years L0. How long has organization been in ex stence in St. Paul? 25 years 11. What is the purpose of the organi at on? To provide habilitation programs for ersons who are develo me tall disabled. 12. Officers of applicant organizatio : Name Ja ne Frank Name Bob Faricy Address 1055 Wilson St. St ul Address 350 Cedar St. #555 St. Paul 5 06 55101 Title President DOB 10 2 1 Title Secretary DOB 11/15/26 Name Ann Mosher Name Barbara Heintz Address 5239 15th Ave. S . , 1 . 55417 Address 1821 Howard St. , Maplewood 55109 Title Vice PresidentDOB 2 2 2 Title Treasurer DOB 2/29/60 13. Give names of officers, or any o he persons who paid for services to the organization. Name N/A Name Address Address Title Title (Attach se ar te sheet for additional names.) . , �d�1-/��! 14. Attached hereto is a list of names nd addresses of all members of the organization. 15. In whose custody will organization' r cords be kept? Name Kevin Martineau Address 1728 Gervais Ave. Maplewood 55109 16. List all persons with the authority to sign checks for dispersal of gambling proceeds: Name Kevin Martineau Name Jayne Frank Address 1728 Gervais, Maplewo d 5109 Address 1055 Wilson St. , St. Paul Member of Member of DOB 4/20/51 Organization? Y S DOB 10/23/21 Organization? Yes Name Bob Faric Name Barbara Heintz Address 350 Cedar St. #555 St. aul Address 1821 Howard St. , Maplewood Member of 55 0 Member of 55109 DOB 11/15/26 Organization? e DOB 2/29/60 Organization? Yes 17. a) Does your organization pay or i te d to pay accounting fees out of gambling funds? yes no X b) If you do pay accounting fees, o hom will such fees be paid? Name N/A Address DOB Member o 0 ganization? c) How are the accounting fees c ar ed out? (flat fee, hourly, etc.) 18. Have you read and do you thorough y nderstand the provisions of all laws, ordinances, and regulations governing the ope at on of Charitable Gambling games? Yes 19. Attached hereto on the form furni he by the city of Saint Paul is a Financial Report which it .emizes all receipts, ex ns s, and disbursements of the applicant organiza- tion, as well as all organizatio o have received funds for the preceding calendar year which has been signed, prep re , and verified by Jayne Frank 1055 Wilson St. , St. Paul, MN 55106 Address who is the President of the applicant organization. am 20. Operator of premises where games wi 1 be held: Name Militar Order of th ur le Heart Cha ter #5 Business Address 208 Veteran ervice Buildin St. Paul MN 55155 Home Address N/A Z1• •Amount of rent paid by applicant or an zation for rent o �58�5/month f the hall: ��,_/�y� 22• The proceeds of the games will be d operating expenses for the followin bu sed after deductin Pu poses and uses• g Prize layout costs and To purchase equipment � , event , nd/or ro rams for the retarded adults who attend t p g mentally e ay habilitation programs provided by 23• Has the premises where the games are to be held been certified for occupancy by the City of Saint Paul? 24• Has your organization filed federal or a �aPY with this application. Ig an We 990—T? �� If answer is es is no, explain why; y � Please attach Any changes desired by the applicant associat on may be made City Council. only with the consent of the Merrick Companies . Inc. Organization Name Date ��/g� By' � � � � ti� L ager in ch_ ge of game � � ,� _ + Z Organizatio ident or CEO � � 9 � � � � � � � � � n � . � l � � 9 � � I� S '� � A � .�r 7 _ � 3 el � � � � v � � '1 C .�+. � '0 3 ^ r Pf 9 � = � � � T ^ � ^ • v � � 3. � ... ' Z ;A ^ � r0 rC... � � �+ 3 N ' � 3 � g `� � � � S � I � � � � ^ � � .� k � n = b � � �� a � � % ` A � Jf 7 � Q� y _ ^ I� ` ? `� � 9 � �x y �� T � � = 9 � � �a7 9 A �< I � � � '� �O � � � O � � i ..' ya� I ,� � _ ' � Ot �.. 1+ � �,� � � � v v v n '° 9 �y � � � _ y � - � �+ � _ � ' > I �, ;� I � � � � 9 '�� I i ,� , �o ,� :n _ � –, �_ � I � r► P -� _ �� ; � � – � � r. y� L •'. 9 �0 ?� , � ��' ,;, � — � � I� �� I 3 � � � A ' � I I '9 L R r+ T a Q + � A � ' A � ' 9 < I y ,i � r = � A O � � � 7 9 J 31 r � ; � . � s � ; Q m � � 4 � `C 1 � ^'� � � 1 � Cit of int Paul ' � Department of Finan e a d Management Services License a d rmit Division �� 2 Ci y Halt St. Paut, Min esot 55102•29&5058 APPLICATI N FOR LICENSE CASH CHECK CIASS NO. e enew a � �ate � ^ t9� Code No. Title of License From � ^ 19�To 19� �^��; oC�I� �. I G�� - �, ,.,-, a , �� fCJ .5 ,,, � � - � P t Y� `� l ��.,, � .� �v; �.�� !, �_ � '�p ;,�, � AppliCantlCompany Name 100 ,., 1 (.l Y` l � � V :.'t pl t ,��P! "��':-^ 100 eualnesa Name t ,00 �► � <„� � ' t`�; , , Business Address Phone No. 100 00 Mail to Address Phone No. 00 ��' v�n /L�1G r-t-�, ��%u c� ManaperlOwner•Name �J�v � � � �� l`,� ��,,'�(�CC( S (O d�(� 00 AlanaperlGwner•Home Address Phone No. 4098 AppiiCation Fee Recelved the Sum of —� /,2 'a\ � � � �"�'G( t,� � ��r � �U SOv• V ManaqedOw�er•City,State 8 2ip Codr , �� 100 Total 1 r--. ' �� . . i �, .. (^ `�/'�;�,t , ' � �� LiCense InspeCtor ��--� By: �� Signature ol ApplieaM Bond: Company Name olicy No. Expintion Date Insurance: Company Name olicy No. Expfrstion Date Minnesota Siate Identification No. So ial Security No. Vehicle Information: Serial Number ate Number Other: THIS IS A RECEIPT R PPLICATION THIS IS NOT A IICENSE TO OPERATE.Your application for license will ith be granted or rejected subiect to the provisions of the zo�ing ordlnance and completion of tha inspections by the Health, Fire,Zonin an !or license Inspectors. $15.00 CHARGE FOR ALL T NED CHECKS 6_ ?�.9� �� ,� �; ! _ Clty of aint Paul Page 1 , � Depar[ment of Fi nc and Management Services � /��/Q Division of Lice e d Permit Administration ��f— 7`1 UNIFORH CNARITAB E C LING FINANCIAL REPORT oate 5-31-89 : 1. ttame of O�ganization Merrick om anies, Inc. 2. Addresa where Charitable Cambling s nducted 1060 University Ave. � 3. Report for period covering M8y 1 19 88 through April 3� lg 89 4. Total number of days played 5 � 5. Croas receipts for above period = 178,161.97 �� 6. Groes prize payouts for above per od iaclude eaeh ahort) � 138,493.65 �.. 7. Net ceceipts - line 5 minua line ; 39,668.32 • 8. Expenaea ineurred in conducting ad perating g�e: • A. Gross vages paid. Attach vo ker liat vith 15,140.�� names. addresses, groes vage . n mber of hours Z vorked, and amount paid per our � B. Rent for 52 veeks � 6,930.00 C. Llcense fee ; 625.�� . D. Insurance ; -� E. Bond , ; 1��.�� P. Dishonoced checks not recov red j 711.0� G. Aceounting Expense � -� H. emPioy��e F.i.c.e. ; 1,136.99 . I. Pulltab Tax Paid to Depart ent of Revenue ; 1,663.96 � J. Hinn. U.C. Tax ; 119.28 R. Federal Excise 'iax 6 Stamp ; -� L. State Gambliag Ta�t ; 2,419.07 H. Hiecellaaeoua Expenaea. den ify the amount . and to vhom paid. � 1. Service Charge (b k) S 75.00 � 2, Supplies (Gopher ; 1,203.62 Broke) 3• Transfers = S��fiO 00 4. � . 9. Total Facpenses 20TAL ; 35,583.92 10. N�t Iacome - line 7 aimis li e 9 ; 4,084.40 11. Checkbook balance begianing f riod ; 1,153.51 . 12. Total of line 10 and 11 ; S�23�.91 ' 13. Total coatributions (from a tac ed vorksheet) ; 4,416.23 14. Checkbook balance end of re ort ng period - $21.6$ ' line 12 less line 13 . � � UNIFORM CHARITABLc Ga��t LIrG FI�dA��CIAL REPORT - LaWFUI PURPOSE CONTRIB TI r�S - WORKSNEET �� Line �13 - Total Lawful Purpose Contrib ti ns . 54, 416 . 23 . List below all checks written fro ga bling funds which are � charitable lawful purpose contribu io s. The total dollar amounts of these checks must matc t amount claimed in line �13. Use additional sheets s cessary. CNECK � DATE ' PAYEE HECK AMOUN PURPOSE 1. 2274 5-20-88 Merrick Work Compon n 2 , 500 .00 on the job trng wages for �, mentally hndcpd adults ;' 2, 2312 8-18-88 Merrick Work Compon n 1 , 500 . 00 on the job trng wages for mentally hndcpd adults 3. 2305 8-08-88 City of St. Paul 24 . 57 Contribution to youth " athletic program ' 4, 2309 8-22-88 City of St. Paul 95 . 92 Contribution to youth athletic program 5 . 2322 9-22-88 City of St. Paul 64 .65 Contribution to youth athletic program � 6. 2335 0-22-88 City of St. Paul 115 . 29 Contribution to youth athletic program �. 2343 1-12-88 City of St. Paul 52 . 46 Contribution to youth athletic program $. 2385 3-07-89 City of St. Paul 63 . 34 Contribution to youth athletic program 9. . 10. 11. 12. � 13. TOTAL CHEC K A U T g 4, 416 . 2 3 NOTE: These expenditures will be provid d o Council Members at your Council hearing. • Be sure that your financial repor i complete and accurate. 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