89-1454 . . , , ..:
� I Y;,�r � _
WMITE - CITV CLERK I
PINK - FINANCE G I TY OF A I NT PA U L Council
GANARV - DEPARTMEN7
BIUE - MAYOR File NO. ����
Council esolution -
�� �
Presented By
Referred To Committee: Date
Out of Committee By Date
I
RESOLVED: That application (IDI� #9 173) for a State Class B Gambling
License by St. Casimir' Ushers Club at Schwietz's Bar,
956 Payne Avenue, belan the same is hereby approved/denied.
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COUNCIL MEMBERS � Requested by Department of:
Yeas Nays ���,j�
Dimort�d
�� In Fa}ror
Goswitz
Rettman B
scne�be� __ Against Y
Sonnen
Wilson
Form rove by Cit tto y
Adopted by Council: Date
c �_�_�
Certified Passed by Council Secretary BY
By
Approved by Mavor: Date _ Approved by Mayor for Submission to Council
By — By
. . - . . - - . I ���y-��s�
DEPARTMENTlOFFI(�ICOUNqL DATE INITIATED
Fi nance/[.i cense GREEN SHEET No. 4 4 0 9
INRUILJ DATE INITIAUDATE
CONTACT PERSON 8 PHONE � pARTMENT DIRECTOR �CITY COUNqI
Christine Rozek/298-5056 �� ciTrnTroRNer CITYCLERK
Nu�wn
MU3T BE ON COUNCIL A(iENDA BY(DATE) ROUTINO BUD(iET DIRECTOR �FIN.Q MOT.BERVICES DIR.
8-15-89 MAYOR(ORAS8ISTANT) � C���nr��
TOTAL�OF SIGNATURE PAGES (CLIP ALL L CA ONS FOR SIGNATUR�
ACiION REQUESTED:
Approval of an application for a ISt e Class B Gambling License.
Notification Date: 7-31-89 Hearing Date: 8-15-89
RECOMMENDATIONS:Approve(A)a Reject(R) COUNCIL I EEJRESEARCH REPORT OPTIONAL
ANALYST PHONE NO.
_PLANNING OOMMISSION _GVIL SERVICE COMMI8310N
_GB COMMITTEE _
COMMENTS:
_STAFF -
_DISTAICT COURT -
8UPPORTS WNICH COUNCIL OBJECTIVE9
INI7IATIN(i PROBLEM,ISSUE,OPPOFiTUNITY(Who,What,Whsn,Whsre,Why):
Jerry Tri on behalf of St. Casim'r' Ushers Club requests City Council
approval of their application fo a State Class B Gambling License at
Schwietz's Bar, 956 Payne Avenu . roceeds from the pulltab sales will
be used for St. Casimir's Churc a School . All fees and applications
have been submitted.
ADVANTAOES IF APPROVED:
If Council approval is given, S . asimir's Ushers Club will operate
a pulltab booth at Schwietz's B r.
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DISADVANTAOEB IF APPROVED:
NOTE: St. Casimir's Ushers Cl b lready has a Class C License
(Bingo) at the Church. Th s will be the second license
for this organization.
DISADVANTACiES IF NOT APPROVED:
Council Research Center
A U G 2 1989
TOTAL AMOUNT OF TRANSACTION a COST/REVENUE BUDdETED(CIRq.E ON� YES NO
FUNDINCi SOURCE ACTIVITY NUMBER
FINANGAL INFORMATION:(IXPLAIN)
NOTE: �MPLETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET IN3TRUCTIONAL
MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO.298-4225).
ROUTING ORDER:
Below are preferred routings for the five most frequeM rypes of documents:
CONTRACTS (assumes suthorized COUNCIL RESOLUTION (Amend, Bdgts./
budget exists) Accept. Grsnts)
1. Outside Agency 1. Department Director
2. Initiating Department 2. Budget Director
3. City Attomey 3. City Attorney
4. Mayor 4. Mayor/Assistant
5. Finance&Mgmt Svca. Director 5. City Council
6. Finance Accounting 6. Chief AccountaM, Fin&Mgmt Svcs.
ADMINISTRATIVE ORDER (Budget COUNCIL RESOLUTION (all others)
Revision) and ORDINANCE
1. Activiry Manager 1. initiating DepanmeM Director
2. Department Acc:ountant 2• City Attomey
3. Department Director 3. Mayor/Assistant
4. Budget Director 4. City Council _
5. City Clerk
6. Chief Accountant, Fin&Mgmt Svcs.
ADMINISTRATIVE ORD�RS (all others)
1. Initiating Depar[meM
2. City Attomey
3. MayoNAasistant
4. City Clerk
TOTAL NUMBER OF SIGNATURE PAGIES
Indicate the#of pages on whlch signatures are required and paperclip
each of these p��es.
ACTION REQUESTED
Deacribe what the project/request aeeks to accomplish in either chronobgi-
cal order or order of importance,whichever is most appropriate for the
issue. Do not write complete seMences. Begin each item in your Iist with
a verb.
RECOMMENDATIONS
Complete if the iss�e in question has been presented before any body, public
or private.
SUPPORTS WHICH COUNCIL OBJECTIVE?
Indicate which Councit obJective(s)your projecUrequ�t supports by Iisting
the key word(s)(HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT,
BUDC3ET, SEWER 3EPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
COUNCIL COMMITTEE/RESEARCH REPORT-OPTIONAL AS REQUESTED BY COUNCIL
INITIATING PROBLEM, ISSUE,OPPORTUNITY
Explain the situation or�nd�ions that created a need for your project
a request.
ADVANTAGES IF APPROVED
Indicate whether this is simply an annual budget procedure required by law/
charter or whether there are specific ways in which the City of Saint Paul
and its citizens will benefit from this proj�ct/actlon.
DISADVANTAGES IF APPROVED
What negative effects or maJor changes to existing or paat processes mfght
this proJecUrequest produce If it is passed(e.g.,trafflc delays, noiae,
tax increaaes or assessments)?To Whom?When?For haer long?
DISADVANTAGES IF NOT APPROVED
What will be the negative consequences if the promised action is not
approved?Inability to deliver service?Continued high traffic, noise,
accident rate?Loss of revenue?
FlNANCIAL IMPACT
Although you must taflor the information you provide here to the issue you
are addressing, in general you must answer two questions: How much is it
yoing to cost?Who is going to pay?
. . . ���- ����
DIVISION OF LICENSE AND PERMIT ADMINISTRATION � llATE �j � / �O 20 ��
INTERDF.PARTMENTAL REVIEW CHECKLIST A.�pn ro essed/Recei d y
Lic Enf Aud
Applicant ��- CG��y�p,►r5 �shf✓SC�k�IHo e Address
Rusiness Name �Chl.t7��'LS Ho e Phone
Business Address �"I�� �Q,c�n?i �u�-¢� T pe of License(s) C+QSS �
Business Phone 6 � �.�(..t�St�
Public Hearing Date i� s O icense I.D. 4l q�f `� 3
at 9:00 a.m. in the Counci Chanbers,
3rd floor City Hall and Courthouse tate Tax I.D. �� �fL�
llate Notice Sent; ealer 4� I�J ��'
to Applicant ����9
rederal I'i_rearms 46 N
Public He�iring
DATE IrSPEC�IU
REVtEW VEKFIED (COMPUT R) CUMMENTS
A proved Not A roved
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Bldg I & D �
u � �
Health Divn. '
N (,¢ '
�
Fize Dept. � �
� N�R i
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Police Dept. �pla1��I
� ��l 0 I I �'�-
ii
License Divn. ! '
��1� �' �7 l�
City Attorney �
g , �y ,
Date Received�
Site Plan N�R'
To Council RPSearch g � �
Lease or Letter ate
from Landlord N
CURRENT INFORMATION NEW INFORMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Current Officers: Insurance:
Bond:
Workers Compensation:
New Officers:
Stockholders:
� Cit of Saint Paul ����-- l yJ�7
Department of Fi ance and Management Services
Division of Lic nse and Permit Registration
INFORMATION RE UIRED WITH APPLICATIOAI F R PERMIT TO CONDUCT PULLTAB/TIPBOARD SALES IN
SAINT PAUL (Class B Gambling License i Liquor Establishments - New Application)
1. Full and camplete name of organiza ion which is applying for license
' � ' � ,��,eS c'�'s G�uI�3
2. Does your organization meet the de nition of a "large" organization as outlined in
the November, 1988 revision of Sect on 409.21 of the Legislative Code? /�p
Attach to this application pertinen financial 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 the revised city ordinance. If more than 5 organi-
zations apply, qualified applicants will be selected randomly by the City Council.
3. Address where games will be held � � o_ �� -- �, �
Number Street City Zip
4. Name of manager si ning this ap lic tion who will conduct, operate and manage----�- :.
�! � �� . �" JC'rr:1 i�c'i� ����
Gambling Games ' i � Date of Birth �
Cc /cc � 3 j
(a) Length of time mana�er has be�en ember of applicant oxga ization / y�
g'-T t-�-..�.4�-yr � �-�,�--�y r ��� �
5. Address of Manager - - -
Number , treet City Zi
�'LC! (P � J.QSS Cc m�n � -� 'Pctu.� ��1 v �
6. Day, dates, and hours this applicati n is for ,�J.flDR� >/i.P.t/ ..�'��ulf!l�s� �/O."iP'J�/j1T�' /��
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7. Is the applicant or organization qrg nized under the laws of the State of MN? cS
8. Date of incorporation
9. Date when registered with the State Minnesota ��iDi.G!'t
10. How long has organization been in �exi tence? - ' 's'
lI. How long has organization been in exi tence in St. Paul? �� y�,z.f _
�
12. What is the purpose of the organizati n? �,¢j��= ,��,vpl fr��� _Si. G�.��,•�i�'s
Gl�c.<�Z.G��+ f` Sc �ia`
13. Officers of applicant organization:
Name GC Name �n G��SX1�
Address � G G �,T' ' Address /G�,� N, �/�/�D �i.
Title /-�S/OC� DOB U 3 Title��QcgSce,Cc'� DOB �
-5�7��_�
Name v c�T G ,t/�u�s,r/ Name ��,e.� /',('�
Address �/J / � - �G?JK� ��'. Address 9�� c- �C�S",q��7,`/C
Title �iC:� -�2�s. DOB 7"1.�l -3,7 Titl,e.�f�s ' DOB
���3�./r✓� /�ll�'��x
� � � � � � ��yV��r5�
14. Give names of officers, or any other perso s who paid for services to the
organization.
Name � Name
Ad�dress Address
'Title Title
(Attach separate she t for additional names.) �
15. Attached hereto is a list of names and ad resses of all members of the organization.
16. In whose custody will organization's reco ds be kept?
Name .TE72/��_T�/ Address ��� G- l'C�'/1.c�/cC� /��/��
17. List a11 persons with the authority to s checks for dispersal of gambling proceeds:
Name ���I�i� �/��QA _ Name
Address ,�J'f� �. yy��j,djy Address
Member of Member of
DOB d j/ Organization? ��_ DOB Organization?
Name �C/��� �''/ ; Name
Address � - �C3.Sh�i�i�.G' �/^� Address
Member of Member of
DOB 3-Z Organization? ��" DOB Organization?
18. Have you read and do you thoroughly und rstand the provisions of alI laws, ordinances,
and regulations governing the operat�.on of Charitable Gambling games? yc S
19. Will your organization's pulltab operat on be operated�na� olely bq members of
your organization? yes no
20. Has your organization signed, or does i intend to sign, a consulting agreement or a
managerial agreement with any person or company to assist your organization with the
pulltab sales and/or recording keepiag? yes no �
If answer is yes, give the name and ad ess of the person and/or company cantracted.
Name Address
Name Address
If answer is yes, how will such a cons ltant be paid? (percentage, flat fee, gambling
funds, general funds, etc.) Attach a opy of said contract to this application.
21. Operator of premises where games will e held:
Name (L ft� ''��GUlc� �-
Business Address ' — dG �� �.- .v• ei iG
Home Address o J/t u.�c1 ,C- • W��/T� �`� /�`fiv• d� �G
� ' � ( ���-1���
22. a) Does your organization pay or inte d to pay accounting fees out of gambling funds?
yes no
b) If you do pay accounting fees, to hom will such fees be paid?
Name Address �
� DOB Member ofi0r anization?
c) How are the accounting fees charg d out? (flat fee, hourly, etc.)
d) What do you anticipate will be yo r average monthly deduction for accounting fees?
23. Amount of rent paid by applicant arg ization for rent of the hall:
'� �J c �C
24. The proceeds of the games will be 'di ursed after deducting prize layout costs and
operating expenses for the following urposes and uses:
%G n.�y � � .BS � /�'C ��SCi Gt��:--
25. Has the premises where the games �re to be held been certified for occupancy by the
City of Saint Paul? —� I
26. Has your organization filed feder�l orm 990–T? � If answer is yes, please attach
a copy with this application. If'an wer is no, explain why:
_'' G'A-s�,rl �s S %E– t�i'"f ..�' �S
Any changes desired by the applicant asso iation may be made only with the consent of the
City Council.
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�Sy L�f��i,•��2s �S.sbl.+�s �rr,3
Organization Name
�
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Date �-- f� �� By; q , ,
Manager in charge of game
i .,.�� •
ganizat on President or CEO
-- ----- --- —I- --- . - - -- �— — ---City of Saint Paul � l� O / J���
Department of Finan e and Management Services
License a d Permit Division
2 City Hall �i//�J�
St. Paul, Min esota 55102-29&5056 �� l
APPLICATI N FOR IICENSE
CASM CHECK CLASS NO. Ne Renew
a a � o -�
Date '� t9�
�
Code No. � Tttle ot Lice�se From l� ��� 19�To ���� 191�
^ �, 1 �T . � !1 /�� ^� / %C-�Li�.���/��L�!r
� • C�a-Yl tZ�� +�
�. :�, �.Z O._� APOIIeanUComDany Name
100 • , :
�,�. /
�,,c., • ��X.G� .,�Gr1�F'.�CJ GG--��
100 euainess Name '
4/
100 ���j �LC��/ L%�,
Business Add�ess PhO��No.
100
+ 100 Mail lo Address Phone No.
,__._r---- '
100 �JP'`J{�V � x---
Manaperi0wnetl.Name ��� _
100 '
�9� �l��� v�,��, �. l� «--
' ' ' 100 AlanayerlGwner•Home Addfesa Ohone No.
40g6 .ApPlicatlon Fee 2. gp
r
ece�wd t1�-Sun+of ,00 �� /��
,y�,� MenafleNOwner•City,State 3 Zip Code
' 100 �Tot 100
. ; `" .
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�i� 1 I � ��r/1/t� '/./Lr/
Licenae Inspector 8y: �Siynature ol ADO���ant
\ / �
v
Bond•
Compsny Name i Policy No. Expintion Dale
{naura�ce•
Company Name Policy No. Expi�allon Oals
Minnesota State Identification No. Social Secu�ity No.
VehiCie InfO�mBtion: P ate Numeer
Serial Number
�tfi9f'
THIS IS A RE EIPT FOR APPLICATION '
� THIS IS NOT A LICENSH TO OPERATE.Your application fOr lic nse will either be granted or reiected subject to lhe provisions o(the zoning
ordinanee and completion of the inspections by the Health, F e,Zonin9 andJor License Inapactora.
$15.00 CHARGE� FO ALL RETURNED CHECKS �,. C��
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