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89-1485 WHITE - CiTV CIERK PINK - FINANCE G I TY O SA I NT PA U L Council (//�/�//� CANARV - DEPARTMEN7 File NO. � ��/ �� BLUE - MAVOR s nc l Resolution �,�� _ Presented By Refe ed Committee: Date Out of Committee By Date RESOLVED: That application (ID #30819) for renewal of a State Class B Gambling License by ohnson Area Hockey at Minnehaha Lanes, 955 Seminary, be and the same is hereby approved/dentec�. � COUNCIL MEMBERS Requested by Department of: Yeas Nays Dimond �ng In Fav Goswitz Rettman `� B Scheibel A gai n s t Y Sonnen �Ison A�' 1 7 Form App ved by �ity At rn Adopted by Council: Date i Certified Pa d b Counci cre BY By Ap oved avor: Da e � Approved by Mayor for Submission to Council By By -��4«c� J�k1� 2 6 1989 . � . * �+ . , �'�j= ��`� DEPARTMENTIQ�lCE'�OUYCIL« DATE INI I IATE Fi nance/�i cense GREEN SHEET No. C�� INtT1AU DATE OONTACT PERSON d PHONE DEPAIRTMENT DIRECTOR �CITY COUNCIL Chri sti ne Rozek/298-5056 N� g CITY ATTORNEY �CITY CLEFK MUBT BE ON COUNCII AOENDA BY(DAT� �BUDOET OIRECTOR �FIN.3 M(iT.SERVICES DIR. H—],7—$9 �MAYOR(OR ASSIBTANn � �n��n�� R TOTAL#OF SIaNATURE PAGES (CLIP L L ATIONS FOR 316NATURE� ACiION REQUESTED: Approval of an application for� r newal of State Class B Gambling License. Notifiication Date: ��i ��j Hearing Date: 8-17-89 RECOMMENDATIONS:Approve(lU or Reject(R) COUN MITTEE/f�8EA�REPORT OPTIONAL ANALY PHONE NO. _PLANNINO COMMISSION _CIVIL SERVICE COMMISSION —CIB COMMITTEE _ COMME . —STAFF _ —DISTRICT COURT _ SUPPORTS WHICH COUNqI OBJECTIVE9 i INITIATINO PROBLEM,ISSUE,OPPORTUNfTY(VVfw,What,When,Where,Wh�: , I Steve Younghans on behalf of �oh son Area Hockey requests City Council approval of their application fo renewal of a State Class B Gambling License at Minnehaha Lanes, 9$5 eminary Ave. Proceeds from the pulltab sales will be used to promotejyo th activities in St. Paul . i ADVANTAOE3 IF APPROVED: � If Council approval is given,! Jo nson Area Hockey will continue to operate a pullta6 booth at Mi�ne aha Lanes. I i D13ADVANTAOE3 IF APPROVED: I i � I DISADVANTAOE3 IF NOT APPROVED: Cot�r;cii Research Center. j f�!!G � 1�89 � TOTAL AMOUNT OF TRANSACTION = � COSTlREVENUE BUD(iETED(CIRCLE ON� YES NO FUNDINQ SOURCE ACTIVITY NUMBER FlNANdAI INFORMATION:(EXPWN) i I � . r rx �_:,".. � NOTE: OOMPLETE DIRECTIONS ARE INCLUDED IN THE GREEN 3HEET INSTRUCTIONAL � a MANUAL AVAILABLE IN THE PURCHASING OFFlCE(PHONE NO.298-4225). ROUTING ORDER: � Below are preferred routings for the flve most frequent types of documerns: CONTRACTS (assum�authorized COUNCIL RESOLUTION (Amend, Bdgts./ budget exists) Acxept. Grants) 1. Outaide Agency 1. DepenmeM Director 2. Initiating Department 2. Budget Director 3. City Attomey 3. Ciry Attorney 4. Mayor 4. MayodAs�staM 5. Finance&Mgmt Svcs. Director 5. Ciry Council . 6. Finance AccouMing 6. Chief AcxarMaM, Fln�Mgmt Svcs. ADMINISTRATIVE ORDER (Budget COUNCIL RESOLUTION (all others) Re�rision) and ORDINANCE 1. Activity Manager 1. Initiating Department Director 2. Department Accountant 2• Ciry Attorney 3. Department Director 3. MayoNAseistant 4. Budget Director 4. City Council s. ay cie�c 6. Chief AxountaM, Fin&Mgmt Svcs. ADMINISTRATIVE ORDERS (all others) 1. Initiating Depertment 2. City Attorney 3. MayodAssistant 4. City Clerk TOTAL NUMBER OF SI(3NATURE PAC3ES Indicate the#of pag�on which signatures are required and� each of these ap�es. ACTION REQUESTED DescHbe what the projecUrequest seeks to accompUsh in either chronologi- cal order or order of importance,whichever is rtast appropriate for the issue. Do not write complete sentences. Begin each item in your Iist with a verb. RECOMMENDATIONS Complete if the issue in question has been p�ented before any body, pubUc or private. SUPPORTS WHICH COUNCIL OBJECTIVE? Indicate which Council objective(s)your project/request supports by Ifsting the key word(s)(HOUSING, RECREATION, NEI(3HBORHOODS, ECONOMIC DEVELOPMENT, BUDOET, 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 condiUons that created a need for your project or request. ADVANTAGES IF APPROVED _Indicete whether this is simply an annual budget procedure required by law/ chartsr or whether there are speciflc wa in which the Ctty of Saint Paul and its citizens will beneflt from this pro��t/action. DISADVANTAGES IF APPROVED What negative effects or major changes to existing or past processes might this projecUrequest produce if it is pessed(e.g.,traffic delays, noise, tax increases or asaessments)?To Whom?When?For how long? DISADVANTAOES IF NOT APPROVED What will be the negative consequences if the promiaed action is not approved? Inability to deliver service?Continued high treffic, rwiee, axident rate? Loss of revenue? FINANCIAL IMPACT Althouyh 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 pofng to cost?Who is going to pay? � ' . . ' ��'�`�0� TiiVISI�N OF LICENSE AND PERMIT ADMIN.IST TION llATE LX � 0 i 3 g 5 INTERDF.PARTMFNTAL IiEVIEW CHECKLIST A.ppn Pro essed/Rece ve by Lic Enf Aud Applicant V`�-CUe- �Our�Y1(�r15 Home Address _ Rusiness Name �0�n�n �!� {-�iOG! p<.1 Home Phone r Business Address �� Je{�p t r� li Vl./ Type of License(s) �� Business Phone �'I e� �� J l�C(��O � Ck� Public Hearing Date � j� � License I.D. �{ 3v g � 1 at 9:00 a.m. in the Council Chaui ers, 3rd floor City Hall and Courthouse State Tax I.D. 4t ��' Uate Nutice Sent; Dealer 4� I�Iq' to Applicant � I'edera2 I'irearms �� N� Public Hearing DATE IIv'SP C'TIUN REVIEW VERFIED (C MPUTER) CUMMENTS A roved N t A roved Bldg I & D � IJ fl- � Health Divn. ' � � �' i Fire Dept. � � i j )l} � � I Police Dept. S� �'� I � 3� � I � i z �� License Divn. ' I � City Attorney � �. � ! �� Date Received: Site Plan � (-F To Council P.e.search � 3 � Lease or Letter p� ate from Landlord � � O . . . ��i��'� , . City o Saint Paul . . Department of Finan e and Management Services � Division of Licens and Permit Registration INFORMATION RE UIRED WITH APPLICATION FOR ERMZT TO SELL PULLTABS � TZPBOARDS IN SaI�iT PAUL (Class B Gambling License in Liquor Establ'shments - Renew) 1. Full and complete name of organizati which is applying for license a ' O�re.� o 2. Address where games will be held � Number Street City Zip 3. Name of manager signing this applica ion who will conduct, operate and manage Gambling Games 5'}'Q.V�.1/` �q Date of Birth ��"�1- 5(0 (a) Length of time manager has been ember of applicant organization 13 ��rs 4. Address of Manager ( �o�.� � � .IrC�1.� 'S�(��a Number S eet City Zip 5. Day, dates, and hours this applicat on is for �� U��f � l�.� 6. Is the applicant or organization or anized under the laws of the State of ;YIId? �/�s .r_� 7. Date of incorporation � �d 8. Date when registered with the State of Minnesota 1I�� 9. How long has organization been in e istence? '�`��0.r'S 10. How Iong has organization been in istence in St. Paul? '�' \� �q Y"� 11. What is the purpose of the organiz tion? rlr ew�p'�'C, y OtA'{�� '�'I��iGS � s�"'• �a 1/` 12. Officers of applicant organization Name /r0� R�} Name �h � � t O �Q ✓' Address �t1 ` � 1/�/L Address l�115 IC3t�ri-' Title �j��,�fii dQYi't" DOB � � 30 Title �. DOB � �' � '_ ;Iame L•oW Q.� � �O�ny� Name SQ.�F�'�' ✓�'1a,�-y Address ��, ��''�� t- C►V � Address �3y1� G�,�-�vi e� crt. Title �' Prc.s�d��lM�"IfbB ! � ,3 � Title Tr�,Sk� DOB � �0 � � 13. Give names of officers, or any ot er persons who at^2 pold for ServiCes to the organization. �tame S�� QTC �'6'�" Name Address Address Title Title (Attach sep rate sheet for additional names. ) . � - � ��'/�f�� 14.• Attached hereto is a list of names an addresses of all members of the organization. 15. In whose custody will organization's ecords be kept? Name 0.N'o��- G,✓'�� Address � �� "V1q 16. List all persons with the authority t sign checks for dispersal of gambling proceeds: Name Q�/� bt.�1� 0.1/� Name �'l,ti�.� W t�4�1/� Address '�a-D � l 5 Address ��y 5 A��iNG'fG�1 AU � � ber of Member of DOB �'� �,-5L Organization? DOB /��/�-(��. Organization? � e5 Name � l�r�� Or V�. Name - � :�ddress �a�.� �+~ `JT• �� Address Member of Member of DOB V ��'� �� Organization? �$ DOB Organization? 17. Have you read and do you thoroughly nderstand the provisions of all laws, ordinances, and regulations governing the operat on of Charitable Gambling games? V Q..'S 18. Attached hereto on the form furnishe by the city of Saint Paul is a Financial Report which itiemizes all receipts, expens s, and disbursements of the applicant organiza- tion, as well as all organizations w o have received funds for the preceding calendar year which has been signed, prepared and verif ied by W^�'�i I"�'�0.�, QGC.� . -t-�-� t� -4-. P �..1 M,�. . s 5 �o � Address who is the �C-L� �+►h'�A h of the applicant organization. Name 19. Will your organization's pulltab o ration be operated/managed solely by members of your organization? yes no 20. Has your organization signed, or do s it inter.d to sign, a consulting agreement or a managerial agreement with any perso or company to as ist your organization with the pulltab sales and/or recording keep ng? yes no It answer is yes, give the name and address of the person and/or company contracted: hame w � t.^ QGC.blwv�-� �M Address „� G ,�� S'T", tiame ��I�G`� C �} P�L Address (;J�i��e�(�� l�«aa�f�N,� 777 � 7r� 3�' If answer is yes, how will such a c nsultant be paid? (percentage, flat fee, gambling funds, general funds, etc.) Attach a copy of said contract to this application. 21 . Operator of premises where games w' 1 be held: :�ame � % � 6 r-N Business Address q55 5� ��✓� Home Address . . � �, �� ' 22, a) Does your organization pay or intend to pay accounting fees out of gambling funds? yes �_ no b) If you do pay accounting fees, to wh m will such fees be paid? hame �,(��}� � �� GG.`�' , Address ,,, r— �� S�. "?OB Member of Org ization? ' c) How are the accounting fees charge out? (flat fee, hourly, etc.) 01�V' — 0 g0 - �1R�.T ',�,,� /1 5:ov d.✓tIi �o k ,�J��• �e PmR-< 'vl �• �/ ��..i o�l,�S d) What do you anticipate will be you average monthly deduction for accounting fees? 23. Amount of rent paid by applicant orga ization for rent of the hall: � ��b4 • ov .�.r mn o+^+�h 24. The proceeds of the games will be dis ursed after deducting prize layout costs and operating expenses for the fol�owing urposes and uses: PI''o n�no'�"� o ki- � a< <'V i'�-�'e S 1' 1n '�J'�. �� •. 25. Has the premises where the games are to be held been certified for occupancy by the City of Saint Paul? G 26. Has your organization filed federal orm 990-T? � If answer is yes, please attach a copy with this application. If a swer is no, explain why: Any changes desired by the applicant ass ciation may be made only with the consent of the City Council. So�hs.� ��.a �o�c�.�as� Organization Name ilate �Q `� �1 -�b� gy: St��t dk1� �ah S Manager in cha of game eC N�MN�^.M r,�n n wf�n/1M�P�JWMM/V V1N�t w_ C-i;�i��'�� .��... �^� _�C '' • ��x�J�l� �Y��O, � • ' `� I � !. -.l.:Jlni�r ?�,.,�I�,--°I.: ��;v ;�;,J�;��',,�;;Ty Organization Presid nt or CEO M1v C�,:�•^.� t� ..A�; i5. 1994 /� � RVVVWW✓vv.�. . . . ., . . �:y`-`:W'J• / . , , /f'/�v_ `%� , �.�� . � � , City t Saint Paul ��` / , . Depa�tme�t of Financ and Management Services ��,5 License a Permit Divlsion ��J—/ ' • 20 City Halt St. Paul, Minn sota 55102•298-5056 APPLICAT'I N FOR LICENSE CASH CHECK CLASS!`i0. Ne Aenew � � � � � Date � I ��` 19 � � Code No. TItIe of Lice�se Fro � 19�To L 19� ;��,�i ' �`,;; i ) '� " Q„C,C,� Cr; � 2 �/'y � `� ' � ; , 100 ' +� .,r �,� H• ;'.9�.., �-j�C �� -'� �� . : vi ,. � ` �.v•�� .L�' Y�p� � l.:' :,,J,�../ ADPUcanUCompany Nams � -�t 100 i ,� � . �-i , . � , � c �'� �..c ,`-� -_ 100 eualness Name �100 `"(` `� ..: :-t' i" i l i-� Busl�ess Address P�one No. 100 ,- ', (� �<,`;, � �� . %, , , ,.- , ; %3�;.� �_ ---_...._____...__._._._a = ��- _�___.__._. ___.. `—�` — -700 � Maii to Addrass Phone No. _�� _.�.r. .__..._�_._____ -.- `°"�� - �i�`� i i C—/ ��, I\'i i 1 i r�':; ,� �._..._. ManapeNOwner•Name ! ;� � i; �;Y�1/ -1 100 � � —. ' / � � �� < � /ry�, ,� -, �, ;,�:j, � '%"� J �.r ,_;,. 100 AtsnapeNGwner•Home Addms� P1►one No. 4098 �pPUGetfon Fe� 2. sp `�..� ' % � Recefved the Sum of �1� � � `��I C.! �, '�J` 1 j � i'(� � "�,� � Manaper/Ownar•City,Sta1e 8 2 p Code 100 Tot 1 100 !� ' %'�� / �^ � � t/� '� i ��!' � ^-''—' .'/� LiCense In3p@CtOr � � Byr ` ` � � Si9nawr o AppUcant Bond: Company Name Pollcy No. Expiration Oate Insurance• Company Namt Policy No. Ezpiratfo�Oate Minnesota State Identificatfon No Social Security No - Vehicie Informatiom Serfal Number at�Numbs� Othef: THlS IS A R CEIPY FOR APPLICATION THIS IS NOT A LiCENSE TO OPERA7E.Your application tor cense will elther be p�anted or re�eCted subjeCt to ihe p�OVisions of th8 ionin9 ordlnance and completlon o(the inspectfons by the Health, ire,Zonin9 andJOf Licensa Inspecto�s. $15.00 CHARGE R ALL RETURIVED CHECKS ,��'-�i� 7"3 _�9 �` �" � '�� ' ; . Clt of Salnt Paul Page 1 ��_/�o� ' Depsrtmsat oF Fi aoc• and Kaoa�amenc Setvics� � ' Divislon of Lica ss aod Psrni� Adaiaiscration . �IgpR!{ �I'fA8 E CAMbLING FINANCIAL REPORT � �acs 6/29/89 � t. t+ams ot or�sns:acsop Johnso Area Hocke Association ` 955 Seminar 2, Addr�s� vhscs Chasitabl� Ca�blin; i• eoaducted y � �. R�pora for psriod eovarin` Ma 2 19 88 throu;h Ma y �9 89 4. total auobar of day� playsd 358 � s 888,684.00 S. Cro�• r�eaipcs for sbovs p�riod 6. Cross priss p�youts for abov� par od (includa eaah sl►ort) S 682,435:00 7. N�c c�csipcs - lin� S oiau� lia� _ _ 206,249.00 8. Exp�n�e� incusrad io eonductin` d op�rstie{ �a��: �?f,v D A. C�oss �ai�s paid. Actach vo �r li�t vich 18,�.QO , nam�a. sddrs�sas. �co�� w�s � numbar ot Aour� i -- vorked� and amount paid ps[ our. . . s 6,071.00 B. Ranc for v�ska C. Lleens• f�s. : � D. Insuranc• • s __ ioo.00 � E. eond , i. Dishonocsd ch�cka not rscov ed f = 1,312.00 C. AceountinQ Expsnas : 1,409.00 H, Employ�c� f.i.C.A. I. Pulltab Tax PaiJ to Dtpar u nc ot il�vsaua = 21,830.00 � � 183.00 J. Minn. U.C. ?ax � • s _1,724.00 . �. lsd�tal Exciss Tu i Staap L. Stat• Cublia� Ta: _ M. Mi�csllaa�ou� Exp�nsa�. Zd acii� tb� �ouat and to rhos paid. � 1• Utilities = 1,175.00 Z, Maintenance = 725.00 �. Purchases = 20,729.00 . r. = y�3,�o .�.rN, = 7 3,�3.00 9. 1'otal Expsa��a s � 132,296.00 L0. N�t Ietoo� - lins 7 dau� lins 9 ll. Chsekbook balance b��ionins o pseiod S l2. Total of line 10 sad 11 � _ •• l7. Tocsl eoatrlbueions (fros •te eh�d vork�h��t) = 104,022.00 . 14. Cheekbook balaaes snd oE rapo cinQ psriod - � 2�,1�1.2�► line !2 l�ss lins 13 � � � UNIFORM CHARITABIE MBLING �INANCIAL REPORT ��-- /cf�,� • • L�uFUL PURPOSE COMTR BUTIONS - WORKSNEET Line �13 - Total Lawful Purpose Contr butions. S List below all checks rrritten f m gambling funds which are charitable lawful purpose contri utions. The total dollar - amounts of these checks must aia ch the amount claimed in line �13. Use additional sheet as necessary. � � CHEC�C � DATE � PAYEE CHECK aMOUN PURPOSE _— 1. 1303 6/4 CITY OF ST. PAUL 817.30 CITY YOUTH FUND 2. 1304 6/4 JOHNSON AREA 7,300.00 EQUIPMENT & ICE TIME 3. 1316 7/S CITY OF ST. PAUL 621.40 CITY YOt1TH FUND q, 1317 7/S JOHNSON AREA 5,500.00 EQUIPMENT & ICE TIME 5 , 1333 8/1 CITY OF ST. PAUL 710.00 CITY YOUTH FUND 6, 2010 9/10 CITY OF ST. PAUL 850.00 CITY YOUTH FUND �, 2011 9/11 JOHNSON AREA . 9,000.00 EQUIPMENT & ICE TIME 8. . 2020 9/15 CHAMPION ATHELETICS 919.35 JERSEYS FOR HIGH SCHOOL TEAM 9. 2021 9/21 HALL OF FAME HOCKEY TOUR 275.00 TOURNAMENT ENTRY FEE 10. 2�22 0/21 BEMIDJI HOCKEY 150.00 TOURNAMENT ENTRY FEE 11. 2024 9/21 TROPHY CASE 1,302.00 HAWKS TOURNAMENT PINS 12. 2038 9/30 CITY •OF ST. PAUL 1,212.70 ,CITY YOUTH FUND 13. 2039 9/30 PHALEN ARENA � 9,380.00 ICE TIME TOTAL CHECK Ah�UNT S 38,037.75 NOTE: These expenditures r+ill be prov ded to Council Members at your Council hearing. Be sure that your financial rep rt is complete and accurate. .. . • ; � � •.'.i � - _,.� � � �+ y � '� .'. i C r r' c e T •� • T » � a = " : s ^+ '� � .� ] � � • l7 � w� t nM�u`�n � • ,�. .� A ` '� � + Q ,r� -.: r • � 0 � � = = � p y . �'�'3"'� •' r ~ ! • � �,7.. . a i w ' v o r r .�. s � = i 3 .:r.. ' ' r • � � + � _ : ��;, � " A \ w r = A � i Y � � ? a � O � �i ti (7 - ~ /� � y � � � � V �j O � � � M - � � � � + w V � ' 7 � � � � � t � � y ) ~ o � '� ' y =� o ; ; • � + .. Q �� I � � '� � +{ f � � I . a � � A � s ��rv i .. �I � i° a m r�� -. . �� ' .� • � � .�vrr + q �� a � • � ~ 1 �e a 7 r �� r � l� � v_ -- _.� . + ` � w + e r ' ` � �_ - .. .' = ' t � � � � Rl C � G '< ; .. � s + � � � w� � w `� i o° ' T . � J � •I I � r .� � i � . r • I w � ; i � � � _ �' r w � .�1 .' + � cJ " j + 7 I � w 1 � � • � � � i A ; � � �� . xvw�w��w• , � , • y'a • I �( a • � i I I ! . � � � UNIFORM CHARITABLc aMBIING �I�ANCIAI REPORT C�� , . � LAUFUL PURPaSE CONT IBUTIONS - WORKSHE�T Line #13 - Total Lawful Purpose Cont ibutions. S List below all checks written f m gamblinq funds which are charitable laNful purpose contr butions. The total dollar . amounts or these checks must ma ch the amount claimed in line �13. Use additional shee as neCessary. . ' CHECK � DATE � PAYEE CHECK AMOUN PURPOSE - 1. 2040 9/30 RAMSEY CTY PARKS & R C 675.00 ICE TIME 2. 2042 9/30 STRAUSS SKATES 2,495.61 HOCKEY EQUIPMENT 3. 2043 9/30 SOUTHWEST HOCKEY ,' 250.00 TOURNAMENT ENTRY FEE 4, 2044 9/30 ALEXANDRIA HOCKEY 220.00 TOURNAMENT ENTRY FEE 5 , 2045 9/30 SILVER STRIKE 550.00 TOURNAMENT ENTRY FEE 6, 2046 9/30 ALDRICH ARENA 255.00 ICE TIME ]. 2053 10/17 PHALEN YOUTH CLUB 1,125.00 ICE TIME g, .2055 10/20 BLOOMINGTON HOCKEY 250.00 TOURNAMENT ENTRY FEE 9. 2080 10/10 HARDING HOCKEY 195.00 TOURNAMENT ENTRY FEE 10. 2057 10/20 SILVER STICK 275.00 TOURNAMENT ENTRY FEE 11. 2058 10/20 ST. CLOUD HOCKEX 250.00 TOURNAMENT ENTRY FEE 12. 2059 10/20 RICHFIELD HOCKEY 250.00 TOURNAMENT ENTRY FEE 13. 2060 10/23 ROSEAU HOCKEY 150.00 TOURNAMENT ENTRY FEE TOTAL CHECK A1�UNT s 6,940.61 NOTE: These expenditures will be prov ded to Council Members at your Council hearing. Be sure that your financial rep rt is complete and accurate. ... � r I • A � � •�+ „� + � � � w M r • T M 1 � _T � i � ~ M a � = y 7 C w ^ ~ � .�i 7 n � � A � +� � � A A ` . � y ~ Q � � f � • � Q � • O � p ! � � � • 1 � � r � � ' r • , � ♦ � A r 7 + 3 f w r� A i r � r' 2 � _ � `� r � � o + : � � � � . .. w ,y I `� � •� �• n s � s N � � � 7 � � w a � � ! . � � � f � + y y il ,� 1 • � � . '� � � .9 A `1 =) - � w ' ar �'q • � • '! �� !I � � .i � � A � w v�r�r �1 � 7 �� i � • v � v•r + w �� w • � � ; . : � `� ~ � � 7 �1 `� t � f� � ' r ' � � � — 7 . • � � � � � � + � � a � � � � � � � � � � ' �S . • a � • � I � l � 1 w w' I �1 � . w � �1 J � I � � � � ., � � . � I � A1 � O .+ •1 a. � • �� p�i s , � � J } � + }I • � i I � I � . � � �� UNIFORM CHARITABLc G BLING r"I�ANCIAL REPORT ��,/�d'`,5— � � L�uFUL PURPOSE CONTR 6UTIONS - WORKSHEET Line #13 - Total Lawful Purpose Contr butions. S List below all checks written f m gambling funds which are charitable lawful purpose contri utions. The total dollar amounts or these chetks must mat h the amount claimed in line �13. Use additional sheets as necessary. . ' CHECK # DATE � PAYEE CHECK AMOUN PURPOSE 1. 2061 10/23 WATERL00 HOCKEY . 275.00 TOURNAMENT ENTRY FEE 2. 2062 10/26 GOLD EAGLE CLEANERS 55.65 HOCKEY EQUIPMENT CLEANED 3. 2065 10/30 BURNSVILLE HOCKEY 275.00 TOURNAMENT ENTRY FEE 4, 2066 10/30 SPIKES SHOE REPAI�t 185.00 REPAIRED HOCKEY GLOVES 5 . 2075 11/6 NEW HOPE PLYMOUTH; HO KEY 275.00 TOURNAMENT ENTRY FEE 6, 2079 11/7 PROSPERITY BOOSTER C UB 375.00 ICE TIME �, 20$0 11/7 BLOOMINGTON HOCKEY 35.00 SPLIT COST OF GAME � 2081 11/7 NORTH ST. PAUL HOCK 265.00 TOURNAMENT ENTRY FEE 8. 2082 11/7 STRAUSS SKATES 7,000.00 HOCKEY EQUIPMENT 9. 2085 11/14 TWIN CITY MAHA LEAG E 100.00 LEAGUE FEE 10. 2101 11/27 STICHENS SPORTING G DS 89.70 FACE MASKS 11. 2102 11/27 ELK RIVER HOCKEY 240.00 TOURNAMENT ENTRY FEE 12. 2103 11/27 TROPI�Y CASE 640.00. TROPHIES FOR BANTAM TOURNEY 13. 2104 11/29 BAHA SILVER STICK 275.00 TOURNAMENT ENTRY FEE 11/2 CITY OF ST. PAUL " 1,180.20 CITY YOUTH FUND TOTAL CHECK AhnUNT S 11,265.55 NOTE: These expenditures r+ill be prov ded toCOm�lete andbaccurateour Council hearing. Be sure that your financ�al rep rt �s p + .. • � � � � : _ _ �,r � • r A � � � � i C > w C y ? r • T � � w O z • � : "� • M 7 I � : y A ` .�� I i w P/ • � � 1 � 0 � � / • O � p y . ^ a • � �i = � � � ' � r• � � � • �1 = r � r A r � 1 � w i y s � ` w � A • � .r. Y ,� ^ M � � � � � � N ar 1 i � � � N • � � � � ~ ; y a - � ! ' � • • � � � I ~ y 1 � _� � � � � � + ` O �^ � ; � ' ,� - • + � � 7 s� ! .s � 1 � ��1I w �r�r�r i� � 7 �� '� � • + �r.r � ,� •1 i w • • ' :1 : � a � � � � �� v � • � •� ' � : .'.�r : 7 t � � i � � � � s + _ .�. s � � r � 1 � i . . s I � w' I ^ r � i r n =�. 3 I � + � w �' .�� J � � _ i � w; � = � , � . _ �, � ; � al �� ; I • „ ;,1 I � � ' I s' i i I � . . ' '. UNIFORM CHARITABLc MBIING rI�ANCIAI REPORT C��.�c�l�'',.�' . � . L�11�FUL PURPaSE CONTR BUTIONS - WORKSHEET Line #13 - Tatal Lawful Purpose Contr'butions. S List below all checks written f m gambling funds which are charitable lawful purpose contri utions. The total dollar amounts of these checks must ma ch the amount claimed in line �13. Use additio�al sheet as necessary. � CHEC;C # DATE � PAYEE CHECK AMOUN PURPOSE - 1. 2105 12/1 STRAUSS SKATES 2,859.84 HOCKEY EQUIPMENT 2. 2108 12/2 CITY OF ST. PAUL 1,400.13 CITY YOUTH FUND 3. 2120 12/19 MAPLE LEAF TOURS 2,400.00 DOWN PYMT ON TRIP TO JAPAN q, 2122 12/28 MAHA DISTRICT 1 1,547.00 LEAGUE FEES 5, 2134 12/30 STRAUSS SKATES 9,115.89 HOCKEY EQUIPMENT 6, 2159 1/30 CITY OF ST. PAUL 981.50 CITY YOUTH FUND �, 2136 1/12 MAHA DISTRICT 1 150.00 LEAGUE FEES $. 2137 1/12 MAHA DISTRICT 1 426.00 INSURANCE FOR PLAYERS 9. 2157 1/18 TOM THUMB ATOM TOUR AMEN 225.00 TOURNAMENT ENTRY FEE 10. 2160 1/31 PHALEN ARENA 675.00 ICE TIME 11. 2161 1/31 SPIRIT COACHES 2,500.00 TRANSPORTATION TO ROSEAU TOURNEY 12. 2162 1/31 PROSPERITY BOOSTER CLUB 225.00 : ICE TIME 13. 2167 1/31 PHALEN ARENA 225.00 ICE TIME 14. 2168 2/17 CITY OF ST. PAUL ' 1,113.20 CITY YOUTH FUND TOTAL CHECK I�qUNT S 23,843.56 NOTE: These expenditures will be prov ded to Council M�nbers at your Council hearing. Be sure that your financial rep rt is complete and accurate. � ^ w M v � � ; � w •� 3 ' ? r � � p i w . • � � � C A � � • _ ~ • I � • • � � +w . ,� w� .r 1� A • ; Q ` � • O � � � t � ,y O s � � i M � .2 0 � � • .. • � � • 3 w = j � it 3 '- � ` .r .� � w s a r z � � _' s .. o •• � �i '+ s .. w � ! `� r � � � s "' � � "' • .�. � • i + � � a > y .�. i " • i I + y � � � • � � . � � = '7 . � • • + ^ o ~ • ' ' ' �� f � .t � � n .'�''�' n ��v 7� � 7 �� + n � v , 'r�r '� ' i ,� ' � � .� ' a � � • ' �� '� � ` _ �.�. r � •,� � � s � ; � » a .. . 4 � � ,� , a , s = : a � �i • r 1 � � � . � 3 � wl � � I � � � � =1 ` w � .�� ' J - i I , Y . = � I p �i � � � . � , . _ �, � :, � �I p� +; I .� „ `( I �. � ' I � ! ` Ii . . � �� c� ��``f � DEPAR'TMENTlOFFlCE/COUNdL DATE INITIA D ' • Fi nance/�i cense I GREEN SHEET No. 4 419 CONTACT PER30N 8 PHONE INITAU DATE INITIAI/DATE DEPARTMENT DIRECTOR �GTY COUNCIL Chri sti ne Rozek/298-5056 �� ATfORNEY aTV c�r� MUST BE ON COUNGL A(iENDA BY(DAT� ROU71N�i UO(�ET DIRECTOR �FIN.6 MOT.3ERVICEB DIR. 8-17-89 �voRtop�sT�wn � Council R TOTAL#�OF SIGNATURE PA�iE3 (CLIP ALL L TIONS FOR SIGNATURE) ACiION REQUESTED: Approval of an application for � S ate Class B Gambling License. REOOMMENDATIONB:Approvs(/U or Rsject(F� (',OUN�iIL ITTEE/RESEARCH REPORT OPTIONAL _PLANNINO COMMI8810N _dVll BERVICE COMMISSION ��Y� PHONE NO. _qB COMMITTEE _ OOMMENT : —3TAFF — _DtSTRICT COUHT _ SUPPORTS WHICH COUNqL 08JECTIVE7 INITIATINO PROBLEM,ISBUE,OPPORTUNITY(Who,Whet,When,Where,Wh�: Bruce Wigen on behalf of Johnso A ea Hockey requests City Council approval of their application for renewal o a State Class B Gambling License at Governors, 959 Arcade Street. Pr eeds from the pulltab sales will be used to promote youth activities. 11 ees and applications have been submitted. ADVANTACiES IF APPROVED: If Council approval is given, oh son Area Hockey will operate a pulltab booth at Governors. � i DISAOVANTAOES IF APPROVED: � DISADVANTAOES IF NOT APPROVED: I Council Research Center i i f�UG 3 �°89 , TOTAL AMOUNT OF TRANSACTION : COST/REVENUE BUDOETED(qRCLE ONE) YES NO � FUNDINO 80URCE ACTIVITY NUMBER FINANCIAL INWRMATION:(EXPLAIN) I . � � UNIFORM CHARITABIE MBLING rIN�NCIAL REPORT C��_��.5 • • • LA�FUI PURPOSE CONTR BUTIONS - WORKSHEET . . Line #13 - Total Lawful Purpose Cont 'butians. S List below all checks written f m gambling funds which are charitable lawful purpose contributions. The total dollar amounts of these checks must ma ch the amount claimed in line #13. Use additional sheet as necessary. � � CHECK # DATE PAYEE CHECK AMOUN PURPOSE _______ �---- 1. 2169 2/12 COTTAGE GROVE ARENA 120.00 ICE TIME 2• 2176 2/12 SPIRIT COACHES 850.00 TRANSPORTATION TO BEMIDJI 3. . 2177 2/22 WASHBURN HOCKEY 250.00 TOURNAMENT ENTRY FEE 4. 217g 2/22 ST. LOUIS PARK HOCKE 250.00 TOURNAMENT ENTRY FEE 5 . 217g 2/22 PRINCETON ARENA 250.00 TOURNAMENT ENTRY FEE 6. 21g9 2/28 STICHENS 261.00 HOCKEY EQUIPMENT 1• 2196 2/28 STRAUSS SKATES � 2,164.81 HOCKEY EQUIPMENT a• 2195 3/31 CITY OF ST. PAUL 1,169.00 CITY YOUTH FUND 9• 2205 3/15 MAHA DISTRICT 10 250.00 REGIONAL TOURNAMENT ENTRY FEE 10. 2206 3�20 ROSEVILLE ARENA 640.00 ICE TIME 11. 2207 3/28 TOURNEY BUS 1,450.00 TRANSPORTATION TO CAMDEN TOURNEY 12. 2209 3/28 IRS ' 950.00. PENALTY ON FORM 990 13. 2210 3/28 IRS 183.35 PENALTY ON FORM 990-T TOTAL CHECK At�UNT S 8,788.16 NOTE: These expenditures r+ill be prov ded to Council Members at your Council hearinq. Be sure that your financial 'rep rt is complete and accurate. � . �+ � � � .:i � ��y v • 'ri � '� + � • � y 7 �• � /� � �' � 'J � • �M l� � t • I � w l� � - � » ~ p � �r � . � � '� � i i 1 O ! ' � 7 � = � ` � , r i � r • . s � S n w r i � � r r � � � A • - � i � � + � Y ~ � A w� w • I r � � y 1 ! r • � w • � � • � + � A a .. ! . I � � • r • � �+ > � o� s� � i 1 � " + �r "' • z ; �; �1 !I � • ` . � � A w ��rv > � � �� •I w • ` • �r� � ,� , i w • � + ; = • � � � o ' �� ti � • w .� � � � � � � � -i � � G Y � � � � � s w . : s • i. • • I � � � • w� I " =� �� s� � ! w '� ..� J i � s + +++111 7 •1 �I � I � '� I � wl � � C I . i '.� y1 a� - ^ ! �� 7�� ! I •1 � I � i � � a' y I � � . UNIfORM CHARITABIc MBLING rI�ANCIAL REPOkT C��--/�� - ' - L�WFUL PURPOSE CONT IBUTIONS - WORKSHEET Line #13 - Total Lawful Purpose Cont ibutions. S � List below all checks written f m gambling funds which are charitable lawful purpose contr'butions. The total dollar - amounts or these checks must ma ch the amount claimed in , line #13. Use additional shee as necessary. � ' CHECK � DATE � PAYEE CHECK AMOUN PURPOSE _ 1. 2211 3/28 NORTH SUBURBAN JR. WKS 50.00 TOURNAMENT PROGRAMS 2. 2213 3/30 SPIRIT COACHES 2,750.00 TRANSPORTATION TO ROSEAU TOURNEY 3. 2214 3/30 ALDRICH ARENA 390.00 ICE TIME 4. CITY OF ST. PAUL 1,067.30 CITY YOUTH FUND 5 , 2228 4/9 SOUTH SIDE TOURNAME T 300.00 TOURNAMENT ENTRY FEE 6, 222g 4/9 TEAM MINNESOTA 320.00 HOCKEY EQUIP. FOR ALL-STAR TEAM ], 2230 4/11 PROEX 156.17 TEAM PICTURES FOR ALL PLAYERS g. � 2231 4/11 TO GO IMPRINTERS 159.00 COhII�1ERATIVE PINS FOR TRIP TO JAPAN g. 2232 4/12 MAPLE LEAF TRAVEL 350.00 SERVICE CHARGE ON TRIP TO JAPAN 10. 2235 4/18 JOHNSON BASEBALL B STE 100.00 DONATION FOR PROGRAM PRINTING 11. 2243 4/25 JOHNSON AREA HOCK --� 6,467.80 EQUIPMENT, ICE TIME, PYMT ON TRIP TO JAPAN, DONATION TO JR. 12• � � BOWLING, LEAGUE FEES, STORAGE OF 13. EQUIPMENT, TOURNAMENT ENTRY FEE, � � & Dt)NATION OF TROPHY CASE TO TOTAL CHEC K AhbUNT S _12,110.27 JOHNSE3N HIGH SCHOOL. NOTE: These expenditures aill be prov ded to Council Members at your Council hearing. Be sure that your financial rep rt is complete and accurate. .. ! � n � � •i � .. • � e� • w '� ,�.. i c > �' � � —� � • r a � w e � � � C ;� ^ � � y 7 � I n � � {y � ^� � .�i A A ` • ; ~ 0 � y � � I � � p � * � � '� p 7� � � : « � v : r � • � r r . ! � � � � = � � = 2 a A .r w .r � w a a r Y � � • " � w ' �. i � � � : � ,ar. s = ' .. M - � . • : � = ^ a > � � � : - • : : } , " � s� , I • . , � _ an � � s � " s a �' • ; . a �I ! � ' { , � i A w w�� i � y r 1 � ~ y � � v� A w � : N � � • � . I � 7 � � �1 r � /� � � � •� w � � � c �. ; • � 4 = , : � < � � - - _ � � � A : s � w�• • � F .�. = � � �� r I w � I � \ w � w J � I � : � � ., � � , - � I . :. . �' o',j i I ; ! a� �.� � I � • I � a. sI y i � � - ' ' UNIFORM CHARITABIE MBLING rI��NCIAL REPORT �� c�'� .� . L�uFUL PURPOSE CONT IBUTIONS - WORKSHEET �� . . Line #13 - Total Lawful Purpose Cont ibutians. S list below all checks written f m gambling funds whith are charitable lawful purpose contr butions. The total dollar amounts of these checks must ma ch the amount claimed in line �13. Use additional sheet as necessary. . ' CHECK � DATE � PAYEE CNECK AMOUN PURPOSE __._—._ 1. 2242 4/25 MIKE'S PRO SHOP 561.30 SHIRTS FOR JR. BOWLING 2. 2252 4/25 SPIRIT COACHES 1,282.05 TRANSPORTATION TO TOURNAMENT 3. 2258 4/28 BIGGER STRONGER FEIS ER 975.00 WEIGHT LIFTING CLINIC FOR YOUTH TEAM MEMBERS 4. 5, 2267 5/15 NEW BOUNDRY DESIGNS 232.50 T-SHIRTS FOR PLAYERS WHO WENT TO JAPAN 6. 7• 2268 S/15 MODERN SCREEN 73.00 BANNER FOR PEE WEE TEAM 8• 2269 5/15 VFW C/0 DON BERG 508.80 STATE TOURNAMENT - FERGUS 9. 2270 S/22 MAHA BANTAM CAMP 1,500.00 FEE FOR PLAYERS TO ATTEND CAI� 10. 2271 5/23 ROGER'S PRINT SHOP 52.90 PROGRAMS FOR BANQUET 11. 2280 6/5 GLADSTONE HOUSE 1,211.25 BANQUET FOR PLAYERS 12. REFUND FROM ST. PA 13. YOUTH F[1ND ( 3,349.50) TOTAI CHECK AMOUNT S 3,�47.30 NOTE: These expenditures will be prov ded to Council Members at your Council hearing. Be sure that your financial rep rt is complete and accurate. .. P � � � � • • .. ' ►.� '� y ~ r .� • C > w � � ,� G � � � • • „�� ~ .�i r �± +A ' �� i � A ` I • � + Q � � a I w ; 0 � • o ♦ 0 � > > � =i 'i r � O � � r r A ` I w� = I� 7 ? � � s T 1 r 7 � + � � � r ~ y .. r .� 1 `+ � � � � s • s '� + + a � � � > > f .� � � 1 � w � � a a�. ,� • ,� y � . + � � � O A 's� v 1 I + r � • j 1 '' �� !( � � . d � � A w ��r 7� � 7 r, ,( ~ , � �� r w � A � • A � � � ' 1 : �w � • + •1 rl ` � f� y r � � � .� � ] t Q n � .� � - . .� s � . : s � •r � • � ,�. ' � ` � I w �I I yy � � � � I \ w y .�1 J � . ) ; �. : •� � = - ° I . .�+ �� i � . . al �� . , ' � ,�� I J � . :. i I I !