89-1632 WHITE - CITY CI.ERK
PINK - FINANCE GITY OF AINT PAUL Council /�'/�
GANARY - DEPARTMENT �(/�//'��
BLUE - MAVOR File NO• � • ���
C uncil esolution �y
Presented By
Referr To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID #2 223) for a State Class B Gambling
License by Minnesota Wa erfowl Association at Beaver Lounge,
756 Jackson Street, be nd the same is hereby approved/��ch.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
Lo� In Favor
Goswitz
Rettman � B
Scheibel A gai n s t y
Sonnen '
�u�n SEP 1 �
� 1989 Form Approved by City Attorney
Adopted hy Council: Date -
Certified P . e by Council , retary BY � '" �� �
By, ��� .
t�ppr v d by Mavor: Date _ y�� i � Approved by Mayoc for Submission to Council
g BY
Pt1Bl� S�P 2 319g9
o = ���e—��.�
DEPARTM[NT/OFFICEICOUNCIL DATE INITI TED
Fina ce I.icense GREEN SHEET No. �J�62
CONTACT PEHSON 6 PHONE �NITIAU DATE 1NITIAUDATE
DEPARTMENT WiiEGTOR �CITY COUNCIL
Chri sti ne Rozek/298-5056 � CIIY ATTORNEY �GT11 CLERK
MU8T 8E ON COUNpL AOENDA BY(DAT� pOUTIN(i BUOOET DIRECTOR �FIN.&AM3T.8ERVI(�S DIR.
9—12—$9 MAYOR(OR A8818TANT) ���'� R
TOTAL#�OF SIONATURE PAQES (CLIP AL LO ATIONS FOR SIQNATURE)
ACf�I REWE8'iED:
Approval of an application for G bling Manager's License.
Notification Date: 8-24-89 Hearin Date: 9-12-89
RECOMMENDAT NS:APp►ow(N o►R�t(I� COUNCK. li'TEEl�ARCN REPORT OPTIONAL
_PLANNINO C�AMI8810N _CIVIL SERVIC:f�MMI8810N ��� ��E�.
_pB COMMffTEE _
_8TAFF _ �01AM
_DISTfi1C'T OOURT _
BUPPORTB WNICH COUNCIL OBJECTIVE9
INI'1'IATINO PROBLEM.188UE,OPPORTUNITY(Who.YVhet,When,Whsro,VYh»:
Scott Nelson DBA Minnesota Water ow Association, 756 Jackson Street
requests Council approva1 of his ap 1ication for A Gambling Manager's
License.
ADVANTA((iE8 IF APPROVED:
If Council approval is given, Sc tt Nelson will manage the pulltab/
tipboard sales for Minnesota Wat rf wl Association at Beaver Lounge,
756 Jackson Street.
DISADVANTAOE8IF APPROVED:
DISADVANTAOES IF NOT APPi�VED:
Council Research Center.
AUG 2 91989
TOTAL AMOUNT OF TRANSACTI�1 C08T/REVENUB BUDOETED(CIRCLE ON� VE� NO
FUNDINl3 80URCE ACTIVITY NUMOER
FlNANdAI INFORMATION:(EXPLAIN)
. , , .
' . � ��1�3�.
UIVISION OF LICENSE AND PERMIT A.t7MINIST TION DATE � 2 � �� / � a� rj�
INTERDF.PARTMENTAL REVIEW CHECKLIST Appn Pro essed/Re eive by
Lic Enf Aud
Applicant �� y�/�,Sp-�, (NG,�n�COw� �'r55 Home Address �� ���Dl� ��W OU � ��
Business Name �jPC�v�r �Oc-lY�y Home Phone ( �J $� �s33
T
Business Address �� L' � f�(�CSO� Type of License(s) l.. ��.5� g
Business Phone (,�VY��I�n��LnvPS�- TP�
Public Hearing Date �( L g License I.D. 41 �� ��
at 9:00 a.m, in the Counci Ch mbers,
3rd floor City Hall and Courthouse State Tax I.D. �6 s a 3�aa �'
llate Notice Sent; �! Dealer �� 'U I�"'
to Applicant '" �/�
rederal Firearms �6
Public Nearing
DATE II�'SPECT UN
REVLEW VERFIED (COMP TER) CUMMENTS
A proved Not roved
�
Bldg I & D �
�C� ;
Health Divn. '
� ��� '
,
Fire Dept. '� + �
� NI� I
�
Yolice Dept. ' -SPn`�' � �°1� �
,� �� � i � o�
License Divn.
�
� � � ��_
_ �
City Attorney �
� s� � v�
Date Received: '
Site Plan N I/T
' To Council Research g � �
Lease or Letter � ate
from Landlord ��
. � . ��iG3a
' ' { ' �i�f o= Sa:�t ?au�
Deoart�ent o= riaanc aad :�ana;emeat Se^�ices
� .
Division oi License aad Psrai� �egis�rat�on
^T•rOR."�i.�TZON -��.OUI�D �dl� :�P_°LIC�TION FOR P .'�fIT TO COI3DUCT PTJLL��/TT?30ARD S�tI,�� i't
S�L`�'i °�L'L (Ciass 3 Gamcling L�cense in Li uor EsLabL�sitmeacs - New ?�oplicat�on)
I. FuZI aad comoleta nazse of organization waic:� is applyiag for 1_cense r'IJ'�M�,�.��
1 �. �.�1 c<< r`e
2. Does pour organizacion meet t:�e dePiai yoa of a "Iarge" organizac�on as aut'?aed ia
t:�e �tovember, I988 revision or Section 409.2I of the Legislac�ve Code?
?.ttac:� Co t:�is aoplicacion pertinent f aaaci.al and/or orgaaizational inior.aacion co
support your answer to t:�is question. YOTr: Oaly 5 Iarge organizations wiI? be allow-
ed to ooea oulltab ooerations under th revised city ordiaance. If more than 5 organi-
zat;ons anpiy, qual���ed apolicaats wi I be selected raadomly bq the City C�uacil.
A �( -,
3. :�ddress wnere games �arill be held �� {�'� ���� �/. ���� /
N mber St:eet C�t� Z'_p
4, vame o= �anage: s�gning t:�is applicat� n wno wi?1 couduct, operate and manag_
Gambling Games � Date oz Birt:� ���/.5`T�
,
(a) Lengt:� o= t:me manager has been me ber o= applicanC organizat:on ���
,
5. 2,ddress oL :ianager QQ A u/00 �h� � �J �'
• :tumoer Strse �l`;6v��i. City Zi? � ��-�—
,
G',,�..�, /p,e��� '� J ,�� � Q , �,� ��e���/�.�-
6. Day, daces, and hours this appLi.catia is for ��- ! 'u'��' /�•`'� ll�l��o ��C�r�'� �
J
7. :s t:�e apolicaac or organizatjon orga 'zed uacer tbe Iaws of the State ei `LJ? EP�
8. Dace oi incor?oracion � -/� � �'`
9. Data wE�en registered with the State o Minaesota �~l� '�0 7
I0. How Ioag fias organizat�on been in e.�i tence? :.� /1
, �''
IL. How Iong has organizaLioa beea in esi teace ia St. Pau1? �i �r
1?. *,Jhat is the pur*�ose of the organizati u? �ee q-1/l,Q ���d� ��� �''� � �
_.__
I3. Officers of applicanc orgaaizatian:
. Name G�.Y1 Name , �l'1 W G� . �
Address 7 � a'�' J�. /��'. Address -�. :1�0�_^ �� ��'
Cle- �� ---� DOB '�ci-S� Title L rGe �0�'�DOB , ,���
Ti ,�it°_4 ��t -. _
Yame
�i�'1 Name ^ ��
- �ddress, �; la ��� . '` �}'"'"'Z Address �'y � � '� M�
I�2-y � I� �.
Title �r�i Kr^�?r/' DOB"� 7 / Title ic �� -
. . � ���/l3-�
14. �ive names of ofE#cers, or any other pe sons who paid for services to tt�e
organization. �±t'"��
Name Name
Address Address
Title Title
, (Attach separate s eet for additional names.) �
15. Attached hereto is a list of names and ddresses of all members of the organization.
16. In whose custody will organization's re ords be kept?
� � n ,►�
Name � ��• � �,�(� w° ' (�. Address ��G�'� /I��CY'f�d��� l� /lci ���
--r--
17. List all persons with the authority to ign checks for dispersal of gambling proceeds:
Name � ,/ Name ���^`�'c� /�/�P y f l�
Address �L� G/��i�l,�c�C��C"?c�, Address ���yC� �/ '��-pY' �'f,'�� _�7�.�f
Member of �r PSember of, C
DOB �" (.� -r(� Organization? DOB ""�p� Organization? - -J����
Name Name
Address Address
Member of Member of
DOB Organization? DOB Organization?
18. Have you read and do you thoroughly und rstand the provisions of all laws, ordinances,
and regulations governing the operation of Charitable Gambling games? t'
19. Will your organization's pulltab opexat'on be operated/ma�ged solely by members of
your organization? yes no /�6
20. Has your organization signed, or daes intend to sign, a consulting agreement or a
managerial agreement with any person o company to assist your organization with the
pulltab sales and/or recording keeping? yes no
If answer is yes, give the name and ad ress of the person and/or company contracted.
Name � ' Address �—
Name Address
If answer is yes, how will such a cvns 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 '��t��
Business Address � '�r �QIC � �'� '�r� ��� �� � •
Home Address (S3V i�iE�f2t1� �{ � ' t/��1 � C �Y� l � � � ^
�
� . � C��''�G�3�?
22. a) Does vour organization pay or intend to pay accounting fees out of gambling furids?
yes _ no
b) If you do pay accounting fees, to wh will such fees be paid?
Name � ddress
_. --�-r�-� -__ ...,, ,
DOB Member of Orga ization? _ _ ,
c) How are the accounting fees charged out? (flat fee_ hourly, etc.)
d) What do you anticipate will be your average monthly deduction for accounting Eees?
�� ti�
�5�' � �n L^ �'
23. Amount .of rent paid by applicant organi ation for rent of the hall:
�•'-��� l
24. The proceeds of the games wili be disbu sed after deducting prize layout costs and
operating expenses for the following pu poses a c� uses: '
� ,�s �,-{� M y�� � � �
C �� � r �-�. 1��`�.S�
� . � � �
o -�2
25. Has the premises where the games are to be held been certified for occupancy by tt�e
City of Saint Paul? � -�Cj
26. Has your organization filed federal for 990—T? If answer is yes, please attach
a copy with this application. If answe is no, �xplain why:
.�
Any changes desired by the applicant associa ion may be made only with the consent of the
City Council.
l '
� �' � o L � �c�� ,o
rganiza[ion Name
. /,, B � �,,�
Da t e _ /� ��"�J� B y: ^ �°"' `--�1 �
anager in charge oE gam ✓
Bet� c�i. Bezy � �Os�
� NOTARY 7UAlIC-MINNESOTA
RAMSEY COUNTY Organization Pr ident or CEO
�Ay commnsior expves l-5-94
�� � ._2�_��
�
L
_ ao a�3
• City i Saint Paul
. . � • Department of Financ and Management Services ������,Z-
License an Permit Division
20 City Ha�t
St. Paul, Mlnn sota 55102•29&5056
APPLICATI N FOR LICENSE
CASH CHECK CLASS NO. New Renew
� � � Date ^� 19�
Code No. Title of License �y q�
From 19�To / �a 19�LG
.
`'393 �� 7� �
,00
� ppllCanUCompany Name '
100 // � �/ //
100 Business Name
. . 100 �� 'Et��' �/
Busines�,tldress Phone No.
100 l.��� J
,��,�. -�-cf i
100 � Mail to Address Phone No.
f� �jt`
100 ��tL•C�.� ��-'��"'�-G�-�/
—,
ManagerlOwner•Name � �
• 100 ' 9v� '
�Oc�'�6� c�i G�. �s,33
100 Alanager/Gwqer•Home Address Phone No.
4098 Applicatfon Fee 2 50 ,!
Recelved the Sum of 100 � � .J��3T�
3�p� . � MaoagerlOwner•City,Slate 3 Zip Code
100 Totel 100
: � �- % J`, ��_
License Inspector By. � St �ature of Applicant
Bond:
Company Name Policy No. Expiretion Date
Insurance:
Company Name Policy No. Expiration Date
Minnesota State Identification No. 5a 3 7a a� so��a�se����tY No. -
Vehicle Information: �
Serial NumDer Plate Number
Other:
THIS IS A RECEIP FOR APPUCATION+
• THIS IS NOT A UCENSE TO OPERATE.Your application for license ill either be granted or rejected subject to the provisions of the zoninfl -
ordinance and completion ot the inspections by the Health, Fire, Z niny andlor License Inspectors.
►r,..' • .
$15.00 CHARGE FOR AL RETURNED CHECKS ��
o�t ?-�� � � �� /
, � , , . . - C�" /l03�
TO BE COM LETED BY
ORGANIZATION PRESIDENT ND GAMBIING MANAGER
I understand and will uphold Saint P ul Ordinance 409, Sections 409.21
and 409.22 relating to pulltabs and ipboards in bars.
Further, I understand that my jarbar ust meet city standards; that 10°0
of the net profit from pulltab sales ust be returned to the City-Wide
Youth Fund on a monthly basis; that onthly financial statements must be
filed with the City; and that 51°0 of net proceeds must remain in St. Paul
or be used to support St. Paul resid nts.
L�, -� , .
Signature - Manager
�
'gnature - Organi ion President
,� a �V�t e �-1 �`��a�,'� `)
rganizatio ame
a U��^ ���l i�C '�
G mb ing ocation
c�
Date
...�......�••
Bet� c�• ���9
',��� NOIARY DUEI��—M:"�NESOTA
� �'' . = RAMSEY COUNTY
" �y�pmmus�oner��res'•5•94 �—� �
Please retain the atta hed ordinance for your records.
�. � , � ���-i�3.z
Purpose and Mission Statement
The funds raised by and assets o this corporation shall be used
for the improvement and protecti n of waterfowl habitat and the
education of the public to th� b nefit of waterfowl and its habitat.
. :. ��/�03�
DEPrSEiTM�ITlO�F1UElCOUNdL DATE INITIATED
Fi.nance/I.i cense GREEN SHEET No. 5061
INITIAU DATE INfTIAUDA7E
CONTACT PERSON 8 PNONE PARTMENT DIRECTOR CITY OOUNGI
Chri sti ne Rozek/298-5056 �� ATTORNEY g cm ae�uc
MUST BE ON COUNGL AOENDA BY(DAT� ROUTMifi DOET DIRECTOR �FIN.8 NIOT.8ERVICEB DIR.
9-12-89 v��oR�sa�sr,wn � Council R
TOTAL�Y OF SIONATURE PAGES (CLIP ALL ATI NS FOR SIONATUR�
ACT10N REQUESTED:
Approval of an applicatian for a S at Class B Gambling License.
Notification Date: 8-24-89 Hearing Date: 9-12-89
pECOMMENOATION :Mp�W a�1�(� CAUNqL REPORT OPTIONAL
_PLANNINO COMMISSION _GVII SERVI�COMMIS810N �� P�ONE NO.
_(�8 COMMITTEE _
COMMENT8:
STAPF _
_aBTRIC'i OOURT _
BUPPORT8 WF11d�1 COUNqI OBJECTIVE9
IPMTIATINO PROBLEM,I�UE.OPPORTIA�ITY(Who.1Mw1.WMn.�NM►e.Wh�:
Scott Nelson on beha1f of Minnesot W terfowl Association requests
City Council approval of.their app ic tion for a State Class B
Gambling License at Beaver Lounge I c. DBA Beaver Lounge at
756 Jackson Street. Proceeds from th pulltab sales will be used for the
improvement and protection of wate fo 1 habitat and the education of the public.
All fees and applications have bee s bmitted.
ADVMITAOES IF APPROVED:
If Council approval is given, Minn so a Waterfowl Association will
operate a pulltab booth at Beaver ou ge.
DISADVANTIIOES IF APPROVED:
DISADVANTA(iES IF NOT A�VED:
Council Research Center.
AUG 2 9 �989
TOTAL AMOUNT OF TRANSACTION s C08T/REVENltE SUDOETED(CIRCLE ON� YES NO
FUNDINO SOURCE ACTIVITY NUMOER
FINANCIAL INFORMATION:(EXPLAIN)
j, r.,, . _ ` _t � s
t. •_ .
NOTE: COMPLETE DIRECTIOMS ARE INCLUDED IN THE CiREEN 3HEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PURCHI�SINii OFFlCE(PHONE NO.298-4225).
ROUTINC3 ORDER:
Bslow are proteRSd routings for the Nve most frequern types of documsMs:
CONTRACTS (aseumss authoNzed COUNqL RESOLUTION (Am�nd.Bd�ts./
budget exists) Accept.QnrKs)
1. Outside AQsncy 1. Department Director
2. Initfating D�peRmeM 2. B
3. (�ty Attomsy 3. dt�/1tWrtisy
4. Mayor 4. MayoNAs�tant
5. Finarwb d Mpmt Stires. Director 5. qy CouncN
6. Flnar�ce Accountinp 6. Chisf Aa�ur�tant, Fln&Mgmt 3�rc;s.
ADMINISTRATIVE ORD�R (Budgst OOUNqL RE30LUT10�1 (all othere)
Rsviabn) snd ORD�NANCE
L Activiry Manapsr L IMdadnp DspsrtmeM Director
2. Dsp�rtrn�M AccouMaM 2• �Y�a�'»Y
3. DepartmeM Director 3• ���
4. Budpst DI►ector 4. City Couhdl
5. City Clerk ,
8. Chief,4xouMant.Fln 8 M�mt 9wx.
ADAAINISTRATIVE ORDERS (aAI othsrs)
1. IniHating DspartmeM
2. (aty Attomey
3. MayaNAssistant .
4. Gty t�srk
TOTAL NUMBER OF SKK�NATURE PAOES
Indicate the#��psp�a on wh�h eipnaRuro�aro nqui�ed�nd a�
esch of these ss. .
ACTION REf�UESTED
De�xibs what ths proJ�ct/requat Nslcs to acc�riplirh in dtMr chronologf-
cal ordsr or or�r of importanc��wh�h�ver is moN appropriN�for the
iasue. Do not�rcite complete esnbr�ss. Be�n each item in your list with
e verb.
RECOMMENDATIONS
Comptsts if ths ise�in qwstion ha bssn p►essM�d bsfore any body, Public
or privsts.
8UPPORT3 WHICH OOUNqL OBJECTIVE�
Indic�s which Cour�cil ob1�(s)Y'�P�1���9��bY��9
" ths key word(t)(HOU81N0, RECREJITION, NFJ(3H80RHOODS,ECONOMIC DEVELOPMENT,
BUDOET,SEWER SEPARATION).(3EE COMPLETE UST IN IN3TRUCTIONAL MANUAL.)
COUNGI OOMMITTEE/RESEARCH REPORT-OPTIONAL AS RE(�IJESTED BY COUNqL
INCMTINQ PROBLEM,183UE,OPPOFITUNITY
Explain the situation or oonditfons tl�et croaed a need fa y�our projsct
or request.
ADVANTA(iE3 IF APPROVED
Indk;ats whsther thia is simpiy an anntal budqet proceduro roquired by law/
chsrter or arhethsr thsre aro sp�dflc in which the CMy of Sairn Paul
and its citizens will bsnslft from Mis p��,t/action.
DISADVANTAOES IF APPROVED
VVhet nege�tiw etfects or mejor chanpas to axisting or past pror�ea might
this ProJ�t/ro4��Ptod�e if k fs pu�ed(e.g.,trafflc delaye.noise, '
tax lncraa�s�aafssertieMS)?To Whom?Whsn?For how long4
DISADVANTAOES IF NOT APPROVED
What wfll bs the nepetNe conseque�ss if the promised�tion is not
approvsd? Inabiiky to delNror servics?Corninued high traffic, noise,
sccideM rate?Lo�of►svsnus?
FINAN(�AL IMPACT
ARFwugh you muri teilor ths infonnatbn you provids here to the issue you
aro�ddresein�,in�en�ral you must answer trro questlons: How much is it
goinq to oost?Who is gofnp to payl