89-1651 �ITV CLERK
— FINANCE GITY OF SA NT PAUL Council
_nNARV — DEPARTMEN7 ��i��/
BLUE — MAVOR File NO. �� —
� C�uncil R solution `
�
;
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID #9196 ) for a State Class B Gambling
Cicense by Westside Youth ockey Association at Brown Derby
Lounge, 567 Stryker Avenue be and the same is hereby approved/
�d�rrre�h:
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
Lo�g In Favor -
Goswitz
Rettman
s�nesbet � _ Against BY
Sonnen
Wilson
S'EP � -�t �f� Form Appr ved by City A orne
Adopted by Council: Date * • � �
Certified Yas• b Council Se tar BY
By, �
S�P � �� � Approved by Mayor Eor Submission to Council
A►pproved_�-M�avor: \ Date. �
— ,
�U� �,-- i
gy �-J , ..� �'--�--� BY
PU�lt�ED �E�' 2 � �989
. • ��-,r(as!
DEPARTMENt FFlCEIOOUNqL DATE INITIATED
Finance/�icense REEN SHEET No. 5�57
CONTACT PER80N 6 PFWNE INITIAL/DI1TE INITIAUDATE
EPA MENT DIRECTOR qTV COUN(�L
. Chri sti ne Rozek/298-5056 �� � irr ORNEY �CITY CLEpK
MUST BE ON COUNGL AOENDA 8Y(DAT� ROUi1N0, � UDO DIRECTOR �FIN.8 MOT.SERVICES DIR.
9-14-89 � nvo toRnsa�sr,wn � •�uncil
TOTAL#�OF SIONATURE PAGES (CLIP ALL LOCAT ON FOR SICiNATURE�
ACT10N REGUESTED:
Approval of an application for a Stat C ass B Gambling License.
Notification Date: 8-29-89 earing Date• 9-14-89
Fl�oowu�Ha►nor�s:�vv�•cN«�(�� c�uNC� �T�o�ll►�
_PLANNIPK�1 COMMI8810N _CIVIL 8ERVICB COMMISSION ANALYST PNONE NO.
_d8 O�AMITfEE _
—STAFF _ Cd�IMENTS:
_DISTRICf Oa1RT _
SUPPORTS WNldi COUNdL OBJECTIVE9 ,
INITIATINO PROBLEM��IE�OPPORTUNITY(INIa.Nl�.When�WMre��Nhy):
Mark Mules on behalf of Westside Yout H ckey Association requests Council
approval of their application for a S at Class B Gambling License at
567 Stryker Avenue, Brown Derby Loung . Proceeds from the pulltab sales
will be used to support youth hockey 'n he Westside/Westend area.
All fees and applications have been s bm tted.
ADVANTAQEB IF APPROVED:
If Council approval is given, Westsid Y uth Hockey Association will
operate a pulltab booth at 567 Stryke A enue.
OISADVMITAOES IF APPROVED:
NOTE: This will be the second pullta 1 cation for Westside/Westend
Youth Hockey. The organization curre tl operates a pulltab booth at ,
John and Pauls, 731 Randolph Avenue. Th pulltab site at John & Paul 's
is inspected regularly and no major p ob ems have been found.
q8ADVANTAGEB IF NOT APPROVEO:
Council Research Center
� SEP 11989
TOTAL AMOUNT OF TRAN8ACTION = CK /REVENUE�TED(dRq.E ON� YES NO
FUNDMKi SOURCE A ITY NUMOER � '
FlNANqAL INFORMATWN:(EXPLAIN)
. � . � � ��i��
DIVISION OF I.ICENSE AND PERMIT ADMINISTRATION DATE 7 3/ 0 / / � � (�
INTERDF.PARTMFNTAL REVIEW CHECKLIST Appn Pr essed/Received by
Lic Enf Aud
Applicant 1�J�$�,d� I�.�S�e�d �iQ��o�� me Address /`J 5 � _�4�p ��
Rusiness Name a� `�Q, �Qp�� �P✓q,/ H me Phone aa�— �o�g o�
%
Business Address �(p�] ��-ytq � T pe of License(s) � �Q� � —
Business Phone � yn Zj��n �r�1�Qs ,
Public Hearing Date C( /y g 9 L cense I.D. 41 �/Cj (p0
at 9:00 a.m. in the Counc 1 Chauibers,
3rd floor City Hall and Courthouse ', S ate Tax I.D. �� /�1/�-
llate Notice Sent; D aler �� �l/�'
to Applicant ff'�9 89
I�' deral P'i_rearms 1f ul�'
Public He�.�ring
DATE INSPECTIUN
REVIEW VEKFIED (C�MPUTER) COMMENTS
Approved Not A ro ed
�
Bldg I & D �
►�I� �
Health Divn. '
���- '
�
Fire Dept. � �
�I N�� f
Yolice Dept. I gl�l� ( � �
gl � ��, � o �
License Divn. f
�I� � i Q��
I
City Attorney �
8�z���, , � ��
Date Received:
Site Plan �I�- p
o Council Research 0 �
Lease or Letter ��n at
from Landlord �
`, • � ' City of Sai t Paul C�/ 0 % "'S!
Department of Finance an Management Services
Division of License and Permit Registration
INFORMATION RE UIRED WITH APPLICATION FOR PERMI TO (�ONDUCT PULLTAB/TIPBOARD SALES IN
SAINT PAUL (Class B Gambling License in Liquor stablishments - New Application)
1. Full and complete name of organization whi is applying for license
. � q � .
��J'.JQ-�' cS-�t�- �-� S �F►-\. �
2. Does your organization meet the definition f a "large" organization as outlined in
the November, I988 revision of Section 409. 1 of the Legislative Code? ��
Attach to this application pertinent financ al and/or organizational information to
support your answer to this question. NOTE: Only 5 large organizations will be allow-
ed to open pulltab operations under the re sed 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 ��c,� �c�..� -�c��a--� �e� ��ct��]
Number Street City Zip
4. Name of manager signing this application wh will conduct, operate and manage
Gambling Games r t � � � Date of Birth `"l " Z-� �� � "�
(a) Length of time manager has been member f agplicant organization �� �., �-°�- �
5. Address of Manager � �� � . �i� ' {��� �r. ��—��
Number Str et City Zip
6. Day, dates, and hours this application is f r � �,-� � ` " �Cs �z�� 1 U
7. Is the applicant or organization organized nder the laws of the State of MN? �
8. Date of incorporation ���� `�' ( �( � �
9. Date when registered with the State of Minn sota t� � I
L0. How long has organization been in existence � � �^ 3
11. How long has organizatioa been in existence in St. Paul? � `� �`��S
12. What is the purpose of the organization? `�- ������S
13. Officers of applicant organization:
Name �QQ- � � � ' �
t� c� Pa N�e '�-.�- � '�^.�.r--,
Address ��� � ��^�� Address ZZ_`1 ��.�
Title�c'2� DOB ( �5��) " t-� Title s`z-� 3 DOB � �'�-�--`{�
Name ' X: ,'� l_ �A� Name Y \�- r._ �� 3
Address L� L `'J M,�,..� Address t S S � _L ���
� �=-� . (,� _
Title \ ti-Q-� DOB � � j � Title �` DOB -f �;; ��
. � . - " �c�=/��
14. Give names of officers, or any other perso who paid for services to the
organization.
Name Name
Address Address �
� Title Title
(Attach separate sheet for additional names.)
15. Attached hereto is a list of names and add sses of all members of the organization.
16. In whose custody will organization's record be kept?
Name ��p��\� ��v�L� � Address `.� � � �S�`�c
17. List aIl persons with the authority to si checks for dispersal of gambling proceeds:
Name ��/���L `t �(���5 Name
Address � SS � �St��:' Address
Member of Member of
DOB �'Z-� �� Organization? ` �� DOB Organization?
Name Name
Address Address
Member of Member of
DOB Organization? DOB Organization?
18. Have you read and do you thoroughly underst nd the provisions of all Iaws, ordinances,
and regulations governing the operation of haritable Gambling games? L,�S
19. Will qour organization's pulltab operation e operated/managed solely by members of
your organization? yes � no
20. Has your organization signed, or does it i end to sign, a consulting agreement or a
managerial agreement with any person or co any to assist your organization with the
pulltab sales and/or recording keeping? yes no x
If answer is yes, give the name and address of the person and/or company contracted.
Name Address
Name Address
If answer is yes, how will such a consultan be paid? (percentage, flat fee, gambling
funds, general funds, etc.) Attach a copy f said contract to this application.
21. Operator of premises where games will be he d:
��1
Name �� �a c�..r� �
Business Address ��� `�i �
c�
Home Address � c � �•- � � �`��
, � � ��-�-�.'�sG
22. a) Does your organization pay or intend to ay accounting fees out of gambling funds? .
yes no k'
b) If you do pay accounting fees, to whom 11 such fees be paid?
Name Add ess
,DOB Member of Organiza ion?
c) How are the accounting fees charged out. (flat fee, hourly, etc.)
d) What do you anticipate will be your ave age monthly deduction for accounting fees?
23. Amount of rent paid by applicant organizati n for rent of the hall:
� t!,c�c� - �.
24. The proceeds of the games will be disbursed after deducting prize layout costs and
operating expenses for the following purpos s and uses:
�L� �rv�. .�.A- k� 4�/�A..��
25. Has the premises where the games are to be eld been certified for occupancy by the
City of Saint Paul? �
26. Has your organization fil d federal form 99 -T? If answer is yes, please attach
a copy with this application. If answer is no, explain why:
� � .. ��L�S �
Any changes desired by the applicant association may be made only with the consent of the
City Council.
�a..�� c�- �. �k�.,
Organization e
Date J� ��� �y B 1�� `\ \ `[\"�
Manager in charge of game
Organization dent or CEO
...�..—._ ._. " — .�..�.:. . . _ �� .- " _-. _.L,:�T . "" ..�Z4:'.� � ;�. �.:� �, ._`�t"_.��.�if��^w1. • ... .. .a .
City of Saint P ul �� 9��
Department of Finance and M nagement Services ���� �
License and Permi Division �
203 City Hali
St. Paul, Minnesota 551 •298-5056
APPLICATION FO LICENSE
CASH CHECK CLASS NO. New Rene
0 0 0 7�� ,
Date 19�
,
Code No. � Title of License From U / 19l�To �_19�
a3 ' �,� . � - �,�.� �
�;; ,00 � 4k�
� �� AppllcanU pany Name [.
100 �/ �/
�/
100 Buslness Name
ioo �� �, � � �7
Business Address Phone No.
100 � /1 p
�.j��� ����f_-�l��� p2oco1"Q�Q��
100 Mail to Address Phone No.
,00 �2� ��G�?sr�
ManapedOwner•Name `s'••
,-� �-,.��,. ��.�
100 AlanayerlGwner•Home Address Phone No.
4098 Applicatfon Fee 2 gp � ,�j , ���-- \ _
Recelved the Sum of 100 �ti ��,s� . �
`��p�� ManapsqOwner•City.State 3 Zip Code
100 Total 100
. ��
j ����
License Inspector By: Sfgnature ol Applicant
Bond: �
Compa�y Name Policy No. Expiration Date
Insurance:
, Company Name Policy No. Expiration Date
Minnesota State Identification No. C. S �D�Sf _ cial Security No.
Vehicle information: Pia�e Numoer
Serial Number
Othef:
THIS IS A RECEIPT F R APPLICATION
THIS IS NOT A LICENSE TO OPERATE.Your application for�icense wili ither be grante0 or rejected subject to Ihe provisions of the zoning.
ordinance and completfon of the inspections by the Health, Fire, Zonin andlor License InspeCtors.
$15.00 CHARGE FOR ALL ETURNED CHECKS
� "� C���l��Ls-C-P�
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p� __.p �
..1�'�) O '� 0 q � �i � � l�J�
- � � � ����-����
TO BE COMPLETED BY
ORGANIZATION PRESIDENT AND MBLING MANAGER
I understand and will uphold Saint Paul Or inance 409, Sections 409.21
and 409.22 relating to pulltabs and tipboa ds in bars. �
Further, I understand that my jarbar must eet city standards; that 10%
of the net profit from pulltab sales must e returned to the City-Wide
Youth Fund on a monthly basis; that monthl financial statements must be
filed with the City; and that 51� of net p oceeds must remain in St. Paul
or be used to support St. Paul residents.
�� -�, �v`-��
Signature - Manager
�
Signature - Organiz President
, t
C ��ST �G� �C7�..� oC� . -
l�rganization ame
� ���1 S-�y�,, -
Gamb�ing Location
� � ��� � �
Date
Please retain the attached o dinance for your records.
, , � Ci/- (� /(!✓�
DEPARTM[N7�FFICE/COUNqL OATE INITIATEO
Fi nance/�i cense EEN SHEET No. �4��
CONTACT PERSON�PMONE INRIAU DATE INITIAUDATE
� NT DIRECTOR �CITY OpUNCIL
Chri sti ne Rozek/298-5056 N�� IU c► Arr NEY �qTY(X.ERK
MU8T BE OM COUNCIL AOENOA BY(DATE) ROUTq�O �BU ET RECTOR �fIN.d MOT.8ERVICES aF.
9-],4-89 ❑� c nss�sr,�n�n C-2.Js,nuncil R
TOTAL M OF SIGNATURE PAGES (CLIP ALL LOCA 8 F 81GiNATURE)
ACf10N REOUESTED:
Approval of an application for a Class G mbling Location License.
Notification Date: 8-29- g ea in Date: -
RECOt�Na►rioNS:Ma►we W c►Fl�a(� COUNqL REPORT OPTIONAI
_PLANNINO COMMI8810N _dVIL BERVICE OOMMIBSION ANALYBT PNONE t�3.
_qB COMMITIEE _
_STAFF _ COMMENTB:
_DISTRICT COURT _ *
SUPPORTS WNICH WUNpL OBJECTIVE9
INII7ATIPKi PROBLEM.188UE�OPP�iTUNPTY(1Nho�YYMI.When�YVAMe�YVhIq:
Thomas Enterprises, I.nc. DBA Brown Derb L unge at 567 Stryker Avenue
requests City Council approval of its a plication for a Class A Gambling
Location License. This license will allow the liquor establishment to
lease space to a charitable organizatio ( stside Youth Hockey Association)
for the sale of pulltabs and/or tipboar s. All fees and applications have
been submitted. Al1 required divisions - ning, Fire, Police and License
have given their approval .
ADVMITA(iE3 IF APPROVED:
If Council approval is given, Brown Derb L unge will be able to lease
space to a charitable organization for p ll ab sales.
DISADVMITAf3ES IF APPROVED:
NOTE: There was a gamb1�ng vio1ation at tM Brawn Qerby in 1987.
Westside/Westend YQUth Hockey sold pu11t bs at the Brown Derby until
July, 1988. The charity was not ab1e to re ew its 1icense in 1988 �
at the Brown Derby because of the gamb1i g io1ation at that location.
The bar has not had charitab1e gambling o,r 1 year so is eligible now
to apply for a new 1ocation license.
DISADVANTAOES IF NOT APPROVED:
Council Research Center
S EP 11�8�
TOTAt AMOUNT OF TRANSACTION = C08T UE BUD�TED(CMCLE ON�) YES NO
FUNDINQ SOURCE ACTIV MBER
FlNANqAI INFORMATION:(EXPLAIN)