89-1663 WMITE - C�TV CLERK
PINK - FINANCE COUflCll �� � //J�
CANARV - DEPARTMENT G I TY O SA I NT PAU L File NO. �� • /�`�
BLUE - MAVOR
Coun 'l solution - �>
�� ;
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application ( D #66515) for a Class A Gambling License
by the Fraternal 0 der of Eagles at 287 Maria Avenue, be and
the same i s hereby approved/d�iect.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
Lo� [n Favor
Goswitz
Rettman O
Scheibel _ A 1 n S t BY
Sonnen
Wilson
SEP 1 �¢ 1989 Form Approved by City Attorney
Adopted by Council: Date �/�`/
By 7
Certified Y s d� o nci cre
By . ...;
A►pprov d Ma �ate _ - 1 5 � Approved by Mayor for Submission to Council
gy � BY
PUBL� S Ep 2 � 198
_ � . . . . . , ,�,�,---�i��3
DEPARTM[NTIOFfl�J00UNqL DATEIN ATE GREEN SHEET No. 503�
Finance/License
INITIAU DATE INITIAUDATE
CONTACT PERSON d PHONE DEpAqTMENT DIRECTOR CITY COUNpL
Chri sti ne Rozek/298-5056 g CITY ATTORNEY CITY CLERK
MUST BE ON COUNpI A(iENDA BY(DATE� �BUDOET DIRECTOR �FlN.d MOT.BERVICEB DIR.
9-14-89 �tiu►voa�oR�s�srnNn � Cni�nri 1 Re
TOTAL N OF 8KiNATURE PAOES (aIP L OCATIONS FOR SIQiNATURE�
ACTION REWE8TED:
Approval of an application fo r newal of a State Class 8 Gambling License.
Notification Date: Hearing Date: 9-14-89
RECOMMENDATION3:Approve(A)a Ry�d(R) MITTEEli�8EARCH REPORT OPTIONAL
_PLANNINO COAAMISSION _qVll SERVIC:COMMI8810N �� PMONE NO.
_pB COMMITTEE _
OOM ENTS
_STAFF _
_DIBTRICT COURT _
8UPPORT8 WHICH OOUNCII 08JECTIVE?
IPNTIATIN(i PF�BLEM�188UE.OPPORTUNITV(Who�Wha,When�Whsn.Wh�:
Gene Swenson on behalf of Fr te nal Order of Eagles Aexie #33 St. Paul
requests City Council approv 1 f their application for renewal of a
State Class B Gambling Licen e t 287 Maria Avenue. Proceeds from the
pulltab sales will be used f r pecial charities and special needs.
All fees and applications ha e een submitted.
ADWINTJM��E81F APPROVED:
If Council approval is give , raternal Order of Eagles Aerie #33
St. Paul will operate a pul ta booth at 287 Maria Avenue.
DISADVANTAOES IF APPROVED:
dSADVANTAOEB IF NOT APPROVED:
Council Research Center
SEP 11989
TOTIlL AMOUNT OF TRANSACTION a COST/iiEVENUE SUDt#ETED(GRCLE ONE) YES NO
RUNDING 80URCE ACTIVITY NUMOER
flNANGAI INFORMATION:(EXPLAIN)
• • • • • � ���~/��
DiVISION OF I.ICENSE ANI) PERMIT A.I)MINI TRATION DATE � jcf � l � ZU g
INTERDF.PARTI�fEI�'TAL KEVIEW CHECKLZST A.ppn P ocessed/Rec ive by
Lic Enf Aud
Applicant �V'C�..��y��L DV� r Ot; ��PS Home Acidress ��,Q � � /U(�. C� � �
Business hame ��� •� Home Phone y ��' Ds�'�'
Business Address Type of License(s) �Q y�p�,,, —�'SS
Business Phone ��(:m �n�n �.( C�¢.,-,S-eJ
Public Hearing Date � / O ( License I.D. �6 �p(p5�s
at 9:00 a.m. in the Council Cha bers
3rd floor City Ha11 and Courthouse State Tax I.D. 4� � tf�"
llate Notice Sent; Dealer �� IU�/-�'
to Applicant
Pederal Firearms �� ��{-}
Public He�.iring
DATE TNS ECTIUN
REVLEW VERFIED ( OMPUTER) CUMMENTS
A roved' ot A roved
�
Bldg I & D �
N � ,
Health Divn. �
�
; �
i
Fire Dept. ' (
i � �
I
Police Dept. �n �- �f� ���
•� Z �/L
� in�lc��� Gt�p rou�l
License Divn. ' _ J
��� i � o�t nQ��c`�W�S�t vllbrh�G.�(Or
City Attorney �
��Z� , o �
Date Received:
Site Plan u G
To Council Research � 3` b
Lease or Letter N Da e
from Landlord A'
% , • , � City f Saint Paul
. . . Finance and Management ervices%License & Permit Dfvision C� .,���
' INFORMATION REQUIRED WITH APPLICATION FO PERMIT TO CONDUCT CHARITABLE GAMBLIVG GA:IE IV
SAINT PAUL (To be used with the followi g: New A & C application, renew A & C
Licenses, a�d riew and renew B in Private Clubs.)
1. Full and complete name of organiaat on which is applying for licens�' FRATERNAL ORDER
�
OF EAGLES AERIE ��33
2. •Address where games will be held 2 7 MARIA AVENUE ST PAUL MN 55106
. Number Street City Zip
3. Name of manager signing this applic tion who will conduct, operate and manage
Gambling Games GENE E SWENSON Date of Birth 4/8/29
(a) Length of time manager has bee member of applicant organization 27 years
4. Address of Manager 1618 ORTH GROTTO ST ST PA 11
Number Street City Zip
5. Day, dates, and hours this applica ion is for VARIOUS THROUGHOUT THE YEAR.
6. Is the applicant or organization o ganized under the laws of the State of MN? t"ES
7. Date of incorporation
8. Date when registered with the Stat of Minnesota
9. How Iong has organization been in xistence? 92 years
10. How long has organization been in xistence in St. Paul? 92 years.
11. What is the purpose of the organi ation? FRATERNAL BENEFIT TO RAIE MONEY FOR
S HAR E S AND S PE NE E S
12. Officers of applicant organizatio :
Name pERNON A NELSON Name PHILLIP J(JACK) RUNNING
Address 2092 E CASE AVE Address 1728 NORTH ABEL ST.
Title pRESIDENT D�B 3 4/3 Title SECRETARY DOB 7/16/33
Name GEORGE T MITCHELL Name JOHN MELIi1S
Address 3 9 THOMAS AVENUE Address 729 OAKDALE AVE �k204
Title VICE PRESIDENT DOB 12 9/ 2 Title TREASURER DOB 7/7/40
13. Give names of officers, or any o her persons who are paid for Sel"V1C2S t0 the
organization.
Name Name
Addrzss Address
Title Title
(Attach sep rate sheet for additional names.)
14. Attached hereto is a list of names nd addresses of all members of the organization.
• 15. In whose custody will organization' records be �ept? �i��V�"
Name PHILLIP J(JACK) RUNNING • Address 2g7 MARIA AVENUE
16. List all persons with the authority to sign checks for dispersal of gambling proceeds:
Name GENE E SWENSON Name RTCHARn B�v7.F S - _
� Address 1 1 Address �R2R M(1NTANA a,vF dk
Member of Member of
DOB 4/8/29 Organization? S DOB 2/20/41 Organization? �_
Name Name
Ad'dress Address
Member of Member of
DOB Organization? DOB Organization?
17. a) Does your organization pay or tend to pay accounting fees out of gambling funds?
yes X no
b) If you do pay accounting fees, to whom will such fees be paid?
Name JOHN WALLISCH Address 417 E NEBRASKA AVE
..�
DOB 5/16/1915 Member o Organization? YES
c) How are the accounting fees c arged out? (flat fee, hourly, etc.)
flat rate
18. Have you read and do you thoroug ly understand the provisions of all laws, ordinances,
and regulations governing the op ration of Charitable Gambling games? yes
19. Attached'hereto on the form furn shed by the city of Saint Paul is a Financial Report
which it .emizes alI receipts, ex enses, and disbursements of the applicant organiza—
tion, as well as all organizatio s who have received funds for the preceding calendar
year which has been signed, prep red, and vezified by 1�1ARY L KOHLER
658 CONWAY STREET ST PAUL, MINNESOTA 55106
Address
who is the MADAM PRESIDENT OF T AUXILIARY TO THE of the applicant organization.
ame
20. Operator of premises where game will be held:
Name FRATERNAL ORDER OF EAGL S AERIE ��33
Business Address 287 MARIA A NUE
Home Address 287 MARIA AVE
.
. �J-/(o�3
'L1. Amount �of rent paid by applicant or nization for rent of the hall:
22. The proceeds of the games will be d'sbursed after deducting prize layout costs and
operating expenses for the followin purposes and uses:
�
23. Has the premises where the games ar to be held been certified for occupancy by the
City of Saint Paul? g
24. Has your organization filed federal form 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.
FRATERNAL ORDER OF EAGLES AERIE ��33
Organization Name
Date JULY 14, 1989 By: GENE E SWENSON �
Manager in charge of game
VERNON A NELSON
Organization President or CEO
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. ��l�
ity of Saint Paul
Department of Fin nce and Management Services
License and Permit Division ��/��
203 City Halt
St. Paul, innesota 55102•298-5056
APPLICA iON FOR LICENSE
CASH CHECK CIASS NO. ew Aenew
a � � Date —� 19
�
Code No. � Title of License / o
From �` 19�.gTo 19 /C�
3 ���,� ���'
,� ,��' ,� .
A Ilcant/Company Name
- '° '`�����c,.� �'.�3
100 Business Name �f 7 � ,3
,� a�� ��1�a- ��. o.�
Business Address , Phone No.
100 ���� �f _�
a�� «�� �
100 Mail to Add ess � Phone No.
,00
�� ; ��� �����
ManaperlOwner•Name
100
_�1...�.-�' . ��9 a�y
100 AtanagerlGwner•Home Address Phone No.
4098 Appticatfon Fee 2 Sp n '
Received the Sum of 1� � ��.X� � S���
� �. ManagedOwner•City,State 3 2ip Code•
100 T tal 100
. �
LiCense InSpBCtOr By: Siynature o(Applicant
Bond• �
Company Name Poliey No. Expiration Date
Insurance:
Company Name Policy No. Expiratfon Oate
Minnesota State Identification No. 4 �� Social Security No.
Vehicle Information: Piate Numbsr
Serfal Number
�tf18f:
THIS IS A R CEIPT FOR APPLICATION
. THIS IS NOT A LICENSE TO OPERATE.Your app�ication for license will either be granted or rejected subject to the provisions oF the zoning.
ordfnance and completion of the inspections by the Htalth Fire, Zoning andJor�iCense InspeCtor�.
$15.00 CNARGE OR ALL RETURNED CHECKS
7-�CJ �I �� �, � ���--
' . C ty of Sainc Paul Pags 1
' � � . Department of inance and Managemenc Servicea
� � Division of L1 enae and Permit Administration ��///`'[/_
�
� IJNIFORH CHARIT LE GA?tBLINC FZNANCIAL REPORT
• ' nau ,T T�T.v 14_ 1989
i. Name of OrganizationFRATERNA ORDER OF EAGLES AERIE ��33
2. Addrasa vhera Charitable Camblin is coaduetad 28� I"I!'RI�' AVENUE ,
3. Rnport for period eovering ',.ti 1 19 88 through .�Y 31 19 89
4. Total number of dayo Played �
5. Crose receipts fot above period ; 38,034,5�
6. Groas prize payouta for above p riod (includa eash short) s 28.57 9.��
7. Net receipts – lina S minua 11a 6 � 9.�+55.5�
, 8. Sxpenaes lncurred 1n conducting and operating gae:
A. Gross vagee paid. Attach v rker lise vith
namea, addreeaes, groos wag e, numbar of houra ; 1 00,00
vorked, and amount paid pet hour.
� B. Rent for veeks ; n - n
C. License fee : 1�5.��
D. Insurance S
E. eond � 12S.��
P. Dishonored checks not reco ered � 2�+0.00
�
G. Accounting Expenae ;
H. Employere F.I.C.A. ;
I. Pulltab Taa Paid to Depart ent of Revenua i 1,116.38
J. tiinn. U.C. 'fax s
R. Federal Faccise Tax b St s
L. Stata Cambling Ta�c ; 69.78
H. Hiscellaaeous Expeasep. dentify tha amount
and to vhom paid.g�AL E TATE 3,500.0(� CITY OF ST PAUL�'RAM9�'� GOUN£Y
�
1• GAMBLING EQUIPMEN ; 5�0_00 JACK RUNNING
2�OST OF GOODS : 1,303.81 MN TIP & TAB BOARD
3, OFFICE SUPPLIES = 235.05 SARATOGA COMPANY
a. STAMPS ; 25.00 �09T OFFICE
GAS & LIGHTS 500.0 0�� ;NSP ��gq0.02
9: Total Facpenses
l0. N�t Iocose – line 7 aiaus li s 9 i 1.Sf�S.48 _—
11. Checkbook balanea beginning f period ; 2,315.37
12. Total of liaa 10 aad 11 f 3_880.85
� 13. Total coatributions (from at ached vortsheet) ; 4,168,14
14. Checkbook balanca end of rep rting period -
� line iz i@ss iine i3 i -287•60- rfi�06.92)
�,. . , LAwFUL PURPas CONTRIBUTIONS - WORKSNEET
�� . - . . . . . (,��y-lG(a3
�.
"�_� Line �13 - Total Lawful Purpose Contributions. S ,��„ 15
;. . , , .
-'i;.�-- : L�st below all checks writ en from gambling funds which are '
��;` ' �charitable lawful purpose ontributions. The total dollar �
t'- 'amounts of these checks mu t match the amount claimed in �.
a:.`. line �13. Use additional heets as necessary. '
CHECK # OATE ' PAYEE CHECK AMOUN PURPOSE
-,: j. 1072 10/8/88 WHOLESALE CLUB ��.00 CANDY FOR CHILDREN'S HALLOWEEN
PARTY
� `, Z. 1073 10/22/8 SUZANNE MARIE'S ANCE SC 75.00 ENTERTAINMENT FOR HALLOWEEB
�s. . PARTY
rw'= 3. , 1074 10/30/88 CITY WIDE �dOUTH HLETIC 399.95 REQUIRED BY CITY OF ST PAUL
' FUND
t` 4. 1076 � 11/26/88 CITY WIDE YOUTH HLETIC 52,80 REQUIRED BY CITY OF ST PAUL
FUND
�:; : 5. 1079 12/1/88 BOY SCOUT TROOP � 9 102,50 CHRISTMAS DECORATIONS
��.
6. 1080 12/1/89 BOY SCOUT TROOP � 29.00 CHRISTMAS WREATHS
� . 7. 1082 12/19/88 llADIES AUXILIARY 45.95 SANTA'S BEARD
s -
'�-� 8. 1092 3/23/89 ART EHRMAN CANCE FUND 340.00 CANCER RESEARCH
�,� �'
9• 1095 4/23/89 KOUNTRY KOUSINS 120,00 DANCE BAND FOR CHILD ABUSE
a�
f' 10• 1097 4/28/89 CHILDREN'S HOME C ISIS 1200.00 CHILD A�3[JSE .
�°-`' NURSE RY �
�:' 11. 1098 4/28/89 JIl�'Il�IY DURANTE CHI D 50,00 CHILD ABUSE
ABUSE FUND
'-: 12• 1101 6/12/89 HOME DN THE R1s1RGE FOR BO 25.00 REGULAR CHARITY
�.�
``13. 1102 6/12/89 MINNESOTA �HERIFF BOYS 25.00 REGULAR CHARITY AUSTIN, MN
�`�' RANCH _
��-`^. TOTAL CHEC AMOUNT S 2155.20
a�:
carried forward,
��;> NOT�: These expenditures will be pro ided to Council Members at your Council hearing.
� . Be sure that your financial re ort is complete and accurate.
�` ' .
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_ . . _ LAWFUL PURPdSE CO TRIBUTIONS - WORKSHEET
�:_;. . . . . . . .
.�,:: �� �
,,.� -/
. Line #13 - Total Lawful Purpose Co tributions. S 2,405.20
� ;����. • continued from pr v�ous gage :
� ' : List below all checks writte from gambling funds which are �
y..
Y;;: _ � �charitable lawful purpose co ributions. The total dollar �
Y':_ 'amounts of these checks must atch the amount claimed in ��.
-"'' line #13. Use additional sh ts as necessary. '
.}�.
,�.� .
�`"_-` CNECK # OATE � PAYEE CHECK AMOUN PURPOSE
._�` 14. 1103 6/12/89 OUR LADY OF GOOD C SEL "�,.Qq CANCER HOME
"� CAN CE R HOME
' �'i•, 1104 6/12/89 MULTIPLE SCLEROSIS 25.00 REGULAR CHARITY
�,.
'� Z$.. 1105 6/12/89 �AGLES MAKE A WISH FUND 25,00 REGULAR CHARITY
�i: ' .
:a;:
147., 1107 6/12/89 HUMAN GROWTH 25.00 PITUITARY GLAPTD DYSFUNC�ON
�� f6., 1108 6/12/89 EAGLE SCOtiT AWARD 25.00 REGULAR 'CHARITY
_ .
�; ,
? �9., 1109 �/12/89 CAMP CONFIDENCE 25,00 HELP CHILDREN ENJOY LIFE
'`' CRIPPLED CHILDREN & MEN'T�LLY RETA'r
a::
�}i'.': �4, 1110 6/12/89 MINNESOTA KIDNEY F ND 25,00 REGULAR CHARITY
_s;;
,;... �1, 1111 6/12/89 MINNESOTA B(IABETES FUND 25.00 REGULAR CHARITY
,�r
•f �
='` C�L•, 1112 6/12/89 GOLDEN EAGLE (SR TIZEN 25,00 REGULAR CHARITY
�;`1�►, � 1113 6/12/8 9 MINNE S OTA TALK ING B0013 2 5.00 F OR BL IND AND HARD. OF
Ms,
�, FOR HANDICAPPED HEARING PEOPLE �
`� 11.
�,''
_ 12. •
���� 13. .
�;:: -
"` TOTAL CHEC AMOl7NT b 2405.20 �
NOT�: These expendjtures will be pro ided to Council Members at your Council hearing.
-� Be sure that your financiai re ort is complete and accurate.
t,';. . � �
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