89-1941 WNITE - CITV CLERK
PINK - FINANCE G I TY O SA I NT PAU L Council ��'///�����'
CANARV - DEPARTMENT ����
BLUE - MAVOR . Flle NO. �� -
Counc l esolution r��,
��-?
Presented By
Referred To Committee: Date ����� ��
Out of Committee By Date
RESOLVED: That application (I #64196) for renewal of a State Class B
Gambling License by Harding Area Hockey Association at Pub East,
1180 E. 7th Street, be and the same is hereby approved/�d.
COUNCIL MEMBERS
Yeas Nays Requested by Department of:
Dimond
�� In Fav r ,
�! J
Rettman B
s�he�be� _ Against Y
Sonnen
Wilson A T
VCI 2 � Form Approved by City Attorney
Adopted by Council: Date -
Certified Pa-s Council re y , BY /�-/Z_�
By M p�
Approve b � vor: at wT � 7 c77_ Approved by Mayor for Submission to Council
gy � BY
PUBL(�D C�;;'� .- �� 1 y$�
! �����q��
M �
�PARTMENT/OFFICElOOUNGI DATE NITIA D ����
Fi nance/�i cense GREEN SHEET No. �NITIAUDATE
CONTACT PER80N 8 PFIONE �pEp�p'TMp�1T p�RECTOR �CITY COUNqL
Chri sti ne Rozek 298-5056 R �«n�,�ro��r �C�TY G.ERK
MU8T 8E OW COUNCII AOENOA 8Y(DAT� NO �BUDOET DIRECTOR �FlN.i A�T.SEpVECEB DIR.
10-26-89 ❑""����^��T""n
TOTAL N OF SIGNATURE PA�B (CLIP AL LOCATIONS FOR SIGNATUR�
ncnoN�es�u:
Approval of an application for enewal of a State Class B Gambling License.
Notification Date: 1 -6-89 I i
RE�NDl1 :MP►are(�U a R�.K(i� REPORT OPTIONAL
_PLANNINO COMMI8810N _CIVIL SERVIC�OOAM�AISSION ��'�8T PNONE NO.
_�COIdMfI'TEE _
—STAFF _ COM ENT8
_W8T�CT COURT _ 1
SUPPORTB WHICM OOUNqL 08JECTIVE7 ' �y��
INITIATIWO PR�LEMI�18SUE�OPPOFlTUNI7'Y(VVta.Wh�t�When�Wh�n�Wh�:
Don Sperr on beha1f of Harding rea Mockey Association requests City Council
approval of their applicati n r renewal of their State Class B Gambling
License at Pub East, 1180 E. 7 Street. Proceeds from the pulltab sales are
used to support youth hocke . 11 fees and applications have been submitted.
i
ADVANTA(�1EE81F APPROVED:
If Council approval is give , rding Area Hockey Association will operate
a pulltab booth at Pub East,� 1 0 E. 7th Street.
�
o�uvMrr�s��ovEO:
I
DISADVANTAOES IF NOT APPROVED:
Council �tesearch Center
OCT 131989
TOTAL AMOUNT Of TRANSACTION C08T/REVEIrUE��iHTED(q11CLH ON� YES NO
FUNDING SOURCE ACTIVITY NIAA�ER
FINANCIAL INFORMIITION:(EXPWI�
_
, � ,�
NOTE: C�MPLETE DIFRECTIONB ARE INq.IiDED IN THE aREEN•:SFIEET INBTRUCTiONAL
MANUAL AVAILABLE IN THE PURCHASINCi OFFICE(PFIONE NO.26e-4225).
ROIJTMiti ORDER:
BNow aro prN�rred routMps for the five most froquent typee of doc�xnenb:
CONTRACTS (a:sum�s authorized COUNqI RESOLUTION (Art�end� Bdgta./ .
budgst sxiats) Axept.(3rsnts)
1. OuWd���� 1. �epertrtNnt Dincxor
3. 1Ci1Y Attw'neY 9• City AttomeY
4. AAayor 4. MayoHAesistant
S. Flnenos d M�mt Svcs. DireCto� � 5. City CouncN
6. FnArx:s/►c�unting 8.' Chief AccountaM�Fln�M�mt Svcs.
ADMINt3TRl4TIVE OROER (�) COUNCIL RESOLUTION �and ORDI�NANCE
�1
� t. IMtiatf�DspeRitNnt Dirmctor
2. Att
3. Dapi�[rei�M dr�clot 3. M�/�
4. Blldp�DlreCtor 4. dty COUhdI
S. (�,►d�'k: ",, ,
e. c�,+er�a,�n�r,c, ��a��nc s�s.
ADMINISTRM'IVE ORDERB (all dhsro)
1. Initiatinq D�paRmsrit
2. City Attomsy
3. MayorUlaietant
4. City CieAt
TOTAL NUMBER OF SKKINATURE PAOES
Indic�te ths#�of p�pes on which slpnatur•s are roqulrod and sp�rol
wch of tt�s ap�ss.
ACTION REOUE$TEO
Describa wh�t tl»projeat/roquest ss�kt to acoomplleh in NtNer chronologi-
cal order or ardsr of imporhncs.wf�iChsvrr b r�rost approaiate for the
issus. Do rrot w�its c�ommplste ssntence�. Bspin Mch item in your list wfth
a verb.
REOOMMENDATIONS
Complete M the resw in qu�ation has bs�n pn�ent�d bsMre any body,pubNc
or p�ivate.
SUPPORTS WHICH COUNqI OBJECTIVE?
Indicate which CouncN obl�(s)Y'��Prol�'e4��bY��9
ths keY word(s)(HOU81lV�'�1� RECREATION.NEKiHBORHOOD8. ECONOMIC DEVELOPMENT,
BUDCiET,SEWER SEPARATIO�I).(SEE OOMPLETE LIST IN IN3TRUCTIONAL MANUAL.)
COIJNdL COMMITTEE/RE3EARqi REPORT-OPTION/►L/►8 REGIUE3TED BY COUNGL
INITIATIN(i PROBLEM. ISSUE,OPPOFi'TUMITY
Explain ths sitwtfon or condidoris M�t cn�d a nNd tor y�our project
or roquest.
ADVANTA(iES IF APPROVED
Indicats whethK this ia aimpbr an annuel budpet proc�duro requfred by law/
chaRer or whsthsr tt�ars tpoc�flc in which ths CHy of 3sint Paul
and ita ciHze�wili bsneflt irom tMs p�/action.
� DISADVANTACiES IF APPROVED
W�t:M�iY� , �: or m�jor chanpea to exisdn�or�st Processsa mi9ht
, thid�SrolscVrsq�asrt Produce M it is pasNd(e.p..haiHc delaye,noise,
tex incrs�ess or ae�ssen�b)�To Whom?WMn?For how long?
DI8ADVANTAQES IF NOT ARPRaVED
Whtt will bs the nesptive�if tM promfsed 3ctlon is twt
approved4lrnbiMy to delhrer_sNVk�1 Continuod hlyh trafNc, naee,
accident►ato�l.a�a of r�vsnus� .
FlNANCIAL IMPACT
Althouph you must tallor tM iMormation you provids hsre to ths issue you
aro addrestinp,in ger�al you must answer two qusstions: How much is it
�Oin9 to co�?1Alho is�Oin9�PM
. . . . ��_,���
UtVISION OF LICENSE AND PERMIT AllMINIS RATION DATE � �� �� / � �� ��
INTERDF.PARTMENTAi. REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
J� 1�on S'�e r►�
Applicant � ICl t��►+'� t�6J P Home Address (p75+ (�/�p..e�' ��n �
. � L � ^� �
Rusiness l�ame (.�, � S `L Home Phone /� �� ! �� 7
Business Address � � �� � � o� Type of License(s) C �,� S �� —
Business Phone � V1 l� eS� � rP� � �e-�'1.2 W�`
Public Hearing Date �Q — o�lq `a I License I.D. 41 �O '7�Gf�p
at 9:00 a.m. in the Coiincil Chambers,
3rd floor City Hall and Courthause State Tax I.D. �t �'�
llate Notice Sent; Dealer �l � �A
to Applicant l Q� ��
Federal Firearms 4� 1.�
Public He�iring
DATE INSP 'CTIUN
REVIEW VERFIED (C MPUTER} CUMMENTS
A proved N t A roved
�
Bldg I & D �
��� ,
Health Divn. '
; ,,, I,q, �
�
Fire Dept. ! � `n' �
! f/Y f
j � I
Police Dept. � S� � �I� � ��
C� ' I I � �/�
t
License Divn. �� � � y��
�j U
_ 1
City Attorney �
C� ��. � �l�
Date Received:
Site Plan � �
To Council Research �� �� � ,_
Lease or Letter Dat
from Landlord �
. . ��G� -l�f`��
Ci of Saint Paul
Department of F ance and Management Services
Division of Li ense .and Permit Registration
INFORMATION RE UIRED WITH APYLICATION OR PERMIT TO SELL PULLTABS 6 TIPBOARDS IN SaI:iT ?AUL
(Class B Gambling License in Liquor Es ablishments - Renew)
1. Full and complete name of organiz tion which is applying for license
A� "' 1 5 ��r�� i�l
2. Address where games will be held �� " � �� 1^ n �J � S� �
Number Street City Zip
3. Name of manager signing �this appl cation who will conduct. opezate and manage
Gambling Games �i= Date of Birth 1� � l � •-a L
(a) Length of time manager has be n member of applicant organiza.tion g y 1;/� 2S
4. Address of Manager � ��' -/p; f, ��y� �' � �,
Number Street City Zip
5. Day, dates, and hours this applic tion is for
6. Is the applicant or organization rganized under the laws of the State of I�I? 1/CS
7. Date of incorporation ..�]' /
8. Date whea registered with the Sta e of Minnesota �9�,9 %�� / �, � q
9. How long has organization been in existence? _��f1 y�A I�C
�:..�_�_,
10. How long has organization been in existence in St. Paul? �py�,���
�
11. What is the purpose of the organi ation? ���u ��/� 1•�o c��.�.F�"'� _
12. Office s of applicant organizatio :
Nsme ' �� �F-t► 1� Nsme /��• G�� �. 5�N w r A'�B/'—
Address -� 11 1� � . Address �D �7 � ree.� S �
Title T ��$ j j�,����� � DOB Title �� /J; DOB g' �3 S
Name Name �p��A � ��o��
Address � ^ � /-� Address f�� � r��,)� s /
^ i �..
Title SL.0 I �� DOB -� � � Title / R �=�5 DOB 1a 37��,�'.�
13. Give names of officers, or any ot er persons who are paid for ServiCes to the
organization.
Name Name
Address Address
Title Title
(Attach sepa ate sheet for additional names.)
, . . ��/�j�/
14. Attached hereto is a list of names nd addresses of all members of the organization.
15. In whose custody will organization' records be kept?
Name � ' = ' Address ��ZS� J �/'1�'f� !� h'f ni�t �i�
16. List all persons with the authority to sign checks for dispersal of gambling proceeds:
•Name r' Name I�'K� 1
Address � � 7 � ' � Address �_� ���F-t� �U�-� -
Member of Member of
DOB �.�� ��, � ,� Organization? •, '� DOB �3 j Organization?
Name Name -
:�ddress Address
Member of Member of
DOB Organiaation? DOB Organization?
17. Iiave you read and do you thoroughly understand the provisions of all laws, ordinances,
and regulations governing the oper ion of Charitable Gambling games?
18. Attached hereto on the form furnis d by the city of Saint Paul is a Financial Report
which itiemizes all receipts, expe es, and disbursements of the applicant organiza-
tion, as well as all organizations ho have received funds for the preceding calendar
year which has been signed, prepar , and verified by � Q��_,���=.��
�' 7 '� '�' ��
Address
who is the /y� of the applicant organization.
Name
19. Will your organization's pulltab o eration be operated/ma�aoPd solely by members of
your organization? yes no
20. Has your organization signed, or d es it intend to sign, a consulting agreement or a
managerial agreement with any pers n or company to assist your organization with the
pulltab sales and/or recording kee ing? yes no ��
It answer is yes, give the name an address of the person and/or company contracted.
Name - Address
:�ame Address
If answer is yes, how will such a onsultant be paid? (percentage, flat fee, gambling
funds, general funds, ete.) Attac a copy of said contract to this application.
21. Operator of premises where games w I1 be held:
:�ame v <�- S �
�� � � �
Business Address j� � � � / �A� /�/�.�/ ��7 / b �
Home Address
. . � - . ����--��t�l
22, a) Does your organization pay or int nd to pay accounting fees out of gambling funds?
yes no
b) If you do pay accounting fees, to whom will such fees be paid?
hTame Address
DOB Member of 0 ganization?
c) How are the accounting fees char ed out? (flat fee, hourly, etc.)
d) What do you anticipate will be ur average monthly deduction for accounting fees?
23. ?,mount of rent paid by applicant or nization for rent of the hall:
, � C�
24. The proceeds of the games will be d'sbursed after deducting prize Iayout costs and
operating expenses for the followin purposes and uses:
� 1 d �. C..r'_
25. Has the premises where the games ar to be held been certified for occupancy by the
City of Saint Paul? ��
26. 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.
= � �� �.SSc v �1+r
Organization Name
Uate 0 � �y� (�9 By:
Manager in ch r e of game
Organizatioa President o 0
` ` ___ __ ____ __ _ _ � �5�/9�
' ity of Saint Paul
Department of Fin nce and Manageme�t Services ���--/�l��
Licens and Permit Division
203 City Hali
St. Paul, innesota 55102-29&5056
APPLIC ION FOR LICENSE �
CASH CHECK CLASS NO. New Renew
a o a q- � � 19 �9
Date
Code No. : Title ot License From / � Z� 19 0/To � � 19�G
a��3 �.� �u� bJ� 3 q��� l . ,
,00 f-tU Y d��h f�re.� h�vc.,�'e��
�!'1 U�5� �1 Q� ApplieanUCompany ame
100 (� c -
ay Y'u b C G 5�
100 Bualnesa Name
100
I l �'v � 7 �-f� �� �..� io`P
Busi�ess Addrsss P1wn�Nc•
100
100 Maii to Address PAOne No.
100 �O Yl S��P✓►� ����
ManapaNOwner•Nan» g(f.Lj�
100 � �
J c� � s ��°��- G-��� ��
100 Alanaper/Gwner•Homt Address Pho�t No.
4098 Applicat(on Fee 2, 50
Received the Sum of 100 �?� �G k� �1� 5� � ��
3 a�a�J Manaqx/Owne�•City.Stste 3 2ip CoGe
100 T tal 100
• t
License Inspector � � By: ��� �gnatw ol AppliCant
Bond:
Company Name Policy No. Expiratfoe Date
Insurance:
Company Nams Policy No. � Expirstion�ate
Minnesota State Identlfication No S Social Security No
Vehicle Information:
Serlal NumOer �ate Nu�
Oth@f:
THIS IS A R CEIPT FOR APPLICATION �
THIS IS NOT A IICENSE TO OPERATE.Your application for I cense will either be granted or rejected subject to the ptovisions of the zoninq
o�dinanCe and completion Of the inapections by the Health, ire,Zoning and/or liCense InspeCtors.
$15.00 CHARGE F R ALL RETURNED CHECKS
a��'o��� 9-a o-�� �, 7 / ��%
� • Ci[ of Sa1nt Paul Page l (/'- � ` ���
p�parcment oE F a�ee and Nanagem.nc Serviee�
Diviaion oE Lic se and Permlt Adminietratlon
Ut7LFORH CiWtlr LE GAMHLINC FINANCIAL REPORT
� p
o.« 9�,� � �
� ? �
L. Name of Organizatlon / � ' � C'�«� � l D �
2. Addree� where C1iACltabl� Cembllnq ie conducted �
' 3. Report for period eovering l9 � / through L. t9�1
4. Total number of days played
5. Cross reeeipts for nbove period S � � / l�o�CL/ •� �
n ,1
6. Groee prlse payouts Co� above per od (includa cash ehort) i �,��.� �� C`� U
7. Net receipts - line 5 ainue 'line ; aF..7�7� : � �
8. Expeneee incurred 1n eoaductln; d operating game:
A. Gross vagee pald. Attach vo kec 11et vith ^
neme�, addreeees, groe� vage , �umbe� oE hours f ���� � x 3
vorked, and amount pald per ouc.
8. Rent for veeks ; ���� ° � �
C. Llcenee fee ;
n
Q. Insurance ; �� � �
E. Bond =
P. Diehoeored checke not recove ed ;
C. Aeeounting Expenee : ����` � �
N. Employare F.I.C.A. _ ��` Y�
I. Pulltab Tex Paid to Depsrts e o[ Ravenue f � ����
J. HLnn. U.C. Tax =
R. Pederal Eke1�• Tu 6 Stamp ; ��R` O `�
L. State C�obling Tu s `� ` � /
N. ?1leeellaneove Expeneee. Id ntify th• smount
and to vhom paid.
t. l.L/�rl ��A� f ��Lo[1 � ��
z. !� ("���w�100� � s _ �/ . � �_
3. �ct�a��c t��� = a5 3 � 5� 3
4. ���`rr i-}a t� 1 s
9. 'i'otal Expensea 'I'OTAL � / � � ^• � • �
L0. N�t Ineoa• - line 7 �im�e lln� 9 ; �I���� l � �
11. Cheekbook balanee besinning of Q�riod =
l2. Total oE line 10 and ll = ` �
n g'� a �
� 11. Total eontriDutions (from etu hed vorkeh�et) ; `� �
�
14. Checkbook b�lanee end of repor ing period - : �� ^� t �r �
llne t2 le�s line l3 0� a
�. vi �� . rn��
, , „ UNIFORM CHARITAB � GAMBLING �iNANCiAL RE�aRT /v�-J-��'� ��J��
� LAWFUL PURPOSE C N?RIBUTIONS - WORKSHEcT �-
Line �13 - Total Lawful Purpose C ntributions. S
List beTow all cfiecks writte from qambling funds which are
charitable lawful purpose co tributions. The total dollar
amounts of these checks must match the amount claimed in
line �13. Use additional sh ets as netessary.
� C'rIEC< # DATE PAYEE CHECK AMOUN PURPOSc
i. �;, / �- a d /`�a�'���� AR� � r►
�,�,�y ,��A�� �'/vaa.a� �c� � .��_
2• / b !� !, a a c � �y or Si � �, c_ �y�L1 �le�N I�r2oG �ZAs�
3.�8 l.a. . �,� !3 1-�.A�,�;ni� A A- leoo �oc3 t c.F i� r
a. �0 3 I a 13 C- ! ��- �Bs:�'r, y o�';r� �?�20�'��a�s
� � �y a� Si
/Doe��o ic1� i�� F
5. /b a 6 d- �..� ��4.2'ar�,rt, G4 E1�►- r,
3 -- � 3 ��i a�,si � �� �%� �'c� �o� �j� ��2oG R�...�s
6. ,c3 � y
S''3' �1 1 !�'�R�j.,��. A� � /.°�t�:c.� c c.� i��. t—
7. !O --� I
� dOb•�t� tc� 1 i� i�
8. j0 �d �S �/ 1�A'►��fniG la &A�
9.
10.
11.
12. �
13.
TOTAL CHEC AhOUNT S�S d�G a �
NOTE: These expenditures will be prov'ded to Council Members at your Council hearing.
Be sure that your financial re rt is complete and accurate.
� r • rt a � i �
-� � • �+ y � r � i C > w � '
� � � i .�i 7 : • � A • C �
�� � i � Q ` . � � ; '� e �
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� � � 0 �t� � • O � � >
, � _ � � - •1�„� + � � ' 1
� .. s � •
� .� � � r i Z a =
s � s �
s � � �
— .� 1� � � � Y 1 �
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> > � � � t w > � a
. � � � � ; � t ,� � �A
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�� �� � • � % • � �} �� 7 .��rv i � !
r � � � , .� �` 1 � • �
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� r w • O i'� •/v, r • n �
� � � �V� � s + O ^'� � s� � i � •
�i i � � i ���� � ( w � �
•
� w n� ��
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= � ( � �s �° � = "
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- � ��,-�9��--
DEPARTiAENT/OFFICEJOOUNCIL + • � ' y DATE INITIATED
Fi nance/�i cense GREEN SHEET Na 5 4 4 5
CONTACT PERSON�PHONE DEPARTMENT DiRECTOR ��TIAU DATE ��uN�L INITiAUDATE
Chri sti ne Rozek/298-5056 N�'� g dTY ATTORNEY �C1TY CLERK
MUBT BE ON COUNqL AQENDA BY(DATFa ROU71� �BUDOET DIRECTOR �FIN.3 MOT.SERVI�S DIR.
10-26-89 ❑�u►YO�(o��ssisr�wn ��D.LLaCJ 1
TOTAL N OF SIGNATURE PAGES (CLIP A�.L L ATIO�IS FOR SIGNATURE)
ACTION REQUESTED:
Approval of an application for a Gambling Manager's License.
Notification Date: 10-2-89 Hearing Date: 10-26-89
RECOMMENDATIONB:Approvs(A)w RsJect(R) COUNC L MITTEE/RESEAFICH REPORT OPTIONAL
_PLANNINO COMMISS�N _CNIL 8ERVICE COMMISSION ANALYBT PNONE NO.
_qB WMMI7TEE _
COMMEh1T8:
_STAFF — ��!1c
_�.DI8THICT COURT — ifi"iriY��
SUPPORTS WFlldi COUNqL OBJECTIVE7
INITIATIPKi PROBLEM�188UE�OPPORTUNITY(Who�Whet.When�Whero.\NM):
. l.��teC �v�LI�\e�1
Don Sperr DBA Harding Area Hock Assoc. , 1130 E. 7th Street requests
Council approval of his appli�ca ion for a Gambling Manager's License.
All fees and applications Mave een submitted.
ADVANTAOEB IF APPROVED:
If Council approval is given, D n Sperr will manage the pulltab/tipboard
sales for Harding Area Hockey a 1180 E. 7th Street.
DISADVANTA(iEH IF APPROVED:
Council Research Center
OCT 0 41989
D18ADVANTAOEB IF NOT APPROVED:
TOTAL AMOUNT OF TRANSACTION COSTlREVENUE BUDOETED(CIRCLE ONE) YES NO
� FUNDMKi SOURCE ACTIVITY NUM�R
FlNANCIAL INFORMATION:(EXPWN)