89-1993 WF11TE - CITV CLERK COURCII
PINK - FINANCE G I TY O SA I NT PA IT L
CANARV - DEPARTMENT ��9q
BLUE - MAVOR . F�Ie NO.
' � C' unci Resolution �`�
��'��- �3� ;
Presented By
/" , 1 '`�------�
Refe red To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID 15597) for a State Class B Gambling
License by Orchard Bo ster Club at Gabe's By The Park,
991 N. Lexington Pkwy , be and the same is hereby approved/
�
COUNCIL MEMBERS Requested by Department of:
Yeas Nays �-
Dimond
�� � In Favor
Goswitz
Rettman U
�-•-_.•-_•� Against BY .
Sonnen
—��ilsen
N�V — 7 � Form Approved by City Attorney
Adopted hy Council: Date ,
Certified Pa s' d '1 Se e ry BY � � �-�
g}. ��� �__
A►ppro 1�lavor: Date �VT � Approved by Mayor for Submission to Council
gy By
PUBttS�l�D t�0�V 1 � 19 89
, . �, � - . �� ����
DiVISION OF LICENSE AND PERMIT A.DMINIS RATION DATE � �`'f �[ l � �8 g/
INTERDF.PARTMFNTAL REVIEW CHECKLIST Appn Processed/Received by
,1 � Lic Enf Aud
Mu Gp /�4 SQ n �-
Applicant (� IrC�C�r ��05 �_C�u Home Address /1 �� (c �. ]��� ��
Rusiness Name G,'� �j�i,b�$ Home Phone ''� ��J 7d�0
Business Address q� ( IU, Lex�n�r Kw�iType of License(s) C�QSS �
� �,
Business Phone �`�(�yy� b��T �n �5�" ��
Public Hearing Date � ' g License I,D. 41 � ���� �
at 9:00 a.m. in the Council hambers,
3rd floor City Ha11 and Courthouse State Tax I.D. 4� 1`)l�
llate Notice Sent; Dealer �� ��I'q.
to Applicant f��—��
Pederal Firearms 46 N J�'
Public Hearing
DATE INSPE TIUN
REVIEW VERFIED (CO UTER) COMMENTS
A proved No A roved
�
Bldg I & D �
Nl� ,
Health Divn. �
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i
Fire Dept. i �
� ��A I
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� S'en� � q! � �$�
Yolice Dept. I
l I Q��'
License Divn. �
10 �3�� � �/<.
City Attorney �
aa�J� , 0 �
Date Received:
Site Plan
To Council P.esearch ��
Lease or Letter Da e
from Landlord �J A
� � - � � . ��c-/�t�� ;
' � Cit of Saint Paul
� Department of Fi nce and Management Services
Division of Lice se and Permit Registration
INFORMATION RE UIRED WITH APPLICATION FO PERMIT TO CONDUCT PiTLLTAB/TIPBOARD SALES IN
SAINT PAUL (Class B Gambling License in Liquor Establishments - New Application)
1. Full and complete name of organizat on which is applying for license
' L Y'� C.,c,� t�i^ .
2. Does your organization meet the def nition of a "large" organization as outlined in
the November, 1988 revision of Sect on 409.21 of the Legislative Code? �
Attach to this application pertinen financial and/or organiaational information to
support your answer to this questio . NOTE: Only 5 large organizations will be allow-
ed to open pulltab operations under the revised 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 ,�i,,, S�� c�,(� S�/c��
Number Street City Zip
4. Name of manager signing this applic tion who will conduct, operate and manage
Gambling Games c,( <.c s i� � Date of Birth � -,�?,S- ,� S
(a) Length of time manager has been member of applicant organization '3�;��j. ��-i, �
5. Address of Manager 30 (, �!�• .Da. - S'�-, Sf� i�Ca,,.�/ �,,,� S�//'7
Number Street City Zip
'6. Day, dates, and hours this applicat on is for � � W e� _ J�
7. Is the applicant or organization or anized under the laws of the State of MN? �e,�
T—
8. . Date of incorporation � �.C. . �
9. Date when registered with the State of Minnesota � t�.� . � � � 7 7
10. How long has organization been in e istence? 1 ( ��a,v S � r �.��' �77J
lI. How Iong has organization been in e stence in St. Paul? _/��ar� �, /�.�� /77J
12. What is the purpose of the organiza on? Su,�„,oQ:{- �,� r�u.(-� ��-h l�T?`e S ��
Q ��-�' v� �� � �f (� .ar�/ ICe r�. � � ��,,.. r
13. Officers of applicant organization:
Name u z �'�� �2 � Name �a,,,� �-e-�Yu►
Address 3 3 H u t Address ,5y 4 �(�t c��Ic�.K i��cc-u c�
Title e . DOB 4- � 3 $�- Title�jC�y,er.r� Tr Pcr� �1 ���
Name �a.. �`c� Name �� l a r u I'�S��a z e K
Address N � W,;u�f c•,.� Address /e��y L c,� �
Title �'�� - ��^r1 : DOB - - � Title b r-e'_ r �B �('- �v — ,5�'
cc3Y�V�L �Y1`c'��?r
t 3 3�� 't'"c�.� I o� .�_
� � _ iy,S3
(; ��,� t� (� ���, ( r��� �
� . � �. � � � - ���-����
14. Give names of officers, or any othe persons who paid for services to the
organization.
Name ""'—"' Name
Address -- Address '�
• Title ---- Title
(Attach separa e sheet for additional names.)
�
�Y°�. Attached"hereto is a list of names nd addresses of all members of the orgaaization.
16. In whose custody will organization' records be kept?
Name �-d .-�` �' • - Address 3.3 � � ,
17. List a11 persons with the authority to sign checks for dispersal of gambling proceeds:
Name �-o �� kr�' t°c P Name � f:v►.� �r-�`�'c� �N��
Address ( 3 3 � - T �►��- Address � 3 3 y 7�...-,���� �
Memb r of Memb r of
DOB �-��("S 3 Organization? nos y- �3 �S:�- Organization? ` t'
Name Name �.�,; /�1 G S a-v�Z-
Address Address �3 G Co /(/. D�c �c=_ _J'1-;����"
Member of � Member of
DOB Organization? �- �'�s-o� 5 Organization? �f?�
7—
18. Have you read and do you thoroughly nderstand the provisions of all laws, ordinances,
and regulations governing the operat on of Charitable Gambling games? �?
19. . Will your organization's pulltab ope ation be operated/managed solely by members of
your organization? yes " no
20. Has your organization signed, or doe it intend to sign, a consulting agreement or a
managerial agreement with any person or company to assist your organization with the
pulltab sales and/or recording keepi g? qes no _��
If answer is yes, give the name and ddress of the person and/or company contracted.
Name Address
Name Address
If answer is yes, how will such a co sultant be paid? (percentage, flat fee, gambling
funds, general funds, etc.) Attach copy of said contract to this application.
21. Operator of premises where games wil be held:
Name �� e W ` ` �,
Business Address � L �:h � �iJ �
Home Address � � 4� c� � 0�-0 - - - � ��
,
, � �. - -. � � � - ���-����
22. a) Does your organization pay or in end to pay accounting fees out of gambling funds?
• yes � <no
_
b) If you do pay accountiag fees, t whom will such fees be paid?
xame �i,ro �,e r,` Address !3 3 y �d.y ��C ��/'e ,
�DOB � - �� 'S3 Member of ganization? (.��S
�—
c) How are the accountiag fees cha ed out? (flat fee, hourly, etc.)
,
.�- e.
d) What do you anticipate will be y ur average monthly deduction for accounting fees?
-� .
C U, o
23�. Amount of rent paid by applicant org nization for rent of the hall:
r � y ao
24. The proceeds of the games will be di bursed after deducting prize layout costs and
operating expenses for the following purposes and uses:
e->t " o - �-- o�c , � �� 'C S
CL cc,� �f�"C� ►-
_ ,� -h� ` ` p �:
25. Has the premises where the games are to be held been certified for occupancy by the
City of Saint Paul? �-'.S
26. Has your organization filed federal orm 990-T? J�/t? If answer is yes, please attach
a copy with this application. If an er is no, explain why:
Q• `f'i ,' ' l,'rt f.�' /'1c� `�'— /7 a �� GL
� � / t r C F" � 2. � �- l� fi�-ti .
Any changes desired by the applicant assoc ation maq be made only with the consent of the
City Council.
D�IC�r�� /_�a c�s �i' �14f1
Organization Name
D��°' Q -�y - ��q :�: -yy�,
Ma ger in charge of g
._ ' � -'`,� ' �
'� Or anization Presiden or CEO
i5s9�
• ity of Saint Paul �
Department of Fin nce and Management Services nl �'�Gj ���
. Licens and Permit Division ��'
203 Cfty Halt
St. Paul, innesota 55102•29&5�56
APPLIC ION FOR LICENSE �
CASH CHECK CLASS NO. New Renew
a o 0
Date 19�
Code No. , Title of License
From ��� 19�0 � 19 9�
� � � y
-� � � � .� �� oo ��r��� a ����- 1 � ►� .
, �
.� b C.
\ ' >��(,p�� . --�"���,_, ApplicanUCompany Name
100
. a '�' C G�. !�,� -� S
100 eusineas Name
100 �� � �. Cpk��rlG��O,� .���c. LI
Business Address Phone No.
100 �j �
j-�' `�-c �� l, ;Ll t� �� � v;
100 Mail to Address Phone No.
�. �00 t�-ICIG O ��:.>C( �1 �.
� ManaperfOw r•Name
100
(�(� � � /U• �G� �-2 c� �
100 AlanagerlGwner•Home Address Phone No.
4098 Application Fee
2. 50 � �v /
AeCeived the Sum of � �• 100 d�' . "'j�l(�� � + / � � j � I �
-�j���.p�,�,L����� a2� �� •�� ManagerlOwner•City.State d Zip Code
100 Tot 100
. � %
License Inspector � � g : � /�" 1 �•���� � ��
Y Signaturo of orp�licam
Bond•
Company Name Policy No. Expintion Oate
Insurance:
Company Name Policy No. Expintion Dste
Minnesota State Identification No. Sociat Security No.
Vehicle Information:
SerVal Numbar Plste Numbsr
Other.
THIS IS A REC PT FOR APPLICATION
THIS IS NOT A LICENSE TO OPERATE.Your applicatlon for Iice will either be granted or rejected subjeCt to the provisions of the zoniny
ordfnance and completion of the inapections by the Health, Fire Zoning and/o►licenss Inspectors.
$15.00 CHARGE FOR LL RETURNED CHECKS
��z�,� ��� �9� 7- / � �
_ � ������
TO B COMPLETED BY
ORGANIZATION PRESIDENT AND GAMBLING MANAGER
I understand and will uphold Sai t Paul Ordinance 409, Sections 409.21
and 409.22 relating to pulltabs nd tipboards in bars.
Further, I understand that my ja bar must meet city standards; that 10%
of the net profit from pulltab s les must be returned to the City-Wide
Youth Fund on a monthly basis; t at monthly financial statements must be
filed with the City; and that 51 of net proceeds must remain in St. Paul
or be used to support St. Paul r sidents.
'- Si na ure anager
,
, < - �
�Signature Organizatio Pr iden
�h'C,�'1lkrCf kJ� c S 7"�-r �lc.c�
rganization ame
/�`' � �i�w
l� a.6es -�i� a. - qy� /V L��, �5 �- � ,
Gamb ing Location
�`Date _ /�' �
Please retain the at ached ordinance for your records.
. �. � _ � ��-,���
S���fi L�uL �i`i� �OUi����
gtTB�l� ,r. R i L�'� �0 LZC�
. �j����� p�LT�A�za� ���E�VEo
� sEp � o�s89
� �ITY CL���•
.�_. ,_y�.
� _ � �
�
Dear Property Owner: L-16156 ,
.. .
Application fo a Class B Gambling Location license. This
license will a low the liquor establishment to lease space �
PU�Q�� to a charitabl organization (Orchard Booster Club) for
, the sale of pu ltabs and/or tipboards.
�.�F�_�;'1_�� Lexi-Front Inc dba Gabe's By The Park
�d�+�—T=�� 991 North Lexi gton Avenue
—, Nove ber 7, 1989 9:00 a.:.. �
,�'�_-�. �_`�C Cic7 Cauae_l C�tce�, 3r3 i?ocr C+c7 caj? - Cau-_ ausa
3y Li��sa ' ?�-�c Di�_s+on, De�ar—�c oL :�cs az.: I
— �.rag�eat S , 3aa� Z03 C+r eaL= - Cour: :.�uaa,
�Q�_ ��fi
' C� Sai� ?�uL, aca
�a8-��So �
• TIz� daca �ag,be c�aa�ea cr�c�o t t�e censaat a�/or �n�:?e�;_ o= cZe
L+cs^.sa �a °e='= Di��=on. = is su�Q=st=d ��a= vou c=?? t`�e C��;
C?a=t' s O�:�c_ ac ?98-�;�T �r ou �.r+sa c�n==—�r=a�.
_ . . . . , . ��l��
DEPARTMENT/OFFICEICOUNqL DATE INI71A D
Fi nance/�i cense GREEN SHEET No. 5,4T��
OONTACT PERSON 8 PNONE �DEPARTMENT DIRECTOR �CRY COUNqL
Chri sti ne Rozek/298-5056 �� GTM�no�N�r q1Y(;LERK
MUST BE ON CGJNqL AOENDA BY(OAT� ROUTNO �BUDQET DIRECTOR �FIN.8 MOT.BENVICE8 DIR.
11-7-89 ❑�Y«���+��► � Counci 1 Researc
TOTAL#OF 81GNATURE PAQES (CLIP ALL OCATIONS FOR SIONATUi�)
ACTI�1 REGUESTED:
Approval of an app1ication for a State C1ass B Gambling l�icense.
NOTIFICATION DATE: 10-3-89 HEARING DATE: �1-7';-gg
RECOMMENDATIONS:Apprars(N o►�1�(� COUNCIL C IAMITTEE/1�SEARCH REPORT OPTIONA�
_PLANNING COMMI8810N _CIVIL BERVICE�MMI8810N ANALYBT PHONE NO.
_qB COMMITTEE _
_STAFF _ COMMENTB: �'��dy�''",��lf'�',
_Dt8TRICT COURT _
BUPPORT3 WMICFI COUNdL OBJECTIVE9 OCT 1 2198g
iNmnnn►o PROS�M,issue,oP�rruNmr�.wmn.wn�,wn�.,wim. GI!�;' ���ra
Hugo Masanz on behalf of Orchard ooster Club requests City Council
approval of their application for a State Class B Gambling License at
Gabe's By The Park, 991 N. Lexing on Pkwy. Proceeds from the pulltab
sales will be used to support you h ath1etics and activities at
Orchard Recreation Center. All f es and applications have been
submitted.
ADVANTAOES IF APPROVED:
If Council approval is given, Orc ard Booster Club will operate a
pulltab booth at Gabe's By The Pa k.
DISADVANTAfiES IF APPROVED:
Council Research Center
OCT 041989
as�ov�r�r�aES iF nior�oveo-
TOTAL AMOUNT OF TRANSACTION = C08T/REVENUE 9UDOETED(CIRCLE ON� YES NO
FUNDINO 80URCE ACTIVITY NUMBER
Finuwan�iNwRtiu►norc�exwuN�