88-83 WHITE - CITV CLERK
PINK - FINANCE CITY OF SAINT PAITL Council -
CANARV - OEPARTMENT � �
BLUE - MAVOR +
File N 0.
Council Resolution � � ; `
� ,.
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Presented By ��� �--£ � '-
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D.#48559) for a One Day Gambling Permit
(Raffles, Paddlewheels, Tipboards and Pulltabs) applied for
by Sacred Heart-St. John School at 835 E. 5th Street for
Januaxy 23, 1988, between the hours of 7:30 P.M. and 11:00 P.M.
be and the same is hereby approved.
COUNCIL MEMBERS
Yeas Nays Requested by Department of:
Dimond
�� In Favor
Gosw;tz
xettm� d
Sc6eibel A gai n s t BY
Sonnen
Wilson
Adopted by Council: Date
JaN 19 1988 Form Approve by City Attorney •
Certified Passe ncil Secr BY
By�
Approv Mavor. Date � 9$$ Approved y Mayor for Submission to Council
Bx — BY
PUBLISNED J A N � �11988
' �• c,yre..naen o�ne oo�s�er� - ,. .. C./�"���
J�_�. caz�t�u. '� ��RC��`���E�'" No:0�03'�'$ '
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xris Sc:�sweinler-va� Hcx�n �aN
NUMBER FOR �- �a euruo�e�r s�o�nec.�qn ^—crtv d.EwC .
. SE M�C1a • R4UTING euoc�Er o�cron , �
me$lt Serv�tC�s � �98-5056 0�+: c.�r�„�a�Y -.
Ur�e Day State c�f M;t�nn�ota Char�,table C�1u�g a�plicat3.on. �
•��woM.tN o►�«� cc�x+a��a�arr; ,. , .-..
PLANIlNO OOMA18810N CIVIL SERViCE COIAAMS310N � �DATE MI � � �QY1TE`OUT ANALYS'T . . . . �. PFIONE NO. - .
�� ���a�o /J,:/gy ,�/r.�/s'r° ,�.s
. . , BTAFF . . .. _ . pMR'TER COMA�M8810N � - �COMP4,ETE AS 13 � -ADD1 INFO.ADDED;�. -�MDL-N�O.f� _,�,:�•- � .
OIHINCT 00t1iCL . � � . - �
•87(PLANi►FpN: . . .� .� � - � .
. �81I�OATa NMpi COUNCL 061ECTNlO . � � � � - � �� � . . . � . � � . � - .
MlNi�10 f11i�/.1M11Es O�VORTI�IRY(Wlw�YM11W.yN�m1.VrAmrl.VYFy): ' :;..
:Zr. Earl Chag�, a1 behalf of Sacred Heart St. John�School',:`_is �s�,in9 �val. o� 'th�ir
Q,�Day (Janua�Y 2.3r 1988� C�aritable �l.i��g applicativri }aet�een �t,rs af.7:38 �,m. a�nd .
13�:� P.m. ., The funds will, be used to fund educational a�d r�7.igic� at .the �ool,
�
_ _ ,
�ItlbiM�MCAYfOIM�:I�d�ep�OM.R�i1sr � ` .,
If �ral i.s giv�n, Sacret Heax��St. J'� Sch�ool v�a1.11 be .a1l�wed ta �oaxiuct..•a t�e t�a� ._ ,. ,.,:
G�b1i�J `(raf�ie, p�ac�dlewt�l, t3 �
�) , ses�ic� in voa�jur�ctiori with tl�r. ,schoo�'s ftmd
rai�ser.
�twnrE,wa.�.:�a To wno�): . ,
If not:a��. Sacred Heart St. ►?v� Sct�l will n�t be alla�ci tc� ainduc� � (�ar�.tabl�e
G�bling sessi� o� January 2'�, 1988.
��stya: : rnos
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Nrtner�s: , .
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tsaw.eeues: Y
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s° 1/
DIVISION OF LICENSE AND P�:RMIT ADMINISTRATION DATE ,aia g-� /
INTERDF.PARTMENTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
�,c�..R� �m��
A licant `� ,�A � "
PP �--.,� �(f r�l �2(:��-l. J�..���1h��lC��ome Address l�U '�C���
Rus ine s s Name �j('�� Home Phone `'1'l ( - C1 (�� �
Business Address � 35 �• � � � Type of License(s) t �c
�
Business Phone ��l � - 1 U'�j � � � c � ' Q�� ,
S `�`6 _ (�- S � l �
Public Hearin Date License I.D. �� � S �`� `� l � �
at 9:00 a.m. in the C uncil Chambers,
3rd floor City Hall and Courthouse State Tax I.D. �t 'j� ��
llate Notice Sent; Dealer �� ��.�
to Applicant
Federal Firearms 4� ���
Public Nearing
DATE INSPECTION
REVIEW VERFIED (COMPUTER) COMMENTS
A roved Not A roved �
C-
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Bldg I & D +
n ►�
,
Health Divn. '
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Fire Dept. i� �
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Police Dept. I
� 1�
License Divn. � � �
� I�� � ��
City Attorney �
t
Date Received:
� Site Plan �`tt
To Council Research � ( �a, � $�
Lease or Letter Date
from Landlord �Z.� �� ' Y"�
' CITY OF ST. PAUL � �
' T- ' • " DEPARTI�IIT Or �JAZICE Al1D 2•IAidAG��1T SE'_�.VICES ` �� �3
, � DIVISIOPI OF LICEIdS� r1ND PERP�T ADM22:IS�:RATIOP�
IZ'FORMATION R.��UI��D S•1ITH AP?LIGATION FOR PT•:itMLT TO CC?dDUCT GA?•�3LIi1G SESSIOP�1 IAT ST. PAUL
1. 2�atrte of Organization G�rrarl art_,Ct _ Tnhnc Sr^hnnl (4rhnc�l Rnarcl)
2. Address where Organization's regular meetings are held R'�5 F._ 5th _ _Sr . navl �n5
3. Day and time of ineetings Fircr Thnret�a� nf Mc�nth -- 7��n =m
!t. Address where Gamblin� Session will be held��5 EaGt Fi_fth Street
5. Is anplicant owner of propert� where Gamb]3.ng Session will be held?�_Yes PTo
6. If leased, who is owner of property where Gamblin� Session will be held?
7. If leased, attach letter of permission to conduct Gar.lblin� Session, signed by lessor.
8. Name of officer maId.ng application Robert Riemenschneider
9. Address of officer maI�.ng application 1168 �. Sth St. 55106 Date of birth�,��4��
10. Plame of manager who will conduat Gambling Session EARL Chapman
11. Address of manager 180 Mar ia Ave.;,: 55106 Date of �irtY9/15/ 4�.
12. In connection with what event is this Gambling Session being held?
_`�y
Host Night (Fund Raiser)
13. ti�lhat type of gar.iblir� device(s) wi.11 be used? Paddlewheel X 'I`ipboard X R.a.ff'le X
1l�.. Day, dates and hours this application is for and number of sessions.
Day(s) � 11 Dates�� _��_� Hours7 . ��-11 �n(] PIo. of Sessions_T_
15. T�Till prizes be paid in money or merchandise? Money
16. Is the at�plicant associatian �or�anized under the laws of the State of P�Iinnesota?Yes
17. How long has Crganization been in existence? - — 101 Years
18. What is the purpose of the Organization?_ Religious Education-Elementry
--�..,:-.
19. Officers of the Organization
rr�e-Title Address Date of birth
�resident
Robert Riemenschneider� 1168 E. St. , St. Paul Mn SSlo6 6/24/50
Lois Aguirre - Vice Pres. 1048 Jessie St. 55106 9/10/39
Cherly Colestock Treasurer 2232 Carver 55119 TO/20/4'7
. �J ��.
20. -Give�naries of officers or ar�y other persons paid for services to the Organization��
Name-Title Aadress �ate of birtr
21. In whose custody will records of Organization's Gambling Sessions be kept?
NameSister Katherine Rosini CSJAddress$35 E. 5th. st. . St. naul , Mn. 55106
22. _ PA��a�°arco°f�o�yo � 3 2.4 5 2j- nc� co�ies n�cess�r�y to athtact�
p � �g'anz.�a�ibn s mem ers p ros er an ate eac mem r joined.
23. Attach the GaaibLing Session P4anager's bond.
2l�. Attach a copy of the Department of the Treasuzy, Internal ?evenue Service "Return of
�rganization �cempt from Income Tax", Form 990.. (Chapter li1.9.0l� (1).)
.__�1r Ali..�l.. . _. -n-� ' _..:. a 1 .Tw�.... T�.1 1 T....� C` N�__ L ��.n.__
� c.J• dui.av.a ci C'uj�'y O__ Lc�'iTiT ui1�;:.v Ji �-�� ��ca331ay�� y.ivc�i 7c,L iLCVCii1i.0 �Zi"T"1i;8� ' _.1.�?u�_ t. v+FctSi—
ization Business Income Tax", Form 99oT. (Chapter l�19.01t (2).}
26. Attach the annual report required of charitable organizations by i4innesota Statutes,
Section 309.53. (Chapter lt19.01� (3). }
27. F:ave you read and do you thoroughly understand the provisions o�' all la�rs, ordinances
and regulations �overning the operation of Gambling Sessions? yes
28. Any chanf-es desired by the apnlicant association may be ma�e only with the consent of
the License Committee.
29. Has any person(s) participating in the operation of any of the gamblinr sessions cov-
ered by this license ever been convicted of a felony in the State of i°Iinnesota or in
ar�y other State or Federal Court? Yes No XC`. If answer is "yes", provide
names, addresses and birth-dates.
acred eart-S Johns Sch ol(School ffo�rd)
Org tiRn , .
By obert -R�.emenschneider-President
(Off' r-Tit
. _ _._ . _ ar_d a a�,
(I��anager in c!�,arge of Gambli _ Session�—
State of i�tinnesota) -
)SS
County of Ransey )
Robert Riemenschneider and Earl Chanman
being duly sworn sa� that they are the petitioners in the above a�plication; that they have
read the foregoing petition and Tuiow the contents thereof; that the same is true of treir
own ?snowled�e.
Subsc ' fore me thi$
5 �:�,8�tr}�nr�� m�iio�hs�Dec�ulb�r 19 g7. .
~ 1.1t'dt1C i t'YO � ;;` °'�.,
—^!l':ld 1.• 'J �-°-?�'`„
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� ^, �:O1121tV� 1'�].ilII@ 3 O't8
i� co�uni.ssion expires June 6, 1992
Bui.lding Depa,z�:nent Approved Disapproved Uy
Fire Departnent Approved Di.sapproved by
Police Departnent Approved—'bisapproved—�by
� =�s � ���-� �/
Minnesota Charitable Gambling Control Board LAWFUL GAMBLING EXEMPTION
` '� Room N475 Griggs-Midway Building
1821 University Avenue FoR eo,aRn use oN�v
`�r"' - St.Paul,MN 551043383
���` (612)642-0555
�,, ;.......
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�: INSTRUCTIONS: 1. Submit request for exemption at least 30 days prior to the occasion.
2. When completing form, do not complete shaded areas until after the activity.
fr; 3. Give the gold copy to the City or County. Send the remaining copies to the Board. The copies will be
;w,,;; retumed with an exemption number added to the form. When your activity is concluded; complete
' PLEASE TYPE the financial information, sign and date the form, and return to the Board within 30 days.
-�'::�.
Organization Name Number of Members License Number(if currently or previously
"���' $iCY'Ct� Hear� St. Jobn $C�pO�. licensedlandlorpermitnumber.
;'�e,r...:�� .
k Addresa City State Zip County
��:' 835 E. 5 h. st. :,t. raul °�!n 571a�% �ams�y
Chief Executive Officer's Name Phone Manager's Name Phone Number
�"' Robcrt Riema�schneider � ti:i?��"74—J4o'3 �a:l ;;z�o�an i ��1�77�—tit�3�
.;�::; - Type ot Organization _ If Other Nonprofit Organizatan ICheck One and attach proof of nonprofrt statusl.
❑ Fratemal ❑ Veterans ❑ IRS Designation
s��=�: - L�Religion ;� ❑ Other Nonprofit Organization . p Incorporate with Secretary of State
Attach proof of three years existence. ' ❑ Affiliate of Parent Nonprofit Organization
Name of Premises Where Activity Will Occur Datelsl of Activity,drawinglsl
:;acrs�: :��►art c;t. John School
Premises Address City State Zip Cou�ty
�:7 �. 7t:1. `��. 3t. _-'�u� n �7_.?b -.�rx.::e;; ��—Lj— . :
, , s, .,.,, . � -T:e�:. ��, <�,, ._.. .. _ , .. ,- .,.. �� a , ���
Game Yes No �� " '���`�
: � , ., . ,.. ' :
Bingo x '�$��
_ Raffles � ` � "�
ti :•��_ ��
��
Paddlewheels X �
�;: �.�.
Tipboards �` �a wM �� �'�
{ � , $ � � .�:� �.�
�� ���: ���� � ���
Pull-Tabs _ �.. ����'�� ����� �� ����
� �; ��_ � ��_� ��t�
. s
Use of Profit
2'o fund eau�x�Lzcnal ��d re:.z. �au.s �r�-�r� ..:s . � ��:a•.: ;i
`;������� '�.� z� ^��y a�.�.��` �'�' � �'�tot��CBtis�T��. -,:
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1 affirm.all informatiorr submitted to the Board is true, accor- �� � �� ��tt�&�#c� :��#���
; ����. .� ,.K�:�� ���
'� ate,and complete. ��� �
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. . ' � ►� / . ' . . ./ `&'�� �3,r.�. <���
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Chief Executive�fficer Signature `" Date � �a,$����;�� �,,��
ACKNOWLEDGEMENT OF NOTICE BY LOCAL GOVERNING BODY
I hereby acknowledge receipt of a copy of this application. By acknowledging receipt, I admit having been served with notice
that this application will be reviewed by the Charitable Gambling Control Board and will become effective 30 days from the
date of receipt(noted below) by the City or County, unless a resolution of the local governing body is passed which specifi-
cally disallows such activity and a copy of that resolution is received by the Charitable Gambling Control Board within 30
days of the below noted date.
CITY OR COUNTY TOWNSHIP
Name of Local Goveming Body ICity or County) Township Name(Must be notified when County is the approving body)
City �f St. Paul
Signature of Person Heceiving Application Signature of Person Receiving Application
Jose h Carchedi-License Ins ectur -- � ,� ��
Title Date�teceived Title Date
� ^7
� I2/2�/,.
CG-00020-Ot(6/87) White—Board Canary—Board retums to Organization to complete shaded areas.
Pink—Organization Gold—City or County
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