88-182 WNITE - CITV CLE K
PINK - FINANCE COUI�CIl
BLUERV - MAPpqTM NT GITY OF AINT PAUL File NO. � / �
� � �C' cil esolution
, .
Presented By
Referre o Committee: Date
Out of ommittee By Date
RESOLVE : That Application (I.D. #917 6) for the renewal of a Class A
Gambling License (Bingo, Ra fles, Paddlewheels, Tipboards,
and Pulltabs) by Military 0 der of the Purple Heart Chapter 5
at 1060 University Avenue b and the same is hereby approved.
COUNCIL ME BERS Requested by Department of:
Yeas Nays
Dimond
Long In Favor
Gosw;tz
�e1�� � __ Against BY
Sonnen
Wilson
FE� 9 �98p Form Approv by City Attorney
Adopted by Cou cil: Date
Certified Pa:• uncil Se e By
By `
Approved by or: Date� � � ��� ��� � 19 APprov d y Mayor for Submission to Council
By �� By
/VY��JfILY � r� N i1 1�J (]_
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NUMBER.FOR �e a Mawwe�a�rt aEnwces owecron Crrr c�ac'
oePr. cart�cr n►ar�roo. R�UTINt3 �s onECTOn .
ment Serva.&. �" 298-5056 oRO�: cm��r ,
Council Research �enter
state of c,l�aritable t'�a�nbling I.i t�].a�s � • J A N 2 71988
�no�:, cN«�el.a c�ri► �. N R�o�rr:.
.. . PLA/MIINCa OO�MM8810N . . CML SERVICE COMFIISBqN. � DJ1TE M DATE OUf �. . - ANALYST - � PFlONE N0. . .
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Ms. Betty ' , on behalf of the Milii C'�e3e�' of the �uxple H�ea�t �hapt�' �5, is
rec�u,e.st;*� _'i a17proval of thei.�r State Minne�o�ta Chsr�.tai�te G�nbling (C3.aas A).�.Liv�s�.
. . . .; , . ;
,�ustwr.�►�t ,�w.m.yoe,�►: :
All appla.cati:car�s_and �eeS hawe �uk�mitt�ed. Tf thi.� appl.�.cat�.c� reveiv�es C7a�xncil
ap�aval. Mili�arX' � c�f tt�e Puxple w,�.11 be a17.;�d 1� a�ti:riu�e t�ca �r '
. Birx,p/�ii:� at 1060 Un�.ve�sity Avenue. . -
�(vVrat and'ro whomr: . - •
Tf this 'catian is �t appro�red,, th�e Mi tary Om�r of �he P�u.�le I�art will be fraroed
to clisoon ' ue the�r spc�sorala3.p of Bing�o ltabs at 1060 Univ+ea:si.ty Av�enue,
x��s:. -. c� . .
11167�OR1NIVIECEDENfB:
LEAIIL WfUES: .
. .� ,� Cf- ��-i��
UIVISION F LICENSE AND PERMIT A.DMINISTRAT ON DATE o�I Y7 /�i��J
INTERDF.PA TMENTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant � �z�r�jQ¢.' Home Address j�j�o� �}(�,.�(� �U •
a..�� �.-��
Business ame ���� u � � Home Phone �aa -3� ( .�
Business ddress �(j �Q 11�.�,U-e�Sc{-tl Type of License(s) �;,,, ,.,r, Q �
I ,/� n/'
Business hone ��� -� 3�� 3 �!�„a� 1-i U'`IQ,y�_ � �-LY�l2�-�1
Public He ring Date . o�� ��j License I.D. 4i � � "(` l.�
at 9:00 a m. in the Co ncil Chambers,
3rd floor City Hall and Courthouse State Tax I.D. �� ��(�C�C.'>G1 (
llate Noti e Sent• Fir��cy Dealer 4� � ��
to Applic nt _�7��� ��3 �6��U
fi Federal Firearms 4t �
Public He ring
DATE IIv'SPECTI N
REVI 'W VERFIED (COMPU ER) COMMENTS
A roved Not A roved
�
Bldg I D �
� I� ,
Health ivn. '
_ ;
� �a �
Fire D pt. � �
���� �
�
Police Dept. I
Licens Divn. 1 � �
� � ��
City A torney �
i
Date Received:
Site Pla �Z��30�`d�1
To Council Research � l`��
Lease or Letter Date
f rom Lan lord 1 Z��()I g`�
.. .� .. C��-,��
� ��;� Ch ritable Gambling Control Board For Board Use Only
'"�� R N-475 Griggs-Midway Bldg.
! s�� �':�� Paid Amt:
• .. „r.. � 18 1 University Ave.
. - � St. Paul, MN 55104-3383 Check No.
. ••:.....;��� (612) 642-0555 s y Date:
,:f',.;,. GAMBLING LICENSE ENEWAL APPLICATION
LICENSE NUM ER: q-�Jp1�6-!Al /EFF. DATE: 03/di/87 I AMOUNT OF FEE: �1(►Q,pp
1.Applicant-Leg I Name of Organization 2. Street Address
4�IL??ARY QR1}ER +r� WJAPL� -�1RT CN.AP"+ER 5 354 �arles Ave
3. City, State,Zip 4.County 5. Business Phone
5t Raui. � `.•�i 3 RaMSev 12 22-�:3
6. Name of Chief xecutive Officer 7. Business Phone
,ke 9er.icovi�s 612 - 298-Q971
8. Name of Treas rer or Person Who Accounts for Revenues 9. Business Phone
Carl A. Fai o�aski_ 612 - 222_3223
10. Name of Gamb ng Manager 11.Bond Number 12. Business Phone
3ett:r :ean �ai�� �+: 5;ai6:3 612 222-32?3
13. Name of Establ hment Where Gambling Will Take Pface 14.County 15. No.of Active Members
y i1 ? �i �l"fi��? �3 i St Y�3U: �!diR,eY ��
16. Lessor Name ' ' 17. Monthly Rent:
r4iiit�f��� ; :=� ��YaiQ i�ar! �lc�
18. If Bingo will be onducted with this license, please specify days and t mes of Bingo.
� .
D� Times Oays Times Days Times
,,.�' 7:30 - l;3D
19. Has license ev been: ❑ Revoked Date: ❑ uspended Date: O Denied Date:
20. Have internal c ntrols been submitted previously? �Ye� ❑ No(If"No,"attach copy)
21. Has current lea e been filed with the board? f$�Yes ❑ No(If"No,"attach copy) �
22. Has current sk ch been filed with the board? , �Yes ❑ No(If"No,"attach copy) •
GAMBLING SIT AUTHORIZATION
By my signature be ow, local law enforcement officers or agents of the B ard are hereby authorized ta enter upon the site,at any time, gambling is
being conducted,t observe the gambling and to enforce the law for any unauthorized game or practice.
BANK RECORD AUTHORIZATION
By my signature be ow,the Board is hereby authorized to inspect the ba k records of the General Gambling Bank Account whenever necessary to
fulfill requirements f current gambling rules and law.
ATH
I hereby declare th t:
1. I have read this pplication and all information submitted to the Board .
2. All information s bmitted is true,accurate and complete;
3. All other requir information has been fully disclosed; `
4. I am the chief e ecutive officer of the organization;
5. I assume full re onsibility for the fair and lawful operation of all activi ies to be conducted;
6. 1 will familiarize yself with the Iaws of the State of Minnesota respec ng gambling and rules of the board and agree,if licensed,to abide by those
laws and rules, i cluding amendments thereto.
23.Official Legal N me of Organization Si ature(Chief Exe uti Offic@r) Date Title
Nels Wotd C apter #5 �` '` yy�Lt'.� Commander-
Military Or er of the Purple ' `
ear , , . .
ACKNOWLEDGEMENT OF NO CE BY LOCAL GOVERNING BODY
I hereby acknowled e receipt of a copy of this application. By acknowled ing receipt, I admit having been served with notice that this application will
be reviewed by the haritable Gambling Control Board and if approved b the Board,will become effective 30 days from the date of receipt(noted
below), unless a re olution of the local governing body is passed which s ecifically disallows such activiry and a copy of that resolution is received by
the Charitable Ga ling Control Board within 30 days of the below note date.
24. City/Counry Na e(Local-6�vernin Body) Township: If site is located within a township, please complete items 24
�� i,� �.",�J and 25:
Signature of Pet�o Receiving Application: 25.Signature of Person Receiving Application
�J�i',� i.;'r, l.C�. ;' �c� . '', � - ,
Ttl � Date Received(this date ins 30 lday period) Title: '
I+ �,'\..::(.•. _ _ 'C�,.._..D-� .t �� �•� 1 b,
`�181xierof��slo,n D liv,erinq/Application to Loy�I Goveming Body: Township Name
�.--�.;C-� � :�-.t':�.�yr�.�'r1'-�'�,I
CG-00022-01 (5/8� W ite Copy-Board Canary-Applicant Pink-Local Governing Body
. , . � . ��_i��-
. - City or Saint Paul
• � Departmen� oE Finance and Management Services
Division of License and Permit Registration
INFORMATION RE UIRED WITH APPLICATION FOR PERMI TO CONDUCT CHAR.ITABLE GAMBLING GAME IN
SAINT PAUL ;
._._._—
1. Full and omplete name of organization whi h is applyin� for license
� � : � �, �% � L C�
j ! ,/
2. Ad ess w ere games ill be held ,�i"� � � -� �. ' Cl� � -� ���� - ��
Numbe Streec City ip
3. Name of m nager signing this application w o will conduct, operate and manage
Gambling ames Pl � � ',., _/( DaCe of Birth �� � '� %
(a) Lengt of time mana r has been member of applican orga ization �3 C ' �
.., � —
4. Address o Manager �i7 . r �/� r1 . ���/ °� ~-�
Number / St eet City Zip
5. Day, date , and hours this application is o�f,�,G ' / * ��� f /�'���
�
6. Is the ap licant or organization organized under e Iaws = t:�e State af �1? �°
7. Date of i corporation � ` �" � � �
8. Date when registered with the State ot Kin esoca � ` � ��
9. How long as organization been in e:cistenc ? � z 7�-�
I0. How long as organi2ation been in esistenc in St. Pau�": _�`? .� �i�
� 1 4 ° � 7_/f
lI. What is t e purpose of t�h_e_Trganization? �9`* �.li C��� � ��
���-y,�Ll�GI� l �c.t-�- /p��(-d�s�..�- -s�� _� ��cN � ��G.��� --�-!
�f,�i�� . � � �'.G =�r.-,, .i�;,i._r /L;_L. ._ �' tG �, /1�' /
� - ., . - �, .�� ` ,,• J . � � ..
I2. Of�ers f ap icant organization
f *Iame �4 r� ��'_.��
Name ./_-yJ -u1�
A � s . Q, � �C°.�%"" � A�ddra � �'�./ .� ,,�'�•�./
Titl . DOB �' �'l��' Tit� �i` ��%f� DOB �-/� ����
��—� � /�/�
�
Name� , C�- '��C�C�i Name �L�Y /�? ���u��i
Address �� ,a�-���4 Gt-� adar s J�� ����/�f �-i
+ f /' -
Ti '� DOB � '�'- �� iitle GGO s DOB -�' �'��
13. Give name o� fficers, or any other oerso .s ano ?a� Lor serJices to tae organi�at�on.
r C
Name - e�GC � Vame
Addr ss CD ��-C° Addre�s
Title `-- �/� --`=z
(,;ttac!: separate sne� --.- '-�:---_�^__ ..�_��. �
1.- �. ' / �'�
� ` l�i-- ,� �,
�---� ��s
., ;
14. Attached hereto is a list of names and ad resses of all members uf the organization .°� '�
,"4.
15. Zn whose custody will organization's reco ds be kept? �F'
Name ,�( � t r Address���i �
v
16. •Persons ho will be conductin �j�?`��{.
g, assisting in conducting,' or operating the games: ,�
�:
Name Date of Birth
Address
Name of pouse Date of Birth
Dates wh n such person will conduct, assi t, or operate
Name Date of Birth
Address
Name ot pouse Date oi Birth
Dates wh n such person �ai1? concLCt, ass� t, or ope=ate
17. Have you read and do ;rou t?�oroughly unde: tand the pzovisions of all Iaws, ordinances,
and regu�ations eovernin; the ope:at;on o Cha�itab?e GambLin� �ames?
18. Attached hereto oa the =e� furr.ished �v he Cit� o� St. Paul is a Fi ia2 Report
whic:� it r�izes a?�. rece=pts, e_{penses, ar_ ' disbursemer.[s oi the applicant organization
2s well s a�I er�ar.:zatjons �:he :13V2 re� ived `unds ior t:�e p�eceding calendar year
whicn ha been s:�::ed, ^re�ared, an� ve'" 'ed '��r ����������,���
� f
tiame
�� �.
; . �� � � ��'/�%.3
/ Add ess
who is t e o: tne aoplicant Organization.
Vame ot Oi�=ce
19. Operator of pre�ises �.rhe*e tiames :��i'_ be elc:
�
Name � �G,� � • a � �� �-
..5
Business Address p r �-� ��
Home Add ess � '�
20. Amount o rent oaid by apol;csnc Organi�a �on ror rezc o: the hall; specizy amount
paid per 4-hour se�s:or. � �, �d
` .^ , ._ �-�-l��
ZI. The proceeds oi the gar�es will be disbursed a ter deducting prize layou� c�o ts and_ . ..-
o�e�ra ing e:c enses for the fq��owin urpo�s an�d uses• ��-� ''..� C�-:Z��-L�.=la=>=�''? `�' `�'`!
` � vL�G::yC��� [- sZGL� L./.'-9Rn��/ ��i� � CL-G6L-�l1.�-+�/.l���✓� .
� n� �� � Y � y{ LL �
r • ylQ� `� � � � � � �--
! � , /l n
r oGC>/ � -�-i � � ` � ,.
� _ �.� _.C/
2Z'. Has the pre ises where the g2mes are to be h ld been certified for occupanc} by the
City of Sai t Paul?
�
23. Has your or anizat�on riled i' � ror�► 990 T? � IL answer is yes, please attacn
a copy WiC:I this applicat�on. Ic answar is o e:cplain why:
Any changes des 'red bv �ae a�plicaa� sssoc=acion ma� be �ade onl;r with the conszr.t oi the
City CounciZ.
Organ_zac�on
'� /J ,
Date B . /��
/-�iaaage: in charge of game
C �7 £ � �I � :n n — r: .. ^- I C� cn
a � � �e � � � C - � :� � O r.
rt r- .^T � ? :J 1� r- - — ^' C7
(D (D •! . n, g � ( J1 rf + !— !9 7 I � rt
(D 't ; � A 7 C � 'C ! r' fD
n - '< r � - � .
3 r� � rr �• rT O
- r � T t9 r — C O '-n
� A C . . �.; �D rr r �D F+ -n
� r _ :n .- `t ;
^s � 3 7� r�
� � �'I . � � � .. �: �A L J
T ' - co �^ r* E 3 7
� � - � � — ^ � � R o ;n r�
�" � ■t fD fA
rt x �� I N c7 � I_ �- : � o
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f9 77 '< ! � rD E � `C .�v v
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F-� K — � ' .-t� �' ;A ( y
F+ fD fY ( _ ' C rD � '+
A � � � � I � I n I � �
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