88-219 WHITE - CITV CL.ERK I
PINK - FINANCE G I TY OF SA NT PAU L COIlIICIl ,+ ��
CANARV - OEPARTMENT
BLUE - MAVOR File NO. v
CQun, il. R solution a�
, �
,
Presented By �
Referred To Committee: Date
Out of Com ittee By Date
RESOLVED: That Application (I.D. #30306)' for a One Day Gambling Permit
(Bingo, Raffles, Paddlewheels, Tipboards, and Pulltabs) applied
for by St. Francis de Sales S hool at 426 S. Osceola on February
20, 1988, between the hours o 8:00 P.M. and 12:00 Midnight be
and the same is hereby approv d.
COUNCIL MEMBE
Yeas ays � , Requested by Department of:
Dimond
�� In Favor
Goswitz
Rettman
��, aZ. Against � BY
Sonnen
Wilson '
FE8 � s 5� Form Approve y it Att�r y �
Adopted by Council: Date '
Cerlified Pas e b uncil Secre y By �� �
By, � �
A►pprov d y Mavor. ate r�8 �8 17 Approved by M�or for Submission to Council
�
By , BY
P11BlISHED F F� 2 � 1988
y � . . . � . �'�� ,
oaaru►� (�d�7.P11� � � � oAn..run.0 on cc��o `71"��E� �� NO. Q� ���
. ��s.�. ty�� ' �DEPAR'f1AEM D�RECTQR ��� � �MI1Y011(t1R A8816TM'!f)- .
.. - 1�41a:� • �all�:i1�✓� � -� ���F� . FNIANCE t MI1NWEhB�ff 9�VICEB'QIi1ECTOR �C(TV CLEW( ..
-� ' . . � PFIONE NO. � _ � .
Firx�t�e & 298-5056 oA�p:° �'°`�'D1�`�'°" . ear�1
� C�al R�s ,
Cf1Y ATTb�EY �.
�e Day C,a�b I,i:ce�se (B�go. R�af£le�, P �,v1�eels. Tii.a6t�u,'+ds, and Pullt�� +
THE APPLI WAS NOTI�ZED BY I�TTSR DATED 1/ 7/88 TH�T T8E ,, �� �Tg
L B
� .I�14ATIOlIt:E�PPra+ a.Nej��.K(R)) �OUIICIR AE�EANGM :
. � PUNMIWfi C�AIYSION . �CNK SERVICR COMM118810N . . �DATE IN � . DA OUT � � ANALYBT � � . ' PFpNE NO.�. . .
. . mNINO OOMMI8810N. IBD 676 8G1HOL BOARD - .. � . . . . .. � . �
� sT� cru�ar��aroN oo�rE�s�s nooti a�o.�ooeo� n�rv To caar�r ooNerm�rr
— — ,_wa noo�nuFO. �ac�oo�+ _
o�srwc�r� �
"owuw�n�: (��� -�i_ X _„�/1� ��`�
aua�irs w�aCN cau�ca ae�crae rn,""" 2� ��'^
RECa Co ncit Resear h Center 6' �1 - �n
•C� �b �d�
FEB � � FEB 0 2 � �° " �" �p�����
��`' ��` �
��
..n�rn+a�ar,wut, tw�w,w�.vw�;.wr�►8.vwy�: -
5ist�er J�dy , on beha3.f of St. Franci� De Sales Sch4o1, reque�t:� C7au�cil apRrc�val. of
tl��:.i.r �pgLi.ca ' fo�,a Q1e UaY ���! � E�.�g�o, ��l.ea, Paddle�ee�, Tip�a�s,
and 3�lltak,s} be held at 426 So�th`Os�ceol.a FeY3ruaxy 20, 1988, bet�a�een �h�e''t�'s of
8:00 p.m. and- s 0�0 mi.dnight. Funds e�en�erated 'Il be used tc�rds ti�e 'pt�chase and `
installata.oci o a new, ood�e mar�lated, fire sy�t,en.
�nwcn�o�+tca.r�e.�w�, r�rmr. , _
All required licat3.ons ar�d fees h�ve been ved. If this a�pli.catian x�irv� �il
�pp�ro�val. theY valtanue with the,ir- plan to_ ttie fuz�d raisir�g event. ,,.
�i�.wn.a Tu wn�): . - . - . . .. .
If this apQli c'bes nat reoeive Cotmcil roval, St. Fraryoes De SaLe� S�t�ool wi.Il
n�ot be a11c��d oonduct the fur�d raising eve�n .
a:�►m�: a�os c�s
Msrdrr�Pn�aod�rrs:
1�t,1t11'1H r3tj.V� WOTk.
LEAAI.�:
. , � . , i, �-���,
. .. _
` � �Min esota Charitable Gambling Control Board ' LAWFUL GAMBLING EXEMPTION
' _��'�'����. Roo N475 Griggs-Midway Building
' - �3 182 Unlversity Avenue FOR BOARD USE ONLY
- - St. ul,MI� 551043383
�4,• � ......�' (61 )6.4Y-0555
, .
t- � : . ,. ,.: _
� `CF •¢R.�2F'i�.� .ie$.. 793y-Y „q .�'�,± ����T.�'«` �� yv� ��S'�� :Cye -�`+'1 ,�"#�� 3r3t' "+r :,S' ,1^°�, � . 2x �.
y ? s,_ r' �. n,.; ♦:� � ,..: :�3.. . ;{..r�,��, -�. ..`�y��'k. ;,. i'�'>1`.�'}`' . ..�%� ,'_ '��:e . .�:
�- INSTRUCTIONS t ;Submit request for exemption at least 30 ays pnor.to the occasion . � �, `
, :,. ` , . �
-:."'�'.0°.'.. �. �=
2. When completing fo�m,`do not complete s aded areas'until after the activity , ;
3. Give the gold copy to the City or County: end the remaining copies to the Board.The�copies will be
� � ' returned with an exemption number adde to the form. When your activity is concluded; complete
PLEASE TYPE the financial information, sign and date th form, and return to the Board within 30 days. '� "
y-; Organization Name t , Number of Members License Number�if currently or previously " �,�.
^ _: .
- - ..,:-
1:,� , . r., �_. -, ._ ;;.,w` ,�� -� licensedlandlorpermitnumber. �
Address City State Zip Cou�ty � ' ,
r°.
i . . . � - }�: . i � l. ' ✓ . �." t=.�.
Chief Executive Officer's Na Phone Man ger's Name ncN�mber - :�-; - -�t�-r
,± - � .
. � 1 - - ?, 1 ) . •
. , : - ;, , , . ,..
�
Type.of Organization 4 If Ot r Nonprofrt Organization(Check One and attach proof of nonprofit statusl.
� Fraternal " `� Veterans �• `�-� - --'` ,, p RS Designation ; _e� ,:. �
'- � Religion ❑ Other Nonprofit brganization �7 ncorporate with Secretary of State _ ,_
' Attach proof of three years existence.` ❑ y4ffiliate of Parent Nonprofit Organization
Name of Premises Where Acti ity Will Occur ,_ . ,, - , Datelsl of Activity,drawingls) ._'
�: . _ _ ... , _ . _
Premises Address City Stete Zip County
, ' . - • .�`
,
�,. ,,.�
Game Yes No � �
Bingo
Raffles �
. ,
Paddlewheels ,�
Y-- �;�
Tipboards � ��
' �-� � >� _ � � �
Pull-Tabs �. - �x��`�,; �s,n., � � ,:��� a:�� : � � :
� . ,r . ,
�
. .. , ;
, �
:` . >;����� ��� ��, �;�
��
Use of Profit �
,
� °, > <. � ,,
,.., . ,
.b.
_; n � �
as
� �$�
�������
. ._ .. . ..�. .... , . ..... ... .. . ... ..,......,.- v _ . . . . _ , .
... , :^. . N, .....:�,a_. �i, •;: .3.�� .�.<,��� ,.,, .e.;i . �: ,.; ,,._; ,. : .; ..
I affirm all informatio submitted ta the Board is true, accor- �
ate, and complete.
- a� .�. . �: . ' � :
Chief Executive Officer Signat re Date = >,< ,„�1�
ACKNOWLEDGEMENT OF NOTICE Y LOCAL GOVERNING BODY
I hereby acknowledg receipt of a copy of this application.By ack owledging receipt,I admit having been served with notice
that this application ill be reviewed by the Charitable Gambling ontrol Board and will become effective 30 days from the
date of receipt (note below) by the City or County, unless a reso ution of the local governing body is passed which specifi-
cally disallows such ctivity and a copy of that resolution.is rec ived by the Charitable Gambling Control Board within 30
days of the below no ed date. �� ` `"
' � �TOWNSHIP J
� ITY ORC�UNTY, >, . � � f�_:�-
Name of Local Govemmg Bod (City or County) F � x �s. � 7o ship N � Mustbe notified.when County is tfre approwng body) ' o"�
t ,y�. a . "-_.
SS . � ly �. � ?.��_ ,. :,-:. v '�, '
`�n 1-�.�". F�.K _..;Y'c, �,r,;R... \ �'*,�".. 1�,�'Lt` ,l��F�+ �� . ��'R .� �. .. . . =.' . .'. . 1��������
:y�
w
���'Signat erson Recerving PPlicatio� t�: �'.;�,.}?�� 'n 4 Sf�ature of Person Receiving AppGcatiort`''�'� ,. ���d '� �;� ''"°�* ,'�'�;
.. . l� _ ',� . F p 4•. L� ,,:�� "i^d F�.:'a YtQ'�, �_���: h�C.`\ '��1 � ,,,,� �� . � .ya.:. .�
� � � "
Title� + Date Received Titl Date
� .
,CG-00020-01 16187) White-Board C nary-Board retums to Organization to complete shaded areas.
Pink-Organization Gbld-City or County
' � � ' CIT�' �F �T. ?��L � C�
DEPS..?T:�:iT OF :I�1A2ICE �iID PSA�?'�G:r1��P�T :.::,'_?.VIC�S ��a��/
DIVISIOii 0� LICE;dSL �ID P �•ffT ADMIi?IST�A'?'IOrT
Ii r O�:AZ`ICN yC � 'rTTH F�°LIC�TICPd FOR �'�.I`'�i TO CC?•;DLTCT Gii�3I,I:�G SESSIOP' �:+ S'�'. ?AUL
1. t�ame of Qr anization S . h{
2. Address wh re Organization's regular meet s are held ���n �. � !S(`.enl/� ��P. �
3. Day and t' e of :neetings - - - , - t 3-����
1�. Address wh re Gamblin� Session will 1�e held+r�,�(� ,�• (��� p,q(� ��/ _
5. Is aaplic t owner of property wnere Gambli� Session wi.11 be held? ,/ Yes 1`Io
,
6. If leased, who is owner of pro�erty Frr.ere G�.mblin� Session T.aill be heZd?
7. If leased, attach letter of permission to c nduct Gar.ibling Session, signed by lessor.
S. Name of of icer making applicatioi�S �5'�EY J t�1 G'� ��;� Ll I t
� � ,
9. Address of officer ma�ng application 1i7 �G, r����� ph. �r z Date of birth%/� �= � �
10. Plame of m ager who will conduct Gambling S ssion �-�A_v r, °�rn e�
11. Address of manager � z � Date of birth - ,,S=S�
12. In connect an with what event is this Gambl'ng Ses sion being held? �;,T.R�,1_ f�i S r,�
ti
13. ��Ihat type f gar.ibling device(s) will be used? Paddlewreel � Tipboard ✓P.afrle �
1lt. Day, dates an� hours this application is fo� and number of sessions.
Da�(s) Dates - � � .ours -,Y�r �t,a�� of Sessions�_
15. 'rJill prize be paid in money or merchandise? m,� __
16. Zs tre app icant association or�anized under the laws of the State of ��innesota? �i�_;._
�
17. How long h Crganization been in existence? /�,��'�,S
(�
l�. What is th puxpose of the Organization? . � � ^+
I
19. Officers o the Organi.zation
P1 e-Title Ad ress Date of birth
{. . . . , - ,�� - �, � a,J _��
, - F�
S1YS.�SC� . � ./ . �rl �'���
T�
. r�t'J�f{-.::s ��� . .
.\n.). . ':-l^. . ,.,. .. . .. . - . .
20. Give nar.ies of officers or any other persons paid for serv�ces to the Ore�*iiza:.ior..
,1ame-Title �ddress �ate of �iTtr
21. In whose custody will records.of Organizationts Gambling Sessions be kept?
�lame ��g�Q.Y �urit�4. �(�k���� Addz'ess �F��; � . ��C`.P_D �� Nd�,
22. Attach a copy of your Orgaaization's membersl^.ip roster and date each member joined.
23. Attach the Gambling Session i�lariager's bond.
2lt. Attach a copy of the Department of the Treasuiy, Internal ?evenue Service "Retvrn of
Organization F�a'cempt irom Income Tax", Form 9°0. (Chapter L�19.0lt (1).)
25. Attach a copy of Department of the Treasluy, Internal Fevenue Service, "�xermt Or�an-
ization Business Income Tax", Form 990T. (Chapter l�19.01t (2).}
26. Attach the annual report required of charitable or�anizations by i�.innesota Statutes,
Section 309.53. (Chapter 419.01� (3), }
27. F:ave you read and do you thoroughlv un�erstand the provisions of all laras� ordinances
and re�ulations governin€ the operation of Gamhlin� Sessions? � P�
28. Ar�y char�-es desired by the appLcant association may be ma�e only with the consent of
the License Committee.
29. :ias arg persor.(s) pa.�ticipa+i.� i.n the operation of any of the �a.��Lr� se�sion� cov-
ered by this License ever been convicted of a felon i.n the Sta.te of �jinnesota or in
ar�y other State or rederal Court? Yes No�. If answer is "yes", provide
riames, addresses and birth-dates. ,
�^7 ,� � / j '( _-�zsT/-
- .� -i ,;j/ �� �_ �-�-7 r• �, ��l �%'..._ ,a'�.%•' ���/,�,f,
Organization ;� /
, ;
i �
� "
By �i.�,r ,,. �_�sY�
(0£ficer- ' 1'�
ar.d
(i�anager in c:�arge of Camblin� Session)
State of 24i.nnesota)
)SS
County of Ransey )
� ;� ;� r,
�'t,t1�Z�Y�_i \�;: �'�-t''��.�;�::�:��� and
being duly '�sworn sa� that they are the petitioners in the above a�plication; that they have
read the foregoing petition and Tu�ow the contents thereof; that the same is t.rue of tY:eir
own knowled�e.
Subscribed and s orn to before me t!^.i '
,��_day of � � . 19� ,�,� KRISTiNA L.SpflNB� _
� NOTARY PU9!!C-�Mp�NESQfA
' � . .. DAKOTA(XlUN1Y .
� .MY COMM.EXPIRES JAN.2. 1982
Notaxy Public, �,�-�c� Countv, i�Linnesota x ��,�,,,,,,,,
i•�r Coauni.ssion expires Q-,,�,.� �02 , l�tcfa.
iVi '
Building Depart:�ent Aporoved Disapproved by
Fire Depart�ent A�proved ?isaDOroved by
Po13.ce Departr.ent approved--�isapproved-oy
��. ��—�r j
` _ ,��T•"o, CITY OF SAINT PAUL
. , -�� '; DEPARTMENT OF FINANCE AND MANAGEMENT SERVICES
e .�
� ` �����w ' IVISION OF LICENSE AND PERMIT ADMINISTRATION
,•. ,.� �
' ,.�. Room 203, City Hall
Saint Paul,Minnesota 55102
George Latimer
Mayor
Ja ary 27, 1987
St. Francis de Sales
426 South Osceola
St. Paul, MN 55102
Dea St. Francis de Sales:
You application for a City Gamblin� Permit has been received in this
off'ce.
A h aring on your application for O�e Day Gambling Permit ID �(s) 30306
wil be held before the St. Pau1 Ci y Council on February I6, 1988 at
9:0 A.M. , Third Floor of the City nd County Court House. This date
may be changed without the License Permit Division's consent and/or
kno ledge. Therefore, it is sugges ed that you call the City Clerk's
Off ce at 298-4231 to confirm this earing date.
You are hereby notified that your a�tendance is required at this
mee ing. Failure to appear may res lt in denial of your application.
Ver truly yours,
Jos ph F. Carchedi
Lic nse Inspector
JFC lk
I
. ,
� ., . , � � �� ��
— _----- -- - -
, _ .-_r_-___- --�--- -- --- --- -
• � � City of S int Paul �' L�
Department of Finance a�d Management Services � v�
License and P rmit Division
203 Cit Hal1
St. Paul, Minnesot 55102•298-5056
APPLICATION OR LICENSE
° CASH CHECK C SS NO. New enew
� 0 � � �_�� r .�
Date 19 �"
Code No. itle of License a(-�0 ' �G 1g O T� � y 19
From
,� '�=� 1 :1C V �' " I ��i l� `--� _ ,
� , / i-�j;n,�
� i^ 10 � � ( p �� ,� r � F �.
0, .. � `_ �� z. .:�4. 1
_i ApplicanUCompa�y Name J
. �� `-1 ��i� y �-�,v l_���'J �`��'�.
1� Busineas Name --� ,
a-�r ,� -;i.� -
10��, r i j.-� !�'i�.) ,�_—�;!-�.
� Business Address Phone No.
100'
1� Mail to Addreas Phone No.
�"1 �' 'v � I - F
���' �J r �'!T ."' �:.1•�S r./-- � !' /� ;_/ ��i J
ManapeNOwner-Name
100 n � " �
�
� y :x ,9 y. U�c. C'.-; Ic.J 1ttv7
100I AlanageNGwner-Home Address Phone No.
4098 Application Fe 2, 50 ,
Received the Sum of 100, _� ! �'i ;� ( `-"!,� `� ` ' �� -•-
`J
` -� �/'• L' ManagerlOwner•City,$tate&Zip Code
100 Total 100
� � ' � - �
. , '
� � r�-i� ��/,'r��,.� �_a� , �;�.,�, �
License Inspector ��' � By: � � ' � Signature of Applieant
Bond:
Company Name Policy No. Expiration Date
Insurance:
Company Name Policy No. Expiration Dale
Minnesota State Identific tion No. °2�°? �7 �ocial Security No.
Vehicle Information:
Serial Number Plate Number
Other.
THIS IS A RECEIPT F R APPLICATION
THIS IS NOT A LICEN E TO OPERATE.Your application for ticense will�ither be granted or rejected subject to the provisions oi the zoning
' ordlnanCe and comple ion of the inspections by the Health, Fire,Zonin�andlor License Inspectors.
t �
i
` $15.00 CHARGE FOR ALL R TURNED CHECKS
,
u�.�, � a s� �� �� �-�-�
v� '
' /�-►^- �,,1-Y,�.� �`-�'`-�� -
�
�
. . . ��,���� ./
_ �.*• ;;�. CITY OF SAINT PAUL
��''�V,-,�� DEPARTMENT F FINANCE AND MANAGEMENT SERVICES
` _'����u '� DI ISION OF LICENSE AND PERMIT ADMINISTRATION
•� �O
'' ,��� ' Room 203, Ciry Hall
� ' Saint Paul,Minnesota 55102
George Latimer
Mayor _
January 25, 1988 '
To: Lt. Bailey
From: Christine Rozek '
RE: Record Check '
In connection with application or a one day gambling permit, all
forms of gambling by St. Franci de Sales School , at 426 S. Osceola,
a record check is requested on he following peopl'e:
Mary Jo Anderson
414 Bay Street Nancy Bartusch
St. Paul 577 Michigan Street
Birthdate: 6/26/46 St. Paul
Birthdate: 7/20/57
Judy Bakula Steven Orme
1172 Randolph Avenue 1172 Randolph Avenue
St. Paul St. Paul
Birthdate: 4/25/40 Birthdate: 11/15/59
A copy of the application is a tached.
CR/car
i
� �� � �
� d
DIVISION OF L CENSE AND PERMIT ADMINISTRATION I DATE I�'� ��D / �°� �'��� �
INTERDF.PARTMF TAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant �J�-�.yt�.c.o Ho►ne Address
Business Name ,� �j�,,,.,�,i,�, dl_C,�o�,l.�,a� Hol�me Phone
I
Business Addr ss �a� o�• ��CLN�2e�J Tyjpe of License(s) '
I
Business Phon a°�� " �) b� CI�.R•
Public Heari g Date o2�Ilfl I g� L cense I.D. �l 3d 38 �
at 9:00 a.m, in the Council Chambers,
3rd floor Ci y Hall and Courthouse S ate Tax I.D. �� IJ �A-
� T
llate Notice ent; + ��� D�aler �� -
to Applicant � �q ��`J� ��,� ��y�`� I
� �� F�deral Firearms 46 ^-�–'�
Public Heari g I
DATE INSPECTION �
REVIEW VERFIED (COMPUTER)j COMMENTS
A roved Not A r ved
� I
Bldg I & D � I
- —
! I
� i
Aealth Di n. ' I
— I
.
Fire Dept � � I
.�—
j �
I ��Q Gue.le, �� l ►a s �g ��e..
Police De t. I I
I
License D'vn. �
i'a$fd� � '
1
City Att rney � j
f
Date Received: i
Site Plan I
To Council Research
Lease or L tter Date
from Landl yd �"'
�C ,,�,,,� .�� Ca-�-�-�/-� i(.c�,�
t,�,�> �(s-�.�.i .�.,� �-b--�.� - �-.-��... l I�S���
t) �
1
CURRENT INFORMATION NEW INFORMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Current Officers: Insurance:
Bond:
Workers Compensation:
New Officers:
Stockholders: