88-346 WHITE - GITV CLERK
PINK - FINANCE G I TY O F A I NT PAU L Council (�'
CANARV - OEPARTMEN7 /�
BLUE - MAVOR File NO. v� � -
1
Council esolution
36
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D. #37 91) for the renewal of a State Class A
Gambling License applied f r by the Concordia Singing Society
at 1324 E. Rose be and the same is hereby approved/denied.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�� In Favor
co�;c� �
Rettman
s�he;be� _ Against BY
Sonnen
Wilson
Adopted by Council: Date MAR ! 8 1�R�7 Form Approv by t A rney
Certified Pass d c� r t BY
By
A►pproved y avor: Date � j 0 ��8� Approved by ayor Eor Submission to Council
By BY
PUBtISI�ED :,i.�:�� 1 � 1988
' j ���
fl�,,,� . . �,��.,,,,� �n�
RU
�7c�ah �`. GR��f� .�'?���` �. Q a �
co�r�cr.�ao�+ o��,.�r o�croa ��ro�„�,wr,,
�1St'11'�@ ASSKiN — ` —' �q
Nt1MBER FOR *�v+ce a rw�we�nr�o�c�on �cm a.�c
NO' ROUTINNCi euoaEr o�cron ` 2 (�?t�1C].�. ��',.�1
Finariae & . 298-5056 0�: — �,,,,,,,.�,,
Re�ewal app tion for a State of ' Char�.tatil,e "Cl�s ,�,'_ .
_ oa�es�a� �Centar
raar�ic�.zaJ s�r: a/a2/ss . 3/8/s$ �Eg 2 9198$
�710N8:(APpovs )a F�e�sct(Rl) O011tlGIL R BEPORT: _
PLANNMiO COMINNB&ON CNIL 3ERVK:E COI�tlAIS&ON � �DATE W � � v � . . . . PHONE N0: .. � .
ZOWRJO OOA�ION - �ISD 626�9CHOOL BOAAD . . � . . . � .
.. � � STMF..:�� � . � GIAR7ER�COAM11981p1 � . . �CAMPIETE �IS ._ -�L *� _F�ADC't NiFO.�' ��AD�'+ �.
DIBiAICf OOIN� •EXPLANATf�I: . . . . .. � . .
.. - &1PPORS'$VNtlf�l OOUNCL . � � . . . . � � � .. . . . � . . - ....
NiiAtMNi R�OR�1lMIF. INRiR N�.MVlwe�.VN�wN.Why): , . .
Ms. i�o�re L. , an beha.lf of t1�e ' Si�gitycl Sora ety. re�stss Cc�.uieil app�+aval
of t�eir app].�catiori for a.�tate of ' ta:C��3.ta�b:te GambLing Lice�se. A Class A
lioense allo�ws bath Bingo and Pu1l�abs. sessi.�s are held on �y af�
�t�aeen t�1�e c3f� 1:.00 p:m. ar�d 5s00 p.m. at 1324 Fast Rc�se. 'Pz+oc�eeds are used tA assist
the restxicted and har�d�.caapped.
- � .
,wsrwc�►noK tcx.�re.r�.ni.. A.a,re): -
All required lications and fees hav�e su�tni.tted. Tf �:1 approval is grant�ed,
. the Cc�s�zdi.a iryging`Society, which has in exiat� fp� 92 years, wili be allc�aed
fio c�oci€i.iri�e .: .. spac�orship. - _
' .�.�nn.�,whe�+. To 1M►ona: . . ., : _ ; . . _; .-
if Oo�cil is mt given, tt�e C�noo ' �inging Soc3:� wi1Z be forced to di�oot�tinue<
thei.r
. .
'` ur�w�n� c�s ,
�ronriv�rr�s: ,
" , ��s:
� -�-- �.
'. ' ����
DIVISION OF LICENSE AND P�RMIT ADMINISTRA ION DATE �• �v�� / °`~�����
INTERDF.PARTMFI�TTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
��
Applicant r . r Home Address 5 33 �� �.�CL��JZ "`" �
— �
Rusiness Name �01r1 C���. �wAlnA � • Home Phone �.�7� �,p�,3bt
Business Address �� � �• �Oi��.. Type of License(s)
Business Phone '��11,�'e. C�LtS�$ f4' ��,yrb��� T1�yl,�: r!�
Public Hearing Date 3) g p License I.D. 4{ 3� l Q �
at 9:00 a.m. in the CouncYil hambers,
3rd floor City Hall and Courthouse State Tax I.D. # � ��
llate Notice Sent; �v��� Dealer �� �V
to Applicant � o � a, $
Federal Firearms 4� N�,L�
Public Hearing �
DATE I1cSPECTI N
REVIEW VERFIED (COMPU ER) CONIl�4ENTS
A roved Not A roved
Bldg I & D N'� +
Health Div!n. '
N �a ,
,
� �
Fire Dept. � � �� �
� �
�olice Dept. � ���i �$�
License Divn. �
�
City Attorney �
f
Date Received:
Site Plan �V��
To Council Research
Lease or Letter Date
from Landlord
� � City or air,t Paul ��r`3��
Department of F�inance and Management Services
, � � Division of License nd E'ermit Registration
INFORMATION RE UIRED WITH APPLICATION FOR PE IT TO CONDUCT CHAR.ITABLE GAMBLING GAME IN
SAINT PAUL
1. Full and cvmplete name of orRanization hich is applying for license
�.
�f'� � ` .
2. Address where games will be held �3 ��� ��� �� �Qj(�
Nu ber Streec City Zip
3. Name of manager signing this applicatio who will conduct, operate and manage
Gambling Games � � . Date of Birth ` - [ �
(a) Length of time manager has been memb r oi applicanc organization �� � c.ft°_��
4. Address of Manager , .�j3 �� � - ��� � � 3
Number treet City Zip
5. Day, dates, and hours this application i r"or - e�� ! "'S (�
6. Is the applicant or organization organiz d under the Iaws o: t:�e State or �IN? y '�s
. �g -T-
7. Date of incorporation
8. Date when registered with the State of M'nnesota � �q �
9. How long has organization been in exisce ce? `
10. How long has organization been in existe ce in St. Paul?
11. What is the purpose of the organization? - (' �
� � � � � � � �
12. Officers of applicant organization
Name ����C �SC. \ 5���� vame P�� '�0.: ` M, � ��
Address `1� �,t� ���SE, Address �� S�(� l,`lv�-Q
�3�. � {�l'1 r'� J��I 1�— 5j1C. a-wl�, �/`n.''U SS t b3
Title ��e°e S���,� DOB 3 Tit?e Sp�a�_ DOB ��1 a��
Name �1�ZL���� �1�y1S.k.i Name �,:�'�O i� �,�('150�
Address oZ� �. C�XGLvti��,W� �ddress �a �
11 , 0. � �M.t� � �1 irh:� e, �' �.�.,,..2 m
Title �!1�� �-�g���DOB ���3 Title ���,$ . DOB � �}
13. Give names of officers, or any other per ons �rho paid for services to tne organi�ation.
Name Vame
Address � ' t�� �ddress i !"�
Title T��ie
(Attach separate sn N� .`ar acd�=:or.s_ ,s_as. �.
s�� �.� .- a� �� S�-
. � � �����
4...
14. Actached hereto is a list of names and ddresses of all members of the o��.
�
15. In whose custody will organization's re ords be kept? �,� ��`'�
�^ �3� � �'a��;
Name ��-'J�C7'�'e J Address
' `� J
16. Persons who will be conducting, assisti g in conducting, or operating the games: .,
�.
Name Date of Birth +�'
G �S
Address
Name of Spouse Da[e of Birth
Dates when such person will conduct, as ist, or operate
Name Date of Bi*th
Address
Name ot Spouse Date of Birth
Dates when such person wi11 conduct, ass�st, or operate -
17. Have you read and do �rou thor�ughly unde:stand the provisions of all laws, ordinances,
and regulatior,s �overning the operat:on f Charitable Gambiing games?
18. Atta�hed hereto on t?�e fo^: furnished b the City o� St. Paul fs a Financial Report
which itemizes al'_ receipcs, expenses, d disbursemencs oi the applicant organization
as well as alI organizat'_ons who nave r eived funds =or the oreceding calendar year
which has been s:gned, Frepared, and ver..iied by r.41 � 1 �
Name
� ��..� �..` �'� �- �:. �� s�� i.a-3
�a'ress
who is the k1�'�-' of the aeplicant Organization.
Yame oc Off=c
19. Operator of premises where Aames .ril:. be heid:
.
Name
B�tsiness Address l�� � S '""' �� S � D�O
Home Address ��d/�' ����,�.t. �, _���
20. Amount of rent paid by appl:.cant Organi� cion ror reat oi che hall; specify amount
ti�
paid per 4-hour se�sian J S �� � �
s� l� �� ���� �i � -
. �
� . �0 ���
s
o�
�oceeds of the games will be disb rsed after deducting prize �ayout costs and
:ating expense or the following purposes and uses:
_ �- r ,,s S
._�
� � � � �-� h 1 ,
. ,
` • � ` h
Y'�CwlL -� �.- �. � "�' � tAM'� �
22. Has t�fie preci�ses where t�ie games ara to be held been certified for occupancy by the
City oE Saint Pau1?
23. Has your orgar.ization riled cederal for 990-,'�'�.' �If answer is yes, please attach
a copy with this appiicacion. Ir answe is no, explain why:
b� �e c,�ssc� �5 �-��i.
Any changes desired bv t�e a�o?:cant �ssocia ion may be made only with the consent of �-�re
City Council. �-� �
i � `
- \ � ' � �
GL-,��c'-�P _..r_�X�� �Y t-�.
�— Organiza.tioti i � .
, i
Date � �- i (. � C gy; --- % tc�
v `' � j Manage: in charge a game
d � r* � 3 z :n rr n �T c� cn
0� G1 -' cD �t J G .� '� 1 � (p O rt
fD fp � 't A 37 � �'•� 70 Pr r;� � C 0�
67 f9 7 ^t - W� R r+ �
7 A 3 •� � � O ^�V � n cD
,� „ 't rr io � �
3 G r� —� rT rr ^ O
� � r- �- :�
T �o �-• — c Z o ••,
A 9 A 7 k • �e �o rr T A r �-n ^
y � !+ A 3. N r� `G
O � � 7 '7
r* y 7 A � � 9 7 rr c9 tA � 01 �
� � �* S 3 7
' �T ' r. 07 ` r+ O W rD
? '+• '3 If� Pt ''t f0 N
31 X � = W Q7 G. `�1 r+ � `t O
''* 3 y E C - rr
� � .'� R 7c t9 � 61
� 9 � 3��� y � 3 tO fA �
O I -t Ot
(0 A '�G T g� fo E � v.�v
O r�. '.. -. • �^,�v' `T �—
C O n 17 rp
1-+ i"S � ` rT S �O rA
h+ fD A � ^ �� � :T (D h+ I
n ro � � -^z a�
(9 � R
fp (7 7 r* }f�
��e=ii 4�
r++ A S
f� r+ c9 � -� / -^' � O ' O rt � 0�
h+ ''n •� � �� � A (9 I� rt 61 N R
r9 � � 7 • � J � y W �N
~^ E n r' Q' ?
,... � ■�n�nMNW 7.. ;A O fC
Jl (9 rT f9 < I
CA fA �• ? 7C T fp
O � �' .+. �
rD T � +-0 'J :C � S7 h+
d 17 I � fD �0 'L� �
^ r0 O 0C �+
O � � rn � r�
'� �• I t
'D
.. . �
, 4'�:3��
.•��-�.... Charitable Gambling Control Board
Rm N-475 Griggs-Midway Bldg. For Board Use Only
1821 University Ave. Paid Amt:
- - St. Paul, MN 55104-3383 • Check No.
•:....:•� (612)642-0555`
,,,,,, _ Date:
, GAMBLIWG LICENS RENEWAL APPUCATION
LICENSE NUMBER: ►i-�tlii�-W /EFF. DATE: :. 4rUild� /AMOUNT OF FEE: iiikl.
1.Appiicant-Legal Name of Organization ~ 2.Street Address
C�+CO�DIA SIiV6Iv6 S�IEtY - it4 �1 rtc�se
3.City,State,Zip � 4.Counry 5. Business Phone
'�t �aul. '�S �117 �arasev ni? �3i-��5� .,
6. Name of Chief Executive Officer-� � 7. Business Phone �.
�' 1 " -
r1 � �
8. Name o�1rce3SLrer or Person Who Accou ts for Revenues 9. Business Phone
a C�. f � -
10. Name of Gambling Manager ` 11. Bond Number 12. Business Phone
iL�t'�1"�2 i, ,"-.�£G4Y' � ... r��7.�,J�+�+:s:1; , 1
r-
13. Name of Establishment Where Gambling.Will Take Place 14.Counry 15. No.of Active Members
�nalen Park Nails 5t ?aui .,..--�-- . ?a�sev .i3
16. Lessor Name ` . 17. MonthlX Rent:
ah�lgtt �es`ft aaii5 `"�`, �l53
18. If Bingo will be conducted with this license, please specify days and 'mes of Bingo.
Days Times Days Times Days Times
; . �
19. Has license ever been: ❑ Revoked Date: ❑ uspended Date: ❑ Denied Date:
20. Have internal controls been submitted previously? �es ❑ No(If"No,"attach copy)
21. Has current lease been filed with the board? b Yes ` lo(If"No,"attach copy)
� 22. Has current sketch been filed with the board7 es ❑ No(If"No,"attach copy)
. �.
,
_,_. .>.. �. ......,.___..-.�._....�..,....... .,,;_.. _.. ._. . -
... . -- -. .. . ;� •,. _ .
GAMBLING SIT AUTHORI2ATION- `
By my signature below, local Iaw enforcement officers or agents of the B ard are hereby authorized to enter upon the site,at any time, gambling is
being conducted,to observe the gambling arni to enforce the Iaw for any nauthorized game or practice. '"'�` -� � -
BANK RECORD AUTHORIZATION
By my signature below,the Board is hereby authorized to inspect the ba records of the General Gambling Bank Account whenever necessary to
fulfill requirements of current gambling rules and Iaw.
TH
I hereby declare that:
1. I have read this applic�tion and all information submitted to the Board;
2. All information submitted is true,accurate and complete;
3. All other required information has been fully disclosed; -
4. I am the chief executive o�cer of the organization;
5. I assume full responsibility for the fair and lawful operation of all activit s to be conducted;
6. I will familiarize myself with the laws of the State of Minnesota respecti g gambling and rules of the board and agree, if licensed,to abide by those
laws and rules, including amendments thereto.
23. O�cial Legal Name of Organization Signature(Chief Ex tive Officer) Date Title
�.ca r C.or�;a. � ; •, � ' ��C �.a,�.�.�„_,
�
�OG\ �� ACKNOWLEDGEMENT OF NOTI E BY LOCAL QOVERNING BODY
I hereby acknowledge r eipt of a copy of this application. By acknowledg g receipt, I admit having been served with notice that this application will
be reviewed by the Charitable Gambling Control Board and if approved by the Board,will become effective 30 days from the date of receipt(noted
below), unless a resolution of the local governing body is passed which s ifically disallows such activityand acopy of that resolrtion is received by
the Charitable Gambling Control Board within 30 days of the below noted ate. '„
24.City/County Name(LoCal ovemin Body) Township: If site is located within a township,please complete items 24
;��.t , ; ' � and 25: .�.
Signature df P�r on�teceiving Application: 25.Signature of Person Receiving Application -
� . , .-•
i r�l ' � q y� _ .
� rl.�../'r �� v� 'f�/�• �
Title � Dat�Recei ed(this date begins 3'0,dayppe{�riod) itle:
P' � __L1� l 7 r �.-r � �t -� �S ' '7 O
Name of Person Delivering Appiication to Local Goveming Body: ownship Name
-- � /
CG-00022-01 (5/8� Whit Copy-Board Canary-Applicant Pink-Local Governing Body
°��n F. c,�neai �'�'�"'"� �""`� G R E E N S H EET No. 0 0 0 9 7 9
CONTACT S�O�II� �y DEPARTMENT DIRECTOR WVOR(OA ASt16fANf1 �/'
�.751..L11C �ZiCiti �N �_ FWANCE 8 MIINIIO�IB�/T SBiV10E8 0111[CTOR CRY CLfoNf ��/ 7
� RCUT141G BUOfiET DIRECTON 2 �, �$�
=Finano� �Mnc�tnt_ 298-5056 --s�--= oaoEn:, - -p,,,��,,-- _ � �-.:.:._—__. .
�Z_
SUBJE /DESCRIPTI O PROJECT/REGUEST: -
• .. . . . . ,., :.: . . •; » _
_, .-,., ... ._..: _ .. _ .: . .
Renewa]. applicati.cai for:a State of � . Charitable "CI.�S3 An G�bl]�g y1,0eriSe .
... . . . . . ;., , -. -
= -'`' N�'ICAZ'ICN I�3'I�R S�?r:- �2�22�8g ' . G DA�r �3/8/88
RECOMMENDAT10N8:(APP�(A)a Fe�Ci(Fl)1 COUNCIL RES 1lPON'i'
�� �.��� �,��N a a�-� � . „�Y� ��.
na+u�o coi.wiresaH iso exs scnoo� �---
sr�s n i�o.�o* Aerv ro m�n�cr co�smue+r
_Fon�on wn* _�oe�ac�oor�*
asrA�icr c
su�orrrs w+x�x+c
`��A p , �
'� '"`� �� • .
� �►�� 3 £� �
- a
. �: �. �� � a � _ ��; � �,��-
-� of thei.r i � • -�- itable Gannbling Lic�se.. A Class A
license al ��] �^"�" • Le].d. ca�.Wedziesday aft.er�wans
bettaeen tha �-���9.� bse.. •Proceeds are u.5ec1 to assist
the restsic �,�� � �
t.-_..: .
`," ,nisrwc,�►�ccowe«» ��,�,a,J - - - - -
All re��i,�r' S J" _ ' :rnmcil:appmoval �.s:'granted� -._. -
the Co�ncorc]i (�-�� ��l �.r 92 years, wiZl be a11.c�w�eci -: .:
ta co�t�snle , ^ „ `� /�,� _
�C,d�- J� �. .
� L�
- c�rre�cu�cES M�.wn«r. `� ��
1 , � . .
If Cot�cil apF ��� r w�.11 be fo�rced to discontinue
�� �� ��/V`�`��
. . �. �A�� , _ � - ,
ALTERNA7NES: C� "
: . . � :. . _ a � � s� s � _ ._- _- .� . _ --..
. - ,
rxsronrinRECenorrs: ,,.
. . � . . ! _ .. . .
' �cL►��ssu�s:
r:r �E Saint Paul
! Deparcment oE F1 ance and Hanagemenc Ser•Jites ����
• Division oE Lice se and Permit Administra�ion
' � ' � • " UNLFORM CHARITAB E CAMBLINC FINANCIAL REPORT .
\ Date �` �(p�
1. Name of Organizacion 1� � p�� � �p �
2. Addresa vhere Charitable Cambling i coeducced 1 � —J��J � �,
3. Report for period covering � t9�through 3 (9$�
4. Total number oE days played
5. Cross receipta Eor above period ; I g � :�� � �
I \.�
6. Cross prizs payouts Eor above perio ; 'y� �;�.�.,'� �� °'
� , ,-�..
7. Nec receipts - line 5 minus line 6 S 7�J� S �� • � '
�
8. Expenses incurred !n conducting and perating gav�;
A. Croas vages paid. Attach vorker list vith
namsn, address and gross vagta. � � � ' ,J
i { �.�.j , !
8. dsnc for veeks ; i'1��;�J ,��,�
C. Llcense fae � I n I �;,�
D. Lasusaaea ���; �'�-, e. i / � � 4
� � �� ��
E. Bond ;
F. Dishonored ehecka noc recover�d ; ,�'JJ •i�r
C. Employers F.I.C.A. �T. T i - - ( �a�..?� och
H. Sales Tax �j Q.M�`j r T��' S o� at„�, ��
I. Hinn. U.C. Tax ,, �y ? jjM� ��
�C� FX i n,� Tc�F. • S �, � � .
J. Faderal U.C. Tax �T � ,. I_ ��� $ '��.��
� ' Ci+r�
K. Hiseellaneous &epansea. Idantify the amount
and to vhom paid.
r
i. ,�Ct,�k. �:ita s ��%`� �'
2• �CCa t�. ��- ►� s J ,
3. � ��(X-ir�,-!�,S� �� : O , �. .
4. u �-►!��-�� : 3
9. Toc,tl Exp�nsea TOr� : �U �� r'�� � �
�
10. Net Income - Iine 7 micrus line 9 ; �t� '+�f'�� ��"
11. Cheekbook balance beginning of period •,S _�� 1 a• '� Y
12. Total of lin� 10 and 11 S _ , � �O 1����
I
1�. Toeal contributions froa line 17 s = ' j� �QQ� ��
14. Checkbook balanee end of reporting peri d - - 1'''�
li�se 12 lese line 13 s 3(� � 1� a�
15. Sp�eify use made of amount on line 13:
c:OMPt.1irL� T!!E tEVF.RSE STpE
.Fi: �':�urse.^..en:s ::on a:soun� in 111e i2:
��y,� � ��E.
Name _�b�L_ _�1� Nsme • , .. ., . ,
�`\ Addreee ' t rrv+t.- Address
� , s . �c�,., � ►')1 n� 55 r�
� Date Ree d Date Ree.'d
� �� Purpose . !r Purpose
� �� Signature '•�i'\ I11. ^�, .� . Signacure
r-S of Recipient - � aE Recipieac
`�\ (" ` Amoun �
� � Amaunt
C✓ 4�
Name Name
Address Address
Dace Rec'd Dace Rec'd
Purposa Purposa
Signacure Signacure
of Raciplenc oE Recipient
• Amoun[ _ Amounc
Name Name
Address Addresa
Date ltec'd Date Rec'd
Purpose Purpose
Signacur� Signature -
ot Recipient of Recipient
Amount Amount
Nama Name
Address Addrese -
Date Aec'd Date Rec'd
� Purpose Purpose
Signacure Signature
of Recipienc of Reeipient
Amounc Ameunt
17. Total Diabursemencs , jn� �� , ��
THIS REPORT HtIST BE FILLED•IN COl�LETELY TO QUALIF7C APPLICATION FOR CHARITABLE CAHBLINC -�
LICENSE.
.- ..__ --• .��.
""1 ? �I f'! N N /�
S �o n S O �-1 ►► �o n 7 O �-yl ry�. m 2 ��
a o � � � � o � Z � � o n
M ►w ►j M A rt rw
r A � "'' � a � A � .0 O G' �i y
� S � O � S � �... O �t � p � _ � �C��
++ � S 7 2 f1 m S 7 ~ ~
2 _ p��T�
o� f. � z og n y .. at cw >z 7' �
r m � n g � � � � ` �
s Z n ` I1�V►.� n r. ^e m YYII��\` m
� B • o n � I _ r u�i � o �a w, r� � ,�.�j a �,,,, .
r. r I�
a n n :
� � �, � v � � � �,o � � � p�
�v m � t� '° v , a S......
� n � `t x n o� `� �� � � p"�- �
9 n O n � T ' � •f `e �� � A �
D
� °o T ���CrnA � n � n� ���C m l� � �
a �m�� � � �' � ���n �•�
�e x —�C�Z N � � �e�=R=
� (� �n m a � y t�`�j�m` �.n.
� �O�r r, • �Orr • >
r� o C—� O 4, n (� o CZ'rn '
y NZ�Z a V � \' V�TZ
� V�rn' \ � � �4]` .
o, �p a,7�7 ' 'i � � °' � � a.�
• � ■ � s '�'�WN/WVV�/• \