88-405 WHI7E - CITV CLERK .
PINK - FINANCE COUflCll {//��(�/� [-f//�' �/7
CANARV - DEPARTMENT G I TY O SA I NT PAU L � /� TK/
BLUE - MAVOR File NO. - " �
� Cou ' Resolution 3
�
Presented By
Referred Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D. #59081) for the renewal of a State Class
C Gambling License (Bi go Only) applied for by St. George Church
at 408 Main Street be d the same is hereby approved/ds��.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
ffi�If�lld
c.ong [n Fav r
.�eewit�-
Rettman �
�_ Agains By
Sonnen
Wilson
Form Appr e by City Atto y
Adopted by Council: Date
Certified Yas e uncil Se t BY
By
A►pproved y INavor: Date _ �1^�� 2 �+ U Appro d y Mayor for Submission to Council
By
Pt�81�SH�D �;�='"; 988 -
s� 31��.�
-F. �� �� � aR� � �f��� ��H�ET'` �. 0 p 0 9 9 3. :
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.C:hri�tir�e Raz�k — �a��� 3��
,� . , — � —
R� � euoaET ox�croA 2 :COk�4�l R��Z�C'.�'1 +
Fit�u7e & Mett„�mt. 298-5Q�6 � �. crrr,�,TO�r,
R�a1 appLi�ata.on for a Stat�e of C1ass C.C�a�itable Gamb],ax�g Li.vense.
NOr�g'It�iTl�# DATE: 3�8J88 1�A�: 3/�22/88 �
_.
�Nwww�.w a��R�► _ n�c� . .
v�w«�s oa�ree�a+ c�vK sEav�oowr�� a.��w o�� uw�vsr vFae�No: - -
mN�o oa�saoN �eo e�saaa eaNm � � ���
sr� cwwrEn� na is . ,�oos e�o.aonm* nEro ro oa+r�r
� . . . . . _ .. _FOR MDi MFO: ' . � .NDpED* .
WBTRICT ODUNCIL . . � - . . . .
� �'�� TION: .
���� Council Research Center
MAR 15�
- w�n�eM�6 w+o.tar.aeee.a�.t,nns.n cwno.wn�,wi,�.wnere.wM�): _ -
Ms. Sharon A. Awada, on behalf of St. �e Churc'n, requ�sts Co�cil a�p�ro�va�. 4f t�ir
rer�a�al applica�kian for a State of . . _ : +�'hari�able Ga�t�bling �c�e. �, !Class "C"
lic�en� is for Birigo c�l.y. �e sess' a�e la�]��c� W�ednesday �t�s..b� � �s. of -
7:30 p.m. and 11s 30 p.m. at 448 Njain S . : Frvaeeds go to hs�.p e�tw�h aetivi°ti:es. " -
��crt;�.�.�.w.�,�r•. . , . : . .: , :
All zequired applications and fees have sulm3,ttjed. Tf E7ota�cil apprwal. is c�nt�ed,
St. Ceorg�e Churdz, which has been fn ' tenae for 18 years, will be:.allt�aed t�o cx�ntinue
��ir spori�rship.
. OONY�Q1�'fVMrt.YNNn.aRd To MNq1h): . >
• ,
If �ca.1 �pp�val is rx�t giv+�, S�. �'�ch wil.l be �oroed ix� di.�oortt3nue th�.r
��P- :
., ara�ntnret: . r,� ca�s . .
�anr�rs: -
. tsoa.ae�s: , '
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. �,,�9 -g�
, UIVISION OF LICENSE ANI) P�;RMIT ADMIN STRATION DATE � / �� 7 ~v �
INTERDF.PARTMENTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant S'haron r " �WaaCt� Home Address 1'39 ���/�5��
Rusiness I3ame �'f`• QtOr � (.,h�t� Home Phone
Business Address � a Ma,�► s+� � Type of License(s)
Business Phone J ��1.� C'QS$ e �QMb��nk � h'V�S�•
Public Hearing Date 3 .Z� $ License I.D. 41 5�� ��
at 9:00 a.m. in the Council Chambers
3rd floor City Hall and Courthouse State Tax I.D. �� �1 '�Q
llate I�otice S �?��j L �, Dealer 4C N �1Q
to Applican � ��� C� �� �b �
I'ederal Firearms 4� N
Public Hearing
DATE INS ECTIUN
REVIEW VERFIED ( OMPUTER) COMMENTS
A roved ot A roved
�
Bldg I & D � �� I
Health Divn. '
�
u �A �
,
Fire Dept. � �
; � �A I
Police Dept. �� � �e��
�
License Divn. �
City Attorney �
Date Received:
Site Plan N '�
To Council Research
ease or Letter Date
m Landlord �'"��`��
. .t ^ (�V�+ / �
r
: � ��' Charitable Gambling Control Board For Board Use Ony
�.`���:,� Rm N-475 Griggs-Midway Bidg. Paid Amt:
�' ' 1821 University Ave.
-' St. Paul, MN 551043383 Check No.
'+•°'+"�� (612) 642-0555 Date:
GAMBLING LI NSE RENEWAL APPUCATION
LICENSE NUMBER: C-Cit?26l3-Ulll /EFF. D TE: W�41� /AMOUNT OF FEE:
;�;;.; '� 1.Applicant-Legal Name of Organization 2.Street Address '
�'�< Q�7Rt�i DF 5T SEO� ST � ' i250 Oakdaie Ave
3.City,State,Zip 4. County 5. Business Phone
5t Paul. �iN �f 18 �akota 612 457-�'�+ <.
9. Name of Chief E�cecutive Officer 7. Business Pdone '
Re�rr lahn �,1�iurw ��� -:,
8. Name of Treasurer or Person Who Accounts for Revenues 9. Business Phone '�
IZ )� ' O,Z.QO
10. Name of Gambling Manager 11. Bond Number 12. Business Rhone
�t�artm a ►�nade 5i38�59 � _ '�
- 13. Name of Establishment Where Gambling Wiil Take Place 14.County 15. No.of Active Members
�lor�h Star 81de 9# �+aui Ra+esev 122
16. Lessor Name ' 17. Monthly Rent:
C,ssac:atiun ��th star ��siiainc ���
18. If Bingo will be conducted with this license, please specify da s and times of Bingo.
Days Times D s Times Days Times
.
,� ,�
'��`" �19.Hasj license ever been: ❑ Revoked Date: ❑ Suspended Date: ❑ Denied Date:
!� ;:
;�i 20. Have internal controls been submitted p{eviousl ? �Yes O No If"No,"attach copy)
�� . Y �
;�a�:_ '
�;:;,�. 21. Has current lease been filed with the hoard? �Yes ❑ No(If"No,"attach copy)
;�L�: ,�2�:HSS current sketch been filed,with the.board? . �.. ; �.. :� : ; `, �'�YesG ;:,Q No>(If"No,:attach copy)� -----,-;�-- _.} �-°- �.:, �` = °:
�4 , , ~ " �� GAMB G SITE AUTHORIZATION ' _ ,
� By my signature below, local law enforcement officers or agents f the Board are hereby suthorized to enter upon the site,-a[any time,gambling is
being conducted,to observe th�gambling and,to enforce the law for any unauthorized game or practice. _ .„
` BANK R CORDS AUTHORiZATION
By my signature below,the Board is hereby suthorized to insp the bank records of the General Gambling Bank Account whenever necessary to
fulfill requirements of current gambling rules and Iaw.
OATH
E�"'`� I hereby declare that:
S 1. 1 have read this application and all information submitted to th 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 officer of the organization;
5. I assume full responsibility for the fair and lawful operation of II activities to be conducted;
6. I will familiarize myself with the laws of the State of Minnesota respecting gambling and rules of the board and agree,if licensed,to abide by those
Iaws and rules, including amendments thereto.
�' 23. Official Legal Name of Organization Signature(C ief Executive Officer) Date Title
a � ,� 1
�* -7 ,� / �
ST�..��of�E �,uR.�, T`' .:,:, �r!h`'� ,�-10-�� �.�t. r�'S!� ,�r� ��S
a ACKNOWLEDGEMENT F NOTICE BY LOCAL GOVERNtNG BODY , `
I he�eby acknowledge receipt of a copy of this application. By ac nowledging receipt,1 admft having been served with notice that this application will
�!� be reviewed by the Charitable Gambling Control Board and if ap roved 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 hich speciflcally disallows such activity and a copy of that resolution is received by
the Charitable Gambling Control Board within 30 days of the bel noted date.
24.City/Counry Name(Local Governing Body) Township: If site is lacated within a township,please complete items 24
(��,: /,' �;.T ;��tc`.`-. and 25:
Signature of P�rson Receiving Application: 25.Signature of Person Receiving Application
'l ' � %�
_ , , } f , � ;��
t,.�.
Title� Date Received(t is date begins 30 day _, iod) Title:
,�; � 1 �.. r.t.✓'� x `�r tJ.riC t�
Name of Per�ori Delivering Application tc�Cocal Governing Body: Township Name
�_�_- ----�--; •�
�" -il__� s __.�-t� �,,zv _.r'�7_��
CG-00022-01 (5/8� White Copy-Board Canary-Appiicant Pink-local Governing Body
- City of Saint Paul �/
. Department of inance and Management Services ��(� p '
� Llce se and Permit Division
, 203 City Halt �/�,_ff/�G�Q�
' St. Pa I, Minnesota 55102-298-5058 ��OO
APPLI ATION FOR LlCENSE
C� CH� CIASS NO. � Re� ._
� �
^ F r�'
. Date °? �� � 19
Code No. Title of License From �� � t�� To � _�� 19�
� �
,� �:-�����... �.i��� c - /' , .
o� — �00 �• C1�r)rG.Z �i� U VLh
(�n :.-n h I.,, ..y� - ,
�_ `� --�- �1 V� S �-�► ApplicantlCompam Nams
� U,�J� l"+'�� / �Qlil T'�f?e�
�
100 Busineas Name
,00 �(, �; (� ,�1 ,,, �=i� �..
8usineas Addresa Phon�No.
100
100 Mail to Address Phone Na
r^-.: � i
�� .� �ln ��Y� �"�. • %���cR�'.,�
Manapsr/Owner•Nams
100
��� � y L,� � �� !-fcn
100 Alanayer/Gwner•Home Addmsa -� Phon�Na
4098 AppliCatfon Fee � � • � --� ;
Received the Sum of "� � . �� Manage Owne�Clty,Sta ej3 ZIp Cda` /� ��� S� //�
100 Otal 100 �
/� '���.�i /�/.� % /j f�� . .�,:i'�'_t.J/�i,/� i
License Inspector � L' 8 • t ���
y. � ' / � ' Signature�of Applicanl
Bond•
Company Name Policy No. Expintion Date
Insurance:
Company Name Policy No. Expiration Oate
Minnesota State Identification No. Social Security No
Vehicle Information:
Serial Numbsr lats Numbsr
Other
THIS IS A ECEIPT FOR APPLICATION
THIS IS NOT A LICENSE TO OPERATE Yow application fo Ifcense will either be granted or rejected subiect to the provisions of the zoning
ordinance and completion of the inspectiona by the Health Fire,Zoning andlor License Inspectoro.
$15.00 CHARGE OR ALL RETURNED CHECKS
;,
;;
�y.��,...
,
�..'1 � �.'-�ti`� <•� :v ^L
� ��.�. — J!�41 4iJ
- �1 �1 �� �
� ' Cicy of Saint Paul /� � �/,OVr-�
, Department oE Fin nce and Management Services � !l0 7`
, ' Division of Lice se and Pertnit Registration
INFORMATION RE UIRED WITH APPLICATION FO PERMIT TO CONDUCT CHAR.ITABLE GAMBLZNG Ge�ME IN
SAINT PAUL
1. Full and complete name of orRanizat'on which is applying for license
`�'j'- �or:0�.6�. �,�.
�
2. Address where games will be held �'�`b Mf�-+�tv ��� �. ��lU�-
Number Streec City Zip
3. Name of manager signing this appiic tion who will conduct, operate and manage
Gambling Games ��A-219-t� � �14� Date of Birth �� -�-1-� �
(a) Length of time managez has been member of applicant organization o�l �-{12.S •
4. Address of Manager l ��9 }�.� Ji!� �f� ��� � o� � �s� � �j'
Number Screet City Zip
S. Day, dates, and hours chis applicac on is ror � �� . �-- � % � �- ( � ���d /� 1�'i �
6. Is the applicant or organization or anized under the laws o: the State of �i? u �5 .
—�-
7. Date of incorporati�n ti � Q.5 •
8. Date when registered with the State f Kinnesoca �`A2, 19$5
9. How long has organization been in e. stence? ,l � l.1 fZ.S .
T
10. How long has organization been in e:c stence ia St. Paui? l c� � 12.S •
11. What is the purpose of the organizat on? ��i `� —
12. Officers j applicant organization
� `
Name �c��, 3 Name ;'�5 -0,,290�
Address ��� � �(�'� �"; Address p�'rq, �• 1"dt�.T�k12 1`-t'UE •
Title-���5. DOB - -� �" Tit1e ����5 , DOB g�`'�-ot.�
Name � ' ; " � 57-��1g) Name O �Ji.11E �T'1-4' 7 -1 v�153�
Address �� t�P�1�(o��. �i �ddress ����- �•�� �.
T�itle �tieE- �{��s. DOB I�-�- Title �t� „ DOB q -6 -+{-g
13. Give names of officers, or any other persons who paid for secvices to the organi.:atfon.
Name y�e
Address Address
Title Title
(Attach separate sneet �aL acdizLOr.al na�qe9.'.
14. Attached hereto is a list of names and addresses of all members of the organization.
15. In who custody will organization's records be kept?
Name c�� ��`rr.y _ �k.�.�_��p�,_Address 1 �'�"� ���u.,Y!�,�,A�tT�
16. Persons who will be conducting, assisting in conducting, or operating the games:
Name �1-�(�'�iv A : Awf�-�j� Date of Birth ���-.�.�- 3 �
Address ���Jq �i�/ i N��-�01v� HrJ � �. �-T� 1 i4V�.L '`�►N. -rjJr' � ��
Name o f Spouse �O 1-�1�i E , '��-�� Date o E Birth (� -�3_3`�
Dates when such person will conduct, assist, or operate _ �J�(��.y �,1;1C� . � ;3U _��;3�
Name O {q I V �'c,�M Date of Birth '�`- �� - aC."]
Ad d r e s s ��j T� ���V�.YYL1L.i �MrV�..— � � �T �(�-�JL.}� ��N � - J �J) � �
Name of Spouse ��►� �;�� r-�r�. Date of Birth �"'! L' -(Q
Dates when such person will con�uct, . ass�st, or operate ���,�y�,U��
c��6�-i�t�; � - �W A� �N NC�T ��, -I t-�-�,�.� • _t'�:LN�5S C I c.
17. Have you read and do you thoroughly understand the provisions of aIl laws, ordinances,
and regulations governing the operat'on of Charitable GambL;ng games? �
18. Attached hereto on the iorm �ur-uished by the City o� St. Paul is a Financial Report
which itemizes a11 receipcs, espenses, and disbursemencs oi the applicant organization
as we?1 as aii organizatjons who have received `unds Lor the preceding calendar year
which has been s:�ned, pre�a*ed, and verii�ed by �f-��12.ptJ � . �1.�j 14-�{�_
Name
���q ��� i f�S CYS�-�t� �1.,�E. - �.'l�. �i• �14-Lt l, I v 1 N. �j -�`-' ) 1. c�
Address
�
who is the G(�YY��L;�� ��(2, of the applicant Organiaation. -
Yame �i Off:ce
19. Operator of premises where �ames :ril� be heid:
Name 1�02.Ti-1�i Af�?. �J1.�C:. �Sp��
B�tsiness Address � � ,� (�, W, ��' �j, - �T', !pf��_ �N, � 1 ��
Home Address
20. Amount of rent paid by aeplicsnt Organi:.acion tor rezc oi che hall; speciEy amount
�
paid per 4-hour se�ston ' Q�� cc 'f�-r ��5S�G1�
.� ��-��
1 •
21. 'fhe proceeds oi the games will be isbursed after deducting prize layout costs and
operating expenses for the followi g purposes and uses:
RE�.���eu.5 — ��.; � ; Cs o F �'-�.u.(2��, —
22. Has the premises where the games a e to be held been certified for occupancy by the
City oE Saint Paul? E, ,
23. Has your organization riled tedera form 990-T? I�D If answer is yes, please attach
a copy with this appl.icatfon. If nswar is no, explain why:
Any changes desired b� the appi:cant dss ciac�on may be made only wich the consent of the
City Council.
S� ���E �N�.�N
Organization
Date ,� -� Q—�� B Cc�E�c�.r•cJ �
• Manager in charge game
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" Depatcment E Finance and 4anagemen: ce••�i:�s //�,��.7�`,'
. . . Dlvlsion oE License and Permit Adminiscracion ���
�, .
� UNIFORM C ITABLE CAHBLINC FINANCIAL REP�RT
Da te�-,�,,Z,-gg
1. Name of Organization ��Q�'C C,�
2. Addtesa vfiere Charitable Camb ing is conducted 3'�'�� M/}j� S'T'. 55 io Z
3. Report for period covering - - 19� through �) - �� - 19 $7
4. Tocal number of daps played
5. Crosa receipes for above perio S �T�� 5.s1�. �r�
6. Crosa prize payouta for above eriod S � �3. ���.n(�
7. Nec receipts - 11ne 5 minus 11 e 6 S a�.q_y,��5. -7
8. Expensea incu�rad in conductin aod operating game:
A. Cross vages paid. Attach orker liat vith
names, address and grosa c+ gea, ; ._ Q 1
H. Rent for veekn ; _ � �Q`oo
C. Llcense fea $ ��� �n
D. Insurance �
E. Bond ; - �O.Qn
F. Dlshonor�d chscks noc recov rad f _ 375.dn
C. Employers F.I.C.A. s
N. Sales Tax ;
I. Hinn. U.C. Tax ; � ,,� � ,� �Q �
a
J. Federal U.C. Tax ;
K. Hiscellaneous Expensea. Id tify tAa a�ount
and co vhom paid.
1. R.ENjA!_KiTL+�2T�45iA2B . ; ,��•QQ 'J�. �uYbR►J 1�E.WS�i�.) 7��Q/1
z. '��e.rm;r r�c � oa, 5d . M;d� F��. �srn / ?,9�
� N , �
3. �c��;�,.�Nr�����d., : 99.0� ?, ��N� �I,Dl�
4.cFF B.oN ('-AKs. : ��,so
9. Tocal Expees�s TOTAL ; / p(��,.�-3
10. Nec Income - line 7 minus line 9 ; ' !,� �5-I` .��
11. Cheekbook balance beginning of p riod �
s a� ��,, ��
12. Tocal of lin� 10 and 11 S �� �� R. �
13. ?otal contzibutions froa lin• ll S oc o� ��O• QQ
14. Cheekbook balance end of reporti period -
line 12 lese line 13 s 3Gi g�3,r„'
15. Speeify use made of amounc on lin 13:
�2E i�;��u.s — b�,,..; ; N� � r c�h�e�-, -
(:OMPt.I: E TIIE REVERSE SIbE
,
��i: :.':�urser..eacs :rom axouac in 1:ne l2: �
� Name �T, �•��IG� l��l�ln`C r� Name
Addresa 1 �'rjQ D�}-y�A�� �;E • Address .
Date Rec'd � �-� -x(�s 1 c.� ��-11-$7 Daca Rec'd
Purpose ���C,�a-t�.S " I�VIti L�-� iy— Purpose
Signacure �7�� Signacure
of Recipienc -�"` of Recipienc
Amount ��;QL�, (,�'Q Mount
Name Naait
. Addreas Addrase
Dace Rec'd Dac• Rec'd
Purpose Purpose
Slgnacure Signature
of Recipient of Recipienc
• Amount Amount
Name Name
Address Addresa
Dace Rec'd Date Rec'd
Purpose Purpose
Signacur• Signature
of Recipient of Recipient
Amount Amount
Name Name
Addresa Addreaa •
Date Ree'd Date Rec'd
� Purpose Purpoae
Signature Signature
of Recipienc of Recipient
Asount Ameunc
1�. Tocal Disbursem�ncs � ��Q .O �
THIS REPORT MIST BE FILLED•IN COl�LETELY TO QUALIFY APPLICA?ION FOR CHARITABLE GAHHLINC
LICENSE.
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_4��«==o, ' � C1TY OF SAINT PAUL
• ; � DEP RTMENT OF FINANCE AND MANAGEMENT SERVICES
�' �" °
,,. ,. DIVISION OF LICENSE AND PERMIT ADMINISTRATION
,... Room 203, Ciry Hall
Saint Pau1,�Minnesota 55102
Geor�e latimer /// f�',�C)
�a � ��
3/7/88
To: Virginia Baisley
From: Christine Roze �
Re: Record Check
In connection with a application fo r renewal of a State Class C
Gambling L.icense by t. George Church at 408 Main Street, a record `" ,
check is requested o the following: -
Sharon A. Awada Joe Woog
1739 Livingston Ave. 15988 Harwell Ave.
West St. Paul
Birthdate: 10/27/88 Birthdate: 8/19/44
George Droubie Norman Holmes
55 Langer Circle 259 E. Butler Ave.
West. St. Paul
Birthdate: 12/1/35 Birthdate: 8/4/27
Roseanne Athey Rosa Neimy
1961 E. 4th Street 1342 Calumet
West St. Paui
Birthdate: 9/6/49 Birthdate: 4/11/27
CR/car
° �� �" ��
4�<<<*•o.. C1TY OF SAINT PAUL
' DEP RTMENT OF FINANCE AND MANAGEMENT SERVICES
' +• �� o a
DIVISION OF LICENSE AND PERMIT ADMINISTRATION
,��� Room 203, City Mall
Saint Paul,Minnesota 55102
Geo�e latimer
Mayor
Ma.rch 8, 1988
Sharon A. Awada (St. George Church)
I739 Livingston
West St. Paul, MN 55118
Dear Ms. Awada:
Your application for a Stat Charitable Gambling License has been
received in this office.
A hearing on qour applicati n for Class C Gambliag. License ID #(s) 59081
will be held before the St. Paul City Council. on March 22, 1988 at 9:00
A.M. , Third Floor of the Ci y and County Court House. This date may be
changed without the License & Pe�i.t Division's consent and/oz
kaowledge. Therefore, it i suggested that you call the City CZerk's
" Office at 298-4231 tc confi this heariag date.
� You. are herebq aotified tha your attendance is required at this
meeting. Failure to appear may result in denial of your appl.ication.
ve ruiy your�,,,.�
' ' , ;; ' : � ���..�'',
ti,-:.: .. ._ �- - ,'� ,...�,�,,.,,,,,
i : ; �...--``
,� y� . :
Joseph F. Carchedi
License Inspector
JFC/lk ~