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88-519 WMITE - C�TV CLERK PINK - FINANCE G I TY OF SA I NT PA U L Council CANARV - DEPARTMENT � BLUE - MAVOR File NO• �� ou ' esolutio _`, Presented By �'��=" Referred To Committee: Date Out of Committee By Date RESOLVED: That Application (I.D. # 9800) for the renewal of a State Class A Charitable Gambling Lice se by St. Mary's Romanian Orthodox Church at 900 Rice Street be an the same is hereby approved�Lfie�et�; COUNCIL MEMBERS Requested by Department of: Yeas Nays Dimond Lo� In Fav r Goswitz �he� � _ Against BY Sonnen t�Kilcow�� PR 1 � � Form Approved by C' ttorney Adopted by Council: Date ' - Certified Yasse u ci S cret By .3- l� B �� Y � � ; : . tappr by 14avor. at _ �`-� ''4 ' {'�-J Approved by Mayor Eor Submission to Council By PI�IIS�IED �� 1988 �on. o�re �c o��twr�.e� �+, ��p�+v s� Jo� F• Carc;nedi �� '�3�� tr0:��1 V�� C+OI�iACT P�IYOt1 oEn��rrt ox�croR wWVOa ca��asi6T� C�r�.stine R�ek — �a�� 3�«� �cr oEar. NUM R AOR - ' Fir�anoe & Mx,�nr�t� �= 298-5056 oa� �°`�°��°" 2 �Oour�c�]: �ese�eh — � CRY ATTORNEV R�ewal. of State. of M»r�ta Class A itable Gaai�l�,ng Liver�se, _ Councif Research Center. Ncri�ICATI� D�Es 3/28/88 D�,TE: 4/12/88 APR 0 51988 �e�u�►TaMa:tnvo►w.c�>«�a«;�l��) oouac��aES�ca�n�r: ._ PLA►MINCB l�AAI8810�1 . . CML SERVICE C�fiA�BqN DATE MI - � DATjE�EXIT � � � " AWLLY3T - .. PflfJ1E N0. � . . ZONNlO C�ION IBDl2S BCHOOL BOMD . � �. 7�. ,.� T��/i- �� . . . . � � . . _ . ,� BTAfF� . . : . � . 'OFMti7ER COIMNSBION . : � AS IS -ADD'L INFO.ADDED*� � . RETD TO CONfA�T , . COlIS'i7T1lENf . � . . . � __FOR ADDt MW. __FEEDBACK"ADOED* DIS�PoCT CAUNCIL � *EXP IOM: . . . � � . � . . . .. ..BUPPbR18�YYFpdI OOIMiGIL OB.IECTIVE9 • . � - � . . . � . . . . . � � .. . � . . .. �i11A7M10�ROlL,LYr Nlt1E.aPpITUMTY(Who�1M18t,W11ln.WIIEI��Why): Father Toaeasa, on behal.f of St. Ms�xy's Qrttnc]e�QC Church, reque�ts �mcil app�vval of their ��1 ap�licata.ori �or a Stats C1ass A, � Li�se fa� 94� Rice St�ee�: 'I�e sessions take p�.aae Sun�day ev�ings the hc�urs of 7s00:p.m. arx3 ii:00 p.m. Pr�oveeds - are used for C�irch activities. �u��artaw too.ue.�e��avane�.a.��:. . _ - : : All requ,ired appl�,c�ta.c�s �r�d fee� h�v+e su}:mi:ttsd. Tf fJota'eil grant� �xral of this lic:ens8, ttye Ct�ch of St. Mary's �r_thodo�. which has been iri exist��oe €ar 84 yeazs, will 1�e able t�o oo�tinue tY�ir ' . _ ` coN�EqY�s lvYh�e:vllnsn.ana To vwwm): . If do0.u�ci1 appro�v�al is riot given, the Ch ch of St. Mary's Ra►iariian Orthcxk�ac wi.11 be foroed tA disvoriti.nwe their spo�nsorship. ureau►tn�: . ca+s _ . — - — _ �stortvirn�rs: � ��ssuES: � ��--�� DIVISION OF LICENSE ANI) P�:RMIT ADMIN STRATION DATE � �7� "� 3 �3 U� INTERDF.PARTMENTAL REVIEW CHECKLIST Appn Processed/Received by Lic Enf Aud Applicant �� p ��a g _ Home Address $J�'t (,vpQc�.6 r��,f�,J �— � � Rusiness Iv'ame r� 0 -�i � � �A. ��3 Home Phone ornan� n O x Business Address Qp �4�.. E' Type of License(s) �� n�w� � Business Phone �"�g - J� ` � � ��QSS 1Q Eiaw+bl�nc� L� c.a.r+.s-�.,._ Public Hearing Date R.�� l��icense I.D. �l �el�0O at 9:00 a.m. in the Council Chambers, 3rd floor City Hall and Courthouse State Tax I.D. �� ' llate Nutice Sent; Dealer 4� �U '/� to Applicant � � I'ederal Firearms 4� N f R Public Hearing —T DATE INSP 'CTIUN REVIEW VERFIED (C MPUTER) CUMMENTS A proved N t A roved � Bldg I & D � N I,4 Health Divn. ' � N �� Fire Dept. I � �� I � Yolice Dept. � S�'^�'� 3� Z'3�$' � License Divn. � i City Attorney � � Date Received: Site Plan �V �y� To Council Research 0 ea or Letter ` _ ! d ate from Landlord Q„Q�.�J�.tl� �1 D . � _ ��<sr� � � .� Charitable Gambling Control Board ;;s.. ' Rm N-475 Griggs-Midway Bldg. For Board Use Only �° '� - 1821 University Ave. Paid Amt: - _' St. Paul, MN 551043383 Check No. ':•••:'� (612)642-0555 Date: x � GAMBLING LIC NSE RENEWAL APPUCATION �'}��' 1 LICENSE NUMBER: 3 /EFF. DA E: / /AMOUNT OF FEE: �.i;4`�,Y�. � . S� - 1.Applicant-Legal Name of Organization 2.Street Address !i'?:;;: C�1RCJi ff 5T i�ARYS ROMaNIAN ORTrI 5T �#iJl 854 I#oodbridoe �. ` 3.City,State,Zip 4.County 5. Business Phone . St Paul. �+ ��i� R� bi� �a�ia � 6. Name qE�jb��utive Officer 7. Business Phone r� Phi 21 io=+�wa�.ti..�r S c o i�-tc Sr� �a. ay3-3'�'`'�C' 8. Name of Treasurer r Person Who Accounts for Revenues 9. Business Phone ,} 30}►n l�a�e ��. ��.�-a'aS t .. 10. Name of Gambling Manager 11. Bond Number 12. Business Phone fio�a� Raberts S1G6.`�44 (or:L 5�87-IS.Z g 13. Name of Establishment Where Gambling Will Take Place 14.County 15. No.of Active Members 900 H�II 5� �a+il Ra►esev 9c' ' 16. Lessor Name . 17. Monthl Rent: Patricia 6artland f�0 18. If Bingo will be conducted with this license,please specify day and times of Bingo. . . Days Times Da s Times Days Times �� 5 7'� tn- /1: �/� 19. Has license ever been: ❑ Revoked Date: ❑ Suspended Date: ❑ Denied Date: 20. Have internal controls been submitted previously? !�'1'es ❑ No(If"No,"attach copy) � 21. Has current lease been filedywith the boa d?y` ❑ Yes ❑ No(If"No,"attach copy) • _. � . _ _ � � «"�: Has current�sketchbeen filed with the board?, , ,� __ .�LTYes ❑ I�p(If"No,"attach copy) ; ; � � `t t' GAMBLIN SITE AUTHORIZATION , t7 , '.t : R By my signature below,local law enforcement officers or agents of he Board are hereby authorized to enter upon the site,at any time,gambling is being conducted,to obseroe the gambling and to enforce the law f r any unauthorized game or practice. BANK RE ORDS AUTHORIZATION : By my signature below,�the Board is hereby authorized to inspect t e bank records of the General Gambling Bank Account whenever necessary to fulfill rec3uirements of current gambling rules and law. � �� :; OATH ' '. .,.... ;-: a; . � , 3,�.i I hereby declare that: . �*_"' 1. I have read this application and all information submitted to the rd; ,nr. 2. All information submitted is true,accurate and complete; � ''s.•' ' 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 all tivities to be conducted; 6. 1 will familiarize myself with the laws of the State of Minnesota r pecting gambling and rules of the board and agree,if licensed,to abide by those , : laws and rules, including amendments thereto. �' 23.Official L Name of.Or anization � 4 � g Signature(Chie ecutiue Officer) _. - Date Title - ��►�I:A?o�r s an i a� o2T1��bx <--,�`�� ' `'t I� .. v,�L �zc�.0� , 5 . ACKNOWLEDGEMENT OF NOTICE BY LOCAL GOVERNING BODY - , �i I hereby acknowledge receipt of a copy of this application.By ack ledging receipt, I admit having been served with notice that this application:will '� ` be reviewed by the Charitable Gambling Control Board and if appro by the Board,will become effective 30 days from the date of receipt(noted X�" � below), unless a resolution of the local governing body is passed wh ch specifically disallows such activity and a copy of that resolution is received by ,;',: �� the Charitable Gambling Control Board within 30 days of the below oted date. �; 24.CitylCounry Na e(Lne$I Goveming Body) Township: If site is focated within a township, please complete items 24 `' �, Y CU.ti,�,J and 25: .� :,� Signature o P n Receiving AppliQation: 25. Signature of Person Receiving Application �� `..f�-,�{.��'L.d.�✓ �� J'rt l�./ : . � ' '' Title ` �� Da�t�R�e,c,eived(this ate begins, da�r peri Title: ! �J/�.:r/v�`_°� "�' � "`1/�'`�J..G'�j`;j �� / � Narr1e.Qf.Person Delivering i ation W Local Goveming Body: Township Name � 1\�^,�-r,,;. . , CG-00022-01 (5/8� White Copy-Board Canary-Applicant Pink-Local Governing Body _: _ _ ----- . _ . r City of Saint Paul � , Department of inance and Management Services � Lice se and Permit Division � � � • 203 City Hall� � St. Pa I, Minnesota 55102-29&5056 � APPLI AT10N �OR LICENSE � `��5 CASH CHECK CLASS NO. New Renew � �a o � � Qo F t Date �— �� 19`�� ; - � �'•: Code No. Titte of License � J� ��c�( +.% 1� � ^ � . From �—! J 1Y V To �' 19��_ i � 5+�� r� ,oo �..►u-�,�..�j� ;�,� �}"�1 a-,�.�:-�... � �(;f-Zn.v�•�-< _i1�L'�r.� � /',� APPlicanUCompany Name . . f 100 '� �'y�CL��:, -- !J�,��f�,A:k-�,� � � �K�. ' �oo e�s��a$Na� � . �. �•.�.��"` ' LP_�� . V� 'y' '_/ � �,�� '�` \r ; 1 OO �,.�,.,'`-� �r�..L L� � �� ! � Buainass Addnsa Phon�Na 100 100 Maii to Addresa PAone No. �00 j—a�-it,��,� ��;�*�-� � p:..l o -� �� ManapsNOwner•Name � 100 �� ' i c� �,C1 t�-U c�i3 K��L u �z: ' 100 AlanageHGwner-Home Addresa � Phon�Na ; 4pg8 Applicatlon Fee Z, 50 N � � Fiecefved the Sum of 100 v�' f"��t.l.� j :^ ��sr.'^� � Ov 'OU ' '�- � � M a n a g e d O w�a r-C i t y,S l a t e 6 Z i p C o d e I � 100 otal 100 �/�? . i ,1 (� �—L , `7�,s�.e � . '.�t,�,�J ' LiC@nse InspBCtor � � By: �� Stgnature of Applicant i Bond• � Company Name Policy No. Expiration Oate Insurance: Company Name PoHCy No. Expiration Oate Minnesota State Identification No. Social Security No. f Vehicle information: , Serlal Number Plate Numbsr � Other. � THIS IS A R CEIPT FOR APPLlCATION � THIS IS NOT A LICENSE TO OPERATE.Your application for license will eitber be granted or rejected subject to the provisions of the zoning ' ordlnance and completlon of the inspections by the Health Fire,Zoning and/or License Inspeciors. � f $15.00 CHARGE R ALL RETURNED CHECKS � � - ��' ; � . �� -� 31�-31 �� , 31a3�� . � � Cit of Saint Paul - y ��-�� ,, Department oE Fin nce and Management Services �i � Division of Lice se and Permit Registration INFORMATION RE UIRED WITH APPLICATION FO PERMIT TO CONDUCT CHAR.ITABLE GAMBLING GAME IN SAINT PAUL 1. Full and complete name of organizat on which is applying for license � , � � 2. Address where games will be held p � � -5-5 // Number treec City ' Zip 3. Name of manager signing this applic tion who will conduct, operate and manage Gambling Games .�/,' � Date of Birth /O �/ 5i� (a) Length of time manager has been member of appl±cant organization /� �.3 4. Address of Manager /3a � S,�//7 Number Screet City ' Zip 5. Day, dates, and hours this applicaci n is for - — // 6. Is the applicant or organization org nized under the laws oi the State of :II�i? _�� 7. Date of incorporati�n �- 07 - 7� 8. Date when registered with the State f Minnesota �- a 3-7� 9. How long has organization been in ex stence? t.f 10. How long has organization been in ex steace in St. Paul? '7" �cy�.a/• 11. What is the purpose of the organizat on? � 12. Officers of applicant organization Name *Tame Address .3 Address � �aa �_ � T' Title �/. DOB 3-�- 3 � Title DOB /o? -�- /� Name � Name Address i'/ � �ddress o� O //, m'C`J Title �f p�� DOB oZ Title DOB � �"��'a�' 13. Give names of officers, or any ot�er ersons who paid for services to tae organization. Name vame Address address Title T��le (Attach separate shee� .`ar acdic:or.s: c��as. '. 14. Attached hereto is a list of names and addresses of all members of the organizatio�.. 15. In whose custody will organization's records be kept? Name��-m.c� � /� ,� .. � Address �3 a� �7. ��.�� . 16. Persons who will be conducting� assisting in conducting, or operating the games: Name �4��E.o-n��/ J{: �.�. ` � Date o f Birth /D � a./-,5�.�,� Address /�.� ��i�- � ��`_..,«�;� Name of Spouse Date of Birth Dates when such person will conduct, assist, or operate `L- // Name �f � Date of Birth --�7 - 9'- S� Address q� �/�.��,,, /1A �,�,(l . Name of Spouse Date of Birth Dates when such person wi11 conduct, ass�st, or operate 17. Have you read and do you thoraughly unde:stand the provisions of all laws, ordinances, and regulatfons goveraing the operat�on of Charitab�e Gambling games? 18. Attached hereto on the for� fur^ished by the City o� St. Paul is a Financial Report which itemizes a11 rece?pts, espenses, and disbursemeacs of the applicant organizatfon as weil as all organizat'ons who have ;ece:ved �unds tor the nrecedfng calendar year which has beea s:gned, prepa*ed, and verif�ed by �_�� _,,i � ��1 1�- � vame / 3 � 72a. �/'�,.�� Address who is the � � � of the anplicant Organization. � e oz Off:ce 19. Operator of premises where games wili be held: Name Qa�� .i ' /� f/ s �� Bu�siness Address o'�`�U1 S � Home Address / � /p � � - �� _ P �-��/r 20. Amount of rent paid by appl�csnc Organi�acion ror rezt oi the hall; specify amount � ^o paid per 4-hour se�sion /�a' � - C�-��9 ; . � ' 21. The proceeds ot the games will be d sbursed after deducting prize layout costs and � operating expenses for the followin purposes and uses: , , • 22. Has the premises where the games ar to be held been certified for occupancy by the City of Sainc Paul? 23. Has your organization filed iederal form 990—T? � If answer is yes, please atcach a copy with this application. IE a swer is no, explain why: ` `: Any changes desired bv the apolicant �sso iation may be made only wich the consent of the City Council. .� l Orga zation � Date 3 /S� r�� , gy; ` � Manager in charge of game 1 � � r��.�,,, m° m = co � o � �n '� � � �• � c� cn G S y St (0 j O rt R PT (D R S .N � �0 fT �"S F+ C C1 fD fp �^t n S� tA rr r+ f9 � 7 r* 4i fD J �"'t ff "' O � 00 e't (D � n 3 �e , m Mnn+i..^r.,N�.`n z n. �- s : � n ^ � p �v � y,, r 3 r► "� '!��+`\C`;`,.� 0> T t0 r► G � O rn r� 3 ta C {��' 1= ;r n �o m � ;,�b..y: `� n. w �rr-. S ro `e d r" ^ � 3 r+� r-� ��}��,,: O m O C� Z7 � a o �. > -n a� � � R co m w � R � f7 =". — � (D R i'. 9 � . R ,. "'' rj:'ij S f0 n ,��) a v+ _ �T ►1 f0 (A 31 �t � S - `i N 01 G. h+ � � �t O R '� m S � E � C � R rr 't c3A • S J;`';�� J n F c9 � W t, , , , � � � � �,i��_: = 't fD W fp '� '' :r'_,'�.n (9 � I� `� `G' v�v "C) �rJ � i:,�,.�,.�; R I\ 0 O 1+ r •• c_.�•: .- O O eT 'Si / f!7 Fr i'S h� O � - �� '�f S � I 1` N A A f� 7 Z ' :'�� C (9 r+ \� � � � I n I 3 R � fP ('� 3 rt � ?-' 3'�:J • S 1 l S Ol `t � :�� +(� � f0 S eT l"� 'S fO � � �, f9 1Y� R 61 fp UI r� ►+, — �� y�;,. :::^:;.� �o a. � � � � f0 �' fT R Q� �' �"'' -pn� � � CA '� C f0 ''A 7"f � fT (S �' K � � �G �... � � I'T (0 �0 R I � t+ �' „'1 I � �. n't "T � (O O I � I j°`t '° °, � h.�,, � -• � � :� � _ �LCY of Sa1nt Paul �� ! � • • Department oE Finance and Management Ser•�ices ' t r, Division oF icense and Permit Administratlon � . UNIFORM CHAR TABLE CAHBLINC FINANCIAL REPORT ' r Date 1. Name of Organization ,Q,�, ,o/� � 2. Addresa vhere Charitable Cambi ng s conducted � 3. Report Eor period covering 19� through pQ�,,. , ig� 4. Total number oE days played � 5. Cross receipta for above period ; ��$ `��, �� 6. Cross prizs payoucs Eor above p riod s � �� O�7. �0 1. Nec receipts - line 5 minua lin 6 ; ��f Q s3 ,g� i 8. Expenaea incurreJ Ln conducting and operating gam�: A. Cross vages paid. Attaeh v rker list vlth namas, address and grosa Wa e�. � �3��,00 H. Rent for '-S�'�v veeka i � 3�OO,pp C. Lieense Eae ; /Q�,pO D. Insura�ce ; 9� �� E. Bond ; ps-�/� � b' F. Dishonored chseks. not r�cove ed i B 9 m D �� G. fmployers F.I.C.A. ; d� H. Seles Tax ; �� n�' � 7 - I. Hinn. U.C. Tax = �� J. Fedsral U.C. Tax ; �� - K. Miaeellaneous EYpanses. Ida tify the a�ount and to vhom paid. 1. i �ZOO«o o ��i%GeL,�✓/J Q� � 2' s � � .Z� �lL,,.� 7. 3. S _��Z, 65" .�� . 4. _ 9. Tocal Expensea TOTAL = o� � ��sz 10. Net Income - line 7 minua lina 9 s � �( �� .�.. 11. Checkbook ba2ance beginning of pe iod S � ��o_ �,7 12. Toeal of lina 10 and 11 ; � �b��s\C-- _ � s / � /',. � 7.5�_�. 13. Tota2 contribucions frou line 11 14. Checkbook balancs end of reportin period - :,"'�,'� � �. "� '"�• -(•'— line 1Z leaa line 13 �,; ;"y.,� ��, � � 15. Speeify use made of amoun�n�li� 13: � r , � � r, s w , � � / '' �. R E • � y F V � r + n p . d � yi �, ` � � ..1 � •: . -� �� - + " L • I7 � ' . � � � • R� y L ,, + . x � t- Cj�MPIJ:T. TtiE REVERSE S1UE � � � �� • . . � Name Name • C� Address Address . a Date Rec'd Date Rec'd � Purpose Purpose Signature Signacure of Recipienc of Recipient Amount Amoun[ Name Name Address Addreas Dace Rec'd Dac� Rec'd Purposs Purpose Signacure Signature of Recipient of Recipient • Amount Amount Name NB�e Address Address Date ltec'd Date Rec'd Purpose Purpoae Signacur� Signature oE Reeipient oE Recipient Amounc Amount Name Name Address Addrees - Date Rec'd Date Rec'd � Purpose Purpose Signacure Signature of Recipisnt of Recipiene Amount Ameunt 17. Total Disbursaments 'IHIS REPORT MJST HE FILLID•IN COl�LETEI,Y TO QUALIP'Y APPLICA?ION POR CHARI2ABLE GA2�LINC LICENSE. r � o n o y rtn. "' ..� � y 7 � "* A C > Oo 'rnd �-_+ �n .w �l t+f n � o .ye m a � �+ 7 ■ n O '+�7\�� ~ O cn n � ^ r � � \'\ � O .� � p °'� = O > � 7 7 Z �f LR ^ " ,y "" � "'� S > > 2 p ' p.■ � y � �„� '• q .��. � � � y Z Rl C f+1 �*1 oa. z n� m � �-Gl m a �° y "en� o tmn a � °i o � � n o � � > m �-�i dZ m � � c u n � on a n ...... n � n ...... ° �n o � � � � a o � k m n w � � � ,��f v � o s f° �' ;� `e m . 0� .w d �� . o a�i Z -�l O n n a 'n � � 3� � n� u �y- .'�. °' s � � n� � � r z � � } o � a Z � o � � ; E � > � W ; :� r r n o � � � a a ~ A •~ �� 0. A '� a � a a . " r ,\ � a .0 . .�^'�^'�w• � '��,a�� .w:� :.-y�� ri ggs-Mi dwdy B1�g . SCHEDULE C ��d"�� 1821 University Avenue �� St. Pau] , MN 55104-3383 RECORD OF LAWFUL PURPOSE CONTRIBUTIONS ' Or nizat'on Nar�e Licen Number MoMh and Yea / �.1��a,� s 1�0 ;a,� C:�t.�,vc,l�. R- 4d4-oo�.. 1�18? Pe e l ► or L_._. Check Date Payea Description of Lawful Purpose Check Number Amount �oS7 � � � S ' t�i �L'.! �SO : a � � �► � �. � � � �� 33� s! ��G� ��1 s� 5 � � c1�. �• '' 34� / 1�7/ S `s ov►a i t.� �� ' ' yl�3 1S 6��. � S 8 S S ' t'.19.u,rc.1� i� " �� 'oa � I I � � I I I � � I I � I SUbtOtel—thi8 page .. ......................................................... Add:Subtotal(s)of the itional pagMs)other than this pege(if applicable) ... ...... TOTAL—Carry amount o tax return,PART IV, line 291or next schedule CI............. ' � � " � CG-00014-0214/851 V��V 1 • VY�//V VY��V 1 1��y �/V��V� V�1 ,.-»r�:,� Rm N-475 Griggs-Midway Bldg SCH�DULEC ;�=•�� 1821 Universi ty Avenue � s'��'�+� St. PdUl , MN 55104-3383 RECORD OF LAWFUI PURPOSE CONTRIBU'f10NS '+a.�,..r Or �n ization Nam� ^ (�(� � ' ense Num•�r M nth a,nd Yea� Q �7 . t. S l�O � L Yi�+! � Q�� ' C�Q• � i�J ! Pa e�ot� NumLSr Oate Payee Description of lawtul Purpose Amount �� a, � �-�. 's � h�,r �t�'� ' �79 a � �+ �Ma�,r h � • � • � a.� � a6 8 g � �, 5 �o . �'/isE8, �- ' C1�wr�. � ' 1 as � q�. � -1 . � r a7 . ab°I 8 5 , � �vi � �� yr a 5�-� �b Igb -�. ' � ' a S �oo � a 5��- $ S . 'S Ckwr ' ' ' �.6 a-ioo � as�3 °+ S�, Y�b�- 's Gn�txc,�• Ch.c,ur e�-iu��-i 8 78 �l � i I i ! ; i � I � i ; � i ` QK �l� ' t f • � ' � . I � � � � ' • � 1 ( + i � � � ' � i i . � . � . j I , ' ! .' � � � , . � I i I I , I I I � � 1 � I ! � � ; i i � . � ' i � - i � ' � � . � : S��ot��_�h;s p�e ...... ... ......... ......... .................. ... .. . a9ob 81� . ; I Add:SubtotaltsJ uf Me add�nonal pagelsl other tha�this p�ge(if applic�blel ..... .. TOTAI—Grry.tmount to tat•�tum.PAFiT IV. line=9 ior ne.�scnedu�e C) �"� �� •�;,,��;.i�s�}�� -' V��11 � rYY1� �iY�1��/� ��y VV��M�V� Y �� / ��.� Rm N-475 Griggs-Midway Bldg SCHEDULE C ��.� 1821 Universi ty Avenue RECORD OF LAWFUL PURPOSE CONTR�BUT10Ns •�,,,,,,,� St. Paul , MN 55104-3383 Or iza i n Name, Lfii en Numt4r Month and Year �S ��Q,y1� �l� "7 � Pa e�_o/ umtar Oate Payee Descripcion of Lawful Purpose Amount . a�oy� .o�� - � B�o � d�o 3 ! � Ch. Chu.rc,�, �u��i a�7 fl3 - '113 J�sls� �� c,� ' �-�� a 48 5 - a 3 ,s � .w�au- 's G�, -u� �'79 �o � � a�� 3�-i�� -. �s � �,�;� ? a�a- � , �Iq � az � . ' c,ti � � a�� . "1�-t. 3 � � �-f; 's C�, � - ; �d S � � � - � � ; i I � � � ' i j : j � � � , i i - � i i ' I � i � � � i . ; � � � i . i . i � � I, ; + f I � j � ( i , , i I . , j . I � � � . � i � i _ ► . � i -- � � � - � � ' � � � � � � : � � � � � � � � � . , i SubtoWl—this pag ...... '� � . ......... ......... .................. ... .. , Add:Subtotallsl of e addit�on�l pagelsl athw than ch�s page lif applicabie! .... . ' I � a�''��''� L�-±� TOTAL—C�rry am unt to tat•etum.PAfiT IV, fine=9 tor nr.t sr.hedwe Cl •::,��;1's�;:i��ti� � . '• � �u.�• •�.�►✓��.. vYw�� VV��b�V�' YY . � . � �.^►�: Rm N-475 Gri gqs-Mf dway 61 dq SCHEDULE C' � ;�-�►�� 1821 ltntversity Avenue . _ ��,�` . St. Paul , MN 55104-3383 Recoae oF wwwcpuaPOSe con�ieu�oNs Organi atton Name , Licensr Nu Cer M th sn�Y �a � � q P e�of Ct�eck Psye� � • � . OescriPtion o1 tawful Pwpose d+ecSc • C . � 0 M.. Amount Numb�tr. ��Q�. b I � - l � �. 4 � � ' � 1 « tt ►t �► �� y � < < l � . � � I I i � � I . I _ i f � i . , � _ . ; � � • ; I � . I 't. � , . • i � I ! + I _� � I � � � . � i � ; i � ; , , � ; , ; � : � . . ; ; � � : { s I � ; � � l i � I � i � . s��—�„s p�e ...... ... ................... .................. ...... . . � r! � Add:Subtotsllsl af the additiunal pagelsl other than this page(if applicable) ..... .. TOTAL—Comr amount to tax-atum.PART IV, tine:9 lor ne�t sr.hedwe C) � �:,,„;.i�s�;;�i�� ` (,irdQ �l/ V/Iyl 1 YYrlvr 4YIIINI Illy VVII4r1 V� 1�I �+'��- Rm N-415 Gri ggs-Mi dway 81 dg SCHEDULE C A��..'7 ;-{•��. 1821 University Avenue l�ti,�+�' St. PdUI , MN 55104-3383 RECORD OF LAWFUL PURPOSE CONTAIBUTIONS Organization Name Lic se Numb�r Month and Year s7: /+� f ��+.�►.�.� „i �'�J��'�// /�-DOy�9 /�IA / �7 Pa e_�of � . '� Chack Date Payee Description of Lawful Purpose Check Numtar Amount 1 Z7S S/3 ST. ' S G /zC G ��ec`I v r� s �/`-SZ�6ol • Z7l.o 0 9 S�2 0 � I i .4 Z7G J � � " � !�O '� . Z $, ss� ;oo I z7Gg Sz 87 2 7b I 9d Z77S Sl/ 8 S5�' �S ' i , � I � � � 1 � , � ; I � � ' . ' � : � � � , , i i � ! I � � ; � � � i : . i . � . . , � � � , . , , ; . , , ; � � ; ; � , ; , . , � � ; i � I I j � � ; i � l � i � - i � , ! I ' �3 Zz Subtot�l—this p ge ...... ... ......... ......... .................. ..... ; Add: Subtocal(s1 o the addiuonal pagelsl ocher than this page tif applic�bie! .. .. . TOTAL—C�rry a ount to t�x •zturn.PART IV, tine_91or next schedwc CI 233/ � � � .::;��;.�•s�}:i�,..i� , �^'�"6� Minnesots Chantabls Gambling Control 8osrd SCHEDULE C �" �� J04 Summit Stne 8snk 8wlding �� 310 4th Avsrnie South ,�:� Minasapolis,MN 55415 RECORD OF LAWFUI PURPOSE CONTRiBUTION� 18721341•7676 . O�genization Name Licsnse Numbsr Month and Year / � ST /Po .r,�/i4 N �/Y✓i�P C – O D S ,�/F_ /9 S Ps e�..�L�of�_� ' Check Deacription o}Lawful Purpose .�' Number Date Payes Amount � ' • , . Z 7 S 6 8 ST s � c cy��ec �nvir�,Es s�7 sb j' 2 0 6 S 3 z o� � 27 S 6 9 0 7 8 Y ��•'�� 27 S(� 6 / B7 2 g 6 bo � • 2 Z �' 2 3os So � 2 98 G zg 8 2 s21se� - I ' � � � . . ; , ; i � I � • ..; � . ' I . ; � � � I i ; . • i , I , � I .�' , . : ; . , � , , � , i � � - Subtotal—this page ............................................................. $ ;(o% Complete these rows only � Add:Subtotal(s)of the additional pagels)other than this page(if applicable) ........... '� � on the very last page of Schedule C �"� TOTAL—Carry amount to tax return,PART IV,line 29 ............................... � '�oG CG•00014•01(2'85) White•Board Ca�ery•Orga��ration � RmVN-475�Griggs-Midway �B1dg yu SCHEDULE C ��'�( �.,.r.; ?>• �.'., ;-�•�� 182] Universi ty Avenue ��'ti,�• RECORD OF IAWFUI PURPOSE CON7AIBUTIONS �,,�,,� „ St. Paul , MN 55104-3383 Organization Name . licens NumL�r Month and Year �� /r'J �S Jr+l C� �Kc — D �g C, � � Pa e�of� = Check Date Payee Description o(lawful Purpose Check Numb�r Amount ZSoS� 7 ST C c C v2c � �i s Z89 !9 . Z o$ it g ' � ' Z�SIS ; Z9 /3 '7 8 2Sf� � 2 SLo z4 � 3v Z i!o 8 . . Z90 /2 8 dbz � oa ' � � � i 1 � � � � � � , . i I i J � I ' � I ' i I � � ( . I . , 1 � ! � � . I I i , , ( I � I 1 1 . � i � • ' I � � I I � I I ' . . , I � I � � � � i , � I ` � � I 1 I I . Subtotal—this page . ... .. ......... ......... .................. ..... . �77 �g g i Add:Sub[otallsl of th additional pagelsl ocher than[h�s page(if applic�bte) ..... .. TOTAI—C�rry amou t to tat•r.turn,PAHT IV. tino�9�or rn!�t schedu��Cl �7 Q'� Lu�hwl'1�):IJ!•ti� � • v��r� � rr�11V. yM�l��/� �1�y VV��M� V� YN ,.-��r:� Rm N-475 Gri ggs-Midway Bl dg SCH�DULE C ,_;`:.�;. 1821 University Avenue �., �.y��,�+�' $t. Pau] , MN 55104-3383 RECORD OF LAWFUL PURPOSE COMTRlBUT10NS � Organization Name Licenae Numtrir Month a�d Year ST. /yJ orir�iv�� ' v C -Oo 8 1/6 v 8 Pa e�—of�_ '� Check Date. Payee Description of Lawful Pu�pose Check • .r Numb3r Amount T 1 28z 8 2 8 s . � Ys c v . 298 �z ' z.�Z7 2 8 � � ' 290 loo �. 2333 8 8 � 3 ;;.,. Z�3 z7 ioo • 2� �28 � 2 Z L3 233 �5 � - i � 2 8 23 83'Do . . 28 S 30 � 0 6 I(,S i 28 5�S �d 28 9 /Pear.v�e Servicv G C �/G � � � � ' � AG/� ..� / o �3 � I � . I, • � . i � � � i , � � ; � � . . ; . I � i � � - � , . � ' I � � . �. � � I .. � i ' , i , ; � � ; � . , � ; I I � � � � � � � � � l . i � - I I � - . ;�� Subtotal—this page ...... ... ...................................... ..... . i i Add:Subtotalls!uf the addiUOnai pagelsl other than this page lif applicable) ..... .. TOTAI—Crrrv amaunt to mr'cturn.PANT IV. line=91or nrrt sr.heduic CI ... • Z 6 � . Cu�r:.��i q:w...�� ' � • v�� u�1 V VMIUV/ I I�y VV11 MI V 1 YV (// "" �./// ,��!�}.� Rm N-415 Griggs-Midway Bldg SCHEDULE C ��,�: 182] Universi ty Avenue RECORD OF LAWFUL PURPOSE CONTRIBUTIONS ,�,�,� �St. Paul , MN 55104-3383 Organization Name Licenss N mt�r Month and Year ST h'l S o �!v/2 –d $ $�EPr.E�rB•F-� 98 Page_�of '/ ' Chack Oate Pa ee Check • � Numbvr Y Description of Lawful Purpose Amount ZS o 8 v n/v r�Icv Ld � I , 2$Sb 8� S S C 6G/6�vS ✓ o�v v � �S 28feo 3 22a i 70 28G " � , vo 8�.5� 2�/87 2z �S 28b S z � 3/ !zZ I i i I � } I ( � i � j j ' E , ; � I . 1 � � • .� i , � � + 4 � � ' � • i , ' I ` j -- , � _ ! ' , ' � i I . i , I I • ; � i I ; i . I . � I j . I . � I . Subcotal—this page .. . ... ...................................... ...... . Z s �� Add:Subtotallsl af the a d�uonal pagets)other than chis p�ge(if applicable) ..... .. TOTAL—C�rry amount t tax ratum.PART tV, ti�e_9(or neat sr.hedwc C) . ... Cu�)��17 s Q:1��ii • . �,�„�.►;, ,�<< ;t-w�� ur�ggs-M�away Bldg SG�tuu�.c� d'�',�►� �82� Ut11 VEt'S1 ty AV2t1Ue ' RECORD OF LAWFUL PURPOSE CONTRIBUTION� '��ti� St. Paul , MN 55104-3383 . +1�,,,M;. Organizatio�Name Licanse Number Month and Year � � T ' o l v -o0 8 9 o f.¢ � B� Pe e_�or�� Check Data Payee Oescription oi Lawiul Pu�pose Check Number Amount • .� f37 D � �ST � C �i f � _L L/o✓J EDril/lT)i�v S S � ! 2� S $7 ��7lt'/T • �� v� � z68�- o � • 279 8� :<�: 2�3 8�e o ' ' . Z �' - 2 a 3 o Ls s7 . 2 oc . ' " . • ' � ; . , , � i . ,� _ ' • ,. .. ;: � � • ' O 7 • Subtotal—this page ...........:................................................. Add:Subtotal(s)ot the additional pagels)other than this page(it applicable) .......... , �D ' TOTAL—Carry amount to tax�eturn,PART IV, tine 291or next schedulo C!............. CG-00014•0214/851 � .,,y ,...�,�� Oi u� /,�� ,.._.� m►«,` Rm N-475 Griggs-t•tidway Bldg � SCHEDULEC �%F—��si9 ��y� ' ° 1821 University Avenue ��'u�� $t.• Paul , MN 55104-3383 . RECORD OF LAWFUL PURPOSE CONTRIBUTIONS �'i:�n^ . ' � . Orqanization Name� � , License N mber Month and Year , ST. •.�, v -D $ 0 $ Pa e � ot�_ •Number Date Peyee ;: , � Description o(lsw(u!Purpose Check Amount � 2 0 o s G E� /ou ,6'.av� .�L 88 • 2 � � �� ' � 7 � : 2 0 8 /s g " ' � z�G o � 2 z► / 2t , � 2// 3 � 2 ZZ 2 8 •; . . • Z�p S ' 2 Z3 // L S ' 290 00 .' j • , ' y � � , ; • . , � . . � � . . . . � , . i . , � . � , , . . � , � . . . . . � . . � ;, . ; � . . . ,: . � � . � . . . . � �: :� � . , • . � � .. , . . . � • � . . . �, : . I � � . . , . _ . • . t . • _ • , , . ,i � . . . . . , p � • , . . . • � .. . , . . � , , . . • - � � . , . . � _ � � � , � . � ' ' ' , • { . 3 �c/ . . . , , Subtotal—this page.. .. � ................................................ . . •. • , . .•;� � � ` Add:Subtotal(s)ot the ad itional page(s)other than this page(i(applicabte) .......... TOTAL—Carry amount t tax retum,PARTlV, Iina 29!or next schedulo C)............. 3 g CG-00011•021�186! ; , � . � i � � � . . , " G�F�ari table Gambl ing Control Bd .�,�, Rm N-475 Gri ggs-Mi dway B]dg SCHEDULE C dy��'� 1821 University Avenue � C?p'�„�'' St.' PdUI , MN 55]04-3383 RECORD OF LAWFUL PURPOSE CONTRIBUTIONS �t•�- �nitatfarti Netne • Uce�n��Num�r Manth rnd Y�ar � . /. � � .. p • Pa e�_.01�._ � ��ak , p�t� Pays� D�s�rlptfon of Lawful Purpose �°�k lumber Amount � 2 2 �y 6 v b ; 3 /L / , � ' s ac 8 0 � 3 /2 /3 5 C v � � c o L S �o ' ' 8 2 Zo ' 6 . Z 2 Z �' � � � 3 /L t � 4 0�:.� , � . , ; . � . , . . , . � �� .. . , . ., • ,. . , . � .. , , � . _ � . . � � � • � . � - . � . � • ., i , � � . � , � . , . . , . � � � ' . I � . , . . , , � • , _ • � s'3 8� ' Subtotat—this page........ ................... Add:Subtotalls)of the additional page(sy other than this page(ii applicable) ..`...... , /s 3�' s TOTAL—Carry amount to tax retu�n,PART IV, lina 29(or next schedulo C)••• ••••••••• ;.00074-021�l651 � ��'-S�si9 ��._•.. C1TY OF SAINT PAUL :' ', DEPA TMENT OF FINANCE AND MANAGEMENT SERVICFS % �� ,.� . DIVISION OF LICENSE AND PERMIT ADMINISTRATION ��„ Room 203. City Hall Saint Paul,Minnesota 55102 Glo�r l]tieflt --- rNayor +.- 3/23/88 To: Captain Steenberg From: Christine Rozek , Re: Record Check In connection with an ap lication for a renewal of a State Class A gambling license at 90 Rice Street, a record check is requested on the fol 1 owi ng: . : .��,:, Thomas W. Roberts� Phillip Toconita 1324 N. Victoria 1391 Sandhurst St. Paul Roseville Birthdate: 10/21/54 Birthdate: 3/8/38 George Muntean John Folea 974 Woodbridge 2700 N. Oxford St. Paul St. Paul Birthdtae: 2/2/27 Birthdate: 12/8/15 Dorothy Opris Mary R. Edwards 2027 N. Dale 96 Mounds Blvd. St. Paul St. Paul Birthdate: 10/18/22 Birthdate: 2/9/56 CAR/cr . � �� .�.=.e, CITY OF SAINT PAUL ;� '. DEPA MENT OF FINANCE AND MANAGEMENT SERVICES % �� e DIVISION OF LICENSE AND PERMIT ADMINISTRATION �'' �� • Room 203, City Hall Saint Paul,Minnesota 55102 Geo�ge Latimer Mayor � March 28, 1988 Father Todeasa 854 Woodbridge St. Paul, MN 55117 Dear Father Todeasa: Your application for a State Charitable Gambling License has been received in this office. A hearing on your applicatio for State Class A Gambling ID #(s) 29800 wi11 be held before the St. aul City Council on April 12, 1988 at 9:00 A.M. , Third Floor of the Cit and Ccunty Court House. This date may be � changed without the License Permit Division's consent and/or knowledge. Therefore, it is suggested that you call the City Clerk's Office at 298-4231 to confi this hearing date. You are hereby notified that your attendance is required at this meeting. Failure to appear y result in denial of your application. Ve ruly you� . � T J seph F. Carchedi License Inspector JFC/lk