88-1114 WMITE� - C�TV CLERK COUIICII
PINK - FINANCH GITY OF SAINT PAUL
CANARY - DEPARTIMENT
BLUE - MAVOR '':� FIIE NO.�/�/ -
� Council Resolution ;-°���
�i � f ��.�
Presented By /�g� � `�'�`` �"
Referr�d To Committee: Date
Out of'''Committee By Date
I
RESOLVED: That application (ID #87547) for the transfer of a
State Class A Gambling License currently held by
St. Casimir Charitable Activities at 57 West 7th Street,
be and the fiame is hereby approved for a change of
location to� 1324 E. Rose.
i
i
I
i
i
�
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimon�
Long _ ~, In Favor
Goswita
Rettman
s�ne;n�t __ A gai n s t BY
Sonnen �
Wilson
�L _ 7 � Form Appr ved by Cit Attomey
Adopted by Coy�ncil: Date � •
Certified •.sed by Coun .'1 Secce ry BY � � �
By �`'�� �
Approved b Mavor. � �e�— ' _��) � 1 '�� Approved by Mayor for Submission to Council
y �/�.;;_����- ��t��-- gY
B _-
Pt��;SNEB JUL 16 1988
. � O� . > � . . . . . . I 0111E�MI711tTm� .DMl�CGI�lE7F0 .. . . . _�/� `" ����/ . '
� 4 E�iR��t� '.5N�E1' r+w.0�2 Q 4�3
. J. C�rcl�d�i
��� �,����
.0 risti�ne Rozek ; �� — �.►��.�� -3'�«,�
�n�c ra. � —euor�r ox�ECron
, � 2 Council Resear�h
�° cRr�rrow+er
` _ _ _ .
A lication for transf of location o� a State Class A Gamblin.g License.
N i.fication Date: 6- -88 Hearing Date: ����` .
1�110l�:(. (A)a R�1eq(R)1 COIlNCL RF.SEI�RCM f1EPOil'f:
v��w�o cnn�se�co��on i on�a� o�rF our a�vsr rtar�►a. :
xoNw+o �so ezs scNOO�eo�wn �
eru� c�rEa ca�issaH _c�wi.�,�s�s i w�wFO.�ooEO+ _���� ���ooeo�
dsrwc.T cotA+c�
=exwv�ra�:
a��a wwcH oouVC� z
' Counci! Research Cente�
i
J Ui�a 3 0��F8
- ..,�.�..��. �.�„�n�.,�,a,�,,. :+�,,�: . . _ �
Da io Dagastino, on be � 'lf of St. Casimir Charitab1e Activities, requests
Co. nci 1 approval of hi I `equest to transfer hi s C1 ass A State Garr�fi i n.g �
Li ense from 57 West 7 h �t. to I324 E. Rose. The bui1dirrg at 57 West 7th St.
is being, tor.n down for downtown building pro�ect. The weekly gambling
se sion will be held F � ays between the hours of 7:0�_ �n and 11:00 PM.
�
; � ,
it�e.9CA7lOM AdwrM�pse.�b): , . , , . ..: - , . : ,:
i
. . A1 fees and applicatio have been submitted.
,
i
. c�,�e�s tw�.a.. .�w Te,M,o�,,: , I _
. .
. iI
If Council approval is ' ven, St. Casimir Charitable Activities will be �
ab e �o change its birg. session to 1324 E. Rose. If Gouncil approvaj
: is not given, the bingo� essian wiil not be relocated. _
. ,
_ � .
,
�te�w+►,n� weos . . �s.
. ; ;
�
. 'I
�
�wt�o�r�r�eMrs:
I �I
_ ;
. �I. _
a.�u.�: �
' f
� N �J///�
DIVISION OF LICENSE ANI) PERMIT ADMINISTRATION DATE � � ��/ �/ �3 a �
, INTP,RDF.F,ARTMF.NTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Ct /� • /� �,_.,�
Applicatl�jt oCG• t,,Q,Sf1�1q�r� ��ar���2. Home Address I � � �. ..�, �(�J k,.�
�! �'�1 v I�S . �1
Rusiness IvTame � +II� Home Phone ��' o� � q �
Business Address 13 a c� E • �OS� Type of License(s) C�QS$ �—
Business Phone '�� ' � �»tG�M G ' �T1� �� �dC,4�/a�
—T �
Public Hearing Date � �O License I.D. �� �7s �,
at 9:00 a.m. in the Counci hambers, /�
3rd floor City Hall and Courthouse State Tax I.D. 4� N f�'7
llate Notice Sent; � ` Dealer �6 �v ��
to Applicant � I�
I'ederal Firearms 4� j�f �
Public He�.iring
DATE INSPECTIUN
RE�tEW VERFIED (COMPUTER) CUMMENTS
Approved Not A roved
�
Bldg T & D +
N�A►
Aealth Divn.
; w�,� ,
�
Fire Dept. � �
i
; �'� i
� �
Yolice Dept.
�I''a3 �� �� — IV0 �lWr�
Licen�e Divn. �
�'�o��if�0 ' O�
City � ttorney �fa (�� �
! �t I , O�
Date Received:
Site Plan N I� �II aq � � �
To Council Research � � �
Lease or Letter � �� Date
from Landlord
�
, ' ���i��
,�.,,.,,,�,,
:.�„�o��?, Charitable Gambling Control Board FOR BOARD USE ONLY
Room N-475 Griggs-Midway Building
� �� 1821 University Av�nue �1°N�
� �? St. Paul, Minnesota!55104-3383 PAID
� � (612) 642-0555 AMT
` ���' . . � CHECK�
DATE
,. ': GAMBLING UCENSE APPUCATION
. INSTRUCTIONS:
; A. Type or print in ink.
B. Take completed application to local governing body,obtain signature and date on all copies,and leave 1 copy.Applicant keeps 1
copy and sj�nds original to the above address with a check.
C. Incomplete applications will be returned.
Type of Application:
G1CIass A - F,iee$100.00(Bingo,Raffles, Paddlewheels,Tipboards,Pull-tabs)
; ❑Class B - F'ee S 50.00(Raffles,Paddlewheels,Tipboards,Pull-tabs) ���spayst�eeo:
� OCIassC - Fee S 50.00IBingoonly) M&�newta(�sdteblsGambYngControl8os►d
. OClass D - Fse S 25.00 IRaffles only►
QYes E7 No 1. Is this application for a rene al? If yes,give complete license number � - 0 - 0
� �Yes O No 2. If this is not a�application f r a renewal,has or anization been licensed by the Board before? If yes,give base
P license number(middle five digitsl '�` '�'��
�Yes�No 3. Have Internal Controis been submitted previouslyl If no,please attach copy.
4. Applicant(Official,legal name of organiz�tion) 5. Business Address of Organization
`�- - - � -
vt... a::.� �:i - yr.� :.Z' =t::� �± _:i:.:'� '1:.. �:l�w�:
6. City,State,Zip 7. County 8. Business Phone Number
j�- _it :i�l�: •" �i'.. iJ-l�i'i ,•.i:�.ifi. ( 11. � � /[i"`.i3r:�
9. Typeoforg�nization: ❑Fraternal ❑Vqterans �Religious ❑Othernonprofit•
•If organization is an"other nonprofit"organiz�ation,answer questions 10 through 13.If not,go to question 14."Other nonprofiY'organizations
must document its tax-exempt status.
L'�Yes�No 1 . Is organization incor orate as a nonprofit organization?If yes,give number assigned to Articles or page and
book number: Attach copy of certificate.
- G3Yes0No 11. Are articles filed with the Secretary of State7
�Yes❑No 1�. Are artictes filed with the County?
DYes�No 13. Is organization exempt fro Minnesota or Federal income tax?If yes,please aitach letter from IRS or Department of
' Revenue declaring exemption or copy of 990 or 990T.
� ❑Yes.[�]No 14. Has license ever been deni�d,suspended or revoked?If yes,check all that a ly:
�. ❑Denied ❑Suspended ❑Revoked Givedate:
15. Number of!'active members 16. Number of years in existence Note: If less than four years,attach
evidence of three years
�'0 0 �' 3"� '�p��� existence.
� 17. Name of Clhief Executive Officer 18. Name of treasurer or person who accounts for other revenues
- � of the organization.
U+7-`1:11 �1cu:_�:ili� !
... , �... -,.-�:'� .�.-.-., rnr_; -
rtie rti8
�.._.���� ��.:�:�i:.':.._ �� ��.�.`_��!.:.:::� ,._.'�__'.L'.'_rl����i�C.J4�Jr
Business hone Number Business Phone Number
� �i'� � 7i?-� . .�� �' � _ _._ � 7- -1?�5
19. Name of e ablishment where gambling Will be 20. Street address(not P.O.Box Number►
conducted i
_. _ ,�_ � . �}, _ . __. ,�._ � _ _ . -,�_._
21. City,Stste„Zip 22. County(where gambling premises is located)
a ,:. �...:li __. ?. .._, �_. �J i�y�) ,�'..:�' :'''
CG-0001-02(8l8�) White Copy-Board Canary-Applicant Pink-Local Governing Body
I
. . ', ������
Gambling License Application � Page 2
Type of AppliCation: OClass A ❑Cl�ss B ❑Class C �Class D
C1Yes❑No 23. Is gambling premises locat d within city limits?
DYss�No 24. Are all gambling activities onducted at the premises listed in �19 of this application? If not, complete a separate
application for each premis�s(except raffles)as a separate license is required for each premises.
❑Yss.fllNo 25. Does organization own the ambling premises?If no,attach copy of the lease with terms of at least one year.
�Yes ONo 26. Does the organization lease,the entire premises?If no,attach a sketch of 27. Amount of Monthl Rent
the premises indicating wh t portion is being leased.A lease and sketch $
is not required for Class D a plications. '��. ��
�Yes�No 28. Do you plan on conducting ingo with this licensel If yes,give days and times of bingo occasions:
Dsys . _ Timss
r' - - � ;.n.�. '^ :J.,.�-:
�Yes�No 29. Has the 510,000 fidelity b nd required by Minnesota Statutes 349.20 been obtained?Attach copy of bond.
30. Insurance Company Name 31. Bond Number
_.. ��.,.L...� _'3� ��' . a� .��J:,}. ��i J � I.JLS� .�
32. LeTssor Name , 33. Address 34. City,State,Zip
i11�:. al�)r..l .� ._`2 .. ,�'3 �L• .��4�R `�:I21 �.i���1
35. Gambling Manager Name � 36. Address 37. City State Zip
J"1�_,� ,�z��i; "_.:J � , . .'i. ?. _?. ��::;t `:�:. :�,_ ',l �^
� /
38. Gambling Manager Business Phone 9. �ate gambling manager became
( � _ :'.� _ ', member of organization: i �`' �
�:1_
' GAMBLING SITE AUTHORIZATION
By my signature below,local law enforce ent officers or agents of the Board are hereby authorized to enter upon the site,
at any time, gambling is being conducted�to observe the gambling and to enforce the law for any unauthorized game or
practice. '�
', BANK RECORDS AUTHORIZATION
By my signature below,the Board is here�'y authorized to inspect the bank records of the General Gambting Bank Account
whenever necessary to fulfill requiremen�s of current gambling rules and law.
' OATH
I hereby declare that:
1. I have read this application and all infbrmation submitted to the Board;
2. All information submitted is true,acq'urate and complete;
3. All other required information has be�n fully disclosed
4. I am the chief executive officer of the�organization;
5. I assume full responsibility for the fai�and lawful operation of all activities to be conducted;
6. I will familiarize myself with the laws{of the State of Minnesota respecting gambling and rufes of the Board and agree,
if licensed,to abide b those laws an rules, inctudin amendments thereto.
40. Official,Legal Name of Organization ' 41. Signature(must be signed by Chief Executive Officer►
::�. ,..,.._..,__,. .. :i _� ---�.:�.. ��'�� '�'._.. ; X _
Title of Sig�er _ , Date
..:21•�� �..'3(:L:t��J°? `.:�1.�::t'_� �.�?':r: � .'+.�
-J
ACKNOWLED EMENT OF NOTICE BY LOCAL GOVERNING BODY
I hereby acknowledge receipt of a copy f this application. By acknowledging receipt, I admit having been served with
notice that this application will be review d by the Charitable Gambling Control Board and if approved by the board, will
become effective 30 days from the date o�receipt(noted belowl,unless a resolution of the local governing body is passed
which specifically disallows such activit and a copy of that resolution is received by the Charitable Gambling Control
Board within 30 da s of the below noted ate.
42. Name of City or County(Local Governin Body) If site is located within a township,item 43 must be completed,in
� li addition to the county signature. �-�
. ; . _ _
Signature of person�eceiving application 43. Name of Township
X �
Title Date received( 0 day period Signature of person receiving application
begins from thi$date)
X
44. Name of Person delivering appliption to L al Goveming Body Title
� , .
CG-0001-02 (8/86) White Cbpy-Board Canary-Applicant Pink-Local Goveming Body
I
, City of Saint Paul " ���
Department of Finance and Management Services � �`' `���
License and Permit Division dd'
203 City Hall
, St. Paul, Minnesota 55102-298-5056
• APPUCATION FOR LICENSE
CASH CNECK '�, CLASS NO. New Fienew
.. a �, _=-'-� '�.'r^- a ;
� �.,
Oate �:1 � ? ,r`- �g.•''�
Code No. Title of license �,� ;� �1 `��
From �" - 19_70 19
a3�� -� , , � - � � .
`�` ;;',• ,-� �v l -{-���� a `� . U Cr•
- .�� ^� •:/i / . . � .r,��( �
1 •+' 1 i � .! !� i V
�--����, � � ApplfcanGComPany Name � r..,
100 , a��-'.�'�
; < - � � ,i, _„
�� �
100 Buaineaa Name
100 ` . i!. `i lii � J _ i._
' Busineu Addross Phon�Na
' 100
- 100 Mail to AdOress Phons No.
100 � ;� �'l r i f' '•!%� I l , , -_
ManapeNOwner•Nsme , '
' 100 �
� " _ _:., � _ _ '�.
100 hlanagenGwner-Home Address Phone No.
4098 AppliC2ution Feo- Z. 50 - .�
Received the Sum Of 100 % � �'' �
; ,( � �,
•.�1� ManageNOwner•City,State d Zip Cods
1 Total t�
\ / _ � i . , . .
LiCense InspeCtOr ��'� By: � � ` ��- Signature of Applicant
Bond• I
-
Company Name Pollcy No. Expiration Oats
Insurance•
Company Name ' Policy No. Expiration Date
Minnesota State Identification No. Social Security No.
Vehicle Information:
Serial Number late Number
Other. ,,.�
THIS IS A RECEIPT FOR APPLICATION
THIS IS NOT i� UCENSE TO OPEAATE.Your application for Iicense will either be granted or rejected subject to the provisions of the zoning
ordlnance and completion of the inspections by the Health, Fire,Zoning andlor I.icense Inspectors.
� ' $15.0p CHARGfi FOR ALL RETURNED CHECKS
' , `.,
' � i
_ � �',
���;��- �"o �v�-��
� �-��'��
.. . - , ; Ci�-� oi Sainc Paui ��/��'�'"
. Deparc.�enc or =inance and Managemenc Ser�ices
� Division oi License and Pe�it Regls=:acion
INFORMATIO�J REOUIRED '.�IT?I �P°LiCdTZON ?(�R ?�iIT TO CONDt1CT C:�1R.I'_*.�BL� G�!3L�yG Ga� .:V
� S.�,ZNT PAUL j
1. Fu11 �nd complece name ot organization •Jhlch is applying for licease
St. Casimir Chari�table Activities
, -- --
2. Addre�s where games �ill 6�e held 1324 Rose Street, St. Paul, MN
- Yumcer Stresc City Zip
3. Name Qf maaager signing this appiication vno wi?1 conduc�, aperace and aaaage
Gambliag Games Dlario Dagastino Dace or Birtz 1-12-15
(a) Length of time manage� has beea aember a= applicartc orgaai�acion 20 years
4, Address of ;ianager 704 East Iowa St. Paul MN 5510
Yu ' er Screec Cic� �fD
5. Day, daces, and heurs chi� applicac�on is �or Friday eveninas 7:00 —11:00 Am
6. Is the applicanc or organ�.zacion organi.:ad under c�e lavs a? �:�e �tace ai �i? yes
7. Date 'of iacorparaci�n Se tember 3 , 1957
8. Dace �whea registered withl the Staca ai t�anesaca Se tember 3, 1957
9. How l,ong has organization! beea ia exiscancs? 32 years
_. _
10. How I.oag has otganizacianl been ia ax::acsaca ia St. Paul? 32 years
11. Whac 'is the purpase of the organ��at.on? To aid all charitable' activities within
ou� parish. I
� -
I2. Offi�ers of appl.icant orgaaizac:on
Name James Boa.ly ''I Vaae Fr. Tom Meyer, OMI
Address 92� East Ha�tharne, �,ddrass 934 East Geranium Avenue
'�''�"�a"ur;"PI1� St. Pau , MN 55106
Tit1e President Dpg 10-14-33 L_cls Secy. /Treas. ]OB 8-4-38
Yame ji t:::'�herine Schulte ,ya�e
1131 East CookiAvenue
Addrq�ss ct pa„�t M� ��� n ti 3ddr�ss
Titl� vice-president�ag 4-16-16 �___z 70B
13. Give ' names oi ot=icers, qr any oc::er �ersar.s -:�o :a_c cor �e:"'=css -.. _:e or.��-_at:orc.
I
�amel Vame
�
Addr�ss add_ess
Ti.c1l� � -�-=
(,:ctac:: se�a:�ce �,-.z�- -. - ayc_=--•�-- �•—_==•
I
• ' ! (.fi"Od ����
14. ?,CLac:7ed he:eco :s a Iisc,of names and addresses o= all memoers ot che organizac_on.
15. In vnase cuscody vill org�nizacion's records be kept?
: Name Fr. Tom Meyer��]�iI Address C��Q��- rprat�inm� Ci- Aanl
55106
I6. Perscns vho v11I be condu�cing, assisting ia� conducti.ag, or operar�ng che games:
.��e ' See Attached List Date oi Birt:�
addrass
Name "oz Spouse Date of 31rth
Daces vhen suc:: oerson vf.:�,.1 conduct, assisc, or operace
Name " Da:e oi Birth
�ddr�ss
Name !'o� Spouse Dace of Birch
Daze9� :aea sucz �ersan �.tiL? concLCt, ass'_s�, or ope_ate
L7. Have '';�ou reae a�a �o ;rau caorau¢a1.� uacerszana che orovisiocss oc all lavs, ordiaances,
aad �tegulatior.s saTre:-t=^g, cae aperac_on cr C�ar_tab?e Gasb�'_zg ��es? Ps
_. ` i �
� at�a�::ed here_o oa �4e �o:r ;uris►�ed 5�� c!-.e C�t7 0� Sc. ?au1 :s a rinaacia� Report
whicit ::a�izes a?= :ece=:ts, e:�eases, aad d{s�u=se�encs o_' c:^.e aoolicaac organizacion
� as w�?_ as a_? o.-�ar.:�a�:ozs .-ao iave =eca_red ';z:tds �or tae grscac'�.g ca�andar �ear
�
:�hfc:� :as �eez s'.;^sd, cr_�arsd, aaa ve::::ec. �n Fr. Tom Mever. OMI
.
:tiame
934 East Geranium, ; St. Paul, MN 55106
�cc=_s� '
who �.s che Secretarv/Treasurer o� c5e apolicaac Organizac:on.
�
� ' V�e �' Of.::�_ �
19. Operato: o= pre�'_;es �i�er� zames �:�_ �e ae�d:
Name Phalen Park �iails
B�ssiness �.ddress 1324 �tose, St. Paul, MN
HomelAddress I
20. �mounc oc -er.c �ais �v a?�L.canc Or�zz:�at:aa :or -s.^.c o: c�:e aa?+; speci:�� a�ounc
paid II?er '•-hour se�::oa �� $75p,.pQ per month
. . � 1,��-ii��
21.. The proceeds oi cae �arses, will be disbursed aicer deducting prize Layouc coscs and
opera�cing espenses ror che collacring purposes and uses:
� '' To aid all char�table activities of our �arish, our school, _
,
senior citizens,i etc.
^ .
�Z_ Has Che precsises wnere �he games are co be held beea certified for occupanc� by the
City oc Sainc ?aul? I ye s _
—'T
23_ Eias vour orgar.�zac=on :=1jed :edera: :ora 940=�'. no Li answer :s ves, please ac�aca
a comy Wic� c^is apol:cac'�on. Ic ans�:ar is ao, e:c� ___n vhy:
Religious organization
a --
Any chang�s desi:ec b7 :�e a��?:c��c :ssac=ac'on aa.� be �ade onlr vich *_.`.e conser.� o� the
Ci;.y Counc�?. '
St. Casimir Charitable Activities
; Orgaa:zac:on
Date I Bv: �� �-",�' Y��/a�/ „�. r'yL;n-
Maaa3zr �rr'cr,ar3e oL game
�
.. i
i
� :. _ � = �' � :n _ — - .�. — ;� cn
� . � � '< � �� - � 3 � � r�
rr r- r0 .t� I � S � ;7� r. , — : ::
t9 tD � . 1 ' I ;p .� � rD � � r.
� (0 . ,7 �' v r" fJ
� A - '< �, � � ° � �, v
� � = � � T �• � O
.� _ � � r� r� " 7 .'+
3 a C� v � rr r- rv ,r O -�
n � •� _j � a _ a = � =
3 � '� �
� = " rr '7 ;O �SI �
r � ^ �y(� �` � = ;9 " = E � � �
_ r��./ � ; c I�S �7 r7
� �. � .. 'f lD N
I� �
7 r
1 :t � � ,J .^� � '� �G
i,
r � �' = � . ...
r► 7�' 3 CS
� � �
I . . � '� . < f7 ��
.� �
? �� o � � , \ � 9
tD "11 �}� ^ �9 £ � `G as v v
++1 •sr a �
Q r,,, � i o�r '� � ... � f ` ` m
r� .t � �s� �+ " a � I� �
r- � r� � � -� �o I ...
n � _ y1f �o = !
r� G -• , �i � � I '� I� + �
� :.7 jt �C Z � � � � . � �
�'; � � � � � '7 n I
r9 � •N � • r� �U .T �9 �
^ � ' � � � i � � � 3 I�D
y y� .� ' ■VMAM/N1r I � '� < I I
a � :n j — — T T co �
SJ� _ - — � !
� II �� — � - ' � �
� � ' ' '' I � c � � � m �
( I .� , � ,� � � � l
�
I i