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88-1364 wHITE - Cirr CLERK COI1fIC1I /'� I� PINK - FINANCE GITY OF SAINT PAUL �( � / 6 CANARV - DEPA�7TMENT �/ �( BI.UE - MAVOR File �O• Y `/`� ` ou�cil Resolution �.� , �� --- Presented By ; Referred Committee: Date Out of Committee By Date RESOLVED: That Application (I.D. #11751) for a Class B Gambling License by the Shop Pond Gang, Inc. at 1199 Rice Street (E.K. LeMant's) be and the same is hereby approved/d�+i�,- COUNCIL MEMBERS Yeas Nays Requested by Department of: Dimond ��g In Favor Goswitz Rettman � �bQ1�� Against BY Sonnen Wilson AUCj � � ��8 Form pprove by it Attorney Adopted by Council: Date Certified Passed o ncil Sec ry By— By . A ed by Nlavor: Date �tt{C �: � � Approved by Mayor for Submission to Council By By P�.;��� �-'�U C � '� 198$ ,� . �„�� �„�� t�d�/3t��° , , : ����i� �#���'t' wo. 0 0 2 0 9� Mr.` J. Carchedi . _. �� �,����, � � : Chris�ine Rozek r�e�� _ �.��� ��� �. ,���: Ran,HO .uo�o�ro� 2 Counci� R�search Finar�ce & �, . -. 298- 056: o�: .� �„��, � . , . . Application fc�^ Stafie Cl�ss B Cltaritabie Gar��ing License. Notification Date: 7-28-88 ` He ri Q�te: , 8-16-88 riows:(��t�►)a�(R)) cd�.nFS�►ncx�ao�':. -. _ A.:., vc�d�rro ooMrrse�a+ c�vw a�v�co�ns�on o�h� on,e arr uuursT wa�rw. --�- ao�w�o� _ �eo exs sa+oa,eonno . �� .' _BTAFF .� ., � CFMRTER COMANSSqN � � �t�LETE AS IS . � � ADD1 WFO.AODED* � -fET9A D�.'�' . :� �n�i1Li0� :� . .. . . . . - . � - � � - � 0187fMCT COUNCIL � ,t F.XPUNi1TK31�k -. . �. � � � . _ . �. . � . ..91lPONi8�VMMCM COI�iCL OBJECi1VE9 � . . . . � . . . . . ' . . . . .�. � . � � . � . - �TI��P1100LB�L I�I�i�►0Al11MTY pMa�Whet WhBn.4MFNf�,YMhY). . , .. , . . . ,: Robert E. Kusterman on behalf_ of the Shop Pond f�ng Inc. req�ests Coun�i't � , approval �of hfis application for :a State C'lass �, �ar�ling LicenSe ��:: -: . 1I�9�.Ri c� Street (E. K. L�Mant's). . S.hop :Poncl i��s been i n exi:stence; fc�r . . � � 41 years.- Gambling proceeds are used to spons�r and promote� amateur �po�s and athietie programs for youth in the Como Park area. �►+� � _ � : _. �, �:�. . : : . F , ,� ; All fees and applications have been submitted. � COUnCiI ReSearCh Cet�#et' . ,, ; i . - . AUG � 19$8 ,���.�::.►�To��:. , , . . I# Council approval is given, 5hop Pond Ga�ng wi'1i be ab1e to sponsflr pu't1��b . sales, at, E, K. LeMant's. , - , ��e�Rt�ves: - rnas cc�s . , �.: _ . ; ����. �e.wc�: Gity of Saint Paul /� �/� � , • Department of Finance and Management Services License and Permit Division C�����'(i� 203 City Halt St. Paul, Minnesota 55102-298-5056 APPUCATION FOR LICENSE CASH CNECK CLASS NO. New Renew � Q � � � / :- �� i Oate �..'� ���� t9 ;, � ., ; �— - Code No. Title of license `� f 1 "�' `"� ' ' %� ` From 15=To ' 19 i � ��3 ;�':1: _ - --'- ,,,;��:., r.n� ��-�--� _. . - �o _ %i�� ��� � ���_ � � .; �T rQn 5�r` - r �' � AppllcanNComPanY Nsme � 100 i _ i _ �.�F ,C � 100 euafneas Name 100 1 !I�j � -- .-, Business Addrosa Phon�Na t� _ — � .c .' - � ' • ":j: „ ._ � , 100 Mail to Addreu Phone Na ; 100 -�v j_ '; t • �' ,.- ;y ,,.� _a ManaQenOw�er•Nams 100 . � — ' � ,' _ . ,� �— _.,.. • �� �� ;- _ 100 �lanagedGweer-Nome Addross , ;� Phone No. 4pg8 Application Fee — �� 2. 5� , r.'• � _ :� Received the Sum of 100 '� � , -�i( _ � �� /��' �•'—�� Manaper/Owner•Clty,Slate 6 Zip Code , 100 Total 100� , � • � .: � �� � ' �� "��,.�'L1`�. �:. ".i�. ���� ,,a � " II� J Llcense I�spector J J By: � `� " Signature of Applieant Bond• ---- Company Name Poliey No_ Eupiratfon Date Insurance• — Company Name Poficy No. Expiratlon Oate ; Minnesota State Identificatfon No. Social Security No Vehicfe Information: Serial NumOer �ate Number Other. THIS IS A RECEIPT FOR APPLICATION : THIS IS NOT A LICENSE TO OPERATE.Your apptication for Iicense wiil either be granted or rejected subject to the p�ovisiona of the zoning ordlnance and completion of the inspections by the Health, Fire, Zoning and/or License Inspectora. $15.00 CHARGE FOR ALL RETURNED CHECKS , �i���:c�/i !�% '�c �=�'`�'� J �'; • Cicy oc Sainc Pau1 � ��/3�'/ �3�. . , � Deparcment o[ Finance and Managemenc Services `" 7� . � ' Division of License an� Permit Registration � INFORMATION REQUIRED WITH APPLICATION FOR PERMIT TO CONDUCT CHAR.ITABLE GAMBLI:�G GAME I:� SaINT PAUL 1. Full and complece name of organizaciom which is applying for license 5����� G�� � G� �N�. � 2. Address where games will be held /� �9 � C� S'7r' ,ST��vL .�r1 //� Yumbe� Streec City Zip 3. Name of manager signing this application wha will conduct, operate and manage Gambling Games t�Q£1�� ��/? tJ SrE/PMR� Dace of Birth `f"/���z�-�-�-,� —r� (a) Length of time manager has besn member ot applicant organization O � 4. Address of Manager 1�/� w�5"f'•d E$Sf�/t/flN,E ��/� .57�7��uG, /�/�(, `'��d� Number Screec Cicq Zi� 5. Day, dates, and hours chfs applicaticn is zor U� 7o � D,qys/wEEi�-- ,�co1��DOP/a!! 6. Is the applicant or organization organized under the lavs o: t;�e State o= �T? y� S �----- 7. Date of incorporation �U/�(E r0 / S. Date when registered with the State oE �iinnesoca. �/yE �a, �9�7 9. How long has organization been ia exiscence? 10. How long has organization beea in. existeace in St. Paul? / 11. What is the purpose of the organization? .s�e,�so� ��Ron�or �}Mf���'v� SPoRT� �ET c �o G o o s `� G L s ��`r' � �'oNt o �° f��� � �!$CELLR�('EovS �y ,�on,�� A�r� rri � o�n/!', X T D c �RD e[,�E�a77o.�! ENT,�i� 12. Officers of applicant organizacfon Name C� � � O Yame �`{/L[„!� 'V - z7.5 / O�/�/� Address O 3 !� b �/�C .ST iq vG �ddress �aj'7v �l�/• L-�/QJ�E�/'�'U/(� �a�o7 / ,QiN6a v��t�TAB �, Title $/'p�/�(`T DOB (� oZ� ,3 Tic?e TREASu�p�,Q,., DOB J� 6 O vame -��'�—�I�,UE/�s0� Vame ���L�° �ASS�LLiv�s' Address �,�-/f��'l�'�/Eytl' �S'r. P��� :�ddress �qJgur�G'ESS, .S7�PuL,MiY. � GEN�RAC�4c cT. Title ,��i'�y"""`I"" DOB 9 /D / :'itle �i fAsd�ER �OB / 02 13. Give names of officers, or any oc:�er �ersons ano ?aid cor ser��ces CO =18 or3ani_at�on. Vame Vame Address address Title .-=ie (Atcach separate sae�- '^.- aca:=:or.__ -�=as. ' 14. AcLached hereto �s a Ifst of names and addresses of all members oc che o':ganiza�,ior.. 15. In whose custody will organizacion's records be kepc? ' Name � �L �� D S�L Address / O , �,4 E 7-E� -�o�o '.57- A�G, N �/� 16. Persons who wili be conduccing, assisting in conducting, or operating the games: Ivame �. (JST Date of Birth o� � (p Address ��/.y'� 1�/�ESSRNt c�E '�oZ//, s7'���vG /Ss�iy'. ✓�,�"/o�' Name of Spouse �}�l��f� /1 lJSTFJ�Mf�/� Date of Birth 7 /6 /9 Dates vhen such person vill conduct. assist, or operace U O .$� E� - .�:Oo � .-- :o 0 Yame Date of Birth �ddress Name of Spause Date of Birth Daces vhen such person �ai11 conCUCt, ass=st, or operate 17. Have yvu read aad do ;rou choraughly unde:stand the provisions of all lavs, ordinances, and regulatior.s �o��en_zg c:�e operat_on oi Char�tab_e Gambiing games? ES 18. Attached hereco oa c:�e fo^� 'ur..ished bv che City of St. Paul is a Financial Repart whica :csmizes sL: :ecei�cs, e:c?ezses, ar_d discursemencs ot che applicanc organizacion as we!1 as a?: o:gart?za�'_ores �rno nave reca=��ed :unds �or c:�e orece��:g calendar year ahich ;�as beea s:3^.ed, prapared, and ver.':e� Sy �/L -� p pL�/' � � - �iame /o��� �l' �f�-!��'�iY'�v�2 �o?o? s7--P�r r�L, ,�,riv' .�".�1'�3 �adress Who is che ,8('�GO ��UL� �,� '�,�R,S'�/REJ� oP the aeplicant Organization. Yame ot Of==ce 19. Operator oi premises vhere �ames :r:l� be held: �/����MQ/�� Name //V/��t/� �/Q/S Bu�siness Address �/��/C� r'� ST'p1�UL,, �'J/�/ S'jr'//7 Home Address /�'/� �LERsR,y7''ST -��f','��it. /�!/S(; .�j�'/��p 20. �mount of renc naid Sy anp:�:ant Or3ani�acion cor reZC o= che hall; specify amounc � � paid per 4-hour se=s;oa . O�p o ���0 . - ��-���� ' 21. The proceeds oi che games will be disbursed afcer deducting prize layouc costs and operacing expeoses for the tollowing purposes and uses: ��i OMo7r� � -���/1�.�-�OR �}M��U� SPo�TS 1� �i T LETlG ,�iP�/9NI5 � %��'s �G'�R�s /'N' Tf�E C'oQ•ro f'f�i�K h�iP�R A��1J ,co� VA��D�vs ,���Y6��o��rc� r�rn�r�r�s �Td�c���e� �c�FAT��r�-� �fi�rr,�� f�� Y�o��G �}N oL1� • 22. Has the premises where che games are co be held been certified for occupancy by the City oi Sainc Paul? �L�'Jr 23. Has your orgar.ization riled cederal form 990-T? l/L-$ It answer is yes, please atcach a copy with this applicacion. I: ansWer is no, e olain why: Any changes desired 'oy cae a�ol=canc �ssociac:on ma� be aade only vich the consent oi the City Council. �f{o P��,T G�i�'G, �'�c. Organ�zac�on Date �n �c��1 '� By: ��.:��.�stti%�. L� `4anager in charge aE game v v _ E � z� �� :r 4 — � .. -- � ;� ;n � � 9 �t J- � - 3 � �9 � O r. R ,� r9 S � � rt rt �.+ 6� (O tD ''t 7 :i . �71 fT F+- (D 7 J R .�ii f0 �. 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