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 �. 'Z ,� "1 .^.. �/ ��4 R (D
f� � �< � r► r0 � �C
� � 3 � x — ... �
G �+ rT rr p
� 3 ^' �!�M A 3� T r0 r� � C J rn
f7 9 d� S `� 'O � rr r+ r0 F+ ''n '
:J � N- i... i:. 1 J1 � '� �t ,�
� O � 7 � 7 Sl �►
� '� ��, � � 3 3 rr m m �.� 3 �
r* + 3 n - ro r, � �
• � - � = m I r- o �n �o
� � o� ; �� � � n �o m
T x � � y ac� a a _ �_ r � �t �
^ � (' � i�,°<= � r+ � r� 3 � ^��i
— >c' S .^�c o�Y a j ^ � ' � y
�
cD }S. ?a°D'"' I
'V '� ��., V � y��Cn rr r0 E � � .�......i
O t+ .... � n ,I:� ! �r'? � c7 O O rr� � �` Ul
r •S — � i} S. s�z� v � -- ry� I(� ' ;n
Fr f9 ;7 . I
f0 (( h_+- �
�9 f� � � ;T I� � �v n„ � '- n \ � ? �'
7! >' `G � � � i� � J I" � � � b ��.
f� r► !9 � r r0 rr
�. rn � S_. �i (D I(f� rr +7 tp I ��
r9 '9 r .�' R�f`n.�..�,,,V� 3 � _ y \
� � � � 'e E R T S S
7f '— O r9
� � � � T J (D < I .
A � ^I � � � , �, �t
� , �
'n A J �'9 J 3t r
1 �1 y
� I I'�`v £� r9 9 � �
^ Gr �0 O �7 r �
O � � I ^ -� � h�.
� .. ). �
7