88-1590 WMITE - C�TV CLERK
PINK - FINANCE CITY OF SAINT PAITL Council
CANARV - DEPARTMENT /
BLUE - MAVOR File NO. � ���� -
Co ncil Resolution � �c� .
__
Presented By ���
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID #99644) for renewal of a State Class B
Gambling License by Highland Area Hockey Association at
Jose's Sports Bar, 825 Jefferson Avenue, be and the same is
hereby approved with the following stipulation:
The organization must be in compliance with all
requirements of ordinance regarding sale of pulltabs
in bars. Specifically,
1) Gambling manager's compensation shall not exceed
Fifty Dollars per week (409.22 [0]).
COUNCIL MEMBERS
Yeas Nays ,� Requested by Department of:
Dimond
Long In Favor
�+cz.
Rettman B
scne�nei Against Y
Sonnw�t
Wilson
SEP L � � Form Ap oved by City ttorney
Adopted by Council: Date ' � �
Certified Pas e ncil Se ar By I
By
Approve y M r: - Approved by Mayor for Submission to Council
g � " gY
PIiDt.���ri7 iJ i., ; �7 ����
, �-�����
T�iVISION OF LICENSE ANI) PERMIT ADMINISTRATION DATE I.3 v v l � �O
INTERDF.PARTMFNTAL REVIEW GHECKLIST Appn rocessed/Received by
� Lic Enf Aud
Applicant � � 5/� �l_ Home Address � _
Rusiness Iv'ame r' � (,��<<,/ Home Phone V 7v � SLo�
(
Business Address �S S a� 8a r- Type of License(s) �QI'1�G(4�k•� � `
Business Phone �p����(�jDi"1 C(�t.S� �' �('[i'„,�j�/y�( L��n S-�
Public Hearing Date � Z l�1i License I.D. 4� � ,Q � `"1�►"
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. 4� � '�
llate Notice Sent; r/ Dealer 4� ��A'
to Applicant �6� � { -
I'ederal Pi_rearms �� r«'
Public Hearing
DATE INSPECTIUN
REVtEW VERFIED (COMPUTER) COMMENTS
A proved Not A roved
�
Bldg I & D �
►v�4 �
Health Divn. '
���- '
,
Fire Dept. �� �
' N 1�' �
�
i �
Yolice Dept.
�IZo� � a�.
�
License Divn. �
��zr�� ; a�e.
City Attorney
� � �I�
Date Received:
Site Plan �1 �3 � � �7� �
To Council P.esearch W b��
Lease or Letter � Date
f rom Lar�dlord � �3 �
s
_ . - ��-/.�9�
" Charitable Gambling Control Board
Rm N-475 Griggs-Midway Bldg. ., Fo��Uae Only
1821 University Ave. Paid Amt:
, - � St. Paul, MN 55104-3383 Check No.
�• •'' (612) 642-0555 Date:
GAMBLING UCENSE RENEWAL APPLICATION
LICENSE NUMBER: 8-11698-il2 /EFF. DATE: tl jil(81 /AMOUNT OF FEE: Z5i.A1
� �� 1.Applicant-Legal Name of Organization ":� 2.Street Address S
NOCKE► ASSOC ilI6HlAN0 A�EA /S�IO �h�c�_-� �,,
`�� � 3.City,State,Zip 4.County 5.Business Phone
St Paul. AN 55-3�t6'��/OW Aa�sey 612 i41-5181 '
'fi
6.Name of Chief Executive O�cer- 7.Business Phone ` "
4e�it r A U/,� O Z R� lo Z �� ':�3 7/
8. Name of Treasurer or Person Who Accounts for Revenues 9. Business Phone
���'. o2�a� e�ICer- ��1 ��ft -���
10.Name of Gambling Manager 11. Bond Number 12. Business Phone
Sheili S�ith 3bF1�@389152BtA :;JL I_ `jI' -,�.�.��J
, .� 13: Name of Establishment Where Gambling Will Take Piace 14.Counry . 15.No.of A�tive��bers
Jose's Bar and �rill St Paal Raaser �d?'�
18. Le�sor Name 17. NbIRttly�R�n�� '
• Jeses 8ar and EaterY t f(
18. If Bingo will be conducted with this license,please specity days and times of Bingo.
Days Times Days Times Days Times
19. Has license ever been: 0 Revoked Date: ❑ Suspended Date: � ❑ Denied Date:
20. Have internal controls been submitted previously? �Yes 0 No(If"No,"attach copy)
�'s;: 21. Has current lease been filed with the board? ❑ Yes �No(If"No,"attach copy) � �-
�, 22.Has current sketch been filed with the board? O Yes , '.�No pf"No,"attach copy) '�` �
:�. . ..
�:• GAMBLING SITE AUTHORIZATION. y
By my signature below, local Iaw enforcement officers or agents of the Board are hereby authorized to enter upon the site,at ar►y�tlme,gambling is - -
being conducted,to observe the gambling and to enforce the law for any unauthorized game or practice. .
BANK RECOROS AUTHORIZATION -
By my signature below,the Board is hereby authorized to inspect the bank records of the General Gambling Bank Account whenever necessary to -
fulfi0 requirements of current gambling rutes and lew.�` '.��
OATH - , _�_
�' I hereby deciare that:
�� 1. I have read this application and all information submitted to the 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 responsibiliry for the fair and lawful operation of all activities to be conducted;
�: 6. I wiii tamiliarize 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(Chief ExecuGve Officer) Date Title
i �
�l� Irl�n�' l��eu �,�;>>�k,� ��.5��• W �. g � / � .
� .
ACKNOWLEDGEMENT OF NOTICE BY LOCAL GOVERNING BODY
I hereby acknowledge receipt of a copy of this application. By acknowledgirg receipt,t�mit having been served with notice that this application will
be reviewed by the Charitable Gambling Control Board and if approved by Uie Board,will become effective 30 days from the date of receipt(noted
below), unless a resolution of the local governing body is passed which speafically disallows such activiry and a copy of that resolution is received by
the Charitable Gambling Control Board within 30 days of the below noted d�e.
24.City/County Name(Local,Governing Body) Township:If site is Ixated within a township,please complete items 24
�.._.1..�� -. �:,.� X-'� � and 25:
Sign�t��re df P9rson Receiving Application: 25.Signature of Person Receiving Application
� ,r,. � �'i �'i. ` � ��t"f '
, Tit�e� ` • Date Received(this dat begins 30 day period) Tide:
`..4 i. �. .'t,,-,- • �ti ?� � �, �
Name of Person Delivering Apptication to Local Governing Body: Township Name
� � �,
CG-00022-01 (5/8� White Copy-Board Canary-Applicant Pink-Local Goveming Body
99�t��
City of Saint Paul
� Department of Finance and Management Services �������Q
' License and Permit Division
203 City Hali
St. Paul, Minnesota 55102-298•5058
� � APPLiCATION FOR LICENSE
CASH CHECK CLASS N0. New Renew
a � �^ a � Date �- 191�
Code No. Title of License -t� 19�o To � 19�
From
. �
100
plicantlCompany Name
100 �
0 (
100 Business Name
��
,00 �a5 GL.�..��
Business d Phona No.
100
��
100 Mail to Addreas Phons No. •"
100 � D AX G.� ��nn�
ManapedOwner•Name
,00 �9 qv-
1�1��1 � -f.��Q �v SdBt�
100 AlanageNGwner•H s Address Phone No.
4098 App��Cation Fee 2, 50
R fved the Sum of 100 J�_��� rn y_� , � S�(�„
'j`O 3 ManayerlOwner-City,State d Zip Code
100 Total 100
LiCense Inspecto � ' By:���� Signature ol Applieanc
Bond•
f X C� 'I S •�C!�
Company me Policy No. Expiration�ate
I�SUfBnC@: �`�'
Company Name Policy No. Expiration Date
Minnesota State Identification No. ��� Social Security No.
Vehicle Inforpiation: I` I` ►
/v�� Serial Number late Number
Other: � �' ��!
THIS IS A RECEIPT FOR APPLICATION
TH�S IS NOT A LICENSE TO OPERATE.Your application for license wiil either be granted or rejected subject to the provisions of the zo�ing
ordinance and completion of the inspections by the Health, Fire,Zoning and/or License Inspectors.
$15.00 CHARGE FOR ALL RETURNED CHECKS
.�-��.e,�� �1-�3 ���-E�
f
. i;:cv o: Sainc Pau1 /f,,,,��/���
' . Deparcment o[ Finance and Managemenc Services �i�`^�
' �� ' ' Division of License and Permit Registracion
�INFORMATION REQUIRED WITH APPLICATION F�R PERMIT TO CONDUCT C_HARITaBLE GaI�iBLi:VG G�'�fE I'.V
SAINT PAUL
1. Full and complece name of arganizacion which is applying for license
2. Address vhere games wtll be held �' SS/O�.
Yumber Streec ty � Zip
3. Name of manager signing this application who will conduct� opsrace and manage
� � Date af Birth //7 �
Gambling Games i�1). .L3/!v�> �
(a) Length of cime snanager has been member oi applicanc arganizatioa
4. Address of Manager � � �
Yumber Street City Zip
a
S. Day, dates, and hours this applicacica is ior
�,�t - �16��1 � suR1)
6. Is the applicant or organizacion organized under t:�e 1 ws as the Scate o= `�1? �
7. Date of iacorporati�n
S. Date whea registered with the ace of �iiaaesoca
9. How long has organization beea in exiscence? / �
10. How long has organizatioa been ia exisceace ia St. Paul? /���
11. Whac is the purpose of the crganization?
1
12. Officers of applicant organization
.�D��_:� G
Name `iame
Address /y,�,� .�a.��� G��c� Address
, a��l I�- ��..' -�
Title ��.� DOB TitZe DOB
Yame v��
Address /�'�/U �� l' address /y� �i�n+„��tG.c.�tJ /'�..�t.
z3 -�
Title �'�J . DOB � �' Ziclz � (-�, �aB ��
13. Give names of officers, or any oc::er persaas :rno ?aid zor serr'..ces co _ze o:3ar.:=3L'_On.
Vame _���,� �,oX2,�' �I"� `lame �
Address address
Title '':='-e -
(Accach separace sha�- =^.� ac�-::or.a: -��as. �
,
. �'�9�
•TG. �,ctached hereco :s a lisc cf names and addresses of all Qembers o: ::�e :-5ar.:za_:�- .
,�
15. . In vhose custody will organization's records be kepc?
� � I!
xame address
16. Persons vho v211. be conducting� assisting in coaduccing, or operxcing e �acaes:
.
Nama � „c� Dat• of Birch
Addresa
*tama ag Spous� Dace of Birth
Dates wh�a such perscn vtll conducc. assisc, or op�race
;1am� � Dat• of Birth
4ddress _, '/)'ryt/ S /OS�
Name of Spouse ,Cv�,,�,�/ Dac� of Birzh �_
Dates wh�n such person �.�i?I con�ucc, ass:st� or operat•
,f/,Q .0�u..,l-� _ � — - ---- —
17. Hav� you r�sd and do �oa choroughly uade:staad che provisicns oE all .lavs, ordinances�
and ragulacior.s go��e�:ng �:�s oparac:on o� Cha:�tab:e Gambliag gamei?
18. �ccached hereco oz c:�a Ec;3 .`ur..ish�d by cha C:ty a: Sc. Paul is a Ffaaacia_ Repert
whic:� i:emizes al.= recai�cs. ex�eai�s, and disbu:se�sacs o� ch� applicanc organizacion
as val: as a-: a;gaa_za::ons vho zav• :ec�=���d :unds cor c:�e orece�::g ca?ar.dar ;�ear
0
vhica :�as 6eea s-3::ed� prapared, aad va:.-:s� Sy •
S
� �cdre�s �
. �
vho is che oE che aoplieiat 0-ganizac:or..
Yaae �r Of:=�•
19. Operator of ptemia�a wher� �sm�s f:�: �e :�e?d:
Name
B�csinesa �lddress �
Hom� Address /Jf��-
20. �imouac of rsnc paid by app�=�anc Or3aaf�acion rar re�c o= cha hall; speci:y amounc
paid p�r 4-hour se=�,on ��c3. �fjytv�+ � � g�i ��
T
���/��°
`'' 21. The proceeds oi the Aacnes will be disbursed after deduccing prite layouc costs and
operating expenses for the rollowing purposes and uses:
. .
22. Has che premises where tha games are co be held been certified for occupancy by the ,
City oE Sainc Paul?
23. Has your orgar.ization iiled ce eral fora� 990—T? � If answer is yes, please atcach
a copy vic:� this applicacion. IE ansver is no, explain why:
Q . 7 �, n
/1�.9 ./,�.ini„�rr/1.�/ �'r.S�is.•A��,� �"��� i�� , �,�Pl�i ti �
� ,
Any changes desired �v cne a�cl'_canc �ssacfat:on c�ay be �ade only vith the conse:�t of the
City Council..
r
t
Orgaaizacion
�
Date �� d�1 By:
`ianager in char e of game �
Q � r* E S Z :n �- n �. T 7 :n
Gt Si -' c9 � � C � � :i 9 !9 � R
R �T IO R . S � a R ''S � �
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f9 'lA N��� t0 = I `�C �.s v v
o � — � ,I $ ���_ o o �* � f � y
r ,t - , �u -n �' m I ;�
r f0 n = S � S �9 t .�
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. City oE Saiat Paul ���.�,g9a
Department of Finaoca a� !lanagement Servicas
+
Diviaion of License aud P�tait Adslaiatratioa
" • 11NIF0&S CBABISASLE GAl�LS�iC FINANCIAL REPORT
Data
i
' i. Nss of Organizatioa 1
2. Addreee whsr� Charleabls Casbliag L coodnetad
3. RaQort for period coverins �S��� 19� through Is�- .�_19�
4. Total m�mb�s of day� pL�ed � �D
5. Gross r�ceipes for abova pesiod ; ` /�. .�aa�.�
i ' 6. Groas priz• pa�oats for above period (iaelnd� cash shost) ; �( r 9�'f�• !JO
7. N�t receipt• - lin� S �a lia� 6 = �/, ,��. �D
8. Expenses incun�d in eondueting and opsratins gae:
A. Gross aagss paid. Attaeh worksr liat vith �
namss, addras� and gross vag�s. i ?� � .3�0 7.7
S. xant for 1�wdes � � o'Z 7� at7
. C. Licenae feeS C�y���!/d �'S� ���.,�1 ; � �O _aa
4 �
D. Insuraaca ; — r -
E. Bond � -" �� ^ .
F. Dishonored checks not racoverad � L/o7. GU
G. Accouating Ezpanse � �yUa. UU
H. Employtrs F.I.C.A. S '� C9""'
� I. Pulltab Ta�c Paid to Dspart�nt of Es�emie � �g��• l�
J. litna. O.C. Ta�c � � d
1C. Federal Exeis� ?u b Staap ; x f,�'� .-dt'�
' L. State Gambling Ta�c �
M. Misc�llansoua Fap�asss. Identif� the aount
. and to whom pa1d.
�
1. '��7 S ��7..��
v
2. ' s �1119.'uo
3. �,�, s�,.�,� : �ya.�
4. :
9. Total B�cp�naas ?OTAL f � _��_
� � 10. N�t. Ineom� - lia� 7 siaua line 9 s _3 5 � .O O
11. Ch�ckbook balaace bsginnins of pariod � �'�. S�
12. Total of lina 10 and 11 , i �0 9:57 �3,_.
13. Toes2 eontributions fros line 17 ; �y. /�'�.u0
14. Checkbook balance end of reporting p�siod - G 3, �v
' . liae 12 less lin� 13 i �� l3 O�
15. Specify us� mad� of asount on lia� 13: ,
- ���- `� �
�..:
Y
.. . ;.':;.:rsa^e^:s .:on a�our.: ia i:�e :2: �� `�/�a
, � � �/�
� `�ams ���f �
� Addreas Addreaa
Dace Rec'd ���.�y�7��fifJf.GL. ��.�+5��� Date Ree'd
Purpas� _'g �iw,v � Purposs
Signacurs Si�nacure
oE Rscipienc_1.�T��l'_� ,�.-T_.-��,/oE Raaipient
v
Amount .� �S� �0 Amount
Nam� Nam�
Address Addr�as
Daca R�c'd OaCa Rac'd
Purpas� Purposa
Signacura Signat�re
of Raeipienc of Racipisnc
• AmounC Amou�t
Name Name
Address Addresa
Dace Ree'd Date Rec'd
Purpoaa Purposa
Signacur� Signatur�
of Rscipiene o[ Reeipisnc
Mwaat Amount
Name Name
Addresa Addresa •
DiC• Rte'd DaC! Ree`d
' Purposa purpoee
Sisnature Slgnatura
of Itecipianc of Recipienc
Amounc Amcunt
17. Tocal Diabursmencs
THIS RE'OR? MJST BB F2LLED•IN COi4LE?ELY TO QUAL2FY APPLICA'fIQN FOR CNARI?AIILE Cdi�LiNC
LICENSE. ,
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rs v v v Ce
c�cTi 3�` y1' � e v a � + = �
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`'� 9/19/88
HIGHLAND AREA HOCKEY ASSN.
C/0 CARL SIMS
: 1136 COLETTE
ST. PAUL. MN 55116
690-3614
JOSEPH CARCHEDI
CITY OF ST. PAUL
DIVISION OF LICENSE AND PERMIT ADMINISTRATION
203 CITY HALL
ST. PAUL, MN 55102
DEAR MR. CARCHEDI ; �
AS PER OUR PHONE CONVERSATION OF SEPTEMBER 15, 1988. WE
ARE NOW AWARE THAT WE ARE IN VIOLATION OF THE ST. PAUL CITY
CHAIRITABLE GAMBLING ORDINANCE, SPECIFICALLY PERTAINING TO
THE SALARY OF THE GAMBLING MANAGER. WE HAVE TAKEN IMMEDIATE
STEPS TO CORRECT THIS VIOLATION. WE HAVE REDUCED OUR
- GAMBLING MANAGER'S SALARY TO COMPLY WITH THE ORDINANCE.
. SHELIA SMITH, OUR GAMBLING MANAGER HAS AGREED TO MAKE
"RESTITUTION IN TIME" OVER THE NFJCT TWELVE MONTAS TO REPAY
THE ASSOCIATION FOR THE OVERPAYMENT. OUR RECORDS SHOW THAT
THE AMOUNT OF OVERPAYMENT WAS �833.30 . HER SALARY OF a 50.00
PER WEEK FROM OUR PULL TAB ACCOUNT WILL BE REDUCED TO $33.70
PER WEEK FOR THE NE?CT TWELVE MONTHS TO ACCOMMODATE THE
RESTITUTION.
� THANK YOU FOR YOUR PROMPT ATTENTION TO THIS MATTER.
SI RE Y,
C w�1.
CARL IMS
HIGHLAND AREA HOCKEY ASSOCIATION
PULL TAB COMMITTEE �
owalMl�ron . ' ame au�u��o o�te (��"�"'`/��
, .. _ : : �_ . �t���1� SE�E7' :r�o. 0 0�'1 f�$ ,
�
Mr. J. Car�he�i
� . � . �DEPARTMENf OWECTOR � � � � WYOR(a1 A9016TANT1. � . ....
= Chr�stine Rozek : �� — �b��� ��«�
;� _ �"°. Aourn�c, �� �Council R�search
Fi nanc.� �. ,: ,, 29��-�Q56 °�'` T �A,� �
Application for renewal af a Class B Gart�ling License.
f' ate: 9-20- Hearin Date: -
,
�x�:tMa�v uu o.n�sa ll�► c�n�ai.nESrilwa��a�r:
.. . � �PIAMIMIfi COAM11881bN -CML 3ERVICE�ION � DATE IN � �DATE.OUT AW�LYBT � . PFIOME N0. � . . . .
��10 90ArM88qN ISD�SGi001.BOARD .� . . . � � . . . . . .. �
. .SiAFF � .- CW4RTER COMMt8SI0N - COMPLETE-A818 � � IiDDL MffO.A�ED� . . i�Tp.Tllj.pOPfCA�T.�. . . p(iN6TRIJ�d�R. . ..
. � . . . � . ' _ . ' e�_FOR IYEiDt RI�. . _./@061K�(710D�• .
DI6TWLTOO{MOM=. � � .. eDIPLANATION: � . . . . . � .
. . �..&JPPONf'8 VNYCN QOUICL OSJECTIVE7-. . - .. � . .. . - � " . . . . -
�:. ._ _- . .... .. . . � �. ��: ":.. � . � . . . . . ; . . � . . . . . ,: . . .. . :� . . ` .:� � .. .� . �.. . . ..�. . ..� ,.
Nf�7�10�IIO�LL�.ISl�GP�OAi{MNTY(VYFw.W11�.VMw4 NIIMfA:WhY): _
Sheila Smith, on behalf of the Highland Area Hockey Associatian, requests
Council ,a:pproval of her �pplTCation for renewal of a State Class B G�ambling ,
t:ic�nse a.t .Jose's Sports B�r, 825 Jefferson Avenue. Proceet#s from t#te pu1ltab
, �s�le� are used for youth hockey �rograms in the Central and HighlBrnd�areas -
_ of St. Paul . : :
�us,Nwcn�:�r�9.�.�rr,�awn�q..,a�eu�r• , , , --.
=�il fees and applications have been subm�tted. Payments to th8 City Wide
Youth At#�ietic fund �re current.
��rt•wn.�.«a.m wn�): . _- _ .. ., . . ,.. _ .
If Council approval is given, Highland area Hockey Association will be
able to continue operating of a pul1tab booth at Jose's. �
��n�: �os. c�a+s
NOTE: Highland has �� !i�en in c pli��nce with our regulat a�s regarding payments
' ta the gambling manager: Qur ord nance �11ows payments of nly �5t�.00 per week
to a gambling manager. She:�la Sm th was :pa�d �ZflU-300 per onth. Thus, the
resolution has a stipulation, per City Attorney, that our nager requ�rements
must be complied with.
. ' Cou cil Research �enter
IMTORY/PAECEDENS'S:
: - SEP 2 01988
���,�: