88-1780 WHITE - CITV CLERK
PINK - FINANCE G I TY OF SA I NT PAU L Council r/y D
CANARV - DEPARTMEN7 � � / Q , �
BLUE -MAVOR File NO.
C ' c ' esolution �
�
Presented By �����"
Referred To Committee: Date
,
Out of Committee By Date
RESOLVED: That application (ID #74272) for a Class B Gambling License
by the St. Bernards Parish Community Council DBA
St. Bernards Lanes at 167 W. Geranium, be and the same
is hereby approved.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�� _� [n Favor
Goswitz �
Rettroan
s�6e;be� _ A gai n s t BY
Sonnen
Wilson
� '�8 Form Approved by City Attorney
Adopted by Council: Date �OV `' _ G
Certifie P• •sed by Council Secre ry BY � 6�
gy. � ..C� - �!,.G�4%`''
App c�v y Mavor: Date :'�:,,;�:�;� 4; ��� Approved by Mayor for Submission to Council
By
� r,ov 1 g �sea
. . ��'����
. UiVISION OF LICENSE ANI) P�RMIT t�MINISTRATION DATE � $ a / a I7 8a
INTERDF.PARTMFNTAL REVIEW CHECKLIST A.ppn Processed/Received by
� Lic Enf Aud
� �
Applicant �'• rl'u �,��,yy�muN�e Address �q� � • �,C1�,KlCt �_
C'pt�t,.Y►C►
Rusiness Name �$"['. �r��.�� Ld,p,�,: Home Phone
Business Address �(p1 („{.� ��rA,„�y,Nr► Type of License(s) C�QS� � C7�M�I�Ka
Business Phone �) �h,S.Lj
Public Hearing Date �l $ �� License I.D. 41 ( �"'� a,i o�
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. �C �l�
llate Notice Sent; Dealer 4� V�A'
to Applicant �� 3 g�
Pederal I'irearms �� N �
Public Hearing
DATE II�SPECTIUN
REVIEW VERFIED (COMPUTER) COMMENTS
A proved Not A roved
�
Bldg I & D �
N �� ,
Health Divn. '
, ��� ,
�
Fire Dept. i I
� N �� f
� �
Yolice Dept.
8� ���� � o,�
�
License Divn.
�
1���I�' Q �
City �ttorney � �
� ozg, o k
Date Received:
Site Plan � I�' /O �� �yC/
To Council P.esearch b b
Lease or Letter � Da
from Landlord 7j
� - ��'-/�'��
Charitable Gambling Control Board FOR BOARD USE ONLY
� Room N-475 Griggs-Midway Building �N� �
• ' 1821 University Avenue
`' St. Paul,Minnesota 55104-3383
(612)642-0555 qMT
� CHECK#
DATE
GAMBLING LICENSE APPLICATION
INSTRUCTIONS:
A. Type or print in ink.
B. Take completed application to local goveming body,obtain signature and date on all copies,and leave 1 copy.Applicant keeps 1
copy and sends original to the above address with a check.
C. Incomplete applications may be returned. •
D. Enclose license fee with application.
Type of Application:
❑Class A — Fee 8100.00(Bingo,Raffles,Paddlewheels,Tipboards,Pull-tabs)
❑Class 6 — Fee 8 50.00 IRaffles,Paddlewheels,Tipboards,Pull-tabs) M��•�ri���
❑ClassC — Fee S 50.00IBingoonly) M�or,cna�a�.a°�"at��°^nas�ra '
❑Class D— Fee S 25.00(Raffles only)
Check one: ❑1 A. Organization has never been licensed.
�1 B. New site —Give base license number. F�`��� '
❑1 C. Renewal of existing license—Give complete license number. � - 0 - 0
❑1 D. Change in class of an existing license—Give complete license number. 0 - 0 - 0
�Yea�No 2. Has organization ever received a Lawful Gambling Exemption Permit from the Board? If yes,give camplete
permit number �
}�Yes�No 3. Have Internal Controls been submitted previously on a fo�m provided by the Board7 If no,please attach copy.
4. Applicant(Official,legal name of organization) , 5. Business Address of Organization
� i -:i--�' i ( ��' �LL�l.� �� _a.;C�. (, � 1 �; � ;tf/,"L,/
��
6. City,State Zip , 7. County 8. Business Number
r t ' l ( i, ( '. • - � 1 � ! ' , ,r;;° ,� :; � � ( ,�i ••: ► �'�il' �f,:'
9. Type of organization: ❑Fraternal ❑Veterans l�Religious �Other nonprofit•
, 'If organization is an"other nonproftt"organizetion,answer questions 10 through 12.If not,go t�question 13."Other nonprof'n"organizations
must document its tax-exempt status.
18.Yes❑No 10. Is organizatio�incor orated as a no�profit organization7 If yes,give number assigned to Articles or page and
book number: - "� � Attach copy of certificate.
..�-Yes❑No 11. Are articles filed with the Secretary of State?
� �Yes❑No 12. Is orga�ization exempt from Minnesota or Federal income taxl If yes,please attach latter from IRS or Department of
Revenue declaring exemption.
❑Yes�No 13. Has license ever been denied,suspended or revoked?If yes,check all that a ly:
❑Denied OSuspended ❑Revoked Give date: - -
14. Number of active members 15. Number of years in existence Note: Attach evidence of
, (t' �_ three years existencs.
; � ._ ��.�.�- �
16. Name of Chief Executive Officer(Cannot be i 17. Name of treasurer or person who accounts faather revenues
Gambling Manager) of the organization(Cannot be Gambling Manager)
�.r:. }'.-i :�\f i ti,�.�11 �( '' � �- ° +�' ��(�.rl.:i���--�
Title Title
- ,`{ i �I '�. ' ��;`1-!��.;� f. j�L f'����
Business Phone Number Business Phone Number
( i - - 1 `_,\�l � ��_j - i ( ! ., t '` � � � �rv � -
��
18. Name of estabtishment where gambling will be 19. Street address(not P.O.Box Number)
conducted ' •
- .. _ � ;` � ,`- ;� .i� �/;' r t C,f.'�/,
..�
20. City,State,Zip 21. County(where gambling premises is located)
� 1 i ,�r � 1�.;� � r� f �; r t j , =_�,�-�..
CG-0001-03 18/88) White Copy-Board Canary-Applicant ` Pink-Locel Goveming Body
Page 1 of 2
� ��- /�d'U
Gambling License Application
Type of Application: OClass A j7Class B ❑Class C OClass D
�TYes�No 22. Is gambling premises located within city limits?
�7Yes�No 23. Are all gambling activities conducted at the premises listed in�18 of this application�If not,complete a separate
application for each premises(except raffles)as a separate ticense is required for each premises.
�lYas ONo 24. Does organization own the gambling premises7 If no,attach copy of tha Isase with terms of at least one year,and
attach a skatch of the premises indicating what portion is being leased. A lease and sketch are not required for
Class D applications.
25. Amount of Rent Per 26. Do you plan on conducting bingo with this Gcense?If yes,give days and times of bingo occasions.
Month or Bin o Occasion Day Time Day Time Day Time
s
J�.Yes�No 27. Has the S 10,000 fidelity bond required by Minnesota Statutes 349.20 been obtained7
28. Insurance Company Name(not agency name) , , 29. Bond Number
, .1 - � � ., '!';� /' ��i J' -
. . . .. � �.'_. � �; , . � .� � .
30..Lessor Name 31. Address 32. City,State.Zip � -
33. Gambling Manager Name 34. Address 35. City,State,Zip
- .. � � ' . . F ._... � - f f - �� i \1± ...�`�. -�- j� t � ,�•
. !
36. Gambling Manager Business Phone 37. Date gambling manager became
( _ � _ , - member of organization: Month • _.Year
❑Yes ONo 38. Has the license termination form been completed?Attach copy.
❑Yes�No 39. Has the compensation schedule been approved by the organization?Attach copy.
40. List the day and time of the regular meeting of the organization.Day Time
41. Bank Name 42. Bank Address 43. Bank Account Number
_ _. - _::-- ��,��� " % "`J ` (
GAMBLING SITE AUTHORIZATION
By my signature below,local law enforcement 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 ihe law for any u�authorized game or practice.
BANK RECORDS AUTHORIZATION
By my signature below, the Board is hereby authorized to inspect the ba�k records of the gambling bank account whenever
necessary to fulfill requirements of current gambling rules and law.
I hereby declare that: OATH
1. I have read this application and all information submitted to the Board;
. 2. All informatio�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�esponsibility for the fair and lawful opera#ion of all activities to be conducted;
6. I will familiarize myself with the laws of the State of Minnesota respecting gambling and rules of the Board and agree, if
licensed,to abide by those laws and rules,including amendments thereto;
7. Membershi list of the or anization will be available within seven da s after it is re uested b the board.
44. Official,legal Name of Orga�nization ' 45. Signature(must:be signed by Chief Executive Officer)
t - ,�. ,. : ,, ;�,: �'r:,; , . X -__._,.__... ,;��-� _.
Title of Signer Date
- - .J
ACKNOWLEDGEMENT OF NOTICE BY LOCAL GOVERNING BODY
I hereby acknowledge receipt of a copy of this application.By acknowledging receipt,I admit having been served with notice that
this application will be reviewed by the Charitable Gambling Control Board and if approved by the board,will become effective'
60 days from the date of receipt (noted below) unless a resolution of the local goveming body is passed which specifically
disallows such activity and a copy of that resolution is received by the Charitable Gambling Control Board within 60 days of the
below noted date. �
46. Name of City or County(local Governing Body) If site is located within a township,item 47 must be completed,in
addition to the county signature. If township is not organized,
' � , � '' i''' . �' county must sign.
Signature of person receiving application 47. Name of Township
,
X ;;� � ` C�
Title Date received (60 day period Signature of person receiving application
begins from this date)
� r -: 1 X
48. Name of person delivering application to Local G/oveming Body Title
�/ : �� . � i_.� ;� ,�; rl�'�
CG-0001-03 18/88) White Copy-Board Canary-Applicant Pink-Local Governing Body
Page 2 of 2
. , .
•� � • . - � Cic;J ai Sainc Paul ��� ����
. Departmenc ot Finance and l�ianagemeac Services
�� Division cf License and Pe:mit Regiscracion
INFORMATION REOUIQE�J ��ITH �PPLICATION cOR ?E�MIT TO CONDUCT C:3ARI'*�lBLc G�3LI:`�G G�' I:V
SaINT PAUL
1. Full and cmnpleca aame of organizacioa •.�kich is applying for license
C F�(�.R.�.{�- 0� ST /3��2N�}2 DS
2. Address where games will be held ��o� G�/1�/(.�/I�� sr. Pa�c.Q �mR/ .S-5���
- yumber Streec Cicy Zip
3. Name of- manager sigrziug chis appl.ication uho vi?1 conduc�, aperace and maaage
Gambliag Games -�R P�R�NN�IIJ I�f}1��S Daze of Birta . �-��-3(0
(a) Length of Lime manager has been �ember o= applicaut organizacion �
4. Address of Manager ��7 �(J• ���9U/G�-1�l/ � �-.N./[.�t�-�-- , rn/�` •J`�/��
Yumber Screec C�tr Zio
5. Day, dates, aad hour: chis �pplicacicn is =or /1'JoM�fty 7#�;Gl,(Gff �.51.4U��'1'"�'`'
6. Is the applicant or er�anizacion organized under the Laws e? c�e State oi �i? �ES
7. Date of incorporatiAn �� (� __
8. Daze whea registered with che Stace oi �`iiaaesoca � '��' �� /�
9. Hew long has organization beea ia existaaca? -I� C��
10. How Iong has organizatioa been ia existeac� ia �t. ?au�". � ��V✓ `�"-'
LI. What is the purpose of tha argani:ation? f��Ll GIO(.e.s r�iUl� �:C�L(.C�T l0�11���
I2. Officers of appl.icant or3anizac'_on
Name A�e+-f�is��P ioNN Rc��N� Va�e �S'L.[.���T �57ieL��E�— �
Address o�(o S UmmiT �}VE. 9ddrass �� � � �L�SjG�/�N /��i"�-
Title �SIpF.N� DOB i-=?a //��}���� �OB !� ZCJ ,3�
vame {��11� �REti/Nf}1�.� �1�}lElZs ) ��� �ame �i��11/� �i2f?!,C/�
Address �9� �. ��,Q�}flllL�CllI.��V�i 3ddress ��%Q� 'T, �/IU�TQ/V � _
Title V n�.OR�. DoB _��,�, "=c_z SY�.�F rA-R 4� �os '�'o�—3�
13. Give names oi ocifcers, or any oc::er �e-sans -�aa ?a:= :or sar%:css ::. :^� o:�a�_=aL:on.
Vame Vame
Address add_'_33
T].L12 "`�z —
(�i�LdC�' S8?'L:"sC2 i:.d�� . - =C=-�-- _- ..�3_ .
. , .
, 14. Accached hereto is a lisc of naaies and addresses oi all members oi che organizacton.
15. In whose cuscody vill organizac2on's records be kepc?
� : Name �,1��R� �F �T �PIl1�QS Address ��� ���i'!V/��.�'/�
I6. ��Perscns vho vi11. be conducting, assisting ia conductiag, or operating che �ames:
N�e _ /�I���wL�.' � Dace oi Birth ,�3O--�
Address ll�.S� /"�JQ/L � � �''��
Name of Spouse , /�� Dace of 3-�zh _lo���N 7' /
Daces vhen suc:: oersan vf.11 conducc, assisc� or operace (,�',� �
Name Da:e of Bisth
Address
Natae os Spouse � Dace of Birth
Dates :raea suc:c oerson *.ri?1 concLCt, ass:s�, or ape:ate
I7. Have ;�ou read a�a �o ;rou chorougal,� unders=aad che nrovisions of a�l lavs, ordinances,
� and regulaticr.s �a��er_s_�g. c:�e aperac=an cr Char_tab_e Ga�b�?:tg games?
_.
18. Atta�::ed here:o oa c:�e :orr �urished b•� c!:e C:.t7 0� St. PaLI is a Financial Report
whica :ce�izes a?: ;ecei:cs, e�eases, awd d{s�urse�encs a: c:se aeelicanc organizacion
� as ve?'_ as a_? o.�ar._za�:ons �no iav: =ec::re� 'szds :ar cae �recec'�.g ca?andar year
uhic:s �as beez ;:3::e�', crapared, and ve====ec �n GJ'���t/
`ame
�q� ������.�� ��. - � ��� m� ss���
�dc_ess
crho is c:�e oi c:�e applicanc Organizat:on.
' Vame 3= OL._�e '
' 19. Operaco: o: ��2ST=ses �ite-s ;;ames ::+: �e ae:a:
Name
B�rsiness nddress f q � /�'� � --�r- �G�� �� 5��/7
Home �.ddress (SQ,yyI,Q„ G/j C'��}-�7,�,.�(--�
Z0. �mounc oc rer.c �aia �v a�o�:�aac Or713ll:=ac:�n :or :er.c o: c::e aaZl; spec::;l amounc
� a' t
paid per b-hour se-,:�a G�,�J
• • y , - � �v —/���
2I. The proceeds o: �ze 3arses vili be disbursed after deduc�ing prize Iayouc costs and
' operacing expenses icr che zolloWing purposes and uses:
r,
� ,�e ��
�Z. Has the prea�ises where che g�cnes ara co Se held been cerciFied for occupancy by che
Cicy of Sainc Paul?
23. Eias your orgar.�zac'on �i1ed cedera: :or� 9°0-T' A/0 I� ansver is ves, please atcacn
a copy vic:� ci:is apQlicac:on. Ic ansvar is ao, e:c�lain vhy:
`� �l- D�578�
Any changes desirec �J cae a3p?'_caac �ssociac;on ma� be �ade onl;r vich c:;e conser.c o� che
City Counc'_?.
C'fi� ,;� OF �.5�. ,L��'ti�
Orga�:zac�on
�-
Date � By:
�fana3ar in cnarae ai ame
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SAINT BERNARD � S PARISH COMMUNITY
September 9, 1988
City of St. Paul
Licensing Division
City Hall
St. Paul, Mn. 55101 �
Dear Christine,
The Parish Community Council has indicated they will sponsor the
pull-tab application in the bowling ianes. Find enclosed a list of
members as you requested. Please change the pull-tab application
accordingly. The Parish Community Council requests that Fr. Brennan
Maiers, O.S.B. . Pastor remain the gambling manager.
Also included is a copy of St. Bernard�s articles of incorporation
which gris requested for the wine license.
Thank you for your assistance in this matter.
Sincerely, �
. • �
Monica Michaelsen
Parish Activities Manager
� �,�'(ti,l/1-0�'��`�Q�JVV��.�
Rev. Brennan Maiers, O.S.B.
Pastor
PARISH RECTORY IJ7 W. Geranium Ave. St. Paul, MN. 55117
48e-6733
� � - . ��'-r��b
_ �►,� �,��,,,,� �„�� GR��N SHE�' No. 00219
Mr. J. Carchedi
. _ . � . OEPARTMENT qRECTOR� � . � 1AhYpp�pq I1�IbTri1�R). �
` �f1P]St71te RO�e�C '�� �rwx�a�r sEnv�s or�croR �—crrv a.�
� NFJMBER FOR . - ' ;
, : nouTlNCi euo�erou�crop �COU11C11 ��SEd1^C�1 .
,.: f i nance & higmt; 298-5055 �': —T:�� _ — ;
., . _
� ,
,
Application �or a State C1ass B C�mb1ing LicEnse. ��
Notif�cation Date: 10-3-88 Hearing tk�te���
- . :
�wMS:c�vv►�s A►a�(f+)) cou�ca.�,wa+�owr:
xua�o� a+rw seav�oo�ussioH oare n� c��arr �rsr. rea�,�a.
no�o�roN reo az�acrao�eonn� -
sr� txMaro+cw�eissroH con�x��s re ��oeti wFO.�ooEO* �a a,�� _�*
o�snacr cots+cw
- �� 't EXPLANATION: - .� . .
. . .. .BUrPORi8YN11CM.COIMICIL�WJECTIVE? � . . .. . . . ; . - � . � . . � .. �
: �c�€��;��i{ R�search Center
U Ci 21 ��$$
.���w.�.aromuMm M�.v�,wn.�,.wr�..wnri: . , _ ..
F�nica Michaelson, on behalf of the Church of St. Bernard's Parish Cqmnunity
` � Cour�ci 1 , �reguests' Ci ty Cou�i T approva1 of ;her atppl i cati on for a ClasS 'B
� Gambl.ing �;fcense (Pulltabs & Tipbbar.ds) at �St. i�rnar.d's L�nes, 167 i�: Gerani�ra.
Pr�e�+ds �im the pul l tab sa l es wi 11 be used to support youth a�hl e�i cs i n
the parish.
. . .�ws�wc�na�t�ca�aew�.�..�rr�ro•R w.�r. , . , _ , . , , .
. �ri��
All fees and applications have been submitted. �
- . , �rt �5
C� ��
,_ _: �.
� . �,�,�..���,: : . - -: , :
If Council ap�roval is gran�ed, 5t. Bern�rd's �arish �manity Council will sell
pulltabs a�t.�St�. Bernard's_Lanes.
�c�t�. . rnos ca+s .
>
�rroernw�c�nrs:
St, Bernard's has a Class A Gambling License at its Parish .Hall. This application
for the Bowling Lanes would be a second location for St. Bernard's. Curr�ently., < ;
Shop Pond Gang also has a Class A and Class B Gambling License so tiais applicat,ion '
�ies�: _
. er a s i s , are a - e op e se ng w ne
cannot sell pulltabs as we11 . . . the two functions must be kept separate.