88-1789 _r---�,
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WNITE - CITV CIERK COUIICII Q�
PINK - FINANCE G I TY OF SA I NT PA U L /j
CANARV - DEPARTMENT �
BIUE - MAVOR File �O. /�V �
� . , Cou cil Resolution -
� :� ��
Presented By
Referr Committee: Date
Out of Committee By Date
RESOLVED: That application (ID #55593) for a State Class B Gambling
Cicense by the Rice Lawson Booster Club at 586 Rice Street
(The Stahl House) , be and the same is hereby approved/
denied.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
Loog � In Favor
Goswitz `
Rettman '`
scne�ne� _.�.��_ A ga i n s t BY
Sonnen F -
Wilson �
�k �"� Form Appr ved by City Attorney
Adopted by Council: Dat�.,� • -
� l0 -19 -�
Certified Passed by Coun "1{Secretary BY —
sy �
A►pproved by iNavor: Date _ Approved by Mayor for Submission to Council
By By
WHITE f CITV CIERK . . . -.. . . � � .:. . � � . ..
PINK - FINANCE � COU/ICIl
CANARV - DEPARTMENT � "' ' �
BLUE - MAVOR �'GITY O.F SA�INT �PAUL , �� — � ��-T 4�
File N�. ��'
; -
. Council Resolution � �
;
Prese�te�d By
�■f�++�
Referred To Committee: Date :.
�-.
Out of Committee By Date
RESflf.rID: T1nt ap��te�ttio� t IO �55S9Sj f�sr a S�t�t ass g iirbl i�
�#c� �► tbe Rip l�aeu� ��► t 586 R1c� 3tr+rt
�TM Sta�l �a�, b� a�d t�e�a��ts �� �
de�Msd.
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COUNCIL MEMBERS � : _ � �:
Yeas Nays : Requested by Department of: �
Dimond
�� In Favor
coswitz
Rettman
scbe;�e� Against BY ,.
Sonnen '
Wilson �
Form Approved by City Attor�esy
Adopted by Council: Date `:
Certified Passed by Council Secretary BY
By�
A►pproved by �Navor: Date Approved by Mayor for Submission to Council �
By � BY
, ��/�7�`�`
r � �
' �bIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE ` S� / ��' �
INT�,RDF.PARTMENTAL REVIEW (:HECKLIST Appn Pr cessed/Received by
Lic Enf Aud
Applicant ��(.(�Q SYY� �-�h Home Address 1L) �S /�'t�-f i/dw _
Rusiness Iv'ame ��C(�_ JI(,��,ti�►'� �b5�t'("(.��b Home Phone
Business Address �� P���e �� Type of License(s) C,Q55 �� ��rn�j���'l�j
/
Business Phone � y�U�j� • �'(��
Public Hearing Date �I g� License I.D. 4{ �551�
at 9:00 a.m. in the Counc 1 C auibers, /�
3rd floor City Hall and Courthouse State Tax I.D. �t G S o�����
llate I�utice Sent; Dealer 4� � ��
to Applicant
I'ederal I'i_rearms �� t�l/�
Public Hearing �—p3 ���
DATE II�SPECTIUN
RE`JIEW VEKFIED (COMPUTER) COMMENTS
A proved Not A roved
�
Bldg I & D �
� L�. �
Health Divn. �
�� �. �
i
Fire Dept. �
i �1� �
Police Dept.
� �Q �,-t I �� �-�.�$
C �� �/L
License Divn. �
r�I U � ; D /L
City Attorney �
(� ���Q� , 4�C�
Date Received:
Site Plan t � � � - C
To Council P.PSearch �"
Lease ar Letter Date
from Landlord
� . . ��-� � �
,,,,,
;.�to���;;o U�a, Charitable Gambling Control Board FOR BOARD USE ONLY
'•�° Room N-475 Griggs-Midway Building �.,,:.N��s►
1821 University Avenue
=. �- St. Paul, Minnesota 551043383
(612) 642-0555 AMT
��' CHECK#
DATE
GAMBLING LICENSE APPLICATION
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 sends original to the above address with a check.
C. Incomplete applications will be returned.
' Type of Application:
❑Class A - Fee S 100.00(Bi�go,Raffles,Paddlewheels,Tipboards,Pull-tabs►
�Class B- Fee S 50.00(Raffles,Paddlewheels,Tipboards,Pull-tabs) M+k.c�+.d�spsyawsco:
� ❑Class C - Fee S 50.00(Bi�gO O�Iy) Minnesota Charitsble GsmbR�Cootrol Bosrd
.' �Class D - Fee S 25.00(Raffles only)
❑Yes�jNo 1. Is this application for a renewal? If yes,give complete license number 0 - �� - ��
�dYes❑No 2. If this is not an application for a renewal,has or anization been licensed by the Board before? If yes,give base '
license number(middle five digits) ��.'����
Yes�No 3. Have Internat Controls been submitted previously?If no,please attach copy.
4. Applicant(Official,legal name of organization) 5. Business Address of Organ�iza�tion /G �.:� <<; N�-7" i�/�.
. i� �,� 1.� l ���A� f�`� �> i er �� 1,� l�� f ('� � k,.f�ii. y /!`• ti.�/ . Y�iL...l� ��Il.. .~.� ~f� 7
6. City,State,Zip 7. County 8. Business Phone Numberv
. . ..7 r'. ���i `L �; � '_ �� � 7 k..� 1��S��.Y c�;�,� �, ) �' 1
:f � -Gy�.':.
9. Type of organization: ❑Fraternal OVeterans ❑Religious �i Other nonprofit'
•If organization is an"other nonprofiY'organization,answer questions 10 through 13.If not,go to question 14."Other nonprofit"organizations•
must document its tax-exempt status.
J�Yes�No 10. Is organization incor orated as a nonprofit organization?If yes,give number assigned to Articles or page a�d
book number: �.J ! I Attach copy of certificate.
�$'Yes�No 11. Are articles filed with the Secretary of State?
�`Yes�No 12. Are articles filed with the County?
❑Yes QNo 13. Is organization exempt from Minnesota or Federal income tax?If yes,please attach letter from IRS or Department of
Revenue declaring exemption or copy of 990 or 990T.
� �Yes I�No 14. Has license ever been denied,suspended or revoked?If yes,check all that a ly:
,
❑Denied ❑Suspended ❑Revoked Give date: -
15. Number of active members 16. Numbe�of years in existence Note: If less than four years,attach
/ eviclence of three years
�� / � existence. �
. 17. Name of Chief Executive Officer 18. Name of treasurer or person who accounts for other revenues
� ' ^ ,� [ of the organization. ,
t..-� .� -� � r� (`i 1.- �1 � � I l�,� (_.'��� ,✓ i 'a�.. l� - �,. .�. r., {
� .
Title Title
.-�
�� �'"� %��-=� � �; � � / �r L.� f �.-1 s= -�t .�% ' �
> c_
Business Phone Number Business Phone Number
� --i :�� i..t =''= - �;� r ;' � �.�--,j Y� , i :�' � ��.!` (. `�
��
19. Name of establishment where gambling will be 20. Street address(not P.O.Box Number)
conducted �
___•"""`... 1;' I_.., . f� " 1 1 � �..� :� e" `
21. City,State,Zip 22. County(where gambling premises is Iocated)
_. .___ �; , , r "--� r-
` - -- F .-...... �!:� ~ :�,, i... � . ';``1 :
CG-0001-0218/86) White Copy-Board Canary-Applicant `f ` Pink-Local Goveming Body
. . gg� l�8��
Gambling�License Appiication Pa98 2
Type of A{iplication: �Class A ,�'Class B ❑Class C O Class D
�1(es�No 23. Is gambling premises located within city limits?
,�Yes ONo 24. Are all gambling activities conducted at the premises listed in#19 of this application7 If not,complete a separate
application for each premises(except raffles)as a separate license is required for each premises.
� ❑Yes�]No 25. Does organization own the gambling premises?If no,attach copy of the lease with terms of at least one year.
❑Yes G�No 26. Does the organization lease the entire premises?If no,attach a sketch of 27. Amount of Monthl Rent
the premises indicati�g what portion is being leased.A lease and sketch 8 � JG� �� . �)x�,,-:
is not required for Class D applications.
, OYes�(110 28. Do you plan on conducting bingo with this license?If yes,give days and times of bingo occasions:
Days Times
,�'Jl(es❑No 29. Has the S 10,000 fidelity bond required by Minnesota Statutes 349.20 been obtained?Attach copy of bond.
30. Insurance Company Name 31. Bond Number
� , _ - � . �; •. -y--. , , ��. -,� ry �..
i , r, ; � ' f;.. , k y � ��;- �_t— "`,:._i l� :_ r �f o`1 ! rri / '��C�. ti.
32. Lessor Name { 33. Address� - 34. City,_State,Zip �
J 1~f"'� i C—, �--�:�(✓1�C► +"'^'*�+...�� �� E� 1'�� .�`(' ti` r f''��'�.��_� '��� �> v.r . .. y
�
35. Gambling Manager Name 36. Address 37. City,State,Zip � _
(�•� • � '� C' \.�l, t � i'� � � � � ' �`-� r ! ' �.� .--* .,4? ; {.%�.�` '� r �v�. ��T� . �
38. Gambling Manager Business Phone 39. Date gambling manager became
( r�f� � ; : �j<� �': member of organization: � `�� "J
�_ ''�� , � c.�� 7�lG
GAMBLWG 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 the law for any unauthorized game or
practice.
BANK RECORDS AUTHORIZATION
By my signature below,the Board is hereby authorized to inspect the bank records of the General Gambling Bank Account -
'' whenever necessary to fulfill requirements of current gambling rules and law. :
� . . . OATH
I hereby declare that:
E 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. 1 am the chief executive officer of the organization;
5. I assume full responsibility for the fair 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 rules of the Board and agree,
if licensed,to abide b those laws and rules, includin amendments thereto.
� 40. Official,Legal Name of Organization 41. Signature(must be signed by Chief Executive Officer)
�'�� !`1 ° -.,~-*t?✓.�^ ;.� �" !�'7 C � = .t" f� r ;:.j� ,(..r:..LG'.i,.": r', _ :;,
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 30 days from the date of receipt(noted below),unless a resolution of the local governing body is passed
which specifically disallows such activity and a copy of that resolution is received by the Charitable Gambling Control
Board within 30 da s of the below noted date.
42. Name of City or County(Local Governing Body) If site is located within a township,item 43 must be completed,in
, � �,_� addition to the county signature.
��. � ` ' L. w ' _-�
.,:. - -
Signature of person receiving application 43. Name of Township
�( ` . ; /
Title Date received(30 day period Signature of person receiving application
; � begins from this date)�
� � X
44. Name of Person delivering application to Local Goveming Body Title
_. ' - .'�
CG-0001-02 (8/861 White Copy-Board Canary-Applicant Pink-Local Governing Body
; . ,- : . .. s3s�3
; , City of Saint Paul
� � ' � Depa�tment of Finance and Management Services
; License and Permit Division g�-� � � �
� � St. Paul. Minnesotta 5102-29&5058 ♦ .
- APPLiCATiON FOR IICENSE �
� �;:CASH CHECK CIASS NO. - New Renew ��
,
� � � � " � » ,,,� ;���Y i.� � 1 `. , � - . .
• _ .. _ . , .- �Date _�'t9S2.�
'. .
j Code No. Title of License - � ��—� �
From 1 To 1
i ^ • ,DO _ _ ,
E J. ,� �� " ���
� . �� . � . AppUcantlCompany Nam�
` .. ,� 9�� o��J ti C���
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' 100 Busln�as Name ` • .
� �oo �- 03
' 8usinesa Address ��No-
( ,� o � - � o��a
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� 100 Mail to Address � Phons No.
� 100 �J
� • � Ma�apeHOwnsr•Nama
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100 . . AfanaqedGwner•Homt Address - Phone Na
: 1pg8 Applicatton Fee �2. SO .. - • .
ReCefved the Sum of - 100 . .�,�•�� • .�/j��9���fL�- .�
,� ° . . _ . � �,� , ManaqeHOwner-City�Stat�3 Zip Cods -
;<` _ .100 _ .Total 100 � � -- F �' :� E'
. ,
> ._ . . ...
. . • ... . , . ' . .l� . . .. . . .. " �!, • - � . . _ .. . . .. . .S .. . '_
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R q .�� 'C� . i�r/�I/� _f • •
. UCense Insp@CtOr By: • Siqnaturo ol Applieant • -
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�:: Bond• . ., -- _ � '• . . -
• _ Company Name . _ . Policy Na ,. . . Expintion Oate •
� ��insurance• . _ _. _ .
. Company Name . . . PoUCy Na Expiration DaN _ .
�' Minnesota State Identificatton No� �S ��3�� 4` Social Security No
. ,, . .
Vehicfe Information:� ,'. •` . . "_', V . ' �at�Number
- Saial Number
, '_.Other � .
; � - . � THIS IS A RECEIPT FOR APPLICATION �
� `•. THIS IS NOT A LICENSE TO OPERATE Your application for Iicense will either be flranted or rejscted subject to the provislons of tMe zoninq
�
. ordinancs and completion of the inapectiona by the Health, Firs.Zoninq and/or Lk�nse inspsctors. �
, " .; :
1 � , , . , .
. _ . • . •.
� • .
� ' :
� $15.00 CHARGE FOR ALL RETURNED CHECKS
! . .
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-. : . . Cicy oe Saint Paul ��_ � � p�
� . • '� . • ,� .
Deparcment oE Finance and Management Services � �
, , ,:'- • Division of License and Permit Regiscration
INFORMATION REQUIRED WITH APPLICATION FOR PERMIT TO CONDUCT CHARITABLE GAMBLi:VG GAME I*1
saiNT �PAUL
.
1. Full and complete name of organization which is applying for lfcense
� �O�
!GQ �
2. Address where games will be held � _ �� � � �,���,��;+(� . ��'e��
Yumber Screec City Zip
3. Name of manager signing this application w�io will conduct, operate and manage
Gambling Games ���t�l'�• '�)�Z,���°`� Date of Birth �-'��—.� �
(a) Length of time manager has been member ot appl.icant organization ���yl,�'.
4. Address of Manager �� /-� Lh�i Cii/� _� �� , ��,�G���i�i�. �����
Number Screec Cicq Zip
5. Day, dates, and hours chis application is ior G�(,Q�j� ��,1�� - �. dQ �� ��
6. Is the applicant or organization organized under che laws o= t:�e State o� �1? .�1,Q�
7. Date of incorporati�n � —a�—�� �
8. Date when registered with the State of Mfnnesota ��—o�Q d /
9. How long has organization beea in. exiscence? ��p�a�IG/. �9�c�
�
c-�
10. How lor�g has organization heen in exfstence in St. Paul? p.2�..�,�
11. What is the purpose of the organization? ;Q� y''G' ��� � � ,Q�.�,� � �'�
J
—r- '
_ - � � � �
� � '
I2. 0 ficers o�plicant organization ������
Name �L1 ± O � ���� `Tame
� -
Address���.� ��� �j1i ��• Address ��9 , �,��!�,(���
Title � DOB =07 —�� Tit?e ../�. DOB /02�'"5��
vame ,��-��ci��,� �'_p�_E.e�C,CG.��� vame
Address ���` ���,(�i�'NO,�Z�'J� �ddress �/.� ��D�1�o��
,
Title '� ; ,..�', Dos �a�S/ Title �os rD /�3 S��?
13. Give names of officers, or any ot:�er persons :rao �aid �or ser��ces co =ze or3ani=at'on.
�ame Vame
Address Address
Title _.c?e
(Attach separace snee- `^,- aca'___or._: -a�as.'.
, � ��-�� � � .
14. �Actached hereco is a Iisc of names and addresses of all members or che o:gan:za.::ior..
15. In whose custody will organization's records be kept?
Name ��u^_ , �1��� Address f�������j �
I6. Persons who will be conducting, assisting in conducttng, or oper�ting che games:
. ivams ,��:�/�s (� , �",p� Date of Birth ��7��
Address �� 9� %��aY�� % � l'..��.� �{�L� .5� /��
Name of Spousa _�7�L��.2�o � �vr��i� � Date oE Birth ,� --��J`��
Dates when such person wili conduct, assist, or operace
19 �� �.�h , � 19�" �
� Name _ �.�},y�p_� � . ��}.Q�j � Date of Birth lv� '.30 '��
Address /�— � � �' Z,�. J � /�
Name of Spouse Dace of Birth �U `-.�,> -��j
Dates vhen such person •aill ccnducc, ass=st, or operate
l S� �" �-�� . � . / ���
17. Have you read and do ;rou thoroughly unde:scand Che provisions of all laws, ordinances,
and regulatior.s gcve��:�g ;:�e operat:on oi Char:table Gambiing gam�s? +
18. Attached hereco oa c:�e Eo:� :ur^.ished bv che Cicq o� St. Paul is a Fiaancial Report
vhic:� .cemizes al= recei�cs. e:c?enses� ar.d disbursemeacs of che applicanc organizatfen
as vel: as a:? o;3an:za�:oas uno have :eceived `unds =or t:�e oreced:^g calendar year
whicn ;�as beea s: ed. ��� ��Z'�� _�� ��
3^. pre�ared, and ve:==:ec� 5 �jc Q�?, _ �,L„ .�
n v !Gv_6.c�_,� 1�
���� " �.1/ - 1`�� �rLlc]. �.S%/�ame �
� .� . ca.�c1� Sr�//
acdress
Wha is che � oF the applicaat Organizat:on.
Vame oc Oft:ce
19. Operator of premise3 vltere games :r�i= be held:
Name S� �'�J �
B�rsiness Address ,7 �� � , `�
Home Address
20. Amounc of rent paid by appl:csnc Organi�acion ror cezc oi che hall; specify amounc
patd per 4-hour se�s;on � f(�� (�� L,� r. ��
-. . : . . - ��-1� �9
,. . �, � . � ,. .
' ! 21: 'The proceeds oi the games will be disbursed after deduccing prize layout costs and
operating expenses for the following purposes and uses:
/ . .. � -�2-�
,
22. Has the premises where che games are to be held been certified for occupancy by the
City of Saint Paul? �2%2�2�
23. Has your organization iiled cederal fo rs� 990—T? 1� If ansver is yes� please atcach
a copy with this appiicacion. IE answ2r is ao� explain why:
� � � �,
� �
Any changes desired bv tZe a�o?:cant dsscciac�on may be made only vith the consent of the
�� City Council. �
� ,
_d� .L�.�L �J� _ .���
Organizacion �,L�
Date �'.� d� � �---
Bp:
. � Zianager in c arge of game
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� NUM9lR FOR - .
Rou,�a �*�► 2 Council Research
. ;:;. .. OROER` — c�rv�rroAnEr .. '._
Application €o�^ a' State Class B:Gambling License. : �
Nati f i cati an��•Dat�: 10••21•�88 Heari ng Date: .
-
. �u+ovror.uu.«��i) oo�n�:n�,4nc�+ ; � _ �
_
vura�a oar�iee�+. avw a�ooe��seiow u��na o�ie our aw.,rsr P►�oaE ao.
�o�w+4 oowwesaN = wo exa scxioo�aonao
. STARF... �. _- .: .-Cq11RtER C01iA68pN � � �� .COMPLETE A918 � ADDL i1W.ADflED*. .�.� .RET'D TO�CONT#�T � � �- --� OONBTrttJ6lH. . . .
. �� . . . .. � . . . . . _ . � . _FOR ADDL lFO. _�98M�(-ADOED*�- .
. �. .EN6TRICT OOUNCL . _,. _ � - . . -
.�. *EXPLANATION: � .
���:�� RECEIVED
aCT �� '� _
CITY CLERK
.��.�.�.�a.�„►�.�►.�,�.��: .
Bruce Smith, on behalf of the Rice Lawsan 600ster Club, requests Council
�}�proval of hi s appl i catio.n for a Cl ass. B �ambl i ng Li cense at Ti�c Staltl House,_
� 586 Rice Street,. Proceeds from .pul lta6 sales wi11 be used for- youth'athTet�fic
, activiti�s .of. The R-ice Lawson Rec. Cer�ter. _ . . : ,
f _
� y��y p��� ; .�. . . . . . .. . . ... .. .. '' ..
..,.....I�f��f/��..�r.��rw1wT�/: . . . . ' ' .�.: . . .., ., �: ' . " . . . .: . . . . : .. .� . . „ . . ... ...'. • . . . � �.•-� ..'.:
A1] fees and applications -have been submitted. -
� �t�r�at 1wn�,w�►,..na ra wae�� .°_ . •
If Council approval is giv�n, the Rice Lawson-8voster C1ub wi11 seil pulltabs
. a�nd tipbQards at The Stah1 Fk�use. -
��,ew�tf�: ,, �os coMS.
� u±�c�1 �e�Ea��ch �ent
,
_ �-�� 2� i�$8
This wi be the seco , , g �ng cense or ce wsnn oos er � :
� The C1ub also s�nsors a weekly binqa occasion at� 1fl79 Rice Street, r�ich is a
_ Class A G�mbl ir�� LiCen�e. _ �
The ShQ Pond Gan has reviousl been an�ed b�th a Class R and Class B,Ga�mbli �
. �� License.