87-528 WHITE - C�TV CLERK
PINK - FINANCE G I TY O F SA I NT PA U L Council
CANARV - DEPARTMENT File NO. ��I �^� �
BLUE - MAVOR
Coun 'l e uti n ,
Presented By � �I/ ����
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID# 12975) for a One Day City of Saint Paul
Gambling Perm.it (Raffle only) by St. Paul Academy and Simenit
School at 1712 Randolph Avenue on May 9, 1987 between the hours
of 7:00 p.m. and 11:00 p.m. be and the same is hereby ap�roved.
COUNCILMEN Requested by Department of:
Yeas DfeW Nays �/
Nicosia b
Rettman �� FaVOf
Scheibel (�
•s�o�, � __ Against BY
Tede:�o
wi�son
Adopted by Council: Date �PR 2 � 1987 Form Approved City Attorney
Certified Yas ed y o .il Secre BY
By
Appro by Mavor. S A{�r�(. � ;` ��+' Approved b Mayor for Submission to Council
BY — BY
P19�!�HE� ���;�-,.�- ,_ 1��7
� T�., ., � �. ���-a �
V1-,. vl :L • . .�.�L
- J:.i ii�Li.�.:i 1 Q� nl!ifii.C:.I �L i 1�:}ii�r�..�.�_ :iu'�T i r�.,
' " DIVi�IGii Or :�IliG1JJ:.. nidD P�u•ffT �7PII':I�'":�1:'�'C`i
- I�'+.MO:'1°ATICN ?:�CuI�:.,� :•tIiit i.F'?LIC�TICi1 , OP� I_•�1'�m TO i.C?�'L'C"_' GA:`TLI:'G S�,:`'IOP.` ITT ST. P!'tUT
1. ::a::E oi �r�ar:i�a�_cn Saint Paul Academy and Summit School
2. address ilhere Or�anization's re�ular meetings are held �712 Randolph Avenue, St. °aul
3. �zu� and tine o`' *�eetin�-s Fourth 1�?onday of each month, 3 P,rt.
►. A�dress where (?ambl;n� Session wiil he heZd 1712 Randolph Avenue, St. PauZ
�. Is x�r?icant owner of nropert�,' '�1:?2:'P. ':ai:bl�n�- Cessic.^. �•�z?.1 be t�n'_�s X Yes '?o
b. T_� lsaseci, ,r'r_o �s oTr!r.er of pror,er��; ,;r�re iamhl.'_n;- Sess�cr_ �r=�. �e h:eld^
7. If leased, attach letter of permission te conduct G�.r�bl�r_€ Ses�icn, s�_gred by �essor.
�. �la�ne of of��cer maI:�ia� applicatien James E. Buckheit, Headmaster
9. Address of of�icer ma:�.ng application 70$ Goodrich Avenue St.Pau�a�e of birth_1�,[15i!1?
10. �;arne of r.�ar_aeer cat_o will conciuct Camblin� Session Thomas L. Olsc�n
�1. i�ddress oi ;:ar.ager 309 Longview Terrace, Minrkeapolis, I�'IIV �at.;e of 3�irt.i 7%29/4`l
12. In connectior with what event �s this Gambling Sessi.on be-�.n� helci?
Fantasy Auction '87
�
l.?. :�.1:at t�e of gamblin� device(s) ��aill be useci'. ?addle���eel__�"`ip�:.oard��P,af=ie �`
��e �a�, dates and hours this application is ior and number of sess;c^s.
�3�(s ) May 9, 19t37 Dates ??ours �-11 "'"���i'c. o� S�ssions 1 _.�
��. :�!i11 pr�zes be naid �n mone;r or :nerchandise^ Merchandi.se
iJ. I:i �1_� ci�'?DI�C�Ti� 2.SJOCia,i.i�i1 O�'r211:i2°� 1171�.P,Z' ��;2 1'�:dS O`_� Li:$ :��`i,ai.t O? . 1.'ll'lf?:i0'l'.3iYE:�
17. iio�r lonF 'r.as �rgarLiza�ior beer. i:� exi�tence? 87 years
1�. ;,�at is t'r.e p�.L�os� of the Or�anization^ Indenendent, co-educational educr�tion. __�
grades K-12
�9. Gfficers of t'r.e Orgar.ization
.ia:ne-T�tie Address �ate of birtl:
James E. Buckheit. Headmaster 708 Goodrich ^� 10/�,5%47 �
Thomas L. Olson, Director of Iievelopment 309 Longvi.ew Terr. Mpis 7/29/42
Russell P�. Haigh,Eusiness Officer 4525 Vallacher, St.Loui_s Pk 5/11/30
_.,. ui�re .^.a;,es of oi°�cers or a�.f ,. nQr� �7 "v�a�
iJ�_== othe_ r or.s �ai;i for ser�r.ces io the Or�ar,�Zaty�r,
hddress �ate of �ixtr
Ye
V,'
21. In wl:ese custcd;- will records oi Or�.anlza�len�s Garn
bl�n� Sessiors be kept?
i3a;;1e Thomas L. Olson 1712 Randol h Avenue, St. Paul
Address p
22. Attach a copy of your Crganization's membersrip roster and date each member ,joined.
N/A Not a membership organization
?3. :�ttach t:�e G�hling Sessior. ��,anager's �ond.
�!� . ;ttach a copy o� the �'e r
� pa_tment of the '^reasu;�,r, Internal �everue Service ":'eturr, o-
�'���Lization :;xe�nt ?rer^, Incore '^ ��
-� , Form 99�, (Ct:a;,ter �:19.OL (�;,)
25. :,ttact: a copy �° ;erartmer.+,
Of �•IlE? TreastL�r� T;n�ar-�al �a.,Pr,ue �:?i'`,�.�:.Cp' 't^..
ization �usiness Ince�e TaY", Form 990T. (C'r_apter !,19�OI� (2)� � N�� -�-'e'`pt Crpan-
26. Attach the annual report required of charitahle or�anizations by ,linnesota S
Section 309.53. {Chapter 1t19.01� (3). ) Educational Organizations Exempt tatutes,
27. ::ave � '
you read-and do you thorouFhlv understar,d the provi.sions o_'' �
ana =e�-ulations �overnin� t!;e o�eration of Garblin� Sessions? �1 laws r ord�narces
YES �
2'• �i:�v cl:s.n' es desired �;�r �he applicant assecia„ior. ;�a n� �
, the License Cor�r►ittee. + Y na�e on1,T :ai.th �h� corisent of
2°. iias a::y person s pa •tici �
� ) x p�ting in the operation of any of the �ariblin� sessior.s cov-
ered by tris l�cense 'ever been convicted of a felony in t�e State of I�IinnAsota or j.n
any other State or �ederal Court? Yes *
:.arr.es, addresses and birth- --- r�o X . If answer is " ���
dates. - Ye� , pro;Tide
: `
Saint Paul Academy and Summit School
�'€an.ization
By ,l�' - l`';i, ^_
� ic�r _it e /
� � ;
�:�
State of ?�:inneseta) �l���e in c:.ar�-e of C'arnblinF Sessienl
)SS
Cou:t;� of :'?anse;; )
James E. Buckheit and Thomas L. Olson
heir.� duly s��orn sa,r that t�:e�,r ?�-P the petit�oners in the above arplicat�on; that t,hey have
r^_,=� the fore�oin� pet�t�on �nd ?rno,,� the contents t;:ereof; �hat the sane is ?•� � r •
o:an ?�r.ot,rled�Te. +r�., of t:_e,r
`u::scr,bed and staorn to bef�re me +�,is
�4� �'a;� of �atcf, �o �'z ,
R
i;o ar�� tili� LILA J.1'�ENT ?
� i.0UY1tV i�Ll.^,I;g OLg NOTARY PUBLIC—MINNESOTA
:`y ccrunission e r ' `
Xj�l_@S RAMSEY COUNTY {
My Comm.Expires May 18, 1988
Buildir�; nepart:�ent Approved x ■
_______Disapproved �Y
ri:e �e�ar�,;.ent Aoproved ?isapproved�b�,
Folice �epartrent k��roved '
��is arproved�,3r
�■��