87-967 WHITE - CITV CLERK
PINK - FINANCE GITY OF SAINT PAUL Council
CANARV - DEPARTMENT File NO. j� / ���
BLUE - MAVOR
Cou il e lut�on
f�, �,,tJ _ �,G��`"'Y''.f_l
Presented By ���
�
i
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D.#55986) for a One Day City of St. Paul Gambling
Permit (Paddlewheels, Tipboards, � Pulltabs) by Ramsey County 40 � 8
Voiture 838 on August 9, 1987, between the hours of 1:00 P.M, and
5:00 P.M, be and the same is hereby approved.
COUIVCILMEN A Requested by Department of:
Yeas Nays �
Drew
raa,e� /C�� [n Favor
rv���s�a �
sct,e�ae _ __ Against BY
Sonnen
� JUL p
1Ah# n '- � 1907 Form Approve y City Attorney
Adopted by �ouncil: Date —
Certified Pas e b� uncil Secr ry � By
gy, ��- /
A p p r o ;V l a y o r: D a t e _� � Approved b ayor for Submission to Council
B _ By
P�.►�#� ��:.�� 111987�
, ��-���7
,. _��: �ive na.*:es o� oi��cers or a.�y other persor.s :�aid for seMr�ces to t::z OT'^�I'.1Z.iyi._OI:.
;;ame-T�t�e nddress �ate of r.._r�r.
NONE
21. ir. wY:ose custcd; will r=cords oi CT€anizat�or,'s Gamblin� Sess�ons be �.e�t^
i+ame ROBERT E. KING �dc'se s s 133 CAYUGA ST. S T. PAUL, MN. 55117
22. Attacr a copy oi your Orga.aization's members'r.ip roster and date each nember joined.
23. A��acr. the Ganh�in� Sessior. �fanager's bond.
2�� . �lttac� a cop� o� ��:e �epa�rtr�ent oi the ^r�asu.-^J, Inter:ial :'.ever.ue Service "i.�turr: o'
C`ra�*L:�2�i0II �ti�:�-:t _ror.: Ir.co;^e '"^.a:", ro:^! qvn, {�t,��+,er 1.�19.�t� (1).)
25. :�ttach a co�f of Depart:�er.t oi the Trsasu.-„r� i:1�P._T':72.1 3=ver_ue Service, ''�te^rot Or�ar,-
ization Business Ir.come Tax", Form 9°OT. (Crapter 1�19.OI� (2). }
26. attach the annua� report required of c:-:aritahle orCanizations by i•Sinnesota Statuies,
Section 3�9.53. (Chapter It19.01� (3).)
27. ::ave you read and do:yeu thorou�hlv understar_c? the �rovis�or.s o�' a.11 Ia�rs, o?-dinances
an� �e�ulat�ons �overn�n� the operatior. of Ganhli:� Sessions? y�
�P. :�ny cr.an-es des_red b� the applicant associazior. ma� he made onl� Tsrith �he cor.sent or
the License Cor�mittee. �
, 29. iias a.-�y person(s) garticipating in �he operation of any oi tre �a��blin� sessions cov-
ered by tr�i.s l�cease ever been convicted of a felony in tre State of i•ii.nnesota or in
ar�y otY:er State or iederal Court? Yes ;1oYYY . Is ar:swer is "yes", pro�*ide
, nairces, addresses a.nd birth-dates.
Oz'€ani�ation „
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��'' �,' � ' "j (Of£ic '"it�e
. 'r' ,,� � �'��� - ONALD S O---CHEF DE GARE
. � ` � S � ';,� �a , .
, (.�:a.nager in c�a.r�e of Cambl Sessien)
. State of �;�ti.nnesots-) � ROBERT E. KI G
.. �our.�;� of,,�al-���r�` ���,,,
. ,,�,�
DONALD S IAb`KO an� ROBERT KING
oeiaP duly sworn sa� that they a-�e the petitioners in the above a^plica�ion; �hat the? rave
��a� the ioregoir.g pet�tion and T�:ow the contents t':ereof; tlzat tr�e sa.rie is +r�se o_° t`eir
o:�rr_ '�r!owled�Q. -
Subs�bed �nd sw-o{r-n tQ before ;^e �'�'s ■ .
�d3� of `1 ���/P l a�� CAROL A. M.ATHISEN
'ti�� NOTARY PUBUC—�diNAtE�OTA
' l��J , � :�� . aa�n��v cau;�rr
'// � -�/ _�� MY CJh1M.eX"r��f5 7`+1kY 18, 1939
:+Ot2.T^,�' �L1G1�C� vOl1T1+V� i'1:'� Ot ■
,•frr ccr.L�nission e:cpires ,5=��-��
Bu'��dir�; Depa,z V:�er.t t�ADZ'O4QCi J'1S3F'ia:.'OV2d by
ri:e �e�a_rt�:.ent A�o:oved ?isaporo?ed by
Dolice Jepartrent zparovea-�isapprcved���*
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ul�rl.C.11i'll lJC L1lrGiVs;. ::i1� D:�.li'�1 t1:JialZ':IJi:li�llii�l �
IZT^QS��:Al1C� 1'�.-r��:.'�1 �JZli'� �.Lp..�.�.C.n11Q1'1 :��:� �i��T i�Q CiC?:�U.rim C111:'��-iG SE�SIOP: Zi'i .ST. F�T,�L
1. ::a::e oi �roar�za�i�r. RAMSEY COUNTY 40 & 8 VOITURE 838
1129 ARCADE STREET
2. Address whe*_�e Cr�ar:ization's re�ular meetings are reld ST. PAUL. MINN. 551�
3. Day and ti�e oi ^eeti.��s 1ST APID �RD WIDNF5DAY5 7:00 P. M.
�:. Adclress where CamblynP Session :�rill l�e held 1129 ARCADE ST. ST. PAUL. MN. 55117
�. Is �p'.icant o•�rner oi nrope�T -,r'r.ere Gaa�bLz� Sessicn �ail? �e helc? °es XXX ;?o
6. Ii ?ease�, c�rno is owr.er of pro�eriy ti•;i:ere Gamblin�- Sessicn Taill he !-�e�d^[�Ig�ICAN LEGION
ARCADE PHALEN POST 5�� 1129 ARCADE ST. ST. PAUL. MN. 55106
7. If leased, attach letter of permission to conduct Gar�blin€ Session, s;gned by lesser.
S. ilame of of�icer maI�ng appli.cation DONALD SIANKO
9. Address of of,icer ma�ng spplication ��;�{��ON. ST. PAUL Date of birth 22 2$
_ ,
10. ::ame of nan2.ger wY:o will conduct Gambling Session ROBERT E. KING
lI. :,ddress of manager 133 CAYL�A ST. ST. PAUL. MN. 551�� Date of �irtn 7/5/39
I.2. In connection with what event is this Gambling Session beir.g held? CHICKEN & CORN FEID
13• ��Ihat type of gar.lbli� device(s} will be used? Paddlev�reel XXX "Ypboard XXXX P.a._f f'le
1!t. Day, dates ar.d hours this application is °or anc rumber of sess=ons.
_ °P
Da�(s) n� Da�es AUGUST 9. 198�o�'s � TILL S:OQ'o•.''of �S�ssions ONE
'�� ,., �
15. 'IiIZ prizas be gaid in money or merchandise? BOTH MONEY AND�MERC�iA�l�!}I$E
_ ;, ; ' ` t `
26. Is tre avpi�.cant assoc�atior_ or�anizs� under the la*as of tre Sta�e� 7f1:�_innesota7_y�_
_ . . - . ,� ,
17. row lor� has Cr�anizatior. been in exister.ce? N� y�g '
'�,
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l�. ty'hat is tne pu_roose oi tt:e Or£anizztion? �nNnR S(X!TF'.TY nF THF. Af�RZ���' LGIOH.
DIDICATID TO THE PROMITION AND SCHLORSHIPS OF NURSES TRAINING.
19. Of�icers of the Organi.zation
:iame-Title Address Date of birth
DONAT,I� STANKO_ HEF DE C E 907 E. LAWSON ST. PAUL i/22�28
GTT, FF.RNANDEZ-�I�' DE TRAIN 1780 AGATE 5T. ST. PAUL 4/29/22
nnN NFTNTN�ER-�OMM�'�. S�RF TrrrFNIDENT 599 E. MARYI,AND ST. PAUL 1/21/19
Rev �a��NiIF.R�.—CORRFSPONDENT 2111_ E. ORANGE AVE. ST. PAUL. 4,�,r?8f�8
�. � �'•4 , � �o .�. � � 64.. iy � .� . .- _ . .. - . .. ,� ��_[`f " ..
l�Z; � r � ~ ., . �`
: " M nnesota Charitable Gambling Control Board LAWF�E GAMBLING EXEMPTION
r n� �`''� Room N47S Griggs-Midway Building ,
- FOR BOARD USE ONLY
1821 University Avenue
` °� - - St.Paul,MN 55104-3383 -
�,,. ;.. ,� (6121642-0555 . . � -", <..- ., .. .
����
r�t - � INSTRUCTIONS: 1. Submit request for exemption at least 30 days prior to the occasion. �
�`�"� . 2. When completing form,do not complete shaded areas.
` 3. Give the gold copy to the City or County. Send the remaining copies to the Board.The copies will be
. returned with an exemption number added to the form.When your activity is concluded;complete the
PLEASE TYPE financial information,sign and date the form, and return to the Board within 30 days.
�- OrganizationName � � LianaeNunberOfarrs�tlyapreNa,elyfca+aedl
RAM��Y ;,GU?iTY 40 nc 8 '! '�'t,. �' X-b2-01i-72
Address City,County,State,Zip Code
112 Ai�ADu �T. ; F
Chief Executive Officer's Name Phone Number Manager's Name Phone Number
�C:dAIr7 3I.A`bKC �` ' a
.
Type of Organization If Other Nonprofit Organization(Check One►
,.;�..:.,�;�..Fraterna�r. . ,_ �Veter�ns�.�,nr,;:� � ��-;<�,._ r .�:�..3,,:=;;, �D�:lRS Designatic>n�r �_�r.�;_ -..�.,��,::t., _, .. . _. �_. _ :�.
:
❑ Religion ❑ Other Nonprofit Organization � Incorporated with Secretary of State
❑ Affiliate of Parent Nonprofit Organization
Name of Premises Where Activity Will Occur Date(s)of Activity
a�ca�� �xa .�r:. F s �y *� .� *r
t : AL'GtL�T 9� 198'7a y
Premises Address e/�/��} r}f 7
n. �.�� '��27 Qi1.CK1J!'•,�J L � :. M.-..''' ' . . . � . � . . ' �. . � . . . � . 1��VV1� l�L �=Q� r• t'i-
Games Yes No Gross Receipts �:Value of Prizes Expenses Profit
�� -6ingo yx � .
, _. ,
� . ;
'�,., _ -
�
,.Raffles � .��� 1� c r:, � y
���- - - '
4'��' .-Paddlewheels �
y r�-. ' ` ... •: :.. .
�`' Tipboards � -
. Pull-Tabs �
♦�.,?�....:�tJseof Profit
Distributor Prom Whom Gambling Equipment Acquired Distributor's License No.
�,I'-affirt�n alf•in�orFnation sobmitted to.the:Bbacd ist�rve,:accu-= -t�a#irrn�aM-firrancia4 information�subFnitteci:.tp the-_Board is_ < ..
k �"` rate,and�cnmplete. r .t ' true,accu�ate,and complete.
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._+ :����f�!'.:��r, ';'�.�I �� � x.
':�. Chief Executive Officer Signature �Q?aA . j I Date Chief Executive Officer Signature T, , Date
�}^:,
ACKNOWLEDGMENT OF NOTICE BY LOCAL GOVERNWGBODY
- 1 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 Bo�ard and will becoine effective 30 days from the=c�;
date of recei t(noted below)b the Ci or Count , unless a resolution of the local overnin bod is assed which s ecifi `��
� P Y tY Y 9 9 Y� P P .
� ;� cally disallows such activity and a copy of that resolutior-i$received by the Charitable Gambling Control Board within 30.:;;��
� days of the below noted date. `" � - Y="
�' CITY OR COUNTY TOWNSHIP
�:.''�. Name of Local�overning Body 1City or County► Tow�ship Name(Must be notified when County is the approving bodyl
�. .
Cit of St. Pnu1 �� - .
=�L; Signature of Person Receivi�g Application . Signature of Person Receiving Application
Jose h Carchedi �� . i� . 6 18 8
Title " Date Received rnie oete
Lice�se Insoector � �
, CG-00020-01 14/861 White—Board Canary—Board retums to Organization to keep
� P'ink—Organization "`� ��`s�r _ Gold—City or County
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