87-1032 WHITE - CITV CLERK
PINK - FINANCE GI�TY OF SAINT PAUL Council
CANARV - DEPARTMENT
BLUE - MAVOR File NO. �-/��
�
. ncil Resolution -- �
' � � � �
Presented By _
. Referred To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D.#69155) for a One Day City of St. Paul
Gambling Permit (Bingo, Raffles, Paddlewheels, Tipboards, and
Pulltabs) by the Church of St. Thomas the Apostle at 2119 Stillwater
Avenue on August 23, 1987, between the hours of 1:00 P.M. and 5:00 P.M.
be and the same is hereby approved.
COUNCILMEN
Yeas DreW Nays Requested by Department of:
Nicosia ln Favor
Retttnan
Scheibel �_ Against BY
Sonnen
weida
Wil5on �L 2 I �7 Form Appr d by City Attorne
Adopted by Council: Date
Certified Pa s ouncii Sec tar BY
gy.
A►pproved by � vor: t � c�-� ��JUL 2 � B�PProve Mayor f r Submission to Council
BY PU�tSN�O A U G 1 BY
��/—/03-2
� DIVISION OF LICENSE AI�TD PERMIT ADMINISTRATION DATE 1i,�_�„�� v�� ` �(`7
INTERDEPARTMENTAL REVIEW CHECKLIST
Applicant .' � Home Address c,(Y1�
• Ln YC- _ O�rr�FF �
.
Bu s ine s s Name 4� �P�O� Home Phone
Business Address e of License(s) ,�0.��
�1 1 q ����l�G�� T3'P
Business Phone �?, �— �(� `"�� � M `
. �
Public Hearing Date "'` ' `� License I.D. � �� � ��
at 10:00 a.m. in the un 1 Chambers,
3rd Floor City Hall and Courthouse State Tax I.D. #
REVIEW DATE DATE INSPECTION
APPN REC'D VERFIED (COMPUTER C01�4IENTS
ed NOt raved
Housing & Bldg �
Code Enf orcement ��a y �}, I A �
l I
Public Health (
�P I a� V1 I� i
Il
I
Fire Prevention
� `� �a� h I� �
�
Police �
� /a� n I� �
City Attorney �
� ��� �
,
ENS �
I
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300 Foot Notice I
1
I
License Inspector's Commen y
• I HAVE BEEN GIVEN A COPY OF THIS NOTIFICATION AND UNDERSTAND THAT MY ATTENDANCE AT
THE PUBLIC HEARING IS REQUIRID.
��- •r° . �,..��.k�.,. �,.. .. ....,. : ., .. . . . � , . . . ... __ .. ,.... , , . . . .
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CURRENT INFORMATION NEW INFORMATION •
r
Current Corporgtion Name: New Corporation Name:
Current DBA: New DBA:
Current Officers: Insurance:
sond: � I A �� l� �-��;�.
, �
New Officers: �
Stockholders:
•
� "" � �� ' Minnesota Charitable.Gambling Control Board LAWFUL GAMBLING EXEMPTION
' Room N475 Griggs-Midway Building FOR BOARD USE ONLY
- 1821 University Avenue
�° . _ - St. Paul,MN 551043383
"x°°�'' (612)642-0555
~ INSTRUCTIONS: 1. Submit request for exemptiorr at least 30 days prior to the occasion. ��'�1`����
r - 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 retum to the Board within 30 days.
-- . Organization Name � ��°µ��ff�+'""�'�a°V1O1�'��
CHURCH OF ST. THOt�S THE APOSTLE B-J129�-�J1
• Address City,County,State,Zip Code
2119 �tillwater Avenue 3t. Faul , R se.y, ;dinnesota 5 11:�
Chief Executive Officer's Name Phone Number Manager's Nam� Phone Number
Rev. Richard J. :+lolter 733-067? �� �� ' y' ,, 7<3_;�F?'
Type of Organization If Other Nonprotit Organization(Chec (7ne)
O Fratemal O Veterans ❑ IRS Designation
'��- - $] Religion � Other Nonprofit Organization ❑ Incorporated with Secretary of State
'�: ` ❑ Affiliate of Parent Nonprofit Organization
Name of Premises Where Activity wll Occur Datels)of Activity
� Church of St. Thomas the A�o�t1Q - Parki�i, Lot r�ugust ?3, 1;��7
�:
Premises Address
- . 2119 Stillwater A.venue, St. Paul, M�nne�ota 5�11 j
Games Yes No a Gcoss Receipts Value of Prizes Ezpenses Qrofit
:�, -
���, � � , x - ,� x
.. Bingo X 3 �� ,
� .� '��� w�'�}�R,� � � = ,� { �; ,���
�
,._ Raffles X :����� �Y�������� z�4�4�'" � s � � ��� ��� �� � �
� � �r c� tl�' i,,.�..'�'�� �.r a �. �`;,�,;,�'� ''s -� v �.-r� s�" F��y"�° r `t.f:r��,
��
l
� ��: 3'� `"�, � ' ;.y Y s 6..�w '��� � `� 'e�s� �'��.�-���, �' sm�y, �''�; �#^r :
� Paddlewheels �C �, � � �� � � ` � ��,��°���` �� ���� � � ��z � �,�� ���� �. ; �x ,�; �
: .� � �� �c�� . ��„`�Z,�,�,�� ��'� s w. �
�... ..., .�c, ,.+�,��-..„..-. a �3.. „ ."*-' �r,rc��'�;. �.a4:°< H,._s �?,' a,>�,%, r : ..r R .., , .'�'
- Tipboards X �� ���� �g�'�.�,� � ' 6 � �� x � , h�, ���� �,�; , � .
.. .. w �. �` x �»� � «?,,t �"�.,£vz� „ �..�� �"*'&�+�'�` �g,-'``��s*':�� �+�` ��`'*m.� y;«� -��, ,�'�� �''�;
.� . - �..,; ..,�'.a,n"�`fi ,�, ._ N ,..:< . � S ,;� ,4: s�
., .y+�. . . .x
x r .,
� - � ...�. �_:. �. .. , , s-r .. . ��
. ���,r,°��.<�� �+, �': a '�'^�e� .s ��5��; � �� � `�
Pull-Tabs X `�,��� ������ � > ��� � .,��� y.�=�
, � � ° .�;�` �. ��^ h * �x:".,..yu, � " =_s`:
�� � �, � �� � 5 � �
A'�'��k �,�� .'hp 9 ��'� t�'S�'q/
�T� u�a � .eK� :;;�^�.�� ���''� �4� ,� <i'"�.,R" �. "�`� rf
. n� ftZN1i�'` Sr '� �` M " �, L S%'•b Y rs: € 9.b- 4i. � • •
' � D�stributor s�icenae Na;
� � ;�a�� � �, � �� � �
� �����. ����� �����.��5., .�-f, '.� �r..��, � x Y �,:
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I affirm all information submitted to the Board is true, accu- .E;af��al��exa�ci�ii��cn�at}orr=sc�bmitted ta the BaaFC�i"s
rat c�complete. � ��.��'������+�P�� � �`'
�; � � � �.
� � � �
ti �.; �. �;�' � r>,a
f ,_-, y , _ :.. ,, .
Chief Executive Officer Signat�re Date f�is�Ei�rttwe�Sig�nrts�, �; bate
ACKNOWLEDGMENT OF NOTICE BY LOCAL GOVERNING BODY
' l hereby acknowledge receipt of a copy of this application. By acknowledging receipt,l admit having been served with notice
":��'� ' �� that this application will be reviewed by the Charitable Gambling Control Baard and will become effective 30 days from the
_,..-:_.
: date of receipt(noted below)by the City or County, unless a resolution of the local governing body is passed which specifi-
_�:;.��. _. cally disallows such activity and a copy of that resolution is received by the Charitable Gambling Control Board within 30
, days of the below noted date.
- CITY OR COUNTY TOWNSHIP
Name of Local Goveming Body(City or County) Township Name(Must be notified when County is the approving bodyl
,�.,� ' Cfty of 5t. Paui
Signature of Person Receiving Application Signature of Person Receiving Application
, Jas2ph Carchedi t :., a��
- Title � Dats fieceived Title Date
c
License Inspector 6/24/87
CG-00020-01 14/861 White—Board Canary—Board retums4o Organization to keep
Pink—Organizatio� Gold—City or County
� . � . . . . . ._ . � . . y . � , w
. . �.i�'� 1:: :i l. �z�Ti� ��.`_�i�����1�'"' _
♦ �
` 1'�1:rY:r:�y+i`I' QlT :l:vii:�Ci �i� i�ii:'r�=.i'::'.i:l :��,��r1�:�
, , �, � �zvlslo:r OF IS�E;1S� r:rm �:.,�t:ff� �ru:r�sT:A�OPI
Ii^Q�1:ATIC�i ��TJl�:.'�'�'.� ';�'":? p.P°LIC��ICP1 :'OR �T'iZ^�Si TO CC?�1DUCT GA:��IS.'G S�SSIOr' ;:+ ST. ?AUI,
1. ::a.-re oi ��roa.r.i.:ai�cn CHURCH OF ST. THOMAS THE APOSTLE CATHOLIC
water venue
2. Add:ess where Organization's regulax mestings are held St. Paul, MN. 55119
3. �ay.and time of �neetin€s '
!t. Adds�ess where Gamblinp Session will t�e heZd 2119 Stillwater Ave. & Parking Lot ,
�. Is aep�icant owr_er a� propertv arere Ga,a�bli_^.� Session �aill �e he'�': X Yes P?o
5. Il 1Pa.S�G� caho is owner of pro�ertq Frrere Gambl�n�- Sessior. �aill be ?^_eld^
_ 7. If leased, attach letter of pez:,ci.ssion to conduct Gar�blin€ Session, signec by lessor.
E. i:ame of officer :naI�no aFplication Rev. Richard J . Wolter, Pastor
9. Address of of�'icer ma.Iang agplication 2119 Stillwater Ave . Date of birth6-21_32
10. itame of riana.ger who will condt�t Ganblir� Session_ggv. Richard J. WolteZ'
11. �ddress of managsr 21� 9 Stillw��,er Avenue �2te of birth -21- 2
12. In connection with what event is this Gamblin� Sessioa be�r:g held?
ANNUAL FUNFEST .
.: _
13. ����at type of garibling device(s) wi.11 be used? Paddleyrreel Tipboard F.a�ffle X
Ilt. Dag, �ates and hours�_this appl�.cation,-is =or an� ;umb� of sessions.
Da�(s) SUNDAY Dates AU('rUST 23 Nours ��Pm t!o. of SessLans 1
15�.' `Fli7-1 pr:zes be paid in mane� or ?nerchandise? Money .
15. Is tY:e app?3c2nt association or�anized under tr�e 2aws or tke State of .�:innesota? Yes
!�
17. ' r:o�r long� r.as Crganization been� in existence? 3� years
18. ?•�'t:at is the pur�ose of tY:e Organization? Religious/Non-Profit
19. Off=cers of tr:e Organization '
P.ame-T.itle Address Data of birth
Archbishop John R. • Roach - 226 Summit Avenue St. Paul
Rev. Richard J. Wolter 2119 Stillwater, St. Paul 6-21-32
MARY PILLA 20�0 E. Magnolia, St. Paul
Lloyd Maus 2110 E. Orange Ave, St. Paul
2C. �i•re :a::�s o= ci;icers or a.� other �@:'�or.s ?.i:d fer se��ces to t:�e ^n-ar..'�za.ti,cr..
;;�rce�i�le :�ddress . �ate o? �i��h ` • , ,
NOT APPLICABLE �
21. In wrose custody will� records os Or�anization's Ga.�bl�r� Sess�ons be �evz?
i:�e Jeanne A. Potter address 230 S . Ki lin ,
p g #C-3, St . Paul
N.A. 22. Attach a copy of ;�our Organization's membersra.p roster and date each member joined.
23. Attach the �amblir:g Sessior. i•iana,��r's �ond.
2L. ;ttach a cor,y o` t.".e Lepa.rtment oi t::e ^reas���^,�, Internal 'enenue Se�ce "P�eturr_ oi
Orga:�zatio.^. �xe^:nt irom Incom.e Tax", ro:� 990. (Ct:apter LZ�.CL (1).;
��. nLL8Ct1 8. CCuJ Oi r°C22"y"18T1't OZ the m^e3S1L T� Interaal ?evenue Se^�T1C@� 't�'.:;e^tet Cr�an-
ization Business Inccne T_ak", For� 9�Om. ��:�ax�ier !.:19,0!� (2).)
_ 25. �ttach the a.�nual report ,required of c:.aritahle organizations by ,�.inneGota Statutes,
Section 309.53. (Chapter 1t19.0� (3). )
�27. F:ave �ou read and do you thorou�hlv understand the provi.sions of all la�.rs, ordinances
ar.d, re�ulations �overning the o�eration o� Ga�bl;n� �essions? YeS
2�:. . :�ny crzr�:-es des�^ed by the applicant assec�atior.. may he made only :a�th �he consent of
the I.i.cer.se Cocmnittee.
29. iias any person(s) participating in the operat�on of any of +.�:e ga.r�blin� sessior.s cov-
zred by this license ever been cor.v�cted of� a feTony.in tre State of I•i,�:nesoia or in
an,7 other S�ate or �ederal Court? Yes P10 XX . Lf ar:swer� is ";�es", prov�de
_ nar:es, addresses and birth-dates.
C RCH OF ST THOMA THE APOSTLE
� Orga ' tior.
- _ �
_ By .
_ ` (Of ic:.r-'"itle . c ar .
_ �a � � r��
,.-
��� � •-, ?- � f � 1,„ c ��';,�•
�.i�na� r �_. c..ar�e o_ a:^�b �. � s ' r.)
_ State ai ?�iinr_eseta) ' �' Sister Fran Donnelly, B�!
;SS
County of par,:ser ) � � _ �
RPV_ Ri�hard �T. Wolter an� Sister Fran Donnelly, BVM
beir.g duly swox:i sa� that �hey s~e t:�e petit'_eners in the abave ar,plication; that �hey hav�
read the foregoing pet�tior. and Tmow the contents thereof; that tr.e sa.me is �r�se o° �"e�r
ot�n. i�not�led�e. •
Subscr�ped and sworn � bei�re me *�'s
..��a� °=' 1°� . � _ �
JEANNE A POT�'ER
_ .�7 NOTARY PUBUG�.MINMESOTA
iiOt3Y'�' �llb'l1C COUSItV i�1i�A@SO Rf►MSEY COUNTY � ' �
� > > '- � My commission txpirea 12-13-88
:�fr,�' corL�nission PYpires. � . �
�uild.ir..� DepartZe�t Ap�roved Disap;;roved �v
.�i:e �e��rt:.ient !��proved �i.sa�p,oved _ b�r -
Police �epart�ent hpproved--Disar�rovea :g