87-1387 WHITE — CITV CLERK
PINK — FINANCE GITY OF SAINT PAUL Council c�_J���
CANARV — DEPARTMEN7
BLUE — MAVOR . F�IC NO. �
1
Counc 'l Reso ution
� . ��
Presented By �
Referred To �ommittee: Date
Out of Committee By Date
RESOLVED: T'hat Application (I.D.#35790) for a One Day City of St. Paul Gambling
Permit (Paddlewheels, Raffles, Tipboards, and Pulltabs) applied for
by the Cathedral of St. Paul at 225 Summit Avenue on October 4, 1987,
between the hours of 12:00 Noon and 4:00 P.M be and the same is
hereby approved.
COUNCILMEN Requested by Department of:
Yeas Drew Nays
Nicosia
R�ttman In Favor
Scheibel � By
�_�,__ Against
��
Weida
V�ilson �+r
Adopted by Councii: Date `�CP 2 2 �S7 Form Approve y City Attorney
Certified Yas• y ouncil S et BY
By -
� f'+ tn
t#pprov y Mavor: Date `�� L 4 ID�7� Approved ayor for Submission to Council
By
V"�p��'<�� .�'e" . . . . . i:�� .
�:. � C,�- �7 ����
''DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE
INTERDEPARTMENTAL REVIEW CHECRI.IST
Applicant ��,;��rA,� U� S��� Home Address _��(,(� �1j�(�.�,1(,�f '�-���
Business Name S . ,,,,,� Home Phone (04� � ��(��
Business Address aa,5 �,,i„r,m��I�v. Type of License(s) ` �� C'�,�
Business Phone o2oZ_�(� ��l(..P� ��,n � �h . ��l"n i"�-
Public Hearing Date 2Z � License I.D. # ��'1�(aj
at 10:00 a.m. in the Coun il Cham ers,
3rd Floor City Hall and Courthouse State Tax I.D. # ��
REVIEW DATE DATE INSPECTION
APPN REC'D VERFIED COMPUTER CO1�II�IENTS
ved NOt
Housing & Bldg . �
Code Enforcement ' �
Public Health . �
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Fire Prevention �
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Police , �
� �-C.SG i
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City Attorney �
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ENS . �
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300 Foot Notice I
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License Inspector's Comments:
I HAVE BEEN GIVEN A COPY OF THIS NOTIFICATION AND UNDERSTAND THAT MY ATTENDANCE AT
THE PUBLIC HEARING IS REQUIRED.
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CURREDTT INFORMATION NEW INFORMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Current Officers: Insurance:
Bond:
New Officers:
Stockholders:
o.�,.�...«�...__... .,...�.._ ... � � _Y�.� �....�c-... ,.-_. .....-..—.w - �-� . ..."' _ ^ . � .... �- .. . , . ... . .. - . '� /�� ��" -
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� � Minnesota Charitable Gambling Control Board LAWFUL GAMBLING EXEMPTION
_.::��,..
Room N475 Griggs-Midway Building FOR BOARD USE ONLY
� `�'�� 1821 University Avenue
- = St. Paul, MN 55104-3383
. '�':....:�' (612) 642-0555
INSTRUCTIONS: 1. Submit request for exemption at least 30 days p�ior 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.
Organization Name License Number Ilf cunently w previauH licensedl
Cathedral of St. �aul
Address City,County,State,2ip Code
23� Selby �ve. �t, P�u1 ��N 55If�S �51�?_
� Chief Executive Officer's Name Phone Number Manager's Name Phone Number
Rev. .4mbrose I�iayden 223-L766 3o..n �3. �outnit v98-7 i�J3
Type of Organization If Other Nonprofit Organization(Check One)
� ❑ Fraternal ❑ Veterans ❑ IRS Designation
�] Religion ❑ Other Nonprofit Organization ❑ Incorporated with Secretary of State
❑ Affiliate of Parent Nonprofit Organization
Name of Premises Where Activit Will Occur Date(s)of Activity
Cati-�edral. o� S�. Paul (l��aAr 1�L�¢I) 1f�-4-�7
Premises Address
. 225 Su�.�it Ave, 5�. Pau1 i.:�� 5S1U2
Games Yes No Grass:Receipts Value of Prizes Expenses` Profit
Bingo
Raffles �
Paddlewheels �
Tipboards �
Pull-Tabs �
use aF F�ofit.
Distributor From<Whom Gambling;Equipment Acqui�ed. , Distributor's License No.
I affirm all information submitted to the Board is true, accu- I:affirm all financia! information submitted to the Board is
rate, and complete. true,accurate,a�d complete.
`(���_ '���� �' �.F��,`:��, 'i; : r%�
Chief Executive Officer Signature - �" V ' Date Chief'Executive Officer Signature " Date
ACKNOWLEDGMENT 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 will become effective 30 days from the
date of receipt (noted below) by the City or County, unless a resotution 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 Governing Body(City or County) Township Name(Must be notified when County is the approving body)
. �lty 0` J�. �3U�
� Signature of Person Receiving Application Signature of Person Receiving Application
�i
Title Date Received Title Date
Li canse ins�ect�r :i 2+/-?J
CG-00020-01 (4/86) White—Board Canary—Board retums to Organization to keep
Pink—Organization Gold—City or County
� CIT? OF ST. P�UL /� 7
DEP.�.R.T:�T��T OF :"ITdr�I;CE isIID i�fAPIr,G:�.'��tTT SL'_�.VICES (.'� �7-/`�j
. � , DIVISIOPI Or i�IC��1Sr, �]D PERMIT ADrffPdIST3ATI0PT
� I�r OFu�1ATICN �`,�UI� ?•�iTH �.P°I.IC;�TICt1 r OR ?'"'�''"ST Td i,CA�UCT GA'•�3LI''tG SESSIOT: ?;�? ST. PAUL
1. P��ame oi Organization Cathedral of St. Paul
2. Address where Organization's regular meetings are held 239 Se 1by Ave.
3. Day and time of ineetings �v% ����^�l L /��li
1�. Address where CamblinF Session :�ri.Il be held 225 Summit Ave - Lower 1eve1
5. Is a�plicant owner of property ��rhere Ganblia� Session t�i.11 be held? Yes_ � P?o
6. If leased, who is owner of pro�ertp wr,ere Gamblin� Session T.aill be held'
7. I£ leased, attach letter of permission to cor_duct Gar�blin� Session, signed by lessor.
8. Name of officer maId.ng application
9. Address of officer mak.ing application John D. Douthit Date of birth 4-14-20
10. 1`dame of r�anager who will conduct Gambling Session Same
11. �ddress of mar.ager 1902 Berkeley �Ave, St. Paul 55105 Date of birth
12. In cor�ection with what event is this Gambling Session being held?
39th Annual Fall Festival
13• ��1hat type of ga.r.ibling device(s} will be used? Paddlewreel X '?`i.pboard X P.a.ffle X
I1t. �ay, dates and hours this application is for and number of sessions.
Day(s) 1 Dates 10-4-87 Nours 12 :00-4 :OOP lro. of Sessions 1
15• 1�1i11 pi^�zes be paid in mone� or �erchandise? both
16. Is the applicant association organized under the laws of the State of ���innesota? Yes
--�
17. How long has CrgarLization been in existence? ��/�-1J
18. �r,'hat is the purt�ose of the Organization? �F L '
19. Officers of the Organization
P1ame-Tit1e Address Date of birth
20. Give na,�:es of oificers or ar�p other persons paid for services to the Organization. ��.�/�d,7
, . , ._ . Name-Title hddress �ate of birth
. . _ , ` /'/ON E
21. In whose custody will records of arganization's Gambling Sess�ons be kept?
iJame �/-,' T�/E(�fl ��- Adc�se s s
22. Attach a copy of your Organization's membership roster and date each member joined.
23. Attach the Gambling Session �ianager's bond.
2l�. �ttach a copy of the Depa.rtment of the Treasur�, Internal �evenue Service "Returr of
Organiaation �cempt from Income max", ror:n 9°0.. (Chapter 1�19.OL (1).)
25. Attach a co�y oi Bepartment of the Treasury, Internal Pevenue Service, "�'xempt C�'�an-
ization Business Income Tax", Form 990T. (Chapter 1t19.01� (2). j
26. Attach the annual report required of charitable or�anizations by i�tinnesota Statutes,
Section 3�9.53. (Chapter �t19.04 (3). )
27. Have you read and do you thoroughly understand the provisions of all laFrs, ordinances
and re�ulations governing the operation of Gamhlir�; Sessions? /,� E S
28. Any chan�es desired by the applicant association may be mac�e only with the consent of
the License Committee. �
29. Has any person(s ) participating in the operation of any o£ tre gambling sessions cov-
ered by this License ever been convicted of a felony in tre State of I°Iinnesota or in
any other State or rederal Court? Yes No �C Ii answer is "yes", provide
names, addresses and birth-dates.
Organization
By
(Officer-Title
and ^ ,
(I�Ian r in charge of �ambling Session)
State of I�innesota)
)SS
County of Ransey )
�ah n � �6 ��-�� �- an� �
being duly sworn sa� that they are the petit�.oners in the above aoplication; �hat �hey have
read the foregoing petition and Trnow the contents thereof; that the same is +r�ae of tre�r
oc�rn ?�no«ledFe.
Subscribed and sworn to before me tr.i� � �,,
�_day of �- 1°� �'"�` �RISTi��lA L. SCHWE!Ml.�� s
( '`-fr.i::� i:Li:'.�y nllgl:!:—'�11"!'1�S^�',
� '-� ` � \, i l ;G':"�a f;=a „iJ.2. 2 �
Notary Public,�(�.vi-c�_ LIQ...1`�4� 'r1T1Z1@SOt2. • , � . �/•I.P/�.r .�...^.lf.r�'F4'�•\/L�1.".^n% �
i•fy commission expires �,� ,o �cG�
Buildir� Depar�:�ent Approved Disapproved by
rire Depart�ent Approved ,�isa�proved by
Police 'Jepartment Approved-�isapproved-�y