87-1619 WHITE - CITV CIERK �
PINK - FINANCE G I TY OF S I NT PAU L Council /����JJJ ` /�
CANARV - DEPARTMENT �[ ����JlA - �
- BIUE - MAVOR File NO. �� � `
�
C un il esolution -�--�-.�,
Presented By �� � �
Referred To Committee� Date �
Out of Committee By Date
RESOLVED: That Application (I.D.#67318 for a One Day Gambling Permit (Bingo
and Raffles) by St. Ambrose hurch at 712 Burr Street on
November 13, 1987, between t e 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 �' Nays �
�licosia ln Favor
Rettman
Scheibel � _ Against BY
Sonnen
Weida
W11SOn NOV � � 1987 Form Approve b Ci ttor y
Adopted by Council: Date
Certified Pass C un '1 Secre BY
By
A►pprov y Ylavor: Date � Approved by M r f Submission to Council
By
PU8t.4SHED �y��'�� 2 i 1987
�
,
� � . .N° �11329 �
�.- . - - - - - -
. DEPARTI�NT -
_�r�=Sc�►�� �t�,l�e� CQPTACT NAME • �
��a�!- 5 05 Cc PHONE �
� Iv1�_�cI F-1 DATE
ASSIGN NUi�BER F4R ROtTTING ORDER: (Sea rever side.)
_ Department Director Maqor (or Assistant)
_ Finance and tianagemant Service$ Director 3 C�.ty Clerk
Budget Director � �o � ...�.'Q.��r �4..
� City Attorney _
�OTAL NUMBER OF SIGNATURE PAGES: (Clip 11 locations for signature.)
iT V C ? (Purpose/Rationale)
I l�_ 1.��1�..��.�. ' w�. I� .
� � � ��� �o� � � ��� w
� � a.�,�'I,l � �. o �� .
....� �. � �
CO T
` �1�
I C O V B GE D:
(Maqor's signature not required i� under $10, 00.)
Total Amount of Trans�ction; I(��A� Activity Nwnber: I(�`tR
Funding Source:I(�1r�
ATTl,CHMENTS: (List and nwnber all attaehmen s.)
^��� �
����'� "`"'
�� .��� .
ADI�IINISTRATiDE PROCEDURES � �-
_Yes _No Rules, Regulations, Proced es, or Budget Asnendment required7
Yes _No If yes, are they or timeta e attached?
DEPARTMENT REVIEW CITY ATTORNEY REVIEW
�!Yes �o Council resolution required? Resolution required? �'Yes _No
_Yes No Insurance required? Inaurance sufficient? ,_Yes _No
' Yes �o Insurance attached? '
. � � �7--/l�i�'
�- .
T�IVISION OF LICENSE AND PERMIT ADMINISTRAT ON DATE ��� � 19 I �s'� � �.��t`�_t�
INTERDF.PARTMFNTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
ar
Applicant �{ . "N rv�,�(j �U3r, h�;� Home Address '� � � �rc��,,,�
Rusiness Name S� ���� Home Phone ���� -3 ���
Business Address '� � a ��.,`r� S-� Type of License(s) Qn�� �y,,��j.
Business Phone _� �(� - (�C��� �j -e��� � ��, y����,
Public Hearing Date � ±� ��+ ;,,;��;'� License I.D. 4� �D '"�� � �
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. 4� ��
llate Nutice Senx; � r� �� 1 Dealer 4� I'��/�
to Applicant ��,� 5�37� ,� �.�
Federal Fi_rearms 4� i� iA-
Public Hearing
DATE IIvSPECTIO
REVIEW VERFIED (COMPUT R) CONIl�IENTS
A roved Not A roved
Bldg I & D �1 A I
Health Divn. '
�� � !
� .
Fire Dept. �
� � \� f
� �
Police Dept. I
� `�
License Divn. ,
������ I � � � �
�� ���c�
City Attorney � �
� �� i
Date Received:
Site Plan 'n l�
To Council Research 1�� � � �7
Lease or Letter t Date
from Landlord r�1 �'
� �
--���s--,�,.:+ y_��.��-t_ l� l 0_?<'`t
s} �: _ , � � (����i�' _.
. .�, --- � . —
Minnesota Charitable Gambiing Control Boa LAWFUL GAMBLING EXEMPTION
� Room N475 Griggs-Midway Building
��' 1821 University Avenue FOR BOARD USE ONLY
- St.Paul,MN 551043383
��°�'���� (612)642-0555
INSTRUCTIONS: 1. Submit request for exemption ai least 0 days prior to the occasion.
2. When completing form, do not compl e shaded areas until after the activity.
3. Give the gold copy to the City or Coun y. Send the remaining copies to the Board. The copies will be
returned with an exemption number a ded to the form. When your activity is concluded; complete
PLEASE TYPE the financial information, sign and dat the form, and return to the Board within 30 days.
Organization Name N ber of Members license Number lif currently or previously
T tl e C h u r c h 0 f S t . A m b r o s e 4 f' S T. . �3 U � S �Q(; licensedl and/or permit number. � ',r'i y 1
� Address City State Zip Cou�ty
711 Bra�lev St. �� ?at� l ''"! =h !t.i ��3^�t��
Chief Executive Officer's Name Phone Manager's Name Phone Number
Thomas :i. Pinc�atore Pas;cr � t�t�� �''�:-�'�� �:�a; :,,-,.i � �?�, �i- ' '7
Type of Organization If Other Nonprofrt Organization ICheck One and attach proof of nonprofit statusl.
❑ Fraternal ❑ Veterans ❑ IRS Designation
L� Religion Y ❑ Other No�profit,Organization ❑ Incorporate with Secretary of State �
Attach proof of three years existence. ❑ Affiliate of Pareni Nonprofit Organization
Name of Premises Where Activity Will Occur Datelsl of Activity,drawing(s)
St . :i�;orose Ch�r�h �`,�„„���, � �
Premises Address City State Zip County ' , -
7�.�. t�I.!1"1" 5� �t . .:1b ,. . ., !_ � .;tixi.::i" - ..1
� .,, , �.�
� � �
�- ° ,�;,
� �„�,: �
Game Yes No ; , " �:���: � _
Bingo x
Raffles X
Paddlewheels
.� �
Tipboards �-
, �. �
. _s.._ � . . : '�.��s3w,:.
� �s "� ��
Pull-Tabs � ��� � ��� ��;
� �..:. ' � �� „ �� �.a�
Use of Profit __ .
To St. �m�rrvse Church for ch�riLa� i � �= r� licious s�rviL�s.
� � �����
� ,�� ,�� �
. .
� �,
' ,`� ���
,
W �
- _ , ,. .... , �. ..� .. , .._. , ,,,. - ,u ,. .. . w...rh.... , � .,:,,.:e- t. 3
, ... . ,;.., , - , .
I affirm all information submitted to the Board is true, accor- �� � ,`"'`` � � ��' � �'
ate,and complete. ' '` � ! ��" �`�� �,��y �
` " �` ; .- >. ... _���, � � ,� � �k���
, .
� , -� , �- �, �
+' �l J�, /!!"' �,����`�- , , "� �;��x�� � �� z�,�.,�,
. , �
' '�iti�.!..ti1,.+ �; •��� .�,:�✓f\C"'�' ,� !� � . ��� ,:. ,«. ',x-<,.. n �,s� ��s :� s d ""�4,�,,"� n. +s�' �
Chief Executive Officer Sigrtature '�Date � �"�'� ��„��°' � �;;p��„ „� °���` �,�?C1�L�°�
ACKNOWLEDGEMENT OF NOTI E BY LOCAL GOVERNING BODY
I hereby acknowledge receipt of a copy of this application. By cknowledging receipt, I admit having been served with notice
that ihis application will be reviewed by the Charitable Gambli g Control Board and will become effective 30 days from the
date of receipt (noted below) by the City or County, unless a r solution of the local governing body is passed which specifi-
cally disallows such activity and a copy of that resolution is r ceived by the Charitable Gambling Control Board within 30
days of the betow noted date.
CITY OR COUNTY TOWNSHIP
Name of Local Goveming Body(City or County) Township Name(Must be notified when County is the approving body)
:, '._
Signature of Perso�Receiving Application � Signature of Persan Receiving Application
� Trtle � Date Received Title Date
. ,
CG-00020-01 (6/87) White—Board Canary—Board retums to Organization to complete shaded areas.
Pink—Organization Gold—City or County
,'�;"
.� + /� /y
. �,. . , V"
' vI i� li�' J�:. 1�il,TiT,a L' 0 / �/�/ /
.. i7�:rr"�.T2•�.yiJT OF rT?v'A�iC: AI?J tI�'iiirG:.,A�I'T JL�VICES
DIVISIOiI OF LIC.�I1Sr, P"R�lIT �MIP;IST�ATIOPT
I21r^OF�"f.ATICN �'C,UI� T;1ITF? Ar°�Ce�TIOPd FOR ?s' '�Si TQ CC?�;DUC':" GA:�`.E�T,IilG SESSIOrt T:d ST. PAIIL
?. P;a.r,:e o� Organization St . Ambrose hurch
2. Address where C'�ganiaation's re�ular me t�s are held �12 B u 1^r S t . , S t . P d u 1
3. Day and time of :�eetings A S n e e d e d
1t. Addrsss where GamblinP Session will he eld 712 B u r r S t .
�. Is a�p;.icant owner of property where G blin€ Session will be he?G? X X Yes �To
6. If leased, wno is owner of prooerty wr.e e Gambi in� Sessior_ T.�rill be r.e�a�
7. If leased, at�ac:� letter of permission o conduct Gar�b?in€ Session, s=gned by lessor.
8. Name of officer making application T h o m a s J . P i n a t o r e P a s t o r
9. Address of officer maI�.ng application 71 1 6 r a d 1 e y, S t . P a u 1 Date of birth 1/2 0/8 7
10. 1`�ame of mana.ger who will cond�act Gambli Session S a m R u 1 1 i
L. �ddre s s of mana.ge r 7 7 3 M a r y 1 a n d . S t . P a u 1 , M n Date of birth 8�9�2 9
12. In connection with what event is th�s G bling Session beir.g held? Fa 1 1 Fest i va 1
13• jy'hat type of gar.ibling device(s) will be used? Paddlewr.eel Tipboard F.aff'le X X
11a.. �ay, dates and hours this application i for and number of sessions.
Day(s) Fr i da v c�ates 1 1 13 $7 Hours 7pm-i lpm No, of Sessions One
i5. `+1i?i prizes be paa.d �n money or merchan ise? B o t h
l5. Is tY�s applicant association organized dar the laws of the State of :�:innesota? Y e S
17. How long has Cr�anization been i:� exist ce? �5 ye d r 5
1&. `r�'hat is the oux�nose oi tY:e Orga.nization. Re 1 i g i o u s
19. Officers of the OrgarLization
i3ame-Title ddress Date of birth
Archbishoq John Roach 226 ummit St . Paul
Thomas J. Pingatore, Pastor 711 radley, St . Pau1
I�att Morelli , Secr . 418 ohnson Pkwy, St . Pau1
v; � TP�iescn _ Treas . 2178 larry Ho Dr .
!
. - . ���=i�iy
>0. Give nau:es of ofiicers or ar�y oiher pers r.s pai.d for sez�vices to the Orga.-iizatior..
Name-Title Address �ate o£ birth
None
21. In wrose custods *aill records of Orgaziz tion's Gambling Sessions te kept?
:dame Thomas J . Pingatore A ess 111 Bradley St . , St . paul
22. tac a �ur tion' . er.�.ip- ster -d�ate ��h�rtembe�e�ned.�
23. � L. Gam �_ . i i`ian e
21�. A ta a copy oi the Department of the T e�-�r�Inter��1. �even " urn of
niz �'ac�ii�m'Tncorr ,�i;�'r'o 990. (c z�ter i�i,. � (].).)
25. �ttac� a co�y of De�a:tnen;, ofit�T� \ , Inte -��evenu ..ervice, ' a�w�nt-Sr`Pan-
i�z ion us' Tax , Form 9°OT. er I�19.0 2). )
26. ���ach the ual re �equ��sd of 'ta � oe r�aniza�tons byii3r:neso�a„�tattt�e�s;-
Secti 09.53. apter �9.0l� `�3� `�'
27. N.ave �ou read and do �ou thorouFhlv unde star.d the prov;sions o�' all la�rs, ordinancss
and regulations �overning the operation f Gambling Sessions? Y e S
28. Ar�y chan.�-es desired b� �he appl�cant ass ciation may be made or.ly wi.th �he consent o�
the Licsnse Committee. �
' 29. Has any person(s ) participating in the o eration of any of the gamblin� sessions cov-
ered by this license ever been convicted of a felony in the Stata of i�iinnesota or in
az�y other State or .�ederal Court? Yes No No . Ii answer is "yes", provide
r.ames, add�esses and birth-dates.
� St . Ambro Church
g aniz.ati on
. �
By �
(0 fic�'itle
� �
an �' : �
(I ager in c!-:arg r C b1in� Session
S tate o£ 23innes ota)
)SS
C ounty of ?.,ans ey
a
� �. ana �ur �`"�'(�,- S �► G � , �
ceing duly sworn sa� Lhat tney a:,e t'ze petiti ners in the above a�plication; thai �he? have
rsad the foregoing pet�tion ar.d T�ow the con nts thereof; Lhat tY�.e same is t�e of t�:e�r
owr? �n.owled�e.
Subsc, r/�'bed and s rz to before r�e � �
__�____day af /
-T ���j*
,
'.v Ot 8.I'�f � 1• J' .vaY���'j�`_ , t2
'.•fy c orimi s si on ��.;�$�. �i, '^,�,�ry,��'' f
.I�.Yi.:����'.T~.. , ^�a
f�� •� �' �Zt�`��1.�'���•
Bui.lding �eparr:��ii�y�"ap',�o�ted Disappro ed by
Fire De�art,� nt `��;=4�pp:oved ?isap�ro ed by
Police Departmeni ADproved—'—Disappro ed—oy
. - �-.���f�
-------------------------------- AGENDA ITEM =_______________________________
--------------------------------
ID#: [430 ] DATE REC: [11/02/87] AGEN A DATE: [00/00/00] ITEM #: [ ]
SUBJECT: [1-DAY GAMBLING PERMIT - ST AMBROSE CHURCH - 712 BURR ]
STAFF ASSIGNED: [NONE ] SIG:[SCHE BEL ] OUT-[X] TO CLERK [ ���
ORIGINATOR:[LICENSE DIV. ] ONTACT:[SCHWEINLER - 5056 ]
ACTION:[ ]
C )
C.F.# [ ] ORD.# [ ] FILE COMPLETE="X" [ ]
� � � � � � � � � � �
FILE INFO: [RESOLUTION/CHECKLIST/APPLICATION ]
[ ]
[ J
-------------------------------------------- ---------------------------------
-------------------------------------------- ---------------------------------
R�'
,��� 4
� �
�o �
./qM£S��MA�
£�eE�,