87-1686 WNITE - GITV CIERK - .
PINK - FINANCE GITY OF SA �NT . PAITL Council�
CANARV - DEPARTMENT
BLUE - MAVOR - � F11C NO• � /��
1
, un il R solution
� _ _
Presented By
Referted To Committee: Date
Out of Committee By Date
RESOLVED: That Application (I.D.#82445) r a One Day Gambling Permit (Raffle)
by Minnesota Landmarks at 75 W. Sth Street on December 1, 1987,
between the hours of 12:00 Noo and 4:00 P.M, be and the same is
hereby approved.
COUNCILMEN Requested by Department of:
Yeas „�_ Nays �
Nicosia [n Favor
Rettman
Scheibel b� Against BY
Sonnen
Weida
WilsOn �v � u �987 Form Approv d y City Attorne
Adopted by Council: Date �.
Certified Passe o ncil S creta BY
By
A►ppro by iVlavor. Date � NOV 2 a,�7 Approved b yor for Submission to Council
By
P�l�.;�`'�� . ;� . _ � '%
� Fi;nance,& t ic D�PQ�TI�ENT _. . ��/�� 11T° 0'�289
ManaQSr�en serv es
Kris� Sclzweinler �i, CONTACT
298-5056 PHONE .,
� .,
Novenbe.r 10, 198? ` DATE � � .Q�
ASSIGN NUNBER �OR ROWTING ORDER Cl i A11 Location for Si nature <: �
Departmen� Director Director of Management/Mayor
Finance and Management .Services Director � � City C1erk;
Budget Director � Council i2�..search . - - .
1 City 14ttorney .
WHAT WILL BE ACHIE�IED BY TA�CING ACTION .ON THE ATTA HE�D MATERIALS? (Purpose/ _ .
Rationale) :
Sandy Sc�rtzb�auer, on beha].f of Miiv�esota k, is requesting ap�roval of their .
application for a C�e Day Ga�nbling PP,�nit (x�af le) t� be held on Decsnber 1, 1987
betw�n the hcyurs of 12::04 �noon. and. 4:00 p.m. t the Ia ' rk Center, 75 West 5th Street.
'1'he manager w�11 be Theresa I�oehriah. The p eeds w311 be. used for ac�nissicm free
activities to �tt�e pnzblic at the Lar�ark �n such as ccmcerts, ethnic festivals, and
exhi.bits.
GOST BENEFIT BUDGETARY AND PERSONNEL IMPACTS ANT CIPATED: '
N/A
FINANCING SOURCE NVD BUDGET ACTIVITY NUMBER CHARG D OR CREDITED: (Mayor's signa-
tare not re-
Total Amount of"Transaction: N/� quired if under
� � $10,00Q) .
Funding Sour�e: N/� _
Activity Number: N/A .
RTTAGHMENTS (List and Number All Attacl�ments) :
�t C�eaklist
Re.�o3.uticui � -
��l:��w.-F-t',�,.�. , :
E�PARTMENT REVIEW CITY ATTQRNEY REYIEW
✓ Yes No (.buncil Resolution Required? ' Resolution Required? ✓ Yes No
Yes TNo Insurance Required? Insurance Sufficfent? Yes No
Yes � No Insurance Attached:
, , . . . .
(SEE •REVERSE SIDE FOR I STRUCTIONS)
Revised 12/84
...�.
, � .� �����
Mmnesota Charitable Gambling Control Board LAWFUL GAMBLING EXEMPTION
Room N475 Griggs-Midway Building � ,
1821 University Avenue POR BOARO USE ONLY
,��, - St. Paui,MN 551043383 ` ,
-. �.......'� (612)642-0555
,
INSTRUCTIONS: 1. Submit request for exemption at least 3 „days prior to the occasion.
2. When completing form, do not complet shaded areas until after the activity.
:�3. Give the gold copy to the City or Count Send the remaining copies to the Board. The copies will be
`' returned with an exemption number ad ed to the form. V1�Ihen your activity is concluded; complete
PLEASE TYPE the financial information, sign and date he form, and retur to the Board within 30 days.
Organization Name Num er of Members License umber(if currently or previously
licensedp and/or permit number.
M
_ Address City State ' Zip County
404 Z,anBmark Centez', ?5 4P. Sth St. �t. P uI `�!Pt �Slf?2 Ra�.sey
Chief Executive Officer's Name Phone anager's Name Phone Number
, Sandy;Schwart�bauer , ,_.}. �iI2 � ::92—�23� i �
�L_-;: ,.. . . . _. . -.. _, ..
Type of Organization I Other Nonprofit Org�izatidn ICheck One and attach proof of nonprofit statusl.
❑ Fraternal ❑ Veterans - IRS Designation
0 Religion 4 Other Nonprofit Organization ncorporate with Secretary of State
Attach proof of three years existence. Affiliate of Parent Nonprofit Organization
Name of Premises Where Activity Will Occur Datelsl ot Activity,drawinglsl
Landmark Center "ov. ]'i�''.rr� '_
Premises Address City State Zip County C:�Z'�.W ^QC. il
� � 75 �i• 5�.1�^7..�1t. �J'�'. P$tli t�.�`: r�Z'J� ?�aI'!S�'E� �
. .. '
.�*... .. . .
... .. ,,.,.. .,.. , , .>. ... .. . ....:.. . ., . ,.,, �
�e'�%� - ,_„ , . . �,.. . _..
. -„ ,.., - r , ,:r ,.3
�,�,, Game Yes No .., ,. ,.� �
Bingo
�;:�:�:, Raffles. � ,
; �
Paddlewheels
Tipboards
Pull-Tabs � �
�
' Use of Profit
, LTund free activities far pnblic at Landriark _ atex sucr as concerts, Pthnic festival.s, �xri::�tts
m��
, .�
� :--,_:
. � ,�, . ,- �.,;;;� -x ��� _��„�°�.,:; ,. »�.��:. . ".G ._ '
_ I affirm all information submitted to.th�Board is true, accor-
ate, and complete. . ��
h � _ � � �
�`'yti���- .� . , r .. • : , �.oi,,,,�, '.PC.--� . .. _ ��Y�i.. � � �'.
, . : _,. . . . . ... � .. ,.. ', �:; _ �' .
Chief Executive Officer Signature Date 1z ,,, °,� � � ;� , ;. �a. , �'�
ACKNOWLEDGEMENT OF NOT CE BY LOCAL GOVERNING BODY
� I hereby acknowledge receipt of a copy of this application. B acknowledging re�ceipt, I admit having been served with notice
that this application will be reviewed by the Charitable Gam ling Control Board and will become effective 30 days from the
�:.: date of receipt (noted betow) by the City or County, unless a resolution of the Iocal goveming body is passed which specifi-
��,;, cally disallows such activity and a copy of that resolution i received by the Charitable Gambling Control Board withi� 30
_ days of the below noted date.
CITY OR COUNTY TOWNSHIP
Name of Local Governing Body(City or Cou�ty) Township Name lMust be notified when County is the approving body)
W�-
- Signature of Person Rec�e}.,iving Application Signature of Person Receiving Application
� �'� . R M . . "
TtleJ Date Receiv Title Date
_ - ,.,
c
CG-00020-01 (6/87) White—Board Canary—Board returns to Organization to complete shaded areas.
Pink—Orga�ization Gold—City or County
�
�.
CI� OF ST PAUL
, , , DEP.4RT1•ti"sJT OF �'�II3AtiCE A1 i•IA�I�.G�IE2TT Si?�VICLS �'�7����
� 'liI�''��.IOP� OF �IC�dS� �1ND ERMIT �DMIZ�?IST9A'I'IOPt
' . . ^rt�...�„�
ITdFORMATION �'CUI� i,•JITH APDLICt1TI0Pt FOR PT'i?.t�'S TO CCl�IDUCT GAi�',I3�bI:TG-�r�Ss�IOt�' �*j ST. PAUI,
1. t��ame of Organization Minnesota Landm rks -••^; �^- ^^ a'� i1: '=^
2. Address aln�-c3zgarazatiar��-r�ga.tar -ar�-h�h� 404 Landmark Center, 75 td. 5th St.
MN Landmarks is a non-profit corporation hat manages an programs an mar en er
3. Day-a�-ti7ne-vf-:nectizr�s
!�. �,ddress where Gamblin� Session :rill he he d 75 41. 5th St. , ST.Paul
5. Is aoplicant owner of propert� Where Gamb ' Session �rill be held' °es XX `To
6. If leased, who is owner of pro�erty where Gamblin� Session �ai.11 be held?
Landmark Center is owned and maintained y Ramsey County
7. If leased, attach letter of permission to conduct Gambling Session, signed by lessor.
staff
8. Name of aP�tc�r maIfl.ng application Ther sa Roehri ch
9. Address of ot�i��i'-maFang application 40 Landmark Center Date of birthll/21/60
staff
10. ;Iame of manag'er-wFo will conduct Gambling Session Theresa Roehrich
11. Address of ma.na.ger 404 Landmark Center 75 W. 5th S . Date of birth�1/21/F.0
I2. In connection with what event is this G bling Session being held? Landmark
Center Holida Center iece Nov. 27 - De . 1
13• ��l�.at type of ga.r.ibling device(s) will be ed? Paddlewheel 'I�pboard F„affle�,_
1.I�. Day, dates and hours this application is for an� number of sessions.
,�,.5- �a-.00z.�� �o�.� one drawinc!
Day(s)/� 1 Dates D�. !�=Dec 1 �_ours a11 day P��o. of Sessions Dec. 1
15. `�i11 prizes be paid in money or merchand se? merchandise '
16. Is the applicant association organized der the 1aw5 of the� State� of ?rinnesota? y�s
17. How long has Organization been in e�dste ce? 15 years
18. T+dhat is the ourpose of the Organization? To r�ana e and ro ram Landmark
Center.
19. Officers of the Organization
P1ame-Title Address Date of birth
� ��a���
2Q. Giye na�es of officers or ar�p other persons aid for services to the Or�anization.
• � 2dame-Title �d ress �ate of birth
21. In whose cv.stody will records oi Organizatio 's Gambling Sessions be kept?
��e JanPt P�ri saau - hnnkkaanar �d.='ess
�
22.. Attach a copy of your Qrganization's members .ip roster and date each �nember joined.
23. Attach the Gambling Session �Sanager's bond.
21�. �ttach a copy of the Department of the Treas , Internal �evenue Service "RetUrn of
Or;anization ::xemgt fro�a Incame Tax", r orm 9,0. (Chapter Li1.9.01t (I).)
25. Attach a copy of Department of the Treasury, Iaternal Fevenue Service, "Fxempt Or�an-
ization Business Income Taxr', Form 990T. (C apter l�19.04 (2). }
26. Attach the annual report required of charit le organizations by i�3nnesota Statutes,
Section 309.53. (Chapter l�19.01� (3). }
27. ::ave you read and do you thorou�hlv underst d the provisions o�' all laws, ordinances
and regulations governin� the operation of amhling Sessions? Yes
28. �r chana-es desired b� the appl�cant associ tion may be ma�e only *aith the consent of
the License Committee.
29. iias any person(s ) participati.ng i.n the oper tion of an� of the gambling sessions cov-
ered by this license ever been convicted of a felony in the State of i�innesota or in
any other State or �ederal Court? Yes No XX . If answer is "yes'T, provide
names, addresses and birth-dates.
Minnesota Landmarks
�nnnnnnnnn.•,nnn,�nn,v,�.^.nnn?.r.;, ,-, •,.,�.nn■
Org a 'z a 'on
` ;.c�""w.. DF�NIEL P. ALLEN •
<:,z..-=,� ,y, R� fL�
�,'tt;�:s� NOTARY PUBUC-M1Nkf50TA
�•` � HF.NNEPIii COUNTY (Offi �r-'"itle
; �n,
� MY Comm.Expires Apr. 11,1990
t
•vvwwvWwwWwWVWVVVVWWWW•
and
(I�ian er in charge of Camblin� Session
State of i�innesota)
)SS
C ounty of Rans ey )
Sandy Schwartzbauer and heresa L. Roehrich
being duly sworn sa� that they a:,e the petit�one s in the above a�plication; that they have
read the foregoing petition � Tmow the content thereof; that the same is '�rue of treir
own Trno�aledee.
Subscribed and sworn tq before me t�.i�
Z? �- day of C c,�'�b e t� 19�7
o��,Q�?C�2u.�,
i�otary Public, County, i�linnesota
�•fy co�mission expires
Building Depart�ent Approved Disapproved by
rire Department Ap�roved ?�isa�proved by
°olice Department A�proved—'—Disaporoved y
. . ������
. DIVISION OF LICENSE AND PERMIT ADMINISTRATIO DATE << � lo � �6`1 � �l � (���
INTERDF.PARTMENTAL REVIEW CHECKLIST Appn Processed/Received by
Lic Enf Aud
Applicant �,������,y����J ome Address �(�L� �-yy�c.�,��,c,a C�,
"15 w • �-+�S�-
Business Name �� ome Phone �c�a -3a3c7
T
Business Address `�5 � j� S-� Type of License(s) l ��„�, ,��b �
Business Phone a�a _ 3.�3C� � d� .
Public Hearing Date �� � License I.D. 4�
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. 4�
llate Notice Sent; � `_���'� � ealer 4� j�1 �
to Applicant J��Id
Federal Firearms �� n �-
Public Hearing
DATE INSPECTION
REVIEW VERFIED (COMPUTE ) COMMENTS
A roved Not A oved
Bldg I & D +
� '�
�
Health Divn. '
— I
Yl I� !
Fire Dept. �
i � 1� I
i
Yolice Dept. n '� I
License Divn. �
��� � a�
• City Attorney �
`�� IZ
�
Date Received:
Site Plan �`q
To Council Research ��1 )��$�
Lease or Letter Date
from Landlord (� �Pr }�.f�,m�(� qa�� Q � �
�y �D,r��.��.
`wcA�- •
�Uk-- c—�� —1� ba—L.O I�,-,
CURRENT INFORMATION NEW INFORMATION
Current Gorporation Name: New Corporation Name:
1
Current DBA: New DBA:
Current Officers: Insurance:
Bond:
Workers Compensation:
New Officers:
Stockholders:
1
��'����
------------------------ AGENDA ITEMS --------------------------------
ID#: [467 ] DATE REC: [11/12/87] AGEND DATE: [00/00/00] ITEM #: [ ]
SUBJECT: [1—DAY GAMBLING PERMIT — MINNESOTA L NDMARKS — 75 W. 5TH ST. ]
STAFF ASSIGNED: [NONE ] SIG:[SONNE ] OUT—[X] TO CLERK {�6�99�00]��-'�i' ?
ORIGINATOR:[LICENSE DIV. ] C NTACT:[SCHWEINLER — 5056 ]
ACTION:[ ]
C 7
C.F.# [ ] ORD.# [ ] FILE COMPLETE="X" [ ]
� � � � � � � � � � �
FILE INFO: [RESOLUTION/CHECKLIST/APPLICATION ]
C ]
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�,, COUNCILMEMBER i
KIKI SONNEN
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