96-1467 Council File #` ` ' 6�
��� � � � . � �:
. � � ` Ordinance #`
Green Sheet#` 35404
RESOLUTION
CITY OF SAINT PAUL, MINNESOTA ��
Presented By
Referred To Coa�pnittee: Date
1 RESOLVED: That application, ID #51287, for a new Gambling Manager's License for
2 Daniel W. Reitz DBA TSE, Inc. at Sports Garden, 1638 Rice Street, be
3 and the same is hereby approved.
4
5 Requested by Department of:
6 NaYs Absent
7 Ba �y
9 Gaer7�n Office of License, insZ►ectione and _
10 e Environmental Protection
11 e
12 T une ,/
Bostrom �
Adopted by Council: Date �� _ �,�\qq(„
By: 7w� ��
Adoption Certified by Council Secretary
Form Approved by City Attorney
By: ,� B / l �
� Y�
Approved by Mayor: Date C �!
� Approved by Mayor for Submission to
BY: -� �/ Council
By:
_� �-!4`�
� � �m��� �REEN SHEET N_ 3 5 4 0 4
8 �DEPARTMENT DIRECTOR N�T���A� �CITY COUNCIL - - INITIAUDATE
- 266-9132 N�R f� �CITYATTORNEY �CITYCIERK
IL ) pp�pro �BU�(iET DIRECTOR �FlN.a MOT.SERVICE8 DIR.
��7 � ���E� �MIIYOR(OR A8818TAtdT) �
�
TOTAL#OF SKiNATURE PAGES (CLIP ALL LOCATIONS FOR SIi�iNATURE)`
ACTION REQUESTED:
Daniel W. Reitz DBA TSE, Inc. requests Council approval of his application
for a new Gambling Manager's License, ID ��51287,� at Sports Garden, 1638 Rice Street.
RECOI�AMp�IDAT10N8:Approw{A)a Ryect(ii) PERSONAL SERVICE CONTRACTS MUST ANSWER TNE FOLLOWIN3 QUESTION�:
_PLANNN�COMMISSION _.CIVII 8ERVICE OOMMISSION 1. Has this psrson/Firm�ror worked undsr a contraCt for tlNs d�peM�eMT
_CIB WIYMiIITTEE _ YES NO
2. Has thia person/Brm ever been e dty employee4
—�� — YES NO
_as7R1C'r c;ouar _ s. Doss this pereoNf�rm posseas a skfu na nortr�IN P�sed M�r���Y empioyee4
BuPPORTB wHKiH COUNCIL OBJECTIVE4 YES NO
Explaln�II y��anawen on s�pKat�sh�st and Nqeh to ana��h»t
INITIATMd(�PROBI.EM.ISBUE�OPPORTUNITV(Wlw.what.wMn.wh�n.WhY).
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'''`iY.1r'�`'
NpY 12 �996
C�Ty p�[
OR�EY
ADVANTAQES IF APPRO'VED:
D18ADilANTIN3E81F APPFiOVED:
Cot�nc� F����rch C�ntar
NOV 13 1996
�
DI8AD'VAKTAOE8 IF NOT APPfiONED:
TOTAL AMOUNT OF TRANSACTION = COST/REVENUE BUDGETED(CIRCLE ONE) YES NO
FUNDIHQ SOURCB ACTIVITY NUMBER
FlNANCIAL INFORMATION:(EXPLA�N)
Greensheet # 35404 L.I.E.P. REVIEW CHECKLIST Date: / �G'�y�'�
In TraCker? 3 � App'n Received / App'n Processed
License ID # 51287 License Type: GamblinQ Mana er _
Company Name: l�ani 1 W_ Rei rz DBA: TSE Inc.
Business Addresss: 1638 Rice St. (Sports Garden) Business Phone: 489-2595
Contact Name/Address: 2027 Rice St. Roseville 55113 Home Phone: 489-2595
Date to Council Research: L�9b
Public'Hearing Date: `Yl�v �.7 , ��r��, Labels Ordered: N/A
Notice Sent to Applicant: District Council #: 06
i ��>/
Notice Sent to Public: ` /� �� C4s�� � Ward #: 05
Department/ Date Inspections Comments
,
City Attorney
////a-/9,! �/���9�6
Environmental
Heaith
/V/�
Fire
N/ �
License � �� � Q��n�� Stte�an Received:
L'j�►ari�.61� 9a w�.b � i vt� �����,�d:
� � S J �c� .3l 9'�
�l 1
Police ��C�j^� �PC�C, ������
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Zoning
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LG2i2
(Rev. 7/2/92) FOR OFFICE USE ONLY
BASE LJC #
SEQ # ;
_ Minnesota Lawful Gambiirig FEE ,
Gambling Mariager Application cHK
DATE
: - INiT
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� New Give date that the two-day gambling manager seminar was completed.�_/�_/g(�_
Location of training Eagail, i-ZN -
(city)
� Renewal Give date of training received within three years prior to the date of the application for renewal._/ /
Location of training
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LAST NAME FIRST NAME MIDDLE NAME MAIDEN Date of Birth Soc.Securiry Number ,
Rietz Daniel William 7-4-60 480-84-2432
Address State Zp Code Daytime Phone
?_027 Rice Street, Roseville i�1N 55113 ( 61� 4�`?-25�5
MEMBERSHIP:Date gambling manager became a member of the organization 7 / 5 / 83 Sex: �Male ❑ Female
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Name of Organization License Number
TSE, Inc. None
Address City/State Zip Code Phone
2027 Rice Street Roseville; MN 55113 � 612 ) 489-2595
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--A$10,000 fidelity bond in favor of the organization must be obtained for d�e gambling manager.
Name of insurance compzny {do not use agency name) Seaboard Surety Co. Bond Number 256988
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>Ac�kno qm
I dedare tt�at: .
• I have read this application and all informaUon submitted to the board;
• ail information is true, accurate and complete;
• aii otf�er required information has been fully disdosed;
• I am tf�e only gambling manager of the organization;
• I will familiarize myself witfi tfie laws of tvlinnesota goveming lawful gambling and rules of the board and agree,if licensed, to
abide by those laws and rules, induding amendments to them; - - -
• any changes in application information will be submitted to the board and local unit of govemment within 10 days of the change;�
• An affidavit for gambling manager has been completed and attached,and '
• I understand that failure to provide required information or providing false in(ormafion may result in the denial or revocation of the .
license.
ture of Ga nager - Date
� _ � sl.�/5�
Send the oompleted application and all required attachments to:i_
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: -� : . Gambling Control Board
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Suite 300 S• , .
> 1711 W County Road B
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,: . ��2;3� 1Vlinnesofa Gambling Control Board
� oa�,a�s.� Gambling fi�1'anagerAff�davit � �'� �y�'�
. Attach to the Gambling ManagerApplication, Form LG212 -
- STATE OF Minnesuta ) ,
AFFIDAVIT OF G�UALIFICATION
FOR GAMBLING MANAGER LICENSE
. ) s.s. AND CONSENT STATEMENT
COUNTY OF Ramsey � .
(Pursuant to Minnesota Statutes and Rules)
I, Daniel ta. Rietz , Under oath state that:
(type/print name)
1. I have never been convicted of a fe(ony or a crime involving gambling.
2. I have not, within five years before the date of the license appiication, committed a violation of law or
Board rule that resulted in the revocation of a license issued by the B�ard.
3. I have never been convicted of a criminal violation involving fraud, theft, tax evasion, misrepresentation,
or gambling.
4. I have never been convicted of (i) assauit, (ii) a criminal violation involving the use of a firearm, or (iii)
making terroristic threats.
5. I am not, nor ever have been connected with or engaged in an iilegal business.
6. I do not owe �500 or more in delinquent taxes as defined in section 270.72.
7. I have not had a sales and use tax permit revoked by the commissioner of revenue within the past two
years.
8. I liave never, after demand, failed to file tax retums required by the commissioner of revenue. .
In addition, I understand, agree and hereby irrevocably consent that suits and adions re(ating to the subje�t
matter of the attached gambling manager license applicafion, or acts or omissions arising from such applica-
tion, may be commenced against my organization and I will accept the service of process for my organiza-
tion in any court of competent jurisdiction in Minnesofa by service on the Minnesota Secretary of State of any
summons, process or pleading authorized by the laws of Minnesota. _
- . ._ . . ...
_ , .. :..
By signafure of this document, the unde'rsigned authorizes the Department of Public Safety to conduct a
criminal background check or review�and to share the results with the Gambling Confrol Board. -
Failure to provide required information or providing false or misleading information may resuit tn the denial or
revocation of fhe license. � '
FURTHER AFFIANT SAYETH NOT; ezcept tliat this�Affidavit and Consent Statemenf ere'submitted m'
support of the application for a gambling manager license from the Gambling Control Board:` '-`''-- =�� '
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NOTARY PUBLIC/NFORMATION
Notary Pubiic Seal must be cuRent and correct
-- , �:-�< - :.r� :r , ;; , � .; ::� �. .:: ::. - (signatu�e licant) .
Sea! may not be�altered _ ,.:
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Subscribed and swom to before me this � -- - -- � '
�o � day ofJ -� 19 �� � ., . .< . , .
:. � : .. - �;� ;: , -
`� " '� �� �-` ` �ORGANlZATIOIV�INFORMATION �'�� .
, .'.:: , �' - :;` �` � .:..'� .� Name of Organization
- ot J. FRt� _ _ - _ � ..
,;.•E �.� OT/+Rl'PUBL.IC MMii�OiA , - - - T S E, I n c _ - -
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_�t�Y C�n . . .
►,yc,a�ro���±^�,� Base License Number �f
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