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Presented
Referred
RESOLUTION
SAINT PAUL, MINNESOTA
t1�
RESOLVED: That application, ID #Pending At State, for a new State C1ass B Gambling
Premise Permit by TSE, Inc. at Coach's Pub, 1192 N. Dale Street, be and the
same is hereby approved.
Requested by Department of:
• - -:-- �-r •�- -�•
! �LU-} •R
B]�: �/�4�*U�W � `�1�
Form Approved by City Attorney
BY��� . [�T�� �iA.A
Approved by Mayor: Date tL� Z �
By: l �� IY � ����"""C`J
Bp� �( _. �C1/r�..P/l
( //
Approved by Mayor fox Submission to
Council
Council File � 4�- s8q
Ordinance #
6reen Sheet # 34980
By:
Adoption Certified by Council Secretary
* I3EED COPY IMPII?DIATELY *
qG - S89 '
DELIE DATE INITIATED GREEN SHEE N° _3 4 9 8 0�
CANTACT PERSON 8 PHONE �NRIAVDATE INfTIAVDATE
� DEPARSMENT DIREGTOFi O C1tY CAUNCII
William Gunther - 266-9132 ^��" � C�iYATTOflNEY O CITYCLERK
NUYBEfl WR
MUST BE ON COUNCIL AGENDA BV (DATE) p�MN� O BUDGET DIRECTOR O PIN. & MGT. SERVICE Dip.
Hearin : /p � ORDEP aMAWR(ORASSISTAM) Q
TOTAL # OG SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATUHE�
ACfION qE�UESTED:
Phillip C. Saari on behalf of TSE, Tnc, requests Council approval of their
application for a new State Class B Gambling Premise Permit at Coach's Pub, 1192 N. Dale
Street. ID endin at State
FiECAMMENDA7lONS: Approve (A) or fieject (R) PERSONAL SEHVICE CONTRACTS MUST ANSWER THE FOLLOWING UUESTIONS:
_ PLANNMCa COMMISSION _ CML SERVICE COMMISSION S� Has this person/firm ever worketl under a conVact for this tlepartment? -
_ CIB COMMRTEE _
YES NO
_ S7qFF 2. Has this person/firtn aver been a c�ty employee?
— VES NO
_ DiSTRIC7CAUR7 _ 3. Do85 [his ersoMirtn
p possess a skill not normally possessed by any current ciry employee?
SUPPORTS WHICH COUNCIL O&IECTIVE7 YES NO
Explaln all yes answers on separate sheet and ettaeh to green sheet
INITIATING PROBIEM, ISSUE, OPPORTUNITV (Wno, Whet, When. Where, Why):
����� ���
MAY 1 � i996
C��� ���� �
ADVANTAGESIFAPPqOVED:
DISA�VANTAGES IFAPPROVED:
VWiidv�H F..,,._ �� lb'�§
i4i�� � '� ����
----
DISA�VANTAGES IF NOTAPPflOVED
TOTAL AMOUNT OF TRANSACTION S COST/AEVENUE BUDGETED (CIRCtE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION� (EXPLAIN)
Greensheet # 34980 L.I.E.P. REVIEIN CHECKLIST Date: /�G 'S$9
In Tracke�?_`, �/S/� MP'n Receivetl / APP'n Processed
License ID # PendinQ at State LicenseType: State rlacc B[' mhi •„g_p+-=,�,;�e Permit
Company Name: TSE Inc. DBA: TSE Inc.
Business Addresss: 1192 N. Dale St. (Coach's Pub) Business Phone: 489-2595
Contact Name/Address: 2027 Rice St. Roseville
Date to Council Research: Phillip C. Saari/CEO
Pubiic Hearing Date:� lA� �� f�t9�
Notice Sent to Applicant:
Home Phone: 489-2595
Labets Ordered:
District Council #:
Notice Sent to
Ward
Department/ Date Inspections Comments
City Attomey
Environmental
Health
Fire
License Site Plan Received:_
Lease qeceived:
Police o � �-�Cag/� �G�,
��g�9.b
�
Zoning
►1
LG2dOA
Rev. (I/28N2)
Minnesota Lawfut Gambiing
Organization License Application - Part 1
TSe, Inc.
Business Address of Organ¢atio
2027 Rice Street
ttY
Roseville
Name of chief exew4ve officer
Last Name Fvst Name
Saari Phillip
Address of chief exew6ve offcei
2027 Rice Street
Ciry
ame o treasurer w person resF
Last Name First Aame
rIN
- . . . . .. _ . ,.: . - _ .._.: .: .. ...
Other names used -
none
> not use address of gambiing manager) IBwir�s 10 NurtEeqMinn. Sates a(kq Taz Aettrif)
9220121
Middle Name Maiden Name
Carl
eet or P. O. Box
13 Ramsey
�EO/,
resident
June 6 & 7, 1996
9�-s�q
FOR BOARD USE ONLY
9-2s9s
( ) same
Type ot Nonprofit Organizatiort: ❑ Fratema! ❑ Veterans ❑ Rel'gious $7 6iher nonprofit
Number of years wganization has been in existence as a nonproftt organl7aVon 34
Attach a copy of a certificate o( good standing as a nonprofit organization trom the NGnnesota Secretary of State's offiee and�a a letter irom
ihe IRS dedaring ineome tax exemption. (Do not send a sates tax permit or Federal empfoyer iden6Fication irttocmafwn)
Number of AeGVe Members 15 (must be age 18 and olderj. Attach a membership list to Nis appiication.
Whendcesyourorganizationholdregularmeetings?Day(s) Thixd Tuesday of the mont�� 5:00-7:30 p.m.
I1yp e'of App ticdtion
Ciass of Organizatioa License
❑ Class A— Bingo, Raffles, Paddlewheels, Tipboards, Pull-tabs
� Class B— Raffles, Paddlewheels, Tipboards, Pull-tabs
❑ Class C — Bingo c�ry
❑ Class D— Raffles only
;. _
Sfatus of License :check.one -_:_ `
❑ Organization has never been licensed.
� Previously expired license— Fill in comolete license number A-02069-001
Check t�e boz tfiat most
acCUrately summarizes the
gambling at all of your premises.
The ozganizatioa lleense must
reflect all forms of gambliag
conducted by your organization,
Refer to the instructions for the required aitaFhments, REMINDER: The otgantzatlon's chiet executivs otticer and
treasurer must compiete the Organtzation Otflcer Affidavft, torm LG200B.
Roseville MN 55113 Ramsey
9 c�—s�9
Mirerzesota LamJu1 Gambiing
Organization License Application, LG200 A-�Part 2
_ _ ,,. _
. :-- ..: -
: _
Law uI xp ( .. __:
f Purpose E endztures znr�. Stafufe 349:Z2 Subd.i2)
Please list the lawtul purpose expenditures for which your otganization will expend gambling funds. (Refer to Minn. Statute
349.12 Subd25.) Give spec+fic examp�es.
Assist persons with developmental disabilities to become employed and/or
reach their maximum wurk potential. This includes hiring staff, paying for
transportation and training materials.
Daniel W. Rietz
2027 Rice Street Roseville MN 55113
, . _ . ;. . _ . .—: - , -
ianiiatioriat Income and Activities� �anacn`addirio�atsneeisnnecessaryt^'
None
tn comparison with funds you raise as a nonprofrt organization, what is the percent of funds you will raise through lawful
gambling? � °/a
What other activ8ies does your organization engage in (not fundraising adivdies)? Assist persons with
developmental disabilities tu become emplo an d/or reach their maximum potential.
:, . .
.. Acknowiedgement .:. : : _: >: ,.._
I declare that:
• 1 have read this application and all inTormation submitted to the board;
• AN information is true, accurate and complste;
• Ail other required information has been fulty disclosed;
• I am the chiet executive oHicer of the organization;
• 1 assume full responsbiliry for the fair and lawful operation of a!I activities to be conduded;
• 1 ivill familiarize myseN with the laws of Minnesota governing lawful gambling and rules of the board and agree,
if licensed, to abide by those Iaws and rules, including amendments to them;
• A membership list of the organization is attached to this application;
• Arry changes in applicaYwn information will be submitted to the board and Iocal government wdhin 10 days of
the change; and
• A termination plan will be submitted to the board within 15 days of termination ot all premises permB(sj.
• I certffy the gamb!ing manager is bonded and licensed as required per Minnesota Statute.
• Fai re o pr vide required intormation or providing talse or misieading intormation may resuR in the denial or revxation of
5
Maii to: Gambling Ct
Suile 300 S.
1711 W. County Road B
Roseville, MN 55113