97-792Council File # 9 �-� 9 a
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�������{-�!
Presented
Referred To
Ordinance #
RESOLUTION
SAINT PAUL, MINNESOTA
Green Sheet # 35342
3�
Committee: Date
RESOLVED: That application, ID #83829, for a new Gambling Manager's License by Neill J.
O'Neill DBA St. Paul Festival & Heritage Foundation at Mr. Patom's, 995 7th
Street W., be and the same is hereby approved.
Requested by Department of:
,iE'i�� -� - �-•_ •:- - !�
�s .e.��-. •,
� L,' ��
Adopted by Council: Date
Adoption Certified by Council Secretary
BY � ' � .
Approved by M� Date Z {
B G �
Form Approved by City Attorn�
By: -/
Approved by Mayor for Submission to
Council
By:
q'1-79�
DEPARTMENT/OFFICFJCAUNCIL DATEINITIATED �REEN SHEE N� 35342
LIEP INfT1AUDATE " ' - INfT1AVDATE
CANTACT PERSON & PHONE O DEPMTMEM DIPECTOR O CRV CAUNqL
Wi].liam F. Gunther — 266-9132 '���" QcmnrroRNev �cmc�K
MUST BE ON COUNCIL AGENDA BV (DAT� �M�NGfOR O BUDGEf DIflECTOR � FIN. & MGT. SERVICES DIR.
� OPDER O MpyOR (OR ASSISTANn �
Hearin :
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) '
ACT40N AEWESSED:
Neill J. 0'Neill DBA St. Paul Festival and Heritage Poundation requests Council
approval ef his application for a Gambling Manager's License at Mr. Patom's, 995 7th St. W.
(ID 0183829) (This is a change of gambling manager only at this site.)
PECOMMENDA71oNS:ApWove(A)aReject(R) pEpSONALSERVICECONTRACTSMUSTANSWERTFIEFOLLOWINGpUEST10N5:
_ PIANNING COMMISSION _ CIVIL SERVICE COMMISSION 1• Has this persoNfirm ever worketl under a coMrec[ for this departmeM? -
_�� _ YES NO
_ STnFF Z. Has Mis person/firm ever been a ciry employee?
— YES NO
_ DIS7RICT CAUHT _ 3. Does this person/firm possess a skill not normall �
y possessed by any current city employee.
SUPPORTSWHICHCOUNCILO&IEGTIVE? VES NO
Explain all yes answers on separate sheet and attaeh to green shaet
INITIATING PROBLEM. ISSUE, OPPOflTUNITY (4MO. What, When. Where, Why): �'' -
e� �� ;-�_ �
�����:., .
` � �ll�N �L� �95�
q �. � c���
��#' 3 �Ej� �
� �'�� � �u 4?Y v �l w ' tu �
ADVANTAGESIFAPPROVED:
sµ 1i!
.iUN.� 2
DISADVANTAGES IF APPROVED: '
DISADVANTAGES IF NOT APPROVED:
TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDlfi6 SOUHCE ACTIVfTY NUMBER
FINANCIAL INFOHMATION: (EXPLAIN)
Greensheet # 35342 L.I.E.P. REVIEW CHECKLIST Date: / 9 � ��� �"
In Trackef? /L App'n Received / App'n Processed
LicenselD # 83829 License Type: GamblinQ ManaQer
Company Name: Neill J. 0'Neill DBA:St. Paul FesYival � HeritaQe Foundatio�
Business Addresss: 995 7th St. W. (Mr. Patoms) Susiness Phone: 686-8688 (223-47�01
Contact Name/Address: 149 Montrose Place 55104 Home Phone: 686-8688
Date to Council Research: 0�fb �'�
��,
Pubiic Hearing Date �� �S labels Ordered: N/A
Notice Sent to Applicant: ��` District Council #: 09
Notice Sent to Pubfic: N� Ward #: 02
Department/ Date Inspections Comments
City AttomeY � `a `� � � �� 1'�� � �,9 /
� i
Environmental
Health
N��1'
Fire
���
License si�e wan Received:
Lease Received:
N`�
Police 5�e GZ�C��-+-� GC���I C-�TLO�°C°
��
5����q�
Zoning
"' { /7
/
. �e�%�-rl ��ec� j%�s� -�"12�L�z.� �s� °l? -'193.
L � � L . -�/��� � __
Minnesota LawfuT GambTing t"'PC v r�� -/ ��C2 �2
Gambling Manager Applica�zon ? ; � ;
Incomple'te, false, or misle2ding applica'tion iniorma'tion may result in der�ial oi a license.
Organization lnformafion
o� ganizationNam J �e S�• Paul Feszival and Heritage Founda�ion
CEOName VlV1�� �� '��j(m . •
(Cannot be gamb6ng manager)
DafimePhone L) 2 �� 1 OrganizafionBaseLicenseNo. g �� L �� S
Fo-Board Use Onfy:
Base Lic=
Sequence=
Amoui Paid
V. CiCY
i�, ��
Gambling Manager lnformation
!F�r�tName Neill FuIlMiddleName �oseph
�biaiden Name -� Uate oi Birth � 1 i / 3 y 44
Social Security Num
Home StreetAddres
c�tv St. Paul
430
Daytime Phone Number 612 ) 585-8688
I became an active member of this organization on:
i attended the two-day gambling�managerseminar�on
0'Neill
r
Checkoneoitheboxes: � t�; U Femai=
MN Z � P 55104
2 � 1 � 94
�—��—���
Cisclosure of
Social Security Number
You are requirec E� provide yoursodal secu-
rity numberon ,'� Your social secu-
rity numberwii' oe used to dzterminz your
compliance with ,he ,ax laws of Mmnesot2.
Authorization fcr requiring your social szcu-
rity numberis found at42 U.S.C. SOS(c)(i).
BO[1C� IIl'FOCtllBtlOt1 A$10,000 fideliry bond in favor of fhe organization has been obtained as required
by Minnesota Statutes, section 349.167, subdivision 1.
fnsurance Company Name: Old Republic Surety CompanV Bond Number. RPSO44567i
(DO NOT USE THE AGENCY NAME)
Gambling iV(anager Change �en your organization is changing its gambiing managur, complete
one of these sections:
Emergency Change - Auow up to tive days for Ofhet Ch8t7ge - Allow up to ter, weeks ior processing
processing The new gambling menager's license should become
The chief executive o�cer, by signing below, affirms effective (check one):
fhat the'emergency application is due to the following � The day after the current gambling manager's license
reason (check one and i�il in date):
expires (for example, if ,F e curena eambf ng manaaers
❑ Death of gambiing manager on _/ / license expires 7/31l96, the new gambling managels�=
❑ Disability of gambling manager on / � license becomes effective on 3; i/96, provi�ed that ail
application information is complete).
� Terminafion of employment of gambiing manager on ��en the application has been processed by fhe Gam-
4/ 30 / 97 . b4ing Control Board—the effective date will be fhe first
NOTE: The new gambling manager may not assume day of the monfh.
duties until he/she has received fhe gambling managers NOTE: The new gambling manager may nof assume
license from the Gambling Controi Board. - - duties until he/she has received a gambling managers
license from the Gambiing Controf Baard.
Signature fi CEO
L �--'
Not ri�ed ignat r o ChiefEs>cuhveOfficer(CEO)
oar ' 4 � �
-- 46 — 5379
Notary Public Information. Notary public Seal must
be current and correct; seal may no4 �e aitered.
Subscribed and swom to before me -.i�is ` 7 1� day
of � o2i� . ,'(9 °I'�
�_-e� � i �—
� . .:":,�- CHftISiIEELtFNSC4idrl`d'nritinueri nn ha�41
Council File # 9 �-� 9 a
1
2
3
4
5
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7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
�������{-�!
Presented
Referred To
Ordinance #
RESOLUTION
SAINT PAUL, MINNESOTA
Green Sheet # 35342
3�
Committee: Date
RESOLVED: That application, ID #83829, for a new Gambling Manager's License by Neill J.
O'Neill DBA St. Paul Festival & Heritage Foundation at Mr. Patom's, 995 7th
Street W., be and the same is hereby approved.
Requested by Department of:
,iE'i�� -� - �-•_ •:- - !�
�s .e.��-. •,
� L,' ��
Adopted by Council: Date
Adoption Certified by Council Secretary
BY � ' � .
Approved by M� Date Z {
B G �
Form Approved by City Attorn�
By: -/
Approved by Mayor for Submission to
Council
By:
q'1-79�
DEPARTMENT/OFFICFJCAUNCIL DATEINITIATED �REEN SHEE N� 35342
LIEP INfT1AUDATE " ' - INfT1AVDATE
CANTACT PERSON & PHONE O DEPMTMEM DIPECTOR O CRV CAUNqL
Wi].liam F. Gunther — 266-9132 '���" QcmnrroRNev �cmc�K
MUST BE ON COUNCIL AGENDA BV (DAT� �M�NGfOR O BUDGEf DIflECTOR � FIN. & MGT. SERVICES DIR.
� OPDER O MpyOR (OR ASSISTANn �
Hearin :
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) '
ACT40N AEWESSED:
Neill J. 0'Neill DBA St. Paul Festival and Heritage Poundation requests Council
approval ef his application for a Gambling Manager's License at Mr. Patom's, 995 7th St. W.
(ID 0183829) (This is a change of gambling manager only at this site.)
PECOMMENDA71oNS:ApWove(A)aReject(R) pEpSONALSERVICECONTRACTSMUSTANSWERTFIEFOLLOWINGpUEST10N5:
_ PIANNING COMMISSION _ CIVIL SERVICE COMMISSION 1• Has this persoNfirm ever worketl under a coMrec[ for this departmeM? -
_�� _ YES NO
_ STnFF Z. Has Mis person/firm ever been a ciry employee?
— YES NO
_ DIS7RICT CAUHT _ 3. Does this person/firm possess a skill not normall �
y possessed by any current city employee.
SUPPORTSWHICHCOUNCILO&IEGTIVE? VES NO
Explain all yes answers on separate sheet and attaeh to green shaet
INITIATING PROBLEM. ISSUE, OPPOflTUNITY (4MO. What, When. Where, Why): �'' -
e� �� ;-�_ �
�����:., .
` � �ll�N �L� �95�
q �. � c���
��#' 3 �Ej� �
� �'�� � �u 4?Y v �l w ' tu �
ADVANTAGESIFAPPROVED:
sµ 1i!
.iUN.� 2
DISADVANTAGES IF APPROVED: '
DISADVANTAGES IF NOT APPROVED:
TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDlfi6 SOUHCE ACTIVfTY NUMBER
FINANCIAL INFOHMATION: (EXPLAIN)
Greensheet # 35342 L.I.E.P. REVIEW CHECKLIST Date: / 9 � ��� �"
In Trackef? /L App'n Received / App'n Processed
LicenselD # 83829 License Type: GamblinQ ManaQer
Company Name: Neill J. 0'Neill DBA:St. Paul FesYival � HeritaQe Foundatio�
Business Addresss: 995 7th St. W. (Mr. Patoms) Susiness Phone: 686-8688 (223-47�01
Contact Name/Address: 149 Montrose Place 55104 Home Phone: 686-8688
Date to Council Research: 0�fb �'�
��,
Pubiic Hearing Date �� �S labels Ordered: N/A
Notice Sent to Applicant: ��` District Council #: 09
Notice Sent to Pubfic: N� Ward #: 02
Department/ Date Inspections Comments
City AttomeY � `a `� � � �� 1'�� � �,9 /
� i
Environmental
Health
N��1'
Fire
���
License si�e wan Received:
Lease Received:
N`�
Police 5�e GZ�C��-+-� GC���I C-�TLO�°C°
��
5����q�
Zoning
"' { /7
/
. �e�%�-rl ��ec� j%�s� -�"12�L�z.� �s� °l? -'193.
L � � L . -�/��� � __
Minnesota LawfuT GambTing t"'PC v r�� -/ ��C2 �2
Gambling Manager Applica�zon ? ; � ;
Incomple'te, false, or misle2ding applica'tion iniorma'tion may result in der�ial oi a license.
Organization lnformafion
o� ganizationNam J �e S�• Paul Feszival and Heritage Founda�ion
CEOName VlV1�� �� '��j(m . •
(Cannot be gamb6ng manager)
DafimePhone L) 2 �� 1 OrganizafionBaseLicenseNo. g �� L �� S
Fo-Board Use Onfy:
Base Lic=
Sequence=
Amoui Paid
V. CiCY
i�, ��
Gambling Manager lnformation
!F�r�tName Neill FuIlMiddleName �oseph
�biaiden Name -� Uate oi Birth � 1 i / 3 y 44
Social Security Num
Home StreetAddres
c�tv St. Paul
430
Daytime Phone Number 612 ) 585-8688
I became an active member of this organization on:
i attended the two-day gambling�managerseminar�on
0'Neill
r
Checkoneoitheboxes: � t�; U Femai=
MN Z � P 55104
2 � 1 � 94
�—��—���
Cisclosure of
Social Security Number
You are requirec E� provide yoursodal secu-
rity numberon ,'� Your social secu-
rity numberwii' oe used to dzterminz your
compliance with ,he ,ax laws of Mmnesot2.
Authorization fcr requiring your social szcu-
rity numberis found at42 U.S.C. SOS(c)(i).
BO[1C� IIl'FOCtllBtlOt1 A$10,000 fideliry bond in favor of fhe organization has been obtained as required
by Minnesota Statutes, section 349.167, subdivision 1.
fnsurance Company Name: Old Republic Surety CompanV Bond Number. RPSO44567i
(DO NOT USE THE AGENCY NAME)
Gambling iV(anager Change �en your organization is changing its gambiing managur, complete
one of these sections:
Emergency Change - Auow up to tive days for Ofhet Ch8t7ge - Allow up to ter, weeks ior processing
processing The new gambling menager's license should become
The chief executive o�cer, by signing below, affirms effective (check one):
fhat the'emergency application is due to the following � The day after the current gambling manager's license
reason (check one and i�il in date):
expires (for example, if ,F e curena eambf ng manaaers
❑ Death of gambiing manager on _/ / license expires 7/31l96, the new gambling managels�=
❑ Disability of gambling manager on / � license becomes effective on 3; i/96, provi�ed that ail
application information is complete).
� Terminafion of employment of gambiing manager on ��en the application has been processed by fhe Gam-
4/ 30 / 97 . b4ing Control Board—the effective date will be fhe first
NOTE: The new gambling manager may not assume day of the monfh.
duties until he/she has received fhe gambling managers NOTE: The new gambling manager may nof assume
license from the Gambling Controi Board. - - duties until he/she has received a gambling managers
license from the Gambiing Controf Baard.
Signature fi CEO
L �--'
Not ri�ed ignat r o ChiefEs>cuhveOfficer(CEO)
oar ' 4 � �
-- 46 — 5379
Notary Public Information. Notary public Seal must
be current and correct; seal may no4 �e aitered.
Subscribed and swom to before me -.i�is ` 7 1� day
of � o2i� . ,'(9 °I'�
�_-e� � i �—
� . .:":,�- CHftISiIEELtFNSC4idrl`d'nritinueri nn ha�41
Council File # 9 �-� 9 a
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
�������{-�!
Presented
Referred To
Ordinance #
RESOLUTION
SAINT PAUL, MINNESOTA
Green Sheet # 35342
3�
Committee: Date
RESOLVED: That application, ID #83829, for a new Gambling Manager's License by Neill J.
O'Neill DBA St. Paul Festival & Heritage Foundation at Mr. Patom's, 995 7th
Street W., be and the same is hereby approved.
Requested by Department of:
,iE'i�� -� - �-•_ •:- - !�
�s .e.��-. •,
� L,' ��
Adopted by Council: Date
Adoption Certified by Council Secretary
BY � ' � .
Approved by M� Date Z {
B G �
Form Approved by City Attorn�
By: -/
Approved by Mayor for Submission to
Council
By:
q'1-79�
DEPARTMENT/OFFICFJCAUNCIL DATEINITIATED �REEN SHEE N� 35342
LIEP INfT1AUDATE " ' - INfT1AVDATE
CANTACT PERSON & PHONE O DEPMTMEM DIPECTOR O CRV CAUNqL
Wi].liam F. Gunther — 266-9132 '���" QcmnrroRNev �cmc�K
MUST BE ON COUNCIL AGENDA BV (DAT� �M�NGfOR O BUDGEf DIflECTOR � FIN. & MGT. SERVICES DIR.
� OPDER O MpyOR (OR ASSISTANn �
Hearin :
TOTAL # OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) '
ACT40N AEWESSED:
Neill J. 0'Neill DBA St. Paul Festival and Heritage Poundation requests Council
approval ef his application for a Gambling Manager's License at Mr. Patom's, 995 7th St. W.
(ID 0183829) (This is a change of gambling manager only at this site.)
PECOMMENDA71oNS:ApWove(A)aReject(R) pEpSONALSERVICECONTRACTSMUSTANSWERTFIEFOLLOWINGpUEST10N5:
_ PIANNING COMMISSION _ CIVIL SERVICE COMMISSION 1• Has this persoNfirm ever worketl under a coMrec[ for this departmeM? -
_�� _ YES NO
_ STnFF Z. Has Mis person/firm ever been a ciry employee?
— YES NO
_ DIS7RICT CAUHT _ 3. Does this person/firm possess a skill not normall �
y possessed by any current city employee.
SUPPORTSWHICHCOUNCILO&IEGTIVE? VES NO
Explain all yes answers on separate sheet and attaeh to green shaet
INITIATING PROBLEM. ISSUE, OPPOflTUNITY (4MO. What, When. Where, Why): �'' -
e� �� ;-�_ �
�����:., .
` � �ll�N �L� �95�
q �. � c���
��#' 3 �Ej� �
� �'�� � �u 4?Y v �l w ' tu �
ADVANTAGESIFAPPROVED:
sµ 1i!
.iUN.� 2
DISADVANTAGES IF APPROVED: '
DISADVANTAGES IF NOT APPROVED:
TOTAL AMOUNT OF TRANSACTION $ COST/REVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDlfi6 SOUHCE ACTIVfTY NUMBER
FINANCIAL INFOHMATION: (EXPLAIN)
Greensheet # 35342 L.I.E.P. REVIEW CHECKLIST Date: / 9 � ��� �"
In Trackef? /L App'n Received / App'n Processed
LicenselD # 83829 License Type: GamblinQ ManaQer
Company Name: Neill J. 0'Neill DBA:St. Paul FesYival � HeritaQe Foundatio�
Business Addresss: 995 7th St. W. (Mr. Patoms) Susiness Phone: 686-8688 (223-47�01
Contact Name/Address: 149 Montrose Place 55104 Home Phone: 686-8688
Date to Council Research: 0�fb �'�
��,
Pubiic Hearing Date �� �S labels Ordered: N/A
Notice Sent to Applicant: ��` District Council #: 09
Notice Sent to Pubfic: N� Ward #: 02
Department/ Date Inspections Comments
City AttomeY � `a `� � � �� 1'�� � �,9 /
� i
Environmental
Health
N��1'
Fire
���
License si�e wan Received:
Lease Received:
N`�
Police 5�e GZ�C��-+-� GC���I C-�TLO�°C°
��
5����q�
Zoning
"' { /7
/
. �e�%�-rl ��ec� j%�s� -�"12�L�z.� �s� °l? -'193.
L � � L . -�/��� � __
Minnesota LawfuT GambTing t"'PC v r�� -/ ��C2 �2
Gambling Manager Applica�zon ? ; � ;
Incomple'te, false, or misle2ding applica'tion iniorma'tion may result in der�ial oi a license.
Organization lnformafion
o� ganizationNam J �e S�• Paul Feszival and Heritage Founda�ion
CEOName VlV1�� �� '��j(m . •
(Cannot be gamb6ng manager)
DafimePhone L) 2 �� 1 OrganizafionBaseLicenseNo. g �� L �� S
Fo-Board Use Onfy:
Base Lic=
Sequence=
Amoui Paid
V. CiCY
i�, ��
Gambling Manager lnformation
!F�r�tName Neill FuIlMiddleName �oseph
�biaiden Name -� Uate oi Birth � 1 i / 3 y 44
Social Security Num
Home StreetAddres
c�tv St. Paul
430
Daytime Phone Number 612 ) 585-8688
I became an active member of this organization on:
i attended the two-day gambling�managerseminar�on
0'Neill
r
Checkoneoitheboxes: � t�; U Femai=
MN Z � P 55104
2 � 1 � 94
�—��—���
Cisclosure of
Social Security Number
You are requirec E� provide yoursodal secu-
rity numberon ,'� Your social secu-
rity numberwii' oe used to dzterminz your
compliance with ,he ,ax laws of Mmnesot2.
Authorization fcr requiring your social szcu-
rity numberis found at42 U.S.C. SOS(c)(i).
BO[1C� IIl'FOCtllBtlOt1 A$10,000 fideliry bond in favor of fhe organization has been obtained as required
by Minnesota Statutes, section 349.167, subdivision 1.
fnsurance Company Name: Old Republic Surety CompanV Bond Number. RPSO44567i
(DO NOT USE THE AGENCY NAME)
Gambling iV(anager Change �en your organization is changing its gambiing managur, complete
one of these sections:
Emergency Change - Auow up to tive days for Ofhet Ch8t7ge - Allow up to ter, weeks ior processing
processing The new gambling menager's license should become
The chief executive o�cer, by signing below, affirms effective (check one):
fhat the'emergency application is due to the following � The day after the current gambling manager's license
reason (check one and i�il in date):
expires (for example, if ,F e curena eambf ng manaaers
❑ Death of gambiing manager on _/ / license expires 7/31l96, the new gambling managels�=
❑ Disability of gambling manager on / � license becomes effective on 3; i/96, provi�ed that ail
application information is complete).
� Terminafion of employment of gambiing manager on ��en the application has been processed by fhe Gam-
4/ 30 / 97 . b4ing Control Board—the effective date will be fhe first
NOTE: The new gambling manager may not assume day of the monfh.
duties until he/she has received fhe gambling managers NOTE: The new gambling manager may nof assume
license from the Gambling Controi Board. - - duties until he/she has received a gambling managers
license from the Gambiing Controf Baard.
Signature fi CEO
L �--'
Not ri�ed ignat r o ChiefEs>cuhveOfficer(CEO)
oar ' 4 � �
-- 46 — 5379
Notary Public Information. Notary public Seal must
be current and correct; seal may no4 �e aitered.
Subscribed and swom to before me -.i�is ` 7 1� day
of � o2i� . ,'(9 °I'�
�_-e� � i �—
� . .:":,�- CHftISiIEELtFNSC4idrl`d'nritinueri nn ha�41