89-1483 WNITE - C�T� CLERK ///JJJ��_
PINK - FINANCE CO11�1C1I � /��
BLUERY - MAVORTMENT GITY OF AINT PAUL File NO. ��
Council esolution -�'
`-fg';!
Presented By r
Referred To Committee: Date �/��/
Out of Committee By Date
RESOLVED: That application (ID #88 65) for the transfer of a Class C
Gambling License and an pgrade (ID #53225) to a Class A
Gambling License by Juan Diego Club - Our Lady of Guadalupe
Church currently located at 408 Main Street, be and the same
is hereby approved for t ansfer to:
1324 E. Rose Avenue. .
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
Lo�g In Favor
Goswitz
Rettman �
Scheibel A gai n s t BY
Sonnen
Wilson
AUG 17 �989 Form A y Ci tor
Adopted by Council: Date � I
Certified Pas Council , et BY c ������
gS,
t�pproved avor: Date 989 Appcoved by Mayor for Submission to Council
y - -— BY
�� },��`� � n 1����
i
. . , . �d�'-��"3
DEPARTMENT/OFFICEICOUNCIL , DATE INITIATED GREEN SHEET NO. 4 41 6
Fi nance/Li cense ,�,T„�,�� INITIAUDATE
CONTACT PER80N 8 PHONE EPARTMENT DIRECTOR �CITV OOUNq�
Chri sti ne Rozek/298-5056 N�� m'AT*o�' �C�11'CLERK
MUST BE ON COUNCIL AOENDA BY(DATE) ROU71N0 UDOET DIRECTOR �FIN.8 MOT.SERVIf�S DIR.
H—17—$9 AYOR(OR ASSISTANT) ���'� R
TOTAL#OF SIGNATURE PAGES (CUP ALL L AT NS FOR SIGNATURE�
ACT10N REOUE3TED:
Approval of a transfer of locatior� o a Class C Gambling License and an
upgrade to a Class A License. I
Hearing Date: 8-17-89 Notification Date: 8-1-89
RECOMMENDATIONS:Apprwe(/U or ReJsct(R) COUNqL E/RE8EARCH F�PORT OPTIONAL
ANALYST PMONE NO.
_PLANNIN(3 C06AMISSION _CIVIL SERVICE COMMIS810N
_CIB COMMITTEE _
COMMENTS:
_STAFF _
_DISTRICT CWRT —
SUPPORTS WHICH COUNCIL OBJECiIVE?
INITIATINO PROBLEM,18SUE.OPPORTUNITY(Who.What.When.Where.Why): I
Florence E. Corcoran, on behalf o th Juan Diego Club - Our Lady of
Guadalupe Church, requests Council a roval of her application to
transfer a Class C Gambling License om 408 Main Street to
1324 E. Rose and an upgrade of th t 1 'cense to a Class A Gambling License.
All fees and applications have been s bmitted.
ADVANTA(iES IF APPROVED:
�i
I
DISADVANTAGES IF APPROVED:
I
DI3ADVANTAOES IF NOT APPROVED:
CoG�rcil �esearch Center.
' AUG 3 �°89
�
TOTAL AMOUNT OF TRANSACTION a (bST/REVENUE BUDOETED(CIRCLE ONE) YES NO
FUNDINd 80URCE I ACTIVITY NUMBER
FINANCIAL INFORMATION:(DCPWN)
, � ` "
NOTE: COMPLETE DIRECTIONS�ARE INCLUDED IN THE GREEN SHEET IN3TRUCTIONAL �
MANUAL AVAILABLE IN THE PURCHASING OFFlCE(PHONE NO.298-4225).
ROUTING ORDER:
Below are preferred routings for the flve most frequent types of documents:
CONTRACTS (assumes authorized OOUNCIL RESOLUTION (Amend, Bdgts./
budget exists) Accept.(3rants)
1. Outside Agency 1. Department Director
2. Initiating Department 2. Budget Director
3. City Attorney 3. City Attorney
4. Mayor 4. Mayor/Assistant
5. Finance&Mgmt Svcs. Director 5. City Councll
6. Finance Accounting 6. Chief AccouMant, Fn&Mgmt Sres.
ADMINISTRATIVE ORDER (Budget COUNCIL RESOLUTION (all others)
Revision) and ORDINANCE
1. Activity Manager 1. Initiating DepaRment Director
2. DepartmeM Accountant 2. City Attorney
3. DepartmeM Director 3. MayodAseiatant
4. Budget Director 4. City Council
s. ay ae�c
. 6. Chief Accountant, Fin &Mgmt Svcs.
ADMINISTRATIVE ORDERS (all others)
1. Inftiating Department
2. City Attorney
3. MayoNAssistant
4. City Clerk
TOTAL NUMBER OF SICiNATURE PAOES
Indicate the#of pages on which signatures ere required and paperclip
�h of these pages.
ACTION REOUESTED
Describe what the project/request seeks to a000mplish in either chronologi-
cal order or order of importance,whichever is rrrost appropriate for the
issue. Do not write�mplete sentences. Begin each ftem in your Iist with
a verb.
RECOMMENDATIONS
Complete if the issne in question has been presented before any body, public
or private.
SUPPORTS WHICH COUNCIL OBJECTIVE?
Indicate which Council objective(s)your proJecUrequest supports by Ifating
the key word(8)(HOUSING, RECREATION, NEIGHBORHOODS, EOONOMIC DEVELOPMENT,
BUDGET, SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
COUNqL COMMITTEE/RESEARCH REPORT-OPTIONAL AS REQUESTED BY COUNCIL
INITIATING PROBLEM, ISSUE,OPPORTUNITY
Explain the situation or conditions thst created a need for your project
or request.
ADVANTAGES IF APPROVED
Indicate whether this is simply an annual budget procedure required by law/
charter or whether there are specif�ways in whfch the Gty of Saint Paul
and its citizens will benefit from this project/action.
DISADVANTAGES IF APPROVED
What negative effects or major changes to existing or pest processes might
this projecUrequest produce if it is paseed(e.g.,traHic delays, noise,
tax increases or assessments)T To Whom?When?For how long7
DISADVANTAGES IF NOT APPROVED
What will be the negative consequences if the promised action is not
approved?Inability to deNver service?Continued high traffic, noise,
accident rate? Losa of revenue?
FINANCIAL IMPACT
ARhough you must taibr the information you provide here to the issue you
are addressing, in general you must answer two questions: How much is it
going to cost?Who is going to pay?
� . � ��-���
. DiVI�ION OF LICENSE AND P�RMIT ADMINISTRAT ON DATE � oZ� / � /
INT�;RDF.PARTMFfiTAL REVIEW CHECKLIST Appn Proc ssed/Rece"ved by
Lic Enf Aud
Flor2n�e. Co�COrG�
Applicant � p �' Q(,� �,d�� Home Address /��J� �/e�r
Uu�d�,l u.�p� CH u�c h .� '/�1
Business Iv'ame 1 Home Phone 7 �`" 7�T
Business Address 13ay � ��5� Type of License(s) �YCI�S-rlr O�t ��-"�an —
Business Phone l., IGS �Q171 �[ L � � � kd��
� ����
Public Hearing Date � �7 �q License I.D. 4{ g 8a�sL-��-� $�ol,s'
at 9:00 a.m. in the Counc' Chambers, �uPy,.�)
3rd floor City Hall and Courthouse State Tax I.D. �� Jl)�A�
llate Notice Sent; Q Dealer 4� �fA
to Applicant p ��
rederal Fi.rearms �� �U
Public Hearing
DATE INSPECTI
REVt�.W VERFIED (COMPU R) CUMMENTS
A proved Not A roved
�
Bldg I & D �
� A �
Health Divn. !
� !
� �
i
Fire Dept. �
� �
� N
i �
Police Dept. I
� � � II v�"CJ
�
License Divn. �
��, �� �
City Attorney G(t � �
O� ,
�
Date Received:
Site Plan � �� Q�
To Council Research U �
Lease or Letter Date
from Landlord
CURRENT INFORMATION NEW INFORMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Current Officers: Insurance:
Boud:
Workers Compensation;
New Officers:
Stockholders•
�ity oL S in[ Paui
. , Fi�ance and `�anagement Servi esiLicense & Permit Division //�,._.�/,� ����
(�' ��
I:VFORMATION REQUIRED WITH APPLICaTION FOR PE IT TO CONDUCT CHARITABLE G�,1�IBLI�G Gd,KE LV
SAI:1T' PAUL (To be used with the following: ew � & C application, renew � & C
Licenses, and new and renew B in Private Club .)
�- �
1. Full and complete name of organization ich is applying for license �i.[_A n� iE�o
��C l,e �, (/�G G -- A .0 G ' E. c
2. �Address where games will be held ��� G5� ��'�• �� SrrHt.�� � SS/C6
N er Street City Zip
3. Name of manager signing this applicatio who will conduct, operate and manage
Gambling Games —�.c4REn�C.E � �' Cc'i�H�� _ Date of Birth ;�'—/�/-�—:�7
(a) Length of time manager has been mem er of applicant organization ;�� �/��,�}i��
4. Address of Manager l 9=s � C � �� �- ✓��a�
Number Street City Zip
5. Day, dates, and hours this application s for �csD�}y �fTE,�i�oc�ys i.'cci?,y f� �;�ci?,�,
�
6. Is the applicant or organization organi ed under the laws of the State of MN? �/�S
T /%.��5' 7—
7. Date of incorporation G''% -�-�/GD �',Q/iT�D � c°f /�N �1�/�o�-�C C��� �k'��`(
8. Date when registered with the State of innesota `�°� �_�; �9 ��
9. How Iong has organization been in exist nce? ,.Z Q )lF�,�S
r
10. How long has organization been in exist nce in St. Paul? �� y,E��S
11. What is the purpose of the organization �G j�f} !SE �dN� �/ -���Z �Due /+7'/aN�4L
u R P t'Sc.S c�l� H E /� Fitl �. ' �iz/Z � ° '/�1 i7�9 t�'�,�. �l.�R[°f�
12. Officers of applicant organization:
vame�1'HE� �RO f ��E�/ ��� iQ Name �;,f���AT1ET L`', O�•��-,-
Address � G'� �iVO F G� Address �O/ � C�7"T/�C�'F
Tit1e��,�5/O�yT�-!H5'��B 7` — C Title E .5" .XF� _ DOB —/D
Name T �!� � S Name ��,(C��9.E�t/L°F � (�J�4F�t��4n/
Address �6-� i/�/ � �� Address 1(��,�` /J%� T��Z.
Title (/iC -- �SiD ��B Title �I/��/��c/z DOB ,y/ -' J
13. Give names of officers, or any other pe sons who paid for services to the
organization.
Name vame
Address Address . � �
Title v' Title
(Attach separate heet for additional names.)
��-!�'3
14. Attached hereto is a Iist of names and a resses of all members ot the organization.
I5. In whose custody will organization's reco ds be kept?
,
Name r�o�,��/c�� G , ( ORCC�If��/ Address �y,j �i�= �7-ER
16. List all persons with the authority to s n checks for dispersal of gambling proceeds:
�(ame ��On'�ENC-� �, Cr�9.4ZC.�/�ff.c� Name /yf}/Z C-i���T C'Ty„ `(�'��S/�G-
Address /� 9 S �i� T�,�. Address 90/ �. ''� y'7`F�6-�
^ Member of Member of
DOB :f�/�—�� Organization? ��/�_.$_ DOB Cf' 3—/U Organization? '✓�
T �
Name ��>�ER J�RoM'E �f1��l,�N��l� Name
Address J�c d�N,V�,�/� Address
Member of Member of
DOB '7"y—l�D Organization? }�F S DOB Organization?
�—
17. a) Does your organization pay or intend o pay accounting fees out of gambling funds?
yes no �� �� c�,��,�,Ev
b) If you do pay accounting fees, to who will such fees be paid?
Name ddress
DOB Member of Organ zation?
c) How are the accounting fees charged ut? (flat fee, hourly, etc.)
18. Have you read and do you thoroughly unde stand the provisions of all laws, ordinances,
and regulations governing the operation f Charitable Gambling games? l/� 5
T�-
19. Attached hereto on the form furnished by the city of Saint Paul is a Financial Report
which it .emizes all receipts, expenses, nd disbursements of the applicant organiza-
tion, as �aei1 as aIl organizations who h ve received tunds for the �receding calendar
year which has been signed, prepared, an verified by
Address
who is the of the applicant organization.
Name
20. Operator of premises where games will b held:
Name -� i C-HR C�/ �
Business Address �/ EN��
Home Address /�j, � � .L�
21. dmount of rent paid by applicant organiz tion for rent of the hall: ��' !��✓
. .f6 � ,
� �' � �%J� /�4�t.IZ ; f 5S�d.J
22. The proceeds of the games will be disbur ed after deducting prize layout costs and
operating expenses for the following pu oses and uses:
= i,� c ft�r ie N fi��, f'cc 5 if1F L ��. F,�/
' / ,E ��,5 i ' � 4 O ✓}�,� i�•, � C R
23. Has the premises where the games are to e held been certified for occupancq by the
�
City of Saint Paul?
24. Has your organization filed federal fo 990-T? � If answer is yes, please attach
a copy with this application. If answer is no, explain why:
/ G° T f� P{�/� C � ��
Any changes desired by the applicant associat on may be made 'only with the consent of the
City Council.
��z� ��o y o f (°�e�n�fiti,upf ���r�}
��3�v !�i��c LD'�� t3
Organization Name
Date � �' l/�% By: '�n.G� � ' /
�
Manager in charge of game
�� �
Organization President or CEO
� � � z t � N s� - - - ., -
:. � — - s � � I
n � ;� .9 < +i , � j .� r, .T � ' j
9 ;1 't � %1 � I� � � �+ � = I �
= � 3 �<, , + �e 3 fi I �e
� ' 3 x/1MM�MAn■ � T %e T = ^ � � -,
� � 's —' ����'�,� � y tD r -'�
A .9 d S � �^F ei � S .A � `�C
5 3 + � 3 '�•%% � 5 3 � n .��9 m �
: 3. = A '9 ,.' = g =
. -. � o � ti I � C a �
S f� � -a I r 3 n "1 :9 'lf
� � � � �c� � a a _ I_ .. 3 �e �
� � D y n�� ` _ �. � A � � �
+ 3 �.� ° ���� i � _ � ,a m
� 9 9 x��L ! � 9 = i � � .s v v
4 d '<I g.r;�r+ �+ I
'7 �f �I y o � D ' 7 = y 1 I � n
°. � - : .� �=;� � I , „ a I- � � :,
�. �o � � : � .-� � � ^� �o �
" � � I ^ I S �
� - _
A f^. A �I �/- � � � � 3 � � � � 9 I
� A � !�' i ' ° � D � 7 �r .� � �9 ^
— ,,,� � �� A ^ 7 � I I�
� � �� ■wWvw�w a � 9 E � -� T ? t
"' TC: i � � a - � � I
A , � 1 � 9 < I
� JI � � _ � � (
�
1 I ;I , d � 9 J ss —
I � t � � � a
7 � �
,. � e o
� , , = �' � "
a i i
�
.�✓(J1P"
City of aint Paul
. , . Department of Finance nd Management Services
� License and ermit Division /�(���[�d'�
203 ty Hall (, 0 �
St. Paul, Minnes ta 55102•298-5056
' � APPLICATtO FOR LICENSE
CASH CHECK CLASS NO. New Renew
� � � a Date ? �o �9 8�
Code No. . Title of License From � 1��To � 19 ���
t -
� ' '" a�� �a - Ou� ��� �1
, ,
� � vyy� L. � � ApplleanUCotmpan Name , ,� / `1 u ✓L \
1 U `� `1 l./G C�C�. �Cd '� �� � � \
/ � � `� � . IZ� �-e_ �-___�'
1 8usiness Name
1
Business Address Phone No.
10
1 0 Maii lo Address Phone No.
1 0 I-- � �v' �;,, r � C . L ✓� <'U/r i')
ManapedOwner•Name ��
� o � J `,
� l `' �f ��e �e � � �l �/ `7
1 0 Alanage�lGwner•Home Address Phone No.
4098 Application Fee 2 � '� �
Recefved the Sum of i o 5 ( • d Q� '� ��� 5� �o �
��p�p�� ManagedOwner•City,Slate 8 tip Code
100 Total � i
�
n �.�1'Ll:�� � GO��fi/�!/
LiCense InspeCtor � �� By: � � ,�"'� Signature of Applieant
Bond: '
Company Name Policy No. Expiratio�Date
Insurance:
Company Name Policy No. Expiration Dete
Minnesota State Identification No. Social Security No.
Vehicle�nformation:
Serfal Number Plate Number
Otft@f:
• THIS IS A RECEIPT OR APPLICATION
THIS IS NOT A LtCENSE TO OPfAATE.Your application for Iicense w II either be granted or rejected subject to the provisions of the zoning
ordinance and Completion of the inspections by the Health, Fire,Zon ng andior License Inspectors.
$15.00 CHARGE FOR ALL RETURNED CHECKS
8'�-�� �,/
�d"o(l.27
City of �aint Pdul
� ' . ' Department of Finance nd Management Services
� License and ermit Division �'�G--�4�
203 ity Hat1
. St. Paul, Minnes ta 55102•29&5056
APPLICATIO FOR LtCENSE _
CASH CHECK CLASS NO. New Renew
[� 0 0 Q Z� 19 �
�. Date �
Code No. . T(tle of License From � 1��To a � 19�(=
�, , ,; � -tY4n r Sf��3 �
� a n ��p � ��t-b- �Lt � Lac��
Appli�anU mpan W /� ! u /C�
1 0 D t- U qc�G��(�- �.._r�
I � .� � � l�oS2. 5��� �
1 0 8ualness Name
10
Business Address Phone No.
10
1 0 Mail to Address Phone No.
10 �
��Uf�r� (� E= • IOfCO{ Gi1
Manaper/Owner•Name
� O �
1 y y � �►F �r ���u�
' 1 0 titanager/Gwner•Home Address Phone No.
4098 Application Fee
2, 0
Received the Sum of 1 0 �{ . �G��� � �1 S S � J �.
Manage�lOwner•City.State d Zip Code
700 otal 1
- � �4 r� �".��- � ��-�,ti
LiCense InspeCtOr By: Signature of Applicant
Bond: '
Company Name Policy No. Expiratlon Oate
Insurance:
Company Name Poliey No. Expiratio�Date
Minnesota State Identificat(on No. Social Security No.
Vehicle Information:
Se►ial Number ta Number
Other:
THIS IS A RECEIPT OR APPLICATION
THIS IS NOT A LICENSE TO OPERATE.Your appilcation for license w I efther be granted or rejected subject to the provisions of thezoning
ordinance and comptetlon of the inspections by the Health, Fire, Zon ng and/or License Inspectors. .
$15.00 CHARGE FOR ALL RETURNED CHECKS
�i�o M �D8 /�Q��
� � 13a�I �� � ;
. _ - ' j.
� � ��� � i