HomeMy WebLinkAbout1998-08-19 PACKET 04.R.REQUEST OF CITY COUNCIL ACTION COUNCIL AGENDA
(UIEETING ITEM #
DATE 8/19/98 _� � .
PREPARED BY: Public 5afety Jim Kinsey
ORIGINATING DEPARTMENT STAFF AUTHOR
�.�.�<.������«.w���..��«.�.«.a�.��..�.��<.�<>�...
COUiVCIL ACTION REQUEST
Authorize issuance of a single-occasion gambling permit to Cottage Grove Chapter of Ducks
Unlimited to conduct a raffle on Thursday, September 24, 1998, from 6:00 p.m. to 10:30 p.m.
at the Cottage Grave VFW Post #8752, conditioned on compliance with all state and local
regulations relating to gambling. There shail be na gambling operations by the VFW within the
area being leased by the appiicant.
SUPPORTING DOCUMENTS
� MEMO/LETTER: Jim Kinsey, dated 8/13/98
❑ RESOLUTION:
❑ ORDINANCE:
❑ ENGINEERING RECOMMENDATION:
❑ LEGAL RECOMMENDATION:
� OTHER: Appfication
ADMINISTRATORS COMMENTS
1���
Dace
4 k * * M1 4 R * * * X' & 4 4 # * 'k * A * * * h * § 4 * * rt * 6 * * * * * * k * * * 4 f * @ M ! •
CdUNCIL ACTiON TAKEN: ❑ APPROVED ❑ DENIED ❑ OTHER
� •
To: City Administrator Ryan Schroeder
From: Acting Director of Public Safety James E. Kinsey
Date: August 13, 1998
Re: GAMB�ING LICENSE APPLICATION - TEMPORARY
INTRODUCTION
All charitable organizations which are exempt from the requirements of the Minnesota Charitable
Gambling Control Board and who desire to conduct lawful gambling within the City of Cottage
Grove, must obtain a gambiing permit.
The issuance of lawful gambling permits are subject to local approval through a resolution adopted
by the City Council.
BACKGROUND
Pursuant to City Ordinance, Bruce Michael Dupre, on behalf of Duck's Unlimited Cottage Grove
Chapter 184, located at 111 Quamwell Avenue South, Lakeland, MN 55043, has su6mitted an
application for a Temporary Single Occasion gambling permit, for the conduct of a raffle, to be held
at the VFW Red Bar�, located at 9260 E. Pt. Douglas, on September 24 1998. The Department
of Public Safety is required to conduct a police investigation of the applicants.
DISCUSSION
The application as submitted, is complete, in compliance with our ordina�ce and is exempt from the
licensing requirements of the Mi�nesota Charitable Gambling Control Board.
We have investigated the applicant and have not found any facts which would constitute a basis for
denial of this application, under the provisions of the Ciry's Gambiing Ordinance.
RECOMMENDATION
Recommend that the City Council approve the single occasion Gambiing Permit application for
Duck's Unlimited Cottage Grove Chapter.
ames E. Kinsey—A,ting Di e torof blic Safety
/cce
cc: gambling file
• Page 1
r
s
�
LG220
Rev06/95 Minnesofa Lawful Gambling For Board Use Only
Applicafion forAuthorization foran FeePaid
Exemption from Lawful Gambiing License Check # '
Initais
Date Recd
Organization lnfoimafion
Organization Name Previous lawful gambling exemption number
,, � . _ . . � � -
Name
your
Last
of
�� �? . 3�G:3 i �
Daytime Phone Number of Treasurer
Name " Last Name
�L I C7�tS e�1
the box
ieck the box that indicates the type of proof attached to this appiicati
� your organization:
[] IRS letter indicating income tax exempt status
�ertificate ot good standing from the Minnesota Secretary
of State's o�ce
[�A charter showing you're an a�liate of a parent
nonprofit organization
�roof previously submitted and on file with the Gambiing Controi
Soard
� Fratemal
Q Veterans
0 Reiigious
,�- Otlher nonprofit
Organizafion
�-
Name of Estabiishment where gambiing ac1
������
Street
�
be conducted
l �c:� W_ l�y� � �GL�
of activity (for raffles, indicate th ate of the drawing)
Siate
r- g ? �
2ip Code
County
�°' 0� L`� D .
Check the box or boxes which indicate the type of gambling activity your organi2atio� wiil be conduding
� Bingo � Raffles 0 Paddlewheels � Puit-tabs � Tipboards
, �I■ �
Be sure the Local Unit of Govemment and the CEO of your organization sign For Board Use Only
the reverse side of this appiication. Date & IniYials of Specialist
Loca/ Unit of Government Jurisdiction
Is this gambling premises located within city limits? B Yes Q No
If Yes, write the name of the Cit :
City Name�7'�Fast Q �dZ--
_�
If No, write the name of the County and the Township:
County Name Township Name _
Check the apptopriate status of the Township: �organized dnorganized
ent
1. The city must sign this application if the gambting 3. DO NOT submit this application to the Gambting Control
premises is within city limits. Board if it is denied by the local unit ot government.
2. The county and township must sign this applica- 4. NOTE: A Township may not deny an application.
tion if the gambling premises is not within city limits.
Upon submission ef this apN(ication to the Gambling Control Board, the exemption wili be issued not
more than 30 days (60 days for cities of the 1st class) from the date the local unit of govemment
signed the appiication, provided the appiication is compiete and ali necessary information has been
received, uniess the locai unit of govemment passes a resolution to specificalty prohibit the activity. A
copy of that resolution must be received by the Gambiing Control Board within 30 days of the date
filied in below. Cities of the first class have 60 days in whicfi to disallow the activity.
City or County Acknowledgment of Receipt of
Application
Signature of person teceivin application
(�✓dI� /7� J�i..ev,<.�t.I�'�
Date Received: �'�/6 9�
Township Acknowledgment of Awareness of
Application
Signature of person acknowledging application
Daze
--
Tide�� �rec application T'ide of person acknowledging application
C./
� `Oath af Chief Executive Officer
! have read this application and ali information is true, accurate and compiete.
Date:
Submit the a�piication at least 45 days prior to your scheduled date of activity.
Be sure to attach the $25 application fee and a copy of your proof of nonprofit status.
Mail the compiete application and attachments to:
Gambling Control Board
1711 W. County Rd B Suite 300S
Roseville, MN 55113
This publication wili be made avaiiabie in aitemative format (.e. large print, brailie) upon request.
Questions on this form shou0d be direded to the Licensing Sedion of the Gambiing Control Board at
(612)639-4000.
Hearing impaired individuals using a TDD may cali the Minnesota Relay Seivice at 1-800-627-3529 in the
Greater Minnesota Area or 297-5353 in the Metro Area.
The information requesied on this form will be used by the Gambling Conirol Board (GCB) to determine your
compliance with Minnesota Statues and eules goveming iawful gambtirtg activities. All of Yhe infocmation
4ha4 you supply on 4his form wili become public information when received by the GCB.
��av: �a
, �'� c� of
� Cottage Grove
� ���
�5 te eorh so-�+ somh / conope G�o�e, Mi��:orc 550� 6 GAMBLING APPLICATION at 2 458-2800
Appiication (Check One):
❑�
i
Premises Permit - Class
If renewai, peRnit number:
Exemption from �awful Purpose Gambling License C����- �n �y�
�I� Locai Permit � , , ,,,, �' � �� �
If single occasion, date and times: �� �_ (� (�
1. Organizational Information:
� vc.1�.s C3r�� iw�i�
Name of Organization , , , ,
2. List o�.0�cers of
Name (First,
iate with Organi�i
` J_ 1 . t �/
. , Name
� Daytime Phone
.� ( �
Date of Birth
�(�— �36 — �
Home Phone
��� �33-c
Work Phone
w.�ddt�- Nc;��e
rth /D/Y����
,,..�,� ..�,,,,, �
crp�— _� �-
Home Phone
with Organization
Name (First, Middle, Last)
Address
Date with Organization
Work Phone
Date of Birth (M!D!Y}
■ •u_ �`.i-
Work Phone
� EQUAI OPP�NNITY EMPIOYER
3
t
3. Gambiing Manager:
Name (First, Middie, Last) Date of Birth (M/D/Y)
Address Home Phone
Starting Date with Organization Work Phone
Date of Last Gambling Seminar Attended
4. Assistant Gambling Manager:
Name (First, Middle, Last)
Address
Starting Date with Orga»ization
Date of Last Gambling Seminar Attended
; ` � 4 ,,.7 5. List of Persons accounting for
V ��� "'�� S C�\ lt✓� "t 7
fEr'�� ame (First, Middle, Last)
� (7CiSF�,f
���� Q ��'� ^ Name (First, Middle, Last)
Name (First, Middle, Last)
Date of Birth (M/D/Y)
Home Phone
Work Phone
and profits for the event:
i�- /�1- �t;
Date of Birth (M/D
Lil'� ��'D
Oate of Birth (M/D/Y)
Date of Birth (MIDlY)
7. Bank that wili
<`
ivai��e � �vO �V � �� S .
Note: Gross receipts from IawFu� gambling at each permitted premise must be
segregated from all other revenues of the conducting organization and piaced in
a separate account.
7
on which events wiif occur.
Trade Na�rfe of
of Premises (Name and
8. Is establishment a tiquor iicense holder: �Yes
(If yes, attach a list of bartenders employed on premises.
(first, fuli middle, last) and date of birth of each bartender.)
/ 9. 1 Estimated value of prizes to be awarded: ,�
�./
❑ No
Furnish the full name
THE FOLLOW/NG MUST BE INCLUDED TO GOMPLETE YOUR APPLICATION
❑ COPY OF STATE ORGANIZATION LICENSE APPLICATION
❑ COPY OF STATE PREMISES PERMIT APPLICATION
❑ ARTICLES OF INCORPORATION
[� DOCUMENTS REGARDING TAX EXEMPT NUMBER OR OTHER PROOF OF
NON-PROFIT STATUS
❑ LIST OF ACTIVE MEMBERS QNITIAL APPLICATIONS ONLY)
❑ GAMBLING MANAGER'S BOND
❑ DOCUMENTATION THAT GAMBLING MANAGER AND/OR ASSISTANT
GAMBLING MANAGER HAVE COMPLIED W(TH MINN. STAT. 349.167
a` COPY OF LEASE
❑ SKETCH OF THE PREMISES SHOWING THE LOCATION OF THE LAWFUL
GAMBLING
❑ SCHEDULE OF EVENTS (DATES AND HOURS)
I hereby certify that all statements herein are true and correct to the best of my
knowledge, that this appliCation is in aCCOrdance with a�oiicable ordinances and
statutes, and that I am authorized to mal
Subscribed and worm to bef�re me thi
� day of � , 199 �
Notary Pubiic:
(SEAL)
.�
IIALL REHTAL AGREENENT
Thfs Ayree�ent �ade and entered Into Lh1t � j� day of
`����� � _ 19 ;L p, by a�d between the Yeterdns of
. �o_._
Forel9n Nara Ciub /0T52 (hereinafter raferred„to as "the club") and
_ ,r,� ,� ...�,. n,• L. _ n6.,/.Ji,F�/-C��aC���"�• (heretnefter
_• �-�.�.----
reterred to as "the Lessee").
In coosideratlon bf the covenants e�d ayreements hereinafter
contalned and a�ade by the Lessee,
the Club does hereby ag�ee to
rant to Lessee for use oniy bY the Lessee that portlon of tf�e bulld-
Inq lotated at 9260 Polnt Dougles Drive �n the City�of Cottage .,
Orova,'Neshtngton Cou�ty, Min�esota, k�oNn and described as folloNS:
Y.F.N. Club /8762
� rt
t/ Oance hall and Jlni�g area
Kitohen �
' Other (descrlbe)
!or tha pariod - C�.�� �
,. 19 . at
Rentat Fees and Clsarpes
Itatl and dlning erea:
Kitche�:
6�r orea:
Pollce securltY
Oti(er (�desCribe):
TOTAL: �7a��0
6
19 . at � �'.�u. unti l
.m. �
S �
f �
t +�
f
3 __
0
,�:,. ,;
-_r.;___.____
a. ,-
A deposlt of 1� �� has been pald by lhe Lessee lo the Club on U►e
alqolnp of tlie agreement. lessee si�all pay ti�e balance of �----'' on or
before the date of tlie rental. If tlse lessee' sleai0 fall, for any reason. to pay
the balance of .tl�e rent before tl�e date of ren�al, tl�e Club shall have tl►e
1!
8ar Servlce �� .
As a part of the reotel. Lhe Club hereby agrees to fur�lsh to Lessee such
bartandlnp and cf►cktall waltress se�rices es may be,deemed necessary by tlie Club.
Y
AII'Itquor aad beverage servlce sP►ell be supplled excluslvely by the Club,
lessee or its agents shall not permit or cause to permlt the tntroducttors of any
liQuor or beverages onto the premises wlthout ehe wr►tten consent of the Ciub.
r{ght to te�minate tiils agreement end retaln llie deposlt.
Gatertn �`
Tha Lessee sl�alt not provide, furntsl► or arranfle for food and/or beverepes
except as permltted by the Ciub, end tl�en oniy, In strict accordance Ntth the
cateriny poilcy of tAe Club. AII food shall be supplled by Ilcensed caterers
who shall furnish tp� the Ciub Heneqer at least tive (5j days prlor to the hatl
rentsl dete a Certiflcate of tnsu�ance deslynetinq the Ciub a!'e named Itisured '
uoder the Lera�s of ti►e caterer's Ilablilty I�surance polify. !t shall be the
responslbl U ty of Lhe lessee to ensure thet the Les3ea's caterer ts properly
llceosed and thet the aforemeotloned Certtficate of Insu�ance Is furnlshed to the
Club in accordance Ntth thls Apreement. If ti►e lessee doe; not fulftit !ts ,
obilpetions under this paragraph, The Club shail have the rtqht to terminate
this ayraement end retatn the deposlt.
HotMlthstandlnp.�any provlslon of this apreement to the contra�y. lessee
�say daCline to ehyape tl�e servlces of e Ilcensed/Insured ceterar.. TiIE LESSQE.
IN EH(iAti1N(i TIIE SERVICES OF AN UNL(CEN5E0/UNINSURED CATEOtER ACTS AT IUS OR NER
ONN RISK AND IN OOtNG SO TIIE LE55EE AGREES TO REIEASE,AND REI.EASES TNE CLUB FRON
LIA8ILITY fOR ANY ILLNESS� lNJUR1(� DIUMGESe OR CLAIH FOR WiMAGES ARISING OUT OF
TIIE USE OF TIlE CLUO OY TIIE LESSEE, ITS AGEHTS. EMPLOYEES ANO Tf1E1R GUESTS.
�;�: � ,,
: , ;,;.,.
„•
, .
DaMage to Premises
If sald prea�ises, or any portion of ll�e rented area(s), shal{ be damaped
by tlea act. default or nepllqence of tlse lessee's agents,lpatrons or guests.
Lessee wLlt pey to tire Giub upun demand such sum es shail be necessery lo restora
tha prewlses to thelr present conditlon.
04�ectlonsble Persons
The Club reseryes lhe rlphl throuyh Its offitars and representatives to
e,�ect any ob�ectlonable perso� or persons fron� tlie premises durinp tl�e terai
of this lease and upon tlie exerclse of ti�ls authorlty throuyh Its offlcers.
�pents or pollcemen,'the lessee hereby watves any rlpht and al�l clelm for damepes
� ' �palnst lhe Club. � , '
Uest�uction oP Uu1lJing . .
In case the ranted premises. or eny part thereof, shal! ba destroyed or
ds�e9ed by fire� or' eny cause, or If sny oll�er casuaity oP upfo�eseen occurre�ce
:hell reoder the fuiflllment of tlils Apreement by the Club imposslbte� then end !n
thit�avent this aqreement sliali terailnate and tl�e lessee herebr any clet� for
. da�ages or co�ensakion ahould ihis Ayreement be so ter�inated. .
lo Nltness Mhereof, the underslpneJ 1►eve hereto set �heir hands and seal
� —�—� �
thls �2._> '�day o� _����.n.f%e,r� , 19 � , ,
��
.
Lasfee Lessor
��t1.s.� UG���.t�,-��1�-c� �Ccl�'�y�,cz�� v.F.N. c�ub re�b2 .
� ,.
8Ye Uyi �C�"'�'�GLVri-F�SL�l/va' ('i-f'7v ;
` • "�IuG°Hanayer .
✓� �'
tltle. ' f
Page 3 of 3
:
v ,
�,�,�'� �-
���
� ��� ' c�,�
���°�
TAX 9TATU�
Ducks Unlimited. Inc. is tax exempt under se�tion 501(C)3 of the Internal Revenue
Code.Our Federal idenfification number is 13-5643794. The following leners substan-
tiate our tax deductible status.
����:
� ,'
_/.
Oii�CE OF
MYMI¢�d1EP OiINTENN�IHEVEXUE
rrt
- m�n vrwu� �avwic
16 � ITiRR:LIL
Ducks IIniimited, Inoorporated,
539 �[uasey Building�
1529 fi Street, N�. W.,
Washington, D. C.
Sira:
�'� 4' . . .: �
Reference Se made to the evidenoe eutmitted in eupport of ywr
oltlm to ezamptioa from Federal Sncome taxstion.
� The ecidenoe praseatod disclosea that you were SnoOrporatod Sn
� 1937 under the lews oS the Distriot oS Coltmbte. Your ob3ecte sre
�. to restore end parpetuate n31d ducYs snd othar w11d xaterfowl on
the North Aaericsn Cos�iaent;. to promote� carry on� coaduct ead�
foster ecier.tific research, educatSon, treining sad publication in
�the ornitholo�ioel sciences; to establiah dePartseats o£ research
nnd` acieatitic study +aith psrticulsr re:erence to the enhsncemeat
oP knowledge ooncerning the wetertrnvl oS the North Aaericsa Coati- .__
nent; to esteblich, promote, essict� contribute to or othenrise ea-
courege the study oS ooaservetion,�restoration end management oS '.
wild watertowl and �ita hnbitat; in connection theren3th, to �rnat
scholsrshipa, prizes sad rexardoy to maiatain sarotueriee tor wild-
lite; and to do eli avch sota ac are aeceseary or convenient to at-
teia your purposes.
You hnve no oapitai ntook. You may establiah nnd maintain of-
fiaes ia eay ot the sta:os oS the Daitod States, Ste territorias or
Sorelgn poasessione. You are goveraed by a board of truatees. Your
actuel ectivitias ara to eolicit oontributione from persons 1n-
terested in your purposes and through your oSficors end represente-
tioes to ce:ry on appropriate sctivltiea davoted to tha advanoement
and ecco�aplisFmeat of your purposee. Y6ur income Se dericed Srom
eontrlbutione ead is disbursed Sor development and promotion, pub-
ISoations, printing ead distribution end oSfioe adminiatration.
You ere nonpoliticel and ywr cartificate of iacorporetion provldes
that you xill not, by your activitiea, attempt to influance legiala�
tion by propagenda or otherwise. Noae oS your inaome inures to the
benaSit of eny privete ehereholder or individus.l.
TREASURY DEPARTMENT
WASHINGTON
_78_ y�
u
�
� Duoks UnlSmited, 2morporated�
� Aas'r.inf, D. C. .. . . . __.
+ - tled to exem �on �ux.eo �<<_ �.._ _ - . _ ._. ' _
9 &evemie Aot of 1936. You are not. therefore, required to file n
ratvra Sor 1937. Irinscmeh ae aectioa 101(6) of the Ravenue Act oP
�� 1338 ie eimilar to eectioa 301(6) of the Revenue Act of 1936, re- -
turns will not be raquired Sor 1938 and subsequexrt 3'BOSeeeorlmethod
ae there is no ohange 1a your orgsnization, yo�s purp
- of operation. .
� Any ohangee Sa your Sora o£ organisation or method oS opa:s-
tioa, ae sham by the evidence euhmi'tted, muat be i�ediately n-
ported to the oolleator oP iaternel reveaue fcr your diatriot ia
� ordar thet the eP£eot of evch oheagee ugon your presant ezeaipt eta-
tue me+y be detex'mimd.
THe examption referred to ia thSs letter doee aot apply to
�- tssea levied vader other titles or proviaione oS tbe respective .
revenue acts escept Sasofar ae ezemption ie greated azpreeely
. under thoee proviaiona to orgeaizatioas en�erated in aectioa
�� 101 oP the Bevenue Aat oP 1938 end the oorreepoadiag provieions
� oS the Reveaue 6oE oS 1936. ,'+ ^-
. . .. ._ _ �...�, a.,.,,.... .
�
�
�
�
8
@
iaoome in the meams' aad tio the eatent proaidad by eection 23�0)
of Ehe Revenue dot oP 1938 aad the oorresponding proviaiona o£
the &evenne 9aL of 1936. Tho dedvotibility oP ooatributiom by�
oorporst4oae is govorasd by eoetioa 23(g) oF th"e Bevanue 6ote oY
1956 wd 1958.
p copy of thts rulSng L being transmitted to tkm aolleotor
of iarternwl re�ema Por yovr distriat.
py directlon ot the Co�iseionor.
D 9z -�s-
RCCEIPT
CSTY OF COTTAOE GROVE
9516 BaTA STREE£T S�t7TH
COTTAGE 6H'�VE, tM 55016
7B/.0(1998 11:43:�2 knw
RECHSP: / ACCTM T���`'T
_' "' "'"' ""' """""""' "" _""' ""'
i46h Hruce Dupre/Ducka Un
�.448 Gambling Lic.
025�3719
1998 1-dey gemhling 11 300,06
Tota1 Due 1P0.0�
Check N12B06
100.00
Caeh 8ack 0.00
PHANH YOU FDA YOL1R PAYMENT.
COTTAGE GROVE PUBLIC SAFETY COMMUA� coMPU� REPORT
AGENCV CADE CONL AGENCV NCIC IDENTIFICATION DATE REPORTED
� � N o 8 2 0�(o o �-��-,�--�
98 !J0983?
I Day� S M T T F S
—� HOW RECD
REPORTED BY: CJ�1 C.. �t.�:�/ t�--' v�-^-' '`""'�..�., "-� ._..
ADDRESS:�� �.,1,C�71�U.,`ti-�� ��'��APT.N:�CITY Qla-��c.�-«.rL�-- STATE�
Q �a L-+�� �', ciTr �-� nPr.a: �
LOCATION:�
COMMON PLACE: ���i PATROL AREA:� GRID: ��
PHONE: �_,_� OFC #1 [y�� OFC #2 �� OFC #3 ��
TiME TIME ��
RECD: � I ` 5 �� 0 SP: � � `"} ARR: I��� COMP: +� J 5
CALI RECEIVED BY: -�-? U� DiSPATCH: ��-{
.� M �� u ❑ I � M �� u ❑ i � ��� ❑
L.�
�� MOC/9000 � �� --�� u ❑ '� M�� ❑
�,`.`:�ik.-LF�.in .J'�.LL
IncidenVOffense Type � �
s ,, ,
„ , _c.CvJ
�.f� c. 0'� C� �-f�e
;
G�- (�,�%�L , G`�/-�
�
R • Ratlio
A- Alarm
1- n Person
V - Yrsual
M - Meil
7 - Other
UCS CADES:
N - No Report
T•fleport
L • UTL
U - Uniountletl
EMERED
❑C ❑O
❑J ❑A
❑P ❑JCF
AOD'L REPORrS
O 0
csw H N
A O A O
OFFICER ASSIGNED flPT.