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Home My WebLink About20090601 - VI-10 To: Mayor Hicks and City Councilmembers From: Adeline Schroeder, Deputy City Clerk Date: June 1, 2009 Re: Application for Gambling Permit and Two Day Liquor License— Saint Elizabeth Ann Seton Recommended City Council Action: Approve the attached resolution, approving a gambling permit and a two-day liquor license for Elizabeth Ann Seton School. The gambling will be conducted September 19 and 20 and the liquor license will be effective for September 19 and 20, 2009 as part of their outdoor Fall Parish Festival. Background: If Council should approve this application, the attached resolutions will be sent to the Minnesota Lawful Gambling Board and Alcohol and Gambling Enforcement Division, showing the City’s approval. The Council approved a similar request by this organization the last several years. Should you have any concerns or questions, please do not hesitate to contact me. Attachment: Resolution—Approving application for a gambling permit and for a temporary two day on-sale liquor license CITY OF HASTINGS DAKOTA COUNT, MINNESOTA RESOLUTION NO. 06- -09 RESOLUTION APPROVING THE APPLICATION BY ELIZABETH ANN SETON TO CONDUCT A RAFFLE AND FOR A TEMPORARY ON-SALE LIQUOR LICENSE WHEREAS, St. Elizabeth Ann Seton has presented an application to the City of Hastings to conduct gambling on September 19 and 20, 2009 and for a temporary two day on-sale liquor license for September 19 and 20, 2009 at St. Elizabeth Ann Seton th Church, 2035 15 Street West: and WHEREAS, the Minnesota Gambling Control Board and Minnesota Alcohol Enforcement Division requires resolutions be passed to approve the requests; and WHEREAS, an application for an exempt permit gambling license and an application for a temporary on-sale liquor license have been presented; and WHEREAS, St. Elizabeth Ann Seton has paid the required fees. NOW, THEREFORE, BE IT RESOLVED BY THE City Council of the City of Hastings that the Mayor and City Clerk are authorized and directed to sign this resolution and forward to the appropriate agencies, showing the approval of these applications. Ayes: Nays: Absent: Whereupon said resolution was declared duly passed and adopted on the 1st day of June, 2009. ______________________________ Paul J. Hicks, Mayor ________________________________ Melanie Mesko Lee, City Clerk (SEAL) Minnesota Lawful Gambling Page 1 of 2 6/07 LGZZO Application for Exempt Permit For Board Use Only An exempt permit may be issued to a nonprofit organization that: Fee IS ~JU fOr Check# • conducts lawful gambling on five or fewer days, and • awards less than $50,000 in prizes during a calendar year. each event $ ORGANIZATION INFORMATION Organization name Previous gambling permit number 5 ~ ~ -~ ~~ -OD/ Type of nonprofit organization. Check ('~) one. ^ Fraternal ~ Religious ^ Veterans ^ Other nonprofit organization Mailing address Cit,yJ ~ State/Zip Code County ~ - /V CIS ~ Name of chief executive officer (C EO) Daytime phone number / ~,s _ ATTACH A COPY OF ONE OF THE FOLLOWING FOR PROOF OF NONPROFIT STATUS * Do not attach a sales tax exempt status or federal ID employer numbers as they are not proof of nonprofit status. ___ Nonprofit Articles of Incorporation OR a current Certificate of Good Standing. Don't have a copy? This certificate must be obtained each year from: Secretary of State, Business Services Div., 180 State Office Building, St. Paul, MN 55155 Phone: 651-296-2803 ___ Internal Revenue Service -IRS income tax exemption [501(c)] letter in your organization's name. Don't have a copy? To obtain a copy of your federal income tax exempt letter, send your federal ID number and the date your organization initially applied for tax exempt status to: IRS, P.O. Box 2508, Room 4010, Cincinnati, OH 45201 __Internal Revenue Service -Affiliate of national, statewide, or international parent nonprofit organization (charter) If your organization falls under a parent organization, attach copies of both of the following: a. IRS letter showing your parent organization is a registered nonprofit 501(c) organization with a group ruling b. the charter or letter from your parent organization recognizing your organization as a subordinate. Internal Revenue Service -proof previously submitted to Gambling Control Board If you previously submitted proof of nonprofit status from the Internal Revenue Service, no attachment is required. GAMBLING PREMISES INFORMATION Name of premises where gambling activity will be conducted (for raffles, list the site where the drawing will take place) ~~• ~~fZC,'l Address (do not use PO box) City Zip Code ~ County ` Gi ~ C ~~C%J ~ D"~ Date(s) of activity (for raffles, indicate the date of the drawing) Check the box or boxes that indicate the type of gambling activity your organization will conduct: IJ~ Bingo Raffles ~1 *Paddlewheels ['Pull-Tabs [~*Tipboards * Gambling equipment for pull-tabs, tipboards, paddlewheels, and bingo (bingo paper, hard cards, and bingo number selection device) must be obtained from a distributor licensed by the Gambling Control Board. To find a licensed distributor, go to www.gcb.state.mn.us and click on List of Licensed Distributors, or call 651-639-4076. LG220 Application for Exempt Permit Page 2 of 2 6107 LOCAL UNIT OF GOVERNMENT ACKNOW LEDGMENT If the gambling premises is within city limits, If the gambling premises is located in a township, both the city mu s t sign this application. the county a n d township must sign this application. "" i~ Check (v~ the action that the city is taking on " o Check (V~ the action that the county is taking on this application. this application. -_The application is acknowledged with no waiting period. --The application is acknowledged with no waiting period. -_The application is acknowledged with a 30 day waiting --The application is acknowledged with a 30 day waiting period, and allows the Board to issue a permit after 30 period, and allows the Board to issue a permit after 30 days (60 days fora 1st class city). days. --The application is denied. -The application is denied. Print city name Print county name __________-___ ___________ __-__-_ ------------- On behalf of the county, I acknowledge this application. On behalf of the city, 1 acknowledge this application. Signature of county personnel receiving application Signature of city personnel receiving application ------------ ----------------- - Title Date / / Title__________ ____Date_____/_____/______ TOWNSHIP: Onbehalfofthetownship,lacknowledgethatthe organization is applying for exempted gambling activity within the township limits. [A township has no statutory authority to approve or deny an application [Minnesota Statute 349.213, subd. 2)] Print township name ____________________________ Signature of township official acknowledging application Title Date / / ---------------------- ----- ----- ------ CHIEF EXECUTIVE OFFICER'S SIGNATUR E The information provided in Phis application is complete and accurate to the best of my knowledge. 1 acknowledge that the financial report will be completed and returned to the Board within 30 days of the date of our gambling activity. Chief executive officer'ssignature_ Date-~P-_/ ~ /~~ -- Complete an application for each gambing activity: Financial report and recordkeeping • one day of gambling activity required • two or more consecutive days of gambling activity A financial report form and instructions will be • each day a raffle drawing is held sent with your permit. Within 30 days of the Send application with: activity date, complete and return the financial • a copy of your proof of nonprofit status, and report form to the Gambling Control Board. • $50 application fee for each event. Questions? Make check payable to "State of Minnesota." Call the Licensing Section of the Gambling To: Gambling Control Board Control Board at 651-639-4076. 1711 West County Road B, Suite 300 South Roseville, MN 55113 Data privacy. This form will be made available in altemafive format (i.e. large print, Braille) upon request. The information requested on this form (and any attachments) will be used by the Gambling Control Board (Board) to determine your qualifications to be involved in lawful gambling activities in Minnesota. You have the right to refuse to supply the information requested; however, if you refuse to supply this information, the Board may not be able to determine your qualifications and, as a consequence, may refuse to issue you a permit. If you supply the information requested, the Board will be able to process your application. Your name and and your organization's name and address will be public information when received by the Board. All the other information you provide will be private data until the Board issues your permit. When the Board issues your permit, all of the information provided to the Board will become public. If the Board does not issue a permit, all inforrnation provided remains private, with the exception of your name and your organization's name and address which will remain public. Private data are available to: Board members, Board staff whose work requires access to the information; Minnesota's Department of Public Safety; Attorney General; Commissioners of Administration, Finance, and Revenue; Legislative Auditor, national and international gambling regulatory agencies; anyone pursuant to court order; other individuals and agencies that are specifically authorized by state or federal law to have access to the information; individuals and agencies for which law or legal order authorizes a new use or sharing of information after this Notice was given; and anyone with your consent. ~~S OF PUg~~ ~3°~ ~~ / <~ II\ ~P ~qre OF MINA Minnesota Department of Public Safety ALCOHOL AND GAMBLING ENFORCEMENT DIVISION 444 Cedar Street Suite 133, St. Paul MN 55101-5133 (651) 201-7507 Fax (651) 297-5259 TTY (651) 282-6555 W W W.DPS. STATE.MN.US APPLICATION AND PERMIT FORA 1 TO 4 DAY TEMPORARY ON-SALE LIQUOR LICENSE TYPE OR PRINT INFORMATION .Y..~~,rr -; ~', C.~a *`~*~< NAME OF ORGANIZATION ~ 1, Z~be , ~, S e-~-o n DATE ORGANIZED i`/'fS ~ TAX EXEMPT NUMBER ~ S ~? ~.~ STREET ADDRESS CITY STATE ZIP CODE NAME OF PERSON MAKING APPLICATION BUSINESS PHONE HOME PHONE DATES LIQUOR WILL BE SOLD ~ ~ ~ ~- ~O TYPE OF ORGANIZATION _ L B HARITABLE RELI`I THER NONPR FIT O GANIZATION OFFICER'S NAME ' ADDRESS ORGANIZATION OFFICER'S NAME ADDRESS ORGANIZATION OFFICER'S NAME ADDRESS Location license will be used. If an outdoor area, describe Will the applicant contract for intoxicating liquor service? If so, give the name and address of the liquor licensee providing the service. ~ L1 Will the applicant carry liayuor liability insura~nzce? If so~j please provide the carrier's name and amount of coverage. APPROVAL APPLICATION MUST BE APPROVED BY CITY OR COUNTY BEFORE SUBMITTING TO ALCOHOL & GAMBLING ENFORCEMENT CITY/COUNTY DATE APPROVED CITY FEE AMOUNT LICENSE DATES DATE FEE PAID SIGNATURE CITY CLERK OR COUNTY OFFICIAL APPROVED DIRECTOR ALCOHOL AND GAMBLING ENFORCEMENT NOTE: Submit this form to the city or county 30 days prior to event. Forward application signed by city and/or county to the address above. If the application is approved the Alcohol and Gambling Enforcement Division will return this application to be used as the License for the event PS-09079 (05/06)