HomeMy WebLinkAbout20110207 - VI-12To: Mayor Hicks & City Councilmembers
From: Adeline Schroeder, Deputy City Clerk
Date: January 24, 2011
Item: Temporary One -Day Liquor License and Gambling Permit for Hastings Family
Service for Hastings Tasting Event on March 1, 2011
Council Action Requested:
Approve the attached resolution approving a one day temporary liquor license and gambling
permit for the Hastings Family Service for the Hastings Tasting Event at St. Elizabeth Ann
Church Social Hall, 2035 15 "' Street West, Hastings on March 1, 2011
Background Information:
Hastings Family Service has submitted an application for a one day temporaiv liquor license and
gambling permit for the Hastings Tasting Event.
Financial Impact:
The $20.00 required fees have been paid.
Advisory Commission Discussion:
N/A
Council Committee Discussion:
N/A
Attachments:
• Resolution
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City Council Memorandum
CITY OF HASTINGS
DAKOTA COUNTY, MINNESOTA
RESOLUTION NO. 02- -11
RESOLUTION APPROVING THE APPLICATION BY
HASTINGS FAMILY SERVICE FOR A ONE DAY TEMPORARY ON -SALE LIQUOR
LICENSE AND GAMBLING PERMIT
WHEREAS, Hastings Family Service has presented an application to the City ofHastings for
a one day on -sale liquor license and temporary gambling permit for the Hastings Tasting Event on
March 1, 2011 at St. Elizabeth Ann Perish, 2035 W. 15 Street, Hastings; and;
WHEREAS, the Minnesota Alcohol and Gambling Enforcement Division requires a
resolution be passed to approve the request; and
WHEREAS, an application for a one day on -sale liquor license and gambling permit has been
presented; and
WHEREAS, Hastings Family Service have paid the required fee of $20.00.
NOW, THEREFORE, BE IT RESOLVED by the City Council of the City ofHastings that
the Mayor and City Clerk are authorized and directed to sign this resolution and forward to the
appropriate agency, showing the approval of this application.
Ayes:
Nays:
Absent:
Whereupon said resolution was declared duly passed and adopted on the 7 ofFebruary 2011.
Melanie Mesko Lee, City Clerk
Paul J. Hicks, Mayor
(SEAL)
�[ OF P
r oe M1
Nfinn esota D parlment of Public Safety
ALCOHOL AND GAMBLING ENFORCEMENT DMSI N
444 Cedar Str SLdtC 13, St. Paul MN 55101-5133
(651) 201 -7507 Fax (651) 297 -5259 TTY (651) 282 -6555
A PP L ICATION AND P T
FOR A 1 TO 4 DAY TEMPORARY ON-SALE LIQUOR LICENSE
TYP OR PRINT INF RMATI N
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NAME OF ORGANIZATION
DATE ORGANIZED
TAX EXEMPT NUMBER
7,0 7 3
STREET ADDRESS
CITY
STATE
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ZIP CODE
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NA E PERSON MAKfNG APPLICATION
BUSINESS PHONE
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DATE LI WILL BE SOLD --.
TYPE O F PROANIZATIQ
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O RGANIZATION OFFICER 'S NAB
ADDRESS
ORGANIZATION OFFICER'S NAIVE
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Location license will b e used. If are outdoor area, describe
Will the a c ontra t for intoxicat 1ng liq uor ser 1 c e? If s o, give the name an address of the li quor I l c c lls ce providing the scMce.
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Will tho pIicant carry liquor liability insurance? If so, please provide the c artier's name and amount of coverage.
APRVAL
APPLICATION MUST BE APPROVEi D BY CITY OR COUNTY B F RL SU13MITTING TO ALCOHOL & GAMBLIN
E NFORCEMENT
CITY /COUNTY
DATE APPROVED
CITY FEE AMOUNT
LICENSE DATES
DATE FEE PAID
SIGNATURE CITY CLERK OR COUNTY OFFICIAL
APPROVED D DII CT R ALCOHOL AND GAM B LING ENFORCEMENT
NOTE: ubm!t this form to the city or county 3 0 days prior to event. Forward app]1eation signed b y city and/or e ounty to tine address
above. If the application is approved the Alco hoI and amb1iui Enfo� eeme��t Division will return this appli cation to be used a the License for the event
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CANCELLATION
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Page 1 of 2 7110
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LG220 Appfor Exempt Perm
Appli e vent
If app lication ostmarked or received;
less than 30 days
before the event
more than 30 days
before the event
An exempt permit may be issued to a nonprofit organization that:
- conducts lawful gambling on five or fewer days, and
awards less than $50,000 in prizes during a calendar year.
$100
. o. `G I ATE .'- C T:I O N :. : - _:_ . =.: . : . ..::. .: . :. :::: . : �: _ _ : � : _ = ....
h.
Organization name Previous gambling permit number'
r U i
Type o f nonprofit organization. Check one.
E] Fraternal Religious lous Veterans nd Other nonprofit organization
Mailing address city State Zip Code Counter
go &- ,46 - 4 - 15S0313
Name of chief executive officer (CEO) Daytime phone number Email address
yi 16W p.
_�_._ _ _ _ _ _�_�_ .�.� '_ _ . /}+�� ■ e ■ e s ■ ■/.�� -- ----------
ch" - :-. -. - _ _ . _ _' .-_-_ _- �.+' '1- ;}•�! { [y-�r - �" �.€ - V '.- U `� "_-: c ' -' r�
Do not attach a sales tat exempt status or federal ID employer numbers as th y are not proof of nonprofit status.
Nonprofit Articles of Incorporation OR a current Certificate of Gen{ 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
IRS income tax a cempti n [501 ] letter in your o rg anlzati nts nerve.
Dent have a copy? To obtain a copy of your federal income tat exempt letter, have an organization officer
contact the IRS at 877 - 829 -5500.
IRS - Affiliate of national, statewide, or internati nal parent nonprofit or ani ation (charter)
If your organization falls under a parent organization, attach copies of b oth of the following:
a_ IFS letter showing your parent organization is a nonprofit 501(c) organization with a group ruling, and
b. the charter or lever from your parent organization recognizing your organization as a subordinate.
IRS - p roof previously submitted to Gamblin Control Board
If you previously submitted proof of nonprofit status from the IRS, no attachment is required.
m e f pr l where gan bl ng ifl onduot dd for_raffle . _list th -' lte` - . h r _th dr v i�ig �l _ tat
SJ ; �' �.� -, Hiqn Cam, socty 4a / I
Address (do not use PO box) City Zip Code County
Date(s) of activity (for raffles, indicate the date of the drawing)
Do I
C heck the box or bones that indicate the type of gambling activity your organization will conduct:
[� Bingo's F affles 0 Paddlewheels* 0 Pull - Tabs` ❑ Tipboards*
G ambling e quipment for pull—tabs,, bin pape tipboards, and
Also complete
paddlewheels must be obtained f rom a dis tributor licensed by the
Gar bling Control Bear EXCEPTION: Bingo bard car and bingo Pa ge - of this form.
number selection devices may be borrowed from another organization
authorized to conduct bingo.
To find a licensed distributor, go to www.g b.state.mn.us and click on List
of Licensed Distributors, or call 651 -639 -4000.
t,
LG220 Application for Exempt Permit
P 2 of 2 1110
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: :.. .. .... .. :_ . - :.: - -: =: _ =: =: := :._:.:__;.:: _:: .:. =
-.....,.-
.. ... .......... .............. .- ... - ..-- ..- ..- ...... -. - -.
... f t g m - tiling premises is rithin city limits,
. -...., - .--- .- .-- ........ -.- ..- ...- .-- ,.- .....- -.--------..-..-.-.-...---------------------------- - - - - -- - - - - - - - - - - - - - - .
It the gamblin premises is located in a township, a
a city official must check the action that the city is
county official must check the action that the county is taking
taki on this application and sign th application.
on this application and sign the application.
township official is not required to sig n the 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 a llows the Board to issue a permit after 30
period, and allows the Board to issue a permit after 30
days o days for a 1 st class city).
days.
The application is denied.
The application is denied.
1
Print county name
Print city name
## f
be t1� ur�iy ! ac t a
On behalf off city, 1 a this a
Signature of county official receiving application
Signature o off=icial receiving application
Title Date
(optional) TOWNSHIP: n behalf of the township, I
Title b t# .Date
acknowledge that the organization is applying for exempted gamblin
activity within township limi [A township has no statutory authorit
to approve or deny an application [Minnesota Statute 349.166)]
Print township name
Signature of township official ackn6wledging application
Title Date
�. F- -� E EC: -= .::- I = =_ . �-- : F :FI - � : - .. ::_ :-:: = :l: -ICI T - : ti- . : :: . . . . . : :. :. . . .::::: - _ : _:- : -:_ _ _._::::_ :.::_:: - :.:: =:: _:- - =:_: =: =: =_ . =_ -- .= :::= := _= := :== = :_:.: - :: - - =_:- _ : := :::::::_:::_ _::= :::::::.:_ : -: --------------
The information p rovided in this application is complete and accurate t o the best of my knowledge. 1 acknowledge e that the
financial report wi ll be c and returned t o the Board within 30 days of the date of our gambfing activity.
Chief e office si gnature
Date
C omplete a separate application for each gambing activity:
Financial report and recordkeeping required
- one day of gambling activity,
financial report form and instructions will be sent with
two or more consecutive days of gambling activity,
your permit, or use the online fill -in form available at
each day a raffle drawing is held
uwrwwrv.gcb. state. mn.us. Within 30 days of the activity date,
Send application with:
complete and return the financial report form to the
a copy of your proof of nonprofit status, and
Gambling Control Board.
° application fee for each event.
Make check payable to "State of Minnesota."
To: Garbling Control Board
1711 Vilest County Road B, Suite 300 South
Roseville, ille, MN 55
This form will be made available in alternative
format (i.e. large print. Braille) upon request.
Data privacy noti e:The information requested
on #his form (and any attachments) will be used
by the Gambling Control Board (Board) to
determine your organization's qualifications to
be .involved in lawful gambling activities in
Minnesota. Youfr organization has the right to
refuse to supply the information requested;
however, if your organization refuses to supply
this information, the Board may not be able to
determine your organization's qualifications
and, as a consequence, may refuse to issue a
permit. If you supply the information requested,
the Board will be able to process your
organization's application. Your organization's
name and address Vill be public information
when received by the Board. All other
information provided will be private data until
the Board issues the permit, when the Board
issues the permit all information provided will
become public. if the Board does not issue a
permit, all information provided remains private,
with the exception of 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;
C ommissioners of Administration, Minnesota
Management & Budget, and Revenue;
Legislative Auditor, national and international
gambling regulatory agencies; anyone pursuant
to court order; other individuals and agencies
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 written
consent.