HomeMy WebLinkAbout20110207 - VI-10To: Mayor Hicks & City Councilmembers
From: Adeline Schroeder, Deputy City Clerk
Date: January 24, 2011
Item: Temporary One Day Liquor License and Gambling Permit for SEAS School
Council Action Requested:
Approve the attached resolution approving a temporary one day liquor license and gambling
permit for SEAS School on April 29, 2011.
Background Information:
SEAS School has submitted applications for a temporary one day liquor license and gambling
permit for their Spring Fling on April 29, 2011.
Financial Impact:
Fee of $20.00 has been paid..
Advisory Commission Discussion:
N/A
Council Committee Discussion:
N/A
Attachments:
• Resolution
Cdt'e of 4 t. st rnip,;s. * � ' ..q ° b � t �;a� '� H El"tirir" , � 1N °�' - .S � 1 � � °.* � p:651-49G2350 . C5 -,�1 �.� „'- .��Ja2 ww !. n��-��.�t7�?' -'a x'711. us
City Council Memorandum
CITY OF HASTINGS
DAKOTA COUNTY, MINNESOTA
RESOLUTION NO. 02- -11
RESOLUTION APPROVING THE APPLICATION BY
ST. ELIZABETH ANN SETON SCHOOL
FOR A TEMPORARY ON -SALE LIQUOR LICENSE AND GAMBLING PERMIT
WHEREAS, St. Elizabeth Ann Seton has presented an application to the City of Hastings for a
temporary one day on -sale liquor license and gambling permit for April 29, 2011 at Elizabeth Ann Seton School,
600 Tyler Street; and;
WHEREAS, the Minnesota Alcohol and Gambling Enforcement Division requires a resolution be passed
to approve this request; and
WHEREAS, an application for a temporary on -sale liquor license and gambling permit has been
presented; and
WHEREAS, St.Elizabeth Ann Seton School has paid the required fees of $20.00.
NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Hastings thatthe 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" day of February 2011.
Paul J. Hicks, Mayor
ATTEST:
Melanie Mesko Lee, City Clerk
(SEAL)
ti
-#
OF
Minn es ota Departm of Public Safety
ALCOHOL AND GAMBLING ENFORCEMENT DrISI N
444 Cedar Street Suite 222 St. Paul MN 55101-5133
(651) 201 -7507 Fax (651) 297 - TTY (651) 282 -6555
WWW.D . T1� T
D TEMPORARY AND P
F OR R A I 'T D� i 1 EMP RRON-SAL L IQUOR L ICEN SE
TYP OR PICT INFORMATION
NAME OF ORGANIZATION
za-helh Selba-S ha
DATE ORGANIZED
TAX EXEMPT NUMBER
d qq
)
STREET ADDRESS
000 T
V I-er St.
CITY
I
STATE
Hn
ZIP CODE
NAME OF PERSON MAKING APPLICATION
BUSINESS MONE
HOME PHONE
ties/"
66151,-5
DATES LIQUOR WIL BB SOLD � 2�17 � �
TYPE OF ORGANTZATIO
i
ABLE
RELIG O OTBERNONPROFIT
ORGANIZATION OFFICER'S NAME
ADDRESS
,j 1 ! I Hoe's
000
ORGANIZATION OFFICER'S NAME
ADDRESS
fir. JI'm �erm
f W
ch ba��
ORGA3VIZATION OFFICER'S NAME
ADDRESS
Location license will be used. If an outdoor area, describe
5 56c s
Will the applicant contract for intoxicating liquor service? If o, give the name and address of the liquor licensee providing the service.
Will the applicant ca 7 _ 11igFor liability ' s 'an c? If so, please provide the camees name and amount of coverage.
LJ
APPAL
APPLICATION MUST BE APPROVED BY CITY OIL COUNTY BEFORE SUBMITTING TO ALCOHOL & G AMMLING
ENOCENMNT
CITYCNT
CITY FEE AMOUNT
T
DATE APPROVED
LICENSE DATES
DATE FEE PAID
r NAT E CITY CLERK OR COUNTY O rCt L "PROVED D E CTO ALCOHOL ADM GAMBLING ENFORCEMENT
N0itE- S uhmit tu is form to the city or co unty U days prior to event. Forward application signed by city and/or county to t he address
ahove. If the application is approved the Alcohol and Gambling Enforcement DIAsion wjll return this application to he used as the License for the event
PS-09079 (12!09)
Pane 1 of 2 7/10
&=%ff..� &@f
Application fee for each event
LG220 Applicat for Exempt Permit
if a licatiorr Dostmarked or received:
l ess than 30 da
more than 30 days
A n exempt permit may be issued to a nonprofit organization that:
conducts lawful gambling on five or fewer days and
before the evert
before the event
- awards less than $50,000 in prize during a calendar year.
10
o
GANI ATI N INFORMATION Check
Organization name Previous gambling permit number
St. Eli A Set S 19
Type of nonprofit organization. Check one.
E] Fraternal El Religious E] Veterans E Other nonprofit organization
Mailing address city State Zip Code County
boo Tyler S Hastings MN 55033 Dakota
Name of chief executive officer E Daytime phone number Email address
Jill saes 651 - 437 -3098
Attach ar copy of ONE of the folloyAng for proof of nonprofit status. C he c k one.
Do not attach a sales tat 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, B usiness Services Div_, 180 State Office Building, St. Paul, MN 55 155 Ph one: 651-296-2803
IRS income tax exemption 1501 {c }] letter in your organization's name.
Don't have a copy To obtain a copy of your federal income tax exempt letter, have an organization officer
contact the IRS at 677-829 -5500.
IRS - 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 nonprofit 501(c) organization mAth a group ruling, and
b. the charter or letter from your parent organization recognizing your organization as a subordinate.
IRS - proof previously su bmifited to Gambling Control Board
If y ou previously submitted proof of nonprofit status from the IRS, 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)
St. Eli Ann Setn Church
Address (do not use PO box ) city Zip Code County
2035 W 1 5th St. H ngs. 55 033 Dakota
Date(s) of activity (for raffles, indicate the date of the drawing)
April 29,, 2011
C hec k the box or bones that indicate the type of gamblin activity your org anizati on will conduct:
Binge* Pfl Raffles Paddlewheels Pull - Tabs' ETipboards*
' Gambling equipment for pull -tabs, bingo paper tipboards, and Also complete
paddlewheels must be obtained from distributor licensed by the
Garbling Control Board. EXCEPTION: Bingo hard cards and bingo Page 2 of this form.
number selection devices may be borrowed from another organization
authorized to conduct bingo. Print Form
To find a licensed distributor, go tv www.gcb.state.mn.us and click on List lest'Forr
of Licensed Distributors,, or call 651- 639 -4000.
LGo Application for Exempt Permit
Page 2 of 2 1/1
LOCAL UNIT OF GO VERNMENT ACKNOWLEDGMENT
If the gambling premises is within city l imits ,
If th ga mbling premises is locat in a township,,
a city official must c heck the action that the city is
county official must check th action that the county is ta king
takin on this a pplication and sign the application.
on this application and sign the a
township officia is not required t o sli 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 allows the Board to issue a permit after 30
period, and allows the Board to issue a permit after 30
days 0 days for a 1 st class city).
days.
The application is denied.
The application is denied.
Print city name
P r i nt county name
O n bha#f o the c 1 ac this application.
fi r] befaif of t he 1 #y, ! cl foUlle [lgre this appli cation.
Signature of coun o receiving application
Signature of ci offi receiving appl ication
Title Date 1 1
(Optiona TOWNSHIP: On behalf of the township, I
Title Date !
acknowledge that the organization is applying for exempted gamb
activity within township limits_ ( A township has no statutory authority
to approve or deny an application [Minnesota Statute 349.16
Print township name
Signature of township official acknowledging application
Title Date 1 1
CHIEF EXECUTIVE OFFICER'S SIGNATURE
The information provide in th is application is omplete and accurate to the best of my knowledge. ! acknowledge th at th
f nancial report will be c omple t od ign d re tum e d 10 Boom with cla of the date o f our Hamblin activity.
Chi ex ecut officers ignafur 7 �/
Date
Complete a separate application for each gambinag activity
Financial report and recordkeeping required
- one day of gambling activity,
A financial report farm 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
www.gcb-state.rnn.us. Within 30 days of the activity date,
Send application with:
complete and return the financial report fora 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."
T: Gambling Control Board
17 11 West Counter Road B, Suite 300 South
Roseville, M 5511
Printf rm Re Form
This form will be made available in alternative
format C_e. large print, Braille) upon request.
Data privacy notice .-The informmation requested
an this form (and any attachments) will be used
by the Gambling Control Board (Board) to
determine your organization's qualifications to
be involved in (awful gambling activi ies in
Minnesota. Your organization has the right to
refuse to supply the information requested;
however, if your organs ation refuses to supply
this information, the Board may not be able to
determine your ofganizabons 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 will be public inform Don
when received by the Board. All other
informabon provided will be private data until
the Board issues the permit, When the Board
issues the permit, all information provided wiI#
become public_ If the Board does not issue a
permit, all information pro remains private,
with the excepfon 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,
Commissioners 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 aruthorized by state or federal laver 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 giver; and anyone with your written
consent.