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Home My WebLink About5F, Approve Resolution 2012-016 for Charitable Gambling License for the Lady Slipper Chapter of the ABWA to Conduct Charitable Gambling at Flaherty's Bowl 'It ,ARZEN HILLS Request for Council Action 5F Prepared By: Sue Iverson, Director of Finance and !, Council Meeting Date: May 29,2012 Administrative Services Approve Resolution 2012-016 for Charitable Gambling License for the Lady Slipper Chapter of the ABWA to Conduct Charitable Gambling at Flaherty's Bowl Budgeted Amount: Actual Amount: Funding Source: N/A N/A N/A Recommendation: Approve Resolution 2012-016 Charitable Gambling License for the Lady Slipper Chapter of the American Business Women's Association,to Conduct Charitable Gambling at Flaherty's Bowl Supportiny,Documents: 1. Memorandum dated May 29, 2012, from Sue Iverson. 2. Resolution 2012-016 3. 2012 Charitable Gambling Premise Permit Application Form lt EN HILLS MEMORANDUM DATE: May 29, 2012 TO: Honorable Mayor and City Councilmembers Patrick Klaers, City Administrator FROM: Sue Iverson, Director of Finance and Administrative Services SUBJECT: Resolution 2012-016 for Charitable Gambling License for the Lady Slipper Chapter of the ABWA to Conduct Charitable Gambling at Flaherty's Bowl Background On May 10, 2010, the City Council approved a resolution renewing a two year license period to allow 621 Foundation to conduct charitable gambling at the Flaherty's Bowl. The Mounds View Schools Education Foundation (formerly the 621 Foundation) has released their charitable gambling activity at Flaherty's in Arden Hills and their permit will expire on May 10, 2012. The Lady Slipper Chapter of the American Business Women's Association has submitted an application to conduct charitable gambling at Flaherty's Bowl. All application materials have been submitted with fees and a successful background check has been completed. Recommendation Motion to approve Resolution 2012-016 to allow the Lady Slipper Chapter of the ABWA to conduct charitable gambling at Flaherty's Bowl for a two year period expiring May 31, 2014. PAAdmin\Council\Agendas&Packet Information\2012\05-29-12 Reg Mtg\Packet Information\Lady Slipper Charitable Gambling.doc lt EN HILLS CITY OF ARDEN HILLS COUNTY OF RAMSEY STATE OF MINNESOTA RESOLUTION NO. 2012-016 RESOLUTION APPROVING CHARITABLE GAMBLING LICENSE FOR THE LADY SLIPPER CHAPTER OF THE ABWA TO CONDUCT CHARITABLE GAMBLING AT FLAHERTY'S BOWL NOW THEREFORE, BE IT RESOLVED by the City Council of the City of Arden Hills, Minnesota, that the City agrees to approve a Charitable Gambling License for two years (expiring May 31, 2014), to the Lady Slipper Chapter of the American Business Women's Association at Flaherty's Bowl, 1273 County Road E, Arden Hills, Minnesota. ADOPTED BY THE CITY COUNCIL OF THE CITY OF ARDEN HILLS THIS 29th DAY OF MAY, 2012. David Grant, Mayor ATTEST: Susan K. Iverson, Acting City Administrator Minnesota Lawful Gambling 3/11 Page 1 of 2 LG214 Premises Permit Application Annual Fee $150 FOR BOARD USE ONLY Required Attachments to LG214 $ 1. If the premises is leased, attach a copy of your tease. Mail the application and required attachments to: Use LG215 Lease for Lawful Gambling Activity. Gambling Control Board 2. $150 annual premises permit fee, for each permit. 1711 West County Road B, Suite 300 South Make check payable to "State of Minnesota." Roseville,MN 55113 Questions? Call 651-539-4000 and ask for Licensing. I Organization Information 1.Organization name L ni rj LA r ua f A 61 A J A License number �;� 2.Chiefexecutiveo€ficer(CEO) 1 l .y1 a ti s Daytimephone 3_Gamblingmanager CZ,L� f �t' s'yI fYl(r v, Daytimephone_1 Gambling Premises Information 4.Current name of site where gambling will be conducted I( err � s ,Jta f l 5. List any previous names forthis location '' 6.Street addresswhere premises is located I�� tJV ICU" o rr1 ' (Do not use a P.O.box number or mailing address) 7. City Township County Zip code OR ! 8. Does your organization own the building where the gambling will be conducted? Yes No If no,attach LG215 Lease for Lawful Gambling Activity. Yes No Raffle only. No lease is required if only a raffle will be conducted. 9. Is any other organization conducting gambling at this site?Dyes 0No ®Don't know 10.Has your organization previously conducted gambling at this site?aes[]No Gambling Bank Account Information(must be in Minnesota) 11. Bank name Bank account number I�PSfeiil (.111/ �00I t1S ` 12. Bank street address City State Zip code 1-7�6) ` t S�- St oce td MN S5-113 All Temporary and Permanent Off-site Storage Spaces (for gambling equipment and records related to this site-must be stored in Minnesota) 13. Address (Do not use a P.O. box number) City State Zip code MN Pu t3 ce- S7 F CTj kcftli La,,&A MN 5 S- Reset Form LG214 Premises Permit Application 3/11 Page 2 of 2 Acknowledgment by Local Unit of Government: Approval by Resolution CITYAPPROVAL COUNTYAPPROVAL for a gambling premises for a gambling premises located within city limits located in a township City name County name Date approved by city Date approved by county Resolution number if any Resolution number if any Signature of city personnel Signature of county personnel Title Date / / Title Date t ! Acknowledgment and Oath 1. 1 hereby consent that local law enforcement officers, 5. 1 am the chief executive officer of the organization. the Board or its agents, and the commissioners of 6. 1 assume full responsibility for the fair and lawful operation of revenue or public safety and their agents may enter all activities to be conducted. and inspect the premises. 7. 1 will familiarize myself with the laws of Minnesota governing 2. The Board and its agents, and the commissioners lawful gambling and rules of the Board and agree, if licensed, of revenue and public safety and their agents are to abide by those laws and rules, including amendments to authorized to inspect the bank records of the gambling them. account whenever necessary to fulfill requirements g. Any changes in application information will be submitted to of current gambling rules and law. the Board no later than 10 days after the change has taken 3. 1 have read this application and all information effect. submitted to the Board is true, accurate, and g. 1 understand that failure to provide required information or complete. providing false or misleading information may result in the 4. All required inform n ha een fully disclosed. denial or revocation of the license. Sig ature of Chle Executive Officer(designee may not sign) Date Print name Reset Form Print form and have CEO sign Data privacy notice: The information requested Your organization's name and Private data about your organization are on this form(and any attachments)will be used address will be public available to: Board members,Board staff by the Gambling Control Board(Board)to information when received by whose work requires access to the information; determine your organization's qualifications to the Board. All other information Minnesota's Department of Public Safety; be involved in lawful gambling activities in provided will be private data Attorney General;Commissioners of Minnesota. Your organization has the right to about your organization until the Administration, Minnesota Management& refuse to supply the information;however,if Board issues the permit. When Budget,and Revenue;Legislative Auditor, your organization refuses to supply this the Board issues the permit,all national and international gambling regulatory information,the Board may not be able to information provided will agencies.anyone pursuant to court order;other determine your organization's qualifications become public. If the Board individuals and agencies specifically authorized and,as a consequence,may refuse to issue a does not issue a permit,all by state or federal law to have access to the permit. If your organization supplies the information provided remains information;individuals and agencies for which information requested,the Board will be able to private,with the exception of law or legal order authorizes a new use or process your organization's application. your organization's name and sharing of information after this notice was address which will remain public. given;and anyone with your written consent. This form will be made available in alternative format (i.e, large print, Braille) upon request.