5F, A Motion to Acknowledge the Application of Catholic United Financial for an Exempt Permit to Conduct a Raffle with the Date of the Drawing being March 14, 2013, with No Waiting Period

Home Browse Search

MINNESOTA LAWFUL GAMBLING 6/12 Page 1 of 2 LG220 Application for Exempt Permit An exempt permit may be issued to a nonprofit organization that: Application fee - conducts lawful gambling on five or fewer days, and If application posted or received: - awards less than $50,000 in prizes during a calendar year. less than 30 days more than 30 days If total prize value for the year will be$1,500 or less,contact before the event before the event the licensing specialist assigned to your county. $100 $50 ORGANIZATION INFORMATION Organization name Previous gambling permit number Catholic United Financial - St. Jude of the Lake Council X-92085 Minnesota tax ID number, if any Federal employer ID number (FEIN), if any qt276 3,�_'-- 41-0182070 Type of nonprofit organization. Check one. ✓l Fraternal Religious veterans Other nonprofit organization Mailing address City State Zip code County c/o Catholic United Financial,3499 Lexington Ave. N. St. Paul MN 55126 Ramsey Name of chief executive officer [CEO] Daytime phone number E-mail address Bonnie Westberg 612-418-6206 bonjim@hotmail.com NONPROFIT STATUS Attach a copy of ONE of the following for 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., 60 Empire Drive, Suite 100, St. Paul, MN 55103 Phone: 651-296-2803 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, have an organization officer contact the IRS at 877-829-5500. 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 with a group ruling, and b. the charter or letter from your parent organization recognizing your organization as a subordinate. GAMBLING PREMISES INFORMATION Name of premises where the gambling event will be conducted. For raffles, list the site where the drawing will take place. Catholic United Financial Address [do not use PO box] City or township Zip code County 3499 Lexington Ave. N. Arden Hills 55126 Ramsey Date[s] of activity. For raffles, indicate the date of the drawing. March 14, 2013 Check each type of gambling activity that your organization will conduct. Bingo* X Raffle Paddlewheels* Pull-tabs* Tipboards* *Gambling equipment for bingo paper, paddlewheels, pull-tabs, and tipboards must be obtained from a distributor licensed by the Minnesota Gambling Control Board. EXCEPTION: Bingo hard cards and bingo number selection devices may be borrowed from another organization authorized to conduct bingo. To find a licensed distributor, go to www.gcb.state.mn.us and click on Distributors under the WHO'S WHO?LIST OF LICENSEES, or call 651-639-4000.