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, ( lg1 20 03: 1 6p Bon i Westberg 651429-2534 p.2 <br />MINN <br />LG2 <br />ESOTA I.AWFUL GAMBLING <br />2O Application for Exempt permit LtltT <br />Page I of 2 <br />. cooducts lawful g?Tlqlg on Frue or tewer days, and. BWirds less than $S0,00b in prizes during atatnO..year. <br />I^ltgFl raffle prize vatue for the catendar year wilt be$1.500 or tess, conractrhe _r-icgnsin! Spe&irist aiJig-neU toyour county by calling 651-539-190-0. <br />An exempt permlt <br />organlzauon Ehat: <br />may be issued to a nonprpllt -r€ftiltdaDle)licationApp Fec lxrn( <br />IIaAppllcauons procesed n th€order received thTf E caHonapplikorrkedpostrnareceivedda30orysmorebeforehetheevent,lcatlonappl fiee ls loo othef nrise th e fee rs *150. <br />Due to hthe volumeigh of exempt ptlcatioap f,S,ofpayrnentadditionalfeesborpri30daysbefureeventyourwillnot teexpediservicenoraretelephonebrreguestsexpeditedseruiceaccepted <br />ORGAI{UTATIOIII INFOR i.IATION <br />4H,870?2 <br />x-9307 7-20{08 <br />(permit <br />Paul (pl <br />Ave. N.Unihad 3499 <br />Nurnber (FEIN), if any:41-0182 070 <br />City:Aden Hills <br />CEO Daytime phone:(6t <br />State: MN - .- Zip: 55126 County:Ramsey <br />of the Lake CouncilSl. JudeCatholic United Financial . <br />c/o Cathoth <br />Harne of Chtef ExecuHve Offfcer (CEO):Boni <br />2) 418€206 <br />wlll be emalled to thts ernail address unless ottenivise indkatcd below)Email permjt to (if other than the cEo): <br />Minnesota Tax ID Federal Employr ID <br />CEO Emaig; bonjim@hotnail.com <br />Organizatftcn <br />Name: <br />Number, if any: <br />t{ailing Address; <br />STATU]{ONPROF IT s <br />t/Fraternal <br />Type of Nonprofit Organization (check one): <br />Religious EI veterans ff orher t{onprotit OrganizationAttadr a of ttrc proof ofot ctaErc: <br />.f <br />federal <br />'ncome <br />tax exernpt btter, have an organtrauon ofificer contact the <br />rRs - Affilbte of, nstsonatr stetewide, or internstlonal par.errt nonprofrt orgenl.auonIf your organization nil6 undeii parent organizattn, attach copies of both of the tollowi1' IRS letter strouring )rour Parent organlzauon is a nonprcfit 501(c) organization with a2' the charter or lettli frsm t/our parent organlzation recognizing your organization as a <br />(Do <br />$taodlng <br />NOT attach a sales tax exempt status or federal employer ID number, as they are not proof of nonprofit status.) <br />A current calcndar ye.r Certsflcate of GoodDon't have a certificate from:aopy? Obtain thistlN Secretary of State , Business Seyrrlces Division Secretary of State website, phone numberc:60 Empire Drivg Su ite 100 <br />St. Paul, tl N 55103 urww.sos.state.mn.E <br />651-296-2803, or tolt free t-g77-551 ,,fi161IRS InconrG tax €xetrt ption (50r(c)) tetrer In four orga nlzatl,on,s namgDont have a co py? To obtain a copy of your <br />IRS toll frree at 1-877-829-s500. <br />(chertcrf <br />n9: <br />group ruling; and <br />subordlnate. <br />RHATIOGAf,I BLING PREII rss I]TFO N <br />./ <br />I <br />[--l ro*nship: . - .- - <br />Hqne Of{ioeCathdh United Financial- <br />conducE<l <br />Physical Address (do not use p.O. box):N.Ave. <br />Date(s) of activity (for raffles, indlcate the date of the drawing):202111-Ma <br />Zlg:55 126 County:Ramsey <br />check each type of gambting activity that your organization wifl @ncruct: <br />Narne of premises where the gambling event will be(lior raffles, list the site where the drawing will take place): <br />Bingo <br />Check one: <br />Paddlewheets Pull-Tobs Tipboards Rame <br />Zloz Cowrry: <br />City: