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CCP 02-14-2000
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CCP 02-14-2000
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5/8/2007 1:15:56 PM
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11/13/2006 1:22:55 PM
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<br />Organization License Renewal Application (Continued) <br /> <br />Page 2 of2 <br /> <br />The information requested on this form (and any attachments) will be used by the Gambling Control Board (Board) to <br />determine your qualifications to be involved in lawful gambling activities in Minnesota, and to assist the Board in conducting <br />a background investigation of you. You bave the right to refuse to supply the information requested; however, if you refuse <br />to supply this information, the Board may not be able to determine your qualifications and, as a consequence, may refuse to <br />issue you a license. If you supply tbe information requested, the Board will be able to process your application. <br /> <br />Your name and address will be public information when received by the Board. All the other information that you provide <br />will be private data about you until the Board issues your license. When the Board issues your license, all of the infurmation <br />tbat you have provided to the Board in the process of applying for your license will become public. If the Board does not <br />issue you a license, all the information you have provided in the process of applying for a license remains private, whit the <br />exception of your name and address which will remain public. <br /> <br />Private data about you are available only to the following: Board members, staff of the Board whose work assignment <br />requires that they have access to the information; the Minnesota Department of Public Safety; the Minnesota Attorney <br />General; the Minnesota Commissioners of Administration, Finance, and Revenue; the Minnesota Legislative Auditor, <br />national and international gambling regulatory agencies; anyone pursuant to court order; other individuals and agencies that <br />are specifically authorized by state or federal law to have access to the information; individuals and agencies for which law or <br />legal order authorizes a new use or sharing of information after this notice was given; and anyone with your written consent <br /> <br />e <br /> <br />. <br /> <br />e <br />
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