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Home My WebLink About5H, A Motion to Acknowledge the Application of Hand In Hand Christian Montessori to Conduct a Raffle on December 1, 2012 lt ,- VEEN HILLS Request for Council Action 5H Prepared By: Amy Died, Deputy Clerk ; Council Meeting Date: October 29, 2012 i A Motion to Acknowledge the Application of Hand In Hand Christian Montessori for an Exempt Permit to Conduct a Raffle on December 1, 2012,with No Waiting Period. Budgeted Amount: Actual Amount: Funding Source: N/A N/A N/A Recommendation: A motion to acknowledge the application of Hand In Hand Christian Montessori for an Exempt Permit to conduct a raffle on Saturday, December 1, 2012,with no waiting period. Supportiniz Documents: 1. Memorandum dated October 29,2012, from Amy Died, Deputy Clerk. 2. Hand In Hand Christian Montessori LG220 permit application. 3. Statement of Nonprofit Status , t --A EN HILLS MEMORANDUM Date: October 29, 2012 TO: Mayor and Councilmembers Patrick Klaers, City Administrator FROM: Amy Died, Deputy Clerk SUBJECT: Hand In Hand Christian Montessori Gambling Permit Background The City has received an application from Hand In Hand Christian Montessori for an Exempt Gambling Permit for a fundraising raffle to be held Saturday, December 1, 2012, at North Heights Lutheran Church, 1700 W Highway 96, Arden Hills. According to Minnesota's Lawful Gambling regulations, they are required to obtain acknowledgment from the City they are holding the event in. This does not require a permit or license from the City as it is not a premise permit. As part of the requirement of LG220 Application for Exempt Permit, the City must acknowledge the application with no waiting period, with a 30 day waiting period, or deny the application. The date of this raffle is Saturday, December 1, 2012. Recommendation Staff does not see any reason to impose a 30-day waiting period on this application. Staff recommends that the City Council approve a motion acknowledging the application of Hand In Hand Christian Montessori for an Exempt Permit to conduct a raffle on Saturday, December 1, 2012, with no waiting period. 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 perm' number _ Hand In Hand Christian Montessori N/A Minnesota tax ID number, if any Federal employer ID number (FEIN), if any Type of nonprofit organization. Check one. ElFraternal Religious Veterans aOther nonprofit organization Mailing address City State Zip code County 2129 Fairview Avenue N. Roseville MN 55113 Ramsey Name of chief executive officer [CEO] Daytime phone number E-mail address Michelle Thompson 651-784-7988 hihchristianmontessod @comcast.net 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 7 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. North Heights Lutheran Church Address [do not use PO box] City or township Zip code County 1700 West Highway 96 Arden Hills 55112 Ramsey Date[s] of activity. For raffles, indicate the date of the drawing. December 1, 2012 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. LG220 Application for Exempt Permit 612 Page 2 of 2 LOCAL UNIT OF GOVERNMENT ACKNOWLEDGMENT CITY APPROVAL COUNTY APPROVAL for a gambling premises for a gambling premises located within city limits located in a township _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 days period, and allows the Board to issue a permit after 30 [60 days for a 1st class city]. days. The application is denied. The application is denied. Print city name Print county name Signature of city personnel Signature of county personnel Title Date Title Date TOWNSHIP-If required by county. On behalf of the township, I acknowledge that the organization is applying for exempted gambling activity within the township limits. [A township has no statutory authority to approve or deny an - ocal unit of government must sign application, per Minnesota Statutes 349.166.] L Print township name Signature of township officer Title Date CHIEF EXECUTIVE OFFICER'S SIGNATURE The information provided in this application is complete and accurate to the best of my knowledge. I acknowledge that the financial report will be completed and returned to the Board witi 30 a of the event date. /� Chief executive officer's signature Date Print name Michelle Lee Thompson CEO sign REQUIREMENTS Reset form Complete a separate application for: Financial report and recordkeeping required - all gambling conducted on two or more consecutive days, or A financial report form and instructions will be sent with your - all gambling conducted on one day. permit, or use the online fill-in form available at Only one application is required if one or more raffle www.gcb.state.mn.us. drawings are conducted on the same day. Within 30 days of the event date, complete and return Send application with: the financial report form to the Gambling Control Board. _a copy of your proof of nonprofit status, and application fee. Make check payable to "State of Minnesota." Questions? Call the Licensing Section of the Gambling Control Board To: Gambling Control Board at 651-639-4000. 1711 West County Road B, Suite 300 South This form will be made available in alternative format(i.e.large print,Braille) Roseville, MN 55113 upon request. Data privacy notice: The information requested on this All other information provided will be pri- General; Commissioners of Administration, form (and any attachments)will be used by the Gambling vate data about your organization until the Minnesota Management&Budget,and Control Board (Board)to determine your organization's Board issues the permit. When the Board Revenue; Legislative Auditor, national and qualifications to be involved in lawful gambling activities in issues the permit, all information provided international gambling regulatory agencies; Minnesota. Your organization has the right to refuse to will become public. If the Board does not anyone pursuant to court order; other indi- supply the information; however, if your organization issue a permit, all information provided viduals and agencies specifically authorized refuses to supply this information,the Board may not be remains private,with the exception of your by state or federal law to have access to able to determine your organization's qualifications and, organization's name and address which will the information; individuals and agencies as a consequence,may refuse to issue a permit. If your remain public. Private data about your for which law or legal order authorizes a organization supplies the information requested,the Board organization are available to: Board mem- new use or sharing of information after this will be able to process the application. Your organization's bers, Board staff whose work requires notice was given; and anyone with your name and address will be public information when received access to the information; Minnesota's written consent. by the Board. Department of Public Safety; Attorney INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY P. 0. BOX 2508 CINCINNATI, OH 45201 Employer Identification Number: Date: SEP 2 6 2008 36-4612109 DLN: 17053198361008 HAND IN HAND A CHRISTIAN MONTESSORI Contact Person: HOME SCHOOL ACADEMY YVONNE LIGGETT ID# 31296 C/O ST JOSEPHS PARISH Contact Telephone Number: 171 ELM ST (877) 829-5500 LINO LAKES, MN 55014 Accounting Period Ending: June 30 Pilblic Charity Status: 509 (a) (2) Form 990 Required: Yes Effective Date of Exemption: May 14, 2007 Contribution Deductibility: Yes Addendum Applies: No Dear Applicant: We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 501 (c) (3) .of the Internal Revenue Code. Contributions to you are deductible under section 170 of the Code. You are also qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your permanent records. Organizations exempt under section 501 (c) (3) of the Code are further classified as either public charities or private foundations. We determined that you are a public charity under the Code section(s) listed in the heading of this letter. Please see enclosed Publication 4221-PC, Compliance Guide for 501 (c) (3) Public Charities, for some helpful information about your responsibilities as an exempt organization. Letter 947 (DO/CG) -2- HAND IN HAND A CHRISTIAN MONTESSORI Sincerely, Robert Choi Director, Exempt Organizations Rulings and Agreements Enclosures: Publication 4221-PC Letter 947 (DO/CG)