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4F, Resolution 2010-016, Fishing for Fun Fundraising Raffle
■ %.� EN HILL : S Re uest for Council Action q Prepared By: Rebecca Brazys, Deputy Clerk Council Meeting Date: March 29, 2010 Approve Resolution 2010-016 for an Exempt Charitable Gambling Permit to Allow the Fishing For Life Organization to Hold a Func��aising Raffle on May 11, 2010. Budgeted Amount: Actual Amount: Funding Sourc�: NA NA NA Recommendation: 1. Approve Resolution 2010-016 for an Exempt Charitable Gambling Permit. .........................:.......................................�..............................................._........---..--.-----.----------------------------.---....._....__................................................-.--.--.._.._...........................................__...-----._..-----.------------.--.-..---.----.._....._................------.--- - - ... . ............................................................................................................................. Supporting Documents: 1. Memorandum dated March 29, 2010, from Deputy Clerk Rebecca Brazys. 2. Application for 2010 Exempt Charitable Gambling. 3. Correspondence from Fishing for Life Organization. 4. Copy of State of Minnesota form LG220, Application for Exempt Permit. 5. Statement of tax exempt status. 6. Statement from Department of Treasury establishing petitioner as a public charity. 7. Certificate of Assumed Name from the Minnesota Secretary of State. EN ILLS - ..� _ _ MEMORANDUM Date: March 29, 2010 TO: Mayor and Councilmembers Acting City Administrator Sue Iverson FROM: Rebecca Brazys, Deputy Clerk SUBJECT: Fishing for Life Gambling Permit Background The City has received an application from the Fishing for Life organization for an Exempt Gambling Permit for a fundraising raffle to be held Tuesday, May 11, 2010, at North Heights Lutheran Church, 1700 W Highway 96, Arden Hills. What is an Exempt Permit? This form of approved charitable gambling approved by the State Gambling Control Board is applicable to nonprofit organizations that do not have an active charitable gambling license, but still wish to utilize charitable gambling events for fund raising purposes. These organizations are limited as to the number of exempt permits allows in a year (five) and the total prize pay out in a year ($50,000). Fishing for Life is an exempt organization under the provisions of Section 501(c) (8) of the Internal Revenue Code. The organization will be represented by Mr. Chris Armstrong, Associate Director, if the City Council has any questions regarding this application. Recommendation Staff recommends that Council approve Resolution 2010-016, Approving an Exempt Gambling Permit Application for Fishing for Life at the March 29, regular Council meeting. E� I�LS C�ty of Arden Hills 12451Nest Highway 96 Arden Hills, Minnesota 55112 Phone: 651.792.7800 Fax: 651.634.5� 37 www.ci.arden-hills.mn.us 201� �xem t Charitable Gan� lin b l� g A lication Form �� . In o rmatio n(all fields are r�equired) �usiness Name: Fishing for Life —�.Ze�ewing Hope Resources 301 S� 5� Av. S. Minneapolis,1�1N 5540� Properiy Address: 1�1"o�th Heights Lutheran Church � 7fl0 Highway 9fi West, Arden Hills, I�ZN 55112 Date of Event: Gambl�n t e: Raff�e May 11, 20 � 0 6:00 io 9:00 p. �. g Yp ._----_____.____.._.._.�._.___.._...___�.__.__._..__..---__...�_..__.____.__ ................_-------,-�--....._..__...._...._._.......__....__.-�------------- --- -- --- Loca� Contact: Business Phone: Email Address. Federal ID#: C�ris Armstrong _ .___�__...___.__._......___..____._._.__..,._.___....__._,_.._.._..__._._---.... 612-408-3198 _.___._.__. .._..._. W _.._._.._.....____.___..__�___.__.-_-- Chris@fishingforlife. org 43-�058434 Business Fax: Website Address: Please submit the following %rrr�s with your application: *I'roof of �on-profit status *Correspondence with event details and description of orgar�izatio� *Form LG220 Premise Permit Applica.tion ._._ _...._. ._...__.____...____._._..-----_.......______._ Fishingforlife.�rg X X X � A�thorized S �gnature--- ��S''O �. r I)ate � � � � -�---�--_. .._.. ._ .____._...----------�--....__.. _...__ ......__..._._..--_---._......... _ .-- -- _ _._ ... -�- -- _. _ ._ . _ . f . __ . _. _.._ _.__. .--. �Iarch 15, �010 �ebecca Brazys Deputy Clerk City af Arden Hills I�ear Rebecca: 1 ' 5'.s �. ¢} : A F� � �5 (- 5 � '.�{ 4r:z k � S . � L ,f �: '�x � ;;,� � y�pc�� .S°x �. "� , S r' ` �.:5s , t:. � e al _ C3S:u. � �+ f ' br ^r '.. i�" 1 � ..i �+ `¢ ._ � F ` �' i � -. 3.-�..� Pf s `�'„,.� a[: i � u . l _ � ✓ £a �''lw„�j S'.� L :� 'i a ��;' � . _ . . ,`,.li. ,-- '�. ._. �. ... . _ ..,. ,� ., �u�-� �_�...� ..<: �..... , .. � y `: n �,µ .^-- q , g �': r y ,�1: Y�r �` #� .:;�' - v'�,. �,,�'r�,. ��� ��� �`�� ���� ����� ������ �'�.�a.�l� �.��. +����,�:�.��� t��u��. ���.��.� �.�.�. ������� ����r�.�a.�� �° � �'�s ��.�� �� ����.��� ���.� t� ���� ���.�� �i�.� �� �r�.����� ����� t+� ��+��i�.� �����r��� �� the urb�.� �omr.�unity! �i�ce the inception o� this �r�gram in 2004, �Quth hav� rais�d �ver � 11 Q,C�aQ tc� b� distr�but�d to c�v�r 2Q o��a.n���.t�on� s��v��g �out� and farr�ili�� �n tl�� T�in ��t��s. �ar�i���►ar��s c�:c�€�s� w�er� t�.e �.�a��s �a�s�d ��� b�� di�t�����d �y se��c�i�g �n� c�� �o�r� �� ou� �ov��a�� �'a�t�.��s. �Jur �art�ers p�ovid� E�er���c� .��sistar�c�, ��ristn�.a� �n t�� �ity, ��m.�e� ��,��s, �ea�s fo� ��:e H��e��s�, ��co�e�� ���v��e�, a��. ���.� �.��.�c� ��.mi�y Pro�r�.m� i� some t�f i�e r�os� distr��sed neighb�rhoQds of �h� T�vi� �itiese ��� � � � � � �r����.�� �'������ ���+���.��t��� f�� �'���. �i���� ���.��, �'i��.i�� �`�� ���'� ���u.rb���es d�r��:�t�d �c�ds, ����s �:r�d ���k�e ��c� distri��.�es i� to �.�de�served y��.�� a� ��.� Tv�in �ities. W� hQs� � n�.�anl��r of 1a�� �ve�ts by part�.er�ng wi�th T`�in Cit��s ��.ski�s In.c, ��i� ��I�, F��her� c�� ��r�, �.���, W�ie��ogs� �TS, loc�.� bu���.�e���� an�. ��►I�nte�r� th�.� ��t t� ������ �+��.t�. �+� ����ar�����.'s ��r��t��t p�.�t��,�. �� _ � ������ �s �. ���.�����.� �"�s�.��,� �'�st���.l ec����et� vc��h. a. ��r�u� p�o��., � s%r�g ��es a��. ec��.�ati���a� ��t����ls ��.� ge�� ya��1� hoa�.ed ��. � sl���.g. �V� are �o�.ored to c�nt�nue �.s a TakeMeFish��.�� grax�t�e to e��a�e in th�� servi�e. Individuals can �.lso donate ��ed boais �o suppa�t thes� programs t�.raugh ou�r �.��� � �:�. i�. ���t� ������.�.� �'��� ��.�� i� � ��� '.�.� ��:;�.%��.� f�r �id� �.�.�. �'��.�����. ��.�ti�i��.�t� ��' �.1� �.��� r��� ���r�.���, �n.�.ke 1ur�s, practice ��.sting a�d are edueated ab�ut all aspects �of f shing in �u�r �reat state. Ac�t�vitie� prc�v�ded education abo�t ha�itat avvareness, fishing tackle, t�chniques, s�pe�ies id�nt�� cat�ar� �ad � sh�n� ap�or�:unities �witk� clubs �nd c�m�s �resent a� the fair. Q�ex 2,Oa� �p���►1� att��d�d xhe ��ent l�.st year and 2� 1 � promises io be eve�: bett+er as vve l�ast the ",Ser��in� �out�i, �'�xmiC� �nc�'�arrzrr�uni�y t�Zrvu��i��s�iin� acna�outaroo��ro�rarr�s" ( , f .�`J , f { �C Rrt� � !Fn. � ,Tr � .Y 1 � . � y � s�ia� a .,:� t n, �M : y^ fi �v�,'<F-x s R' r a4�`µ F a _ � i�,: � y a} .z � -. ,�. � .�'.� �'��..ti� �y .?�� c.� S' fi, � .��' �_:. �� " .R;a ¢ .r. .. . v�; � . . ... . „ �; _. .:.: .. ...r; ' ' `^,_" ..: . . rd � s^ v * �' j f { . `� rt x',<'x-�v `' y .�'.F 4 ^,H� "c=:�' �2.:w�.:>n` �� �`� .�. � g � � � .��� �.����� ��� �'�:��. �� �.r� +��rx����� a����t��,� �.��.�.���a�� of sport�ng equipment to sell dur�ng this event or offering table space to individuals who n�ay enj oy clearr.�..n� ou.t t�.eir garage wh�le suppa�tir�g �i��.ing For Life. ��°��.� �x�����.��c��� �r���t�i�� ��.���� �� pr���d� q���t� �sh.��� ���+��tu�.ti�s ��r ���.� yo�.th in o�rder to proclaim the C�ospel af Jes�.s �h�st. At CEM camp eight to ten �our� of f s�i�ng d���.� a da� i� co�n�o� ��. �s co�.b�ned ��t� iea� �i��i�g tourr�.arr�e��s ,��d frier�dly co�pet�tio�.. Each GE�1 c�mp �s ��nall � 1. 2-1 S) w�:i.eb �ro�rides �or good i�.struction, supervisian, and relatianship building. After th� sun��ner, GEM conti.nu.es iis outreach t�rough monthly ��hing ou�ing� a��. �neeting�. Bible st�.die� �.n� de�otia�.al� a�°e ���bi�ed �v�th �'ishi�g ��.s�t�a.�t�o� in �.��Qr�a��� �t�: C3EM's r�i��ia� �� ���.�� t�� �€�sp�� o� Jes�.s ��arist. ���� �' � ������ a �'��� �.��' � �i�.���a� �'�►��.��� �� r�.�et��� ?t�� �.���.� ��' the �.��.b�r� c��' th� gro�.p ��o�.g� t�� s�u.dy �f ��ly ��r���t�:r�e �d ��e �ra���ce �� b�bli�al p����ip��s. Cov�nant re�ationsh�ps vvill be developed with �urrent f s��n� �inis�ries su�l� as Fishers of M�n, Succ+ess Thr��.�. S�ri�t�.r�, and k��a��d �� �hrist. We a�so �ee� t� �xpa�.�. th�is fell��vvship by starti�.g new groups in churc�es throughout the �'win �it�es. R�gu�ar me�tir��s, retre�.ts, �ou��.m.er�ts �.nd � s�in� lea��.es are a�.�ans to ar� end ��r this n�xn�st�-y t+a o���. �..e�a.�i��s��p� �it� �t�d �€� c�ne a�ot��r ta1�� t��:� an�. I���� +�'s ��nis�� �as� our nets i� the Deep Water. �� will nat kno�v �h� toi�.l v�,lue of itenls b+�in� �af�.�d unt�l �. �vee� pric�� tc� t�.e even$. We will estimate the raffl� value at $3,�(�� for the stat� permit. I have �ot �ilect this y�t beeaus� i� �.��d� �i�� �vh�r� �a.ff�e �� �a b� he�d pe����ic�n� �r�t. �'�.� B�.r�qu�t �v�l� rur� fr�� �:�� �� u.�.��� 9:(�� ��. ��� b�.�q�.�t �� a� a��:a� e�e��, ���ve�er, �t is ������ �ha.� w� ��11 ����r� to ��arg�r ver�ue �� 2�} 11 du� �o grovcrth in ou� Qrga����.tion.. Th�nk ���. �o� �o� ��fa�t� ��. ca�rdinat��� t�i� proc���. I�.espect��r��l�: ��ri� .���n�trong Asso�iat� �ir��tor �'is�iir�� �'c�r i,ife «���i�g �'����, �"�m��'�r ��d���r�m�r���� t�ir���i��'s'�a��� ��,r�v��a�'oo��������n.�'� 1VJint�e.sota La�+vful Gambling �.�22fl App1 ication for Exem pt Perm �t An �xempt permi# may be issued to a nonprofit organizat�on #hat: - conducts lawful gambling on five or fiewer days, and - av�ards �ess than $50,U00 in prizes �urir�g a ca�endar year. �A��z�►�r�o� ������na�-�o� Page '� of 2 2I'� 0 Ap�licat�on #ee for eacfi even# !f a lica#io� ostmarke or received: iess than 30 days rnore #han 30 days be#ore the event before the event �1 fl0 $�0 cn�� # s Orqaniza#ion name Previous gambling perrni# numbe� Renewing Hope Re�ources dba ����ing For Life Type of nonprofit organization. Check one. � Fra#ernaf � Reiigic�us � Ve#erans �X Other non�rofit organizatior� Mailing address City S#ate Zip Code Co�nty 301513th l4ve S iVl�nne�tpo�is AAN 554�7 Hennepin Name of chief executive officer (CEO} To� Good�ich Dayt�me phone number f 1 ��-98�-�i4�f f Emaf! address gaady�Cstp@av�.com At#ac� a�o�y af ��y,�, of the #oltowin� for �raof Q# r�o�p�ofi# sta#us. �heck vr��. Do not a�#ach a saies tax exempt status or federal iD empiayer numbers as they are r�ot pr�f of nonprof� status. Nonprofit Articles of lncorporation t?R a cu�ent C�rt'�fiicate of Good Standing. Do�'t have a copy� Tt�is certifica#e mus# be obtained each year from: Secre#ary of S#aie, Business Services Div., � 80 State fl�#'ice 8uitding, St. Paul, M�t 55'15� Phone: 651-296-2803 X iRS income tax exempt�on j501 �cj� letter in your organiiation`s name. Don'# have a copy? Ta obtain a copy of your federal income #ax exempt Istter, have an organ�zativn o�c�r con#act #he IRS a# 877-829-55n0. IRS - A#�iiate of national, statew�de, or internationa� parent nonproft organiza#io� (cha�ter� lf you� organization falls und�r a#�afen# r�r�anizativn, attac� copies of both of #he following: a. IRS ietter showing you� paren# organ�zat�on is a nonprof�t 501(c� o�ganization w�th a group ruling, and b. #i�e charter or letter from �lour parer�t o�ganiza#ion recog�iz�ng your organiza#ion as a subordina#e. ❑!RS • proofi previously subm�#�ed to Gamb�in Con#ro1 Board 9 !f you previousiy subrnit#ed proofi o# nonp�ofit status fiorr� ihe 1RS, no attachment is requireci. G�1�UIBLI�VG Pf��AAlSES 1�Y�ORMAT�UN Name of prem�ses vvhere gamb�ing a�iivity will b� conduc,�ed (€or raffles, list #he site wt�e�-e the drawing w�li take place) North Heights L,�theran Church Address (do not use PQ box� Ci#y 1700 W Hwy 9� Arde� Nii�s Date�s) �� activi#y �for ra�l�s, indica#e #he date o# the drawing) �ay � �, 2�� 0 �ip Code Cour�#y 551 � 2 Ramsey �c #he box or boxes #hat indicate the type of gam�ling ac#�vity yc�t�r organization wi11 cor�duct: � 8ingo* � Raffles � Paddlewhee�s* � F'u11-Ta�s# [� Tipboards* * Gambling equipment for pull•tabs, bingo paper, tipboarris, and paddlewheets r�ust be obtained from � distributor licensed by the Gatnbling Co�trot Board. EXCEP'TiQN: Bingo hard cards ar�d bingo nurriber se�ection devices may be �rrowed from another organi2at�on authorized to canduct bingo, �"o find a licensed �istributor, go to vvww.gcb.state,mn.us and clic#c or� Ust of ucensed Dis�ributors, or ca11551-539-40��. /�Iso complete Page 2 of this form. Pr�n� �or�n Reset fo�rrt �.G220 Ap�lica�tion fiar �xem�t ��rm�# LC3CA� U���' aF G01�ER�#�AENT AC�CN�11V�.�DG�IENT !f the gambling pr-�rr�ises is within c�ty �im�#s, a city flfficial must chedc #he a�ion i�a# �he a#y is taking on ihis applica�ion and sign the �pplica�ion. The applica�on is acknowledged w�#h no wai�ing period. The application �s acknowfedged w�th a 30 da� wa�ting period, and a�lows the �oard to issue a permi# after 30 days (60 days for a'1 s# c�ass ci#y). The applica#ion �s denied. Prin# c�ty narne On behalf of the cit�r, 1 acknov�ledge this applica�ion. Pas�E 2 0� 2 1!10 if the ga�nb�ing p�-em�ses is foca#ed in a#owns�ip, a coun#y of�ttya# must r�eck the action #hat #he county is taking an th�s ap�ication and sign the applica#ion. A township officia! is not required to sign the appiication. �e applicabon 'ss acknvw�edged wi#h no waiting period. = e application is acknowledged with a 30 day wai#ing �eri�i, and allows �e 8oa�d to issue a permi# a#ter 30 �ays. � f#�e appiication is denied. Prin# couniy name On behal� of the coun�jr, 1 acl��owledge this applicatior�. Signature flf coun#y offiaal rec�iving appfication Signature o� city o�cia� receiving applica�ion �_ � Ti#1e Daie I ; �Optiot�$1� T01fVNSH1p: On beha�f o# #he township, i Tit�e Da#e ! / ���o�d9e tfiat the organizat�on is applyir�g for exer�npted gambling '—"' —"— "�""' aci�r wi#hin �ownship �imits. [A #vwnship has no s#a#u#ary authority to approve or der�y an appiication jMinnesota Statu#e 349.'� fifi)] Print #ownsh�p name Signa#ure of township official adcnow�edg�ng appl�cation Titte Date / / �� CH�EF EX��UT11�� �FF���R'� S�Cl�A►�'URE The informaiion �vr�vided in this ap�licativn is comple�e and accurate to tt�e bes# of my kno�ledge. 1 acknowledg►e �hat the financial r�port wi1� be compfeted ar�d r�ett�me�the �jErJ�i 30 days of tt�e dafe of our g►ambtir�g activity_. Chief execu#ive office�'s signat�re Com�lete a separat� app►ticat�on �or each g�fmbing ac�ivi#y: - one day �f gambling activity, - two o� rnare co�secu#ive days of gambiing activity, - each day a raf�e drawing is held Send appl�catifln w�ih: - a copy of your p�-oof of nonprofi# status, and = appfication fee for each event� Make chedc payable to "State of Minnesvta." To: Gambit�g Control 8oard 171 � West County Road �, Suite 300 South Roseville, I�N 559 93 Dat� ��%��/(� f inancial report and recordkeeping required A fnanr�al repor# ft�r�n and ins#ruc#ions wii� be sent with your perrnit, or use the on�ine fi��-in form availa�ale a# wwrw.gcb.state.rnn.us. Within 30 days of #he actiui#y dat�, compleie and retum the f�nanciai report form to the Gambling Cc�n�ro! Boar�d. Que►stior�s� Cali #�e Licens�r�g Section of #he Gambling Control Board a# �5't -C39-4075. Pri�t Forrn Reset �o�m TMis foim witl i�e mada available in a!#emative format (i.e. large print, 8railie) u�on reques�. Data prnracy no#ice:T�e ir�formation requested on this foRn (and ar�y at#achmen#s) wi�l be t�s� by the Gambling �ontro! goard (Board) to determine your organiia#ivn's qualificatio►�s to be invofired in lawfui gambling ac�ties in Minnesota. Y�ur organiza�ior� has #he right to refuse to suppiy #he i�forrna#ior� �equested; however, i# your organiza�on retuses ia supp�y #his informafior�, the 8oard �nay not be a1�e #o deter�nine your organization's qualifications and, as a cx�sequenoe, �ay refuse #o iss� a permi#. if you suppfy �he i�t�ormation �que�ted, the 8oard will be able to �rocess your o�gar�iz.ation's appiicatior�_ Yaur or�ganiza#�on's na�e and address wil� be pubiic informafi�r� when �ceived by the Boa�rd. Ai! other ir�o�rnation provided wi�! be private data unfil the �oard issues #he pern�;t Vlfien the 8oard issues the permit, ati info�rnation provided wil! bec�� publ�c. !� tfie Board does not issue a pe�m�#, aii informa�on p�ovided �emai�s priva#e, wi#h #he excep�ion of your arganiza#ion's name and add�ess whic� wi�i �ernain public. Private d�ta are availabie to: 8oar�d members, Board s#aff whose work �equires aG:ess to the infamatir3n; Minnesota's Departrr�ent o# P�btic Safety; Attomey General; C�missio�ers af Adr��nistration, Minnesota Management & 8udget, and Revenue; Legistative At�di#or, na#ional and i�tema#ionai gan�biing regulatory age�aes; ar�yone pursuant �o court order; other indiv�dua�s ar�d agencies specific�tly a{�ihoriaed by state or #edera! law to t�ave access #o #he infionna#ion; individuals and agenaes for whic�a 1aw or legal order authorizes a new use or sharing of informafion after #his �Votioe was given; and anyone wi#h your written t:onsent --._....._ .. _ .-.._ ___ ._.�. ___._.._..._. - - - -�- - .-, . �. �g--"�""�""�`�, -��""E`'"" _ ,.-.�.....,...•«n-�,,.,., _ _ .,. _ . � � � � p �� A a� rg�• v 1�� � a� �. ���� g� �,;; � r� .Y, �y,� �' � l � ��a�. � �� '� z �o ���� �;�` � : �����. i � '� , ,:=;, _ ; � - Y�F * .3 �,��.t ys � �� � �� ��� �� � � _ ���� � � � { ���������� � �� ����-�-..�� . �,,,�'��' ���`�������+�.��� �s�� � � ! ���������� � �. • ���5���������� ������ ������ = � R - �� �` � � �� � �� �:�: ������� �������� �� � � `s��� t ���� ���� 4 .4 � , ,l t+^?� � � � Vb �T-+ � 1� $$� i �� �� ��� � � ��o�� � ��` � b � �5�� R ��� ��� �� � :�� ��_� ; �, s � � �, �,$� ���a ����� �� � �� ��`�� � � ��� � � � ���� � � ��'"m ' > � �� P ���� �����'�.������ ��������..�.���� � � � C� ��.����� ������� ���� i � � ���� ~-- -- � � r .s� � � � � - ���� � �� ����� �`� ���� � �� � � � . � � ��,�,��� '� ��� ������.� � �.���.�� ��, ���� � ��.�����.�� ��� �==; :.. 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