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STATE OF MINNESOTA FOR BOARD USE ONLY <br />East GAMBLING CONTROL BOARD <br />o ,RGAN .rEAT .r0N LrCENSE IME APPLICATION <br />Lu 210OR FRINTEU :07/13/99 <br />LICZNBE <br />NU aR :A -03191 XFFZCTIVE DATa:01/01/911 aXFIRATION DATE :12/31/99 <br />mocke Ro seville Youth Assoc SALES USE TAX PERMIT <br />2655 W NSOU <br />Roseville UK S5 11 3 PR NUMBER: 612-486--0417 <br />DenaLs Malarkey DATE OF BIRTH: <br />2463 I1 S iMPS OU <br />Roseville <br />i� SB11� ]P HONE NUt�BERt 612-631-0347 <br />DATE OF BIRTH* C <br />Stephen ko PHONIC NUMBER 612-779 <br />ORGAN IZATIONS IONS REGULARLY S CHEDULED MEETINGS ARE non a ft er Third AT S un at 7 FBI <br />NUMBED OF ACTIVE M MBERS OAR THE AGE O F 18: 620 <br />ACXNOWME DG� <br />I DECLARE TT: <br />HA <br />READ THI APPLICATION AND ALL INFORMATION SUBMITTED TO THIS GAMBLING CONTROL BOARD; <br />,;L I NFORMAT ION IS TRUE ACCUPiCTE AND COMPLETE; <br />.9 T HR OOIpE NEAT ION SCHEDULZ is cURRENT AND O N FILE WITH THE BOARD <br />THE PROOF OF NONPROFIT STATUS FOR THE ORGAN I Z AT ION 19 OAT FILE WITH THE BOARD; <br />OUR O <br />ANIZATION REMAINS IN GOOD STANDING AS A NONPROFIT CORPORATION WITH THE MINNESOTA <br />SECRET ARY OF BTATZ r S OFFICE AND /OR CONTINUES To BE RECOGNIZED BY THE INTERNAL REVENUE <br />SERYICZ A.S AN INS TALC E 1"T ORGANIZATIom AND, IF APPLICABLE, OUR CHAR REMAINS IN <br />GOOD STANDING WITH OUR NATIONAL ORGANIZATION; <br />*ALL OTNNB RSQUIRSD INFORMATION HAS BEEN FULLY D ISCLOSED; <br />I AN THE cHIEF EXECUTIVE OFFICER OF THE ORGANIZATION; <br />I <br />AS SUME FULL RESPONSIBILITY FOR THE FAIR AND LAWFUL OPERATION OF ALL GAMBLING <br />ADTIVIT3NS TO BE OONDUCTRD; <br />I WILL FAMILIARIZE �E MYSELF WITH THE LAMS OF �+iINNESOTA GOVERNING LAWFUL GAMBLING AND RULES OF <br />THN GAMBLING CONTROL BOARD AND AGREE, IF LIOEMSEDf TO ABIDE BY THOSE LAWS AND RULES, <br />INCLUDING AMENDMENTS TO TH9K# <br />A ME OSRSHIF LIST OF THE ORGAN I SAT I ON WILL BE AV�I I LABIA Ti�1I TH I N SEVEN DAYS AFTER I T I S <br />RIIQUZSTXD BY THZ GAMBLING CONTROL BOARD; LING CONTROL HOARD AND <br />eANY CBS IN APPLICATION INFORMATION WILL BE SUBMITTED TO THE GAME <br />Tim *AL UNIT OF GOVERmONT WITHIN 10 DAYS OF TMB ORANGE <br />TION P� WILL SUBMITTED TO THE GAMBLING CONTROL BOARD WITHI 30 DAY <br />*A LISN TS1�MI�iA <br />OF TEIINATION OF ALL FRBMISEB PERNIT(S STATUTE AND <br />GANSLING MANAGER IS BONDRD AND LI S NSED AS REQUIRED BY MINNESOTA <br />I UNDSTANU TNA'I <br />FAILURE TO PROVIDE REQUIRED INFORMATION OR PROVIDING FALSE OR MISLEADING <br />I <br />N"RHATION XAY RESULT IN THE DENIAL OR REVOCATION OF THE LICENSE. <br />aF as rl FFI <br />81 OF <br />1 <br />