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ti <br /> STATE OF X rNNESOTA OR BOARD USE <br /> 0AGAKZZALTjrojq zrc SJT MN AZ APPZ CATZON <br /> LC 210OR PRINTED;07/13/93 i <br /> Ida <br /> t <br /> LICENSE NUMBER:A-03191 EFFECTIVE DATE:C 1/1G 1/1 S ESP IRATIC�N DATE+1���1�9f <br /> ORGANIZATION ,1NrORNAT I ON <br /> Rockey ROSSTL110 TOuth Ax2cc MN SALES A USE TALC PERMIT 4: 1206974 g <br /> 247% D2n1aP St N <br /> Roseville MN 55113 <br /> COUNTY:Ramsey PHONE NUMBER: 612m49Om3O36 <br /> CHIEF ECUTIVE OFFICER INFORKATION <br /> Paul Easier DATE OF BIRTH: <br /> 2479 DuaYig St � <br /> seville UK 55115 PHONE N�JMBEF�: 6 I2-4SO�SO56 <br /> AS M INFORMATION <br /> DATE OF BIRTH: <br /> James Wanner PHONE NUMBER: 6.. <br /> ORGANIZATIONS REGULARLY SCHEDULED MEETINGS Ate: ICON A `ER THIRD AT SUN AT 700 PH <br /> NUMBER OF ACTIVE MEMBSRS OVER THE AGE OF IS: 6 2C- <br /> LAST MONTH/YEAH OF EXPENSE CALCULATIONS: 11/91 WITH AN ENDING BALANCE OF 99 $176.17 <br /> KN WLEDGME <br /> I OERE TEAT: <br /> al -HAVE READ THIS APPLICATION AND ALL INFORMATION SUBMITTED TO THE GAMBLING CONTROL BOARD; <br /> *ALL INFORMATION IS TRUEr ACCURATE FIND COMPLETE; <br /> *THE COMPENSATION SCHEDULE 15 CURRENT AND ON FILE WITH THE BOARD; <br /> * PROOF OF NONPROFIT STATUS FOR THE ORGANIZATION IS ON FILE WITH THE BOARD; <br /> .&OUR ORGANIZATION REMAINS IN GOOD STANDING AS A NONPROFIT CORPORATION WITH THE MINNESOTA <br /> SECRETARY OF STATE'S OFFICE AND/OR CONTINUES TO BE RECOGNIZED BY THE INTERNAL REVENUE <br /> SERVICE AS AN INCOME TAX EXEMPT ORGANIZATION AND-$ IF APPLICABLE] OUR CHARTER REMAINS IN <br /> GOOD STANDING WITH OUR 14ATIONAL ORGANIZATION; <br /> ■THE INTERNAL CONTROLS ARE CURRENT AND ON FILE WITH THE BOARD; <br /> *ALL OTHER REQUIRED INFORMATION HAS BEEN FULLY DISCLOSED; <br /> I AM THE CHIEF R SCUT IVE OFFICER OF THE ORGANIZATION; <br /> #I ASSUME FULL RESPONSIBILITY FOR THE FAIR AND LAWFUL OPERATION OF ALL GAMBLING <br /> ACTIVITIES TO BE CONDUCTED; <br /> *I STILL FAMILIARIZE MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLING AND ROLES OF <br /> THE GAMBLING CONTROL BOAR AND AGREEf IF LICENSEDg TO ABIDE BY THOSE LAWS AND RULESF <br /> INCLUDING AMENDMENTS TO THEM; <br /> &A MEMBERSHIP LIST OF THE ORGANIZATION WILL BE AVAILABLE WITHIN SEVEN DAYS AFTER IT IS <br /> REQUESTED BY THE GAMBLING CONTROL BOARD! <br /> ■ANY CHANGES IN APPLICATION INFORMATION WILL BE SUBMITTED TO THE GAMBLING CONTROL BOARD AND <br /> TM LOS UNIT OF GOVERNMENT WITHIN 10 DAYS OF THE CHANGE; <br /> *A LICENSE TERMINATION PLAN WILL BE SUBMITTED TO THE GAMBLING CONTROL BOARD WITHIN I5 DAYS <br /> OF TERMINATION OF ALL PREMISES PERMIT(S); <br /> *THE GAMBLING MANAGER IS BONDED AND LICENSED AS REQUIRED BY MINNESOTA STATUTE; AN <br /> *I UNDERSTAND THAT FAILURE TO PROVIDE REQUIRED INFORMATION OR PROVIDING FALSE OR MISLEADING <br /> INFORMATION MAY RESULT IN THE DENIAL OR REVOCATION OF THE LICENSE. <br /> SIGN kTURZ IEF EEECUTI OFFICER DATE <br /> F •5 <br />