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Attachment A <br />ffiAttach a copy of OlNE. of the following for proolf of nonpr& it status. Check one. <br />�bo not sales tax exempt', status or federal ID empf oyer numbers as they are not proof of nonprofit status <br />1 it Nonprofit Articles of Incorporation. OR a current Certificate of Good Standing. <br />Don't- have a copy? This certificate must be obtained each year from: <br />Secretary of State, Business Services Div., 180 State Office IBuilding, St. Paul, MN 55155 Phone: 661---X96-2803 <br />.......... <br />IRS inn come tax exemption [501(( ] letter 'in your organization's na.mel, <br />Don't,, have a copy'? To obtain a copy of your federat income tax exempt letter, have an br-Wation officer <br />contact the IRS at 877-82M500. <br />Uq <br />IRS �- Affiliate of national, statewide, or international parent nonprofit. organization (chartle <br />If your organization falls under a parent organization, mach copies of both of the .following: <br />a�. IRS letter showing your parent organization is a nonprofit. 501(c) organization . 'With, a group ruling, and <br />b. the charter, or ]letter from your parent organization relcognizing your organization as -a's-'u-bordinate. <br />IRS - proof pre,viou�sly submitted to Gambling Control! Board <br />If you previously submilitted proof of nonprofit status,frorn the IRS,, no attachment is required. <br />'GAMBLING PREMISES INFORMATION <br />�ldress (do not use PO box) city Zip Code <br />'Win <br />I <br />County <br />I <br />0i I L L_ <br />��)i of activity (for raffles, [Hdicate the date of the drawing) <br />--------------- - -- <br />'All 4A t0l <br />D 4c+ Z <br />�Coheck the box or boxes a' indicate the type of garribling activity your organization will conduct- <br />Blngo* VRafflies F Paddiewheels* �ul�l-Tabs* 50TIpboards* <br />Garnbling equipment for pull-tabs, bingo paper,, tipbolards,, and <br />paddlewheels must be obtainedfrom a distributor licensed by the <br />Also complete III <br />Gambling Control Board. EXCEFROW Bin-go hard ca�rds and blingo, <br />Page 2 of this form. <br />0:1 <br />number selection devices may be borrowed from another organization <br />authorized to conduct, bi-ngo. <br />