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Home My WebLink About18-01-06 RESOLUTION 18-01-06 CITY OF OAK PARK HEIGHTS WASHINGTON COUNTY, MINNESOTA RESOLUTION GRANTING THE APPLICATION OF WHITETAILS UNLIMITED METRO AREA TO CONDUCT A ONE-DAY RAFFLE AT HIEGHTS HALL & CLUB ON MARCH 24, 2018 WHEREAS, Lindell Blanchette, on behalf of Whitetails Unlimited Metro Area has applied with the State of Minnesota Gambling Control Board for a permit to conduct a one-day raffle on March 24, 2018 at the site of Heights Hall & Club, 5880 Omaha Avenue North; and WHEREAS, the City of Oak Park Heights has reviewed the application and finds that its purposes meet the necessary community standards; and WHEREAS, the City of Oak Park Heights has solicited the input of the public and there have been no objections to the granting of the application for the raffle permit as applied for by Whitetails Unlimited Metro Area with the State of Minnesota Gambling Control Board. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL FOR THE CITY OF OAK PARK HEIGHTS AS FOLLOWS: Him the application of Whitetails Unlimited Metro Area with the State of Minnesota Gambling Control Board to conduct a one-day raffle on March 24, 2018 at the site of Heights Hall & Club, 5880 Omaha Avenue North, within the City of Oak Park Heights and the same are hereby approved with no waiting period. Passed by the City Council of Oak Park Heights this 23'd day of March, 2018. Mary,P'C(�omber ATTES /f Mayor t Eri A. o sf n Cit Admini trator f 01/17/2018 05: 05 6517744590 WTI,J METRO AREA PAGE 02 MINNESOTA LAWFUL GAMBLING sig 5 LG220 Application for Exempt Permit Rage I oft An exerr,pt permit may be issued to a nonprofit Application Fee (non-refundable) argar,iz_,tion that: Applications are processed in the order received. If the application cord.rccs lawful gambling on Five er fewer days, and is postmarked or received 30 days or more before the event, the awards less than $50,000 in prizes during a calendar application fee is $100; other., se the tee is $150. year. If ii -affle prire value for the calendar year will be Due to the high volume of exerr,p; appl cat ons, payment of $1,360 cr less, contact the -icensing Specialist assigned to additional fees prior to 30 days before your event will not expedite your by calljr,g 651.5:9.1900, service, nor ere telepn�re requests for expedited service accepted. ORGANIZATION INFORMATION Organ zation Previous Gambling Name: 1 11 An�1 Mt"1"�[� f�C'D rem-:t r:urnter Minnesota Tax ID Federal Employer lD Number if any: -__ _ Number (FEIN), if any _____......... Mailing Address: City: State: _.zip: County: Name of Chief Executive Officer l(CEO): (Lt� Daytime Phone: -_ -_Z� ^?s°InR NONPROFIT STATUS Type of Nonprofit Organization (check one): _ ~ Fraternal = .Religious Q Veterans Other Iti'enpro°it Organization Attach a copy of gne of the following showing proof of nonprofit status: (DO NOT attach a sales tax exempt status or Federal employer ID number, as they are not proof of nonprofit status.) A current calendar year certificate of Good Standing Don't have a copy? Obtain thin certificate from! MN Secretary of State, Business Services Division Secretary of State website, phone numbers: 60 Empire Drive, Suite 100 www_sos.state:mn_us 5t. Paul, MN 55103 651-296-2603, or tc i free 1-u77-551.6767 YRS income tax exemption (501.(c)) letter In your organization's name Dont have a copy? To obtain a copy of your federal income tax exempt letter, have an organization officer contact the IRS toil free at 1.877.829-5500, ® YRS - Affiliate of national, statewide, or International parent nonprofit organization (charter) if your organization falls under a parent organization, attach copies ofh of the following: 1. IRS letter showing your parent organization is a nonprofit 501(c) crganizatlon with a group ruling, and 2, the charter or letter from your parent organization recognizing ycur organization as a subordinate. GAMBLING PREMISES INFORMATION Narr,e of premises where the gambling event will be conducted (for rafAt- fles, fist the site where the drawing will Cake place): ALP I Address (do not use P 0. box): City or �- Township: � 4 T Zip County: Dates) of activity (for raffles, �-f� — rs cate the date of[he drawing)' .. ,CZ `heck each type of gambling activity that your ganization will conduct: aBingo` ❑Paddlewheels• ❑pull-Tabs" `Tiptcarc-r Raffle (total value of raffle prizes awarded for the calendar year: Gambling equipment for bingo raper, paddlewheels, puff-tabs, and tiYooards -,ILS: �,e o'otair:c�d from a distributor licensed by ,he r-,)resota Gambir-q Control Board. EXCEPTION: Bingo hard c3rCS ?^ti fi^ o : -,7t,er s,!ect,on devices may be "crowed c,rr aro-her organizatlon authorized to conduct bingo. To find a iicnnsed dear' t ', go to www.mn.gov/geb and dick on Distributors unser List of Licensees, or call 651-534-1900. 01/17/2018 05: 05 6517744590 WTU METRO AREA PAGE 03 5115 LG220 Application for Exempt Permit Pace 2 of 2 LOCAL UNIT OF GOVERNMENT ACKNOWLEDGMENT (required before submitting application to the Minnesota Gambling Control Board) CITY APPROVAL COUNTY APPROVAL for a gambling premises for a gambling premises located within city limits located in a township O'• The application is acknowledged with no waiting period _.The application is acknowledged with no wz:ting period, _ The apptication Is acknow'iedged with a 30-day waiting -„,_.The application is acknowledged yvith a 30-cay waitinq period, and altows the Board to issue a permit atter 30 days period, and allcws the Board to issue a germ t after (60 days for a Ist class city). 30 days. _The application is denied. The application is denied. Print City Namc:i _ ��k_! �. = �V.., -- ---- Print County Name -........ . ---- ..:.. --_.... _.�......_.-- Signature of Cit, Personn l: ? Signature of County Personnel. Title: Date: I 1 If I Title;_ _ Date TOWNSHIP (if required by the county) On behalf cf tl)e :cti f ship: I ackrcwledge that the organization is a;pD,Ying roc exe-71cci gwrrnlwg activity within the township The city or County must sign before limits. (r' t L•,^s” has -,cstar�C ry authority to approve or deny an app' .at a r, ,per 'lin „ Statutes, sect on 349,213.) submitting application to the Print Township Name _ Gambling Control Board. ------ � Signature of Township Officer._____ Title: CHIEF EXECUTIVE OFFICER'S SIGNATURE (required) The information provided in this application is complete and arcuate to the test of my knowledge. f acknowledge that the financial report will be completed and returned to the ccard within 30 (lays of the event date. Chief Executive Officer's Signature: — — —� �__ Date: (5lgrature must to CEC's slgraturc; ores gnee may not sign) Print Name: ----- ---- REQUIREMENTS MAIL APPLICATION AND ATTACHMENTS Complete a separate application for: Mail appllca6on with: • all gambling conducted on two or more consecutive days, or _a copy of your proof of no raflc status, and • all gambling conducted on one day. a ,- ion ref_°rc --_- pp';�aticn fee ( :�}. 1f the application is oniv one application is required If one or more raffle drawings are Pcs:m,,-Knc c.- ecc,t- 3-_ C ys or more before the event, conducted on the same daytie cat en fe(, s $100; otherwise the fee is $150, Financial report to be completed within 30 days after the ( r•°Oke, -ecx payable ;: State of Minnesota. I gambling activity is done: To: Mlnncsrta Gambking Cert%:, board A financial report form will be mai4ed with your permit. Complete 1711 V,,est County Road B, Suite 300 South and return the financial report form to the Gambling Control Roseville, MN 55:13 Board. Questions? Your organization must keep all exempt records and reports for r_,'I the _ce-• ,ng Section of the Gambling Control Board at 3•I/2 years (Minn. Statutes section 349.166, subd 2(f)) ^,.39-_C Pa cw natict' e rrc rat.o� req estev a�pliCdilcr Y _ c ;z. ,r -r r r mert of=ubf carety' .at orney Genera[; soca or s -,', (ana ary a!:a:,rner.$) w,!l Ge LLsed address -iii be cj5i r,c_-t - e ce,ved Conr,55 cr. rs of Porn,nl trahcr minne_ Dy _ C r n o' Boyo (ooaro)to by Lhe uoerCr c ed will Ma^cyCmt &ou'lae., and kever�e, Ley,Slat ve deer^ c a zat.Cr S Gual:f,catlons to be peva:e data~a'..a,ft -, t:i the 4u-::, ^8t.7nal did Interna:icnal gampllne �@ i.JIV gd rG n^y Z,1,Cles In BCa'C '.5 J tn±'garrr l; rE t" , issue' regal° "Y a er ,�; )r:YCnC purst,'ant to court 7..u-crgsr�zet a- los ice r;�ht to the pe r^,t. ".., �r!Crrna>,c. - tecorne order Cher :cd_es dnC ager.c,es sDeof'c3dy rCfuSe tG s. �'y t h ^rormah,.,, r:;4.aver, if pun c if,ne FO rl Cczs nc _ all dui: ZBC. G+ Store cr feGera' ISw to have access n2 y;�r '^y e- _2; Cn ref„ses to S�GOIY tn15 InFprma,'Gn proviceU re • :`r, i '-he Ler C -1J-n3:,:n. IGGlviduaEs ar,d ager=^es `or �o,i �:�- •.r ore �.,:,r •uc y.Otte to axz:cpr; of vo6r o can za c s r,-,? wn ct a,.Y or legal order authorizes a re- u7.e Or y„ :rysicdt Cn S quar,f,cations anti, aaaress v& wnl rernalr n L - e t'a[a sh wg or rormatlon after this nctCCe was as a c•:-SCC ucnie, r^•ev rQ`u SC L� 15s„C 9 permJC- abOLLI yc_r ,rgan Zd[..Cn a e . .. -- _ .� Fo,),,d given; jn0 anyone with your written consent. 'Ir s.,ocnes trio irforrrmtGon memDers Board starr venose v.r,r regc,r2s reC_.5_-c_d, ire wear; will be sple [c e"cress the acce . r ca::a s Ce;art- This form will be made Zvaila^"e n a'Cerna:ive `c'•r.jt I e. large print, braille) upcn request, �,.EevarC�co:t;�rtyE i;:vrr