The URL can be used to link to this page

Home My WebLink About11-01-04 RESOLUTION 11 -01 -04 • CITY OF OAK PARK HEIGHTS WASHINGTON COUNTY, MINNESOTA RESOLUTION GRANTING THE APPLICATION OF WHITE TAILS UNLIMITED METRO AREA CHAPTER TO CONDUCT A ONE -DAY RAFFLE AT THE VFW POST 323 ON MARCH 19, 2011 WHEREAS, Lindell Blanchette, on behalf of White Tails Unlimited Metro Area Chapter has applied with the State of Minnesota Gambling Control Board for a permit to conduct a one -day raffle on March 19, 2011 at the site of VFW Post 323, 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 White Tails Unlimited Metro Area Chapter with the State of Minnesota Gambling Control Board. 411 NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL FOR T HE CITY OF OAK PARK HEIGHTS AS FOLLOWS: That the application of White Tails Unlimited Metro Area Chapter with the State of Minnesota Gambling Control Board to conduct a one -day raffle on March 19, 2011 at the site of the VFW Post 323, 5880 Omaha Avenue North, within the City of Oak Park Heights and the sa - are hereby approved with no waiting period. Passed . e City Council of Oak Park Heights this 11th day of January, 2011. II avid Beaudet ATTE' Mayor fi Eric r Joh son City • dmi strator • Page 1 of 2 7/09 Minnesota Lawful Gambling Application fee LG220 Application for Exempt Permit If application postmarked or received: • less than 30 days more than 30 days An exempt permit may be issued to a nonprofit organization that: before the event before t event - conducts lawful gambling on five or fewer days, and $e 00 before the h - awards less than $50,000 in prizes during a calendar year. $50 ORGANIZATION INFORMATION Check# $ Organization name Previous gambling permit number \.DV;, a:\.5 \\r. \4„ ? vt& k Type of nonprofit organization. Check one. 1 01 Fraternal 101 Religious ❑ Veterans IN Other nonprofit organization Mailing address City State Zip Code Runty Q 6SI 0 ( KQ wtS ��Za �ne. q\ace- S :"cam v.i.�n ey Name of chief executive officer (CEO) Daytime phone number Email address \:%n?2*.\\ , :tA&ace -. l• s 1 -Q 63 - 3cling tl.a& c nmr as\ - .∎neA Attach a copy of ONE of the following for proof of nonprofit status. Check one. Do not attach a sales tax exempt status or federal ID employer numbers as they are not proof of nonprofit status. ❑ I Nonprofit Articles of Incorporation OR a current Certificate of Good Standing. Don't have a copy? This certificate must be obtained each year from: Secretary of State, Business Services Div., 180 State Office Building, St. Paul, MN 55155 Phone: 651 - 296 -2803 I ❑I IRS income tax exemption [501(c)] letter in your organization's name. Don't have a copy? To obtain a copy of your federal income tax exempt letter, have an organization officer contact the IRS at 877 - 829 -5500. • ❑ IRS - Affiliate of national, statewide, or international parent nonprofit organization (charter) If your organization falls under a parent organization, attach copies of both of the following: a. IRS letter showing your parent organization is a nonprofit 501(c) organization with a group ruling, and b. the charter or letter from your parent organization recognizing your organization as a subordinate. 'j IRS - proof previously submitted to Gambling Control Board If you previously submitted proof of nonprofit status from the IRS, no attachment is required. GAMBLING PREMISES INFORMATION Name of premises where gambling activity will be conducted (for raffles, list the site where the drawing will take place) \IFNNI ?(f)5v `_. 3 Zi Code County Address (do not use PO box) City Zip 5S&J Ov nc Ave- 4 X. 1.1A.. \\e1 e?c5 5 2- I.c.Dasbl Date(s) of activity (for raffles, indicate the date of the drawing) 3- fi.aCA\ Check the box or boxes that indicate the type of gambling activity your organization will conduct: ❑ Bingo* Xi Raffles ❑Paddlewheels* ❑Pull -Tabs* ❑ Tipboards* * Gambling equipment for pull -tabs, bingo paper, tipboards, and Also complete paddlewheels must be obtained from a distributor licensed by the Page 2 of this form. Gambling Control Board. EXCEPTION: Bingo hard cards and bingo number selection devices may be borrowed from another organization authorized to conduct bingo. Fill -in & Print Form • To find a licensed distributor, go to www.gcb.state.mn.us and click on List Reset Form of Licensed Distributors, or call 651 - 639 -4076. LG220 Application for Exempt Permit Page 2 of 2 7/09 LOCAL UNIT OF GOVERNMENT ACKNOWLEDGMENT S If the gambling premises is within city limits, If the gambling premises is located in a township, a a city official must check the action that the city is county official must check the action that the county is taking taking on this application and sign the application. on this application and sign the application. A township official is not required to sign the application. /The application is acknowledged with no waiting period. The application is acknowledged with no waiting period. The application is acknowledged with a 30 day waiting The application is acknowledged with a 30 day waiting period, and allows the Board to issue a permit after 30 period, and allows the Board to issue a permit after 30 days (60 days for a 1st class city). days. The application is denied. The application is denied. Oa Park 1 k t� Print county name Print city name On behalf of the county, I acknowledge this application. On behalf of the city, I acknowledge this application. Signature of county official receiving application Signature of y oi- receiO. application ��_ ..... A = Title Date / / ,/� (Optional) TOWNSHIP: On behalf of the township, I Title u-h (...11 CL. Pate 01 / /1 / '�j / acknowledge that the organization is applying for exempted gambling 0. activity within township limits. [A township has no statutory authority to approve or deny an application [Minnesota Statute 349.166)] Print township name Signature of township official acknowledging application Title Date / / • CHIEF EXECUTIVE OFFICER'S SIGNATURE The information provided in this application is complete and accurate to the best of my knowledge. I acknowledge that the financial report will be completed and returned to the Board within 30 days of the date of our gambling activity. Chief executive officers signature Date Complete a separate application for each gambing activity: Financial report and recordkeeping required - one day of gambling activity, A financial report form and instructions will be sent with - two or more consecutive days of gambling activity, your permit, or use the online fill -in form available at - each day a raffle drawing is held www.gcb.state.mn.us. Within 30 days of the activity date, Send application with: complete and return the financial report form to the - a copy of your proof of nonprofit status, and Gambling Control Board. - application fee for each event. Questions? Make check payable to "State of Minnesota." Call the Licensing Section of the Gambling Control Board at 651 - 639 -4076. To: Gambling Control Board 1711 West County Road B, Suite 300 South Fill - & Pr Form Reset Form Roseville, MN 55113 Data privacy. This form will be made available the Board will be able to process your Board staff whose work requires access to the in alternative format (i.e. large print, Braille) application. Your name and and your information; Minnesota's Department of Public upon request. The information requested on organization's name and address will be public Safety; Attorney General; Commissioners of this form (and any attachments) will be used by information when received by the Board. All Administration, Finance, and Revenue; the Gambling Control Board (Board) to the other information you provide will be private Legislative Auditor, national and international determine your qualifications to be involved in data until the Board issues your permit. When gambling regulatory agencies; anyone pursuant lawful gambling activities in Minnesota. You the Board issues your permit, all of the to court order; other individuals and agencies have the right to refuse to supply the information provided to the Board will become that are specifically authorized by state or information requested; however, if you refuse to public. If the Board does not issue a permit, all federal law to have access to the information; supply this information, the Board may not be information provided remains private, with the individuals and agencies for which law or legal able to determine your qualifications and, as a exception of your name and your organization's order authorizes a new use or sharing of • consequence, may refuse to issue you a permit. name and address which will remain public. information after this Notice was given; and If you supply the information requested, Private data are available to: Board members, anyone with your consent.