HomeMy WebLinkAbout20100119 - VI-09To: 1Vlayor Hicks and City Councihnembers
From: Adeline Schroeder, Deputy City Clerk
Date: January 12, 2010
Re: Application for Raffle---Hastings National Guard Enlisted
Association
Recommended City Council Action:
Approve the attached resolution, "approving' a raffle far The Hast~i~igs National Guard
Enlisted Association at the residency of Bob' Metcalf; 632 West 3rd street, Hastings; to
be effective on April 15, 2010.
,.
Backgrround: _ • ' - ..
The Hastings. National .Guard Enlisted Association has paid the required. fees: of.$10.00.
If Council should..approYe this- application, the attached resolution will be sent to the
Gambling Control Board: sho .wing the Crty.'s approval.
Should you have any concerns oT questions; please do not hesitate to contact. me
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CITY OF HASTINGS
DAKOTA COUNTY, MINNESOTA
RESOLUTION NO. O1- -10
RESOLUTION APPROVING THE APPLICATION BY
THE HASTINGS NATIONAL GUARD ENLISTED ASSOCIATION FOR A RAFFLE
WHEREAS, the Hastings National Guard Enlisted Associationhas presented an application
to the City of Hastings far a raffle for April 15, 2010 at the residence of Bob Metcalf, 632 West 3`d
Street, Hastings; and;
WHEREAS, the Minnesota Gambling Control Board requires a resolution be passed to
approve the request; and
WHEREAS, an application for a rafIle has been presented; and
WHEREAS, The Hastings National Guard Enlisted Association has paid the required fees of
$10.00.
NOW, THEREFORE, SE YT RESDLVED bythe City Council ofthe City ofHastings that
the Mayor and City Clerk are authorized and directed to sign this resolution and forward to the
appropriate agency, showing the approval of this application.
Ayes:
Nays:
Ahsent:
Whereupon said resolutionwas declared dulypassed and adopted onthe 19~' ofJanuary2010.
Melanie 1Vlesko Lee, City Clerk
Paul J. Hick, MayoY
{SEAL)
we.~____s_r_.._r..,r+__.,.r_r:_,.. Pageiaf2 7109
r,,,,,,~aa+a~ savvru, var,,,.,„r,y Application fee
_G22D Application 'for Exempt Permit Ifa lication ostmarkedorreceived:
An exempt permit may be issued to a nonprofit organization that: less than 30 days
before the event more than 30 days
before the event
- conducts lawful gambling on five or fewer days, and $1 b0 $50
- awards less than $50,000 in prizes during a calendar year.
ORGANIZATION INFORMATION Check# ~ Iq~ ~~~~ "°
Organization name ~~ ~} ~~'fGy ~ ~ - t `r~ ff5 1 Previous gambling permit number
jyI N ~ ~nT~~ ~-fi6~,~ L (~- ~ ~~~ G t aS~ ~a~ ~5~~ v
Type of nonprofit organization. Check one.
~^ Fraternal ~ Religious ~ Veterans ~ Other nonprofit organization
Mailing address City State Zip Gade County
-
'
~.
~ ~ ~~TiN s ~ ~4~~ ~ ~~ T
1 ~ lam! ~~ ~
Name of chief executive officer (CE ) Dayti o one number Email address
Attach a copy of ONE of the fallowing 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.
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., 18D State Office Building, St. Paul, MN 55155 Phone: 851-296-2803
IRS income tax exemption [501(c)] letter in your organization's name.
pon'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 infiernational parent nonprofit organization (charter}
If your organization falls under a parent organization, attach copies of bath of the following:
a. IRS letter showing your parent organization is a nonproft 5D1(c) organization with a group ruling, and
b. the charter or Lotter from your parent organization recognizing your organization as a subordinate.
IRS -proof previously submitted to Gambling Control Board
if you previously submitted proof of nonprofit status from the 1RS, no attachment is required.
GAMBLING PREMISES INFORMATION
Name of premise~~s~" `where gamnbli~ng activity will be conducted (for raffles, list the site where the drawing will take place)
(do not use PO box) Cif Zip Code County
Addre
s
s
p
j
~
lJate(s} of activity (for raffles, indicate the date of the drawing)
~~~ /.~ ~Z~j~
heck the box or boxes that indicate he type of gambling activity your organization will conduct:
Bingo* Raffles ~Paddlewheels* Pull-Tabs* ^Tipboards*
* Gambl`mg equipment for pull-tabs, birsgo paper, tipboards, and Also complete
paddlewheels must be obtained from a distributor licensed by the
Gambling Control Board. EXCEPTION: Bingo hard cards and bingo Page ? ofthis farm.
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.gcbstate.mn.us and Click on List Reset Form
of Licensed Distributors, or call 651.-639-4076.
~~t
LG220 Application for Exempt Permit
Page 2 of 2 '71D9
LOCAL UNIT OF GOVERNMENT ACKNOW LEDGMENT
If the gambling premises is within city limits, If the gambling premises is located in a township, a
a city official must check fhe 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 #o 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 fora 1st class city). days.
The application is denied. The application is denied.
Print county name
Print city name On behalf of the county, I acknowledge this application.
On behalf of the city, t acknowledge this application. Signature of county official receiving application
Signature of city official receiving application
Title Date l !
(optional) TOWNSHIP: On behalf of the township, I
Title Date ! 1 acknowledge that the organization is applying for exempted gambling
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 acknawiedging application
Title Date / !
CHIEF EXEGUTiVE OFFICER'S SIGNATURE
The information provided in this application is complete and accurate fo the best of my knowledge. I acknowledge that the
frnancial report will be completed and retu~.ne fo fhe • and within 0 days of e date of our gambling activity.
/
/
Chief executive officer's signature C
~
Bate
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 of
-each day a raffle drawing is held www.gcb.sfate.mn.us. Within 30 days of the activity date,
Send application with: complete and return the financial report form fo 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
To: Gambling Control Board
Board at 651-639-4076.
1711 West County Road B, Suite 300 South -
Roseville, MN 55113 Fi[[-in & Print
Form Reset Farm
pate privacy. This form will be made available
in alternative format (i.e. large print, Braille)
upon request. Tho information requested on
this form (and any attachments) will be used by
the Gambling Control Board (Board) to
determine your qualifications to be involved in
lawful gambling activities in Minnesota. You
have the right to refuse to supply the
information requested; however, if you refuse to
supply this information, the Boafd may not be
able to determine your qualifications and, as a
consequence, may refuse to issue you a permit.
[f you supply the information requested,
the Board will be able to process your
application. Your name and and your
organization's name and address will be public
informaiion when received by the Beard, All
the ocher information you provide will be private
data until the Board issues your permit. When
the Board issues your permit, all of the
informaiion provided to the Board will become
public. If the Board does not issue a permit, alt
information provided remains private, with the
exception of your name and your organization`s
name and address which wilt remain public.
Private data are available to: Board members,
Board staff whose work requires access to the
information; Minnesota's Qepartment of Public
Safety; Attorney General; Commissioners of
Administratien, Finance, and Revenue;
Legislative Auditor, national and international
gambling regulatory agencies; anyone pursuant
to court order; ocher individuals and agencies
that are specifically authorized by state or
federal law to have access to the Information;
individuals and agencies for which law or legal
order authorizes a new use or sharing of
information after this Notice was given; and
anyone with your consent.
BUSIlVESS ORGANIZATIONS INQUIRY -VIEW ENTITY
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BUSINESS ORGANIZATIONS INQUIRY -VIEW ENTITY
Filing Number: J-641 Entity Type: Non-Profit
Corporation
Original Date of Filing: 10/29/1971 Entity Status: Active
Duration: PERPETUAL Good Standing: 2009
(date of last annual
ding)
Name: MINNESOTA NATIONAL GUARD ENLISTED
ASSOCIATION
Registered Office 274 Cambridge Ln
Address: Willmar, MN, 56201
Agent Name: No Agent Filed
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