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<br />AU(j, LO. L 0 0 Biz 11 : 19AMwilicel1F IRE STONE METAL PRODUCTS, L L c~teligibletoapplYfor NO.2 9 5 tgo. P. -2/4 <br />Organization Information <br /> <br /> <br /> <br />Previous license or permit number, ifany <br /> <br /> <br /> <br />Type of nonprofit organization (check one): <br />o Fraternal 0 Religious <br />o Veterans ~ Other nonprofit organiZation <br /> <br />Type o( proof of nonprofit - attach a copy ($ee instructions) <br />~ Nonprofit Articles of Incorporation or Cenmcate of Good Standing - Minnesota Secretary of State's Office <br /> <br />o Internal Revenue Service <br />o Affiliate of parent nonprofft organization (charter) <br /> <br />Excluded BingD Activity Information <br /> <br />Has your organization held a bingo evant in !he current year? <br /> <br />NO+- Yes_ If yes, list the dates that bingo was conducted <br /> <br />o The bingo e~ent will be one of four or fewer bingo events held this year. <br /> <br />Date(s) of bingo event(s) <br /> <br />-OR- <br /> <br />~ The bingo event will be conducted (up to 12 consecutive days) in connection with a: <br /> <br />Counly Fair - Dale(s) of bingo event <br /> <br />State Fair- Date(s) of bingo event . <br /> <br />Civic Celebration - Date(s) of bingo event '1-'~ - 0 e. . . . <br />A civio celebration is defined as an event conducted in Minne:sota that is sponsored by a local unit of <br />government having jurisdiction over the event. . <br /> <br />Name of person in charge of the bingo event <br /> <br />Daytime phone <br /> <br />Bingo equipment (hard cards, bingo paper, and bingo ball selection device) must be purchased <br />from a distributor licensed by the Gambling Control Board. To find a Ifcensed distribute!; go to <br />WWW.gc:b.state.mn.usand c1ickon Usl: of Ucensed Distribl!tors. Or call 651-639-4000. <br /> <br />l. <br /> <br /> <br />e.. <br />u " Wo~ ft. 'V~ <br />iJ <br /> <br /> <br /> <br />-16- <br />