Agenda - Council - 11/25/1997 - Laserfiche WebLink

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:t STATE OF MINNESOTA IFOR BOARD USE ONLY1 GAMBLING CONTROL BOARD ORGANIZATION LICENSE RENEWAL APPLICATION 210OR PRINTED:09/08/97 TENSE NUMBER:A-02926 EFFECTIVE DATE:03/01/96 EXPIRATION DATE:02/28/98 ORGANIZATION INFORMATION Anoka Arena Assoc MN SALES & USE TAX PERMIT #: 28329 '_1 7th Ave N )ka MN 55303 JNTY:Anoka PHONE NUMBER: 612-427-8163 :k Wesp Jefferson )ka MN 55303 CHIEF EXECUTIVE OFFICER INFORMATION DATE OF BIRTH: 09/21/54 PHONE NUMBER: 612-427-8187 TREASURER INFORMATION DATE OF BIRTH: 01/11/46 mis Sauer PHONE NUMBER: 612-428-7386 ;ANIZATIONS REGULARLY SCHEDULED MEETINGS ARE: 4th Wednesday AT 7:00 PM 03ER OF ACTIVE MEMBERS OVER THE AGE OF IS: 600 u h 1 J ACKNOWLEDGMENT )ECLARE THAT: HAVE READ THIS APPLICATION AND ALL INFORMATION SUBMITTED TO THE GAMBLING CONTROL BOARD; •.LL INFORMATION IS TRUE, ACCURATE AND COMPLETE; 'HE COMPENSATION SCHEDULE IS CURRENT AND ON FILE WITH THE BOARD; 'HE PROOF OF NONPROFIT STATUS FOR THE ORGANIZATION IS ON FILE WITH THE BOARD, )UR ORGANIZATION REMAINS IN GOOD STANDING AS A NONPROFIT CORPORATION WITH THE MINNESOTA SECRETARY OF STATE'S OFFICE AND/OR CONTINUES TO BE RECOGNIZED BY THE INTERNAL REVENUE ' ;ERVICE AS AN INCOME TAX EXEMPT ORGANIZATION AND, IF APPLICABLE, OUR CHARTER REMAINS IN JOOD STANDING WITH OUR NATIONAL ORGANIZATION; ,HE INTERNAL CONTROLS ARE CURRENT AND ON FILE WITH THE BOARD; .LL OTHER REQUIRED INFORMATION HAS BEEN FULLY DISCLOSED; _ AM THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION; = ASSUME FULL RESPONSIBILITY FOR THE FAIR AND LAWFUL OPERATION OF ALL GAMBLING :CTIVITIES TO BE CONDUCTED; : WILL FAMILIARIZE MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLING AND RULES OF 'HE GAMBLING CONTROL BOARD AND AGREE, IF LICENSED, TO ABIDE BY THOSE LAWS AND RULES, INCLUDING AMENDMENTS TO THEM; MEMBERSHIP LIST OF THE ORGANIZATION WILL BE AVAILABLE WITHIN SEVEN DAYS AFTER IT IS .EQUESTED BY THE GAMBLING CONTROL BOARD; .NY CHANGES IN APPLICATION INFORMATION WILL BE SUBMITTED TO THE GAMBLING CONTROL BOARD AND 'HE LOCAL UNIT OF GOVERNMENT WITHIN 10 DAYS OF THE CHANGE; . LICENSE TERMINATION PLAN WILL BE SUBMITTED TO THE GAMBLING CONTROL BOARD WITHIN 15 DAYS )F TERMINATION OF ALL PREMISES PERMIT (S); 'HE GAMBLING MANAGER IS BONDED AND LICENSED AS REQUIRED BY MINNESOTA STATUTE; AND UNDERSTAND THAT FAILURE TO PROVIDE REQUIRED INFORMATION OR PROVIDING FALSE OR MISLEADING INFORMATION MAY RESULT IN THE DENIAL OR REVOCATION OF THE LICENSE. NATURE OF CHIEF EXECUTIVE OFFICER DATE 9� �