Laserfiche WebLink
i <br />3t <br />STATE OF bXM=SOTA IFOR BOARD USE ONLY( <br />' <br />GAMBLING CONTROL BOARD <br />ORGANIZATION LICENSE RENBKAL APPLICATION <br />210OR PRINTED:09/08/971 <br />'ENSE NUMBER:A-02002 <br />EFFECTIVE DATE:03/01/96 EXPIRATION DATE:02/28/98 <br />ORGANIZATION INFORMATION <br />imb St Paul <br />MN SALES & USE TAX PERMIT #: 510189494 <br />K Roberti St <br />Paul MN 55101 <br />7NTY:Ramsey <br />PHONE NUMBER: 612-227-9660 <br />CHIEF EXECUTIVE OFFICER INFORMATION <br />3 Wetli <br />DATE OF BIRTH: 10/19/49 <br />5 Aldro Rd <br />3son WI 54016 <br />PHONE NUMBER: 715-386-8773 <br />TREASURER INFORMATION <br />DATE OF BIRTH: 07/04/53 <br />agory Rybak <br />PHONE NUMBER: 612-533-4156 <br />;ANZZATIONS REGULARLY SCHEDULED <br />MEETINGS ARE: 3rd Wednesday AT 5:00 PM <br />:FIBER OF ACTIVE MEMBERS OVER <br />THE AGE OF 18: 30 <br />ACKNOWLEDGMENT <br />DECLARE THAT: <br />I HAVE READ THIS APPLICATI <br />N AND ALL INFORMATION SUBMITTED TO THE GAMBLING CONTROL BOARD; <br />kLL INFORMATION IS TRUE, <br />CURATE AND COMPLETE; <br />THE COMPENSATION SCHEDULE <br />IS CURRENT AND ON FILE WITH THE BOARD; <br />PUP DDnnV nV TTrMTMVrSFTT c r <br />m TN1D IrUP Abf`_'t"T7b1'Tnn TQ (IV V rr.T`. GJTT6C Ti-rP` RnApn r <br />OUR ORGANIZATION REMAINS IN GOOD STANDING AS A NONPROFIT CORPORATION WITH Tk� MINNESOTA <br />SECRETARY OF STATE'S OFFICE AND/OR CONTINUES TO BE RECOGNIZED BY THE INTERNAL REVENUE <br />SERVICE AS AN INCOME TAX EXEMPT ORGANIZATION AND, IF APPLICABLE, OUR CHARTER REMAINS IN <br />300D STANDING WITH OUR NA IONAL ORGANIZATION; <br />THE INTERNAL CONTROLS ARE CURRENT AND ON FILE WITH THE BOARD; <br />ALL OTHER REQUIRED INFOkMPTION HAS BEEN FULLY DISCLOSED; <br />I AM THE CHIEF EXECUTIVE CFFICER OF THE ORGANIZATION; <br />I ASSUME FULL RESPONSIBILITY FOR THE FAIR AND LAWFUL OPERATION OF ALL GAMBLING <br />ACTIVITIES TO B8 CONDUCTS ; <br />I WILL FAMILIARIZE MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLING AND RULES OF <br />THE GAMBLING CONTROL BOARE AND AGREE, IF LICENSED, TO ABIDE BY THOSE LAWS AND RULES, <br />INCLUDING AMENDMENTS TOTHEM; <br />A MEMBERSHIP LIST OF THE ROANIZATION WILL BE AVAILABLE WITHIN SEVEN DAYS AFTER IT IS <br />REQUESTED BY THE GAMBLING CONTROL BOARD; <br />ANY CHANGES IN APPLICATIO1 INFORMATION WILL BE SUBMITTED TO THE GAMBLING CONTROL BOARD AND <br />THE LOCAL UNIT OF GOVERNMENT WITHIN 10 DAYS OF THE CHANGE; <br />A LICENSE TERMINATION PLAN WILL BE SUBMITTED TO THE GAMBLING CONTROL BOARD WITHIN 15 DAYS <br />OF TERMINATION OF ALL PREMISES PERMIT(S); <br />THE GAMBLING MANAGER IS BONDED AND LICENSED AS REQUIRED BY MINNESOTA STATUTE; AND <br />I UNDERSTAND THAT FAILURE TQ.-2 IDE REQUIRED INFORMATION OR PROVIDING FALSE OR MISLEADING <br />INFORMATION MAY RES31W. IN THE NIAL OR REVOCATION OF THE LICENSE, <br />:GNATURE OF <br />