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I <br /> <br />Iouth <br /> <br />i .G 210OR PRINTED:09/05/9[5 <br /> ,ICENSE NUMBER:A-02926 <br /> <br /> STATE OF MINNESOTA <br /> GAMBLING CONTROL BOARD <br />ORGANIZATION LICENSE RENEWAI, APPLICATION <br /> <br />FOR BOARD USE ONLYI <br /> <br />EFFECTIVE DATE:03/OI/94 EXPIRATION DATE:02~29~96 <br /> <br />Ice Anoka Arena Assoc <br />4111 7th Ave N <br /> oka M~ 55303 <br /> UNTY:Anoka <br /> <br />ORGANIZATION INFORMATION <br /> MN SALES & USE TAX PERMIT #: 28329 <br /> <br />PHONE NUMBER: 612-427~8163 <br /> <br />CHIEF EXECUTIVE OFFICER INFORMATION <br /> DATE OF BIRTH: <br /> <br />ennis Sauer <br /> <br />DATE OF BIRTH: 01/11/46 <br /> <br />~RGANIZATIONS REGULARLY!SCHEDULED MEETINGS ARE: 4th Wednesday AT 7:00 PM NUMBER OF ACTIVE MEMBER~ OVER THE AGE OF 18:600 <br /> AST MONTH/YEAR OF EXPENSE CALCULATIONS: 02/95 WITH AN ENDING BALANCE OF: $425877.00 <br /> ACKNOWLEDGMENT <br /> <br />iDECLARE THAT: : <br /> <br /> · I HAVE READ THIS APPLICATION AND ALL INFORMATION SUBMITTED TO THE GAMBLING CONTROL BOARD; <br /> · ALL INFORMATION IS TR~E, ACCURATE AND COMPLETE; <br /> · THE COMPENSATION SCHEDULE IS CURRENT AND ON FILE WITH THE BOARD; <br />I .THE PROOF OF NONPROFI~ STATUS FOR THE ORGANIZATION IS ON FILE WITH THE BOARD; <br /> · OUR ORGANIZATION REMAINS IN GOOD STANDING AS A NONPROFIT CORPORATION WITH THE MINNESOTA <br /> SECRETARY OF STATE'S ~FFICE 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 /> GOOD STANDING WITH OUR NATIONAL ORGANIZATION; <br /> · THE INTERNAL CONTROLSiARE CURRENT AND ON FILE WITH THE BOARD; <br /> · ALL OTHER REQUIRED INFORMATION HAS BEEN FULLY DISCLOSED; <br /> · I AM THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION; <br /> · I ASSUME FULL RESPONSIBILITY FOR THE FAIR AND LAWFUL OPERATION OF ALL GAMBLING <br /> ACTIVITIES TO BE CONDUCTED; <br /> · I WILL FAMILIARIZE MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLING AND RULES OF <br /> THE GAMBLING CONTROL ~OARD AND AGREE, IF LICENSED, TO ABIDE BY THOSE LAWS AND RULES, <br /> INCLUDING AMENDMENTS TO THEM; <br /> · A MEMBERSHIP LIST OF ~HE ORGANIZATION WILL BE AVAILABLE WITHIN SEVEN DAYS AFTER IT IS <br /> REQUESTED BY THE GAMBLING CONTROL BOARD; <br /> · ANY CHANGES IN APPLICATION INFORMATION WILL BE SUBMITTED TO THE GAMBLING CONTROL BOARD AND. <br /> THE LOCAL UNIT OF GO~RNMENT WITHIN 10 DAYS OF THE CHANGE; <br /> · A LICENSE TERMINATIONi PLAN WILL BE SUBMITTED TO THE GAMBLING CONTROL BOARD WITHIN 15 DAYS <br /> OF TERMINATION OF ALLi PREMISES PERMIT(S); <br /> · THE GAEELING MANAGER IS BONDED AND LICENSED AS REQUIRED BY MINNESOTA STATUTE; AND <br /> · I UNDERSTAND THAT FAILURE TO PROVIDE REQUIRED INFORMATION OR PROVIDING FALSE OR MISLEADING <br /> INFORMATION MAY RESULT IN THE DENIAL OR REVOCATION OF THE LICENSE. <br /> <br /> iSIGNATURE OF CHIEF EXECUTIVE OFFICER <br /> <br />I <br /> <br />DATE <br /> <br /> <br />