Laserfiche WebLink
MINNESOTA LAWFUL GAMBLING <br />LG240B Application to Conduct Excluded Bingo <br />6/13 Page 1 of 2 <br />No Fee <br />ORGANIZATION INFORMATION <br />Organization name Previous gambling permit number <br />Anoka Women of Today x8-07166 <br />Minnesota tax ID number, if any Federal employer ID number (FEIN), if any <br />7405140 41-1410087 <br />Type of nonprofit organization. Check one. <br />Fraternal Religious Veterans x_Other nonprofit organization <br />Mailing address City State Zip code County <br />PO Box 564 Anoka MN 55303 Anoka <br />Name of chief executive officer [CEO] Daytime phone number E-mail address <br />Christine Montour (952) 240-6909 mvpchristinemOgmail.com <br />NONPROFITSTATUS <br />Attach a copy of ONE of the following for proof of nonprofit status. <br />Nonprofit Articles of Incorporation OR a current Certificate of Good Standing. <br />_x_ <br />Don't have a copy? This certificate must be obtained each year from: <br />Secretary of State, Business Services Div., 60 Empire Drive, Suite 100, St. Paul, MN 55103 <br />Phone: 651-296-2803 <br />IRS income tax exemption [501(c)] letter in your organization's name. <br />Don't have a copy? To obtain a copy of your federal income tax exempt letter, have an organization <br />officer contact the IRS at 877-829-5500. <br />IRS - Affiliate of national, statewide, or international parent nonprofit organization <br />[charter] If your organization falls under a parent organization, attach copies of both of the <br />following: <br />a. IRS letter showing your parent organization is a nonprofit 501(c) organization with a group ruling, and <br />b. the charter or letter from your parent organization recognizing your organization as a subordinate. <br />EXCLUDED BINGO ACTIVITY <br />1. No Yes Has your organization held a bingo event in the current calendar year? <br />_x_ <br />If yes, list the dates when bingo was conducted. <br />2. The proposed bingo event will be: <br />one of four or fewer bingo events held this year. Dates September 12th, <br />_x <br />2015 <br />OR <br />conducted on up to 12 consecutive days in connection with a: <br />county fair. Dates <br />civic celebration. Dates <br />Minnesota state fair. Dates <br />3. Person in charge of bingo event Montour_ Daytime phone <br />_Christine _(952)240-6909 <br />4. Name of premises where bingo will be conducted Ramsey Town Center <br />5. Premises street address 7550 Sunwood Drive NW <br />6. City Ramsey If township, township name County _Anoka <br />