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HomeMy WebLinkAboutResolution 2000-18 - Disabled Archers Gambing License City of Corcoran County of Hennepin State of Minnesota RESOLUTION NO. 2000-18 A RESOLUTION APPROVING THE UNITED FOUNDATION FOR DISABLED ARCHERS GAMBLING LICENSE FOR RAFFLES AT COUNTRY PIZZA PARLOR ON DECEMBER 2, 2000 BE IT RESOLVED, by the City Council of the City of Corcoran that the United Foundation for Disabled Archers Gambling License for raffles at Country Pizza Parlor on December 2, 2000 is hereby approved. Moved by member Dixie Lindsley, Seconded by member Ronal Thomas. The following voted in favor of said resolution: Ken Guenthner, John Bucher, George Gmach, Dixie Lindsley, and Ronald Thomas. The following voted against the same: None Whereupon said Resolution was declared carried. Dated this 13`h day of April 2000. /s/Ken Guenthner Ken Guenthner, Mayor ATTEST: vaZ- z&I" & • Roberta Colotti City Administrator Page 1 of 2 For Board Use Only Minnesota Lawful Gambling 10/98 Fee Paid Application for Exempt Permit - LG220 Check No. Initials Organization Information Received_/ Organization nam Previous lawful gambling exemption number abt o wi'✓/. 'r7tt) 'r j)M& i2 C'01 c Street City Stattee�/Zip Code County /V- 35 Li Name of chief executive officer(CEO) of organization Daytime phone number of First name Last name CEO: ( ) 3 Name of teasurer of organization Daytime phone number of First name / ast name (� treasurer: (3j6' )t-?!""JItC • Type of Nonprofit Organization Check the box that best describes your organization: ❑ Fraternal ❑ Religious ❑ Veteran ( Other nonprofit organization Check the box that indicates the type of proof your organization attached to this application: IRS letter indicating income tax exempt status ❑ Certificate of Good Standing from the Minnesota Secretary of State's Office ❑ A charter showing you are an affiliate of a parent nonprofit organization ❑ Proof previously submitted and on file with the Gambling Control Board Gambling Premises Information Name of premises where gambling activity will be conPck.ucted (for raffles, list the site where the drawing will take place) 9 vAJ T`� LZ� r(0 Address (do not use PO I ox) City State/Zip Code County 7 5 G S Co Pei Co r co el../ Ail s c3�� /h,,/,4-.1fiedij Date(s)of activity(f raffl s, indicate the date of the drawing) / �c/ Check the box or boxes that indicate the type of gambling activity your organization will be conducting: ❑*Bingo [Raffles ❑ *Paddlewheels ❑*Pull-Tabs ❑*Tipboards *Equipment for these activities must be obtained from a licensed distributor. This form will be made available in alternative Your name and and your organization's name Private data about you are available only to the format(i.e.large print,Braille)upon request.The and address will be public information when following: Board members, staff of the Board information requested on this form (and any received by the Board. All the other information whose work assignment requires that they have attachments) will be used by the Gambling that you provide will be private data about you access to the information; the Minnesota Control Board (Board) to determine your until the Board issues your permit. When the Department of Public Safety; the Minnesota qualifications to be involved in lawful gambling Board issues your permit,all of the information Attorney General;the Minnesota Commissioners activities in Minnesota. You have the right to that you have provided to the Board in the of Administration, Finance, and Revenue; the refuse to supply the information requested; process of applying for your permit will become Minnesota Legislative Auditor, national and however,if you refuse to supply this information, public. If the Board does not issue you a permit, international gambling regulatory agencies; the Board may not be able to determine your all the information you have provided in the anyone pursuant to courtorder;other individuals qualifications and,as a consequence,may refuse process of applying for a permit remains private, and agencies that are specifically authorized by to issue you a permit. If you supply the with the exception of your name and your state or federal law to have access to the information requested,the Board will be able to organization's name and address which will information; individuals and agencies for which process your application. remain public. law or legal order authorizes a new use or sharing of information after this Notice was given; and anyone with your consent. Page 2 of 2 Application for Exempt Permit - LG220 10/98 Organization Name Local Unit of Government Acknowledgment(Required by Statute) If the gambling premises is within city limits,the If the gambling premises is located in a township,both city must sign this application. the county and township must sign this application. On behalf of the city, I acknowledge this application On behalf of the county, I acknowledge this application and three options for the city: and three options for the county: 1. Approve the application: By taking no action, 1. Approve the application: By taking no action, the the city allows the Board to issue a permit after county allows the Board to issue a permit after 30 days. 30 days (60 days for a first class city). 2. Waive the above-noted waiting period: The county allows the Board to issue a permit before 30 days. 2. Waive the above-noted waiting period: The Documentation attached. city allows the Board to issue a permit before 3. Deny the application by passing a resolution within 30 days (60 days for a first class city). Docu- 30 days. mentation attached. Print name of county: 3. Deny the application by passing a resolution within 30 days (60 days for a first class city). (Signature of county personnel receiving application) Prin ame of city: COCCocc r\ Title l' .�'�ie Date / / (Signature o city personnel receiving application) On behalf of the township, I acknowledge that the Title AAr\r-\�(1t SV e e=��7J� organization is applying for exempted gambling activity within the township limits. Date (-{ / 1 Laa_ A township has no statutory authority to approve or deny an application (Minn. Stat. sec. 349.213, subd. 2). Print name of township: (Signature of township official acknowledging application) Title Date / / Chief Executive Officer's Signature The information provided in this application is complete and accurate to the best of my knowledge. Chief Executive Officer's signature Name(please print) Date / / Mail Application and Attachment(s) At least 45 days prior to your scheduled activity date send: • the completed application; • a copy of your proof of nonprofit status, and • a $25 application fee (make check payable to "State of Minnesota"). Application fees are not prorated, refundable, or transferable. Send to: Gambling Control Board 1711 West County Road B, Suite 300 South Roseville, MN 55113 If your application has not been acknowledged by the local unit of government, do not send the application to the Gambling Control Board. City of Corcoran County of Hennepin State of Minnesota RESOLUTION NO. 2000-18 A RESOLUTION APPROVING THE UNITED FOUNDATION FOR DISABLED ARCHERS GAMBLING LICENSE FOR RAFFLES AT COUNTRY PIZZA PARLOR ON DECEMBER 2, 2000 BE IT RESOLVED , by the City Council of the City of Corcoran that the United Foundation for Disabled Archers Gambling License for raffles at Country Pizza Parlor on December 2, 2000 is hereby approved. Moved by member Dixie Lindsley,Seconded by memberRonal Thomas . The following voted in favor of said resolution: Ken Guenthner, John Bucher, George Gmach, Dixie Lindsley, and Ronald Thomas. The following voted against the same : None Whereupon said Resolution was declared carried. th Dated this 13 day of April 2000. /s/Ken Guenthner Ken Guenthner, Mayor ATTEST: __________________ Roberta Colotti City Administrator City of Corcoran County of Hennepin State of Minnesota RESOLUTION NO. 2000-18 A RESOLUTION APPROVING THE UNITED FOUNDATION FOR DISABLED ARCHERS GAMBLING LICENSE FOR RAFFLES AT COUNTRY PIZZA PARLOR ON DECEMBER 2, 2000 BE IT RESOLVED,by the City Council of the City of Corcoran that the United Foundation for Disabled Archers Gambling License for raffles at Country Pizza Parlor on December 2, 2000 is hereby approved. Moved by member Dixie Lindsley, Seconded by member Ronal Thomas. The following voted in favor of said resolution: Ken Guenthner, John Bucher, George Gmach, Dixie Lindsley, and Ronald Thomas. The following voted against the same: None Whereupon said Resolution was declared carried. Dated this 13th day of April 2000. /s/Ken Guenthner Ken Guenthner, Mayor ATTEST: Roberta Colotti City Administrator • 'I' Page 1 of 2 For Board Use Only Minnesota Lawful Gambling 10/98 Fee Paid Application for Exempt Permit - LG220 Check No. Initials III Organization Information Received /i Organization nam Previous lawful gambling exemption number attiarityd ./e idisplAtt, ow ado 0 Street , City State/Zip Code County 157/ & /✓WO'47P 19Vir if 3.i t Name of chief executive officer(CEO) of organization Daytime phone number of_ First name ' Last name CEO: (.5.ki )43 ci. `�'? c-6 Name of teasurer of organization Daytime phone number of First n me /fast name`iEs treasurer. (5 ) ? J c Type of Nonprofit Organization Check the box that best describes your organization: ❑ Fraternal ❑ Religious ❑ Veteran [21 Other nonprofit organization Check the box that indicates the type of proof your organization attached to this application: lg.] IRS letter indicating income tax exempt status ❑ Certificate of Good Standing from the Minnesota Secretary of State's Office ❑ A charter showing you are an affiliate of a parent nonprofit organization 0 ❑ Proof previously submitted and on file with the Gambling Control Board Gambling Premises Information Name of premises where gambling activity will be conducted(for raffles, list the site where the drawing will take place) CDoi‘) 1--6-) PrZ.2_,L__ Pa.,;--Ler/— Address(do not use PO 1 ox) City State/Zip Code County 7 5G c Co 49 /( . Corco 'tit, Ao 5-s3v Nfr•ifie4./ Date(s)of activity(f raffl s,indicate the date of the drawing) . /J- Ion Check the box or boxes that indicate the type of gambling activity your organization will be conducting: ❑*Bingo [Raffles ❑*Paddlewheels ❑*Pull-Tabs 0*Tipboards *Equipment for these activities must be obtained from a licensed distributor. This form will be made available in alternative Your name and and your organization's name Private data about you are available only to the format(i.e.large print,Braille)upon request.The and address will be public information when following: Board members, staff of the Board information requested on this form (and any received by the Board. All the other information whose work assignment requires that they have attachments) will be used by the Gambling that you provide will be private data about you access to the information; the Minnesota Control Board (Board) to determine your until the Board issues your permit. When the Department of Public Safety; the Minnesota qualifications to be involved in lawful gambling Board issues your permit,all of the information Attorney General;the Minnesota Commissioners activities in Minnesota. You have the right to that you have provided to the Board in the of Administration, Finance, and Revenue; the refuse to supply the information requested; process of applying for your permit will become Minnesota Legislative Auditor, national and however,if you refuse to supply this information, public. If the Board does not issue you a permit, international gambling regulatory agencies; • the Board may not be able to determine your all the information you have provided in the anyone pursuant to court order;other individuals qualifications and,as a consequence,may refuse process of applying for a permit remains private, and agencies that are specifically authorized by to issue you a permit. If you supply the with the exception of your name and your state or federal law to have access to the information requested,the Board will be able to organization's name and address which will information;individuals and agencies for which process your application. remain public. law or legal order authorizes a new use or sharing of information after this Notice was given; and anyone with your consent. • Page 2 of 2 Application for Exempt Permit- LG220 10/98 . Organization Name •Local Unit of Government Acknowledgment(Required by Statute) If thegamblinTpremises:5is withinit limifs a If hegamnbling t remisP*Jelocatea n a township,both, city must.sign this.application , ' i >m a � th coun nd �•xx w m ign th ap0catioq a' On behalf of the city, I acknowledge this application On behalf of the county, I acknowledge this application and three options for the city: and three options for the county: 1. Approve the application: By taking no action, 1. Approve the application: By taking no action, the the city allows the Board to issue a permit after county allows the Board to issue a permit after 30 days. 30 days (60 days for a first class city). 2. Waive the above-noted waiting period: The county allows the Board to issue a permit before 30 days. 2. Waive the above-noted waiting period: The Documentation attached. city allows the Board to issue a permit before 3. Deny the application by passing a resolution within 30 days(60 days for a first class city). Docu- 30 days. mentation attached. Print name of county: 3. Deny the application by passing a resolution within 30 days (60 days for a first class city). (Signature of county personnel receiving application) Prin ame of city: 0—OCCsycd.,v1 Title Date / / (Signature o city personnel receiving application) On behalf of the township, I acknowledge that the Title h1�(`(l�f1 Sd`(� or organization is applying for exempted gambling activity within the township limits. Date 4 I I ? Ly);D_ A township has no statutory authority to approve or deny an application(Minn. Stat. sec. 349.213, subd. 2). Print name of township: (Signature of township official acknowledging application) Title Date / / Chief Executive Officer's Signature The information provided in this application is complete and accurate to the best of my knowledge. Chief Executive Officer's signature Name(please print) Date / / Mail Application and Attachment(s) At least 45 days prior to your scheduled activity date send: • the completed application; • a copy of your proof of nonprofit status, and • a $25 application fee (make check payable to"State of Minnesota"). Application fees are not prorated, refundable, or transferable. Send to: Gambling Control Board 1711 West County Road B,Suite 300 South Roseville,MN 55113 • If your application has not been acknowledged by the local unit of govemment, do not send the application to the Gambling Control Board.