HomeMy WebLinkAbout4K - Lakefront Days Raffle
AGENDA #:
PREPARED BY:
SUBJECT:
DATE:
INTRODUCTION:
BACKGROUND:
DISCUSSION:
ALTERNATIVES:
STAFF AGENDA REPORT
(4)k
Laurie Davis-Friedges
Request to waive Lawful Gambling fee for Prior Lake Chamber of
Commerce
June 19, 1995
The Prior Lake Chamber of Commerce is requesting a fee waiver for the
Temporary Lawful Gambling fee of $25.00 for Prior Lake's Lakefront Days
Celebration.
The Prior Lake Chamber of Commerce has applied and been approved
for a Temporary Lawful Gambling License in order to sell raffle tickets in
conjunction with the Lakefront Days Celebration.
The Prior Lake City Council has waived the Temporary Lawful Gambling
fee in the past for the Chamber of Commerce.
The Prior Lake City Council has the following alternatives:
1. Approve the fee waiver request for the Prior Lake Chamber
of Commerce.
2. Request that the Prior Lake Chamber of Commerce pay the
$25.00 license fee in order to conduct the requested raffle.
RECOMMENDATION: Staff recommends the Council approve the fee waiver request in order for
the Prior Lake Chamber of Commerce to conduct lawful gambling prior to
and during the Prior Lake Lakefront Days Celebration.
AG4K
A motion as set forth in Alternative #1.
-1-
16200 Eagle Creek Ave., Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
T
LG220
(Rev. ~3l
Minnesota Lawful Gambling
Application for Authorization for
Exemption from Lawful Gambling License
FOR BOARD USE ONLY
FEE CHK
INIT DATE
Fill in the unshadfKi portions of this application for exemption and
ssnd it in at I..t 4S days before your gambling activity for processing.
Name and Address ofOrgculizatton
Organlzallon Name Currentlprevlous license number
X-70046-94-001
/ /
CurrenUprevtous exe~t nurrber
Stale ~ code
a Jme umber Day! 0 Number
K~vin Vnne~nk ~1? )~~7-6055 ChristinQ S~muQlson 6~2 ~40 4Q01
Type of Non-proftt Organization
Check the box below which indicat.. your type of organization
o FratemaJ
o Veterans
o Religious
29 Other non-profit
Gambling Site
Name 0' site where adlvity will take place
City of Prior Lake City Hall Park
Slntet City - -- - -- -- -- -- -- --Township
16200 Ea Ie Creek Avenue SE Prior Lake
OaIe(s) of activity (for raffles. indicate the date of the drawing)
OH/Oc;/qc;
Types. of Games
Check the box that indicates your proof of nonprofit
statu. and attach a copy of the proof to the application.
[2g IRS designation
o Certification of good standing from the Minnesota
Secretary of State's office
o Affiliate of parent nonprofit organization (charter)
Stale
YN
z~ code
55372
Game(.)
Bingo ex
Raffles []J
Paddlewheels 0
Ti boards 0
Pull-tabs 0
I declare all information submitted to the
Gambling Control Board is true, accurate,
and complete.
Financial Report
Expen..., Incluclng
Cost at Prtzea
Net Profit
MarUl Vatu. ot Priaa
(Including Donallona
and cash)
Slrbutor from whom ~Ing equipment was purchased
I dBdare all flnandallnfannatlan submllted to the Gambling Control
Board is true. accurate, and complete..
let Executlv. Ottlc.". Slgnalw.
Local.. Unit of Government Acknowledgment
I have received a copy of this applica1lon. This appUcatlon wiI be reviewed by the Gambling Control Board and will become effedlve 30 days from the date of
receipt by the clty or county, unless the local unl of govemmenf passes a resolution to spedflcaJly prohibl the activity. A copy of thai resolution must be received
by the GamblIng ConIroI Board wllhk130 days of the date filed In below. Clies of the first dass have 60 days In whim to disaJlow the activity.
CltyarCounty P.L .i.U.L Ld.k.~ I Tawnahlp Township is
c~~ cou~ name Township name 0 organized
(2.t C 0 unorganized.
Signature 0' person recelvtng application 0 unincorporated.
· Attach letter
Dat.
..~
O:-8::;WS' TI~
Mail with $25 permit fee and copy of
proof of nonprofit status to:
Gambling Control Board
'7" W. County Rd. B. Ste. 300 S.
Roseville, MN 551'3
Date Received
White - Original
Yellow - Board returns to
Organization to complete
shaded areas