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For office use only - Kentucky

Page 1 of 6 Commonwealth of Kentucky Form CG-EXEMPT PUBLIC PROTECTION CABINET 5/15 DEPARTMENT OF charitable gaming Organization Grossing Under $25,000 Application for Exemption A COMPLETE FORM MUST BE RECEIVED AT LEAST THIRTY (30) DAYS PRIOR TO THE INTENDED START OF YOUR gaming . Complete this Form only if the organization intends to play bingo, have a raffle, or a charity fundraising event (fair, festival, or carnival) and the gross receipts from gaming do not exceed $25,000 in a calendar year.

Page 3 of 6 GENERAL INFORMATION 5a. Has your organization ever been issued a charitable gaming license by the Department of Charitable Gaming?

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