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LICENSED CHARITABLE GAMING FACILITY QUARTERLY REPORT

Reviewed By:CG-FAC11/13 Quarter: 1 __ 2 __ 3 __ 4 __ (check one)Calendar Year: _____ FACILITY NAME: _____ LICENSE NO. FAC-_____ LICENSEE NAME: _____ MAILING ADDRESS (Licensee): _____ LOCATION OF FACILITY : Street Address: _____ City: _____ County: _____ Under penalty of perjury, I declare that I have examined this REPORT , including any accompanying schedules and attachments, and to the best of my knowledge and belief it is a true, correct, and complete REPORT .

knowledge and belief it is a true, correct, and complete report. Declaration of preparer (other than organization official) is based on all available

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Volume 3, Issue 1 Charitable Chatter - Kentucky

dcg.ky.gov

VOLUME 3, ISSUE 1 PAGE 4 On the Road with Charitable Gaming!! Greetings!! As a result of numerous requests for services offered by the Department of Charitable Gaming, the decision was made that the best way to address these concerns is to hold regional gaming training conferences.

  Volume, Issue, Issue 1, Volume 3, Charitable, Ratchet, Issue 1 charitable chatter

Department of Charitable Gaming Guide to Raffles

dcg.ky.gov

Department of Charitable Gaming Guide to Raffles 800-729-5672 (toll free) 502-573-5528 www.dcg.ky.gov In General A raffle is a game of chance in which a participant is required to purchase a

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For office use only - Kentucky

dcg.ky.gov

Page 1 of 6 Commonwealth of Kentucky Form CG-EXEMPT PUBLIC PROTECTION CABINET 5/15 DEPARTMENT OF CHARITABLE GAMING ...

  Commonwealth, Kentucky, Office, Only, Commonwealth of kentucky, For office use only

Matthew G. Bevin OFFICE OF SALES AND EXCISE TAXES …

dcg.ky.gov

In addition, the purchase of charitable gaming supplies by other designated IRS tax-exempt organizations in Kentucky (e.g. Veterans’ organizations organized under Section 501(c)(19) or Section

CHARITABLE ORGANIZATION LICENSE …

dcg.ky.gov

Page 1 of 15 FOR OFFICE USE ONLY: $25 Processing Fee Paid Commonwealth of Kentucky Public Protection Cabinet DEPARTMENT OF CHARITABLE GAMING Form CG-1

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REQUEST OF CHANGE OFFICERS OR …

dcg.ky.gov

Page 3 of 4 4 . If you wish to remove an officer and/or designated gaming chairperson(s), please complete the following section. Name: Name:

  Name, Change, Officer, Change officers or

CHARITABLE ORGANIZATION LICENSE APPLICATION

dcg.ky.gov

Beginning Time: _____ am pm Ending Time: _____ am pm Weekly Bi-Weekly Monthly Quarterly Annually Semi-Annually Other Location of bingo session: FAC- Name of Building (also include the commonly used name of the building) KY License Number Street Address City State Zip Code

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“Organization’s Title” “Organization’s License …

dcg.ky.gov

Page 1 of 2 “Organization’s Title” “Organization’s License Number” Rules for the Queen of Hearts Raffle 1. Utilize the Queen of Hearts manufacturer’s raffle board.

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CHARITY FUNDRAISING EVENT OR SPECIAL …

dcg.ky.gov

Page 1 of 3 For office use only: Form CG-ScheduleA $25 Processing Fee Paid 5/15

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For office use only - Kentucky

dcg.ky.gov

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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Office of Charitable Gaming P.O. Box 98502, Baton Rouge ...

www.ocg.louisiana.gov

Office of Charitable Gaming P.O. Box 98502, Baton Rouge, LA 70884 (225) 925-1835 or (800) 562-9235 FAX (225) 219-1910 Raffle Accountability Sheet

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BC Association for Charitable Gaming - bccrns.ca

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By the Numbers For fiscal year 2013/2014 More than 7,000 applications Over 5,300 Community Groups successful Receive an Average Grant $27,000 $135 million for 2013/14

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CHARITABLE RAFFLES: Your Ticket To A Winner!

www.yalelawfirm.com

Gaming may be summarized: (1)Gambling is not a charitable activity; (2) Tax-exempt organizations may be subject to tax: unrelated business income tax,

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Charitable Fund-raising - Alberta

www.servicealberta.gov.ab.ca

2 CONSUMER TIPS • A charitable organization or fund-raising business cannot say they are asking for contributions to be used for a specific charitable purpose if the

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Raffle Financial Statement - michigan.gov

www.michigan.gov

License Status and Forms (Visit our web site at www.michigan.gov/cg) . . . . . . . . .

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