Form Bgc Sp 001 PDF Details

The State of California Department of Justice has designed the BGC-SP.001 form as a crucial tool for nonprofit organizations aiming to hold fundraisers involving controlled games, as outlined under section 337j(e) of the California Penal Code. Revised in April 2011, this form serves as an annual registration document that nonprofit entities must submit to gain pre-approval for fundraising events where controlled games are the primary form of entertainment. It is mandatory to mail this completed form, along with a $100 registration fee, to the Bureau of Gambling Control. The form meticulously gathers essential information across several sections, from basic organizational details and the specifics of the fundraiser to the contact information of the person organizing the event and the suppliers of the gambling equipment and services. Additionally, the form accommodates a section for fiduciary information, emphasizing the legal responsibility borne by the entity's representatives. It underscores the commitment to adhere to all state laws, local ordinances, and administrative regulations governing nonprofit organization fundraisers in California. By requiring a declaration under penalty of perjury that the provided information is truthful, complete, and accurate, the BGC-SP.001 form ensures that only compliant and ethical fundraising activities are conducted under the auspices of nonprofit organizations within the state.

QuestionAnswer
Form NameForm Bgc Sp 001
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesCALIFORNIA, 337j, Pai, E-Mail

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STATE OF CALIFORNIA

DEPARTMENT OF JUSTICE

BGC-SP.001

PAGE 1 of 2

(Revised 04/2011)

 

 

NONPROFIT ORGANIZATION ANNUAL

For Official Use Only

 

 

 

REGISTRATION FORM

 

 

 

 

 

FOR CALENDAR YEAR 20

 

 

 

 

 

 

 

MAIL TO:

 

 

 

 

 

Bureau of Gambling Control

 

 

 

 

 

P.O. Box 168024

 

 

 

 

 

Sacramento, CA 95816-8024

R&T Code 23701______

$________

 

 

 

Ph: (916) 263-3408

 

 

 

CT Status_______________________

Pursuant to section 19986 of the California Business and Professions Code, this form shall

be used by nonprofit organizations to obtain registration and pre-approval of a fundraiser

 

 

using only controlled games as defined in California Penal Code section 337j(e). Please

FTB Status______________________

type or print (in ink) all information requested on this form. A $100 Annual Registration

 

 

Fee must accompany this form. Make check or money order payable to the California

SOS Status______________________

Department of Justice.

 

 

 

SECTION 1: ENTITY INFORMATION

 

 

 

 

 

 

 

 

Provide at least one of the following numbers:

Name of Organization

 

 

Federal Tax ID:

 

 

 

 

 

Corporate:

 

 

 

 

 

Address (street, city, state, zip code)

 

 

Organization:

 

 

 

 

 

 

 

Charitable Trusts:

 

 

 

 

 

 

 

 

 

 

 

SECTION 2: FUNDRAISER INFORMATION

Date of Fundraiser

 

Hours in which controlled games will be played:

Estimated Attendance

 

 

Begin:

 

End:

 

 

 

 

 

 

 

 

 

 

Location of Fundraiser (name of building, street, city, state, zip code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION 3: CONTACT PERSON INFORMATION

 

 

 

 

 

 

 

Name of Contact Person for Fundraiser

 

Daytime Telephone Number

E-Mail Address (if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION 4: GAMBLING EQUIPMENT/SERVICE SUPPLIER INFORMATION

 

 

 

 

 

 

 

 

Please check one

 

 

 

 

Name of Supplier (business name if equipment/services are rented)

Rented from:

Donated by:

Owned by:

 

 

 

 

 

 

 

 

 

 

Address (street, city, state, zip code)

 

 

 

 

Daytime Telephone Number

 

 

 

Controlled Games, Equipment and Services provided by Supplier (please check all that apply)

 

Games:

 

 

 

 

 

Equipment and Services:

Omaha

Texas Hold'em

 

Let It Ride

Tables

Chips

Poker

Pai Gow Poker

 

3 Card Poker

Raffle Tickets

Script

Baccarat

Pai Gow Tiles

 

7 Card Poker

Funny Money

Dealers

Stud Poker

Caribbean Stud Poker

Mini Baccarat

Playing Cards

 

Other

 

 

 

 

 

 

 

 

See notice on page 2 of this form

STATE OF CALIFORNIA

DEPARTMENT OF JUSTICE

BGC-SP.001

PAGE 2 of 2

(Revised 04/2011)

 

NONPROFIT ORGANIZATION ANNUAL

REGISTRATION FORM

NOTICE: Only the games listed on page one of this form and other controlled games approved by the Department of Justice may be played at approved charitable fundraisers. To view a list of other controlled games, refer to www.ag.ca.gov/gambling/standards.php. Other games, including roulette, craps, twenty-one, slot machines, or any banking or percentage game played for anything of value are prohibited and cannot lawfully be played for fundraising purposes.

SECTION 5: FIDUCIARY INFORMATION

(person with legal authority to make financial decisions on behalf of the nonprofit organization)

Name and Title

Daytime Telephone Number

SECTION 6: CERTIFICATION

I declare under penalty of perjury under the laws of the State of California that the foregoing information, and all information submitted with this application is true, correct, and complete. Additionally, our business and its representatives agree to comply with all applicable laws, local ordinances, and administrative regulations regarding nonprofit organization fundraisers in the State of California.

Signature of Fiduciary

Date

Print Name

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state of california bgc sp 001 conclusion process outlined (step 1)

2. Soon after this part is completed, go on to type in the relevant details in these - Date of Fundraiser, Hours in which controlled games, Estimated Attendance, Location of Fundraiser name of, Begin, End, Name of Contact Person for, Daytime Telephone Number, EMail Address if applicable, SECTION CONTACT PERSON INFORMATION, SECTION GAMBLING EQUIPMENTSERVICE, Please check one, Name of Supplier business name if, Rented from, and Donated by.

Stage number 2 for filling in state of california bgc sp 001

3. Completing Omaha, Poker, Texas Holdem, Pai Gow Poker, Baccarat, Pai Gow Tiles, Let It Ride, Card Poker, Card Poker, Tables, Raffle Tickets, Chips, Script, Funny Money, and Dealers is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Ways to complete state of california bgc sp 001 part 3

As for Tables and Card Poker, be certain that you don't make any mistakes in this current part. The two of these are considered the most important ones in this document.

4. The next subsection will require your attention in the following parts: Name and Title, Daytime Telephone Number, SECTION CERTIFICATION, I declare under penalty of perjury, Signature of Fiduciary, Date, and Print Name. Just remember to fill in all required details to go onward.

Stage number 4 for filling out state of california bgc sp 001

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