Bj Gc 2A is a form that is used to request information or documentation from an individual or organization. The form can be used to request a variety of documents, including financial statements, contracts, and user manuals. The form can also be used to request information about the individual or organization who is being requested to provide the documentation. Bj Gc 2A can be completed by anyone who needs the documentation for their personal use, or for use in a business setting. When completing Bj Gc 2A, it is important to include all of the required information so that the person or organization you are requesting documents from can easily understand what you need. Be sure to include your contact information so they can get in touch with you if they have any questions. If you are submitting the form on behalf of a company, make sure to list your contact information as well as the company's contact information. The Bj Gc 2A form should be sent via mail, email, or fax to the pe
Question | Answer |
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Form Name | Form Bj Gc 2A |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | AUXILIARIES, GC-2A, APPLICANT, gc 2a application for games of chance license |
APPLICATION FOR GAMES OF CHANCE LICENSE |
NYS RACING & WAGERING BOARD 1 Broadway Center, Suite 600 Schenectady, NY
Telephone (518)
Name of Organization
GC- -
NYS Identification Number
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Date
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SCHEDULE 1: |
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OFFICERS AND DIRECTORS |
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List names, addresses and dates of birth of all officers. |
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If organization is a corporation, or an incorporated or unincorporated association, list officers and directors. |
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DATE OF BIRTH STREET ADDRESS |
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Attach additional sheet if necessary. |
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SCHEDULE 2: |
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MEMBERS IN CHARGE OF GAMES |
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(MUST LIST AT LEAST FOUR MEMBERS OF APPLICANT ORGANIZATION) |
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DATE |
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YEARS OF |
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NAME |
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OF BIRTH MEMBERSHIP STREET ADDRESS |
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SCHEDULE 3: AUXILIARY/AFFILIATE ORGANIZATIONS ASSISTING AT GAMES
(MAXIMUM OF 2 AUXILIARIES/AFFILIATES. EACH AUXILIARY/AFFILIATE LISTED MUST HAVE ITS OWN ID NUMBER.)
NAME OF AUXILIARY/AFFILIATE |
GAMES OF CHANCE ID NUMBER |
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Page 1 of 2 |
SCHEDULE 4: ASSISTANTS TO MEMBERS IN CHARGE OF GAMES
List all members of applicant organization and members of authorized affiliates and auxiliary who will assist with games. Each person listed must be a
member of applicant organization or affiliate for at least 1 year.
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YEARS OF |
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MEMBER NAME DATE OF BIRTH MEMBERSHIP STREET ADDRESS |
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Attach additional sheet if necessary.
Page 2 of 2 |