Lg555 Form PDF Details

In today's world, having a strong online presence is essential. This is especially true for businesses, as an effective online presence can lead to more customers and increased profits. One of the most important aspects of any online presence is a website. A well-designed website can make your business look professional and help you stand out from the competition. If you're looking for a professional web design that will help your business thrive, consider using LG555 Form. LG555 Form is a top-quality web design service that will create a stunning website for your business that will impress potential customers and help you succeed online.

Here is the information in regards to the form you were looking for to fill out. It can show you the time you will require to fill out lg555 form, exactly what fields you will need to fill in, and so forth.

QuestionAnswer
Form NameLg555 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesLG555, lg555, nongovernmental, MPCA

Form Preview Example

MINNESOTA LAWFUL GAMBLING

02/16

LG555 Government Approval or Acknowledgment for Use of Gambling Funds

Keep this completed form attached to the LG100C in your organization’s records. You do not need to submit this form to the Gambling Control Board or the Department of Revenue.

ORGANIZATION AND EXPENDITURE INFORMATION (attach additional sheets if necessary)

Organization Name:

License Number:

Address:

City/State/Zip:

1.Amount of proposed lawful purpose expenditure: $______________________________.

2.Check one expenditure category:

A. Contribution to a unit of government—United States, state of Minnesota, or any of its subdivisions, agencies, or

instrumentalities.

B. Wildlife management project or activity that benefits the public at large, with approval by the Minnesota Department of Natural Resources (DNR).

C. Grooming and maintaining snowmobile or all-terrain vehicle trails established under Minnesota Statutes, Sections 84.83 and 84.927, including purchase or lease of equipment, with approval by the DNR. All trails must be open to public use.

D.Supplies and materials for safety training and educational programs coordinated by the DNR, including the Enforcement Division.

E.Citizen monitoring of surface water quality testing for public waters by individuals or nongovernmental organizations, with Minnesota Pollution Control Agency (MPCA) guidance on monitoring procedures, quality assurance protocols, and data management, providing that data is submitted to the MPCA.

3.Describe the proposed expenditure, including vendors:

NO FINANCIAL OR OTHER BENEFIT: I affirm that the contribution or expenditure does not result in any monetary, economic, financial, or material benefit to our organization, in compliance with Minn. Rule 7861.0320, subp. 17, para. C.

FOR DNR-RELATED PROJECTS: I affirm that when lawful gambling funds are used for grooming and maintaining snowmobile or all-terrain vehicle trails or for any wildlife management project for which reimbursement is received from a unit of government, the reimbursement funds must be deposited in our lawful gambling account and recorded on form LG100C.

FOR SURFACE WATER QUALITY TESTING: I affirm that the MPCA has been consulted in developing the monitoring plan and

that the data collected will be submitted to the MPCA. Send form for signature to: Manager, Water Monitoring Section,

Minnesota Pollution Control Agency, 520 Lafayette Road North, St. Paul, MN 55155. Website: www.pca.state.mn.us

________________________________________________________________

___________________________________

Chief Executive Officer’s Signature

Date

________________________________________________________________

___________________________________

Print Name

Daytime Phone

 

 

GOVERNMENT APPROVAL/ACKNOWLEDGMENT

 

 

 

Contribution amount: $_______________________. Government use of contribution (check one):

Wildlife—DNR approves the wildlife management project or activity.

Trails—DNR approves the grooming/maintaining of snowmobile and/or all-terrain vehicle trails.

Safety training—DNR approves the supplies/materials for DNR safety training and educational programs.

Water quality testing—MPCA approves the surface water quality testing project.

Donation to other unit of government (city, county, state, federal, or any of their subdivisions) provided the funds will not be used for a pension or retirement fund.

Unit of Government:

Address:

Phone:

City/State/Zip:

By signature below, the representative of the unit of government acknowledges and approves the contribution amount for the use as listed above.

________________________________________________________________

____________________________________

Signature

Date

________________________________________________________________

____________________________________

Print Name

Title

Questions? Contact the Minnesota Gambling Control Board at 651-539-1900. This form will be made available in alternative format (i.e. large print, braille) upon request. The information requested on this form will become public information, when requested by the Board, and will be used to determine your compliance with Minnesota statutes and rules governing lawful gambling activities.

How to Edit Lg555 Form Online for Free

Our top level web developers worked hard to develop the PDF editor we're delighted to deliver to you. This app permits you to immediately create DNR and saves your time. You just have to keep up with this guide.

Step 1: The following web page contains an orange button that says "Get Form Now". Simply click it.

Step 2: As you access our DNR editing page, you will notice each of the options you may take with regards to your form within the upper menu.

Please type in the next details to complete the DNR PDF:

stage 1 to filling in lg555

Write the data in that the data collected will be, Chief Executive Officers Signature, Date, Print Name, Daytime Phone, GOVERNMENT APPROVALACKNOWLEDGMENT, Contribution amount Government, WildlifeDNR approves the wildlife, Unit of Government, Address, Phone, CityStateZip, By signature below the, Signature, and Date.

Completing lg555 part 2

Step 3: Hit the Done button to ensure that your finished file could be exported to every electronic device you select or mailed to an email you specify.

Step 4: It's going to be easier to maintain copies of your document. You can rest assured that we will not publish or check out your information.

Watch Lg555 Form Video Instruction

Please rate Lg555 Form

1 Votes
If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .