Lgccc 2R A Form PDF Details

Welcome to the world of LGCCC 2R A Form. This powerful business document is an important piece of paperwork that can assist your company in quickly and easily obtaining the necessary governmental approvals for activities impacting public rights-of-way. By completing this form, you’ll be able to provide detailed information about any approved activity or project taking place within or upon a city or county roadway. So now let's dive into understanding what exactly an LGCCC 2R A Form should include and how it will help make your life easier during the government approval process.

QuestionAnswer
Form NameLgccc 2R A Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesbookkeepers, LGCCC, furtherance, lgccc 6b r

Form Preview Example

LGCCC 2R-A

Application for Raffles License

Township of Hamilton, Mercer County

Identification No.

Application No RA-

Prepare 4 copies - 1 will be returned

Part A General

1.Name of Applying Organization

2a. Street Address of Headquarters

2b. Mailing Address (if different)

3.A license is required to conduct raffles of the kind stated on the date, or on each of the dates, and during the hours listed (use a separate application for each type of raffle)

Date

Hours

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

Hours

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.Address of place where Raffles will be played

4a. Does the applicant own the premises or regularly occupy them for its general purpose?

[

]

Yes

 

 

 

 

 

 

 

 

 

[

]

No

 

 

 

 

5.If raffle equipment is rented, attach Statement of Raffles Equipment Lessor to application on Form 13.

Part B Qualification of Applicant

1. Is this the first time the applicant has applied for a license in this municipality?

 

Yes

 

No

2.If not, has there been any change in the applicant's certificate of incorporation, charter, constitution or

by-laws since the latest application was made?

 

Yes

 

No

3. If applicant is unincorporated, state the number of members:

 

 

 

members.

4.If the answer to either of questions 1 or 2 is “Yes,” attach to this application an exact copy of the provisions of the certificate of incorporation, or of the written charter, constitution or by-laws of the applicant, showing (1) that the applicant is a qualified organization, and (2) that it is empowered to further one or more authorized purposes, all as defined in the Raffles Licensing Law.

Part C Schedule of Expenses

The items of expense intended to be incurred or paid in connection with the games listed in this application, the names and addresses of the persons to whom each item is to be paid, and the purpose for which each item is to

be paid are:

 

 

Item of Expense

Name & Address of Supplier

Purpose

Part D Schedule of Purposes

1.The specific purpose(s) to which the entire net proceeds of the games listed in this application are to be devoted, and the manner in which they are to be so devoted are:

2.If any part of the net proceeds are to be devoted to a purpose allowed by the Raffles Licensing Law by turning the same over to another organization which is exclusively devoted to such purposes, secure the signature of its president or other executive officer to the following certificate:

“It is hereby certified that ________________________________________________(Insert Name of Org)

will accept from the licensee any part of the net proceeds of the games listed in this application to be turned over to it.”

Date:_____________________Signature

Part E Schedule of Prizes

A description of all prizes to be offered and given in all the games listed in this application is as follows: (for merchandise, describe the article and state the retail value; if prizes are to be donated, so indicate and estimate as accurately as possible the information called for.)

Description of Prize

Donated

Retail Value

 

(yes or no)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Part F Officers of Applicant

Office

Name of Officer

Residence Address

Age

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Part G Members of Applicant Who Will be in Charge of the Games

Name of Member in Charge

Residence Address

Telephone No.

Age

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Part H Members of Applicant Who Will Assist in Conducting the Games

Name of Member

Residence Address

Age

 

 

 

 

 

 

 

 

 

 

 

 

Part I Names of Other Organizations Whose Members Will Assist in Conducting the Games

Name & Address of Organization

How Related

Identification Number

 

 

 

 

 

 

Part J Statement of Applicant and Member(s) in Charge

State of New Jersey

County of Mercer

We do hereby each make the following statement, under oath, with respect to the foregoing application:

1.The applicant (is) (is not) limited in its activities to the furtherance of one or more authorized purposes as defined in the Raffles Licensing Law.

2.Prior to the issuance of any license to it to conduct games of chance the applicant was actively engaged in serving one or more “authorized purposes.”

3.The applicant has received and used, and in good faith expects to continue to receive and use, to further one or more authorized purposes, funds from sources other than games of chance.

4.The conduct of the games on the occasion or occasions for which this application is made will be to raise and devote the entire net proceeds to the authorized purpose described in this application.

5.For each occasion for which is license is sought, one or more of the members listed who are familiar with the Raffles Licensing Law, and the rules and Regulations, will be in full charge of, and primarily responsible for, the conduct of the games.

6.No commission, salary, compensation, reward or recompense will be paid to any person for holding, operating or conducting or assisting in the holding, operation or conducting of the games; except to bookkeepers or accountants for professional services not exceeding the amount fixed by the Schedule of Fees, no prize will be offered and given in cash, except as otherwise provided by the Raffles Licensing law, or of greater value than is provided in said law.

7.All statements in the foregoing application are true.

Sworn and subscribed before me this

Signature of Officer and Title

day of, 20 .

 

 

Member in Charge

 

 

 

Notary Public

 

Member in Charge

 

 

 

 

 

 

 

Member in Charge

Applicant’s Registration Identification as issued by the New Jersey Legalized Games of Chance Control Commission must be presented to the Municipal Clerk with this application.

How to Edit Lgccc 2R A Form Online for Free

Whenever you desire to fill out issuance, there's no need to download any kind of programs - just try our online PDF editor. The editor is continually upgraded by our team, receiving new awesome features and becoming greater. Starting is simple! What you need to do is follow the following basic steps directly below:

Step 1: Press the "Get Form" button at the top of this page to access our PDF tool.

Step 2: The tool helps you change your PDF document in a range of ways. Modify it by writing customized text, correct what's originally in the PDF, and put in a signature - all at your fingertips!

Completing this document calls for attentiveness. Make certain all required blank fields are done correctly.

1. To start off, while filling out the issuance, start in the section with the next blank fields:

Ways to fill in Lessor step 1

2. The next part is to complete the following blank fields: Address of place where Raffles, a Does the applicant own the, Yes, If raffle equipment is rented, Part B Qualification of Applicant, Is this the first time the, Yes, If not has there been any change, Yes, If applicant is unincorporated, and members.

Is this the first time the, If raffle equipment is rented, and If applicant is unincorporated of Lessor

3. Completing The items of expense intended to, Name Address of Supplier, Purpose, Item of Expense, and Part D Schedule of Purposes is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Purpose, Item of Expense, and Name Address of Supplier of Lessor

People who use this form frequently make some mistakes while filling out Purpose in this part. Be sure to review whatever you enter right here.

4. It is time to fill in this next form section! In this case you will have all of these and the manner in which they are, If any part of the net proceeds, It is hereby certified that Insert, Date, and Signature blanks to fill out.

Lessor completion process detailed (part 4)

5. Last of all, the following final part is what you will need to finish before finalizing the form. The blank fields in question are the following: Donated yes or no, Description of Prize, and Part F Officers of Applicant.

Find out how to complete Lessor step 5

Step 3: Immediately after going through your fields and details, hit "Done" and you're good to go! Get hold of your issuance the instant you sign up at FormsPal for a free trial. Conveniently get access to the pdf document from your FormsPal cabinet, with any edits and changes conveniently saved! When using FormsPal, it is simple to complete documents without worrying about data leaks or data entries getting distributed. Our secure platform helps to ensure that your private details are kept safely.

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