Minnesota Form Lg220 PDF Details

Nonprofit organizations in Minnesota looking to conduct lawful gambling activities have a streamlined process through the LG220 Application for Exempt Permit. Designed for organizations that host gambling events on no more than five days and hands out less than $50,000 in prizes annually, this form simplifies the bureaucratic process, making it more accessible for community groups, veterans' halls, religious entities, and other nonprofits to raise funds through gambling activities. With an application fee dependent on the total prize value for the year, the form requires detailed information about the organization, including its nonprofit status validated either by documentation from the state, an IRS exemption letter, or affiliation with a recognized parent nonprofit organization. The form also guides organizations in listing the premises where the gambling will occur and what type of gambling activities will be conducted. On top of the organizational details, the form necessitates local government acknowledgment, ensuring compliance at both the local and state levels. Upon successful submission and hosting of the gambling event, organizations must complete and return a financial report to the Minnesota Gambling Control Board. This comprehensive approach seeks not only to regulate the sector but also to maintain transparency and integrity in nonprofit gambling activities, offering a clear path for organizations to follow.

QuestionAnswer
Form NameMinnesota Form Lg220
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesCEO, FEIN, lg220 application for exempt permit, lg220

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MINNESOTA LAWFUL GAMBLING

 

 

 

 

 

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LG220 Application for Exempt Permit

 

 

 

 

 

 

 

 

 

An exempt permit may be issued to a nonprofit organization that:

 

 

Application fee (non refundable)

- conducts lawful gambling on five or fewer days, and

 

 

 

 

 

 

- awards less than $50,000 in prizes during a calendar year.

 

 

If application is postmarked or received 30 days or

If total p ize alue fo

the yea

ill e $

,5 o less, o ta

t the li e si

g

 

 

more before the event $50; otherwise $100.

spe ialist assig ed to you ou

ty.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ORGANIZATION INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Organization name

 

 

 

 

 

 

Previous gambling permit number

 

 

 

Minnesota tax ID number, if any

Federal employer ID number (FEIN), if any

 

 

 

 

 

 

 

 

Type of nonprofit organization. Check one.

 

 

 

 

 

 

_____ Fraternal

_____Religious

_____Veterans

_____Other nonprofit organization

 

 

 

 

 

 

 

 

 

 

Mailing address

 

 

City

 

 

State

Zip code

County

 

 

 

Name of chief executive officer [CEO]

Daytime phone number

E-mail address

NONPROFIT STATUS

Attach a copy of ONE of the following for proof of nonprofit status.

_____ Nonprofit Articles of Incorporation OR a current Certificate of Good Standing.

Don’t have a copy? This certificate must be obtained each year from:

Secretary of State, Business Services Div., 60 Empire Drive, Suite 100, St. Paul, MN 55103

Phone: 651-296-2803

_____ IRS income tax exemption [501(c)] letter in your organization’s name.

Don’t have a copy? To obtain a copy of your federal income tax exempt letter, have an organization officer contact the IRS at 877-829-5500.

_____ IRS - Affiliate of national, statewide, or international parent nonprofit organization [charter]

If your organization falls under a parent organization, attach copies of both of the following:

a. IRS letter showing your parent organization is a nonprofit 501(c) organization with a group ruling, and b. the charter or letter from your parent organization recognizing your organization as a subordinate.

GAMBLING PREMISES INFORMATION

Name of premises where the gambling event will be conducted. For raffles, list the site where the drawing will take place.

Address [do not use PO box]

 

City or township

Zip code

County

 

 

 

 

 

 

 

 

 

 

 

 

Date[s] of activity. For raffles, indicate the date of the drawing.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check each type of gambling activity that your organization will conduct.

 

 

 

 

_____

Bingo*

_____

Raffle

_____

Paddlewheels*

_____

Pull-tabs*

 

_____

Tipboards*

*Gambling equipment for bingo paper, paddlewheels, pull-tabs, and tipboards must be obtained from a distributor licensed by the Minnesota Gambling Control Board. EXCEPTION: Bingo hard cards and bingo number selection devices may be borrowed from another organization authorized to conduct bingo.

To find a licensed distributor, go to www.gcb.state.mn.us and click on Distributors under the WHO’S WHO? LIST OF LICENSEES, or call 651-639-4000.

LG220 Application for Exempt Permit

LOCAL UNIT OF GOVERNMENT ACKNOWLEDGMENT

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CITY APPROVAL for a gambling premises located within city limits

___The application is acknowledged with no waiting period.

___The application is acknowledged with a 30 day waiting period, and allows the Board to issue a permit after 30 days [60 days for a 1st class city].

___The application is denied.

Print city name _______________________________

Signature of city personnel

___________________________________________________

Title ____________________________ Date______________

Local unit of government must sign

COUNTY APPROVAL

for a gambling premises

located in a township

____The application is acknowledged with no waiting period.

____The application is acknowledged with a 30 day waiting

period, and allows the Board to issue a permit after 30 days.

____The application is denied.

Print county name _______________________________

Signature of county personnel

___________________________________________________

Title ____________________________ Date______________

TOWNSHIP. If required by the county.

On behalf of the township, I acknowledge that the organization is applying for exempted gambling activity within the township limits.

[A township has no statutory authority to approve or deny an application, per Minnesota Statutes 349.166.]

Print township name ________________________________

Signature of township officer __________________________

Title ___________________________ Date _____________

CHIEF EXECUTIVE OFFICER’S SIGNATURE

The information provided in this application is complete and accurate to the best of my knowledge. I acknowledge that the financial report will be completed and returned to the Board within 30 days of the event date.

Chief executive officer's signature___________________________________________ Date______________

Print name ________________________________

REQUIREMENTS

Complete a separate application for:

∙all gambling conducted on two or more consecutive days, or

∙all gambling conducted on one day.

Only one application is required if one or more raffle drawings are conducted on the same day

Send application with:

__ a copy of your proof of nonprofit status, and

__ application fee (non refundable). Make check payable to "State of Minnesota."

To: Gambling Control Board

1711 West County Road B, Suite 300 South

Roseville, MN 55113

Financial report and recordkeeping required

A financial report form and instructions will be sent with your permit, or use the online fill-in form available at www.gcb.state.mn.us.

Within 30 days of the event date, complete and return the financial report form to the Gambling Control Board.

Questions?

Call the Licensing Section of the Gambling Control Board at 651-639-4000.

This fo

ill e ade a aila le i alte ai e fo at i.e. la ge p i t, B aille

upo e

uest.

Data privacy notice: The information requested on this

form (and any attachments) will be used by the Gambling

Control Board (Board) to determine your organization’s qualifications to be involved in lawful gambling activities in Minnesota. Your organization has the right to refuse to supply the information; however, if your organization

refuses to supply this information, the Board may not be able to determine your organization’s qualifications and,

as a consequence, may refuse to issue a permit. If your

organization supplies the information requested, the Board will be able to process the application. Your organization’s

name and address will be public information when received by the Board.

All other information provided will be pri- vate data about your organization until the Board issues the permit. When the Board issues the permit, all information provided will become public. If the Board does not issue a permit, all information provided

remains private, with the exception of your organization’s name and address which will

remain public. Private data about your organization are available to: Board mem- bers, Board staff whose work requires

access to the information; Minnesota’s

Department of Public Safety; Attorney

General; Commissioners of Administration, Minnesota Management & Budget, and Revenue; Legislative Auditor, national and international gambling regulatory agencies; anyone pursuant to court order; other indi- viduals and agencies specifically authorized by state or federal law to have access to the information; individuals and agencies for which law or legal order authorizes a new use or sharing of information after this notice was given; and anyone with your written consent.

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lg220 application for exempt permit conclusion process explained (portion 1)

2. Soon after filling out the previous step, head on to the subsequent step and enter the necessary details in these fields - Dont have a copy To obtain a copy, IRS Affiliate of national, If your organization falls under a, GAMBLING PREMISES INFORMATION, Name of premises where the, Address do not use PO box City or, Dates of activity For raffles, Check each type of gambling, Bingo Raffle Paddlewheels, and Gambling equipment for bingo paper.

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A lot of people frequently make some errors when filling in If your organization falls under a in this part. Be sure you double-check whatever you type in here.

3. In this stage, examine The information provided in this, Print name, REQUIREMENTS, Complete a separate application, Only one application is required, Send application with a copy of, State of Minnesota, To Gambling Control Board West, Financial report and recordkeeping, Questions Call the Licensing, Data privacy notice The, All other information provided, and General Commissioners of. All these will have to be filled out with utmost attention to detail.

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