Rb 3 Form Illinois PDF Details

In a world where charitable activities are increasingly intersecting with regulatory requirements, the Illinois Department of Revenue's RB-3 Application for Bingo License stands as a critical document for not-for-profit organizations seeking to host bingo games. The form serves as a bridge for such organizations to navigate through legal waters, ensuring compliance with state laws while advancing their charitable missions. Applying via MyTax Illinois accelerates the registration process, reflecting the state’s commitment to utilizing technology for efficiency. The eligibility criteria outlined in the RB-3 form ensure that only organizations with a solid history, clean legal record, and a strictly non-profit orientation towards their bingo activities can engage. This includes having been organized and active in Illinois for a specified duration, with a clear restriction against compensating those who manage or operate the bingo events. Additionally, the requirement for organizations to provide details about their bylaws and records of meetings emphasizes transparency and operational integrity. The RB-3 form intricately details steps from identifying the organization and its officers to specifying the type of bingo license applied for, underpinning the various ways organizations can engage with the community through bingo. Whether seeking a regular, special, or limited bingo license, each option caters to different organizational needs and event frequencies, with associated fees reflecting the scope of the license. The insistence on a signed declaration under the penalties of perjury for the accuracy of the information provided further underscores the seriousness with which the state regards this form of charitable gaming. Completing and submitting the RB-3 form is not just about obtaining a license; it’s about entering a covenant with the state to contribute positively to the community, enriching the social fabric through engaging, regulated activities.

QuestionAnswer
Form NameRb 3 Form Illinois
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesstate of illinois bingo license, illinois bingo license application, bingo form, state of illinois bingo

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Illinois Department of Revenue

RB-3 Application for Bingo License

Register faster using MyTax Illinois, our online account management program, available on our website at tax.illinois.gov. If you have questions, visit our website or contact us weekdays between 8:00 a.m. and 4:30 p.m. at 217 785-5864 or email at rev.bptcg@illinois.gov.

Read this information first

To qualify for a license to conduct bingo games, your organization must

•be not-for-profit;

•have been organized and in existence in Illinois for at least the past five years or affiliated and chartered with a national organization for two years and have had members carrying out the organization’s goals during either period;

•not have any officers, directors, employees, or persons participating in the management or operation of bingo who have been convicted of a felony within the last 10 years or who have been convicted of a violation of Article 28 of the Criminal Code of 2012; and

•not compensate persons participating in the management or operation of bingo.

For more information about the laws, rules, and regulations governing the bingo license and tax act visit our website at tax.illinois.gov and review the Bingo License Tax Act (230 ILCS 25/1 to 25/7) and 86 Ill. Admin. Code Part 430.

Step 1: Identify your organization

1Federal employer identification number (FEIN) FEIN: ______ - __________________

2Organization name:

__________________________________________________

3Primary or legal business address:

___________________________________________________

Street address - No PO Box numberApartment or suite number

___________________________________________________

City

State

ZIP

4Mailing address if different from the address above:

___________________________________________________

In-care-of name

___________________________________________________

Street address or PO Box numberApartment or suite number

___________________________________________________

City

State

ZIP

5Check the organization type that applies to you:

Corporation S Corp (Subchapter S Corporation)

Not-for-profit organization

6Charitable organizations applying for a new regular or limited bingo license must provide the following:

•A copy of your organization’s bylaws and one of the following:

-Constitution,

-Charter, or

-Articles of incorporation; and

•Copies฀of฀a฀single฀month's฀meeting฀minutes฀from฀each฀of฀the preceding฀five฀years,฀or฀if฀you฀are฀chartered฀by฀a฀national organization,฀for฀a฀single฀month฀from฀each฀of฀the฀preceding two฀years.

Note: If renewing your license, you do not have to provide the above information.

7Identify a contact person regarding your business.

Name: __________________________ Title: _____________

Phone: (______) ______ - ________ Ext.: __________

FAX: (______) ______ - ________

Email address: _____________________________________

Step 2: Identify your officers and the person in charge

8Provide the following information for the organization’s officers and person in charge. If the officers in your organization change, you must file Schedule REG-1-O. Note: One person listed below must sign the application.

a ____________________________

_______ - _____ - ________

c ____________________________

_______ - _____ - ________

President’s name

Social Security number

 

 

Treasurer’s name

Social Security number

 

 

________________________________________________________

________________________________________________________

Home address - No PO Box number

City

State

ZIP

Home address - No PO Box number

City

State

ZIP

____ / ____ / ________

(______) ______ - ________

____ / ____ / ________

(______) ______ - ________

Date of birth

Phone

 

 

Date of birth

Phone

 

 

b ____________________________

_______ - _____ - ________

d ____________________________

_______ - _____ - ________

Secretary’s name

Social Security number

 

 

Person-in-charge’s name

Social Security number

 

 

________________________________________________________

________________________________________________________

Home address - No PO Box number

City

State

ZIP

Home address - No PO Box number

City

State

ZIP

____ / ____ / ________

(______) ______ - ________

____ / ____ / ________

(______) ______ - ________

Date of birth

Phone

 

 

Date of birth

Phone

 

 

This form is authorized as outlined under the tax or fee Act imposing the tax or fee for which this form is filed. Disclosure of this information is required. Failure to provide information may result in this form not being processed and may result in a penalty.

RB-3 front (R-08/15)

Step 3: Type of license you are applying for - Check one

Regular - conduct bingo at the organization’s physical address on a weekly basis - $200 annual fee

What is the address where you will be conducting bingo?

Address:__________________________________________________________________________________________________________________________________________________

Street address - NO PO Box numberCityCountyStateZIP

Is this location owned or occupied by your organization or a unit of local government? ___ Yes ___ No

If no, enter the bingo provider of premises license number. BP-_____________

What day of the week will bingo be played?_____________________________

At what time will bingo begin and end? _____:_____ a.m.

to _____:_____

a.m.

Hour

Minute

p.m.

Hour

Minute

p.m.

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Special - have a regular bingo license and will hold events at your regular bingo location but on a day other than your regular day - No fee A special permit allows you to have two such events per license for a maximum of five consecutive days per event. Provide the location address, date, and time below. If, at this time, you do not know when the events will be held you must submit the information on

Form RCG-1-E no less than 30 days prior to the event.

a First event:_____/_____/_____ to _____/_____/_____

b Second event:_____/_____/_____ to _____/_____/_____

 

Month

Day

Year

Month Day

Year

 

Month

Day

Year

Month Day

Year

At what time will bingo begin and end:

 

At what time will bingo begin and end:

 

 

 

a.m.

 

 

a.m.

 

 

a.m.

 

a.m.

 

 

_____ : _____ p.m.

to _____ : _____ p.m.

 

_____ : _____p.m. to _____ : _____p.m.

 

 

Hour

Minute

Hour

Minute

 

 

Hour

Minute

Hour

Minute

 

 

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Limited - conduct bingo no more than two times a year for a maximum of five consecutive days per event - $50 fee

Provide the location address, date, and time below. If, at this time, you do not know when the events will be held you must submit the information on Form RCG-1-E no less than 30 days prior to the event.

a First event:_____/____/_____ to _____/_____/_____

b Second event:_____/_____/_____ to _____/_____/_____

Month Day Year

Month Day

Year

Month Day

Year

Month Day

Year

At what time will bingo begin and end:

____ : _____ p.m.a.m.

to _____ : _____ p.m.a.m.

Hour Minute

Hour

Minute

_________________________________________________

At what time will bingo begin and end:

 

a.m.

 

a.m.

_____ : _____p.m.

to _____ : _____p.m.

Hour

Minute

Hour

Minute

_________________________________________________

Street address - No PO Box numberApartment or suite numberStreet address - No PO Box numberApartment or suite number

_________________________________________________

_________________________________________

City

State

ZIP

City

State

ZIP

_________________________________________________

_________________________________________

County

 

 

County

 

 

Is this location owned or occupied by your organization or a unit of local government? ___Yes ___ No

If no, enter the bingo provider of premises license number. BP-__________

Is this location owned or occupied by your organization or a unit of local government? ___ Yes ___ No

If no, enter the bingo provider of premises license number. BP-__________

Step 4: Pay your fee - Check one - (Note: The fee paid with your application is not refundable.)

If you are applying for a One year regular bingo license, the fee is $200; One year limited bingo license, the fee is $50.

Make your check or money order payable to the “Illinois Department of Revenue.”

Step 5: Sign below

Under the penalties of perjury, I state that I have examined this application and all attachments and other information required and to the best of my knowledge, it is true, correct, and complete.

________________________________________________________________________________________________________________

SignaturePrinted nameDate

Mail your form along with any attachments and payment to:

OFFICE OF BINGO AND CHARITABLE GAMES 3-215

 

ILLINOIS DEPARTMENT OF REVENUE

 

PO BOX 19480

 

SPRINGFIELD IL 62794-9480

RB-3 back (R-08/15)

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applying for a temporary illinois bingo licenses conclusion process described (portion 1)

2. Once your current task is complete, take the next step – fill out all of these fields - Step Identify your officers and, file Schedule REGO Note One person, Presidents name, Social Security number, Treasurers name, Social Security number, Home address No PO Box number, State, City, ZIP, Home address No PO Box number, State, City, ZIP, and Date of birth with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

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3. This next portion is mostly about Step Type of license you are, Regular conduct bingo at the, City, Street address NO PO Box number, Address Is this location owned or, Special have a regular bingo, Hour Minute, County, Minute, State, Hour, ZIP, a First event to, At what time will bingo begin and, and Month - complete every one of these empty form fields.

City, Hour Minute, and Address Is this location owned or inside applying for a temporary illinois bingo licenses

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Month Day, Hour, and Month Day in applying for a temporary illinois bingo licenses

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