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For Official Use OnlyCGR1 Rev 10/14STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION License Services/Charitable Games 165 Capitol Avenue Hartford, CT 06106 Email: DCP.GamingCharitable ct.gov Web.

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How to fill out the CGR-1 Rev 10/14 online

Completing the CGR-1 Rev 10/14 form online is a straightforward process. This guide provides detailed step-by-step instructions to help you successfully navigate and fill out the application for a permit to conduct a Class 3 bazaar, ensuring all necessary information is accurately provided.

Follow the steps to complete your CGR-1 Rev 10/14 form online.

  1. Click ‘Get Form’ button to access the CGR-1 Rev 10/14 form and open it in the editor.
  2. Enter the name of the sponsoring organization in the designated field. If the organization has previously held a raffle permit, include the permit number.
  3. Provide the Federal Employer Identification Number (FEIN) and the IRS Exempt Status Code, if applicable.
  4. Fill in the street address, city, state, and zip code of the sponsoring organization.
  5. If the mailing address is different, provide the complete mailing address, including city, state, and zip code.
  6. Input the telephone number, including area code, and the email address for the organization.
  7. List the contact person for this application along with their telephone number and email address.
  8. Select one category that best describes your organization from the available options.
  9. Provide the names, telephone numbers, and dates of birth of the three designated active members of the organization, ensuring they are residents of Connecticut.
  10. Enter the name, title, and date of birth of the ranking officer along with their complete residence address.
  11. Supply details about the bazaar, including the dates and times it will occur, as well as the location's address.
  12. Indicate the types and total number of games to be operated during the bazaar.
  13. If applicable, fill out the information regarding the registered dealer of the games of chance equipment.
  14. Provide a detailed list of anticipated expenses associated with the bazaar, including names and addresses of those to whom payments will be made.
  15. List all items offered as prizes, noting whether they were purchased or donated, including their respective values.
  16. State the specific purpose for the entire net proceeds from the bazaar.
  17. Ensure the ranking officer signs the application, providing their title and date of signing.

Complete your CGR-1 Rev 10/14 form online today to ensure your bazaar is officially permitted.

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