Loading
Form preview picture

Get MN LG220a 2012-2024

6/12 MINNESOTA LAWFUL GAMBLING LG220a Exempt Permit Financial Report By state law organizations who received an exempt permit using the LG220 application form are required to submit a financial report within 30 days of each gambling occasion. Minnesota Statute 349. 166 Subd. 2 b Complete the information below and fax or mail the Gambling Control Board within 30 days of the gambling activity date. Organization Information Organization Address City State Zip code Activity date to Exempt permit number X Financial Report Activity conducted Gross receipts for each activity If none enter 0 Expenses including cost of purchased and cash prizes Net profit Subtract expenses from gross receipts Bingo Raffle Paddlewheel Tipboard Pull-tabs Value of PURCHASED DONATED and CASH PRIZES Distributor Information If paddlewheels tipboards or pull-tabs are conducted list the licensed distributor from whom the gambling equipment was purchased* Distributor Date of purchase Acknowledgment of Chief Executive Officer I declare that all financial information is true accurate and complete. Print name of current chief executive officer Signature of current chief executive officer Date signed MAIL OR FAX TO Gambling Control Board 1711 W County Road B 300S Roseville MN 55113 FAX 651-639-4032 DATA PRIVACY NOTICE The information on this form and any attachments will become public information when received by the Board and will be used to determine your compliance with Minnesota statutes and rules governing lawful gambling activities. 166 Subd. 2 b Complete the information below and fax or mail the Gambling Control Board within 30 days of the gambling activity date. Organization Information Organization Address City State Zip code Activity date to Exempt permit number X Financial Report Activity conducted Gross receipts for each activity If none enter 0 Expenses including cost of purchased and cash prizes Net profit Subtract expenses from gross receipts Bingo Raffle Paddlewheel Tipboard Pull-tabs Value of PURCHASED DONATED and CASH PRIZES Distributor Information If paddlewheels tipboards or pull-tabs are conducted list the licensed distributor from whom the gambling equipment was purchased* Distributor Date of purchase Acknowledgment of Chief Executive Officer I declare that all financial information is true accurate and complete. Organization Information Organization Address City State Zip code Activity date to Exempt permit number X Financial Report Activity conducted Gross receipts for each activity If none enter 0 Expenses including cost of purchased and cash prizes Net profit Subtract expenses from gross receipts Bingo Raffle Paddlewheel Tipboard Pull-tabs Value of PURCHASED DONATED and CASH PRIZES Distributor Information If paddlewheels tipboards or pull-tabs are conducted list the licensed distributor from whom the gambling equipment was purchased* Distributor Date of purchase Acknowledgment of Chief Executive Officer I declare that all financial information is true accurate and complete. Print name of current chief executive officer Signature of current chief executive officer Date signed MAIL OR FAX TO Gambling Control Board 1711 W County Road B 300S Roseville MN 55113 FAX 651-639-4032 DATA PRIVACY NOTICE The information on this form and any attachments will become public information when received by the Board and will be used to determine your compliance with Minnesota statutes and rules governing lawful gambling activities. .

How It Works

Tipboard rating
4.81Satisfied
176 votes

Tips on how to fill out, edit and sign Statutes online

How to fill out and sign Compliance online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Experience all the benefits of completing and submitting forms online. With our platform filling in MN LG220a usually takes a matter of minutes. We make that possible by offering you access to our full-fledged editor effective at changing/fixing a document?s original text, adding unique boxes, and putting your signature on.

Complete MN LG220a within a few minutes following the guidelines listed below:

  1. Choose the template you want in the library of legal forms.
  2. Select the Get form button to open it and move to editing.
  3. Complete all the requested boxes (they will be yellowish).
  4. The Signature Wizard will help you add your e-autograph after you?ve finished imputing information.
  5. Add the date.
  6. Look through the whole document to make sure you?ve completed everything and no changes are needed.
  7. Hit Done and save the filled out document to your device.

Send the new MN LG220a in a digital form right after you are done with completing it. Your information is securely protected, as we keep to the most up-to-date security criteria. Become one of numerous satisfied users who are already filling out legal forms straight from their homes.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Video instructions and help with filling out and completing mn

Use smart fillable areas for completing Form on the web. Use expert-made web templates and video instructions that direct you through the entire procedure from start to finish.

Subtract FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to MN LG220a

  • LG220
  • 300S
  • Tipboard
  • Roseville
  • mn
  • acknowledgment
  • subtract
  • governing
  • Statutes
  • exempt
  • attachments
  • compliance
  • organizations
  • Distributor
  • RAFFLE
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.