j. Raffle permit - Laserfiche WebLink

SFN 9338 (Rev. 12-97) Page 2 Has your organization received authorization to conduct raffles or bingo or profess onal sports pools by local governing bodies (city/county) during the period beginning July 1 through June 30 of the current fiscal year? ] No [] Yes--if "yes"list the value of those prizes awarded:$ THIS VALUE IS PART OF THE ACCUMULATED $6.000. TOTAL ALLOWED (see number 2 under RESTRICTIONS) *RESTRICTIONS: 1) The value of a single cash or merchandise prize cannot exceed one thousand dollars ($1,000.). 2) The total value of al~ the cash and merchandise prizes for raffles and/or bingo and/or professional sports pools cannot exceed six thousand dollars ($6,000.) in a fiscal year (July 1 through June 30) or, for a calendar raffle, in a calendar year. 3) Total cash prizes for a raffle cannot exceed three thousand ($3,000) in one day. '* If an organizat on's p armed prizes will exceed the above alto ,w, ed amount~s,~ either the prizes will need to be reduced to stay w th n the limits provided by law *o_[r discontinue the local permit process and contact the Office of lAttorney General (701-328-2329) for instructions on applying for a STATE GAMING LICENSE. AFFIDAVIT: ~ho~ TiQe Name o~ responsible party t 428-3893 I Chairman of Fund Raising Auet; Michael D. Gustafson I declare that ~ am responsible for the conduct of games of chance and disbursement of gaming net proceeds. I declare that the information contained in this application is true, correct, and c?mplete. lA ND cotlege or un versity fratern ~ or sorority must use ~ate application form, SFN 17927 , Sorority Or Fraterni~ Application For Local Permit To Conduct Bingo/Raffles/Professiona Spo~s Pools. INFORMATION REQUIRED TO BE PRINTED ON RAFFLE TICKETS (ND Administration Code 99-01.2-05-04) 1. Name of organization; 2. Ticket number; 3. Price of the ticket, including any discounted price; prize ...... ~ ~n ~ ticket to list each minor prize that has a retail 4. Pr ze, description of an optional selectable by a winning player and or option to convert a merchandise prize to a cash prize. However, if there ~s inSUTT c[6nt spa~ ........ price not exceeding ten dollars, an organization may state the total number of minor prizes and their total retail price; ..... ' he " d 5. For a censed organization, print office of t attorney general an license number. For an organization that has a local permit, pr nt the city or county and local permit number. 6. A statement that a person is not required to be present at a drawing to win; 7. Date and time of the drawing and, if the winning player is announced later date and time of that announcement. For a calendar raffle, if the drawings are on a same day of the week or month, print the day and time of the drawing; 8. Location and address of the drawing; and 9. If a merchandise prize requires a title transfer involving the department of transportation, a statement that a winning player is or is not liable for sales or use tax. 10. If a purchase of a ticket is restricted to a person of minimum age, a statement that a person, must be at least "years of age to purchase a ticket. 11. A statement that a purchase of the ticket is not a charitable donation.