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LOCAL PERMIT OR RESTRICTED EVENT PERMIT <br />NORTH DAKOTA OFFICE OF ATTORNEY GENERAL <br />GAMING DIVISION SFN 17926 (2-2023) Permit Type (check one) � Local Permit Games Authorized <br />D Bingo � Raffle <br />D Restricted Event Permit* <br />D Raffle by a Political or Legislative District Party D Raffle Board D Calendar Raffle D Sports Pool D Poker• <br />Permit Number <br />637 <br />D Twenty-One• D Paddlewheels* <br />*See Instruction 2 (f) on Page 2. Poker, Twenty-One, and Paddlewheels may be conducted Only with a Restricted Event Permit. Only one permit per year. <br />LOCAL PERMIT RAFFLES MAY NOT BE CONDUCTED ONLINE AND CREDIT CARDS MAY NOT BE USED FOR WAGERS <br />ORGANIZATION INFO Name of Organization or Group <br />Veterans Honor Flight of ND/MN <br />Dates Authorized (Read Instruction 2) <br />09/01/23 to 05/31/24Organization or Group Contact Person E-mail Telephone Number <br />Jane Matejcek ladyjanemm@yahoo.com 701-238-7749Mailing Address City State ZIP Code <br />PO Box294 Hunter ND 58048 <br />SITE INFO Site Name County <br />Wild Rice Bar and Grill Cass Site Address I City State ZIP Code <br />205 Wild Rice Wild Rice ND 58047 If the city or county is placing restrictions on the permit, please explain <br />none Provide the exact date(s) & frequency of each event & type (Ex. Bingo every Friday 1011-12/31, Raffle -10130, 11130, 12131, etc.) <br />Every other Wednesday from 09/01/23 to 05/31/24 <br />Permits must be Issued prior to the 1st event date. <br />Local governing bodies please see the instructions on the backside of this form on how to complete the permit. Be certain to provide the <br />organization or group with the "Information Required to be Preprinted on a Standard Raffle Ticket" found on the backside of this forms if a raffle is being conducted. If a "Restricted Event Permit" is being issued, either provide organization or group with SFN 52880 "Report on a Restricted <br />Event Permit" or make them aware that the report must be filed with the city or county and the Office of Attorney General within 30 days after the event. Before approving a site location, ensure compliance with the gaming law below <br />Before approving a local permit or restricted event permit the local governing body should review North Dakota Century Code 53-06.1-03(3)(a) which states: <br />3.A licensed organization or organization that has a permit shall conduct games as follows:a.Only one licensed organization or organization that has a permit may conduct games at an authorized site on a day, except that a raffle <br />may be conducted for a special occasion by another licensed organization or organization that has a permit when one of theseconditions is met: <br />(1)When the area for the raffle is physically separated from the area where games are conducted by the regular organization.(2)Upon request of the regular organization and with the approval of the alcoholic beverage establishment, the regular organization'slicense or permit is suspended for that specific time of day by the Attorney General. <br />Local governing bodies should also review North Dakota Administrative Code 99-01.3-01-05 (Permits) for the administrative rules governing permits. These rules may be viewed on the North Dakota Attorney General's website at https"//attorneygeneral,nd gov/licensing-and-gamingL <br />gaming/gaming-laws-rules-and-publications <br />CITY OR COUNTY CONTACT PERSON Name Title Telephone Number E-mail AddressTaylor Kaushagen Commission Assistant 701-241-5609 kaushagent@casscuntynd.govSignature of City or County Official Date Issuing Governing Body 0610512023 Deity � County <br />City or County must submit a copy of the permit above to the Office of Attorney General within 14 days of Issuance.