Wappinger Elks Lodge (2)
.
I
--,
FOR OFFICE
USE ONLY
APPLICATION FOR:
PLEASE CHECK
GAMES OF CHANCE)(
BELL JAR 0
RAFFLE 0
$[ 2,.OQ I GQ/GLJ/ml
Fees Received Date
tC-2
!YS RACING & W AGBRING BOARD
Walervliet Ave. EXL, Suite 2
JbBny, NY 12206-1668
'elephone (518) 453-8460 Fax (518) 453-8492
Iww.racing.statc.ny.us
INSTRUCTIONS: PLEASE FILE THREE SIGNED COPIES WITH MUNICIPALITY
GC-CIGJ-~-~- ~
:-J.Y.S. Identification Number
IT IS A MISDEMEANOR TO MAKE ANY FALSE STATEMENTS IN THIS APPLICATION
'\' Oh l N 0 ~ W /tt-Pet tJ C~~ \) u 1L~tri-~ S>
'lame of Municipality County
PART A. GENERAL
I. Name of Or llnization
b
2.
3. Has applicant ever been denied a games of chance license? 0 Yes
4. Check type of organi7.ation and. if applicable, give the State and date of incorporation.
Corporation 0 ~ . i f) II
r"f State incorporated \," ~ I ~ 0 "-.h
Incorporated Association ..,.... --E. -
Dllte ~ / ~ / [BIT]
DllteO] / OJ / OJ
Unincorporated Association 0
State incorporated
Individual
o
5. Did your corporate status change since your identification ~~r was assigned? 0 Yes ~o
6. Are you doing business under a trade name? 0 Yes ~o If "yes", what is the trade name?
PART B. LOCATION OF GAMES
7. Address where games, bell jar. or raffle drawing(s) are to be conducted.\, t q)' ~r-.. " J,~
w-MP.~~ \Ji'(
l
8. Name nnd address of authorized games of
chance lessor renting to applicant.
tJ{f.}
9. Does the applicant own the premises'? ~es 0 No If "yes". how long'!
] o. Capacity for public assembly of premises presently owned or occupied. rG.,g b
II. Have prenrises been regularly used? 1'l( y" 0 No If "yes". bow long? :J--?;, ~ ~
Are games of chl\llce being played now on these premises or has it c;"er been? ~es 0 No If "yes", give full details.
~ .~U ~ ..., I J-t) 0 q
12. Are the premises or any part thereof If "yes", state the type oflicense and number.
where games of chance are to be played ~es 0 No C L. 0 0 U "'\ lt~ "2
licensed by the State Liquor Authority? "'" 0 t ~ d- T. ::2
13. Has such license ever been If "yes", why? (Explain on a separate sheet, if necessary, and attach.)
revoked or suspended? 0 Yes $,0
L BJ-GC-2 (Rev. 4/03)
Page I of2
1\\1 \1111111111118 1111111111 .J
.r
I
PART C. PURPOSES OF GA[Vl.I!:,s
1<. ''''': th, 'r;'''f ~"PC'~i~~{;~m",,"' ~, '" b, ""~ ""I i" G"P~O ~
I swear IlH IIftlnll):
1.
ThaI ALL rhe llllUcllt~tl Sdn.:tluks are a llllllcrial purr hlm:nr IIl1d UIl' illcorpoHllcd herein us jf sel UUI in full ill the applicullOll. All the answers
~(llllailletl ill this applicluillllur<; a JIlawrilll pW'1 hercol.
Thul rhe r:lllirc nel proceeds uf ull gumes of chllllee shull be dc\'otcd exclusively to one or more or lhtl "lawful purposes" as del1ned in the Games of
Chance Ucensing Law WId the Rules and Reguladons of lhe Board.
That for each license period for which a Iieense is suughl. one or Illore of the active members uuucr whose supervisioulhe games are to be held.
openllcd and conducted, who is familiur wilh the GUllies of Chunce Licensing Law, the Rules and Regulations of the N. Y.S. Racing & Wagering
Bourd uud locullieellsiug ordiuances orluws. will he prcsenl fl\ 1I111i1llCS. in charge ami primarily responsible for the: conducl of games.
That the undersigned will be n;sponsible rot' the holding. operUliollllnd conduct llf all games or chance: inllccllrdllnce with the lerOlS of the license.,
lhe provisiuns of the Games or Chullcr.: Licensing Luw. lhe Rules unl! Regulatious of the N. Y .S. H.lIcing & Wagering Hoard and with the provisions
or llll~ai licensing ordinum:es or luws.
Thut the lIl\l1ersignel! hilS read <lnd is fumili!lf with the provisions of (he Gurntls of Challl:e Licellsiug Luw as amclIIded, the Rules and Regulations
or thi.: N.Y.S. Racing &, Wagering SOUI'd, amJ thl~ locullicensing Ollhnunces or luws.
.)
3.
4.
5.
6.
Tlllltnu commission, sultlr)'. clllllPcnsution. rewurd or rtlColllpense will be.paid to any person for holding or assisting in the operating or
conducting 01' lhe gumes. except lU bookkeepers or accountants for professiollul sen'ices iu all alIlOul\l110t exceeding that fixed by the Board.
It DCLV
V/1LEA/r&'
I~r~rll CZIQJ / [giJ
!Jllte
Print Name
STATE
OF
NEW YORK
}ss
OF ~c..~~7
'J'-!
()J 'fPJ~5 ~ fIls
K.oQ co VI-} L.R)V /!; bLling duly' sworn deposes and says that (s)he is the person above named.
(hIrl (S)lll: 1m:; rClId lbe forc:glJing stalemeot and the answer therein nOled, and that such answt::rs are true llnd that (s)he has personally
,il1Jxed his (htlr} signalure lO this aftidavlt.
COUNTY
CITY rrowN!VILLAUE
Of
.sworn to bet'ure me thiS _1-2- day t)1 #-' 20...l.1-
~~tU+ J. T;abbl iJ~
Notary Public
f 13~
Si,,,,," ~~~
Commissioner of Deeds
My Clll11missioil ex-pin.::;
-'
20 I!L-
SARA J. DOBBINS
Notary Public, State of New York
Qualified in Dutchess County
Certified in Westchester County
Commission No. 01004865746
Commission Expires ~1, ~
~/6Li 1'x'1 0;4 fJ
f/.3u!UJIV
L lIJ-t;C-:.! tHeY. 410.1)
Page 2 or 2
1\1 \111111\11111111111111\ III .J
Schedule 1: Officers and Directors
;;"00) 't ro ~<Oi\ (g
WAPPINGER LODGE #2609 OFFICERS for 2819 101$1>
Title
Exalted Ruler
Leading Kgn
LoyalKgn
Lect. Kgn
Esquire
Chaplain
Inner Guard
Secretary
Treasurer
Tiler
Trustee
Trustee
Trustee
Trustee
Trustee
Name
Address
Joseph P. Havelka Sr.
Eileen E. Boyer
Diana Cole
Paul Bader
Mark H. Fox
Catherine Rohling
Rosemarie Perretta
Robert M. Acquanita
Pamela S. Kultsar
Susan Dorler
James Boyer
Rocco Valente
Alex Czarniecki
Alfred DeRose
Vacant
38 Hickory Lane
134 Andrews Road
P.O. Box 549
134 Andrews Road
28 Tiger Road
54 Brothers Road
35 Cathy Road
10 Vorndran Dr.
58 Hillis Terrace
21 Valley Road
134 Andrews Road
61 Fishkill Hook Rd.
31 Helen Drive
25 Hickory Lane
No Officer receives compensation of any kind.
Town Zip DOB
-------------------...--- .....-... --.. ------..-...- --------------------
Pawling 12564 11/13/1942
Lagrangeville 12540 01/02/1943
Hughsonville 12537 04/25/1948
Lagrangeville 12540 09/20/1965
Hopewell Jet. 12533 09/15/1957
Wappinger Falls 12590 04/22/1940
Poughkeepsie 12603 08/07/1943
Wappinger Falls 12590 OS/25/1942
Poughkeepsie 12603 02/01/1950
Wappinger Falls 12590 03/29/1939
Lagrangeville 12540 11/28/1937
Hopewell Jet. 12533 06/06/1941
Wappinger Falls 12590 10/16/1941
Pawling 12564 11/28/1961
, . .'r SCHEDULE 4: ASSISTANTS TO MEl\1BERS IN CHARGE OF GAMES I
Lisl ullmcmbcc:i of upplicllnl olganizalion and members of llulhoriz.ed affiliates and auxiliilf)' who will amSI wilh games, Each person listed musl be a
member of upplicOJlt or~uniUl(jon or affiliate for at lensl I year.
YEARS OF
MEMBER NAME . DATE OF BIRTH MEMBERSHIP STREET ADDRESS
I 1 1 I_I
(S~ 1=/-/= 1 _ I
r:r ~~I_/_;_I_ I
~1'.sT) I / 1 I I
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1=1=1= I = I'i
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1=1=1= I = I
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1=;=;= I = I
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1=/=/= I = I
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/-/-/-1-/
1-;-;-'-1
1=1=1= I = I
I 1 ; I I
1=1=/= I = I
I_/~/_I_I
CITY ZIP
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11111111111111111111111111111 .J
L IlJ.GC.2A (Rey. 4/03)
Attach additional sheet if necessary.
Page 2 of 2
Schedule 4. Assistants to Members in Charge of Games
First MI
Frank
Philip A
Ralph J
Henry J.
Harold A
Francis J
Roger
Richard O.
Richard D.
Stephen F.
Robert
Mark H.
Harris C.
Robert J
Joseph
William K
Eugene P
Rosemarie
Gregory F.
Kenneth J.
Robert N.
Last Name
Abato
Abbate
Anzivina
Boldrin
Crawford Sr.
DeGano
DeJordy
Desruisseau
Dobbins
Drobnak
Fischetti
Fox
Jones
JuNano
Jurina
Minkowski PSVP
Pampalone
Perretta
Sarno
Tucker
Wallner
DOB Address
04/24/1940 39 Kensington Drive
05/16/1937 6 Hackensack Hghts Rd
12/21/1935 12 Thorns Lane
01/11/1936 28 Gold Road
02/23/1936 318 Sunset Hill East
07/18/1946 27 Brandy Lane
09/19/1944 83 Kent Road
11/05/1936 183 Red Cardinal Court
05/30/1949 6 Schuele Drive
02/02/1957 53 Moccasin View Rd.
06/07/1926 91 Ardmore Drive
09/15/1957 28 Tiger Road
04/24/1944 217 Brothers Road
10/05/1953 2776 West Main Street
02/28/1963 173 Hillside Lake Rd.
03/20/1942 427 McGrath Blvd.
09/03/1936 53 Helen Drive
09/07/1943 35 Cathy Road
07/01/1936 13 Dana Place
03/19/2029 34 Pawling Lake
01/17/1933 7 Kinry Road
Town
Hopewell Jct
Wappingers Falls
Highland
Wappinger Falls
Fishkill
Wappingers Falls
Wappingers Falls
Poughkeepsie
Wappingers Falls
Fishkill
Wappingers Falls
Hopewell Jct.
Stormville
Wappingers Falls
Wappinger Falls
Fishkill
Wappingers Falls
Poughkeepsie
Wappingers Falls
Pawling
Poughkeepsie
Yrs an Elk
8
15
18
12
15
15
15
18
19
6
25
11
15
10
7
25
17
5
25
6
16
'r
GC.2B
I
NYS I\ACING & WAClERINe, BOARD
I WUI<:rl'li~l !\\'~. Ext., Suilt: '2
Allmll}. NY 122()(/.lo6K
Tdcphlllll: () l~) 453.g4bO Fa,\ (5Ill) 45.1 ~WJ2
www.ra.;il\g.Slill~.IlY.Us
AP}lLICATION }i'OR GAMES OF.
CHANCE LiCENSE
."
,. . . 4, . \4\
,~_ .~~.. _ _ ..If
GC- [ih] -laTINJ - ~ - ~
NY S Ldenli fical10n Number
SCHEDULE 5 DATES, HOURS AND RENT OF ALL LICENSE PERIODS TO BE HELD
(,'\'01' APPLlCABLE FOR BELL JAR GAMES)
DATE \ HOURS
~ I 0 ':hI ~ ,:~:,12!lam@j)- ,Ll~o:~prn 1$.
I . I ~-' : . ,am / pm - , . : am / pm i $
,___._~~ I ~~ I ~__~i , ,~am/pl11- ,am/pm!$ ,
i I ,am/pm - ,am/pm 1$
~~_~ I , I, ,am / pm - ,am / pm ! $
~~...__~ I ~_~~ I .__..___., ___~_-' .am / pm - , ' ,urn / pm 1$ . '
__. I ~~ I ,am / pm - .am / pm I $ ,-----,,--,-
~~ / I ~-' ' ,am / pm - , . , ,am / pIll ! $
_~ I _~ I ~~~ i ~__~: ~_________am / pm - , ' ,am! pm : $ ,
___-' I I ~~ I .am / pm .:' " am / pm ! $
~_~ / / am / pm -. , ,am / pm ! $
~~ / / : . ~~am / pm ~). , . : : .am / pm i $
RENT
I ~___----J
, ",-----'
. -------'
.~ 1.
.am / pm
am / pm
.'1m / pm
.am / pm
,am / pm
PRIZES (Casb or Fair Markel
Value of Merchandise)
!$
!$,
:$
!$,
!$
RAFFLI~S
DATE
TIME
_._ / / ! : am /pm -
....._~.___..s I--~
___~ / _~ / ,! . am/pm -
I _~ / I'~~:' am/pm-
/ I :--~ : ._-~ : . am / pm -
/ ,/ ----'--",: =-.~=.: am / pm -
S.CHEDlJLE 6 EXPENSES
LISl Items of expense to be incurred, and the names and addresses of persons LO be paid,
ITEM Of' EXPENSE VENDOR NAME STREET ADDRESS CJTY STATE ZlP
C~tJtf.;t.- ~ R~""~J"-lt U p\,~ P)~,i..OoP 7ic('~10!\\-J.\f..~ (~S';';
~~() p.. LI L~~~ ..' - . Vi..!--lt t llrt ?~ ~ lk UJtr~ p. ~t" ~~ 1?-e;' ~ 0
L IlJ.liC.2ilIHcv. 4/0.\1
Page I vI' 2
11111111111 11111111111111111 ~
. USTNAMEOFEACHTYPEOF
. GAME OF CHANCE
(Limit: 5 Games)
'{bLJ.)-qL -"5 [:+L IL
:ratL~fL ~ot~
iJbl~ ~f~ wt~'--"
LIST THE M.AXJMUM.AMOUNT OF PRIZES
TO BE AW.ARl;>ED FOR EACH TYPE OF
GAME OF CHANCE (GAME B.ANK)
at $ j"O () t" o-r-
-
at $ ~ OD , H-
at $ lQ1J (!) '(- iJ+-
at $
at $
For MercbandiseWheels, Ben Jars and Raffles, please complete the appropriate spaces "below.
MERCHANDISE WHEELS:
INDICATE NUMBER OF
MERCHANDISE WHEELS
(NO LIMIT)
1HE TOTAL AMOUNT OF pRIZES FOR
EACH MERCHANDISE WHEEL SHALL
NOT EXCEED $10,000 AND NO SINGLE
PRIZE SHALL EXCEED $250
BElL JAR:
INDICATE IF TIllS APPllCATION
IS FORA BELL JAR.
UCENSE
YESD NO 0
THE TOTAL AMOUNT OF PAYOUTS
FOR EACH BElL JAR DEAL sHALL NOT
EXCEED $3,000 AND NO SINGLE PRIZE
SHALL EXCEED $500
RAFFLES:
INDICATE JF 'PHIS APPUCATION
ISFORARAFFLE
UCENSE
YESO .NO 0
IF YES, USTRAFPLE DAlES, TIME(S)
OF DRAW]N(3(S)ANDPRlZES IN
SCHEDULE 5
THE TOTAL AMOUNT OF PRIZES FOR
ALL THE RAFFLES CONDUCTED DUR-
ING THIS CALENDAR. YEAR SHALL
NOT. EXCEED $100,000. NO SINGLE
PRIZE SHAlL EXCEED $50,000
EXCEPT TIIAT. A SINGLE pRIZE OF
$100,000 MAY B:E AWARDED IF SO
INDICATED IN SCHEDULE 5
~ BJ..GC-ZB(Rr:V.3J06)
Page2of2
I1III1IIII ~
I
r
GC-2A
NYS RACING & WAGERING BOARD
] Watervliel Ave. Exl., Suite 2
fJbany, NY 12206-1668
Telephone (518) 453-8460 Fay. (518) 453-8492
www.racing.state.ny.us
APPLICATIOKFOR GAMES OF CHANCE LICENSE
Name ot:Organization
GC- GG - [WE - [1iliJ - ~
NYS Identification Number .
;CHEDULE 1: OFFICERS AND DIRECTORS
is! names, addresses and dates of birth of all ofilc::IS.
organization is a corporation, or an incorporated or unincorporated association, list officers and directoIS.
TITLE NAME DATE OF BIRTH STREET ADDRESS
I 1_1_1_1
I 1_1_1_1
I 1_1_/_1
I 1_1_1_'
I 1_1--1_1
...j 1.___1 _I_I
I 1_1_1_1
I 1_1_1_1
I 1_1_1_1
I 1_1_1_'
I 1_1_1_'
Attach additional sheet if necessary.
[J;J/Q]/Q]
Date
CITY ZIP
I .- j
I I
I I
I I
I I
I I
I
I I
I I
I I
I I
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CHEDULE 2: ME:MBERS IN CHA.RGE OF GAMES
(MUST LIST AT LEAST FOUR MEMBERS OF APPLICANT ORGANIZATION)
DATE YEARS OF
NAME OF BJRTII MEMBERSHlP STREET ADDRESS CITY ZIP
raul Bader 1_1_1_1 I I I
I 91 20 11955 I 14 I 134 Anderews Rd I laGrange I 12540
,imon Kaufman I ----a 1 -::i: 1 1930 I 7 I 9 S. View Ln I Hopewell Jet I 12533
~wis Hakim I 71 27 I~I 6 I 2g QI::lB8A MAC Ln I }lVappinQP-fS F::lllc: 1 12590
;reg Sarno I 7 1 01 / 19361 :>8 I 1':\ n::ln::l PI9CP. I W~rpir:l9~ri: F311E I 12590
1=1=1=1 1 I I
1_1_1 I I I \
/ - I I I
1__/_1
1_1_1_1 I I \
CHEDULE 3: Au"XILIARY/AFFILIATE ORGANIZATIONS ASSISTING AT GAMES
(MAXIMUM OF 2 AUXILIARIES/AFFILiATES. EACH AUXILIARY/AFFILIATE LISTED MUST HAVE ITS OWN ID NUMBER.)
NPJviE OF A UXILlAR Y 1.tu<"'TILlA TE
GPJv1ES OF CHANCE ill NUlv1BER
1111111111111111111 III 1111111 -1
TIJ -GC-::A (Rtl'. 4/03)
Page 1 of2
r
GC-4
NYS RACING & WAGERING BOARD
1 Wntervliet Ave. Exl., Suite 2
Albany, NY l2206-1668
Telephone (518) 453-8460 Fax (5 1 8) 453-8492
www.racing.state.ny.us
I
FINDINGS AND
DETERMINA TION
FOR GAMES OF CHANCE
LICENSE
GC - Q - EILJ;J - ~ - GLJi[LGJ
N.Y.S. Identification Number
Town of Wappinger
Name of Municipality
After investigation, and a hearing if required under Sec. 192 of the General Municipal Law, the following findings and determinations
have been made:
1195 Rt. 376 Wappingers Falls, NY 12590
Address
1. All the members-in-charge designated in the application to conduct games of
character and hav.e never been convicted of a crime.
Signature of Person Conducting Investigation' ~
. are of good moral
Title ~
2. Applicant is a qualified authorized organization as defined in the Games of Chance Licensing Law.
3. All the members designated in the application to conduct games are bona fide active members of the applicant
organization.
4. The premises presently owned or occupied by the applicant are in every respect adequate and suitable for
conducting games of chance.
5. The games of chance are to be conducted in accordance with the provisions of the Games of Chance Licensing
Law, the Rules and Regulations of the N.Y.S. Racing and Wagering Board, and local ordinances.
6. The entire net proceeds are to be devoted exclusively to one ore more of the "lawful purposes" as defined in the
Games of Chance Licensing Law and the Rules and Regulations of the N.Y.S. Racing and Wagering Board.
7. There is satisfactory proof that no commission, salary, compensation, reward or recompense will be paid or
given to any person for conducting the games or assisting therein, except to the extent authorized by the Games
of Chance Licensing Law and the Rules and Regulations of the N.Y.S. Racing and Wagering Board.
8. There is satisfactory proof that the type and value of prizes offered and given will be in accordance with the
provisions of the Games of Chance Licensing Law.
9. If applicable, the rent to be paid to an authorized games of chance lessor is reasonable.
10. Other findings: (Specify)
~s 0 No
~S Or'fted\.
!Xl Yes DNa
0Cl Yes DNo
Qg Yes DNa
Qg Yes DNa
Qg Yes DNo
!Xl Yes DNa
IDO Yes DNa
XX] Yes DNa
DYes DNa
TO BE COMPLETED BY MUNICIPAL CLERK:
As a result of the fmdings and determinations stated above, license is GRANTED ~cense is DENIED 0
Signature of
Filing date of Application 09/11/09 Authorized Officer
Date 09/11/09
Title Tm.m r.1 prk nf lJ::1ppj"B"T
ONE COpy OF THIS FORM TOGETHER WITH ONE COpy OF FORM GC.2, 2A, 2B MUST BE RECEIVED BY THE
N.Y.S. RACING AND WAGERING BOARD FIVE DAYS PRIOR TO THE FffiST AUTHORIZED LICENSE PERIOD.
L DJ.GC4<R" 4/03) 11111111111111111111111111111 .J
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GC-5
NYS RACING & W AGElUNCl BOARD
J Broadway Center, Suite 600
Schenectady, NY 12305-2553
Telephone (5] 8) 395-5400 Fax (5 ]8) 347-] 469
www.racing.state.ny.us
LICENSE TO CONDUCT
GAMES OF CHANCE
PLEASE CHECK
GAMES OF CHANCE lID
BELL JAR 0
RAFFLE 0
GC - G];] - [iliGJ- GIiliJ - GLLLLJ
N.Y.S, Identification Number
This License Must Be
Conspicuously Displayed
During Conduct of Games
$ \ 25 .00 J [
Amount of Fee Paid Lessor's License Number
Address: 1195 Rt. 376 City: Wappingers Falls
Entire net proceeds to be devoted to the following specific lawful purpose(s):
Zip Code:12590
1/3 Charitables
Names of Members in Charge
Paul Bader
2/3 Operations
Simon Kaufman
Lewis Hakim
Grp.~ S~rnl1
LICENSE PERIOD
DATE
10/02/2009
DAY OF WEEK
HOURS
TYPE(S) OF GAMES
RAFFLE DRAWING
DATE
DRAWING TIME DRAWING LOCATION
AMOUNT OF RAFFLE PRIZES (Cash or Merchandise Prizes
at Fair Market Value)
THE MAXIMUM AMOUNT OF PRIZES TO BE AWARDED I
FOR EACH MERCHANDISE WHEEL
$
THE MAXIMUM AMOUNT OF PRIZES TO BE AWARDED
FOR EACH TYPE OF GAME OF CHANCE
$
EACH WHEEL
NUMBER OF GAMES
EACH GAME (Starting Bank)
NUMBER OF WHEELS
THE TOTAL AMOUNT OF PRIZES FOR EACH BELL JAR
DEAL SHALL NOT EXCEED $3,000 AND NO SINGLE PRIZE
SHALL EXCEED $500.
GAMES SHALL BE PLA l'ED IN ACCORDANCE WITH
ST ATE LAWS AND RULES AND LOCAL ORDINANCES OR
LAWS.
Issued by Town of Wa-ppinger
(Name of MunicipaJity)
Clerk
(Ttle of Authorized Officer)
Spptp.mhpr 71, 700Q
(Date)
(Signature of Authorized Officer)
\\\1 \1\ 11\ \\\\1 \1\\11\ \ 11111\ .J
L BJ-GC-5 (Re". 3/06)
TOWN OF WAPPINGER
TOWN CLERK
CHRIS MASTERSON
SUPERVISOR
CHRISTOPHER J. COLSEY
TOWN COUNCIL
WILLIAM H. BEALE
VINCENT BETTINA
MAUREEN McCARTHY
JOSEPH P. PAOLONI
TOWN CLERK'S OFFICE
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590
(845) 297-5771
FAX: (845) 298-1478
September 11,2009
Adrian Anderson, Sheriff
150 North Hamilton Street
Poughkeepsie, NY 12601
Dear Sheriff Anderson:
Enclosed, please find a copy of the members of the Wappinger Elks #2609,
Route 376, Town of Wappinger, who will be conducting Games of Chance
on October 2, 2009.
I would appreciate your review of the "Members in Charge" listed on the application.
Please complete the "Findings and Determination" form attached and return the form
to our office.
Thank you for your attention to this request and your prompt reply.
Yours truly,
Ene.