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Wappinger Elks (2) TOWN OF WAPPINGER TOWN CLERK CHRIS MASTERSON SUPERVISOR CHRISTOPHER J. COLSEY TOWN CLERK'S OFFICE 20 MIDDLEBUSH ROAD WAPPINGERS FALLS, NY 12590 (845) 297-5771 FAX: (845) 298-1478 TOWN COUNCIL WILLIAM H. BEALE VINCENT BETTINA MAUREEN McCARTHY JOSEPH P. PAOLONI August 21 st, 2008 New York State Racing and Wagering Board 1 Broadway Center, Suite 600 Schenectady, New York 12305-2553 Subject: Games of Chance License - 'Vappinger Elks #2609 Please find enclosed the GC-2, GC-2A, GC-2B, GC-4, GC-5, for the Wappinger Elks #2609 Event to be held on September 5th, 2008. 9f!:1/te own Clerk Town of Wappinger r GC-5 I LICENSE TO CONDUCT GAMES OF CHANCE PLEASE CHECK GAMES OF CHANCE rn BELL JAR 0 RAFFLE 0 GC - [Jl] - GIiliJ- GIQLJ - GLIQLLJ N.Y.S. Identification Number NYS RACINCi & WAGERING BOARD J Broadway Center. Suite 600 Schenectady. NY ] 2305-2553 Telephone (5 J 8) 395-5400 Fax (518) 347-1469 www.racing.statc.ny.us ~.: This License Must Be Conspicuously Displayed During Conduct of Games $1 25.00 II Amount of Fee Paid Lessor's License Number Address: 1195 Route 376 City: Wappingers Falls Entire net proceeds to be devoted to the following specific lawful purpose(s): 1/3 Charitable, 2/3 Operational Names of Members in Charge Zip Code: 12590 Paul Bader Lew Hakim R;('n n()nn;n~ Simon Kaufman LICENSE PERIOD DATE DAY OF WEEK HOURS TYPE(S) OF GAMES 9/')/2008 Friday 7:00 PM - 12:00 AM Poker. Black Jack. Big Six Wheel RAFFLE DRA WING DATE DRA WING TIME DRA WING LOCATION AMOUNT OF RAFFLE PRIZES (Cash or Merchandise Prizes at Fair Market Value) THE MAXIMUM AMOUNT OF PRIZES TO BE AWARDED FOR EACH TYPE OF GAME OF CHANCE 3 $ 500.00 NUMBER OF GAMES EACH GAME (Starting Bank) [HE TOTAL AMOUNT OF PRIZES FOR EACH BELL JAR DEAL SHALL NOT EXCEED $3,000 AND NO SINGLE PRIZE SHALL EXCEED $500. THE MAXIMUM AMOUNT OF PRIZES TO BE A WARDED J FOR EACH MERCHANDISE WHEEL NUMBER OF WHEELS $ EACH WHEEL __ GAMES SHALL BE PLAYED IN ACCORDANCE W~T~H~I STATE LAWS AND RULES AND LOCAL ORDINANCES OR LAWS. Issued by Town of Wappinger (Name of Municipality) Town Clerk (Title ,of Authorized Officer) ! I ! IV iI". (Signatu e of Authorized Officer) 11111111111111111111111111111 -1 August 21st, 2008 (Date) L BJ-GC-5 (Re\'. 3/06) r GC-4 NYS RACING & WAGERING BOARD ] Watervliet Ave. Ext., Suite 2 Albany, NY J2206-]668 Telephone (5] 8) 453-8460 Fax (5]8) 453-8492 www.racing.state.ny.us FINDINGS AND DETERMINA TION FOR GAMES OF CHANCE LICENSE I GC - rn - GILGJ - GJiliJ - ~ N.Y.S. Identification Number Town of Wappinger Name of Municipality 1195 Route 376. Wappingers Falls. NY 12590 Address After investigation, and a hearing if required under Sec. 192 of th have been made: 1. All the members-in-charge designated in the appr character and have never been convicted of a c . Signature of Person Conducting Investigation' eneral Municipal Law, the following findings and determinations ""\ 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) ~es DNa &I Yes DNa ~Yes DNa if] Yes DNo WYes DNa I[] Yes DNo ~Yes DNo !Xl Yes DNa ~Yes DNa DYes DNa TO BE COMPLETED BY MUNICIPAL CLERK: / As a result of the findings and determinations stated above, license is GRANTED 9': license is DENIED 0 Signature of Filing date of Application July 28, 2008 Authorized Officer Date ~ 0)/ Title Town Clerk 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 FIRST AUTHORIZED LICENSE PERIOD. L IlJ.GC-4 (Rev. 4/03) 11111111111111111111111111111 -.J r GC-2A --, APPLICATION FOR GAMES OF CHANCE LICENSE NYS RACING & WAGERING BOARD ! Watervliet Ave. Ext.. Suite 2 Albany. NY 12206-1668 Telephone (518)453-&460 Fax (518) 453-8492 www.racing.sla1e.ny.us ll~~fl ph IJti~ I';;. Nalne of Organization , GC- u.l ~J - rJ{ L 111 ~ 0 ~ I old.-I 0 Il ~ NYS Identification Number t~.-.:",=-~...=,-, .-,-- . I 01 Ofll [gJ] / ~ Date S C!IJ~:J ~f TI"~E: J ~ ! J~ f'...:.HT~~. arjct~s-c~ lntJ ~l4ic-'" of c;ni1 v: ~!i Dfhcc~~, OFFICER'; AND DIRECTORS i' 0t~~lylli' ~"jv~r""0", '" "" mClt~1'~1JL;.i"r.C(}rmt.bJ r")f~:;;F((;:~~: i3:rr(i'H" ,', '.~~FF~ EET' ADD RES S : C e:':;;IZ,iL ,II:\ ~ tJ,t LLrl' f<;< Ll i.,\t i i = {ji' :...u."-;---t.~- ~.-")~;'~J-t ~ 'I-~- .-----.-~- __~;_l -il----.,,"""""~ ,~ i ! ____ i ;j'(' .............io " ""':_1..; f / ;-'}-J j 1 ~ I~J_I__i I ; i : ! ! J i j-',-"-'I'- i if, :-6-';-1 , ; / ' _1_' ~ _I i I ! : i_l_f_' ! ! ! I _1_1_I_i_ ! /, '.( I - --------.~j:- L ..', , ',' .~ p~ttacn aclmtlOfial sneet 11. necessa.:.....j. I i I i ~-. ! -; C'f"UVTHTI .1<' ,. lo.::r'_.r..~':;.~VA..'''''+ ..;... , "T~l\.J! "'E"R~." -Ii<.! .-~U;i Dt''i? V-v C:A rvr"I~'Q lVl.!:'....l'fJD .:J~-' 1'" '-...-J.U"A.r,.uA.:.l ... -.- -....-....... {M{jST LIST I"T LEAST FOUj~ t.,1rlh1BERS OF ,:"j1PLIC~NT 0RGA.}'{iZ.~.TiON.' N/-JvfE _OF BIRTH M.EMTIERSHLP STREET }\DDRESS CITY ZU' ~);~.,' o..!~,!'...-;:;? (.,~.' '''It'1 I ~,~! .1 f ii1.,U hrJ\)Qr!~-R.f\ j~~h',,\;;-"i;U-~ .;,;S ~~. ~<~:~.~~~~=~,....- ~ .ro--\u"t ~ ~ i'\ . "" :_. /,: ~ j ~ ~ j ---L~.. j ~ 'to.... - \ ~ ~..~ -f! .,. "~~-~--:L-...; ~-,~.,6,,,,~----!:..::.~......~~ 1 ~,;,_--.~ _r- 4 ____ _ _ _-1 ~ . ~_:,,' _F:"'" .... . _ "..e- ,-~ 0 ......." ~").l ~ I" .. .J6 ,1 :l_ t..'_~-" '.: (,'. U,~- ,. ,J~) l'''';_~B \ v.b :;:; ! '?[) t 'j~f-! __;'._._'_' yo; ~- li-U""::15d._::_-'=-_.::-...,........ ....J t-, ;_:_~"i:-:-'--':: - ---,':. .... ><__-_~~.~;,_.:- \!'.,~c._,~-~l-~.,j ,,/2/ _I~ -JA. ~-~ ~ _.~~:.)!q"T-'IT-~/t.~~ w./:~0-Qi~.fi-....,.:~~::-~::~ ~;.-.:~. ;~,~:u:,t;;~~4~ ~l;' ~~; IE, ~. ! ;,::1 ~,.;,ft'"fj Psf"\<ff~jt!',Ai)f'\"'~,L '-i~~~~;:; DATE YEARS OF ff . i -' i , , i i __;_"'".,~; ; i ; i - / ~~- / -i ------, 1__- 1_1_1_1 _'""____-....-=-----'."'~.,..____-=-~_______=_=_cc:.-c-~---"'---'~~ ALXIL.l~\R<~;~/"/l~rriI.jJ~TE ()R(;,~~~lZ.:\.TIo~rs ~~tSSI~TING,411' (~AMES ,_. -'"" ,- . ~ . - .~." ..~. ,. -" ~"_L."....' ." _,_. .. ".-. .....-..~.. '--"~n ,. ry'C,,-' _,"-._' .0 "~-~.' . - -- --- ~>\C:-i .n,I.Jxrr),q.{\;";J,._r)FitJt~Tt"~ u:rn~~::: f'.~FJ8":- !1..,"', ,"; ~ :r :.; !;. i i 1 ~i-~ ~',- ,~; F~~'-;L..LL'..:rT: , , OI~ Lll..~'i ~~ ;'~ ~.: ~::-l~~j.'... --,...,.."""".,.:: Hi :H~ :~~ ~ii :i ~~.~ ~,.. ..; Ii;! HE ;~ ~i! ~~ f@~ ;: g~ ;; ilj ~~ L- . ... . ~ " ..,", !.._...~l'''-...;.,;;. '''loCt'~ ~;stJJ ,/ PnSt': I ,,-, . , ,~. ..... UiiHs Schedule 1: Officers and Directors WAPPINGER LODGE #2609 OFFICERS for 2008-2009 Title Name Address Town Zip DOB ---------------------- --------------- -------------------------- .----------------------------- .----------------------------- - Exalted Ruler Rocco Valente 61 Fishkill Hook Rd. Hopewell Jct. 12533 06/06/1941 Leading Kgn Mark H. Fox 28 Tiger Road Hopewell Jct. 12533 09/15/1957 Loyal Kgn Eileen E. Boyer 134 Andrews Road Lagrangeville 12540 01/02/1943 Lect. Kgn Vacant Esquire Anthony M. Storzieri 26 Cobey Terr. Poughkeepsie 12601 07/07/1936 Chaplain Catherine Rohling 54 Brothers Road Wappinger Falls 12590 04/22/1940 Inner Guard Vacant Secretary Robert M. Acquanita 10 Vorndran Dr. Wappinger Falls 12590 OS/25/1942 Treasurer Pamela S. Kultsar 58 Hillis Terrace Poughkeepsie 12603 02/01/1950 Tiler Susan Dorler 21 Valley Road Wappinger Falls 12590 03/29/1939 Trustee James Boyer 134 Andrews Road Lagrangeville 12540 11/28/1937 Trustee Salvatore Filippone 13 Ravine Road Hyde Park 12538 07/17/1931 Trustee Dana Mills Pawling Lake Box 17 Pawling 12564 02/18/1971 Trustee Joseph W. McDowell 127 Innis Ave. Poughkeepsie 12601 04/21/1941 Trustee Vacant No Officer receives compensation of any kind. .' ---"- -"'-'--~~----- ~r'- C ~'2-;.f:' .. !:13[if&Hf:;J? ~-'.. L:....! ; ----------.,..._~._~--~- -~_~___N.< '".._-___..._~_._, --~~-~.-~~---~..._=-_._- ~.-.,~._-,---~ ~-._-- --,.__._._-------.....~---- -~.~'~,.-~--~--__"".__L_~ .-------------. '--<" _.------~-- ~.,'-'-~----------.~.... '- -..........-..--------._~------- "-'- '-----.., _.'.A~__~._____.. _________ '-~-'~-c._______ , ---=----.."-~----.._--- -~.~-- ~~--~ ---~..~___,r,...._=='_'____..,,,... _~. -~.~~~----- _1... --=_.__.__.,-~---..~.-.-._. ..---~~~_~o________. ____. ----....__~=.<o_______~-. J~ 1 __~ i -........_----,.-'~._------------- -~-- ----.~-----........,.~ -, M,~.. _._~_____.___<=_..~__._.~ __ --'"""'"'-~.'"'--''' - '<'"~---"""'---=-=~-- _._-~---.,."~-~- ~-'----~.....~.,_.--------... . ----. -.~---.~---..~-- ',,--. ---.~-.- ----._~ ~ ~ HJ,CCpl.;" :hr\ ~:dl'1. ) ...i;j.;,!. L ,; _ '.' , --- ,.' - ..... ........ J..>..: if\: ~- i l.~' " ; .ld (\fl-'':';;:;D:1G:. ii.,,: ;'I!..'!;:;.:~~~. ~:: 1l~1nl..-';~:":'::'.;J a1"ii;~'-llC'-; ~(E; ~t::~l:lt.l-,'" hih-', j,O.'j;; 1i\:;:E' ,,'. i,-... '''''.~' ,_.-- , / ; , , , l?,'U..: ! i f ; / I / t / i ;' J ! ; j ,'- :~...' '..- ! ;j;~-:,(!,-,i.': ':.'f (.;:";:';:;;::;l":-;: ;~j;,;"':)(i.i~.-'.:t;'.J;; ~;: :~;~!:.;i:~';:' i:.:: w i!~y '/~l;~ '......-u~; ~~J.l:.:.:.. :-:-<'.~' l' ; ./ 'i' ~-".~~. ~-~-_._- >.,.... ~--..--- ~-~--------..-. _..,._--_._~------_.,~-- ---"~~'-------.._--".,,-~-_..~ ---. '~.~-~ --.-.--...,.- -_.r_-----....."._. ~~ . _'~".,...____._'.______ . -._-~_.-.----~~_. ...y-.-.-------.. --.--.-.-. --..~.~- ---~."---~..~-- . ..---~~-.~-..- -~------~~-~~------- ..;..---------~. ~~.~~.,---------.,~.~-~-.~-. ,~..._- ~--_._"- ----.-.- ------~--..."'.--<----------.- ..,---,.,------._-~-~---.-.- ---,:~-----~-_. ...._-._--~----..._~-- ------------.----.~ _.-.--__.,--~~. '.._--.-~."",-- --->~."'------------~~-"-"-- ~"~--. -----.- ~-------_._-..-._---~----~~.. ,._~-.-'--~~-----~ ----- ---.-.- ~,_._~-.-....~----~..---~ '-~'-'--~T____'~_, -----~_..~..~- --=------------_.,.-.._-~--~~~~ ---_...~."~.__. =-----.-'--~.--------..,...--~~~ '---_~_.__T._-_~.."._..___.__....".,..~........_._~ _~._________ ---~--,---..,,-.......~ ~---------._---.--~--~---..... ------.,..,~~~~ ---....---"-~...._--,....-,.~-~. -~-------"---...._'-.,-~ ------- --.~-~--~.---- -<"O_~_~.__~=..~.__~___ -~~......,-----~~.._-~ ,~--------=----------------------------~.- . -~-' _..~----~~----.-..-~ --<<..~~..,. ~-_.-..--------.~-_.~""~.~ --'-"""'-~ _.-----.._---~ .~.~~--~.,.- ~---- -~.--------------"._. ------.....- ~.~.,=-....._--~ ---."..,.._--- ~-.~--...~----...-..._~- - , ---.--..-----~. .---------.------------~-~-. .....------~~--.~,~-'---o_-... ~'=-..----_,.c_.~ _.-----."..~...~_..._, --------..,_.__________...... ....--,.~~-.._......,.--- ..-~--~....-~------~,......~, -_...~ -----------=~~--~~~- ; ------~..._----._~_.._..._._~ -~.~--- "._._-,---~- .---._~-------'~------.-...-..,~---- ~-- >~~~-~_.,.,-.~ "=~---.~..~.------ ~~........---_.~-------~".~..... ;-)1.';: ::;i1t(:L ,:r iitZ..C:');-;ary. . l.il,....':....I- illli .. ::!;f im lili! fi ~: Uj II Ii; ~j iie fH ~;' ':1 Schedule 4. Assistants to Members in Charge of Games Years First MI Last Name Address Town Elk DOB Frank Abato 39 Kensington Drive Hopewell Jct 11 04/24/1940 Philip A. Abbate 6 Hackensack Hghts Rd Wappingers Falls 18 05/16/1937 Robert Acquanita 10 Vorndran Drive Wappingers Falls 22 OS/25/1942 Ralph J. Anzivina 12 Thorns Lane Highland 22 12/21/1935 Henry J. Boldrin 28 Gold Road Wappinger Falls 15 01/11/1936 Harold A. Crawford Sr. 318 Sunset Hill East Fishkill 18 02/23/1936 Francis J. DeGano 27 Brandy Lane Wappingers Falls 18 07/18/1946 Roger DeJordy 83 Kent Road Wappingers Falls 18 09/19/1944 Robert Fischetti 91 Ardmore Drive Wappingers Falls 28 06/07/1926 Mark H. Fox 28 Tiger Road Hopewell Jct. 14 09/15/1957 Harris C. Jones 217 Brothers Road Stormville 18 04/24/1944 Robert J. Juliano 2776 West Main Street Wappingers Falls 13 10/05/1953 William K. Minkowski 427 McGrath Blvd. Fishkill 28 03/20/1942 Rosemarie Perretta 35 Cathy Road Poughkeepsie 8 09/07/1943 Gregory F. Sarno 13 Dana Place Wappingers Falls 28 07/01/1936 Kenneth J. Tucker 34 Pawling Lake Pawling 9 Robert N. Wallner 7 Kinry Road Poughkeepsie 19 01/17/1933 TOWN OF WAPPINGER TOWN CLERK SUPERVISOR CHRIS MASTERSON CHRISTOPHER J. COLSEY TOWN CLERK'S OFFICE 20 MIDDLEBUSH ROAD WAPPINGERS FALLS, NY 12590 (845) 297-5771 FAX: (845) 298-1478 TOWN COUNCIL WILLIAM H. BEALE VINCENT BETTINA MAUREEN McCARTHY JOSEPH P. PAOLONI August 21 st, 2008 Wappingers Elks #2609 1195 Route 376 Wappingers Falls, NY 12590 Dear Mr. Kaufman: Please find the attached "License to Conduct Games of Chance" for your event to be held on September 5th, 2008. I have also attached a receipt for your payment. Please do not hesitate to contact my office with any further questions or concerns. Sincerely, . 7 (.l 1/ () \.. / . /VJ~ Jr)hn C. asterson Town Clerk JCM/dm r- I . -, I GC.2 APPl,JCA TION FOR: PLEASE CHECK J GAI\1ES OF CHANCE ~ (Casino Nights. Ba7~rs. Carnivals) ..1t}.. NYS RACING & WAGERING BOARD I Broadway Center, Suite 60U Schenectady, NY 12305-2553 \' Tdepholl~ (518) 3Y5-5<!GU Fa"~ (5! 8) 347-1469 www.racing.state.ny.us BE.IJ.I .JAR o f H ~ ~.~". ~;I. . '" : ,\ .f -~~!~ J. 1\'-1"""-" n 4 T.'T.'T T.' n.nr .' iLI.c. '.._I.. _.,n.'__.. r1 L....I '.'.~r ct"1/-I,{t('tft ""_,,,t ~.......f';t,..;T" ....."lla"n...r"~..\ i i Mlll1j~~iPt\II ,icense Number $1 i/DJ/L .LJ Date FOR OFFICE USE ONLY Fees Received .'It..!Il:'r.,'I....lr.'"T'."..~1lt.1C.. ...~ "0. ....l.J "-' .. _,-,,, -'L.J_ ~:"'~~4..~~ !~'~~~ ~!!~~~ ~!!:~~~ ~~~t....\!>!~~S ~i~~!-! ~1_i!'I~~~.~.A I 'TV ~ ~ I. I '1 I I... I .. I,:,? I I f I .,r.. I ..'I I I r I" I rJ t I 'J.,.I ( j( : - I t Ih I - .11; I '4 1- I ~.. 1 ~Ij 1''''''-1- 1 U I ,:-f.-1- VI I I>' I N.Y.S. Identification Nmnber :..~ :~ L;' ~.~:~~~~~~...~~~~~ 'Y~ !';~A..=...E ~'\...!':~ !'.A.~!....~~ s'r_":..!.~~!t:~'!'~ !~ T",-",~~ d PPI1C 4 TIIlN .~ . ((7. l (; u..,c ,V lJ I Name of Municipaiity , : 'I}.l~) Hi f'VJD ~fJ '. H'" L',-. '- " I . \"\,..-c,.tf"r I- v v.l ..n ,:,.';) ,j County 1. ~',~; (\-0 b. f.2r+1/L u., ~ '. ~ l.}'-JI \ 'i~l'4 '" ~ ~r) . ~"" 2. Address 3. Has applicant ever been denied a games of chance license? 0 Yes No If "yes", why? (ALlach extra sheet if neiXS:>di)' j -', ,I I'.,,,,,ir t~':," ni' nr~"n;7"fi"n <Inri if "nnii""hlf' ~jVf' the SIMe and date of incorooration. Corporation 0 incorporated Association ifI'. , Unincorporated Association 0 Stale incorporated ._.__ Date L~L~.II Ld (J I L%~I r J " ., '. r'-"r--j I 1'-11 iT-l Ual.C I j " I I I I ill State incorporated \J f?.M..I "+ ~ il..,k_ tnJividuaJ Li .:; nil; ~")lIr "nr;'Or>ltC' ,1,,111" "han~e since vour identification number was assigned? [j Yes iLfNo A _^__r:I:~ ~i/~UJ rit_"in~ hncinp(.:, llndpr ::) tr!ldp: nnmf'.I) n 'V,.p~ hf"Nn If lIyes". \vhat is the trade name? PARTB. LOCATIONOFGAMES ,11"'0;- [).-r /_,i 7 f",lrlrf'~~ whf'rp ~"mf''' hdl inr. or raffle drawimds) are to be conducted. U. '-tJ _L~:::~_.~~l l..p . " ,i\ ,J C> ,'..... j,' '-..V' (, r \ , ' I - {;-I/\...'-> "j 8. Name and address of authori7..ed games of !'h~n{'p Ip:<.:,or T{~ntjn!: tn ~!"1~1icanL ~ , "'..I r i, l~~- ~ ; 9. Do.:s the appHc.:.nt (y",n the premises? QYcs .... o No If "yes", how long? . ~.~ Ii' X " .." I {.;7 I i o. CapacitY for public as~en:bly of pre.rnis,;:s presently n;..~~l1cd or occupied. ....~''r ..'.... ~ '-"" - - / 1'\ n .. I;,z, 1\ '~ ( II J.r,,,,,, nrpmkp, hPFn rf,<'III"r1v lI';{crl') Il'lYes 0 No Tf"ves". how long? -:..+--. L/ ''t ~k-.,-t-1(_ 'J .. --. ~ ------.- Asc games of chance being played now on these premises or has it ever bt:en? If(Ves 0 No If "yes". give full details. _.____.___.__.,_j;}.\L~~_:.____ 'J-b [; 'l " 12. Al".. the premise.> or ailY part thereof where games of chance arc to be played licensed by lhe State Liquor Authority? y(Yes DNa If "yes", SUite .11.: type of license and ilumbcr. . So " ' ~ , C,I - 0(> 0", 4 --+-1...( p} ""'-... - J ~ ...-__,.__~;;:.:;:____..~__~_._._______~.__'_~'A_..._..~._~.._._.. 11 Has such lie-ens,>, ever been i"-'I" If "yes". Vlily? (Explain on a separate sheet. if necessary, and attach.) revoked or su')pended? 0 Yes I.,dtJo BJ-GC-2 (RL..... 3/(6) Page 1 ot2 ~IIIIIII.IIII I --I r I I':\HT C. I'UKI'OSES UF l;:\[\'l~.'i 1,1 ~l:ll: llil' SI~C't?r2IH{l~\~~ l~~III'IIiIl)(((dS ,lie I~C l~)lC~lIri~R~T\o V s, I ,\\,,",,1 \ 'II ,lIll1llll 11"'1 i\U. :II~ ClIICl-:lletl ~,II~o.IlIks all' 1IIl1I11<.'.111I1 jliIIllll'.I""llIlIll ,II" 11l(()IVUlll\~.d 11~leilllls if ,~.I "111111 1.lJIIIIIIIIC: apjlll(llliUII, All ill<: Jm'H'" ,\lIIoJIII"d III ,ltis Upplll:,'"lllll al~ II 1l11l\~lial pWI ilelwl. I I"l( III( (IIIII( llel pl,Kl',~J, vi ull gum.::> Ill' dl\\J1C~ shull b~ J~\'()teJ .:.xclllsiv~l)' to Ol\e 111\1\01('. Ill. lhe:: "lawful purplls~s" a:; t1~ti1\eJ 11\ 1I1~ Gdll10 vi Cr,Jr:l~ Ul'~l1)ll1g Law 111\L11\1c:: l{uks llf\d K~gul<ltlol\s of lh~ HllUnl. .\. !lIJI \01 l'Jdl :I"cll,~ pcnuJ lor wlllell II li,'I;,lhC i, sllllgill, 1)1l" m IlIur, uf 111\' U1.li\'e IlIclllber:; IlIlUCI wlH)s~ SlIpe::IVi:;iullllle: gallles are lUbe: he,C:, \'>><::1 <l1'U JIIJ ';UlIlJU';Io:J, wllu I:> tUllUliul with Ih~ GUIIlC, ul. Challc~ L.icell:illlg Luw, Ih\~ Kuks a/lJ l{t\gUIUlio/ls ot \t1~ N, y,S, RaclI\g & Wag<:nl,~ 1)'.'JIlI ,,"11 Ix,lli-:~IISIIIi> ,JIlI111.llhX, UI!iIWS, \\'11111(:. l'r,'se.1I1 al .dlllIIICS, III clialge JIllI plilllwily n:~l'ullsll>k kll Lhe (\J1\lhl~1 of games. ~ J IIJI 111<" Illld~1 >lgll<:J w1l1 Ill' I'l'spulIs\l1k 1.\1I Ihe IIUldillg, (ljlt:lalioll '1IId CllIIJ'Ie:t (11'..11 gllllle, uf CllIulC, ill lIcc'lId"II,." witll lile IClIllS of the II(C!I>C, ',ilc I" UI l,iUIl.' "f \I" C;,I,IIICS ,If Ctlllll(1:: Lkc/l:;1I1<( 1.lw, 111~ l<'lIk, II1H1\<.<:gllllIlIUIlS of thc N, YS, \<'\1(:1111:\ 8.: WII);;cnllg 1)u<lI(1 allll wILIIIII~ I'\c" I>I'''\) 'Jt l\\i.:~I, !1<.:r:.ll~llI~ unJIILllh..'l,:,;") 01" lilW~ l'tIJI Ille 111l,j(I"lgll,..J IIiIS leaJ anl11S 1\\11111"11' wIlh llle 1'J',)vi,i\)11S 1IIIIIe (,Illlll;S 1IrClloIICI; LilXIISllIg LI" ,I, <Ullell\l~d, llle l<'lIks illlJ l{egu:,ldcllI' ,)\ i:\~ ': \ S RilCIII;: ,~ \, ,Ig,cnng UoarLl, UIIU tllll 11ICldliecIIsIIIg 1IIdlllllll,';" ollilWS, (). j'iI~1 "" C(lllllllis,illll, :;,dc'i'Y, CIlll\p"IISUIIIHI, rllw'lrd or le":ol11peI1S<: willl>1l f"lit! 1O un)' persoll for holJinc; 01 ilssisling III (II~ IIp.:rullng or .,,"lIU,'llllg ,,( t11~ gUll...:;. C\l'~VI 10 bU(lkk,',~I""I'S (II' IJ":C.()\llIlilllls fur (JlokssiollUI s :.)li..:cs ill allllJI10llllllllil e,~..:eeJillg llilll lixed by tile 13":lILi. [QI---j / liFll / IOr--...1 1- _.J l!:.___!f. I )..Ic ~- Sigil.II\1rt' I)t' Ilead lit' Urgilllil.illlull jO(C() I'riill Ni.lI11C V !ILEAl (~ ()I NEW YURt<. lll, D~c.1+~, }ss Uf' . ~ [r .~ J<. () eev \I AL~IJ'IC b\:iilg duly ,worn di;poses and Says thlll (s)ile IS tbe pl~r~oll dl1l)Ve IWIlled, U:":II 1::T;,~I;:-:;-.~l:;;"JlTi;:-Tc;";:~.~:;.;;~g-:;l~iil.u;iJ;i1~~''-~vei'lIll'ICII111\)1t:l!, imd llHlt SIKh ;jIlS\~t;IS l\lt.: Irlle illIU Il1aL (s)ile ilu:, 1't;I,"n~i!i\ ;1111\,'(; ltl.') l,IICI'i :)lb[l~dun..l ',ll {JlI~ ~lIlldilYJt. 'il\TL l'UU:'-iTY ('IIY !UW'\'Vll..L'$jl . d~ :,\\,"lllu Dc'I"r.: Ille Ill,s ._..sfi..:7:__ day Ill' ~-' 20~ Si,,,~fj:Q~ __,---51lg ~ bobb I~t i\lll~11 y l'ulJliL COllllllissiom~r \If De~~ds :vtv l'Ullllllb,;UII I.':o.piIL'S ~ I ~g____.__ 2lJ l~__ SARA J, DOBBINS Notary Public, State of New Yorl< Qualified in Dutchess County Certified in Westchester County Commission No. 01004865746 I Commission Expires J~, 9/30 ..>0 /I:: \0 o'lf\! ~\ / L [IJ.(,l.' (1<0, ~iUJ, I.lilg" '2 $ I 2 11111111111\ 11111111111111111 ~ .. .r GC-2A -, NYS RACING & WAGERING BOARD 1 Wat.erYliet Ave. Ext., Suite 2 Albany. NY 12206-1668 Telephone (518) 453-8460 FM (51B) 453-8492 W"WW. racing. ~tlI1C.lI Y .liS \1 L~~fl ph l~j;~ P-l Name of Organization I GC~ Li 1~J - fd-Ll 11j - \ t? I 0 iJJ -I 0 d-! 0 Il I?, ~ Identification Nurn.ber I I ; i I J ~ L-\ \l:LZL APPLICATION FOR GAMES OF CHANCE LICENSE 10\ Ofl / rqll / fDr~ Date .-~.,'-:'-".-...~._"'-~""_..."..,;..""--~~...."" " OFFICEr'!.s t...ND DIRECTORS -.2<C-~~ ,;::: ~-'-:~rf-;' ~ ~i 1 ~ F ~' 'i..:;~(;.~>;,~.:.:.r!r;:-~~i':"~ "':'\~ ,-:..i.~;"";;; DI 't;;ni: ')~ ':i i.~.n-\:::>:~~j "'- i. .<. L..-}".~ ,~. .. '~'c [-"<~ Q . -', ; '-~' ; ~ - '-""--...-- '-' : ( :;?J~.:~' i1Jl~:~~ \..:' '21...) - ! __~___~.--,,_____"'_"-"-,~"~~___'" e=-- i _! _./. -....,.,-=",...,,~ . ......,c= :;-,r:_-,,-_':~ ;';:,:=;...' ::::.: '.', E'j" ;~ -:_;"~~i'j,i'L:-~;:A~ ~~:> ~ ';'-d'}-<';-~':'--;';" ;-; .'~ ~~::.:~;:~,~,~,,-'i~''''.: <,. .,.,...--..~~.._.. --_.' _..'" . ._-- j ___I - I J j _;' _I, ..-..-~__ i .-.~.~_" i ; I ; , ! , I ---;-;,--i-- ;-----.... : f! _~__I_1 _1_' : J I I ._1_1 ~~/_i i Ii' :_---,t i ! ! \ _1_' _1__1 , / i i I . /. j 1__ ~'i_' ....'"". f\ttach additioiia.! sh,eet if necessary. -..---- _..~,+.-."._~ i .! --~---. ! , ! '------ ~...~._--- ---~_.- ~.._.#--- SCl-IE>Dl.~l..E 2: ;.''o'~ U5T LET ,-\T :....2A3T rc~:,)R ME~;~BERS OP A.!-.lpL!C",;~'~T -:.:-RG.A.r~iZ.::Ii;~)f(.. . l MEM BERS iN CID\RGE OF GAMFS 1) J\"It: YI.!"\.RS ~~" t",.C},f.~ BIRTH,' , ~ "t!.-t1 '-; ,; .~=:..-~-_. rviElvitlE,f~,.sHIr~ S' i"REE,T lb-~DDRj3:;S (~1'"f''',;r ~ ." \_. : .\ ~ B:~52Rrf.~2 \{.t) J yt_i~l.!~ ~.L~i~Z-~ \._~ /;...1~-11~~ ~~"". .......~ ./"; J) ". .. -- ~~~ - .5:.~...::.;..;.~;.;.~~':=':""_..:...:;~::~,~.~-'- ~...~,~-------~.._~'~ "'--~ ~-'" ,~~---~ ' . . !-j ! i _1~/_i_i I J I . '_'_' I i .~_._.-:---~_.----' .... ~,..; ... ... ''-: -=. -,i.:.: .-1.. t. ,,'~,",i,L .,':.[~3.;:.. .'C''f' c., ....n7 ~"nn".fl.:: i\ ';;:\:I<;;;TJN(;:' AT (';'AiVfES ..e-,...'._",~,_ ~..==.~--=",_......-------' --.- , ,-__"", ,.. -'i"--:,- >: !.--~ ,..rt. ''';'ro,; -, ..- ---.. ," ~',. ..'~ 'r "-'~..:. ~ _._~. ;0." :~:~:, ._~'~_" -~i ':"~":"_ ..:>.."........-.......'" ;li ~lj~ ~ i~lllii ~: II Hi ~. ;:: ~. ;~ .. .... ,,: ...... T;' ~ .i"....:: " W "'i,' ',: ._- \ ."... Schedule 1: Officers and Directors WAPPINGER LODGE #2609 OFFICERS for 2008-2009 Title Name Address Town Zip DOB ---------------------- --------------- -------------------------- .----------------------------- ------------------------------ - Exalted Ruler Rocco Valente 61 Fishkill Hook Rd. Hopewell Jct. 12533 06/06/1941 Leading Kgn Mark H. Fox 28 Tiger Road Hopewell Jct. 12533 09/15/1957 LoyalKgn Eileen E. Boyer 134 Andrews Road Lagrangeville 12540 01/02/1943 Lect. Kgn Vacant Esquire Anthony M. Storzieri 26 Cobey Terr. Poughkeepsie 12601 07/07/1936 Chaplain Catherine Rohling 54 Brothers Road Wappinger Falls 12590 04/22/1940 Inner Guard Vacant Secretary Robert M. Acquanita 10 Vorndran Dr. Wappinger Falls 12590 OS/25/1942 Treasurer Pamela S. Kultsar 58 Hillis Terrace Poughkeepsie 12603 02101/1950 Tiler Susan Dorler 21 Valley Road Wappinger Falls 12590 03/29/1939 Trustee James Boyer 134 Andrews Road Lagrangeville 12540 11/28/1937 Trustee Salvatore Filippone 13 Ravine Road Hyde Park 12538 07/17/1931 Trustee Dana Mills Pawling Lake Box 17 Pawling 12564 02118/1971 Trustee Joseph W. McDowell 127 Innis Ave. Poughkeepsie 12601 04/21/1941 Trustee Vacant No Officer receives compensation of any kind. -~ ,:, '-,-';: ..' ~.:-.:. .. ,: ' -~ ~.~ ..~: ~;;:i "C-~ ;-'<.f;- '~". """'-'- ir\ .,/--'. ....c,....."., : ~.'-.,"--,~,_-,_';.:_i: . f 'H _~ Ll t .'_ i-.~' ~:. 1 " '., -"..._...~~.,._--.--.-...,--~.._._.~... Schedule 4. Assistants to Members in Charge of Games Years First MI Last Name Address Town Elk DOB Frank Abato 39 Kensington Drive Hopewell Jct 11 04/24/1940 Philip A. Abbate 6 Hackensack Hghts Rd Wappingers Falls 18 05/16/1937 Robert Acquanita 10 Vorndran Drive Wappingers Falls 22 OS/25/1942 Ralph J. Anzivina 12 Thorns Lane Highland 22 12/21/1935 Henry J. Boldrin 28 Gold Road Wappinger Falls 15 01/11/1936 Harold A. Crawford Sr. 318 Sunset Hill East Fishkill 18 02/23/1936 Francis J. DeGano 27 Brandy Lane Wappingers Falls 18 07/18/1946 Roger DeJordy 83 Kent Road Wappingers Falls 18 09/19/1944 Robert Fischetti 91 Ardmore Drive Wappingers Falls 28 06/07/1926 Mark H. Fox 28 Tiger Road Hopewell Jct. 14 09/15/1957 Harris C. Jones 217 Brothers Road Stormville 18 04/24/1944 Robert J. Juliano 2776 West Main Street Wappingers Falls 13 10/05/1953 William K. Minkowski 427 McGrath Blvd. Fishkill 28 03/20/1942 Rosemarie Perretta 35 Cathy Road Poughkeepsie 8 09/07/1943 Gregory F. Sarno 13 Dana Place Wappingers Falls 28 07/01/1936 Kenneth J. Tucker 34 Pawling Lake Pawling 9 Robert N. Wallner 7 Kinry Road Poughkeepsie 19 01/17/1933 r GC-2B APPLICATION FOR GAMES OJ:<' \Y.\ k.\C1:\iCi ,v WAl,l:klr\j(ill\)AIW CHANCE LICENSE I \\"lcl,licl '\'e. Exl., SUlle 2 ..\1""11). NY I 220<'1-1 ()()/\ J\'iejJl1l11Il'I)I~)453~4()() hix 151~1'1'i.J :WJ2 www.r<ILlllg.stlile.Jl)'.IIS I *,., ". '. ,.' 'J\ '\~'_'-{'':-mJ' - ....;, JT6 0 G ~.,l &lrJfl \ I tJfB~~.1 l~~_.~J!~~Z~_ Name.' ul Organlli.lIJOn GC-~- [1D]]-lbJol~-~ 1\ Y S [denll ficatJon Number ~/~/liliJ Dale.' SCHEDULE 5 DATES, HOURS AND RENT OF ALL LICENSE PERIODS TO BE HELD (NOT APPLiCABLE FOR BELL JAR GAMES) . ..:J.l:QQ@pm 1$. ._~_. . am / pIll i $ .' ~~alll / pill , . .: ~---"---' am / pm ! $ , . am / pm ~_._~: ~~ am / pIn! $ ~._.~ ~__ : ~_~ am / pm i $ ~~ am/pm i $" , ~.~ it ill / pIli . $ ~~~___~_~__, . _ am / pm $ ~____am/pll1 '$ ~alll / pm -' arn / pm ! $ : am / pm . . : am / pm i $ , Io..,.,...-..t-----I ,~,"--4----I '----'---I ~_~: '----'--___.ym / pm ~ '.__n~: .._.--'-~ am / pm ! $ . DATE ' ,- Ocr / .Q2 I .'0 ~ / / '------~... ""---I....---J "'----...0..-.--.. '_.. _<.w...__ / .____._~ I ~._.~... ~_/ / / I ...__.....__.-.. 10.-________, ",---....-..-._, ~._~. _.." / '.n..__... / '-''''''_' __~._. I ~~__ ! ___.___ ~_~_. / .__~ I ~~ ~..-- / '. ,_ .'n _ / '__n".__~ ~...__._ / ~~ I '''_~__ I I ~~~.-..l ___~ ~..J ~~/ I 1-{oURS _~: -J~p~ am @- -----'-~. _~_~aIll / pIn .. am / pm ........__.__. . ..._~..._.am / pm . am /pllI . am / pm - '_n..' . ~_....__~am / PIll' RENT TIME ~._~. ._~_~am / pm .___.~~ . ~~__" am / pIli . am / pm ~__~ ~__-...l RAFFLES DATE _._.~- / ~- / ~~ I . ______.__" I _n._.~ / ~~~ / --~ / --.. ~__I / ~~ .~- / / ~_. am / pm - am /pm . am/pm n am / pill am / pm PRIZES (Cash or Eli! M..lrket Value of Merchandi~e I !$~ $ ,$, i$ . ,$ .~~ .' ~~_~aIIl / pm . am / pm .....-_-'"'"-----..1 .__~...__--J SCHEDULE () EXPENSES L1S! llt'IiI::' oj expefhe I,) I)e lIlclllTed, and the names and addresses of persons IO he paid. ITEr\-1 Ur' E::..\J>1::.NSl:: YENDOK NAME STREET ADDKESS CITY STATE Cc...riWt V 6- KIf:I1I-1 RVZiTB/JVrL ..&P~ lJ~ .~()r LJ-G l' tW c:r \\.:J'-..{ L~'DR.. Lit-;t1v51? llir...fi4J}l.~.ro 1U?~f1 t l (h ~'ltP f.fi).L.LS lJ'l L 11.).(;( .~u d~",. 410.\1 Page I ul' ~ ZIP -12f27 _1J-~-9{) 1111111 111111111111111111111 ~ . r SCHEDULE 7 TYPES OF GAMES List all of the single types of games to be conducted at all license periods enumerated in Schedule 5. Note (or Ve2as NI2bts and Bazaars only: The total amount of prizes during anyone license period shall not aggregate more than $400 for each single type of game of chance when five types of games of chance are to be conducted during anyone license period. The total amount of prizes during anyone license period shall not aggregate more than $500 for each single type of games of chance when less than five single types of games of chance are to be conducted during anyone license period. LIST NAME OF EACH TYPE OF GAME OF CHANCE (Limit: 5 Games) fJ 1 A C Ie. ::1/1 C k... :To t. f Il. 10 t..L Il.. IJI~ S/~ U)J(,!L LIST THE MAXIMUM AMOUNT OF PRiZES TO BE AWARDED FOR EACH TYPE OF GAME OF CHANCE (GAJyffi BANK) at $ So 0 , 0 {J at $ .~-oo. 00 at $ .500. 00 at $ at $ For Merchandise Wheels, Bell Jars and Raffles, please complete the appropriate spaces below. MERCHANDISE WHEELS: INDICATE NUMBER OF MERCHANDISE WHEELS (N 0 LIMIT) TIIE TOTAL AMOUNT OF PRIZES FOR EACH MERCHANDISE WHEEL SHALL NOT EXCEED $10,000 AND NO SINGLE PRIZE SHALL EXCEED $250 BELL JAR: INDICA TE IF THIS APPLICA TJON IS FOR A BELL JAR LICENSE YESO NO ~ THE TOTAL AMOUNT OF PAYOUTS FOR EACH BELL JAR DEAL SHALL NOT EXCEED $3,000 AND NO SINGLE PRIZE SHALL EXCEED $500 RAFFLES ; INDICA TE IF THIS APPLICATION IS FOR A RAFFLE LICENSE YESO NO ~ IF YES, LIST RAFFLE DATES, TlME(S) OF ORA WIN'G(S) AND PRIZES IN SCHEDULE 5 THE TOTAL AMOUNT OF PRIZES FOR ALL THE RAFFLES CONDUCTED OUR. ING THIS CALENDAR YEAR SHALL NOT EXCEED $100,000. NO SINGLE PRIZE SHALL EXCEED $50,000 EXCEPT THAT A SINGLE PRIZE OF $100,000 MAY BE AWARDED fF SO INDICA TED IN SCHEDULE 5 L BJ-CC-2B (Rev. 41(3) Page 2 of 2 111111 liD '1111111111 Ifill TOWN OF WAPPINGER \ ' TOWN CLERK CHRIS MASTERSON SUPEFIVISOR CHRISTOPHER J. COLSEY TOWN CLERK'S OFFICE 20 MIDDLEBUSH ROAD WAPPINGERS FALLS, NY 12590 (845) 297-5771 FAX: (845) 298-1478 TOWN COUNCIL WILLIAM H. BEALE VINCENT BETTINA MAUREEN McCARTHY JOSEPH P PAOLONI July 28th, 2008 Adrian Anderson, Sheriff 150 North Hamilton Street Poughkeepsie, NY 12601 Dear Sheriff Anderson: Enclosed, please find a copy of the members ofthe Wappinger Elks #2609, Located at 1195, Route 376, Wappingers Falls, NY, who will be conducting Games of Chance on September 5th, 2008. 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 fonn to our office. Thank you for your attention to this request and your prompt reply. Sincerely, ~CJL-r+-- hn C. M~ Town Clerk Ene. I GC-4 NYS RACING & WAGERING BOAIW 1 Wuterv]iet Ave. EXl., Suite 2 Albany, NY 12206- 1668 Telephone (5] 8) 453-8460 Fax (5] 8) 453-8492 www.racing.state.ny.us I FINDINGS AND DETERMINA TION FOR GAMES OF CHANCE LICENSE Gc-D- GILGJ - ~- ~ N.Y.S. Identification Number Town of Wappinger Name of Municipality 1195 Route 376. Wappingers Falls, NY 12590 Address After investigation, and a hearing if required under Sec. 192 of the General Municipal Law, the following findings and determinations have been made: I, AJI the members-in-charge designated in the application to conduct games of chance are of good moral character and hav.e never been convicted of a crime. Signature of Person Conducting Investigation' Title o Yef; D No 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) !XI Yes DNa :KJ Yes DNo ~Yes DNa [I Yes DNa IX] Yes DNa ~Yes DNa IX! Yes DNa ~ Yes DNa DYes DNa TO BE COMPLETED BY MUNICIPAL CLERK: As II result of the fmdings and determinations stated above, license is GRANTED D; license is DENIED 0 Signature of Filing date of Application July 28, 2008 Authorized Officer Date Title Town Clerk (Municipal Licensing Authority) 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 FIRST AUTHORIZED LICENSE PERIOD. L BJ-GC-4 (Rev. 4/03) 11111111111111111111111111111 .-J r GC-2A --, APPLICATION FOR GAMES OF CHANCE LICENSE NYS RACING & WAGERING BOARD I Wat.ervliet Ave. Ext.. Suite 2 Albany. NY 12206-166!l Telephone (518) 453.R460 Fax (51B) 453-8492 www.racing.~uue.ny.us i I ivJ ~ f I f I \ I J tl rd i NnlTIe of Organization 101 orl / ~ D"... ....~ / f01bl LlL~ GC~ lJ12J - ~ t I q/ i NYS IdentifIcation Number ' lo:..-.:;::.","",,,,,,-~~==~-,- I ~ I 0 ill lQJ+ I D II Bl OFBCERS A.ND DIRECTOltS 5~CtIJ!~1-'-~- TI.!~E: J: (JSi nn~. ~drc~s!:,:- iUHi Uillc.s of b~nil ur ;:jj oH\cer;.;, I! 0r~~lili < ~"f~r~\;.:i;.~; ''', mOI:J,~J~E' '~'''r.C~'')olaiCU D;tl~f;";Qt~: ~~t}lt '\";:~TF~_EET ADDrzE~:S :,' c_{'.,...e II::r-"ftJi LL~ ~-;i L-\ i..,ry-~ I ! i~::...~~-t .:.....~!"-~t:-. .~-" <!;";~\fr_._~.,____: -.-. .~_--.----~ :-(-~~-I~- i / !. i i-'j~/~~i :-'J-.' i~I._/_i_ i i / ; :_! _/ ~!- ! ! i i 1_1_/-' : J ! I I I ! i -i-!/~'i-\ l_,_t-' ! ! ! I _1_/_/_1 ! I. ./ I I_I ______;:~~. t-. .", j ',. '~ f\.ttUC~l aCiilitl0i1al Sueet i~. necessw....y'. Cfl.'Y "':"1..i' , .-. I -_.-~-----'"'""" i i ------~- ; i " \ I SCHEDUl.E 2: ""'PM "'E'Ri:" -iN .-1~RC'k' V-v'',..., A 1\ITI-"C IVlIll ill 1 0 vJ,-.x.n --.U.LoI 4." ~__i'.,:,-,:,,:~ (MUST LIST AT LEAST fUUf; }~1~MBER5 OF' .AYf1LICANT ORGAJ--ii2/.1'"lON) DATE YEARS OF N,tJVf.E nF'RillTH IvIE:M:BERSB1P STREET i'..DDF..ESS CrT":{ ZU' ~i _ .. . ':...-. :': J-....J"1: ~f) ~ _...../ -~-~- -/ l.-~~! J! !.' 1 ~ i. ~ jt~....,t.e;,"- ~ 'i\ i, f f.- ;. rb i; ~ ;.i~4.~..';i ~ ~ rS- ~ ..... ::....~ "~~.. ~-:)~~L{ ~ ;:; ~\ifZ~l-> ,::.. 'i ___... '~~.' ~ ., ~- It<~_-f ".., ~---, ~,,- .- , t:\Ci}: , "" ,slid "" ~ i ~ lei q' _<,' ,'"; ;;:;\'i~i" Q-i-L~ ~;t=U'; i' 1": \: .':... . 'Li'" . 1 '~~-'- ,;,;~.;t,J..:,J {-' J ! !>~ : _?:,C' '-t-< ,-.")!',T"'- v\,0....'.3 ;.,..;t"" '\ ~_F;;"::" . ~H_ , ;.. ~;" ;:.~"~~~~~''-'~:' '.! .f:- . , ,~i,'i;,~i<2:~i ;".+.ii:SY:~ r:(~~L .,~ -,~ :i :~'~~;LL/I~-: 1 - : ~-' . I _.~__.,___~ I ..__________-----....-.~~~ 1 I. _~..-=- :;i -~! ,/ i __I , i j 1 ii' . _ 1 -=--......_ J i ___...___~_ j / ' I . 1__/- I 1 / I I I 1_-_-- SCHEDULE 3: AUX1LIARY/AI'r.l!J';.TE ORGld'tiZATIONS .l'"SSISTING AT (;AMES ,,"",'" ... ~ ;,,~.~~'..~.-'.::~';~: 'j: :_ ~_;._;_::~;:~~::__?!E::"'.:'~F7~V:1T:':; ~.A..C~ :6,t.JXTI_..!t. RYJAy'FitJATf. .uET~D !".f?JS'T' .FL"', V~:' n> ~'.-'. _ ".,., '"' ..-, t-; l~"'; ~\;-',~,'~-:'-?::':"'_, . ! r _ I.J)~'.D_I~~; \' / i't f'~'-U_J1 p-..;TIi t'~! f\j\,'1t..~ O..F (;l-i..;j"~ C 11) -;.IT 7 !\':= EF", .--~_.~-~----~-_.~.'"_.:--'-- ......_.....f-=-.~-.:- ~, i~.j.(-'(...:.:.;;, ~f~ct. :ii;;}J ,/ PD_S{~ '-If ') i~_l,.'.:. :",.:;~.,.:.i~_-..: :.'. :..:"1.,.:,,:.~.. ::'.'..:::~_~ ;".,-.:"'.~ .... "'" ,..., ... ~ .. -~ ~ ~- - ~~ ZHE~ ~; UlaUg ; iifl n~;i ii!i ;; 15; ;: Schedule 1: Officers and Directors WAPPINGER LODGE #2609 OFFICERS for 2008-2009 Title Name Address Town Zip DOB ---------------------- --------------- -------------------------- .----------------------------- .--------.-.---------------.-- - Exalted Ruler Rocco Valente 61 Fishkill Hook Rd. Hopewell Jct. 12533 06/06/1941 Leading Kgn Mark H. Fox 28 Tiger Road Hopewell Jct. 12533 09/15/1957 LoyalKgn Eileen E. Boyer 134 Andrews Road Lagrangeville 12540 01/02/1943 Lect. Kgn Vacant Esquire Anthony M. Storzieri 26 Cobey Terr. Poughkeepsie 12601 07/07/1936 Chaplain Catherine Rohling 54 Brothers Road Wappinger Falls 12590 04/22/1940 Inner Guard Vacant Secretary Robert M. Acquanita 10 Vorndran Dr. Wappinger Falls 12590 OS/25/1942 Treasurer Pamela S. Kultsar 58 Hillis Terrace Poughkeepsie 12603 02/01/1950 Tiler Susan Dorler 21 Valley Road Wappinger Falls 12590 03/29/1939 Trustee James Boyer 134 Andrews Road Lagrangeville 12540 11/28/1937 Trustee Salvatore Filippone 13 Ravine Road Hyde Park 12538 07/17/1931 Trustee Dana Mills Pawling Lake Box 17 Pawling 12564 02/18/1971 Trustee Joseph W. McDowell 127 Innis Ave. Poughkeepsie 12601 04/21/1941 Trustee Vacant No Officer receives compensation of any kind. ,"iO' "i i110!1"jOi, ,., ":"":.."",, ','r;'~I"::L"':W;J ""',' im'lHUO" v: u,J(nOn"",i "ffi'lilICi Ilf)(l ~U'.Hl"'" wi". ,..di ""'" W!l~: ;;"Ji'''' [',,,c;, ".""'" ''''C'C 'Hu,;;:" ilwH"..i.:~ (YJ 1~!..:Ul;:"::l;":: >:li,~;~n~LuilU;j 1;: U:IdIU~....., ZG~ w k~us; 'leur. ----~-,>...-.-_----._...,~~-_. ..- c'~L3)r~~___. _C_. \fClEltf/!e \-'. , , ~,l ; -'-~_4~...,_~______ --.............'__._~A... '--------~..~.-__w -.......,.--'"----.~----. ---------.--- .....--."'.__.._--_.-------....~. '-"..~-~------------.--------. . -...."........-------~._.. ,._----~-.-.~-._---- ---._~ ------.-_~~-- ----~, -~--------- --.~~..~- _.---.~~...._----- --- --..-- ' .-------- -~~ -='--- -'~~~-.....,.~,,-_.--...- --'-- ~------~-..=--- ------...-- --"~~._~.....--- ~~-~---' - - -~- ~~_'h___~ -~---'~.' ~ L DJ~GC-l.J;. (J..~t:r, ~liuJ) i / ; { , , I i I f ; / i ! , ! / I ! , f i , i j j 1\ 'X i~ \.tl_~ L.; f. J:~: 1 J-.< (.~.fc .~. , ) r. L~ LL.' fl-.: i\-,.ll~~f../r .r~ i-=r: .~:,~t-i L . f , , / i J , / i , I / ! i , I ! / j ! j I ! I ,f;,rf ,F ~-"'~..._-_.-.........-_-,~_.. -~...---~._~-- ---.~-- ---._--~. ., --_._-----------~~ ' -<..._----~-----.---~_._~~._., -----._'~.~_.~---.._.~--- ....~--_.,----------.~-_.._~...----------_. ---'-'-"'-'--'-'~-~-. ~--""'--~--'-'-.'~-~_T'-'__.'_.. __~_________~__ ______.___ ----~.....-----~~~---~- "'-"'~. ~---......__.. ~'~_.~~._--~-"----- ~------......'"-------- ' --~..~._------~._-..~..,_. I~~_- --~-----,.,~-~.------------- <.. ._--~-~--'--- ------~-- -.---......______-........u ~~_~_.~_=___________,.._.___ ______~. -'"'-----------._--~~~---- ---..~._-------- -~----- -----=~_._~-. .....-~---- .'~--'--'--- --- ~~ -------.~o_~__~_________ '''-__ ----.~----._---."..~-~,~-~ =----.._~,.~..~. -------. ...._--.-~------- -~--! i ---------....-~...~~~. --- . - -------.....-._--=-----1 -~-------------.----..--- -----.--,-~.""--.------~- -~........-- ..~,"""'"~-------~~.~.....- 'liUUdJ shet:t ~l nt-Cc:--;~ar.y, i!ij illlil 11; Ii ill; II. ltl,:,,- mr ., ii!! l!ilH m H If I II P,~gt' 2 UJ ') Schedule 4. Assistants to Members in Charge of Games Years First MI Last Name Address Town Elk DOB Frank Abato 39 Kensington Drive Hopewell Jct 11 04/24/1940 Philip A. Abbate 6 Hackensack Hghts Rd Wappingers Falls 18 05/16/1937 Robert Acquanita 10 Vorndran Drive Wappingers Falls 22 OS/25/1942 Ralph J. Anzivina 12 Thorns lane Highland 22 12/21/1935 Henry J. Boldrin 28 Gold Road Wappinger Falls 15 01/11/1936 Harold A. Crawford Sr. 318 Sunset Hill East Fishkill 18 02/23/1936 Francis J. DeGano 27 Brandy lane Wappingers Falls 18 07/1811946 Roger DeJordy 83 Kent Road Wappingers Falls 18 09119/1944 Robert Fischetti 91 Ardmore Drive Wappingers Falls 28 06/07/1926 Mark H. Fox 28 Tiger Road Hopewell Jct. 14 0911511957 Harris C. Jones 217 Brothers Road Stormville 18 04/24/1944 Robert J. Juliano 2776 West Main Street Wappingers Falls 13 10/05/1953 William K. Minkowski 427 McGrath Blvd. Fishkill 28 03/2011942 Rosemarie Perretta 35 Cathy Road Poughkeepsie 8 0910711943 Gregory F. Sarno 13 Dana Place Wappingers Falls 28 07/01/1936 Kenneth J. Tucker 34 Pawling lake Pawling 9 Robert N. Wallner 7 Kinry Road Poughkeepsie 19 01/17/1933