Knights of Columbus
r
GC-2
NYS RACING & WAGERING BOARD
I Watervliet Ave. Exl., Suite 2
Albany, NY 12206-1668
Telephone (518) 453-8460 Fax (518) 453-8492
www.racing.state.ny.us
APPLICA TION FOR:
PLEASE CHECK
GAMES OF CHANCED
BELL JAR -:i!ir
RAFFLE 0
-,
FOR OFFICE
USE ONLY
I
Municipal License Number
$1 iE/tit) I [ill] / cmJ / [fl1J
Fees Received Date
INSTRUCTIONS: PLEASE FILE THREE SIGNED COPIES WITH MUNICIPALITY
GC - [IE] - CiliEJ-lliUJ - ~
N.Y.S. Identification Number
IT IS A MISDEMEANOR TO MAKE ANY FALSE STATEMENTS IN THIS APPLICATION
To L0,~ (") -+ LDo. ffi'N ~<e ~ Ul.-\. t c he s.s
Name of Municipality County
fYl l.\.
2. Address ::t E 4. ~ +- fY) a. " I'.:J ~ + I U0" P ;'r..:> 'li..e ~ h II s. N Y
3. Has applicant ever been denied a games of chance licenser 0 Yes ~ No If "yes", why?
(Attach extra sheet if necessary)
1.
4. Check type of organization and, if applicable, gi ve the State and date of incorporation.
Corporation 0
State incorporated
Incorporated Association 0
Unincorporated Association 0
State incorporated
Date[TI/[TI/[O
Date[TI/[TI/[O
Individual
o
5. Did your corporate status change since your identification number was assigned? 0 Yes 0 No
6. Are you doing business under a trade name? 0 Yes ,roNo 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. 2. E (Y\ A ,. ~ S-\
8. Name and address of authorized games of
chance lessor renting to applicant.
6'J{fI-
9. Does the applicant own the premises? ~ Yes 0 No If "yes", how long?
Lflyll.s'
3) q
10. Capacity for public assembly of premises presently owned or occupied.
11. Have premises been regularly used? ~ Yes 0 No If "yes", how long?
Are games of chance being played now on these premises or has it ever been? ~ Yes 0 No If "yes", give full details.
12. Are the premises or any part thereof
where games of chance are to be played
licensed by the State Liquor Authority?
/)' Yes 0 No
If "yes", state the type of license and number.
,~L S 4:
rJ.lt3
13. Has such license ever been
revoked or suspended? 0 Yes
~No
If "yes", why? (Explain on a separate sheet, if necessary, and attach.)
L BJ-GC-2 (Rev. 4/03)
Page 1 of2
11111111I1 II 11111111111 111111 ~
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PART C. PURPOSES OF GAMES
14. State the specific purposes for which the entire net proceeds ar to be devoted and in what manner.
Glve,..JO 0.. vS C
I swear (01 affirm):
1. That ALL the attached Schedules are a material part hereof and are incorporated herein as if set out in full in the application. All the answers
conta'ined in this application are a material part hereof.
2. That 1:he entire net proceeds of all games of chance shall be devoted exclusively to one or more of the "lawful purposes" as defined in the Games of
Chance Licensing Law and the Rules and Regulations of the Board.
3. That for each license period for which a license is sought, one or more of the active members under whose supervision the games are to be held,
oper~lted and conducted, who is familiar with the Games of Chance Licensing Law, the Rules and Regulations of the N.Y.S. Racing & Wagering
Board and local licensing ordinances or laws, will be present at all times, in charge and primarily responsible for the conduct of games.
4. That the undersigned will be responsible for the holding, operation and conduct of all games of chance in accordance with the terms of the license,
the provisions of the Games of Chance Licensing Law, the Rules and Regulations of the N.Y.S. Racing & Wagering Board and with the provisions
of local licensing ordinances or laws.
5. That the undersigned has read and is familiar with the provisions of the Games of Chance Licensing Law as amended, the Rules and Regulations
of the N.Y.S. Racing & Wagering Board, and the local licensing ordinances or laws.
6. That no commission, salary, compensation, reward or recompense will be paid to any person for holding or assisting in the operating or
conducting of the games, except to bookkeepers or accountants for professional services in an amount not exceeding that fixed by the Board.
ST ATE
Ji;f/-) J/, etlcr;}~
Print Name
[]]Q] / [ili] / 02J
Date
NEW YORK
}ss
COUNTY
00'le-N e-SS
OF NP/~(J("f...S rlitLLS
CITYITOWNNILLAGE
~if;J N. C-/.I4J7JM being duly sworn deposes and says that (4)he is the person above named,
that OOhe has read the foregoing statement and the answer therein noted, and that such answers are true and that (s)he has personally
affixed his (her) signature to this affidavit.
Sworn to before me this / () lJf day of /Je:rvLrrd( ,20 ()7
~
6R.~ PI:S'.ti~o)
Notary Public
'~nd
Signed ~
AJ
Commissioner of Deeds
My Commission expires
1~.tX./r;
,20 /0
BRUCE PISANO .
Notary Public, State of New York
01P/4975784 Dutchess County
Commission Expires I;'.af.,. (l0(0
L BJ.GC.2 (Rev. 4/03)
Page 2 of 2
III I 1111 1I11 II 1\111 II 11\ \\111 ~
r
, GC-2A APPLICA nON FOR GAMES OF CHANCE LICENSE
NYS RACING & WAGERING BOARD
I Watervliet Ave. Ex!., Suite 2
Albany, NY 12206-1668
Telephone (518) 453-8460 Fax (518) 453-8492
www.racing.state.ny.us
--,
~lGH-T'
Name of Organization
GC- [ill] - GIiJiJ - GIQli] - ~
NYS Identification Number
SCHEDULE 1: OFFICERS AND DIRECTORS
List names, addresses and dates of birth of all officers.
If organization is a corporation, or an incorporated or unincorporated association, list officers and directors.
, TITLE . . NAME DATE OF BIRTH STREET ADDRESS CITY ZIP
GIl.A,Jj ,w-9kt -1~;;-1AJ CI1erA.le~ 1--21 Ol? 1 0~1 9E//z.-?6L'7#'~ uJ1r'/ hll-s , /.;zsYb
}JEt GeMJl,)'.41lrtJ . /.#p A.b.>T~1 II / ,,2/ / ~:) I $/0 ;f{M~y 4.c/..1 i,;/~~ /~3
G! /ltf#c.C' /Io~ I~/ ~ 8~a/A./ I ~ 1.;< 1 6)/ I 02S 7A/#.o ~ .1. A . /~ /~ I
-;~L-~e/l I ,,~,{ fLhutdLI3 1~15V5#~/e,.e ~.I~/.ph.6-I/~J9o
'11c:.'~.5i/~~' Gi/~~r II~ ~I IS I 32. IltJSAdL'c/t.<.KJLJd af ' // ~.I.61 /..z57o
!i1J.i(J~~ }jtH/1Z~ PIli I 3 / ~ / 371 0' -011/5 lEd 1 ~tlfh,t.,<~~'1 12462
UZJ ' I ~/l _ f ~ I a 12LI b31 ~ / L'4V61M'//. 0>1 affo
tYJ~r-r..L ~~1:.: (j.?~ :uJ1 /.l- / t2il / 60 I vi' 5. ~fN'e ~1u4',t1/ ';/1; 1 B .57'0
fd-V1J7bt- '-n, J,.;... Li/AdL I ~ I .26 1 ~_-' I.~ ,4,lj.:5~,e/l- Mtd(// /4/8 I /~J7'o
-:f,tu;lru- 1 /ldOL/ 4'1 1.3 / I~ / .il..19/ /I/,k, 1$U. IPoq).b~#.d Id("c.)
, 1_1_1_' I' I
Attach additional sheet if necessary.
[TI/[I]/[I]
Date
SCHEDULE 2: MEMBERS IN CHARGE OF GAMES
(MUST LIST AT LEAST FOUR MEMBERS OF APPLICANT ORGANIZATION)
DATE YEARS OF
NAME . OF BIRTH MEMBERSHIP STREET ADDRESS
JtJp'''~ OGNNCR I-I-LI ~/.[LI :l-S I, 1-1-l-;~ ~ <;. -\ .
.-JDI,.~ ('''L~Rntc.f'J 1-3-1 dAD I s":11 ,cr lit) Cc-y'-<.~c OR.
....lolr.,v SiMO~s.. I-1.LI.1..1--1 2..t...1 d- I 151 u'(!/Io.:..&o 2 I",..}
{Y)~)( j) <\. 0 I.-J...:b. I ~ I 63 1 C:" I ~ Dwy ~~ l.-.~N e.
. I I I I I
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1_1_1_' I
1_1_1_' I
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CTIY
I W<i.f P P",- t \ .li.
I (}.)C,f f Fi., /I ~
I U)'<! ()f Fe, It ~
I I ---ll
Wrf rcc ~
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ZIP
1/2S"'IO
I i 2 {-q 0
1 12 S~ 0
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SCHEDULE 3: AUXILIARY/AFFILIATE ORGANIZATIONS ASSISTING AT GAMES
(MAXIMUM OF2 AUXILIARIES/AFFILIATES. EACH AUXILIARY/AFFILIATE LISTED MUST HAVE ITS OWN lD NUMBER,)
NAME OF AUXILIAR Y/ AFFll.,IA TE
GAMES OF CHANCE ill NUMBER
L BJ-GC-2A (Rev. 4/03)
Page 1 of2
1111/111111111111111111111111 -.J
I SCHEDULE 4: ASSISTANTS TO MEMBERS IN CHARGE OF GAMES -,
List all members of applicant organization and members of authorized affiliates and auxiliary who will assist with games. Each person listed must be a
member of applicant orp;anization or affiliate for at least 1 year.
YEARS OF
MEMBER NAME . DATE OF BIRTH MEMBERSHIP STREET ADDRESS
1_1_1_1_1
1_1_1_1_1
1_1_1_1_1
_/_/_1_1
_I _I _ I _ I
1_1_1_1_1
1 1 1 1 I
1=1=1= 1 = I
I 1 1 I 1
1=1=1= I = I
1_1_1_1_1
1_1_1_1_1
1_1_1_1_1
1_1_1_1_1
1_1_1_1_1
1_1_1_1_1
1_1_1_1_1
1_1_1_1_1
1_1_1_1_1
1_1_1_1_1
1_1_1_1_1
1_1_1_1_1
1_1_1_1_1
1_1_1_1_1
1_1_1_1_1
1_1_1_1_1
_I _I _ 1 _ I
1 _I _ I _ I
1_1_1_1_1
1_1_1_1_1
1_1_1_1_1
1_1_1_1_1
I 1 1 I
1=1=1= 1 =
L BJ.GC-2A (Rev. 4/03)
CITY ZIP
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Attach additional sheet if necessary.
Page 2 of 2
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I 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 for Ve23s Ni2hts and Bazaars onlv: 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)
LIST THE MAXIMUM AMOUNT OF PRIZES
TO BE AWARDED FOR EACH TYPE OF
GAME OF CHANCE (GAME BANK)
at $
at $
at $
at $
at $
For Merchandise Wheels, Bell Jars and Raffles, please complete the appropriate spaces below.
MERCHANDISE WHEELS:
INDICATE NUMBER OF
MERCHANDISE WHEELS
(NO LIMIT)
THE TOTAL AMOUNT OF PRIZES FOR
EACH MERCHANDISE WHEEL SHALL
NOT EXCEED $10,000 AND NO SINGLE
PRIZE SHALL EXCEED $250
BELL JAR:
INDICATE IF THIS APPLICATION
IS FOR A BELL JAR
LICENSE
YES~ NO D
THE TOTAL AMOUNT OF PAYOUTS
FOR EACH BELL JAR DEAL SHALL NOT
EXCEED $3,000 AND NO SINGLE PRIZE
SHALL EXCEED $500
RAFFLES:
INDICATE IF THIS APPLICATION
IS FOR A RAFFLE
LICENSE
YES D NO D
IF YES, LIST RAFFLE DATES, TIME(S)
OF DRA WING(S) AND PRIZES 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 THAT A SINGLE PRIZE OF
$100,000 MAY BE AWARDED IF SO
INDICATED IN SCHEDULE 5
L BJ.GC-2B (Rev. 4/03)
Page 2 of2
11111111111111111111111111111 -1
TOWN OF WAPPINGER
TOWN CLERK
SUPERVISOR
JOSEPH RUGGIERO
CHRIS MASTERSON
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
November 9, 2007
Adrian Anderson, Sheriff
150 North Hamilton Street
Poughkeepsie, New York 12601'
Dear Sheriff Anderson:
Enclosed, please find a copy of the "Members in Charge" of Knights of Columbus,
#1646,2 East Main Street, Wappingers Falls, who will be selling BELL JAR tickets
on their premises throughout the year 2008.
I would appreciate your review of the application and then would you please
complete the "Findings and Determination" form attached.
Thank you for your attention to this request and your prompt reply.
Yours truly,
........
r-
GC-4
NYS RACING & WAGERING BOARD
J Waterv]iet Ave. Ex!., Suite 2
Albany, NY 12206.]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
GC - [IT] - [Z[[!!] - !k[il[] - ~
N.Y.S. Identification Number
fvl/J tV tJ f UJ fJP~'~ Gtj(
Name of Municipality
I
S
Name of Applicant Organization
. ~ ll15 r JJJIJ/N
Address
(!~ I- It
/j/IJ fJ;J;/I}(fll!5 flJ!l-5, N.l
Sflitf1
/
1<<51#
After investigation, and a hearing if required under Sec. 192 of
have been made:
1. All the members-in-charge designated in the ap .
character and have never been convicted of a
Signature of Person Conducting Investigation'
Municipal Law, the following findings and determinations
of chance are of good moral
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 everyrespect 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 La be paid to an authorized games of chance lessor is reasonable.
10. Other findings: (Specify)
DNo
/
[2f Yes DNa
mYes DNa
0' Yes DNo
ui Yes DNo
gYes DNa
LZl Yes DNa
I2f Yes DNa
L21 Yes DNa
DYes DNo
TO BE COMPLETED BY MUNICIPAL CLERK: /
As a result of the findings and determinations stated above, license is GRANTED roicense is DENIED 0
Signature of
Filing date of Application Authorized Officer
Date \ \ \ '2.4 07 Title /((1'1N-A C~-..
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) /111/1111111111111111111I1111 --.J
,fi"'"
r'
. GC-2A APPLICATION FOR GAMES OF CHANCE LICENSE
NYS RACING & WAGERING BOARD
J Watervliet Ave. Ext., Suite 2
Albany, NY 12206-1668
Telephone (518) 453-8460 Fax (5 J 8) 453-8492
www.racing.state.ny.us
I
NlGH-T
Name of Organization
GC-rn-~-GQJJ-~
NYS Identification Number
SCHEDULE 1: OFFICERS AND DIRECTORS
List names, addresses and dates of birth of all officers.
If organization is a corporation, or an incorporated or unincorporated association, list officers and directors.
TITLE ' NAME DATE OF BIRTH STREET ADDRESS CITY ZIP
bl2-lflllJ) ~9kt -ft:JrlA) Cl1e77Ue~ I :71 ~'7 I 0~' 9EIIz.~6~7d'fu.4 ur// h/~ I I.;<Syb
'EI'GeA@.<41h~ hI.d 14.<1 M$"p'-wl // / h / ~J I S/~ /tffd/hy J.Z:d.1 i;)-~.d /~3
C!/l4,tt/c.~//o,e I///L> 13~a/A../ I~/..;< 16)/ I ~.s -7A/#.6ff~.I.: .1/4 /LI/~/
fecor-~erz I 1>(CII/fA-lJ .1JfV//I./tJ11..3 I :3Z.151/511~/e~ ~.I ~/.p~1 /~ ffo
'~L'-4..5i/~.e1 Gi ItrLT lI/Jh.."~p~1 /5' I 32 I /tJSAe,ti(~c/(.J.j:)t)d ~ ~/ A7/.6/ /tZ 570
11.id:f iCME. /&/1, I~/ /.,;{ /37,1 q/ 4145 lCd l!I'tlfA.&,tIL-1 /~~p3
VLX! . I ~ ac I hi- I ,2LI b,:) I c::< I tA L4Ve,1 u/#//. /L~ I QJ Yt:)
k)U'.'/Si;:-r.) u:~~ (j.? :uJ1 M / Oil / 60 I IFf,5. ~fH'e f.t.1uA'P'/ ;;'$ 1 B 570
.fd,V'57t4- l-n: J".'. tYAck I~I 026 I 6.f I It, 4~':5~e,4. Zllttf/p' /4/~~ IlcZJ7o..
'1/tVjrt€.- IlIdCl~j I~.euy' I~I /c:t.. I .::;7 19/ /1//11.:> fiu. IJbclf),k/#'J I;?~o../
I 1_1_1_' I ' , I
[D/[D/[D
Date
Attach additional sheet if necessary.
SCHEDULE 2: MEMBERS IN CHARGE OF GAMES
(MUST LIST AT LEAST FOUR MEMBERS OF APPLICANT ORGANIZATION)
DATE YEARS OF
NAME . OF BIRTH MEMBERSHIP STREET ADDRESS
JLJt"'~~ C)G,NNoRI-I-LI~/~1 ;;"0 I. 1-I-L5~ ~-1 .
~ol,.~ (~bR~c.t-J I~I ;AD IS"'3-1 I cr I If:) cc-Y'-'-5c OR.
....lolnf'i S;MOr->!,. I--.iLI.l.k-1 ~I d- I ISI lJ-e1 ~~&D Blvd
fY!ct.x })I{O 1--1.:b.1 ~I 63 I C::, I ~ b~y"'~ i.-a.N e
, '_1_1_' I
'_1_1_' ,
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1_1_1_' I
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CITY
11.,d"lfP F"...l \~
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1 LA')", r)f Fe, /I <..
I Wf( ~ll::,
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ZIP
I /25""0
I , 2 s-q ()
1'2::590
I 1 '2.S'l D
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SCHEDULE 3: AUXILIARY/AFFILIATE ORGANIZATIONS ASSISTING AT GAMES
(MAXIMUM OF 2 A UXILIARIES/ AFFILIATES. EACH A UXILIAR Y/ AFFILIATE LISTED MUST HA VB ITS OWN lD NUMBER.)
NAME OF AUXILIARY/AFFILIATE
GAMES OF CHANCE ill NUMBER
L llJ-GC-2A (Rev. 4/03)
Page 1 of 2
1/11/111111111111111111111111 -.J
"'"
r SCHEDULE 4: ASSISTANTS TO MEMBERS IN CHARGE OF GAMES .:-1
List all members of applicant organization and members of authorized affiliates and auxiliary who will assist with games. Each person listed must be a
member of applicant organization or affiliate for at least] year.
YEARS OF
MEMBER NAME . DATE OF BIRTH :MEMBERSHIP STREET ADDRESS
1_1_1_1_1
1_1_1_1- \
I 1 1 \ \
=1=1= 1 = 1
_I _I _ 1 _ 1
1_1_1_1_1
1_1_1_1_1
1_1_1_1_1
1_1_1_1_1
_/_/_1_1
_/_/_1_1
_/_/_1_1
1_/_/_1_1
1_/_/_1_1
I 1 1 I I
1-/-/-1-1
'=1=1= 1 = I
1_/_/_1_1
1_/_/_1_1
1_/_/_1_1
1_/_/_1_1
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1_/_/__1_1
1_/_/_1_1
1_/_/_1_1
1_/_/_1_1
1_/_/_1_1
1_/_/_1_1
1_/_/_1_1
1_/_/_1- \
1_/_/_1_1
1_/_/_1_1
1_/_/_1_1
1_/_/_1_1
RT_r-r_?A m..v.4103)
Attach additional sheet if necessary.
Page 2 of 2
CITY ZIP
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I
GC-5
NYS ]{,ACINCj & WAGERING BUARD
I Broadway Center, Suite 600
Schenectady, NY ] 2305-2553
TelephOI~c (51X) 395-5400 FaA (SIX) 347-]469
ww\\',racing,state,ny, us
LJCENSE TO CONDUCT
GAMES OF CHANCE
PLEASE CHECK
GAMES OF CHANCE 0
BELL.JAR ~
RAFFLE 0
~
I
GC - GLJ - GLLJ- GLLJ-
N,Y,S, Identification Number
This License Must Be
Conspicuously Displayed
During Conduct of Games
$1 25.00 II
Amount of Fee Paid Lessor's License Number
The i()]jowing organization:
Address: 2 Main Street City: WappinJ?;ers Falls, NY
Entire net proceeds to be devoted to the foJlowing specific lawful purpose(s):
Zip Code: 12590
To be given to various charities
Names of Members in Charge
Mr. James 0' Connor
Mr. John Gorman
)ofT lohn S;mon!':
Mr. Max Dao
LICENSE PERIOD
DATE
1/01/08-12/31/08
DAY OF WEEK
HOURS
TYPE(S) OF GAMES
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
$
I NUMBER OF GAMES EACH GAME (Startmg Bank)
I THE TOTAL AMOUNT OF PRIZES FOR EACH BELL JAR I
IDEAL SHALL NOT EXCEED $3,000 AND NO SINGLE PRIZE i
: SHALL EXCEED $500, I
THE MAXIMUM AMOUNT OF PRIZES TO BE AWARDED
FOR EACH MERCHANDISE WHEEL
$
NUMBER OF WHEELS
EACH WHEEL
I
GAMES SHALL BE PLAYED IN ACCORDANCE WITH I
ST ATE LAWS AND RULES AND LOCAL ORDINANCES OR I
LAWS. i
I
Issued by Town of Wappinger
(Name of Municipality)
(Date)
Town Clerk
/"'J I i~(T~]e of Authorized Officer)
( .. .\ "'lftl' I --I
,~k--C j'ii'-r.>~~
I (fignature of Authorized Officer)
( /1111111111111111111111111111 -.J
November 20, 2007
L BJ-GC-5 (Rey. 3/(6)
TOWN OF WAPPINGER
TOWN CLERK
CHRls MASTERSON
TOWN CLERK'S OFFICE
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590
(845) 297-5771
FAX: (845) 298-1478
January 2nd, 2008
New York State Racing and Wagering Board
1 Broadway Center, Suite 600
Schenectady, New York 12305-2553
Subject:
BELL JAR LICENSE - Knights of Columbus #1646 - 2008
Please find enclosed the GC-2, GC-2A, GC-4, and GC-5 for the Knights of
Columbus #1646 for the year of 2008.
SUPERVISOR
JOSEPH RUGGIERO
TOWN COUNCIL
WILLIAM H. BEALE
VINCENT BETTINA
MAUREEN McCARTHY
JOSEPH P. PAOLONI
TOWN OF WAPPINGER
TOWN CLERK
CHRIS MASTERSON
SUPERVISOR
JOSEPH RUGGIERO
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
January 2nd, 2008
Knights of Columbus #1646
2 Main Street
Wappingers Falls, New York 12590
Attn: John M. Chetner
Dear Mr. Chetner:
Please find the attached Bell Jar "License to Conduct Games of
Chance" for the year 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,