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Knights of Columbus (2)TOWN CLERK Christine Fulton 20 MIDDLEBUSH ROAD WAPPINGERS FALLS, NY 12590 W W W.TOWNOFWAPPINGER.US (845) 297-4158 -Main (845) 297-5771 -Direct (845) 298-1478 -Fax Office of the Town Clerk January 4, 2012 New York State Racing and Wagering Board 1 Broadway Center, Suite 600 Schenectady, New York 12305-2553 Subject: Knights of Columbus SUPERVISOR Barbara A. Gutzler TOWN BOARD William H. Beale Vincent Bettina [smay Czarniecki Michael Kuzmicz Please find enclosed the GC-Z, GC-2A, GC-2B, GC-4, and GC-5 for the Knights of Columbus for the year of 2012. . a~ Christine Fulton Town Clerk Town of Wappinger CF/cf TOWN OF WAPPINGER enc. 1 GC-5 NYS PACING ~ WAGIvRING BOARD 1 Broadway Center. Suiie 600 Schenectady, NY 12305-2553 Telephone (Sl8) 395-5400 Fax (518) 347-1469 www.racing.state.ny.us LICENSE TO CONDUCT GAMES OF CHANCE PLEASE CHECK GAMES OF CHANCE LEI BELL JAR ^ RAFFLE ^ Gfv- 1 3- 2 1 9- 6 0 1- 0 2 1 2 0 N.Y.S. Identifcation Number The foil Address: 2660 East Main Street Ctty: Wappingers Falls Zip Code: 12590 Entire net proceeds to be devoted to the following specific lawful purpose(s): Support charities run by Saint Mary's Church and Mount Alvernia Names of Members in Charge James O'Connor John Gorman Thomas Lynch III John Simon L]CENSE PER]OD DATE DAY OF WEEK HOURS TYPE(S) OF GAMES 02/04/12 6:O~pm-12:OOam RAFFLE DRAWING DATE THE MAXIMUM AMOUNT OF PRIZES TO BE AWARDED FOR EACH TYPE OF GAME OF CHANCE NUMBL-R OF GAMES EACH GAME (Starting Bank) THE TOTAL AMOUNT OF PRIZES FOR EACH BELL JAR IDEAL SHALL NOT EXCEED $3,000 AND NO SINGLE PRIZE SHALL EXCEED $500. Issued by Town of Wappinger (Name ofMunicipality) V (Date) BJ-GC-S (Rey. 3/U6) ~~ d: .~ ~a , 1 ~~.: c.! ... I•~~; I.LVIt1N ~~ C~ This License Must Be Conspicuously Displayed During Conduct of Games DRAWING TIME DRAWING LOCATION AMOUNT OF RAFFLE PRIZES (Cash or Merchandise Prizes at Fair Market Value) THE MAXIMUM AMOUNT OF PRIZES TO BE AWARDED FOR EACH MERCHANDISE WHEEL NUMBEK OF WHEELS EACH WHEEL GAMES SHALL BE PLAYED IN ACCORDANCE WITH -~ STATE LAWS AND RULES AND LOCAL ORDINANCES OR LAWS. Christine Fulton Town Clerk (Title of Authorized Officer) (Sign e of Authorized Officer) IIII III I II IIIII II II IN i III Ill _.__I 1 2 0 2 $ 25.00 ~- Municipal License Number Amount of Fee Paid Lessor's License Number 1 GC-4 FINDINGS AND v NYS RACING & WAGERING BOARD DETERMINATION ] Watervliet Ave. Ext., Suite 2 Albany, NY 12206-]668 FOR GAMES OF CHANCE ~ Telephone (518) 453-8460 Fax (518) 453-8492 LICENSE ~ _.;. www.racing.state.ny.us C'jC"_ 1 3- 2 1 9 - 6 0 1- 0 2 1 2 0 1 2 0 2 N.Y.S. Identification Number Municipal License Number Town of Wappin¢er Dutchess Name of Municipality County ~ K ~ n ~ i ~ g ~ h ~ t ~ s ~ ~ o ~ f ~ ~ C ~ o ~ l ~ u ~m ~b ~u ~ s ~ { ~ ~ ~ ~ ~ ~ ~ Name or Applicant Urganizahon 2660 East Main Street Wappingers Falls, NY 12590 Address After investigation, and a hearing if required under Sec. 192 of a General Municipal Law, the following findings and determinations have been made: 1, All the members-in-charge designated in the ap on et g s of chance are of good moral ~s ^ No character and have never been convicted of a ' Signature of Person Conducting Investigation 2. Applicant is a qualified authorized organization as defined in the Games of Chance Licensing Law. L~Yes ^ No 3. All the members designated in the application to conduct games are bona fide active members of the applicant ~] Yes ^ No organization. 4. The prenuses presently owned or occupied by the applicant are in every respect adequate and suitable for ~] Yes ^ No conducting games of chance. 5. The games of chance are to be conducted in accordance with the provisions of the Games of Chance Licensing Oyes ^ No Law, the Rules and Regulations of the N.Y.S. Racing and Wagering Board, and local ordinances. 6. The entire net proceeds are to he devoted exclusively to one ore more of the "lawful purposes" as defined in the ~] yes ^ No 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 ~j Yes ^ No 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 $] Yes ^ No provisions of the Games of Chance Licensing Law. 9, If applicable, the rent to be paid to an authorized games of chance lessor is reasonable. ~] Yes ^ No 1Q. Other findings: (Specify) ^ Yes ^ No TO BE COMPLETED BY MUNICIPAL CLERK: As a result of the findings and determinations stated above,lscense is GRANTED ^: license ' DENIED ^ Signature of _' ~ ''^.~ ', ,~ Filing date of Application 12 / 15 / 11 Authorized Officer v "~• (Municipal Licensing Authority) Date i~7 J ~U~ ~ Town Clerk Title ONE COPY OF THIS FORM TOGETHER WITH ONE COPY OF FORM GC-2, 2A, 2B MUST BE RECEIVED BY THE N.Y.S. RACING AND WAGERING BOARD FIVE DAYS PRIOR TO THE FIRST AUTHORIZED LICENSE PERIOD. L BJ-GC-4 (Rev. 4/03) III it IIIII ~ II III IIII II I II III) . GC 2A APTLICATTON F+alt GAMES OF CHANCE LIC~IVSE NYS RA~4f3 ~ WAC~RlNfi BOA[tD ! WaOervliet Ave. Bx~.. Subs 2 Atbvq, ICY 13206-1668 Taiepllooe;SlB)4i3-8460 Fa~c{S~8)453-8492 -~--- 41 J; ~ ; . ,,,,,,_ ~~~ L~I~i~ l~I~-I~ Isl lol~-I Idol"~lul~~l~lc.~ls{- ~l ~~~~~~~ Name of Or~aniast~oa ~- ~ ~- 2.1 ~ - col -Q2~ Zp ~ / / 2~ l ~ ~. NYS on Dsbe ~Ui~ ~: - OFFICEi~3 ANI3 DIRECTi4BS Lt.a~.dd~ana aoa does of binb of as ofboas. r is a oo~yowdun, ar m hwoiponroa a w~inoapoaoed aNOdedae, We aeeons and dLeaos. • T!'ILE NAME DA~Ii ~3~P~B' /r~~~~`1/ f .STRB~BT -ADDRESS QTY ZIP {Lf~i.,b__ ~1~~ +tic o }.~, I' Z l ~l J.../ i S WSQ1J fi LU 1 WG~' ~ • /Z ~ ~ )2~~t ~, k I Q „ ~~'1.~k6CK R _Li~.l t../..~ I Ll ~'~• 5» or i" v Lo ~ ~ 1 z S2 l-} d q 1, L (4 w-~ ~g;_S C t ~ ~ 7~U ~~~ ~~~~~ ~ t g qu~FYy y D,~~'ye~ w ~; ~ ~,.s F-~.~llr i~ SR o ~~snUq 1721 ~ ~'~~(-~(1Q 6 t~,lt~~_.8.~~~..1~ ~ b~ s. 1'i~l$ S ll°'' I~"U~ LV)91°f~y ri~_~.rr5 -~ ~S 1 1~~R -~ wutN S z ~ ,~ ~- ~ k~~+,.~~~~ ~ ~ 3 P ~ y I 1 `s nee ~ v~,~ ~s ~__._._.._ ,,un~ ~.~ ,G/1~ ~ ~s9o l iU~z.Sr-~2~ ~ '~./tJ~X { 1.~! .a~.l._~ ~ ~ _ ~' b w_'~~'r L. ~ r~ L ~ W ~- D P ~ ras,ri~ s t~~ d/s / a s gD t ,- `` ~,~1 2b rL-c ~u3t> ~~1 ~~~,~ 1S3 oLdl Posi Rd ~m{#vl b o ~ 2/r L ~ ~"os-e,,o~~ V~.,~?t~tt.~~e. j~~~~~ ~ ~I ~u ~,~ o r,` v -~ ~ 1,~~ ~, h ~A,~ ~C ~ i (~~o~, ~ o;M~ (J~~t'tY-'t~_~~..J ~~.labo$ srrrt Ro~~3~1~ r.~,~~o~'N~~s ~~is ~r~.u) ~ t3c,~,~ta~t~ SA~3{,~~~~~~ 33SS~Ht-4f~ Ro ~wf-PP%Ny~trs Falls /Ls'9D r--- l6~~_,~ iR~~t~ I~~"a(~.d~ ( 7 ~ 2z l 83 ~$~I ruNeet.~~ ~;tl ~cv~~P,.N~~s ~~~s lzs'go ' ~ Attaci~ a~iga®ai sheet if Y ~ . _ iCHEDULE 2: MF.11+iBERB IN CHARGE OF GAIV~S or1L~Si'3.~'!'AT I~ASTl~R11+IBiNH6R8 OF I1PA]CAN~'-0R8AN1Zl~'!'i01~ Di~'iE " 'YEARS OF NAML OF BIRTii 11~BRSHIP STRBi?P ADDRESS CITY ZIP t"-~~ C?`C'c) f 1 ~~S•~~~ 3~c~ .~. 1 ~tcrrr. Sr) r . (cv,4rapi~g2as ~il~~ ~i~Z~~~ ~o~ ~ G01~.R~iA~I ~ 3 ~ ~ ~,~...~ ~_~ i0 uc~ ,D a~~.~ ~w p- .~ G ~ )sL ._~ 3~oh,~ ~N.~el~ cz ' ~7 l 1 S' _ J !o ~' 2 I ` l ~ 2 Zo l l ~ 9t H y r ~ Po u 1. ~ 2 ~_ kp~ s; r 1 !~ a 3 f~~ r~rr~zl.~~ ~ /.~I ~ .I'7 .g~v~ 1 ~~.~.~-- ~c~r+-~~~c s) lL~~o roh ~, C'. l~-r~>v~~ I ~ j z q / ~ y I, ~ y ~ ~ ~~~1c~P w l Z , O Jl~l'U2 "~~pCUt~ { ~ ~ z ~ !v ~ l tD ~ ZS 1>JNI~ ~}1/1° • { ~ou~~ upep5i Y l ~y (o v 1 ~ C~ST2.f1~ ~zz,j ~ i ~ r ~ ~ ~i`5"") „~_~ .~ (~ ~+2~.t~~ .~~~~~,~ tyfi-V~i ,en ~ ~k l I Z 5 ~i U ~CBEDLTLE 3e AIT%YLIARYlAFFII.iA3'E OBGAI~t~l1TI+01~5 A88#STING AT GAMES . (MA7CS1dti~[ OF2 AUXII.iARUlS/APAII~A'18S. HAat~1 AUXSaAR~C/l1R~SIATSISIBD MUS? HAV8It8 OWIV ID NUI~R,) NAME OF AUXILIARY/AFFII.IATE GAMES QF CHANCE ID NUIyigIIt i RAf2TVCi ~ WAO~iG BOARD aAxvRet Ave. ~.. Suiee 2 ttty, IVY 1206-1668 phone (518) 453-8460 Fex (SI8}453.8492 v..wtn.ny.~u GANG OF CHAN(:B~ BB~.r f ~ ^ RAl3TLE O 4~ .: • ~;,.~ y ., ~~.r;,, _. ~.. ~_ ...-_,,a ~ sue.., Fpgpgpl~ ~ 1 2 0 2 ~ 25.00 1 2/ 1 5, 1 1 US18 ONLY ~ L,:ow~o. Numbest Peet lrteaeived Dete ;TSUC1'IQNB: PLEASE lP'II1B THREE SIGNED COP~'.5 WIT7i M[)NItHPALITY -.S. IT lS A M7ST1i1~tiSANOR T'Q 118AKB ANY FALSE STAIBIY~TIS IN THIS APPI.iCATiON i~avu ~ caF l.~U AfaP i r~J G'r~ ~u-rc.c-yes to of Mtmicipality County RT A. GBNSRAL 1. Name of Ortpniz~ t. Addreas,2, (~ G~~~`C.r~s ;- $--'t Art 1i1 S~`'~t.~2-~ t.C7 ~fQ 1 ~ C, ~f~--~.~fi o ~.:3"~r' ` Z 5 ~ U i. Has applicant aver been darned a gatx~es of cltrumoe livense? p Yas ~Io If "yea", why? (Attach extra atmet ig necessary} J. Checl< type of mom and. ff applicable, t~ the State aad date of iaoorpora6oa. D Date m / ~ / rn ~ Aasocistiou 0 State incorporated ! I 1 ~~~ Sta~~atea nee ~ 1 ~ ~ m ~hd~ a ~. Did yom corporate since ~ itler-oa~ wan wassgaed~ Cl Yea ~Jo i. Are y0t1 doing bueitlCeB tinder a tntde name? [~ Yee ~NO ~ "yCi", tNh~ i8 the trade ? T B. LOCATKfN OF GAMINS Addra~ ~Mhere gamea, bell jest. or rye dnaring(s) at+e tD be ooodttceed. Z~i~oO ~'~ ~14't!~ ~ . t~t?i-tU~ ,~ ~ ZJ'(V Name and address of audaxrized games of ~ . cltauce kaaar renting m applicant. ~ `~ Does the applicant vwp the pranises? (~1'ea ~ No If "y+aa", hosv king? 0. Capacity fa public asaesnbly ~P PAY mod ~' ~P~- 3 1. Have premises been regulat3y used? ~Yas O No If "yes",how fag? ~.~ `~c?,~~c'R..S Ara gwita of chance being played now on these prena~ea or hss it ever bxn?Yes p No If "yes", give fid] details. Z. Are the p or airy part dtei~ea~f If "yes', estate the type of Tioeaae and ntm:ber. where gamer of cttaace are to be played ]Yee D No t _ ,.- /_ iiceased by the State Lit}uor Authouity? C.~..w~ ~ ~ ~d J'~~'t 'fit 3. Has strcb licxase ever bees ~ Yos I~Vo ~ ~"• whY? f~P~ ~ a mate sheet. ~ necessrny. and attach.) nwo~ed a wspeaded? . ~,~,.~ e.~,>, svemmei ~ r il.:•ZB APPLICATION FUjt 6A11~S OF ~~ ~ ~~ .l, +~i'y, ~/i ~~. nrs w-c~ra ~ w souca . N-a~arvliit Are. P.~t.. Svioe 2 ~yybm~~Y. Ai~Y' ti?p~06~~f16p61~~1 •~~Wlo/~~ ~~1~ MMW.1'~C~ `~~~~ ~ ~~~~t-~ i ~S~ ~ c~~ ~~,~ o~ ~-~~~wt~~~u~S Name of Organization a' tijt. ~ ~ ~ 1 ~ V ~ V ~ r tiJ NYS won Numbar t i lZo~t f n,m ;CHT~UULS 5 DATB.S, HOURS AND RBN!' Off' ALL LiCSN~ PBxIVi7L~ 1v xis ~ - . .(N4T APPLICABLE' F48 BELL JAR. BSI DATE HOURS RENT / / ( .:. sin ~P~ " . :.,, am !pm . ~ . •,... " . ~ ~ I ` am /pm - ` . ,~ t am fpm 1 , y ~-- ~ - -- ~ I azn~~ - ~ ~ ..~ .. - I - ~ ~~~ ,$ .. . . f L ~ . ~ ~ . . ` - ~ ~ ~ . _ ~ ain /pm - _ . _~ I am /pnt j / / w - __ - ~, - _, _. ~ - I ~„ am ~P~ - , . . • ., t . ~ ,atti ! P~ I _ ~ .. ,, .. ~ ~ ~ amlpm - . a3n Ipm ~ ~ ~,,.~ - . ~ ~.. ~~~ DATB T~ . PRIIF.S (~ a Fair Market Vahu ~hndise) f .. / y ~. -. - ~ ~. r Vn -- . ,1 . _ ,/ _ _ _~ • ~ I aml - ~. ..,~.~ ~ , • -•- - an~lpm. ~ ~ - - - - ... _ , ,sst~s~of c pease to be incurred, and the names ~ of persons to be paid, z~ UR NAMR S'TRAHT ADTIRBSS CyY"Y STATE ; 1T8M O F BXPffi~TSE ~~. iVD SCSSDULB 4: AS~SjSTAt~lS TO 14~MBSR3 III CSAltCE OF GAMES ~.u~ ac~pwr~o..~ o~mrra...u ~ ac.a~o~oe r~~w.r~.~r.~.~~ •~sw~. ma~~-n~a ~ e~. nesbc~ar.prW~Mr oe~iratias ora~lefera[ IaMC i ~sr. YBARS OF MEI4IDFR NAME 'DATE QF BfltTH ~~ STRBET ADDRESS C1TY ZIP ~ t wl (~' CC~„~~ a / t L / ~ ~ 2. I I ~-~-t~-+.~ s ~,, I c.~.' ~t~, v.~~ ~~^Ig I i ZS` 7 a ~i NO G2~ I 1 I ~I ° ~ 7U iI .~_ I .1 s~' iNf'~~m c. R<-Q t( w ~,o~r~ ~'1~ /"albs 1 LJ ~t~ I' I I I ~// I I I 1 1 / / { ____ { I I I// I I I I I / ~ 1 _._. f I I / / ! I I I / / { I l I I / / I+.I I I I// I I I I i r ~ 1 ~ ~ ~ { / / I I I I I / / ~ _.._. ~ - 1 I _____ _. _ ~ I / / I~ ...~. I I - ~ ~ / ~ ~ ~ _ ~ I// I I I I I// I I I I I / / I i ! I 11/ 1 I I I I / / I ._. 1~ I ~- _____ I~/ /~ I I ~ l I i I I I I I / / I f i ~ I / / ~ I --- I I . I I 1 / I ____ I I I / / I~I I I ......~ ~I ...._. I I I / ! I ! I 1- / ____1 1 ~ I I I/ I I l I I -~ PART.G OF GAMB'S l4. State the epec3Fic ptttpose~ for wtdah the es>tire net pta1 xed~ aae b be devoted aad ~ wi»d . ~w~(JJ~ ©~~-~" C-~„1./~.vt~l a 1-2 c ~~ ~1 Yl y S' (kt u ~ (~t~ ~ `S C' tti~t+~.C ~ _ ~- Nt o uwi r~W~TW I K-1 I swar (aat'Scmx 2. 1Uet /~, tlee ataedtad Sabeda~s aro a mttttaeid pact beset aril ace: iaooepoeesed laeeteies es iE set Dart m f+ati is We eppi&~on. Ai! the aeawaa ooettdesd in dab appliwdan tse a msteaie8 pet beateoL 2 'iLat ilea oaths set poaeada of ii tt~ of edteeaae sWS be dewmd e7aaiedveh ors one or moos ettbe ~s~!'sd " ae delbasd ie the Grates of toe l~oeaaia= Lava aad tbes Raba and ~ d the Bored. 3. TLrt ioc aaoY lirraas presod fcr vvhiab a li+crnee is • arts or eaoce tt!'tbe exatlve eeem~a alder wfaoae su@ecvidoa the gaeaen ae to be herd, operasea adaaisdocled. arbo ~ faaa86tr ands qae t3rerads of t'7esne~e Lioessitog Lwv. fbe Reties rtd Ragas rf tbe+ N.Y.S. Rsda[ ~ D-aretrtag Bead ad bcd 6 acdisenoea a Isaacs, wSi 6e pc+aeec:x ~ tomes, ~ ttasega sod Pte! eea~enat6i~e for the osadart d !~- 44. Tbet ties ssdeaaigaed, am be tapoe~tie finer the hoitliq{, opereelm aed eaeedoes alert gasses ddtotca ba aeoaat3aneoe .4R rice attnee at titr liaaee. the pemriaious cities t3asnes at Cbenoe 13oeaiag Law. the Riles and Rt~aas attbrs N.YB. Rsdq~ ~ Wagaiaag Baud and arkft the pawieloer vE ioci iii ad€aoaoes ar teen. S. Ttdt the aadestsfeesd V seed sari is i~ arm afae ptrav6ttoas ottfae asesw of Glasaoe I~iaeaie: L>rar s aoeaeded. the Riles aedR~atiaos at the N.Y.S. Raab A Wag~ag Head, sad the ioestt ae or faaee. 6. 'tlaet m eoamaaittWoe. celery. ammpeaaatlaey maatd a sieooapeuse wilt 6e Peid ao sett' peaaet far bo3dbas as '~ ~ B a ~ ~ etacept m ba~aldaeepaas a aaco >!ix pactTeas[oe+ai aacvioea in m aAOUat eat emtexeditra Ibat 8xad by the Booed. 1 ~ ~ ~ ~ ~ ~ ~ DtMe 3' of Head elf Onion Ptiss STATB ~ Nl1EW YORK CX31tt7NPY OF ~ 1C~~SS SS CY!•Y OBF ntl ~.~,~! t _'Ppl.L~ • ~ ~.~., ~,0~-, beia8 dniY swore deposes and ~ysr that (sum ~s doe parser above oauoed. that {s read orego agtutunant and the answer thttradn noted, sad that such autavMmrs at+e true and that (s)he has personalty sfFnted fats (tree) sigasrixs tp this affrd'viL Swan ro before me this ~~~~ efary atf ~~4'?A ~~ Signed N ~ - C~ani~ianer of ~'~eeds ~Y C.aamniaama esxpie+es l e ,~_ . 20 ~~ ~- - - - CNRISTINE FAHMY Notary Public -State of New York• M0.01FA6148079 Ouallited In t)utchesa C unt My Commtssloa Expires L 1q 1 SCHEDULE 7 TYPES OF GAMLS Last all of the single tapes of 8 to be cones ~ all ficxnse periods enua~arated in Schalvle 5. Aw. t.~ Qa~. ~ B~onh: The fatal of primes any one lime period sball not aggn~e rnaa+c than 5400 for each siit~It type of game crf chance rvhm types of gattaes of c~ava are to be vo®daac~ed during nary one license period. The total amo~nnt of prizes during any one licxa~se period shall not name ~ 55t1O for each iiag~e type oi' ~ chance wlaea less five single types of games of chance am m ~ coaductod during any one license per%d. LIST NAME OF EACH TYPE OF GAME OF CHANGE ~ ~ ~ ~ ~~ S~ x ado I~-e.r~ 5.~~ e.~J at LE'I' THE MA~t'IiNIL3M AMOUNT OF PRi'IE.S TO BB AWARDED FOR EACH TYPE OF GAME OF t~iA1~iG~ ~fGAME BANi~) 5 a..~~'0 ~ ~sd .For Merchandise Wluels. Bell Jars and Ramses, plr~e cornpaete the aIPP~'e spaces laelow. MF.RCHArTDTSE WHEELS: THE TOTAL AMOUNT OF PRTLE.S FOR II~IDICATE NUMBl9t OF EACH 1vII~1tCHANDISE ~. SHALL MERCHANDISE WHEBLS ~ NOT E7CC~ED $10,000 AND NO SIl~TGLE {NO LAS PRA SHAI~.ICEF.D 5250 BELL JAR: THE TOTAL AMOUNT OF PAYOUTS II~tDICATE fl7 THUS APPLICATION FOR EACiI BELL IAR DEAL SHALL NCn' LS FUR A BBLt. JAR EXCHSD 53,000 AND NO SNaSB PRa1E LICENSE SNAIL BXCEBD 5500 YES a NO o IlVDICATE IF THIS APPLICATION TS POR A RAFFi.E LICENSE YES ^ NO O IF YES, IJSf IiiAFPi.B DATES, TII4IE~S} OF DRAWING(S) AND PRiZ~S IN SCULE 5 THE TOTAL AMOUNT OF PRTI~.S FE3R ALL THE RAFFLES CONDUCTFL DUR- TNG TTUS CAL2~I~TDAR YEAR SHALL NOT EXCEED SI00,000. NO SINCrIB PRA SNAIL EXCEED 554,000 EILGTPT THAT A SINGLE P'RIZB OF 5100,000 MAY BE AWARDED 1F SO INDICATED 1N SCHEDULE 5 TOWN CLERK Christine Fulton 20 MIDDLEBUSH ROAD WAPPINGERS FALLS, NY 12590 WW W.TOWNOFWAPPINGER.US (845) 297-4158 -Main (845) 297-5771 -Direct (845) 298-1478 -Fax TOV~N OF WAPPINGER Office of the Town Clerk December 16, 2011 Adrian Anderson, Sheriff 150 North Hamilton Street Poughkeepsie, NY 12601 Dear Sheriff Anderson: SUPERVISOR Barbara A. Gutzler TOWN BOARD William H. Beale Vincent Bettina lsmay Czarniecki Joseph P. Paoloni Enclosed, please find a copy of the members of the Knights of Columbus # 1646, 2660 East Main Street, Wappingers Falls, New York, who will be conducting Games of Chance On February 4, 2011. 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, ~~~~~ Christine Fulton Town Clerk