Pennsylvania Code › Title 61 - REVENUE › Part VII - Local Option Small Games of Chance › Chapter 901 - LOCAL OPTION SMALL GAMES OF CHANCE › Subchapter B - LICENSING AND REGISTRATION › ELIGIBLE ORGANIZATION LICENSING › Section 901.191 - License application form

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The Department will proscribe the license application form for eligible
					 organizations. Licensing authorities may obtain the form from the
					 Department.
(b) The form is
					 available to eligible organizations through the licensing
					 authorities.
(c) The license
					 application form must contain, at a minimum, the following information:
(1) The name of the organization.
(2) The type of organization.
(3) The address of the
					 organization.
(4) Incorporation
					 information.
(5) The name of the
					 municipality where the applicant will maintain its licensed premises.
(6) The eligible organization's licensed
					 premises.
(7) The eligible
					 organization's operating day and week.
(8) The names, addresses and telephone
					 numbers of the officers of the organization.
(9) Partnership information.
(10) A list of shareholders owning 10% or
					 more of outstanding stock.
(11) The
					 names and addresses of persons who will be responsible for the operation of
					 games of chance, including eligible organization employees, bar personnel,
					 auxiliary group members and other persons who will obtain the games of chance
					 and coordinate their use.
(12) A
					 statement under oath in the form of an affidavit, affirmed by the executive
					 officer or secretary of the eligible organization, stating the following:
(i) A person 17 years of age or younger will
					 not be permitted by the eligible organization to operate or play games of
					 chance.
(ii) The facility in which
					 games of chance are to be played has adequate means of ingress and egress and
					 adequate sanitary facilities available in the area and meets Department of
					 Health and other local or Federal sanitary requirements.
(iii) The eligible organization is the owner
					 of the premises upon which the games of chance are played or, if it is not, the
					 eligible organization is not leasing the premises from the owner thereof under
					 an oral agreement, nor is it leasing the premises from the owner thereof under
					 a written agreement at a rental which is determined by the amount of receipts
					 realized from the playing of games of chance or by the number of people
					 attending, except that an eligible organization may lease a location or
					 premises for a banquet where a per head charge is applied in connection with
					 the serving of a meal.
(13) A copy of a corporate applicant articles
					 of incorporation and bylaws; or, if not a corporation, a copy of bylaws and
					 other documents which set out the organizational structure and
					 purpose.
(14) A copy of a nonprofit
					 charitable applicant's Internal Revenue Service tax exemption letter if one has
					 been obtained and a copy of other documents indicating the eligible
					 organization is a nonprofit charitable organization.
(15) The details and copies of the lease,
					 rental or other arrangements between the applicant and the owner of premises
					 upon which the games of chance will be conducted, if the premises are not owned
					 by the eligible organization.
(16)
					 The names, addresses, dates of birth and the Social Security numbers of each
					 paid employee, auxiliary group member or agent who will be involved with the
					 activities for which the license is sought.
(17) Other documents as identified in the
					 application materials.
(18) The
					 type of license applied for and a list of all types of games of chance to be
					 operated by the eligible organization.
(19) A list of distributors of games of
					 chance with whom the eligible organization does business.
(20) A list of the eligible organization's
					 auxiliary groups that will operate games of chance under the eligible
					 organization's license.