Application to Manage and Conduct a Break Open Ticket Lottery

CornmIssion
2nd Floor
1099 Bay S1
Toronto ON M5S 283
Commission
2 &age
des
jeux
Toronto
1099
rue
Application to Manage and Conduct
a Break Open Ticket Lottery
Demande de permis pour admlnlstrer
et condulre une lot&e de billets B fenetres
Bay
ON M5S
Group
283
!
ldontlflcatlon
’
1
!
Numkr
I
I
(Form
(Fomule
(GIN)
,I
NTL-A)
NTL-A)
(
We, the undersigned,
as two principal officers of record of (name of organization)
Les soussignes
qul sont deur pnnupaux
dtrigeants
da (nom de I’organlsme)
(address)
(adresse)
apply for a licence to manage
and conduct
font una dmnande de pennis pour adminismr
nom de
a Break Open Ttcket Lottery at the premises municipally
known as
et conduire une btene de bilets a fen&es
darts les locaux ccnnus dans
h muntipafite
tous fes
and situated in the municipality
of
et sttu& darts la municipalite
d
If a licenoe is granted.
all tickets applied for will be sold only at (specify exact location within the above premises
).
Si un permis est deli&,
tous les billets demand&
ne seront vendus qu’a (specifier I’emplacement
exact dans les locaux
mentionnes
ci-dessus)
1.
The specific
Les objectifs
peuvent
2.
3
Charitable
speciflques
6tre decnts
of Religious
Objects or Purposes
to which
wses par les organrsmes
de bienfarssance
comme
proceeds
are to be donated
are described
ou reltgleux et aux quels sont destines
as
les recettes
&ant
Type of Break Open Tickets to be sold (check one)
Genre de billets a fenetres qul seront vend&
(cocher une case:
Regular
Nevada _
Super hevada
_
SJper
fYeva6a _
Nevada
norma;
_
Juntor Nevaoa
Nevaoa Jdn;sr
_
_
Descriptton
of Scheme
Descnptlon
du )eu
(aj
Number of TIchers per bcx!unlr
Nombre
de ballets par boite!unitP
(b)
4.
Price per ticket
Pnx du belle:
5
(c)
Gross Revenue
Recettes
brutes
per unit
par untte
(d)
Total Prizes per unit
Mntant
total des prix par unite
(e)
Number
Nombre
5
5
of winning uckets per unit
de billets gagnants
par unite
The tickets referred
to in this appkcation
form are manufactured
by (Name of Company)
Les billets dont il est questton
darts cette demande
seront imprimes
par (nom de la compagnie)
and will be purchased
from
et seront achetbs
chez
(Name and Address
of Dtstributor)
(nom et adresse du dtstributeur)
5.
Pris per unit
Prix par unite
6.
Ticket sales will commente
on (date)
La vente des billets commencera
le (datej
(date)
(date)
7.
The total number of units to be sold during
Le nombre
total d’unites a vendre pendant
and terminate
et‘se termmera
(maximum
(p&ode
the period
la penode
six month
on
le
period).
de six mois au maximum).
for which the application
couvene
par fa demande
is ma& shall not exceed
n’excedera
pas
UnitsUnites
06140
(04/95)
(var
(over)
aLi uersoj
.
Certificate
Attestation
We (name)
Nous soussignes
and (name)
et (nom)
(nom)
of (organization)
de (organisma)
of the County
du comte d
of (municipality)
de (muniapakte)
jointfy and severally,
hereby certify that:
attestons
oollectivement
et individuellement
of
que :
(1) We have knowledge
of the matter herein set out,
Nous l vons pris connaissance
des points specifies
dans
les presentes,
(2) We have read over this application,
Nous avons lu la presente
demande.
(3) All facts stated and information
furnished
herein are true and correct,
Tous les faits indiques
et les renseignements
fournis dans les presentes
sont veridiques
(4) We are the holders of the offices with descriptive
title as set out and appearing
under
Nous assumons
les fonctions
correspondant
aux titres specifies
sous nos signatures
(5) We understand
that if a licence is granted,
Break
specified
in the licence.
Nous comprenons
que si un permit est accord&,
demande
et specifies
sur le permis.
Open
Tickets
les billets
may not be sold outside
a fenetres
ne pourront
et exacts,
our respective
signatures
respectives
ci-dessous.
of the premises
Btre vendus
entered
que dans
below
on the application
les locaux
(6) We have read, and have in our possession,
and agree to comply with, a statement
of the Terms and Conditions
Open Ticket licence is Issued.
Nous avons Iu I’expose des conditrons
de Mrvrance
du permis de loterie de brliets a fenetres.
nous le gardons
nous observerons
lesdnes condltlons
inscrits
under
en notre
and
sur la
which
the Break
possession
et
(7) We understand
that this licence shali be valid d&ng
IIS effective
period only so long as the terms and conditions
to which such licence
is subject have been complred with and that a breach of a term or ond!tton
may cause the kcence to become null and void
Nous comprenons
bren que le permrs ne sera valroe pendant
la periooe qu’rl couvnra
que dans la mesure air ses conditrons
seront
respectees
et que toute vtolatton de ses conditions
I’annulera
!
Principal
Pnncrpal
Principal
Pnncrpal
Officer
drngean!
Officer
drnaeant
/
Signatdre
Signature
Name
I
in tull.‘Nom
au complet
TitleTrtre
AddresslAdresse
Bus. Phone/Tel.
,
aff.
Date/Date
Wetness (sign)
Signature
du temoin
I
I
I
I
I
I
I
I
,
m
-_-
Alcohol
and Gaming
Commission
of Ontario
Commission
et des jeux
des alcools
de I’Ontario
Inscription
et loteries
pour
Break Open Ticket
Lottery Report
M
T&-
Gaming
Lotteries
Registration
and
20 Dundas Street West
7th floor
Toronto ON M5G 2N6
416-326-8700
l-800-522-2876
les jeux
Rapport
20, rue Dundas ouest
7” etage
Toronto ON M5G 2N6
toll free in Ontario/saris
loterie
de
de
billets
I)
&
fen6tres
frais
This report must be filed with the Lottery Licensing Officer
in accordance with the Terms and Conditions under which
the Break Open Ticket Licence is issued.
(see reverse for details)
Ce rapport doit &tre soumis au responsable des permis de
loterie conformement
aux conditions de delivrance des
permis de loterie de billets e fenetres.
(voir les details au versa)
en Ontario
Name of Organization
Nom de I’organisme
Address
Adresse
1.
Licence
No.
No de permis
Period for which
Periode couverte
2.
this Report is made (check one)
par ce rapport (cocher une case)
q
Interim
Rapport
Report on ticket sales from (date)
provisoire
sur les ventes de billets
cl
Final Report on ticket sales
Rapport final sur les ventes
Type of Tickets sold (check one)
Genre de billets qui seront vendus
to (date)
au (date)
du (date)
to (date)
au (date)
from (date)
de billets du (date)
(cocher
une case)
Price per Ticket
Prix du billet
Number of tickets per unit
Nombre de billets par unite
Regular
Nevada/Nevada
Super
Nevada/Super
Junior
Nevada/Nevada
normal
Nevada
Junior
1
3.
Details of Ticket Inventory
(for Report Period)
lnventaire
detaille des billets (pour la periode
couverte
par le rapport)
Total Number of Units Licenced
Nombre total d’unites accreditees
4.
Number
Nombre
of Units placed in container
d’unites placees dans le conteneur
Number
Nombre
of complete
Units on hand
d’unites completes
disponibles
Number
Nombre
of individual
Tickets
de billets individuels
Total
Total
in container
dans le conteneur
Gross Receipts Derived
brut des recettes obtenues
Application
Repartition
(a) Total
Total
$
of Funds
des fonds
Cash Prizes Awarded
des prix en especes
accord&
$
Net Receipts
Recettes
nettes
(b) Administrative
Costs
Frais d’administration
Tickets/Billets
Licence
$-
Incurred
(for Units placed in the container)
encourus
(pour les unites placees dans le conteneur)
$
Fees/Frais
de permis
$
ContainerKonteneur
$
Other (e.g. Commissions,
Honorariums)
Autre : par ex. commissions,
honoraires
Please list/Precisez:
$
$
$
Total Cost/Total
(c)
5.
Net Proceeds
Derived
Recettes nettes obtenues
Details of Break
Compte detail@
Nom de la banque,
des frais
$
S$--
$
Open Ticket Lottery Account
de loterie de billets a fenetres
Trust Company
or Province
of Ontario Savings Office
de la compagnie
de pret ou de fiducie ou de la Caisse d’epargne
de I’Ontario
Account No.
No de compte
BalanceEolde
$
6144(98/l
1)
(OverNoir
au verso)
5.
Details
Details
of Charitable
Donations
des dons charitables
Name of Payee
Nom du b&Gficiaire
Address
Adresse
Amount
Montant
of Payee
du bheficlaire
Total
Donated
donn6
$
Certificate
Attestation
We, the undersigned,
as two Principal
referred to herein.
Les soussignes,
principaux
dirigeants
fonds de loterie en question.
Principal
Principal
Officers
of the above
de I’organisme
organization
mentionne
certify
ci-dessus,
that the above
attestent
report
que le rapport
Officer
dirigeant
is a correct
qui precede
statement
decrit
of the Lottery
correctement
Principal
Principal
Mat
Funds
des
Officer
dirigeant
Signature/Signature
Name
in full/Nom
au complet
Title/Titre
AddresslAdresse
t
Bus. Phone/Tel.
aff.
Date/Date
Witness
(sign)
Signature
du temoin
Instructions
Instructions
For Completing
the Break Open Ticket Lottery
Report
pour remplir
le rapport
de loterie de billets 3 fen6tres
A final Lottery Report shall be submitted
within 30 days after the expiry date of the Licence. This Report shall include the details of all ticket
for the entire period of the Licence.
Un rapport final de loterie doit etre soumis dans les 30 jours suivant la date d’expiration
du permis. Ce rapport doit comprendre
les details
concernant
toutes les ventes de billets pendant la duree complete
du permis.
Where the Licensee has completed
the sale of all Tickets prior to the official expiry date of the Licence, the Licence shall be deemed to have
expired and a Final Report shall be submitted
within 30 days thereafter.
An organization
wishing to sell additional
Units of Tickets shall apply
new licence.
Si le titulaire d’un permis a vendu tous les billets avant la date d’expiration
du permis, celui-ci sera cerise etre expire et un rapport final devra
soumis dans les 30 jours suivants.
L’organisme
desirant vendre des unites additionnelles
de billets doit demander
un nouveau
permis.
Sales
for a
etre
If a Licensee should reasonably
determine
that the sale of all licenced Tickets will not be concluded
prior to the expiry date of a Licence, the
Licensee shall report such information
to the Licencing
Officer and request that the Licence be extended
for a sufficient
period to permit the
complete
sale of all Tickets originally
permitted
under the Licence.
Si le titulaire d’un permis peut determiner
raisonnablement
que la vente de tous les billets de loterie prevue pour un permis ne sera pas terminee
avant sa date d’expiration,
il peut le faire savoir au responsable
des permis et demander
que son permis soit prolonge
pour une duree suffisante
afin determiner
la vente de tous les billets originalement
permise en vertu de permis.
A GUIDE TO CHARITABLE
GAMING
IN ONTARIO
(Ce document est disponible en francais)
What is “charitable
in Ontario?
gaming”
and how is it regulated
advance a recognized field of knowledge which leads to an
accredited degree, diploma or certificate;
do not include professional development.
0
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“Charitable gaming” refers to lottery schemes permitted by a licence
under the Criminal Code (Canada). Typically these may include
bingos, raffles, break open tickets and social gaming events held by
charitable and religious organizations. Charitable organizations are
regulated by licensing policies and the terms and conditions of the
licences issued by the province or municipalities under authority of
an Order-in-Council. The commercial sector of the charitable gaming
industry is regulated by the Gaming Control Act, 1992 and
Regulations.
Examples of organizations that could be eligible:
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Who can get a licence to conduct a lottery scheme?
Canada’s Criminal
Code permits
charitable and religious
organizations to conduct a lottery scheme to raise funds pursuant to
a licence being issued. Organizations must have a demonstrated
The courts have
charitable or religious mandate to qualify.
determined that the term “charitable” refers to organizations which
provide programs for:
a)
b)
c)
d)
the relief of poverty;
the advancement of education;
the advancement of religion;
other charitable purposes beneficial to the community.
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purposes
of an organization
are determined
by
the mandate of the organization as set out in its incorporation
documents or documents stating the organization’s objects;
the objects of the organization as described in its application for
licence;
the services which have actually been provided by the
organization to the community.
and religious organizations
Types of organizations in the four categories of charitable mandate
include those providing for:
(a) THE RELIEF
OF POVERTY
Organizations providing assistance to:
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the sick and dying;
disabled persons;
the homeless;
victims of crime;
rehabilitating young offenders and parolees.
Funds may be provided to individuals or families where the relief is
a short-term or one-time payment intended to relieve an exceptional
or unusual condition or circumstance (e.g. helping a family whose
house has burnt down).
(b) THE ADVANCEMENT
OF EDUCATION
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are geared to scholastic and vocational training for individuals
and lead to a recognized diploma or certificate;
it is operated on a not-for-profit basis, and its purposes
include charitable or religious objects;
its services are offered to a significant portion of the public;
and
the proposed use of proceeds are consistent with its
mandate.
Eligible organizations include those with mandates in:
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culture and arts;
health and welfare;
physical education;
community support;
youth sports where majority of players are under 18;
service to the community (service clubs).
What lottery schemes does the Province licence?
The province licences the following
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events:
Bingo events with prize boards over $5,500;
Super jackpot games;
Ticket raffle lotteries for total prizes over $50,000;
Lotteries held in conjunction with another gaming event
licenced by the provincial office including break open
tickets at bingo events;
Provincial break open ticket lotteries;
All lottery schemes conducted in unorganized territories;
All lottery schemes at a designated Fair or Exhibition;
Social gaming events.
What lottery schemes do municipalities
licence?
A Municipality may issue licences to conduct the following
lottery schemes:
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TO THE COMMUNITY
To qualify an organization must demonstrate that:
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To be eligible, an organization must provide public programs which:
organizing and providing
religious instruction,
and
performing pastoral and missionary work; and
establishing and maintaining buildings for worship and other
religious use.
(d) ANY PURPOSE BENEFICIAL
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What types of charitable
are eligible?
OF RELIGION
Religious organizations must demonstrate that programs and
services assist in the delivery of religious services and programs
to the community. A religious body is considered charitable
when its activities serve religious purposes for the public good.
Other activities that advance religion include:
a
Organizations must have been in existence for at least one
(1) year before being considered eligible for lottery licences.
The organization must have a place of business in Ontario,
demonstrate that it is established to provide charitable
services in Ontario and use proceeds for objects or purposes
which benefit Ontario residents.
The primary
considering:
(c) THE ADVANCEMENT
0
The following pre-requisites are mandatory to be considered eligible
for a lottery licence:
elementary and secondary public and Roman Catholic
separate schools;
accredited colleges and universities;
private schools registered with Revenue Canada as a
charitable organization;
parent/teacher associations or other groups which are nonprofit entities and which support one of the above types of
institutions;
scholarship or bursary funds registered with Revenue
Canada as a charitable organization.
l
Bingo events with prize boards $5,500 and under;
Media bingo events;
Ticket raffle lotteries for total prizes $50,000 and under;
All break open ticket lotteries not licenced by the provincial
office;
Bazaars.
How does my organization
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apply for a lottery licence?
Determine what type of lottery scheme your organization intends
to conduct;
Obtain the appropriate application form from your local
municipal office or the province;
Complete the form according to the instructions on the form and
the policies provided by the municipal office or as set out in the
guide for that lottery event.
Do I have to include anything
form?
with the application
projects or donations that are consistent
mandate.
What is the Gaming Control Act, 1992 and who
does it affect?
The Gaming Control Act, 1992 is an Act to regulate the
individuals and businesses who supply goods, services and
equipment to charitable and religious organizations that have
been licenced to conduct lottery schemes. The Act provides,
among other things, for:
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First time applicants should, in addition to the materials required with
the application as identified in the licensing policies, provide the
following information or documents:
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A copy of its articles of incorporation or constitution and/or bylaws;
A copy of its budget or financial statements for the preceding and
coming years;
Any other information that will assist in determining the
charitable nature of the objects and purposes. This could include
an annual report, charitable number for income-tax purposes, the
fact that it meets the reporting requirements of the Charities
Accounting Act;
The proposed use of proceeds must be consistent with the
primary objects and purposes of the organization which must be
of a charitable nature consistent with at least one of the four
classifications of charitable purposes.
How will my application
The following
the applicant:
be evaluated?
questions may be used to determine the eligibility of
Does the organization qualify as a charitable or religious
organization?
Is the organization established to provide charitable services in
Ontario and use proceeds for objects or purposes which benefit
Ontario residents?
Does the organization restrict its mandate to any segment of the
community?
Does a significant portion of the community benefit by the fund
raising of the applicant?
Is the applicant properly organized such that it is separate from
any other organization? ie. legally, financially, organizationally.
Has the applicant been in operation for at least one (1) year and
have a proven charitable mandate? If not, it is not eligible.
Are there at least 3 persons who will assume full responsibility
for the operation and conduct of the event?
What will the proceeds of the licenced event be used for and is
the intended use consistent with the classification?
Does the organization have a place of business in Ontario?
What types of organizations
lottery licensing purposes?
Types of organizations
include:
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which
are not charitable
cannot be considered
social clubs;
professional associations, unions, employee groups;
elected representative groups including municipal,
provincial and federal governments;
government ministries, agents or bodies;
political lobby groups;
political parties;
adult hobby groups;
private sports clubs (e.g. golf/curling);
adult sports teams.
for
with its charitable
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registration of businesses and individuals as suppliers (e.g.
all bingo halls where more than one event is conducted per
week, manufacturers of break open tickets and bingo paper
etc.) and gaming assistants;
the types of gaming premises, services and equipment that
can be provided;
the regulation of registrants.
The Regulations under the Act prescribe the manner in which
things are to be done including:
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Exempting persons or classes of persons from registration;
Defining classes or types of registrants;
Fees payable.
Where do I find the provincial
office?
Alcohol and Gaming Commission of Ontario
Gaming Registration & Lotteries
20 Dundas Street West, 7th Floor
Toronto, Ontario
M5G 2N6
(416) 326-8700
l-800-522-2876
(416) 326-8711
Phone:
Toll free in Ontario:
FAX:
Where can I get a copy of the Gaming Control Act,
1992 and the Regulations?
Published copies of the Gaming
Regulations may be purchased at:
PUBLICATIONS
ONTARIO
To order publications
call:
326-5300
in Toronto
from other communities
call:
l-800-668-9938
Control
Act, 1992 and
in Ontario
or write to:
Publications Ontario
5th Floor, 880 Bay St.,
Toronto, Ontario
M7A lN8
charitable
Prepayment is required for priced publications. Make cheques
payable to the Minister of Finance. Master Card and Visa are
accepted.
regional,
This fact sheet contains an outline of policies and procedures
and is intended to be an information
document.
For
regulatory requirements please refer to the Gaming Control
Act, 1992, the Regulations under the Act and the Terms and
Conditions of licences issued. For copies of the policies and
procedures,
please contact your municipal offtce or the
provincial licensing offtce.
NOVEMBER
If one of these groups wish to raise funds to donate to charities, it
must become recognized as a charitable organization with an
established charitable mandate, either through incorporation or by
constitution and by-laws, and apply for lottery licences to be used for
1998