Application to Manage and Conduct a Bingo Lottery Demande de

Gaming
Control
Commission
2nd Floor
1099 Say St
Toronto ON MSS 283
Commission
20 &age
1099rueBay
Toronto ON WS 283
.
deS
jeux
Application to Manage and Conduct
a Bingo Lottery
Demande de licence pour administrer et
conduire un Bingo
We. the undwsigned, as two principal offifs of record of (ogranlzation)
Les soussfg&s, qui sent deux princfpaux drigeants de (organism@
(address)
(ad-4
apply for a ficence to manage and conduct a Bingo lottery on the dates and times. and for the chadtable or religious object or purpose, and in the manner
descrlbed herein.
a f’fntention des oeuvms rellgieuses ou de
font une demanda da license pour administrer et conduire un Bingo aux dates et aux heures indiqu&
biifaisance sp6cif16es et de la mani&e d6ctite dans les pr6sentes.
1. Check one/Cocher une case
A single Singo lottery to be held on (date)
Un seul Bingo qui aura lieu fe (date)
q.
finishing at (time)
heums a
starting at (time)
-.- de
cl
heures
A &es of Bingo lotteries to be held in the period from (date)
Une s6rie da Bingos qui auront lieu pendant le @node allant du (date)
each lottery starting at (time)
: chaque Bingo commencera g
@ WW
au (date)
finishing at (time)
heures et finira a
and at the rate of once every week or once every (specify)
heures B la fr6quence dune fois par semaine ou dune fois tous fes (specifier)
Total number of events
Nombre total de bingos
Tobeheldon
Le bingo aura lieu le cl
Monday
lundi
cl
Tuesday
mardi
q
2. The charitable or religious objects or purposes to which proceeds are to be devoted are described as
Les oeuvres da bienfaisance ou religieuses auxquelles le produit sera accord6 consistent en
3. Is Applicant incorporated as a non-profit Organization in the Province of Ontario?
c] Yes/Oui
Le requerant est-il constitua en Ontario en tant qu’organisme sans but lucratif?
4. Is the Organization registered with the Department of National Revenue as a charitable organization?
L’organisme est-il enregistre au ministere national du Revenu en tant qu’ organisme da bienfaisance?
If yes, give Registration Number
Dans l’aftirmative. dormer son num&o d’enregistrement
0
No/Non
5. How long has the Organization been in existence?
Depuis combien de temps I’organisme existe-t-il?
6. How many members does the Organization have?
Combien da membres I’organisme compte-t-il?
The totai value of all prizes to be awarded within the operation of each Bingo lottery for which this application is made is not to exceed
Le valeur totale de tous les prix qui seront distribues a I’occasion de chaque Bingo pour lequel la pmsente demande est soumise ne depassera pas
cash value or merchandise or artides at equivalent market retail Value
$
$ en especes, ou une valeur au detail Oquivalente en nature
In&ate Premises where Sing0 games will be conducted
lndiquer dans quels locaux le Sing0 aura lieu
Name
Nom
Locath
UeU
Capacity of Premises for Public Assembly Purposes
Capadte de6 focaux pour les r6unions publiques
streethe
municipalii/munidpalit6
WMtd
Msmber In ChargeMembre
d6slgn6 rerponsrble
I, as an active, bona fide member of
Je soussigne, membre actif accredit6 da
organizationlorganisme
hereby certify that as the designated member in charge of the Bingo lottery for which this application is made, I will be responsible for the management
and conduct of the Bingo lottery in acoordance with the terms and conditions under which the Bingo lottery licence is issued
certifie qU’en tant que membre design6 responsable du Bingopour lequel la pr&ente demande est soumise, je veillerai a ce que fadministration et la
conduits du Bingo soient confonnes aux modatites en vertu dasquelles la license de Bingo est deli.
10. Proposed Administratjve expenses for each event (on an amortized basis if necessary)
Frais d’a&ninistmtion proposes pour chaque Bingo (compte tenu de l’amortissement au besoin)
Name and Address of Payee/Nomet adresse du b&Miiiaire
ItemPoste
CosvCoiX $
Hall Rent
Layer de la sale
Supplies
Foumitures
Advertising
Publicit
ES::
Ei$gKit
*
E2z
LicenseFee
Dro’ti de licence
ifier)
TOTALIt
11. Which equipment and servfces are included in the rent? (check where applicable)
Quels se&es et quel6quipement sont indus dans fe foyer? &ocher tes cases appropriees)
0 Tables/Tables
El secudty~n’te
0 Clean-upMettoyage
Cl ChaireslSieges
0 Air Conditioning/Climatisation
cl PaMngISmtionnement
Cl Closed Circuit N/Circuit de tMvision ferme
Cl PA. System6ystBme de sonorisation
Cl Blower (or cage)lsouffleuse (ou cage)
0 Bingo Cards/Cartes de Bingo
0 Lighted BoardlAffichage lumineux
12. Games to be played at the Bingo/Parties jouk au Bingo
(Enclose on a separate sheet, a listing of all games to be played, the value of the prize to be awarded for each game, the particular arrangement of
numbers required to win the game the prices of cards to be sold for each game.)
(Sur une feuille separee, dresser la liste de toutes les parties qui seront joules, la valeur du prix accord6 pour chaque partie. la oombinaison
particuliere de numeros voulue pour gagner une pat-tie, le prix des canes vendues pour chaque patie.)
13. Wehave mad, and have in our possession, and agree to comply with, a statment of ths Terms and Conditions under which the Bingo lottery licence is issued.
Nous avons lu la liste des modalites inherentes a la d6livrance dune licence de Bingo, nous avons ces modalites entre les mains et nous acceptons
de nous y conformer.
Signed
Signature
Signed
Signature
CERTIFICATE
ATTESTATION
We (name)
Nous sot&sign&
and (name)
et (nom)
(nom)
of (organization)
de (organisme)
of (municipality)
de (munidpaliti)
of the County of
du comte de
jointly and severally hereby certify that
attestons collectivement et individueliement
que
(1) We have knowledge of the matters herein set out
Nous awms ptis connaissance des points sp6ciiis dans les presentes.
(2) We have read over this appliitiin,
NOUSavons relu attentivement cette demande de licence
(3) All factsstated and information furnished herein are true and correct.
Tous les faits fndqu6s et les renseignements foumis dans les prkentes sont vkkfiques et exacts.
(4) We are the hdden of the offices with descriptive title as set out and appearing under our respective signatures, below.
Nous assumons les fonctions correspondant aux tibes sp6cffiis sous nob signatures respect&s ci-dessous.
(5) If a liince k granted, we undertake to comply with all the terms and conditions of such fiince.
Si une liceme est d6livr6e, nous nous engageons B en observer les modafiis.
Signature
Namein full
Nom au complet
Title
Titre
E:::;
13;lli PhoKl
,
.
Date
Witness(Sign)
Tdmoin (Signature)
REMARQUE: Tous les mascuiinset fhmininsse rapportsrt 6galement
aux horn&
et aux femmes
1
?‘7!
it$gi
Alcohol and Gaming
Commission
of Ontario
cJc%w0 Gaming Registration
Lotteries
Commission
des alcools
etdesjeux
de I’Ontario
and
20 Dundas Street Vi.. 71h floor
Toronto ON M5G 2N6
416-326-6700
1-600-522-2676
Name of organrzatron/Nom
de t’organisme
Inscription
et loteries
BINGO LOTTERY REPORT
RAPPORT DE BINGO
20 rue Dundas ouest. 7’elage
Toronto ON M5G 2N6
loll free rn Ontario/ saris frais en Ontario
Premises utlllzed
Locaux ulillses
Hall AddresslAdresse
Lottery
Permls
Total Prizes Licenced
Total des prix autorisk
Llcence No
de bingo N”
Bingo lottery licence is issued.
Group Identification
Number(GIN)
Numkrod’identificationd’organisme
pourlesjeux
I
I
I
I
I
I
Designated
Personne
I
of Gross
Regular
Games
Parties
regulieres
Receipts
and
Prizes
Awarded/Details
1
de locaux
City/Town
VlllelLocalite
Date 01 Bingo
Date du bingo
m/m
member in charge
responsable
d/j
Home Phone
Tel. B dom
d&ign&
I
1 Dctarls
Ce rapport doit Ctre soumis a I’agent responsable des permis
de loterie dans les quinzes jours qui suivenl chacun des
bingosautoris&.
conlorm8mentauxconditlonsdedelivrance
du permis de bingo.
(NIO)
yla
NO 01 players atlend,ng
Nombre de jwews presents
This report must be liled with the Lottery Licencing Ofl~cer not
later than IS days alter the holding of each licenced bingo in
accordance wth the Terms and Conditions under which the
7
Postal Code
Code postal
Time Event Llcenced/Dur&
From/de
am/pm
h
Number
brutes
am/pm
h
Bus. Phone
TM d’afl.
I
de recettes
du bingo
T&i
I
et des prix attribues
8 Extra
et supplementaires
6
(1)
Early Birds (Total)
Parties
pour matinaux
(2)
Special
No. 1
Partie specrale
No 1
(3)
Specral No. 2
Partie speciale
N” 2
(4)
Special
No. 3
Partie speciale
No 3
Special
No. 4
Partie speciale
No 4
Special
No. 5
Partie speciale
No 5
Special
No. 6
Panie speciale
No 6
(5)
(6)
(7)
(8)
(9)
Night Owls (Total)
Parties pour oiseaux
(total)
de nuit (total)
Other
Autres
(10)Other
Aulres
A Total Receipts
in Canadian
Dollars
Total des recettes
en dollars canadiens
D Total Prizes in Canadian
Total des prix en dollars
B lotal Receipts
in U.S. Dollars
Total des recettes
en dollars
$
E Total Prizes in U.S. Dollars
Total des prix en dollars
americains
$
$
F + State Premium
on U.S. Dollar(s)
+ lndiquer
le taux de change
$
americains
C + State Premium
on U.S. Dollar(s)
+ lndiquer
le taux de change
Total Gross
Receipts
%
(A + B + C)
Total des recettes brutes (A + B + C)
Administrative
Expenses/Details
Total Prizes Awarded
Total des prfx attribues
$
des frais d’administration
Itern!Poste
Dollars
canadiens
$
%
(D + E + F)
(D + E + F)
$
encourus
Name
of Payee/Nom
de beneficiare
administratives
Q acquitter
Cost $/Codt
en $
Hall Rent
Location
de la Salle
Supplies
Foumrtures
Advertising
Publicite
tionorariums
Honoraires
Equipment
Equipement
Security
Securit6
Licence
Fee
Frais de Dermis
Other
(List)
Autres (prkiser)
Total Administrative
Expenses
3. Total Net Proceeds
derived
Produit net de ce bingo
to be paid
in Canadian
from this event
Funds
only 7Total
des depenses
en dollars
canadiens
seulement
_
I$
$
(Total Net Proceeds
= Total Gross Proceeds
- Total Prizes - Total Administrafive
Expenses)
(Produit
net = total des recettes
brutes - total des prix - total des frais d’administration)
6348
(98/07)
4. Details
of Lottery
Trust AccountIRenseignements
sur le comple
Name of Bank, Loan or Trust Company
of Province
Nom de la banque.
compagnie
de pret ou de fiducie
Name/Nom
(b)
en liducie
Enter Amounts in appropriate boxes
lndiquer ie monlant dans la case apprpnee
Canadian
Monnaie
de I’Ontario
Address/Adresse
5. Charitable
(a)
loterie
of Ontario Savings
Office
ou de la caisse d’epargne
DonatioWDans
aux oeuvres
Total Donations to Dale
Total des dons ellectues
Amount
Monlanf
de charite
a ce jour $
Funds
canadienne
American Funds
Monoaie americaine
ACCOUNT
NO.
NO. DE COMPTE
ACCOUNT NO.
NO. DE COMPTE
es 01 this Report
A la date de ce report
As of this Report
A la date de ce report
$
$
4s of Last Report
A la dale du rapport
4s 01 Last Report
A la dale de rapport
precede”1
$
donated since last report
donne depurs le dernrer rappori
$
precedent
$
SPECIAL
SUPER
JACKPOT
PRODUIT
DU SUPER
(WHERE
GROS
APPLICABLE)
LOT (S’IL Y A LIEU)
Group Share Proceeds
Pa” dU produn re”eMnf
A hrganisme
$
6. Details
of Charitable
Total Chantable
DonationsiRenseianements
Donations
I, as the designated
since
member
last Reporl
sur les dons
/Total
of the Bingo
des dons adx oeuvres
Lottery,
certify
Je soussigne(e)
en qualite de responsable
provenant
du bingo susmentionne.
designe(e)
To be completed
I Cette
by Designated
Members
de charile
that the above
du bingo,
partie
aux oeuvres
doit
de charite
depuis
18 dernier
is full and correct
atteste
rapport
statement
que les renseignements
etre remplie
I$
par les personnes
,
don&
of the Bingo
ci-dessus
Lottery
Funds
referred
constituent
to herein.
une declaration
complete
et exacte
de T&at des fonds
designees.
Name in full
Nom au complet
Trtle(s)
Tnre(s)
Number
and StreeVN”
et rue
Vumber and StreeVNO et rue
Address
Adresse(s)
City 8 PrownceNrlle
et province
Postal Code/Code
City 8 ProvinceNille
postal
et province
Postal Code/Code
postal
Home/Domicrle
Phone Number(s)
N” de telephone
Dale(s)
CERTIFICATE
We the undersigned,
Nous sousigne(e)s,
provenant
du bingo
To be completed
as two Principal
en nolre qualite
susmentionne.
by Principal
Officers
Officers
of the above
de responsables
/ Cette
organization,
principaux
partie
doit etre
certify
de l’organisme
remplie
par le (les)
/ ATTESTATION
that the above
report
susmentionne,
attestons
responsable(s)
is a correct
statement
que le present
of the Lottery
rapport
constitue
Funds
referred
une declaration
to herein
exacle
de I’BIal des fonds
principal(aux).
Name I” full
Nom au complel
Tr”e(s)
Tnre(s)
Number
and Street/N*
et rue
Number
and Street/N”
et rue
Address(w)
Adresse(s)
Crty 8 ProvinceNrlle
HomelDomicde
Phone Number(s)
N” de telephone
Signature(s)
et prownce
Postal Code/Code
Eusiness/AHaires
postal
City 8 PrownceNrlle
Home/Domicile
et province
Postal Code/Code
Elusiness/Alfairas
postal
A GUIDE TO CHARITABLE
GAMING IN ONTARIO
(Ce document est disponible en franqais)
What is “charitable gaming” and how is it regulated
in Ontario?
“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.
advance a recognized field of knowledge which leads to an
accredited degree, diploma or certificate;
do not include professional development.
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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
charitable or religious mandate to qualify.
The courts have
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.
What types of charitable and religious organizations
are eligible?
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
To be eligible, an organization must provide public programs which:
are geared to scholastic and vocational training for individuals
and lead to a recognized diploma or certificate;
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
TO THE COMMUNITY
To qualify an organization must demonstrate that:
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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:
a culture and arts;
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health and welfare;
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physical education;
0 community support;
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youth sports where majority of players are under 18;
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service to the community (service clubs).
What lottery schemes does the Province licence?
The province licences the following events:
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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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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:
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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
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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 bursar-y finds registered with Revenue
Canada as a charitable organization.
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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 a 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 offtce 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 with its charitable
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
be evaluated?
The following questions may be used to determine the eligibility
the applicant:
of
Does the organization quality 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?
are n& charitable
for
Types of organizations which cannot be considered charitable
include:
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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. gol8curling);
adult sports teams.
regional,
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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
Alcohol and Gaming Commission of Ontario
Gaming Registration & Lotteries
20 Dundas Street West, 7th Floor
Toronto, Ontario
M5G 2N6
Phone:
Toll free in Ontario:
FAX:
(416) 3268700
l-800-522-2876
(416) 326-8711
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:
I-800-668-9938
Control Act, 1992 and
in Ontario
or write to:
Publications Ontario
5th Floor, 880 Bay St.,
Toronto, Ontario
M7A lN8
Prepayment is required for priced publications. Make cheques
payable to the Minister of Finance. Master Card and Visa are
accepted.
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, 2992, the Regulations under the Aci 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
office?
1998