Or. Admin. Code § 137-025-0060 - Application for Bingo License
(1) An application for a bingo license or
license renewal shall be made on a form prescribed by the Department, shall be
signed by a responsible official of the organization and shall be accompanied
by the license application fee as provided in section (3) of this rule. The
Department shall reject applications which are incomplete, are not accompanied
by the documents required by this section or are not accompanied by a
sufficient license fee. An applicant shall be immediately notified of any such
deficiencies. The license application shall include the following information:
(a) The name, address and telephone number of
the organization;
(b) A statement
of the purposes for which the money received from the bingo games will be
used;
(c) A statement as to whether
or not the organization has had a license to operate bingo or raffle games or
Monte Carlo events denied, revoked or suspended by the State of Oregon or any
other licensing authority;
(d) The
full names and addresses of the responsible officials of the
organization;
(e) For Class A or B
bingo licensees, the name and address of the individual proposed by the
applicant to act as its supervising bingo game manager;
(f) The address of the location proposed by
the applicant where the bingo games will be held; the amount of rent to be paid
for the location if not owned by the applicant; the party who is to be paid
rent, if any; and a statement that rent will not be paid to a related
party;
(g) The class of license
sought by the applicant; and
(h)
The name and address of the financial institution(s) and the account numbers
for the general and bingo account(s) to be used by the applicant.
(2) The applicant shall submit the
following documents with the application. The information required in
subsections (c) through (f) of this section shall be on forms prescribed by the
Department:
(a) A copy of a letter supporting
tax exempt status as specified in OAR 137-025-0030(c);
(b) For a Class A or B license, a copy of a
current or proposed lease agreement for the location of the bingo games if the
applicant does not own the premises intended for use;
(c) For a Class A or B bingo license, a
completed authorization to inspect bank records on a form furnished by the
Department, authorizing the financial institution to disclose customer
information regarding the applicant's bingo account to the
Department;
(d) As required by
Chapter 914, Oregon Law 1987, a waiver of potential liability claims against
the State of Oregon, its agencies, employees and agents for any damages
resulting from any disclosure or publication of any information acquired by the
Department during any of its investigations, inquiries or hearings;
(e) A consent to inspections authorized by
Chapter 914, Oregon Laws 1987, and the rules adopted thereto;
(f) A statement verifying whether or not the
applicant has conducted bingo operations during the 12 months prior to
submitting the application for a license and, if so, a financial summary of its
operation; and
(g) Such other
information as may be requested by the Department.
(3) The application fees are as follows:
(a) Class A license - $200;
(b) Class B license - $100;
(c) Class C license - $40;
(d) Class D license - $20.
Notes
Statutory/Other Authority: ORS 464
Statutes/Other Implemented: ORS 464.250(2) & (4), 464.280(2)(a), (b) & 464.510
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