Blanket Raffle Information Package and Application

Blanket Raffle Lottery Information Package
What is a Blanket Raffle Lottery?
A blanket raffle licence allows eligible organizations to obtain a
single lottery license to conduct and manage more than one type
of raffle within a fixed time period within a capped prize amount
of $5000.00.
Enclosures:
• Quick Guide to Lottery Licence Application
• An Application to manage and conduct a Blanket Raffle
Lottery
• Town of South Bruce Peninsula questionnaire form
• Lottery Licence Terms and Conditions
• Raffle Licence Terms & Conditions
• Rules Governing the Conduct of Raffle Draws (Aug 2008)
Licence Application Checklist
These items must be enclosed with each Licence
Application form. (Do not send separately):
• Licence fee: 3% of the Prize Value
(Cheque payable to the Town of South Bruce Peninsula)
• Completed questionnaire
• Completed application form
• A fully completed application must include:
• The cut-off date for the sale of tickets by cheques and
credit cards
• A complete list of prizes, with their full retail value (plus
taxes) and a detailed description of the sequence of the
prize draws and in the case of 50/50 draws, the maximum
value of the prize.
In addition to the basic requirements above, your application
must include:
• Types of raffle lottery events to be conducted during the
period;
• The number of raffle events to be conducted;
• The total number of tickets to be printed for each
individual raffle event and the total value of all tickets
printed for each of the events;
• The cost per tickets for each event and the price per set of
cards for "name the Raffle" lotteries;
• The cots per ticket for each event
• The location where the events will take place
• The scheduled dates for each type of raffle event to be
held;
• A detailed explanation of the rules for each type of raffle
event;
• A detailed description of all prizes to be awarded for the
period; and the license fee.
• Total number of tickets to be printed
Municipality may also request:
• a business plan and budget for the raffle lottery
• a detailed ticket sales plan, including where, when and
how sales will take place, and
• any other documentation deemed necessary by the
municipality
• a description of all the services to be obtained from each
supplier
• Rules for the draw and the collection of prizes
First-time applicants must enclose copies of:
• Location, date & time of the proposed draw (sporting
event schedules may be used to provide this information
for 50/50 draws to be held during sporting events)
• The price of the tickets and a sample ticket
• Copies of all receipts, invoices, purchase orders, bills of
sale or letters of intent for prizes of S500.00 or more
(including cases where multiples of the same item total
more) supporting the stated retail value of the prizes,
plus taxes
• A full translation of the information to be printed on the
tickets and advertisements (if other than English) and a
copy of the text in the languages to be issued
• A full explanation of how credit card sales and
dishonoured cheques will be handled
04/13
• Governing Documents
Constitution and/or by-laws, letters patent,
charter, trust deed, memorandum of
association, signed as required
• Detailed Outline of programs/services
What they are, how delivered to clients, specific
costs, supporting materials, etc.
• Organization's current operating budget
• Organization's verified financial statements for last fiscal
year
• List of Board of directors
• Latest report to the Public Guardian and Trustee, if
applicable
• Revenue Canada notification of registration letter
If your organization is registered;
• Membership list, if applicable;
• Organization's Annual Report, if applicable.
US
Quick Guide to Lottery Licence Applications
Are You Eligible for Charitable Gaming
Licences?
The eligibility of your organization will be determined
by the licensing office you are applying to. Charitable
registration with Revenue Canada or incorporation as a
non-profit organization does NOT guarantee eligibility
for licences.
Your organization may be eligible if it:
• has a purpose to provide charitable services to
Ontario residents to:
• relieve poverty
• advance religion
• advance education
• benefit the community
•
has carried out activities consistent with its charitable
purpose for at least 1 year
•
is located in Ontario
•
is non-profit
Examples may include:
• hospitals
• service clubs
e youth activities or sports
• arts or culture
Organizations that only promote the private interests
of their members do NOT qualify for gaming event
licences. This may include, but is NOT limited to:
• adult recreation or sports
• individual sport teams
• unions or employee groups
6 social clubs
• professional associations
8 political, government, lobbying or advocacy
groups.
Note to Applicants
Ensure that you read and understand your event Licence
Terms and Conditions before proceeding with the
application package.
This package is used to apply to the municipal office
of Town of South Bruce Peninsula for charitable
gaming event licences.
Keep a copy of all licence application documents for
your records.
04/13
•
Activities are regulated by Criminal Code of
Canada, Sections 206 & 207, Ontario Order in
Gaming Control Act, 1992 and Regulations.
• You can obtain copies of the Gaming Control Act
and Regulations, Provincial Information Bulletins,
and forms from the Alcohol and Gaming
Commission of Ontario's website at www.agco.on.ca
Licence Application Instructions
•
'
Your licence application is a legal document and will
be returned or delayed if the Instructions (below) are
not followed or if Checklist items (on Application)
are missing. This may result in the cancellation of
your charitable gaming event.
• Type or legibly print all information.
•
Answer every question completely.
•
Only original forms and signatures will be accepted.
•
Persons signing any Licence Application must have
a good knowledge of the applicable Licence Terms
and Conditions.
•
It is illegal to print tickets, promote or conduct a
charitable gaming event without a licence.
Incomplete Applications
Please note that all information including appropriate
documentation and fees must be included in your
application. Incomplete packages will be returned to your
organization. Your organization cannot print or sell
tickets until you are licensed and all tickets must indicate
the licence number. It is your responsibility to notify the
Lottery Licence Officer of any changes to your
organization such as changes to your Board of Directors,
changes in programs and services, etc.
Application Changes
•
If you make changes to your Licence Application
package before you submit it to your licensing office,
each change must be initialed on each document by
the Licence Application signors and other signors of
that document,
• Changes to your submitted Licence Application
package must be made in writing on your
organization's letterhead, signed by the Licence
Application signors and include supporting
documents that are affected. Application changes are
NOT automatically approved and may NOT be
permitted.
Once your lottery licence is issued, requests for
changes will NOT be considered. Expired Licences
may NOT be amended or cancelled.
04/13
Renewal Applications
Organizations must submit their renewal applications to
the Town of South Bruce Peninsula prior to the expiry of
the lottery licence. This will allow applications to be
given full and proper consideration.
If you require clarification on any of the above please feel
free to contact the Lottery Licence Officer at:
Town of South Bruce Peninsula
315 George St
Wiarton, ON
NOH 2T0
519-534-1400 Ext 120
[email protected]
Application to Manage and Conduct
a Blanket Raffle Lottery
Demande relative a la mise sur pied
et a ('administration de tombolas en
vertu d'une licence generate
Alcohol and Gaming
Commission des alcools
Commission of Ontario
et des jeux de I'Ontario
Inscription pour les jeux et loteries
Gaming Registration & Lotteries
90 Sheppard Ave E, Suite 200
90, av. Sheppard E, bureau 200
Toronto ON M2N0A4
Toronto ON M2N0A4
(416) 326-8700 or/ou 1-800-522-2876 toll free in Ontario/sans frais en Ontario
FOR OFFICE USE ONLY /
RESERVE A L'USAGE INTERNE :
Please print or type / Dactylographier ou ecrire I'information en lettres moulees
1. Information on organization / Renseignements sur I'organisme
Name of organization / Nom de I'organisme
GIN / N.I.O.
I
I
I
I
!
City/Town / Ville
Street address of organization / Numero et rue
Telephone no. / Telephone
Postal Code / Code postal
I
I
1
I
I
(
1
1
)
1
1
I
Province
Fax no. / Tel6copieur
1
1
1
I
(11)1
2. Charitable or religious objects or purposes for which proceeds are to be raised I Objectifs reiigieux ou de
bienfaisance se rattachant au produit des tombolas
Please list the organization(s) to which you propose to donate the proceeds. / Veuillez indiquer le nom de I'organisme ou des
organismes & qui vous proposez de donner le produit des tombolas.
Please note that only organizations eligible to receive proceeds from charitable gaming can be listed. /
Ces organismes doivent etre admissibles an produit de jeux a des fins de bienfaisance.
3. Details of Event / Details sur l'actlvit§
YY/AA
MM/MM DD/JJ
The licence period commences: /
,
,
La periode couverte par la
I
I
I
I
I
licence commence le :
Start date / Date du d6but
and the licence period
ends:/et prend fin le :
YY/AA
MM/MM
DD/JJ
,
,
I
I
I
I
I
End date / Date de la fin
b) Raffle Lottery Events schedule
Please provide a detailed list of the proposed raffle lottery events you wish to manage and conduct during the above period. This
period cannot exceed 6 months. Please list additional events on a separate sheet labelled Question 3b.
Veuillez foumir la liste detaillee des tombolas que vous proposez de mettre sur pied et d'administrer pendant la periode indiquee ci-dessus. Cette
periode ne peut depasser six mois. Si vous n'avez pas suffisamment d'espace, veuillez joindre une feuille portant la mention « Question 3b ».
Event Date /
Date de la tombola
Prizes to be Awarded /
Prix a attribuer
Cost per Ticket /
Cout du billet
Type of Raffle conducted /
Genre de tombola
4. Location at which the Blanket Raffle Lottery will be managed and c<snducted (if different from address above) /
Endroit ou les tombolas seront mises sur pied et administrees en vertu d'une licence g£n§rale
(si I'adresse est differente de celle indiquee ci-dessus)
Telephone no. / Telephone
Name of location / Nom de I'endroit
(
Address / Adresse
City/Town / Ville
[
1
)
1
Fax no. / Telecopieur
(II)
Province
1
I
1
1
1
i
1
1
1
Postal Code / Code postal
1
3155 B (06/05)
1
l
i
1
1
Page 1 of/de 2
5. Prizes I Prix
a) The total value of all prizes to be awarded is: $
This figure includes the value of all cash prizes,
merchandise or articles at retail market value.
Valeur totale de tous les prix a attribuer:
$. Ce montant englobe la valeur de tous les prix en esp^ces,
ainsi que la valeur marchande au detail des marchandises ou des articles remis en guise de prix.
Please list Merchandise prizes:
Veuillez dresser la liste des marchandises :
Please note that the total prize value for all Raffle events conducted under a Blanket Raffle licence cannot exceed $5,000.00.
Veuillez prendre note que la valeur totale des prix pour toutes les tombolas mises sure pied en vertu d'une licence generate ne peut pas depasser 5 000 $.
b) How will winners be notified? / Comment les gagnants seront-ils avises?
Certificate I Attestation
I / Je soussign§(e),
and I / et je soussign6(e),
name / nom
of/de.
name / nom
Full name of organization / Nom complet de I'organisme
hereby certify that: / atteste par les presentes que :
hereby certify that: / atteste par les presentes que :
a.
I have read, have in my posession, and agree to comply with the provisions of the Raffle Terms and Conditions and policies governing
a Blanket Raffle Licence to manage and conduct Lottery Schemes as indicated above.
J'ai lu et j'ai en ma possession les modalites et les politiques regissant la licence generate de tombolas qui autorise la mise sur pied
et I'administration des loteries indiquees prec6demment, et je conviens de m'y conformer.
b.
I have read over this application.
J'ai lu la pr§sente demande.
c.
All facts stated, and information furnished herein, are true and correct.
Tous les renseignements fournis sur la demande sont exacts et complets.
d.
I am the holder of the office with descriptive title as set out appearing under my signature below.
J'occupe le poste correspondant au titre indiqu6 sous ma signature.
e.
If a licence is granted, I undertake to comply with all Terms and Conditions and Registrar's policies of such licence.
Si une licence est delivree, je m'engage § respecter toutes les modalites et les politiques du registrateur regissant la licence.
f.
I, the undersigned, as a principal officer of the above-named organization, apply for a licence to manage and conduct the above lottery
scheme on behalf of the organization.
Je soussigne(e), en tant que dirigeant(e) principal(e) de I'organisme susmentionne, presente, au nom de I'organisme, une demande
de licence pour la mise sur pied et I'administration des loteries indiquees prec6demment.
Print name in full /
Nom au complet
en lettres mouses
Title/
Titre
Business/
Au bureau
Phone Number/
T6l6phone
Business/
Au bureau
Fax/
T6!6copieur
Fax/
T6tecopieur
Year /Ann6e
Month / Mois
Day/Jour
Date of Signing /
Date
Year /ArtnSe
Month / Mois
Day / Jour
i
Signature
Witness /
T6moin
3155 B (06/05)
Page 2 of/de 2
Details of Eve nt(s) Blanket Licence January to March 2014
Type of Event(s) Meat Draw
January
Month
February
Draw Dates
March
Total
5, 8, 12, 15,
19,22, 26
1,5, 8,12,
15, 19, 22,
26, 29
25 dates
200x7
200 x 9
200 x 25
(1800)
(1400)
(1800)
(5000)
$1.00 ea
$1.00
$1.00
$1.00
40 x 9
40x7
40x9
40X25
$360.00
$280.00
$360.00
$1000.00
10.80
8.40
10.80
30.00
1,4, 8, 11,
15, 18, 22,
25, 29
Total Tickets 200x9
Cost per
Ticket/Set of
Cards
Prize Board
Licence Fee
For Official Use Only:
Total Prize Board:
Licence Fee:
Period of Licence:
Details of Event(s) Blanket Licence January to March 2014
Type of Event(s) 50/50
Month
January
Draw Dates
1,4,8,11,
15, 18, 22,
25, 29
February
March
Total
5, 8, 12, 15,
19, 22, 26
1,5, 8, 12,
15, 19, 22,
26, 29
25 dates
2000
Total Tickets 2000
$2.00 each
or 3/$5.00
$2.00 each
or 3/$5.00
$2000.00
$2000.00
Licence Fee
$60.00
$60.00
For Official Use Onlv:
Total Prize Board:
Licence Fee:
Period of Licence:
$2.00 each
or 3/$5,00
$2.00 each
or 3/$5.00
Cost per
Ticket/Set of
Cards
Prize Board
QUESTIONNAIRE RESPECTING APPLICANTS FOR LOTTERY LICENCE
1.
Registered Name of Organization (as shown on Governing Documents):
Operating Name, if different:
Business Address:
Telephone Number:
Email Address:
Fax No.
Website:
2.
Is the Organization incorporated as a non-profit organization with Ministry of Consumer & Business Services (Ontario)?
• Yes • No
Please provide registration date & number:
3.
Is the Organization registered with Revenue Canada as a charity?
• Yes
n No
Please provide registration date & number:
4.
How long has the Organization been providing services?
5.
What category best describes the Organization?
• Advancement of Education
• Relief of Poverty
• Health and Welfare
• Advancement of Religion
n Other Charitable Purposes Beneficial to the Community: (Please specify sub-categoryV)
.Culture & Arts
_ Health & Welfare
_ Amateur Sports Organizations
_ Enhancement of Youth
_ Public Safety Programs
_ Community Service Organizations
6.
Please list and describe the specific programs and services delivered by the Organization and associated cost (do not restate
your mandate or mission statement):
Services
1.
Costs
:
:
1
2.
2.
3.
3.
4
4
5.
5.
7.
Approximate total number of members in the organization:
8.
Date of fiscal year-end
9.
Does the Organization currently manage and conduct any gaming event (lotteries) within the City/Town of South Bruce
Peninsula or other Municipalities?
• Yes • No
Please indicate last day of filing
(date)
04/13
1
Please indicate type of gaming event and location (Municipality)
• Bingo
• Raffle*
• Break Open Ticket
n* Bazaars
*Please include name and address of Supplier registered under Gaming Control Act, 1992.
10. For the purpose of lottery licensing, all organizations must have a lottery trust account. Please complete the following
information:
Name of Bank and Address;
11.
Trust Account number:
Date Opened:
Would you like to pick up the Licence?
Yes
Telephone Number: (
No
)
If no, licence will be mailed out.
Contact Name and Mailing address:
Designated Members in Charge
All Designated Members in Charge must be bona fide members of the organization and are required to complete
this form
We, as active, bona fide members of
(organization)
hereby certify that as the incorporating documents are current and still in effect.
hereby certify that as the designated members in charge of the lottery for which this application is made, will be responsible
for the management and conduct of the lottery in accordance with the terms and conditions under which the lottery license
is issued. We, as bona fide members, have signing authority, hold a senior position with the organization and will be
present at the lottery events. (In addition to the three bona fide members listed below, please include a list of six to eight
names, including positions within the organization and telephone numbers (during the day) in order to deal with scheduling
and unscheduled absences.)
Print Name in Full
Title
Other Position(s) held in Organization
Home Address
Phone Numbers
Number and Street:
City and Province:
Postal Code:
Business :
Home :
Date
Signature
04/13
2
Print Name in Full
Title
Other Position(s) held in Organization
Number and Street:
Home Address
Phone Numbers
City and Province:
Postal Code:
Business:
Home :
Date
Signature
Print Name in Full
Title
Other Position(s) held in Organization
Number and Street:
Home Address
Phone Numbers
City and Province:
Postal Code :
Business:
Home :
Date
Signature
Names of additional volunteers :
1.
2.
3.
4
5
6
7
8
04/13
3
Alcohol and Gaining Commission of Ontario
Gaming Registration & LntBries
90 SHEPPARD AVENUE EAST SUITE 200
TORONTO ON M2N QA4
Tel.: 416 326-8700
Fax:416326-5555
Alcohoi and Gaming
Commission of Ontario
1 800 522-2876 toll free in Ontario
Website: www.agco.on.ca
Lottery Licence
Terms and Conditions
These terms and conditions apply to all lottery
licences issued under the authority of the Criminal
Code (Canada).There are additional terms and
conditions for each type of lottery scheme as
well as Standards and Directives issued by the
Registrar that must be followed.
DEFINITIONS
bingo hall means a type of charitable gaming site
where a charitable organization conducts and
manages a lottery scheme under the authority
of a licence issued by a municipality or by the
Registrar.
Board of Directors means the individuals elected
or appointed to manage the affairs of the licensee.
|
[
I
bona fide member means an active member of an
eligible organization in good standing, who has
activities within the organization beyond conducting lottery events. "Members of convenience"
whose only activity is to assist at lottery events
are not considered bona fide members.
I
|
|
books and records means documents outlining
financial details of lottery events and includes
but is not limited to, ledgers, sub-ledgers,
chequebooks, cheque stubs, deposit books,
deposit slips, bank statements, cancelled cheques,
receipts, invoices and control sheets.
charitable gaming site means a gaming site
where a charitable organization conducts and
manages a lottery scheme under the authority
of a licence issued by a municipality or by the
Registrar.
charitable organization means a corporation,
organization, association or partnership which is
created primarily for a charitable object or pur­
pose in Ontario, is operated not for profit, and
includes a religious organization.
4240E (2015/06)
© Queen's Printer of Ontario, 2015
consolidated designated trust account (CDTA)
means an account designated as a trust account
by the branch of a recognized financial institu­
tion within the Province of Ontario into which
are deposited by the Hall Charities Association
the proceeds derived from events conducted and
managed pursuant to lottery licences.
designated lottery trust account means an
account designated as a trust account by the
branch of a recognized financial institution within
the Province of Ontario.
Directive means a directive prescribed by the
Registrar to one or more licensees or gaming
suppliers directing the licensee or supplier to act
or to cease acting in the manner specified in the
Directive.
Gaming-Related Supplier means a person who
manufactures, provides, installs, tests, maintains
or repairs gaming equipment or who provides
consulting or similar services directly related to
the playing of a lottery scheme or the operation of
a gaming site.
gaming site means premises or an electronic
channel maintained for the purpose of playing or
operating a lottery scheme.
Hall Charities Association (HCA) means an asso­
ciation formed by ail the licensees conducting
bingo and other lotteries within a bingo hall.
licence means a licence issued to an eligible
charitable organization under the Criminal
Code (Canada) by or under the authority of
the Lieutenant Governor in Council to conduct
and manage a lottery scheme approved by the
Registrar.
licensee means a charitable organization to which
a licence is issued.
Disponible en Frangais
Page 1 of 5
j
f
I
|
licensing authority means the authority specified
by the Lieutenant Governor in Council as a licensing authority for the purposes of the Criminal
Code (Canada).
j
|
\
lottery means a scheme for which a licence is
available pursuant to s. 207(1 ){b) of the Criminal
Code (Canada),
j
I
lottery event means an event at which a lottery is
conducted and managed by a licensee.
|
[
Registrar means the Registrar of Alcohol and
Gaming.
I
I Standards means standards prescribed by the
i Registrar for gaming equipment or for gaming
j services with which Gaming-Related Suppliers
I must comply. Standards also include standards
i prescribed by the Registrar with which licensees
I must comply.
v. ensuring that theseTerms and
Conditions of licences, the applicable
terms and conditions prescribed by the
Registrar for the specific type of lottery
scheme, the Standards and Directives
prescribed by the Registrar and any
additional terms and conditions
imposed by the licensing authority are
complied with; and
i
j
i
j
j
)
j
j
j
vi. ensuring that all required
books and records are kept and that
all monies are deposited into the
designated lottery trust account or consolidated designated trust account.
j
j
j
|
j
1.3
The licensee must comply with all federal,
provincial and municipal laws including the
Criminal Code (Canada) and the Gaming
Control Act, 1992.
j
j
j
\
1.4
The licensee must conduct and manage the
lottery and ensure that the lottery is operated in accordance with the information
supplied on the application and approved
on the licence.
|
j
j
j
|
1.5
The licensee must pay all fees or other
charges that are established or prescribed
by the Registrar or established under the
Alcohol and Gaming Regulation and Public
Protection Act, 1996 in such manner and
time period specified.
j
j
j
|
)
1.6
The licensee must ensure that all lottery
events are conducted in accordance with
these terms and conditions of licences,
the applicable terms prescribed by the
Registrar for the specific type of lottery
scheme, the Standards and Directives
prescribed by the Registrar and any additional terms and conditions imposed by the
licensing authority.
j
j
j
J
j
I
|
|
|
1.7
As prescribed by the Registrar, the licensee
must ensure that the original licence is displayed at the premises where the lottery is
being conducted.
j
j
i
j
j
I
j
j
i It is a condition of each licence that:
j
.
i
(1)
CONDUCT AND MANAGEMENT
1.1
j
j
The licensee is responsible for and
accountable for the overall conduct and
management of the lottery.
j 1.2
i
j
|
a) The licensee must control and determine all operational, administrative and
staffing requirements related to the conduct and management of the lottery.
I
|
1
|
1
b) The licensee must provide the required
number of bona fide members prescribed
by the Registrar to be in charge of and
responsible for the conduct of the lottery
on behalf of the licensee.
|
|
i
c) The designated members in charge
must be at least 18 years of age and, on
behalf of the licensee, be responsible for;
i
i. applying for the licence;
1j
|
j
ii. supervising all activities related
to the operation of the lottery;
1.8
I
I
)
iii. carrying out activities required
for the conduct and management of
the lottery;
The licensee must conduct only those
types of games approved in the application
for licence.
1.9
The licensee must ensure that no person
directly involved in or responsible for the
conduct of the lottery event or involved in
the sale of bingo paper, break open tickets
j
|
iv. ensuring the completion and
filing of the required reports;
|
j
j
,
4240E (2015/06)
Page 2 of 5
licensee must pay separately each GamingRelated Supplier registered under the
Gaming Control Act, 1992.
or raffle tickets, as the case may be, pur­
chases any bingo paper, break open tickets
or raffle tickets, or participates in the game
which he or she is assisting to conduct,
1.10
The licensee must not allow any person
under the age of 18 to participate in any
way as a player in any lottery event.
1.11
The licensee must ensure that no person is
extended credit for any gaming activities,
Except as may be permitted in the terms
prescribed by the Registrar for a specific
type of lottery or premises, the licensee
must not accept credit cards, employer
cheques or personal cheques.
1.12
The licensee must not allow any person
who currently has a registration under the
Gaming Control Act, 1992 revoked, sus­
pended or refused to participate in any way
in the conduct, management or operation
of the lottery event.
1.13
The licensee may exclude persons from
participating in games of chance at its
discretion.
(2)
USE OF PROCEEDS
2.1
The net proceeds derived from the con­
duct of the lottery must be used for the
charitable or religious purposes in Ontario
that were approved on the application for
licence.
2.2
All prizes and permitted expenses incurred
as a result of conducting the lottery must
be deducted and paid out from the gross
receipts derived from the lottery. Unless
otherwise permitted by the Registrar, the
licensee must not use monies from any
other source to pay for expenses related to
the lottery.
2.3
2.4
2.5
(3)
FINANCIAL MANAGEMENT AND
ADMINISTRATION
BOOKS AND RECORDS
3.1
The licensee must maintain detailed
records of the disbursement of all proceeds
derived from the conduct and manage­
ment of a lottery, including receipts for
each expense incurred, and for the use of
the proceeds for the purposes approved on
the application.
3.2
The licensee must maintain books and
records and other documents in support
of all financial reports or statements.The
books and records must be kept up to
date and retained for no less than four
(4) years from the latter of the date of the
lottery event or until the date on which all
proceeds have been expended for the pur­
poses approved on the application.
3.3
The licensee must:
a} provide unencumbered access to the
licensee's books and records and other
documents including but not limited to,
those related to the conduct and manage­
ment of a lottery within the bingo hall,
the use of proceeds from a lottery and the
licensee's non-lottery accounts to persons
appointed by a licensing authority ar\d to
all peace officers; and
b) deliver to a licensing authority within
the time period specified by the licensing
authority the licensee's books and records
and other documents described in (a) and
such other materials as required by the
licensing authority for inspection, audit and
investigation purposes.
All expenses must be directly related to
the conduct of the lottery except as may be
otherwise prescribed by the Registrar,
3.4
The Registrar may prescribe the method by
which expenses will be calculated based on
the type of lottery being conducted
The licensee must hold all proceeds from
the conduct and management of the lottery
in trust.
3.5
In order to administer all proceeds from
the lottery in accordance with the terms
and conditions of licences, the applicable
terms and conditions prescribed by the
Registrar for the specific type of lottery
Each expense must be individually calcu­
lated and paid in Canadian funds, drawn
on the designated lottery trust account.The
Page 3 of 5
type of lottery scheme, the Standards and
Directives prescribed by the Registrar
and any additional terms and conditions
imposed by the licensing authority.
scheme and any additional terms and con­
ditions imposed by the licensing authority,
the licensee must:
a) open and maintain a designated lottery
trust account with cheque writing privi­
leges and monthly statements issued;
b) ensure that the designated lottery trust
account includes either the return of all
cheques with the monthly statements or
the return of electronically scanned images
of the front and back of each cancelled
cheque with the monthly statements;
3.9
All documents required by Section 3.8
must be reviewed and approved by the
licensee's Board of Directors prior to filing
with the licensing authorities.
3.10
A licensee that receives:
a) less than $250,000 in gross annual
revenues from all sources must prepare
financial statements in accordance with the
standards set out in the CICA Handbook;
c) ensure that its designated lottery trust
account requires that all cheques or with­
drawals have the signatures of at least two
(2) bona fide members of the licensee;
d) deposit all proceeds from the lottery,
other than any prizes paid to players during
the lottery event, into the designated lot­
tery trust account as soon as practicable;
and
b) $250,000 or more in gross annual
revenues from all sources must prepare
financial statements in accordance with the
standards set out in the CICA Handbook
which have been audited by a public
accountant.
3.11
The licensee must provide to a licensing
authority within the time period specified
by the licensing authority, any information,
materials, financial statements, audited
financial statements, review engagement
reports and compliance reports as the
licensing authority may require.
3.12
The licensee may use proceeds from the
lottery to pay the expenses of the finan­
cial statements and reports required by
this section, with the prior approval of the
licensing authority.
e) use any interest that accrues in the
designated lottery trust account for the
charitable purposes approved in the
application for licence, unless otherwise
authorized by the Registrar.
REPORTING REQUIREMENTS
3.6
I
j
|
3.8
The licensee must provide a licensing
authority with a financial report outlining
the results of the lottery event it has con­
ducted and managed in the prescribed
form.
SECURITY FOR PAYMENT OF PRIZES
The licensee must ensure that all required
reports are prepared within the time period
prescribed by the Registrar.
3.13
The licensing authority may require licens­
ees to provide security to ensure the
payment of all proposed prizes.
The licensee must provide to each licensing authority that issued it a licence or
authorization, within the time period
specified:
3.14
For prizes of up to $10,000, the security
may be in the form of a certified cheque,
bank draft, money order or an irrevoca­
ble letter of credit drawn on a Canadian
chartered bank, payable to the licensing
authority and which expires no sooner
than 45 days after the last day of the lottery
event specified in the licence.
3.15
For prizes of $10,000 or more, the secu­
rity must be an irrevocable letter of credit
drawn on a Canadian chartered bank, pay­
able to the licensing authority and which
a) financial statements prepared in accor­
dance with the Standards prescribed by the
Registrar; and
b) a summary of the licensee's compliance with these terms and conditions,
the applicable terms and conditions pre­
scribed by the Registrar for the specific
4240E (2015/06)
Page 4 of 5
expires no sooner than 45 days after the
last day of the lottery event specified in the
licence.
3.16
The security must be held by the licensing
authority until such time as the licensing
authority is satisfied that the lottery event
has been completed and that all prizes have
been paid or awarded.
3.17
Where the licensee refuses or fails to pay
out prizes to winners at a lottery event,
the licensing authority must realize on the
licensee's security and use the proceeds to
pay the prizes to the winners.
3.18
Where a prize is not claimed by a winner
within a reasonable period of time and,
where in the opinion of the licensing
authority all reasonable attempts have
been made by the licensee to contact the
winner, the unclaimed prize must be held
in trust by the licensee for a period not less
than 12 months from the date the prize
was awarded. At the end of the 12-month
period, the total amount of the prize held in
trust, including interest, must be included
by the licensee in the gross proceeds of the
lottery event.
4240E (2015/06)
Page 5 of 5
Alcohol and Gaming Commission of Ontario
Gaming Registration & Lotems
90 SHEPPARD AVENUE EAST SOITE 200
TT0R0NTD 0N :M2.N 0A4
.:
>M,;416:3ffii87C0 \
'
: Pax: 41B 326-5555 : :
> ,
;;t 800.522-2876 tall free in Ontario
:
: W6l)Site;:wi«w.agco,on,ca ;
AGCO
Alcohol and Gaming
Commission of Ontario
Raffle Licence
Terms and Conditions
DEFINITIONS
(1)
GENERAL
bona fide member means a member in good
standing of the licensee who has other duties,
beyond conducting lotteries, within the organiza­
tion. "Members of convenience" whose only duty
is to assist with the raffle lottery are not considered bona fide members.
1.1
The licensee is responsible and account­
able for the overall management and
conduct of the raffle.
1.2
The licensee must control and decide all
operational, administrative and staffing
requirements related to the conduct of the
raffle.
1.3
The licensee must comply with all federal,
provincial and municipal laws including the
Criminal Code of Canada and the Gaming
Control Act, 1992 and Regulations.
1.4
The licensee must conduct the raffle in
accordance with the information supplied
on the application and approved by the
licence.
1.5
The licensee must produce the licence on
demand.
(2)
STAFFING
2.1
The licensee must designate at least two
(2) bona fide active members to be in
charge of and responsible for the conduct
of the raffle.The designated members in
charge must be at least 18 years of age and
be responsible for:
books and records means documents outlining
financial details of lottery events and includes,
but is not limited to, ledgers, sub ledgers, cheque
books, cheque stubs, deposit books, deposit slips,
bank statements, cancelled cheques, receipts,
invoices, and control sheets.
licensee means an organization which has been
issued a licence to conduct a lottery under Section
207 of the Criminal Code.
licensing authority means a person or authority
specified by Lieutenant Governor in Council as a
licensing authority for purposes of section 207 of
the Criminal Code of Canada.
raffle means a lottery scheme where tickets are
sold for a chance to win a prize at a draw, and
includes 50/50 draws, elimination draws, calendar
draws, sports raffles and "rubber duck" races.
Registrar means the Registrar of Alcohol and
Gaming.
Any raffle licence issued is subject to the follow­
ing terms and conditions and the Lottery Licence
Terms and Conditions (4240) and may be subject
to audit and investigation by the licensing author­
ity, A breach of any term and condition can result
in the cancellation or suspension of the licence or
in prosecution.
It is a condition of each licence that:
6004A E (2015/06) © Queen's Printer of Ontario, 2015
a) supervising all activities related to the
conduct of the raffle;
b) completing and filing the required
financial report on the results of the event;
c) ensuring that all terms and conditions
of the licence and any additional conditions
imposed by the licensing authority, are
complied with;
Disponible en Frangais
Page 1 of 5
j
d) supervising all ticket sellers;
j
I
t
e) keeping all required records and depositing all monies into the designated lottery
trust account;
j
f)
j 2,2
I
j
j 2.3
i
I
j
j
!
| 2,4
i
1
j
j
The licensee may recruit sufficient persons
to assist with the sale of tickets.
ii. the name of the licensee;
iii. the location(s), date(s), and
time(s) of the draw(s);
!
!
I
<
iv. a description, including the
j
nature, number and value of the prize(s) )
to be awarded;
j
reconciling all tickets,
v. the price of each ticket;
vi. the number of the ticket, and;
The licensee may use the services of a
person to assist in the conduct of the raffle
provided the person is registered under the
Gaming Control Act, 1992 and Regulations
or is otherwise exempt.
The licensee must establish rules, consistent with these terms and conditions,
governing the conduct of the raffle and the
awarding of prizes. Rules must be made
available to ticket purchasers and must be
approved by the licensing authority.
| 3,2
j
j
j
!
Once the first ticket is sold, the licensee
must complete the raffle and award the
prize(s) as approved in the application for
licence, whether or not all tickets have been
sold.
j
j
[
1
Winner(s) must be determined in the
manner set out and approved in the application. For stub draws, only the sold ticket
stubs must be used for draw purposes.
3.3
I (4)
j
| 4,1
i
|
TICKET REQUIREMENTS
i
Tickets must be consecutively numbered,
j
4.2
( 4.3
j
I
;
|5
f
j
ii. the licence number and the name
of the licensee;
j
j
iii. adequate space for the name,
address and telephone number of the
ticket purchaser,
j
j
]
]
4.4
If tickets are to be discounted from the
regular price (for example, $1.00 or 3 for
$2,00), then the prices must be indicated
and printed on each ticket.
4,5
At the request of the licensing authority,
the licensee must provide a sample of the
ticket.
j
j
j
j
|
!
j
i<;
4.6
The licensee must not use any type of
"scratch and win" ticket,
j
i
4.7
Where prizes are donated, and the donor
and the licensee agree, the donor name
or company name may be included on
the ticket, provided that the name of the
licensee is more prominent,
j
j
j
j
j
4.8
Tickets must not bear any coupon, promotional or advertising material unless it is
promoting the licensee and approved by
the licensee.
j
)
I
|
(5)
TICKET SALES
j
5.1
The licensee must not allow any person
apparently under the age of 18 to purchase
a ticket.
;
I
!
The licensee must print only the number of
tickets indicated and approved in the application for licence.
a) The licensee must have tickets printed
in two (2) parts which must contain the following information:
j
j
i. the number of the ticket;
CONDUCT 0FTHE EVENT
j 3.1
j
I
|
|
|
j
b) On the part retained by the organization j
(for draw or record purposes):
]
The licensee must not allow any person
who has had a registration under the
Gaming Control Act, 1992 revoked or
refused to participate in any way in the conduct of the event.
|
(3)
)
I
j
vii, the total number of tickets
printed.
j
j
|
i, the licence number;
Page 2 of 5
| 5.2
j
I
|
[
I
The licensee may accept cheques or credit
card payments and must be responsible for
ensuring that the proceeds from the ticket
sales are received. Any processing charges
for these types of payments must form part
of the expenses for the raffle.
j
The licensee must ensure that:
j
5.3
{7}
ADVERTISING
7.1
The licensee is responsible for the
design, placement and payment of any
advertisements.
j
i
j
j
|
72
a) Print advertisements must clearly state:
]
i. the name of the licensee;
a) raffle ticket orders are not solicited or
accepted from persons located outside of
Ontario;
|
;
I
j
j
|
\
)
(
j
b) the vendor and purchaser of raffle
tickets must both be physically present in
Ontario at the time the sale takes place;
!
|
I
c) the raffle lottery scheme is not advertised, promoted or otherwise marketed to
persons located outside of Ontario.
iv. a description of the prizes to be
awarded, including their value;
j
|
'
{
I
l
;
j
PRIZES
v. the total number of tickets to be
printed and the price of the ticket.
j
j
j
(6)
j
I 6.1
{
i
The winner(s) of the prize(s) must be determined and publicized in the manner set out
and approved in the application.
j 6.2
|
I
[
The licensee must be responsible for
awarding all prizes and for making all
reasonable efforts to contact the prize
winner(s),
I 6.3
1
j
i
I
j
[
|
Any prizes which are not claimed must
be secured or placed in safekeeping for a
period of one (1) year from the date of the
draw. If at that time the prize has still not
been claimed, the prize or monies equivalent to the fair market value of the prize
must be donated to a beneficiary approved
by the licensing authority.
i 6.4
|
|
Only the prize(s) as described and
approved in the licence application must
be awarded.
i 6.5
j
|
|
j
The value of the prize(s) must include the
amount of any duty, tax, sales tax or other
cost, Prize(s) must be awarded free and
clear of any mortgage, lien or any other
encumbrances.
i
i
i
I
ii. the licence number(s) issued;
Hi. the location, date and time at
which the draw is to be held, including the location, date and time of each
early bird draw and the cut-off time for
each early bird draw;
I
b) Radio and television advertisements
must provide, at a minimum, the name
of the licensee and the licence number(s)
issued.
]
j
j
!;
7.3
The licensee must supply samples of
advertising and promotional materials
to be used in connection with the raffle
if requested to do so for approval by the
licensing authority.
I
j
j
j
j
7.4
The licensee must not engage in any advertising that:
I
!
a) implies that participating in a lottery
event promotes or is necessary for social
acceptance, personal success, financial
success or the resolution of any economic,
social or personal problem;
)
|
I
j
j
b) contains endorsements by well-known
personalities that may appeal to persons
under the 18 years of age; or
j
j
j
c) is specifically directed at encouraging
individuals under the age of 18 to participate in a lottery event.
7.5
6004AE (2015/06)
I
Any advertising or promotional activities
by celebrities must be provided at no cost
to the licensee.
j
j
ij
]
|
|
j
|
i
Page 3 of 5
(8)
PROCEEDS AND EXPENSES
8.1
The net proceeds derived from the conduct
of the raffle must be used for the charita­
ble and religious objects or purposes in
Ontario as approved in the application for
licence.
8.2
All prizes and expenses incurred as a result
of conducting the raffle must be deducted
and paid out from the gross receipts
derived from the raffle.The licensee must
not use monies from any other source to
pay for raffle expenses.
8.3
The Registrar may limit the amount which
may be paid for expenses.
8.4
Expenses must be directly related to the
conduct of the raffle.
8.5
Each expense must be individually calcu­
lated and paid separately by cheque, drawn
on the designated lottery trust account
described in Section 10.The licensee
must pay each Gaming-Related Supplier
separately.
9.5
The licensee must maintain books, records
and other documents in support of all
financial reports or statements.These
records must be kept up to date and be
retained for no less than four (4) years
from the date of the raffle.
9.6
The licensee must provide officers
appointed by the licensing authority and
all peace officers unencumbered access to
all books and records related to the con­
duct of the raffle and must deliver these
documents to the licensing authority when
requested.The books and records may be
retained by the licensing authority for audit
and investigation purposes.
(10)
BANKING AND FINANCIAL
10.1
The licensee must open and maintain a
separate designated lottery trust account
to administer all funds related to the con­
duct of lottery events.The licensee has the
option of:
a) opening and maintaining one desig­
nated lottery trust account to administer all
lotteries conducted by the licensee; or
a) Ticket sellers may be paid a sales com­
mission not to exceed five (5) per cent of
the price of each ticket sold.
b) Sales commissions may be paid by
cash provided they are supported by a
receipt.
(9)
BOOKS AND RECORDS
9.1
A serial number record must be main­
tained showing the distribution of tickets,
including the names of sellers, and the
return of ticket stubs, cash, unsold or
returned tickets to reconcile all tickets and
cash at the end of the raffle.
9.2
The licensee must retain all unsold tickets,
and stubs or counterfoils of sold tickets for
a period of one (1) year from the date of
the (last) draw.
9.3
The licensee must obtain receipts for each
expense incurred.
9.4
The licensee must maintain a detailed
record of how profits from the raffle have
been dispersed.
b) opening and maintaining separate des­
ignated lottery trust accounts for each type
of lottery conducted by the licensee.
10.2
Each designated lottery trust account must
be maintained in the name of the licensee,
in trust, and must have the following
features:
a) cheque writing privileges and monthly
statements issued;
b) all cheques or electronic images of
backs and fronts of cheques returned with
monthly statement.
10.3
Any interest accrued on the lottery trust
account must be used for the charitable
purposes of the licensee.
10.4
In administering the lottery trust account,
the licensee must:
a) appoint a minimum of two (2) signing
officers, who must be bona fide members
of the licensee, to administer the account
and write cheques;
Page 4 of 5
I
j
i
i
•
!
i
j
b) deposit into the account all monies
derived from the operation of any and all
lottery events; monies must be deposited
as soon as it is practical to do so;
j
I
I
!
i
d) ensure cheques are written only for the
payment of the expenses incurred in the
conduct of the lottery and the donation of
net proceeds for the charitable purposes
approved on the application for licence.
c) ensure all withdrawals are made by
cheque;
j
10.5
a) copies of all deposit slips related to the
event;
j
b) a list of winners.
11.2
11.3
The licensee must indicate any prizes
which have been donated on the financial
report. The value of the donated prizes
must not be deducted from the gross
receipts.
j
|
j
j
]
j
!
j
j
)
i
i
11.4
The licensee must provide the licensing authorities with a verified financial
statement on a yearly basis outlining the
financial details of all lottery events conducted.The financial statement must be
submitted within 180 days of the organization's year end.
j
j
j
j
I
J
j
11.5
The type of financial review required will
depend on the gross annual revenues
derived from all sources. A licensee that
receives;
|
j
i
i
a) less than $250,000 in gross annual
revenues from all sources must prepare
financial statements in accordance with the
standards set out in the CICA Handbook;
|
j
1
j
b) $250,000 or more in gross annual
revenues from all sources must prepare
financial statements in accordance with the
standards set out in the CICA Handbook
which have been audited by a public
accountant.
j
I
j
J
|
j
11.6
Where requested, the licensee must provide an audited financial statement to the
licensing authority within 120 days of the
request or such other time limit as may be
imposed by the licensing authority.
11.7
The licensee may use lottery proceeds
to pay for expenses related to the preparation of the yearly financial statements.
This expense must not be included in any
expense maximum within the terms and
conditions.
|
I
j
)
j
(
|
|
|
j
j
!
The licensee must not:
a)
i. where only one designated
lottery trust account is maintained,
deposit monies received from any
source other than lottery events
conducted by the licensee into the designated trust account; or
ii. where a separate designated
trust account for raffle lotteries has
been established, deposit monies
received from any other source in the
designated raffle lottery account;
j
j
|
b) transfer funds from the designated
lottery trust account into an operating or
general account of the licensee;
j
j
|
|
[
c) close the designated lottery trust
account until all monies have been
donated to approved charitable purposes
and a report has been submitted to the
licensing authority,
I 10.6
!
j
I
j
i
I
|
Where only one designated lottery trust
account is maintained, the licensee must
maintain separate ledgers outlining financial details of each lottery event conducted
including proceeds derived from each,
expenses paid in the conduct of each lottery event, and a list of how proceeds have
been dispersed.
(11)
| 11.1
|
|
j
|
REPORTING REQUIREMENTS
The licensee must provide the licensing
authority with a financial report outlining
the results of the raffle on the prescribed
form.The following documents must
accompany the financial report:
6004AE (2015/06)
§
j
:
I
The financial report must be filed within
30 days of the date of the last draw. The
licensing authority may request additional
documents deemed necessary to substantiate the particulars of the event which may
include receipts for each expense incurred,
f
5
\
I
|
I
j
[
i
:
j
I
I
|
i
I
)
f
|
j
Page 5 of 5
Alcohol and Gaming
Commission of Ontario
Gaming Registration & Lotteries
Commission des alcools
et des jeux de I'Ontario
Inscription pour les jeux et loteries
90 Sheppard Avenue East
90, avenue Sheppard Est
Suite 200
Bureau 200
Toronto, ON M2N 0A4
Toronto ON M2N 0A4
416 326-8700 1 800 522-2876 toll free in Ontario / sans frais en Ontario
Ontario
August 2008
Aout 2008
IMPORTANT NOTICE
AVIS IMPORTANT
RULES GOVERNING THE CONDUCT OF
RAFFLE DRAWS
REGLEMENTS REGISSANT LE TIRAGE DES
TOMBOLAS.
Introduction:
It has come to the attention of the Registrar of Alcohol
and Gaming that licensees may not be following
approved rules when conducting draws for raffle prizes.
Introduction:
Le Registrateur de la Commission des alcools et des
jeux a appris que les titulaires de licences pourraient ne
pas se conformer aux reglements approuves pour le
tirage des tombolas.
Licensing Policies:
All licensees are required to conform with the
following:
Politiques relatives a 1'emission de licence:
Tous les titulaires de licences sont assujettis aux
conditions suivantes :
Rules for the conduct of the event shall be submitted to
the licensing authority and shall be made available to
ticket purchasers.
Les reglements relatifs a la tenue de la tombola doivent
etre soumis a Pautorite delivrant les licences et tenus a
la disposition des acheteurs de billets.
Tickets must be printed in accordance with the
requirements established in the Raffle Licence Terms
and Conditions.
Les billets doivent etre imprimes conformement aux
modalites de la licence de tombola.
All prizes must be awarded at the event(s) specified on
the licence issued.
Tous les prix doivent etre remis lors de l'evenement /
des evenements specifie(s) sur la licence.
Applicants for a licence must indicate the detailed
procedures to be followed for all draws and for all
prizes to be awarded. In determining draw procedures,
applicants must ensure fairness and address issues such
as:
Les personnes requerant une licence doivent indiquer en
detail les procedures qui seront suivies pour tous les
tirages et la remise de tous les prix. En determinant les
procedures de tirage, les requerants doivent garantir leur
impartiality et en preciser toutes les etapes :
The number of rotations of the drum after each stub is
drawn.
Le nombre de tours du contenant effectues apres le
tirage de chaque talon.
If the drum will be spun one or more times after each
stub has been drawn. If not, the rules must indicate in
detail the procedures to be followed.
S'il y aura un ou plusieurs tours du contenant apres le
tirage de chaque talon. Dans la negative, le reglement
devra indiquer en detail la procedure qui sera suivie.
Any other necessary procedures including those which
a spectator may expect to see during the stub draws.
Toutes autres procedures necessaires, y compris les
procedures auxquelles un spectateur pourrait s'attendre
a assister durant le tirage des talons.
The licensee must ensure that the Terms and Conditions
and the Rules of Play for the conduct of the event and
the awarding of prizes are carefully followed. Any
variation from the approved format would constitute a
breach of the Terms and Conditions.
Les titulaires de licence doivent veiller a ce que les
modalites et les regies du jeu, tant pour la tenue de
l'evenement que pour la remise des prix soient
scrupuleusement respectees. Toute derogation a la
procedure approuvee constitue une infraction aux
modalites de la licence.
Date:
Contact:
Phone:
E-mail:
Fax:
Date :
Contact:
Tel.:
Courriel:
T61ec.:
August 29, 2008
Peter Calabretta
416-326-3013
[email protected]
416-326-8711
le 29 aout 2008
Peter Calabretta
416 326-3013
[email protected]
416 326-8711
Alcohol and Gaming
Commission of Ontario
Gaming Registration and
Lotteries
Blanket Raffle Lottery Report
Rapport de tombolas mises sur
pied en vertu d'une licence generate
Commission des alcools
et des jeux de i'Ontario
inscription pour ies jeux
et toteries
SO. avenue S<sepp3id Esi. bureau 200
90 Sheppara Ave £.. Suite 200
Toronto ON M2N 0A<1
416 3?;>-B70G 1 800 522-2H7S toll free is
Group Identification Number (GIN)
Numero d'identification d'organisme (N.I.O.)
Name of Organization / Nom de I'organisme
Address / Adresse
Lottery Licence No. / N" de licence de loterie
Licence Period / P6riode couverte par la licence
From/Du:
To/Au:
1. Typo of Lottery events managed and conducted during above period / Genre do lotories mises sur pied et
administrees pendant cette pdriode :
a. Stub Draws I Tirages des talons de billets
Number of Draws/ Date of Oraw(s) / Tickets Printed /
Nombre de tirages Date du ou des Biiiets imprimes
tirages
Cost per ticket /
Cout du biiiet
*Administrative
Costs / Frais
d'administration
Totai Value of
prizes / Vaieur
totaie des prix
Total Gross
Net Proceeds
Receipts / Recettes Derived / Produit
brutes totaies
net gener6
^Administrative
Costs / Frais
d'administration
Total Value of
prizes / Vaieur
totaie des prix
Total Gross
Net Proceeds
Receipts/Recettes Derived / Produit
brutes totaies
net genere
^Administrative
Costs / Frais
d'administration
Total Value of
prizes / Vaieur
totaie des prix
Total Gross
Net Proceeds
Receipts / Recettes Derived / Produit
brutes totaies
net genere
Total Value of
prizes / Nfeleur
Totai Gross
Net Proceeds
Receipts / Recettes Derived / Produit
Total Cost /
Cout total
b. Elimination Draws / Tirages par Elimination
Number of Draws/ Date of Draw(s) /
Nombre de tirages Date du ou des
tirages
Tickets Printed /
Biiiets imprimes
Cost per ticket/
Cout du biiiet
Total Cost/
Cout total
c. "50/50" Draws / Tirages 50/50
Number of Draws/ Date of Draw(s) /
Nombre de tirages Date du ou des
tirages
Tickets Printed /
Billets imprimis
Cost per ticket/
Cout du billet
Total Cost /
Cout totai
d. Meat Spins/Turkey Rolls/Name the Raffle / Activity Meat Spins/Turkey Rolls
Number of &)ins.
Date of Spin(s),
Draws / Nombre de Draws / Date des
tirages, d'activites tirages, des activites
Tickets Printed/
Bilietsimprimes
Cost per ticket/
Coutdu biiiet
*Administrative
Costs / Frais
Total Cost /
Cout total
"Attach an itemized list / Joindre une liste detaiiee
3156 B (06/05)
Page 1 of/de 2
2. Total Gross Receipts derivedfrom lottery events /Recettes brutestotales decoulantdes loteries:
5
I
*
J
Application of Funds /Utilisation des fonds :
(a) Total vaiue of prizes awarded / Valeur totale des prix attribues : $
(b) Total administrative costs incurred / Frais d'administration totaux engages : $
(attach itemized list) / (liste detaiUee ci-jomie)
Net proceeds derived / Produit net genera :
3. Details of donations (for proceeds actually donated) I Details sur les dons (prodults qui ont ete donnesj:
Amount donated /
Montant donne
Address of Payee /
Adresse de ia ou du beneficiaire
Name of Payee /
Nom de la ou du beneficiaire
Total value of proceeds actually donated for charitable or religious purposes; /
Valeur totale du produit donne & des fins religieuses ou de bienfaisance :
$
4. Details of Lottery Trust Account I Details sur lo compte do loterie en fiducie :
(Attach copies of bank statements for report period / Joigiie: tim copie des etats de bancjues pour la periode du rapport.)
Lottery Trust Account Number /
Nc' du compte de loterie en fiducie
Name of Bank, Loan/Trust Company or Province of Ontario Savings Office /
Nom de la banque, de la societe de pret ou de fiducie ou de la succursaie de la Caisse d'epargne de I'Ontario
Bank statement date/Date de i'etatde banque
YY/AA
MM/MM
DO/JJ
Branch Address / Adresse de la succursaie
Current balance as per bank statement: /
Solde actuel selon Petat de banque :
$
We, the undersigned, as two Principal Officers of the above organization, certify that this report is a correct statement of the
lottery funds herein. /
Nous soussignes, en tant que dirigeants principaux de I'organisme susmentionne, attestons que le present rapport constitue
une declaration exacte quant aux fonds de loterie.
Principal Officer /
Dirigeant(e) principal(e)
Principal Officer /
Dirigeant(e) principal(e)
Signature
Name in Full /
Nom complet
Title /
Titre
fill
I
;
«
!
i
I
Business Telephone'
Telephone au travail
{
1
I
)
1
:
1
I
i
:
Date of signing /
Date de la signature
INSTRUCTIONS TO LICENSEES I INSTRUCTIONS POUR LES TITULAIRES DE LICENCE
You must: / Vous devez:
e submit all deposit slips for the lottery trust account, specifying the date of the event. See Information Bulletin No, 032 "Blanket Raffle Licences" for details. I
fournir tous les bordereaux de depot pour le compte de loterie en fiducie, pr6cisant la date de I'activit6. Pour plus de details,
veuillez vous reporter au Bulletin d'information n° 032 sur les licences generates de tombolas.
e attach a list of all prizes and prize winners for each lottery event reported above. I
joindre la liste des prix et des gagnants des prix pour chaque loterie faisant I'objet du rapport.
a attach an itemized list of all donated prizes (if any) for each event held. /
joindre la liste dStaillee de tous les prix attribues (s'il y a lieu) pour chaque activite.
3156 8 (06/05)
Page 2 of/de 2