Eligibility to Conduct Bingo Games in the City of Fortuna Fortuna Municipal Code States the Following:
5.16.030 Eligibility to conduct bingo games.
No person, organization, or other legal entity shall be permitted to conduct bingo games in the city unless such persons, organizations, or other legal entities possess a valid certificate or letter from the Franchise Tax Board and the Internal Revenue Service stating that they are exempted from the payment of the bank and corporation tax by Section 23701(d) of the Revenue and Taxation Code and that a contribution or gift to them would be a charitable contribution under Section 170(c)(2) of the Internal Revenue Code of 1954, and possess a valid permit issued pursuant to the provisions of this chapter. (Ord. 77-373 § 3).
5.16.040 Permit - Required - Application.
A. No person or organization shall conduct a bingo game without obtaining a permit from the city council to do so.
B. Written application for a permit required by this chapter shall be made by affidavit under penalty of perjury and filed with the city clerk
Please provide the following information to the City of Fortuna to process your Bingo Application:
Name of Organization: Critters Without Litters
Name(s), Signature(s) and Addresses(s) of Organization Officers):
Kari Crockett
1.) Printed Name of Officer:
Address of Officer: Fortuna
Signature of Officer: _ Kari Crockett
2.) Printed Name of Officer:
Address of Officer:
Signature of Officer:
3.) Printed Name of Officer:
Address of Officer:
Signature of Officer:
Daya and Hours of Oporation of Bingo Samos: 5:30pm-9:30pm 7125/26 *If Bingo is being hosted in a City of Fortuna Venue, please write the name of the venue Addros of premises where bingo games will be conducted. The Monday Sub Statement of ownership or lease of premises
Purpose for which such premile are wad by the organtation. Bingo fundraiser Eligibility to Conduct Bingo Games in the City of Fortuna statem rotters in fith outme fed in the operation of bingo games:
Statement of consent for chief of police to inspect any bank accounts containing profits derived from bingo games: Critters Without Litters
Name of each person, corporation, partnership, or other legal entity which has a financial interest in the Hubbit san anation DBA: Critters Without Litters Name of person responsible for the operation of the bingo games: - Dan| Kari Crockett
Your organization must provide copies. of certificates or letters evidencing exempt status under Section 23701(d) of the Revenue and Taxation Code and Section 170(c)(2) of the Internal Revenue Code of 1954, received from the Franchise Tax Board and the Internal Revenue Service *The City a may request further information as may be required by the city council. (Ord. 77-373 §§ 18, 19).
In addition, you application will be presented for Council consideration at a publicly noticed Public Hearing. You will be contacted regarding the date of your hearing. Permits are non-transferable and may be revoked or suspended
For additional information or any questions regarding this form, please contact the City Clerk at 707-725- 7600 or you can email directly to [email protected]