Instructions For Form Wv/bgo-1 (Application For Charitable Bingo License) Page 3

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Specify the dates and times that you intend to conduct limited bingo
occasions. The limited occasion license is good only for the specified dates. If
you wish to conduct games at dates or times other than those specified, you
must obtain written permission from the State Tax Department.
SECTION 6 – DATES AND TIMES OF STATE FAIR BINGO OCCASIONS
Attach a copy of any lease agreement between the State Fair Board and
the persons who will be conducting the State Fair Bingo occasions. Indicate
whether the persons who will be conducting the State Fair Bingo occasions have
conducted Bingo at the State Fair for at least 2 years prior to the current license
application. Indicate the date of the first bingo occasion to be held under the
license, and the hours that bingo occasions will be conducted.
SECTION 7 – DATES AND TIMES OF SUPER BINGO OCCASIONS
Indicate the date and time of each scheduled super bingo occasion.
SECTION 8 – PROOF OF EXISTENCE
In order to qualify for a bingo license, your organization must provide proof
that it has been in existence in West Virginia for two years prior to the date of
filing. Documentary proof may include a copy of your organization’s Certificate of
Registration issued by the Secretary of State, and a copy of a business
registration certificate issued by the State Tax Department. These documents are
not required from organizations that are applying to renew their license, and have
previously provided them.
SECTION 9 – CONCESSIONS
If a concession is to be operated by someone other than the licensee, a
copy of any written agreement, or an explanation of any oral agreement, between
the licensee and the concession operator must be attached to the application.
SECTION 10 – NAMES OF OFFICERS OF ORGANIZATION
List the names, home addresses and home telephone numbers of all of
the officers, members of the board of directors, governors, or trustees of the
organization. If necessary, attach a separate sheet.
SECTION 11 – PERSONS IN CHARGE OF BINGO
List the names, titles, home addresses and home telephone numbers of
three or more bona fide active members of the organization who will be
responsible for the bingo operations. At least one of these persons must be
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