Laserfiche WebLink
THE COMMONWEALTH OF MASSACHUSETTS <br /> FEE <br /> A r $10.00 <br /> -----------------0- ................. .............................................. <br /> (city or town) <br /> APPLICATION FOR PERMIT TO CONDUCT RAFFLES AND BAZAARS <br /> (C. 810, ACTS OF 1969) <br /> Name and add ess of Nonprofit Organization: <br /> ...........................--------------------------- <br /> low. <br /> -------------------------------------- ---------------------------------- ................ ................................................................................. <br /> Evidence of Qualification for Permit: <br /> F-1 (a) Veterans' organization chartered by the Congress of the United States or included in clause (12) <br /> of section five of chapter forty of the General Laws; or, <br /> F-1 (b) Church or religious organization; or, <br /> E] (c) Fraternal or fraternal benefit society; or, <br /> ❑ (d) Educational or charitable organization; or, <br /> ❑ (e) Civic or service club or organization; or, <br /> M (f) Club or organization organized and operated exclusively for pleasure, recreation and other <br /> nonprofit purposes, no part of the net earnings of which inures to the benefit of any member or <br /> shareholder. <br /> Officers or members of organization responsible for operation of raffle or bazaar: <br /> Name Residence Address <br /> ------------------------------- -------------------- <br /> J.6............. ----------------- <br /> (2) ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> (3) ------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------ <br /> Uses to which net proceeds will be applied: ----- - Z Z/��c-----Cwy-da n- -----16WA------------ ............------------- <br /> -------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------- <br /> ----------------------------------------- ----------------------- -------------------------------------------------------------------------- -------------------------------------------------- <br /> ------------- ----------------------------------- <br /> /�/!n4�Zu . I <br /> /(signature of authorized officer or member of organization) <br /> Application certified to be in <br /> conformity with C. 810, Acts <br /> of 1969: nn <br /> <4 City/Town Clerk <br /> -- <br /> - ---------------------------- <br /> PERMIT (ISSUED) (DEMED) <br /> & The applicant (is) -not) qualified to operate raffles and <br /> (date) bazaars under the provisions of C. 810, Acts of 1969- <br /> G = - <br /> City/To <br /> City/Town Clerk <br /> . ... ....... ... ... .: ...... ..... ........................ <br /> Chie o Pol* e <br /> L- ------- --- - �ie o iZ e <br /> FORM 810 HOBBS & WARREN, INC. <br />