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-I I � 1 0 <br /> FORM d12 60BBS . WARREN INC. <br /> MASHPEE <br /> (city or town) <br /> ANNUAL REPORT - RAFFLES & BAZAARS October 14th, 1987 <br /> (C. 810, Acts of 1969) (date) <br /> Name and address of Nonprofit Organization: <br /> Mashpee Business Association, Inc. P.O. Box 1245, Mashpee, Ma: 02649 <br /> Expiration Date of Permit: October 6th, 1987 <br /> Number of Raffles and Bazaars Held: <br /> Amount of Money Received: $ 1,588.00 <br /> Expenses Connected with Raffles Conducted: $ 579.40 <br /> Net Proceeds: $i nRR �n <br /> For What Purposes Were The Proceeds Used? <br /> i <br /> $500.00 donated to the Mashpee Christmas Needy Fund <br /> i <br /> Balance for MBA treasury to pay for Christmas Lights at Rotary <br /> Names & Addresses of Winners of $25. 00 or More: <br /> John Witkus P.O. Box 1232, Mashpee, Ma. 02649 <br /> John Walsh 348 Acapesket Road, East Falmouth,Ma. 02536 <br /> Larry Lynch Holly Ridge, Sandwich, Ma 02563 <br /> Sharon and Michael Ciampi 42 Great Pines Drive, Mashpee, Ma. 02649 <br /> (Attach Additional Pages as Necessary) <br /> We, the undersigned, do hereby certify that,this is true and complete. <br /> A <br /> 1• <br /> 2 � <br /> (Accountant) ,/ <br /> 3. /Y Q t <br /> XO <br /> Report Certified to be <br /> in Conformity With <br /> C. 810, Acts of 1969: <br /> dalc.0—�— <br /> ��� Signature of Authorized Officer <br /> or Member of Organization „ <br /> ,City/'Town Clerk <br /> NEW L ERMIT WILL NOT BE ISSUED TO LICENSEE UNTIL THIS REPORT <br /> HAS BEEN VOMPLETED AND FILED WITH THE COMMISSIONER OF PUBLIC SAFETY. <br /> (Permit Holders also holding Beano Licenses,must submit a Copy of this Report to the Massachusetts State Lottery Commission.) Revised January 1974 <br />