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• Mws kym <br />(city or [own) <br />ANNUAL REPORT - RAFFLES& BAZAARS January 11, 2007 <br />(C. 810, Acts of 1969) (date) <br />• <br />Name and address of Nonprofit Organization: <br />Cape cod Camp Corp d/b/a Parley Outdoor Education Center <br />Expiration Date of Permit: <br />February 9, 2007 <br />Number of Raffles and Bazaars Held: <br />Amount of Money Received: <br />Expenses Connected with Raffles Conducted: <br />Net Proceeds: <br />For What Purposes Were The Proceeds Used? <br />$ 3,370.00 <br />$—L,025_no <br />Educational programs and activities conducted at our program <br />Names & Addresses of Winners of $25.00 or More: <br />see attached list <br />(Attach Additional Pages as Necessary) <br />We, the undersigned, do hereby certify that this report is true and complete. <br />Steve Edwards CPA <br />Hyannis, MA 02601 <br />(Accountant) <br />Report Certified to be <br />in Conformity With <br />�8 0, Acts of }969: xx <br />City/Td <br />2. <br />El <br />uIMIM : u • a <br />Signature of Author&d Author'Officer <br />or Member of Organization <br />RENEWAL PERMIT WILL NOT BE ISSUED TO LICENSEE UNTIL THIS REPORT <br />HAS BEEN COMPLETED 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.) <br />OVER <br />FORM 812 REV, 12/91 Hi Hotas B WARREN'" <br />