Laserfiche WebLink
• <br />• <br />• <br />THE COMMONWEALTH OF MASSACHUSETTS <br />FEE <br />or <br />APPLICATION FOR PERMIT TO CONDUCT RAFFLES AND BAZAARS <br />(C. 810, ACTS OF 1969) <br />Name and address of Nonprofit Organization: <br />t <br />Evidence of Qualification for Permit: <br />❑ (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 />❑ (b) Church or religious organization; or, <br />❑ (c) Fraternal or fraternal benefit society; or, <br />N/(d) Educational or charitable organization; or, <br />❑ (e) Civic or service club or organization; or, <br />❑ (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 />(j) LG'011t SIG r—Irc <br />(2) S Co n d1Dr�Ylt fYl <br />(3)A 15tw- <br />Uses to which net proceeds will be <br />Application certified to be in <br />conformity with C. 810, cts <br />of 1969: <br />City/Town Cler <br />PERMIT (ISSUED) ) <br />r\�eCem t)`e-1' q ( �O� The Ap <br />((ddate�))J bazaars <br />A"Cl <br />City/Town Cle <br />FORM 810 REV. 12/81 Hi HOBBs& WARREN TM <br />(is not qualified to operate raffles and <br />pro,fisfyns of 0810, Act o 1969: <br />OVER <br />