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  1. Hibbing Logo

    Organization Information

  2. Organization Type
    • Excluded raffle= Total Prizes awarded $1,500 per year or less
    • Exempt raffle= Total Annual prizes over $1,500 and under $50,000 requires Minnesota form LG220
  3. Name
    Raffle Registration Fee
  4. Price
  5. Have you conducted other raffles this year?
  6. Check Box or Boxes that Indicate the Type of Gambling Activity:
  7. By typing my name below, I attest that I represent the above named Non-Profit organization and it meets all requirements of the State of Minnesota to qualify to conduct lawful gambling and proof of nonprofit status is available upon request. 

  8. Leave This Blank:

  9. This field is not part of the form submission.