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FROM : MPPYS'ilTH <br />OeC>O<i-20fll lZ:4a <br />PH>€ NO. ; 9524710900 <br />GflrtELlNQ CWTO. BC*WO <br />Dec. 04 2001 04:27PM P2 <br />6516394073 P.e2/Oe <br />Mkwaota Lmi/M OmnbHng <br />LOaao • Application for Exwnpt PannIt Fm*$26 <br />Orpaninlfon <br />9^Sr353anrSw <br />biteiTn<<on <br />TS <br />N«PiU, <br />ChaliMa. <br />Cate. <br />X- Sau<1'^-ai -eBi <br />Nm« of GhW meulfM ollcw (CEO) <br />nurama <br />/8655<p <br />•Ka~fKi <br />LmnvTM <br />'flu! |rve»MT\ <br />Nirmcf twBurar <br />FMram LMirwnt <br />llg <br />ryp« of Nonprofit Organiiatlon <br />Onifiqf <br />U€n»€pln <br />OQfOnt phen« numOtr of CCO <br />«JS2- 4TJ»-2W ‘/ <br />O^^fimaphonimaiOwof <br />Chtek th« box that but i:JKrt;as iiour (wpanbalton: <br />□ Frolamai □^Ralgtoua <br />CJ VHran ISTothirnappfoflorgtrizaeon <br />Chaoh tt»box tM tndleatat lypa of proof your er^baSon attxhad to thb app3h:aton: <br />JSTIMI Mtar Indicaling Inoomo Inaaiampt atalus <br />O C«1M» of Oood Stantfng ton «tia Mkinona facrotary at Stais'i Offloe <br />O A diarlar showvbg you «o an affiMi cf a parant nonprofit orsanizatien <br />CJ Proof pro>teuiiy tuenKad and cn fie oth tia Gambt>g Control Beard <br />Oambllnfl PromlOBo InfOmiaM <br />wrSSeTvIhtSgKHniertS^Nifroefp <br />ion <br />I MhMO gamMnf tefivfiy wd be eenduAM {fv mlfea, Git fa cte where tt# draMng take pUeaf <br />D no W \ <br />kiima (do not UM PO ho) <br />W£> A). 0><1 U)Aa <br />sw47pcede <br />SS33^ <br />Cete<i) of ecthrty Cbr raOu. hidoto mo oato ef tto d-awtig} <br />^eU 1, looZ. <br />Couiuy <br />VienrKpIn <br />diosk mo bex or Mtt mocate mo type orgimeano otafly vour aravbaion wu 00 conducftig <br />Q 1ln«o l3W8ooteitnprtio*iTaynoroMd 112^00) Q *Po<l(ttwinoafi 0*Pi*Ti6o n^teboordo <br />fetibrMrtmfmeoooemaaoofnumbo cttdwed tom a teonaod debater. <br />TMs forni wiB be mode noUobto In <br />afienaTNe formal 0 o. brne prim. 8<alt) <br />upon focwocl T>o knfcnRBlDn rvqjcsmd <br />en mo torm (or^ ory oftoGhirono) wi M <br />uotd'by Cio OanbUrg Control loord <br />(Beore) «i ootom^ you* ewattadans to <br />be invoveO bi ie«M fiomblrg oem«m ki <br />Me'nooa'a. You f-ovo »o rtsht to tonjuo <br />■.FPVmo rdonraCen raouaetod: rKyrmer, <br />t yeu tebJi to mppV MO toternaSon. me <br />Bca-d may rtot bo oM to ectermire yeu <br />cuot^ceflone end. aso eonooqueneo, ray <br />refUiotoom-oyoioofmA. )TyBUM.apV <br />mo ffctTTaflon roquested. mo Boa*d w9 <br />to otto to procott your oppkaton. <br />Yeur norra oM aid yovr orgirtufion’o <br />ramo and odditooeifba pubic Mmolon <br />whin ivcclad by ate Beoid. Al d-o olhor <br />totomwmin d>oi yeu pnnlde w9 be prluahi <br />doti ebout you urano Booro bouet you <br />penniL When »e Beard (mum raur <br />petml ol of mo sdermadeh m-at ycu no^ <br />prsVdod to me Board to tie prosoeo of <br />oppiymp tor you panrLtwItaoome pubic. <br />If dte Board doao net ierua you a pormN, <br />o3 ma nfEimafen yeu have provided to mo <br />prcceu cf epplytTB fer a penM rtrrotoo <br />pmau. odm mo •eapflen td you noma <br />•rd youenEORtaSen’etaraand 0S900O <br />whEh wl rvnato pubic. <br />Pitvtogttoa about you ofooiiomMe erdym <br />mawawrf: Board mantotnTL. <br />Bovd whoeo wc H i aoaigruTwrt laawbad <br />tftot may have occoss b m« tofonraaBn; <br />ma Mtonaaou OaoartnantefPutxk aatoty; <br />mo Mhnooota Attomoy OonoraC me <br />Mhncooto Cerrmiooienora ef <br />Admtototoadorv Pltonca. end Rovoroic; ho <br />ittonooaa tegloMve Aurnor. RflOnr^ told <br />totorrabena garnabip n«ultoory oportdae; <br />anyeno pureumt lo eoud eilor emer <br />Irdividuali ord aponclee mat ora <br />•ptdficaly ouCMibod by tfba or hdord <br />lM> to favo aeooM to mo totoartoeon; <br />bAIAmli «)d oMTclN tor wfikn toa or <br />iBBal ofdor oumoita a f>«w UM or ahartog <br />or totoTTOflOon ofha mn NoOoo woe glWK <br />and ortyora wsn yeu cortoMt