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Lottery Licence Application - Eligibility Questionnaire

If you are a registered non-profit group you may qualify to hold a fundraising lottery in the Township.

Name of Organization (as shown on governing documents)

Operating name, if different

Address

Postal Code

Phone Number

Email Address

Website

Is the organization incorporated as a non-profit organization with the Ministry of Government and Consumer Services (Ontario)?

Yes

No

Is the organization registered with Canada Revenue Agency as a charity?

Yes

No

How long has the organization been providing services?

Which category best describes the organization?

Advancement of Education

Advancement of Religion

Amateur Sports Organization

Community Service Organization

Culture and Arts

Enhancement of Youth

Health and Welfare

Public Safety Programs

Relief of Poverty

Other charitable purposes beneficial to the community, please provide details

Please provide details of specific programs and services and associated costs (do not restate your mandate or mission statement)

Approximate number of members

Date of fiscal year-end

Date of last filing

Does the organization currently manage and conduct any gaming events (lotteries) within the Township of Leeds and the Thousand Islands or other municipalities?

Yes

No

For the purpose of lottery licencing, all organizations must have a lottery trust account.

Name of Bank

Address of Bank

Postal Code

Trust Account Number

Date Opened

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© 2024 Township of Leeds and the Thousand Islands, 1233 Prince St., P.O. Box 280, Lansdowne, ON K0E 1L0
Phone: 613-659-2415 Toll Free: 1-866-220-2327 Fax: 613-659-3619
Hours of operation: Monday to Friday 9:00 a.m. to 4:30 p.m.
After Hours Emergency: 1-855-961-7018
Frontenac Municipal By-law Enforcement (after hours for animal/lost/found/noise complaints): 613-541-3213

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