Form Bc 5 License To Conduct Bingo Games New York
Form Bc 5 License To Conduct Bingo Games New York – GC/BC Form 106 “Application for Supplier’s License to Manufacture or Distribute Games of Chance and/or Bingo Supplies and Equipment” – New York
It is a legal form issued by the New York State Gaming Commission, a governmental body that operates in New York. As of today, the separate submission section of the form does not provide guidance.
Form Bc 5 License To Conduct Bingo Games New York
Download a printable version of the GC/BC Form 106 by clicking the link below or browse more documents and templates provided by the New York State Gaming Commission.
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Download GC/BC Form 106 “Application for Supplier’s License to Manufacture or Distribute Games of Chance and/or Bingo Supplies and Equipment” – New York
3. Please indicate a contact person who is authorized to create records and provide information
7. Does your company have licenses in other states or countries? Please provide the state, license number and expiration date
8. (a) What officer, director, agent or employee has ever been charged with any criminal violation of any game of chance?
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9. Has the applicant ever sold prize games and/or bingo supplies and equipment under any other name?
10. The applicant or (if a partnership) any partner or (if a corporation) any officer, director or
Chance and/or Bingo. _____ Yes or _____ No If yes, give the details on a separate sheet of paper.
12. If the applicant is a distributor, state the name(s) of the company from which you will prepare
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I swear or affirm that the information and statements contained herein have been verified by me and to the best of my ability
I further acknowledge that if there is any change in any of the information contained herein during the pendency
Application, such changes shall be reported by the undersigned to the New York State Gaming Commission and if
Any changes that occur after the license is issued must be reported to the State of New York
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Gaming Commission within ten (10) days from the date of such change. It also accepts failure
The notice required would be a violation of the rules and regulations of the New York State Gaming Commission and
The name of the above applicant or member of the partnership or officer of the corporation on whose behalf the above:
It is stated that he has perused the above application and the attached schedule and the replies therein
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Note: That such answers are true to the best of his knowledge and he has personally affixed his signature to this affidavit.
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GC/BC Form 106 “Application for a License for a Supplier to Manufacture or Distribute Games of Chance and/or Bingo Supplies and Equipment” – New York Onice no longer supports older versions of your web browser to ensure that user data remains secure. Please update to the latest version.
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