1. The specific purpose(s) to which the entire net proceeds of the games listed in this application are to be devoted, and the manner in which they are to be so devoted, are:
2. If any part of the net proceeds are to be devoted to a purpose allowed by the Bingo Licensing Law by turning the same over to another organization which is exclusively devoted to such purposes, secure the signature of its president or other executive officer to the following certificate:
“It is hereby certified that
will accept from the licensee any part of the net proceeds of the games listed in this application to be turned over to it.”
A description of all prizes to be offered and given in all of the games listed in this application is as follows. (For cash prizes, state the amount; for merchandise, describe the article and state the retail value; if prizes are to be donated, indicate that fact and estimate as accurately as possible the information requested below.)
| Description of Prize Amount (for cash prizes) or Article (Additionally, please attach a schedule of the games to be conducted.) | Retail value | |
|---|---|---|