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The Lg555 form is an important document used in Minnesota to ensure the appropriate use of funds generated from lawful gambling activities. This form requires organizations to provide specific details about their proposed expenditures, including the amount of money they plan to allocate and the category under which the expenditure falls. Categories range from contributions to government units and wildlife management projects to trail maintenance and public safety training. Organizations must also affirm that their proposed expenditures will not yield any financial benefit to them, thereby adhering to Minnesota regulations. Additionally, for certain projects related to wildlife and water quality monitoring, approvals must be obtained from relevant state departments, such as the Minnesota Department of Natural Resources (DNR) and the Minnesota Pollution Control Agency (MPCA). It is crucial for organizations to keep this completed form attached to their LG100C records and to consult the Minnesota Gambling Control Board for any queries regarding compliance and regulations. By fulfilling these requirements, organizations can ensure their expenditures align with lawful gambling practices, ultimately benefiting the community and environment.

Lg555 Example

MINNESOTA LAWFUL GAMBLING

02/16

LG555 Government Approval or Acknowledgment for Use of Gambling Funds

Keep this completed form attached to the LG100C in your organization’s records. You do not need to submit this form to the Gambling Control Board or the Department of Revenue.

ORGANIZATION AND EXPENDITURE INFORMATION (attach additional sheets if necessary)

Organization Name:

License Number:

Address:

City/State/Zip:

1.Amount of proposed lawful purpose expenditure: $______________________________.

2.Check one expenditure category:

A. Contribution to a unit of government—United States, state of Minnesota, or any of its subdivisions, agencies, or

instrumentalities.

B. Wildlife management project or activity that benefits the public at large, with approval by the Minnesota Department of Natural Resources (DNR).

C. Grooming and maintaining snowmobile or all-terrain vehicle trails established under Minnesota Statutes, Sections 84.83 and 84.927, including purchase or lease of equipment, with approval by the DNR. All trails must be open to public use.

D.Supplies and materials for safety training and educational programs coordinated by the DNR, including the Enforcement Division.

E.Citizen monitoring of surface water quality testing for public waters by individuals or nongovernmental organizations, with Minnesota Pollution Control Agency (MPCA) guidance on monitoring procedures, quality assurance protocols, and data management, providing that data is submitted to the MPCA.

3.Describe the proposed expenditure, including vendors:

NO FINANCIAL OR OTHER BENEFIT: I affirm that the contribution or expenditure does not result in any monetary, economic, financial, or material benefit to our organization, in compliance with Minn. Rule 7861.0320, subp. 17, para. C.

FOR DNR-RELATED PROJECTS: I affirm that when lawful gambling funds are used for grooming and maintaining snowmobile or all-terrain vehicle trails or for any wildlife management project for which reimbursement is received from a unit of government, the reimbursement funds must be deposited in our lawful gambling account and recorded on form LG100C.

FOR SURFACE WATER QUALITY TESTING: I affirm that the MPCA has been consulted in developing the monitoring plan and

that the data collected will be submitted to the MPCA. Send form for signature to: Manager, Water Monitoring Section,

Minnesota Pollution Control Agency, 520 Lafayette Road North, St. Paul, MN 55155. Website: www.pca.state.mn.us

________________________________________________________________

___________________________________

Chief Executive Officer’s Signature

Date

________________________________________________________________

___________________________________

Print Name

Daytime Phone

 

 

GOVERNMENT APPROVAL/ACKNOWLEDGMENT

 

 

 

Contribution amount: $_______________________. Government use of contribution (check one):

Wildlife—DNR approves the wildlife management project or activity.

Trails—DNR approves the grooming/maintaining of snowmobile and/or all-terrain vehicle trails.

Safety training—DNR approves the supplies/materials for DNR safety training and educational programs.

Water quality testing—MPCA approves the surface water quality testing project.

Donation to other unit of government (city, county, state, federal, or any of their subdivisions) provided the funds will not be used for a pension or retirement fund.

Unit of Government:

Address:

Phone:

City/State/Zip:

By signature below, the representative of the unit of government acknowledges and approves the contribution amount for the use as listed above.

________________________________________________________________

____________________________________

Signature

Date

________________________________________________________________

____________________________________

Print Name

Title

Questions? Contact the Minnesota Gambling Control Board at 651-539-1900. This form will be made available in alternative format (i.e. large print, braille) upon request. The information requested on this form will become public information, when requested by the Board, and will be used to determine your compliance with Minnesota statutes and rules governing lawful gambling activities.

Form Characteristics

Fact Name Details
Purpose of the LG555 Form This form is designed to obtain government approval or acknowledgment for the use of gambling funds by organizations in Minnesota.
Submission Requirements You do not need to submit the LG555 form to the Gambling Control Board or the Department of Revenue. It should be kept attached to the LG100C for your organization's records.
Expenditure Categories The form provides specific expenditure categories, including contributions to government entities, wildlife projects, trail maintenance, safety training supplies, and water quality testing.
Signature Requirement The form requires signatures from both the organization’s chief executive officer and a representative from the unit of government approving the contribution.
Governing Laws The LG555 form operates under several Minnesota statutes, including Minn. Stat. Sections 84.83 and 84.927, as well as Minn. Rule 7861.0320.

Guidelines on Utilizing Lg555

Completing the LG555 form is an important part of managing your organization's use of gambling funds. To ensure everything is processed efficiently, follow these simple steps carefully. The information you provide will support your request and meet all necessary requirements.

  1. Start by entering the organization name in the designated field.
  2. Fill in your organization’s license number.
  3. Provide the address of your organization, including city, state, and zip code.
  4. In the section for proposed lawful purpose expenditure, write the amount of the expenditure you plan to make.
  5. Choose one expenditure category by checking the appropriate box from the options provided.
  6. Describe the proposed expenditure and include any relevant vendors in the description.
  7. Affirm the statement regarding the no financial or other benefit clause by including your affirmation.
  8. If applicable, confirm compliance for DNR-related projects and detail how funds will be recorded.
  9. For surface water quality testing, affirm that the MPCA has been consulted in developing a monitoring plan.
  10. For the signature section, obtain the Chief Executive Officer’s signature and date it.
  11. Print the name and provide the daytime phone number of the person who signed the form.
  12. Fill out the section for government approval/acknowledgment and enter the contribution amount.
  13. Check the box corresponding to the government use of the contribution.
  14. Complete the unit of government details, including address and phone number.
  15. Obtain the signature from a representative of the unit of government, along with the date.
  16. Have the representative print their name and title.

Once you have completed the form, keep it attached to the LG100C in your organization’s records. Remember, there's no need to submit this form to any state agency. Reach out to the Minnesota Gambling Control Board if you have questions or need clarification.

What You Should Know About This Form

What is the purpose of the LG555 form?

The LG555 form is a document used in Minnesota to seek government approval or acknowledgment for the use of funds from lawful gambling. Organizations complete this form as part of their record-keeping in compliance with Minnesota's gambling regulations. It outlines proposed expenditures and confirms that these expenditures do not benefit the organization financially.

Who needs to fill out the LG555 form?

This form must be filled out by any organization that intends to use lawful gambling funds for specific expenditures approved under Minnesota law. This includes contributions to government units, wildlife management projects, snowmobile trail maintenance, safety training supplies, or water quality testing.

Do I need to submit the LG555 form to any government agency?

No, you do not need to submit the LG555 form to the Gambling Control Board or the Department of Revenue. Instead, you must keep the completed form attached to the LG100C in your organization’s records for future reference.

What should I include in the expenditure description section of the form?

In the description section, you should provide detailed information about the proposed expenditure, including the amount and any vendors involved. Make sure to affirm that the expenditure will not result in any financial benefit to your organization, as required by Minnesota regulations.

What categories can be selected for expenditures on the LG555 form?

There are several expenditure categories you can choose from, including contributions to government units, wildlife management projects approved by the DNR, snowmobile or all-terrain vehicle trail maintenance, safety training supplies, and monitoring surface water quality. Select the category that best describes your intended use of funds.

What additional affirmations are required for certain projects?

For DNR-related projects, you must affirm that reimbursement from a government unit will be deposited in your lawful gambling account and recorded on form LG100C. For surface water quality testing projects, confirm that you consulted the MPCA in developing your monitoring plan and that data will be submitted to them.

How do I get the LG555 form signed by a government representative?

The form will require a signature from a representative of the government unit that you are contributing to. Ensure that they acknowledge and approve the contribution amount as indicated on the form. They must sign and provide their printed name and title in the designated areas.

What happens if I do not comply with the regulations outlined in the LG555 form?

Failure to comply with the regulations could result in non-compliance with Minnesota’s gambling laws, which might lead to fines or other administrative actions against your organization. Keeping accurate records and adhering to the conditions specified in the LG555 form is crucial for maintaining compliance.

Where can I get help if I have questions about the LG555 form?

If you have questions or need assistance regarding the LG555 form, you can contact the Minnesota Gambling Control Board at 651-539-1900. They can provide information and clarifications to help navigate the requirements.

Common mistakes

Filling out the LG555 form is an important task for organizations involved in lawful gambling in Minnesota. However, several common mistakes can hinder the process and lead to complications. Being aware of these pitfalls is essential for ensuring accurate and compliant submissions.

One frequent mistake is failing to provide complete and accurate information about the organization. This includes the organization's name, license number, and contact details. Omitting any of these elements can cause delays in processing and may even necessitate resubmission. Always double-check that all fields are filled out correctly and correspond to official records.

Another common error involves selecting the incorrect expenditure category. The form requires the applicant to choose one specific category for use of the funds. Whether for government contributions, wildlife management, or safety training materials, choosing the wrong category can lead to misunderstandings with regulatory bodies. Ensure familiarity with each category’s requirements before making a selection.

Additionally, a lack of proper description for the proposed expenditure is a mistake that can lead to questions from authorities. The form requires a detailed explanation, including the names of any vendors involved. If this section is vague or incomplete, it increases the risk of the form being flagged for further review. Clarity is key; describe the proposal thoroughly, indicating all relevant details.

Another critical area often overlooked pertains to the compliance affirmations. The individual completing the form must affirm that the expenditure does not result in any financial benefit to the organization itself. Not providing this affirmation, or incorrectly affirming compliance, can create legal implications. All signers should understand the compliance requirements fully before verification.

Lastly, neglecting to obtain the necessary government approvals can severely affect the legitimacy of the form. It’s crucial to ensure that all required signatures and approvals are gathered before submission. Without these endorsements, the form may lack the authority it needs, leading to potential issues with the Gambling Control Board. A checklist for signatures can be beneficial to avoid this oversight.

Documents used along the form

The LG555 form is crucial for organizations engaging in lawful gambling in Minnesota as it outlines the process for government approval or acknowledgment for the use of gambling funds. Typically, this form is accompanied by several other important documents to ensure compliance and proper record-keeping. Here are four common forms often used alongside the LG555:

  • LG100C: This is the Form for Reporting Gambling Expenditures. It is used to itemize and detail the lawful purposes for which gambling funds are expended. Staying accurate with this form simplifies audits and helps maintain transparency in financial reporting.
  • MPCA Monitoring Plan: Required for surface water quality testing projects, this document outlines the procedures for monitoring water quality. It ensures alignment with the Minnesota Pollution Control Agency's guidelines and establishes protocols to ensure effective data collection and reporting.
  • Grant Application Form: Organizations applying for grants related to wildlife management or community projects may need to submit a specific grant application form. This form typically requires details about the project, including its goals, expected impact, and the budget.
  • DNR Approval Letter: For projects that involve grooming or maintaining trails, an approval letter from the Minnesota Department of Natural Resources is essential. This letter confirms that the project meets state regulations and has received the necessary permissions.

Associating the LG555 form with these documents strengthens compliance and facilitates smoother communication with governmental agencies. Organizations should ensure they have these forms completed and filed correctly to support their lawful gambling activities.

Similar forms

  • LG100C Form: This document is tied directly to the LG555 as it serves as the primary record for lawful gambling contributions. Both forms require detailed disclosures about expenditures and beneficiaries.

  • LG100 Form: Similar to the LG555, the LG100 focuses on the overall financial activity of an organization. While the LG555 addresses specific contributions, the LG100 provides a broader view of total income and expenses.

  • LG400 Form: The LG400 is used for reporting annual gambling revenues and expenses. It shares similar purposes with the LG555 concerning accountability and transparency in the use of gambling funds.

  • DNR Wildlife Management Approval: This document is specifically required for expenditures related to wildlife projects. It functions similarly to the LG555, as both necessitate government approval for the use of funds.

  • Surface Water Quality Monitoring Plan: This approved plan ensures compliance with regulations for environmental projects. Like the LG555, it requires detailed documentation of government endorsements and project descriptions.

  • MPCA Water Quality Testing Form: This form documents the approval and methodology for water quality assessments. It is akin to the LG555 in terms of requiring agency acknowledgment before fund allocation.

  • Contributor Acknowledgment Form: This document verifies contributions from organizations to government bodies. Similar to the LG555, it seeks to confirm the clear purpose for which funds are allocated, ensuring accountability.

Dos and Don'ts

When filling out the LG555 form, it's important to follow specific guidelines to ensure the process goes smoothly. Here are some helpful dos and don'ts:

  • Do ensure that all required fields are filled in completely, including the organization name and license number.
  • Do clearly describe the proposed expenditure, including any vendors involved.
  • Do keep the completed form attached to the LG100C for your organization's records.
  • Do check the appropriate expenditure category that fits your proposed project.
  • Don’t submit this form to the Gambling Control Board or the Department of Revenue, as it's not required.
  • Don’t provide any information that could result in financial benefit to your organization in the description.
  • Don’t forget to obtain a signature from the representative of the unit of government for approval.
  • Don’t overlook the importance of consulting the MPCA for water quality testing projects to ensure compliance.

By following these guidelines, you can help ensure that the LG555 form is filled out correctly and efficiently. If you have any questions, reaching out to the Minnesota Gambling Control Board can provide additional clarity.

Misconceptions

Misconceptions about the Lg555 form can lead to confusion regarding its purpose and requirements. Here are some common misconceptions:

  • The Lg555 form must be submitted to the Gambling Control Board. This form does not need to be submitted. It should be kept with the LG100C in your organization’s records.
  • Only large organizations can use the Lg555 form. All organizations that use lawful gambling funds may utilize this form, regardless of their size.
  • Approval is guaranteed once the Lg555 form is completed. Completing the form does not guarantee approval. It must still be reviewed by the appropriate government body.
  • Money can be received directly from the expenditure listed on the Lg555 form. There is a clear requirement that no financial or other benefit should accrue to the organization making the expenditure.
  • All expenditures qualify under the Lg555 form. Expenditures must fit into specific categories outlined on the form and must serve public interest.
  • The Lg555 form is only for wildlife-related projects. The form can be used for various projects, including safety training and water quality testing, not just wildlife management.
  • A single signature is sufficient for the Lg555 form. Both the Chief Executive Officer’s signature and the representative's signature from the government unit are required for acknowledgment.
  • If an expenditure does not obtain government approval, it is still valid. All proposed expenditures must receive prior governmental acknowledgment to be compliant with the rules.
  • Once the form is filled, it can be disregarded. Organizations must maintain the Lg555 form as part of their official records for proper accountability.

Understanding these common misconceptions can facilitate better compliance with the regulations surrounding lawful gambling in Minnesota.

Key takeaways

When filling out the LG555 form, several important aspects should be considered to ensure compliance and proper use of gambling funds. Here are some key takeaways:

  • Keep Records: Always attach the completed LG555 form to the LG100C in your organization’s records. This is crucial for documentation purposes.
  • No Submission Required: You do not need to send the LG555 form to the Gambling Control Board or the Department of Revenue. Simply keep it for your records.
  • Accurate Details: Provide accurate information regarding your organization’s name, license number, and address. Clarity helps avoid confusion.
  • Specify Expenditure Amount: Clearly indicate the amount of the proposed lawful purpose expenditure in the designated area on the form.
  • Select Expenditure Category: Choose one appropriate expenditure category. Options include contributions to government entities or projects related to wildlife management and public safety.
  • Detailed Description: Offer a thorough description of the proposed expenditure, including any involved vendors. This should align with the chosen category.
  • Confirm Compliance: You must affirm that the expenditure will not result in any financial benefit to your organization, adhering to relevant regulations.
  • Government Approval: If necessary, obtain government acknowledgment of the contribution amount and its intended use. This process may require signatures.
  • Contact Information: If there are any questions or clarifications needed, reach out to the Minnesota Gambling Control Board by calling 651-539-1900.

Remember, each detail matters when filling out the LG555 form. Taking the time to complete it carefully and accurately helps ensure your organization remains compliant with all regulations.