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The LG555 form serves as a critical tool for organizations involved in lawful gambling in Minnesota, facilitating the appropriate use of funds derived from gambling activities. This document requires organizations to outline their proposed expenditures for lawful purposes, ensuring transparency and compliance with state regulations. It encompasses various expenditure categories, including contributions to governmental entities, and initiatives aimed at wildlife management or public safety education. Moreover, the form mandates organizations to declare the absence of any financial benefit from the contributions, reinforcing a commitment to community service rather than profit. Additionally, certain projects, particularly those related to the Minnesota Department of Natural Resources (DNR) or the Minnesota Pollution Control Agency (MPCA), are subject to approval processes, emphasizing accountability and adherence to state guidelines. While the LG555 form does not need to be submitted to governing bodies such as the Gambling Control Board, it must be diligently maintained with the organization's records alongside the LG100C for future reference. By doing so, organizations not only uphold compliance but also demonstrate their role in supporting public welfare initiatives through lawful gambling revenues.

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.

File Breakdown

Fact Name Description
Purpose The LG555 form is used to secure government approval or acknowledgment for the use of gambling funds in Minnesota. It must be attached to the LG100C in organizational records.
Expenditure Categories Possible expenditure categories include contributions to government units, wildlife management projects, trail maintenance, safety training supplies, and surface water quality testing, each requiring specific approvals.
Approval Not Required Organizations do not need to submit the LG555 form to the Gambling Control Board or the Department of Revenue. However, it must be kept on file.
Governing Laws The form is governed by Minnesota Statutes, specifically sections related to lawful gambling, such as Minn. Rule 7861.0320, ensuring compliance with established regulations.

Guide to Using Lg555

Completing the LG555 form requires careful attention to detail to ensure all necessary information is provided accurately. Once you finish the form, keep it attached to the LG100C in your organization’s records; there’s no need to submit it to any government agency. This helps document how your organization intends to use gambling funds responsibly.

  1. Write the Organization Name at the top of the form.
  2. Note your License Number in the specified area.
  3. Fill in the Address along with City/State/Zip details of your organization.
  4. Enter the Amount of proposed lawful purpose expenditure in the space provided.
  5. Check the appropriate expenditure category from the options given (A through E).
  6. In the Description section, detail the proposed expenditure, including any involved vendors.
  7. Affirm the statements regarding no financial benefit, DNR-related projects, or surface water quality testing as applicable.
  8. Obtain the Chief Executive Officer’s Signature and date it correctly.
  9. Print the CEO's name and provide a Daytime Phone number.
  10. Complete the Government Approval/Acknowledgment section by entering the contribution amount and checking the appropriate government use of contribution.
  11. Fill out the relevant information for the unit of government, including Address and Phone.
  12. Get the representative of the unit of government to sign and date the acknowledgment.
  13. Print the name and title of the government representative under their signature.

Get Answers on Lg555

What is the purpose of the LG555 form?

The LG555 form is used to obtain government approval or acknowledgment for the use of gambling funds for specific lawful purposes. This ensures that expenditures align with state regulations regarding the proper use of gambling revenues, such as contributions to wildlife management projects and public safety initiatives.

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. However, it is essential to keep this completed form attached to the LG100C in your organization’s records for compliance and reference.

What types of expenditures can be reported on the LG555 form?

The form allows organizations to categorize their proposed expenditures into several specific types:

  • Contributions to units of government
  • Wildlife management projects approved by the Minnesota Department of Natural Resources (DNR)
  • Grooming and maintaining snowmobile or all-terrain vehicle trails, approved by the DNR
  • Supplies for safety training and educational programs coordinated by the DNR
  • Citizen monitoring of surface water quality, with guidance from the Minnesota Pollution Control Agency (MPCA)

What should I include in the description of the proposed expenditure?

When detailing your proposed expenditure, include information such as the amount of funding, the vendors involved, and confirm compliance with rules that state no financial or other benefit should accrue to your organization from the expenditure. This documentation ensures transparency and accountability in the use of gambling funds.

Who needs to sign the LG555 form?

The Chief Executive Officer of the organization must sign the form, affirming the details of the proposed expenditure. Additionally, a representative from the relevant government unit must also sign to acknowledge and approve the contribution amount and its intended use.

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

If you have any questions regarding the LG555 form or the process involved, you can contact the Minnesota Gambling Control Board directly at 651-539-1900. They provide assistance and clarification on gambling regulations and compliance.

Common mistakes

When individuals fill out the LG555 form, several common mistakes may occur that can lead to delays or complications. One frequent error involves incorrect or incomplete organization information. It is essential that the organization name, license number, and address are accurate and complete. Missing or incorrect details may cause issues in processing the form.

Another mistake often seen is failing to specify the correct expenditure category. Each option relates to specific uses of gambling funds, and selecting the wrong category can lead to misunderstandings about the purpose of the funds. Careful consideration of the choices is necessary to ensure that the intended use aligns with Minnesota regulations.

Some individuals neglect to provide a detailed description of the proposed expenditure and the involved vendors. A vague description may raise questions by the authorities reviewing the form. Providing clear and thorough information about how the funds will be used ensures transparency and aligns with compliance requirements.

Additionally, omitting the financial benefit affirmation is a common oversight. The form requires confirmation that the contribution does not benefit the organization financially. This affirmation is crucial for compliance with existing regulations, and failure to include it could result in regulatory scrutiny.

People may also forget to verify that reimbursement funds for specific projects are properly documented and directed to the lawful gambling account. For any projects reimbursed by a unit of government, the reimbursement must be reported accurately on form LG100C. Missing this step can lead to accounting discrepancies.

Furthermore, applicants sometimes fail to consult with the Minnesota Pollution Control Agency (MPCA) for surface water quality testing projects. The form specifically requires this consultation and assurance that data will be submitted accordingly. Neglecting this step could hinder the approval process.

A signature and date from the Chief Executive Officer is necessary on the form. Sometimes, individuals overlook or forget this critical step. Without a proper signature, the form may not be considered valid, causing unnecessary delays.

Moreover, during the government acknowledgment section, people can mistakenly leave out the contribution amount or select the incorrect government use of contribution. Accuracy in this section is vital, as it confirms the intended purpose and amount of the contribution, ensuring compliance with regulations.

Finally, some individuals may not provide sufficient contact information for the government unit acknowledging the contribution. It is important that this information is filled out completely, as it facilitates effective communication and verification regarding the contributions made. Accurate contact details can help clarify any questions that may arise during the review process.

Documents used along the form

When handling the LG555 form, it’s important to be aware of other documentation that often accompanies it. These forms facilitate the management and oversight of gambling funds, ensuring compliance with state regulations. Below is a list of commonly used forms that may be relevant.

  • LG100C: This form is essential for tracking expenditures from lawful gambling funds. Organizations must keep it updated to maintain compliance, documenting all contributions and their purposes.
  • LG200: Required for organizations to report their gambling activities. This form helps ensure that revenues and expenses are clearly documented, allowing for accountability in the use of gambling funds.
  • LG400: This form is utilized to apply for a licensed gambling organization status. It includes details about the organization and its activities, which are critical for regulatory approval.
  • LG500: Used for annual financial reports, this form provides a comprehensive overview of an organization’s gambling revenues and expenditures within a fiscal year, aiding in accountability and transparency.
  • MPCA Monitoring Plan Template: This document is necessary for organizations involved in surface water quality testing. It outlines the plan for monitoring and ensures compliance with the Minnesota Pollution Control Agency’s guidelines.
  • DNR Approval Form: When engaging in activities that require approval from the Minnesota Department of Natural Resources, this form is used to formally request and document that permission has been granted.

Utilizing these forms effectively is key to managing lawful gambling funds and ensuring compliance with Minnesota regulations. Proper documentation can help organizations navigate legal requirements while fulfilling their missions.

Similar forms

  • Form 990: Non-profit organizations use Form 990 to report their financial activities to the IRS. Like the LG555, it requires detailed disclosures about expenditures and purpose, ensuring transparency for the organization’s financial health.

  • Form 1023: This form is necessary for organizations seeking tax-exempt status. Similar to the LG555, it requires a description of how funds will benefit public interests and details about the organization's mission, ensuring alignment with federal regulations.

  • Grant Application Forms: Various agencies require grant applications that describe the intended use of funds. Like the LG555, they necessitate outlining the purpose of expenditures and often require confirmation from governing bodies about the use of funds.

  • State Fund Expenditure Requests: These documents ask organizations to detail requests for state funding. The LG555 serves a similar purpose by documenting lawful gambling expenditures and confirming approvals from relevant state departments.

  • Public Funding Acknowledgment Forms: Organizations receiving public funds often fill out acknowledgment forms to confirm the use of those funds for specific projects. The LG555 also requires acknowledgment and approval for funds earmarked for particular lawful purposes.

Dos and Don'ts

When filling out the LG555 form, there are important dos and don'ts to ensure accuracy and compliance. Consider the following guidelines:

  • Do provide accurate information about your organization, including the name, license number, and address.
  • Do clearly state the amount of the proposed lawful purpose expenditure at the designated space.
  • Do select the correct expenditure category that aligns with your proposed use of funds.
  • Do describe the proposed expenditure comprehensively, including potential vendors.
  • Don’t submit the form to the Gambling Control Board; it should remain for your organization’s records.
  • Don’t forget to attach any additional sheets if necessary for a thorough description.
  • Don’t neglect to ensure that the expenditure will not result in any monetary benefit to your organization.
  • Don’t ignore the requirement to have the form signed by the Chief Executive Officer.

Adhering to these guidelines will promote clarity and compliance in the use of gambling funds according to Minnesota regulations.

Misconceptions

Below are ten common misconceptions regarding the LG555 form, each clarified for better understanding.

  • It must be submitted to the Gambling Control Board. Many believe that the LG555 form needs to be sent to the Gambling Control Board. In reality, you do not need to submit this form; it should only be kept with your LG100C records.
  • It can be used for any type of expenditure. Some think the form is a blanket approval for any expenses. The LG555 form specifically caters to lawful purpose expenditures only, such as contributions to government units or wildlife management projects.
  • Government approval is always required. Many assume government approval is mandatory for all expenditures. While certain categories do require government acknowledgment, others do not, depending on the nature of the expenditure.
  • There are no restrictions on contributions. Some organizations believe they can contribute funds with no limitations. However, contributions must comply with specific laws, including not being used for pension or retirement funds.
  • Only for non-profits. A misconception exists that only non-profit organizations can use the LG555 form. In fact, any organization licensed for lawful gambling can use this form as long as they adhere to the guidelines.
  • All types of projects can be funded. Some people misunderstand the funding categories and think any project can be covered. Projects must fall within specific approved categories listed on the form.
  • Reimbursements can be used freely. It is often believed that any reimbursements can be withdrawn at will. In truth, any reimbursements received for certain projects must be deposited back into the lawful gambling account and documented on the LG100C.
  • Email submission is allowed. Many assume that the LG555 form can be submitted electronically. This is incorrect; it must be physically signed and kept for records but not submitted.
  • The form is just a formality. Some view the LG555 as a minor formality. In reality, it’s crucial for maintaining compliance with Minnesota laws governing lawful gambling.
  • Record-keeping can be overlooked. Some organizations think they can neglect documentation. However, it is important to keep this form with your records to ensure compliance with applicable statutes.

Key takeaways

When filling out and utilizing the Lg555 form, keep these important points in mind:

  • Record Keeping: Attach the completed Lg555 form to the LG100C in your organization’s records. This is crucial for maintaining proper documentation.
  • No Submission Required: There is no need to submit the Lg555 form to the Gambling Control Board or the Department of Revenue. Retaining it in your files is sufficient.
  • Expenditure Information: Provide details about the proposed expenditure, including the amount and a description of the purpose. This ensures transparency and adherence to guidelines.
  • Choose Expenditure Category: You must select one expenditure category from options such as government contributions, wildlife management, or safety training supplies. This directs the funds appropriately.
  • Affirm Compliance: Make sure to affirm that the expenditure does not result in any financial benefit to your organization, as required by state rules.
  • Reimbursement Protocols: If the funds are used for certain DNR-related projects, reimbursements must be deposited into the lawful gambling account. This maintains accurate financial records.
  • Consult Relevant Agencies: For surface water quality testing, confirm that the MPCA has been consulted. Data must be collected and submitted as agreed.
  • Signature Requirement: The form requires signatures from both the Chief Executive Officer of your organization and a representative from the government unit receiving the funds. Ensure that these are completed before filing.

Understanding these takeaways will facilitate proper use of the Lg555 form and ensure compliance with Minnesota gambling regulations.