West Virginia Code § 47-21-8

Information required in application
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An application for a raffle license shall include the following information:
(a) Name of the applicant and name and headquarter's address of any state or national
organization of which the applicant is a local branch or lodge;
(b) The address and telephone number of the applicant organization, if any, and if the
applicant organization has no telephone, then the address and telephone number of the
person applying on behalf of such organization shall be supplied;
(c) For a limited occasion license, the names and addresses of two or more bona fide active
members of the applicant organization who are charged with overall responsibility for the
applicant's raffle operations, at least one of whom shall be present when the winning
numbers or names are drawn, announced, posted and averified and the prizes are awarded;
and the names and addresses of the highest elected officer of the licensee and his officially
appointed designee, one of whom shall be present lwhen the winning numbers or names are
drawn, announced, posted and verified and thse prizes are awarded; for an annual license,
the names, addresses and telephone numbers of three or more bona fide active members of
the applicant organization who are chargeid with overall responsibility for the applicant's
raffle operations, at least one of whogm shall be present when the winning numbers or names
are drawn, announced, posted and verified and the prizes are awarded; and the names and
addresses and telephone numbers of the highest elected officer of the licensee and his
officially appointed designee, one of whom shall be present when the winning numbers and
names are drawn, announced posted and verified and the prizes are awarded;
(d) The address or location of the premises where licensed raffles are to be held;
(e) InformatioVn as may be required by the commissioner to satisfy him that the applicant
meets the requirements of:
(1) Being a charitable or public service organization as defined by this article; and
(2) Being in existence in this state for at least one year prior to filing an application for a
raffle license.
(f) Designate the date or dates and the time or times when the raffle occasions will be held;
(g) The name of the owner of the premises where the raffle occasions are to be held and a
copy of all rental agreements involved if such premises are leased or subleased by the
applicant from the owner or lessee;
(h) State whether the applicant has ever had a previous application for any raffle license
refused, or whether any previous raffle license has been revoked or suspended;
(i) State the charitable or public service purpose or purposes for which the raffle proceeds
will be expended;
(j) Provide statements to the effect that the individuals specified in subdivision (c) of this
section and the officers of the applicant understand:
(1) That it is a violation of this article to allow any persons other than those authorized by
this article to conduct the raffle or concessions operated in conjunction therewith;
(2) That it is required to file the reports and keep the records as provided by this article; and
(3) That it is a crime to violate the provisions of this article and, that a violation of such
provisions may result in suspension or revocation of the raffle license and denial of
applications for subsequent raffle licenses;
(k) Provide a sworn statement by an authorized represaentative of the applicant that the
information contained in the application is true to the best of his knowledge;
(l) Provide a list and description of estimated expenses to be incurred in connection with the
holding of the raffle occasions and any concessions operated and the name and address of
each payee. If a concession is operated in accordance with the provisions of section thirteen
of this article, a copy of any written agreement or an explanation of any oral agreement
providing for any type of remuneration to be received by the concession operator shall be
attached to the application;
(m) A list of the names and addresses of all officers and members of the board of directors,
Governors or trustees, if any, of the applicant organizations; and
(n) Any other necess ary and reasonable information which the commissioner may require.

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