Lg200b Organization Officers Affidavit - Gambling Control Board - gcb state mn 2026

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  1. Click ‘Get Form’ to open the Lg200b Organization Officers Affidavit in the editor.
  2. Begin by entering your organization name and license number in the designated fields. Ensure that the business address is accurate and does not belong to any gambling manager or accountant.
  3. Select the officer's position from the provided options, such as Chief Executive Officer or Treasurer, and fill in the effective date of any officer changes.
  4. Complete the officer's personal information, including first name, middle name, last name, maiden or previous name, home address, county, city, state, zip code, date of birth, daytime phone number, and optional email address.
  5. Review the acknowledgment section carefully. Confirm that all statements are true before signing. This includes affirmations regarding felony convictions and consent for background checks.
  6. Finally, add your signature and date at the bottom of the form. You can then fax it to 651-639-4032 or mail it to the Gambling Control Board at their provided address.

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