Texas Hold Em Poker Tournament licence application fee: $20.00 (non-refundable) A administration fee will be charged for N.S.F. cheques.

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1 Texas Hld Em Pker Turnament Applicatin The Saskatchewan Liqur and Gaming Authrity may issue a licence pursuant t subsectin 207 (1)(b) f the Criminal Cde f Canada, authrizing charitable r religius rganizatins t cnduct and manage lttery schemes fr charitable r religius bjects r purpses. Please allw a minimum f thirty (30) days fr review. Texas Hld Em Pker Turnament licence applicatin fee: (nn-refundable) A administratin fee will be charged fr N.S.F. cheques. Reminder, befre yu start, yu will need the fllwing: Cnstitutin Charter and By-laws fr yur rganizatin A financial statement Articles f incrpratin (if applicable) A separate and distinct chequing lttery bank accunt must be pened and maintained fr all lttery prceeds. *Dentes Required Infrmatin Organizatin Infrmatin *Legal name f rganizatin: *City/Twn:, *Prv. *Pstal Cde: Licence # FOR OFFICE USE ONLY Officer: 1

2 Organizatin Descriptin T determine if yur rganizatin qualifies fr a charitable gaming licence, please read the eligibility sectin f ur website at www. slga.gv.sk.ca. If yu d nt have access t the internet a cpy f the eligibility guidelines can be made available by request t the Saskatchewan Liqur and Gaming Authrity. *Prvide a summary descriptin f yur rganizatin, utlining the charitable bject(s) r purpse(s): Has this rganizatin ever held a lttery licence with Saskatchewan Liqur and Gaming Authrity? Yes N If yes, prvide yur rganizatin cde and/r previus licence numbers (bing, breakpen, raffle, Mnte Carl Charity Event and Texas Hld Em Pker Turnament). Organizatin Cde: Previus Licence Numbers: *Date yur rganizatin was established: Mnth : Year: *Ttal number f current members in yur rganizatin: *Ttal number f current members 21 years f age and under: *Is this rganizatin registered with the Crpratins Branch as a Nn-Prfit Organizatin? Yes N If yes, prvide registratin number and a cpy f the current cmplete Articles f Incrpratin. Registratin number: Attach the fllwing infrmatin: Mst recent Financial Statement A cpy f yur rganizatin s charter By-laws Cnstitutin Articles f Incrpratin (if applicable) Additinal infrmatin t determine yur licence eligibility may be requested at the discretin f the Saskatchewan Liqur and Gaming Authrity. 2

3 Executive Infrmatin The fllwing infrmatin is required fr SLGA s evaluatin f the applicatin. The Executive members als agreed t the release f their names and cntact infrmatin in the event f an inquiry frm the general public respecting the licence r the licenced event. President r equivalent *First Name: *Last Name: *Signature: *City/Twn:, *Prv. *Pstal Cde: *Hme Phne: *Business Phne: *Preferred methd f cmmunicatin (check nly ne): Vice President r equivalent First Name: Last Name: Signature: Address: City/Twn:, Prv. Pstal Cde: Hme Phne: Business Phne: *Preferred methd f cmmunicatin (check nly ne): Treasurer r equivalent First Name: Last Name: Signature: Address: City/Twn:, Prv. Pstal Cde: Hme Phne: Business Phne: *Preferred methd f cmmunicatin (check nly ne): Secretary r equivalent First Name: Last Name: Signature: Address: City/Twn:, Prv. Pstal Cde: Hme Phne: Business Phne: *Preferred methd f cmmunicatin (check nly ne): 3

4 Details - Texas Hld Em Pker Turnament *Number f admissin r entry tickets t be printed: (Texas Hld Em Pker Turnament tickets must be numbered and include purchaser s name, cntact infrmatin, time, date and lcatin f the event.) Will a re-buy be ffered YES NO (Please refer t the Terms and Cnditins.) *Price f each admissin ticket r entry ticket: *What chips will the entrants each receive fr turnament play? (Please include a breakdwn f chips received, ensuring all players receive the same denminatins.) *Please prvide the methd t be used t ensure the chips used in the turnament are unique t yur turnament. *Will yur rganizatin be utilizing the sample betting structure? yes n If nt, please attach a cpy f yur prpsed betting structure. Will this turnament be advertised n the internet? Yes N If yes, state the website address A turnament cannt begin prir t 9:30 a.m., Mnday t Saturday, and nt prir t 12 nn n Sunday. This turnament cannt exceed 10 hurs and must cnclude by 2:00 a.m. This Texas Hld Em Pker Turnament will be held n YYYY-MM-DD frm t. Nte: This event cannt exceed 10 hurs. TIME TIME *Please prvide the turnament betting structure including the details f the amunt f the Ante (if required), blinds, and the prgressin f increase in the blinds (see attached sample). Or yu may submit yur wn betting structure fr cnsideratin. *Lcatin f Turnament: NAME BUILDING BUILDING ADDRESS *City: *Pstal Cde: Is this Texas Hld Em Pker Turnament being held in cnjunctin with anther event? Yes N If yes, please prvide details: What is the designated language fr the turnament? English French Other 4

5 *Prizes - Texas Hld Em Pker Turnament Please prvide a detailed list f prizes. A breakdwn is required fr cash prizes, including guaranteed amunts (r percentages if applicable). Fr any merchandise prizes, include retail value as well as rganizatin csts fr these items. The ttal retail prize value shall nt exceed 5000, nr shall any individual prize exceed a retail value f If prizes are calculated n percentage f sales is re-buy revenue included? YES NO Descriptin f Prizes Retail Prize Value (including taxes) Ttals Summary Descriptin f Prizes Yur Cst (0 if dnated) (including taxes) Detailed Financial Infrmatin fr Turnament Revenue This Financial Infrmatin relates t the Texas Hld Em Pker Turnament revenue nly: Entry/admissin revenue (A) Re-buy revenue (B) Ttal grss revenue (A + B) Organizatin s cst f prizes List f all prpsed turnament expenses: Include details fr SLGA apprval Ttal Prceeds expected frm this turnament Prceeds frm the turnament must be used fr charitable r religius purpses apprved by SLGA. Please list the purpses fr which the expected turnament prceeds will be used. If yu require mre space, fill ut infrmatin n a separate sheet and attach. 5

6 Turnament Chairpersn The Turnament Chairpersn will be respnsible fr any crrespndence with SLGA pertaining t this licence(s), and will be respnsible fr ensuring the turnament rules are adhered t during the turnament. The Turnament Chairpersn als agrees t the release f his/her persnal infrmatin by SLGA in the event f any inquiry frm the general public respecting the licence r the licenced event. *If the Chairpersn is a member f the Executive, select the psitin belw: President r equivalent Vice President r equivalent Treasurer r equivalent Secretary r equivalent OR fill in the cntact infrmatin belw: *First Name: *Last Name: *Signature: *City/Twn:, *Prv. *Pstal Cde: *Hme Phne: *Business Phne: *Preferred methd f cmmunicatin (check nly ne): Des the turnament chairpersn have sufficient knwledge and skill t cnduct a Texas Hld Em Pker Turnament? Yes N If interested in training, call SLGA at fr a list f apprved pker trainers/cnsultants. Lttery recrds must be kept and maintained in Saskatchewan. These recrds shall include: ticket stubs, unsld tickets, list f winners, fficial licence addendums, financial reprts, all banking and ther infrmatin as stated in the Terms and Cnditins fr Texas Hld em Pker Turnaments. Lttery Recrds will be kept and maintained by: *If the recrds keeper is a member f the Executive, select the psitin belw: President r equivalent Vice President r equivalent Treasurer r equivalent Secretary r equivalent OR fill in the cntact infrmatin belw: *First Name: *Last Name: *Signature: *City/Twn:, *Prv. *Pstal Cde: *Hme Phne: *Business Phne: *Preferred methd f cmmunicatin (check nly ne): 6

7 Lttery Bank Accunt Infrmatin (A separate and distinct chequing lttery bank accunt must be pened and maintained fr all ltteries) This accunt must be restricted t lttery prceeds and must be a chequing accunt where the cancelled cheques are returned t the accunt hlder. Funds frm this accunt cannt be transferred t a general r ther accunt as per Sectin 7 f the Terms and Cnditins fr Texas Hld Em Pker Turnaments. *Accunt Number: *Financial Institutin: Signing Authrity The fllwing unrelated individuals have bank signing authrity fr the previusly nted lttery accunts, minimum f tw persns, maximum f fur. At least tw persns must be listed. *If the persns with signing authrity are members f the Executive, select the psitins belw: President r equivalent Vice President r equivalent Treasurer r equivalent Secretary r equivalent OR fill in the cntact infrmatin belw: *First Name: *Last Name: *City/Twn:, *Prv. *Pstal Cde: *Hme Phne: *Business Phne: *First Name: *Last Name: *City/Twn:, *Prv. *Pstal Cde: *Hme Phne: *Business Phne: 7

8 Supprting Dcumentatin If yur rganizatin is a sprts team/club/assciatin/schl r gverning bdy, attach *A cpy f the fficial team rster(s) (cmplete with the birth dates f all yuth members and verified by the sprt gverning bdy). If the prceeds frm the turnament will be used fr a capital expenditure prject (ie. buildings, sprts facilities, ball parks, etc.), attach a dcument cntaining: Descriptin and prf f prject undertaking. Infrmatin as t final wnership and perating respnsibility f the prject. Ttal cst and methd f financing. Prjected timetable fr cnstructin, cmmencement and cmpletin f the prject. Yur financial cmmitment t the prject. An alternate disbursal f the accumulated lttery funds, in the turnament the prject des nt prceed. Where merchandise is being ffered as a prize: A written price qute r purchase receipt frm the retailer (ie: dealership, travel agency, stre) cnfirming the retail value must accmpany the applicatin. The merchandise must be available at the time f the turnament. In case f used merchandise, a certificate f appraisal frm a recgnized appraiser must be supplied. In the case f land, buildings and ther prperty, the agreement t purchase (utlining the appraised value and lcatin) must be supplied. Additinal infrmatin t determine yur licence eligibility may be requested at the discretin f the Saskatchewan Liqur and Gaming Authrity. 8

9 Cnsent and Certificatin I hereby cnsent, n behalf f the rganizatin, t the Saskatchewan Liqur and Gaming Authrity t release the fllwing infrmatin t any persn, under Sectin 5 & 24 f The Freedm f Infrmatin and Prtectin f Privacy Act: a. The rganizatin s legal name, address and the number f the lttery licence issued t the rganizatin. b. The charitable r religius bject r purpse fr which the rganizatin states the prceeds frm the lttery scheme will be used; and c. The amunts f all lttery scheme prceeds designated fr each charitable r religius bject f purpse. I hereby certify n behalf f the rganizatin, that all facts stated and infrmatin furnished are true and crrect. The rganizatin has read, understd and agrees t cmply with all the terms and cnditins. *Signature n behalf f the rganizatin: *Date: *Printed name: *Psitin within the rganizatin: SLGA will retain the persnal infrmatin n this frm nly as lng as it is necessary t fulfill the purpses fr which it was cllected and in accrdance with apprved mandatry retentin plicies and schedules established with cperatin f the Saskatchewan Archives Bard under The Saskatchewan Archives Act. 9

10 Send cmpleted applicatin and fee t: Saskatchewan Liqur and Gaming Authrity P.O. Bx 5054, 12 th Flr 2500 Victria Avenue Regina, SK S4P 3M3 Fax: (306) Licence inquires r assistance: Telephne: (306) Tll Free: Did yu remember t: Yes N a) Enclse the applicatin fee? (make cheques payable t Saskatchewan Liqur and Gaming Authrity.) b) Sign and cmplete all sectins f the applicatin? c) Attach the required price qutes n all merchandise prizes? d) Attach the fficial membership list if yu are a sprts team/club? (a Curt f Queen s Bench decisin prhibits the licensing f sprts teams ver the age f 21 years.) e) Attach yur current articles f incrpratin, cnstitutin, by-laws, and financial statement? f) Attach any ther dcumentatin as requested n the applicatin? 10

11 TEXAS HOLD 'EM POKER TOURNAMENTS NO LIMIT TOURNAMENT STRUCTURE hrs Levels Small Blind Big Blind N Limit Time N Limit : N Limit 1: N Limit 1:30 Break 15 minutes 1: N Limit 2: N Limit 2: N Limit 3:15 Break 15 Minutes 3: N Limit 4: N Limit 4: N Limit 5:00 Break Remve 25 Chips 5: N Limit 5: N Limit 6: N Limit 6:45 Break 30 Minutes 7: N Limit 7: N Limit 8: N Limit 8:45 Break if required at the discretin f the chairpersn 9: N Limit 9: N Limit 10:00 This is a sample betting structure that shuld prduce a hur Turnament Abve event shuld cnclude after 8 t 10 hurs f play Fur clurs f chips shuld be available. The start stack cnsists f three clurs as designated The furth clur shuld be available fr "cluring up" in this case designated as 1000 Start Stacks Ttal "Cluring Up" chips r chips r chips chips r chips r chips chip r chip r chip 20 chips 23 chips 26 chips The abve stacks are based n a 1500 starting value At designated times lwer value chips will be remved frm the table and "clured up" t a higher value. This will be dne by the table managers under the supervisin f the chairpersn. A 50% rule will be fllwed--if a player has a prtin f a higher value chip remaining a 50% rule shall be fllwed--if the remainder is 50% r mre than the higher value chip the player will recieve a higher value chip fr the remainder--if it is less than 50% the player will lse the remainder.