Form LE-LLPR "Bingo-Raffle Licensee Promotion Report" - Colorado

What Is Form LE-LLPR?

This is a legal form that was released by the Colorado Secretary of State - a government authority operating within Colorado. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 24, 2018;
  • The latest edition provided by the Colorado Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form LE-LLPR by clicking the link below or browse more documents and templates provided by the Colorado Secretary of State.

ADVERTISEMENT
ADVERTISEMENT

Download Form LE-LLPR "Bingo-Raffle Licensee Promotion Report" - Colorado

789 times
Rate (4.3 / 5) 55 votes
Colorado Secretary of State
Bingo and Raffles Program
1700 Broadway, Ste 200
Denver, CO 80290
BINGO-RAFFLE LICENSEE PROMOTION REPORT
C.R.S. 24-21-604(3)(c) “…Within ten days after the award of any prize, the licensee shall file with the licensing
authority a written report containing a description of the prize, the value of the prize, and such other information as the
licensing authority may require by rule. Any prize offered pursuant to this section shall be awarded by the end of the
calendar quarter in which it was offered.”
1. Name of Landlord Licensee:
_______________________________________________________________
Landlord License Number:
_____________________________________
2. Premises Address:
_______________________________________________________________
3. Name of Bingo-Raffle
Licensee:
_______________________________________________________________
If promotion was held during a bingo occasion.
Bingo-Raffle Licensee
Number:
_____________________________________
4. Description of Prizes Awarded:
5. Value of Prize(s) Awarded:
______________________________________________________________
6. Date Prize(s) Awarded:
_____________________________________
_________________________________________________
_____________________________
Signature of Landlord/Authorized agent/Bingo-Raffle licensee
Date signed
LE-LLPR
Page 1 of 1
Rev. 5/24/2018
Colorado Secretary of State
Bingo and Raffles Program
1700 Broadway, Ste 200
Denver, CO 80290
BINGO-RAFFLE LICENSEE PROMOTION REPORT
C.R.S. 24-21-604(3)(c) “…Within ten days after the award of any prize, the licensee shall file with the licensing
authority a written report containing a description of the prize, the value of the prize, and such other information as the
licensing authority may require by rule. Any prize offered pursuant to this section shall be awarded by the end of the
calendar quarter in which it was offered.”
1. Name of Landlord Licensee:
_______________________________________________________________
Landlord License Number:
_____________________________________
2. Premises Address:
_______________________________________________________________
3. Name of Bingo-Raffle
Licensee:
_______________________________________________________________
If promotion was held during a bingo occasion.
Bingo-Raffle Licensee
Number:
_____________________________________
4. Description of Prizes Awarded:
5. Value of Prize(s) Awarded:
______________________________________________________________
6. Date Prize(s) Awarded:
_____________________________________
_________________________________________________
_____________________________
Signature of Landlord/Authorized agent/Bingo-Raffle licensee
Date signed
LE-LLPR
Page 1 of 1
Rev. 5/24/2018