ORC Form 1038 "Stable Name Application - Jack Thistledown" - Ohio

What Is ORC Form 1038?

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

Form Details:

  • Released on September 1, 2019;
  • The latest edition provided by the Ohio State Racing Commission;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of ORC Form 1038 by clicking the link below or browse more documents and templates provided by the Ohio State Racing Commission.

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Download ORC Form 1038 "Stable Name Application - Jack Thistledown" - Ohio

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JACK THISTLEDOWN
Stable Name Application
Stewards or Judges
LICENSE
Jack Thistledown
YEAR
21501 Emery Rd, Cleveland, Ohio 44128
Date Issued
Attention: OSRC
License
Danny.Hamilton@racing.ohio.gov
Number
216-438-6980
FAX: 216-438-6832
Inspector
$50 Primary (Thoroughbred)
$25 Secondary (Thoroughbred)
$25 Primary (Harness)
I hereby apply to register the following stable name in accordance with the rules and regulations of the Ohio State Racing Commission.
Stable Name (Please Print):
Registration Number
1. Year stable name above was registered for life with the Jockey Club
___________
______________________________
Registration Number
______________________ Year
2. Stable name was registered in the state of
__________
______________________________
Yes
No
3. Stable name is registered with the United States Trotting Association for the current year
4. Federal identification number or social security number of person or entity who will receive purse money:
Federal Identification Number
Social Security Number
5. Provide the following information for every person having an interest in this stable. Attach additional sheet(s) if necessary.
Name
Address
Percentage
At the time of application, is an individual, corporation or partnership listed above under revocation or suspension, ruled off or ineligible
to be licensed in any North American jurisdiction?
YES
NO
If yes, state where and by whom the ruling(s) was made and the offense(s) charged. If necessary, submit additional page(s).
Signature
Date
If the stable name has been registered with another state or any organizations listed in
paragraphs 1, 2 or 3 for the current year: The fee is $25. For all others, the fee is $50.
th
Ohio State Racing Commission, 77 S. High St. 18
Floor, Columbus, OH 43215-6108
ORC 1038 (Revised 9/19)
JACK THISTLEDOWN
Stable Name Application
Stewards or Judges
LICENSE
Jack Thistledown
YEAR
21501 Emery Rd, Cleveland, Ohio 44128
Date Issued
Attention: OSRC
License
Danny.Hamilton@racing.ohio.gov
Number
216-438-6980
FAX: 216-438-6832
Inspector
$50 Primary (Thoroughbred)
$25 Secondary (Thoroughbred)
$25 Primary (Harness)
I hereby apply to register the following stable name in accordance with the rules and regulations of the Ohio State Racing Commission.
Stable Name (Please Print):
Registration Number
1. Year stable name above was registered for life with the Jockey Club
___________
______________________________
Registration Number
______________________ Year
2. Stable name was registered in the state of
__________
______________________________
Yes
No
3. Stable name is registered with the United States Trotting Association for the current year
4. Federal identification number or social security number of person or entity who will receive purse money:
Federal Identification Number
Social Security Number
5. Provide the following information for every person having an interest in this stable. Attach additional sheet(s) if necessary.
Name
Address
Percentage
At the time of application, is an individual, corporation or partnership listed above under revocation or suspension, ruled off or ineligible
to be licensed in any North American jurisdiction?
YES
NO
If yes, state where and by whom the ruling(s) was made and the offense(s) charged. If necessary, submit additional page(s).
Signature
Date
If the stable name has been registered with another state or any organizations listed in
paragraphs 1, 2 or 3 for the current year: The fee is $25. For all others, the fee is $50.
th
Ohio State Racing Commission, 77 S. High St. 18
Floor, Columbus, OH 43215-6108
ORC 1038 (Revised 9/19)