Blank Rb 3 Illinois PDF Form

Blank Rb 3 Illinois PDF Form

The RB-3 Illinois form is an application for a bingo license issued by the Illinois Department of Revenue. Organizations seeking to conduct bingo games must meet specific criteria to qualify for this license. For assistance in completing the form, please click the button below.

The RB-3 Illinois form is a crucial document for organizations looking to obtain a bingo license in the state of Illinois. Designed for not-for-profit entities, this form outlines the necessary steps and requirements to ensure compliance with state regulations. To qualify, an organization must have been established for at least five years or be affiliated with a national organization for two years. Additionally, it is essential that none of the individuals involved in the management of bingo have felony convictions within the last decade. The form requires detailed information about the organization, including its legal name, address, and type of entity. Organizations must also provide documentation such as bylaws and meeting minutes for certain applications. There are three types of licenses available: regular, special, and limited, each with its own fee structure and conditions. Completing the RB-3 form accurately is vital, as any discrepancies may delay processing or result in penalties. For assistance, organizations can utilize the MyTax Illinois online program or reach out to the Illinois Department of Revenue directly.

Document Sample

Illinois Department of Revenue

RB-3 Application for Bingo License

Register faster using MyTax Illinois, our online account management program, available on our website at tax.illinois.gov. If you have questions, visit our website or contact us weekdays between 8:00 a.m. and 4:30 p.m. at 217 785-5864 or email at [email protected].

Read this information first

To qualify for a license to conduct bingo games, your organization must

be not-for-profit;

have been organized and in existence in Illinois for at least the past five years or affiliated and chartered with a national organization for two years and have had members carrying out the organization’s goals during either period;

not have any officers, directors, employees, or persons participating in the management or operation of bingo who have been convicted of a felony within the last 10 years or who have been convicted of a violation of Article 28 of the Criminal Code of 2012; and

not compensate persons participating in the management or operation of bingo.

For more information about the laws, rules, and regulations governing the bingo license and tax act visit our website at tax.illinois.gov and review the Bingo License Tax Act (230 ILCS 25/1 to 25/7) and 86 Ill. Admin. Code Part 430.

Step 1: Identify your organization

1Federal employer identification number (FEIN) FEIN: ______ - __________________

2Organization name:

__________________________________________________

3Primary or legal business address:

___________________________________________________

Street address - No PO Box numberApartment or suite number

___________________________________________________

City

State

ZIP

4Mailing address if different from the address above:

___________________________________________________

In-care-of name

___________________________________________________

Street address or PO Box numberApartment or suite number

___________________________________________________

City

State

ZIP

5Check the organization type that applies to you:

Corporation S Corp (Subchapter S Corporation)

Not-for-profit organization

6Charitable organizations applying for a new regular or limited bingo license must provide the following:

A copy of your organization’s bylaws and one of the following:

-Constitution,

-Charter, or

-Articles of incorporation; and

Copies฀of฀a฀single฀month's฀meeting฀minutes฀from฀each฀of฀the preceding฀five฀years,฀or฀if฀you฀are฀chartered฀by฀a฀national organization,฀for฀a฀single฀month฀from฀each฀of฀the฀preceding two฀years.

Note: If renewing your license, you do not have to provide the above information.

7Identify a contact person regarding your business.

Name: __________________________ Title: _____________

Phone: (______) ______ - ________ Ext.: __________

FAX: (______) ______ - ________

Email address: _____________________________________

Step 2: Identify your officers and the person in charge

8Provide the following information for the organization’s officers and person in charge. If the officers in your organization change, you must file Schedule REG-1-O. Note: One person listed below must sign the application.

a ____________________________

_______ - _____ - ________

c ____________________________

_______ - _____ - ________

President’s name

Social Security number

 

 

Treasurer’s name

Social Security number

 

 

________________________________________________________

________________________________________________________

Home address - No PO Box number

City

State

ZIP

Home address - No PO Box number

City

State

ZIP

____ / ____ / ________

(______) ______ - ________

____ / ____ / ________

(______) ______ - ________

Date of birth

Phone

 

 

Date of birth

Phone

 

 

b ____________________________

_______ - _____ - ________

d ____________________________

_______ - _____ - ________

Secretary’s name

Social Security number

 

 

Person-in-charge’s name

Social Security number

 

 

________________________________________________________

________________________________________________________

Home address - No PO Box number

City

State

ZIP

Home address - No PO Box number

City

State

ZIP

____ / ____ / ________

(______) ______ - ________

____ / ____ / ________

(______) ______ - ________

Date of birth

Phone

 

 

Date of birth

Phone

 

 

This form is authorized as outlined under the tax or fee Act imposing the tax or fee for which this form is filed. Disclosure of this information is required. Failure to provide information may result in this form not being processed and may result in a penalty.

RB-3 front (R-08/15)

Step 3: Type of license you are applying for - Check one

Regular - conduct bingo at the organization’s physical address on a weekly basis - $200 annual fee

What is the address where you will be conducting bingo?

Address:__________________________________________________________________________________________________________________________________________________

Street address - NO PO Box numberCityCountyStateZIP

Is this location owned or occupied by your organization or a unit of local government? ___ Yes ___ No

If no, enter the bingo provider of premises license number. BP-_____________

What day of the week will bingo be played?_____________________________

At what time will bingo begin and end? _____:_____ a.m.

to _____:_____

a.m.

Hour

Minute

p.m.

Hour

Minute

p.m.

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Special - have a regular bingo license and will hold events at your regular bingo location but on a day other than your regular day - No fee A special permit allows you to have two such events per license for a maximum of five consecutive days per event. Provide the location address, date, and time below. If, at this time, you do not know when the events will be held you must submit the information on

Form RCG-1-E no less than 30 days prior to the event.

a First event:_____/_____/_____ to _____/_____/_____

b Second event:_____/_____/_____ to _____/_____/_____

 

Month

Day

Year

Month Day

Year

 

Month

Day

Year

Month Day

Year

At what time will bingo begin and end:

 

At what time will bingo begin and end:

 

 

 

a.m.

 

 

a.m.

 

 

a.m.

 

a.m.

 

 

_____ : _____ p.m.

to _____ : _____ p.m.

 

_____ : _____p.m. to _____ : _____p.m.

 

 

Hour

Minute

Hour

Minute

 

 

Hour

Minute

Hour

Minute

 

 

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Limited - conduct bingo no more than two times a year for a maximum of five consecutive days per event - $50 fee

Provide the location address, date, and time below. If, at this time, you do not know when the events will be held you must submit the information on Form RCG-1-E no less than 30 days prior to the event.

a First event:_____/____/_____ to _____/_____/_____

b Second event:_____/_____/_____ to _____/_____/_____

Month Day Year

Month Day

Year

Month Day

Year

Month Day

Year

At what time will bingo begin and end:

____ : _____ p.m.a.m.

to _____ : _____ p.m.a.m.

Hour Minute

Hour

Minute

_________________________________________________

At what time will bingo begin and end:

 

a.m.

 

a.m.

_____ : _____p.m.

to _____ : _____p.m.

Hour

Minute

Hour

Minute

_________________________________________________

Street address - No PO Box numberApartment or suite numberStreet address - No PO Box numberApartment or suite number

_________________________________________________

_________________________________________

City

State

ZIP

City

State

ZIP

_________________________________________________

_________________________________________

County

 

 

County

 

 

Is this location owned or occupied by your organization or a unit of local government? ___Yes ___ No

If no, enter the bingo provider of premises license number. BP-__________

Is this location owned or occupied by your organization or a unit of local government? ___ Yes ___ No

If no, enter the bingo provider of premises license number. BP-__________

Step 4: Pay your fee - Check one - (Note: The fee paid with your application is not refundable.)

If you are applying for a One year regular bingo license, the fee is $200; One year limited bingo license, the fee is $50.

Make your check or money order payable to the “Illinois Department of Revenue.”

Step 5: Sign below

Under the penalties of perjury, I state that I have examined this application and all attachments and other information required and to the best of my knowledge, it is true, correct, and complete.

________________________________________________________________________________________________________________

SignaturePrinted nameDate

Mail your form along with any attachments and payment to:

OFFICE OF BINGO AND CHARITABLE GAMES 3-215

 

ILLINOIS DEPARTMENT OF REVENUE

 

PO BOX 19480

 

SPRINGFIELD IL 62794-9480

RB-3 back (R-08/15)

File Specifics

Fact Name Details
Eligibility Requirements Organizations must be not-for-profit and have existed in Illinois for at least five years or be affiliated with a national organization for two years.
Criminal Background Check No officers, directors, or managers can have felony convictions within the last ten years or violations of Article 28 of the Criminal Code of 2012.
License Types Three types of licenses are available: Regular ($200 fee), Special (no fee), and Limited ($50 fee).
Governing Laws The Bingo License Tax Act (230 ILCS 25/1 to 25/7) and 86 Ill. Admin. Code Part 430 govern the application process.

How to Use Rb 3 Illinois

Filling out the RB-3 form is a crucial step for organizations seeking to conduct bingo games in Illinois. This form requires specific information about your organization, its officers, and the type of bingo license you are applying for. Ensure that all sections are completed accurately to avoid any delays in processing your application.

  1. Identify your organization:
    • Enter your Federal Employer Identification Number (FEIN).
    • Provide your organization's name.
    • Fill in the primary or legal business address, including street address, city, state, and ZIP code. Avoid using a P.O. Box.
    • If applicable, provide a mailing address that differs from the primary address.
    • Check the box that corresponds to your organization type (Corporation, S Corp, Not-for-profit organization).
    • If your organization is a charitable organization applying for a new license, attach a copy of your bylaws and one of the following: Constitution, Charter, or Articles of Incorporation. Include meeting minutes from the past five years or two years if chartered by a national organization.
    • Identify a contact person, including their name, title, phone number, fax number, and email address.
  2. Identify your officers and the person in charge:
    • Provide the names and Social Security numbers of the president, treasurer, secretary, and person in charge.
    • Include their home addresses, dates of birth, and phone numbers. One person listed must sign the application.
  3. Type of license you are applying for:
    • Check the appropriate box for Regular, Special, or Limited license.
    • For a Regular license, provide the address where bingo will be conducted and confirm if the location is owned or occupied by your organization.
    • For a Special license, provide event dates and times. Note that events must be reported on Form RCG-1-E at least 30 days prior.
    • For a Limited license, provide the same information as for the Special license.
  4. Pay your fee:
    • Select the appropriate fee based on the type of license (Regular: $200; Limited: $50).
    • Make your check or money order payable to the "Illinois Department of Revenue."
  5. Sign below:
    • Sign the application, print your name, and include the date.
    • Mail your completed form, attachments, and payment to the Office of Bingo and Charitable Games at the specified address.

Your Questions, Answered

  1. What is the RB-3 Illinois form?

    The RB-3 Illinois form is an application used by not-for-profit organizations to apply for a bingo license in the state of Illinois. This form is required to conduct bingo games legally and must be submitted to the Illinois Department of Revenue.

  2. Who is eligible to apply for a bingo license using the RB-3 form?

    To qualify for a bingo license, an organization must meet several criteria:

    • It must be a not-for-profit organization.
    • It should have been organized and in existence in Illinois for at least the past five years, or be affiliated with a national organization for at least two years.
    • No officers, directors, employees, or individuals managing bingo operations should have felony convictions within the last ten years.
    • Individuals involved in the management or operation of bingo cannot receive compensation.

  3. What types of bingo licenses can be applied for using the RB-3 form?

    There are three types of bingo licenses available through the RB-3 form:

    • Regular License: Allows weekly bingo games at the organization’s physical address for an annual fee of $200.
    • Special License: Permits events on days other than the regular bingo day, at no additional cost, with a limit of two events per license.
    • Limited License: Enables bingo games no more than twice a year for a maximum of five consecutive days per event, with a fee of $50.

  4. What information is required to complete the RB-3 form?

    The RB-3 form requires various details, including:

    • Federal Employer Identification Number (FEIN)
    • Organization name and address
    • Type of organization
    • Contact person’s information
    • Details about the organization’s officers and the person in charge
    • Type of bingo license being applied for
    • Payment details for the application fee

  5. How much does it cost to apply for a bingo license?

    The application fee varies based on the type of license:

    • $200 for a regular bingo license
    • $50 for a limited bingo license
    • No fee for a special permit, as long as the organization already holds a regular bingo license.

  6. How do I submit the RB-3 form?

    The completed RB-3 form, along with any required attachments and payment, should be mailed to the following address:

    OFFICE OF BINGO AND CHARITABLE GAMES
    3-215 ILLINOIS DEPARTMENT OF REVENUE
    PO BOX 19480
    SPRINGFIELD IL 62794-9480

  7. What happens if the information on the RB-3 form is incomplete?

    If the RB-3 form is incomplete or if required information is not provided, the application may not be processed. This could lead to delays or potential penalties. It is crucial to ensure all details are accurate and complete before submission.

  8. Where can I find additional information about the bingo license and regulations?

    For more information regarding the laws, rules, and regulations governing bingo licenses, visit the Illinois Department of Revenue's website at tax.illinois.gov. The Bingo License Tax Act and relevant administrative codes are available for review there.

Common mistakes

  1. Incomplete Organization Information: Failing to provide the full legal name, address, and Federal Employer Identification Number (FEIN) can lead to delays. Ensure all sections are filled out completely.

  2. Incorrect Officer Details: Listing incorrect Social Security numbers or contact information for officers can result in application rejection. Double-check these details for accuracy.

  3. Missing Required Documentation: Not including necessary documents, such as bylaws or meeting minutes, is a common oversight. Make sure to attach all required paperwork to avoid processing issues.

  4. Improper License Selection: Choosing the wrong type of bingo license can lead to complications. Review the options carefully to select the one that matches your organization’s needs.

  5. Failure to Sign the Application: Forgetting to sign the application is a frequent mistake. Remember, one authorized individual must sign to validate the submission.

Documents used along the form

The RB-3 Illinois form is a crucial document for organizations seeking to obtain a bingo license in Illinois. Alongside this form, several other documents may be required or beneficial in the process of applying for and maintaining a bingo license. Below is a list of related forms and documents that are often used in conjunction with the RB-3 form.

  • Schedule REG-1-O: This form is used to report changes in the officers or directors of the organization. It is essential to keep the Illinois Department of Revenue informed of any leadership changes to ensure compliance with licensing requirements.
  • RCG-1-E: This form is necessary for organizations planning special bingo events. It must be submitted at least 30 days prior to the event to provide details about the location, dates, and times of the games.
  • Bylaws: A copy of the organization's bylaws is required for new bingo license applications. Bylaws outline the rules and regulations governing the organization’s operations and are essential for demonstrating legitimacy.
  • Constitution, Charter, or Articles of Incorporation: One of these documents must accompany the bylaws for charitable organizations applying for a new bingo license. They provide foundational details about the organization’s purpose and structure.
  • Meeting Minutes: Organizations must provide copies of meeting minutes from a single month over the past five years, or two years if affiliated with a national organization. This documentation shows ongoing organizational activity and governance.
  • Tax Exempt Status Documentation: If applicable, organizations may need to provide proof of tax-exempt status. This document helps clarify the organization’s eligibility for certain benefits under state law.
  • Financial Statements: Some organizations may be required to submit financial statements to demonstrate fiscal responsibility and transparency. This is particularly relevant for those applying for a regular bingo license.
  • Application Fee Payment: A check or money order must accompany the RB-3 form as payment for the application fee. This payment is crucial for processing the application and must be made out to the Illinois Department of Revenue.
  • Contact Information Form: While not always a formal document, providing updated contact information for the organization’s representatives is essential for communication regarding the bingo license application.

Each of these documents plays a vital role in the application process for a bingo license in Illinois. Ensuring that all necessary forms and supporting documents are completed accurately and submitted on time can significantly enhance the chances of a successful application.

Similar forms

The Illinois Charitable Organization Registration Form is similar to the RB-3 Illinois form in that both documents are essential for organizations seeking to operate within the realm of charitable activities. This form requires organizations to provide information about their structure, purpose, and activities, much like the RB-3 form. Both documents emphasize the importance of being a not-for-profit entity and require proof of the organization's existence and good standing. Additionally, both forms aim to ensure that organizations comply with state regulations to protect the integrity of charitable gaming activities.

The Illinois Liquor License Application shares similarities with the RB-3 form in that both applications involve obtaining a license to conduct activities that are regulated by the state. Just as the RB-3 form requires detailed information about the organization and its officers, the liquor license application requires applicants to disclose information about ownership, management, and the intended use of the license. Both processes aim to ensure that the applicants meet specific legal criteria, including background checks for individuals involved in management, thus maintaining public safety and compliance with state laws.

The Illinois Nonprofit Corporation Articles of Incorporation is another document akin to the RB-3 form. Both documents are foundational for organizations looking to establish themselves legally in Illinois. The Articles of Incorporation set forth the organization’s purpose, structure, and governance, similar to how the RB-3 form outlines the requirements for conducting bingo games. Both documents require transparency and accountability, ensuring that the organizations operate within the legal framework and adhere to the regulations governing their activities.

Lastly, the Illinois Gaming License Application is closely related to the RB-3 form, as both pertain to the regulation of gaming activities in the state. The Gaming License Application requires detailed information about the organization, its officers, and the proposed gaming operations. Like the RB-3 form, it ensures that only qualified organizations can conduct gaming activities, thereby protecting the public interest. Both forms also include provisions for background checks and adherence to state laws, reinforcing the commitment to responsible gaming practices.

Dos and Don'ts

When filling out the RB-3 Illinois form for a bingo license, it is essential to approach the task with care. Here’s a helpful list of dos and don’ts to guide you through the process.

  • Do ensure your organization qualifies as not-for-profit and has been in existence for the required time.
  • Do provide accurate information for your organization’s name and address.
  • Do include the necessary documentation, such as bylaws and meeting minutes, if applicable.
  • Do check the organization type accurately to avoid processing delays.
  • Do verify that all officers and the person in charge have not been convicted of disqualifying offenses.
  • Do sign the application before submission to confirm the information is true and complete.
  • Do mail your application to the correct address, ensuring it reaches the Office of Bingo and Charitable Games.
  • Don't use a PO Box for the primary or legal business address; a physical address is required.
  • Don't submit incomplete forms; all sections must be filled out to avoid delays.
  • Don't forget to check the fee structure based on the type of license you are applying for.
  • Don't neglect to include a contact person’s information for any follow-up questions.
  • Don't assume prior licenses or applications guarantee approval; each application is reviewed on its own merits.
  • Don't delay your submission; allow ample time for processing, especially if events are planned.
  • Don't overlook the importance of double-checking all entries for accuracy before mailing.

By following these guidelines, you can enhance your chances of a smooth application process for your bingo license in Illinois.

Misconceptions

Misconceptions about the RB-3 Illinois form can lead to confusion for organizations seeking to conduct bingo games. Here are five common misconceptions along with clarifications:

  • All organizations can apply for a bingo license. Only not-for-profit organizations that have been in existence for at least five years or affiliated with a national organization for two years are eligible to apply.
  • Felony convictions do not affect eligibility. Individuals involved in the management or operation of bingo must not have felony convictions within the last ten years to qualify for a license.
  • Compensation for management is allowed. Organizations cannot compensate individuals participating in the management or operation of bingo games, as this is prohibited by law.
  • Renewing a license requires the same documentation as a new application. When renewing a bingo license, organizations do not need to submit bylaws or meeting minutes, which are only required for new applications.
  • Fees for licenses are refundable. The fees paid with the application for a bingo license are non-refundable, regardless of the outcome of the application.

Key takeaways

When filling out the RB-3 Illinois form for a bingo license, there are several important points to keep in mind. Here are key takeaways to help ensure a smooth application process:

  • Eligibility Requirements: Your organization must be not-for-profit and have existed in Illinois for at least five years, or be affiliated with a national organization for two years.
  • Criminal Background Check: No officers or directors can have felony convictions in the past ten years or violations related to bingo laws.
  • Document Submission: Charitable organizations must provide bylaws and meeting minutes from the past five years or two years if affiliated with a national organization. This does not apply to license renewals.
  • Contact Information: Designate a contact person for your organization, including their name, title, and contact details. This person will be responsible for communications regarding the application.
  • Type of License: Decide on the type of bingo license you need: regular, special, or limited. Each has different requirements and fees.
  • Fee Payment: Be aware that the application fee is non-refundable. Regular licenses cost $200, while limited licenses are $50. Payments should be made to the Illinois Department of Revenue.
  • Signature Requirement: Ensure that the application is signed by an authorized person. The signature confirms that all information provided is accurate and complete.

Following these guidelines will help streamline your application process for a bingo license in Illinois.