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City of Bloomington, Illinois

cityclerk@cityblm.org

115 E. Washington St., Bloomington, IL, 61701, US

309-434-2509

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City Video Gaming License Application
This Application is required as set forth in Chapter 7, Article VIII of the City Code.
See https://ecode360.com/34404251 for additional information.
Important to consider prior to beginning this Application:
  • The applying Establishment must already have been issued an Illinois State Video Gaming License.
  • The applying Establishment must have been in business in the applying location for at least 12 months unless the applying Establishment wishes to replicate the business model of another location that has the same majority owner as the applying Establishment.
  • The applying Establishment must be in good standing with the State of Illinois and the City of Bloomington. This includes having no outstanding bills, taxes, or other violations.
  • As of August 26, 2019, no more than sixty (60) Establishments may be licensed to operate video gaming terminals in the City at any given time. License applications will be processed on a first come, first served basis.
  • As of December 21, 2020, if a video gaming license is unavailable, a qualified applicant who would have received a license if one was available, shall be placed on a waitlist. (See Chapter 7, for details.)
  • City Video Gaming Licenses are valid for a twelve-month period (May 1 to April 30).
  • Each Establishment receiving a City Video Gaming License may have no more than five (5) video gaming terminals.
  • Each Establishment is required to pay the per terminal fee upon first issuance of a license and annually upon renewal. Terminal fees are as follows (per terminal):
    • Fraternal or Veterans organizations: $250.00
    • All other Establishments: $500.00
  • Additional Fees:
    • A Non-Refundable, Application Fee of $250
In order for this application to be accepted, it must be completed in full and all of the following items must be attached:
  1. A copy of the applying Establishment’s State of Illinois Video Gaming License
  2. A copy of the applying Establishment’s Illinois Sectary of State Certificate of Good Standing
  3. A computer-generated, drawn-to-scale, floor plan of the Establishment meeting the requirements detailed in Ch.7, Sec 123(E) Application Requirements (An electronic version must be provided on CD or emailed; USB flash drives not accepted. Paper copy (at least 11x17) available upon request.)
  4. Documentation substantiating that the Establishment has been in operation for at least 12 months (i.e. tax statements, etc.) (N/A if applying to replicate another existing business model)
The items below are ONLY APPLICABLE IF applying to replicate the business model of another existing business location:
  • Documentation detailing the business model and operations of the Existing Business that is intended to be replicated at the proposed Establishment
  • Documentation substantiating that the Existing Business location intended to be replicated has been in operation for at least 12 months
  • Documentation substantiating the Applicant and majority owner of the proposed Establishment is also the majority owner of the Existing Business location intended to be replicated
  • Documentation that gross receipts from video gaming at the Existing Business location have not exceeded 50% of the total gross receipts at the Existing Business during the prior 12 months
The items below are ONLY APPLICABLE IF applying as a fraternal or veterans establishment:
  • Proof of status must be provided in the form of U.S. Form 990-EZ, Certificate of Exemption, 501(c)(3), 501(c)(4), 501(c)(5), 501(c)(8), 501(c)(10), or 501(c)(19).
  • Documentation that the Establishment is solely owned by a fraternal or veterans organization
The items below are ONLY APPLICABLE IF applying as a regular truck stop:
  • A Statement that the applicant qualifies under § 7-1301 of the City Code and 230 ILCS 40/5 of State Statue as a regular truck stop.
  • Documentation that the premises is owned, leased, or otherwise operated by the applicant
  • Documentation that the premises is currently at least a 3-acre parcel with a convenience store
  • Documentation that the premises has separate diesel islands for fueling commercial motor vehicles
  • Documentation that the current/projected retail sales of more than 10,000 gallons of diesel or biodiesel fuel per month
  • Documentation that there are parking spaces for commercial motor vehicles
The items below are ONLY APPLICABLE IF applying as a large truck stop:
  • A Statement that the applicant qualifies under § 7-1301 of the City Code and 230 ILCS 40/5 of State Statue as a large truck stop.
  • Documentation that the premises is owned, leased, or otherwise operated by the applicant
  • Documentation that the premises is currently at least a 3-acre parcel with a convenience store
  • Documentation that the premises is currently located within 3 road miles from a freeway interchange
  • Documentation that the premises has separate diesel islands for fueling commercial motor vehicles
  • Documentation that the current/projected retail sales of more than 50,000 gallons of diesel or biodiesel fuel per month
  • Documentation that there are parking spaces for commercial motor vehicles
The items below are ONLY APPLICABLE IF applying for a license transfer:
  • A formal letter requesting the transfer that is signed by both parties.
  • The individual acquiring the establishment license must meet the requirements of § 7-1303 of this article, including that the new person holds the appropriate video gaming license from the State of Illinois.
Please check that you agree before continuing.
By continuing I agree that I am willing to complete a digital version of the document(s); that information about my user session will be stored; and that I understand the requirements of application outlined above.
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Upload Attachment(s)

Please upload the following attachments:

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A copy of the applying Establishment’s State of Illinois Video Gaming License. Click Here to Upload
A copy of the applying Establishment’s Illinois Sectary of State Certificate of Good Standing. Click Here to Upload
A computer-generated, drawn-to-scale, floor plan of the Establishment meeting the requirements detailed in Ch.7, Sec 123(E) Application Requirements (An electronic version can also be provided on CD or emailed; USB flash drives not accepted. Paper copy (at least 11x17) must be available upon request.) Click Here to Upload
Documentation substantiating that the Establishment has been in operation for at least 12 months (i.e. tax statements, etc.) (Required unless replicating another existing business model.) Click Here to Upload
FOR REPLICATIONS ONLY: Documentation detailing the business model and operations of the Existing Business that is intended to be replicated at the proposed Establishment Click Here to Upload
FOR REPLICATIONS ONLY: Documentation substantiating that the Existing Business location intended to be replicated has been in operation for at least 12 months Click Here to Upload
FOR REPLICATIONS ONLY: Documentation substantiating the Applicant and majority owner of the proposed Establishment is also the majority owner of the Existing Business location intended to be replicated Click Here to Upload
FOR REPLICATIONS ONLY: Documentation that gross receipts from video gaming at the Existing Business location have not exceeded 50% of the total gross receipts at the Existing Business during the prior 12 months Click Here to Upload
FOR VETERAN/FRATERNAL ONLY: Proof of status must be provided in the form of U.S. Form 990-EZ, Certificate of Exemption, 501(c)(3), 501(c)(4), 501(c)(5), 501(c)(8), 501(c)(10), or 501(c)(19). Click Here to Upload
FOR VETERAN/FRATERNAL ONLY: Documentation that the Establishment is solely owned by a fraternal or veterans organization Click Here to Upload
FOR REGULAR/LARGE TRUCK STOP ONLY: A Statement that the applicant qualifies under § 7-1301 of the City Code and 230 ILCS 40/5 of State Statue as a regular/large truck stop Click Here to Upload
FOR REGULAR/LARGE TRUCK STOP ONLY: Documentation that the premises is owned, leased, or otherwise operated by the applicant Click Here to Upload
FOR REGULAR/LARGE TRUCK STOP ONLY: Documentation that the premises is currently at least a 3-acre parcel with a convenience store Click Here to Upload
FOR REGULAR/LARGE TRUCK STOP ONLY: Documentation that there are parking spaces for commercial motor vehicles Click Here to Upload
FOR REGULAR TRUCK STOP ONLY: Documentation that the current/projected retail sales of more than 10,000 gallons of diesel or biodiesel fuel per month Click Here to Upload
FOR LARGE TRUCK STOP ONLY: Documentation that the current/projected retail sales of more than 50,000 gallons of diesel or biodiesel fuel per month Click Here to Upload
FOR LARGE TRUCK STOP ONLY: Documentation that the premises is currently located within 3 road miles from a freeway interchange Click Here to Upload
FOR LICENSE TRANSFER ONLY: A formal letter requesting the transfer that is signed by both parties. Click Here to Upload