Video Bingo

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New ApplicationsEditable indicates fillable form
Form Name sort by: ( code | title ) Period Form Instructions
R-100003 - Electronic Video Bingo Application 09/2025 - present Editable Form Instructions
R-100002-CIS - Company's Officials Information 09/2025 - present Editable Form
R-100002-SH - Company's Stockholders List 09/2025 - present Editable Form
R-100002-LE - List of Louisiana Employees 09/2025 - present Editable Form
R-100002-PHR - Personal History 09/2025 - present Editable Form
R-100002-SAL - Personal Financial History 09/2025 - present Editable Form
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Renewal ApplicationsEditable indicates fillable form
Form Name sort by: ( code | title ) Period Form Instructions
R-100003 - Electronic Video Bingo Application 09/2025 - present Editable Form Instructions
R-100002-CIS - Company’s Officials Information 09/2025 - present Editable Form
R-100002-SH - Company’s Stockholder’s List 09/2025 - present Editable Form
R-100002-LE - List of Louisiana Employees 09/2025 - present Editable Form
R-100002-PHR - Personal History 09/2025 - present Editable Form
R-100002-SAL - Personal Financial History 09/2025 - present Editable Form
R-100003-VDP - Video Device Permit Application 07/2021 - present Editable Form
R-100003-MVDP - Modify Video Device Permit 09/2025 - present Editable Form
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Modification FormsEditable indicates fillable form
Form Name sort by: ( code | title ) Period Form Instructions
R-100002-CIS - Company's Officials Information 09/2025 - present Editable Form
R-100002-SH - Company's Stockholders List 09/2025 - present Editable Form
R-100002-LE - List of Louisiana Employees 09/2025 - present Editable Form
R-100002-PHR - Personal History 09/2025 - present Editable Form
R-100002-SAL - Personal Financial History 09/2025 - present Editable Form
R-100003-SP - Video Gaming Device Service/Repair 04/2022 - present Editable Form
R-100003-VDSN - Video Gaming Device Shipment Notification 04/2022 - present Editable Form
R-100025 - Video Gaming Device Transfer of Ownership 08/2025 - present Editable Form
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