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2019 Indiana Nomination Booklet

Table of Contents

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Welcome - Director of Racing & Breed DevelopmentMini-Series RulesChart on Splitting into DivisionsIndiana Sired & Bred Bonus & Breeder’s Award PolicyIndiana Sires StakesIndiana Sires Stakes Nomination FormLate Closing EventsHarrah’s Hoosier Park Early Closing ProgramIndiana Sired Late Closing Events Nomination Form Indiana Sired Fair Circuit Split ChartIndiana Sired Fair Circuit At A GlanceIndiana Sired Fair Circuit Schedule Indiana Sired Fair Circuit Conditions Indiana Sired Fair Circuit Nomination Form Maple City Trot & Classic XXIX Pace Nomination FormMaple City Trot & Classic XXIX Pace ConditionsISA Elite Trot and PaceISA Elite Trot and Pace Nomination Form 2019 Indiana Standardbred Foal Registration Form2019 Indiana Standardbred Mare Registration FormW-9 Form for ISFC Purse Check Release

CreditsCover Design Provided by Camille WeberCover Photos Provided by Dean Gillette

Funded & Produced by Indiana Standardbred Breed Development

Indiana Horse Racing CommissionState of IndianaEric J. Holcomb, Governor www.in.gov/hrc

February 2019

Dear Standardbred Owner:

2018 was another amazing year for the Indiana Horse Racing Industry and our Standardbred program. Indiana Sired horses continued to make national headlines, with Indiana Sired Hannelore Hanover being named Horse of the Year at USHWA's annual banquet. Indiana's Breed Development Program has produced the Horse of the Year for the past three years beginning with Wiggle It Jiggleit in 2015 and Always B Miki in 2016. Our program is well represented nationally with showings from Indiana sired horses in almost all major stakes events. Indiana Sired horses continue to be in high demand.

You will find the 2019 program outlined in detail in this booklet; however, I would like to highlight a few new items that you should be aware of:

• The structure of the Indiana Sires Stakes has been modified. The new structure will feature:• Six legs for 2-Year-Olds leading up to a $250,000 Super Final• Eight legs for 3-Year-Olds leading up to a $250,000 Super Final• Super Final participants finishing 6th through 10th will recieve a $4,000 purse payout each forearning their way into the Super Finals

• The eligibility requirements for Series 2 of the Indiana Sired Fair Circuit are as follows:• Two & Three Year Olds – NW $12,000 in 2019 up to and including 8/10/19.Please note that this date falls before the ISA Elite races, therefore the earnings from the Elite will not count toward the second series.

• You will find a W-9 form on the last page of this booklet. Many of the fairs are requiring that these becompleted and submitted prior to receiving any purse money from that fair. We advise that you make multiple copies of this form to submit to each fair. Without this form, you cannot receive your purse money. Please note that if a fair requires this, they will not release the purse check until they receive the completed W-9 form.• All 6th through 8th place finishers in the Indiana Sired Fair Circuit Championship at the Indiana State Fairwill recieve $500 each.• Please note that some of the closing times for entries for the fairs have changed, so please pay close attentionto this in the schedule. • Please remember that all Indiana Sired Fair Circuit races are subject to drug testing, this includes testing ofthe winner, random horses and blood gas testing.

Additional information you will find detailed in this booklet includes race conditions, nomination deadlines and payment addresses for various races. Please pay close attention to all those items when nominating your horses. I would also like to remind you that all nominations must be postmarked by the required deadline or they will not be accepted. Please be aware of this when dropping your payment into a mailbox on the day of the deadline.

You may download additional nomination forms, see eligibility lists and program information on our website at www.in.gov/hrc/sb.htm.

Best wishes and I look forward to seeing you at the races!

Sincerely,

Jessica BarnesDirector Racing & Breed Development

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Mini-Series RulesHarrah’s Hoosier Park will have a variety of Mini-Series during the 2019 race meet for Indiana Sired horses. These series will appear on the over-night sheet and do not require a nomination or starting fee. For more information, please contact Jessica Barnes at (317) 233-3119 or the Race Secretary at Harrah’s Hoosier Park.

1. Nominations: There are no nomination or starting fees required.2. Race Conditions:

1. All horses must meet host track qualifying standards in order to be eligible tocompete in Mini-Series.

2. Toberacedasanelimination(s)andafinal.3. No trainer or owner may race more than two (2) horses per division in a Mini-

Series,eliminationorfinal.4. If there are thirteen (13) or fewer entries, twelve (12) starters will be determined

by preference date, and also eligibles will be drawn. If there are fourteen (14) ormore eligible entries the race will be split into divisions.

5. Eliminationsorfinalswillonlytakeplaceifthereareeight(8)ormorebettinginterests, and may take place with seven (7) at the track’s discretion.

6. Horses with the highest point earnings from the elimination(s) who declare intotheboxwillcompeteinthefinal.Tobeeligibleforthefinal,ahorsemusthavestartedinanelimination.Thefinalwillbelimitedtoten(10)horses.Ifthereisatie for tenth (10th) place, entry will be drawn by lot. Two (2) also eligibles for thefinalmaybeselectedfromthenexttwo(2)highestpointearners.Ifthereareeight (8) or more additional eligible entries, a consolation for the next group of toppoint earners may be held at the discretion of the race secretary at eliminationpurse levels.

7. No owner and/or trainer will be permitted to race two (2) horses in a Mini-Seriesto the exclusion of a single entry.

3. Claiming Mini-Series:1. Horsesmaybeclaimedoutoftheeliminationracesorthefinaloftheseseries.2. Claiming Allowances: 2 yr olds – 100%, 3 yr olds – 50%, 4 yr olds – 25%,

Mares – 20%

4. Conditioned Mini-Series: Horses which are eligible prior to the elimination of a serieswillremaineligibleforfinal,regardlessoftheirwinningsaftertheeliminationrace.

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Chart on Splitting into DiviSionS(in addition to specifications outlined in conditions)

For Indiana Sire Stakes & Breed Development Late Closing Events

(Does not include Mini-Series or Aged Sire Stakes Eliminations)

Field Size(# in each Division)

# of Entries

# of Divisions

1-1213141516171819202122232425262728293031323334353637

22222222222333333333444444

6-67-67-78-78-88-99-910-910-1011-1011-118-8-78-8-89-8-89-9-89-9-910-9-910-10-910-10-1010-10-118-8-8-89-8-8-89-9-8-89-9-9-89-9-9-910-9-9-9

Field Size(# in each Division)

# of Entries

# of Divisions

3839404142434445464748495051525354555657585960616263

44455555555556666666666777

10-10-9-910-10-10-9

10-10-10-109-8-8-8-89-9-8-8-89-9-9-8-89-9-9-9-89-9-9-9-9

10-9-9-9-910-10-9-9-9

10-10-10-9-910-10-10-10-9

10-10-10-10-109-9-9-8-8-89-9-9-9-8-89-9-9-9-9-89-9-9-9-9-9

10-9-9-9-9-910-10-9-9-9-9

10-10-10-9-9-910-10-10-10-9-9

10-10-10-10-10-910-10-10-10-10-10

9-9-9-9-9-8-89-9-9-9-9-9-89-9-9-9-9-9-9

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2019 Standardbred Breed Development Policy on Breeder’s Award Payments

Indiana Sired & Bred Breeder Awards

Indiana Sired & Bred (ISB): *For Foals of 2010 & beyond: A foal sired by a registered Indiana Stallion and from a mare which wasregistered & resided in the State of Indiana continuously from June 1st for foals of 2010 and 2011, and August 1st for foals of 2012 and beyond of the breeding year through the time of foaling and (30) thirty days after and is properly registered with the IHRC.*For Foals of 2009 & prior: A foal sired by a stallion standing in Indiana and registered with the IHRCthe year the foal was conceived.

Breeder Award: An award paid to the registered breeder of the Indiana Sired & Bred horse (excluding any races in which a horse has raced for a claiming price tag) through using the following formula:

Breeder’s Awd Amt = % of win earnings in eligible races * Amt of available ($700,000)

Breeder Defined: The breeder is the individual listed on the horse’s registration papers as the breeder by the USTA. If the award is to be paid to a stable name/business then the registered owner must be listed as that stable name/business. If there are multiple breeders listed, the award will be paid to the individual listed first. It is the individual who receives the awards responsibility to distribute the award to the remaining listed breeders.

Who is Eligible for a Breeder’s Award?: The horse must win an eligible race (claiming races and races in which a horse is entered for a claiming price tag are not eligible) to be eligible to the Breeder’s Award Pool. The criteria is as follows:

• Two Year Olds & Three Year Olds - Indiana Sired & Bred (ISB) Horses only that win any race at thePari-Mutual Tracks in Indiana or ISFC Championship Races.

• Aged Horses - Four through Nine Years Old Indiana Sired & Bred (ISB) and Ten Years Old & OlderIndiana Sired (IS) that win:

*Final of any Breed Development Indiana Sired Late Closer Event

*Elimination or Final of the Indiana Sires Stakes

*Track’s Open or Invitational Race

Please Note: Breeder’s Awards will be paid on an annual basis, at the completion of the race meet in Indiana. Breeder’s Awards are paid by the Standardbred Breed Development Program, not the racetrack, and the award is not added to the horse’s earnings. In order to receive an award, you must have a completed W-9 & Direct Deposit Form on file with the State of Indiana.

For Additional Information, Please Contact:Standardbred Breed Development Program

Jessica Barnes, Dir. Of Racing & Breed Development; (317) 233-3120 or [email protected] Klotz, Standardbred Breed Development Coordinator; (317) 234-2541 or [email protected]

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Entry Fee for Each Leg: $5006th-10th place in $250,000 final to receive $4,000 each

inDiana StanDarDbreD breeD Development program2019 Indiana Sire Stakes

to be raced at Harrah’s Hoosier ParkNominations for Two-Year Olds must be postmarked by April 15, 2019

Nominations for Three-Year Olds & Older must be postmarked by March 15, 2019Sponsored by the Indiana Standardbred Advisory Board

DATE ENTRY FEELEG 1 Thursday- July 11 $500

LEG 2 Thursday- July 25 $500

LEG 3 Friday- August 23 $500

LEG 4 Friday- August 30 $500

LEG 5 Thursday -September 12 $500

LEG 6 Thursday- October 3 $500

SUPER FINAL October 11 $0

2 YR Colt/Gelding PaceIndiana Sire Stakes

Nomination fee: $500 (due 4/15/19)

2 YR Filly PaceIndiana Sire Stakes


2 YR Colt/Gelding TrotIndiana Sire Stakes


DATE ENTRY FEELEG 1 Wednesday- July 10 $500

LEG 2 Wednesday- July 31 $500

LEG 3 Thursday- August 22 $500

LEG 4 Thursday- August 29 $500

LEG 5 Wednesday-September 11 $500

LEG 6 Wednesday- October 2 $500


DATE ENTRY FEELEG 1 Saturday- July 13 $500

LEG 2 Tuesday- July 30 $500

LEG 3 Wednesday- August 21 $500

LEG 4 Tuesday- September 3 $500


LEG 6 Tuesday- October 1 $500


DATE ENTRY FEELEG 1 Tuesday- July 9 $500

LEG 2 Tuesday- July 30 $500

LEG 3 Tuesday- August 20 $500

LEG 4 Tuesday- August 27 $500


LEG 6 Tuesday- October 1 $500



2 YR Filly TrotIndiana Sire Stakes




1 Division 2 Divisions 3 Divisions 4 Divisions 5 Divisions

2 YR Old Legs $122,500 $66,250.00 $44,833.00 $34,625.00 $28,600.00(Estimated)

Average Number of Divisions for 2 Year Olds in 2018 was 2.6

Purses for legs will change based on the number of nominations and divisions for each category. The above purses are estimated based on 2018 numbers.

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Nominations for Three-Year Olds & Older must be postmarked by March 15, 2019Sponsored by the Indiana Standardbred Advisory Board

DATE ENTRY FEELEG 1 Friday- May 31 $500LEG 2 Friday- June 21 $500LEG 3 Friday- July 5 $500LEG 4 Friday- July 26 $500LEG 5 Friday- August 16 $500LEG 6 Friday- August 30 $500LEG 7 Friday- September 13 $500LEG 8 Friday- October 4 $500


3 YR Colt/Gelding PaceIndiana Sire Stakes


3 YR Filly PaceIndiana Sire Stakes


3 YR Colt/Gelding TrotIndiana Sire Stakes


DATE ENTRY FEELEG 1 Saturday- June 1 $500LEG 2 Friday- June 21 $500LEG 3 Friday- July 12 $500LEG 4 Saturday- July 27 $500LEG 5 Saturday- August 17 $500LEG 6 Saturday- September 7 $500LEG 7 Saturday- September 21 $500LEG 8 Friday- October 4 $500


DATE ENTRY FEELEG 1 Thursday- May 30 $500LEG 2 Thursday- June 20 $500LEG 3 Thursday- July 4 $500LEG 4 Thursday- July 25 $500LEG 5 Thursday- August 15 $500LEG 6 Thursday- September 5 $500LEG 7 Thursday- September 19 $500LEG 8 Thursday- October 3 $500


DATE ENTRY FEELEG 1 Wednesday- May 29 $500LEG 2 Wednesday- June 19 $500LEG 3 Wednesday- July 3 $500LEG 4 Wednesday- July 24 $500LEG 5 Wednesday- August 14 $500LEG 6 Wednesday- August 28 $500LEG 7 Wednesday- September 11 $500 LEG 8 Wednesday- October 2 $500



3 YR Filly TrotIndiana Sire Stakes




1 Division 2 Divisions 3 Divisions 4 Divisions 5 Divisions

3 YR Old Legs $87,968 $48,960.00 $33,322.00 $25,992.00 $21,693.00(Estimated)

Average Number of Divisions for 3 Year Olds in 2018 was 2.2

Purses for legs will change based on the number of nominations and divisions for each category. The above purses are estimated based on 2018 numbers.

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Nominations for Three-Year Olds & Older must be postmarked by March 15, 2019 Sponsored by the Indiana Standardbred Advisory Board

Aged Trot Stallion/Gelding Indiana Sire Stakes

ELIMINATION October 4 $20,000FINAL October 11 $50,000Nomination Fee: (due 3/15/19) $500

Aged Pace Mares Indiana Sire Stakes


Aged Pace Stallion/Gelding Indiana Sire Stakes


Aged Trot Mares Indiana Sire Stakes


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INDIANA SIRE STAKESGeneral Conditions for 2019; Two & Three Year Old Divisions

Sponsor: Indiana Standardbred Advisory Board (Board)For: Foals of 2017 and 2016 sired by stallions registered in the Indiana Stallion Registry the year the foals were conceived.To be Raced As: Six (6) legs and One (1) Super Final for Two (2) year old Trotters and Pacers in 2019. Eight (8) legs and and One (1)

Super Final for Three (3) year old Trotters and Pacers in 2019.To be Raced At: Harrah’s Hoosier Park in legs and Super Final as scheduled.Payments: (U.S. Funds) One (1) nomination payment will allow a horse to be eligible excluding the Aged divisions.

Two year olds in 2019-April 15, 2019..........................................................................................$ 500.00Leg - Entry Fee (Payable to Harrah’s Hoosier Park) per leg...................$ 500.00

Three year olds in 2019-March 15, 2019…………………........................................................... $ 500.00 Leg - Entry Fee (Payable to Harrah’s Hoosier Park) per leg...................$ 500.00

Once a horse is drawn into a leg, the entry fee is due, even if the horse is scratched prior to the race. Please Note: There will not be an entry fee required for the Super Final.

Declaration: Starters are to declare in at the regular time practiced at Harrah’s Hoosier Park. All declarations are subject to Indiana Horse Racing Commission Rules. The following time requirements must have been met at the time of declaration:

2 Year Old: Pace………..1:58 3 Year Old: Pace…………1:56Trot………....2:03 Trot………….2:01

An allowance of two (2) seconds will be allowed for pari-mutuel tracks that are less than 7/8th of a mile. An allowance of three (3) seconds will be allowed for any fair half-mile track. Additionally, any fair track rated sloppy will receive two (2) second allowance. Any Pari-mutuel track rated less than fast will receive one (1) second for good and two (2) for sloppy unless otherwise notated. All horses must have a clean line within qualifying times without a break within the last thirty (30) days from race date to race date. Any horse eligible to the Super Final must have a clean line in qualifying time, without a break within the last thirty (30) days from race date to race date.

Entry Fee: To be paid at the Office of the Director of Racing at the host track at least one (1) hour prior to post time. Money Division: Purses for races will be divided 50-25-12-8-5 percent. Race Conditions: Each event is to be raced one (1) heat at one (1) mile each.

If twelve (12) or more horses declare to start, the leg will be split into divisions according to the attached chart. All finals will be raced. All legs will be contested, regardless of the number of entries. All drug testing samples taken from horses competing in the Indiana Sire Stakes, may be frozen for future testing. The top ten (10) horses from the legs who declare into the box will compete in that super final. If two or more horses are tied entry will will be drawn by lot. Also-eligibles will also be drawn. All post positions will be drawn Points will be awarded in each leg final as follows: 1st- 50 points

2nd- 25 points3nd- 12 points4th- 8 points5th- 5 points

All starters will receive one (1) point for each leg raced. The top ten (10) point earning horses from the legs who declare in the box will compete in the super final. If there is a tie for tenth (10th) place, entry will be drawn by lot. Two (2) also eligibles will be drawn. A horse must have started in at least one (1) leg in order to be eligible for the super final.

Purses: Legs with eight (8) or more betting interests may be raced as non-pari-mutuel event at the discretion of the race secretary. If there are fewer than eight (8) betting interests, the race may be raced as a pari-mutuel race for the full advertised purse at the discretion of the race secretary. Each 6th – 10th place finisher in the Super Final shall receive $4,000.Legs with eleven (11) starters, an additional 6% of the total purse will be paid; 3% will be paid to the 6th place finisher, 2% will be paid to the 7th place finisher, and 1% to the eight place finisher.

Emergency: If for any reason, including but not limited to, weather, it becomes impossible to race any of the events at the Host Track, it is at the discretion of the Indiana Standardbred Advisory Board (Board) to contest any of these races at a different time and place so designated by the Board. The Board reserves the right to call off the event, and return to the entrants their pro-rated share of the accumulated horsemen portion of the purse, after deducting the clerical and administrative expenses allowed in these conditions.All entrants must abide by this change or forfeit their right to participate in these races or race for any part of the purse. In all circumstances, the Board will make the final decision.

Gait: Horses changing gait may be transferred to their adopted gait, but payments made prior to that time will not be transferred. Rules: Rules of the Indiana Horse Racing Commission shall govern unless otherwise specified in these conditions. Any issue not

covered by these conditions or Indiana Horse Racing Commission Rules will be subject to interpretation at the discretion of the host track.

Nomination payments made to: Indiana Horse Racing Commission1302 N Meridian Street, Suite 175

Indianapolis, IN 46202

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INDIANA SIRE STAKESGeneral Conditions for 2019; Aged Division

Sponsor: Indiana Standardbred Advisory Board (Board)For: Foals of 2015 and prior to 2015 sired by stallions registered in the Indiana Stallion Registry the year the foals

were conceived.To be Raced As: An elimination (if necessary) and a final for Aged Horses (four year olds and older) in 2019.To be Raced At: Harrah’s Hoosier Park.Payments: (U.S. Funds) Nomination

March 15, 2019...........................................................................$ 500.00Supplemental Nomination: Horses not nominated in the March 15, 2019 nomination payment may be made eligible by a supplemental nomination fee of $6,000 due on or before the close of entries for the respective elimination.

Please Note: There will NOT be an entry fee required for any elimination or final. Declaration: Starters are to declare in at the regular time practiced at the host track. All declarations subject to Indiana

Horse Racing Commission Rules. The following time requirements must have been met at the time of declaration:

Pace………………….1:56 Trot…………………..2:01An allowance of two (2) seconds will be allowed for pari-mutuel tracks that are less than 7/8th of a mile. An allowance of three (3) seconds will be allowed for any fair half-mile track. Additionally, any Pari-mutuel rack rated less than fast will receive one (1) second for good and two (2) for sloppy unless otherwise notated. All horses must have a clean line within qualifying times without a break within the last thirty (30) days from race date to race date.

Entry Fee: NoneMoney Division: Purses for races will be divided 50-25-12-8-5 percent. Race Conditions: Each event is to be raced one (1) heat at one (1) mile each.

Eliminations will only be raced in the event more than ten (10) horses enter to race.The eliminations will be raced in divisions if more than twelve (12) horses enter to race. If more than twelve (12) but twenty-four (24) or fewer horses are declared to start, two (2) divisions of eliminations will be held. Eliminations, if necessary, will be held at least one week prior to the final. All horses entered into the elimination will be eligible to enter for the final. Of those that have entered to race in the Final, the top ten (10) finishers in the official order of finish in the elimination races will be selected as starters. When two (2) or more horses are tied for tenth (10th) place, horses from those tied will be drawn by lot to fill the race.Please note that all horses eligible for the final must enter for the final according to the draw schedule at the Host track. Having entered in the elimination race(s) does not automatically enter the horse for the final.All finals will be raced, regardless of the number of horses entered.If after scratch time, a horse drawn into race at an Indiana Pari-mutuel track participates in any other race, that horse shall be scratched. Indiana Horse Racing Commission; 71 IAC 7-1-36 (d)Post positions for all races, including the final, will be determined by an open draw.In addition, two (2) horses will be selected from those in the eliminations that entered for the final but were not selected for the final to be designated “Also Eligible” (“AE”) for each final. These “Also Eligibles” will replace any other horse(s) scratched prior to scratch time from the final for any reason. The preference to determine which is the first (1st) “Also Eligible” shall be determined by taking the horse that placed highest in the official order of finish of all elimination divisions, but was not selected for the final; in the event horses are equal in the finish position, final preference will be drawn by lot. The other horse will be the second (2nd) “Also Eligible” (“AE2”).

Purses: The purse for the elimination will be paid from the Host Track purse account. Eliminations, if raced, will race for the advertised purse regardless of the number of divisions. If there are ten (10) or fewer horses entered to race in the elimination, the elimination will not be raced and all horses will be eligible to enter to race in the final. In the event the elimination is not raced, the host track will add the purse money allocated for the elimination to the final.Purses for eliminations with eleven (11) or more starters will be increased by twenty percent (20%). (To be paid by the Standardbred Breed Development Fund). In eliminations with a field Legs with eleven (11) starters, an additional 6% of the total purse will be paid; 3% will be paid to the 6th place finisher, 2% will be paid to the 7th place finisher, and 1% to the eight place finisher.

Emergency: If for any reason, including but not limited to, weather, it becomes impossible to race any of the events at the Host Track, it is at the discretion of the Indiana Standardbred Advisory Board (Board) to contest any of these races at a different time and place so designated by the Board. The Board reserves the right to call off the event, and return to the entrants their pro-rate share of the accumulated horsemen portion of the purse, after deducting the clerical and administrative expenses allowed in these conditions. All entrants must abide by this change or forfeit their right to participate in these races or race for any part of the purse. In all circumstances, the Board will make the final decision.

Gait: Horses changing gait may be transferred to their adopted gait, but payments made prior to that time will not be transferred.

Rules: Rules of the Indiana Horse Racing Commission shall govern unless otherwise specified in these conditions. Any issue not covered by these conditions or Indiana Horse Racing Commission Rules will be subject to interpretation at the discretion of the host track.

Nominations payable and mailed to: Indiana Horse Racing Commission1302 N. Meridian, Suite 175


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Name of Horse Age Sex Gait Sire/Dam Owner (c,f,g) (T,P)

Owner USTA Number:____________Agent: Telephone:

Address:

City: State: ZIP:

For e-mail updates, please visit our website (www.in.gov/hrc) and sign-up for the automated e-mail services. If you have anyquestionsonhowtosign-upforthisservice,pleasecontactourofficeat(317)233-3119.

inDiana SireS StakeS2019 Nomination Form

Two-Year Olds, Three-Year Olds &Aged (Four-Year Olds & Older)

Nominations for 3 YR Olds & Older must be postmarked by March 15, 2019.Nominations for 2 YR OIds must be postmarked by April 15, 2019.

2019 INDIANA SIRES STAKESTwo-Year Olds: Foals of 2017 - Nomination Fee: $500

Foals of 2017 by stallions registered in the 2016 Indiana Stallion Registry

Three-Year Olds: Foals of 2016 - Nomination Fee: $500Foals of 2016 by stallions registered in the 2015 Indiana Stallion Registry

Aged: Foals of 2015 or earlier - Nomination Fee: $500Foals of 2015 or earlier by stallions registered in the 2014 or earlier Indiana Stallion Registry

Per IC 4-31-11, the fee amounts approved by the Horse Racing Commission can be found listed under “Indiana Sires Stakes Fee and Race Schedule” on

our website at www.in.gov/hrc/2525.htm.

Photo copies will be accepted

#

State Form 49804 (R17/11-18)

Preparer Signature: _____________________________________________ Date (month, day, year):__________________

Mail form 49804 and the fee paid by check made payable to:Indiana Horse Racing Commission

1302 N. Meridian St, Suite 175 Indianapolis, IN 46202

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Don’t Forget To:

• Complete & sign the nomination form.• Enclose your signed check or money order

for the proper amount.• Mail by the required deadline:

March 15, 2019 - 3 YR Olds & OlderApril 15, 2019 - 2 YR Olds

Please mail this form to:

Indiana Horse Racing Commission1302 N. Meridian, Suite 175


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Owner USTA Number:____________Agent: Telephone:

Address:

City: State: ZIP:

For e-mail updates, please visit our website (www.in.gov/hrc) and sign-up for the automated e-mail services. If you have anyquestionsonhowtosign-upforthisservice,pleasecontactourofficeat(317)233-3119.

inDiana SireS StakeS2019 Nomination Form

Two-Year Olds, Three-Year Olds &Aged (Four-Year Olds & Older)

Nominations for 3 YR Olds & Older must be postmarked by March 15, 2019.Nominations for 2 YR OIds must be postmarked by April 15, 2019.

2019 INDIANA SIRES STAKESTwo-Year Olds: Foals of 2017 - Nomination Fee: $500 Foals of 2017 by stallions registered in the 2016 Indiana Stallion Registry

Three-Year Olds: Foals of 2016 - Nomination Fee: $500 Foals of 2016 by stallions registered in the 2015 Indiana Stallion Registry

Aged: Foals of 2015 or earlier - Nomination Fee: $500 Foals of 2015 or earlier by stallions registered in the 2014 or earlier Indiana Stallion RegistryPer IC 4-31-11, the fee amounts approved by the Horse Racing Commission can be found listed under “Indiana Sires Stakes Fee and Race Schedule” on

our website at www.in.gov/hrc/2525.htm.


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State Form 49804 (R17/11-18)

Preparer Signature: _____________________________________________ Date (month, day, year):__________________

Mail form 49804 and the fee paid by check made payable to:Indiana Horse Racing Commission


13

Don’t Forget To:



March 15, 2019 - 3 YR Olds & OlderApril 15, 2019 - 2 YR Olds




14

Check Payable and Mail to:Indiana Horse Racing Commission

1302 N. Meridian, Suite 175Indianapolis, IN 46202

inDiana StanDarDbreD breeD Development program 2019 LATE CLOSING EVENTS

to be raced at Harrah’s Hoosier Park

IS-1: “The Jerry Landess”Pace - Indiana Sired 3 YR & Up C/GNW 1 ext PM race LT (w/o $20,000 LT NE) AE: NW $8500LT(alleligibilityreflectsupto&including3/15/19

1st Leg April 12 $7,5002nd Leg April 19 $7,500 FINAL April 26 $15,000 Nomination Fee: (due 3/15/19) $100

IS-3: “The Hal Dale”Pace - Indiana Sired C/GNW 2 (3YO - 3) Ext. PM or $25,000 LT up to & including 3/15/19

1st Leg May 10 $9,0002nd Leg May 17 $9,000FINAL May 24 $18,000

Nomination Fee: (due 4/15/19) $100

IS-4: “The Go On BB”Pace - Indiana Sired F/MNW 2 (3YO - 3) Ext. PM or $25,000 LT up to & including 3/15/19



IS-9: “The Tubby Trimble”Pace - Indiana Sired 3 YR & Up C/GNW 4 (3 YO 5) Ext PM Races or $40,000 LT up to & including 5/1/19

1st Leg June 7 $10,000FINAL June 14 $20,000


IS-2: “The Miss Windfall”Pace - Indiana Sired 3 YR & UP F/MNW 1 ext PM race LT (w/o $20,000 LT NE) AE: NW $8500LT(alleligibilityreflectsupto&including3/15/19)

1st Leg April 11 $7,5002nd Leg April 18 $7,500FINAL April 25 $15,000Nomination Fee: (due 3/15/19) $100

IS-10: “The Bill Thompson”Pace - Indiana Sired 3 YR & Up F/MF/M-NW 4 (3 YO 5) Ext PM Races or $40,000 LT up to & including 5/1/19



IS-12: “The Single G”Pace - Indiana Sired C/GNW 4 (3 YO 6) Ext. PM Races or $50,000 LT up to and including 9/15/19

1st Leg October 24 $15,0002nd Leg October 31 $15,000FINAL November 9 $25,000


IS-13: “The Peony”Pace - Indiana Sired F/MNW 4 (3 YO 6) Ext. PM Races or $50,000 LT up to and including 9/15/19

1st Leg October 26 $15,0002nd Leg November 2 $15,000FINAL November 9 $25,000


PACING SERIES

15

Check Payable and Mail to:Indiana Horse Racing Commission

1302 N. Meridian, Suite 175Indianapolis, IN 46202

inDiana StanDarDbreD breeD Development program 2019 LATE CLOSING EVENTS

to be raced at Harrah’s Hoosier Park

IS-5: “The Cardinal”Trot - Indiana Sired 3 YR & Up C/GNW 1 ext PM race LT (w/o $20,000 LT NE) AE: NW $8500LT(alleligibilityreflectsupto&including3/15/19)

1st Leg April 10 $7,5002nd Leg April 17 $7,500 FINAL April 24 $15,000 Nomination Fee: (due 3/15/19) $100

IS-7: “The Expresson”Trot - Indiana Sired C/GNW 2 (3YO - 3) Ext. PM or $25,000 LT up to & including 3/15/19



IS-8: “Msnaughtybynature”Trot - Indiana Sired F/MNW 2 (3YO - 3) Ext. PM or $25,000 LT up to & including 3/15/18



IS-11: “The Ralph & Dorothy Rose”Trot - Indiana SiredNW 4 (3 YO - 5) Ext PM Races or $40,000 LT up to & including 5/1/19



IS-6: “The Mya Tri”Trot - Indiana Sired 3 YR & UP F/MNW 1 ext PM race LT (w/o $20,000 LT NE) AE: NW $8500LT(alleligibilityreflectsupto&including3/15/19)

1st Leg April 10 $7,5002nd Leg April 17 $7,500FINAL April 24 $15,000Nomination Fee: (due 3/15/19) $100

IS-14: “The I-69”Trot - Indiana Sired NW 4 (3 YO & Mares 6) Ext. PM races or $50,000 LT up to & including 9/15/19

1st Leg October 24 $15,0002nd Leg October 31 $15,000FINAL November 9 $25,000


TROTTING SERIES

16

BREED DEVELOPMENT LATE CLOSERS2019 General Conditions for Events to be raced at Harrah’s Hoosier Park

1. These events will be conducted under the rules and regulations of the Indiana Horse RacingCommission, Indiana Standardbred Breed Development, Harrah’s Hoosier Park, and the UnitedStates Trotting Association.

2. All of these events are to be raced as a late closer, contested at Harrah’s Hoosier Park, Anderson,IN.

3. Purses for all races will be divided 50-25-12-8-5%.

4. Nominations close on the dates posted in the nomination book and must be postmarked on thedates posted on the condition book. Payment for nomination fees must be in U.S. Fundsand made payable to Indiana Horse Racing Commission.

5. Declarations close at the time and date posted on the condition sheet.

6. Horses must have raced in one leg in order to qualify for the final.

7. Ten (10) horses with the highest money earnings in the series will compete in the finals. If horsesfrom the top ten (10) fail to declare in the finals, the next highest money earners who declare inwill be eligible. All ties will be drawn by lot. Two (2) also eligibles for the finals may be selectedfrom the next two (2) highest money earners.

8. Divisions will be split according to the Sire Stakes guidelines.

9. All events will be contested at one mile. Horses must meet qualifying standards at Harrah’sHoosier Park.

10. Post positions for preliminary legs for all events to be drawn by lot. The horse with the highest earnings in each respective series shall pick their post position for the final. In the event of a

tie, the order in which horses pick their post will be determined by lot, between thosehorses involved in the tie.

11. The winner of the Cardinal final shall receive an automatic nomination to the Expresson withno obligation to pay the nomination fee. If the horse already nominated to the Expresson, then arefund shall be given.

12. The winner of the Mya Tri final shall receive an automatic nomination to the Msnaughtybynaturewith no obligation to pay the nomination fee. If the horse already nominated to the Msnaughtybynature, then a refund shall be given.

13. The winner of the Jerry Landess final shall receive an automatic nomination to the Hal Dale withno obligation to pay the nomination fee. If the horse already nominated to the Hal Dale, then arefund shall be given.

17

14. The winner of the Miss Windfall final shall receive an automatic nomination to the Go On BBwith no obligation to pay the nomination fee. If the horse already nominated to the Go On BB,then a refund shall be given.

15. Harrah’s Hoosier Park requires six (6) separate betting interests to start in a leg or it may becancelled.

16. Should any unforeseeable conditions prevent the racing of any or all events, monies paid will berefunded.

17. All Finals will be held regardless of the number of entries.

18. If for any unforeseeable reason races are cancelled, the Host Track reserves the right to carryrace(s) to future race dates at their discretion.

19. The Host Track reserves the right to reject any nomination or declaration and return entry fee,and declare event off if conditions warrant. All starters are subject to the detention policiesof Harrah’s Hoosier Park. In the case of any dispute as to the interpretation of these conditions,the decision of Harrah’s Hoosier Park and the Indiana Standardbred Breed DevelopmentCommittee shall be final.

Nominations payable and mail to:

Indiana Horse Racing Commission1302 N. Meridian Street, Suite 175


BREED DEVELOPMENT LATE CLOSERS2019 General Conditions for Events to be raced at Harrah’s Hoosier Park

18

“THE DAN PATCH” (pace)(free for all)

$300,000 EST.

Friday, August 9, 2019

Nominating Fee (Feb 15th): $500

Sustaining Fee (March 15th): $1,500

Sustaining Fee (April 15th): $2,000

Entrance Fee: $2,500

**limited to the ten (10) highest lifetime money earners

“THE HOOSIER PARK PACING DERBY” (pace)(free for all)

$175,000 EST.

Friday, September 20, 2019

Nominating Fee (Feb 15th): $1,500




“THE CAESARS TROTTING CLASSIC” (trot)(free for all)

$220,000 EST.







“THE JENNA’S BEACH BOY” (pace)(3yo colts and geld)

$150,000 EST. (consolation $20,000 est.)



Sustaining Fee (March 15th): $750

Sustaining Fee (April 15th): $750

Entrance Fee: $1500

**FINAL limited to the ten (10) highest lifetime money earners

“THE CARL ERSKINE” (trot)(3yo)

$220,000 EST. (consolation $20,000 est)

Friday, November 1, 2019





**FINAL imited to the ten (10) highest lifetime money earners

“THE MONUMENT CIRCLE” (pace)(3yo colts and geld)








“THE CROSSROADS OF AMERICA” (TROT)(3yo fillies)







“THE USS INDIANAPOLIS MEMORIAL” (pace)(3yo fillies)







2019 EARLY CLOSING PROGRAM (open to the world)

(send all payments to Hambletonian Society)

19

“THE KENTUCKIANA STALLION MANAGEMENT”

(pace)(2yo fillies)






Sustaining Fee (May 15th): $1,000



“THE KENTUCKIANA STALLION MANAGEMENT”

(trot)(2yo fillies)






Sustaining Fee (May 15th): $1,000



“THE ELEVATION” (pace)(2yo colts and geld)



Nominating Fee (March 15th): $300


Sustaining Fee (May 15th): $500

Entrance Fee: $750


“THE MADISON COUNTY” (for 2yo in 2019)

(pacers and trotters, both sexes)

$70,000 EST. (each division)

Colt Pace: Friday, October 25, 2019

Colt Trot, Filly Pace, Filly Trot: Saturday, October 26, 2019

Nominating Fee (March 15th): $300


Entrance Fee: $300

“THE PEGASUS” (for 3yo in 2019)



Friday, October 18, 2019 (all divisions)



Entrance Fee: $300

“THE CIRCLE CITY” (for 3yo in 2019)



Friday, October 25, 2019 (all divisions)



Entrance Fee: $300

“THE STAR DESTROYER” (for 3yo in 2019)

(pacers and trotters, both sexes) **NEW IN 2019**

$50,000 EST. (each division) (RACED IN DIVISIONS)

Wednesday, June 26, 2019 (3yo filly TROT)

Thursday, June 27, 2019 (3yo colt TROT)

Friday, June 28, 2019 (3yo colt and filly pace)



Entrance Fee: $300

Make check payable in U.S. Funds to:

THE HAMBLETONIAN SOCIETY

Mail to:

The Hambletonian Society

109 South Main St., Suite 18

Cranbury, NJ 08512-3176

For questions, email [email protected]

2019 EARLY CLOSING PROGRAM (open to the world)

(send all payments to Hambletonian Society)

20

breeD Development late CloSing eventS2019 Nomination Form

Three-Year Olds &Aged (Four-Year Olds & Older)

Nominations for Events IS-1, IS-2 & IS-5, IS-6 must be postmarked by March 15, 2019.Nominations for Events IS-3, IS-4 & IS-7, IS-8 must be postmarked by April 15, 2019.Nominations for Events IS-9 through IS-11 must be postmarked by May 1, 2019.Nominations for Events IS-12 through IS-14 must be postmarked by October 15, 2019.

2018 INDIANA SIRED LATE CLOSING EVENTSIS-1(Jerry Landess): 3YR & Older NW 1 Ext PM LT AE: NW 8500LT C/G Pace (Due 3/15/19) Nomination Fee: $100IS-2(Miss Windfall): 3YR & Older NW 1 Ext PM LT AE: NW 8500LT Filly Pace (Due 3/15/19) Nomination Fee: $100IS-5(The Cardinal): 3YR & Older NW 1 Ext PM LT AE: NW 8500LT C/G Trot (Due 3/15/19) Nomination Fee: $100IS-6(The Mya Tri): 3YR & Older NW 1 Ext PM LT AE: NW 8500LT FillyTrot (Due 3/15/19) Nomination Fee: $100

IS-3(The Hal Dale): NW 2 (3YO -NW3) Ext PM or 25,000 LT C/G Pace (Due 4/15/19) Nomination Fee: $100IS-4(Go On BB): NW 2 (3YO -NW3) Ext PM or 25,000 LT Filly Pace (Due 4/15/19) Nomination Fee: $100IS-7(Expresson): NW 2 (3YO -NW3) Ext PM or 25,000 LT C/G Trot (Due 4/15/19) Nomination Fee: $100 IS-8(Msnaughtybynature): NW 2 (3YO -3) Ext PM or 25,000 LT Filly Trot (Due 4/15/19) Nomination Fee: $100 IS-9(Tubby Trimble): NW 4 (3YO 5) Ext PM 40,000 LT C/G Pace (Due 5/1/19) Nomination Fee: $125IS-10(Bill Thompson): Fillies/Mares NW 4 (3 YO 5)Ext PM 40,000 LT Filly Pace (Due 5/1/19) Nomination Fee: $125IS-11(Ralph & Dorthy Rose):NW 4 (3YO-5) Ext PM 40,000 LT Trot (Due 5/1/19) Nomination Fee: $125 IS-12(Single G): NW 4 Extended PM (3YO -NW6) or $50,000LT C/G Pace (Due 10/15/18) Nomination Fee: $200IS-13(Peony): NW 4 Extended PM (3YO -NW6) or $50,000LT Filly Pace (Due 10/15/18) Nomination Fee: $200IS-14(The I-69): NW 4 (Mares & 3YO -NW6) Ext PM or $50,000 LT Trot (Due 10/15/18) Nomination Fee: $200

#

State Form 49806 (R17/12-18)

Preparer Signature: ______________________________________ Date (month, day, year): _________________________

Mail form 49806 and the fee by check made payable to:Indiana Horse Racing Commission


Owner USTA Number:______________Agent: Telephone:

Address (number, street):

City: State: ZIP:

Per IC 4-31-11, the fee amounts approved by the Horse Racing Commission can be found listed under “Late Closer Fees and Race Schedule” on our website at www.in.gov/hrc/2523.htm. For e-mail updates, please visit our website (www.in.gov/hrc) and sign-up for the automated e-mail services. If you have any questionsonhowtosign-upforthisservice,pleasecontactourofficeat(317)233-3119.


Event Name of Horse Age Sex Gait Sire/Dam Owner # (c,f,g) (T,P)

21

Don’t Forget To:

• Complete & sign the nomination form.• Enclose your signed check or money order for the proper amount.• Mail by the required deadline: March 15, 2019 - Events IS-1, IS-2 & IS-5, IS-6 April 15, 2019 - Events IS-3, IS-4 & IS-7, IS-8 May 1, 2019 - Events IS-9, IS-10 & IS-11 October 15, 2019 - Events IS-12, IS-13 & IS-14


Indiana Horse Racing Commission 1302 N. Meridian, Suite 175


22

breeD Development late CloSing eventS2019 Nomination Form

Three-Year Olds &Aged (Four-Year Olds & Older)

Nominations for Events IS-1, IS-2 & IS-5, IS-6 must be postmarked by March 15, 2019.Nominations for Events IS-3, IS-4 & IS-7, IS-8 must be postmarked by April 15, 2019.Nominations for Events IS-9 through IS-11 must be postmarked by May 1, 2019.Nominations for Events IS-12 through IS-14 must be postmarked by October 15, 2019.

2019 INDIANA SIRED LATE CLOSING EVENTSIS-1(Jerry Landess): 3YR & Older NW 1 Ext PM LT AE: NW 8500LT C/G Pace (Due 3/15/19) Nomination Fee: $100IS-2(Miss Windfall): 3YR & Older NW 1 Ext PM LT AE: NW 8500LT Filly Pace (Due 3/15/19) Nomination Fee: $100IS-5(The Cardinal): 3YR & Older NW 1 Ext PM LT AE: NW 8500LT C/G Trot (Due 3/15/19) Nomination Fee: $100IS-6(The Mya Tri): 3YR & Older NW 1 Ext PM LT AE: NW 8500LT FillyTrot (Due 3/15/19) Nomination Fee: $100

IS-3(The Hal Dale): NW 2 (3YO -NW3) Ext PM or 25,000 LT C/G Pace (Due 4/15/19) Nomination Fee: $100IS-4(Go On BB): NW 2 (3YO -NW3) Ext PM or 25,000 LT Filly Pace (Due 4/15/19) Nomination Fee: $100IS-7(Expresson): NW 2 (3YO -NW3) Ext PM or 25,000 LT C/G Trot (Due 4/15/19) Nomination Fee: $100 IS-8(Msnaughtybynature): NW 2 (3YO -3) Ext PM or 25,000 LT Filly Trot (Due 4/15/19) Nomination Fee: $100 IS-9(Tubby Trimble): NW 4 (3YO 5) Ext PM 40,000 LT C/G Pace (Due 5/1/19) Nomination Fee: $125IS-10(Bill Thompson): Fillies/Mares NW 4 (3 YO 5)Ext PM 40,000 LT Filly Pace (Due 5/1/19) Nomination Fee: $125IS-11(Ralph & Dorthy Rose):NW 4 (3YO-5) Ext PM 40,000 LT Trot (Due 5/1/19) Nomination Fee: $125 IS-12(Single G): NW 4 Extended PM (3YO -NW6) or $50,000LT C/G Pace (Due 10/15/19) Nomination Fee: $200IS-13(Peony): NW 4 Extended PM (3YO -NW6) or $50,000LT Filly Pace (Due 10/15/19) Nomination Fee: $200IS-14(The I-69): NW 4 (Mares & 3YO -NW6) Ext PM or $50,000 LT Trot (Due 10/15/19) Nomination Fee: $200

#

State Form 49806 (R17/12-18)

Preparer Signature: ______________________________________ Date (month, day, year): _________________________



Owner USTA Number:______________Agent: Telephone:

Address (number, street):

City: State: ZIP:

Per IC 4-31-11, the fee amounts approved by the Horse Racing Commission can be found listed under “Late Closer Fees and Race Schedule” on our website at www.in.gov/hrc/2523.htm. For e-mail updates, please visit our website (www.in.gov/hrc) and sign-up for the automated e-mail services. If you have any questionsonhowtosign-upforthisservice,pleasecontactourofficeat(317)233-3119.


Event Name of Horse Age Sex Gait Sire/Dam Owner # (c,f,g) (T,P)

23

Don’t Forget To:

• Complete & sign the nomination form.• Enclose your signed check or money order for the proper amount.• Mail by the required deadline: March 15, 2019 - Events IS-1, IS-2 & IS-5, IS-6 April 15, 2019 - Events IS-3, IS-4 & IS-7, IS-8 May 1, 2019 - Events IS-9, IS-10 & IS-11 October 15, 2019 - Events IS-12, IS-13 & IS-14


Indiana Horse Racing Commission 1302 N. Meridian, Suite 175


24

IndIana SIred FaIr CIrCuIt

County FaIr SplIt Chart:

County Fair

Clinton Co. 2YO - 8 5 3 3YO - 8 5 3

Elkhart Co. 2YO - 8 6 2 3YO - 8 6 2

Fayette Co. 2YO - 8 5 3 3YO - 8 5 3

Harrison Co. 2YO - 7 4 3 3YO - 7 4 3

Indiana State 2YO - 10 8 2Fair 3YO - 10 8 2

Jay Co. 2YO - 8 5 3 3YO - 8 5 3

Miami Co. 2YO - 8 5 3 3YO - 8 5 3

Newton Co. 2YO - 8 5 3 3YO - 8 5 3

Noble Co. 2YO - 7 4 3 3YO - 7 4 3

Shelby Co. 2YO - 8 5 3 3YO - 8 5 3

# Horses

aCross Gate

# Horses in

2nd tier

Max # Horses

Per raCe

*Please Note: Failure of Race Secretary to follow above guidelines will result in a 25% reduc-tion of purses for that location (with the exception of the 1st three locations which will have no more than 1 trailer in two-year old races).

25

ISFC at a GlanCeFAIR RACE DATE(S) ENTRY # RACE DAY # MAILING FAIRGROUNDS

ADDRESS ADDRESS Miami Co. June 5 & 6Converse Fair June 12 & 13 (765) 395-3125 (765) 395-3125 PO Box 167 602 N Jefferson St(Converse) August 23 Converse, IN Converse, IN 46919 46919

Shelby Co. June 27 & 28 (765) 395-3125 (765) 395-3125 PO Box 167 500 Frank Street(Shelbyville) October 5 Converse, IN Shelbyville, IN 46919 46176

Indiana State August 6 & 7 (765) 395-3125 PO Box 167 1202 E 38th StreetFairgrounds August 27 (Elite) (317) 927-7888 (317) 927-7888 Converse, IN Indianapolis, IN

August 31 (765) 395-3125 46919 46205

Clinton Co. July 5 & 6 (765) 395-3125 (765) 242-4500 6119 S CR O EW 1701 S Jackson St(Frankfort) July 16 & 17 Frankfort, IN Frankfort, IN

September 7 46041 46041

Noble Co. July 13 (574) 825-7523 (260) 740-1448 1915 S Main St 580 Fair Street(Kendallville) Kendallville, IN Kendallville, IN

46755 46755

Newton Co. July 13 (765) 395-3125 (219) 474-5745 12100 S Punkinvine Rd(Kentland) Kentland, IN

47951 SAME

Elkhart Co. July 20, 22 & 23 (574) 825-7523 (574) 533-3247 17746 D CR 34(Goshen) August 19 Goshen, IN 46528 SAME

Jay Co. July 10 (574) 825-7523 (260) 729-1927 1932 E 300 S 806 E Votaw St(Portland) August 2 Portland, IN Portland, IN

September 21 47371 47371

Fayette Co. July 29 & 30 (765) 395-3125 (765) 821-2444 PO Box 20 2690 N Park Road(Connersville) September 14 Connersville, IN Connersville, IN

47331 47331

Harrison Co. June 20 & 21 (765) 395-3125 (812) 267-7580 PO Box 84 305 S Capitol Road(Corydon) September 28 Corydon, IN Corydon, IN

47112 47112

*Please Note: The mailing addresses listed above are for entry checks to be mailed in case of a scratch. The other addresses are the physical addresses of the Fairgrounds. You may use the mailing addresses to mail in the W9 forms as well.

26

IndIana Standardbred advISory board

Presents2019 IndIana SIred FaIr CIrCUIt raCInG SCHedULe

SerIeS 1

ConverSe FaIrGroUndS-ConverSe, InJUne 5 & 6aLvIn MILLer, Race SecRetaRy entry and raCe day PHone (765) 395-3125

Wednesday, June 5 11:00 a.m. Post Time(Box Closes 10:00 a.m. Sunday, June 2)ISFC 2 YR Filly Pace $3,000 ISFC 2 YR Colt Pace $3,000ISFC 3 YR Filly Trot $3,000ISFC 3 YR Colt Trot $3,000

Thursday, June 6 11:00 a.m. Post Time(Box Closes 10:00 a.m. Monday, June 3)ISFC 2 YR Filly Trot $3,000ISFC 2 YR Colt Trot $3,000ISFC 3 YR Filly Pace $3,000ISFC 3 YR Colt Pace $3,000

ConverSe FaIrGroUndS-ConverSe, InJUne 12 & 13aLvIn MILLer, Race SecRetaRy entry and raCe day PHone (765) 395-3125

Wednesday, June 12 4:00 p.m. Post Time(Box Closes 10:00 a.m. Sunday, June 9)ISFC 2 YR Filly Pace $3,000 ISFC 2 YR Colt Pace $3,000ISFC 3 YR Filly Trot $3,000ISFC 3 YR Colt Trot $3,000

Thursday, June 13 4:00 p.m. Post Time(Box Closes 10:00 a.m. Monday, June 10)ISFC 2 YR Filly Trot $3,000ISFC 2 YR Colt Trot $3,000ISFC 3 YR Filly Pace $3,000ISFC 3 YR Colt Pace $3,000

HarrISon CoUnty FaIr- Corydon, InJUne 20 & 21tIM HarMon, Race SecRetaRy entry PHone (765) 395-3125raCe day PHone # (812) 267-7580

Thursday, June 20 1 :00 p.m. Post Time(Box Closes 10:00 a.m. Monday, June 17)ISFC 2 YR Filly Pace $3,000ISFC 2 YR Colt Pace $3,000ISFC 3 YR Filly Trot $3,000ISFC 3 YR Colt Trot $3,000

HarrISon CoUnty FaIr- Cont.Friday, June 21 1 :00 p.m. Post Time(Box Closes 10:00 a.m. Tuesday, June 18)ISFC 2 YR Filly Trot $3,000ISFC 2 YR Colt Trot $3,000ISFC 3 YR Filly Pace $3,000 ISFC 3 YR Colt Pace $3,000

SHeLby CoUnty FaIr- SHeLbyvILLe, InJUne 27 & 28 LInda dever, Race SecRetaRy entry & raCe day PHone (765) 395-3125

Thursday, June 27 11 :00 a.m. Post Time(Box Closes 10:00 a.m. Monday, June 24)ISFC 2 YR Filly Pace $3,000ISFC 2 YR Colt Pace $3,000ISFC 3 YR Filly Trot $3,000ISFC 3 YR Colt Trot $3,000

Friday, June 28 11:00 a.m. Post Time(Box Closes 10:00 a.m. Tuesday, June 25)ISFC 2 YR Filly Trot $3,000ISFC 2 YR Colt Trot $3,000ISFC 3 YR Filly Pace $3,000 ISFC 3 YR Colt Pace $3,000

CLInton CoUnty FaIr - FrankFort, InJULy 5 & 6PaM royer, Race SecRetaRy

entry PHone (765) 395-3125raCe day PHone (765) 242-4500

Friday, July 5 1:00 p.m. Post Time(Box Closes 10:00 a.m. Tuesday, July 2)ISFC 2 YR Filly Trot $3,000ISFC 2 YR Colt Trot $3,000ISFC 3 YR Filly Pace $3,000ISFC 3 YR Colt Pace $3,000

Saturday, July 6 1:00 p.m. Post Time(Box Closes 10:00 a.m. Wednesday, July 3)ISFC 2 YR Filly Pace $3,000ISFC 2 YR Colt Pace $3,000ISFC 3 YR Filly Trot $3,000ISFC 3 YR Colt Trot $3,000

27

2019 IndIana SIred FaIr CIrCUIt raCInG SCHedULe

JayLand trottInG aSSoCIatIon-PortLand, InJULy 10 GreG rUnyon, Race SecRetaRy entry PHone (574) 825-7523raCe day PHone (260) 729-1927 Wednesday, July 10 4:00 p.m. Post Time(Box Closes 3:00 p.m. Sunday, July 7)ISFC 2 YR Filly Pace $3,000ISFC 2 YR Colt Pace $3,000ISFC 3 YR Filly Trot $3,000ISFC 3 YR Colt Trot $3,000ISFC 2 YR Filly Trot $3,000ISFC 2 YR Colt Trot $3,000ISFC 3 YR Filly Pace $3,000ISFC 3 YR Colt Pace $3,000

nobLe Co. CoMMUnIty FaIr - kendaLLvILLe, InJULy 13Frank Morton, Race SecRetaRy

entry PHone (574) 825-7523raCe day PHone (260) 740-1448 Saturday, July 13 10:00 a.m. Post Time(Box Closes 10:00 a.m. Wednesday, July 10)ISFC 2 YR Filly Pace $3,000ISFC 2 YR Colt Pace $3,000ISFC 2 YR Filly Trot $3,000ISFC 2 YR Colt Trot $3,000ISFC 3 YR Filly Pace $3,000ISFC 3 YR Colt Pace $3,000ISFC 3 YR Filly Trot $3,000 ISFC 3 YR Colt Trot $3,000

newton CoUnty FaIr - kentLand, InJULy 13 (CentraL tIMe) brad Fox, Race SecRetaRy


Saturday, July 13 12:00pm CDT Post Time(Box Closes 10:00 a.m. Wednesday, July 10)ISFC 2 YR Filly Pace $3,000ISFC 2 YR Colt Pace $3,000ISFC 2 YR Filly Trot $3,000ISFC 2 YR Colt Trot $3,000ISFC 3 YR Filly Pace $3,000ISFC 3 YR Colt Pace $3,000ISFC 3 YR Filly Trot $3,000ISFC 3 YR Colt Trot $3,000

CLInton Co. FaIr - FrankFort, InJULy 16 & 17PaM royer, Race SecRetaRy entry PHone (765) 395-3125raCe day PHone (765) 242-4500

Tuesday, July 16 6:00 p.m. Post Time(Box Closes 10:00 a.m. Saturday, July 13)ISFC 2 YR Filly Pace $3,000ISFC 2 YR Colt Pace $3,000ISFC 3 YR Filly Trot $3,000ISFC 3 YR Colt Trot $3,000

Wednesday, July 17 6:00 p.m. Post Time(Box Closes 10:00 a.m. Sunday, July 14)ISFC 2 YR Filly Trot $3,000ISFC 2 YR Colt Trot $3,000ISFC 3 YR Filly Pace $3,000 ISFC 3 YR Colt Pace $3,000

eLkHart CoUnty 4-H FaIr-GoSHen, InJULy 20, 22, & 23tIM Graber, Race SecRetaRy


Saturday, July 20 11:00 a.m. Post Time (Box Closes 10:00 a.m. Wednesday, July 17)ISFC 2 YR Filly Trot $3,000ISFC 2 YR Colt Trot $3,000ISFC 3 YR Filly Trot $3,000ISFC 3 YR Colt Trot $3,000Classic XXIX - Open Colt $13,000 Est.Classic XXIX - Filly Pace $13,000 Est.

Monday, July 22 11:00 a.m. Post Time(Box Closes 3:00 p.m. Friday, July 19)ISFC 2 YR Filly Pace $3,000ISFC 2 YR Colt Pace $3,000IOSB FFA Pace $1,500 Est.IOSB FFA Trot $1,500 Est.

Tuesday, July 23 11:00 a.m. Post Time**Please note 4-day box**(Box Closes 3:00 p.m. Friday, July 19)ISFC 3 YR Filly Pace $3,000ISFC 3 YR Colt Pace $3,000Maple City Trot- Open Colt $13,000 Est.Maple City Trot- Filly $13,000 Est.

28


Fayette CoUnty Free FaIr-ConnerSvILLe, InJULy 29 & 30betH rItter, Race SecRetaRy entry PHone (765) 395-3125raCe day PHone (765) 821-2444

Monday, July 29 11:00 a.m. Post Time(Box Closes 10:00 a.m. Friday, July 26)ISFC 2 YR Filly Pace $3,000ISFC 2 YR Colt Pace $3,000ISFC 2 YR Filly Trot $3,000ISFC 2 YR Colt Trot $3,000

Tuesday, July 30 11:00 a.m. Post Time(Box Closes 10:00 a.m. Saturday, July 27)ISFC 3 YR Filly Pace $3,000ISFC 3 YR Colt Pace $3,000ISFC 3 YR Filly Trot $3,000ISFC 3 YR Colt Trot $3,000

JayLand trottInG aSSoCIatIon-PortLand, InaUGUSt 2GreG rUnyon, Race SecRetaRy entry PHone (574) 825-7523raCe day PHone (260) 729-1927

Friday, August 2 11:00 a.m. Post Time(Box Closes 10:00 a.m. Tuesday, July 30)ISFC 2 YR Filly Pace $3,000ISFC 2 YR Filly Trot $3,000ISFC 2 YR Colt Pace $3,000ISFC 2 YR Colt Trot $3,000ISFC 3 YR Filly Pace $3,000ISFC 3 YR Filly Trot $3,000 ISFC 3 YR Colt Pace $3,000ISFC 3 YR Colt Trot $3,000

IndIana State FaIr - IndIanaPoLIS, InaUGUSt 6 & 7LInda dever, Race SecRetaRy entry and raCe day PHone (317) 927-7588 Tuesday, August 6 11:00 a.m. Post Time(Box Closes 10:00 a.m. Saturday, August 3)Consolation-ISFC 2 YR Colt Trot $8,000Consolation-ISFC 2 YR Filly Pace $8,000Consolation-ISFC 3 YR Filly Trot $8,000Consolation-ISFC 3 YR Colt Pace $8,000 Consolation-ISFC 2 YR Filly Trot $8,000Consolation-ISFC 2 YR Colt Pace $8,000 Consolation-ISFC 3 YR Colt Trot $8,000Consolation-ISFC 3 YR Filly Pace $8,000

IndIana State FaIr FaIr- Cont.Tuesday, August 6 6:00 p.m. Post Time(Box Closes 10:00 a.m. Saturday, August 3) CHAMP-ISFC 2 YR Colt Trot $20,000 CHAMP-ISFC 2 YR Filly Pace $20,000 CHAMP-ISFC 3 YR Filly Trot $20,000CHAMP-ISFC 3 YR Colt Pace $20,000 CHAMP-ISFC 2 YR Filly Trot $20,000 CHAMP-ISFC 2 YR Colt Pace $20,000CHAMP-ISFC 3 YR Colt Trot $20,000CHAMP-ISFC 3 YR Filly Pace $20,000

Wednesday, August 7 6:00 p.m. Post Time(Box Closes 10:00 a.m. Sunday, August 4)GRAND CIRCUIT RACINGFox Stake #93 - Two Year Old Pace $44,868*Horseman Stake #82 (The Ralph Wilfong Trot) Two YR Old Trot $28,032*Horseman #110 3 YR Old Open Pace $28,120* 3 YR Old Filly Pace $31,704* 3 YR Old Filly Trot $35,574* **3 YR Old Open Trot $37,333* **(The Gov. Frank O’Bannon Memorial Trot)Hoosier Stake #83 2 YR Old Colt Trot $21,698* 2 YR Old Filly Trot $21,126* 2 YR Old Colt Pace $22,908* 2 YR Old Filly Pace $23,492**Purse Amounts for all Grand Circuit races are listed at the actual purses for 2018 races. 2019 actual purse amounts may vary.

eLkHart CoUnty 4-H FaIr-GoSHen, InaUGUSt 19tIM Graber, Race SecRetaRy


Monday, August 19 11:00 a.m. Post Time(Box Closes 3:00 p.m. Friday, August 16)ISFC 2 YR Filly Pace $3,000ISFC 2 YR Colt Pace $3,000ISFC 2 YR Filly Trot $3,000ISFC 2 YR Colt Trot $3,000ISFC 3 YR Filly Pace $3,000ISFC 3 YR Colt Pace $3,000ISFC 3 YR Filly Trot $3,000ISFC 3 YR Colt Trot $3,000

*For 2YO (ISB) - NW $12,000 in 2019 up to and including 8/10/19 *For 3YO (ISB) - NW $12,000 in 2019 up to and including 8/10/19

SerIeS 2

29


ConverSe FaIrGroUndS-ConverSe, InaUGUSt 23aLvIn MILLer, Race SecRetaRy entry and raCe day PHone (765) 395-3125

Friday, August 23 11 :00 a.m. Post Time(Box Closes 10:00 a.m. Tuesday, August 20)ConverSe FaIrGroUndS- Cont.ISFC 2 YR Filly Pace $3,000ISFC 2 YR Colt Pace $3,000ISFC 2 YR Filly Trot $3,000ISFC 2 YR Colt Trot $3,000ISFC 3 YR Filly Trot $3,000ISFC 3 YR Colt Trot $3,000ISFC 3 YR Filly Pace $3,000ISFC 3 YR Colt Pace $3,000

ISa eLIte raCeS at tHe IndIana State FaIrGroUndS

aUGUSt 27LInda dever, Race SecRetaRy entry PHone (765) 395-3125 raCe day PHone (317) 927-7588

Tuesday, August 27 11:00 a.m. Post Time(Box Closes 10:00 a.m. Saturday, August 24)2 YR Filly Pace $13,250*2 YR Filly Trot $14,400*2 YR Colt Pace $12,350*2 YR Colt Trot $13,000*3 YR Filly Pace $10,700*3 YR Filly Trot $10,850*3 YR Colt Pace $9,600*3 YR Colt Trot $10,350*

*Please Note: Above are the ISA Elite Purses for2018. Actual 2019 Purses may vary.

IndIana State FaIrGroUndS - IndIanaPoLIS, InaUGUSt 31LInda dever, Race SecRetaRy entry PHone (765) 395-3125 raCe day PHone (317) 927-7588

Saturday, August 31 11 :00 a.m. Post Time(Box Closes 10:00 a.m. Wednesday, August 28)ISFC 2 YR Filly Pace $3,000ISFC 2 YR Colt Pace $3,000ISFC 2 YR Filly Trot $3,000ISFC 2 YR Colt Trot $3,000ISFC 3 YR Filly Trot $3,000ISFC 3 YR Colt Trot $3,000ISFC 3 YR Filly Pace $3,000ISFC 3 YR Colt Pace $3,000

CLInton Co. FaIr - FrankFort, InSePteMber 7PaM royer, Race SecRetaRy entry PHone (765) 395-3125raCe day PHone (765) 242-4500 Saturday, September 7 1:00 p.m. Post Time(Box Closes 10:00 a.m. Wednesday, September 4)ISFC 2 YR Filly Pace $3,000ISFC 2 YR Colt Pace $3,000ISFC 3 YR Filly Trot $3,000ISFC 3 YR Colt Trot $3,000ISFC 2 YR Filly Trot $3,000ISFC 2 YR Colt Trot $3,000ISFC 3 YR Filly Pace $3,000ISFC 3 YR Colt Pace $3,000

Fayette CoUnty Free FaIr--ConnerSvILLe, In SePteMber 14betH rItter, Race SecRetaRy entry PHone (765) 395-3125raCe day PHone (765) 821-2444

Saturday, September 14 11 :00 a.m. Post Time(Box Closes 10:00 a.m. Wednesday, September 11)ISFC 2 YR Filly Pace $3,000ISFC 2 YR Colt Pace $3,000ISFC 2 YR Filly Trot $3,000ISFC 2 YR Colt Trot $3,000ISFC 3 YR Filly Trot $3,000ISFC 3 YR Colt Trot $3,000ISFC 3 YR Filly Pace $3,000ISFC 3 YR Colt Pace $3,000

JayLand trottInG aSSoCIatIon-PortLand, InSePteMber 21 GreG rUnyon, Race SecRetaRy entry PHone (574) 825-7523raCe day PHone (260) 729-1927

Saturday, September 21 11:00 a.m. Post Time(Box Closes 10:00 a.m Wednesday, September 18)ISFC 2 YR Filly Pace $3,000ISFC 2 YR Colt Pace $3,000ISFC 2 YR Filly Trot $3,000ISFC 2 YR Colt Trot $3,000ISFC 3 YR Filly Trot $3,000ISFC 3 YR Colt Trot $3,000ISFC 3 YR Filly Pace $3,000ISFC 3 YR Colt Pace $3,000

30


HarrISon CoUnty FaIr- Corydon, InSePteMber 28tIM HarMon, Race SecRetaRy entry PHone (765) 395-3125raCe day PHone # (812) 267-7580 Saturday, September 28 11:00 a.m. Post Time(Box Closes 10:00 a.m Wednesday, September 25)ISFC 2 YR Filly Pace $3,000ISFC 2 YR Colt Pace $3,000ISFC 2 YR Filly Trot $3,000ISFC 2 YR Colt Trot $3,000ISFC 3 YR Filly Trot $3,000ISFC 3 YR Colt Trot $3,000ISFC 3 YR Filly Pace $3,000ISFC 3 YR Colt Pace $3,000

SHeLby CoUnty FaIr - SHeLbyvILLe, InoCtober 5LInda dever, Race SecRetaRy entry & raCe day PHone (765) 395-3125

Saturday, October 5 11:00 a.m. Post Time(Box Closes 3:00 p.m. Wednesday, October 2)CHAMP-ISFC 2 YR Filly Pace $10,000CHAMP-ISFC 2 YR Colt Pace $10,000CHAMP-ISFC 2 YR Filly Trot $10,000CHAMP-ISFC 2 YR Colt Trot $10,000CHAMP-ISFC 3 YR Filly Pace $10,000CHAMP-ISFC 3 YR Colt Pace $10,000CHAMP-ISFC 3 YR Filly Trot $10,000CHAMP-ISFC 3 YR Colt Trot $10,000

31

INDIANA SIRED FAIR CIRCUITGeneral Conditions for the 2019 Indiana Sired Fair Circuit Program

(For Two and Three Year Olds in 2019)

Sponsor: Indiana Standardbred Advisory Board (Board)For: FairracesforIndianaSiredandBred(ISB)foalsof2016and2017,asdefinedby71IAC14-1-3.

Championship races at the Indiana State Fair to be held for foals of 2016 and foals of 2017.To Be Raced As: One level for 2 and 3 Year Old Trotters and Pacers in 2019. Also to be raced as a Championship and

Consolation race at the Indiana State Fair for 2 and 3 year old Trotters and Pacers in 2019 based on points earned in the Fair Circuit. A second series of races following the Indiana State Fair with a Championship based on points earned in this series. In order to be eligible for Series 2, the following eligibility requirements must be met: Two Year Olds - NW $12,000 in 2019 up to and including 8/10/19 Three Year Olds - NW $12,000 in 2019 up to and including 8/10/19

To Be Raced At: Locations to be designated annually by the Sponsor.Nominations: Two Year Olds: April 15, 2019 - $300 Three Year Olds: March 15, 2019 - $300Future Payments: No sustaining fees due.Entry Fees: (Payable to Host Track)

Once a horse is drawn into a ISFC event, the entry fee is due, even if the horse is scratched. If entry fee is not paid, the horse will be ineligible to start in all subsequent fairs.

Entry Fee…………………………………………………………………………………..$50.00 Please Note: There will be no entry fee required for the Championship or Consolation race, but horses

must check in at the race office one hour prior to the post time for the 1st race.Future Eligibility: If the two year old nominating payment is not made, an eligible foal may be nominated as a three year old. Entry Fee: Tobepaidattheofficeofthedirectorofracingateachhosttrackpriortothestartoftheraces.Money Division: Purses will be paid 50-25-12-8-5 percent. Race Conditions: Each two-year-old event is to be raced one heat at one mile each. Each three year old event will be raced

either one or two heats at the option of the host track. There are no eliminations. The event may be raced in divisions, according to USTA rules with the following exceptions:

· Ifthereisaminimumoffive(5)filliesandfive(5)coltsinthespecifiedlevel,theracewillbesplitinto divisions based on sex. Iftheminimumoffive(5)entriesisnotmet,theracewillnotbecontested.

· Iftheminimumoffive(5)filliesand/orfive(5)coltsisnotmet,allentriesforthatlevelwillbein division(s)tobedrawnatlot,withfilliesdrawingtheinsidepostpositions.

· No horse may compete in any ISFC event who has raced in any other race on the day of, or on any two(2)dayspriortotheevent(qualifiersandrained-outISFCeventsexcluded).

· No horse may compete in any ISFC event who has raced in a Pari-Mutuel event on thedayoforfive(5)dayspriortotheevent.ForExample(seecharttotheleft):

Emergency: If for any reason, including but not limited to, weather, it becomes impossible to race any of the events at the host site, it is at the discretion of the Indiana Standardbred Advisory Board (Board) to contest any of these races at a different time and place so designated by the Board. The Board reserves the right to call off the event, and return to the entrants their pro-rated share of the accumulated horsemen portion of the purse, after deducting the clerical and administrative expenses allowed in these conditions. All entrants must abide by this change or forfeit their right to participate in these races or race for any part of the purse. In all circumstances, the Board willmakethefinaldecision.

Gait: Horses changing gait may be transferred to their adopted gait but payments made prior to that time will not be transferred.

Rules: RulesoftheUnitedStatesTrottingAssociationshallgovernunlessotherwisespecifiedintheseconditionsorunder the rules and regulations of the Board.

Championship Races: There will be Championship and Consolation races held for Series1. The purse for the Championship race will be$20,000andtheConsolationwillbe$8,000.The6th-8thplacefinisherintheSeries1Championshipracewill receive $500 each. Of those that have declared to race at the Indiana State Fair (Series 1), the top eight (8) point earners that have participated in (or credited with) at least six (6) Indiana Sired Fair Circuit races will be selected as starters for the Championship race and the next eight (8) point earners that have participated in (or credited with) at least six (6) Indiana Sired Fair Circuit races will be selected as starters for the Consolation race. The Championship will be limited to eight (8) horses. When two (2) or more horses are tied for eighth (8th)place,thenonehorsefromthosetiedwillbedrawnatlottofillaChampionshiprace.TheConsolationwill also be limited to eight (8) horses. When two or more horses are tied for eighth (8th) place, then one horse fromthosetiedwillbedrawnbylottofilltheConsolation.The Consolation will take place regardless the number of entries. There will be no combining of sexes in Consolation races. There will be a Championship race held for Series 2. The Championship for Series 2 will be contested at $10,000. Horses competing in the Championship race held for Series 2 must have participated in (or credited with) at least three (3) starts in Series2andstarterswillbeselectedinthesamemannerasdefinedforSeries1Championship.

Please Note: Horses racing at the ISFC Races shall be subject to Blood Gas Testing and random specialing. All starters will receive one (1) point for each heat raced. Points for the Championship and Consolation shall be calculated according to the placing of the judges and shall determine what horses shall qualify for the ChampionshipandConsolation,notwithstandinganyappealfromthejudge’sdecisionthatisfinal.Ifforany reason, including but not limited to, weather, it becomes impossible to race one (1) or two (2) heat race at a host track, all horses entered will be awarded one (1) point and credited with a start. No points will be awarded to a horsethatisscratchedorforanyracesthatdonotfill.

Nominations payable and mailed to: Indiana Horse Racing Commission1302 N Meridian Street, Suite 175


Points will be awarded in each level as follows:

One Heat Race1st 50 2nd 25 3rd 12 4th 8 5th 5

If you race in an Pari-Mutuel Event

on:

Then, the 1st day you are eligible to race in an ISFC Event is the

following:

TUESDAY MONDAY

WEDNESDAY TUESDAY

THURSDAY WEDNESDAY

FRIDAY THURSDAY

SATURDAY FRIDAY

32

ForOfficeUseOnly

Preparer Signature: ____________________________________ Date (month, day, year): _______________________





2019 INDIANA SIRED FAIR CIRCUITTwo-Year Olds: ISB Foals of 2017 - Nomination Fee: $300

Foals of 2017 by stallions registered in the 2016 Indiana Stallion Registry and out of mares which resided in the State of Indiana continuously from August 1st of the breeding season year through the time of foaling and (30) thirty days after and were properly registered with the IHRC as Indiana Sired & Bred (ISB).

Three -Year Olds: ISB Foals of 2016 - Nomination Fee: $300Foals of 2016 by stallions registered in the 2015 Indiana Stallion Registry and out of mares which resided in the State of Indiana continuously from August 1st of the breeding season year through the time of foaling and (30) thirty days after and were properly registered with the IHRC as Indiana Sired & Bred (ISB).

inDiana SireD Fair CirCuit2019 Nomination Form

Two-Year Olds & Three-Year Olds

#Nominations for 3 YR Olds must be postmarked by March 15, 2019.Nominations for 2 YR Olds must be postmarked by April 15, 2019.

State Form 49803 (R17/11-18)

Owner USTA Number: _________________Agent: Telephone:

Address (number and street):

City: State: ZIP:

Per IC 4-31-11, the fee amounts approved by the Horse Racing Commission can be found listed under “Indiana Sired Fair Circuit Conditions” on our website at www.in.gov/hrc/2524.htm. For e-mail updates, please visit our website (www.in.gov/hrc) and sign-up for the automated email services. If you have any questions on how to sign-up for thisservice,pleasecontactourofficeat(317)233-3119.

33

Don’t Forget To:



March 15, 2019 - 3 YR OldsApril 15, 2019 - 2 YR Olds




34

ForOfficeUseOnly

Preparer Signature: ____________________________________ Date (month, day, year): _______________________





2019 INDIANA SIRED FAIR CIRCUITTwo-Year Olds: ISB Foals of 2017 - Nomination Fee: $300

Foals of 2017 by stallions registered in the 2016 Indiana Stallion Registry and out of mares which resided in the State of Indiana continuously from August 1st of the breeding season year through the time of foaling and (30) thirty days after and were properly registered with the IHRC as Indiana Sired & Bred (ISB).

Three -Year Olds: ISB Foals of 2016 - Nomination Fee: $300Foals of 2016 by stallions registered in the 2015 Indiana Stallion Registry and out of mares which resided in the State of Indiana continuously from August 1st of the breeding season year through the time of foaling and (30) thirty days after and were properly registered with the IHRC as Indiana Sired & Bred (ISB).

inDiana SireD Fair CirCuit2019 Nomination Form

Two-Year Olds & Three-Year Olds

#Nominations for 3 YR Olds must be postmarked by March 15, 2019. Nominations for 2 YR Olds must be postmarked by April 15, 2019.

State Form 49803 (R17/11-18)

Owner USTA Number: _________________Agent: Telephone:

Address (number and street):

City: State: ZIP:

Per IC 4-31-11, the fee amounts approved by the Horse Racing Commission can be found listed under “Indiana Sired Fair Circuit Conditions” on our website at www.in.gov/hrc/2524.htm. For e-mail updates, please visit our website (www.in.gov/hrc) and sign-up for the automated email services. If you have any questions on how to sign-up for thisservice,pleasecontactourofficeat(317)233-3119.

35

Don’t Forget To:



March 15, 2019 - 3 YR OldsApril 15, 2019 - 2 YR Olds




36

ELKHART COUNTY 4-H FAIR MAPLE CITY TROT3 Year Old Trot - Sustaining Payments Close April 15, 2000

Name of Horse

Sire

Dam

Colt Gelding Filly Color

Owner

Address

City State Zip Code

Phone Number including Area Code

Entered by Phone Number including Area Code

ELKHART COUNTY 4-H FAIR MAPLE CITY TROT3 Year Old Trot - SustainingPayments Close April 15, 2000

Name of Horse

Sire

Dam

Colt Gelding Filly Color

Owner

Address

City State Zip Code

Phone Number including Area Code

Entered by Phone Number including Area Code

eLKHART COUNTY 4-H FAIR CLASSIC XXIX PACE3 Year Old Pace - Nomination Payments Close March 15, 2019

$100.00

maple City trot & ClaSSiC paCe nomination FormS

eLKHART COUNTY 4-H FAIR MAPLE CITY TROT3 Year Old Trot - Nomination Payments Close March 15, 2019

$100.00

37

Don’t Forget To:

• Complete the nomination form.• Enclose your signed check or money order for the proper amount.• Mail by the required deadline.


Elkhart County 4-H FairAttn: Tim Graber, Director of Harness Racing

17746-D CR 34

Goshen, IN 46528

Don’t Forget To:

• Complete the nomination form.• Enclose your signed check or money order for the proper amount.• Mail by the required deadline.


Elkhart County 4-H FairAttn: Tim Graber, Director of Harness Racing

17746-D CR 34

Goshen, IN 46528

38

Elkhart County 4-H Fair, Goshen, Indiana, Tuesday, July 23, 2019MAPLE CITY TROT For 3 Year Old Trotters in 2019

Sponsor: Elkhart County 4-H Fair Estimated Purse: $13,000 Open Division; $13,000 Filly Division

1. Foals of 2016, which were sired by a stallion registered with the Indiana Stallion Registry in 2015, are eligible.2. Nominating Fee: $100.00 per horse due March 15, 2019.3. Purse to be raced for shall constitute monies paid in, plus any amount obtained from sponsors, the Indiana Standardbred Advisory Board and any other added money. Reasonable deductions may be made for administrative and clerical expenses.4. Indiana sired three-year-olds not otherwise eligible to the Maple City Trot as of March 15, 2019 may, with a payment of $5,000 (in addition to the regu lar entry fee) supplement to the Maple City Trot. All supplemental monies shall be added directly to the total purse of the event including the supplemented horse. If two (2) or more divisions result, the monies shall be divided equally among the divisions. SupplementaldeclarationfeesareduewiththeintenttostartintheRaceOfficeonorbeforetheprescribedtimeanddayschedulebythehosttrack. 5. Starting Fee: $100.00 per horse to be paid to the Elkhart County 4-H Fair at least one (1) hour prior to post time on Tuesday, July 23, 2019. Post time: 11:00 a.m. Entries close at 3:00 p.m. on Friday, July 19, 2019.6. Purse distribution will be 50-25-12-8-5 percent.7. Ifthereareten(10)orfewerhorsesdeclaredtostart,theracewillbeheldinone(1)divisionracingoneheat.Ifthereisaminimumoffive(5)coltsand five(5)fillies,theracewillsplitintodivisionsbasedonsex,andthetrophywillbeawardedtothewinninghorseintheofficialorderoffinishwiththe fastest time. If those winners are tied in time, or if there is a dead-heat, among the winners in the fastest division, the race will be declared a tie, and the trophy will be awarded by the toss of a coin. In the event of more than ten (10) declarations, the race will be held in divisions and the trophy will be awardedtothewinninghorseintheofficialorderoffinishwiththefastesttime.Ifthosewinnersaretiedintime,orifthereisadead-heat,amongthe winners in the fastest division, the race will be declared a tie, and the trophy will be awarded by the toss of a coin. There will be no consolation races.8. PostpositionsforthefinalwillbedecidedaccordingtoUSTArules. 9. If for any reason, including by not limited to, weather, it becomes impossible to race these events, it is at the discretion of the Elkhart County 4-H Fair to contest these races at a different time so designated by the Elkhart County 4-H Fair. The Elkhart County 4-H Fair reserves the right to call off the event, and return to the entrants their pro-rated share of the accumulated horsemen portion of the purse, after deducting the clerical and administrative expenses allowed in these conditions. All entrants must abide by this change or forfeit their right to participate in these races or race for any part of the purse.Inallcircumstances,theElkhartCounty4-HFairwillmakethefinaldecision.10. Positively no payment accepted unless postmarked on or before March 15, 2019. Full payment must accompany same. A check dishonored for any reason shall be considered non-payment and all entries covered by such check will be ineligible to participate.11. Conditions of the Elkhart County 4-H Fair Speed Commitee and/or rules of the USTA will govern the above early closer.12. NohorsemaycompeteintheMapleCityTrotwhohasracedinanyotherraceonthedayoforonanytwo(2)dayspriortotheevent(qualifiersand rained out IN Fair events excluded). 13. Speed Committee reserves the right to refuse or reject entries, postpone, or declare off races if conditions warrant.

Elkhart County 4-H Fair, Goshen, Indiana, Saturday, July 20, 2019CLASSIC XXIX - PACE For 3 Year Olds in 2019

Sponsor: Elkhart County 4-H Fair Estimated Purse: $13,000 Open Division; $13,000 Filly Division

1. Foals of 2016, which were sired by a stallion registered with the Indiana Stallion Registry in 2015, are eligible.2. Separate Open and Filly Divisions for 3 Year Old Pacers.3. Nominating Fee: $100.00 per horse due March 15, 2019.4. Purse to be raced for shall constitute monies paid in, plus any amount obtained from sponsors, the Indiana Standardbred Advisory Board and the Breed Development Fund. Reasonable deductions may be made for administrative and clerical expenses.5. Indiana sired three-year-olds not otherwise eligible to the Elkhart County Classic Pace as of March 15, 2019 may with a payment of $5,000 (in addition to the regular entry fee) supplement to the Elkhart County Classic Pace. All supplemental monies shall be added directly to the total purse of the event including the supplemented horse. If two (2) or more divisions result, the monies shall be divided equally among thedivisions.SupplementaldeclarationfeesareduewiththeintenttostartintheRaceOfficeonorbeforetheprescribedtimeanddayscheduledby the host track.6. Starting Fee: $100.00 per horse to be paid to the Elkhart County 4-H Fair at least one (1) hour prior to post time on Saturday, July 20, 2019. Post time: 11:00 a.m. Entries close at 10:00 a.m. on Wednesday, July 17, 2019.7. All nominations and sustaining fees will be divided equally between the two (2) base purses.8. Starting fees will follow the horse. Horse must be entered into Open or Filly Division at the time of declaration to start.9. Purse distribution will be 50-25-12-8-5 percent.10. Ifthereareten(10)orfewerhorsesdeclaredtostart,theracewillbeheldinonedivisionracingoneheat.Ifthereisaminimumoffive(5)coltsand five(5)fillies,theracewillsplitintodivisionsbasedonsex,andthetrophywillbeawardedtothewinninghorseintheofficialorderoffinishwiththe fastest time. If those winners are tied in time, or if there is a dead-heat, among the winners in the fastest division, the race will be declared a tie, and the trophy will be awarded by the toss of a coin. In the event of more than ten (10) declarations, the race will be held in divisions and the trophy will be awardedtothewinninghorseintheofficialorderoffinishwiththefastesttime.Ifthosewinnersaretiedintime,orifthereisadead-heat,amongthe winners in the fastest division, the race will be declared a tie, and the trophy will be awarded by the toss of a coin. There will be no consolation races. 11. If for any reason, including by not limited to, weather, it becomes impossible to race these events, it is at the discretion of the Elkhart County 4-H Fair to contest these races at a different time so designated by the Elkhart County 4-H Fair. The Elkhart County 4-H Fair reserves the right to call off the event, and return to the entrants their pro-rated share of the accumulated horsemen portion of the purse, after deducting the clerical and administrative expenses allowed in these conditions. All entrants must abide by this change or forfeit their right to participate in these races or race for any part of the purse.Inallcircumstances,theElkhartCounty4-HFairwillmakethefinaldecision.12. PostpositionsforthefinalwillbedecidedaccordingtoUSTArules.13. Positively no payment accepted unless postmarked on or before due dates. Full payment must accompany same. A check dishonored for any reason shall be considered non-payment and all entries covered by such check will be ineligible to participate.14. NohorsemaycompeteintheClassicPacewhohasracedinanyotherraceonthedayoforanytwo(2)dayspriortotheevent(qualifiersandrained out IN fair events excluded). 15. Conditions of the Elkhart County 4-H Fair Speed Commitee and/or rules of the USTA will govern the above early closer.16. Speed Committee reserves the right to refuse or reject entries, postpone, or declare off races if conditions warrant.

Checks Payable to & Mail to:Elkhart County 4-H Fair

Attn: Tim Graber, Director of Harness Racing17746-D CR 34

Goshen, IN 46528If you have any questions, please call 574-320-2286

39

2019 I.S.A. “ELITE” Trot and Pace Early Closer

Sponsored by: The Indiana Standardbred Association (I.S.A.)

Eligibility: Indiana Sired Two and Three Year Old Trotters and Pacers

2019 Purse: $5,000 per event by Indiana Breed Development, $2,000 per event by Indiana

Standardbred Advisory Board, Entry Fees, and any other funds if available.

Location of Series: Tuesday, August 27th, 2019 at the Indiana State Fair Grounds (11:00 am post)

*Denotes 2018 Purse Amounts

PACE

2 Yr Old Colt Pace – * $12,350

2 Yr Old Filly Pace – * $13,250

3 Yr Old Colt Pace – * $9,600

3 Yr Old Filly Pace – * $10,700

TROT

2 Yr Old Colt Trot – * $13,000

2 Yr Old Filly Trot – * $14,400

3 Yr Old Colt Trot – * $10,350

3 Yr Old Filly Trot – * $10,850

Nomination Fee Must Be Postmarked by: April 15, 2019

ISA Membership Dues: $25.00

Nomination Fee: $150.00

Entry Fee: $100.00 (due at time of declaration)

Purse Distribution: 50% - 25% - 12% - 8% - 5%

Make Checks Payable to: Indiana Standardbred Association or I.S.A.

Mail Payments to: ISA, 311 American Legion Place, Greenfield, IN 46140

No Sustaining Payment Required

Payments will be accepted in U.S. Funds only.

Payments postmarked after April 15, 2019 will not be accepted.

**If you need to pay your 2019 ISA membership dues, please complete and send a 2019 ISA Membership Application along with a

separate check

I.S.A. ELITE Series Conditions:

*** All owners of nominated horse(s) must be PAID ISA Members by April 15, 2019

All races will be one dash at one mile

Horses may transfer gaits, with monies to follow

All events will be governed by the rules of the USTA and IHRC

No horse may compete in the ELITE Series who has raced in any other race on the day of, or any two (2) days

prior to the event (qualifiers and rained-out ISFC events excluded)

Horses must have participated in (or credited with) at least three (3) Indiana Sired Fair Circuit races in

order to participate in an Elite race

Any horse coming from a Pari-Mutuel Track must have 5 days in between races

If more than nine (9) entries are received, races will be contested in divisions

All horses nominated must be Indiana Sired and Bred.

Regardless of the number of horses entered, the races will be contested

The ISA reserves the right to reject any questionable nomination

ISA Board of Directors will have the final decision in any dispute

40

Nom

inatio

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ee: $15

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le to:

Th

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ian

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tan

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Nom

inatio

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ue: A

pril 1

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019 (p

ostm

ark d

ate)

M

ail pay

men

ts to:

311 A

merica

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Elig

ibility

: Ind

ian

a S

ired T

wo a

nd

Th

ree Yea

r Old

Pace

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rotter

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reen

field, IN

46140

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ll no

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ated

horse o

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ers mu

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PA

ID 2

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ember B

y April 1

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LIT

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lease co

mplete a

nd sen

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ISA

Mem

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tion

alo

ng

with

a sep

ara

te check.

(Plea

se Prin

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Nam

e of N

om

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___________________________________________________________________

Address: _

___________

______________________________________________________________

_____

City

: _______________

______

_____________

________________ S

tate: _______

_ Z

ip: _

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_______

Phone: _

_______________________________________________________________________________

(h

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(cell)

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_ D

ate: _____

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sign

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re is requ

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Please u

se the fo

llow

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s for th

e info

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illy); G

ait (P

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me o

f Horse

Tato

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Age S

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Sire / D

am

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wn

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estion

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e I.S.A

. Office a

t (800) 5

65

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r (317) 4

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-66

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on

day –

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ay 8

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A “

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by: T

he In

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41

Don’t Forget To:

• Complete the nomination form.• Enclose your signed check or money order

for the proper amount.• Mail by the required deadline.


Indiana Standardbred Association311 American Legion Place

Greenfield,IN46140

42

2019 Indiana Standardbred

Foal Registration Must be postmarked within thirty (30) days of the foaling date and

be out of a 2018 IHRC Registered Mare for Foals of 2019.

FOR OFFICE USE ONLY

DATE

AMT PD

CHECK#____________

State Form 54212 (R11/10-18)

Name of Farm where foal was born and can be inspected:

Address (number, street, city): State: INDIANA

ZIP Code:

Farm Telephone Number:

( ) -

Other Telephone Number:

( ) -

Detailed and Specific Directions to Farm from the nearest Interstate or State Road:

Farm information: (Please fill-out information completely.)

(Printed) (Signature)

I, the undersigned, do hereby make application for foal registration for the above foal for the year 2019. I understand

and agree that the above foal was born in Indiana, and at no time from August 1, 2018 through the time

of foaling the dam of the foal was removed from the State of Indiana. This registration is subject to all rules

and conditions established by the Indiana Horse Racing Commission.

Owner/Lessee/Agent

USTA Number ____ Date

(month / day/ year)

THIS FORM MUST BE SIGNED IN ORDER FOR REGISTRATION TO BE PROCESSED.

Indiana Horse Racing Commission

1302 N. Meridian St, Suite 175


Fax: (317) 233-4470 Telephone: (317) 233-3119

Indiana Registered Dam Name:

Dam’s Freeze Brand:

Foal’s Sire Name:

Foal’s Markings: If no white markings, please check box: Date Foaled:

/ / 2019 Month Day Year

Foal’s Color: Foal’s Sex (check one): FILLY OR COLT

Foal Information: (Please fill-out information completely.)

Owner Information: (Please fill-out information completely.)Foal Owned by: Address (number, street, city):

State: ZIP Code: Telephone Number:

LATE REGISTRATION FEE: $200

For Foals not registered within thirty (30) days of foaling with

IHRC, a late fee will be assessed. Late registrations will be

accepted until December 31st of weanling year.

If you fax this Foal Registration Form, be sure to keep a fax receipt for your

records. A Foal Confirmation Letter will be mailed to you within ten (10) days of receipt, so please wait until after this time to call to verify receipt.

Forms submitted electronically will not be processed until complete

registrations fees are received. Be sure to write the foal’s Dam name on

the check when mailing it to IHRC.

43

Definitions and Requirements for Foals

Indiana Sired & Bred (ISB): A foal sired by a registered Indiana stallion and from a mare which resides in the

State of Indiana continuously from August 1st of the breeding season year through the time of foaling and thirty (30)days after and is properly registered with the IHRC.

-An ISB Foal must be sired by a registered stallion and foaled in the State of Indiana.

-An ISB Foal does not have to be owned by a resident of Indiana.

Indiana Sired (IS): A foal sired by a stallion standing in Indiana and registered with the Indiana Horse Racing

Commission the year the foal was conceived.

-The mare of an IS foal does not have to reside in the State of Indiana and can be bred by shipped semen.

-An IS foal does not have to be foaled in the State of Indiana.

-An IS foal does not have to be owned by a resident of Indiana.

Eligibility:

EVENT ISB FOAL IS FOAL

Indiana Sires Stakes Yes Yes

Indiana Sired Late Closers Yes Yes

Mini Series Yes Yes

Supplemental Overnights Yes Yes

ISA Elite Series Yes No

Elkhart County Classic Yes Yes

Maple City Trot Yes Yes

Indiana Sired Fair Circuit Yes No

Breeder’s Awards Yes No

If you have any questions about the Indiana Standardbred Breed Development Program,

please contact our office at (317) 232-0400 or by e-mail: [email protected].

44

Stallion Name that this Mare is Bred to (For a 2020 Foal): Estimated Foaling Date: / / 2020 Month Day Year

(Printed) (Signature)

(month / day/ year)

I, the undersigned, do hereby make application for mare registration for the above mare for the year 2019. I understand and agree that the above mare

will remain in the State of Indiana from August 1, 2018 through thirty (30) days after foaling for the breeding season of 2019-2020, and at no time

from August 1, 2019 through the time of foaling and thirty (30) days after be removed from the State of Indiana. In addition, if at any time the mare

is moved from this location, I must immediately notify the IHRC. This registration is subject to all rules and conditions established by the IHRC.

Owner/Lessee

USTA Number Date

THIS FORM MUST BE SIGNED IN ORDER FOR REGISTRATION TO BE PROCESSED.

Please return this form to: Indiana Horse Racing Commission

1302 N. Meridian St, Suite 175, Indianapolis, IN 46202

Fax: (317) 233-4470 Telephone: (317) 233-3119

*If faxed, please keep a fax receipt for your records. A written confirmation will be mailed to you with all of the

registered mares listed, however this may be mailed after the August 1st deadline due to the volume of mares sub-

mitted at the deadline. Certified mail is encouraged to guarantee delivery by postmark deadline of August 1st.

2019 Indiana Standardbred

Mare Registration

(FOALS OF 2020)

Applications must be postmarked by August 1, 2019

This form is to be filed with the Indiana Horse Racing Commission in order for foals of 2020 to be de-

fined as “Indiana Sired & Bred.” Please see the reverse side for eligibility chart.

FOR OFFICE USE ONLY

DATE

AMT PD

CHECK #

State Form 53921 (R10/10-18)

Name of Mare: Year Foaled:

Tattoo Number:

Sire:

Dam:

Name of Farm where mare will be residing from August 1 through foaling: (If not in Indiana, then you do not have to

register your mare):

Address (number & street): City:

State: INDIANA ZIP Code:

Owner/Manager:

Farm Telephone Number:

( ) -


( ) -

Veterinarian Servicing Farm:

Detailed & Specific Directions to Farm from the nearest Interstate or State Road:

Mare Information: (Please fill-out information completely)

Are you doing Embryo Transfer (circle one)? YES / NO *If YES, please complete an Embryo Transfer Mare Form

Breeding Information:

Residing Farm Information: (Please fill-out information completely)

Owner Information: (Please fill-out information completely)

Name of Owner: Address (number & street): City:

State: ZIP Code:

Telephone Number:

( ) -


( ) -

Eligibility Chart:

Definitions & Requirements for Foals of 2020:

Indiana Sired & Bred (ISB): A foal sired by a registered Indiana stallion and from a mare which resides in the

State of Indiana continuously from August 1st of the breeding season year through the time of foaling and (30) thirty

days after and is properly registered with the IHRC.

-An ISB Foal must be sired by a registered stallion and foaled in the State of Indiana.

-An ISB Foal does not have to be owned by a resident of Indiana.

Indiana Sired (IS): A foal sired by a stallion standing in Indiana and registered with the Indiana Horse Racing

Commission the year the foal was conceived.

-The mare of an IS foal does not have to reside in the State of Indiana and can be bred by shipped semen.

-An IS foal does not have to be foaled in the State of Indiana.

-An IS foal does not have to be owned by a resident of Indiana.

EVENT ISB FOAL IS FOAL

Indiana Sires Stakes Yes Yes

Indiana Sired Late Closers Yes Yes

Mini Series Yes Yes

Supplemental Overnights Yes Yes

ISA Elite Series Yes No

Elkhart County Classic Yes Yes

Maple City Trot Yes Yes

Indiana Sired Fair Circuit Yes No

Breeder’s Awards Yes No

*If you have any questions about the Indiana Standardbred Breed Development Pro-

gram, please contact our office at (317) 232-0400 or by email:

[email protected]

Please note that in order for your foal to be considered Indiana Sired & Bred

(ISB) the foal must also be registered with the IHRC within 30 days of foaling.

Late registrations will only be accepted up until December 31st of the foal’s

weanling year. A $200 late registration fee is also required for foals registered

after the 30 day deadline.

46

Form W-9(Rev. October 2018)Department of the Treasury Internal Revenue Service

Request for Taxpayer Identification Number and Certification

Go to www.irs.gov/FormW9 for instructions and the latest information.

Give Form to the

requester. Do not

send to the IRS.

Pri

nt

or

typ

e.

See

Sp

ec

ific

In

str

uc

tio

ns o

n p

age

3.

1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.

2 Business name/disregarded entity name, if different from above

3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes.

Individual/sole proprietor or single-member LLC

C Corporation S Corporation Partnership Trust/estate

Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership)

Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner.

Other (see instructions)

4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):

Exempt payee code (if any)

Exemption from FATCA reporting

code (if any)

(Applies to accounts maintained outside the U.S.)

5 Address (number, street, and apt. or suite no.) See instructions.

6 City, state, and ZIP code

Requester’s name and address (optional)

7 List account number(s) here (optional)

Part I Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later.

Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter.

Social security number

– –

orEmployer identification number

–

Part II Certification

Under penalties of perjury, I certify that:

1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue

Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I amno longer subject to backup withholding; and

3. I am a U.S. citizen or other U.S. person (defined below); and

4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

Sign Here

Signature of

U.S. person Date

General InstructionsSection references are to the Internal Revenue Code unless otherwise noted.

Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.

Purpose of FormAn individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following.

• Form 1099-INT (interest earned or paid)

• Form 1099-DIV (dividends, including those from stocks or mutualfunds)

• Form 1099-MISC (various types of income, prizes, awards, or grossproceeds)

• Form 1099-B (stock or mutual fund sales and certain othertransactions by brokers)

• Form 1099-S (proceeds from real estate transactions)

• Form 1099-K (merchant card and third party network transactions)

• Form 1098 (home mortgage interest), 1098-E (student loan interest),1098-T (tuition)

• Form 1099-C (canceled debt)

• Form 1099-A (acquisition or abandonment of secured property)

Use Form W-9 only if you are a U.S. person (including a residentalien), to provide your correct TIN.

If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later.

Cat. No. 10231X Form W-9 (Rev. 10-2018)

47

Please make copies of this form and return to fairs for release of purse payments. Copies to may be sent to each fair at the address listed on

page 26 of this booklet.

Please note - purse checks may not be released unless the fair has received one of these completed forms for the owner of the horse. In the case of multiple owners, purse checks will be written to the

first owner listed with the USTA.

Return to county fairs - Do Not Return to the IHRC

48

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