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<br />MINNESOTA REVENUE <br />LAWFUL GAMBLING MONTHLY SUMMARY and TAX RETURN <br /> <br /> GI <br /> Page 2 <br /> . <br />17 457557.56 <br />18 2163.03 <br />19 38129.46 <br />20 40292.49 <br />21 1740.52 <br />22 38551.97 <br />23 156635.27 <br />24 0.00 <br />25 1005.50 <br />26 0.00 <br />27 9407.51 <br />28 0.00 <br />29 109200.00 <br />30 4300.00 <br />31 0.00 <br />32 285.00 . <br />33 J 246.00 <br />34 0.00 <br />35 0.00 <br />36 32063 1.25 <br />37 136926.31 <br />38 38937.23 <br />39 0.00 <br />40 175863.54 <br />41 145914.49 <br />42 0.00 <br />43 145914.49 <br />44 29949.05 <br />0.00 <br />142099.00 <br /> . <br /> <br />Organization License <br />00489 <br /> <br />Month and Year <br />From January 2005 for 12 months <br /> <br />17 Gross profit aftertaxes and fees from line 16 of page L <br /> <br />18 Beginning inventory (last month's line 2]). . . . <br /> <br /> <br />19 Cost of gambling product received with sales tax. <br /> <br />20 Gambling product available and sales tax (line 18 plus line 19). <br /> <br /> <br />21 Ending inventory (excludes sales taxes, etc.). . . . . . . . . . . <br /> <br />22 Cost of gambling product sold and sales tax (line 20 minus line 21). <br /> <br />23 Compensation and payroll taxes . . , , . . <br /> <br /> <br />24 Penalty or interest on taxes, paid during the month. <br /> <br /> <br />25 Advertising expenses . . . . . <br /> <br /> <br />26 Accounting and legal services. <br /> <br /> <br />27 Miscellaneous expenses, supplies, bank charges, classes, etc. <br /> <br /> <br />28 Purchase/repair of furnishings or devices for gambling. <br /> <br /> <br />29 Rent for the purpose of conducting gambling. <br /> <br />30 Utilities related to the conduct of gambling. <br /> <br />31 Theft and liability insurance, . . . <br /> <br /> <br />32 Manager's bond or local government fees. <br /> <br /> <br />33 Cash Long(-) or Cash Short(+) on games played. <br /> <br />34 Reimbursement for excess cash short (as credit) . <br /> <br /> <br />35 Reimbursement for excess expense calculation (as credit) : <br /> <br />36 Total allowable expenses (add lines 22 through 35) . <br /> <br />37 Net profit after taxes and fees (line 17 minus line 36) <br /> <br /> <br />38 Prior month Profit Carryover (line 44 from last month) . <br /> <br /> <br />39 Approved adjustments (attach letter) also add, as positive, line 5C loss adjustment.. <br /> <br />40 Balance sub-total (add lines 37, 38 and 39) . . , . . <br /> <br /> <br />41 Lawful purposes expenditures (from Schedule C/D). <br /> <br /> <br />42 Board-approved expenditures (from Schedule Cm). <br /> <br />43 Total expenditures (add lines 41 and 42). <br /> <br /> <br />44 Profit Carryover (line 40 minus line 43) . <br /> <br /> <br />(Line 45 has been eliminated from Form G]) <br /> <br /> <br />46 Funds balance difference; from Schedule F, line 24 . . . . . . , . . . . . .. 46 <br /> <br />47 Unsold ticket value from Pulltab and Tipboard games this month. . . . . . 47 <br /> <br />Gss 11/03 <br />