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<br />MINNESOTA REVENlJE <br />LA WFUL GAMBLING MONTHLY SUMMARY and TAX RETURN <br /> <br /> GI <br /> Page 2 <br /> . <br />17 409802.40 <br />t 8 1597.72 <br />19 37520.89 <br />20 39118.61 <br />21 1431.00 <br />22 37687.61 <br />23 ] 11085.68 <br />24 0.00 <br />25 1005.50 <br />26 0.00 <br />27 79]4.12 <br />28 0.00 <br />29 108600.00 <br />30 4225.00 <br />31 0.00 . <br />32 100.00 <br />33 749.50 <br />34 0.00 <br />35 (16500.00) <br />36 254867.4 ] <br />37 ] 54934.99 <br />38 23781.77 <br />39 0.00 <br />40 178716.76 <br />41 127619.61 <br />42 0.00 <br />43 127619.61 <br />44 51097.15 <br />0.00 <br />141385.50 <br /> . <br /> <br />Organization I.icense <br />31686 <br /> <br />Month and Year <br />From Januarv 2005 for 12 months <br /> <br />17 Gross profit after taxes and fees from line 16 of page 1. <br /> <br />] 8 Beginning inventory (last month's line 21). <br /> <br />19 Cost of gambling product received with sales tax. <br /> <br /> <br />20 Gambling product available and sales tax (line 18 plus line 19) . <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 />26 Accounting and legal services. <br /> <br /> <br />27 Miscellaneous expenses, supplies, bank charges, classes, elc. <br /> <br />28 Purchase/repair of furnishings or devjces 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 /> <br />31 Theft and liability insurance. . <br /> <br />32 Manager's bond or local government fees. <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 Jines 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 leller) 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 Schedute C/D). <br /> <br /> <br />42 Board-approved expenditures (from Schedule e/D). <br /> <br /> <br />43 Total expenditures (add lines 4] and 42). <br /> <br /> <br />44 Profit Carryover (line 40 minus line 43) . <br /> <br />(Line 45 has been eliminated from Form G 1) <br /> <br /> <br />46 Funds batanee difference; from Schedule F, line 24 <br /> <br />47 Unsold ticket value from Pulltab and Tipboard games this month. <br /> <br />Gss 11/03 <br /> <br />46 <br /> <br />47 <br />