2003-06-25 CC Packet - Laserfiche WebLink

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Minnesota Lawful Gambling Schedule C/O - LG1010 General Information Organization Name Organization license Number SPRING LAKE PARK LIONS CLUB 00584 Month and year reported I 4 I 2003 Page 1 of 2 pages Schedule C: Lawful Purpose Expenditures Is this an amended Schedule C/O? Y N Current Monthly M b h' D t t I f I Ch k I A i I iFor Codel IA 70 I em ers 10 aeo ec . . ny I I Approval Date Check I Number I Check made out to: ITRC~: Code ! M F i Amount 3/27/2003 i 4/1/2003 I 12581 I CITY OF STPAUL A-8 I I I 153.60 I ! 4/4/2003 125841 LIONS YOUTH EXCHANGE I I xi 500.00 ! 3/27/2003 A-7B XI I 3/27/2003 4/4/20031 125851 LEADER DOGS FOR THE BLIND i- A-7B xl X 2500.00 3/27/2003 4/4/2003 12586 ANOKA LIBRARY READ PROGRAM A-10 1000.00 4/4/2003 12587 VOIDED CHECK A-10 I 0.00 3/27/2003 4/4/2003 12588 SP.LK.PK. DIST 16 - WESTWOOD A-4 1500.00 3/27/2003 4/4/2003 12589 TWIN CITY PUBLIC TELEVISION A-1 500.00 3/28/2002 4/4/2003 12590 BLAINE HIGHSHOOL A-4 7000.00 3/27/2003 4/4/2003 12591 SP LK PK HIGH SCHOOL A-4 550.00 3/27/2003 4/4/2003 12592 FRIDLEY HIGH SCHOOL A-4 1300.00 'NOTE: Check the TRC column if the expenditure is from the 'Tax Refund Total Schedule C Lawful Purpose Expenditures and Credit' (TRC) amount. Your organization may not expend money from for this month. this amount for lawful purposes A-S, A-9, and A-12 or for allowable expenses. Enter on line 41 of Schedule G-1 31679.57 Schedule D: Board - Approved Expenditures Current Monthly I Board Membershio Date of Check B Aporoved Approval Date Check Number Check made out to: TRCS Code Amount Date Board-Aooroved Exoenditures for Recreational. Community. & B3-A7 I Athletic Facilities Intended Primarily for Persons Under Age 21 M F I Total schE?dule D Board-Aooroved Expenditures. L 0.00 - Signatures Enter on line 42 of Schedule G 1 Date y /.J7:.tJ] Date _J ummary and tax retum is true, correct, and complete. I Maino: I , GamblinQ Control Board I Suite 300 South I 1711 West County Road B Roseville, MN 55113 --.J If you use a TTY, you can call the Board by usinq the Minnesota Relay Service at 1-800-627-3529 and ask to place a call to (612)639-4000. This form will be made available in alternative format (i.e. larqe print, Braille) upon request. The information on this form will be used by the Gamblinq Control Board to determine your compliance with statutes and rules qoverninq lawful qamblinq activities. All information su lied b au on this form will become ublic whel'l received by the Board. (Rev. 11/01) Minnesota Gambler