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<br />Organization Name <br />Dead Broke Saddle Club <br /> <br />Schedule C: Lawful Purpose Expenditures <br /> <br />Date Org. Check Check Check <br />Approved Date Nwnber Made out to <br /> <br />License Number <br />03800 <br /> <br /> ~- <br /> - <br /> LGIOIO Schedule CID <br /> GAMBLING CONTROL BOARD <br />Month and Year Page Amended CfD? <br />April 2003 lof I No <br /> A A-7 <br />TRC Code MIF AmOWlt <br />--- <br /> a( 7) Both 3000.00 <br /> a( 7) Both 1100.00 <br /> a(10) 500.00 <br /> a( 8) 19.00 <br /> a( 1) 6000.00 <br /> <br />MINNESOTA LAWFUL GAMBLING <br />Lawful Purpose & Board Approved Expenditures <br /> <br />03/25/2003 04/0112003 7323 Lino Lakes Elementary School <br /> 10% Donation <br />03/2512003 04/01/2003 7324 Forest Lake FF A <br /> FF A Horse Show <br />03/2512003 04/02/2003 7325 City of Centerville <br /> Bike Racks <br />03/25/2003 04/17/2003 7357 City ofLino Lakes <br /> City Tax <br />03/25/2003 04/30/2003 7399 MN High School Rodeo <br /> 2003 Rodeo <br /> <br />Total all Schedule C items $ <br />To line 41 of Form G-I <br /> <br />10619.00 <br /> <br />Schedule D: Board Approved Expenditures <br /> <br />Date Org. Check Check Check <br />Approved Date Nwnber Made out to <br /> <br />B A-7 <br />TRC Code MIF AmOWlt <br /> <br />Date Board <br />Approved <br /> <br />NONE THIS MONm <br /> <br />For facilities intended orimarilv for oersons under 21: <br /> <br />Total all Schedule D items $ <br />To line 42 of Form G-I <br /> <br />Signatures <br /> <br />I declare that thi, . s Schedule C/O iS7. e,ct, and complete to the best of my knowledge and beh,. ef. <br />Si~ture . ~ . / I.> '_y- Date <br />ChiefExecutlve.?jT?- . V~ . ,I> ~ .../ ;r--tJ ~ <br /> <br />GamSignab1ureling Manager ,~- p/ l/:f 0 7 Date <br />--:;;;i~ c;.---? ,~-/7~~'"3 <br /> <br />Mail to: Suite 300 South <br />1711 West County Road B <br />Roseville, MN 55113 <br /> <br />Gss 08102 <br />