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2003-05-28 CC Packet
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2003-05-28 CC Packet
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<br />,v1innesota Lawful Gambling <br />Schedute C/D - LG1 01 0 <br /> <br />General Information <br /> <br />Organization Name <br /> <br />Organization license Number <br /> <br />SPRING LAKE PARK LIONS CLUB <br /> <br />00584 <br /> <br />Month and year reported <br /> <br />3 / 2003 Page 1 of 1 pages <br /> <br />Schedule C: Lawful Purpose Expenditures <br />I I <br />I Current Monthlv I <br /> <br />Is this an amended Schedule C/O? Y N <br /> <br />i For ('orle I <br /> <br />Membershio Date of Check A i '-' ~ I <br /> I A-7 Only <br />Approval Date Check Number Check made out to: TRCS Code 1M F Amount <br /> 3/6/2003 3063 CITY FRIDLEY A-8 -267.29 <br />1/23/2003 3/12/2003 12529 LARSON ALLEN WEISHAIR A-12 952.92 <br />2/27/2003 3/12/2003 12532 SACA FOOD DRIVE A- 1 2000.00 <br /> 1---.. <br />2/27/2003 3/12/2003 12533 C.E.A.P. A- 1 2000.00 <br />2/27/2003 3/12/2003 12534 FREE 2 BE A-1 500.00 <br />2/27/2003 3/12/2003 12535 FRIENDS OF KIDS PARK A-2 100.00 <br /> ..- 1--.- --..---- <br />12/26/2003 3112/2003 12536 SPRINGLAKE PARK DIST. 16 SCHOLARSHIP FOU A- 1 5000.00 <br />2/27/2003 3/17/2003 12547 CITY OF FRIDL Y A-8 184.32 <br />2/27/2003 3/17/2003 12548 CITY SP LK PK - A-8 3798.03 <br />'NOTE: Check the TRC column if the expenditure is from the 'Tax Refund Total Schedule C Lawful Purpose Expenditures <br />and Credit' (TRC) amount. Your organization may not expend money fro(T1 for this month. <br />this amount for lawful purposes A-B, A-9, and A-12 or for allowable expenses. Enter on line 41 of Schedule G-1 14267.98 <br /> . -. <br /> <br />Schedule D: Board - Approved Expenditures <br /> <br />Current Monthly Check <br />Membershio Date of <br />Approval Date Check Number Check made out to: TRC <br /> ___on - <br /> . <br />Board-Aooroved Exoenditures for Recreational. Communitv. & <br />Athletic Facilities Intended Primarily for Persons Under Age 21 <br />]-- ---=r=-[ .r <br />--- .~----- --- <br /> <br />[ B <br />S Code Amount <br />.__ __n.______ <br /> <br />Board <br />Aporoved <br />Date <br /> <br />=t- ....~._.~-~....~..~.. <br /> <br />-.t~3-A7 <br />I;~ ._.....-_... .._-... '.'..' .'.1 <br />-_L~'_-_~=_-_=. __ <br /> <br />Signatures <br /> <br />Total schedule D Board-Aooroved Expenditures. <br />Enter on line 42 of Schedule G-1 <br /> <br />0.00 <br /> <br />I declare that all information on this summary and tax return is true, correct, and complete. <br />Signature of chief executive officer <br /> <br />Date <br /> <br /> <br />fgamblingmanager.J~___.__. <br /> <br />Date <br /> <br />-.-.--tk!!i:.d1..------. <br /> <br />Mail To: ~I <br />GamblinQ Control Board <br />Suite 300 South <br />1711 West County Road B <br />Roseville, MN 55113 <br /> <br />If you use a TrY, you can call the Board by usin!=l the Minnesota ~:Iav servic~-at 1-80~-~;;~3;;; and "1 <br />ask to place a call to (612)639-4000. This form will be made available in alternative format (Le. larQe <br />print, Braille) upon request. The information on this form will be used by the Gamblin!=l Control Board I <br />to determine your compliance with statutes and rules !=loverninQ lawful !=lamblin!=l activities. All <br />information su plied by you on this form will become public when received by the Board. ____ <br /> <br />(Rev. 11/01) <br /> <br />Minnesota Gambler <br />
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