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<br />MINNESOTA REVENUE <br /> <br />LAWFUL GAMBLING MONTHLY SUMMARY and TAX RETURN <br /> <br />Gl <br />Page 2 <br /> <br />Organization License <br />03800 <br /> <br />Month and Year <br />April 2003 <br /> <br />17 Gross profit after tax from line 16 of page 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 <br /> <br />18 Beginning inventory (lastmonth'sline21). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 <br />19 Cost of gambling product received with sales tax . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 <br />20 Gambling product available and sales tax (line 18 plus line 19} . . . . . . . . . . . . . . . . . . . 20 <br />21 Endinginventory (excludessalestaxes,etc.)............................. 21 <br /> <br />22 Cost of gambling product sold and sales tax (line 20 minus line 21) . . . . . . . . . . . . . . . . . 22 <br /> <br />23 Compensation and payroll taxes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 <br />24 Penalty or interest on taxes, paid during the month. . . . . . . . . . . . . . . . . . . . . . . . . . 24 <br />25 Advertising expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 <br />26 Accounting and legal services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 <br />27 Miscellaneous expenses, supplies, bank charges, classes, etc.. . . . . . . . . . . . . . . . . . . . . 27 <br />28 Purchase/repair of furnishings or devices for gambling . . . . . . . . . . . . . . . . . . . . . . . . 28 <br />29 Rent for the purpose of conducting gambling . . . . . . . . ; . . . . . . . . . . . . . . . . . . . . 29 <br />30 Utilities related to the conduct of gambling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 <br />31 Theft and liability insurance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 <br />32 Manager's bond, licenses, local government fees, site permits. . . . . . . . . . . . . . . . . . . . . 32 <br />33 Cash Long(-) or Cash Short(+) on games played . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 <br />34 Deposit required, for excess cash shortage reimbursement . . . . . . . . . . . . . . . . . . . . . . 34 <br />35 Deposited amount, for excess expense reimbursement. . . . . . . . . . . . . . . . . . . . . . . . . 35 <br />36 Total allowable expenses (add lines 22 through 35). . . . . . . . . . . . . . . . . . . . . . . . . . 36 <br /> <br />37 Net profit after taxes (line 17 minus line 36) . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 37 <br />38 Prior month Profit Canyover (line 44 from last month). . . . . . . . . . . . . . . . . . . . . . . . 38 <br />39 Approved adjustments (attach letter) also add, as positive, line 5C loss adjustment. . . . . . . . . . 39 <br />40 Balance sub-total (add lines 37, 38 and 39). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 <br />41 Lawful purposes expenditures (from Schedule CID) . . . . . . . . . . . . . . . . . . . . . . . . . 41 <br />42 Board-approved expenditures (from Schedule 00). . . . . . . . . . . . . . . . . . . . . . . . . . 42 <br />43 Total expenditures (add lines 41 and 42). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 <br />44 Profit Carryover (line 40 minus line 43) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 <br />(Line 45 has been eliminated from Form GI) <br />46 Funds balance difference; from Schedule F, line 22 . . . . . . . . . . . . . . .46 <br />47 Unsold ticket value from Pulltab and Tipboard games this month . . . . . . . 47 <br /> <br />0.00 <br />104638.00 <br /> <br />Gss 11102 <br /> <br />31982.89 <br /> <br />4285.99 <br />6918.52 <br />11204.51 <br />6038.90 <br /> <br />5165.61 <br /> <br />20449.97 <br />0.00 <br />0.00 <br />265.00 <br />1105.75 <br />504.70 <br />3200.00 <br />550.00 <br />0.00 <br />0.00 <br />291.00 <br />0.00 <br />0.00 <br />31532.03 <br /> <br />450.86 <br />60313.16 <br />0.00 <br />60764.02 <br />10619.00 <br />0.00 <br />10619.00 <br />50145.02 <br />