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<br />MINNESOTA REVENUE <br />GAMBLING RECEIPTS and EXPENSES BY SITE <br /> <br />SCHEDULE A <br /> <br />[ ] Check here if there was no gambling activity during this month at this site. <br />Location Name License Number Site Number MonthlY ear <br />The Trio Inn 03800 008 A ril 2003 <br />(A) Gross receipts (B) Prizes <br />1 Bingo. . . . . .. . . . . . . . . . . . . . . . . . . 1 0.00 0.00 <br />2 Raffles [ ] check if tax exempt, attach Schedule-ER . 2 0.00 0.00 <br />3 Paddle Tickets . . . . . . . . . . . . . . . . . . . . 3 1980.00 1914.00 <br />4 Sub-Total (add lines I through 3). . . . . . 4 1980.00 1914.00 <br />5 Last month line 6C, ifit was negative. . . . 5 0.00 <br />6 Adjusted Sub-Total (line 4 minus line 5) . . 6 1980.00 <br />7 Interest, dividends and other income. . . . . . . . . . 7 2.56 <br />8 Tipboards. . . . . . . . . . . . 8 0.00 <br />9 Pulltabs. . . . . . . . . . . . . 9 44898.00 <br />10 Totals (add lines 6, 7, 8, 9). . . . . . . .1 0 46880.56 <br /> <br />1914.00 <br /> <br />0.00 <br />36712.00 <br />38626.00 <br /> <br />(There are no lines 11-17 for this schedule.) <br /> <br />18 Beginning Inventory (last month's line 21). . . . . . . . . . . . . . . . . <br />19 Cost of gambling product received with sales tax. . . . . . . . . . . . <br />20 Gambling product available and sales tax (line 18 plus line 19). . . . . . <br />21 Ending inventory (excluding sales tax). . . . . . . . . . . . . . . . . . . <br /> <br />. . . .18 <br />. . .19 <br />. .20 <br />. .21 <br /> <br />22 Cost of gambling product sold and sales tax (line 20 minus line 21). . . <br />23 Compensation and payroll taxes. . . . . . . . . . . . . . . . . <br />24 Penalty or interest on taxes, paid during the month. . . . . . <br />25 Advertising expenses. . . . . . . . . . . . . . . . . . . . . . <br />26 Accounting and legal services . . . . . . . . . . . . . . . . . . . . . . . <br />27 Miscellaneous expenses, supplies, bank charges, classes, etc_ . . . . <br />28 Purchase/repair of furnishings or devices for gambling.. ..... <br />29 Rent for the purpose of conducting gambling. . . . . . . . . . <br />30 Utilities related to the conduct of gambling. . . . . . .. ..... <br />31 Theft and liability insurance. . .. . . . . . . . . . .. ..... <br />32 Manager bond, licenses, local government fees, site pennit. . . . . . <br />33 Cash Long(-) or Cash Short(+) on games played. . . . . . . . . . . <br />34 Deposit required, for excess cash shortage reimbursement . . . . . . <br />35 Deposited amount, for excess expense reimbursement . . . . . . <br />36 Total allowable expenses (add lines 22 through 35) . . . . . . <br /> <br />. .22 <br />. .23 <br />. .24 <br />. . . .25 <br />. . . .26 . <br />. . .27 <br />. . .28 <br />. . .29 <br />. . .30 <br />. .31 <br />. .32 <br />. .33 <br />. .34 <br />. .35 <br />. .36 <br /> <br />Gss 11102 <br /> <br />(C) Net <br />0.00 <br />0.00 <br />66.00 <br />66.00 <br />0.00 <br />66.00 <br />2.56 <br />0.00 <br />8186.00 <br />8254.56 <br /> <br />916.55 <br />949.97 <br />1866.52 <br />1264.09 <br /> <br />602.43 <br />3909.99 <br />0.00 <br />0.00 <br />53.00 <br />70.25 <br />20.00 <br />200.00 <br />0.00 <br />0.00 <br />0.00 <br />118.00 <br />0.00 <br />0.00 <br />4973.67 <br />