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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 />Wise Gu s Pizza & Pub 03800 012 A ril 2003 <br />(A) Gross receipts <br />I Bingo. . . . . . . . . . . . . . . . . . . . . . . . . I 0.00 <br />2 Raffles [ ] check if tax exempt, attach Schedule-ER . 2 0.00 <br />3 Paddle Tickets . . . . . . . . . . . . . . 3 840.00 <br />4 Sub-Total (add lines I through 3). . . . . . . 4 840.00 <br />5 Last month line 6C, ifit was negative. . . . . 5 0.00 <br />6 Adjusted Sub-Total (line 4 minus line 5) . . . 6 840.00 <br />7 Interest, dividends and other income. . . . . . 7 2.56 <br />8 Tipboards. . . . . . . . . . . . . . . 8 0.00 <br />9 Pulltabs. . . . . . . . . . . . 9 13988.00 <br />10 Totals (add lines 6, 7, 8,9). . . . .10 14830.56 <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 />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 />Gss 11102 <br /> <br />(B) Prizes (C) Net <br /> 0.00 0.00 <br /> 0.00 0.00 <br /> 812.00 28.00 <br /> 812.00 28.00 <br /> 0.00 <br /> 812.00 28.00 <br /> 2.56 <br /> 0.00 0.00 <br />11030.00 2958.00 <br />11842.00 2988.56 <br /> <br />. . .18 <br />. .19 <br />. .20 <br />. .21 <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 />326.60 <br />685.17 <br />1011.77 <br />643.35 <br /> <br />368.42 <br />2662.44 <br />0.00 <br />0.00 <br />53.00 <br />70.25 <br />424.70 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />16.00 <br />0.00 <br />0.00 <br />3594.81 <br />