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<br />MINNESOTA DEPARTMENT OF REVENUE <br />LAWFUL GNNBLING ACTIVITY <br /> <br />G-l SCHEDULE A <br />RECEIPTS and EXPENSES PER PREMISE <br /> <br />Organ.License Premise Number Premise Name <br />03800 012 Wise GUYS Pizza & Pub <br />lines 1-10 and 18-36 correspond to Form G-1 <br /> <br />Report Month/Year <br />MARCH 2003 <br /> <br /> (A) Gross (B) Prizes (C) Net <br />1 Bingo. . . . . . . . . . . . . . . . . 1 0.00 0.00 0.00 <br />2 Raffles [ ] Exempt, Schedule-ER . . . . . 2 0.00 0.00 0.00 <br />3 Paddletickets . . . . . . . . . . 3 1,740.00 1,682.00 58.00 <br />4 SUB-TOTAL (Add Lines 1 through 3). . . . . 4 1,740.00 1,682.00 58.00 <br />5 Proportional Part, Last Month G-l Line 6e. 5 0.00 0.00 <br />6 Adjusted Sub-Total (line 4 minus line 5) . 6 1 , 740 . 0.0 1,682.00 58.00 <br />7 Income from Interest and Dividends . . 1 2.46 2.46 <br />8 Tipboards. . . . . . . . . . . . . . . 8 0.00 0.00 0.00 <br />9 Pul1tabs . . . . . . . . . . . . . . . 9 14,135.00 10,843.00 3,292.00 <br />10 TOTALS (Add Lines 6 - 9) . . . . . . . . .10 15,877.46 12,525.00 3,352.46 <br /> <br />18 Beginning Inventory (Last Month Line 21) . . . . . <br />19 Gambling Product Obtained, with Sales Tax. . <br />20 Goods Available (Line 18 plus Line 19) . . . . . . <br />21 Ending Inventory (excludes Sales Tax). . . <br />22 Goods Used (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. . . ~ . . . . . . . . . . . . . . . . <br />26 Accounting and legal Services. . . . . . . . . . . <br />27 Bank Charges and Miscellaneous Supplies & Expenses. . <br />28 Purchase/Repair of Furnishings or Devices for Gambling. <br />29 Rent for the Purpose of Conducting Lawful Gambling. . . <br /> <br /> <br />30 Ut i 1 i tie s . . . . . . . . . . . . . . . . . . . . . . . . <br /> <br />31 Theft and liability Insurance. . . . . . . . . . . . . <br />3~ Manager's Bond, licenses, local Fee, Premises Permit. <br />33 Cash Long( -) or Cash Short( +). . . . . . . . . . . . . <br />34 DEPOSIT REQUIRED, Excess Cash Short Reimbursement(-) <br />35 Deposited Amount, Excess Expense- Reimbursement(-). . . <br />36 TOTAL ALLOWABLE EXPENSES (Add Lines 22 through 35) . <br /> <br /> . . 18 418.50 <br /> . ~ 19 198.70 <br />. . . . . 20 617.20 <br />. . . . . 21 326.60 <br />. . . . . 22 290.60 <br /> 23 1,937.77 <br />. . . . . 24 0.00 <br /> 25 0.00 <br /> 26 53.00 <br />. . . . . 27 0.00 <br />. . . . . 28 0.00 <br /> 29 100.00 <br />. . . . . 30 0.00 <br />. . . . . 31 0.00 <br /> 32 0.00 <br /> 33 94.00 <br /> . 34 0.00 <br /> . . 35 0.00 <br /> . 36 2,475.37 <br /> <br />line numbers correspond to the Tax Return (Form G-l) line numbers. <br /> <br />Gss 7/99 <br />