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<br />MINNESOTA DEPARlIDT OF REVENUE <br /> <br />1... <br /> <br />IIIfIHLY SUIIWlY and TAX RETURN (G-l) <br />o Lawful Gambling Activity <br />o Month and Year Premises <br />FEBRUARY 2003 4 <br />Address <br />19680 Harrow Avenue North.. Forest. take lit 55025 . <br />Attached: Schedule A Schedule 82 Schedule F <br />4 22 1 <br /> <br />Organization License <br />03800 <br />Name <br />Dead BrOke Saddle Club <br />Schedule B-2 Game Count <br />255 <br /> <br />1 8ingo. . . <br /> <br />. . . . . . . . . . . . . <br /> <br />. . . 1 <br /> <br />(A) Gross 0 (B) Prizes (C) <br />0.00 0.00 <br /> <br />2 Raffles [ ] Exempt, Schedule-ER . . . . . 2 <br />3 P add 1 et i ckets . . . . . . . . . . . . . 3 <br />4 $UB-TOTAL (Add Lines 1 through 3). . . . . 4 <br />5 Uast Month Line 6C, if it was negative. . 5 <br />6 Adjusted Sub-Total (Line 4 minus Line 5) . 6 <br />7 ~ncome from Interest and Dividends . . . . 7 <br />8 llipboards. . . . . . . . . . . . 8 <br /> <br />9 ~ulltabs . <br /> <br />..... <br /> <br />. . . 9 <br /> <br />e. . . . . <br /> <br />10 TOTALS (Add Lines 6,7,8,9) . . <br /> <br />0.00 <br />5,400.00 <br />5,400.00 <br />0.00 <br />5,400.00 <br />11.86 <br />0.00 <br />220,079.50 <br /> <br />0.00 <br />5,220.00 <br />5,220.00 <br /> <br />5,220.00 <br /> <br />0.00 <br />183,248.00 <br /> <br />Net <br />0.00 <br /> <br />0.00 <br /> <br />180.00 <br /> <br />180.00 <br /> <br />0.00 <br /> <br />180.00 <br /> <br />11.86 <br /> <br />0.00 <br /> <br />.... <br /> <br />. . . .10 225,491.36 0 188,468.00 37,023.36 <br /> <br />36,831.50 <br /> <br />11 Gambling Tax (8.51 of Line 6&) . . . . . . . . . . . . . . ;1. . . 11 15.30 <br />12 Oombined Receipts Tax (Schedule E, Line 9) . . . . . . . . . . . . . . 12 11,224.66 <br />13 PAY THIS AIIJUNT (Line 11 plus Line 12) Check to Department of Revenue. 13 11,239.96 <br />14 Gambling Tax Paid to Distributors for Pulltabs . Tipboards . . . . . . 14 5,750.11 <br />15 TOTAL Gambling Tax (Add Lines 13 and 14) . . . . . . . . . . . . . . . 15 0 16,990.07 <br />16 _ PROFIT, After Taxes (Line lOC .inus Line 15) to HOne 17, page 2. 16 20,033.29 <br /> <br /> <br />.J <br />