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<br />..~ <br /> <br />. MINNESOTA DEPARTMENT OF REVENUE <br /> <br />NONTHLY SlIIIARY and TAX RETURN (G-l) <br />Page Z . <br /> <br />I <br />I' <br />, ' <br /> <br />17 20,033.29- <br />. 18 4,229.72 <br />. 19 4,099.80 <br />. 20 8,329.52 <br />. 21 4,381.22 <br /> <br />, , <br /> <br />Organi~ation License Month and Year <br />03800 FEBRUARY 2003 <br />17 Gross ,profit from line 16 of page 1. . . . <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 /> <br />... ... <br /> <br />. . . . <br /> <br />22 Goods Used (Line 20 minus Line 21) <br /> <br />. 22 <br />. 23 <br /> <br />23 Compensation and Payroll taxes . . . <br /> <br />. . . <br /> <br />24 Penalty or Interest on Taxes paid during the month . <br /> <br />. . . 24 <br /> <br />25 Advertising. . . . . . . . . . <br />26 Accounting and Legal Services. <br /> <br />. .. . . . . . <br /> <br />. 25 <br />. 26 <br />27 <br />. 28 <br />29 <br />. 30 <br />. 31 <br />. 32 <br /> <br />. . . <br /> <br />. . . <br /> <br />..... <br /> <br />. . . . <br /> <br />. . . . <br /> <br />27 Miscellaneous Expenses, Supplies & Bank Charges. <br /> <br />. . . . . . <br /> <br />28 Purchase/Rep~.ir of Furnishings or Devices for Gambling. <br /> <br /> <br />29 Rent for the Purpose of Con.ducting Lawful Gambling . . . . . . . <br /> <br />30 Utilities. . . . . . . . . . . <br />31 Theft and. Liability Insurance. <br /> <br />32 Manager's Bond, Licenses, Local Fee, Premises Permit. <br /> <br />33 Cash Long(-) or Cash Short(+). . . . . . . . . . . . . . 33 <br />---- --34--DEPOSIT--REQUIRED;-EXcess Cisti. 'ShortReiDiEiursementr.:r : -~--~ ---:-- ';--=---:--:--:--34--- <br /> <br />35 Deposited Amount, Excess Expense Reimbursement(-). . . <br />36 TOTAl ALLOWABLE EXPENSES (Add lines 22 through 35) . <br />37 NET. PROFIT (Line 17 minus Line 36) . . . . . . . . . . <br /> <br />. . .. <br /> <br />. 35 <br /> <br />. . . 36 <br />. 37 <br /> <br />38 Prior Month Profit Carry-Over (Line 44 from Last Month). . <br /> <br />I <br />, I <br />I <br />I <br />I <br /> <br />i! <br /> <br />,. <br /> <br />3,948.30 <br />14,614.79 <br />0.00. <br />0.00 <br />265..00 <br />317 . 73 <br />0.00 <br />2,500.00 <br />600.00 <br />0.00 <br />0.00 <br /> <br />Ii <br /> <br />I, <br />! <br />.1 <br />:]1 <br /> <br />I, <br />'i <br />Ii <br />. .1 <br />,. I! <br />i <br />I <br />, <br />I <br />i <br /> <br />I." <br /> <br />!I <br />I <br />'t <br />"-'I <br />.-11 <br />"!i <br />" <br />" <br /> <br />146.00 <br />0.00 . <br />0.00 <br /> <br />1 <br />" <br /> <br />11 <br />i1 <br /> <br />22,391.82 <br />-2,358.53 <br /> <br />, <br />;1 <br />, <br /> <br />. 38 49,565.93 <br /> <br />39 Approved Adjustments (Attach Letter and/or Add Line 5C if not zero). . 39 0.00 <br /> <br />40 BALANCE Sub-Total (Add lines 37, 38 and 39). . . . <br />41 Lawful Purpose Expenditures (Line 11 Schedule C/O) <br />42 Board-Approved Expenditures (Line 13 Schedule C/O) <br /> <br />. . . . '0 47,207.40 <br />. '1 (1:z.1 'Z.01 . ,,,) <br /> <br />. 42 0.00 <br />43 (I'Z., 'Z.o<i . 'l.I,. ) <br />44 59,qI6.Z.~ <br />0.00 <br /> <br />43 Total Expenditures (Add Lines 41 and 42) . <br /> <br />44 PROFIT CARRY-OYER (Line 40 minus Line 43). . . . . <br />46 FUNDS BALANCE DIFFERENCE from Schedule F, Line 22. . .46 <br /> <br />47 Pulltab & Tipboard UNSOLD TICKETs this month . . . <br /> <br />. .47 74,602.50 <br /> <br />i <br /> <br />. , <br />