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<br />/I <br /> <br />MINNESOTA DEPARTMENT OF REVENUE <br />. LAWFUL GMBlING ACTIVIlY <br />... <br /> <br />G-l SCHEDULE F <br />GAMBLING FUND RECONCILIATION <br /> <br />Organization Name License Number Report.MonthjYear <br />Dead Broke Saddle Club 03800 FEBRUARY 2003 <br />Gambling checkinq account <br />1 End-of-month cheCking account balance from statements. . . 1 95.277.80 <br />2 Deposits made during the month not included in line 1 . . . 2 5.029.00 <br />3 Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . 3 100.306.80 <br />4 Checks written during the month not included in line 1. . . 4 54.571.66 <br />5 RECONCILED BANK BALANCE (line 3 minus line 4) . . . . . . . 5 45.735.14 <br />other funds not included in Checking Balance <br />6 Starting banks for games . . 6a 8.300.00 <br />Reimbursment after monthend. 6b 0.00 <br />Monthend cash balance in starting banks. . 6 <br /> <br />8.300.00 <br /> <br />7 Total ending inventory (G-1 line 21) . . . 7 <br /> <br />8 Deposit after month-end for Games in &-1. 8 <br /> <br />9 Total in Savings I Other funds . . . . .. 9 <br /> <br />10 Excess shortages (&-1, 34) and prior <br />reimbursement due for excess shortages . . 10 <br /> <br />4.381.22 <br />0.00 <br />0.00 <br /> <br />0.00 <br /> <br />11 Fund Loss. (LG-250) . . . . l1a <br />Refund Due (G-7430) . . . . lIb <br />Op~n-Game prizes,by check . lIe <br />Prizes bought, not awarded. lId <br />Other additions . . . . . . lIe <br /> <br />12 Add lines 6, 7, 8, 9, 10, 11 . . . <br />13 Add lines 5 and 12 . . . . '. . . . <br /> <br />0.,JKl <br />rz., ~~,. y,," <br />0.00 <br />0.00 <br />0.00 <br />Tota 1 11 \'1.1 'Z.;9~(e <br /> <br />. .. . . . . . . .' 12 <br /> <br />. . . . . . . . 13 . <br /> <br />, 1."1.'\ '2;1. 0"& <br />., 0 .loS'6. 't.1.. <br /> <br />UlJpaid ObliCJl,tions and ODen GUlf Deoosits <br />14 Tax from &-1 line 13 and any <br />prior months taxes. . . . .. ...... 14 11.239.96 <br /> <br />15 Deposits for games still in play . <br /> <br />. . . <br /> <br />. 15 <br /> <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br /> <br />16 Loaned amounts included in bank statement. 16 <br /> <br />17 Product part of unpaid invoices. . <br /> <br />. . . <br /> <br />.17 <br />. 18 <br /> <br />18 Other subtractions . . . <br /> <br />. .. . <br /> <br />19 Add Lines 14 through 18. . . . . . . . . . . . . . . . 19 11.239.96 <br /> <br />GAMBLING FUNDS RECONCILIATION <br />20 GAMBLING FUND BALANCE (line 13 minus 19) .~. . . . . . . . 20 6q.~)6.~ <br />21 PROFIT CARRY-OVER (from Form G-1 line 44). . . 21 S"'t .LfI6.U, <br /> <br />22 FUND BALANCE equals PROFIT CARRY-OVER, Difference. . . 22 0.00 <br /> <br /> <br />~lo.1T ~, \t.v1,l,.w6- <br /> <br /> <br />612/464-7225 <br />