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<br />. <br />" <br /> <br />l <br />. <br /> <br />G-1 page 2 SPRING ~E PARK LIONS CLUB <br /> <br />,- ---~--- -U- Amount from line 16 on the front of this form <br /> <br />Inventory <br />18 Beginning Inventory (from line 21 of last month's Form G-1) <br />19 Cost of gambling equipment obtained during the month. (Include sales <br />tax, but do not Include the 1.7 percent tax listed on dtstrlbutor's Invoices) <br />20 Add lines 18 and 19 <br />21 ending Inventory (dollar value on the last day of month; do not Include sales <br />tax or 1.7 percent tax listed on distributor's Invoices) . <br /> <br />22 Total value of the gambling Inventory sold (subtract line 21 from line 20) . <br /> <br />Expenses paid during the month <br />23 Compensation and payroll taxes <br />24--F!enaIty and interest you paid on taxes, Including payroll taxes, on any <br />Form G-1 or Schedule C since beginning gambDng activities <br />25 Advertising <br />26 Accounting services for lawful gambling tax forms, annual audit or review, <br />and qualifying legal work <br />27 Bank service charges; offtce supplies; lodging, meals and transportation for lawful <br />gambling classes conducted by state agencies; and mlsceJlaheous expenses <br />28 Purchase and/or repair expenses for offtce furnishings and offtce equipment <br />used for gambling, and devices used for gambnng <br />29 Rent for conducting lawful gambnng <br />30 Utilities used for conducting lawful gambling <br />31 Theft insurance and the amount permitted for liability InS!Jl8l1ce <br />32 . Local government Investigation fee aQd cost for new or renewed gambling <br />manager's bond, gambling managers license and premise permits <br />33 Cash long or cash short (If cash long, put parentheses around the amount) <br />34 Reimbursement for excess cash shott (ThIs Is a negative amount) <br />35 Reimbursement for negative expense calculation (This Is a negative amount.) <br /> <br />36 TOTAL ALlOWABLE EXPENSES (add lines 22 through 35) <br /> <br />Expenses paid during the month <br />37 NET PROFIT after state taxes (subtract line 36 from line 17) <br />38 Profit carry-over from last month (from line 44 of last month's Form G-1) <br />39 Approved adjustments. (Attach state agency letter of approval.) If an amount <br />was listed on line 5c, Include It as a positive number In the amount listed here <br />- .iIO Add lines 37 through 39. <br />41 Lawful Purpose expenditures (from FormLG1010 Schedule C/O) <br />42 Board-approved expen~ltures (from Form LG1010 Schedule C/O) <br />43 Add lines 41 through 42 <br /> <br />44 PROFIT CARRYOVER for this month (subtract line 43 from line 40) <br /> <br />(Una 45 has been eliminated from Fotm G-1) <br />46 difference between gambling fund balance and profit carryover <br />(amount from line 22 of Schedule F;lnclude parentheses, if any) <br />47 Total dollar value of unsold tickets from pulltab and tlpboard <br />games '~rted on Schedule B-2s for the month <br /> <br />46 <br /> <br />1/ 2003 <br /> <br />17 <br /> <br />104188.31--~--- <br /> <br />18 <br /> <br />9685.59 <br /> <br />19 <br />20 <br /> <br />13816;94 <br />23502.53 <br /> <br />21 <br /> <br />8887.27 <br /> <br />22 <br /> <br />14615.26 <br /> <br />23 57939.30 <br />24 0.00 <br />25 0.00 <br />26 0.00 <br />27 15990.06 <br />28 0.00 <br />29 5900.00 <br />30 0.00 <br />31 0.00 <br />32 0.00 <br />33 836.00 <br />34 ' { O.OO} <br />35 { O.OO} <br />36 95280.62 <br /> <br />37 8907.69 <br />38 189034.08 <br />39 0.00 <br />40 197941.77 <br />41 38304.70 <br />42 0.00 <br />43 38304.70 <br />44 159637.07 <br /> . . <br /> <br />9302.25 <br /> <br />44351.00. <br /> <br />47 <br /> <br />6001000-2 (Rev. 07199) <br /> <br />MInnesala Gembler <br />