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<br />MINNESOTA DEPARTMENT OF REVENUE <br /> <br />. <br /> <br />MONTHl Y SUMMARY and TAX RETURN (G-1) <br />PaQe 2 <br /> <br />Organization License Month and Year <br />03800 DECEMBER 2002 <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 />22 Goods Used (line 20 minus Line 21) . <br /> <br />. . . ... <br /> <br />. . . 17 <br />. 18 <br />. 19 <br />. 20 <br />21 <br /> <br />22 <br /> <br />. . . . 23 <br /> <br />. . . <br /> <br />..... <br /> <br />23 Compensation and Payroll taxes. . <br /> <br />.. .. .. .. <br /> <br />.. .. .. . <br /> <br />24 Penalty or Interest on Taxes paid during the month <br /> <br />. 24 <br />. 25 <br /> <br />25 Advertising. . . . . <br /> <br />. . .. .. ... <br /> <br />26 Accounting and legal Services. . 26 <br />27 Miscellaneous Expenses, Supplies & Bank Charges. . . . . . 27 <br />28 Purchase/Repair of Furnishings or Devices for Gambling. . . 28 <br /> <br />29 Rent for the Purpose of Conducting lawful Gambling. <br /> <br />. . <br /> <br />. . 29 <br />. . 30 <br />. 31 <br />. 32 <br />. . 33 <br />. . 34 <br />. 35 <br /> <br />30 Utilities. . . . . . . . . . . . <br />31 Theft and liability Insurance. . <br /> <br />..... <br /> <br />....... <br /> <br />32 Manager1s Bond, Licenses, local Fee, Premises Permit <br /> <br />33 Cash Long(-) or Cash Short(+). . . . <br /> <br />........ <br /> <br />34 DEPOSIT REQUIRED, Excess Cash Short Reimbursement{-) <br /> <br />35 Deposited Amount, Excess Expense Reimbursement(-}. . <br /> <br />. . <br /> <br />36 TOTAL AlLOWABLE EXPENSES (Add lines 22 through 35) . <br /> <br /> <br />37 NET PROFIT (Line 17 minus Line 36) . . . . . . . . <br /> <br /> <br />38 Prior Month Profit Carry-Over (line 44 from last Month). <br /> <br />30,494.02 <br />2 , 857 . 17 <br />6,666.70 <br />9,523.87 <br />4,448.25 <br />5,075.62 <br />18,324.94 <br />0.00 <br />0.00 <br />265.00 <br />897.99 <br />3,562.84 <br />2,050.00 <br />550.00 <br />0.00 <br />500.00 <br />233.50 <br />0.00 <br />0.00 <br /> <br />. 36 31,459.89 <br /> <br />.. .. .. .. <br /> <br />37 <br /> <br />-965.87 <br /> <br />. . 38 75,893.31 <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 /> <br /> <br />41 lawful Purpose Expenditures (line 11 Schedule C/O) <br /> <br /> <br />42 Board-Approved Expenditures (line 13 Schedule C/O) <br /> <br /> <br />43 Total Expenditures (Add Lines 41 and 42) . . <br /> <br />44 PROFIT CARRY-OVER (Line 40 minus Line 43). . <br /> <br /> <br />46 FUNDS BALANCE DIFFERENCE from Schedule F, Line 22. <br /> <br /> <br />47 Pulltab & Tipboard UNSOLD TICKETs this month. . . <br /> <br />. . 40 74,927.44 <br />. 41 33,966.00 <br /> <br />. . . . <br /> <br />. 42 <br /> <br />0.00 <br /> <br />. 43 33,966.00 <br />. 44 40,961. 44 <br />. .46 0.00 <br />. .47 84,946.00 <br />