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<br />MINNESOTA DEPARTMENT OF REVENUE <br />lAWFUL GAMBLING ACTIVITY <br /> <br />G-I SCHEDULE F <br />GAMBLING FUND RECONCILIATION <br /> <br />Organization Name <br />Dead Br ke Saddle Club <br />~linQ checkinQ account <br />1 End~of-month checking account balance from statements . 1 <br />2 Deposits made during the month not included in line 1 . . . 2 <br />3 Add lines 1 and 2 . . . . . . . . . . . . . . . . . . 3 <br />4 Checks written during the month nat included in line 1. . . 4 <br />5 RECONCILED BANK BALANCE (line 3 minus line 4) . . . . . . . 5 <br /> <br />License Number <br />03800 <br /> <br />Report Month/Year <br />DECEMBER 2002 <br /> <br />106.131.37 <br />2.598.00 <br />108.729.37 <br />64.915. 12 <br />43.814.25 <br /> <br />Other funds not included in Checkin9 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 />7 Total ending inventory (G-1 line 21) . .. 7 <br /> <br />8 Deposit after month-end for Games in G-I. 8 <br /> <br />8.300.00 <br />4.448.25 <br />0.00 <br />0.00 <br /> <br />9 Total in SaVings & Other funds. . . . <br /> <br />10 Excess shortages (G-l, 34) and prior <br />reimbursement due for excess Shortages <br /> <br />9 <br /> <br />10 <br /> <br />0.00 <br /> <br />11 Fund loss. (lG-250) . . . . IIa <br />Refund Due (G-7430) . . . . lIb <br />Open-Game prizes,by check . lIe <br />Prizes bought, not awarded. lId <br />Other additions . . . . lIe <br /> <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />Tota 1 11 <br /> <br />12 Add lines 6, 7, 8, 9, 10, 11 . . <br />13 Add lines 5 and 12 . . . . . . . <br /> <br />. . . <br /> <br />0.00 <br />. . . . 12 <br />. . . . . 13 <br /> <br />12.748.25 <br />56.562.50 <br /> <br />Unpaid Obligations and ODen Game Deposits <br />14 Tax from G-l line 13 and any <br />prior months taxes. . . . .. ... . . . 14 <br /> <br />15 Deposits for games still in play. . . . . 15 <br /> <br />16 loaned amounts included in bank statement. 16 <br /> <br />17 Product part of unpaid invoices. <br />18 Other subtractions. . <br /> <br />17 <br />. . . 18 <br /> <br />15.601.06 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />. 19 <br /> <br />15.601.06 <br /> <br />19 Add Lines 14 through 18. . <br /> <br />. . . . <br /> <br />. . . . <br /> <br />GAMBLING FUNDS RECONCILIATION <br />20 GAMBLING FUND BALANCE (line 13 minus 19) . . . . . <br />21 PROFIT CARRY-OVER (from Form G-l line 44). . . . . <br /> <br />. . 20 <br />. . 21 <br /> <br />40.961. 44 <br />40.961.44 <br /> <br />22 FUND BALANCE equals PROFIT CARRY-OVER, Difference. . . 22 0.00 <br /> <br />Signature ~ ~ ~ ~ Date 6]2/464-7225 <br />of Pre arer "~.. ~ /~Z€?~3 <br />Gss 7/99 <br />