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<br />13-1 page 2 <br /> <br />SPRING LAKE PARK LIONS CLUB <br /> <br />17 Amount from line 16 on the front of this form <br /> <br />Inventory <br /> <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 distributor's invoices) <br />20 Add lines 18 and 19 <br /> <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 Penalty and interest you paid on taxes, including payrol! taxes, on any <br />Form G-1 or Schedule C since beginning gambling 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; office supplies; lodging, meals and transportation for lawful <br />gambling classes conducted by state agencies; and miscellaneous expenses <br />28 Purchase and/or repair expenses for office furnishings and office equipment <br />used for gambling, and devices used for gambling <br />29 Rent for conducting lawful gambling <br />30 Utilities used for conducting lawful gambling <br />31 Theft insurance and the amount permitted for liability insurance <br />32 Local government investigation fee and 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 short (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 /> <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 /> <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 />40 Add lines 37 through 39. <br />41 Lawful Purpose expenditures (from Form LG1010 Schedule C/O) <br />42 Board-approved expenditures (from Form LG1 01 0 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 />(Line 45 has been eliminated from Form G-1) <br /> <br />46 difference between gambling fund balance and profit carryover <br />(amount from line 22 of Schedule F; include parentheses, if any) <br />47 Total dollar value of unsold tickets from pulltab and tipboard <br />games reported on Schedule B-2s for the month <br /> <br />46 <br /> <br /> 11 I 2002 <br />17 128726.98 <br />18 10250.89 <br />19 14801.39 <br />20 25052.28 <br />21 8470.93 <br />22 16581.35 <br /> <br />23 36113.53 <br />24 0.00 <br />25 0.00 <br />26 0.00 <br />27 17184.66 <br />28 0.00 <br /> -~._---~-- <br />29 5900.00 <br />30 36.45 <br />31 0.00 <br />32 0.00 <br />33 808.00 <br />34 0.00) <br />35 0.00) <br />36 76623.99 <br /> <br />37 52102.99 <br />38 158934.64 <br /> <br />39 0.00 <br />40 211037.63 <br />41 26487.79 <br />42 0.00 <br />43 26487.79 <br /> <br />44 184549.84 <br /> <br />47 <br /> <br />-0.04 <br /> <br />37455.00 <br /> <br />6001000-2 (Rev. 07/99) <br /> <br />Minnesota Gambler <br />