2003-01-08 CC Packet - Laserfiche WebLink

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Minnesota Lawful Gambling Schedule c/o - LG1010 General Information Organization License Number Organization Name SPRING LAKE PARK LIONS CLUB 00584 Month and year reported Is this an amended Schedule elD? Y N 11 I 2002 Page 1 of 3 pages Schedule C: Lawful Purpose Expenditures Current Monthly ! For Code Membershio Date of Check A A-7 Only Approval Date Check Number Check made out to: TRCS Code M F Amount 10/24/2002 11/1/2002 12119 ST PAUL POSTAL CREDIT UNION A-2 1097.46 10/24/2002 11/1/2002 12120 MOUNT OLIVE SCHOOL A-2 552.00 10/24/2002 11/1/2002 12121 MARGE STi\CI< ' A-2 350.54 10/24/2002 11/4/2002 12125 ANIMAL HSE CALL SVC A- 2 131.35 10/24/2002 11/4/2002 12126 EYECARE CENTER A-2 137.23 10/24/2002 11/4/2002 12127 EYECARE CENTER A-2 203.21 10/24/2002 11/4/2002 12128 EYECARE CENTER A-2 175.07 10/24/2002 11/4/2002 12129 ANOKA RAMSEY COMMUNITY COLLEGE A-1 800.00 10/24/2002 11/4/2002 12130 LIONS YOUTH OUT REACH A- 1 100.00 10/24/2002 11/4/2002 12131 LIONS EYE BANK A-1 100.00 'NOTE: Check the TRC column if the expenditure is from the 'Tax Refund Total Schedule C Lawful Purpose Expenditures and Credit' (TRC) amount. Your organization may not expend money from for this month. this amount for lawful purposes A-S, A-9, and A-12 or for allowable expenses. Enter on line 41 of Schedule G-1 26487.79 Schedule D: Board - Approved Expenditures Current Monthly Board Membershio Date of Check B Aporoved Approval Date Check Number Check made out to: TRCS Code Amount Date - Board-Aooroved Exoenditures for Recreational. Community. & B3-A7 Athletic Facilities Intended Primarily for Persons Under Age 21 M F \ Total schl?dule D Board-Aooroved Expenditures. 0.00 - Signatures Enter on line 42 of Schedule G 1 I declare that all information on this summary and tax return is true, correct, and complete. Signature of chief executive officer Date Signature of gambling manager Date Mail To: Gamblinq Control Board Suite 300 South 1711 West County Road B Roseville, MN 55113 If you use a TTY, you can call the Board by usinQ the Minnesota Relav Service at 1-800-627-3529 and ask to place a call to (612)639-4000. This form will be made available in alternative format (i.e. larQe print, Braille) upon request. The information on this form will be u3ed by the GamblinQ Control Board to determine your compliance with statutes and rules QoverninQ lawful QamblinQ activities. All information su lied b ou on this form will become ublic when received b the Board. Minnesota Gambler (Rev. 11101)