Laserfiche WebLink
<br />Minnesota Lawful Gambling <br />Schedule C/D - LG1010 <br /> <br />General Information <br /> <br />Organization Name <br /> <br />Organization License Number <br /> <br />SPRING LAKE PARK LIONS CLUB <br /> <br />00584 <br /> <br />Month and year reported <br />11 /2002 Page 3 of 3 pages <br />Schedule C: {awful Purpose Expenditures <br /> <br />Is this an amended Schedule C/D? Y N <br /> <br />Current Monthly I For Code <br />Membershio Date of Check A 1]O,? <br />Approval Date Check Number Check made out to: TRCS Code Amount <br />10/24/2002 11/5/2002 12142 CENTERVILLE ELEMENTARY A-7B X X 1110.00 <br />10/24/2002 11/8/2002 12143 ARLETTE MCGUIRE A-2 3773.00 <br />10/24/2002 11/8/2002 12144 ARLETTE MCGUIRE A- 2 2000.00 <br />10/24/2002 11/13/2002 12153 LARSON ALLEN WEISHAIR , A-12 500.00 <br />10/24/2002 11/14/2002 12163 CITY OF STPAUL A-8 134.38 <br />10/24/2002 11/14/2002 12165 CITY OF FRIDLEY - 3% A- 8 204.93 <br />10/24/2002 11/14/2002 12166 CITY OF SPRINGLAKE PARK A-8 4318.62 <br /> . <br /> .. <br />'NOTE: Check the TRC column if the expenditure is from the 'Tax Refund Total Schedule C Lawful Purpose Expenditures <br />and Credit' (TRC) amount. Your organization may not expend money from for this month. <br />this amount for lawful purposes A-B, A-9, and A-12 or for allowable expenses. Enter on line 41 of Schedule G-1 <br /> <br />Schedule 0: Board - Approved Expenditures <br /> <br />Current Monthly - I Board <br />Membershio Date of Check B Aporoved <br />Approval Date Check Number Check made out to: TRCS Code Amount Date <br />Board-Aooroved Exoenditures for Recreational. Communitv. & B3-A 7 <br />Athletic Facilities Intended Primarily for Persons Under Age 21 M F <br /> I <br /> Total schedule 0 Board-ADoroved Expenditures. <br /> E e ie4 _ <br /> <br />Signatures <br /> <br />nt r on In 2 of Schedule G 1 <br /> <br />I declare that all information on this summary and tax return is true, correct, and complete. <br />Signature of chief executive officer Date <br /> <br />Signature of gambling manager Date <br /> <br />Mail To: <br /> <br />Gamblin.q Control Board <br />Suite 300 South <br />1711 West County Road B <br />Roseville, MN 55113 <br /> <br />If you use a TTY, you can call the Board by usinq the Minnesota Relay SeNice at 1-800-627-3529 and <br />ask to place a call to (612)639-4000. This form will be made available in alternative format (i,e. lame <br />print, Braille) upon request. The information on this form will be used bv the Gambling Control Board <br />to determine your compliance with statutes and rules governing lawful QamblinQ activities. All <br />information su lied b ou on this form will become ubJic when received b the Board. <br /> <br />(Rev. 11/01) <br /> <br />Minnesota Gambler <br />