2002-08-28 CC Packet - Laserfiche WebLink

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MINNESOTA Department of Revenue Receipts and Expenses Per Premises G-1 Schedule A Organization License Number 00584 Premises permit number Premises Name 8-00584-010 KELL V'S KORNER Month and year reported 7 I 2002 Lines 1-10 correspond to Form G-l. 1 Bingo 2 Raffles 3 Paddletickets 4 Add lines 1 through 3 5 If line 6c of last month's Form G-1 or Schedule A is negative, list (without parentheses) in columns A and C 6 Subtract line 5 from line 4 Column A gross receipts 0.00 0.00 2015.00 2015.00 1 2 3 4 Column B prizes 0.00 0.00 1527.00 1527.00 Column C net receipts 0.00 0.00 488.00 488.00 5 6 0.00 2015.00 7 Income from interest and dividends (fill in same amount in columns A and C) 8 Tipboards 9 Pulltabs 7 8 9 0.00 0.00 24575.00 # 10 Add lines 6 through 9. Une 10c is your gross profit for the month 10 26590.00 There are no lines 11-17. Lines 18-36 correspond to Form G-l. 18 Beginning inventory (from line 21 ollast month's Form G-1) 19 Cost of gambling equipment obtained during the month. (Include sales tax, but do not include the 1.7 percent tax listed on distributor's invoices) 20 Add lines 18 and 19 21 Ending inventory (dollar value on the last day of month; do not include sales tax or 1.7 percent tax listed on distributor's invoices) 22 Total value of the gambling equipment sold (subtract line 21 from line 20) 23 Compensation and payroll taxes 24 Penalty and interest you paid on taxes, including payroll taxes, on any Form G-1 or Schedule C since beginning gambling activities 25 Advertising 26 Accounting services for lawful gambling tax forms, annual audit or review, and qualifying legal work 27 Bank service charges; office supplies; lodging, meals and transportation for lawful gambling classes conducted by state agencies; and miscellaneous expenses 1527.00 0.00 20381.00 21908.00 0.00 488.00 0.00 0.00 4194.00 4682.00 28 Purchase andlor repair expenses for office furnishings and office equipment used for gambling, and devices used for gambling 29 Rent for conducting lawful gambling 30 Utilities used for conducting lawful gambling 31 Theft insurance and the amount permitted for liability insurance 32 Local government investigation fee and cosl for new or renewed gambling manager's bond, gambling managers license and premise permits 33 Cash long or cash short (If cash long, put parentheses around the amount) 34 Reimbursement for excess cash short (This is a negative amount) 35 Reimbursement for negative expense calcuiation (This is a negative amount) 36 TOTAL ALLOWABLE EXPENSES (add lines 22 through 35) 6001010 (Rev. 07199) , 18 1125.95 19 434.30 20 1560.25 21 1083.91 22 476.34 23 2759.71 24 0.00 25 0.00 26 0.00 27 307.51 28 60.00 29 1000.00 30 0.00 31 0.00 32 0.00 33 16.00 - , 34 0.00) 35 0.00) 36 4619.56 Minnesota Gambler