Chapter 9 INTERNAL OPERATIONS & OVERSIGHT (2012) 249 1. G1 Lawful Gambling Monthly Tax Return with the following: __ Schedule A __ Schedule B2 __ Schedule C __ Schedule F 2. Copy of check register or itemized expense journal that includes electronic transactions. 3. Copies of distributor invoices or perpetual inventory records. 4. Copy of the month-end physical inventory 5. Copy of itemized bank statement reconciliation (Schedule F) 6. Fund loss report 7. Correspondence and other documents: __ Gambling Control Board: Approval/denial letters, allegations, questionable expenses, profit carryover variance, other __ Department of Revenue: Error corrections, tax bills, tax orders __IRS: Tax notices __Miscellaneous correspondence __Annual audit __Compliance review report __Bingo program Minnesota Lawful Gambling LG1004 Monthly Gambling Report to Members The items listed below are required to be presented to the membership each month and recorded in the minutes of the meeting. Organization_________________________________________Meeting date_____________, 20_____. Page 1 of 2 1/12 Minnesota Statutes 349.19, Subdivisions 3 and 5 and Minnesota Rules 7861.0320, Subpart 6, require a monthly gambling report to the membership. Members attending this meeting reviewed the documents checked below. The check register and authorization of expenditures are attached to this form and have been made a part of the meeting minutes. Reporting Requirements for each form of lawful gambling conducted Documentation Provided • Gross receipts • Dollar amount of all prizes paid out • Total value of all merchandise prizes awarded from each form of gambling conducted • Lawful purpose expenditures • Profit carryover reconciliation Complete details on all allowable expenses including payee, amount, date issued, and purpose Records of gambling equipment purchases, including: type of equipment; quantity purchased, date purchased, unit cost, and name of distributor. Physical inventory taken at month-end, including games in play, that lists the manufacturer's ID, part number, serial number; game name, cost of each game; and date and signature, in ink, of person completing the physical inventory Gambling bank account reconciliation that balances with the profit carryover for each month and lists outstanding checks, including check number, payee, and amount; outstanding electronic transactions; deposits in transit; and beginning and ending bank balances for each month. Any fund loss discovered during the month. Correspondence sent or received relating to the lawful gambling operations.
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Chapter 9 INTERNAL OPERATIONS & OVERSIGHT
(2012) 249
1. G1 Lawful Gambling Monthly Tax Return with thefollowing: __ Schedule A __ Schedule B2 __ Schedule C __ Schedule F
2. Copy of check register or itemized expensejournal that includes electronic transactions.
3. Copies of distributor invoices or perpetualinventory records.
4. Copy of the month-end physical inventory
5. Copy of itemized bank statement reconciliation (Schedule F)
6. Fund loss report
7. Correspondence and other documents:__ Gambling Control Board:
Approval/denial letters, allegations,questionable expenses, profit carryovervariance, other
__ Department of Revenue:Error corrections, tax bills, tax orders
__IRS: Tax notices__Miscellaneous correspondence__Annual audit__Compliance review report__Bingo program
Minnesota Lawful GamblingLG1004 Monthly Gambling Report to Members
The items listed below are required to be presented to the membershipeach month and recorded in the minutes of the meeting.
Minnesota Statutes 349.19, Subdivisions 3 and 5 and Minnesota Rules 7861.0320, Subpart 6, requirea monthly gambling report to the membership. Members attending this meeting reviewed thedocuments checked below. The check register and authorization of expenditures are attached tothis form and have been made a part of the meeting minutes.
Reporting Requirementsfor each form of lawful gambling conducted
Documentation Provided
• Gross receipts• Dollar amount of all prizes paid out• Total value of all merchandise prizes awarded from
each form of gambling conducted• Lawful purpose expenditures• Profit carryover reconciliation
Complete details on all allowable expenses includingpayee, amount, date issued, and purpose
Records of gambling equipment purchases, including:type of equipment; quantity purchased, date purchased,unit cost, and name of distributor.
Physical inventory taken at month-end, including gamesin play, that lists the manufacturer's ID, part number,serial number; game name, cost of each game; and dateand signature, in ink, of person completing the physicalinventory
Gambling bank account reconciliation that balances withthe profit carryover for each month and listsoutstanding checks, including check number, payee, andamount; outstanding electronic transactions; deposits intransit; and beginning and ending bank balances for eachmonth.
Any fund loss discovered during the month.
Correspondence sent or received relating to the lawfulgambling operations.
Brett Westbrook
PCYH Gambling
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DECEMBER 19
PCYH Gambling
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16
PCYH Gambling
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PINE CITY YOUTH HOCKEY
PCYH Gambling
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X
PCYH Gambling
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X
PCYH Gambling
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X
PCYH Gambling
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X
PCYH Gambling
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FOR OCT 2016
PCYH Gambling
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X
PCYH Gambling
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2017 yearly Unemployment Insurance Tax Rate Determination letter
PCYH Gambling
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X
PCYH Gambling
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New Bingo Program for 2017
Chapter 9 INTERNAL OPERATIONS & OVERSIGHT
250 (2012)
____________________________________________________________________________________Payee Brief explanation of the purpose for LPE code $ amount Approved
each expenditure (Yes/No)_____________________________________________________________________________________________________
LG1004 Monthly Gambling Report to MembersPage 2 of 2
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Authorization of ExpendituresMinnesota Statutes 349.15, subdivision 1 requires that "Gross profits from lawful gambling may be expended onlyfor lawful purposes or allowable expenses as authorized by the membership of the conducting organization at amonthly meeting of the organization's membership."NOTE: When the membership approves an upper limit of expenses for a particular item, the report to themembership the following month must include the specific check or electronic transaction number, payee,purpose, amount, and date of payment for estimated expenditures from the previous month.