Raffle Report Of Operations Page 2
Download a blank fillable Raffle Report Of Operations in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Raffle Report Of Operations with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4New Jersey Office of Attorney General
Division of Consumer Affairs
Legalized Games of Chance Control Commission
124 Halsey Street, 6th Floor, P.O. Box 46000
Newark, New Jersey 07101
(973) 273-8000
Raffle Report of Operations
Please print clearly.
Identification number _____________________
Municipality ______________________________________ License number ____________________________
Name of licensee _ ____________________________________________________________________________
Organization
___________________________________________________________________________________________
Street address
City
State
ZIP code
Location of games _ ___________________________________________________________________________
This report, as required by N.J.S.A. 5:8-37 and N.J.A.C. 13:47-9, must be filed with the Legalized Games of
Chance Control Commission no later than the 15th day of the month following the conduct of the game(s) of chance.
Occasion 1
Date ____________________ Time _____________________ Type of raffle ______________
1. Number of tickets sold
___________ 4. Cost of prizes
$ __________ Type of prize(s) _____________
2. Ticket price
$ ___________ 5. Supplies/Equipment cost
$ __________ __________________________
3. Gross receipts
$ ___________ 6. Other expenses
$ __________
7. Total expenses
$ __________ 8. Net proceeds
$_________
Occasion 2
Date ____________________ Time _____________________ Type of raffle ______________
1. Number of tickets sold
___________ 4. Cost of prizes
$ __________ Type of prize(s) _____________
2. Ticket price
$ ___________ 5. Supplies/Equipment cost
$ __________ __________________________
3. Gross receipts
$ ___________ 6. Other expenses
$ __________
7. Total expenses
$ __________ 8. Net proceeds
$_________
Occasion 3
Date ____________________ Time _____________________ Type of raffle ______________
1. Number of tickets sold
___________ 4. Cost of prizes
$ __________ Type of prize(s) _____________
2. Ticket price
$ ___________ 5. Supplies/Equipment cost
$ __________ __________________________
3. Gross receipts
$ ___________ 6. Other expenses
$ __________
7. Total expenses
$ __________ 8. Net proceeds
$_________
Occasion 4
Date ____________________ Time _____________________ Type of raffle ______________
1. Number of tickets sold
___________ 4. Cost of prizes
$ __________ Type of prize(s) _____________
2. Ticket price
$ ___________ 5. Supplies/Equipment cost
$ __________ __________________________
3. Gross receipts
$ ___________ 6. Other expenses
$ __________
7. Total expenses
$ __________ 8. Net proceeds
$_________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form 61a200(q) - Supplemental Report Of Operations For Contained And Residential Landfills
Financial
Form 61a200(q) - Supplemental Report Of Operations For Contained And Residential Landfills - 2008
Financial
Form 61a200(n1) - Report Of Operating Leased Real Property Located In Kentucky By Taxing District
Financial
Related Categories
Parent category: Financial