Form Bc-7q - Quarterly Statement Of Bingo Operations - Nys Gaming Commission - Division Of Charitable Gaming

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Division of Charitable Gaming
BC- 7Q Quarterly Statement of Bingo Operations
CALENDAR YEAR: _________
– March 31
– June 30
– September 30
– December 31
st
st
st
th
st
th
st
st
January 1
April 1
July 1
October 1
Name of Organization: ______________________________ Bingo ID: ____________________ License Number: _________
Address: ______________________________________ ____________________________ _____________________
Street
City
Zip Code
Number of Occasions: ____________________
Number of Players: ______________________
Instructions: Prepare this report in triplicate. Within 15 days after the end of each calendar quarter, send original to the New
York State Gaming Commission, Division of Charitable Gaming, one copy to the municipal clerk and retain one copy for your
records. Mail to: The New York State Gaming Commission, Charitable Gaming, PO Box 7500, Schenectady, NY 12301-7500.
A. RECEIPTS – (Part “A” of Form BC-7)
Total Bingo Receipts
$________________________
A1.
A2. Total Sale of Supplies
$________________________
A3. Total Other Receipts (Rent, etc)
$________________________
A4. Total Receipts (Add lines A1 through A3)
$________________________
B. EXPENDITURES
B1. Total Prizes
$_______________________
B2. Total Rent (if applicable)
$_______________________
B3. Total License Fee
$_______________________
B4. Total Bingo Equipment
$_______________________
B5. Total Services
$_______________________
B6. Total Other Expenses
$_______________________
B7. Total Expenditures (Add lines B1 through B6)
$_______________________
C. NET PROFIT OR (LOSS)
C1. Total Profit or (Loss) Before Additional License Fee (Line A4 less line B7)
$________________________
C2. Total additional license fee
$________________________
C3. Total Net Profit or (Loss) (line C1 less line C2)
$________________________
D. DISPOSITION OF AND ACCOUNTING NET PROCEEDS
D1. Unexpended balance of net proceeds shown on last BC-7Q (Line F of BC-7Q)
$________________________
D2. Net Profit or (Loss) from this period (Line C3)
$________________________
D3. Interest earned on net proceeds on deposit in interest bearing account(s)
$________________________
D4. Other deposits into or adjustments in Special Bingo Account (if applicable)
$________________________
Explanation ________________________________________
D5. Total net proceeds (add lines D1 through D4)
$________________________
P.O. Box 7500, Schenectady, NY 12305-7500
Form BC-7Q
Page 1 of 2
(Revised 10/14)

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