Form G-1 Schedule F - Gambling Fund Reconciliation - Minnesota Department Of Revenue

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MINNESOTA Department of Revenue
G-1 Schedule F
Gambling Fund Reconciliation
Attach this schedule to Form G-1 for this month.
Organization name
License number
Month/year reported on this schedule
Gambling checking account
1 End-of-month checking account balance (from bank statements) . . . . . . . . . . . . . . . . . . . . . . . 1
2 Deposits made during the month not included on line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Checks written during the month not included on line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5 Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Other gambling funds not included in checking account
6 Start bank(s) per books . . . . . . . . . . . . . . . . 6a
Unreimbursed losses . . . . . . . . . . . . . . . . . . 6b
End-of-month cash balance in starting banks for games (lines 6a–6b) . . 6
7 Ending inventory (from line 21 of this month’s Form G-1) . . . . . . . . . . 7
8 Cash received but not deposited during the month from sales of games
reported on Form G-1. Do not list amounts included on line 2 . . . . . . 8
9 Total savings accounts, certificates of deposit, mutual
funds and other negotiable instruments including interest . . . . . . . . . . 9
10 Reimbursement for excess cash short (from line 34 of Form G-1) . . . . 10
11 Fund losses . . . . . . . . . . . . . . . . . . . . . . . . 11a
Unsold ticket refunds . . . . . . . . . . . . . . . . . 11b
Merchandise prizes awarded . . . . . . . . . . . 11c
Merchandise prizes paid for, not awarded . 11d
Other additions (attach explanation) . . . . . . 11e
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Add lines 6 through 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Add lines 5 and 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Unpaid obligations and receipts from games not closed
14 Tax from any Form G-1, line 13, unpaid at the end of this month . . . . 14
15 Receipts deposited from games still in play that are not
included on Form G-1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 End-of-month amount due for loans made to gambling fund
from any source (include loans from organization’s general fund ) . . . 16
17 Total cost of games (including sales tax) unpaid at the end of the
month listed on distributor’s invoices . . . . . . . . . . . . . . . . . . . . . . . . 17
18 Other subtractions (attach a detailed description
of each amount included in the total) . . . . . . . . . . . . . . . . . . . . . . . . 18
19 Add lines 14 through 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Reconciliation
20 Gambling fund balance (subtract line 19 from line 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
21 Profit carryover (from line 44 of this month’s Form G-1) . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
22 If line 20 is more than line 21, subtract line 21 from line 20. Fill in this amount on
line 46 of Form G-1.
If line 20 is less than line 21, subtract line 20 from line 21. Fill in this amount
in parentheses on line 46 of Form G-1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Signature of preparer
Name of company if paid preparer
Date
Daytime phone
(
)
Stock No. 6001060
(Rev. 7/99)

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