Form 04-833 - Instructions For Annual Financial Statement - Alaska Department Of Revenue Page 3

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special instructions for allocation of expenses among
S
I
PECIFIC
NSTRUCTIONS
activities
(see
instructions
titled
"Authorized
P
1
AGE
Expenses") and for expense limitations (see
instructions for line 28). If your organization needs
O
I
RGANIZATION
NFORMATION
assistance in summarizing the checks issued during
the year, please refer to the instructions for the
Enter your organization information in the space
Quarterly Report.
provided.
Step No. 7. Complete the schedule for Donations of
A
F
D
DDITIONAL
EE
UE
Net Proceeds (Sch. E). See instructions later in this
Complete steps 1 through 8.
If the total gross
pamphlet to answer your questions.
receipts on line 4 are under $20,000, no additional
fee is due.
Step No. 8. Complete the Permittee Activity Report
(Sch. AP), Columns E and F. Detailed instructions
If the total gross receipts on line 4 are $20,000 or
for this form are included later in this pamphlet.
more, compute the additional fee due (multiply line 8
by 1 percent). Enter on line 9.
Step No. 9. Complete the Operator/Multiple-
Beneficiary Permittee Activity Report (Sch. AO).
Line 8, Total Net Proceeds. This amount must be
This form is to be completed by a permittee who
paid out for authorized uses within one year. (See
contracts with an operator or who is a member of a
instructions for Schedule E, Donations of Net
multiple-beneficiary
permit
(MBP).
Detailed
Proceeds.)
instructions for reporting both operator-conducted
gaming and gaming conducted by an MBP are
Lines 10 and 11, Penalty for Late Payment and
included in this pamphlet.
Interest. If your organization has not filed its return
Step No. 10. Complete the schedule of Fair Market
by the due date, compute the penalty and interest and
include with your payment for the additional fee due.
Value
of
Donated
Prizes
Awarded
by
the
operator/MBP (Sch. BO).
Please refer to the
G
A
B
instructions in this pamphlet to answer your
AMING
CCOUNT
ALANCE
questions.
Line 13, Prior Year Balance. The amount entered
should agree with the year-end balance entered on
Step No. 11.
Complete the Calculation of
your organization's prior year Annual Financial
Additional Fee Due on Page 1 of the Annual
Financial Statement. No fee is due if total gross
Statement.
If not, attach an explanation to the
report.
receipts are less than $20,000. Please refer to the
instructions included in this pamphlet for this
Line 14, Deposits. Compute the amount of deposits
calculation.
on Schedule F.
Step No. 12.
Complete the Gaming Account
Balance on Page 1 of the Annual Financial
Line 18, Other Adjustments. Other adjustments
may be required to reconcile the cash account.
Statement. To complete lines 14 and 18 of the bank
reconciliation, complete the schedule of Deposits
Schedule F-1 will help identify amounts to include
(Sch. F) for line 11 and the schedule of Other
on this line.
Adjustments (Sch. F-1) for line 18.
Detailed
instructions for the Gaming Account Balance and
Line 20, Year-end Balance.
This should agree
related schedules are included in this pamphlet.
with the reconciled balance of the current year's
December 31 bank statement for the games of
Step
No.
13.
Complete
the
Pull-Tab
chance and skill checking account.
Quarterly/Annual Report Attachment (Sch. D) to
report completed pull-tab games not previously
included on your organization’s quarterly reports.
04-833 (Revised 11/97) Instructions
Page 2 of 10

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