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(Sch. AP). Donated prizes do not reduce the net

Column E, Vendor Compensation. Enter the total

proceeds from the gaming activity.

However,

paid to each vendor on the appropriate line. Enter

the total vendor compensation for all vendors on

donated prizes are part of the total prize

limitation for bingo, pull-tabs and all other games as

line 6.

set out in the regulations.

Columns F and G, Cost of Pull-Tab Games and

Pull-Tab Tax Paid. Enter the cost of all games

CHEDULE

delivered to each vendor and the 3% tax paid on

ENDOR

CTIVITY

EPORT

those games in Columns F and G on the appropriate

Use this form to report all sales of pull-tabs by

line. Enter the total cost of games and the total 3%

vendor(s) registered [AS 05.15.188] to sell pull-tabs

tax paid for all vendors on line 6.

on your behalf. Do not report vendor sales with

other pull-tab sales on Schedules A or C.

Use

DO NOT include the cost of these games on

additional forms if necessary.

Schedule C. If the cost of pull-tab games delivered

to the vendor(s) is included on line 2 of Schedule

Vendor Information.

Enter the ABC license

C-1 (Page 6), Cost of Pull-Tab Games, enter the total

cost of pull-tab games (line 6, Column F of this

number and name of each vendor registered under

AS 05.15.188 on the lines provided.

schedule) on line 5 of Schedule C-1 so that the cost

of the games sold at the vendor location will not be

duplicated on Schedule C.

Column A, Gross Receipts. Enter the ideal gross

receipts for all games delivered to each vendor on

Column H, Total Expense. Add Columns E, F and

the appropriate line. Enter total ideal gross, not the

amount of payment received from the vendor. Enter

G, and enter the total in Column H for each vendor

the total gross receipts for all vendors on line 6.

on the appropriate line. Enter the total expense for

all vendors on line 6.

Gross receipts when sales tax is imposed by the

municipality: If your municipality imposes a sales

Note: Only the expenses listed in Columns E, F and

G should be entered on Schedule AV.

General

tax on the sale of pull-tabs and requires the tax to be

gaming expenses, such as the permit application

paid on the ideal sales price, the ideal gross must be

reduced by the amount of sales tax paid.

If the

fees, should be entered on Schedule C, Page 5. If the

vendor pays the sales tax from his funds, your

only

gaming

activity

that

your

organization

participates in is the sale of pull-tabs by a vendor and

organization will report the ideal gross receipts.

Enter the total gross receipts (Col. A, line 6) on

that activity is reported on Schedule AV, enter the

line 3, Page 1 of the Annual Financial Statement.

total general expense from Schedule C, line 29, on

Page 1, line 6, as a negative number.

Column B, Taxes. Enter taxes paid (such as the

Column I, Net Proceeds. Subtract Column H from

federal excise tax on the sale of pull-tabs) on games

delivered to each vendor on the appropriate line.

Column D and enter the result in Column I for each

vendor. Enter the total net proceeds for all vendors

on line 6.

Column C, Cost of Prizes Awarded.

Enter the

total ideal prize amount for all games delivered to

each vendor on the appropriate line. Enter ideal

-R

AME

ELATED

XPENSES

FOR

ERMITTEE

prizes, not the actual prizes paid out by your

ONDUCTED

AMING

C, P

organization's vendor(s).

Enter the total cost of

CHEDULE

AGE

prizes awarded for all vendors on line 6. The total

Do not report operator or MBP expenses on this

amount entered in Column C, line 6, is part of your

schedule.

total non-bingo prize limitation for the year.

Authorized Expenses. Remember that expenses are

Column D, Adjusted Gross Income.

Subtract

Columns B and C from Column A and enter the

allowed only if they directly relate to the operation of

authorized games. If your organization held more

difference in Column D for each vendor. Enter the

than one type of gaming activity and cannot

total adjusted gross income for all vendors on line 6.

determine how much of a certain expense (for

04-833 (Revised 11/97) Instructions

Page 5 of 10

Form 04-833 - Instructions For Annual Financial Statement - Alaska Department Of Revenue Page 6

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