Form 35k - Nebraska County/city Lottery Annual Report - 2013 Page 2

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Important — Please Read
This booklet contains the Nebraska County/City Lottery Annual Report, Form 35K, which is to be
completed and filed with the Nebraska Department of Revenue (Department) by any county, city, or
village which held a county/city lottery (keno) license during its most recently completed fiscal year.
Reg-35-622.04 of the County and City Lottery Regulations states:
In the case of a keno lottery, each county, city, or village shall file with the Department an
annual report of its keno lottery activity. The annual report shall be on a form prescribed
by the Department unless otherwise authorized by the Department. A county, city, or
village may submit a written request to the Department to obtain authorization to deviate
from the annual report format prescribed in this regulation. Such request shall include a
description of the alternative format proposed.
All parts of the annual report must be completed and filed with the Department. The annual report
must cover the fiscal year of the county, city, or village and be filed with the Department within
90 days of the end of the period covered by the report. In the event a county, city, or village cancels
its license or allows such license to expire prior to the end of the reporting period, a final report
must be filed with the Department within 90 days of the date the license was canceled or expired.
Instructions for the completion of each section of the report are printed on each form. Failure to file
a complete, true, and accurate report or not filing the report by the required due date are violations
of the County and City Lottery Regulations and may jeopardize your eligibility to hold a license
and/or result in the imposition of an administrative fine.
The annual report is also available on the Department of Revenue Charitable Gaming’s website:
You may file online at https://charitablegaming.nebraska.gov.
If you have any questions regarding the completion of the annual report or any other related questions,
please contact: Mike Haverman 402-471-6119, or 877-564-1315.

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