Form 35k - Nebraska County/city Lottery Annual Report

Instructions

Who Must File. Every county, city, or village licensed to conduct a county/city lottery (keno) must report annually to the

Nebraska Department of Revenue a complete and accurate accounting of the gross proceeds from its lottery (keno). The annual

report is to cover the fiscal year of the county, city, or village. The beginning and ending dates of the report must be entered in

the space provided at the top of the form.

Method of Accounting. The report is to be prepared using the accounting basis of the county, city, or village: cash, accrual,

or other. Cash basis accounting is the practice of recording income and expense only when received or paid out. Accrual basis

of accounting is a method of keeping accounts which shows expenses incurred and income earned for a given period, although

such expenses and income may not have been actually paid or received.

When and Where to File. The annual report must be filed with the Nebraska Department of Revenue within 90 days of the

end of the reporting period. If a county, city, or village cancelled or lapsed its license during the reporting period, a final report

must be filed with the Department within 90 days of the cancellation or expiration date of the license.

Specific Instructions

Line 1. Enter the gross proceeds of the lottery for the reporting period without any reduction for prizes, discounts, taxes, or

expenses. Gross proceeds is the sum of the daily “net write or net handle” (total wagers minus voided tickets) for the reporting

period. It includes the face value of free play tickets, games, or coupons used or redeemed. Note: It is essential that the gross

proceeds have been reconciled to the transaction totals of the computerized keno system for the entire reporting period.

Line 2. Enter the total lottery prizes paid for the reporting period. Prizes paid is the sum of daily prize payments (total “paid”)

for the reporting period. Include both prizes paid in cash and prizes paid by check. Note: It is essential that prizes paid has

been reconciled to the transaction totals of the computerized keno system for the entire reporting period.

Line 4. Enter the net amount of any adjustments to net proceeds attributable to deposit overages or shortages.

Line 6. Enter the amount of lottery operator commissions paid or incurred by the county, city, or village for the

reporting period.

Line 7. Enter the amount of state lottery taxes paid or incurred by the county, city, or village for the reporting period. Do not

include any federal or local taxes.

Line 8. Enter the amount of state license fees paid or incurred by the county, city, or village for the reporting period. Do not

include any federal or local fees.

Line 9. Enter the amount of audit and legal fees paid or incurred by the county, city, or village for the reporting period. Audit

and legal fees include all expenses relating to (a) the government organization of the lottery, (b) government maintenance,

monitoring, and examination of lottery records, and (c) enforcement, regulatory, administrative, investigative, and litigation

functions incurred by the county, city, or village, but does not include the expenses of the actual conduct of the game.

Line 10. Enter the amount of any other county/city lottery expenses paid or incurred by the county, city, or village for the

reporting period. This includes all costs associated with the purchasing, printing, or manufacturing of any item to be used or

distributed in the lottery, all office or clerical expenses connected with the lottery, and all salaries of persons employed to operate

the lottery. This includes miscellaneous bank charges, etc. Do not include state lottery taxes, license fees, and audit and legal

fees included in lines 7, 8, and 9. Attach an itemized list of such expenses, indicating the nature of each expense and the

corresponding amount.

Line 15. Enter the amount owed, if any, to the county, city, or village at the end of the reporting period.

Line 16. Enter the amount of lottery operator commissions claimed by the lottery operator for past months, if any, which are

to be paid from future lottery proceeds. Include an itemized schedule indicating the amount, by month, that the lottery operator

is claiming.

Authorized Signatures. The individual who prepared the annual report must sign in the space provided. The annual report

must also be signed by a governing official of the county, city, or village. A governing official is the chief executive officer of the

county, city, or village or any other elected or appointed official, including a governing board member, who has any decision-

making responsibility regarding the conduct and operation of the county/city lottery (keno) activity.

Form 35k - Nebraska County/city Lottery Annual Report - 2013 Page 4

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