Instructions For 2013 Alaska Mulitple-Beneficiary Permittee Quarterly Report Form Page 3
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7Instructions for 2013 Alaska Mulitple-Beneficiary
Permittee Quarterly Report
activity. Enter the sum of Adjusted Gross Income (line 4) for
all activities on line 4, Column I.
Line 3, Cost of Prizes. Enter the allocable cost of prizes
for each permittee member on the applicable Schedule A
Line 5, Game-Related Expense. Enter the total expense
and on Page 1, Column C, on the line designated for this
for each activity from Schedule C (MBP Total Activity), line
permittee member.
21. Enter the sum of all game-related expenses on line 5
for each gaming activity. Enter the sum of game-related
Line 4, Adjusted Gross Income. Subtract Federal Excise
expenses for all activities on line 5, Column I.
Tax (Line 2) and Cost of Prizes (Line 3) from Total Gross
Receipts (Line 1) and enter the result on Line 4 for each
Caution: Game-related expenses may be limited on an
activity. Enter the sum of Adjusted Gross Income for all
annual basis; please refer to the instructions for Schedule
activities on line 4, Column I and on Page 1, Column D, on
C.
the line designated for this permittee member.
Line 6, Net Proceeds. Subtract Game-Related Expenses
Enter the allocable
Line 5, Game-Related Expense.
(line 5) from Adjusted Gross Income (line 4) and enter
expense for each activity for each permittee member on
the result on line 6 for each activity. Enter the sum of Net
the appropriate lines. Retain computations of the allocable
Proceeds for all activities on line 6, Column I.
shares with the MBP’s permanent records. Enter the sum
of all game-related expenses on line 5, Column I, and on
Page 1, Column E, on the line designated for this permittee
SCHEDULE A
member.
ACTIVITY
REPORT
BY
PERMITTEE
FOR
EACH
PERMITTEE MEMBER
Line 6, Net Proceeds. Subtract Game-Related Expenses
(Line 5) from Adjusted Gross Income (Line 4) and enter
Enter the permittee member name and permit number in
the result on line 6 for each activity. Enter the sum of Net
the spaces provided on additional Schedules A for each
Proceeds for all activities on line 6, Column I, and on Page 1,
permittee member. Enter the MBP information on each of
Column F, on the line designated for this permittee member.
the forms.
Enter the total net proceeds paid to the member permittee
Member Interest in Gaming Activity. Enter the permittee
for the current quarter on line 7. The amount reported
member’s share of gross receipts, federal excise tax, prizes
should include all payments of net proceeds for the current
and game-related expenses for the period. If a new member
quarter, even those made after the end of the quarter. Do
permittee was added during the quarter, the participation
not include net proceeds paid for the prior quarter.
share for each member must be adjusted ratably for the
period.
SCHEDULE AV
Allocation Procedures: Compute each permittee member’s
VENDOR ACTIVITY REPORT
share of receipts, federal excise tax, prizes and expenses
based on the member’s percentage interest in the gaming
Use this form to report all sales of pull-tabs by registered
activity.
The same percentage must be used for all
vendors (under AS 05.15.188) on behalf of the MBP. Note
components of net proceeds. A permittee member cannot
that vendor activity reported on Schedules AV and C-1
be allocated more than the maximum annual prize limit
carries forward to Schedules A and C. Use additional forms
for pull-tabs or for other gaming activities. If there was
if the MBP had more than five vendors in the quarter.
a change in the permittee member’s interest during the
year, compute that member’s share for each short period.
Note: If the MBP conducts other gaming activities during
Retain computations of the allocable shares with the MBP’s
the year, in addition to vendor activity, only expenses
permanent records.
directly related to the vendor sales that were incurred by
the permittee, should be entered on Schedule AV. General
Line 1, Gross Receipts. Enter the allocable gross receipts
gaming expenses, such as the permit application fees,
for each permittee member on the applicable Schedule A
should be entered on Schedule C; the vendor registration
and on Page 1, Column A, on the line designated for this
fee is reported as an “Other Vendor Expense” in Column H.
permittee member.
Vendor Information. Enter the name and ABC license
Line 2, Federal Excise Tax. Enter the allocable excise tax
number of each registered vendor on the lines provided.
for each permittee member on the applicable Schedule A
and on Page 1, Column B, on the line designated for this
Column A, Gross Receipts. Enter the ideal gross receipts
permittee member.
for all games delivered to each vendor on the appropriate
0405-867i Rev 09/12 - page 3
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