Form Ci - Annual Certified Physical Inventory And Cash Count Summary Page 2
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1
2Form CI Instructions
How to File
Signatures
All organizations must annually
complete and submit Form CI to
From the Form INV received from each
The CEO and the gambling manager must
site, record the site name and permit num-
sign Form CI.
summarize the cash count of all
ber. Enter the total cash count by site and
sites after physical inventories
Questions?
total the results.
and cash counts have been
Website:
Check the box to ensure that copies of the
conducted.
completed Form INV’s are attached.
Email:
lawfulgambling.taxes@state.mn.us
Phone:
651-297-1772
Check the box to ensure that copies of the
weekdays 8 a.m. to 4:30 p.m.
LG903s (Physical Inventory/Bingo Paper
An annual certified physical inventory and
Monthly Summary) for each site that con-
cash count summary must be completed
This information is available in alternate
ducted paper bingo are attached. LG903s
and submitted to the Department of Rev-
formats.
are used to record the physical inventory at
enue within 30 days after the organization’s
the end of the month.
fiscal year-end.
Note: You must include Form INVs for
The annual certified physical inventory and
each site and Form LG903s for each site
cash count summary must be completed
that conducted paper bingo in order for
and signed by the chief executive officer
the Annual Certified Physical Inventory
(CEO) and the gambling manager.
and Cash Count Summary to be com-
plete.
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Parent category: Financial