Form 35b - Nebraska Lottery/raf E Annual Report - 2012-2013 (Page 2 of 7) in pdf

Important — Please Read

This booklet contains the annual reporting forms to be completed and filed with the Nebraska Department

of Revenue (Department) by any nonprofit organization which held a lottery/raffle license during the period

July 1, 2012 through June 30, 2013. The

Nebraska Lottery and Raffle Regulations

require the organization to

make a complete, true, and accurate accounting to the Department on an annual basis for any lottery conducted by

the organization which generated gross proceeds from ticket sales in excess of $1,000 and for any raffle conducted

by the organization which generated gross proceeds from ticket sales in excess of $5,000. A copy of the report

must also be submitted to the organization’s membership. The report must be filed on the reporting forms

provided in this report and must include:

•

an accounting of the organization’s gross proceeds from lottery/raffle activities;

•

the amount spent on prizes;

•

the value of donated prizes;

•

lawful purpose disbursements of lottery/raffle profits; and

•

a breakdown of expenses.

All parts of the annual report must be completed and filed with the Department by August 15, 2013. If

the organization does not intend to renew its lottery/raffle license, the annual report must still be filed by

August 15, 2013. If the organization cancelled its lottery/raffle license during the reporting period, a report is

still required covering the period July 1, 2012 through the date the organization discontinued its lottery/raffle

activities. In addition, an annual report is required to be filed each year until all lottery/raffle profits have

been disbursed. Instructions for completing each section of this report are printed on each form. Failure to file a

complete, true, and accurate report or not filing the report by the due date are violations of the Nebraska Lottery

and Raffle Regulations and may jeopardize an organization’s eligibility for license renewal and/or result in an

administrative fine up to $1,000.

Helpful hint: Complete page 3 first. Information from page 3 carries to page 1.

Before filing the annual report, please perform these

procedures to ensure accuracy.

1. Reconcile Lottery/Raffle Gross Proceeds to Bank Deposits

A. On page 2, add line 12 to line 7, and subtract lines 13 and 14 to determine bank deposits from the sale of

lottery/raffle tickets for the period.

B. Compare the amount found in step A to line 1, page 1. Attach a written explanation for any significant

discrepancy, and enter the amount as an adjustment on line 12, page 1.

2. Reconcile Lottery/Raffle Expenses and Lawful Purpose Disbursements to Bank Account

Disbursements

A. Add lines 2b through 12, excluding line 3, of page 1 to lines 5, 15, and 16 of page 2 to determine the amount

which was used for lottery/raffle expenses, lawful purpose disbursements, and other expenditures.

B. Compare the amount found in step A above to line 10, page 2. If there is a significant discrepancy, review

your records and correct the annual report.

3. Compare Bank Balances

Make sure that the July 1, 2012 beginning bank balance is the same as the June 30, 2012 ending bank balance

from the previous annual report. If there is a discrepancy, please attach a written explanation.

If you have any questions or need further assistance, please contact: Mike Haverman 402-471-6119, or 877-564-1315.

You may file online at https://charitablegaming.nebraska.gov.

Form 35b - Nebraska Lottery/raf E Annual Report - 2012-2013 Page 2

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