Form 35b - Nebraska Lottery/raf E Annual Report - 2012-2013 Page 6
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7Part B
Bank Account Information
Part B is to be utilized by the organization to report the activity in each bank account established by the organization for
revenues derived from the conduct of lottery/raffle activities.
For each account, enter the account number and the name and address of the financial institution.
Certificates of deposit purchased or savings accounts set up with lottery/raffle profits should be shown as separate bank
accounts until withdrawn and used for a lawful purpose.
Line 12. Include lottery/raffle ticket sales which were deposited on or before June 30, 2012 for a lottery/raffle with a
drawing date between July 1, 2012, and June 30, 2013 and lottery/raffle ticket sales for the period from July 1, 2012 through
June 30, 2013 which were not deposited during the annual report period.
Line 13. Include deposits for drawings which will be shown on next year’s annual report because the drawing date occurs
between July 1, 2013 and June 30, 2014.
Line 14. Include transfers from the general fund for start-up costs or any transfers from any other bank account to the lottery/
raffle checking account.
Line 15. If the organization conducts calendar lotteries, include payment of prior year’s calendar lottery prizes which are
included as disbursements on line 10, and any expenses paid for next year’s calendar lottery drawing.
Line 16. Enter any disbursements from the lottery/raffle bank account that are not prizes, expenses, or lawful purpose
disbursements (e.g., repayment of a loan for start-up costs).
OUTSIDE DONATIONS
Check
Name and Address of Recipient
Date
Amount
Description of Intended Use
Number
$
$
Total (enter on line 4, Schedule I on page 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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