Form RCG-32 Charitable Games Event Workers Attendance List - Illinois

Form RCG-32 or the "Charitable Games Event Workers Attendance List" is a form issued by the Illinois Department of Revenue.

Download a PDF version of the Form RCG-32 down below or find it on the Illinois Department of Revenue Forms website.

ADVERTISEMENT
Use your 'Mouse' or the 'Tab key' to move through the fields and 'Mouse' or 'Space bar' to enable the checkboxes.
Illinois Department of Revenue
RCG-32
Charitable Games Event Workers Attendance List
Read this information first
Form RCG-32 must be completed after each charitable games event your organization conducts. You no longer have to submit the form to us
when you renew your charitable gaming license. Keep the completed copy in your records and make it available to us when we request it. You
must maintain all records for a period of three years.
Members, employees, or volunteers of your organization who participated in the management or operation of your charitable games event must
complete Step 2. If more than 26 individuals worked your event, additional Forms RCG-32 must be completed. Setting and cleaning up, selling
concessions or working in the kitchen, or providing security for persons or property does not constitute participation in the management or
operation of a charitable games event.
The president of the organization conducting the charitable games event must complete the certification in Step 3.
If you have questions, visit our website at tax.illinois.gov or call us at 217 785-5864.
Step 1: Identify your organization and charitable games event dates
Organization name: ________________________________________
Event date(s): ____ / ____ / ________
____ / ____ / ________
Month
Day
Year
Month
Day
Year
Charitable games license number: CG - ________________
Complete the second date entry if your events were held consecutively.
Step 2: Complete the workers’ perjury statement
Under penalties of perjury, I certify that I worked a charitable games event for the organization on the date(s) identified in Step 1. I also certify
that I have not participated in the management or operation of more than 12 charitable games events within this calendar year; that I have not
received any remuneration or compensation directly or indirectly for participating in the management or operation of any charitable games event;
that I am not a professional gambler or have not been convicted of any felony within 10 years of the date of this certification or of any violation of
the Criminal Code of 1961, Article 28; and that I am not employed by or do not have any interest in any person, firm or corporation that holds a
charitable games provider’s or supplier’s license.
1 _______________________________________________
7 _______________________________________________
Worker’s name
Worker’s name
______ - ____ - ________
______ - ____ - ________
Social Security number
Social Security number
_______________________________________________
_______________________________________________
Worker’s signature
Date
Worker’s signature
Date
2 _______________________________________________
8 _______________________________________________
Worker’s name
Worker’s name
______ - ____ - ________
______ - ____ - ________
Social Security number
Social Security number
_______________________________________________
_______________________________________________
Worker’s signature
Date
Worker’s signature
Date
3 _______________________________________________
9 _______________________________________________
Worker’s name
Worker’s name
______ - ____ - ________
______ - ____ - ________
Social Security number
Social Security number
_______________________________________________
_______________________________________________
Worker’s signature
Date
Worker’s signature
Date
4 _______________________________________________ 10 _______________________________________________
Worker’s name
Worker’s name
______ - ____ - ________
______ - ____ - ________
Social Security number
Social Security number
_______________________________________________
_______________________________________________
Worker’s signature
Date
Worker’s signature
Date
5 _______________________________________________ 11 _______________________________________________
Worker’s name
Worker’s name
______ - ____ - ________
______ - ____ - ________
Social Security number
Social Security number
_______________________________________________
_______________________________________________
Worker’s signature
Date
Worker’s signature
Date
6 _______________________________________________ 12 _______________________________________________
Worker’s name
Worker’s name
______ - ____ - ________
______ - ____ - ________
Social Security number
Social Security number
_______________________________________________
_______________________________________________
Worker’s signature
Date
Worker’s signature
Date
RCG-32 front (R-08/15)
Use your 'Mouse' or the 'Tab key' to move through the fields and 'Mouse' or 'Space bar' to enable the checkboxes.
Illinois Department of Revenue
RCG-32
Charitable Games Event Workers Attendance List
Read this information first
Form RCG-32 must be completed after each charitable games event your organization conducts. You no longer have to submit the form to us
when you renew your charitable gaming license. Keep the completed copy in your records and make it available to us when we request it. You
must maintain all records for a period of three years.
Members, employees, or volunteers of your organization who participated in the management or operation of your charitable games event must
complete Step 2. If more than 26 individuals worked your event, additional Forms RCG-32 must be completed. Setting and cleaning up, selling
concessions or working in the kitchen, or providing security for persons or property does not constitute participation in the management or
operation of a charitable games event.
The president of the organization conducting the charitable games event must complete the certification in Step 3.
If you have questions, visit our website at tax.illinois.gov or call us at 217 785-5864.
Step 1: Identify your organization and charitable games event dates
Organization name: ________________________________________
Event date(s): ____ / ____ / ________
____ / ____ / ________
Month
Day
Year
Month
Day
Year
Charitable games license number: CG - ________________
Complete the second date entry if your events were held consecutively.
Step 2: Complete the workers’ perjury statement
Under penalties of perjury, I certify that I worked a charitable games event for the organization on the date(s) identified in Step 1. I also certify
that I have not participated in the management or operation of more than 12 charitable games events within this calendar year; that I have not
received any remuneration or compensation directly or indirectly for participating in the management or operation of any charitable games event;
that I am not a professional gambler or have not been convicted of any felony within 10 years of the date of this certification or of any violation of
the Criminal Code of 1961, Article 28; and that I am not employed by or do not have any interest in any person, firm or corporation that holds a
charitable games provider’s or supplier’s license.
1 _______________________________________________
7 _______________________________________________
Worker’s name
Worker’s name
______ - ____ - ________
______ - ____ - ________
Social Security number
Social Security number
_______________________________________________
_______________________________________________
Worker’s signature
Date
Worker’s signature
Date
2 _______________________________________________
8 _______________________________________________
Worker’s name
Worker’s name
______ - ____ - ________
______ - ____ - ________
Social Security number
Social Security number
_______________________________________________
_______________________________________________
Worker’s signature
Date
Worker’s signature
Date
3 _______________________________________________
9 _______________________________________________
Worker’s name
Worker’s name
______ - ____ - ________
______ - ____ - ________
Social Security number
Social Security number
_______________________________________________
_______________________________________________
Worker’s signature
Date
Worker’s signature
Date
4 _______________________________________________ 10 _______________________________________________
Worker’s name
Worker’s name
______ - ____ - ________
______ - ____ - ________
Social Security number
Social Security number
_______________________________________________
_______________________________________________
Worker’s signature
Date
Worker’s signature
Date
5 _______________________________________________ 11 _______________________________________________
Worker’s name
Worker’s name
______ - ____ - ________
______ - ____ - ________
Social Security number
Social Security number
_______________________________________________
_______________________________________________
Worker’s signature
Date
Worker’s signature
Date
6 _______________________________________________ 12 _______________________________________________
Worker’s name
Worker’s name
______ - ____ - ________
______ - ____ - ________
Social Security number
Social Security number
_______________________________________________
_______________________________________________
Worker’s signature
Date
Worker’s signature
Date
RCG-32 front (R-08/15)
Step 2: Complete the workers’ perjury statement (continued)
Under penalties of perjury, I certify that I worked a charitable games event for the organization on the date(s) identified in Step 1. I also certify
that I have not participated in the management or operation of more than 12 charitable games events within this calendar year; that I have not
received any remuneration or compensation directly or indirectly for participating in the management or operation of any charitable games event;
that I am not a professional gambler or have not been convicted of any felony within 10 years of the date of this certification or of any violation of
the Criminal Code of 1961, Article 28; and that I am not employed by or do not have any interest in any person, firm or corporation that holds a
charitable games provider’s or supplier’s license.
13 _______________________________________________ 20 _______________________________________________
Worker’s name
Worker’s name
______ - ____ - ________
______ - ____ - ________
Social Security number
Social Security number
_______________________________________________
_______________________________________________
Worker’s signature
Date
Worker’s signature
Date
14 _______________________________________________ 21 _______________________________________________
Worker’s name
Worker’s name
______ - ____ - ________
______ - ____ - ________
Social Security number
Social Security number
_______________________________________________
_______________________________________________
Worker’s signature
Date
Worker’s signature
Date
15 _______________________________________________ 22 _______________________________________________
Worker’s name
Worker’s name
______ - ____ - ________
______ - ____ - ________
Social Security number
Social Security number
_______________________________________________
_______________________________________________
Worker’s signature
Date
Worker’s signature
Date
16 _______________________________________________ 23 _______________________________________________
Worker’s name
Worker’s name
______ - ____ - ________
______ - ____ - ________
Social Security number
Social Security number
_______________________________________________
_______________________________________________
Worker’s signature
Date
Worker’s signature
Date
17 _______________________________________________ 24 _______________________________________________
Worker’s name
Worker’s name
______ - ____ - ________
______ - ____ - ________
Social Security number
Social Security number
_______________________________________________
_______________________________________________
Worker’s signature
Date
Worker’s signature
Date
18 _______________________________________________ 25 _______________________________________________
Worker’s name
Worker’s name
______ - ____ - ________
______ - ____ - ________
Social Security number
Social Security number
_______________________________________________
_______________________________________________
Worker’s signature
Date
Worker’s signature
Date
19 _______________________________________________ 26 _______________________________________________
Worker’s name
Worker’s name
______ - ____ - ________
______ - ____ - ________
Social Security number
Social Security number
_______________________________________________
_______________________________________________
Worker’s signature
Date
Worker’s signature
Date
Step 3: Sign below
Under penalties of perjury, I certify that Step 2 on all Forms RCG-32 completed with Form RCG-18, Charitable Games Tax Return, contains an
accurate and complete listing of all persons who participated in the management or operation of the charitable games event(s) for which Form
RCG-18 is filed. I certify that these persons are bona fide members, volunteers, or employees of the licensed organization identified in Step
1; that none of them participated in the management or operation of more than 12 charitable games events within this calendar year; and that
none of them received any remuneration or compensation directly or indirectly for participating in the management or operation of the charitable
games event conducted by the licensed organization. I also certify that my organization has complied with all of the provisions of the Charitable
Games Act.
President’s signature _______________________________________
Date ____ / ____ / ____
This form is authorized as outlined under the tax or fee Act imposing the tax or fee for which this form is filed. Disclosure of this information is required.
Failure to provide information may result in this form not being processed and may result in a penalty.
RCG-32 back (R-08/15)
Reset
Print

Download Form RCG-32 Charitable Games Event Workers Attendance List - Illinois

943 times
Rate
4.7(4.7 / 5) 57 votes
ADVERTISEMENT
Page of 2