Form CG-EFR "Annual Financial Report for Exempt Organization" - Kentucky

What Is Form CG-EFR?

This is a legal form that was released by the Kentucky Department of Charitable Gaming - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2018;
  • The latest edition provided by the Kentucky Department of Charitable Gaming;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CG-EFR by clicking the link below or browse more documents and templates provided by the Kentucky Department of Charitable Gaming.

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Download Form CG-EFR "Annual Financial Report for Exempt Organization" - Kentucky

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Form CG-EFR
For Office Use Only:
Checked By: _____
Approved By: _____
2018
ANNUAL FINANCIAL REPORT FOR EXEMPT ORGANIZATION
Note: Report is due on January 31
EXE-
20
Exemption No:
Report for Calendar Year:
Name of Organization:
Address:
Street
City
Zip
Phone
Gaming Bank Account #________________________________________________________________
Bank & Address
SECTION 1 - REPORT OF GAMING ACTIVITY
Gaming Activity
Gross Receipts
Payouts
Net Receipts
Bingo
$
$
$
Raffles
$
$
$
Non-Cash Prize Wheels
$
$
$
Festival Games
$
$
$
Total Gaming Activity
$
$
$
***Bingo Paper and Festival Games are subject to sales tax; however, on Section 1 you ONLY report the Gross Receipts for Bingo Paper and
Festival Games sold BEFORE tax.
SECTION 2 - EXPENDITURE OF GAMING PROCEEDS
On the lines listed below, provide an itemized accounting of how your organization spent the net receipts (profit) from
the charitable gaming activities listed in Section 1. (Note: Section 1 Net Receipts must Equal Section 2)
Amount
Description
$
$
$
$
$
$
SECTION 3 - SIGNATURE and VERIFICATION
As an OFFICER of the organization, I have examined this report and to the best of my knowledge and belief it is a
true, correct and complete report. Declaration of PREPARER (other than organization office) is based on all
available information.
CEO or CFO Print Name:
Title
Date
CEO or CFO Signature:
Preparer Printed Name:
Title
Date
Preparer Signature:
VISIT OUR WEBSITE AT
http://www.dcg.ky.gov
Form CG-EFR
For Office Use Only:
Checked By: _____
Approved By: _____
2018
ANNUAL FINANCIAL REPORT FOR EXEMPT ORGANIZATION
Note: Report is due on January 31
EXE-
20
Exemption No:
Report for Calendar Year:
Name of Organization:
Address:
Street
City
Zip
Phone
Gaming Bank Account #________________________________________________________________
Bank & Address
SECTION 1 - REPORT OF GAMING ACTIVITY
Gaming Activity
Gross Receipts
Payouts
Net Receipts
Bingo
$
$
$
Raffles
$
$
$
Non-Cash Prize Wheels
$
$
$
Festival Games
$
$
$
Total Gaming Activity
$
$
$
***Bingo Paper and Festival Games are subject to sales tax; however, on Section 1 you ONLY report the Gross Receipts for Bingo Paper and
Festival Games sold BEFORE tax.
SECTION 2 - EXPENDITURE OF GAMING PROCEEDS
On the lines listed below, provide an itemized accounting of how your organization spent the net receipts (profit) from
the charitable gaming activities listed in Section 1. (Note: Section 1 Net Receipts must Equal Section 2)
Amount
Description
$
$
$
$
$
$
SECTION 3 - SIGNATURE and VERIFICATION
As an OFFICER of the organization, I have examined this report and to the best of my knowledge and belief it is a
true, correct and complete report. Declaration of PREPARER (other than organization office) is based on all
available information.
CEO or CFO Print Name:
Title
Date
CEO or CFO Signature:
Preparer Printed Name:
Title
Date
Preparer Signature:
VISIT OUR WEBSITE AT
http://www.dcg.ky.gov