Form CGCC-CH7-03 "Cardroom Business License: Annual Fee Calculation" - California

What Is Form CGCC-CH7-03?

This is a legal form that was released by the California Gambling Control Commission - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2020;
  • The latest edition provided by the California Gambling Control Commission;
  • 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 CGCC-CH7-03 by clicking the link below or browse more documents and templates provided by the California Gambling Control Commission.

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Download Form CGCC-CH7-03 "Cardroom Business License: Annual Fee Calculation" - California

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State of California
California Gambling Control Commission
Cardroom Business License: Annual Fee Calculation
CGCC-CH7-03 (New 05/20)
Page 1 of 2
MAIL COMPLETED FORM AND FEE TO:
BUREAU OF GAMBLING CONTROL
P.O. Box 168024
Sacramento, CA 95816-8024
(916) 830-1700
PLEASE READ THE FOLLOWING INFORMATION CAREFULLY BEFORE YOU COMPLETE THIS FORM
This form is for determining the amount of annual fees paid to the Bureau of Gambling Control. The fee schedules are based on the
gross revenues of the cardroom business licensee and the number of authorized tables at the close of the cardroom business licensee’s
previous fiscal year.
All responses must be truthful and complete. All responses and supplemental documentation are subject to verification and will be
used to determine suitability under the Gambling Control Act and California Gambling Control Commission regulations. Any
misrepresentation or failure to disclose required information or documentation may constitute cause for denial of the application or
discipline of the licensee.
All information must be typed or printed legibly in blue or black ink. Any questions that do not apply should be indicated with “N/A”
(Not Applicable). If the space available is insufficient, attach a separate sheet of paper and precede each answer with the applicable
section and question number. Any corrections, changes, or other alterations must be initialed and dated by the applicant.
SECTION 1: CARDROOM BUSINESS LICENSEE INFORMATION
ENTITY NAME
LICENSE NUMBER
SECTION 2: GAMBLING ACTIVITIES/REVENUE
List the games offered and the gross revenue attributed to each game for the cardroom’s prior fiscal year.
F
Y
-
ISCAL
EAR
R
:
EPORTING
(mm/yy)
(mm/yy)
A. P
S
G
R
OKER
TYLE
AMES
EVENUE
1)
$
2)
$
3)
$
4)
$
B. C
G
R
ALIFORNIA
AMES
EVENUE
1)
$
2)
$
3)
$
4)
$
C. O
G
R
THER
AMES
EVENUE
1)
$
State of California
California Gambling Control Commission
Cardroom Business License: Annual Fee Calculation
CGCC-CH7-03 (New 05/20)
Page 1 of 2
MAIL COMPLETED FORM AND FEE TO:
BUREAU OF GAMBLING CONTROL
P.O. Box 168024
Sacramento, CA 95816-8024
(916) 830-1700
PLEASE READ THE FOLLOWING INFORMATION CAREFULLY BEFORE YOU COMPLETE THIS FORM
This form is for determining the amount of annual fees paid to the Bureau of Gambling Control. The fee schedules are based on the
gross revenues of the cardroom business licensee and the number of authorized tables at the close of the cardroom business licensee’s
previous fiscal year.
All responses must be truthful and complete. All responses and supplemental documentation are subject to verification and will be
used to determine suitability under the Gambling Control Act and California Gambling Control Commission regulations. Any
misrepresentation or failure to disclose required information or documentation may constitute cause for denial of the application or
discipline of the licensee.
All information must be typed or printed legibly in blue or black ink. Any questions that do not apply should be indicated with “N/A”
(Not Applicable). If the space available is insufficient, attach a separate sheet of paper and precede each answer with the applicable
section and question number. Any corrections, changes, or other alterations must be initialed and dated by the applicant.
SECTION 1: CARDROOM BUSINESS LICENSEE INFORMATION
ENTITY NAME
LICENSE NUMBER
SECTION 2: GAMBLING ACTIVITIES/REVENUE
List the games offered and the gross revenue attributed to each game for the cardroom’s prior fiscal year.
F
Y
-
ISCAL
EAR
R
:
EPORTING
(mm/yy)
(mm/yy)
A. P
S
G
R
OKER
TYLE
AMES
EVENUE
1)
$
2)
$
3)
$
4)
$
B. C
G
R
ALIFORNIA
AMES
EVENUE
1)
$
2)
$
3)
$
4)
$
C. O
G
R
THER
AMES
EVENUE
1)
$
Gambling Establishment: Annual Fee Calculation
Page 2 of 2
2)
$
3)
$
4)
$
D. T
T
R
(E
F
)
OURNAMENT
YPES
EVENUE
NTRY
EE
1) P
S
T
:
$
OKER
TYLE
OURNAMENTS
2) C
G
T
:
$
ALIFORNIA
AME
OURNAMENTS
E. T
A
I
R
I
C
:
$
OTAL
NNUAL
NTEREST
ECEIVED FROM THE
SSUANCE OF
REDIT
T
R
L
A
(A+B+C+D+E):
$
OTAL
EVENUES
ISTED
BOVE
SECTION 3: ANNUAL FEE SCHEDULES
Check the appropriate box based on the Total Revenues indicated in Section 1 and follow the instructions to determine the appropriate fee per authorized
table.
A
$200,000. R
T
1
.
NNUAL GROSS REVENUES ARE LESS THAN
EFER TO
ABLE
TO DETERMINE THE APPROPRIATE FEE PER AUTHORIZED TABLE
A
$200,000
. T
:
NNUAL GROSS REVENUES ARE
OR MORE
O DETERMINE THE APPROPRIATE FEE PER AUTHORIZED TABLE
1. R
N
A
T
T
1
EFER TO THE CARDROOM
S
UMBER OF
UTHORIZED
ABLES RANGE IN
ABLE
AND THE CORRESPONDING FEE
2. R
G
R
T
2
.
EFER TO THE CARDROOM
S
ROSS
EVENUES RANGE IN
ABLE
AND THE CORRESPONDING FEE
3. T
.
HE FEE PER TABLE WILL BE THE GREATER OF THE TWO AMOUNTS
T
1
ABLE
N
A
UMBER OF
UTHORIZED
1-5
6-8
9-14
15-25
26-70
71
OR MORE
1
T
ABLES
F
P
T
$300
$550
$1300
$2700
$4000
$4700
EE
ER
ABLE
1
B
.
ASED ON THE NUMBER OF AUTHORIZED TABLES AT THE CLOSE OF THE LICENSEE
S PRECEDING FISCAL YEAR
T
2
ABLE
G
R
$200,000- $499,999
$500,000 - $1,999,999
$2,000,000 - $9,999,999
$10,000,000 - $29,999,999
$30,000,000
ROSS
EVENUES
OR MORE
F
P
T
$550
$1300
$2700
$4000
$4700
EE
ER
ABLE
A
F
C
NNUAL
EE
ALCULATION
F
P
T
:
$
EE
ER
ABLE
M
C
:
ULTIPLY BY THE
ARDROOM
S NUMBER OF AUTHORIZED TABLES
X
TOTAL ANNUAL FEE TO BE SUBMITTED:
$
SECTION 4: DECLARATION
I declare under penalty of perjury under the laws of the State of California that the information in this form is true, accurate, and complete, and that
this declaration is executed by me at
.
City and State
PRINTED NAME
SIGNATURE
CAPACITY
DATE (MM/DD/YYYY)
This form must be signed by the appropriate person identified below:
 If licensee is a corporation, LLC, or joint venture then by an authorized officer.
 If licensee is a general partnership or limited partnership then by an authorized partner.
 If licensee is a sole proprietor then by the owner.
 If licensee is a trust then by an authorized trustor or trustee.
 If licensee is a natural person then by the licensee.
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