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BC-7 Financial Statement of Bingo Operations

Instructions: Prepare report in duplicate. Within 7 days after each occasion, send original to clerk of municipality and retain one copy for your files.

Name of Organization: ____________________________________________________________________

Bingo Identification Number: ____________________________________________________

Street Address: __________________________________________________________________________

City, Town or Village (CIRCLE ONE): ____________________________	Zip Code: _____________
Phone Number: ___________________________

Address where bingo is conducted, if different:

___________________________	__________________________	___________________	_________________________
Street Address	Municipality	Zip	County
___________________________	__________________________	____________________	_________________________
Number of Players	Number of Games	Date of Occasion	Hours of Occasion

A. RECEIPTS:

1.	Bingo Receipts (Form BC-7B must be completed and attached)	$_________________________
2.	Sale of Supplies	$_________________________
3.	Other Receipts (Rent, etc)	$_________________________
4.	Total Receipts (Add lines 1 through 3)	$_________________________

B.EXPENDITURES (Show only payments actually made)

1.	Prizes		$_________________________
	Describe Expenditure	Payee	Check No.	Amount
2.	Rent: __________________________	_________________	____________	____________
3.	License Fee: ____________________	_________________	____________	____________
4.	Bingo Equipment
	and Supplies: ___________________	__________________	____________	____________
5.	Services: ______________________	__________________	____________	____________
	_____________________	__________________	____________	____________
6.	Other Expenses: _________________	__________________	____________	____________
	__________________	__________________	____________	____________
7.	Total Expenditures:		___________________________
	www.gaming.ny.gov	Page 1 of 3	BC-7 Financial Statement (Rev. 10/2016)

C.NET PROFIT OR (LOSS)

1. Profit (or Loss) Before Additional License Fee (Item A4 less Item B7): _________________________

2.	Additional License Fee (LIST CHECK NUMBER_______):			__________________________
3.	Profit (or Loss) (Item 1 less Item 2):			__________________________
D. GAME BANK FUND		Payee	Check Number		Amount
(Memo Entry Only)
		________________	________________		________________
E. DISPOSITION OF AND ACCOUNTING FOR NET PROCEEDS:
1.	If this is organization’s first occasion, give opening balance, if any, in the
	Special Bingo Account:				______________________
	Source of Opening balance: _________________________________________________________
2.	Unexpended balance of net proceeds shown on last report:				______________________
3.	Net Profit (or Loss) from this occasion (Part C, Item 3):				______________________
4.	Interest earned on net proceeds on deposit in interest bearing account(s):				______________________
5.	Other deposits into or adjustments in Special Bingo Account:				______________________
	Explanation: ____________________________________________________________________
6.	Total Net proceeds (Add Items 1 through 5):				______________________


Disbursements of Net Proceeds since last report: (Attach additional sheets if necessary)
Date		Check No.	Description of Disbursements	Name & Address of Payee	Amount
______		________	_______________________	______________________	________
______		________	_______________________	______________________	________
______		________	_______________________	______________________	________
______		________	_______________________	______________________	________
______		________	_______________________	______________________	________
______		________	_______________________	______________________	________
7.	Total Disbursements:			_______________________
8.	Unexpended balance of net proceeds (Item 6 less Item 7):			_______________________

www.gaming.ny.gov

Page 2 of 3

BC-7 Financial Statement (Rev. 10/2016)

F.RECONCILIATION OF UNEXPENDED BALANCE: (To be completed monthly --- upon receipt of monthly bank statement)

Depository		Name of Bank	Account Number	Reconciled Balance
1) Checking		________________________	_____________________	___________________
2)	Savings	_______________________	_____________________	___________________
3)	Other	________________________	_____________________	___________________
Total (Must be the same as Line E8-Unexpended Balance)				___________________

H.DECLARATION: (All three sections must be fully completed and signed. Unsigned reports will be returned):

I swear or affirm that the information and statements contained herein have been examined by me and are true, accurate and complete.

Head of Organization:
___________________________________________________	___________________
Signature	Date

_________________________________________________ ______________________________________________

Print NamePrint Title

__________________________________________________________________ (______)____________________

	Home Address, City and Zip Code	Phone Number
	____________________________________________________
	Email Address

	Member In Charge:
	___________________________________________________	___________________
	Signature	Date

_________________________________________________ ______________________________________________

Print NamePrint Title

__________________________________________________________________ (______)____________________

Home Address, City and Zip Code	Phone Number
____________________________________________________
Email Address

Preparer of Report:

___________________________________________________ ____________________

SignatureDate

_________________________________________________ ______________________________________________

Print NamePrint Title

__________________________________________________________________ (______)____________________

Home Address, City and Zip Code	Phone Number
____________________________________________________
Email Address

www.gaming.ny.gov

Page 3 of 3

BC-7 Financial Statement (Rev. 10/2016)

Question	Answer
Form Name	Form Bj Bc 7
Form Length	3 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	45 sec
Other names	how to fill out a nys bc7 q bingo instrtuctions, bc 7 financial statement bingo operations, gaming commission bc7 bingo, how to fill out a nys bc7 q race and waging bingo

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