Gcvs 2 Form PDF Details

As humans, we are constantly learning and evolving. The same can be said for businesses – they must grow and evolve to stay competitive and relevant in their industry. One way businesses can do this is through the use of a Gcvs 2 Form. What is a Gcvs 2 Form? A Gcvs 2 Form (Global Change Visualization Survey) is a tool used by businesses to identify areas where they may need to make changes in order to stay competitive and grow. In this blog post, we will discuss what a Gcvs 2 Form is, how it can help your business, and some tips on completing one. Are you ready to learn more? Let's get started!

QuestionAnswer
Form NameGcvs 2 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesform gcvs 2, GC-5, B1, Payee

Form Preview Example

GCVS-2

NYS RACING & WAGERING BOARD 1 Broadway Center, Suite 600 Schenectady, NY 12305-2553

Telephone (518) 395-5400 Fax (518) 347-1469 www.racing.state.ny.us

VERIFIED STATEMENT RAFFLE OPERATIONS

TO REPORT NET PROFITS

LESS THAN $30,000

FOR THE CALENDAR YEAR:

Instructions: Prepare report in triplicate. Due January 30th of the year following the conduct of a raffle occasion(s). Send original to clerk of your municipality, one copy to N.Y.S. Racing and Wagering Board and retain one copy for your files.

Organization:

N.Y.S. Identification Number:

GC -

 

 

-

 

 

 

 

-

 

 

 

 

-

 

 

 

 

 

 

 

 

Street address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

Zip Code:

 

 

 

 

 

 

 

County:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date(s) of Raffle Drawing(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A.RECEIPTS (If there is more than one drawing, attach records detailing origin of figures for Sections A and B) 1. Tickets

a. Number of tickets printed...............................................................................................................

 

b.

Number of tickets sold

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. Number of tickets unsold

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d.

Price of each ticket

$

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e.

Ticket receipts (item 1b times item 1d)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

 

 

2.

Other Receipts

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

 

 

3.

Total Receipts (Add items A1e and A2)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B.EXPENDITURES - (Only payments directly related to the conduct of the raffle. Attach additional sheets if necessary.)

 

Describe Expenditure

Payee

 

 

Check No.

 

 

 

 

 

 

 

 

1.

Total Value of Prizes (Part E)

 

 

 

 

$

 

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

2.

Tickets

 

 

 

$

 

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Raffle Equipment & Supplies

 

 

 

 

$

 

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

4.

Services

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

5.

Rent

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

6.

Other Expenses

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

7.

Total Expenditures (Add items B1 through B6)

$

 

 

 

 

 

 

 

 

.

C. NET PROFIT OR (LOSS)

.........................................................

$

 

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

Net Profit or (Loss) (item A3 less item B7)

 

 

 

 

 

 

 

 

 

STOP: If the figure on line C1 is greater than $30,000.00 then you must obtain a raffle license (GC-5) from your municipal clerk and file Form GC-7R. If the figure on line C1 is less than or equal to $30,000.00 proceed to Section D line 1.

D. DISPOSITION OF AND ACCOUNTING FOR NET PROCEEDS

$

1.

Unexpended balance of net proceeds shown on last report

$

2.

Net Profit or (Loss) from this occasion (item C1)

3.

Interest earned on net proceeds on deposit in interest bearing account(s)

$

4.

Other deposits into or adjustments in Special Games of Chance Account

$

 

Explanation:

.

.

.

.

BJ-GCVS-2 (Rev. 3/06)

Page 1 of 2

5. Total Net proceeds (Add items D1 through D4)

$

 

 

 

 

 

 

 

Disbursements of Net Proceeds since last report: (Attach additional sheets if necessary)

Date

 

Check No.

 

Description of Disbursements

 

Name & Address of Payee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

Amount

6.Total Disbursements.............................................................................................

7.Unexpended balance of net proceeds (item D5 less item D6).............................

E. SCHEDULE OF PRIZES (Cash or Fair Market Value of Merchandise Prize(s))

DESCRIPTION OF PRIZES

$

$

.

.

VALUE

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

Total Value of Prizes (Report on Line 1 Part B)

$

 

 

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F. SCHEDULE OF DONATED PRIZES (Cash or Fair Market Value of Merchandise Prize(s))

 

 

 

 

 

 

 

 

 

DESCRIPTION OF PRIZES DONATED ONLY

 

 

 

 

 

 

 

VALUE

$

$

$

$

Total Value of Donated Prizes

$

 

G. Grand Total Value of Prizes (Total from Section E plus Section F)

$

Note that this amount may not exceed $100,000.00 for the calendar year

Instructions: This section must be fully completed by all parties.

I swear, or affirm that the information and statements contained herein have been examined by me and to the best of my knowledge and belief are true, correct and complete.

.

.

Head of Organization:

First Name

Street Address

(

 

 

 

 

 

 

)

 

 

 

 

 

 

-

 

 

 

Phone Number

 

 

 

 

 

 

 

 

 

 

 

 

Member in Charge:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address

 

 

 

 

 

 

 

 

 

 

 

 

(

 

 

 

 

 

 

)

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone Number

 

 

 

 

 

 

 

 

 

 

 

 

Preparer (if different):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address

 

 

 

 

 

 

 

 

 

 

 

 

(

 

 

 

 

 

 

)

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone Number

 

 

 

 

 

 

 

 

 

 

 

 

BJ-GCVS-2 (Rev. 3/06)

Last Name

City

Zip

Signature

Last Name

City

Zip

Signature

Last Name

City

Zip

Signature

Page 2 of 2

County

/ /

Date

County

/ /

Date

County

/ /

Date

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