| CLASS OF CLAIM AND CATEGORY WITHIN CLASS |
Amount of revenue applied |
| CLASS A: Venue operators may claim up to 100 percent of revenue applied to a Class A purpose or activity. |
| Class A (a). |
Donations, gifts and sponsorship (including cash, goods and services) to another person resident in Victoria, not including to the club itself, for the purpose or activities set out below. |
| (i) |
any educational purpose; |
$17,068 |
| (ii) |
the provision of health services or care; |
$6,893 |
| (iii) |
services for the prevention and treatment of problem gambling and drug and alcohol addictions; |
$1,000 |
| (iv) |
housing assistance for disadvantaged persons; |
$2,000 |
| (v) |
the relief of poverty; |
$4,500 |
| (vi) |
the provision of services and assistance for the aged; |
$0 |
| (vii) |
the provision of services and assistance for young people; |
$14,700 |
| (viii) |
the protection and preservation of the environment; |
$0 |
| (ix) |
the provision of assistance to relieve distress caused by natural or other disasters; |
$11,035 |
| (x) |
the provision of advice, support and services to ex-service personnel, their carers and families; |
$0 |
| (xi) |
any other philanthropic or benevolent purpose; |
$0 |
| (xii) |
any sporting or recreational purpose, excluding any club that holds a venue operator’s licence. |
$15,831 |
| Class A (b). |
The cost of providing and maintaining sporting facilities for use by club members. |
$52,527 |
| Class A (c). |
The cost of any subsidy for the provision of goods and services but excluding alcohol. |
$12,015 |
| Class A (d). |
Voluntary services provided by members and/or staff of the club to another person in the community, in fulfilment of Class A(a)(i)-(xii) above. |
$0 |
| Class A (e). |
Advice, support and services provided by the RSL (Victorian Branch) to ex-service personnel, their carers and families. |
$0 |
| CLASS A – TOTAL |
$137,569 |
| CLASS B: Venue operators may claim an amount equal to the proportion of the club’s non-gaming revenue to its total revenue for Class B. |
|
Non-Gaming Revenue proportion % 0 |
| Class B (a). |
Capital expenditure. |
$0 |
| Class B (b). |
Financing Costs (including principal and interest). |
$0 |
| Class B (c). |
Retained earnings accumulated during the year. |
$0 |
| Class B (d). |
The provision of buildings, plant or equipment over $10,000 per item excluding gaming equipment or the gaming machine area of the venue. |
$0 |
| Class B (e). |
Operating costs. |
$156,937 |
| CLASS B – TOTAL |
$156,937 |
| CLASS C: Venue operators may claim up to 100 percent of revenue applied to a Class C purpose or activity. |
| Class C (a). |
The provision of responsible gambling measures and activities but excluding those required by law. |
$0 |
| Class C (b). |
Reimbursement of expenses reasonably incurred by volunteers. |
$0 |
| Class C (c). |
CBS preparation and auditing expenses to a maximum of $3,000. |
$800 |
| CLASS C – TOTAL |
$800 |
| CBS TOTAL (CLASS A + B + C) |
$295,306 |
| I, Andrew G Summers, certify that:
|
| 1. |
The claims are consistent with the Ministerial Order made on 28 June 2012.
|
| 2. |
The following information is accurate for the financial year: |
| |
a) The percentage (if any) of the venue’s gaming revenue applied to community purposes or activities under Classes A, B and C.
b) The value of any non-financial contribution to community purposes (e.g. voluntary work) by, or on behalf of the venue operator, expressed as a percentage of the venue’s revenue.
c) Any amount payable by a gaming operator under a declaration made by the VGCCC under section 3.6.8(4A) of the Gambling Regulation Act 2003 (the Act), expressed as a percentage of the venue's gaming revenue. |
| |
The amount is |
| |
| less than |
|
| equal to |
|
| greater than |
X |
|
| |
8 1/3 per cent of the venue’s gaming revenue for that financial year, as the required by section 3.6.2 of the Act. |
| 3. |
The CBS in relation to KARINGAL BOWLING CLUB INC, has been audited by the suitably qualified person of David J Osborne of Shepard Webster & O'Neill Pty Ltd on 16/09/2009.
I confirm that an independent auditor’s statement dated 16/09/2009 has been received which states that, in the auditor’s opinion, this CBS presents fairly, in accordance with applicable Accounting Standards in Australia, and, is consistent with the auditor’s understanding of sections 3.6.9(2)(a) and (b) and section 3.6.9(3) of the Act, the KARINGAL BOWLING CLUB INC,’s compliance with the Act for the financial year ended 30 June 2009.
|
| Declaration to be completed by the venue operator |
I, Andrew G Summers, declare that:
|
|
| 1. |
The information contained in this CBS form is true and correct to the best of my knowledge. |
| 2. |
I have retained all relevant documentation used in the preparation and auditing of this CBS. |
| 3. |
I acknowledge that it is an offence to provide false or misleading information. |
I understand that by typing my name below, I am deemed to have signed this CBS form.
Andrew G Summers, Manager |
|
| Class
| Details
| Amount |
| Class A (a). (i) | Purchase of electronic whiteboards for 2 schools | $17,068 |
| Class A (a). (ii) | Gift of equipment used in Mens Health Programs | $6,893 |
| Class A (a). (iii) | Cash Donation to a service for the combat of substance abuse. | $1,000 |
| Class A (a). (iv) | Donations to Services which feed the homeless | $2,000 |
| Class A (a). (ix) | The State Emergency service received a donation to assist them with their ongoing work within the community. Victorian Bushfire Appeal recieved a donation to assist in recovering from the bushfire devistation. | $11,035 |
| Class A (a). (v) | Donations of cash to various welfare organisations. | $4,500 |
| Class A (a). (vi) | Donations / Gifts / Sponsorships | $0 |
| Class A (a). (vii) | Gifted travel and accommodation expense for disadvantaged youth to visit Uluru. Donation to community support group for childen at risk. Sponsored Disadvantaged kids to a Christmas show. | $14,700 |
| Class A (a). (xii) | The purchase of two sail training craft to train junior sailors at a local yacht club. The purchase of rescue surf board for a local surf livesaving club. Sponorship of local football clubs. | $15,831 |
| Class A (b). | Machines maintenance costs | $4,995 |
| Class A (b). | Bowling green maintenance contractor | $36,006 |
| Class A (b). | Chemicals - Fertilisers | $11,526 |
| Class A (c). | Cost of subsidised members meals | $12,015 |
| Class B (e). | Honorariums | $3,000 |
| Class B (e). | Security | $3,656 |
| Class B (e). | Stationery | $1,386 |
| Class B (e). | Rubbish Removal | $1,826 |
| Class B (e). | Club Coach | $4,244 |
| Class B (e). | Water | $1,282 |
| Class B (e). | Light & Power | $9,336 |
| Class B (e). | Wages & Salaries | $114,938 |
| Class B (e). | Cleaning | $15,514 |
| Class B (e). | Telephone | $1,756 |
| Class C (c). | Audit & Preparation | $800 |