| 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; |
$1,350 |
| (ii) |
the provision of health services or care; |
$7,440 |
| (iii) |
services for the prevention and treatment of problem gambling and drug and alcohol addictions; |
$0 |
| (iv) |
housing assistance for disadvantaged persons; |
$0 |
| (v) |
the relief of poverty; |
$0 |
| (vi) |
the provision of services and assistance for the aged; |
$4,576 |
| (vii) |
the provision of services and assistance for young people; |
$0 |
| (viii) |
the protection and preservation of the environment; |
$200 |
| (ix) |
the provision of assistance to relieve distress caused by natural or other disasters; |
$0 |
| (x) |
the provision of advice, support and services to ex-service personnel, their carers and families; |
$0 |
| (xi) |
any other philanthropic or benevolent purpose; |
$200 |
| (xii) |
any sporting or recreational purpose, excluding any club that holds a venue operator’s licence. |
$3,000 |
| Class A (b). |
The cost of providing and maintaining sporting facilities for use by club members. |
$564,767 |
| Class A (c). |
The cost of any subsidy for the provision of goods and services but excluding alcohol. |
$0 |
| 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 |
$581,533 |
| 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. |
$18,575 |
| Class B (b). |
Financing Costs (including principal and interest). |
$5,803 |
| 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. |
$772,090 |
| CLASS B – TOTAL |
$796,468 |
| 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. |
$296 |
| Class C (c). |
CBS preparation and auditing expenses to a maximum of $3,000. |
$3,000 |
| CLASS C – TOTAL |
$3,296 |
| CBS TOTAL (CLASS A + B + C) |
$1,381,297 |
| I, Rachel Ann Kane, 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 ANGLESEA GOLF CLUB INC, has been audited by the suitably qualified person of Ryan Leemon of Crowe Horwath on 24/09/2015.
I confirm that an independent auditor’s statement dated 24/09/2015 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 ANGLESEA GOLF CLUB INC,’s compliance with the Act for the financial year ended 30 June 2015.
|
| Declaration to be completed by the venue operator |
I, Rachel Ann Kane, 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.
Rachel Ann Kane, General Manager |
|
| Class
| Details
| Amount |
| Class A (a). (i) | Anglesea Primary School & Anglesea Kindergarten cash donations $750 Moriac Pre School, St Josephs College & Bannockburn Kindergarten raffle prize donations $600 | $1,350 |
| Class A (a). (ii) | Mercy Women's Health cash donation $750 Challenge Supporting Kids with Cancer cash donation $5690 Lions Club - Camp Quality raffle donation $200 Hampton Park Unity Church - Outreach Program raffle donation $200 Strive2Thrive raffle donation $400 Sth Croydon Cricket Club - Pink Stumps Day raffle donation $200 | $7,440 |
| Class A (a). (vi) | Anglesea Aged Care raffle donation $400 Liz McKinnon - Wheel Chair cash donation $4176 | $4,576 |
| Class A (a). (viii) | Jirrahlinga Wildlife Sanctuary raffle donation $200 | $200 |
| Class A (a). (xi) | Anglesea One Act Play Festival raffle donation $200 | $200 |
| Class A (a). (xii) | Anglesea Surf Life Saving Club cash donation $500 Anglesea Bowls Club cash donation $100 Staff for three fundraising golf days - Angleseqa Football & Netball Club, Anglesea Surf Life Saving Club & Anglesea Lions Club $2400 | $3,000 |
| Class A (b). | Security | $1,280 |
| Class A (b). | Electricity | $4,729 |
| Class A (b). | Repairs & Maintenance Tractors | $1,894 |
| Class A (b). | Herbicides | $11,141 |
| Class A (b). | Course Overtime | $15,439 |
| Class A (b). | Fuel | $18,379 |
| Class A (b). | Seed | $817 |
| Class A (b). | Sundry Expenses | $3,762 |
| Class A (b). | Gardening | $1,079 |
| Class A (b). | Soil Tests | $1,590 |
| Class A (b). | Fungicides | $5,577 |
| Class A (b). | Repairs & Maintenance Automatic Watering System | $9,953 |
| Class A (b). | PAYG | $14,281 |
| Class A (b). | Fertiliser | $25,690 |
| Class A (b). | Reclaimed Water | $9,072 |
| Class A (b). | Repairs & Maintenance Mowers | $9,749 |
| Class A (b). | Hire of Plant | $209 |
| Class A (b). | Repairs & Maintenance General | $20,807 |
| Class A (b). | Course Superannuation | $27,832 |
| Class A (b). | Course Workcare | $2,639 |
| Class A (b). | OH&S | $7,943 |
| Class A (b). | Training & Travel | $6,753 |
| Class A (b). | Soil & Sand | $13,629 |
| Class A (b). | Course Accessories | $10,946 |
| Class A (b). | Wetting Agents | $6,066 |
| Class A (b). | Course Wages | $315,549 |
| Class A (b). | Insecticides | $2,163 |
| Class A (b). | Repairs & Maintenance Machinery | $15,799 |
| Class B (a). | Storm Water Harvesting Report | $8,648 |
| Class B (a). | EZGO Kangaroo 6 Seater Cart | $9,927 |
| Class B (b). | Interest on Overdraft | $5,803 |
| Class B (e). | Gaming License Fees | $601 |
| Class B (e). | Admin Telephone | $7,796 |
| Class B (e). | Golf Bowls & Events | $2,129 |
| Class B (e). | Bar Casual Wages | $55,800 |
| Class B (e). | Kangaroo Viewing Repairs & Maintenance | $71 |
| Class B (e). | Gaming Repairs & Maintenance | $824 |
| Class B (e). | Gaming Printing & Stationery | $1,510 |
| Class B (e). | Admin OH&S | $609 |
| Class B (e). | Admin Advertising | $10,285 |
| Class B (e). | Golf Pennant Expenses | $2,602 |
| Class B (e). | Gaming Cash Handling | $3,191 |
| Class B (e). | Bar Superannuation | $6,349 |
| Class B (e). | Admin Catering & Entertainment | $1,893 |
| Class B (e). | Bar Salaries | $11,160 |
| Class B (e). | House Security | $794 |
| Class B (e). | Admin Legal Expenses | $1,036 |
| Class B (e). | Bar Repairs & Maintenance | $502 |
| Class B (e). | House Repairs & Maintenance | $32,362 |
| Class B (e). | Admin Sundry Expenses | $1,959 |
| Class B (e). | Gaming Bank Account Bank Charges | $551 |
| Class B (e). | Driving Range Repairs & Maintenance | $200 |
| Class B (e). | Admin Bank Charges | $10,560 |
| Class B (e). | Bar Purchases | $125,851 |
| Class B (e). | Gaming Catering & Entertainment | $272 |
| Class B (e). | Golf Score Card Printing | $1,395 |
| Class B (e). | House Waste Management | $5,000 |
| Class B (e). | Admin Workcare | $539 |
| Class B (e). | Bar Staff training | $821 |
| Class B (e). | Admin Equipment Lease | $1,508 |
| Class B (e). | Admin Superannuation | $5,185 |
| Class B (e). | Admin Salaries & Wages | $84,615 |
| Class B (e). | Gaming Sundry Expenses | $1,292 |
| Class B (e). | Gaming Room Electricity | $24,552 |
| Class B (e). | Golf Opening/Closing Days | $678 |
| Class B (e). | Golf Trophies | $27,912 |
| Class B (e). | House Pro Shop Expenses | $3,187 |
| Class B (e). | Gaming Room Cleaning Contract | $19,031 |
| Class B (e). | Gaming Workcare | $1,877 |
| Class B (e). | Bar Liquor License Fee | $706 |
| Class B (e). | Gaming Superannuation | $10,321 |
| Class B (e). | Admin Subscriptions | $1,164 |
| Class B (e). | Gaming Promotions | $2,716 |
| Class B (e). | Bar Workcare | $866 |
| Class B (e). | Bar Sundry Expenses | $1,928 |
| Class B (e). | House Floral Arrangements | $1,042 |
| Class B (e). | House License Fees | $131 |
| Class B (e). | Admin Postage | $1,384 |
| Class B (e). | Golf Sundry Expenses | $3,412 |
| Class B (e). | Admin Printing & Stationery | $4,650 |
| Class B (e). | Kangaroo Viewing Sundry Expenses | $27 |
| Class B (e). | House Soaps, Cleaners & Laundry | $6,697 |
| Class B (e). | Admin Water & Rates | $27,571 |
| Class B (e). | Admin Golf Professional | $40,371 |
| Class B (e). | Admin Audit Fees | $5,208 |
| Class B (e). | Golf Syllabus Printing | $5,065 |
| Class B (e). | Admin Electricity & Gas | $9,158 |
| Class B (e). | Gaming Salaries & Casual Wages | $141,823 |
| Class B (e). | Admin Insurance | $19,572 |
| Class B (e). | Bar Promotions | $327 |
| Class B (e). | House Cleaning Contract | $19,118 |
| Class B (e). | Admin Travel | $691 |
| Class B (e). | Admin Computer Lease/Support | $9,727 |
| Class B (e). | House Sundry Expenses | $1,916 |
| Class C (b). | Working Bee Volunteer Drinks | $296 |
| Class C (c). | CBS Audit | $3,000 |