| 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; |
$9,420 |
| (ii) |
the provision of health services or care; |
$1,823 |
| (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; |
$8,071 |
| (vii) |
the provision of services and assistance for young people; |
$2,191 |
| (viii) |
the protection and preservation of the environment; |
$0 |
| (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; |
$682 |
| (xi) |
any other philanthropic or benevolent purpose; |
$3,910 |
| (xii) |
any sporting or recreational purpose, excluding any club that holds a venue operator’s licence. |
$2,655 |
| Class A (b). |
The cost of providing and maintaining sporting facilities for use by club members. |
$0 |
| Class A (c). |
The cost of any subsidy for the provision of goods and services but excluding alcohol. |
$137,101 |
| 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. |
$84,440 |
| Class A (e). |
Advice, support and services provided by the RSL (Victorian Branch) to ex-service personnel, their carers and families. |
$100,834 |
| CLASS A – TOTAL |
$351,127 |
| 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. |
$24,043 |
| 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. |
$207,661 |
| CLASS B – TOTAL |
$231,704 |
| 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. |
$2,058 |
| Class C (c). |
CBS preparation and auditing expenses to a maximum of $3,000. |
$935 |
| CLASS C – TOTAL |
$2,993 |
| CBS TOTAL (CLASS A + B + C) |
$585,824 |
| I, Peter Gladstone Dodds, 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 KEILOR EAST RSL SUB-BRANCH INC, has been audited by the suitably qualified person of Sripathy Sarma of LBW Chartered Accountants on 21/09/2012.
I confirm that an independent auditor’s statement dated 13/09/2012 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 KEILOR EAST RSL SUB-BRANCH INC,’s compliance with the Act for the financial year ended 30 June 2012.
|
| Declaration to be completed by the venue operator |
I, Peter Gladstone Dodds, 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.
Peter Gladstone Dodds, President |
|
| Class
| Details
| Amount |
| Class A (a). (i) | Cost of 17 Scholarships to local Primary Schools, Cost of 5 bursaries to local Primary Schools, Sponsor local Primary school in Energy breakthrough challenge and transport and other costs for school children to attend ANZAC Service | $9,420 |
| Class A (a). (ii) | Donations to Peter Mc Callum, Juvenille Diabities, Epworth Hospital, Cancer Council, Royal Childen's Hospital, Breast Cancer & Prostate Cancer | $1,823 |
| Class A (a). (vi) | Donations to Vision Australia and provision for Aged Movie Program, Death notices, and free monthly Veterans luncheon | $8,071 |
| Class A (a). (vii) | Donations to Very Special kids, Uncle Bobs club, Children's First Foundation, Toys to Baptcare for christmas, equipment to local Child Care Centre and sponsorship of a deaf child to attend camp. | $2,191 |
| Class A (a). (x) | Cost of Welfare officer's telephone | $682 |
| Class A (a). (xi) | Donation to Moonee Valley Brass Band, Melbourne Pipe Band, St Vincent De Paul, Royal Victorian Regiment, Guide Dogs, Ted Kenna VC Statue fund and memorabilia maintenance. | $3,910 |
| Class A (a). (xii) | Snooker team registration, Maintenance of snooker tables, Donation to RSL Edinburgh Shield Tournament, donation to Golf Section,St Bernards Gift and Warren Regan Memorial bowls day | $2,655 |
| Class A (c). | Meal Subsidies for seniors | $844 |
| Class A (c). | Subsidised birthday meals for seniors | $8,123 |
| Class A (c). | Vietnam Veterans Service | $2,018 |
| Class A (c). | Free Milk Tea and Coffee for Seniors | $1,501 |
| Class A (c). | Remembrance Day Service | $1,906 |
| Class A (c). | Xmas Luncheon for Nursing homes | $3,361 |
| Class A (c). | Subsidised costs for bus trips for seniors | $4,807 |
| Class A (c). | ANZAC Day March Service | $2,909 |
| Class A (c). | Function room hire forgone for community groups | $57,950 |
| Class A (c). | Children's Christmas Party Expenses | $23,981 |
| Class A (c). | Cost of daily newspapers for Seniors | $1,732 |
| Class A (c). | ANZAC Day Service | $4,155 |
| Class A (c). | Xmas luncheon for Aged Community | $2,631 |
| Class A (c). | Sausage Sizzle Costs | $803 |
| Class A (c). | Xmas in July luncheon for Aged Community | $2,341 |
| Class A (c). | Xmas in July luncheon for Nursing Homes | $3,088 |
| Class A (c). | Cost of food and soft drinks for scouts and cubs information nights | $243 |
| Class A (c). | Subsidised costs of Morning Melodies | $10,404 |
| Class A (c). | Australia Day BBQ for Aged community | $476 |
| Class A (c). | Wake subsidies for members | $3,828 |
| Class A (d). | Voluntary hours for Welfare Officer 143.50 @ $20 per hour | $2,870 |
| Class A (d). | Voluntary hours 4,078.5 @ $20 per hour excluding appeal & Welfare | $81,570 |
| Class A (e). | Payment to Vic RSL General Appeals for ANZAC Badges & Poppies | $100,834 |
| Class B (a). | Non gaming percentage costs to purchase Multiscreen system | $2,953 |
| Class B (a). | Non gaming percentage costs to fit out of new Bistro | $21,090 |
| Class B (e). | Non gaming percentage costs for Cleaning | $17,980 |
| Class B (e). | Non gaming percentage costs for Computer costs | $2,965 |
| Class B (e). | Non gaming percentage costs for Newsletter expenses | $670 |
| Class B (e). | Non gaming percentage costs for Postage | $828 |
| Class B (e). | Non gaming percentage costs for Water rates | $1,006 |
| Class B (e). | Non gaming percentage costs for Travel expenses | $1,298 |
| Class B (e). | Non gaming percentage costs for Electricity Account | $15,045 |
| Class B (e). | Non gaming percentage costs for Telephones (Excluding Welfare Officers) | $1,891 |
| Class B (e). | Non gaming percentage costs for Training and Expenses | $670 |
| Class B (e). | Non gaming percentage costs for Superannuation | $10,781 |
| Class B (e). | Non gaming percentage costs for Honoraria | $1,392 |
| Class B (e). | Non gaming percentage costs for Stationery and Printing | $3,452 |
| Class B (e). | Non gaming percentage costs for Security | $7,096 |
| Class B (e). | Non gaming percentage costs for Insurance | $5,808 |
| Class B (e). | Non gaming percentage costs for Workcover | $2,551 |
| Class B (e). | Non gaming percentage costs for Gas account | $2,775 |
| Class B (e). | Non gaming percentage costs for Wages | $123,036 |
| Class B (e). | Non gaming percentage costs for Repairs & Maintenance | $7,684 |
| Class B (e). | Non gaming percentage costs for Flowers & Decorations | $733 |
| Class C (b). | Volunteer expenses Uniforms, sandwiches | $2,058 |
| Class C (c). | Auditors Costs Community Benefits Statement | $935 |