2011 (2)NYS RACIlVG AND WAGERING BOARD ANNUAL REPORT ON BINGO ~, -~ oRK 5,,~
] Broadway Center,_Suite 600 AND GAMES OF C s'~' ~- ~f~d
_ _ - - -- _ _ __ _ - ------ -- -- HANCE -
• ; .A •
Telephone: (51 S) 395-5400 Fax: (5 ] 8) 347-1469 ACTIVITIES y ~ "` ~i~ ~ a
www.racin .state.ny.us ~ i
ZC 6 ` eu ~d ~ ~
MUNICIPAL CLERK ANNUAL REPORT FOR CALENDAR YEAR: 2011 9~O wAGE~~~G
~~
Please provide the municipal clerk's name, address, email address :and name of ~~
municipality. ~~ar
NAME.: Christine Fulton ~,,,, ~%
ADDRESS: 20 Middlebush Rd., Wappingers Falls, NY 12590
EMAIL ADDRESS: cfulton@townofwappinger~use
NAME OF CITY,'~OR VILLAGE: Wappinger
(Cucle one of the above.)
k }~
- r i t ~l ~ "=~rrp «t"k~"A"P i 7 1~ ~ E rw 1 " 1 u.
` '' - t + rF - ~, u tYr'~+t wtu ~~e`~ ~ r ~~r , '' rh n(
1,a,T _f t^ 1~ r.-.- _~ .~~,~a ~/ti ~d,-.'~',. r ~~'t ~:_R~1?`Y~,,..~"~Se. x,l ~.. -r'.i ;., ,i~.;~_ ~._,,,.. ._-,. _. .. .. ,. .,
PaCa 1 of 7
- I fr ';7 ~kr x a rM.g a k~' `~ k~,}" ,+s~i' "Y W ~, 4:. ,3 > _
~ .. r -.. -!.: ~D- b f y ~~l s t [
s ~
1 Total N ~" r' _ `y
%imber of Licenses"Issued ~`
. ,-
Z ~ Total Amount ofLicense Fees Collected: ~~ - ~ r
I swear or affum that the information and statements contained herein have.been examined by me and to the best of my
knowledge and belief aze true, correct and complete.
Ch*:ist~.ne Felton Town Clerk.
Print Name Title
,~
-~------ - O 1 / 24 / 2012
Signature Date
cful rc,n `a ownofwappin~er. us
Email Address
Pa>7e 2 of 2
Revised 1,/2011
BINGO AND GOC WORKSHEET
License Year: 2011
BINGO
Occasion Dates: 1 /1 /2011 to 12/31 /2011
BINGO ACTIVITY
1. Number of organizations conducting Bingo Games
2. Number of Bingo occasions
3. Total number of players
4. Total Bingo receipts
5. Total Bingo net profit
6. Amount of Bingo License fees collected
7. Amount of Additional License fees collected `
COMMERCIAL LESSORS
8. 'Number of Commercial Lessor Licenses issued
9. Amount of Commercial Lessor License fees collected
GAMES OF CHANCE (GOC) ACTIVITY
GOC (CASINO, VEGAS, FIELD DAY, ECT.) EVENTS
0
0
0
$0.00
$0.00
$0.00
$0.00;
0
$0.00
10. Number of organizations conducting GOC
11. Number of GOC periods "'S
12. Number of GOC receipts $0.:00.
13. Number of GOC net profit $0.00
14 _Amount of GOC License fee collected $200.00
15. Amount of GOC Additional License fees collected $0.00
RAFFLES
16. Number of organizations conducting Raffles
17. Number of Raffles conducted
18. Total Raffle receipts
19. Total Raffle net profit
20. Amount of `Raffle'License fees collected
21. Amount of Raffle Additional License fees collectec
BELL JAR
22. ;Number of organizations conducting BeII Jar
23. Amount of Bell Jar Licenses collected
0
0
$0.00
$0.00
$0.00
$0.00
2
$50.00
TOWN CLERK
Christine Fulton
20 MIDDLEBUSFI ROAD
WMPINGERS FALLS, NY 12590
W WW.TOWNOFWAPPINGER.US
(845) 297-4 ] 58 -Main
(845) 297-5771 -Direct
(845) 298-1478 -Fax
TOWN OF WAppINGER
Office of the Town Clerk
SUPERVISOR
Barbara A. Gutzler
TOWN BOARD
William H. Beale
Vincent Bettina
Ismay Czarniecki
Michael Iuzmicz
The Following Fax Message Consists of -L
Including Cover Sheet Pages
FAX TELEPHONE NUMBER. (845) 298-1478
DATE: ~a~ a r~ ~
T0:
FROM: ~OI.U (~
REFERENCE:
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CONTACT
SENDER IMMEDIATELY.
Sender: