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Annual Reporting 2012Governor Andrew M. Cuomo Acting Executive Director Robert Williams ~~~~~~~, ~~~ MUNICIPAL CLERK ANNUAL REPORT Calendar Year :2012 Municipality Name : Wappinger Name of Clerk : Christine Fulton Municipality ID : 13-219 Address : 20 Middlebush Rd., Wappingers Falls, New York 12590-0324 EMail Address : cfulton@townofwappinger.us 1. Total Number of Organizations Conducting Bingo 2. Total Number of Occasions 3. Total Number of Players 4. Total Receipts (Line A4 of BC-7Q) 5. Total Net Profit (Line C3 of BC-7Q) 6. Total Amount of License Fees Collected 7. Total Amount of Additional License Fees Collected 8. Number of Bingo Inspectors (if any) 1. Total Number of Organizations Conducting GOC 2. Total Number of GOC License Periods 3. Total Receipts (Line A4 of GC-7) 4. Total Net Profit (Line C3 of GC-7) 5. Total Amount of License Fees Collected 6. Total Amount of Additional License Fees Collected General Counsel Edmund C. Burns 0 0 0 $0.00 $0.00 $0.00 $0.00 0 3 ,e' 0 $0.00 $0.00 ~0~ $0.00 P.O. Box 7500, ,Schenectady NY 12301-7300 Telephone:(518)395-5400 Fax:(518)347-1469 http://www.gaming.ny.gov !'age / of 2 Governor Andrew M. Cuomo ActingFacecutive Director Robert Williams 1. Total Number of Organizations Conducting Raffles 2. Total Number of Raffles Conducted For Raffles Exceedina $5 000 in Net Proceeds or between $20 000 and $30 000 in Cumulative Net Proceeds 1. Total Receipts (Line A3 of GCVS-2) 2. Total Net Profit (Line C1 of GCVS-2) For Raffles Exceedina $30 000 in Net Proceeds 1. Total Receipts (Line A3 of GC-7R) 2. Total Net Profit (Line C5 of GC-7R) 3. Total Amount of License Fees Collected 4. Total Amount of Additional License Fees Collected 1. Total Number of Licenses Issued 2. Total Amount of License Fees Collected 1. Total Number of Licenses Issued 2. Total Amount of License Fees Collected General Counsel Edmund C. Bums ~~ 0 $0.00 $0.00 $0.00 0.00 $0.00 2 $50.00 0 $0.00 I swear or affirm that the information and statements contained herin have been examined by me and to the best of my knowledge and belief a true, correct and complete. Print Title Date Signature FOR OFFICIAL USE ONLY Municipal Code `Entered By :Date Entered P.O. Box 7500, ,Schenectady NY 12301-7500 Telephone:(518)395-5400 Fax:(518)347-1469 http://www.gaming.ny.gov Revised 1212011 Page 2 oJ2