Monthly Condensed Financial Statements {ER101}

Account No., Name, Address, Zip NEVADA GAMING CONTROL BOARD ER101 (11-5-92) For Office Use Only MONTHLY CONDENSED FINANCIAL STATEMENTS Period Covered: Batch No. Entry Date Filing Deadline: Please correct if in error INCOME STATEMENT 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 TOTAL SALES & OTHER REVENUE COST OF SALES GROSS MARGIN DEPARTMENTAL EXPENSES: Commissions Complimentary expenses Taxes & licenses Payroll taxes & benefits Payroll ­ officers & owners Payroll ­ other employees Other departmental expenses Total departmental expenses DEPARTMENTAL INCOME REFER TO ATTACHED INSTRUCTIONS BEFORE COMPLETING THIS FORM. OPERATING DEPARTMENTS TOTAL GAMING ROOMS FOOD BEVERAGE OTHER REVENUE BALANCE SHEET OTHER OPERATING EXPENSES Advertising, promotion Complimentary expenses Depreciation & amortization Employee benefits Other taxes & licenses Interest expense Music & entertainment expense Rent of premises Payroll taxes Payroll ­ officers & owners Payroll ­ other employees Misc. operating expenses TOTAL operating expenses ASSETS: Current assets Fixed assets Other assets Total Assets LIABILITIES & CAPITOL Current debt Long-term debt Other debt Total Liabilities Net Capital OTHER DATA Cash on hand and in banks Casino receivables Current month Prior month LONG -TERM DEBT: (a) Current portion Long-term portion Monthly debt serv. DELINQUENT CURRENT LIABILITIES: (b) (b) (b) (b) Accts-pay-trade Accr'd payroll tax Debt pymt in arrears Other 29 INCOME BEFORE INCOME TAXES TOTAL LIABILITIES & CAPITAL I, certify and declare under the penalties of perjury that I am the (owner, president, treasurer, other) of the business named above; that this is a true, correct and complete report to the best of my knowledge, information, and belief; and that this report is made with the knowledge and consent of all other individuals licensed. (a) (a) Due within next 12 months Over 60 days Dated , 20 Signed Phone American LegalNet, Inc. www.FormsWorkflow.com