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Statement Of Pre Opening Cash - Application For Nonrestricted Gaming License 6 - Nevada

Statement Of Pre Opening Cash - Application For Nonrestricted Gaming License Form. This is a Nevada form and can be used in Investigations Division Nevada Gaming Commission And State Gaming Contol Board Statewide .
 Fillable pdf Last Modified 2/6/2008
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STATEMENT OF PRE-OPENING CASH Application for Nonrestricted Gaming License Name of gaming location Date A. Funds Available Prior to Opening: 1. Investments (attach schedule provide detail showing who invested the money and what interest in the firm they received for their investment)...........................................$ 2. Loans from lending institutions (attach schedule identify the institution and show terms of the loan)..................................................................................................$ 3. Loans from individuals and business entities (attach schedule identify the individual or business and show terms of the loan)..............................................................$ Total Funds Available Prior to Opening.......................................................................................$ Note: Provide copies of all loan documents. B. Expenditure or Other Disposition of Available Funds Prior to Opening: 1. Prepaid Gaming Taxes and Licenses: (a) State see fee schedule furnished.............................................$ (b) County see county authorities for fee schedule.......................$ (c) City or Town see local authority for fee schedule....................$ (d) Other Governmental Fees..........................................................$ (e) State Gaming Tax Secu rity Bond................................................$ Total Prepaid Gaming Taxes and Licenses................................................................................. 2. Other License Fees............................................................................................................... 3. Expenditures For: (a) Land................................................................................................................................$ (b) Buildings include construction and repair ....................................................................$ (c) Equipment.......................................................................................................................$ (d) Supplies..........................................................................................................................$ (e) Slot Machine Hopper Loads............................................................................................$ (f) All Other Pre-Opening Expenditures: (such as salaries, advertising, deposits, legal, accounting, etc.)....................................$ Attach description for items 2 and 3(a) through (f). Total Pre-Opening Cash Used.....................................................................................................$ Page 1 of 9 Form 6 Statement of Pre-Opening Cash (Rev. 07/04) <<<<<<<<<********>>>>>>>>>>>>> 2C. Remaining Funds Ava ilable (A minus B) ....................................................................................$ Immediate Exposure Thirty-Day Exposure Cash on Premises....................................................................................$ Less: Safekeeping and Front Money....................................................... ( ) Cash in Banks..........................................................................................$ Progressive Keno Game Bank Deposit...................................................$ Restricted Race/Sports Book Reserve....................................................$ Cash Other............................................................................................$ Total Cash on Hand..............................................................................$ Gross Margin (1 month)........................................................................... ( ) Total Cash Available ................................................................................ ( ) D. Cash Requirement Operating Expenses (1 Month)................................................................ ( ) Payroll (1 Month)...................................................................................... ( ) Debt Service (1 Month)............................................................................ ( ) Bankroll (Reg. 6.150) (1)......................................................................... ( ) ( ) Other........................................................................................................ ( ) Total Cash Requirement..........................................................................$ ( ) $ ( ) Cash Excess/(Deficiency)........................................................................$ $ Note: (1) Bankroll (Reg. 6.150) Average Games Daily Fill X 2 Days Craps $ X 2 = $ ( ) 21 $ X 2 = $ ( ) Roulette $ X 2 = $ ( ) Baccarat $ X 2 = $ ( ) Big 6 $ X 2 = $ ( ) Other $ X 2 = $ ( ) Total Games Exposure ( ) Slot Machines Reserve (2) ( ) Keno Game Reserve ( ) Race/Sports Book Reserve ( ) Periodic Payments Owed ( ) Other Progressive Payouts ( ) Total $ Page 2 of 9 <<<<<<<<<********>>>>>>>>>>>>> 3 (2) Slot Machine Reserve Average Daily Fill/Payout.............................. $ *Times Days to Next Drop............ x Equals Slot Requirement............................... = Plus + **Progressive Liability.................................... $ Equals = Total Slot Requirement.................................. $ *The number of days until the next slot drop or two days, whichever is greater. **The greater of: (a) 20% of the total progressive slot liability on the first day of opening (exclude wide area progressives); or (b) The single highest available progressive or non-progressive jackpot (exclude wide area progressives). Page 3 of 9 <<<<<<<<<********>>>>>>>>>>>>> 4 1 FIRST YEAR CASH-FLOW PROJECTION Application for Nonrestricted Gaming License Name of Gaming Location Year Ended 2 TOTALS GAMING ROOMS FOOD BEVERAGE OTHER INCOME Amount Amount Amount Amount Amount Amount 1 INCOME -- 2 Total Sales 3 Cost of Sales 4 GROSS MARGIN 5 DEPARTMENT EXPENSES -- 2 6 Commissions 7 Gaming Taxes and Licenses 8 Payroll Taxes and Benefits 9 Payroll Officers and Owners 10 Payroll Other Employees 11 Other Department Expenses 12 Total Departmental Expenses 13 DEPARTMENTAL INCOME GENERAL AND ADMINISTRATIVE 14 EXPENSES -- 15 Advertising and Promotion INSTRUCTIONS 3 16 Complimentary Expenses 17 Depreciation and Amortization 1. Record on this schedule the anticipated resu lts of your operations for a full 12 months. 18 Other Taxes and Licenses 2. On Schedule 1 attached, show monthly projecti ons of gaming revenues. One hundred
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