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  1. Click ‘Get Form’ to open the LG220a Exempt Permit Financial Report in the editor.
  2. Begin by filling out the Organization Information section. Enter your organization’s name, address, city, state, and zip code. Ensure all details are accurate.
  3. Input the activity date range and your exempt permit number in the designated fields.
  4. In the Financial Report section, list each activity conducted (Bingo, Raffle, etc.) and enter the gross receipts for each. If there were no receipts, input '0'.
  5. Next, record all expenses related to each activity. This includes costs for purchased items and cash prizes.
  6. Calculate the net profit by subtracting expenses from gross receipts for each activity.
  7. If applicable, provide distributor information for paddlewheels, tipboards, or pull-tabs by entering the distributor's name and date of purchase.
  8. Finally, acknowledge the accuracy of your report by printing the name and signing it as the Chief Executive Officer. Include the date signed.

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