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The Healing Field (Lawrenceburg, KY) - Purchased with funds generated from charitable gaming.

Applications and Reports

The Department of Charitable Gaming is pleased to announce that applications and reports have been updated so that licensees can now fill in and save the applications and reports to their office computer. This will allow you, the licensee, to update the information on your applications or reports for submission to the department for subsequent years.

Note: Some of these forms require you to fill out several pages of information.  If you want to save the form and finish entering information at a later time, we recommend following these steps to avoid having to enter the information multiple times:
1.       Open the form using the link below.
2.       Before you enter any information into the form, save the form to an easily accessible location on your computer (e.g., your desktop).  If you attempt to enter information on the form before saving it to your computer, the information you enter will be lost after you save it to your computer.
3.       Go to the location on your computer where you saved the form and open the form. Then enter the information and save it to your computer.  All information input into the application will then be saved to the document.
Cease or Change of Gaming Activity​ (PDF-101KB)​​​​​​



CG-EFR: Exempt Organization Annual Financial Report (PDF-38KB)

CG-FIN Licensed Charitable Organization Financial Report (MS Excel-109KB) (Entire report including attachments)
     The Charitable Gaming fee is .00962
          CG-FIN Attachment A (MS Excel-19KB)
          CG-FIN Attachment B (MS Excel-21KB)
          CG-FIN Attachment C (MS Excel-22KB)
          CG-FIN Attachment D (MS Excel-19KB)
          CG-FIN Attachment E (MS Excel-19KB)
          CG-FIN Attachment F (MS Excel-18KB)
          CG-FIN Attachment G (MS Excel-17KB)
          CG-FIN Attachment H (MS Excel-17KB)
          CG-FIN Attachment I (MS Excel-18KB)
          CG-FIN Attachment J (MS Excel-18KB) 

​​​​​CG-EPD.xls​​ (MS Excel - 9.7KB)

To open the applications, reports and forms, you may need the associated software.  If you are having problems opening the files, you can use the following links to download the free viewer software. In order to use the fill / save features of the new applications and reports, you need to install Acrobat Reader 8.0 or higher.

Adobe Reader logo
Adobe PDF Reader 

 Microsoft logo
Microsoft Excel Viewer