Department of Charitable Gaming | Applications and Reports

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.

Licensing - Helpful Hints (PDF-30KB)

Applications

CG-1: License Application for Charitable Organization (PDF-268KB)

CG-2: License Application for Distributor (PDF-183KB)

CG-3: License Application for Manufacturer (PDF-243KB)

CG-4: License Application for Facility (PDF-263KB)

CG-Schedule-A: License Application for Special Charity Fundraising Event (PDF-82KB)

CG-EXEMPT: Form for Organization Grossing under $25,000 (Exemption) (PDF-130KB)

Reports

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 .00764
          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)
    Organization Financial Report - Helpful Hints (PDF-95KB)

CG-DIS/QR Quarterly Report of a Licensed Charitable Gaming Distributor (PDF-258KB)
CG FAC/QR Quarterly Report of a Licensed Charitable Gaming Facility (PDF-159KB)
CG-VOL Charitable Gaming Volunteer Sign Up Sheet (MS Excel-16KB)
CG-CMD Total Sales Activity Report for Card Minding Devices (MS Excel-15KB)

Forms

Electronic Payment Request Form (PDF-31KB)

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

Public Protection Cabinet

Applications and Reports