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This document outlines the instructions and form for filing a Bingo Report of Operations with the New Jersey Legalized Games of Chance Control Commission. Licensees are required to submit this report no later than the 15th day of the calendar month following the month in which the bingo activity took place, as per N.J.A.C. 13:47-9.1. The report details financial information related to bingo games, including sales, payouts, expenses, and net proceeds, and must be certified by a member/officer and notarized.
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--- Document: Report of Operations Document ---
New Jersey Office of Attorney General
Division of Consumer Affairs
Legalized Games of Chance Control Commission
124 Halsey Street, 6th Floor, P.O. Box 46000
Newark, New Jersey 07101
(973) 273-8000
Instructions for Filing the Bingo Report of Operations
Pursuant to N.J.A.C. 13:47-9.1, licensees are to file a report of operations with the Legalized Games of Chance
Control Commission (“Commission”) no later than the 15th day of the calendar month immediately following the
calendar month in which the licensed activity was held, operated or conducted.
You may download this report and complete ALL of the entries for each occasion(s) relating to the
conduct of bingo. Once completed, a member/officer shall certify that he/she has reviewed the report and that the
information provided is true, accurate and complete. This will require the person to state his/her name and title, and
sign the document before a notary public.
Bingo Report of Operations completed must be mailed to the Legalized Games of Chance Control Commission,
P.O. Box 46000, Newark, New Jersey 07101.
However, for your convenience, we offer the ability to file reports electronically via e-mail. To employ this
option, you must do a “SAVE AS” of the report, and place it onto your personal computer. Complete the report by
using the “TAB” key to maneuver through each field.
Upon completion, the member/officer shall certify by placing a check in the box provided, that he/she has
reviewed the report and that the information provided is true, accurate and complete. Subsequently, the person must
state his/her name and title. Reports that are not properly certified will be sent or e-mailed back.
Bingo Report of Operations completed online must be e-mailed to the Commission at PetermanA@dca.lps.state.nj.us .
It is recommended that you maintain a copy of all reports as part of the organization’s records.
New Jersey Office of Attorney General
Division of Consumer Affairs
Legalized Games of Chance Control Commission
124 Halsey Street, 6th Floor, P.O. Box 46000
Newark, New Jersey 07101
(973) 273-8000
Bingo Report of Operations
Please print clearly.
Identification number______________________
Municipality_______________________________________ License number_____________________________
Name of licensee_ ____________________________________________________________________________
Organization
___________________________________________________________________________________________
Street address
City
State
ZIP code
Location of games_ ___________________________________________________________________________
This report, as required by N.J.S.A. 5:8-37 and N.J.A.C. 13:47-9, must be filed with the Legalized Games of
Chance Control Commission no later than the 15th day of the month following the conduct of the game(s) of chance.
Occasion 1
Date_ ____________________ Time_ ____________________ Number of players _________
1. Regular games sales
$____________ 9. Regular games payout $___________ 16. Rentals
$_________
2. Special games sales
$____________ 10. Special games payout $___________ 17. Supplies/equip. $_ ________
3. 50/50 Bingo games sales $____________ 11. 50/50 Bingo games payout $___________ 18. Comp. Workers $_________
4. Multicolor games sales
$____________ 12. Multicolor games payout $___________ 19. Total expenses $_________
5. Progressive games sales $____________ 13. Progressive jackpot/cons. $___________
6. Predraw games sales
$____________ 14. Predraw payout
$___________
7. Electronic hand-held sales $____________
Adm. cards
$____________
8. Total sales
$____________ 15. Total payout
$___________ 20. Net proceeds $_________
Occasion 2 Date_____________________ Time ____________________ Number of players _ ________
1. Regular games sales
$____________ 9. Regular games payout $___________ 16. Rentals
$_________
2. Special games sales
$____________ 10. Special games payout $___________ 17. Supplies/equip. $_ ________
3. 50/50 Bingo games sales $____________ 11. 50/50 Bingo games payout $___________ 18. Comp. Workers $_________
4. Multicolor games sales
$____________ 12. Multicolor games payout $___________ 19. Total expenses $_________
5. Progressive games sales $____________ 13. Progressive jackpot/cons. $___________
6. Predraw games sales
$____________ 14. Predraw payout
$___________
7. Electronic hand-held sales $____________
Adm. cards
$____________
8. Total sales
$____________ 15. Total payout
$___________ 20. Net proceeds $_________
Occasion 3 Date_____________________ Time ____________________ Number of players _ ________
1. Regular games sales
$____________ 9. Regular games payout $___________ 16. Rentals
$_________
2. Special games sales
$____________ 10. Special games payout $___________ 17. Supplies/equip. $_ ________
3. 50/50 Bingo games sales $____________ 11. 50/50 Bingo games payout $___________ 18. Comp. Workers $_________
4. Multicolor games sales
$____________ 12. Multicolor games payout $___________ 19. Total expenses $_________
5. Progressive games sales $____________ 13. Progressive jackpot/cons. $___________
6. Predraw games sales
$____________ 14. Predraw payout
$___________
7. Electronic hand-held sales $____________
Adm. cards
$____________
8. Total sales
$____________ 15. Total payout
$___________ 20. Net proceeds $_________
Occasion 4 Date_____________________ Time ____________________ Number of players _ ________
1. Regular games sales
$____________ 9. Regular games payout $___________ 16. Rentals
$_________
2. Special games sales
$____________ 10. Special games payout $___________ 17. Supplies/equip. $_ ________
3. 50/50 Bingo games sales $____________ 11. 50/50 Bingo games payout $___________ 18. Comp. Workers $_________
4. Multicolor games sales
$____________ 12. Multicolor games payout $___________ 19. Total expenses $_________
5. Progressive games sales $____________ 13. Progressive jackpot/cons. $___________
6. Predraw games sales
$____________ 14. Predraw payout
$___________
7. Electronic hand-held sales $____________
Adm. cards
$____________
8. Total sales
$____________ 15. Total payout
$___________ 20. Net proceeds $_________
Occasion 5 Date_____________________ Time ____________________ Number of players _ ________
1. Regular games sales
$____________ 9. Regular games payout $___________ 16. Rentals
$_________
2. Special games sales
$____________ 10. Special games payout $___________ 17. Supplies/equip. $_ ________
3. 50/50 Bingo games sales $____________ 11. 50/50 Bingo games payout $___________ 18. Comp. Workers $_________
4. Multicolor games sales
$____________ 12. Multicolor games payout $___________ 19. Total expenses $_________
5. Progressive games sales $____________ 13. Progressive jackpot/cons. $___________
6. Predraw games sales
$____________ 14. Predraw payout
$___________
7. Electronic hand-held sales $____________
Adm. cards
$____________
8. Total sales
$____________ 15. Total payout
$___________ 20. Net proceeds $_________
Occasion 6 Date_____________________ Time ____________________ Number of players _ ________
1. Regular games sales
$____________ 9. Regular games payout $___________ 16. Rentals
$_________
2. Special games sales
$____________ 10. Special games payout $___________ 17. Supplies/equip. $_ ________
3. 50/50 Bingo games sales $____________ 11. 50/50 Bingo games payout $___________ 18. Comp. Workers $_________
4. Multicolor games sales
$____________ 12. Multicolor games payout $___________ 19. Total expenses $_________
5. Progressive games sales $____________ 13. Progressive jackpot/cons. $___________
6. Predraw games sales
$____________ 14. Predraw payout
$___________
7. Electronic hand-held sales $____________
Adm. cards
$____________
8. Total sales
$____________ 15. Total payout
$___________ 20. Net proceeds $_________
Date
Schedule of Expenses
Description
Check number
Amount
Date
Utilization of Net Proceeds
Description
Check number
Amount
Name
Bank
Address where balance is deposited
Account number
Name
Person Responsible for Use of Proceeds
Address
Telephone number
(include area code)
I certify that all of the statements on this report of operations are true, accurate and complete. I am aware
that if any of the foregoing statements are willfully false, I am subject to punishment. Facts stated on this
report are regarded as if made under oath.
N.J.S.A. 5:8-37 “It shall be the duty of each licensee to maintain and keep such books and records as may
be necessary to substantiate the particulars of each such report.”
I certify that I have reviewed this report and that the information on this report of operations is true, accurate
and complete. I am aware that if any of the foregoing statements are willfully false, I am subject to punishment.
I certify by placing a check in this
box, that I have reviewed the report and that the information
provided is true, accurate and complete.
You must state your name and title below. Reports that are not properly certified will be sent or e-mailed
back.
_______________________________________
__________________________________________
Name and title of officer (please print)
Signature of officer
Sworn and subscribed to before me this___________
day of_ ______________________ , _ ___________
__________________________________________
Name of Notary Public (please print)
Month Year
Affix Seal Here
Form LGCCC 8B-A (Rev. 4/8/08)
__________________________________________
Signature of Notary Public
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Timeline
First Discovered
Apr 2, 2026
Last Info Update
Apr 4, 2026
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