2.1 Monthly Gross Gaming Revenue Report for Electronic Bingo

(v.1) 11.25.2015 MONTHLY GROSS GAMING REVENUE REPORT FOR ELECTRONIC BINGO Operator: Gaming Site Location: For the Month of: Gross Total Total Total GGR per PAGCOR Share Gaming Remitted DATE Collection Payouts Remittance Cut- 50% of GGR Revenue PAGCOR Share (TC) (TP) off (to be remitted) (GGR) 1 300.00 270.00 30.00 2 300.00 270.00 30.00 3 300.00 270.00 30.00 90.00 45.00 0.00 4 300.00 270.00 30.00 5 300.00 270.00 30.00 6 300.00 270.00 30.00 7 300.00 270.00 30.00 120.00 60.00 60.00 8 300.00 270.00 30.00 9 300.00 270.00 30.00 10 300.00 270.00 30.00 90.00 45.00 45.00 11 300.00 270.00 30.00 12 300.00 270.00 30.00 13 300.00 270.00 30.00 14 300.00 270.00 30.00 120.00 60.00 60.00 15 300.00 270.00 30.00 16 300.00 270.00 30.00 17 300.00 270.00 30.00 90.00 45.00 45.00 18 300.00 270.00 30.00 19 300.00 270.00 30.00 20 300.00 270.00 30.00 21 300.00 270.00 30.00 120.00 60.00 60.00 22 300.00 270.00 30.00 23 300.00 270.00 30.00 24 300.00 270.00 30.00 90.00 45.00 45.00 25 300.00 270.00 30.00 26 300.00 270.00 30.00 27 300.00 270.00 30.00 28 300.00 270.00 30.00 120.00 60.00 60.00 29 300.00 270.00 30.00 30 300.00 270.00 30.00 31 300.00 270.00 30.00 90.00 45.00 45.00 TOTAL 9,300.00 8,370.00 930.00 930.00 465.00 420.00 Totals as 9,210.00 8,370.00 840.00 420.00 Remitted Reckoning 90.00 0.00 90.00 45.00 Amount* Adjusted PAGCOR Share 465.00 PAYOUT PERCENTAGE (TP/TC) 90.00% Total number of electronic bingo machines as of end of the month: * Reckoning amount shall be remitted to PAGCOR accordingly. Supporting incident reports on incurred discrepancies shall be attached. Submitted by: Gaming Site Manager/Treasury Head (Signature over Printed Name)