Annual Inventory Report

Page No. Page 1 of 3 Form No. GLDD - 1018 ANNUAL INVENTORY REPORT Revision No. 3 Effectivity July 12, 2023 YEAR Supplier’s Name: Storage Facility Location: Storage Facility Administrator: Use this form to list all the gaming equipment and gaming paraphernalia housed in the Supplier’s storage facility. This form should be submitted to GLDD not later than the 15th day of the January of the year. EGM spare parts may not be included in the inventory. Use additional sheets if necessary. A. GAMING TABLES Total Count of Stored Gaming Tables DATE OF PAGCOR INVENTORY NAME OF MANUFACTURER’S LAST LOCATION STORAGE DESCRIPTION TAG NUMBER MANUFACTURER SERIAL NUMBER INSTALLED

Page No. Page 2 of 3 Form No. GLDD - 1018 ANNUAL INVENTORY REPORT Revision No. 3 Effectivity July 12, 2023 B. ELECTRONIC GAMING MACHINES Total Count of Stored Electronic Table Games Total Count of Stored Slot Machines PAGCOR Total Count of Stored Slot Machines DATE OF MANUFACTURER MANUFACTURER’S GAME THEME GAME NAME DATE OF LAST LAST INVENTORY STORAGE SERIAL NUMBER MODIFICATION LOCATION TAG INSTALLED NUMBER

Page No. Page 3 of 3 Form No. GLDD - 1018 ANNUAL INVENTORY REPORT Revision No. 3 Effectivity July 12, 2023 Total Count of Stored Other Gaming Equipment C. OTHER GAMING EQUIPMENT AND GAMING PARAPHERNALIA Total Count of Stored Other Gaming Paraphernalia PAGCOR DATE OF NAME OF TYPE OF MANUFACTURER’S DESCRIPTION LAST INVENTORY STORAGE MANUFACTURER GAMING SERIAL NUMBER LOCATION TAG EQUIPMENT INSTALLED NUMBER