RETURN RELATING TO A SMALL SOCIETY LOTTERY GAMBLING ACT

Return Relating to a

Small Society Lottery

Gambling Act 2005 – Schedule 11

Name of Society:

Licensing Authority issued Registration number of Society:

LOTT/

Arrangements for the lottery, including:

(a) Dates on which tickets were available for sale or supply;

(b) Dates of any draw;

(c) Arrangements for prizes, including any rollover; and

(d) Details of any donated prizes:

(a)

(b)

(c)

(d)

Proceeds of the Lottery (Gross Total):

Amounts deducted by the promoters of the lottery in respect of the provision of prizes (including the provision of any prizes in accordance with any rollover):

Amounts deducted by the promoters of the lottery in respect of other costs incurred in organising the lottery:

Any amount applied to a purpose for which the promoting Society is conducted (Net Total):

Whether any expenses in connection with the lottery were paid otherwise than by deduction from proceeds, and, if they were –

(i) the amount of the expenses, and

(ii) the sources from which they were paid

Declaration and Signatures

We the undersigned, being two members of the Society who are appointed in writing by the Society, or its governing body, submit this return to the Licensing Authority in accordance with the provisions of Schedule 11, Part 4, Paragraph 39 of the Gambling Act 2005.

Signed:

Print Name:

Capacity:

Dated:

Signed:

Print Name:

Capacity:

Dated:

PLEASE NOTE THAT IT IS AN OFFENCE UNDER SECTION 342 OF THE GAMBLING ACT 2005, TO GIVE ANY FALSE OR MISLEADING INFORMATION WITHIN THIS RETURN.

NOTES

Enter the amount spent by the promoters of the lottery in respect of costs incurred in organising the lottery e.g. printing of tickets. If any of this amount was deducted from the proceeds enter that amount. If any costs were met other than by way of deducting the amount from the proceeds, enter details of the sources from which they were met.

Enter the amount deducted from the proceeds by the promoters of the lottery in respect of the provision of prizes, including the provision of prizes in accordance with any rollover.

Prizes awarded in small society lotteries can be either cash or non-monetary. The value of prizes combined with any expenses incurred with the running of the lottery must not comprise more than 80% of the total proceeds of the lottery. Donated prizes would not be counted as part of this 80% (as no money would be withdrawn from the proceeds to cover their purchase) but should still be included in the amount entered here.

Section 261 of the Gambling Act 2005 makes it an offence to misuse the profits of a lottery. A person commits an offence if they use any part of the profits of a lottery for a purpose other than one for which the lottery is permitted to be promoted.

Section 262 of the Gambling Act 2005 makes it an offence for a society:

• to promote a lottery at a time when it is not registered with the local authority

• to fail to correctly submit a lottery return

• to provide false or misleading information in a lottery return.

Section 263 of the Gambling Act 2005 provides that a person guilty of an offence under this Part shall be liable on summary conviction to-

(a) imprisonment for a term not exceeding 51 weeks,

(b) a fine not exceeding level 5 on the standard scale, or

(c) both.

Please return the completed form to Licensing Section, Test Valley Borough Council, Beech Hurst, Weyhill Road, Andover SP10 3AJ Email: [email protected]