FG-710-2 FOREIGN GAMING ANNUAL REPORT BEFORE THE NEVADA GAMING COMMISSION AND THE STATE GAMING CONTROL BOARD In the Matter of EXACT NAME OF NEVADA LICENSEE Foreign Gaming Annual Report NAME OF FOREIGN GAMING OPERATION FOREIGN LOCATION(S) ADDRESS (e.g., Tunica, Mississippi) DATE (e.g., 12/31/98) 1. The Nevada Licensee State the Nevada licensees name and address. 2. Affiliated Companies State the name(s) and address(s) of any affiliated company, holding company, intermediary company or publicly traded corporation related to the Nevada licensee. 3. Annual Report (a) Compliance with, or Revisions or Modifications to Systems of Accounting, Internal Controls and Audit Procedures. Discuss the Nevada Licensees compliance with the Systems of Accounting, Internal Controls and Audit Procedures. Attach any supporting documentation regarding the review of these systems. State and detail any revisions or modifications to the Nevada licensees Systems of Accounting, Internal Controls and Audit Procedures relating to the foreign operations. If none, so state. (b) Compliance with, or Revisions or Modifications to Surveillance Procedures. Discuss the Nevada Licensees compliance with the Surveillance Procedures. Attach any supporting documentation regarding the review of these systems. State and detail any revisions or modifications to the Nevada licensees surveillance procedures relating to the foreign operations. If none, so state. >>>> 2 The Nevada licensee shall keep the Boards Corporate Securities Division promptly informed of all actions taken by the foreign jurisdiction regarding the foreign gaming operation and all matters directly or indirectly related thereto. Nevada Licensee By: Manual Signature___ Typed Signature Title