The statement must contain the following information for each instant lottery:(1) the number of cards on sale;
(2) the number of cards sold;
(3) the selling price of each card;
(4) the gross revenues from the sale of instant lottery cards;
(5) the total value of prizes awarded;
(6) the actual cost of each prize awarded, as well as supporting vouchers at the board’s request;
(7) the total value of the prizes claimed;
(8) the administration expenses;
(9) the profit or loss;
(10) the name and address of each winner of a prize valued at $2,000 or more, at the board’s request;
(11) an attestation that all prizes offered were awarded or the reasons why they were not awarded.