The statement must contain the following information:(1) the number of tickets printed or items manufactured;
(2) the number of tickets or items sold;
(3) the selling price of a ticket or item;
(4) the total proceeds from the sale of tickets or items;
(5) the total value of prizes awarded;
(6) the actual cost of each prize awarded, as well as supporting vouchers;
(7) the total value of the prizes claimed;
(8) the administration expenses related to the drawing;
(9) the profit or loss from the drawing;
(10) the name and address of each winner of a prize valued at $100 or more;
(11) an attestation that all prizes offered were awarded, or if not, the reasons why they were not awarded.