Within 15 days after the last day of licensed activity named in the license application, one of the principal officers of the organization shall file a report under the penalties of perjury certifying:

(1) that the activities authorized by the license were conducted at the time and place stated in the application solely by the regular members of the organization without the assistance of gaming professionals, and that the members conducting the activities do not regularly conduct gaming activities for any other organization;

(2) that money prizes were not offered, except as authorized under this subtitle; and

(3) the amount and disposition of the cash proceeds of the activities authorized by the license.