Agenda - Council - 11/10/2003 - Laserfiche WebLink

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Minnesota Lawful Gambling LG215 Lease for Lawful Gambling Activity 8/03 Page 1 of 2 e of legal owner of premises Street address City State Zip N&me of !e~sor ' i , ~reet address ' City / State Zip (if same as legal owner, write in "SAME") Na~ne of leas~cl-premises I Street addr~.ss / . City / Zip Name of lessee (or~lanization leasing"tt~e premise~ Organization license number Rent Information Daytimey~ ~ phone Daytime phone Daytime phone Daytime phone (for activity involving'pull-tabs, .Upboards,¢paddlewbeels,.and pull-tab dispensing__de_,,C..ces. _N~lea.se_r_equired loc rat~_es.) . Booth operaUon - ales of gambling equipment by an employee (or - Bar oP~raUon - sales qf gambling equiPment within a leased volunteer) of a licensed organbaUon within a separate enclOSUre that Is premises by an employee of the lessor from. a common area.where distinct from areas where food and beverages are. sold. food a.nd beverages are also sold.. I . DOes :.you¢ organizatiOn OR any. other organizaUon COnduct.gambling ..... -I · ' from a booth operaUon at this locaUon? __~ yes. - · No ' :fyou anSWered yes to the question above~ rent. limits are based on the following oombinaUons of eperaUon:- .. · : BOoth operaUon Booth operation and pull-tab dispensing device Booth operaUon and bar operaUon ' ' Booth operation, bar operation, and pull-fab dispensing device 'The maximum refit alloWed may not exceed 41,750 in total per month for all organizaUons at this premises, Complete one option: OpUOn A: 0 to10% of the gross PrOfits per month. Percentage to be paid . .% Option B: When gross profits are 44,000 or less p~r month, 40 t( $400 permonth may be paid. Amount to bePaid $. '- . . OpUon C: 40 to $400 per month may b~. paid on the first $4,000 of gloss profit. Amount to be paid $. . Plus 0% to 10% of the gross Prof, s may be paid per month on gross profits over $4,000. Percentage to be paid % NOTE: If there are any other terms or conditions for rent-related If you answered ilO to the question above, rent limits are based on the following combinations of operaUon! - · Bar.opetation . Bar operation with pull-tabdispensing device - Pul!-tab dispensing device only . The maximum tent all6wed may;not exceed ¢2,000 in total per month for all organizaUons at this i~remises. Complete o~e .opU°n: Option A: 0't0 20% of thegross profits per month. · Percentage to be Paid.. % OpUon B: -When gross proFiS areS1,000 or less per month, 40 Lc $200 per month may.be paid. An3ount to be paid $ OpUon C: $0 to $200 per month may.be paid on the first $1,000 of gross prorFcs. Amountt0 be paid.4. ' . Plus 0% to 20% of the gross proffcs may be paid per month on gross profits over 41,000. Percentage t.o be paid __% Check all activities that will be conducted: expenses, they must be identified on page 2 under Acknowledgment ~ Pull-tabs of Lease Terms and are subject to Board approval. · . · ._.~Tipbsards Flent'lnformation: Bingo Bingo and/or Bar Bingo Occasions Rent for bingo and all other gambling activities conducted during a bingo occasion may not exceed: Pull-tabs with' dispensing device . )(' PaddleWheel 'Paddlewheel $200 per occasion for up to 6,000 square feet $300 per occasion for up to 12,000 square feet $400 per occasion for more than 12,000 square feet $25 per occasion for bar bingo conducted at any time in a bar (regardless of square footage). Your organization must conduct another form of lawful gambling, and the r Noon Hour Bingo Occasions Rent may not exceed $25 per day for noon hour bingo conducted between tl a.m. and 2 p.m. at a premises with a license for the sale of intoxicating beverages on the premises. Rent to be paid per bingo occasion $ For any new bingo actiVity not p~eviously ~ premises must serve intoxicating liquor or 3.2 percent I inciudedin a premises PermitApplicaUon, malt beverages. Rent to be paid per bingo occasion $. j attach a seParate sheet of paper listing the days and hours that bingo will be COnducted. ................ I ' - ~ ~J. If this is an amended lease showing changes occurring dudng the term of the current premises permit, both parties Amended that signed the lease must initial and date all changes, Changes must be submitted to the Gambling Control Board Lease at least 10 days prior to the change. Write in the date that the cha, nges-will be effective__/.__/__ Only Lessor Date__ Organization Date