Agenda - Council - 11/25/2003 - Laserfiche WebLink

Home

Minnesota Lawful Gambling LG215 Lease for Lawful Garnb!in9 Activity Name of legal owner of premises Street address City Name of lessor Street address City (If same as legal owner, write in "SAME") Name of leased premises Slree~ address 8/03 Page 1 of State Zip Daytime phone State Zip Daytime phone Ci~ Zip Daytime phone Name of lessee (organization leasing the premises_~ Organization license number Daytime phone ~ ~7 ~/%~J' C /~ R~ntlnformation (~r a~iviW involving pull-tabs, tipboards, paddlewheels, and puli-tab dispensing device. No lease required for ra~es.) B~th o~r~tion - sales o~ gambling equipment by an employee (or ~ar operation - sales o~ gambling equipmen~ wi~[n a teased volun~er) o[ a licen~d organization wi~in a separate enclosure that is premises by an employee of ~e le~or from a common area wh~r~ dis~n~ from areas where f~d and ~verages are sold. food and bevera~ are al~ ~ld. Does your organi~tion OR any other organization condu~ gambling from a ~oth operatlen at this location7 ~ Yes ~ No If you answered yes to the question above, rent limits are ,ased on the following combinations of operation: Booth operation Booth operation and puIFlab dispensing device Booth operation and bar operation Booth operation, bar operation, and pull-tab dispensing device The maximum rent allowed may not exceed $1,750 in total p~r month for all organizations at this premises. :omplete one option: Option A: 0 to 10% of the. gross profits per month. Percentage to be paid /(.) % Option B: When gross profits are $4,000 or less per month, $0 to $400 per month may be paid. Amount to be paid $ Option C: $0 to $400 per month may be paid on the first $4,000 oCgross profit. Amount to be paid $ . Plus 0% to ~.0% of the gross profits 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 no to the question above, rent limits are based on the following combinations of operation: Bar operation Bar operation with pull-tab dispensing device Pull-tab dispensing device only The maximum rent allow6~l may not exceed $2,000 in total per month for all organizations at this premises. Complete one option: Option A: 0 to 20% of the gross profits per month. Percentage to be paid . .% Option B: When gross profits are $1,000 or less per month, $0 to $200 per month may be paid, Amount to be paid $. Option C: $0 to $200 per month may be paid on the first 51,000 of gross profits. Amount to be paid.$ . Plus 0% to 20*/0 of the gross profits may be paid per month on gross profits over Si.,000. Percentage to be paid ~% C~e,~k all activities that will be conducted: expenses, they must be identified on page 2 under Acknowledgment .¢~'r~Pull-labs ~Pull-tabs with dispensing device of Lease Terms and are subject to Board approvaL ~'ripboards ~Paddlewheel .~Paddlewhee[ with table Rer~ infOrmation~ Bingo ' Bingo and/or Bar Bingo Occasions Noon Hour Bingo Occasions Rent for bingo and all other gambling activities conducted during a bingo occasion may not exceed; · $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 ~2,000 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 Rent may not exceed $25 per day for noon hour bingo conducted between ~.:t 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 $. I For any new bingo activity not previously premises must ser~e intoxicating liquor or 3.2 percent I included in a Premises PermitApptication~ malt beverages. Rent to be paid per bingo occasion $. I attach a separate sheet of paper listing the days and hours that bingo will be conducted. Amended [f this is an amended lease showing changes occurring during the term of the current premises permit, both parties that signed the lease must initial and date all ~anges, Changes must be submitted to the Gambling Control Board Lease at least 10 days prior to the change. Write in the date that the changes will be effective 1~/ Only Le~or Date Organization Date