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Minnesota Lawful Gambling
<br />LG215 Lease for Lawlul ,arnb i ' ' '
<br /> , :., pgiAcbv ty
<br /> Name o? :e~al :.,vnet c~prem~ses Buslne~Istreet ~d~reSs C.~/
<br />
<br /> Name cf 'esscr ~csm~s, slr~et actress:
<br /> (ff same as !e.sai cwr~er, wri:e in "S4ME')
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<br /> Name of'.eased premises Street addre~ C~i
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<br /> 11/G4
<br />Page i of 2
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<br />~:e Z!p Da~Jme phone
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<br />~3:e Z;p Day, me c;-cce
<br />/vl,v S)7¢? '?~.?-£?Z-- ~..¢.Z..
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<br />Daytime phone
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<br />Namezc~iessee (organization !easing the premises) Cr;anizat;cn ii,rise number Daytime phcne
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<br /> ' Rentlnfbrmation
<br /> (for ac*.'.v!b/ im/clving ;u!l-tai:s, dpbcards, pa~c!e,.vEeels, anS. pu;I-tab disF. ens:.r.§ ~:,;c=~.
<br />Booth operation - safes cf ,3aml:!icg equicment b'¢ an em.:;cyee (er' : ' Bar operation - ~z!es cf
<br />vclun;eer) 2f 3 ';co~='4 ....... crGanizadcn "~.....n;~'; a se.e.a~iite e~:c_~rE thai: is: ' .~r~.m;=e~- ..... ~'y ,n emc!cvee. . cf ~'-e ~e~-cr from a :ommcn ars~ ;,,here
<br />dis'Jr~ from ~re.~s where fcpd and beverages are ~¢ld : : fccd ~nd
<br /> . _r_ sl_~ sold.
<br /> Does your orgahjzation OR any ol~her organizaf~o.p- conduct gambling
<br /> from a b~oth~operatjon at thins ~ocation? _.z~__Yes Ho
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<br />fl' you answered yes to the question above, rent limit~ are
<br />based on the following combina~cns of operal~on."- Booth oF. oration
<br /> Bcoth al:era(ion and pull-tab dispepsing device
<br /> Booth operaUon and bar cperaticn
<br /> Booth cperBt!on, bar cperat!cn, and pull-tab dispens:,ng device
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<br /> The ma:(fn:um rent allowed may not exceed the :imit~
<br /> established under ,'.!innesota Statute 349.18, Subd. 1 (b)(4).
<br /> The limit as of Hay 1, 20'0,4 is $1,750 in total per month
<br /> for all organizations at this premises.
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<br />Complete one option:
<br />Option A: 0 to 10% of th,e,~ross profits per monUa.
<br />Percentage to be paid ~'~/ %
<br />
<br />Option B: When grcss profits are 54,000 or less Fur month, sQtc
<br />S400 per month, ma,/be paid. Amount to be paid $ ~
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<br />Option C: $0 .:o s400 per mcnth may be paid on tJ':e fi,'~t $.4,000
<br />of gross proF. L Amount to be paid S P~uSO% to
<br />10% of the gross profits may be paid per month:on ~rcss prol~ts
<br />over Sq,OO0. Percentage to be paid % '
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<br />if you ans,,¢ered no to :,e que~d.'on above, rent limits are
<br />ba_%--d on ~e fcilc~;ing ccmbina~ons of operaUen: Bar operation
<br /> Bar cperat!cn witch F. uil-.tab dispensing devfce
<br /> Pule-tab dispess!r.g Pe',:'ce only
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<br />'i-;ne max'.mum rent a;Icwed may not exceed the limits
<br />estabiished under .'4;nnesota 5tabate 349.!8, Subd. ~(b)(4).
<br />The limit as of ,Hay 1, 2004 is $2,500 in total per month
<br />for apl srganizafJcns at this premises.
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<br />J
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<br /> Complete one option:
<br /> Option A: 0 to 20% of .~..e gross profits per month.
<br /> Percentage to be paid
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<br /> !Option B: ',',"hen gross F. rc~,ts are $1,000 or less per month, $0 to
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<br />iOption ¢: $0 :o $2,30 F. er ,.-.cnd~ may be paid on the fir% $1,000
<br />!of gr.3~ :srcC~ts. Amount to be paid $ . Plus 0% to
<br />20% cf the gross profits may be paid per mcnth on gross profits
<br />!lover $i,000. Percentage to be paid %
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<br />Check all activities thatwill be conducted: . ' '
<br />__Pt.Il-tabs Pull-tabs with dispensing d~,,,ice TiPboard~ ~Paddlewheel
<br /> Rent trifOrmation: Bingo
<br />Bingo and/or Bar Bingo Occasions
<br />Rent fcr bingo and all other gambling activities
<br />conducted durfng a bingo cccasion may n. ot exceed: · 5200 Fur cccaslon for up to 6,000 square feet
<br /> · $300 per occas!cn for up to [2,000 square feet.
<br /> · $400 per occasion for mcre than t2,000 square 'feet: -
<br /> · $25 per occasion fcr bar bingo conducted at any:time in
<br /> bar (regardless of square rcota§e). Your organiz~ation
<br /> mu% conduct another form of lawful gambling, and the
<br /> premises must sepze intoxicating liquor, or :].2 percent
<br /> malt beverages.
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<br />Rent to be paid per bingo occasion $
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<br />Padd!ewheel with table
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<br />Noon Hour Bingo Occasions
<br />Rent may ncr exceed S25 per day for nocn hour
<br />birgo ccnduc':ed between 11 a.m. and 2 p.m. a~ a
<br />premises with a license for the ~!e cf intoxicat!ng
<br />beverages cn the premises.
<br />
<br /> Rent to be paid per bingo occasicn $
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<br />For any new bingo activity not previously n
<br />included in a Premise~ Permit Application, I
<br />
<br /> j attach a separate sheet of paper listing the j
<br /> days and hours that bingo will be conducted.
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<br />It' m,s ~s an amended lease sn~wih~l c~,anges ocCUrfir~g ducng ~e term cf me c. rr, ent premises permit, both par'des
<br />that signed Lhe :ease must, initial and date allOhang~. Changes mt.% be submitted to the Gambling Conb'ol Board
<br />at least ~.0 days prior ~o Lhe change, Write in the date bhat bhe changes will be effec*Jve __/ /.~
<br />Les%r Date __ orgaOiza~Jcn Date__
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<br />Amended
<br />Lease
<br />Only
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