Agenda - Council - 10/25/2005 - Laserfiche WebLink

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Minnesota Lawful Gambling LG2'I5 Lease for Lawful Gambling Activity l Name of leased~r~mioes ~ S~reet address ~i~ State ~Name of legal owner of premises ~ Business/street address C~y _ State / Nan~e of lessor (if same as legal ~ Business/street ~ddress C~y '" / ' Stale ~owner, write in "SAME") i ' ~ 8/05 Page 1 of 2 Zip Zip Daydnle phone Zip Daytime phone Checl( all activities that will be conducted: ;'7~Pull-tabs ~Pufl-tabs with dispensing device __Tipboards .~Paddlewheel ~Paddlewheel witi~ table ~Bfngo ~aar bingo Pull-tab, Tipboard, and Paddlewheet Rent (No lease required for raffles.) Booth operation - ~ales of gambling equipment by an employee Bar ogeratioo - sales of gambling equipment within a leased (or volunteer) of a licensed organization within a separate enclosure premises by an employee of the lessor (rom a common area where that is distinct from areas where food and beverages are sold. food and beverages are also ~old.. ' Does your organization OR any other organization conduct gambling from a booth operation at this location? . Yes ~ No Jf you answered ye~ to the question aoov_e, rent limits are based on the following combinations of operation: Booth ope~tion Booth operation and pull-tab 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 ~otal per month for all organizations at this premises. Complete one'option: Option A: 0 to 10% of th.e gross profits per rnonth. 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 ¢: $0 to $400 per month may be paid on the first $4,000 of gross profit. Amount to be paid $ . P~us 0% to 10% of the gross profits maybe paid per month on gross profits over $4,000. Percentage to be paid __% Bingo Rent Option D: 0 to 10% of the gross profits per month from all lawful gambling activities held during bingo occasions, excluding bar bingo. Percentage to be paid ~% Option I~; A rate based on a cost per square foot not to exceed 110°'o of a comparable cost per square foot for leased space, as approved by the director of the Gambling Control Board. No rent may be paid for bar bingo. Rate to be paid' $~ per square foot. The lessor must attach documentation, verified bythe organization, to confirm the comparable rate and all applicable costs to be paid by the organization to the lessor. Amended Lease Only ,ti you answered i~O to the question above, rent limits are , based on the following combinations of operation'. - Bar operation ' i- Bar operation with pull-t~b dispensing device - Pulbtab dispensing device onty The maximum rent allowed may not exceed $2,.500 in total per month for all organizations 'at this premises. Complete one option: Option A: 0 to 20% of the gross profits per month. IPercentage to be pai. d % Option B: When gross profits are $1,000 or less per month, $0 to $2.00 per month may be paid. Amount to be Paid $ Option C: $0 to $200 per month may be paid on the first $1,000 of gross profits. Amountto be paid $_ Plus 0% to 20% of the gross profits may be paid per month on gross profits over $1,000. Percentage to be paid % Bar Bingo Rent ~ Option ~: No rent may be paid for bingo conducted in a bar. For any new bingo activib/not previously inc uded n a Premises Perm tAppl cation, { attach a separatesheet of paper, listing the I days and hours thai: bingo will be conducted. _1 If (his is an amended tease showing changes occurring during the term o(the current premises permit, both pa~ties Gambhn Control that signedtbe lease musc initial and date ali changes. Changes must.be subrni~:ed to the ' g _ · Board at least !0 d~¥s prior to the change. Write in the date that the changes will be effective ./ /__. Lessor Date ~ Organization Date -130-