Agenda - Council - 04/10/2007 - Laserfiche WebLink

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Minnesota Lawful Gambling LG215 Lease for Lawful Gamblin Check applicable item: _ 1. Laasefor new application, Submit with new premises permit application. i 2, Renewed lease. Submit with premises permit renewal. _3, N.ew owner. Submit new or amended lease within 10 days after new lessor assumes ownership. Dale effective_f_' 4. Amended lease . Check.thechange(s) in Ihe lease: _Rent _Premises name _Boothlbar _Activity change _other Date that changeswm beeffective----.l_'_ . Both parties must initial and date all changes. . Submitchan esalleast10da s riorlothechan e, Organization name Activi '", , (lu b Stree!address 10 5/05 Page1of2 License number Daytime phone 6 I G ,~ Cify l4v-t-.r't" coy '12 If() 3>79 Daytime phone Zip ,510 Zip Slare MN ISla" IttJJ State 71.3 ~l-7 Daytimephone l< l ",'94:r'f Daytimephone Z;p coy l"""'-J PIN ~"J, _Paddlewheel wlth table _Bingo _Bar bingo Pull~tab. Tipboard. and Paddlewheel Rent (No lease required for raffles,) Booth operiltion _ sales of gambling equipment by an employee Baroperiltlon - sales of gambling equipment within a leased (or volunteer) of a licensed organization within a separate endosure premises by an employee of the lessor from a common area where tllat is distinct from areas where food and beverages are sold. . food and beverages are aisosold. r------------------------------------' Does your organization OR any other organiza~ conduct gambling from a booth operation at this location? Yes _ No L_________________ ------------------~ If you answered yes to the question above, rent limits are If you answered no to the question above, rent Iimits'are based on the following combinations of operation: based on the following combinalionsofoperation: Booth operation Baroperation Booth operation and pull-tab dispensing device Bar operation with pUll-tab dispensing device Booth operation and bar operation Pull-tab dispensing device oAly Booth operation, bar operation, and pUll-tab dispensing device The maxlmum rent allowed may not exceed $1,750 In total per month for all organizations at this premises. Complete one option: Option A: 0 to 10% of the gross profits per month, Percentage to be paid In ,% option B: When gross profits are $4,000 or less per month, $0 to $400 per month may be paid. Amour')t to be paid $ Option C: $0 to $400 per month may be paid on the first $4,000 of gross profit. Amount to be paid $ . Plus 0% to 10% of the gross profits may be paid per month on gross profits over $4,000. Percentage to be paid % Bingo Rent Option D: Oto 10% of the gross profits permonth from all lawful gambling activities held during bingo occasions, excluding bar bingo. Percentage to be paid % Option E: A rate based on a cost per square foot notto exceed 110% of a comparable cost per square foot for leased space, as approved by the directorofl:heGambling Control Board. No rent may be paid for bar bingo, Rate to be paid $ per square foot. The lessor must attach dOOJmentation, verified by the organization, to confinn the comparable rate and all applicable cosl:sto be paid by the organization to the lessor. The maximum rentailowed may notexceed $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, Percentage to be paid % Option B: When gross profits are $1,000 or less per month, $0 to $200 per month may be paid. Amountto be paid $ Option C: $0 to $200 per month may be paid on the first $1,000 of gross profits. Amount to 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 _optlonF: Norentmaybepaidforbingo conducted In a bar. New Bingo Activity For any new bingo activity not previously induded in aPremisesPerrnitApplication, ,attach aseparatesheetofpaperlisting the dayS<lndhoursthatbingowiilbeconduded, -61-