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Minnesota Lawful Gambling LG215 Lease for Lawful Ga 6/07 Page 1 of ai V Check applicable item: 1. Lease for new application. Submit with new premises permit application. X 2. Renewed lease. Submit with premises permit renewal. 3. New owrier. Effective date / / Submit new or amended lease within 10 days after new lessor assumes ownership. 4. Amended lease • Check the change(s) in the lease: Rent Premises name Booth /bar change Other _Activity ° Date that changes will be effective / / ° Both parties must initial and date all changes. • Submit changes at least 10 days before the effective date of the change. Organization name North Suburban Youth Foundation License number 01485 Daytime phone 651- 6384600 Name of leased premises Market Place Center Street address 2900 N. Rice Street City Little Canada State j55113 Zip Daytime phone 651483 -1203 Name of legal owner of premises Market Place Ctr., LLC Business /street address 6440 Flying Cloud Drive City Eden Prairie State MN Zip 55344 Daytime phone 952 -944 -1665 Name of lessor (if same as legal owner, write in "SAME ") Same Business /street address City State Zip Daytime phone Check ('1) all activities that will be conducted x Pull -tabs Pull-tabs with dispensing device x Tipboards xPaddlewheel _Paddlewheel with table _Bingo x Bar bingo Pull -tab, Tipboard, and Paddlewheel Rent (No lease required for raffles.) Booth operation - ales of gambling equipment by an employee Bar operation - sales of gambling equipment within a leased (or volunteer) of a licensed organization within a separate enclosure premises by an employee of the lessor from a common area where that is distinct from areas where food and beverages are sold. food and beverages are also sold. f Does your organization OR anv other organization conduct gambling L from a booth operation at this location? X Yes No If you answered yes to the question above, rent limits are based on the following combinations of operation: - Booth operation - 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 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 o/o J • If you answered 110 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 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. 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 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 $400 per month on the first $4,000 of gross profit. Amount to be paid $ Option C: $0 to $200 per month on the first $1,000 of gross profits. 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 % Plus, 0% to 20% of the gross profits may be pald per month on gross profits over $1,000. Percentage to be paid Bingo Rent Bar Bingo Rent Option D: 0 to 100/0 of the gross profits per month from all lawful gambling activities held during bingo occasions, excluding bar bingo, Percentage to be paid % — Option F: conducted ductedinabaidforbingo conducted in a bar. Option E: A rate based on a cost per square foot, not to exceed 110% 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 $/6 . -/ per square foot.g,)) het • New Bingo Activity For any new bingo activity not previously included in a Premises PermitApplication, attach a separate sheet of paper listing the days and hours that bingo will be conducted. The lessor must attach documentation, verified by the organization, to confirm the comparable rate and all applicable costs to be paid by the organization to the lessor.