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Minnesota Lawful Gambling LG215 Lease for Lawful Gambling Activit 8/05 Page 1 of 2 Organization name North Suburban Youth Foundation License number 01485 Daytime phone 651- 638-4600 Name of leased premises Market Place Center Street address 2900 N. Rice Street City Little Canada State MN Zip 55113 Daytime phone 651-483-1203 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 all activities that will be conducted: XPull -tabs _Pull-tabs with dispensing device XTipboards XPaddlewheel Paddlewheel with table X Bingo Bar bingo Pull -tab, Tipboard, and Paddlewheel Rent (No lease required for raffles.) Booth operation - sales 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. r Does your organization OR any other organization conduct gambling from a booth operation at this location? X Yes No L 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 % J 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 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 ok __........_._._._...._. 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 may be paid on the first $4,000 of gross profit. Amount to be paid $ . Plus 0% to 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 10% of the gross profits may be paid per month on gross profits over $4,000. Percentage to be paid % 20% of the gross profits may be paid per month on gross profits over $1,000. 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 Bar Bingo Rent Option F: No rent may be paid for bingo 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 $ 8.11 per square foot. r � For any new bingo activity not previously included inaPremisesPermitApplicatlon, attach a separate sheet of paper listing the daysandhoursthatbingowillbeconducted. L J The lessor must attach documentation, verified by the organization, b confirm the comparable rate and all applicable costs to be paid by the organization to the lessor. Amended If 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 changes. 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 / / Only Lessor Date Organization Date