06-11-2003 Council Agenda - Laserfiche WebLink

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Minnesota Lawful Gambling LG215 Lease for Lawful Gambling Acti P 6/03 Name of legal owner of premises Street address City State/ 1 Zip Daytime phone/ CC,-'C.C\•\•c,I.a i. irk C. • aU` i_ L\ (1',4'tiYXi Q;.-ir'l Lit \MQ. ll..o�lL(•.4'\ 1V1N SS 11-1 l `SI Name of lessor Street address City State Zip Daytime phone (If same as legal owner, write in "SAME ") v \c.Si Name oof'leased premises Street address 1 City j� Zip /Daytime phone l l,+::•` \uc, \'\Ctl.&.. .3,'C;\ 'E L.lc.:�k C<�N4.:14 Q. L -i%ti. Cc:Ket,._ `CI. 11 4C1-. i t'sci—Li€ Name of lessee (organization )basing the premises) Or anizationlicense number Daytime phone Rent Information (for activity involving pull -tabs, tipboards, paddlewheels, and pull -tab dispensing devices) Does your organization or any other organization X conduct gambling from a booth operation at this location? Yes /� No _ Booth operation means a method of selling and redeeming gambling Bar operation means a method of selling and redeeming equipment by an employee (or volunteer) of a licensed organization gambling equipment within a leased premises licensed for the in a premises the organization leases or owns where such sales and on -sale of alcoholic beverages where such sales and redemptions are made within a separate enclosure that is distinct redemption are made by an employee of the lessor from a from areas where food and beverages are sold. common area where food and beverages are also sold. If yes, rent is based on the booth operation formula: • For gross profits (net after prizes) of up to $4,000 in a month, rent may be $0 to $400. • When gross profits (net after prizes) exceed $4,000 in a month, up to 10% of the gross profits (net after prizes) in excess of $4,000 may be paid in addition to the base rent. BOOTH OPERATION Monthly base rent to be paid $ Percentage to be paid The maximum rent allowed may not exceed $1,750 in total per month for all organizations at this premises. ei If IIO, rent is based on the bar operation formula: P • For gross profits (net after prizes) of up to $1,000 in a month, BAR OP ERATION Monthly base rent to be paid $ rent may be $0 to $200. • When gross profits (net after prizes) exceed $1,000 in a month, Percentage to be paid % up to 20% of the gross profits (net after prizes) in excess of $1,000 may be paid in addition to the base rent. The maximum rent allowed may not exceed $z,000 in total per month for all organizations at this premises. Lessor and lessee negotiated rent may be lower than the maximum rent allowed. Rent Information: Bingo Bingo and /or Bar Bingo Occasions Rent for bingo and all other gambling activities Noon Hour Bingo Occasions conducted during a bingo occasion may not exceed: Rent may not exceed $25 per day for noon hour • $200 per occasion for up to 6,000 square feet bingo conducted between 11 a.m. and 2 p.m. at a • $300 per occasion for up to 12,000 square feet premises with a license for the sale of intoxicating • $400 per occasion for more than 12,000 square feet beverages on the premises. • $25 per occasion for bar bingo conducted at any time in a bar (regardless of square footage). Your organization must conduct another form of lawful gambling, and the Rent to be paid per bingo occasion $ premises must serve intoxicating liquor or 3.2 percent malt beverages. Rent to be paid per bingo occasion $ Amended If this is an amended lease showing changes occurring during the term of the current premises permit, both parties Lease that signed the lease must initial and date all changes. Changes must be submitted to the Gambling Control Board at least 10 days prior to the change. Write in the date that the changes will be effective / / Only Lessor Date Organization Date 5