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Minnesota Lawful Gambling <br />LG215 Lease for Lawful Gambling Activit <br />6/03 <br />Page 1 of 2 <br />Name of legal owner of premises Street address City State Zip Daytime phone <br />HCC�r "�e D ..c(...,, 2�. C1"1�Yt�'�\ .� 1-NL .-`10-k Q:4.1`Q ''?.). 1.`,E &At,: Ciinc'C1o., \ni `lCs (}11 - <br />Name of lessor Street address City State Zip Daytime phone <br />(If same as legal owner, write in "SAME ") <br />Name of leased premises Street address City Zip Daytime phone <br />\\, i i< \.2 ..` '‘Z(-'4..t ' s+..�uyk 13747;14. !7 , N SCJ, i_- �, i 'Lc NL, Pn r� `'Jz 1 i3 '..- <br />Name of lessee (organization leasing the premises) Organization license number Daytime phone <br />L<\ w+2 ;:s u,a ,. 'CS \.ae.t': -M1_ t..>. t)041/43 .'"y- C1:iSEL, -.00?) bSt-~1u,- "(••S- <br />Rent Information (for activity involving pull -tabs, tipboards, paddlewheels, and pull -tab dispensing devices) <br />Does your organization or any other organization <br />conduct gambling from a booth operation at this location? A Yes No <br />_ <br />Booth operation means a method of selling and redeeming gambling Bar operation means a method of selling and redeeming <br />equipment by an employee (or volunteer) of a licensed organization gambling equipment within a leased premises licensed for the <br />in a premises the organization leases or owns where such sales and on -sale of alcoholic beverages where such sales and <br />redemptions are made within a separate enclosure that is distinct redemption are made by an employee of the lessor from a <br />from areas where food and beverages are sold. common area where food and beverages are also sold. <br />, <br />/ <br />If yes, rent is based on the booth operation formula: <br />• For gross profits (net after prizes) of up to $4,000 in a month, <br />rent may be $0 to $400. <br />• When gross profits (net after prizes) exceed $4,000 in a month, <br />up to 10% of the gross profits (net after prizes) in excess of <br />$4,000 may be paid in addition to the base rent. <br />If Ito, rent is based on the bar operation formula: <br />• For gross profits (net after prizes) of up to $1,000 in a month, <br />rent may be $0 to $200. <br />• When gross profits (net after prizes) exceed $1,000 in a rnonth, <br />up to 20% of the gross profits (net after prizes) in excess of <br />$1,000 may be paid in addition to the base rent. <br />BOOTH OPERATION <br />Monthly base rent to be paid $ <br />Percentage to be paid %/a <br />The maximum rent allowed may not exceed <br />51,750 in total per month for all organizations <br />at this premises. <br />BAR OPERATION <br />Monthly base rent to be paid $ <br />Percentage to be paid <br />The maximum rent allowed may not exceed <br />52,000 in total per month for all organizations <br />at this premises. <br />Lessor and lessee negotiated rent may be lower than the maximum rent allowed. <br />Rent Information: Bingo <br />Bingo and /or Bar Bingo Occasions <br />Rent for bingo and all other gambling activities Noon Hour Bingo Occasions <br />conducted during a bingo occasion may not exceed: Rent may not exceed $25 per day for noon hour <br />• $200 per occasion for up to 6,000 square feet bingo conducted between 11 a.m. and 2 p.m. at a <br />• $300 per occasion for up to 12,000 square feet premises with a license for the sale of intoxicating <br />• $400 per occasion for more than 12,000 square feet beverages on the premises. <br />• $25 per occasion for bar bingo conducted at any time in a <br />bar (regardless of square footage). Your organization <br />must conduct another form of lawful gambling, and the Rent to be paid per bingo occasion $ <br />premises must serve intoxicating liquor or 3.2 percent <br />malt beverages. <br />Rent to be paid per bingo occasion $ <br />Amended If this is an amended lease showing changes occurring during the term of the current premises permit, both parties <br />Lease that signed the lease must initial and date all changes. Changes must be submitted to the Gambling Control Board <br />at least 10 days prior to the change. Write in the date that the changes will be effective / / <br />Only <br />Lessor Date Organization Date <br />-9 <br />