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06-11-2003 Council Agenda
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06-11-2003 Council Agenda
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Minnesota Lawful Gambling <br />LG205 Lawful Gambling Compensation Schedule <br />Organization name - -. License number. <br />j --.,_ � cam' °,0 'f.,. 'Cr ` ( T � c.� -• %s 7;rt - <br />Business address of organization (do not use address of gambling manager) <br />Street City State Zip code <br />^` <br />Lc\\ kC� f. j-k\ � eoc.c. bYiN Cam' 11 <br />Name of chief executive officer Business phone number <br />including area code <br />-\t'rc \r \t..1 ; \.c -.. (C..,!) -"cam 1(prf 7 <br />Compensation Schedule <br />• Compensation means wages, salaries, and all other forms of payment for services rendered in the conduct of lawful <br />gambling. <br />• Do not include wages paid to employees who do not participate in the conduct of gambling, (i.e., bookkeepers, <br />accountants, attorneys). <br />• If no wages are paid, state "No compensation paid ", sign the LG205, and attach it to the LG200A application. <br />• When submitting an updated compensation schedule with changes, be sure to include the wages for all positions. <br />Position Amount to be Paid For All Employees <br />Enter the minimum and maximum wage of each position listed <br />If employees are not paid (volunteers), indicate $0. <br />Minimum Madmum <br />and check the appropriate box. <br />Check appropriate box: <br />Per <br />Occasion <br />Hourly <br />Daily <br />Weekly <br />Monthly <br />Other (specify) <br />Gambling Manager $' t ^��� $ i ° L< <br />Assistant Gambling ° '.: � , <br />Manager, if any $ 1 v : $ iI Cr, <br />BINGO: <br />Caller $: $ <br />Checker(s) $ $ <br />Sales - paper $: $ <br />Collectors: (hard cards) ::$ $ <br />Other (identify): <br />$ $ <br />OTHERTHANBINGO: <br />Seller $ %.sc $ 3. ,o,c.: <br />Seller $, $ <br />Other (identify):" <br />C :1i2 ' e:avi.1 \C 17 $ ) , C \ . (''C, $ i 5O ! <br />., ‹. <br />Signature <br />I affirm that the lawful gambling compensation schedule for all employees is accurate and has been approved by our <br />organization. Any changes in the compensation schedule will be submitted to the Board within ten days of the change. <br />:� �'" -r -- 6 i ? / G'"s <br />ief executive officer's signature Date <br />Mail to:, Gambling Control, Board <br />300 South <br />1711 West County Road B <br />Roseville, MN 55113. <br />This form will be made available in alterative format (i.e. large print, Braille) upon request. If <br />you use a rry you can call us the Board by using the Minnesota Relay Service and ask to place <br />a call to 651 -639 - 4000. The information: requested on this form will become public information <br />when received by the Board, and will be used to determine your compliance with Minnesota <br />statutes andrules governing lawful gambling activities. <br />-.15- <br />
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