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Minnesota Lawful Gambling <br />Lawful Gambling Compensation Schedule - LG205 <br />Organization Information <br />11/97 <br />Organization name Q / /) 1 <br />ACl�ie �a)r'{,Scn ICPCir7PweVo(ul,�l,'h( "Dave ;' <br />Business address of organization (do not use address of gambling manager): <br />Street 1 City <br />ice; D . O�QSSO %\ u& <br />or eU1 E li <br />License number <br />State/Zip code <br />Name of chief executive officer <br />0.ne+- Thus <br />Business phone number <br />( (as ) z`� <br />Compensation Schedule <br />mount€tofiss,�'�id ForAll�Employees,n „' <br />If employees are not paid (volunteers), indicate 50. <br />Per hour QE Other rate of bay <br />month <br />Per bingo occasion QR <br />Gambling Manager $ <br />Assistant Gambling <br />Manager, if any $ $ <br />BINGO Caller $ $ <br />Checker(s) $ $ <br />Sales - paper $ $ <br />Collectors (hard cards) $ $ <br />Other (identify) <br />(HMO os�l cote01 <br />l ri 1C�r % nUS $ <br />OTHER THAN BINGO <br />Seller $ <br />Seller <br />Other (identify) <br />h'1\cka1_ t`r'QJ <br />9 week <br />year <br />Other <br />$ l; l OC3 06 <br />$ $ <br />$ $ <br />x��J.tr rernplo.1e -t <br />$ $ <br />$ $ <br />o.(\ 1v Cs, lf <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 schedule will be submitted to the Board within ten days of the change. <br />Chief executiv <br />officers signature <br />L / /C(` <br />Date <br />Mail to: Gambling Control Board <br />Suite 300 South <br />1711 West County Road B <br />Roseville, MN 55113 <br />This form will be made available in alternative format (i.e. large print, Braille) upon request. <br />If you use a TTY, you can call us by using the Minnesota Relay Service at 1- 800 - 627 -3529 <br />and ask to place a call to 651-639-4000. The information requested on this form will become <br />public information when received by the Board, and will be used to determine your <br />compliance with Minnesota statutes and rules governing lawful gambling activities. <br />PAGE 234 <br />