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MINNESOTA LAWFUL GAMBLING LG215 Lease for Lawful Gambling Activity Revised 11/12 Page 1 of 2 Organization , 1fThir 91ah4afrtiill I% � 5 0r/g- thiZrlk1/1,440,9 19.041-4 License /site number Oa/ % Daytime phone b5/- 57'17 -87 Name of leased premises LIME- Veitierm ti Street address 49et Rie&57J?cc -71 sTF City �/��n t,njC L�f-f'w-kaq State MN Zip 55//3 Daytime phone ) 45/-446- J %/ Name of legal owner fl>_- ! / /Til4 Business /street address A 9o0 ieeE,a r S/� a �o City L/%1ZE" Cllr -%k State rA) Zip s, 5/l 5 Daytime hone 651-50.6- 77/ 77 Name of lessor [if same as legal owner, write in "SAME" C 547,2 Check applicable item: 1. New lease. Do not /O._ /—/ 0 Date that submit existing lease with amended changes. the changes will be effective. Submit changes at least 10 days before the effective date of the change. date Submit new lease within 10 days after new lessor assumes ownership. x 2. New owner. Effective Check all activity that will be conducted (No lease required for raffles) IN Pull -tabs [paper] Pull -tabs [paper] with dispensing device E (1) malt alcoholic with table (2)a capacity ' \ Electronic pull -tabs [must also sell paper pull -tabs] Linked electronic bingo games may only be conducted at: licensed for the on -sale or off-sale of intoxicating liquor or 3.2 percent [but does not include a general food store or drug store permitted to sell beverages under Minn. Stat. 340A.405, subdivision 1]; or premises where bingo is conducted as the primary business and has a seating of at least 100. X X ectronic a premises beverages Bar bingo Bingo Tipboards Paddlewheel Paddlewheel PULL -TAB, TIPBOARD, AND PADDLEWHEEL RENT Separate rent for booth and bar ops. BOOTH OPERATION - Some or all sales of gambling equipment are conducted by an employee /volunteer of a licensed organization at the leased premises. ALL GAMES, including electronic games - Monthly rent to be paid, = %, not to exceed 100/0 of gross profits for that month. • Total rent paid from all organizations for only booth operations at the leased premises may not exceed $1,750. • The rent cap does not include BAR OPERATION rent for electronic games conducted by the lessor. BAR OPERATION - All sales of gambling equipment conducted by the lessor or lessor's employee. ELECTRONIC GAMES - Monthly rent electronic pull -tab games and electronic ALL OTHER GAMES - Monthly rent to • If any booth sales conducted that month and is subject to be paid, /if- %, not to exceed 15" /o of the gross profits for that month from not to exceed 20% of gross profits from all other forms of lawful gambling. at the premises rent may not exceed 10% of gross profits for cap. linked bingo be paid,c2C games. " /o, organization $1750 by a licensed to booth operation BINGO RENT for leased premises where bingo is the primary business conducted, such as bingo hall. Bingo • • rent is limited to one of the following: Rent to be paid, — %, not to exceed 10% of the monthly gross profit from all lawful gambling activities held during bingo. square foot, not to exceed 110% of a comparable cost per square foot for leased space, as Gambling Control Board. The lessor must attach documentation, verified by the organization, and all applicable costs to be paid by the organization to the lessor. bingo. bingo games linked to other permitted premises. bingo occasions, excluding bar - OR - Rate to be paid $ — per approved by the director of the to confirm the comparable rate o Rent may not be paid for bar o Bar bingo does not include LEASE TERMINATION CLAUSE. Must be completed. The lease Other may be terminated by either party with a written terms 30 day notice. 17