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12028 ~ Minnesota Lawful Gambling (09/05195) " 1 LEASE AGREEMENT BINGO AT A PERMIITED PREMISES i'lr Property O~ner/Lesseelnformation I Name af Legal o..l1er af Praperty Street Address City Zip Daytime Phone Goldie K. Siedow 3004 Jamley lake Elmo (612 ) 777 2971 I Name of Lessor Street Address City Zip Da)1ime Phone (This mayor may not be the: same as the Legal Q\.1..ner of the Property) I Goldie K. Siedow 3004 Jamley Lake Elmo MN (612 ) 777 2971 Name of Leased Premises Street Address City Zip Daytime Phone 1 Pot 0 Gold Bingo Hall 3776 Connelly Arden Hills MN 55112 612.631.1724 ( ) Name of Lessee (Name of Organization Leasing the Premises) GCB License # of Organization Daj1ime Phone I St. Mary's Romanian Orthodox Church A 004B9 (612 ) 488 5669 I I Rent1~f()tmatioll "I Rent for bingo and all other gambling activities conducted during that bingo occasion may not exceed: S200 for up to 6,000 square feet~ I S300 for up to 12 ,000 sq uare feet; and I Rent to be- paid per bingo occasion S 300. I 5400 for more than 12,000 square feet. Total rent may not be based 00 a percentage of rei:eipts from lawful gambling or attendance at a bingo occasion. An organization may not pay rent to itself or to any of its arnliates for space used for the conduct of lawful gambling. Ie MN Statute 349.18 Subd. 1 states that the term af the lease may nat begin befare the effective date af the premises permit and must expire on the same day that the premises permit expires. ONLY write an effective date in this area of the lease if this is a renegotiated lease agreement occurring during the term of your current premises permit. I Effective Date for Amended Lease Agreements / / List dimensions of all areas leased by your organization, including storage for bingo activity on this premises: The leased areas are; 1''jq feet by l=:n feet for a total of e'J~Q square feet. I Admissions/lobb~ ~? feet by '1n feet for a total of 1~hn square feet. Less vending (s aded) (5~g l Less concessions (shad\ld) 2~ feet by :n feet far a tatal of ( square feet. I Storage 7 feet by 1R feet for a total of 1?R sq uare feet. Net I Combined total ~~O4 square footage I I Submit a sketch (drawing) of the gambling premises. This must show the location of your organization's leased area(s) for the conduct of bingo, including areas leased for storage of your gambling product on this gambling premises. Be:: sure to v..rite the dimensions of the leased areas on the sketch. TIlE DL\1E.'lSlO:"lS ON THE SKETCH MUST BE THE SA..\IE AS nlOSE USTED ABOVE.. I Times aod Da).s of Bingo Occasions: Enter bingo days and times below. Circle a.m. or p.m. after each beginning and ending time. A bingo occasion must continue for at least 1-1/2 hours (90 minutes) but cannot exceed four (4) consecutive: hours, and at least 15 bingo games must be held at each occasion. An organization (as a whole) may not conduct more than ten (10) bingo I occaslons each week. Begins At: 1 n . nn (a.m.;)j;(n.) Ends At: nnnn (a.m.lp.m.) On Day af Week .!Prl Begins At 7:15 !.i'x.J(rp.m.) Ends At: 9: 00 ~tl'i.lp.m.) On Day afWeek Wed I Begins At: 9:15 (nflp.m.) Ends At: 11: 00 (,l<rh~p.m.) On Day af Week Wed Be:ginsAt: 2:0Q ~t)(/p.m.) Ends At: q:QQ ('X~.lp.m.) On Day of Week ~Gt fI Begins At: 7' i~ OIX\1.1p.m.) Ends At: !'J.nn (a.m.lp.m.) On Day af Week ~~t Begins At 9:15 (a.m.lp.m.) Ends At: 11: 00 (OCillXp.m.) On Day afWeek SAt Begins At: 11: 15 (l,1rl</p.m.) End, At: 1: 00 (am.lf-x,.) On D.yafWeek Sat I Begins At (a.m.lp.m.) Ends At: (a.m.lp.m.) On Day of Week Begins At: (a.m.lp.m.) Ends At: (a.m.lp.m.) On Day of Week Begins At (a.m.lp.m.) Ends At: (a.m.lp.m.) On DayafWeek