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CCP 02-13-2006
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CCP 02-13-2006
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11/14/2006 4:42:02 PM
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<br />Minnesota Lawful Gambling <br />LG215 Lease for Lawful Gambling Activity <br /> <br />8{05 <br />Page 1 of 2 <br /> <br />Organization name Ucense number Daytime phone <br /> North Suburban Youth Foundation 01485 651-638-4600 <br />Name of leased premises Slreet address City I State Zip Daytime phone <br /> Big Ten Supper Club 4703 N. Highway 10 Arden Hills !\IN 55112 651-633-7253 <br />Name of legal owner of premises Business/street address City State Zip Daytime phone <br /> JohnJ. Welsh I 4748 Cumberland Shoreview MN 55125 651.777-9020 <br />Name of lessor (ifsame as legal Business/street address City State Zip Daytime phone <br />owner, write in "SAME") <br /> Same <br />Check all activities that will be conducted: <br />~ull.tabs _Pull.tabs w~h dispensing device II TIpboards ~paddlewheel __Yaddlewheel with table _Bingo ~Bar bingo <br /> Pull-tab, Tipboard, and Paddlewheel Rent (No lease required for raffles,) <br />Booth operation ~ sales of gambling equipment by an employee Bar operation - sales of . gambling equipment within a leased <br />(or volunteer) of a licensed organization within a separate endosure premises by an employee of the lessor from a common area where <br />tflat is distinct from areas where food and beverages are sold. food and beverages are also sotd. <br />r------------------------------------i <br /> Does your organization OR any other organization conduct gambling <br /> from a booth operation at this location? X Yes No <br />L______________________~__==_________~ <br />If you answered yes to the question above, rent limits are If you answered no to the question above, rent limits are <br />based on the foUowing combinations of operation: based on the following combinations of operation: <br />- Booth operation - Bar operation <br />- Booth operation and pull-tab dispensing device - Bar operation with pull-tab dispensing device <br />. Booth operation and bar operation - Pull-tab dispensing device only <br />- Booth operation, bar operation, and pull-tab dispensing device <br /> The maximum rent allowed may not exceed $1,750 in total The maximum rent allowed may not exceed $2,500 in total <br /> per month for all organizations at this premises. per month for all organizations at this premises. <br />Complete one option: Complete one option: <br />Option A: o to 10% of the gross profits per month. Option A: 0 to 20% of the gross profits per month. <br />Percentage to be paid % Percentage to be paid % <br />Option B: When gross profits are $4,000 or less per month, $0 to Option B: When gross profits are $1,000 or less per month, $0 <br />$400 per month may be paid. Amount to be paid $~_. to $200 per month may be paid. Amount to be paid $ <br />Option C: $0 to $400 per month may be paid on the first $4,000 Option C: $0 to $200 per month may be paid on the first $1,000 <br />of gross profit. Amount to be paid $ 400 Plus 0% to of gross profits. Amount to be paid $ Plus 0% to <br />10% of the gross profits may be paid per month on gross profits 20% of the gross profits may be paid per month on gross profrts <br />over$4,000. Percentage to be paid 10 % over $1,000. Percentage to be paid % <br /> Bingo Rent Bar Bingo Rent <br /> Option D: 0 to 10% of the gross profits per month from all lawful L Option F: No rent may be paid for bingo <br /> gambling activities held during bingo occasions, excluding bar bingo. conducted in a bar. <br /> Percentage to be paid % <br /> Option E: A rate based on a cost per square foot not to exceed 110% <br /> of a comparable cost per square foot for leased space, as approved by <br /> the director of the Gambling Control Board. No rent may be paid for bar r------------, <br /> for any new bingo activity not previously <br /> bingo. Rate to be paid $ per square foot. I induded in a Premises Penn~Application, I <br /> The lessor must attadl documentation, verified by the organization, to <br /> confinn. the comparable rate and all appliGlblerosts to be paid by the I attach a separate sheet of paper listing the I <br /> organization to the lessor. days and hours that bingo will be conducted. <br /> L____________.J <br />Amended If this is an amended lease showing changes occurring during the tenn of the current premises pennit, both parties <br />that signed the lease must inilial and date all manges_ Changes must be submitted to the Gambling Control Board <br />Lease at least 10 days prior to the change. Wnte in the date that the manges will be effective ----.J ----.J_. <br />Only Lessor Date Organization Date <br /> <br />. <br /> <br />. <br /> <br />. <br />
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