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HomeMy WebLinkAbout99-021 . . . CITY OF ARDEN HILLS COUNTY OF RAMSEY STATE OF MINNESOTA RESOLUTION NO. 99-21 A RESOLUTION REQUESTING APPROVAL OF CHARITABLE GAMBLING PREMISES PERMIT APPLICATION FOR EARTHSTAR PROJECT, INC. AT POT 0' GOLD, INC. WHEREAS, the City has received a renewal premises permit application from Earthstar Project, Inc. for Class A charitable gambling activity at Pot 0' Gold, Inc., located at 3776 Connelly Avenue; and WHEREAS, all City licensing and fee requirements have been met as required by City Ordinance. NOW, THEREFORE, BE IT RESOLVED, by the City Council of the City of Arden Hills, Minnesota: That the City of Arden Hills hereby agrees to approve the Premises Permit renewal application for Earthstar Project, Inc. for Class A licensed charitable gambling activity to be located at Pot 0' Gold, Inc., 3776 Connelly Avenue, Arden Hills, MN, for a period from October 1, 1999 to September 30, 2001. PASSED AND ADOPTED BY THE CITY COUNCI THIS 26th DAY OF JULY, 1999. ATTEST: fA\\~, " \('2- L.R STATE OF MINNESOTA GAMBLING CONTROL BOARD PREMISES PERMIT RENEWAL APPLICATION IpOR BOARD IAMT PAID I CHECK NO. I DATE USE ONLY I I I I Bast PRINTED: LICENSE NUMBER: A-04711-001 EFFECTIVE DATE: 10/01/97 EXPIRATION DATE: 09/30/99 NAME OF ORGANIZATION: Eartbstar projsct GAMBLING PREMISES INFORMATION NAME OF ESTABLISHMENT WHERE GAMBLING WILL BE CONDUCTED Pot 0 Gold 3776 Connslly Ave Arden Hills 55112 COUNTY Ramsey IS THE PREMISES LOCATED WITHIN THE CITY LIMITS?: Y LESSOR INPORMATION DOES YOUR ORGANIZATION OWN THIS SITE?: No IF NO, LIST THE LESSOR: Pot 0 Gold 3776 Connelly Arden Hills MN 55112 NAME OF PROPERTY OWNER (WHEN NOT LESSOR) : Goldis Siedow ~ FEET PER MONTH: ~ FEET PER OCCASION: o 9404 AMOUNT PAID FOR RENT PER MONTH: 0 AMOUNT PAID PER OCCASION: 300 BINGO ACTIVITY BINGO IS CONDUCTED ON THIS PREMISES: Yes IF YES, REFER TO INSTRUCTIONS FOR REQUIRED ATTACHMENT STORAGE ADDRESS 3776 Connelly Ave Ardsn Hills MN 55112 BANK INFORMATION pirstar Bank 4061 N Lexington Ave Arden Hills MN 55126 GAMBLING BANK ACCOUNT NUMBER: 812304659 ON THE LINES PROVIDED BELOW LIST THE NAME, ADDRESS AND TITLE OF AT LEAST TWO PERSONS AUTHORIZED TO SIGN CHECKS AND MAKE DEPOSITS AND WITHDRAWALS FOR THE GAMBLING ACCOUNT. THE ORGANIZATION'S TREASURER MAY NOT HANDLE GAMBLING FUNDS. Alta Bordeux - 1918 Upper Afton Rd, St. Paul, MN 55119 - President Zalona VanWert - 1075 W. Shryer Ave., Roseville, MN 55113 - Director Perry R. Bolin - 1954 Iglehart Ave. #2, St. Paul, MN 55104 - Gambling Mgr. " (BE SURB TO COMPLETE THE RBVBRSE SIDB OF THIS APPLICATION) THIS FORM WILL BE MADE AVAILABLE IN ALTERNATIVE FORMAT (I.E. LARGE PRINT, BRAILLE) UPON REQUEST 6Jtl~ir A ' '71-' ACKNOWLEDGMENT GAMBLING PREMISES AUTHORIZATION I HEREBY GIVE CONSENT TO LOCAL LAW ENFORCEMENT OFFICERS, THE GAMBLING CONTROL BOARD, OR AG~ OF THE BOARD, OR THE COMMISSIONER OF REVENUE OR PUBLIC SAFETY, OR AGENTS OF THE COMMISSIONE.... TO ENTER THE PREMISES TO ENFORCE THE LAW. BANK RECORDS INFORMATION THE GAMBLING CONTROL BOARD IS AUTHORIZED TO INSPECT THE BANK RECORDS OF THE GAMBLING ACCOUNT WHENEVER NECESSARY TO FULFILL REQUIREMENTS OF CURRENT GAMBLING RULES AND STATUTES. I DECLARE THAT: I HAVE READ THIS APPLICATION AND ALL INFORMATION SUBMITTED TO. THE GAMBLING CONTROL BOARD; ALL INFORMATION IS TRUE, ACCURATE AND COMPLETE;; ALL OTHER REQUIRED INFORMATION HAS BEEN FULLY DISCLOSED; I AM THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION; I ASSUME FULL RESPONSIBILITY FOR THE FAIR AND LAWFUL OPERATION OF ALL GAMBLING ACTIVITIES TO BE CONDUCTED; I WILL FAMILIARIZE MYSELF WITH THE LAWS OF MINNESOTA GOVERNING LAWFUL GAMBLING AND RULES OF THE GAMBLING CONTROL BOARD AND AGREE, IF ISSUED A PREMISES PERMIT, TO ABIDE THOSE LAWS AND RULES, INCLUDING AMENDMENTS TO THEM; ANY CHANGES IN APPLICATION INFORMATION WILL BE SUBMITTED TO THE GAMBLING CONTROL BOARD AND LOCAL UNIT OF GOVERNMENT WITHIN TEN DAYS OF THE CHANGE; I UNDERSTAND THAT FAILURE TO PROVIDE REQUIRED INFORMATION OR PROVIDING FALSE OR MISLEADING INFORMATION MAY RESULT IN THE DENIAL OR REVOCATION OF THE PREMISES PERMIT. DATE LOCAL GOVERNMENT ACKNOWLED 1. THE CITY' MUST SIGN THIS APPLICATION IF THE GAMBLING PREMISES IS LOCATED WITHIN CITY LIMITS. 2. THE COUNTY" AND TOWNSHIP" MUST SIGN THIS APPLICATION IF THE GAMBLING PREMISES IS LOCATED WITHIN A TOWNSHIP. 3. FOR TOWNSHIPS THAT ARE UNORGANIZED OR UNINCORPORATED, THE COUNTY** IS REQUIRED TO ATTACH A LETTER TO THIS APPLICATION INDICATING THE TOWNSHIPS STATUS. 4. THE LOCAL UNIT OF GOVERNMENT (CITY OR COUNTY) MUST PASS A RESOLUTION SPECIFICALLY APPROVING OR DENYING THIS APPLICATION. 5. A COPY OF THE LOCAL UNIT OF GOVERNMENT'S RESOLUTION APPROVING THIS APPLICATION MUST BE ATTACHED TO THIS APPLICATION. 6. IF THIS APPLICATION IS DENIED BY THE LOCAL UNIT OF GOVERNMENT, IT SHOULD NOT BE SUBMITTED TO THE GAMBLING CONTROL BOARD. TOWNSHIP: BY SIGNATURE BELOW, THE TOWNSHIP ACKNOWLEDGES THAT THE ORGANIZATION IS APPLYING FOR A PREMISES PERMIT WITHIN TOWNSHIP LIMITS. CITY' OR COUNTY" TOWNSHIP** ~ OR COUNTY NAME A fl1Jf!JJ lit uS TOWNSHIP NAME OF PER;tL.N REC PPLICATION SIGNATURE OF PERSON RECEIVING APPLICATION TITLE CItY -r.tU.~"'M:~- DATE RECEIW 7/ //,p117 ./ I REFER TO THE MAIL 1711 TITLE DATE RECEIVE CHECKLIST FOR REQUIRED ATTACHKBNTS TO: GAMBLING CONTROL BOARD W COUNTY RD B - SUITE 300 S ROSBVILLE, MN 55113 Minnesota Lawful Gambling Lease for Bingo Activity - LG222 Name of Legal Owner of Premises Street Address \S(~1911 .f) Yip , City Zip Daytime Phone Goldie K. Siedow 3873 114th Ln. N. E. Blaine MN 5544 Name of Lessor Street Address City Zip (If same .slegal owner, write In 'SAME") Pot 0' Gold 3776 Connelly Name of Leased Premises Street Address Pot 0' Gold Bin o3~~~lconnellY Ave Name of Lessee (name of organization leasing the premises) Earthstar Project, Inc. Rent Information (1 ) Daytime Phone 612 783-1840 Ave Arden Hills MN55112 (651 )631-1724 City Zip Daytime Phone Arden HillsMN 55112( 1 ) GCB license no. 01 organization Daytime Phone ( 651- ) H~:d~91 A-04711 Rent lor bingo and all other gambling activities conducted during a bingo occasion may not exceed: (1) $200 per. occasion for up to 6,000 square feet; (2) $300 per occasion for up to 12,000 square feet; (3) $400 per occasion for more than 12,000 square feet; or (4) $25 per occasion for bingo conducted in a bar (regard- . less of the square foolage) - organization must conduct another form of lawful gambling, and the premises must selVe intoxlcaling liquor or 3.2 percent mall beverages. Sketch and Dimensions of Leased Area . . Renllo be paid per bingo occasion $ (If no rent Is 10 be paid, indicate .{)_) 300 . 00 Sketch: For all areas being leased for the conduct of gambling and slorage of gambling product atlhis premises. attach a sketch (drawing) showing: (1) Ihe leased area(s), and (2) Ihe dimensions. . Dimensions The leased areas are: .' Storage Storage feel by feel for a total of square feet. ' feet by feel for a total of square feel. ;" " feet by feel for a lotal of square feel. feet by feet lor a lolal of square feel. feet by feet lor a total of square feel Combined tolal square feel. Times and Days of Bingo Occasions. Enter bingo days and times below. Circle a.m. or p.m. aft~r each beginning and ending lime. A bingo occasion must conlinue for at leasl1-1I2 hours (90 minutes) but cannol exceed four (4) consecutive hours, and at leasl15 bingo games must be held at each occasion. An organization (as a whole) may not conduct more thanlen (10) bingo occasions each week. Om' BeainninalEndino Hours ~ Bp.9i~ninn/Endin9 Hours Qai: Sun 2:00 PM to 4 : 00 PM T~ 7: 15 PM to g.OO PM Sun 7: 15 PM to 9 : 00 PM Tues 9: 15 PM t011 :00 PM Sun 9: 15 PM to 1 1 :00 PM to :"~\i.l~"'" - ,,,_.. ~~.#~",:",i,;"'i~>;;'> to . BeCjJinnlnn/Endlno Hours to 10 to '{ ":.;''t'''';~... ':~, ".,,'il!m.';,:'+ ;:::;';-~~;:., Amended Lease Only if this is an amended lease showing changes occUrring during the term of the current premises permil, wrile in the dale thaI Ihe changes will be effective ~~_' Both parties thaI signed Ihe lease must initial and date all changes. Page 1012 1/99 , Term of Lease . The term of this lease agreemenl will be concurrent with Ihe premises permit issued by the Gambling Control Board, unless terminated sooner by mutual consent of the lessor and lessee. . ... ,:".),~,fi:'f!_,,~:t-'i . '~', Lease for Bingo Activity- LG222 ~^\\-1~il ~ '2--/t.p I BINGO HALL LESSOR I I LESSOR PROHIBITIONS , When leasing from a licensed bingo hall, the Management of Gambling Prohibited responsible for the illegal gambling activity lessor must be the legal owner of the The owner of the premises or the lessor will are also agents or employees of the property. not manage the conduct of gambling atthe lessor. __ premises. 4. The lessor shall not modify or terminat . I ACCESS TO PERMITTED PREMISES Participation as Players Prohibited the lease In whole or in part because the organization reported to a state or local Slate of Minnesota and Law Enforcement The lessor, thelesso(s immediate family, and law enforcement authority or the board the any agents or gambling employees of the t th .t f'll I bl' lessor will not participate as players in the occurrence a e Sl e 0 1 ega gam 1Og. conductoflawfulg. ambling.on the premises. activity in which the organization did not participate. Illegal Gambling Other Prohibitions 1. The lessor is aware of the prohibition 1. The lessor will not impose restrictions on against illegal gambling in Minnesota the organization with respect 10 providers StaMes, section 609.75, and the penalties (distributors) of gambling-related for illegal gambling violations in Minnesota equipment and services or in the use of Rules, part 7861.0050, subpart 3. net profits for lawful purposes. 2. To the best of the lesso(s knowledge, the 2. The lessor, the lesso(s immediate family, lessor affirms that any and all games or and any agents or employees of the lessor devices located on the premises are not will not require the organization 10 pertorm being used. and are not capable of being any action that would violate statute.o. rrule..-.'.. used, In a manner that violates the prohibitions against illegal gambling in 3. If there is a dispute as to whethe~ilny of -. ,. Minnesota Statutes, section 609.75, and these lease provisions have been violated, the penalties for illegal gambling violations the lease will remain in effect pending a In Minn. Rules, pl 7861.0050, subp. 3. final determination by the Compliance Review Group (CRG) of the Gambling 3. Notwithstanding Minnesota Rules, part Control Board. . 7861.0050, subpart 3, an organization must continue making rent payments, 4. The lessor shall not modify or terminate pursuant to the terms of the lease, if the this lease In whole or in part due to the . organization or its agents are found to be lesso(s violation of the provisions listed in solely responsible for any illegal gambling this lease. conducted at that site that is prohibited by Arbitration Process . . MinnesotaRules,pert7861.00SO,subpart The lessor agrees to arbitration when. ' 1, or Minnesota Statutes, section 609.75, violation of these lease provisions Is alleged. . unless the organization's agents The arbitrator shall be the CRG. The board and its agents, the commissioners of revenue and public safety and their agents, and law enforrement personnel have access to the permitted premises at any reasonable time during the business hours of the lessor. Organlzatlon The organization has access to the permitted premises during any time reasonable and when necessary for the conduct of iawful gambling on the premises. I LESSOR RECORDS MAINTAINED The lessor shall maintain a record of all money received from the organization. and make the record available to the board and Its agents, and the commissioners of revenue and public safety and their agents upon demand. The record shall be maintained for a period of 3-1/2 years. r OTHER OBLIGATIONS AND AGREEMENTS - Attachment All obligations and agreements between the organization and the lessor are contained In or attached to this lease. (Attach additional sheets If necessary. Any attachments to this lease must be dated and signed by bolh the lessor and lessee.) The cost of any goods or services that the lessee purchases from the lessor or from a third-party vendor pursuant to the items of the lease, including but not limited to trash removal, snow removal, parklng.lot maintenance, or building maintenance for the bingo leased premises, are contained in or attached to this lease and are valued at their fair market value. .Additional payments of Twenty Five Dollars ($25.00) per Bingo session ." '... ". - . 1 . ~. ~. I . . . E~hibit nAu main floor plan (attached) and .", 'b' nBII~Blngo HallRules Exhl lt i'i"~"-~ mad'e aDart (attached) are of this lease. ',-,,' This. i~~se is the total and only agreement between the lessor and the organization conducting bingo. There is no other agreement and no other consideration required between Ihe parties as to Ihe lawful ambling and other malters related to lhis lease. Any changes in this lease will be submitted to the Gambling Control Board I da s prior to Ihe effective date of the change. Si . ure of Lessor G6r~le K. Siedow, Print Name and Title of Lessor ."....;.-. ,,, Owner & Sole "Prop.. "AI ta Bordeaux, President. Print Name and Title of Lessee aI1-800-627 -3529 and ask 10 place a call to 651-639-4000. The , information requested on this form will become pUbllclnformation~ when received by the Board, and will be used 10 determine you~ compliance with Minnesola statutes and rulesgoveming lawful.. . gambling ectivities. r.,"I< Page 2 of2 ,". ".. ....,. 1/99 , Questions on this form should be directed to the Licensing Section pf the Gambling Conlrol Board (Board) at 651-639- 4000. '... . ... '.". l:~i!::p.gbl!c.lltion will be made available in alte'!1athi.e format (i.e, large print, Braille) upon request. Hearmg Impaired i~di~l~u~ls u~lng a TTY may call the Minnesota Re.laYJiervice )t~ ';r,l~~?~~~;;~'~~i.~ ;~-: '.,'~'~'~'~<~~ ';~':4fri~it'fi~h ,,:;;'~':, <'}~~;~i~I;Lf;:T:~~~' .' . ",' : .~~n:j:. . . "H~..;~, i.("~<v :.i~-' r ~ r '{I, ~:,;:1,~; . .'- .... ~. .~l ~ ~i~' I.":' . .. ;~i~~..' 1';> ;it: l~ ;,~~. 1:.'.';" ... 1" !<<;. i~t I~:" ~. I~ t :~?:. ;...1- if'.' .'..:a:: '~l;": 'it?- ':~ ':'tIIII' ~ .... ~/ ,. \:: .:.-:-- . .; ~~ ;.< ..~: .~: '.\1" ."i." 'tL ~. fif. - " ~ t. t.: i:. ~. .'. " I ._~......,.-._. ~ f '. 11 t/.lJ W<J11 (AI J ,~.~. "'. . '\...w-1-'.' ~ ,j '.' "'0'_' ''-.;':''u' ~........-, ., ~ -r .:F ~ ..l EFtl CJ . .~ G I-j _........ ..'--... ~ .. .' , ii 1, . - ~ b::l J I ,. I f r I I 1 I I I , I I - I oil I - I I l I , ~ , ,1 r I I I I I I I I I I. > .." I ' " .J, \l-I .'. EXIiIBI': A .. , .;i )'1 R I '1/ Pippy \;.l -;. PLAN POT 0 'I!i i ,:; : ; - . i :1 ~.. ~.. II -, .., .- . .. :...._.J.,,:.. .._.,-/ . -'; r' '!' .~ ~&r ~ lJr//o EXHIBIT B This Exhibit B is an addendum to that certain lease agreement relating to 3776 Connelly Avenue, Arden Hills, MN and dated as of , by and between ~I"t ~ )' to.. r lessee, and Goldie K Siedow, lessor. BINGO HALL RULES . . 1. Access to Building. Lessees will have access to the building from one hour before until one hour after scheduled bingo events. Access at other times may be obtained by permission of lessor. . 2. Access to Office. The door to the office must remain closed and locked during bingo events., 3. Employee Parking: Employees must park at the south end of the building. . 4. Uniformity. Lessees must coordinate bing.o programs, package prices, payment of shared supplies and services, and employee dress. Present dress code requires black pants (not jeans), black or white shoes, and plain white shirt. Vests are optional. Dress code must be enforced. 5 Smoking and Eating. Employees may not smoke or eat meals in the bingo area wliile on duty. 6. CI~aniug,. Lessees must c.lean tables after bingo events and pick up refuse from floor after. I:; morning and afternoon ~eSSlOnS. ., : 7. Insurance. Lessees must provide certificate of liability insurance coverage in the amount of. $500,000 minimum. Lessor shall insure building llnd contents against fire damage. 8. Building Securitv. Gambling manager or assistant gambling manager must personally supervise locking all doors and arming burglar alarm al\er last bingo event of the day. 9. Responsible Parties. Each lessee must furnish lessor with up-to -date list of all organization officers complete with home addresses and day and evening phone numbers. , . 10. Televisions. Radios and Telephones. Lessees and their employees may not have personal televisions or radios on the premises during bingo events. Lessees and their employees may not ,use the house telephones for personal calls. II. Regulation of Heat and Air Conditioining. No one other than the owner shall, under any circumstances, have access to the thermostat controls. Anyone found' tampering with the thermostat controls shall be asked to leave the premises and will not be allowed access to the premises in the future. 12. Damage to Prooerty. The lessees are responsible for any and all dnmage done to the premise~ . and/or property, within the premises by their employees during the respective lessee's bingo . ., ";,', "'", r ~ . j'" ", .. , ...., \...' '~.. '-. 'j ,:\i~1 " ~ . ~, ~L ;,' ~.j; ,. ." .- ., \ Yb 0.\\~1] () hours. 13. Si12ns and Notices. The lessee shall put no signs or notices on any walls or other surfac~s inside or outside the building without consent of the lessor. Lessor shall have the right to'remove all other signs without notice to the lessee at lessee's expense. Permission w\ll not b~ withheld for necessary signs. Progressive game numbers must be posted unifonnly. 14. Fire Hazard. The lessee shall not do or permit anything to be done in the premises or bring or keep anything therein which will in any way increase the rate of fire insurance on the premis~s. or property kept therein, or obstruct or interfere with the rights of other lessees. or in any way injure or unreasonably annoy them, or conflict with the laws relating to fire, or with any regulations of the tire department, or with any insurance policy upon said premises. or contlict with any ruks and ordinances of the local Board of Health or any other goye.mmenlal body. 15. Contractors. All lessees shall refer all contractors, contractors' representullVes. and installation technicians tendering any service related to building improvements. services or operations to lessor for lessor's supervision, approval and control before any perfonnance of an\' contractual services. This provision shall apply to all work performed in the building. includil1l). but not limited to. in:;tallation of telephones, telegraph equipment, electrical devi<:es and anachments. and an~ and all installations of every nature affecting tloors, walls. woodwork. trim. windows. ceilings. equipment and any other physical portion of the building. 16. \..Qli.Qr Stolen Prooel1Y. Lessor shall not be responsible for lost or stolen propel1Y. mone~ or jewelry from lessee's leased area or public areas regardless of whether such loss occurs \\ hen such area is locked against entry or not. 17. Vacated Sessions. In the event that any lessee is unable to perform its lease obligations. the remaining lessees wiil cooperate to maintain the full bingo schedule of 21 sessions p~r week 1'6. '-IF~~I!;~ I'1V-'T /...\.>\-"6' A V~\' ""ace> F-.E''''rSON FoIL CMNC..-u.IN6 A -s<:'t-\e;:O<J(sr~ 6t/'l6u :StY>S{o"N (..u.... p.~",os AR.E" NOT ....~e~~I"'L"'). L.,;;-SS....e 1 So "~L.I..WT"'C .,... t'~ ~IL"'<..I.. 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",$ €- - Le.SSJ;:E Da...Te.... i- (~-q-'t 7. /5;-'1'1 l- e.. S.$ 0 t- ., Minnesota Lawful Gambling Lease for Pull-Tab, Paddlewheel, Ti Name of Legal Owner of Premises Street Addreaa oldie K Siedow 3873 114thLn.N.E. Name of Lessor Street Address (If same as legal owner. write In "SAME") Pot 0' Gold 3776 Connell Ave. Name of Leased Premises Street Address 3776 Co elly Ave, Name of Lessee (name of organization ieasing the premises) Earthstar project, Inc. Rent Information . Total rent cannot exceed $1,000 per month for all non-bingo. activity for this premises. . For bingo activity, use lease form LG222. . For pull-tab dispensing machines, use lease form LG223. ~~\lM-- C board, and/or Raffle Activi City Zip Daytime Phone Blaine MN 55449 (612) 783 1840 City Zip Daytime Phone 612 783-1840 (651 )6311724 Daytime Phone ( 651 ) 631-1724 Deytime Phone ( 651 ) H~:de9:r y'2- - LG221 Arden Hills MN City Arden Hills MN 55112 Zip 55112 GCB license no. of organization A-04711 . An organization may not pay rent to itself or to any of its affiliates for space used for the conduct of lawful gambling. Rent to be paid per month $ 0 (If no rent is to be paid. indicate 4-) feet by feet for a total of square feet. feet by feet for a total of square feet. feet by feet for a total of square feet. feet by feet for a total of square feet. feet by feet for a total of square feet. , Combined total square feet. Sketch and Dimensions of Leased Area Sketch: For all areas being leased for the conduct of gambling and storage of gambling product at this premises, attach a sketch (drawing) showing: (1) the leased area(s), and (2) the dimensions. Dimensions The ieased areas are: Storage Storage Lawful Gambling Activity Type of gambling activity that will be conducted at this gambling premises. Check all that apply. ,.-,';." Paddlewheels . X Pull-Tabs Term of Lease The term of this lease agreement will be concurrent with the premises permit issued by the Gambling Control Board, unless terminated sooner by mutual consent of the lessor and lessee. : .\;.~..; ~"1 .~~~~~:- _Raffles _ Tlpboards Amended Lease Only If this is an amended lease showing changes occur. ring during the term of the current premises permit, write in the date that the changes will be effective --1_'_. Both parties that signed the lease must initial and date all changes. ',j. ...:.: Questions 6ri this form should be directed to the Licensing " Section of the Gambling Control Board (Board) at 651-639- 4000. This publication will be made available in alternative format (i.e. large print, Braille) upon request. Hearing impaired individuals \Ising a TrY may call the Minnesota Relay Service at. 1-80P;S27 -3529 and ask to place a call to 651-639-4000. . ,," .,,~.....).. .....,;.,.::.:..,: >.:'. . ~~",i.mt 1", The information requested on this form will become public" Information when received by the Board. and will be used to. J determine your compliance with Minnesota statutes and rules goveming lawful gambling activities. . Page 1 of2 1/99 E:f-\\-,r;,'l C Lease for Pull-Tab, Paddlewheel, Tipboard, and/or Raffle Activity - LG221 . I LESSOR PROHIBITIONS I agents are found to be solely 4. The lessor shall not modify or Management of Gambling responsible for any illegal gambling terminate this lease in whole or in part Prohibited conducted at that site that is due to the lessor's violation of thetlt prohibited by Minnesota Rules, part provisions listed on this lease. The owner of the premises orthe lessor 7861.0050, subpart 1, or Minnesota will not manage the conduct of gambling Statutes, section 609.75, unless the Arbitration Process atthe premises. organization's agents responsible for The lessor agrees to arbitration when a Participation as Players Prohibited the illegal gambling activity are also violation of these lease provisions is agents or employees of the lessor. alleged. The arbitrator shall be the CRG. The lessor, the lessor's immediate family, and any agents or gambling employees 4. The lessor shall not modify or I I of the lessor will not participate as players terminate the lease in whole or in part ACCESS TO PERMITTED PREMISES 'th d t f I wf I bl' th because the organization reported to In e con uc 0 a u gam Ing on e a state or local law enforcement State of Minnesota and Law premises: authority or the board the occurrence Enforcement Illegal Gambling atthe site of illegal gambling activity The board and its agents, the 1. The lessor is aware oflhe prohibition in which the organization did not. commissioners of revenue and public againstillegal gambling in Minnesota participate. safety and their agents, and law Statutes, section 609.75, and the Other Prohibitions enforcement personnel have access to penalties for Illegal gambling the permitted premises at any' violations in Minnesota Rules, part 1. The lessor will not impose restrictions reasonable time during the business 7861.0050, subpart 3. on the organization with respect to hours of the lessor. providers (distributors) of gambling- 2. To the best of the lessor's knowledge, related equipment and services or in Organization the lessor affirms that any and all the use of net profils for lawful The organization has access to the games or devices located on the purposes. permitted premises during any time premises are not being used, and are reasonabie and when necessary for the not capable of bel.ng used, in a 2. The lessor, the lessor's immediate d f I f I bl' f.1 d t I con uct o. aw u gam Ing on ,the manner that violates the prohibitions ami y, an anyagen s or emp oyees premises. against illegal gambling in Minnesota of the lessor will not require the Statutes, section 609.75, and the organization to perform any action I LESSOR RECORDS MAINTAINED 1_ penalties for illegal gambling that would violate statute or rule. . violations in Minnesota Rules, part 3. If there isa dispute as to whether any The lessors.hall maintain a reco~d o.fall . 7861.0050, subpart 3. . of these lease provisions have been money received from the organozatlon, . and make the record available to the . 3 Notwl'thstandl'ng MI'nnesota Rules, violated, the lease will remain in effect d d. h ., . d' I .' b h boar an its agents, t e commissioners part 7861.0050, subp. 3, an pen Ing a fina determination Y t e f d bl' f d th . C r R' G (CRG) f 0 revenue an pu IC sa ety an elr organization must continue making omp lance eVlew roup 0 agents upon demand. The record shall rent payments, pursuant to the terms the Gambling Control Board. be maintained for a period of 3-1/2 years. of the lease, if the organization or its '~1-. .' OTHER OBLIGATIONS AND AGREEMENTS - Attachment All obligations and agreements between the organization and the lessor are contained in or attached to this lease. (Attach additional sheets if necessary. Any attachments to this lease must be dated and signed by both the lessor and the lessee.) il'ri"b' IlA" main floor nian (attached) and Exhibit liB" Binno Hall ., X-J. lt I..... ','t' I) made a nart of this lease R\ll'es ""a t tached are ,.. .,' . This lease is the total and only agreement between the lessor and the organization conducting lawful gambling activities other than bingo and pull-tab dispensing devices. There is no other agreement and no other consideration required between the parties as to the lawful 9ambling and other matters related to this lea Any changes in this lease will be submitted to" thllq,ambling Control Board ten days prior to the effective date of the an e. . ., ..; Sig~,~~~~~$!.~;~.~sor Goi-ii']j(g'.;.K. Siedow-Owner & Sole....pro Print Name and Title of Lessor Alta Bordeaux, President Print Name and Title 01 Lessee j " - fjl';.."_t0!;.<.:" .;.., Page 2 012 1199 ! "!'..',. '~:':0~t,~~:::- ,\ill~;;,.,~.r ';'';'Illi.::\~ '~,i-~~~,' l -- - ~ ~ ,; c ~ .!.'!! ... 1i liI.,8 E ;5 E 8 5 S m o:E g. :!1.!;.E~U) :r.'t:J...r~.. l:;~~.e -8~'E'~~ .4: =Q.Gl 5 ....l!:ts.. o C[ III ~ l2 ~-8~s'a. O!!!ClI"'~ I-W8:+' '0 .... 's .!! ~Qj 1- .~ o ~ c . <( 's e .. " I~~I ~ g~ g~ "'''' ~~ ~;;-e ~~ ~~ ~ps: 0" 00000 000 00 0"'" ~'" "'w 0'" 00000 000 woo C!l.t!:cn 'em ... . N .'" .0 .0 KiN cidcici cicicici t.=lti ... . .. . " . ~. 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