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Minnesota Lawful Gambling <br />6/03 <br />Page I of 2 <br />-v 1-r I I%.1111.71-0 1 IU I 1111L P%IJIJ I I k#0 LIU I I <br />(see Required Attachments on Page 2) FOR BOARD USE ONLY <br />Annual Fee $150 Check $ <br />Organization information <br />Organization name Organization license number <br />MIDWAY SPEEDSKATING CLUB, INC. A-00070-007 <br />Name of chief executive officer (CEO) Daytime phone number <br />KENNETH HARASYN, PRESIDENT & CEO 612-669-1821 <br />Gambling premises information <br />Name of establishment where gambling will be conducted Street address (do not use a P.O. box number) <br />ROSEVILLE BINGO HALL <br />2525 No. Snelling Ave., Roseville, MN _55113 <br />City or township County Zip code <br />ROSEVILLE RAMSEY 55113 <br />— - — - ------ ----- <br />Does your organization own the building where the gambling will be conducted? <br />Yes XXNo If no, attach LG215 Lease for Lawful Gambling Activity <br />Gambling bank account information <br />Bank name Bank account number <br />COMMUNITY NATIONAL BANK 2.000602 <br />Bank street address city State/Zip code <br />1501 W. County Rd. C Roseville MN 55113 <br />Address(es) Of Off-site storage space of gambling equipment related to this site <br />(Do not use a P.O. box number) <br />Address city State/Zip code <br />NONE <br />Bingo occasions (including bar bingo) <br />Enter day and beginning/ending hours of bingo occasions (indicate A.M. or P.M.). An occasion must be at least <br />hours, not to exceed 4 hours. No more than 10 bingo occasions may be conducted per week. <br />Day Beginning/ Ending Hours QD-Y BeainningLE[ldiag Hours <br />Monday 7:00 to 8:45 p.m. Saturday 1:00 to 2:45 pima <br />9:00 t010:45 p.m. 3:00 to 4:45 p.m. <br />Friday 7:00 to 8:45 p.m. 7:00 to 8:45 p.m. <br />9:00 to10:45 p.m. 9:00 to 10:45 p.m. <br />11:00 t012:45 a.m. 11:00 to 12:45 a.m. <br />See rotation calendar for Midway Speedskating Club & <br />Noon hour bingo Roseville Area Youth Hockey Assoc. <br />Noon hour bingo must be conducted between 11:00 a.m. and 2:00 p.m. on a ]eased premises which must have a <br />license for the sale of intoxicating beverages on the premises under chapter 340A. Check the day(s) that noon hour <br />bingo will be conducted. <br />—Sunday —Monday --Tuesday —Wednesday —Thursday —Friday —Saturday <br />L -------------------------------------- ------------------------ ---- - ------ ------ - ------------------------ - ------------------------------------- --- --- -- - ---- - — - - ------------- ---- ---------------- <br />