HomeMy WebLinkAboutContract 2031Minnesota Lawful Gambling 6107 2031
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Che applicable item:
1. Lease for new application. Submit with new premises permit application.
2. Renewed lease. Submit with premises permit renewal.
3. New owner. Effective date _/_/~ Submit new or amended lease within 10 days after new lessor assumes ownership.
4. Amended lease
• Check the change(s) in the lease: -Rent -Premi
ses name -Booth/bar -Activity change -Other
• Date that changes will be effective /._/
• Both parties must initial and date all changes.
• Submit changes at least 10 days before the effective date of the change.
Organization name license number Daytime phone
. ~'s 1c~'~ ~ S -1 1b '1D6-3
Name of leased premise Street address City State Zip Daytime phone
-~- V r ~ ~v 554 a~ 3 10 ~ ~ 3
Name of legal owne f premises Business/street address City State Zip Daytime phone
G1- a~C.o1w..~;ANe' fi 4 {~ Q. 6 ' s ~ N ~5 C1~ -
Name of lessor (if same as le al Business/street address Cily State Zip Daytime phone
owner, write in "SAME")
Check (1~) all activities that will be conducted
Pull-tabs sOPull-tabs with dispensing device Tpboards - Paddlewheel -Paddlewheel with table -Bingo -Bar bingo
Pull-tab, TipbOard, and Paddlewheel Rent (No (ease required for raffles.)
Booth operation -sales of gambling equipment by an employee Bar operation -sales of gambling equipment within a leased
(or volunteer) of a licensed organization within a separate enclosure premises by an employee of the lessor from a common area where
that is distinct from areas where food and beverages are sold. food and beverages are also sold.
Does yo+ ~r orpanization OR any oth er orpanization conduct gambling
from a booth operation at this location? Yes / No _ _ _ _ _ _ _ _ J
I- - - - - - - - - - - - - - - - - - - - - -
Ifyou answered/@S to the question above, rent limits are If you answered n0 to the question above, rent limits are
based on the following combinations of operation: based on the following combinations of operation:
- Booth operation
- Booth operation and pull-tab dispensing device - Bar operation
- Bar operation with pull-tab dispensing device
- Booth operation and bar operation - Pull-tab dispensing device only
- Booth operation, bar operation, and pull-tab dispensing device
The maximum rent allowed may not exceed $1,750 in total The maximum rent allowed may not exceed $2,500 in total
per month for all organizations at this premises. per month for all organizations at this premises.
COMPLETE ONE OPTION:
Option A: 0 to 10% of the gross profits per month. COMPLETE ONE OPTION:
Option A: 0 to 20% of the gross profits per month.
Percentage to be paid % Percentage to be paid
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
$400 per month may be paid. Amount to be paid $ to $200 per month may be paid. Amount to be paid $
Option C: $0 to $400 per month on the first $4,000 of gross Option C: $0 to $200 per month on the first $1,000 of gross
profit. Amount to be paid $ profits. Amount to be paid $ Sa . oo
Plus, 0% to 10% of the gross profits may be paid per month on Plus, 0% to 20% of the gross profits maybe paid per month on
gross profits over $4,000. Percentage to be paid % gross profits over $1,000. Percentage to be paid _~Q_%
Bingo Rent Bar Bingo Rent
Option D: 0 to 10% of the gross profits per month from all lawful Option F: No rent may be paid for bingo
gambling activities held during bingo occasions, excluding bar bingo. conducted in a bar.
Percentage to be paid
Option E: A rate based on a cost per square foot, not to exceed
New Bingo Activity
110% of a comparable cost per square footfor leased space, as
approved by the director of the Gambling Control Board. No rent maybe For any new bingo activity not previously
paid for bar bingo. Rate to be paid $ per square foot.
verified by the organization,
The lessor must attach documentation
to
included in a Premises PermitApplication,
,
confirm the comparable rate and all applicable costs to be paid by t he attach a separate sheet of paper listing the
organization to the lessor. days and hours that bingo will be conducted.
LG215 Lease for Lawful Gambling Activity
6/07
Page 2 of 2
Lease Term
The term of this lease agreement will be concurrent with the
premises permit issued by the Gambling Control Board (Board)
Management of Gambling Prohibited
The owner of the premises or the lessor will not manage the
conduct of gambling at the premises.
Participation as Players Prohibited
The lessor, the lessor's immediate family, and any agents or
gambling employees of the lessor will not participate as players
in the conduct of lawful gambling on the premises.
Illegal Gambling
• The lessor is aware of the prohibition against illegal gambling
in Minnesota Statutes 609.75, and the penalties for illegal
gambling violations in Minnesota Rules 7865.0220, Subpart,3.
In addition, the Board may authorize the organization to
withhold rent for a period of up to 90 days if the Board
determines that illegal gambling occurred on the premises and
that the lessor or its employees participated in the illegal
gambling or knew of the gambling and did not take prompt
action to stop the gambling. Continued tenancy of the
organization is authorized without payment of rent during the
time period determined by the Board for violations of this
provision, as authorized by Minnesota Statutes 349.18,
Subdivision 1(a).
• To the best of the lessor's knowledge, the lessor affirms that
any and all games or devices located on the premises are not
being used, and are not capable of being used, in a manner
that violates the prohibitions against illegal gambling in
Minnesota Statutes 609.75.
• Notwithstanding Minnesota Rules 7865.0220, Subpart 3, an
organization must continue making rent payments under
the terms of this lease, if the organization or its agents are
found to be solely responsible for any illegal gambling,
conducted at this site, that is prohibited by Minnesota Rules
7861.0260, Subpart 1, item H or Minnesota Statutes 609.75,
unless the organization's agents responsible for the illegal
gambling activity are also agents or employees of the lessor.
• The lessor must not modify or terminate the lease in whole or
in part because the organization reported, to a state or local
law enforcement authority or the Board, the conduct of illegal
gambling activity at this site in which the organization did not
participate.
Other Prohibitions
• The lessor will not impose restrictions on the organization with respect
to providers (distributors) ofgambling-related equipment and services
or in the use of net profits for lawful purposes.
• The lessor, any person residing in the same household as the lessor,
the lessor's immediate family, and any agents or employees of the
lessor will not require the organization to perform any action that
would violate statute or rule. The lessor must not modify or terminate
this lease in whole or in part due to the lessor's violation of this
provision. If there is a dispute as to whether a violation occurred, the
lease will remain in effect pending a final determination by the
Compliance Review Group (CRG) of the Gambling Control Board. The
lessor agrees to arbitration when a violation of this provision is
alleged. The arbitrator shall be the CRG.
Access to permitted premises
The Board and its agents, the commissioners of revenue and public
safety and their agents, and law enforcement personnel have access to
the permitted premises at any reasonable time during the business hour`
of the lessor. The organization has access to the permitted premises
during any time reasonable and when necessary for the conduct of
lawful gambling on the premises.
Lessor records
The lessor must 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 must be maintained for 3-1/2 years.
Rent all-inclusive
Amounts paid as rent by the organization to the lessor are all-inclusive.
No other services or expenses provided or contracted by the lessor may
be paid by the organization, including but not limited to trash removal,
janitorial and cleaning services, snow removal, lawn services, electricity,
heat, security, security monitoring, storage, other utilities or services,
and in the case of bar operations, cash shortages.
Any other expenditures made by an organization that is related to a
leased premises must be approved by the director of the Gambling
Control Board. Rent payments may not be made to an individual.
Changes in lease
If the lease is amended with no change in ownership, the organization
will submit the amended lease to the Board at least 10 days before the
effective date of the change. If a change in ownership occurs, the
organization will submit an amended lease to the Board within 10 days
after the new lessor has assumed ownership.
Acknowledgment of Lease Terms I affirm that this lease is the total and only agreement between the lessor and the
organization, and that all obligations and agreements are contained in or attached to this lease and are subject to the approval of
the director of the Gambling Control Board. AA
Other terms oY')~'.•l.r, ~~ ~.~255¢_~ 1 Jl « 4~-"OVt ~(.t IO55[sY'. ~ f.~55or5 t^P1~ t~. C` 3D -da
questions? contact the LlCensing SeCt~On, Gambling Control ttodrtl, at bSl-biy-4000. ~ nI5 publlCation will be matle available in
alternative format (i,e. large print, Braille) upon request. The information requested on this form will become public information when
received by the Board, and used to determine your compliance with Minnesota statutes and rules governing lawful gambling activities.
Minnesota Lawful Gambling 6/0~
I f_7~ ~ 1 oacA fnlr 1 awf~ ~I Gambling Activity Page 1 of 2
._.r~ . - --- --------- - ----
Che applicable item:
1. Lease for new application. Submit with new premises permit application.
2. Renewed lease. Submit with premises permit renewal.
3. New owner. Effective date _/_/_ Submit new or amended lease within 10 days after new lessor assumes ownership.
4. Amended lease
• Check the change(s) in the lease: -,Rent -Premises name -Booth/bar -Activity change -Other
• Date that changes will be effective /_/
• Both parties must initial and date all changes.
• Submit changes at least 10 days before the effective date of the change.
Organization name License number Daytime phone
~ r -E-- B bs-~!~'-s
Cd ; +~ ,tom 70~ 3~, 4
.
Name of leased premis s Street address State Zip
C
ity Daytime phone
7J -N, '~
~(+'
~Dl~a~i a ~ 1VIl~T rJ59 2 rr
\7 L3 `lUle 3 I
Name of legal ow r of premises Business/street address City State Zip Daytime phone
o
Name of lessor (if same as II Business/street address City State Zip Daytime phone
owner, write in "SAME")
SG.rrtt...
Check (~) all activities that will be conducted
Pull-tabs /Pull-tabs with dispensing device Tpboards - Paddlewheel -Paddlewheel with table -Bingo -Bar bingo
Pull-tab, Tipboard, and Paddlewheel Rent (IVo lease required for raffles.>
Booth operation -sales of gambling equipment by an employee Bar operation -sales of gambling equipment within a leased
(or volunteer) of a licensed organization within a separate enclosure premises by an employee of the lessor from a common area where
that is distinct from areas where food and beverages are sold. food and beverages are also sold.
m - - - - - - - - - - - - - - - - - -
Does your organization OR any oth - =- - - - - - - - - - - - - - - -~
er organization condyct gambling
from a booth operation at this location? Yes e/ No _ _ _ J
- - -
t- - - - - - - - - - - - - - - - - - - - - - - - - - -
Ifyou answered~/e5 to the question above, rent limits are If you answered n0 to the question above, rent limits are
based on the following combinations of operation: based on the following combinations of operation:
- Booth operation
- Booth operation and pull-tab dispensing device - Bar operation
- Bar operation with pull-tab dispensing device
- Booth operation and bar operation - Pull-tab dispensing device only
- Booth operation, bar operation, and pull-tab dispensing device
The maximum rent allowed may not exceed $1,750 in total The maximum rent allowed may not exceed $2,500 in total
per month for all organizations at this premises. per month for all organizations at this premises.
COMPLETE ONE OPTION:
Option A: 0 to 10% of the gross profits per month. COMPLETE ONE OPTION:
Option A: 0 to 20% of the gross profits per month.
Percentage to be paid % Percentage to be paid
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
$400 per month may be paid. Amount to be paid $ to $200 per month maybe paid. Amount to be paid $
Option C: $0 to $400 per month on the first $4,000 of gross Option C: $0 to $200 per month on the first $1,000 of gross
profit. Amount to be paid $ profits. Amount to be paid $ SO . °~
Plus, 0% to 10% of the gross profits may be paid per month on Plus, 0% to 20% of the gross profits maybe paid per month on
gross profits over $4,000. Percentage to be paid % gross profits over $1,000. Percentage to be paid _J ~ _%
Bingo Rent Bar Bingo Rent
Option D: 0 to 10% of the gross profits per month from all lawful Option F: No rent may be paid for bingo
gambling activities held during bingo occasiorfs, excluding bar bingo. conducted in a bar.
Percentage to be paid
Option E: A rate based on a cost per square foot, not to exceed
New Bingo Activity
110% of a comparable cost per square foot for leased space, as
approved by the director of the Gambling Control Board. No rent maybe For any new bingo activity not previously
paid for bar bingo. Rate to be paid $ per square foot.
verified by the organization,
The lessor must attach documentation
to
included in a Premises PermitApplication,
,
confirm the comparable rate and all applicable costs to be paid by the attach a separate sheet of paper listing the
organization to the lessor. days and hours that bingo will be conducted.
LG215 Lease for Lawful Gambling Activity
6/07
Page 2 of 2
Lease Term
The term of this lease agreement will be concurrent with the
premises permit issued by the Gambling Control Board (Board).
Management of Gambling Prohibited
The owner of the premises or the lessor will not manage the
conduct of gambling at the premises.
Participation as Players Prohibited
The lessor, the lessor's immediate family, and any agents or
gambling employees of the lessor will not partidpate as players
in the conduct of lawful gambling on the premises.
Illegal Gambling
• The lessor is aware of the prohibiti n against,illegal gambling
in Minnesota Statutes 609.75, and the penalties for illegal
gambling violations in Minnesota Rules 7865.0220, Subpar~3.
In addition, the Board may authorize the organization to
withhold rent for a period of up to 90 days if the Board
determines that illegal gambling occurred on the premises and
that the lessor or its employees participated in the illegal
gambling or knew of the gambling and did not take prompt
action to stop the gambling. Continued tenancy of the
organization is authorized without payment of rent during the
time period determined by the Board for violations of this
provision, as authorized by Minnesota Statutes 349.18,
Subdivision i(a).
• To the best of the lessor's knowledge, the lessor affirms that
any and all games or devices located on the premises are not
being used, and are not capable of being used, in a manner
that violates the prohibitions against illegal gambling in
Minnesota Statutes 609.75.
• Notwithstanding Minnesota Rules 7865.0220, Subpart 3, an
organization must continue making rent payments under
the terms of this lease, if the organization or its agents are
found to be solely responsible for any illegal gambling,
conducted at this site, that is prohibited by Minnesota Rules
7861.0260, Subpart 1, item H or Minnesota Statutes 609.75,
unless the organization's agents responsible for the illegal
gambling activity are also agents or employees of the lessor.
• The lessor must not modify or terminate the lease in whole or
in part because the organization reported, to a state or local
law enforcement authority or the Board, the conduct of illegal
gambling adivity at this site in which the organization did not
participate.
Other Prohibitions
• The lessor will not impose restrictions on the organization with respect
to providers (distributors) ofgambling-related equipment and services
or in the use of net profits for lawful purposes.
• The lessor, any person residing in the same household as the lessor,
the lessor's immediate family, and any agents or employees of the
lessor will not require the organization to perform any action that
would violate statute or rule. The lessor must not modify or terminate
this lease in whole or in part due to the lessor's violation of this
provision. If there is a dispute as to whether a violation occurred, the
lease will remain in effect pending a final determination by the
Compliance Review Group (CRG) of the Gambling Control Board. The
lessor agrees to arbitration when a violation of this provision is
alleged. The arbitrator shall be the CRG.
Access to permitted premises
The Board and its agents, the commissioners of revenue and public
safety and their agents, and law enforcement personnel have access to
the permitted premises at any reasonable time during the business hour`
of the lessor. The organization has access to the permitted premises
during any time reasonable and when necessary for the conduct of
lawful gambling on the premises.
Lessor records
The lessor must 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 must be maintained for 3-1/2 years.
Rent all-inclusive
Amounts paid as rent by the organization to the lessor are all-inclusive.
No other services or expenses provided or contracted by the lessor may
be paid by the organization, induding but not limited to trash removal,
janitorial and deaning services, snow removal, lawn services, electricity,
heat, security, security monitoring, storage, other utilities or services,
and in the case of bar operations, cash shortages.
Any other expenditures made by an organization that is related to a
leased premises must be approved by the director of the Gambling
Control Board. Rent payments may not be made to an individual.
Changes in lease
If the lease is amended with no change in ownership, the organization
will submit the amended lease to the Board at least 10 days before the
effective date of the change. If a change in ownership occurs, the
organization will submit an amended lease to the Board within 10 days
after the new lessor has assumed ownership.
Acknowledgment of Lease Terms I affirm that this lease is the total and only agreement between the lessor and the
organization, and that all obligations and agreements are contained in or attached to this lease and are subject to the approval of
the director of the Gambling Control Board. 11
Other terms nr~^ ..,s~ I~S~ (_~-~~ DV~ ~OSSt~r-~ [,~ 125sD,-~ rt~us~"i G... 3D-G{.a
1 c -~ -I-;' ° si i '
ignature of lessor D to g ture of or nization officia (lessee) Date
~°' " 27 0
Print name and title of lessor Print name an ' e lessee
Walter R. Fehst, C'ty Manager ,
~QSCr o ~ tw t)
,~~ ~ Lessee's business address
ouestions? Contact the Licensino Section. Gambling Control Board, at 651-639-4000. This publication will be made available in
alternative format (i.e. large print, Braille) upon request. The information requested on this form will become public information when
received by the Board, and used to determine your compliance with Minnesota statutes and rules governing lawful gambling activities.
23
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