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MINNESOTA LAWFUL GAMBLING LG215 Lease for Lawful Gambling Activity LEASE INFORMATION Organization: License/Site Number: Daytime Phone: Address: City: State: Zip: Name of Leased Premises: Street Address: City: State: MN Zip: Daytime Phone: Name of Legal Owner: Business/Street Address: City: State: Zip: Daytime Phone: Name of Lessor (if same as legal owner, write “SAME”): Address: City: State: Zip: Daytime Phone: Check applicable item: ___ New or amended lease. Effective date: _______________. Submit changes at least ten days before the effective date of the change. ___ New owner. Effective date: _______________. Submit new lease within ten days after new lessor assumes ownership. CHECK ALL ACTIVITY THAT WILL BE CONDUCTED (no lease required for raffles) ___ Pull-Tabs (paper) ___ Pull-Tabs (paper) with dispensing device ___ Bar Bingo ___ Bingo ___ Tipboards ___ Paddlewheel ___ Paddlewheel with table ___ Electronic Pull-Tabs ___ Electronic Linked Bingo Electronic games may only be conducted: 1.at a premises licensed for the on-sale of intoxicating liquor or the on-sale of 3.2% malt beverages; or 2.at a premises where bingo is conducted as the primary business and has a seating capacity of at least 100. PULL-TAB, TIPBOARD, AND PADDLEWHEEL RENT (separate rent for booth and bar ops) BOOTH OPERATION: Some or all sales of gambling equipment are conducted by an employee/volunteer of a licensed organization at the leased premises. ALL GAMES, including electronic games: Monthly rent to be paid: ____%, not to exceed 10% of gross profits for that month. Total rent paid from all organizations for only booth operations at the leased premises may not exceed $1,750. The rent cap does not include BAR OPERATION rent for electronic games conducted by the lessor. BAR OPERATION: All sales of gambling equipment conducted by the lessor or lessor’s employee. ELECTRONIC GAMES: Monthly rent to be paid: _____%, not to exceed 15% of the gross profits for that month from electronic pull-tab games and electronic linked bingo games. ALL OTHER GAMES: Monthly rent to be paid: _____%, not to exceed 20% of gross profits from all other forms of lawful gambling. If any booth sales conducted by a licensed organization at the premises, rent may not exceed 10% of gross profits for that month and is subject to booth operation $1,750 cap. BINGO RENT (for leased premises where bingo is the primary business conducted, such as bingo hall) Bingo rent is limited to one of the following: Rent to be paid: ______ %, not to exceed 10% of the monthly gross profit from all lawful gambling activities held during bingo occasions, excluding bar bingo. - OR - Rate to be paid: $ ___________ per square foot, not to exceed 110% of a comparable cost per square foot for leased space, as approved by the director of the Gambling Control Board. The lessor must attach documentation, verified by the organization, to confirm the comparable rate and all applicable costs to be paid by the organization to the lessor.  Rent may not be paid for bar bingo.  Bar bingo does not include bingo games linked to other permitted premises. LEASE TERMINATION CLAUSE (must be completed) The lease may be terminated by either party with a written _______ day notice. Other terms: 6/15 Page 1 of 2 Page 138 of 211