Ill. Admin. Code tit. 77, § 385.1070 - Ownership Disclosure
a) As a
condition of the issuance or renewal of a license, the applicant or licensee
shall file a statement of ownership. The applicant shall notify the Department
of any change in the information required in the statement of ownership within
ten days of the change. (Section 25 of the Act)
b) The statement of ownership shall include:
1) The name, address, Social Security Number,
telephone number, occupation or business activity, business address, and
business telephone number, of the corporation Officers and Board of Directors
for the legal entity designated as the operator/licensee of the facility that
is the subject of the application or license;
2) The name, address, Social Security Number,
telephone number, occupation or business activity, business address, business
telephone number, and the percent of direct or indirect financial interest of
those persons who have a direct or indirect financial interest of five percent
or more in the legal entity that owns the building in which the
operator/licensee is operating the facility that is the subject of the
application or license; and
3) The
name and address of any facility, wherever located, any financial interest of
which is owned by the applicant or licensee if the facility were required to be
licensed if it were located in this State. (Section 25 of the Act)
Notes
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