11 CSR 45-51.180 - Personnel Information and Authorization for Release
(1) The
applicant must make its best effort to include the following for each
individual who will have any beneficial ownership as defined in section
313.600.4., RSMo (1986), responsibility or duties for the conduct of
pari-mutuel wagering under the Class A license for which application is made:
(A) Information to be provided by each
individual-
1. Full name including any
alias(es) or previous names;
2.
Business address;
3. Residence
address;
4. Telephone
numbers;
5. Last five (5)
residences;
6. Date of
birth;
7. Place of birth;
8. Social Security number, if the individual
is willing to provide it. The commission application must make clear the Social
Security number is provided voluntarily; and
9. Two (2) references; and
(B) An authorization for the
release of personal information, on a form prepared by the commission, shall be
signed by each individual and submitted with the application. The forms shall
provide that the individual-
1. Authorizes a
review by and full disclosure to the Missouri State Highway Patrol of all
records concerning the individual, whether the records are public, nonpublic,
private or confidential;
2.
Recognizes the information reviewed or disclosed may be used by the Missouri
Horse Racing Commission, its employees, staff and agents to determine the
applicants' qualifications for a Class A license; and
3. Releases the Missouri Horse Racing
Commission, its employees, staff and agents and the providers of any
information requested by the commission, its employees, staff and agents from
any liability under state or federal privacy laws.
Notes
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