Section 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)