77 Ill. Adm. Code 385.1070
Ownership Disclosure
Section 385
Section 385.1070Â 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)