R 432.21801 Supplier license application.

Rule 801. (1) A written application for a supplier license, on a form provided by or approved in writing by the bureau, shall be approved in writing by the bureau before a person sells, leases, or distributes authorized equipment, sells charity game tickets, or sells numeral game tickets to a licensee. (2) The supplier license application shall include additional information as directed by the bureau. (3) The supplier license application shall be accompanied by the appropriate fee. (4) An applicant shall disclose to the bureau whether any owner, shareholder of the privately held corporation, partner, officer, person residing in the same household as the applicant, or agent of the applicant has ever been convicted or becomes convicted of, or forfeited bond upon a charge of, or plead guilty to any of the following offenses: (a) A felony. (b) A gambling offense. (c) Criminal fraud. (d) Forgery. (e) Larceny. (f) Filing a false report with a governmental agency. (5) Any changes to the information provided on the supplier license application shall be immediately reported to the bureau in writing.