Legal status of applicant

The applicant shall submit, in a form or manner prescribed by the department, the following items: 1. A correct and current statement of their articles of incorporation, bylaws, license issued by a local unit of government, partnership agreement, or any other evidence of legal registration of the entity; 2. A correct and current statement of tax exempt or taxable status under the laws of North Dakota or the United States; 3. A current list of partners or members of the governing body and any advisory board with their contact information, principal occupation, term of office, and status as an eligible individual or authorized representative and any changes in this list since last submission for all nonprofit applicants and licensees; 4. A statement disclosing the owner of record of any buildings, facilities, or equipment used by the applicant, the relationship of the owner to the applicant, and the cost, if any, of such use to the applicant and the identity of the entity responsible for the maintenance and upkeep of the property; 5. A statement disclosing any financial benefit which may accrue to the applicant or to be diverted to personal use, including director's fees or expenses, dividends, return on investment, rent or lease proceeds, salaries, pensions or annuities, or any other payments or gratuities; and 6. The amount of any payments made to any member or members of the governing body of the applicant, or board or body of a related organization, exclusive of reimbursement for actual and reasonable personal expenses.