The license applicant shall provide the following information to the city on a form provided by the city:
(A) The legal name of the establishment;
(B) The business name of the establishment;
(C) The address of the establishment where the video gaming terminals are to be located;
(D) The type of establishment, including whether it is classified as a veteran, fraternal, regular truck stop, large truck stop or liquor establishment and supporting documentation demonstrating the classification;
(E) A floor plan, detailing the overall layout of the establishment, including the location and count of dining seating, the location and count of video gaming terminals and seating for said terminals, and other significant features of the establishment, including exit locations, restrooms and other equipment. A high-resolution paper printed copy of the floor plan shall be submitted at the time of application;
(F) The amount of time the establishment has been in business under the ownership of the applicant at the location where video gaming is proposed to take place;
(G) The business office address of the establishment if different from the address of the establishment;
(H) In the case of a corporation, limited liability company or trust, the name and address of an agent authorized and designated to accept service on behalf of the licensee;
(I) A phone number for the establishment;
(J) An e-mail address for the establishment;
(K) The name and address of every person owning more than a 5% share of the establishment;
(L) The name, address, phone number and e-mail address of any terminal operator or distributor proposed to own, service or maintain video gaming terminals at the establishment;
(M) A copy of the establishment's State of Illinois video gaming license;
(N) In the case of a corporation, limited liability company or partnership, a copy of the establishment's state certificate of good standing;
(O) A statement as to the number of video gaming terminals which the establishment proposes to have on its premises;
(P) A statement that the establishment is not in arrears in any tax, fee or bill due to the city or State of Illinois;
(Q) A statement that the establishment agrees to abide by all state and federal laws and any local ordinance;
(R) A statement that no manager or owner with more than 5% interest in the establishment has ever been convicted of a felony, a gambling offense or a crime of moral turpitude. In the event that an establishment cannot provide such statement, the establishment may apply for a certificate of rehabilitation from the Mayor indicating that the individual who would disqualify the establishment from obtaining the video gaming license has been rehabilitated and is no longer a threat to violate the law. The City Mayor may consider the nature of the offense, the length of time since the offense, the length of time since release from custody and other factors to determine if the individual has been rehabilitated such that he or she is no longer likely to commit another offense;
(S) If the application is for a new establishment based on the business model of another existing location, information regarding the existing business location must be provided, including the type of business, the gross receipts as compared to any video gaming revenue for the prior 12-month period, proof of the length of time the existing business has been operational and proof of ownership verifying the applicant's ownership rights; and
(T) For renewal applications, a report or reports showing its gross annual revenue for the previous calendar year by category of revenue generated and showing the percentage of gaming revenue payable to the establishment as compared to the total gross revenues of the establishment.
(Ord. 22-0111-275, passed 1-11-2022)