Applications for the license required above shall be filed in duplicate with the County Board Chairperson’s office (with one of said copies being retained, each, by the County Board Chairperson’s office and by the applicant), and shall contain the following information:
(A) If the applicant is a corporation or limited liability company:
(1) Corporate name and address;
(2) Names, dates of birth, and addresses of corporate officers and directors;
(3) Statement of principal kind of business in which corporation engages;
(4) Statement of whether corporate business will be conducted by a manager, and the name, address, and authority of any such manager or agent;
(5) Names, dates of birth, and addresses of all persons, firms, and organizations owning of record 5% or more of the corporation’s stock;
(6) Statement of whether any officer, manager, director, or shareholder owning 5% or more of the stock of the corporation has ever been convicted of a felony charge;
(7) The location of the place of business where the video gaming terminal is to be kept or displayed;
(8) Statement or personal history of the manager or agent conducting business for the corporation; and
(9) Any other information which the County Board Chairperson shall require.
(B) If the applicant is an individual, partnership, or association:
(1) The name and address and date of birth of the applicant;
(2) Location of place of business;
(3) Principal kind of business engaged in;
(4) Statement of whether business will be conducted by a manager or agent, and the name and address and date of birth of any such manager or agent;
(5) The location of the place of business where the video gaming terminal is to be kept or displayed;
(6) Statement of personal history of the manager or agency conducting business for the applicant; and
(7) Any other information which the County Board Chairperson shall require.
(Ord. passed 10-16-2012)