(A) The applicant shall provide the
location where it is requesting to conduct casino gaming and proof that it is
the property owner or is authorized by the property owner to operate casino
gaming at the designated location.
(B) The applicant shall provide its name,
principal address, business telephone number, social security number or federal
tax identification number, contact person and its attorney and its
attorneys contact information as requested.
(C) The applicant shall provide its
organization documents, its other names and addresses, all businesses operated
by the applicant, all holding companies, intermediaries, subsidiaries,
affiliates or other business type entities, and any other states where the
applicant conducts business.
(D) The applicant shall provide the names
and addresses of all current and former principals associated with the
applicant within the last ten years.
(E) The applicant shall provide
information concerning the compensation of current principals. The applicant
shall further provide compensation information for all employees who earn over
one hundred and fifty thousand dollars.
(F) The applicant shall provide a
description of its bonus, profit sharing, pension, retirement, deferred
compensation and any other similar plans.
(G) The applicant shall provide all stock
information requested in the application.
(H) The applicant shall disclose the
ownership interests of current and former partners of the applicant in the last
(I) The applicant shall list the holders
and describe the nature of any long term debt. Long term debt means debt which
matures more than one year from the date of issuance or which, by its terms, is
renewable for a period of more than one year from the date of
(J) The applicant shall list the
holder(s) of and describe the nature, type, terms, conditions and covenants of
all outstanding loans, mortgages, trust deeds, pledges, lines of credit, or
other evidence of indebtedness or security interests, other than those
described previously, utilized by the applicant and any holding companies,
intermediary subsidiaries, affiliates, and any other similar business entities
of the applicant.
(K) The applicant shall provide a
detailed description of any options existing or to be created with respect to
securities issued by the applicant which description shall include, but not be
limited to, the title and amount of securities subject to option, the year or
years during which the options were or will be granted, the conditions under
which the options were or will be granted, the consideration for granting the
option and the year or years during which, and the terms under which, optionees
became or will become, entitled to exercise the options, and when such options
(L) The applicant shall provide
information concerning the beneficial owners of security options.
(M) The applicant shall identify all
principals not otherwise identified in the application. Such principals shall
include any person as defined in section 3772.01 of the Revised Code that has a
five per cent or greater, direct or indirect, ownership interest in the
applicant if the applicant is a publicly traded company, or that has a three
per cent or greater, direct or indirect, ownership interest in the applicant if
the applicant is a privately held company including all children and spouses
pursuant to section 3772.11 of the Revised Code.
(N) The applicant shall provide
information with respect to each bank, savings and loan association, or other
financial institution, whether domestic or foreign, in which the applicant has
or has had an account over the last ten year period regardless of whether such
account was held in the name of the applicant, a nominee of the applicant, or
was otherwise under the direct or indirect control of the
(O) The applicant shall provide
information with respect to all contracts, agreements, and management
agreements, written or oral, that the applicant has entered into or intends to
enter into related to its casino facility. This includes all contracts or
agreements of one hundred thousand dollars or more in value or from whom the
corporation has received one hundred thousand dollars or more in goods or
services in the past six months. All management agreements, regardless of
compensation level, must be provided.
(P) The applicant shall provide
information about each company in which the applicant, applicants
spouse, or applicants children hold an equity interest of greater than
five per cent.
(Q) The applicant shall provide
information for each change that occurred within the last five years, prior to
this application, in the beneficial ownership of the equity securities of the
applicant on the part of any person who is indirectly or directly a beneficial
owner of more than five per cent of any class of an equity security of the
applicant or who is or was within that period a director or officer of the
corporation. The applicant must include changes resulting from (1) gift, (2)
purchase, (3) sale, (4) exercise of an option to purchase (5) exercise of an
option to sell, (6) grant or receipt of a put or (7) grant or receipt of a
(R) The applicant shall provide
information about any offenses or charges the applicant or any of its
subsidiaries or entities with whom there is a management agreement or any of
its principals may have committed or had filed against them. Prior to answering
this question, the applicant should carefully review the definitions and
instructions that are listed in the application.
(S) The applicant shall provide
information regarding the applicant and any of its subsidiaries and principals
who have ever been called to testify before, been the subject of an
investigation conducted by, or requested to take a polygraph exam by any
governmental agency, court, committee, grand jury, or investigatory body
(municipal, state, county, provincial, federal, national, etc.) other than in
response to minor traffic related offenses.
(T) The applicant shall describe all
existing litigation and any settled or closed legal action over the past five
years in which the applicant, its parent, affiliate, holding company, or any
subsidiary is or was a party, whether in this state or in another jurisdiction.
This description must include the title and docket number of the litigation,
the name and location of the court before which it is pending, the identity of
all parties to the litigation, the general nature of all claims being made and
the nature of any judgments or court dispositions. The applicant must list most
recent litigation first.
(U) The applicant must provide all
information regarding a judgment, order, consent decree, or consent order
pertaining to a violation or alleged violation of the federal antitrust, trade
regulation or securities laws, or similar laws of any state, province or
country entered against it.
(V) The applicant must provide the
requested information concerning the amount, type of tax, the taxing agency,
and times involved if the applicant has filed or been served with a complaint
or notice filed with a public body concerning a delinquency in the payment of
or a dispute over a filing concerning the payment of a tax required under
federal, state, or local law.
(W) The applicant must provide the
requested information regarding any civil or administrative action or
proceeding in bankruptcy that it ever filed or had filed against it, including,
but not limited to, the name and location of the court, the case caption, the
docket number, and the disposition of the action.
(X) The applicant must provide the
following information regarding any application filed by the applicant, its
principals, or entities with whom the applicant executed a management agreement
in any jurisdiction for a license, permit, or other authorization to
participate in lawful gambling operations within the last ten year
(1) The type of license,
permit, or authorization;
(2) The name and location
of the governmental agency from which the license, permit, or authorization was
(3) The application
(4) Whether the license,
permit, or other authorization was issued or denied and the date of
(5) If a license, permit,
or authorization was denied, the reasons for denial;
(6) If a license, permit,
or authorization was issued, the license, permit, or authorization number,
current status, and location of each licensed, permitted or authorized
(7) If a license, permit,
or authorization was issued, whether it was subsequently revoked or suspended
and the reasons for revocation or suspension;
(8) If a license, permit,
or authorization was issued, whether the holder of such license, permit, or
authorization was fined, penalized, or otherwise sanctioned and the reasons and
circumstances for such fine, penalization, or sanction.
(Y) The applicant shall provide all
information regarding bribes or kick backs made or alleged to have been made by
the applicant or any principal, or employee or any third party acting on behalf
of any of the foregoing during the previous ten years. The applicant must also
provide any bank accounts not reflected on its books and records regarding
contributions, disbursements and accounts.
(Z) The applicant shall provide all
information concerning any political contribution, loan, donation, or other
payment of one hundred dollars or more made by the applicant in the year
immediately prior to filing this application to a statewide office holder, a
member of the general assembly, a local government official elected in a
jurisdiction where the casino facility is located, or any ballot
(AA) An initial or new
applicant shall provide a description of any proposed casino gaming operation
and related casino enterprises, including the type of casino facility,
location, expected economic benefit to the community, anticipated or actual
number of employees, a statement regarding compliance with federal and state
affirmative action guidelines, projected or actual admissions, projected or
actual gross receipts, scientific market research, and its responsible gaming