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TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH SUBCHAPTER c: LONG-TERM CARE FACILITIES PART 350 INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE SECTION 350.250 OWNERSHIP DISCLOSURE
Section 350.250 Ownership Disclosure
a) As a condition of the issuance or renewal of the license of any facility, the applicant shall file a statement of ownership. The applicant shall notify the Department of any change in the information required in the statement of ownership within ten days of the change. (Section 3-207(a) of the Act)
b) A statement of ownership shall include the following:
1) The name, address, Social Security Number, telephone number, occupation or business activity, business address, business telephone number and the percent of direct or indirect financial interest of those persons who have a direct or indirect financial interest of five percent or more in the legal entity designated as the operator/licensee of the facility which is the subject of the application or license;
2) The name, address, Social Security Number, telephone number, occupation or business activity, business address, business telephone number and the percent of direct or indirect financial interest of those persons who have a direct or indirect financial interest of five percent or more in the legal entity that owns the building in which the operator/licensee is operating the facility which is the subject of the application or license; and
3) The name and address of any facility, wherever located, in which any applicant has any ownership interest. (Section 3-207(b) of the Act)
(Source: Amended at 13 Ill. Reg. 6040, effective April 17, 1989) |