Get Principal Entity Disclosure Form Form ... - Maryland Gaming

Completing the Principal Entity Disclosure Form is a crucial step for applicants seeking a video lottery terminal operation license in Maryland. This guide will provide you with clear instructions on filling out each section of the form accurately and comprehensively.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the Principal Entity Disclosure Form. Make sure to have a compatible document viewer to open the form easily.
2. Begin filling out Section A, where you will find important notices regarding the application. Ensure that you understand the implications of submitting false or misleading information.
3. Move on to Section B which includes the instructions for completing the form. Pay special attention to the requirement that all entries must be typed or printed clearly.
4. In Section D, provide details about the Principal Entity including its name, contact information, and form of organization. Be precise and ensure the names are as per official documents.
5. Continue to fill out information about the directors, partners, and officers in Section D.6. You will need to use Exhibit 2 to provide this information.
6. Fill out the sections related to ownership and criminal history in Sections D.7 and D.8, using Exhibits 3 and 4 respectively to detail any relevant information.
7. In Section D.9, describe any investigations or testimonies that have involved the Principal Entity. Use Exhibit 5 to list down any relevant details.
8. Proceed to Sections D.10 to D.14 to provide information about existing or past litigation, regulatory judgments, bankruptcy proceedings, and licenses. Each section will have specific Exhibits to fill out.
9. At the conclusion of the form, provide the required acknowledgments, authorizations, and ensure all necessary Exhibits are attached as outlined in the checklist. Make sure to initial each page.
10. Finally, save your changes and download the completed form. You can print it for physical submission or share it online if required by the Commission.

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