61 Pa. Code § 901.103 — Manufacturer registration application form contents

An application for registration as a manufacturer of games of chance shall contain at a minimum the following information: (1) The name of the manufacturer, including a copy of the Fictitious Name Registration Form, Department of State Registry Statement or similar registration form. (2) The manufacturer’s business, mailing and legal address as well as the address of all locations where the applicant manufactures its games. It does not include the address of each person from whom the manufacturer purchases raw materials, components or subparts used to manufacture its games. (3) The names, addresses, telephone numbers and Social Security numbers of officers, directors, owners and partners or other responsible persons. If incorporated, the application must contain the names, addresses, telephone numbers and Social Security numbers of officers and shareholders controlling 10% or more of outstanding stock. If organized as a partnership, the application must contain the names, addresses and telephone numbers of all partners. (4) A copy of the constitution and bylaws or the corporate charter for new applications. This information must also accompany renewal application if requested or if amended. (5) A complete list of all games of chance to be manufactured for sale in this Commonwealth during the registration term. The list must contain information as prescribed on the manufacturer registration application form. (6) The signatures of responsible persons. (7) A complete list of manufacturer representatives operating in this Commonwealth, their addresses and telephone numbers. (8) Pennsylvania tax information, including: (i) The Pennsylvania Sales Tax number. (ii) The Pennsylvania corporate box number. (iii) The Pennsylvania employer identification number. (iv) The Pennsylvania Unemployment Compensation account number. (9) A certified statement that: (i) State tax reports and returns have been filed. (ii) State taxes due and payable have been paid. (iii) State taxes owing are subject to timely administrative or judicial appeal and the required bond or security has been filed. (iv) Delinquent State taxes are subject to an approved deferred payment plan. A copy of the approved deferred payment plan shall be attached to the certified statement. (10) A certified statement that no officer, director or other responsible person or employee eligible to make sales on behalf of the manufacturer has been convicted of one or more of the following: (i) A felony in a state or Federal court within the past 5 years. (ii) A violation of the act, the Bingo Law or a gambling related offense under 18 Pa.C.S. (relating to the Crimes Code) or other comparable state or Federal law within 10 years of the date of the application in a state or Federal court. (11) The logos and trade names used by the manufacturer. (12) Other documents as identified in the application materials. Source The provisions of this § 901.103 amended August 11, 2006, effective August 12, 2006, 36 Pa.B. 4475. Immediately preceding text appears at serial pages (265864) to (265865). Cross References This section cited in 61 Pa. Code § 901.119 (relating to raffle, daily drawing and weekly drawing ticket manufacturers). No part of the information on this site may be reproduced for profit or sold for profit. This material has been drawn directly from the official Pennsylvania Code full text database. Due to the limitations of HTML or differences in display capabilities of different browsers, this version may differ slightly from the official printed version.