1. Name of business, business address, business telephone number(s), federal tax identification number (or social security number, if a sole proprietorship), main office address (if different from business address), any other names used by the applicant in business, and type of service(s) applicant will provide;

2. Whether the applicant is a partnership, corporation, limited liability company, sole proprietorship or other entity;

3. If the applicant is a corporation, the state of incorporation and the qualification to do business in the state, if the gaming operation is in a different state than the state of incorporation;

4. Trade name, other names ever used and names of any wholly owned subsidiaries or other businesses owned by the applicant or its principals;

5. General description of the business and its activities;

6. Whether the applicant will be investing in, or loaning money to, the gaming operation, and, if so, how much;

7. A description of any existing and previous business relationships with the gaming industry generally, including ownership interests in those businesses;

8. A list of Indian tribes with which the applicant has an existing or previous business relationship, including ownership, financial or management interests in any nongaming activity;

9. Names, addresses and telephone numbers of three (3) business references with whom the applicant has regularly done business for the last five (5) years;

10. The name and address of any licensing or regulatory agency with which the applicant has filed an application for a license or permit related to gaming, whether or not such license or permit was granted;

11. If the applicant has ever had a license revoked for any reason, the circumstances involved;

12. A list of lawsuits to which the applicant has been a defendant, including the name and address of the court involved, and the date and disposition, if any;

13. A list of the applicant’s funding sources and any liabilities of fifty thousand dollars ($50,000.00) or more or such higher amount as the Gaming Commission may establish by regulation;

14. A list of the principals of the business, their Social Security numbers, addresses, telephone numbers, titles, and percentage of ownership in the company; and

15. Any further information the Gaming Commission deems relevant.