If you are applying for any of the Gaming Suitablility Applications
and you meet any of the following requirements you
are also required to download and complete a personal
history and finanical record disclosure form (Form DPSSP 0074).
- Is an officer, director, partner, manager,
managing member or key/managerial employee of
a non-gaming supplier permittee or an applicant
for a non-gaming supplier permit
- Is a shareholder, director, member, partner
or person with 5% or more ownership, income, profit
or economic interest in a non-gaming supplier
permittee or an applicant for a non-gaming supplier
permit
- Is an applicant for state certification as
a gaming employee of an Indian casino: in which
case Indian Gaming attachment pages I-1 through
I-2 must additionally be completed
Except for Schedules M-3 through M-19 and sections
K and M, unless otherwise directed, this application
shall be completed in its entirety by any person who
is the spouse of any of the following:
- An applicant for a key gaming employee permit
- An officer, director, partner, manager or managing
member of licensee or applicant for a license,
casino operator, casino manager or a manufacturer
of slot machines and video draw poker devices
permittee or applicant for a manufacturer of slot
machines and video draw poker devices permit,
or a manufacturer of gaming equipment other than
slot machines and video draw poker devices and
video draw poker devices permit, or a manufacturer
of gaming equipment other than slot machines and
video draw poker devices permitee or an applicant
for a manufacturer of gaming equipment other than
slot machines and video draw poker devices permit
or gaming supplier permittee or applicant for
a gaming supplier permit
- A shareholder, member, partner or person with
a 5% or more ownership, income, profit or economic
interest in a licensee or applicant for a license,
casino operator, casino manager or a manufacturer
of slot machines and video draw poker devices
permittee or applicant for a manufacturer of slot
machines and video draw poker devices permit,
or a manufacturer of gaming equipment other than
slot machines and video draw poker devices permitee
or an applicant for a manufacturer of gaming equipment
other than slot machines and video draw poker
devices permit or gaming supplier permittee or
applicant for a gaming supplier permit
- A key/managerial employee of a licensee or applicant
for a license, casino operator, casino manager
or a manufacturer of slot machines and video draw
poker devices permittee or applicant for a manufacturer
of slot machines and video draw poker devices
permit or a manufacturer of gaming equipment other
than slot machines and video draw poker devices
permitee or an applicant for a manufacturer of
gaming equipment other than slot machines and
video draw poker devices permit or gaming supplier
permittee or applicant for a gaming supplier permit
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