|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Martin O'Malley, Governor
|
|
Ch.3
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(III) THE ORGANIZATIONAL STRUCTURE AND MANAGEMENT OF THE
PROVIDER AND THE FACILITY AFTER THE PROPOSED SALE OR OTHER TRANSFER IS
COMPLETED, INCLUDING:
1. IF THE PROVIDER IS TO BE A CORPORATION OR LIMITED
LIABILITY COMPANY, ITS NAME, ITS STATE OF INCORPORATION OR FORMATION, AND
THE NAME OF THE CHIEF EXECUTIVE OFFICER;
2. IF THE PROVIDER IS TO BE A PARTNERSHIP, THE NAMES
OF THE GENERAL PARTNERS, THE STATE GOVERNING ITS FORMATION, AND THE
NAME OF THE PRIMARY INDIVIDUAL RESPONSIBLE FOR MANAGING IT;
3. IF THE PROVIDER IS TO BE AN UNINCORPORATED
ASSOCIATION, THE NAMES OF THE MEMBERS, THE STATE GOVERNING ITS
ACTIVITIES, AND THE NAME OF THE PRIMARY INDIVIDUAL RESPONSIBLE FOR
MANAGING IT;
4. IF THE PROVIDER IS TO BE A TRUST, THE TRUSTEE'S
NAME, THE NAMES OF THE OWNERS OF BENEFICIAL INTERESTS IN THE TRUST, THE
STATE THAT GOVERNS IT, AND THE NAME OF THE PRIMARY INDIVIDUAL
RESPONSIBLE FOR OVERSEEING ITS ACTIVITIES;
5. IF THE PROVIDER IS TO BE A PARTNERSHIP THAT HAS A
CORPORATION OR LIMITED LIABILITY COMPANY AS ONE OR MORE OF ITS GENERAL
PARTNERS, THE NAME OF EACH CORPORATION OR LIMITED LIABILITY COMPANY, ITS
STATE OF INCORPORATION OR FORMATION, AND THE NAME OF ITS CHIEF
EXECUTIVE OFFICER; AND
6. THE NAME AND OCCUPATION OF EACH OFFICER
DIRECTOR TRUSTEE, GENERAL PARTNER PRINCIPAL, AND EACH PERSON WHO WILL
HAVE A 10% OR GREATER EQUITY OR BENEFICIAL INTEREST IN THE PROVIDER OR IN
A PERSON THAT OWNS OR CONTROLS THE PROVIDER;
(IV) A COPY OF THE CORPORATE CHARTER PARTNERSHIP
AGREEMENT, ARTICLES OF ASSOCIATION, MEMBERSHIP AGREEMENT, OR TRUST
AGREEMENT THAT WILL GOVERN THE LEGAL ORGANIZATION OF THE PROVIDER
AFTER THE SALE OR TRANSFER;
(V) A STATEMENT OF ANY AFFILIATION WITH A RELIGIOUS,
CHARITABLE, OR OTHER NONPROFIT ORGANIZATION AFTER THE PROPOSED SALE OR
TRANSFER AND THE EXTENT, IF ANY, OF THE AFFILIATE ORGANIZATION'S
RESPONSIBILITY FOR THE FINANCIAL AND CONTRACTUAL OBLIGATIONS OF THE
PROVIDER;
(VI) THE NAME AND ADDRESS OF ANY BUSINESS OR PROFESSIONAL
ENTITY IN WHICH A PERSON IDENTIFIED IN ITEM (III)6 OF THIS PARAGRAPH HAS A
10% OR GREATER FINANCIAL INTEREST AND THAT IS LIKELY TO PROVIDE GOODS,
PREMISES, OR SERVICES WITH A VALUE OF $10,000 OR MORE A YEAR TO THE
FACILITY OR PROVIDER AFTER THE SALE OR TRANSFER AND A DESCRIPTION OF THE
GOODS, PREMISES, OR SERVICES;
(VII) THE NAME OF THE PROPOSED MANAGER OR MANAGEMENT
|
|
|
|
|
|
|
|
|
|
- 461 -
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
 |
