The application shall indicate whether the applicant is
a corporation, partnership, sole proprietorship, association or other business
entity. For all entities, the application shall contain the following
information, as applicable, for each person who owns or controls the applicant
under the definition of "owned or controlled" or "owns or controls" in §
86.1 (relating to definitions)
except that the submission of a Social Security number is voluntary:
(1) The name, address, Social Security number
and employer identification number of every:
(i) Officer.
(ii) Partner.
(iii) Associate.
(iv) Shareholder of at least 10% of the
voting stock.
(v)
Director.
(vi) Other person
performing a function similar to a director of the applicant.
(vii) Person having the ability to commit the
financial or real property assets or working resources of an entity.
(viii) Person who has another relationship
with the applicant which gives the person authority directly or indirectly to
determine the manner in which mining is conducted.
(ix) Person who owns or controls the persons
specified in subparagraphs (i)-(viii), either directly or indirectly through
intermediary entities.
(2) For each person listed in paragraph (1),
the following:
(i) The title of the person's
position.
(ii) The date the
position or stock ownership was assumed, and if applicable, the date of
departure from the position or the date of sale of stock.
(iii) The percentage of ownership.
(iv) The location in the organizational
structure.
(v) The relationship to
the applicant.
(3) The
following related entity information:
(i) The
names of companies who, under the definition of "owned or controlled" or "owns
or controls" in §
86.1, own or control the applicant
or who are owned or controlled by the applicant and provide the following
information for each entity:
(A) Identifying
numbers, including Employer Identification numbers, Federal or State permit
numbers and Mine Safety and Health Administration (MSHA) numbers with the date
of issuance for each permit.
(B)
The application number or other identifier of and the regulatory authority for
any other pending mining operation permit application filed by the entity in
any other state.
(C) The name,
address, Social Security number and Employer Identification Number of every
officer, partner, associate, principal shareholder, director or other person
performing a function similar to director of the applicant, including the title
of the person's position and the date the position was assumed, and if
applicable, the date of departure from the position or date of sale of
stock.
(ii) For each
person listed in paragraph (1), who is, or has been, associated with another
company as an owner or controller, under the definition of "owned or
controlled" and "owns or controls" in § 86.1, within the 5-year period
preceding the date of application, provide the following information:
(A) The name of each entity they are, or
were, associated with.
(B) The
identifying numbers, including Employer Identification numbers, Federal or
State permit numbers and MSHA numbers with the date of issuance for each
permit.
(C) The application number
or other identifier of and the regulatory authority for other pending mining
operation permit applications filed by the entity with which the person is
affiliated in other states.