- (a) a copy of the document giving approval for the incorporation of the hospice business;
(b) an affidavit from each applicant setting forth:
- (1) that the applicant is to be the sole beneficial owner of the voting shares of the corporation of which the applicant is to be the holder of record; and
- (2) the number of voting shares of the corporation of which the applicant is to be the holder of record;
(c) an affidavit from the transferor of the stock setting forth the transferor's name and address and stating:
- (1) the number of voting shares of the corporation which the transferor proposes to transfer to the applicant; and
- (2) the purchase price of the shares to be transferred to the applicant;
- (d) the financial resources available for the acquisition of the stock to be transferred, or the basis on which such transfer is to be financed;
- (e) if such transfer of stock is to be by gift, a statement of the relationship between the donor and the donee; and
- (f) such additional pertinent information or documents necessary for the Public Health Council's consideration, as required.
An individual who proposes to become a principal stockholder in a business corporation shall file, in addition to meeting the other applicable requirements of this Part, information, documents and data as follows: