registration is valid for 12 months unless sooner suspended,
restricted or revoked and is nontransferable. A registrant may
renew a certificate of registration by submitting an application
under this subsection and paying the registration fee not less
than 30 days before the expiration date of the certificate of
registration.
(c) Information required.--An application for a certificate
of registration must contain all of the following information:
(1) The name of the applicant, the address and telephone
number of the applicant's principal place of business and, if
the applicant is engaged in sales activities on behalf of a
principal, the name, address and telephone number of the
principal.
(2) If the applicant is a corporation, the date and
place of the applicant's incorporation or, if the applicant
is a limited liability company, the date and place of the
applicant's organization.
(3) The names and permanent home addresses of the
proprietors, managing partners, managers or principal
officers of the applicant, together with proof of
identification of those individuals, which may be in the form
of a birth certificate or a valid driver's license issued by
the Department of Transportation or by another state that
contains a photograph of the license holder.
(4) The names, permanent home addresses, driver's
license numbers and dates of birth of the employees, agents
or representatives of the applicant who supervise or
transport traveling sales crew workers.
(5) Information regarding the criminal record, if any,
of proprietors, managing partners, managers or principal
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