Common use of Disclosure of Ownership or Control Information Clause in Contracts

Disclosure of Ownership or Control Information. 6.5.1 Disclosure Information (A) The Contractor, pursuant to 42 CFR § 455.104, using the Department- specified form, shall provide disclosures of each Person with an Ownership or Control Interest in the Contractor. (B) The disclosures for Persons with an Ownership or Control Interest shall include: (1) the person’s name and address of any Person (individual or corporation) with an Ownership or Control Interest in the Contractor. The address for corporate entities must include as applicable primary business address, every business location and the P.O. Box address; (2) date of birth and Social Security number (in the case of an individual); (3) other tax identification number (in the case of a corporation) with an ownership or control interest in the Contractor or in any Subcontractor in which the Contractor has a five percent or more interest; (4) whether the Person (individual or corporation) with an Ownership or Control Interest in the Contractor is related to another Person with an Ownership or Control Interest in the Contractor as a spouse, parent, child, or sibling; (5) whether the Person (individual or corporation) with an Ownership or Control Interest in any Subcontractor in which the Contractor has a five percent or more interest is related to another person with an Ownership or Control Interest in the Contractor as a spouse, parent, child, or sibling; and (6) the name of any Other Disclosing Entity (or Fiscal Agent or MCE) in which an owner of the Contractor has an ownership or control interest. (C) The Contractor shall, pursuant to 42 CFR § 455.104 and using the Department-specified form, provide disclosures of Managing Employees that include the name, address, date of birth, and Social Security number of any Managing Employee of the Contractor. (D) Government-owned Entities If the Contractor is government-owned, the Contractor shall disclose anyone meeting the definition of a Managing Employee and would only need to disclose board members if a board member meets the definition of a Managing Employee.

Appears in 9 contracts

Sources: Prepaid Mental Health Plan, Prepaid Mental Health Plan, Prepaid Mental Health Plan Healthy U Behavioral Amendment 9