710 Ind. Admin. Code 2-2-2

Current through December 4, 2024

Section 710 IAC 2-2-2 - Contents of application for registration

Authority: IC 23-2-4-24

Affected: IC 23-2-4-4

Sec. 2.

An application for registration under IC 23-2-4 shall contain:

(1) the following information on the form prescribed by the commissioner:

(A) the name and address of the home;

(B) the name and address of the provider;

(C) the name and address of a person to whom correspondence may be directed;

(D) the current and maximum occupancy of the home;

(E) the date on which the fiscal year of the home ends;

(F) the name and address of any other home currently or previously operated by the provider or manager of the home;

(G) the name and address of the escrow agent for deposit of entrance fees and a copy of the escrow agreement;

(H) if the operation of the home has not begun, a statement of the anticipated source and application of funds to be used in the purchase or construction of the home, and the estimate of the funds, if any, which are anticipated to be necessary to pay for start-up losses;

(I) a copy of the forms of agreement for continuing care used by the provider.

(2) an initial disclosure statement in compliance with IC 23-2-4-4 and 710 IAC 2-3;

(3) the provider's articles of incorporation or association, if not already on file with the secretary of state; and

(4) any code of rules or by-laws to which a resident must agree to abide.

710 IAC 2-2-2

Securities Division; 710 IAC 2-2-2; filed Jan 30, 1985, 9:33 am: 8 IR 610; readopted filed May 31, 2002, 11:34 p.m.: 25 IR 3462; readopted filed Dec 2, 2008, 9:01 a.m.: 20081224-IR-710080819RFA

Readopted filed 9/23/2015, 2:54 p.m.: 20151021-IR-710150280RFA

Readopted filed 9/27/2021, 11:04 a.m.: 20211027-IR-710210374RFA