Page 631

(1) a statement that the applicant will fully comply with the Tobacco Products Manufacturers' Escrow Enforcement Act of 2003; and (2) the following information: (A) the name and address of the applicant; (B) (2) the address of every location from which the applicant proposes to engage in business in this State; (C) (3) the number of manufacturer representatives the applicant requests to maintain in this State; and (D) such (4) any other additional information as the Department may reasonably require by its rule. (a-5) The following manufacturers are ineligible to receive authorization to maintain manufacturer representatives in this State: (1) a manufacturer who owes, at the time of application, any delinquent cigarette taxes that have been determined by law to be due and unpaid under this Act or any other tax Act administered by the Department, unless the applicant has entered into an agreement approved by the Department to pay the amount due; (2) a manufacturer who has had a license revoked within the past 2 years for misconduct relating to stolen or contraband cigarettes or has been convicted of a state or federal crime, punishable by imprisonment of one year or more, relating to stolen or contraband cigarettes; SB3019 Enrolled LRB104 20255 HLH 33706 b Public Act 104-0468