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perjury, in an electronic format established by the Department, the following: (A) a statement that the applicant will fully comply with the Tobacco Products Manufacturers' Escrow Enforcement Act of 2003; and (B) the following information: (i) the name and address of the applicant; (ii) the address of the location at which the applicant proposes to engage in business; and (iii) such other additional information as the Department may reasonably require by its rules. (2) The following are ineligible to receive a distributor's permit under this subsection: (A) (1) a person who is not of good character and reputation in the community in which the person he or she resides; the Department may consider prior conviction of a felony, but, except as provided in paragraph (B), the conviction shall not operate as an absolute bar to licensure; (B) (2) a person who has been convicted of a felony under any federal or State law, if the Department, after investigation and consideration of any mitigating factors and evidence of rehabilitation contained in the applicant's record, including those provided in Section 4i of the Cigarette Tax Act, and a hearing, if requested by the applicant, determines SB3019 Enrolled LRB104 20255 HLH 33706 b Public Act 104-0468