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(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) (a) the name and address of the applicant; (B) (b) the address of the location at which the applicant proposes to engage in business as a discretionary secondary distributor of cigarettes; and (C) (c) such other additional information as the Department may reasonably require by its rules. A separate application for license shall be made for each place of business at or from which the applicant proposes to act as a discretionary secondary distributor under this Section Act and for which the applicant is not required to procure a license as a secondary distributor under the Cigarette Tax Act or Cigarette Use Tax Act. (b) The following are ineligible to receive a discretionary secondary distributor's license under this Section Act: (1) a person who is not of good character and reputation in the community in which the person he resides; the Department may consider prior conviction of a felony, but, except as provided in paragraph (2), the conviction shall not operate as an absolute bar to licensure; (2) a person who has been convicted of a felony under SB3019 Enrolled LRB104 20255 HLH 33706 b Public Act 104-0468