Vendor Renewal Checklist
The following must be returned to the Poarch Band of Creek Indians Tribal Gaming Commission:
A. Submissions Applicable to the Business Entity
- Vendor Application
- Company/Principal/Employee Vendor Terms and Conditions Form (Print, Initial and Sign)
- Company/Principal/Employee Vendor Release of Information Form (Print, Sign and Notarize)
- Disclosure, Authorization, and Consent For Release of Background Information (Print, Complete and Sign)
- Required Cover Sheet
- Last year's tax returns for all non-publicly traded companies
- Most recent 10-K filing for all publicly traded companies
- Business formation documentation (i.e. Articles of Incorporation, Articles of Organization, and Partnership Agreements if different from the previous application)
- $5,000 application fee for a Gaming Vendor or $500 application fee for a Non-Gaming Vendor who does a minimum of $50,000 of business annually
- Vendors who do less than $50,000 of business annually may be exempt form completing a Vendor Application, but principals and employees must complete required application
- Gaming Vendors are required to pay $5 per machine per month. Example: 10 Games = $50 per month
B. Submissions Applicable to the Principals
- Principal Application for each officer, director, partner, and/or owner of ten percent (10%) or more of the Gaming Vendors and Non-Gaming Vendors. (If a Non-Gaming Vendor is a publicly traded business, the Non-Gaming Vendor does not submit a Principal Application, but the most current 10-K filing and a list of officers and directors for the vendor.)
- Company/Principal/Employee Vendor Terms and Conditions Form (Print, Initial and Sign)
- Company/Principal/Employee Vendor Release of Information Form (Print, Sign and Notarize)
- Disclosure, Authorization, and Consent For Release of Background Information (Print, Complete and Sign)
- Required Cover Sheet
- A copy of Drivers License
- $500 application fee for each officer, director, partner, and/or owner of ten percent (10%) or more of a Gaming Vendor who is required to make application in Section A above or $100 application fee for each officer, director, partner, and/or owner of ten percent (10%) or more of a Non-Gaming Vendor who is required to make application in Section A above.
- $100 application fee for each officer, director, partner, and/or owner of ten percent (10%) or more of a Vendor not required to make application in Section A above
C. Submissions Applicable to the Employee
- Employee Vendor Application for any employee who anticipates being physically on-site more than six times a year at any of PCI Gaming Authority's gaming enterprise locations
- Company/Principal/Employee Vendor Terms and Conditions Form (Print, Initial and Sign)
- Company/Principal/Employee Vendor Release of Information Form (Print, Sign and Notarize)
- Disclosure, Authorization, and Consent For Release of Background Information (Print, Complete and Sign)
- Required Cover Sheet
- A copy of Drivers License
- Current DMV printout (if Requested)
- $300 application fee for each Gaming Vendor employee whose company is required to make application in Section A above or $100 application fee for each Non-Gaming Vendor employee who's company is required to make application in Section A above
- $100 application fee for all other vendor employees whose company is not required to make application in Section A above
NOTE: The application fees are non-refundable regardless of the determination. Gaming License are a privilege and therefore may be denied, suspended, or revoked by the Poarch Band of Creek Indians Tribal Gaming Commission.