Form Summary
Use this form to Disclose your Ownership / Organization structure
Form Number
GC4-021
License Type
Licensee Type
Entity Type
The .gov means it’s official.
A .gov website belongs to an official government organization in the United States.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and
transmitted securely.
Interested in an upcoming Commission meeting? Upcoming commission meetings