Section 216-RICR-40-10-10.4 - Application for Licensing and FeeA. Application for a license to conduct, maintain or operate a nursing service agency shall be made to the licensing agency on forms provided by it, and shall contain such information as the licensing agency reasonably requires, including but not limited to, evidence of ability to comply with the provisions of the Act and this Part, and shall be accompanied by the licensing fee as set forth in the rules and regulations pertaining to the Fee Structure for Licensing, Laboratory and Administrative Services Provided by the Department of Health (Part 10-05-2 of this Title). 1. A license shall be required for each central office of a nursing service agency operation. Each branch shall be subject to the requirements of this Part, with the exception of the licensing fee.2. Each nursing service agency that maintains a branch office shall indicate on the application the location of the central office as well as the location(s) of the branch office(s).B. A notarized list of names and addresses of direct and indirect owners whether individual, partnership or corporation with percentages of ownership designated shall be provided with the application for licensing and shall be updated annually. The list shall include each owner (in whole or in part), any mortgage, deed or trust, or other obligation secured (in whole or in part) by the nursing service agency or any of the property or assets of same. 1. This list shall also include all officers, directors and other persons of any subsidiary corporation owning stock, if the nursing service agency is organized as a partnership.216 R.I. Code R. § 216-RICR-40-10-10.4