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{"sheet":"Instructions","index":0,"n_rows":136,"n_cols":8,"rows_kept":136,"cut":false,"hidden":false,"merged":[[77,1,77,3],[78,1,78,3],[20,1,20,2],[75,1,75,4],[76,1,76,2]]}
["Change of Ownership Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
["Do not attempt to unlock or modify this application.  You will be required to submit a new application if the submitted application is unlocked, unprotected, edited, or modified in any way."]
["If you experience issues with the application or require assistance, call the Division at (717)783-8228."]
[]
["Board staff communicates with school personnel during the application process and not any external consultants contracted to assist with the application process."]
[]
["Change of ownership requests should be submitted as soon as possible (at least within 14 calendar days of the sale). "]
["When all requirements have been met, Board staff will place the request on the Board’s next possible meeting agenda for consideration. "]
["Tentative staff approval cannot be provided."]
[]
["A licensed/registered school must receive approval from the Board to change the ownership of a school."]
["A change in school ownership may be approved for a licensed school when all the following occur:"]
[null,"The faculty, student body, programs, and location of the school remain essentially the same."]
[null,"The Board is notified within 14 calendar days after the consummation of the sale."]
[]
["Fees / Fee Submission:"]
[null,"Change of Ownership Application - $5,000 (a maximum of three applications may be placed on the agenda for review per Board meeting)"]
[]
[null,"Online Payment Center"]
[]
[null,"Effective June 30, 2023, check and money order payments are no longer accepted.  All payments need to be made using the Online Payment Center. "]
[]
[null,"Review and follow the instructions for making an online payment:"]
[null,"Payment for Private Licensed School Fees"]
[]
[null,"Important Notes: "]
[null,"Payment Reference – please be sure to provide your school's name and city as the 'Payment Reference'. Failure to provide this information may delay the processing of the school's request as we will need to verify the source of any anonymous payments. "]
[null,"Email – to receive an emailed receipt of your payment, you must provide your email address when processing the payment.  Receiving an emailed receipt is recommended for all transactions, especially in the event the school fails to provide the school's name and city as the 'Payment Reference'. "]
[null,"Please be sure to carefully select the correct Program ID (which is the service/item you are paying the fee for). Selecting an incorrect Program ID may delay the processing of the school's request, as the payment will be applied to the selected Program ID (service/item). "]
[null,"There is a 2% transaction fee charged for credit cards.  There is no fee charged for ACH transactions. "]
[]
["Approval"]
[null,"Only when an Change of Ownership Application and the corresponding fees are received in our offices at least 3 weeks prior to the next Board meeting will Board staff review a Change of Ownership Application."]
[]
[null,"Staff will conduct a quantitative review of the application to ensure the application is materially complete and to confirm that the applicant is eligible to use the application prior to presenting the application to the Board for consideration."]
[null,"Staff will provide written notice of application deficiencies identified during the review.  Schools are strongly encouraged to cure staff-identified deficiencies to avoid potential delays in the approval of the application. "]
[null,"If a revised application is not submitted within the afforded revision period, the revised application does not cure the identified deficiencies, or the application is otherwise materially incomplete the application will not be placed before the Board for consideration.  "]
[null,"Staff will place the Change of Ownership Application on the next Board meeting agenda only when the application is deemed materially complete, and it is greater than three weeks prior to the next Board meeting.  "]
[null,"Applications expire one year following the submission deadline date in which the application was originally submitted for and can be considered for no more than four consecutive Board meetings."]
[]
[null,"The State Board of Private Licensed Schools will consider applications only when presented by Board staff, after staff has deemed the application is materially complete."]
[null,"The application will be assigned to the Board's Financial Review Committee (FRC) as the reviewer of the application.  The FRC will conduct a qualitative review of the application, including the buyer's financial statements and business plans."]
[null,"The applicant will be invited to attend the Board meeting in which the application's status will be voted on by the full Board."]
[null,"Staff will provide written confirmation of the Board's decision, along with notice of any deficiencies identified by the Board and the FRC, as soon as possible following the Board meeting."]
[null,"The new owners (buyers) will be afforded the opportunity to cure any application deficiencies, providing the request is not denied."]
[null,"If the application is deferred and the revised application does not cure all identified deficiencies greater than three weeks prior to the next Board meeting, the application will need to be held for a subsequent meeting."]
[]
[null,"The Board may vote to approve an application, approve it pending revisions, defer it for revisions and reconsideration at a subsequent Board meeting, or deny the application.  "]
[null,"The regulations afford the Board the authority to request additional information or materials from the applicant in addition to the information requested in the application."]
[]
[null,null,"An approved Change of Ownership Application relieves the sellers of their obligations and places the accountability of ensuring continued compliance with all statute and regulatory requirements and Board policies on the new owners (buyers) / new owning entity."]
[null,null,"A written letter of approval will be sent to the school by Board staff."]
[]
[null,null,"Buyers with an approved pending Change of Ownership Application will receive written notice from staff of any deficiencies noted by the Board.  "]
[null,null,"The new owners (buyers) will be afforded the opportunity to cure any application deficiencies and will receive a written letter of approval from Board staff when all deficiencies have been effectively cured."]
[null,null,"Until the change of ownership is approved by the Board, the current owners (sellers) continue to be responsible for the school's internal infrastructure and legal obligations."]
[null,null,"Approved pending Change of Ownership Applications expire one year following the Board meeting date on which the approved pending status was received. "]
[null,null,"Once an application has expired, a new application and the corresponding fees will be required for any further consideration from the Board."]
[]
[null,null,"Buyers with a deferred Change of Ownership Application will receive written notice from staff of any deficiencies noted by the Board.  The new owners (buyers) will be afforded the opportunity to cure any application deficiencies. "]
[null,null,"If the revised application is not submitted more than three weeks prior to the next Board meeting, does not cure of all deficiencies, or the application is otherwise materially incomplete the application will need to be held for a subsequent meeting."]
[null,null,"Until the change of ownership is approved by the Board, the current owners (sellers) continue to be responsible for the school's internal infrastructure and legal obligations."]
[null,null,"Deferred Change of Ownership Applications expire one year following the submission deadline date in which the application was originally submitted for and can be considered for no more than four consecutive Board meetings. "]
[null,null,"Once an application has expired, a new application and the corresponding fees will be required for any further consideration from the Board."]
[]
[null,null,"Buyers with a denied Change of Ownership Application will receive written notice of the denial from staff. "]
[null,null,"Buyers, along with the sellers of the school, with a denied Change of Ownership Application should carefully consider the Board's feedback prior to future Change of Ownership Applications being submitted."]
[null,null,"If the change of ownership is denied, the current school owners (sellers) must continue to carry the responsibility, obligations, and accountability of school operations and reporting to the Board."]
[null,null,"Denied Change of Ownership Applications cannot be resubmitted, and the same seller/buyer change of ownership relationship will not be immediately reconsidered."]
[]
["IMPORTANT - PLEASE READ"]
[]
["Carefully review the Statute, Regulations, and Board Policy Memos at:"]
[null,"Private Licensed Schools Act 174 of 1986"]
[null,"Act 110 of 2019"]
[null,"22 Pa. Code Chapter 73"]
[null,"Board Policy Memos"]
[]
["Respond to all questions and requests for information/documentation.  Information may be added in the following ways:"]
[null,"1. Type directly in the box."]
[null,"2. Copy and paste text into the box."]
[null,"3. Embed documents as an icon."]
[null,null,"On the insert tab, choose Object.  Select Create from File, check to display as an icon.  Browse for your document."]
[null,null,"NOTE:  Always embed the document as an icon.  You should see a symbol (icon) in the application rather than the entire document. "]
[null,null,"If the entire document appears, you have not embedded the document as an icon."]
[]
[null,"The  application cannot exceed 200MB.  If your application is larger than 200MB, you may have included information that was not requested or you have embedded large files such as .jpg files.  "]
[null,"Change the format of any large files and eliminate anything that was not requested.  "]
[]
["File Naming Conventions"]
[null,"Begin the file name with the school name or abbreviation - if multiple campuses, note location - followed by the name or abbreviation of the program name."]
[null,"Do not use punctuation in the file name.  "]
[null,"NOTE:  When resubmitting revisions to the application, it is absolutely essential to use the exact same filename.  "]
[null,"NOTE:  When resubmitting revisions to the application, it is absolutely essential that the same registered user upload the revised application to SharePoint."]
[null,"Do not change the filename in any way.  Do not even add a number or date to indicate a new version."]
[]
["SharePoint Submission - REGISTERED USER"]
[]
["Keystone Logins cannot be used to gain access to the Private Licensed Schools SharePoint site."]
["PLS SharePoint site users must be registered with a PA Login.",null,null,null,null,null,null,"Register New PA Login"]
[null,"Note: Special characters cannot be used when registering a new user name (for example: ! @ # $ % & * etc. may not be used)."]
[]
["If this is your first time using the 'Registered User' option, you must first email and request access to the PLS SharePoint site."]
["To request access, or for general technical assistance, please email: ",null,null,null,null,null,null,"RA-PLS@pa.gov"]
[]
["When requesting access, please be sure to indicate the individual's name, username, and email associated with the PA Login."]
[]
[null,"1.   Go to:","SharePoint Submission Site"]
[null,"2.   Registered User Application Submission"]
[null,"3.   Enter your PA Login username"]
[null,"4.   Enter your PA Login password"]
[null,"5.   Select 'Add document' and check the box 'Add as a new version to existing files'"]
[null,"6.   Select 'Choose File' and select the file from your own drive.  Click 'OK'."]
[null,"7.  Under 'Content Type', select 'PLS Financial Report'"]
[null,"8.  Enter ALL OTHER INFORMATION as requested and click save."]
[null,null,"*You will now be able to view and independently confirm that your application has been successfully submitted."]
[]
[null,"NOTE:  Failure to enter ALL OTHER INFORMATION will result in your application not being submitted."]
[]
[null,"NOTE:  When resubmitting a revised application, it is absolutely essential to use the exact same filename as the original application."]
[]
["Right to Know"]
[null,"The Division of Law Enforcement Education and Trade Schools does not have the authority under the new Right to Know Law to determine that a specific document contains confidential or proprietary information.  "]
[null,"Any document submitted to the Division of Law Enforcement Education and Trade Schools may be considered public information that must be disclosed. This includes information in this application. "]
[null,"If a school wishes to have a document protected, the school must provide a written statement signed by a representative of the school indicating that the document contains confidential proprietary information or a trade secret.  "]
[null,"This office will notify the school if a request is submitted under Right to Know that includes such a document.  "]
[null,"The school will have the opportunity to provide input on the release of the document.  "]
[null,"Generally, the Department will deny a Right to Know request for information that the school has deemed to be confidential proprietary information.  "]
[null,"However, if a denial is appealed to the Office of Open Records (OOR), the school will be notified and can intervene and appeal to Commonwealth Court if the OOR rules that the information must be disclosed.  "]
[null,"If the school does not intervene and the OOR says the information must be disclosed, the Department will likely disclose it rather than filing an appeal with Commonwealth Court. "]
[]
["END OF INSTRUCTIONS - PROCEED TO NEXT WORKSHEET TAB"]
[]
["Updated:","2025-10-21"]

{"sheet":"Summary","index":1,"n_rows":93,"n_cols":6,"rows_kept":93,"cut":false,"hidden":false,"merged":[[85,1,90,2],[7,2,7,9],[9,2,9,9],[11,2,11,9],[31,6,31,7],[29,6,29,7],[15,2,15,9],[17,2,17,9],[19,2,19,9],[74,1,79,2],[35,1,40,2],[44,3,44,4],[44,6,44,13],[65,1,70,2],[56,1,61,2]]}
["Change of Ownership Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
["School Information:"]
[]
[null,"Name of School:"]
[]
[null,"Location of School:"]
[]
[]
[]
[]
[null,null,"City, State and Zip Code"]
[]
[]
[null,"Mailing Address:"]
[]
[]
[]
[]
[null,null,"City, State and Zip Code"]
[]
["Transaction Information:"]
[]
["While a request for pre-approval of a change in ownership is encouraged to be sought in advance of a sale, at minimum within 14 calendar days after the consummation of the sale, "]
["the new individual owners (buyers) shall submit a materially complete Change of Ownership Application to request approval for a change in school ownership."]
[]
[null,null,null,null,null,"Is this a request for pre-approval of a change in ownership?"]
[]
[null,null,null,null,null,"If yes, anticipated date for the consummation of the sale:"]
[]
[null,null,null,null,null,"If no, date of the consummation of the sale:"]
[]
["Embed evidence that a bona fide sales transaction has taken place by providing a copy of the legally binding document between the buyer and seller which was executed at closing."]
[]
[]
[]
[]
[]
[]
[]
[]
["New Owner(s) / New Owning Entity Information:"]
[]
[null,null,"Type of Business:",null,null,"Other:"]
[]
[null,null,"Registered Business Name:"]
[]
["Embed an organizational chart that demonstrates the following information:"]
[]
[null,"Individuals and/or Entities: The names and roles of the owners, partners, or shareholders within the organization."]
[null,"Ownership Percentages: The percentage of ownership held by each individual or entity."]
[null,"Decision-Making Roles: Information on who has the authority to make decisions within the organization."]
[null,"Control and Benefits: Details on who controls the company's assets and the benefits of its success."]
[null,"Legal and Regulatory Compliance: Information on any legal requirements or reporting obligations related to ownership structure. "]
[]
[]
[]
[null,null,null,"Leave blank only if the business is a sole proprietorship."]
[]
[]
[]
[]
["Embed the certificate of incorporation, partnership agreement, or registration of foreign corporation.  "]
[]
[]
[]
[null,null,null,"Leave blank only if the business is a sole proprietorship."]
[]
[]
[]
[]
["Embed evidence of fictitious name registration, if applicable."]
[]
[]
[]
[]
[]
[]
[]
[]
["Will this school be part of a franchise?"]
[]
[null,"If the school is a franchise, please embed evidence that the franchise agreement contains a provision that the school may not be terminated by the franchisor until sufficient arrangements have been made to assure  teach out arrangements. "]
[]
[]
[]
[]
[]
[]
[]
[]
["END OF SUMMARY - PROCEED TO NEXT WORKSHEET TAB"]

{"sheet":"Assurances","index":2,"n_rows":56,"n_cols":12,"rows_kept":56,"cut":false,"hidden":false,"merged":[[5,1,14,3],[18,1,27,3],[29,11,29,17],[31,1,40,3],[44,1,53,3]]}
["Change of Ownership Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
["Embed below a signed statement assuring the completion of contracts (enrollment agreements) with existing students."]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["Embed below evidence of the school's active agreement with the central repository, ensure the retention of student academic transcripts."]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["Embed a copy of the signed Reasonable Service and Business Ethics Statement executed by the new owner.",null,null,null,null,null,null,null,null,null,null,"Statement on Reasonable Service and Business Ethics (PDF)"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["Embed below evidence of surety in accordance with 22 Pa. Code § 73.54 in the name of the new owner."]
[]
[]
[]
[]
[]
[null,null,null,null,"Ensure all remote and branch location addresses are covered in addition to the school's physical location."]
[]
[]
[]
[]
[]
[]
["END OF ASSURANCES - PROCEED TO NEXT WORKSHEET TAB"]

{"sheet":"Director(s)","index":3,"n_rows":95,"n_cols":5,"rows_kept":95,"cut":false,"hidden":false,"merged":[[92,4,92,11],[72,1,77,2],[72,4,77,5],[72,7,77,8],[72,10,77,11],[78,4,78,11],[84,3,84,10],[86,1,91,2],[86,4,91,5],[86,7,91,8],[86,10,91,11],[44,10,49,11],[36,4,36,11],[42,3,42,10],[56,3,56,10],[58,1,63,2],[58,4,63,5],[58,7,63,8],[58,10,63,11],[50,4,50,11],[64,4,64,11],[70,3,70,10],[12,3,12,10],[30,1,35,2],[30,4,35,5],[30,7,35,8],[30,10,35,11],[14,1,19,2],[14,4,19,5],[14,7,19,8],[14,10,19,11],[20,4,20,11],[28,3,28,10],[44,1,49,2],[44,4,49,5],[44,7,49,8]]}
["Change of Ownership Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
["Note: At least one Director/Acting Director must be on campus while the school is operating at all times."]
[]
["Director or Acting Director Qualifications Form PDE-340 (Excel)"]
[]
["School Director:"]
["Embed the following documentation for the individual who will serve as the school's Director upon an approval of change in ownership."]
[]
[null,null,"Name of Director:"]
[]
[null,null,"Email:"]
[]
[]
[]
[]
[]
[]
[]
[null,"PDE340 Director Qualifications",null,null,"Evidence of stated qualifications"]
[]
["Acting Director(s):"]
["Embed the following documentation for the individual(s) who will serve as the school's Acting Director(s) upon an approval of change in ownership."]
[]
[]
[null,null,"Name of Acting Director:"]
[]
[null,null,"Email:"]
[]
[]
[]
[]
[]
[]
[]
[null,"PDE340 Director Qualifications",null,null,"Evidence of stated qualifications"]
[]
[]
[]
[null,null,"Name of Acting Director:"]
[]
[null,null,"Email:"]
[]
[]
[]
[]
[]
[]
[]
[null,"PDE340 Director Qualifications",null,null,"Evidence of stated qualifications"]
[]
[]
[]
[null,null,"Name of Acting Director:"]
[]
[null,null,"Email:"]
[]
[]
[]
[]
[]
[]
[]
[null,"PDE340 Director Qualifications",null,null,"Evidence of stated qualifications"]
[]
[]
[]
[null,null,"Name of Acting Director:"]
[]
[null,null,"Email:"]
[]
[]
[]
[]
[]
[]
[]
[null,"PDE340 Director Qualifications",null,null,"Evidence of stated qualifications"]
[]
[]
[]
[null,null,"Name of Acting Director:"]
[]
[null,null,"Email:"]
[]
[]
[]
[]
[]
[]
[]
[null,"PDE340 Director Qualifications",null,null,"Evidence of stated qualifications"]
[]
["END OF DIRECTOR(S) - PROCEED TO NEXT WORKSHEET TAB"]

{"sheet":"New Owner 1","index":4,"n_rows":169,"n_cols":13,"rows_kept":169,"cut":false,"hidden":false,"merged":[[157,2,157,7],[160,2,160,7],[162,2,162,7],[162,9,162,10],[165,3,165,4],[113,1,113,4],[113,6,113,8],[113,10,113,15],[115,1,115,4],[115,6,115,8],[42,3,42,4],[22,3,22,4],[24,3,24,10],[26,3,26,10],[115,10,115,15],[28,3,28,10],[31,3,31,10],[33,3,33,10],[35,3,35,10],[39,3,39,10],[100,1,105,10],[59,1,64,10],[70,1,75,2],[81,1,86,2],[90,1,95,2],[90,5,95,6],[117,1,117,4],[117,6,117,8],[117,10,117,15],[153,1,153,4],[153,8,153,10],[153,12,153,17],[149,1,149,4],[149,8,149,10],[149,12,149,17],[151,1,151,4],[151,8,151,10],[151,12,151,17],[139,1,139,4],[139,6,139,8],[139,10,139,15],[141,1,141,4],[129,1,129,4],[129,8,129,10],[129,12,129,17],[141,6,141,8],[141,10,141,15],[137,1,137,4],[137,6,137,8],[137,10,137,15],[125,1,125,4],[125,8,125,10],[125,12,125,17],[127,1,127,4],[127,8,127,10],[127,12,127,17]]}
["Change of Ownership Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
[null,"For a closed corporation this includes shareholders owning 5% or more of the outstanding stock whether the ownership is real or beneficial."]
[]
[null,"For a publicly traded corporation this includes the three primary corporate officers."]
[]
[null,"For a partnership or proprietorship this includes the owners."]
[]
[null,"When the new owning entity is a proprietorship, partnership, or limited liability corporation, personal financial statements of the individual owners (buyers) are also be required. "]
[null,"Initially providing third-party compiled, reviewed, or audited personal financial statements for the individual owner(s) will serve to expedite the approval process. "]
[null,"If a third-party financial statement is not available, ensure that an accurate and complete personal financial statement is submitted utilizing the template (SBA FORM 413) available from the U.S. Small Business Administration."]
[null,null,"SBA Personal Financial Statement FORM 413"]
[]
["Individual owner(s) (buyers) information:"]
[]
[null,"#1: Sole Proprietor, Partner, or Corporate President"]
[]
[null,"Complete the following for the sole proprietor, partner, or corporate president.  #1 must be completed for every application."]
[]
[null,null,"Name:"]
[]
[null,null,"Date of Birth:"]
[]
[null,null,"Home Address:"]
[]
[]
[]
[]
[null,null,null,"City, State and Zip Code"]
[]
[null,null,"Email Address:"]
[]
[null,null,"Home/Cell Phone Number:"]
[]
[null,null,"Work Phone Number:"]
[]
[null,null,"Current Employer:"]
[]
[null,null,"Current Position Held:"]
[]
[]
[null,null,"Percentage of entity ownership:"]
[]
[]
[null,null,"Position to be held at the new school:"]
[]
[null,null,null,"Sole Owner / Proprietor"]
[]
[null,null,null,"Partner"]
[]
[null,null,null,"Corporate President"]
[]
["Have you ever been arrested, indicted, or have you pleaded guilty or been convicted of any felony or misdemeanor (excluding traffic violations)?  "]
[]
[null,"If yes, state the nature of offense; city and state; date of arrest, indictment, plea, or conviction; and disposition of the case.  "]
[]
[null,"Embed a document if the information extends beyond the provided text box."]
[]
[]
[]
[]
[]
[]
[]
[]
["Embed a copy of this individual's FBI Identity History Summary Check (fingerprint criminal history record)."]
["NOTE:  The Board cannot access FBI reports through on-line services, including those referenced on the PDE website.  Evidence must be embedded."]
["FBI Identity History Summary Checks"]
[]
[]
[]
[]
[]
[]
[]
[]
["Embed a copy of this individual's Pennsylvania State Police Criminal History Background Check."]
["NOTE:  The Board cannot access Pennsylvania State Police Criminal History Background Check reports through on-line services.  Evidence must be embedded."]
["Pennsylvania State Police Criminal History Background Check"]
[]
[]
[]
[]
[]
[]
[]
[]
["Embed a copy of this individual's credit report.",null,null,null,"If this is a sole proprietorship, a personal third-party compiled, reviewed, or audited financial statement is required."]
[]
[]
[]
[]
[]
[]
[]
[]
["Describe fully any experience this individual has had in owning, directing, or teaching in a Private Licensed School or other institution of postsecondary higher education."]
["Embed a document if the information extends beyond the provided text box."]
[]
[]
[]
[]
[]
[]
[]
[]
["Has this entity ever been previously approved to operate any other schools in Pennsylvania?"]
[]
[null,"If yes, provide the information below."]
[]
[null,"School Name",null,null,null,null,"Dates of Operation",null,null,null,"Website Address"]
[]
[]
[]
[]
[]
[]
[]
["Has this entity ever been previously approved to operate any other schools outside of Pennsylvania?"]
[]
[null,"If yes, provide the information below."]
[]
[null,"School Name",null,null,null,null,"State",null,"Dates of Operation",null,null,null,"Website Address"]
[]
[]
[]
[]
[]
[]
[]
["Has this individual ever been previously approved to operate any other schools in Pennsylvania?"]
[]
[null,"If yes, provide the information below."]
[]
[null,"School Name",null,null,null,null,"Dates of Operation",null,null,null,"Website Address"]
[]
[]
[]
[]
[]
[]
[]
["Has this individual ever been previously approved to operate any other schools outside of Pennsylvania?"]
[]
[null,"If yes, provide the information below."]
[]
[null,"School Name",null,null,null,null,"State",null,"Dates of Operation",null,null,null,"Website Address"]
[]
[]
[]
[]
[]
[]
[]
["Certification of the person completing this application:"]
[]
[null,"Name:"]
[null,null,"By placing my name above, I certify with my electronic signature that the information contained in this application is accurate."]
[]
[null,"Affiliation with the school:"]
[]
[null,"E-mail:",null,null,null,null,null,null,"Phone:"]
[null,null,"NOTE: The Division will communicate with the applicant using this e-mail address. Be sure that this e-mail address is valid and correct and that it is checked regularly."]
[]
[null,null,"Date of Certification:"]
[]
[]
["END OF NEW OWNER 1 - PROCEED TO NEXT WORKSHEET TAB"]

{"sheet":"New Owner 2","index":5,"n_rows":130,"n_cols":13,"rows_kept":130,"cut":false,"hidden":false,"merged":[[127,1,127,4],[127,8,127,10],[127,12,127,17],[123,1,123,4],[123,8,123,10],[123,12,123,17],[125,1,125,4],[125,8,125,10],[125,12,125,17],[113,1,113,4],[113,6,113,8],[113,10,113,15],[115,1,115,4],[115,6,115,8],[115,10,115,15],[88,1,93,2],[98,1,103,10],[111,1,111,4],[111,6,111,8],[111,10,111,15],[79,1,84,2],[22,3,22,4],[24,3,24,10],[26,3,26,10],[28,3,28,10],[31,3,31,10],[33,3,33,10],[35,3,35,10],[39,3,39,10],[42,3,42,4],[57,1,62,10],[68,1,73,2]]}
["Change of Ownership Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
[null,"For a closed corporation this includes shareholders owning 5% or more of the outstanding stock whether the ownership is real or beneficial."]
[]
[null,"For a publicly traded corporation this includes the three primary corporate officers."]
[]
[null,"For a partnership or proprietorship this includes the owners."]
[]
[null,"When the new owning entity is a proprietorship, partnership, or limited liability corporation, personal financial statements of the individual owners (buyers) are also be required. "]
[null,"Initially providing third-party compiled, reviewed, or audited personal financial statements for the individual owner(s) will serve to expedite the approval process. "]
[null,"If a third-party financial statement is not available, ensure that an accurate and complete personal financial statement is submitted utilizing the template (SBA FORM 413) available from the U.S. Small Business Administration."]
[null,null,"SBA Personal Financial Statement FORM 413"]
[]
["Individual owner(s) (buyers) information:"]
[]
[null,"#2: Second Partner or Corporate Vice President"]
[]
[null,"Complete the following for a second partner or corporate president.  #2 must be completed for every corporate or LLC application and partnership applications with 2 or more partners."]
[]
[null,null,"Name:"]
[]
[null,null,"Date of Birth:"]
[]
[null,null,"Home Address:"]
[]
[]
[]
[]
[null,null,null,"City, State and Zip Code"]
[]
[null,null,"Email Address:"]
[]
[null,null,"Home/Cell Phone Number:"]
[]
[null,null,"Work Phone Number:"]
[]
[null,null,"Current Employer:"]
[]
[null,null,"Current Position Held:"]
[]
[]
[null,null,"Percentage of entity ownership:"]
[]
[]
[null,null,"Position to be held at the new school:"]
[]
[null,null,null,"Partner"]
[]
[null,null,null,"Corporate President"]
[]
["Have you ever been arrested, indicted, or have you pleaded guilty or been convicted of any felony or misdemeanor (excluding traffic violations)?  "]
[]
[null,"If yes, state the nature of offense; city and state; date of arrest, indictment, plea, or conviction; and disposition of the case.  "]
[]
[null,"Embed a document if the information extends beyond the provided text box."]
[]
[]
[]
[]
[]
[]
[]
[]
["Embed a copy of this individual's FBI Identity History Summary Check (fingerprint criminal history record)."]
["NOTE:  The Board cannot access FBI reports through on-line services, including those referenced on the PDE website.  Evidence must be embedded."]
["FBI Identity History Summary Checks"]
[]
[]
[]
[]
[]
[]
[]
[]
["Embed a copy of this individual's Pennsylvania State Police Criminal History Background Check."]
["NOTE:  The Board cannot access Pennsylvania State Police Criminal History Background Check reports through on-line services.  Evidence must be embedded."]
["Pennsylvania State Police Criminal History Background Check"]
[]
[]
[]
[]
[]
[]
[]
[]
["Embed a copy of this individual's credit report."]
[]
[]
[]
[]
[]
[]
[]
[]
["Describe fully any experience this individual has had in owning, directing, or teaching in a Private Licensed School or other institution of postsecondary higher education."]
["Embed a document if the information extends beyond the provided text box."]
[]
[]
[]
[]
[]
[]
[]
[]
["Has this individual ever been previously approved to operate any other schools in Pennsylvania?"]
[]
[null,"If yes, provide the information below."]
[]
[null,"School Name",null,null,null,null,"Dates of Operation",null,null,null,"Website Address"]
[]
[]
[]
[]
[]
[]
[]
["Has this individual ever been previously approved to operate any other schools outside of Pennsylvania?"]
[]
[null,"If yes, provide the information below."]
[]
[null,"School Name",null,null,null,null,"State",null,"Dates of Operation",null,null,null,"Website Address"]
[]
[]
[]
[]
[]
[]
[]
["END OF NEW OWNER 2 - PROCEED TO NEXT WORKSHEET TAB"]

{"sheet":"New Owner 3","index":6,"n_rows":143,"n_cols":13,"rows_kept":143,"cut":false,"hidden":false,"merged":[[136,9,136,10],[139,3,139,4],[131,2,131,7],[134,2,134,7],[136,2,136,7],[127,1,127,4],[127,8,127,10],[127,12,127,17],[123,1,123,4],[123,8,123,10],[123,12,123,17],[125,1,125,4],[125,8,125,10],[125,12,125,17],[113,1,113,4],[113,6,113,8],[113,10,113,15],[115,1,115,4],[115,6,115,8],[115,10,115,15],[88,1,93,2],[98,1,103,10],[111,1,111,4],[111,6,111,8],[111,10,111,15],[79,1,84,2],[22,3,22,4],[24,3,24,10],[26,3,26,10],[28,3,28,10],[31,3,31,10],[33,3,33,10],[35,3,35,10],[39,3,39,10],[42,3,42,4],[57,1,62,10],[68,1,73,2]]}
["Change of Ownership Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
[null,"For a closed corporation this includes shareholders owning 5% or more of the outstanding stock whether the ownership is real or beneficial."]
[]
[null,"For a publicly traded corporation this includes the three primary corporate officers."]
[]
[null,"For a partnership or proprietorship this includes the owners."]
[]
[null,"When the new owning entity is a proprietorship, partnership, or limited liability corporation, personal financial statements of the individual owners (buyers) are also be required. "]
[null,"Initially providing third-party compiled, reviewed, or audited personal financial statements for the individual owner(s) will serve to expedite the approval process. "]
[null,"If a third-party financial statement is not available, ensure that an accurate and complete personal financial statement is submitted utilizing the template (SBA FORM 413) available from the U.S. Small Business Administration."]
[null,null,"SBA Personal Financial Statement FORM 413"]
[]
["Individual owner(s) (buyers) information:"]
[]
[null,"#3: Third Partner or Corporate Secretary"]
[]
[null,"Complete the following for the third partner or corporate secretary.  #3 must be completed for every corporate or LLC application and partnership applications with more than 2 partners."]
[]
[null,null,"Name:"]
[]
[null,null,"Date of Birth:"]
[]
[null,null,"Home Address:"]
[]
[]
[]
[]
[null,null,null,"City, State and Zip Code"]
[]
[null,null,"Email Address:"]
[]
[null,null,"Home/Cell Phone Number:"]
[]
[null,null,"Work Phone Number:"]
[]
[null,null,"Current Employer:"]
[]
[null,null,"Current Position Held:"]
[]
[]
[null,null,"Percentage of entity ownership:"]
[]
[]
[null,null,"Position to be held at the new school:"]
[]
[null,null,null,"Partner"]
[]
[null,null,null,"Corporate Secretary"]
[]
["Have you ever been arrested, indicted, or have you pleaded guilty or been convicted of any felony or misdemeanor (excluding traffic violations)?  "]
[]
[null,"If yes, state the nature of offense; city and state; date of arrest, indictment, plea, or conviction; and disposition of the case.  "]
[]
[null,"Embed a document if the information extends beyond the provided text box."]
[]
[]
[]
[]
[]
[]
[]
[]
["Embed a copy of this individual's FBI Identity History Summary Check (fingerprint criminal history record)."]
["NOTE:  The Board cannot access FBI reports through on-line services, including those referenced on the PDE website.  Evidence must be embedded."]
["FBI Identity History Summary Checks"]
[]
[]
[]
[]
[]
[]
[]
[]
["Embed a copy of this individual's Pennsylvania State Police Criminal History Background Check."]
["NOTE:  The Board cannot access Pennsylvania State Police Criminal History Background Check reports through on-line services.  Evidence must be embedded."]
["Pennsylvania State Police Criminal History Background Check"]
[]
[]
[]
[]
[]
[]
[]
[]
["Embed a copy of this individual's credit report."]
[]
[]
[]
[]
[]
[]
[]
[]
["Describe fully any experience this individual has had in owning, directing, or teaching in a Private Licensed School or other institution of postsecondary higher education."]
["Embed a document if the information extends beyond the provided text box."]
[]
[]
[]
[]
[]
[]
[]
[]
["Has this individual ever been previously approved to operate any other schools in Pennsylvania?"]
[]
[null,"If yes, provide the information below."]
[]
[null,"School Name",null,null,null,null,"Dates of Operation",null,null,null,"Website Address"]
[]
[]
[]
[]
[]
[]
[]
["Has this individual ever been previously approved to operate any other schools outside of Pennsylvania?"]
[]
[null,"If yes, provide the information below."]
[]
[null,"School Name",null,null,null,null,"State",null,"Dates of Operation",null,null,null,"Website Address"]
[]
[]
[]
[]
[]
[]
[]
["Certification of the person completing this application:"]
[]
[null,"Name:"]
[null,null,"By placing my name above, I certify with my electronic signature that the information contained in this application is accurate."]
[]
[null,"Affiliation with the school:"]
[]
[null,"E-mail:",null,null,null,null,null,null,"Phone:"]
[null,null,"NOTE: The Division will communicate with the applicant using this e-mail address. Be sure that this e-mail address is valid and correct and that it is checked regularly."]
[]
[null,null,"Date of Certification:"]
[]
[]
["END OF NEW OWNER 3 - PROCEED TO NEXT WORKSHEET TAB"]

{"sheet":"New Owner 4","index":7,"n_rows":143,"n_cols":13,"rows_kept":143,"cut":false,"hidden":false,"merged":[[139,3,139,4],[131,2,131,7],[134,2,134,7],[136,2,136,7],[136,9,136,10],[125,1,125,4],[125,8,125,10],[125,12,125,17],[127,1,127,4],[127,8,127,10],[127,12,127,17],[115,1,115,4],[115,6,115,8],[115,10,115,15],[123,1,123,4],[123,8,123,10],[123,12,123,17],[113,1,113,4],[113,6,113,8],[113,10,113,15],[35,3,35,10],[39,3,39,10],[42,3,42,4],[57,1,62,10],[68,1,73,2],[79,1,84,2],[88,1,93,2],[98,1,103,10],[111,1,111,4],[111,6,111,8],[111,10,111,15],[33,3,33,10],[22,3,22,4],[24,3,24,10],[26,3,26,10],[28,3,28,10],[31,3,31,10]]}
["Change of Ownership Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
[null,"For a closed corporation this includes shareholders owning 5% or more of the outstanding stock whether the ownership is real or beneficial."]
[]
[null,"For a publicly traded corporation this includes the three primary corporate officers."]
[]
[null,"For a partnership or proprietorship this includes the owners."]
[]
[null,"When the new owning entity is a proprietorship, partnership, or limited liability corporation, personal financial statements of the individual owners (buyers) are also be required. "]
[null,"Initially providing third-party compiled, reviewed, or audited personal financial statements for the individual owner(s) will serve to expedite the approval process. "]
[null,"If a third-party financial statement is not available, ensure that an accurate and complete personal financial statement is submitted utilizing the template (SBA FORM 413) available from the U.S. Small Business Administration."]
[null,null,"SBA Personal Financial Statement FORM 413"]
[]
["Individual owner(s) (buyers) information:"]
[]
[null,"#4: Fourth Partner or Corporate Treasurer"]
[]
[null,"Complete the following for the fourth partner or corporate treasurer.  #4 must be completed for every corporate or LLC application and partnership applications with more than 3 partners."]
[]
[null,null,"Name:"]
[]
[null,null,"Date of Birth:"]
[]
[null,null,"Home Address:"]
[]
[]
[]
[]
[null,null,null,"City, State and Zip Code"]
[]
[null,null,"Email Address:"]
[]
[null,null,"Home/Cell Phone Number:"]
[]
[null,null,"Work Phone Number:"]
[]
[null,null,"Current Employer:"]
[]
[null,null,"Current Position Held:"]
[]
[]
[null,null,"Percentage of entity ownership:"]
[]
[]
[null,null,"Position to be held at the new school:"]
[]
[null,null,null,"Partner"]
[]
[null,null,null,"Corporate Treasurer"]
[]
["Have you ever been arrested, indicted, or have you pleaded guilty or been convicted of any felony or misdemeanor (excluding traffic violations)?  "]
[]
[null,"If yes, state the nature of offense; city and state; date of arrest, indictment, plea, or conviction; and disposition of the case.  "]
[]
[null,"Embed a document if the information extends beyond the provided text box."]
[]
[]
[]
[]
[]
[]
[]
[]
["Embed a copy of this individual's FBI Identity History Summary Check (fingerprint criminal history record)."]
["NOTE:  The Board cannot access FBI reports through on-line services, including those referenced on the PDE website.  Evidence must be embedded."]
["FBI Identity History Summary Checks"]
[]
[]
[]
[]
[]
[]
[]
[]
["Embed a copy of this individual's Pennsylvania State Police Criminal History Background Check."]
["NOTE:  The Board cannot access Pennsylvania State Police Criminal History Background Check reports through on-line services.  Evidence must be embedded."]
["Pennsylvania State Police Criminal History Background Check"]
[]
[]
[]
[]
[]
[]
[]
[]
["Embed a copy of this individual's credit report."]
[]
[]
[]
[]
[]
[]
[]
[]
["Describe fully any experience this individual has had in owning, directing, or teaching in a Private Licensed School or other institution of postsecondary higher education."]
["Embed a document if the information extends beyond the provided text box."]
[]
[]
[]
[]
[]
[]
[]
[]
["Has this individual ever been previously approved to operate any other schools in Pennsylvania?"]
[]
[null,"If yes, provide the information below."]
[]
[null,"School Name",null,null,null,null,"Dates of Operation",null,null,null,"Website Address"]
[]
[]
[]
[]
[]
[]
[]
["Has this individual ever been previously approved to operate any other schools outside of Pennsylvania?"]
[]
[null,"If yes, provide the information below."]
[]
[null,"School Name",null,null,null,null,"State",null,"Dates of Operation",null,null,null,"Website Address"]
[]
[]
[]
[]
[]
[]
[]
["Certification of the person completing this application:"]
[]
[null,"Name:"]
[null,null,"By placing my name above, I certify with my electronic signature that the information contained in this application is accurate."]
[]
[null,"Affiliation with the school:"]
[]
[null,"E-mail:",null,null,null,null,null,null,"Phone:"]
[null,null,"NOTE: The Division will communicate with the applicant using this e-mail address. Be sure that this e-mail address is valid and correct and that it is checked regularly."]
[]
[null,null,"Date of Certification:"]
[]
[]
["END OF NEW OWNER 4 - PROCEED TO NEXT WORKSHEET TAB"]

{"sheet":"Financials","index":8,"n_rows":38,"n_cols":4,"rows_kept":38,"cut":false,"hidden":false,"merged":[[7,1,12,2],[18,1,23,2],[29,1,34,2],[30,3,30,8]]}
["Change of Ownership Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
["Financial statements for the buyer must be reviewed, compiled, or audited."]
[]
["Buyer's Income Statement and Balance Sheet (third-party financial statement):"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"If the new owning entity is a sole proprietorship, verify by checking the checkbox that a personal financial statement is included for the new owner."]
[]
["Buyer's Evidence of Capital (embed the most recent post-acquisition bank statement of the school):"]
[]
[]
[]
[]
[]
[]
[]
[]
["Buyer's Post-Acquisition PDE-2006:"]
[]
[null,"The buyer should include financials for the reporting period from the date of the consummation of the sale to the most recent date for which financial information is available."]
[]
[]
[null,null,null,"Financial Report Form PDE-2006 for Quarterly Reporting (Excel)"]
[null,null,null,"Financial Report Instructions (PDF)"]
[]
[]
[]
[]
[]
["END OF SUMMARY - PROCEED TO NEXT WORKSHEET TAB"]

{"sheet":"Documents","index":9,"n_rows":187,"n_cols":1,"rows_kept":187,"cut":false,"hidden":false,"merged":[[108,2,112,2],[10,1,14,6],[18,2,22,2],[28,1,32,6],[36,2,40,2],[46,1,50,6],[54,2,58,2],[64,1,68,6],[72,2,76,2],[82,1,86,6],[90,2,94,2],[100,1,104,6],[172,1,176,6],[180,2,184,2],[118,1,122,6],[126,2,130,2],[136,1,140,6],[144,2,148,2],[154,1,158,6],[162,2,166,2]]}
["Change of Ownership Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
["Additional material may not be required or necessary.  However, this space is available to allow you to submit additional documentation if needed. "]
["Please do not submit large additional documentation files unless they are clearly needed."]
[]
["Type of document:"]
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["Reason for submitting:"]
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["Embed document below:"]
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["Reason for submitting:"]
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["Embed document below:"]
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["Reason for submitting:"]
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["Embed document below:"]
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["END OF DOCUMENTS - PROCEED TO SUBMISSION"]