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DISCLOSURE OF INTEREST <br />If the property which is the subject of the application is owned or leased by a CO RATION, <br />list the principal stockholders and principal officers or stockholders consist of ther corporation <br />(s), trustee (s), partnership (s) or other similar entities, further disclosures 11 be required which <br />disclosures the identity of the individual (s) (natural persons having th timate ownership interest <br />in the aforementioned entity). <br />Corporation Name <br />Percentage of Stock <br />If the property which is the subject of the application is owned or leased by a LIMITED <br />LIABILITY COMPANY list the members or stockholders consist of another corporation (s), <br />trustee (s), partnership (s) or other similar entities, further disclosures shall be required which <br />disclosures the identity of the individual (s) (natural persons having the ultimate ownership interest <br />in the aforementioned entity). <br />LA PLAYA BEACH ASSOCIATES LLC <br />LLC Name <br />Name, Address and Office <br />MANUR GROSSKORE <br />18851 NE 29th Avenue, Suite 1011-B <br />Aventura, FL 33180 <br />EDGARDO DE FORTUNA <br />1300 Brickell Avenue <br />Miami, FL 33131 <br />Percentage of Stock <br />City of Sunny Isles Beach Public Hearing Application Package <br />Page 14 of 30 <br />26 <br />