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DISCLOSURE OF INTEREST <br />If the property which is the subject of the application is owned or leased by a CORPORATION, <br />list the principal stockholders and principal officers or stockholders consist of another corporation <br />(s), 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 />Corporation Name <br />Name, Address and Office <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 />LLC Name <br />Name, Address and Office <br />p <br />MOM <br />Percentage of Stock <br />City of Sunny Isles Beach Public Hearing Application Package Page 14 of 23 33 <br />