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T— <br />cfl <br />M <br />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 enti(y). <br />Corporation Name <br />Name, Address and Office 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 (lie ultimate ownership interest <br />in the aforementioned entity). <br />S'r (h'0��r`L i1P.hcF t7CUc�ynt'i;-S' ��G <br />LLC Name <br />Name, Address and Office <br />`fi LPL <br />c_ f-t z finri <br />Percentage of Stock <br />s3 / aTc�E�-Vt <br />City of Sunny Isles Beach Public Hearing Applicalion Package Page 14 of 30 <br />