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Home My WebLink AboutI.B. Disclosure of OwnershipDISCLOSURE OF OWNERSHIP 1. List the owner(s) of the subject property and percentage of ownership. Note: The Miami City Code requires disclosure of all parties having a financial interest, either direct or indirect, with respect to a presentation, request or petition. Accordingly, disclosure of shareholders of corporations, beneficiaries of trusts, and/or any other interested parties, together with their address(es) and proportionate interest are required. Please supply additional lists, if necessary. Owner's Name(es) Miami Hotel Investments Ltd. Percentage of Ownership (ownership breakdown on Exhibit "A Subject Property Address(es) Approximately 1050 NW 14th Street (see Attached Exhibit "B") 2. List all street address(es) and legal description(s) of any property located within 500 feet of the subject property owned by any and all parties listed in question #1 above. Please supply additional lists, if necessary. Street Address(es): None MIAMI HOTEL INVESTMENTS, LTD. Legal Description(s): By: Miami Hotel Investments, G.P., Inc. as General P ner Jordan Najjar, President Owner(s) or Attorney Name Owner(s) or�Attorney qgnature STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this day of 20 Do" , by Jordan Najjar, as President of Miami Hotel Investments, G.P., Inc. as general partner of Miami Hotel Investments, Ltd., who is a(n) individual/partner/agent/corporation of Miami Hotel Investments, G.P., Inc., a(n) individual/partnership/corporation. He/She is personally known to me or who has produced as identification and who i (did not) take ^an oath. .�;•••.;h DAWNh9CKElyTJE Stam ,a * MY COMMISSION # DD 801829 Signature (Stamp) EXPIRES; November 2, 2012 Bo*dThNBudptN*rySeivm 6 Rev. 12-16-08 Exhibit "A" Owners and Shareholder List for Miami Hotel Investments. Ltd. Miami Hotel Investments, Ltd. Owned by Miami Hotel Investments G.P., Inc. Owned by Eileen Burstyn Anita Burstyn Ruth Najjar Jordan Najjar Rev. 09-04-07 12 MIAMI 1627360.2 7446130945 Percentage Ownership 100% Percentage Ownership 24.75% 24.75% 24.75% 24.75% 1m-11 3�riic3il LEGAL DESCRIPTION A parcel of land lying in the Northwest Quarter of Section 35, Township 53 South, Range 41 East, Miami -Dade County, Florida, being more particularly described as follows: Commence at the Northeast corner of the Northwest Quarter of the Southeast Quarter of Section 35, Township 53 South, Range 41 East, Miami -Dade County, Florida; thence run South 88° 10'09" West along the North boundary of the Southeast Quarter of said Section 35, a distance of 248.00 feet to a point; thence run South 01° 49' 51" East a distance of 35 feet to.the Northeast corner of Tract D, FIRST ADDITION TO MEDICAL CENTER, according to the Plat thereof, as recorded in Plat Book 113, Page 69, of the Public Records of Miami -Dade County, Florida, said corner being the Point of Beginning of the parcel of land hereinafter to be described; thence continuing on the last described course along the Easterly boundary of said Tract D, a distance of 70.21 feet to a point of deflection; thence run North 88° 10' 09" East, a distance of 20.00 feet to a point of deflection; thence run South 01° 49' 51" East along the Easterly boundary of said Tract D, a distance of 48.62 feet to the point of intersection with the Northwesterly Limited Access Right of Way recorded in Plat Book 81, Page 83, of the Public Records of Miami -Dade County, Florida; thence run South 56° 23' 19" West along the last described line, a distance of 78.22 feet to a point of deflection; thence continuing along said Northwesterly Limited Access Right of Way boundary run South 58° 34' 50" West a distance of 98.86 feet to a point of deflection; thence continuing along said Northwesterly Limited Access Right of Way boundary run South 60° 32' 47" West, a distance of 237.01 feet to the Southwest corner of said Tract D; thence run North 01° 49' 51" West along the West boundary of said Tract D, a distance of 318.73 feet to the Northwest corner thereof; thence run North 880 10' 09" East along the North boundary of said Tract D, being along the Southerly right of way boundary of NW 14th Street, a distance of 342.45 feet to the Point of Beginning. ALSO described as: Tract D of FIRST ADDITION TO MEDICAL CENTER, according to the Plat thereof, as recorded in Plat Book 113, Page 69, of the Public Records of Miami - Dade County, Florida. Rev. 09-0407 13 MIAMI 1627360.2 7446130945 DISCLOSURE OF OWNERSHIP List the owner(s) of the subject property and percentage of ownership. Note: The Miami City Code requires disclosure of all parties having a financial interest, either direct or indirect, with respect to a presentation, request or petition. Accordingly, disclosure of shareholders of corporations, beneficiaries of trusts, and/or any other interested parties, together with their address(es) and proportionate interest are required. Please supply additional lists, if necessary. Owner's Name(es) Swerdlow Development Company, LLC Percentage of Ownership (100% Owned by Michael Swerdlow) Subject Property Address(es) Approximately 1050 NW 14th Street 2. List all street address(es) and legal description(s) of any property located within 500 feet of the subject property owned by any and all parties listed in question #1 above. Please supply additional lists, if necessary. Street Address(es): Legal Description(s): None SWERDLOW DEVELOPMENT COMPANY, LLC Vicky Garcia -Toledo, Esquire Ir Owner(s) or Attorney Name Owner(s or Attorney Signature STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this 6-tA-day of Oz.14_20 c7c) , by Vicky Garcia -Toledo, as Attorney for Swerdlow Development Company, LLC, who is a(n) individual/partner/agent/corporation of Swerdlow Development Company, LLC, a(n) individual/partnership/corporation. He/She is perscanally known to me or who has produced as identification and who did (did not) to e,� an oath. (Stamp) Sign6tu EUZABETH ORTIZ { MY COMMISSION # DD 606767 EXPIRES: December 17, 2010 rRfi,fh`� , Ucnft Thru Plcherd Insurance Agency CITY OFMIAMI DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO INtlll 111111 fE^ k. SUPPORT OR WITHHOLD OBJECTION The City of Miami requires any person or entity requesting approval relief or other action from the City Commission or any of its boards, authorities, agencies, councils or committees, to disclose at the commencement (or continuance) of the hearing(s) on the issue, any consideration provided or committed, directly or on its behalf, to any entity or person for an agreement to support or withhold objection to the requested approval, relief or action. "Consideration" includes any gift, payment, contribution, donation, fee, commission, promise or grant of any money, property, service, credit or financial assistance of any kind or value, whether direct or implied, or any promise or agreement to provide any of the foregoing in the future. Individuals retained or employed by a principal as a lobbyist as defined in Sec. 2-653, and appearing before the City Commission or any of its boards, authorities, agencies, councils or committees solely in the capacity of a lobbyist and not as the applicant, or owners' legal representative are not required to fill out this form. NAME: Vicky Garcia -Toledo (First Name) (Middle) (Last Name) HOME ADDRESS: 200 S. Biscayne Blvd (Address Line 1) CITY: Miami Suite 2500 (Address Line 2) S'T'ATE: Florida ZIP: 33131 HOME PHONE: (305) 350-2409 CELLPHONE: (205) 562-0595 FAX: (305) 351-2233 EMAIL: vgt@bilzin.com BUSSINESS or APPLICANT or ENTITY NAME Swerdlow Development Company, LLC BUSINESS ADDRESS: 3390 Mary Street, Suite 200 (Address Line 1) Coconut Grove, FL 33133 (Address Line 2) 1. Please describe the issue for which you are seeking approval, relief or other action from the City Commission, board, authority, agency, council, or committee. Approval of a substantial modification to a previously approved substantial modification to a previously approved Major Use Special Permit 2. Has any consideration been provided or committed, directly or on your behalf, to any entity or person for an agreement to support or withhold objection to the requested approval, relief or action? YES [x-] NO If your answer to Question 2 is No, do not answer questions 3, 4 & 5 proceed to read and execute the Acknowledgment. If your answer to Question 2 is Yes, please answer questions 3, 4 & 5 and read and execute the Acknowledgement. Doc. No.:86543 3. Please provide the name, address and phone number of the person(s) or entities to whom consideration has been provided or committed. Name Address Phone# a. b. C. * Additional names can be placed on. a separate page attached to this form. 4. Please describe the nature of the consideration. 5. Describe what is being requested in exchange for the consideration. ACKNOW.LEDG:EMENT OF COMPLIANCE I hereby acknowledge that it is unlawful to employ any device, scheme or artifice to circumvent the disclosure requirements of Ordinance 12918 and such circumvention shall be deemed a violation of the Ordinance; and that in addition to the criminal or civil penalties that may be imposed under the City Code, upon determination by the City Commission that the foregoing disclosure requirement was not fully and timely satisfied the following may occur 1. the application or order, as applicable, shall be deemed void without further force or effect; and 2. no application from any person or entityfor a is a shall be reviewed or considered by the applicable board(s) until f period of one year after the nullification of the application or order. PERSON SUBMITTING DISCLOSURE: Signature Vicky Garcia -Toledo Print Name Srpor•n to and subscribed before me this der), of _�C' �'U , 200 9' The foregoing instrrrrnent rpers acicrunpledged before me by !/rc(C1 G �,,"� j� irho /gas produced _. da .......... _, _ as identification crud/or is personally knoim to me and rpho ctidldid not take an oath. STATE OF FLORIDA"� , CITY OF MIAMI�- MY COMMISSION, -'Notary h EXPIRES: * w= MY COMMISSION # DD 608767 Print Name rnclosur0s) M•. o;= EXPIRES: Deceinber 17, 2010 f' 1 Page 2 Doc, No.:86543 "p� �Bond�dThruPichardlnsurahceAgency