HomeMy WebLinkAboutTab 36 - Altam Enterprises, LLC (Under Contract to Purchase by Magic City Properties XX, LLC & Magic City Properties XXI, LLC)SPECIAL AREA PLAN APPLICATION
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) ALTAM ENTERPRISES, LLC
100% Owned by Arbie Axelrod, whose mailing address is 344 NE 61 st Street,
Percentage of Ownership Miami, FL 33137
Subject Property Address(es) 340 NE 61 st Street; 371 NE 61 st 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.
N/A
Street Address(es): Legal Description(s):
NEISEN O. KASDIN, its Attorney
Owner(s) or Attorney Name
STATE OF FLORIDA -- COUNTY OF MIAMI-DADE
Owner(s) or Attorney Signature
T regoing ack wled ed befor a thi day of `� ' "
\°a614(
9 9^g y
who by !t i/�� r Ili� 1�'' rh
is n) individ a p rt r/agen•o io �n a(n)
individual/partnership/corporation /She is personal! known to me or who has produced
maidelltifitligiti an• who did o take
NOTARY PUBLIC
STATE OF FLORIDA
Cantu# FF233833
Expires 6/8/2019
Signature
Rev. 07-2013
7
SPECIAL AREA PLAN APPLICATION
1.
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) MAGIC CITY PROPERTIES XX, LLC
Percentage of Ownership See attached corporate ownership chart.
Subject Property Address(es) UNDER CONTRACT TO PURCHASE: 340 NE 61st 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):
N/A
NEISEN O. KASDIN, its Attorney
Owner(s) or Attorney Name
STATE OF FLORIDA -- COUNTY OF MIAMI-DADE
20 T eforebyoing was 1 c\� dged before me this � Q
who is (n) individual/partner agent/ •rp at o�o�` a(n)
individual/partnershiplcorporatio . /She is personally known to me or who has produced
as identification an• who a e an oath.
i
Owner(s) or Atto ney Signature
(Stamp)
Dtana Perez -Gate
NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF233833
Expires 6/8/2019
day of / k
Signature
Rev. 07-2013
7
AAA 2012 Trust
BENEFICIARIES:
Alexa, Ashley &
Amber Zangrillo
1624 4th Ave., Ste. 400
Seattle, WA 98101
42.49%
Robert
Zangrillo
11 E Dilido Dr.
Miami Beach, FL
33139
Neil Kadisha
9420 Wilshire Blvd.
Ste. 400
Beverly Hills, CA 90212
54.2% 3.31%
MCD Dragon, LLC,
a Delaware limited liability company
1209 Orange St.
Wilmington, DE 19801
The Akai Tsuki
Family Trust
BENEFICIARIES:
Guy Laliberte
Naima M. Laliberte
Kami M. Laliberte
Moani Taini M. Laliberte
Noa Taima B. Laliberte
Ina Kai B. Laliberte
2200 Rue Stanley
Montreal, H3A 1 R6
Canada
MAGIC CITY PROPERTIES XX, LLC
OWNERSHIP CHART
Guy Laliberte
2200 Rue Stanley
Montreal, H3A 1 R6
Canada
1%
99%
Lune Rouge Illusion CT Inc.,
a Delaware corporation
251 Little Falls Dr.
Wilmington, DE 19808
35%
25%
Anthony Cho
3737 Collins Ave.
Apt. 1104
Miami Beach, FL 33137
100%
CHO MCD, LLC,
a Delaware limited liability company
1209 Orange St.
Wilmington, DE 19801
1
15%
The Anthony Burns
Revocable Trust
BENEFICIARY:
Jessica Lynn Burns
2675 Hunter Ct.
Weston FL 33331
George Helmstetter
550 Sabal Palm Rd.
Miami, FL 33137
Charles & Valerie
Rennert
156 Bal Cross Dr.
Bal Harbor, FL 33154
31.281%
17.444%
Neil Fairman
180 Palm Ave.
Miami, FL 33139
MCD Miami, LLC,
a Delaware limited liability company
One SE 3rd Ave., Ste. 2110
Miami, FL 33131
100%
Magic City Properties XX, LLC,
a Delaware limited liability company
One SE 3rd Ave., Ste. 2110
Miami, FL 33131
48.725%
0.428%
Howard & Amy Vogel
2127 Brickell Ave., Apt. 1002
Miami, FL 33129
0.428%
0.847%
0.847%
Jose & Sandra
Rodriguez
498 SW 27th Road
Miami, FL 33129
Jeffrey & Rebecca
Mandler
12525 SW 69th Ave.
Miami, FL 33156
PEP Magic City Development, LLC,
a Florida limited liability company
One SE 3rd Ave., Ste. 2110
Miami, FL 33131
25%
Under Contract to
Purchase:
340 NE 61st St.
SPECIAL AREA PLAN APPLICATION
DISCLOSURE OF OWNERSHIP
List the owners) 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) MAGIC CITY PROPERTIES XXI, LLC
Percentage of Ownership See attached corporate ownership chart.
Subject Property Address(es) UNDER CONTRACT TO PURCHASE: 371 NE 61 st 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):
N/A
NEISEN O. KASDIN, its Attorney
Owner(s) or Attorney Name
STATE OF FLORIDA -- COUNTY OF MIAMI-DADE
T 9foregoing w s krkev}(ledged b9fpre �q ,thi
20 , by
who is (n) individual/pa ner/agent/c r or a on o a(n)
individual/partnership/corporation. he is personally ko has produced
as identification and who did (di • no
iana Perez-Gata
NOTARY PUBLIC
FF �� _- STATE OF FLORIDA
(Stamp) ';+"�• -� Comm# FF233833
Expires 6/8/2019
Signature
Owner(s) or Attorney Signature
day of "---SPY\UI
Rev. 07-2013
7
AAA 2012 Trust
BENEFICIARIES:
Alexa, Ashley &
Amber Zangrillo
1624 4th Ave., Ste. 400
Seattle, WA 98101
42.49%
Robert
Zangrillo
11 E Dilido Dr.
Miami Beach, FL
33139
Neil Kadisha
9420 Wilshire Blvd.
Ste. 400
Beverly Hills, CA 90212
54.2% 3.31%
MCD Dragon, LLC,
a Delaware limited liability company
1209 Orange St.
Wilmington, DE 19801
The Akai Tsuki
Family Trust
BENEFICIARIES:
Guy Laliberte
Naima M. Laliberte
Kami M. Laliberte
Moani Taini M. Laliberte
Noa Taima B. Laliberte
Ina Kai B. Laliberte
2200 Rue Stanley
Montreal, H3A 1 R6
Canada
MAGIC CITY PROPERTIES XXI, LLC
OWNERSHIP CHART
1%
Guy Laliberte
2200 Rue Stanley
Montreal, H3A 1 R6
Canada
99%
Lune Rouge Illusion CT Inc.,
a Delaware corporation
251 Little Falls Dr.
Wilmington, DE 19808
35%
25%
Anthony Cho
3737 Collins Ave.
Apt. 1104
Miami Beach, FL 33137
100%
T
CHO MCD, LLC,
a Delaware limited liability company
1209 Orange St.
Wilmington, DE 19801
15%
The Anthony Burns
Revocable Trust
BENEFICIARY:
Jessica Lynn Burns
2675 Hunter Ct.
Weston, FL 33331
George Helmstetter
550 Sabal Palm Rd.
Miami, FL 33137
Neil Fairman
180 Palm Ave.
Miami, FL 33139
MCD Miami, LLC,
a Delaware limited liability company
One SE 3rd Ave., Ste. 2110
Miami, FL 33131
100%
Magic City Properties XXI, LLC,
a Delaware limited liability company
One SE 3rd Ave., Ste. 2110
Miami, FL 33131
Charles & Valerie
Rennert
156 Bal Cross Dr.
Bal Harbor, FL 33154
31.281%
17.444%
48.725%
0.428%
Howard & Amy Vogel
2127 Brickell Ave., Apt. 1002
Miami, FL 33129
0.428%
0.847%
0.847%
Jose & Sandra
Rodriguez
498 SW 27th Road
Miami, FL 33129
Jeffrey & Rebecca
Mandler
12525 SW 69th Ave.
Miami, FL 33156
PEP Magic City Development, LLC,
a Florida limited liability company
One SE 3rd Ave., Ste. 2110
Miami, FL 33131
25%
Under Contract to
Purchase:
371 NE 61st St.
WRITTEN CONSENT
OF
ALTAM ENTERPRISES, LLC
The undersigned, being the Sole Member and Manager of Altam Enterprises, LLC, a Florida
limited liability company (the "Company"), does hereby consent and agree to the adoption of, and
does hereby adopt, the following resolutions of the Company in lieu of holding a meeting in
accordance with the governing documents of the Company, and directs that these resolutions be filed
in the records of the Company:
WHEREAS, in regard to the Company's properties at 340 and 371 NE 61 st Street in Miami,
Florida, the undersigned Sole Member and Manager deems it advisable and in the best interests of
the Company for the Company to join in and submit an application to the City of Miami seeking
approval of the Magic City Innovation District Special Area Plan and related Comprehensive Plan
Amendments, generally prepared in accordance with the application forms published by the City of
Miami (collectively, the "Application"); and
WHEREAS, in connection with the preparation, filing and formal review and processing of
the Application, including without limitation the execution and delivery of any and all documents
and forms required for the Application, the undersigned Sole Member and Manager deems it
advisable and in the best interests of the Company for the Company to grant Neisen O. Kasdin, T.
Spencer Crowley III, Steven J. Wernick and Benjamin O. Hedrick a limited power of attorney
pursuant to that certain Power of Attorney attached hereto as Exhibit A (the "Power of Attorney").
NOW THEREFORE, BE IT RESOLVED, that the Application and the Power of Attorney
are hereby authorized, approved, adopted, confirmed and ratified in all respects;
FURTHER RESOLVED, that any member, manager, officer or other authorized
representative of the Company (each being referred to herein as an "Authorized Person"), acting
alone, be and hereby is, authorized and empowered to execute and deliver on behalf of the Company
any and all agreements, instruments, certificates or documents necessary to consummate or effectuate
the Application and the Power of Attorney, in the name and on behalf of the Company;
FURTHER RESOLVED, that each Authorized Person is hereby authorized, empowered
and directed, in the name and on behalf of the Company to make or cause to be made, and to execute
and deliver, all such agreements, documents, instruments and certifications, and to do or cause to be
done all such acts and things, and to take all such steps, as he or she may at any time or times deem
necessary or desirable in order to carry out the intent and purposes of the foregoing resolutions; and
FURTHER RESOLVED, that the authorities and approvals hereby conferred shall be
deemed retroactive, and any and all acts authorized and approved herein that were performed prior to
the passage of this resolution be, and they hereby are, approved, ratified and confirmed in all
respects.
[Signature on following page]
IN WITNESS WHEREOF, the undersigned has executed this Written Consent as of the 2'
day of Deceelbei , 2017.
COMPANY:
ALTAM ENTERPRISES, LLC
By:( CL
Name: Arbie Axelrod
Title: Sole Member and Manager
EXHIBIT A
Power of Attorney
LIMITED POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that ALTAM ENTERPRISES, LLC, a Florida
limited liability company, has made, constituted and appointed, and by these presents do make, constitute and
appoint NEISEN O. KASDIN, T. SPENCER CROWLEY III, STEVEN J. WERNICK, and
BENJAMIN O. HEDRICK its true and lawful attorneys in its stead to execute all documents and
instruments required with respect to applications for a Special Area Plan and Comprehensive Plan
Amendment, in connection with the Magic City Innovation District Special Area Plan, under the
requirements of the City of Miami Code of Ordinances and Miami 21 zoning code, submitted to the Office of
Hearing Boards, for the properties located at 340 & 371 NE 61st Street in Miami, Florida, giving and
granting unto NEISEN O. KASDIN, T. SPENCER CROWLEY III, STEVEN J. WERNICK, and
BENJAMIN O. HEDRICK its said attorneys, a limited power of attorney with full power and authority to
do and perform all and every act and thing whatsoever requisite and necessary to be done with respect to the
aforementioned Special Area Plan and Comprehensive Plan Amendment applications as fully, to all intents
and purposes, as it might or could do if personally present (including, without limitation, preparing, executing
and filing all documents and applications and attending all hearings and meetings), with full power of
substitution and revocation, hereby ratifying and confirming all that said attorney or his substitute shall
lawfully do or cause to be done by virtue hereof. This limited power of attorney is limited to the grant of
authority conferred hereby, and shall not encompass or include any other power or authority other than with
respect to the Special Area Plan and Comprehensive Plan Amendment applications for the Magic City
Innovation District Special Area Plan as expressly provided herein.
IN WITNESS WHEREOF, I have hereunto set my/our hand(s) and seal(s) this day of
e ('cn-)� 12017.
Signed and delivered in the presence of:
Witness Signature
Witness Name
ad.e
Witne /Signatur
ftXeI f���
Witness Name
STATE OF cl
) SS:
COUNTY OF I y )
The forego trument was acknowledged before me this c O day o; ire.&a-017 by
o who is personally known to me or who has produced ' a
�,q . - I ivy r i identification.
Altam Enterprises, LL
By:
Name: Arbie Axelrod
Title: Sole Member & Sole Manager
NOTARY PUBL
Print Name:
My commission expires:
0-44tt P% Notary Public State of Florida
; Sonia Alonso
? C My Commission FF 141926
W o Expires 07/15/2018
WRITTEN CONSENT
OF
MAGIC CITY PROPERTIES XX, LLC
The undersigned, being the Sole Member and Manager of Magic City Properties XX, LLC, a
Delaware limited liability company (the "Company"), does hereby consent and agree to the adoption
of, and does hereby adopt, the following resolutions of the Company in lieu of holding a meeting in
accordance with the governing documents of the Company, and directs that these resolutions be filed
in the records of the Company:
WHEREAS, in regard to the properties the Company currently has under contract to
purchase at 340 NE 61 st Street in Miami, Florida, the undersigned Sole Member and Manager deems
it advisable and in the best interests of the Company for the Company to join in and submit an
application to the City of Miami seeking approval of the Magic City Innovation District Special Area
Plan and related Comprehensive Plan Amendments, generally prepared in accordance with the
application forms published by the City of Miami (collectively, the "Application"); and
WHEREAS, in connection with the preparation, filing and formal review and processing of
the Application, including without limitation the execution and delivery of any and all documents
and forms required for the Application, the undersigned Sole Member and Manager deems it
advisable and in the best interests of the Company for the Company to grant Neisen O. Kasdin, T.
Spencer Crowley III, Steven J. Wernick and Benjamin O. Hedrick a power of attorney pursuant to
that certain Power of Attorney attached hereto as Exhibit A (the "Power of Attorney").
NOW THEREFORE, BE IT RESOLVED, that the Application and the Power of Attorney
are hereby authorized, approved, adopted, confirmed and ratified in all respects;
FURTHER RESOLVED, that any member, manager, officer or other authorized
representative of the Company (each being referred to herein as an "Authorized Person"), including
without limitation Neil Fairman, Anthony Burns and George Helmstetter, acting alone, be and hereby
is, authorized and empowered to execute and deliver on behalf of the Company any and all
agreements, instruments, certificates or documents necessary to consummate or effectuate the
Application and the Power of Attorney, in the name and on behalf of the Company;
FURTHER RESOLVED, that each Authorized Person is hereby authorized, empowered
and directed, in the name and on behalf of the Company to make or cause to be made, and to execute
and deliver, all such agreements, documents, instruments and certifications, and to do or cause to be
done all such acts and things, and to take all such steps, as he or she may at any time or times deem
necessary or desirable in order to carry out the intent and purposes of the foregoing resolutions; and
FURTHER RESOLVED, that the authorities and approvals hereby conferred shall be
deemed retroactive, and any and all acts authorized and approved herein that were performed prior to
the passage of this resolution be, and they hereby are, approved, ratified and confirmed in all
respects.
[Signature on following page]
IN WITNESS WHEREOF, the undersigned has executed this Written Consent as of the 30
day of Af000.44 2-4 ,2017.
COMPANY:
MAGIC CITY PROPERTIES XX LLC
By: MCD Miami, LLC, its Sole Member and
Manager
By:
Name: George Helmstetter
Title: Authorized Representative
EXHIBIT A
Power of Attorney
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that MAGIC CITY PROPERTIES XX,
LLC, a Delaware limited liability company, has made, constituted and appointed, and by these presents
do make, constitute and appoint NEISEN O. KASDIN, T. SPENCER CROWLEY III, STEVEN J.
WERNICK, and BENJAMIN O. HEDRICK its true and lawful attorneys in its stead to execute all
documents and instruments required with respect to applications for a Special Area Plan and
Comprehensive Plan Amendment, in connection with the Magic City Innovation District Special Area
Plan, under the requirements of the City of Miami Code of Ordinances and Miami 21 zoning code,
submitted to the Office of Hearing Boards, for the properties it has under contract to purchase located at
340 NE 61 st Street in Miami, Florida, giving and granting unto NEISEN O. KASDIN, T. SPENCER
CROWLEY III, STEVEN J. WERNICK, and BENJAMIN O. HEDRICK its said attorneys, full
power and authority to do and perform all and every act and thing whatsoever requisite and necessary to
be done with respect to the aforementioned Special Area Plan and Comprehensive Plan Amendment
applications as fully, to all intents and purposes, as it might or could do if personally present (including,
without limitation, preparing, executing and filing all documents and applications and attending all
hearings and meetings), with full power of substitution and revocation, hereby ratifying and confirming
all that said attorney or his substitute shall lawfully do or cause to be done by virtue hereof.
IN WITNESS WHEREOF, I have hereunto set my/our hand(s) and seal(s) this 2D day of
Dtcfrnbeor , 2017.
Signed and delivered in the presence of:
2
Magic City Properties XX, LLC
By: /��� / 1
Witness Signature / Name: George Helmstetter
T ► C. �7on ZCl lei Title: Authorized Representative
Witness Name
Ca-A/cif-a
fitness Signature
Josef r% Cc&s +7.40
Witness Name
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
) SS:
The foregoing in ent was acknowledged before me this 20 day of to r -10(7 by
K �2,. RP1al5 � who is personally known to me or who has produced a
as identification.
a°t;RY MARIAGONZALEZ
* MY COMMISSION # FF 909142
EXPIRES: October 22, 2019
cr
140F r,..00 Bonded Thru Budget Notary Services
NOTARY PUBLIC
Print Name:
My commission expires:
WRITTEN CONSENT
OF
MAGIC CITY PROPERTIES XXI, LLC
The undersigned, being the Sole Member and Manager of Magic City Properties XXI, LLC,
a Delaware limited liability company (the "Company"), does hereby consent and agree to the
adoption of, and does hereby adopt, the following resolutions of the Company in lieu of holding a
meeting in accordance with the governing documents of the Company, and directs that these
resolutions be filed in the records of the Company:
WHEREAS, in regard to the properties the Company currently has under contract to
purchase at 371 NE 61 st Street in Miami, Florida, the undersigned Sole Member and Manager deems
it advisable and in the best interests of the Company for the Company to join in and submit an
application to the City of Miami seeking approval of the Magic City Innovation District Special Area
Plan and related Comprehensive Plan Amendments, generally prepared in accordance with the
application forms published by the City of Miami (collectively, the "Application"); and
WHEREAS, in connection with the preparation, filing and formal review and processing of
the Application, including without limitation the execution and delivery of any and all documents
and forms required for the Application, the undersigned Sole Member and Manager deems it
advisable and in the best interests of the Company for the Company to grant Neisen O. Kasdin, T.
Spencer Crowley III, Steven J. Wernick and Benjamin O. Hedrick a power of attorney pursuant to
that certain Power of Attorney attached hereto as Exhibit A (the "Power of Attorney").
NOW THEREFORE, BE IT RESOLVED, that the Application and the Power of Attorney
are hereby authorized, approved, adopted, confirmed and ratified in all respects;
FURTHER RESOLVED, that any member, manager, officer or other authorized
representative of the Company (each being referred to herein as an "Authorized Person"), including
without limitation Neil Fairman, Anthony Burns and George Helmstetter, acting alone, be and hereby
is, authorized and empowered to execute and deliver on behalf of the Company any and all
agreements, instruments, certificates or documents necessary to consummate or effectuate the
Application and the Power of Attorney, in the name and on behalf of the Company;
FURTHER RESOLVED, that each Authorized Person is hereby authorized, empowered
and directed, in the name and on behalf of the Company to make or cause to be made, and to execute
and deliver, all such agreements, documents, instruments and certifications, and to do or cause to be
done all such acts and things, and to take all such steps, as he or she may at any time or times deem
necessary or desirable in order to carry out the intent and purposes of the foregoing resolutions; and
FURTHER RESOLVED, that the authorities and approvals hereby conferred shall be
deemed retroactive, and any and all acts authorized and approved herein that were performed prior to
the passage of this resolution be, and they hereby are, approved, ratified and confirmed in all
respects.
[Signature on following page]
IN WITNESS WHEREOF, the undersigned has executed this Written Consent as of the
day of No 104,/04 , 2017.
COMPANY:
MAGIC CITY PROPERTIES XXI, LLC
By: MCD Miami, LLC, its Sole Member and
Manager
By: /� \
Name: George Helmstetter
Title: Authorized Representative
EXIBBIT A
Power of Attorney
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that MAGIC CITY PROPERTIES XXI,
LLC, a Delaware limited liability company, has made, constituted and appointed, and by these presents
do make, constitute and appoint NEISEN O. KASDIN, T. SPENCER CROWLEY III, STEVEN J.
WERNICK, and BENJAMIN O. HEDRICK its true and lawful attorneys in its stead to execute all
documents and instruments required with respect to applications for a Special Area Plan and
Comprehensive Plan Amendment, in connection with the Magic City Innovation District Special Area
Plan, under the requirements of the City of Miami Code of Ordinances and Miami 21 zoning code,
submitted to the Office of Hearing Boards, for the properties it has under contract to purchase located at
371 NE 61 st Street in Miami, Florida, giving and granting unto NEISEN O. KASDIN, T. SPENCER
CROWLEY III, STEVEN J. WERNICK, and BENJAMIN O. HEDRICK its said attorneys, full
power and authority to do and perform all and every act and thing whatsoever requisite and necessary to
be done with respect to the aforementioned Special Area Plan and Comprehensive Plan Amendment
applications as fully, to all intents and purposes, as it might or could do if personally present (including,
without limitation, preparing, executing and filing all documents and applications and attending all
hearings and meetings), with full power of substitution and revocation, hereby ratifying and confirming
all that said attorney or his substitute shall lawfully do or cause to be done by virtue hereof.
IN WITNESS WHEREOF, I have hereunto set my/our hand(s) and seal(s) this 20 day of
i ecem ber , 2017.
Signed and delivered in the presence of:
Witness Signature
i a Hon tez
Witness Name
ness Signature
a.� - i n a Cc-s %vo
Witness Name
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
) SS:
Magic City Properties XXI, LLC
By:
Name: George Helmstetter
Title: Authorized Representative
The fore oing instrument was acknowledged before me this 20 day of 1.Peeil �t?r Xi/ by
��I�CXi1 tz(rytS+-e?r who is personally known to me or who has produced a
as identification.
NOTARY PUBL
Print Name:
My commission expires:
This instrurnent was prepared by
and should be returned to:
Amanda Quirke, Esq.
400 Alton Rd Apt 511
Miami Beach, FL 33139
Folio Number. 01-3218-022-0040
111111111111111111111111111111111111111111111
CFN 2009Ro7 i2937
OR Ek 27029 Pas 2669 - 2670; (2Pas)
RECORDED 09/29/2009 13:53:48
DEED DDC TAX 0.60
HHARVEY RUVIE!► CLERK OF COURT
MIAl1I-DADE COUNTY? FLORIDA
This space reserved for recording information
QUIT -CLAIM DEED
This Quit -Claim Deed, executed this 124 day of 2009 by Leon A.
Axelrod Associates, Inc. whose address is 1021 Ives Dairy Rd. Suit 220 Miami, FL 33179 (the
"Grantor"), to Altam Enterprises, LLC, whose address is 344 NE 61 St Miami, FL 33137 (the
"Grantee") (wherever used herein the terms "Grantor" and "Grantee" shall include the singular and
plural, heirs, legal representatives, and assigns of individuals and the successors and assigns of
corporations, wherever the context so admits or requires).
WITNESSETH, that said Grantor, for and in consideration of the sum of $10.00 in hand paid
by the said Grantee, the receipt whereof is hereby acknowledged, does hereby remise, release and
quit -claim unto the said Grantee, all the right, title, interest, claim and demand which the said
Grantor has in and to the following described lot, piece or parcel of land, situate, lying and being in
the County of Miami Dade, State of Florida, to wit:
Dullams Unrecorded Plat, Same beginning 204.5 ft South and 918.5 ft East ofNW Comer SW 'A South
100 ft East 100 ft. North 100 ft. West 100 ft. Lot 5 & 6 less 2.5 ft. for St.
To have and to hold the same together with all and singular the appurtenances thereunto
belonging or in anywise appertaining, and all the estate, right, title, interest, lien, equity and claim
whatsoever of the said Grantor, either in law or equity, to the only proper use, benefit and behoove of
the said Grantee forever.
IN WITNESS WHEREOF, the said Grantor has signed an sealed the resents the day
and year first above written.
Signed, sealed and delivered
in th presence of:
Pr' Name;'
!J
Print N
P1_
Vli CLE
II/lam airy J►� �
Arbie Axelrod
President, Leon A. Axelrod Associates, Inc.
Book27029/Page2669 CFN#20090702937 Page 1 of 2
OR i BK 27029 PG 2670
LAST PAGE
STATE OF FLORIDA )
) SS:
COUNTY OF MIAMI-DADE )
The foregoing instrument was acknowledged beforeme this £ day of A vu (T ,
2009, by %a plc ACC /eo ' , who is personally known to me or has
produced a Florida Driver's License as identification.
STATE OF FLORIDA
) SS:
COUNTY OF MIAMI—DADE
Notary Public
NOTARY pubLKSi T OF Floe'D7
Marsha H. Frceeaw
NIII:I��IVIi iDDi35ir2G
r : I.U�
Type, Print or Stamp Name;! Expires: DEC, 25, 2011
DOOM THRV ATLAtirIC BONDING CO, INC.
My Commission Expires:
The oregoing instrument was acknowledged before me this o.5 day of 5e ember(,
2009, by e.,+\V,e \CL C Q \q o , who is personally known to me or has
producedda Florida Driver's License as identification.
oto LX
\)Q6
Notary Public
�Cks(\ . V. o l�
Type, Print or Stamp Name
My Commission Ex
-2-
"Vic MARIA WOLF
:- 7.4 Commission # DD 862043
Expires February 17, 2013
Bo rdadthurremw... C0 $5.7a1A
Book27029/Page2670 CFN#20090702937 Page 2 of 2
This instrument was prepared by
and should be returned to:
Amanda Quirke, Esq.
400 Alton Rd Apt 511
Miami Beach, FL 33139
Folio Number. 01-3218-015-0720
111111111111111111111111111111111111111111111
CF H 2009R0702933
OR Bk 27029 P9s 2671 - 2673; (3a9s?
RECORDED 09/29/2009 13:53:4B
DEED DOC TAX 0.60
HARVEY RUVIHr CLERK OF COURT
MIAMI-DADE CODUTYr FLORIDA
This space reserved for recording information
QUIT -CLAIM DEED
This Quit -Claim Deed, executed this.2q day of Aoc v - , 2009 by Arbie and
Manuela Axelrod whose address is 344 NE 61 Street Miami, Fe 33137 (the "Grantor"), to Altam
Enterprises, LLC, whose address is 344 NE 61 St Miami, FL 33137 (the "Grantee") (wherever used
herein the terms "Grantor" and "Grantee" shall include the singular and plural, heirs, legal
representatives, and assigns of individuals and the successors and assigns of corporations, wherever
the context so admits or requires).
WITNESSETH, that said Grantor, for and in consideration of the sum of $10.00 in hand paid
by the said Grantee, the receipt whereof is hereby acknowledged, does hereby remise, release and
quit -claim unto the said Grantee, all the right, title, interest, claim and demand which the said
Grantor has in and to the following described lot, piece or parcel of land, situate, lying and being in
the County of Miami Dade, State of Florida, to wit:
See Exhibit A for Legal Description
To have and to hold the same together with all and singular the appurtenances thereunto
belonging or in anywise appertaining, and all the estate, right, title, interest, lien, equity and claim
whatsoever of the said Grantor, either in law or equity, to the only proper use, benefit and behoove of
the said Grantee forever.
IN WITNESS WHEREOF, the said Grantor is signed ealed thes . . is the day
and year first above written.
Signed, sealed and delivered
in th9 presence of:
Pri Name
PrintN. ►e
/or /0 61/ /t/
bie Axelrod
l
Manuela Axelrod
Book27O29/Page2671 CFN#20090702938 Page 1 of 3
4
STATE OF FLORIDA
) SS:
COUNTY OF MIAMI-DADE )
The foregoing instrument was acknowledged before me this o2 q day of 5 ,,,, f
2009, by Ae, gic ,Axe/e,,g r �.�,� � Axe Le; , who is personally known to 1ne or has
produced a Florida Driver's License as identification.
Notary Public
Type, Print or Stamp Name
My Commission Expires:i'L�^
Mar
C^oa;�;ison ;/ Freeman
Bua , rlfaayires: DEC. 25 201
ATLANTIC BOSDR:G Co, 7NC
-2-
Book27029/Page2672 CFN#20090702938 Page 2 of 3
OR E.k 27029 PG 2..73
LAST PAGE
Exhibif c4,`
LEGAL DESCRIPTION
LOT 3. LESS THE EAST 1.00 FOOT THEREOF, AND LESS THE
NORTH 7.50 FEET AND THE SOUTH 2.50 FEET THEREOF FOR
ROAD RIGHT—OF—WAY, IN BLOCK 18 OF 'SECOND CORRECTED PLAT OF PIERCE'S
SUBDMSION, LEMON CITY." ACCORDING TO THE PLAT THEREOF, AS
RECORDED IN PLAT BOOK 2, PAGE 21, OF THE PUBLIC RECORDS OF
DADE COUNTY, FLORIDA
Lot 3. in Block 18, of SECOND CORRECTED PLAT OF PIERCE'S
SUBDIVISION. LEMON CITY, according to the plat thereof,
recorded in Plat Book 2, at Page 21, of the Public Records
of Dade County, Florida; less however, the East one foot
thereof, for atreet widening; and less the following
described portion thereof: Begin 2.5 feet North of the
Southwest corner of said Lot 3; thence go Easterly 2.5 feet
North of and parallel with the South line of said Lot 3,
for 93.60 feet. to as point; thence go Northerly, one foot
West of and parallel with the East line of said Lot 3. for
93.60 feet to a point; thence go Westerly forming a 90 degree
angle, for 69.95 feet, to a point on the Best line of said
Lot 3; thence go Southerly along the West line of said Lot
3, for 96.01 feet, to the Point of Beginning, and less the
following described portion thereof; Begin 7.5 feet South
and one foot West of the Northeast corner of said Lot 3,
thence go Southerly, one foot West of and parallel with the
East line of said Lot 3. for 98.00 feet, to a point; thence
go Westerly, forming a 90 degree angle, for 69.95 feet, to
a point on the West line of said Lot 3, thence -go Northerly,
along the West line of said Lot 1, for 99.31 feet, to a point;
thence go Easterly, 7.5 feet South of and parallel with the
North line of said Lot 3, for 69.91 feet, to the Point of
Beginning, all lying and being in Dade County, Florida.
RECORDERS NOTE
Tie legibility of writing, typing or prclin9
unsatisfactory in this document when received
Book27029/Page2673 CFN#20090702938
Page 3of3
State of Florida
Department of State
I certify from the records of this office that ALTAM ENTERPRISES LLC is a
limited liability company organized under the laws of the State of Florida, filed
on August 6, 2009.
The document number of this limited liability company is L09000076011.
I further certify that said limited liability company has paid all fees due this
office through December 31, 2018, that its most recent annual report was filed
on January 11, 2018, and that its status is active.
Given under my hand and the
Great Seal of the State of Florida
at Tallahassee, the Capital, this
the Fifth day of June, 2018
OA% 0440%,
Secretary of State
Tracking Number: CU3208752452
To authenticate this certificate,visit the following site,enter this number, and then
follow the instructions displayed.
https://services.sunbiz.org/Filings/CertificateofStatus/CertificateAuthentication
State of Florida
Department of State
I certify from the records of this office that MAGIC CITY PROPERTIES XX,
LLC is a Delaware limited liability company authorized to transact business in
the State of Florida, qualified on June 19, 2017.
The document number of this limited liability company is M17000005195.
I further certify that said limited liability company has paid all fees due this
office through December 31, 2018, that its most recent annual report was filed
on March 7, 2018, and that its status is active.
I further certify that said limited liability company has not filed a Certificate of
Withdrawal.
Given under my hand and the
Great Seal of the State of Florida
at Tallahassee, the Capital, this
the Fifth day of June, 2018
i&-s%
Secretary of State
Tracking Number: CU8810019355
To authenticate this certificate,visit the following site,enter this number, and then
follow the instructions displayed.
https://services.sunbiz.org/Filings/CertificateofStatus/CertificateAuthentication
State of Florida
Department of State
I certify from the records of this office that MAGIC CITY PROPERTIES XXI,
LLC is a Delaware limited liability company authorized to transact business in
the State of Florida, qualified on June 19, 2017.
The document number of this limited liability company is M17000005199.
I further certify that said limited liability company has paid all fees due this
office through December 31, 2018, that its most recent annual report was filed
on March 7, 2018, and that its status is active.
I further certify that said limited liability company has not filed a Certificate of
Withdrawal.
Given under my hand and the
Great Seal of the State of Florida
at Tallahassee, the Capital, this
the Fifth day of June, 2018
i&-s%
Secretary of State
Tracking Number: CU6264396519
To authenticate this certificate,visit the following site,enter this number, and then
follow the instructions displayed.
https://services.sunbiz.org/Filings/CertificateofStatus/CertificateAuthentication
Lo Qwo lbi9l/
(Requestor's Name)
(Address)
(Address)
(City/State/Zip/Phone #)
❑ PICK-UP
WAIT ❑ MAIL
(Business Entity Name) •
(Document Number)
Certified Copies Certificates of Status
Special Instructions to Filing Officer:
Office Use Only
11
A
i
111
11
300159215933
i' /i 6/09l--ti10i11--i_l22 4:+12S.00
N. Qt AUG - 7 2069
TO: Registration Section
Division of Corporations
SUBJECT:
•
COVER LETTER
RrrAvv\ sEs LLC,
Name of Limited Liability Company
The enclosed Articles of Organization and fee(s) are submitted for filing.
Please return all correspondence concerning this matter to the following:
Mow Pocelvt
Name of Person
31-gL (Di St
oau,'( 3137
Firm/Company
Address
City/State and Zip Code
CtSL(Q.l(Vet u ao. c_ovvi
E-mail re : (to be used for future annual report notification)
For further information concerning this matter, please call:
kb,t I4X-Qkoci
at(3u5 ) f5y-1-p,Dj
Name of Person Area Code & Daytime Telephone Number
Enclosed is a check for the following amount:
$125.00 Filing Fee D$130.00 Filing Fee & 0$155.00 Filing Fee & 0$160.00 Filing Fee,
Certificate of Status Certified Copy Certificate of Status &
(additional copy is enclosed) Certified Copy
(additional copy is enclosed)
Mailing Address
Registration Section
Division of Corporations
P.O. Box 6327
Tallahassee, FL 32314
Street/Courier Address
Registration Section
Division of Corporations
Clifton Building
2661 Executive Center Circle
Tallahassee, FL 32301
ARTICLES OF ORGANIZATION FOR FLORIDA LIlVIR'ED LIABILITY COMPANY
ARTICLE I - Name:
The name of the Limited Liability Company is:
LT' Am E—NTEV-VatscS G..LC.
(Must end with the words "Limited Liability Company," "L.L.C.," or "LLC.")
ARTICLE II - Address:
The mailing address and street address of the principal office of the Limited Liability Company is:
Principal Office Address: Mailing Address:
3jij ,WCu1 St Sue,
4lhtt FL. 33l Tit
ARTICLE III - Registered Agent, Registered Office, & Registered Agent's Signature:
(The Limited Liability Company cannot serve as its own Registered Agent. You must designate an individual or another
business entity with an active Florida registration.)
The name and the Florida street address of the registered agent are:
v' re__ ffiew lA AA( vvd
Name
3qL1 (0 r �.
Florida street address (P.O. Box NOT acceptable)
VIA(atA4 FL 33137
City, State, and Zip
co
G,
N
.N
I'u
Having been named as registered agent and to accept service of process for the above slated limited
liability company at the place designated in this certificate, I hereby accept the appointment as
registered agent and agree to act in this capacity. I further agree to comply with the provisions of all
statutes relating to the proper and complete performance my duties, and 1 am familiar with and
accept the obligations of my position as registered agents provided for in Chapter 608, F.S..
Cpicup.,
Registered Agent's Signature (REQUIRED)
(CONTINUED)
Pagelof2
ARTICLE IV- Manager(s) or Managing Member(s):
The name and address of each Manager or Managing Member is as follows:
Title:
"MGR" = Manager
"MGRM" = Managing Member
VY1 G 1LYv\
(Use attachment if necessary)
Name and Address:
A-rbie Ax€lroc
3ti4 NE- (,21 st
rn vii `t FL, 33i 3'"l
ARTICLE V: Effective date, if other than the date of filing: . (OPTIONAL)
(If an effective date is listed, the date must be specific and cannot be more than five business days prior
to or 90 days after the date of filing.)
REQUIRED SIGN
Signature of a member or an authorized representative of a member.
(In accordance with section 608,408(3), Florida Statutes, the execution
of this document constitutes an affirmation under the penalties of perjury
that the facts stated herein are true.)
} -h e- Axel foci
Typed or printed name of signee
Filine Fees:
$125.00 Filing Fee for Articles of Organization and Designation
of Registered Agent
$ 30.00 Certified Copy (Optional)
$ 5.00 Certificate of Status (Optional)
Page 2 of 2
—4
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Delaware
The First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT
COPY OF THE CERTIFICATE OF FORMATION OF "MAGIC CITY PROPERTIES
XX, LLC", FILED IN THIS OFFICE ON THE NINTH DAY OF JUNE, A.D.
2017, AT 4:27 O'CLOCK P.M.
6439621 8100
SR# 20177213435
You may verify this certificate online at corp.delaware.gov/authver.shtml
Page 1
Authentication: 203635990
Date: 12-13-17
State of Delaware
Secretary of State
Division of Coiporadons
Delivered 04:27 PM 06/09/2017
FILED 04:27 PM 06/09/2017
SR 20174683152 - FileNumber 6439621
CERTIFICATE OF FORMATION
OF
MAGIC CITY PROPERTIES XX, LLC
1, The name of the limited liability company (hereinafter called the "LLC") is Magic City
Properties XX, LLC.
2. The registered office of the LLC is to be located at 1013 Centre Road, Suite 403S,
Wilmington, DE 19805. The name of the registered agent located at such address is
Registered Agents Legal Services, LLC.
IN WITNESS WHEREOF, the undersigned Member has executed this Certificate of
Formation of Magic City Properties XX, LLC this 9th day of June, 2017.
George Hehnstetter,
Authorized Representative of Member
Delaware
The First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT
COPY OF THE CERTIFICATE OF FORMATION OF "MAGIC CITY PROPERTIES
XXI, LLC", FILED IN THIS OFFICE ON THE NINTH DAY OF JUNE, A.D.
2017, AT 4:29 O'CLOCK P.M.
6439623 8100
SR# 20177213435
You may verify this certificate online at corp.delaware.gov/authver.shtml
Page 1
Authentication: 203753692
Date: 12-13-17
CERTIFICATE OF FORMATION
OF
MAGIC CITY PROPERTIES XXI, LLC ...
State of Delaware
Secretary of State
Division of Corporations
Delivered 04:29 PM 06/09/2017
FILED 04:29 PM 06/09/2017
SR 20174683227 - File Number 6439623
1. The name of the limited liability company (hereinafter called the "LLC") is Magic City
Properties XXI, LLC.
2. The registered office of the LLC is to be located at 1013 Centre Road, Suite 403S,
Wilmington, DE 19805. The name of the registered agent located at such address is
Registered Agents Legal Services, LLC,
IN WITNESS WHEREOF, the undersigned Member has executed this Certificate of
Formation of Magic City Properties JOCI, LLC this 9th day of June, 2017.
George Helmstetter,
Authorized Representative of Member
CITY OFMIAMI
DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO
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: Neisen O. Kasdin
(First Name)
(Middle) (Last Name)
HOME ADDRESS: c/o Akerman LLP, 98 SE 7th Street, Suite 1100
(Address Line 1)
(Address Line 2)
CITY: Miami STATE: Florida ZIP: 33131
HOME PHONE: (3 0 5) 9 8 2- 5 6 2 9 CELL PHONE: FAX:
EMAIL: neisen.kasdin@akerman.com
BUSSINESS or APPLICANT or ENTITY NAME
Altam Enterprises, LLC
BUSINESS ADDRESS: 344 NE 61st Street
(Address Line 1)
Miami, FL 33137
(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 the Magic City Innovation District Special Area Plan (SAP).
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 0 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. n/a
b.
c.
* Additional names can be placed on a separate page attached to this form.
4. Please describe the nature of the consideration.
n/ a
5. Describe what is being requested in exchange for the consideration.
n/a
ACKNOWLEDGEMENT 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 entity for the same issue shall be reviewed or
considered by the applicable board(s) until expiration of eriod of one year after the
nullification of the application or order.
PERSON SUBMITTING DISCLOSURE:
ignature
Neisen O. Kasdin
Print Name
Sworn to and subscribed before me this day of , 200
I . The foregoing
instrument was acknowledged before me by
who has produced
as identification an , r is pe •sona.iv
ow 2 o one
and who did/did not take an oath.
STATE OF FLORIDA
CI .Ye f F MDleinti Perez -Gate
/I
NOTARY PUBLIC^{.
s`� `.'� � STATE OF FLORIDA \.„)(;nL•
e��� ,
CDIYNII#FF233833
WINE� r Name
Enc ' °'. r s Expires 6/8/2019
Page 2
Doc. No.:86543
CITY OFMIAMI
DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO
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:
Neisen O. Kasdin
(First Name) (Middle) (Last Name)
HOME ADDRESS: c/o Akerman LLP, 98 SE 7th Street, Suite 1100
(Address Line 1)
(Address Line 2)
CITY: Miami STATE: Florida ZIP: 33131
HOME PHONE: (3 0 5) 9 8 2- 5 6 2 9 CELL PHONE: FAX:
EMAIL: neisen.kasdin@akerman.com
BUSSINESS or APPLICANT or ENTITY NAME
Magic City Properties XX, LLC
BUSINESS ADDRESS: One SE 3rd Avenue, Suite 2110
(Address Line 1)
Miami, FL 33131
(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 the Magic City Innovation District Special Area Plan (SAP).
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 IJ 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. n/a
b.
c.
* Additional names can be placed on a separate page attached to this form.
4. Please describe the nature of the consideration.
n/a
5. Describe what is being requested in exchange for the consideration.
n/ a
ACKNOWLEDGEMENT OF COMPLIANCE
I hereby acknowledge that it is unlawful to employ any device, scheme or artifice to circumvent
Ordinance 12918 and such circumvention shall be deemed a violation of the Ordinance;
or civil penalties that may be imposed under the City Code, upon determination by
disclosure requirement was not fully and timely satisfied the following may occur:
1. the application or order, as applicable, shall be deemed void without
effect; and
2. no application from any person or entity for the same issue
considered by the applicable board(s) until expiration of a eriod
nullification of the application or order.
PERSON SUBMITTING DISCLOSURE:
the disclosure requirements of
and that in addition to the criminal
the City Commission that the foregoing
further force or
shall be reviewed or
of one year after the
ignature
Neisen O. Kasdin
Print Name
. , 200 I The foregoing
Sworn to and subscribed before me this
day f
instrument was acknowledged before me by
as identification
, who has produced
an /or is personally kn wn o me old who did/did not take an oath.
STAY'.. .' FLOWN9 ' -Gate
C 11: y : w _ •,,:. TARY PUBLIC
1
A[ r V -' = -. r T E OF FLORIDA (�
�l'' Comm# FF233833 nl /VR y to ' A ^
''''''-?-'1.' ' Exp res 602019
Print Name
Enclosure(s)
Page 2
Doc. No.:86543
CITY OFMIAMI
DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO
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: Neisen 0. Kasdin
(First Name)
(Middle) (Last Name)
HOME ADDRESS: c/o Akerman LLP, 98 SE 7th Street, Suite 1100
(Address Line 1)
(Address Line 2)
CITY: Miami STATE: Florida ZIP: 33131
HOME PHONE: (3 0 5) 9 8 2- 5 6 2 9 CELL PHONE: FAX:
EMAIL: neisen.kasdin@akerman.com
BUSSINESS or APPLICANT or ENTITY NAME
Magic City Properties XXI, LLC
BUSINESS ADDRESS: One SE 3rd Avenue, Suite 2110
(Address Line 1)
Miami, FL 33131
(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 the Magic City Innovation District Special Area Plan (SAP).
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 Ei 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. n/a
b.
c.
* Additional names can be placed on a separate page attached to this form.
4. Please describe the nature of the consideration.
n/a
5. Describe what is being requested in exchange for the consideration.
n/a
ACKNOWLEDGEMENT 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 entity for the same issu shall be reviewed or
considered by the applicable board(s) until expiration of a p of one year after the
nullification of the application or order.
PERSON SUBMITTING DISCLOSURE:
Sig re
Neisen O. Kasdin
Print Name
Sworn to and subscribed before me this day of it'
A , 200 9 . The foregoing
instrument was acknowledged before me by
_,
i , who has produced
as identification an /or is ersonall known
o me an' vho did/did not take an oath.
c_
STATE OF FLORIDA
CITY OF MIAMI
MY COM141,4&:Wia ---ipittL y_ejztil_i
` PUBUC-
(41..)A,
ARY
r k STATE OF FLORIDA cPrint Name
;�.. ; *:`l ; :rrdf FF233833
V' Expires 61Page 2
Doc. No.:'.4 z812019
Paid By
Miami -Dade County, Florida
Effective Date 11/30/2017 plicate public_user 06/04/2018
Paid 12/18/2017 Receipt # Acct01-18-000564 $9,577.88
2017 Real Estate Property Taxes
Notice of Ad Valorem Tax and Non -Ad Valorem Assessments
SEE REVERSE SIDE FOR IMPORTANT INFORMATION
FOLIO NUMBER
MUNICIPALITY
MILL CODE
01-3218-022-0040
MIAMI
0100
ALTAM ENTERP LLC
344 NE 61 ST
MIAMI, FL 33137
Property Address
340 NE 61 ST
Exemptions:
AD VALOREM TAXES
Miami -Dade School Board
School Board Operating
School Board Debt Service
State and Other
Florida Inland Navigation Dist
South Florida Water Mgmt Dist
Okeechobee Basin
Everglades Construction Proj
Childrens Trust Authority
Miami -Dade County
County Wide Operating
County Wide Debt Service
Library District
Municipal Governing Board
Miami Operating
Miami Debt Service
578,008
578,008
418,203
418,203
418,203
418,203
418,203
418,203
418,203
418,203
418,203
6.77400
0.22000
0.03200
0.12750
0.13840
0.04410
0.46730
4.66690
0.40000
0.28400
578,008
578,008
418,203
418,203
418,203
418,203
418,203
418,203
418,203
418,203
7.43650 418,203
418,203 0.59350
418,203
3,915.42
127.16
13.38
53.32
57.88
18.44
195.43
1,951.71
167.28
118.77
3,109.97
248.20
NON -AD VALOREM ASSESSMENTS
Save Time. Pay Online. www.miamidade.gov
t RETAIN FOR YOUR RECORDS t
(Combined taxes and assessments
$9,976.96
i
2017 Real Estate Property i DETACH HERE AND RETURN THIS PORTION WITH YOUR PAYMENT 4- Du.licate .ublic user 06/04/2018
Taxes
FOLIO NUMBER
01-3218-022-0040
PROPERTY ADDRESS
340 NE 61 ST
LEGAL DESCRIPTION
18 53 42
DULLAMS UNRECORDED PLAT
SAME BEG 204.5FTS & 918.5FTE OF
NW COR SW1/4 S100FT E100F
ALTAM ENTERP LLC
344 NE 61 ST
MIAMI, FL 33137
0 1 3 2 1 8 0 2 2 0 0 4 0+
Make checks payable o:
Miami -Dade Tax Collector
(in U.S. funds drawn on U.S. banks)
Amount due May be Subject to Change Without Notice
Mail payments to:
200 NW 2nd Avenue, Miami, FL 33128
PAY ONLY ONE AMOUNT
If Paid By Please Pay
Dec 13, 2017 $0.00
..110111.
1000000000000000000132180220040201700000000000000000000004
Paid By
Miami -Dade County, Florida
Effective Date 11/30/2017 plicate public_user 06/04/2018
Paid 12/18/2017 Receipt# Acct01-18-000563 $14,153.60
2017 Real Estate Property Taxes
Notice of Ad Valorem Tax and Non -Ad Valorem Assessments
SEE REVERSE SIDE FOR IMPORTANT INFORMATION
FOLIO NUMBER
MUNICIPALITY
MILL CODE
01-3218-015-0720
MIAMI
0100
ALTAM ENTERPRISES LLC
344 NE 61 ST
MIAMI, FL 33137
Property Address
371 NE 61 ST
Exemptions:
AD VALOREM TAXES
Miami -Dade School Board
School Board Operating
School Board Debt Service
State and Other
Florida Inland Navigation Dist
South Florida Water Mgmt Dist
Okeechobee Basin
Everglades Construction Proj
Childrens Trust Authority
Miami -Dade County
County Wide Operating
County Wide Debt Service
Library District
Municipal Governing Board
Miami Operating
Miami Debt Service
843,106
843,106
623,434
623,434
623,434
623,434
623,434
623,434
623,434
623,434
623,434
623,434
6.77400
0.22000
0.03200
0.12750
0.13840
0.04410
0.46730
4.66690
0.40000
0.28400
7.43650
0.59350
843,106
843,106
623,434
623,434
623,434
623,434
623,434
623,434
623,434
623,434
623,434
623,434
5,711.20
185.48
19.95
79.49
86.28
27.49
291.33
2,909.50
249.37
177.06
4,636.17
370.01
NON -AD VALOREM ASSESSMENTS
Save Time. Pay Online. www.miamidade.gov
t RETAIN FOR YOUR RECORDS t
(Combined taxes and assessments
$14,743.33
i
2017 Real Estate Property i DETACH HERE AND RETURN THIS PORTION WITH YOUR PAYMENT 4-
Taxes
FOLIO NUMBER
01-3218-015-0720
PROPERTY ADDRESS
371 NE 61 ST
LEGAL DESCRIPTION
PIERCES DIV LEMON CITY PB B-43
LOT 3 BLK 18 LESS PB 2-21 S2.5FT
& LESS N8FT M/L FOR R/W
LO
ALTAM ENTERPRISES LLC
344 NE 61 ST
MIAMI, FL 33137
11111111111 II 111111 II
0 1 3 2 1 8 0 1 5 0 7 2 0+
Make checks payable o:
Miami -Dade Tax Collector
(in U.S. funds drawn on U.S. banks)
Amount due May be Subject to Change Without Notice
Mail payments to:
200 NW 2nd Avenue, Miami, FL 33128
Du.licate .ublic user06/04/2018
PAY ONLY ONE AMOUNT
If Paid By Please Pay
Dec 13, 2017 $0.00
..110111.
1000000000000000000132180150720201700000000000000000000001