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Molinar Bldgs LLC Dec.06-04 11:41P1 FrOl-Troutlan Sanders. LLP + T-728 P0031004 F-683 .. -=r-. .......~" " .:w'.! ..- lD ~ City of Miami Bea<:h omce of the City Clerk 1700 ConventiOn Center DriVe, Miami Beach, FL 33139 LOnYJS1' IlEGISTlt.'TtOI'I fOR.\I ~ _ II penans ~ or..... \IIIIelher _ or -.lIy ;a priIW:ilNII__1ftb ID If1CGIA9" ft --. defl!.Jt or ~. ~." lII\IMIQ. ~ idiall or.-;;on" l1Iff.......... - .."';JtIlon. dKiSiOll. ._..1_. Jill -,., ft City ......... CII' ." dtt llDR or..-. ... ." &lion. .....,.. .. _._~ J . ., ." ciIlY pc!ItOftllII dIIIiNd in 1Iftt mo'- in IIlis sed*\. ....., M _ periad ~ Ihe .... A<;' . -. .4 pIIICI!!!II" .... lIlJd'l ;aa;.., deciIien .. ._..o!.. dIIlon u.- .... ~I\ ... lie ~ or........ -''' dtt __ . . ..." car -.II or ~ 0.-. The...... ~ ........, iIldudIIh prindOiI_"B"'~~*'IIIIIlIyiIIg;adioollils. ....._..... .iilll....SIIIlCifiCt..., (..r "-NlIer .. 0.& - ....:JIdS, lCasdin Neisetl o. 13400 MiaJri (5IJ\le1 (M.I) 33131 (2lp C_) HAMEOf~: (l.IIIl (AnI) 30'i-376-6047 Tl!t..fJtHOlIIE NllMIIfR: 305-376-6010 I'M NUMIlEll: nkasdin. aunster.com fMAll: L Lul8n5T........1IY: MOlinar Buildings. J.LC I Guy T. Mitchell IlAI4IE OF PRJ-=-.,<lJBIT: 600 Peachtree NE. *5200 Atlanta. BUSINESS NAME AND MlllltESS (NuINeJ' ;and Slrftt) ICily) GA (SC-l 30308 (Zip CadI) titJii Jjjj, fAX 1U'IIlfR: (~) 91AIJ.; ~ fl.eutaM-.~.. ~",_"",_T_[~Z~(~)] NNlE Of' 0fIEF OFfICER. PMTNER. OIl BEJIEI'ICL4IIl1": IDElIt1F\' Ml. PfllSONS HQtDIIIG. DJRECT\.Y OR PIDIIlKTLT. A S'lb OIl r<<:lRE QlllllNERSHIP IMTEIlfST 1Il5llOl COllI'ORATtON. PM11lER5H. OIllRUSf: D. SftaRC LDIaY"'" ~~tI . \55uI! ",~_(Doooi1M!in ~ (J1 tLuVu1 (LI-fn Wvl.PDYltnJ ptVl~ m CI1T ""'~,...vJIlUM51'O - UIMUD: Al ful-- .,.." -.u~.(Tllte alN/lf Flo4I1tf... F~ ar ~~ip ." , Dlc~06-04 11 :'1P1 Fru.-Troutlan Sandlrs, LLP + T-TZ8 P.004/004 F-693 . ,', "N. DI50 __ Of1lllMS MllJ AMOUIfTSOf ~YIS1'CCIMI'EN5A'11ON (DlSCLOSI W1tET1tI1l1101J1ltY, FL"'T /lATE OR OTHEII): ViM A) L08IMST DISC1.05IJ\f.: (It . . lid) 6) lllUJIICII'N. 'S D1SCUBlllf (Of L088YISl' CDI'll'EN5o'TION): (...........,. L::=.'- ...~...::::........aIllo_...... I__.......:-i ...~- . ft. --=__ PIlI5UIIlt 10 0.6...... .... 2.004-3435- . 1) ;;::::===~"';:"MaIri.-;:~~'~~.;.~-5 ~;~.MftI:.'~D'lDwY1~TeI!IlDC"- ~ :.;~~~::~~...::~-;..--=? ~ _' nentor_,,'...c-cr_aDl - $400.00 $400.00 Yes ~..::;:,.=: =~~,,:,"___.-+' ~~.:;:;2'=:~ 5 ~;::';;:::;:~OnRNI"-~~~": VB ~ ~~~;.'~~::.:::~~ -~~~;.:..u.....~nt:..:e:~.!'"'~- 2) 'I. 5JIlIUmIIII! UIIIlEK GA11I: ON ocrOBER 1St OF EMJt YPR, SOt I.08IIY1Sf 5tWL suBMIT TO lItE ern' CLERIC A SlGNm sn;11!f IBI1' UIIDI1l OATH, usmtG l.UI8YING EXJIf,NDIIURES, AS WBJ. AS ...... EN5A1JON RKDVED. 1111IR CITY OF MJMIII1 lEAat fOIl THE ..... ---= UI "--Ill YEAR. A srA1aeNT :::,::,,,:::"---"-r-- I do solemnly swear that all ~ l:he foregOIng facts are true and correct and that I hiwe read or am familiar with tile provisions contained. Seaiort 2.4182 ~ tile Miami Beach Oty COde and iU repDrtll19 requirements. /1 A SlgrnJtURI of I.,obbyist: ,VI Signal\Jl'l! d Prindpal/CIient; VI- -ProducedlD I'UIICJPlIL _ ufKAl'lOfI: ~ ID M 3.;1.. If-Ol 1 ,y. .j"'9 . '3.3'1-0 ram d ldenlillclltkln Formd~ (' PerfDn;IIIy knDwn (l Iltvist) vn. $IGNA1URE AND sr.. Of NOT_V: stale of FIcJrida, CountY 01 JIIIIami-I);Ide . ma 2Oli( -'I : Pef$OIIiII1y knOwn (PrindPlII' StatIl cI Aorlda. County of MiamH)ade 9wom .i!f1CI5UllSCri~ before me This...Ldatof ~ 2O~c/ , 4!si~k~ NYDIA R, MARTIN MY COMMISSION # DO 031308 EXPIRES: July 17.2005 Bonded Thru No!aiy Public Underwrlters ~ a\. ..... L .IuIlIcle ,~; ~ColI"'TT';-DOS_ ..,., ElIpinII AuguIt 27. 2001 AnnUal ~_'ee: ) V"" [ J No lobtlrt5t Il8gtSttaIicln Form rec:eM!d ..., veriIiod bv: R..._ 02110104 HC~.273~~ Paid