This record contains private information, which has been redacted from public viewing.
Record #: SO2011-5466   
Type: Ordinance Status: Passed
Intro date: 7/6/2011 Current Controlling Legislative Body: Committee on Zoning, Landmarks and Building Standards
Final action: 12/14/2011
Title: Zoning Reclassification Map No. 3-J at 3300-3320 W Chicago Ave, 800-920 N Spaulding Ave, 801-803 N Christiana Ave and 811-923 N Christiana Ave - App No. 17303
Sponsors: Misc. Transmittal
Topic: ZONING RECLASSIFICATIONS - Map No. 3-J
Attachments: 1. O2011-5466.pdf, 2. SO2011-5466.pdf
ORDINANCE
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. That Title 17 of the Municipal Code of Chicago, the Chicago Zoning Ordinance, is hereby amended by changing the current Ml-1 Limited Manufacturing/Business Park District symbols and indications as shown on Map No. 3-J in the area bounded by:
a line 966.32 feet north of and parallel to West Chicago Avenue; a line 133.97 feet east of and parallel to the centerline of vacated North Christiana Avenue; a line 999.89 feet north of and parallel to West Chicago Avenue; the Chicago, Milwaukee & St. Paul Railroad right-of-way; North Spaulding Avenue; West Chicago Avenue; a line 40 feet north of and parallel to West Chicago Avenue; a line 40 feet east of and parallel to North Christiana Avenue; a line 105 feet north of and parallel to West Chicago Avenue; and North Christiana Avenue; a line 944.85 north of and parallel to West Chicago Avenue; and a line 24 feet east of and parallel to the west right-of-way line of vacated North Christiana Avenue
to those of a CI -2 Neighborhood Commercial District.
SECTION 2. That Title 17 of the Municipal Code of Chicago, the Chicago Zoning Ordinance, is hereby amended by changing all of the CI-2 Neighborhood Commercial District symbols and indications as shown on Map No. 3-J in the area bounded by:
a line 966.32 feet north of and parallel to West Chicago Avenue; a line 133.97 feet east of and parallel to the centerline of vacated North Christiana Avenue; a line 999.89 feet north of and parallel to West Chicago Avenue; the Chicago, Milwaukee & St. Paul Railroad right-of-way; North Spaulding Avenue; West Chicago Avenue; a line 40 feet north of and parallel to West Chicago Avenue; a line 40 feet east of and parallel to North Christiana Avenue; a line 105 feet north of and parallel to West Chicago Avenue; and North Christiana Avenue; a line 944.85 north of and parallel to West Chicago Avenue; and a . line 24 feet east of and parallel to the west right-of-way line of vacated North Christiana Avenue
to those of Institutional Planned Development_, which is hereby established in the area above
described, subject to such use and bulk regulations as are set forth in the Plan of Development herewith attached and made a part thereof and to no others.
SECTION 3. This ordinance shall be in force and effect from and after its passage and due publication.
 
113 <>3
CITY OF CHICAGO ,     ' fJ^r OjA^r
APPLICATION FOR AN AMENDMENT TO "7" THE CHICAGO ZONING ORDINANCE
ADDRESS of the property'Applicant is seeking,to rezone: 3300-3320 West Chicago; 800-920 N.;Spaulding; 801-803 and 811-923 N. Christiana
Ward Number that property is located in: .27 _
APPLICANT   The Salvation Army  '' / _;_
ADDRESS 10 w- Algonquin Road       ' " "''    ■       CITY Des Plaines
STATE   IL ZIP CODE    60016_PHONE (312) 421-5753
EMAIL Merrill_Powers(ausc.Sa]^6}^CTEc^N   Captain Merrin Powerg
Is the applicant the owner of the property? YES__1 NO X_
If the applicant is not the owner of the property, please provide the following information regarding the owner and attach written authorization from the owner allowing the application to proceed.
OWNER  Suburban Bank & Trust T/U/T 12/1/98 #1133__
ADDRESS   ^901 S. Western Ave. _CITY Chicago _
STATE    IL ZIP CODE    60643_PHONE (312) 322-0955
EMAIL rdregerfrjregerlaw. com pERSQN   Mohammed Gheith c/o
attorney Robert Dreger If the Applicant/Owner of the property has obtained a lawyer as their representative for the rezoning, please provide the following information:
ATTORNEY  Scott Saef, Sidley Austin LLP
ADDRESS    One S. Dearborn_■
CITY chicaS°_STATE _ZIP CODE 60603_
PHONE (312) 853-4159    FAX (312) 853-7036      EMAIL ssaef(gsidley.com
 
6.
Ifthe applicant is a legal entity (Corporation, LLC, Partnership, etc.) please provide the names of all owners as disclosed on the Economic Disclosure Statements.
The Salvation Army, an Illinois corporation (no owners - not-for-profit
organization)
On what date did the owner acquire legal title to the subject property'.' 1992
Has the present owner previously rezoned this property1 If yes, when?
-No-:-
9. 10. II. 12.
Present Zoning District Ml-1
(Kinzie Industrial Corridor) Lot size in square feet (or dimensions)     219,070 s.f
Proposed Zoning District,
CI-2 and then to
institutional planned development
Current Use of the property   vacant industrial building/outdoor storage_
Reason for rezoning the property   Required planned development (institutional use greater than two acres)__
13. Describe the proposed use ofthe property after the rezoning. Indicate the number of dwelling units; number of parking spaces, approximate square footage of any commercial space; and height of the proposed building. (BE SPECIFIC)
Thp SalvflHrm Army's FrppHnm Cpntpr nf apprnximate!y 194,000 gross square feet, including a Corps Community Center, Harbor Light Program and Pathway Forward Program. Proposed height of the building not to exceed 60 feet and a minimum of 150 off-street parking spaces to be provided.
14. On Ivlay I4lh, 2007, the Chicago City Council passed the Affordable Requirements Ordinance (ARO) that requires on-site affordable housing units or a financial contribution if residential housing projects receive a zoning change under certain circumstances. Based on the lot size of the project in question and the proposed zoning classification, is this project subject to the Affordable Requirements Ordinance? (See Fact Sheet for more information)
YES
NO
 
COUNTY OF COOK STATE OF ILLINOIS
Bramwell E. Higgins_i being first duly sworn on oath, states that all of the above
statements and the statements contained in the documents submitted herewith are true and correct.
 
For Office Use Only
Date of Introduction:_____
File Number:.
Ward:
 
INSTITUTIONAL PLANNED DEVELOPMENT NO._
PLAN OF DEVELOPMENT
STATEMENTS
1. The area delineated herein as an Institutional Planned Development (the "Planned Development"), consists of approximately 219,070 square feet or 5.03 acres of real property depicted on the attached Planned Development Boundary and Property Line Map (the "Property"). The Property is owned or controlled by The Salvation Army, an Illinois corporation (the "Applicant").
2. All applicable official reviews, approvals or permits are required to be obtained by the Applicant.
3. The requirements, obligations and conditions contained within this Planned Development shall be binding upon the Applicant, its successors and assigns and, if different than the Applicant, the legal title holders and any ground lessors. All rights granted hereunder to the Applicant shall inure to the benefit of the Applicant's successors and assigns and, if different than the Applicant, the legal title holder and any ground lessors: Furthermore, pursuant to the . requirements of Section 17-8-0400 of the Chicago Zoning Ordinance, the Property shall, at the time applications for amendments, modifications or changes (administrative, legislative or otherwise) to this Planned Development are made, be under single ownership or under single designated control. Single designated control for purposes of this paragraph shall mean that any application to the City for any amendment to this Planned Development or any other modification or change thereto (administrative, legislative or otherwise) shall be made or authorized by the Applicant, its successors or assigns. The Applicant shall retain single
Applicant: The Salvation Army Date:       June 28, 2011
Address:   3300-3320 W. Chicago Avenue; 800-920 North Spaulding Avenue; 801-803 and . 81 1-923 North Christiana Avenue
 
designated control and shall be deemed to be the authorized party for any future amendment, modification or change until the Applicant shall designate in writing the party or parties authorized to make application for any future amendment, modification or change. Nothing herein shall prohibit or in any way restrict the alienation, sale or any transfer of all or any portion of the Property or any rights, interests or obligations therein.
4. This Planned Development consists of sixteen (16) Statements; a Bulk Regulations and Data Table; a Planned Development Boundary and Property Line Map; an Existing Land Use Map; an Existing Zoning Map; and the following plans prepared by Antunovich Associates dated June 28, 2011: Site Plan, Landscape Plans and Building Elevations. These and no other zoning controls shall apply to the Property. This Planned Development conforms to the intent and purpose of the Chicago Zoning Ordinance, Title 17 of the Municipal Code of Chicago, and all requirements thereof, and satisfies the established criteria for approval as a planned development.
5. The following uses are permitted in the Planned Development: Transitional residence; religious worship and assembly, community center, business, professional and administrative offices, medical service uses, recreation spaces, structures and facilities, education, food pantry, theater, day care, job training, food service, indoor and outdoor participant sports and recreation, wireless communication facilities, equipment storage and accessory uses. Any portion of the Property may be utilized on an interim basis for construction staging, the storage of construction material and parking for the various phases of development of the Property.
Applicant: The Salvation Army Date:       June 28, 2011
Address:   3300-3320 W. Chicago Avenue; 800-920 North Spaulding Avenue; 801-803 and 811 -923 North Christiana Avenue
 
6. On-premise business identification signs and temporary signs such as construction and marketing signs, on-premises and other necessary signs shall be permitted within this Institutional Planned Development subject to the review and approval of the Department of Housing and Economic Development. No off-premise signs are permitted within the Planned Development.
7. Closure of all or part of any public streets or alleys during demolition or construction shall be subject to the review and approval of the Chicago Department of Transportation. All work proposed in the Public Way must be designed and constructed in accordance with the Chicago Department of Transportation Construction Standards for Work in the Public Way and in compliance with the Municipal Code of the City of Chicago.
8. For purposes of floor area ratio (F.A.R.) calculations, the definitions in the Chicago Zoning Ordinance shall apply; provided, however, that, in addition to the other exclusions from the F.A.R. that are permitted by the Chicago Zoning Ordinance, all floor area devoted to mechanical equipment on the roof and mechanical uses in excess of 1,000 square feet in a single location shall not be included as floor area.
9. In addition to the maximum heights of the buildings and any appurtenance attached thereto prescribed in this Planned Development, the height of any improvements shall also be subject to height limitations as approved by the Federal Aviation Administration. For purposes of measuring building height, the Chicago Zoning Ordinance shall apply.
10. The City of Chicago established a Part II Review Fee in the amount of $0.25 per square feet for the total buildable square feet (floor area ratio). The Part II fee will be assessed by
Applicant: The Salvation Army Date:       June 28, 2011
Address:   3300-3320 W. Chicago Avenue; 800-920 North Spaulding Avenue; 801-803 and 811-923 North Christiana Avenue
 
the Department of Housing and Economic Development ("DHED") during the actual Part II Review. The fee as determined by DHED staff at the time is final and binding on the Applicant and must be paid to DHED prior to the issuance of any Part II approval.
11. Notwithstanding anything to the contrary in Section 17-13-0611 of the Chicago Zoning Ordinance, the terms, conditions and exhibits of this Planned Development may be modified administratively by the Commissioner of DHED upon the request of the Applicant and after a determination by the Commissioner that such a modification is minor, appropriate and consistent with the nature of the development ofthe Property contemplated herein. Any such modification shall be deemed a minor change in the Planned Development as contemplated by Section 17-13-0611 of the Chicago Zoning Ordinance.
12. The improvements on the Property shall be designed, constructed and maintained in substantial conformance with the plans described in Statement 4, and in accordance with the Parkway Tree Provisions of the Chicago Zoning Ordinance and corresponding regulations and guidelines.
13. The Applicant acknowledges that it is in the public interest to design, construct and maintain all buildings in a manner which promotes and maximizes the conservation of natural resources. The Applicant shall construct the building under the Leadership in Energy and Environmental Design (LEED) Green Building Rating System. The Applicant shall provide a vegetated ("green") roof of twenty-five (25%) of the building's net roof area. "Net roof area" is defined as total roof area minus any required perimeter setbacks, rooftop structures, and roof-mounted equipment.
Applicant: The Salvation Army Date:        June 28, 2011
Address:   3300-3320 W. Chicago Avenue; 800-920 North Spaulding Avenue; 801-803 and 81 1-923 North Christiana Avenue
 
14. The Applicant acknowledges that it is in the public interest to design, construct and maintain the project in a manner which promotes, enables, and maximizes universal access throughout the Property. Plans for all buildings and iniprovements on the property shall be reviewed and approved by the Mayor's Office for People with Disabilities ("MOPD") to ensure compliance with all applicable laws and regulations related to access for persons with disabilities and to promote the highest standard of accessibility. No building permit shall be issued by the Department of Buildings until the Director of MOPD has approved detailed construction drawings for each building or improvement proposed to be constructed pursuant to the permit.
15. The Applicant will comply with the Rules and Regulations for the Maintenance of Stockpiles promulgated by the Commissioner of the Department of Streets and Sanitation, the Commissioner ofthe Environment and the Commissioner of Buildings under Section 13-32-125 of the Municipal Code of Chicago or any other provision of that Code.
16. Unless substantial construction of the improvements contemplated on the Property by this Planned Development has commenced within six (6) years of the effective date hereof and unless completion of those improvements is thereafter diligently pursued, then this Planned Development shall expire and the zoning of the Property shall automatically revert to the Ml-1 district. This six (6) year period may be extended for up to one additional year if, before expiration ofthe six (6) year period, the Commissioner of Housing and Development determines that good cause for an extension is shown.
Applicant: The Salvation Army Date:       June 28, 2011
Address:   3300-3320 W. Chicago Avenue; 800-920 North Spaulding Avenue; 801-803 and 811 -923 North Christiana Avenue
 
INSTITUTIONAL PLANNED DEVELOPMENT NO.
PLAN OF DEVELOPMENT BULK REGULATIONS AND DATA TABLE
Net Site Area
Square Feet 219,070
Acres 5.03
Public Rights-of-Way Gross Site Area
59,161
278,23.1
.36
6.39
Maximum Permitted Floor Area Ratio:
Maximum Percent of Land Coverage:
Minimum Number of Parking Spaces:
Minimum Number of Off-Street Loading Spaces:
Minimum Building Setbacks:
Maximum Building Height:
% of net roof area holding vegetative roof system:
l-.O
In substantial conformity with Site Plan
150
In substantial conformity with Site Plan
6.0 feet
25%
Applicant: The Salvation Army Date:        June 28, 2011
Address:   3300-3320 W. Chicago Avenue; 800-920 North Spaulding Avenue; 801-803 and 811-923 North Christiana Avenue
 
 
Applicant: The Salvation Army
Address: 3300-3320 W. Chicago Avenue; 800-920 North Spaulding Avenue; 801-803 and 811.923 North Christiana Avenue
Date: June 28, 2011
 
 
 
1 STORY MULTI-TENANT COMMERCIAL PLAZA
N. SPAULDING AVENUE J_I_I_I_I_I_I_
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EXTENT OF PLANNED DEVELOPMENT
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1 ST RESID
 
 
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1 STORY COMMERCIAL
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1 STORY COMM.
1 STORY COMMERCIAL
2 STORY MIXED USE
3 STORY MIXED USE
1 STORY COMMERCIAL
 
The Salvation Army Freedom Center - Planned Development Exhibits_ B. Existing Land-Use Map
Applicant: The Salvation Army Date: June 28, 2011
Address: 3300-3320 W. Chicago Avenue; 800-920 North Spaulding Avenue; 801-803 and 811-923 North Christiana Avenue
 
 
The Salvation Army Freedom Center - Planned Development Exhibits__'  .  -_C. Existing Zoning Map
Applicant: The Salvation Army Date: June 28, 2011
Address: 3300-3320 W. Chicago Avenue; 800-920 North Spaulding Avenue; 801-803 and 811-923 North Christiana Avenue
 
 
The Salvation Army Freedom Center - Planned Development Exhibits
100 \±y D. Site P an
Applicant: The Salvation Army
Address: 3300-3320 W. Chicago Avenue; 800-920 North Spaulding Avenue; 801-803 and 811-923 North Christiana Avenue
Date: June 28, 2011
 
 
TOTAL GREEN ROOF AREA = 25% OF NET ROOF AREA LOT 3 - PARKING LANDSCAPE ORDINANCE STATISTICS
PARKING SURFACE AREA: LANDSCAPED AREA = 10% OF PARKING AREA LANDSCAPE AREA PROVIDED: 1 TREE /125 SF OF LANDSCAPED AREA: TREES PROVIDED:
51,324 SF 5,132.4 SF REQ 15,738 SF 41 TREES REQ. 59 TREES
LOT 2 - PARKING LANDSCAPE ORDINANCE STATISTICS_
PARKING SURFACE AREA: 20,440 SF
LANDSCAPED AREA = 7.5% OF PARKING AREA: 1,533 SF REQ. LANDSCAPE AREA PROVIDED: 8,573 SF
1 TREE / 125 SF OF LANDSCAPED AREA: 12 TREES REQ.
TREES PROVIDED: 22 TREES
The Salvation Army Freedom Center - Planned Development Exhibits
 
E1.Landscape P
Applicant: The Salvation Army
Address: 3300-3320 W. Chicago Avenue; 800-920 North Spaulding Avenue; 801-803 and 811-923 North Christiana Avenue
Date: June 28, 2011
 
 
TOTAL GREEN ROOF AREA = 25% OF NET ROOF AREA .
LOT 1 - PARKING LANDSCAPE ORDINANCE STATISTICS_
PARKING SURFACE AREA: 53,836 SF
LANDSCAPED AREA = 10% OF PARKING AREA: 5,383.6 SF REQ LANDSCAPE AREA PROVIDED: 14,909 SF
1 TREE/125 SF OF LANDSCAPED AREA: 43 TREES REQ.
TREES PROVIDED: 56 TREES
The Salvation Army Freedom Center - Planned Development Exhibits
15 60
E2. Landscape PI;
Applicant: The Salvation Army
Address: 3300-3320 W. Chicago Avenue; 800-920 North Spaulding Avenue; 801-803 and 811-923 North Christiana Avenue
Date: June 28, 2011
 
Formed metal pane! cornice. -
Feature tower of precast, glass and painted steel.
mo. m^jLn::;Q.:i;
Architectural precast with areas that include thin set brick.
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Main Reef Level 58'-6-
Prefinished aluminum storefront.
Architectural precast with areas that include thin set brick.
1st Floor Level
O'-O"
Main Roof Level
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Prefinished aluminum windows.
Prefinished aluminum doors.
1st Floor Level O'-O"
East Elevation
The Salvation Army Freedom Center - Planned Development Exhibits
10 40
F1. Building Elevations
Applicant: The Salvation Army
Address. 3300-3320 W. Chicago Avenue: 800-920 North Spaulding Avenue; 801-803 and 811-923 North Christiana Avenue
Date: June 28. 2011
 
Formed metal panel cornice. Architectural precast concrete to atelevator overruns.
 
Architectural precast with areas that include thin set brick.
Architectural precast concrete to conceal chiller and to house boilers. —.
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Main Roof Level 58-6'
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Prefinished aluminum windows.
Feature tower of precast, glass and painted steel.
Metal entrance canopy. —
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1st Floor Level
O'-O'
Main Roof Level
58:6*
Architectural precast with areas that include thin set brick.
Prefinished aluminum storefront.
Three 45'-CT flag poles.
Prefinished aluminum and glass entrance doors.
1st Floor Level
West Elevation
The Salvation Army Freedom Center - Planned Development Exhibits
F2. Building Elevations
Applicant: The Salvation Army ■
Address: 3300-3320 W. Chicago Avenue: 800-920 North Spaulding Avenue; 801-803 and 811-923 North Christiana Avenue
Date: June 28, 2011
 
I— Formed metal panel cornice.
Architectural precast concrete at elevator overruns and mechanical space
 
— Three 45'-0" flag poles. South Elevation
 
Architectural precast with areas that include thin set brick. -1
Prefinished aluminum storefront. Feature tower of precast, glass and painted steel.
Metal entrance canopy.
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Prefinished aluminum windows. North Elevation
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Prefinished aluminum and glass entrance doors.
Architectural precast with areas -that include thin set brick.
Main Roof Levei
' 58'-6'
1st Floor Level
Main Roof Level
58'-6"
1st Floor Level O'-O'
O feel _20
The Salvation Army Freedom Center - Planned Development Exhibits
10 40
F3. Building Elevations
Applicant: The Salvation Army
Address: 3300-3320 W. Chicago Avenue. 800-920 North Spaulding Avenue; 801-803 and 811-923 North Christiana Avenue
Date. June 28. 2011
 
 
The Salvation Army
DOING THE MOST GOOD
Founded in 1865 by William and Catherine Booth
Metropolitan Division
Linda Bond General
Paul R Seller Territorial Commander
Ralph Bukiewicz
Dear Neighbor:
I am excited to let you know that The Salvation Army is proposing to build a new campus known as the Freedom Center on a parcel of land located in between North Spaulding Avenue and North Christiana Avenue south of the Metra commuter rail line and north of Chicago Avenue (a map of our project location, to be called the "Property," is provided for your reference on the reverse side of this letter). This parcel corresponds to the following common street addresses: 3300-3320 W. Chicago Avenue; 800-920 North Spaulding Avenue; 801-803 and 811-923 North Christiana Avenue.
Our Freedom Center project will house under one roof a Corps Community Center providing community, youth and church activities, a residential inpatient and outpatient substance abuse treatment center known as The Harbor Light Center and the Pathway Forward Program, a community integration residential halfway house program for individuals who have been previously incarcerated. Our campus, in addition to providing chaplaincy services, case management and life skill program services for program participants, will offer a variety of services to community residents, including job and computer training, a medical clinic, social services, a food pantry, classes and recreational and youth programming.
In order to develop this project, The Salvation Army will be filing an application seeking to rezone the property from the current M1-1 zoning district to the C1-2 zoning district and then to an Institutional Planned Development. We are not seeking to rezone or purchase your property. We are required by Section 17-03-0107 of the Chicago Zoning Ordinance to send this notice to you because you own property within 250 feet of the Property to be rezoned. We intend to file our application for rezoning and planned development on or prior to June 28, 2011.
The Salvation Army is located at 10 West Algonquin Road, Des Plaines, Illinois. We are not the current owner ofthe Property. As of today, this Property is owned by Suburban Bank and Trust, Trustee under Trust No. 1133 dated December 1, 1998. The Trustee is located at 9901 South Western Avenue, Chicago, Illinois 60643.
We are more than happy to answer any questions about the proposed Freedom Center campus or our rezoning application. Please feel free to call Captain Merrill Powers at (312) 421-5753 or email him at Merrill_powers@usc.salvationarmy.org. You should also feel free to call our zoning attorney, Scott Saef of Sidley Austin LLP, (312) 853-4159, ssaef^sidley.com.
We look forward to becoming a part of your neighborhood.
Lt. Colonel
Divisional Commander
June 28, 2011
 
Ralph Bukiewicz Lt. Colonel
Divisional Commander
5040 North Pulaski Road   |   Chicago, Illinois 60630-2788   |   p: 773.725.1100   |   f: 773.725.2822   | www.salarmychicago.org
 
 
 
"WRITTEN NOTICE". FORM OF AFFIDAVIT (Section 17-13-0107)
June 28. 201 1
Honorable Daniel S. Solis Chairman, Committee on Zoning 121 North LaSalle Street Room 304, City Hall Chicago, Illinois 60602
The undersigned, Scott E. Saef, being first duly sworn on oath, deposes and states the following:
The undersigned certifies that he has complied with the requirements of Section 17-13-0107 of the Chicago Zoning Ordinance, by sending written notice to such property owners who appear to be the owners of the property within the subject area not solely owned by the applicant, and to the owners of all property within 250 feet in each direction of the lot line of the subject property, exclusive of public roads, streets, alleys and other public ways, or generally a total distance limited to 400 feet. Said "written notice" was sent by First Class U.S. Mail, no more than 30 days before filing the application.
The undersigned certifies that the notice contained the address of the property sought to be rezoned; a statement of the intended use of the property; the name and address of the applicant; / the name and address of the owner; and a statement that the applicant intends to file the application for a change in zoning on approximately June 28, 2011.
The undersigned certifies that the applicant has made a bona fide effort to determine the addresses of the parties to be notified under Section 17-13-0107 of the Chicago Zoning Ordinance, and that the accompanying list of names and addresses of surrounding property owners within 250 feet of the subject site is a complete list containing the names and addresses of the people required to be served.
 
Subscribed and Sworn to before me this 28th day of June 2011.
 
Notary Public
 
 
To whom it may concern;
I, Bramwell E. Higgins. on behalf of The Salvation Army, an Illinois corporation. Applicant for property located at 816 N. Spaulding/3300 West Chicago Ave. Chicago, IL, authorizes Sidley Austin LLP to file an Institutional Planned Development Application with the City of Chicago for that property.
 
Secretary
 
FORM OF AFFIDAVIT
Chairman, Committee on Zoning Room 304 - City Hall Chicago, IL 60602
To Whom It May Concern:
I, Bramwell E, Higgins on behalf of The Salvation Army, an Illinois corporation, understand that Sidley Austin LLP has filed a statement identifying The Salvation Army, an Illinois corporation as an Applicant holding an interest in land subject to the proposed Institutional Planned Development application for the property identified as 816 N. Spaulding/3300 West Chicago Avenue, Chicago, IL.
I. Bramwell E. Higgins, on behalf of The Salvation Army, an Illinois corporation. being first duly sworn oath, depose and say that The Salvation Army, an Illinois corporation, holds that interest for itself and no other person, association, or shareholder.
 
By: Bramwell E. Higgins Secretary
Subscribed and Sworn to before me this 27thday of June 2011
Janet F. Guht/er Nota/yPublic
 
 
To whom it may concern:
I, Mohammed Gheith, am the sole beneficial owner of a Land Trust dated December 11, 1998 held as Trustee by Suburban Bank and Trust (the "Trust"). The Trust owns the property commonly known as 3300-3320 West Chicago Avenue, 800-920 N. Spaulding Avenue and 801-803 and 811-923 N. Christiana Avenue (the "Property"). The Trust has entered into a contract to sell the Property to The Salvation Army, an Illinois corporation. I hereby authorize Sidley Austin LLP on behalf of The Salvation Army to file an application for approval of a planned development affecting the Property. Please note that I hold my interest in the Property exactly as specified and for no other person or entity
Name: Date:
SUBSCRIBED and SWORN to before me this T^day of June 2011.
 
My Commission expires:
v 1 2,3 \ w
 
CITY OF CHICAGO - ,. ' '
ECONOMIC DISCLOSURE STATEMENT • '      "   AND AFFIDAVIT " '," '
SECTION I--GENERAL INFORMATION
A. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/if applicable: The Salvation Army, an Illinois corporation
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS; is:
1. fXj the Applicant
0R    ' . •       •'-.■■•■■.:     • •: ■' ■.
2. [ ] a legal entity holding a direct or indirect interest in the Applicant. State the legal name of the Applicant in which the Disclosing Party holds an interest:____: - , :-:__v_■   ' "
■ '.or : /. v.- -. , ; '   ■■  .,. ~~~
3. [ ] a legal entity with a right of control (see Section II.B. 1.) State the legal name of the entity in which the Disclosing Party holds a right of control: ._ ■' ;.r
B. Business address ofthe Disclosing Party:        10 W. Algonquin Road __.-.  ,,  ■'. .
. . Pes Plaines, IL .60016 _'       ■ 
. C felephone; (312) 853-4159      Fax: (312) 853-7036 ■■ - .    Email: ssaefCgsidley .com .
D. Name of contact person:  Scott Saef, Sidley Austin LLP
E. Federal Employer Identification No. (if you have one): 36-2167910     . .__
F. Brief description of contract, transaction or other undertaking (referred to below as the "Matter") to which this EDS pertains. (Include project number a>hd location of property, if applicable):
Planned Development application - 3300-3320 -W. Chicago Avenue; 800-920 North Spauldin Avenue; 801-803 and 811-923 North Christiana Avenue
G. Which City agency or department is requesting this EDS?     DHED_______.__^__^___
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:      . . . • .  ,. -     .   -■
Specification ?;        ,   ■ ■'      :. ' -     '■" :   ■.     and Contract #______,     -    ''. ■-
Ver. 09-01-10
Page 1 of i3
 
SECTION II ~ DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY 1.   Indicate the nature of the Disclosing Party:
Person [ ]
Publicly registered business corporation [ ]
Privately held business corporation [ ]
Sole proprietorship [X]
General partnership (Is Limited partnership
Trust [ J
Limited liability company Limited liability partnership Joint venture
Not-for-profit corporation
the not-for-profit corporation also a 501(c)(3))?
IX] Yes [ ] No
Other (please specify)
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable Illinois
3. For legal entities not organized in the State oflllinois: Has the organization registered to do business in the State oflllinois as a foreign entity?
[ ] Yes [ ] No (X] N/A
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1.   List below the full names and titles of all executive officers and all directors of the entity. NOTE: For not-for-profit corporations, also list below all members, if any, which are legal entities. If there are no such members, write "no members." For trusts, estates or other similar entities, list below the legal titleholder(s).
Ifthe entity is a general partnership, limited partnership, limited liability company, limited liability partnership or joint venture, list below the name and title of each general partner, managing member, manager or any other person or entity that controls the day-to-day management of the Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Name Title See attached for officers and directors
2.   Please provide the following information concerning each person or entity having a direct or indirect beneficial interest (including ownership) in excess of 7.5% of the Disclosing Party. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture,
Page 2 of 13
 
BOARD OF TRUSTEES
CHAIRMAN OF THE BOARD
WILLIAM A. ROBERTS
PRESIDENT
PAUL R. SEILER
VICE PRESIDENT
MERLE HEATWOLE
TREASURER SECRETARY ASSIST. TREASURER ASSIST. SECRETARY TRUSTEE TRUSTEE
RICHARD AMICK
BRAMWELL E. HIGGINS
E. RANDALL POLSLEY
JEFFREY J. SMITH
RICHARD VANDER WEELE
JAMES HOSKIN
 
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.
Name Business Address Percentage Interest in the
Disclosing Party
None
SECTION III — BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-1 56 of the Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
[ ] Yes ' PQ No
If yes, please identify below the name(s) of such City elected offic ial(s) and describe such relationship(s):
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount ofthe fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll.
"Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action.
If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
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Name (indicate whether Business retained or anticipated Address to be retained)
Relationship to Disclosing Party (subcontractor, attorney, lobbyist, etc.)
Fees (indicate whether paid or estimated.) NOTE: "hourly rate" or "t.b.d." is not an acceptable response.
see attached
(Add sheets if necessary)
[ ] Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V.-CERTIFICATIONS
A. COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
[ ] Yes
] No [X] No person directly or indirectly owns I 0% or more of the
Disclosing Party.
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
[ ] Yes
] No
B. FURTHER CERTIFICATIONS
1.   Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), ifthe Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party, certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee ofthe City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
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LOBBYIST AND CONSULTANT PARTIES RETAINED DIRECTLY BY APPLICANT
Name
Antunovich Associates
Sidley Austin LLP International Facilities Group
Business Address
Suite 7 East 224 West Huron Chicago, Illinois 60610
One South .Dearborn Chicago, Illinois 60603
105 S. Adams, Suite 2700 Chicago, Illinois 60603
Relationship Architect
Attorneys Owners Rep.
Fees $20,000
$30,000 $5,000
Approximate fees based on estimated time expended or to be expended in meetings with City of Chicago representatives or public hearings.
 
2. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B. 1. of this EDS:
a. are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from any transactions by any federal, state or local unit of government;
b. have not, within a five-year period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft; forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen property;
c. are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any ofthe offenses set forth in clause B.2.b. of this Section V;
d. have not, within a five-year period preceding the date of this EDS, had one or more public transactions (federal, state or local) terminated for cause or default; and
e. have not, within a five-year period preceding the date of this EDS, been convicted, adjudged guilty, or found liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
3. The certifications in subparts 3, 4 and 5 concern:
• the Disclosing Party;
• any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
• any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
• any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of 13
 
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, during the five years before the date this EDS is signed, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the five years before the date of such Contractor's or Affiliated Entity's contract or engagement in connection with the Matter:
bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee of the City, the State of Illinois, or any agency of the federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
made an admission of such conduct described in a. or b. above that is a matter of record, but have not been prosecuted for such conduct; or
violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
Neither the Disclosing Party, Affiliated Entity or Contractor, or any of their employees, officials, agents or partners, is barred from contracting with any unit of state or local government as a result of engaging in or being convicted of (1) bid-rigging in violation of720 ILCS 5/33E-3; (2) bid-rotating in violation of 720 ILCS 5/33E-4; or (3) any similar offense of any state or of the United States of America that contains the same elements as the offense of bid-rigging or bid-rotating.
5. Neither the Disclosing Party nor any Affiliated Entity is listed on any ofthe following lists maintained by the Office of Foreign Assets Control of the U.S. Department of the Treasury or the Bureau of Industry and Security of the U.S. Department of Commerce or their successors: the Specially Designated Nationals List, the Denied Persons List, the Unverified List, the Entity List and the Debarred List.
6. The Disclosing Party understands and shall comply with the applicable requirements of Chapters 2-55 (Legislative Inspector General), 2-56 (Inspector General) and 2-156 (Governmental Ethics) of the Municipal Code.
7. If the Disclosing Party is unable to certify to any of the above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
Page 6 of 13
 
Ifthe letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
1. The Disclosing Party certifies that the Disclosing Party (check one) I ] is [X] is not .
a "financial institution" as defined in Section 2-32-455(b) ofthe Municipal Code.
2. Ifthe Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in Chapter 2-32 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-455(b) of the Municipal Code) is a predatory lender within the meaning of Chapter 2-32 ofthe Municipal Code, explain here (attach additional pages if necessary):
If the letters "N A," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-1 56 of the Municipal Code have the same meanings when used in this Part D.
1.   In accordance with Section 2-156-1 10 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[ ] Yes m No
NOTE: If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
Page 7 of 13
 
2. Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City elected official or employee shall have a financial interest in his or her own name or in the name of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit of the City (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not constitute a Financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
[ ] Yes p(j No
3. If you checked "Yes" to Item D.l., provide the names and business addresses ofthe City officials or employees having such interest and identify the nature of such interest:
Name Business Address Nature of Interest
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Party must disclose below or in an attachment to this EDS all information required by paragraph 2. Failure, to comply with these disclosure requirements may make any contract entered into with the City in . connection with the Matter voidable by the City.
X   1. The Disclosing Party verifies that the Disclosing Party has searched any and all records of the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records.
__2. The Disclosing Party verifies that, as a result of conducting the search in step 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
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SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE. If the Matter is federally funded, complete this Section VI. Ifthe Matter is not federally funded, proceed to Section VII. For purposes of this Section VI, tax credits allocated by the City and proceeds of debt obligations of the City are not federal funding.
A. CERTIFICATION REGARDING LOBBYING
1.   List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any.person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an'officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
3. The Disclosing Party will submit an updated certification at the end of each calendar quarter in which there occurs any event that materially affects the accuracy ofthe statements and information set forth in paragraphs A. 1. and A.2. above.
4. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) ofthe Internal Revenue Code of 1986; or (ii) it is an organization described in section
501 (c)(4) of the Internal Revenue Code of 1 986 but has not engaged and will not engage in "Lobbying Activities".
5. Ifthe Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A.l. through A.4. above from all subcontractors before it awards any subcontract and the Disclosing Party must maintain all such subcontractors' certifications for the duration ofthe Matter and must make such certifications promptly available to the City upon request.
Page 9 of 13
 
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
Ifthe Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
Is the Disclosing Party the Applicant?
[]Yes [ ] No
If "Yes," answer the three questions below:
1. Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
[ ] Yes t J No
2. Have you filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements?
[ ] Yes [ ] No
3. Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[ ] Yes []No
If you checked "No" to question 1. or 2. above, please provide an explanation:
SECTION VII - ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE
The Disclosing Party understands and agrees that:
A. The certifications, disclosures, and acknowledgments contained in this EDS will become part of any contract or other agreement between the Applicant and the City in connection with the Matter, whether procurement, City assistance, or other City action, and are material inducements to the City's execution of any contract or taking other action with respect to the Matter. The Disclosing Party understands that it must comply with all statutes, ordinances, and regulations on which this EDS is based.
B. The City's Governmental Ethics and Campaign Financing Ordinances, Chapters 2-156 and 2-164 of the Municipal Code, impose certain duties and obligations on persons or entities seeking City contracts, work, business, or transactions. The full text of these ordinances and a training program is available on line at www.cityofchicago.org/Ethics, and may also be obtained from the City's Board of Ethics, 740 N.
Page 10 of 13
 
Sedgwick St., Suite 500, Chicago, IL 60610, (312) 744-9660. The Disclosing Party must comply fully with the applicable ordinances.
C. Ifthe City determines that any information provided in this EDS is false, incomplete or inaccurate, any contract or other agreement in connection with which it is submitted may be rescinded or be void or voidable, and the City may pursue any remedies under the contract or agreement (if not rescinded or void), at law, or in equity, including terminating the Disclosing Party's participation in the Matter and/or declining to allow the Disclosing Party to participate in other transactions with the City. Remedies at law for a false statement of material fact may include incarceration and an award to the City of treble damages.
D. It is the City's policy to make this document available to the public on its Internet site and/or upon request. Some or all of the information provided on this EDS and any attachments to this EDS may be made available to the public on the Internet, in response to a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against trie City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
E. The information provided in this EDS must be kept current. In the event of changes, the Disclosing Party must supplement this EDS up to the time the City takes action on the Matter. Ifthe Matter is a contract being handled by the City's Department of Procurement Services, the Disclosing Party must update this EDS as the contract requires. NOTE: With respect to Matters subject to Article I of Chapter 1-23 ofthe Municipal Code (imposing PERMANENT INELIGIBILITY for certain specified offenses), the information provided herein regarding eligibility must be kept current for a longer period, as required by Chapter 1-23 and Section 2-1 54-020 of the Municipal Code.
The Disclosing Party represents and warrants that:
F. l.    The Disclosing Party is not delinquent in the payment of any tax administered by the Illinois Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
F.2     If the Disclosing Party is the Applicant, the Disclosing Party and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
F.3     If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F. 1. and F.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
Page 11 of 13
 
NOTE: If the Disclosing Party cannot certify as to any of the items in F. 1., F.2. or F.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) are true, accurate and complete as of the date furnished to the City.
The Salvation Army,
an Illinois corporation
(Print or type
 
(Sign here)
Bramwell E. Higgins
(Print or type name of person signing)
Secretary______
(Print or type title of person signing)
Signed and sworn to before me on (date) June 27, 2011 at     Cook____ County,       IL_(state).
Notary Public.
 
Jane£ F. Guntfr Commission expires:_11/16/14
OFFICIAL SEAL JANET F GUNTER
NOTARY PUBLIC - STATE OF ILLINOIS MY COMMISSION EXPIRES:11/16/14
Page 12 of 13
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5 percent. It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Under Municipal Code Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as ofthe date this EDS is signed, the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof is related to the mayor, any alderman, the city clerk, the city treasurer or any city department head as spouse or domestic partner or as any ofthe following, whether by blood or adoption: parent, child, brother or sister, aunt or uncle, niece or nephew, grandparent, grandchild, father-in-law, mother-in-law, son-in-law, daughter-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.
"Applicable Party" means (1) all executive officers of the Disclosing Party listed in Section II.B. 1 a., if the Disclosing Party is a corporation; all partners ofthe Disclosing Party, ifthe Disclosing Party is a general partnership; all general partners and limited partners ofthe Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members ofthe Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
[ ] Yes LX] No
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION 1 - GENERAL INFORMATION
A. Legal name ofthe Disclosing Party submitting this EDS. Include d/b/a/ if applicable: Mohammed Gheith, as sole beneficial owner of Land Trust 1133 dated December 1, 1998, held as Trustee by Suburban Bank and Trust Company
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
1. [XJ the Applicant
OR
2. [] a legal entity holding a direct or indirect interest in the Applicant. State the legal name of the Applicant in which the Disclosing Party holds an interest:__________
OR
3. [ ] a legal entity with a right of control (see Section II.B.l.) Slate the legal name of the entity in which the Disclosing Party holds a right of control:_________
B. Business address of the Disclosing Party:      816 N. Spaulding___________
Chicago, IL 60651__________
C. Telephone: (312) 322-0955      Fax: (312) 322-0575 __Email: rdreger@dregerlaw.com
D. Name of contact person:_Robert Dreger, attorney___
E. Federal Employer Identification No. (if you have one): N/A____
F. Brief description of contract, transaction or other undertaking (referred to below as the "Matter") to which this EDS pertains. (Include project number and location of property, if applicable):
Planned development application - 3300-3320 W. Chicago; 800-920 N. Spaulding; 801-803 and 811-923 N. Christiana
G. Which City agency or department is requesting this EDS? DHED____________________
Ifthe Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification ft________________and Contract ft_____
Ver. 09-01-10
Page 1 of 13
 
SECTION II - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY
1.   Indicate the nature ofthe Disclosing Party:
fXJ Person [
[ ] Publicly registered business corporation [
[ ] Privately held business corporation [
[ J Sole proprietorship [
[ ] General partnership (I [ ] Limited partnership
[ ] Trust [
[ ] Limited liability company [] Limited liability partnership [ ] Joint venture [ ] Not-for-profit corporation
(Is the not-for-profit corporation also a 501(c)(3))?
[]Yes [JNo [ ] Other (please specify)
2.   For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
3. For legal entities not organized in the State of Illinois: Has the organization registered to do business in the State oflllinois as a foreign entity?
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1.   List below the full names and titles of all executive officers and all directors ofthe entity. NOTE: For not-for-profit corporations, also list below all members, if any, which are legal entities. If there are no such members, write "no members." For trusts, estates or other similar entities, list below the legal titleholder(s).
Ifthe entity is a general partnership, limited partnership, limited liability company, limited liability partnership or joint venture, list below the name and title of each general partner, managing member, manager or any other person or entity that controls the day-to-day management of the Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Name Title
2.   Please provide the following information concerning each person or entity having a direct or indirect beneficial interest (including ownership) in excess of 7.5% of the Disclosing Party. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture,
I ] Yes
[ ]No
I ] N/'A
N/A
Page 2 of 13
 
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.
Name Business Address Percentage Interest in the
Disclosing Party
SECTION III - BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-1 56 of the Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
[ ] Yes fX] No
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s):
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature ofthe relationship, and the total amount ofthe fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll.
"Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action.
If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
Page 3 of 13
 
Name (indicate whether     Business      Relationship to Disclosing Party   Fees (indicate whether retained or anticipated       Address       (subcontractor, attorney, paid or estimated.) NOTE:
to be retained) lobbyist, etc.) "hourly rate" or "t.b.d." is
not an acceptable response.
None retained
(Add sheets if necessary)
[ ] Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V -CERTIFICATIONS
A. COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-4 15, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
[ ] Yes [ ] No [X) No person directly or indirectly owns 10% or more ofthe
Disclosing Party.
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
IJYes (] No
B. FURTHER CERTIFICATIONS
1.   Pursuant to Municipal Code Chapter 1 -23, Article I ("Article l")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), ifthe Disclosing Parly submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee ofthe City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
Page 4 of 13
 
2. The Disclosing Party and, ifthe Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B. I. of this EDS:
a. are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from any transactions by any federal, state or local unit of government;
b. have not, within a five-year period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft; forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen property;
c. are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any ofthe offenses set forth in clause B.2.b. of this Section V;
d. have not, within a five-year period preceding the date of this EDS, had one or more public transactions (federal, state or local) terminated for cause or default; and
e. have not, within a five-year period preceding the date of this EDS, been convicted, adjudged guilty, or found liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
3. The certifications in subparts 3, 4 and 5 concern:
• the Disclosing Party;
• any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
• any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
• any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee ofthe Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official ofthe Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of 13
 
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, during the five years before the date this EDS is signed, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the five years before the date of such Contractor's or Affiliated Entity's contract or engagement in connection with the Matter:
a. bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee of the City, the State of Illinois, or any agency of the federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
b. agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
c. made an admission of such conduct described in a. or b. above that is a matter of record, but have not been prosecuted for such conduct; or
d. violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
4. Neither the Disclosing Party, Affiliated Entity or Contractor, or any of their employees, officials, agents or partners, is barred from contracting with any unit of state or local government as a result of engaging in or being convicted of (I) bid-rigging in violation of 720 ILCS 5/33E-3; (2) bid-rotating in violation of 720 ILCS 5/33E-4; or (3) any similar offense of any state or ofthe United States of America that contains the same elements as the offense of bid-rigging or bid-rotating.
5. Neither the Disclosing Party nor any Affiliated Entity is listed on any of the following lists maintained by the Office of Foreign Assets Control of the U.S. Department ofthe Treasury or the Bureau of Industry and Security ofthe U.S. Department of Commerce or their successors: the Specially Designated Nationals List, the Denied Persons List, the Unverified List, the Entity List and the Debarred List.
6. The Disclosing Party understands and shall comply with the applicable requirements of Chapters 2-55 (Legislative Inspector General), 2-56 (Inspector General) and 2-156 (Governmental Ethics) of the Municipal Code.
7. If the Disclosing Party is unable to certify to any of the above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
see attached statement
Page 6 of 13
 
Ifthe letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
C, CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
1. The Disclosing Party certifies that the Disclosing Party (check one) [ ] is [X] is not
a "financial institution" as defined in Section 2-32-455(b) ofthe Municipal Code.
2. Ifthe Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in Chapter 2-32 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 ofthe Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-455(b) ofthe Municipal Code) is a predatory lender within the meaning of Chapter 2-32 ofthe Municipal Code, explain here (attach additional pages if necessary):
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
I.   In accordance with Section 2-1 56-1 10 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[ ] Yes [Xj No
NOTE: If you checked "Yes" to Item D.L, proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
Page 7 of 13
 
2. Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City elected official or employee shall have a financial interest in his or her own name or in the name of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit of the City (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
[ ] Yes pq No
3. If you checked "Yes" to Item D.l., provide the names and business addresses ofthe City officials or employees having such interest and identify the nature of such interest:
Name Business Address Nature of Interest
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Party must disclose below or in an attachment to this EDS all information required by paragraph 2. Failure to comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City.
X   I. The Disclosing Party verifies that the Disclosing Party has searched any and all records of the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records.
___2. The Disclosing Party verifies that, as a result of conducting the search in step 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
Page 8 of 13
 
SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: Ifthe Matter is federally funded, complete this Section VI. If the Matter is not federally funded, proceed to Section VII. For purposes of this Section VI, tax credits allocated by the City and proceeds of debt obligations of the City are not federal funding.
A. CERTIFICATION REGARDING LOBBYING
I.   List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf ofthe Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A. I. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
3. The Disclosing Party will submit an updated certification at the end of each calendar quarter in which there occurs any event that materially affects the accuracy of the statements and information set forth in paragraphs A.l. and A.2. above.
4. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) ofthe Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
5. Ifthe Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A.l. through A.4. above from all subcontractors before it awards any subcontract and the Disclosing Party must maintain all such subcontractors' certifications for the duration of the Matter and must make such certifications promptly available to the City upon request.
Page 9 of 13
 
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
Ifthe Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations.
Is the Disclosing Party the Applicant?
[]Yes []No If "Yes," answer the three questions below:
1. Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
f ] Yes [ ] No
2. Have you filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements?
[ ] Yes [ ] No
3. Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[ ] Yes [ ] No
If you checked "No" to question 1. or 2. above, please provide an explanation:
SECTION VII - ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE
The Disclosing Party understands and agrees that:
A. The certifications, disclosures, and acknowledgments contained in this EDS will become part of any contract or other agreement between the Applicant and the City in connection with the Matter, whether procurement, City assistance, or other City action, and are material inducements to the City's execution of any contract or taking other action with respect to the Matter. The Disclosing Party understands that it must comply with all statutes, ordinances, and regulations on which this EDS is based.
B. The City's Governmental Ethics and Campaign Financing Ordinances, Chapters 2-156 and 2-164 of the Municipal Code, impose certain duties and obligations on persons or entities seeking City contracts, work, business, or transactions. The full text of these ordinances and a training program is available on line at www.cityofchicago.org/Ethics, and may also be obtained from the City's Board of Ethics, 740 N.
Page 10 of 13
 
Sedgwick St., Suite 500, Chicago, IL 60610, (312) 744-9660. The Disclosing Party must comply fully with the applicable ordinances.
C. If the City determines that any information provided in this EDS is false, incomplete or inaccurate, any contract or other agreement in connection with which it is submitted may be rescinded or be void or voidable, and the City may pursue any remedies under the contract or agreement (if not rescinded or void), at law, or in equity, including terminating the Disclosing Party's participation in the Matter and/or declining to allow the Disclosing Party to participate in other transactions with the City. Remedies at law for a false statement of material fact may include incarceration and an award to the City of treble damages.
D. It is the City's policy to make this document available to the public on its Internet site and/or upon request. Some or all of the information provided on this EDS and any attachments to this EDS may be made available to the public on the Internet, in response to a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against tne City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
E. The information provided in this EDS must be kept current. In the event of changes, the Disclosing Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a contract being handled by the City's Department of Procurement Services, the Disclosing Party must update this EDS as the contract requires. NOTE: With respect to Matters subject to Article 1 of Chapter I -23 of the Municipal Code (imposing PERMANENT INELIGIBILITY for certain specified offenses), the information provided herein regarding eligibility must be kept current for a longer period, as required by Chapter 1-23 and Section 2-154-020 ofthe Municipal Code.
The Disclosing Party represents and warrants that:
F. I.    The Disclosing Party is not delinquent in the payment of any lax administered by the Illinois Department of Revenue, nor are the Disclosing Party or its Affdiated Entities delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
F.2     If the Disclosing Party is the Applicant, the Disclosing Party and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
F.3     Ifthe Disclosing Party is the Applicant, the Disclosing Party will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F. I. and F.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
Page 11 of 13
 
NOTE: Ifthe Disclosing Party cannot certify as to any of the items in F.L, F.2. or F.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalf ofthe Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) are true, accurate and complete as of the date furnished to the City.
__//V^av^wed C?V\e.rVv\_
(Print or type name of Disclosing Party)
 
(Print or type name of person signing)
(Print or type title of person signing)
Signed and sworn to before mc on (date) «J la^c 11 2*>\\ at   Cie>o\c C ounty,
> Vw>ys (state).
 
Commission expires:
*f-Z3)\2-
 
Page 12 of 13
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.S percent. It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Under Municipal Code Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as ofthe date this EDS is signed, the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof is related to the mayor, any alderman, the city clerk, the city treasurer or any city department head as spouse or domestic partner or as any ofthe following, whether by blood or adoption: parent, child, brother or sister, aunt or uncle, niece or nephew, grandparent, grandchild, father-in-law, mother-in-law, son-in-law, daughter-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.
"Applicable Party" means (1) all executive officers ofthe Disclosing Party listed in Section II.B.l.a., ifthe Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners ofthe Disclosing Party, ifthe Disclosing Party is a limited partnership; all managers, managing members and members ofthe Disclosing Party, ifthe Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
[ ] Yes [X] No
If yes, please identify below (1) the name and title of such person, (2) the name ofthe legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
Page 13 of 13
 
Question V-B-7:
The Disclosing Party has pled guilty to one count of transporting hazardous waste without a waste manifest (from a property at 6755 West 65th Street, Bedford Park, Illinois to a property located at 6150 West 65th Street, Chicago, Illinois). See Docket 07-CR 128-1 (United States of America v. Mohammed Gheith), United State District Court Northern District oflllinois, Eastern Division. The Disclosing Party has been sentenced to two years probation in connection with this case.
 
CTLAT OF
THE SAL.VA
FREEOOfl
PART OF THE EAST HALF OF THE SOUTHE NORTH, RANGE 13. EAST OF THE THIRD PRI
 
 
RVEY
DIM ARMY
ENTER
RTER OF SECTION 2, TOWNSHIP 39 ERIDIAN, IN COOK COUNTY, ILLINOIS.
 
 
 
 
 
 
 
BASIS OF BEARINGS
ASSUMED THE NORTH RIGHT OF WAY LINE OF W. CHICAGO AVENUE TO BE: S89-40'54"W 230.87'
LEGEND
- 0 FOUND £»SK IN CONCRETE
• FBD FOUND BRASS DISC
SECTION CORNER g] FOUND ROW MARKER
O FIR FOUND RON ROD
OFRS FOUND RAILROAD SPIKE QUARTER SECTION CORNER „„ ..
OFPK FOUND PK NAB.
oorortJTY iiuc OFMC FOUND MAG NAIL
 
 
 
APPROXIMATE LOCATION OF LEASE PROPERTY PER LEASE DOCUMENT WITH T—MOBILE (DIMENSIONS NOT GIVEN)
 
PARCEL
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Engineers Scientists Surveyors
7325 Janes Avenue, Suite 100 Woodridge, IL 60517 630.724.9200 voice 630.724.0384 fax v3co.com
PREPARED FOR:
THE SALVATION ARMY METROPOLITAN DIVISION
5040 N. PULASKI ROAD CHICAGO, IL, 60630-2788 312-376-3882
NO.
DATE
6/23/2011
RE
DE
REVISED BOUN
 
 
if ^
EXtSTINC RIGHT-OF-WAY UNE PROPOSED RIGHT-OF-WAY UNE EXISTING LOT UNE PROPOSED LOT UNE EX. * PRO. CENTERLINE EXISTING EASEMENT UNE PROPOSED EASEMENT UNE EX * PRO. BULDMC SETBACK UNE SECTION UNE
+FCC FOUND CUT CROSS
O HP FOUND IRON PIPE
O FIB FOUND IRON BAR
ATP SET TRAVERSE POWT
• SPK SET PK NAIL
• SUG SET MAC HAL
• SIP SET RON PIPE
• SBM SET CONCRETE MONUMENT WITH BRASS DSC
• SCU SET CONCRETE MONUMENT WITH RON PIPE
ABBREVIATIONS
N NORTH
S SOUTH
E EAST
W WEST
Cfl CHORD BEARING
A ARC LENGTH
R RADIUS
U.E. UTILITY EASEMENT
P.U.E. PUBLIC UTILITY EASEMENT
D.E. DRAINAGE EASEMENT
EX EXISTING
PRO. PROPOSED
PC POINT OF CURVATURE
PCC POINT OF COMPOUND CURVATURE
PRC POINT OF REVERSE CURVATURE
PT POINT OF TANCENCY
(REC) RECORD DATUM
MEAS. MEASURED DATUM
[CALC] CALCULATED DATUM
OEED> INFORMATION TAKEN FROM DEED
ETBE EXCEPTION TO BLANKET EASEMENT
U.U.E. MUNICIPAL UT1UTY EASEMENT
LE. INGRESS * EGRESS EASEMENT
 
V
ISIONS
PLAT OF SURVEY
Project No: 11059 Group No: VP02.1
RIPTION
V D V
\K T
THE eALVATKJN ARMY - FREEDOM CENTER, CMCASO, L
 
 
DRAFTING COMPLETED:        6/6/2011 I DRAWN BY: AJS   I PROJECT MANAGER: AJS rin n uurtDW rniiDi crcn.      «; /oa /onu I ^ucv^irr* ov. a id   c^ai c\      iw _ An*
SHEET NO. 1      of 9
 
 
 
THE SALVA
LEGAL DE$
PARCEL 1:
LOTS 5 THROUGH 42, AND THAT PART OF VACATED CHRISTIANA AVENUE ADJOINING LOT 5, PER I LOT 5 IN THE SUPERIOR COURT PARTITION OF THE EAST 1/2 OF SECTION 2, TOWNSHIP 39 N DOCUMENT NUMBER 1640592, IN COOK COUNTY, ILLINOIS, EXCEPT THAT PART OF LOTS 41 AND 42,
COMMENCING AT THE SOUTHWEST CORNER OF SAID LOT 42; THENCE NORTH 01 DEGREES 00 M BEGINNING; THENCE NORTH .89 DEGREES 40 MINUTES 54 SECONDS EAST, 40.00 FEET; THENCE N< MINUTES 54 SECONDS WEST 40.00 FEET TO SAID WEST LINE OF LOT 42; THENCE SOUTH 01 DEGRE
PARCEL 2:
THAT PART OF LOTS 12, 13, 14, 15 AND 16 OF N. T. WRIGHT'S SUBDIVISION OF LOT 4 OF THE EAST OF THE THIRD PRINCIPAL MERIDIAN, AS RECORDED OCTOBER 9, 1892 AS DOCUMENT NUM CORNER OF LOT 16 AND RUNNING THENCE NORTH ALONG THE WEST LINE OF NORTH SPAULDING / OF LAND CONVEYED TO CHICAGO MILWAUKEE AND ST. PAUL RAILWAY COMPANY, BY DEED FROM DOCUMENT NUMBER 2829285; THENCE NORTHWESTERLY ALONG THE SOUTHWESTERLY LINE OF SAIC
 
TION ARMY
1 CENTER
:ription
CUMENT NUMBER 14133404, ALL IN "CHRISTIANA", BEING A SUBDIVISION OF THE EAST 1/2 OF TH, RANGE 13. EAST OF THE THIRD PRINCIPAL MERIDIAN, AS RECORDED APRIL 7, 1882 AS 'ESCRIBED AS FOLLOWS;
ITES 21  SECONDS WEST ALONG THE WEST LINE OF SAID LOT, 23.13 FEET TO THE PACE OF TH 01 DEGREES 00 MINUTES 21 SECONDS WEST, 80.00 FEET; THENCE SOUTH 89 DEGREES 40 00 MINUTES 21 SECONDS EAST, 80.00 FEET TO THE PLACE OF BEGINNING.
iPERIOR COURT PARTITION OF THE EAST 1/2 OF SECTION 2, TOWNSHIP 39 NORTH, RANGE 13 j? 61043, BOUNDED AND DESCRIBED AS FOLLOWS, TO WIT:  COMMENCING AT THE SOUTHEAST
 
^-OLIHlj   M   I  U1I1 I-m-1 ML
IER OF SAID LOT 16, AFORESAID; THENCE EAST ALONG THE SOUTH LINE OF LOT 16 TO THE
*l OF THE EAST 1/2 OF SECTION 2, TOWNSHIP 39 NORTH, RANGE 13, EAST OF THE THIRD r, ILLINOIS.
i, 14, 15 AND 16 IN BLOCK 3 IN N. T. WRIGHT'S SUBDIVISION OF LOT 4 OF THE SUPERIOR THIRD PRINCIPAL MERIDIAN, AS RECORDED OCTOBER 9, 1892 AS DOCUMENT NUMBER 61043, 16 AND RUNNING THENCE NORTH ALONG THE WEST LINE OF NORTH SPAULDING AVENUE, 24 EYED TO CHICAGO MILWAUKEE AND ST. PAUL RAILWAY COMPANY, BY DEED FROM ANDREW 0. 2829285; THENCE NORTHWESTERLY ALONG THE SOUTHWESTERLY LINE OF SAID STRIP OF LAND OF THE NORTHWEST CORNER OF SAID LOT 12; THENCE WEST ALONG THE NORTH LINE OF LOT [NCE SOUTH ALONG THE EAST LINE OF SAID ALLEY TO THE SOUTHWEST CORNER OF LOT 16, M.L OF LOTS 17 THROUGH 24, BOTH INCLUSIVE, IN BLOCK 3 IN N. T. WRIGHT'S SUBDIVISION
JSIVE, IN CHRISTIANA SUBDIVISION OF THE EAST 1/2 OF LOT 5 IN SUPERIOR COURT PARTITION RIDIAN, IN COOK COUNTY, ILLINOIS.
ADJOINING THE WEST LINE OF LOTS 38 TO 45 ALL IN BLOCK 3 IN N. T. WRIGHT'S SUBDIVISION NCLUSIVE, AND SOUTH OF THE SOUTH LINE OF THE NORTH 16 FEET OF LOT 29, PROJECTED STIANA SUBDIVISION AFORESAID, IN COOK COUNTY, ILLINOIS.
THWESTERLY OF THE WEST LINE AND THE SOUTHWESTERLY LINE RESPECTIVELY OF LOT 45 IN LINE OF LOT 37 IN CHRISTIANA SUBDIVISION AFORESAID AND LYING SOUTH OF AND ADJOINING LYING NORTHERLY OF AND ADJOINING A LINE DRAWN FROM THE INTERSECTION OF THE EAST IE INTERSECTION OF THE SOUTH LINE AND THE SOUTHWESTERLY LINE OF SAID LOT 45, ALL IN
OF LOT 45 IN BLOCK 3 OF N. T. WRIGHT'S SUBDIVISION AFORESAID, LYING SOUTH AND r THE EAST 1/2 OF LOT 5 IN THE SUPERIOR COURT PARTITION, AFOREMENTIONED, AND LYING
OF LOT 45 IN N. T. WRIGHT'S SUBDIVISION, AFOREMENTIONED, TO THE INTERSECTION OF THE JG NORTH OF THE NORTH LINE OF LOTS 46 TO 50, BOTH INCLUSIVE, IN BLOCK 3 IN N. T. )T 38 IN "CHRISTIANA" SUBDIVISION, AFOREMENTIONED, AND LYING NORTH OF THE NORTH LINE )F A LINE DRAWN FROM THE SOUTHWEST CORNER OF LOT 37 TO THE NORTHWEST CORNER OF SOUTHEAST CORNER OF LOT 45 TO THE NORTHEAST CORNER OF LOT 50 IN BLOCK 3 IN N. T.
 
PARCEL 3:
LOTS 17 THOUGH 50 IN N. T. WRIGHT'S SUBDIVISION OF LOT 4 OF THE SUPERIOR COURT PARTI PRINCIPAL MERIDIAN, AS RECORDED OCTOBER 9, 1892 AS DOCUMENT NUMBER 61046, IN COOK COL
PARCEL 4:
THE EAST 1/2 OF THE VACATED ALLEY LYING WEST OF AND ADJOINING THAT PART OF LOTS 12 COURT PARTITION OF THE EAST 1/2 OF SECTION 2, TOWNSHIP 39 NORTH, RANGE 13, EAST OF 1 BOUNDED AND DESCRIBED AS FOLLOWS, TO WIT: COMMENCING AT THE SOUTHEAST CORNER OF L FEET AND 8 3/4 INCHES MORE OR LESS, TO THE SOUTHWESTERLY LINE OF A STRIP OF LAND CC BUTLER AND HIS WIFE, DATED APRIL 5, 1899 AND RECORDED APRIL 5, 1899, AS DOCUMENT NUMBI TO A POINT IN THE NORTH LINE OF LOT 12, WHICH IS 5 FEET AND 3 INCHES, MORE OR LESS, EA: 12, TO THE NORTHWEST CORNER OF SAID LOT, BEING A POINT IN THE EAST LINE OF AN ALLEY; AFORESAID; THENCE EAST ALONG THE SOUTH LINE OF LOT 16 TO THE PLACE OF BEGINNING, AN AFORESAID, IN COOK COUNTY, ILLINOIS.
PARCEL 5:
THE WEST 1/2 OF THE VACATED ALLEY LYING EAST AND ADJOINING LOTS 5 THROUGH 16, BOTH IN OF THE EAST 1/2 OF SECTION 2, TOWNSHIP 39 NORTH, RANGE 13, EAST OF THE THIRD PRINCIPAL
PARCEL 6:
ALL THAT PART OF THE NORTH AND SOUTH 16 FOOT VACATED PUBLIC ALLEY LYING WEST OF ANI OF LOT 4 AFORESAID AND LYING EAST AND ADJOINING THE EAST LINE OF LOTS 29 TO 36, BOTl EAST 16 FEET AND LYING NORTH OF THE SOUTH LINE OF LOT 36 PROJECTED EAST 16 FEET; IN Ch
PARCEL 7:
ALL THAT PART OF THE NORTH AND SOUTH VACATED PUBLIC ALLEY LYING WESTERLY OF AND S BLOCK 3 OF N. T. WRIGHT'S SUBDIVISION AFORESAID AND LYING EAST OF AND ADJOINING THE EA! THE NORTH LINE OF LOT 37 IN CHRISTIANA SUBDIVISION AFORESAID, PROJECTED EAST 16 FEET A LINE AND THE SOUTHEASTERLY LINE OF SAID LOT 37 IN CHRISTIANA SUBDIVISION, AFORESAID, TO COOK COUNTY, ILLINOIS.
PARCEL 8:
ALL OF THE EAST-WEST 16 FOOT VACATED PUBLIC ALLEY LYING SOUTH OF THE SOUTH Lll> SOUTHEASTERLY OF THE SOUTHEASTERLY LINE OF LOT 37 IN "CHRISTIANA", BEING A SUBDIVISION SOUTHERLY OF A LINE DRAWN FROM THE INTERSECTION OF THE SOUTH AND SOUTHWESTERLY LIN EAST AND SOUTHEASTERLY LINES OF LOT 37 IN "CHRISTIANA" SUBDIVISION, AFOREMENTIONED, I WRIGHT'S SUBDIVISION, AFOREMENTIONED, LYING NORTHWESTERLY OF THE NORTHWESTERLY LINE OF OF LOTS 39 TO 42, BOTH INCLUSIVE, IN "CHRISTIANA" SUBDIVISION, AFOREMENTIONED; LYING EAS' LOT 42 IN "CHRISTIANA" SUBDIVISION, AFOREMENTIONED; LYlNS"TVEST~OF"A LINE DRAWN FROM TH WRIGHT'S SUBDIVISION, AFOREMENTIONED, IN COOK COUNTY, ILLINOIS.
PARCEL 9:
 
PARCEL 10:
THE WEST 1/2 OF THE VACATED ALLEY LYING EAST OF AND ADJOINING LOTS 17 TO 28 AND TH COURT PARTITION OF THE EAST 1/2 OF SECTION 2, TOWNSHIP 39 NORTH, RANGE 13, EAST OF T LOT 17 EXTENDED EASTERLY AND NORTH OF THE NORTH LINE OF THE SOUTH 16 FEET OF LOT 29
COMMON ADDRESSES
816 N. CHRISTIANA AVENUE CHICAGO, ILLINOIS 60651-4133
AREA
219,070 SQUARE FEET 5.029 ACRES
 
37 IN BLOCK 3 OF N. T. WRIGHT'S SUBDIVISION OF LOT 4 OF THE SUPERIOR COURT PARTITION |ERIDIAN, IN COOK COUNTY, ILLINOIS, LYING SOUTH OF THE NORTH LINE OF LOT 25 EXTENDED )IS.
PART OF LOT 29 IN CHRISTIANA SUBDIVISION OF THE EAST 1/2 OF LOT 5 IN THE SUPERIOR THIRD PRINCIPAL MERIDIAN, IN COOK COUNTY, ILLINOIS, LYING SOUTH OF THE NORTH LINE OF TENDED EASTERLY, IN COOK COUNTY, ILLINOIS.
GENERAL NOTES
1. COMPARE ALL POINTS PRIOR TO ANY CONSTRUCTION AND REPORT ANY DIFFERENCES AT ONCE.
2. ALL BUILDING DIMENSIONS SHOWN HEREON ARE MEASURED TO EXTERIOR FOUNDATION WALLS UNLESS OTHERWISE NOTED.
3. FOR BUILDING RESTRICTIONS AND EASEMENTS NOT SHOWN HEREON, REFER TO YOUR ABSTRACT, DEED, TITLE GUARANTEE POLICY, AND LOCAL ORDINANCES.
4   DO NOT SCALE ANY DIMENSIONS FROM THIS PLAT.
5. ONLY PRINTS OF THIS SURVEY WITH AN EMBOSSED SEAL SHALL BE DESIGNATED OFFICIAL CERTIFIED COPIES.
 
FLOOD HAZARD NOTE
THIS PROPERTY IS IN FEDERAL EMERGENCY MANAGEMENT AGENCY'S FLOOD INSURANCE RATE MAP COMMUNITY PANEL NO. 17031C0415 J, IT HAS BEEN DETERMINED TO LIE IN ZONE X (AREAS DETERMINED TO BE OUTSIDE OF THE 500 YEAR FLOODPLAIN.   EFFECTIVE DATE AUGUST 19, 2008.
 
Engineers Scientists Surveyors
7325 Janes Avenue, Suite 100 Woodridge, IL 60517 630.724.9200 voice 630.724.0384 fax v3co.com
PREPARED FOR:
THE SALVATION ARMY METROPOLITAN DIVISION
5040 N. PULASKI ROAD CHICAGO, IL, 60630-2788 312-376-3882
NO.
DATE
6/23/2011
DE
REVISED BOUI
 
SURVEYOR CERTIFICATE
STATE OF INDIANA )
) SS
COUNTY OF LAKE )
I, ANTHONY J. STRICKLAND, AN ILLINOIS PROFESSIONAL LAND SURVEYOR, HEREBY CERTIFY THAT I HAVE SURVEYED THE ABOVE DESCRIBED PROPERTY AND THAT THIS PLAT IS A TRUE AND CORRECT REPRESENTATION THEREOF. ALL DIMENSIONS ARE GIVEN IN FEET AND DECIMALS THEREOF, CORRECTED TO A TEMPERATURE OF 68 DEGREES FAHRENHEIT.
THIS PROFESSIONAL SERVICE CONFORMS TO THE CURRENT ILLINOIS MINIMUM STANDARDS FOR BOUNDARY SURVEYS.
FIELD WORK COMPLETED ON MAY, 24, 2011. DATED THIS 9TH DAY OF JUNE, A.D.,^-2011.
 
ANTHONY J.
ILLINOIS PROFESSIONAL'LAND SURVEYOR NO. 35-3437 MY LICENSE EXPIRES ON NOVEMBER 30, 2012. V3 COMPANIES OF ILLINOIS, LTD. PROFESSIONAL DESIGN FIRM NO. 184000902 THIS DESIGN FIRM NUMBER EXPIRES APRIL 30, 2013.
 
ISIONS
PLAT OF SURVEY
Project No: 11059 Group No: VP02.1
RIPTION
 
THE SALVATION ARMY - FREEDOM GblUIHH, CHICAGO, B.
 
 
DRAFTING COMPLETED: 6/6/2011
DRAWN BY: AJS
PROJECT MANAGER: AJS
SHEET NO.
 
 
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