OFFICE OF THE MAYOR
CITY OF CHICAGO
LORI E. LIGHTFOOT
MAYOR
April 21, 2021
TO THE HONORABLE, THE CITY COUNCIL OF THE CITY OF CHICAGO
Ladies and Gentlemen:
At the request of the Commissioner of Planning and Development, 1 transmit herewith an ordinance authorizing the sale of city-owned property located at 1828 South St. Louis Avenue to Ruth Wilson.
Your favorable consideration of this ordinance will be appreciated.
Very truly yours.
ORDINANCE
WHEREAS, the City of Chicago ("City") is a home rule unit of government by virtue of the provisions of the Constitution of the State of Illinois of 1970, and, as such, may exercise any power and perform any function pertaining to its government and affairs; and
WHEREAS, the City is the owner of the vacant parcel of property located at 1828 South St. Louis Avenue, Chicago, Illinois 60623, which is legally described on Exhibit A attached hereto (the "Property"); and
WHEREAS, pursuant to ordinances adopted by the City Council of the City of Chicago ("City Council") on April 9, 2008, and published at pages 24221 through 24477 in the Journal of Proceedings of the City Council ("Journal") for such date, the City Council approved a certain redevelopment plan and project for the Ogden/Pulaski Redevelopment Project Area ("TIF Area"); and
WHEREAS, Ruth Wilson (the "Grantee"), who has a principal residence of 7035 South Cregier Avenue, Chicago, Illinois 60649, has offered to purchase the Property from the City for the sum of Six Thousand Seven Hundred Dollars ($6,700.00), such amount being the appraised fair market value of the Property, to improve with landscaped open space thereon; and
WHEREAS, pursuant to Resolution No. 21-006-21 adopted on March 18, 2021, by the Plan Commission of the City (the "Commission"), the Commission approved the negotiated sale of the Property to the Grantee; and
WHEREAS, public notice advertising the City's intent to enter into a negotiated sale of the Property with the Grantee and requesting alternative proposals appeared in the Chicago Tribune, a newspaper of general circulation, on October 1 and October 8, 2019; and
WHEREAS, no alternative proposals were received by the deadline indicated in the aforesaid notice; now, therefore,
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. The City Council of the City hereby approves the sale of the Property to the Grantee for the amount of Six Thousand Seven Hundred Dollars ($6,700.00).
SECTION 2. The Mayor or her proxy is authorized to execute, and the City Clerk or Deputy City Clerk is authorized to attest, a quitclaim deed conveying the Property to the Grantee. The quitclaim deed shall also contain language substantially in the following form: This conveyance is subject to the express condition that: the Property is improved with landscaped open space within six (6) months of the date of this deed. In the event that the condition is not met, the City of Chicago may re-enter the Property and revest title in the City of Chicago. Grantee, at the request of the City of Chicago, covenants to execute and deliver to the City a reconveyance deed to the Property to further evidence such revesting of title. This right of reverter in favor of the City of Chicago shall terminate upon the issuance of a certificate of completion, release or similar instrument by the City of Chicago. The Grantee acknowledges that if the Grantee develops the Property with a resTderTtlalTiousTng projeciT^s^efineTiTjhder andTRat is~subject to SectiofT2-44~ 080 of the Municipal Code of the City (the "2015 Affordable Requirements Ordinance"), the Grantee and such project shall be obligated to comply with the 2015 Affordable Requirements Ordinance.
SECTION 3. If any provision of this ordinance shall be held to be invalid or unenforceable for any reason, the invalidity or unenforceability of such provision shall not affect any of the other provisions of this ordinance.
SECTION 4. All ordinances, resolutions, motions or orders inconsistent with this ordinance are hereby repealed to the extent of such conflict.
SECTION 5. This ordinance shall take effect upon its passage and approval.
EXHIBIT A
Purchaser: Ruth Wilson
Purchaser's Address: 7035 South Cregier Avenue Chicago, Illinois 60649
Purchase Amount: $6,700.00 Appraised Value: $6,700.00
Legal Description (Subject to Title Commitment and Survey):
Lot 36 in Woods Lawndale Subdivision of that part lying north of Ogden Avenue of the east half of the west half of the west half together with the north 265 feet of the west half of the west half of the west half of the southeast quarter of Section 23, Township 39 North, Range 13, east of the Third Principal Meridian, in Cook County, Illinois. Address: 1828 South St. Louis Avenue Chicago, Illinois 60623
Property Index Number: 16-23-408-030-0000
CTTY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL INFORMATION
A. T.<%al nafflfl
Check ONE of ffee JoBoirfif three boxes:
Indicate wfceukr the Disclosing Party submitting this EDS is:
[vfme Applicant
OR
[ ] alcgBlca%cpgcpliyhoIdiife oafatiac^ ttansaettoi or other awta
"Matter^, a direct or iidh^i^^ State Ibe Applicant's legal
name; , OR
3. [ J a Identity with a direct or md^^
State the legajnaine of fceiitity
B- Business address of the Disclosing Party:
D.^ame of contact person;
E. Federal Employer Mectificalw^ .
F. Brief des^ption of the Matter to wnkhfliis EDS pertains. (Include project iinmber and location of property, if applicable):
lftiteMatteri»aoi>Dtiattl>elngh^ complete the following:
Specification^ — .andContraet# —
Ver.2018-1 Page 1 of 15
SECTION II - DISCLOSURE OF OWNERSHD? INTERESTS
A. NATURE OF THE DISCLOSING PARTY
1. Indicate the nature of the Disdosin^
[^Person [ ] Limh^n^bilhycojnpany
[ jftwk^ registered business cor^^ [ ] Limited liabi% partnership
[ irVrvateJyheld toiswess corporation [ ] Joint venture
[ ] Sole proprietorship [ ] NoC-j^iHxn^corp[ ] General partaership (Is die utt-lbr-profit corporation also a S01(cX3)>?
[ ]limitedpartoeratnp [ ]Yes [ ]No
[ ] Trust [ ] Other (please specify)
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
3. Fey legal entities rict organized in
bnsiness in the State of Illinois as a foreign entity?
[]Yes []No [ ]Orgain^m Illinois'
B. IF TJHE DISCLOSING PARTY IS A LEGAL Er^^
1. List below ^JefuUiifEDieaaodtttle^
the entity; (ii) for Bui-for-prcfit corpora nans, jail members, if any, which are legal entities (if mere are oo such members, write "no members which are legal entities0); (Hi) for trusts, estates or other sfnibur entities, tibe trustee, executor, adininftrte, or
Ifraifffrt partnerships, HmhYn* Habflfty companies, limited liabffiry psgtncrBbJpi or joint Ten tares,
each genera! partner, managing member, i&anager or mtyo&er ihdjrecfly controls the day-to-day mssagesnett of n^ Applicant
NOTE: Each legal entity fisted below must submit an ETO can* own behalf.
Name / . Title
2. Please provide the following infbonation concerting
indirect current or prospective (Le. within 6 months after City action) beneficial inuaenl (nicfaamg ownesnnp) in excess of 7.5%of me Applicant. Examples ofsuch an niters
tMUmtahnn, partnTerahip nitemt in a partnership iw joint ranting lirtwwal etfn mamfigr or m«rryng+r fa ^
PQge2of 15
lrmrted liabi^ If none,
state "None.*
NOTE: Each legal entity listed below inay be leqmYri
Name Business Address Percentage Interest in the Applicant
SECTION DJ - INCOME OR COMPENSATION TO, OR OWNERSHIP BY, CITY ELECTED OFFICIALS
Has tbeDisclosing Party provided
12-monmperkxf preceding th^ [ ] Yes fyfko
Does the Disclosing Party reasonably eapecl to provide
elected official during the 12Hnonmrjeri«J following flie [ ] Yes MNo
1?^" to either of tite above, pie^ describe such income or compensation:
Does any City decteoVofiBcU
inquiry, any Cfty elected ©facial's spouse c* domestic parm CSamter 2^256 of Mnnscn^ (JYea tfNo
If "yes," please identity below me name(s) of such City elected officfeu\s) and/or spouse
SECTION TV - DISCLOSURE OF STOCOlpTRACTORS AND OTHER RETAINED PARTTES
The Disclosing Party must disclose fhe name and business address of each subcontractor, attorney,
lobbyist (as defined m MCE
whom the Disciosmg Party has retamed«
tbe nature of me relationship, and me total 8monnt of me fees paid or estimated to be paid. The
Disclosing Party b not leqinM
Party's regular payroll. If ttePisciosmgPartyisuncert
Section, trie Disclosing Party must e^
disclosure*
Rage 3 of 15
Name fmdicate whether Business Rriationship to Disclosing Party FecsfnyKcatewheto
retam^orantkirjated Address (subcttifmctor, attorney. paid or eatraated. i MOTE;
to be retained) lobbyist, etc.) "hom1yrate"or-tb.d.-is
tlu)MAe. CtnrafO ~ ft i\° ^^*«*p°™
(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 MCC Section 2-92^15, substantial owiiers of busr^ remammcoim?liaacew
Has any person who directfy ormdirectiy owns 10%ormorcof theDiscjtos^ arrearage on any child support obligations by any Illinois court of ccinpetent jurisdictkm?
[JYes []No [rf*No person directly or mdirectly owns 10% or more of the Disclosing Parry.
If "Yes," has fiie person entered is uk person in i
[JYes [ JNo
B. FURTHER CERTIFICATIONS
1. [This paragraph 1 applte only if die Matte b
Procurement Services.] fa tne 5-year rjeriodprecedm^
Party nor anv Affiliated EnthV f see defmhioum(S>belowl rjaswipnpffd mcxmnectionwimmc , performance tf any public coinr^ inspector general, or integrity ccanpliance consultant (Lft, an individual or entity witfa legal, auditing, investigative, or other smular skills, designated by a public agency to help the agency monitor the activh^ of specified agpacyve^ can be considered for a
2, The Disclosing Parry and its Affiliated Entities are not delinquent in the payment of any fine, fee,
tax or other source of indebtedness owed to the City of Chicago, rnrindmg, but not limited to, water
and sewer charges, license fees, parking tickets, property taxes and sales taxes, nor is the Disclosing
Party dritmpiwif in fhft pynvnf of any tar aAmWiStSrrmA hy thm Tllmni* IVpytmgnt ixfUtwfrw _
Ver.20J8-J Page 4 of IS
The Disclosing Party and, if the D identified in Section H(BX1) of mis EDS:
arenotprcseorh/ debarr^ suspended, proposed for debarment, declared ineligmle or volmimrily excluded from any transactic«s by arjy federal, state ot
have not, durmg the S years befcre the d^ adjiidged guilty, ^ flttprrrritrrfftoobtam,^
pabfic transaction; a violation of federal or state antitrust slatutes; fraud; embe/zlriuent; theft; forgery; bribery; falsification or deshracabn of records; making false staleiumts, or receiving stolen property;
& are ootpnsaify indicted for, or crinnnalry or civilly charged by, a govfrnmentnl entity (federal, state or local) wim oommitting
bavenc^dnrir^ the Sye8xs before tte EDS, had one or more public trarjsacti^
(federal jrtate or JocaQte^
have no% during the 5 yem liabte ma civil procecdm^ environmental rotations, instituted by n^ unit of local gpvgnfnent.
The Disclosing Parry natartand* and shall comply with the applicable reqiureuamts of MCC Chapters 2-56 (Inspector General) and 2-156 (Goveumieutal Ethics).
Certifications (5), (6) and (7) ]
the Disclosmg Party;
aity"ttm1iact02*(^
corinectian with the Matter, including but not limited to all persons or legal entities disclosed under Section TV, "Disclosure of Subcontractor and Ctth^
any "Affiliated Enlrr^ Disclosing Party, is controlled by the
common cc^molcfanouW person effenti^ Ihdicw of coital ine^
interlofifing managranfflt or ownersmp; identity of mterests among family members, gfaared
facjfirtfis and eo^upnient; common use of employees; or organization of a busiufga entity following
the metigibiHry of a business entity to do business with federal or state or local gwernmem;
including the City, using substantially ifac same managrjuent, ownership, or principals as the
mehgibtee»tity. Wiui respect te Contractor
that dhtcdy or mdm^c^
Under common cculiul of another pwwon or entity;
any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee oft» Diwdosmg Party, any ContractOT
acting pursuant to tite direction or anu>or^
any CcmtractOT OT any Affiliated ^
PegpSot IS
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or arty Contractor, rjorar^
respect to a Co»fi art or, an Affiliated Entity, or an Affiliated Entity of a Contractor daring the 5 yeara
before me date of such CftntrafifawVi nr Affiliate Verity** Mntmr* rtr *n£*£*trurrt fa /vrep^offri ^frfa fl^
Matter
bribed or attempted to brine, or been ettrmrtfA <*• aJfcnAgrA piitiy **f KnViry **F tflfrllllii f \g tft hrihfu
a public officer ox employee of me City, the State of fflm^
or of any state or local govenmient in the United States co* America, in timt officer^ or employee's official capacity;
agreed or colhttkd wim ourabidara
or been convicted or adjudged guilty of agreeme^ in restraint ctffreectam
e. made an adrmssion of such conduct a
record, but have not been j«osecoledfcffsuchcc4m^or
d. violated the pxovisiona referenced in MCC Subsection 2-92-320(aX4XCtatttacts Requiring a Base Wage); (aX5XDebarment Regnlations^ or (aXo^Mmimmn Wage Ordmance).
Neinuy the Disdosmg Party, r
officials, agents or partners, is barred from cormmamgw rasntt of engagmg m or bean^ birJ-re4atmgmviolati^
States of America that contains the same elements as the offense of bid-rigging or bidVtotatiug.
X
Neither me Disclosing Party nor any Affiliated Entity is listed on aSauctiQttslJstuMintainedbyflte United States Department of Commerce, State, or Treasury, or any successor federal agency.
IFOR APPLICANT ONLY) (i) Neither die Applicant nor anv "ccmroffing person" [see MCC Chapter 1-23, Article I for applicabilfyandu
dunged wim, dr has admitted giuTt of, or has ever teen convicted of, or placed nnder supervision for, anycriminal offiose involving actual, attempted, or ccmspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or de
fht>. Applicant rmAmtonA* anA arinwwtatfcjwi dwt wnttpltfttw* minS Arltpl* T4a a ^mtwming twpm^nprjt
fbrdomgbusmesswiuitheC%. NOTE: If MCC Chapter 1-23, Article! applies to u« Applicant, uiat Article's permanent compliance timeframe supersedes 5-year compliance timeframes in this Section V.
[FOR APPLICANT ONLY] The Applicant and its Affiliated Enthieg wm not use, dot permit their subcoxffi&ctois to use, any facility listed as having an active exclusion by &e US. EPA on me federal System for Award Management ("SAM").
fFORAPPZJCAOTONLYJ Tte
OT tO be in ffrtmwrirm o/frh Mattw ^rftfir-oty^ -rfjnqt fri frrrm pnfl fphatafy^ ft* fbl**^ Tit
Certifications (2) and (9) above and will not, wj&out die prior written consent of die City, use any such
Ver.2018-1 Page 6 of 15
contractor/subconuuctoru^
11. If the Disclosing Party is unable to certify to any nf fa» pboyp. Eftrtwrrfnts m ffrV Part P (Further Certifications), me Disclosing Party must explain below:
If the letters "NA," me word "None," or no response appears on the lines above, it will be corjclusively presumed mat the Disdosm^
12. To me best of the Disclosing Parry's knowledge afavreasooabte
complete list of all current employees of the Disclosing Party who were, at any time during the 12-monm period preceding fhedateofttjsEDS,anea^ of Chicago (ifDane, iadu^ wim "N/A* or "none").
13. To the best of toe Disclosmg Party's taowledge after reasonable nmuiry, me foltowing is a
complete list of aUgrftetfaa^
me 12-monm period preceding me e
official, ofmeCrry of CSucago. For purposes ofmis statement, a
made generalry available m
the coma* of official Cty political contribution otherwte
"nana"). As to any gift listed below, please also list the nan^
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
certifies that the Disclosmg Party (check ooe)
a "financial irjstitution" as defined in MCC Section 2-3^455(b). 2. IftheDtelosing Party ^
"We are not and will not become apradatorylewlerasdefm We further
pledge that none of oar affiliates Is, snd
MCC Chapter 2-32. We understand that beconmig a prcc
predatory leoder may result in me loss of the privilege offaing twnjness with the City."
Page 7 of 15
IftbeDisclosmg Party is unable to
MCC Section2-32-455(b)) Is apre&ktylmtevnaun themeaamg of MCC Chapter 2-32, explain bete (attach additional pages if necessary):
Iflhefcttcn'WA/thew^ coscta8fvefyrxesamed
D. CERTIFICATION REGARDINO FINANCIAL INTEREST IN CITY BUSINESS
Any words or terms defined in MCC Chapter 2-156 have the tarne meanings if used in this Part D.
In aoroidance wife MCC Section 2~lS6-U(fcTothcbestoffhc Pisctosmg Party's knewkdge after re^ge^table inquiry, does any official or employee of tbe City have a financial interest in his or her own name or in die name of any odberperstaoreritrtymtte
IlYes [vfNo
NOTE: If you checked "Yes" to Rem D(I), proceed to Iien^D(2) and D(3). If you checked "No" to Rem D(l% skip Hems DC9 and 1^ and proceed to Part E.
Unless sold pursuant to a process of competitive bidding, or otnerwise permitted, no City elected official or employee shall have a financial mterest in his or her own name or ia the name of any "onto person or entity mte
taxes or assessments, or (iiQ is soM
"City Property Sale"). Compensation for pro^
power does pot constitute a financial interest wimin the meaning of this Part D. Does the Matter involve a City Property Sale? [JYes []No
If you checked "Yes" to Item
or employees having such financial iiUra ftst and identify the nature of the financial interest:
Name Business Address Nature of Financial Interest
4. The Duu^osixig Party furtterce^
acquired by any City
Ver^0ls-I Pages of 15
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Mease check chner(l) or (2) bdow, IfflieDiseJaangPartycbt&(^lbeiyjsclos3iig?erty
matt dketoaabelowtwin an attarfiment tn An* HPS M htfnrmoti^ t^t^H fry py Failure tO
comply with these disclosure reqQueinems may make any ccqrtract catered into wim the City in -comieciionwhli the Matter ^
The Disclosing Party verifies that the the Disdoaing Party and any arid all
from slavery or slaveholder insurance poHciea daring me slavery era(tocladmg iusaiaiu^pobcieg
issued to slaveholders uta
the Disclosing Parry has found no such records.
2. Tlte Disctosa^ Parry vcrifto
Disclosing Party has lowai records of h^ policies. The Disctosmg Party verr^ rereads, mdudmgte names of any and
SECTION VT - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: Jf to Matter Is federally Iffte Matter is not
fed^t*Dyfltodcd,ptoceed FoxputposesofthisSed C% and pioceeds ofdete
A. CERTIFICATION REGARDING LOBBYING
1. list below the naraes of aUpe Disclosure Act of1995, as Hmrndrfl, who have made tobbying contacts on bchatf of the Disclosing Party wim respect to the Matter. (Add srjeeis if necessary):
(If no explanation sppeam or begms onthe Imes above, or if the letters "NA" or rfute word "None'' appear, it will be ooncl osively presumed that the Disclosing Party means mat NO persuiis or entities registered under me Lob^
behalf of me Disckwing Party wubresriect to the Matter.)
2. Trie Discldsb^ Party has no^ any person or entity Kstedm parage
person oi entity to mfberjeencratter^ an officer or employee of any agency, as defined
by applicable federal law, a member of Congress, an Officer ot eroployee of Congress, or an employee
Vcr.201S-I Page 9 of IS
• of a member of Congress, in connection witfa the award of any federally funded contract, making any fectealh/fnnded amend!, or modHy any federah^
The Discloffir^ Parry wffl
which there occurs anyeveramatmatcriaUy affecte forth in paragraphs A(l) end A(2) above.
Trie Dfodosirjg Party certr^ 501(cX4)ofn»Inteniri 5W(cX4)cffheInte^
Activities," as that term is defined in me Lobbying Disclosure Act of 1995, as amended
fftrie Disdosmg Party is the Apph
form and substance to paragraphs A(l) through A(4) above from all snlM'Oulwtoni before it awards anysobcontra&andu^
duration of the Matter arjd must naate such certif^^
B. OERTinCATIQN REGARDING EQUAL EMPLOYMENT OPPORTUNTTY
If the Matter is federally funded, federal regulation* require the Applicant and all proposed subepnhactoa to submit negotiations.
Is the Disclosing Party the Applicant? Yes [JNo
If "Yes," answer the three questions below:
Have yoqdevckyed and do yro have federal regulations? (See 41 CTR Part 60-2.)
LJ Yes No
Have you filed wim die
r^hmliflTK^Prugmais, oj the Equal Employment Opportunity CornfniOT'on all reports due under die applicable fifing tequlrcuients?
[ ] Yes fNo [] Reports not required
Have you participated maifflpr^ contracts or sul>c[ ] Yes „cu>
If yon checked "No" to question (1) or (2) above, please provide an explanation:
Page 10 of 15
SECTION VZI - FURTHER ACKNOWLEDGMENTS AND CERTIFICATION The Diseasing Party understands and agrees t^nt-.
The certification^ ©extract or other agree procweaietit,City
of any contract or tak^ The Disclosing Party understands that
it most comply with all statutes, ordinances, and regulations on which this EDS is based.
The City's Governmental Ethics C^diiiance, MCC Chapter 2-156, mirxwes certain duties and obtigatioro on person Thefidlfeart ofthisxirimaucea^
also bo obtained from the City's Board of Ernies, 740N. Sedgwick St, Suite 500, Chicago, IL 60610, (312) 744-9660. The Disclosing Party mm«c^
Ifthe<^ determines uta airy contract or ctocru
Of Voidahfej. Brut the City tnay piratuft any ywrwfKaa xmdrx void), at law, or in equity, mcfndtng trrnrfnaling the Disclosing Party's participation m the Matter and/re deeming to afom Remediesat law for a false staten^ damages.
It b me Cirya policy to make request Soatf or afl of the hrfbtmaa'ro
available on the Irder^ By
completing aods&rm^
damp which it rnay have ags^
cE
jn this EDS.
Ttemfbixnationpf^ to the event of changes, tiu; Disdosing
Parry rjrnj^supplemeWfhn IftteMatterisa
contract being bandied by the Cnys DcpartrtyjTl offtocMeraent Services, the Disclosing Party must
update this EDS as fhecor^ NOTE: Wim respect to Matters
1-23, Article 1 (haposnujFEBJf^^ forcertamspeco^oftorises^ the
mfbrmatkm provided hereto regardnige
by MCC Chapter 1-23 and Section 2-154-020.
Page 11 of IS
CERTIFICATION
Under penalty of rxarh^
ais EDS, and an applic^bte Append^
certifications and atateme
and complete as of me date funrished to the City.
(^_L^Siguhere)
Signed and sworn to before me on (dale) at Cc&\A Counts. ~CLUJK>& (8tete).
(Print or type name of person signing) (Print or type title of person signing)
Q-If--lofNotary PubticVJ f »cm£M caw/wo
OMcWSMl Netery - Sttto of HBnote
QHrmu^exmrcs: 1\-2Q-ZP|C\ f
Pass 12 of 15
(DO HOT SUBMIT THIS PAOT WITH YOUR
CTTY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
AFPENDDXA
FAMILIAL RELATIONSHTFS WITH ELECTED CTTY OFFICIALS' AND DEPARTMENT HEADS
TMs Appendix if to be completed osfy fay (a) fte
dJra* ownership latere Itigpottobeitnaplrtrdbyaaylegal eiirity whieb luu aa to
tfader MCC Section 2-154-015, me Discicaing Party imist any "A|»lkabte Party*
relationshn^wima^ A 'familial rrlrtiflrBftip" exists if, as of
the date mis EDS is signed, toe Disctoamg Party or ar^
Parnxr thereof isrolated to
departmnntncadagsponsecrd
adoption: parerit,chii^
father-in-law, motoer-in-law, son-in-law, daughter-in-law, stepfather or stepmother, stepson or rtfydai^gbtet, stepbrother or stepsister or half-hromer or half-sister.
¦Applicable Party" means (1) all executive eij&ccn of the Disctosmg Party fisted in Section ILB.l-a^tftheDisc4c<8tngP^
Party u agcaeralparmeridiir^ if the
Disclosing Party is a limited partnership; all rrurpagere, martflgrng numbers and menibers of the Disclosing Baity, tffte
Disclosing Party; and (3) any person havb^moi
Patty. "Principal officers* means tto president, chief operating officer, executive dvector, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does me Disclosing Party or any *Applkabk> Party" or aity Spouse or Dora anjenttybavea"farailial
[ ] Yes [v/no
If yes, please identify below (1) 6^ nanw and title tf which such persrai is connected
whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
Page 13 of 15
CTTY OF CHICAGO FXX)KOMICDISCIAOSTJRBCTATEMECT
APPENDIX B
BOTJLDING CODE SCOFFXAW/PRGBLEM LANDLORD CEimFICATlON Tliis Appesaoc is to
owrjezship intend in to It feiwt to be completed by any
legal entity which lavonh/sniodOTCtowa
1. Pnrsusst to MCC Section 2-154-010,u
scofflaw or probkm toAlaripvnnmitu>M!C&Set6tm2^24l67
2» rf tfie AppHomt hi a U-gal «*fHy jrmhHcry lrariwit nn, «ny «r«han£t»», t* any officer nr Htrertor nf
the Applicant identified as a bnik^ 2-92-416?
\/[ The Applicant is not publkly traded os any exchange.
3. Ifyc* to (1) or (2) above, please id^
as a rjufldmg code scofflaw or piobkaa landlord a^
the pcgfha^ code violauuus apply.
Page 14 of 15
CTTY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX C
prohibition ON WAGE a SALARY HISTORY SCREENING - CERTIFICATION
This Appeadix is to be completed only by an Applicant that is completing mis EDS as a "contractor" at drained in MCC Section 2-92-385. Thrt waMfan, «hfch AmiA h« ammituri (^^f^m]mnyt generally covers aparty to an^ corjgklcratkm for service^
cr(ii)r^tbeCiryraoneyfOT or cwKTSwon atkwmg them to conduct a basuiess on
City promises.
On behalf of afi Applicant mat is a contractor pmsuaut to MCC Section 2-92-385,1 hereby certify that the Applicant is m compliance with MCC Section 2-92-385{bXl) and (2% which prohibit: fi) screening job applicants based on fh^
history from cnnerd or fbrnxre^ I also certify mat fbaAppH^
tfifbrdw* flf*^wf prohn*itiif8f i
[JYes
CINo
[«f*N/A -I am not an Applicant that is a ttcantractorn as defined in MCC Section 2-92-385. Tins certification shafts
Jf yon checked "no" to the above, please explain.
Pap 15 of 15