Office of the City Clerk - Record #: O2014-5840

This record contains private information, which has been redacted from public viewing.

Record #:

O2014-5840

Type:

Ordinance

Status:

Passed

Intro date:

7/30/2014

Current Controlling Legislative Body:

Committee on Transportation and Public Way

Final action:

9/10/2014

Title:

Vacation of public alley(s) in area bounded by S Western Ave, W 97th St, S Claremont Ave and W 99th Street

Sponsors:

O'Shea, Matthew J.

Topic:

ALLEY - Vacation

Attachments:

1. O2014-5840.pdf

Date	Journal Page Number	Action By	Action	Result	Action Details	Meeting Details	Captions
9/10/2014	88515	City Council	Passed	Pass	Action details	Meeting details	Not available
9/3/2014		Committee on Transportation and Public Way	Recommended to Pass	Pass	Action details	Meeting details	Not available
7/30/2014	86712	City Council	Referred		Action details	Meeting details	Not available

COMMERCIAL ORDINANCE

WHEREAS, the City of Chicago ("City") is a home rule unit of local government pursuant to Article VII, Section 6 (a) of the 1970 constitution of the State of Illinois and, as such, may exercise any power and perform any function pertaining to its government and affairs; and

WHEREAS, the properties at 9801-9803 S. Western Avenue and 9807-9809 S. Western Avenue are owned by Beverly Center L.L.C.; and

WHEREAS, Beverly Center L.L.C. proposes to use the portion of the alley to be vacated herein for integration into their existing parking lot; and

WHEREAS, the City Council of the City of Chicago, after due investigation and consideration, has determined that the nature and extent of the public use and the public interest to be subserved is such as to warrant the vacation of part of public alley, described in the following ordinance; now therefore,

BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:

SECTION 1. THE NORTH 16.00 FEET OF LOT 38 IN BLOCK 2 IN JOHN JENSEN AND SONS' BEVERLY HIGHLANDS, BEING A SUBDIVISION OF THE SOUTH 9.25 ACRES OF THE SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 7, TOWNSHIP 37 NORTH, RANGE 14, EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO THE PLAT THEREOF RECORDED MAY 29, 1925 AS DOCUMENT NUMBER 258206 IN COOK COUNTY, ILLINOIS, on the drawing hereto attached as Exhibit A, which drawing for greater clarity, is hereby made a part of this ordinance, be and the same is hereby vacated and closed, inasmuch as the same is no longer required for public use and the public interest will be subserved by such vacation.

SECTION 2. The City of Chicago hereby reserves for the benefit of AT&T Illinois /SBC and its successors or assigns, a non-exclusive utility easement to operate, maintain, construct, replace and renew overhead wires, poles, and associated equipment and underground conduit, cables, and associated equipment for the transmission and distribution of electrical energy, telephonic and associated services under, over and along the alley herein vacated, with the right of ingress and egress. The grade of the vacated public way shall not be altered in a manner so as to interfere with the operation and maintenance of AT&T Illinois/SBC facilities. No buildings, permanent structures or obstructions shall be placed over AT&T Illinois/SBC facilities without written release of easement by AT&T Illinois/SBC. Any future vacation-beneficiary prompted relocation of AT&T Illinois/SBC facilities lying within the area being vacated will be accomplished by AT&T Illinois/SBC and done at the expense of beneficiary of the vacation.

Page 1

SECTION 3. The vacation herein provided for is made upon the express condition that within 180 days after the passage of this ordinance, Beverly Center L.L.C. shall deposit in the City Treasury of the City of Chicago, a sum sufficient to defray the costs of removing paving and curb returns and constructing sidewalk and curb at the entrance to that part of the alley hereby vacated, similar to the adjacent and contiguous sidewalk and curb.

SECTION 4. The vacation herein provided for is made upon the express condition that within 180 days after the passage of this ordinance, Beverly Center L.L.C. shall pay or cause to be paid to the City of Chicago as compensation for the benefits which will accrue to the owner of the property abutting said part of public alley hereby vacated the sum

dollars ($ ),

which sum in the judgment of this body will be equal to such benefits.

SECTION 5. The vacation herein provided for is made upon the express condition that within one hundred eighty (180) days after the passage of this ordinance, the Beverly Center LLC shall file or cause to be filed for record in the Office of the Recorder of Deeds of Cook County, Illinois a certified copy of this ordinance, together with an attached plat as approved by the Superintendent of Maps and Plats.

SECTION 6. This ordinance shall take effect and be in force from and after its passage. The vacation shall take effect and be in force from and after its recording.

Vacation Approved:

Rebekah Scheinfeld Commissioner of Transportation

Approved as to Form and Legality

Richard Wendy Deputy Corporation Counsel

^aaO«WzO-v Offj^

Honorable Mattd'Shea Alderman, 19th Ward

Page 2

EXHIBIT "A"

VICINITY MAP

MOT TO SCALE

GRAPHIC SCALE

_i PRIMARY BENCHMARK

■, CH f OH CHICAGO STANDARD BtNOtMAHK «Ji4 lfcLEVAI10N= b2MS

10 H" '.VtSI OF IHfc LAST LINE OF S SfcfcLfcY AVbNL'L 12 6 FT SOUTH OF THE SOUTH LtNI= OF w MTH STREET

^: SECONDARY BENCHMARK

! CITY OF CHICAGO STANDAHD BENCHMARK T021 I ELEVATION" 79413

_; 24 FT WES " OF THE WEST LINE OF s SEELEY AVENUE '■ 94FT SOUTH Or ThC NORTH LINE Of W 96TH STREET

PLAT OF VACATION

THE NORTH 16.00 FEET OF LOT 38 IN BLOCK 2 IN JOHN JENSEN AND SONS' BEVERLY HIGHLANDS, BEING A SUBDIVISION OF THE SOUTH 9 25 ACRES OF THE SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 7, TOWNSHIP 37 NORTH, RANGE 14, EAST OF THE THIRD PRINCIPAL MERIDIAN, ACCORDING TO THE PLAT THEREOF RECORDED MAY 29, 1925 AS DOCUMENT NUMBER 258206 IN COOK COUNTY, ILLINOIS

TRAFFIC FLOW

CONTAINING 1,773 SQUARE FEET, MORE OR LESS.

WEST 97TH STREET

66 FT. RECORD WIDTH

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_r© PUBLIC* ALLEY PEP DOC.,3319190 ; SOUTH UNE OF THE,N0RTH 16 00* OF LOT 30^

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VACATION HATCH BUILDINC HATCH

CCNCRETE HATCHj

ACRlAL WIRES FENCE LINES ■ UNDERUINC LOTS

TRAFFIC FLOW

CD0T# 07-19-13-3619

THIS SURVEY WAS PREPARED FOR: KOLPAK & LERNER 6767 N. MILWAUKEE SUITE 202 NILES IL 60714

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WEST 99TH STREET

73 FT RECORD WIDTH

Ncee HSU di-ftXr. Kcti.tr O

:c ycur Kit.'act. 3«d cent at I trie ><3hCf i

REVISED NOVEMBER 7. 2013 PER ORDER W013-16540 ELEVATIONS ADDED AUGUST 19 201,1 PER ORDER S2U13-1B205

'ALTERED 5T r.v.Hf. 1 Lttfi? ItCHECTHD »i«ess hj «*/> »ES"ERK «TMt :hi:ago (1
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C \CAO\:Ol2V012-l.'>0fi\20ll-l71M-fXl d«(

THE "HEHf-BY VACA'EC* PROPERTY SHOWN HEREON IS PUBi.lC, PROPERTY AND IS NOT IXUNrAIUO V\'ITH A ZONING ClASSIFiCAT(ON PER THE CiTV OF CHICAGO DEPARTMENT 20*JINGWF3StTE

THE SURVEYOR HAS NOT KESEAHCHED THE APPl ICAHLE ZONING OUIlOIMC COOES SETBACKS OH SPECIFIC L,SEt

*:LO*.VEO WITHIN' THIS ZONINi'i CL;»SSIFIi';AHCiN CON 1 AC! THEUTt'OI- CHLPAGO

(JtiPARTMENT OK 70NINC: CITY HAll. I?1 NOR1H ,a:,AJ.1F STREET. ROOM 9f-5 CHICAGO iLMNOiS ill?! 74* 'V«T F,i> 0'2)7J4P^^ti2 <"OR CERTIFICATION VF»IFiCAT ION ANL' iifRCIFIC MATTERS f»f.RTAIN!NO ~0 THE AEO/E HC'-TEO 70MNG CLASSIFICATION

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CITY OF CHICAGO

! ECONOMIC DISCLOSURE STATEMENT

AND AFFIDAVIT

SECTION I -- GENERAL INFORMATION

ii \

A. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable: .BEVERLY CENTER LLC

Check ONE of the following three boxes:

Indicate whether the Disclosing Party submitting this EDS is: : 1. [X] the Applicant j OR

| 2. [ ] a legal entity holding a direct or indirect interest in the Applicant. State the legal name of the

I Applicant in which the Disclosing Party holds an interest:

\ OR

'! 3. [] a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in

,! which the Disclosing Party holds a rieht of control:

Business address of the Disclosing Party: VtjOQ ^uA\ XaAVj? :u DfNf

i '

Telephone: %^~5DfojFax: V^lK Email: ^ ) ft

Name of contact person: BRETT WALROD ...
Federal Employer Identification No. (if you have one):
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):

ii PETITION TO VACATE A PUBLIC ALLEY AT 9831 S. WESTERN

Which City agency or department is requesting this EDS? CITY OF CHICAGO DEPARTMENT

¹ OF TRANSPORTATION

! If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:

¹ Specification # and Contract #

\ Ver. 01-01-12 Page I of 13

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 General partnership

Limited partnership

Trust

[X] Limited liability company [ ] Limited liability partnership [ ] Joint venture [ ] Not-for-profit corporation

(Is the not-for-profit corporation also a 501(c)(3))? []Yes []No [ ] 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 of Illinois as a foreign entity?

i i

i [ ] 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

BRETT WALROD MEMBER/MANAGER

MICHAEL MADURA MEMBER/MANAGER

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 Page 2 of 13

i i

interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, e'state 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

MICHAEL MADURA 3842 N. GREENVIEW CHICAGO, IL 20%

BRETT WALROD 1300 BULL VALLEY DR., WOODSTOCK. IL 20%

STEVE DISSE 1737 W. NEWPORT AVE., CHICAGO, IL 20%

JEFFREY DEVINE 2225 SWAINWOOD DR., GLENVIEW, IL 20%

ESTATE OF KHAN 20%

SECTION III -■ BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS

j Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 of the Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?

■ [ ] Yes [X] No

If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s):

j '

SECTION IV -- DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES

!i j

j 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 dr expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount of the 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.

¹ 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, i

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

I not an acceptable response.

PAUL KOLPAK 6767 N. MILWAUKEE AVE NILES. IL 60714 ATTORNEY $1.666.67 Plus Cost Paid

(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

i j

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?

¹ [ ] Yes [X] No [ ] No person directly or indirectly owns 10% or more of the

j 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

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), if the 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 of the 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, if the Disclosing Party is a legal entity, all of those persons or entities

identified in Section II.B.l. of this EDS:

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;
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

ij statements; or receiving stolen property; ij

c. are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal,

\ state or local) with committing any of the offenses set forth in clause B.2.b. of this Section V;

i l

■| 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

'j 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

J concerning environmental violations, instituted by the City or by the federal government, any

J 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

j and equipment; common use of employees; or organization of a business entity following the

,j 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

i 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 i other official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, J acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any j 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:

¹ 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 ;i 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).

¹ 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 (1) 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 of the United States of America that contains the same elements as the offense of bid-rigging or bid-rotating.

i! 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 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

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.

j 8. To the best of the Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees of the Disclosing Party who were, at any time during the 12-month period preceding the execution date of this EDS, an employee, or elected or appointed official, o'f the City of Chicago (if none, indicate with "N/A" or "none").

J -N/A

j 9. To the best of the Disclosing Party's knowledge after reasonable inquiry, the following is a

complete list of all gifts that the Disclosing Party has given or caused to be given, at any time during the

12-month period preceding the execution date of this EDS, to an employee, or elected or appointed

official, of the City of Chicago. For purposes of this statement, a "gift" does not include: (i) anything

made generally available to City employees or to the general public, or (ii) food or drink provided in the

course of official City business and having a retail value of less than $20 per recipient (if none, indicate

with "N/A" or "none"). As to any gift listed below, please also list the name of the City recipient.

_i N/A

C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION

! 1. The Disclosing Party certifies that the Disclosing Party (check one)

ii [ ] is [X] is not

a|"financial institution" as defined in Section 2-32-455(b) of the Municipal Code.

\ 2. If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:

i i

"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 of the Municipal Code, explain here (attach additional pages if necessary):

_,i

J N/A

.i 'i 'i

j Page 7 of 13

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 1. In accordance with Section 2-156-110 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 [X] No

NOTE: If you checked "Yes" to Item D. 1., proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.

I 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 d'oes not constitute a financial interest within the meaning of this Part D.

Does the Matter involve a City Property Sale?

j [XJYes []No

1 3. If you checked "Yes" to Item D.L, provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:

Name Business Address Nature of Interest

N/A

f 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

{ Page 8 of 13

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 nolicies. 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:

SECTION VI -- CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS

jSJOTE: If the 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.

jfV- CERTIFICATION REGARDING LOBBYING

j| 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

rpspect to the Matter: (Add sheets if necessary):

j__N/A

(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 lo pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal Jaw, 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.

Page 9 of 13

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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 itjmust comply with all statutes, ordinances, and regulations on which this EDS is based.

By 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.

Sedgwick St., Suite 500, Chicago, IL 60610, (312) 744-9660. The Disclosing Party must comply fully with the applicable ordinances.

Cl If the City determines that any information provided in this EDS is false, incomplete or inaccurate, ar|y 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.

Di 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 the 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 I of Chapter 1-23 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 of the Municipal Code.

The Disclosing Party represents and warrants that:

I Page 11 of 13

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 Exclude Parties List System ("EPLS") maintained by the U. S. General Services Administration.

Fj.3 If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any cpntractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F.l. 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.

NOTE: If the 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 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.

(Print or type name of person signing)

(Print or type title of person signing)

Signed and sworn to before me on (date) _

at i {' Jbt^X- County, (state).

Notary Public.

OFFICIAL SEAL JULIA GAJDA

NOTARY PUBLIC - STATE OF ILLINOIS MY COMMISSION EXPIRES:12/06/17

Commission expires: \ OlP | \~1

Page 12 of 13

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j CITY OF CHICAGO

ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT

| APPENDIX A

| ii

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.

j 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 of the 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 of the 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. l.a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, ifthe Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members of the 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 aj7.5 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?

j [ ] Yes [X] No

J 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 I - GENERAL INFORMATION

A. LegaJ name of the Disclosing Party submitting this EDS, Include d/b/a/ if applicable:

ESTATE OF JEFFREY KAHAN ■

Check ONE of the following three boxes:

Indicate whether the Disclosing Party submitting this EDS is:

[ ] the Applicant

[X ] 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: BEVERLY CENTER LLC

3. [ ] a legal entity with a right of control (see Section 11.8.1.) State the legal name of the entity in

which the Disclosing Party holds a right of control:

Business address of the Disclosing Party: ^p^F^/O ^-WP< - fj\f\. \\' |£

^yy. rvu>y\i , xi, ur)ft\gL,

Telephon _ V^jfc Email: M/ft
Name of contact person: DIANE KAHAN

Federal Employer Identification No. (if you have one):
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):

PETITION TO VACATE A PUBLIC ALLEY AT 9831 S. WESTERN

G. Which City agency or department is requesting this EDS? CITY OF CHICAGO DEPARTMENT

OF TRANSPORTATION

If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:

Specification # and Contract #

Ver. 01-01-12 Page 1 of 13

SECTION II -- DISCLOSURE OF OWNERSHIP INTERESTS

A. NATURE OF THE DISCLOSING PARTY j 1. Indicate the nature of the Disclosing Party:

[ ] Person [ ] Limited liability company

[ ] Publicly registered business corporation [ ] Limited liability partnership

[ ] Privately held business corporation [ ] Joint venture

[ ] Sole proprietorship [ ] Not-for-profit corporation

[ ] General partnership (Is the not-for-profit corporation also a 501(c)(3))?

[ ] Limited partnership [ ] Yes [ ] No

[X] Trust [ ] Other (please specify)

I 2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable:

Illinois

1 3. For legal entities not organized in the State of Illinois: Has the organization registered to do business in the State of Illinois 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).

i If the 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.

i i

Name Title Diane Kahan Trustee

i_; 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

Percentage Interest in the Disclosing Party 100%

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

Diane Kahan 641 W Willow

SECTION III - BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS

■i

\ Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 of the Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?

[ ] Yes [X] No

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If yes, please identify below the name(s) of such City elected official(s) and describe such felationship(s):

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SECTION IV -- DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES

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■ 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 of the 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.

1 j

^!: "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 Relationship to Disclosing Party Fees (indicate whether

retained or anticipated Address (subcontractor, attorney, paid or estimated.) NOTE:

tojbe retained) lobbyist, etc.) "hourly rate" or "t.b.d." is

J not an acceptable response.

PAUL KOLPAK 6767 N. MILWAUKEE AVE., NILES, IL 60714 ATTORNEY $1.666.67 Plus Cost Paid

(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 [X] No [ ] No person directly or indirectly owns 10% or more of the

Disclosing Party.

If!"Yes," has the person entered into a court-approved agreement for payment of all support owed and isjthe person in compliance with that agreement?

| [ ] Yes [ ] No

)

B¹, FURTHER CERTIFICATIONS

jj 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), if the 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 w,ith, 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 of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article 1 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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'<2. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities dentified in Section II.B.l. 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;

] i

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 i statements; or receiving stolen property;

state or local) with committing any of the offenses set forth in clause B.2.b. of this Section V;

^:c. are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal,

jd. have not, within a five-year period preceding the date of this EDS, had one or more public i transactions (federal, state or local) terminated for cause or default; and

. 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 j^: 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

j other official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, I acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").

j Page 5 of 13

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;

j 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

f 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 of 720 ILCS 5/33E-3; (2) bid-rotating in vijolation 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.
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 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.

j 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

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

i j

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.

11. In accordance with Section 2-156-110 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 eri'tity in the Matter?

i [ ] Yes [X] No

N0TE: If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D. 1., proceed to Part E.

\ 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?

i [X]Yes []No

j I

'. 3. If you checked "Yes" to Item D.l., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:

N|ame Business Address Nature of Interest

N/A

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i 4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.

E¹. 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

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Page 8 of 13

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:

SECTION VI -- CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS

NOTE: If the 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

jj 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):

: n/a

| 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.

■ Page 9 of 13

sewer charges, license fees, parking tickets, property taxes or sales taxes.

J i

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 Pa'rties 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.l. 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.

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

(Print or type name of Disclosing Part

By:

[Sign here) (Print or type name of person signing)

(Print or type title of gejrson signing)

T)kcJbs»\nA. To/-

Signed and sworn to before me on (date)

a( Clf\&- County, HIL__

Commission expires:.

. (state). Notary Public.

Page 12 of 13

OFFICIAL SEAL JULIA GAJDA NOTARY PUBLIC - STATE OF ILLINOIS MY COMMISSION EXPIRES 12/06/17

CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT

APPENDIX A

FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS

ij 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 of the 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 of the 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 orj stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.

i; "Applicable Party" means (1) all executive officers of the Disclosing Party listed in Section II.B.l.a., if the 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 of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members of the 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?

! t ] Yes [X] 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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Legislation Text

Legislation Details

Legislation Details (With Text)