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Record #: O2019-8491   
Type: Ordinance Status: Introduced
Intro date: 11/13/2019 Current Controlling Legislative Body: Committee on Zoning, Landmarks and Building Standards
Final action:
Title: Zoning Reclassification Map No. 5-L at 1830-1864 N Leclaire Ave and 1815-1915 N Laramie St - App No. 20258
Sponsors: Misc. Transmittal
Topic: ZONING RECLASSIFICATIONS - Map No. 5-L
Attachments: 1. O2019-8491.pdf
ORDINANCE

#E 77 ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:



SECTION 1. Title 17 of the Municipal Code of Chicago, the Chicago Zoning Ordinance, is hereby amended by changing all of the Residential Planned Development #1149 symbols and indications as shown on Map No. 5-L and Institutional Planned Development #1150 symbols and indications as shown on Map No. 5-L in the area bounded by:
The south line of the Chicago, Milwaukee, St. Paul and Pacific Railroad; North Leclaire Avenue; a line 317 feet north of and parallel to the north line of West Bloomingdale Avenue; a line 166 feet west of an parallel to the west line of North Leclaire Avenue; the alley next north and parallel to West Bloomingdale Avenue; North Laramie Avenue;

to those of a B3-2 Community Shopping District then to Institutional Planned Development #1150, as amended which is hereby established in the area described.
SECTION 2. This ordinance takes effect after its passage and publication.



Address of Property: 1830-64 North Leclaire Avenue/1815-1915 North Laramie Street


























26136060.3

19.02.20

STANDARD PLANNED DEVELOPMENT STATEMENTS

The Planned Development Statements describe the legal regulations and conditions that will control the development of the proposed project. The following statements shall be included in the ordinance; any proposed changes to these statements must be discussed and reviewed with the Chicago Department of Planning and Development. Based on the scope of the project, additional statements (listed at the end of this document) may be required. The following statements must be included in the ordinance:
The area delineated herein as Institutional Planned Development #1150, as amended (Planned Development) consists of approximately 428,742 square feet of property which is depicted on the attached Planned Development Boundary and Property Line Map ("Property") and is owned or controlled by the Applicants, By The Hand Club for Kids and Grace and Peace Fellowship.
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, at the time of application for amendments, modifications or changes (administrative, legislative or otherwise) to this Planned Development are made, shall be under single ownership or designated control. Single designated control is defined in Section 17-8-0400.
All applicable official reviews, approvals or permits are required to be obtained by the Applicant or its successors, assignees or grantees. Any dedication or vacation of streets or alleys or grants of easements or any adjustment of the right-of-way shall require a separate submittal to the Department of Transportation on behalf of the Applicant or its successors, assigns or grantees.

Any requests for grants of privilege, or any items encroaching on the public way, shall be in compliance with the Planned Development.

Ingress or egress shall be pursuant to the Planned Development and may be subject to the review and approval of the Departments of Planning and Development and Transportation. Closure of all or any public street or alley during demolition or construction shall be subject to the review and approval of the Department of Transportation.

Pursuant to a negotiated and executed Perimeter Restoration Agreement ("Agreement") by and between the Department of Transportation's Division of Infrastructure Management and the Applicant, the Applicant shall provide improvements and restoration of all public way adjacent to the property, which may include, but not be limited to, the following as shall be reviewed and determined by the Department of Transportation's Division of Infrastructure Management:
Applicants: By The Hand Club for Kids & Grace & Peace Fellowship
Address: 1830-64 North Leclaire Avenue/ 1815-1915 North Laramie Avenue
Introduced: November 13, 2019
Plan Commission: TBD|1010|26136085.6

19.02.20
Full width of streets
Full width of alleys
Curb and gutter
Pavement markings
Sidewalks
ADA crosswalk ramps
Parkway & landscaping

The Perimeter Restoration Agreement must be executed prior to any Department of Transportation and Planned Development Part II review permitting. The Agreement shall reflect that all work must comply with current Rules and Regulations and must be designed and constructed in accordance with the Department of Transportation's Construction Standards for work in the Public Way and in compliance with the Municipal Code of Chicago Chapter 10-20. Design of said improvements should follow the Department of Transportation's Rules and Regulations for Construction in the Public Way as well as The Street and Site Plan Design Guidelines. Any variation in scope or design of public way improvements and restoration must be approved by the Department of Transportation.
This Plan of Development consists of seventeen (17) Statements: a Bulk Regulations Table; an Existing Zoning Map; an Existing Land-Use Map; a Planned Development Boundary and Property Line Map; Site Plan; Sub-Area Map; Pedestrian & Vehicular Access Plan; Floor Plans; Landscape Plan(s); a Roof Plan; and, Building Elevations (North, South, East and West) prepared by Team A and dated (date of Plan Commission presentation), submitted herein. Full-sized copies of the Site Plan, Landscape Plan and Building Elevations are on file with the Department of Planning and Development. In any instance where a provision of this Planned Development conflicts with the Chicago Building Code, the Building Code shall control. This Planned Development conforms to the intent and purpose of the Chicago Zoning Ordinance, and all requirements thereto, and satisfies the established criteria for approval as a Planned Development. In case of a conflict between the terms of this Planned Development Ordinance and the Chicago Zoning Ordinance, this Planned Development shall control.
The following uses are permitted within the area delineated as Institutional Planned Development #1150, as amended, which are either permitted, special or allowed uses under the B3-2 District and are specific to each respective Subarea.

• Subarea A: Auditorium, School, Community Center, Day Care Facility; Religious Assembly; Meeting Rooms; Offices; Accessory Retail and Food Service; Banquet Facilities; Entertainment and Spectator Sports - Medium Venue and School and Fellowship-Related Accessory Uses (i.e. food pantry, carnivals, counseling services, social services programs); Indoor Special Events (including incidental liquor sales); Accessory Parking
Applicants: Address. Introduced: Plan Commission

26136085.6
By The Hand Club for Kids & Grace & Peace Fellowship 1830-64 North Leclaire Avenue/ 1815-1915 North Laramie Avenue November 13, 2019 TBD|1010|
19.02.20
Subarea B: After-school related programs; Community Center; Recreation Buildings and Similar Assembly Uses, Indoor Sports and Recreation, Participant; Small and Medium Venue Entertainment and Spectator Sports; Banquet or Meeting Halls; Office
Subarea C: Elderly Housing, Multi-unit (3+) Residential, Multi-unit attached or detached dwelling units; Parks and Recreation; Community Homes -group, Transitional Residences; Recreation Buildings and Similar Assembly Uses; Outdoor Sports and Recreation, Participant; Accessory Parking
Subarea D: Accessory parking


6. Prior to the Part II Approval (Section 17-13-0610 of the Chicago Zoning Ordinance) in Sub-Area C, the Applicant shall submit a site plan, landscape plan and building elevations for Sub-Area C for review and approval by the Department of Planning and Development (DPD). Review and approval by DPD is intended to assure that specific development components substantially conform with Planned Development and to assist the City in monitoring ongoing development. Sub-Area Site Plan Approval Submittals (Section 17-13-0800) need only include that portion of the Property for which approval is being sought by the Applicant. If the Applicant is seeking approval for a portion of the Property that represents less than an entire Sub-Area, the Applicant shall also include a site plan for that area of the Property which is bounded on all sides by either public Rights-of-Way or the boundary of the nearest Sub-Area. The site plan provided shall include all dimensioned and planned street Rights-of-Way.

No Part II Approval for any portion of the Property shall be granted until Site Plan approval has been granted. Following approval by DPD, the approved Sub-Area Site Plan Approval Submittals, supporting data and materials shall be made part of the main file and shall be deemed to be an integral part of the PD.

After approval of the Sub-Area Site Plan, changes or modifications may be made pursuant to the provisions of Statement 6. In the event of any inconsistency between approved plans and the terms of the PD, the terms of the PD shall govern. Any Sub Area Site Plan Approval Submittals shall, at a minimum, provide the following information:
fully-dimensioned site plan (including a footprint of the proposed improvements);
fully-dimensioned building elevations;
fully-dimensioned landscape plan(s); and,
statistical information applicable to the subject Sub-Area, including floor area, the applicable floor area ratio, uses to be established, building heights and setbacks.
Applicants:
Address:
Introduced:
Plan Commission'

26136085.6
By The Hand Club for Kids & Grace & Peace Fellowship 1830-64 North Leclaire Avenue/ 1815-1915 North Laramie Avenue November 13, 2019 TBD|1010|
19.02.20

Sub Area Site Plan Approval Submittals shall include all other information necessary to illustrate substantial conformance to Planned Development.
On-Premise signs and temporary signs, such as construction and marketing signs, shall be permitted within the Planned Development, subject to the review and approval of the Department of Planning and Development. Off-Premise signs are prohibited within the boundary of the Planned Development.
For purposes of height measurement, the definitions in the Chicago Zoning Ordinance shall apply. The height of any building shall also be subject to height limitations, if any, established by the Federal Aviation Administration.
The maximum permitted floor area ratio (FAR) for the Property shall be in accordance with the attached Bulk Regulations and Data Table. For the purpose of FAR calculations and measurements, the definitions in the Zoning Ordinance shall apply. The permitted FAR identified in the Bulk Regulations and Data Table has been determined using a net site area of 428,742 square feet and a base FAR of 1.2.
Upon review and determination, Part II Review, pursuant to Section 17-13-0610, a Part II Review Fee shall be assessed by the Department of Planning and Development. The fee, as determined by staff at the time, is final and binding on the Applicant and must be paid to the Department of Revenue prior to the issuance of any Part II approval.
The Site and Landscape Plans shall be in substantial conformance with the Landscape Ordinance and any other corresponding regulations and guidelines, including Section 17-13-0800. Final landscape plan review and approval will be by the Department of Planning and Development. Any interim reviews associated with site plan review or Part II reviews, are conditional until final Part II approval.
The Applicant shall comply with Rules and Regulations for the Maintenance of Stockpiles promulgated by the Commissioners of the Departments of Streets and Sanitation, Fleet and Facility Management and Buildings, under Section 13-32-085, or any other provision of the Municipal Code of Chicago.
The terms and conditions of development under this Planned Development ordinance may be modified administratively, pursuant to Section 17-13-0611-A, by the Zoning Administrator upon the application for such a modification by the Applicant, its successors and assigns and, if different than the Applicant, the legal title holders and any ground lessors.
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 improvements on the Property shall be reviewed and approved by the Mayor's Office for People with Disabilities to ensure compliance with all applicable laws and regulations related to access for persons with disabilities and to promote the highest standard of accessibility.
Applicants: By The Hand Club for fCids & Grace & Peace Fellowship
Address: 1830-64 North leclaire Avenue/ 1815-1915 North Laramie Avenue
Introduced- November 13, 2019
Plan Commission: TBD|1010|26136085.6

19.02.20
The Applicant acknowledges that it is in the public interest to design, construct, renovate and maintain all buildings in a manner that provides healthier indoor environments, reduces operating costs and conserves energy and natural resources. The Applicant shall obtain the number of points necessary to meet the requirements of the Chicago Sustainable Development Policy, in effect at the time the Part II review process is initiated for each improvement that is subject to the aforementioned Policy and must provide documentation verifying compliance.
The Applicant acknowledges that it is the policy of the City to maximize opportunities for Minority and Women-owned Business Enterprises ("M/WBEs") and city residents to compete for contracts and jobs on construction projects approved through the planned development process. To assist the city in promoting and tracking such M/WBE and city resident participation, an applicant for planned development approval shall provide information at three points in the city approval process. First, the applicant must submit to DPD, as part of its application for planned development approval, an M/WBE Participation Proposal. The M/WBE Participation Proposal must identify the applicant's goals for participation of certified M/WBE firms in the design, engineering and construction of the project, and of city residents in the construction work. The city encourages goals of (i) 26% MBE and 6% WBE participation (measured against the total construction budget for the project or any phase thereof), and (ii) 50% city resident hiring (measured against the total construction work hours for the project or any phase thereof). The M/WBE Participation Proposal must include a description of the Applicant's proposed outreach plan designed to inform M/WBEs and city residents of job and contracting opportunities. Second, at the time ofthe Applicant's submission for Part II permit review for the project or any phase thereof, the Applicant must submit to DPD (a) updates (if any) to the Applicant's preliminary outreach plan, (b) a description of the Applicant's outreach efforts and evidence of such outreach, including, without limitation, copies of certified letters to M/WBE contractor associations and the ward office of the alderman in which the project is located and receipts thereof; (c) responses to the Applicant's outreach efforts, and (d) updates (if any) to the applicant's M/WBE and city resident participation goals. Third, prior to issuance of a Certificate of Occupancy for the project or any phase thereof, the Applicant must provide DPD with the actual level of M/WBE and city resident participation in the project or any phase thereof, and evidence of such participation. In addition to the forgoing, DPD may request such additional information as the department determines may be necessary or useful in evaluating the extent to which M/WBEs and city residents are informed of and utilized in planned development projects. All such information will be provided in a form acceptable to the Zoning Administrator. DPD will report the data it collects regarding projected and actual employment of M/WBEs and city residents in planned development projects twice yearly to the Chicago Plan Commission and annually to the Chicago City Council and the Mayor.
This Planned Development shall be governed by Section 17-13-0612. Should this Planned Development ordinance lapse, the Zoning Administrator shall initiate a Zoning Map Amendment to rezone the property to B3-2 Community Shopping District.

Applicants- By lhe Han J Club for Kids & Grace & Peace Fellowship
Address: 1830-64 North Leclaire Avenue/ 1815-1915 North Laramie Avenue
Introduced: November 13, 2019
Plan Commission: TBD|1010|26136085.6
INSTITUTIONAL PLANNED DEVELOPMENT #1150, AS AMENDED BULK REGULATIONS AND DATA TABLE
451,847 sq. ft.
23,105 sq. ft. 428,742 sq. ft.

Overall FAR: 1.2 Subarea A: .85 Subarea B: .8 Subarea C: 1.22 Subarea D: 0


All uses identified in Statement Number 5
No. of Off-street Parking Spaces:



Bicycle Parking: No. of Loading Berths
Subarea A: 0 Subarea B: 0
Subarea C: 40 (Including 4 HC) Subarea D: 250 (Including 7 HC)

1 per 10 auto spaces

Subarea A = 1 (25' x 10') Subarea B= 1 (50' x 10') Subarea C= 1 (10' x 25') Subarea D = 0


Subarea A: 44'
(Existing Grace & Peace Fellowship) Subarea B: 50'
(Proposed Recreation Center/ Community Center)
Subarea C: TBD Subarea D: 0'

In accordance with plans




26135997.4

PROPOSED AMENDMENT TO PD #1150

NARRATIVE


Applicants
By The Hand Club For Kids

By The Hand Club For Kids, is a Chicago based after-school program that emphasizes academic excellence by providing a holistic approach in educating children living in Chicago's most underserved communities. By The Hand's mission is literally and figuratively to take children "by the hand" and provide them with a safe learning environment during dangerous after-school hours. Through its program, By The Hand Club for Kids emphasizes the development of the student's mind, body and soul, leading them to make wise, life-defining decisions. For almost two decades, By the Hand Club for Kids has operated its widely acclaimed program in the Cabrini-Green, Austin, Englewood and Altgeld-Murray neighborhoods.
Grace and Peace Fellowship

Grace and Peace Fellowship is an urban congregation whose mission is to reach out and embrace Northwest Chicago residents of all ethnic backgrounds and beliefs. With its main operations based out of the Revive Center at 1856 North Leclaire Ave., Grace and Peace offers Sunday worship services, ministry programs for men, women and children and quality childcare services. Grace and Peace extends its positive community impact by partnering with the Gap Community Center community center within the Hermosa neighborhood at 2100 North Kildare.

Developer

Chicago Neighborhood Initiatives

The Applicants have joined with the highly regarded and well-respected firm of Chicago Neighborhood Initiatives ("CNI") in order to further develop the property located at 1832-64 N. Leclaire Ave./1815-1915 N. Laramie Avenue.

CNI's mission includes coordinating resources in order to improve economic development and increase neighborhood revitalization in Chicago's low to moderate income neighborhoods. CNI's projects include both large and small scale real estate development projects, with a focus on providing residents with much needed access to groceries and retail services as well as affordable housing.

CNI's commitment is clearly evident in its continuing efforts in the long-term revitalization of the historic Pullman neighborhood. CNI's revitalization efforts include
|1010|
developing the Pullman Community Center, a 135,000 sq. ft. recreation and education complex. CNI was the master developer of Pullman Park, the 180 acre mixed-use site at 111th and 1-94, which includes a 150,000 sq. ft. Walmart, Method Home Products, a LEED Platinum certified plant and the Whole Foods 140,000 sq. ft. distribution center.


III. Existing Site Conditions

The subject property is generally bounded by the south line of the Chicago, Milwaukee, St. Paul and Pacific Railroad on the north, North Leclaire Avenue on the east, a line 317 feet north of and parallel to the north line of West Bloomingdale on the south, and North Laramie Avenue on the west. The subject property consists of a net site area of 428,742 sq. ft. (approximately 9.8 acres) and is partially improved with a 3-story building which operates as Grace and Peace Fellowship and the remainder is vacant and unimproved.

The Subject Property is currently located within Institutional Planned Development #1150 and Residential Planned Development #1149.


A. Industrial Corridor

The Subject Property is located within the Armitage Industrial Corridor.

The Subject Property is not located within a TIF District, Planned Manufacturing District or within the Lakefront Protection District.

IV. Proposed Commercial Planned Development

The Applicants are seeking an Amendment to Institutional Planned Development #1150, in order to permit a campus focused development, which will include the existing Grace and Peace Fellowship, By The Hand's recreation/community center, future elderly housing and multi-family affordable housing developments (with ancillary open space features) and accessory parking. The proposed plan is to terminate Planned Development #1149 and include its affected property into Institutional Planned Development #1150. As this constitutes an expansion to Existing Development (§17-8-0515(B) of Chicago Zoning Ordinance) in terms of lot area, a Mandatory Planned Development is required.









|1010|26037814.3

A. Overview of Amended Planned Development Plan
Grace and Peace Fellowship (Subarea A)

The existing 3-story building located at the northeastern portion of the subject property (1864 North Leclaire Ave,) will continue to operate as Grace and Peace Fellowship.
By The Hand Club For Kids (Subarea B)

The Applicant, By The Hand Club For Kids, and Developer plan to construct an recreation center/community center for use by not only those students that participate in its after-school programs, but offer its amenities for use by other neighborhood students.

The proposed recreation/community center will include a new 2-story building, containing 138,000 sq. ft. The first floor of the proposed building will include two (2) turf athletic fields, batting cages, indoor basketball/volleyball courts and a multi-purpose room. The second floor of the proposed building will include an indoor track, classrooms and Applicant's administrative offices. The overall height of the proposed building is 50 feet.

The Applicant's proposed recreation/community center will also include a community plaza which will include outdoor seating for use and enjoyment by visitors to By The Hand Club For Kids' recreation/community center.
Elderly Housing/Multi-Unit Affordable Housing (Subarea C)

The Applicants' proposed development includes an elderly housing building and an affordable family housing building. As the proposed use is contingent on future market demand for such housing types, the Applicants do not plan on submitting specific development plans related to residential use, and agree that such residential development will be subject to Department of Planned & Development's Site Plan approval.

Until such time as the property contained within Subarea C is developed, the property will be improved with outdoor sports facilities.
Accessory Parking lot (Subarea D)

The Applicants and Developer plan to establish a surface parking lot containing a total of 250 on-site parking spaces which will be accessory to Grace and Peace Fellowship and By The Hand Club for Kids' recreation/community center.

5. Proposed PD uses

The proposed uses include the following, which are either permitted, special or allowed uses under the B3-2 District
Subarea A: Auditorium, School, Community Center, Day Care Facility; Religious Assembly; Meeting Rooms; Offices; Accessory Retail and Food Service; Banquet Facilities; Entertainment and Spectator Sports - Medium Venue and School and Fellowship-Related Accessory Uses (i.e. food pantry, counseling services, social services programs); Accessory parking
Subarea B: After-school related programs; Community Center; Recreation Buildings and Similar Assembly Uses, Indoor Sports and Recreation, Participant; Small and Medium Venue Entertainment and Spectator Sports; Banquet or Meeting Halls; Office
Subarea C: Elderly Housing, Multi-unit (3+) Residential, Multi-unit attached or detached dwelling units; Parks and Recreation; Community Homes - group, Transitional Residences; Recreation Buildings and Similar Assembly Uses; Outdoor Sports and Recreation, Participant; Accessory Parking
, Subarea D: Accessory parking

Community outreach

As part of promoting the benefits of its proposed development, representatives of the Applicants have met with and attended Alderman Mitts' monthly community meetings. Additionally, the Applicants have hosted numerous meetings with several community groups, including Austin Coming Together (ACT), Westside Health Authority, Westside Forward (Bethel New Life) and Galewood Homeowners Association.
City Funds or Incentives

The property located at 1815-1915 North Laramie Avenue, within PD #1149, is owned by the City of Chicago. The Applicant, By The Hand Club For Kids, is in the process of purchasing the property through the City's Negotiated Sale of City Owned Properties.

The Applicant, By The Hand Club For Kids and Developer, CNI, are also pursuing New Markets Tax Credits, as a source of additional financing.


8. Sustainable Development Policy
|1010|26037814.3

Applicants and Developer are aware of the City of Chicago's Sustainable Development Policy for Planned Development projects. The Applicants and Developer will identify the options from the Sustainable Strategies Menu that it will utilize during its proposed phases of development and submit prior to presentation of the proposed Planned Development before the Chicago Plan Commission.


9. MBE/WBE Hiring Strategy

The Applicants and Developer are aware of the City's MBE/WBE policy for Planned Development projects. The City has adopted employment goals of 26% MBE, 6% WBE, 50% City Residency, of which 10% would include residents from the 37th ward.

The Applicants and Developer will develop a strategic plan for marketing those jobs, and understands that it will be required to submit its plan to Department of Planning & Development prior to presentation of the proposed Planned Development to the Plan Commission.






























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"WRITTEN NOTICE" FORM OF AFFIDAVIT (Section 17-13-0107)


November 5, 2019

Honorable Thomas M. Tunney
Chairman, Committee on Zoning, Landmarks and Building Standards
City of Chicago
121 North LaSalle Street
Room 304, City Hall
Chicago, Illinois 60602
The undersigned, 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 ofthe Chicago Zoning Ordinance, by sending revised written notice to such property owners who appear to be the owners of the property within the subject area not solely owned by the applicants, and to the owners of all property within 250 feet in each direction of the lot line ofthe subject property, exclusive of public roads, streets, alleys and other public ways, or a total distance limited to 400 feet. Said revised "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 addresses ofthe property sought to be rezoned; a statement ofthe intended uses ofthe property; the name and address of the applicants; the name and addresses of the owners; and a statement that the applicants intend to file the application for a change in zoning on approximately November 5, 2019.

The undersigned certifies that the applicants have 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 ofthe people required to be served.

Subscribed and Swofii to before me this

Notary Public
g*** day oPC/loOt^r (^a ^ , 20 \_\_
"OFFICIAL SEAL" YVETTE COLEMAN-PITTS
NOTARY PUBLIC, STATE OF ILLINOIS MY COMMISSION EXPIRES 5/19/2020

Via USPS First Class Mail
November 5, 2019 Dear Property Owner:
In accordance with the requirements for an Amendment to the Chicago Zoning Ordinance, specifically Section 17-13-0107, please be informed that on or about November 5, 2019, the undersigned will file an application for a change in zoning from Residential Planned Development #1149 and Institutional Planned Development #1150 to Institutional Planned Development #1150, as amended on behalf of By The Hand Club For Kids and Grace and Peace Fellowship ("Applicants") for the property located at 1830-64 North Leclaire Ave./1815-1915 North Laramie Ave. ("Subject Property"). The Applicants and the City of Chicago collectively own the Subject Property.

The Applicants plan to develop the Subject Property with a campus development which will include a) the existing 3-story building, located at 1856 North Leclaire Ave., which will continue to operate as Grace and Peace Fellowship; b) a new 2-story building (containing 138,000 square feet), which will serve as a recreation/community center and consist of indoor athletic facilities (basketball courts, running track etc.), and after-school programs operated by By The Hand Club For Kids; c) outdoor plaza for use and enjoyment of visitors of the proposed recreation/community center d) a 250-space parking lot which will serve Grace and Peace Fellowship and By The Hand Club For Kids and e) future elderly housing and affordable family housing buildings with accessory parking.

The overall height of the existing 3-story building (Grace and Peace Fellowship) will remain at 44 feet. The proposed overall height of By The Hand Club For Kids's proposed 2-story recreation/community center is 50 feet. The height of the proposed future elderly housing and affordable housing buildings has not been determined.

By The Hand Club For Kids is located at 415 North Laramie Avenue Chicago, IL. Grace and Peace Fellowship is located at 1856 North Leclaire Avenue Chicago, IL. City of Chicago is located at 121 North LaSalle Street Suite 1000 Chicago, IL.

Please note that the Applicants are not seeking to rezone or purchase your property. The Applicants are required by law to send this notice because you own property within 250 feet of the property to be rezoned.

26136083 5

Any questions regarding this notice may be directed to the undersigned, Applicant's attorney, at Taft, Stettinius & Hollister, 111 East Wacker Drive, Suite 2800, Chicago, IL 60601, (312) 836-4036.

CITY OF CHICAGO

APPLICATION FOR AN AMENDMENT TO THE CHICAGO ZONING ORDINANCE

ADDRESS of the property Applicant is seeking to rezone: 1830-64 North Leclaire Avenue/1815-1915 North Laramie Avenue

Ward Number that property is located in: 37
please refer to Exhibit A for additional APPLICANT By The Hand Club For Kids and Grace & Peace Fellowship (information regarding Grace & Peace Fellowship)

ADDRESS 415 North Laramie Avenue CITY Chicago

STATE IL ZIP CODE 60644 PHONE 312-305-2622

EMAIL donnita.travis@bythehand.org CONTACT PERSON Donnita Travis
(Please refer to Exhibit A for additional property owners)
Is the applicant the owner of the property? YES x NO
Ifthe 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 By The Hand Club For Kids (property located at 1830-48 North Leclaire Avenue)

ADDRESS 415 North Laramie Avenue CITY Chicago

STATE IL ZIP CODE 60644 PHONE 312-305-2622

EMAIL donnita.travis@bythehand.org CONTACT PERSON Donnita Travis

If the Applicant/Owner of the property has obtained a lawyer as their representative for the rezoning, please provide the following information:
ATTORNEY Graham C. Grady c/o Taft, Stettinius & Hollister ADDRESS 111 East Wacker Drive Suite 2800

CITY Chicago STATE IL ZIP CODE 60601

PHONE 312"836-4036 FAX 312-966-8541 EMAIL ggrady@taftlaw.com







Page 1

If the applicant is a legal entity (Corporation, LLC, Partnership, etc.) please provide the names
of all owners as disclosed on the Economic Disclosure Statements. N/A as By The Hand Club For Kids and Grace and Peace Fellowship ("Applicants) are
both 501 (c)3 not-for-profit corporations







By The Hand Club for Kids: July 31, 2018
On what date did the owner acquire legal title to the subject property? Refer to Exhibit A for additional property
owners
Has the present owner previously rezoned this property? If yes, when?
Grace and Peace Fellowship rezoned property located at 1830-64 North Leclaire Ave. on November 2009 to the
current Institutional Planned Development #1150 zoning classification.
Residential Planned Development #1149 (1815-1915 N. Laramie Ave.) Institutional Planned Development #1150 (1830-64 North Leclaire Ave.)
Present Zoning District Proposed Zoning District B3-2 District then to institutional Planned
Development #1150, as amended
Lot size in square feet (or dimensions) 428,742 sq. ft.
The property is currently improved with an existing 3-story brick building which operates as 11 Current Use ofthe property Grace and Peace Fellowship (northwest portion of property - 1850-64 N. Leclaire Ave.) and
the remainder of the property is vacant and unimproved.
Reason for rezoning the property The reason fnr rezoning the property is to a) amanri PD #1150's existing PD
boundaries to include property located at 1815-1915 N. Laramie Ave. and currently zoned PD #1149; b) allow the creation of subareas and c) permit additional uses including residential, sports and recreation (indoor & outdoor) and accessory parking.
Describe the proposed use of the 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) Tne Applicants plan on developing the property with a campus development which will include a) the existing 3-story building, located at 1856 N. Leclaire Ave., which will continue to operate
as Grace & Peace Fellowship; b) a new 2-story building (containing 138,000 sq. ft.) which will serve as a recreation/community center and consist of indoor athletic facilities (basketball courts, running track etc.) and after-school programs operated by By The Hand Club For Kids; c) outdoor plaza for use and enjoyment of visitors to proposed recreation/community center; d) a 250-space parking lot which will serve Grace and Peace Fellowship and By The Hand Club For Kids recreation/community center and d) future elderly housing and affordable family housing buildings.The height of the existing 3-story building will remain at 44 ft. The overall height of proposed recreation/community center will be 50 feet.
14. The Affordable Requrements Ordinance (ARO) requires on-site affordable housing units and/or
a financial contribution for residential housing projects with ten or more units that receive a zoning change which, among other triggers, increases the allowable floor area, or, for existing Planned Developments, increases the number of units (see attached fact sheet or visit www.cityofchicago.org/ARO for more information). Is this project subject to the ARO?


YES NO x




Page 2

BY THE HAND CLUB FOR KIDS/GRACE AND PEACE FELLOWSHIP
EXHIBIT A



I. Additional Applicant and Property Owner

Grace and Peace Fellowship
1856 North Leclaire Ave.
Chicago, IL 60644
Phone: 773-489-5949
Contact Person: Pastor John Zayas

Owner of property located at 1850-64 North Leclaire Avenue
Date of Purchase: November 6, 2008



II. Additional Property Owner

City of Chicago
121 North LaSalle, Suite 1000
Chicago, IL 60602

Owner of property located at 1815-1915 North Laramie Avenue
Date of Purchase: October 9, 1998


























26136048.1

COUNTY OF COOK STATE OF ILLINOIS
John Zayas, on behalf of Grace and Peace Fellowship
, being first duly sworn on oath, states that all ofthe 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:






















Page 3
' i A 3 3 JAiOl-VTfV
riiiWOU.' AFUJAftf
CSCStSV ^Hi'-US VOfCCiMMOOYM
COUNTY OF COOK STATE OF ILLINOIS
Donnita Travis, on behalf of By The Hand Club For Kids,
, 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.

Signature of Applicant
Subscribed and S
5u
/Notary-Public
to before me this f)\J&Mhu/ , 20 /f


"OFFICIAL SEAL" MAURA L DOWNS NOTARY PUBLIC, STATE OF ILLINOIS MY COMMISSION EXPIRES 1/2/2023


For Office Use Only

Date of Introduction:
File Number:
Ward:





















Page 3

Department of Planning and Development city of chicago



November 5, 2019


Alderman Tom Tunney Chairman, Zoning Committee 121 North LaSalle Street, Room 304 Chicago, IL 60602


Chairman Tunney,
r
The Department of Planning and Development understands that By the Hand Club for Kids proposes to amend existing Residential Planned Development #1150 to include the City-owned property at 1815-1915 N. Laramie Avenue (refer to Exhibit A). By the Hand for Kids has submitted a negotiated sale application for the purchase of these parcels. The Department consents to the filing of the Amendment to the Planned Development #1150 as the owner of the property that is the subject of the Amendment.

Department of Planning and Development



cc. Heidi Sperry/DPD
Michael Penicnak/DPD
Taft, Stettinius & Hollister, LLP for By the Hand Club for Kids









121 NORTH LASALLE STKKET, ROOM 1000, CHICAGO, ILLINOIS 60602

EXHIBIT A

APPLICABLE PROPERTY IDENTIFICATION NUMBERS.

13-33-404-016 13-33-404-017 13-33-408-001 13-33-408-002 13-33-408-036 13-33-408-038 13-33-408-039
October 23, 2019



Chairman, Committee on Zoning Department of Planning & Development City Hall
121 North LaSalle Street Chicago, Illinois 60602


To Whom It May Concern:

I, Donnita Travis, Executive Director of By The Hand Club For Kids, understands that Graham C. Grady of Taft, Stettinius and Hollister LLP has filed a swom affidavit identifying By The Hand Club For Kids as the Applicant who is seeking an amendment of the zoning for the property located at 1830-64 North Leclaire Avenue/1815-1915 North Laramie Avenue to be changed from the existing Institutional Planned Development #1150 to Institutional Planned Development #1150, as amended.

I authorize Graham C. Grady and the law firm of Taft, Stettinius & Hollister LLP to file the Zoning Amendment application.

Donnita Tragus Executive Director By The Hand Club For Kids

^L^Beunita Travis, Executive Director of By The Hand Club For Kids, being first duly /sworn on) oath, depose and say that By The Hand Club For Kids holds ownership interest in the property located at 1830-48 North Leclaire Avenue located within Insfitulional/^D #1150 on behalf of itself and no other person, association, or member.



SUBSCRIBED AND SWORN to before me this 3) day of O ct- 2019

NOTARY PUBLIC

26075037.3

CITY Or CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT

SECTION I - GENERAL INFORMATION

A. Legal name ofthe Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
By The Hand Club For Kids

Check ONE ofthe following three boxes:

Indicate whether the Disclosing Party submitting this EDS is:
[x] the Applicant
OR
[ ] a legal entity currently holding, or anticipated to hold within six months after City action on
the contract, transaction or other undertaking to which this EDS pertains (referred to below as the
"Matter"), a direct or indirect interest in excess of 7.5% in the Applicant. State the Applicant's legal
name:
OR
[ ] a legal entity with a direct or indirect right of control of the Applicant (see Section 11(B)(1)) State the legal name of the entity in which the Disclosing Party holds a right of control:


B. Business address ofthe Disclosing Party:
Chicago, IL 60644
Telephone: 312-305-2622 paX; 312-943-9179 Email: donnitatravis@bythehand.org
Name of contact person: P°n""a Travis
Federal Employer Identification No. (if you have one): _. --¦
F. Brief description ofthe Matter to which this EDS pertains. (Include project number and location ol property, if applicable):
Amendment to Planned Development #1150

G. Which City agency or department is requesting this EDS? Department of Planning & Development

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

Specification # and Contract //
Vcr.2018-1 Pauelol'15

SECTION II -
- DISCLOSURE OF OWNERSHIP INTERESTS

A. NATURE OF THE DISCLOSING PARTY
1. Indicate the nature of the Disclosing Pe
[ ] Person
[ ] Publicly registered business corporation
[ J Privately held business corporation
[ ] Sole proprietorship
[ ] General partnership '
[ ] Limited partnership
[ ] Trust
•ty:
[ ] Limited liability company
[ ] Limited liability partnership
[ ] Joint venture
[x] Not-for-profit corporation
(Is the not-for-profit corporation also a 501(c)(3))?
[x] 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 of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity?

[ ] Yes [ ] No f ] Organized in Illinois

B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:

1. List below the full names and titles, if applicable, of: (i) all executive officers and all directors of the entity; (ii) for not-for-profit corporations, all members, if any, which are legal entities (if there are no such members, write "no members which are legal entities"); (iii) for trusts, estates or other similar entities, the trustee, executor, administrator, or similarly situated party; (iv) for general or limited partnerships, limited liability companies, limited liability partnerships or joint ventures, each general partner, managing member, manager or any other person or legal entity that directly or indirectly controls the day-to-day management of the Applicant.

NOTE: Each legal entity listed below must submit an EDS on its own behalf.

Name Title
Refer to Exhibit A




2. Please provide the following information concerning each person or legal entity having a direct or indirect, current or prospective (i.e. within 6 months after City action) beneficial interest (including ownership) in excess of 7.5% of lhe Applicant. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture, interest of a member or manager in a

Page 2 ofl5

EXHIBIT A

BY THE HAND FOR KIDS

LIST OF EXECUTIVE OFFICERS/BOARD OF DIRECTORS


Donnita Travis, Executive Director
Tom Sawyer, Chairman
James Fellowes
Keith Searls
Gilbert Russell
Jose Gomez
Nancy Hanson
Sharon Hickey-Kozek
Peggy Lim
Brian Musso
Christine Parker, Secretary
Roy Patterson
Mark Sauer, Treasurer
Carol Simpson, Vice Chairman
Julius Wilson






























26091356 1

limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None."

NOTE: Each legal entity listed below may be required to submit an EDS on its own behalf.

Name Business Address Percentage Interest in the Applicant
None




SECTION III - INCOME OR COMPENSATION TO, OR OWNERSHIP BY, CITY ELECTED OFFICIALS

Has the Disclosing Party provided any income or compensation to any City elected official during the
12-month period preceding the date of this EDS? [ ] Yes [x] No

Does the Disclosing Party reasonably expect to provide any income or compensation to any City
elected official during the 12-month period following the date ofthis EDS? [ ] Yes [x] No

If "yes" to either ofthe above, please identify below the name(s) of such City elected official(s) and describe such income or compensation:



Does any City elected official or, to the best of the Disclosing Party's knowledge after reasonable
inquiry, any City elected official's spouse or domestic partner, have a financial interest (as defined in
Chapter 2-156 ofthe Municipal Code of Chicago ("MCC")) in the Disclosing Party?
[ ] Yes [x] No

If "yes," please identify below the name(s) of such City elected official(s) and/or spouse(s)/domestic partner(s) and describe the financial interest(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 (as defined in MCC Chapter 2-156), 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. 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 15

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.
Taft, Stettinius & Hollister 111 East Wacker Dr. #2800 Chicago, IL 60601 Attorney $25,000 (estimated)
Team A 405 West Superior St Chicago, IL 60654 Architect $20,000 (estimated)
Chicago Neighborhood Initiatives 1000 E 111st St. 10th Floor Chicago, IL 60628 Developer $20,000 (estimated)
RPS 135 S. LaSalle St. Suite 3500 Chicago, IL 60603 Environmental Consultant $9,000 (estimated)
(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 2-92-415, 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 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?

[ ] Yes [ ] No

B. FURTHER CERTIFICATIONS
[This paragraph 1 applies only if the Matter is a contract being handled by the City's Department of Procurement Services.] In the 5-year period preceding the date ofthis EDS, neither the Disclosing Party nor any Affiliated Entity [see definition in (5) below] has engaged, in connection with the performance of any public contract, the services of an integrity monitor, independent private sector inspector general, or integrity compliance consultant (i.e., an individual or entity with legal, auditing, investigative, or other similar skills, designated by a public agency to help the agency monitor the activity of specified agency vendors as well as help the vendors reform their business practices so they can be considered for agency contracts in the future, or continue with a contract in progress).
The Disclosing Party and its Affiliated Entities are not delinquent in the payment ofany fine, fee, tax or other source of indebtedness owed to the City of Chicago, including, but not limited to, water and sewer charges, license fees, parking tickets, property taxes and sales taxes, nor is the Disclosing Party delinquent in the payment of any tax administered by the Illinois Department of Revenue.


Page 4 of 15

The Disclosing Party and, ifthe Disclosing Party is a legal entity, all of those persons or entities identified in Section 11(B)(1) ofthis 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, during the 5 years before 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;
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 subparagraph (b) above;
have not, during the 5 years before the date ofthis EDS, had one or more public transactions (federal, state or local) terminated for cause or default; and
have not, during the 5 years before the date ofthis 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.
The Disclosing Party understands and shall comply with the applicable requirements of MCC Chapters 2-56 (Inspector General) and 2-156 (Governmental Ethics).
Certifications (5), (6) and (7) 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 ofthe 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 15

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 5 years before the date of this EDS, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the 5 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 subparagraph (a) or (b) above that is a matter of record, but have not been prosecuted for such conduct; or
violated the provisions referenced in MCC Subsection 2-92-320(a)(4)(Contracts Requiring a Base Wage); (a)(5)(Debarment Regulations); or (a)(6)(Minimum Wage Ordinance).

Neither the Disclosing Party, nor any 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.
Neither the Disclosing Party nor any Affiliated Entity is listed on a Sanctions List maintained by the United States Department of Commerce, State, or Treasury, or any successor federal agency.
[FOR APPLICANT ONLY] (i) Neither the Applicant nor any "controlling person" [see MCC Chapter 1-23, Article I for applicability and defined terms] of the Applicant 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 MCC Chapter 1-23, Article I applies to the Applicant, that Article's permanent compliance timeframe supersedes 5-year compliance timeframes in this Section V.
[FOR APPLICANT ONLY] The Applicant and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed as having an active exclusion by the U.S. EPA on the federal System for Award Management ("SAM").
[FOR APPLICANT ONLY] The Applicant 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 Certifications (2) and (9) above and will not, without the prior written consent of the City, use any such
Ver.2018-1 Page 6 of 15

contractor/subcontractor that does not provide such certifications or that the Applicant has reason to believe has not provided or cannot provide truthful certifications.

11. Ifthe Disclosing Party is unable to certify to any of the above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
N/A



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.

12. 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 date of this EDS, an employee, or elected or appointed official, of the City of Chicago (if none, indicate with "N/A" or "none").
N/A



13. 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 $25 per recipient, or (iii) a political contribution otherwise duly reported as required by law (if none, indicate with "N/A" or "none"). As to any gift listed below, please also list the name of the City recipient.
N/A



C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is [ x] is not
a "financial institution" as defined in MCC Section 2-32-455(b).
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 MCC Chapter 2-32. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in MCC Chapter 2-32. 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."

Page 7 of 15

Ifthe Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in MCC Section 2-32-455(b)) is a predatory lender within the meaning of MCC Chapter 2-32, explain here (attach additional pages ifnecessary): NA



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.

D. CERTIFICATION REGARDING FINANCIAL INTEREST IN CITY BUSINESS

Any words or terms defined in MCC Chapter 2-156 have the same meanings if used in this Part D.
In accordance with MCC Section 2-156-110: To the best of the Disclosing Party's knowledge after reasonable inquiry, does any official or employee ofthe 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(l), proceed to Items D(2) and D(3). If you checked "No" to Item D(l), skip Items D(2) and D(3) and proceed to Part E.
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 ofany 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 [ ] No
If you checked "Yes" to Item D(l), provide the names and business addresses of the City officials or employees having such financial interest and identify the nature ofthe financial interest:

Name Business Address Nature of Financial Interest






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

Page 8 of 15

E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS

Please check either (1) or (2) below. Ifthe Disclosing Party checks (2). the Disclosing Party must disclose below or in an attachment to this EDS all information required by (2). Failure lo 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: Ifthe 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, as amended, 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 ifthe letters "NA" or ifthe 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, as amended, 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 ofany agency, as defined
by applicable federal law. a member of Congress, an officer or employee of Congress, or an employee
Ver 201 8-1 Page 9 of 15

ot"a member of Congress, in connection with the award ofany 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.
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(l) and A(2) above.
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 1986 but has not engaged and will not engage in "Lobbying Activities," as that term is defined in the Lobbying Disclosure Act of 1995, as amended.
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.

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:
Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
[ j Yes [ ] No
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 [ J Reports not required
Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[ ] Yes [ J No

If you checked "No" to question (1) or (2) above, please provide an explanation:



Page 10ofl5

SECTION VII - FURTHER ACKNOWLEDGMENTS AND CERTIFICATION

The Disclosing Party understands and agrees that:
The certifications, disclosures, and acknowledgments contained in this EDS will become part ofany 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.
The City's Governmental Ethics Ordinance, MCC Chapter 2-156, imposes certain duties and obligations on persons or entities seeking City contracts, work, business, or transactions. The full text of this ordinance 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 this ordinance.
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 City transactions. Remedies at law for a false statement of material fact may include incarceration and an award to the City of treble damages.
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 in, and appended to, this EDS may be made publicly available 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 ofany information submitted in this EDS.
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 MCC Chapter 1-23, Article I (imposing PERMANENT INELIGIBILITY for certain specified offenses), the information provided herein regarding eligibility must be kept current for a longer period, as required by MCC Chapter 1-23 and Section 2-154-020.








Pace 11 of 15
CERTIFICATION

Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS, and all applicable Appendices, on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS, and all applicable Appendices, are true, accurate and complete as ofthe date furnished to the City.

By The Hand Club For Kids


Donnita Travis
(Print or type name of person signing)
Executive Director
(Print or type title of person signing)


Signed and sworn to before me on




















Page 12 of 15

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%. It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.

Under MCC 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., 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 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 a 7.5% 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 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.










Page 13 of 15

CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX B

BUILDING CODE SCOFFLAW/PROBLEM LANDLORD CERTIFICATION

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% (an "Owner"). It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Pursuant to MCC Section 2-154-010, is the Applicant or any Owner identified as a building code scofflaw or problem landlord pursuant to MCC Section 2-92-416?

[ ] Yes [x] No
If the Applicant is a legal entity publicly traded on any exchange, is any officer or director of the Applicant identified as a building code scofflaw or problem landlord pursuant to MCC Section 2-92-416?

[ ] Yes [ ] No [x ] The Applicant is not publicly traded on any exchange.
If yes to (1) or (2) above, please identify below the name of each person or legal entity identified as a building code scofflaw or problem landlord and the address of each building or buildings to which the pertinent code violations apply.

























Page 14 of 15

CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX C

PROHIBITION ON WAGE & SALARY HISTORY SCREENING - CERTIFICATION

This Appendix is to be completed only by an Applicant that is completing this EDS as a "contractor" as defined in MCC Section 2-92-385. That section, which should be consulted (www.amlegal.com ), generally covers a party to any agreement pursuant to which they: (i) receive City of Chicago funds in consideration for services, work or goods provided (including for legal or other professional services), or (ii) pay the City money for a license, grant or concession allowing them to conduct a business on City premises.

On behalf of an Applicant that is a contractor pursuant to MCC Section 2-92-385,1 hereby certify that the Applicant is in compliance with MCC Section 2-92-385(b)(l) and (2), which prohibit: (i) screening job applicants based on their wage or salary history, or (ii) seeking job applicants' wage or salary history from current or former employers. I also certify that the Applicant has adopted a policy that includes those prohibitions.
[ ] Yes
[ JNo
[x] N/A -1 am not an Applicant that is a "contractor" as defined in MCC Section 2-92-385. This certification shall serve as the affidavit required by MCC Section 2-92-385(c)(l). If you checked "no" to the above, please explain.






















Page 15 of 15

October 25, 2019



Chairman, Committee on Zoning Department of Planning & Development City Hall
121 North LaSalle Street Chicago, Illinois 60602


To Whom ft May Concern:

I, John N. Zayas, President and Senior Pastor of Grace and Peace Fellowship, understands that Graham C. Grady of Taft, Stettinius and Hollister LLP has filed a sworn affidavit identifying By The Hand Club For Kids as the Applicant who is seeking an amendment of the zoning for the property located at 1830-64 North Leclaire Avenue/1815-1915 North Laramie Avenue to be changed from the existing Institutional Planned Development #1150 to Institutional Planned Development #1150, as amended.

I authorize Graham C. Grady and the law firm of Taft, Stettinius & Hollister LLP to file the Zoning Amendment application.

I, John N. Zayas, President and Senior Pastor of Grace and Peace Fellowship, being first duly swom on oath, depose and say that Grace and Peace Fellowship holds ownership interest in the property located at 1850-64 North Leclaire Avenue located within Institutional PD #1150 on behalf of itself and no other person, association, or member.



Jolm N. Za^as} \j President & Senior Pastor Grace & Peace Fellowship



SUBSCRIBED AND SWORN to before me this t3 dayofJ) 2019


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:

Grace and Peace Fellowship

Check ONE of the following three boxes:

Indicate whether the Disclosing Party submitting this EDS is:
[x] the Applicant (Owner of property located at 1850-64 North Leclaire Ave.)
OR
[ ] a legal entity currently holding, or anticipated to hold within six months after City action on
the contract, transaction or other undertaking to which this EDS pertains (referred to below as the
"Matter"), a direct or indirect interest in excess of 7.5% in the Applicant. State the Applicant's legal
name:
OR
[ ] a legal entity with a direct or indirect right of control of the Applicant (see Section 11(B)(1)) State the legal name of the entity in which the Disclosing Party holds a right of control:


B. Business address of the Disclosing Party: 2100 North Kildare Avenue
Chicago, IL 60639
Telephone: 773-489-5949 Fax: 773-489-6014 ' Email: _:
Name of contact person: Pastor John Zayas
Federal Employer Identification No. (if you have one):
Brief description ofthe Matter to which this EDS pertains. (Include project number and location of property, if applicable):

Amendment to PD #1150

G. Which City agency Or department is requesting this EDS? Department of Planning and Development

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

Specification # and Contract #
Ver.2018-1 Paget of 15
SECTION II -- DISCLOSURE OF OWNERSHIP INTERESTS

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 [


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 of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity?

[x] Organized in Illinois

B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:

1. List below the full names and titles, if applicable, of: (i) all executive officers and all directors of the entity; (ii) for not-for-profit corporations, all members, if any, which are legal entities (if there are no such members, write "no members which are legal entities"); (iii) for trusts, estates or other similar entities, the trustee, executor, administrator, or similarly situated party; (iv) for general or limited partnerships, limited liability companies, limited liability partnerships or joint ventures, each general partner, managing member, manager or any other person or legal entity that directly or indirectly controls the day-to-day management of the Applicant.

NOTE: Each legal entity listed below must submit an EDS on its own behalf.

Name Title
John Zayas President
Elsie Rodriguez Secretary
Lydia Maldonado Director

2. Please provide the following information concerning each person or legal entity having a direct or indirect, current or prospective (i.e. within 6 months after City action) beneficial interest (including ownership) in excess of 7.5% of the Applicant. Examples of such an interest include shares in a coiporation, partnership interest in a partnership or joint venture, interest of a member or manager in a


Page 2 of 15

limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None."

NOTE; Each legal entity listed below may be required to submit an EDS on its own behalf.

Name Business Address Percentage Interest in the Applicant
None




SECTION III - INCOME OR COMPENSATION TO, OR OWNERSHIP BY, CITY ELECTED OFFICIALS

Has the Disclosing Party provided any income of compensation to any City -elected official during-the
12-month period preceding the date of this EDS?: [ ].Yes *tS(f No

Does the Disclosing Party reasonably expect lo provide any income or compensation to'any Cit\ elected official during the 12-month period following the date ofthis EDS? :[ ] Yes ^^S^No
If "yes" to either of the above, please identify below the name(s) of such City elected official(s) and describe such income or compensation:



Does any City elected official or, to the best of the Disclosing Party's knowledge after reasonable inquiry, any City elected official's spouse or domestic partner, have a financial interest (as defined in Chapter 2-156 of the Municipal Code of Chicago ("MCC")) in the Disclosing Party? [ ] Yes [^No
If "yes," please identify below the name(s) of such City elected official(s) and/or spouse(s)/domestic partner(s) and describe the financial interest(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 (as defined in MCC Chapter 2-156), 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. 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 15

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.




(Add sheets if necessary)
[x] Check here ifthe Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V - CERTIFICATIONS
COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under MCC 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 [ JNo [*] 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 is the person in compliance with that agreement?

[ ] Yes [ ] No
FURTHER CERTIFICATIONS

[This paragraph 1 applies only if the Matter is a contract being handled by the City's Department of Procurement Services.] In the 5-year period preceding the date of this EDS, neither the Disclosing Party nor any Affiliated Entity [see definition in (5) below] has engaged, in connection with the performance of any public contract, the services of an integrity monitor, independent private sector inspector general, or integrity compliance consultant (i.e., an individual or entity with legal, auditing, investigative, or other similar skills, designated by a public agency to help the agency monitor the activity of specified agency vendors as well as help the vendors reform their business practices so they can be considered for agency contracts in the future, or continue with a contract in progress).
The Disclosing Party 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, including, but not limited to, water and sewer charges, license fees, parking tickets, property taxes and sales taxes, nor is the Disclosing Party delinquent in the payment of any tax administered by the Illinois Department of Revenue.


Page 4 of 15

The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section 11(B)(1) ofthis 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, during the 5 years before 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;
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 subparagraph (b) above; ,
have not, during the 5 years before the date of this EDS, had one or more public transactions (federal, state or local) terminated for cause or default; and
have not, during the 5 years before the date ofthis 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.
The Disclosing Party understands and shall comply with the applicable requirements of MCC Chapters 2-56 (Inspector General) and 2-156 (Governmental Ethics).
Certifications (5), (6) and (7) 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 15

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 5 years before the date of this EDS, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the 5 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 subparagraph (a) or (b) above that is a matter of record, but have not been prosecuted for such conduct; or
violated the provisions referenced in MCC Subsection 2-92-320(a)(4)(Contracts Requiring a Base Wage); (a)(5)(Debarment Regulations); or (a)(6)(Minimum Wage Ordinance).

Neither the Disclosing Party, nor any 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 ofthe 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 a Sanctions List maintained by the United States Department of Commerce, State, or Treasury, or any successor federal agency.
[FOR APPLICANT ONLY] (i) Neither the Applicant nor any "controlling person" [see MCC Chapter 1-23, Article I for applicability and defined terms] ofthe Applicant 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 MCC Chapter 1-23, Article I applies to the Applicant, that Article's permanent compliance timeframe supersedes 5-year compliance timeframes in this Section V.
[FOR APPLICANT ONLY] The Applicant and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed as having an active exclusion by the U.S. EPA on the federal System for Award Management ("SAM").
[FOR APPLICANT ONLY] The Applicant 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 Certifications (2) and (9) above and will not, without the prior written consent of the City, use any such
Ver.2018-1 Page 6 of 15

contractor/subcontractor that does not provide such certifications or that the Applicant has reason to believe has not provided or cannot provide truthful certifications.

•11. 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:





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.

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




l(3~Tb the best of the Disclosihg Party's knowledge after reasonable inquiry, the following is:a .complete list of all gifts th'at ;thje Disclosing" Party has.given of caused;tb be giyen^at .^y-time'duifing the 12-month period preceding ;the execution date-of this EDS, to an employee, dr. elected or appointed [official Vbf; the City of Chicago. For purposes of this statement,, a !!'gift":^
made general ly available to City employees or to the general public, or (i i) food, of ^ iii ^e ;course of official ;City'busiriesS and haying a retail yalu ¦political cbtt
f'nohe").'; As to any"gift'h also list the name of the City recipient.




C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
The Disclosing Party certifies that the Disclosing Party (check one)
[ ] is [x] is not
a "financial institution" as defined in MCC Section 2-32-455(b).
If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in MCC Chapter 2-32. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in MCC Chapter 2-32. 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."

Page 7 of 15

If the Disclosing -Party is unable to make this pledge because it or any of its affiliates (as defined, in 'MCC'Section"'2-^
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 Parry certified to the above statements.

D. CERTIFICATION REGARDING FINANCIAL INTEREST IN CITY BUSINESS

Any words or terms defined ih MCC Chapter 2-156 have the same meanings if Used in this Part D.
|S accordance with MCC Section 2-156-110: To the .best of the'Disclosing'Party's knowledge after reasonable inquiry, does any official or employee ofthe; City have a financial interest in his or her own Panic or.in the name of any other person or entity in the Matter?.

[ JYes [)4No

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), skip Items D(2) and D(3) and proceed to Part E.
-Unless sold.pursuant to,a pfoc of competitive bidding, or otherwise pennitted, no City elected
¦official or employee shall have a financial ¦interest in his or her own name of in the name of any
¦other!person of-entity in .the purchase of any property that (i): belongs to the City, of (ii) is sold for!
taxes ofasses/srh^ virtue of legal .pfpeessat the suit of the;City^(cpllectively,'
."City Property ;Sale'') Compensation for property taken pursuant to thg.Gi^'s^emnerit domain
power !dp.es not constitute a financial interest within.the meaning of this'Part D.

Does the Matter involve a City Property Sale?

[ J Yes [ ] No
If you checked "Yes" to Item D(l), provide the names and business addresses of the City officials or employees having such financial interest and identify the nature of the financial interest:

Name Business Address Nature of Financial Interest






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

Page 8 of .15

E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS

Please check either (1) or (2) below. Ifthe Disclosing Party checks (2), the Disclosing Party must disclose below or in an attachment to this EDS all information required by (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.

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 ofany 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

1. List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995, as amended, who have made lobbying contacts on behalf ofthe 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 "N A" 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, as amended, 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
Ver.2018-1 Page 9 of 15

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.
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.
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) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities," as that term is defined in the Lobbying Disclosure Act of 1995, as amended.
If the 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.

B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY

If the 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?
[XJ Yes [ ] No

If "Yes," answer the three questions below:
Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
[ ]Yes [ ]No
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 [ ] Reports not required
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:




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SECTION VII - FURTHER ACKNOWLEDGMENTS AND CERTIFICATION

The Disclosing Party understands and agrees that:
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.
The City's Governmental Ethics Ordinance, MCC Chapter 2-156, imposes certain duties and obligations on persons or entities seeking City contracts, work, business, or transactions. The full text of this ordinance and a training program is available on line at www.citvofchicago.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 this ordinance.
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 City transactions. Remedies at law for a false statement of material fact may include incarceration and an award to the City of treble damages.
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 in, and appended to, this EDS may be made publicly available 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.
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 MCC Chapter 1-23, Article I (imposing PERMANENT INELIGIBILITY for certain specified offenses), the information provided herein regarding eligibility must be kept current for a longer period, as required by MCC Chapter 1 -23 and Section 2-154-020.








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CERTIFICATION

Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS, and all applicable Appendices, on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS, and all applicable Appendices, are true, accurate and complete as ofthe date furnished to the City.


Grace and Peace Fellowship
(Print or type exact legal name of Disclosing Party)

(Print or type name of person signing)
President and Senior Pastor
(Print or type title of person signing) Signed and sworn to before me on (date)
(state).

Oq. jQj. ZOZ7
Commission expires:
at CQO^ ^ County:




















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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%. It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.

Under MCC 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 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. 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 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% 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"1 or any Spouse' or Domestic Partner thereof currently have a "familial Velktionship" with an elected city official'-of •department head'?

[ ] Yes
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.










Pagel3ofl5
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX B

BUILDING CODE SCOFFLAW/PROBLEM LANDLORD CERTIFICATION

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% (an "Owner"). It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.

1. Pursuant to MCC Section 2rl 54-010, is,the Applicant or any Owner identified .as-a building-code scofflaw or problem landlord pursuant to MCC.Section 2-92-416?

[ ]Yes
¦2. If the Applicant is a legal entity publicly traded on any exchange, is any officer or director of the Applicant identified as a building code scofflaw or problem landlord pursuant'.to MCC Section 2-92-416?,



3. If yes to (1) or (2) above, please identify below the name of each person or legal entity identified as a building code scofflaw or problem landlord and the address of each building or buildings to which the pertinent code violations apply.

























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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX C

PROHIBITION ON WAGE & SALARY HISTORY SCREENING - CERTIFICATION

This Appendix is to be completed only by an Applicant that is completing this EDS as a "contractor" as defined in MCC Section 2-92-385. That section, which should be consulted (www.amlefial.com ), generally covers a party to any agreement pursuant to which they: (i) receive City of Chicago funds in consideration for services, work or goods provided (including for legal or other professional services), or (ii) pay the City money for a license, grant or concession allowing them to conduct a business on City premises.

On behalf of an Applicant that is a contractor puisuant to MCC Section 2-92-385,1 hereby certify that the Applicant is in compliance with MCC Section 2-92-385(b)(l) and (2), which prohibit: (i) screening job applicants based on their wage or salary history, or (ii) seeking job applicants' wage or salary history from current or former employers. I also certify that the Applicant has adopted a policy that includes those prohibitions.
[ ] Yes [ ]No
[x] N/A -1 am not an Applicant that is a "contractor" as defined in MCC Section 2-92-385. This certification shall serve as the affidavit required by MCC Section 2-92-385(c)(l).
If you checked "no" to the above, please explain.






















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