This record contains private information, which has been redacted from public viewing.
Record #: O2011-6343   
Type: Ordinance Status: Introduced
Intro date: 7/28/2011 Current Controlling Legislative Body: Committee on Zoning, Landmarks and Building Standards
Final action:
Title: Zoning Reclassification Map No. 7-1at 2515-2516 W Diversey, 2753-2759 N Maplewood Ave, 2720-2756 N Maplewood Ave and 2743-2756 N Rockwell St - App No. 17321
Sponsors: Misc. Transmittal
Topic: ZONING RECLASSIFICATIONS - Map No. 7-I
Attachments: 1. O2011-6343.pdf
ORDINANCE
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. That the Chicago Zoning Ordinance be amended by changing all the current Ml-2 Limited Manufacturing/Business Park District symbols and indications as shown on Map No. 7-1 in the area bounded by:
West Diversey Avenue; North Rockwell Street; and the north line of Chicago and Northwestern Railroad right-of-way
to those of a C2-3 Motor Vehicle Related Commercial District which is hereby established in the area described above.
SECTION 2. That the Chicago Zoning Ordinance be amended by changing all the current C2-3 Motor Vehicle Related Commercial District, B2-1 Neighborhood Mixed-Use District and Residential - Business Planned Development No. 1094 symbols and indications as shown on Map No. 7-1 in the area bounded by:
West Diversey Avenue; the alley next east of North Maplewood Avenue; a line 75 feet south of Diversey Avenue; North Maplewood Avenue; and the north line of Chicago and Northwestern Railroad right-of-way
to those of Residential-Business Planned Development No. 1094, as amended, which is hereby established in the area described above and subject to such use and bulk regulations as are set forth in the Planned Development attached hereto and to no others.
SECTION 3. This Ordinance shall be in force and effect from and after its passage and due publication.
 
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CITY OF CHICAGO £ (
APPLICATION FOR AN AMENDMENT TO THE CHICAGO ZONING ORDINANCE
1. ADDRESS of the property Applicant is seeking to rezone:
2515 - 2615 W. Diversey: 2753 - 59 & 2720 - 56 N. Maplewood: 2743 - 56 N. Rockwell
2. Ward Number that property is located in:_ 1_
3. APPLICANT  GX Chicago. LLC_
ADDRESS      1030 W. Chicago Ave Ste. 300._
CITY    Chicago_STATE_IL     ZIP CODE_60622
PHONE 312-636-6937 CONTACT PERSON_Rolando R. Acosta_
4. Is the Applicant the owner of the property?    YES     X NO_
If the Applicant is not the owner of the property, please provide the following information regarding the owner and attach written authorization from the owner allowing the applicant to proceed.
OWNER _
ADDRESS_
CITY_STATE_ZIP CODE_
PHONE_CONTACT PERSON_
5. If the Applicant/Owner of the property has obtained a lawyer as their representative for the rezoning, please provide the following hiformation:
ATTORNEY_Rolando Acosta__
ADDRESS 300 S. Wacker Drive. Suite 2450
CITY Chicago
STATE IL ZIP CODE 60606 _FAX 312-660-9612
CITY Chicago PHONE 312-660-9630
 
6.  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.
Applicant is a limited liability corporation and its 100% member is GX Investors, LLC
7. On what date did the owner acquire legal title to the subject property? _2006
8. Has the present owner previously rezoned this property? If Yes, when? _Yes. January 9. 2008_
9. Present Zoning District Ml-2, RS-3.RBPD 1094 Proposed Zoning District C2-3. B2-1. RBPD 1094 and then to RBPD 1094. as amended_
10. Lot Size in square feet (or dimensions)      94,431 square feet or 2.1678 acres_
11. Current Use of the property Office, retail, commercial, residential_
12. Reason for rezoning the property: _Inclusion of additional land in the existing
RBPD No. 1094 which added land will be used for additional accessory parking._
13. 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 o the proposed building. (BE SPECIFIC)    Existing four story building containing approximately 270,000 sf and 90 parking spaces used for office and retail office.
The amendment is sought to add land to the existing planned development which land_
will be used for accessory off-street parking.______
14. On May 14th, 2007, the Chicago City Council passed the Affordable Requirements Ordinance (ARO) that requires on-site affordable housing units or a financial contribution if residential housing projects receive a zoning change under certain circumstances. Based on the lot size of the project in question and the proposed zoning classification, is this project subject to the Affordable Requirements Ordinance? (See Fact Sheet for more information)
YES
NO_X
 
COUNTY OF COOK STATE OF ILLINOIS
I> _o-^.^/*t-_  gjH~t/-j      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.
Subscribed and Sworn to me before this 17th day of July_2011.
 
_2
_9-
Notary Public
OFFICIAL SEAL DRAGICA PERUNAC NOTARY PUBLIC, STATE OF ILLINOIS My Commission Expires June 29,2015
For Office Use Only
Date of Introduction:_
File Number:_
Ward:_
 
Residential-Business Planned Development Number 1094. Plan Of Development Statements.
1. The area delineated herein as a Residential-Business Planned Development Number 1094 (the "Planned Development") consists of approximately ninety-four thousand four hundred thirty-one (94,431) square feet (2.17) acres) of property which is depicted on the attached Planned Development Boundary, Property Line and Subarea Map (the "Property") and is owned or controlled for purposes of filing and approval of this Planned Development by Gx Chicago, LLC, an Illinois limited liability company (the "Applicant").
2. The Applicant shall obtain all necessary official reviews, approvals or permits. Any dedication or vacation of streets, alleys or easements or any adjustment of right-of-way shall require a separate submittal on behalf of the Applicant and approval by the City Council.
3. The requirements, obligations and conditions contained within this Planned Development shall be binding upon the Applicant, its successors and assigns and, if different than the Applicant, the legal titleholders 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 titleholders and ground lessors. Futhermore, pursuant to the requirements of Section 17-8-0400 of the Chicago Zoning Ordinance, the Property, at the time apphcations for amendments, modifications or changes (administrative, legislative or otherwise) (hereafter "Modifications") to this Planned Development are made, shall be under single ownership or under single designated control. Single designated control for purposes of this paragraph shall mean that any application to the City for any Modifications to this Planned Development is made or authorized by the Applicant, its successors and assigns or any property owner's association which is formed; provided, however, that after the initial adoption of this Planned Development the owner(s) or designated controlling party for each subarea, without the consent of the owners of the other subarea, may seek Modifications for that owned or controlled subarea provided that the Modifications do not alter the development parameters for the other subarea.
4. This plan of development consists of fourteen (14) statements; a Bulk Regulations and Data Table; an Existing Zoning Map; a Planned Development Boundary, Property Line and Subarea Map all dated July 20, 2011; and a Site Plan dated June 21, 2011 and seven (7) drawings depicting the Subarea A building's elevations dated May 7, 2011 (the "Elevations") all prepared by Hartshorne Plunkard Architecture. Full size copies of these exhibits are on file with the Department of Planning and Development. These and no other zoning controls shall apply to the Property. This Planned Development conforms to the intent and purpose of the Chicago Zoning Ordinance, Title 17 of the Municipal Code
APPLICANT: Gx Chicago, LLC ADDRESS:    2535 - 45 W. Diversey Ave. DATE: July 20,2011
 
/
of Chicago, and all requirements thereof, and satisfies the established criteria for approval as a planned development. In any instance where a provision of the Planned Development conflicts with the Chicago Building Code, the Building Code shall control.
5. The property within the Planned Development is indicated on the Planned Development Boundary, Property Line and Subarea Map. Subject to the Bulk Regulations and Data Table, the following uses are permitted on the Property:
Subarea A: Work - Live Units (as defined and more specifically regulated herein in Statement 10); and any of the allowed uses in the Public and Civic, Commercial and Industrial Use Groups of the C2 Motor Vehicle-Related Commercial District.
Subarea B: Any of the allowed uses of the B2-1 Neighborhood Mixed-Use District, and off-street accessory parking related to Subarea A permitted uses.
6. On-premise business identification signs and temporary signs shall be permitted within the Planned Development subject to the review and approval of the Commissioner of the Department of Planning and Development.
7. Off-street parking shall be provided in compliance with this Planned Development subject to the review and approval of the Department of Transportation. Parking for uses in Subarea A may be provided within Subarea B and vice-versa and any such parking provided shall be deemed accessory parking and not subject to further approvals, including approval as a Special Use, under the Chicago Zoning Ordinance. In addition, the minimum required parking under this Planned Development for Subarea A is one hundred eight (108) spaces which is the combined total of the spaces on Subarea A and the spaces located on an interim basis in Subarea B.
8. Any service drive or other ingress or egress shall be adequately designed and paved in accordance with the regulations of the Department of Transportation in effect at the time of construction and in compliance with the Municipal Code of the City of Chicago, to provide ingress and egress for motor vehicles, including emergency vehicles. There shall be no parking within such paved areas. Ingress and egress shall be subject to the review and approval of the Department of Transportation.
9. In addition to the maximum heights of the buildings and any appurtenance attached thereto prescribed in this Planned Development, the height of any improvements shall also be subject to height limitations as approved by the Federal Aviation Administration.
10. (A) Subarea A Building Design: The Subarea A improvements depicted on the Site Plan and the Elevations, including the landscaping along adjacent rights-of-way and all entrances and exits to and from the parking and loading areas shall be designed, constructed and maintained in substantial conformance with the Site Plan and Elevations.
APPLICANT: Gx Chicago, LLC ADDRESS:    2535 - 45 W. Diversey Ave. DATE: July 20,2011
 
The existing building in Subarea A (the "Subarea A Building") is designated as a Chicago Landmark and is to be redeveloped in accordance with the provisions of such designation as primarily, and to the extent commercially reasonable, a place of employment that will attract businesses with a specific focus on commercial users which are involved in areas related to the use or promotion of environmentally sound and sustainable practices. This will cause the building to serve as a center for existing and emerging environmentally responsible technologies, products and services and for the dissemination of information related thereto. Consistent with this intent, the Subarea A Building will be designed in accordance with the standards for at least Gold certification under the Leadership in Energy and Environmental Design ("LE.E.D.") standards.
(B) Subarea A Building Use: The applicant acknowledges that the City of Chicago has approved the work-live units, described in paragraph 10, as a pilot program to allow the City to study the efficacy of work-live units to promote "no commute" employment options within the City. The Applicant acknowledges that this pilot program shall have no precedential value and the City shall not be bound to permit any work-live units, other than those permitted by this Planned Development, to locate within the City of Chicago in the future. For the purposes of this Planned Development residential uses shall be limited to Work/Live Units. A Work/Live Unit shall be defined as a commercial unit that contains a dwelling space which is accessory to an ongoing commercial use within the same unit. A dwelling space shall be deemed accessory to the commercial unit to the extent that at least one of the occupants of each Work/Live Unit shall conduct a business in the unit and shall secure and maintain the appropriate City of Chicago business licenses. Commercial uses allowed in such Work/Live Units shall be limited to those allowed in the following commercial and industrial use categories as defined in the C2 Motor Vehicle-Related Commercial District:
Artists Work or Sales Space
Business Equipment Sales and Service
Business Support Services
Communication Service Establishments
Office
Personal Service Retail Sales, General
Manufacturing, Production and Industrial Services (only Artisan and only to the extent permitted by the Chicago Building Code)
In addition, any commercial use established in a Work/Live Unit shall not have more than five (5) employees that use the Work/Live Unit as their permanent work location.
APPLICANT: Gx Chicago, LLC ADDRESS:    2535 - 45 W. Diversey Ave. DATE: July 20,2011
 
(C) Subarea B is planned to be initially improved with a surface parking lot. Prior to issuance by the Department of Planning and Development of a determination pursuant to Section 17-13-0610 of the Chicago Zoning Ordinance ("Part U. approval") for any development within Subarea B of this Planned Development other than the improvements indicated herein, Site Plans for proposed development shall be submitted to the Commissioner of the Department of Planning for Site Plan approval. All future proposals for development shall be subject to the provisions of this Planned Development and all relevant ordinances and City policies in effect at the time of submittal. Site Plan approval is intended to assure that specific development proposals conform with this Planned Development, as well as relevant ordinances and City policies, and to assist the City in monitoring on-going development. No Part II approval shall be granted until an applicable Site Plan has been approved.
A Site Plan shall, at a minimum, provide the following information:
a. boundaries of development parcel or parcels;
b. building footprint or footprints;
c. dimensions of all setbacks;
d. location and depiction of all parking spaces (including relevant dimensions);
e. location and depiction of all loading berths (including relevant dimensions);
f. all drives, roadways and vehicular routes;
g. all landscaping (including species and size);
h. all pedestrian circulation routes and points of ingress/egress (including sidewalks);
i. all site statistics applicable to the development parcel or parcels, including:
(1) floor area and floor area ration as represented on submitted drawings;
(2) number of parking spaces provided;
(3) number of loading berths provided;
(4) uses of development of parcel; and
j.   parameters of the building envelope, including:
(1) maximum building height; and
(2) setbacks and vertical setbacks, required and provided.
APPLICANT: Gx Chicago, LLC ADDRESS:     2535 - 45 W. Diversey Ave. DATE: July 20, 2011
 
A Site Plan shall include such other information as may be necessary to illustrate conformance with the applicable provisions of this Planned Development and any City ordinances or policies in effect at the time of submission of the Site Plan.
Following approval by the Commissioner, the approved Site Plan(s) shall be kept on permanent file with the Department of Planning and Development and shall be deemed to be an integral part of this Planned Development. The approved Site Plans may be changed or modified pursuant to the minor change provisions of Section 17-13-0611 of the Chicago Zoning Ordinance.
(D) The improvements indicated on the Site Plan to the west side of North Maplewood Avenue and the east side of North Rockwell Street for Subarea A are not part of this Planned Development; they are to be designed and constructed by others. Otherwise, notwithstanding any statement to the contrary, this Planned Development shall be subject to the provisions of Chapter 17-11 of the Chicago Zoning Ordinance governing landscaping and screening. In any instance where a provision of the Planned Development conflicts with landscape and screening provisions of the Chicago Zoning Ordinance, the Chicago Zoning Ordinance shall control. Nothing in this Planned Development is intended to waive the applicability of the landscape and screening provisions of the Chicago Zoning Ordinance.
11. The terms, conditions and exhibits of this Planned Development may be modified administratively by the Commissioner of the Department of Planning and Development, upon the application for such a modification by the Applicant and after a determination by the Commissioner of the Department of Planning and Development that such a modification is minor in nature, appropriate and consistent with the nature of the improvements contemplated in this Planned Development and the purposes underlying the provisions hereof. Any such modification of the requirements by the Commissioner of the Department of Planning and Development shall be deemed to be a minor change in the Planned Development as contemplated by Section 17-13-0611-A of the Chicago Zoning Ordinance.
12. The Applicant acknowledges that it is in the public interest to design, construct and renovate all buildings in a manner that provides healthier environments, reduces operating costs and conserves energy and resources. The Applicant shall use best and reasonable efforts to design, construct and maintain all buildings located within the Property in a manner generally consistent with the Leadership in Energy and Environmental Design ("L.E.E.D.") Green Building Rating System. Copies of these standards may be obtained from the Department of Planning and Development. In furtherance of these goals, the Applicant shall provide green roof areas on buildings in each subarea equal to twenty-five percent (25%) of the net roof area. "Net roof area" is defined as total roof area minus any required perimeter setbacks, rooftop structures and
APPLICANT: Gx Chicago, LLC ADDRESS:    2535 - 45 W. Diversey Ave. DATE: July 20,2011
 
roof-mounted equipment. Furthermore, consistent with the intended use of the Subarea A Building as described in Statement 10 above, the Applicant shall design and construct the Subarea A Building so as to receive Leadership in Energy and Environmental Design ("L.E.E.D.") Gold Certification criteria.
13. 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 of People with Disabilities ("M.O.P.D.") to ensure compliance with all applicable laws and regulations related to access for persons with disabilities and to promote the highest standard of accessibility.
14. Unless substantial construction of the improvements contemplated in subarea A has commenced within six (6) years of the effective date hereof and unless completion of those improvements is thereafter diligently pursued, then this Planned Development shall expire and the zoning shall automatically revert to classification applicable to each portion of the Property prior to the adoption of Planned Development No. 1094 or Planned Development No. 1094, as amended, as the case may be. The six (6) year period may be extended for up to one (1) additional year if, before expiration, the Commissioner of the Department of Planning and Development determines that good cause for an extension is shown.
APPLICANT: Gx Chicago, LLC ADDRESS:     2535 - 45 W. Diversey Ave. DATE: July 20,2011
 
Plan of Development Bulk Regulations and Data Table
Gross Site Area = Net Site Area + Area Remaining in the Public Right-of-Way Sub-Area A:     106,006.24 sq. ft. (2.43 ac) = 77,848 sq. ft. (1.79 ac) + 28,158.24 sq. ft. (0.65 ac) Sub-Area B:      30,596.75 sq. ft. (0.70 ac) = 16,583 sq. ft. (0.38 ac) + 14,013.75 sq. ft. (0.32 ac) Overall: 136,602.99 sq. ft. (3.13 ac) = 94,431 sq. ft. (2.17 ac) + 42,171.99 sq. ft. (0.97 ac)
Permitted Uses: See Statement No. 5
Maximum Permitted F.A.R.:
Sub-Area A: 3.10 Sub-Area B: 1.20
Setbacks from Property Line: Sub-Area A:
North Maplewood: 0 feet West Diversey Ave: 0 feet North Rockwell St.: Ofeet Southern Property Line: 14 feet
Sub-Area B:    In conformance with the Site Plan
Maximum Permitted Site Coverage: Sub-Area A: 95%
Sub-Area B:    in conformance with the Site Plan
Maximum Number of Dwelling Units: Sub-Area A: None
Sub-Area B:    In conformance with underlying zoning classification
Maximum Number of "Work-Live" Units:
Sub-Area A:    The lesser of 100 units or 100,000 sq. ft. of floor area Sub-Area B: None
Maximum Height:
Sub-Area A:    71.0 feet (excluding the existing tower)
Sub-Area B:    In conformance with the underlying zoning classification
Minimum Number of Off-Street Parking: Sub-Area A: 151
Sub-Area B:    As required in the underlying zoning classification
Minimum Number of Off-Street Loading:
Sub-Area A:    1 (12 ft. clear height) Sub-Area B: None
APPLICANT: Gx Chicago, LLC ADDRESS:    2535 - 45 W. Diversey Ave. DATE: July 20,2011
 
EXISTING ZONING MAP
 
APPLICANT: Gx Chicago, LLC ADDPxESS: 2535 - 45 W. Diversey Ave. DATE: July 20, 2011
 
PLANNED DEVELOPMENT.BOUNDARY, PROPERTY LINE AND SUBAREA MAP
Diversey Ave.
^Planned Development Boundary
 
APPLICANT: Gx Chicago ADDRESS: 2535 DATE: July 20,
231 North Cwpwitw ChlcaeolL 60607 f 312320
 
 
 
 
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1ORDINANCE
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. That the Chicago Zoning Ordinance be amended by changing all the current Ml-2 Limited Manufacturing/Business Park District symbols and indications as shown on Map No. 7-1 in the area bounded by:
West Diversey Avenue; North Rockwell Street; and the north line of Chicago and Northwestern Railroad right-of-way
to those of a C2-3 Motor Vehicle Related Commercial District which is hereby established in the area described above.
SECTION 2. That the Chicago Zoning Ordinance be amended by changing all the current C2-3 Motor Vehicle Related Commercial District, B2-1 Neighborhood Mixed-Use District and Residential - Business Planned Development No. 1094 symbols and indications as shown on Map No. 7-1 in the area bounded by:
West Diversey Avenue; the alley next east of North Maplewood Avenue; a line 75 feet south of Diversey Avenue; North Maplewood Avenue; and the north line of Chicago and Northwestern Railroad right-of-way
to those of Residential-Business Planned Development No. 1094, as amended, which is hereby established in the area described above and subject to such use and bulk regulations as are set forth in the Planned Development attached hereto and to no others.
SECTION 3. This Ordinance shall be in force and effect from and after its passage and due publication.
 
it / n 3 ^
CITY OF CHICAGO £ (
APPLICATION FOR AN AMENDMENT TO THE CHICAGO ZONING ORDINANCE
1. ADDRESS of the property Applicant is seeking to rezone:
2515 - 2615 W. Diversey: 2753 - 59 & 2720 - 56 N. Maplewood: 2743 - 56 N. Rockwell
2. Ward Number that property is located in:_ 1_
3. APPLICANT  GX Chicago. LLC_
ADDRESS      1030 W. Chicago Ave Ste. 300._
CITY    Chicago_STATE_IL     ZIP CODE_60622
PHONE 312-636-6937 CONTACT PERSON_Rolando R. Acosta_
4. Is the Applicant the owner of the property?    YES     X NO_
If the Applicant is not the owner of the property, please provide the following information regarding the owner and attach written authorization from the owner allowing the applicant to proceed.
OWNER _
ADDRESS_
CITY_STATE_ZIP CODE_
PHONE_CONTACT PERSON_
5. If the Applicant/Owner of the property has obtained a lawyer as their representative for the rezoning, please provide the following hiformation:
ATTORNEY_Rolando Acosta__
ADDRESS 300 S. Wacker Drive. Suite 2450
CITY Chicago
STATE IL ZIP CODE 60606 _FAX 312-660-9612
CITY Chicago PHONE 312-660-9630
 
6.  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.
Applicant is a limited liability corporation and its 100% member is GX Investors, LLC
7. On what date did the owner acquire legal title to the subject property? _2006
8. Has the present owner previously rezoned this property? If Yes, when? _Yes. January 9. 2008_
9. Present Zoning District Ml-2, RS-3.RBPD 1094 Proposed Zoning District C2-3. B2-1. RBPD 1094 and then to RBPD 1094. as amended_
10. Lot Size in square feet (or dimensions)      94,431 square feet or 2.1678 acres_
11. Current Use of the property Office, retail, commercial, residential_
12. Reason for rezoning the property: _Inclusion of additional land in the existing
RBPD No. 1094 which added land will be used for additional accessory parking._
13. 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 o the proposed building. (BE SPECIFIC)    Existing four story building containing approximately 270,000 sf and 90 parking spaces used for office and retail office.
The amendment is sought to add land to the existing planned development which land_
will be used for accessory off-street parking.______
14. On May 14th, 2007, the Chicago City Council passed the Affordable Requirements Ordinance (ARO) that requires on-site affordable housing units or a financial contribution if residential housing projects receive a zoning change under certain circumstances. Based on the lot size of the project in question and the proposed zoning classification, is this project subject to the Affordable Requirements Ordinance? (See Fact Sheet for more information)
YES
NO_X
 
COUNTY OF COOK STATE OF ILLINOIS
I> _o-^.^/*t-_  gjH~t/-j      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.
Subscribed and Sworn to me before this 17th day of July_2011.
 
_2
_9-
Notary Public
OFFICIAL SEAL DRAGICA PERUNAC NOTARY PUBLIC, STATE OF ILLINOIS My Commission Expires June 29,2015
For Office Use Only
Date of Introduction:_
File Number:_
Ward:_
 
Residential-Business Planned Development Number 1094. Plan Of Development Statements.
1. The area delineated herein as a Residential-Business Planned Development Number 1094 (the "Planned Development") consists of approximately ninety-four thousand four hundred thirty-one (94,431) square feet (2.17) acres) of property which is depicted on the attached Planned Development Boundary, Property Line and Subarea Map (the "Property") and is owned or controlled for purposes of filing and approval of this Planned Development by Gx Chicago, LLC, an Illinois limited liability company (the "Applicant").
2. The Applicant shall obtain all necessary official reviews, approvals or permits. Any dedication or vacation of streets, alleys or easements or any adjustment of right-of-way shall require a separate submittal on behalf of the Applicant and approval by the City Council.
3. The requirements, obligations and conditions contained within this Planned Development shall be binding upon the Applicant, its successors and assigns and, if different than the Applicant, the legal titleholders 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 titleholders and ground lessors. Futhermore, pursuant to the requirements of Section 17-8-0400 of the Chicago Zoning Ordinance, the Property, at the time apphcations for amendments, modifications or changes (administrative, legislative or otherwise) (hereafter "Modifications") to this Planned Development are made, shall be under single ownership or under single designated control. Single designated control for purposes of this paragraph shall mean that any application to the City for any Modifications to this Planned Development is made or authorized by the Applicant, its successors and assigns or any property owner's association which is formed; provided, however, that after the initial adoption of this Planned Development the owner(s) or designated controlling party for each subarea, without the consent of the owners of the other subarea, may seek Modifications for that owned or controlled subarea provided that the Modifications do not alter the development parameters for the other subarea.
4. This plan of development consists of fourteen (14) statements; a Bulk Regulations and Data Table; an Existing Zoning Map; a Planned Development Boundary, Property Line and Subarea Map all dated July 20, 2011; and a Site Plan dated June 21, 2011 and seven (7) drawings depicting the Subarea A building's elevations dated May 7, 2011 (the "Elevations") all prepared by Hartshorne Plunkard Architecture. Full size copies of these exhibits are on file with the Department of Planning and Development. These and no other zoning controls shall apply to the Property. This Planned Development conforms to the intent and purpose of the Chicago Zoning Ordinance, Title 17 of the Municipal Code
APPLICANT: Gx Chicago, LLC ADDRESS:    2535 - 45 W. Diversey Ave. DATE: July 20,2011
 
/
of Chicago, and all requirements thereof, and satisfies the established criteria for approval as a planned development. In any instance where a provision of the Planned Development conflicts with the Chicago Building Code, the Building Code shall control.
5. The property within the Planned Development is indicated on the Planned Development Boundary, Property Line and Subarea Map. Subject to the Bulk Regulations and Data Table, the following uses are permitted on the Property:
Subarea A: Work - Live Units (as defined and more specifically regulated herein in Statement 10); and any of the allowed uses in the Public and Civic, Commercial and Industrial Use Groups of the C2 Motor Vehicle-Related Commercial District.
Subarea B: Any of the allowed uses of the B2-1 Neighborhood Mixed-Use District, and off-street accessory parking related to Subarea A permitted uses.
6. On-premise business identification signs and temporary signs shall be permitted within the Planned Development subject to the review and approval of the Commissioner of the Department of Planning and Development.
7. Off-street parking shall be provided in compliance with this Planned Development subject to the review and approval of the Department of Transportation. Parking for uses in Subarea A may be provided within Subarea B and vice-versa and any such parking provided shall be deemed accessory parking and not subject to further approvals, including approval as a Special Use, under the Chicago Zoning Ordinance. In addition, the minimum required parking under this Planned Development for Subarea A is one hundred eight (108) spaces which is the combined total of the spaces on Subarea A and the spaces located on an interim basis in Subarea B.
8. Any service drive or other ingress or egress shall be adequately designed and paved in accordance with the regulations of the Department of Transportation in effect at the time of construction and in compliance with the Municipal Code of the City of Chicago, to provide ingress and egress for motor vehicles, including emergency vehicles. There shall be no parking within such paved areas. Ingress and egress shall be subject to the review and approval of the Department of Transportation.
9. In addition to the maximum heights of the buildings and any appurtenance attached thereto prescribed in this Planned Development, the height of any improvements shall also be subject to height limitations as approved by the Federal Aviation Administration.
10. (A) Subarea A Building Design: The Subarea A improvements depicted on the Site Plan and the Elevations, including the landscaping along adjacent rights-of-way and all entrances and exits to and from the parking and loading areas shall be designed, constructed and maintained in substantial conformance with the Site Plan and Elevations.
APPLICANT: Gx Chicago, LLC ADDRESS:    2535 - 45 W. Diversey Ave. DATE: July 20,2011
 
The existing building in Subarea A (the "Subarea A Building") is designated as a Chicago Landmark and is to be redeveloped in accordance with the provisions of such designation as primarily, and to the extent commercially reasonable, a place of employment that will attract businesses with a specific focus on commercial users which are involved in areas related to the use or promotion of environmentally sound and sustainable practices. This will cause the building to serve as a center for existing and emerging environmentally responsible technologies, products and services and for the dissemination of information related thereto. Consistent with this intent, the Subarea A Building will be designed in accordance with the standards for at least Gold certification under the Leadership in Energy and Environmental Design ("LE.E.D.") standards.
(B) Subarea A Building Use: The applicant acknowledges that the City of Chicago has approved the work-live units, described in paragraph 10, as a pilot program to allow the City to study the efficacy of work-live units to promote "no commute" employment options within the City. The Applicant acknowledges that this pilot program shall have no precedential value and the City shall not be bound to permit any work-live units, other than those permitted by this Planned Development, to locate within the City of Chicago in the future. For the purposes of this Planned Development residential uses shall be limited to Work/Live Units. A Work/Live Unit shall be defined as a commercial unit that contains a dwelling space which is accessory to an ongoing commercial use within the same unit. A dwelling space shall be deemed accessory to the commercial unit to the extent that at least one of the occupants of each Work/Live Unit shall conduct a business in the unit and shall secure and maintain the appropriate City of Chicago business licenses. Commercial uses allowed in such Work/Live Units shall be limited to those allowed in the following commercial and industrial use categories as defined in the C2 Motor Vehicle-Related Commercial District:
Artists Work or Sales Space
Business Equipment Sales and Service
Business Support Services
Communication Service Establishments
Office
Personal Service Retail Sales, General
Manufacturing, Production and Industrial Services (only Artisan and only to the extent permitted by the Chicago Building Code)
In addition, any commercial use established in a Work/Live Unit shall not have more than five (5) employees that use the Work/Live Unit as their permanent work location.
APPLICANT: Gx Chicago, LLC ADDRESS:    2535 - 45 W. Diversey Ave. DATE: July 20,2011
 
(C) Subarea B is planned to be initially improved with a surface parking lot. Prior to issuance by the Department of Planning and Development of a determination pursuant to Section 17-13-0610 of the Chicago Zoning Ordinance ("Part U. approval") for any development within Subarea B of this Planned Development other than the improvements indicated herein, Site Plans for proposed development shall be submitted to the Commissioner of the Department of Planning for Site Plan approval. All future proposals for development shall be subject to the provisions of this Planned Development and all relevant ordinances and City policies in effect at the time of submittal. Site Plan approval is intended to assure that specific development proposals conform with this Planned Development, as well as relevant ordinances and City policies, and to assist the City in monitoring on-going development. No Part II approval shall be granted until an applicable Site Plan has been approved.
A Site Plan shall, at a minimum, provide the following information:
a. boundaries of development parcel or parcels;
b. building footprint or footprints;
c. dimensions of all setbacks;
d. location and depiction of all parking spaces (including relevant dimensions);
e. location and depiction of all loading berths (including relevant dimensions);
f. all drives, roadways and vehicular routes;
g. all landscaping (including species and size);
h. all pedestrian circulation routes and points of ingress/egress (including sidewalks);
i. all site statistics applicable to the development parcel or parcels, including:
(1) floor area and floor area ration as represented on submitted drawings;
(2) number of parking spaces provided;
(3) number of loading berths provided;
(4) uses of development of parcel; and
j.   parameters of the building envelope, including:
(1) maximum building height; and
(2) setbacks and vertical setbacks, required and provided.
APPLICANT: Gx Chicago, LLC ADDRESS:     2535 - 45 W. Diversey Ave. DATE: July 20, 2011
 
A Site Plan shall include such other information as may be necessary to illustrate conformance with the applicable provisions of this Planned Development and any City ordinances or policies in effect at the time of submission of the Site Plan.
Following approval by the Commissioner, the approved Site Plan(s) shall be kept on permanent file with the Department of Planning and Development and shall be deemed to be an integral part of this Planned Development. The approved Site Plans may be changed or modified pursuant to the minor change provisions of Section 17-13-0611 of the Chicago Zoning Ordinance.
(D) The improvements indicated on the Site Plan to the west side of North Maplewood Avenue and the east side of North Rockwell Street for Subarea A are not part of this Planned Development; they are to be designed and constructed by others. Otherwise, notwithstanding any statement to the contrary, this Planned Development shall be subject to the provisions of Chapter 17-11 of the Chicago Zoning Ordinance governing landscaping and screening. In any instance where a provision of the Planned Development conflicts with landscape and screening provisions of the Chicago Zoning Ordinance, the Chicago Zoning Ordinance shall control. Nothing in this Planned Development is intended to waive the applicability of the landscape and screening provisions of the Chicago Zoning Ordinance.
11. The terms, conditions and exhibits of this Planned Development may be modified administratively by the Commissioner of the Department of Planning and Development, upon the application for such a modification by the Applicant and after a determination by the Commissioner of the Department of Planning and Development that such a modification is minor in nature, appropriate and consistent with the nature of the improvements contemplated in this Planned Development and the purposes underlying the provisions hereof. Any such modification of the requirements by the Commissioner of the Department of Planning and Development shall be deemed to be a minor change in the Planned Development as contemplated by Section 17-13-0611-A of the Chicago Zoning Ordinance.
12. The Applicant acknowledges that it is in the public interest to design, construct and renovate all buildings in a manner that provides healthier environments, reduces operating costs and conserves energy and resources. The Applicant shall use best and reasonable efforts to design, construct and maintain all buildings located within the Property in a manner generally consistent with the Leadership in Energy and Environmental Design ("L.E.E.D.") Green Building Rating System. Copies of these standards may be obtained from the Department of Planning and Development. In furtherance of these goals, the Applicant shall provide green roof areas on buildings in each subarea equal to twenty-five percent (25%) of the net roof area. "Net roof area" is defined as total roof area minus any required perimeter setbacks, rooftop structures and
APPLICANT: Gx Chicago, LLC ADDRESS:    2535 - 45 W. Diversey Ave. DATE: July 20,2011
 
roof-mounted equipment. Furthermore, consistent with the intended use of the Subarea A Building as described in Statement 10 above, the Applicant shall design and construct the Subarea A Building so as to receive Leadership in Energy and Environmental Design ("L.E.E.D.") Gold Certification criteria.
13. 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 of People with Disabilities ("M.O.P.D.") to ensure compliance with all applicable laws and regulations related to access for persons with disabilities and to promote the highest standard of accessibility.
14. Unless substantial construction of the improvements contemplated in subarea A has commenced within six (6) years of the effective date hereof and unless completion of those improvements is thereafter diligently pursued, then this Planned Development shall expire and the zoning shall automatically revert to classification applicable to each portion of the Property prior to the adoption of Planned Development No. 1094 or Planned Development No. 1094, as amended, as the case may be. The six (6) year period may be extended for up to one (1) additional year if, before expiration, the Commissioner of the Department of Planning and Development determines that good cause for an extension is shown.
APPLICANT: Gx Chicago, LLC ADDRESS:     2535 - 45 W. Diversey Ave. DATE: July 20,2011
 
Plan of Development Bulk Regulations and Data Table
Gross Site Area = Net Site Area + Area Remaining in the Public Right-of-Way Sub-Area A:     106,006.24 sq. ft. (2.43 ac) = 77,848 sq. ft. (1.79 ac) + 28,158.24 sq. ft. (0.65 ac) Sub-Area B:      30,596.75 sq. ft. (0.70 ac) = 16,583 sq. ft. (0.38 ac) + 14,013.75 sq. ft. (0.32 ac) Overall: 136,602.99 sq. ft. (3.13 ac) = 94,431 sq. ft. (2.17 ac) + 42,171.99 sq. ft. (0.97 ac)
Permitted Uses: See Statement No. 5
Maximum Permitted F.A.R.:
Sub-Area A: 3.10 Sub-Area B: 1.20
Setbacks from Property Line: Sub-Area A:
North Maplewood: 0 feet West Diversey Ave: 0 feet North Rockwell St.: Ofeet Southern Property Line: 14 feet
Sub-Area B:    In conformance with the Site Plan
Maximum Permitted Site Coverage: Sub-Area A: 95%
Sub-Area B:    in conformance with the Site Plan
Maximum Number of Dwelling Units: Sub-Area A: None
Sub-Area B:    In conformance with underlying zoning classification
Maximum Number of "Work-Live" Units:
Sub-Area A:    The lesser of 100 units or 100,000 sq. ft. of floor area Sub-Area B: None
Maximum Height:
Sub-Area A:    71.0 feet (excluding the existing tower)
Sub-Area B:    In conformance with the underlying zoning classification
Minimum Number of Off-Street Parking: Sub-Area A: 151
Sub-Area B:    As required in the underlying zoning classification
Minimum Number of Off-Street Loading:
Sub-Area A:    1 (12 ft. clear height) Sub-Area B: None
APPLICANT: Gx Chicago, LLC ADDRESS:    2535 - 45 W. Diversey Ave. DATE: July 20,2011
 
EXISTING ZONING MAP
 
APPLICANT: Gx Chicago, LLC ADDPxESS: 2535 - 45 W. Diversey Ave. DATE: July 20, 2011
 
PLANNED DEVELOPMENT.BOUNDARY, PROPERTY LINE AND SUBAREA MAP
Diversey Ave.
^Planned Development Boundary
 
APPLICANT: Gx Chicago ADDRESS: 2535 DATE: July 20,
231 North Cwpwitw ChlcaeolL 60607 f 312320
 
 
 
 
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232 North Carpenter CWciflolL O0607 P 31226*468 P 3132264499 mmhptfdirtocbjr&com
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1ORDINANCE
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. That the Chicago Zoning Ordinance be amended by changing all the current Ml-2 Limited Manufacturing/Business Park District symbols and indications as shown on Map No. 7-1 in the area bounded by:
West Diversey Avenue; North Rockwell Street; and the north line of Chicago and Northwestern Railroad right-of-way
to those of a C2-3 Motor Vehicle Related Commercial District which is hereby established in the area described above.
SECTION 2. That the Chicago Zoning Ordinance be amended by changing all the current C2-3 Motor Vehicle Related Commercial District, B2-1 Neighborhood Mixed-Use District and Residential - Business Planned Development No. 1094 symbols and indications as shown on Map No. 7-1 in the area bounded by:
West Diversey Avenue; the alley next east of North Maplewood Avenue; a line 75 feet south of Diversey Avenue; North Maplewood Avenue; and the north line of Chicago and Northwestern Railroad right-of-way
to those of Residential-Business Planned Development No. 1094, as amended, which is hereby established in the area described above and subject to such use and bulk regulations as are set forth in the Planned Development attached hereto and to no others.
SECTION 3. This Ordinance shall be in force and effect from and after its passage and due publication.
 
it / n 3 ^
CITY OF CHICAGO £ (
APPLICATION FOR AN AMENDMENT TO THE CHICAGO ZONING ORDINANCE
1. ADDRESS of the property Applicant is seeking to rezone:
2515 - 2615 W. Diversey: 2753 - 59 & 2720 - 56 N. Maplewood: 2743 - 56 N. Rockwell
2. Ward Number that property is located in:_ 1_
3. APPLICANT  GX Chicago. LLC_
ADDRESS      1030 W. Chicago Ave Ste. 300._
CITY    Chicago_STATE_IL     ZIP CODE_60622
PHONE 312-636-6937 CONTACT PERSON_Rolando R. Acosta_
4. Is the Applicant the owner of the property?    YES     X NO_
If the Applicant is not the owner of the property, please provide the following information regarding the owner and attach written authorization from the owner allowing the applicant to proceed.
OWNER _
ADDRESS_
CITY_STATE_ZIP CODE_
PHONE_CONTACT PERSON_
5. If the Applicant/Owner of the property has obtained a lawyer as their representative for the rezoning, please provide the following hiformation:
ATTORNEY_Rolando Acosta__
ADDRESS 300 S. Wacker Drive. Suite 2450
CITY Chicago
STATE IL ZIP CODE 60606 _FAX 312-660-9612
CITY Chicago PHONE 312-660-9630
 
6.  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.
Applicant is a limited liability corporation and its 100% member is GX Investors, LLC
7. On what date did the owner acquire legal title to the subject property? _2006
8. Has the present owner previously rezoned this property? If Yes, when? _Yes. January 9. 2008_
9. Present Zoning District Ml-2, RS-3.RBPD 1094 Proposed Zoning District C2-3. B2-1. RBPD 1094 and then to RBPD 1094. as amended_
10. Lot Size in square feet (or dimensions)      94,431 square feet or 2.1678 acres_
11. Current Use of the property Office, retail, commercial, residential_
12. Reason for rezoning the property: _Inclusion of additional land in the existing
RBPD No. 1094 which added land will be used for additional accessory parking._
13. 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 o the proposed building. (BE SPECIFIC)    Existing four story building containing approximately 270,000 sf and 90 parking spaces used for office and retail office.
The amendment is sought to add land to the existing planned development which land_
will be used for accessory off-street parking.______
14. On May 14th, 2007, the Chicago City Council passed the Affordable Requirements Ordinance (ARO) that requires on-site affordable housing units or a financial contribution if residential housing projects receive a zoning change under certain circumstances. Based on the lot size of the project in question and the proposed zoning classification, is this project subject to the Affordable Requirements Ordinance? (See Fact Sheet for more information)
YES
NO_X
 
COUNTY OF COOK STATE OF ILLINOIS
I> _o-^.^/*t-_  gjH~t/-j      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.
Subscribed and Sworn to me before this 17th day of July_2011.
 
_2
_9-
Notary Public
OFFICIAL SEAL DRAGICA PERUNAC NOTARY PUBLIC, STATE OF ILLINOIS My Commission Expires June 29,2015
For Office Use Only
Date of Introduction:_
File Number:_
Ward:_
 
Residential-Business Planned Development Number 1094. Plan Of Development Statements.
1. The area delineated herein as a Residential-Business Planned Development Number 1094 (the "Planned Development") consists of approximately ninety-four thousand four hundred thirty-one (94,431) square feet (2.17) acres) of property which is depicted on the attached Planned Development Boundary, Property Line and Subarea Map (the "Property") and is owned or controlled for purposes of filing and approval of this Planned Development by Gx Chicago, LLC, an Illinois limited liability company (the "Applicant").
2. The Applicant shall obtain all necessary official reviews, approvals or permits. Any dedication or vacation of streets, alleys or easements or any adjustment of right-of-way shall require a separate submittal on behalf of the Applicant and approval by the City Council.
3. The requirements, obligations and conditions contained within this Planned Development shall be binding upon the Applicant, its successors and assigns and, if different than the Applicant, the legal titleholders 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 titleholders and ground lessors. Futhermore, pursuant to the requirements of Section 17-8-0400 of the Chicago Zoning Ordinance, the Property, at the time apphcations for amendments, modifications or changes (administrative, legislative or otherwise) (hereafter "Modifications") to this Planned Development are made, shall be under single ownership or under single designated control. Single designated control for purposes of this paragraph shall mean that any application to the City for any Modifications to this Planned Development is made or authorized by the Applicant, its successors and assigns or any property owner's association which is formed; provided, however, that after the initial adoption of this Planned Development the owner(s) or designated controlling party for each subarea, without the consent of the owners of the other subarea, may seek Modifications for that owned or controlled subarea provided that the Modifications do not alter the development parameters for the other subarea.
4. This plan of development consists of fourteen (14) statements; a Bulk Regulations and Data Table; an Existing Zoning Map; a Planned Development Boundary, Property Line and Subarea Map all dated July 20, 2011; and a Site Plan dated June 21, 2011 and seven (7) drawings depicting the Subarea A building's elevations dated May 7, 2011 (the "Elevations") all prepared by Hartshorne Plunkard Architecture. Full size copies of these exhibits are on file with the Department of Planning and Development. These and no other zoning controls shall apply to the Property. This Planned Development conforms to the intent and purpose of the Chicago Zoning Ordinance, Title 17 of the Municipal Code
APPLICANT: Gx Chicago, LLC ADDRESS:    2535 - 45 W. Diversey Ave. DATE: July 20,2011
 
/
of Chicago, and all requirements thereof, and satisfies the established criteria for approval as a planned development. In any instance where a provision of the Planned Development conflicts with the Chicago Building Code, the Building Code shall control.
5. The property within the Planned Development is indicated on the Planned Development Boundary, Property Line and Subarea Map. Subject to the Bulk Regulations and Data Table, the following uses are permitted on the Property:
Subarea A: Work - Live Units (as defined and more specifically regulated herein in Statement 10); and any of the allowed uses in the Public and Civic, Commercial and Industrial Use Groups of the C2 Motor Vehicle-Related Commercial District.
Subarea B: Any of the allowed uses of the B2-1 Neighborhood Mixed-Use District, and off-street accessory parking related to Subarea A permitted uses.
6. On-premise business identification signs and temporary signs shall be permitted within the Planned Development subject to the review and approval of the Commissioner of the Department of Planning and Development.
7. Off-street parking shall be provided in compliance with this Planned Development subject to the review and approval of the Department of Transportation. Parking for uses in Subarea A may be provided within Subarea B and vice-versa and any such parking provided shall be deemed accessory parking and not subject to further approvals, including approval as a Special Use, under the Chicago Zoning Ordinance. In addition, the minimum required parking under this Planned Development for Subarea A is one hundred eight (108) spaces which is the combined total of the spaces on Subarea A and the spaces located on an interim basis in Subarea B.
8. Any service drive or other ingress or egress shall be adequately designed and paved in accordance with the regulations of the Department of Transportation in effect at the time of construction and in compliance with the Municipal Code of the City of Chicago, to provide ingress and egress for motor vehicles, including emergency vehicles. There shall be no parking within such paved areas. Ingress and egress shall be subject to the review and approval of the Department of Transportation.
9. In addition to the maximum heights of the buildings and any appurtenance attached thereto prescribed in this Planned Development, the height of any improvements shall also be subject to height limitations as approved by the Federal Aviation Administration.
10. (A) Subarea A Building Design: The Subarea A improvements depicted on the Site Plan and the Elevations, including the landscaping along adjacent rights-of-way and all entrances and exits to and from the parking and loading areas shall be designed, constructed and maintained in substantial conformance with the Site Plan and Elevations.
APPLICANT: Gx Chicago, LLC ADDRESS:    2535 - 45 W. Diversey Ave. DATE: July 20,2011
 
The existing building in Subarea A (the "Subarea A Building") is designated as a Chicago Landmark and is to be redeveloped in accordance with the provisions of such designation as primarily, and to the extent commercially reasonable, a place of employment that will attract businesses with a specific focus on commercial users which are involved in areas related to the use or promotion of environmentally sound and sustainable practices. This will cause the building to serve as a center for existing and emerging environmentally responsible technologies, products and services and for the dissemination of information related thereto. Consistent with this intent, the Subarea A Building will be designed in accordance with the standards for at least Gold certification under the Leadership in Energy and Environmental Design ("LE.E.D.") standards.
(B) Subarea A Building Use: The applicant acknowledges that the City of Chicago has approved the work-live units, described in paragraph 10, as a pilot program to allow the City to study the efficacy of work-live units to promote "no commute" employment options within the City. The Applicant acknowledges that this pilot program shall have no precedential value and the City shall not be bound to permit any work-live units, other than those permitted by this Planned Development, to locate within the City of Chicago in the future. For the purposes of this Planned Development residential uses shall be limited to Work/Live Units. A Work/Live Unit shall be defined as a commercial unit that contains a dwelling space which is accessory to an ongoing commercial use within the same unit. A dwelling space shall be deemed accessory to the commercial unit to the extent that at least one of the occupants of each Work/Live Unit shall conduct a business in the unit and shall secure and maintain the appropriate City of Chicago business licenses. Commercial uses allowed in such Work/Live Units shall be limited to those allowed in the following commercial and industrial use categories as defined in the C2 Motor Vehicle-Related Commercial District:
Artists Work or Sales Space
Business Equipment Sales and Service
Business Support Services
Communication Service Establishments
Office
Personal Service Retail Sales, General
Manufacturing, Production and Industrial Services (only Artisan and only to the extent permitted by the Chicago Building Code)
In addition, any commercial use established in a Work/Live Unit shall not have more than five (5) employees that use the Work/Live Unit as their permanent work location.
APPLICANT: Gx Chicago, LLC ADDRESS:    2535 - 45 W. Diversey Ave. DATE: July 20,2011
 
(C) Subarea B is planned to be initially improved with a surface parking lot. Prior to issuance by the Department of Planning and Development of a determination pursuant to Section 17-13-0610 of the Chicago Zoning Ordinance ("Part U. approval") for any development within Subarea B of this Planned Development other than the improvements indicated herein, Site Plans for proposed development shall be submitted to the Commissioner of the Department of Planning for Site Plan approval. All future proposals for development shall be subject to the provisions of this Planned Development and all relevant ordinances and City policies in effect at the time of submittal. Site Plan approval is intended to assure that specific development proposals conform with this Planned Development, as well as relevant ordinances and City policies, and to assist the City in monitoring on-going development. No Part II approval shall be granted until an applicable Site Plan has been approved.
A Site Plan shall, at a minimum, provide the following information:
a. boundaries of development parcel or parcels;
b. building footprint or footprints;
c. dimensions of all setbacks;
d. location and depiction of all parking spaces (including relevant dimensions);
e. location and depiction of all loading berths (including relevant dimensions);
f. all drives, roadways and vehicular routes;
g. all landscaping (including species and size);
h. all pedestrian circulation routes and points of ingress/egress (including sidewalks);
i. all site statistics applicable to the development parcel or parcels, including:
(1) floor area and floor area ration as represented on submitted drawings;
(2) number of parking spaces provided;
(3) number of loading berths provided;
(4) uses of development of parcel; and
j.   parameters of the building envelope, including:
(1) maximum building height; and
(2) setbacks and vertical setbacks, required and provided.
APPLICANT: Gx Chicago, LLC ADDRESS:     2535 - 45 W. Diversey Ave. DATE: July 20, 2011
 
A Site Plan shall include such other information as may be necessary to illustrate conformance with the applicable provisions of this Planned Development and any City ordinances or policies in effect at the time of submission of the Site Plan.
Following approval by the Commissioner, the approved Site Plan(s) shall be kept on permanent file with the Department of Planning and Development and shall be deemed to be an integral part of this Planned Development. The approved Site Plans may be changed or modified pursuant to the minor change provisions of Section 17-13-0611 of the Chicago Zoning Ordinance.
(D) The improvements indicated on the Site Plan to the west side of North Maplewood Avenue and the east side of North Rockwell Street for Subarea A are not part of this Planned Development; they are to be designed and constructed by others. Otherwise, notwithstanding any statement to the contrary, this Planned Development shall be subject to the provisions of Chapter 17-11 of the Chicago Zoning Ordinance governing landscaping and screening. In any instance where a provision of the Planned Development conflicts with landscape and screening provisions of the Chicago Zoning Ordinance, the Chicago Zoning Ordinance shall control. Nothing in this Planned Development is intended to waive the applicability of the landscape and screening provisions of the Chicago Zoning Ordinance.
11. The terms, conditions and exhibits of this Planned Development may be modified administratively by the Commissioner of the Department of Planning and Development, upon the application for such a modification by the Applicant and after a determination by the Commissioner of the Department of Planning and Development that such a modification is minor in nature, appropriate and consistent with the nature of the improvements contemplated in this Planned Development and the purposes underlying the provisions hereof. Any such modification of the requirements by the Commissioner of the Department of Planning and Development shall be deemed to be a minor change in the Planned Development as contemplated by Section 17-13-0611-A of the Chicago Zoning Ordinance.
12. The Applicant acknowledges that it is in the public interest to design, construct and renovate all buildings in a manner that provides healthier environments, reduces operating costs and conserves energy and resources. The Applicant shall use best and reasonable efforts to design, construct and maintain all buildings located within the Property in a manner generally consistent with the Leadership in Energy and Environmental Design ("L.E.E.D.") Green Building Rating System. Copies of these standards may be obtained from the Department of Planning and Development. In furtherance of these goals, the Applicant shall provide green roof areas on buildings in each subarea equal to twenty-five percent (25%) of the net roof area. "Net roof area" is defined as total roof area minus any required perimeter setbacks, rooftop structures and
APPLICANT: Gx Chicago, LLC ADDRESS:    2535 - 45 W. Diversey Ave. DATE: July 20,2011
 
roof-mounted equipment. Furthermore, consistent with the intended use of the Subarea A Building as described in Statement 10 above, the Applicant shall design and construct the Subarea A Building so as to receive Leadership in Energy and Environmental Design ("L.E.E.D.") Gold Certification criteria.
13. 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 of People with Disabilities ("M.O.P.D.") to ensure compliance with all applicable laws and regulations related to access for persons with disabilities and to promote the highest standard of accessibility.
14. Unless substantial construction of the improvements contemplated in subarea A has commenced within six (6) years of the effective date hereof and unless completion of those improvements is thereafter diligently pursued, then this Planned Development shall expire and the zoning shall automatically revert to classification applicable to each portion of the Property prior to the adoption of Planned Development No. 1094 or Planned Development No. 1094, as amended, as the case may be. The six (6) year period may be extended for up to one (1) additional year if, before expiration, the Commissioner of the Department of Planning and Development determines that good cause for an extension is shown.
APPLICANT: Gx Chicago, LLC ADDRESS:     2535 - 45 W. Diversey Ave. DATE: July 20,2011
 
Plan of Development Bulk Regulations and Data Table
Gross Site Area = Net Site Area + Area Remaining in the Public Right-of-Way Sub-Area A:     106,006.24 sq. ft. (2.43 ac) = 77,848 sq. ft. (1.79 ac) + 28,158.24 sq. ft. (0.65 ac) Sub-Area B:      30,596.75 sq. ft. (0.70 ac) = 16,583 sq. ft. (0.38 ac) + 14,013.75 sq. ft. (0.32 ac) Overall: 136,602.99 sq. ft. (3.13 ac) = 94,431 sq. ft. (2.17 ac) + 42,171.99 sq. ft. (0.97 ac)
Permitted Uses: See Statement No. 5
Maximum Permitted F.A.R.:
Sub-Area A: 3.10 Sub-Area B: 1.20
Setbacks from Property Line: Sub-Area A:
North Maplewood: 0 feet West Diversey Ave: 0 feet North Rockwell St.: Ofeet Southern Property Line: 14 feet
Sub-Area B:    In conformance with the Site Plan
Maximum Permitted Site Coverage: Sub-Area A: 95%
Sub-Area B:    in conformance with the Site Plan
Maximum Number of Dwelling Units: Sub-Area A: None
Sub-Area B:    In conformance with underlying zoning classification
Maximum Number of "Work-Live" Units:
Sub-Area A:    The lesser of 100 units or 100,000 sq. ft. of floor area Sub-Area B: None
Maximum Height:
Sub-Area A:    71.0 feet (excluding the existing tower)
Sub-Area B:    In conformance with the underlying zoning classification
Minimum Number of Off-Street Parking: Sub-Area A: 151
Sub-Area B:    As required in the underlying zoning classification
Minimum Number of Off-Street Loading:
Sub-Area A:    1 (12 ft. clear height) Sub-Area B: None
APPLICANT: Gx Chicago, LLC ADDRESS:    2535 - 45 W. Diversey Ave. DATE: July 20,2011
 
EXISTING ZONING MAP
 
APPLICANT: Gx Chicago, LLC ADDPxESS: 2535 - 45 W. Diversey Ave. DATE: July 20, 2011
 
PLANNED DEVELOPMENT.BOUNDARY, PROPERTY LINE AND SUBAREA MAP
Diversey Ave.
^Planned Development Boundary
 
APPLICANT: Gx Chicago ADDRESS: 2535 DATE: July 20,
231 North Cwpwitw ChlcaeolL 60607 f 312320
 
 
 
 
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0 MECHANICAL COOLING TOWER 0 GREEN ROOF
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EX. CONC. TEXTURE FOB PAINT 0 MECHANICAL LOUVER LillFSC CERTIFIED HARDWOOD CLADDING
0 NEW STOREFRONT
0 NEW STEEL AND GLASS CANOPY
0 EXISTING CONCRETE FOR PAINT
(571 BRICK PARAPET TO BE REBUILT TO MATCH
HISTORIC PHOTOGRAPH [SI EXISTING CONCRETE TO BE PATCHED — AND REPAIRED FOR PAINT PJT EXISTING CMU INFILL WITH NEW CONC. >—1 SKIM COAT TO MATCH EX. CONC
TEXTURE FOR PAINT
rz\ PHOTOGRAPH LOOKING SOUTH ALONG EAST ELEVATION
\zJ SCALE: NTS
y       ^       (j       ^       o       o y
 
THOU WD P>WAFET
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1/HISH KCT KICK s
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1-krwwtr
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T/4TUROPR SLAB
tSUB EL. rfT-C'T
I/SRAPE * SI06WLK
ELEVATION: EAST (MAPLEWOOD AVENUE)
SCALE: NTS
232 North Cafpwttar Chicago IL 60607 r 312 us 4488
wwwJiparchrtocturacom
gvBAUM
 
2545 WEST DIVERSEY CHICAGO, IL
SCALE
NTS
DATE
05-07-08
DRAWING
EAST
ELEVATION
SK0
E2
wwii.acw-iiaiftMl
 
 
PHOTOGRAPH LOOKING AT WEST ELEVATION
SCALE: NTS
 
PHOTOGRAPH LOOKING AT WEST ELEVATION
SCALE: NTS
MATERIAL LEGEND
[Tj NEW ALUMINUM WINDOW 0 NEW GLASS BLOCK 0 TENANT SIGN f71 BUILDING SIGN VERTICAL
1-' B
0 NEW STOREFRONT 0 NEW STEEL AND GLASS CANOPY [Tj EXISTING CONCRETE FOR PAINT
Rl BUILDING IDENTIFIER SIGN M m* PAIWET T° BE SEBUILT T0 MAT™ L-J — HISTORIC PHOTOGRAPH
[3 SIGNAGE
HEXISTING BRICK TO BE REPAIRED AS NEEDED 0 NEW PENTHOUSE STRUCTURE [5] STL-GLASS RAIUNOS (WELDED
AND REPAIRED FOR PAINT njl EXISTING CMU INFILL WITH NEW CONC. —' SKIM COAT TO MATCH EX. CONC. TEXTURE FOR PAINT
8TL MESH AT PENTHOUSE f£] MECHANICAL UNIT!
g ROOFTOP MECHANICAL
m TENANT IDENTIRCATION SIGN,
CHANGING IMAGE SIGN [0 NEW BUILDING LIGHTING Q NEW PLANTER
0 NEW TREE m EXISTING OLASS BLOCK INFILL TO BE REPLACED 0 DECORATIVE SCREENING
m tmiiNB tbffi m «t urn       m CMU & NEW C0NC-SKIM C0AT T0 MATCH 1—1
LU EXISTING TREES TO REMAIN        EX. CONC. TEXTURE FOB PAINT 0 MECHANICAL LOUVER
PENTHOUSE 0 MECHANICAL COOLING TOWER
SIAMESE CONNECTION OVERHEAD DOOR PAINTED METAL DOOR MTL PANEL (2 RIBBED PATTERNS)-CENTRIA SILVERSMITH BS46 EQ. 0 METAL COPING- TO MATCH PANELS 0 PAINTED STEEL BALCONY • BLACK
STRUCT. GLAZED JOINT WI INT. ALUM. 1—1MULLIONS 0 GREEN ROOF
0 LINEAR ALUM. SOFFIT PANELS • SILVER 0 FSC CERTIFIED HARDWDOD CLADDING
ELEVATION: WEST (ROCKWELL STREET)
 
 
T/SKjN AND PARAPET
ELi tTT-9'T
T/HaH ROOF RECK Jy ,_, EL; 1I'-0*"f
I       T/HI6H LOU) DECK * *v EL bb,-0"\W TiflFTH FLOOR SLAB * s pi . A^' «■ ^ *
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FLOPS SLAB ELi «5'-e"™
.OPS SLAB *L ELi il'.*"™
T/GRADE • SIDEUALK^
MtT FLOOR SLAB
St
SCALE: NTS
15a North CupMitor Chlogo IL 80607 » 3133384488 p 31333S44M vnvMhpldtfdtsctuf&com8SL,4Ul$                                                                             '    O              2545 WEST DIVERSEY CHICAGO, ILSCALEDRAWINGSK#
 
 
 
NTSWEST ELEVATIONE3
 
 
DATE
 
1
M*f1 Shorn* P■tnfcanl ArcMtactut*
 
 
05-07-08
 
 
 
 
MATERIAL LEGEND
0 NEW ALUMINUM WINDOW 0 NEW GLASS BLOCK 0 TENANT SIGN
0 NEW STOREFRONT 0 NEW STEEL AND GLASS CANOPY 0 EXISTING CONCRETE FOR PAINT
0 SIGNAGE
r»l EXISTING BRICK TO BE
I—' R
BANNER 0 BUILDING IDENTIFIER SIGN m TENANT IDENTIFICATION SIGN, '—' CHANGING IMAGE SIGN 0 NEW BUILDING LIGHTING 0 NEW PLANTER
0 NEW TREE nTj EXISTING GLASS BLOCK INFILL TO BE REPLACED [J] DECORATIVE SCREENING
0 EXISTS TREES TO REMAIN   U W™ CMU &M MNC'SKIM CGATT° MA™
m BRICK PARAPET TO BE REBUILT TO MATCH 1 HISTORIC PHOTOGRAPH H EXISTING CONCRETE TO B AND REPAIRED FOR PAINT
BEXISTING CMU INFILL WITH NEW CONC. SKIM COAT TO MATCH EX. CONC. TEXTURE FOR PAINT
0 SIAMESE CONNECTION 0 OVERHEAD DOOR REPAIRED AS NEEDED 0 PAINTED METAL BOOR
ITI new mirtmiKT. structure 0 MTL PANEL12 mm PAT™SI-1JTJ NEW PENTHOUSE STRUCTURE L_J amm smmm j^j Ea
B %S£%£!S!!5r 0 METAL COPING-TO MATCH PANELS 0 ME«M»«L UNITS QT] PAINTED STEEL BALCONY - BLACK
f^l ROOFTOP MECHANICAL PENTHOUSE
ci struct. glazed joint wi int. alum, 'mullions
EX. CONC, TEXTURE FOR PAINT
0 MECHANICAL COOLING TOWER 0 GREEN ROOF
0 LINEAR ALUM. SOFFIT PANELS • SILVER 0 MECHANICAL LOUVER 0 f sc CERTIFIED HARDWOOD CLADDING
CD
PHOTOGRAPH LOOKING AT SOUTHWEST ELEVATION
SCALE: NTS
^PHOTOGRAPH LOOKING AT SOUTHWEST ELEVATION
W SCALE: NTS
6PLATEO ElEvANCN
 
' SCALE: NTS
I
93a North Carpftrrtw Chicago IL 60607 r 3123304468
wwwLhparchrtectur&£Ocn
Hartshorn* Ptunkanl ArdtHadm
;baum
 
2545 WEST DIVERSEY CHICAGO, IL
SCALE
NTS
DATE
05-07-08
DRAWING
SOUTHWEST ELEVATION
SK#
E4
Mm 11-2D08 ■ 11i40BM I
 
 
0
PHOTOGRAPH LOOKING AT WEST COURT ELEVATION
SCALE: NTS
 
MATERIAL LEGEND
(TJ NEW ALUMINUM WINDOW
0 TENANT SIGN
[Tl BUILDING SIGN VERTICAL
1 BANNER 0 BUILDING IDENTIFIER SIGN m TENANT IDENTIFICATION SIGN, L—I CHANGING IMAGE SIGN 0 NEW BUILDING LIGHTING 0 NEW PLANTER 0 NEW TREE 0 EXISTING TREES TO REMAIN
Qnewstobefront
0 new steel and glass canopv
0 EXISTING CONCRETE FOR PAINT
El BRICK PARAPET TO BE REBUILT TO MATCH L-1 HISTORIC PHOTOGRAPH (SI EXISTING CONCRETE TO BE PATCHED — AND REPAIRED FOR PAINT fjl EXISTING CMU INFILL WITH NEW CONC. L-' SKIM COAT TO MATCH EX. CONC TEXTURE FOR PAINT
Mj SIAMESE CONNECTION OVERHEAD DOOR PAINTED METAL DOOR MIL PANEL (2 RIBBED PATTERNS!-CENTRIA SILVERSMITH 0846 EQ.
0 SIGNAGE
m EXISTING BRICK TO BE — REPAIRED AS NEEDED 0 NEW PENTHOUSE STRUCTURE 0
0 STEEL AND GLASS RAILINGS fj] METAL COPING- TO MATCH PANELS g MECHANICAL UNITS rjjj rm[B nEa ulQm. BUCK
Tjal ROOFTOP MECHANICAL — PENTHOUSE
0 MECHANICAL COOLING TOWER 0 GREEN ROOF
ra STRUCT. GLAZED JOINT WI INT. ALUM. MULUONS
m EXISTING GLASS BLOCK INFILL TO BE REPLACED 0 DECORATIVE SCREENING
1—' WITH f.Wt A NEW SHM COAT T(l MATCH _
0 MECHANICAL LOUVER
WITH CMU & NEW CONC. SKIM COAT TO MATCH EX. CONC. TEXTURE FORPAINT
0 UNEAR ALUM. SOFFIT PANELS • SILVER 0 FSC CERTIFIED HARDWOOD CLADDING
0
PHOTOGRAPH LOOKING AT NORTH COURT ELEVATION
SCALE: NTS
T/SIQ4 and
— —Qrz =
PARAPET EL: w-v
VEX ROOT SLAB sry — EL ibT-V T
 
ELEVATION: NORTH COURTYARD
SCALE: NTS
0
ELEVATION: WEST COURTYARD
SCALE: NTS
232 North Carpenter CWciflolL O0607 P 31226*468 P 3132264499 mmhptfdirtocbjr&com
■AUM
 
2545 WEST DIVERSEY CHICAGO, IL
SCALE
NTS
DATE
05-07-08
DRAWING
NORTH AND WEST COURTYARD ELEVATION
SK#
E5
 
MATERIAL LEGEND
0 NEW ALUMINUM WINDOW 0 NEW GLASS BLOCK 0 TENANT SIGN
0 0
m BUILDINO SIGN VERTICAL 0 '— BANNER L-J 0 BUILDING IDENTIFIER SIGN 0 [Tl TENANT IDENTIFICATION SIGN, '—' CHANGING IMAGE SIGN l™|
0 NEW BUILDING LIGHTING 0 NEW PLANTER 0 NEW TREE
0 EXISTING TREES TO REMAIN
NEW STOREFRONT
NEW STEEL AND GLASS CANOPY
EXISTING CONCRETE FOR PAINT
BRICK PARAPET TO BE REBUILT TO MATCH HISTORIC PHOTOGRAPH EXISTING CONCRETE TO BE PATCHED AND REPAIRED FOR PAINT EXISTING CMU INFILL WITH NEW CONC. SKIM COAT TO MATCH EX. CONC. TEXTURE FOR PAINT
EXISTING GLASS BLOCK INFILL TO BE REPLACED WITH CMU 81 NEW CONC. SKIM COAT TO MATCH EX. CONC. TEXTURE FOR PAINT
0 SIGNAGE
r£"| EXISTING BRICK TO BE — REPAIRED AS NEEDED 0 NEW PENTHOUSE STRUCTURE m STL-GLASS RAILINGS /WELDED 1—1 STL MESH AT PENTHOUSE Q MECHANICAL UNITS
m ROOFTOP MECHANICAL 1—1 PENTHOUSE
0 MECHANICAL COOLING TOWER |jTj DECORATIVE SCREENING
0 MECHANICAL LOUVER
SIAMESE CONNECTION OVERHEAD DOOR PAINTED METAL DOOB TH MTL PANEL (2 RIBBED PATTERNS]-CENTRIA SILVERSMITH 8946 EO.
0 METAL COPING- TO MATCH PANELS
0 PAINTED STEEL BALCDNY ■ SLACK
m STRUCT. GLAZED JOINT HI INT. ALUM.
MULLIONS 0 GREEN ROOF
0 LINEAR ALUM. SOFFIT PANELS • SILVER 0 FSC CERTIFIED HARDWOOD CLADDING
T/SIGN AND PARAPET .
 
"T 1 I
ELEVATION: EAST COURTYARD
SCALE: NTS
/             1   33a North Carpanter |                CWceeo IL 60607 hnS?         " 3«2284488 llllil         ' 312220 4499 II Ilea_/ wwrnJuwdillaclufaxom^i^AUM                                                                                  0              2545 WEST DIVERSEY CHICAGO, ILSCALEDRAWINGSK#
 
 
NTSEAST COURTYARD ELEVATIONE6
 
yDATE
 
1
HtmhofiM PtunfcwdArdtltMftm
05-07-08
 
m r>W>ci ri) -Cpmffl Pr»|»c1llM0aa6 ?4-B«um Brothwt-iW 2S45 W. pTVtrtttli Jjrtwk^Wfhr^ ■ ZeabrflHPA-CDl Pitfc»P54la«tTirt Htntbauhn
May 11.2008-1^*1^
 
MATERIAL LEGEND
0 NEW ALUMINUM WINDOW 0 NEW GLASS BLOCK 0 TENANT SIGN 17] BUILDING SIGN VERTICAL
L—'banner
0 BUILDING IDENTIFIER SIGN m TENANT IDENTIFICATION SIGN, _ L—1 CHANGING IMAGE SIGN H
0
0 b
0 NEW BUILDING LIGHTING 0 NEW PLANTER 0 NEW TREE
0 EXISTING TREES TO REMAIN
NEW STOREFRONT
NEW STEEL AND GLASS CANOPY
EXISTING CONCRETE FOR PAINT
BRICK PARAPET TO BE REBUILT TO MATCH HISTORIC PHOTOGRAPH EXISTING CONCRETE TO BE PATCHED AND REPAIRED FOR PAINT EXISTING CMU INFILL WITH NEW CONC. SKIM COAT TO MATCH EX. CONC. TEXTURE FOR PAINT
EXISTING GLASS BLOCK INFILL TO BE REPLACED WITH CMU & NEW CONC. SKIM COAT TO MATCH EX. CONC. TEXTURE FOR PAINT
0 SIGNAGE
rfl EXISTING BRICK TO BE 1—1 REPAIRED AS NEEDED 0 NEW PENTHOUSE STRUCTURE m STL-GLASS RAILINGS /WELDED — STL MESH AT PENTHOUSE [TJ MECHANICAL UNITS
ffl ROOFTOP MECHANICAL
PENTHOUSE 0 MECHANICAL COOLING TOWER [a] DECORATIVE SCREENING
0 MECHANICAL LOUVER
0 SIAMESE CONNECTION 0 OVERHEAD DOOR 0 PAINTED METAL DOOR
MTL PANEL 12 RIBBED PATTERNS).
CENTRIA SILVERSMITH SS46 Efl.
0 METAL COPING- TO MATCH PANELS 0 PAINTED STEEL BALCONY ■ BLACK m STRUCT. GLAZED JOINT WI INT. ALUM. L-J MULLIONS 0 GREEN ROOF
0 LINEAR ALUM. SOFFIT PANELS • SILVER 0 FSC CERTIFIED HARDWOOD CLADDING
(p       ^ <■>
(?) <Sp (p
 
ELEVATION: SOUTH COURTYARD ADDITION
SCALE: NTS
(D
ELEVATION: WEST COURTYARD ADDITION
SCALE: NTS
232 North Carpenter Chicago IL 60607 ■ 31222S4488 r 3122284499 vnmhpajThKact]jm£orri
SvBAUM
 
2545 WEST DIVERSEY CHICAGO, IL
SCALE
NTS
DATE
05-08-08
DRAWING
COURTYARD ADDITION ELEVATIONS
SK#
E7
m Profcctil 1 -CtiTtrrt Pre|«tttl2rjl)aiOS74^iuro Btrrthg»2543-2MS W. Drmttyt 1 L>iw^03-PU«rtig-I^WAm^
 
July 20, 2011
Chairman, Committee on Zoning Room 304, City Hall Chicago, Illinois 60602
Chairman:
The undersigned, Rolando R. Acosta, being first duly sworn on oath, deposes and say the following:
That the undersigned certifies that he has complied with the requirements of the Chicago Zoning Ordinance, Title 17, Section 13-0107-A of the Municipal Code of Chicago, by serving written notice by USPS first class mail, to the owners of all property within 250 feet in each direction of the lot lines of the subject property, the boundaries of which are:
West Diversey Avenue; the alley next east of North Maplewood Avenue; a line 75 feet south of Diversey Avenue; North Maplewood Avenue; and the north line of Chicago and Northwestern Railroad right-of-way
exclusive of public roads, streets, alleys and other public ways, or a total distance limited to 400 feet, and that the notice contained the address and description of the property which is the subject of the application under the Chicago Zoning Ordinance; a statement of the intended use of said property; the name and address of the applicant; and a statement that the applicant intends to file said application on approximately July 20, 2011; that the applicant has made a bona fide effort to determine the addresses of the parties to be notified under the cited section of the Municipal Code of the City of Chicago; that the applicant certifies that the accompanying list of names and addresses of surrounding property owners within 250 feet, recognizing the above limits, is a complete list containing the names and last know addresses of the owners of the property required to be served and that the applicant has furnished in addition a list of the persons so served. —1_ *
By:
 
 
Subscribed and sworn to before me this 20th day of July, 2011.
Notary Public
 
 
July 20, 2011
Dear Sir or Madam:
Please take notice that under the Chicago Zoning Ordinance an application (the "Application") to change the Ml-2 Limited Manufacturing/Business Park District classification to those of a C2-3 Motor Vehicle Related Commercial District for the area which is bounded by:
West Diversey Avenue; North Rockwell Street; and the north line of Chicago and Northwestern Railroad right-of-way
(hereafter "West Parcel") and to change the C2-3 Motor Vehicle Related District, B2-1 Neighborhood Mixed-Use District and Residential - Business Planned Development No. 1094 classification to those of Residential - Business Planned Development No. 1094, as amended, for the area which is bounded by:
West Diversey Avenue; the alley next east of North Maplewood Avenue; a line 75 feet south of Diversey Avenue; North Maplewood Avenue; and the north line of Chicago and Northwestern Railroad right-of-way
(hereafter the "Property") will be filed on or about July 20, 2011 with the Department of Housing and Economic Development, City of Chicago by GX Chicago, LLC, 1030 W. Chicago, Ave., Suite 300, Chicago, Illinois 606022 (hereinafter the "Applicant"). The addresses that correspond to the Property are 2743-57 N. Rockwell Street; 2515-2615 W. Diversey Avenue; 2720-56 N. Maplewood Avenue; and 2753-59 N. Maplewood Avenue. The Applicant is the owner of the Property, except for the portion of the Property commonly known as 2753 N. Maplewood Ave. which is owned by Anne-Marie St. Germaine, 2753 N. Maplewood, Chicago, IL 60647.
The Property currently consists of three parcels: 1) the West Parcel which is improved with a one story commercial building; 2) the parcel on the south side of Diversey between Maplewood and Rockwell which is improved with a four story, approximately 270,000 sq. ft. retail and office building commonly known as the Green Exchange ("Gx Parcel"); and 3) the parcel at the southeast corner of Diversey and Maplewood a portion of which was previously approved for accessory off-street parking to serve the building on the Gx Parcel (the "Parking Parcel") and the property at 2753 N. Maplewood which is improved with a single family home (the "2753 Property"). The Application, if approved, will allow the Applicant to expand the parking for the existing Green Exchange by demolishing the existing house on the 2753 Property and adding that land to the proposed surface parking lot on the Parking Parcel and demolishing the existing commercial building on the West Parcel and constructing on that parcel a surface parking lot.   No other changes are contemplated at this time to the previously approved development.
This notice is required by the Chicago Zoning Ordinance, Title 17, Section 17-13-0107-A of the Municipal Code of Chicago. It is being sent to you because you appear as a taxpayer of record within 250 feet of the Property. The Application will not rezone your property. Any questions regarding this notice may be direct to the undersigned at 300 S. Wacker Dr. Ste. 2450, Chicago, Illinois, (312) 636-6937.
Sincerely, ——3^-^^
10 R. Acosta, Attorney for the Applicant
 
July 19, 2011
Patricia Scudiero Zoning Administrator City of Chicago City Hall-Room 905 121 N. LaSalle St. Chicago, IL 60602
RE:      2753 N. Maplewood, Chicago, IL Dear Ms. Scudiero:
I am the owner of the above referenced property (the "Property") and I have authorized Gx Chicago, LLC to file an application to rezone the Property (the "Application") and to take any and all actions necessary in connection with said Application.
 
Anne-Marie St. Germaine
 
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: Anne-Marie St. Germaine .
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
1. 3P$ the A-pp4iea»t- Owner
OR
2. [ ] a legal entity holding a direct or indirect interest in the Applicant. State the legal name of the Applicant in which the Disclosing Party holds an interest: ■_____
OR
3. [] a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in which the Disclosing Party holds a right of control: '_
B. Business address of the Disclosing Party: _2753 N. Maplewood____
Chicago, IL 60647
C. Telephone: 312.-636-6937       Fax:312-660-9612_Emaji:racosta@ginsbergjacobs.com
D. Name of contact person:   Rolando R" Acosta_
E. Federal EmployeiTdentification No. (if you have one):_____
F. Brief description of contract, transaction or other undertaking (referred to below as the "Matter") to which this EDS pertains. (Include project number and location of property, if applicable):
rezoning of property at 2753 N. Maplewood
G. Which City agency or department is requesting this EDS? DHED_
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification #__ and Contract #_:__
Ver. 09-01-10
Page 1 of 13
 
SECTION II - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY
I.   Indicate the nature of the Disclosing Party:
}p§ Person [ ] Limited liability company
] Publicly registered business corporation [ ] Limited liability partnership
] Privately held business corporation [ ] Joint venture
] Sole proprietorship [ ] Not-for-profit corporation
] General partnership (Is the not-for-profit corporation also a 501(c)(3))? ] Limited partnership [ ] Yes [ ] No
] Trust [ ] Other (please specify)
2.   For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
3.   For legal entities not organized in the State of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity?
f] Yes [JNo LxJN/A
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1.   List below the full names and titles of all executive officers and all directors of the entity. NOTE: For not-for-profit corporations, also list below all members, if any, which are legal entities. If there are no such members, write "no members." For trusts, estates or other similar entities, list below the legal titleholder(s).
If the entity is a general partnership, limited partnership, limited liability company, limited liability partnership or joint venture, list below the name and title of each general partner, managing member, manager or any other person or entity that controls the day-to-day management of the Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Name Title N/A
2.   Please provide the following information concerning each person or entity having a direct or
indirectbeneficM^ ......
of such an interest include shares in a corporation, partnership interest in a partnership or joint venture,
Page 2 of 13
 
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.
Name Business Address Percentage Interest in the
Disclosing Party
N/A
SECTION III   BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 of the Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
[ ] Yes 5pf No
If yes, please identify below the name(s) of such City elected official(s) and.describe such relationship(s):
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount of the fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll.
"Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action.
If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
Page 3 of 13
 
Name (indicate whether     Business      Relationship to Disclosing Party   Fees (indicate whether retained or anticipated       Address      (subcontractor, attorney, paid or estimated.) NOTE:
to be retained) lobbyist, etc.) "hourly rate" or "t.b.d." is
not an acceptable response.
(Add sheets if necessary)
Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V -- CERTIFICATIONS
A. COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in . arrearage on any child support obligations by any Illinois court of competent jurisdiction?
[ ] Yes txl No [ ] No person directly or indirectly owns 10% or more of the
Disclosing Party.
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement?
[]Yes []No
B. FURTHER CERTIFICATIONS
1.  Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance -timeframe in Article I supersedes some -fi-ve-year~compliance-timeframes-in-certifications_2-.and 3-below.
Page 4 of 13
 
2. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B. 1. of this EDS:
a. are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from any transactions by any federal, state or local unit of government;
b. have not, within a five-year period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: . obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft; forgery; , bribery; falsification or destruction of records; making false statements; or receiving stolen property;
c. are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any of the offenses set forth in clause B.2.b. of this Section V;
d. have not, within a five-year period preceding the date of this EDS, had one or more public transactions (federal, state or local) terminated for cause or default; and
e. have not, within a five-year period preceding the date of this EDS, been convicted, adjudged guilty, or found liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
3.   The certifications in subparts 3, 4 and 5 concern:
• the Disclosing Party;
• any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
• any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
• any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of 13
 
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, during the five years before the date this EDS is signed, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the five years before the date of such Contractor's or Affiliated Entity's contract or engagement in connection with the Matter:
a. bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee of the City, the State of Illinois, or any agency of the federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
b. agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or
. prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
c. made an admission of such conduct described in a. or b. above that is a matter of record, but have not been prosecuted for such conduct; or
d. violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
4. Neither the Disclosing Party, Affiliated Entity or Contractor, or any of their employees, officials, agents or partners, is barred from contracting with any unit of state or local government as a result of engaging in or being convicted of (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.
5. Neither the Disclosing Party nor any Affiliated Entity is listed on any of the following lists maintained by the Office of Foreign Assets Control of the U.S. Department of the Treasury or the Bureau of Industry and Security of the U.S. Department of Commerce or their successors: the Specially Designated Nationals List, the Denied Persons List, the Unverified List, the Entity List and the Debarred List.
6. The Disclosing Party understands and shall comply with the applicable requirements of Chapters 2-55 (Legislative Inspector General), 2-56 (Inspector General) and 2-156 (Governmental Ethics) of the Municipal Code.
7. If the Disclosing Party is unable to certify to any of the above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
Page 6 of 13
 
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
1. The Disclosing Party certifies that the Disclosing Party (check one) [ ] is |X] is not
a "financial institution" as defined in Section 2-.32-455(b) of the Municipal Code.
2. 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 Chapter 2-32 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-455(b) of the Municipal Code) is a predatory lender within the meaning of Chapter 2-32 of the Municipal Code, explain here (attach additional pages if necessary):
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
1.   In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[ ] Yes £S No
NOTE: If you checked "Yes" to Item D.L, proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
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2. Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City . elected official or employee shall have a financial interest in his or her own name or in the name of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit of the City (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
[ ] Yes [ ] No
3. If you checked "Yes" to Item D.l., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
Name Business Address Nature of Interest
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.-   •    —;
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Party must disclose below or in an attachment to this EDS all information required by paragraph 2. Failure to comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City.
XX   1- The Disclosing Party verifies that the Disclosing Party has searched any and all records of the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records.
_2. The Disclosing Party verifies that, as a result of conducting the search in step 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
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SECTION VI - CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. 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 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
3. The Disclosing Party will submit an updated certification at the end of each calendar quarter in which there occurs any event that materially affects the accuracy of the statements and information set forth in paragraphs A.l. and A.2. above,
4. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
5. 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 of the Matter and must make such certifications promptly available to the City upon request.
Page 9 of 13
 
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
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?
[]Yes []No If "Yes," answer the three questions below:
1. Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
IJYes []No
2. Have you filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements?
[] Yes [ ] No
3. Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[ ] Yes [ ] No
If you checked "No" to question 1. or 2. above, please provide an explanation:
SECTION VII - ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE
The Disclosing Party understands and agrees that:
A. The certifications, disclosures, and acknowledgments contained in this EDS will become part of any contract or other agreement between the Applicant and the City in connection with the Matter, whether procurement, City assistance, or other City action, and are material inducements to the City's execution of any contract or taking other action with respect to the Matter. The Disclosing Party understands that it must comply with all statutes, ordinances, and regulations on which this EDS is based.
B. The City's Governmental Ethics and Campaign Financing Ordinances, Chapters 2-156 and 2-164 of the Municipal Code, impose certain duties and obligations on persons or entities seeking City contracts, work, business, or transacfibhsV "The full text of tHFse bFdlhances and^trainin^"pTogfwriTWailable"on line at www.citvofchicago.org/Ethics, and may also be obtained from the City's Board of Ethics, 740 N.
Page 10 of 13
 
Sedgwick St., Suite 500, Chicago, IL 60610, (312) 744-9660. The Disclosing Party must comply fully with the applicable ordinances.
C. If the City determines that any information provided in this EDS is false, incomplete or inaccurate, any contract or other agreement in connection with which it is submitted may be rescinded or be void or voidable, and the City may pursue any remedies under the contract or agreement (if not rescinded or void), at law, or in equity, including terminating the Disclosing Party's participation in the Matter and/or declining to allow the Disclosing Party to participate in other transactions with the City. Remedies at law for a false statement of material fact may include incarceration and an award to the City of treble damages.
D. It is the City's policy to make this document available to the public on its Internet site and/or upon request. Some or all of the information provided on this EDS and any attachments to this EDS may be made available to the public on the Internet, in response to a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
E. The information provided in this EDS must be kept current. In the event of changes, the Disclosing Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a contract being handled by the City's Department of Procurement Services, the Disclosing Party must update this EDS as the contract requires. NOTE: With respect to Matters subject to Article I of ^ Chapter 1-23 of the Municipal Code (imposing PERMANENT INELIGIBILITY, for certain specified offenses), the information provided herein regarding eligibility must be kept current for a longer period, as required by Chapter 1-23 and Section 2-1.54-020 of the Municipal Code.
The Disclosing Party represents and warrants that:
F. l.   The Disclosing Party is not delinquent in the payment of any tax administered by the Illinois Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
F.2    If the Disclosing Party is the Applicant, the Disclosing Party and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
F.3    If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F.l. and F.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
Page 11 of 13
 
NOTE: If the Disclosing Party cannot certify as to any of the items in F.l., F.2. or F.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) are true, accurate and complete as of the date furnished to the City.
Anne-Marie St. Germaine (Print or type name of Disclosing Party)
(Sign here)
Anne-Marie St. Germaine (Print or type name of person signing)
Individual (Print or type title of person signing)
Signed and sworn to before me on (date) July 19. 2011 at_Cook_County, Illinois_(state).
By:
 
Commission expires:
 
Notary Public.
 
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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 percent. It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Under Municipal Code Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as 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 n.B.l.a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
[ ] Yes [X] No
If yes, please identify below (1) the name and title of such.person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
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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:
Gx Chicago, LLC
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
1. [*| the Applicant
OR
2. [] a legal entity holding a direct or indirect interest in the Applicant. State the legal name of the Applicant in which the Disclosing Party holds an interest:__
OR
3. [] a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in which the Disclosing Party holds a right of control:_:_ (
t->    r>     • ii r- .i    t-. •    i -n    4- 1030 W.  Chicago Avenue,  Suite 300
B. Business address of the Disclosing Party:___'_
Chicago,IL 60642
C   Telephone-  312275 •3111 Fax'    312.628.8133 Email' doug@baumdevelopment.com
D. Name of contact person: Dou5las P-Baum_
E. Federal Employer Identification No. (if you have one):
F. Brief description of contract, transaction or other undertaking (referred to below as the "Matter") to which this EDS pertains. (Include project number and location of property, if applicable):
PD Amendment for the property generally located at 2515 - 2615 West Diversey Avenue
Department of Housing and Economic
G. Which City agency or department is requesting this EDS? Development_
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification #_and Contract #_
Ver. 09-01-10
Page 1 of 13-
 
SECTION II - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY 1.   Indicate the nature of the Disclosing Party:
Person [*]
Publicly registered business corporation [ ]
Privately held business corporation [ ]
Sole proprietorship [ ]
General partnership (Is Limited partnership
Trust [ ]
Limited liability company Limited liability partnership Joint venture
Not-for-profit corporation
the not-for-profit corporation also a 501(c)(3))?
[]Yes []No Other (please specify)
2.   For legal entities, the state (or foreign country) of incorporation or organization, if applicable
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 N/A
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1.   List below the full names and titles of all executive officers and all directors of the entity. NOTE: For not-for-profit corporations, also list below all members, if any, which are legal entities. If there are no such members, write "no members." For trusts, estates or other similar entities, list below the legal titleholder(s).
If the entity is a general partnership, limited partnership, limited liability company, limited liability partnership or joint venture, list below the name and title of each general partner, managing member, manager or any other person or entity that controls the day-to-day management of the Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Name Title
None
2.   Please provide the following information concerning each person or entity having a direct or indirect beneficial interest (including ownership) in excess of 7.5% of the Disclosing Party. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture,
Page 2 of 13
 
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.
Name Business Address Percentage Interest in the
Disclosing Party
Gx Investors, LLC     1030 W. Chicago Ave,  Suite 300; Chicago 60642 100%
SECTION III - BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 of the Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
[ ] Yes [x] No
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s):
SECTION IV -- DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount of the fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll.
"Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action.
If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
Page 3 of 13
 
,Name'(indicate whether    Business Relationship to Disclosing Party Fees (indicate whether
retained or anticipated       Address (subcontractor, attorney, paid or estimated.) NOTE:
to be retained) lobbyist, etc.) "hourly rate" or "t.b.d." is
,nA     ., TT  . n ■      c       -,„cn   ^nm^ not an acceptable response.
Rolando Acosta 300 South Wacker Drive,  Suite 2450;  60606 „„„ y r
$20,000 estimate
(Add sheets if necessary)
[ ] Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V -- CERTIFICATIONS
A. COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
[ ] Yes No [] 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
B. FURTHER CERTIFICATIONS
1.   Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
Page 4 of 13
 
2. ' The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B.l. of this EDS:
a. are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from any transactions by any federal, state or local unit of government;
b. have not, within a five-year period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft; forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen property;
c. are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any of the offenses set forth in clause B.2.b. of this Section V;
d. have not, within a five-year period preceding the date of this EDS, had one or more public transactions (federal, state or local) terminated for cause or default; and
e. have not, within a five-year period preceding the date of this EDS, been convicted, adjudged guilty, or found liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
3. The certifications in subparts 3, 4 and 5 concern:
• the Disclosing Party;
• any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
• any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
• any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of 13
 
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, during the five years before the date this EDS is signed, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the five years before the date of such Contractor's or Affiliated Entity's contract or engagement in connection with the Matter:
a. bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee of the City, the State of Illinois, or any agency of the federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
b. agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
c. made an admission of such conduct described in a. or b. above that is a matter of record, but have not been prosecuted for such conduct; or
d. violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
4. Neither the Disclosing Party, Affiliated Entity or Contractor, or any of their employees, officials, agents or partners, is barred from contracting with any unit of state or local government as a result of engaging in or being convicted of (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.
5. Neither the Disclosing Party nor any Affiliated Entity is listed on any of the following lists maintained by the Office of Foreign Assets Control of the U.S. Department of the Treasury or the Bureau of Industry and Security of the U.S. Department of Commerce or their successors: the Specially Designated Nationals List, the Denied Persons List, the Unverified List, the Entity List and the Debarred List.
6. The Disclosing Party understands and shall comply with the applicable requirements of Chapters 2-55 (Legislative Inspector General), 2-56 (Inspector General) and 2-156 (Governmental Ethics) of the Municipal Code.
7. If the Disclosing Party is unable to certify to any of the above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
None
Page 6 of 13
 
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
1. The Disclosing Party certifies that the Disclosing Party (check one) [ ] is is not
a "financial institution" as defined in Section 2-32-455(b) of the Municipal Code.
2. If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in Chapter 2-32 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-455(b) of the Municipal Code) is a predatory lender within the meaning of Chapter 2-32 of the Municipal Code, explain here (attach additional pages if necessary):
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
1.   In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[ ] Yes |x| No
NOTE: If you checked "Yes" to Item D.L, proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
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2. " Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City elected official or employee shall have a financial interest in his or her own name or in the name of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit of the City (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
[]Yes HNo
3. If you checked "Yes" to Item D.l., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
Name Business Address Nature of Interest
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Party must disclose below or in an attachment to this EDS all information required by paragraph 2. Failure to comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City.
x   1. The Disclosing Party verifies that the Disclosing Party has searched any and all records of the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records.
_2. The Disclosing Party verifies that, as a result of conducting the search in step 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
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SECTION VI -- CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. 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 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
3. The Disclosing Party will submit an updated certification at the end of each calendar quarter in which there occurs any event that materially affects the accuracy of the statements and information set forth in paragraphs A.l. and A.2. above.
4. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
5. 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 of the Matter and must make such certifications promptly available to the City upon request.
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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?
[ ] Yes [ ] No
If "Yes," answer the three questions below:
1. Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
[ ] Yes [ ] No
2. Have you filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements?
[ ] Yes [ ] No
3. Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[ ] Yes [ ] No
If you checked "No" to question 1. or 2. above, please provide an explanation:
SECTION VII - ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE
The Disclosing Party understands and agrees that:
A. The certifications, disclosures, and acknowledgments contained in this EDS will become part of any contract or other agreement between the Applicant and the City in connection with the Matter, whether procurement, City assistance, or other City action, and are material inducements to the City's execution of any contract or taking other action with respect to the Matter. The Disclosing Party understands that it must comply with all statutes, ordinances, and regulations on which this EDS is based.
B. The City's Governmental Ethics and Campaign Financing Ordinances, Chapters 2-156 and 2-164 of the Municipal Code, impose certain duties and obligations on persons or entities seeking City contracts, work, business, or transactions. The full text of these ordinances and a training program is available on line at www.cityofchicago.org/Ethics, and may also be obtained from the City's Board of Ethics, 740 N.
Page 10 of 13
 
Sedgwick St., Suite 500, Chicago, IL 60610, (312) 744-9660. The Disclosing Party must comply fully with the applicable ordinances.
C. If the City determines that any information provided in this EDS is false, incomplete or inaccurate, any contract or other agreement in connection with which it is submitted may be rescinded or be void or voidable, and the City may pursue any remedies under the contract or agreement (if not rescinded or void), at law, or in equity, including terminating the Disclosing Party's participation in the Matter and/or declining to allow the Disclosing Party to participate in other transactions with the City. Remedies at law for a false statement of material fact may include incarceration and an award to the City of treble damages.
D. It is the City's policy to make this document available to the public on its Internet site and/or upon request. Some or all of the information provided on this EDS and any attachments to this EDS may be made available to the public on the Internet, in response to a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
E. The information provided in this EDS must be kept current. In the event of changes, the Disclosing Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a contract being handled by the City's Department of Procurement Services, the Disclosing Party must update this EDS as the contract requires. NOTE: With respect to Matters subject to Article I of Chapter 1-23 of the Municipal Code (imposing PERMANENT INELIGIBILITY for certain specified offenses), the information provided herein regarding eligibility must be kept current for a longer period, as required by Chapter 1-23 and Section 2-154-020 of the Municipal Code.
The Disclosing Party represents and warrants that:
F. l.    The Disclosing Party is not delinquent in the payment of any tax administered by the Illinois Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
F.2     If the Disclosing Party is the Applicant, the Disclosing Party and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
F.3     If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F.l. and F.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
Page 11 of 13
 
NOTE: If the Disclosing Party cannot certify as to any of the items in F.l., F.2. or F.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) are true, accurate and complete as of the date furnished to the City.
Gx Chicago, LLC
(Print or type name of Disclosing Party)
 
(Print or type name of person signing)
Manager of Baum Real Estate Services', LLC,  it's Manager
(Print or type title of person signing)
Signed and sworn to before me on (date) July 19, 2011 at  tZ-GGg_County,  Ii-Ct Ho?_< (state).
 
Notary Public.
Commission expires: c2 f — <Q&/<
OFFICIAL SEAL DRAGICA PERUNAC
NOTArVY PUBLIC, STATE OJTLLINOIS My Commission
2015
Page 12 of 13
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5 percent. It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Under Municipal Code Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as of the date this EDS is signed, the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Parmer thereof is related to the mayor, any alderman, the city clerk, the city treasurer or any city department head as spouse or domestic partner or as any of the following, whether by blood or adoption: parent, child, brother or sister, aunt or uncle, niece or nephew, grandparent, grandchild, father-in-law, mother-in-law, son-in-law, daughter-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.
"Applicable Party" means (1) all executive officers of the Disclosing Party listed in Section II.B.l.a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, 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 percent ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
[ ] Yes [ q No
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I - GENERAL INFORMATION
A. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
Gx Investors, LLC
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
1. [ ] the Applicant
OR
2. a legal entity holding a direct or indirect interest in the Applicant. State the legal name of the Applicant in which the Disclosing Party holds an interest:  Gx chica9°' LLC_
OR
3. [] a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in which the Disclosing Party holds a right of control:_
r>   t>    •_ jj r.i    t-v-    1    •__t>    . 1030 W. Chicago Avenue,  Suite 300
B. Business address of the Disclosing Party:_____
Chicago,IL 60642
C   Telephone- 312 •2753111 Fax-   312 - 628 •8133 Email- doug@baumd.evelopment.com
D. Name of contact person: Douglas p. Baum_
E. Federal Employer Identification No. (if you have one):
F. Brief description of contract, transaction or other undertaking (referred to below as the "Matter") to which this EDS pertains. (Include project number and location of property, if applicable):
PD Amendment for property generally located at 2515 - 2615 West Diversey Avenue
Department of Housing and Economic
G. Which City agency or department is requesting this EDS? Development_
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification #__and Contract #_
Ver. 09-01-10
Page 1 of 13
 
SECTION II - DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY 1.   Indicate the nature of the Disclosing Party:
Person [*]
Publicly registered business corporation [ ]
Privately held business corporation [ ]
Sole proprietorship [ ]
General partnership (Is Limited partnership
Trust [ ]
Limited liability company Limited liability partnership Joint venture
Not-for-profit corporation
the not-for-profit corporation also a 501(c)(3))?
[ ] Yes [ ] No
Other (please specify)
2.   For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
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 H N/A
B, IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1.   List below the full names and titles of all executive officers and all directors of the entity. NOTE: For not-for-profit corporations, also list below all members, if any, which are legal entities. If there are no such members, write "no members." For trusts, estates or other similar entities, list below the legal titleholder(s).
If the entity is a general partnership, limited partnership, limited liability company, limited liability partnership or joint venture, list below the name and title of each general partner, managing member, manager or any other person or entity that controls the day-to-day management of the Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Name Title
None
2.   Please provide the following information concerning each person or entity having a direct or indirect beneficial interest (including ownership) in excess of 7.5% of the Disclosing Party. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture,
Page 2 of 13
 
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.
Name Business Address Percentage Interest in the
Disclosing Party
Gx Holdings,  LLC       1030 W. Chicago Ave,  Suite 300; Chicago 60642 92.6%   Membership Interest
SECTION III -- BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 of the Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
[ ] Yes [x] No
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s):
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount of the fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll.
"Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action.
If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
Page 3 of 13
 
Name (indicate whether     Business      Relationship to Disclosing Party   Fees (indicate whether retained or anticipated       Address       (subcontractor, attorney, paid or estimated.) NOTE:
to be retained) lobbyist, etc.) "hourly rate" or "t.b.d." is
not an acceptable response.
(Add sheets if necessary)
Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V -- CERTIFICATIONS
A. COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
[ ] Yes No [ ] 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
B. FURTHER CERTIFICATIONS
1.   Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
Page 4 of 13
 
2. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B. 1. of this EDS:
a. are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from any transactions by any federal, state or local unit of government;
b. have not, within a five-year period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft; forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen property;
c. are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any of the offenses set forth in clause B.2.b. of this Section V;
d. have not, within a five-year period preceding the date of this EDS, had one or more public transactions (federal, state or local) terminated for cause or default; and
e. have not, within a five-year period preceding the date of this EDS, been convicted, adjudged guilty, or found liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
3. The certifications in subparts 3, 4 and 5 concern:
• the Disclosing Party;
• any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
• any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
• any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of 13
 
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, during the five years before the date this EDS is signed, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the five years before the date of such Contractor's or Affiliated Entity's contract or engagement in connection with the Matter:
a. bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee of the City, the State of Illinois, or any agency of the federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
b. agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
c. made an admission of such conduct described in a. or b. above that is a matter of record, but have not been prosecuted for such conduct; or
d. violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
4. Neither the Disclosing Party, Affiliated Entity or Contractor, or any of their employees, officials, agents or partners, is barred from contracting with any unit of state or local government as a result of engaging in or being convicted of (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.
5. Neither the Disclosing Party nor any Affiliated Entity is listed on any of the following lists maintained by the Office of Foreign Assets Control of the U.S. Department of the Treasury or the Bureau of Industry and Security of the U.S. Department of Commerce or their successors: the Specially Designated Nationals List, the Denied Persons List, the Unverified List, the Entity List and the Debarred List.
6. The Disclosing Party understands and shall comply with the applicable requirements of Chapters 2-55 (Legislative Inspector General), 2-56 (Inspector General) and 2-156 (Governmental Ethics) of the Municipal Code.
7. If the Disclosing Party is unable to certify to any of the above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
None
Page 6 of 13
 
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
1. The Disclosing Party certifies that the Disclosing Party (check one) [ ] is is not
a "financial institution" as defined in Section 2-32-455(b) of the Municipal Code.
2. If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in Chapter 2-32 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-455(b) of the Municipal Code) is a predatory lender within the meaning of Chapter 2-32 of the Municipal Code, explain here (attach additional pages if necessary):
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
1.   In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[ ] Yes [x| No
NOTE: If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
Page 7 of 13
 
2. Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no .City elected official or employee shall have a financial interest in his or her own name or in the name of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit of the City (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
[ ] Yes ft No
3. If you checked "Yes" to Item D.l., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
Name Business Address Nature of Interest
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Party must disclose below or in an attachment to this EDS all information required by paragraph 2. Failure to comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City.
x   1. The Disclosing Party verifies that the Disclosing Party has searched any and all records of the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records.
_2. The Disclosing Party verifies that, as a result of conducting the search in step 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
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SECTION VI -- CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. 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 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
3. The Disclosing Party will submit an updated certification at the end of each calendar quarter in which there occurs any event that materially affects the accuracy of the statements and information set forth in paragraphs A.l. and A.2. above.
4. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
5. 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 of the Matter and must make such certifications promptly available to the City upon request.
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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?
[]Yes []No If "Yes," answer the three questions below:
1. Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
[]Yes []No
2. Have you filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements?
[ ] Yes [ ] No
3. Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[ ] Yes [ ] No
If you checked "No" to question 1. or 2. above, please provide an explanation:
SECTION VII - ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE
The Disclosing Party understands and agrees that:
A. The certifications, disclosures, and acknowledgments contained in this EDS will become part of any contract or other agreement between the Applicant and the City in connection with the Matter, whether procurement, City assistance, or other City action, and are material inducements to the City's execution of any contract or taking other action with respect to the Matter. The Disclosing Party understands that it must comply with all statutes, ordinances, and regulations on which this EDS is based.
B. The City's Governmental Ethics and Campaign Financing Ordinances, Chapters 2-156 and 2-164 of the Municipal Code, impose certain duties and obligations on persons or entities seeking City contracts, work, business, or transactions. The full text of these ordinances and a training program is available on line at www.cityofchicago.org/Ethics, and may also be obtained from the City's Board of Ethics, 740 N.
Page 10 of 13
 
Sedgwick St., Suite 500, Chicago, IL 60610, (312) 744-9660. The Disclosing Party must comply fully with the applicable ordinances.
C. If the City determines that any information provided in this EDS is false, incomplete or inaccurate, any contract or other agreement in connection with which it is submitted may be rescinded or be void or voidable, and the City may pursue any remedies under the contract or agreement (if not rescinded or void), at law, or in equity, including terminating the Disclosing Party's participation in the Matter and/or declining to allow the Disclosing Party to participate in other transactions with the City. Remedies at law for a false statement of material fact may include incarceration and an award to the City of treble damages.
D. It is the City's policy to make this document available to the public on its Internet site and/or upon request. Some or all of the information provided on this EDS and any attachments to this EDS may be made available to the public on the Internet, in response to a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
E. The information provided in this EDS must be kept current. In the event of changes, the Disclosing Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a contract being handled by the City's Department of Procurement Services, the Disclosing Party must update this EDS as the contract requires. NOTE: With respect to Matters subject to Article I of Chapter 1-23 of the Municipal Code (imposing PERMANENT INELIGIBILITY for certain specified offenses), the information provided herein regarding eligibility must be kept current for a longer period, as required by Chapter 1-23 and Section 2-154-020 of the Municipal Code.
The Disclosing Party represents and warrants that:
F. l.    The Disclosing Party is not delinquent in the payment of any tax administered by the Illinois Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
F.2     If the Disclosing Party is the Applicant, the Disclosing Party and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
F.3     If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F.l. and F.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
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NOTE: If the Disclosing Party cannot certify as to any of the items in F.l., F.2. or F.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) are true, accurate and complete as of the date furnished to the City.
Gx Investors, LLC
 
(Print or type name of person signing)
Manager of Baum Real Estate Services, LLC,  it's Manager
(Print or type title of person signing)
Signed and sworn to before me on (date) July 19, 2011 at_<Lno£        County,  / Let"N <?>/ s (state)-
 
Zf>2^r<i«3     ^/^^r^ ,^^ .--    Notary Public. Commission expires: c£<f —<Q.o/£~~r
t OFFICIAL SEAL
DRAGICA PERUNAC
NOTARY PUBLIC, STATE OF ILLINOIS My Commission Expires June 29,2015
Page 12 of 13
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5 percent. It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Under Municipal Code Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as of the date this EDS is signed, the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof is related to the mayor, any alderman, the city clerk, the city treasurer or any city department head as spouse or domestic partner or as any of the following, whether by blood or adoption: parent, child, brother or sister, aunt or uncle, niece or nephew, grandparent, grandchild, father-in-law, mother-in-law, son-in-law, daughter-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.
"Applicable Party" means (1) all executive officers of the Disclosing Party listed in Section II.B.l.a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, 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 percent ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
[ ]Yes [*]No
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I--GENERAL INFORMATION
A. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
Baum Real Estate Services, LLC
Check ONE of the following three boxes: ;
Indicate whether the Disclosing Party submitting this EDS is:
1. [ ] the Applicant
OR
2. [] a legal entity holding a direct or indirect interest in the Applicant. State the legal name of the Applicant in which the Disclosing Party holds an interest: ,__
OR
3. [*] a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in which the Disclosing Party holds a right of control:   Gx chica9°» LLC_
B. Business address of the Disclosing Party:     iQ3Q w. Chicago Avenue, suite 300_^
Chicago,IL 60642
C   Telephone'  312 •275 •3111 Fax'    312-628.8133 Email' doug@baumdevelopment.com
D. Name of contact person: D°u9las P-Baum _^
E. Federal Employer Identification No. (if you have one^
F. Brief description of contract, transaction or other undertaking (referred to below as the "Matter") to which this EDS pertains. (Include project number and location of property, if applicable):
PD Amendment for property generally located at 2515 - 2615 West Diversey Avenue
Department of Housing and Economic .
G. Which City agency or department is requesting this EDS? Development_
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification #__and Contract #__
Ver. 09-01-10
Page 1 of 13
 
SECTION II -- DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY 1.   Indicate the nature of the Disclosing Party:
Person [*]
Publicly registered business corporation [ ]
Privately held business corporation [ ]
Sole proprietorship [ ]
General partnership (Is Limited partnership
Trust [ ]
Limited liability company Limited liability partnership Joint venture
Not-for-profit corporation
the not-for-profit corporation also a 501(c)(3))?
[ ] Yes [ ] No
Other (please specify)
2.   For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
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 HN/A
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1.   List below the full names and titles of all executive officers and all directors of the entity. NOTE: For not-for-profit corporations, also list below all members, if any, which are legal entities. If there are no such members, write "no members." For trusts, estates or other similar entities, list below the legal titleholder(s).
If the entity is a general partnership, limited partnership, limited liability company, limited liability partnership or joint venture, list below the name and title of each general partner, managing member, manager or any other person or entity that controls the day-to-day management of the Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Name Title None
2.   Please provide the following information concerning each person or entity having a direct or indirect beneficial interest (including ownership) in excess of 7.5% of the Disclosing Party. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture,
Page 2 of 13
 
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.
Name Business Address Percentage Interest in the
Disclosing Party
David Baum 1030 W. Chicago Ave, Suite 300; Chicago 60642 50% Douglas Baum 1030 W. Chicago Ave,  Suite 300; Chicago 60642 50%
SECTION III -- BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 of the Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
[ ] Yes [x] No
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s):
SECTION IV -- DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount of the fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll.
"Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action.
If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
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Name (indicate whether     Business      Relationship to Disclosing Party   Fees (indicate whether retained or anticipated       Address       (subcontractor, attorney, paid or estimated.) NOTE:
to be retained) lobbyist, etc.) "hourly rate" or "t.b.d." is
not an acceptable response.
(Add sheets if necessary)
[>} Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V ~ CERTIFICATIONS
A. COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
[ ] Yes No [ ] 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
B. FURTHER CERTIFICATIONS
1.   Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor.any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
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2. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B. 1. of this EDS:
a. are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from any transactions by any federal, state or local unit of government;
b. have not, within a five-year period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft; forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen property;
c. are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any of the offenses set forth in clause B.2.b. of this Section V;
d. have not, within a five-year period preceding the date of this EDS, had one or more public transactions (federal, state or local) terminated for cause or default; and
e. have not, within a five-year period preceding the date of this EDS, been convicted, adjudged guilty, or found liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
3. The certifications in subparts 3, 4 and 5 concern:
• the Disclosing Party;
• any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
• any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
• any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
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Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, during the five years before the date this EDS is signed, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the five years before the date of such Contractor's or Affiliated Entity's contract or engagement in connection with the Matter:
a. bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee of the City, the State of Illinois, or any agency of the federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
b. agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
c. made an admission of such conduct described in a. or b. above that is a matter of record, but have not been prosecuted for such conduct; or
d. violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
4. Neither the Disclosing Party, Affiliated Entity or Contractor, or any of their employees, officials, agents or partners, is barred from contracting with any unit of state or local government as a result of engaging in or being convicted of (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.
5. Neither the Disclosing Party nor any Affiliated Entity is listed on any of the following lists maintained by the Office of Foreign Assets Control of the U.S. Department of the Treasury or the Bureau of Industry and Security of the U.S. Department of Commerce or their successors: the Specially Designated Nationals List, the Denied Persons List, the Unverified List, the Entity List and the Debarred List.
6. The Disclosing Party understands and shall comply with the applicable requirements of Chapters 2-55 (Legislative Inspector General), 2-56 (Inspector General) and 2-156 (Governmental Ethics) of the Municipal Code.
7. If the Disclosing Party is unable to certify to any of the above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
None
Page 6 of 13
 
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
C CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
1. The Disclosing Party certifies that the Disclosing Party (check one) [ ] is is not
a "financial institution" as defined in Section 2-32-455(b) of the Municipal Code.
2. If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in Chapter 2-32 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-455(b) of the Municipal Code) is a predatory lender within the meaning of Chapter 2-32 of the Municipal Code, explain here (attach additional pages if necessary):
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
1.   In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[ ] Yes [j§ No
NOTE: If you checked "Yes" to Item D.L, proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
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2. Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City elected official or employee shall have a financial interest in his or her own name or in the name of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit of the City (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
[ ] Yes ft No
3. If you checked "Yes" to Item D.l., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
Name Business Address Nature of Interest
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Party must disclose below or in an attachment to this EDS all information required by paragraph 2. Failure to comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City.
x   1. The Disclosing Party verifies that the Disclosing Party has searched any and all records of the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records.
_2. The Disclosing Party verifies that, as a result of conducting the search in step 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
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SECTION VI -- CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS
NOTE: If the Matter is federally funded, complete this Section VI. 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 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
3. The Disclosing Party will submit an updated certification at the end of each calendar quarter in which there occurs any event that materially affects the accuracy of the statements and information set forth in paragraphs A.l. and A.2. above.
4. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
5. 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 of the Matter and must make such certifications promptly available to the City upon request.
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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?
[ ] Yes [ ] No
If "Yes," answer the three questions below:
1. Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
[]Yes []No
2. Have you filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements?
[ ] Yes [ ] No
3. Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[]Yes []No
If you checked "No" to question 1. or 2. above, please provide an explanation:
SECTION VII -- ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE
The Disclosing Party understands and agrees that:
A. The certifications, disclosures, and acknowledgments contained in this EDS will become part of any contract or other agreement between the Applicant and the City in connection with the Matter, whether procurement, City assistance, or other City action, and are material inducements to the City's execution of any contract or taking other action with respect to the Matter. The Disclosing Party understands that it must comply with all statutes, ordinances, and regulations on which this EDS is based.
B. The City's Governmental Ethics and Campaign Financing Ordinances, Chapters 2-156 and 2-164 of the Municipal Code, impose certain duties and obligations on persons or entities seeking City contracts, work, business, or transactions. The full text of these ordinances and a training program is available on line at www.cityofchicago.org/Ethics, and may also be obtained from the City's Board of Ethics, 740 N.
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Sedgwick St., Suite 500, Chicago, IL 60610, (312) 744-9660. The Disclosing Party must comply fully with the applicable ordinances.
C. If the City determines that any information provided in this EDS is false, incomplete or inaccurate, any contract or other agreement in connection with which it is submitted may be rescinded or be void or voidable, and the City may pursue any remedies under the contract or agreement (if not rescinded or void), at law, or in equity, including terminating the Disclosing Party's participation in the Matter and/or declining to allow the Disclosing Party to participate in other transactions with the City. Remedies at law for a false statement of material fact may include incarceration and an award to the City of treble damages.
D. It is the City's policy to make this document available to the public on its Internet site and/or upon request. Some or all of the information provided on this EDS and any attachments to this EDS may be made available to the public on the Internet, in response to a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
E. The information provided in this EDS must be kept current. In the event of changes, the Disclosing Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a contract being handled by the City's Department of Procurement Services, the Disclosing Party must update this EDS as the contract requires. NOTE: With respect to Matters subject to Article I of Chapter 1-23 of the Municipal Code (imposing PERMANENT INELIGIBILITY for certain specified offenses), the information provided herein regarding eligibility must be kept current for a longer period, as required by Chapter 1-23 and Section 2-154-020 of the Municipal Code.
The Disclosing Party represents and warrants that:
F. l.    The Disclosing Party is not delinquent in the payment of any tax administered by the Illinois Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
F.2     If the Disclosing Party is the Applicant, the Disclosing Party and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
F.3     If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F.l. and F.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
Page 11 of 13
 
NOTE: If the Disclosing Party cannot certify as to any of the items in F.l., F.2. or F.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) are true, accurate and complete as of the date furnished to the City.
Baum Real Estate Services, LLC
(Print or type name of Disclosing Party)
Douglas m1-: Baum
(Print or type name of person signing)
Manager
(Print or type title of person signing)
Signed and sworn to before me on (date) July 19 ■ 2
By:
 
at   Co of
 
County, c (state).
^Notary Public.
Commission expires:
 
Page 12 of 13
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5 percent. It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Under Municipal Code Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as 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 n.B.l.a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members of the Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
[ ] Yes [ ^ No
If yes, please identify below (1) the name and title of such person, (2) the name of the legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
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CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
SECTION I -- GENERAL INFORMATION
A. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable:
Gx Holdings, LLC
Check ONE of the following three boxes:
Indicate whether the Disclosing Party submitting this EDS is:
1. [ ] the Applicant
OR
2. a legal entity holding a direct or indirect interest in the Applicant. State the legal name of the Applicant in which the Disclosing Party holds an interest:  Gx chica9°- LLC____
OR
3. [ ] a legal entity with a right of control (see Section II.B. 1.) State the legal name of the entity in which the Disclosing Party holds a right of control:_
B. Business address of the Disclosing Party:     1030 w. Chicago Avenue, suite 300________
Chicago,IL 60642
C   Telephone'  312.275.3111 Fax-    312.628.8133 Email' doug@baumdevelopment.com
D. Name of contact person: Douglas p'Baum___
E. Federal Employer Identification No. (if you have one):________
F. Brief description of contract, transaction or other undertaking (referred to below as the "Matter") to which this EDS pertains. (Include project number and location of property, if applicable):
PD Amendment for property generally located at 2515 - 2612 West Diversey Avenue
Department of Housing and Economic
G. Which City agency or department is requesting this EDS? Development________
If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following:
Specification #_________and Contract #____
Ver. 09-01-10 Page 1 of 13
 
SECTION II -- DISCLOSURE OF OWNERSHIP INTERESTS
A. NATURE OF THE DISCLOSING PARTY 1.   Indicate the nature of the Disclosing Party:
Person [x]
Publicly registered business corporation [ ]
Privately held business corporation [ ]
Sole proprietorship [ ]
General partnership (Is Limited partnership
Trust [ ]
Limited liability company Limited liability partnership Joint venture
Not-for-profit corporation
the not-for-profit corporation also a 501(c)(3))?
[ ] Yes [ ] No
Other (please specify)
2.   For legal entities, the state (or foreign country) of incorporation or organization, if applicable:
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 N/A
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY:
1.   List below the full names and titles of all executive officers and all directors of the entity. NOTE: For not-for-profit corporations, also list below all members, if any, which are legal entities. If there are no such members, write "no members." For trusts, estates or other similar entities, list below the legal titleholder(s).
If the entity is a general partnership, limited partnership, limited liability company, limited liability partnership or joint venture, list below the name and title of each general partner, managing member, manager or any other person or entity that controls the day-to-day management of the Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf.
Name Title
None
2.   Please provide the following information concerning each person or entity having a direct or indirect beneficial interest (including ownership) in excess of 7.5% of the Disclosing Party. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture,
Page 2 of 13
 
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure.
Name Business Address Percentage Interest in the
Disclosing Party
David Baum      1030 W.  Chicago Ave,   Suite 300;  Chicago 60642 50%   (Class A and B)
Douglas Baum  1030 W.  Chicago Ave,   Suite 300;  Chicago 60642 50%   (Class A and B)
SECTION III -- BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS
Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 of the Municipal Code, with any City elected official in the 12 months before the date this EDS is signed?
[ ] Yes [x] No
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s):
SECTION IV -- DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES
The Disclosing Party must disclose the name and business address of each subcontractor, attorney, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount of the fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll.
"Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action.
If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
Page 3 of 13
 
Name (indicate whether     Business       Relationship to Disclosing Party   Fees (indicate whether retained or anticipated       Address       (subcontractor, attorney, paid or estimated.) NOTE:
to be retained) lobbyist, etc.) "hourly rate" or "t.b.d." is
not an acceptable response.
(Add sheets if necessary)
Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V - CERTIFICATIONS
A. COURT-ORDERED CHILD SUPPORT COMPLIANCE
Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term.
Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction?
[ ] Yes [*| No [ ] 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
B. FURTHER CERTIFICATIONS
1.   Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes some five-year compliance timeframes in certifications 2 and 3 below.
Page 4 of 13
 
2. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B.l. of this EDS:
a. are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from any transactions by any federal, state or local unit of government;
b. have not, within a five-year period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft; forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen property;
c. are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any of the offenses set forth in clause B.2.b. of this Section V;
d. have not, within a five-year period preceding the date of this EDS, had one or more public transactions (federal, state or local) terminated for cause or default; and
e. have not, within a five-year period preceding the date of this EDS, been convicted, adjudged guilty, or found liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local government.
3. The certifications in subparts 3, 4 and 5 concern:
• the Disclosing Party;
• any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties");
• any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity;
• any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee of the Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Page 5 of 13
 
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, during the five years before the date this EDS is signed, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the five years before the date of such Contractor's or Affiliated Entity's contract or engagement in connection with the Matter:
a. bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee of the City, the State of Illinois, or any agency of the federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity;
b. agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or
c. made an admission of such conduct described in a. or b. above that is a matter of record, but have not been prosecuted for such conduct; or
d. violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
4. Neither the Disclosing Party, Affiliated Entity or Contractor, or any of their employees, officials, agents or partners, is barred from contracting with any unit of state or local government as a result of engaging in or being convicted of (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.
5. Neither the Disclosing Party nor any Affiliated Entity is listed on any of the following lists maintained by the Office of Foreign Assets Control of the U.S. Department of the Treasury or the Bureau of Industry and Security of the U.S. Department of Commerce or their successors: the Specially Designated Nationals List, the Denied Persons List, the Unverified List, the Entity List and the Debarred List.
6. The Disclosing Party understands and shall comply with the applicable requirements of Chapters 2-55 (Legislative Inspector General), 2-56 (Inspector General) and 2-156 (Governmental Ethics) of the Municipal Code.
7. If the Disclosing Party is unable to certify to any of the above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
None
Page 6 of 13
 
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION
1. The Disclosing Party certifies that the Disclosing Party (check one) [ ] is is not
a "financial institution" as defined in Section 2-32-455(b) of the Municipal Code.
2. If the Disclosing Party IS a financial institution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in Chapter 2-32 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City."
If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-45 5(b) of the Municipal Code) is a predatory lender within the meaning of Chapter 2-32 of the Municipal Code, explain here (attach additional pages if necessary):
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements.
D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS
Any words or terms that are defined in Chapter 2-156 of the Municipal Code have the same meanings when used in this Part D.
1.   In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
[]Yes [x)No
NOTE: If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E.
Page 7 of 13
 
2. Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City elected official or employee shall have a financial interest in his or her own name or in the name of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit of the City (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not constitute a financial interest within the meaning of this Part D.
Does the Matter involve a City Property Sale?
[ ] Yes [*| No
3. If you checked "Yes" to Item D.l., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest:
Name Business Address Nature of Interest
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee.
E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS
Please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Party must disclose below or in an attachment to this EDS all information required by paragraph 2. Failure to comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City.
x   1. The Disclosing Party verifies that the Disclosing Party has searched any and all records of the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records.
__2. The Disclosing Party verifies that, as a result of conducting the search in step 1 above, the
Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
l
Page 8 of 13
 
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 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.)
2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A.l. above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement.
3. The Disclosing Party will submit an updated certification at the end of each calendar quarter in which there occurs any event that materially affects the accuracy of the statements and information set forth in paragraphs A.l. and A.2. above.
4. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) of the Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Internal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities".
5. 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 of the Matter and must make such certifications promptly available to the City upon request.
Page 9 of 13
 
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY
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?
[ ] Yes [ ] No
If "Yes," answer the three questions below:
1. Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.)
[]Yes []No
2. Have you filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements?
[ ] Yes [ ] No
3. Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause?
[]Yes []No
If you checked "No" to question 1. or 2. above, please provide an explanation:
SECTION VII -- ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE
The Disclosing Party understands and agrees that:
A. The certifications, disclosures, and acknowledgments contained in this EDS will become part of any contract or other agreement between the Applicant and the City in connection with the Matter, whether procurement, City assistance, or other City action, and are material inducements to the City's execution of any contract or taking other action with respect to the Matter. The Disclosing Party understands that it must comply with all statutes, ordinances, and regulations on which this EDS is based.
B. The City's Governmental Ethics and Campaign Financing Ordinances, Chapters 2-156 and 2-164 of the Municipal Code, impose certain duties and obligations on persons or entities seeking City contracts, work, business, or transactions. The full text of these ordinances and a training program is available on line at www.cityofchicago.org/Ethics, and may also be obtained from the City's Board of Ethics, 740 N.
Page 10 of 13
 
Sedgwick St., Suite 500, Chicago, IL 60610, (312) 744-9660. The Disclosing Party must comply fully with the applicable ordinances.
C. If the City determines that any information provided in this EDS is false, incomplete or inaccurate, any contract or other agreement in connection with which it is submitted may be rescinded or be void or voidable, and the City may pursue any remedies under the contract or agreement (if not rescinded or void), at law, or in equity, including terminating the Disclosing Party's participation in the Matter and/or declining to allow the Disclosing Party to participate in other transactions with the City. Remedies at law for a false statement of material fact may include incarceration and an award to the City of treble damages.
D. It is the City's policy to make this document available to the public on its Internet site and/or upon request. Some or all of the information provided on this EDS and any attachments to this EDS may be made available to the public on the Internet, in response to a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS.
E. The information provided in this EDS must be kept current. In the event of changes, the Disclosing Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a contract being handled by the City's Department of Procurement Services, the Disclosing Party must update this EDS as the contract requires. NOTE: With respect to Matters subject to Article I of Chapter 1-23 of the Municipal Code (imposing PERMANENT INELIGIBILITY for certain specified offenses), the information provided herein regarding eligibility must be kept current for a longer period, as required by Chapter 1-23 and Section 2-154-020 of the Municipal Code.
The Disclosing Party represents and warrants that:
F. l.    The Disclosing Party is not delinquent in the payment of any tax administered by the Illinois Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes.
F.2     If the Disclosing Party is the Applicant, the Disclosing Party and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration.
F.3     If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F.l. and F.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications.
Page 11 of 13
 
NOTE: If the Disclosing Party cannot certify as to any of the items in F.L, F.2. or F.3. above, an explanatory statement must be attached to this EDS.
CERTIFICATION
Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) are true, accurate and complete as of the date furnished to the City.
Gx Holdings, LLC
(Print or type name of Disclosing Party)
 
(Print or type name of person signing)
Manager of Baum Real Estate Services,  LLC,  it's Manager
(Print or type title of person signing)
Signed and sworn to before me on (date) July i9< son _
at   <Z*gg£_County,   /LC/Wo/'s (state).
1 •^^sL+^+stsi.ri ^   Notary Public.
Commission expires:     (Z> - c£ -cQO/&
 
SoVhcialsea! RAGICA PERUNAC W PUBLIC, STATE OF ILLINOIS "mission Expires Jims ?fl 2015
Page 12 of 13
 
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT
APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS
This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5 percent. It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant.
Under Municipal Code Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as of the date this EDS is signed, the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof is related to the mayor, any alderman, the city clerk, the city treasurer or any city department head as spouse or domestic partner or as any of the following, whether by blood or adoption: parent, child, brother or sister, aunt or uncle, niece or nephew, grandparent, grandchild, father-in-law, mother-in-law, son-in-law, daughter-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister.
"Applicable Party" means (1) all executive officers of the Disclosing Party listed in Section II.B.l.a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, 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 percent ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority.
Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
[ ] Yes [ *| 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 13
 
 
VICINITY MAP
 
EDWARD J. MOLLOY & ASSOCIATES, LTD.
LAND 8c CONSTRUCTION SURVEYORS
1236 MARK STREET,   8ENSENV1LLE,   ILLINOIS   60106     (630) 595-2600   Fax (630) 595-4700 e—mail: emolloy(Iej molloy.com
ALTA/ACSM LAND TITLE SURVEY
OF
PARCEL 1;
LOTS I TO tj. BOTH INCLUSIVE, LOTS 26 TO 34, BOTH INCLUSIVE. AND THE VACATED ALLEY RUNNING NORTH AND SOUTH LYING BETWEEN LOTS 1 TO 12 AND 26 TO 34. AND ALSO THE VACATEO ALLEY LYING SOUTH OF AND ADJOINING SAID NORTH AND SOUTH VACATED ALLEY AND SOUTH OF LOTS 12, 13. 2S, 27, AND 28 AND ADJOINING SAID LOTS. AND THE RIGHT OF WAY OF THE CHICAGO AND NORTHWESTERN RAILROAD IN BLOCK 17 IN CROSBY'S SUBDIVISION OF THE EAST 1/2 OF THE SOUTHEAST 1/4 OF SECTION 25, TOWNSHIP 40 NORTH, RANGE 13, EAST OF THE THIRD PRINCIPAL MERIDIAN, IN COOK COUNTY, ILLINOIS.
PARCEL 2:
LOTS 42 AND 43 IN BLOCK 24 IN CROSBY'S SUBDIVISION OF THE EAST 1/2 OF THE SOUTHEAST 1/4 OF SECTION 25, TOWNSHIP 40 NORTH, RANGE 13, EAST OF THE THIRD PRINCIPAL MERIDIAN. 9N COOK COUNTY, IUUNOIS.
PARCEL 3:
LOTS 41 IN BLOCK 24 IN ALBERT CROSBY AND OTHERS SUBDIVISION OF THE EAST 1/2 OF THE SOUTHEAST 1/4 OF SECTION 25. TOWNSHIP 40 NORTH, RANGE 13, EAST OF THE THIRD PRINCIPAL MERIDIAN, IN COOK COUNTY, ILLINOIS.
PARCEL 4:
A PARCEL OF LAND SITUATED IN THE NORTHEAST CORNER OF THE NORTHEAST 1/4 OF THE NORTHWEST 1/4 OF THE SOUTH EAST 1/4 OF SECTION 25, TOWNSHIP 40 NORTH, RANGE 13 EAST OF THE THIRD PRINCIPAL MERIDIAN, DESCRIBED AS FOLLOWS: BEGINNING AT THE INTERSECTION OF THE SOUTH UNE OF WEST DIVERSEY AVENUE W/7H THE WEST UNE OF NORTH ROCKWELL STREET; RUNNING THENCE WEST ALONG THE SOUTH UNE OF SAID WEST DIVERSEY AVENUE A DISTANCE OF 118 FEET 3 INCHES; THENCE SOUTH AT RIGHT ANGLES WITH SAID SOUTH UNE OF WEST DIVERSEY AVENUE A DISTANCE OF 35 FEET THENCE EAST AND PARALLEL WITH SOUTH LINE OF SAID WEST DIVERSEY AVENUE A DISTANCE OF 31 FEET 8 5/8 INCHES; THENCE SOUTHEASTERLY 66 FEET 10 3/4 INCHES TO A UNE WHICH IS 35 FEET WEST OF THE WEST LINE OF SAID NORTH ROCKWELL STREET; THENCE SOUTH PARALLEL WITH THE WEST UNE OF SAID NORTH ROCKWELL STREET. A DISTANCE OF 14 FEET 3/8 INCHES TO A UNE WHICH IS 89 FEET 6 INCHES MEASURED ALONG THE WEST UNE OF SAID NORTH ROCKWELL STREET SOUTH OF THE SOUTH LINE OF SAID WEST DIVERSEY AVENUE AND RUNNING AT RIGHT ANGLES WITH SAID WEST UNE OF NORTH ROCKWELL STREET, THENCE EAST ALONG SAID LAST DESCRIBED UNE A DISTANCE OF 35 FEET; THENCE NORTH ALONG WEST UNE OF SAID NORTH ROCKWELL STREET A DISTANCE OF 89 FEET 6 INCHES TO THE PLACE OF BEGINNING. IN COOK COUNTY. ILUNOIS.
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DRAFTED BY: BJE
ORDER NO.: 2011-0152 FILE: 25-40-73 PROJECT NO.: 755
 
 
 
 
 
 
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SURVEYOR'S NOTES
TITLE COMMITMENT FOR PARCELS 1 AND 2: THIS SURVEY REFLECTS MA' REFERENCED IN SCHEDULE B OF CHICAGO TITLE INSURANCE COMPANY OWNEI POLICY NUMBER 1401-008225487-D2 DATED OCTOBER 6, 2009 AND DATE WITH AN EFFECTIVE DATE EXTENDED TO OCTOBER 4. 2010:
TITLE COMMITMENT FOR PARCEL 3: THIS SURVEY REFLECTS MATTERS OF SCHEDULE 9 OF CHICAGO TITLE INSURANCE COMPANY COMMITMENT FOR TITU NUMBER 1401-0088S2631-D2 WITH AN EFFECTIVE DATE OF JUNE 13. 2011
TITLE COMMITMENT FOR PARCEL 4: THE FOLLOWING MATTERS OF TITLE < SCHEDULE 6 OF CHICAGO TITLE INSURANCE COMPANY PRO FORMA OWNER'S NUMBER 14O1-008839638-D2:
F. RESERVATION, COVENANTS AND AGREEMENTS CONTAINED IN DEED DATED / RECORDED OCTOBER 6. 1942 AS DOCUMENT 12968840 FROM CHARLES M. THE PROPERTY OF CHICAGO AND NORTHWESTERN RAILWAY COMPANY TO AME CORPORATION. CONVEYING THE LAND AS FOLLOWS: "EXCEPTING AND RESERV PARTIES AND TO THEIR SUCCESSORS AND ASSIGNS. IN THE LAND HEREBY C WATER LINES NOW RUNNING THROUGH SAME, ALSO THE RIGHT OF SUPPORT THEIR RAILROAD TRACKS, STAIRWAYS AND OTHER FACILITIES LOCATED UPON AND ADJOINING SAID LAND HEREBY CONVEYED, AND BY ITS ACCEPTANCE HE COVENANTS AND AGREES FOR ITSELF ITS SUCCESSORS AND ASSIGNS THAT I AND EXPENSE. PROTECT AND PRESERVE SUCH SEWERS AND WATER LINES ( LAND; AND THAT rr WILL, AT ITS COST AND EXPENSE, IN CONSTRUCTING AN ON SAID HEREIN DESCRIBED LAND. PROVIDE SUCH SUPPORT AS MAY BE Nl RAILROAD EMBANKMENT, STAIRWAYS AND OTHER FACILITIES, EITHER BY CONJ OR BY SO CONSTRUCTING ANY BUILDING OR STRUCTURES ON SAID HEREIN WALLS ANO FOUNDATIONS THEREOF WILL 8E OF SUFFICIENT STRENGTH TO I ALL TO THE SATISFACTORY OF THE CHIEF ENGINEER OF SAID FIRST PAPJIE." PROVISION SHALL RUN WITH THE LAND HEREBY CONVEYED." [NOT A PLOTT/
J. ENCROACHMENT OF THE BRICK LOCATED MAINLY ON THE LANO ONTO TH ADJOINING BY APPROXIMATELY 0.07 FEET TO 0.17 FEET, AS SHOWN ON PL 2007-09978-001 PREPARED BY GREMLEY it B1EDERMANN DATED DECEMBi [ENCROACHMENT OF THE BRICK BUILDING LOCATED MAINLY ON THE LAND ( ANO ADJOINING FOUND TO BE FROM 0.02 FEET TO 0.13 FEET AS PLOTTEC
 
K. ENCROACHMENT OF THE BRICK BUILDING LOCATED MAINLY ON THE LAND ONTO THE PROPERTY SOUTH AND ADJOINING BY APPROXIMATELY 0.09 FEET AND 0.13 FEET AND ONTO THE PROPERTY WEST AND ADJOINING BY APPROXIMATELY 0.09 FEET, AS SHOWN ON PLAT OF SURVEY NUMBER 2007-09978-001 PREPARED BY GREMLEY 4 BIEDERMANN DATED DECEMBER 12. 2007. [ENCROACHMENT OF THE BRICK BUILDING LOCATEO MAINLY ON THE LAND ONTO THE PROPERTY SOUTH AND ADJOINING FOUND TO BE 0.11 FEET AND ONTO THE PROPERTY WEST AND ADJOINING BY APPROXIMATELY 0.17 FEET AS PLOTTED ON THE DRAWING]
TAX PARCEL PERMANENT INDEX NUMBERS: 13-25-404-001-0000 AS TO PARCEL 1 13-25-405-001-0000 AS TO PARCEL 2 13-25-405-002-0000 AS TO PARCEL 2 13-25-405-003-0000 AS TO PARCEL 3 I3-25-403-O28-00O0 AS TO PARCEL 4
FIOOO MAP DESIGNATION: OUR EXAMINATION OF THE FEDERAL EMERGENCY MANAGEMENT AGENCY (F.E.MA) ROOD INSURANCE RATE MAP COMMUNITY-PANEL NO. 17031C0415J WITH AN EFFECTIVE DATE OF AUGUST 19, 2008. SHOWS THAT NO PART OF THE PROPERTY FALLS WITHIN A SPECIAL FLOOD HAZARD AREA AND THAT SAID PROPERTY DOES FALL WITHIN ZONE "X" DEFINED AS AREAS DETERMINED TO BE OUTSIDE OF THE 0.2S ANNUAL CHANCE FLOOD PLAIN
SUMMARY OF PAINT STRIPED PARKING SPACES: PARCEL 2 CONTAINS A TOTAL OF 20 PARKING SPACES INCLUDING 0 DESIGNATED HANDICAP SPACES.
AREA STATEMENT:
PARCEL 1:   77.848 SQUARE FEET OR 1.7871 ACRES PARCEL 2:       6,297 SQUARE FEET OR 0.1446 ACRES PARCEL 3:      3,149 SQUARE FEET OR 0.0723 ACRES PARCEL 4:      7,137 SQUARE FEET OR 0.1638 ACRES
TOTAL:   94,431 SQUARE FEET OR 2.1678 ACRES
INCLUDED TABLE *A* OPTIONAL SURVEY RESPONSIBILITIES AND SPECIFICATIONS PER THE . 2011 MINIMUM STANDARD DETAIL REQUIREMENTS FOR ALTA/ACSM LAND TITLE SURVEYS:
1. MONUMENTS PLACED (OR A REFERENCE MONUMENT OR WITNESS TO THE CORNER) AT ALL MAJOR CORNERS OF THE BOUNDARY OF THE PROPERTY, UNLESS ALREADY MARKED OR REFERENCED BY EXISTING MONUMENTS OR WITNESSES.
2. ADDRESS(ES) IF DISCLOSED IN RECORD DOCUMENTS. OR OBSERVED WHILE CONDUCTING THE SURVEY.
3. aOOD ZONE CLASSIFICATION.
4. GROSS LAND AREA,
7(o). EXTERIOR DIMENSIONS OF ALL BUILDINGS AT GROUND LEVEL.
8. SUBSTANTIAL FEATURES OBSERVED IN THE PROCESS OF CONDUCTING THE SURVEY.
9. STRIPING, NUMBER AND TYPE (e.g. HANDICAPPED, MOTORCYCLE. REGULAR. ETC.) OF PARKING SPACES IN PARKING AREAS, LOTS AND STRUCTURES.
11 (o). LOCATION OF UTILITIES EXISTING ON OR SERVING THE SURVEYED PROPERTY AS DETERMINED BY OBSERVED EVIDENCE.
14. DISTANCE TO THE NEAREST INTERSECTING STREET AS SPECIFIED BY THE CLIENT.
 
STATE OF ILLINOIS )
) SS
COUNTY OF DUPAGE )
I. THOMAS A. MOLLOY. AM ILLINOIS PROFESSIONAL LAUD SURVEYOR AND MANAGING AGENT OF EtWIMKJ J. MOLLOY ANO ASSOCIATES. LTO AN ILLINOIS PROFESSIONAL DESIGN FIRM. HEREBY CERTIFY TO: BAUM ACQUISITIONS, LLC; CHICAGO TrrUE INSURANCE COMPANY; THAT THIS MAP OR PLAT ANO THE SURVEY ON WHICH IT IS BASED WERE MADE IN ACCORDANCE WITH 2011 MINIMUM STANOARO DETAIL REQUIREMENTS FOR ALTA/ACSM LAND TITLE SURVEYS, JOINTLY ESTABUSHED AND ADOPTED BY THE AMERICAN LANO TITLE ASSOCIATION (ALTA) ANO THE NATIONAL SOCIETY OF PROFESSIONAL SURVEYORS (NSPS) ANO INCLUDES ITEMS 1. 2. 3. 4. 7(a), S, 9, 11(o) ANO 14 OF TABLE "A" THEREOF. THE FIELD WORK WAS COMPLETED ON MARCH 16, 2011. DIMENSIONS ARE SHOWN IN FEET AND DECIMAL PARTS THEREOF.
SIGNED AT BENSENVILLE. ILLINOIS THIS
DAY OF
 
A.D. 2011
THOMAS A. MOLLOY
ILLINOIS PROFESSIONAL LAND SURVEYOR NO. 35-3409 (EXPIRES NOVEMBER 30. 2012 AND IS RENEWABLE) MANAGING AGENT. ILLINOIS PROFESSIONAL OESIGN FIRM UCENSE NO. 184-002910 (EXPIRES APRIL 30. 2013
»S£D SEAL AND IS RENEWABLE)
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