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CLB Agenda 07/15/2015 Co er County COLLIER COUNTY CONTRACTORS' LICENSING BOARD AGENDA JULY 15, 2015 9:00 A.M. COLLIER COUNTY GOVERNMENT CENTER ADMINISTRATIVE BUILDING BOARD OF COUNTY COMMISSIONERS CHAMBERS ANY PERSON WHO DECIDES TO APPEAL A DECISION OF THIS BOARD WILL NEED A RECORD OF THE PROCEEDINGS PERTAINING THERETO, AND THEREFORE MAY NEED TO ENSURE THAT A VERBATIM RECORD OF THE PROCEEDINGS IS MADE, WHICH RECORD INCLUDES THAT TESTIMONY AND EVIDENCE UPON WHICH THE APPEAL IS TO BE BASED. I. ROLL CALL II. ADDITIONS OR DELETIONS: III. APPROVAL OF AGENDA: IV. APPROVAL OF MINUTES: DATE: May 20, 2015 V. DISCUSSION: VI. NEW BUSINESS: (A) Orders Of The Board (B) Samuel Compere—Contesting Citation 09411 (C) Samuel Compere—Contesting Citation 09412 (D) Beker L. Escalante—Qualifying Second Entity (E) James R. Blackburn— Design Custom Millwork, Inc. —Waiver Of Examination(s) VII. OLD BUSINESS: (A) Mikel G. Diehl, Florids Hardscapes& Paver Maintenance, Inc-3 Month Review of Credit VIII. PUBLIC HEARINGS: (A) Case: 2015-03—Louis Bruno IV—D/B/A Bruno Air Conditioning Of SW FL/CAC1 817131 IX. REPORTS: X. NEXT MEETING DATE: WEDNESDAY, AUGUST 19, 2015 COLLIER COUNTY GOVERNMENT CENTER ADMINISTRATIVE BUILDING THIRD FLOOR IN COMMISSIONER'S CHAMBERS 3299 E. TAMIAMI TRAIL NAPLES, FL 34112 May 20,2015 MINUTES OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD MEETING May 20, 2015 Naples, Florida LET IT BE REMEMBERED, that the Collier County Contractors' Licensing Board, having conducted business herein, met on this date at 9:00 AM in REGULAR SESSION in Administrative Building "F," 3rd Floor, Collier County Government Complex, Naples, Florida, with the following Members present: Chairman: Patrick White Vice Chair: Thomas Lykos Members: Michael Boyd Terry Jerulle Richard Joslin Kyle Lantz Gary McNally Robert Meister Excused: Ronald Donino ALSO PRESENT: Michael Ossorio — Supervisor, Contractors' Licensing Office Kevin Noell, Esq. — Assistant County Attorney James F. Morey, Esq. — Attorney for the Contractors' Licensing Board Ian Jackson— Collier County Licensing Compliance Officer 1 May 20,2015 Any person who decides to appeal a decision of this Board will need a record of the proceedings and may need to ensure that a verbatim record of said proceedings is made, which record includes the testimony and evidence upon which any Appeal is to be based. I. ROLL CALL: Chairman Patrick White called the meeting to order at 9:00 AM and read the procedures to be followed to appeal a decision of the Board. Roll call was taken and a quorum was established; seven (7) voting members were present. II. AGENDA—ADDITIONS, DELETIONS, OR CHANGES: Changes: • Under "New Business," Item #VI-(E), "Jorge Arriaga— Qualifying Second Entity"has been withdrawn. III. APPROVAL OF AGENDA: Vice Chairman Thomas Lykos moved to approve the Agenda as amended. Gary McNally offered a Second in support of the motion. Carried unanimously, 7— 0. IV. APPROVAL OF MINUTES—APRIL 15,2015: Changes: • Page 21 (top of page — first paragraph) : Change the word"under" to "understood" o "Chairman White asked the Respondent if he understood the County's position and if he had a response." • Page 21 (top of page—first paragraph): Change the word"understand"to "understands" o "The Respondent stated he understands he must pay off the Workers' Compensation fines in order to petition to regain his license." Gary McNally moved to approve the April 15, 2015 minutes as amended. Richard Joslin offered a Second in support of the motion. Carried unanimously, 7—0. V. DISCUSSION: (None) VI. NEW BUSINESS: A. Orders of the Board Vice Chairman Lykos moved to approve authorizing the Chairman to sign the Orders of the Board. Richard Joslin offered a Second in support of the motion. Carried unanimously, 7— 0. 2 May 20, 2015 (Note: With reference to the cases heard under Section VI, the individuals who testified were first sworn in by the Attorney for the Board.) B. Maykol Calderon— Contesting Citation #09272 Citation: #09272 ("Unlicensed Landscape Contractor advertisement") Date Issued: April 27, 2015 Fine: $1,000.00 Description of Violation: Engage in the business or act in the capacity of a Contractor, or advertise self or business organization as available to engage in the business of or act in the capacity of a Contractor, without being duly registered or certified. (Terry Jerulle arrived @ 9:10 AM; quorum remained with eight voting members present.) Maykol ("Michael") Calderon: • He received a Citation for illegally distributing business cards. • He was surprised, stating he had"never done any illegal thing in his life." • He has been a resident of Naples for the past 17 years. • He obtained his business card online and was not aware it was illegal to distribute business cards by placing them in mail boxes. • When he was contacted by Ian Jackson, he admitted he had distributed the business card and promised not to do it again—he stated he did not know it was illegal. • He stated he has ordered new business cards because he wants to "do the right thing and follow the rules." • He requested a reduction in the fines which total $2,000 for both Citations. Chairman White noted there was nothing in the application to indicate if Mr. Calderon had received the new business cards. Mr. Calderon replied he had ordered but had not yet received his new cards. Mr. Calderon stated after talking to several of his friends, the consensus was that no one knew distributing business cards by placing them in mail boxes was illegal. He asked if there was any way to alert other vendors. He stated when he obtained his license, it stated "No fertilizing, planting, or tree service" but nothing was mentioned about advertising. He suggested adding the restriction to the document. (Note: The document referred to as a"license" is the Collier County Business Tax Receipt.) Vice Chairman Lykos: • Referenced Page E-4 of the infolivation packet presented to the Board which contained a copy of Mr. Calderon's new business card. • It stated he was "licensed and insured." • When asked what license he possessed, the response was, "An occupational license." 3 May 20, 2015 Chairman White clarified that an "occupational license" was the old name —it was replaced by the new term, "Business Tax Receipt." Vice Chairman Lykos concurred, stating it was not a"license." Chairman White explained the Business Tax Receipt did not authorize Mr. Calderon to do the work he was doing. Mr. Calderon asked if his new business card was also "wrong." He stated it was his first appearance before the Board and he was "here to learn." Chairman White noted it was Mr. Calderon's responsibility to learn "what the law was." Mr. Calderon mentioned a discussion he had with Michael Ossorio regarding obtaining a license from the County. He stated he had signed a non-compete agreement with a former employer which was in effect for one more year; after the agreement expired in August, 2016, he would obtain his landscaping license. Kyle Lantz asked if anyone could obtain Business Tax Receipt. Ian Jackson stated as long as the correct fee was paid to the Collier County Tax Collector's office, there were no restrictions concerning who could obtain one. Vice Chairman Lykos clarified the Business Tax Receipt indicated only that a person owned a business. Mr. Calderon asked if he needed a"license"to cut grass. Vice Chairman Lykos reminded him it was "not a license." Ian Jackson replied lawn mowing did not fall under the County's Code of Laws—a Contractors' License was not required to cut grass. Vice Chairman Lykos noted the business card stated Mr. Calderon was "licensed and insured," which implied that he had been licensed by the County to perform work but he was not. He explained the reason why Mr. Calderon had been cited was not because he distributed business cards but because the business cards stated he was licensed to do work ... or because he did perfoini work that he was not allowed to do. • The original business stated Mr. Calderon could perform sprinkler repairs but he was not licensed to do so. • The Citation was issued because he advertised his ability to perfouni work which he was not licensed to do. Mr. Calderon stated the only thing he knew how to do was to cut grass. He stated he understood that he would need to obtain new business cards which will state that he cuts grass—and nothing else. He said he "just needed a break." Chairman White pointed out to Mr. Calderon that he cannot claim he is "licensed" on his new cards. Mr. Calderon reiterated that he thought the Business Tax Receipt was a"real license" and apologized for his error. Chairman White stated the old term was confusing and the name was changed from "occupational license"to "Business Tax Receipt"by Collier County's Ordinance. He explained there was very little that the Board could do reduce the fines because 4 May 20,2015 • Mr. Calderon's "new" business cards were still in violation of the Ordinance. He did not abate the Violation prior to the Hearing and will not be able to take a licensing exam until August, 2016. Richard Joslin stated the previous business card indicated that Mr. Calderon could do sprinkler repairs, pressure washing, sod installation, etc., all items require a license which Mr. Calderon does not have and his advertising implied he could do much more than just cut lawns —and, again, was part of the problem. Vice Chairman Lykos: Q. Your new card also says that you are insured? A. Yes. Q. What insurance coverage do you have? A. Liability which covers in case my lawnmower hits something. Q. There is no copy of a policy included in this package. A. I didn't put it in, but I can provide that. Q. So you come before this Board without a license, without proof of insurance but with a business card that claims you are licensed and insured. A. I totally understand. I've never been in a place that this before. I wish I had been educated—the day I was fined the $2,000, he could have told me what was the right thing to do. I didn't know. How am I supposed to do it right if somebody doesn't tell me? Now I know but this is pretty expensive -- $2,000 in tickets just to learn. Give me a chance and I'll do the things right. Chairman White stated the only other option available to Mr. Calderon to reduce the amount of the penalty would have been for him to have obtained a license, which he cannot do until next year. He continued there is a system in place—if the violation was abated prior to the Hearing, the Board would have an opportunity to consider dismissing the Citations. The fine could be reduced if a license had been applied for—but the reason why Mr. Calderon is unable to apply for a license has nothing to do with the Board. He noted Mr. Calderon has asked the Board to do something for him but the responsibility lies in his hands and there is nothing the Board can do to change things. Vice Chairman Lykos asked Michael Ossorio if Mr. Calderon would have 30 days to challenge the Citation. Michael Ossorio: • Ten days to contest a Citation; and • Forty-five days to apply for a license. Vice Chairman Lykos explained to Mr. Calderon if his business card had contained the correct information, the Board would have the option to rescind the Citation because the Code stipulates that if corrective action is taken prior to a hearing— unfortunately the "window of opportunity" for Mr. Calderon had passed. Chairman White noted Mr. Calderon had contested the Citations within the 10-day time frame, adding he still had time with the 45 days to apply for a license. He stated if the Board wished to continue the case, and if Mr. Calderon applied for a license, 5 May 20,2015 and obtained correct business cards, the Board might consider doing something differently next month. In his personal opinion, simply applying for a license would not violate the non-compete agreement. It would be the issuance of a license and then engaging in a business activity that could put Mr. Calderon in jeopardy with the non- compete. He further stated the Board had not yet decided on whether or not to continue the current case and the next one to allow Mr. Calderon the time to obtain correct and appropriate business cards. Kyle Lantz stated Mr. Calderon said he could not apply for a license because he has the non-compete. Correct? Maykol Calderon: Correct. Chairman White reiterated Mr. Calderon could not engage in the business —but he may be able to apply for a license. Kyle Lantz clarified Mr. Calderon stated he could not apply for a license, despite the Chaiiman's interpretation. However, he had advertised to do the work which was in violation of the non-compete. He stated, "It just doesn't add up for me." Maykol Calderon: For me to do and say is a totally different thing. Do you know what I mean? He continued: I am only asking or a chance—I can change the business cards today. I just don't know. If I had gotten the right infoimation before ... if I had met with somebody the day I got the Citation, if I got the same infoimation I got here today, do you think I would be bringing these business cards to you? Chairman White: Mr. Calderon, it is not the Board's job to educate and advise. We hope that the law and the County's system help you to do that. Ultimately, we are here to decide whether your contesting of the Citation is appropriate or not. The only avenue that I see—and it requires the Board to support this position—is if we were to continue this and the next case until next month. If we chose to "table"them and see what the situation and the facts are the next time we hear the case. It is the only option that gets the Board anywhere close to what Mr. Calderon has asked us to do, but—in my opinion—the "handcuffs"that he is wearing are ones that he put on himself, not us. Maykol Calderon: Okay. Michael Boyd expressed his confusion, asking if Mr. Calderon needed a license to mow grass and the response was, "No." He continued: The only thing Mr. Calderon would be required to do is remove the nomenclature about being"licensed" from his business card and, as long as all he does is cut grass, he's good to go. Chairman White agreed, stating I would think so but we're not "there" today. Michael Boyd noted the form of the "Business Tax Receipt"was very confusing due to the classification of"lawn maintenance only" and which restricts the holder to "no fertilizing, no planting, or tree service." So if I were looking at it, I would think it was a license. Chairman White pointed out: It also says "This document is a business tax only. This is not certification that licensee is qualified. It does not permit the licensee to violate any existing regulatory, zoning laws of the State, County, or cities; nor does it exempt the licensee from any other taxes or permits that may be required by law." 6 May 20, 2015 • Chairman White continued: This includes the activities that were being advertised on his business card. Kyle Lantz: But it referred to him as a"licensee" as opposed to a "business." Chairman White: I don't disagree that there are opportunities for improvement. Richard Joslin: Years ago, a lot of people would construe the Business Tax as a Contractors' License—as a license. They just changed it in the past four or five years ago when they really came down on it and said it was a Business Tax and not a license. Michael Ossorio: I think the State or the State Legislature changed it about five or six years ago because people were getting confused—"I have an Occupational License"—so they changed it to a Business Tax Receipt. Maykol Calderon: I swear I thought I had a license to cut grass. Richard Joslin questioned Maykol Calderon: Q. How long have you had this Business Tax Receipt? A. I used to do it— 17 years ago— and I always worked for another company. My son graduated from high school and we decided to both get our License/Business Taxes and start doing it again. Q. When did you start your own business? A. Probably 17 years ago when I came to Naples. Q. You were not working for someone else? You were working for yourself? A. No, I was working for someone else but I had this on the side. That's how I have always been doing it. We decided to do it again because we need the extra money to help my kid in college so he doesn't have to work. So we both went—so we wouldn't get in trouble—we both got—each one ... and decide to do it again, and we messed up on the business cards. I'm just asking for a chance to change the business cards and keep moving forward. Vice Chairman Lykos: Mr. Boyd, I understand that it seems like a pretty simple solution, and the Code allows us to waive the Citation if the appropriate action has been taken. I just don't think the new business card quite gets him where he needs to be. And obviously, by his own testimony, he doesn't even understand exactly what we're asking him to do. If the Respondent would take Mr. White's advice —because he's here of his own volition—we didn't call him here—he came before us by his choice. If he just said, "Time out. I'll come back next month,"we would have the opportunity to reconsider the whole case with his corrective action. So far, I know Patrick has not advocated for taking action immediately—I'm not asking for that—we just need the Respondent to understand what we're recommending and then he needs to take the proper action. Michael Boyd: I understand. Chairman White concurred: I think part of the Chair's job is to help illuminate what options may exist—both for the Board and, in this case, for someone contesting a Citation. He directed his comment to Mr. Calderon: You're the person who has to ask us, "Would you continue my cases for another month so I can fix my business card?" Maykol Calderon: "Would you continue my case for another month so I can fix the business cards?" 7 . May 20,2015 Chairman White: I think we will have to put that to a vote. Richard Joslin: Before I make a motion, I would like to hear what Mr. Jackson has to say. What brought him here today—what did you find? Ian Jackson: • On April 24th, a complaint had been received that Maykol Calderon was distributing business cards in the Logan Blvd. area. • Mr. Calderon indicated t he had distributed cards on approximately three streets—probably 100 houses—30 houses per street. • On April 27th, met with Mr. Calderon to explain the license requirement and the violation; extensively explained the abatement process including being sponsored by the County for the exams—passing the exams, filling out the application, credit report and experience affidavits. • The Citations were issued and information was provided concerning the request for a Hearing. Kyle Lantz asked if there was one license that covered both landscaping and irrigation. (Answer was not audible.) Chairman White stated the Board would not ask about the scope of the non-compete agreement. The Board's option was to continue the case. Mr. Calderon applied in a timely manner to contest it. He also has 45 days from April 27th to apply for either or both of those licenses. It is up to him to decide. Michael Ossorio outlined the County's recommendation: • The Licensing Department would prefer a vote during the Hearing. • The Licensing Board has given direction; the Board of County Commissioners wants compliance. He continued: There are licensed landscapers and irrigation contractors—they pay for licensing, insurance, and Workers' Comp. Chairman White asked if Mr. Calderon had the option to apply for a license and Mr. Ossorio replied, "He sure does, and I recommend that he does that." The Chairman continued: Mr. Calderon is allowed to do that because we continue the case, there is the possibility if he does apply for it—that will be construed as having abated it or at least to the point where he will be eligible to pay the lower penalty— assuming that the Board, next month, looks at it from that point of view. Michael Ossorio: I believe that since this gentleman has timely asked for a Hearing and if he has the license on my desk in 45 days, he can still come back before the Board and ask the Board to waive the $300—which is for abating the issue. This gentleman knew he needed a license—that's why there is the non-compete. Mr. Ossorio concluded by asking the Board for an "up or down vote." Kyle Lantz asked: If the Board voted to uphold the Citations and Mr. Calderon came back tomorrow with his applications for the landscaping and irrigation licenses, is he 8 May 20, 2015 still stuck at the $1,000 or does it automatically drop down—as long as he does it within the 45 days? Correct? Chairman White: Correct—that's my understanding. Kyle Lantz: So we don't have to meet again to go over that—we can just uphold the Citations and ... Chairman White: That's between him and the ... Kyle Lantz: ... if he does what he has to do, then it automatically goes down? Maykol Calderon: Mr. Ossorio, I totally understand your point because now that I understand that I need a license to advertise—I'd be real mad if I paid all the money for a license and insurance and Workers' Comp and I found somebody else delivering business cards. So if that's going to be the price that I'm going to pay for it ... let me pay the money—just close this Hearing—let me pay the money and I will learn in that way— if that's all right with you ... if that's what you want, I will do it. Just close it this way. I'll pay the money if that's going to make you happy. But if I had gotten the right infoiuiation in the first place, I wouldn't be here—because that day I showed you personally my business card and you didn't tell me it was illegal. You never told me I didn't have a license. You never told me that this was a tax receipt. Otherwise, I would never be sitting before the Board showing you those papers. If I had the right infoimation from the beginning, I would have done it right. Nobody out there had the right information. I called everybody—all my friends—nobody knows. They think that you can work in the States without a license and I'm telling them it's not all right because nobody has the right infoimation. When I walked in your office and sat with you—you were on the phone with somebody else—when I was talking to you ... you were talking to somebody else ... you have to take the time, excuse me, but you have to take the time and listen to the small people. I totally understand your point, but you have to get in my shoes and see it from my point of view. Chairman White: I think the Board has made a very diligent effort to put ourselves where you are standing—and I think we do that in every case. But part of the way that this Board weighs what it chooses to do is by the demeanor and conduct of the person at the podium. He continued: We don't have a motion but the County's position is to vote up or down during the Hearing. I do not believe we have to be constrained or compelled by that—it's a suggestion. As much as I am a proponent of doing what is consistent with prior practice, in my opinion,this is the first time the Board has put itself in this position where—because of the non-compete or other reasons relative to the business card—there is an opportunity for the Board, if the members choose to take it. It's the will of the Board. Vice Chairman Thomas Lykos moved to approve upholding Citation #9272 as issued. Terry Jerulle offered a Second in support of the motion. Kyle Lantz asked if each Citation would be handled individually. Chairman White replied whatever the Board decided to do in this case would impact its decision in the next case. 9 May 20, 2015 Michael Ossorio suggested an amendment to the motion to include there was an opportunity to abate the Citation by paying a fine of$300. James F. Morey, Esq., Attorney for the Board, noted Section 22-202.a of the County's Ordinance allows for a full application to be submitted to the Board within 45 days of the issuance of the Citation to qualify for the abatement, and reduction of the fine from $1,000 to $300. Chairman White: It may come down to a business decision, i.e., the cost of the application vs. the amount of the fine —whichever is less. Kevin Noell, Esq., Assistant County Attorney: I think what we want to avoid is having an Order in place and then the appearance of something happening that's contrary to an Order of this Board. It would be more for clarification purposes that would avoid the appearance of a contradiction between this Board's Order and Staff s later action. Vice Chairman Lykos amended his motion as follows: Moved to approve upholding Citation #9272 as issued, and per the County's Ordinance[Section #22-202(a)], the Respondent is allowed 45 days from the date of the Citation to submit an application to the County for the appropriate license and reduce the Citation fine from $1,000 to $300. Terry Jerulle offered a Second in support of the amended motion. Carried unanimously, 8— 0. Chairman White asked Mr. Calderon if he understood the Board's motion and his response was, "Yes, sir." C. Maykol Calderon—Contesting Citation #09273 Citation: #09273 ("Unlicensed Contracting - Irrigation") Date Issued: April 27, 2015 Fine: $1,000.00 Description of Violation: Engage in the business or act in the capacity of a Contractor, or advertise self or business organization as available to engage in the business of or act in the capacity of a Contractor, without being duly registered or certified. Chairman White asked Maykol Calderon if there was anything different about this Citation from the previous Citation. Maykol Calderon: No, sir. Same thing. Richard Joslin asked why two Citations were issued for the same violation. Maykol Calderon: I still don't understand. Ian Jackson: There are two separate licenses required for landscaping and irrigation, i.e., two separate violations. Richard Joslin: I see—okay—so you went to the two areas he was advertising for— I see. 10 May 20,2015 Vice Chairman Lykos moved to approve upholding Citation #9273. Chairman White suggested the Citation should be treated in the same manner as the previous Citation. Maykol Calderon stated: I will have to pay the $1,000. I am not interested in the sprinkler license—I've never liked sprinklers—I just went on the website for my business card and only changed my name. Vice Chairman Lykos advised Mr. Calderon to apply for the license. Maykol Calderon: Why should I apply? I'll pay the fine—I'm not interested in the license. Vice Chairman Lykos: That's your choice. Vice Chairman Lykos explained his motion was to uphold Citation#9273 with the same parameters in the previous motion. Richard Joslin offered a second in support of the motion. Motion carried, "7— Yes/I —No." Michael Boyd was opposed. D. Robert Leos—Review of Credit (d/b/a: "R&M Glass, Inc.") Chairman White asked Mr. Leos to explain his credit issued. Robert Leos stated he had submitted a letter of explanation regarding his credit history which was included in his application. Michael Ossorio: • Mr. Leos is from North Miami and was working in the City of Naples— residential construction. • He took the necessary exams, applied for a license, and paid the Citation. • His credit issues are the reason why he is before the Board. Mr. Ossorio asked Mr. Leos how long he had been in business in Miami. Robert Leos: We moved from Colorado about 14 months ago, but we have only been operating since June, 2014—not quite a year. He continued: • He took full responsibility for the license issue. • There was some confusion concerning what was needed. • He called some friends who were in the business—some customers—to ask what was needed. • "We thought we were okay and it turned out that we weren't." • Again stated he took full responsibility for not finding out what he was required to do to operate a business in Collier County and Naples. When asked which testing facility he used, the response was, "Gainesville." He stated he took the Glass and Glazing Contractor's exam (86%) and well as the Business Procedures test (80%). 11 May 20,2015 Michael Ossorio explained the State's minimum threshold for a credit score is 660 while the County looks at both the application along with the credit score. Licenses have been issued with scores under 660 if the issue has to do with a bankruptcy or a medical issue. He noted Mr. Leos' credit score was 564. Robert Leos stated his credit score should be higher due to the creditors that he has paid in full and the arrangements he has made with others to pay off his debts. He noted two creditors have been difficult, one is with Old Castle. He explained it was a business decision—the creditor's accounting was the issue ... his company had been double billed and Old Castle has yet to rectify the situation which has continued for two years. He stated he will hire an attorney to deal with the issue. He stated the other issue is the judgment in Colorado with Barry Johnson. A resolution was agreed upon but he passed away before it could be removed from his credit report. When asked for the County's recommendation, Michael Ossorio stated he would approve the application. Mr. Ossorio asked Mr. Leos if he would need a letter of reciprocity to obtain his license in Miami and the response was, "Yes." Robert Leos stated he hoped to do business along the entire east coast of Florida. The Collier County license will reciprocate in Miami-Dade County. He will obtain a license in Broward County which will reciprocate in Palm Beach County. Vice Chairman Thomas Lykos moved to approve the application and grant a Glass and Glazing Contractor's license to Robert Leos. Kyle Lantz offered a Second in support of the motion. Carried unanimously, 8— 0. Vice Chairman Lykos commented that typically, where there are credit issues, the Board does not issue a license without requiring the licensee to return after a specific time to show improvement. He commended Mr. Leos on his efforts to detail his situation for the Board and to pay down some of the debts prior to the Hearing. Robert Leos stated Ian Jackson had been a tremendous help and offered explanations of what was required. He also stated the County's staff had been very helpful. He cited Joanne Greensburg in particular. Chairman White stated both the County and the Board do the best that they can but the law is the law. The system was designed to help those who are interested in finding out what is required. The Board was not established enforce by way of punishment but to gain compliance. Vice Chairman Lykos stated it was good that Mr. Leos identified the members of the County's staff who had assisted him and made it a successful effort, especially after complaints had been made concerning Staff and how difficult the system was— both of which were part of the record. E. Jorge Arriaga— Qualifying Second Entity ("Withdrawn" per Amended Agenda) 12 May 20,2015 VII. OLD BUSINESS: A. Enrique Vasquez—Reinstatement of License (d/b/a: "SW Florida Painting Corp.") Chairman White asked Mr. Vasquez if there was anything that he wanted to add to his request for reinstatement. Mr. Vasquez commented that he had "learned his lesson." When asked for the County's recommendation, Michael Ossorio stated he would approve the license application but requested a 12-month probationary period, i.e., if an administrative complaint is filed, he will appear before the Board for a Hearing. Chairman White clarified that Mr. Vasquez would still be permitted to work until the case was heard and Mr. Ossorio concurred. He stated at the end of the 12-month period, the probation would expire. When asked if it was appropriate for him to vote on the matter since he had not attended the previous Hearing, Attorney Morey stated Vice Chairman could vote if he had reviewed the minutes for the previous Board meeting. He further stated it was a separate issue before the Board than at the previous meeting. Kyle Lantz moved to approve reinstating the Painting Contractor's license of Enrique Vasquez but that he will be on probation for a period of one year. Richard Joslin offered a Second in support of the motion. Carried unanimously, 8— 0. VIII. PUBLIC HEARINGS: (None) IX. REPORTS: • Michael Ossorio noted he has received a number of calls from other jurisdictions regarding the Citation abatement process followed in Collier County. He stated despite the feedback from one person during the Hearing, the system has been working. His office is willing to help anyone who wants to be in compliance. • He will provide a report at the next meeting concerning the individuals who have achieved compliance after contesting a Citation. Chairman White comments: "It is instructive for the Board to hear individual comments in contested Citation cases. The Board does its best to understand the position but in the case of individual who appeared before the Board, he was the one who "put the handcuffs" on himself. He had the power to remove them and, to the extent that he was willing to ask the questions that needed to be asked, the answers would have been given to him. The problems were of his own making—not the Board's. He had an opportunity to do certain things prior to the Hearing but he didn't —those are choices that we each make. The other gentleman's experience evidences that when you are willing to obtain information, the answers can be found. 13 May 20,2015 X. NEXT MEETING DATE: Wednesday, July 15, 2015 BCC Chambers, 3` Floor—Administrative Building "F," Government Complex, 3301 E. Tamiami Trail, Naples, FL There being no further business for the good of the County, the meeting was adjourned by the order of the Chairman at 10:15 AM. COLLIER COUNTY CONTRACTORS' LICENSING BOARD PATRICK WHITE, Chairman The Minutes were approved by the Committee Chair/Vice Chair on , 2015, "as submitted" [ 1 OR "as amended" [ j. 14 Samuel Compere' Contested Citations #09411 & #09412 Table of Contents El — Copies of citations #09411 and #09412 issued to Samuel Compere' for unlicensed fence installation contracting and commencing work requiring a building permit. E2 — Letter received from Mr. Compere' requesting an Administrative Hearing to contest citations issued. E3 — Letter sent to Mr. Compere' notifying him of addition to July 15th, 2015 Contractors' Licensing Board agenda. E4/E5 — Case Detail Report (#CEUL20150011056) for unlicensed fence installation contracting violation. E6/E7 — Case Detail Report (#CECV20150010869) for commencing work requiring a building permit violation. E8/E10 — Photos taken of unlicensed/unpermitted fence installation. "`� �— COLLIER COUNTY ,�; > �`COLL�IEROUNTY ,J GROWTH MANAGEMENT DIVISION GROWTH MANAGEMENT DIVISION CITATION CITATION Pursuant to section 489127.(3) (a).Florida Statutes,the undersigned hereby certifies that upon Pursuant to section 489.127.(3)(a).Florida Statutes,the undersigned hereby certifies-that upon personal investigation,he/she has reasonable and probable grounds.to believe that the person whose -Personal invvestigadon,he/she has reasonable and probable grounds to believe that the person whose •name appears below as issued to,did violate subsection 489.127.(1),Florida Statutes,and the Collier name appears below as issued to,did violate subsection 489.127.(1),Florida Statutes,and the Collier County Contractor's Licensing Ordinance No.2006-46(as may be amended)by committing the County Contractor's Licensing Ordinance No.2006-46(as may be amended)by committing the violation stated below. violation stated below. s w i i ��) r. i 4 t I E L, i M Month _11...3.',-.: Day ^ Year' Time .AMYPM f-X Month ��+ Day " Year Tame y a.t`i rl= x A.A. P - Issued To . -1.7 --i-' f:-..-Z_ - f', +. „�' r-r Issued To — _ ' _ � i ' o� . J ` U1 L Address . • - I 7-4:7-=--.....',7, ff r'' Address �~!.n i_ I 7_ Y • ,'• 5 f i. Y.2-1 City t I'` t- t State r+;- -.. - 'Zip -7 City ice_ l e_ < State (..- - Zip _ Telephone No. Race Sex Height ! Telephone No. LD.4%-'i_ ' !- Date of Birth Race Sex Height Vehicle e Cif applicable) Year Color Tag No. . Vehicle Make/y. e(if applicable) Year Color Tag No. Ma./s- ,p - i NJ./rT . Location of Violation Location of Violation �_ _ _ /,--r S.. � 1--,-,, ti - j • t . :, _ - -1- '1 .'' .g:\%. 1�}, l':, C - - .. OPTIONS OPTIONS ? -; i I have beeninformedof'he:violation for which I have been charged and elect the I have been informed of the violation for which I have been charged and elect the following option(Check one) following 0 I c oosen .pa the pe) r OC 1) ❑ I choose to pay the penalty of$!c.t-" 1) ❑ I choose to.pay the penalty of$ '�'^%=� a. 2) ❑-I choose not topay the penalty,and will request in writing by certified mail or hand 2) ❑ I choose not to pay the penalty,and will request in writing by certified mail or hart delivery an Administrative Hearing before the Contractor's Licensing Board., delivery an Administrative Hearing before the Contractor's Licensing Board. �'/ �i 3 ! Description of Violation Date Violation Observed /r`-'1 'r} Description of Violation Date Violation Observed � p a) ❑ Falsely hold self or business organization out as a licensee,certificate holder or a) ❑ Falsely hold self or business organization out as a licensee,certificate holder or registrant; _ registrant; .b) ❑ Falsely impersonate a.certificate holder or registrant; b) ❑ Falsely impersonate a certificate holder or registrant; c) ❑ Present as his/her own the.certificate or registration of another; c) ❑ Present as his/her own the certificate or registration of another; d) ❑ Knowingly give false or forged evidence to the Board or a member thereof; d) ❑ Knowingly give false or forged evidence to the Board or a member thereof; e) ❑. Use or attempt to use a certificate or registration which has been suspended or e) ❑- Use or attempt to use a certificate or registration which has been suspended or • ,revoked; - - revoked; f) ❑ Engage in the business or act in the capacity of a contractor or advertise self f) ,Q Engage in the business or act in the capacity of a contractor or advertise self or business organisation as available to engage in the business or act in the or business organization as available to engage in the business or act in the • capacity capacity-of a contractor without being duly registered or certified; ca p ty of a contractor without being duly registered or certified; g) ❑ Operate a business-organiration engaged in contracting after(60)days; g) ❑ Operate a business organization engaged in contracting after(60)days; h) Z Commence or perform work for which a building permit is required pursuant to h) ❑ Commence or perform work for which a building permit is required pursuant tc an adopted state minimum building code or without such permit being in effect; an adopted state minimum building code or without such permit being in effect i) ❑ Willfully or deliberately disregard or violate any Collier County ordinance i) ❑ Willfully or deliberately disregard or violate any Collier County ordinance relating to uncertified or unregistered contractors. _ - relating to uncertified or unregistered contractors. A person or business organization operating on an inactive or suspended certificate,: A person or business organization operating on an inactive or suspended certificate, or registration,or operating beyond the scope of work or geographical scope of the . or registration,or operating beyond the scope of work or geographical scope of the registration,is not duly certified or�egistered. registration,is not duly certified or restered. SIG1ATURE(RECIPI+ENT) SIGNATURE ESTIGATOR) SIGNATURE(RECIPIENT) SIGN G1 TOR) • 1 , (-;ut--�, _' K.---f-'17,-....1 L�J'�) );-i;.,^.� •i /���i::; ���_- - (w ry�i �� ={ :::':-,.-2.2- PRINT(RECIPIENTS NAME) PRINT(INVESTIGATOR'S NAME) PRINT(RECIPIENTS NAME) PRINT(INVESTIGATOR'S NAME) Pursuant to 489.127, Florida Statutes; willful refusal to sign and accept this citation Pursuant to 489.127, Florida Statutes, willful refusal to sign and accept.this citatic constitutes-a misdemeanor of the second degree, punishable as provided in section constitutes a misdemeanor of the second degree, punishable as provided in sectic 775.082 or 775.083 Florida Statutes. 775.082 or 775.083 Florida Statutes. (SEE REVERSE FOR INSTRUCT1ONS) (SEE REVERSE FOR INSTRUCTIONS) FILE COPY FIE COPY • _ i 434,:n Date: June 4, 2015 From: Samuel Compere To: Contractor's Licensing Supervisor Greetings! The purpose of this letter is to request an administrative hearing before the Contractor's Licensing Board for the following citations CECU 20150010869 and CEUL20150011056. There seems to be a misunderstanding, and I would greatly appreciate the opportunity to explain myself. I have included a copy of the citations with this letter. Thank you for you anticipated understanding in this matter. Sincerely, Samuel Compere JUN - 4 2015 BY: ....................... o er CoH rity Growth Management Division Planning & Regulation Operations Department Licensing Section June 04, 2015 Nedit) Samuel Compere 5620 Wild Pines Ln # 421 )11.16 Naples, FL 34112 RE: Contesting Citation(s) 09411 / 09412 Mr. Compere, You have been added to the agenda for the Contractor Licensing Board meeting on Wednesday, July 15, 2015. The meeting is held at 9:00am at the W. Harmon Turner Building (Bldg. F, Admin. Bldg.), 3299 Tamiami Tr!. E., Naples, FL in the Commissioner's Meeting Room on the 3rd floor. If you have any questions or concerns, please call (239) 252-2431. Sincerely, f Joann G;r nberg `- 'Lead Customer Service Specialist Licensing/Operations 2800 North Horseshoe Drive Naples, FL 34104 Growth Management Division*Planning&Regulation*2800 North Horseshoe Drive'Naples, Florida 34104*239-252-2400*www.colliergov.net r _ 2 ciiifiergov.net Report Title: Code Case Details Date: 6/29/2015 10:30:25 AM Case Number: ceu120150011056 Case Number: CEUL20150011056 Status: Contested Case Type: Unlicensed Date&Time Entered: 6/1/2015 3:28:35 PM Priority: Normal Entered By: RobinGanguli Inspector: robinganguli Case Disposition: Unpaid Jurisdiction: Contractor's Licensing Origin: Complaint Detail Description: Compere, Samuel. $1000 citation #09411 issued for unlicensed fence installation contracting. Location Comments: 2571 47th Ter. S.W. Naples, FL. 34116 Address 2571 47th TER SW Property 35985840004 Property Owner DERIVAL, JOSEPH &JULIENE Violator Compere, Samuel Business Management& Budget Office 1 tJI Code Case Details Execution Date 6/29/2015 10:30:25 AM Desc Assigned Required Completed Outcome Comments Preliminary Investigation robinganguli 5/28/2015 6/1/2015 Needs 5/28/15.Complaint received regarding Investigatio possible unlicensed/unpermitted fence n installation at 2571 47th Ter.S.W.Naples, FL. 34116.On site observed installation of fence posts and chain link fencing material staged for installation but no activity taking place. Database research reveals no permits in issuance for work observed. Unable to make contact with property owner,Joseph Derival. Will monitor for unlicensed activity prior to posting a STOP WORK order. Cont. Investigation RobinGanguli 6/1/2015 6/1/2015 Complete 6/1/15/On site met with property owner, Joseph Derival,who advised he had hired Samuel Compere for fence installation and provided phone number for him. Database research reveals no licensing information for him. Contacted Mr.Compere and meeting scheduled for 6/2/15. Issue Citation (Licensing) robinganguli 6/2/2015 6/2/2015 Complete 6/2/15.$1000 citation#09411 issued to Mr. Compere for unlicensed fence installation contracting. Licensing information provided. Investigation robinganguli 6/2/2015 6/2/2015 Citation 6/2/15.Meeting held with Samuel Compere Required and property owner,Joseph Derival. Licensing and permitting requirements for work observed explained as well as violation abatement process. Both Mr. Compere and Mr. Derival advised they were unaware of the requirements and questioned the purpose of them.When asked if any survey measurements were taken prior to fence post installation,they advised that none had been performed to account for post placement. Permitting options discussed and Mr.Derival ststed his intentions to explore owner/builder permitting. Citation Paid/Contested clements_k 6/16/2015 6/23/2015 Contested Generate Follow Up Letter clements_k 6/16/2015 6/16/2015 Complete Schedule for CLB Meeting/Send michaelossori 7/15/2015 Pending Letter o Citation Paid clements_k 7/17/2015 Pending Violation Description Status Entered Corrected Amount Comments Unlicensed Fence Contractor Open 6/1/2015 $1,000 Title Reason Result Compliance ' Fine/Day Condition Business Management&Budget Office 2 CXVergov.net Report Title: Code Case Details Date: 6/29/2015 10:31:03 AM Case Number: cecv20150010869 Case Number: CECV20150010869 Status: Contested Case Type: Code Violation Date &Time Entered: 5/29/2015 7:43:24 AM Priority: Normal Entered By: RobinGanguli Inspector: robinganguli Case Disposition: Unpaid Jurisdiction: Contractor's Licensing Origin: Complaint Detail Description: Compere, Samuel. $1000 citation #09412 issued for commencing work requiring a building permit. Complaint received regarding possible unlicensed/unpermitted fence installation. Location Comments: 2571 47th Ter.S.W. Naples, FL. 34116 Address 2571 47th TER SW Property 35985840004 Property Owner DERIVAL, JOSEPH &JULIENE Property Owner DERIVAL, JOSEPH &JULIENE Violator Compere, Samuel Business Management&Budget Office 1 Code Case Details Execution Date 6/29/2015 10:31:03 AM Desc Assigned Required Completed Outcome Comments Preliminary Investigation robinganguli 5/28/2015 5/29/2015 Needs 5/28/15. Complaint received regarding Investigatio possible unlicensed/unpermitted fence n installation at 2571 47th Ter.S.W.Naples, FL. 34116.On site observed installation of fence posts and chain link fencing material staged for installation but no activity taking place. Database research reveals no permits in issuance for work observed. Unable to make contact with property owner,Joseph Derival. Will monitor for unlicensed activity prior to posting a STOP WORK order. Cont. Investigation RobinGanguli 6/1/2015 6/1/2015 Complete 6/1/15/On site met with property owner, Joseph Derival,who advised he had hired Samuel Compere for fence installation and provided phone number for him. Database research reveals no licensing information for him. Contacted Mr.Compere and meeting scheduled for 5/2/15. Investigation robinganguli 6/2/2015 6/2/2015 Citation 6/2/15.Meeting held with Samuel Compere Required and property owner,Joseph Derival. Licensing and permitting requirements for work observed explained as well as violation abatement process. Both Mr.Compere and Mr. Derival advised they were unaware of the requirements and questioned the purpose of them.When asked if any survey measurements were taken prior to fence post installation,they advised that none had been performed to account for post placement. Permitting options discussed and Mr. Derival ststed his intentions to explore owner/builder permitting. Issue Citation (Licensing) robinganguli 6/2/2015 6/2/2015 Complete 6/2/15.$1000 citation#09412 issued to Mr. Compere for commencing work requiring a building permit.Case forwarded to code enforcement for permit follow up with property owner. Citation Paid/Contested clements_k 6/16/2015 6/23/2015 Contested Generate Follow Up Letter clements_k 6/16/2015 6/16/2015 Complete Schedule for CLB Meeting/Send michaelossori 7/15/2015 Pending Letter o Citation Paid clements_k 7/17/2015 Pending Violation Description Status Entered Corrected Amount Comments Commencing Work Without A Permit Open 5/29/2015 $1,000 Business Management&Budget Office 2 t 1 ti e f 1 '4 i741- '11-'= 3r i', !1 • - i+ yt I ..� + 14 to t c r A t !I f t t ^ tY , J ! ,,a. r'"d'_E ,4� F 7P.' y y+.4• f ri .. _ •Jf li�i4� lrl, 4" ., 44::,.. i.';* 'iu^ fi 11••': F't�I" yi l Lr.T a.,- 4.,,A.,::',,',�.,'..4 t-•'!;.-,'-•f r . -r •• .. .-. . .. `x I i• t G'! ��,-'.• c 4-f34, _� � ''� 1 a - N rt },_::...441,..,,,,_, w 4' lrq rY t?,:f,,,jt- ;. }Y4i 11 i 5 -r r�- tilt�l r'# \,x 4.y i`1 1.1'y �: �'' if z`�,'• i •-• 1 - :•E•4; f-4"t i .' 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' I' r ri (1 .• 1 r14J»�rj +f s rev '`(4i' v •-, f VI, '-; s 1( _ Ir' ) :- , til ] .'Y} � • r t f '�7 1 rl r{ a �{ i ([� - C.ovl- y GMD Operations &Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples,FL 34104 CHIC ND ENTITY an authorized agent of the entity qualified as well as a ❑ lA notarized statement signed by attesting to the fact notarized statement signed by an authorized agent of the proposed entity that each is aware of what entity the licensee is presently qualifying and what entity the licensee is requesting to qualify. /A not more than 60 days old for the present and the proposed entities.shall also be ❑ proposed credit report (less than one year old),then a credit report proposed entity is newly formed(1 required of its qualifier. ❑ Proof that the license has been active in construction for the previous twelve months w ebs empl d with the present entity.. Applicant shall submit a list of up to three of the latest J including the date of completion, address, description of work, and the name of owner. (Questionnaire) a statement as to ❑ If the proposed entity has been qualified (within the previous 12 months), a state why the previous qualifier is no longer willing to qualify the entity. (Questionnaire) ❑ If the proposed entity has previously been qualified(within the previous 12 months), a list of three jobs completed by the proposed entity within the last twelve months of qualification. Include the dates of completion, address, description of work,name of previous qualifier, and name of owner. (Questionnaire) f judgments against the present entity or ❑ A statement that there are no outstanding liens or judgm�t are a result of construction against the proposed entity, or against consumer'(s) performed by either the present entity or the proposed entity. If liens or judgments are present, an explanatory statement is required. (Questionnaire) ❑ Bank statements for the previous three months on both the present and the proposed entity (if applicable). ❑ Verification of bank balance for each entity, for the same date,not to exceed te prior to the scheduled hearing. 17070 4 1 ❑ Statements indicating the manner of remuneration of the license for the present as well as the proposed entities. (Questionnaire) ,- ❑ statement showing the licensee's ownership in the present entity as well as ownership in the proposed entity. (Questionnaire) ❑ Application fee of$105.00. Make check payable to the Collier County Board of County Commissioners. This fee is nonrefundable regardless of the outcome of the request for additional entity. All checks must clearly state applicants name and address. If approved, the additional fee for the license will be according to the schedule adopted by the Board of County Commissioners. ❑ A statement of need, from the licensee, for maintaining the present entity qualification while requesting to qualify an additional entity. (Questionnaire) ❑ A'list of principal suppliers for the present and proposed entity. (Questionnaire) ❑ A list of persons authorized(currently as well as the previous six months)to pull permits for the licensee. (Questionnaire) ❑ A list of all officers in the present as well as in the proposed entity. (Questionnaire) ❑ Provide articles of corporation from the Division of Corporations (sunbiz.org) including fictitious name, if applicable. It should be noted that the qualifier must be responsible for and capable of supervising,directing, managing and controlling both the contracting activities of the entity he/she now qualifies as well as the proposed entity. Managing of contracting activities includes the proper collection and disbursement of funds and the proper payment of subcontractors and suppliers. In addition,he/she must be responsible for and capable of the supervision, direction,management and control of all entities for which he/she pulls permits. Geographical location of all entities involved must be so situated as to permit the aforementioned supervision,direction,management and control. The board will consider the ownership, interest, status as a corporate officer or partner,check writing authority,and other factors as evidence of control of the entities. At the sole discretion and option of the board,the board may deem it a requirement that the qualifier be able to sign on checks relating to construction payables. If you have any questions,please feel free to contact us at: GM]) Operations and Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 Main: (239) 252-2431 Fax: (239)252-2469 p r PROOF OF EXPERIENCE 1.8.1 When determining if the applicant possesses the required experience,the Contractor's Licensing Board Supervisor or his/her designee shall accept the following as proof of experience: A. Affidavits/notarized letters from former employees with specifics as to the number of years of experience,work performed and any other relevant information. B. Copies of other certificates of competency,if any,held in other counties, cities. C. Affidavits from any building director in locations where the applicant has worked. D. Affidavits from any union organization of which the applicant has been a member, relative to the trade for which the applicant has made application. E. Affidavits from any other reasonable source as approved by the Contractor Licensing Supervisor within the trade applied for. 1.8.2 Education at an accredited school may be utilized to satisfy a portion of the experience requirements of this section. Specifically, each full year of school level work in the field for which the application is made shall be credited to the applicant as .75 years experience,but such credit shall be for no more than one-half of the total experience required. CREDIT BUREAUS, FROM THE YELLOW PAGES OF THE NAPLES PHONE BOOK Merit Credit, Inc. (239)277-3202 meritcreditservices.com Credit Check, Inc. (877) 616-5556 creditcheckin.com Licenses,Etc. (239)777-8321 licensesetc.com USA Credit Bureau (888)474-2270 usacreditbureau.com 866 Credit Bureau Services, Inc. (866) 561-1400 elicensereport.com NOTE: You can use any bureau that is nationally recognized&reports a full 7 year history. Rev. 05/2014 i Co L1L-ie-r cD-u ty GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 APPLICATION FOR COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM-SECOND ENTITY INSTRUTIONS: This application must be typewritten or legibly printed. The application fee must be paid upon approval and is not refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 90-105, as amended. NAME OF COMPANY CURRENTLY QUALIFIED: Exact Corporate/Business Name: r-r't1 =61r1:,-,3 s s c C Fiction Name/DBA: Mos. oc —1--; e k 1rin\e_ Qualifier Name: e,l e.t' L. P i=ce ac Physical Address: I Li ),.,v,s B lvA i'L,p {'-s Vv. t1 i l (Number&Street) (City) (State) (Zip Code) Mailing Address: J7 J.:if)<<;r--,3 O vi✓ Naples L- 4 i).2 (Number&Street) (City (State) (Zip Code) Telephone e `?..Yw) a'ii L4 - ,Q14.3,z) E-mail: c hx,,con TYPE OF LICENSE: General $230.00 Electrician $230.00 Building $230.00 Plumber $230.00 Residential $230.00 Air Conditioner $230.00 Mechanical $230.00 Swimming Pool $230.00 Roofing $230.00 Specialty X's -Z, $205.00 y Specialty Trade:. I ii 0 nlar'‘.,i Lri.htinw Sit,; FM Application Fee $105.00 CHANGE OF STATUS: ( ) Reinstatement ( )From One Business to Another ( ) Dormant License to Active 1. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. `cAco\\ 1 L;r\:u�� i� �V�1�tea t 11.�"�_j ) y a, t (7--).7,:i) '3C 23 2. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (i.e. held a license for or been a partner). Attach extra pages if needed. 3. List all debts you or any company(s)associated with you that you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. AFFIDAVIT Under the penalties of perjury I declare that I have read the foregoing application and that the facts stated in it are true. _ Authorized Officer of the Firm The foregoing instrument as acknowledged before me this 1)rte !.3;--z 5 (Date) by' 2 s- ,s.:� x:fie of 1Yllsti. ar),1.511,r �+ —I;Ors;,) t,-sct ., i',1G (Name of Officer, Title/Agent) (Name of Corporation) a i _; � Corporation on behalf of the corporation. (State or Place of Corporation) .,�«.• (Type of identification) NOTARY'S SEAL 01 JOANN GREENBERG SIG A °a OF NOTARY) )AY COMMISSION#FF 212324 * %' EXPIRES:April 8,2019 % WWITM BAN Notary Serrates QUALIFIER INFORMATION: / Address: ;2/f C-,dit,,ro (Number&Street) City) (State) (Zip Code) Telephone: (2 3 f.) f j `t J Date of Birth: / �( SS#: E-mail: bk r ( r Driver's License #: `- 1. Type of Certificate of Competency for which application is made. ✓( fly' `i' G1/1&4b(e' 1i � c� 4i3i � 1LC( � 2. The names and telephone numbers of two persons who will know your whereabouts. ( vk. C.& Li. ef_ (,9 `i) `-& S--- ,_�_. 1'�i 1 i.) ry7 G � r<. v?;l t_;�; f - �7 G( 3. Have you ever been convicted of a crime related to Contracting? A} (.2 (If yes,attach extra sheet with explanation.) 4. Have you or any firms you have been associated with ever filed bankruptcy? /C 5. List all debts you or any company(s) associated with you that you refused to pay and the reasons for the refusal to pay and reasons why. 6. List your business or work experience during the last ten years. G! / .rl c 7 e 5 lG4{'f 1J 4)--/ J 7. Statement of any formal training you have had in the area for which the application is made. Ip � � f .,:�f�r(t � 1" ..;'( j,"w -T_ !�.lf'Ca - 1 ATTACH A RECENT PHOTO OF QUALIFIER. PHOTO MUST BE FULL- FACED AND APPROXIMATELY 2"x 2". Corr Go-uvcty GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples,FL 34104 APPLICATION TO QUALIFY SECOND ENTITY THIS FORM MUST BE COMPLETED IF YOU WITH TO INITIANTE OR CHANGE THE STATUS OF AN EXISTING LICENSE. READ ALL INSTRUCTIONS AND MAKE SURE YOU HAVE SIGNED WHERE INDICATED. TYPE OR PRINT IN INK. NAME OF COMPANY QUALIFYING: Exact Corporate/Business Name: f ` 1 e m Fiction Name/DBA: Qualifier Name: 1'°) k e.c S x\ Physical Address: 13 y d0 stri U. 6\v A Kt; ;a _ C 1- `°i rt:,=f (Number& Street) (City) (State) (Zip Code) Mailing Address: c - (Number&Street) (City) (State) (Zip Code) Telephone: `2 i E-mail: U\t� .kIn i t4. rcan� ,•_ ff1C∎c \ , LO,y) Federal ID Tax Number:. 41G- ALL APPLICANTS MUST APPEAR BEFORE THE CONTRACTOR LICENSING BOARD FOR FINAL APPROVAL. THE BOARD, AT THEIR SOLE DISCRETION,MAY REQUIRE ADDITIONAL DATA IN ORDER THAT THE WELFARE OF THE CONSUMER IS PROTECTED AT ALL TIMES. AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. Applicant (please print) P1/4 A , s-pre_ Name of Company Signature of Applicant State of Florida County of ` e C The foregoing instrument as acknowledged before me this Ce fs'C/Lo (Date) by3e(Iot �SCe,�w► -� who has produced r/ r;ors L..:c.Q Age (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL ' / 4111) ■111111 .I NATURE OF NOTARY) """ JOSEPH r Commision#EE 837933 Expires January 20,2017 Bonded nvo rry Fain I sqa ce800485,m19 AFFIDAVIT It is understood and acknowledged by the Collier County Contractor's Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. Signature of Applicant A.TU. Q _ Ccwv.J .-1--pr Business Name q/0 /90 LS-- Date BEFORE ME this day personally appeared -j e\4 - cSC4.(G,,,. -t who affirms and says that he/she has less than one employee and does not require Workmen's Compensation and understands that at any time he/she employs one or more persons he/she must obtain said Workmen's Compensation Insurance. State of Florida County of G e C The foregoing instrument as acknowledged before me this CAv/adi,- (Date) by Q k f &C&ra ,�( who has produced Ft.,_`'1,r 3o r=s b co e_ (name of person acknowledging) (type of identification) as identification and did not take an oath. /� 111° NOTARY'S SEAL SIGNATURE O NO ARY) Ari*'Pi. JOSEPH C.FRANK 0:„ ;=: ^mrn ss�t#EE 837933 :a= Ex�,rts January 20,2017 %;R)i,10 Bonded five Ty Fain In nM!804385.7019 AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. --,mac or-- acqfo,ti4 Applicant (please print) M.IWSZ Co^, `4" Name of Company Signature of Applicant State of Florida County of Le e The foregoing instrument as acknowledged before me this G/0461/S---- g g (Date) bye f r F scalcx`. who has produced P[,_'3) r:v.e.4' 'S L:C AAS e (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL I.,j_ i fp (SIGNATURE • NOTARY) JOSEPH C.FRANK 837953 '"�, .. _ 7C��yw+v��Jan 20,2U1-, ' "'_t•• pyWid Ito Troy EanI nce606:13'7959 ,_ RESOLUTION OF AUTHORIZATION WHEREAS Pilay301e.. r IC, proposes to engage (Name of business Entity) in contracting as Cpl ; ;rte in (Type of legal entity: corp.,partnership, etc.) Collier County,Florida, according to Collier County Ordinance 2006-46, as amended: and WHEREAS 1 l V- (_e , ^c,∎ \ proposes to qualify (Name of Business Entity) for a Certificate of Competency with-P _ p(' E (Lai (Name of Individual) NOW,THEREFORE,BE IT HEREBY RESOLVED THAT: We the undersigned Of c Lp _c Y. of (Officers, Owners,Partners) t v' 0')S,,L c.son ti r, hereby resolve and represent to the Collier County (Name of Business Entity) Contractor's Licensing Board that the qualifying agent, '`if CS:tiutocc , is active (Name of Individual) in all matters connected with the contracting business of m3.r\A.(i..CC‘n fin` , and (Name of Business Entity) We further resolve and represent that je.ke, • (j c'aca.vkia_ is (Name of Individual) Legally empowered to act for ¶Y\ & ,'-;9� . Cs�;, in all matters connected with its (Name of Business Entity) contracting business,and has the authority to supervise construction undertaken by e,Y 0 ., tY% . Trti,t • (Name of Business Entity) DULY PASSED AND ADOPTED THIS �S. DAY OF );_-).(\.sks , (Officers,Partners,Owners:with designation underneath) 1. c ..� Witness t';c, Witness - 1 Witness Corporate Seal(if applicable)or Notary Public Certificate Sworn to and subscribed before me this 23, day of ;; , 5 by FrAer I 4 L t14)Pe The foregoing instrument as acknowledged before me this 1��,�k r z)RE) F�,11er- ..-„Ket,1,2.A•Hre, A (Date) 4?-44, C w t who has produced `I) -- L7L . (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL 407 ',t, JOANN GREENBERG ,(SIGNATURE OF NOTARY) O(M IAISS1ON f FF 212324 ( ) rpi EXPIRES:April 8,2019 it 44,0,00 Bonded Thru Budget Notary Strikes GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples,FL 34104 MEMORANDUM Date: February 17,2015 To: Applicant's for Certificate of Competency From: Michael Ossorio, Contracting Licensing Supervisor Subject: Collection of social security numbers. Pursuant to Chapter I-19, Florida Statutes and Collier County Contractor Licensing Ordinance 2006-46 Section 2.1.1, all applicants are required to submit their social security number (SSN) for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. Our office will only use your SSN noted above for those reasons pursuant to Chapter I-19, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safe-guarding and protecting your SSN and once collected, will be maintained as confidential and exempt under Chapter I-19, Florida Statutes. QUESTIONNAIRE FOR QUALIFYING A SECOND ENTITY THIS FORM MUST BE COMPLETED BY THE APPLICANT REQUESTING TO QUALIFY A SECOND ENTITY OR REQUESTING A CHANGE TO AN EXISTING SECOND ENTITY QUALIFICATION. THE APPLICANT AND PRESIDENTS/PARTNERS/OWNERS OF ALL COMPANIES INVOLVED MUST SIGN WHERE INDICATED. USE THIS SHEET,AND ADDITIONAL SHEETS IF NECESSARY. 1. Explain why you wish to maintain your present license(s) while qualifying this additional -- Sl. '10 r ���-� �.�f�_( 1,_s_S .ric 4: S 1 t bus; �t5r business. �' ,� /(xµ� � r t J Lz_n }lv✓ } `5 /1,1 -1 J✓ �t �}^ �, �C _ I L�cti�lLt CL-�, 1 v £. �t� Le (i� f _'/ `�� "CA �.:S.YI c SS .� _{., �� �� ��.ly.v�_ �Y �i:_�. )1,-/- `jf c. �n "t�--".J C v✓ C�t i:. l _ 72- 66vt� 1, (7,044 s�� �l t uc ✓�zSS �u� �c. c S c ( , 2. Has the proposed entity been previously qualified? If so, explain why the previous qualifier is no longer willing to continue to qualify this entity. 1- ` 5 G-'` 3. If the proposed entity has been qualified within the last 12 months, list the three jobs completed by the proposed entity. Include dates of completion, address, description of work, name of previous qualifier and name of owner. -arc: e ,T -f 4-‘‘ Gtryle L '.-4t, -{-e. S (_: ; I- 4. List the last three jobs completed by you under your existing license. Include dates of completion, address, description of work, name of previous qualifier and name of owner. cig L d- 5. Do the business(s) you presently qualify and/or wish to qualify have any outstanding liens against them or against the property of consumers as a result of construction work or a contract they had with your firm? YES NO If yes, identify business and provide explanation. 6. List principal suppliers for the past six months for the business you presently qualify. 7. List principal suppliers for the past six months for the business you are applying qualify. 8. List persons authorized (currently and in the past 6 weeks) to pull permits on your license(s). 9. How are you being paid by the business(s) you presently qualify (salary, % of proft, etc(.)? Dc d“NA. c):1 b,_,5 ' •I e •1 � ( Vtq > `0AS: 7? us, 4 l l a aL S �....�1,lc a _(uu- ac�� 1)0 v-E p1% 10. How will you be paid by the business you are applying to qualify? 11. What percentage of ownership do you have in the present business(s) you qualify and what percentage of ownership will you have in the business you are attempting to qualify?� c7 (c / 1Lt A 1= �n . S L,t �� /c c ir �°, . e GL'rdc/� (C' C/7„ /Vtekv , j 6 12. Do you(applicant) have check writing authority for the present and proposed entities? YES/ NO If yes,provide a letter from the bank. 1. 13. List all officers/partners/owners of the business you are applying to qualify and position held. L:.5 5e fh C ..1'v (� e tee ( • vi �!' 14. List all officers/partners/owners of the business you presently qualify and position held. pegoi CS6!i1,,v e 141 It „ c '✓ j)1 U.,,) Z)5o i 15. Do the business(s) you presen ly qualify and wish to qualify have any other licenses presently qualifying those businesses? YES -! NO If yes, list licensee's name, license number and address. /' 1 �� Ss K,,u��-c ✓ l/u li C j 5 j. 10--L 7 J vt et al I t l e ft h o ee A- fl ( (c r=�, 3 11 ,4 16. Submit notarized statements signed by an authorized agent of the entity(s) you presently qualify and from an authorized agent of the proposed entity attesting to the fact that each is aware of what entity you presently qualify, and what entity you are requesting to qualify. • FINANCIAL RESPONSIBILITY ALL APPLICANTS/LICENSEES MUST ANSWER THE QUESTIONS BELOW. If you answer yes to any of the questions,a written explanation is required. Additional documentation is also required, as indicated. If you are applying to qualify a corporation,partnership or other legal entity,ALL OFFICERS OF THAT ENTITY MUST ALSO EXPLAIN IF ANY OF THE BELOW WOULD PERTAIN TO THEM. This would include the president,vice president,secretary, and/or partners or owners of the proprietorship. Have you, the business organization, or any of the above mentioned individuals in any capacity ever: YES NO 1. Undertaken construction contracts or work for a third party, such as a bonding or surety company, completed or made financial settlements? 2. Had claims or lawsuits filed, or unpaid or past due accounts by your creditors as a result of construction experience? 3. Undertaken construction contracts or work which resulted in liens, suits or judgments being filed? 4. Had a lien filed against you by the Internal Revenue Service or Florida Coporate Tax Division? If yes, you MUST attach a copy of the Notice of Lien, and any payment agreement, satisfaction, Release of Lien or other proof of payment? / 5. Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? 6. Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been"subject to" disciplinary action by a state, county, or municipality? If yes, you must attach a copy of any state, county, municipal or out of state disciplinary order of judgment. 7. Filed for or been discharged in bankruptcy within the past five years? If yes, you must attach a copy of the Discharge Order, Order Confirming Plan, or if a Corporate Chapter 7 case, a copy of the Notice of Commencement. / 8. Been convicted or found guilty of,or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction with the past 10 years? NOTE: IF YOU,THE APPLICANT/LICENSEE,HAVE HAD A FELONY CONVICTION,PROOF THAT YOUR CIVIL RIGHTS HAVE BEEN RESTORED WILL BE REQUIRED PRIOR TO LICENSURE. , « &24 I- \ < + \< = » > \. ? .: � § 40", \ a \ § 2 � . . . . y: . __ \\ ?®» _ Tarpon Tile & Marble 2424 Davis Blvd Naples Fl 34112 Dear Contractor Licensing Board, I am aware that I am the licensefor Tarpon Tile& Marbl and am requesting to qualify Marble.com, Inc. Best regards, 1/4 er Escalante ' = JOSEPH C.FRANK _# ,., Commission#EE 837933•��-.:g Expires January 20,2017 -'ir,fib kcV Banded Thu Troy Fain Insurance 800.985-7019 Lisseth Campos 1324 Industrial Blvd Naples, FL 34104 239-430-4320 June 8, 2015 Dear to whom it may concern, I'm aware that Beker Escalante is the qualifier for Tarpon Tile and Marble. I'm requesting that he be able to qualify Marble.Com as we are both owners and it is necessary in order to run the business. Warm regards, 11 '94' Li. e Campos LUIS ARDUENGO 7/9// C. T',,. V: Commission#EE 165706 Expires February 2,2016 dx,' .��,,.`• Bonded Thru Troy Fain Insurance 800-385-7019 TOT Merit Credit Fast, Accurate & Secure. Phone: 1-239-277-3202 or 1-800-371-3348 Fax Cover Sheet: Requested Credit Report Attached! Please call if you have any questions. CONFIDENTIALITY NOTICE:This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. • L91.OLLZ69Z dLZ:l0 S l EZ unr Premier Profile-MKA FINISHING,INC '..I.' Subcode:970135 Ordered:O6!23!20'5 12:20:52 CST ': ::Experian Transaction Number:C500891929 Search Inquiry:MKA FINISHING.INC;752 PINE VALE DR/NAPLES/FL'34104-5455.%USl901659438 A world of insight Model Description:Intelliscore Plus V2 Business Name .g Business Identfication Number MKA FINISHING, INC °t'---s`$' 901659488 Doing Business As: TARPON TILE&MARBLE Phone: (239)465-3300 Primary Address: 752 PINE VALE DR Tax ID: B4-1719308 NAPLES,FL 34104-5435 TOP Q Risk Dashboard Risk Scores and Credit Limit Recommendation Days Beyond Terms Derogatory Legal Fraud Alerts Intelliscore Plus Financial Stability Risk Company DBT Original Filings High Risk Alerts • MEDIUM MEDIUM TO DBT Q 2V RISK j HIGH RISK �'navaitable ti. Score range: 1 -100 percentile Credit Limit Recommendation:$1,000 TOP Business Facts Years on File: 6(FILE ESTABLISHED 03;2009) State of Incorporation: FL Dale of Incorporation: 11110/2006 Business Type: Profit Contacts: MARIO OSORIO-PRESIDENT ESCALANTE BEKER-PRESIDENT ALEXIS M DELGADO-SECRETARY TOP Commercial Fraud Shield Eva luaticr for:MKA FINISHING,INC,752 PINE VALE DR,NAPLES,FL34104-5435 Business Alerts - Verification Triggers Active Business Indicator: Experian shows this business as active BUSINESS ADDRESS IDENTIFIED AS RESIDENTIAL Possible OFAC Match: ••0•.!_+« No OFAC matcn found BUSINESS TAX-ID DOES NOT MATCH TO THE NAME AND ADDRESS Business Victim Statement: N+ti=y No victim statement on file Too Q Credit Risk Score and Credit Limit Recommendation • Credit Risk Score:Intelliscore Plus Current Intelliscore Plus Score: 28 Risk Class:3 vLil i}iiliYi RISK The risk lass groups scores by risk into ranges o'simila performance.Range 5 is the highest risk,range 1 is the lowest risk. Premie-?rufde-MKA=INISH.NG,INC 1,3 Z d L91.OLLZ69Z dLZ unr ,� 28 Low High 3 I Risk I 45 5'0 =°. 100 • This score predicts the likelihood of serious credit delinquencies for this business within the next 12 months.Payment history and public record along with other variables are used to predict future risk Higher scores indicate lower risk. Factors lowering the score Industry Risk Comparison 27%of businesses incicate a higher I kelihood of severe >RISK ASSOCIATED WITH THE COMPANY'S INDUSTRY delinquency. >COMPANY'S BUSINESS TYPE Quarterty Score Trends Quarterly Score Trends 100- 20- ... . . .- 60- 70- • The Quarterly Score Trends provide a v,ew of the 80' likelihood of delinquency over the past 12 months for this 50- business.The trends will'ndica:e if the score improved, 40 remained stable,fluctuated or declined over the last 12•28 months. 90= 20 , 10 0-. e" SQQ NUS 4:2 9.P •No score average available for this quarter Credit Risk Score:Financial Stability Risk Current Financial Stability Risk Score:6 Risk Class: 4 8 1 €,pnidoi vn I.J1.4 Hight The risk class groups scores by risk into ranges of similar } Risk 3 — Risk performance.Range 5 is the highest risk,range 1 is fie 0 10 7:13 n5 100 lowest risk. This score predicts the likelihood of financial stability risk within the next 12 months. The score uses Iradeline and collections information.public filings as well as other variables to predict future risk.Higher scores indicate lower risk. Factors lowering the score Industry Risk Comparison 5%of businesses indicate a higher likelihood of financial LACK OF ACTIVE TRADES stability risk. >RISK ASSOCIATED WITH THE BUSINESS TYPE > EMPLOYEE SIZE OF BUSINESS > RISK ASSOCIATED WITH THE COMPANY'S INDUSTRY SECTOR Credit Limit Recommendation Credit Limit Recommendation This recommendation compares this business against similar businesses in the Experian business credit database.It is based en trade information,industry age of ousiness and the Intellscore $1,00C Plus.The recommendation is a guide.The final decision must be made based on your company's business policies. TOP O Payment and Legal Filings Summary Payment Performance Trade and Collection Balance Legal Filings Premier Profile-MKA FINISH NG,INC 2.3 d L91,OLLZ69Z dLZ:LO 9 L 9Z unr 'i No SO Bankruptcy: 0 $0 Tax Lien filings: 0 Not A`ra',lable Total trade and collection(0): Judgment filings: Current DBT: NIA All trades(0'1: ?.0 Predicted DST: All collections(0): $0 Sum of legal filings: 0 0 $0 UCC filings: Monthly Average DBT: UCC filings: No 0 Continuous trade(0): N/A Cautionary Highest DBT Previous 6 Months: 0 6 month average: Highest OBT Previous 5 Quarters: N/A Highest credit amount extended: Payment Trend Indication: terms: Payment trend radicator not available MOS1�dus Th frequent ng purchasing terms not available I Industry Comparison ii Industry DST Range Comparison The current DOT of this business is Not Available. DBT for this business:Not Available E t i ( 0-F, 6-15 ,r+ OB T Range i TOP O Additional Business Facts i Corporate Registration THE FOLLOWING INFORMATION 0,AS PROVIDED SY THE STA lE OF FLORIDA.THE DATA IS CURRENT AS OF 05123/201... State of Origin: FL Date of Incorporation: 1111C;2006 Current Status: Active Business Type: Prc`it Charter Number: p060001418 Agent: OSORIO MARIC Agent Address: 752 PINE VALE DR NAPLES,FL TOP p Inquiries Summary of Inquiries Business Category JUN15 MAY15 APR15 MAR1S FEB15 JAN15 DEC14 NOV14 OCT14 BUREAU 1 Totals 1 TOP 0 Experian prides itself on the depth and accuracy of the data maintained on our databases.Reporting your customer's payment behavior to Experian will further strengthen and enhance the power of the information available for making sound credit decisions.Give credit where credit is due.Call 1-800-520-1221,option#4 for more information. 1 of 1 repor End of report Me,nf1n`:aljo ,here:,i furnished in confidence for yaw-exciusn,e use for legeonafe business purposes and shell act he:=produced.t e the,Experien lniorrnatken Soluticns,Inn.,nor their sources or distributors warrant su:h in:cmtatioa nor shall they he Sacte for your use o.'rehence upon it. E,Experian 2215.Al rig'us reserved.Fria.y police. Experian and the S e-ian marks herein are sen,ee marks or recislereJ lrademarks of Experian. Prem er Prof le-MKA FINISH'.NG,1,1C .---- dLZ 604L CZ unf WNW TIT Merit Credit • --. Fast.Accurate & Secu,e MERIT CREDIT HAS RETRIEVED THE ABOVE BUSINESS REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER/PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY (INCLUDING PINELLAS) , STATE AND FEDERAL LEVELS. PUBLIC RECORDS LEARNED: _0_ SOURCES OF INFORMATION: EXPERIAN BUSINESS INFORMATION SERVICES IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1- 800-371-3348 OR 239-277-3202. COMPANY NAME:MKA FINISHING INC FEDERAL ID:84-1719308 CURRENT STATUS: ACTIVE BUSINESS PRINCIPAL(S): MARIO OSORIO TITLE:VP BEKER ESCALANTE TITLE: PRESIDENT RONALD SEGURA TITLE: DIRECTOR DATE INCORPORATED: 11/10/2006 • G d L9l0LLZ6CZ dLZ:LO 9 L CZ,unr Jun 09 15 10.39a 2392770167 p.1 W"' Merit Credit Fast, Accurate & Secure. Phone: 1-239-277-3202 or 1-800-371-3348 Fax Cover Sheet: Requested Credit Report Attached! Please call if you have any questions. CONFIDENTIALITY NOTICE:This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. Jun 09 15 10:39a 2392770167 p.2 Premier Profile-MARBLE.COM • •• • MO Ordered:06109/2e15 09:24748 CST ..•••'Experian- Subcode:970135 • � •A world of insight Transaction Number.C500875991 Search Inquiry:MARBLE.COM11324 INDUSTRIAL BLVD!N.APLESrFLl34104/US1239-430-4320+827493604 Model Description: IntelCiscore Plus V2 do Business tcentificatlon Nurnbar Business Name e4�'b 827493604 MARBLE.COM Website: marble.COm Primary Address: 1324 IP•1 -FL 3 10 BLVD NAPLES_FL 34104-3600 Phone: (239)430-4320 Tax ID: 46-21544,18 This business Is the ultimate parent. itaii I Ion O Risk Dashboard Fraud Alerts Risk Scores and Credit Limit Recommendation Days Beyond Terms Derogatory Legal l I I Hich Risk Alerts ,i Financiai Stability Risk Company DBT Original Filings Intelliscore Plus HIGH RISK ` MEDIUM TO DBT I [111.41.1 H13H RISK U^avaiiahle Score range:1 -100 percentile Credit Lim:Recommendation:$2,300 TOP Years on File: 15(FILE ESTABLISHED 1012000) SIC Code: BRICK,STONE RLTD CONSTRUCTION ST Mk TS-5032 State of Incorporation: 02110/2000 SPECIAL TRADE CONTRACTORS NEC-1799 Date a Incorporation: Profit NAICS Code: Business Type: Contacts: JUAN MENDOZA-OWNER Brick.Stone,and Related Construction Material Merchant V`Jnc!��3'20- DECESARE VICKIE-VICE PRESIDENT Cut Slone and Stone Product Manufacturing-423321 L!SSETH G CAP.dPOS VICE PRESIDENT Other Buildinc Equipment Contractors-238290 { Number of Employees: $q $427,900 Sales: 10e Commercial Fraud Shield Evaluation for:MARBLE.COM, 1324 INDUSTRIAL BLVD,NAPLES,FL34104-3600 Verification Triggers Business Alerts The primary Business Name,Address,and Active Business Indicator: Experian shows this business as active or Number s for High Risk d catc ,no High Risk indicators were found. Possible OFAC Match: e4.+.-:-11 No OFAC match found Business Victim Statement: irl-_:.. No victim statement or tile TOP 0 Credit Risk Score and Credit Limit Recommendation Credit Risk Score:Intelliscore Plus ii Current Intelliscore Plus Score;6 Risk Class: 5 4 Prenier P-otile MARBLE.CCM Jun 09 15 10139a 2392770167 P.3 6 _ HIGH RISK. High • Low•, The risk class groups scores by risk into ranges of similar 3 Risk performance.Range 5,s the highest risk range 1 is the lowest risk. 0 10 CS do ?5 100 This score predicts the likelihood of serious credit delinquencies for this business within the next 12 months.Payment history and public record along with other variables are used to predict future risk.Higher scores indicate lower risk. Factors lowering the score Industry Risk Comparison > NUMBER OF RECENTLY ACTIVE COMMERCIAL ACCCUNTS 5%of businesses indicate a higher likelihood of severe delinquency. NUMBER OF COMMERCIAL ACCOUNTS WITH NET 1-30 DAYS TERM BALANCE OF COMMERCIAL ACCOUNTS AT WORST DELINQUENCY NUMBER OF DELINQUENT COMMERCIAL ACCOUNTS Quarterly Score Trends Quarterly Score Trends 100- eo.; • 3a 70 7 The Cuan Trends Score T rends provide a view of Inc 50 ' likelihood of delinquency over the past 12 months for this 50 - business.The trends will indicate if the score improved, . .• remained stable,fluctuated or declined over the last 12 0 months. 30- I°- . 1111/1810-4111107A60. ,a\ E8 PK 014 SyiL af _at Credit Risk Score:Financial Stability Risk Current Financial Stability Risk Score:4 Risk Class:4•I High 3 Lora The risk class groups scores ov risk into ranges of similar Risk -_.._. .... . R'sl'" performance.Range 5 is the highest risk.range, is the loalest risk. cr 3 10 3.0 J Ft lUl] Ths score predicts the likelihood of financial stability risk within the next 12 months. The score uses tradeline and collections information,public filings as well as other variables to predict future risk.Hicher scores indicate lower rsk. Factors lowering the score Industry Risk Comparison NUMBER OF ACTIVE COMMERCIAL ACCOUNTS 3°,4 of businesses ndicete a higher likelihood of financial stability risk. PERCENT OF TOTAL COMMERCIAL BALANCE SERIOUSLY DELINQUENT PAST COMMERCIAL DEROGATORY BALANCE PERCENT OF COMMERCIAL ACCOUNTS DELINQUENT Credit Limit Recommendation Credit Limit Recommendation This recommendation compares this business against similar businesses in the Experian business credit database.It is basec on trade information,industry,age of business and the Intelliscore $2.300 Plus.The recommendation is a guide.The fnal decision must be made based on your company's ousiness policies. TOP C Payment and Legal Filings Summary Premie-°rof.le-MARBLE.COM 2i 4 Jun 09 15 10:39a 2392770167 p.4 Payment Performance Trade and Collection Balance Legal Filings Current DBT: No Available Total trade and collection(3): $5,700 Bankruptcy: No Predicted DBT: N/A All trades(3): $5.700 Tax Lien filings: 1 Judgment filings: 0 Monthly Average DBT: 0 All collections(0): 30 Sum of legal filings: 51.322 Highest DBT Previous 6 Months: 0 Continuous trade(0): 50 UCC filings: 2 Highest DBT Previous 5 Quarters: 0 6 month average: NIA Cautionary UCC filings: Yes Payment Trend Indication: Highest credit amount extended: N/A aayr,ell lr -d irdicator not available Most frequent industry purchasing terms: Industry purchasing terms not avalable industry Comparison Industry DBT Range Comparison The current DBT of this business is Not Available. DBT for this business: Not Available 1 k cm, 1 1 DBT Range 0-5 .6-15 16+ o TOP 0 Trade Payment-Additional Trade Details Payment Experiences Account Status (Trade Lines with an(')after the date are newly reported) Days Beyond Terms Business Date Last Payment Recent High Balance Cur 1-30 31-60 61-90 91+ Comments Category Reported Sale Terms Credit CRED CARD 35/2015 REVOLVE $0 ACCTCLOSED DISTRIBU f R 06;2014 10;2013 VARIED $13,000 $5700 100% OFFC EQUIP 04!2014 12;2007 REVOLVE $3 TOP 0 Legal Filings Tax Liens File Date Filing Type Status Amount Filing Number Jurisdiction 10/0512011 State Tax Lien Filed $1,022 4613055 COLLIER COUNTY CIRCUIT COURT Filed by:STATE CF FLORIDA C7!29!2309 State Tax Lon Released $1,488 4325022 COLLIER CCUNTY CIRCUIT COURT Filed by:STATE OF FLORIDA TOP 0 Uniform Commercial Code(UCC)Filings UCC Filing Summary Date Range Year Cautionary Total Released/ Amended! g UCCs— Filed Termination Continuous Assigned JAN-PRESENT 2015 JUL-DEC 2014 2 2 JAN-JUN 2014 JU_-DEC 2013 JAN-JUN 2013 PRIOR TO JAN 2013 Total 2 2 0 0 0 Caut.onary JCC Filings include cne or more of the following collateral: .Account,Acccurts Recer'ables.Contract Rights.Hereafter Acquired Property.In e-t=ry,Lease3,Notes Receivable or Proceeds. UCC Details Prerrier p-of e-E1ARBLE.CC`.1 314 Jun 09 15 10:39a 2392770167 P.5 UCC FILED Date:07!30/2014 UCC FILED Date:0711 612 01 4 Filing Number:201401917184 Filing Number:201401825573 Jurisdiction:SEC OF STATE FL Jurisdiction:SEC OF STATE FL Secured Party: CORPORATION SERVICE COMPANY,AS Secured Party:CORPORATION SERVICE COMPANY AS REPRESEN IL SPRINGFIELD 6270 REPRESEN IL SPRINGFIELD 6270 Collateral:UNDEFINED,EQUIP,INVENTORY,HEREAFTER Collateral:UNDEFINED,EQUIP.INVENTORY.HEREAFTER AQUIRED PROP AQUIRED PROP 'OP 0 Additional Business Facts Corporate Registration THE FOLLOWING INFORMATION WAS PROVIDED BY THE STATE OF FLORIDA_THE DATA IS CURRENT AS OF 06/09/2015. State of Origin: FL Date of incorporation: 32/101230C Current Status: Active Business Type: Profit Charter Number: P000000163 Agent: MARBLE.COM Agent Address: 1324 INDUSTRIAL BLVD NAPLES,FL TOP 0 Corporate Linkage Business Name Location BIN The inquired upon business,MARBLE.COM,is the Ultimate Parent IvMARBLE.COM 1324 INDUSTRIAL BLVD-NAPLES.FL 827493604 Branches of the inquired upon business: MARBLE.COM 5001 HADLEY RD-S PLAINFIELD,NJ 997507348 TOP C Experian prides itself on the depth and accuracy of the data maintained on our databases.Reporting your customer's payment behavior to Experian will further strengthen and enhance the power of the information available for making sound credit decisions. Give credit where credit is due.Call 1-800-520-1221, option#4 for more information. 1 End of report of 1 report The in!crmatior herein is furnished in confidence fo-your exc'usive use for tegitimate bus:ness purposes and shall not be reproduced.Neither Experian Inrormaion Solutions.Inc.,,nor their sources or distributors warrant sucn rnferr atior,nor shall they be liable for your use or reliance upon it. Exper'an 2015.All rgh-s reserved.Privacy policy. Experian and he Exoer an marks herein are se-vice marks or regisered trademarks of Experian. At Prernier°rore-MARELE-COM Jun 09 15 10:40a 2392770167 P.6 • MIN Merit Credit Fast, Accurate & Secure. MERIT CREDIT HAS RETRIEVED THE ABOVE BUSINESS REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER/PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY (INCLUDING PINELLAS), STATE AND FEDERAL LEVELS. PUBLIC RECORDS LEARNED: _3_ SOURCES OF INFORMATION: EXPERIAN BUSINESS INFORMATION SERVICES IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1- 800-371-3348 OR 239-277-3202. COMPANY NAME:MARBLE.COM INC FEDERAL ID:462154448 CURRENT STATUS: ACTIVE BUSINESS PRINCIPAL(S): JUAN MENDOZA TITLE: DIRECTOR LISSETH CAMPOS TITLE:VP DATE INCORPORATED:02/10/2000 COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION INFORMATION LCC20120002256 Certification Information Collier County Board of County Commissioners Date: March 24, 2015 DBA: MKA Finishing, Inc (DBA) Tarpon Tile & Marble ADDRESS: 2764 Linwood Ave Naples, FL 34112 PHONE: 2393842432 CELL: FAX: LICENSEE NBR: QUALIFIER: Escalante, Beker LCC20120002256 TYPE: TILE &MARBLE CONTR. CLASS CODE: 4420 ISSUANCE NBR: 201200001099 INSURANCE: ORIG ISSD: EXPIRATION: General Liability March 24, 2015 September 30, 2015 May 24, 2015 Worker's Compensation January 01, 2016 NOTE: It is the Qualifier's responsibility to keep all business, licensing and requirements current and to provide up to date copies for Collier county files. This includes all insurance certificates and any change of address information. • Collier County * City of Marco ,* City of Naples Contractor Licensing TILE & MARBLE CONTR. Cert',Nbr: - €xp:. Status: LCC2ei29OO2256 09/39/2025' Active MKA Finishing, Inc (DBA) Tarpon Tile &Marble Escalante, Beker 2764 Linwood-Ave Naples,:F1V 3.4 Signed: Tarpon Tile & Marble 2424 Davis Blvd Naples Fl,34112 June 15,2015 Attached is a list of the last 3 jobs completed: 2265 Trout Ct Royal Harbour Naples Fl,34102 Installation of entryway shell stone 12x24 - Date of completion- May 7, 2015 511 Hunkin Ct Marco Island Fl, 34145 Tile installation of family living room Date of completion- May 22, 2015 766 S. Barfield Dr. Marco Island Fl,34145 Second floor marble installation London grey pool bath installation Crystalo material laundry installation Date of completion-June 10, 2015 Lisseth Campos 1324 Industrial Blvd Naples,FL 34104 239-430-4320 June 4, 2015 Dear To whom it may concern, See below list of three jobs completed by Marble.Com, Inc.: 1. - Pinsel Residence - 960 Cape Marco Dr., Marco Island, FL 34145 Completion Date: 6/3/15 Work: Template,Fabrication and installation of Granite Countertops. 2. Ed Larkin- 3453 Crayton Road, Naples, FL 34103 Completion Date: 5/14/15 Work: Template, Fabrication and installation of Granite Countertops. 3. McIntyre Residence - 3590 23rd Ave SW, Naples, FL 34117 Completion Date: 5/01/15 Work: Template, Fabrication and installation of Granite Countertops. Juan Mendoza was the qualifier and owner of Marble.Com, Inc. Warm regards, r7 `4/ Ltssseth Campos Lisseth Campos 1324 Industrial Blvd Naples,FL 34104 239-430-4320 lune4,2015 Dear To whom it may concern, AMarble.Com,Inc.has no outstanding liens or judgments against the present entity. Warm regards, L-set 1 ampos Tarpon Tile & Marble 2424 Davis Blvd Naples Fl,34112 Dear Collier County Contractor Licensing Board, I am the owner and qualifier of Mka Finishing, Inc. Dba Tarpon Tile&Marble and I am aware that no liens,judgments or claims have ever been held against this corporation. er Escalante Bus Platinum Privileges i3 �.� P.O.Box L5284 Customer service information Wilmington,DE 19850 1.888.BUSINESS(1.888.287.4637) bankofamerica.com MKA FINISHING INC fii Bank of America,N.A. DBA TARPON TILE&MARBLE P.O.Box 25118 752 PINE VALE DR Tampa,FL 33622-5118 NAPLES,FL 34104-5435 Please see the Account Changes section of your statement for details regarding important changes to your account. Your Business Advantage Checking Bus Platinum Privileges for May 1, 2015 to May 31, 2015 Account number: • MKA FINISHING INC DBA TARPON TILE & MARBLE Account summary Beginning balance on May 1,2015 $20,087.07 #of deposits/credits:11 Deposits and other credits 218,916.52 #of withdrawals/debits: 126 Withdrawals and other debits -73,390.55 #of items-previous cycle':92 Checks -73,261.60 #of days in cycle:31 Service fees -56.00 Average ledger balance:$74,114.17 Ending balance on May 31, 2015 $92 295.44 • dudes checks paid,deposited items&other debits Bank Geta sy accessamount/blisirleSS mums curs and r Oulu flu orianteentrutivat WittliVklf Olnytor Warm ttlettige.PitiVIO 1 MI111441162.11 PULL:E CYCLE:52 SPEC:0 DELIVERY:P TYPE: IMAGE:B BC:JAX Page 1 of 24 MKA FINISHING INC I Account# I May 1,2015 to May 31,2015 IMPORTANT INFORMATION: BANK DEPOSIT ACCOUNTS Updating your contact information-We encourage you to keep your contact information up-to-date.This includes address, email and phone number. If your information has changed,the easiest way to update it is by visiting the Help& Support tab of Online Banking. Or,you can call our Customer Service team. Deposit agreement-When you opened your account,you received a deposit agreement and fee schedule and agreed that your account would be governed by the terms of these documents,as we may amend them from time to time. These documents are part of the contract for your deposit account and govern all transactions relating to your account, including all deposits and withdrawals. Copies of both the deposit agreement and fee schedule which contain the current version of the terms and conditions of your account relationship may be obtained at our banking centers. Electronic transfers: In case of errors or questions about your electronic transfers- If you think your statement or receipt is wrong or you need more information about an electronic transfer(e.g.,ATM transactions, direct deposits or withdrawals, point-of-sale transactions) on the statement or receipt,telephone or write us at the address and number listed on the front of this statement as soon as you can. We must hear from you no later than 60 days after we sent you the FIRST statement on which the error or problem appeared. — Tell us your name and account number. — Describe the error or transfer you are unsure about, and explain as clearly as you can why you believe there is an error or why you need more information. — Tell us the dollar amount of the suspected error. For consumer accounts used primarily for personal,family or household purposes,we will investigate your complaint and will correct any error promptly. If we take more than 10 business days (10 calendar days if you are a Massachusetts customer) (20 business days if you are a new customer,for electronic transfers occurring during the first 30 days after the first deposit is made to your account)to do this,we will credit your account for the amount you think is in error, so that you will have use of the money during the time it will take to complete our investigation. For other accounts,we investigate,and if we find we have made an error,we credit your account at the conclusion of our investigation. Reporting other problems-You must examine your statement carefully and promptly. You are in the best position to discover errors and unauthorized transactions on your account. If you fail to notify us in writing of suspected problems or an unauthorized transaction within the time period specified in the deposit agreement(which periods are no more than 60 days after we make the statement available to you and in some cases are 30 days or less),we are not liable to you for,and you agree to not make a claim against us for the problems or unauthorized transactions. Direct deposits- If you have arranged to have direct deposits made to your account at least once every 60 days from the same person or company,you may call us at the telephone number listed on the front of this statement to find out if the deposit was made as scheduled. You may also review your activity online or visit a banking center for information. © 2015 Bank of America Corporation Bank of America,N.A.Member FDIC and A Equal Housing Lender Page 2 of 24 Your checking account MKA FINISHING INC I Account# I May 1,2015 to May 31,2015 Deposits and other credits Date Description Amount 05/04/15 BKOFAMERICA ATM 05/02 #000003367 DEPOSIT MARCO ISLAND MARCO ISLAND FL 23,385.00 05/04/15 BKOFAMERICA ATM 05/02#000003365 DEPOSIT MARCO ISLAND MARCO ISLAND FL 16,595.00 05/05/15 BKOFAMERICA ATM 05/05#000001482 DEPOSIT BERKSHIRE LAKES NAPLES FL 3,527.00 05/06/15 BKOFAMERICA ATM 05/06#000004086 DEPOSIT MARCO ISLAND MARCO ISLAND FL 5,920.00 05/07/15 BKOFAMERICA ATM 05/07 #000004246 DEPOSIT MARCO ISLAND MARCO ISLAND FL 36,100.00 05/11/15 BKOFAMERICA ATM 05/09#000004502 DEPOSIT MARCO ISLAND MARCO ISLAND FL 28,210.00 05/15/15 BKOFAMERICA ATM 05/15#000005508 DEPOSIT MARCO ISLAND MARCO ISLAND FL 36,572.00 05/20/15 BKOFAMERICA ATM 05/20#000006248 DEPOSIT MARCO ISLAND MARCO ISLAND FL 7,482.52 05/26/15 BKOFAMERICA ATM 05/26#000006427 DEPOSIT BERKSHIRE LAKES NAPLES FL 17,800.00 05/26/15 BKOFAMERICA ATM 05/23#000005898 DEPOSIT BERKSHIRE LAKES NAPLES FL 7,000.00 05/29/15 BKOFAMERICA ATM 05/29#000007545 DEPOSIT MARCO ISLAND MARCO ISLAND FL 36,325.00 Total deposits and other credits $218,916.52 Withdrawals and other debits Date Description Amount 05/05/15 Customer Withdrawal Image -7,542.12 05/12/15 Customer Withdrawal Image -9,521.64 05/12/15 COMCAST Bill Payment -384.21 05/12/15 ADT SECURITY SERVICES,INC.Bill Payment -32.91 05/18/15 FPL DIRECT DEBIT DES:ELEC PYMT ID:3832227205 TELV INDN:BRANISLAVA VUKOVIC CO -209.10 ID:3590247775 TEL 05/19/15 Customer Withdrawal Image -7,121.48 05/22/15 FL TLR cash withdrawal from CHK 5710 -10,000.00 05/27/15 Customer Withdrawal Image -6,611.61 Card account tt XXXX XXXX XXXX 4167 05/01/15 LOWE'S#2261 05/01 #000256944 PURCHASE LOWE'S#2261 NAPLES FL -138.42 05/04/15 SHELL Service 05/02#000058987 PURCHASE SHELL Service Sta NAPLES FL -71.06 continued on the next page Make an 'p, impression, i ° rr SOO business cords $ ti.1;it ti 'Jr-` � - ard Otter ' tit kb{∎,. alribeir ri ..-. M d ..AA yP c 'r� 7 kitir _ yWi,•i iplaass 4 I ...?:,-,..t inlitianpaangusinne Bank o1'Arr Page 3 of 24 MKA FINISHING INC I Account# I May 1,2015 to May 31,2015 Withdrawals and other debits - continued Date Description Amount 05/04/15 LOWE'S#2221 05/03#000295870 PURCHASE LOWE'S#2221 FORT MYERS FL -118.96 05/04/15 THE HOME DEPOT 05/03 #000111981 PURCHASE THE HOME DEPOT#8 FT MYERS FL -44.67 05/04/15 THE HOME DEPOT 05/04#000550900 PURCHASE THE HOME DEPOT 63 NAPLES FL -289.46 05/06/15 CHECKCARD 0504 RACETRAC#234800023481 NAPLES FL 2416407512597456351 1252 -82.41 CKCD 5542 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 05/06/15 LOWE'S#613 05/06#000082696 PURCHASE LOWE'S#613 NAPLES FL -490.48 05/07/15 CHECKCARD 0505 SCOTT PAINT#9 239-5910287 FL 24073145126900017250437 CKCD 5198 -180.20 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 05/08/15 CHECKCARD 0507 MATULAY'S CONTRACTORS S NAPLES FL 24223695127980033336982 -77354 CKCD 5211 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 05/08/15 CHECKCARD 0507 LOWES#02362*239-494-9000 FL 24692165127000359442979 CKCD 5200 -1,163.88 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 05/08/15 CHECKCARD 0507 MARATHON PETR0125807 MARCO ISLAND FL 24299105127000748157935 -84.05 CKCD 5542 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 05/11/15 CHECKCARD 0507 THE HOME DEPOT#6373 BONITA SPRINGFL 24610435128010190853990 -88.02 CKCD 5200 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 05/11/15 CHECKCARD 0509 PROGRESSIVE AUTO CENTER MARCO ISLAND FL -135.60 24445005130100477880200 CKCD 7538 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 05/11/15 SHELL Service 05/11 #000960355 PURCHASE SHELL Service Sta MARCO ISLAND FL -84.17 05/12/15 CHECKCARD 0511 WICKED CUSTOMS LLC 239-262-5438 FL 24431065132207089300036 -1,200.00 CKCD 5599 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 05/12/15 CHECKCARD 0511 SHORE-LINE FLOORING NAPLES FL 24692165132000510326858 CKCD -5,000.00 5713 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 05/13/15 CHECKCARD 0511 DIEGO'S SIGNS NAPLES FL 24071055132987198292150 CKCD 7333 -2,000.00 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 05/13/15 CHECKCARD 0512 HADINGER FLOORING NAPLES FL 24228995132980028729375 CKCD -4,000.00 1799 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 05/14/15 CHECKCARD 0512 THE HOME DEPOT 6348 NAPLES FL 24610435133010189883530 CKCD -115.06 5200 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 05/14/15 RACETRAC#2348 05/14#000812216 PURCHASE RACETRAC#2348 NAPLES FL -75.09 05/15/15 CHECKCARD 0514 R&D GRAPHIC CORP NAPLES FL 24607945135206239400025 CKCD -385.10 7333 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 05/15/15 CHECKCARD 0514 LOWES#00613*239-596-2570 FL 24692165134000700599577 CKCD 5200 -415.52 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 05/15/15 CHECKCARD 0514 DE MARCO TILE INC NAPLES FL 24223695134980056052335 CKCD -2,234.63 5713 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 05/18/15 CHECKCARD 0516 NAPLES LUMBER AND SUPPL NAPLES FL 24013395136001700306776 -424.93 CKCD 5211 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 05/18/15 THE HOME DEPOT 05/16#000847261 PURCHASE THE HOME DEPOT 63 NAPLES FL -203.26 05/18/15 GOLDEN GATE BP 05/17#000538243 PURCHASE GOLDEN GATE BP NAPLES FL -81.11 05/18/15 AutoZone 4837 05/18#000349849 PURCHASE AutoZone 4837 388 NAPLES FL -85.22 05/19/15 CHECKCARD 0518 MATULAY'S CONTRACTORS S NAPLES FL 24223695138980033336922 -222.60 CKCD 5211 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 05/20/15 CHECKCARD 0520 TEXACO 0030398 MARCO ISLAND FL 95331240460351402294884 CKCD -90.62 5542 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 05/20/15 THE HOME DEPOT 05/20#000181499 PURCHASE THE HOME DEPOT 63 NAPLES FL -40.14 05/20/15 LOWE'S#2261 05/20#000353145 PURCHASE LOWE'S#2261 NAPLES FL -391.20 05/21/15 CHECKCARD 0520 CAIN-JONES SELF STORAGE 239-6494129 FL 24639235140900014400041 -487.60 CKCD 4225 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 continued on the next page Page 4 of 24 Your checking account MKA FINISHING INC ► Account# I May 1,2015 to May 31,2015 Withdrawals and other debits - continued irti•n 05/21/15 CHECKCARD 0520 MARCO BUILDING SUPPLY MARCO ISLAND FL 24210735141200783800132 u• n CKCD 5039 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 -74.18 05/21/15 THE HOME DEPOT 05/21 #000460884 PURCHASE THE HOME DEPOT 63 NAPLES FL 05/22/15 CHECKCARD 0521 NAPA AUTO PARTS MARCO ISLAND FL 24755425141271412998505 CKCD -261.42 5533 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 391.26 05/26/15 CHECKCARD 0522 HADINGER FLOORING NAPLES FL 24228995144980028729389 CKCD 1799 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 2,317.35 05/26/15 ADVANCE STORES 05/23#000232634 PURCHASE ADVANCE STORES CO NAPLES FL 05/26/15 CHECKCARD 0523 PROGRESSIVE AUTO CENTER MARCO ISLAND FL 101.74 24445005144100409855571 CKCD 7538 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 44.47 05/26/15 CHECKCARD 0523 ALEXTON TILES&MAR 305-639-3439 FL 24224435144102005234090 CKCD 1740 XXXXXXXXXXXX4167 XXX X XXXX XXXX 4167 -227.70 05/26/15 SHELL Service 05/23#000055716 PURCHASE SHELL Service Sta NAPLES FL 05/26/15 WAWA STORE 515 05/25#000501349 PURCHASE WAWA STORE 5159 SAINT PETERSB FL -60.47 05/28/15 CHECKCARD 0526 7-ELEVEN 34148 NAPLES FL 24299105147002831303026 CKCD 5542 -64. XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 77,882 2 05/28/15 RACETRAC 112348 05/28#000222007 PURCHASE RACETRAC#2348 NAPLES FL 05/28/15 AT&T MOBILITY 05/28#000693986 PURCHASE AT&T MOBILITY II NAPLES FL 71.86 05/29/15 CHECKCARD 0527 EXXONMOBIL 97426696 NAPLES FL 24164055148378007576928 1.158,09 CKCD 5542 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 62.61 05/29/15 CHECKCARD 0528 DE MARCO TILE INC NAPLES FL 24223695148980056052362 CKCD 5713 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 -2,719.73 05/29/15 CHECKCARD 0528 HADINGER FLOORING NAPLES FL 24228995148980028729336 CKCD 1799 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 2,972.79 05/29/15 CHECKCARD 0529 TEXACO 0030398 MARCO ISLAND FL 84153740460351492083883 CKCD 5542 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 -75.84 05/29/15 SHELL Service 05/29#000873627 PURCHASE SHELL Service Sta NAPLES FL 79.15 Total withdrawals and other debits - • . -$73,390.55 Checks Date Check# Amount Date Check# 05/08/15 300.00 Amount 05/05/15 2882 05/29/15 2053 -600.00 -500.00 05/06/15 2884* 05/28/15 2308• 1,000.00 -3,476.87 05/04/15 2885 05/14/15 2343* -1,000.00 -800.00 05/06/15 2886 05/22/15 2347* -360.00 -5,076.20 05/06/15 2887 05/29/15 2399* -600.00 -500.00 05/06/15 2888 05/26/15 2483* 1,700.00 -1,000.00 05/06/15 2889 05/26/15 2484 -400.00 -600.00 05/06/15 2890 05/29/15 2775* 700.00 -800.00 05/06/15 2891 05/04/15 2878* 1,882.56 -700.00 05/06/15 2893* 05/04/15 2881* 300.00 -250.00 05/06/15 2894 -800.00 continued on the next page Page 5 of 24 'MKA FINISHING INC I Account# I May 1,2015 to May 31,2015 Checks - continued Date Check# Amount Date Check# Amount 05/07/15 2895 -800.00 05/14/15 2924 -1,247.52 05/06/15 2896 -400.00 05/15/15 2925 -800.00 05/08/15 2898* -500.00 05/15/15 2926 -300.00 05/08/15 2900* -700.00 05/15/15 2927 -1,700.00 05/08/15 2901 -500.00 05/28/15 2928 -1,730.49 05/11/15 2902 -1,500.00 05/15/15 2929 -800.00 05/12/15 2904* -1,300.00 05/19/15 2930 -6,860.14 05/14/15 2906* -200.00 05/18/15 2931 -2,500.00 05/13/15 2907 -400.00 05/19/15 2932 -300.00 05/13/15 2908 -200.00 05/20/15 2933 -600.00 05/13/15 2909 -500.00 05/21/15 2934 -600.00 05/14/15 2911* -500.00 05/20/15 2935 -600.00 05/13/15 2912 -400.00 05/20/15 2936 -300.00 05/14/15 2913 -500.00 05/19/15 2938* -300.00 05/15/15 2914 -300.00 05/21/15 2939 -350.00 05/13/15 2915 -500.00 05/21/15 2940 -800.00 05/13/15 2916 -600.00 05/26/15 2941 -1,000.00 05/13/15 2917 -500.00 05/26/15 2943* -1,771.26 05/13/15 2918 -600.00 05/22/15 2944 -400.00 05/14/15 2919 -600.00 05/29/15 2946* -500.00 05/13/15 2920 -400.00 05/22/15 2947 -400.00 05/13/15 2922* -1,770.56 05/29/15 2954* -6,000.00 05/13/15 2923 -4,000.00 05/18/15 5070* -2,386.00 Total checks -$73,261.60 Total # of checks 68 * There is a gap in sequential check numbers Page 6 of 24 Your checking account do- MKA FINISHING INC I Account# I May 1,2015 to May 31,2015 Service fees Based upon the activity below,the monthly fee on your Business Advantage checking account was waived for the statement period ending 04/30/15: You are an active user of one of the following services OR At least one of the following occurred during the previous month • Bank of America Merchant Services (J $2,500+ in net new purchases on a linked Business credit card • Payroll Service by Intuit® • $15,000+ average monthly balance in primary checking account • Small Business Remote Deposit Online Service 0 $35,000+ combined average monthly balance in linked business accounts A check mark indicates that you have qualified for a monthly fee waiver on the account based on your usage of these products or services. For information on how to open a new product or to link an existing service to your account please call 1-888-BUSINESS or visit bankofamerica.com/smallbusiness. Date Transaction description Amount 05/21/15 CHECK ORDER00075 DES:FEE ID:0YPM8047 -56.00 PMT INFO:PRODUCT($):44.13 S&H:8.70 FL TAX:3.17 Total service fees -$56.00 Note your Ending Balance already reflects the subtraction of Service Fees. Daily ledger balances Date Balance($) Date Balance($) Date Balance(5) 05/01 19,948.65 05/12 90,105.71 05/21 81,971.75 05/04 56,271.94 05/13 74,235.15 05/22 65,704.29 05/05 51,656.82 05/14 70,197.48 05/26 83,307.30 05/06 50,043.93 05/15 99,834.23 05/27 76,695.69 05/07 85,163.73 05/18 93,944.61 05/28 70,180.56 05/08 81,142.26 05/19 79,140.39 05/29 92,295.44 05/11 107,544.47 05/20 84,600.95 isr To help you BALANCE YOUR CHECKING ACCOUNT,visit bankofamerica.com/statementbalance or the Statements and Documents tab in Online Banking for a printable version of the How to Balance Your Account Worksheet Page 7 of 24 MKA FINISHING INC I I May 1,2015 to May 31,2015 This page intentionally left blank Page 8 of 24 --.:-.EIULTidEtill..1.116e MKA FINISHING INC I Account# May 1,2015 to May 31,2015 Check images Account number: Amount: $300.00 a h.""' DIATARP TIM AUAARILE 2859 .QIN6Wl[01 �R W.tlaRNwNf 44Tegli (S' r II 11'44 /..i . .' �-f'/--_-`1—s 104.ao �• -' f DOLLARS 8�9 -.} YYIi AIRMIO T. 1 AAA,V n PCP - . 7 . O ` --i Check number:2053 I Amount: $500.00 CUPI 2053 DP we IMMIS INAN 0Rn 8 /,S PRY , ''e R_ �j 01.1./.011 pl. BI1 sUmsilta T / ii ii ; . I yr + 7 0 Check number:2308 I Amount: $3,476.87 tru PnAaat2c INC 2308 .-.-_. ... _____-_WSTA t:1. ._ _ ! .�:j: R.16.1.aMeMis __ 5�'2a1S I Ic d a TA-t�p1SE ..__-- ...., j `._. �Ye2oys vP 4-0..,- ` +t�ei$•e b•Y'.�1;4-""9 ow. ®{R+ F 0101 BadlAJlneieA. ' n� .06 21795 ' / r __ i.. . �'> P j CA Check number:2-"343 343 I Amount: $800.00 • MMSRNNfiY ;Z.' uv6`T S 1----- lark El,,,,., ir:12 '' t iii . - £ 1 Check number:2347 I Amount: $5,076.20 IAA PTIQE LINO INC 2347 11414'14F i Wt au TARPON TILE A MARBLE d wevwaa /// ^� s— ,3 RPwsRINR4NN OR1E sl l,Z../z.a ": litEi" ! be a.Tag ti iMiE TYL9.6iNC uc $5,074.c0 i J R I 1 pa,�� ; Botoftwerka. ' i : r z4794 s.. �� ` r G C V,t a' �-. 1s.:. continued on the next page Page 9 of 24 MKA FINISHING INC I Account# May 1,2015 to May 31,2015 Check images - continued Account number: Check number:2399 I Amount: $500.00 _ _ 2399 -— 'T' 1 rtE A F(*INNO NC CIA TAMPON TAE t MAaItE 5- W AR RIPIR141104 .4a OVL6RM1MM ff 1 x v S.SOP.i _ o DOLLARS Et Ifs IeekefANIMca• . .' g , ! Check number:2483 I Amount: $1,000.00 illIATARPON TNA a Walla . _ is =1 t i s 1; =TM:* iL,[ 5/z)'/c£ , �n sj . tf S �J p p / i 4 ink 1., xSEU9 00�„ pi , a.p.. 4 - _ 1A.. •ButAAewke�' fi{ 1 1 , :. ,,,, I . J e C F. 3 C .,> ran E4A3r.Calia0004N..31p5564695.4N7r. • Check number:2484 I Amount: $600.00 - DNA TAIT NTH!YORE - 1^ J beice Ametleal I Check number:2775 I Amount: $800.00 YKA RNIY8IC INC / - 2775 OM TARPON 111E It YAW'S • .�L °qE_Y J,4S Tx ddBp �i $.... LA4.Et P T8� Bak.fAsedca \' Check number:2878 I Amount: $1,882.56 MI 341/1715756 MKAf MINING INC 2878 Cate mauls CIA TAMPON TI,I t YAWN MINA 1 wnnn a.wiN OAR_ 4.3014 a eml.Lm-- 1. at. R08EN 5ORHEI I TILE 01ST i$ I8 82,5b Y 1 J `r�,_t,' a OW'f•4d84nd Clot htuiIrtd .'1'�0 L/or OOLLA II. m r II 1 BeekOtAllYha# JJ 1 vnry fee C 1 continued on the next page Page 10 of 24 MKA FINISHING INC I Account# I May 1,2015 to May 31,2015 Check images - continued Account number: Check number:2881 I Amount: $250.00 ierdf 6BA +NMRBLE zest ` 1 F tlI 141 ° - -I.-t I 'awn .. 41por ,.. 'Ii ill 1;t1`+I , °i 1 / f E: .fi c. 0¢I �, of ' i$ Zso oo.,,, 'r _ ;I ;, t= 1 '�Gsa "h.+:r 4.1 TJikr. fr. pOLiAR1 m P.: if .h(. ii ' .. 11 SI I•;-tamotamadoeflP wrwr 'Jl 74. Al _. Check number:2882 I Amount: $600.00 a. • 1 F.---Y4 'DIATAATONTILLt-MAIBtB • R,Rx• , r. , • <� � (///1 s �. __ _ akNAmericil .. i ' ' Check number:2884 I Amount: $1,000.00 • YEA MUM INC 2684 DBATARPCW ill!!MARBLE ea 111WIE ---t.. Pall rct we// 3585m08$7 .. .' Out,/ ankoi rica .CV� ---":76-' ODLI�RS Y• B�dlotPnerla il• , roR — f i. _ 1, Check number:2885 I Amount: $1,000.00 x :rosAralvAa [Ea:rlrl! - _ 2ee5. 1■17110/[01 ., �tf`�.�.�` .. YYa1rtY,Wif MR '/ S , 41 . '1-.. IF1 \�\ .le JS lafl„Pa r E Imo? r .n • ,. ..i ... '''-it y;11111 . •our.RI al 64 , I'.' L. ,I , BllkdAeNIW a D. f.iE... . - Check number:2886 I Amount: $360.00 .� 1- T i NIA TTMP0011 Ti!N MMli! •k 28Be ,,.4 .. \ T I I /Z. ;,(20,.0 i i ., p ®� k la' BIllbfklifiellP' i 1 continued on the next poge Page 11 of 24 . . :41itol if, MKA FINISHING INC I Account# May 1,2015-to May 31,2015 Check images - continued Account number: Check number:2887 I Amount: $600.00 1 DIAT IWOCNTTIILENaMANNZ 2887 • A MIUMPIPPE RIRiRJR...e 5.. I m . IridAl udca I' I Check number:2888 I Amount: $1,700.00 MNA FlNIBF*IG INC 2888 ODA TARPON TLE I IWt .E ..,R rFIEFRI, . DAM WO S PAY ni”WVIie ild: S6r6.. k4 ,ated LSO.E.A.Ly D...R,e Igt 1001,011., I Farr e f1 Check number:2889 I Amount: $400.00 MICA O 61NC 2888 WA TARPON N 11LE TILE I MARBLE 'n .�R D,� 6 / °p= • 'RSA .. A // /, Gam/ 1$I/04 op — f' tti../w. ..----\ POLLARD m l BuiefkinicallP IF) MR own --� - -- a Check number:2890 I Amount: $700.00 NINA MINIM INC D - DNA TARPON TILE I MAME 3 . BMAnriwa 0RM A__ 'ham• ti-,,,,..1 "hl.'042..1.f 0011*R! 41 P wt 1J a>�.dUf + Z. OR - P C V.— Check number:2891 I Amount: $700.00 —..--�.orr i ■ 20100606023891284888051633 YU FI(1519ND INC 2891 DIATANPON TILE&M NE Reams o Bank.082000011). IMPKWASON YINF F.M ala O ! l/ R 0442 z. .. p E S'd 4'4'1 %rn✓..F.^+ D0LIARR 9 C• 111\ pEkonmMle� s 0 FOR 4 continued on the next page Page 12 of 24 iV •. MKA FINISHING INC I Account# May 1,2015 to May 31,2015 Check images - continued Account number: Check number:2893 I Amount: $300.00 BeetdAm�a4 , • T ....jr- RDR I' O Check number:2894 I Amount: $800.00 UNA FUNNING NIC mu r.nYeai / J 1 MOIMPLY91YY,y OM 6/i7 e ••� % . Is®OD.o 0 n Fos • Anodes. _� _ 4 1 Check number:2895 I Amount: $800.00 NIG FINISHING INC -... 2895 1 DMA TAMPON TLE 191ANNtI _ , 4 ,r1EVYEM YFlBRYRRYI[ DMI g//.5— "` i l,. f's- ,1ars //s IS 900.0a CS ypppp{ ilBastafkasrkalP O —. •DLLAR9 lbEi ) - 1 - g Check number:2896 I Amount: $400.00 tiseikA FIa a 2898 YNSaMUnNYRr �[�!�/� MO,YS i ' •i M / n ' ' .- .- -- Check number:2898 I Amount: $500.00 7.MW WA ANO ISHING INC 2898 GU I NAME IWB0.YY.NY '' biT oin Y _Teo.°e/ 2.v.-�' I'$W41'O.O ' -Y w `J c „ —� DOLLAR!' 0 tom- ` ��L.. BiM�Aelerfra� $11 iI8�89Z�ZJi1t E�iT q i L " 0 O continued on the next page Page 13 of 24 J... - ';. .... ':.1PP'' MKA FINISHING INC I Account# May 1,2015 to May 31,2015 Check images - continued Account number: Check number:2900 I Amount: $700.00 NIKA itIpNINO INC 2900 OSA TARPON 111.E aN MI �. sr.1wum IaIIHRYfOfM11 OM / I: B. d#44:;./"el`/_07nrr7'� 1$7-.0 A•ea 11 :l_ c.,E✓7 lhnn.�y.�o/ -y aou•OI D r- � ,29r5 T5 1 ai5 .1 s ?�p7.• {NIk�RNN11Ci Y ' 6 AR 3 n Check number:2901 j Amount: $500.00 . . 31KAFN76NNONC .._ 2001 MA TARPON TINA NARBIS r�J.` .. ogre�lL Ply .Iw BdO v y,Ores/a// i n ade .5(771.4-7 I SSQ0.04 i 1 k F /r+/"'I_ G ;, BNkofAi do / ` Ps FOR ' !^[.. 0 • ., ,_ ., _ _S,,•_. 1 - .I Check number:2902 j Amount: $1,500.00 ..,...—• a�a2:«:....:. ! �' x INCA RIMING INC r9 :•;'• _ 6Nte knorke•T E! f1' R ; ■ ���^^` 7 _-• Check number:2904 I Amount: $1,300.00 UNA RNI0I IG INC 2904 DR . A TARPON TIM&MARBLE i���� .wen wau • KM s�/ /5 . ., X5816132017 'Si P _ �d $�t�pO, wR Km 2404r COI f.��� D . Check number:2906 I Amount: $200.00 I 2586 INC DRAMAVNTFINISHING atlf C . 1YTUL T 4 200.00 AA E0 Bake hnoriea Eon -- ------------ continued on the next page Page 14 of 24 ..`: .Itta a �, MKA FINISHING INC I Account# I May 1,2015 to May 31,2015 Check images - continued Account number: Check number:2907 I Amount: $400.00 ._ ' ., Q r."'".. .'" 7---' ''''''MCA R ON TRE&M 2DO7 f , - a��. Check number:2908 I Amount: $200.00 ... FDtsHD1OIC R0 ii- INIATARPON 88I NW E 2508 € '`i _ Check number:2909 I Amount: $500.00 NU/MINING INC 2909 - DBATARPON TILE i MARBLE .Pan MeNnillol wouslumeaula oaf �. // ' J Ott. k11stY �X 155oOa.o I'ilAmlllla'. --' --_ FOR_ Check number:2911 I Amount: $500.00 96330GID0159439-051415 1 MICA MOM INC 2811 , Check number:2912 I Amount: $400.00 -- mg' Vt , €, . continued on the next page Page 15 of 24 ticig ' errs.. MKA FINISHING INC 1 Account# I May 1,2015 to May 31,2015 Check images - continued Account number: Check number:2913 I Amount: $500.00 r TARPON &MAULS j//// 29 - q j POSItt roffa.NORM DM //� $ F ¢T .r. �'-'^ gy�pT,, r:' f OO LLAPf®C" F di Ilir / T iii3 _.,.. ' i Check number:2914 I Amount: $300.00 +r--_r1R®—.T—. 2914 DOA TI ARMING INC ' .. ' i • .1■ ii _4/dw i rte'3 $ i • g �� I ��.i4 1 j I t• f • Check number:2915 I Amount: $500.00 3i , DNA TnIIRNna INC 2915 AMPON IKE 8 AMBLE r_ mwexua �r `/• will '•NNlRMI.YY a>E 4 /i// �- J fl iiir., 5-9,// S. I$ 5ao I •OLLARS m P. : Ink.fAm.tka* f O A a O X Check number:2916 I Amount: $600.00 MICA FMINiNINO INC 2918 }•DM TAMPON TI!8 Amu -Fal MR IIIIM.17, Men. laaamatawas GAT C//7i1=4G's i"_"�` ���-, i r\L btii S�pG,c P o • �\ j..._ i : IMIkethm INt� ' CLLAR.®� - • Check number:2917 I Amount: $500.00 • MA FINISHING INC 2917 a DOA TARPON TIE 8 MARBLE Plana MV- Pw. PIPIlI0.lIIYfry, SAT[S/�$ fe • TI IakefAnalu - GoLLARF N FOR_............--- ---•.a—.--'--- continued on the next page Page 16 of 24 MKA FINISHING INC I Account# I May 1,2015 to May 31,2015 Check images - continued Account number: Check number:2918 I Amount: $600.00 muova1N019INC 2948 ( .. (4 1 ORATANP0114R6 i MIME ( 6 i IIILW.RISAr MATE S//,//1 ` i 1 QY i 2 r { Lvs " I'$ 600<� 961idAN1lria ' •OLL.11 R S . 1 RDA • . Check number:2919 I Amount: $600.00 OTARRPO E 2919 M wRraur Ro MMW R,I,MM� �� / ! >o Ziff, 6 .>., �' !.1`,—f ^ DOLLARS m 1911 80930 c 637.(75 I7NkIfANNrka q / Y FOR I��f•(1� [ S i Check number:2920 I Amount: $400.00r� R�i ,-2s 4 ry k..c... [+ r�[, ArIF,..1" rwa' - -. 4. n -2920 1r,- R i BIM 4ARPON 7R£!rilARBLR �tlt1 .. < oiizo ——� Mµ.RY B p BrhfARNNiei� Il4 I 1, FOR . � i S 1 Check number:2922 I Amount: $1,770.56 INKA FINISHING INC 2922 , . i RMi1L111 Me -2015115131703 ID09282.1:00M12{7.009 .. 64.. 1� wise T✓ui-howG u-c is j s 246lt _ I I 3 Z Check number:2923 I Amount: $4,000.00 KA DNA TA L8&MARBLE 2923 ARPRISIRLASO 1. P, { `° DAT I$/od000 - 0101101004.1.V e9[SFWED-5/714115-1 ND el•,.. ('/.,.r.,l r �iw 1 Srr IYtOfAseica� MoLUae ®�' Eli; KM 1414 ors e I continued on the next page Page 17 of 24 `b i`g x°` i A ,i k e MKA FINISHING INC I Account# I May 1,2015 to May 31,2015 Check images - continued Account number: Check number:2924 I Amount: $1,247.52 DNA TARPON TILR&MARBLE .. .. 2924 wiewea RV,t rem OM ,p� ERAY SQ.,Inn,nf,n.t D<A5—C., IS 12 9 7 5 Ay , a O'nr F1,101.41 wai....1,ca4..t,�m�...as`',00 e0 pp ITT l Bdiefllodiw� ,,. IABA:; .7.271Ss tag 3 f° R FOR or Check number:2925 I Amount: $800.00 .4 �r6A�awxB,ec 2 >EmWANE -- • mum tiro eArz ,m. I' •Eno. 17/o ....1 J $ ..si r�il( /ICStehw 6 ' oo .ae® '- 1. f `>r�m�. 1! t. i. r Check number:2926 I Amount: $300.00 6DIAHMaxwQINC -f---- -• .. .... a DBA TARPON TILE A MARBLE Check number:2927 I Amount: $1,700.00 DNA T RPON IRE A MARBLE e aaad«r f 4/,S RAM ��� i i Zr AioeTa. . _.. E V /100 Qpp E�@N{ BakRR7AMerIeA ' AJR ,rnri�v .� tit . . Check number:2928 ( Amount: $1,730.49 aRRRIBIO M E i DM RPM TIEEMALE 28� ?" — "Y""': _533 /f ."0 IO I A _.....4'__________.,� 4 1 1 1Y i : ,e ti ,/ ! j- .. •Wi a Z— 2ZRe ® I BatNtARwiA+ t i ie __ fII , continued on the next page Page 18 of 24 . . , ttilioxOL. ie 'E: MKA FINISHING INC I Account# May 1,2015 to May 31,2015 Check images - continued Account number: Check number:2929 Amount: $800.00 MKA PiRtl8RUM8INC ,: •.,.�•: _ oat TARPON TILE a MARNE 28� MMUMS MNBRMIOIq Obe 5�/4( A 1 j r. 4( a^Y DOLLANe a ' `!, S - j f BAdtr t oala� Iii f. • 'D .,.. :� , '..'`y Check number:2930 I Amount: $6,860.14 DOA TARPON TAE a MARBLE �_� 't,,"G?`t t•" I .. a i wMw0.rwr.r. ya 05/19/10/ sm. 4•'P2 !Pi i .i - 7 'Sfi i'2•m C•c14'11,,,,15, 3%1,3 411 1 .,-.. AM,,a si j ill h 11 - T- - p. .BMtotlaNNsr:�1f 259 ,4 73 is t �s Iwo Check number:2931 I Amount: $2,500.00 MUNN ILEAINC A X31 M MMMM CM' MnnMMwMK :007th- M M1 '4.M.1` 1 .. 4 .e . �,,■ $2.51:),,M MO c ti, 1, minor C DOLLARS 8 P BaMdAMKIea� :bz?udi: IAaautINf1,..re?aas r^ - ■ ,• Check number:2932 I Amount: $300.00 ANGA N 2932 DetTaNPON1lLe a MA ReRE 41MM[WLR- - y •"NIp"` Auz sj/s /S ° a -_....__ y�I$ 340.P� _ np� z • Check number:2933 I Amount: $600.00 MCA FINEN ND INC 2933 DDA TARN/NM&MANNA //46...c.._ _ NN.aene min?/ ` .n'" EilvE. 7i f 1- 5 ,+ 9 I$t c20 F Z 51,/r .i 0 BaNkdA tvt/S'i t —al.r^'r� Dow..a LY •1 : Ja11" alR7a2707<mans in FM-. a 3 0 continued on the next page Page 19 of 24 t .c4i111°' MKA FINISHING INC I Account# I May 1,2015 to May 31,2015 Check images - continued Account number: Check number:2934 I Amount: $600.00 OBATARPON I3. 4 INC �.���/�Y 2934 -{(y MUIR DEE r fir_ w1wRwR.ww } Rite d rly /SA/ I$k o-so g -- \.. S,•% J44 X.� / .. ...L.. a 0 9, A, �tdANlla ail 6ZSSi •A r Vs .., I I 141 - - a C O Check number:2935 I Amount: $600.00 ®.MI.■.■.101...a ..■ im MKA IIraJ in f&NC 2935 DOA TA IIAIN.O _ 1 MIDIEVELIDE II cite Ir 1... OOILAEE ®ga nit�'932655 ,, BrtofAurW. LG — 0 d� Check number:2936 I Amount: $300.00 MIKA MUM NC 21100 CIA - 0' rIinLA e MS RwtlN11. a , R_ , .'. /f Yom} , / ..4.1.-• —47.,"--• "'�.. ACP ._F Y ........... /� OOLLA.E NthefANrke. F�JV//y/Jl f' Rh Check number:2938 I Amount: $300.00 lwlvswtr:wl 40 - al i[Y • &nuts a P. r e - Check number:2939 I Amount: $350.00 MKA CMIS INC 2836 a _ j x X DEA TAI�OM r.1.Willi _ ,� bRwWOp uxre _ '1 ) W ro $33-0,s2: 1, #1 �' /�EL •DLLAMO a Iii. — / - BskefAm.tla•r" _�, :Far dot odf 10+ R - A&EtanulOerOl,lrc / W • �, 1.9 continued on the next page Page 20 of 24 MKA FINISHING INC I Account# I May 1,2015 to May 31,2015 Check images - continued Account number: Check number:2940 I Amount: $800.00 .. .MRIMINMBMC .. 2940 . • IA ONA TANPONLMION MULE �� ( tt wMNl�iwWi lwa�ia 5^'S r"r QQ (- S4o4' n E -3o.(- r...,,,-;/,/, Is 800.os cilAf 1811 46,72441 tl•" oouARa ®N <952iss L • con_ -.. 0 Check number:2941 I Amount: $1,000.00 • IWA RNIBM110 MC: ! - 2941 ' DOA7MPry0R�71LE MAIDLE I / NM 1 ,. , 7'..;--;:_=-_97 J3/r. is/aoo•sO / I k O/C/4" f4•vSw _ yaLLAR, 8 g Bankof ow6 a• FOR .wr < r\ 1. , ��, .t i! avomosmomar Check number:2943 I Amount: $1,771.26 DNAmn101 NNR MC - 2043 - - 1 rrne.Aaa,R iwwnwN.wr uue 0y,,, "� L Mr. AA R -Ryn.ti,) N$/ 4 i/� • BMAtafA nastal► ,. _ =- .^_`• Check number:2944 I Amount: $400.00 MIA RNI-.N6 INC...�.e..:a a .....m o..,_. 1 L., , i ' 1 ,. Check number:2946 I Amount: $500.00 . pW MICA RNISIDNC MC 2946 E {$y DNA TARPON TOl&MIMtE B fUNNIMIOS ,a, I 1 '1 gi NN,,,a,I...N ,/2//,f —' l [ ,� `C ----- j COLLARS 0g' 4611 9 Dd2 'P�n CIS ligi W[Q81MiIN� f/ 4 iLP .t msj 0 n continued on the next page Page 21 of 24 q01 . . MKA FINISHING INC I Account# I May 1,2015 to May 31,2015 Check images - continued Account number: Check number:2947 I Amount: $400.00 YKAHNI1NI IIO 2847 & MIA TAMPON TILL i YANOk fmmelwto �/ a e9mlaana.lm oM Y 7//5 3 . a /t ri 1$cOo.0, • %i �}� I o /YV.—J-�C �` DOLLARS t C" �, Check number:2954 I Amount: $6,000.00 MICA PDIIMI=INC :-:2954 T 1 o D D811 TAMPON TNEiM I! -. - t.i';'.:. ' 5N:1 Z 2 ,r a"::,.,° /� Q�/ ,, i L 3 Dap:000171 3 aft a/� ' i 1t F y,.1 arc 05/29/15 I' ,1's 4 M. Mir qrn. is .t L i' £2 O .. a ® ° 4> 1 7 t .. -. t :.. BI0110111olflti .; 1 • • 1 , FOP . •' i 2! ..:.. - C . .. °I Check number: 5070 I Amount: $2,386.00 usimmememmer .1..,1ma.m....m...�. maim 72119572 Ayi OeMO.r .a } ,y,, me.- rwr5ml. Iosoossai •�,m �ddai �.�1 ...a.em.e... JIM 44-a11s kl1 MrAL 2115161$1Hf30t0011 U.l1.r..s.26re+5ree315 C F� I ; I MmuselsAim MU mimeo 0YY}ralee wmi WS W&MI S1; i Et.M i MiL13N11J106 -tt 1m"VC-War.'" • lil itl �i Page 22 of 24 Account Changes At Bank of America,we're committed to keeping you up-to-date on any changes that may impact your banking accounts. We want to keep you informed about important changes coming to your checking account starting July 6, 2015. Today when you use your debit card to pay for a purchase,the merchant asks us to authorize a transaction amount.We typically place a hold on your account for the transaction amount authorized,which reduces the available balance in your account. For some travel related transactions, holds are not placed because the merchant's request is an estimate. However,starting July 6, 2015,when you use your debit card to pay for a purchase,we will place a hold on your account for the full amount requested by the merchant,even if the amount requested is an estimate,and reduce your available balance by the amount requested. If the request authorization appears to be an estimate,the transaction detail for your account in Online Banking may show, "Amount may change—waiting for final amount from merchant."If the final transaction amount ends up being different than the amount we authorized,your account balance will be adjusted when we receive the final transaction amount. We're pleased to serve your financial needs. If you have any questions regarding this change,please call the number listed on this statement or visit bankofamerica.com/locator to find a banking center nearest you. Page 23 of 24 MKA FINISHING INC I Account# I May 1,2015 to May 31,2015 This page intentionally left blank Page 24 of 24 Bus Platinum Privileges e rITABOIL I. 41'16 Pyitizatc P.O.Box L5284 Customer service information Wilmington,DE 19850 1.888.BUSINESS(1.888.287.4637) bankofamerica.com NI Bank of America,N.A. P.O.Box 25118 MKA FINISHING INC Tampa,FL 33622-5118 DBA TARPON TILE&MARBLE 752 PINE VALE DR NAPLES,FL 34104-5435 Your Business Advantage Checking Bus Platinum Privileges for March 1, 2015 to March 31, 2015 Account number: MKA FINISHING INC DBA TARPON TILE & MARBLE Account summary Beginning balance on March 1,2015 $377.69 #of deposits/credits:4 Deposits and other credits 75,340.00 #of withdrawals/debits:26 Withdrawals and other debits -24,064.15 #of items-previous cycle':0 Checks -22,337.99 #of days in cycle:31 Service fees -29.95 Average ledger balance:516,381.81 Ending balance on March 31,2015 $29,285.60 'Includes checks paid,deposited items&other debits Payrollmade easy W WW1 eitine Pitytoll and Nat Riff State . . , . si prgl$1234436 Yi70. aMtiera ItIVION11011#1~prittat moo,;:;141. WWI Find DLit ninth eaff 806.7002 142 otArt hatikcifamerfoicomtpayrolleagotions' PULL:E CYCLE:52 SPEC:0 DELIVERY:P TYPE: IMAGE:B BC:JAX Page 1 of 8 MKA FINISHING INC I Account# March 1,2015 to March 31,2015 IMPORTANT INFORMATION: BANK DEPOSIT ACCOUNTS Updating your contact information-We encourage you to keep your contact information up-to-date.This includes address,email and phone number. If your information has changed,the easiest way to update it is by visiting the Help& Support tab of Online Banking.Or,you can call our Customer Service team. Deposit agreement-When you opened your account,you received a deposit agreement and fee schedule and agreed that your account would be governed by the terms of these documents,as we may amend them from time to time. These documents are part of the contract for your deposit account and govern all transactions relating to your account, including all deposits and withdrawals. Copies of both the deposit agreement and fee schedule which contain the current version of the terms and conditions of your account relationship may be obtained at our banking centers. Electronic transfers: In case of errors or questions about your electronic transfers- If you think your statement or receipt is wrong or you need more information about an electronic transfer(e.g.,ATM transactions, direct deposits or withdrawals, point-of-sale transactions) on the statement or receipt,telephone or write us at the address and number listed on the front of this statement as soon as you can. We must hear from you no later than 60 days after we sent you the FIRST statement on which the error or problem appeared. — Tell us your name and account number. — Describe the error or transfer you are unsure about,and explain as clearly as you can why you believe there is an error or why you need more information. — Tell us the dollar amount of the suspected error. For consumer accounts used primarily for personal,family or household purposes,we will investigate your complaint and will correct any error promptly. If we take more than 10 business days (10 calendar days if you are a Massachusetts customer) (20 business days if you are a new customer,for electronic transfers occurring during the first 30 days after the first deposit is made to your account)to do this,we will credit your account for the amount you think is in error, so that you will have use of the money during the time it will take to complete our investigation. For other accounts,we investigate,and if we find we have made an error,we credit your account at the conclusion of our investigation. Reporting other problems-You must examine your statement carefully and promptly. You are in the best position to discover errors and unauthorized transactions on your account. If you fail to notify us in writing of suspected problems or an unauthorized transaction within the time period specified in the deposit agreement(which periods are no more than 60 days after we make the statement available to you and in some cases are 30 days or less),we are not liable to you for,and you agree to not make a claim against us for the problems or unauthorized transactions. Direct deposits- If you have arranged to have direct deposits made to your account at least once every 60 days from the same person or company,you may call us at the telephone number listed on the front of this statement to find out if the deposit was made as scheduled. You may also review your activity online or visit a banking center for information. 0 2015 Bank of America Corporation Bank of America,N.A.Member FDIC and A Equal Housing Lender Page 2 of 8 Your checking account TtiltrairAllailKI:4W MKA FINISHING INC I Account# I March 1,2015 to March 31,2015 Deposits and other credits Date Description Amount 03/19/15 BKOFAMERICA ATM 03/19#000003336 DEPOSIT MARCO ISLAND MARCO ISLAND FL 32,000.00 03/20/15 BKOFAMERICA ATM 03/20#000002462 DEPOSIT KINGS LAKE NAPLES FL 17,840.00 03/23/15 BKOFAMERICA ATM 03/23#000006818 DEPOSIT BERKSHIRE LAKES NAPLES FL 10,000.00 03/27/15 BKOFAMERICA ATM 03/27#000005123 DEPOSIT MARCO ISLAND MARCO ISLAND FL 15,500.00 Total deposits and other credits $75,340.00 Withdrawals and other debits Date Description Amount 03/24/15 Customer Withdrawal Image -6,240.73 03/25/15 COMCAST Bill Payment -458.20 03/25/15 FPL DIRECT DEBIT DES:ELEC PYMT ID:0586092413 WEBI INDN:MKA FINISHING INC CO -115.46 03/31/15 Customer Withdrawal Image -8,142.68 Card account#XXXX XXXX XXXX 4167 03/23/15 CHECKCARD 0321 TEXACO 0030398 MARCO ISLAND FL 71519940460350801670893 CKCD -78.96 03/23/15 CHECKCARD 0321 NAPLES LUMBER AND SUPPL NAPLES -465.84 03/24/15 CHECKCARD 0323 HD SUPPLY WHITE CAP#25 NAPLES FL 24792625082206184700052 -142.72 03/24/15 CHECKCARD 0323 DE MARCO TILE INC NAPLES FL 24223695082980056052378 CKCD -6,000.00 03/24/15 CHECKCARD 0323 LOWES#02261*239-601-9120 FL 24692165082000034788526 CKCD 5200 -108.38 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 03/24/15 CHECKCARD 0323 R&D GRAPHIC CORP NAPLES FL 24607945083206239900042 CKCD -1,000.00 03/25/15 CHECKCARD 0324 GREEN EFFEX LANDSCAPE NAPLES FL 24755425084730843095446 -202.16 CKCD 0780 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 03/25/15 CHECKCARD 0324 TURKUOISE TRADING 239-514-3961 FL 24435655083200049900063 CKCD -736.91 03/25/15 AMOCO FOOD MAR 03/25#000753623 PURCHASE AMOCO FOOD MART NAPLES FL -98.45 continued on the next page Get easy access- The Bank Attudo titi 51 n ess k: now-how . Cato-4= Li-r e„-onituog kt) , tad= : s atir fru emit* omen 11:;1, *airs that hterest Fu. it -, R . Ma ther lattriosti.m . Page 3 of 8 MICA FINISHING INC I Account# I March 1,2015 to March 31,2015 Withdrawals and other debits - continued Date Description Amount 03/30/15 ALLIGATOR ALLE 03/29#000428969 PURCHASE ALLIGATOR ALLEY NAPLES FL -99.50 03/31/15 CHECKCARD 0328 COLLIER CTY LNDFILL NAPLES FL 24445005089100328820851 CKCD -93.44 03/31/15 SHELL Service 03/31 #000706264 PURCHASE SHELL Service S NAPLES FL -80.72 • • . • . • • • . " * • • • - • 1 1: Total withdrawals and other debits -$24,064.15 Checks Date Check# Amount Date Check# Amount 03/20/15 2789 -1,115.69 03/26/15 2798 -3,750.00 03/23/15 2792* -12,006.12 03/27/15 2800* -1,378.00 03/26/15 2795* -1,500.00 03/30/15 2803* -1,500.00 03/26/15 2796 -800.00 03/31/15 5066* -8.18 03/31/15 2797 -280.00 Total checks -$22,337.99 Total # of checks 9 * There is a gap in sequential check numbers Service fees Based on the activity on your business accounts for the statement period ending 02/27/15,a Monthly Fee was charged for your Business Advantage checking account(Primary). You can avoid the fee in the future by meeting one of the requirements below: You are an active user of one of the following services OR At least one of the following occurred during the previous month CBank of America Merchant Services 0 $2,500+ in net new purchases on a linked Business credit card 0 Payroll Service by lntuito 0 $15.000+ average monthly balance in primary checking account 0 Small Business Remote Deposit Online Service 0 $35,000+ combined average monthly balance in linked business accounts A check mark indicates that you have qualified for a monthly fee waiver on the account based on your usage of these products or services. For information on how to open a new product or to link an existing service to your account please call 1-888-BUSINESS or visit bankofamerica.com/smallbusiness. Date Transaction description Amount 03/02/15 Monthly Fee for Business Advantage -29.95 Total service fees -$29.95 Note your Ending Balance already reflects the subtraction of Service Fees. Daily ledger balances Date Balance($) Date Balance(5) Date Balance(5) 03/01 377.69 03/02 347.74 03/19 32,347.74 continued on the next page Page 4 of 8 Your checking account TIDtivlb, 1 .1,t4Pfr-MKA FINISHING INC I Account# I March 1,2015 to March 31,2015 Daily ledger balances - continued Date Balance(5) Date Balance($) Date Balance(5) 03/20 49,072.05 03/25 31,418.12 03/30 37,890.62 03/23 46,521.13 03/26 25,368.12 03/31 29,285.60 03/24 33,029.30 03/27 39,490.12 ar To help you BALANCE YOUR CHECKING ACCOUNT,visit bankofamerica.com/statementbalance or the Statements and Documents tab in Online Banking for a printable version of the How to Balance Your Account Worksheet. Page 5 of 8 hjIKA FINISHING INC I Account# I March 1,2015 to March 31,2015 This page intentionally left blank Page 6 of 8 MKA FINISHING INC I Account# I March 1,2015 to March 31,2015 Check images Account number:0055 6469 5710 Check number:2789 I Amount: $1,115.69 MA MESHING DlC 27&9-�• �._ sea:89 I. � �_ Di/A MMON TIE A MARBLE S batch:097401 t n IMlYMiM �18� - 1 Datc D3/20715 $txx 1i11.B0.N1°N•f1 OSR� "$S j / q .,-40i n ow°iiN rr • L• s! ♦ \ • Sl.�rs.6i -iii I. ,,,,,,\ Y/ BankNlAmarka w� _. .. 0 + 1 _ _I Check number:2792 a Amount: $12,006.12 --_-... .-,._. G Y3IAFWISHINGWC 2792 __-PBATA2�pNJ MARBLE- _.,.. _ M"o'!i>r1d L4e1-S6--�TFA6t' tL-t_ r 4f00ELLI r,� crkj'1.,..441.9 yy v,...x.a .5,,,,, cbIICffc/ta.l n COLLAa a W : nn 9nkofANuci - � i P072-2.:12-1.2..A3-3--- — .1 - e007757e' CO 6 - 'P Check number:2795 I Amount: $1,500.00 YNAAIIISHINO MC 2795 1 DWITAi90N TILE II MARBLE a\aaw - R ww: au 3/2{/5 . .- tl �..a°F IA ..lamS-Dar(w•.k¢ I$ 1500•0 D .1 - tlgN 7S > ' O T 6.�kv3 ya w�°o ; ,oueas® - RRSlY- &a dA,vsira'� .a L • / . , s ron. • Check number:2796 I Amount: $800.00 MCA IFINISiWW NC 2795 1 WATAIVOM7RE�MtRBIE - Isi Pow MI IMO FL NW.. OWL L Valk 1 — — 9 � v r�-- ooLLxns ©� � F 997/me a7_;lc BinkraPYriCN� last D88d1' '�9??--- I -. ._ O + 7 Check number:2797 I Amount: $280.00 .k .....a..,N 9794 DIM TARPON TILE BMARBLE ,,;,a I&. 141k AJ LT,r..rdc."iay . i$)goo0 . SukofAsMfca,' ' , i . ���� i iiii continued on the next page Page 7 of 8 apt of i le le y. MKA FINISHING INC I Account# I March 1,2015 to March 31,2015 Check images - continued Account number: Check number:2798 I Amount: $3,750.00 279e -1].I}1;3E�}ffil , 4x. TAR ON1 E&IRC � 3,�tt9 ��( 3"9.1 1 R OM TARPON TilEBYAIm6E 9!'` t Dip 000139 i ..1101,10/01111 n n. "Dm'3/24//C M".. . i j•4vl � 7'. Dte.03/26/15 {t /"1 1 tla S .".. n 11 /y��, .. -`.sgoiiN. SltabeeaoonsAC CF37:1r,.auSE3T2o080 ; 3 b.-<• bid lj`lt�/�P.'UX// s 3�JO.a9 : i,E,.. . i,i 4 I :;. a A.:. r' a- ;. Rank61Amena..:1- .tS II . 1:k 1$/ i ' !'.. . ' . Check number:2800 I Amount: $1,378.00 -- r... — ----- — —j MKA RIMMING INC 2800 `: -.`?{ij ;si 5M:27 I @¢@¢@¢�� CIATARPO46P0on MI1E n�/ w t ,1't ! Batd1:315757 1• ili 1sNTLEw 3 3a i;l;eE tl � e '{ w.un.w"s ?` /s won li` ' Dale:03/271 I5 ti;ii Q-_ �, 1 $13ax o. ;1 i gilt,�s.;E , •RcNidANNla W ' 1■ tt7 Q I �- 10 •t'.. .. ... •i I' Check number:2803 I Amount: $1,500.00 NM WINNING INC 2803 NIA TARPPONN7ILv I &NAMI �" N1w1t14N»wr '/247,2 J� $ere 7 < xF8J8 ExNtE 5 400.26,0I.4/4 R'.7anl6C.a s IS 15ppoo a s 106"1:4 c)Sail A A6i/IC ku ai,k DOLLAR: P BakofAeoltall• ra171iyNa/OS-/sso.ii=g:.■•- r a Check number:5066 I Amount: $8.18 AOLOY t a Opex06 203503312147000005 685 6940547' rti»M ''''‘.6' �'�.1s.-ne rAr19e1rt 0600065M1 c G� :.F13P10.6fn 1111M— — tYPRE7 R.RORP IY" lei 1./4W 1N 00•1%. a. :a Sign .ON Fite+ ?t/_ �C uA mni ul va i I. L Page 8 of 8 . . Bus Platinum Privileges ‘v4I---7 informAtion 19s,:::,:i la 1.888.BUSINESS (1.888.287.4637) --W hrikof3merica corn MKA FINISHING INC : Bank or,' '-k N.A. DRA TAi-4,poN 1 u i ,r-;, tvitAN6LE: P.a E.:::-)x 2 5 I I 8 752 ril\W \JAI F r:R TarnpTi, F1 22- 1-1H NAPLES,FL 34104-5435 Your Business Advantage Checking Bus Platinum Privileges for April 1, 2015 to April 30, 2015 Account number: MKA FINISHING INC DUA TARPON TiCi: Z.; MARBLE ALL:flat:t.. ReginnIng b,:liarice or,ApT II 1 201 Sj,; .)L'U !! of cloper.itsicredt . 17 Deposits and other credits 145,487.00 #of withdrawals/debits: 130 Withdrawals and other debits -94,977.14 #of items-previous cycle': 16 Checks -59-7°8.39 gr• or days in cycie:30 Scryirp I ees -C)CIO Avprag,_,!it.,;,..e! n?,-1,=iiii e:S40:61 9.U3 Ending balance on April 30, 2015 $20,087.07 'Includes checks paid,deposited itemsiSzother debits — --, 1 II' j.=— L , t.-..,.,.,2.. 4 6.i;i.;2-. j arid n ez ia s l oi r.• ; c. 1 i as soon as the next business day ,1 Catiff:55.63.360-8 o vWtibAiikaattIOULCOttlitOtttlIgytt !tart moPr5f-,. ..., I - =-=-P'-','-'', eriCa I ieVrentalii filKiligafat. liV.Iaq;gipettfoiwtcLkciaitsixiibygieitkWoit-.t...ieriilWriilia4fii:00A:-Wi bv- - - -- — - - - i Ui-inicarkneitajawand if.TreirsPritativrAanc ciikAroericaliferrharitSeivitesillt:Elsoudlitraiska iiiimehanitc4., lftdantServices: 1 ILtC ,nttA Orliv*legmbirk,a0,40mh 404 fUtsskr-v.igs:xgrOguawtvatkftomOWP:graXppm,tpf iiitingliM iilai 0-4,1071soloa: 1 - -- — -- page 1 of 24 ' WW1 FINISHING INC \ Account 1.2015 u,x:m30,2015 IMPORTANT INFORMATION: RANK �FPOSiT KCr0U���� updad/,;your co��.:fic� inUn,madon We encourage you to Keep your contact information up-h gildte.This includes addro.ss,email and phone number. If your information has changed,the easiest way to update it is by visiting the Help& Support tab of Online Banking. Or,you can call our Customer Service team. Dc;isicag,ac"vnx-VVhenyuuopenedyoureccount.yourecei*edade;osiiaQJeemontandfeeschcdu|eandaCneedthacyour ;.-4r,o'':r would beanvemadby the cermsofthesedocumpniis. aswennayamendthnm[rom time untime These documents arc part ot the contrail for your deposit account and eovern ail transactions relating to your account. including ail deposits and withdrawals. Copies of both the deposit agreement and fee schedule which contain the current version of the terms and conditions of your account relationship may be obtained at our banking centers. �|ectron\ctr:nsfers: \ncascoferrorsor4uesti":soi.i',/ryoar�\�coonicuano�crs |i you think your sratementor receipt is wrong :r you re,J /nere !nfcrrnarionPihcniiu: obcu:nic-:::aTi�fcr(e4;,ATM,znn',acdons.dire:Ttdepos!ou,w/thdewab. point-of-sale transactions) on the statement or receipt,telephone or write ug at the address and number listed on the front of this statement as soon as you can. We must hear from you no later than 60 days after we sent you the FIRST statement on which the error or problem appeared. - TeUusyournome~,.daccnun/nunbe/. - Describe the pnn,:r transfer you are unsure abouc and ex�oinnsclea,tyasyo car bcliove there is ar error or why you need more rturrnatjUn. - Tell us the dollar amount of the suspected error. For consumer dCCOUfltS used primarily for pcnuna|. family cif household porpnses.vvcmiU investigate yourcomplaint and will correct any error prompty. it we take more Than 10 business olay,-,-ClOcialendar.days it you.are.a Massachusetts customer) (20 hucincus±a�s |f you zrrz :rwcuu!o,,e,for e\*cr,nn/,rrans.i1u :cc:/,In�dotx"defrst3Odaysofue/the fi,ztdcpositi� made to your account)to do 015,We Wi) credrt your account for the amount you think is in error, so that you will havc use of the money during the time it wili take to complete our investigation. Fn,uthp,accounts'weinvc//ig+te. andifwefindsehavemudeunc,rur,vvecedityou/accountat the conclusion ofour inve*titati.00 Reporcingarher orvO!ems IOU must examine your srat*ment carefully and p,om;dv, You are in the best p,siciuo to cl|scovc, errors and unauthorized transactions on your account. If you fail to notify us in writing of suspected problems or an unauthorized transaction within the time period specified in the deposit agreement(which periods are no more than 60 days after vve make the staternnot ayallzble to you and in snrrin rgses are.v) days or less):we are not liable to you for,and you agree to'not make a claim against u,for the problems prunauthorizedc,ansacu"ns Direct.deposits if you have arranged to have -direct deposits made to your account at least once every bo days from the 5dme person or company,you may call us at the telephone number listed on the front of this statement to find out if the deposit was made as scheduled, You may also review your activity online or visit a banking center for information. (r) ZOT5 Bank of America Corporation Bank uYAmw, �.m .muomww,Fm|�anu ~ America; .� —^~ sq"a/Bousing Landsr Page Zuiz4 . • Your checking account ---- _____ __ - NIKA FiNiSHING INC I Account# 1 April 1,201 Lc t_=_--,Ail-II 30,2_01_s nti-wr crecilts Amount ____—— - ----——--— — -"— -----,-,--,--, 04/01/15 BKOFAiv1ERICA A i M 04i01 ,*0000:37 -3 DEPnCli- !-.1P.P.t-O Ic‘I AND MAR',:1_)!FA.ANn FI _ __ __ 12 50a00 T100.00 __________. ___ _______ 04/02/15 BKOFAMER1CA ATM 04/02 4000001275 DEPOSIT RATTLESNAKE___NAP_LES__ _ -- - -------------------- 04/03/15 BKilwAhiltr,'.ii...m ATM 0-41",i'.., I.400000,1325- POT LA SIT BERKSHIRE LAKES NAPLES FL _ __—__--------------------- 04,,c6,,-15 RKni-=,AmFRiCA fkir-Ji 0.":1111, _ 5:_10 04/10/15 BKOVAIvIERILA ATI.-vi 04/10 4001juu.mun DFp.,-)ST I'INE.i--. Di_IL NA-PLLS Fl —__ ------ ----- -- -- --- ___ 4,000.00 04/13/15 BKOFAMERICA ATM 04/11 it000003829 DEPOSIT BERKSHIRE LAKES NAPLES FL — --- ---- ------------------------- ---- - - 1-14/1An5 8K0Fi:MERif:,,n,Thl()API A poonno36,35 nFPOSIT KINGS LAKE NAPLES FL — 15,000.00 ----- - --- ---- -------- 04/20/15 BKOFAMEHICIA ATM C) /12 140001.)044bri DEPOSti RAI T1 FSNAKE NAPLES FL 7)0,300.00 - - - - ------ 04/20115 E-s.. UAMERiCA.ATM 04/1 0000iLmiq DEPOST l<.ING5 LAKE NAPLE3 EL 10,C0010 0-4/24/15 BKOFAMERICA ATM 04/24#000002155 DEPOSIT MARCO ISLAND MARCO ISLAND FL 1,3.000.00 --------- -------- --------------------- ----- 04124/15 ETr.011-AMERICA ATM 04/24 11000002130 DEPOSIT MARCO ISLAND MARCO ISLAND FL 10,000.00 04,24115 RKOhAmEKICA,ATM 04724 7-00000212Ei BILPOSIF MAR07) 1i AND MARCO 151 AND EL 5,000.00 Total(lc:Fla:Ls arid =3LiIZA" ,:,FEE:i it-. 5115,4V 00 WirnilreiW;45. ! othPr Holitc :_lascr:7=c-_ _ _ - _ e!•WithGia'4Vdi if I 4 -- _11f:374 — — 0— — - _ -°--- , 04/14/15 Customer Withdrawal Image. 10.087 rn 04/14/15 ADT SECURITY SERVICES INC Bill P-m^^* , . cly1 c i I, —— — ——— ———————— —— C4,21/15 Custom_er Withdrawal lrnage -9,414.83 • - --- - - - - - -- - - - - - - - cu;=_.0.-vvithdrimial in-Inee - -8762.67 04/03/15 THE HOME DEPOT 04/03 i1000500901 PURCHASE THE. HOME DEPOT 11; NAPLES FL - 35.02 04/06/15 --- -------__ __ 04,iI3,1 13 THE HOME DlipoT 04164 .:000331901 PLIRCHA2:-,E THE HOME DFPOT o NAPL1-5 El_ -210.92 1 1 W" irl0 h,. .1 marl Ceetetrate tittionOt',Small tfusioos$Week&ft the . mite 1 FA,Fir.fl.'i-f'f.%,,Vdti bkt hatlidtifig A.MefitaVri intlIttintrialt t I make America ..rnm:chc , I \,,klia- 1 it is .Our.Stnall Bus:ft:lass Omer Ruport—reati Aluuti w-14.1 foltsi.w4 i i , _, , ..,, lima and porglettrita , . _ ....00parati •Brk f-Pon ei-i ca:Smaii Bil—,"`41: ess,LtgRalijm-q----sii-kiL.e rf isl',7;r-tc, f:_m .tr .....9_ 26: U6I1 ..i, azNi. :,;NIt otter.0-0*,:655-cmrws Ii 1,ffl- .:-Wil 1,411%4 fart:14 • VI!. . , • •,-,4:4:1:2,14=49.1-. Page 3 of 24 ■ F",,KA FINISHING INC Account# 1 April 1,2015 to April 50,2015 WithairaWditit t4iitj Ot her debits - COntin„Lifd 04/CG/1S CHLLic,CA{,:Li ;i4;.:;4 STUNLLii,iL C:KtD:-.;-F i,L;;;.::: FL 24234775C.r,546 61;6 i5C.K.)44 Cr:CD L:/13 XXXXXXXXXXXX4167 XXXX XXXX 416/ 04/06/15 LOWE'S#2261 1 04/06#000432375 PURCHASE LOWE'S#2261 1273 NAPLES FL -275.40 04/06/15 ESTERO FOOD MA 04/06#000711338 PURCHASE ESTERO FOOD MAR ESTERO FL -80.59 5 tHhtkt AND 0406 BRINKER BROWN FASTFNPB NAP FR. FL 24 41389R0( 80004677814 -1,175.81 CKCD 5072 XXXXXXXXXXXXII =a:xxxx xxxx 4167 ki4jUi-1/ AW1) U4i t irsn f,H(tt M■PAM1 )4F-,41it-414 i huti, r Kr-11 •-; _1 rric,CA XXXXXXXX,XXXX41I;7 xxxx xxxx xxxx 4161 04/09/15 CHECKCARD 0408 THE BIKE ROUTE NAPLES FL 24692165099000781522475 CKCD 5940 -1,892.93 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 04/09/15 CHECKCARD 0408 R&D GRAPHIC CORP NAPLFS FL 245079494942 294900089 CKCD -1.766.60 7333 XXXXX:01XXXXX1157 XXX>:XXX>:XXX>: 1157 04/09/15 Staples,inc 04/09 H00083777 I PURCHASE Staples, inc NAPLES FL -508.19 04/10/15 CHECKCARD 0408 EXXONMOBIL 97426696 NAPLES FL 241 64055099378006506503 -50.72 CKCD 5542 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 0411 015 CHECKCARD 0408 STONELINE GROUP MIAMI FL 24254775099461696150016 CKCD 5713 -4165.50 A AAA AA A,ALf b 1..AAA AAA A A..g,A X 4 b/ OM 15 SHELL Se PACE 04110 I7000081317 111UN1...HP.:=6 SHELL L:ervice U N.AFLES FL -50511 04/10/15 SHELL Service 04/10#000089537 PURCHASE SHELL Service S NAPLES FL -67.75 04/13/15 CHECKCARD 0410 SUNBIZ.ORG/FL. FILIN 850-245-6939 FL 24427335100720041691574 -61.25 CKCD 9399 XXX,,„%.,-„,„-„,„\,,„-.4167 XXXX XXXX XXXX 41E7 "3115 F! 000/0( t._tu 04/ 3/I 5 CHELKLABIJ 0410'5 I UNELINE UkUUF MIAMI FL 24254//5102461595150102 OSLO 5/13 -529.55 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 04/13/15 AN CHEVROLET C 04/11 #000493343 PURCHASE AN CHEVROLET CORA MIAMI FL -10,000.00 ozo I F SiEL Senfice ion 2#000254658 PURCHASE SHELL Service S Ne'LLS FL -64.48 04114/15 CHECKCARD 0413 GAIN JONES SELE STORAGE 239 549412D FL 24639735103900011300041 -23.50 CKLD 5XXXXXXXX5XX41'6I XXXX XXXX XXXX 416/ 04/14/15 LOWE'S#2261 1 04/14#000036598 PURCHASE LOWE'S#2261 1273 NAPLES FL -635.62 04/15/15 SHELL Service 04/15#000735531 PURCHASE SHELL Service S NAPLES FL -79,53 04/16/15 CHF(xciaprl n4i mARrn RuLDINr; 511001 y " °C AND R 742 n7-:=,-109007R-..monnRc -101 72 5500 5030.x.xxXx=KXXXx/11 z xxxx xxxx 11,111 Fair: II PSI 101SF TRAD 04/15;7000070007 pt tpx-HACF TURKUQISE TRADiN5 NAP! PC Fl -2 558.80 04/1 L U 3, LO‘filL'S 3613 64 04/16:00010443:2 PURCHASE LOWE'S #613 0415 NAPLES FL -631X-,0 04/16/15 THE HOME DEPOT 04/16#000473501 PURCHASE THE HOME DEPOT 63 NAPLES FL -647.64 04/17/15 CHECKCARD 0415 STONELINE GROUP MIAMI FL 24254775106461696150058 CKCD 5713 -10,208.40 XXX;;; ;X: =4107 XY=.4167 i34/: iLE 239-403-,45 FL 2-i-225-1-7.:C LicC D L:713;-=<XXXXXXXXXXX416S >:FXXX XXXX 4167 04/20/13 CI iECKCARD 0416 AT&T 3WMN 10694 NAPLES FL 244939851 UlljriZYQ6'libti-030 CKCD -168.30 4814 XXXXXXXXXXXX4167 XXXX XXXX XXXX 4167 04/20/15 THE HOME DEPOT 04/18 #000144401 PURCHASE THE HOME DEPOT 63 NAPLES FL -21.64 04,00/15 ,7,HFLi service 0419#444237071 puRci-lAi5E sHELL Service 5 NAPLES L -51 05 CKCD 7399 XX:0:XXXXXXXM 1,37 XXXX XXXX 4167 04/22/15 EHEEKLARL) 0421 ES SUNSET MUSIC_1-iLS i I 608-810-2063 LA 244313985111602115660015 -949.64 CKCD R99 XXXXXXXXXXXX416/XXXX XXXX XXXX 4167 coonnopri on the next page page 4 oi . . ���),�� ���: �i��� �������� MKA FINISHING INC I Account# April 1.zo1sm April suzu/s W� �[c4V�-.il 3::: d:i' �) �i ��=t_::;,': - 1.-U::I:I ill t:� Date Descrbtmo -- Amount� 04122/15 [xccKc4Hu 0421 R&D GRAPHIC CORP NAPLES FLl400/e45ll22U6Z]ea0OO49{x[D � -- -837.40 7333xxXXxXxxxx%X4167xxxXxxxxxxxx4167 -- 04/22/15 RACETRAC#2348 04/22 #000265492 PURCHASE RACETRAC #2348 NAPLES FL 's7nx g�22//5 p�[�l*A��2]48 D�/z: �n::7r�JO� ;unc�^�� x�[Erex[ xzu^o y�pLe� �' --- �-- __- �` sv U4123/lb c*FrK[Ano 5471 n/[�n,:: s|Gm5mAPuss i.-.iz !O77o55//zgin24)ue|4:LnLo /3ss -2 L2.00 XXXXXXXXXXXX41 61 xxxxxxxxxXxx41a7 04/23/15 CHECKCARD 0422 |m "NAPLES CUSTOM HITCH 2395960702 FL 24692165112000264039966 - -- ^ -341.21 CKCD 5533 167xxXXXXXXXxxX4167 — :4/73/15 CHECKCARD 0471 nmic,onsuPp|iesNar|esNap|es F/Z47c7aOs11Z000n,,,soioo6ocKCD s1217; bo �X.X.:x:««»x»u»��4l till »^:x x;:: :xxx41o7 o1/I'a/ :.--, c*sCx[Axo o=zl u|s61.._;-_, ". /onsmArLES rLZ4Orl0ss/ i298r|z4lbals5cucy /B-i 1e0800 xxxxxxxxXXxx47;c7xxxxXxxxxxXX475r ' 04/23/15 CHECKCARD 0422 SHORE-LINE FLOORING NAPLES FL 246921651 13000375075098 CKCD '5,0 ~` O0 ' 5713 XXXXXXXXXXXX4167 XXXX XXXX XXXX 416/ 0412]/75 LosE'6Y7ze/ 1 04/72 200034789op0x0Hx3sLoscs27281 1277', NAPLES FL -- �zro r V�/Z�/�s T*E�ow�o�poT U�/z��noo«oo5Ol puyc���srxs �Ow� DLpoTsa w�p|ps r/ '�7�.vv o^/7r/7s CHECKCARD o*24 LDwE� 4OI2o|` m4pL:� pLZ469Z/e5l/4ouo|oZ6Z3ov/cxcoS2on �--- -'�-sa -_ xxxxXxxxxxxx416/ xxxxXxxxxxxx4167 04/27/15 CHECKCARD 04Zs MARATHON psTeo125ao7 MARCO ISLAND FL24Z99lO5175DO23g3z/344l -9328 [x[o554ZxxXXXxXXXxxx4767XxxxXxxXXxxX*l67 o4/zo71C [!|LcKCxRu cwzroEMAnc::/ r INC m4,PLES FLZ‘,22}asjii/„m/�f-o:�2.=ay(Kill '�im29 '/1axxxxXxxxXxxx4|orXxxxxxxxxxxx4lsr 04/29/15 cnc[wCAxo o*zai oYVES4ozza7~Z39_sO7_9`I0r'z.abyzlss7-1S3SO97+u35l83[ncn5Z-� -- ---�- � v, '2sl |o XXXKXxXXXXXX4167 xxxxxXXXxXX%4167 - � 04/29/15 CHECKCARD 0128 ANGELA'S MARBLE&TILE Z]9'4O3'4445FL2423O9951l89O0uu/uu4ul7 -1142.13 cxcn57lJ)XXXxXXxxxxX4la7XxXXXKXK��xx4l67 ' :4"729115 SHELL S,�!C: 1_141, Mumx3-Y7t,':-1/ puncox cy,-ELL6e��ec±, �4p�c� FL 5 U h��a! �n'��r� =cr�mn� � � �l�7 ����' �"" Tmta| e|thdmaoays �,^6 other debits --- � . -:›94,9/1.i4 Checks ort.: c/, ,w ��o""t AMcu^, u,/zz/�� 2/�| 'Z50Oo8 n406/l5 2811 . 'uuo.0O 04/27/15 2713* -700.00 04/02/15 2812 --- �� __ _ -2,068.80 04/16/15 2801^ -2,000.00 04/07/15 2813 - - ' '1.104.71 a,/oG/ls 2802 'lOg9l nwO3 !� 2814 ^~ _ 's;�oo o�ob�5 zoov^ �2O�O o*m�/�5 7nl5 �� -- 4JuoC; O4/ 7/!5 2805 �36S7o S4:�//7� - r --- ^". �,00u.00 0401/15 2806 f60080 04V15/15 2818 -7Ooon 04/01/15 2807 '500.00 04/07/15 2819 -1.000.0n o4/0i/!5 2.S3S '��D�u o�mo�s :7;s7 n,� �� __� �° �7�D�� 0.1.,,n /-; ���g �6�J�J U41051/15 ze2� '- -- � '800.00 04/87,15 2810 ~450u0 04/10/15 � �, , 22 -40000 continued on the"exL page MkA FINISHING INC I Account# l April 1,2015 to April 30,2015 04/09/15 2824 -600.00 04/28/15 2859 -300.00 04/14115 2826* -600.00 04/28/15 2860 -219.42 04/10/1 5 282/ -600.1)0 U4,914/15 2861 -1000.00 04,115,15 1P"' --590.00 04;77i1c, ;VIF,7 -1..7.72 nn 04/13/15 2833* -890.00 04/29/15 2864 -400.00 04/14/15 2835* -529.65 04/29/15 2865 -500.00 04/15/15 2837' -200.00 '04/28/I 5 2666 04/15/15 2840' -71.-Y.1110 i.-1‘Li29i11-% 286.8 tuu uu 04/15/15 2841 -200.00 04/29/15 2869 -500.00 04/15/15 2842 -550.00 04/29/15 2870 -400.00 04/15/15 2'843 -700.00 04729/15 2871 -1'130.00 c1/1r-- 17. ;7.44 r,nn nn 0-4/1 5 i 1 5 2845 tuu!ju i UU.f.);) 04/16/15 2846 -200.00 04/30/15 2876* -850.00 04/16/15 2847 -300.00 04/30/15 2877 -600.00 U41131 i 3 .Z84L; --bUL3.1)1) U41,44);13 28/9* 04;17.1-L. .7 n40 -nnn nn 04/21/15 2851 -700.00 04/22/15 2949 -700.00 04/22/15 2852 -2,000.00 04/22/15 2950 -700.00 04/22/15 2853 -600.UO 04/24/15 2951 815.UU 04;22/15 2952 -600.00 94122/15 *;651' -59i9).00 04/22/15 2953 -501).00 Total checks -$59,708.39 Total # of checks 74 Page 6 of 24 . . Your checking account 2 r7ol." checking Arru 1 2015 to Atoll 30,2015 Service fees Based upon the activity below,the monthly fee on your Business Advantage checking account was waived for the statement period ending 03'31/15. Rank of America Merchant Services 0 52,500+ in net new purchases on a linked Business credit card P! rell IT,:2rvir:4:-tay Itlmit-'-' =.. ,-- .13, 00 i- av,r;ijge ■I;OrithlY balance 0 mall bir,ii it',1,Rem note Dosit()Nine 5en.i;ce (-; 11;..c..--J,000 f corobineo 3,ve:age monthly balance in linked business accounts ;\c.!-;,,C,;-1-12!!:. inHa-,!rias 0 or yoi,have nuail!itai fiar a maorhiv feQ w3i,,,,er on ttle nccount based on your usi. ..,;e ot tnese proouus or se;vices. .,-,,, ,::: 1_,,,,,',,_-, ,...!-,:-:.,: ._2, ::73 your 3.:(:a, oi oi,ea5e.ir.,;; bsii IkUi:1Htlicd.Lut:::sri:L3libu:-Ans. ! 4:4rSV iPE tr-PY ii4- aZil-e.''' 041W 31169.90 04/1'4 44,301.73 0422 04/02 41,701.10 04/14 47,199.95 04/23 21,603.22 04/03 4766008 04/15 41,870.42 04/24 49,354.78 571 .5 E, edii f, 34,770.66 04/27 46,719.92 04/07 *1,c,9f1.3i) i'i I i 22,;),Zia4 2 04/2 7S L-160.34 04/08 45,231.00 04/20 52,274.62 04/29 23,137.07 04/09 39,634.69 04/21 42,159.79 04/30 20,087.07 04/t U 52,746.61 in Unilite Dankjni.: .i)r ri plint3l3le vEr--71r-,n ro•trIr' --'-o'..‘-r 70 R''''"" ,r.i1,i-w`c iiiinT vvork:,l-iceL Page 7 of 24 MKA FlITSHINC.INC Account i April 1,2015 to April 30,2015 ,..„ • rr,FINISHint;!TC 1 Az:.,...,11: -:-; -.,::. -......:1 -...,- -.-.r. ..----7 : —ra Account number: Check number:2711 I Amount: $2,500,00 4 ; .................. .....t.n anowiv aftel d i r_'• !! d i • ...._, !! __. Check number:2713 I Amount: 5700.00 II . . IOU FIRIVINeg We 1 p._! ' 1 , . ORA TA*Vt:Pala=BIZ I. 1-------... i ggggsgrgg.,-,..g. _i ,,,, '''-.".;; j'■ - --;-=.----,'..! :, ,____ /i V.7..-•=--t.,! 11 - ii : _--.. - ,__ __ .• g2-- 1 , i i ‘.-4.,-7, --r- --, ----,.---0 k LA ii Fr .-il, 1 1 I itanimihnerica, IL.___..............:.._....._.......___.. ji t , 1 . il FOR ___T I . I ' -, • Check ntIrn-)er. 28t1' ! Amour-it: S2,000.00 Char.•To: 1.0”1010025050741532 8711VCLOADTX1UC .- - AS;e&aellova X.-...unt 005564:9Si. . ,DOC112201200CW i g ■4 ozA;Itr-Utrit1;7;iiiiLE 2.6U2 i i , :,-.-;W,,W_*:-:-,i ' • I I 7■148.7“.111 'Mt"' .-.'" eiii3lE',40320i5 - • ' - . E till DI I, .22 A$ "pg.yv 4...,..1,;......g., 1 ! . ■. ■:0 ; - _ _V00000 104R i, 1,, J_ _ ...._ Check number: 2804 I Amount: 5420.00 , .„. ... . Fr■PA iiteittili14.71 it'e; 21---,. 1'. :. 21 :- 7,-,,,, ,!;Ylir4•';gf-gr.4944,;,1.“,”43 -- -- - '. •- li Eat. 0 01.1,418 E EA 1 BankoliWterical,)" 11 ■' .(..., T 1 —.. --. ,, i! • •t : ','- tnntirR•ed on the next p.o.ge Page 9 of 24 . . ;.. 7;i3F-tiff,Yit7.14 ITC-Tii'l,Tif m.r,.-•,',r.,r....;:,:;:74Z:_.- :NC. Azz..;;L:nt ',;-; ! ;=•p41 1:2015 1---r-,P,orn 20.201.5 , . i : ' - Li-A eCK iiiiages - CCIFiLifiliLi Account number: cherk numbor:2805 1 Amount: $365.70 ----- — --- - - --,i 1 I i , .,..,„......_ MSCA 9•N•SHIM•1 MC /6,_n -i; ! t!!, . ItI ! ":!•.'Z ■ .•__Itu I ETihz Lsomirait-ux-pwr--,.----A--i s?615-.7P I IiiirliZ I 1-11,(4. -File—tIotIn_rs4 701 71 001.1,11i III EA P• Bank ouninca. I ( ;. --- _„, .• , ;: ' Check number: 2806 1 Amount: 8600.00 il ii I . . . . MU FINISHItai 4•IC .". •' ! 1 I CSA WPM TIL!A MARE11 ..J.9.....E. ,7 /,, . 11 1 .. V-'Z! ,;"..-A ....,,,,.__ .... - I: ;ititte ••,::- i'-tt.... t--- i. 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' ' -';T;t•:,.:., .:11111VVRAISA9,14.2r1: ''firr- 1 AD.rit 1.2015 to April 30,7.01:7., Account number: Check number:2810 I Amount $45a00 ,, . ..-11,4 Tr=TELE,1 k•Artel,F, 1: . . : 11 ■ ^ -,, ,, i- `' '• ' ,. ,.,,•• . . 1 , i l i I'07116/411'al/ :IA tr • t• i i °roc,. 1 i:- , - • ., . , , • . • 1...,:1-_;.,...' ''.0. •0.61.l,PS■, . I,. 1 ; 14Igire. ericel@l' .7 -. 1 ... t• ' T a i..i. .. , —...- 7, Check number: 2811 I Amount: $800.00 ir----. -------"------7-'78",,11 WU Pimf44114G NC. DP,A TAP=ME 1 WIRELE 1 i MIIXTYSLE.IF !! / ,...=•.,,-,,;,,.,., -- 11 *-..,---...,. ; ;;;;gl,,. ;=-::";...,;.---.-r" 4:-.=-;-",2-.-,-:-... ::.'i'4.---,•-•, i i i 1 I; KaL_4_ -;....,s,'" --- .-.- -k----- L,,,,,..., 5 ii ! ofAmarkaliP // : 11 1 . ! : i ...,....., , - I 11 ' 1 I , . --- '- ---- I Anitiunt: r------ - ------,. ..!...!.*-w...,,--- m,, ,=m=!n.-_-,-,-, ..,........ 2812 „,,,,, II :,... 1 - 1 :::11 :: . .:i4.:11e.,it,i ' I:" thAf iiiitAl' : • .',.. : : ' 1 ' 1 -: . 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Check number:2814 I Amount: $500.00 II , WU rINIEMENG INC 21;i4 11 !i , ;lax TARPOtt Ill L&IMRE ks....3,:r..;;14-,1,x1,9211d001,9., 1 ' , . = i! • . ._ : 4111It 'L II 1 I Iii:tf Aran■ t , I Fcii : I • ........ I T I : — Page. ii ul 24 . • -- A-C..-iftwrty(5r.:77,e.77-1-1,7=4-:,1 Ai.L k71):Olt. ' MKA FINISHING ING ! Account # A r-q 1 2015 to A1 3n.211,15 Account number Check number:2815 I Amount: $400.00 i_____ 7 — .. . ... . ' f i f:ff•-•-•-f ii'''-i.;iii-sl i•r"i: ..',;T■ '4 Ka.,i : --..;=kii•-•,.,,- ,. ..- -- IS 1 i 1 fltig or Afir i 9 2 ,Of .1x-fft : f$1/00.pd 1 . . ,t -kig. •,;; - ' . .;br ,g 1 ELE ' 1113 KIN12015 C• I 1 Berakr,:fAm' trial, .4 ; •-`-‘ I .1' t ; i Check number:2817 I Amount: $4,000.00 l''''' 2f317 1 I i 1 '. ?MA FINISHING INC DNAT*NN'-_,N TILT&raP.Ct-7 i ■ .-..nr.74: ..„ 1 1 % ,,. t■-■ i • P,C.AU 1 1 Ifilii:UMMOOCS 7//I I E-r,,r?-t,.3 s. ,74:kig ,Ix: Sc'• 110V17 tPr- 1 F. ' ---' 3 i UKA ranfaigge-P4■; Lilt i CNA TANNIN lala NAABLE '''tirli 1 ; i 711trIIMMINI 11.1.61FLUR0.0 Ur; 1//4.7(.1 C i....7:: Df.,,,,,,, .t..`. #.4&49L,==.:277.,9411115 1 I ' NaaVANitill'Ill' i I 7.= 1 t ----,-4--- S 1/ ,..,, — ■I ,- ' i i : I i 1 1 - rig,••■•.......■;...■--__ ... ........j I 0 141 Check number:2819 I Amount: 51,000.00 ;. ;7i;•.,:-;;..;=,;,,,,;::,, 1 ;.. ,..y.-.:.....,... - ■; :'2,1 .7./ I i'OW! • • . --. - 2 ; II-------__I-..d. • ;1 i r . . . f 9 9■ ;----:-.- .'"."- - • I Check number: 2820 I Amount: $3,700.00 • - 1 1 l'.4:1:::•?tits..".; . -.,1 . ., I FT UNA NNENCINGN#C ' TY2 '-1 i-Af11.:74 TILE&NAP= / .- ''.;?; l ,, '; I ',`;;;,r.r;-;'.74 i i ' N5AISR.74,441.55 ///,r), C: t_--,_,. 1! 111:-;-•-■la0..6;_ja0-..='.'",1'.1`,:!..1."..E±!--7` i: _.„_..,,:,.. r4....... l: 1 i ' 1.•. ' ' ..• .- ' '.. _ ' '; -;'; • '-•, . tr . IBankofkiterIcee*. ., / 1 ': 1 .. , . ` I . ,. , . . , 0 .':' ' .. 1' . - i . .. , i S'_-____-.i ' '.. ' 7 '- i Page 12 of 24 . . r• ri.,!-! i,_,....,.r.:.;:,- ' ,,-„it--_,-,_;:i..i-i....-v.H:i-4=:-•-:- . •‘ .i,-..,,p.t:--, ! April 1 7(119 to Anil!30.2015 -— Account number: Check number: 2821 I Amount: $800.00 • i — i • i - -----; ir--- i . li 1E,I., c7.7( _.,/?4 e---, A I$pc,va , . It , I • 11 ri,-71in:i/,,,..,z- ......57-t--.„------ // LL i 9 i DOARS el WI:il: Baekof 1> . ....,.... . il I 11 . ,..,+' ,, . Check number: 2822 I Amount: $400.00 i I 7 PAK-4rtifiSi,"* DiG 2822 I i I eatTAIVOII TILE&MIKE S i 13 1 I. i - -- il : '2A i :::::_::"z,1:.7:- . : , . ,, 1 B---,r1-1--kloi America 10' I' U i 1 i ... 1. ■ ;r- , 14KA FIN:W;W:liWE. 2821 1 WA TARPON TILE&MARBLE RD RICVALSOR 4WD R.3410,491 .hapf. ' I I : .:-... : I I i' ,-- L,,,- '•i=.: 1 1 :.: . i; ' Raritoiketerks-w- i .1 t_set.m.-7,,,,t.,,,,, ,-:g.0A;ic • -1 Check number:2824 I Amount: $600.00 :.------ _-- _ N1FIKUU.1.6,Mi4:1 C..,e eon, —4 .• .;: ■ ..:,,._,...,...,,,. ‘..,,,,-,_ -:T.T; i i . j _-_ ORM OP ..e. I • - AL.. I$,..r.44 I:7 i r ''—''' ---Itojimolor&',MACON. , --...-----0,...-,--....,_2 . ..,..-,- .• COLLARS 61 F 11 lilli eankoiAmrica. i 1 • II,,i'-'• _....:-Att.—_ ---- 11 . ;■ . --- ' Check number:2826 I Amount: $600.00 I r---7-7—,s•tArfemmw,Nr. ..........i 2826 e I • . .a , Ct I i I ■ 1:1111TAUCNIILEZU=1.1 /1/..--; .,....... . i i , :i:,"•,. 7;r - ti i ■a i '' ■: ;WV.-;., 7,---.1"..;e.. =1-,.."c.. -■ i ' i 1. i e--. _11:,,_.: ..."'---.,---,—; 11 1 Inkatkierka, --ol II . t 0 . 1 3 i'CI Ha c,,,..=.• i3 u:24 . . cl'''''' .:i..--- -----v„--e-7. ..,---, .:!"..I.L1.1101„4., ?...,.:1 t 4.711: -.{: -- Li-ii.-:CK Midges - rintiPti Account number: Check number:2827 I Amount $600.00 _ --, :rzazzer.remie.EICI.=,27====.°. f-..a... ..,............i....- ■mMOommli . !I • DM TAPPON TILE A eA&RALE : .: _- . .. ;!7;;1 7." ■I . . • '---; ! :-.; •••--• .- j • I rtil;,;a, 579 ft it\Ot 5:K0-1 I$ 6 cla!Po ! ::.!;i:7!'":!! I _._130LAS : I BnikarknerIceel" ,I ''rt.i • Check number:2830 I Amount: $600_00 ir— 0.1111MIEgailla•MIN...11IMIMCIMINIIII I :1 : !AKA fINISIIMC NC 2g:.; 1. I !i : MATARFONTILE ; A A ! / _ „--- ,; • -.--, ".7. • „; •_3, 1 ii 1 i 4 4.........'''''`' , --, .--.-- . .! ari caada--,-.3--ta.1.-..m.:TD,.&inn BinkilAawritevir /1 ..4--- . 1- • — ;!' 3 _________ — ___.............i • :i ill KA M.1/41FX:K•.:.,_......, 251, II • : 1 D£A1 -r.Wi MA A;AMBLE 7.6I PM V141./MI NAPLE511.1/11.1105 ..SI&&ZL' ''';74 II k.7,,,,,,!lank=',.;&:=:".L.th• I ..:i ,- , 1 ...1._ 1 C421. 2-41C/ (9/1..1 400-S'0 I D I.,...,..,;;L; 1.*er.... .raz..01c&I.."&k,,,1 : r,...,."_&: „:". . 1"."..,__:;_.ift; BM.-n-,.* .PMtAr,..--/-. _ ._.-_,......;-_-_ —__ i I ' 11"12 1 a 5,,rAafitatlisa.' / i il aar;11:a a: . ! ,- - i I I . ' -- - I . . • Check number:2833 I Amount: $890.00 .....___....._ .- -- -- ----- . . OM TARPON"TILL,A i&A....&:_.& - =-, ... :: ;1 • . ' I: : . i • Ea&oftimma4).- , t , . . _ .I !":". i:! Check number:2835 I Amount. $529.65 2 11 1 II 83.5' f! I 1:.''"- --1`.::-12,--x.:•-i'.2..:''"?.&;.AirViT:1-;&AtiiIIILE il !I 7.72,TInal..Srli El 11 , ! - I Z1 I• 1..,.....I.,n n n ii 11,,. i isnkriAmitticatew --' LI I . IL::•;:.g,..--; . 1 ig .vdp,r. 1 , --- . --tL----- . 11 . . 3 . . °"."'_ AI ,......................... . , Fape 14 CT 24 . • -;'1.t-- ll l',--.-r1r1---------4--,•47-'''''' l (1! _,1i.: 1,,, 4 :1:.1, I April 1.2015 to April 30.2015 Account ntirnber: Check number: 2837 I Amount: $200.00 _..._ .. , if-,*?:tkilkq.-A -: :- • - - . - -1 DU TARPUR TILE a MARElt '.''':!.':•_'..,.1-1,::.'11.1.-1. '-. --I i ' ,---------- ...T..,i........• z ..- _ ;,, .. ..=._..if-.,r±,--t, - ' 2;t t,F .it I /r. 1,,.•>,e2 A.7 ' •40dcistivis2015 .. ... :, • i&*4,.:3 ,6.- I BaikotAnisilca.' A 43'I ,ILLAFIS '.12r..., 7' ri • -'• 1 •, 1 , FV4i-kgl : , ki IS ; I --- - Check number:2838 I Amount: $300.00 Piriztir.*A.T. 1 i waFINISIIINC ar. 2638 1!.ict‘zit_:■lilal'4' ... ; . . _ , ,., _ e' '.‘---..,:_--.- ,, •-, e;-; '4' v ■, .. . . III t Bank oflissuicallo* I I: '.' :. i . • I. .. :" ... i _ - __......_ -. ...---..... —'---7----.. 4.,,;-!•,„,7.- I 1 1 Elea TirvAiiiiiiii ilinSLE 7EPPEInf RI NAINMISINI.egn ,,,..47/,(// .."'': i , '' • ,...- 7:4: ":,i 4 F-Z TA ' ' ; ' :,...: .•....,-- - 4. `-; '-4'-`•• .. : :-..,-''',.. . . 7 ' '/ >, I I lk. t clp/..7-y e.......„,.....,._ , , A '$2410.90 . ,14210i'FADVivilS .- If r'-... r - , ■ i 1 ft'i,...IntliefiCS-49' i.: .. t •-;z`Z . '.11 ! ,.. ! il .,... . ' :•.e. : I: - - - ----- i! Check nurnher 7841 I Amount: $200.00 I . , tirfi Tit_R_PON TILE a MARBLE 2=-'" , .,:i.:,, - -",^4,1°.1c12-41"xmle,r,SITWEI4'5V6.'''''''''17W". 11 trz., _. ,. • liankoflintricalg.' ',Elfiltyrtrirefi){14fINUDI5 . , -. „ ,. t ; , E 0 I j l - 1 .. , 1 .. , Check number:2842 I Amount: C50.00 ILK.I.r/VPV,V10 INC 24_42 :1 i:411..TAX-OlgilLE&I;Altill&L2 i i i . ., '.- 1 -:: ''• ._. • =,i • ; ;it t:. . . li ItieltofAmeTlaii," A' 1 I :. ..■ ; ::',..:i''..i . — . • .,.: F•1",z4",,e. I 5 a;- ".-',1 . . 'i-rfri-11.171 1.74-13F' rznA,,,„,,,,,,.... : p.:::,,,ii-:::, •=-;,:•1:1-•.201S,-LI AP:rt 20;201 S 1. it...R-:-..z...4 Account number: Check number:2843 I Amount: $700.00 --, ca&i&Aper•p.&&&m&g.N.E. =z4.' i; • __:, 1 1 1,,'0.0 7..77 s e.,,,e:L.,.... .., ..,., ile... DATE -I",.//.7,1 e_.,....- .... II • Z.: . 2. ■ .. I , „■ I i ro NI jr . ,I>. I$-7PO•94, 11 - ...0''' Irt.,•-----'-----e.OLLARS t Fi• Ill 1 tlantolknote&41°. .t •, —4t i I•,.., •, ,: ,, 4 !I , Check number:2844 I Amount: $600.00 I --------.---, I '4'="4,'IN'247rmric NI TARKti*Tii- 4 t44ZZLE ' ' ''''' II . . ■v 1 .fi . nal mr ra,. i l'• 1 j; ==',I -,,,,—=-:== J,,,,. ,.,-;1 • ,.,I_,-I ,.: I I; •'''.. I i " ' ' C.r .. iV il,./.1, ,,, "7.r;".,..-2 —,..—.--..---,::“•.. n', i; I I(calcite A;11014C4-'10. nan I/ I .... 11 i I i ' i , 1 1 kii :%Z I ,^\ ,, --- —-- -■, . . 1. i !AKA FINISHI NO:IIC ., ; II ma TAAPON nil A'WALL /911.4.01.E DA 1 . . i. . 1 . • 'Iiii‘!1 I ••-. .. .2 I 000,99 dr .•• :i : ,./2, ta,,,:•..,---,, a,-- - F. i I utomAnAigits'W I;1 11 . ., • NW"- :; . =-,---•= ,.....,_. . 1• _ , a:= 1 Check number:2846 i Amount: S200.00 _II Fr; .::7'7.7.-,, i .---- --- f ---- :' li ILA-1:5c-14:7-24 ' i$2.,2/-00 ______________4_,______.____ • . . !! „.,„..,.,, ..._,......_., ..,,,_ _ ., ! k5 ,; ,:■ ;,............-■ -. ,;; ,,.a.......,..... ....■.....-.... . .. . . Check number:2847 I Amount: $300.00 1 rINIIIIII1071..!IMG.-*...i■...111MICMIIMI.....102MIIIIINIPM.11 1 %1 i i ; DEFATARPletIM&IPT,fft& ti f 1.f/ 'Pr(C.. -, ..- ",----;--,- 'i . •is.., 1.,. = ,: i i ■7.-i:;67n.i;:,%;:i,"7_17/ ,:.'",--;'a•--.- - ,..._1 ,,,,--,-.. 1 ;iTits:_k,cr;i" i7,<• 101. 1 il I ....... 1 i ] 1 1 . I'd4j.,:. IC Cif 24 , . .:"IAIL All 0.1A Account number: Check number:2848 I Amount: $600.00 ... :„: . •,••. ----L.,- ,.,• . . 1.,,1: 1 , auludAmeria. .. . i 1 i I • _.. , Check number:)84(71 I Amount: $800.00 Ir--r----:-t=-----h'-'--7-i„,I BalkotAmeiicall0 • '''. a I 1 FOR . • . , I .' ir -•••• „ , . . ,-, I:4.-t.-:7•-7) - -,.••••,. : ,',77-,74;--,774-.:‘,71:.wm,.--, ,.. • .., .,. I , NSA FORSN1N0 DIC ""'"'''''''"'L'' 2850 I ORA TARPON ME A MAMA .'- ',j=i:1-:-•i'. :' • Y,:;,. • ,:::.;'!.'7'•,,: - V ,,,P1 mak 1 I ''::41rZL • Rd, -1.//W, - . • ,,,,,,.:" .. , .., .;.;.,,--co -....9 • . , . ;; . ..,77.-i ,i.• ,-2.,..„4„--y- ----,::_z7--- ---.---_-,,,.„ .. p I 1 , „,., , - — -,-=,--. I . L I! .. Tht------ • , .fre5i - 11 1 . • '' -: I H"' _,„ __ _ __ • j• 1 „..P114;N:AWDic ORA Una am a mama 2d51 1 i i i 11 RRINIVRFOR WRUIFLYKI.1 ,,,,,., - .:= I 1 ,. - -:,-, I . ),T. 11 1 itotoiXverite,' ..i-- J _._ i ' 447111 rz,,,,N.x.w.,atzr,"7.7,-WitS ;—..----' --- Rd C•;---:i2 1 1 .: I i 1 kr ;C i : . . ill 1° Check number:2852 I Amount: $2,000.00 -_____ , 3' 1 [ye....TARKN ras a ktaFai t, ,, q ; 1 ..... •=1,, , , , .- • .,4, ... — S209a/a .- 7711-A 1 4.02 .7 DOLLARS a,..• 1 - Balkofkanica4P" git); 4r6i 144714,7 , I 1 1;,..-,_• continued on the next pnge Page 17 of 24 . . e„-_,-,---- MKA FINISHING INC ! i Apr:: 1, ,0 _,to ApH Account number: Check number:2853 I Amount: $600.00 I! l• reAt moon.:.nrg.....,n, ZB5.3 i 1 i i e= fve- ,i,. 1 t.c=3 .Z I - ' 1:I IU 1- I sink-\‘Cminati ITOLL-A R 6 el"8--1 I Pall.1140.07 1 ,iaii 'aiswa..crszssurts B42z15 T't i 1 , i I I° i -----_,—. Check number: 2855 I Amount: $600.00 , 414 MILA FINIELNING me 2855 1 MA TARPON1ILE I MARBLE :--2 '47.11 :: --- -'.."-,... ''''''.;.:--7, ii • , i t i BahholAntriez', , I , ) I 1 !-• . . . ;; Mu rigiannz:t4L- e.3.:-.. , OSA?AVM TiLitlk MARBLE ; VI 1 i 1 RIFV.M.ELP WAD P1.6110.663 ,,,,, i(2-Vir OMR 1,,1!,, .1.,I,'_T"•_P_'•-_ c .i t., • ___..........,— . i 1 : j txskaltarresisa,* /1 -: .....,— Check number:2858 I Amount: $400.00 -----, ;11 ' Nwc.............. 4:: 11 I ago.ori7 r4.-.75 ,. 7-i-/...,,/ /ot ' ."--....- ------1---- 0 1 ankof Amok.IIP i ,PP•pleafterp 1 : ! ..-.--....■.-.. =,.... Check number:2859 I Amount: $300.00 , !. !7.4"'"' .,../.? : ; fz.r....;:z... ,,,,,..,_„.i_Li. 7-; , ;-.. J.,..... 1 mr ___,_ _ ..... „.. 1 -----_ _-----.. , _: _____ ornMPILL 06 3C11001ad 1:10556LAMS/1.0# Page 18 of 24 . . _...... :i,•:.;-.-ii--,-,i';,.7,-;--cr3 f',"" --;-•-•,--;01,-- '`.-:;.:'" - ?VIKA FINISHING INC i Account c'L I April 1,2.u5 to April 30 2015 Account number: Check number:2860 I Amount: $219.42 . . 1 i i BAKA FINISHING 1St _ 2,55t1 i i .7.9-,4:1..7_7,7, =' ..,..... , , --....1,--.. . • I i ; PPP i Tug`N.uvirtel 0,tittf1 dotka.f5i 4'1,0 1 Ag 11 1 lenkafAmedealP ,A li . i 1 Check number:2861 I Amount: $1,000.00 IF 1 MA FINISHING INC , 2;71 '- . t a , ---', / 2 i IsolotArizeica--#' l' 1 I 1 hallATONNO7 . —.IL I 11 I " ,... i . I rof , ' . —---- ■-=;----- —,.. ___. —,--■..--..a.......... .aa— `a; ' - - „ _ a a i i 1 ' ..,..2 .AG:S•4;41;PIC -2E...57 11. '' ',Ill;.X. -- i, 1 auditiknarica . . i 1 : ---•,--- ';1-1 „:..2 I -. Check number: 286 I Amount: $4897.20 .. 11 i ..-.'14.;M;1-;.A.Z i I ii•-;.;Fiii;,..;11;i::: _;.;;;: i! _ . , , , _; ! ,7_-77,-.7— ....ie.a;■,:` - a i .., . - ,: lija a.Ma_ixolie -roofq c u_C., $ 4 efl- ,,1 o„„, CI.g. Baoltothsorical* • 1,i 1,.■,;!iiiiii” •-, :c. -,:. : l - f.: 7 :-..;';', :' ;;;I -,.' s I; .*: ".-;it , -;. 2' ...i. ; •:: -.A' , r,,, k iii• i i - - .-..--; 1:: ...•;•.,.: .. !•- .2: ;: 7: r: ".; 17-:-.; . •1!..L -P, : -... Check number: 2864 I Amount: $400.00 , 1„..--.........._—.1—, ..............--...-----i. ,.. „....,..„.....me Mt •, % - 1. .; _ i i..vr..$4-,.,j,: 1 • -, e,..7;. I i s:f 17 t,71 f ( '''' f - - . - r .., Ii 1- ! -7:-.:.;-/- it.Vii,..,,1 r.---'d ---" ..-.,■:' 1 • 1 amkomookallo• / II'T i ,y , - S 1 I '1,1 . ' -----, ..-'..+ ". ',11 .,,,,,..w2L.'..,4.-‘:-.. ,_ .,....t.:. • ' •;etiffliiii:trf'II,il3r-if'l'47. f-,,=T-_:,--- •,==-== ,HH - ; ;•,..._..___.„:-_. "...' ! ''...7!..". 1,2'_v!5!-.L.,An!!!•0 2015 (--:;77-L":"•••.4f ,...............“ ....,:b........-..: .....—.........:......;,...‘....„ Account number: Chock number:7865 I Amount: 5500.00 -- --_—_.1, , ; i; ; ._..._........ ti I ti-,7.,:, ' II I:',111,„7-r,,,_ii/,,,,,;* ;s Soo4,,,, 11 ..;,;•,..; I 1 ---/Tv, 4.9-cl.. .. -.- I fladollaierIcee' T----- COLLARS 2 P- tou sePelECS>822942757< F......,.. 7, $ . I , 1 .KOIRMT I !. 4 Check number:2866 I Amount: cRnaoo I r"------. -------77-----7.71 I VOA rrOlFirn fMn < :<=',' I?'ii.!tilt9iT'. i I AT l'itI 4 414p:41..; --';, , .._ , c..,v,,..J4Iid,15 , , t---------`, •■ . •,•-• ,.„-, ,_, i i . i z:i :',..••■'; :,•,,-.,,,, I Baelighnericalli, 4 I. ...._ r) II FOR • 1 .,' • . . i --,............,■,,..,...--,.1 1,..i .;,...,i.- . 1 1. i 06A TARPON 71LE&Phillitt /1411n445.444 laiRLIIFF.FoR4o■ +ATE Z ., .1.2./9 Li- won ... F 1, - wii,i., .bk,..;...--- ,.*i,,,,...•.... .,.-.;.,...--..,.i.,4.? , .,...:, 7!-.;,t; i 7 •-v-;_ — `) i .E.1.34:4---11:44,An•-,•,-,-.;,,,,'; j• , ,1 ;,_,; . • b ;"..V!4,,,, • k L,q,I _ '''Z.'Zii';--%•r- . '--:.7: 1 i; i ----- i.J i ' .,-•••••Lz. - . 1 E —4.4...___ I 7: -: • : f,, 1 I a. : , 1, —. " " _.,-__ ( Ilock number; 2868 1 Amount: 500 Ou ;4— II:l'A-41111-'4.-tt r' " " .• ' '''. 4- ' I t IV 24/15: °P i R.,44.41 --.1?--.-- ..--—.-4------'nuLLAR'll 61 r . ii. ;iii,rt .•.-7.;.T.:- :;;;;..:;.-4-,-;- :-; 4 ..,.._tg;:- arara..... 01-7.:::,1.:141L*"...7:-.4'" • `` " -, - : i P !'t --. - ! : I.-.`'. : . li- • e„....-..--- i; - .4 .,2 . I i i i .4:7..;=_! . ,. ,..... . . Check number: 2869 I Amount: $500,00 _ _ rii,514-1:-,e-.7,41--,...ii iikr,..,-,,,, _ i! :_ri:::::4;,f,:;-.„, . i, --..L.-/..4-;;;/.-; ;4 i;. i ii!:;!.-rt'lt ..' _ :- • - i; ; g_;;'-i-.r;,.-:ii ..„--i.i z, i t ±ir{.XI CC..3O7,01. ,i/r r .. 11,-.i11i 7;i ovara.P.is'r.'''' 1.', 1 - r1 _. 11 .9 _ ..,.''- _ 7 —..•4:',, :.. 'C•,''''F...-'7'4•6.4T'L0a,!±;.;;:'gF;t.-:1 1 8--t -.-..:,_:-. ii ii • •,•_____:.___=:_..„-- _=_____ -—_ _ _____ ...: :, , . , ,,,,.,•„,,,,,,-,,-.■.:;,7 ,:-._.if.■--Zlij.: Page 20 of 24 . • $.:4,74-;;;-,•-e-ii.r4 f71771-1it,Th'.'''''''.4-41Pw. •'7...k:in 1...A...4ti.'....r.-le:e i:I.„&„ii.."'J'it.iI...e,:z.',..,-,,,, -wit MICA FINIS-I-ONG INC i Account# i April 1,2015 tiri April 30,2015 ,---4.. __ -4- ,.,............-,..-...,..., ,-,-..,,i ..-......s.: Account number: Check number:2870 I Amount: $400.00 ;7,--...-=,...-_,•-• . —..--- --. - r -‘ i. , t i , ei;;;;;;;,-"--- , , , -e.-L•-. -.J.4 , i' '4 a.,i ;1 ., ii .,'..'•;:-!..-,:... ,.. A'!,, -, -. '-,..-;0,.-i-•TA-34.4,-tl'az.,. . .- - ZIrtR: 1 t.7 I i'''' OULLAR5 i ' ilf:f I 'haat Amerkee• 17 :iTit :,-= i-= • 1 Check number:2871 I Amount: 5600.00 . 1 1 1 - MA FENIMENO OW- 2871 I , OSA TAMPON TRES MARBLE ,=,..-...,.... "7.::- 1 I • f - IIC .. . II . I k j lankofkaiwkiet II I 1 ......„,,t;Jki•,...i---ii.:..7....--.w.51-.7.-7-,,..'.:= - i i 1 i ...ie... -11i-- I I 3 1 . 1 • 1 3 1 :ir _.-____ _, i, • , I 11 riga TARPON fig I MABEL:: it0•44.1.ktiS 11.100■00. ME_3AZZ-S1 7'_'!'f-"-'2"74-------S;2'''A--, / i -6a"-';'--------'' II , , •S laa 0 0 I I _' ' . • '; '5.- ',4 ,■ CA i FklaaAMA'r,A-'%r- 4!! i:I 't ,,.1'•, ,''', ; ...t " ,-., i i • 'i.- i ,—.. .......-- x , Check number:2874 I Amount: $700.00 . : i 1 != ..Yf- .1'.-1!i2'?''='..Til_TI-: • ---,---- ! :-•;-.:-..,---i .,,44.44rs.-, '1,. BaskefAmarka'OP 1 . I '.. l' -,,,-,,,e"-^?-, • • i . , . • : — ! i- - ; ' '-— ------=- --- - -- -- ,- -- -, Check number:2876 I Amount: $85000 I r........------- • RT.mim4Imo Irtc 2576 il risATARPON MU'A MOM i, t L :I ,I I _- ;' i i i --e--7. i' _iri_t.-..e._•.i. i i .er......--- 1 i:,-.: I I • 1„..:_ti /....5ii.,/,,24 •'e-!--;-,./- I 1 gantiiimerica 11P LI-- . . '',' --- -— -- '-------;-''---''--- ------- ---'''.--- ---- ; _ 17:,-ike 21 uir 24 1. * "T17"1:11 r4 'I C,ffrirl '' _ Account number: Check number:2877 I Amount: $600.00 .---------- ,i , i II --- „.. , t, ( I rnal'al,542,75,p't '14.S.,..b.-- 1 S 69e,O,00 1 i I _ ...--0 -7.....■il -a a L.A II BenkolAmerki .......,..„, .. 1 .. .. . Check number:2879 I Amount: $500.00 ., . ■i j ::-..,.,J.,... i J i-e-r/ ': ,. 5 I I Bidet Modes IP' f MIRTENI.. i I I . ) Fon "' — 1 I 1 asa TAIWC14 Tiii&irdiant.11 7.1.£111.1111 Mut FINALIM MAX 17/;AVia c. "1 ,. \.t- 41- • —r7, .; . , , . i■ 114 kr4 XFFikle4'-''''' i; i I ',i i ;t . !i! - 1 I I Check number: 2948 I Amount: $700.00 - ! ;! 17.4,WL— • ^t tieicipAVISfV.71/ii: 13 7Cao 9 I /7 ? .47 ''---7 DOLLARS a rA ' I - 1 Bag elknuica 1110' • ' •1 r•-.. az _ I 7 Check number:2949 I Amount: $700.00 11(-7 ,_ laKAimisptlf---"e77-K -------- 2.77-11 V I :; i ,•,,,,,,.//,..., ri-c-., . : 11 FC'n i Bankafillattrinip 1' —r— _ 1 I. . , Niao i 1 T-V1 iiiii,iii,,,,iiii ii,,iii-X1 i-it■ii Page 2:2 c:_yi 2,1 > . MKA FINISHING INC I Account# I April 1,2015 to April 30,2015 Check images - continued Account number: Check number:2950 I Amount: $700.00 a. MA MI MS S RIG - 2960 n MA TARPON 1REANARRE e C t ,1wwLFm e 0.Y W..111 Gii�S��L 1 ��1 Ii' -' / .OLLAMe ®P 9 --onnwiioa lP -.'r '3 MO _______ , Check number:2951 I Amount: $875.00 0111111111P011111111.NG INC 2961 < 9 a g ;OMR 1W OKiI M D 'V -dis no i .�it S' I �`.: pp((������ J/f/ JSO.� II p it 1 . tS• �/k 111 lllol,�tr b! C :+ems TL.`(+-if��'`DDUAee®�}'. !c i 11 "§ i sigkorkivies. /I b .C. _ I. Check number:2952 I Amount: $600.00 - MKA FIRMING INC 2952 1 OMTAR/OMTNE A WRNIE iE 1 nP.11..I. DUD /2f I If r it , il- ,MMDIK M ,P1Y /J,.�, e SMT S.�pp.aD •k . _�,k. .V.,,.F�u DDUAee ®P1 It Bakefilmoricall■ t. • aD , 1,1 _____a __ 5 ' _ I I -I— Check number:2953 I Amount: $500.00 .. .. IINAFlMRRINQINC ;( 2963 ORA WINNOW TILE A MARUU ■ n,wan 11...M OWE 1/f7 S .e BawkoGRrwkRllo. /) •I . tan --401— : 3. r .e1 Page 23 of 24 •f4K74 Fit-1151iING INC I Account ir April 1,2015 to April 30,1015 Page 24 of 24 • Customer service information bankofamerica.corn MARBLE.COM INC Bank of Arrienca, N.A. DBA FUSION STONE CONCEPTS P0_Box 25118 1324 IND:JTP IA1 RLVD Your Business Advantage Checking or My 1, 2O1 to Mi Accot int niirnhPri "--- LL;-, -STC=7=7 7=7777 Beginning balance on May 1,2015 S46,704.42 #of deposits/credits:16 rionnr:its and Ltudat, 10S:5'35-54' :ind Other C4.1 ebitS - c:f SI Checks -98,474.34 #of days in cycle:31 Service fees -42.50 Average ledger balance:$32,101.06 „ . r 'fliciucies checks ovic.i.deof2s;tf2ti ji■r•r!!‘,&t_,iin-f.! 4-1 _V ',R.,. t 4 7:1 g_frT X-1-341°Nt 1;\ L LA V c-L-1 Smaii business Community business knovvf-how • Get the latest insights on how fellow business Rit-1 LE! 1.17, =rt niu • Connect with other business owners Rro,k■,t Amen, N A klernhec 1 NC P•3 of AR4L4B/9 I AD-1 -14-0062 B Vje_n ..... you to k-'pr your 'i�i. .__information to_F7ri Y Tnis rll3i- s , _ -When you opened your account,you received a deposit agreement and fee schedule and agreed that your nrrount u!.d be governed by the terms of these documents,as we may amend them from time to time. These documents are . ::nor - .. r pt l e S. ;` .ryn CliC cordit,un_ your i . t t _.._hip may r --oo i adrc,;:ng cent_ - If you think your statement or receipt is wrong or O v. _'u__mots transfer! ATM transartions.direct deposits or withdrawals, wlllLll the er u. ... p:uble!}i - Tell us your name and account number. - Des::Hoe 4,.._ error U. tf di I:, you are onsue o,i- u= and expla.io. clearly you Ldu why you believe there is an error or - T_ti o5 the dollar o `of tna r cfersen error For consumer accounts used primarily for personal,family or household purposes,we will investigate your complaint and will correct any error promptly. If we take more than 10 business days (10 calendar days if you are a Massachusetts customer) (20 bus-mess days .+ yr.!! new .-._s[ome,.tor c r .n,.= �...os ers occurring cur ig We Hi St 30 days _-__: the fir,,t p: ..t 1 , j tr-o uohog -_ - . 0 .1. i' -+.g +- a . For other arrr‘iints,we investigate, and if we find we have made an error,we credit your account at the conclusion of our investigation. - -'• unadoinr t ` account. you i0uf y US in __.._. •' of 51.3 _.r_btemc or an unauthorized transaction within the time period specified in the deposit agreement(which periods are no more than 60 nays after we make the statement available to you and in some cases are 30 days or less),we are not liable to you for, and you agree z•a not make A claim -against us for the problems or nnatlthori7ed transactions_ - t' iur3 3ia`ec an ci.ic,c.s.. w '....+,v ".:...._ ..._r.°_�.__ ..:[.._ __ ,,:--- -_._.-_ _ __ ._-•-... _ _-. `p . c =,F - - , or.toe 3 . s this t+_.,?._ ti to fiod. out it . _c -! pet�L.1! U! tiri"T1�_::y.i3 �iiir.Y ..e...�>at:: �LE? r.. ,�"�, --;----_ r�_ -- - - _, _• .., _ made as scheduled. You may also review your activity online or visit a banking center for information. o mr:on m-- 5= 3 ;7,u-E_ y._---- ' • , „ MARBLE.COM INC I Account# I May 1,2015 to May 31,2015 Amcuiii 05/01/15 Preencoded Deposit 13,464.00 05/04/15 Preencoded Deposit 3,870.00 000K OF At,..1-,RicA iNCVsi NAAPAi Crri,./1 --)nn fl 05/06/15 Pi re Deposit 9,297.b2 05/08/15 BANK OF AMERICA DES:DEPOSIT ID:372208268881 INDN:MARBLE.COM CO 1,079.00 ID:XXXXXXXXXB CCD 05/11/15 Preencoded Deposit 5,482.00 05/13/15 BANK OF AMERICA DES:DEPOSIT ID:372208268881 INDN:MARBLE.COM CO 3,250.00 D7rx.YYXXXXYL9 CICD 05/15115 Preencoded Deposit 13.047.30 05/18/15 BANK OF AMERICA DES:DEPOSIT ID:37,2ncr)68881 INDN:MARBLE.COM CO 8,000.00 ID:XXXXXXXXXB CCD 5 Bank of Amori t- DiA0HRFNARfl 0 1,1-0?*00000(Kity.j-: jti ();_!(,) co 05/2 2/15 O R U ut: 05/22/15 Preencoded Deposit 8,451.90 05/28/15 Preencoded Deposit 5,28000 U r' Fiescrintion 0:1020468001 LOU --- continued on the next page , -- (Without making a dent in your account.) Visit vistaprint.com and enter 500 business cards til9(;) tiL u *=7 secur &information sharing practices may be different from those of Bank of America'.Bank assumes no responsibility for customer service,fulfillment or billing_By responding to this offer,you disclose to Vistaprint you are a Bank of America customer. ARGRND75 _ . MARBLE.COM INC I Account# I May 1,2015 to May 31,2015 ma iNhdr ' "k. ;4ziri 9vuk.`a nq-x i} l ua,rv,`�a crnt .rue Date Description Amount 05/04/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 ID:1020468001 CCD 05/04/15 BANK OF AMERICA DES:DISCOUNT 1D:372208268881 INDN:MARBLE.COM CO -186.48 ID:XXXXXXXXXB CCD 05/04/15 BANK OF AMERICA DES:FEE ID:372208268881 INDN:MARBLE.COM CO -1.30 ID:XXXXXXXXXB CCD 05/04/15 BANK OF AMERICA DES:INTERCHNG 1D:372208268881 INDN:MARBLE.COM CO -0.08 ID:XXXXXXXXXB CCD 05/05/15 BRIDGEFIELD CASU DES:PREM PYMTS ID:196462154448 INDN:Marble.com,Inc. CO -1,184.13 ID:1593269531 CCD 05/05/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 ID:1020468001 CCD 05/06/15 IRS DES:USATAXPYMT ID:270552625667320 INDN:MARBLE DOT COM INC CO -2,582.46 ID:3387702000 CCD 05/06/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 1D:1020468001 CCD 05/07/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 ID:1020468001 CCD 05/08/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 ID:1020468001 CCD 05/11/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 1D:1020468001 CCD 05/12/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 ID:1020468001 CCD 05/13/15 IRS DES:USATAXPYMT ID:270553370866518 INDN:MARBLE DOT COM INC CO -2,734.46 ID:3387702000 CCD 05/13/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 ID:1020468001 CCD 05/14/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 ID:1020468001 CCD 05/15/15 Online Banking payment to CRD 0882 Confirmation#3971463337 -297.05 05/15/15 Direct Capital C DES:EDI PYMNTS ID:013-0039431-000 INDN:MARBLE.COM,INC. CO -1,570.76 ID:1020468001 CCD 05/15/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 ID:1020468001 CCD 05/15/15 FDGL DES:LEASE PYMT ID:052-0958047-000 INDN:MARBLE.COM CO -35.87 ID:1000010839 PPD 05/18/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 ID:1020468001 CCD 05/19/15 AFLAC DES:INSURANCE ID:HTC48992581 INDN:MARBLE.COM INC CO -1,494.96 10:2580663085 CCD 05/19/15 FLA DEPT REVENUE DE5:CO1 ID:000000016127332 INDN:MARBLE.COM INC CO -740.49 ID:7596001874 CCD 05/19/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 ID:1020468001 CCD 05/20/15 FL TLR cash withdrawal from CHK 9723 -200.49 05/20/15 IRS DES:USATAXPYMT ID:270554065967076 INDN:MARBLE DOT COM INC CO -2,611.08 ID:3387702000 CCD 05/20/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 ID:1020468001 CCD continued on the next page Page 4 of 10 MARBLE.COM INC Account# May 1,2015 to May 31,2015 05/21/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO ID:1020468001 CCD I ea Capita; r DES:EDI PYMNTS iaLICCLOAN-1003154 INDN-Marble Corn.Inc CO -603.33 ;D:102u4t,8t,C,: 05/26/15 COMCAST DES:CABLE ID:3209529 INDN:LISSETH*CAMPOS CO ID:0000213249 -154.35 WEB S APT SECURITY SER Dt2:.,:AITITPAPACt-t IN7;N:MA7I3LIT.COM INC CO -3709 ;RS /055,1 iN■;■\.i ID:3387702000 CCU 05/27/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 ID1020468001 CCD WESTFIELD GtiP PES.P,LYMEI.J ii -u9/000. 072 INE',N:FUSION S:UNE ECINL:.F t_C) -1,7:;17n 1754( 05f-)81 5 Direct CaprIei r P'MN iULLLUAJi 54 IN 1. 1iECom.!nc ID:1020468001 CCD 05/28/15 Waste Management DES:8668342080 ID:100233840464 INDN:Bank of America CO -179.44 In.-27F,nr,cr.non 1(1) -6CR-33 05,29/IS NLi DEs:0BooKs,:ppo IDL.23;01 INPN:ESMERALDA MILINLILILA (0 -154.1;2 ID:0000756346 CCD cREcKcApD fj,q29 Ornicr,,0 Niiptes!-‘42pe FL 24707120::::12CYJ,3015,q)1W)51 ikt.0 -2,150 00 osim/1 5 CHECKCARD 0430 SI-IiJ■-t-t 11,4r 1-L0ORii--iG NAPLES FL 2 4f_7_271 La;2 5713 XXXXXXXXXXXX5923 XXXX XXXX XXXX 5923 05/04/15 CHECKCARD 0430 EXXONMOBIL 97569743 NAPLES FL 241 64055121 378002374684 -50.12 cm--_n 5542 XXXXXXXXXXXX5923 XXXX XXXX XXXX 5923 ,r1r E D I L P AS J{A /SI'S}-3 RALE_ M,L 05/11/15 SHELL Service 05i i g000384550 PURLHA'sL 5EILLL t,ervice St a NAPLES EL -65.0N 05/14/15 RACETRAC#2348 05/14#000630410 PURCHASE RACETRAC#2348 NAPLES FL -22.00 05/181 EXXONMOBIL POS 05/18#000890503 PURCHASE 2495 PINE RIDGE R NAPLES FL -61.56 ( PP1 r I i uiE 57542E.,14'..y..5u NAPLES f-Rrn .46 00 - -• • - - 05/01/15 CHECKCARD 0429 OFFICE DEPOT#1165 800-463-3768 FL 24445745120100371465770 CKCD -147.19 7C0 l 05/05/15 CHECKCARD 0505 MORAWARt ,INC 866-312-9273 NV 2459216012'300:D1-I 946455 -50 on RECURRING CKCD 5734 XXXXX'XXXXXXX7091 XXXX XXXX XXXX 7091 continued on the next page D7te 0 .scr.i.pIjoi .,._._ Amount rnF.ri-,7, ci-ii::(_KciAHD 0504 C.,--i- --,7--PHONE PP;t3TECTiOi-,1 866-t7,54,1747 N,„;24013 =q1-S 125000442370503 05/06L15 GOLDEN GATE RP 05/06 7 000696-2ii 5 PURCHASE_ GOLDEN GA i E 13P- NAPLES FL 05107/15 60499FLSCISEML 05/07 #000191496 WITHDRWL 506 S FIRST ST IMMOKALEE FL -504.00 05/15/15 CHECKCARD 0514 MAST FAMILY CULLIGAN 239-4822213 FL 24755425134641343990087 -24.29 (35/11/15 ..0 t.2 -315.85 C.;'3111/I 5 I_S-22S ..315.EzL, 05/05/1 c 3191* -854.20 05/11/15 3226 -819.18 05/04/15 3195* -485.51 05/27/15 3227* -353.20 ft:An;i 5 J.; ..-,•,-, -.,.-„,L.4.0„ 05/12/1.5 322tr -184.70 Obiuiri3 31'Jo octi 41 c 52- i -54 1.06 05/01/15 3201" = -280.99 05/14/15 3231 -758.34 or.,/ni/1 r_, 7007 -1,055/12 05/1 5/15 3232 -816.50 _ _..„ .....,__ Qi nr.,..1--7-D--7 -7i).-.Ei -1-3(il.5/ 05,111/15 1.12U27 v-,itii-li•;17.-, ..:,,;:.:.:-; 05/11/15 3205 -869.32 05/12/15 3235 -2 1.89 05/07/15 3206 -353.20 05/08/15 3236 -571.92 05/041 i 5 iL01 05/1 811 5 Z2Z1 _np.s.ci ;76/14/15 37nq 05114115 3239 -1,1:.: 1-,.,:f2• 05/15/15 3210 -816.50 05/13/15 3240 -4,560.00 05/04/15 3211 -507.58 05/18/15 3241 -9,367.61 05;04/15 3212 Z. . ri5 05/04/i 5 .52.14 -485.51 05118/15 3744 _11,282,4o 05/05/15 3215 -184.70 05/21/15 3245 -973.08 _481.36 05/19/15 3246 -841.52 -16E33 05/08/15 3219 -1,934.58 05/22/I 5 3249 05/11/15 3220 -520.35 05/27/15 3250 -885.09 -4,000.00 031715 ,-„,,71„1..:. 7.7.-7.7, _•=y-ii)::jc, Obi i 8:..:5 .).;'-',...- ,..77 7- 0F,708,:7..5 327.3 -991.65 D5i l'ii i 5 3.-Z5q -541,0P7 05/11/15 3224 -385.82 05/27/15 3256* -816.50 continued on the next page MARBLE.COM INC I Account# May 1,2015 to May 31,2015 AMC.U5t 05/18/15 3257" -507.58 05/22/15 3272 -541.08 05/18/15 3258 -440.92 05/27/15 3274* -816.50 i5 52 ft .„ 12',/a1/11, -1777 -341 15 05/15/15 3262 -1,324.98 05/22/15 3278 -507.35 05/22/15 3263 -300.00 05/26/15 3280* -475.22 06..2 .:15 :326-1 115/2,7/1'3 3281 _5 _4.5 F-;.77-• .17 _757 0529:15 3283 -r3.z.bu 05p2/1 -275.85 05/29/15 3286* -2,164.97 05/27/15 3268 -851.52 05/28/15 3289* -1,181.00 05;27:15 3)69' -V63)0 05i22i i 5 3271 -463.87 - . Based upon the activity below,the monthly fee on your Business Advantage checking account was waived for the statement period ending in net new purchases on a linked Business credit card balance in linked business accounts • - - . — , continued on the next pose Date Transaction description Arrmunt w7-,:n7ii z., Pe4ciTc ,,Lunftx r,leANcir!.p,rn-- -r,(15tviL 0507 4000 i'1-1:4-z1C-:Wil hi ii-..;vvl nig','--,FiRST ST -2.50 iiMMOKALLL FL FEE LKCD XXXXXXXX)000(7091 !i.3tc Eii..--ancf,..ci:i fiauf LIb.nc...2:f.: lI.-;t-:- 05/01 41,-- 4.69 05/12 44,832.86 05/21 20,81022 05/04 41,815.21 05/13 'q.9. 77.50 05/22 36.1-)13.2,6 01'14 .2,,,Q ,LIE:r.:,E. _, ., ,L,; i., i 5 14.519 04 n5,":17 29,615.96 05/18 30,780.50 05/28 15,224.85—05/08 34,102.31 05/19 26,475.92 05/29 19,712.53 05/11 45,902.78 OS,2n 22.E,; 9.69 Page 8 of 10 . . f: kcc�i -�c'd�ce �� a�ydc�acmpy:ffip:, v:',n::km:^cc::'= �tuv�•x` •��� yc: :ccy:vrir.Th! r zesfersPurrhss* Mr= mp,,x^:r :u^ IL. VVec��;ca/.y place a hold on your account br me transaction amouncauthorizcd.wh|ch reduces the ava||ab|e balance in your account. For some travel related transactions,holds are not placed because the merchant's request is an estimate. However, starting July 6, 2015,when you use your debit card to pay for a purchase,we will place a hold on your account for the full amount requested by rhe merchant. even i[thcamountrcqucscedisanest|mace. and reduce yuuravaiiab|eba|ancehy the amnunt,equcned. i�L�ercquc���orhodrarm// a�pearstobesr1 esnmaret�erransacoon fo'yno'-,crrn'm/ inOn;.= /nklyg`ow Amount may chanOe— fo/ inoi:mounr6nm me,6`ani.^ .mou/it el C,!|tte,erit tnari the amount we authorized,your account balance will be adjusted when we receive the final transaction amount. We're pleased to s,neyuur financial needs. If you have any questions regarding this change, please call the number listed on this statemrnL banko[amer|ca.connilocztorro find a banking,center nea/es:yuu Page 9 of 10 ____,__,.,..._„._ , ,.._____ _-.. -----,- ----- ------ ' ----• ' --"'- ,. , --'.:",•:.1',-''' '';--'- :If -',r--: ). Customer service information ilN50 . ,-4F1; 111 MARBLE.COM INC Bank of America. N.A. DBA FUSION STONE CONCEPTS P.O. Box 25118 1324 ICTRIAL RI VD TRrnr_12. rL 3362?-5118 NP i Fl 34104-3600 tor Api-ii 1, 2015 to April 30, 201 5 Account number. MARBLE.COM INC DBA FUSION STONE CONCEPTS • tl 7 Deposits and other credits 123,215.20 #of withdrawals/debits:153 Withdrawals and other debits -39,085.72 #of items-previous cycle':96 fileck_s -::31,2173-' ;i• ddv., Lvcie:=fD SErVIC:C1-22: 'includes checks paid,deposited items&other debits I• m 1=r-14 In r rvt -r Of :_ t12 _ .4 c__ VL,A0 ring thr gh .;nra, C.:111 v;_-:1!-14.: J;;1:C=t11-1,- Out our I Social Media Infograptec at the Bank of America Small Business Community to learn more -labijo‘ut Facebook,Twitter, Pinterest, Instagrarn and Linkedln. L T1 Ili.1111,Of All 10 I,A dA.MrnNpi FDIC 2IICRii,k Ameri,1 CorpoLmol I AK(I YU•bic I SSivi-I L.. spFc-!I TeP`E. !MA37.:*-. PF.cfc. 1_ Of 8 . - - - ' ^ ' • ` . ` '`'• • - ` �' ` � .• � `^ �`` ` YVecccrusz7youtokc.,!- ym., ,nnr2.c/ inh`nn/pmnup'un-6aeTh(c includes- address, email p:xpi i^ ii- "...iti, . ii y:: i:i'LVi/nadomhao ��:::��� �- ------;L�.y : uii•-:da�oici-a by.vi:HnG lilt H,,,,:p .:7_, I��.po,� �1= v[ ��:!!/ , banking. O ,you can call our Customer�rviceteanl. :' T 71- r..• ^,`1:'VVhenyouopenedyouraccnunt,ynureceivedadeposita8reementandfeeschedueanda0needthatyour accn Lint wou},1Ue�neerneribythetonnsofth",, d^o/ments.oswfamny amend them from dmetotime. These doo/m"msa*. ��i~hdraas|s_ [opc� :fboth r_hcr!c;:�!�:�r,p:�,. -.,� feescj.e.;u!e .,,Fhicn Film,Ain,»f-, :.:p:rv,,"/:: iii m, L:':'L,^'ill conditions of your account relationship may be obtained at our banking centers. _. -' ! -- � ' ' z^ r' �. , r . .,.-.T.:_.......,-. .^' ' ', -:::: -- . ^ "/'" , ,`- If you think your statement or receipt is• wront;orynvnpedmn,ein[unxatim/ aboucnnelsctinMr: transf er(e.g..ATM dit d; ::-. h.r.; . thdrk. po|n, nr ,_,I^rmnerr!vns) or ch, anauemeor or,eceic�, toirphone n'm'np `.' ,, ,h,*dd,e�--anu numUo.h�i,*d un Li.= i fonzc! this stote.mr,n as soon as you cant v.,ic must hear from you no |uirr il/°. E0 ,,Ly� y|ic/ we sent you the ||k!_)T ststs,ne7it. �n which the error or problem appeared. - Tell us your name and;account numher. - De^co6ed/� �ooru'tn,nsfr,youareunsu,saboutandexp|amasciea'iyasyoucanWhyyuuhe|ieverhereisaner,urvr ',Aihyyc: :c�� inorcinfr � �;u ' - Td\ us the do\|aramountnf the sus•pecrcgerror For consumer accounts used primarily for personal,family or household purposes,we will investigate your complaint and will LL ' Lt error prompt . ifwetakemnrechanl0bus|nessdays (7OcaYendardaysifyouareaMassachuspLtscus/ome,) (7G buss,s_ d„7-:i7, 1 ,:;::"'/:`',- z '�c��custome,. f ,=!e---,zc�ic i-rsr-A-c,s occumnc!dunnp:rhe n,c' �41 ri2y� _,,fr*r-fil^ f/,ct nenoc:it |s money during the time it win take to complete our investigation. For other accounts,we investigate,and if we find we have made an error,we credit your account at the conclusion of our |nvesuget|on c :, ::d ::,,,uke !ze��,.,�.„_i_s,,sc,!y_.uraccov:, 'i y:: J:or:::'/fy:Imvv:u:Cv| :7,:�p�`Lt-2dp'v�it.-..m^ orao unauthorized transaction within the time period specified in the deposit agreement(which periods are no more than GO days after we make the statement available to you and in some cases are 30 days or less),we are not liable to you for,and you agree to not make a claim against us for the problems or unauthorized transactions. x v,,/./wvo^r,an0eu ut i`ave. uv ect_depu .>=:. ntaUe zu your accounraz isasr anc .' evp,v ou Liov� !,:': u'L:: �^'''z ;ersv: v, cm'/;d/ol,' you /oay LaVusat ti IL-ze|E:PIC.Fie number||stod onchc front offh|�:::2':c7.7cr::t: fi:j ::.= ii !=r1cdc;:�'/ was made as scheduled. You may also review your activity online or visit a banking center for information. rt, 70l5 Bank of America [orpornt|on ����a��sa����,!• .�� 7.4: ���m"o��p� " --=ur77��,/��=�/ng�����, �� Page 2 of 3 MARBLE.COM INC I Account# 1,2015 to April 30,2015 Date 04/02/15 Preencoded Deposit 1,300. 0 04/02/15 CHECKCARD 0331 NAPA NAPL PT0003885 NAPLES FL 7443105509128658880 15.90 17:7:0 04/03/15 4_17E:7! 04/09/15 Preencoded Deposit 14,570.00 04/09/15 Preencoded Deposit 3,133.80 !iv! Pr,,snrnripil P-4 inSit f_74r1 04/14/1S BANK BANK OF AMERICA DES:DEPOSIT ID:372208268881 INDN:MARBLL.COM CO 1,950.00 ID:XXXXXXXXXB CCD 1.788.00 04/17/1 5 BANK OF AMERiCA DES:DLPU5i 1D:372208268581 INDN.k.1AR:Di E.CoM i!Thu ID:XXXXXXXXXB CCD n400/15 Preencoded Deposit 1,300.00 04f27/15 pr-rem_outst1 .0(.2 04/27/15 Preencoded Deposit 600.00 04129/15 Preencoded Deposit 1,975.00 Date _ Description Amount !rj !3303i:I 7.:c ii\iDN,MAPHLE DOT C_Cliiv1 ;NC CB -2,888.36 _ . - - - I make Am e ii ca uuIfl5etCCsuJL Lh uatbkofaffiecam • Our Small Business Owner Report—read about small business • • _ _ _ ar-FJ • r AR6C,7 01M 1 55M-1".%-11-0:15 0 I t).t. nt,:criptinn Amount iThr,17:a1C 04/o7;15 rm-ect crlpitz,1C DES:ED! PYMNTS ID:Da:LOAN-10(71315,1 iNCINisiL;ri_lie_i_fi!ii,in: CD -603.33 ID:1020468001 CCD 04/02/15 BKCD 18553321066 DES:MERCH FEES ID:611000000115045 INDN:MARBLE.COM CO -129.16 n!)00<rXXXXX CCD 04/03/15 Direct Lapttai C DLS,:LDI PYMNTS ID:LH:CD-JAN 1 •0315 i CO -503 3:1i ID:1020468001 CCD 04/06/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 D,10)0,ThP001 LLD 04/07/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 iNDN:Marbie.Lutii,ilk. CO JUJJ 10:1020468001 CCD 04/08/15 IRS DES:USATAXPYMT 1D:270549855704581 INDN:MARBLE DOT COM INC CO -2,158.24 LLD CCD 04/09/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 ID:1020468001 CCD 01n ,,, Direct Cr C.DFSFDI PYMNITS tD.Dr(1oAN1no1c4 fr\IDN'MarbIP Corn_Inc CO -603.33 LL'o (TO 04/14/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 ID:1020468001 CCD DES.USATAXPYMT:n 7707:7Z5717SE3365 INDN:MARDLE DOT COt.-1 INC CO -2 024_56 ID:;020468001 CCD 04/15/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 1D:1020468001 CCD — EE pyt.AT in f COM CC: Pp" 04/16/15 Direct Capital C DES:EDI PYMNT5 I D:DCLLOAN- 003154 INDN:Marble.Com,int CO ID:1020468001 CCD 04/16/15 YOUR PROPANE COM DES:BT0414 ID:14513856 INDN:Juan Mendoza CO -154.53 !D:527,77,77q17 CrO 04/17/1 5 FLA DEPT REVENUE DES:C01 10.000000016127332 iNDN.MARBLE.COlvi INC CO ;0 ID7596001874 CCD 04/17/15 Direct Capital C DES:EDI PYMNTSID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 In:10-204GF001 Cr-D 102041_,UDDI LLD 04/21/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 ID:1020468001 CCD continued on the next page • _ MARBLE.COM INC I Account# I April 1,2015 to April 30,2015 Dd Dp-s.rnotion 04/22/15 IRS DES:USATAXPYMT ID:270551210210465 INDN:MARBLE DOT COM INC CO -2,49406 ID:3387702000 CCD 04,22/.: nirect C. fl DVIMT n.ncn °AN-lot-R-154 INDN:Marble.Com,Inc CO -603.33 LLL; _ 5 ppp 04/23/15 Direct Capital C DES:EDI PYMNTS IDDCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 ID:1020468001 CCD 04/21/15 AT fI IRITY Sir_R DES:ADTHAFkLi-i iD.X)Cx:XXXXHY INI)r-,1:MA7PLE.COM INC CO _37 nq D:3387702000 CCD 04/24/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 ID:1020468001 CCD 1 Ri npp _,;( L)(:)COCK70M1 1571 !NDN:M.ILL.L. .1 0 ID:1020463001 LCD 04/28/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 ID:1020468001 CCD FE....-usATAYOVN4T ft) r- t_tIm !1,3i" -7,V1,7,07 rr, D10204,5-300 I LL1 04/30/15 Direct Capital C DES:EDI PYMNTS IDDCCLOAN-1003154 INDN:Marble.Com,Inc CO -603.33 ID:1020468001 CCD FpL Dir./7-DEE!: LI), ”Ir-.4.1 in oflic- -7131_';0 ID:2 I bUbY,Liu13 cLU nAl02/1 cHFrvcApn mi NiApA Nmpt Pi-nnrnP,Rc NIAPI FC FL 24431055091286588800365 CKCD -164.83 04/08/15 SHELL Service tvirnP: uuc , 4I PURCHASE SHLLL Service S NAPLES FL -64.0 04/13/15 THE HOME DEPOT 04/12 4000942801 PURCHASE THE HOME DEPOT 63 NAPLES FL -36.45 04/15/15 CHECKCARD 0413 EXXONMOBIL 98907736 NAPLES FL 24164055104378000214511 -46.50 i-!,'fp 5542 XXXXXXXXXXXX592 592 04/24/15 RACETRAC 82348 CM/24,q000583033 PURCHASE. HAE-_ L:1=H3 r -CI)X_17 1-7,)n ;14f la ht-?lP vt-it P0117t_ ION R6b-bb,4i it1 1,ni ,,jDu-'50'3340843701 04;06/1 Clr..CKLA:ZU hi" RECURRING CKCD 5734 XXXXXXXXXXXX7091 XXXX XXXX XXXX 7091 continued on the next page AL ,n/I,:1,3_ _ , ■-,, ,!,i,.;i_py ,:r ;;z1,64 ,4;_;:_iii4.,; :;;;-, -,,J;:7..t.-i,,,,SE E 1----,COU::::TPv SI 0 ;.',.:,,' , , FL --,,,,t!:_) c- CD 5958 xxxx xxXX7091 )(XXX XXXX XXXX 7(391 04/08/15 60499FLSCISEML 04/08#000309496 WITHDRWL 506 S FIRST ST IMMOKALEE FL -504.00 04/13/15 60499FLSCISEML 04/12#000071197 WITHDRWL 506 S FIRST ST IMMOKALEE FL -504.00 4:1 , 7:±77 nil.ri.;-L.--, 16 :--le ...1,4 ,r;i0.4.2f-,977,pUpcHA=.i- !-Ii: L,..ILN :.=v,:t 1'4API.t5 "i'L EKED 5999 xxxxxxxxxAxA70;:i XXXX XXXX 7031 04/15/15 CHECKCARD 0414 CITY PERMIT DEPARTMENT 239-213-1820 FL 24445005104300330022022 -1 '5.53 CKCD 9399 XXXXXXXXXXXX7091 XXXX XXXX XXXX 7091 I LIBERTy m!!TuAL Foo-337-722,6 WA 24610435105001117290953 CKCD -520.42 04/24/15 CHLLKCARD 0423 LIBERTY MU TUAL Zibb-29U-.L'320 NH /1:7.,'I'li i 6::113007297115c."4::Cr-r) -98.56 6300 XXXX,XXXXXXXX7091 XXXX XXXX XXXX 7091 04/24/15 CHECKCARD 0424 COMCAST OF NAPLES 800-COMCAST FL 246921 65114000851667862 -154.35 c_,-Fcp 4899 xxxxxix-ixxxxx)(7091 XXXX XXXX XXXX 70Ti _, , ■e) 0414115 3071 04/06/15 3079* -315.85 04/03/15 3130 -364.24 04/06/15 3091* -120.30 04/03/15 3131 -571.92 04/061)5 3106 -342.15 04,:g:/17: 3134 04/01/15 3108* -290.00 04/15/15 3135 -2,110.51 in* -1.838.S2 04/10/15 3136 -1,000.00 04/03/15 3118 -/,618.44 04iii/15 3i5 9 -313.6:3 04/08/15 3119 -250.00 04/13/15 3140 -811.98 _5;74.03 0.1:28 1 c qi Ai -3S3 7C) C14.`Cie,l1 5 3177 04115115 3143 - '"-u" 04/08/15 3123 -911.89 04/13/15 3144 -758.34 04/07/15 3124 -353.20 04/20/15 3145 -816.50 04/13/13 3127 -l39..i4 0 ;1715 3148 -.1.3t.13t 04/07/15 3128 -816.50 04/10/15 3149 - 71 92 continued on the next page MARBLE.COM INC 1 Account# April 1,2015 to April 30,2015 04/20/15 3150 -485.51 04/17/15 3173 -975.92 04/14/15 3151 -85.33 04/22/15 3174 -2,420.78 -!..iY_,lb ..... 04/15/15 3155 -781.68 04/24/15 3178 -180.00 04/17/15 3156 -737.42 04/28/15 3179 -575.14 04/17/15 3160 -851.33 04/27/15 3184 -184.70 04/28/15 3161 -353.20 04124/15 3185 -75,R 34 04/24/13 3104 -758.34 04/24/15 3188 -401.75 04/20/15 3165 -816.50 04/24/15 3189 -446.59 04/17/15 ri:6E-3 -461./b 04.'79115 "1131 -5411.08 04/20/15 3169 -571.92 04/30/15 3194 -57192 04/20/15 3170 -427.86 04/30/15 3199* -6,002.26 There is a gap in sequential check numbers P,;_lspd upon the activity below_the monthly fee on your Business Advantage checking account was waived for the statement period ending Bank of America Merchant Services $2,500+ in net new purchases on a linked Business credit card ,.- Small Business Remote Deposit Oniine Service 335,OU -Dvatagc• balance in linked business accounts bankotamerica.com/smalibusiness. Date Transaction description Amount PATE DEDOFIT Y _4n no 04/13/15 bU41---1_5(.._bE(NAL 04/ 19i WiTHDRWL 71.50 Date Balance($) Date Baiance($) Date Eaiailcc(5) 04/01 37,264.73 04/13 53,978.18 04/22 64,001.01 37.6,S33-.5 01.'14 70,39,1 D425 02,912.57- DiDri - - 04/05 37,632.05 0,1116 60,414.88 04/2/ 59,732.15 04/07 24,441.72 04/17 59,529,33 04/28 56,922.01 _ 23.405.19 04/20 55,074.68 04/29 54A42.87 / 53;007.35 . . Customer service information ,,,;,1)T.19sa) r'- Bank of America. N.A. P.O.Box 25118 MAPP, E cONA imr "-{ rnna_ F' 33622-5118 ilai.-..,FLiSiON sToNF curNf_.Lyil...: NAPLES,FL S.-"..134=3,-,30 for March I, 20'13 to March ') , 7015 Account number: -; ):: MARBLE.COM INC DBA FUSION STONE CONCEPTS t_tz:_.;;;rrn:ng r,'.:,?,:..-.9nfi ,,•_!!!m..arcn . ,,iii-: -.,'17 47:-:'..:2.L., . _ Deposits and other credits 146,025.71 #of withdrawals/debits: 167 Withdrawals and other debits "33,000-97 #of items-previous cycle':73 ,ii-,, ,.-i., --_-36.,E:Di ..3'--, ,:•: i7:, Ci;'2iS in ciLlc.31 '1. 'includes checks paid,deposited items&other debits 1 PnN ire-01 I-In -n(4n nncla $.. 1 .., . ,. ,,P 2 2. .2 2 2 2, 2 i 1 .2 2 0-* '4 a 2 -2w 2 i ; 2 2 -=--=1. _=,_:•i-:'- ! ‘;`,/i;1; Zill-i3it'Y f-tnirtf,. -Pntfrnii .!!!!! i!...iii" ' ...; -..-.••■•- .---.7.-.::-;.-iii.:- -,,,,u :.L:',1 si.-.-ipi;ti.:v.--c: . ..m p- payroll services you can access right through Bank oi Arrierical'' allinc: Banking. Find out which payroll service is right for your business. ,..". r.,13H nnis-,700.,147, (vrvi7:te hilnk,-Ilmotir7,=.c.enitnavrollsnititirms today, PULL:E CYCLE:52 SPEC:0 DELIVERY:P TYPE: IMAGE:A BC:JAX Page 1 of 8 - � ' ` - ~ Banking.Or,you can cail our Customer Service lea i. ' ` '` 'VVhenynuopenedyouraccoun�youreceivedaJepn�itaQreementandfeeschedueandagoeedthatyour ` ' mcnd�hemhomtimeto�me Thescdocunnents ?re �ccounrwou!� �e�ove,,`pd �ythe�e��so�the �decumenzsas��n,:ym m;thdmva|s of both Li', dEpusii ai:zreanart-a:::tee scn:tI:k. :`rce:rvc,:v'' v' conditions of your account relationship may be obtained at our banking centers. - If you think your statement or receipt is �bour�ne�ydzcn'�� uan� � (�C ATWt�nsacUnns. d|scz�e�os�scsw�hdmm^is. � �»� "s��,n�ncurnr,|�� ��ephonecrwr�eusat '' ^ later � ���y' wes��t you rns �|��\ sczcc::':t :: chisstatementassnonzsyoucan VVomusthe�r�romyouvu :*� which the error or problem appeared. - Tell usyourname and a:countnumbe/,.,m.,,a|,,.t - Tell us the do|{ar amount of the u,spctcd:nn/ For consumer accounts used phmah�for penamd.fami�orhousehddpurpnses weviUinvestQateyourcom�aintandviU c:��cccanvenz�prempdy \fwp /a k e orc th s» lObus|ness 0calendar:lays if you are .7Knsxchuse/tscustomea (7O money during the time `twU|take nxcomy|ece our |xxesi|Qation. For other accounts,we investigate,and if we find we have made an error,we credit your account at the conclusion of our i�,c�u8utin'` . d�a transactions |fyou |ai\ oononh/usmwxi�n�o[su�pucLedproLJemsoran p�noandunautUorze n�a account. unauthorized transaction within the time period specified |n the deposit agneement(which perio d sarennmnre th an 60 days Rfte,;Am make th, statement available o you and in some cases are 30 days or less),we are not liable to you for,and you agree - if you have anangegLo have 6`/ect :JLcour;I:atleast ante every 50 f,:,,'c!'�same person or company,you may call us at the telephone number listed on the front of this statement to find out I( the deposit vvas made as scheduled. You may asorevewyo also review ur activity online or visit a banking center for information. amm`as,|sa, tne Fa�r7 u�G MARBLE.COM INC I Account# I March 1,2015 to March 31,2015 An luuni 03/02/15 Preencoded Deposit 7,714.00 03/05/15 Preencoded Deposit 21,821.00 iiicKcARD F sc; ',Nil r-n-pnr-it 2, 00 03/09/15 BKCD 18553321066 DES:MERCH DEP 1D:611000000115045 1NDN:MARBLE.COM co 610.00 ID:XXXXXXXXX CCD 1.15 Hr eencodori Drpoi---ar 03/16/15 Freencooeo Deposit 2,040.75 03/17/15 BKCD 18553321066 DES:MERCH DEP 1D:611000000115045 INDN:MARBLE.COM CO 1,911.88 1D:XXXXXXXXX CCD 0312,1i i 5 1,;(ziefli°deo Deposit 300.!-De 03/26/1 Preencoded Deposit 3,150.00 03/27/15 DIRECT CAPITAL C DES:ED! PYMNTS ID000170398 INDNA4Appl F rom, iic cc -19.3C,C.33 03/27/15 Pre,2ncicided Depcstr 1,100.00 03/02/15 Direct Capital C DES:EDIPYMNTSID:DCCLOAN-1002294 INDN:Marble.Com,Inc CO -402.22 1D:1020468001 CCD 03/02/15 Waste Management DES:8668342080 ID:100220140405 1NDN:Bank nf Amorira CO -179 4 1 rii775.7-359'300171-17; :{si:XXXXX,XXX.XE continued on the next page AEC.r4Ortt Matillf-TritPtrtt _.= 4 :-"rliire bookkeepiria tasks by se.curt-_::y f_ie!e,g iting them day-to-day finances to your accountant and trusted employees •Simplify operations with Quicl<Books'o'integration L!. .t C (Tot pc7r, 4 ;:f.:`, ....1 or ire ie.a,cess and imer net sem,F.pi On iet iees may apply t.jmck Books Is a registered tiaderna of Intuit Iii.used under license. Bani.of An ler ica and the Rank of Amelim are registered trademarks of Bank of_Ameum curie liii 4RFH5SKK I SSM-12-14 0215 I ,""! Date nescription Direct C vyt.ANITS Df. INUN:Marbie.Corn, Inc LiD -402.22 ID:1020468001 CCD 03/03/15 BKCD 18553321066 DES:MERCH FEES ID:611000000115045 INDN:MARBLE.COM CO -30.89 ID:XXXXXXYYX CCD DLL,:.USATAXPYMT ID:2705463031039837 INDN:MARBLE DOT COM INC CO -289.34 ID:3387702000 CCD 03/04/15 YOUR PROPANE COM DES:BT0302 ID:13841058 INDN-Juan Mendoza CO S2.50 ccri 03/05/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1002294 INDN:Marble.Com,Inc CO -402.22 ID:1020468001 CCD 03/06/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1 002204 wrIN CO ( -'4122.22 03/10/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1002294 INDN:Marble.Com,Inc CO -402.22 ID:1020468001 CCD 03/11;15 ips DES-US.ATAXPnr ID:27C547_137cr;0-1.7-; ID:1 ri204:3001 cri; 03/12/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1002294 INDN:Marble.Com,Inc CO -402.22 ID:1020468001 CCD C DES:EL,i T5 nCCLIJAN-1,A):77511 -430 4C 03/16i IS Direct Capital L DES:ED1 PYMNTS ID:013-0039431-000 INDN:MARBLE.COM, INC. CO -1,570.76 ID:1020468001 CCD 03/16/15 Direct Capital C DES:EDI PYMNTS I D:DCCLOAN-1007,0,4 com. to cc:7; Ei 00:)010G33 PPD 03/17/15 AFLAC DES:INSURANCE ID:HTC48121482 INDN:MARBLE.COM INC CO -1,604.76 ID:2580663085 CCD 03/17/15 Fl A DEPT RFVFNUE DES:C01 ii•JC ipc co -407 22 ;W046800; cu; 03/18/15 IRS DES:USATAXPYMT ID:270547733324061 INDN:MARBLE DOT COM INC CO -2,501.64 ID:3387702000 CCD 03/1P/15 r_?ftz-.:Ct 1-11'75 Erg (;„1:-.:TS. in; 4:)2.22 1p,1 0206K 0 03/20/15 Direct Capital C DES:EDI PYMNTS ID:DCCLOAN-1002294 iNDN:Marble.Com,Inc CO -402.22 ID:1020468001 CCD Page 4 of 8 • MARBLE.COM INC I Account# March 1,2015 to March 31,2015 03/20/15 BRIDGEFIELD CASU DES:PREM PYMTS ID:196462154448 iNDN:Marbie.corn,Inc. CO ID:1593269531 CCD c3;71,15 Direct,,ThpitrIl C DE E ' PYMNTS IDDCCLOAN.-1002294 INDN:Marble Corn,Inc CO -402.22 irs.:rtp.:-1:1 3)7;080 Ppo 03/25/15 Direct Capital C DES:EDI PYMNTS 1D:DCCLOAN-1002294 INDN:Marble.Com,Inc CO -402.22 ID:1020468001 CCD lhrecr L,c,u,La!C F)17-;_Er1); PVMNTS nAN- nr1”CfA INDN.N.4=q-1-31e Cflm Inc CO -402.22 rlizt_ru°LLL) 03/26/15 Direct Capital C DES:EDIPYMNTS ID:DCCLOAN-1002294 INDN:Marble Corn,Inc CO -100.00 ID:1020468001 CCD !t: :770 -608,3:3 ID.1Ci00010839 03/31/15 Direct Capital C DES:ED1 PYMNTS ID:DCCLOAN-1003154 INDN:Marble.Corn.Inc CO -603.33 ID:1020468001 CCD Fp" LC_C-Ir:F=PAT L '",'T iD:2760659.309 LLD 03/31/15 YOUR PROPANE COM DES:BT0327 1D:14250096 INDN:juan Mendoza CO -61.14 ID:5232787917 CCD 77. Stic:q lx:XXXXXX/..:03-f:;-f.SE1,27: :792.3 03/04/15 RACETRAC#2348 03/04#000396792 PURCHASE RACETRAC#2348 NA.P r L 1.UU 03/06/15 CHECKCARD 0304 SHELL OIL 57545736407 NAPLES FL 24316055064548938002866 CKCD -50.00 xxxx:xXXXXXXE,0,2 XXXX XXXX XXXX sus XXXXXXXXXX592 XXXI xXXX c,973 - 03/17/15 CHECKCARD 0316 SQ*MAXEFFECT COMPU NAPLES FL 24492155075741432646335 CKCD -72.70 7379 XXXXXXXXXXXX5923 XXXX XXXX XXXX 5923 ^f:.2CETRi.,c.r2 .t.ncrri t PURCHASE_ :7"1,ACETACCin2 ::APLLS FL 03/11/15 I-ELEVLN 34816 03121 sq.Ari_ii:pzii:7,3 PURCHASE 7-ELEV:L.N7dr,l . 03/75/15 CHECKCARD 0324 FERGUSON ENT#134 223-643-0070 FL 24435145083004000025395 CKCD -i 15.64 5074 XXXXXXXXXXXX5923 XXXX XXXX XXXX 5923 Omicron 5',Tplic'7 Naples Naples Fl '247078050889801 53018094 CKCD -3,650.11 continued on the next poge Date Description _ Amount_ 5'333 XXXXXXXXXXXX;O1 J.XXAA XXXX 7091 03/03/15 SHELL Service 03/03#000171636 PURCHASE SHELL Service S NAPLES FL -81.51 03/05/15 CHECKCARD 0305 MORAWARE, INC 866-312-9273 NV 246921 65064000282179073 -50.00 XXXX - - - —---_--.. 03/09/15 CHECKCARD 0306 300-443-88.48 CA 246921630053,3334-173351 - CKCD 5734 XXXXXXXXXXXX7091 XXXX XXXX XXXX 7091 03/10/15 CHECKCARD 0309 WEB*NETWORKSOLUTIONS 888-642-9675 FL 246921 65068000429881090 -10.97 03/13/15 CHEC.KCARD 0312 MAST FAMILY CULLIGA'' 27552'7'-.07134n71475.3038 CKCD 5999 XXXXXXXXXXXX7091 XXXX XXXX XXXX 7091 03/16/15 CHECKCARD 0312 LIBERTY MUTUAL 800-332-3226 WA 24610435072004095232315 CKCD -520.42 77. 5965 XXXXXXXXXXXX7091 xx .xXx XXXX iOL.4; 03/20/15 CHECKCARD 0319 LIBERTY MUTUAL 866-290-2920 NH 24692165078000241304469 CKCD -98.66 6300 XXXXXXXXXXXX7091 XXXX XXXX XXXX 7091 VSiTHD:'AIL !.. L' LES FL Lflfl(In 03/26/15 SHELL Service 03/26#000025554 PURCHASE SHELL Service S NAPLES FL -83.58 03/31/15 CHECKCARD 0330 B2P"COLLIER CTY DMV TRN NAPLES FL 24445005090000446608765 -169.60 crro:10.yee.Nvvyyxyx7noi eyvy evyy evvy 70ai 03/10/15 2980* -315.85 03/10/15 3025 -816.50 03/02/15 2985* -758.34 03/09/15 3026 -507.57 03/02/15 3018* -353.81 03/02/15 3031 -535.65 03/10/15 3019 -315.85 03/04/15 3032 -618.72 10 10 -2.269.59 continued on the next page • .5.5........... ...„:.-,-....:, ...i'.-:::,.- ...„:.:...::...;•.• .,'.:...,....;:„., .. • . NIAR8LECOM INC j Account# j March 1,2015 to March 31,2015 "•:ii.."_-i.i!t. -?2.-.1?,€-,- ul./11--?:ii5 -4)73 -1,599.77 03/09/15 3037 -353.81 03/17/15 1074 -4,828.64 03/10/15 3038 -315.85 03/24/15 3075 -65349 3 0.' '2J.'2=-.' -- :_:,,i 1 •-:-. ,•.--:;,-; --- -----, ---- 0.3709/1 L.; 3041 -401.99 03/23/15 3078 -353.79 01/09/15 3042 -541.08 03/23/15 3080* -896.24 03/27/15 3043 -758.34 03/27/15 70.91 -353.2(D -401,92 01V20/1 S 3033 -54 i.08 03/06/15 3046 -425.75 03/27/15 3084 -758.14 03/09/15 3047 -405.41 03/27/15 3085 -816.50 03/05115 03..."59/1 5 0320115 -3088 -571.52 03/11/15 3051 -3,92940 03/30/15 3089 -41.9,63 03/10/15 3052 -418.33 03/23/15 3090 --.--,,--074--C' ()"1/1-2-115 305S -7,363.41 03/30/15 3096* -878.78 03/16/15 3056 -144.77 03/27/15 3097 -353.20 03/17/15 305 7 _1.1509-3 7“ A, -';',-'.7. 03/16/15 3060 -892.42 03/27/15 3101 -816.50 03/27/15 3061 _-353.20 03/30/15 3102 -507.57 C3/23/1 5 305-5 _40:.,,,y„1 03/77/15 IIR f'/.)5.98 U3/2 .5 3054 34 03/27/15 310,-; -571.92 ...___ 03/27/15 3065 -816 50 03/27/15 3107* -535.65 . 03/18/15 3066 -507.57 03/31/15 3109* --f"inn:77 -2,470.30 0iiiun 5 3059 -4 i .b..i CI3/31/15 3113 -1210.63 - - 03/16/15 3070 ._ -531.04 03/27/15 3114 -503.32 03/13/15 1072* =2,504.87 n35711• 3115 -17f-7,7n - • ...5.-......-.,.. ..., ....:. .......,..,,,.,..,...._ - i'Li•::, ::.;,, .4,...4.,'; i L, Lift:L/C iiiiii i'L)Er Based upon the activity below,the monthly fee on your Business Advantage checking account was waived for the statement period ending 02.'27.15. bank of America l'Aerciidni_ , Sz,500+ Hi net new purchases on a iinf-seei Business credit card balance in linked business accounts Date Transaction description Amount 03/06/15 REMOTE DEPOSIT MONTHLY FEE -40.00 03/02 18,785.18 03/12 43,076.79 03/24 6,925.16 03/03 16,044.13 03/13 29,443.94 03/25 5,947.08 14J 56.75 G3/16 24.934.66 032b 03i0b ,505:6-j 03: 8 17.751.86 0 /30 49,549.31 03/09 24,936.04 03/19 17,07374 03/31 43,856.49 03/10 20,240.59 03/20 14,280.28 a 1-lcip yau • 1, at r,T=r;;::",l';" in Online Banking for a printable version of the How to Balance Your Account Worksheet Tarpon Tile & Marble 2424 Davis Blvd Naples FI,34112 June 14,2015 Dear Contractor Licensing Board, The manner of remuneration for the license that I presently hold with Mka Finishing, Inc depends on how well the company is doing. For the most part this lies in a reasonable salary and percentage of profits.This would also be the case for Marble.com, Inc. Best Regards, Beker Escalante Tarpon Tile & Marble 2424 Davis Blvd Naples Fl 34112 Dear Contractor Licensing Board, I am the licensee and I own 50%of Mka Finishing Dba Tarpon Tile&Marble as well as 51%of Marble.com, Inc. Best Regards, Be .celant -- 1 Z1Sf°'"W.° # ?�i+j ‘-'.,2,-_z- F' Y V ^."x 1 ✓ 'I ,47.1.',":4„17;. �i2' '`ZY L',,T4',,,,-C-' % 46•k ° • 7: /J t, `i�'2, f`i'.$..t,z.-f\�?-wT.r+ ! -S �^r s 1.'F-a 1,•, y' j"�{ . „-�' ` a � ��-"a n -}� j�^�^y(` j C '`J`✓,� i �l iL ti- �-c -. , _- (J.- 1��(=';'1:-;-7.--6.!:-:,,L,,',,-,.> `� � ..(YS .9 � ,f r •z: �, ; � .._:,........:„4„, 5- , on, ,, „, _ , ,„.., .,.....„, 9 i: =,�_ :,,,,,,7„,., r1 l'Orll rri -'-4;. 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I am requesting to qualify Marble.com as I am the majority shareholder of this corporation and need to qualify it in order to be able to run the business. Best regards, `BBeker Escatante Tarpon Tile & Marble 2424 Davis Blvd Naples FI,34112 June 15, 2015 Dear Contractor Licensing Board, The following is a fist of our principal suppliers: UMI 1615 Trade Center Way Naples FI, 34112 De Marco Tile Inc, 3527 Domestic Ave Naples FI, 34112 Sorhegui Tile 3876 Mercantile Ave Naples FI, 34104 Omicron 3811 Enterprise Ave, Naples FI, 34104 Lisseth Campos 1324 Industrial Blvd Naples, FL 34104 239-430-4320 June 4, 2015 Dear to whom it may concern, See below list of granite supplies for Marble.Com, Inc.: 1. UMI 1615 Trade Center Way Naples, FL 34109 Phone: 239.593.6995 Fax: 239.593.6996 2. OMICRON 3811 Enterprise Avenue, Naples, FL 34104 Tel. (239)403-0339 I Fax (239) 213-0844 Email: info @omicrongranite.net 3. CAMBRIA 11190 NW 25th Street Suite 110 Sweetwater, FL 33172 US 4. NATURAL STONE SOLUTIONS 7339 NW 66TH Street Miami, FL 33166 Phone: 305-887-4133 Fax: 305-574-0408 Tarpon Tile & Marble 2424 Davis Blvd Naples Fl 34112 Dear Contractor Licensing Board, The following is a list of all the officers of the present entity being Tarpon Tile & Marble as well as the proposed entity which is Marble.com,Inc. Tarpon Tile & Marble Beker Escalante Mario Osorio Ronald Segura Marble.com, Inc. Lisseth Campos Beker Escalante 6/23/2015 Detail by Entity Name 14;7, • FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS Imm Home Contact Us E-Filing Services Document Searches Forms Help Previous On List Next On List Return to List mka finishing Search Events No Name History Detail by Entity Name Florida Profit Corporation MKA FINISHING, INC Filing Information Document Number P06000141895 FEI/EIN Number 841719308 Date Filed 11/10/2006 Effective Date 11/09/2006 State FL Status ACTIVE Last Event CANCEL ADM DISS/REV Event Date Filed 02/18/2009 Event Effective Date NONE Principal Address 2424 DAVID BLVD NAPLES, FL 34112 Changed: 01/18/2014 Mailing Address 752 PINE VALE DR NAPLES, FL 34104 Changed: 02/18/2009 Registered Agent Name & Address OSORIO, MARIO 752 PINE VALE DR NAPLES, FL 34104 Name Changed: 04/25/2012 Address Changed: 04/25/2012 Officer/Director Detail Name &Address Title VPTD OSORIO, MARIO 752 PINE VALE DR NAPLES, FL 34104 data:text/html,charset=Ut1-8,%3Cdy%20Cl ass%3D%22content-wrapper%22%20style%3D%22border%3A%201px%20sdid%20rgb(0%2C%200%20%200)%3--- 1/2 6,23/2015 Detail by Entity Name ' Title PD ESCALANTE, BEKER 2764 LINWOOD AVENUE NAPLES, FL 34112 Title Director Segura, Ronald 3906 9th St SW Lehigh Acres, FL 33976 Annual Reports Report Year Filed Date 2014 01/18/2014 2015 03/16/2015 2015 04/10/2015 Document Images 04/10/2015 -- AMENDED ANNUAL REPORT View image in PDF format 03/16/2015 -- ANNUAL REPORT View image in PDF format 01/18/2014 -- ANNUAL REPORT View image in PDF format 11/12/2013 --AMENDED ANNUAL REPORT View image in PDF format 04/03/2013 -- ANNUAL REPORT View image in PDF format 05/23/2012 -- ANNUAL REPORT View image in PDF format 05/22/2012 --ANNUAL REPORT View image in PDF format 04/25/2012 -- ANNUAL REPORT View image in PDF format 03/02/2011 -- ANNUAL REPORT View image in PDF format 01/18/2010 -- ANNUAL REPORT View image in PDF format 02/18/2009 -- REINSTATEMENT View image in PDF format 05/01/2007 -- ANNUAL REPORT View image in PDF format 11/10/2006 -- Domestic Profit View image in PDF format Previous On List Next On List Return to List mka finishing Search Events No Name History data:text/htrnI;c harset=ut f-8,%3Cdiv%20cIass%3D%22content-wrapper%22%20style%3D%22border%3A%201px%20solid%20rgb(0%2C%200%2C%200)%3... 2/2 6/232015 www.sunbiz.org-Department of State Aox ' FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS .`inb • Home Contact Us E-Filing Services Document Searches Forms Help Previous on List Next on List Return to List Fictitious Name Search No Filing History Submit Fictitious Name Detail Fictitious Name TARPON TILE & MARBLE Filing Information Registration Number G12000050417 Status ACTIVE Filed Date 06/01/2012 Expiration Date 12/31/2017 Current Owners 1 County COLLIER Total Pages 1 Events Filed NONE FEI/EIN Number 84-1719308 Mailing Address 752 PINE VALE DRIVE NAPLES, FL 34104 Owner Information MKA FINISHING, INC. 752 PINE VALE DRIVE NAPLES, FL 34104 FEI/EIN Number: 84-1719308 Document Number: P06000141895 Document Images 06/01/2012-- Fictitious Name Filing View image in PDF format Previous on List Next on List Return to List Fictitious Name Search No Filing History Submit dataleXUhtm l;charset=utf-8,%3Ccfiv%20id%3D%22mai n%22%20style%3D%22border%3A%201 px%20solid%20biack%3B%20pad[6ng%3A%200px%3B5t320... 1/1 Detail by Entity Name Page 1 of 2 FLORIDA DEPARTMENT OF STATE 14'4%,x; Di V1s1o\ of CORPORATIONS ,n. Detail by Entity Name Florida Profit Corporation MARBLE.COM, INC. Filing Information Document Number P00000016369 FEI/EIN Number 462154448 Date Filed 02/10/2000 State FL Status ACTIVE Last Event AMENDMENT Event Date Filed 05/13/2013 Event Effective Date NONE Principal Address 1324 INDUSTRIAL BLVD. NAPLES, FL 34104 Changed: 03/17/2011 Mailing Address 1324 INDUSTRIAL BLVD. NAPLES, FL 34104 Changed: 03/17/2011 Registered Agent Name&Address Campos, Lisseth G 1324 INDUSTRIAL BLVD. NAPLES, FL 34104 Name Changed: 06/22/2015 Address Changed: 03/17/2011 Officer/Director Detail Name & Address Title President CAMPOS, LISSETH G 4300 GAIL BLVD NAPLES, FL 34104 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 6/22/2015 Detail by Entity Name Page 2 of 2 Title VP Escalante, Beker 2764 Linwood Ave NAPLES, FL 34112 Annual Reports Report Year Filed Date 2014 03/10/2014 2015 02/17/2015 2015 06/22/2015 Document Images 06/22/2015 --AMENDED ANNUAL REPORT! View image in PDF format 02/17/2015 --ANNUAL REPORT View image in PDF format 03/10/2014--ANNUAL REPORT View image in PDF format 02/26/2013--ANNUAL REPORT View image in PDF format 02/17/2012 --ANNUAL REPORT View image in PDF format 03/17/2011 --ANNUAL REPORT View image in PDF format 04/16/2010 --ANNUAL REPORT View image in PDF format 08/12/2009 --ANNUAL REPORT View image in PDF format 08/04/2008 --ANNUAL REPORT View image in PDF format 03/02/2007 --ANNUAL REPORT View image in PDF format 03/02/2006 -- ANNUAL REPORT View image in PDF format 02/16/2005-- ANNUAL REPORT View image in PDF format 08/23/2004 --Amendment View image in PDF format 03/22/2004 -- ANNUAL REPORT View image in PDF format 09/04/2003 --ANNUAL REPORT View image in PDF format 07/18/2003--ANNUAL REPORT View image in PDF format 02/1112002 -- ANNUAL REPORT View image in PDF format 08/20/2001 --ANNUAL REPORT View image in PDF format 02/10/2000-- Domestic Profit View image in PDF format CoovuaLt an 'rvacv Fn!i_5 State of Floncia,Department CT State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 6/22/2015 Bank of America'"j Business Signature Card BANK OF AMERICA,N.A.(THE"BANK") with Substitute Form W-9 Account Number: Bank Number: 075 Account Type: © DDA ❑SAV ❑CD Account Title: MARBLE.COM INC DBA FUSION STONE CONCEPTS Legal Designation: I I Individual/Sole Proprietor n Trust/Estate ❑Unincorporated Association Ni C Corporation ❑S Corporation ❑ Partnership (Enter the type of partnership:General,LP,LLP or LLLP) ��� ❑ Limited Liability Company(Enter tax classification:C=C Corporation,S=S Corporation,P=Partnership or M=Single Member Sole Proprietor) ❑ Other(Defined in W-9 instructions) Social Security Number (or) Employer Identification Number 46-2154448 By signing below,I/we acknowledge and agree that this account is and will be governed by the terms and conditions set forth in the account opening documents for my/our account,as they are amended from time to time.The account opening documents include the Deposit Agreement and Disclosures and the Business Schedule of Fees.Furthermore,I/we acknowledge the receipt of these documents. By signing below,I/we acknowledge and agree that the signature(s)will serve as verification for any transactions in connection with this account,and as the certification (set forth below)of the taxpayer identification number(TIN)to which I/we want interest reported. The Deposit Agreement includes a provision for alternative dispute resolution. Substitute Form W-9.Certification-Under penalties of perjury,I certify that:(I)The number shown on this form is the correct taxpayer identification number(or I am waiting for a number to be issued to me),and(2)I am not subject to backup withholding because:(A)I am exempt from backup withholding,or(B)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(C)The IRS has notified me that I am no longer subject to backup withholding,and(3)I am a US citizen or other US person(Defined in the W-9 instructions)and(4)the FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification Instructions: You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement (IRA),and generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN. (Please refer to the IRS instructions for Form W-9). The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. Exempt payee code(if any) Exemption from FATCA reporting code(if any) ❑ Nonresident Alien Status(if applicable)If the beneficial owner of this account is a foreign person,check here,and complete and sign the applicable Fonn(s)W-8. Name(typed or printed) Title(if applicable) Signature Date LISSETH CAMPOS VP EDUARDO LOPEZ CRUZ Manager -(e l -• LC99�i'/�r�, 3 BEKER ESCALANTE Signer --- _ c 4 5 NFL C 2012 Bank of America,N.A. All Rights Reserved 08-2014 IJIIIIIIIItI 11111II1IIIIIII'111I 111111(1 111(1(1 II' Page 1 of 2 Account Number: nSignature Card Addendum on File ATM/Deposit/Debit Card Request Provided that the account referenced above is eligible to receive automated teller machine cards and/or Debit Cards,I(as authorized by the resolutions and/or court documents and/or other agreements which authorize this account)hereby request the issuance of such cards to any of the authorized signers on this account. Authorized Signer Title Review Information Customer 1: Name LISSETH CAMPOS --- - - USDriver License W/Photo Florida Iss.Date:03/201 I Exp.Date: 12/2019 ID Type: ID#: ID Issuer: Db/Chk Card-Othr Fin inst Iss.Date:N/A Exp.Date: 12/2015 ID Type: ID#: ID Issuer: _ p Customer 2: Name EDUARDO LOPEZ CRUZ ID Type: Foreign Passport W/Photo ID#:12864740092 ID Issuer.Mexico Iss.Date:0112012—Exp.Date:01/2018 ID Type:Other `� (1 ID#: _ Other ( )({,I/v► jl 1453 ID Issuer: Iss.Date:N/A Exp.Date:N/A Customer 3: Name BEKER ESCALANTE -- US Driver License W/Photo E245072893860 Florida Iss.Date:08/2012 Exp.Date:1012020 ID Type:US ID Issuer. p ID T yp c:Other —S (/ D#: ' 0809 ID Issuer: Iss.Date:N/A Exp.Date:N/A I Customer 4: Name ID Type: ID#: _ID Issuer: Iss.Date: Exp.Date: ID Type: ID#: ID Issuer: Iss,Date: Exp.Date: Customer 5: Name - ID Type: ID#: ID Issuer: _ Iss.Date: _ Exp.Date:—_ ID Type: ID#: ID Issuer: Iss.Date: Exp.Date: Bank Information Date 06/15/2015 _ Banking Center Name BERKSHIRE LAKES Associate's Name Callie Nelson Bick Associate's Phone Number 239-352-0400 NFL 00-14-9297MW 08-2014 II 1111111111 11111111111 11111 IllIllIllIllIll 111111111111111 III Page 2 oft Page 1 of 1 . . 2012-Aug-23 03:25 PM Bank of America 239-393-5017 10/17 Bank of America're Corporate BANK OF AMERICA, ❑ Temporary Signature Card Account Type 1. ///ee... y „[s1j. � • / J� Account Title / 74 f'f //J e j�f��--I �OJh}�,¢ - ,�r�f/yT/re t- �4A L•� Name of Corporation ,// t�' r/(//SW.//V 6- j'(JC Tax Identification Number G By signing below,the above named Corporation agrees that this account is and shall be governed by the terms and conditions set forth in die following documents, as emended from time to time:(I)the Deposit Agra:intent and Disclosures,(2)the Business Schedule of Fees.(3)the Miscellaneous Fees for Business Accounts and the Corporation further acknowledges the receipt of then documents. Substitute Form W-9.Certification-Under penalties of perjury,1 certify than(1)The number shown on this form is the correct taxpayer identification number(or I am welting fora number to be issued to me),and(2)I am not subject to backup withholding because:(A)I oar exempt from backup withholding,or(P)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all Interest or dividends,or(C)The IRS has notified me that I am no longer subject to backup withholding,and(3)1 am a U.S.person(including a U.S. resident alien). Certification Instructions You nutst cmos out item(2)above if you have been notified by the IRS that you are currently subject to backup withholding because of underreporting Interest or dividends on your tax return.(See also IRS instructions for Form W-9). ❑ Exempt(cheek if applicable) The Internal Revenue Service does not require your consult to any provision of this document other than the certifications required to avoid backup wftbholding. Name(typed or printed) Title 'jot ` air I. Iei/�(o ©S't— V v t firi -- 3. 4. 5. • I,the undersigned hereby certify(1)I am the Secretary or Assistant Secretary of the Co•• .•ion named above,(2)rho above named person(s)are those person(:) currently empowered to as under the Corporate resolutions authorizing this account an r banking services provided for therein,(3)that the title and specimen�s�/1 urn set forth p/y��Ito the name of h rson are true and genuine,at !a T,Substitute Fenn W-9 certification. This f^( day of Cf tom- _-- -�li Secrr'ry ssistant Secretary ATM/DepositlCbeck Cord Request Provided that the account referenced above is eligible to receive automated teller machine cards and/or Check Cards,I(as authorized by the resolutions which authorize this account)hereby request the issuance of such cards to any of the authorized signers on this account. Signature 21 !`.9. Title /}f / �A^'(.qlti CC .,pLZ. fF- g9:S/t� �vxsJ'� � V/c, Bank Information Dote 08812012 Banking Center Name MARCO ISLAND Associate's Name ANTHONY FEOLA Associate's Phone Number 239.642-6565 NFL 1 1 95-14-9006M 08.2001 111111111 111(11° Ift https://webimageviewer.bankofamerica.com/VirtualViewerJavaHTML5/resources/print.html 6/18/2015 • • Lisseth Campos 1324 Industrial Blvd Naples, FL 34104 239-430-4320 June 4, 2015 Dear to whom it may concern, The reason why the previous qualifier is no longer willing to qualify the entity is because he is no longer an authorized agent or owner of Marble.com, Inc.The new owners are Lisseth Campos and Beker Escalante. d i h Warm regards, ' 3 }/ F, , .1 i..(L f' i u ,s Lis YCampos i 3'1 / /CFI yi ! i Tarpon Tile & Marble 2424 Davis Blvd Naples Fl,34112 Dear Collier County Contractor Licensing Board, The Previous qualifier of Marble.com, Inc. is no longer willing to qualify the company as he is no longer an authorized agent or owner of the corporation. Marble.com, Inc. is now owned by Beker Escalante r, and Lisseth Campos. 4 a�3 c 1,,,,,,A, A ,- ct ,- Beki Escalante k / li 2 I i { Design Custom Millwork, Inc. F I N E A R C H I T E C T U R A L P R O D U C 1 S James R. Blackburn President 130 Tech Dr.•Sanford, Florida 32771 Ph.407.416-9899•jamesblckbrn @gmail.com ( as Fors l� who /1 U ( Gel.>J 31/11,-e, 5 661c1019(ta o o--F b G ►� Res f ecKcit Ue ' -fo Rte, is-4'd -100 c( e u 5 -t \ ) Li Ce&I , C wi voo(e. 1619 1,1 CrOJJ,:(O, Co 104 i N 5-Ian l T tf cei To 4-40 u5 pcs, Fo he_ Pico tit ed g 5 v3 c+ vOO - S )iow i,� Cou`�►'�N klote_ ►�r � eckfek_ Ord 144\1:k) tri i)\*1 kJ\ e4) pa(Z boos,a (S O i S -- % G>1N5-utt Pry G / ( s 'k gQC3Od� MOB fac, vIk,v , �07�- �l6`9 s A .,�e5)9 GNAs o� rn j Jl t✓o,24c , t\;4,. + ....n t,�,'T!?.-r (. r(.a t o F'X:t:v GNI]) Operations & Regulatory Management I_,icensing Section 2800 North Horseshoe Drive i ` � ,tip! ! �' _: Naples, FL 34104 APPLICATION FOR COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM IENSTRUTIONS: This application must be typewritten or legibly printed. The application fee must be paid upon approval and is not refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 90-105, as amended, NAME OF COMPANY: ) �f Exact Corporate/Business Name: (' °3 , ( 1'1 t{,,'h)tiw 1 ► i ) l 1 t)o f /`) 1 i. c Fiction Name/DBA: Qualifier Name: t� yt��∎( l� . V', 1t, , V. )k. t y , Physical Address: /.> o L e 1, C)t- a/_(-' _ . t &A_ i t :m /2 / (Number& Street) (City) (State) (Zip Code) Mailing Address: 21 ( '`j,,:' " (1 ci_x' vii., l't'r.._e,„y\ ti i I ,...'Ito`j t.:I I 1 )r 1 .11/ (Number&Street) (City) (State) (Zip Code) Telephone: f 0 , '-// (A ' E-mail: � (al'ti .:�, �le.K a r>�7 �') c, r" , ( (?01 TYPE OF LICENSE: General $230.00 Electrician $230,00 Building $230.00 Plumber $230.00 Residential $230.00 Air Conditioner $230.00 Mechanical $230.00 Swimming Pool $230.00 Roofing $230.00 / Specialty '1, Specialty Trade: ( .(i 11 t f`)t' / I t 6 / i / / • - 6/18/2015 Reinstatement Fee= $205.0( C ANGE OF STATUS: 3 Year Fees= $555.01 (! Reinstatement ( ) From One Business to Another "t)tf 'e"terent f` °av apply* Total=$760,0( tli + ;? ' Page I of4 ii . . 1. The names titles, home address and phone numbers of all O tic ors/Ivlanaging Members of the Firm. .-2 — � /�`r t__.‘t�,,.�. �����i�+1t(.'c�.1 `� ��� � �.� � `� ���'��.Lra.._„ %I S. t;._.ir L -,/ r. 1_6i(1Q ./ 1)14,4- 2. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (i.e. held a license for or been a partner). Attach extra pages if needed. UA1 ' i fti Jo" .5 3. List all debts you or any company(s) associated with you that you refused to pay and the reasons for the refers 1 to pay. Attach extra pages if needed. ,/ AFFIDAVIT Under the penalties of perjury I declare that I have read the foregoing application and that the facts stated in it are true. Authorized Officer of the Firm The foregoing instrument as acknowledged before me this ' r << < . .) (Date) by f( of .1 )' if (Name of Officer, Title/ Agent) (Name of Corporation) a r r , .x Corporation on behalf of the corporation. (State or Place of Corporation) (He,lShe has produced / identification and did not take an oath. (Type of identification) NOTARY'S SEAL (SIGNATURE OF NOTARY) ,,��4�r""°1+'''t'q REBECCA A.MAUL 1 , Notary Pubito•State of Florida t Page 2 of 4 4 ,o, ,ji` �: My Comm.Expirf May 29,2018 Commtaston 0 FF 113083 ♦ .,w:♦ ► 0 .. 4 QUALIFIER LNFOR ATION: Name: __.1Ckyy t:--2- 5 P . ,' Icv,h ty.(J ✓" Address: L. �'� ) 1�� )9)-C:VI, < lJold_ , /7 — �.;,?.� 7/ (Number& Street) (City) (State) (Zip Code) Telephone: 1/0 7 e.--1//o. --7,9 /C Date of Birth: 0 ,/ SS#: — - E-mail: 1(A/1?Pniot di to.)ea Wyk.)t 1 . (o i'1// Driver's License #: 1. Type of Certificate of Competency for which application is made. (I,a t) I we,h-- ./ . it r7 C,A 1 L 1 (0) 2. The names and telephone numbers of two persons who will know your whereabouts. (29)0 1- i c-- 0 1-0,./-3ep, r'S 11 0 2 41 di -0 /V I--I ...�d h h ----...317 r-c o 1/1 qt) . 7 (- 1 f -1,� ' 9?s 3. Have you ever been convicted of a crime related to Contracting? C, (If yes,attach extra sheet with expta ation,) 4. Have an or ou firms you have been associated with ever filed bankruptcy? /J/(0 Y any 5. List all debts you or any company(s) associated with you that you refused to pay and the reasons for the refusal to pay and reasons why. /(///4 - A/3 t'l e).- 6. List your business or work experience during the last ten years. p 0_011,6; y c i t e)r O J- 1 /tits () r-�� -- f,l .C-14.r i )irm-ii c)4) 0 oci 'v f.. .__ It)a >s (' iC kc C) ODr-i ) 1 7. Statement of any formal trailing you have had in the area for which the application is made. 5 i4( / 0 s,c-'-.) C e-t- /,' P, c(V r'r)iJ S(4 h b V 1 } Q--e t41 cl Is _. , i"i (A (,. c----f --h-er vt/�it c 3 of 4 r r AFFI:l)AVFF The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and ail activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification, _.1X111 _I") Jra t� ' {t)!,� (' ✓'�/ Applicant (please print) ( i '�, 11�/, �1;WI r; Name of Company al 12; S attire of Applicant State of Florida County of The foregoing instrument as acknowledged before me this (Date) by �.r , d >r E who has produced (name of person acknowledging) (type of identification) as identification and did not take an oath. / NOTARY'S SEAL 4 `,FAyp�i,� ' (SIGNATURE OF NOTARY) �o��, ,;: REBECCA A.LITTREIt. �, No-,1 Notary Public•State of Florida � < My Comm.Esplrq May 20,2018 I a of ` Commission r1 FF 113083 • VIDA T It is understood and acknowledged by the Collier County Contractor's Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. ig7'alur ot Applicant J'e 41,1(, fr (-11 0,A-L9 � Business Name -il 06/2 2/). 0/ 5 Date //// BEFORE ME this day personally appeared e-. ` �'' 5 who affirms and says that he/she has less than one employee and does not require Workmen's Compensation and understands that at any time he/she employs one or more persons he/she must obtain said Workmen's Compensation Insurance. State of Florida County of The foregoing instrument as acknowledged before me this (Date) by r,., r i� ,t . :���= r who has produced y (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL ;° - r f• ;""��, REBECCA A.LITTREL AI I (SIGNATURE OF NOTARY) ?•'�.' , `:a Notary Public•State of Fbrkla P 4 s : ' . My Comm.Expires May$,2018 %f, "�„o�� CammIsslon#►FF 113003 '`‘/EltIFICATION OF CoNsTRuCTION GMT)Operations&Regulatory Management Department " Licensing Section MO N. horseshoe Drive Naples,II, 34101 Applicant's Name: _.‘ CkityL e -Ahm r// 40.509 (-Itet_____riorvi//kr)(1,004 ty , Certificate Category Requested: 10 11., .2 i—v--j :1-- ill';ii'-'r The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate,the applicant must verify their experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker(e.g.as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described,but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: ., -Name: i„LL.2.. .„.< /,,.;:.,, r-f,,-,, .;.1.,.„.„,- i )(''.,:'.- - ' ./ /) Title: 0c2i,,_ /(.:1-- .),/,-;;),.„ ; i License Number(if applicable): ., :' /,' -;;) Name of Business: r. .....,._ ../ !x,....;..._/..../,, ." ...,_ .,.,: , --. \i'‹, / Business )1ddress: ,V / .;.:' . '., ,..,,/ t,„/ ...',,./ 1:_. 7 ,") 1 / Business Phone: > -;7' 6-, y._,,' i Vif .(' The applicant's years of experience from.4,"),,-)to )(') i The applicant's scope of work(specific duties) included: /t< ■ ,, •,-f, r.,'„:'/ .i ,, , , . Additional comments: ,,,LL:,,< , . „ . CATI l' • 0" ' 0 C 0 14'P " Di (iMI)Operations&Regulatory Management 1)epartment Licensing SeeCon 2300 N.Flu w•Aoc Drive Nnpres,a )4104 ,--i, Applicant's Name: .1 Ca j,,,yif.`3_,_.131.04141.411/LCA?___MMAj 645.-6,_ iti Olaf 1,4)1(4- ' Certificate Category Requested: (-4 b i si.e 1-r-2 .,7. it.X,Iref /fedi The applicant applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate,the applicant must verify their experience within this trade, You are being requested to provide information that will aid the applict in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker(e.g.as u worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described,but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the fptIowing informaiii9n: Name: —AtJtC...4, ` ' V—L114.1 Title:'13tZ,Cct t>t,Lir License Number(if applicable): Name of Business: lat. . \01(....4,1ir V—t , - Business Address: C'SC) i-Ile--Dbc''r ...:41)C likhistiEgil....... g. '30751 - Business Phone: 1-10142,03<!A 4 The applicant's years of experience from to The applicant's scope of work(specific duties)included: 1.,141.4,1,0crp...,v. .4,..1.Lag,...ThiALASaill?th ' Additional comments: Falsifying any information provided herein may subject your license to revocation. Under the penalties nf perjury I declare that I have read the foregoii: applicati and t at the facts stated 1 in it are true i I. / Sigriature --...V.:.-- r , r ..,...i Print Name State of Florida , County of The foregoing instrument as acknowledged before me this (Date) by_____1(Av2.42 who has produced / ,,-,,,4,-/.,s 4.44k,i _ (name of person acknowledging) (type of identification) as identification and did not take an oath, NOTARY'S SEAL `'..;',',, / / //.7/ ' . imilhaboderses■UsrataibmAlbe MATTHEW KALUSH '1 (SIGNATURE 0 NOTARY) - ',.4 Notary Public•Stale ol Florida 1, 4 47V\ :, 'i. ,c .1.,My Comm.Expires Jan 13,2017 , .,' 1 Commission#EE 038484 r Bonded Through National Notary Assn, 0 PIIIIMINIONFRIPNIMP4rVi*Vr44r1r, , ... , ...... . _.... ___ • i4 \MI-DADE COUNTY BUILDING CODS COMPLIANCE OFFICE 140 W. FLAGLI.R ST. , SUITE 1602 f-MIAMI FL, 33130 (305) 375-2527 CONTRACTOR'S BUSINESS CERTIFICATE OF COMPETENCY ISSUED SEPTEMBER 29, 2010 THIS IS '1'O CERTIFY THAT DESIGN CUSTOM MILLWORK INC CONTRACTOR CERTIFICATE NO. : 10BS 0482 TRADE: BUILDING CERTIFICATE EXPIRATION DATE: u)/30/2012 HAVING t::;'C THE CODE REQUIREMSi; 'S k;.? MIAMI-DADE COUNTY, AS AMENDI .'', IS CERT; :'TED AS A CONTRACTOR ID THE FOLLOWING CATEGORY(S) : 0053 FINISH CARPENTRY WITH ALL WORK TO BE DONE UNDER THE SUPERVISION, DIRECTION AND CONTROL OF QU11 i ING AGENT BLABURN h S.S.N. - -2826 ALTERATT.:;D, REPi:ODUCTION OR Ti2;u?Si ER OF THIS CERTIFICATE IS PROP.IT :'F:'. HERMINIO GONZALEZ, P. . SSCRL"IY, CONSTRUCTION TRADES QUALIFYT:: DESIGN CUSTOM MILLWORK INC 575 QUEEDSBRIDGE DR LAKE MAR'. FL 32746 . . 4., Ivor t , , ,01., it • . `-`+ v !it: t Ivor • "O""-.,4,1611.0", ',... ' ' '..1!, ,,,, ,..,:7:04,t f' ' (01111 lie ° ,k! Moo ` V S U ,, ' if lUrtittcatt I, Natalie E. Tennant, Secretary of State, of the State of West Virginia, hereby certify that Design Custom Millwork, Inc. has filed the appropriate registration documents in my office according to the provisions of the West Virginia Code and hereby declare the organization listed above as duly registered with the Secretary of State's Office. Given under my hand and fffri �� the Great Seal of West Virginia• *NNESD,,fix "r-_ on this day of - ki` =y January 25,2010 ca rt i 1t �' T \� -pars - .4\trr It r. i SfMp�,� 1 r /j (NY:fridlik(21 Secretary of State ..-'---,:---•••,444.'...7.4.,.;:4"...,%;,:.,* --------,t,4-''''',:s";*"..i.7";'" . **';V't.,1:e0.1'..14:1,,, ';:b..4".4`4,:'f...'rt'tAte'''''.:01.',''4 A,..:"tt.:,..:' ,...'.4:F:4:1•2°,.;z, ''''t:';';:t"*i t---''''''''''',14ve-t.:4;°1';',2:4.,..... A...!4'4,No*),:ti*,,::;:,af,,,.,'"'"';‘,.°.:',4,4,),44';;;;;"?'... •t't "..,,t' !ii0"'''''I '''''tt. ;..''''''' r '. .-z......r,. 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(ti =.; mc, 0 C *CO 4 0.1 Pp tali ftl O y MEM Mg Mig C) Design Custom Millwork, Inc. 575 Queensbridge Dr. Lake Mary, FL 32746 CONSTRUCTION SERVICES PROPOSAL February 24, 2011 TO: Pizzeria Uno Corporation 100 Charles Park Road Boston, MA 02132 P: 617-218-5200 RE: UNO Restaurant Renovations Construction Management Services Design Custom Millwork (DCM) will provide the services of one full time Construction Manager to: • Help survey and assess scope of work to be performed. • Assist with purchasing of owner supplied products and bidding of all construction services associated with the renovations at twenty-six (26+) UNO Restaurant. • Monitor scheduled completion dates for all projects and intermediate milestones. Coordinate delivery of owner supplied products as scheduled. Coordinate and direct the activities of Construction Service Providers (Contractors, Subcontractors, etc) to ensure a timely completion. • Monitor quality and adherence to the approved UNO Renovation Program. Take corrective action as needed to avoid delays and minimize the need for contractors to return to the job once work is complete. • Negotiate change orders to ensure fair value. Report on percentage of completion. UNO Proposal Page 1 of 2 • Create Punch Lists and follow-up with contractors to obtain final completion. The fee for these services will be $1,500/calendar week (5-6 days) or $300/day (< 5 days in any calendar week). The duration of this agreement will not exceed four (4) months and may be terminated at any time by either party. Uno's will reimburse DCM for any normal out-of-pocket expenses incurred by Consultant that are'associated with the work at hand in accordance with its current corporate policy for employees. Reimbursable will include a $500/month vehicle charge, fuel consumed in execution of the work, mutually agreeable temporary housing in the suburban Boston area (short term rental apt, efficiency or room), a UNO Gold Card with dining privileges at UNO and UDG Restaurants and one round trip airfare between Boston and Orlando each month (seven day advance purchase required). The Construction Manager can be in Boston and ready to start no later than March 1St, 2012. Design Custom Millwork, Inc. By: Date: .w 20 Jam s Blackburn, Presidd t UNO Proposal Page 2 of 2 t • AIFFTD.-1V:IT OF INTEGRITY AND GOOD Cf1.1.RAC'I'ER STATE OF COUNTY OF = /=-- f., / / it/ <° / ' , having been first duly sworn, state and affirm: I am a resident of �` 4 _ County, (State) and have resided here for more than five (5) years. During the last five years I have known ' x,F f° y�1� 3" ' ' `(applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. // p l Signature #( t /1 / t a JJIA' 7 Name t ;� Jr f �. Address Telephone The foregoing instrument as acknowledged before me this .Ar, �� ., =;?0/r !. Date) by j?.Qbetr t t,I *Tie(' who has produced _..... ' i �" Ill f- (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL tstsA ( ,*: <d (SIGNATU O NOTARY) RYAN SMITH /' ,� � ti�wy Public•Stale o1 ftor►Ga 1 y� �, //=1� /1i ( my Comm,Expk s Jon 28,2018 4 ' '4lj�y•I1 Commission if if 086387 1111�1� AFFIDAVIT OF INTEGRITY ANI) GOOD CI-I:AR\CTER STATE OF COUNTY OF ' ' 1,11, 1,( �° 0 , having been first duly sworn, state and affirm: I .. 1 (State) and have am a resident of 4._-.44;_i_ �/ County,ounty, 1 /:y� i ,-� resided here for more than five (5) years. During the last five years I have known ,,,, 1 v,,,, `; / / : ' ",,,V;(applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. ,i 1 - Sig1 Lure / ( /f 1t Gf i'I 1 1C)i i.,,7llfrf.:-t Name II / / 1pr ,j 1, / I . r f� ! r J Address 1 Telephone The foregoing instrument as acknowledged before me this (Date)•by '' x it , ', , , t ., , ,, who has produced / , /' ' I , , r/ . _ (name of person acknowledging) (type of identification) as identification and did not take an oath. 4 NOTARY'S SEAL ,�. r ; , . /--a ... / • , � „��� (SIGNATURE OF NOTARY) •�” , REBECCA A.LtTTAELL 4 14'.' , = Notify Public•State of Florida ,,� y q ,,,: ►1: •I My Comm.Wires May 29,2016 4 `a;;��';t. Commission 0 FF 113063 • . . , . RESOLUTION OF AUTHORIZATION WHEREAS 1 ' ; ( ,",` , 1. ; , , , " ; . . 1 proposes to engage (Name of Business Entity) in contracting. as in (Type of legal entity: corp.,partnership, etc.) Collier County, Florida,according to Collier County Ordinance 2006-46,as amended: and WHEREAS r 'r - i , .), , ," „ , , ./,' , , ,l) 1;/"''' - " '' " ; ; proposes to qualify (Name of Business Entity) for a Certificate of Competency with . (Name of Individual) NOW,THEREFORF„ BE IT HEREBY RESOLVED THAT: We the undersigned of (Officers,Owners,Partners) / i/,( -04'1."1' 'hereby resolve and represent to the Collier County (Name of Business Entity) Contractor's Licensing Board that the qualifying agent,... ' ' ' ' ' ' ' . - - ' - , is active (Name of Individual) in all matters connected with the contracting business of ::, ,i:,. . ( ,, , ;', , ,, i ', i'','",;and ';''{ (Name of Business Entity) We further resolve and represent that ) .,,,, . „s' /':Li',. : ,--- /,„ — , is (Name of Individual) ') . , , . ,, I' ' Legally empowered to act for ' ; " = y, ,' '• 1' '' I' ' '"'''' . In all 0 matters connected with its (Name of Business Entity) contracting business, and has the authority to supervise construction undertaken by (Name of Business Entity) DULY PASSED AND ADOPTED THIS --/ ,'' DAY OF (Officers, ParArs,Owne 9. ,,ti designation underneath) . .. 4 aiht / L . ...-- jwit• ess, ,) , /.. ,„..., . . , .,„ / W ( .,i .,.. , ,r /,`,„.::,e; , • / Wimess/,:. Witness Corporate Seal (if applicable)or Notary Public Certificate Sworn to and subscribed before me this .),'''',day of ''' ' ' , ,' by s' ,-: ', ', ., ic' / '',/-•',///''' , ' , The foregoing instrument as acknowledged before me this (Date) by .) ,, — ,' ', I' IV it.,,,,, who has produced ii ( i s,:, (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL (SIGNATURE OF NOTARY) ,IPlikp, REBECCA A.MAUL • 149.* "V.1 Notary Public•Stale of Florida . co■ Ti «.:=My Comm,Expires May 29,2018:- ••,+,, .4. aP. ,.: •,,I,,,,,,y,%:,`,0` Commission# FF 113063 „. ... 4Ceo GRID Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 MEMORANDUM Date: February 17, 2015 To: Applicant's for Certificate of Competency From: Michael Ossorio, Contracting Licensing Supervisor Subject: Collection of social security numbers. Pursuant to Chapter I-19, Florida Statutes and Collier County Contractor Licensing Ordinance 2006-46 Section 2.1.1, all applicants are required to submit their social security number(SSN) for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. Our office will only use your SSN noted above for those reasons pursuant to Chapter I-19, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safe-guarding and protecting your SSN and once collected, will be maintained as confidential and exempt under Chapter I-19, Florida Statutes. 886 110th Ave. N. Suite#6, Naples, FL 34108 ,, t F r�. �k. i p ;: �,. - Phone: 239.777.1028 �;= - Fax: 877.275.3593 www.licensesEtc.com BUSINESS CREDIT REPORT as of: 6/25/15 16:54 ET Design Custom Millwork, Inc. Fed Tax ID#59-3601882 Address: 4835 Cains Wren TRL Key Personnel: James R Blackburn Sanford, FL 32771-8080 Gloria A Brashears United States SIC Code: 5211-Lumber&Building Materials Dealers Experian BIN: 735964980 1500-Building Construction Agent: Blackburn James R NAICS Code: 444110-Home Centers Agent Address: 4835 Cains Wren Trail 236000-Construction Of Sanford, FL Buildings Business Type: Corporation Family Linkage: Experian File Established: March 2000 Ultimate Design Custom Millwork,Inc Parent 4835 Cains Wren TRL Experian Years on File: 15 Years Sanford, FL Years In Business: More than 15 Years Branches/ Design Custom Millwork, Inc Alternative 1650 Forest Ave Ste 100 Total Employees: 25 Locations Longwood,FL United States Sales: $3,700,000 Design Custom Millwork,Inc 575 Queensbridge Dr Filing Data Provided by: Florida Lake Mary, FL United States Date of incorporation: 10/18/1999 Design Custom Millwork,Inc 776 Bennett Dr Unit 121 Longwood,FL United States Page 1 of 2 Public Records PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY, STATE AND FEDERAL LEVELS, ✓Bankruptcies: 0 ✓ Liens: 0 ✓Judgments Filed: 0 ✓Collections: 0 END OF REPORT Page 2 of 2 r xpertan k,retrtt tracker rceport rage t 01 .5V OS SO IV SO EXPerian° t Credit Report Prepared For: JAMES R BLACKBURN Report as Of: 6/9/2015 Personal & Confidential Please Keep in a safe place for your records, https://experian.experiandirect.cam/PdfReport/Pdfl-IttnlReport.htrnl?reportId=389391971 6/20/2015 t:xpor/xnurcU|t llaoxurRnp0U Page 2o\ jU • ` . Jm: xnnmzwoww ^,� ^ Report m Of.namom �� �/kxpe[iaD^ Table of Contents Personal '^ ` 3 Report Summary 4 Credit Inquiries. 6 Credit cum�,Lcw"auomo�mmt u Credit Score 27 ~ ' ,, ~'-- , * r,n��cr urr+ VA t".urt I 16I4.AG1 I i)U1 C rage .3 01 .31/ JAMES R HI.ACKBt1RN Report As Of.6/9/2015 � =m mr���•Experial` Personal Information Hare you Will find your personal information,Including your legal narne(s),year of birth,currenty and previous addresses,and current and previous employers. r 1. Profile , „ [xpr.i ion Ffluilitx 11.1,1,1111111i1 Name JAMES R BLACKBURN JAMES R BLACKBURN JAMES R BLACKBURN (Li) (Also Known Year f i AKA Birth 1959 1959 1959 Address(es) 4835 GAINS WREN TRL, 4835 CAINS WREN TRL, 4835 GAINS WREN TR, SANFORD,FL 32771-8080 SANFORD,FL 32771 SANFORD,FL 32771 Current Employer DESIGNS CUSTOM MILLWORK RUINS CHRIS ST Previous Employer DESIGN CUSTOM MILLWORK INC Personal Statement This space is reserved for statements of dispute.For most consumers,no information appears in this section. Personal Information Page 1 of 1 Report Summery Bankruptcies Credit Inquiries Credit Cards&Loans Credit Score https://experian.experiandireel,corn/PdfReport/PdfHtmlReport.html?reporttd=389391971 6/20/2015 t.xperian l;re(tlt i racKer tceport rage it 01 l) Or;t'Ei t7 01ACKIIUURN >�, Report As Of.6/9/2015 •$ ., t „ t:Txpr,r Ian Report Summary Here you will find a summary of al your open and dosed accounts,indudng any delinquencies.Open accounts contain current balances at tho time the report was putted. Account totals,including total debt,are found at the end of this section. `!:1 xikt0firill Lguifax 11,111��Iltlii�tl Real Estate Count 1 0 0 Current Account(s) Balance $62,070.00 $0.00 $0.00 Current 1 0 0 Delinquent 0 0 0 Other 0 0 0 Revolving Count 12 7 8 l` w Current Account(s) Balance $2,751.00 $2,751.00 $2,751.00 Current 12 7 8 Delinquent 0 0 0 Other 0 0 0 Installments Count 3 4 4 I' ;) Current Account(s) Balance $12,893.00 $74,963.00 $75,344.00 _--- Current 3 4 4 Delinquent 0 0 0 Other 0 0 0 Other Count 0 2 4 Balance $0.00 $0.00 $0.00 �': ': Current 0 2 4 Delinquent 0 0 0 Other 0 0 0 Collections Count 0 0 0 I -- Current Account(s) Balance $0.00 $0.00 $0.00 Current 0 0 0 Delinquent 0 0 0 Other 0 0 0 r :i„;:EXpet l itt ftillifax itdnsIlium! All Accounts Count 16 13 16 !8 {) Current Account(s) Balance $77,714.00 $77,714.00 $78,095.00 Current 16 13 16 Delinquent 0 0 0 Other 0 0 0 Personal Inforrnatkrn Report Summary Page I of 1 flarrkruptcics Credit Muni I' Credit Cards A Loans Credit Score • https://experian,experiandirect,cam/PdfReport/PdfHtm lRepart.htm l?reportld=3 89391971 6/20/2015 tilxperian ureolt i racker KCp011 Page 5 ot 30 JAmrs H 111 AC:KROHN • Report As Of.6/0/2015 EXperian' Bankruptcy & Court Judgments Here you MI find any court related information,including bankruptcies,state and county court records,fax liens,monetary judgments,and in some states,overdue child support payments.Remember,bankruptcies remain on your report for 7 10 years. Public Records Ex ,l ho HOW( ltnnflntiun There are no Public Records on your credit [LA) report at this time. Personal Information Report Summary Bankruptcies Page 1 of 1 Credit Inquiries Credit Cards&LOMFfi Credit Score https://experian.experiandirectcom/PdfReport/PdflIttn1Reporthtml?reportid=389391971 6/20/2015 1.,,xperian Credit tracker Report Page o of .3u JAMES R Pt ACKTil/RN Report As Of.6/9/2016 Experialv Credit Inquiries Here you will find the names of those who have obtained a copy of your credit roped,including lenders,landlords,and employers.Remember,inquiries remain on your report(or UP to 2 years. BACKGROUND INVESTIGA :1„4.Exopflan Botax Ii Business Name BACKGROUND INVESTIGA inquiry Date Business Type 6/4/2015 Miscellaneous Reptg.Agencies A&M SUPPLY CORPORATI T3:Experian Equifax Itaustfilion Business Name A&M SUPPLY CORPORATI th9,3) Inquiry Date Business Type 5/20/2015 6189 GROVEDALE COURT ALEXANDRIA,VA 22313 S :1“*. wr EQUIPMENT FINANCE ,LA:Experian Equifax i dn,Ilnorrt Business Name WI EQUIPMENT FINANCE 14.) inquiry Date Business Type 5/5/2015 Personal Loans Cos. 800 WALNUT ST MAC F4031-040 DES MOINES,IA 50309 4 4 AT&T SERVICES, INC. TI:Experian Equifax Business Name AT&T SERVICES,INC. *AII0 Inquiry Dale Business Type 5/1/2015 Bu Telephone Companies MAIL ONLY 1801 VALLEY VIEW LANE FARMERS BRANCH,TX 75234 Personal Information Report Summary Bankruptcies Credit Inquiries Page lot 3 el edit Cards A Loans Credit Score https://experian.experiandirect.com/PdfReport/PdflittnIReporthtml?reportId=389391971 6/20/2015 r_dipen Hill l.rl:crrl I fitCKer tceporl rage / Ot .iU 1AMt S R f1LACKrIUtttl * - M 6 ««� Report Of,6/9/2015 ,D:Experianv Credit Inquiries Here you wit find the names of those who have obtained a copy of your credit report,inducting lenders,landlords,and employers.Remember,inquiries remain on your report for up to 2 years. FIDELITY BANK ' PPFxperid�in Etirtilax tt+t i tttiurt Business Name FIDELITY BANK inquiry Date 3/12/2015 Business Type All Banks SBA LENDING OFFICE CONYERS,GA 30094 JPMORGAN CHASE BANK a„A: xpetian t;gttilvx t"tdtl ttrtitrtt Business Name JPMORGAN CHASE BANK AUDI DALLAS inquiry Date 1/6/2014 1/6/7014 L Buslness Typo All Banks Automotive 4015 INDEPENDENCE PARKWAY TAMPA,FL 33634 CLASSIC AUDI ;t„is Experian tgtlilrax Ii dtI'littitrtt Business Name CLASSIC AUDI Inquiry Date 116/2014 t I Buslness Type Automobile Dealers,New 880 STATE RD 434 SOUTH ALTAMONTE SPRINGS,FL 32/14 SUNTRUST BANKS of FL : „i1Expetieln tguilat( tr,mstillinft Business Name SUNTRUST BANKS OF FL inquiry Date 1/6/2014 � Business Type All Banks P.O.BOX 85130 DEALER FIN SRV rt. RICHMOND,VA 23285 Personal Information Report Summary Bankruptcies Credit Inquiries Page 2 of 3 Credit Cards&loans Credit Score https;//experian,experiandirect,corn/PdfReport/Pdf[IttnlReport.html?reportld-389391971 6/20/2015 bxperian Lre0 ft I racker Report Page a 01 30 JAMr r R Ill Al Kf3III113 Report As Of:6/9/2015 0:Fxperian' .amx Credit inquiries Here you wilt find the names of those who have obtained a copy of your credit report,including lenders,landlords,and employers.Remember,inquiries remain on your report for up to 2 years. BB &T DEALER FINANC isqui1 ix h;Uhl'ti Business Name BB&T DEALER FINANC Inquiry Date 11(1/2014 (- ? Business Type All Banks 7701 AIRPORT CENTER DRIVE SUITE 2300 GREENSBORO,NC 27409 Personal Information Report Summary Bankruptcies Credit Inquiries Page 3 of 3 Credit Cards&Loans Credit Score https://experian,experiandi rest,cote/Pd fReport/Pdfl-itm1 Report.html?reportld=3 89391971 6/20/2015 Lxperian Credit tracker Keport huge 9 01 it) JAMS U RI ACKUULION Report As 01.6/9/2015 ;IIt1:Experinn''•• Credit Cards, Loans & Other Debt Here you will find specific information on each account you opened,including current status and any past due information.Positive credit information remains on your report indefinitely.Creditor contact information has been provided in order to make it easier for you to resolve any issues, AMEX t L-xiJt;'(i,i [-(wait x ir.1ii,,uitiuri Account Name AMEX AMERICAN EXPRESS Current Closed Account# - Account Type Bank Credit Cards All Banks Balance $0.00 $0.00 Past Duo $0.00 $0.00 PO BOX 297871 Date Opened 1/1/2001 1/1/2001 FORT LAUDERDALE,FL 33329 Account Status Closed Closed Mo.Payment $0.00 $0.00 Payment Status Paid satisfactorily Pays account as agreed High Balance $35,137.00 $35,137.00 Limit $30,600.00 $30,600.00 Terms Revolving Comments 24/Mo Payment History 2005 2007 2008 Month MAY JUN JUL. AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR Experian OK Equifax OK 01< OK OK OK OK 10< OK OK 01< OK OK OK (Jot OK Or< OK 01< UK OK OK OK OK ttia BB$T a„g:Expel i ail Equifax it�tnsuninn Account Name BBRT Current Account It Account Type All Banks-non specific Balance $12,893.00 BYMAILONLY Past Due $0.00 PO BOX 1847 Date Opened 1/1/2014 WILSON,NC 27894 Account Status Open Mo.Payment $425.00 Payment Status Current High Balance $0.00 Limit $0.00 Terms 48 Months Comments 24/Mo Payment History 2013 2014 2016 Month JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY Experian OK OK OK OK OK OK OK OK (11< 01< Olt OK OK OK OK OK OK I Personal Information Report Summary Bankruptcies Credit Inquiries Credit Cards A Loans Page 1 of t7 Credit Score i;, Iattps://experian,experiandirect.com/l'dfReport/PdfI Itlnl.Report.htrnl?reportId=389391 971 6/20/2015 i xperran credit'1 Tacker Report rage ru or sir JAMES It iii ACKfItlfzN Report As Of:6/9/2015 --- �°1��xp€:rlat1' Credit Cards, Loans & Other Debt Here you wA find specific information on each account you opened,including current status and any past due information.Positive credit information remains on your report indefinitely.Creditor contact information has been provided in order to make it easier for you to resolve any issues. mow, .w CHASE CARD El:Expel hatfitax It,t:tOrunt Account Name CHASE CARD CHASE BANK liSA,NA I i Current Closed Account# Account Type Bank Credit Cards National Credit Card Cos. Balance $0.00 $0.00 Past Due $0.00 $0.00 PO BOX 15298 Date Opened 2/1/2001 2/1/2001 WILMINGTON,DE 19850 Account Status Closed Closed Mo.Payment $0.00 $0.00 Payment Status Paid satisfactorily Pays account as agreed High Balance $13,349.00 $13,349.00 Limit $13,700.00 $13,700.00 Terms Revolving M Comments 24/Mo Payment History 2006 2007 2008 Month MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR Expertan (5< OK OK OK OK OK O1< OK OK OK OK OK OK OK O1< OK OK OK OK OK (.5< OK OK OK Equifax OK OK OK OK 011 OK 01< OK OK OK OK OK O1< OK OK OK OK 01< OK OK OK OK 01< CHASE CARD `i,�;�1 xp riitrl htffi1tx itaii'Mition Account Name CHASE CARD Current Closed Account# Account Type Bank Credit Cards Balance $0.00 8004323117 Past Due $0.00 PO BOX 15298 Date Opened 6/1/1995 WILMINGTON,DE 19850 Account Status Closed Mo.Payment $0.00 Payment Status Paid satisfactorily High Balance $28,583.00 Limit $30,000.00 Terms Revolving Comments 24/Mo Payment History 2003 2004 2005 Month JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN Exporian OK OK C5< OK OK OK OK OK 01< OK OK OK OK OK OR OK OK OK OK tr1< OK OK OK crf< Personal Information Report Summary Bankruptcies Credit Inquiries Credit Cards 8 Loans Page 2 of 17 Credit Score https://experian,experiandirect.corn/PdfReport/Pdfl-ttmlReport.htm l?reportld=389391971 6/20/2015 Lxperlan Credit 1 sacker Report Vage I I 01 iu • IAMI S It Ell ACKBORN Report As 01,6/9/2015 f:;?{ Credit Cards, Loans & Other Debt Here you will find specific Information on each account you opened,including current status and any past duo information.Positive credit information remains on your report indefinitely.Creditor c=tact information has been provided in order to make it easier for you to resolve any issues. CHASE CARD !E :; xpel"oath Equifax la 1nr,dEtiifilt Account Name CHASE CARD I >, Current Account# Account Type Dank Credit Cards Balance $2,690.00 8004323117 Past Due $0.00 PO BOX 15298 Date Opened 2/1/2008 WILMINGTON,DE 19850 Account Status Open Mo.Payment $26.00 Payment Status Current High Balance $11,601.00 Limit $18,500.00 Terms Revolving Comments 24/Mo Payment History 2013 2014 2015 Month JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY Experian OK OK OK OK OK OK OK OK 01{ rS t OK 01< OK 01< O1< OK OK OK OK oK OK oK OK Olt CHASE/CIRCUITCITY :EP Expend!' Equifax iranst)rlitlll Account Name CHASFJCIRCUITCITY CHASE/CIRCUIT CITY I I CurreatClosed Account# Account Type Bank Credit Cards Miscellaneous Balance $0.00 $0.00 8004323117 Past Duo $0.00 $0.00 PO BOX 15298 Date Opened 10/1/2005 10/1/2005 WILMINGTON,DE 19850 Account Status Closed Open Mo.Payment $0.00 $0.00 Payment Status Paid satisfactorily Pays account as agreed High Balance $4,000.00 $4,000.00 Limit $4,000.00 $4,000.00 Terms Revolving M Comments 24/Mo Payment History 2007 2008 2009 Month FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUl.. AUG SEP OCT NOV DEC JAN Experlan OK OK OK OK OK OK OK OK OK Olt O1< OK OK 01< OK OK OK OK OK OK OK OK 0K 01< Equifax OK OK Olt O1t OK OK OK OK OK OK OK ol< Ott OK OK t1K OK OK 01< OR OK 01< OK Personal Information Report Summary Bankruptcies Credit Inquiries Credit Cards&Loans Pape 3 of 17 Credit Score https://experian.experiandirect.com/PdfReport/PdfHtmlReport.html?reportld=389391971 6/20/2015 i.xperlan k.,reuit r racKer t .eporr rage I Z 01 ii • 1AMFS f2 ittACKt3URN •^ • Report As 01:6/9/2015 D: • .xpel'tan Credit Cards, Loans & Other Debt Here you will find specific information on each account you opened,Including current status and any past due information.Positive credit information remains on your report Indefinitely.Creditor contact information has been provided in order to make it easier for you to resotvo any issues. F�C� Ii N[3C7 a »s' =xi�l.l ion ttltlifax ii:�s�,iatrir,,l Account Name EMERGE/FNDO EMERGE EMERGE/FNBO I I Current Closed Account It Account Type Bank Credit Cards National Credit Card Cos, Banks and S&Ls Balance $0.00 $0.00 $0.00 BYMAILONLY Past Due $0.00 $0.00 $0.00 PO BOX 105374 Data Opened 7/1/1996 7/1/1998 7/1/1996 ATLANTA,GA 30348 Account Status Closed Closed Closed Mo.Payment $0.00 $0.00 $0.00 Payment Status Paid satisfactorily Pays account as agreed Paid or paying as agreed High Balance $8,583.00 $8,583.00 $8,583.00 Limit $9,100.00 $9,100.00 $9,100.00 Terms Revolving M Comments 24/Mo Payment History 2006 2007 2008 Month NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT Experfan 0K OK 01< OK OK OK OK OK OK 01< OK OK OK UK OK OK OK OK OK OK OK OK OK OK Equifax Olt OK Ott 0K OK OK OK OK OK Olt OK OK OK 1)K Ott O1< OK 01< OK 01< OK OK O1< Transunion OK OK OI< O1< OK 014 OK OK OK OK OK 01< 01< OK OK OK OK Olt 01< OK OK OK 01) FORD CRED i„ Expefidn Fgttilax II.Iti=,Uuiurt Account Name FORD CRED I Current Closed Account# 3898XXXX Account Typo Auto Financing Companies Balance $0.00 BYMAILONLY Past Due $0.00 PO BOX BOX 542000 Date Opened 5/1/2005 OMAHA,NE 68154 Account Status Closed Mo.Payment $0.00 Payment Status Paid satisfactorily High Balance $0.00 Limit $0.00 Terms 60 Months Comments 24/Mo Payment History 2006 2007 2008 Month JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL. AUG SEP OCT NOV DEC JAN FEB MAR APR MAY Exporian OK OK Olt OK oat OK OK OK Olt OK OK OK OK OK OK 014 OK OK OK OK OK OK OK OK Personal Information Report Summary Bankruptcies Credit Inquiries Credit Cards&Loans Page 4 of 17 Credit Score https://experian.experiandirect.corn/PdfReport/PdfHtml Report.html?reportid=389391971 6/20/2015 I xperian Uredit tracker Report 1'agc 13 01 .1U JAW'S R 131 Ar:KlitIRN Report As Of,6/9/2015 i,F t xperlan Credit Cards, Loans & Other Debt Here you will find specific information on each account you opened,including current status end any past due information.Positive credit information remains on your report indefinitely.Creditor contact information has been provided in order to make it easier for you to resotve any issues. LINCOLN AUTOMOTIVE FIN fruifa Erair.tluhrtl Account Nam LINCOLN AUTOMOTIVE FIN I Current Closed Account ft Account Type Auto Financing Companies Balance $0.00 4023976177 Past Due $0.00 12110 EMMET ST Date Opened 5/1/2008 OMAHA,NE 68164 Account Status Closed Mo.Payment $0,00 Payment Status Paid satisfactorily High Balance $0.00 Limit $0.00 Terms 60 Months Comments 24/Mo Payment History 2011 2012 2013 Month JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY Experfan OK Olt Olt OK (41< OK OK OK OK 01< 0K OK OK OK OK OK OK OK OK OK OK Olt OK OK PNCBANK t.ts«Experitttt Equifax 1tiinsllniatt Account Name PNCBANK Current Closed Account# Account Type Bank-Installment Loans Balance $0.00 8887622265 Past Due $0.00 2730 LIBERTY AVE Date Opened 11/1/2011 PITTSBURGH,PA 15222 Account Status Closed Mo.Payment $0.00 Payment Status Paid satisfactorily High Balance $0.00 Limit $3,000.00 Terms Revolving Comments 24/Mo Payment History 2011 2012 2013 Month FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN Expertan OK Olt OK Olt UK OK 01< OK OK OK uaK Personal Information Report Summary Bankruptcies Credit Inquiries Credit Cards&Loans Page 5°117 Credit Scorn https://experian,experiandirect.corn/PdfReport/Pdit-itm lReport,html?report ld=3 89391971 6/20/2015 Lxpertan Lredtt tracker Keport Page 14 01 .w CKotio f Report As Of.6/9)2015 = . ;�t:: .•.1n Credit Cards, Loans & Other Debt Here you will find specific information on each account you opened,including current status and any past due information.Positive credit information remains on your report indefinitely.Creditor contact information has been provided in order to make it easier for you to resolve any issues, PN CBANK t ;a t xipteriO1l Egoi1 tx Oiil',lltlluli Account Name PNCBANK Current Account8 Account Typo Bank-Installment Loans Balance $62,070.00 8887622265 Past Due $0.00 2730 LIBERTY AVE Date Opened 3/1/2013 PITTSBURGH,PA 15222 Account Status Open Mo.Payment $506.00 Payment Status Current High Balance $0.00 Limit $0.00 Terms 180 Months Comments 24/Mo Payment History 2013 2014 2015 Month JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY Experlan OK OK OK Oft OK off 01< OK 01< 0K Oi< O1< <1K 01< int OK 01< Ott ol< 01( OK 01< OK 01< PNCBANK :i„t.EXperi21f1 ;t;uitax tf�trtstOtiitrn Account Name PNCBANK Current Account U Account Type Bank-installment Loans Balance $0.00 8887622265 Past Due $0.00 2730 LIBERTY AVE Date Opened 11/1/2011 PITTSBURGH,PA 15222 Account Status Open Mo.Payment $533.00 Payment Status Current Nigh Balance $18,000.00 Limit $18,000.00 Terns Revolving Comments 24/Mo Payment History 2013 2014 2015 Month JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY Experlan oft oli OK OK OK O1< OK OK OK 0I< 01< Oft oK Oft 01< Oft 014 Olt OK OK OK Olt 01< 01: Personal Information Report Summary Bankruptcies Credit Inquiries Credit Cards&Loans Page 6 of 17 Credit Score https://experian.experiandirect”corn/Pdflteport/Pdfl-ItmlReport.htm1?reportld=389391971. 6/20/2015 Experian Credit backer Report l'a;e 1 J 01 .Su JAMES R fit_ACKRURN Report As Of:8/9/2015 :I :e.Experian' Credit Cards, Loans & Other Debt Here you will find specific information on each account you opened,inducting current status and any past due information.Positive credit information remains on your report indefinitely.Creditor contact information has been provided in order to make it easier for you to resolve any issues. RBC BANK 1:1".x4p0101) fgtfilitx ii.nii•,liirnii Account Name RUC BANK Current Closed Account# Account Type All Banks-non specific Balance $0,00 2524544400 Past Due $0.00 134 N CHURCH ST Date Opened 11/1/2011 ROCKY MOUNT,NC 27804 Account Status Closed Mo.Payment $0.00 Payment Status Current High Balance $0.00 Limit $18,000.00 Terms Revolving Comments 24/Mo Payment History 2010 2011 2012 Month APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JtJt. AUG SEP OCT NOV DEC JAN FEB MAR Exporian 014 OK r)t< 1)1< RBC BANK Experiflrt Equifax ff.lnwtlninff Account Name RUC BANK Current Closed Account# Account Typo All Banks-non specific Balance $0.00 2524544400 Past Due $0.00 134 N CHURCH ST Date Opened 11/1/2011 ROCKY MOUNT,NC 27804 Account Status Closed Mo.Payment $0.00 Payment Status Current High Balance $0,00 Limit $3,000.00 Terms Revolving Comments 24/Mo Payment History 2010 2011 2012 Month APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR Experian OK Olt Olt Ott Personal Information Report Summary Bankruptcies Credit inquiries Credit Cards A I cairn Paade 7 of 17 Credit Score https://experian.experiandirect,corn/PdfReport/Pdfl Itml Report.htm l?reportId=3 89391971 6/20/2015 r.;xpercan c.,reatt r rocker Keport rage i a or ..Su .JAfiFS R 131_ACKOURN Report As Of;619/2015 A.11: pet ri%ttl Credit Cards, Loans & Other Debt Hate you will find specific information on each account you opened,including current status and any past due information.Positive credit information remains on your report indefinitely.Creditor contact information has been provided in order to make it easier for you to resolve any issues. SYNCBJCH VRaN �f xis �llcltl Ugriaaix it;ti;tllti��tt Account Name SYNCBlCHEVRON I Current Closed Account 8 Account Type Oil Company Credit Cards Balance $0.00 8002438766 Past Due $0.00 PO BOX 965015 Date Opened 7/1/2006 ORLANDO,FL 32896 Account Status Closed Mo.Payment $0.00 Payment Status Paid satisfactorily High Balance $147.00 Limit $400.00 Terms Revolving Comments 24/Mo Payment History 2006 2007 2008 Month MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR Experian OK OK OK OK OK OK OK OK OK OK OK 01< SYNCB/LOWES .test Expo i in Fquitax it ilotioun Account Name SYNCB/LOWES Current Account 8 Account Type Lumber I Building Material/ Hardware-non specific 8004441408 Balance $61,00 PO BOX 965005 Past Due $0.00 ORLANDO,FL 32896 Date Opened 8/112011 Account Status Open Mo.Payment $25,00 Payment Status Current High Balance $1,928.00 Limit $1,500.00 Terms Revolving Comments 24/Mo Payment History 2013 2014 2015 Month JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY Experian OK 01< OK OK OK OK 0K OK OK OK OK 01< OK OK ol< OK OK OK 01< 01< OK OK OK OK Personal Information Report Summary Bankruptcles Credit Inquiries Credit Cards&Loans Page 8 of 17 Credit Score https://experian.experiandirect.coca/PdfReport/PdfHtcnlReport,httnl?reportld=389391971 6/20/2015 i;Xperian t..recii( i racKet' lceport riage I r vt .)%3 • • um,u'1;itttlAl.<01)11) . Report As Of.6/9/2015 ; 4. .Xpei iilii' Credit Cards, Loans & Other Debt Itere you will find specific information on each account you opened,including current status and any past duo information.Positive credit information remains on your report indefinitely.Creditor contact information has been provided in order to make it easier for you to resolve any issues. BB&T 1„1: xpeli:tfl 1rtuifax itall unit' ; Account Name BBBT BB&T Current Account# _ Account Type NI Banks Banks and S&Ls Balance $12,893.00 $13,274.00 MAIL ONLY Past Due $0.00 $0.00 PO BOX 1847 Date Opened 1/6/2014 1/6/2014 WILSON,NC 27894 Account Status Open Open Mo.Payment $425.00 $425.00 Payment Status Pays account as agreed Paid or paying as agreed Nigh Balance $18,798.00 $18,796.00 Limit $0.00 $0.00 Terms M 48M 48 Months Comments 24/Mo Payment History 2013 2014 2015 Month MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR Equifax NI) Nt) ND NO Nt) UN Nt) NO 01{ OK OK OK (4K Olt 01< OK ((K (0< OK 01; (0< OK OK 01< Transunlon i t OK,,OK OK 0K OK OK (11t OK O)1< OK O7< OK Olt OK Ott r ' CHASE BANK USA, NA .t :: EXFMCt-iarl Equifax Transtioion Account Name CHASE BANK USA,NA CHASE Current Account Account Type National Credit Card Cos. Banks and S&Ls Balance $2,690.00 $2,690.00 8009559900 Past Due $0.00 $0.00 201 N.WALNUT ST//DE1-1027 Date Opened 2/19/2008 2/19/2008 WILMINGTON,DE 19801 Account Status Open Open Mo.Payment $26.00 $26.00 Payment Status Pays account as agreed Paid or paying as agreed /1198 Balance $11,601.00 $11,601.00 Limit $18,500.00 $18,500.00 Terms M Minimum Comments 24/trio Payment History 2013 2014 2015 Month MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL.. AUG SEP OCT NOV DEC JAN FEB MAR APR Equifax OK OK 01< OK OK OK OK (01 , OK,.01< 01t Olt OK OK 01< OK OK O1< OK OK 01< OK Oit OK Transunlon OK 01< OK OK 01< OK OK (0< OK OK t)1< OK ON, OK OK OK OK OK OK OK 01< Oft OK OK Personal Information Report Summary Bankruptcies Credit Inquiries Credit Cards&Loans Page 9 of 17 Credit Score https://experian.experiandirect,cone/PdfiZeport/PdfHtmtReport.htfnl?reportid=389391971 6/20/2015 t;xperran urealt i racxer Keport rage I o of iv • JAMES R Bt.ACKBURN Report As Of.6/9/2015 :8,.11'Fxper'ian' Credit Cards, Loans & Other Debt Here you will rod specific information on each account you opened,including current status and any past due information.Positive credit information remains on your report indefinitely.Creditor contact information has been provided in order to make it easier for you to resolve any issues. Fr C-OtV1AI1A SERVICE CT rrxi)EttIcili tgttitdx tr„rr.11ni+>tt Account Name FMC-OMAHA SERVICE CT f - Current Account# Account Type Auto Financing Balance $0.00 8007277000 Past Due $0.00 P.O.loX 542000 Date Opened 5/1/2005 OMAHA,NE 68154 Account Status Open Mo.Payment $644.00 Payment Status Pays account as agreed High Balance $31,889.00 Limit $0.00 Terms M 60M Comments 24/Mo Payment History 2008 2007 2008 Month MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR Equifax t5< OK OK OK t)K OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK OK LINCOLN AUTOMOTIVE F :1;,1;LxperidI1 Halifax it;uc.Unitltt Account Name LINCOLN AUTOMOTIVE F Current Account# Account Type Auto Financing Balance $0.00 MAIL ONLY Past Due $0.00 PO BOX 542000 Date Opened 5/8/2008 OMAHA,NE 68154 Account Status Open Mo.Payment $592.00 Payment Status Pays account as agreed High Balance $30,570.00 Limit $0.00 Terms M 60M Comments FIXED RATE 24/Mo Payment History 2011 2012 2013 Month MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR Equifax OK OK Of< OK Oft oK OK OK OK Oft OK OK OK OK OK OK OK OK 01< Ol< OK OK OK O7< Personal Information Report Summary Bankruptcies Credit Inquiries Credit Cards&Loans Page 10 of 17 Credit Scorn hops;//experian.experiandirect.cote/PdfReport/Pdf1.ltmlReport.html?reportld=38 9391971 6/20/2015 t:SXperlan l.realt i raci er tceport t atsc t Y tri -v JAMES 0 I AGKf tI^;N Report As of.6/90015 :L I.1 Expt?ri n' Credit Cards, Loans & Other Debt Here you will find srrecific Information on each account you opened,including current status and any past due Information.Positive credit information remains on your report indefinitely.Creditor contact information has been provided in order In make It easier for you to resolve any issues. ......_....._. . :44' PNC BANK :/4411Experi<nn hitlifax 1titrlotitintr Account Name PNC BANK PNC BANK . Current Account it Banks and S&Ls Balance $0.00 $0.00 8887622265 Past Due $0.00 $0.00 2730 LIBERTY AVE Date Opened 11/2/2011 11/2/2011 PITTSBURGH,PA 15222-4704 Account Status Open Open Ma.Payment $0.00 $0.00 Payment Status Pays account as agreed Paid or paying as agreed High Balance $18,000.00 $18,000.00 Limit $18,000.00 $18,000.00 Terms M Comments VARIABLE RATE 24/A10 Payment History 2013 2014 2015 Month MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR Equifax 01< oi< OK 014 OK OK 01< 01< OK 015 01( OK 01< OK OK O1< OK OK OK 01< OK 01< 01< 01< Transunlon 1714 ol< OK I0< 111< 01< f11< (1K OK t)K OK 0K UK r7K OK ox 01< OK 1)1< OK 01< OK 01< OK PNC BANK :I :Ex(3eri all Equifax I1on'Utlion Account Name PNC BANK PNC BANK Current Account N Account Typo All Banks Banks and S&Ls Balance $62,070.00 $62,070.00 8887622265 Past Due $0.00 $0.00 2730 LIBERTY AVE Date Opened 3/5/2013 3/5/2013 PITTSBURGH,PA 15222-4704 Account Status Open Open Mo.Payment $506.00 $506.00 Payment Status Pays account as agreed Paid or paying as agreed High Balance $70,000.00 $70,000.00 Limit $0.00 $0.00 Terms M184M 180 Months Comments FIXED RATE 24/Mo Payment History 2013 2014 2015 Month MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR Equifax OK OK OK OK OK OK OK OK OK OK 01< r)K OK GK (1K OK OK OK OK OK O1< (11< OK 01< Transunlon OK OK OK OK t:11< 01< OK OK OK OK OK 01< OK OK OK OK OK 015 OK 01< 01< 01< 014 01< Personal Information Report Summary Bankruptcies Credit inquiries Credit Cards&I cans Page 11 of 17 Credit Score imps://experian,experiandirect,com/PdfReport/Pdaltm1Report.html?reportId-389391971 6/20/2015 t xperiwi ureuu i racKer Keport rage zu or .iu • IA;f"S It DI M;Kilt ION Report As Of.6/9/2015 : ,i: xperian' Credit Cards, Loans & Other Debt Here you will find specific Information on each account you opened,including current status and any past duo information.Positive credit information remains on your report indefinitely.Creditor contact information has been provided in order to make it easier for you to resolve any issues. PNC BANK 1:,,:xp o ififl Fqull.ix ifaitstiniuii Account Name PNC BANK PNC BANK 1 I Current Closed Account# Account Type All Banks Banks and S&Ls Balance $0.00 $0.00 8887622265 Past Due $0.00 $0.00 2730 LIBERTY AVE Date Opened 11/2/2011 11/2/2011 PITTSBURGH,PA 1 522 2-4 704 Account Status Closed Closed Mo.Payment $0.00 $0.00 Payment Status Pays account as agreed Paid or paying as agreed High Balance $0.00 $0.00 Limit $3,000.00 $3,000.00 Terms M Comments FIXED RATE 24/Mo Payment History 2011 2012 Month JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Equifax 140 Nf) ND ND 111) NO ND ND _ NO NO OK OK 01< 01< OR OK OR 0K OK OK 01< OK OR OR Transunlon OR OR OR 0K 0K 01< OK OK 01< oR ° .y t:: SYNCH/CHEVRON PLCC ,LI:Expo on Equifax (trtnstinintt Account Name SYNCB/CHEVRON PLCC SYNCB/CHEVRO 1 1 Current Closed Account# Account Type Olt Companies Oil companies Balance $0.00 $0.00 MAIL ONLY Past Due $0.00 $0.00 4125 WINDWARD PLAZA Date Opened 7/7/2006 7/7/2006 ALPHARETTA,GA 30005 Account Status Closed Closed Mo.Payment $0.00 $0.00 Payment Status Pays account as agreed Paid or paying as agreed High Balance $147.00 $147.00 Limit $400.00 $400.00 Terms M Comments 24/Mo Payment History 2013 2014 2015 Month MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR Equifax OR OK O1< 01< O1< 01< 01< OK OK OR 0K OK O< 01r, 01< ttit OK OK OK 01< OI< OK 0i< OK Transunion (:)1< 01C 01( OK 01< OK 01< lit OK OR OK OK OK OK OK 0K (11< 0K OK OK OK 01< OR OK s. . r Personal Information Report Summary Bankruptcies Credit Inquiries Credit Cards b Loans Page 12 off 7 Credit Score https://experian,experiandirect.corn/Pd.fReport/Pdfl-ltmlReport.htrrrl?reportld=389391971 6/20/2015 L"X13Cr1Y111 l..reuir 1 racier Keport rage LI 01 .su JANIt_S R 01 ACK0000 Report As Of:6/912015 "", p; ,b 1._x1 €ncin' Credit Cards, Loans & Other Debt Hero you will find specific information on each account you opened,including current status and any past due information.Positive credit information remains on your report indefinitely.Creditor contact information has been provided in order to make it easier for you to resolve any issues. SYNCI It.OWE E�:xiir�r'i�Ut Equifax {i 1r€t�liniur) Account Name SYNCBILOWES SYNCBILOW Current Account# Account Typo Hardware Stores Lumber,building material, hardware MAIL ONLY Balance $61.00 $61.00 4125 WINDWARD PLAZA Past Due $0.00 $0.00 ALPHARETTA,GA 30005 Date Opened 8/21/2011 8/21/2011 Account Status Open Open Mo.Payment $25.00 $25.00 Payment Status Pays account as agreed Paid or paying as agreed High Balance $1,928.00 $1,928.00 Limit $1,500.00 $1,500.00 Terms M Minimum Comments 24/Mo Payment History 2013 2014 2015 Month MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR Equifax OK OK OK OK OK OK 1111 014 OK OK OK OK OK OK OK OK OK OK 014 OK OK OK 01< OK Transunlon OK OK OK OR Oil OK OK oK OK OK OK OK OK OR 01< OK OK 014 OK OK OK OK OK OR AMEX Fe xiieri ii Fgffifax fi,msUrlinrt Account Name AMEX i Current Closed Account# Account Type Banks and S&Ls Balance $0.00 8008742717 Past Duo $0,00 P.O.BOX 981537 Date Opened 1/9/2001 EL PASO,TX 79998 Account Status Closed Mo.Payment $0.00 Payment Status Paid or paying as agreed High Balance $35,137.00 Limit $30,600.00 Terms Comments 24/Mo Payment History 2006 2007 2008 Month APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR Transunlon Ol< 1)K OK OK OK OK 014 OK OK OK OK OK OK OK OK OK Olt OK OK 01< 01< OK OK OK Personal Information Report Summary Bankruptcies Credit Inquiries Credit Cards&Loans Page 13 of f7 Credit Score https;//experian,experiandirect.corn/PdfReport/Pdf itrIReport.html?reportid=389391971 6/20/2015 L:xpCrran urecnt r racier rceport rage; 4.4 01 .)U • JAMES R fit.At:KUtiON Report As Of.6/9/2016 D r� xperi<i11 Credit Cards, Loans & Other Debt Hero you will find specific information on oath account you opened,including currant status and any past due information.Positive credit information remains on your report Indefinitely.Creditor contact information has been provided in order to make it easier for you to resolve any issues. CHASE a CC „�t�xi7t'IiE11'J EquItitx it a,.iillirttl Account Name CHASE-CC Current Closed Account H Account Type Home Furnishing Balance $0.00 8004323117 Past Duo $0.00 P.O.BOX 15298 Date Opened 10/8/2005 WILMINGTON,DE 19850 Account Status Closed Mo.Payment $0.00 Payment Status Paid or paying as agreed High Balance $4,000.00 Limit $4,000.00 Terms Comments 24/Ma Payment Histofy 2007 2008 Month JAN FEB MAR APR MAY JIJN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Transunlon 01< 01< Oi< DK O1< OK Olt OK OK OK OK 411< O1< OK OK 01< GK OK Olt Oft OK Ott Olt Oft CHASE :I : .xperkiri Equifax ttittt iittittfi Account Name CHASE I Current Closed Account 8 I Account Type Banks and SALs Balance $0.00 BANK ONE CARD SERV Past Duo $0.00 2500 WESTFIELD DR! Data Opened 2/13/2001 ELGIN,IL 60124 Account Status Closed Mo.Payment $0.00 Payment Status Paid or paying as agreed High Balance $13,349.00 Limit $13,700.00 Terms Comments 24/Mo Payment History 2006 2007 2008 Month APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR Transunlon Ott oft OK 01< r')K OK OK OK OK OK OK Olt OK OK Olt Oft OK OK OK OK 01< 0K QK OK Personal Information Report Summary Bankruptcies Credit Inquiries Credit Cards ii Loans Page 14 of 9'7 Credit Score Nips://experian.experiandirect.cam/PdfReport/Pd fl-Itrn 1Report.htnil?reportId=3 89391971 6/20/2015 t;xpertan .recut i racket tceport rr1 gt; L,, ()1 • JAMIE tint ACKIrtISN Report M Of 6/9/2015 a,l.:XPeri+=tn Credit Cards, Loans & Other Debt Isere you will find specific information on each account you opened,including current status and any past due information.Positive credit information remains on your report indefinitely.Creditor contact information has been provided in order to make it easier for you to resolve any issues, • k# Vt tJN �i..°xperiat Fgttifdx Tt,att-�aininn Account Name CHEVRON l Current Closed Account# ._. Account Type Oil companies Balance $0.00 8002438766 Past Duo $0.00 PO[3 5010 Date Opened 7/7/2006 ROOM 1242 Account Status Closed CONCORD,CA 94524 Mo.Payment $0.00 Payment Status Paid or paying as agreed High Balance $147.00 Limit $400.00 Terms Comments 24/hMo Payment History 2005 2006 2007 Month APR MAY JUN JUL AUG SEP OCT NOV DEC JAN'FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR Transunlon UK 0K t')K ND OK FRD MOTOR CR .4! . ('rictil Fgoifax it;rn.:Unintt Account Name FRD MOTOR CR I l Current Closed Account# Account Type Finance,personal Balance $0.00 8007277000 Past Duo $0.00 POE3 542000 Date Opened 5/3/2005 OMAHA,NE 68154 Account Status Closed Mo.Payment $644.00 Payment Status Paid or paying as agreed High Balance $31,889.00 Limit $0.00 Terms 60 Months Comments 24/Mo Payment History 2006 2007 2008 Month MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR Transunlon OK 111< OK OK O); OK OK (OK OK OK OK OK O1< (1K OK t1K OK 01< oK OK OK OK OK OK Personal Information Report Summary Bankruptcies Credit Inquiries Credit Cards&loans Page`I5 of f7 Credit Score https://experian.experiandirect.cam/PdfReportlPdfHtmlReport,html?reportld=389391971 6/20/2015 I xperian (Credit 'I rocker Report rage �'1 ()1 ..1u JAWS R 13t ACKUUURN °.."* Report M Of.6/4/2015 'D:to x pe r is r1' Credit Cards, Loans & Other Debt Mere you will find specific information on each account you opened,including current sinks Sind any past due information,Positive credit Information remains on your report Indefinitely.Creditor contact information has keen provided in order to make it easier for you to resolve any issues. LINCOLN AI'S 'j.L XpI'I kill Friilif.ix Itair\liliiiiii Account Name LINCOLN AFS I Current Closed Account# Account Type Finance,personal Balance $0.00 8884988801 Past Due $0.00 POD 54200 Date Opened 5/8/2008 OMAHA,NE 68154 Account Status Closed Mo.Payment $592.00 Payment Status Paid or paying as agreed High Balance $30,570.00 Limit $0.00 Terms 60 Months Comments 24/610 Payment History 2011 2012 2013 Month MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR Transunlon OK Cti< UK OK OK OK Uri OK 011 01( OK OK OK OK OK OK OK OK Oil OK OK OK OK OK BBC BANK USA E: :ExoerIan Equifax lionsilrtitatt Account Name RBC BANK USA 1 1 Current Closed Account# ....... Account Typo Banks and S&Ls Balance $0.00 8008887888 Past Due $0.00 POD 500 Date Opened 11/2/2011 ROCKY MOUNT,NC 27802 Account Status Closed Mo.Payment $0.00 Payment Status Paid or paying as agreed High Balance $0.00 Limit $3,000.00 Terms Continents 24/kto Payment History 2010 2011 2012 Month MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB Transunion OK O1< OK UK ti .r Personal Information Report Summary 8ankylrptcles Credit Inquiries Credit Cards&loans Pape 16 0117 Credit Score https://experian,experiandirect.cam/PdfReport/AdfHtmlReport.html?reportid-389391971 6/20/2015 L xperran Credit I racKer K.eport ' `if'," `, `P` _, , LAMES R BLACKBURN Report As Of.6/912015 .s,ag�1 xlaoriai " Credit Cards, Loans 8 Other Debt Mere you will find specific Information on each account you opened,including current status and any past due information.Positive credit information remains on your report indefinitely.Creditor contact information has heen provided in order to make it easier for you to resolve any issues. RFC BANK USA t f X1)ei kin Fquit.itx its€rtsl1ninii Account Name RBC BANK USA l i Current Closed Account tt Account Typo Banks and S&Ls Balance $0.00 Past Due $0.00 8008887888 11/2/2011 POB 5000 0 Date Opened Closed ROCKY MOUNT,NC 27802 Account Status Ct 00 Mo.Payment Payment Status Paid or paying as agreed High Balance $0.00 Limit $18,000.00 Terms - Comments 24/Ma Payment History 2010 2011 2012 Month MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB OK OK OK Olt Transunlon Personal Information Report Summary Bankruptcies Credit Inquiries Credit Cards S Loans Page If of 17 Credit Score • https://experian.experiandirect.com/PdtReport/PdfHtml Report.htmi?reportId-389391971 6/20/2015 f'dt,pet kilt 1,.1 CCM i f itett.C1' keport rage zo or _SU It til ACKBURN Report As Of.6/9/2015 xperian' • 4 Credit Cards, Loans & Other Debt Here you will find specific information on each account you opened,including current status and any past due Information.Positive credit information remains on your report indefinitely.Creditor contact information has been provided in order to make it easier for you to resolve any issues. Payment History Legend )1t Current or 30 Days Late RD Key Derogatory ND No Data• oe 60 Days Late er Repossession or Foreclosure On 90 Days Late PP Payment Plan i 20 120 Days Late 'Sometimes the credit bureaus On not have information frem a particular month on **For additional infunnatlen err Key Derogatory,please see your Credit Report titride, Account Status Legend Current Current Closed Rai Unknown Potentially Negative I Potentially Negative Closed Personal Information Report Summary Bankruptcies Credit Inquiries Credit Cards&Loans Nipo Credit Score https://experiamexperiandirect.com/PdfReport/PdffItmIReport.html?reportld=389391971 6/20/2015 v,xpertan ureatt t racKer rceport • .rb., JAM'S 12 fdt AGl(13URN Report As of:6/9/2015 :Ir.,i' xperi tn'" Credit Score Your Credit Score is a numerical representation of your credit worthiness that is used by most lenders and credit card issuers.Remember,Experian,Equifax,and TrensUnion each have their own set of data in your credit file.That's wiry Credit Scores may vary between bureaus. About your FICO`'Score: Your bite)Score powered by Fr data is forint dated urging the information In your credit life.Your ric(.)Scow can rvnffrr between 300 and IThCI,with a higher score hulir:alinp a lower risk.There are many scoring models used in the marketplace.The typo of score used,and its associated risk levels, may vary horn lender to lender.But regardless of what scoring model is used,they all have ono purpose:to curlunarlerr your creditworthiness.Keep In mind that your score Is just ono factor used in the applir.ration process.Other factors,such as your anrtuaal salary and length of employment,may also be considered by lenders when you apply for a loan. What this means to you: credit scot hip care help you urn rootand your overall credit r lit p and help companies bettor understand how to servo you.Overall benefit;of credit scoring have inchuied faster reedit approvals,reduction In Truman error and bias,cinsistency,and hotter terms and rates for Americart consumers through reduced costs and losses for lenders.While lenders may use different snoring mottles to determine how you score,and each major credit boreal)has its own method for calculating credit scores,the scoring models have been t iely well standardized so that a score at one bureau Is roughly equivalent to the stone score at another. 1)lSCl AIMLI'i f IGO Sr a,s are rtr.'.t oped by 17,r I'er rr;C:ceprrral err. the t`ICO Some prnvlded by Isxpr;rian i,h.tsr'd on the I'IGO 0 ecnroaf)model and is lut,.crr it by f=xtmrian rcd t dolt.bt.rny but 1101 ill!r ndc,n;use the I ICO 8:.cobnrl(MAO. I(1010 rare ferny difeercnt t ruad,l oaroring models that ciao pert 0 riM read a re:smrrnt of liln err.1 t t s (WA of defer t)for the some r(resumer anti Yonr tonrlrtt or,nsrrrer may rise or different iriCt)Store than I ICO7 it,or;waffler typo of credit it score altogether.,lost rernerrttmer Mal your iissoc alt d risk It✓ot s triton the senor noun if the number is not Ire 001110 try asumer5,however,tine risk a.r Iosmont of l tt.C)1)could vary from the „crate n:•Irtt try yore lender."Ihe statements thtai 90':,of top lenders use f IC()Scores and i ICO.x o re;too tort nr 430.'of ucdi ri r re!urn: aro bas,ed on a Iii'rd p-rrfy study of all vrrrs ens of f'ICr):;con*_s su'd 10 t.nr.t::rs a❑.'luOp bnl not tun lr d tea s,.nor 1,1,trr1 tor unit I`ICO 8 Or nrir01 i lode;. F ICE)i4 1 n'rr,rari,lr from:100 G,f4!:.,1).I err,f p r!:rint a,grr•:rtr r Rr:'heal teal yo,i it pey t u..:yu i d:drk o)ra.r;.u,� 'd.rs h, n•f.a Ito r r rcxhl r lu rndt'ts•ft Iti er 11C0;ortnr nrtu•air 1 i ,bettere Thal you 1i0y trio,a h.ith i r,rsft ro.k i hear are Inane ri ff rent rtrio,or r rr'nL.t n 1 rrl rtf;rpa hr a I:'.sl, r 'an, (r r rslln;un ni.a trivia a(ecn!rt of yaw-creild h:ory loicovn r,yoin Yoe,i IC,t)Swero on Inc rniorrn.d nn lr year r red d We !the hnrc U rv. rrgn:'St"rl.Your r oil l t'e iiifnrntal'nn r.rn soy from ogenoy t a agency b,t owe snob'lender,(1,1;011 yn,n r., I I histr y ire only r u or h“)011111.2 :;11M11 I IC:O)Sr roe r only Ihr1 infwrnatlon they h;avra on f!e for you is 41 lfcrerd.Sotto ilea inform:00 m in poor I,'r;aura rhangr.aver lane,your t ICE)Sro r,may also change. https://experian,experiandirect.com/PdfReport/PdfHtmlReport.htrnl?reportld=389391971 6/20/2015 1".xt.lertcft! t.,ieutt 1 itt:Kta IN.pott l CI 8G JV l)1 .)V JAMES it 111 ACKCtt1ItN Roped As Of:6/912015 j •E_Xperian` Credit Score Your Credit Score is a numerical representation of your credit worthiness that is used by most lenders and credit card issuers.Remember,Experian,Equifax,and Transllnion has its own set of data in your credit Re.That's why Credit Scores may vary between bureaus. . ,:t x1lefiirrl Equifax j°Iri,;€1iil�lll 826 799 828 Credit Category Your TransUnion FICO® Score Explanation What factors RAISE your FICOe Score: What factors Low your FICOe Score: • You helped your FICO9 Sane by paying your bills on time.Staying • Not Available current with your bills will continue to help your score. • Your FICOr Score evaluates your total revolving account balances in relation to your total credit limits on those accounts.Your FICOID Score was helped because you've kept this ratio of balances to credit limits low. • Your FICOB Score measures the age of your oldest account and the average age of your accounts.Your FICO)Score was helped because you have a relatively long credit history and you haven't recently opened many new accounts. • Your FICO9 Score evaluates your mix of credit cards,installment loans and mortgages.People who demonstrate responsible use of different types of credit are generally less risky to lenders.You helped your FICOS'Score by showing recent use of a credit card. Personal Information Report Summary flankrupicles Credit Inquiries Credit Cards S Loans Credit Score Page 3 of 3 hops://experian.experiandirect.com/PdfReport/PdfHtxnl Report.1htrnl?reportld=3 89391971 6/20/2015 ticulu uy v4IntyiNaine ritge 1 01 1. • 4j1111 '', ef4L7,11Y!'liri °' : FLORIDA DEPARTMENT OF STATE . ' .. ... Divisiox or C()RpoR vrtoNs — Detail by kintity flarvie Florida Profit Corporation DESIGN CUSTOM MILLWORK, INC. E iliuglpfaation Document Number P99000092202 FEI/EIN Number 593601882 Date Filed 10/18/1999 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 01/15/2010 Principal Address 130 Tech Drive Sanford, FL 32771 Changed: 05/03/2015 Mailing Address 4835 Cains Wren Trail Sanford, FL 32771 Changed: 01/21/2013 Registered Agent !lamp& AcIiress, BLACKBURN, JAMES R 4835 Gains Wren Trail Sanford, FL 32771 Name Changed: 04/27/2004 Address Changed: 01/21/2013 Officer/Director Detail Name &Address Title P BLACKBURN, JAMES R 4835 Gains Wren Trail Sanford, FL 32771 littp://search.sunbiz.org/Inittiiy/CorporationSearch/SearchRestiltDetail?ittquirytyi)e=Entity... 6/22/2015 i".utta icy atttty tvwttc rage z or Title V.P. BRASHEARS, GLORIA 4835 Cains Wren Trail Sanford, FL 32771 Annual Reports Report Year Filed Date 2014 01/12/2014 2015 01/11/2015 2015 05/03/2015 Document Images 05103/201 5 ..AMENDED ANN.J, 1. f:REPORT T View image in PDF format 0 1/11/2)15--.._ANNUAL REPO 1 View image in PDF format 0.1/12/2014_--ANNUAL } PGP 1: View image in PDF format J 01/21/2013. ANNUAL REPORT View image in PDF format 02/10/2012 -AN.NUAL,RE.POR T View image in PDF format _ 1-?{' R image age in PDF format 02/01L�011 -ANNUALL ,T„ 01/15/2010 _1 P INSTAIIT_M_EµT View image in PDF format 06/18/2008 ANNUALREPORT r� View Image in PDF format / . ` ANNUAL View image in PDF format 05/01/200G - ANNUALREP()R1 f— View image in PDF format 01/11/200t, ANNUAL REPO J View image in PDF format 04/27/200 -...ANNUAL REPORT View image in PDF format 01/08/2003 ANNUAL RE PORT View image in PDF format 0'1/09/2002 ANNLJA1 RE-RI; [ View image in PDF format 04/26/200.1 . -ANNUAL REPORT View Image in PDF format 01/28/2000- ANNUAL REPORT View image in PDF format 0/18/1999 - Domestic Profit View Image in PDF format I Ltiataig, and PHaty Pntte,r,s $t Le of ftbwr«z,Uelpittnwnt 'toi http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail7nquitytype=Entity... 6/22/2015 . . State of Florida Department of State I certify from the records of this office that DESIGN CUSTOM MILLWORK, INC. is a corporation organized under the laws of the State of Florida, filed on October 18, 1999. The document number of this corporation is P99000092202. I further certify that said corporation has paid all fees due this office through December 31, 2015, that its most recent annual report/uniform business report was filed on January 11, 2015„ and that its status is active. I further certify that said corporation has not filed Articles of Dissolution. Given ender my hand and the Great Seal of the State of Florida at Tallahassee,the Capital,this the Ninth day of April,2015 .erlf■--- ;:' '74:. -_-;-%75.....%.'' a4V,r. t 1^----04SAMNA_ ," Secretary of State Tracking Number:CU0005177005 To authenticate this ecrtificate,visit the following site,enter this number,and then follow the instructions displayed. https://services.sunbiz.org/Filings/CertitieateOt status/CertiftcateAuthentication -- :. ,4 .,5fr,f• A:' State of Honda \ Department of Revenue DOB,Home e-Service Horne Print Page ic.Plltac: 1-9.nottt Reemployment Tax •Click for Help RT.6 Quarterly • Cancellations must he executed before 5:00 p.m. ET on the date of submission, if the submission is completed after 5:00 p.m. ET,on a weekend, or holiday the cancellation must be executed prior to 5:00 p.m. ET the next business clay. By canceling a submission, you are permanently deleting the subrnission from our database. Access Source: 02238389 Confirmation Number: 20150850081519 File Only DATE: March 26,2015 TIME: 1:32 PM ET WARNING-Reprints DO NOT contain employee wage information. DESIGN CUSTOM MILLWORK INC WIA P NI iN G: Fang is not complete until you receive a Confirmation Number! F.E.I.Number r-- 593601882 Tax Rate I 0.0540 Quarter Ending I Due Data Penalty After Date Account Num—bor March 31,2015 i April 01,2015 r April 30,2015 2238389 1st Month Number j 0 —271-d—Month Number -----A[o 3rd Month Number ...„..._ [ 0 . _I- - I i i i 0 Total Gross Wages Paid This Quarter I $0.001 1 I i n Total wages exceeding 58,000.00 paid to each employee this quarter. ' l $0.00! ■ 1 9 Total Out of State Taxable wages paid this Quarter $0.00 ® Taxable Wages for this Quarter $0.00 a lax Due • $0.00 9 Penalty Due This system will no leame ,.c, Mate Penalty Due.You will be r e .for any additional a neunt after your repp,ILAmlignallfatimtlf ; $0.00! applicable) have been reviewed, 6 Interest Due This system will no longer calculate Interest. _.. _ Due.You will be billed for any additiona( ount after your report and remittance (If applicable)have been reviewed. $0.00! • Total Amount Due (if less than$1.00 no payment necessary) $0.001 • i e you authorized Payment have a Y Y horiaed $0.00 An electronically filed return or notice shall be deemed to be signed by an Individual authorized to sign who includes his or her name in the tiled electronic return data below identified as signature information. Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief It is true,correct and complete.Declaration of preparer (other than taxpayer)is based on all information of which the preparer has any knowledge. Signature: Gloria Brashcars Phone Number 4073148144 EMan Address: brasbega@bellsouth.net EMPLOYEE WAGE INFORMATION Florida out ofState Employees Contracted to SSN Last Name First MI Gross Taxable Taxable Wages Educational Institutions Wa es Wages (T DATE)` (Paid this Quarter) XXX- BLACKBURN JAMES R $0.00 $0.00 $0.00 $0.00' 1,15,5Asi Itit cyl iLlisclalmet) CI ° s STATE OF WEST VIRGINIA :ir State Tax Department, Tax Account Administration Div 5ti!, r }5 P. O. Box 2666 f ''4 »,,l Charleston, WV 25330-2666 &°' '� Earl Ray Tomblin, Governor • Craig A. Griffith,Tax Commissioner a • DESIGN CUSTOM MILLWORK INC Letter Id: L1880988800 575 QUEENSBRIDGE DR Issued: 06/09/2011 LAKE MARY FL 32746-6452 • Account #: 2234-4925 RE: Business Registration Certificate The West Virginia State Tax Department would like to thank you for registering your business. Enclosed is your Business Registration Certificate. This certificate shall be permanent until cessation of business or until suspended, revoked or cancelled. Changes in name, ownership or location are considered a cessation of business; a new Business Registration Certificate and applicable fees are required. Please review the certificate for accuracy. This certificate must be prominently displayed at the location for which issued. Engaging in business without conspicuously posting a West Virginia Business Registration Certificate in the place of business is a crime and may subject you to fines per W.Va. Code § 11-9. When contacting the State Tax Department, refer to the appropriate account number listed on the back of this page. The taxes listed may not be all the taxes for which you are responsible. Account numbers for taxes are printed on the tax returns mailed by the State Tax Department. Failure to timely file tax returns may result in penalties for late filing. Should the nature of your business activity or business ownership change, your liability for these and other taxes will change accordingly. To learn more about these taxes and the services offered by the West Virginia State Tax Department, visit our web site at www.wvtax.gov. Enclosure • atLOO6 v.4 Tax Account Administration Div • P. O. Box 2666 • Charleston, WV 25330-2666 (304) 558-3333 • Fax (304) 558-3269 • www.wvtax.gov • ��"~"41 DESICUS-01 KIRKLANDM A e DATE(MMIDDfYYYY) /`1�,,,. CERTIFICATE OF LIABILITY INSURANCE 612312015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(tes)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Melissa Kirkland Insurance Office of America,Inc. PHONE 407 788-3000 aIC,No):(407)7$8-7933 1855 West State Road 434 c,No.E:t►: ..,.. { Longwood,FL 32750 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC• INSURER A:Pennsylvania Lumbermens Mutual Insurance Company 14974 INSURED INSURERS:AmTrust Insurance Company of Kansas Inc 15954 Design Custom Millwork,Inc. INSURER C: 130 Tech Dr. INSURER 0: — Sanford,FL 32771 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDL'SUBR POLICYEFF POLICYEXP ILTR TYPE OF INSURANCE MD WVD POLICY NUMBER (MMIDOIYYYY) IMMIDOIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 e 09D1120115 04/3012015 04/30/2016 PREti1 ES�a ajT rxe) 1 50,000 I CIAIIdS-,l..DE (X I OCCUR MED DP(Any one person) $ 5,000 PERSONAL S PDV NI.URY $ 1,000,000 GE N 1 AGGREGATE LIMIT APE LIES PER GENERAL AGGREGATE $ 2,000,000 POLICY X E8: LOC PRODUCTS-COMP/OP AGO $ 2,000,00$ OTHER COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea ao:idenl) $ 1,000,000 A ANY AUTO 09D1120215 04/30/2015 04/30/2016 BODILY INJURY(Per pers*n) $ ALL OWIED — SCHEDULED BODILY INJURY(Per a:od9R) $ AUTOS _ AUTOS PROPERTY DAMAGE $ X HIRED AUTOS X NON-O` :S:ED P PROP it AUTOS $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE 0901120315 04/30/2015 04/3012016 AGGREGATE $ 1,000,009 DED I X RETENTION 10,000 $ WORKERS COMPENSATION X I STATUTE I 1 0TH ANC)EM PLOVERS'LIABILITY Y B TWC3476682 04130 12015 04/30/2016 500,000 Artf FRGfi2IE70R1PARTI�ERrE>ECUTI`�E - �NSA E L EACH $ OFFICERAIEMEER EXCLUDED? (Mandatory In NH) E L DISEASE-FA EIdPtO'fEE $ 500,000 — II ws, IPTI be un ar E L DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS belay DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) Collier County Licensing Department is additonal insured as respects to geneal liability as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. GMD Operations&Regulatory Management AUTHORIZED REPRESENTATIVE Licensing Section 2800 North,Horseshoe Drive )Naples,FL 34104 k.,,,k-.u---. O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD r C. z r w „m_ _. . ,. . 0 V"1 . 0 C 3 !i^r Vrr N a n 111 < D O f u .94 4" < Q ..1 . r.4 M fi O7 x C F. -. L N ,. a t d C3 ( O 9 1 0 2 3 0 3 0 su •� n o Oro - p0 tt C2 Z 0 a a c loo 0 a. 4 R� 0 is m u` n n: .�.+ o"" •ii- A 3 . 0 3 00 _C• a z 0 0 o c , H ID (D W 2 N cry s'hi" 0 tt} (ii. �. 5' 0 1J y, — r+ aU ! P 0 y in tot •�««' r.. c C1 tin A p < g o I 3(0 x f, t0 A G tD (I) N cc) 0 • 3-ro 0 9* 0 Q� 0 f a = C xl fl fp a, N • al 0 �- D C? Pn v 0 rt,a 0 c = e t>i C PN7 a (0 q. w• Q n 3 fl 01 3 (D -a 0 b 0 0 3 Cl 3 C , th Ol 2. .v CO 0 C 71 0 Iek '11 i'Y 1D a) tp w U`1 Ln c9 w *.,1 ■p ...1 VENDOR W 'y 1072 72- SLCl1Rl I'Y ESC()RT REQUIRED FOR ACCESS TO RESTRICTED AREAS E p L Ire This license is the sole property of the CIIOC Aw GAMING COMMISSION and must be worn at all limes while on the premises. Any misuse or fraud created with this card is unlawful. This license must be surrendered upon demand or termination of employment. If this card is found please return to: Choctaw Gaming Commission P.O.Box 5229-Durant,Ok 74702 580-924-8112 ... , • L1 hi .,,si„;i,e'-....,- 0 •''g- ,z,,,,,,,' ' Att„ -,:i-I ,,,`If° -.... 1 • coo'r r corn ty Growth Management Division Planning & Regulation Operations Department Licensing Section June 22, 2015 MIKEL G. DIEHL Florida Hardscapes & Paver Maintenance, Inc. 4530 15th Avenue SW Naples, FL 34116 RE: Review of Credit Mr. Diehl, You have been added to the agenda for the Contractor Licensing Board meeting on Wednesday, July 15, 2015. The meeting is held at 9:00am at the W. Harmon Turner Building (Bldg. F, Admin. Bldg.), 3299 Tamiami Trl. E., Naples, FL in the Commissioner's Meeting Room on the 3rd floor. If you have any questions or concerns, please call (239) 252-2431. Sincerely, Ja on Bridwell Administrative Supervisor Licensing/Operations 2800 North Horseshoe Drive Naples, FL 34104 Growth Management Division*Planning&Regulation*2800 North Horseshoe Drive*Naples,Florida 34104*239-252-2400*www.colliergov.net Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractors' Licensing Board For Applications Submitted to the Board for Review Type of Application: X Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on April 15, 2015, for consideration of the application submitted to the Board for review. The type of application is set out above. The Board having heard testimony under oath, received evidence, and heard arguments relative to all appropriate matters, thereupon issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. That Mikel G. Diehl dba Florida Hardscapes & Paver Maintenance, Inc. (the "Applicant") had previously an application to the Collier County Contractor Licensing Supervisor or his designee for a Certificate of Competency as a specialty contractor (Paving Blocks) and based on the credit reports supplied by the Applicant the Licensing Supervisor determined a review of the credit by the Board was necessary. As a result of the April 16, 2014 hearing on the matter the Board approved a one year probationary license with a credit review at the expiration of twelve (12) months. This is the twelve (12) month review. 2. That pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier County, as amended, applications which do not appear on their face to be 1 370109.1 5/5/2015 Y sufficient require referral to the Board for a decision regarding approval or denial of said application. 3. That the Board has jurisdiction over this matter and that Mikel G. Diehl was present at the public hearing on April 15, 2015, and was not represented by counsel. 4. All notices required by the Code of Laws and Ordinances of Collier County, as amended, have been properly issued. 5. The facts in this case are found to be: a. Applicant has demonstrated through testimony that his credit is not sufficient so as to be issued a license without continuing a probationary period. CONCLUSIONS OF LAW 1. Based upon the foregoing facts, the Board concludes that the applicant has not met the standard set out in Code of Laws and Ordinances of Collier County, as amended. ORDER OF THE BOARD 1. Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and Code of Laws and Ordinances of Collier County, as amended, by a vote of 8 in favor and 0 opposed, a unanimous vote of the Board present, the Applicant's credit report is not approved and he shall continue on a probationary license for a period of three (3) months at which time he shall appear before the Board with updated information and some evidence that the tax lien identified in the credit report is not attributable to the Applicant's business. 2 370109,1 5/5/2015 ORDERED by the Contractors Licensing Board effective the 15th day of April, 2015. CONTRACTOR'S LICENSING BOARD LIER COUNTY, FLORIDA \A)))11J By: Patrick White, Chairman I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished the Applicant, and Michael Ossorio, Licensing Compliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this 15th day of April, 2015. Secret: •ntractor's Licensing Board 3 370109.1 5/5/2015 co e-r CO-t-t.vtty Growth Management Division Planning & Regulation Operations Department Licensing Section March 23, 2015 Mikel G. Diehl 08/aggi/Florida Hardscapes & Paver Maintenance, Inc.4530 15th Avenue SWNaples, FL 34116 RE: Review Of Credit Dear Mr. Diehl, You have been added to the agenda for the Contractor Licensing Board meeting on Wednesday, April 15, 2015. The meeting is held at 9:00am at the W. Harmon Turner Building (Bldg. F, Admin. Bldg.), 3299 Tamiami Trl. E., Naples, FL in the Commissioner's Meeting Room on the 3rd floor. If you have any questions or concerns, please call (239) 252-2431. Sincerely, Joann Greenberg Customer Service Specialist Licensing/Operations 2800 North Horseshoe Drive Naples, FL 34104 Growth Management Division'Planning&Regulation*2800 North Horseshoe Drive'Napies,Florida 34104"239-252-2400'www,colliergov.net Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractors' Licensing Board For Applications Submitted to the Board for Review Type of Application: Credit Report Review X Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other(specify) THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on April 16, 2014, for consideration of the application submitted to the Board for review. The type of application is set out above, The Board having heard testimony under oath, received evidence, and heard arguments relative to all appropriate matters, thereupon issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. That Mikel G. Diehl d/b/a Florida Hardscapes & Paver Maintenance, Inc. has submitted an application to the Collier County Contractor Licensing Supervisor or his designee for waiver of testing requirements for reinstatement of a Certificate of Competency as a Specialty Contractor— Paving Blocks. 2. That pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier County, Florida, applications which do not appear on their face to be sufficient require referral to the Board for a decision regarding approval or denial of said application. 3. That the Board has jurisdiction over this matter and that Mikel G. Diehl was present at the public hearing on April 16, 2014, and was not represented by counsel. 1 4. All notices required by the Code of Laws and Ordinances of Collier County, Florida, have been properly issued. 5. The facts in this case are found to be: a. Applicant has demonstrated through testimony and evidence presented at this hearing that he has been active in the trade in another jurisdiction and has-adequate-knowledge of the contracting-specialfy o--make re=felting-in - - the trade superfluous. b. His knowledge of the contracting business is adequate, when combined with a full application to protect the public health and safety of the citizens of Collier County under certain restrictions. CONCLUSIONS OF LAW Based upon the foregoing facts, the Board concludes that the applicant has met the standard set out in the Code of Laws and Ordinances of Collier County, Florida, and that the testing requirement may be waived under certain restrictions. ORDER OF THE BOARD Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and Collier County Ordinance.No. - 90-105, as amended, by a vote of 7 in favor and 0 opposed, a unanimous vote of the Board, the applicant's request to waive testing in the trade for reinstatement of his license is granted, subject to his payment of all back fees due and owing as set out in Code of Laws and Ordinances of Collier County, Florida and further subject to the following: A. The Applicant shall be subject to a one (1) year probationary period; 2 B. Applicant shall appear before the Board and shall provide personal and business credit reports in one (1) year for further review of the Board. ORDERED by the Contractors Licensing Board effective the 16th day of April, 2014. CONTRACTOR'S LICENSING BOARD — — — _________- — — --_ . CO - • COUNTY, FLORIDA .__ c By: Patrick White, Chairman I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished the Applicant, and Michael Ossorio, Licensing Compliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this/3 th day of '5- ---- , 2014. Secretary/Contractor's Licensing Board 3 • Cod L�re� Co�r�.-r�ty Growth Management Division Planning & Regulation O \Q \,V Operations Department Licensing Section March 28, 2014 Mikel G. Diehl Florida Hardscapes & Paver Maintenance, Inc. 4530 15th Avenue SW Naples, FL 34116 RE: Waiver of Exam(s) Dear Mr. Diehl, You have been added to the agenda for the Contractor Licensing Board meeting on Wednesday, April 16, 2014, The meeting is held at 9:00am at the W. Harmon Turner Building (Bldg. F, Admin. Bldg.), 3299 Tamiami Trl. E., Naples, FL in the Commissioner's Meeting Room on the 3rd floor. • If you have any questions or concerns, please call (239) 252-2431 S/na ely, • Samantha Roe Customer Service Specialist Licensing/Operations 2800 North Horseshoe Drive Naples, FL 34104 Growth Management Dtviston"Planning&Regutation"2300 North Horseshoe Orive'Naptes,Florida 34104"233-252-2400'www.colliergov.net Febr _.� c3 To Whom it may concern, I am writing this fetter to request renewal of my Paving Block Contractors License. Since closing the company in 2011 due to the shift in the economy and financial difficulties which would no longer support working in.the field, I changed my focus to pursuing my education,attending ITT Technical Institution. 1 have continued to maintain contact with a few paving block contractors and manufacturers in the area to stay current with knowledge and advances in the field.Through the support of Daniel Henthorne, I have continued to do pressure cleaning and maintenance for private homeowners and consequently, due to word of mouth advertising,found an increasing amount of requests for installation jobs. So it is with demand that I am requesting that you reinstate my license so that I might begin to work in the Paving business once again. it is my intention to provide quality work within the standards/regulations set down by Collier County to provide residents home improvements and maintenance that support the beauty of the landscape native to South Florida. Please consider my application seriously. Sincerely, z) Mike!Garrett Diehl • • Z' / / e 7 , _,....,. ...----4-‘,,,,,-.r... .---•:,,:, •,;..,,AvrAr: , % I,- /1( COES Operations & 4521. cry • 1.; se ent Licen -. ,..:T:Sction . Fi Q R I A ., 4 1-2800 Norgqiiirsesti# Dri, e , 014 — L0102, Illi , 4. . • Na quit ti FL 34:i 4 i 'I .. • ICD -•-• lu,- 139 _______33,1L..-.,.. COLLIER COUNTY/CITY OF NARES/CITY OF MARCO . FIRM . . . . . • • ilsT. TRUCTIONS: This application must be typewritten or legibly printed. The application fee must accompany,this application. The fee is not refundable after the application has. . been accepted and entered on the records. All check should be made payable to the '. . . Board of Collier -County Commissioners. For further information, consult Collier County Ordinance No. 96-105, as-amended. . . • NAME OF COMPANY: .. . . • . • • 0 n . Ekacf COrporate/aisiness Naine: -A0k--'■e9e.,,_06.44,..ccz s4 vc■.)c(– ri-Na k c\ er.ai-y4 iTne Fiction Name/DBA:_ — Qualifier Ncumci - t V\-d C.1 Q ‘( ( - ....-1k_ bi . —. Physical Addres : tiS-i-.-2,0 pst-k- (Number& Street) ( • ) (State) (Zip Code) • • . mailin.g.Addrced: 1\/4-pleS. -gi &filif • - : (Number ea Street) 0 . -- (CAM' .(Siate) (Zip Code) Telephone; J e;. -- tAS zi,-, • • E!-MeLiP.'cltt 0,,1\. . . • TYPE OF LICENSE: • . „ . . .Li iieneral • • • $230.00 U Electrician .$230:00 .. • • : .. •-0 Building - ' .$230.00. . . . - . LI Plumber . . ' ?30,99 . .. I' . . ... . . : - I . ! Q. Residential $.239.00 a Air Cond. $23000, .. ' . • • .. 1-,J'Mechanical. $230 A.00 . . * U Swimming Pool 280'.u0 . .:: • : '. :. • U 'Roofing .-. - " $23000 ' • .' ' IS Specialty - , . ' • • - Specialty trade ..P.C.W'ROL N )CO . . . . L . . ../. 3/6/2014 Reinstatement Fee=$205.00 CH.Agq-E OF STATUS: • • New License Fee=$205.00 4/Reinstatement. ( From One Business to Another 2011-2013 Back Year Fees=$555.00 . -°--n;ril.,-pri-, r,....,-,.., qmil•o, Tnral—S4rN rti) • 1. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. 0 kz C-c bkeL t actz)441,4k, 4530 .154'`' 6,X. Sri 10 04011 1-1116:, -2_L List-all businesses,firrns;entities-or-contraeting:businesses-you,havebeen:associated=with during the last:ten---- -- years (ex. Held a license for or been a partner). Attach extra pages if needed. r c f -‘t■Ck R- 411.5 .Tr , • 3. List all debts you or any company(s).associated with-you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. ..4-\), 0 6n, - J • • • • AFFIDAVIT • L ' 1∎ QQ'-.C!-.'�\e)A certify that the_foregoing is true and correct to the best of my knowledge. :;//4/2/.,e__,--61 67?-/- --6-�-) • Authorized Officer of the Firm STATE Of FLORIDA . CA),UNIYVt-') 0CP - _ •- -. - The foregoing Instrument as acknowledged before me this 3\ I\ c-.)k a - • (DWI) . - .•By 'Cl' kItZtk to- 01 Q�Q bf O(`.;dG. ., PC • -Sn .e ran ce 1-11-,- e_ (Name of officer, title/agent) (Name of C rpotaUun) a C7,i ,, Corporation on behalf of the corporation. (State or Place of Corporation) ' - - H She.has.produced. '. \. V)-c\iivi,c:,5\iil.,,:,0_Q, • . ;identification and•did riot take an oath. - • • (Type of identification) - NOTARY'S SEAL - • • NOTARY PL'BLIC•STATE OF FLORIDA •• . Donna Specie • `Y . =Can �issior EE043482 `(SIGNATU`E OF NOTARY) Exrirrs: '-QV.27 2014 i i • BLbrD rxxil.-, .�:: ..SON-DWG co.,7NG - QUALIFIER INFORMATION: Name: \ i -k_ Cr) i ek0 Address: )4S • fie, _01 '4 1 I L (Number& Street) (City) ' State) (Zip Code) Telephone: q- -8fr-i- Date of Birth: S.S. #: 000-00- • E-Mail: (Q' I I s i sr-•--1 Driver's License: 1. Type of Certificate of Competency for which application is made. 1a i r bkoC 4C.. 2. The names and telephone numbers of two persons who will know your whereabouts. • 3. Have you ever been convicted of a crime related to Contracting?_ t) (if yes attach extra sheet with explandtion) 7. Have,YOU or any fins yuu lfdve been associated with ever tiled hankntptny7 8. List all debts you or any company(s) associated with you refused or failed to pay and reasons why. nniVQ • • 9. "List your business or work experience during the past ten years. _A ■ . L a.r\"� 1��.�. .., f • O Cdcs 10. Statement of any formal training you have had in the area for which the application is made. • . 1 r-1 ; li1rQ w czlc 4 •. en,• 53 \f . QGvs"5 s U)�oh�� Q'1 ‘Zufirs k oc V �Li 1,4 ecs - Licensee Information Licensee Number Q29330 Description Type Property Alert Name INIKEL GARRETT DIEHL Type Contractor LLI Status Open View Master Project View All Activities For this Licensee Add a new person or business to Address Book Examination Results - - - - A _ . . . _ - . _Add Exam-R.esult Link -_ExaraTest Type 1-Date of-Exam/Test City _1 Score received__ I.ExamiT_est INTERLOCKING PAVER 04/28/2007 - F..NAPLES - = 8000 . : Pass BUSINESS &LAW 03/10/2007 GAINESVILLE 80.00 Pass BUSINESS &LAW I 01/20/2007 FT. PIERCE 68.00 [_ Show frlor.-e-fields__If i_Hide,orL Clear_Fields. Charge Exam Fee J Exam Code 1 Sponsoring County Sponsorship App Date j Sponsorship Expiration Date ! Testing Facility - - (al"iteixi:'.,:itt-c4PiP 0*--'1'.*it',II*: :41:- Irti4t., .". : -:AA._rtif.,:, --0-A..-‘.i. -,._04:!4"'it f, t "' t o e-Y �.4:a r i-, r � tis rd 1 �.a*a1 i 74_ 474 Of • 4 -:.-0.A.14 _ . *, _ _ -6 ,cct ,c71 _____!___ _ __ __ __ __ .._. gAll 4: _ ,..14.0. . #1,4 . r_-_) 4--- H_ Tz-- , 0 - 0 -i .o i - E tpc o . '�, y._, Q osit • . .442, . . A lit ILO 0 4i . v 0-. .. . . _ A fit».v $ •Ill 11 - v: - _ 0 o ow ii kir; 4,0 1W -) L ,� ro •.�. a ° to >1 g 0 0 g VIA • D o if Q3 s *'J _ , ..„ ......, e, 0 ..., .,..4 o 4,4wi� kel 0 "1- 0 0( 41 c" o - gAI.U1 ..§ -4._) 0 up "cj ... .41 '0.4740 Q 0 o h 'L-1:111:11,ty# . o u ..9 -4i) 9 ,-- u) -0 - - - .4410 1 : .,-4 ,Y()) tikyoi-t ' ,--All, -(.. ' C-) -''' v) 0 c.). -) a) #Avk 4 i :cg I 6) .4 tt • . A-40 1 H t) H o 4 • $jP 1n4 1W 9,t+ 0 . . - 4 . * %: 4 *,*: :� .fib 1 7;•tr:',-0.-..A,11,-- 7-:_4.,. 0A............-.0- 'A_.13,-''..-:4:„. ._ :,--:. - 1:_iL1:1'-'14,:.:::-or.,::',:',12:i. tf:-.-:• .:-::::.i-- -Lly, ill,.2":-.:..-,:.'...4 ,.. 1.1_ ___'-. .. :.„ AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under.the provisions of Collier County Ordinance No..2006-46, as amended, and vouches for the truth and accuracy of all statements and answers herein contained. 171re=undersigned-hereby-e•=0 -that-fie=is-Iegaily-qualitied-to-act-on-behalf-o1=-the-business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting •matters, he will be held strictly accountable for any and all activities involving his license. Any willful falsification.of any information contained herein is grounds for disqualification. \\&d , RA‘Q. APPLICANT(PLEASE PRINT) • •• • NAME OF COMPANY • • • SIGNATURE OF APPLICANT • STATE OF FLQQF�IDA COIJN1Y OF•C7sL • The foregoing Instrument as acknowledged before me this I ao i (Date) • Sy \" \ C7.'Q;-. 13_. who has produced ,.Sir u S (Name of person acknowledging) S (Type of identification) • as identification and did riot take an oath: . • • • • NOTARY'S'SEAL NOTARY P UBlIC•STATE OF FLORIDA (SIGNATURE ORY) ''% Donna Specie Commission#EE043482 • Expires: NOV 27,2014 . Bon' 'FIT f RU ATL1NT!CBOMIMQINC! _ . .. • • AFFIDAVIT it is understood and acknowledged by the Collier County Contractors' Licensing • • Board and myself that if I fail to acquire, or maintain at alt.tunes effective -Workmen's Compensation insurance it will result in the possible revocation of my Certificate of Competency. • • / • SIGNATURE OF APPLICANT kiDoi t C V- GV er'�c,,: 6.re iz - BUSINESS NAME 3` L DATE BEFORE ME this day personally-appeared . rt1i‘-?..o1 Co, who • affirms and says that he has less than-one.employee and does not require Workmen's Compensation and understands that at nny time he employs of le or more persons he must obtain said Workmen's Compensation Insurance. • STATE OF FLORIDA COUNTY OF 'Qp . The foregoing instrument was acknowfedged.before me this • 3 11 h • ( ate) -by : 1 QQ ti who has.produced C`:Ze;v�IS �iPp ¢ . - (n> me of person acknowledging) (Type of identifIccation). s identification and who did not take-an oath.. - • • • • OTARY•P IC•STATE FLORIDA IGNATURE • N �L o�z<I. RIDA NOTARY NOTARY SEAL • "" Donna Specie -• ,, uY; '_-Coe mission• ,EE043482 - NOTARY PUBLIC Expires: NOV.27,2014 Baal)TEM ATLANTIC B=M&CO,,IYe. RESOLUTION OF AUTHORIZATON WHEREAS if ;nlvf-er.ze. , 'fin C . proposes to (Name of Business Entity) engage in contracting as t,,,9'\OOre-\- O in (Type of legal entity: corp.,partnership,etc. Collier County, Florida,according to Collier County Ordinance 2006-46, as amended;and `• �oc; k-rzL CL. 4- WHEREAS eRC-44er' ifle ;n i-'tir i -LClC proposes to (Name of Business Entity • __ __-- --_.___-- uali _:foLa-Certificate-of_Co etenc-nth (Name of Individual) NOW,THEREFORE,BE IT HEREBY RESOLVED THAT: • We the undersigned (--)W'Ps-Q C of c;ts-1 4r (Officers,Owners,Partners) v- f Yrlakr `U�, hereby-resolve and represent to the Collier County (Name ofBusiness Entity) nn Contractors'Licensing Board that the qualifying agent; 11e(.2 U Q i'��Q ,is active , a e o I div'd .1 in all matters connected with the contracting business of GV P t n Trr , ,and (Name of Business Entity) We further resolve and represent that T \ \4 G. O' •e is (Names of Individual) • legally empowered to act for . in all matters connected with its (Name of Business Entity) contracting business, and has the authority to supervise construction undertaken by I0 t-1 s S cAtoo, A 9t:'V t f' '{r16,i(A2 t2..1` , (Name of Busines ntity) DULY PASSED AND ADOPTED THIS L1• -day of T` k , all 11 (Officers,Partners,Owners—with r - Designation underneath) • Witness • • • Witness • Witness • • Corporate Seal(if Applicable) Or Notary Public Certificate • • Sworn to and subscribed before me this 1 day of t ,a)(1-1 by M.It�C[.Q .Oil. • Notary Public Name Printed , Publt�ture • Commission Number 'e,E0� �a My Commission expires: 1\\,'1 E D1 L•l • NOTARY PUBLIC-STATE OF FLORIDA Donna Specie • Commission#EE043482 ;E::pires: NOV.27,2014. • BONDED T ?.0 ATLANTIC BONDING CQ., • • COLLIER COUNTY GOVERNMENT COMMUNITY DEVELOPMENT AND ENVRZO i AL SERVICES DIVISION • 2800 N.Horseshoe Dr. • Naples.Florida 34104 • 239-403-2400 • FAX 239-403-2334 • • • • • • • DATE: November 29,2007 • TO: Applicant's FROM: Michael Ossorio, Contractor Licensing Supervisor. CC: Robert Dunn, Collier County Building Director. Alamar Finnegan, Collier County Permitting Supervisor. Robert Zachary, County Attorneys Office. All Contractor Licensing personnel. SUBJECT: Collection of social security numbers. Pursuant to Chapter 119, Florida Statue$and Collier County Contractor Licensing Ordinance 2006746 Sec: all applicants are required to submit their social security number(SSN) for the following purposes: a.) Assess applicant's ability to satisfy creditors by reviewing their credit history. • b) Verification of applicant's test score' and rntnrmaiion. Our office will only use your SSN noted above for those reasons pursuant to Chapter 119, Florida Statues nd no may othNr rise hP azrtlinri7P,d by law, Ve.are fully committed to safe-guarding and protecting your SSN and once collected, will be maintained as. onf1dential and exempt under Chapter 119,•Fluiida Statues. • • • • • • • sm CREDIT CHECK CONFIDENTIAL Commercial Credit Report Company: m & C FLORIDA PAVERS, INC . Date: 03/20/14 Gust. No.: 9999 Address: 6300 JANES LANE, #4 Price: $115 . 00 r7 Ordered By: RUSH NAPLES, FLORIDA 34109 Page: 1 ill "elephone: (234) 254-8600 (X) Corporation - ---- - ----- PRINCIPALS: PRESIDENT/DIRECTOR DIEHL, MICHAEL D. \ddress: 4530 15TH AVENUE SOUTHWEST NAPLES, FLORIDA 34116 Social Security Number: -0179 "Stock Ownership: 100% \ddress: Social Security Number: Stock Ownership: \ddress: Social Security Number: Stock Ownership: \ddress: Social Security Number: =Itnnk Ownership: & C FLORIDA PAVERS, INC. was INCORPORATED in the county of COLLIER, state of LORIDA, on 09/10, 2001 . The charter number is P01000089694 . The registered agent s DIEHL, MICHAEL D. of 6300 JANES LANE, #4, NAPLES, FLORIDA 34109. Offices are NTT) tram N/A at N/A per month. The company employs rIV t (b) . ET WORTH: ON FILE WITH STATE -he company maintains banking relations with WELLS FARGO he officer handling the account is N/A - NAPLES, FLORIDA .- • \‘'V‘ " ■-• Zeportedfor APPLICANT - SEE NAME ABOVE ;eporteci hy. Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach,,FL-33409 (561) 616-5556 f srn CREDIT CHECK CONFIDENTIAL Commercial Credit Report Company: M & C FLORIDA PAVERS, INC. Date: 03/20/14 Oust. No.: 9999 Address: 6300 JANE S LANE, #4 Price: $115 . 00 Ordered By: RUSH NAPLES, FLORIDA 34109 Page: 2 P_UBLIC,RECORD&WERE_CHECKED FOR COL-LIER_COUNTY,-_FLORIDA.__A-SEARCH_OF_COUNTY,_- .._ ..__ ___.. ___ STATE, AND FEDERAL RECORDS HAS BEEN CONDUCTED WITH THE FOLLOWING RESULTS: SEE BELOW.*** *** Credit Profile *** Creditor Opened High Balance Rating `1/A EMARKS: N/A = NOT APPLICABLE / NOT AVAILABLE ***PUBLIC RECORDS SEARCH AS OF 03/17/14 IS AS FOLLOWS : (1) STATE TAX LIEN FILED 01/23/13, $1, 037 . 59, BK4880PG2313, COLLER COUNTY CREDITOR: STATE OF FLORIDA (2) LAWSUIT FILED 07/26/07, CASE #2007CA2464, COLLIER COUNTY COURT PLAINTIFF: VIRGINIA L. SPENCER STILL PENDING (3) LAWSUIT FILED 08/20/07, CASE #2007SC2037, GLADES COUNTY COURT PLAINT'ir'r': YL YAVEKJ STILL PENDING (4) LAWSUIT FILED 10/02/09, CASE #09C0007459, LEE COUNTY COURT ?LAINTIFF: GEICO INDEMNITY COMPANY STILL PENDING (5) LAWSUIT FILED 04/22/10, CASE #2010CA2686, COLLIER COUNTY COURT ?LAINTIFF: SCP DISTRIBUTORS LLC STILL PENDING ( 6) LAWSUIT FILED 04/27/10, CASE #COWE10006538, BROWARD COUNTY COURT ?LAINTIFF: HORNEXPRESS-GULF COAST INC STILL PENDING (7 ) LAWSUIT FILED 03/26/12, CASE #12CC001727, LEE COUNTY COURT ?LAINTIFF: TRICIRCLE PAVERS INC STILL PENDING (8) LAWSUIT FILED 08/14/12, CASE #2012CC9128, DUVAL COUNTY COURT ?LAINTIFF: TREMRON INC. STILL PENDING ;9) JUDGMENT FILED 03/22/13, FILE #084078CA, COLLIER COUNTY COURT :REDITOR: S .T.D. ENTERPRISES OF NAPLES, INC . • • S'" CREDIT CHECKCONFIDENTIAL Commercial Credit Report Company: M & C FLORIDA PAVERS, INC. Date: 03/20/14 Oust. No.: 9999 Address: 6300 JANES LANE, #4 - Price: $115 . 00 Ordered By: RUSH NAPLES, FLORIDA 34109 Page: 3 EN_D-O_F=-..P_UBL-IC-RECORDS_SEARGH,-- -.. - - ------ REPORT WORKED BY NICOLE. tt� END OF REPORT . l ZSSiovx -cco (NI L ,2 �1 � . &(50v05 s c(I W yte.N t'bt � Satyr 4n/YI •• su . CREDIT RE DIT CCONFIDENTIAL Individual Credit Report Name • DIEHL, MIKEL G. Ordered By: RUSH Customer : 9999 Address : 4530 15TH AVENUE SW Received : 03/04/14 NAPLES, FL 34116 Completed : 03/04/14 Social #: Applicant: 7141 Bill Amt : $95 . 00 C-R-E D-l-T—R E C-0 R-D (Credit history has been checked for a period of seven years or from open date. ) Creditor Date Date High Unpaid Past Pay Historic Stat Current N.os Account Number Reported Opened Credit Balance Due Terns 30 60 90 Status Rev ECOA BK OF AMER PD WAS 90 2133 08/10 01/07 770 PAID 0 REV 0703 03 R1-* 43 A DLA=0 8/10 E'EDLOAN AS AGREED 502111145FD00002 12/13 11/11 6000 6672 0 0 00 00 00 I1 24 A DLA=12/13 FEDLOAN AS AGREED 502111145FD00001 12/13 11/11 3500 3500 0 0 0000 00 11 24 A DLA=12/13 'EDLOAN AS AGREED 502111145FD00003 12/13 00/12 3500 3500 0 0 0000 00 I1 17 A DLA=12/13 ?EDLOAN AS AGREED 502111145FD00005 12/13 09/12 1000 1016 0 0 0000 00 I1 14 A ra,A=12/1`3 _ _ ?EDLOAN AS AGREED 502111145FD00004 12/13. 06/12 4101 4400 0 0 0000 00 I1 17 A uL,N12/13 Total trade lines on this report: 6 BLIC RECORDS: UBLIC RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE AND FEDERAL LEVELS WITH HE FOLLOWING RESULTS: CLEAR AS OF 03/04/14. ;OURCE(S) : EOUIFAX TRANSUNION NQU1RIES: 13/04/14 by CREDIT CHECK (TU) #00630273 OPOMENTS: )rdered by: APPLICANT - SEE NAME ABOVE :eoorting Agency: Credit Check, Inc. - 3017 Exchange Court. Suite H. West Palm Beach, FL 33409 . (561) 616-5556 sm • CREDIT CHECK CONFIDENTIAL Name • DIEHL, MIKEL G. Customer: 9999 Page: 2 COMMENTS: FRAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ABOVE ACCESSED BUREAUS. SAFESCAN/EQUIFAX, HAWK ALERT/TRANSUNION CHECKED FOR FRAUD. **** SEE BUSINESS REPORT ON: FLORIDA HARDSCAPES & PAVER MAINTENANCE, INC. REPORT WORKED BY RENEE -- APPLICANT FICO SCORE: 674 (scores range from 300 to 850) *** END OF REPORT *** ibis Information is confidential and is not to be ciyuSged except as required by the Fair Credt Reporting Act ThS personal repoolyt Is furnisizilnit, inloald in detenrtlerg ME;c)recfit desirabilitycLithleopoptiltzt(s). It isyoubased uponii;rfoa-matitr obtained In good by this agegm-y fizymf=ttetned,erre;2U. e.way • >rdered by: APPLICANT - SEE NAME ABOVE ;eporting Agency: Credit Check, Inc. -3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 . s� CONFIDENTIAL CREDIT CHECK Commercial Credit Report Company: FLORIDA HARDSCAPES & PAVER MAINTENANCE, INC. Date: 03/04/14 Gust. No.: 9999 Address: 4530 15TH AVENUE SW Price: $125 .00 Ordered By: RUSH NAPLES, FLORIDA 34116 Page: 1 Telephone: (239) 877-6536 (X) Corporation EIN: 27-1939392 PRINCIPALS:__________--- — .. - PRESIDENT DIEHL, MIKEL G. Address: 4530 15TH AVENUE SW NAPLES, FLORIDA 34116 Social Security Number: 7141 Stock Ownership: 100% Address: Social Security Number: Stock Ownership: Address: Social Security Number: Stock Ownership: Address: Social Security Number: Stock Ownership: 1'LUl{1DA HAM1.JSUAPES & PAVER MAINTENANCE,, INC. was INCUR1O} A'. EB in Lfle COUfLV U1 COLLIER, state of FLORIDA, on 02/16, 2010 . The charter number is P10000014180 . The registered agent is DIEHL, MIKEL G. of 4530 15TH AVENUE SW, NAPLES, FLORIDA 34116 . Offices are OPERATED from APPLICANT' S RESIDENCE (HOME-BASED) at N/A per muu 1 II. Tlid uumpany u1►tbJluy u 614E ( 1) . NET WORTH: ON FILE WITH STATE The company maintains banking relations with WELLS FARGO The officer handling the account is N/A - NAPLES, FLORIDA Reported for: APPLICANT - DIEHL, MIKEL G. Reported by: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 sm CREDIT CHECK CONFIDENTIAL Commercial Credit Report Company: FLORIDA HARDSCAPES & PAVER MAINTENANCE, INC. Date: 03/04/14 Cust. No.: 9999 Address: 4530 15TH AVENUE SW Price: $125 .00 Ordered By: RUSH NAPLES, FLORIDA 34116 Page: 2 PUBLIC RECORDS WERE CHECKED FOR COLLIER COUNTY, FLORIDA. A SEARCH OF COUNTY, STATE, AND FEDERAL RECORDS HAS BEEN CONDUCTED WITH THE FOLLOWING RESULTS: SEE BELOW*** — - - *** Credit Profile *** Creditor Opened High Balance Rating GULF COAST PAVERS FAXED REMARKS: N/A = NOT APPLICABLE/NOT AVAILABLE *** PUBLIC RECORDS SEARCH AS OF 03/04/14 IS AS FOLLOWS: ( 1) LAWSUIT FILED 08/14/12, CASE #2012CC9128, DUVAL COUNTY/COUNTY COURT PLAINTIFF: TREMRON INC. STILL PENDING END OF PUBLIC RECORDS SEARCH. **** SEE INDIVIDUAL REPORT ON: DIEHL, MIKEL G. REPORT WORKED BY RENEE IND OF REPORT. • This ax.?Irriai s s furnisgzed=r ingudeuttrung atryle ore&desirabffity.Z Isapptithni(s).Itywis based,upon way catty isagftiame Crecit Cfri gccdinc.. bY this=lany aablity wha decemed •er.ralable. Case 16-2012-CC-009128-XXXX-MA Ceparunenl County CiMI Division CC-G Case Status OPEN Pe Cate 81412012 Jlydge Name tYITCHELI,SCOTT F. Parties Natre/DOB/DL/lD# Party Type Address Race I Sex PLAfTFF TREN/RON NC / -- -.4t FEND/NT — -FLORIDAHARDSCAPES R=P-AV RWANTENANCE'NC--= __ DEFENDANT M ffi C Florida Pavers DEFENDANT Diehl Uacei G Attorneys Name Address Type Whlddon,Matthew Murray �redactedf • Private Attorney Jacksormille,FL 322072269 Fees Date Description Assessed Paid Balance 08/15/2012 SUMbIONS($10/ea) $10.00 $10.00 $0.00 08/162012 REFUNDCHECKFEE $0.00 $0.00 $0.00 06/102012 REFLRIDCHECK $100.00 $100.00 $0.00 06/15/2012 CO/W1 .$2500 511(2012 $300,00 $300.00 50.00 08/162012 SUA'MONS($10/ea) $10.00 $10.00 $0.00 0811_001.2. . Sli[vVONS1s1Weal $10.00 ..... $10 nn ._ ?!'/1 _ Dockets Line Count ENective Description Image fr�iered 1 – 8/14/2012 COMPLANT ON CONTRACT OR OTHER DEBT NS 5.rJW • 2 – 8(14/2012 COVER SHEET 8/162012 3 -- 8/14/2012 COMPLAINT ens2012 4 – 8/15/2012 CASE FEES PALO:$330.00 ON RECEIPT NUMBER 1638366 • 8/15■2012 5 8/152012 RECEIPT NU BER 1638366 HAD A REFUND OF$100.00 AMOUNT SENT TO ERACL1DES,JOI�4S,HALL,GEL MAN,JOHANINESSEN$ 8/162012 G000 6 _ 8/17/2012 SLlMVONS ISSUED 8//72012 7 – 9/12/2012 NOTICE OF DESIGNATING PRl4'ARY EM LADDRESS FOR THE SERVICE OF PLEADINGS AND PAPERS PURSUANT TO FLORIDA 928.2012 RILE OF JUDICIAL ADMINISTRATION 2.516 • 1/10/2013 8 — &MONS RETURNED NOT SERVED ON M8,C FLORIDA PAVERS,NC.8/28112 1/23/2(113 1/10/2013 9 — SUMVONS RETURNED NOT SERVED ON I./XEL DtE1-1._8/29/12 1/e.../2013 10 -- 111(112°1"7 SLMvCNS RETURNED NOT SERVED ON FLORIDA HARDSCAPES&PAVER MANTENANDE,NO.812E112 1/232013 11 -- 4117/2°12 MOTION TO WITHDRAW 4118/2a13 cr •I 0-As_ (--'` 4-1,\ 14_1 h 6',.1-31"‘) 1-4 t)'pee Nn _r-3 • • -• Detail by Entity Name Page 1 of 2 �Oi,±T�D DBP�RT _ NF t7`'�iT1G �- , Y P ,4r bR iliib Y�F _�i.ilY f! _ _ -4 Detail by Entity Name Florida Profit Corporation M-&C--FLORIDA PAVERS,=lNO, ---------- ---- _— - - — — -- -- __ Filing Information Document Number P01000089694 FEI/EIN Number 651135621 Date Filed 09/10/2001 tate FL Status INACTIVE Last Event ADMIN DISSOLUTION FOR ANNUAL REPORT Event Date Filed 09/23/2011 Event Effective Date NONE Principal Address 6300 JANES LANE NAPLES, FL 34109 Changed: 04/01/2009 Mailing Address 6300 JANES LANE NAPLES, FL 34109 Chi iged. 04/01/2009 Registered Agent Name & Address DIFHI MIKE .300 JANES LANE NAPLES, FL 34109 address Changed: 04/01/2009 Officer/Director Detail Name &Address itle PD DIEHL, MIKE .300 JANES LANE#4 NAPLES, FL 34109 Detail by Entity Name Page 2 of 2 Annual Reports Report Year Filed Date 208 04/02/2008 - ome Contact Us E-Filing Services Document Searches Forms Help 2009 04/01/2009 2010 02/12/2010 Document Images 02/12/2010 --ANNUAL REPORT View image in PDF format 12/08/2009 --Off/Dir Resignation View image in PDF format 12/08/2009-- Off/Dir Resignation View image in PDF format 11/16/2009 --Off/Dir Resignation View image in PDF format 04/01/2009--ANNUAL REPORT View image in PDF format 04/02/2008 --ANNUAL REPORT View image in PDF format 04/16/2007 --ANNUAL REPORT View image in PDF format 04/11/2006 --ANNUAL REPORT View Image in PDF format 07/19/2005 — ANNUAL REPORT View image in PDF format 01/29/2004 --ANNUAL REPORT View image in PDF format 04/03/2003--ANNUAL REPORT View image in PDF format 09/24/2002 --Amendment + View image in PDF format 05/12/2002 --ANNUAL REPORT View image in PDF format 09/10/2001 -- Domestic Profit View image in PDF format — — — rr, vrio-':'rind rely y P lilci Stdte Geuantrueut it Stale www.sunbiz.org - Department of State Page 1 of 1 -L{4R1 iaaiii R'FD 1 T t><F 'PATE .1 =D (O IV1 i N VA € RPORAhL i t� ft 6T8 Home Contact Us E-Filing Services Document Searches Forms Help Previous on List Next on List Return to List Fictitious Name Search Fitinq History I Submit - - Fictitious Name Detail = Fictitiousfilame ---- FLORIDA PAVERS Filing Information Registration Number 601267900221 Status EXPIRED Filed Date 09/25/2001 Expiration Date 12/31/2011 Current Owners 1 County COLLIER Total Pages 3 Events Filed 2 FEI/EIN Number NONE Mailing Address 6300 JANES LN.#4 NAPLES, FL 34109 Owner Information M& C FLORIDA PAVERS. INC. 6300 JANES LN.#4 NAPLES, FL 34109 FEI/EIN Number: 66-1136621 Document Number: P01000089694 flnrilmrnt Iningrn 09/25/204 View image in PDF fennel 1 -- � 9 04/07/2009--CHANGE NAME/ADDRESS I View image In PDF format n9!1,l/2nnq- —PENFwAL I View imaflP in PfF fnrmat Previous on List Next on List Return to List Fictitious Name Search Filing History I Submit J Home I Contact us I Document Searches I 5-Filing Services I Forms I Help 1 Coovright©and Privacy Policies State of Florida,Department of State Detail by Entity Name Page I of 2 f - LetirlfA DEPART&Iiii1 T OF STATE _. k '� �. ,y �' ' R � � `zs. ire .- - r . 1 Z -rt tit ) - Detail by Entity Name New Florida Profit Corporation - --::--FLORIDA-HARDSCAPES &-PAVER MAINTENANCE-,-_INC-_------- -- • - _— -. -- -- -- .---- Filinq Information Document Number P10000014180 FE1/EIN Number 271939392 Date Filed 02/16/2010 tate FL tatus ACTIVE Effective Date 03/01/2010 Principal Address •530 15TH AVE. SW. NAPLES, FL 34116 • Changed: 02/04/2013 Mailing Address PO BOX 990398 NAPLES, FL 34116 Changed: 02/04/2013 Registered Agent Name & Address DIEHL, MIKEL G 5,1t) .151-H AVF ,SW _. _ NAPLES, FL 34116 •ddress Changed: 02/04/2013 Officer/Director Detail ame & Address itle P DIEHL, MIKEL G •530 15TH AVE. SW. NAPLES, FL 34116 •nnual Reports Report Year Filed Date 2012 01/08/2012 Detail by Entity Name Page 2 of 2 2013 02/04/2013 2014 01/26/2014 Document Ima•es Home Contact Us E•Fiiing Services Document Searches Forms Help 01/26/2014 --ANNUAL REPORT View image in PDF format 02/04/2013 --ANNUAL REPORT View image in PDF format 01/08/2012 --ANNUAL REPORT View image in PDF format 04/28/2011 --ANNUAL REPORT View image in PDF format 02/16/2010 —Domestic Profit View image in PDF format Cuovnght fp and Piivacv Potides State of Florida.Department of State - - - - - - - • F r 7775 DEPvT OF THE TREASURY INTZRBAL REV NUE SERVICE CNLATI OH 45999-0023 Date of this notice: 02-19-2010 Employer Identification Number: 27-1939392 _------ .----.--—_- --Form:--SS=4 - Number of this notice: CP 575 A FLORIDA HARDSC:APES & PAVER MAINi TE ThNCE INC 6300 JANES IN STE 4 For assistance you may call us at: NApi,F:S, FL 34109 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for aglslying for an Employer Identification Number (BIN) . We assigned you EIN 27-1939392. This BIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that yen 11SP ynnr BIN and comi}lete name and address exactly as shorn above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more th rn one BIN. If the information is nnt r:nrrant: as sahnwn above, plcnnc make the correction using the attached tear-off stub and return it to us. Based on the information received fran you or your representative, you must file f i11oWiDg fc,Y17m(.f) by th. rime_ (s) .hn m Form 941 04/30/2010 Form 940 • 01/31/2011 Form. 1120 03/15/2011 If you have questions about the torm(s} or the due datels) shown, you can call us at the phone number or write to us at the address shown at the top of this notice. If you need help in determini ng your annual accounting period (tax year) , see Publication 538, Accounting Periods and Mathcds. We assigned you a tax classification hasped on information obtained from you or your representative. It is not a legal determination of your tax classification, and is not binning on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling fran the IRS under the guidelines in Revenue Procedure 2004-1, 2004-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue) . Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. Th PORTANf INFQRRATIOH FORS CORPORATIONELECTION: If you intend to elect to file your return as a small business corporation, an election to file a Form 1120-S must be made within certain timeframes and the corporation must meet certain tests. All of this information is included in the instructions for Form 2553, Election by a Small Business Corporation. • (IRS USE ONLY) 575A 02-19-2010 FLOR B 9999999999 SS-4 If you are required to deposit for employment taxes (Forms 941, 943, 940, 944, 945, -- CT-1, or 1042), excise taxes (Form 720) , or income taxes (Form 1120) , you will receive a Welcome Package shortly, which includes instructions for making your deposits electronically through the Electronic Federal Tax Payment System (EFTPS) . A Personal Identification Number (PIN) for EFTPS will also be sent to you under separate cover. Please activate the PIN once you receive it, even if you have requested the services of a tax professional or representative. For more information about EFTPS, refer to • Publication 966, Electronic Choices to Pay All Your Federal Taxes and Publication 4248, Laer.'S (Brochure). If you need to make a deposit before you receive your Welcome Package, please visit an IRS taxpayer assistance center to obtain a Federal Tax Deposit Coupon, Form 8109-B. To locate the taxpayer assistance center nearest you, visit the IRS Web site at http://www.irs.gov/localcontacts/index.html. Note: You will not be able to obtain Form 8109-B by calling 1--800-829-TA RMS (1-800-829-3676) . The IRS is committed to helping all taxpayers comply with their tax filing obligations. If you need help completing your returns or meeting your tax obligations, Authorized e-file Pruviders, such as Reporting Agents (payroll service providers) are available to assist you. Visit the IRS Web site at www.irs.gov for a list of companies that offer IRS e-file for business products and services. The list provides addresses, telephone numbers, and links to their Web sites. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office. IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only • one time and the IRS will not be able to generate a duplicate copy for you. A Use Lida gI1a and yuni_ name eitauLly as Lirey appeal aL Lite Lup ul LILL& 1LuLlte uu all your federal tax torms: .... • * Refer to this EIN on your tax-related correspondence and documents. • If you huvca quaatiena about your ViIVI. you Qun call uo at the phone number or wx1t.4 t'7 un at the acid-roan shown at the top of this notice. If you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you do not need to write us, do not complete and return the stub. Thank you for your cooperation. Keep-this part for your records. CP 575 A (Rev. 7-2007) Return this part with any correspondence so we may identify your account. Please CP 575 A correct any errors in your name or address. 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 02-19-2010 ( ) - EMPLOYER IDENTIFICATION NUMBER:" 27-1939392 FORM: SS-4 NOBOD DAN HENTHORNS PRECAST 5500 Taylor Road 239-594-7508 Naples, Florida 34109 239-594-7608 fax -— EebruaLy 27,2014_ - -- — ---_-- — — - -- - - _ City of Naples - 295 Riverside Circle Naples, FL 34102 To Whom It May Concern: Mr. Mikel Garrett Diehl has been installing, clesning and sealing concrete brick pavers for Dan Henthorne Precast for the past 3 years. He has provided excellent installation services for our company. If you have any questions, please feel free to contact me at (239) 594-7508. Sincerely, --� 4) U(A. D R. enthorne VERIFICATION OF CONSTRUCTION EXPERIENCE` : GRID Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples, FL 34104 Applicant's Name: ' Y 1. i k el G;,rrc_ Y l eJi 1 Certificate Category Requested: ?CLk i i)r lock- ._....) Fhe Applicant Ts seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience ,vorking as an apprentice or a skilled worker(e.g. as a worker commanding the wage of mechanic or better in the trade). ('ime served solely in a supervisory or administrative role should be described, but may or may not be considered ,ufficient to demonstrate required trade experience. The person verifying trade experience must provide the following nformation: Jame, Title and license number of the person signing below and verifying Applicants relevantexperience: lame: D6, t �,<--Ah�r'n-Q- CO.'S- 'itle: 0 t..-� r1; O I License Number(if applicable): 11 L1 X lame of Business: Dan 1`1er1' t1}r 1i2 Pccst :usiness Address: 6 &r)(1.) TC 1\tor ci, k?c,c)le%. (L ' i -- (N! .usiness Phone:n -59 q`--75og The Applicant's years of experience from to he applicant's scope of work (specific duties) included:. Tjv s'rn.tl GA crvt L, r T�v a A)e r)to C.k.s, 1( ) 5,cith-C CI WI iv Cate?erVs:,,vl. cvti,A T./ fdS . i dditional Comments: albifylug uuy htfw uwllua "'WV Wed herein utuy subject your Hume to rr"tUpu ion r - 1 Stgltatut e (� I � Print Name: n �(. t €r'c" Y-el Q ate of Florida )unty of Collier rc' ie re Ding instrument was acknowledged before me on this.. day of 740..1.0-4._ oCO/11 i t^ �who is pers onall know e or produced identification And who did not take an oath. `Wendy S.Henthome • • a ej . . NOTARY PUBLIC Signature •f Diary .,` - STATE OF FLORIDA w-+�+a.'.-- Comm EE 105832 sjh }9' Expires 6/23/2015 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER r • ) oiLr J . " am a resident of County, rc' • (.9a (State) and have resided here for more than five (5)years. lring the last five years I have known XI\ \;(0.i G 'CN-cts_ - (Applicant). I have had opportunity to observe his or her business and personal dealings and find him or her to be a person of nesty, intpgrity and..goodcharacter. _ ______ _ _ — — , , (Signature) ///,'• marao (Address) 1 I 0 n -2-" 0/0 tpV,S 54-P0 Telephone) - • 1414 STAT1b.1 OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me thisX10.1%_ g,e V by (nate) M,; ke_I CD D e who has produced (T-1 am it of perF;on nicnowlnrifTin e:,) (Tyin.1 of iikintideation) as identification and who did not take an oath. 4 if NOTARY PUtit,10 SIGNAL -E OF NOTARY I7 STAT5 OF FLORIbh Comm#EE106832 tt ifiLE Expires 8/2312015 NOTARY'S SEAL (PRINT NAME OF NOTARY) NOTARY.PUBLIC . . • • 10 FLORI-3 OP ID:Rt. A`„.D� CERTIFICATE OF LIABILITY INSURANCE 1 °"�`"' "' 03(03/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTJFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY TH.. \'OLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORLZED REPRESENTATIVE CR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADCTTIONAL INSURED,the pollcy(Ies) must be endorsed, If SUBROGATION IS WAIVED,subject to - the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s), PRODUCER CONTACT Progressive Insurance Agency NAME: 23 Pine Ridge Road PrNCN(E ggaa Ho.>±iti: (AX,Ha): Naples,FL 34109 Richard Laced' • INSURER(S)AFFORDING COVERAGE NAC s 'INSUILER A:Progressive Express Ins Co 10193 INSURED Florida Hardscapes dba rrtsunses:Cypress Property 8 Cas Ins Co 10953 Florida Pavers, Inc . tNSURQLC.:. --...----- -g Naples,FL 34116 INSURER n: • • INSURER E: - MEURERF: 1 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED MOVE FOR THE POLICY PERIOD ' INDICATED. NO7NATHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS Of SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LIR TYPE OF INSURANCE POLICYWUYEER PCn ' Er ,i ,00i yy tWrJSZWYYrYt [44b5tDOlYYYYi LAM GENERAL UA80.rrY EACH OCCURRBICE I 100,000 8 , X COMMERCIAL GENERAL UASarTY GFL-1023441 04/24/2013 04/24/2014 s t E ) s 100,E CU1S q 1lADE FC OCCUR MO EXP(Amy an.Pax) $ 6,00C ' PERSONAL S ADM INJURY 1 100,000 GENERAL AGGREGATE - 1 200,009 Gen.AGGREGATE LSAT APPLIES PER: PRODUCTS S 200,000 I-P000Y P1 P LOC s AUTOMOBILE UAW= SINGLE WIT . A ANY AUTO _ 0837991E-0 01/04/2014 01/04/2015 B OLYN Y(Perpenon) 1 10,000 —ALL OYHEO SCHEDULED AUTOS X AUTOS BODILY INJURY(Per accaSen) 1 20,r r.: — NON-OWNED PROPERTY DAMAGE HIRED AUTOS _ AUTOS r(PER ACCIDENT) $ 10, r _ $ UEA Lte [A(r 1 OCCURRENCE i- L_ OCCUR EXCESS WS CLA*4S-MACE AGGREGATE 5 0£Uj i RETENTIONS _ $ WORMED COMPENSATION WCSTATU-1 10Th• AND EhlP1CtYN3tS'Lanny r I N TORY LI,UTS EN ANY PROPRIETOR rAF EN.c lyt:lT 1 CFFICERAA ,ER EXIXxEDED? ` N I A EL EACH ACCIDENT S tfsarrdjtory in HN) CL tli7DAiIt•iriEMrLUrrx r X)44 tiwuaweer r D 4CREMONOrcram-noriobA,, - Si..DISEASE-POLtCYUET I • moronic tut n nr srrnATUSUn/,n4ATIOr;4/::n,L.ci. Inman AuuTDJ lei,xcmub,trr l(..-..k.,&I s.id.,it sours ayiu to rogiYcsw) --- CERTIFICATE HOLDER CANCELLATION I COLLI-2 SHOULD ANY CF THE MOVE DESCRIBED POLICIES BE CANCELLED BEFORE Collier County Contractors THE EXPIRATION DATE THEREOF, NOTICE WU. BE DELIVERED IN MY ACCORDANCE WITH THE POLICY PROVISIONS. Licensing Board . 2800 N.Horseshoe Drive -AUTHORIZED REPrTAnvE " Naples,FL 34104 Richard Larach --" —- ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD NOTICE OF ELECTION TO BE EXEMPT If this application contains incomplete or inaccurate information, it may cause a delay in the issuance of your exemption. An officer electing an exemption under Chapter 440, Florida Statutes, is not entitled to benefits under this chapter. Section 1: APPLICANT INFORMATION First & Last Name: Mikel G Diehl State Driver's License Number: State ID Number: State: FL - Date of Birth: --- - -`--.-----=----- -- = --:-=--= .._-..- - Social Security Nurnf�er(last=flour digits} -------- _ -- - Email Address: Mgdiehll3 @gmeii,com - Section 2: _ CONSTRUCTION INDUSTRY APPLICANT($50-FEE REQUIRED) Officer of a Corporation (Construction) - Corporate Title: PRESIDENT = _ - Section 3: - - - - - This section should be completed with information specific to your corporation or to the limited-liability.company in which you are a member.The name of the corporation-or-limited liability company listed'orrthis application;MUST match the name of the corporation or limited liability company as registered with•the-Florida Division of Corporations. Name of Corporation or LLC: Florida.hardscapes and paver maintenance _- - FEIN: 27-1939392 IIF YOU NEED TO APPLY FOR A FEIN,CLICK HERE _ Business Name (DBA)�_5_ _ - = Phone: (239)877-6536 - Applicant AddreSS_ot Hecord: 4b JO 15th av t` e'sw --- City Naples - -- -_ _- State: FL zip 34116 County: Collier Click on the arrow(s),next to the text box(s) to view a'list of available Scope classifications/trades for the form type chosen in teettuti-2. Clk.k on the approprlat6.sivape'to sefa t. If YOU are 1-11161-1r0_ S to wiih I1 CLLSsfiloatluitili'ade to..liQabe, please contact your workers'compensation insu_rancecarrier_If you do not have a workers'compensation insurance policy,contact the National Council on Compensation Insurance(NCCI) at 1-800-622-4123 option 5 to obtain a classification code. Scope 1: 05221 Concrete or =_Scope 2: --: $491 @' : Scope 4: Lament wdru-i Iddrs, - _ Driveway r_ _ Section 4: - = The corporation of which you are an officer or limited liability-company of which you are a member must be registered and in ACTIVE status with the Florida Division of Corporations Applicants applying asan officer of a corporation must be listed as an officer of the Corporation with the Florida Division of-.Corporations. List the document_number on file with the Florida Division of Corporations. P10000014180 _ Section 5: _ - - - Pursuant to`Chapter--489, F.S. (contractor licensing law), list certified or registered licenses related to the scope of business or trade listed;in Section 3 held by the applicant,or the certified or registered license numbers held by the qualifier for the corporation or limited liability company listed on this application. The business name listed on the license MUST match the name of the corporation or limited liability company as registered with the Florida Division of Corporations and on this Notice of Election to be Exempt. No DBPR License Listed Section 6: if you have submitted an electronic payment for this application, the transaction confirmation number is listed in the following space: Confirmation Number: 189839100 Application Number: E00200855 Section 7: N/A Are you affiliated with any corporation or limited liability company other than the corporation or limited liability company to which this application applies? Name: FEIN Name: _ FEIN Name: FEIN Section 8: CONSTRUCTION INDUSTRY AND NON-CONSTRUCTION INDUSTRY LLC MEMBERS ONLY - .To be eligible for a construction industry exemption or a non-construction limited liability company exemption, an applicant must have the required ownership of the corporation or limited liability company. I am a shareholder owning at least ten percent(10%) of stock of the corporation-listed on this application:. Section 9: I certify that any employees of the corporation or members of the limited liability company listed in Section 3 are covered by workers'compensation insurance. Please identify the workers'compensation_.insurance carrier that covers-any:non-exempt employees. --- Carrier Name: My business does not have any non-exempt employees Section 10: - FRAUD NOTICE A. Any person who, knowingly and with intent to injure, defraud; ordeceive the department or any employer or employee, insurance company or any other person, files A Notice_of Election to be Exempt containing any false or misleading information is guilty of a felony of the third degree: :- - - B. Attestation of applicant—By providing my nam a below, I attest that I have read,_understand and acknowledge the foregoing notice.' _ C. Acknowledge that this Notice of Election to be Exempt does not exceed limits for corporate officers, including any affiliated corporations as provided In Section 440.02, Florida Statutes. Fir,t Nnr'nn• Mikr'l I.rapt Namo: Diehl lint The Division has In nays to';revr w-iippr ipplinatinn to determine if it_meets the eligibility requirements for the isstIanee Of an exemption.The Division will Dither issue Certificate of Election to be Exempt or notify you that your application is incomploto. The Division reviews and processes exemption applications in the order-they are received. Exemption information is reflected on the Proof of Coverage database the day following the issuance of the exemption. Visit the Division's website at.http://www.rriyfloridacfo.com/wc to print your certificate. • ` ...:-/ 10-06-2011 - JEFF ATWATER STATE OF FLORIDA CHIEF F1NaxaALOFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * ii NON=-CONSTRUCTION•.INDUSTRY:EXEMPT10N This certifies that the individual listed below has elected to be exempt from Florida Workers' -Compensation law. EFFECTIVE DATE: .0912212011 EXPIRATION._DA-TE:.:-N/A --PERSON:-. ----DIEHL--__ ----- T L--... --G- •-- —- — — FEIN; 271939392 . BUSINESS NAME AND ADDRESS: • FLORIDA HARDSCAPES & PAVER MAINTENANCE INC P 0 BOX 990398 - NAPLES FL 34116 SCOPES OF BUSINESS OR TRADE: 1- PRESSURE=CLEAN1NG._.- ) 13 A F (oriciGL P0+Ni e1z5 , IMPmmTAMT: Porsaiat to Chapter 440 . 05114), F.S., an officer of a corporation rho elects eaemplioa (ram this chapter by Iiliag a cattilicate of electtoa aader (his seethe' may eat renter bea*411s or compeasatlon aader this chapter: Po:aeset to Chapter 440.05(12), F.S., Certificates of eiectiae to be exempt... apply oily milhia Ike scope of lie bosiaess a ttide listed MI the colic* of election to be exempt. Purseui to Chapter 440.05(131. T.S.. Notices 01 election to be exempt cad certificates el erection to be exempt stilt be subject to reOacalioa It, It say time alter the [Wag of the amice,or the issosoce of the certificate. the petsoa anted as tie malice or cartilicale II Ioager netts Ike rsgelremeats of this section for !notice of a eertlficate. The department wait revoke a certificate at ray time for loitere e( lie portal Mud on tie certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609 OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 . PLEASE CUT OUT THE 'CARD BELOW AUO RETAIN f Ult l'UIUNE REFERENCE STATE OF FLORIDA ' 1 , IMPORTANT DEPARTMENT OF FINANCIAL SERVICES cam"`tin oPrIAIONOF WORKERS'CQMFIN AT1QN A + Pursuant to Chapter 42,O.OS(14). F.S.. an officer of a careeralian +h0 '�-' �� fO elect$ exemotlon from this chapter by filing a certificate of election CERRTIFICA EOFEt.EC7 ONTO EXEMMPT FROM FLORIDA ...,:4,: �a #- under this section may not recover benefits or compensation under-this - -- - WORKERS'COMPENSATION LAW D chapter. • tt-t•ECT1VE 09/22/2011 EXPIRATION DATE: N/A Pursuant to Chapter 440.05112), F.S. Certificates of election to be pvA4r11Y NTKEL $ DIEliJ H 4xgmpt., apply only withip the scope of the business or trade listed an FEIR 271039392 ■ f- (rte notice t: election to be exempt BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440.05(114, F.S.. Notices of election to be exempt FLORIDA HARDSCAPES Y. r•tVER liActrExa..CE !RC and certificates of election to be exempt shall be subject to revocation P 6 Box 940388 - If, at any time after the filing of the notice or the issuance of the *AFtES, Ft. 34118 certificate, the person named on the notice or certificate no longer meets the requirements pf this section for issua;._e of a certificate. The , department shall revoke a certificate at any time for failure of the SCOPE OF BUSINESS OR TRADE: person named on the certificate to meet t'ne requirements of this 1- PRESSURE aE:xrc section. - QUESTIONS? (850) 413-1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your rep xd . • . . : • ,„ s" s r ; 1—• — ' — • ! _ ' • .;" 40.1 '•.* "' 1 • _ . - _ • 1111/MW T(1� Merit Credit IN C Fast, Accurate & Secure. MERIT CREDIT HAS RETRIEVED THE ABOVE BUSINESS REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER/PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY (INCLUDING PINELLAS) , STATE AND FEDERAL — --LEVELS.— — — — _ PUBLIC RECORDS LEARNED: 4 SOURCES OF INFORMATION: EXPERIAN BUSINESS INFORMATION SERVICES IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1- 800-371-3348 OR 239-277-3202. COMPANY NAME: FLORIDA HARDSCAPES & PAVER MAINTENANCE, INC FEDERAL ID: 274939392 CURRENT STATUS: ACTIVE PRINCIPAL(S): MIKEL G. DIEHL TITLE: PRESIDENT DATE INCORPORATED:02/16/2010 Prepared By: Merit Credit (239) 277-3202 (800) 371-3348 TRANSUNION CREDIT REPORT [FOR] [SUB NAME] [MKT SUB] [INFILE] [DATE] [TIME] (I) Z NP6284423 MERIT CREDIT 16 NP 7/04 03/30/15 14 :45CT [SUBJECT] ISSN) [BIRTH DATE] DIEHL, MIKEL G. stimma. _---...------ --- ----[_CURRENT=ADDRESS:] --------- --- -==---=-,--: -- --- -----=---- -- -- 1DA-T-.E-RP.'FD] - -- -- ----- 4530 SW. 15TH AV. , NAPLES FL. 34116 9/07 (FORMER ADDRESS] 5111 PALMETTO WOODS DR. , NAPLES FL. 34119 7/04 8505 NW. 2ND PL., GAINESVILLE FL. 32607 M O D E L P R O F I L E ***FICO CLASSIC 04 SCORE +611 : 039, 018, 013, 005 *** C R E D I T S U M M A R Y * * * T O T A L F I L E H I S T O R Y PR=0 COL=0 NEG=0 HSTNEG=6-48 TRD=6 RVL=1 INST=5 MTG=0 OPN=0 INQ=2 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE INSTALLMENT: $18. 1K $ $18.5K $0 $216 TOTALS: $18.1K $ $18.5K $0 $216 T R A D E S SUBNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1-12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT-MOP PAYPAT 13-24 ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS MO 30/60/90 FEDLOAN E 2CN2006 11/11 $3500 111M37 6/14 54555543111X I01 502111145FD00001 12/14A $0 $172 05 1XX111111111 I STUDENT LOAN .$3333 36 0/ 1/ 7 FEDLOAN E 2CN2006 11/11 $6000 118M80 6/14 54555543111X I01 502111145FD00002 12/14A $0 $397 05 1XX111111111 I STUDENT LOAN $6574 36 0/ 1/ 7 FEDLOAN E 2CN2006 6/12 $4101 118M52 6/14 54555543111X I01 502111145FD00004 12/14A $0 $262 05 1XX111111111 I STUDENT LOAN $4335 29 0/ 1/ 7 FEDLOAN E 2CN2006 6/12 $3500 111M37 6/14 54555543111X I01 502111145FD00003 12/14A $0 $172 05 1XX111111111 I STUDENT LOAN $3333 29 0/ 1/ 7 FEDLOAN E 2CN2006 9/12 $1000 111M10 6/14 41555543111X 101 502111145FD00005 12/14A $0 $50 05- 1XX111111111 I STUDENT LOAN $968 26 0/ 1/ 6 BK OF AMER B 1597029 1/07 $770 7/08 111111111132 RO1 2133 8/10A $500 $0 05 211111211324 I CREDIT CARD 8/080 $0 CLOSD BY CRDT GRANTOR 26 4/ 2/ 3 I N Q U I R I E S DATE SUBCODE SUBNAME TYPE AMOUNT 3/30/15 ZNP6284423 (FLA) MERIT CREDIT 3/04/14 ZMI0630273 (FLA) CREDIT CHECK C R E D I T R E P O R T S E R V I C E D BY : TRANSUNION 800-888-4213 2 BALDWIN PLACE P.O. BOX 1000,CHESTER, PA. 19022 Consumer disclosures can be obtained online through TransUnion at: http://www.transunion.com CREDITOR CONTACT INFORMATION FEDLOAN EL2CN2006 (800) 699-2908 POB 60610 HARRISBURG PA. 17106 _=...._. ___ _—BK--O AMER- _—_--_ __—,—... B_G1592029 ._.—. _. — -- —_:— -- -- — = PO BOX 982235 EL PASO TX. 79998 CREDIT CHECK Z 0630273 (877) 616-5556 3017 EXCHANGE COUR WEST PALM BEAC FL. 33409 END OF TRANSUNION REPORT MERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER/PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS. PUBLIC RECORDS HAVE ALSO BEEN VERIFIED FOR PINELLAS COUNTY. PUBLIC RECORDS LEARNED 0 SOURCES OF INFORMATION: TRANS UNION LLC IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1-800-371-3348 OR (239) 277-3202. Premier Profile-FL HARDSCAPES & PAVER MAINTENANCE, INC .Z"Z. Subcode: 970135 Ordered:03/30/2015 15:04:45 CST • •• Experian- Transaction Number: C500793253 �. �� Search inquiry: FLORIDA HARDSCAPES&PAVER MAINTENANCE, INC/4530 15th awe A world of Insight sw/NAPLES/FL/34116/271939392 Model Description: Intelliscore Plus V2 Busmess Name -- FI_ORIDA�HARDSCAPES &PAVER $ g -Business Idenhficabon Number • a 739533422 iMAIN!ENANC-ET INCA . ;, 4 , ` `''' °Qr.$ta0�.t , -t Doing Business As: FLORIDA PAVERS Phone: (239)254-8600 Primary Address: 4530 15TH AVE SW Tax ID: 27-1939392 NAPLES,FL 34116-5140 — This business is the ultimate parent. See the corporate hierarchy by clicking here ------ - ----__ __------..__...--------- ----- _ _ - . __.— TOP 0 Rtsk.Cashboard�1, 3‹C.1. ✓<s y f�ti r e 5 0 ,,z r # rr = F t .. ; L�'.;�`Rlk Scores and Cre litLliniCRecommendat on ; '4Days,eeyotiiir m �erog xotjr Pegal `F acid s'9-,YV-„ a'i,_;. ..za�......�,c --'," ....".-:..I.<...«.�.--....- {..�....:a,_ .-21-ilt s f-= 3.�ti,.:.,!T,{a+-Z'S 1af-'�2�r... ,.a:...-.1-47,..,-.01,14s‘.-. ...-1 ,:5 -�5.s.3..n-.,. ,.t -.,r_r� ■ Intelliscore Plus Financial Stability Risk Company DST Original Filings High Risk Alerts HIGH RISK �,fM ; HIGH RISK y ` /t ,1 i 2 Score range:1 •100 percentile Credit Limit Recommendation: N/A _ TOP 0 Business Facts 3< s, T} r_a a=<, ;. - ."^�,c ri.r- .: , . Years on File: 14(FILE ESTABLISHED 11/2001) SIC Code: CONCRETE WORK CONTRACTORS-1771 State of Incorporation: FL HIGHWAY&STREET CONST,EXC ELEV HWYS-1511 Date of Incorporation: 02/16/2010 CONSTRUCTION MACHINERY&EQUIPMENT-3531 Business Type: Profit NAICS Code: Contacts: MIKEL DIEHL-PRESIDENT Poured Concrete Foundation and Structure Contractors-238110 Highway,Street,and Bridge Construction-237310 Construction Machinery Manufacturing-333120 Number of Employees: 6 Sales: $1,806,000 TOP 0•Commercial Fraud Shield -5 t -- . u ' r, ` t ro _. ' Ev�lua#lon,fo FLsHARDSCAPES&PAVgR MAINTENANCE,INC,453015TH AVE SW,NAPLES,FL34116 5140 , yi=r f ' .}.?{ - c l(q k 3f-. .4,..1 1" ^, CYr !` rr7 ':. � 4y�5E.71-` 4'1 1.�f "sgY -.r� .t Z'.Pgi ,1. Business Alerts rr ' { A - ). '� xr 't`rrr t5 Venttcatfon riggers •a' aft s s — — ��: � �..y.C� { .a.�?> •�';Z_,..�5�:_ �.X.3o:.;vl 1•.21f t r s,.,.,._� � T.Jam�?z.�cti Active Business Indicator: I of I Experian shows this business as active PRESENCE OF TRADES IN THE CURRENT MONTH WITH D8T>THAN 92 DAYS Possible OFAC Match: ` No OFAC match found BUSINESS ADDRESS IDENTIFIED AS 16-'i-ii i RESIDENTIAL Business Victim Statement: ` CT No victim statement on file TOP 0 Credit-RiskScore and�Credit1LtnttRecommendation , ,, Ft z; e .,ti a .. x t- + .Y s t< .t-4 w Y"' .T 4f,*p�... 1!)-4 cy.�.:ST ', '°" +tea^.,4 rCreilit Rfsk Score Ili,,.--, cor2e Plus:p,-,:;-,,, . '5 -?Z�„ ` .QT.-._ ' -,>«..3,:-3?s--3."' >c ws?-..x, ws-.;'.`.ixv-- sn � +7-v .: .�. Current Intelliscore Plus Score: 2 Risk Class: 5 Premier Profile-FL HARDSCAPES&PAVER MAINTENANCE,INC 1/5 High Low' The risk class groups scores by risk into ranges of similar Risk :5 -: .. 3. ' � � Risk performance-Range 5 is the highest risk, range 1 is the r. - •. .__ ._ ,..,.___ .____._ _,...._ ,.<_. lowest risk. 0 10 25 50 75 10o --- - -._ This score predicts the likelihocd of senous credit delinquencies for this business within the next 12 months.Payment history and public record along with other variables are used to predict future risk.Higher scores indicate lower risk. Factors lowering the score Industry Risk Comparison AVERAGE BALANCE OF RECENTLY DELINQUENT COMMERCIAL ACCOUNTS 1%of businesses indicate a higher likelihood of severe delinquency. > NUMBER OF COMMERCIAL ACCOUNTS WITH NET 1-30 DAYS TERM > NUMBER OF COMMERCIAL ACCOUNTS WITH HIGH UTILIZATION > BALANCE OF COMMERCIAL ACCOUNTS AT WORST DELINQUENCY Quarterl ScoreaTrends 1 " ' { z ' ¢ �r,, 1stz^t m.��.,-�.e ..sue..,..... �._..i _z.__. 'a.�•.Y>:�� ��� '__ —_ _,_ — Quarterly Score Trends 100 • 80 eo -' t The Quarterly Score Trends provide a view of the } J likelihood of delinquency over the past 12 months for this 50 j I business,The trends will indicate if the score improved, 40 i I remained stable,fluctuated or declined over the last 12 months. 30 ` � } 20 -" i 10 - �`•T--,t,,'�,Gre :Mlle '�„� "x - ;,;�mss•'-`e 1zt t i.".J>` t.+C z"".r -sy�a ��E::���cs,��� 'r�"��==s "r . t r71� �,5� i It Risk Score FinanctaT Stabtltly Rtslc a << ,fir _ z ,. _ 2r 7,:,:L% Current Financial Stability Risk Score: 3 Risk Class: 5 ( 1 .• � Npbri111$1 Higri 4,411 k ° �,� Lavr The risk class groups scores by risk into ranges of similar 3 ... _' ' )Sr". i _ Pick i,••#-5'3..,: - ;�s - - t :� r `°�,• ).Risk performance.Range 5 is the highest risk,range 1 is the 0 3 lfj 3 55 10th lowest risk. This score predicts the likelihood of financial stability risk within the next 12 months. The score uses tradeline and collections information, public filings as well as other variables to predict future risk.Higher scores indicate lower risk. Factors lowering the score Industry Risk Comparison PERCENT OF TOTAL COMMERCIAL BALANCE SERIOUSLY DELINQUENT 2%of businesses indicate a higher likelihood of financial stability risk. > PAST COMMERCIAL DEROGATORY BALANCE NUMBER OF COMMERCIAL DEROGATORY PUBLIC RECORDS RECENT COMMERCIAL ACCOUNT DELINQUENCY CTit.LYmit Recommendation`�.,_ --.� -�. t t._l'} .. _.",_._._.�•r_.. �}-��-_.+uLt-c�L•:�`V 'l'u.....�..y z�.�::� <�..-�._i�,s K��-���>i.._.x��y5 �4."�y Credit Limit Recommendation This recommendation compares this business against similar businesses in the Experian business Not available-A credit limit credit database.It is based on trade information,industry,age of business and the Intelliscore recommendation is not available for a Plus.The recommendation is a guide.The final decision must be made based on your company's business with a current DOT>60. business policies. TOP Q aVrnenar�Legal Ftir gs Stt art' t r- �t rye Y. s L Yr' • ;1AY�. } Ir-= a.c t t rS _v—�. ..�'t..-o.�l a_..._..... �� _.-.:/... .._.y��-+r..t:;✓�»..�v 1._.-c _r.y_—a..—.t ssv„z�,.._a�±.u..tm-.t..L:.''�is:a—�i ^' ' Premier Profile-FL HARDSCAPES&PAVER MAINTENANCE,INC 215 Pa"gment Performancea�r_ a4.._4 s(ratl aftd Collec jon Balances ��, iLega. •;---1 9s,v N ; y 7 4 • Current DBT: 105 Total trade and collection(6); $16,700 Bankruptcy: No Predicted DBT: N/A Ail trades(6): $16,700 Tax Lien filings: 3 Judgment filings: 1 Monthly Average OBT: 105 All collections(0): $0 Sum of legal filings: $9,282 Highest DBT Previous 6 Months: 105 Continuous trade(4): $16.700 UCC filings: 0 Highest DBT Previous 5 Quarters: 105 6 month average: N/A Cautionary UCC filings: No Payment Trend Indication: Highest credit amount extended: $9,200 Payment trend indicator not available Most frequent industry purchasing terms: Industry purchasing terms not available 'r, r. n rr '7s"' 7 37 - 1 E.:-7 7 rte. r r 3 r> f' �- r z z... -V 'e ti r ,,:Q h S ➢• , t ->�fi a.!' Industry Cotnparis on ay> u ', 9 >?NYSE} :',e' # ,j *-Ke rC5+ r .---'t : �� :g._,_ Industry DBT Range Comparison The current DBT of this business is 105.9%of businesses have a DBT range of 16+. DBT for this business: 105 _. 4' 40iti51 gk5k -:;: gitel. e 11 o C D s+. - DBT Range 0-5 6-15 16+ TOP 0 S PaytttenkTrellditig,, f I t.,'t 7 ^ !f z f . a7, �2� , (� f'`_ , +. 4 a � SY�F .+4 1 f - s� a6 s v� 7 2 0 7z,i I f ,.ems u 45 *�a 4:, r ,M,-..,-5 F '34.,i..{ 0:kUk%* *- 9�yi;. t�-Vii- 416 ;s -Yas. .y+ - M1., ysrV r:FC 2.n .ire t .n YY"� c w ,sr., :DBT Trends i ,�+ a t>, � ,f: '•ti 'u. 1r �a� ,.. : .._.=�.._.-. _ .. ,_.i��fi„� . r ,_> �.:t 7�, i�vc_-.� �Z.�`�",=� te_-.x:;nCi.�t.Vr.,�._.e��n+i�. ;"rs-.,a.. .. •�F:� _�faE'.:..4,�,. Monthly DBT Trends Quarterly DBT Trends I 105 105 105 105 105 105 105 (1 105 105 105 .10 105 100 1 100 I l , 3 1 SY�) t l Y tµJz-.15 ? -- �K-{3 i ifi ”t ,,1 t , ,. , : 75 1 r 4 , 75 , a c' 1a t "- r� s i i L � � t � `r,�ix ,_ � ftr..rY� .fa' 7P 1�C ttt�zs 3�-x"�;1.i�y .ti r P- > c7 t � �L �F'd'�yr$ �'ss st°-i•c�+��+ 4rix ls'}r�v>. n t r �^ r r 't�Z�. T y ?4 s�+a ' Ki,d»" v rt f s , * 7 - . g!1t2T 'i' 'Yy ?3' �- r 5 try•,�, S'ie i.>,x z'_. u .Y .>lia• )� .2 i �.3i i.,- - �"� .T" �!1„ 4 >t'�d'y.x� a. Q(i a .-_ t^,Y r� "„-. . --4ii4 `:E�i }lc,.� T1l;la� S 0 ,et t-+xy Y �,i �c�j per- 7�—i s�,.'(y, ...#}�,r I �� 4,§1..-')--' >� >� Y ��- ,}�' >�.X' tq�/'ii{ �jk , I. '1i W' {bAYY �FS� �r.; k _ 25 ,24.,, L-1 .*o`er T' X, .x ; I 25 4'At s f-..Y5'tl '' 11- ¢'ez G. 13 .r Tg°t. - �741. a is � I �. -! z f <? 4�r a " .f > `a•• a.>; b.€ i E ; `^i;� '- �j l; ._1 ,` ?a'}: 's a '.7--;47f-al G i3 °p-il, T:i?`Yv33`k. She\kOC C ao\i�Q.GA,P';04S0N6G„lgnt AaNs 1a-v} 10Ak laNA 401A g?:t5it .1 -st ,r. 3'77 t-M w ,. x7717, -57-'. irf,rih?,0 k(i' F..iry3.g'�ti71.rs.. 77:..i.,r,;"`4 .7.A eri,43VS,3 ', 1 ) r f- S{1{-' °S. 4'P .4.T t _ "5; Fi 4i +�{'� F Y1 Sti J' . L, Monthly paymenE Trends u W , a 3 ).y ,s ;-x 3 . � :, `er,,xex,< .1,1 "c.... 2,-.:1,-„,�-. r,- -ti,�.:..,,-i6:..L.>ti'-xy_, .._ �' _--,..�.,.,. y. i..:t.:�e t.?, i1.���. 1.z = T°`-..c'!.. 1.1 .2��+- . w,-..uWb4. Payment Trends Analysis Account Status CONCRETE WORK CONTRACTORS-1771 Days Beyond Terms Date Reported Industry Business Balance Cur 1-30 31-60 61-90 91+ Cur DBT DBT CURRENT 90% 7 105 $16,700 100% `— — FEB15 90% 7 105 $16,700 100% _ --- JAN15 89% 7 105 _-- $16,700 Y 100% DEC14 __---.—-- — - 88% 7 — _ ______ 105 $16,700 100% — NOV14 --—�_ _--89% 6 105 $16,700 100% OCT14 90% 6 105 --�_ $16,700 100% — SEP14 — 89% 6 —105 $16,700 100% x -:7277 . •� i, zj . V.z•-t Z `„ 7. ?7', r i�:�g'fxe -. ,3! z i K r> � }*,- y ^',2I Quarterly Payment Trends �,���1 3:v_ ,k�.2.s_2L _.�..�:i•� •eo:"psi_I iI.V. Premier Profile-FL HARDSCAPES&PAVER MAINTENANCE,INC 3/5 Payment History-Quarterly Averages Account Status ' Days Beyond Terms Quarter Months DBT Balance Cur 1-30 31.60 61-90 91+ 04-14 - - OCT 100% DEC ---- 105 - $16,700 -------- — -___ __- ------ 03 - 14 JUL-SEP 105 $16,700 100% —' — — — ------ 02- 14 APR-JUN 105 $16,700 100% Q1 - 14 JAN-MAR 105 $16,700 100% Q4- 13 OCT-OEC 105 $16,700 100% TOP 0 Trade PaymentSuritrnary :f =as , t r . ` '...'..:i.:.. . . .-. +, . _.sr -. .r:�.-'s .. _ - ,n,_y€_ r'..� - F. T>.• ..t1 ms's'.._t.,.9 'Li. , t-- -•'._,s.�. .-r _Y r G Trade Line Type Lines Reported DBT Recent High Balance Current 01-30 31-60 61-90 91+ Credit Continuous 4 105 $17,500 $16,700 100% -_New -_ ._ _ 0 — — $4- - - --- - - -- Combined Trade 4 105 :. $17,500 - 1 $16 700 -__... 100%0 Additional 2 -_ — $0 Total Trade' ` 6 :.-,$17-500.- - $16 700 100%i TOP 0 <Trade Payment flew fndCtmtinuousty KepartedTxade,Detaiis 3 t yr-r r c '1 > i ;?-;' ''t w- .t' y r' ,-..,--,,-,,:r.Sx i - ->. t- -f.l v..i f >ve;c. .,tAccottntiSt4u %"y F ,s4Pl% ,`*5'- g Y3 _, ti �1 -`Payment Experiences, s ,v `4 .- .0 sj ,2:k4 o .71 1l ,-'t-f i>: --� 4s ;,Yt ':; = 5 (Trade_Ltes Wttl�an r};atterthe dateare;ne5vly:reponed}sy;} _ , f _,:�?;D.ays,Beyond erms 1,_,,,; $ tR,,. •fn Business Date Last Payment Recent High Balance Cur 1-30 31.60 61-90 91+ Comments Category Reported Sale Terms Credit BLDG MATRL 02/2015 02/2011 CREDIT $9,200 $9,200 100% F1NCL SVCS 01/2015 12/2009 CONTRCT $800 $0 OFFC SUPPL 03/2015 02/2011 CREDIT $900 $900 100% OFFRGE PRNTG&PUBL 03/2015 VARIED $6,600 $6,600 100% TOP 0 Trade %aent gdditioliaLt ade Detail4 f } 7!;:':'-'P ," i iEY ? tit } J ; E ', -: G W.� z ••J'} - J.C- 1 afi; ';`.r..'"-� r f k� Z 3 4 y": t at a.,m Saiy, yM k s 5 �Y,,•'aL- i ty 470-x . #0. , }.G, V- �.: Z- .Payment- xperiences_" _°a i� : 3 v ,,i t '�fa?:eb/;. Account Status� : 3, ti.. t*t'f,�r , ��.s L `'y ` i Trade°Linnes with an haft t the_dateare newly tep0!tea) , ,� ,,,.;;x,,,,, Days Beyond Terms u�r4 ;,,�'?f';,y,. .. Business Date Last Payment Recent High Balance Cur 1-30 31-60 61-90 91+ Comments Category Reported Sale Terms Credit _ CRED CARD 03/2015 01/2010 REVOLVE $0 CHARGE OFF OFFC SUPPL 0212014 08/2005 CREDIT $0 ACCTCLOSEO ` ..... TOP O - Legal,Flhngs 5.44, ,,�r1,..,,..,,,:,,,,,t , ry} Y, � , [ ,j tF 4° F1 r 1 },n 4h �a c't si i. ..,{s +-sk ib3 4 VI. k - p 2.3 t y�'c 't-i' yn A1-4 2i r�rt -t,4['Ct � :6 i� � .I-,F• � .s- i',. ti. �CSy'� � -[r.a r'c+';..,a"..�' q_ - gl �J I r .,r;,�`'i�� tTaXt-rensv �3-t y 74 .in x"1' 'x3tgt it z_:�i i y f ,T x, y� ��YS 'Y`z.`•'x'�'`- L"u <' '+- -S.•.c r�iY4�'r..,�-�.�,+,.ia..!`"^' n.a.y...?::_ri" :+:' = f .F.. •:.Yu�-1:�r.ir : jf=k-av- Y. _..+;.J:� t..2,• G:.?.1]s1s��a .'?,.� ,J4 ...-Sll -.a_ File Date Filing Type Status Amount Filing Number Jurisdiction 04/24/2014 State Tax Lien Filed $1,201 4973192 COLLIER COUNTY CIRCUIT COURT Filed by:STATE OF FLORIDA 01/30/2013 State Tax Lien Filed 51,037 4792762 COLLIER COUNTY CIRCUIT COURT Filed by:STATE OF FLORIDA 10/12/2011 State Tax Lien -` Filed $300 4615441 COLLIER COUNTY CIRCUIT COURT Filed by:STATE OF FLORIDA -•;-5,5.7+ '.'.'_'<tr_.,-,.1"•`��;' TM-77 1:';':17.7441 t,�- t's!:. ..y�,X:::- -. .."_ .'F 1717-+P,ya!"=F yi-i -�r.-�,--e,�l} �.Z 2 �� b ....� 2�. �.s c 7°y �y � o� 1 t - s3 tic ar l t i 'gam..• Gtr r v -, J Sr v 140::,/,.". fi F'� ."3- 4 'c, -�s a:.s'£z xy 7,-Judg etlt,?.a;' .,5,--s- ail:'-.r . r -K r,r 0:1' . tt'A.�nc{ .. s}v:n,.. r i . ∎. .,4:W7;.„..c. YJ3-i_v s,5,:.',.._.. L't ,r:47417.1GZ-V-P,L-,. File Date Plaintiff Status Amount Filing Number Jurisdiction 05/31/2012 TRICIRCLE PAVERS INC Filed 56,744 12CC001727 LEE COUNTY CIRCUIT COURT Premier Profile-FL HARDSCAPES&PAVER MAINTENANCE,INC 4/5 • TOP 0 Addltranal Bustttess ct {did -r. k ,+ f y.... '�'"'3'7'r:y" "''" ?'"ik"/�8� '`k�,�., "�' �"1�kf ''• THE FOLLOWING INFORMATION WAS PROVIDED BY THE STATE OF FLORIDA. THE DATA IS CURRENT AS OF 03/30/2015. State of Origin: FL Date of Incorporation: 02/16/2010 Current Status: Active Business Type: Profit Charter Number: P100000141 Agent: DIEHL MIKEL G Agent Address: 4530 15TH AVE SW NAPLES,FL TOP 0 Co orat�Ltnkag y�t> a�ts� cl TrYr✓ 1 _ , Sr ai ° a a _• 5 J �s-� r 1 t r.� rt ; - r 2'g.? +'-' .3 yr ,s�,+'? s b.f`I `'Y •J Y .~`t yak." tr -' }, Business Name. F Location ^Y� i 4Wf �< c r� °B .5 The inquired upon business, FL HARDSCAPES&PAVER MAINTENANCE, INC,is the Ultimate Parent FL HARDSCAPES&PAVER MAINTENANCE, INC 4530 15TH AVE SW-NAPLES,FL 739533422 Branches of the inquired upon business: FLORIDA HARDSCAPES&PAVER MAINTENANCE,INC 6261 W ATLANTIC BLVD STE 107-MARGATE,FL 740138389 FLORIDA HARDSCAPES&PAVER MAINTENANCE,INC 6300 JANES LN STE 4-NAPLES,FL 988606526 FLORIDA HARDSCAPES&PAVER MAINTENANCE,INC 6421 EGRET TER-COCONUT CREEK,FL 993088625 TOP 0 Experian prides itself on the depth and accuracy of the data maintained on our databases. Reporting your customer's payment behavior to Experian will further strengthen and enhance the power of the information available for making sound credit decisions. Give credit where credit is due. Call 1-800-520-1221, option#4 for more information. End of report 1 of 1 report The information herein is furnished in confidence for your exclusive use for legitimate business purposes and shall not be reproduced.Neither Experian information Solutions,inc..nor their sources or distributors warrant such information nor shall they be liable for your use or reliance upon it. ©Experian 2015.All rights reserved.privacy policy. Experian and the Experian marks herein are service marks or registered trademarks of Experian. Premier Profile-FL HARDSCAPES&PAVER MAINTENANCE,INC 5/5 BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD Petitioner, V. Case#2015-03 License# : CAC1817131/C.0#201200002211 Louis Joseph Bruno IV D/B/A—Bruno Air Conditioning of S.W.FL. Respondent. ADMINISTRATIVE COMPLAINT Collier County(County) files the Administrative Complaint against Louis Joseph Bruno IV( Respondent), a State licensed Certified Air Conditioning Contractor( license#CAC1817131), and states the following facts and allegations in support of the cited violations below: 1. The Respondent is currently licensed by the State of Florida as a Certified Air Conditioning Contractor with License number CAC1817131. 2. Under the provisions of Collier County Ordinance 90-105, as amended, Section 22-201.1,the following actions by a holder of a Certified Air Conditioning Contractor's license shall constitute misconduct and grounds for discipline pursuant to Section 22-202. a. On June 11th, 2015 a complaint involving a possible unpermitted A/C installation for the jobsite located at 4180 10th Ave. S.E. Naples, FL. 34117 was investigated by the Collier County Contractors' Licensing Office. b. This investigation revealed that an installation of an A/C unit had been performed by Bruno Air Conditioning of S.W. FL. c. Database research revealed a permit application#PRHV20150618635 to be in "READY FOR ISSUANCE" status with fees owed prior to issuance. d. On June 18th, 2015 a secondary complaint involving a possible unpermitted A/C installation for the jobsite located at 12053 Collier's Reserve Dr. Naples, FL. 34110 was investigated by the Collier County Contractors' Office. e. This investigation revealed that an installation of an A/C unit had also been performed by Bruno Air Conditioning of S.W. FL. f. Database research revealed no submission of a permit application at the time of the installation. g. Further database research revealed four(4) previously recorded incidents addressed by the Collier County Contractors' Licensing Office for commencing work without a building permit in issuance by Bruno Air Conditioning of S.W.FL. h. Thereafter, pursuant to Collier County Ordinance 90-105, as amended,Section 22-202 (b) and Section 22-202 (c),the complaint was investigated and found sufficient cause to file formal charges. 3. Collier County brings the following charge in this formal complaint against the Respondent. COUNT I 4. Collier County Ordinance#90-105, as amended, Section 22-201.1(2) states "Willfully violating the applicable building codes or laws of the State, City, or Collier County ". WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under Section 22-201 of Collier County Ordinance 90-105, as amended, and WHEREFORE, in consideration of the foregoing,the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violations charged. Dated:June 29th, 2015 Signed: Collier Count Contractors' Licensing Supervisor or Designee SUMMARY On June 11th, 2015, the Collier County Contractors' Licensing Office received a complaint investigated by myself regarding a possible unpermitted A/C installation performed at 4180 10th Ave. S.E., Naples, FL. 34117 by Bruno Air Conditioning of S.W.FL./CAC1817131. Database research revealed permit #PRHV20150618635 to be in "READY FOR ISSUANCE" status. A site visit was made to the jobsite where a newly installed A/C unit was observed, and a meeting was held with the property owner, Steven Gafford, who provided a hardcopy of his contract with Bruno Air Conditioning and verbally verified that the installation had been done by them. On June 18th, 2015 a second complaint was received involving another unpermitted A/C installation by Bruno Air Conditioning for the jobsite located at 12053 Collier's Reserve Dr. Naples, FL. 34110. Database research for this jobsite revealed no permit application submittal. On June 19th, 2015 a site visit was made to this location where a newly installed A/C unit was again observed. I was unable to make contact with the property owner, James Leader at the time of the site visit, and a business card was left at his front door requesting phone call. On June 22nd, 2015, I had not yet been contacted by Mr. Leader and called Bruno Air Conditioning for a copy of their installation contract for this jobsite which was e- mailed to me by their office. A database check made at the end of the business day on June 22nd revealed that permit #PRHV2015061956501 had been applied for and issued for this installation that same day. On June 23rd, 2015 a meeting was held with Contractors' Licensing Supervisor, Michael Ossorio, who was advised of these incidents as well as four (4) previously recorded violations, cases : #CEMIS20130005242, #CECV20130006837, #CEMIS20140010972, and #CEMIS20140016166, where Bruno Air Conditioning had been discovered working without a required building permit in issuance status. A directive was given by Supervisor Ossorio to prepare a case for a Contractors' Licensing Board hearing for having violated Collier County Ordinance #90-105, as amended, Section #22- 201.1(2) which reads, "Willfully violating the applicable building codes or laws of the State, City, or Collier County." Several attempts to contact the qualifier, Louis Bruno, were made with messages left with his office staff to contact me. After receiving no return contact from him, a notice to appear at this hearing was sent via U.S.P.S. Certified Mail #7007 2560 0001 1485 6619 to the address of record for Bruno Air Conditioning of S.W. FL. At the time of this case preparation on June 29th, 2015, verification was made with the Collier County Permitting Department that permit #PRHV20150618635 for the jobsite located at 4180 10th Ave. S.E. remained in "READY FOR ISSUANCE" status. C.L.B. Case #2015 — 03 Louis Joseph Bruno IV D/B/A — Bruno Air Conditioning of S.W. FL. Table of Contents E1/E3 — Formal Complaint. E4 — D.B.P.R. State Licensing Information. E5 — Collier County Certificate Detail Report. E6 — Notice of Hearing sent via U.S.P.S. Certified Mail. E7 — U.S.P.S. Return Receipt received upon delivery. E8/E10 — Contract for A/C installation performed at 4180 10th Ave. S.E. Naples, FL. 34117. E11 — Permit Application #PRHV20150618635 for 4180 10th Ave. S.E. in "READY FOR ISSUANCE" status as of June 29th, 2015. E12/E13 — Photos of completed A/C installation at 4180 10th Ave. S.E. taken on June 16th, 2015. E14/E15 — Contract for A/C installation performed at 12053 Collier's Reserve Dr. Naples, FL. 34110. Table of Contents (continued) E16 — Permit #PRHV201506195601 for 12053 Collier's Reserve Dr. applied for and issued on June 22nd, 2015. E17/E18 — Photos of completed A/C installation at 12053 Collier's Reserve Dr. taken on June 19th, 2015. E19/E20 — Case Detail Report outlining unpermitted A/C installations at 4180 10th Ave. S.E. Naples, FL. 34117 and 12053 Collier's Reserve Dr. Naples, FL. 34110. E21/E22 — Case Detail Report outlining previously addressed violation for an unpermitted A/C installation by Bruno Air Conditioning of S.W. FL. dated April, 2013. E23/E24 — Case Detail Report outlining previously addressed violation for an unpermitted A/C installation by Bruno Air Conditioning of S.W. FL. dated May, 2013. E25/E26 — Case Detail Report outlining previously addressed violation for an unpermitted A/C installation by Bruno Air Conditioning of S.W. FL. dated June, 2014. E27/E29 — Case Detail Report outlining previously addressed violation for an unpermitted A/C installation by Bruno Air Conditioning of S.W. FL. dated August, 2014. Table of Contents (continued) E30 — 2010 Florida Building Code Section 105.1 outlining permitting requirements. E31 — Collier County Ordinance #90-105, as amended, Section 22-201.1(2) outlining the violation of : "Willfully violating the applicable building codes or laws of the State, City, or Collier County." Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, Fl. 34104 Complaint Number-2015 -03 Complainant: Any person who believes that a Contractor holding a State Certification or Certificate of competency has violated Collier County Ordinance 90-105, as amended, may submit a sworn complaint to the Contractor Licensing supervisor, or his/her designee.The complaint shall be in substantially the form prescribed by the Contractor Licensing Supervisor. The complainant shall pay a fee of$50.00 to defray the costs of administering the complaint, at the time of filing the complaint.The complaining party shall state with particularity which section(s) of this Ordinance he or she believes has been violated by the contractor and the essential facts in support thereof. Complaint: Please print or type and return signed copies of the complaint. Date:June 29th, 2015 Against: Contractor's Name: Louis Joseph Bruno IV Phone: (239)592-7866 Business Name: Bruno Air Conditioning of S.W.FL. License Number if known:#CAC1817131 Collier County Competency number:#201200002211 Contractor's Business Address: 28731 South Cargo Ct. Bonita Springs, FL.34135 Filed By: Name: Collier County Contractors' Licensing Office Address: 2800 N. Horseshoe Dr. Naples, FL. 34104 Business Phone: (239) 252-2431 Address(s)where work done: 4180 10th Ave. S.E./ 12053 Collier's Reserve Dr. City: Naples, FL. County: Collier Date of contract:4180 10th Ave. S.E.—6/10/15, 12035 Collier's Reserve Dr.—6/17/15 Date job(s) started: Prior to permit issuances for both jobsites. Date job completed or new home occupied: Unknown. Were there plans and specifications? : Yes. Is there a written contract? :Yes. If yes, amount of Contract :4180 10th Ave.S.E./$10,460.00 12053 Collier's reserve Dr./$6.000.00 Has Contractor been paid in full ? :Unknown. If not,what amount? Was a Building Permit obtained?4180 10th Ave.S.E./No 12053 Collier's Reserve Dr./Yes, after completed installation. Building Permit number if known:4180 10th Ave.S.E.—#PRHV20150618635 (READY FOR ISSUANCE) 12053 Collier's Reserve Dr. -#PRHV2015061956501 Have you communicated by letter with the licensee ? : Yes. Date:June 23`d, 2015. Do you have a reply? : Yes. Please attach to this form all copies of the purchase agreement(s), building contract(s), home improvement contract(s), copies of receipts and/or cancelled checks available and any additional evidence to substantiate your allegations. List ant subsections of Division 3 of Collier County Ordinance #90-105, as amended,which, in your opinion, have been violated by the contractor which is the subject of this complaint, (list subsection number) : Collier County Ordinance#90-105, as amended, section 22-201.1(2)states : "Willfully violating the applicable building codes or laws of the State, City, or Collier County." Please state the facts which you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above : In,June of 2015, Bruno Air Conditioning of S.W. FL. installed A/C units at two (2) separate jobsites located at 4180 10th Ave. S.E. Naples, FL. 34117 and 12053 Collier's Reserve Dr. Naples, FL. 34110 without a building permit in issuance. Database research reveals four(4) previously addressed incidents of Bruno Air Conditioning of S.W. FL. installing A/C units without a permit in issuance.A review of all information by the Contractor's Licensing Office concluded that these repeated incidents of commencing work without a building permit in issuance were committed in a willful manner. ( Complainan ' ign.ture) IP ."- .r."*.''.....°? State of: Flor ea County of: Co her Sworn to (or affirmed) and subscribed before me this 29th day of June, 2015, By Collier County License Compliance Officer, Rob Ganguli (signature of person making statement). '-?,,e //4,, �, , (signature of Notary Public) Print, type or stamp commissioned name of Notary Public: A/au"ed,-7 E. C/eme/S Personally known,/ or produced identification —2 4rh+rr�,. KAREN E.CLEMENTS ,m :+: MY COMMISSION#EE 882321 :7.7 T:..��.g, EXPIRES:March 27,2017. 1'thr, Bonded mm Notary Public Undenuriters E-3 DBPR-BRUNO, LOUIS JOSEPH IV; Doing Business As: BRUNO AIR CONDITIONI... Page 1 of 1 3:27:35 PM 6/222015 Licensee Details Licensee Information Name: BRUNO, LOUIS JOSEPH IV (Primary Name) BRUNO AIR CONDITIONING OF SWFL (DBA Name) Main Address: 28731 S CARGO CT BONITA SPRINGS Florida 34135 County: LEE License Mailing: LicenseLocation: License Information License Type: Certified Air Conditioning Contractor Rank: Cell Air License Number: CAC1817131 Status: Current,Active Licensure Date: 05/21/2012 Expires: 08/31/2016 Special Qualifications Qualification Effective Class A 05/21/2012 Construction Business 05/21/2012 Alternate Names View Related License Information View License Complaint 1940 North Monroe Street.Tallahassee FL 32399 :: Email: Customer Contact Center:: Customer Contact Center: 850.487.1395 The State of Florida is an AA/EEO employer.Copyright 2007-2010 State of Florida.Privacy Statement Under Florida law,email addresses are public records.If you do not want your email address released in response to a public-records request,do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395V.*Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have one.The emails provided may be used for official communication with the licensee. However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public.Please see our Chapter 455 page to determine if you are affected by this change. https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=ECB2C3D3EBBAEFO7F... 6/22/2015 L} License Application Status - CityView Portal Page 1 of 2 GMD Public Portal License Application Status — License Application Summary Application Number: LCC20120004891 Business Name: LOUIS BRUNO,LLC(DBA)BRUNO AIR CONDITIONING OF SWFL License Type: Contractor Application Status: Active Description of Business: See Issuance notes Mailing Address: 27831 SOUTH CARGO COURT BONITA SPRINGS FL 34104 Locations: — Issuances Type Date Issued Date Expires Status Number ELECTRICAL CONTR.-CERTIFIED 12/29/2014 08/31/2016 Active 201400002431 A/C CLASS A-CERTIFIED 1 09/02/2014 08/31/2016 Active 201200002211 - Reviews There are no reviews for this license application. — Insurance Producer Type Policy Effective Date Expiry Date Limit Gulfshore Insurance General Liability CPP2094842 11/21/2014 11/21/2015 $2,000,000.00 Naples Expiration Processed: No Producer Phone Number: 954-731-5566V AON RISK SERVICES, Worker's WC 034123292 07/01/2014 07/01/2016 INC.OF FLORIDA Compensation FL Expiration Processed: No Producer Phone Number: 954-731-5566V http://cvportal.colliergov.net/City ViewWeb/License/Status?licenseld=132160 6/26/2015 Collier County Growth Management Division / Planning and Regulation Operations Department/ Licensing Section Hand Delivery Certified Mail#7007 2560 0001 1485 6619 Date: June 23`d, 2015 Louis Joseph Bruno IV d/b/a—Bruno Air Conditioning of S.W. FL./CAC 1817131 28731 S. Cargo Ct. Bonita Springs, FL. 34135 RE: Complaint filed against you by the Collier County Contractors' Licensing Office. Dear : Louis Joseph Bruno IV A complaint has been filed against you by the above referenced individual. A hearing of this complaint will be held by the Contractors' Licensing Board on Wednesday July 156 , 2015 at 9:00 AM in the Board of County Commissioner's Room, Third Floor,Administration Building (W. Harmon Turner Bldg.), at 3301 East Tamiami Trail,Naples,Florida. Your presence before the Contractors' Licensing Board is required at this time. The packet you will receive marked composite exhibit"A"will be delivered to the members of the Contractors' Licensing Board one_week prior to the hearing. If you wish to prepare a defense packet and have it delivered in conjunction with composite exhibit"A",you must make fifteen copies and have them in our office by 8:00 AM on Wednesday, one week prior to the hearing. In your packet,you may give a summary of events.At this meeting,you may present evidence and be represented by an attorney of your choice. In the event the Contractors' Licensing Board fords you in violation of Section#22-201.1(2)of Ordinance #90-105, as amended, the range of disciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate issuance(N/A), and/or suspension or revocation of your permit privileges against your state license#CAC 1817131. Sincerely, Rob Ganguli Licensing Compliance Officer Collier County Contractors' Licensing (239)252-2914 • U.S. Postal Service,. CERTIFIED MAILTM RECEIPT Er (Domestic Mail Only;No Insurance Coverage Provided) "a • For delivery information visit our website at www.usps.como a: i 1 A Q °' 111- yya . :•re' 4.: ' Postage $ rR Certified Fee Postmark Return Receipt Fee Here (Endorsement Required) O Restricted Delivery Fee p (Endorsement Required) ..D til Total Postage&Fees ftJ Sent To im Threat,Apt.No.; r_ or PO Box No. X 59_2,l 5 C.D1/412-6=, City, -f3•— t C r+e 124 � CL_ • 3 (-;c› ...' � S , � PS Form 3800.August 2006 See Reverse for Instructions • SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■'Complete items 1,2,and 3.Also comp) to .A..Si'n„Jr- item 4 if Restricted Delivery is desired. / , Agent • Print your name and address on the reverse L' r A Addressee y so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery • Attach this card to the.back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No c-- o ‘C Or- SeV-)vCS FL__, 3. Service Type PJ Certified Mall ❑Express Mail ❑Registered ❑Return Receipt for Merchandise Lt ' 3S ❑Insured Mail CI C.O.D. 4. Restricted Delivery'?(Extra Fee) ❑Yes 2.. 7007 2560 0001 1485 6619 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 • BRUNO AfA7:7-'1 fO f Invoice Bruno Air Conditioning of SWFL 06/10/15 28731 South Cargo Court#5 Page 1 Bonita Springs, FL 34135 (239)592-7866 Fax: (239)333-0853 CAC 1817131 Steve' Grafford Steve' Grafford 4180 10th Avenue SE 4180 10th Avenue SE Naples, Fl 34117 Naples, Fl 34117 Call Slip Number Invoice Date Invoice Number 119283 06/10/2015 S116790 Tech Date FELIX 06/10/2015 Brand Model serial # felix paperwork Brand: Trane Stages: Variable C/U: XV18 A/H: Tam8 Heater: Electric Parts Warranty: 10 Years Labor Warranty: 10 Years Maintenance: 3 Years Install : - New 4 ton / 18 SEER high efficiency single stage condensing unit - new drain overflow protection switch - new secondary emergency drain pan - seal supply and return plenums - hurricane straps for outdoor unit - install new copper line-set. - new WIFI Color Touch Screen digital thermostat with humidity control - upgrade breakers to proper size for new equipment as needed - includes permits, removal and disposal of old equipment, indoor/outdoor surge protection, (2) uv system sterilizers, corrosion inhibitor, all labor & all materials. - Add (1) 14" Return from Dinning Room area straight back to unit. - Installer to call Felix during install so we can calculate supply air. - Includes Trane Clean Effects. (advised customer that if he is not •. 100% satisfied with trane clean effects within 6 months we will return and remove clean effects and install a regular 5" Pleated sRC�vo lTI Invoice AAA CONOO O i Bruno Air Conditioning of SWFL 06/10/15 28731 South Cargo Court#5 Page 2 Bonita Springs, FL 34135 (239)592-7866 Fax: (239)333-0853 CAC 1817131 Steve' Grafford Steve' Grafford 4180 10th Avenue SE 4180 10th Avenue SE Naples, FI 34117 Naples, FI 34117 Call Slip Number Invoice Date Invoice Number 119283 06/10/2015 S116790 (Mery 8) filter in its place and refund him $400. - Installation crew to bring out portable cooling tower to keep a section of home comfortable for the pets. - Estimated time frame for job completion is 1 full day for unit. We may have to return to install new supply grills. - Payment of $10,000 is do upon comp etion of unit installation. Additional $460 for high velocity gr Its do upon completion of the grills. Qty Description Unit Price Amount (1) System Quote 0.00 0.00 (1) Stage 1 Biocide System Sterilizer 0.00 0.00 (1) Stage 2 Biocide System Sterilizer 450.00 450.00 (1) Hurricane straps 0.00 0.00 (1) Digital Programmable Thermostat 0.00 0.00 (1) Solder Low Voltage Lines with System 0.00 0.00 Install (1) Clear Drain Lines - Chemically Clean 1 0.00 0.00 Year Warranty (1 visit) (1) Ceiling Saver (Primary & Secondary) 0.00 0.00 (1) Full System Dehydration (300 Microns or 0.00 0.00 less) (1) Nitrogen Braze/Pressure Test 0.00 0.00 (1) New Lineset (up to 50 feet) 0.00 0.00 (1) Surge Protection Outside 0.00 0.00 (1) Surge Protection Inside 0.00 0.00 (1) Corrosion Inhibitor 0.00 0.00 (1) FPL Rebate 18 -402.00 -402.00 (1) Add 14" - 16" Return with cut in grill 0.00 0.00 You saved $402.00 as a maintenance customer! -C‘ BR Ant CON MCONN6 Invoice Bruno Air Conditioning of SWFL 06/10/15 28731 South Cargo Court#5 Page 3 Bonita Springs, FL 34135 (239)592-7866 Fax: (239)333-0853 CAC 1817131 Steve' Grafford Steve' Grafford 4180 10th Avenue SE 4180 10th Avenue SE Naples, Fl 34117 Naples, Fl 34117 Call Slip Number Invoice Date Invoice Number 119283 06/10/2015 S116790 Description Amount Premium HE System 10435.00 MANUFACTURER REBATE -1100.00 Coupon Or Discount -446.00 DUCT MODIFICATIONS 425.00 Permit Fees 0.00 AS AGREED UPON 725.00 Coupon Or Discount -87.00 AS AGREED UPON 460.00 Terms:$30 charge for returned check. Bruno Air Conditioning is not -sponsible for water damage. Payment in full is due at completion. I have authority to order work outlined above which has been satisfact rily completed. I agree that Seller retains title to equipment/materials furnished until final payment is ma.-. If payment is not made as agreed, Seller can remove said equipmenVmaterials at Seller's expense and/o impose a 2%liquidation fee on the entire amount contained in Seller/Buyer transaction. Any damage resulting •m said removal shall not be the responsibility of Seller. Final amount due reflects all manufacturer,ve dor,and FP&L Rebates.Industry rebates are taken off the price of the unit and mailed to the dealer.By executin•this agreement I am acknowledging that I have read and agree to the terms and conditions printed above sign. re.Once invoice is accepted purchaser is accepting any and all production costs not limited to 5%restock fee, nicipality or state permit fees,and deposits to service providers. LIMITED WARRANTY: All material,parts and equipment are warrant=d by the manufacturers'or suppliers'written warranty only. All labor performed by Bruno Air Conditioning is w. - ed for 30 days or as otherwise indicated in writing. Bruno Air Conditioning makes no other warranties,express•r implied,and its agents or technicians are not authorized to make any such warranties on behalf of Bruno Air Conditioning. Thanks for being a part of the Bruno Air family! As Agreed: 48.00 Misc: 10412.00 Authorized Signature Grand Total: 10460.00 Permitting Activities 8 Permitting Activities • Application Information R Application Number PRHV201.50518635 Description L Type I<Property Alert .411005220009 Property Type Mechanical _ ._�:.. .. .. .. . _.�..:._ ._ T) 4180 10th AVE SE Address i fStatus Ready for Issuance �. Inspector View Master Project Add a new person or business to Address Book Show Permits on this Application of Activity Tracking µ @•s f.�` -e.d. x�, T#J�`'.'. `+�S a—rti ? .i Show Me Al l e...ra ma t and Inws pe.nuctiosn ActLr vwt re s o.YM� aerate Email d Go'Link) Activity A.', AssrgnedTo Priority I, Date Required I Outcome I Date Complete - 303 -A/C Change Out Normal Pending All Fees Verified Vito Congine Normal Complete 06/12/2015 FEMA Review Vito Congine Normal 06/15/2015 Not Applicable 06/12/2015 .. Final Review 1 Day Review Ti Vito Congine Normal 06/15/2015 Complete 06/12/2015 _ Generate Application Fees Vito Congine Normal 07/02/2015 Complete 06/12/2015 Generate Default Reviews and Vito Congine Normal 06/12/2015 Complete 06/12/2015 Generate Permit Fees Vito Congine Normal 06/15/2015 Complete 06/12/2015 Mechanical and Gas Review Vito Congine Normal 06/15/2015 Approved 06/12/2015 Verify Permit ready to Issue Normal Pending Monday,Jun 29,2015 09:22 AM .— I it ffi #.. -•b? -)±�Nt,. a , err �. t- rw4k ri d �), ; T j rt (� 4�ry} �. 'fit T t ,r..•_'7 'S j2 ,v-f r. 1. i . ir. �- . t 1 .. I � (/////i//i/ii/!IiiiIii!/!1!i!i/I1HI1I1!iIi i!H 1 1. (ilIliII1I(/1lJi/I!II!iIi!iIIIii i Iu H_______ 1 . 1 1111 . : ,.,' 11111111.IIIIIII1 111!11II111II11(III11I1II 11111111 IIIIIIIIIIIII f' y Ic '� � : 1; trttnir11 IIIHIIIUUIIUUI u HUl u u INNUHIHIN III 1 t 11-;',� ' "-, , � I I •f I HIUIIH flU IHIHU (11111111 -: .--,,, 1 I I ,/,T. ; o imi,, _ -,,,, " µ . l� I- J P��� ( 1 .a . L=� 4. 1 n� ,, k.1i _ - p�- wu ►t. �ff r .'') ' '7'27/7/4/7/ 4//iiiiii,"///////////ilii ///////// / / /,7////////////////////II/IIIIII 0//////////111/1 I I I I 1 I 41,g I :;: < Ir C ) %\\\\\\\\\\\\\\\\\\IIIII I l l I k� \\M\\\\\\\\\\\E 1 -;-.;- \ %\\\\\\\\\\\\.\\\\.\\ \ \ 11 \\\\\\\\\\\\.\ i 46„ Nook\-\,‘,\-\\\\:\\\\*\\ Nom*. rk_\k.ziilk.k)\-\\:\.\\ ■ 1 AWN Invoice Bruno Air Conditioning of SWFL 06/17/15 28731 South Cargo Court#5 Page 1 Bonita Springs, FL 34135 (239)592-7866 Fax:(239)333-0853 CAC1817131 James Leader James Leader 12053 Colliers Reserve Drive 12053 Colliers Reserve Drive Naples, Fl 34110 Naples, Fl 34110 Call Slip Number Invoice Date Invoice Number 119300 06/17/2015 S117196 Tech Date CRISTOBAL 06/17/2015 Brand Model Serial # INSPKT 2 TON Bruno Air Conditioning of SWFL to install 2.5 ton comfort high efficiency system. Installation will include, flush and pressure test copper lineset, properly sized breakers, seal plenums, installation of primary and/or secondary ceiling saver overflow protection, high wind hurricane strapping protection, new digital thermostat, and seal liquid fittings. Install beyond county and state codes. 6/17/15 2.5 Ton Deluxe Trane System Honeywell 8000 5" Media - Extra Replacement Filter Ceiling Saver Power cord- Cu Secondary Drain Pan Surge Protection- CU Hurricane Straps Qty Description Unit Price Amount (1) Semi-Annual PTU 0.00 0.00 (1) Replaced motor 470.00 470.00 (1) FPL Rebate 16 -171.00 -171.00 APLIM Invoice Bruno Air Conditioning of SWFL 06/17/15 28731 South Cargo Court#5 Page 2 Bonita Springs, FL 34135 (239)592-7866 Fax: (239)333-0853 CAC1817131 James Leader James Leader 12053 Colliers Reserve Drive 12053 Colliers Reserve Drive Naples, Fl 34110 Naples, Fl 34110 Call Slip Number Invoice Date Invoice Number 119300 06/17/2015 S117196 You saved $181.00 as a maintenance customer! Description Amount Maintenance Agr 0.00 Coupon Or Discount -470.00 Deluxe HE System 6171.00 Terms:$30 charge for returned check. Bruno Air Conditioning is not responsible for water damage. Payment in full is due at completion. Maintenance Agreements are non refundable but are transferrable.I have authority to order work outlined above which has been satisfactorily completed. I agree that Seller retains title to equipment/materials furnished until final payment is made. If payment Is not made as agreed,Seller can remove said equipment/materials at Seller's expense and/or impose a 2%liquidation fee on the entire amount contained in Seller/Buyer transaction. Any damage resulting from said removal shall not be the responsibility of Seller. Final amount due reflects all manufacturer,vendor,and FP&L Rebates.Industry rebates are taken off the price of the unit and mailed to the dealer.By executing this agreement I am acknowledging that I have read and agree to the terms and conditions printed above signature.Once Invoice is accepted purchaser Is accepting any and all production costs not limited to 5%restock fee,municipality or state permit fees,and deposits to service providers. LIMITED WARRANTY: All material,parts and equipment are warranted by the manufacturers'or suppliers'written warranty only. All labor performed by Bruno Air Conditioning is warranted for 30 days or as otherwise indicated in writing. Bruno Air Conditioning makes no other warranties,express or implied,and its agents or technicians are not authorized to make any such warranties on behalf of Bruno Air Conditioning. Thanks for being a part of the Bruno Air family! As Agreed: 299.00 Misc: 5701.00 06/17/2015 02:26PM 1/0) � Grand Total: 6000.00 �/e tom' / Received: 6000.00 Authorized Signature CC#4910 Auth:10236P$6000.00 Balance Due: 0.00 6 - IS COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS PERMIT PERMIT#: PRHV2015061956501 PERMIT TYPE: HV ISSUED: BY: APPLIED DATE: 06-22-15 APPROVAL DATE:06-22-15 MASTER#: COA: JOB ADDRESS: 12053 Colliers Reserve DR JOB DESCRIPTION: A/C REPLACEMENT OF 2.5 TON. JOB PHONE: 12053 COLLIERS RESERVE DR SUBDIVISION#: BLOCK: LOT: FLOOD MAP: ZONE: ELEVATION: FOLIO#: 27185004043 SECTION-TOWNSHIP-RANGE:22-48-25 OWNER INFORMATION: CONTRACTOR INFORMATION: LEADER TR,JAMES J&LYNN D LYNN D LOUIS BRUNO,LLC(DBA)BRUNO AIR LEADER REV TRUST UTD 11/24/99 CONDITIONING OF SWFL 12053 COLLIERS RESERVE DR 27831 SOUTH CARGO COURT NAPLES ,FL 34110- BONITA SPRINGS,FL 34104- CERTIFICATE#::Lcc2o120004s91 PHONE: FCC CODE: CONSTRUCTION CODE: 0207 JOB VALUE: $6,000.00 TOTAL RES SOFT: 0.00 TOTAL COMM SQFT: 0.00 SETBACKS FRONT: REAR: LEFT: RIGHT: SEWER: WATER: CONTACT NAME: CONTACT PHONE: Per Collier County Ordinance No.2002-01,as it may be amended,all work must comply with all applicable laws,codes,ordinances,and any additional stipulations or conditions of this permit.This permit expires if work authorized by the permit is not commenced within six(6)months from the date of issuance of the permit.Additional fees for failing to obtain permits prior to the commencement of construction may be imposed.Permittee(s)further understands that any contractor that may be employed must be a licensed contractor and that the structure must not be used or occupied until a Certificate of Occupancy is issued. NOTICE:PRIOR TO THE REMOVAL OF ASBESTOS PRODUCTS OR THE DEMOLITION OF A STRUCTURE,FEDERAL AND STATE LAWS REQUIRE THE PERMITTEE(EITHER THE OWNER OR CONTRACTOR)TO SUBMIT A NOTICE OF THE INTENDED WORK TO THE STATE DEPARTMENT OF ENVIRONMENTAL PROTECTION(DEP).FOR MORE INFORMATION,CONTACT DEP AT(239)344-5600. In addition to the conditions of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. rte —. , • -- . 101b..-1 -41111111.11.111111111111‘. ' ,--------- -.` e\\N 's, , : —' '..,.,,,. \\ . ,II III 1, :,,,,,,,,,,,4i, , 1,...;4;",. :,..e....i.„,:,.;,..:1.tri,;.„,.,,,,,.;...;:,....r,.e,:r,,•.....,pf.:,N,44.:,;,;,... , s;).,i i. 1. ,,..,-.,i,i• -1....: -',a c: kfr IAA ,,,..7---, \ , , . ,ff.,/ j'l ''1'.1 :,1 1 :r"-(1.'' '\ \\ ''''1 1!s c' :,t,r�44 !.4: /// t i lrirll,��, r t + r 1', \ ' i li 1 1, IIII ,.l, • (,, • __:‘,4/., ]-1: .,•∎!•� :Lill (,Its - i, r ����li _ j. 2 � �I•�Jr� � }��.� t I ., 1 ' - .$1.'' 1.."--Ny PA,' .; .7.,,,)4 1,.,• '. ,. ,! ji . i ,i /, 1 — .,S,..i :,-.7',,,;. '0: !!'firc▪ .1,--' `...-,--t ‘14%%IP'ii —----— --s..:\ .'. ' .g°g, ij' • -.:.;.,... . . . • kt Itili , JA 11‘1114 1 , ‘, ' 1 --. jig/III // Illk‘VI , k'. ''. - ' / \ \ , ' 1 it . Ai \\, t _ ,- ./i/ 7'iN tr . fJ / l ,arr ,!t jJ ` ` ,4, Y1 (T1'' i 1j 1 4t�i �1 1 `'▪,t'�� '` • tip rf 'i S f ;t .C ► r- 1�,.', *.0 C t .[ fry.• ` ,A •••:, !i-i. ' •'' � of•r �- d, / r ' ' f I , ' 1 I i 8 1 iii 1 ., , it f A i N N s + 0 ` Z M n. • / ..1123... ..4,....t. 1 ik \ , r ` .f-- t„:4, -,, ., p„:4%%\... _ \\‘. cergov.net Report Title: Code Case Details Date: 6/26/2015 7:00:55 AM Case Number: cemis20150012151 Case Number: CEMIS20150012151 Status: Refer to CLB Case Type: Misconduct Date&Time Entered: 6/16/2015 9:21:59 AM Priority: Normal Entered By: RobinGanguli Inspector: robinganguli Case Disposition: Case Pending Jurisdiction: Contractor's Licensing Origin: Complaint Detail Description: Complaint received regarding possible unpermitted A/C installation(s). Location Comments: 4180 10th Ave. S.E. Naples, FL. 34117 12053 Colliers Reserve Dr. Naples, FL. 34110 Address 12053 Colliers Reserve DR Property 27185004043 Contractor LOUIS BRUNO, LLC (DBA) BRUNO AIR CONDITIONING OF SWFL Property Owner GAFFORD, STEVEN A& ROBIN C Property Owner LEADER TR,JAMES J & LYNN D LYNN D LEADER REV TRUST UTD 11/24/99 Business Management& Budget Office 1 Code Case Details Execution Date 6/26/2015 7:00:55 AM Desc Assigned Required Completed Outcome Comments Preliminary Investigation robinganguli 6/11/2015 6/16/2015 Needs 6/11/15. Complaint regarding possible Investigatio unpermitted A/C installation at 4180 10th Ave. n S.E.Naples, FL.34117. On site no activity observed. Database research reveals permit #PRHV20150618635 in READY FOR ISSUANCE status.Will make subsequent site visits for activity per M.G.O. Cont. Investigation RobinGanguli 6/15/2015 6/16/2015 Complete 6/15/15. On site no activity observed. Business card left for property owner, Steven Gafford, requesting a call for information on status of installation. Cont. Investigation RobinGanguli 6/16/2015 6/17/2015 Complete 6/16/15. On site met with property owner, Steven Gafford,who advised A/C installation had been completed by Bruno Air Conditioning of S.W.FL./CAC1817131. Photos taken of installation and copies of contract for work obtained.Verified with permitting technician,Theresa Potter,that permit #PRHV20150618635 still in READY FOR ISSUANCE status since 6/12/15.A.T.F.fees applied. Database research reveals several recorded incidents of unpermitted A/C installations and working outside the scope of licensure by Bruno Air Conditioning.Awaiting directives from M.G.O. Cont. Investigation RobinGanguli 6/18/2015 6/23/2015 Complete 6/18/15.Secondary complaint regarding unpermitted NC installation by Bruno Air Conditioning of S.W. FL. received for jobsite located at 12053 Collier's Reserve Dr. Naples, FL.34110. Database research reveals no permit in issuance. Cont. Investigation RobinGanguli 6/19/2015 6/23/2015 Complete 6/19/15. On site observed what appears to be a newly installed A/C condenser with Bruno Air Conditioning decals adhered. Photos taken.Still no permit issued in database. Cont. Investigation RobinGanguli 6/22/2015 6/23/2015 Complete 6/22/15. Contacted Bruno Air Conditioning office requesting copy of installation contract with property owner of 12053 Collier's Reserve Dr.,James Leader. Contract for work e-mailed to me by office. Database research at the end of the business day reveals permit #PRHV2015061956501 applied for and issued. Investigation robinganguli 6/23/2015 6/26/2015 Refer to 6/23/15. Database research reveals two(2) CLB previous cases(#CEMIS20130005242& #CECV20130006837)against Bruno Air Conditioning of S.W.FL.for A/C installations without a building permit in issuance. Directives received from M.G.O.to prepare a case for CL.B. hearing for contractor having committed a willful building code violation. Schedule for CLB michaelossori 6/26/2015 Pending 0 Business Management& Budget Office 2 — ?-O • C ergov.net Report Title: Code Case Details Date: 6/23/2015 7:02:36 AM Case Number: cemis20130005242 Case Number: CEMIS20130005242 Status: Closed Case Type: Misconduct Date &Time Entered: 4/11/2013 9:34:45 AM Priority: Normal Entered By: RobinGanguli Inspector: robinganguli Case Disposition: Abated by Contractor Jurisdiction: Contractor's Licensing Origin: Complaint Detail Description: Complaint regarding unpermitted A/C installation by Bruno Air Conditioning of SWFL/CAC1817131 Location Comments: 6840 Beach Resort Dr.#2714 Naples, FL. 34114 Property 32420009882 Contractor LOUIS BRUNO, LLC (DBA) BRUNO AIR CONDITIONING OF SWFL Business Management& Budget Office 1 . Code Case Details Execution Date 6/23/2015 7:02:36 AM Desc Assigned Required Completed Outcome Comments Preliminary Investigation robinganguli 4/11/2013 4/11/2013 Needs 4/11/13. Complaint regarding unpermitted A/C lnvestigatio installation by Bruno Air Conditioning of n SWFL/CAC1817131 at 6840 Beach Resort Dr.#2714 Naples, FL. 34114.Contract obtained for work. No permits on file. Contacted qualifier Louis Bruno to advise of violation.A.T.F.fees applied. Meeting scheduled for signing of Notice of Noncompliance. Cont. Investigation RobinGanguli 4/19/2013 4/19/2013 Complete 4/19/13. Meeting with qualifier Louis Bruno for signing of Notice of Noncompliance.Advised him that case would be closed out upon permit issuance. Cont. Investigation RobinGanguli 5/10/2013 5/10/2013 Complete 5/10/13. Permit#PRHV20130511111 rejected. Called qualifier Louis Bruno who advised he submitted the incorrect load calculation and was rectifying the issue prior to resubmittal. Investigation robinganguli 5/21/2013 5/21/2013 Settled 5/17/13. Permit#PRHV20130511111 now in ISSUE status.Violation abated by contractor. Enter Settlement Details robinganguli 5/21/2013 5/21/2013 Complete Generate Closure Documentation robinganguli 5/21/2013 5/21/2013 Complete Violation Description Status Entered Corrected Amount Comments 4.2 Misconduct State Certified Open 4/11/2013 $0 Contractors Title Reason I Result I Compliance I Fine/Day I Condition Business Management& Budget Office 2 • Cligergov.net Report Title: Code Case Details Date: 6/23/2015 7:01:05 AM Case Number: cecv20130006837 Case Number: CECV20130006837 Status: Closed Case Type: Code Violation Date &Time Entered: 5/10/2013 2:36:42 PM Priority: Normal Entered By: clements_k Inspector: clements_k Case Disposition: Abated by Contractor Jurisdiction: Contractor's Licensing Origin: Complaint Detail Description: A/C unit installed no building permit.Work done by Bruno Location Comments: 71 Glades Blvd. Unit 2 Property 35242720003 Complainant ANONYMOUS PLEASE Contractor: Mechanical Bruno Air Conditioning Business Management& Budget Office 1 . Code Case Details Execution Date 6/23/2015 7:01:05 AM Desc Assigned Required Completed Outcome Comments Preliminary Investigation clements_k 5/10/2013 5/21/2013 Needs 5/10/13-Complaint-a/c unit installed, no Investigatio permit. Spoke to Homeowner Bernice n Harmyk,she said Bruno Air Conditioning installed the unit, (Louis Bruno). Did not pull permit,was not inspected. Needs to get permit.ATF FEES. Called Bruno Air, needs to come in and sign cease&desist. Cont. Investigation clements_k 5/21/2013 5/21/2013 Complete 5/21/13-closing case, permit ready to be picked up. PRHV20130511623 Enter Settlement Details clements_k 5/21/2013 5/21/2013 Complete 5/21/13-PRHV20130511623 ready for pick up. Generate Closure Documentation clements_k 5/21/2013 5/21/2013 Complete Investigation clements_k 5/21/2013 5/21/2013 Settled Bruno air need to pull permit for a/c unit this is a three unit building,this is the middle unit. Violation Description Status Entered Corrected Amount Comments Commencing Work Without A Permit Open 5/10/2013 $0 Title Reason I Result Compliance I Fine/Day Condition Business Management&Budget Office 2 c ergov.net Report Title: Code Case Details Date: 6/30/2015 3:23:04 PM Case Number: cemis20140010972 Case Number: CEMIS20140010972 Status: Closed Case Type: Misconduct Date&Time Entered: 6/2/2014 3:13:58 PM Priority: Normal Entered By: lanJackson Inspector: lanJackson Case Disposition: Abated by Contractor Jurisdiction: City of Naples Origin: Building Department Detail Description: Case referral from City of Naples Building Dept., unpermitted AC change out at 297 8th Ave S unit B Location Comments: 297 8th Ave S B/folio 8280000437 Property 8280000437 Contractor BRUNO IV, LOUIS J. Business Management& Budget Office 1 . Code Case Details Execution Date 6/30/2015 3:23:04 PM Desc Assigned Required Completed Outcome Comments Preliminary Investigation lanJackson 6/2/2014 6/2/2014 Needs 5/30/14. Case referral from City of Naples Investigatio Building Dept., unpermitted AC install at 297 n 8th Ave S unit B. Found that Bruno Air Conditioning had installed ac system installed 5/30/14. Per City of Naples,no permit issued as of 6/2/14.Advised qualifier, Louis Bruno (281-5443)of permitting violation.Advised City and Bruno of 2x fees.Will issue Notice of Noncompliance and close case when permit issued. Cont. Investigation lanJackson 6/6/2014 6/6/2014 Complete 6/6/14. Permit has been issued.Will issue Notice of Noncompliance. Cont. Investigation lanJackson 6/10/2014 6/10/2014 Complete 6/10/14. Meeting scheduled for issuance of Notice of Noncompliance.Bruno unable to attend.Will reschedule. Investigation lanJackson 6/12/2014 6/13/2014 Settled 6/12/14. Permit issued. NON in case. Enter Settlement Details lanJackson 6/13/2014 6/13/2014 Complete Generate Closure Documentation lanJackson 6/13/2014 6/13/2014 Complete Violation Description Status Entered Corrected Amount Comments 4.2 Misconduct State Certified Open 6/2/2014 $0 Contractors Title Reason I Result I Compliance Fine/Day I Condition Business Management&Budget Office 2 C ergovmet Report Title: Code Case Details Date: 6/30/2015 3:23:37 PM Case Number: cemis20140016166 Case Number: CEMIS20140016166 Status: Closed Case Type: Misconduct Date &Time Entered: 8/15/2014 9:42:09 AM Priority: Normal Entered By: lanJackson Inspector: lanJackson Case Disposition: Abated by Contractor Jurisdiction: City of Naples Origin: Building Department Detail Description: Case referral from City of Naples Building Dept., unpermitted A install at 250 7th Ave S#103 Location Comments: 250 7th Ave S#103/folio 14800120008 Property 14800120008 ContractoriBRUNO IV, LOUIS J. Business Management&Budget Office 1 Code Case Details Execution Date 6/30/2015 3:23:37 PM Desc Assigned Required Completed Outcome Comments Preliminary Investigation lanJackson 8/11/2014 8/15/2014 Needs 8/11/14. Case referral from City of Naples Investigatio Building Dept., unpermitted AC install at 250 n 7th Ave S#103 by Bruno Air. Found no permit issued for AC install.At location, met w/ employee of Bruno Air, Casey,who was in process if installation. 8/12/14. No permit issued. 8/13/14. No permit issued. Installation will not meet requirement of emergency repair due to permit not being applied for business day after installation.Advised City of Naples that 2x fees may be applied. Spoke w/homeowner who verified that Bruno Air was contracted for install. Will review contractor history to determine course of action in this case. 8/15/14-9:50 am. Left message with"Laurie" at Bruno Air, asking that qualifier, Louis Bruno (592-7866/281-5443), contact me.Advised Laurie that violation had been established at location,250 7th Ave S#103. 8/18/14. No contact from contractor. Left message at 281-5443,which appears to be a direct number for qualifier. No return call.4:25 pm, message left for Contractor with"Laurie" at Bruno Air. 8/19/14. No permit applied for. have not had contact from contractor, Louis Bruno. Reviewed case with Ossorio. Determined that, due to previous violations,this case will be scheduled for CLB with charge of willful building code violation. 8/19/14. Spoke with homeowner,Anthony Hagan 615-684-3466,who will provide invoice for installation by Bruno Air. Cont. Investigation lanJackson 8/22/2014 8/22/2014 Complete 8/22/14. Have had no return call from Contractor. Per City of Naples, No permit applied for. Homeowner authorized entry into condo to review invoicing documents.While in condo,was on telephone w/condo owner, Frankie Hagan.Ms. Hagan asked if condo unit was cooling.Advised her that thermostat was set at 75 degrees,cooling,fan on auto and temperature was 85 degrees in condo unit. Photographed invoices and downloaded into case. Cont. Investigation lanJackson 8/25/2014 8/26/2014 Complete 8/25/14. Notice of Hearing mailed Certified Mail Return Receipt. Business Management& Budget Office 2 E-—2-45 Code Case Details Execution Date 6/30/2015 3:23:37 PM Desc Assigned Required Completed Outcome Comments Cont. Investigation lanJackson 8/26/2014 8/27/2014 Complete 8/26/14. Received call from contractor. Found that contractor's permitting agent had told him there was a case pending with County. Made arrangement to meet on 8/27/14 to discuss case. Investigation lanJackson 9/8/2014 9/8/2014 Settled 9/8/14. Per M. Ossorio. No CLB Hearing. Notice of Noncompliance issued. Permit is issued. Enter Settlement Details lanJackson 9/8/2014 9/8/2014 Complete Generate Closure Documentation lanJackson 9/8/2014 9/8/2014 Complete Violation Description Status Entered Corrected Amount Comments 4.2 Misconduct State Certified Open 8/15/2014 $0 Contractors Title I Reason I Result Compliance I Fine/Day I Condition Business Management& Budget Office 3 • SECTION 105 PERMITS Page 1 of 7 105 SECTION 105 PERMITS 105.1 Required. Any owner or authorized agent who intends to construct, enlarge, alter, repair, move, demolish, or change the occupancy of a building or structure, or to erect, install, enlarge, alter, repair, remove, convert or replace any electrical, gas, mechanical or plumbing system, the installation of which is regulated by this code, or to cause any such work to be done, shall first make application to the building official and obtain the required permit. 105.1.1 Annual facility permit. In lieu of an individual permit for each alteration to an existing electrical, gas, mechanical, plumbing or interior nonstructural office system(s), the building official is authorized to issue an annual permit for any occupancy to facilitate routine or emergency service, repair, refurbishing, minor renovations of service systems or manufacturing equipment installations/relocations. The building official shall be notified of major changes and shall retain the right to make inspections at the facility site as deemed necessary. An annual facility permit shall be assessed with an annual fee and shall be valid for one year from date of issuance. A separate permit shall be obtained for each facility and for each construction trade, as applicable. The permit application shall contain a general description of the parameters of work intended to be performed during the year. 105.1.2 Annual permit records. The person to whom an annual permit is issued shall keep a detailed record of alterations made under such annual permit. The building official shall have access to such records at all times or such records shall be filed with the building official as designated. 105.1.3 Food permit. As per Section 500.12, Florida Statutes, a food permit from the Department of Agriculture and Consumer Services is required of any person who operates a food establishment or retail store. 105.2 Work exempt from permit. Exemptions from permit requirements of this code shall not be deemed to grant authorization for any work to be done in any manner in violation of the provisions of this code. Permits shall not be required for the following: Gas: 1. Portable heating appliance. 2. Replacement of any minor part that does not alter approval of equipment or make such equipment unsafe. Mechanical: 1. Portable heating appliance. 2. Portable ventilation equipment. http://ecodes.iccsafe.org/icce/gateway.dll/Florida%20Custom/Build2004_FL/3/8?f—templat... 9/5/2008 �'3D ARTICLE V. BUILDING TRADES* Page 30 of 36 Sec. 22-201.1 Misconduct--State certified contractors. The following actions by state certified contractors shall constitute misconduct and grounds for discipline pursuant to section 22-202 of this article. (1) Failing or refusing to provide proof of public liability and property damage insurance coverage and workers compensation insurance coverage as required by .Florida Statutes. (2) Willfully violating the applicable building codes or laws of the state, city or Collier County. (3) If the CLB finds through its public hearing process that the contractor was found by another county or municipality within the past 12 months, to have committed fraud or a willful building code violation and the CLB finds that such fraud or other willful violation would have been fraud or a willful violation if committed in Collier County or within the respective city. (4) Fraud. (Ord. No. 94-34, § 4; Ord. No. 99-45, § 4.2-4.2.3, 6-8-99; Ord. No. 06-46, § 1(4.1.8.2)) Sec. 22-202. Disciplinary proceedings, including minor violations. (a) There are three categories of violations: (i) violations of subsection 489.127(1), F.S.; (ii) violations of subsection 489.132(1), F.S.; and (iii) other violations within the jurisdiction of the contractor's licensing board. (1) Subsection 489.127(1), F.S., is incorporated herein. (Lack of required license, certificate, or registration). The following are designated to enforce subsection 487.127 (1), ' ES.: Collier County Building Official, all license compliance officers, the chief building inspector, chief electrical inspector, chief plumbing/mechanical inspector, and/or other inspectors authorized from time-to-time by the building official. Procedures specified in this section shall apply except to the extent, if any, that Section 489.127 or Section 489.132, may require different procedure(s). The penalties for each uncontested violation of subsection 489:127(1) and/or 489.132(1), F.S., are $300.00 for the first uncontested violation and $500.00 for each subsequent uncontested violation by the same individual or entity. Penalties for contested violations of subsection 489.127(1), F.S., are as now or hereafter specifed in Section 489.127, F.S. Penalties for contested violations of subsection 489.132(1), F.S., .a're as now or hereafter specified in Section 489.132, F.S. The citation form attached hereto as Exhibit "A" is approved, which form may be amended from time-to-time by resolution of the board of county commissioners. (2) Minor violations: The contractor licensing supervisor or designee shall issue a "notice of noncompliance" as the county's first response to a minor violation of any provision of any regulatory law, including this section, when (i) it is reasonable for staff to assume that the violator, at the time Of violation, was not aware of the provision that was violated or it can be assumed that it was not clear to the violator howto.comply with the violated provision; and (ii) that violation has not then resulted in economic. harm or physical harm to any person; and (iii) the violation has neither adversely affected the public health, safety, or welfare, nor created any significant threat of any such adverse affect. The notice of noncompliance should identify the specific provision that was violated, should provide information on how to comply with that provision and should specify a reasonably time for full compliance. The notice of noncompliance shall not be accompanied with any immediate threat of any monetary fine or any other disciplinary penalty, but may specify that failure of the violator to correct the violation within the time specified in the notice for compliance may result in disciplinary proceedings. Each ' —fit