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CLB Agenda 01/22/2025COLLIER COUNTY Contractors Licensing Board Board of County Commissioners AGENDA Board of County Commission Chambers Collier County Government Center 3299 Tamiami Trail East, 3rd Floor Naples, FL 34112 January 22, 2025 9:00 AM Todd Allen, Chair Kyle E. Lantz, Vice -Chair Stephen M. Jaron Matthew Nolton Robert P. Meister, III Richard E. Joslin, Jr. Jennifer Cassidy Terry Jerulle NOTICE: All persons wishing to speak on Agenda items must register prior to presentation of the Agenda item to be addressed. All registered speakers will receive up to three (3) minutes unless the time is adjusted by the chairman. Any person who decides to appeal a decision of this Board will need a record of the proceeding pertaining thereto, and therefore may need to ensure that a verbatim record of the proceedings is made, which record includes the testimony and evidence upon which the appeal is to be based. If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, the provision of certain assistance. Please contact the Collier County Facilities Management Division located at 3335 East Tamiami Trail, Suite 1, Naples, Florida, 34112-5356, (239) 252-8380; assisted listening devices for the hearing impaired are available in the Facilities Management Division. 1. Roll Call 2. Additions or Deletions 3. Approval of Agenda 4. Approval of Minutes 4.A. December 18, 2024 (2025-213) 5. Public Comments Page 1 of 339 6. Discussion 6.A. New Contractor Licensing Investigator Anthony Simmons (2025-214) 7. Reports 7.A. 2024 End of Year Report (2025-243) 8. New Business 8.A. Order of the Board —I (2025-232) 8.B. Amended Board Order (2025-234) 8.C. James Fierro_J&T Prestige Painting LLC_Review of Experience. (2025-212) 8.1). Enoch Lopez—E.N. Artisan Painting Inc_Review of Experience. (2025-215) 8.E. Randy Prueitt_ Prueitt Construction, LLC_Review of experience and credit. (2025-216) 8.17. Paul Gearing_Second Entity_Floor Covering_Mercatto Stone Group Inc. (2025-219) 8.G. Raybert Hernandez Ortiz _Second Entity_General Contractor Registered_A Plus Construction of SW FL LLC (2025-233) 9. Old Business 9.A. Duane Thomas Duane Thomas Marine Construction LLC Probation Review (2025-220) 10. Public Hearings 11. Next Meeting Date I I.A. February 19, 2025 (2025-221) Page 2 of 339 COLLIER COUNTY CONTRACTORS LICENSING BOARD DEC. 18, 2024 - 9:00 a.m. Board of County Commission Chambers Collier County Government Center 3299 Tamiami Trail East, V Floor, Naples, FL 34112 Stephen M. Jaron, Chair Terry Jerulle, Vice -Chair Matthew Nolton Robert P. Meister, III (absent) Richard E. Joslin, Jr. Kyle E. Lantz Todd Allen Jennifer Cassidy OTHERS PRESENT Patrick Neale, Attorney for Contractors Licensing Board Ryan Cathay, Code Enforcement Ronald Tomasko, Attorney for Collier County Timothy Crotts, Collier County Code Enforcement Division of CLB Michael Bogert, Collier County Licensing Investigator Doug Sposito, Deputy Building Inspector Fred Clum, Chief Building Inspector Cary Goggin, Attorney for Maharai Dacosta Any person who decides to appeal a decision of the Tourist Development Council 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 the testimony and evidence upon which the appeal is to be based, Neither Collier County nor the Tourist Development Council shall be responsible for providing this record. 1. ROLL CALL Timothy Crotts, Collier County Code Enforcement, Div. of Contractor Licensing I would like to introduce Jennifer Cassidy. She has been appointed by the City of Naples and confirmed by the Collier County Board of County Commissioners as the representative consumer for the City of Naples. Welcome Ms. Cassidy to the Board. 2. ADDITIONS OR DELETIONS Timothy Crotts Staff is going to remove item 8C under new business. The applicant was able to get the required credit score so that will be removed. 3. APPROVAL OF AGENDA Kyle Lantz made the motion to approve the Agenda as modified Page 3 of 339 Terry Jerrule seconded Motion passed 7-0 4. APPROVAL OF MINUTES A. OCT. 16, 2024 Matthew Nolton made the motion to approve the Minutes Todd Allen seconded Motion passed 7-0 5. PUBLIC COMMENTS Timothy Crotts No Public Comments but we will have a public comment under item 9 Old Business. 6. DISCUSSION A. Rescind emergency certificate of competency order Timothy Crotts The Board approved the issuance of a proclamation for the issuance of emergency certificate of competencies. That was good for a period of 6 months or until the State of Emergency was rescinded by the County or that the Licensing Supervisor felt that it was no longer needed. As of this date, the County has rescinded its order. We issued no new license. With the severity of Hurricane Milton at the time, there was not a need to issue new license. So, I would ask that a motion be made to rescind the Emergency order from October 16th. Chairman Jaron So, moved Terry Jerrule made the motion to rescind Todd Allen seconded Motion passed 7-0 B. Election of Chairman and Vice Chairman for FY 2025 Timothy Crotts These positions will take effect at the January meeting. I ask the Board for a nomination for Chairman for fiscal year 2025. Terry Jerrule made the motion to nominate Todd Allen Matthew Nolton seconded Motion passed 7-0 Matthew Nolton motioned to nominate Terry Jerrule as Vice Chair Kyle Lantz seconded Motion failed 3-aye, 4-nay Chairman Jaron motioned to nominate Kyle Lantz as Vice Chair Todd Allen seconded Motion passed 6-1 with Matthew Nolton against C. Introduction of Michael Bogert —Code Enforcement Supervisor (Contractor Licensing) Timothy Crotts I would like to introduce Michael Bogert who has been promoted to Code Enforcement Supervisor and will be overseeing Contractor Licensing. Page 4 of 339 Michael Bogert I was a licensing investigator for the past 7 years. I did learn from the best, so, if it isn't broke don't fix it. Timothy Crotts Michael will be taking over my duties starting January, but I will be around to assist and answer any questions that the Board may have. 7. REPORTS None 8. NEW BUSINESS A. Reinaldo Diaz, 3D Construction Group LLC., Review of Experience Reinaldo Diaz is sworn in. Timothy Crotts • Mr. Diaz has submitted an application for the issuance of a license as a general contractor which requires 48 months experience. As part of the application process for the issuance of the general contractor's license, Mr. Diaz was required to submit documentation showing his experience. As part of the review process by staff, Mr. Diaz submitted the following verification of experience documents. • A review of these documents showed the following under the company DMI, which is a State Certified general contractor, Dan Malinowski, President. Date of employment as a 1099 for Mr. Diaz was from June 16 to December 2017 and it actually issued out to about 18 months. Mr. Diaz scope of work was that of a residential remodeling, some underground work, Supervisor of other employees. No experience on building condos or structures over three stories. • The next was Valentine Glass and Metal, which is a State Certified general contractor. Greg Valentine is the manager. Dates of employment from 2009 to 2014 as a full-time employee. The scope of the work was condo renovations, some remodeling of buildings over three stories and some iron work. Mr. Diaz was also a crew leader. The last one was Raytheon General Contractors, a local licensed general contractor. Rayba Hernandez was the license holder. Date of employment listed was from 2021 to June of 2023. The scope of the work listed was that as a supervisor of projects and ordering materials for jobs. However, staff was unsuccessful in verifying this information after several attempts were made to contact the license holder. • Based on the information received, it is staff's opinion that Mr. Diaz does not meet the minimum requirements as set forth in Ordinance 2006-46 as it relates to the experience as required in the Trade under section 1.6.1.1 as it relates to general contracting. • Because Mr. Diaz does not meet the requirements under Ordinance 200646 for experience, Mr. Diaz is being referred to the Board under section 2.5.2, Referral the applicant to the contractor's Licensing board for decision and Mr. Diaz is here to answer your questions. Reinaldo Diaz I got here in 2005 and since then, I've been working construction. My name will not come up in one of those big projects because I never have the right certification for. But I've been working for different companies, groundwork all the way to remodel. So pretty much I'm the head of the company now, not the owner, but I'm running the company to get the project done in the right way. And if you look at it, it's been almost like 20 years. And that's what I've been doing all the time. Page 5 of 339 On 2009, 1 take the chance to do my own house here. A Hurricane passed through and my home is still in there. So, means I didn't do that bad when I did it. And like I said, I've been working on constructions since 2005. 1 can reprint blueprints, I can run crews, I can order materials without issue. And that's how I've been doing for 20 years. So that's the experience I got. I got almost 20 years' experience with work, just construction. I never do a high rise. Yes, I never because I never had the right qualifications, and I don't have the money either. But I'm pretty sure with the right qualification and the right people, they can help me out. I'm able to do it whatever I can. So that's what I think. I'm capable to have a GC license and with no issue and I'll be able to do whatever I can the right way. Chairman Jaron you understand this license is an A license. Reinaldo Diaz Yes, I do. And it allows you to do, you know, anything, high rise work, commercial work. I've been doing it for other people. So that's the way I take the decision to do it. Why I can do it for other people, and I can do it by myself. And that's why I step on and do all the past, you know, test and I pass all the tests be because that's what I want. Why I can go working for other people when I know the knowledge. I know how to do the work. Why I keep going for work for other people when I can do it by myself. So that's what I decide, apply for and do all the tests and take time to do it. Richard Joslin Are you really interested, Mr. Diaz, in doing commercial work or construction of high rise? Reinaldo Diaz Whatever comes, high rise, houses. Anything comes, you know, from the ground up. Richard Joslin How much experience have you had with doing pilings and grade beams. Reinaldo Diaz I know a little bit about it. I can do the diggings and all the stuff. I can do the blueprints and I'm not into pilings, but I can. Kyle Lantz So, you haven't done much high-rise work or commercial. Reinaldo Diaz The Chase bank before up front to the right down on Fifth Street. We did in the house. We did in Aqua. We. BCB Homes, specifically. I help people to lay out rebars, do all the stuff and pour cements and that's how I've been doing all my life. Terry Jerrule Do you know the difference between post tension and Epicor? Reinaldo Diaz No. I know a little bit about it, and I know how they lay out all that. Terry Jerrule Do you know the difference between a driven pile and an agar cast pile? Reinaldo Diaz No. Chairman Jaron Mr. Crotts, staff will show that. That the applicant is withdrawing his application at this time. And what we will do is have another conversation with Mr. Diaz to make sure he fully understands what he needs to bring forward to the Board. Page 6 of 339 B. Glen Montgomery, Premier Landscape and Pool Design, LLC (DBA) Affordable Handyman Services, Review of Experience Timothy Crotts • Mr. Montgomery has submitted an application for the issuance of a license as an aluminum contractor which requires 24 months experience. As part of the application process for the issuance of an aluminum contractor license, Mr. Montgomery was required to submit documentation showing his experience. As part of the review process by staff, Mr. Montgomery has submitted the following verification of construction documents. • A review of these documents shows the Gulf Coast Aluminum which is a State Certified specialty contractor for aluminum. • James, who was in sales, verified dates of employment from a 1099 were from May 20, 2023, to June 2023. One month. Mr. Montgomery scope of work was some repairs, no new builds. • Concepts by 26 degrees. Randy Phillips, President. This is a non -licensed company. Date of employment was as a 1099 for March 2023 to April 2023. One month scope of the work performed as an unlicensed contractor was resizing a door, replacing screens and reconfiguration of a superstructural screen cage. • Affordable Handyman. Michael Varney, President. Date of employment was April 2021 to April 2022, one year. Mr. Montgomery was a W2 employee. Scope of the work was shutter repair and installs, screen cage repair and installs and carport repairs and installs. • Based upon the information received, it is staff's opinion that Mr. Montgomery does not meet the minimum requirements as set forth in Ordinance 2646 as it relates to experience and time required in the trade under section 1.66, 3.1 as it relates to an aluminum contractor. Because Mr. Montgomery does not meet the requirements under Ordinance 2006-46 for experience and time and grade, Mr. Montgomery is being referred to the Board under section 2.5.2. Referral to the application to the contractor's licensing rule for decision. And Mr. Montgomery is here to answer your questions. Glen Montgomery • I purchased a Company, Affordable Handyman, from Michael Varney three years ago. He was in business in Collier for 26 years. I worked for him for a Year. He actually worked for me for an additional year after that as my employee, I worked under his license. 80% of what we do is screen work. • We do 18, 14, 20, 20 Pfeiffer, Florida Glass screening, no see `um screening. We'll change tap cons and lanais, repainting of lanais. We don't get involved in anything structural. • Everything structural that we've been doing, we've referred to Gulf coast aluminum. And I come from a background in the landscape field. I currently have a landscape license here in Collier County. I've been in the trade since 1987. Moved down here to Florida nine years ago and purchased a company from Michael working under his license. • Mr. Varney retired and moved to North Florida. Doug Sposito, Deputy Chief Building Official is sworn in Mr. Bogert checked and Affordable Handyman has cancelled their license. Glen Montgomery I didn't realize that Mr. Varney cancelled the license. Doug Sposito You will need to get your business tax to do rescreening and that can be done today. Timothy Crotts Do you want to withdraw your application at this time? Glen Montgomery Page 7 of 339 Yes. Timothy Crotts I would recommend that after we have a conversation with you and Mr. Varney, Mr. Bogert and will explain to you what you really need to do in order to get this license to move forward. If you do get the aluminum license, it does allow you to do screen cages, pool cages and carports, and you need the experience to be able to build those. D. Ramon Garcia, Universal Painting of Naples Not present E. Paul Gearing Timothy Crotts • Mr. Gearing has submitted a second entity application for the trade of flooring contractor under the name of Mercado Stone Group Incorporated with a fictitious name of Mercado Stone. • Mr. Gearing currently holds a valid flooring contractor license from Collier County, which was issued in 2009 under the name of Gearing Hanger Carpet Incorporated. DBA of Gearing Floors. A review of the current license in Collier county shows that the license has no complaints against it. There have been no issues with reissuing and the company does hold the required insurances as required by ordinance and there are no credit issues. • Mr. Gearing is submitting the second entity application to qualify the company identified as Mercado Stone Group Incorporated. The fictitious name Mercado Stone for the aforementioned trade. There is no local license currently associated with this company at this time. A review of the division of corporations Sunbiz documents shows that Mr. Gearing is not listed as an officer of McArl Stone Group. Officers listed are Miranda Chicago, president of Shakira Miranda, Ann Conley and vice president of Miranda Dan. • As secretary, a resolution of authorization has been submitted listing Mr. Garrison as a partner of Mercado Stone. Mr. Gearing is here today to answer your questions regarding this second entity application. Paul Gearing I am currently licensed in Collier County, and I'd like to qualify the Cottage Stone Group until they can successfully get their own license. I've known the Miranda family for almost 20 years and worked with them on tile projects, but I have no arrangement with them. Patrick Neale If we were looking at it from the State using 49 to look at this in State rules is that in order for someone to be a qualifier, as the Board certainly knows, they have to own either 20% of the company or be paid on a W2. Other than that, they really would be very, very hard for them to show that they have the authority to act as a qualifier because the State does look at what we do because we're under their rules. If they were able to have a financially responsible officer, which we don't have that provision in our ordinance. If you had a financially responsible officer, then they wouldn't need check writing privileges, but they'd still have to be a W2 employee, 20% owner. Kyle Lantz If he were to become an officer of the corporation and then have a letter signed by the owner, I would suggest that he would be adequate to show that he has authorityto act for the company in all matters related to contracting. Timothy Crotts Staff will work with Mr. Gearing, making sure he gets the right documentation. Page 8 of 339 9. OLD BUSINESS A. Nova Homes of South Florida Inc., Maharai Dacosta, CEMIS20240004396 PUBLIC COMMENT Monica Gato is sworn in and allowed 3 minutes plus 3 minutes for Mr. Gato. We hired Horizon to x-ray where the footing should be and submitted it to the County. I don't trust any of the crews that Frank Arcia sends to my house. Doug Sposito We opened the plan permit back up and asked for revisions so that the as built conditions would match the submitted plans. We issued the revision; it was approved and now they're in the inspection process. The work being covered requires affidavits of inspections by a registered or licensed engineer, architect. The first round of submissions of those documents were rejected and we're waiting for revised affidavits of inspections. Kerry Goggin on behalf of Nova Homes and Ms. DaCosta. We have the revised documents and as discussed with the County just prior to this hearing, are not able to submit them due to the engineer not any longer allowing his permission to do so. I would like to present to the Board a letter from Gene Wainscott that was received as of this morning which is indicating that they will no longer be involved with this project due to owner contact. We are requesting an extension of 60 days to obtain a replacement engineer, which is Cronin. Timothy Crotts • I'm just trying to think of the homeowner wanting to get this done and where that we have an engineer, Cronin, who is already responsible and knows what the work was done. They've entered into a contract with this engineer. I think this helps expedite. • If there is corrective work that will not be done in 30 days and if they cannot get it done within 30 days, they could come back and ask for an additional 30 days if need be. • But I think there has to be a flame held underneath the feet of the contractor to get this done. • 1 would like to bring them back every 30 days until this is done. I mean we have to sort of supervise this until it's fixed. • So, the recommendation from staff would be to give them a 30-day extension. They have 30 days from today's date to finish and CO the permit with this property, their license will remain under suspension. If they fail to do this within 30 days their permit pulling privileges will be revoked and the Board would order that the findings after the 30 days be sent to DBPR with a request for action against their license. And before the 30 days is up, they will have the opportunity to submit for additional time in front of the Board which means they would have to reappear. Todd Allen motioned to accept the recommendation Terry Jerrule seconded Motion passed 7-0 10. Chairman Jaron 10-minute break 11. PUBLIC HEARINGS A. SF Sutter, Builder, LLC, Stephen Francis Sutter, CEMIS202400007501 Page 9 of 339 Mr. Sutter was sworn in Michael Bogert Matthew Nolton motioned to accept the packet Richard Joslin seconded Motion passed 7-0 Michael Bogert Stephen Sutter issued a fraudulent CO. Stephen Sutter An employee, Erik Motley, was given entrance to my portal and he fraudulently issued a CO which I in turn gave to the homeowner. He has been terminated. I admit guilt, although unknowingly. Todd Allen motioned to adopt the admission of guilt Matthew Nolton seconded Motion passed 7-0 Richard Joslin motioned to open the public hearing Matthew Nolton seconded Motion passed 7-0 Timothy Crotts The County does have a recommendation is that we give the respondent 30 days to get the property CO'd. That would also give him time to make sure that the gas permit gets extended and gets inspected. Failure to do it with within 30 days would result in an automatic suspension of his permit pulling privileges and silage until such time that the CO is issued. Todd Allen motioned to adopt the recommendation Richard Joslin seconded Motion passed 7-0 Chairman Jaron Upon consideration of all testimony received under oath, evidence received, and arguments presented by the parties during the public hearing, the Board issues the following findings and conclusions. Service of the Administrative Complaint and notice was legally and sufficiently provided and in compliance with the applicable law. The Respondent is the holder of the license as set forth in the Administrative Complaint. Respondent was present at the hearing and was not represented by Council. The Board has jurisdiction over the respondent and subject matter raised in the Administrative Complaint. The Respondent committed the violations that set forth in count. Are there two counts? Is that correct or singular? Just one count. As set forth in count one of the Administration Administrative Complaint. Therefore, by a vote of seven in favor and zero opposed, the Respondent is found guilty of the violations as set forth in count one in the Administrative Complaint. And the Board imposes the following sanctions against the respondent. You'll have 30 days to CO the property. The gas permit must be completed. A failure to complete within 30 days that your permit pulling privileges will be suspended until such time the CO is issued. Page 10 of 339 B. Barak Bauer is sworn in Todd Allen motioned to open the public hearing Terry Jerrule seconded Motion passed 7-0 Greg St. Jean, Kaya County Contract Licensing Investigator A copy of the hearing preamble was given and read by the respondent. He has initialed and dated the copy. Matthew Nolton motioned to accept the preamble into evidence. Todd Allen seconded Motion passed 7-0 Greg St. Jean • The respondent, Barrett Bauer, a state licensed mold remediator, license number MRSR2028, is the owner of Advanced Restoration and Mold Remediation. Mr. Bauer contracted for, received payment and performed exterior renovations at Fort 4616 and 4648 Golden Gate Parkway. That included demolition of windows, reinstalling windows, removal of vinyl siding and reinstalling Hardie board with PVC trim and rebuilding each window box of the windows he removed and installed. • A search of the Collier County City View licensing database in the State of Florida licenses Licensing database yielded no license for any scope of work. Mr. Bauer is in violation of Florida Statute 48912 7.1 and the Collier County Code of Laws and Ordinances, Section 22 181, Section A, which states in pertinent part that it is unlawful for any person, firm, partnership, corporation or other legal entity to engage in any construction contracting business, advertise or represent himself or business organization as available to engage in any construction contracting businesses. • Mr. Bauer is also is in violation of Collier County Code of Laws and ordinances section 22.181, section B, subsection 1, which states in pertinent pot that no billing permit shall be issued for the construction or alteration or repair of any structure unless the applicant for the permit possesses a currently a current county or city certificate of competency, an applicable State certified license or is exempt from the operation of this article. Barak Bauer I do the mold remediation as was stated, and I work for Structure One, which is the building contractor that we did the work under. We pull permits were Structure One. I am employed as a W2 employee as well as all the people that worked on the exterior under Structure One and we thought we were doing the right thing. Todd Allen So, you knew that as the checks came in that you were contracting without a license, right? Barak Bauer Well, no, I knew that I was putting that into the Structure One work, and I didn't know that that could not be done that way. Todd Allen Page 11 of 339 It didn't occur to you that, hey, they're writing checks to my Company, and I'm not licensed to do that. You should be writing it to Structure One? That didn't occur to you. But you just deposited the checks and then, and then did everything still through Structure One? Barak Bauer I took care of all the, the payroll, everything with that money. Todd Allen Is there anyone from Structure One here? Charles Kunstler is sworn in Terry Jerrule Did you pull permits for this project? Charles Kunstler I did not pull the permits, and I do not remember signing the notarized contract. I was in Oregon and remember speaking to Mr. Bauer and he sent me a copy of the notary for the permit. It kind of looks like my signature but I don't remember because it's been a longtime ago. I don't remember signing it. Todd Allen motioned to uphold the citations Terry Jerrule seconded Motion passed 7-0 Todd Allen motioned to close the public hearing Kyle Lantz seconded Motion passed 7-0 11. NEXT MEETING DATE Wednesday, January 22, 2025 There being no further business for the good of The County, the Contractors' Licensing Board meeting was adjourned at 11:28 a.m. /jCOLLIER COUNTY CO ACTORS' LICENSING BOARD Chairman Stephen Jaron The Minutes were approved by Chairman Stephen Jaron as presented Page 12 of 339 or amended Page 13 of 339 Collier County Contractor Licensing Year End Report Page 14 of 339 FM Licenses Approved By Licensing Supervisor and CLB 181 b. Licensing Supervisor ■ CLB 200 Licenses Approved Local Registered and Specialty 190 ❑Local Registered ❑Specialty A/C CLASS A - REGISTERED 2 ALUMINUM 2 CABINET INSTALLATION 17 CARPENTRY 4 CONCRETE FORMING AND PLACING 1 DECORATIVE METAL 1 DEMOLITION OR WRECKING 1 DRYWALL 1 ELECTRICAL - REGISTERED 6 ELECTRICAL JOURNEYMAN 11 EPDXY STONE 1 EXCAVATION 3 FENCE ERECTION 7 FLOOR COVERING 13 GARAGE DOOR INSTALLATION 2 GENERAL CONTRACTOR - REGISTERED 2 GLASS & GLAZING 2 HURRICANE SHUTTER/AWNING 1 IRRIGATION SPRINKLER 10 LANDSCAPING RESTRICTED 18 MARINE SEAWALL & DOCK CONSTRUCTION 2 MASONRY 1 MECHANICAL - REGISTERED 1 PAINTING 22 PAVING 6 PAVING BLOCKS 3 PLASTERING & STUCCO 3 PLUMBING - REGISTERED 1 POND WATERFALL FOUNTAIN 2 RESIDENTIAL CONTRACTOR - REGISTERED 1 ROOF COAT/ROOF PAINT/ROOF CLEAN 2 ROOFING - REGISTERED 1 SEALING AND STRIPING 1 SWIMMING POOL CLEANING ONLY 6 SWIMMING POOL MAINTENANCE & REPAIR - REGISTERED 4 TILE & MARBLE 13 TILE MARBLE & TERRAZZO 1 TREE REMOVAL & TRIMMING 6 Grand Total 181 Page 17 of 339 ALUMINUM W/CONCRETE 1 CABINET INSTALLATION 1 DRYWALL 2 ELECTRICAL - REGISTERED 2 EXCAVATION 1 FLOOR COVERING 3 HURRICANE SHUTTER/AWNING 1 IRRIGATION SPRINKLER 2 LANDSCAPING RESTRICTED 2 MASONRY 1 PAINTING 3 PAVING 1 PAVING BLOCKS 2 SWIMMING POOL CLEANING ONLY 1 TILE & MARBLE 5 Grand Total 28 Page 18 of 339 Local and Registered Licenses Renewed: 1,346 1400 1200 ■ Local Registered ■ Specialty Violations by Case Type Site Development0.13% -----Unlicensed 23.69% -IA Code Violation 394%. Violations by Source Field Observation735% Complaint 68A6%.. _ . ---Fire Department026% Pub Iic Portal 12.7% ',ononymousComplaint0,13% _--Building Department 10.6% Jurisdiction CoIIier County74.03 6 — — - _ - - City of Marco 877% City of Naples 17.1 Paid vs Uncollected Citations by Year $120.000 M .amount Paid Arnount Uncollected $100.000 $80.000 $G0.000 $40.000 $20.000 $0 2024 Year Year Number Of Citations Total Citation Amount Paid Amount Uncollected Issued Value 2024 192 $211,100.00 $116,050.00 $95,050.00 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY BRIGGS, JEREMY D. 10955 Lost Lake Drive #321 Naples, FL 34105 CLB Agenda Date: 1 /22/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12790 CEUL20240003826 on 04/30/24, to BRIGGS, JEREMY D., in the amount of $2,000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. If the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE: CHAIRMAN Todd Allen Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Assistant Director TIMOTHY CROTTS For Contractor Licensing Board * If the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County's next business day following that weekend or holiday. Approved as to form and legal sufficiency Page 24 of 339 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA Petitioner, vs. Case No: CEMIS20240004396 License No. 28576 MAHARAI DACOSTA, d/b/a NOVA HOMES OF SOUTH FLORIDA INC Respondent AMENDED ORDER THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on October 16, 2024, for consideration of the Administrative Complaint filed against MAHARAI DACOSTA, qualifier of record for NOVA HOMES OF SOUTH FLORIDA INC, hereinafter the "Respondent". The Board having at said hearing heard testimony under oath, received evidence, and heard arguments respective 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 Respondent is licensed as a STATE CERTIFIED GENERAL CONTRACTOR Contractor and the qualifier of record for NOVA HOMES OF SOUTH FLORIDA INC. Page 1 of 7 427529.1 1 / 14/2016 Page 25 of 339 2. That the Board of County Commissioners of Collier County, Florida, is the complainant in this matter. 3. That the Board has jurisdiction over the Respondent, the Respondent was present at the public hearing, and Respondent was represented by counsel Cary Goggin. 4. Service of the Complaint and all notices required by the Code of Laws and Ordinances of Collier County, Florida, have been properly issued in accordance with Section 22-201 of the Code of Laws and Ordinances of Collier County, Florida. 5. The evidence presented, testimony given, and on the admission of guilt stated by the Respondent as to count I, established that the Respondent acted in a manner that is in violation of the Code of Laws and Ordinances of Collier County, Florida, as follows: a. Count I - Collier County Code of law and ordinances Section 22-201.1 (2) which dates in pertinent part, that witlfully violating the applicable building codes or laws of the state. city or Collier County shall constihrta misconduct and grounds for discipline 6. That the Contractors' Licensing Supervisor and County staff presented sworn testimony, and the administrative complaint and exhibits thereto were admitted into evidence. The Respondent was afforded an opportunity to present sworn testimony, exhibits, and to cross examine the Contractors' Licensing Supervisor and witnesses. The Board was afforded an opportunity to ask questions of the witnesses. Page 2 of 7 427529.1 1 / 14/2016 Page 26 of 339 7. The allegations of fact as set forth in the Administrative Complaint are true and therefore such facts are hereby found to be supported by competent, substantial evidence presented at the hearing. CONCLUSIONS OF LAW 1. The facts as alleged and set forth in the Administrative Complaint as to Count I were supported by competent and substantial evidence and this evidence provided clear and convincing proof that the Respondent committed the one violation as set forth in the Administrative Complaint. 2. The Respondent violated Code of Laws and Ordinances of Collier County, Florida, Sec 22- 201 in the performance of Respondent's contracting business in Collier County by acting in violation of the sections set out with particularity in the Administrative Compliant. 3. Collier County has jurisdiction over this matter and the Respondent. ORDER OF THE BOARD Based on the foregoing Findings of Fact and Conclusions of Law and pursuant to the authority granted in Chapter 489, Florida Statutes, and the Code of Laws and Ordinances of Collier County, Florida, by a vote of 5 in favor and 1 opposed, a majority vote of the Board members present and voting, the Board finds Respondent guilty of misconduct by a holder of a Collier County Certificate of Competency as to Count I, in violation of Collier County Code of law and ordinances Section 22-201.1 (2) which states Page 3 of 7 427529.1 1 / 14/2016 Page 27 of 339 in pertinent part, that witlfully violating the applicable building codes or laws of the state. city or Collier County shall constitute misconduct and grounds for discipline. Upon motion made and seconded and consideration of the following factors; 1. Gravity of the violation, 2. Impact of the violation, 3. Any actions taken by the violator to correct the violation, 4. Any previous violations committed by the violator, 5. Any other evidence presented at the hearing by the parties relevant as to the sanction that is appropriate for the case given the nature of the offense, by a vote of 6 in favor and 0 opposed, a unanimous vote of the Board members present and voting, the Board hereby imposes the following disciplinary sanction(s) upon the Respondent: 1. As to Count 1, the Respondent shall complete the project and obtain a certificate of occupancy/completion for the property that is the subject of this violation within 60 days. If the project had not obtained a certificate of completion/occupancy within 60 days, the Respondent's permit pulling privileges will be revoked until the project has achieved obtained a certificate of completion/occupancy. If project is delayed, Respondent may petition the board for additional time. The Respondent, any other party, the chairman of the Contractors' Licensing Board, the Contractors' Licensing Board as a body, or the assistant county attorney who tried the case may request a rehearing of any decision of the Contractors' Licensing Board. A request for rehearing shall be in writing and shall be filed with staff and a copy thereof should be delivered to all other parties within twenty (20) days from the date of mailing or other method of delivery to the Respondent(s) of the Board's written decision. Page 4 of 7 427529.1 1 / 14/2016 Page 28 of 339 A request for rehearing must be based only on the grounds that the decision was contrary to the evidence or that the hearing involved an error on a ruling of law that was fundamental to the decision of the Board. The written request for rehearing must specify the precise reasons therefore. The decision of the Board that is the subject of the rehearing request will remain in effect throughout the rehearing procedure unless the Board orders otherwise. The Board will make a determination as to whether or not to rehear the matter and its decision shall be made at a public meeting, which will be reduced to writing and mailed to the interested parties within 21 days after the determination is made. If the Contractors' Licensing Board determines it will grant a rehearing, it may: a. Schedule a hearing where the parties will be given the opportunity of presenting evidence or argument limited by the Board to the specific reasons for which the rehearing was granted; or b. Modify or reverse its prior decision, without receiving further evidence, providing that the change is based on a finding that the prior decision of the Board resulted from a ruling on a question of law that the Board had been informed by its counsel was an erroneous ruling and which ruling could affect the substantive decision. The parties are further notified that upon the timely filing of a Notice of Appeal within thirty (30) days you may have the decision of the Board reviewed pursuant to the procedure set out herein. The Respondent may appeal a decision of the Board to the Collier County Circuit Court. Such an appeal shall not be a hearing de novo but shall be limited to appellate review of the record created before the Board. Any appeal shall be Page 5 of 7 427529.1 1 / 14/2016 Page 29 of 339 filed with the Circuit Court and served on the parties within thirty (30) days of the mailing of the decision of the Board under the Code of Laws and Ordinances of Collier County, Florida, Section 22-202(g)(9). If there has been a re -hearing request granted, the appeal shall be filed with the Circuit Court and served on the parties within thirty (30) days of the mailing of the re -hearing decision under Code of Laws and Ordinances of Collier County, Florida, Section 22-205. In the event that the Respondent elects to appeal, a verbatim record and transcript of the proceedings will be necessary. It shall be the sole responsibility of said party to ensure that a record is made from which a transcript may be prepared which includes the testimony upon which an appeal may be taken. Neither Collier County nor the Board has any responsibility to provide a verbatim record transcript of the proceedings. In accordance with Section 489.131(7) (c) and (d), Florida Statutes, the disciplined contractor, the complainant, or the Department of Business and Professional Regulation may challenge the Board's recommended penalty to the State Construction Industry Licensing Board. Such challenge must be filed within sixty (60) days of the issuance of the recommended penalty to the State Construction Industry Licensing Board in Tallahassee, Florida. If challenged, there is a presumptive finding of probable cause and the case may proceed before the State Board without the need for a probable cause hearing. Failure of the disciplined contractor, the complainant, or the Department of Business and Professional Regulation to challenge the Board's recommended penalty within the time period set forth herein will constitute a waiver of the right to a hearing Page 6of7 427529.1 1 / 14/2016 Page 30 of 339 before the State Construction Industry Licensing Board and be deemed as an admission of the violation such that the penalty recommended will become a final order according to the procedures developed by State Board rule without further State Board action. Pursuant to Section 120.59, Florida Statutes, the parties are hereby notified that they may thereafter appeal the Final Order of the State Board by filing one copy of a Notice of Appeal with the Clerk of the Department of Business and Professional Regulation, Northwood Centre, 1940 Monroe Street, Tallahassee, Florida 32399-0792, and by filing the filing fee and one copy of the Notice of Appeal with the appropriate District Court of Appeal within thirty (30) days of the effective date of said State Board Order. 2024. ORDERED by the Contractors' Licensing Board effective the 16th day of October, Stephen M. Jaron, Chair Contractors' Licensing Board 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 to the Respondent; and Tim Crotts, Licensing Compliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103, on this day of , 2024. Page 7 of 7 Secretary / Contractors' Licensing Board 427529.1 1 / 14/2016 Page 31 of 339 FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY ❑ General $230.00 ❑ Building $230.00 ❑ Residential $230.00 ❑ Mechanical $230.00 ❑ Roofing $230.00 Specialty Trade: I. APPLICANT PERSONAL INFORMATION: ❑ Electrician $230.00 ❑ Plumber $230.00 ❑ Air Conditioner $230.00 ❑ Swimming Pool $230.00 Specialty $205.00 Name: -3-aW1GS fl-'e rro First Middle Initial Last Business Name: pc�ylLn�L-LG Address: q131 y (K- San Mali Loop r 6.err ��c ,r 3 3 ga's Street City State Zip Email: J,1-'VAt3 A trvv (t W ii oo• Cowl Telephone: 4,11-s-r? - O f & 8 Date of Birth: a(P Ilrbley 'SS # (Last 4 digits only): 11235` Driver's License # (Last 4 digits only): 1& Pursuant to Collier County Contractor Licensing Ordinance No. 2006-46 Section 2.1.1., all applicants are required to submit their social security number, driver's license, and date of birth 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. c) Verification of applicant's identity. Our office will only use the personal information noted above for those reasons pursuant to Chapter 119, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safeguarding and protecting your personal information and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statutes. Contractor Licensing — FIRM Application Rev. 7/2022 Page 3 of 14 Operations & Regulatory ta1anagemient Division. Contractor Licensing • 2800 North Horseshoe Drive • Naples. FL. 34104 • (239) 2.52-24- Page 32 of 339 Provide the names -and telephone numbers of two persons who will always know your whereabouts. Name: K Q. �R ,-,f{p Name: Fi't.ry o Telephone: Z 3 C, - "_;- - &S_70 II. NAME OF APPLICANT'S BUSINESS: Business Name: TV Telephone: 2-3S - Y70- Zoe i n 4-1 vw LL-C_ Business Address: 11 ��Y Via San Mov-co Loop f" sty-rs 86y7+61a 3.7 Sos~ Strec: City state Zip Telephone: q 7-3 - sy -7- - or(pg Email:. ._MIY.S�- �ln.�►1ng_1110�oc.Gam Federal ID Tax No.: Z G III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: Filed for or been discharged in bankruptcy within the past 5 years? JHad a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? JUndertaken construction contracts or work that resulted in liens, suits, or judgments being filed? / Undertaken construction contracts or work that a third party, such as a bonding or surety company, �j completed or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?" Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? JBeen 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? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment."If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing — FIRM Application Rev. 712022 Page 4of14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Maples FL 34104 • (239) 252.2431 Page 33 of 339 IV. EXPERIENCE VERIFICATION List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: MotQi6 List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: p ln�rr✓�'o� a�r� �GoC-�,�r�or D�.:v�.�-its VHF (LSi'Glav��i�( ,drorG�r.✓-�i>eS. List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. Include the license #, Type, and county you hold it in. AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. 3-anus T-1 Applicant (please print)TW*GfF-bf Applicant ( ,p State of County of 'e c T04oreRoing, instrument was acknowledged before me by means of hysical presence or ❑ online notarization on this day of f P,r 20 i - b}' �4lue �� P.i✓� Such person(s) Notary Public must check applicable box: ❑ are personally known to me ULDKproduced a current driver license ❑ has produced as identification. (Notary , a}�vRY pie, KRISTELA LOCK r . �: • <: Notary Public State of Florida o�; Commission r: HH 071911 OF My Comm. Expires Dec 14, 2024 Notary Signature: Contractor Licensing — FIRM Application Rev. 7/2022 Page 5 of 14 Uperations & regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples. I K41U4 • (239) 252-2431 Page 34 of 339 CERTIFICATION OF APPLICATION 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. SaWLCS 'fi zrf0 Applicant (please print 'rT 9 s iq e- Rc►v4 nr, Lu Name of Company Signature of Applicant 0/ State of rda County of/e - I lregoina in�15strume �t �tias ac �o�v edged bet' re me by day of 20 by C tf[rphvsical presence or ❑ online notarization on this Such person(s) Notary Public must check applicable box: ❑ are personally known to me s produced a current driver license ❑ has produced (Notary Seal) Y Pv ' : ioRQ�. K A SOCK Notary PublicblicState of Florida n off; r�oa F\ Commission r HH 071911 .: My Comm. Expires Dec 14, 2024 as identification. Notary Signature: C4, �Z J Contractor Licensing — FIRM Application Rev. 7/2022 Page 6 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples. FL 34104 • (239) 252-243 i Page 35 of 339 WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' 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. UQ-WV,5 'i -c r V-0 Applicant (please print TA-T Name of Company Signature of Applicant BEFORE ME this day personally appeared : -a~.s le7l-cyy-O who affirms and Applicant (please print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. State of /& - County of /f ey f e foregoin i�20 strument was acknowledged b re me by in s of I day of >0 by ical presence or ❑ online notarization on this Such person(s) Notary Public must check applicable box: ❑ are personally known to me as produced a current driver license ❑ has produced (Notary Seal) . -•: _��7- KRISTELA LOCK _ Notary Public - State of Florida �� F 'F : commission # HH 071911 My Comm. Expires Dec 14, 2024 Contractor Licensing — FIRM Application Rev. 7/2022 as identification. Notary Signature: Page 7 of 14 Operations & Regulatory Management Division. Contractor Licensing • 2800 North Horseshoe Drive • Naples. FL 34104 . (1239) 252-2431 Page 36 of 339 9/3/24, 3:31 PM Score Report Score Report Name: James Flerro Test: Painting - (FL08128) Sponsor: Collier County Date: 09/03/2024 ID #: TestlD: 091585340 Score: JO Result: Pass # Unanswered Questions: 0 Module Subject Area Status LOW Cut Score HIGH ------------------------------------------------------------- ------------------------------------------------------------------- -FLSAFE--Safety F ---------------------------------------------------------- ------------------------------------------------------------------- -FLMAT----Materials-P ------------------------------------------------------- ------------------------------------------------------------------- FLS&P Substrates & Preparation P FLAA Application P El ------------------------------------------------------------- ------------------------------------------------------------------- FLJP&E -- Job -Planning- & Estimating P --------------------------------------------------------- ------------------------------------------------------------------- FLE Equipment P https://proctorconsole.provexam.com/#/pages/dashboad Page 37 of 33V Name: Sponsor. ID A Score: # Unanswered Questions: Score Report LPrintj Pro James Fierro Test: Business and Law, 2nd edition Collier County Date 10101/2024 Test ID: 704741297 82 Result: Pass 0 11111lodule SuIlvisdArtan Status LOW FLBO----- FLLIC.... FLTL FLSRR FLLL ---------- !�:W .... FLFM - ---- .A: . ..... FLILIEN ""i9tvan --- ------------------- Licensing .............................. ------------------------ Safety OSHA Labor Laws —6w6cimma ------------------------------ qeinent----------------------- Project Management------------------------ !�!q7mfinq_& Bidding ........................ Financial M ---------- ----------------------------- Risk Management--------------------_---- Lion laws E ----- ! ----- p ----- ----- F ----- P P ----- p ----- ----- ----- ----- I ----- ----- ----- Cut Score HIGH --------------------------------------------------------- ------------- ---------------------- -------------------------------------------- EosD Page 38 of 3/39 5rn CREDITCHECK CONFIDENTIAL Individual Credit Report Name ... :FIERRO, JAMES Ordered By:23409 Address:9934 VIA SAN MARCO LOOP Customer : 9 9 9 9 FORT MYERS, FL 33905 Received :10/03/24 Social#: Applicant Completed :10/03/24 CREDIT SCORE: APPLICANT FICO SCORE: 682 (scores range from 300 to 850) SOURCE(S): EXPERIAN TRANSUNION PUBLIC RECORDS: PUBLIC RECORDS HAVE BEEN CHECKED AT THE LOCAL, STATE AND FEDERAL LEVELS WITH THE FOLLOWING RESULTS AS OF 10/03/24: CLEAR CREDIT RECORD (Credit history has been checked for a period of seven years or from open date.- ---..--.,- _ate _a_� :iiaY. _ _9 ! as•_ ..l_..__IC ..ta, us --_.._ . __.._.._ ..,.c.cer 3•_ -__ea __-..__ --,a an _..- -- -- 3C .,_qua F ABERDEEN FCU 9002952910 04/15 09/10 9013 DLA=04/15 KIA FIN AM 2315268064 08/24 02/23 14820 DLA=08/24 KIA FIN AM 2014544330 02/23 03/20 10123 DLA=02/23 KIA FIN AM 1713618942 03/20 01/17 9091 DLA=03/20 LVNV FUNDING 4447962496218318 09/24 02/23 713 ORIGINAL CREDITOR: CREDIT ONE BANK N A ONEMAIN 7163763007430057 01/18 07/16 3844 DLA=01/18 AS AGREED 0 0 00 00 00 I01 48 P AS AGREED 7483 0 00 00 00 101 18 C AS AGREED 0 0 00 00 00 I01 34 C AS AGREED 0 0 00 00 00 101 37 C COLLECTION 713 713 -- -- -- 09B -- I AS AGREED 0 0 00 00 00 I01 12 I Licensee Applicant: APPLICANT — SEE NAME ABOVE Page 39 of 339 sM CREDITCHECK CONFIDENTIAL Name: FIERRO, JAMES Customer: 9999 Page:2 PINATA RENT AS AGREED R32F41C8DNM6FW 09/24 03/24 3800 0 0 00 00 00 001 05 C DLA=09/24 Total trade lines on this report: 7 INQUIRIES: 07/30/24 by SHERWIN-WILLIAMS COMPA (EXP) #2301808 02/13/24 by COMENTIYBANK/DARED (EXP) #1840907 RESIDENCE HISTORY: 27227 PULLEN AV, APT A25 BONITA SPRINGS FL 34135 19754 TESORO WY, ESTERO FL 33967 421 COLFAX AV, POMPTON LAKES NJ 07442 COMMENTS: FRAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ACCESSED BUREAUS. CHECKS FOR IDENTITY THEFT, FAKE SSN, DECEASED SSN AND OFAC DATABASE PERFORMED. CREDITOR PHONE DIRECTORY: KIA FIN AM FA29M2002 10550 TALBERT AVE FOUNTAIN VALLE CA. 92708 ONEMAIN FP2FRQ001 (844) 298-9773 PO BOX 1010 EVANSVILLE IN. 47706 PINATA RENT RR2HJU001 (909) 314-1712 131 VARICK STREET NEW YORK NY. 10019 ABERDEEN FCU QU76UN005 (410) 272-4000 POB 1176 ABERDEEN MD. 21001 LVNV FUNDING YC21T9002 (877) 527-4484 C/O RESURGENT CAPI GREENVILLE SC. 29602 CREDIT CHECK Z 0630273 (877) 616-5556 3017 EXCHANGE COUR WEST PALM BEAC FL. 33409 *** END OF REPORT *** This information is confidential and is not lobe divulged except as required by the Fair Credit Reporting Act. This personal report is furnished simply as an aid in determining the credit desirability of the applicant(s). II is based upon information obtained in ood faith by this agency from sources deemed reliable. The accuracy of same, however. is in no way guaranteed. By your acceptance and use of this report. you specifically agree to hold Credit Check. Inc. harmless from any liability whatsoever. Licensee Applicant: APPLICANT — SEE NAME ABOVE Page 40 of 339 C1 rie r County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY RESOLUTION OF AUTHORIZATION Complete this form if multiple people own part of the company the license will be attached to. If there is only 1 owner, then this form is not required for the application. In accordance with Collier County Ordinance 2006-46, as amended, �d-T t'r"es,�,tie paialproposes Compaiiy Name to engage in contracting as 1 'L A S jn Collier County where -3-a wy-s rY-D Officers/ ners/Partners Applicant Name proposes to qualify for a Certificate of Competency with company hce4, � e anivj-t vvc, Lk . j� Company It is hereby agreed upon that we the undersigned fIn6 Ih k Lof . 47?-Ie,47�e E,16 v�� co 9 �G Officers/ wners/Partners Company resolve and represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent, ernes r,-ee3,—o , is active in all matters connected with the company named Applicant Name ± I &c>A6c PgoUv0h LxQ L6G . We further resolve and represent that 3 rhWlt3 75�7-e is legally Tpany Applicant Name empowered to act on behalf of'�-T ?lrjAE e Qz% Al U& in all matters connected with its contracting Company business and has the authority to supervise construction under a en y�fi► l�r�s�,�;e mac, ivt--,✓tc Ll�. Company ._ Offi Owners/Partners Witness Offi er Owners/Partners Witness Officers/Owners/Partners Witness Officers/Owners/Partners of the above -mentioned company need to sign on the left and a witness to the signature signs on the right. State of R County of The foregoing instrument was acknowledged before me by means ofsical presence or ❑ online notarization on this day of 0 �� by Such person(s) Notary Public must check applicable box: ❑ are personally known to me as produced a current driver license ❑ has produced (e (Notary Sea .'_ RITAWALTERS Notary Public - State of Florida # HH 458621 Commission My Comm. Expires Nov 7, 2027 Bonded through National Notary Assn. Contractor Licens p a n ev. 2 as identification. �:�� I Notary Signature: Page 8 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contraciorslicensinq(abcolliercountyfl.gov Page 41 of 339 STATEMENT OF OWNERSHIP This certifies that I, JJ �mGS r{yirr0 am a member or managing APPLICANT'S NAME (please print) member of 74-Y Pres {-►fit f auk 4-1'49 LLG (LIMITED LIABILITY COMPAAY NAME) i own LP Q % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. f State of County of T oregoing instrument was acknowledged ay of 2U � . hY �w,wte3 �'e-tr'Vd Applicant (please print} Na of Company Signature of Applicant me by means o1 ysical presence or ❑ online notarization on this Such person(s) Notary Public must check applicable box: ❑ are personally known to me as produced a current driver license ❑ has produced (Notary Seal) KRISTELA LOCK Notary Public • State of Florida �• ' v' Commission a HH 071911 My Comm. Expires Dec 14, 2024 Contractor Licensing — FIRM Application Rev. 712022 as identification. Notary Signature: -C�)Z,� z,/ Page 9 of 14 Operations & Regulatory Management Division. Contractor Licensing • 2800 North Horseshoe Drive • Naples. FL 34104 . (239) 252-2431 Page 42 of 339 State of Florida Department of State I certify the attached is a true and correct copy of the Articles of Organization of J&T PRESTIGE PAINTING LLC, a limited liability company organized under the laws of the state of Florida, filed electronically on July 01, 2024 effective July 01, 2024, as shown by the records of this office. i further certify that this is an electronically transmitted certificate authorized by section 15.16, Florida Statutes, and authenticated by the code noted below. The document number of this limited liability company is L24000294901. Authentication Code: 240703083906-700432410777# 1 Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Third day of July, 2024 Cord '5ccr'Ctat7 Page 43 of 339 State of Florida Department of State I certify from the records of this office that J&T PRESTIGE PAINTING LLC is a limited liability company organized under the laws of the State of Florida, filed on July 1, 2024, effective July 1, 2024. The document number of this limited liability company is 1-24000294901. I further certify that said limited liability company has paid all fees due this office through December 31, 2024 and that its status is active. Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Fifth day of July, 2024 Gam"" Secretary of .-Sr fate "Cracking Number: 0834315055CU To authenticate this certificate,visit the following site,enter this number, and then follow the instructions displayed. https:Hservices.sun biz.o rg[FilingsICertitica teofstatusICertificateAu thentication Page 44 of 339 Electronic Articles of Organization L 4000ILED 8 0 AM For July 01, 2024 Florida Limited Liability Company Sec. Of State kcostello Article I The name of the Limited Liability Company is: J&T PRESTIGE PAINTING LLC Article II The street address of the principal office of the Limited Liability Company is: 9934 VIA SAN MARCO LOOP FORT MYERS, FL. US 33905 The mailing address of the Limited Liability Company is: 9934 VIA SAN MARCO LOOP FORT MYERS, FL. US 33905 Article III The name and Florida street address of the registered agent is: JAMES FIERRO 9934 VIA SAN MARCO LOOP FORT MYERS, FL. 33905 Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated in this certificate, I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and I am familiar with and accept the obligations of my position as registered agent. Registered Agent Signature: JAMES FIERRO Page 45 of 339 Article IV The name and address of person(s) authorized to manage LLC: Title: PRES JAMES FIERRO 9934 VIA SAN MARCO LOOP FORT MYERS, FL. 33905 US Title: VP TIMOTHY KORDELSKI 6795 HUNTINGTON LAKES CIRCLE UNIT 101 NAPLES, FL. 34119 US Article V The effective date for this Limited Liability Company shall be: 07/01/2024 Signature of member or an authorized representative Electronic Signature: JAMES FIERRO L24000294901 FILED 8:00 AM July 01, 2024 Sec. Of State kcostello I am the member or authorized representative submitting these Articles of Organization and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1 st and May 1 st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. Page 46 of 339 �Tj Department of the Treasury R Internal Revenue Service In reply refer to: 0241912076 CINCINNATI OH 45999-0038 Sep. 19, 2024 LTR 147C 0 99-3926627 000000 00 . 00002798 BODC: SB 014818 J&T PRESTIGE PAINTING LLC JAMES FIERRO MBR 9934 VIA SAN MARCO LOOP FORT MYERS FL 33905-5410 Employer identification number: 99-3926627 Dear Taxpayer: Thank you for your inquiry of Sep. 10, 2024. Your employer identification number (EIN) is 99-3926627. Please keep this letter in your permanent records. Enter your name and EIN on all federal business tax returns and on related correspondence. You can get any of the forms or publications mentioned in this letter by visiting our website at IRS.gov/forms or by calling 800-TAX-FORM (800-829-3676). If you have questions, you can call 800-829-4933. If you prefer, you can write to us at the address at the top of the first page of this letter. When you write, include a copy of this letter, and provide your telephone number and the hours we can reach you in the spaces below. Telephone number ( ) Hours Keep a copy of this letter for your records. Thank you for your cooperation. Page 47 of 339 Sep. 19, 2024 LTR 99-3926627 000000 J&T PRESTIGE PAINTING LLC JAMES FIERRO MBR 9934 VIA SAN MARCO LOOP FORT MYERS FL 33905-5410 Sincerely yours, 0241912076 147C 0 00 00002799 G. Carter -Louis, Operations Manager Accounts Management Operations 2 Enclosures: Copy of this letter ■ 0 Page 48 of 339 VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: , _&_WV—S Fi :g ra Certificate Category Requested: Pkin7 hq _ 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 his/her 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 for the above -named applicant must provide the following information: Name: i�;ar 4. ; , c Title: Business Name: / he Ire it -is Phone: 3 d- 587L 003 V License No. (if applicable): C 9C) 3 _� d q�O Business Address: 15790 LLeS _Co-.,t S,,4e_ [ FL 33zLIL_ Street City State Zip The applicant was employed by me from 2 s�"Z-' to SPf,G Applicant's title:wv.�Y-z�.� The applicant's scope of work (specific duties) included: 4c. %J: �- .v; Lar Wooly �. L� a �tl r �vr r (� !. .,, vLt` ,)r +, .4k Ups Pr,' c ^4, o Pw, •4L St..cco 4J�4[LS . Additional comments: NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. Signature of person pr ng the statement State of FI•� ACounty of dvlljc/L The loregoing instrument was acknowledged before me by means of LA/Physical presence or 0 online notarization on this ,�Ldav of OCA4 t .20 " by 00e,/e •y4w, r,'c� Such person(s) Notary Public must check applicable box: © are personally known to me 64as produced a current driver license 0 has produced F, .ele. zw&. zs .4'44-aSG as identification (Notary Seal) {may .•'�•' •. DI=AWNS PASTOR •" MY COMMISSION # HH W970 EXPIRES: October 16, 2027 Notary Signature: ••'•f CIF f 4� Contractor Licensing - FIRM Application Rev. 712022 Page 11 of 14 Opefations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples. FL 34104 . (239) 252 2431 Page 49 of 339 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF F/r�rJ`�— COUNTY OF Le(—, I , �j'�Tt= ` �'l/ �✓'r J` �� having been first duly sworn, state and affirm: I am a resident of Lel- more than five (5) years. County, porj ja_ (State) and have resided here for During the last five (5) years I have known SY+y►1V-S j!�/z 4rr(�_ (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, inte rity and good character. r� Signature 1'.ce. Printed Name Address: Street F - f myu2e390�- City State Zip Telephone: ��'��" `% ,9S State of IC1oA.da- County of ernke.G The foregoing instrument was acknowledged before me by means of 21physical presence or ❑ online notarization on this wY day of oCA6e4 •20,?y . by /fieAe - Ox.' cC- Such person(s) Notary Public must check applicable box: ❑ are personally known to me has produced a current driver license 52'has produced FL AA-Ileds kee-4tt as identification. (Notary Seal) t�y P'. • DEANNE PASTOR =* *' MY COMMISSION # HH :0] 'FOF EXPIRES: October 16, Contractor Licensing — FIRM Application Rev. 7/2022 Notary Signature: 1'x001111-v-2k—.1 Page 14 of 14 Operations & Regulatory Management Division. Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 Page 50 of 339 ACOR" CERTIFICATE OF LIABILITY INSURANCE DADDlYYYr) 1 0/04/2/oazoza 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(ies) must have ADDITIONAL INSURED provisions or 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 NPO Box 60787 ext First Insurance Agency, Inc. PHONE (855) Z22.5919 Palo Alto, CA 94306 : DARESS. supportmanextinsurance.com I rraueoro .. State National Insurance Corroanv, Inc. 112831 1 INSURED J&T PRESTIGE PAINTING LLC 9934 Via San Marco Loop Fort Myers, FL 33905 COVERAGES CERTIFICATE NLIMRFR- 165795777 RFVISION NtIMFIFR- 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. ILTR TYPE OF INSURANCE ADOL POLICY NUMBER POLICY Y EXP LIMITS _ A X COMMERGALGENERAL LIABILITY CLAIMS -MADE [ X] OCCUR NXT9HDWRL•00-GL 10/14/2024 10/14/2025 EACHOCCURRENCE S1,000,000.00 00 _ .. . 1,I occu$100,000 MED EXP one $15.000.00 PERSONAL & ADV IN"Y S1,000.000.00 GENT AGGREGATE LIMIT APPLIES PER: X POLICY ❑ PCT LOC OTHER. GENERAL AGGREGATE 52,000,000.D0 PRODUCTS - COMP/OP AGG $2,000 000.00 S AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS I HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT $ BODILY INJURY (Per person), S BODILY INJURY lPoraccideN) f S S UMBRELLA UAB EXCESS LMS HCIL&IMS-MADE OCCUR EACH OCCURRENCE S AGGREGATE $ DED 1 1 RETENTION S WORKERS COMPENSATION AND EMPLOYERS'UABKJTY YIN ANYPROPRIETOWPARTNERIEXECUTWE OFFICER/MEMBEREXCLUE ❑ Poww Cory in NN) Iyes� 6escrd)e under bESCRIPTION OF OPERATIONS below NIA T T ERH E.L EACH ACCIDENT ---.-•—_- S E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT S A Contractors Errors and Omissions NXT9HDWRL-00-GL 10/14/2024 10/14/2025 Each Occurrence: Aggregate: S25,000.00 $50,D00.00 DESCRIPTION OF OPERATIONS / LOCATIONS / VENSCLES (ACORD 101, Additional Remarks Schedule, may be attached d more space is required) Proof of Insurance. GtK I II-IGA I t HULL)LK \ /i lYl CLLN t iVt9 &T PRESTIGE PAINTING LLC LIVE CERTIFICATE 9934 Via San Marco Loop SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Fort Myers, FL 33905 ww. - THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. - AUTHORIZED REPRESENTATIVE Click or Scan to view l�T 191ftI-LVI� AI.VKU l.VlcrVrtAt Ivry. rtn nynta rcac, vcu. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Page 51 of 339 OW JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual fisted below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 10/7/2024 PERSON: JAMES FIERRO FEIN: 993926627 BUSINESS NAME AND ADDRESS: J&T PRESTIGE PAINTING LLC 9934 VIA SAN MARCO LOOP FORT MYERS, FL 33905 EXPIRATION DATE: 10/7/2026 EMAIL: JTPRESTIGEPAINTING@YAHOO.COM This certificate of election to be exempt is NOT a license issued by the Department of Business and Professional Regulation. To determine if the certificate holder is required to have a license to perform work or to verify the license of the certificate holder, go to www.myfloridalicense.com. IMPORTANT: Pursuant to subsection 440.05(13), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to subsection 440.05(11), F.S., Certificates of election to be exempt issued under subsection (3) apply only to the corporate officer named on the notice of election to be exempt. Pursuant to subsection 440.05(12), F.S., notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT RULE 69L-6.012, F.A.C. REVISED 01/2023 E02009518 QUESTIONS? (850) 413-1609 Page 52 of 339 W"S E. JIMMY PATRONIS t� CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.. EFFECTIVE DATE: 10/8/2024 PERSON: TIMOTHY M KORDELSKI FEIN: 993926627 BUSINESS NAME AND ADDRESS: J&T PRESTIGE PAINTING LLC 9934 VIA SAN MARCO LOOP FORT MYERS, FL 33905 EXPIRATION DATE: 10/8/2026 EMAIL: TIMOTHYKORDELSKI@GMAIL.COM This certificate of election to be exempt is NOT a license issued by the Department of Business and Professional Regulation. To determine if the certificate holder is required to have a license to perform work or to verify the license of the certificate holder, go to www.myfloddaticense.com. IMPORTANT: Pursuant to subsection 440.05(13), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to subsection 440.05(11), F.S., Certificates of election to be exempt issued under subsection (3) apply only to the corporate officer named on the notice of election to be exempt. Pursuant to subsection 440.05(12), F.S., notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT RULE 69L-6.012, F.A.C. REVISED 01/2023 E02010584 QUESTIONS? (850) 413-1609 Page 53 of 339 A �n IOD— o � -1 T,C ;9yC O ]`�y� 0 W T; 00 b Page 54 of 339 Coley County Growth Management Community Development Department �N APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY 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. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: ❑ General $230.00 ❑ Building $230.00 ❑ Residential $230.00 ❑ Mechanical $230.00 ❑ Roofing $230.00 Specialty Trade; V'CO I. APPLICANT PERSONAL INFORMATION: ❑ Electrician $230.00 ❑ Plumber $230.00 ❑ Air Conditioner $230.00 ❑ Swimming Pool $230.00 Vpecialty $205.00 Name: 0Z First Middle Initial %Last Business Name: Address: LiIii 3\� t"LVP �V�1 ��c�at eS 'FL 3'-'111CQ Street City State Zip Email: 10Q t? `� CX-Nro Telephone: 01.E 1 *SS # (Last 4 digits only):�j Date of Birth: l�;kl C) 7.' 3-005 __ Driver's License # (Last 4 digits only); Pursuant to Collier County Contractor Licensing Ordinance No. 2006-46 Section 2.1.1., all applicants are required to submit their social security number, driver's license, and date of birth 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. c) Verification of applicant's identity. Our office will only use the personal information noted above for those reasons pursuant to Chapter 119, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safeguarding and protecting your personal information and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statutes. Contractor Licensing — FIRM Application Rev, 7t2022 Page 3 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive . Naples, FL 34104 • (239) 252-2431 contractors[icensinga,colliercountyfI qpv Page 55 of 339 C01 V C0144 ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts. Name: L=Qq;�O-7- Name: a 6 f-S ! AD0C'7_ Telephone: Z1..'3c-k- L10'-'1- "ffl9 Telephone, a.3Ci — %z S II. NAME OF APPLICANT'S BUSINESS: Business Name: �t S 0. Y� Business Address: 1C street city State Zip Telephone: l °, —%ck— O 7 15 Email: %60 {�/1 Federal ID Tax No.: - Lk 1 3 III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: Filed for or been discharged in bankruptcy within the past 5 years? //V/ad a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? —VI Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? / Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of V adjudication, a crime in any jurisdiction within the past 10 years?" Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other slate, been "subject to" disciplinary action by a state, county, or municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment."If you have had a felony conviction, proof that your civil rights have been restored will be required prior to Iicensure. Page 4 of 14 Contractor Licensing — FIRM Application Rev. 7t2022 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive e Naples. FL 34104 . (239) 252-2431 contractorslicensincc)llierc<)untvfl.gov Page 56 of 339 CCU ICY COLtnty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION EDUCATION: List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being matde: ONti List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. Include the license #, Type, and county you hold it in. V an, AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. Applicant (please print) Stale of IC County of 0 i The foregoing instniment was acknowledged before me b ` Lda► of . 20 ZA_ . by •l k lbl ba� Signature of App nt n1eans of 16 physical presence or ❑ ❑t><i ne notarization on this Sueh person(s) Nolan Public must C feC app tea e ❑ arc personally kno►cn to me %has produced a current drh-cr lie 80001��o ❑ has produced (Notary Scai) ......::Ss �f Puk� ON as Ocnlification. Notary 5ignaturc: Page 5 of 14 Contractor Licensing — FIRM A04 operations & Regulatory Licensing • 2800 Forth Horseshoe Drive . Na i44 + (239y 252-2431 Page 57 of 339 Page 58 of 339 CO er COUnty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPLICATION 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 containers herein is grounds for disqualification. Applicant {please print Name of Company Signature of Applicant State of fLL�i County of OA I lit The foregoing instrument ti►as acknowledged before me by incans of X physical presence or Elonline rtatariratian on this [ dav of�, 20 by Such person(s) NoWrti Public must check applicable box: ❑ are personally kno,' n to nic has produced a cumnt driver 1 " ❑ has produced ._ .. as identificaticu. (Notar. Seal) �.�p�rtY PIj�. _ •C Notary Signature: Contractor Licensing — FIRM Application Rev. 712022 Page 6 of 14 Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive • Naples. FL 34104 . (239) 252-2431 contractarslicensing olliercount ov Page 59 of 339 Page 60 of 339 Cal er C01414ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if 1 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. Applicant (please print Name of Company Q Signature of Applicant BEFORE ME this day personally appeared Y ; 1, �� who affirms and Applicant (please print) Ii says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. State of �r aA County Of 111'C The foregoing instrument %%as acknoa ledgcd before e by n1 ans of PQ pltysical presence or Elonline notarisation an this day of . 20 - b3 Such persons} Nolan! Public must clieck applicable box. ❑ are personall� kiio«vrr to me has produced a currcirt drn er h 40 0 ❑ has produced as identification. (Notary Seal) WCONUS � } Nol�7n 5ignahirc: Elf 6 3-203 OF Contractor Licensing — FIRM Application Rev. 712022 Page 7 of 14 Operations & Regulatory Management Division. Contractor Licensing • 2WO North Horseshoe Drive ■ Naples, FL 341D4 ■ (239) 252.2431 cont racto rsl I c e nsi nqcolIierccunt av Page 61 of 339 Page 62 of 339 Karen OMalley From: scorenoreply@provexam.com Sent: Friday, November 8, 2024 12:05 PM To: Karen OMalley Subject: Score Letter, LOPEZ EXTERNAL EMAIL - This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. Score Report [Print] Name ENOCH LOPEZTes : Business and Law, end edition Sponsor Collier County Dat 07/22/2024 ID #: 766465775 Test 728357147 Score: 80 Result: Pass # Unanswered Questions 0 Module Subject Area Status FLBO Business Organization r Pro LOW CutScore HIGH 1 Page 63 of 339 Karen OMalle From: scorenoreply@provexam.com Sent: Friday, November 8, 2024 12:04 PM To: Karen OMalley Subject: Score Letter, LOPEZ EXTERNAL EMAIL This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. Score Report [Print] Name ENOCH LOPEZTest: Painting - (FL08128) Sponsor. Collier County Date: 07/01/2024 ID #: 766465775 TestWD 952479138 Score 82 Resua. Pass # Unanswered Questions: 0 Module Subject Area Status FLSAFE Safety I LIKIL Protl_ CutScore HIGH ■ Page 64 of 339 SM CREDIT CHECK Individual Credit Report CONFIDENTIAL Name. ..:LOPEZ, ENOCH Ordered By:23783 Address:4471 31ST AVENUE SW Customer :9999 NAPLES, FL 34116 Social#: Applicant CREDIT SCORE: Received :11/06/24 Completed :11/06/24 APPLICANT FICA SCORE: 729 (scores range from 300 to 850) SOURCE(S): EXPERIAN TRANSUNION PUBLIC RECORDS: PUBLIC RECORDS HAVE BEEN CHECKED AT THE LOCAL, STATE AND FEDERAL LEVELS WITH THE FOLLOWING RESULTS AS OF 11/06/24: CLEAR CREDIT RECORD Credit history has been decked for a period of seven years or from open date. CreditDr Hate Date H'_ch Unpaid Past 13is-orlu Sta'.,s Curren'z Nc!. Account NuErber Reported Opened Credit Balance Due 30 63 �0 sLa Luz Rev ECOn BK OF AMER AS AGREED 2350 10/24 07/24 540 194 0 00 00 00 R01 03 I DLA =10/24 SUNCST CU AS AGREED 482057504467 10/24 05/24 303 0 0 00 00 00 R01 04 I DLA=10/24 Total trade lines on this report: 2 INQUIRIES: 07/09/24 by BK OF AMER (EXP) #2440720 05/15/24 by SUNCOAST CREDIT UNION �EXP) #1879040 08/15/24 by LICENSES ETC (TU) 0771028 RESIDENCE HISTORY: 4471 SW 31ST AV, NAPLES FL 34116 COMMENTS: FRAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ACCESSED BUREAUS. CHECKS FOR IDENTITY THEFT, FAKE SSN, DECEASED SSN AND OFAC DATABASE PERFORMED. Licensee Applicant: APPLICANT — SEE NAME ABOVE Reporting Agency: Credit Check. Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (56P7a6l %-elf 39 CREDIT CHECK CONFIDENTIAL Name: LOPEZ, E CREDITOR PHONE DIRECTORY: BK OF AMER BC1597029 PO BOX 982238 EL PASO TX. 79998 CREDIT CHECK Z 0630273 3017 EXCHANGE COUR WEST PALM BEAC FL. 33409 LICENSES ETC P 7771028 886 110TH AVE STE NAPLES FL. 34108 Customer: 9999 Page:2 (800) 421-2110 (877) 616-5556 (239) 777-1028 *** END OF REPORT *** This information is confidential and is not to be divulged except as required by the 1-air Credit Reporting Act. This personal report is furnished simply as an aid in determineng the credit desirability of the applicant(s). It is based upon information obtained ingood faith by this agency from sources deemed reliable. The accuracy of same, however, is in no way guaranteed. By your acceptance and use of this report, you specifically agree to hold Credit Check, Inc. harmless from any liability whatsoever. Licensee Applicant: APPLICANT — SEE NAME ABOVE 5 Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (5%61666 56 DIVISION OF CORPORATIONS J vjJ ;!(�, ; J1 Department of State 1 Division of Corporations 1 Search Records ! Search_by Eritity Name Detail by Entity Name Florida Profit Corporation E.N ARTISAN PAINTING INC Filing Information Document Number P24000048331 FEIIEIN Number NONE Date Filed 07/22/2024 Effective Date 08/01/2024 State FL Status ACTIVE Principal Address 4471 31 STAVE SW NAPLES, FL 34116 Mailing Address 4471 31 STAVE SW NAPLES, FL 34116 Registered Agent Name & Address LOPEZ, ENOCH 4471 31 ST AVE SW NAPLES, FL 34116 Officer/Director Detail Name & Address Title P LOPEZ VELASQUEZ, NELSON N 4471 31 STAVE SW NAPLES, FL 34116 Title VP LOPEZ, ENOCH 4471 31 STAVE SW NAPLES, FL 34116 Annual Reports No Annual Reports Filed Page 67 of 339 Document Images C712212024 -- Domestic Profit View image in PDF format Page 68 of 339 Electronic Articles of Incorporation For E.N ARTISAN PAINTING INC P24000048331 FILED July 22, 2024 Sec. Of State wlawrence The undersigned incorporator, for the purpose of forming a Florida profit corporation, hereby adopts the following Articles of Incorporation: Article I The name of the corporation is: E.N ARTISAN PAINTING INC Article II The principal place of business address: 4471 31ST AVE SW NAPLES, FL. US 34116 The mailing address of the corporation is: 4471 31 ST AVE SW NAPLES, FL. US 34116 Article III The purpose for which this corporation is organized is: Article IV The number of shares the corporation is authorized to issue is: 100 Article V The name and Florida street address of the registered agent is: ENOCH LOPEZ 4471 31 ST AVE SW NAPLES, FL. 34116 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: ENOCH LOPEZ Page 69 of 339 P24000048331 FILED Article VI July 22, 2024 Sec. Of State The name and address of the incorporator is: wlawrence ENOCH LOPEZ 4471 31 ST AVE SW NAPLES, FL 34116 Electronic Signature of Incorporator: ENOCH LOPEZ I am the incorporator submitting these Articles of Incorporation and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1 st and May 1 st in the calendar year following formation of this corporation and every year thereafter to maintain "active" status. Article VII The initial officer(s) and/or director(s) of the corporation is/are: Title: P NELSON N LOPEZ VELASQUEZ 4471 31ST AVE SW NAPLES, FL. 34116 US Title: VP ENOCH LOPEZ 447131 ST AVE SW NAPLES, FL. 34116 US Article VIII The effective date for this corporation shall be: 08/01/2024 Page 70 of 339 ASIR DEPARTMENT OF THE TREASURY lllr�INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 E N ARTISAN PAINTING INC 4471 31ST AVE SW NAPLES, FL 34116 Date of this notice: 07-24-2024 Employer Identification Number: 99-4131477 Form: SS-4 Number of this notice: CP 575 A For assistance you may call us at: 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 applying for an Employer Identification Number (EIN). We assigned you EIN 99-4131477. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. Taxpayers request an EIN for their business. Some taxpayers receive CP575 notices when another person has stolen their identity and are opening a business using their information. If you did not apply for this EIN, please contact us at the phone number or address listed on the top of this notice. When filing tax documents, making payments, or replying to any related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear -off stub and return it to us. Based on the information received from you or your representative, you must file the following forms by the dates shown. Form 940 Form 944 Form 1120 01/31/2025 01/31/2025 04/15/2025 If you have questions about the forms or the due dates 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 determining your annual accounting period (tax year), see Publication 538, Accounting Periods and Methods. We assigned you a tax classification (corporation, partnership, etc.) based on information obtained from you or your representative. It is not a legal determination of your tax classification, and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2020-1, 2020-1 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. IMPORTANT INFORMATION FOR S CORPORATION ELECTION: If you intend to elect to file your return as a small business corporation, an election to file a Form 1120-5, U.S. Income Tax Return for an S Corporation, 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. Page 71 of 339 A. Coer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I, am a member or managing APPLICANT'S NAME (plea print) j member of 'C ► G� (LIMITED LIABILITY COMPANY TAME) I own % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. � State of r 1�}-i�t CaunEs� of The foregoing instrument -was acknowledged before me b ' me u yr day of 2[)2. by Such persons) Notan- Public must check applicable box: �`DDG�n, Appli ant (please print) Dp Name of Cd"any Signature of Applicant sical presence or ❑ online notarization on this ❑ are personally knO n to the has produced a current driver Iicen r49 ❑ has produced (Notary Seal) as identification, Notary Signaature' MY FJtP1REs Contractor Licensing — IF RM Applicata�"i0 2 Page 9 of 14 Operations & Regulatory Management Division, Contractor Licensing e 2800 North Horseshoe Drive . Naples, FL 34104 a (239) 252-2431 coritractorslicensinciacolliercountO gov Page 72 of 339 Page 73 of 339 C oQ*r Gou-hty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY RESOLUTION OF AUTHORIZATION Complete this form if multiple people own part of the company the license will be attached to. If there is only 1 owner, then this form is not required for the application. In accordance with Collier County Ordinance 2006-46, as amended, o \V '�A,C � k>Q�_, proposes Company Name to engage in contracting as C)k_k 1% C in Collier County where OfficerslOwnerslPartners Applicant Name proposes to qualify for a Certificate of Competency with company L . \\� w -� iSo-xi, '?C�_ %�� Company It is hereby agreed upon that we the undersigned V = f\ e cof�- Officers/Owners/Partners Company resolve and represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent, T_— '(\ p cN,\L , is active in all matters connected with the company named (n� Applicant Name c�-C �`�•�� t tt S0.{1 e further resolve and represent that -y-_fNQj&\ LC'p e-?- is legally Company ` ; fNe(� _7y,�4 Applicant Name empowered to act on behalf of 'in all matters connected with its contracting Company business and has the authority to supervise construction undertaken by � Al C ��Q-y\__ �Cl�t��1,�� TtlC JJ Company ers/0 ners _ Witness Officers/owners/Partners itness Office rslOwnerslPartners Witness Office rs/OwnerslPartners of the above -mentioned company need to sign on the left and a witness to the signature signs on the right. State of County of 1_.ar<_1 The foregoing instrument was acknowledged before me by means of day of AJ�xu5r , 20 �� by PAC_ Such person(s) Notary Public must check applicable box: ❑ are personally known to me ❑ has produced (Notary Seal) physical presence or ❑ online notarization on this N -��,r✓ AlocrC,- 4e P re-2 /khas produced a current driver license N NoWy plc State of ilonda �d1F Joseph A Marino y 'jorw My Comm u4n NM 058042 EMpwes 10128r2024 as identificatiot Notary Firm Application.docx Rev 4/06/2020 PagEPo0p_1-�4 of 339 Page 75 of 339 Cv��r Cr�x�-M.ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name. Certificate Category Requested: Zkk 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 his/her 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 pegs/on verifying trade experience for the above -named applicant must provide the following information: Named 2 9() V � �2i� a Z Title: 0T u� I`(�/ Business Name: : r es , 1 oc Phone: 2,3 !f 825J ,5-5-0 6- Business Address: 5�� Street License No- (if applicable): X an10 State Zip The applicant was employed by me from _. a y 20�Z to 7(J) Applicant's title: The applicant's scope of work (specific duties) included: _ i Q �� tr r;�_��,f .3 J (,-, r -{ G Additional comments: 1y_fl c4 MOTE TO LICENSED CONTRACTORS: Falsifying anyinformation provided herein may subject your/icense to revocation - Under penalty of perjury, I declare that the facts stated here are true. a Signature of person providing the statement State of -County of The foregoing instrument was acknowledged before me by meats of 9 physical presence or ❑ online notarization on this Zday of _ 20 Z�l t by l/ Such person(s) Notary Public must check applicable box: ❑ are personally knok�ii to nne % has producer/ a current driver ❑ has produced (Notary Seal) identification. Nowy Signature: Page 10 of 14 Contractor Licensing - FIRM Application'R4�! Operations & Regulatory Management Division, Contractor Licensing ■ 2800 North Horseshoe Drive contractor slicensincolllercount ov Naples, FL 34104 . (239) 252-2431 Page 76 of 339 Page 77 of 339 Colter County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: Certificate Category Requested: 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 his/her 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 for the above -named applicant must provide the following information: Name: tiA\G�el r�c�C0 Title: C-es Business Name:. �a� � U—<\ C��— Phone: c�.3, C� cng . License No. (if applicable): Business Address: Nam. QA C2�o . 1R �`S Up4cAe-5 i� Fj" 's Street City State Zip The applicant was employed by me from ma_sW ana1 to m., a -LA Applicant's title: \ C-lp^�'�` The applicant's scope of work (specific duties) included:\ Additional comments: Yd.,`to-'c-•(\.\1(�G� NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject yourticense to revocation. Under penalty of perjury, I declare that the facts stated here are true. _ A State of 01'1U County of The foregoing instrument n as acknowledged before me by means of ZI physical % da, of .2024 . b, cAffuw Such person(s) Notai}- Public must check applicable box: ❑ are personally known to me ❑ has produced a current driver license Pfhas prodLlccdgtx Pas [ I identification. (Notary Seal) � }C MIMERVA CRISTO MY COMMISSION # HH 5MB67 EXPIRES: July 15, 2028 Nor<1n' Signature: OF FL . Contractor Licensing - FIRM Application Rev. 712022 or ❑ online notarization on this Page 11 of 14 Operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Drive • Naples. FL 34104 . (239) 252-2431 contractorslicensin,gecolliercountyil.gov Page 78 of 339 Page 79 of 339 C AAer COur><ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: Gv Certificate Category Requested: paOdpnu 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 his/her 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 forthe above -named applicant must provide the following information: Name: CAO Title, 0 itk ne Y- Business Name:�CIt'1 Phone: 1 License No. (if applicable): j] Business Address: 5 75 1_ WOLKh Gn SL1 Zkzs Q t1l 0 e �� _ Street CA y State ZipThe applicant was employed by m`� e from 01( to Applicant's title: The applicant's scope of work (specific dutles included: r �° f] , P ng7 Additional comments, Ynt° NOTE TO LICENSED CONTRACTORS: Falsifying anyinformation provided- erein msubjec yourlicense to revocation. Under penalty of perjury, I declare that the facts stated here are true. Signature of person providing the statement State of ,td�'/r' County of The foregoing instrument was acknowledged befo me by means of N'physical presence or ❑ online notarix.ntion on this . 1 day of , 2ii , b} Such person(s) Notary Public must check applicable box: ❑ arc persorrally knajrn to rue 03 has produced a current, driver lice &OLDA ❑ has produced (Notary Seal) identifir.ntion_ r Notary Signature: Contractor Licensing — FIRM Operations & Regulatory Management Division, Contractor Licensing . 28W North Horseshoe Drive • contractorslicensin colliercount . ov Page 12 of 14 Ies, FL 341'34 ■ (239) 252-2431 Page 80 of 339 Page 81 of 339 Cotr C 014nty Growth Management Community development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF rJCJV °` F. COUNTY OF CO 11� I, :j2 4 gAc 11o,6 Z-a a_. having been first duly sworn, state and affirm: I am a resident of C,0 �' 0, County, 74 k �a (State) and have resided here for more than five (5) years. During the last five (5) years I have known C3 Z (applicant) to observe his or her business and personal dealings and find him or her to be a pest good character - State of fi�r;d40 County of I have had the opportunity honesty, integrity and Signature Address: 2?--3) LUh°efV� Street -'�2p,P)�5) Ci_y State Zip Telephone: 231 `32.5 — 5505 The foregoing instnunent i as acknow ledged before me by nreans of JKpll� sical da` of . 20.Z5k . by �Z"A z or ❑ online notarization on this Such person(s) Notar. Public must check applicable box: © arc persati:lll,k l:nann to nee )m has produced a current driver liccnQ'� ❑ has produced :ts identifica6011. (Notat-� Seal] f�p �Y � G,'• W Ct014 `i EXp► $ $-3 •; Notes• 5ignaturc� %��r�� Page 13 of 14 04 . (239) 252-2431 Page 82 of 339 Contractor Licensing — FIRM Operations & Regulatory Management Division, Contractor Licensing ■ 28W North Horseshoe Drive • Naples, FL contractorslicensin colliercount fl. ov Page 83 of 339 C A4 er Couvr_ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF 0c } t. COUNTY OF CC1 a U having been first duly sworn, state and affirm: I am a resident of cn b�C W County, J� ` (State) and have resided here for more than five (5) years. During the last five (5) years I have known LQ 12,e 7 (applicant); I have had the opportunity to observe his or her business and personal dealings and find him or her t❑p a person of honesty, integrity and good character. -- Signature State of coulltv of &1Ifi/- . Printed Name Address. -M./ street City State TP Telephone: f 3 - 61717 645f The foregoing instrument w as acknoAN ledged before me by means off physical presence or ❑ online notarization on this day of 20. } . bNr Such persons) NotaA Public must check applicable has: A has produced a current driver licens ❑ are Personally known to me ❑ has produced (Notar} Seal) My CpWISSIGN ' EXPIF2-S W-21M _.� F as identif"icalion. Notary 5ignalure: rage 14 of 14 Contractor Licensing — FIRM Applic Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive cc nt.-actorsh ,e ns ing col Iiereount ov Naples, FL 34104 e (239) 252-2431 Page 84 of 339 Page 85 of 339 CARRANCO PAINTING LLC 132 SANTA CLARA DR #15 NAPLES, FL 34104 Date: July 29, 2023 Re: Enoch Lopez To whom it might concern, Please, serve this letter as confirmation that Mr. Enoch Lopez has worked for Naples Carranco Painting LLC as a painter from May 2021 to June 2024. If you have any question, please, do not hesitate to contact me at 239-682-2287 Thanks for your attention to this matter. M1gue arranco STATE OF FLORIDA COLLIER COUNTY Miguel Carranco subscribe and affirm before me, this day July 29th, 2024 this City of Naples, County of Collier, State of Florida, United States of America showing the valid Identification mentioned above. ��`��••'„' % GOLD.----,,.,,�. �pRY PU49 fRc ,y Notary Public =I MY COMMISSION s EXPIRES 6.3-2026 OF yC�;, sty, \OQ;:•� �'NM)M9` Page 86 of 339 Page 87 of 339 Florida u& DRIVER LICENSE v LwaFE 12MV2005 u,r Kr 12102I2029 NONE st.�r,cri NONF tdsrY M rk.5 A+. A. s 0312912021 � 9.Lla MilI701tl1} 54 (', r�rrxo 04FQif2P'S2'. 'j"'" LI: 5-442-0 iLOPEZ ENOCH *44713157AVF SW NAPLES, FL 34116-MM '- SAFE DRIVER OpW i1rWi tiF.• rltiluf vnlv,a M G lHl.a[Irii Mk 4"1Y(ia.iN LC ally wta tay L..r iryw,w ❑r i.w Page 88 of 339 Co ley C01414ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY •TV FARM APRTIf [AOE OOCOMPETENCYu,~, r C .. —,.ii and is NOT This application must be typewritten or legibly printed. The application fee must oe Utl'Cornrrtissior)ers. For further unty refundable. All checks shouldbe madterlance No, payable t2006-146r asoamendedf d or County Information, consult Collie Y TYPE OF CERTIFICATE OF COMPETENCY: ❑ General $230.00 ❑ Electrician $230.00 $230.00 ❑ Plumber $230.00 X Building ❑ Air Conditioner $230.00 ❑ Residential $230.00 ❑ Swimming Poo! $230.00 ❑ Mechanical $230.00 ❑ Specialty $205,00 ❑ Roofing $230.00 Specialty Trade: I. APPLICANT PERSONAL INFORMATION: Prueitt Name' Randy I.a51 first Middle Initial Business Name: Prueitt Construction, LI_C Address: 90 Hawley Woods Rd Street Email- rprueitt@outlook.Com Telephone:847-533-3203 Date of Birth:0611711964 Barrington Hills IL City 5tate *SS # (Last 4 digits only)-2985 Zip Driver's License # (Last 4 digits only):4172 60010 pursuant to Collier County Contractor Licensing Ordinance No. 2006-46 Section 2.1.1., all applicants are required 10 submit their soelal seMhty number, driver's license, and date of birth for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credil history. b) verification of appricani'S test scores and infoanalion. e) verification of aW! ant's identity. Out office wit only use the personal information noted above for those reasons pursuant to Chapter 119, Florida Statutes, and as may olhenwlue be autnoric" by law. wte are fully committed to safeguarding and protecting your personal information and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statutes. Contractor Licensing — FIRM Application Rev. 712022 Page 3 of 14 Operations 8 Regulatory Management Division. Contractor Licensing . 2800 North Horseshoe Drive a Naples. FL 34104 • (239) 252-2431 conlradorsiicensin col!iercoun Il. ov Page 89 of 339 Gv�er C,014ftty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY whereabouts Provide the names and telephone numbers of two persons vvho wtli always know your Name: Arturo Ramirez Name: Brooke Bowser Telephone: 224-634-7397 Telephone:224-732-5260 11. NAME OF APPLICANT'S BUSINESS: Business Name:—PrueRt Construction, LLC Business Address'. 90 Haw4ey Woods, Barrington, IL 6001 — city State Zip street Telephone: 847-533-3203 Email: _rprueitt@outiook.com— Federal ID Tax No.: 81 2452SSO YES NO ALL APPi.ICANTS MUST ANSV1fER THE QUESTIONS BELOW: X Filed for or been discharged in bankruptcy within the past 5 years? X Had a Gen filed against you by the Intemal Revenue Service or Florida Corporate Tax QtVlslon? X or judgments being filed? Undertaken construction contracts or work that resulted in liens, suits, undertaken construction contracts or work that a third party, such as a bonding or surety company, X completed or made financial stato riAt1ts W Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? X Been convicted or found guilty of, or entered a plan of polo contenders to, regardless of adjudication, a clime in any Junsdiction within the past 10 years?' X Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a X contractor in this or any other state, been "subject to' disciplinary action by a state, county, or municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment.`If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor licensing — FIRM Application Rev. 712022 Page 4 of 14 Operations & Regulatory Management Division, Contractor Llcensing • 2800 North Horseshoe Drive . Naples, FL 34104 • (239) 252.2431 contractorslicensn oliier o n v Page 90 of 339 Cjrler GOWZY Growth roanagemenL Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION EDUCATIOfor which N+ ve obtained in the area of competency List below and provide transcripts for any formal education you ha this application is being made 13A Degree in Accounting duration (on the job training) you have obtained in the area of competency for which this List below non formal e application is being made. _ -- ----:,a....�.�1 on rlilinnS�reIlliii11LL7• newpew ,crnstrucitorn eash year In CURRENT/PREVIOUS LICENSE. List below and attach copies any other certificates aid° o Pnty you llhold st lnyou holdlhave held in Collier County or any other jurisdiction. Include the license #, yp I have never held a Collier GOunty license. included In this submission is my Winois license for various trades AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. Randy Prueitt — Signature of Applicant Applicdrrl (please print) state of 7I5 -- _ County The foregoing instrument was acknowledged befurc me by means or4physical presence or ll online notarizalion on this day of i `tZ C L , by Zr2nvl &UrJ = - -- Such person(s) Notary Public must check applicable bus: are personally kno%%n to me 171 has produced a cui runt driver license © has produced as identilication. (Notary Seal OFFICIAL SEAL ViGTURIA MARY ELIZABETH EDWAROS J Notary PuNic. State of Winui5 Comrnossnon No. 991895 My Commission Expires J�rne 05. 202 Notary Signature: Contractor licensing - FIRM Application Rev- 712022 Page 5 of 14 Operations B Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive . Naples, FL 34104 a t2313) 252-2431 conlractorsiicensing�Dcollie rcounty9.cam Page 91 of 339 Comer Cou- f y Growth i Aanagement Community Doveiopment Oeparlrnent APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPLICATION The undersigned hereby mattes 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 Randy Prueitt Applicant (please print Prueitt Construction, LLC Name of Company Signature4f Applicant State of 1 L!'._1r>r._--. County of 6 he I'orcgaing instrument vas acknowledged before me by means of � physical presence or ❑ online notarization on this av of �� n 2D,7+ by �L -4 A f r77 Such person(s) Notary Public must check applicable box: fa re personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) eJFF:ELIZABETH L S:11Pnois VICTORIA MARYDWARDS Notary Signature: Notary PuStat COmm15No.My Commissioires2028 Contractor Licensing — FIRM Application Rev. 7l2422 Page 6 of 14 Operations 8 Regulatory Management Division, Contractor Licensing o 2800 North Horseshoe Drive a Naples. FL 34104 . (239) 252.2431 contraciorsi censirgiiicoiliercountyfl [Loy Page 92 of 339 C O PleY County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT at if I It is understood and acknowledged by tWo kornen's Compensationr County tlnsurancestwil�esudltan he posnd lsibhe revocatlioon acquire, or maintain at all times effective of my Certificate of Competency Randy Prueitt Applicant (please Prueitt Construction, LLC Name of Cornpany Signature Applicant 1 / !) who affirms and BEFORE ME this day personally appeared Applicant (please print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation insurance State ul � i �l � County of —�� ' �-__-._. '['he lorcgoing instrument was acknowledgebefore me by means ol'�physical presence or O online not sriiation on this S�1u/�ch person(s) Notary' Public must check applicable box: Aare personally known to Inc ❑ has produced a current driver license J has produced f _ as idCmilication. (Notary Seal) OFFICIAL SEAL Notary 5ignoturc: VICTQRIA MARY ELIZABETH EL2O28 ARDS Natary,�u�lic. Slate gf Clynmissgn No. 991895 My Camm�sson Expies June o5 Contractor Licensing —FIRM Application Rev. 712022 Page 7 of 14 operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Dnve a Naples. FL 34104 . (239) 252-2431 c ntract rslic nsin Iliercount lI gov Page 93 of 339 Coi`er COmvlty Growth Managemeni Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COI-APETENCY RESOLUTION OF AUTHORIZATION Complete this form if multiple people own part of the company the license will be attached to. If there is only 1 owner, then this form is not required for the application. In accordance with Collier County Ordinance 2006-46, as amended, Prueitt Construction, LLC Company Name Owners in Collier County where Randy Prueitt to engage in contracting as Applicant Name QfficerslC3wnerSlPartners proposes to qualify fora Certificate of Competency with company Prueitt Construction, LLC Company h d rsi in Owners proposes of Prueitt Construction, LLC It Is Hereby agreed upon that we t e un e g Off,,Company cerslOwnerslPartners resolve and represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent, Randy Prueitt , is active in all matters connected with the company named Applicant Name Prueitt Construction, LLC Company VVe further resolve and represent that Randy Prueitt is legally empowered to act on behalf of Prueitt Construction, LLC Company business and has the authority to supervise construction ur slPadners officerstOwnerslPartners Applicant Name in all matters connected with its contracting rtaken by Prueitt Construction, LLC Co and Wlne55 Witness OfficerSK)wnerslPariners of the above -mentioned company need to sign on the left and a witness to the signature signs on the right State of .� Z.._ Coun[- of Tic I.oregoin2 instrument was ackno%%,Iedgcd berore me by means 01'4physical presence or ❑ online notarization on this clav oC 20rQLJ , by Such person(s) Notary Public mist check applicable box: 4,l rc personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) 7"t� L SEAL VICABETH EDWARDS tate of Illinois Jolary Signature: No 991895ires 3une D5. 2028 Contractor Licensing Page 8 of 14 operations & Regulatory Managemen' Division. Contractor Licensing • 2800 Norlh Horseshoe Drive . Naples. FL 34104 . (239) 252-2431 con Iractorlice nsin (ercolker o�rnS fl ov Page 94 of 339 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report Official Score Report: Candidate Information: Name — Randall M. Prueitt Candidate #: 73364172P Online Testing Site: Ocala, FL Final Score Result: October 23, 2024 Building Contractor Business Procedures Business Procedures Score: 78% (10/20/2024) Score: 48% (10/21/2024) Score: 60% (10/22/2024) These results represent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. Bowermeister President PO Box 831127 Ocala, Florida 34483-1127 — Voice (352) 369-GITS — Fax (352) 387-2443 800 997 2129 Page 95 of 339 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report Official Score Report: Candidate Information: Name — Randall M. Prueitt Candidate #: 73364172P Online Testing Site: Ocala, FL Final Score Result: October 24, 2024 Business Procedures Score: 66% (15t Attempt) Business Procedures Score: 86% (2nd Attempt) These results represent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida on October 23, 2024. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. Bowermeister President PO Box 831127 Ocala, Florida 34483-1127 — Voice (352) 369-GITS — Fax (352) 387-2443 800 997 2129 Page 96 of 339 11/12/24, 10:48AM Experian Your credit reports �e. Experian Eq Equifax Cu Transunion Equifax° credit report RANDY M PRUEITT FICO SCORE 8 O 657 FAIR 300 579 669 739 799 850 18 days until your next Equifax° report refresh The report refresh included in your membership isn't available yet. Can't wait? Purchase a one-time FICO° Score refresh. Buy your report Personal information NAME ADDRESSES https://usa.experian.com/mfe/credit/report/equifax/202312291949499010 Page 97 of J99 11 /12/24, 10:48 AM RANDY M PRUEITT ALSO KNOWN AS ANDY PRUEITT RANDALL M PRUEITT RANDY PRUITT GENERATIONAL IDENTIFIER YEAR OF BIRTH 1964 Quick actions You have 12 open accounts Experian 90 HAWLEY WOODS RD BARRINGTON, IL 60010 4951 TRILLIUM TRL LONG GROVE, IL 60047 9909 FAIRVIEW RD LANCASTER, WI 53813 518 W TANGLEWOOD DR ARLINGTON HEIGHTS, IL 60004 2923 REGNER RD MCHENRY, IL 60051 495 LUTHERAN ST PLATTEVILLE, WI 53818 208 W DOLPHIN ST SOUTH PADRE ISLAND, TX 78597 40606 N GOLDENROD LN WADSWORTH, IL 60083 4606 N GOLDENROD WADSWORTH, IL 60083 EMPLOYERS AURORA HEALTH ABBOTTLABS PERSONAL STATEMENTS NO STATEMENT(S) PRESENT AT THIS TIME Print your report https://usa.experian.com/mfe/credit/report/equifax/202312291949499010 Page 98 of 199 11 /12/24, 10:48 AM Total balance: $1,928,889 Experian Credit cards or credit lines Total balance: $603,276 95% credit usage o Credit used: $603,108 1 1 6% 30% 8 ABBOTT LABORATORIES Balance Balance updated 8 ABBOTT LABORATORIES Balance Balance updated 8 BEST BUY/CBNA Balance Balance updated 8 BMO HARRIS BANK NA Balance Balance updated 8 CAPITAL ONE / MENARD Balance Balance updated Credit limit: $635,800 LATE PAYMENT $597,561 Nov 30, 2023 LATE PAYMENT > $97 Nov 28, 2023 $0 Dec 14, 2023 LATE PAYMENT > $1,553 Dec 26, 2023 LATE PAYMENT $3,418 Dec 02, 2023 https://usa.experian.com/mfe/credit/report/equifax/202312291949499010 Page 99 of 199 11 /12/24, 10:48 AM Experian 8 SYNCB/PPC Balance Balance updated e SYNCB/VENMO Balance Balance updated Installment accounts Total balance: $1,325,613 s CHRYSLER CAPITAL Balance Balance updated $ LANDMARK CREDIT UNIO UP Balance Balance updated s PORSCHE FINANCIAL SE Balance Balance updated 21 closed accounts $0 Dec 18, 2023 $479 Dec 22, 2023 $24,392 Nov 30, 2023 $24,119 Oct 31, 2023 LATE PAYMENT $26,661 Nov 30, 2023 https://usa.experian.com/mfe/credit/report/equifax/202312291949499010 Page 100 of 199 11/12/24, 10:48AM Experian $ STELLANTIS FINANCIAL m Balance Balance updated s TOYOTA MOTOR LEASING ire Balance Balance updated Real estate loans Total balance: $0 16 closed accounts 3 closed accounts $41,917 Nov 30, 2023 $4,460 Nov 30, 2023 9 9 0 collections Equifax has no collections on file for you as of Dec 29, 2023. If you fall behind on payments, your lender or service provider may sell your debt to a collections agency, so remember to pay on time. 4 inquiries These lenders have accessed your credit file: 114 CNH INDUSTRIAL CAPIT Inquiry date Removal date 114 SETTLEMENTONE DATA, Inquiry date Removal date Sep 27, 2023 Oct 2025 Dec 20, 2023 Jan 2026 El https://usa.experian.com/mfe/credit/report/equifax/202312291949499010 Page 101 of 199 11/12/24, 10:48AM Experian 114 STELLANTIS FINANCIAL Inquiry date Removal date XACTUS Inquiry date Removal date Dec 20, 2022 Jan 2025 Jul 4, 2023 Aug 2025 0 public records This is where public records, such as bankruptcies, would appear on your report. Advertiser Disclosure Suggested just for you You have been Pre -Approved for 7 credit card offers Take advantage of excellent approval odds with these offers selected just for you. See your 7 offers OHO law 16 Your lenders give us data. Lenders choose which of the 3 bureaus to report your info to — so if your credit reports look different from one another, that's likely why. 9 El https://usa.experian.com/mfe/credit/report/equifax/202312291949499010 Page 102 of §99 11/12/24, 10:48AM Experian Services Tools Support Get the free Experian app: Follow us: Contact Us Terms & Conditions Privacy Policy © 2024 Experian. All rights reserved. Experian and the Experian trademarks used herein are trademarks or registered trademarks of Experian Information Solutions, Inc., Consumerinfo.com, Inc. or its affiliates. Other product or company names mentioned herein are the property of their respective owners. Licenses and Disclosures. Q TrustedSite° CERTIFIED SECURE https://usa.experian.com/mfe/credit/report/equifax/202312291949499010 Page 103 of B9 a jp6 DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCINNATI OH 45993-0023 PRUEITT CONSTRtTCTION LLC RANDALL PRUEITT MBR 4951 TRILLIUM TRAIL LONG GROVE, IL 60047 Date of this notice: 04-29-2016 Employer Identification Number: 81-2452350 Form: SS-4 Number of this notice: CP 575 B For assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTr :w:E STUB AT THE ETD OF THIS NO`-7ICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NIIMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 81-2452350. This EIN 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 you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. Based on the information received from you or your representative, you must file the following form(s) by'the date(s) shown. Form 1065 04/15/2017 If you have questions about the form(s) or the due date(s) 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 determining your annual accounting period (tax year), see Publication 538, Accounting Periods and Methods. We assigned you a tax classification based on information obtained from you or your representative. It is not a legal determination of your tax classification, and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from 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. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a ,Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. 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 1-800-829-36-76 (TTY/TDD 1-800-829--4059) or visit your local IRS office. Page 104 of 339 (Requestor's Name) (Address) (Address) (City/State/Zip/Phone #) ❑ PICK-UP ❑ WAIT 7MAIL (Business Entity Name) (Document Number) Certified Copies Certificates of Status Special Instructions to Filing Officer. Office Use Only 200439187522 T. LEMIEUX DEC 16 20 (I Page 105 of 339 TO: Registration Section Division or Corporations Prucin Cunstruction. LLC SUBJECT: COVER LETTER Name of Limited Liability Cornpany The enclosed "Application by Foreign Limited Liability Company for Authorization to Transact Business in Florida," Certificate of Existence, and check are submitted to register the above referenced foreign limited liability company to transact business in Florida. Please return all correspondence concerning this matter to the following: Randy Pructtt Prucia Construction, LLC 90 Hawley Woods Rd. Barrington, I 60010 Name of Person Firtn/Company Address City/State and Zip Code rprucitt moutlook.com E-mail address: Ito be used for future annual report notification) For farther information concerning this matter, please call: Randy Prucitt Name of Contact Person Mailiniz Address: Registration Section Division of Corporations P.O. Box 6327 Tallahassee. F1, 32314 847 533-3203 at ( Area Code Daytime Telephone Number Street Address: Registration Section Division of Corporations The Centre of Tallahassee 2415 N. ,Monroe Street, Suite 810 Tallahassee, FL 32303 Enclosed is a check for the following amount: Please make check payable to: FLORIDA DEPART'MF.NT OF STATE $125.00 Filing Fee © $130.00 Filing Fee K LI $155.00 Filing Fee $ ❑ S160.00 Filing Fee, Certificate Certificate of Status Certified Copy of Status & Certified Copy Page 106 of 339 APPLICATION BY FOREIGN LIMITED LIABILITY COtMPANl' FOR AU'I'HORIZATIOtN'1'O 7'RANSACI' Bt1SI,Ni SS IN FLORIDA IN G0..191J4r1'(T Ii•711l VC-71C).V 6)5.VX12 1. DRID4 ti1:I7UIE1 7111--KXJ. U'MG 1Y-VJ 11117I7) 70W-1';N1hRA I.0RIX;,Y 1111I1Fl)11-11311111' (.Ui11'.-1,1r}'7r17K.t,L1•ICI'BLt51.4'F_Sl' G1'7IIIz .S7i11I;U1•'1•'l,Q1U1�,f: 1 Prucitt Construction, LLC (Name a Foreign t.rmitLLta I ay [ ompany; must include " Limit Liability Company, . L.C.7 or" I.I.C.. ) (If haute unavailable, enter ahenute name adopted fur the ptuWse ,ftramactinta btmaos in Fluridn. The alternate uattte must iucbule -Limited I.iabihiv Company," " L.L.C," or" l.LC."I Illinois 81-2452350 2. 3. (Jurisdictian urxkt the Law dwhich forcien 4m-iird FahilaN company is urganuc ) (FF1 Flumber. t app iet c l (Date irct irm actc usiness to F 7 , i pnor io rcgestntion 1 (lice scctinru f,0$,090.t & 605 0905, F.S. IO determine penalhliobikiit') 1230 Allanson Rd 90 I-lawley Woods Rd S. 6. 6trcct Address at llmwipal V tcc) (Slating Address) Mundelcin, II_ 60060 Barrington. IL 60010 " r rr t - 7. Name and street address of Florida registered agent: (P.O. Box NOT acceptable) _ cn Randy Prucitt' Name: Office Address: 20681 Corkscrew Shores Blvd Estero 33928 Florida Wily) ("lip -de) t� Registered agent's acceptance - Having been named as registered agent and to accept service of process for the above stated limited liability c•ompun'r at the place designated in this application, I hereby accept the appointment as registered agent and agree to act in this capac•itr. l further agree to comply with the provisions of all statutes relative to the proper and complete performance of mr duties, and 1 um familiar with and accept the obligations of my position as registered agent. {Registered agen('s nikmaiure) Page 107 of 339 8. I -or initial indexing purposes, list names, title or capacity and addresses of the primary members/managers or persons authorized to manage [up to six (6) total I: "Title or Capacity: Name and Address: 'Title or Capacity: Name and Address: Brooke Bowser Randy Prucitt ❑Manager dame: � Manager Name: 90 Hawley Woods Rd 90 Hawley Woods Rd FgMember Address: ❑Member Address: Barrington, IL 60010 Barrington, IL 60010 ❑Authorized ❑Authorized Person Person ❑Other ❑Other ❑ Other ❑Other ❑,Manager fame: _ ❑N9ember Address: ❑Authorized Person ❑Other ❑ Other ❑ Manager ❑ Mernber ❑ Authorized Person ❑Other ❑,Manager Name: ❑Manager ❑,Member Address: ❑Member ❑ Authorized ❑Authorized Person Person ❑Other El Other ❑Other Name: Address: ❑ Other Name: Address: ❑Other Important Notice: Use an attachment to report more than six (6). The attachment will be imaged for reporting purposes only. Non - indexed individuals may he added to the index when filing your Florida Department of State Annual Report form. 9. Attached is a certificate of existence, no more than 90 days old, duly authenticated by the official having custody of records in the jurisdiction under the law of which it is organized. (If the certificate is in a foreign language, a translation of the certificate under oath of the translator must be submitted) 10, This document is executed in accordance with section 605.0203 (1) (b), Florida Statutes. I am aware that any false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. Sigrwuec ni a authorimd prnon Randy Prucitt ] %'Pod or ptimcd mmir of signcc Page 108 of 339 File Number 0577616-3 To all to whom these Presents Shall Come, Greeting: I, Alexi Giannoulias, Secretarnj of State of the State of Illinois, do hereby certify that I am the keeper of the records of the Department of Business Services. I certify that PRUEITT CONSTRUCTION, LLC, HAVING ORGANIZED IN THE STATE OF ILLINOIS ON APRIL 28, 2016, APPEARS TO HAVE COMPLIED WITH ALL PROVISIONS OF THE LIMITED LIABILITY COMPANY ACT OF THIS STATE, AND AS OF THIS DATE: IS IN GOOD STANDING AS A DOMESTIC LIMITED LIABILITY COMPANY IN THE STATE OF ILLINOIS. In Testimony Whereof, I hereto set my hand and cause to be affixed the Great Seal of the State of Illinois, this 30TH day of OCTOBER A.D. 2024 Authentication #: 2430402658 verifiable until 10/30/2025 Authenticate at: https:]Nvww.ilsos.gov SECRETARY OF siAtE Page 109 of 339 C©#er County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that 1. Randy Prueitt am a member or managing APPLICANTS NAME (please print) member of Prueitt Construction, LLC (LIMITED LIABILITY COMPANY NAME) I own 50 % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I certify under penalty of perjury that the information contained is a true and correct statement to the hest of my knowledge. Randy Prueitt Applicant (please print) Prueitt Construction, LLC Name of Company Signature of Applicant Statc of 1 County of _11RV-26 _ T' c foregoing instrument %vas acknowledged before meIbneans of Ohysical presence or ❑ online notarization on this da of zt3ryC . by !( #�L.Uy%1T7~ — Such person(s) Notary Public must check applicable box: 1�re personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) as identilication. OFFICIAL SEAL VICTORIA MARY ELIZAKTH EDWARDS Notary Signature: Notary Public. State of Illinois rvnission corNo. 991895 1tA Commission Expires June 05.2028 Contractor Licensing -- FIRM Application Rev. 712022 Page 9 of 14 operations & Regulatory Management Division. Contractor Licensing • 2800 North Horseshoe Drive % Naples, FL 34104 a (239) 252-2431 contractorslicensing0colliercountyft aov Page 110 of 339 Collier CoNnty Growth Management Community Development Department APPLICATION FOR. COLLIER COUNTY CERTIFICATE OF COMPETENCY /1 Vr-RIMC-ATION OF CONSTRUCTION IEXPOR16NCE Appliranrs Certificate ( The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this ceri fcate, the applicant must verify hisRter experience within this trade_ You are being requested to provide information that will aid the applicant in meeting this requirement. You should verity 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 aupervisory or administrative role should be descrtted, trot may or may not be considered sutfictent to demonatrate required trade c�rieucei. The pargon verifying trade experience for the above -named applicant must provide the following information: Name: Business�Name: Phone: t'� Business Address: 4 = Street The applicant was employed by me from Applicants title: The appli snY cope of wDA (sped tlulieQ included: Additionai comments: a No. (it appGcabie): Gry SIB zs to NOTE To LMENSED CONTRACTOR& fatsityksg any infcmlation prpvrJad herein may subject your license to revDCation. Under penalty of perjury, 1 declare that the facts stated here are true. Signature of person providing the statement State of l LL&D S County of The foregoing instrument wa4 acknowledgeddbefore ine by means of ❑ physical presence or © online notarization on this day or . 202 . by , { Q�Utz Such persons) Notary Public must ch d applicable box: are ptrsonally known to me ❑ has produced a current driver license © has produced a5 identificalian. (Notary OFFICIAL SEAL VICTORIA MARY ELiZABETH TEDWA Notary Publx, State of llfarois Commission No. 991895 13otary S;gnawre: My Commission Expires June 05, 2028 CAnvaclor Uoamsing — FIRM Application Rev. 712022 Pago 12 of 14 Opembons & Regulatory Management Divislon. Contrador E k -Mz ng • 2800 NofM r�e Drive a Naples, FL 34104 • fZ39j 252-243T canlra IWIgan ng lriunM[I20v Page 111 of 339 Collier County C,rumh Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY /, VERIFICVION ,OF CONSTRUCTION EXPERIENCE Applicant's Certificate Category Requested: The applicant is seeking a Colller County Certificate of Compatency in the trade indicated above. As part of the application for this certificate, the applicant must verity hisftter experience within this trade. You are being requested to provide informationor that will old the appllcant In meeting this requirement You should verify time of active experience working as an apprentice a skilled worker (e.&, as a worker commanding the wage of mechanic or better in the Nada). TtMe served solely in a supervisory or adminiatradve rote should be describes for the or may n not a consoane us f fide t t tdee onstrat intamra�d trade experience. The pon3on verifying trade expe � tiom Name: a rtte: 1. Cl- Business Nance: license No. (d applicable): Business Address: tv w r- �.. _ The applicant was employed by me from Appilconfe title: l The appllcane a pie of work (s fsc dutFe�) tnduded , State zip to t �� Additional cormnents: NOTE TO LICENSED CONTRACTORS: Fall &ft anyinib mathm Provided h9►ein may subject yourtiCense to revocation. Under penalty of perjury. I declare that the facts stated here are true. Signrture at t�� pr�n9 the statement Stoic of County or�.� c foregoing - �ins,t�ru�mepnt was a wledged before by ears of o physical presence or 0 online notarization on this day or UP&Jy, , 202L, by ich permm(s) Notary Public must check apliceWc box: are personally known to me ❑ has produced a current driver license has produced as identification. (Notary Seal) OFFICIAL SEAL VICTORIA MARY ELIZABETH EDWARDS Notary Public, State of Illinois Ca11misslon No. 991895 N Signature: My Commission Expires June 05, 20N CWVDWor Ucenstrtg - FIRM Apptiration Rev. 712022 Page tt of 14 opereseons a Regulatory Managemerd otvlelan. Contrador Unnsln9 • noo North Horseshoe Drive • Napies. Ft. 34104 • (239) 202-2431 conG Page 112 of 339 G- COIIieY County Growth Management Community Development Deoartment APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COWETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: Randy Prueitt Certificate Category Requested: Bu fldng Contrac Ing 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 his/her 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 for the above -named applicant must provide the following information - Name. Randy Prueitt Title: Owner Business Name: Prueitt Construction, LLG Phone: 847-533-3203 _ License No. (if applicable): Business Address: 90 Hawley Woods Rd. Barrington, IL 60010 Street City State zip The applicant was employed by me from 611982 to r� esenl Applicant's title: Owner The applicant's scope of work (specific duties) included: All as eels of b Idi con ctor, ran the company IT Additional comments: I have been self-employed form entire career NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. Slaic of ,i The foregoing instrument was aekno%vIcdged ore me b means of Uhysical presence or ❑ onlin4 notarization on this f 30iav 01' 20 by li 11 i r -- --- -- Such person(s) Notary Public must check; appheable box: 11I� �Jarc personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Sent) OFFICIAL SEAL VICTORIA MARY ELIZABETH EDWARDS Notary Pubic. State of Illinois Notary Signature Commission No. 991895 My Commission Expies June 05. 2028 Contractor LicenSing - FIRM Application Rev. 712022 Page 10 of 14 operations 8 Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive . Naptes. Ft 34104 • (239) 252-2431 co wractorsh censmE(ZB collie rcounNP.gov Page 113 of 339 COe-V COuvi.ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER _ f STATEOF � f I (Y"7I�) COUNTY OF W " ' I, Dominick Clarizio , having been first duly sworn, state and affirm: I am a resident of Lake County, _Illinois (State) and have resided here for more than five (5) years. During the last five (5) years I have known Randy Prueitt (applicant). I have had the opportunity to observe his or her business and personal dealings and find him cr her to be a person of honesty, integrity and good character. Signature lDoninick Clarizio Printed Name Address: S00 N. western Ave 5' _r. Lake Forest, IL 50045 rrty Sale zic Telephone:_847-910-0733 Stale of 1 jLZijS ,..., County of ) a✓ _ _ _ 4 LorcgoinR instrument was acknowledged forc me by mcans of iphysical presence or G online notariZalion an this a of 2d- ' by _l\\ , �ttr.i �' ]ELL ��--• — - -- _ —. Such person(s) Notary Public must check applicable boo re personally known to me © has produced a current driver license 0 has produced as identification. (Notary Sea!) OFFICIAL SEAL. VICTORIA MARY ELIZABETH EDWARDS Notary Public, State of lilinois olary Signature Commission No. 991895 My Commission Expves June 05.2028 Contractor licensing — FIRM Application Rev. 712022 Page 13 of 74 Operations & Regulatory Management Division, Contractor Licens+ng . 2800 North Horseshoe Drive . Nap;es, FL 34104 . (239) 252-2431 contraclorsli;ensino(�c)colliercounNy 1. ov Page 114 of 339 Co per Cou�t�' Growth Management Community Development Department ,APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF �� vlt � 0 COUNTY OF C'CN�4- 1. Jody Hammond I am a resident of Kenosha more than five (5) years. having been first duly sworn, state and affirm: County, Wisconsin (State) and have resided here for During the last five (5) years I have known Randy Prue It (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. Statc of u County of _- } I' a foregoing instrument Was acknowledeed be lore me b , meannss ool'❑y �Xzday of _� 20 �jr'rf`�= —5 Signature Jody Hammond Printed Name Address: 31310 60th Street street Salem, Wl 53168 City Telephone: 262-287-3810 Such person(s) Notary Public must check applicable boa: JJare personally known to me ❑ has produced a current driver license ❑ has produced _ as identification. (Notary S •rl OFFICIAL SEAL VICTORIA MARY ELIZABETH EDWARDS Notary Public, State of Lr o s Cornmis i No. 991895 Notary Signature: M Commission Expires June 05. 2028 Contractor Licensing — FIRM Application Rev, 712022 State Zip I presence or ❑ online notarization on this Page 14 of 14 Operations 8 Regulatory Management Division, Contractor Licensing + 2800 North Horseshoe Drive o Naples. FL 34104 . (239) 252-2431 conlractorslicensin colliercoun ll. ov Page 115 of 339 . % a CERTIFICATE OF LIABILITY INSURANCE DATE(Ii&n❑YfYY) t(W29n§24. 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(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain ;policies may require an endorsem¢n:. A staternen- cn this certificate does not confer rights to the certificate holder in lieu of such endvrsemengs). PWI50DUCER CONTACT NAME' Next First Insurance Agerlty, InL. PO Mx 60787 Palo Am. C/19006 PriCNE j855) 222-59t9 F-k' L No): E41AA,L 3L1 L3rlextirl3uYafnte.Ldrr1 ADDRESS: pPurt ■1SU ZS AFFOROlIOCOVERA0E HAICt INSAAtER A: NeXE Insurance US Coirlpauy 16285 INSURED INSURER B : PI ueitt CoutruLti6rti LLC 90 Hawley Wwds Rd INSURER c- INSURER O Barl inMjv^ IL "ll 0 INSURER E- INSURER IF COVEFZAGES, CERTIFICATE NUMBER: 69 1 907L69 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE �-DUICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIv CERTIFICATE WAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE P01_ICiES DESCRIBED HEREIN IS SUWIECT TO ALL THE T=RMC. EXCLUSIONS AiND CO+NDITH]NS OF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE 949D WVD POLICY NUMBER 1■■pOl Lows X IC-OMMERMALOENER,AL LM6ENE 7V E-. H OCCURR94CE ;1,000,00G.00 --kIMS4AA1)E OCCUR FREMSESl2aeccurrence ;1D0,0W.00 MM EXP .A f :.it person.. ; 15 .E,- pERSopdAL a AOV IN:1JFiY ;1,D00,004.00 IO(TLINP r RIN. _ :__ D112EV2024 '� 112W2D25 ENL AGGA.MATE LRAT APPLIES PER: GENERAL AGGREGATE ; 2,W0,000.0D • POLICY ❑ JIE-CT LOG Pt'IRCOUCTS-OOMPK)P'.',r,_ �2,DII0,0DO.OD $ OTi-FR: AUTCNIfY+■ p LIABIrIY „DA6INED 91NGLE UMrr Ea aalr S BOOIL7 N.IURY tFu peas-D, ANY ALTO CWHED '"-ECL EC ALTCO Ct.:'' teas ER]OILY INJURY (Per a[edem i PRDP :Z1T C WAIAGE :Peracddcdl i HIRED NON-MNED ALFTOG Ct•_' - CG ONLY UMBRELLA LEAS EVHOCCURRENCE =�=RLGATE EXCESS LIAS CLiIM. ilk:1_ DIED RETENTION Mhxmu4ERtC0I11hpENZATION � -- c = AND EMPLOYE.RL' LIAE E-FrY ,� - N )%K-PRCPR--rOPoP.FATkER"F}ECL`Th:= CfF10E=WE%%EREX LJ:lED? ❑ EL EACH � GG-aFJK- s IMandalorlr In NHI El OISEtBE - E,A SA-LOYEE tapes, aesn#r under De-�,RIPnaN OF OPER AnDNs below EL DKEASE -POLICY LMr ; Eath OLcurrenLit- 525,00D.I52 A Cunua_u n& Erti3rs and ChniSYian!L F,"XTCW P'MT 02-GL 4112812024 01128I2025 egate!: 550,WD.D7 DESCRIPTION DF DPERAnONS l LOCATIONS! VEHICLES IAC4FD 101, Addlllonal Remarloc toiledure, maybe ettwhed It afore cpaos 1c nqutroM Tht CertifiLate Hulder is COL9er Cuunt'y CuntraLtur is do Addidufi l hiwre i on Elie General Liability 131kyper tiw dldditivrlal limwred ,ALI_' StaLu. Endtxa.emerlt All Certi iLdte Holder prrrile jl applytanlyiIr�;.a rcY�, Uy wf!.Etrl agreernerrt between tine Certirma'le Holder andpthe Insured,ijodare subjeLE Era potty Ler11'h drld LUIldd1Ul16. CERTIFICATE HOLDER CANCELLATION Collicl LIVE CERTIFICATE 21300 N HorSe! hoe D! Naples, FL34'104 ■ ■ S MOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROWSPONS. AUTHORIZED RERMSENTATINE 7 :-D 14988-2015ACORG CORPORATION. All rights re=_er-ed. A.CORD 25 1;2016103) The ACORD name and logo are registered enari:s Of ACORD Page 116 of 339 JEMS WORKER'S COMP WORKERS' COMP CODE NUMBER OF EMPLOYEES ANNUAL PAYROLL SOCIAL SECURITY TAX MEDICARE TAX FEDERAL U/E (FUTA) STATE U/E (SUTA) WORKERS' COMP RATE ADMINISTRATION FEE TOTAL SERVICE FEES AFTER CUTOFFS Issue Date: 10/29/2024 This Proposal is Valid Until 10/30/2024 5646 1 $ 31,200 6.20% 1.45% 0.60% 2.70% 10.00% 5.00% 25.95% 22.62% 5606 1 $ 31,200 6.20% 1.45% 0.60% 2.70% 1.05% 5.00% 17.00% 13.70% ESTIMATED WEEKLY PAYROLL OF: ($ 1,200.00 Broker: Lucas Acevedo Phone: (954) 408-92 E-mail: lucas@emswc.com O O O O O O Non -Refundable Policy Origination Fee: $ 895.00 Estimated Worker's Comp + Employer Tax +Admin Fee Per Week: ($ HAWK4 is SAFETY Weekly Fees After Cutoffs: ($ $ 15.99 Weekly Safety program Weekly Minimum Admin Billed: ($ 50.00 COURIER DELIVERY FEE: Cost of Shipping/Handling REQUIREMENTS *There is a Weekly minimum WC charge of: $ 275.00 or minimum WC charge of $ 55.00 per employee in code 5551, (whichever is greater) required. * 2,500 deductible claim fee will be due in the event of a claim *PER EMPLOYEE SETUP FEE: $ 1.00 *Non -Refundable Policy Origination Fee includes one cert issued prior to 1st payroll processed ALL PROPOSALS ARE SUBJECT TO UNDERWRITING APPROVAL. THE RATES REFLECTED ABOVE ARE BASED ON PAYROLL INFORMATION PROVIDED BY YOU AND ARE SUBJECT TO CHANGE IF YOUR PAYROLL FALLS BELOW THE PROPOSED AMOUNT. REGISTRATION FEE IS NON REFUNDABLE ONCE POLICY IS APPROVED. CUSTOMER NAME: Randy Prueitt SIGNATURE 6Ax46Ww,'�6 PRINT NAME AND TITLE: DATE-10/29/2024 Have a PEO Policy already? EMS Workers Comp can provide you and "apples to apples" comparative quote showing EXACTLY how much you will save on your next invoice and over the next 12 months. Just send copies of your last 2-3 invoices with the payroll detail pages showing the names of the employess and WC codes. Ask our brokers and CONSIDER IT DONE. Pa e 117 of 339 JEMS WORKER'S COMP POLICY ORIGINATION FEE PAYMENT AUTHORIZATION FORM Complete and sign this form to authorize EMS WORKERS COMP (EMS) to make a one time non refundable debit to your bank account or credit card. By signing this form you give us permission to debit your account for the amount indicated on or after the indicated date. This is permission for a single transaction only, and does not provide authorization for any additional unrelated debits or credits to your account. Please complete the information below: I Randy Prueitt charge my account indicated below for *Non -Refundable PEO Setup Fee **One Early Cert Included Billing Address City, State, ZIP Phone # E-mail 90 Hawley Woods Rd Barrington 8475333203 rprueitt@outlook.com Select one credit card option: Q Visa O Mastercard O AMEX O Discover SIGNATURE: 6A,46) ",,tt :• 11 (Amount) Cardholder Name: Card Number: Expiracy Date: Security Code: authorize EMS on or after 10/29/2024 Randy Prueitt 5217300101585273 02/27 220 DATE: 10/29/2024 (Date) 4.00% Merchant Fee Included Pacle 118 of 339 JEMS WORKER'S COMP SERVICE & FEE ACKNOWLEDGEMENT DISCLOSURE Date: 10/29/2024 1, Randy Prueitt acknowledge that EMS WORKERS COMP INC has been contracted and authorized by me with full authority to do so on behalf of Prueitt Construction, LLC PEO CARVE OUT Staffing Program Administrative Services to obtain: (Initial next to all that apply) * I have been fully explained and understand the coverage limits of my policy * I have been fully explained and understand all down payments, recurring monthly payments, Service fees and reporting requirements attached to my policy. * I have been fully explained and understand all enrollment & processing fees Initial Initial Initial All charges to my authorized payment method are hence deemed earned and non-refundable upon acknowledgement of approval delivered by email, fax, us mail, or by verbal communication. Carrier & and third party agent's down payments, escrows, and fees are subject to carriers individual refund policy if any. (Authorized Signer) Randy Prueitt (Printed Name) 10/29/2024 (Date) Pa a 119 of 339 JEMS WORKER'S COMP LOSS HISTORY AFFIDAVIT This affidavit shall be utilized to validate and acknowledge a prospective company's workers' compensation loss experience, or the lack thereof, when Carrier, PEO and/or Payroll Company generated los runs or declarations are not being presented. This affidavit must be completed by an owner/officer. Company Information: 1, Randy Prueitt (Print Owner/Officer Name) Prueitt Construction, LLC certify that and any related business (Company Legal Name) entities through common ownership/ interest, as well as any predecessor companies listed below, if any: (Common Ownership/Related Entities) Loss History Acknowledgement: has not experienced any work related injuries and/or reported any workers' compensation claims and certify that no current or former employees have reported an injury in the prior 3 years from the date this form is signed. ® has experienced work related injuries and/or reported workers' compensation claims in the prior 3 years. Present all(**) injuries and details below: Month & Total Cost Insurance Carrier, Name of Injured Employee Year of Type of Injury of the Claim PEO and/or Payroll Injury Co **If more claims exists, within the prior 3 year period, please present on another sheet of paper using the same format. It is a crime to knowingly provide false, incomplete or misleading information to any party to a workers' compensation transaction for the purpose of committing fraud. Penalties include imprisonment, fines, and denial of insurance benefits. Any person who knowingly, and with intent to defraud any insurance company or another person, files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects the person to criminal and civil penalties. Owner/Officer (Sign): Q"'te Title/Position: Date: 10/29/2024 I attest that I have counseled the aforementioned business owner/ officer regarding the presentation of loss data for underwriting. PEO Name: Date: PEO Representative Name ( Sign: Digital signatures are prohibited for use on this and any other document presented to EMS WORKERS COMP INC. Pacle 120 of 339 JEMS WORKER'S COMP CLASS CODE AFFIDAVIT This form will address class codes that are commonly miscoded in construction and industrial operations. Miscoding is the intentional or unintentional use and assignment of a class code. They include the following: * 5606: Contractor -Project Manager, Construction Executive, Construction Manager, or Construction Superintendent * 8742 — DE951: Salespersons or Collectors -Outside * 8809 (TX -ONLY): Executive Officers NOC-Performing Clerical or Outside Salespersons Duties Only * 8810 — DE953: Clerical Office Employees NOC Please read the following abbreviated NCCI Scopes definitions to understand what is and is not applicable to their assignment. The complete NCCI Scopes Manual description will be provided to you by your PEO provider upon request. Please select, with an X, the Class Code(s) you are requesting be assigned to a co -employee assigned to your business: Class Code Affidavit ❑ * 5606: This classification is available only to project managers, construction executives, construction managers, or construction superintendents having administrative or managerial responsibility for construction or erection projects. When determining eligibility, it is the job duties, and not the job titles, that are the main consideration. Code 5606 does not apply to any person who is directly in charge of, or who is performing any degree of actual construction work. Such person must be assigned to the classification that specifically describes the type of work which they are exercising direct supervisory control. A sole proprietor or owner/operator with no employees, working as a subcontractor for the Client Company, would prevent the assignment of this classification to a construction executive because the subcontractor does not have the required job supervisor or foreman to support indirect supervision. ❑ * 8742 — DE951: Salespersons or collectors are employees engaged in such duties away from the employer's premises. 8742 is not available for employees who deliver merchandise. Judgment is necessary in assessing these employees' duties for classification purposes since occasional courtesy deliveries of a nominal quantity of merchandise would not preclude them from being classified to 8742. When outside salespersons or collectors regularly and frequently perform duties at the premises of their employers, their total payroll is assigned to the highest rated classification representing any part of their work. ❑ * 8809 (TX -ONLY): Executive Officers performing clerical or outside salespersons duties only - not superintendents, foremen or workers. This classification applies only to executive officers such as the president, vice president, secretary, treasurer or any other officer appointed in accordance with the charter or by-laws of the corporation or a professional association. ❑ * 8810 — DE953: This classification is available only to clerical/ administrative personnel whose work areas are separated and distinguishable from all other work areas and hazards of the employer by floors, walls, partitions, counters, or other physical barriers. The duties of a clerical office employee include creation or maintenance of financial or other employer records, handling correspondence, computer composition, technical drafting, and telephone duties, including sales by phone. The clerical office classification continues to apply to a qualified clerical office employee who performs a duty outside of a qualified clerical office area when that duty does not involve direct supervision or physical labor and is directly related to that employee's duties in the office. Pa e 121 of 339 JEMS WORKER'S COMP CLASS CODE AFFIDAVIT (CONT.) Activities prohibited while assigned to the codes listed above include: delivering, carrying and loading of any work related materials/equipment. Deliveries of a nominal or insignificant quantities by an employee assigned to 8742 is appropriate. Climbing ladders, operating equipment, quoting work off the ground or on roofs and all other physically demanding work is also prohibited. EMS WORKERS COMP reserves the right to retroactively apply all payroll for miscoded employees in any policy period when a determination is made that miscoding has occurred. Miscoded employees will be assigned to the highest rated/governing construction code. By signing this affidavit, I am certifying that I have read the full description of the applicable code, as outlined in the National Council on Compensation Insurance (NCCI) Scopes Manual, and that all employees assigned in the aforementioned code(s) are properly classified. Prueitt Construction, LLC Client Company Name PEO Provider Name Randy Prueitt 6?A,4 P 10/29/2024 Client Owner Name: (PRINT) Client Owner Name: (SIGN) Date NOTICE: Any person who knowingly and with intent to defraud any insurance company or another person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects the person to criminal and civil penalties. Pa e 122 of 339 Audit Trail WESignature' Title EMS - Prueitt Construction, LLC.pdf Document ID group-17302390111a79flac842cf3ec d72fed45021b70de Sender Mail melyssa@oneforcewc.com Status Completed Document History Signer Name Randy Signer Mail rprueitt@outlook.com Ip Address 174.192.68.87 Action signed Date 2024-10-29 22:02:56 UTC xx------------------------------------------------------------------- Signer Name Randy Signer Mail rprueitt@outlook.com Ip Address 174.192.68.87 Action rprueitt@outlook.com, has agreed to WeSignature Terms Of Service and to do business electronically with the Sender and with all participants. Date 2024-10-29 22:02:55 UTC xx------------------------------------------------------------------- Signer Name Randy Signer Mail rprueitt@outlook.com Page 123 of 339 Ip Address 174.192.68.87 Signer Name Randy Signer Mail rprueitt@outlook.com Ip Address 174.192.68.87 Action view Date 2024-10-29 21:59:40 UTC xx Signer Name Randy Signer Mail rprueitt@outlook.com Ip Address 104.47.74.126 Action view Date 2024-10-29 21:59:37 UTC xx Page 124 of 339 Co er Corte kity 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 INSTRUCTIONS: 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: 6—--E{l��t r�E(� ('�4��t E! '—L✓t L, Fiction Name/ DBA: C->Gp-Q O'er- S Qualifier Name: _?A-Lf,L, C-,497.4,e- 6, Physical Address: (p300 _(b ?A7_ CpLA_L-T_ Pl -VV-4.C1--5j 'PL--3'S':A rfo (Number & Street) (City) (State) (Zip Code) Mailing Address: (Number & Street) (City) (State) (Zip Code) Telephone: DL '- 4is -33"l--A E-mail: q q ter', l�orS l TYPE OF General $230.00 Building $230.00 Residential $230.00 Mechanical $230.00 " Roofing $230.00 Specialty Trade: Electrician $230.00 Plumber $230.00 Air Conditioner $230.00 Swimming Pool $230.00 Specialty $205.00 Application Fee $105.00 CHANGE OF STATUS: ( ) Reinstatement ( ) From One Business to Another ( ) Dormant License to Active Page 125 of 339 1. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. A-L.L.- Q E A'-(1- r1 �U�S.��33`i41 �.3`t1-�o1-3c�88 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 fore oing application and that the facts stated in it are true. / State of FL County of Au orized fficer the Firm The foregoing instrument was acknowledged before me by means of L9'physical presence or O online notarization on this I day of N o\/ , 20 D 4 , by IJQ Such person(s) Notary Public must check applicable box: ED/are personally known to me O has produced a current driver license O has produced (Notary Seal) ANDREA KRISTEN GEARING o`!"r ►u� MY COMMISSION #HH192614 : E)(PIRES 31. 2025 OC1 Bonded through tsr State Insurance as identification. Notary Signature: _ Page 126 of 339 QUALIFIER INFORMATION: Name: AAA.-- C EA-%O--1y, G Address-01 ;Lq ( W t t»L.E CA-4 "WL- Fop--T YYt4jU_-S1 J:-L 339 (,o-1 (Number & Street) (City) (State) (Zip Code) Telephone: , -� 0"1- $g SS#: a4S -Z:11 S -boa 1 Driver's License #: Date of Birth: ,j� ( $ i(o5 E-mai 1: �4.� l -ea r t tors. cmr,,-, `t 8'- o 1. Type of Certificate of Competency for which application is made. (->0 r c r.,v-L4-�2 2. The names and telephone numbers of two persons who will know your whereabouts. 744Efs.SA C- -GkCL n6, -�-.3g -gC'�-S - l(--s CZ�. / 3. Have you ever been convicted of a crime related to Contracting? v'% o (If yes, attach extra sheet with explanation.) 4. Have you or any firms you have been associated with ever filed bankruptcy? ^ 0 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. h I A,- 6. List your business or work experience during the last ten years. 7. Statement of any formal training you have had in the area for which the application is made. Page 127 of 339 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. State of FL County of 4ntA. 1?ALJ-L C CaA4LL,( Applicant (please print) Name of Comoanv The foregoing instrument was acknowledged before me by means of O physical presence or O online notarization on this 1Dday of N ( / 20 a y . by po u I Such person(s) Notary Public must check applicable box: Mafe' personally known to me I7has produced a current driver license Ohas produced as identification. (Notary Seal) Notary Signature: Ad .•„Qy'P�. ANDREA MISTEN GEARI111• MY COMMISSION #HH19261 EXPIRES: OCT 31, 202b ,a Bonded through 1st State Insuran,.. Page 128 of 339 Cu-e-r Couri.ty 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 WISH TO INITIATE 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: m= .. C,4 T jo _-_5FbyxS 6Zr 4L_je � Fiction Name/ DBA: 'M EL CA'TM Qualifier Name: Physical Address: %.�-44 wr` _ C>A 'bg_ kFL 339lP (Number & Street) (City) (State) (Zip Code) Mailing Address: 1p3oo 'j -47- 'L' l F—T .yy-L4e4-S GL33Q14,Sp (Number & Street) (City) (State) (Zip Code) Telephone: a391— 4A S 7!1 j j —1 E-mail: _ a F Q r ; ��FLo ors, Federal ID Tax Number: 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. Page 129 of 339 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 Cede of 11, Sigxfature ffAppI Business Name h/ a) 1 A - Date State of F- l County of Lt Q The foregoing instrument was acknowledged before me by means of Idphysical presence or O online notarization on this of 1 day of N W , 20 D , by Pow Geotri► q Such person(s) Notary Public must check applicable box: EKre personally known to me Ohas produced a current driver license Ohas produced as identification. .�Y,� ANDREA KRISTEN GEARING 2°j e`er MY COMMISSION #HH192614 (Notary Seal) EXPIRES: OCT 31, 2025 Bonded through 1st State Insurance Notary Signature: Page 130 of 339 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. State of FL County of Lem - &.A-t-- 66*t l nG Applicant (please print) Ln Vic.. t r% 6. FLDo�S Name of Company The foregoing instrument was acknowledged before me by means of O physical presence or O online notarization on this day of NoV , 20 Di4 , LM vl I GOAT Such person(s) Notary Public must check applicable box: Pere personally known to me Ohas produced a current driver license Ohas produced as identification. (Notary Seal) Notary Signature: , .o„ ANDREA KRISTEN GEARING 2�.�+ MY COMMISSION #HH192614 4 EXPIRES: OCT 31, 2025 "Z�°f,.,., Bonded through 1st Stare Insurance Page 131 of 339 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 business. kN J ✓ �✓ *A t- rr-t i ra -�,( ., Fa m� I y A, r wtkN�- +o fla:.' Goen?*•�►y `�Aey C� a� `��Q:� !i✓n/ h� Leta i'� . 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. IV 0 3. If the proposed entity has been qualified within the last 12 months, list three recent jobs completed by the proposed entity. Include dates of completion, address, description of work, name of previous qualifier and name of owner. N14 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. t tFt~*,n%-t &e-t _ 1a-SU O-U- 6116 . 1:4- f~T IV%-4GA-s �tes-tom lit ttL& tAatLs 6a..6s..r tt.a5 n�t�t'�t.t. 6ca FUR- 3t) tS t s but L;0C-R-s — 3�'••• - ° l� e' iS F�.00t Lr.D�L L5 ,y}t( t-t�..Tl �t oA.�s Dit-. � cc6rc'*�lrJ�e o - sl� 5. Does the business es) 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 rm? YESyou a _ NO If yes, identify business and provide explanation. 6. I.ist principal suppliers for the past six months for the business you presently qualify. M O{Ap,.a1L 6*0.p.s arrAr t, k- L-6 ' 7. List principal suppliers for the past six months for the business you are applying to qualify. 8. List persons authorized (currently and in the past 6 weeks) to pull permits on your license(s). �pru. t— C��- ► a^ � Page 132 of 339 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 �. 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? �l 3. Undertaken construction contracts or work which resulted in liens, suits or judgments being filed? L'�►.�{row�xP.S �a� '�o�•�:,.�—� 4— 4. Had a lien filed against you by the Internal Revenue Service or Florida Corporate 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 within 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. Page 133 of 339 9. How are you being paid by the business(es) you presently qualify (salary, % of profit, etc.)? 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(es) you qualify and what percentage of ownership will you have in the business you are attempting to qualify? koD 12. Do you pplicant) have check writing authority for the present and proposed entities? YES NO If yes, provide a letter from the bank. �t.�s '. „.-C c S 13. List all officers/partners/owners of the business you are applying to qualify and position held. 14. List all officers/partners/owners of the business you presently qualify and position held. L. &QA9- t n6 — D art- JL- 15. Do the business(es) you presently 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. 16. Submit notarized statements signed by an authorized agent of the entity(ies) 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. Page 134 of 339 RESOLUTION OF AUTHORIZATION WHEREAS C=ZALL wA6-A4.4,t-bt,%6et— C 9--K-r 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 (,eA-L Lru,. — k-lAr kmarR_ CAf PET proposes to qualify (Name of Business Entity) for a Certificate of Competency with Y1r1 rL.CM ttU S-r2rvxC (Name of Individual) NOW, THEREFORE, BE IT HEREBY RESOLVED THAT: We the undersigned (?ALA.L of (Officers, Owners, Partners) —V40bw%dEt 0-448110wnereby resolve and represent to the Collier County (Name of Business Entity) Contractor's Licensing Board that the qualifying agent, t)UAA— C664 Q-ma , is active (Name of Individual) in all matters connected with the contracting business of 4,6-iA4 tr�b—(-lr4�rKoc� "fin (Name of Business Entity) We further resolve and represent that SeiL6te hn i IL. -A- bbpr is (Name of Individual) Legally empowered to act for i5A-CA M S"iwvl-� in all 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, Partners, Owners- with designation underneath) State of r L County of Lu— The foregoing instrument was acknowledged before me by means ofA3-`p`hysical presence or O online notarization on this _day of N py/ , 20 �;ff_ , by Such person(s) Notary Public must check applicable box: Wre personally known to me Ohas produced a current driver license Ohas produced as identification. (Notary Seal) ANDREA KRISTEN GEARING o ✓ . �� MY COMMISSION #HH19261 Notary Signature: AnO4- qCpIRES: OCT 31, 2025 *awl Bonded through is, Stale Insurance Page 135 of 339 PO Box 9701 Allen, TX 75013 0004955 02 MB 0 622 "AUTO T90 7275 33967-527541-0O2-PO4959-1 PAUL RAYMOND GEARING 9241 MIDDLE OAK DR FORT MYERS FL 33967-5275 „I�III,IIII,I�lllllt,Irlll�irinllll��lnlllrl{�Ellilll,,,1ll0 !as experian.. Your Credit Report Report # 2410-7730-86 for 'Nov 25, 2024 Hi, Paul Raymond. Welcome to your Credit Report. The summary below shows only the most important activity that affects your credit history. For more details, see the full credit report following the summary or view it online; experian. comlfreescore What makes up your FICO® Score?* Payment history makes up to 35% of your score. This is the most important factor in your credit score Even one missed or late payment can negatively impact your credit score. Amount of New Credit makes up to 10% of your score. Each credit or loan application counts as a hard inquiry on your report. Too marry in too short a time can lower your credit score. 1 VERY GOOD 761 FICO Credit Mix makes up 10% of your score. For example, it helps to have a reasonable debt spread among credit cards, mortgage, and car loans if you pay them on time. Amount of Debt makes up 30% of your score. Total balance owed, how many accounts have balances and how much of your available credit you're using is considered. The lower the percentage, the better Credit History Length makes up 15%of your score and considers the age of your oldest account, the age of your newest account and the average age of all your accounts. A longer active credit history is better for your score Repaying a variety of debt products indicates the borrower can handle all sorts of credit. Credit score calculated based on the FICO' Score 8 model. Your lender or insurer may use a different FICO' Score than 1= ICO' Score 8, or another type of credit score altogether. Learn More at' Fxperian.com 0135966182 PAUL RAYMOND GEARING Report # 2410-7730-86 for 11125/2024 Rage 136 b? 339 \� O Q. N O T 7 m O_ U t T ca C .0 70- O o N N C 0 O O U N U � Q N Q� N v L vi ~ O O T • O �IIww N r V/ O a _ N AA`` m W LN u C N CD 3 W L m E 0 s N V� N r Z O N uJ Q a O z O � © o Y J t v 0 O C9 vftmuof O LA co m N > O OCL U ui ' L N C a7 �, c6 a X E m e) (2) O ._. � .N QZ O > �= O C $ LL O U n x C cOC O N W C E O O O O w good O M � fr ww,, W O y N �� d C VA �c L 0 I y � N V ti O y � O O � C � V �0 v 1 q) y O W � V •� w L � 4 q) 4c �0 Z Opp '� 3O f �a ;h rn 0 O c� M 0 0 0 0 O 0 0135966182 PAUL RAYMOND GEARING Report # 2410-7730-86 for 11/25/2024 page 2 of 12 rn 0 O c� M 0 0 0 0 O 0 0135966182 PAUL RAYMOND GEARING Report # 2410-7730-86 for 11/25/2024 page 2 of 12 What's In Your Credit Resort? Your Potentially Negative Account Activity (Accounts and Bankruptcies) ............................ 3 Your Positive Account Activity............................................................. 4 Who Has Viewed Your Credit Information.................................................... 8 Your Personal Information................................................................ 9 How to Contact Experian................................................................. 10 Your Rights as a Consumer............................................................... 10 Payment History Legend Current / Terms met Past due 150 Days ® Voluntarily surrendered O Defaulted on contract Past due 30 Days ®e Past due 180 Days Repossession O Collection Past due 60 Days = Creditor received deed Paid by creditor Charge off Past due 90 Days ® Foreclosure proceedings started Insurance claim ® Closed Past due 120 Days © Foreclosure O Claim filed with government No data for this period AYour Potentially Negative Account Activity The most common items in this section are late payments, accounts that have been charged off or sent to collection, accounts settled for less than full value, and items that may need closer attention, such as transferred accounts. FCITI Partial ACct # 410039010073.... status (Dec 2021) PO BOX 6190 SIOUX FALLS SD 57117; (855) 378 6467 1, Date opened Terms Recent Balance Payment history: Dec 2017 - Nov 2024 Jul 2016 Not reported $5,306 as of Nov 2024 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Address ID # Monthly payment By Jul 2028, this account 2o2a 0776122062 $53 is scheduled to go to a Type Credit limit or positive status. 2023 L 2023 In -Good -Standing Credit Card original amount Comment 2022 L 2022 In Good' Responsibility $20,000 FCBA dispute resolved - 202110163MMI0163101=1101101 Individual High Balance consumer disagrees. r $13,571 2020 2020 In Good Standing 2019 L 2019••• Standing 2018 L 2018 In Good Standing 2017 Oct24 Sep24 Aug24 Ju124 Jun24 May24 Apr24 Mar24 Feb24 Jan24 Dec23 Nov23 Oct23 Sep23 Account Balance $939 $3,001 $5,074 $1,002 $1,024 $2,386 $2,282 $1,590 $1,203 $2,635 $1,259 $1,785 $7,298 $7,205 Date Payment Received 10.14.24 09.14.24 08.13.24 07,14.24 06.14.24 05.13.24 04.14.24 03.14.24 02.14.24 01.16.24 12.14.23 11.14.23 10.10.23 09.14.23 Scheduled Payment Amount $41 $41 $51 $41 $41 $41 $41 $41 $64 $100 $41 $97 $182 $72 Actual Amount Paid No Data No Data No Data No Data No Data No Data No Data No Data No Data No Data No Data No Data No Data No Data Aug23 Ju123 Jun23 May23 Apr23 Mar23 Feb23 Jan23 Dec22 Nov22 Account Balance $3,948 $7,857 $5,243 $13,571 $7,755 $6,646 $5,416 $2,337 $3,114 $1,822 Date Payment Received 08.14.23 07.13.23 06.14.23 05.15.23 04.14.23 03.14.23 02.14.23 01.13.23 12.14.22 11.14.22 Scheduled Payment Amount $41 $247 $207 $368 $203 $155 $54 $41 $41 $41 Actual Amount Paid No Data No Data No Data No Data No Data No Data No Data No Data No Data No Data Between Apr 2023 and Oct 2024, your credit limit/high balance was $20,000 Between Nov 2022 and Mar 2023, your credit IimiUhigh balance was $18,000 io 0 0 0 0 0 m 0 0 0 0 0135966182 PAUL RAYMOND GEARING Report # 2410-7730-86 for 11/2512024 PAgWIDUR339 Your Potentially Negative Account Activity (Continued) SANTANDER CONSUMER USA Partial Acct # 3000021681649.... status (May 2020) Paid, Closed. PO BOX 961211 FORT WORTH TX 76161; (888) 222 4227 Date opened Terms Recent Balance Jul 2018 74 Months Not reported Address ID # Monthly payment 0776122062 Not reported Type Credit limit or Auto Loan original amount Responsibility $42,184 Joint with High Balance JAMMIE SILVA Not reported Payment history: Aug 2018 - May 2020 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 2020 = = = 63 2019 2018 iding ti�U1I OK OK OK OK mK '-+J�ti. SUNCOAST CREDIT UNION Partial AM # 6144504.... status (Mar 2024) Paid, Closed. PO BOX 11904 TAMPA FL 33680; No phone # available Date opened Terms Recent Balance Payment history: Jun 2018 - Mar 2024 May 2018 72 Months Not reported JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Address ID # Monthly payment 2024 e3 W 0339042507 Not reported 2023 Type Credit limit or Auto Loan original amount 2022 2022 In Good Responsibility $31,932 2021 ... Standing Individual High Balance 63= 10®®M M M 2020 10 Not reported 2019 InM63MW®InInInInInM 2018 631014010110110110 Feb24 Jan24 Dec23 Nor123 Octz3 sep23 Aug23 JW23 Jun23 May23 Aprl3 Marla Feb23 Jan23 ----------------------------------._._._._---._ --- - ------------------- Account Balance $1,108 $2,040 $2,841 $3.312 $4.278 $4.246 $4.294 $4.762 $5.229 $5.694 $6.160 $6,171 $6,632 $7,536 Date Payment Received 02,20.24 01.18,24 12.18.23 11.23.23 10.01.23 09,18.23 08.18.23 07.18.23 06.18.23 05.18.23 04.18.23 03.31.23 02.22.23 01.03.23 Scheduled Payment Amount $477 $477 $477 $477 $477 $477 $477 $477 $477 $477 $477 $477 $477 $477 Actual Amount Paid $936 $831 $500 $1,000 No Data $57 $477 $477 $477 $477 $18 $477 $929 $459 Dec22 Nov22 Account Balance $7,976 $7,976 Date Payment Received 11.29.22 11.29.22 Scheduled Payment Amount $477 $477 Actual Amount Paid No Data $459 D The original amount of this account was $31, 932 0 0 0 ei Your Positive Account Activity 0 0 0 These accounts may stay on your credit report for as long as they are open. Closed or paid -off accounts may continue to appear on your report for up to 10 years. Each of the items in this section has a positive payment history, meaning that no delinquencies or derogatory statuses are reported in the displayable payment history. V Great job paying these accounts on time! Payment history is the biggest factor of your credit score. 0135966182 PAUL RAYMOND GEARING Report # 2410-7730-86 for 11/25/2024 FW41t-f91Qf 339 _L Your Positive Account Activity (Continued) ALLY FINANCIAL Partial Acct # 67392412.... Status (Jul 2018) Paid, Closed/Never late. PO BOX 380901 BLOOMINGTON MN 55438; (888) 925 2559 Type Date opened Address ID # Credit limit or original Recent Balance Responsibility Auto Loan Jul 2015 0339042507 amount Not reported Joint with Terms Monthly payment High Balance $27,422 CSSSIDY B MCCAA 72 Months Not reported Not reported This account is scheduled to continue on record until Jul 2028. BANK OF AMERICA Partial Acct # 552426010279.... Status (Jul 2020) Paid, Closed/Never late. PO BOX 982238 EL PASO TX 79998; (800) 421 2110 Type Date opened Address ID # Credit limit or original Recent Balance Responsibility Credit card Nov 2006 0339042507 amount Not reported Individual Terms Monthly payment High Balance $15,200 Comment: This account is scheduled Not reported Not reported $16,732 Account closed at credit to continue on record until grantor's request. Jul 2030. BANK OF AMERICA, N.A. Partial Acct # 6301004597.... Status (Dec 2022) Paid, Closed/Never late PO BOX 45144 JACKSONVILLE FL 32232; (800) 215 6195 Type Date opened Address ID # Credit limit or original Recent Balance Responsibility Auto Loan Nov 2017 0339042507 amount Not reported Joint Terms Monthly payment High Balance $32,467 This account is scheduled 60 Months Not reported Not reported to continue on record until Dec 2032. Nov22 Account Balance $595 Date Payment Received 11.08.22 Scheduled Payment Amount $595 Actual Amount Paid $615 The original amount of this account was $32,467 BARCLAYS BANK DELAWARE Partial Am # 00011150863.... Status (May 2019) Paid, Closed/Never late PO BOX 8803 WILMINGTON DE 19899; (888) 232 0780 Type Date opened Address ID # Credit limit or original Recent Balance Responsibility Credit Card Mar 2007 0339042507 amount Not reported Individual Terms Monthly payment High Balance $500 Comment This account is scheduled Not reported Not reported $24,002 Account closed at to continue on record until consumer's request. May 2029. BARCLAYS BANK DELAWARE Partial Acct # 00029127380.... Status (Nov 2024) open/Never late PO BOX 8803 WILMINGTON DE 19899; (888) 232 0780 0 0 v 0 0 0 0 0 0 0 Type Date opened Address ID # Credit limit or original Recent Balance Responsibility o Credit Card Jul 2017 0339042507 amount $1,272 as of Nov 2024 Individual N Terms Monthly payment High Balance $39,300 Not reported $50 $26,401 Recent payment $5,035 as of 11/13/2024 Oct24 Sep24 Aug24 Ju124 Jun24 May24 Apr24 Mar24 Feb24 Jan24 Dec23 Nov23 0023 Sep23 Account Balance $5,035 $4,550 $1,799 $6,192 $3,812 $4,631 $3,245 $998 $2,107 $6,713 $8,582 $12,620 $5,829 $9,455 Date Payment Received 10.13.24 09.13.24 08.12.24 07.13.24 06.13.24 05.13.24 04.13.24 03.13.24 02.13.24 01.09.24 12.13.23 11.13.23 10.13.23 09.13.23 Scheduled Payment Amount $45 $29 $61 $38 $46 $32 $29 $52 $220 $309 $323 $210 $204 $75 Actual Amount Paid $4,550 $1,799 $6,192 $3,812 $4,631 $3,245 $998 $2,107 $6,713 $3,155 $6,310 $5,793 $6,602 $3,748 Au923 Ju123 Jun23 May23 Apr23 Mar23 Feb23 Jan23 Dec22 Nov22 Account Balance $7,568 $9,952 $4,483 $12,704 $12,604 $18,550 $992 $1,417 $3,947 $564 Date Payment Received 08.08.23 07.13.23 06.13.23 05.15.23 04.13.23 03.13.23 02.13.23 01.13.23 12.13.22 11.13.22 Scheduled Payment Amount $143 $183 $395 $443 $254 $29 $29 $39 $29 $29 Actual Amount Paid $9,952 $4,781 $5,821 $3,000 $3,500 $500 $1,417 $3,947 $564 $1.554 Between May 2023 and Oct 2024, your credit limit/high balance was $39,300 Between Nov 2022 and Apr 2023, your credit limit1high balance was $35,000 0135966182 PAUL RAYMOND GEARING Report # 2410-7730-86 for 11/25/2024 fRY@ 44 b? 339 Your Positive Account Activity (Continued) CAP1 Partial Acct # 517148650594.... PO BOX 31293 SALT LAKE CITY LIT 84131; (800) 955 7070 Type Date opened Address ID # Credit card Oct 2023 0339042507 Terms Monthly payment High Balance Not reported Not reported $995 Jan24 Dec23 Nov23 Account Balance $0 $0 $995 Date Payment Received 12.13.23 12.13.23 No Data Scheduled Payment Amount No Data No Data $27 Actual Amount Paid No Data No Data No Data Between Nov 2023 and Jan 2024, your credit fimir/high balance was $12,000 CAPITAL ONE Partial Acct # 411507878766.... PO BOX 31293 SALT LAKE CITY LIT 84131; (800) 955 7070 Type Date opened Address ID # Business Card May 2004 0776122062 Terms Monthly payment High Balance Not reported Not reported $0 CAPITAL ONE Partial Acct # 479124829093.... PO BOX 31293 SALT LAKE CITY LIT 84131; (800) 955 7070 Type Date opened Address ID # Business Card Mar 2004 0776122062 Terms Monthly payment High Balance Not reported Not reported $981 Status (Feb 2024) Paid, Closed/Never late. Credit limit or original Recent Balance Responsibility amount Not reported Individual $12,000 Comment: This account is scheduled Account closed at credit to continue on record until grantor's request. Feb 2034. Status (Jul 2015) Paid, Closed/Never late. Credit limit or original Recent Balance Responsibility amount Not reported Individual $500 Comment: This account is scheduled Account closed at credit to continue on record until grantor's request. Jul 2025. Status (Apr 2019) Paid, Closed/Never late. Credit limit or original Recent Balance Responsibility amount Not reported Individual $2,000 Comment This account is scheduled Account closed at to continue on record until consumer's request. Apr 2029. SANTANDER/CHRYSLER CAP Partial Acct # 3000021185582.... PO BOX 961212 FORT WORTH TX 76161: (855) 563 5635 Type Date opened Address ID # Credit limit or original Auto Loan Mar 2018 0339042507 amount Terms Monthly payment High Balance $23,412 60 Months $431 Not reported Recent payment $431 as of 10/17/2022 Comment History Affected by natural or declared disaster.) Sep 2022 FIFTH THIRD BANK Partial Acct # 541413017302.... 5050 KINGSLEY DR CINCINNATI OH 45227; (800) 972 3030 Type Date opened Address ID # Credit limit or original Credit Card Sep 2005 0339042507 amount Terms Monthly payment High Balance $6,200 Not reported Not reported $19 FIFTH THIRD BANK Partial Acct # 86295.... 5050 KINGSLEY DR CINCINNATI OH 45227; (800) 972 3030 Type Date opened Address ID # Home Equity Aug 2006 0339042507 Terms Monthly payment High Balance Not reported Not reported $83,001 Status (Oct 2022) Open/Never late. Recent Balance Responsibility $2,130 as of Oct 2022 Joint Comment: Affected by natural or declared disaster. Status (Nov 2019) Paid, Closed/Never late. Recent Balance Not reported Comment: Closed due to inactivity Responsibility Individual This account is scheduled to continue on record until Nov 2029. Status (Feb 2016) Paid, Closed/Never late. Credit limit or original Recent Balance amount Not reported $100,000 Responsibility Joint with THERESA L GEARING This account is scheduled to continue on record until Feb 2026. 0135966182 PAUL RAYMOND GEARING Report # 2410-7730-86 for 11/25/2024 Fie SU 11339 Your Positive Account Activity (Continued) PROVIDENT FUNDING ASSOCI Partial Acct # 412512.... 1235 N DUTTON AVE E SANTA ROSA CA 95401; (707) 547 4050 Type Mortgage Terms 15 Years Mortgage Id 100017941251200188 Fannie Mae ID 1736199667 Date opened Address ID # Jan 2016 0339042507 Monthly payment High Balance $1,914 Not reported Credit limit or original amount $191,500 Recent payment $2,074 as of 10/31/2024 Status (Oct 2024) Open/Never late. Recent Balance Responsibility $75,318 as of Oct 2024 Joint with THERESA L GEARING Sep24 Aug24 Ju124 Jun24 May24 Apr24 Mar24 Feb24 Jan24 DeC23 Nov23 Oct23 Sep23 Aug23 Account Balance $76,617 $77,913 $79,205 $80,493 $81,779 $83,060 $84,339 $85,614 $86,885 $88.929 $89.906 $91,173 $92,436 $93,696 Date Payment Received 09.30.24 08.30.24 07.31.24 06.28.24 05.31.24 04.30.24 03.29.24 02.29.24 01.31.24 12.29.23 11.30.23 10.31.23 09.29.23 08.31.23 Scheduled Payment Amount $1,914 $1,914 $1,914 $1,914 $1,914 $1,914 $1,914 $1,914 $1,914 $2,287 $1,995 $1,995 $1,995 $1,995 Actual Amount Paid $2,074 $2,074 $2,074 $2,074 $2,074 $2,074 $2,074 $2,074 $2,478 $2,161 $2,161 $2,161 $2,161 $2,161 Ju123 Jun23 May23 Apr23 Mar23 Feb23 Jan23 Dec22 Nov22 Account Balance $94,953 $96,206 $97,455 $98,702 $99,945 $102,421 $102,421 $104,673 $105,883 Date Payment Received 07.31.23 06.30.23 05.31.23 04.28.23 03.31.23 01.31.23 01.31,23 12.05.22 11.04.22 Scheduled Payment Amount $1,995 $1,995 $1,995 $1,995 $1,995 $1,995 $1,995 $1,800 $1.800 Actual Amount Paid $2,161 $2,161 $2,161 $2,161 $4,322 No Data $7,222 $1,950 $1,950 The original amount of this account was $191, 500 SETERUS Partial ACCt # 659000976.... Status (Feb 2016) Paid, Closed/Never late. 14523 SW MILLIKAN WAY STE 200 BEAVERTON OR 97005; (866) 570 5277 Type Date opened Address ID # Credit limit or original Recent Balance Responsibility Mortgage Dec 2002 0339042507 amount Not reported Individual Terms Monthly payment High Balance $176,700 This account is scheduled 30 Years Not reported Not reported to continue on record until Fannie Mae ID Feb 2026. 1684419383 SUNTRUST BANK Partial ACCt # 2150000215642.... Status (Jan 2015) Paid, Closed/Never late. PO BOX 849 WILSON NC 27894; (877) 596 5407 Type Date opened Address ID # Credit limit or original Recent Balance Responsibility Business Jul 2010 0076629286 amount Not reported Joint Terms Monthly payment High Balance $16,371 This account is scheduled 60 Months Not reported Not reported to continue on record until Jan 2025. SYNCB/LOWES Partial Acct # 798192610885.... Status (Nov 2024) Open/Never late PO BOX 965005 ORLANDO FL 32896; (800) 444 1408 Type Date opened Address ID # Credit limit or original Recent Balance Responsibility Charge Card Aug 2018 0776122062 amount $967 as of Nov 2024 Individual Terms Monthly payment High Balance $9,600 Not reported $30 $2,777 Recent payment $583 as of 11/14/2024 Oct24 Sep24 Aug24 Ju124 Jun24 May24 Apr24 Mar24 Feb24 Jan24 Dec23 Nov23 Oct23 Sep23 Account Balance $583 $355 $194 $109 $122 $397 $334 $50 $0 $0 $0 $0 $0 $0 Date Payment Received 10.09.24 09.15.24 08.09.24 07.16.24 06.18.24 05.08.24 04.07.24 09.08.23 09.08.23 09.08.23 09.08.23 09.08.23 09.08.23 09.08.23 Scheduled Payment Amount $30 $30 $30 $30 $30 $30 $30 $30 No Data No Data No Data No Data No Data No Data Actual Amount Paid $355 $194 $109 $122 $397 $334 $50 No Data No Data No Data No Data No Data No Data $27 0135966182 PAUL RAYMOND GEARING Report # 2410-7730-86 for 11125/2024 Ppg TAl2fcIM9 J Your Positive Account Activity (Continued) Aug23 Ju123 Jun23 May23 Apr23 Ma23 Feb23 Jan23 Dec22 Nov22 Account Balance $27 $2 $0 $0 $o $79 $77 $2,747 $0 $48 Date Payment Received 08.17.23 04.12.23 04.12.23 04.12.23 04.12.23 02.19.23 02.19.23 12.11.22 12.11.22 10.12.22 Scheduled Payment Amount $27 $2 No Data No Data No Data $2 $77 $30 No Data $41 Actual Amount Paid $2 No Data No Data No Data $79 No Data $2,747 No Data $48 No Data Between Mar 2023 and Oct 2024, your credit limit/high balance was $9,600 Between Nov 2022 and Feb 2023, your credit limit1high balance was $8,000 SYNCB/SLEEP NUMBER Partial Acct # 603462333113.... Status (Oct 2016) Paid, Closed/Never late. PO BOX 71727 PHILADELPHIA PA 19176; (866) 396 8254 Type Date opened Address ID # Credit limit or original Recent Balance Responsibility Charge Card Sep 2015 0339042507 amount Not reported Individual Terms Monthly payment High Balance $8,000 Comment: This account is scheduled Not reported Not reported $0 Closed due to inactivity to continue on record until Oct 2026. Who Has Viewed Your Consumer Information CREDIT APPLICATIONS / HARD INQUIRIES Hard inquiries are requests for your consumer information based on an action or process initiated by you, generally related to a credit or other monetary obligation, such as when you apply for credit, rental property, or utility service, or default on a loan causing it to be sent to a collection agency. A Hard inquiries may stay on your report up to two years. CAP1/BASS PO BOX 30281 SALT LAKE CITY UT 84130 (800) 227 4825 Oct 22, 2023 REASON: Unspecified. DURATION. This inquiry is scheduled to continue on record until Nov 2025. EXPERIAN BUSINESS CREDIT 475 ANTON BLVD # A2 COSTA MESA CA 92626 No phone # available Sep 29, 2023 REASON: Business on behalf of PCC TILE. DURATION: This inquiry is scheduled to continue on record until Oct 2025. FIFTH THIRD BANK NA 5050 KINGSLEY DR CINCINNATI OH 45227 No phone # available Jun 21, 2023 REASON: Unspecified. DURATION: This inquiry is scheduled to continue on record until Jul 2025. CONSUMER REPORT VIEWS / SOFT INQUIRIES Soft inquiries are usually initiated by others, like companies making promotional offers of credit or your lender conducting periodic reviews of your existing credit accounts. ® Soft inquiries DO NOT impact your credit score, AMERICAN EXPRESS 2 PO BOX 981537 EL PASO TX 79998 (800) 874 2717 INQUIRY DATES: 11.19.20241 BARCLAYS BANK DELAWARE 100 SOUTH WEST AVE WILMINGTON DE 19801 (866) 283 6635 INQUIRY DATES: 03.18.20241 CAPITAL ONE 15000 CAPITAL ONE DR RICHMOND VA 23238 No phone # available; st UiF21' D<< is S: 02.08.20241 0 0 0 s 0 0 0 0 0 0135966182 PAUL RAYMOND GEARING Report # 2410-7730-86 for 11/25/2024 fig@ d 4614 339 Who Has Viewed Your Consumer Information (Continued) EXPERIAN 475 ANTON BLVD COSTA MESA CA 92626 (866) 431 3471 INQUIRY DATES: 11.21.2024111.14.2024111.07.2024110.31.2024110.24.20241 10. 17.2024 110.10.2024 110.03.2024 1 M26.2024 109.19.2024 109.12.2024 109.05.2024 108.29.2024 108.22.2024 108.15.2024 108.08.2024 108.01 .2024 107.25.2024 107.18.2024 107.04.2024 1 06.27.2024106.20.2024106.13.2024106.06.2024105.30.2024105.23.2024105.16.2024105.09.2024105.02.2024104.25.2024104.18.2024 104.11.2024104.04.2024103.28.2024 103.21.2024 1 03.14.2024103.07.2024102.29.2024102.27.2024102.22.2024102.15.2024102.08.2024102.01.2024101.25.2024101.18.2024101.11.2024101.04.20241 12.28.20231 12.21.20231 12.14.2023 1 12.07.2023 111.30.2023 1 EXPERIAN 475 ANTON BLVD COSTA MESA CA 92626 No phone # available INQUIRY DATES: 11.19.2024111.08.2024110.18.2024110.08.2024109.21.20241 09. 20.2024 1 09.10, 2024 1 08. 20. 2024 1 08.19.2024 1 08.08.2024 1 07.20. 2024 1 07.09.2024 1 06.20.2024 1 06.08.2024 105.21, 2024 105.08.2024 1 04.19.2024 1 04.06.2024 1 04.02.2024 1 03.19.2024 1 03.08.2024102.21.2024102.18.2024102.11.2024101.19.2024101.17.20241 12.19.20231 12.12.20231 12.02.20231 EXPERIAN No phone # available INQUIRY DATES: 11.05.2024 1 EXPERIAN CREDITMATCH 475 ANTON BLVD # D4 COSTA MESA CA 92626 No phone # available INQUIRY DATES: 06.03.2024106.02.20241 06.01.2024 105.31.2024 105.30.2024 105.29.2024105.28.2024 105.27.2024 105.26.2024 105.25.2024 105.24.2024 105.23.2024 105.22.2024105.21.2024 105.20.2024 105.19.2024 105,18.2024 1 05.17.2024 105.16.2024 105.15.2024 105.14.2024105.13.2024 105.12.2024 105.11.2024 105.10.2024 105.09.2024 105.08.2024 105.07.2024 105.06.2024105.05.2024 105.04.2024 105.03.2024 1 05.02.2024105.01.2024 104.30.2024 104.29.2024104.28.2024 104.27.2024104.26.2024 104.25.2024 104.24.2024 104.23.2024 104.22.2024 104.21.2024 104.20.2024 104.19.2024 104.18.2024 1 04.17.2024 104.16.2024 104.15.2024 104.14.2024104.13.2024 104.12.2024 104.11.2024 104.10.2024104.09.2024 104.08.2024 104.07.2024 104.06.2024 104.05.2024 104.04.2024 104.03.2024 1 04,02.2024 104.01.2024 103.31.2024 103.30.2024103.29.2024 103.28.2024 103.27.2024103.26.2024 103.25.2024103.24.2024 103.23.2024 103.22.2024 103.21.2024 103.20.2024 103.19.2024 1 03.18.2024 103.17.2024 103.16.2024103.15.2024103.14.2024 103.13.2024 103.12.2024 103.11, 2024103.10.2024 103.09.2024 103.08.2024 103.07.2024 103.06.2024 103.05.2024 103.04.20241 03.03.2024103.02.2024103.01.2024102.29.2024102.28.2024102.27.2024102.26.2024102.25.2024102.24.2024102.23.2024102.22.2024102.21.2024102.20.2024102.19.2024102.18.20241 02.17.2024 102.16.2024102.15.2024102.14.2024102.13.2024102.12.2024102.11.2024102.10.2024102.09.2024102.08.2024102.07.2024102.06.2024102.05.2024102.04.2024102.03.20241 02.02.2024102.01.2024101.31.2024101.30.2024101.29.2024101.28.2024101.27.2024101.26.2024101.25.2024101.24.2024101.23.2024101.22.2024101.21.2024101.20.2024101.19.20241 01.18.2024 101.17.2024101.16.2024101.15.2024101.14.2024101.13.2024101.12.2024101.11.2024101.10.2024101.09.2024101.08.2024101.07.2024101.06.2024101,05.2024101.04.20241 01.03.2024101.02.2024101.01.20241 12.31.2023 1 12.30.20231 12.29.2023 1 12.28.2023 1 12.2 7.20231 12.26.20231 12.25.2023 1 12.24, 20231 12.23.2023112.22.2023 1 12.21.20231 12.20.2023 1 12.19.2023 1 12.18.20231 12.17.2023 1 12.16.20231 12.15.20231 12.14.2023 1 12.13.2023 1 12.12.20231 12.11.2023 1 12.10.2023 1 12.08.20231 12.07.2023 1 12.06.2023 1 12.05.20231 12.04.2023 1 12.03.2023112.02.2023 1 12.01.2023 1 11.30.2023 1 11.29.2023 1 11.28.2023 1 11.27.2023 1 11.26.2023 1 11.25.2023 1 EXPERIAN CREDITMATCH 475 ANTON BLVD # D4 COSTA MESA CA 92626 No phone # available INQUIRY DATES: 04.04.2024102.27,20241 LENDINGCLUB CORP 595 MARKET ST # 200 SAN FRANCISCO CA 94105 No phone # available INQUIRY DATES: 04,22.2024104.04.20241 03.19, 2024 1 02.27.2024 1 01.31.2024 1 01.1 & 2024 1 12.18.2023 1 LEXISNEXIS/INS/P&C 1000 ALDERMAN DR ALPHARETTA GA 30005 (866) 323 0932 INQUIRY DATES: 11.05.2oz4 1 SSA OPTION 6 6401 SECURITY BLVD BALTIMORE MD 21235 No phone # available INQUIRY DATES: 04.04.20241 SUNCOAST CREDIT UNION 6801 E HILLSBOROUGH AVE TAMPA FL 33610 (813) 621 7511 INQUIRY DATES: 08.20,20241 Your Personal Information The following information is reported by you, your creditors, or other sources each of which may report your personal information differently. This is why there may be variations of your name, address, Social Security Number, etc. 0 Personal information DOES NOT impact your credit score at all. NAMES PAUL R GEARING; Name ID #:11492 PAUL GEARING Name ID #:26315 PAUL RAYMONG GEARING Name ID #:16116 ADDRESSES 9241 MIDDLE OAK DR Geo Code: 0-00- 0- FORT MYERS FL 33967-5275 Address ID #: 0339042507 Address Type: Single family 6300 TOPAZ CT Geo Code: 0-00- 0- FORT MYERS FL 33966-8308 Address ID #: 0776122062 Address Type: Single family 16133 S TAMIAMI TRL Geo Code: 0-5010120-71-2700 FORT MYERS FL 33908-4306 Address ID #: 0076629286 Address Type: Single family 0135966182 PAUL RAYMOND GEARING Report # 2410-7730-86 for 11/25/2024 i V44 89339 Your Personal Information (Continued) 1722 3 PARK MEADOW DR FTMYERS FL 33907 Geo Code: 0-00- 0- Address ID #: 0076599808 Address Type: Single family 1722 PARK MEADOWS DR APT3 FORT MYERS FL 33907-3764 Geo Code: 0-150240.71-2700 Address ID #: 0076597231 Address Type: Apartment complex 17223 PARK MEADOW DR FORT MYERS FL 33907 Geo Code: 0-00- 0- Address ID #: 0349811043 Address Type: Single family 1722 3 PARK MDWS FT MYERS FL 33907 Geo Code: 0-00- 0- Address ID #: 0444532623 Address Type: Single family 13571 EAGLE RIDGE DR FORT MYERS FL 33912-7818 Geo Code: 0-4010710-71-2700 Address ID #: 0196711314 Address Type: Multifamily 924 MIDDLE OAK DR FORT MYERS r 133967 Geo Code: 0-00- 0- Address ID #: 0766655204 Address Type: Single family SOCIAL SECURITY NUMBER VARIATIONS Nano YEAR OF BIRTH 1965 TELEPHONE NUMBERS -- %--� Residential Cellular ''-D 4, 41 Residential SPOUSE OR CO -APPLICANT 4EPL'— FORMER OR CURRENT EMPLOYERS GP_ARING I LOOPS; FEARING-IIADINGEi� CARPEL INC: HADINGE PS CARPET: GFARINC IIADINC'_2 INC How to Contact Experian If you see information that is incorrect, contact us through one of the methods below. CALL US WRITE TO US GO ONLINE (for fastest results) (833) 796 8634 Visit experian.corWdisputes M - F 9am - Spm in your time zone. Experian, NCAC PO BOX 9701 �� 3 Allen, TX 75013 Dispute Online Check Status for faster results Online A Summary of Your Rights Under the Fair Credit Reporting Act Para information en espanol, visite www.consumerfinance.aov/learnmore o escribe a la Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, D.C. 20552. The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of information in the riles of consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell information about check writing histories, medical records, and rental history records). Here is a summary of your major rights under the FCRA. For more information, including information about additional rights, go to: www.consumerfinance.gov/learnmore or Consumer Financial Protection Bureau, write to: 1700 G Street N.W., Washington, D.C. 20552 YOU MUST BE TOLD IF INFORMATION IN YOUR FILE HAS BEEN USED AGAINST YOU. Anyone who uses a credit report or another type of consumer report to deny your application for credit, insurance, or employment or to take another adverse action against you must tell you, and must give you the name, address, and phone number of the agency that provided the information. 0135966182 PAUL RAYMOND GEARING Report # 2410-7730-86 for 11/25/2024 PaViVd O2339 A Summary of Your Rights Under the Fair Credit Reporting Act (Continued) YOU HAVE THE RIGHT TO KNOW WHAT IS IN YOUR FILE. You may request and obtain all the information about you in the files of a consumer reporting agency (your "file disclosure"). You will be required to provide proper identification, which may include your Social Security number. In many cases, the disclosure will be free. You are entitled to a free file disclosure if:a person has taken adverse action against you because of information in your credit report; you are the victim of identify theft and place a fraud alert in your file; your file contains inaccurate information as a result of fraud; you are on public assistance; you are unemployed but expect to apply for employment within 60 days.All consumers are entitled to one free disclosure every 12 months upon request from each nationwide credit bureau and from nationwide specialty consumer reporting agencies. See www.consumertinance.gov/leamntore for additional information. www.consumerfinance.00v/learnmore. for additional information. YOU HAVE THE RIGHT TO ASK FOR A CREDIT SCORE. Credit scores are numerical summaries of your credit -worthiness based on information from credit bureaus. You may request a credit score from consumer reporting agencies that create scores or distribute scores used in residential real property bans, but you will have to pay for it. In some mortgage transactions, you will receive credit score information for free from the mortgage lender. YOU HAVE THE RIGHT TO DISPUTE INCOMPLETE OR INACCURATE INFORMATION. If you identify information in your file that is incomplete or inaccurate, and report it to the consumer reporting agency, the agency must investigate unless your dispute is frivolous. See www.consurmefinarice.gov/ieammore for an explanation of dispute procedures. CONSUMER REPORTING AGENCIES MUST CORRECT OR DELETE INACCURATE, INCOMPLETE, OR UNVERIFIABLE INFORMATION. Inaccurate, incomplete or unverifiable information must be removed or corrected, usually within 30 days. However, a consumer reporting agency may continue to report information it has verified as accurate. CONSUMER REPORTING AGENCIES MAY NOT REPORT OUTDATED NEGATIVE INFORMATION. In most cases, a consumer reporting agency may not report negative information that is more than seven years old, or bankruptcies that are more than 10 years old. ACCESS TO YOUR FILE IS LIMITED. A consumer reporting agency may provide information about you only to people with a valid need -- usually to consider an application with a creditor, insurer, employer, landlord, or other business. The FCRA specifies those with a valid need for access. YOU MUST GIVE YOUR CONSENT FOR REPORTS TO BE PROVIDED TO EMPLOYERS. A consumer reporting agency may not give out information about you to your employer, or a potential employer, without your written consent given to the employer. Written consent generally is not required in the trucking industry. For more information, go to www.cotisumerfinance.gov/1earnmore. YOU MAY LIMIT "PRESCREENED" OFFERS OF CREDIT AND INSURANCE YOU GET BASED ON INFORMATION IN YOUR CREDIT REPORT. Unsolicited "prescreened" offers for credit and insurance must include a toll -free phone number you can call if you choose to remove your name and address from the lists these offers are based on. You may opt -out with the nationwide credit bureaus at 1 888 50PTOUT (1 888 567 8688). CONSUMERS HAVE THE RIGHT TO OBTAIN A SECURITY FREEZE You have a right to place a security freeze on your credit report, which will prohibit a consumer reporting agency from releasing information in your credit report without your express authorization. The security freeze is designed to prevent credit, loans, and services from being approved in your name without your consent. However, you should be aware that using a security freeze to take control over who gets access to the personal and financial information in your credit report may delay, interfere with, or prohibit the timely approval of any subsequent request or application you make regarding a new loan, credit, mortgage, or any other account involving the extension of credit.As an alternative to a security freeze, you have the right to place an initial or extended fraud alert on your credit file at no cost. An initial fraud alert is a 1-year alert that is placed on a consumer's credit file. Upon seeing a fraud alert display on a consumer's credit file, a business is required to take steps to verify the consumer's identity before extending new credit. If you are a victim of identity theft, you are entitled to an extended fraud alert, Which is a fraud alert lasting 7 years.A security freeze does rot apply to a person or entity, or its affiliates, or collection agencies acting on behalf of the person or entity, with Which you have an existing account that requests information in your credit report for the purposes of reviewing or collecting the account. Reviewing the account includes activities related to account maintenance, monitoring, credit line increases, and account upgrades and enhancements. YOU MAY SEEK DAMAGES FROM VIOLATORS. If a consumer reporting agency, or, in some cases, a user of consumer reports or a furnisher of information to a consumer reporting agency violates the FCRA, you may be able to sue in state or federal court. IDENTITY THEFT VICTIMS AND ACTIVE DUTY MILITARY PERSONNEL HAVE ADDITIONAL RIGHTS. For more information, visit wwwconsrrmerfrnance.gov/feammore STATE RIGHTS INFORMATION.States may enforce the FCRA, and many states have their own consumer reporting laws. In some cases, you may have more rights under state law. For more information, contact your state or local consumer protection agency or your state Attorney General. FEDERAL RIGHTS INFORMATION.For more information about your federal rights, you can contact relevant federal agencies listed at the bottom of the page linked here: httc)s://www.exoerian.com/FCRA. Medical Information By law, we cannot disclose certain medical information (relating to physical, mental, or behavioral health or condition). Although we do not generally collect such information, a could appear in the name of a data furnisher (i.e., 'Cancer Center") that reports your payment history to us. If so, those names display on your report, but on reports to others they display only as "MEDICAL PAYMENT DATA." Consumer statements included on your report at your request that contain medical information are disclosed to others. A credit score is a number that reflects your credit risk level, typically a higher number indicates lower risk. Using information from your personal credit report, a score is generated through a Statistical model that uses your past credit behavior and current credit relationships to predict likely future behavior. Your credit score charges as the elements in your personal credit report change over time. For example, payment updates, opening a new account or closing an account could cause your score to fluctuate. The financial services industry uses many different scores so your FICO'Score may be different from the score used by a lender, depending on the scoring model that was used. FICO`Score is a registered trademark of Fair Isaac Corporation. About your FICO" Score 8 Your FICO" Score 8 powered by Experiane Date is formulated using the information in your credit file at the time it is requested. Your FICO` Score 8 can range between 300 and 850, with a higher score indicating a lower risk. There are many scoring models used in the marketplace. The type of score used, and its associated risk levels, may vary from lender to lender. But regardless of what scoring model is used, they ail have one purpose: to summarize your creditworthiness. Keep in mind that your score isjust one factor used in the application process. Other factors, such as your annual salary and length of employment, may also be considered by lenders when you apply for a loan. What this means to you: Credit scoring can help you understand your overall credit rating and help companies better understand how to serve you. Overall benefits of credit scoring have included faster credit approvals, reduction in human error and bias, consistency, and better terms and rates for American consumers through reduced costs and losses for lenders. The Credit Score we provide is FICO' Score 8. Your lender or insurer may use a different FICO' Score than FICO' Score 8, or different scoring models to determine how you score. 0135966182 PAUL RAYMOND GEARING Report # 2410-7730-86 for 11/25/2024 r1J4§ gt339 THIS PAGE INTENTIONALLY LEFT BLANK F 0135966182 PAUL RAYMOND GEARING Report # 2410-7730-86 for 11/25/2024 pB@gp2l471Qf 339 —t� 27911 Crown Lake Blvd Suite # 211 Bonita Springs, FL 34135 Phone: 239.777.1028 Fax: 877.275.3593 www.LicensesEtc.com BUSINESS CREDIT REPORT as of: 11/25/24 11:07 ET Gearing-Hadinger Carpet, Inc. DBA Gearing Floors Fed Tax ID# 20-0573922 Address: 15091 S Tamiami TRL Key Personnel: President: Paul R Gearing Fort Myers, FL 33908-5191 Director: Rachel Katz United States Manager: Tony Peppenelli Phone: 239-415-3377 SIC Code: 1752-Floor Laying & Other Floor Work, Nec Website: hadingers.com 7372-Computer Software, BIN: 977640311 Prepackaged 5713-Floor Covering Stores Agent: Gearing Paul R NAICS Code: 238330-Flooring Agent Address: 6300 Topaz Court Contractors Fort Myers, FL 513210-Software Publishers Also is (or has been) operating as: 449121-Floor Covering Retailers Gearing Floors Hadinger Flooring Business Type: Corporation Floors To Go File Established: September 2000 Gearing Floors To Go Gearing-Hadinger Carpet, Years on File: 24 Years Inc Years in Business: 93 Years Family Linkage: Total Employees: 15 Ultimate Parent Gearing -Hadinger Carpet, Sales: $2,023,000 Inc Page 1 of 2 Page 148 of 339 15091 S Tamiami TRL Filing Data Florida Fort Myers, FL Provided by: Branches / Gearing-Hadinger Carpet, Date of 12/08/2003 Alternative Inc Incorporation: Locations 16133 S Tamiami TRL Fort Myers, FL United States RecordsPublic PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY, STATE AND FEDERAL LEVELS. Bankruptcies: 0 Liens: 0 Judgments Filed: 0 V/ Collections: 0 END OF REPORT Page 2 of 2 Page 149 of 339 11 21 2a. 11:11 A\I • fey experian. smallbusiness.esperian.eom - 4f5517975 - \ lean Stone Group, Inc Search inquiry: (My company) Mercatto Stone Group, Inc CreditScores" Report as of 11!21;'?41! t Address: 10650 Metro Pkwy Ste 104 Key Personnel: Director: Desouza C Igor Fort Myers, FL 33966-1188 SIC Code: 5032-Brick, Stone & Rltd Cow;[, u- United States Matls Phone: 239-633-2095 6411-Insurance Agents, Brokers t} Website: mercattostone.com Services Experian BIN: 445517975 NAICS Code: 423320-Brick, Stone, And Related Construction Material Agent: Miranda Sergio Merchant Wholesalers Agent Address: 5534 Brookfield Street 524210-Insurance Agencies And Lehigh Acres, FL Brokerages Business Type: Corporation Family Linkage: Experian I ilr August 2017 Ultimate Parent Mercatto Stone Group, Inc Lstablished: 10650 Metro Pkwy Ste 104 Experian Years on File: 7 Years Fort Myers, FL Years in Business: 7 Years Branches / Alternative Mercatto Stone Group, Inc Total Employees: 4 Locations 12296 Matterhorn Rd Ste A4 Sales $441,000 Fort Myers, FL United States Filing Data Provided by: Florida Date of Incorporation: 05/22/2017 Experian Business Credit Score Business Credit Score Medium -High Risk Key Score Factors: Nbl of active commercial accts within the last 12 mos. Number of commercial accounts with net 1-30 days term. • Number of derogatory commercial legal items. Number of recently active commercial accounts. The objective of the Experian Business Credit Score is to predict payment behavior. High Risk means that there is a significant probability of delinquent payment. Low Risk means that there is a good probability of on -time payment. Business Credit Scores range from a low of 1 to high of 100 with this company receiving a score of 23. Higher scorns 0,. This score predicts the likelihood of serious credit delinquencies within the next 12 months. This score uses tradeline rfnt information, public filings as well as other variables to predict future risk. https: smallbusiness.ecpenan.com report.asps?fn=4455179754num=1015&&y=32624&dpc=39.95&dco=Mematto+Stone+Group K2c+lne&mc=v&coinfo=Mercatto+Stone+Gmupr,2c+Ine, 10650+\Ievo+Pkss \-Ste, lot 1. Page 150 of 339 1121 24. 11:11 .4>I smallbusiness.eapenan—- 445517975 - \Iereano Stone Coup. Inc Experian Financial Stability Risk Rating Financial Stability Risk Rating L-��w Mec;,... Risk Key Rating Factors: • Number of active commercial accounts. Number of commercial derogatory public records. Risk associated with the business type. Risk associated with the company's industry sector. A Financial Stability Risk Rating of 2 indicates a 1.1 ! potential risk of severe financial distress within the next 12 months. Financial Stability Risk Ratings range from a low of 1 to high of 5 with this company receiving a rating of 2. Lower ratings indicate lo-wo. risk. Experian categorizes all businesses to fit within one of the five risk segments. This rating predicts the likelihood of payment rlirf.n:! and/or bankruptcy within the next 12 months. This rating uses tradeline and collections information, public flings as well a:, otl ie to predict future risk. Credit Summary This location does not yet have an estimated Days Beyond Payment Tradelines: Terns (MI), or a Payment Trend Indicator. This is often the UCC Filings E<, result of too few Payment Tradelines. x Businesses Scoring Worse: 22% Please refer to Experian's'www.BusinessCreditFacts.com' ✓ Bankruptcies: 0 website for more information on establishing Payment Liens (see detail): 1 Tradelines. ,/Judgments Filed: 0 ,/Collections: 0 Lowest 6 Month Balance: $33 Highest 6 Month Balance: $70,642 Current Total Account Balance: $278 Highest Credit Amount Extended: $286 Victim Statement THIS COMPANY IS LOCATED IN AN AREA THAT MAY HAVE BEEN AFFECTED BY HURRICANE HFt FNF Ctle Details: MILTON. Tax Lien Filings Date: 11/13/2020 Owner: State Of Florida Filing Location: Lee County Circuit Court Legal Type: State Tax Legal Action: Released Document Number:2020000278856 Liability Amount: $842 Description: Other Tax hops: smallbusiness.e,p,nan—repon..p�?rn=445517975&pnum=1015&day=32624&dpc=39.95&dco=\Iematt +Stone+Group42c+lnc&mc=}&coinro=\lmano+Stone+Group�,2c+loc, 10650+\let—Pico c+Ste+104 Pon Page 151 of 339 It 21.24, 11: 11 A\I smallbusiness.experian.com - 445517975 - Mercano Stone Group, Inc Date: 02/24/2020 Owner: State Of Florida Filing Location: Lee County Circuit Court Legal Type: State Tax Legal Action: Lien Document Number.2020000048023 Liability Amount: $842 Description: Other Tax * The information herein is furnished in confidence for your exclusive use for legitimate business purposes and shall not be reproduced disclosed, or shared to any third party per the restrictions in the Terms and Conditions that you accepted. Neither Experian nor its sources or distributors warrant such information nor shall they be liable for your use or reliance upon it. ,c) 2024 Experian Information Solutions Inc. Back to t p bttps: smallbusiness.experian.comrepon.aspx?fn=J15517975&paum=1015&day=3262J&dpc=39.95&do-\I,ranwStone+Group,2c+lnc&mc=y&coinfo=\Iercatto+Stone+Groupsr2ctlnc-10650+\leuo,Pk�Si, Page 152 of 339 Statement Period Date: 9/1/2024 - 9/30/2024 0 Account Type: 5/3 BUS ELITE CKG FIFTH THIRD BANK Account Number (SOUTH FLORIDA) P.O. BOX 630900 CINCINNATI OH 45263-0900 Banking Center: Colonial Banking Center Phone: 239-939-4500 GEARING-HADINGER CARPET INC Business Banking Support: 877-534-2264 6300 TOPAZ CT FORT MYERS FL 33966-8308 account Summary 09/01 Beginning Balance $120,193.23 Number of Days in Period 30 89 Checks $(190,891.60) 38 Withdrawals / Debits $(109,262.95) 21 Deposits / Credits $306,627.59 09/30 Ending Balance $126,666.27 Analysis Period: 08/01/24 - 08/31/24 Standard Monthly Service Charge $50.00 Standard Monthly Service Charge Waived (see below) -$50.00 INFO REPORTING $13.00 ELECTRONIC DEPOSIT4 $40.00 Service Charge withdrawn on 09/12/24 $53.00 4Charges for Electronic Deposit Manager (EDM) include the EDM Monthly Service Fee. Standard Monthly Service Charge waived if: Current Relationship Overview: Your business maintains a total monthly average Balance Criteria Met? Yes balance of $50,000 across its business checking, savings, Total Combined Monthily Average Balance $122,645.60 and certificate of deposit accounts. OR your business has a business loan or line of credit. Business Loan or Line of Credit? Yes OR your business spends at least $500;,per month on " Other Criteria Met? No its business' credit card PLUS' has one of the following:' $500 Business Credit Card Spend? No Electronic Deposit Manager OR Cash Management Electronic Deposit Manager? Yes Essentials. Cash Management Essentials? Yes Checks 89 checks totaling $190,891.60 * Indicates gap in check sequence i = Electronic Image s = Substitute Check Number Date Paid Amount Number Date Paid Amount Number Date Paid Amount 11074 i 09/04 862.30 11116*i 09/03 300.00 11128 i 09/09 4,361.93 11082*i 09/05 106.48 11118*i 09/03 7,150.64 11129 i 09/06 130.00 11091*i 09/13 2,433.00 11119 i 09/09 150.00 11130 i 09/06 140.38 11103*i 09/04 4,509.99 11120 i 09/10 238.14 11131 i 09/10 3,122.65 11104 i 09/03 1,485.44 11121 i 09/05 256.23 11132 i 09/06 1,294.19 11105 i 09/04 319.72 11122 i 09/05 157.50 11133 i 09/09 864.59 11106 i 09/04 1,374.62 11123 i 09/10 176.73 11134 i 09/10 4,944.40 11108*i 09/03 657.30 11124 i 09/04 264.50 11135 i 09/05 3,475.04 11109 i 09/03 122.33 11125 i 09/10 585.90 11136 i 09/04 1,626.37 11110 i 09/03 15,857.88 11126 i 09/17 179.39 11137 i 09/06 10,261.50 11112*i 09/03 413.00 11127 i 09/05 197.79 11138 i 09/09 882.00 For additional information and account disclosures, please visit www.53.com/businessbanking Page 1 of 4 Page 153 of 339 Nr N M U o0 "' r r C) o -1 r**%w a- a- W L) Q Q 2 :E (D C) _= J Q J (} r 00 W Z it Z w w❑ 0❑❑ o❑ d .� Q — a F- Y w � a-za� QrnU) U D < `n C) w D w - z ❑ mow. cv Ef ❑ ❑ N r r 0 C) oo� co v "LLo >- >- i. S r r a- Inn L C G C) 2 2 Q U T- co wz� z LLI LLI �az��°F�LU � CO U � � ¢L U O o W L w J Z Q o w w ❑_ a `n >� W W ❑_ o cn n T H U) rn cM M O It LO N m 0- FIFTH THIRD BANK Checks -continued * Indicates gap in check sequence i = Electronic Image Number Date Paid Amount 11139 i 09/06 500.00 11140 i 09/06 2,076.00 11141 i 09/11 585.90 11142 i 09/06 100.00 11143i 09/13 97.64 11144 i 09/10 1,064.09 11145 i 09/10 532.39 11146 i 09111 105.44 11160*i 09/19 106.35 11161 i 09119 61.24 11162i 09/19 3,669,18 111631 09/13 130.00 11164 i 09/16 1,342.06 11165i 09/17 1,111.64 11166i 09/12 1,812.60 11167 i 09/18 15.00 11168 i 09/16 4,461.95 11169 i 09/12 5,248.82 11171*i 09/12 2,900.64 5 = Substitute Check Number Date Paid Amount Number Date Paid Amount 11173*i 09/16 5,252.91 11195 i 09126 2,050.54 11174 i 09/13 888.50 11196 i 09/23 130.00 11175 i 09/13 1,220.98 11197 i 09/25 1,043.76 11176 i 09113 1,168.57 11199*i 09/26 421.11 11177 i 09/19 4,639.63 11200 i 09/23 738.97 11178i 09119 1,16.85 112021 09/23 3,693.51 11179 i 09/19 710.60 11203 i 09/26 428.04 11180 i 09/20 100.00 11204 i 09/24 490.34 11181 i 09/18 741.25 11205 i 09/23 337.53 11182 i 09/18 361.68 11206 i 09/30 422.83 11183 i 09/24 126.07 11207 i 09/26 5,362.50 11185*i 09/18 3,041.01 11209*i 09/27 271.51 11188*i 09/19 2,329.72 11211*i 09/30 2,946.39 11189 i 09/23 2,037.78 11212 i 09130 3,347.58 11190i 09/25 299.00 11213i 09/27 9,014.89 11191 i 09/20 36,533.25 11215*i 09/27 340.08 11192i 09/23 200.00 11216i 09/27 1,205.20 11193i 09/20 2,499.61 11218*i 09127 1,090.00 11194 i 09/20 436.54 Withdrawals / Debits 38 items totaling $109,262.95 Date Amount Description 09/03 371.45 WEB INITIATED PAYMENT AT T-MOBILE PCS SVC 2420720 090324 09/05 104.82 PAYCOR INC. 167711052124001 Pay fund 125314641004956 GEARING-HADINGER CARPE 090524 09/05 2,511.33 PAYCOR INC. 167711052124003 tax fund 845818096658810 GEARING-HADINGER CARPE 090524 09/05 8,397.71 PAYCOR INC. 167711052124002 DD - Fund 178370737523285 GEARING-HADINGER CARPE 090524 09/09 771.75 GearingHadinger GEARING FL 2005737831 090924 OFFSET TRANSACTION 09IN 1,947.45 WRIGHT EXPRESS FLEET DEBI 9100010343160 Gearing- Had i nger Carpe 090924 09/10 239.00 PAYCOR INC. 167711102124001 PaycorFees 68969410536550 GEARING-HADINGER CARPE 091024 09/10 1,093.59 TSYS/TRANSFIRST MERCH FEES 543684555734598 GEARING FLOORS 091024 09/11 2,437.14 SHAW NOW 8004417429 2TG)E063X9FZ712 091124 09/11 6,514.24 UNITED HEALTHCAR EDI PAYMTS 068651322988 GEARING-HADINGER 091124 09/12 104.82 PAYCOR INC. 167711122124002 Pay fund 100230318855644 GEARING-HADINGER CARPE 091224 09/12 1,763.74 AMEX EPAYMENT ER AM ACH PMT W7738 PAUL GEARING 091224 09/12 2,498.21 PAYCOR INC. 167711122124001 tax fund 109832745766878 GEARING-HADINGER CARPE 091224 09/12 8,359.15 PAYCOR INC. 167711122124003 DD - Fund 182317407989898 GEARING-HADINGER CARPE 091224 09/12 53.00 SERVICE CHARGE 09113 50.00 PAYCHEX-HR5 HRS PMT 46557526 GEARING-HADINGER CARP 091324 09/16 194.21 WEB INITIATED PAYMENT AT Lowes SYF PAYMNT 798192610885497 091624 09/16 1,799.11 WEB INITIATED PAYMENT AT BARCLAYCARD US CREDITCARD 1171999724 091624 09/16 5,074.54 WEB INITIATED PAYMENT AT CITI CARD ONLINE PAYMENT 431483767394295 091624 09/17 405.32 Akua Mosaics 305-235-4532 BILLANDPAY 8325972 GEARING FLOORS 091724 09117 1,239.51 SHAW NOW 8004417429 2T7O9YT6S5O4A8A 091724 09/17 1,393.60 IPF5877-674-3076 GDxLk2vV IPF5PMTFLS 240574 GEARING-HADINGER INC 091724 09/17 4,698.00 SHAW NOW 8004417429 2T709QAZWC4YXKM 091724 09/19 104.82 PAYCOR INC. 167711192124002 Pay fund 114157373384270 GEARING-HADINGER CARPE 091924 09/19 361.17 FLA DEPIT REVENUE SALES TAX Co 1317493IS HADINGER CARPET 091924 09/19 7,968.64 PAYCOR INC. 167711192124003 tax fund 838531869479930 GEARING-HADINGER CARPE 091924 09/19 19,147.58 PAYCOR INC 167711192124001 DD - Fund 208107698847472 GEARING-HADINGER CARPE 091924 09120 19.30 WEB INITIATED PAYMENT AT NEW YORK LIFE INS. PREM. 24 268 932 092024 09/20 1,418.01 WEB INITIATED PAYMENT AT NEW YORK LIFE INS. PREM. 24 267 798 092024 09/20 1,577.41 WEB INITIATED PAYMENT AT NEW YORK LIFE INS, PREM. 14 756 150 092024 09/20 9,409.49 AMEX EPAYMENT ER AM ACH PMT W8440 PAUL GEARING 092024 09/23 2,443.34 SHAW NOW 8004417429 2T8EACCUWF53FI1 092324 09/25 1,371.81 SHAW NOW BOD4417429 7T94R07LH5YHFO1 092524 09/26 104.82 PAYCOR INC. 167711262124002 Pay fund 120562012287285 GEARING-HADINGER CARPE 092624 Page 2of4 Page 155 of 339 2 LLI .� Q Q co 0 � [11 � r ' c� 00 r r CD 0 o 1 CD -0 m a_I� C a_ ILW CD Q Q 2 C� C) 2= J Q _j U r 00 W z � # z # �J¢°°oa°tea � 0- zrL z Q,ua v U < U) U D w LU J 7) W z ❑ 00, I- [v ]C N ['7 r C) LL � U CO Q rn CL 0- oP%Wlmm W L) L) w r It It Q QC)= J Q J U r co Lli 1 ui z 0 F 0 u z LD 0 D a z M z Q� U) U L ❑ U W [ifU 0 w F Z) z Q ❑ U cr- Q G�2 W w ❑_ 'LL V ) rn 0 cc) LO m 0 0 FIFTH THIRD BANK (SOUTH FLOWA) P.C. 13OX 630900 CINCINNATI OH 95263-0900 GEARING-HADINGER CARPET INC 6300 TOPAZ CT FORT MYERS FL 33966-8308 Withdrawals / Debits - continued Statement Period Date: 9/1/2024 - 9/30/2024 Account Type: 5/3 BUS ELITE CKG Account Number: Banking Center: Colonial Banking Center Phone: 239-939-4500 Business Banking Support: 877-534-2264 Date Amount Description 09/26 2,808.27 PAYCOR INC. 167711262124003 tax fund 130436760410039 GEARING-HADINGER CARPE 092624 09/26 9,862.46 PAYCOR INC. 167711262124001 DO - Fund 185265930374222 GEARING-HADINGER CARPE 092624 09/30 272.69 STANDARD INS CO PAYMENT OOCC513060 093024 09/30 371.45 WEB INITIATED PAYMENT AT T-MOBILE PCS SVC 2456927 093024 Deposits / Credits Date Amount 21 items totaling $306,627.59 Description 09/03 1,742.50 TSYS/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DEP 090324 090324 09/03 12,000.00 DEPOSIT 09/05 10,195.00 DEPOSIT 09/09 2,372.42 TSYS/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DFP 090924 090924 09/09 175,813.91 DEPOSIT 09/11 17,048.50 DEPOSIT 09/13 3,626.50 DEPOSIT 09/16 12,746.87 DEPOSIT 09/17 7,191.85 DEPOSIT 09/18 36.00 TSYS/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DEP 091824 091824 09/18 3,159.50 DEPOSIT 09/18 5,080.59 Costco Wholesale EDI EDI PYMNTS 0001761278 GEARING HADINGER 091821 09/19 294.92 TSYS/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DEP 091924 091924 09/20 4,936.44 Costco Wholesale EDT EDI PYMNTS 0001608896 GEARING HADINGER 092024 09/20 8,638.36 TSYS/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DEP 092024 092024 09/23 1,700.00 TSYS/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DEP 092324 092324 09/23 2,983.15 TSYS/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DEP 092324 092324 09/25 1,406.50 TSYS/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DEP 092524 092524 09/26 15,191.42 Costco Wholesale EDI EDI PYMNTS 0001919804 GEARING HADINGER 092624 09/30 4,438,89 Costco Wholesale EDI EDI PYMNTS 0001971229 GEARING HADINGER 093024 09/30 16,024.27 DEPOSIT Daily Balance Summary Date Amount Date Amount Date Amount 09/03 107,577.69 09112 220,982.74 09/23 133,256.53 09/04 98,620.19 09/13 218,620.55 09/24 132,640.12 09/05 93,608,29 09/16 213,242.64 09/25 131,332.05 09/06 79,106.22 09/17 211,407.03 09/26 125,485.73 09/09 248,314.83 09118 215,524.18 09/27 113,564.05 09/10 236,317.94 09/19 176,573.32 09/30 126,666.27 09/11 243,723.72 09/20 138,154.51 Page 3 of 4 Page 157 of 339 LU U T � N � Q CY7 DoN r T Q C) D D i -i (D D T- 0 W Q Q �_ 0 7-2 J Q J U r 00 W Z o❑ Z j� it LU LU p a Y a a z a_ U U D U- f!] J LU �- W Z � Q � N x co C) o 1 W -1 W U (D m rn o � r W Q 2 2 2 2 J Q J C) r 00 �Luz�It DJ z W 0 Q a 0 a Y o z a z Q U) U) U a ::) U d W U- U (1) J F- D W Z 2 W W W 0 Un N Q LO_j r � 2i W W H ❑_ ❑ U) rLL U) rLL U) rn (Y) 0 ao LO a> 0) m IL =I; Page 4 of 4 Page 159 of 339 I -j It � r r C) 0 - LL LL U a r P U 0 IT Q Q U C) = 2 J Q J U r 00 4t LULLI o°Y EL �ILZCL ¢rncn U � U � U a � LL J w D W z >< U) U) 0 0 T C) ° � IT w -1 w v m 07 a �- PL) w Q Q 2i 2 CD C J Q J U r 00 wz 1 z it ❑ ❑ n F ❑z LL Z rYR Ll co U nLU D / C LL ❑ ❑ ❑ C C � [17 J w F n W z U Q �w W ❑ ¢❑ n T LL U) rn M M O O Cfl N O7 (0 CL Statement Period Date: 8/1/2024 O =8/31/2024 Account Type: 5/3 BUS ELITE CKG RFTH THiRD BANK Account Numb --- (SOUTH FLORIDA) P.O. BOX 630900 CINCINNATI OH 45263-0900 Banking Center: Colonial GEARING-HADINGER CARPETING Banking Center Phone: 239-939-4500 6300 TOPAZ CT Business Banking Support: 877-534-2264 FORT MYERS FL 33966-8308 Account Summary O8/01 Beginning Balance $135,326.60 Number of Days in Period 31 92 Checks $(194,140.34) 41 Withdrawals / Debits $(140,355.36) 24 Deposits / Credits $319,362.33 08/31 Ending Balance $120,193.23 Analysis Period: 07/01/24 - 07/31/24 Standard Monthly Service Charge $50.00 Standard Monthly Service Charge Waived (see below) -$50.00 INFO REPORTING $13.00 ELECTRONIC DEPOSIT4 $40.00 Service Charge withdrawn on 08/12/24 $53.00 4Charges for Electronic Deposit Manager (EDM) include the EDM Monthly Service Fee. Standard Monthly Service Charge waived if: Current Relationship Overview: Your business maintains a total monthly average Balance Criteria Met? Yes balance of $50,000 across its business checking, savings, Total Combined Monthly Average Balance $145,373.08 and certificate of deposit accounts. OR your business has a business loan or line of credit. Business Loan or Line of Credit? Yes OR your business spends at least $500 per month on Other Criteria Met? No its business credit card PLUS has one of the following: $500 Business Credit Card Spend? No Electronic Deposit Manager OR Cash Management Electronic Deposit Manager? Yes Essentials. Cash Management Essentials? Yes Checks 92 checks totaling $194,140.34 * Indicates gap in check sequence i = Electronic Image s = Substitute Check Number Date Paid Amount Number Date Paid Amount Number Date Paid Amount 10089 i 08/09 83.32 11022 i 08/02 2,167.27 11033 i 08/06 549.59 10958*i 08/08 435.10 11023 i 08/01 7,204.88 11034 i 08/05 3,750.18 10970*i 08/02 176.00 11024 i 08/02 21,161.25 11035 i 08/05 2,199.06 10985*i 08/05 77.23 11025 i 08/05 772.03 11036 i 08/13 1,064.08 10987*i 08/05 259.28 11026 i 08/02 1,468.00 11037 i 08/08 1,767.05 11002*i 08/05 751.56 11027 i 08/06 260.46 11038 i 08/12 1,458.15 11016*i 08/05 153.00 11028 i 08/05 173.47 11040*i 08/09 21,729.57 11017 i 08/01 432.44 11029 i 08/12 179.39 11041 i 08/12 444.03 11019*i 08/05 130.00 11030 i 08/27 1,896.40 11042 i 08/12 1,534.50 11020 i 08/05 186.40 11031 i 08/05 100.00 11043 i 08/09 4,014.99 11021 i 08/02 1,371.51 11032 i 08/07 747.93 11044 i 08/12 1,540.27 For additional information and account disclosures, please visit www.53.com/businessbanking Page 1 of 4 Page 161 of 339 O 00 CO 0 r41 L J IT � CV �x ce) 0 N r CD C) o LL -j LL U CY) ❑) D Y 0 P%kmm q- a- W C) Q Q 2 CD C) I= J Q J C) T 00 i� (�� oo#d wwWo0 ❑ C� ❑ a Z a~.. Z Q CO CO v D � C)2 ❑ LL U) () U) J W H D LU Z ❑ ry co 0 D C V r T Q C) Q d LL LL U CIDrn Yr*lo%m r CL CL W 0 0- < Q 2 It lq- 0 C _= J Q J U r 00 �f�� ULiz� 0 #z * L.Li I ii 0 o C—) cy 3 N ~ U EL [ ❑ U 0 L U U) J W D W Z ❑ U Q W W o � 2 W W Q U) H U) , H U) 0 FIFTH THIRD 13ANK Checks -continued * Indicates gap in check sequence i = Electronic image Number Date Paid Amount 11045 i 08/12 840.00 11046 i 08/12 1,342.06 110471 08/14 1,408.76 11048 i 08/21 1,044.84 11049 i 08/13 976.50 11050 i 08/27 1,118.46 11051 i 08/12 130.00 11052 i 08/13 713.01 11053 i 08/19 1,309,30 11054 i 08/15 2,331.32 11055 i 08/16 11,889,28 11056 i 08/22 1,399.00 11057 i 08/16 1,561.97 11058 i 08/19 2,457.50 11059 i 08/16 1,800.00 11060 i 08/21 167.70 11061 i 08/27 119.00 11062 i 08/22 2,050.54 11063 i 08/21 335.75 11064 i 08/26 100.00 s = Substitute Check Number Date Paid Amount Number Date Paid Amount 11065i 08/20 741.25 11089i 08/23 794.78 11066 i 08/19 379.57 11090 i 08/26 300.00 11067 i 08/22 3,300.42 11092*i 08/23 9,472.37 11068 i 08/21 1,388.60 11093 i 08/26 1,000.00 11069 i 08/19 4,791,81 11094 i 08/26 765.00 11070 i 08/20 71.38 11095 i 08/23 5,362.50 11071 i 08/22 30.00 11096 i 08/27 1,246.81 11073*i 08119 1,847.83 11097 i 08/30 106.50 11075*1 08/23 2,853.89 11098i 08/26 5,671.75 11076 i 08/26 459.31 11099 i 08/28 1,043.76 11077 i 08/28 544.15 11100 i 08/26 1,964.93 11078 i 08/22 694.18 11101 i 08/29 2,025.56 11079 i 08/22 61.15 11102 i 08/29 3, 572.01 11080 i 08/26 126.07 11107*i 08/30 1,568.90 11081 i 08/26 145.72 11111*i 08/29 424.67 11083*i 08/23 449.29 11113*1 08/30 300.00 11085*i 08/22 1,555.08 11114 i 08/30 300.00 11086 i 08/26 5,426.95 11115 i 08/30 300.00 11087 i 08/26 4,941.52 11117*i 08/30 300.00 11088 i 08/23 14,479.25 Withdrawals / Debits 41 items totaling $140,355.36 Date Amount Description 08/01 104.82 PAYCOR INC. 167711012024003 Pay fund 219838533437647 GEARING-HADINGER CARPE 080124 08/01 373.79 WEB INITIATED PAYMENT AT T-MOBILE PCS SVC 2242951 080124 08/01 2,686.02 PAYCOR INC. 167711012024002 tax fund 239771689601686 GEARING-HADINGER CARPE 080124 08/01 8,813.61 PAYCOR INC. 167711012024001 DD - Fund 226144484402120 GEARINGHADINGER CARPE 080124 08106 2,350.00 AMEX EPAYMENT ER AM ACH PMT W3676 PAUL GEARING 080621 08107 1,811.25 WRIGHT EXPRESS FLEET DEBI 9100010343160 Gearing- Hadinger Carpe 080724 08/08 104.82 PAYCOR INC. 167711082024003 Pay fund 126396205537826 GEARINGHADINGER CARPE 080824 08/08 179.10 WEB INITIATED PAYMENT AT HOME DEPOT COMM ONLINE PMT 621454413090100 080824 08/08 248.00 PAYCOR INC. 167711082024001 PaycorFees 52633716508077 GEARING-HADINGER CARPE 080824 08/08 2,606.00 PAYCOR INC. 167711082024002 tax fund 1OB584649834463 GEARING-HADINGER CARPE 080824 08/08 8,578.04 PAYCOR INC. 167711082024004 DD - Fund 250226607236327 GEARING-HADINGER CARPE 080824 08/08 8,679.91 SHAW NOW 8004417429 2TOD7LIMLNE4HW3 080824 08/09 468.72 COLONIAL LIFE INS. PREMIUM DEBITS INS. PREM. E5040449 GEARING-HADINGER CARPE 080924 08/12 109.10 WEB INITIATED PAYMENT AT Lowes SYF PAYMNT 798192610885497 081224 08/12 2,432.21 TSYS/TRANSFIRST MERCH FEES 54368455SI34598 GEARING FLOORS 081224 08/17 5,911.49 UNITED HEALTHCAR EDI PAYMTS 068651356108 GEARINGHADINGER 081224 08/12 53.00 SERVICE CHARGE 08/13 6,192.97 WEB INITIATED PAYMENT AT SARCLAYCARD US CREDITCARD 1161488936 081324 08/14 1,002.32 WEB INITIATED PAYMENT AT CM CARD ONLINE PAYMENT 421459605088499 081424 08/14 9,415.83 SHAW NOW 8004417429 2TIG55FKAYQTGM4 081424 OB/15 4.05 FLA DEPT REVENUE SALES TAX C01 118522306 HADINGER CARPET 081524 08/15 104.82 PAYCOR INC. 167711152024002 Pay fund 153392063589368 GEARINGHADINGER CARPE 081524 08/15 1,861.14 AMEX EPAYMENT ER AM ACH PMT W2044 PAUL GEARING 081524 08/15 7,616.15 PAYCOR INC. 167711152024001 tax fund 601599336025140 GEARING-HADINGER CARPE 081524 08/15 19,773.75 PAYCOR INC. 167711152024003 DD - Fund 183337656464215 GEARING-HADINGER CARPE 081524 08/16 50.00 PAYCHEX-HR5 HRS PMT 46345195 GEARING-HADINGER CARP 081624 08/19 3,144.33 AMEX EPAYMENT ER AM ACH PMT W6490 PAUL GEARING 081924 08/19 4,731.16 SHAW NOW 8004417429 2T1ZR7ATMX4CB 081924 08120 19.30 NEW YORK LIFE INS. PREM. 24 268 932 082024 08/20 1,418.01 NEW YORK LIFE INS. PREM. 24 267 798 082024 08120 1,577.41 NEW YORK LIFE INS. PREM. 14 756 150 082024 08121 1,740.39 SHAW NOW 8004417429 2T2PFQ8SV79DW1K 082124 08/22 104.82 PAYCOR INC. 167711222024001 Pay fund 981617203600400 GEARING-HADINGER CARPE 082224 08/22 4,909.68 PAYCOR INC. 167711222024003 tax fund 100540965915750 GEARING-HADINGER CARPE 082224 Page 2of4 Page 163 of 339 I � _ r N_ Q C) 000 Y I —j co CL 0- 5C w o Q Q W �_ CD 2 2 Q U T 00 w z z WW290009DO ~ U a Z EE � � v L U CO W W Z ❑ Q 00 Nf N T C) o "moo -1 T � Q Nr w r C) Q _ Q = J Q J U r 00 L.f LU L.f LU W Z 0 Z 0 0 n �a- zCLz ¢(nv) U LL U 0 w J Z:) z w ❑ — >� w w O U) rLL V ) H r V / 0 FIFTH THIRD BANK (SOUTH FLORIDA) P.O. BOX 630900 CINCINNATI OH 45263-0900 GEARING-HADINGER CARPET INC 6300 TOPAZ CT FORT MYERS FL 33966-8308 Withdrawals / Debits - continued Statement Period Date: 8/1/2024 - 8/31/2024 Account Type: 5/3 BUS ELITE CKG Account Numbe Banking Center: Colonial Banking Center Phone: 239-939-4500 Business Banking Support: 877-534-2264 Date Amount Description 08/22 13,446.93 PAYCOR INC. 167711222024002 DD - Fund 158247281814792 GEARING-HADINGER CARPE 082224 08/27 902.19 SHAW NOW 8004417429 2T3TC901FBNX2I3 082724 08/28 272.69 STANDARD INS CO PAYMENT OCCC513060 082824 08/28 5,272.88 GearingHadinger CASH DISB 2005737831 082824 OFFSET TRANSACTION 08/29 104.82 PAYCOR INC. 167711292024002 Pay fund 859221720850650 GEARING-HADINGER CARPE 082924 08/29 2,601.80 PAYCOR INC. 167711292024003 tax fund 167072305002900 GEARING-HADINGER CARPE 082924 08/29 8,578.04 PAYCOR INC. 167711292024001 DD - Fund 423655790802240 GEARING-HADINGER CARPE 082924 Deposits / Credits 24 items totaling $319,362.33 Date Amount Description 08/01 10,908.43 TSYS/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DEP 080124 080124 08/02 1,450.00 TSYS/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DEP 080224 080224 08/02 8,035.15 Costco Wholesale EDI EDI PYMNTS 0007230446 GEARING HADINGER 080224 08/02 32,109.21 DEPOSIT 08/06 14,381.28 DEPOSIT 08/07 2,949.20 TSYS/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DEP 080724 080724 08/09 21,027.50 DEPOSIT 08/12 6,815.56 TSYS/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DEP 081224 081224 08/12 10,145.37 Costco Wholesale EDI EDI PYMNTS 0007373032 GEARING HADINGER 081224 08/13 11,500.00 DEPOSIT 08/15 839.98 TSYS/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DEP 081524 081524 08/16 9,558.70 TSYS/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DEP 081624 081624 08/16 69,009.25 DEPOSIT 08/19 500.00 TSYS/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DEP 081924 081924 08/19 2,247.67 Costco Wholesale EDI EDI PYMNTS 0007494779 GEARING HADINGER 081924 08/19 7,284.00 TSYS/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DEP 081924 081924 08/20 11,707.36 DEPOSIT 08121 2,790.00 DEPOSIT 08/21 8,270.49 Costco Wholesale EDI EDI PYMNTS 0007548709 GEARING HADINGER 082124 08/23 22,614.85 DEPOSIT 08/26 19,564.41 Costco Wholesale EDI EDI PYMNTS 0007618098 GEARING HADINGER 082624 08/28 400.00 TSYS/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DEP 082824 082824 08/29 15,273.57 Costco Wholesale EDI EDI PYMNTS 0007696918 GEARING HADINGER 082924 08/30 29,980.35 DEPOSIT Page 3 of 4 Page 165 of 339 1w, W V C co 0 N x M D CV T oa CD f m " `` o 0 Y T wCD W Q Q C7 C) _= J Q J U r 00 CC W Z 4* Z Lu ��zaz-°�Y� N U Q vj U 0 w LL U ❑ w z ❑ 2E ,4, ....■CN cc w co U D N r r o i -j U " i T w W 0 Q Q �_ IT 0 _= J Q J ULu r JQ°°oa° a �a-z Qrntn U U LLL U CI} J w w Z 2 � 2 ww Q sn W w ❑_ O LL U) rn cM CO O CO CO N m 0- 0 FwTiq TKiRD SANK Daily Balance Summary Date Amount Date Amount Date Amount 08/01 126,619.47 08/13 120,601.89 08/22 119,272.02 08/02 141,869.80 08/14 108,774.98 08/23 108,474,79 08/05 133,317.59 08/15 77,923.73 08/26 107,137.95 08/06 144,538.82 08/16 141,190.43 08/27 101,B55.09 08/07 144,928.84 08/19 132,560.60 08/28 95,121.61 08/08 122,330.82 08/20 140,440.61 08/29 93,088.28 08/09 117,061.72 08121 146,823.82 08/30 120,193.23 08/12 118,048.45 Page 4 of 4 Page 167 of 339 1 W U C L�J �r CA co 001 0 C) aoo Y Y r P%Wlft a.ELL � C) _ _ Q U r 00 Luz C 4*#z 1 1 :E 0 O O w d. se ❑ CL Z pi z U U 0 � U U] J W H D W z ❑ � 00, Nr N 0 a -j Q r%%w 0 L.6 W Y T C) _= 2 J Q 2 J L7 r 00 �- W z j 4t z ° �w �a_z0-z QcnU) C) U L ❑ C-) H z W ❑ o W W O co rn M M O co N 0) m d FIFT14 THIRD BANK (SOUTH FLORIDA) P.O. BOX 630900 CINCINNATI OH 45263-0900 GEARING-HADINGER CARPET INC 6300 TOPAZ CT FORT MYERS FL 33966-8308 Statement Period Date: 10/1/2024 - 10/31/2024 Account Type: 5/3 BUS ELITE CKG Account Number Banking Center: Colonial Banking Center Phone: 239-939-4500 Business Banking Support: 877-534-2264 Account Summary 10/01 Beginning Balance $126,666.27 Number of Days in Period 31 74 Checks $(144,310.11) 54 Withdrawals / Debits $(146,314.12) 16 Deposits / Credits $324,488.72 10/31 Ending Balance $160,530.76 Analysis Period: 09/01/24 - 09/30/24 Standard Monthly Service Charge $50.00 Standard Monthly Service Charge Waived (see below) -$50.00 ELECTRONIC DEPOSIT4 $40.00 Service Charge withdrawn on 10/10/24 $40.00 4Charges for Electronic Deposit Manager (EDM) include the EDM Monthly Service Fee. Standard Monthly Service Charge waived if: Current Relationship Overview: Your business maintains a total monthly average Balance Criteria Met? Yes balance of $50,000 across its business checking, savings, Total; Combined Monthly Average Balance $153,466.52 and certificate of deposit accounts. OR your business has a business loan or line of credit. Business Loan or Line of Credit? Yes OR your business spends at least $500 per month on its business credit card PLUS has one of the following: Electronic Deposit Manager OR Cash Management Essentials. Checks * Indicates gap Number in check sequence i Date Paid = Electronic Image Amount 11008 i 10/17 1,309.30 11198*i 10/08 3,341.39 11208*i 10/01 102.54 11210*i 10/15 670.74 11214*i 10/07 936.00 11217*i 10/03 3,764.55 11219*i 10/02 823.14 11220 i 10/17 482.23 11221 i 10/02 100.00 11222 i 10/09 363.96 11223 i 10/03 495.09 11225*i 10102 3,460.00 Other Criteria Met? No $500 Business Credit Card Spend? No Electronic Deposit Manager? Yes Cash Management Essentials? Yes s = Substitute Check Number Date Paid Amount 11226 i 10/01 6,218.52 11227 i 10/07 855.36 11228 i 10/07 129.17 11229 i 10/01 125.17 11230 i 10/04 2,985.25 11231 i 10/04 997.22 11232 i 10/04 157.50 11233i 10/08 240.17 11234 i 10/15 179.39 11235 i 10107 5,125.84 11236 i 10/07 130.00 11237 i 10/07 741.25 74 checks totaling $144,310.11 Number Date Paid Amount 11238 i 10/07 595.81 11239 i 10/08 1,342.06 11240 i 10/09 1,179.81 11241 i 10/07 1,113.35 11242 i 10/15 35.00 11243 i 10/09 355.82 11244 i 10/07 1,052.83 11245 i 10/11 6,673.23 11246 i 10/07 3,046.15 11247 i 10/08 2,018.42 11248 i 10/09 775.70 11249 i 10/09 2,090.03 For additional information and account disclosures, please visit www.53.com/businessbanking Page 1 of 4 Page 169 of 339 a W U O s 00 CO O C 00 0 Nr N ' Q� ry M 0 ❑ CV r 7-- p C) oo� CC) lqr ❑ � r o P%%m IL CL W C) T QQ2 �E CD C) m 1: J Q J L) r 00 1:� C� LU z z cri<�- a-F �eLL, CO CO 0 L W J LU H W z ❑ � N ❑ ❑ N r T p C) 0 0 v M ❑ Y r r**ftu0 W ck� IT Q Q :2 2 (7 C) _= J Q J U 00 wWwa000LDDo o CL E � v 0 L ca w -� W z ❑ LJ Q U) 0Q LO J T T 3.T �� W W H r V ) rn M M O O N ZA (0 CL 0 FIFTH THIRD BANK Checks - continued * Indicates gap in check sequence i = Electronic Image s = Substitute Check Number 11250 i 11251 i 11252 i 112531 11254 i 11255 i 11256 i 11257 i 11258 i 11259 i 11261*i 11262 i 11263 i Date Paid 10/08 10/24 10/17 10/22 10121 10/17 10/21 10123 10/18 10/28 10128 10/23 10/24 Amount Number Date Paid Amount Number Date PaidAmount 1,981.37 11264 i 10/21 245.57 11280 i 10/25. 2,462.93 2,050.54 11265 i 10/24 584.93 11281 i 10/29 1,043.76 336.97 11266 i 10/23 1,584.99 11282 i 10/29 3.75 259.07 11267 i 10/23 50.34 11283 i 10/28 349.49 1,354.69 11268 i 10121 4,353.55 11285*i 10/28 58.72 2,489.43 11270*i 10/21 2,368.41 11286 i 10/28 2,025.97 11,194.00 11271 i 10/29 1,138.18 11287 i 10/30 427.68 205.50 11272 i 10/21 450.00 11288 i 10/28 128.96 650.00 11275*i 10/23 5,232.50 11289 i 10/28 5,362.50 5,162.17 11276 i 10/25 24,046.00 11291*i 10/31 206.80 1,230.00 11277 i 10/28 2,175.00 11293*1 10/31 2,736.11 251.12 11278 i 10/25 3,085.60 11295*i 10/30 1,366.55 581.47 11279 i 10125 1,063.50 Withdrawals Debits 54 items totaling $146,314.12 Date Amount Description 10/01 415.94 _ Akua Mosaics 305-235-4532 BILLANDPAY 8370210 GEARING FLOORS 100124 10/01 430.24 SHAW NOW 8004417429 2TA8EH7FTMNS]14 100124 10/01 679.66 WEB INITIATED PAYMENT AT HOME DEPOT COMM ONLINE PMT 621501204917581 100124 10/02 485.13 WEB INITIATED PAYMENT AT MASTERSBUILDINGP WEBPAYMENT 100224 10/02 1,340.46 Akua Mosaics 305-235-4532 BILLANDPAY 8375810 GEARING FLOORS 100224 10/03 104.82 PAYCOR INC. 167711032224001 Pay fund 241566971377310 GEARING-HADINGER CARPE 100324 10103 700.30 ELYSIUMTILEFLORI PURCHASE 100324 10/03 2,430.62 PAYCOR INC. 167711032224003 tax fund 165673313005363 GEARING-HADINGER CARPE 100324 10/03 7,904.52 PAYCOR INC. 167711032224002 DD - Fund 366326461735000 GEARING-HADINGER CARPE 100324 10/04 2,626.11 SHAW NOW 8004417429 2TAREM32BAEMWXW 100424 10/08 266.00 PAYCOR INC. 167711082224001 PaycorFees 218941167219653 GEARING-HADINGER CARPE 100824 10108 548.72 SHAW NOW SOG4417429 2TBGTK4TYEIMW2K 100824 10/08 748.60 ELYSIUMTILEFLORI PURCHASE 100824 10/09 1,684,98 WRIGHT EXPRESS FLEET DEBI 9100010313160 Gearing- Hadinger Carpe 100924 10/10 104.82 PAYCOR INC. 167711102224002 Pay fund 186717156009895 GEARING-HADINGER CARPE 101024 10/10 555.35 TSYS/TRAN5FIRST MERCH FEES 543684555734598 GEARING FLOORS 101024 10/10 2,480.98 PAYCOR INC. 167711102224003 tax fund 422435803795220 GEARING- HADINGER CARPS 101024 10/10 6,514.24 UNITED HEALTHCAR EDI PAYMTS 0686513,19308 GEARING- HADINGER 101024 10/10 7,876.52 PAYCOR INC. 167711102224001 DD - Fund 259210033695910 GEARING-HADINGER CARPE 101024 10/10 40.00 SERVICE CHARGE 10/11 50.00 PAYCHEX-HRS HRS PMT 46793388 GEARING-HADINGER CARP 101124 10/15 2,893.54 WEB INITIATED PAYMENT AT CITI CARD ONLINE PAYMENT 421507142558395 101524 10/15 4,550.81 WEB INITIATED PAYMENT AT BARCLAYCARD US CREDITCARD 1182191325 101524 10/16 140.12 SHAW NOW 8004417429 2TC56E701QB]QQF 101624 10/16 2,129.37 AMEX EPAYMENT ER AM ACH PMT W8852 PAUL GEARING 1D1624 10116 4,725.% SHAW NOW 8004417429 2TCS63Y2UKVZLQY 101624 10/17 104.82 PAYCOR INC. 167711172224002 Pay fund 6203914028346SO GEARING-HADINGER CARPE 101724 10/17 615.26 ELYSIUMTILEFLORI PURCHASE 101724 10/17 4,727.63 PAYCOR INC. 16771117222,1003 tax fund 168710167756706 GEARING-HADINGER CARPE 101724 10117 16,637.53 PAYCOR INC. 167711172224001 DD - Fund 573508189726900 GEARING-HADINGER CARPE 101724 10/18 507.87 FLA DEPT REVENUE SALES TAX C01 142683884 HADINGER CARPET 101824 10/21 19.30 NEW YORK LIFE INS. PREM. 24 268 932 102124 10/21 112.07 Markel/Xpress 8669772271 ACHTRANS 103044253 Gearing- Hadi nger Carpe 102124 10121 1,418.01 NEW YORK LIFE INS. PREM. 24 267 798 102124 10121 1,577.41 NEW YORK LIFE INS. PREM. 14 756 150 102124 10/21 7,047.06 SHAW NOW B004417429 2TDHULO]OXAD2CZ 102124 10121 11,290.13 AMEX EPAYMENT ER AM ACH PMT W1810 PAUL GEARING 102124 10123 406.90 WEB INITIATED PAYMENT AT Akua Mosaics BILLANDPAY 8462220 102324 10/23 1,393.60 IPFS877-674-3076 GDxLk2vV IPFSPMTFLS 240574 GEARING-HADINGER INC 102324 10/23 2,943,80 SHAW NOW BOG4417429 2TE84PZKXDQBNQV 102324 10/23 7,408.82 SHAW NOW 8004417429 2TE850AT776]YL2 102324 Page 2 of 4 Page 171 of 339 L'J L LU U - - - - 00 0 ❑ ❑ CV r r p C) ❑ � U m ❑ Y T p P%%u a_ a_ W C.) Q Q C) I I co z I -- � � a Q a � D0-zaZ U) U) 0 � < Cn J ,Z) w - z ❑ lqr CV 0 x C m 0 0 i V T ❑ ❑ r Q C) i -i ❑r%%m T 0- CL Q� V- IL Q IL Q W (D C) T- T-J Q J U c- 00 � 0 ED ED o ❑ O F -j 8- seCL ❑ C: Z Q U w U) N Q D w — z ❑ W D U) U) Cv Q LO r a < w W W CNC C �Q LO J t J r 'LL VJ rn M M O N N O7 (0 CL M FIFTH 'THIRD BANK (SCUTH FLCRIDA) P.D. BOX 6309C0 CINCINNATI Oil 45263-0900 GEARING-HADINGER CARPET INC 6300 TOPAZ CT FORT MYERS FL 33966-8308 Withdrawals / Debits -continued Statement Period Date: 10/1/2024 - 10/31/2024 Account Type: 5/3 BUS ELITE CKG Account Number: Banking Center: Colonial Banking Center Phone: 239-939-4500 Business Banking Support: 877-534-2264 Date Amount Description 10/24 104.82 PAYCOR INC. 167711242224001 Pay fund 169737502352600 GEARING-HADINGER CARPS 102424 10/24 3,643.55 PAYCOR INC. 167711242224003 tax fund 162686702681654 GEARING-HADINGER CARPS 102424 10/24 13,416.84 PAYCOR INC. 167711242224002 DD - Fund 417664354670530 GEARING-HADINGER CARPE 102424 10/25 114.48 WEB INITIATED PAYMENT AT LEE CO UTILITIES WEB —PAY 05678537102224 102524 10128 131.65 Markel/Xpress 8669772271 ACHTRANS 103100521 Gearing-Hadinger Carpe 102824 10/29 3,684.77 SHAW NOW B004417429 2TFBQYE5GX JC3R 102924 10/30 204.66 Akua Mosaics 305-235-4532 BILLANDPAY 8480270 gearing floors 103024 10130 272.69 STANDARD INS CO PAYMENT OOCC513060 103024 10/31 104.82 PAYCOR INC. 167711312224003 Pay fund 151259533912740 GEARING-HADINGER CARPE 103124 10/31 371.36 WEB INITIATED PAYMENT AT T-MOBILE PCS SVC 2849643 103124 10131 2,417.48 PAYCOR INC. 16771131222,1004 tax fund 242941839632849 GEARING-HADINGER CARPF 103124 10/31 5,323.44 SHAW NOW 8004417,129 2TFOXQ75PHCOSQ8 103124 10/31 7,885.54 PAYCOR INC. 167711312224005 DD - Fund 125079554568881 GEARING-HADINGER CARPE 103124 Deposits / Credits 16 items totaling $324,488.72 Date Amount Description 10/02 2,372.42 TSYS/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DEP 100224 100224 10103 15,467.75 TSYS/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DEP 100324 100324 10/03 16,605.15 Costco Wholesale EDI EDI PYMNTS 0002052204 GEARING HADINGER 100324 10/07 26,537.50 DEPOSIT 1O/15 1,550.80 CD5tco Wholesale EDI EDI PYMNTS 0002232789 GEARING HADINGER 101524 10/18 217.18 DEPOSIT 10/18 9,746.40 Costco Wholesale EDI EDI PYMNTS 0002338575 GEARING HADINGER 101824 10/18 143,227.70 DEPOSIT 10/18 1,309.30 RETURNED ITEM/STOP PAYMENT OR ALERT 10/22 31,849.84 DEPOSIT 10/24 1,238.77 DEPOSIT 10/24 7,070.95 TSYS/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DEP 102424 102424 10/28 1,220.33 T5Y5/TRANSFIRST CR CD DEP 543684555734598 GEARING FLOORS 5436845557345989GEARING FLOORS CR CD DEP 102824 102824 10/28 3,273.23 Costco Wholesale LDI EDI PYMNTS (1002494530 GEARING HADINGER 102824 10/28 37,901.84 DEPOSIT 10/30 24,899.56 DEPOSIT Page 3 of 4 Page 173 of 339 l�J � 1 U)CO" Q� ❑ Q� ❑ N 04 r 0 o -1 T a IL CL ❑ W YP%Wftw (If T IRT C) Q Q M Q J 0 C) r co w w❑ w z M 0 o �^ z O p o Daza-z ¢cnU) 2i v LC) ❑ w O W z Q ❑ � N " 1 ❑ ❑i C11 r ra C) LL -j LL C)� C) w C) QQ2 Of Iq CD C) _= J Q J CJ T-- co L.L w z 4t * Z �'�+ 4* ww:Eoo❑o900 J Q H OL w Z t1] [I] U � ❑ U ❑ w LLL (17 CI] J Uj Z � w w r) "� V G� W W C O cn in T LL rn c'M M O O c� 0 F1FTi4 TH1RD BANK Daily Balance Summary Date Amount Date Amount Date Amount 10/01 118,694.20 10/11 96,344,38 10/23 179,892.79 10/02 114,857.89 10/15 89,565,70 10/24 167,820.36 10/03 131,530.89 10/16 82,570.25 10/25 137,047.85 10/04 124,764.81 10117 55,867.08 10/28 162,818.79 10/07 137,576.55 10/18 209,209.79 10/29 156,948.33 10/08 127,089.82 10/21 167,779,59 10/30 179,576.31 10/09 120,639.52 10/22 199,370, 36 10/31 160,530.76 10/10 103,067.61 IF YOU USE TREASURY MANAGEMENT SERVICES, PLEASE NOTE THAT WE HAVE UPDATED OUR TERMS & CONDITIONS. GO TO 53.COM/TM-TC TO VIEW Page 4 of 4 Page 175 of 339 16J a W C..) A X U) U) T O C) oo Y LL LL Q coMT T r*%u CL 0- N LU T CL CL T = 2 C) Q U T 00 W Z 4* C Z LLJ Lu m 0 d w Q Q a 0 U L U) 7) W ❑ CZ C � N_ LL LL U r) rn 0 1— a_aW -j C) _ = J Q U r 00 (� w Z Z # LU� < F 1 0- teaZIL? a � <U) c) !LL UJ J H D LU z ❑ LL{ vJ�V�/� co N Q Ln j J_ r C] Q w w ❑_ 0 U) U Q w w w ❑ rLL VJ rn M M 4- 0 O (0 d 9i23/24.2:20 1'M Dctail by Fntitc Name ' car Detail by Entity Name Florida Profit Corporation MERCATTO STONE GROUP, INC. Filing Information Document Number P17000044871 FEI/EIN Number 37-1856699 Date Filed 05/22/2017 State FL Status ACTIVE Principal Address 12296 MATTERHORN RD SUITE A-4 FORT MYERS, FL 33913 Changed: 03/01 /2022 Mailing Address 12296 MATTERHORN RD SUITE A-4 FORT MYERS, FL 33913 Changed: 03/01 /2022 Registered Agent Name & Address MIRANDA, SERGIO 5534 BROOKFIELD STREET LEHIGH ACRES, FL 33971 Name Changed: 04/09/2018 Address Changed: 04/09/2018 Officer/Director Detail Name & Address Title President MIRANDA, SERGIO 5534 BROOKFIELD STREET LEHIGH ACRES, FL 33971 Iiaps:;!scarch.sunbizur_�/Inquiry/Corporation Search/Search ResultDetaiI"inquir\type=EntityName&directionType=Initial&searchNameOrder=MERCXF1CPA��'--1i7.7 of M9 Pl1 t�yy g� � (Requesto's Name) (Address) (Address) (City/State(Zip/Phone #) ❑ PICK-UP FIWAIT ❑ MAIL (Business Entity Name) (Document Number) Certified Copies Certificates of Status Special Instructions to Filing Officer: Office Use Only �II�IVVI1IBI�IIBNil l�ld�lll'�W�II�I� 600295410386 l�`h: CCr'7 f--LJ1lJ s1- i_!G1 #tJij, Fj A W —": v !a 3:w S f�1 _. C � ` � fV aH.�t• M-, fT1{1-11 � ' ; Page 178 of 339 r COVER LETTER Department of State New Filing Section Division of Corporations P. O. Box 6327 Tallahassee, FL 32314 MERCATTO STONE GROUP, INC. SUBJECT: (PROPOSED CORPORATE NAME — MUST INCLUDE SUFFIX) Enclosed are an original and one (1) copy of the articles of incorporation and a check for: ❑ S70,00 W $78.75 Filing Fee Filing Fee & Certificate of Status JUCIANF D SENA ❑ $78.75 ❑ $87.50 Filing Fee Filing Fee, & Certified Copy Certified Copy & Certificate of Status ADDITIONAL COPY REQUIRED FROM: Name (Printed or typed) 9001 WILES ROAD # 108 CORAL SPRINGS, FL 33067 Address City, State & Zip (239) 633-2095 Daytime Telephone number JUCIANESENA afHOTMAIL,COM E-mail address: (to be used for future annual report notification) NOTE: Please provide the original and one copy of the articles. Page 179 of 339 r'�O 1ME 1 FLORIDA DEPARTMENT OF STATE Division of Corporations April 26, 2017 JUCIANE D SENA 9001 WILES ROAD #108 CORAL GABLES, FL 33067 SUBJECT: MERCATTO STONE GROUP, INC. Ref. Number: W17000031700 We have received your document for MERCATTO STONE GROUP, INC. and your check(s) totaling $78.75. However, the enclosed document has not been filed and is being returned for the following correction(s): You failed to make the correction(s) requested in our previous letter. DID NOT RECEIVE THE COMPLETE DOCUMENT. MISSING ARTICES i, II, III. Please return your document, along with a copy of this letter, within 60 days or your filing will be considered abandoned. If you have any questions concerning the filing of your document, please call (850) 245.6052. Neysa Culligan Regulatory Specialist II Letter Number: 517A00007057 www.sunbiz.org Page 180 of 339 Articles of Incorporation For fi714A r 22 F% 4: la MERCATTO STONE GROUP, INC Ec,: =E ,;;;� y pc. S`T,J _ TALL AHASSEI_ PLOR1104 The undersii7ned Incorporator herebv forms a Florida profit corporation under the laws of CHAPTER 607 of the Florida Statutes. Article I — Name of the Corporation: The name of the corporation shall be MERCATTO STONE GROUP, INC. Article H — Principal Address: The principal address of this corporation shall be at 5781 LEE BLVD SUITE 208-227, LEHIGH ACRES, FL, 33971, LEE County. The mailing address of this corporation shall be the same. Article HI — Purpose of this Business: This corporation may engage or transact in any or all lawful activities or businesses permitted by under the laws of the United States of America, the State of Florida, or any other State, County, territory of nation where permitted. Article IV — Capital Stock and Shares: The maximum number of shares of stock that this corporation is authorized to have outstanding at any one time is one thousand (1.000) shares of common stock, having one dollar ($ 1.00) value per share. Article V — Registered Agent The name and address of the initial registered agent of this corporation shall be dUCIANE SENA, 9001 Wiles Road # 108 — Coral Springs, FL 33067. I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: 01 Page 181 of 339 Article VI — Name and Address of Incorporator. The name and address of the incorporator of this corporation is: duciane Sena 9001 Wiles Road #E 108 — Coral Springs, FL 33067 Article V1I — Board of Directors and Shareholders All corporate power shall be exercised by or under the authority of MERCATTO STONE GROUP, INC., and the business and affairs of the corporation managed under the direction of its Board of Directors, subjected to all limitations set forth in these Articles of Incorporation. This corporation shall have one (1) director and one (1) shareholder initially. The number of directors and shareholders may be either increased or decreased in the manner provided by law, but shall never be less than one (1). The name and address of the initial officers / directors and shareholders of the corporation who shall hold office for the first (11) year of the corporation, or until successors are elected or appointed by the board is/are: Shareholder (s): 100% of shares - GYNMED Distribuitora Lnportacao a Exportacao de Prod utos Hospitalares LTDA-ME Rua Caragoata, Qd, 115 Lt. 15 Casa 1 -- Setor dos Afonsos Aparecida de Goiania, Goias, Brazil 74.915-280 Director (s): - Igor de Souza Candido — Director 5534 Brookfield Street Lehigh Acres, FL 33971 Article VIII — Bylaws Amendment The power to adopt, alter, amend or repeal the Bylaws of this corporation shall be vested on the Board of Directors and the Shareholders, Article IX — Indemnification: The corporation may be empowered by resolution of the Board of Directors to indemnify any officer or director, or any former officers or directors, in the manner set out and provided for in the Bylaws of this corporation, pursuant to the provisions of Section 607.014 of the Florida Statutes, as amended. Article X — Informal Action of Directors: Page 182 of 339 If the majority of the directors severely or collectively consents in writing to any action taken or to be taken by the corporation , and the writing evidencing their consent are filled with the secretary or the corporation, the action shall be as valid as though it had been authorized at the meeting of the board of directors. Article X1— Amendment of Articles: The power to amend these Articles of Incorporation shall best in the stockholders and directors, in the manner provided by the Florida Statutes Article X1I — Pre-Emptive Rights Each shareholder of this corporation shall have the first right to purchase shares (and securities convertible into shares) of any class, kind or series of stock in this corporation that may from time to time be issued (whether or not presently authorized) including shares from the treasury of this corporation, in the ration that the number of shares he/she holds at the time of issue bears to the total number of shares outstanding exclusive of treasury shares. This right shall be deemed waived by any shareholder who does not exercise it and pay for the shares pre-empted within thirty (30) says of receipt of a notice in writing from the corporation, stating the prices, terms and conditions of the issued shares, and inviting him to exercise his pre-emptive rights. The right may also be waived by the affirmative written waiver submitted by the shareholder to the corporation within thirty (30) days of receipt of notice from the corporation. Article XIII — Director Conflict of Interest: a- No Contract or the transaction between a corporation and one or more of its directors, or in between a corporation and any other corporation, firm, association, or other entity, which one or more of its directors are director or officers, or are financially interested, shall be either void or voidable for this reason alone or by reason that such director or directors are present at the meeting of the board of directors or of a committee thereof which approves such contract or transaction, or that his/hers their votes are accounted for such purpose b- Common of interest directors may be counted in determining the presence of a quorum at a meeting of the Board of Directors or of a committee which approves such contractor or transaction. Page 183 of 339 Article XIV — Informal Action of Shareholders: i Any action of shareholders may be taken without a meeting of consent in writing setting forth the actions so taken shall be signed by the holders of outstanding stock having not less than the minimum number of votes that would be necessary to authorize or take such action at a meeting at which all shares entitled to vote thereon were present and voted, and filed with the Secretary of the corporation as part of the corporate records. Article XV —Effective Date of Incorporation: These Articles of Incorporation shall be effective immediately upon approval of the Florida Secretary of State. Acceptance of Registered Agent Designation in the Articles of Incorporation: In witness whereof, the undersigned being the original subscriber to the capital stock herein for the above named corporation, and for the purpose of forming a corporation, hereby declaring and certifying that the facts herein stated are all true and due agree to take the number of shares herein above set forth. Registered agent is familiar with and accepts the obligations of the position under Section 607 of the Florida Statutes, and hereunto set our hands and seals this 26th day of March, 2017. dLL�- Juciane Sena Incorporator n u� —+ r rn r_ N %= rn -t N rn Q r ra+� Page 184 of 339 MERCSTO-01 _ _ AViLCa~ .ACORN CERTIFICATE OF LIABILITY INSURANCE DATE 11/2012(MMID02 �Y �- 11/20/2024 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 POLiCIE` BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be ertaorsed. 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 Certificates NAME: Construction Casualty Insurance, LLC PHONE FAX 3637 4th Street North (AIC, No, Exe : (727) 258-5774 AIC, No): Suite 310 E-MAIL . certs cci-ins.com Saint Petersburg, FL 33704 Appg INSURER(S) AFFORDING COVERAGE _NAIL u INSURER A: Clear Blue Specialty Insurance Company 37745 INSURED Mercatto Stone Group Inc 12296 Matterhorn Rd, Suite A-4 Fort Myers, FL 33913 INSURER B : Infinity Assurance Insurance Company 39497 INSURER C : Florida Citrus Business & Industries Fund 31259 INSURER D : INSURER E : INSURER F : neliv9panpA r`FRTIFI1'ATF IJIIMRFR• 12C\/ICInAI All IAARCI7- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLE. ' INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO'vJHlc CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LT TYPE OF INSURANCE ADDL�iSUBR POLICY NUMBER POLICY EFF POLICY EXP /Y LIMITS A X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR �( �( BGFL0024343403 10/28/2024 10/28/2026 EACH OCCURRENCE $ 1.000.( DAMAGE TO RENTED ISES(Eac r nc T_ MEDEXP (Any oneperson) S_ PERSONAL & ADV INJURY 5 1.C(I GEN'L AGGREGATE LIMIT APPLIES PER X POLICY ❑ PRO- -- LOC JECT GENERAL AGGREGATE $ 2,000.( 2,000,( PRODUCTS -COMP/OP AGG $ $ OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 000 ( $ BODILY INJURY Perperson) $ X ANY AUTO 60004888301 3/25/2024 3/26/2026 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident? $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE _ AGGREGATE $ EXCESS LIAB DED RETENTION $ $ Ci WORKERS COMPENSATION X PER OTH- -- - AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A X 10666427-2023 1/16/2024 1/16/2026 STATUTE ER - E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE S If yes, describe under DESCRIPTION OF OPERATIONS below 1.000. E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) When required by written contract, the certificate holder is listed as additional insured, on a primary non-contributory basis, with regard to the Genera Liability policy. A waiver of subrogation applies in favor of the certificate holder on the General Liability and Workers' Compensation policies. 00 00 00 00 00 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Collier Count Licensing Board THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y 9 ACCORDANCE WITH THE POLICY PROVISIONS. 2800 Horseshoe Dr N, Naples, FL 34104 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2016 ACORD CORPORATION. All ngnt� The ACORD name and logo are registered marks of ACORD Page 185 of 339 2024 FLORIDA PROFIT CORPORATION AMENDED ANNUAL REPORT FILED DOCUMENT# P17000044871 Dec 18, 2024 Entity Name: MERCATTO STONE GROUP, INC. Secretary of State 800681552OCC Current Principal Place of Business: 12296 MATTERHORN RD SUITE A-4 FORT MYERS, FL 33913 Current Mailing Address: 12296 MATTERHORN RD SUITE A-4 FORT MYERS, FL 33913 US FEI Number: 37-1856699 Certificate of Status Desired: Yes Name and Address of Current Registered Agent: MIRANDA, SERGIO 5534 BROOKFIELD STREET LEHIGH ACRES, FL 33971 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: SERGIO MIRANDA 12/18/2024 Electronic Signature of Registered Agent Date Officer/Director Detail Title PRESIDENT Title DIRECTOR Name MIRANDA, SERGIO Name MIRANDA, DAYANNE Address 5534 BROOKFIELD STREET Address 5534 BROOKFIELD ST City -State -Zip: LEHIGH ACRES FL 33971 City -State -Zip: LEHIGH ACRES FL 33971 Title VP Title DIRECTOR Name SIQUEIRA-MIRANDA, ANN Name GEARING, PAUL R CAROLLYNA P Address 9241 MIDDLE OAK DR Address 5534 BROOKFIELD STREET City -State -Zip: FORT MYERS FL 33967 City -State -Zip: LEHIGH ACRES FL 33971 I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: SERGIO MIRANDA P 12/18/2024 Electronic Signature of Signing Officer/Director Detail Date Page 186 of 339 Detail by Entity Name Department of State / Division of Corporations / Search Records / Search by Entity Name / Previous On List Next On List Return to List No Events No Name History Detail by Entity Name Florida Profit Corporation MERCATTO STONE GROUP, INC. Filing Information Document Number P17000044871 FEI/EIN Number 37-1856699 Date Filed 05/22/2017 State FL Status ACTIVE Principal Address 12296 MATTERHORN RD SUITE A-4 FORT MYERS, FL 33913 Changed: 12/18/2024 Mailing Address 12296 MATTERHORN RD SUITE A-4 FORT MYERS, FL 33913 Changed: 03/01 /2022 Registered Agent Name & Address MIRANDA, SERGIO 5534 BROOKFIELD STREET LEHIGH ACRES, FL 33971 mercatto stone S-r,h Name Changed: 04/09/2018 Pagge 187 of 339 https://search.sunbiz.org/...88b-41ef-8e38-8be385e3feeI&searchTerm=mercatto%20stone&listNameOrder=MERCATTOSTONE%20L1700003115 10[1/r4/2025 9:08:46 AM] Detail by Entity Name Address Changed: 04/09/2018 Officer/Director Detail Name & Address Title President MIRANDA, SERGIO 5534 BROOKFIELD STREET LEHIGH ACRES, FL 33971 Title Director MIRANDA, DAYANNE 5534 BROOKFIELD ST LEHIGH ACRES, FL 33971 Title VP SIQUEIRA-MIRANDA, ANN CAROLLYNA P 5534 BROOKFIELD STREET LEHIGH ACRES, FL 33971 Title Director GEARING, PAUL R 9241 MIDDLE OAK DR FORT MYERS, FL 33967 Annual Reports Report Year Filed Date 2023 04/26/2023 2024 03/20/2024 2024 12/18/2024 Document Images 12/18/2024 -- AMENDED ANNUAL REPORT 03/20/2024 -- ANNUAL REPORT 04/26/2023 -- ANNUAL REPORT 03/01/2022 -- ANNUAL REPORT 04/13/2021 --ANNUAL REPORT 06/24/2020 -- ANNUAL REPORT 04/30/2019 -- ANNUAL REPORT 04/09/2018 -- ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format Pagge 188 of 339 https://search.sunbiz.org/... 88b-41ef-8e38-8be385e3feel&searchTerm=mercatto%20stone&listNameOrder=MERCATTOSTONE%20L170000311510[1/14/2025 9:08:46 AM] Detail by Entity Name 05/22/2017 -- Domestic Profit View image in PDF format Previous On List No Events Next On List No Name History Return to List mercatto stone Search Page 189 of 339 https:Hsearch.sunbiz.org/... 88b-41ef-8e38-8be385e3feel&searchTerm=mercatto%20stone&listNameOrder=MERCATTOSTONE%20L170000311510[1/i4/2025 9:08:46 AM] GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 APPLICATION FOR COLLIER COUNTYXI Y OF NAPLESICiTY OF MARCO FIRM -SECOND ENTITY INSTRUCTIONS: 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: I Fiction Name/ DBA: Qualifier Name: ?)!�qbEm- Physical Address: SLM Lu: `c l�ir1\AC1[jietJL 3Lae)"'4 (Number & Street) (City) (state) (Zip Code) Mailing Address. SU290 We* - � l t�s -Q- �5-f Laq (Number & Street) (City) (State) (Zip Code) Telephone: 2 ..4 I E-mail: �VbLH,e r�- � Im 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 $205.00 Specialty Trade: L�Appiication Fee $105.00 CHANGE OF STATUS: ( ) Reinstatement ( ) From One Business to Another ( j Dormant License to Active Page 190 of 339 I . The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. 39 - � cam -_?-I 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 foregoin application and that the facts stated in it are true. A ho ' cd Officer of the Firm State of �hzt1 CLk Countyof The foregoing instrument was acknowledged before me by means ofu<hysical presence or ❑ online notarization on this __k_W�day of['e,•,f , 20 jay by Such person(s) Notary Public must check applicable box: we personally known to me s produced a current driver license ❑ has produced (Notary Seat) +I%kklllllj"Oj '�* oO�% P Z5120za ; C)s =N Beatriz A Gard+ * My Commission Q: as identification. Notary Signature: _ Page 191 of 339 QUALIFIER INFORMATIO +N:�- Name: �V hof + 14 MWA:D-7 Address: ,h1po _ 3t-� oq (Number & Street) (City) (State) (Zip Cade) Telephone: Z24-3 9,b5 ' � Date of Birth: -`LI O,)-� 3 SS#: n0 1 E-mail: Driver's License #: L Type of Certificate of Competency for which application; is made. Clene - A CM-�bo v- 2, The names and telephone numbers of two persons who will know your whereabouts. (�rrte�L C Z n) -Z7 Z.-q7 4 R 3. Have you ever been convicted of a crime related to Contracting? C) (If yes, attach extra sheet with explanation.) 4. Have you or any firms you have been associated with ever filed bankruptcy? �j 0 5. List alt 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. G. List your business or work experience during the last ten years. '�- 7. Statement of any formal training you have had in the area for which the application is made. Page 192 of 339 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 lie 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, helshe 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. App ican(please print) Name of Company L jC ��A Sign re of plicant State of County of P 1�-� The foregoing instrument was acknowledged before me by meapsphysical presence or ❑ online notarization on this _L_day of T�C'Qrnl7oY , 24 wi�r V by2cttj bwA 14-t� Slich person(s) Notary Public must check applicable box: e personally known to me ❑has produced a current driver license ❑has produced as identification. (Notary Seal)11 C Notary Signature: - Riy'p Cr --"" a` i!J �RStrix i7= Garcia W .per h a;r +oh r-"0 F L��'``• 11•61,181111i+ Il Page 193 of 339 Florida C� MWER LICENSE 323-0 ' _ E r4ERWANOEZ ORM �AY9ER' 4UQ WEIR OR APT ICH 4APLES. FL 34104 :. , 139103119T3 �,�x M ON0312M u�cr 5 •� i" =;- NOM vc NONE •ouioR 03lM2017 ' aSvl.=Rp 1i12�Fj0ii ]i�'�bw+ it a a714Thf .�►[w .-ntonir� Page 194 of 339 CLASS E Ah a GVWA • 2S.1)Os RK a +ry RY REST N— r� +�A ENO Maw REFLAC EIAEN'i LIC EKSE AEWRED WnT 30 DAY OF AO OR E'S5 OR NAFAE CAAHGE W W W. FL HSINV.GOV Page 195 of 339 Go�� r Bois rst 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 WISH TO INITIATE 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. A_PLj1s c()NSTRIlCTT0N OF Sw EJ I I C Fiction Name/ DBA: Qualifier Name: Physical Address: (Number & Street) (City) (State) (Zip Code) Mailing Address: 4g47 TAMTAMI TRAIL NORTH SUIT_ 705 _ NAPI ES F1 34103 (Number & Street) (City) (State) (Zip Code) Telephone: (gjg)jgn_nj6g E-mail: off ice@a�ntusrnnstrationofswf1.rpm Federal ID Tax Number: s_4--_jasg44s _ 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. Page 196 of 339 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 Certifi;no7 ency. Signatu of A plicant A '/--?Iu$ c�).ce&vdl�o 0/111) Business Name Date State of _ County of The foregoing instrument was acknowledged before me bYr s of physical presence or ❑ online notarization on this _'_day of , 20 A Such person(s) Notary Public must check applicable box: Fas personally known to me produced a current driver license produced as identification. (Notary Seal) RYAN CATHEY * Commission # HH 521186 -+T$QF p4Ar Expires April 28, 2028 Notary Signature: Page 197 of 339 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. I� �jE�1 ff�2tiec��i' Appficant (please print) .4!s O " Name of Company 6410�yj Si atur of Applicant State of FL County ofC6111-e-r The foregoing instrument was acknowledged before me by means of physical presence or C1 online notarization on this day of D-e- , 20 � , Such person(s) Notary Public must check applicable box: Elarwpersonally known to me as produced a current driver license Chas produced as identification. (Notary Seal) RYANCATHEY * * Commission # HH 521186 Expires April 28, 2028 Notary Signature: Page 198 of 339 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 business. 5 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. A/0 3. If the proposed entity has been qualified within the last 12 months, list three recent jobs completed by the proposed entity. Include dates of completion, address, description of work, name of previous qualifier and name of owner. 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. 5. Does the business(es) you presently qualify and/or wish to qualify have any outstanding liens against them or against the p perty of consumers as a result of construction work or a contract they had with yo firm? YES_ ND 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 to qualify, 8. List persons authorized (currently and in the past 6 weeks) to pull permits on your license(s). Page 199 of 339 9. How are you being paid by the business(es) you presently qualify (salary, % of profit, etc.)? Am Ye�el`�� CA, �rnarr-)fin ; n`aa- a 1` a- LVe--C-X � men." �, y I0. 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(es) you qualify and what percentage of ownership will you have in the business you are attempting to qualify? Nl� &�NsS i S too o/o rn 1n e ve� em q�dlhk� IT ern R� �AC� CA.. (T i 12. Do y7(applicant) a check writing authority for the present and proposed entities? YESO If yes, provide a letter from the bank. 13. List all officers/partners/owners of the business you are applying to qualify and position held. 14 List all officers/partners/owners of the business you presently qualify and position held. �� e�-;ejf o ?igAbeA- Pe�a? C)(�--Z_ 15. Do the business(es) you presently qualify and wish to qualify have any other licenses presently qualifying those businesses? YES NO V�" 1f yes, list licensee's name, license number and address. 16. Submit notarized statements signed by an authorized agent of the entity(ies) 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. SIG pn a 1 t-4wlWe '6 Page 200 of 339 QUESTIONNAIRE FOR QUALIFYING A SECOND ENTITY THIS FORM MUST HE 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 wh you wish to maintain your present license(s) while qualifying this additi al 1 busi_ness. Mr 1114e414 iin rfVLgnitL\.n►+N% OcJf tJczs�v� �L' e tc�QSfrLr�55 v`- ��+� D to C D rn c.nCX. t,v. V*-, N aCJus �� a�cL 1'� �►v�i�.l a �5 s >_. Has the proposed entity been previously qualified? If so, explain why the previous qualifier is no longer willing to continue to qualify this entity. S9-e .-a- C4'4 cam. L.L., �C � 3. If the proposed entity has been qualified within the last 12 months, list three recent jobs completed by the proposed entity. Include dates of completion, address, description of work, name of previous qualifier and name of owner. 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. Lk 5. Does the business(cs) 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 yo r 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 to qualify. 8. List persons authorized (currently and in the past 6 weeks) to pull permits on your license(s). [k Page 201 of 339 Questionnaire for Qualifying Second Entity -ANSWERS 1. Why do you wish to maintain your present license while qualifying an additional business? Our intent in maintaining our present license while qualifyingthe additional business is to support the new entity with our professional expertise, ensuring compliance with industry regulations and high -quality standards. While this collaboration is not primarily profit -driven, it allows us to leverage our experience and resources to contribute to the success of the additional business. This arrangement benefits both entities white upholding our commitment to professionalism and responsibility in the construction industry. 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. To the best of our knowledge, the proposed entity has not been previously qualified. We have no information or evidence to suggest otherwise, and we have been informed that there was no prior qualification in place. 3. If the proposed entity has been qualified within the last 12 months, list three recent jobs completed by the proposed entity, including dates of completion, addresses, description of work, name of previous qualifier, and name of owner. Since the proposed entity has not been previously qualified (to our knowledge), we do not have a list of completed jobs or associated details to provide. 4. List the last three jobs completed by you ender your existing license. Include dates of completion, address, description of work, name of previous qualifier, and name of owner. 1. Address: 2500 Gulf Shore Boulevard North, Unit N11, Naples, FL Permit Number: PRAD2404579 Dates of Completion: Project started in August 2024 and was completed with a Certificate of Completion issued on December 10, 2024. Description of Work: Master Bathroom: Retiling walls and shower pan, replacing shower hardware. No electrical or plumbing relocation was done. Guest Bathroom: Removal and construction of a walk-in shower, retiling walls and bathroom floor, replacing shower hardware. No electrical or plumbing relocation was done. Page 202 of 339 Questionnaire for Qualifying Second Entity -ANSWERS Additional Work: Installation of four hurricane -proof windows, as requested by the customer. Owner: Patrick J. Eng and Mary Del Eng, Family Living Trust 2. Address: 104 Clubhouse Drive, Unit 173, Naples, FL Permit Number: PRMFH202407-9194 Dates of Completion: Project started in June/July 2024 and was completed on November 6, 2024. Description of Work: Master and Guest Bathroom Remodels: Retiling and updating of both bathrooms. No electrical or plumbing relocation was performed. Owner: Kenneth and Joan Slater 5. Does the business you personally qualify and wish to qualify have any outstanding liens against them? To the best of our knowledge, neither the business we currently qualify nor the business we wish to qualify has any outstanding liens against them. 6. List principal suppliers for the past six months for the business you recently qualified (Rayher General Contractors). For the projects completed under my license, suppliers are not directly utilized by me. The majority of the work is subcontracted, and materials for each job are typically provided by the property owners themselves. Therefore, there are no principal suppliers associated with my business operations. 7. List principal suppliers for the past six months for the business you are applying to qualify (A -Plus). The entity A -Plus will be providing their own list of principal suppliers for the past six months B. List persons authorized currently and in the past month to pull permits on your license. Under my license, the only person authorized to pull permits is my office manager, Beatriz Adriana Garcia. She is solely responsible for pulling permits under my license. Page 203 of 339 FINANCLAL RESPONSIBILITY ALL APPLICANIS/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 -Z1. Undertaken construction contracts or work for a third party, such as a bonding or surety company, completed or made financial settlements? V 2. Had claims or lawsuits filed, or unpaid or past due accounts by your creditors as a result of construction experience? V/-3. Undertaken construction contracts or work which resulted in liens, suits or judgments being filed? V4. Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? If yes, you MUST attach a copy of the Notice of Lien, and any payment agreement, satisfaction, Release of Lienn or other proof of payment. S. Made an assignment of assets in settlement of constrttction obligations for less than the debts outstanding? V6. 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. AFiled 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 within 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. Page 204 of 339 Coer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY RESOLUTION OF AUTHORIZATION Complete this form if multiple people own part of the company the license will be attached to. If there is only 1 owner, then this form is not required for the application. In accordance with Collier County Ordinance 2006-46, as amended, AAU-S COIA . ,o4) fl � rf proposes Company Name to engage in contracting as lynl c el* in Collier County where _ IJ�,�1F.tf fi��'�� L44i Officers/Owners/Partners Applicant Name proposes to qualify for a Certificate of Competency with company ro41 Company It is hereby agreed upon that we the undersigned ��z urn? ' of Q Al 5 t'wke OfficerslOwners/Partners Company resolve and represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent is active in all matters connected with the company named 11 Applicant Name � 14�v5 Cdi�.' boo . We further resolve and represent that a �� ,cuh�►c�6� is legally Company Applicant Name f t�lG empowered to act on behalf of 4 vs Gy in all matters connected with its contracting I Company Z � business and has the authority to supervise construction undertaken by - j Company ` ffV44 Officers/Owner artn rs Witness t7fficerslOwnerslPartners V Witness OfficerslOwn a rslPartners Witness OfficerslOwnerslPartners of the above -mentioned company need to sign on the left and a witness to the signature signs on the right. State of V County of i The foregoing instrument was ackn !edged before e by means ❑ hysical presence or onl' a notarization on this aday of �/ , 20 byIV Such person(s) Notary Public must check app 'cable box: ❑ are personally known to me as produced a current driver license ❑ has produced as identification. (Notary Seal) RYAN CATHEY • + Commission # HH 521186 Notary Signature: _ ' Expires April28.2028 tM'W Contractor Licensing -- FIRM Application Rev. 712022 Page 8 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive . Naples, FL 34104 . (239) 252-2431 contractorslicensi colliercoun fl. av Page 205 of 339 Statement of Need We respectfully submit this statement to explain the necessity of raintaining the qualification of Rayher General Contractor LLC while requesting the additional qualification of A -Plus Construction of Southwest Florida LLC. Rayher General Contractor LLC has been a reliable and reputable entity in the construction industry, providing high -quality services and ensuring the successful completion of various projects. The continued qualification of Rayher General Contractor LLC is essential to uphold its commitments to current clients and ongoing projects, as well as to maintain its established presence in the marketplace. The request to qualify A -Plus Construction of Southwest Florida LLC stems from the need to expand our operations and enhance our ability to serve a broader client base. A -Plus Construction will operate as a complementary entity. allowing for greater specialization, increased efficiency, and improved resource allocation within the construction industry. By qualifying this additional entity, we aim to better meet the growing demand for construction services in Southwest Florida, ensuring the highest standards of quality and compliance. Both entities will be managed responsibly and in accordance with all relevant licensing requirements. The qualification of A -Plus Construction of Southwest Florida LLC will not interfere with the operational integrity of Rayher General Contractor LLC. On the contrary, this expansion will strengthen our overall capacity to deliver superior service and support to our clients and communities. We kindly request your consideration of this application to qualify A -Plus Construction of Southwest Florida LLC, while maintaining the current qualification of Rayher General Contractor LLC. Sincerely, Raybert Hernandez Ortiz GC Licensee Rayher Ge ral Contractor LLC Page 206 of 339 Subject: Ownership Statement for Rayher General Contractor LLC and A Plus Construction of Southwest Florida LLC To Whom It May Concern, This document provides the ownership details for Rayher General Contractor LLC and A Plus Construction of Southwest Florida LLC, as requested by the county. 1. Current Entity Ownership: Entity Name: Rayher General Contractor LLC License Number: RG291104097 Owner: Raybert Hernandez Ortiz- 100% Percentage of Ownership The licensee, Raybert Hernandez Ortiz, is the qualifying agent for Rayher General. Contractor, LLC. 2. Proposed Entity Ownership: Entity Name: A Plus Construction of Southwest Florida LLC License Number: RG291104182 Owner: Alfredo Bustos - The licensee, Alfredo Bustos, is the qualifying agent for A Plus Construction of Southwest Florida LLC. The licensee, Raybert Hernandez Ortiz, will maintain their qualifying role for both the current entity, Rayher General Contractor LLC, and the proposed entity, A Plus Construction of Southwest Florida LLC, as required by the licensing regulations. We certify that the above information is accurate and complete to the best of our knowledge. Supporting documentation is attached for verification, including proof of licensure and any other relevant information. Sincerely, Page 207 of 339 Remuneration Statement This statement serves to outline the manner of remuneration for the licensing arrangement between the undersigned and the relevant entities, both current and proposed. 1. Current Entity Entity Name: Rayher General Contractor, LLC - Remuneration Details: The undersigned agrees to receive remuneration in the form of a fixed monthly fee in the amount of $3,000 per Month. 2. Proposed Entity Entity Name: A -Plus Construction of Southwest Florida, LLC Remuneration Details: Upon the transition to A -Plus Construction of Southwest Florida, LLC, the undersigned agrees to receive remuneration in the manner of $0.00. The terms of remuneration for both entities will adhere to all applicable laws and regulations and are subject to any amendments mutually agreed upon in writing by the undersigned and the respective entity. Acknowledgment: By signing below, I acknowledge and accept the terms of remuneration as stated above. /Z Zo Z Ray rt Hefrnandez Ortiz Date General Contractor Credo �Bustos-Owner Date A Plus Construction of SW Fl, LLC Page 208 of 339 AFFIDAVIT OF NO OUTSTANDING LIENS OR JUDGMENTS I, Raybert Hernandez Ortiz, the undersigned, being the duty authorized representative of Rayher General Contractor, LLC, hereby certify and affirm the foltowing: 1. That I am authorized to execute this affidavit on behalf of Rayher General Contractor, LLC That, to the best of my knowledge, Rayher General Contractor, LLC, a company duly organized and existing under the laws of the State of Florida, currently has no outstanding liens or judgments recorded against it as of the date of this affidavit. This statement is made voluntarily and without coercion, and I affirm its truthfulness under the penalties of perjury. IN WITNESS WHEREOF, I have executed this affidavit on this 1s1 day of December,2024, SigYeHernandez F iz d Representative: Ray Ortiz General Contractor Rayher General Contractor, LLC NOTARY ACKNOWLEDGMENT State of Florida County of Collier On this 1 st day of December,2024, before me, a Notary Public, personally appeared Raybert Hernandez Ortiz, known to me (or satisfactorily proven) to be the individual who executed the foregoing affidavit and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I here to set my hand an iciat seal. Notary Public Signature: l►1G�� Notary Public Printed Name: " My Commission Expires:WON Notary Sea[: MARY ZAMBRANO SANCHEZ MY COMMISSION#HHM547 EXPIRES: SEP 12, 2029 &MM through tst Slate Insurance Page 209 of 339 This statement is made to confirm that Rayher General Contractor LLC (License No. RG291104097) is qualifying A Plus Construction of Southwest Florida LLC (License No. RG291104182) in accordance with the requirements and processes set forth by the Department of Business and Professional Regulation (DBPR). Both entities acknowledge and attest to their awareness of the qualifications being valid and compliant with the applicable laws and regulations. The undersigned, as authorized agents of their respective entities, hereby confirm and agree to this qualification. Authorized Representative of Rayher General Contractor LLC Name: 'p'lMAUaC? C)a11z Title: v64.&I 0-t Signature: Date: /2✓/ zhzii Authorized Representative of A Plus Construction of Southwest Florida LLC: _ Name: lArr-OO 13c—ji Title: Signature: Date: f Z//G T_ Notary Public Certification: State of County of Sworn to or affirmed and subscribed before me this �� day of 20, by /1&WZI a (Name of Representative of Rayher General Contractor LLC) and k4freAC)(Name of Representative of A Plus Construction of Southwest Florida LLC). Notary Public: 1V (Print Name) Notary Signature: ' ✓ My Commission Expires:, r,. y (Notary Sea[) MARY znwlexOa sAIcHEZ 0" n MY ComMISSIQN +1FkiH592647 OTIRES: SEP 12, 2028 0 Bonded through lit TO In1UtM Page 210 of 339 Notarized Statement by Authorized Agent 1, Raybert Hernandez Ortiz, in my capacity as the authorized agent of Rayher General Contractor, LLC, hereby attest to the fact that I am fully aware that my license is presently qualifying A -Plus Construction of Southwest Florida, LLC who requested to be qualified by this license RG291104097 Further, I confine that I am authorized to make this statement on behalf of Rayher General Contractor, LLC. Raybert Hernandez Ortiz - General Contractor Date:11/20/24 Notary Acknowledgment State of FI on dar County of Sworn to (or affirmed) and subscribed before me by means of [ ] physical presence or [ ] online notarization, this c%O day of_gD\�&2024, by qR sjbe/i kr/r ez Ct- i. , who is personally known to me or has produced [type of identification] as identification. Signature of ota Public: [Notary's Name] 1'f17 TT C10fCAGx- [Notary Stamp/Seal] ,,,'PFtY+�Pr� j1. Expires/8 ��%�� s N Beatriz A Garcia My Commission � �T� HH 489039 r ,46' O F F �O\``\`,,. Page 211 of 339 List of Officers Rayher General Contractor LLC List of Officers, Owner, and General Contractor 1. Owner/General Contractor: o Name: Raybcrt Hernandez -Ortiz o Title: Owner and General Contractor 2. Office Manager (Permit Liaison): 0 Name: Beatriz Adriana Garcia o Title: Office Manager (Authorized to Pull Permits for Rayher General Contractor LLC on Qualification Standpoint) Page 212 of 339 W ho are the sex offenders in your neighborhood? X TransUniom, 753 Great As of: November 26, 2024 How are my scores calculated? 0 RAYBERT HERNANDEZ Also known as: ❑ate of Birth: 1973 Accounts Summary Current Address: 8680 WEIR DR #101 NAPLE5,FL34104 Address History: 27316TH AV NAPLES, FL 34120 U Revolving Credit Balance Payment $4,447 $90 Installment Loans Balance Payment $6,204 $454 AI f Accounts Total Balanees: $10,651 Employer History: ARMANDOGRANITE 2018 MERCEDEZ BENZ OF NAPLES 2016 Total Payments: $544 Real Estate Balance Payment $o $0 Other Accounts Balance Payment $0 so Page 213 of 339 Your Accounts Reported from TransUnion 11.26.2024 �Suncoast Cu Current 10.09.2020 $15,479 $5,851 Act.# 607718X Opened High Balance Balance Individual Account Installment Open 10.31.2024 $275 Account Type Condition Date Reported Payment Payment History Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 0 Late Payments ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2023 O Late Payments ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2022 Q Late Payments ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2021 O+ Late Payments 2020 O Late Payments Creditor Contact: Not Available Suncst Cu Current Act.# 4b08"* " ' Individual Account Revolving Account Type ✓ ✓ 03.09.2016 $21,000 $4,447 Opened Credit Limit Balance Open 10.31.2024 $90 Condition Date Reported Payment Payment History Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Page 214 of 339 2024 Q Late Payments V V V V V V V V V 2023 Q Late Payments V V V V V V V V V V V V 2022 V Late Payments V V V V V V V V V V V V 2021 JDLate Payments V V V V V V V V V 2020 JDLate Payments V V V Creditor Contact: Not Available I Lendclub Bnk C7 J Current Act.# 1&}1""' Individual Account Installment Account Type Payment History 12.16.2021 $5,000 $353 Opened High Balance Balance Open 10.31.2024 $179 Condition Date Reported Payment Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 10 Late Payments V V V V V V V V V 2023 0 Late Payments V V 2022 ai Late Payments V V V V V V V V V V V V Creditor Contact: Not Available Page 215 of 339 i� Ccb/Sakscc Current 02.27.2022 $400 $0 Act.# 2235"""" Opened Credit Limit Balance Individual Account Revolving Open 11.22.2024 $0 Account Type Condition Date Reported Payment Payment History Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 a Late Payments V V V 2023 O Late Payments 2022 Q late Payments V V %if V V V V V V %* Creditor Contact: Not Available ffo Syncb/Samsdc Current Act.# 5213--- Individual Account Revolving Account Type 01.24.2024 $4,000 $0 Opened Credit Limit Balance Open 11.01.2024 $0 Condition Date Reported Payment Payment History Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 0 Late Payments V NO Creditor Contact: Not Available Who's Been Checking Your Credit? Your credit report has recently been checked by a creditor or lender. Total Inquiries:2 Page 216 of 339 db Inquiry: Syncb/Sams Date of Inquiry: 01.24.2024 0 Contact: Not Available 0 Inquiry: Capital One Contact: Not Available Date of Inquiry: 11.07.2023 Page 217 of 339 Who are the sex offenders in your neighborhood? Equifax 751 Great As of: November 25, 2p24 Flow are my scores calculated? 0 o RAYBERT HERNANDEZ QRT[Z Also known as: Address History: 2731 6TH AVE NE NAPLES. FL 34120 Accounts Summary Current Address: 8680 WEIR DR APT 101 NAPLES. EL 34104 Revolving Credit Balance Payment $4,447 $90 F Installment Loans Balance Payment $6,595 $454 All Accounts Total Balances: $11,042 Date of Birth: 1973 Total Payments: $544 Real Estate Balance Payment $0 $0 Other Accounts Balance Payment $0 $0 Page 218 of 339 Your Accounts Reported from Equifax 11.26.2024 Credit One Bank Closed Act.# 444796""" Individual Account Revolving Account Type Payment History 07.27.2016 $950 $0 Opened Credit Limit Balance Closed 01.05.2020 $0 Condition Elate Reported Payment Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2019 10 Late Payment 30 V V V V V V V d V 2018 Late Payments 2017 18 Late Payments d V N d V d V J V N V V 2016 M Late Payments Creditor Contact: PO BOX 98873, LAS VEGAS. NV89193-8873 j •`I 7; 825-324 Credit One Bank Closed 08.17.2017 $800 $0 Act.# 546645"""" "• Opened Credit Limit Balance Individual Account Revolving Closed 03-01.2019 $0 Account Type Condition Date Reported Payment Payment History Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2019 4) Late Payment 90 V Page 219 of 339 2018 © Late Payments ✓ ✓ ✓ 2017 O Late Payments ✓ ✓ ✓ ✓ V V ✓ 30 60 ✓ ✓ ✓ Creditor Contact: PO BOX 98873, LAS VEGAS. NV 89193-B873 j ($77) 825-3242 Suncoast Credit U... Current 10.09.2020 Act.# 6077"'-- Opened $15,479 High Balance $6,242 Balance Individual Account installment Open 09.30.2024 $275 Account Type Condition Date Reported Payment Payment History Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 e Late Payments ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2023 O Late Payments ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2022 O Late Payments VP 2021 Q Late Payments ✓ ✓ Vf ✓ ✓ ✓ r• ✓ ✓ ✓ �% ✓ 2020 O Late Payments ✓ ✓ Creditor Contact: 6801 E HILLSBOROUGH AVE, TAMPA, FL 33610-4110 1.(M) 621-7511 E5 Suncoast Schools .•• Current 03.09.2016 $21,000 $4,447 Act.# 4608"",«.« Opened Credit Limit Balance Individual Account Revolving Open 10.31.2024 $90 Account Type Condition Date Reported Payment Page 220 of 339 Payment History Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 Q Late Payments ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2023 O Late Payments 2022 Oi Late Payments 2021 O Late Payments 2020 O Late Payments ✓ ✓ ✓ Creditor Contact: 6801 EAST HILLSBOROUGH AVENUE, TAMPA, FL 33610-41971 ; 13;_6..21__751.1 Lendingdub Bank ... 12.16.2021 $5,000 $353 UJ Act.# 1841" " g Current Opened High Balance Balance " Individual Account Installment Open 10.31.2024 $179 Account Type Condition Date Reported Payment Payment History Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 O Late Payments ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2023 O Late Payments 2022 Oi Late Payments ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ Page 221 of 339 Creditor Contact: 595 MARKET STREET STE 200,SAN FRANCISCO CA 941051(EU) 596-3157 Comenitycapital/... Current 02.27.2022 $400 $0 Act.# 223569**"' Opened Credit Limit Balance Individual Account Revolving Open 11.22.2024 $0 Account Type Condition Date Reported Payment Payment History Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 Oi Late Payments 2023 Q Late Payments .i V V V V V V V V r V .i 2022 Q Late Payments vo Creditor Contact: PO BOX 182120 COMENITYCAPITAVSAKSCC, COLUMBUS, OH 43218-2120 1 (614) 729-4754 Syneb/Sam S Club ... Current 01.24.2024 $4,000 $0 Act.# 5213""""" Opened Credit Limit Balance Individual Account Revolving Open 11.01.2024 $0 Account Type Condition Date Reported Payment Payment History Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 O Late Payments Creditor Contact: PO BOX 71727, PHILADELPHIA. PA 19176-17271 (666) 396-8254 Acceptance Now 06.14.2016 $2,663 $0 Closed �� Act.#280002"'`* ...... —" Opened High Balance Balance Individual Account Installment Closed 05.31.2018 $0 Account Type Condition Date Reported Payment Page 222 of 339 Payment History Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2018 V Late Payments 2017 Late Payments 2016 Q Late Payments Creditor Contact: 5501 HEADQUARTERS DR RENT A CENTER, PLANO, TX 75024-58451IBM) 275-269b SunCvast Credit U... 06.26.2018 $15,479 $0 �F� Closed Act.# 6077Opened High Balance Balance Individual Account Installment Closed 08.31.2020 $0 Account Type Condition Date Reported Payment Payment History Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2020 Q Late Payments V V V V V V Ne 2019 0 Late Payments VO V Ne Ne V V V V 2018 O Late Payments V V V* V V V Creditor Contact: 6801 E HILLSBOROUGH AVE, TAMPA. FL 33610-4110 1 (au) 621-7511 Suncvast Credit U... Closed 02.21.2019 $1,003 $0 Art.# 6077"""• • Opened High Balance Balance Individual Account Installment Closed 09.30.2019 $0 Account Type Condition Date Reported Payment Page 223 of 339 Payment History Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2019 0 Late Payments V Creditor Contact: 6801 E HILLSBOROUGH AVE.TAMPA, FL 33610-41101 (M) 62_1]71i Suncoast Credit U... 10.02.2017 $1,003 $o Closed Act.# 6077"'"" Opened High Balance Balance Individual Account Installment Closed 01.31.2019 $0 Account Type Condition Date Reported Payment Payment History Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2018 0 Late Payments 2017 O Late Payments Creditor Contact: 6801 E HiLLSBOROUGH AVE, TAMPA, FL 33610-41101($1.3)621�7511 Suncoast Schools ... Current 03.09.2016 Act.# 4820"""""" Opened $500 Credit Limit $o Balance Individual Account Revolving Unknown 06.29.2018 $0 Account Type Condition Date Reported Payment Payment History Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2018 Q Late Payments 2017 O Late Payments Page 224 of 339 2016 Q Late Payments V Creditor Contact: 6801 EAST HILLSBOROUGH AVENUE,TAMPA, FL 33610-4197 j (5j3)_U1-7511 Who's Been Checking Your Credit? Your credit report has recently been checked by a creditor or lender. Total Inquiries: 2 Inquiry: Baker Auto Group Bon Date of Inquiry: 10.28.2024 Contact: 28450 S TAM IAMI TRL, BONITA SPRINGS, FL 34134-2999 1 (239) 319-2900 db Inquiry: Jpmcb Card Services Date of inquiry: 12.09,2022 Contact: 201 N. WALNUT ST, FLOOR 03, WILMINGTON, DE 19801 1 (800) 453-9719 Page 225 of 339 Who are the seK offenders In your neighborhood? X Experian- 740 Good As of: November 26, 2424 How are my scores calculated? a o RAYB£RT HERNANDEZ Also known as: Date of Birth: 1973 Accounts Summary Current Address: 8680 WEIR DR #APT 101 NAPLES, FL 34104-1545 Address History: 27316TH AVE NE NAPLES, FL 34120-4912 8630 WAIR ❑R NAPLES, FL 33104 Revolving Credit Balance Payment $4,447 $90 Installment Loans Balance Payment $6,204 $454 Total Balances: $10,651 Employer History: LAGUNA CONTRACTING 2420 NULL 2024 Total Payments: S544 Real Estate Balance Payment so so Other Accounts Balance Payment $a $0 Page 226 of 339 All Accounts Your Accounts Reported from Experian 11.26.2024 - _ Suncoast Credit U... Current 10.09.2020 $0 $5,851 Act-4 607718X Opened High Balance Balance Individual Account Installment Open 10.31.2024 $275 Account Type Condition Date Reported Payment Payment History Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 O Late Payments ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2023 O Late Payments ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2022 O Late Payments ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2021 O Late Payments 2020 O Late Payments ✓ ✓ Creditor Contact: 6801 E HILL5sOROUGH AVE. TAMPA. FL 336101.(1) 621-7511 Suncoast Credit U... Current 03.09.2016 $21,000 $4,447 Act.# 4608'—*— Opened Credit Limit Balance Individual Account Revolving Open 10.31.2024 $90 Account Type Condition Date Reported Payment Page 227 of 339 Payment History Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 O Late Payments 2023 Oi Late Payments ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2022 +0 Late Payments ✓ ✓ ✓ ✓ ✓ 2021 O Late Payments 2020 10 Late Payments ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2019 O Late Payments ✓ ✓ Creditor Contact: 6801E HILLSBOROUGH AVE, TAMPA, FL 33610 I (813) 621-7511 Lending Club Corp 12.16.2021 Q:j Act.# 1841"", Current Opened $0 High Balance $353 Balance Individual Account Installment Open 10.31.2024 $179 Account Type Condition Date Reported Payment Payment History Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 O Late Payments 2023 O Late Payments ✓ d ✓ V V 2022 O Late Payments Page 228 of 339 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ Creditor Contact: 595 MARKET 5T STE 200, SAN FRANCISCO, CA 94105 1'$8$; i 5vf5 31 S7 Comenitycapital/... Current Act.# 223569---'" 02.27.2022 Opened $400 Credit Limit $0 Balance Individual Account Revolving Open 11.22.2024 $0 Account Type Condition Date Reported Payment Payment History Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 O Late Payments 2023 lO Late Payments ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2022 Oi Late Payments ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ Creditor Contact: PO BOX 182120, COLUMBUS, OH 43218 0 Syncb/Sams Club... Current Act.#5213"""""• 01.24.2024 Opened $4,000 Credit Limit $0 Balance Individual Account Revolving Open 11.01.2024 $0 Account Type Condition Date Reported Payment Payment History Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 Oi Late Payments ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ Creditor Contact: PO BOX 965005, ORLANDO, FL 328961 (866) 220-0254 Page 229 of 339 Who's Been Checking Your Credit? Your credit report has recently been checked by a creditor or lender. Totat 4r,quiries.4 db Inquiry: 700 Credit/Bonita Beac Dateof Inquiry: 1a.28.2024 Contact: 28450 STAMIAMI TRL, BONITA SPRINGS, FL 34134 1 (239) 319-2900 Ob Inquiry: Experian Business Cred Date of Inquiry: 04.17.2024 Contact: PO BOX 5001, COSTA MESA, CA 92628 db Inquiry: Amex Date of Inquiry: 03.27.2024 Contact: 200 VESEY ST, NEW YORK, NY 10285 1 (800) 874-2717 ab Inquiry: Jpmcb Card Date of Inquiry: 01.19.2024 Contact: PO BOX 15077, WILMINGTON, DE 198501 (800) 453-9719 Page 230 of 339 Licensee Name: Rank: Primary Status: Secondary Status: HERNANDEZ ORTIZ, RAYBERT License Number: RG291104097 Registered General Contractor License Expiration Date: 08/31/ 2025 Current Original License Date: 02/04/2021 Active Related License Information License Relationship Relation Number Status Related Party Type Effective Rank Date Current RAYHER GENERAL CONTRACTOR LLC Primary 03/13/2023 Construction Qualifying Business Agent for Information Business Expiration Date Page 231 of 339 CHASE JPMorgan Chase Bank, N.A. P 0 Box 182051 Columbus, OH 43218 -2051 00004344 DRI 021 212 30624 NNNNNNNNNNN Y 0d0000000 64 0" RAYHER GENERAL CONTRACTOR LLC 668e WEIR DR APT 101 NAPLES FL 34104-1545 October 01, 2024 r t be 31 2024 Account Number: CUSTOMER SERVICE INFORMATION Web site: Chase.com Service Center: 1-800-242-7338 Para Espanol. 1-888-622-4273 International Galls: 1-713-262-1679 We accept operator relay calls CHECKING SUMMARY Chase Business Complete Checking Baginning Balance Deposits and Additions Checks Paid ATM & Debit Card Withdrawals Electronic Withdrawals Other Withdrawals Fees Ending Balance INSTANCES AMOUNT $52,025.27 $ 82,015.04 3 -102, 000.00 9-379.11 6-563.30 2-6,030.00 3 -45.00 31 Your Monthly Service Fee was $15 this statement period. $25,022.86 How to Avoid the Monthly Service Fee (MSF) If you meet any of the following qualifying activities for this Chase Business Complete CheckingsM account in a statement period, we will waive the $15 MSF. Here's the business activity we' used to deterrnine I you qualified for the MSF waiver, • $2,000 Minimum Daily Ending Balance: Your lowest daily ending balance was $29.53. • 000 Chase Pa sM �, C _ _ Payment Solutions Activity: SD.OQ was deposited into this account. • $2,000 Chase IrJ Business Card Activity: $0.00 was your total ink activity. You can also avoid the MSF if you. - Maintain a linked Chase Private Client CheckingSM account OR ■ Meet Chase Military Banking requirements For complete details on all requirements to avoid the MSF, please review the Additional Banking Services and Fees for Business Accounts at chase.com/business/disctosures or visit a Chase branch. DEPOSITS AND ADDITIONS DATE DESCRIPTION AMOUNT 1W02 Zelle Payment From Homepro Solutions Naples Inc Bacwl209X2Hz $1,500.00 10104 Deposit 1243828206 3,000,00 10109 Hf4 Refund of Monthly Service Fee Charged 09-30-2024 15,00 10118 Deposit 6230100354 1,400.00 Page 1 of 6 Page 232 of 339 CHASE ! i DEPOSITS AND ADDITIONS (contrnued) October 01. 202 Arcaunt IVumher: DATE DESCRIPTION AMOUNT 10121 Fedwire Credit Via: Lake Michigan Credit Union1272480678 B1O: Lake Michigan CU - 50,000 00 Construction Grand Rapid, MI 49501 Ref: Chase Nyc/CtrlBnf=Rayher General Contractor LLC Naples FL34104-1545 U S/Ac-OOOODD007767 Rf6=0I13 lake Mich Iga Obi=0181015982 Fonseca Vazquez Draw 3 Imad: 1021 Mmgfmpgx000146 Tm. 0335541295Ff 10124 Deposit 6230111928 1,000.00 10129 Fedwire Credit Via: Lake Michigan Credit Unioril272480678 B1O: Lake Michigan CU - 25,000.00 Construction Grand Rapid, MI 49501 Ref: Chase NydCtrlBnf=Rayher General Contractor LLC Naples FL34104-1545 U S1Ac-000000007767 Rb=018 Lake Mich Iga Obi=0181015982 Fonseca Vazquez Draw 4 Imad: 1029Mmgfmpgx000095 Tm: 0242421303Ff 10130 ATM Cash Deposit 10130 3693 Santa Barbara Blv Naples FL Card 6784 100.00 Total Deposits and Additions $82,015.00 CHECKS PAID DATE CHECK NO. L1kSC131HTIUN PAID AMOUNT 1033 ^ 10102 $50,000.00 1034 ^ 10104 2,000.00 1035 ^ 10125 50,000.00 Total Checks Pald $102,000.00 If you see a description in the Checks Paid section, it means that we received only electronic information about the check, not the original or an image of the check. As a result, we're not able to return the check to you or show you an image. ^ An image of this check may be available for you to view on Chase.com. ATM & DEBIT CARD WITHDRAWALS DATE 10104 DESCRIPTION Card Purchase With Pin 10/04 Winn Dixie 42474 61 S Lehigh Acres FL Card 6784 AMOUNT S10.64 10104 Card Purchase With Pin 10104 7-Eleven Fort Myers FL Card 6784 10.83 10107 Card Purchase With Pin 10105 World Bakery And Naples FL Card 6784 53.78 10107 Card Purchase With Pin 10105 Circle K 9 23860 Naples FL Card 6784 49.45 10109 Card Purchase 10/08 7 Foodmart & Tortil Naples FL Card 6784 92.13 10110 Card Purchase With Pin 10110 Circle K 07386 Naples FL Card 6784 33.91 10128 Card Purchase 10125 Temu.Com Ternu.Com CA Card 6784 8.37 10/28 Card Purchase With Pin 10127 7-Eleven Naples Ft_ Card 6784 60.00 1D129 Card Purchase With Pin 10129 Circle K 04755 Naples FL Card 6784 60.00 Total ATM & Debit Card Withdrawals $379.11 ATM & DEBIT CARD SUMMARY Raybert Hernandez Ortiz Card 6784 Total ATM Withdrawals & Debits Total Card Purchases Total Card Deposits & Credits ATM & Debit Card Totals Total ATM Withdrawals & Debits Total Card Purchases Total Card Deposits & Credits $0.00 $379.11 $100.00 $0-OD $379.11 $100.00 Page 2 of B Page 233 of 339 CHASE ! i ELECTRONIC WITHDRAWALS October 01, 2024 Account Number, 00iii DATE DESCRIPTION AMOUNT 10104 10104 Online Transfer To Chk ...5882 Transaction#: 22274187411 $80.00 10104 Zeile Payment To Hector Alonso Nuevo Jpm99Aoup7F4 100.00 10104 10104 Online Transfer To Chk ...5882 Transaction#: 22279689815 50.00 10110 10110 Online Transf©r To Chk ---5882 Transaction#: 22332648866 30.00 10121 10119 Online Transfer To Chk ...5882 Transaction#: 22435606480 150DO 10129 Orig CO Name. Agile Premiumfin Orig ID:2472319830 Desc Date_241028 CO Entry 153.30 Descr:Payments Sec-.CCD Trace#:104000017559087 Eed.241029 Ind ID 20631799 Ind Name:Ra her General Contrac Trn: 3037559087Tc Total Electronic Withdrawals $563.30 OTHER WITHDRAWALS DATE DESCRIPTION AMOUNT 1W07 10107 Withdrawal $4,000,00 10125 10125 Withdrawal 2,030.00 Total Other Withdrawals $6,030.00 FEES DATE DESCRIPTION AMOUNT 10121 Domestic Incoming Wire Fee $15.00 10129 Domestic Incoming Wire Fee 15.00 10131 Monthly Service Fee 15.00 Total Fees $45.00 DAILY ENDING BALANCE DATE AMOUNT DATE AMOUNT DATE AMOUNT 10102 $3,525.27 10118 1,429.53 10128 166.16 10104 4,273,80 10121 51,264.53 10129 24, 937.86 10107 170.57 10124 52,264.53 10130 25,037.86 10109 93.44 10125 234.53 10131 25,022.86 10110 29.53 Pat)c 30,6 Page 234 of 339 CHASE ! i October 01. 2024 Account Number; IN CASE OF ERRORS OR QUESTICNS ABOUT YOUR ELECTRONIC FUNDS TRANSFERS; Call us at 1-866-564-2262 or write us at the address on the front of this statement immediately if you think your statement or receipt is incorrect or if you need more information about a transfer listed on the statement or receipt. For personal accounts on ly: We must hear from you no later than 60 days after we sent you the FIRST statement on which the problem or error appeared. Be prepared to give us the following information: ■ Your name and account number; ■ A description of the error or the transaction you are unsure about, and why you think it is an error or want more Information; and • The amount of the suspected error. We will investigate your cormplaint and will correct any error promptly If we take more than 10 business days (or 20 business days far new accounts) 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 takes Lis to complete our investigation. For business accounts, see your deposit account agreement or other applicable agreements that govern your account for details. IN CASE OF ERRORS OR QUESTIONS ABOUT NON -ELECTRONIC FUNDS TRANSFERS: Contact us immediately if your Statement is incorrect or if you need more information about any non -electronic funds transfers on this statement. For more details, see your deposit account agreement or other applicable agreements that govern your account. JPMorgan Chase Bank, N.A. Member FDIC ACCOUNT # 0000OC776731033 See both front and Lack images of cleared checks at Chase.cvrn. If you're not enrolled in this free service, please enroll now. �So33 �� RAYHEk GEHE(iALCOHfRACTOR LLC von viwiu� i �e��.��ooiauae 4h 1 CHASE Q 004180616459 OCT 02 x0000001033 $50,000.00 iiLYilf.R pEMiN� W/rrq►MpR I,LC R4EK.LMWI�M q�� GIiEJ� oDLUMs 1 CHASE Q A jwn g-cu.T do `" -- 008570850803 0CT 25 #0000001035 $50.000.00 nAnicn oeHcnnL rarrrnweTort uc - _ - • LHASEQ 1034 yy w.n �-.m�2eeY col �Sz•cro°' 11 p-i 004180146673 OCT 04 itOOo0001034 $2,000.00 CHASE O wmtlxuwwaEneo ««�� c+.AK EJOIIIG of � S�1y R �r6■ :�='�.r.,�-. ,�,.a�.� .. tee,. [.05418L8 i�5+ �: SOOCn i9 E7C 005480715931 OCT 25 #0000000000 $2,030,00 Page 4 of 6 Page 235 of 339 CHASE ! i October 01, 2024 through October 31, 2024 Account Number: lcontftxd) ACCOUNT # 000000776731033 WAGESJ See both front and back images of cleared checks at Chase.00m. If you're not enrolled in this free service, please enroll now. EWithdrawal Bus inessDate: 1W07f2024 Calendar Date; 10f0712024 Time: 12:55PM Customer Name: RAMER GENERAL CONTRACTOR LLC PIN CODE AUTHORIZED DIN:952930097419 Amount: $4000.00 AUX2930097419 RT500001017 AN 776731033 TC 004090831933 OCT 07 #0000000000 $4,000.00 Page 5 of 5 Page 236 of 339 CHASE OF This Page Intentionally Left Blank October 01, 2024 through October 31, 2024 Account Number Page 5 of 6 Page 237 of 339 CHASE! i .1PMorgan Chase Bank, N.A. P 0 Box182051 Columbus, OH 43218-2051 UC1004349 DR1021 212 27524 NNNNNNNNNNN 1 000000DOD 64 DDOD RAYHER GENERAL CONTRACTOR LLG 8680 WEIR DR APT 101 NAPLES FL 34104-1545 August 31, 2024 throu h Se tember 30. 2024 Account Number, CUSTOMER SERVICE INFORMATION Web site: Chaso.com Service Center: 1-800-242-7338 Para Espanol. 1-888-622-4273 International Calls: 1-713-262-1679 We accept operator relay calls CHECKING SUMMARY I Chase Business Complete Checking INSTANCES AMOUNT Beginning Balance $658.32 Deposits and Additions 16 131,387.00 Checks Paid 2 -64,500.00 ATM & Debit Card Withdrawals 28 -4,851.75 Electronic Withdrawals 10 -4,923.30 Other Withdrawals 2 -5,700.00 Fees 3 -45.00 Ending Balance 61 $52,025.27 Your Monthly Service Fee was $15 this statement period. How to Avoid the Monthly Service Fee (MSF) If you meet any of the following qualifying activities for this Chase Business Complete CheckineM account in a statement period, we will waive the $15 MSF. Here's the business activity we used to determine if you qualified for the MSF waiver: • $2,000 Minimum Daily Ending Balance Your lowest daily ending balance was $144.64. ■ $2,000 Chase Payment Solutionss"Activity $0.00 was deposited into this account. • $2,000 Chase Inle Business Card Activity $0.00 was your total Ink activity. You can also avoid the MSF if you: • Maintain a linked Chase Private Client Checkings"" account OR • Meet Chase Military Banking requirements For complete details on all requirements to avoid the MSF, please review the Additional Banking Services and Fees for Business Accounts at chase_com/business/disclosures or visit a Chase branch. DEPOSITS AND ADDITIONS DATE DESCRIPTION AMOUNT 09103 ATM Check Deposit 08131 3693 Santa Barbara Blv Naples FL Card 6784 $3,737.00 09103 Zelle Payment From Home ro Solutions Naples Inc Bacxi7U2Lvbe 1,500,00 09104 Deposit 6230119067 3,000.00 09106 Fedwire Credit Via: Lake Michigan Credit Union1272480678 B/Q: Lake Michigan CU - 62,500.00 Construction Grand rapid, MI 49501 Ref: Chase NyGCtr/Bnf=Rayher General Contractor LLC Naples FL 34104-1545 U SIAc-000000007767 Rfb=C/B Lake Mich Iga Obi=0181015982 Fonseca Vazquez Draw 1 Imad: 0906Mmgfmpgx000820 Tm. 0945191250Ff Page 4 ur G Page 238 of 339 C HAS E 0:0 August 31, 2024 through September 30, 2024 Account Number DEPOSITS AND ADDITIONS (conr'nluea) DATE DESCRIPTION AMOUNT 09109 Deposit 1243836155 2,500.00 09J09 Zelle Pa rnent From Gean Ortiz Baczy3Bcb134 100,00 09J10 Credit For $2,700.00, An item Posted IN Error On 09/09/2024. Our Reference Number 2,700.00 Esds240910-2932, Cheek Number 592399568. 09113 ATM Check Deposit 09113 3693 Santa Barbara Biv Naples FL Card 6784 1,000.00 09/13 Zelle Payment From A Plus Construction of Sw FL LLC 22040002909 150.00 09/16 Zelle Payment From Rolexis Guerrero Wfct0Y2Rd2N 500.00 09J19 ATM Check Deposit 09119 3693 Santa Barbara Blv Naples FL Card 6784 1,000.00 09124 ATM Check Deposit 09J24 3693 Santa Barbara Blv Naples FL Card 6784 1,000.00 09J26 Fedwire Credit Via: Lake Michigan Credit Union/272480678 61C: Lake Michigan CU - 50,000.00 Construction Grand Rapid, M[ 49501 Ref: Chase Nyc1C r1Bnf=Rayher General Contractor LLC Naples FL 34104-1545 U &Ac-000000007767 Rfb=Q1B Lake Mich Iga Obi=0181015982 Fonseca Vasquez Draw 2 Imad: 0926Mmgfmpgx000185 Trn 0434661270Ff 09130 Deposit 1243828499 1,400.00 09130 Zelle Payment From Yuneysis Lopez Beltran 2222CO30779 _ _ 200.00 09J30 Zelle Payment From Marlon Cueilo Casal Bacx7E0Ntvns 100.00 Total Deposits and Additions $131,387.00 CHECKS PAID DATE CHECK NO. DESCRIPTION PAID AMOUNT 1031 " 09t05 $ 2, 000.00 1032 h 09/10 62,500.00 Total Checks Paid $64, 500.00 If you see a description in the Checks Paid section, it means that we received only electronic information about the check, not the original or an image of the check. As a result, we're not abte to return the check to you or show you an image. 11 An image of this check may be available for you to view on C:hase.com. ATM & DEBIT CARD WITHDRAWALS DATE 09J03 DESCRIPTION Card Purchase 08131 Caracol Latino Naples FL Care! 6784 AMOUNT $96.41 09103 Card Purchase With Pin 08131 Walgreens Store 7301 R Maples FL Card 6784 26.49 09J03 Card Purchase With Pin 08131 7-Eleven Naples FL Card 6784 47.14 09103 Card Purchase With Pin 09J03 Winn Dixie 42474 61 B Lehigh Acres FL Card 6784 57.22 09103 Card Purchase With Pin 09103 7-Eleven Lehigh Acres FL Card 6784 44.68 09104 _ ATM Withdrawal 09104 3693 Santa Barbara Blv Naples FL Card 6784 1,000,00 09106 Gard Purchase With Pin M06 Circle K 07457 Naples FL Card 6784 31.75 09106 Card Purchase With Pin 09106 7 Foodmart & Tortiller Naples FL Card 6784 52.09 09/09 Card Purchase 09/06 Paypal 'Davis 1988S 6Bm 4029357733 Card 6784 138.00 09109 ATM Withdrawal 09107 3693 Santa Barbara Blv Naples FL Card 6784 1,000,00 09113 ATM Withdrawal 09J13 8843 Immokalee Rd Naples FL Card 6784 150.00 09116 Card Purchase 09113 Tst'13rasas Steakhouse-S Naples FL Card 6784 196.31 09/16 Card Purchase With Pin 09114 Circle K 04755 Naples FL Card 6784 28.61 09116 ATM Withdrawal 09J15 3693 Santa Barbara Blv Naples FL Card 6784 1,000.00 09/16 Card Purchase With Pin 09116 Winn Dixie #2474 61 B Lehigh Acres FL Card 6784 10.64 09117 Card Purchase 09115 Circle K # 23860 Naples FL Card 6784 37.70 09/17 _ Card Purchase With Pin 09117 Winn Dixie #2474 61 B Lehigh Acres FL Card 6784 11.43 09119 Card Purchase With Pin 09J19 Winn Dixie #2474 61 B Lehigh Acres FL Card 6784 10.64 09120 Card Purchase With Pin 09120 Winn Dixie 02474 61 B Lehigh Acres FL Card 6784 15.28 Page 2 of 6 Page 239 of 339 CHASE � i ATM & DEBIT CARD WITHDRAWALS -(c0l"11111ed) August 31, 2024 throw h September 30. 2024 Account Number: DATE 09123 DESCRIPTION Card Purchase 09120 2 J'S Auto Repair Lehigh Acres FL Card 6784 AMOUNT 21.94 09123 09123 Card Purchase With Pin 09/21 Circle K 04755 Na les FL Card 6784 Card Purchase 09121 Top Goff FT Myers 60-2 Fort Myers FL Card 6784 32-73 21.51 09123 09123 Card Purchase _ ATM Withdrawal 09121 Top Goff FT Myers 60-2 Fart Myers FL Card 6784 09122 3693 Santa Barbara Blv Naples Ft Card 6784 195-11 300-00 09125 Card Purchase 09125 American Air00121788516 Fort Worth TX Card 6784 171.00 09127 Card Purchase With Pin 09127 Racetrac2425 Naples FL Card 6784 19.07 09130 Card Purchase 09127 Grand Buffet. Naples FL Gard 6784 58-72 09130 Card Purchase 09129 Tst'Brasas Steakhouse-3 Naples FL Card 6784 77.28 Total ATM & Debit Card Withdrawals $4,851.75 ATM &DEBIT CARD SUMMARY Raybert Hernandez Ortiz Card 6784 ATM & Debit Card Totals Total ATM Withdrawals & Debits $3,450-00 Total Card Purchases $1,401.75 Total Card Deposits & Credits $6,737-00 Total ATM Withdrawals & Debits $3,450-00 Total Gard Purchases $1,401-75 Total Card Deposits & Credits $6,737,00 ELECTRONIC WITHDRAWALS DATE DESCRIPTION AMOUNT 09105 09105 Online Transfer To Chk ...5882 Transaction#: 21965803905 S100.00 09105 09105 Online Transfer To Chk.-.5882 Transaction#: 21965808145 3,900.00 09109 09108 Online Transfer To Chk ...5882 Transaction#: 21990726860 140.00 09118 09118 Online Transfer To Chk .-.5882 Transaction* 22094476997 20.00 09119 09P 9 Online Transfer To Chk .--5882 Transaction#: 22109123405 200,00 M23 09121 Online Transfer To Chk ...5882 Transaction* 22129394284 100.00 09125 09125 Online Transfer To Chk ...5882 Transactiong: 22171443303 70.00 09130 Ong CO Name:Agile Premiumfin Crig ID:2472319830 DesC Date_240928 CO Entry 153.30 Descr:Payments Sec:CCD Trace4:i04000016940451 Eed:240930 Ind ID-20147922 Ind Name:Rayher General Contrac Tm: 2746940451Tc 09130 09130 Online Transfer To Chk ...5882 Transaction#: 22220118168 40-00 09130 09130 Online Transfer To Chk ...5882 Transaction#: 22225461895 200.00 Total Electronic Withdrawals $4,923.30 OTHER WITHDRAWALS DATE DESCRIPTION AMOUNT 09109 09f07 Withdrawal $2,700.00 09123 09123 Withdrawal 3,000.00 Total Other Withdrawals $5,700.00 pagc 3 of (i Page 240 of 339 C H A 5 E . p August 31, 2024 throe h Se temper 30, 2024 Account Number: FEES DATE DESCRIPTION AMOUNT 09106 Domestic Inoorning Wire Fee $15.00 D9126 Domestic Inoonning Wire Fee 15.00 09130 Monthly Service Fee 15.00 Total Fees $45.00 DAILY ENDING BALANCE DATE AMOUNT DATE AMOUNT DATE AMOUNT 09103 $5,823.38 09113 3,846,54 09123 144.64 09/04 7,623.38 09116 3,11 D.98 09124 1,144, 64 09105 1,623.38 09117 3,061.85 09125 903.64 09/06 64,024,54 09118 3,041.85 09126 50,888.64 09109 62,646.54 09119 3,831,21 09127 50,869.57 09/10 2,846.54 0912C 3,815.93 09130 52,025.27 IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR ELECTRONIC FUNDS TRANSFERS: Call us at 1-866-564-2262 or write us at the address on the front of this statement immediately if you think your statement or receipt is incorrect or if you need more information about a transfer listed on the statement or receipt. For personal accounts only. We must hear from you no later than 60 days after we sent you the FIRST statement on which the problem or error appeared. Be prepared to give us the following information: • Your name and account number; • A description of the error or the transaction you are unsure about, and why you think it is an error or want more information; and • The amount of the suspected error. We wilt investigate your complaint and will correct any error promptly. If we take more than 10 business days (or 20 business days for new accounts) 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 takes us tQ complete our investigation. For business accounts, see your deposit account agreement or other applicable agreements that govern your account for details. IN CASE OF ERRORS OR QUESTIONS ABOUT NON -ELECTRONIC FUNDS TRANSFERS: Contact us immediately if your statement is incorrect or if you need more information about any non -electronic funds transfers on this statement. For more details, see your deposit account agreement or other applicable agreements that govern your account. JPMorgan Chase Bank, N.A. Member FDIC Page 241 of 339 CHASE ON IMAGES August 31, 2024 through September 30, 2024 Acoount Number. ACCOUNT # 000000776731033 See both front and back images of cleared checks at Chase_com. If you're not enrolled in this free service, please enroll now. AAYHEP GE FLALCOMRACT9*LLC �s�ini.�wapu� I { fS ` pwpli MC -JL� � • F]_ 1(1lLi_!� — �.�� S 2 G1s�:d dIl ,ou,� o Po 004770845225 SEP 05#0000001031 $2.000.00 Gam wca.s L CHASED w1TNDRAw11Llw[TIRO swwas+,wc�Aoe Q x P0592399568- CSUOPO in 0E 003190243323 SEP 09 #0000000000 $2,709.00 002670840451 SEP 10 #0000001032 $62,500.00 CHASE O MI17MdRAw1WALTlR0 !'059254E4q it �:SL1040 i0 ii. 001790265301 SEP 23 W000000000 $3,000.00 Page 242 of 339 CHASE ! i This Page Intentionally Left Blank August 31, 2024 through September 30, 2024 Account Numb Page 6 of 6 Page 243 of 339 NOV 14, 2024 1 O:23: a 7 AM RAYBERT HERNANDEZ ORTIZ CHASE BUSINESS COMPLETE CHECKING (....1033) Available balance Present balance Next statement closing date $ 32 14 32 NOV9 R27 L �JL.� 4 FVL7r ZVL4 DescriptionPosted Pending transactions Pending POS DEBIT RESTAURANTS LATINOAMER NAPLES FL Debit card T-S11.00 $32.14 fRecent transactions NOV 12, 2024 ECONOMY PARK RIDE MIA DDRAL FL 11111 Debit card -$8.00 $43.14 NOV 12, 2024 CIRCLE K 04755 NAPLES FL 726515 11111 Debit card-$40.00 $51.14 NOV 12, 2024 Online Transfer to CHK ...5882 transaction#: 22675420821 Account transfer-$500.00 $91.14 11112 ..... NOV 12, 2024 ..... ........... . ............. _ _ ---- ...._.. Online Transfer to CHK ...5882 transaction#; 22675365093 Account transfer -$1,000.00 $591.14 11112 NOV 12, 2024 AMERICAN Al 00121905007 PHOENIX AZ 11110 Debit card $1,591.14 -$70.00 NOV 12,2024 7-ELEVEN NAPLES FL 737569 11109 A1A DISCOUNT BEVERAGES NAPLES FL 11108 Debit card Debit card $1,661,14 $1,691,87 -S30.73 $10.59 NOV 12, 2024 NOV 8, 2024 Online Transfer to CHK ...5882 transactionM 22660150399 Account transfer -S500.00 $1.702-46 111D8 NOV 6, 2024 Check # 1036 -$25,000.00 $2,202.46 Check NOV 5, 2024 .._.._.............. .._....... Online Transfer to CHK ...5882 transaction#: 22620927354 _._.. -5100-0D __ ._.. .... $27,202.46 Account transfer 11/05 NOV 5, 2024 _..... ... . ..... _.... - Check # 1037 Check -$2,000.00 ... $27,302,46 NOV 5, 2024 MONIES DE OCA RESTAURA 305-7633467 FL 11104 Debit card -$30.13 $29,302.46 NOV 4, 2024 Online Transfer to CHK ...5882 transaction#., 22611680586 Account transfer -$100.00 $29,332.59 11104 NOV 4, 2024 7-ELEVEN NAPLES FL 218470 11103 Debit card -$51.92 $29,432.59 NOV 4, 2024 THE FOOD FACTORY OF NA NAPLES FL 11103 Debit card -$53.35 $29,484,51 NOV4, 2024 Zelle payment from HOMEPRO SOLUTIONS NAPLES INC Zelle $1,500-00 $29,537-86 BACw4zad6knv NOV 1, 2024 DEPOSIT ID NUMBER 878038 Deposit $28,D37.86 $3,G00.00 NOV 1, 2024 1 Refund of MONTHLY SERVICE FEE charged 10-31-2024 Refund $15.00 $25,037.86 OCT 31, 2024 MONTHLY SERVICE FEE Fee -$15.00 $25,022-86 OCT 30, 2024 ATM CASH DEPOSIT 10130 3693 SANTA BARSARA BLV NAPLES Deposit $100-00 ............ $25,037-86 FL OCT 29, 2024 DOMESTIC INCOMING WIRE FEE -$15-00 $24,937-86 Fee OCT 29, 2024 CIRCLE K 04755 NAPLES FL 654548 10129 ORIG CO NAME:AGILE PREMIUMFlN ORIG ID:2472319830 DESC Debit card ACH -$60.00 -$153.30 $24.952.86 $25,012,86 OCT 29, 2024 DATE:241028 CO ENTRY DESCR:PAYMENTS Si TRAC£#:104000017559087 EED:241029 IND ID:20631799 IND NAME:RAYHER GENERAL CONTRAC Ti 3037559087TC Page 1 of 2 Page 244 of 339 CHASE ! � Deposit Account Balance Summary 12113/2024 Requestor information: RAYHER GENERAL CONTRACTOR LLC 8680 WEIR DR APT 101 MAPLES, FL 34104-1545 JPMorgan Chas6 Bank, N.A. Radio Rd and Santa Barbara Blvd FL7-0429 3693 Santa Barbara Blvd Naples, FL 34104 Summary of Deposit Account Account Number Account Type Open Date Currant Balance Avg Balance (12 mos) Chase Business Complete Checking 10/14/2021 $108.01 $7,906.00 Customer Information RAYHER GENERAL CONTRACTOR LLC Sole Owner RAYBERT HERNAN❑EZ ORTIZ Signer Deposit Account Balance Summary request completed by: NAYLA CARDENAS (614) 248-5800 Radio Rd. and Santa Barbara Blvd PLEASE NOTE THAT THE INFORMATION PROVIDED IN THIS LETTER WILL BE THE ONLY INFORMATION RELEASED BY JPMorgan Chase, N.A. This letter is written as a matter of business courtesy, without prejudice, and is intended for the confidential use of the addressee only. No consideration has been paid or received for the issuance of this letter. The sources and contents of this letter are not to be divulged and no responsibility is to attach to this bank or any of its officers, employees or agents by the issuance or contents of the letter which is provided in good faith and in reliance upon the assurances of oonfldentiality provided to this bank. information and expressions of opinion of any type contained herein are obtained from the records of this bank or other sources deemed reliable, without independent investigation, but such information and expressions are subject to change without notice and no representation or warranty as to the accuracy of such information or the reliability of the sources is made or implied or vouchad in any way. This letter is not to be reproduced, used in any advertisement or in any way whatsoever except as represented to this bank. This bank does not underlaks to notify of any changes in the information contained in this letter. Any reliance is at the sole risk of the addressee. Page 245 of 339 DEC 13 2024 12-03-29 PM RAYBERT HERNANDEZ ORTIZ CHASE BUSINESS COMPLETE CHECKING (....1033) Available balance Present balance Next statement closing date 11080, $108.01 DEC 31, 2024 Showing results for: All credits (+) DEC 10, 2024 DEC 5, 2024 DEC 5, 2024 DEC 4, 2024 DEC 3, 2024 DEC 2, 2024 NOV 29, 2024 NOV 18, 2024 �- NOV 4,2024 TT NOV 1, 2024 NOV 1, 2024 OCT 30, 2024 OCT 29, 2024 OCT 24, 2024 OCT 21, 2024 Zelle payment from IM GENERAL SERVICES INC WFCTOYSC954S FEE REVERSAL WIRE REVERSAL BIO: JPMC CB FUNDS TRANSFER SAME DAY TAMPA FL 33610-9128 US ORG: AM263182817 SUNCOAST CREDIT UNION REF:IBNFIOUR REF JPM241205-011966 CHASEREF073621134OFF RTN DTD 12/05/202 4 TRN 3383384340ES AS UTA NEED VAL ID BENS ACCT NUMBER TRN: 4448900340HH WIRE REVERSAL BIO: JPMC CB FUNDS TRANSFER SAME DAY TAMPA FL 33610-9128 US ORG: ABAI263182817 SUNCOAST CREDIT UNION REF:IBNFIOUR REF JPM241204-009840 CHASEREF0617141339FF RTN DTD 12/04/202 4 TRN 3387324339ES AS UTA NEED VAL ID BENE ACCT NUMBER TRN: 2589500339HH FEDWIRE CREDIT VIA: WESTERN ALLIANCE BANK1122105980 BIO: AMERICAN PACIFIC MORTGAGE CORPORATIUS REF: CHASE NYC/CTR/BNF=RAYHER GENERAL CONTRACTOR LLC NAPLES FL 34104-1545 U SIAC-000000007767 RFB=2412031845526 97 OBI=AMERICAN PACIFIC MORTGAGE- 8 AUTISTA 001448308 IMAD: 1203MMQFMPXMOU1823 TRN: 0788131338FF DEPOSIT ID NUMBER 108278 ATM CASH DEPOSIT 11129 3693 SANTA BARBARA BLV NAPLES FL Zelle payment from MAYKEL LOPEZ WFCTOY88GQP2 Zelle payment from HOMEPRO SOLUTIONS NAPLES INC BACw4Zad6knv MF1 Refund of MONTHLY SERVICE FEE charged 10-31-2024 DEPOSIT ID NUMBER 878038 ATM CASH DEPOSIT 10/30 3693 SANTA BARBARA BLV NAPLES FL FEDWIRE CREDIT VIA: LAKE MICHIGAN CREDIT UNION1272480678 BIO: LAKE MICHIGAN CU - CONSTRUCTION GRAND RAPID, MI 49501 REF: CHASE NYCICTRIBNF=RAYHER GENERAL CONTRACTOR LLC NAPLES FL 34104-1545 U SI AC-000000007767 RFB=OI9 LAKE MICH iGA 013I=0181015982 FONSECA VAZQUEZ DRAW 4 IMAD: 1029MMQFMPQX000095 TRN:0242421303FF DEPOSIT ID NUMBER 111928 FEDWIRE CREDIT VIA: LAKE MICHIGAN CREDIT LINION1272480678 B/O: LAKE MICHIGAN CU - CONSTRUCTION GRAND RAPID, MI 49501 REF: CHASE NYCICTRIBNF=RAYHER GENERAL CONTRACTOR LLC NAPLES FL 34104.1545 U S/ AC-000000007767 RFB=OIB LAKE MICH IGA 081=0181015982 FONSECA VAZQUEZ DRAW 3 ]MAD: 1021 MMQFMPQX000146 TRN-0335541295FF Zelle Reversal Wire transfer Wire transfer Wire transfer VOI VC 1j 'seldIRN PA19 Wegaeg e11.11e5 C69C 6ZV4-LI-I )Ale ejegje8 e;ue5 pue p8 oip>eb F, N *eg ssegO ue6aowdr S60.0❑ $35-00 $8.430-00 $8,430,00 $28,858.50 Deposit $3,OOQ.OQ $200.00 $200,00 _......... ......I .. — $1,500.00 Deposit Zelle Zelle Refund $15.00 Deposit $3,000.00 $100,00 Deposit Wire transfer 1 $25,000.00 Deposit Wire transfer $1,000.00 $50.000-00 Page 1 of : Page 246 of 339 DEC 13, 2024 72A3,29 PM OCT 18, 2024 DEPOSIT ID NUMBER 100364 Deposit $1,400.00 _ OCT 9, 2024 HF4 Refund of MONTHLY SERVICE FEE charged 09-30-2024 ......... Refund $15-00 ... .......... $3,000.00 ...._ _... ....... OCT 4, 2024 _ DEPOSIT ID NUMBER 828206 _... Deposit OCT 2, 2024 Zelle payment from HOMEPRO SOLUTIONS NAPLES INC Zelle S1,500.00 BACwl209x2hz SEP 30, 2024 DEPOSIT ID NUMBER 828499 Deposit $1,400,00 SEP 30, 2024 Zelle payment from YUNEYSIS LOPEZ BELTRAN 22220030779 Zelle $200.00 _ ._....... _ . SEP 30, 2024 Zelle payment from MARLON CUELLO CASAL BACx7eOnlvns Zelle $100.00 SEP 26, 2024 FEDWIRE CREDIT VIA: LAKE MICHIGAN CREDIT Wire transfer $50,000.00 UNION1272480678 B/O: LAKE MICHIGAN CU - CONSTRUCTION GRAND RAPID, MI 49501 REF: CHASE NYCICTRIBNF=RAYHER GENERAL CONTRACTOR LLC NAPLES FL 34104-1545 U SI AC-000000007767 RFB=OIB LAKE MICH IGA 061=0181015982 FONSECA VASQUEZ DRAW 2 1MAD: 0926M MQFMPQX0001 85 TRN: 043468127OFF SEP 24, 2024 ATM CHECK DEPOSIT 09124 3693 SANTA BARBARA BLV Deposit $1.000.00 NAPLES FL $1,000,00 SEP 19, 2024 ATM CHECK DEPOSIT 09/19 3693 SANTA BARBARA BLV Deposit NAPLES FL SEP 16, 2024 Zelle payment from ROLEXIS GUERRERO WFCTOY2RD2XJ Zelle $500.00 SEP 13, 2024 ATM CHECK DEPOSIT 09113 3693 SANTA BARBARA BLV Deposit $1,000,00 NAPLES FL SEP 13, 2024 Zelle payment from A PLUS CONSTRUCTION OF SW FL LLC Zelle $150,00 22040002909 $2,700.00 SEP 10, 2024 Credit for $2,700.00, an item pasted in error on 0910912024. Our Adjustment reference number ESOS240910-2932, Check Number 592399568_ $2,500,00 $100.00 SEP 9, 2024 DEPOSIT ID NUMBER 838155 Deposit Zelle. SEP 9, 2024 Ze11e payment from GEAN 0RTIZ BACxy3beb134 SEP 6, 2024 FEDWIRE CREDIT VIA: LAKE MICHIGAN CREDIT Wire transfer $62,500,00 UNION1272480678 810: LAKE MICHIGAN CU - CONSTRUCTION GRAND RAPID, M149501 REF: CHASE NYCICTRIBNF=RAYHER GENERAL CONTRACTOR LLC NAPLES FL 34104-1545 U SI AC-000000007767 RFB=01B LAKE MICH IGA 081=0181015982 FONSECA VAZQUEZ DRAW 1 IMAD! 0906MMQFMPQX000820 TRN:094519125OFF _ SEP 4, 2024 DEPOSIT ID NUMBER 119067 Deposit $3,000.00 SEP 3, 2024 ATM CHECK DEPOSIT 08131 3693 SANTA BARBARA BLV Deposit $3,737.00 NAPLES FL _ SEP 3, 2024 Zelle payment from HOMEPRO SOLUTIONS NAPLES INC Zelle $1,500-00 BACxi7u2lvbe AUG 29, 2024 $1,372.70 ATM CHECK DEPOSIT 08129 3693 SANTA BARBARA BLV Deposit NAPLES FL AUG 29. 2024 Online Transfer from CHK ...5882 tra ns actio n #: 21881312962 Account transfer $12,00 AUG 22, 2024 ATM CHECK DEPOSIT 08/22 3693 SANTA BARBARA BLV Deposit $1,000.00 NAPLES FL ATM CHECK DEPOSIT 08116 3693 SANTA BARBARA BLV $1,000.00 AUG 16, 2024 Deposit NAPLES FL AUG 8, 2024 ATM CHECK DEPOSIT 08108 3693 SANTA BARBARA BLV Deposit S3,000.00 NAPLES FL JUL 31, 2024 ATM CHECK DEPOSIT 07131 3693 SANTA BARBARA BLV Deposit $1,000.00 NAPLES FL __ ..._......_......... _.._ JUL 30, 2024 .............. ATM CASH DEPOSIT 07130 3693 SANTA BARBARA BLV NAPLES Deposit $500-00 FL JUL 25, 2024 Online Transfer from CHK ...5882 transaction#: 21512710513 Account transfer $6,00 Page 2 of 5 Page 247 of 339 DEC 13,�2024 12:03:29 PM JUL 24, 2024 ATM CHECK DEPOSIT 07124 3693 SANTA BARBARA BLV Deposit $1,000.0 NAPLES FL $20.0 JUL 23, 2024 Online Transfer from CHK ...58B2 transaction#: 21491341089 Account transfer JUL 18, 2024 Online Transfer from CHK-.-5882 transaction#: 21441334949 ATM CHECK DEPOSIT 07117 3693 SANTA BARBARA BLV Account transfer ............. _.. - -.... ._...._ Deposit $80.0 . _ $1.000.0 JUL 17, 2024 NAPLES FL _. ................... .............. .. __ _._._ JUL 15, 2024 _._ _.._.__...... ... _.. Zelle payment from ANAILSA MARRERO MARQUEZ $100.0 Zelle FTBOB2340658 JUL 11, 2024 Online Transfer from CHK -5882 transaction#: 21375003879 Account transfer $25-0 $37,500.0 JUL 8, 2024 ATM CHECK DEPOSIT 07108 3693 SANTA BARBARA BLV Deposit NAPLES FL JUL 8, 2024 Zelle payment from GRETHER DIAZ 21338696617 Zelle $165.0 --......--.. JUL 5, 2024 ORIG CO NAME:INTUIT ORIG ID:9215986206 DESC DATF:240705 ACM $0.1 CO ENTRY DESCR:ACCTVERIFYSEC:PPD TRACE#:021000022930669 EED:240705IND ID: IND NAME:RAYHER GENERAL CONTRAC TRN: 1872930669TC JUL 5, 2024 ORIG CO NAME: INTUIT ORIG iD:9215986206 DESC DATE:240705 ACH $0.1 CO ENTRY DESCR:ACCTVERIFYSEC:PPD TRACE#:021000022930670 EED-240705 IND ID: IND NAME:RAYHER GENERAL CONTRAC TRN:1872930670TC _ JUL 3.2024 ATM CHECK DEPOSIT 07103 3693 SANTA BARBARA BLV Deposit $1,000.0 NAPLES FL . _. JUL 2, 2024 Zelle payment from MARQUIS MANAGEMENT CONSTRUCTION ............... -- ...... _ Zelle _......._......................... $2,500.0 OF 21285743867 JUL 2, 2024 Zelle payment from HOMEPRO SOLUTIONS NAPLES INC Zelle $1,50O.0 BACtgOxghbh5 $1,000.0 JUN 27, 2024 ATM CHECK DEPOSIT 06127 3693 SANTA BARBARA BLV Deposit NAPLES FL ATM CHECK DEPOSIT 06/26 3693 SANTA BARBARA BLV $500.0 JUN 26, 2024 Deposit NAPLES FL JUN 26, 2024 Zelle payment from JOSSELIN AYALA WFCTOSCRRQFY Zelle JUN 25, 2024 DEPOSIT ID NUMBER 38122_ Deposit $126,000.0 JUN 20, 2024 ATM CASH DEPOSIT 06120 3693 SANTA BARBARA BLV NAPLES Deposit $2,001C FL $1,000.0 JUN 20, 2024 ATM CHECK DEPOSIT 06119 3693 SANTA BARBARA BLV Deposit NAPLES FL JUN 20, 2024 Zelle payment from MARIA AYALA DE ROMERO FTB080465081 Zelle S70.0 JUN 14, 2024 Zelle payment from LEONARDO PORTUGUEZ WFCT0SBSB9JQ Zelle $21.8-[ JUN 11, 2024 ATM CHECK DEPOSIT 06111 3693 SANTA BARBARA BLV Deposit $1,000.1 NAPLES FL JUN 6, 2024 ATM CHECK DEPOSIT 06106 3693 SANTA BARBARA BLV Deposit $2.000.0 NAPLES FL ATM CHECK DEPOSIT 06/06 3693 SANTA BARBARA BLV Deposit $100.0 JUN 6, 2024 NAPLES FL Deposit JUN 5, 2024 ATM CHECK DEPOSIT 06105 3693 SANTA BARBARA BLV $3,000A NAPLES FL Online Transfer from CHK ...5882 transaction#: 21001 388020 Zelle payment from DIANA ISIS BARGES BALMASEDA .......... $2,900.t $100.[ JUN 5, 2024 Account transfer JUN 5, 2024 Zelle 1TNO028M313R ........... JUN 3, 2024 Zelle payment from MARQUIS MANAGEMENT CONSTRUCTION Zelle $2,500.[ OF 20984024389 Zelle JUN 3, 2024 _ Zelle payment from HOMEPRO SOLUTIONS NAPLES INC $1.500.1 BACumxaggdnt JUN 3, 2024 Online Transfer from CHK ...5882 transaction#: 20957252896 Account transfer $15.+ MAY 31, 2024 Online Transfer from CHK ...5882 transaction#: 20938654901 Accounttransfer $115•1 0 a 0 0 a 0 �0 10 Page 3 nt 5 Page 248 of 339 DEC 13,a024 72:03.29 PM MAY 30, 2024 Zelle payment from ANA BOLUFE VELAZQUEZ BACb4e3yjmv0 Online Transfer from CHK ...5862 transaction#: 20933289370 Online Transfer from CHK ...5882 transaction#: 20933270186 Zelle Account transfer $66o.00 $12-00 $0.12 MAY 30, 2024 MAY 30, 2024 Account transfer MAY 29, 2024 ATM CHECK DEPOSIT D5129 3693 SANTA BARBARA BLV Deposit $1,0Q0.00 NAPLES FL Online Transfer from CHK ...5882 transaction#: 20921727896 $40.00 MAY 29, 2024 Account transfer MAY 28, 2024 ATM CHECK DEPOSIT 05125 3693 SANTA BARBARA BLV Deposit $450.00 NAPLES FL MAY 28, 2024 — .... Online Transfer from CHK ...5882 transaction#: 20900716997 Online Transfer .. .. . from CHK...5882 transaction#: 20909243903 .-........ Account transfer Account transfer Account transfer Deposit $200.00 $700.00 $50.00 $1,QOQ.QQ MAY 28, 2024 MAY 28, 2024 Online Transfer from CHK ...5882 transaction#: 20904807772 ..................... ATM CHECK DEPOSIT 05122 3693 SANTA BARBARA BLV MAY 22, 2024 NAPLES FL Online Transfer from CHK ...5882 transaction#: 20852605817 Online Transfer from CHK ...5882 transaction#: 20838706154 Account transfer Account transfer $1,D00.00 5100.Qo MAY 22, 2024 MAY 20, 2024 MAY 14, 2024 ATM CHECK DEPOSIT 05114 3693 SANTA BARBARA BLV Deposit $1,000.00 NAPLES FL _....._ �.................................... _...._�... ATM CHECK DEPOSIT 05109 3693 SANTA BARBARA BLV Deposit _�..._ _ _ ._ ... $2,000.00 MAY 9, 2024 NAPLES FL ATM CHECK DEPOSIT 05108 3693 SANTA BARBARA BLV Deposit $2,000.00 MAY 8, 2024 NAPLES FL _........... ..... ........ Online Transfer from CHK ...5882 trans a cti o n #: 20707006124 Zelle payment from MARQUIS MANAGEMENT CONSTRUCTION $30.00 $2,500-01) MAY 7, 2024 Account transfer MAY 2, 2024 Zelle OF 20655457442 MAY 1, 2024 Zelle $1,500.00 Zelle payment from HQ!MEPRO SOLUTIONS NAPLES INC BACcawl 8tvvi 1 _ ........... . -. ..... APR 22, 2024 .. .. Online Transfer from CHK ...5882 transaction#: 20545988967 Online Transfer from CHK ...5882 transaction#, 20486270393 DEPOSIT ID NUMBER 3'80391 . .................... ....... Account transfer Account transfer ❑eposit ..w� $10.00 $250.00 $14.208.50 APR 16, 2024 APR 15, 2024 _w.._ APR 12, 2024 ............ _ . ........... .......... _ ATM CHECK DEPOSIT 04112 3693 SANTA BARBARA BLV Deposit $2,500.00 NAPLES FL APR 12, 2024 ATM CHECK DEPOSIT 04112 3693 SANTA BARBARA BLV Deposit $300.00 NAPLES FL .......... ..-...... ............. Online Transfer from CHK ...5882 transaction#: 20440286193 _.. ......__...... ....................... _._.__...... Zelle payment from HOMEPRO SOLUTIONS NAPLES INC Account transfer Zelle —_ S140.00 $1500-00 APR 12, 2024 APR 4, 2024 BACxz7mcwznj .. ..... ... Zelle payment from MARQUIS MANAGEMENT CONSTRUCTION $2,500.00 APR 2, 2024 Zelle OF 20343742633 _......................... ......... . Online Transfer from CHK ...5882 transaction#: 20318181048 ATM CHECK ~DEPOSIT 03128 5350 IMMOKAt_EE RD NAPLES FL $20.00 $500-00 APR 1, 2024 Account transfer Deposit MAR 28, 2024 MAR 25, 2024 Zelle payment from JORGE DEL SO SOSA BACiptgl91j4 Zelle $60.00 MAR 22, 2024 Online Transfer from CHK ...5882 transaction#: 20229573153 Online Transfer from CHK ...5882 transaction#: 20229578762 Account transfer Account transfer $70.00 $20,00 MAR 22, 2024 MAR 18, 2024 Online Transfer from CHK ...5882 transaction#: 20179971931 ATM CASH DEPOSIT 03112 3693 SANTA BARBARA BLV NAPLES Account transfer Deposit $b50.00 90.00 MAR 12, 2024 FL _ MAR 8, 2024 Online Transfer from CHK ...5882 transaction#: 20096242259 Account transfer $66.00 $720.00 MAR 5, 2024 ATM CASH DEPOSIT 03/05 3693 SANTA BARBARA BLV NAPLES Deposit FL ATM CHECK DEPOSIT 03101 3693 SANTA BARBARA BLV $3,350-00 MAR 1, 2024 Deposit NAPLES FL Page 4 of 5 Page 249 of 339 DEC 13,,,2024 12:03:29 PM MAR 1, 2024 Zelle payment from MARQUIS MANAGEMENT CONSTRUCTION Zelle OF 20024524745 MAR 1, 2024 Online Transfer from CHK ...5882 transaction#: 20021297743 Account transfer FES 23, 2024 Online Transfer from CHK ...5882 transaction#: 19947378061 Account transfer FEB 21, 2024 ATM CASH DEPOSIT 02121 3693 SANTA BARBARA BLV NAPLES Deposit FL FEB 15, 2424 Zelle payment from ANA BOLUFE VELAZQUEZ BACa5z4rzw2i Zelle FEB 15, 2024 Zelle payment from ANA BOLUFE VELAZQUEZ BAC94ggyrglg Zelle FEB 9, 2024 ATM CASH DEPOSIT 02109 3693 SANTA BARBARA BLV NAPLES Deposit FL FEB 9, 2424 Online Transfer from CHK ...5882 transactionM 19817735498 _ ............. Account transfer FEB 2, 2024 Zelle payment from MARQUIS MANAGEMENT LLC DBA ODD Zelle JOBS19755565800 FEB 1, 2024 JAN 26, 2024 JAN 19, 2024 JAN 17, 2024 JAN 12, 2024 JAN 12, 2024� JAN 11. 2024 JAN 11, 2024 JAN 2, 2024 ATM CASH DEPOSIT 02101 3693 SANTA BARBARA BLV NAPLES Deposit FL Online Transfer from CHK ...5882 transaction#: 19680368467 Account transfer ATM CASH DEPOSIT 01/19 3693 SANTA BARBARA BLV NAPLES Deposit FL Zelle payment from DAVYD Y MILLER 19601175198 Zelle Online Transfer from CHK ...5882 transaction#: 19554517142 Account transfer Online Transfer from CHK ...5882 transaction#: 19554518548 Account transfer .. _ .._............._._.� Zelle payment from MARQUIS MANAGEMENT LLC DBA ODD Zelle JOBS19548182716 Online Transfer from CHK ... 5882 transaction#: 19545042966 Account transfer ZeIIe payment from MARLON CUELLO CASAL BACscnOa7ivk Zell, $2, 500.00 $7-50 $71-00 $330.00 $1,499.00 W, $1.00 $20.00 $77,00 $2,500,00 $20.00 550.00 $200.00 $2,500.00 S60.00 $10.00 $2,500.00 $330.00 $250-00 "This is not your account statement and not the final record of your account activity or balance and should not be used as your sole basis for making lrnancial decisions- This document may not include all transactions, fees, or interest. For a full review of transactions on your account, please reference your periodic siaternenr(s)." JP Morgan Chase Bank N.A. Member FDIC P] i.qc S t: F t: Page 250 of 339 List of Officers A Plus Construction OF SW FL LLC List of Officers y Owner 1. Owner o Name: Alfredo Bustos o Title: Owner 2. Project Manager (Permit Liaison): o Name: Yeniss Otero o Title: Projec Manager (Authorized to Pull Permits for A Plus Construction OF SW FL LLC) Page 251 of 339 Statement of Need We respectfully submit this statement to explain the necessity of maintaining the qualification of Rayher General Contractor LLC while requesting the additional qualification of A Plus Construction of Southwest Florida LLC. Rayher General Contractor LLC has been a reliable and reputable entity in the construction industry, providing high - quality services and ensuring the successful completion of various projects. The continued qualification of Rayher General Contractor LLC is essential to uphold its commitments to current clients and ongoing projects, as well as to maintain its established presence in the marketplace. The request to qualify A Plus Construction of Southwest Florida LLC stems from the need to expand our operations and enhance our ability to serve a broader client base. A Plus Construction will operate as a complementary entity, allowing for greater specialization, increased efficiency, and improved resource allocation within the construction industry. By qualifying this additional entity, we aim to better meet the growing demand for construction services in Southwest Florida, ensuring the highest standards of quality and compliance. Both entities will be managed responsibly and in accordance with all relevant licensing requirements. The qualification of A -Plus Construction of Southwest Florida LLC will not interfere with the operational integrity of Rayher General Contractor LLC. On the contrary, this expansion will strengthen our overall capacity to deliver superior service and support to our clients and communities. We kindly request your consideration of this application to qualify A Plus Construction of Southwest Florida LLC, while maintaining the current qualification of Rayher General Contractor LLC. Sincerely, Alfredo Bustos Owner A Plus Construction OF SW FL LLC Page 252 of 339 Subject: Ownership Statement for Rasher General Contractor LLC and A Plus Construction of Southwest Florida LLC To Whom It May Concern, This document provides the ownership details for Rayher General Contractor LLC and A Plus Construction of Southwest Florida LLC, as requested by the county. 1. Current Entity Ownership: • Entity Name: Rayher General Contractor LLC • License Number: RG291104097 • Owner: Raybert Hernandez Ortiz- 100% Percentage of Ownership The licensee, Raybert Hernandez Ortiz, is the qualifying agent for Rayher General Contractor, LLC. 2. Proposed Entity Ownership: • Entity Name: A Plus Construction of Southwest Florida LLC • License Number: RG291104182 • Owner: Alfredo Bustos - • The licensee, Alfredo Bustos, is the qualifying agent for A Plus Construction of Southwest Florida LLC. The licensee, Raybert Hernandez Ortiz, will maintain their qualifying role for both the current entity, Rayher General Contractor LLC, and the proposed entity, A Plus Construction of Southwest Florida LLC, as required by the licensing regulations. We certify that the above information is accurate and complete to the best of our knowledge. Supporting documentation is attached for verification, including proof of licensure and any other relevant information. Sincerely, Page 253 of 339 Remuneration Statement This statement serves to outline the manner of remuneration for the licensing arrangement between the undersigned and the relevant entities, both current and proposed. 1. Current Entity • Entity Name: Rayher General Contractor, LLC • Remuneration Details: The undersigned agrees to receive remuneration in the form of a fixed monthly fee in the amount of $3,000 per Month. 2. Proposed Entity • Entity Name: A -Plus Construction of Southwest Florida, LLC Remuneration Details: Upon the transition to A -Plus Construction of Southwest Florida, LLC, the undersigned agrees to receive remuneration in the manner of $0.00. • The terms of remuneration for both entities will adhere to all applicable laws and regulations and are subject to any amendments mutually agreed upon in writing by the undersigned and the respective entity. Acknowledgment: By signing below, I acknowledge and accept the terms of remuneration as stated above. Raybert H rnandez Ortiz General Contractor Alfredo ustos-Owner A Plus Construction of SW FI, LLC z� Date Date Page 254 of 339 AFFIDAVIT OF NO OUTSTANDING LIENS OR JUDGMENTS I, Alfredo Bustos, the undersigned, being the duly authorized representative of A Plus Construction OF SW FL LLC, hereby certify and affirm the following: 1. That I am authorized to execute this affidavit on behalf of A Plus Construction OF SW FL LLC. That, to the best of my knowledge, A Plus Construction OF SW FL LLC, a company duly organized and existing under the laws of the State of Florida, currently has no outstanding liens or judgments recorded against it as of the date of this affidavit. This statement is made voluntarily and without coercion, and I affirm its truthfulness under the penalties of perjury. IN WITNESS WHEREOF, I have executed this affidavit on this 1st day of December 2024. Signature of Authorized Representative: Alfredo Bustos Owner A Plus Construction OF SW FL LLC NOTARY ACKNOWLEDGMENT State of Florida County of Collier On this 1st day of December,2024, before me, a Notary Public, personally appeared Alfredo Bustos, known to me (or satisfactorily proven) to be the individual who executed the foregoing affidavit and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Signature: Notary Public Printed Name: My Commission Expires: Notary Seal: Page 255 of 339 This statement is made to confirm that Rayher General Contractor LLC (License No. RG291104097) is qualifying A Plus Construction of Southwest Florida LLC (License No. RG291104182) in accordance with the requirements and processes set forth by the Department of Business and Professional Regulation (DBPR). Both entities acknowledge and attest to their awareness of the qualifications being valid and compliant with the applicable laws and regulations. The undersigned, as authorized agents of their respective entities, hereby confirm and agree to this qualification. Authorized Representative of Rayher General Contractor LLC Name: Title: Signature: Date: Authorized Representative of A Plus Construction of Southwest Florida LLC: Name: Title- Signature - Date: Notary Public Certification: State of County of Sworn to (or affirmed) and subscribed before me this day of , 20, by and Southwest Florida LLC). Notary Public: (Print Name) Notary Signature: My Commission Expires: (Notary Seal) (Name of Representative of Rayher General Contractor LLC) (Name of Representative of A Plus Construction of Page 256 of 339 USA CREDIT BUREAU Credit Reporting & Collections 154 SE 7111 Ave Ste 2, Crystal River FL 34429 • 352-628-2580 • Fax 239.719-2755 CONTRACTOR CREDIT REPORT APRIL 29, 2024 BUATINI:.'V,� ('REDIT REPORT . ,v ... _ _ _ .. sw FL LE.0 FED TAX IDO: 83-3B59445 FILED: 02/26/20I9 4947 TAMIAMI TRL M STE 205, NAPJS FL 34103 CORPORATE OFFICERS A:, REDO BUSTOS FINANCIAL RECORDS CREDITOR/BANK ACCOUNT NUMBER NOT APPL=CABLE OFFICE SSN MCR NONE PROVIDED TYPE OF HIGH RET PAST ACCOUNT OPENED BALANCE LIMIT C.HFCKS DUE BANKR UPTCYIJUDGMENTILIEN SEARCH PUBLIC RECORDS HAVE BEEN CHECKED AT THE: COUNTY, STATEAND FEDERAL LEVELS ANY RECORDS FOUND MATCH ONE OF TAE ELEMENTS SEARCHED AND MAY OR MAY NOT PFRTATN TO THIS SITUATION: NO RECORDS FOUND ELFKRNTS SEARCHED: A PLUS CONSTRUCTION OF SW FL LI,C FED TAX ID#: 83-3859445 4947 TAMIAMI TRL M STE 205, NAPLES FL 34103 IN THE PREPERAT=ON OF THE CONTRACTOR LICENSE REPORT, USA CREDIT BUREAU HAS USED CREDIT AND PUSL-C RECORD INFORMATIONv FROM ONE OR YORE OF THE NATIONALLY RECOGNIZED CREDIT AND PUBLIC RECORD INFORMATION REPOSITORIES. EACH OF THESE REPOSITORIES CERTIrIES THAT PUBLIC RECORD INFORMATION IS SYSTEMATICALLY COLLECTED AND ENTERED INTO THEIR DATA BASES. USA CREDIT BUREAU • • • PAGE I OF I BUSINESS CREDIT REPORT Page 257 of 339 USA CREDIT BUREAU Credit Reporting & Collections 164 SE 7sh Ave Ste 2, Crystal river FL 3"29 - 352-628-2580 • Fax 239-719-2755 APRIL 29, 2024 PERSONAL CREDIT REPORT (co.iam-k-fl FROAI;Y.4TIOAAL NEC'CIRAS [s[1R ECTj BUSTOS, ALFREDO ❑AVID [A:.So KNOWN AS] BUSTCSESCOBEDO,ALFREDO,❑ [CURRENT ADDRESS] 2580 SE. 6TH AV., NAPLES FL. 34117 [FORMER ADDRESS] 82.45 IBIS CLUB DR., #412. NAPLES FL. 34104 4150 GREEN BV., #8. NAPLES FL. 34116 [ POSTTION] 'CURRENT EMPLOYER AND ADDRESS] [VERFi [RPTD] BBB PLUMING SERVICES CORP PLUMBER [FORMER EMPLOYER RND ADDRESS] 6l19A 6119 COSTAL PLUMING [BIRTH DATE! 10/96 [DATE RPTD] 6/22 4/21 6/19A 6J19 -------------------------=ae---------------------------. -------------------- M O D E 7. P R 0 F I` I *** A L E R T*** "'FICO SCORE 4 SCORE -673 039, 013, 008, 018' IN ADDITION TO THE. ***FACTORS LISTED AB VE, NUMBER OF INQVIRIFS ON '_'HE CONSUMER'S CREDIT '"*FILE HAS ADVERSEL - ECTED THE CREDIT SCORE. T R U V I C R E D I T S U M M A R Y-_*_*_Y__T_0_7 A-L_-F I L-E HJI-9-T- PR=O COL=O NEG=4 HSTNEG-1-1 TRD=24 RVL=14 I`iST=7 MTG=3 QPN=0 INQ=14 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $11.5K $_9.4x $1944 $0 $91 90s INSTALLMENT: $16.4K $ $15.EK $D $�)26 MORTGAGE: $402K $ $399K $0 $3422 TOTALS: $430K $19,4N $417K $(} $4039. ------------------------------------------------ T R A D E S EUBNAME SUBCODE OPENED HIGHCRED TERMS MAKDF:LQ PAYPAT 1-12 MOP ACCOUNT#[ VERFIED CRFDLIM PASTDUE AXT-MOF PAYPAT 13-24 ECOA CQLLATRL/LOANTYPE CLSDIPC BALANCE REMARKS Nip 30/60/90 SUNCOAST CU Q 29R0001 1/19 $15.01< C9P 6039160 1124A $15.01t S0 I LINE OF CREDIT 9119F $C DISP INV CMP-C31S DSGR O CAPITAL ONE B 1DTV001 9/15 $3870 R9P 523914110689 12123M $3430 $0 I PFROM SYNCHRONY 412OF SO DI8P 2NV CMP-BY GRNTR 0 THDICBNA B 26H3005 11115 $3269 R9P 603532084287 3/23M S2100 $0 I CHARGE ACCOUNT -1/21F $0 SETTLED [ FULL BLNC 0 SUNCST CU Q 29SQ007 2/16 $503 R9P 402462000000 3/20V $500 so I CREiDZT CARD 8119E $0 DISP INV CMP-CNS DSGR 0 USA CREDIT BUREAU • • • PAGE 1 OF 3 PERSONAL CREDIT REPORT Page 258 of 339 DISCOVERBANIC B 9616003 1/22 $1668 601101023324 4/24A $1800 1 CREDIT CARD $1668 JPMCE CARD B 26QKOOI 4/16 $3031 426684163335 4/24A $500 I CREDIT CARD 4/24 SO AMEX 8 21WB001 10/23 $5638 3499931660481463 4/24A $15.1K A CREDIT CARD $276 WESTLAKE FIN F 1T9Q001 12/23 $16.4K 28643743 3/24A I AUTOMOBILE $15.8K CROSSCOUNTRY F 2JFL002 5/23 $402K 718678741 2/24A I FHA R.E. MORTGAGE $399K CRSSCTRY MTG B 285R260, 5/23 $402K 310:.506483237 1/24A I FHA R.E. MORTGAGE 1/24C SO SUNCOAST CU Q 298Q7OOI 4/16 $18.OK 603916C 3123V I UNSECURED 3/23C $0 SANTANDER F lRlBO03 12/21 $27.6K 30000257509171000 1/23A I AUTOMOBILE 1/23C $0 CREDITONEBWK B 54MR013 4/22 $133 444796263191 9/22A $400 1 CREDIT CARD 9/22C $❑ 5/3 SANK NA B 992SO02 12/16 $292K 320216799 8/20A C CONV R.E MORTGAGE 8/20C $0 MACYS/CBNA D 2A5TO01 3/10 $121I 603534113144 11/19A $2000 T CHARGE ACCOUNT SO SYNCA/WLMRT➢ B 23506ON 9/15 $3493 523914110669 10/19M $3430 I SLDTO CAPITAL ONE 10/19C $0 SHEFFIELD F 40ZM002 3/19 $6021 1275083406 8/19V I RECREATIONAL MDSE 8/19C $C SUNCOAST CU Q 298QO01 5/18 $10_OK 6039160 8/18V 1 UNSECURED 8/16C $0 SYNCB/LUXURY F 999206U 1/17 $0 504662019238 6/18A $7200 I CHARGE ACCOUNT 2/18C $0 SUNCST CU Q 2980007 2/16 $0 460819009895 12/17A $500 I CREDIT CARD 11/17C $0 MTN51 111111-111111 Rol $0 111111111111 27 0/ 0/ 0 111111111111 R01 $0 111111111111 48 0/ 01 0 MIN40 1XIII Rol $D 5 0/ o/ 0 04BM526 111 i01 S0 3 0/ 0/ 0 36CM3422 1 M01 SO 1 0/ 0/ 0 360M 111I111 MOl TR,%SFRD. OTHER LENDER 7 0/ 0/ 0 p72M I01 Sc LISP INV CMP-CNS DSGR 48 0/ D/ 0 061M 111111111111 Io1 $D 1 CLOSED 13 0/ 01 0 11111 Rol $0 ACCT CLS D BY CONSUMER 5 0/ O/ 0 360M XXXXI1 M01 SO NATURAL/➢CLRD DISASTR 6 0/ 0/ 0 1i11li111111 Rol $0 111111111111 48 0/ 0/ P, 111111111111 R01 $D 111111111111 PURCH BY OTHER LENDER 48 0/ 0/ 0 060M 1211 :01 $0 CLOSED 4 1/ 0/ 0 060m 101 $0 DISP INV CMP-CNS DSGR 2 0/ 0/ 0 111111111111 Rol $0 11111 INACTIVE ACCOUNT 17 0/ 0/ 0 11111111_lll R01 SO 111111111 CLOSED DUE TO TRNSFR 2.1 0/ 0/ 0 USA CREDIT BUREAU • • • PAGE 2 OF 3 • . . PERSONAL CREDIT REPORT Page 259 of 339 SUNCS'." Cu Q 298QO07 2/16 $0 lI 460819002134 4/16A $500 $0 R01 I CREDIT CARD 3/16C $0 CRDT CARD LOST/STOT-EN 2 0/ 0/ 0 SJNCOAST CO Q 298Q4a1 7/1S $11.3K 072M 101 6039160 4/16V $0 C AUTOMOBILE 4/16C $0 DISP TNV CHIP-CNS DSGR 0 SUNCOAST CI Q 298Q001 7/15 $11.3K 072M I01 6039160 7/15V $0 C UNSECURED 7/15C $0 DISP INV CMP-CNS DSGR 0 SUNCST C❑ Q 298QO07 2/16 $0 RUR 402462000000 2/18V $500 $11) CREDIT CARD I/18C $0 DISP INV CMP-CNS DSGR 0 --------------------------------------------------- I N Q U I R I E S DATE SUBCODE SURNAME TYPE AMOUNT 4/09/24 LDE3529660{CNM) ACTIVE MORTG 3/06/24 ZDF3529660(CNM) ACTIVE MORTG 2/21/24 FLA1875258(CAL) DAKOTA FIN 2/20/24 ZOE3529660(CNM) ACTIVE MORTG 12/12/23 ZDE3529660(CNM) ACTIVE MORTG 10/17/23 FHO5746472(SCT) CROSSCOiUNTRY 9/13/23 FCO1207005(CAL) CARDINAL FIN 9/05/23 TAM0001307(FLA) KUBOTA L.O.0 5/17/23 BNY1185852(EAS) SYNCB 4/06/23 FHO5746472(SCT) CROSSCOUNTRY 3131/23 FLA2922923(CAL) NEW AMERICAN 3/21/23 FLA2922923{CAL) NEW AMERICANI 3/01/23 FLA2922923(CAL) NEW AMERICAN 10/12/22 KNP2620149(FLA) NAPLES LUMBE ---------------------------------------------------------------------------- HANKR UPTCYIJUDCMENTILIEN SEARCH PUBLIC RECORDS HAVE SEEN CHECKED AT THE COUNTY, STATE AND FEDERAL LEVELS ANY RECORDS FOUND MATCH ONE OF THE ELEMENTS SEARCHED AND MAY OR MAY NOT PERTAIN TO THIS SITUATION: NO RECORDS FOUND ELEMENTS SEARCHED: ALFREDO BUSTOS -� 2580 6"" AVE SE, NAPLES FL 341_17 SSN: 010-85-8464 J IN THE PREPERATION OF THE CONTRACTOR µICENSE REPORT, USA CREDIT BUREAU HAS USED CREDIT AND PUBLIC RECORD INFORMATION FROM ONE OR MORE OF THE NATIONAT,LY RECOGNTZED CREDIT AND PUBLIC RECORD INFORMATION REPOSITORIES. EACH OF THESE REPOSITORIES CERTIFIES THAT PUBLIC RECORD INFORMATION IS SYSTEMATICALLY COLLECTED AND ENTERED INTO THEIR DATA BASES. USA CREDIT BUREAU • • • PAGE 3 OF 3 PERSONA; CREDIT REPORT Page 260 of 339 Ef' Community Deveopment Contractor List Contractor Type: BUILDING The user of this information must verify whether the listed contractors have currently active licenses. Page 1 / 318 Building Contractor NATHANIEL H WOODHULL CBC1252853 239 CUSTOM HOMES 131 SE 46TH ST CAPE CORAL FL 33904 239-825-9356 CHRIS H KNOTTS RX0059085 A 1 QUALITY ALUMINUM 27662 IMPERIAL RIVER RD BONITA SPRINGS FL 34134 239-450-1715 KENNETHBURNETT ER0008026 A AND B ELECTRIC OF SARASOTA INC 4070 SAWYER COURT SARASOTA FL 34233 941-780-5155 RAYBERT HERNANDEZ ORTIZ RG291104182 A PLUS CONSTRUCTION OF SW FL LLC 4947 Tamiami Trail N Suite #205 NAPLES FL 34103 239-300-0368 DALE E DEJARDINS JR RX0061300 ABSOLUTE ALUMINUM AND CONSTRUCTION COMPANY 1220 OGDEN ROAD VENICE FL 34285 941-497-7777 ANTHONY WILLIAMS ER13015719 AJW ELECTRIC LLC PO BOX 390481 DELTONA FL 32739 407-779-8235 MIKE ELLIS RC29027193 ALL METAL CONSTRUCTION INC 2182 HANDY RD CANTONMENT FL 32533 850-554-0247 Phlibertc Rodriquez AMAZON 01 AMAZON SHEDS AND GAZEBOS INC 10311 BONITA BEACH RD Bonita Springs FL 34135 239-498-5558 Page 1 of 318 11/24/2024 3:31:54AM roonlist_web-Current0ate rpt Page 261 of 339 % r 0 q m e / L LU o b « 'It �N w h 7 o LU u k � 3 7 o w u f \ 2 2 0 z d < C 0 / z / I n J k \ < = � \ z g / _ \ 0 0 �/ < ƒ LL 0 z g \ = \ 0/ ot.L § § k § LU -j J / z } z z § E I » § $ m t f �0 _ ca t t \ ca \ t / _ m % S LU 0/ S CM o= G \ k 09 y k 3 $ k c x L / 7 o= k \ CO 09 \ k 0 x o. 7 k 0 Q e ow 00 ow 00 00 0 Ix 2 6 / 2 E k � Ii G G \_ k � e G a,a/ » 2 2$ G R2 \ o 0 z m a I # 2 q# FL & a � d=# Q E (D 7% .0 2/_j \ G-C E ) _� 0)\ q/ ¥ ± E # E o o ƒ e 2 q g k d w 3 / z / § \ /: / m ± w w = _ � \ / .0 / § � I 0- I ,z z IL M LLJ \ § m < Cl P,q k § _ LU § 2 § § % % § ■ A 5 LLI CL Z / / \ / CO / g / / / / H n i \ } \ ƒ # ƒ w ƒ o $ e w g b 3 G LU o z = S � \ \ 3 E b / -i m \ \ I I j c c 2 �\ \ § w » z z z z & E © E E E ƒ \ f 0 $ o21 2 § : § § ƒ »§ : \ 2 t t cu .2 6 / 6 § § � $ � & r @ 3 ƒ a 7 e $ / 3 / \ / E ¢ E > E y E t E m § _ ] § ] [ k/ m G¥ k& / M p a k 2£= e .0) ±$ 2 G w Cl) G Cl) q g q q § § / E ± u LU w mCL � W wa £ - z (L C�- a � J � a � 2 � t �\ § E / G k ® 7 k / = $ o �/ 7 ,\ / / E o List of Main Suppliers 1- Smyrna Ready Mix Concrete, LLC Sale Rep: Jeff Voisine Email: Jeff.voisine@smyrnareadymix.com Phone: 615-355-1028 ext: 5381 Direct: 629-247-5381 Address: 1000 Hollingshead Circle Murfreesboro, TN 37129 2- Cast -Crete USA Sale Rep: Megan Rush Email: orders@castcrete.com Phone: 941-505-4280 1 Text line 941-348-2373 Address: 2137 Jacksonville Street I Fort Myers FL 33916 3- R&W Distributors INC Sale Rep: Johnny Carrillo Email: jcarriliorwdist.com Phone: Office (239) 948-5735 1 Cell (239)413-3327 Address: 10919 Enterprise Ave. Bonita Springs, FI 34135 Page 264 of 339 Electronic Articles of an Or ization L19099956458 g FILED 8:00 AM For Februar 26, 2019 Florida Limited Liability Company Sec. Of tate jafason Article I. 'Fhe name of the Limited Liability Company is: A PLUS CONSTRUCTION OF SW FL LLC Article II The street address of the principal office of the Limited Liability Company is: 3480 WHITE BLVD NAPLES. FL. US 34117 'Fhe mailing address of the Limited Liability Company is: 3480 WHITE BLVD NAPLES, FL. US 34117 Article III The name and Florida street address of the registered agent is: ALFREDO D BUSTOS 3480 WHITE BLVD NAPLES, Ff... 34117 Having been named as registered agent and to accept service of process for the abode stated limited liability company at the pace designated in this certificate. I hereby accept the appointment as registered agent and agree to act in dus capacit%. I further agree to comply with the provisions of all statutes relatin& to tie proper and complete performance of my duties. and I am familiar with and accept the obligations of my position as registered agent. Registered Agent Signature;: ALFREDO D BUSTOS Page 265 of 339 Article IV L19000056458 The name and address of person(s) "s authorized to manage LLC : FILE ❑ 8 : D0 , M p t � � FebruaryY �fi, 2019 Title: MGR Sec. Of State ALFREDG D BUSTOS jafason 3480 WHITE BLVD N APLES, FL. 34117 US Title: AMBR ANDRES RODRIGUEZ 75 CALLE GERANIG S ANTA IS ABEL. PR. 00757 US Title: AP ANDRES F RGDRIGUEZ 499 FOREST PL BLVD APT 310 NAPLES, FL. 34105 US Article V The effiective date for this Limited Liability Company shall be: 02!2612019 Signature of member or an authorized representative Electronic Signature: ALFREDO DAVID BUSTOS I am the member- or authorized representative submitting these Articles of Organization and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third de -wee felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1 st and May 1 st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. Page 266 of 339 DlvlsioN OF CORPORATIONS P2partme,1 of Stale 1 Division of Corporations !Search Records 1 Sj�_arch byEntity Name 1 Detail by Entity Name Florida Limited Liability Company A PLUS CONSTRUCTION OF SW FL LLC Fi ing Information Document Number FEIIEIN !Number Date Filed Effective Date State Status Last Event Event hate Filed Event Effective Date EdnoiRa (_Address 4947 TAMIAMI TRL N Suite 205 naples, FL 34103 Changed: 04/12/2024 Mailing Address 4947 TAM [AM I TRL N Suite 205 naples, FL 34103 L19000056458 83-3859445 02/26/2019 02/26/2019 FL ACTIVE LC AMENDMENT 08/23/2021 NONE Changed: 04/12/2024 Registered Agent Name & Address BUSTOS, ALFREDO D 4947 TAMIAMI TRL N Suite 205 naples, FL 34103 Name Changed: 04/12/2024 Address Changed: 04/12/2024 Authorized Person{s) Detail Name & Address Page 267 of 339 Title MGR BUSTOS, ALFREDO D 4947 TAM IAMI TRL N Suite 205 napies, FL 34103 Annual Reports Report Year Filed Date 2024 03/14/2024 2024 04101 /2024 2024 04/02/2024 Document images 041212024 —AMENDED ANNUAL REPORT 04.+02'2024 -- AMENDED ANNUAL REPORT 04101/2024 -- AME N DE ANNUAL REPORT 9311412024 -- ANNUAL REPORT 10/30/2023 --AMENDED ANNUAL REPORT t0113i2023 --AMENDED ANNUAL REPORT 03105,/2! 023 --ANNUAL REPORT 0311Q12-Q22 --ANNUAL REPORT 08123i2021 -- LC Amendment 08/10/2021 -- REi1USTATEMENT 0212&2019 -- %nda Lim -led Liability View image in POP format View image in POP format View image in PDF format View image in PDP format View image in POP format View image in PDF format View image in PDF format Yew image in PDF format View image in POP format View image in PDF format View image in POP format Page 268 of 339 DIVISION OF CORPORATIONS wolv..Org -y' •I,. _ •, 1, fl.' •7 t'}r Qepartment of State 1 Division of Corporations 1 Search Records ! Search by Registered Agent 1 Next List Registered Agent Name List Registered Agent Name Entity Name Entity Number BUSTOS, ALFREDO D A PLUS CONSTRUCTION OF SW FL LLC L19000056458 BUSTOS. ALFREDO D LAS PALMAS CONSTRUCTION, LLC L23000089406 BUSTOS, ALFREDO D ALL IN CONSTRUCTION IN FL CORP P23000063727 BUSTOS. ALFREDO ❑ COASTAL RENTAL PROPERTIES OF SW FL CORP P23000068298 BUSTOS, ALMA E ALMA E BUSTOS INC P08000032940 BUSTOS, ALVARO J ALVARO J. BUSTOS. LLC L10000002285 BUSTOS, ALVARO J JBR GLOBAL ENTERPRISES LLC L24000407631 BUSTOS, ALVARO J MIAMI BUSTOS, INC P13000098225 BUSTOS, ALVARO JAVIER BUSTOS REALTY, INC P13000098235 BUSTOS. AMNERIS HEAVENLY HAND THERAPY, INC. P17000026347 BUSTOS AMPIE. EDWIN A AMPIE CONSTRUCTION CONSULTANTS LLC L22000034736 BUSTOS, ANA i A & AB SOLUTIONS INC P07000117011 B ST 5, ANAMARIA ROSSE' JEWELS CORP. P92000010424 BUSTO. SANDRA JOYCE JOYCE BUSTO'S EARLY CHILDHOOD CENTER, INC. F04136 BUSTOS, ANDRES LAST MILE TRUCKING LLC L22000026884 BUSTOS, ANDRES ANDMART BROKERAGE INC P07000121024 BUSTOS. PRES, ANDRES ANDMART TRUCKING, INC. P05000120394 BUSTOS, ANITA BUSTOS SMLEY AUTO PARTS INC. P11000032967 BUSTO, SANTIAGO GUSTO RAIN GUTTERS INC. P15000059984 BUSTO. SAN71AGO BUSTO RAIN GUTTERS JR., INC. P21000007986 Next List Page 269 of 339 LAKE MICHIGAN CREDIT UNION P.O. Box 2848 LAKE Grand Rapids, MI 49501-2848 MICHIGAN , RETURN SERVICE REQUESTED ('P'I)(I i_11'1i:� A PLUS CONSTRUCTION OF SW FL LLC 4947 TAMIAMI TRL N STE 205 NAPLES FL 34103-3015 Summary -Share Accounts Beginning Ending ID# Type Balance Balance 00 MEMBER SAVINGS $5.00 $5.00 01 BUSINESS STANDARD $9,917.75 $568,26 CHECKING 06 MAX MONEY MARKET $138,452.82 $104,093.08 Total $104,666.34 Your Statement Of Accounts 91112024-913012024 Your Account Number xxxxxx7729 Page 1 Membership Agreement Change Notification Effective 101112024, updates to the Consumer Membership Agreement and Courtesy Pay disclosures have been made to include an additional overdraft protection option that utilizes your savings account. Please view by visiting LMCU.org or calling (800) 242-9790. MEMBER SAVINGS Share Account 10 00 Total Deposits $0.00 Total Withdrawals $0.00 Trans Eff Date Transaction Withdrawal Deposit Balance Sep 01 Beginning Balance $5.00 Sep 30 Ending Balance $5.00 BUSINESS STANDARD CHECKING Share Account 1D 01 Total Deposits $675.00 Total Withdrawals $10,024.49 Trans Eff Date Transaction Withdrawal Deposit Balance Sep 01 Beginning Balance $9,917.75 Sep 03 Sep 03 Deposit Transfer From Share 06 $675.00 $10,592.75 Sep 03 Sep 07 Sep 30 Sep 03 Sep 07 CONFIRMATION #: 823M203S1WD6 Withdrawal Debit Card Business Debit LEE COUNTY CD-PW BLDG FORT MYERS FL 09/03/2024 Withdrawal Debit Card Business Debit PMT"COLLIER COUNTY TAX 877-818-4323 FL 09/06/2024 Ending Balance ($9,999.99) ($24.50) $592.76 $568.26 $568.26 MAX MONEY MARKET Share Account ID 06 Total Deposits $255,617.78 Total Withdrawals $289,977.52 Trans Eff Date Transaction Withdrawal Deposit Balance Sep 01 Beginning Balance $138,452.82 Sep 03 Sep 03 Withdrawal Transfer To Share 01 ($675.00) $137,777.82 CONFIRMATION #: 823M203S1WD6 Sep 03 Sep 03 Withdrawal ACH FOUNDATION BUILD ($10,026.62) $127,751.20 TYPE: ECHECKPAY ID: 3274538887 CO: FOUNDATION BUILD Sep 04 Sep 04 Draft 10129 Tracer 000004557 ($1,050.00) $126,701.20 Sep 04 Sep 04 Draft 10130 Tracer 000008828 ($3,700.00) $123,001.20 Sep 05 Sep 05 Deposit ACH WE FIX GROUP LLC $103,584.00 $226,585,20 TYPE: SENDER ID: S941687665 DATA: ONLNE TRNSFR88871070 CO: WE FIX GROUP LLC Sep 05 Sep 05 Draft 10132 Tracer 000007856 ($3,000.00) $223,585.20 Sep 06 Sep 06 Deposit Bulk $42,000.00 $265,585.20 Sep 09 Sep 09 Withdrawal ACH FOUNDATION BUILD ($4,021.68) $261,563.52 TYPE: ECHECKPAY ID: 3274538887 CO: FOUNDATION BUILD Sep 09 Sep 09 Withdrawal ACH LC COMMUNITY DEV ($10,565,02) $250,998.50 TYPE: 24CAP-0000 ID: 5330903620 CO: LC COMMUNITY DEV NAME: A PLUS CONSTRUCTION Sep 09 Sep 09 Draft 10140 Tracer 000014906 ($3,307.20) $247,691.30 Sep 10 Sep 10 Deposit Bulk $56,250.00 $303,941.30 --continued on the following page --- LAKE MICHIGAN CREDIT UNION • P.O. Box 2848 • Grand Rapids, MI 49501-2848 (616)242-9790 • 1-800-242-9790 • www.imcu.org Page 270 of 339 A PLUS CONSTRUCTION OF Account Number xxxxxx7729 Page 2 MAX MONEY MARKET Share Account ID 06 Total Deposits $255,617.78 Total Withdrawals $289,977.52 Trans Eff Date Transaction Withdrawal Deposit Balance Sep 10 Sep 10 Draft 10134 Tracer 000450087 ($8,847,30) $295,094.00 Sep 10 Sep 10 Draft 10137 Tracer 000455662 ($6,828.27) $288,265.73 Sep 11 Sep 11 Withdrawal ACH LC COMMUNITY DEV ($10,565.02) $277,700.71 TYPE: 24CAP-0000 ID: 5330903620 CO: LC COMMUNITY DEV NAME: A PLUS CONSTRUCTION Sep 11 Sep 11 Withdrawal ACH LC COMMUNITY DEV ($13,790.90) $263,909.81 TYPE: 23CAP-00001 D: 5330903620 CO: LC COMMUNITY DEV NAME: A PLUS CPONSTRUCTION Sep 11 Sep 11 Draft 10133 Tracer 000003019 ($650.00) $263,259.81 Sep 12 Sep 12 Draft 10141 Tracer 000347175 ($19.20) $263,240.61 Sep 12 Sep 12 Draft 10142 Tracer 000001974 ($180.00) $263,060.61 Sep 13 Sep 13 Draft 10135 Tracer 000002171 ($2,847.70) $260,212.91 Sep 13 Sep 13 Draft 10138 Tracer 000003249 ($6,000.00) $254,212.91 Sep 13 Sep 13 Draft 10143 Tracer 000211664 ($1,000.00) $253,212.91 Sep 13 Sep 13 Draft 10144 Tracer 000001420 ($7,150.00) $246,062.91 Sep 13 Sep 13 Draft 10148 Tracer 000010323 ($8,425.00) $237,637.91 Sep 16 Sep 16 Withdrawal ACH QUIKRETE HOLDING ($4,103.39) $233,634.52 TYPE: 0265163001 ID- 2611608955 CO: QUIKRETE HOLDING NAME: Alfredo Sep 16 Sep 16 Draft 10146 Tracer 000005402 ($650.00) $232,884.52 Sep 16 Sep 16 Draft 10147 Tracer 000009058 ($6,260.00) $226,624.52 Sep 17 Sep 17 Draft 10145 Tracer 000006474 ($13,807.48) $212,817.04 Sep 17 Sep 17 Draft 10149 Tracer 000338854 ($31,838.16) $180,978.88 Stop Check 00000 10 126 Sep 19 Sep 19 Draft 10139 Tracer 000005351 ($4,270.00) $176,708.88 Sep 19 Sep 19 Draft 10150 Tracer 000339654 ($1,000.00) $175,708.88 Sep 20 Sep 20 Withdrawal ACH QUIKRETE HOLDING ($50.00) $175,658.88 TYPE: 0265163001 ID: 2611608955 CO: QUIKRETE HOLDING NAME: Alfredo Sep 20 Sep 20 Draft 10131 Tracer 000004842 ($590.19) $176,068.69 Sep 20 Sep 20 Draft 10152 Tracer 000002937 ($50,000.00) $125,068,69 Sep 20 Sep 20 Draft 10153 Tracer 000006131 ($1,500.00) $123,568.69 Sep 23 Sep 23 Withdrawal ACH LC COMMUNITY DEV ($50.00) $123,518.69 TYPE: 24CAP-0000 ID: 5330903520 CO: LC COMMUNITY DEV NAME: A PLUS CONSTRUCTION Sep 23 Sep 23 Withdrawal ACH LEASE DIRECT ($310.27) $123,208.42 TYPE: WEB PAY ID: 2233010982 DATA: 8007360220 CO: LEASE DIRECT Sep 23 Sep 23 Draft 10136 Tracer 000014374 ($350.00) $122,858.42 Sep 23 Sep 23 Draft 10156 Tracer 000002934 ($13,900.00) $108,958.42 Sep 23 Sep 23 Draft 10157 Tracer 000014377 ($1,125.00) $107,833.42 Sep 24 Sep 24 Draft 10151 Tracer 000004273 ($7,750.00) $100,083.42 Sep 24 Sep 24 Draft 10154 Tracer 000005257 ($15,000.00) $85.083.42 Sep 24 Sep 24 Draft 10155 Tracer 000011134 ($2,666.12) $82,417.30 Sep 25 Sep 25 Draft 10158 Tracer 000006122 ($1,000.00) $81,417.30 Sep 26 Sep 26 Deposit Bulk $53,280.00 $134,697.30 DEL SOL DRAW 1 Sep 30 Sep 30 Withdrawal ($4,872.00) $129,825.30 Sep 30 Sep 30 Withdrawal ACH OLYMPUS DESIGNS ($300.00) $129,525.30 TYPE: SALE ID: 9215986202 CO: OLYMPUS DESIGNS Sep 30 Sep 30 Withdrawal ACH NEW BEGINNINGS 1 ($600.00) $128,925.30 TYPE: SALE ID: 9215986202 CO: NEW BEGINNINGS I Sep 30 Sep 30 Withdrawal ACH OLYMPUS DESIGNS ($2,400.00) $126.525,30 TYPE: SALE ID: 9215986202 CO: OLYMPUS DESIGNS Sep 30 Sep 30 Withdrawal ACH OLYMPUS DESIGNS ($2,700.00) $123,825.30 TYPE: SALE ID: 92159136202 CO: OLYMPUS DESIGNS Sep 30 Sep 30 Withdrawal ACH OLYMPUS DESIGNS ($2,700.00) $121,125.30 TYPE: SALE ID: 9215986202 CO: OLYMPUS DESIGNS Sep 30 Sep 30 Withdrawal ACH OLYMPUS DESIGNS ($2,700.00) $118,425.30 --continued on the fallowing page --- LAKE MICHIGAN CREDIT UNION P.O. Box 2848 Grand Rapids, MI 49501-2848 (616)242-9790 • 1-800-242-9790 • www.Imcu.org Page 271 of 339 A PLUS CONSTRUCTION OF Account Number xxxxxx7729 Page 3 MAX MONEY MARKET Share Account ID 06 Total Deposits $255,617.78 Total Withdrawals $289,97T52 Trans Eff Date Transaction Withdrawal Deposit Balance TYPE: SALE ID: 9215986202 CO: OLYMPUS DESIGNS Sep 30 Sep 30 Draft 10162 Tracer 000009051 ($9,700.00) Sep 30 Sep 30 Draft 10164 Tracer 000008576 ($5,136.00) Sep 30 Sep 30 Deposit Dividend Tiered Rate $503,78 "'Annual Percentage Yield Earned 3.480% from 09/01/2024 to 0913012024 Sep 30 Ending Balance Checking Account Summary Check # Date Amount Check # Date Amount Check # Date Amount 0 10129 Sep 04 $1,050.00 ❑ 10140 Sep 09 $3,307.20 ❑ 10151 Sep 24 $7,750,00 0 10130 Sep 04 $3,700.00 0 10141 Sep 12 $19.20 ❑ 10152 Sep 20 $50,000.00 0 10131 Sep 20 $590.19 0 10142 Sep 12 $180.00 ❑ 10153 Sep 20 $1,500.00 0 10132 Sep 05 $3,000.00 ❑ 10143 Sep 13 $1,000.00 ❑ 10154 Sep 24 $15,000.00 ❑ 10133 Sep 11 $650.00 ❑ 10144 Sep 13 $7,150.00 0 10155 Sep 24 $2,666,12 ❑ 10134 Sep 10 $8,847.30 ❑ 10145 Sep 17 $13,807.48 0 10156 Sep 23 $13,900.00 ❑ 10135 Sep 13 $2,847,70 ❑ 10146 Sep 16 $650.00 ❑ 10157 Sep 23 $1,125.00 0 10136 Sep 23 $350.00 0 10147 Sep 16 $6,260.00 0 10158 Sep 25 $1,000.00 ❑ 10137 Sep 10 $6,828.27 0 10148 Sep 13 $8,425.00 0 10162' Sep 30 $9,700,00 ❑ 10138 Sep 13 $6,000.00 ❑ 10149 Sep 17 $31,838.16 0 10164" Sep 30 $5,136.00 C1 10139 Sep 19 $4,270.00 ❑ 10150 Sep 19 $1,000.00 Total Checks Cleared 32 $219,547.62 The Asterisk (') indicates a break in check sequence. Dividend Summary Dividends Account Year To Date MEMBER SAVINGS $0.00 BUSINESS STANDARD CHECKING $0,00 MAX MONEY MARKET $1,379.51 Total $1,379.51 This interest only reflects shares currently opened. A year end tax form will be sent if eligible detailing total interest for the year. Your current account relationship is VIP $108.725,30 $103,589,30 $104,093.08 $104,093.08 For reconciliation assistance and other important information about your shares. Reconeiliation.pdf LAKE MICHIGAN CREDIT UNION • P.O. Box 2848 - Grand Rapids, MI 49501-21848 (610242-9790 • 1-800-242-9790 • www.Imcu.org Page 272 of 339 LAKE MICHIGAN CREDIT UNION P.O. Box 2848 Grand Rapids, MI 49501-2848 LMCURETURN SERVICE REQUESTED A PLUS CONSTRUCTION OF SW FL LLC 4947 TAMIAMI TRL N STE 205 NAPLES FL 34103-3015 Summary -Share Accounts Beginning ID# Tyne Balance 00 MEMBER SAVINGS $5.00 01 BUSINESS STANDARD $568,26 CHECKING 06 MAX MONEY MARKET $104,093.08 Total Ending Balance $5.00 $36.71 $146,183.55 $146,225,26 Your Statement Of Accounts 10/1 /2024-1013112024 Your Account Number xxxxxx7729 Page 1 Membership Agreement Change Notification Effective 101112024, updates to the Consumer Membership Agreement and Courtesy Pay disclosures have been made to include an additional overdraft protection option that utilizes your savings account. Please view by visiting LMCU.org or calling (800) 242-9790, MEMBER SAVINGS Share Account ID 00 Total Deposits $0.00 Total Withdrawals $0.00 Trans Eff Date Transaction Withdrawal Deposit Balance Oct 01 Beginning Balance $5.00 Oct 31 Ending Balance $5.00 BUSINESS STANDARD CHECKING Share Account !D 01 Total Deposits $150.00 Total Withdrawals $681.55 Trans Eff Date Transaction Withdrawal Deposit Balance Oct 01 Beginning Balance $568.26 Oct 01 Oct 01 Deposit Transfer From Share 06 $100,00 $668.26 CONFIRMATION #: 85E3JDK6J113 MOBILE BANKING TRANSFER Oct 01 Oct 01 Withdrawal POS #427515318254 ($562.80) $105.46 AT&T PP 11 79212 NAPLES FL Oct 11 Oct 11 Deposit Transfer From Share 06 $50,00 $155,46 CONFIRMATION #: 25SFDOOOWBN6 MOBILE BANKING TRANSFER Oct 11 Oct 11 Withdrawal POS #428514842030 ($118,75) $36.71 PUBLIX SUPER MAR 4601 9 NAPLES FL Oct 31 Ending Balance $36.71 MAX MONEY MARKI=T Share Account ID 06 Total Deposits $376,065.23 Total Withdrawals $332,974.76 Trans Eff Date Transaction Withdrawal Deposit Balance Oct 01 Beginning Balance $104,093.08 Oct 01 Oct D1 Withdrawal Transfer To Share 01 ($100.00) $103,993.08 CONFIRMATION #: 85E3JDK6J113 MOBILE BANKING TRANSFER Oct 01 Oct 01 Withdrawal ACH LC COMMUNITY DEV ($13,781.32) $90.211.76 TYPE: 24CAP-0 000 1 D : 5330903620 CO: LC COMMUNITY DEV NAME: A PLUS CONSTRUCTION Oct 01 Oct 01 Draft 10160 Tracer 000007852 ($4,338.00) $85,873.76 Oct 01 Oct 01 Draft 10165 Tracer 000009547 ($1,500.00) $84,373,76 Oct 02 Oct 02 Draft 10163 Tracer 000003991 ($59,940.16) $24,433.60 Oct 03 Oct 03 Withdrawal ACH LC COMMUNITY DEV ($10,554.10) $13,879,50 TYPE: 24CAP-0000 ID: 5330903620 CO: LC COMMUNITY DEV NAME: A PLUS CONSTRUCTION Oct 03 Oct 03 Withdrawal ACH LC COMMUNITY DEV ($10,554.10) $3,325AO TYPE: 24CAP-0000 ID: 5330903620 CO: LC COMMUNITY DEV NAME: A PLUS CONSTRUCTION --continued on the following page -- LAKE MICHIGAN CREDIT UNION • P.O. Box 2848 • Grand Rapids, MI 49501-2848 (616)242-9790 • 1-800-242-9790 - www.Imcu.org Page 273 of 339 A PLUS CONSTRUCTION OF Account Number xxxxxx7729 Page 2 MAX MONEY MARKET Share Account ID 06 Total Deposits $375,065.23 Total Withdrawals $332,974.76 Trans Eff Date Transaction Withdrawal Deposit Balance Oct 04 Oct 04 Deposit Wire $50,000.00 $53,325.40 Incoming Wire Ref#1921792-6452916 A PLUS CONSTRUCTION OF SW FL LLC Oct 04 Oct 04 Withdrawal Wire Fee Wire Fee 1921792 ($10.00) Oct 07 Oct 07 Draft 10166 Tracer 000010662 ($3,000.00) Oct 07 Oct 07 Draft 10167 Tracer 000005126 ($13,399.67) Oct 09 Oct 09 Draft 10158 Tracer 000002578 ($4,000.00) Oct 09 Oct 09 Draft 10169 Tracer 000258738 ($850.00) Oct 11 Oct 11 Withdrawal Transfer To Share 01 ($50.00) CONFIRMATION #: 25SFD000WBN6 MOBILE BANKING TRANSFER Oct 15 Oct 15 Deposit Bulk Oct 16 Oct 16 Withdrawal ACH LEASE DIRECT ($147.34) TYPE: WEB PAY ID: 2233010982 DATA: 8007360220 CO: LEASE DIRECT Oct 16 Oct 16 Draft 10159 Tracer 000005151 ($7,500.00) Oct 17 Oct 17 Draft 10172 Tracer 000360839 ($850.00) Oct 18 Oct 18 Deposit Wire Incoming Wire Ref#1941641-6530092 A PLUS CONSTRUCTION OF SW FL LLC Oct 18 Oct 18 Withdrawal Wire Fee Wire Fee 1941641 ($10.00) Oct 18 Oct 18 Draft 10174 Tracer 000001594 ($63,660.45) Oct 21 Oct 21 Draft 10170 Tracer 000003242 ($1,000.00) Oct 21 Oct 21 Draft 10171 Tracer 000013500 ($3,002.24) Oct 21 Oct 21 Draft 10173 Tracer 000003241 ($400.00) Oct 21 Oct 21 Draft 10175 Tracer 000001585 ($16,300.00) Oct 21 Oct 21 Draft 10176 Tracer 000008118 ($1,000.00) Oct 21 Oct 21 Draft 10177 Tracer 000010680 ($29,900.00) Oct 22 Oct 22 Deposit Bulk Oct 23 Oct 23 Deposit ACH WE FIX GROUP LLC TYPE: SENDER ID: S941687665 DATA:ONLNE TRNSFR88871070 CO: WE FIX GROUP LLC Oct 23 Oct 23 Draft 10178 Tracer 000009614 ($9,175.72) Oct 24 Oct 24 Draft 10179 Tracer 000164706 ($850.00) Oct 24 Oct 24 Draft 10180 Tracer 000005804 ($10,000.00) Oct 25 Oct 25 Withdrawal ACH GULFCOAST ENGINE ($520.00) TYPE: SALE 10: 9215986202 CO: GULFCOAST ENGINE Oct 25 Oct 25 Draft 10181 Tracer 000001924 ($7,443.75) Oct 25 Oct 25 Draft 10182 Tracer 000003720 ($1,000,00) Oct 28 Oct 28 Draft 10184 Tracer 000002927 ($521.45) Oct 28 Oct 28 Draft 10185 Tracer 000007162 ($13,161.60) Oct 28 Oct 28 Draft 10186 Tracer 000005112 ($4,500.00) Oct 28 Oct 28 Draft 10188 Tracer 000346530 ($5,980.00) Oct 28 Oct 28 Draft 10194 Tracer 000008953 ($13,017.86) Oct 29 Oct 29 Deposit Bulk Oct 29 Oct 29 Draft 10187 Tracer 000007108 ($1,400.00) Oct 29 Oct 29 Draft 10195 Tracer 000002251 ($2,550.00) Oct 30 Oct 30 Deposit ACH WE FIX GROUP LLC TYPE: SENDER ID: S941687665 DATA: ONLNE TRNSFR88871070 CO: WE FIX GROUP LLC Oct 30 Oct 30 Withdrawal ACH OLYMPUS DESIGNS ($150.00) TYPE: SALE 1D: 9215986202 CO: OLYMPUS DESIGNS Oct 30 Oct 30 Withdrawal ACH GULFCOAST ENGINE ($390.00) TYPE: SALE ID: 9216986202 CO: GULFCOAST ENGINE Oct 30 Oct 30 Withdrawal ACH OLYMPUS DESIGNS ($2,800.00) TYPE: SALE ID: 9215986202 CO: OLYMPUS DESIGNS Oct 30 Oct 30 Withdrawal ACH OLYMPUS DESIGNS ($3,000.00) TYPE: SALE ID: 9215986202 CO: OLYMPUS DESIGNS Oct 30 Oct 30 Withdrawal ACH OLYMPUS DESIGNS ($3,907.00) $63,315.40 $50,315.40 $36,915.73 $32,915.73 $32,065.73 $32,015.73 $73,500.00 $105,515.73 $105, 368.39 $97,868.39 $97,018.39 $20,348.45 $117,366.84 $43,500.00 $41,586.00 $108, 000.00 $38,000.00 $117,356.84 $53,696.39 $52,696.39 $49,694.15 $49,294.15 $32,994.15 $31,994,15 $2,094.15 $45,594.15 $87,180.15 $78,004.43 $77,154.43 $67,154A3 $66,634.43 $59,190.68 $58.190.68 $57,669.23 $44,507.63 $40,007.63 $34,027,63 $21,009.77 $129,009.77 $127,609.77 $125.059.77 $163,059.77 $162.909.77 $162,519.77 $159,719.77 $156, 719.77 $152,812.77 --continued on the following page--- LAKE MICHIGAN CREDIT UNION • P.O. Box 2848 • Grand Rapids, MI 49501-2848 (616)242-9790 • 1-800-242-9790 • www.Imcu.org Page 274 of 339 A PLUS CONSTRUCTION OF Account Number xxxxxx7729 Page 3 MAX MONEY MARKET Share Account ID 06 Total Deposits $375,065.23 Total Withdrawals $332,974.76 Trans Eff Date Transaction Withdrawal Deposit Balance TYPE: SALE ID: 9215986202 CO: OLYMPUS DESIGNS Oct 30 Oct 30 Draft 10190 Tracer 000003964 {$5,535.00} $147,277.77 Oct 31 Oct 31 Draft 10161 Tracer 000004786 {$375.00} S146,902.77 Oct 31 Oct 31 Draft 10196 Tracer 00 000 1596 ($850.00) 5146,052.77 Oct 31 Oct 31 Deposit dividend Tiered Rate $130.78 $145,183.55 —Annual Percentage Yield Earned 2.670% from 10/0112024 to 10/3112024 Oct 31 Ending Balance $146,183.55 Checking Account Summary Check # Date Amount Check # Date Amount Check # Date Amount * 10159 Oct 16 $7,500.00 0 10172 Oct 17 $850.00 ❑ 10182 Oct 25 $1,000.00 © 10160 Oct 01 $4,338.00 ❑ 10173 Oct 21 $400.00 ❑ 10184* Oct 28 $521.45 ❑ 10161 Oct 31 $375.00 ❑ 10174 Oct 18 $63,660.45 ❑ 10185 Oct 28 $13,161,60 0 10163* Oct 02 $59.940A6 ❑ 10175 Oct 21 $16,300.00 ❑ 10186 Oct 28 $4,500.00 0 10165* Oct 01 $1,500.00 ❑ 10176 Oct 21 $1,000.00 ❑ 10187 Oct 29 $1,400.00 0 10166 Oct 07 $3,000,00 ❑ 10177 Oct 21 $29,900.00 ❑ 10188 Oct 28 $5,980.00 0 10167 Oct 07 $13,399.67 ❑ 10178 Oct 23 $9,175.72 ❑ 10190* Oct 30 $5,535.00 ❑ 10168 Oct 09 $4,000.00 ❑ 10179 Oct 24 $850.00 ❑ 10194* Oct 28 $13,017.86 ❑ 10169 Oct 09 $850.00 ❑ 10180 Oct 24 $10,000.00 11 10195 Oct 29 $2,550.00 ❑ 10170 Oct 21 $1,000,00 0 10181 Oct 25 $T443.75 ❑ 10196 Oct 31 $850.00 ❑ 10171 Oct 21 $3,002.24 Total Checks Cleared 31 $287,000.90 The Asterisk ['} indicates a break in check sequence. Dividend Summary Dividends Account Year To Date MEMBER SAVINGS $0.00 BUSINESS STANDARD CHECKING $0.00 MAX MONEY MARKET $1,51029 Total $1,510.29 This interest only reflects shares currently opened. A year end tax form will be sent if eligible detailing total interest for the year. Your current account relationship is VIP For reconciliation assistance and other important information about your shares: Reconciliation.Ddf LAKE MICHIGAN CREDIT UNION • P.O. Box 2849 • Grand Rapids, MI 49501-2848 (616)242-9790 • 1-800-242-9790 • www.trncu.org Page 275 of 339 LAKE MICHIGAN CREDIT UNION P.Q. Box 3848 Grand Rapids, MI 49501-2848 LMCU RETURN SERVICE REQUESTED A PLUS CONSTRUCTION OF SW FL LLC 4947 TAMIAMI TRL N STE 205 NAPLES FL 34103-3015 Summary -Share Accounts Beginning Ending ID# Tyne Balance Balance 00 MEMBER SAVINGS $5.00 $5,00 01 BUSINESS STANDARD $36,71 $139,07 CHECKJNG 06 MAX MONEY MARKET $146,183,55 $85.372.63 Total $85,516.70 Your Statement Of Accounts 11/112024-1113012024 Your Account Number xxxxxx7729 Page 1 --------------------- SECURITY NOTICE: LMCU will never ask for your online banking password or PIN. Stay safe over the holidays: beware of fraudsters who may pose as LMCU via text, email, or phone. If you suspect your account has been compromised, contact us at (800) 242-9790, Learn more at LMCU.org/Security. --------------------- MEMBER SAVINGS Share Account ID 00 Total Deposits $0.00 Total Withdrawals $0.00 Trans Eff Date Transaction Withdrawal Deposit Balance Nov 01 Beginning Balance $5.00 Nov 30 Ending Balance $6.00 BUSINESS STANDARD CHECKING Share Account ID 09 Total Deposits $4,522.26 Total Withdrawals $4,419.90 Trans Eff pate Transaction Withdrawal Deposit Balance Nov 01 Beginning Balance $36.71 Nov 07 Nov 07 Deposit Transfer From Share 06 $200.00 $236,71 CONFIRMATION #: VPYFSC1207SG MOBILE BANKING TRANSFER Nov 07 Nov 07 Withdrawal POS #431220643699 ($85.54) $151,17 BURLINGTON STORES 898 NAPLES FL Nov 15 Nov 15 Withdrawal POS #432015919251 ($47.67) $103.50 BURLINGTON STORES 898 NAPLES FL Nov 18 Nov 18 Deposit Transfer From Share 06 $1.300,00 $1,403.50 CONFIRMATION #: 9TJ67LZ21UOT MOBILE BANKING TRANSFER Nov 22 Nov 22 Withdrawal Debit Card Business Debit ($85.72) $1,317.78 DOMINO'S 3237973-903-2006 FL 11/21/2024 Nov 22 Nov 22 Deposit Transfer From Share 06 $1,500A0 $2,817.78 CONFIRMATION #: 5100JXFLMOOR Nov 22 Nov 22 Deposit Transfer From Share 06 $1,500.00 $4,317.78 CONFIRMATION #: CG145JW06U21 MOBILE BANKING TRANSFER Nov 22 Nov 22 Withdrawal POS #432718934174 ($3,506.93) $810-85 PUBLIX SUPER MAR 4601 9 NAPLES FL Nov 22 Nov 22 Withdrawal Debit Card Business Debit ($332.39) $478.46 THE HOME DEPOT #8444 FORT MYERS FL 11/21/2024 Nov 23 Nov 23 Withdrawal Debit Card Business Debit ($96.66) $381.80 MORAVELAS PIZZA GOLDEN NAPLES FL 11/23/2024 Nov 25 Nov 25 Withdrawal POS #433094180712 ($264.99) $116.81 NST BEST BUY #524 001925 6325 NAPLES BLVD NAPLES FL BEST BUY Pending credittreturn for $22.26 on card 7425 Nov 25 Nov 25 Withdrawal Adjustment Debit Card Credit Voucher $22.26 $139.07 BEST BUY 00005249 NAPLES FL 11/25/2024 Nov 30 Ending Balance $139.07 —continued on the following page --- LAKE MICHIGAN CREDIT UNION • P.O. Sox 2848 • Grand Rapids, MI 49501-2848 (616)242-9790 - I-800-242-9790 • www.Imcu.org Page 276 of 339 A PLUS CONSTRUCTION OF Account Number xxxxxx7729 Page 2 MAX MONEY MARKET Share Account ID 06 Total Deposits $243,076.83 Total Withdrawals $303,887.75 Trans Eff Date Transaction Withdrawal Deposit Balance Nov 01 Beginning Balance $146,183.55 Nov 01 Nov 01 Deposit Wire $33,538.00 $179,721.55 Incoming Wire Ref#1960677-6603027 MARY A ZAMBRANO SANCHEZ Nov 01 Nov 01 Withdrawal Wire Fee Wire Fee 1960677 ($10.00) $179,711,56 Nov 01 Nov 01 Withdrawal ACH OLYMPUS DESIGNS ($100.00) $179,611.55 TYPE: SALE ID: 9215986202 CO: OLYMPUS DESIGNS Nov 01 Nov 01 Withdrawal ACH OLYMPUS DESIGNS ($500.00) $179,111.55 TYPE: SALE ID: 9215986202 CO: OLYMPUS DESIGNS Nov 01 Nov 01 Draft 10189 Tracer 000001646 ($3,050.00) $176,061.55 Nov 01 Nov 01 Draft 10198 Tracer 000003119 ($3,714.42) $172,347.13 Nov 04 Nov 04 Withdrawal ACH PRESTIGE PEST MA ($400.00) $171,947.13 TYPE: SALE ID: 9215986202 CO: PRESTIGE PEST MA Nov 04 Nov 04 Withdrawal ACH PRESTIGE PEST MA ($400.00) $171,547.13 TYPE: SALE ID: 9215986202 CO: PRESTIGE PEST MA Nov 04 Nov 04 Withdrawal ACH GULFCOAST ENGINE ($520.00) $171,027.13 TYPE: SALE ID: 9215986202 CO: GULFCOAST ENGINE Nov 04 Nov 04 Withdrawal ACH OLYMPUS DESIGNS (5610.00) $170,417.13 TYPE: SALE ID: 9215986202 CO: OLYMPUS DESIGNS Nov 04 Nov 04 Withdrawal ACH OLYMPUS DESIGNS ($610.00) $169,807.13 TYPE: SALE ID: 9215986202 CO: OLYMPUS DESIGNS Nov 04 Nov 04 Withdrawal ACH OLYMPUS DESIGNS ($610.00) $169,197.13 TYPE: SALE ID: 9215986202 CO: OLYMPUS DESIGNS Nov 04 Nov 04 Withdrawal ACH OLYMPUS DESIGNS ($610.00) $168,587.13 TYPE: SALE ID: 9215986202 CO: OLYMPUS DESIGNS Nov 04 Nov 04 Withdrawal ACH Toi Toi USA, LLC ($669.72) $167,917.41 TYPE: VSP`Toi To ID: 0000510995 DATA: 8006827023 CO: Toi Toi USA, LLC Nov 04 Nov 04 Withdrawal ACH COLLIER TRUSS IN ($2,689.50) $165,227.91 TYPE: SALE ID: 9215986202 CO: COLLIER TRUSS IN Nov 04 Nov 04 Withdrawal ACH FOUNDATION BUILD ($4,806.25) $160,421.66 TYPE: ECHECKPAY ID: 3274538887 CO: FOUNDATION BUILD Nov 04 Nov 04 Draft 10197 Tracer 000005323 ($600.00) $159,821.66 Nov 04 Nov 04 Draft 10199 Tracer 000007247 ($4,000.00) $155,821.66 Nov 04 Nov 04 Draft 10200 Tracer 000003893 ($3,000.00) $152,821.66 Nov 04 Nov 04 Draft 10201 Tracer 000003832 ($15,150.00) $137,671.66 Nov 04 Nov 04 Draft 10203 Tracer 000002847 ($4,150.00) $133,521.66 Nov 04 Nov 04 Draft 10205 Tracer 000014605 ($950.00) $132,571.66 Nov 04 Nov 04 Draft 10210 Tracer 000014375 ($18,420.00) $114,151.66 Nov 05 Nov 05 Draft 10193 Tracer 000007933 ($53.89) $114,097.77 Nov 05 Nov 05 Draft 10204 Tracer 000007931 ($28.43) $114,069.34 Nov 05 Nov 05 Draft 10209 Tracer 000007629 ($5,984.00) $108,085.34 Nov 06 Nov 06 Deposit ACH WE FIX GROUP LLC $17,588.00 $125,673.34 TYPE: SENDER ID: S941687665 DATA: ONLNE TRNSFR88871070 CO: WE FIX GROUP LLC Nov 06 Nov 06 Draft 10206 Tracer 000001728 ($361.98) $125,311.36 Nov 06 Nov 06 Draft 10207 Tracer 000010452 ($7,600.00) $117,711.36 Nov 06 Nov 06 Draft 10208 Tracer 000009809 ($750.00) $116,961.36 Nov 06 Nov 06 Draft 10214 Tracer 000334371 ($863.00) $116,098.36 Nov 06 Nov 06 Draft 10215 Tracer 000010177 ($3,041.60) $113,056.76 Nov 07 Nov 07 Withdrawal Transfer To Share 01 ($200.00) $112,856.76 CONFIRMATION #: VPYFSC1207SG MOBILE BANKING TRANSFER Nov 08 Nov 08 Draft 10191 Tracer 000002339 ($400.00) $112,456.76 Nov 08 Nov 08 Draft 10192 Tracer 000005009 ($8,718.00) $103,738.76 ---continued on the following page -- LAKE MICHIGAN CREDIT UNION P.O. Box 2848 Grand Rapids, MI 49501-2848 (6161)242-9790 • 1-800-242-9790 • www.irncu.org Page 277 of 339 A PLUS CONSTRUCTION OF Account Number xxxxxx7729 Page 3 MAX MONEY MARKET Share Account ID 06 Total Deposits $243,076.83 Total Withdrawals $303,887.75 Trans Eff Date Transaction Withdrawal Deposit Balance Nov 08 Nov 08 Draft 10213 Tracer 000003034 ($2,545.36) $101,193.40 Nov 12 Nov 12 Deposit Bulk $112,500.00 $213,693.40 GONZALEZ DRAW 2 Nov 12 Nov 12 Withdrawal ACH Lee County Elect ($43.37) $213,650.03 TYPE: WEB PMTS ID: 9000474961 DATA: 239-656-2300 CO: Lee County Elect Nov 12 Nov 12 Withdrawal ACH Toi Toi USA, LLC ($181.06) $213,468.97 TYPE: VSP"Toi To ID: 0000510995 DATA: 8006827023 CO: Toi Toi USA, LLC Nov 12 Nov 12 Withdrawal ACH L. AGUTAR ENGINE ($1,800.00) $211,668.97 TYPE: SALE ID: 9215986202 CO: L. AGUTAR ENGINE Nov 12 Nov 12 Withdrawal ACH OLYMPUS DESIGNS ($2,800.00) $208,868.97 TYPE: SALE ID: 9215986202 CO: OLYMPUS DESIGNS Nov 12 Nov 12 Withdrawal ACH OLYMPUS DESIGNS ($3,000.00) $205,868.97 TYPE: SALE ID: 9215986202 CO; OLYMPUS DESIGNS Nov 12 Nov 12 Withdrawal ACH OLYMPUS DESIGNS ($4,450.00) $201,418.97 TYPE: SALE ID: 9215986202 CO: OLYMPUS DESIGNS Nov 12 Nov 12 Draft 10211 Tracer 000002955 ($9,438.00) $191,980.97 Nov 12 Nov 12 Draft 10212 Tracer 000002956 ($4,630.00) $187,350.97 Nov 12 Nov 12 Draft 10216 Tracer 000009907 ($5,942.80) $181,408.17 Nov 12 Nov 12 Draft 10218 Tracer 000010477 ($2,933.00) $178,475.17 Nov 12 Nov 12 Draft 10219 Tracer 000003635 ($1,450.00) $177,025.17 Nov 12 Nov 12 Draft 10220 Tracer 000012458 ($3,750.00) $173,275.17 Nov 12 Nov 12 Draft 10221 Tracer 000014171 ($750.00) $172,625.17 Nov 12 Nov 12 Draft 10222 Tracer 000011518 ($3,000.00) $169,525.17 Nov 12 Nov 12 Draft 10224 Tracer 000015133 ($1,500.00) $168,025.17 Nov 12 Nov 12 Draft 10226 Tracer 000016194 ($1,550.00) $166,475.17 Nov 12 Nov 12 Draft 10227 Tracer 000013659 ($400.00) $166,075.17 Nov 12 Nov 12 Draft 10228 Tracer 000015201 ($2,220.00) $163,855.17 Nov 13 Nov 13 Draft 10223 Tracer 000463383 ($2,744.00) $161,111.17 Nov 13 Nov 13 Draft 10229 Tracer 000462149 ($6,900.00) $154,211.17 Nov 14 Nov 14 Draft 10231 Tracer 000003431 ($850.00) $153.361.17 Nov 15 Nov 15 Withdrawal ACM PAYMENTUS ($0.50) $153,360.67 TYPE: BILLPAY ID: 0000000160 DATA: BILLPAY CO: PAYMENTUS NAME: ALFREDO BUSTOS Nov 15 Nov 15 Withdrawal ACH COLLIERCTYECP ($845.00) $152.515.67 TYPE: BILLPAY ID: 0000000160 DATA: BILLPAY CO: COLLIERCTYECP NAME: ALFREDO BUSTOS Nov 15 Nov 15 Draft 10232 Tracer 000010511 ($3,000.00) $149,515.67 Nov 18 Nov 18 Withdrawal Transfer To Share 01 ($1,300.00) $148,215.67 CONFIRMATION #: 9TJ67LZ2IUDT MOBILE BANKING TRANSFER Nov 18 Nov 18 Withdrawal ACH OLYMPUS DESIGNS ($100.00) $148,115,67 TYPE: SALE ID: 9215986202 CO: OLYMPUS DESIGNS Nov 18 Nov 18 Withdrawal ACH OLYMPUS DESIGNS ($150.00) $147,965.67 TYPE: SALE ID: 9215986202 CO: OLYMPUS DESIGNS Nov 18 Nov 18 Withdrawal ACH OLYMPUS DESIGNS ($150.00) $147,815.67 TYPE: SALE ID: 9215986202 CO: OLYMPUS DESIGNS Nov 18 Nov 18 Withdrawal ACH Toi Toi USA, LLC ($798.78) $147,016.89 TYPE: VSP'Toi To ID: 0000510995 DATA: 8006827023 GO: Toi Toi USA, LLC Nov 18 Nov 18 Withdrawal ACH COLLIER TRUSS IN ($8,068.50) $138,948.39 TYPE: SALE ID: 9215986202 CO: COLLIER TRUSS IN Nov 18 Nov 18 Draft 10225 Tracer 000008662 ($2,000.00) $136,948.39 Nov 18 Nov 18 Draft 10234 Tracer 000003170 ($3,000.00) $133,948.39 Nov 18 Nov 18 Draft 10235 Tracer 000013036 ($2,100.00) $131,848.39 Nov 18 Nov 18 Draft 10240 Tracer 000009059 ($4,223.44) $127,624.95 —continued on the following page -- LAKE MICHIGAN CREDIT UNION • P.O. Box 2848 • Grand Rapids, MI 49501-2848 (616)242-9790 • 1-800-242-9790 • www.Imcu.org Page 278 of 339 A PLUS CONSTRUCTION OF Account Number xxxxxx7729 Page 4 MAX MONEY MARKET Share Account ID 06 Total Deposits $243,076.83 Total Withdrawals $303,887.75 Trans Eff Date Transaction Withdrawal Deposit Balance Nov 19 Nov 19 Withdrawal ACH LC COMMUNITY DEV ($100.00) $127.524.95 TYPE: 24CAP-0000 ID: 5330903620 CO: LC COMMUNITY DEV NAME: A PLUS CONSTRUCTION Nov 19 Nov 19 Draft 10217 Tracer 000458692 ($16,800.00) Nov 19 Nov 19 Draft 10230 Tracer 000457277 ($400.00) Nov 19 Nov 19 Draft 10233 Tracer 000471881 ($10,965.00) Nov 19 Nov 19 Draft 10236 Tracer 000461963 ($1,600.00) Nov 19 Nov 19 Draft 10238 Tracer 000458810 ($7,360.00) Nov 20 Nov 20 Deposit ACH WE FIX GROUP LLC TYPE: SENDER ID: S941687665 DATA: ONLNE TRNSFR88871070 CO: WE FIX GROUP LLC Nov 20 Nov 20 Withdrawal ACH PAYMENTUS ($0.50) TYPE: BILLPAY ID: 0000000160 DATA: BILLPAY CO: PAYMENTUS NAME:ALFREDO BUSTOS Nov 20 Nov 20 Withdrawal ACH PAYMENTUS ($0.50) TYPE: BILLPAY ID: 0000000160 DATA: BILLPAY CO: PAYMENTUS NAME:ALFREDO BUSTOS Nov 20 Nov 20 Withdrawal ACH PAYMENTUS ($0.50) TYPE: BILLPAY ID: 0000000160 DATA: BILLPAY CO: PAYMENTUS NAME:ALFREDO BUSTOS Nov 20 Nov 20 Withdrawal ACH LC COMMUNITY DEV ($50.00) TYPE: 24CAP-0000 ID: 5330903620 CO: LC COMMUNITY DEV NAME: A PLUS CONSTRUCTION Nov 20 Nov 20 Withdrawal ACH FOUNDATION BUILD ($71.03) TYPE: ECHECKPAY ID: 3274538887 CO: FOUNDATION BUILD Nov 20 Nov 20 Withdrawal ACH LEASE DIRECT ($169.67) TYPE: WEB PAY ID: 2233010982 DATA: 8007360220 CO: LEASE DIRECT Nov 20 Nov 20 Withdrawal ACH COLLIERCTYECP ($200.00) TYPE: BILLPAY ID: 0000000160 DATA: BILLPAY CO: COLLIERCTYECP NAME:ALFREDO BUSTOS Nov 20 Nov 20 Withdrawal ACH COLLIERCTYECP ($200.00) TYPE: BILLPAY ID: 0000000160 DATA: BILLPAY CO: COLLIERCTYECP NAME:ALFREDO BUSTOS Nov 20 Nov 20 Withdrawal ACH COLLIERCTYECP ($845.00) TYPE: BILLPAY ID: 0000000160 DATA: BILLPAY CO: COLLIERCTYECP NAME:ALFREDO BUSTOS Nov 20 Nov 20 Draft 10241 Tracer 000002168 ($1,253.38) Nov 20 Nov 20 Draft 10243 Tracer 000158897 ($850.00) Nov 21 Nov 21 Deposit Wire Incoming Wire Ref#1989993-6717128 COASTAL RENTAL PROPERTIES OF SW FL Nov 21 Nov 21 Withdrawal Wire Fee Wire Fee 1989993 ($10.00) Nov 21 Nov 21 Withdrawal ACH PAYMENTUS ($0.50) TYPE: BILLPAY ID: 0000000160 DATA: BILLPAY CO: PAYMENTUS NAME:ALFREDO BUSTOS Nov 21 Nov 21 Withdrawal ACH PAYMENTUS ($0.50) TYPE: BILLPAY ID: 0000000160 DATA: BILLPAY CO: PAYMENTUS NAME:ALFREDO BUSTOS Nov 21 Nov 21 Withdrawal ACH COLLIERCTYECP ($845.00) TYPE: BILLPAY ID: 0000000160 DATA: BILLPAY CO: COLLIERCTYECP NAME:ALFREDO BUSTOS Nov 21 Nov 21 Withdrawal ACH COLLIERCTYECP ($845.00) $43,700,00 $110,724.95 $110,324.95 $99,359.95 $97,759.95 $90,399.95 $134, 099.95 $134.099.45 $134,098.95 $134,098A5 $134.048.45 $133.977,42 $133,807.75 $133,607.75 $133,407.75 $132, 562.75 $131,309.37 $130,459.37 $16,462.00 $146,921.37 $146,911.37 $146,910.87 $146,910,37 $146,065.37 $145,220.37 --continued on the following page -- LAKE MICHIGAN CREDIT UNION • P.O. Box 2848 • Grand Rapids, MI 49501-2848 (616)242-9790 • 1-800-242-9790 • www.Imcu.org Page 279 of 339 A PLUS CONSTRUCTION OF Account Number xxxxxx7729 Page 5 MAX MONEY MARKET Share Account ID 06 Total Deposits $243,076.83 Total Withdrawals $303,887.75 Trans Eff Date Transaction Withdrawal Deposit Balance TYPE: BILLPAY ID: 0000000160 DATA: BILLPAY CO: COLLIERCTYECP NAME, ALFREDO BUSTOS Nov 22 Nov 22 Withdrawal Transfer To Share 01 ($1,500.00) $143,720.37 CONFIRMATION #: 5100JXFLM00R Nov 22 Nov 22 Withdrawal Transfer To Share 01 ($1,500.00) $142.220.37 CONFIRMATION #: CG145JW06U21 MOBILE BANKING TRANSFER Nov 22 Nov 22 Withdrawal ACH PAYMENTUS ($0.50) $142.219.87 TYPE: BILLPAY ID: 0000000160 DATA: BILLPAY CO: PAYMENTUS NAME: ALFREDO BUSTOS Nov 22 Nov 22 Withdrawal ACH LC COMMUNITY DEV ($272.67) $141,947.20 TYPE: 24 CAP-0000 ID! 5330903620 CO: LC COMMUNITY DEV NAME: ALFREDO BUSTOS Nov 22 Nov 22 Withdrawal ACH COLLIERCTYECP ($845.00) $141,102,20 TYPE: BILLPAY ID: 0000000160 DATA: BILLPAY CO: COLLIERCTYECP NAME: ALFREDO BUSTOS Nov 25 Nov 25 Withdrawal ACH OLYMPUS DESIGNS ($200.00) $140,90.2.20 TYPE: SALE ID: 9215986202 CO: OLYMPUS DESIGNS Nov 25 Nov 25 Withdrawal ACH OLYMPUS DESIGNS ($200.00) $140,702.20 TYPE: SALE 0: 9215986202 CO: OLYMPUS DESIGNS Nov 25 Nov 25 Draft 10245 Tracer 000008062 ($1,014.95) $139,687.25 Nov 25 Nov 25 Draft 10246 Tracer 000006077 ($1,344.00) $138,343.25 Nov 25 Nov 25 Draft 10247 Tracer 000010894 ($1,700.00) $136,643.25 Nov 25 Nov 25 Draft 10248 Tracer 000009969 ($5,750.00) $130,893.25 Nov 25 Nov 25 Draft 10254 Tracer 000009180 ($31,460.00) $99,433.25 Nov 26 Nov 26 Withdrawal ACH OLYMPUS DESIGNS ($2,700.00) $96,733.25 TYPE: SALE ID: 9215986202 CO: OLYMPUS DESIGNS Nov 26 Nov 26 Draft 10242 Tracer 000001857 ($8,780.60) $87,953.25 Nov 26 Nov 26 Draft 10244 Tracer 000003751 ($200,00) $87,753.25 Nov 27 Nov 27 Withdrawal ACH PAYMENTUS ($0.50) $87,752.75 TYPE: BILLPAY ID: 0000000160 DATA: BILLPAY CO: PAYMENTUS NAME: ALFREDO BUSTOS Nov 27 Nov 27 Withdrawal ACH COLLIERCTYECP ($200.00) $87,552.75 TYPE: BILLPAY ID: 0000000160 DATA: BILLPAY CO: COLLIERCTYECP NAME: ALFREDO BUSTOS Nov 27 Nov 27 Draft 10250 Tracer 000004011 ($4,715.00) $82,837.75 Nov 27 Nov 27 Draft 10251 Tracer 000001961 ($350.00) $82,487.75 Nov 27 Nov 27 Draft 10252 Tracer 000001973 ($500.00) $81,987.75 Nov 27 Nov 27 Draft 10253 Tracer 000002653 ($3,750.00) $78,237.75 Nov 27 Nov 27 Draft 10256 Tracer 000006278 ($4,500.00) $73,737.75 Nov 27 Nov 27 Draft 10257 Tracer 000002628 ($1,007,00) $72,73D75 Nov 27 Nov 27 Draft 10258 Tracer 000343177 ($850.00) $71,880.75 Nov 29 Nov 29 Deposit ACH WE FIX GROUP LLC $19,000.00 $90,880.75 TYPE: SENDER ID: S941687665 DATA: ONLNE TRNSFR88871070 CO: WE FIX GROUP LLC Nov 29 Nov 29 Withdrawal ACH GULFCOAST ENGINE ($520.00) $90,360.75 TYPE: SALE ID: 9215986202 CO: GULFCOAST ENGINE Nov 29 Nov 29 Withdrawal ACH GULFCOAST ENGINE ($650.00) $89,710.75 TYPE: SALE ID: 9215986202 CO: GULFCOAST ENGINE Nov 29 Nov 29 Draft 10249 Tracer 000010227 ($3,226.95) $86,483.80 Nov 29 Nov 29 Draft 10259 Tracer 000004672 ($1,400.00) $85,083.80 Nov 30 Nov 30 Deposit Dividend Tiered Rate $288.83 $85,372.63 ***Annual Percentage Yield Earned 2.880% from 11/01/2024 to 11/30/2024 Nov 30 Ending Balance $85,372.63 --continued on the following page -- LAKE MICHIGAN CREDIT UNION • P.O. Box 2848 • Grand Rapids, MI 49501-2848 (616)242-9790 • 1-800-242-9790 • www.Imcu.org Page 280 of 339 A PLUS CONSTRUCTION OF Account Number xxxxxx7729 Page 6 Checking Account Summary Check # Date Amount Check # ❑ 10189 Nov 01 $3,050.00 ❑ 10215 0 10191 * Nov 08 $400.00 ❑ 10216 ❑ 10192 Nov 08 $8,718.00 ❑ 10217 ❑ 10193 Nov 05 $53.89 0 10218 0 10197* Nov 04 $600.00 0 10219 ❑ 10198 Nov 01 $3,714.42 0 10220 ❑ 10199 Nov 04 $4,000.00 0 10221 ❑ 10200 Nov 04 $3,000.00 0 10222 ❑ 10201 Nov 04 $15,150.00 ❑ 10223 ❑ 10203" Nov 04 $4,150.00 0 10224 ❑ 10204 Nov 05 $28.43 ❑ 10225 ❑ 10205 Nov 04 $950.00 0 10226 ❑ 10206 Nov 06 $361.98 ❑ 10227 [1 10207 Nov 06 $7,600.00 11 10228 ❑ 10208 Nov 06 $750.00 0 10229 ❑ 10209 Nov 05 $5,984.00 0 10230 ❑ 10210 Nov 04 $18,420.00 ❑ 10231 11 10211 Nov 12 $9,438,00 ❑ 10232 ❑ 10212 Nov 12 $4,630.00 ❑ 10233 11 10213 Nov 08 $2,545.36 ❑ 10234 11 10214 Nov 06 $863.00 11 10235 Total Checks Cleared 63 The Asterisk {"} indicates a break in check sequence. Dividend Summary Date Amount Check # Date Amount Nov 06 $3,041.60 ❑ 10236 Nov 19 $1,600.00 Nov 12 $5,942.80 ❑ 10238" Nov 19 $7,360.00 Nov 19 $16.800.00 ❑ 10240' Nov 18 $4,223.44 Nov 12 $2,933.00 0 10241 Nov 20 $1,253.38 Nov 12 $1,450.00 0 10242 Nov 26 $8,780.00 Nov 12 $3,750.00 0 10243 Nov 20 $850.00 Nov 12 $750.00 0 10244 Nov 26 $200,00 Nov 12 $3,000.00 0 10245 Nov 25 $1,014.95 Nov 13 $2,744.00 ❑ 10246 Nov 25 $1,344.00 Nov 12 $1,500.00 ❑ 10247 Nov 25 $1,700.00 Nov 18 $2,000.00 0 10248 Nov 25 $5,750,00 Nov 12 $1,550.00 0 10249 Nov 29 $3,226,95 Nov 12 $400.00 ❑ 10250 Nov 27 $4,715.00 Nov 12 $2,220.00 ❑ 10251 Nov 27 $350.00 Nov 13 $6,900.00 ❑ 10252 Nov 27 $50o.00 Nov 19 $400.00 0 10253 Nov 27 $3,750.00 Nov 14 $850.00 ❑ 10254 Nov 25 $31,460.00 Nov 15 $3,000.00 ❑ 10256* Nov 27 $4,500.00 Nov 19 $10,965.00 11 10257 Nov 27 $1,007.00 Nov 18 $3,000.00 ❑ 10258 Nov 27 $850.00 Nov 18 $2,100.00 11 10259 Nov 29 $1,400.00 $255,538.20 Dividends Account Year To Date MEMBER SAVINGS $0.00 BUSINESS STANDARD CHECKING $0,00 MAX MONEY MARKET $1,799.12 Total $1,799.12 This interest only reflects shares currently opened. A year end tax form will be sent if eligible detailing total interest for the year. Your current account relationsNp is VIP For reconciliation assistance and other important information about your shares: Reconciliation.pdf LAKE MICHIGAN CREDIT LTNION • P.G. Box 2848 • Grand Rapids, MI 49501-2848 (616)242-9790 • 1-800-242-9790 • www.lmcu.org Page 281 of 339 CHASE ! i JPMorgan Chase Bank, N.A. P O Box 182051 Columbus. OH 43218 - 2051 00021553 ORE 021 210 33924 NNNNNNNNNNN 1 ocom0000 n20000 A PLUS CONSTRUCTION OF SW FL LLC 4947 TAMIAMI TRL N STE 205 NAPLES FL 34103-3015 CHECKING SUMMARY Chase Platinum Business Checking November 01, 2024 through November 29, 2024 Account Number - CUSTOMER SERVICE INFORMATION Web silo www.Chase.com Service Center. 1-877-425-8100 Para Espanol: 1-888-622-4273 Inlemational Calls: 1.713-262-1679 We accept operator relay calls INSTANCES AMOUNT Beginning Balance 585,048.87 Deposits and Additions 18 391,767.55 Checks Paid 29 -197,060.82 ATM & Debit Card Withdrawals 19 -3,829.35 Electronic Withdrawals 40 -246,310.71 Fees 1 -220.00 Ending Balance 107 $29,395.54 Your Chase Platinum Business Checking account provides: • No transaction fees for unlimited electronic deposits (including ACH, ATM, wire, Chase Quick Deposit) * 500 debits and non -electronic deposits (those made via check or cash in branches) per statement cycle + S25,000 in cash deposits per statement cycle + Unlimited return deposited items with no fee There are additional fee waivers and benefits associated with your account -- please refer to your Deposit Account Agreement for more information. DEPOSITS AND ADDITIONS DATE DESCRIPTION AMOUNT 1 1104 Orig CO Name -.Total Florida LI Orig IDS941687665 Desc Date'241 104 CO Entry $46,389.70 ❑escr: Sender Sec. CTX Trace#-.113000027367267 Eed.241104 Ind I D.752600462 Ind Name:0000A Plus Construct Tm, 3097357267Tc 1 1104 Orig CO Name -Total Building D Ong ID=S941687665 Desc Date 241104 CO Entry 7,700.00 Descr: Sender Sec. CTX Trace#: 113000027367265 Eed:241104 Ind I D.751677028 Ind Name.0000A Pius Construct Trn. 3097367265Tc 11106 Deposit 2114234665 1,600.00 1 1106 Orig CO NameWatas & Mas LLC Orig ID:S941687665 Desc Date 241106 CO Entry 11,400.00 Descr:Sender Sec CTX Trace#:113000029428585 Eed:241106 lnd ID:752443044 Ind Name.0000A Plus Construct Trn' 3119428585Tc 1 1106 Orig CO Name Matas & Mas LLC Orig ID:S941687665 Desc Date.241106 CO Entry 11,400.00 ❑escr:Sender Soo CTX Trace4:113000029428586 Eed.241106 Ind I13:752461926 Ind Name:000DA Plus Construct Tm- 3119428586Tc 11106 Orig CO Name:Matas & Mas LLC Orig ID:S941667665 Desc Date;241106 CO Entry 10,097.50 Descr: Sender Sec:CTX Trace* 113000029428587 Eed 241106 Ind I0,752469264 Ind Name 0000A Plus Construct Trn: 3119428587Tc 11/12 Remote Online Deposit 1 49,000.00 Page f of 3 Page 282 of 339 CHASE ! i November 01, 2024 throu h November 29, 2024 Account Number: DEPOSITS AND ADDITIONS (Contrr)ued} DATE DESCRIPTION 11112 Remote Online Deposit 1 AMOUNT 7,098.00 11112 Remote Online D2ecsit 1 _ 2,220.00 11113 Orig CO Name -.Total Florida LI Orig I0:8941687665 Desc Date:241113 C4 Entry Descr:Sender Sec: CTX TracO,113000029786269 Eed:241113 lnd I D:754460872 Ind Name:0000A Plus Construct Tm: 3189786269Tc 15,787,80 11113 Crig CC Name:Matas & Mas LLC Crig ID:5941687665 Desc Date:241113 CO Entry Descr: Sender Sec: CTX Trace#: 1 130OX29785943 Eed:241113 lnd I D:753601498 Ind Name:0000A Plus Construct Tm: 3189785943Tc 8.655.50 11114 Orlg CO Name:Total Building D Orig ID:S941687665 Desc Date:241114 CO Entry Descr:Sender Sec:CTX Trace#:113000021429985 Eed:241114 Ind iD.754035106 Ind Nams:0000A Plus Construct Trn: 3191429985Tc 18,222.75 11114 Orig CO Name:Total Building D Orig ID:S941687665 Desc Date.241114 CO Entry Descr:Sender Sec:CTX Trace-.113000021429984 Eed:241114 Ind ID.754026690 Ind Name:0000A Plus Construct Tm: 3191429984Tc 14,300A0 11114 Orig CO Name:Total Building D Orig ID:S941687665 Desc Date'241114 CO Entry Descr:Sender Sec:CTX Trace#:113000021429986 Eed:241114 ind ID:753993604 Ind Name 0000A Plus Construct Tm: 3191429986Tc 14,300.00 11114 _ Orig CO Name:Total Building D Orig ID:S941687665 Desc Date.-241114 Cd Entry Descr:Sender Sec:CTX Trace4:113000021429987 Eed:241114 Ind ID:753990578 Ind Name.0000A Plus Construct Tm: 3191429987Tc 6,600.00 _ 111-115 Deposit 1208587060 109,658.50 11121 _ Orig CO Name.Total Florida LI Orig I D: S941687665 Desc Date:241121 CO Entry Descr:Sender Sec: CTX Trace#:113000022682664 Eed:241121 I nd I D:755855178 Ind Name:0000A Plus Construct Tm: 3262682664Tc 38,587.80 11125 Deposit 2114234642 18,750.00 Total Deposits and Additions CHECKS PAID t r CHECK NO. DESCRIPTION 10534 A DATE; PAID 11 /13 $391,767.55 AMOUNT S2,494.23 10538 *A 11105 200.00 10539 A 11104 480.00 1054Q A 11 /01 8,299,20 10641 A 11104 13,924.00 10542 A 11105 4,105.00 10543 ^ _ 11105 18,722.50 10545 " ^ 11107 21,339.01 10546 ^ 11113 167.90 10547 A 11125 38.50 10548 A 11105 400.00 10549 A 11113 430.00 10550 A 11112 21,664.26 10551 A 11119 2,053.00 10552 A 1102 12 28, 476.83 10553 A 11113 200.00 10554 A 11115 1,483.51 10555 A 11115 6,807.00 10556 A 11119 4,740.00 10557 A 11119 13,860.00 10558 A 11119 5,026.00 10559 A 11119 200.00 10560 A 11127 100.00 Page 2 of 8 Page 283 of 339 CHASE OF November 01, 2024 through November 29, 2024 Account Number CHECKS PAID (continued) DATE CHECK NO, DESCRIPTION PAID AMOUNT 1fl561 ^ 1 t125 600.00 10562 A 1 V22 6,681.15 10563 ^ 11129 18,624.73 10564 ^ 11125 14,995.00 10566 If, 1 1126 200.00 10567 ^ 11129 750.00 Total Checks Paid $197,060.82 If you see a description in the Checks Paid section, it means that we received only electronic information about the check, not the original or an image of the check. As a result, we're not able to return the check to you or show you an image * All of your recent checks may not be on this statement, either because they haven't cleared yet or they were listed on one of your previous statements. ^ An image of this check may be available for you to view on Chase.com_ ATM & DEBIT CARD WITHDRAWALS - DATE 11101 DESCRIPTION Recurring Card Purchase 11101 Google'Gsuite_Aplus CcOGoogle.Com CA Card 2352 AMOUNT $43.20 11r04 Card Purchase 11101 Botclub Admiralty Card 2352 100.00 11106 Card Purchase With Pin 1 1/06 Circle K 07409 Punta Gorda FL Card 2352 100.00 1 V06 Card Purchase With Pin 1 1108 Circle K 09775 Naples FL Card 2352 100.00 11/12 Card Purchase 11/08 Tst*Brasas-Lehigh Acr Lehigh Acres FL Card 2352 220.15 11112 Card Purchase With Pin 1 1/09 The Horne Depot 40280 Naples FL Card 2352 111.53 1 V12 Card Purchase With Pin 11110 The Home Depot #0280 Naples FL Card 2352 114.31 11112 Card Purchase With Pin 1 1110 The Home Depot 40280 Naples FL Card 2352 160.25 11112 Card Purchase With Pin 11112 Nnt Msft * E0500U9X932 Msbill.lnl❑ WA Card 2352 12.50 11113 Recurring Card Purchase 11/13 Comcast/Xfinity 800.266-2278 FL Card 2352 121.75 11113 Card Purchase With Pin 11113 Autozone 4992 7575 VA Naples FL Card 2352 238.43 11113 Card Purchase With Pin 11113 7-Eleven 34888 Naples FL Card 2352 108.93 11114 Card Purchase With Pin 11114 Southern Supplies And Naples FL Card 2352 189.21 11114 Card Purchase With Pin 11114 The Home Depot #6373 Bonita Spring FL Card 2352 328.86 1 1118 Card Purchase With Pin 11116 The Home Depot #6373 Bonita Spring FL Card 2352 297.78 11118 Card Purchase With Pin_ 11/16 The Home Depot 43119 Fort Myers FL Card 2352 1,362.03 11119 Card Purchase With Pin 11119 7-Eleven Lehigh Acres FL Card 2352 73.89 11126 Recurring Card Purchase I V25 Rocketlaw 877-757-15 Www.Rocketlaw CA Card 2352 39.99 11127 Recurring Card Purchase 1 V27 Spy_tec Gps, Inc. Www.Spytec CO FL Card 2352 106.54 Total ATM & Debit Card Withdrawals $3,829.35 ATM & DEBIT CARD SUMMARY Alfredo D Bustos Card 2352 ATM & Debit Card Totals Total ATM Withdrawals & Debits Total Card Purchases Total Card Deposits & Credits Total ATM Withdrawals & Debits Total Card Purchases Total Card Deposits & Credits 50.00 53,829.35 30.00 $0.00 $3 , 829.35 S0,00 Page 3 018 Page 284 of 339 CHASE ! November 01, 2024 Account Number: ELECTRONIC WITHDRAWALS DATE DESCRIPTION AMOUNT 11101 ❑rig CC Name: Seagate Developm Orig I D:9000698417 Desc Date:110124 GO Entry S2,847.80 Descr:Web Pmts Sec-CCD Trace#:081503501599728 Eed:241101 Ind ID:810Fwb Ind Name:A Plus Construction 239-738-7900 Tm: 3061599728Tc 11101 Orig GO Name.Appfolio, Inc. F Orig ID-9001406550 Desc Date.1 10124 Cfl Entry 2.49 Descr_Web Pmts Sec-CCD Tracek081503503458884 Eed:241101 Ind ID.Lbt4M4 Ind Name:A Plus Construction 866-646-1536 Tm. 3063458884Tc 11101 11101 Online Transfer To Chk ...5083 Transactionh: 22507272703 2,800.00 11101 11I01 Payment To Chase Card Ending IN 0027 7,919.31 11101 Zelle Payment To Aldito Primo Jpm99Agf2190 450.00 11104 11104 Online Domestic Wire Transfer Via. Wells Fargo NAi121000248 A/C: Frankcrums Wells 8,148.49 Fargo Account San Francisco CA 94104 US Ref: A Plus Construction of Sw FLITime116:09 Irnad: 1104Mmgfmp2K035256 Trn: 3901544309Es 11104 Orig CO Name:Atob-Fleet Orig ID' 1800943598 Desc Date: CC Entry 613.57 Descr:Atob-Fleetsec:CCD Trace4=091000016606801 Eed:241104 Ind ID:St-L0K6C4K7I8A1 Ind Name:A#redo Bustos Trn: 3096606801Tc 11/05 Orig CC] Name:Loancare Sery Orig ID:1541322890 Desc Date:110524 CO Entry 4,544.39 Descr:Mtg Pymt Sec:Welo Trace#:091000012988938 Eed:241105 Ind ID:0066451003 Ind Name:A Plus Construction 000000000000000000 Trn:3102988938Tc 11/06 Zelle Payment To Roman Alex Jpm99Agg5191 200.00 11107 11107 Payment To Chase Card Ending 1N 0027 8,500.82 11 /08 Orig CO NameXubota Credit Brig 1 ❑:0900003616 Desc Date:241106 CO Entry 964.10 Descr:Payment Sec:PPD Trace#:031100205153065 Eed:241108 Ind ID. Ind Namo:A Plus Construction of Trn.- 3135153065Tc 11112 Orig CC Name.Att Crig I Di 9864031004 Desc Date:110824 CO Entry 284.36 Descr_Payment Sec:PPD Trace#:031100200554618 Eed:241112 Ind ID: Ind Name:Alfredo Sustos Tm: 3170554618Tc 11112 11109 Payment To Chase Card Ending IN 0027 8,000.00 11112 11109 Online Transfer To Chk ...1202 Transaction* 22665C69889 3,927.00 11/12 11109 Online Transfer To Chk ...5083 Transaction#: 22666522591 2,220.00 11112 1 fl11 Payment To Chase Card Ending IN 0027 12,000.00 11112 Orig CC Name:Atob-Fleet Orig I D: 1800948598 Dosc Date: CO Entry 546.30 Descr.Atob-Fleetsec:CCD Trace#:091000011036160 Eed:241112 Ind ID:St-D6J6E9R3G9L3 Ind Name:Alfredo BustosTm: 3171036160Tc 11112 11112 Online Domestic Wire Transfer Via. Wells Fargo NA1121000248 A/C: Frankcrums Wells 8,148.49 Fargo Account San Francisco CA 94104 US Ref: A Plus Construction of Sw FUTime109:54 Imad: 1112Mm fm 2K029905 Trn: 3698524317Es 11113 11113 Payment To Chase Card Ending IN 0027 11,323.18 11114 1 V14 Payment To Chase Card Ending IN 0027 13,000.00 11115 11115 Payment To Chase Card Ending IN 0027 12,000.00 11115 11115 Online Transfer To Chk ...1202 Transaction#: 22732407779 1,500.00 11118 Zelle Payment To Osmany Mecanico Desoto Jpm99Arb3697 800.00 11118 11116 Online Transfer To Chk,. 5083 Transaction#: 22743524522 210.00 11118 1111 S Payment To Chase Card Ending IN 0027 19,409.46 1 V 18 Orig CO Name:Prog Express Orig I D:9409348138 Desc Date:241118 CO Entry Descr:ins Prem Sec:PPD Trace#:021000021578893 Eed:241118 Ind ID: Ind Name:A Pius Construction of Trn: 3231578893Tc 1,174.96 11118 11118 Online Domestic Wire Transfer Via: Wells Fargo NA1121000248 NC: Frankcrums Wells Fargo Account Sari Francisco CA 94104 US Ref: A Plus Construction of Sw FL1Time/13 17 Imad: 1118Mm fm 2K025225 Trn: 3528494323Es 8,096.20 11l18 11118 Payment To Chase Card Ending IN 0027 14,100,00 11/18 Orig GC Name-. Atob- Fleet Crig ID-1800948598 Desc Date: CC] Entry Descr:Atob-Flaetsec:CCD Trace4:091000018264947 Eed:241118 Ind ID:St-Y7M203V8W9U6 Ind Name: Alfredo BustosTm: 3238264947Tc 647A2 I I f20 Zelle Payment To Juan Carlos Signs Jpm99Aril71 F _ 72.35 Page � . •' 3 Page 285 of 339 CHASE ! ELECTRONIC WITHDRAWALS (continued) November01, 202 Account Number: DATE DESCRIPTION AMOUNT 11120 11120 Online Transfer To Chk —1202 Transaction#. 22780101561 1,500.00 11120 1 1120 Payment To Chase Card Ending IN 0027 2,446.50 11J21 11121 Payment To Chase Card Endin 9 IN 0027 5,600.00 1 t125 Orig GO Name:Ouikrete Holding Orig ID 2611608955 Desc Dale:112224 CO Entry K601.85 Descr.0265163001 Sec: COD Trace#:242071757125580 Eed:241125 Ind I D:66804100 Ind Name Alfredo Trn. 3307125580Tc 1 1/25 11125 Online Domestic Wire Transfer Via: Wells Fargo NAil21000248 A/C: Frankcrums Wells Fargo Account San Francisco CA 94104 US Raf. A Plus Construction of Sw FUTime114,40 Imad. 1125Mm fmp2L031831 Trn: 3666874330Es 8,083.44 11125 Orig CO Name:Atob-Fleet ❑rig ID 1800948598 Desc Date: CO Entry Descr:Alob-Fleetsec CCD Trace#:091000010673165 Eed:241125 Ind ID:St-1014E7Z5F618 Ind Name:Alfredo Bustos Trn: 3300673165Tc 1,388.53 11126 11126 Payment To Chase Card EndinQ IN 0027 11,000 00 11127 11127 Payment To Chase Card Ending IN 0027 4,100.00 11!27 Zelle Payment To Osmany Mecanico Desoto Jpm99Arx9S64 34000 11J27 Zelle Payment To Walter Jpm99Arxfazy $g0.00 _ Total Electronic Withdrawals S246,310.71 FEES DATE DESCRIPTION AMOUNT 1V05 Service Charges For The Month of October S220 00 Total Fees $220.00 DAILY ENDING BALANCE DATE AMOUNT DATE AMOUNT DATE AMOUNT 11101 S62,686,87 11113 50,403.09 11121 135,095.27 11104 93,810.51 11114 90,307.77 11122 128,414.12 11105 65,318.62 1 1J15 178,175.76 1 1J25 65.456.80 11106 99, 516.12 11118 132, 078.21 1 1 J26 54,216, 81 1 1107 69,676 29 11119 105,126.32 11J27 48,770 27 11108 68,612.19 11120 102,107 47 1 1 J29 29,395.54 1 1 112 41,04421 SERVICE CHARGE SUMMARY Chase Platinum Business Checking Accounts Included: 00000000000553823090, 00000000000608031202 00000000000608652833,00000000000653706138 Monthly Service Fee Other Service Charges Total Service Charges $0.00 $0.00 $4.00 The monthly service fee was waived on your Chase Platinum Business Checking account because you maintained the required relationship balance. Page 286 of 339 CHASE ! i SERVICE CHARGE DETAIL November 01, 2024 throu h November 29, 2024 Account Number' DESCRIPTION VOLUME ALLOWED CHARGED PRICE/ UNIT TOTAL Monthly Service Fee Monthly Service Fee Waived 0 $95.00 $0.00 Other Service Charges: Electronic Credits Electronic Items Deposited 13 Unlimited ❑ 50.40 $0.00 Electronic Creaks 23 Unlimited 0 $0.40 $0.00 Credits Non -Electronic Transactions 173 500 0 S0.40 $0.00 Branch Deposit - Immediate Verification $1.800 $25,000 $0 $0.0025 $0.00 Miscellaneous Fees Online Domestic Wire Fee 4 4 0 $25.00 $0.00 Cash Management Services Online - Check Monitoring 2 0 2 $0.00 $0.00 Subtotal Other Service Charges $0.00 ACCOUNT 000000553823090 Other Service Charges: Cash Management Services Online - Check Monitoring 1 ACCOUNT 00D000608031202 Electronic Credits Electronic Items Deposited 10 Electronic Credits 1 Credits Non -Electronic Transactions 66 Branch Deposit - Immediate Verification S1,800 ACCOUNT 000000615334714 Electronic Credits Electronic Items Deposited 3 Electronic Credits 12 Credits Non -Electronic Transactions 82 Miscellaneous Fees Online Domestic Wire Fee 4 ACCOUNT 000000653706138 Electronic Credits Electronic Credits 10 Credits Non -Electronic Transactions 25 Cash Management Services Online - Check Monitoring 1 Reminder. Fees associated with ACH Payments, Real Time Payments, Same Day ACH, ACH Collections and Chase Quickaeposits" are based on previous month activity. Page 6 or 8 Page 287 of 339 CHASE ! j November 01, 2024 throu h November 29, 2024 Account Number: IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR ELECTRONIC FUNDS TRANSFERS: Call us at 1-866-664-22$2 or write us at the address on the front of this statement immediately if you think your statementor receipt is incorrect or if you need more information about a transfer listed on the statement or receipt. For personal accounts only, We must hear from you no later than 60 days after we sent you the FIRST statement cn which the problem or error appeared. Be prepared to give us the following inform ation- • Your name and account number: ■ A description of the error or the transaction you are unsure about, and why you think it is an error or want more information; and • The amount of the suspected error. We will investigate your complaint and will correct any error promptly. If we take more than 16 business days (or 20 business days for new accounts) 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 takes us to wmplete our investigation. For business accounts, see your deposit account agreement or other applicable agreements that govern your account for details. I N CASE OF ERRORS OR QUESTIONS ABOUT NON -ELECTRONIC FUNDS TRANSFERS: Contact us immediately if your statement is incorrect or if you need more information about any non -electronic funds transfers on this statement. For more details, see your deposit account agreement or other applicable agreernenis that govem your account. JPMorgan Chase Bank, N.A. Member FDIC Page 7 of $ Page 288 of 339 CHASE OP This Page Intentionally Left Blank November 01, 2024 throw h November 29 2024 Account Number: Page 8 0' 8 Page 289 of 339 CHASE! i JPMorgan Chase Bank, N.A. P 0 Box 182051 Columbus, OH 43218 -2051 00023061 DR 021 210 31024 NNNNNNNNNNN 1 000000000 D20000 A PLUS CONSTRUCTION OF SW FL LLC 4947 TAMIAMI TRL N STE 245 NAPLES FL 34103-3015 CHECKING SUMMARY Chase Platinum Business Chocking October 01.2024 throu h October31, 2024 Account Number CUSTOMER SERVICE INFORMATION Web site www.Chase.com Service Center 1-877-425-8100 Para Espanol. 1-888.622-4273 International Galls: 1-713-262.1679 We accept operator relay calls INSTANCES AMOUNT Beginning Balance $106,324.91 Deposits and Additions 16 327,731.24 Checks Paid 20 -85,216.37 ATM & Debit Card Withdrawals 19 -4,204.51 Electronic Withdrawals 46 -259.586.40 Ending Balance 101 585,448.87 Your Chase Platinum Business Checking account provides-. • No transaction fees for unlimited electronic deposits (including ACH, ATM, wire, Chase Quick Deposit) • 500 debits and non -electronic deposits (those made via check or cash in branches) per statement cycle • $25,000 in cash deposits per statement cycle • Unlimited return deposited items with no fee There are additional fee waivers and benefits associated with your account — please refer to your Deposit Account Agreement for more information. DEPOSITS AND ADDITIONS DATE DESCRIPTION AMOUNT 10101 Remote Online Deposit 1 $10,800 00 10101 prig CC Name Total Florida LI Orig I0:S941687665 Desc Date:241001 CO Entry 63,499.90 Descr:Sender Sec:CTX Trace#-113000020310824 Fed:241001 Ind ID-745922075 Ind Name:0000A Plus Construct Trn: 2750310824Tc 10104 Drig CO Name -Total Building D ❑rig ID:S941687665 Desc Date:241004 CO Entry 9,81225 Descr:Sender Sec:CTX Trace#:1 13000027330356 Eed:241004 Ind ID-746362544 Ind Name:0000A Plus Construct Trn: 2787330356Tc 10104 Orig CO Name: Total Building ❑ Orig I17:S941687665 Desc Date:241004 CQ Entry 7,700 00 Descr:Sender Sec:CTX Trace#:113000027330355 Eed:241004 Ind ID-746345746 Ind Nama:0000A Plus Construct Trn: 2787330355Tc 10108 Orig CO Name:Matas & Mas LLC Orig ID.S941687665 Desc Date.241008 CO Entry 13,300.00 DescrSender Sec:CTX Trace#: 113000026803962 Eed:241008 Ind ID 746900764 Ind Name 0000A Plus Construct Trn. 2826803962Tc 10/08 Orig CO Name. Matas & Mas LLG Orig ID:5941687665 Desc Date 241008 GO Entry 10,097 00 Descr:Sender Sec:CTX Trace #:113000026803961 Eed:241008 Ind ID.746904478 Ind Name:0000A Plus Construct Trn: 2826803961Tc 10111 Online Transfer From Chk ...9822 Transaction# 22349791644 3,300.00 10115 Online Transfer From Chk ...5083 Transaction#: 22380666079 2,000.00 10/16 Online Transfer From Chk ...5083 Transaction#: 22401246478 10,000.00 Page 1 of a Page 290 of 339 CHASE OF DEPOSITS AND ADDITIONS (cont"Jed) October 01, 20 Account Numhe DATE DESCRIPTION 10/17 Deposit 2113288118 AMOUNT 25,000.00 10121 Orig GC IN,=e;Matas & Mas LLG Orig Ip:S941687665 Desc Date:241021 CO Entry Desor:Sender Sec:GTX Trace4:113000027694290 Eed:241021 Ind ID;749246198 Ind Name:0000A Plus Construct Trn' 2957694294Tc 13,300.00 10I23 [Deposit 2114154532 _ 10,000.00 10125 Remote Online Deposit 1 878.56 10128 Orig CO Name.Total Florida Li Orig ID:S941687665 Desc Date.241028 CO Entry Desor:Sender Sec:CTX Trace* 1 13000020166457 Eed:241028 Ind ID:750924574 Ind Name:U000A Plus Construct Tm: 3020166457Tc 40,495.00 10129 Book Transfer Credit B10: Javier Sepulveda North Fort Myers FL 33917-5613 US Ref: Invoice 598 Y 6101Bnf11233 Y 1229 Concreto Pago Initial Tm: 3013004303Es 30,100.00 10130 Remote Online Deposit 1 77,44&53 Total Deposits and Additions CHECKS PAID I CHECK NO. DESCRIPTION 10507 A DATE PAID 10103 $327,731.24 AMOUNT S9,839.09 10513 " A _ 10f08 _ 125.00 10519 . A 10f01 11, 958.50 10520 A 10f03 4,050.00 10521 1, 10102 1,007.00 10522 A 10108 480.00 10523 ^ 10102 1,000.00 10524 A 10102 1,000.00 10525 A 10111 3,397.80 10526 A 10108 9,028.50 10527 A 1OM5 125.00 10528 A _ 10115 800.00 10529 A 10110 1,200.00 10530 A 10111 2,390.00 10531 A 10121 480.00 10532 A 10117 800,00 10533 A 10/18 14.661.20 10535 ' A 10125 200. DO 10536 A 10131 1,00700 10537 A 10129 21,667.28 Total Checks Paid $85,216.37 If you see a description in the Checks Paid section, it means that we received only electronic information about the check, not the original or an image of the check. As a result, we're not able to return the check to you or show you an image. " All of your recent checks may not be on this statement, either because they haven't cleared yet or they were listed on one of your previous statements. ^ An Image of this check may be available for you to view on Chase,cQm. ATM & DEBIT CARD WITHDRAWALS DATE DESCRIPTION AMOUNT 10101 Card Purchase With Pin 10101 7-Eleven 37113 Naples FL Card 2352 $109 74 10101 Recurring Card Purchase 10101 Goo le `Gsuits_A lus CcQ" Goo le.Com CA Card 2352 4320 10107 Rec u rring Card Purchase 10106 Intuit "Qbooks Oniin Cl, Intuit.Corn CA Gard 2352 90.00 10111 Card Purchase With Pin 10112 Nnt Msit ' E0500TX3981 Msbill.Infv WA Card 2352 12.50 Page 2 of 8 Page 291 of 339 CHASE 0 October 01. 2024 through October 31. 2024 Account Number. ATIVI & DEBIT CARD WITHDRAWALS (cOntnued) DATE DESCRIPTION AMOUNT 10115 Recurring Card Purchase 10113 Comcast/Xfinity 800-266-2278 FL Card 2352 121.67 10115 Card Purchase With Pin 10115 Shell Service Station Miami FL Card 2352 6498 10117 Card Purchase With Pin 10117 Racetrac2439 Naples FL Card 2352 111.39 10117 Card Purchase 10/17 Sherwin-Williams725215 Naples FL Card 2352 1,358.52 10/18 Card Purchase 10117 [PC] 4976 Ew Naples Naples PL Card 2352 617.04 10121 T Cara Purchase 10/18 Eiotclub Admiralty Card 2352 100.00 10121 _ Card Purchase 10119 E=iotclub Admiralty Card 2352 100.00 10/21 Card Purchase With Pin 10119 Urika Oil Inc. Naples FL Card 2352 112.40 10121 Card Purchase With Pin 10121 Autoxone 3267 1001 N Immokalee FL Card 2352 263.60 10121 Card Purchase With Pin 10121 Autoxone 3267 1001 N Immokalee FL Card 2352 28.60 10122 Card Purchase 10121 Shoreline Flooring Sup Fort Meyers FL Card 2352 461.92 10128 Card Purchase 10/24 The Hama Depot 48444 Fort Myers FL Card 2352 42032 10128 Recurring Card Purchase 10125 Rocketlaw 877-767-15 Www.Rocketlaw CA Card 2352 ^ 39.99 10128 Recurring Card Purchase 10127 5 ytec Gps, Inc. Www.Sp tec.CO FL Card 2352 106.54 10129 Card Purchase 10/28 Wal-Mart #5034 Fort Myers FL Card 2352 42.10 Total ATM & Debit Card Withdrawals $4,204,51 ATM & DEBIT CARD SUMMARY Alfredo D E3ustos Card 2352 ATM & Debit Card Totals Total ATM Withdrawals & Debits $0.00 Total Card Purchases $4,204.51 Total Card Deposits & Credits $0.00 Total ATM Withdrawals & Debits $0.00 Total Card Purchases $4,204.51 Total Card Deposits & Credits $0.00 ELECTRONIC WITHDRAWALS DATE DESCRIPTION AMOUNT 10/01 Orig CO Name:Seagate Developm Orig ID:9000698417 Desc Date,100124 CO Entry S2,847.80 Descr:Web Pmts Sec CCD Trace#:081503500237542 Eed:241001 Ind lDX17Wgb Ind Name A Plus Construction 239-738-7900 Trn: 2750237542Tc 1W01 Orig CO Name:Appfolio, Inc. F Orig ID:9001406550 Desc Date:100124 CO Entry 249 Descr:Web Pmts Sec:GCD Trace#:081503500286884 Eed:241001 Ind ID:Oh7FIj4 Ind Name -A Plus Construction 866-648-1536 Trn 2750256884Tc 1 W01 1 0J0 1 Payment To Chase Card Endin U IN 0027 10,724 87 10101 1 W01 Payment To Chase Card Ending IN 0027 11,00000 10101 10101 Online Domestic Wire Transfer Via: Wells Fargo NA1121000248 A/C: Frankcrums Wells 2,561.97 Fargo Account San Francisco CA 94104 US Ref; A Plus Construction of Sw FUTimel14.46 Imad: 1001 Mmgfmp2l{046846 Trn: 3918464275Es 10102 Orig CO Name:Rocket Mortgage ❑rig ID:9112356513 Dasc Date:100124 CO Entry 4,54439 Descr Mtg Pymts Sec,Tel Trace# 021000020629083 Eed:241002 Ind ID'3542199169 Ind Name:A Plus Construction ACH Draftina Trn- 2760629083Tc 1 W02 10102 Payment To Chase Card Ending IN 0027 12,000.00 1 W03 10103 Payment To Chase Card Ending IN 0027 5,000.00 10104 10104 Online Domestic Wire Transfer Via. Lake Michigan CU1272480678 A/C: A Plus 50,000.00 Construction of Sw FL LLC Naples FL 34103 US Imad: 1004Mmgfmp2M025602 Trn: 3526504278E=s Page 3 of 8 Page 292 of 339 CHASE :i October 01, 2024 through October 31, 2024 Account Nurnbe ELECTRONIC WITHDRAWALS �COlif Ued) DATE DESCRIPTION AMOUNT 10104 10104 Online Transfer To Chk ...6138 Transaction#: 22277377764 9,210.00 10104 10104 Online Transfer To Chk ...1202 Transaction#: 22277500486 750.00 10107 10105 Payment To Chase Card finding IN 0027 10,339.56 10107 10107 Online Transfer To Chk ...9822 Transaction#: 22304591963 3,300.00 10107 10107 Online Domestic Wire Transfer Via: Wells Fargo NA1121000248 A/C: Frankcrums Wells 6,035.47 Fargo Account San Francisco CA 94104 US Ref: A Plus Construction of Sw FL1Timel11:17 Imad. 1007Mmgfmp2L020175 Tm: 3449254281 Es 10107 10107 Online Transfer To Chk.. 6138 Transaction#: 22307431315 10,027.50 10107 Orig CO Name.Atob-Fleet Orig IDA800948598 Desc Date: CC Entry 1,319.153 Descr:Atob-Fleetsec:CC❑ Trace#:091000015486522 Eed:241007 Ind iD:St-F6Z8G2L7R2E1 Ind Name: Alfredo Bustos Tm. 2815486522Tc 10108 Orig CO Name -.Kubota Credit. Orig ID:0900003616 Desc Date:241006 CO Entry 964.10 Descr:Payment Sec:PP❑ Trace#:031100205822678 Eed:241008 Ind ID: Ind Name:A Plus Construction of Tm: 2825822678Tc 10108 Zelle Payment To C_elso Zelte Jpm99Ap1UM 2,000.00 10109 _ Orig CO Name:Att Orig I D: 9864031004 Desc Date_ 100824 CO Entry 264.32 Descr:Payment Sec:PPD Trace#:031100206312237 Eed:241009 Ind IR Ind Name. Affredo Bustos Trn: 2836312237Tc 10109 10109 Online Transfer To Chk ,..5083 Transaction#: 22325432909 500.00 10111 10111 Online Transfer To Chk ...6138 Transaction#: 22348333722 8,515,00 10115 Ong CO Name: Lee County Elect Orig ID:9000474961 Desc Date:101524 CC Entry 2,121.23 Descr: Web Pmts Sao CCD Trace#:111924686500200 Eed:241015 Ind I D. SOHt7P Ind Name:Affredo D Bustos 239-656-2300 Tm: 289650020OTc 10115 Orig CO Name:Atob-Fleet Orig ID:1800948596 Desc Date: CC Entry 623.54 Descr:Atob-Fleetsec:CCD Trace#.091000017332478 Eed:241015 Ind ID St-I4MOG5i5O5A2 Ind Name:A€fredo Bustos Tm: 2897332478Tc 10115 10115 Online Domestic Wire Transfer Via: Wells Fargo NA1121000248 kC: Frankcrums Wells 5,794.75 Fargo Account San Francisco CA 94104 US Ref: A Plus Construction of Sw FLITime106:52 Imad: 1015Mm fm 2K009447 Trn: 3463804289Es 10115 10115 Online Transfer To Chk ...1202 Transactionk 22390008826 2,000.00 10116 Ong CO Name: Prog Express Ong 0:9409348138 Desc Date:241016 CO Entry 1,174.96 Descr Ins Prem Sec:PPD Trace#:021000022398024 Eed:241016 Ind ID - Ind Name:A Plus Construction of Tm: 2902398024Tc 10116 10116 Online Transfer To Chk ...1202 Transaction#: 22400731278 1,750.00 10116 10116 Online Transfer To Chk ...1202 Transaction#: 22400755659 3,000,00 10117 10117 Payment To Chase Card Ending IN 0027 _ 5,000.00 10118 10/18 Online Domestic Wire Transfer Via: Lake Michigan CU1272480678 AIC: A Plus 20,348.45 Construction of Sw FL LLC Naples FL 34103 US Imad: 1018Mmgfmp2K031812 Trn: 3670974292Es 10121 Zelle Payment To Jorgfto Electricisla 22446673174 1,000.00 10121 10121 Payment To Chase Card Ending IN 0027 4,000.00 10121 10121 Online Domestic Wire Transfer Via: Wells Fargo NA1121000248 A/C: Frankcrums Wells 8,161.00 Fargo Account San Francisco CA 94104 US Ref: A Plus ConstructiorVTimel16.20 Imad: 1021Mmgfmp2LO62722 Trn: 3682574295Es 10122 Orlg CO Name:Atob-Fleet Orig ID:1800948598 Desc Date: CC Entry 954.00 DesocAtob-Fleetsec:CCID Trace#:091000018879143 Eed:241022 Ind ID: St-A5L4N4D5V6X9 Ind Name: Alfredo Bustos Tm: 2968879143Tc 10124 10124 Payment To Chase Card Ending_IN 0027 5,000.00 10125 10125 Payment To Chase Card Ending IN 0027 1,500.00 10l28 10/28 Payment To Chase Card Ending IN 0027 10,000.00 10128 10l28 Online Domestic Wire Transfer Via; Wells Fargo NN121000248 A/C: Frankcrums Wells 9,819.34 Fargo Account San Francisco CA 94104 US Ref: A Plus Construction of Sw FL LLC/Time115:22 Imad: 1028Mmgfmp2M029135 Tm: 3622494302Es 10128 arig CC Name:Atob-Fleet Orig ID:1800948596 Desc Date: GO Entry 77503 Descr:Atob-Fleetsec:CCD Trace#:091000017868328 Eed:241028 Ind ID.St-Q7A6K5COCOB6 Ind Name:Affredo Bustos Tm: 3027868328Tc Page 4 of 8 Page 293 of 339 CHASE! r ELECTRONIC WITHDRAWALS (continued) October 01, 2024 throu h October 31 2024 Account Numbe DATE DESCRIPTION AMOUNT 10/29 Zelle Payment To Easy Print Miami LLC Jpm99Ag890W1 72.30 10/29 Zelle Payment To Tires Gabriel Jpm99Ag8Bv7A 800.00 10/30 IW30 Payment To Chase Card Ending IN 0027 5,000.00 10/30 1W30 Online Transfer To Chk ...6138 Transaction# 22543991628 7,515.00 10130 10130 Online Transfer To Chk ...1202 Transaction#. 22544109971 6,250.00 10/30 10130 Online Domestic Wire Transfer Via: Pncbank Pitt1043000096 AIC- Rbi Private Lending LLC Aventura FL 33180 US Ref- All IN Construction IN FL Copr Imad. 1030Mmgimp2N030731 Tm;3563044304Es 1,500.00 10/31 10131 Online Domestic Wire Transfer Via: Pncbank Pitt1043000096 AIC: Rbi Private Lending 1.500.00 LLC Aventura FL 33180 US Ref_ 701 Roosevelt Ave Imad: 1031 Mmgfmp2N026012 Trn: 3327844305Es Total Electronic Withdrawals $259,586.40 DAILY ENDING BALANCE DATE AMOUNT DATE AMOUNT DATE AMOUNT 10101 S 141,376.24 10111 27,175.93 10123 11,341.68 10102 121,824.95 10115 17,524.76 10124 6,341.68 10/03 102, 935.76 10116 21,599.80 10125 5,520.24 10/04 60, 488.01 10117 39,329.89 10128 24,854.02 1 W07 29,376.15 10118 3.703.20 10129 32,372.34 10108 40,175.55 10121 2,757.60 10130 87,555.87 1 W09 39,291.23 10122 1,341.68 10131 85,048 87 10110 38,191.23 SERVICE CHARGE SUMMARY Chase Platinum Business Checking Accounts Included. 00000000000553823090, 0000000000060U031202, 00000000000608652833,00000000000653706138 Monthly Service Fee $95.00 Other Service Charges $125.00 Total Service Charges $220.00 Will be assessed on 1115/24 You were assessed a monthly service fee on your Chase Platinum Business Checking account because you did not maintain the required relationship balance SERVICE CHARGE DETAIL DESCRIPTION VOLUME ALLOWED CHARGED PRICEI UNIT TOTAL Monthly Service Fee Monthly Service Fee 1 $95.00 $95.00 Other Service Charges: Electronic Credits Electronic Items Deposited 9 Unlimited 0 $0,40 $0.00 Electronic Credits 11 Unlimited 0 $0.40 $0.00 Credits Non -Electronic Transactions 172 500 0 $0.40 $0.00 Branch Deposit - Immediate Verification $900 $25,000 $0 $0.0025 $0.00 Electronic Credits Domestic Incoming Wire Fee 2 Unlimited 0 $15,00 $0.00 Miscellaneous Fees Page 5 of 8 Page 294 of 339 CHASE 1 0 October 01. Account Nu SERVICE CHARGE DETAIL 1 (cftinfd) DESCRIPTION VOLUME ALLOWED CHARGED PRICE/UNIT TOTAL Online Domestic Wire Fee 9 4 5 $25.00 $125.00 Cash Management Services Online - Check Monitoring 2 0 2 $0.00 $0.00 Subtotal Other Service Charges(Will he assessed on 1115124) $220.00 ACCOUNT 000000553823090 Other Service Charges: Credits Non -Electronic Transactions i Cash Management Services Online - Check Monitoring 1 ACCOUNT 000000508031202 Electronic Credits Electronic Items Deposited 6 Electronic Credits 2 Credits Non -Electronic Transactions 55 Branch Deposit - Immediate Verification $900 Electronic Credits Domestic Incoming Wire Fee 2 ACCOUNT 000000615334714 Monthly Service Fee Monthly Service Fee 1 Other Service Charges: Electronic Credits Electronic Items Deposited 3 Electronic Credits 8 Credits Non -Electronic Transactions 74 Miscellaneous Fees Online Domestic Wire Fee 9 ACCOUNT 000000653706138 Electronic Credits Electronic Credits 1 Credits Non -Electronic Transactions 42 Cash Management Services Online - Check Monitoring 1 Reminder: Fees associated with ACH Payments, Real Time Payments, Same Day ACH, ACH Collections and Chase QuickDeposits"^ are based on previous month activity. Page 6 of 8 Page 295 of 339 CHASE! i October 01. 2024 throu h October 31 , 2024 Account Number: IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR ELECTRONIC FUNDS TRANSFERS: Call us at 1-866-564-2262 or write us at the address on the front of this statement immediately if you think your statement or receipt is incorrect or if you need more information about a transfer listed on the statement or receipt. For personal accounts only: We must hear from you no later than 60 days after we sent you the FIRST statement on which the problgm or error appeared_ Be prepared to give us the following information - Your name and account number: ■ A description of the error or the transaction you are unsure about, and why you think it is an error or want more information: and • The amount of the suspected error. We will investigate your complaint and will correct any error promptly. If we take more than 10 business days (or 20 business days for new accounts) 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 takes us to complete our investigation_ For business accounts, see your deposit account agreement or other applicable agreements that govern your account for details. IN CASE OF ERRORS OR QUESTIONS ABOUT NON -ELECTRONIC FUNDS TRANSFERS: Contact us immediately if your statement is incorrect or if you need more information about any non -electronic funds transfers on this statement. For more details, see your deposit account agreement or other applicable agreements that govern your account. JPMorgan Chase Bank, N,A. Member FDIC Page 7 rn 8 Page 296 of 339 CHASE !.i This Page Intentionally Left Blank October 011 2424 thro t r 1 4 Account Nu be Page 8 of 8 Page 297 of 339 CHASE JPMorgan Chase Sank, N.A. P O Box182051 Columbus. off 43218 -2051 00022985 DRE 021 210 27724 NNNNNNNNNNN 1 000000000 ❑20000 A PLUS CONSTRUCTION OF SW FL LLC 4947 TAMIAMI TRL N STE 205 NAPLES FL 34103-3015 CHECKING SUMMARY Chase Platinum Business Checking August 31. 2024 through September 30, 2024 Account Numbs CUSTOMER SERVICE INFORMATION Web site www.Chase.com Service Center: 1-877-425-8100 Para Espanol: 1-888-622-4273 International Calls: 1.713-262-1679 We accept operator relay calls INSTANCES AMOUNT Beginning Balance S189,26B.32 Deposits and Additions 18 369,627.40 Checks Paid 26 -131,576.36 ATM & Debit Card Withdrawals 14 -6,895.15 Electronic Withdrawals 42 -314,099.30 Ending Balance 100 $108,324.91 Your Chase Platinum Business Checking account provides: ■ No transaction fees for unlimited electronic deposits (including ACN, ATM, wire, Chase Quick Deposit) ■ 500 debits and non -electronic deposits (those made via check or cash in branches) per statement cycle • $25,000 in cash deposits per statement cycle • Unlimited return deposited items with no fee There are additional fee waivers and benefits associated with your account — please refer to your Deposit Account Agreement for more information. [DEPOSITS AND ADDITIONS DATE DESCRIPTION AMOUNT 09103 Deposit 1242508713 S12,450 00 09103 Orig CC Narne:Aurcra14, LLC Orig I D. 9200502235 Desc Date 240903 CO Enlry 20,475.00 DeScr-ACH Pmt Sec:CCD Trace* 021000026164241 Eed:240903 Ind I D: 11143385276 Ind Name A Plus Ultimo Tm: 2476164241 Tc 09103 Orig CC Name:Total Building D Orig I D. S941687665 Desc Dale:240903 CO Entry 1,00000 Descr Sender Sec:CTX Tracoig:1 13000022549738 Eed:240903 Ind 1p:739512028 Ind Name 0000A Plus Construct Trn: 2472549738Tc 09105 Ong CO Name:Total Florida LI Orig iD:S941687665 Desc mate 240905 CO Entry 15,787.80 Descr:Sender Sec:CTX Trace4113000023002863Eed240905 Ind ID:741105870 Ind Name.0000A Plus Construct Trn: 2493002863Tc 09106 Remote Online Deposit 1 25,000.00 09106 Deposit 2113488216 22,600.00 09106 Orig CC Name:Total Florida LI Orig ID:S941687665 Desc Date:240906 CO Entry 15,050.00 Descr:Sender Sec:CTX Trace4:113000026331433 Eed.240906 Ind 1D.741344692 Ind Name:0000A Plus Construct Tm, 2506331433Tc 09�09 Deposit 2113488133 16,100.00 09.1,09 Orig CO Name:Total Florida LI Orig ID:S941687665 Desc flate.240909 CO Entry 35,130.00 Descr. Sender Sec:CTX Trace* 113000028280564 Eed 240909 I nd I D:741162392 Ind Name.0000A Plus Construct Trn: 2538280564Tc Pm.e 1 of 6 Page 298 of 339 CHASE ! r August 31. 2024 through September 30. 2024 Account Number: ( DEPOSITS AND ADDITIONS 'conilnued} DATE DESCRIPTION AMOUNT 09109 Online Transfer From Chit ...1202 Transaction4- 22003194414 3,000.00 09/1 ❑ Orig CO Natne:Total Florida LI Orig I D-S941687665 Desc Date:240910 CO Entry 36,007.80 Descr:Sender Sec:CTX Tracelk:113000026272828 Eed=240910 Ind ID:742014442 Ind Name-0000A Plus Construct Trn: 2546272828Tc 09116 Crig CC Name:Total Florida LI Crig ID:S941687665 Desc Date:240916 CC Entry 10,110.00 Descr:Sender Sec:CTX Trace#: 113000029619709 Eed:240916 Ind ID:742%7316 Ind Name:0000A Plus Construct Tm: 2609619709Tc 09123 Deposit 211 W8010 22,000.00 09124 ATM Cash Deposit 09124 4700 Tamiami Trl N Naples FL Card 2352 260.00 09/24 _ Orig CO Name -Total Florida i_I Crig ID;5941687665 Desc Date:240924 CO Entry 14,700.00 Deser-Sender Sea-CTX Trace#-113000027028757 Eed:240924 nd I D:744475892 Ind Name:0000A Plus Construct Trn: 2687028757Tc 09124 Orig CO Name.Total Building D Orig ID:S941587665 Dew Date:240924 CO Entry 14,049.00 Descr:Sender Sec-CTX Trace#-113000027028755 Eed:240924 Ind ID.744274686 Ind Name:0000A Plus Construct Tm-. 2687028755Tc 09l25 Crig CO Name:Auroral4, LLC Orig ID:9200502235 Desc Date:240925 CO Entry 59,500.00 Descr:ACH Pml Sec:CCD Trace#: 021000024717012 Eed-240925 Ind ID:11145927861 Ind Name:A Plus Ultimo Tm: 2694717012Tc 09126 Deposit 124382SD83 47,407.80 Total Deposits and Additions $369,627.40 CHECKS PAID DATE CHECK NO. DESCRIPTION PAID AMOUNT 10388 ^ 09116 $98.00 10488 " ^ 09103 904.74 10489 ^ 09103 504.74 10492 * ^ 09/04 1,000.00 10494 " 11 09/03 6,705,70 10495 ^ 09/03 375.00 10496 ^ 09119 62,476,60 10497 11 09104 4,050.00 10498 ^ 09105 750.00 10499 ^ 09106 1,000.00 10500 ^ 09106 3,784.30 10501 ^ 09111 1.670.00 10502 ^ 09113 600.00 10503 ^ 09111 1,000.00 10504 ^ 09113 5,065.65 10505 11 09113 1.100.00 10506 ^ 09116 17.00 10508 'A 09123 750.00 10509 ^ 09119 1,000.00 10510 ^ 09123 5,553.53 10511 ^ 09123 9,664.20 10512 ^ 09124 10, 729.00 10514 ` 11 09125 750.00 10515 ^ 09/25 1,000.00 10517 * " 09125 1,200.00 Page 2 of 8 Page 299 of 339 CHASE C i August 31. 2024 through September 30, 2024 Account Number: CHECKS PAID (continued) DATE CHECK NO. DESCRIPTION PAID AMOUNT 10518 " 09J30 9.827.40 Total Checks Paid $131,576.36 If you see a description in the Checks Paid section, it means that we received only electronic information about the check, not the original or an image of the check. As a result, we're not able to return the check to you or show you an image. " All of your recent checks may not be on this statement, either because they haven't cleared yet or they were listed on one of your previous statements. ^ An image of this check may be available for you to view on Chase.com. ATM & DEBIT CARD WITHDRAWAL- DATE DESCRIPTION AMOUNT 09103 Recurring Card Purchase 09J01 Googie *Gsuite_Aplus Cc(�GOO Ie.Com CA Card 2352 $43,20 09104 Card Purchase 09103 Lee Count CD-Pw Bldg Fort Myers FL Card 2352 497.76 09106 Recurring Card Purchase 09J06 Intuit *Qbooks Onlin C€.Intuit Corn CA Card 2352 90.00 09111 Card Purchase With Pin 09112 Nnt Mstt * E0500Tkc432 Msbill. Into WA Card 2352 12.50 09/13 Recurring Card Purchase 09113 ComcastlXfinit 800-266-2278 FL Card 2352 121.68 09117 Card Purchase 09117 5rm - FL 615-355-1028 TN Card 2352 4,843.09 09124 ATM Withdrawal 09J24 4700 Tamiami Trl N Naples FL Card 2352 200.00 09124 ATM Withdrawal 09J24 4700 Tamiami Trl N Naples FL Card 2352 200.00 09124 ATM Withdrawal 09124 4700 Tamiami Trl N Naples FL Card 2352 20.00 09124 ATM Withdrawal 09124 8843 Immokalee Rd Naples FL Card 2352 500.00 09126 Recurring Card Purchase 09125 Rocketlaw 877-757-15 Www.Rocketlaw CA Card 2352 39.99 09127 Recurring Card Purchase 09127 Spytec G s, Inc. Www S2ytec.CO FL Card 2352 106.54 09127 Card Purchase With Pin 09127 7-Eleven Naples FL Card 2352 117.58 09130 Card Purchase 09128 Amazon Mkt I`Ah18031 Amzn.ComlBill WA Card 2352 102.81 Total ATM & Debit Card Withdrawals $6,8g5.15 ATM & DEBIT CARD SUMMARY Alfredo D Bustos Card 2352 Total ATM Withdrawals & Debits Total Card Purchases Total Card Deposits & Credits ATM & Debi( Card Totals Total ATM Withdrawals & Debits Total Card Purchases Total Card Deposits & Credits $920.00 S5,975 15 $260.00 S920.00 S5,97515 $260.00 Pane 3 of 8 Page 300 of 339 CHASE Cp August 31, 2024 through September 30, 2024 Account Number: ELECTRONIC WITHDRAWALS DATE DESCRIPTION AMOUNT 09103 Orig CC Name:Quikrete Holding Orig I D:2611608955 Desc Date,083024 CO Entry S86,743.87 Descr:0265163001 Sec: Web Trace#:242071756467079 Eed:240903 Ind ID:615334714 Intl Narne'Alfredo Tm- 2476467079Tc 09103 Orig CC Name.Rocket Mortgage ❑rig ID:9112356543 Desc Date:090124 CO Entry 4,544.39 DesorMtg Pymts Sec Tel Trace#:021000020030908 Eed-240903 Ind ID:3542199169 Ind Name -A Plus Construction ACH Drafting Tm. 2470030908Tc 09103 Drig CO Narne-Atob-Fleet Orig ID:180OM598 Desc Date: CO Entry 795.09 Descr:Atob-FleetsoG:CCD Trace#:4910000i9349375 Eed:240903 Ind ID:St-Z6T0K1A0t35F0 Ind Name -.Alfredo Bustos Trn: 2479349375Tc 09103 09103 Online Transfer To Chk ...1202 Transaction#: 21934834584 400.00 09103 09103 Payment To Chase Card Ending IN 0027 9,438.20 09104 Orig Cd Name: Seagate Developm Orig ID:9000698417 Desc Date:090424 CO Entry 2,847.60 iJescr:Web Pmts Sec-.CCD Trace#:081503500041276 Eed:240904 Ind ID:N54Vmb Ind Name -A Plus Construction 239-738-7900 Tm.2480041276Tc 09104 Drig CO Name:Appfolio, Inc. F Orig 1D:9001406550 Desc Date:090424 CO Entry 2.49 Descr-Web Pmts Sec:CCD Trace#:081503509926898 Eed:240904 Ind ID:Dcd5H4 Ind NarnaA Plus Construction 866-648-1535 Trn: 2489926898Tc 09/04 09/04 Payment To Chase Card Ending IN CO27 10,000.00 09/04 Zelle Payment To Mu'er De Luis Raymond J m99An46Mh8 500.00 09105 09105 Payment To Chase Card Ending IN 0027 3,000.00 09106 _ 09106 Payment To Chase Card Ending IN 0027 11,000.00 09109 _ Orig CO Name:Kubota Credit Orig ID:0900003616 Desc Date:240906 CO Entry 964.10 DescrPaymenf Sec:PPD Trace#-031100208309912 Eed:240909 Ind ID - Ind Name:A Plus Construction of Tm. 2538309912Tc 09r09 09109 Payment To Chase Card Ending IN 0027 10,893,87 09JOS Zelle Payment To Supply De Shingles 22001949757 3,500.00 09109 09109 Online Domestic Wire Transfer Via: Wells Fargo NA1121000248 A/C: Frankcrums Wells 3,562.48 Fargo Account San Francisco CA 94104 US Ref: A Pfus Construction Payroll/Timel13-12 Imad- 0909Mm fm 2L024097 Trn: 3495564253Es 09109 Orig CO Name Atob-Fleet Crig ID-1800948598 Desc Date: CO Entry 1,011.12 Descr:Atob-Fleetsec.CCD Trace#:091000016857642 Eed:240909 Ind ID:St-06R3WK1 Lf9D9 Ind Name;Alfredo Bustos Tm: 2536857642Tc 09110 Orig CO Name:Att ❑rig ID:9864031004 Desc Da1e:090824 CO Entry 284.32 Descr-Payment Sec-PPD Trace4:031100200198196 Eed:240910 Ind ID: Ind Name: Alfredo Bustos Trn: 2540198196Tc 09112 09112 Payment To Chase Card Ending IN 0027 12,000.00 09113 Zelle Payment To Rayber Supervisor 22040002909 150.00 _09/13 09113 Payment To Chase Card Ending IN 0027 12,000.00 09116 Orig CD Name. Quikrete Holding Orig ID:2611608955 ❑esc Date:091324 CO Entry 51,165.71 Descr:0265163001Sec :Web Trace#-242071751991351 Eed:240916 IndID'0 Ind Name: Alfredo Trn: 2601991351To 09116 ❑rig CO Name: Prog Express Orig ID 9409348138 Desc Date:240916 CO Entry 1,557.96 Descrins Prom Sec:PPD Trace#:021000021351274 Eed:240916 Ind ID- Ind Name -A Plus Construction of Tm- 2601351274Tc 09116 09116 Payment To Chase Card Ending IN 0027 _ 4.434.79 09116 09118 Online Domestic Wire Transfer Via: Wells Fargo NA1121000248 A/C- Frankcrums Wells 3,303,20 Fargo Account San Francisco CA 94104 U5 Ref: A Plus Construction of Sw FL PayrolllTime115:25 Imad: 0916Mmgfmp2L031372 Tm. 3716154260Es _ 09116 Orig CO Name:Atob-Fleot Orig ID:1800948598 Desc Date_ CO Entry 934.47 Descr.Atob-Fleetsec:CCD Trace t:091000019566228 Eed:240916 Ind ID.St-D6V4Y1 R9W8J2 Ind Name:Alfredo Bustos Tm: 2609686228Tc 09119 0911 S Payment To Chase Card Ending IN 0027 11,270.42 09120 _ Ong CO Name:Quikrete Holding Orig ID:2611608955 Desc Date:091924 CO Entry 21,494.36 Descr:0265163001 Sec: Web Trace#:242071754330587Eed:240920 IndID:O Ind Name. AFredo Trn: 2644330587Tc Page 4 of 8 Page 301 of 339 CHASE Ii i ELECTRONIC WITHDRAWALS (continued) August 31, 2024 through September 30, 2024 Account Numb BATE DESCRIPTION AMOUNT 09/20 09120 Online Transfer To Chk ..1202 Transaction# 22116942676 1,250.00 09120 Zelle Payment To Grua De Carras Jpm99Aa0W72H 300.00 _09/23 09121 Payment To Chase Card Ending IN 0027 _ 9,699.40 09123 09123 Online Domestic Wire Transfer Via, Wells Fargo NA1121000248 AIC: Frankcrums Wells 5,933,46 Fargo Account San Francisco CA 94104 US Ref: A Plus Construction of Sw FUTime113 07 Imad: 0923Mmgfmp2L023230 Trn, 3431914257Es 09123 Zelle Payment To Manuel Concreto Finishero Jpm99Ao6GoI T _ ., 70000 09123 Orig CO Name:Atob-Fleet Orig I D- 1800948598 Desc Date. CO Entry 1,382.43 Descr:Atob-Fleetsec:CC❑ Trace#:091000017988937 Eed:240923 Ind ]D:St-09T6R409I3X3 Ind Nam Alfredo Bustos Trn- 2677988937Tc 09124 09124 Payment To Chase Card Ending i N 0027 7,00t) 00 — ------ Payment_ _ hasp and Ending ----- ai N 0027 4,045.75 09127 .................._.......-•--------- 09127 Payment To Chase Card Ending IN 0027 9,000.00 09127 09127 Online Transfer To Chk .-.1202 Transaction#: 22192416163 1,150.00 09130 Zelle Payment To Goo Concreto Finish Zelle Jpm99Aof71 Kj 800.00 09130 Zelle Payment To Yoandy 22209541354 500.00 09130 Zelle Payment To Jimmy Comcast Jpm99Aoiyj01 200.00 09130 _ _ 09/30 Online Domestic Wire Transfer Via: Wells Fargo NAJ121000248 A/C. Frankcrums Wells Fargo Account San Francisco CA 94104 US Ref: A Plus Construction of Sw FLITimel15'20 Imad: 0930Mm fmp2K075256 Trn' 3878204274Es 3,273.93 09130 Orig CO Name Atob-Fleet 0rig I D:1800948596 ❑esc Date CO Entry Descr,Atob-Fleetsec.CCO Trace#-091000014436244 Eed 240930 Ind ID.St-T9V4P3C4Y3Y7 Ind Name:Alfredo Bustos Trn 2744436244Tc 1,064.87 Total Electronic Withdrawals $314,099.30 DAILY ENDING BALANCE GATE AMOUNT DATE AMOUNT DATE AMOUNT 09f03 $112,738.39 09112 206.992.75 09/23 22,236.78 09104 93,840.34 09113 187,955.42 09124 32,596.78 09105 104.878 14 09116 136,554.29 09125 85,100.03 09106 152,653.34 09117 131,711.20 09126 132,467.84 09109 185,951.77 09119 56,964-18 09127 122,093.72 09110 221,675.25 09120 33,919.82 09130 106,324.91 09/ 11 218, 992. 75 SERVICE CHARGE SUMMARY J Chase Platinum Business Checking Accounts Included: 00000000004553823090, 00000000000608031202 00000000000608652833,00000000000653706138 Monthly Service Fee $0.00 Other Service Charges $0 00 Total Service Charges $0.00 The monthly service fee was waived on your Chase Platinum Business Checking account because you maintained the required relationship balance. Page 5 of 8 Page 302 of 339 CHASE CP SERVICE CHARGE DETAIL August 31. 2024 throu h 5e tember 30. 2024 Account Number; DESCRIPTION VOLUME ALLOWED CHARGED PRICE! UNIT TOTAL Monthly Service Fee Monthly Service Fee Waived 0 $95.00 $0.00 Accident Forgiveness Overdraft Item Paid 1 1 0 $34,00 $0,00 Other Service Charges: Electronic Credits Electronic Items Deposited 7 Unlimited 0 $0,40 $0.00 Electronic Credits 24 Unlimited 0 $0.40 $0,00 Credits Non -Electronic Transactions 215 500 0 $0.40 $0,00 Branch Deposit - Immediate Verification $1,450 525.000 $0 $0,0025 $0.00 Miscellaneous Fees Online Domestic Wire Fee 4 4 0 $25,00 $0,00 Cash Management Services Online - Check Monitoring 2 0 2 $0.00 $0.00 Subtotal Other Service Charges $0.00 ACCOUNT 000000553823090 Accident Forgiveness Overdraft Item Paid 1 Other Service Charges: Electronic Credits Electronic Items Deposited 1 Credits Non -Electronic Transactions 3 Branch Deposit - Immediate Verification $100 Cash Management Services Online - Check Monitoring 1 ACCOUNT 000000608031202 Electronic Credits Electronic Items Deposited 1 Electronic Credits 8 Credits Nan -Electronic Transactions 73 Branch Deposit - Immediate Verification $900 ACCOUNT 000000615334714 Electronic Credits Electronic Items Deposited 3 Electronic Credits 10 Credits Non -Electronic Transactions 82 Branch Deposit - Immediate Verification $450 Miscellaneous Fees Online Domestic Wire Fee 4 ACCOUNT 000000653706138 Electronic Credits Electronic Items Deposited 2 Electronic Credits 6 Credits Nan -Electronic Transactions 57 Cash Management Services Online - Check Monitoring 1 Reminder; Fees associated with ACH Payments, Real Time Payments, Same Day ACH, ACH Collections and Chase Quickaeposit3m are based an previous month activity. Page 6of8 Page 303 of 339 CHASE ! i August 31 20241 Account Number: IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR ELECTRONIC FUNDS TRANSFERS Call us at 1-866-564-2262 or write us at the address on the front of this statement immediately if you think your statement or receipt is incorrect or if you need more information about a transfer listed on the statement or receipt. For personal accounts only: We must hear frorn you no later than 60 days after we sent you the FIRST statement on which the problem or error appeared. Be prepared to give us the fallowing information: • Your name and account number; • A description of the error or the transaction you are unsure about, and why you think it is an error or want more information; and • The amount of the suspected error. We will investigate your complaint and will correct any error promptly If we take more than 10 business days (or 20 business days for new accounts) 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 takes us to complete our investigation. For business account& see yourdeposit account agreement or other applicable agreements that govern your account for details. IN CASE OF ERRORS OR QUESTIONS ABOUT NON -ELECTRONIC FUNDS TRANSFERS: Contact us immediately if your statement is incorrect or if you need more information about any non -electronic funds transfers on this statement. For more details. see your deposit account agreement or other applicable agreements that govern your account. JPMorgan Chase Bank, N.A. Member FDIC Page 7v5 Page 304 of 339 CHASE ZF This Page intentionally Left Blank August 31, 202 Account Numhe Page 8 or t! Page 305 of 339 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation, Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! STATE OF FLORIDA DEPARTMENT dbpr REGBUSIESS ULATAND PROFESSIONAL ION RG291104182 ISSUED: 06/11/2024 REGISTERED GENERAL CONTRACTOR HERNANDEZ ORTIZ, RAYBERT A PLUS CONSTRUCTION OF SW FL LLC (INDIVIDUAL MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) Signature LICENSED UNDER CHAPTER 489, FLORIDA STATUTES EXPIRATION DATE- AUGUST 31, 2025 Ron DeSantis, Governor Melanie S. Griffin, Secretary STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER: RG291104182 EXPIRATION DATE: AUGUST 31, 2025 THE GENERAL CONTRACTOR HEREIN HAS REGISTERED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES (INDIVIDUAL MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) HERNANDEZ ORTIZ, RAYBERT A PLUS CONSTRUCTION OF SW FL LLC 4947 TAMIAMf TRL N SUITE 205 NAPLES FL 34103 ISSUED: 06/11/2024 Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. Page 306 of 339 o •� m Z a E .1 W w �- N D ❑ O ujj w(A Q 0 D a m D } o� Z Z z w a W co _ LU a > .J �� 0 m �' E O v a W N w J Q z LL N Q; a -I ' � �+- _ W to H � H r� 44 [V ~ o J - W E t iv o� z oo Q z a I 0 a LU wcr- W �� , Iea co H - o 0 o L j ❑ � p F- N d V) },� p o D C LLI Z Q � aix W U zQ Z Z p w��If L o Z Z ¢ Z :uI' z 'f H cu `-' 0'Ln o m ~ 0Z pw Z J a * V O zcef -' _ ¢ 6 E Z z c u W o Q U LLI a 'L CLU m 0 a iE W F- .vo y n i A^� a DATE (MMIDDlYYYYI L _ CERTIFICATE OF LIABILITY INSURANCE 0912412024 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or 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 NAME: _ Hiscox Inc. PHONE (888) 202-3007 Na FAX FXtL 5 Concourse Parkway E MAIL- AIC Suite 2160 ADDRESS: contactighiscox.com Atlanta GA, 30328 INSURE S AFFORDING COVERAGE NAIC0 _ INSURERA: Hiscox Insurance Company Inc 10200 INSURED INSURER B : A PLUS CONSTRUCTION OF SW FL LLC INSURERC: 4947 TAMIAMi TRAIL N UNIT 205 INSURER O: Naples, FL 34103 ENSURER E: r^!l1lCDAf;FC rLF=PTIFI('ATK NIIIMkF-P- RFVISION NLIMRFR- 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. Ih1SR DDL, UBR POLICY EFF POLICY EXP L7Ft TYPE OF INSURANCE im POLJCY NUMBER MM�o UIYYYY MMIDD LIMIT'S X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE "`$ $ 1,000,000 PREMISES Ea occurrence CLAIMS -MADE X OCCUR 100,000 MED EXP (Any one person) $ 5,000 A Y P101.701.087.2 03130/2024 03/30/2025 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: $ 2,000,000 GENERALAGGREGATE PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY ❑ JET LOC �11 $ OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Peracadent) $ _ ALL OWNED SCHEDULED AUTOS AUTOS NOWOMED HIRED AUTOS AUTOS PROPERTY DAMAGE $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAR CLAIMS -MADE DED RETENTION $ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROP RI E TORIPAR TIN ERIEXECUTIVE PER OTHI- TAT UTEER E.L. EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED7 NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE: $ E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION Of OPERATIONS 7 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mare space Is required) CERTIFICATE HOLDER LAINI�tLLA I IUN Collier County Contractor Licensing Board 2880 N Horseshoe Dr SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Naples, FL 34104 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE cQ 1980-2015 ACORD CORPORATION. All rights reserved. ACORD 25 j2016103] The ACORD name and logo are registered marks of ACORD Page 308 of 339 CERTIFICATE OF LIABILITY INSURANCE (MWD ATE Dagr24lzoza 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 INSURE►t(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy lies) must have ADDITIONAL INSURED provisions or be endorsed- If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, CBrtBin policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such end 0rsement(s). PRODUCER FrankCrum Insurance Agency, Inc- 100 South Missouri Avenue Clearwater. FL 33756 CONTACT NAMEFwkCNm Certificate IDepartinent PHONE (AIC, No, EM 800277-IM x 48D0 FAX (AIC. No : 727 797-0704 E-MAIL ADDRESS: certWrankcnm.corn INSURERS AFFORDING COVERAGE NAICO INSURER Ai Frank Winston Crum Insurance Company 11600 INSURED FrankCrum LICIF A Plus Construction of SW FL LLC 100 South Missoun Avenue Clearwater. FL 33756 INSURER B: INSURER C: INSURER O: INSURER E: INSURER F: Cr1VERAGES CERTIFICATE NUMBER: 1255077 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO 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 eY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSION S A No CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSRO 5U$R WVD POLICY NUMBER POLICY EFF th"IVOONYYY) POLICY EXP IMWODNM) LIMITS COMMERCIAL GENERAL LIABILITY FACH OCCURRENCE $ CLRIMS-MRPE MTO RETEO S MED EXP (Any one amoral 1i PERSONAL & AOV INJURY f GENT AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE f PRODUCT&COMPIOP AGC S POLICY [::IPROJECT � LOC f OTHER: AUTOMOBILE LIABILITY � �11EIII SINGLE LIMIT S BODILY INJURY Per son S ANY AUTO OVINED AUTOS SCHEDULED ONLY AUTOS BODILY INJURY (Per aecldenl) f PROPERTYDAAIAGE Far eod S HIRED AUTOS NON -OWNED ONLY AUTOS ONLY s UMBRELLA LIAR HCLMM,% OCCUR EACH OCURRENCE i AGGREGATE S EXCESS LIAB MADE DED RETENTIONS S A MARKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN W0202400000 01/01/2024 01/01/2025 x PER STATUTE H. ER E.L. EACH ACCIDENT S1.000.000 .ANY PROPRIETORfPARTNERfF]CECUTIVE OFFICERILIEMBER EX"LIDE01 Ffl NIA (Mandatory in NHI If yes. deacnbe under E.L. OISEASE•EA EMPLOYEE Sl-OOD.000 DESCRIPTION OF OPERATIONS beiow E.L. DISEASE -POLICY LIMIT S100,000 DESCRIPTION OF OPERATIONS I LOCATIONS; VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required Effective 08/2612024. coverage is for I DO% of the employees of FrankCrum leased to A Plus Construction of SW FL LLC (Client) for whom the Client is reporting hours to FrankCrum. Coverage is not extended to statutory employees. (Re: "Y"-Raybert Hernandez Ortiz has an exemption until 06/28/26 & Alfredo Bustos has an exemption until 04/08126). Collier County Contractor Licensing Board 2800 North Horseshoe Drive Naples, FL 34104 ]ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TION DATE THEREOF. NOTICE HALL BE DELIVERED IN ACCORDANCE \NTH THE PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD �i 1988-2016 ACORD CORPORATION. All rights reserved. Page 309 of 339 �+ca CERTIFICATE OF LIABILITY INSURANCE l TE oAl2/4712f]24 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 (los) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the paIicy, 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 NAME- FrankCrum Certificate Department PHONE: (800) 277-1620 X 4800 FAX: (727) 797.0704 E-MAIL ADDRESS certsatrankcrum Cam FrankCrum Insurance Agency, Inc. 100 South Missouri Avenue INSURERS(S) AFFORDING COVERAGE NAtC# INSURER A: Frank Winston Crum Insurance Company 11600 Clearwater, FL 33756 INSURED INSURER B. INSURER C: INSURER D: FrankCrum LICIF A Plus Construction of SW FL LLC 100 South Missouri Avenue INSURER E. INSURER F: Clearwater, FL 33756 COVERAGES CERTIFICATE NUMBER: 1397037 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. ILTR TYPE OF INSURANCE IHSH� UBBDIR POLICY NUMBER POLICY EFF [MMMD/YYYY) POLICY EXP (MWDD/YYYY) LJMITS COMMERCIAL GENERAL LIABILITY EACH CCCURENCE $ CLAIMS MADE ❑ OCCUR DAMAGE TO RENTED PREMISES (Ea wurer") $ MEO EXP [Arty one pe n) $ PERSONAL E AQV INJURY S GEN'L GENERAL AGGREGATE $ AGGREGATE LIMIT APPLIES PER POLICY ❑ PROJECT ❑ LOC PRODUCTS-CONVOP AGG S OTHER $ AUTOMOBILE LIABILnY COMBINED SINGLE UNIT (Ea aWidenl) $ ANY AUTO BODILY INJURY {Per person) $ OWNED AUTOS SCHEDULED ONLY AUTOS 8001LY KJJURY IPer aCCiperri} S HIRED AUTOS NON•OWNEO ONLY AUTOSONLY A PROPERTY PROPEpµAGE [Per acridcm ) $ S UMBRELLA LIAB OCCUR EACH OCCUR ENCE S EXCESS LIAB CLAIMS MADE AGGREGATE S ❑E❑ I RETENTION $ 5 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN X PER STATUE OTHER ANY PROPRIETORIPARTNERJEXEGUTIVE OFFICERrMEMBER EXCLUDEO7 Y E.L. EACH ACCIDENT $I,ppp,pOO A NIA WC202500000 0110112025 01/01/2026 E.L. DISEASE -EA EMPLOYEE SI,000,000 {Mandstoty in NH) IJ ye5, d05COV under DESCRIPTION OF E.L. DISEASE•POLICY LI NIT SI,000,000 OPERATIONS below DESCRIPTION OF OP ERATiONS 1 LOCATIONS I VEHICLES (ACORD 101, Additionai Remarks Schedule, may be attached if more space is required) Effective 08/25/2024. coverage is for 100%of the employees of FrankCrum leased to A Plus Construction of SW FL LLC (Client) for whom the client is reporting hours to FrankCrum. Coverage is not extended to statutory employees. (Re. "Y"-Raybert Hsmandez Ortiz has an exemption until 06/28/26 & Alfredo Bustos has an exemption until 04/08/26). CERTIFICATE HOLDER CANCELLATION ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN DROANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE Collier County Contractor Licensing Board 2800 North Horseshoe Drive Naples, FL 34104 ®1988-2016 ACORD CORPORATIO ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Page 310 of 339 Last Name First Name Middle Instal suffix Effective Date Explratlon Date Employer Name Employer Address HERNANDEZ ORTI RAYBERT 06:28�2024 OSI28l202G 04A) 2026 _ A PLUS CONSTRUCTION OF SW 4749 TAMIAMI TRAIL NORTH StJ NAPLES, FL 34103 4947 TAMIAMI TRAIL N. UNIT #205 A 3.4103 FL LLC A PLUS CONSTRUCTION OF SW BUSTOS ALFREDO D 041)8(2024 FLLLC Page 311 of 339 CITY CIF N PLE LOCAL BUSINESS TAX RECEIPT 202411111111112025 Expiration Date: September 30, 2025 THIS RECEIPT MUST BE EXHIBITED CONSPICUOUSLY AT THE ESTABLISHMENT OR PLACE OF BUSINESS. IT WILL BECOME NULL AND VOID IF THE BUSINESS CLASSIFICATION, OWNERSHIP OR ADDRESS IS CHANGED UNLESS THE BUSINESS APPLIES TO THE CUSTOMER SERVICE DIVISION FOR CORRECTION. THE FOLLOWING BUSINESS HAS PAID THE REQUIRED BUSINESS TAX Business Name: A PLUS CONSTRUCTION OF SW FL Business ID#: 7637 Location: Address: 4947 9TH STREET NORTH 205 Reference #: 7734 Classification: HANDYMAN Issue Date: September 25, 2024 License Fee: $ 28.95 - - Penalty: $ 0.00�'�=mv_'t�.� ??. Total Paid: $ 28.95 ' Restriction(s): _ BUSTOS, ALFREDO 2580 6TH AVENUE SE NAPLES, FL 34117 USA ON I Commenti 1u[ix�nrul tiip[5ouc /T�"� �kL11 OR THE CITY OF NAPLES CODE OF ORDINANCES, CHAPTER 34 ARTICLE Ill AND STATE OF FLORIDA STATUTES 205 ♦ Local Business Tax Receipt required and must be displayed. COLLIER COUNTY BUSINESS TAX BUSINESS TAX NUMBER: 240614 COLLIER COUNTY TAX COLLECTOR - 2800 N. HORSESHOE DRIVE - NAPLES FLORIDA 34104 - (239) 252.2477 VISIT OUR WEBSITE AT: www.colliertaxoolk-c .com Ti RECEIPT EXPIRES SEPTEMBER 30, 2025 LOCATION 4947 9TH ST N #205v__'q , ZONED: CITY LIMIT BUSINESS PHONE 239-961-9042 °'�, , , LEGAL FORM STATE OR COUNTY i #: •LLC A 1-5 EMPLOYEES NO FERTILIZING NO CONTRACTOR WORK ALLOWED. s CLASSIFICATION: MAINT. SERVICE/ NO CONTRACTOR WORK CLASSIFICATION CODE 03703301 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, creies nor does it exempt the licensee from any other taxes or permits that may be required by law. DISPLAY AT PLACE OF BUSINESS FOR PUBLIC INSPECTION. FAILURE TO DO SO IS CONTRARY TO LOCAL LAWS A PLUS CONSTRUCTION OF SW FL Li A PLUS CONSTRUCTION OF SW FL Li 4947 9TH ST N #205 NAPLES. FL 34103-3015 -THIS TAX IS NON -REFUNDABLE - DATE 09/06/2024 AMOUNT 22.00 RECEIPT WWW-25-00132980 �O� �Oyt,G�G2 Page 312 of 339 vIft-6 LL. ox MW cqwz V- in R d 40 0 z . ce U. to < .j in 4d Paget4f 339 C'3o'Me-V Co-uj-sty Growth Management Community Development Department Code Enforcement Division Licensing Section Date: December 18, 2024 Duane Thomas Duane Thomas Marine Construction LLC 296 Rockhill Ct. Marco Island, FL 34145 RE: Case # CEMIS20240003645 — 1391 Salvadore Ct. Complainant: Collier County Contractors' Licensing Date of Violation: November 18, 2024 Dear Duane Thomas, A complaint has been filed against you by the above referenced entity. A hearing of this complaint will be held by the Contractors' Licensing Board on Wednesday January 22, 2025, 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 34112. Your presence before the Collier County Contractors' Licensing Board is required at this time. The packet concerning your case 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 receive a copy of this packet, please notify the Contractor Licensing Customer Service Office. 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 finds you in violation of Sec. 22-201.1 of the Collier County, FL Code of Ordinances: Sec. 22-201— MISCONDUCT — Collier County/City certificate of competency. The following action(s) by county contractors shall constitute misconduct and grounds for discipline pursuant to section 22-202 of this article. Violation of Probation Violation: In accordance with the Collier County Contractors' Licensing Board Order dated September 18, 2024, Duane Thomas failed to take and pass the Business and Law examination through an approved Collier County vendor within 60 days of the hearing date. Growth Management Division*Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.col liergov. net Page 314 of 339 C'3o'Me-V Co-uj-sty Growth Management Community Development Department Code Enforcement Division Licensing Section The range of disciplinary sanctions which may be imposed are, (1) Revocation of a Collier County or city certificate of competency; (2) Suspension of a Collier County or city certificate of competency; (3) Denial of the issuance or renewal of a Collier County or city certificate of Competency (4) A period of probation of reasonable length, not to exceed two years, during which the contractor's contracting activities shall be under the supervision of the contractors' licensing board; and/or participation in a duly accredited program of continuing education directly related to the contractor's contracting activities; (5)Restitution; (6)A fine not to exceed $10,000.00; (7)A public reprimand; (8)Reexamination requirement; or (9) Denial of the issuance of Collier County or city building permits or requiring the issuance of permits with specific conditions; (10) Reasonable investigative and legal costs for the prosecution of the violation. Sincerely, Michael P. Bogert Code Enforcement Supervisor Collier County Contractors' Licensing Code Enforcement Division 2800 N. Horseshoe Dr., Naples, FL. 34104 239-252-2450 michael.bogert@colliercountyfl.gov Growth Management Division*Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.col liergov. net Page 315 of 339 THIS SECTION ON DELIVERY :> - - ■ Complete items 1, 2, and 3. SENDER: COMPLETE THIS SECTION COMPLETE ❑ Agent - - ■ Print your name and address on the reverse ❑ Addressee so that we can return the card to you. B.rinted Name) F C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: ess different from item 79 ❑Yes livery address below: ❑ No DUANE THOMAS MARINE CONSTRUCTION LLC 296 ROCKHILL CT. MARCO ISLAND, FL 34145 _ El Priority Mail Express& - - ❑ Registered Mail- _ II1111111 IN III1111111111111111111111111111111 qtl Restricted Delivery 0 Mail Restricted 9t er ified Matlp Delivetryed 9590 9402 8213 3030 3838 11 Certified Mail Restricted Delivery ❑ Signature Confirmation-"' Collect on Delivery ❑ Signature Confirmation 2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery Restricted Delivery - 9589 0710 5270 0155 6104 72 ❑ Insured ld1 7 Insured Mail Restricted Delivery roverssool PS Form 38TT, July 2020 PSN 7530-02-000-9053 Domestic Return Receipt I — Iu S C3 ri Ln Ul C3 E3 M1 ti Ln C3 ra M1 C3 a- w Lrl Ir •;'aye'_- ,.. �y DUANE THOMAS MARINE CONSTRUCTION LLC 296 ROCK HILL CT. MARCO ISLAND, FL 34145 _CVGBOATDR -- C LIf PER 'NAV OUTRIGGER LN AVER REACH DR -! - HO R S E SH O EEOR h S HORSESHOE ER O CORPORAI E FLIGHT DR *Maps CAer Co fIty Growth Management Department Operations & Regulatory Management Division Attn:Licensing 9589 0710 5270 0155 6104 72 2800 Horseshoe Drive North Naples, FL 34104 57-113-138930 DUANE THOMAS MARINE CONSTRUCTION LLC 296 ROCKHILL CT. 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CD cm r- rLi Lrl m � � M Er co Ln tr 03 Ln C) � CD � � � � � � 13L 0 � � � :3 � L2 tL CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA BOARD OF COUNTY COMMISSIONERS ) COLLIER COUNTY, FLORIDA ) Petitioner, ) } vs. ) DUANE O. THOMAS, ) DUANE THOMAS MARINE ) CONSTRUCTION, LLC. ) Respondent ) ORDER Case No: CEM1520240003645 2024-05 License No. C24326 THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on September 18, 2024, for consideration of the Administrative Complaint filed against DUANE O. THOMAS, qualifier of record for DUANE THOMAS MARINE CONSTRUCTION, LLC., hereinafter the "Respondent". The Board having at said hearing heard testimony under oath, received evidence, and heard arguments respective to all appropriate matters, thereupon issues its Findings of Fact, Conclusions of Law, and Order of the Board as follows: Page 1 of 8 427529.1 1/14/2016 Page 320 of 339 a1►1a]V[eLY9]ay_[4aI 1. That Respondent is licensed as a MARINE SEAWALL & DOCK CONSTRUCTION Contractor and the qualifier of record for DUANE THOMAS MARINE CONSTRUCTION, LLC. 2. That the Board of County Commissioners of Collier County, Florida, is the complainant in this matter. 3. That the Board has jurisdiction over the Respondent, and the Respondent was present represented by attorney Neil Snyder at the public hearing. 4. Service of the Complaint and all notices required by the Code of Laws and Ordinances of Collier County, Florida, have been properly issued in accordance with Section 22-201 of the Code of Laws and Ordinances of Collier County, Florida. 5, Attorney Snyder presented a Motion to Dismiss the complaint to the Board. The motion was denied by a vote of 7 in favor of the denial and 0 opposed, a unanimous vote. 6. The evidence presented, testimony given, and on the admission of guilt stated by the Respondent as to Count I, established that the Respondent acted in a manner that is in violation of the Code of Laws and Ordinances of Collier County, Florida, as follows: a. Count I - Collier County Section 22-201(2), which states, in pertinent part, that it is misconduct for a holder of a Collier County Certificate of Page 2 of 8 427529.1 1/14/2016 Page 321 of 339 Competency to contract to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this ordinance or as restricted by the Contractors' Licensing Board 7. That the Contractors' Licensing Supervisor and County staff presented sworn testimony, and the administrative complaint and exhibits thereto were admitted into evidence. The Respondent was afforded an opportunity to present sworn testimony, exhibits, and to cross examine the Contractors' Licensing Supervisor and witnesses. The Board was afforded an opportunity to ask questions of the witnesses. The Respondent admitted guilt by admitting that he had caused a fence to be constructed under his contract with the property owner, which work is outside the scope of his license. 8. The allegations of fact as set forth in the Administrative Complaint are true and therefore such facts are hereby found to be supported by competent, substantial evidence presented at the hearing. CONCLUSIONS OF LAW 1. The facts as alleged and set forth in the Administrative Complaint as to Count I were supported by competent and substantial evidence and this evidence provided clear and convincing proof that the Respondent committed the violation as set forth in the Administrative Complaint. 2. The Respondent violated Code of Laws and Ordinances of Collier County, Florida, Sec 22- 201 in the performance of Respondent's contracting business in Collier County Page 3 of 8 427529.1 111412C 16 Page 322 of 339 by acting in violation of the sections set out with particularity in the Administrative Compliant. 3. Collier County has jurisdiction over this matter and the Respondent. ORDER OF THE BOARD Based on the foregoing Findings of Fact and Conclusions of Law and pursuant to the authority granted in Chapter 489, Florida Statutes, and the Code of Laws and Ordinances of Collier County, Florida, by a vote of 7 in favor and 0 opposed, a unanimous vote of the Board members present and voting, the Board finds Respondent guilty of misconduct by a holder of a Collier County Certificate of Competency to wit as to Count I, Collier County Section 22-201(2), which states, in pertinent part, that it is misconduct for a holder of a Collier County Certificate of Competency to contract to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this ordinance or as restricted by the Contractors' Licensing Board. Upon motion made and seconded and consideration of the following factors; 1. Gravity of the violation, 2. Impact of the violation, 3. Any actions taken by the violator to correct the violation, 4. Any previous violations committed by the violator, 5. Any other evidence presented at the hearing by the parties relevant as to the sanction that is appropriate for the case given the nature of the offense, by a vote of 7 in favor and 0 opposed, a unanimous vote of the Board members present and voting, the Board hereby imposes the following disciplinary sanction(s) upon the Respondent: 1. As to Count 1: Page 4 of 8 427 529.1 1 / 14/2016 Page 323 of 339 a. The Respondent is fined $10,000.00. Said fine shall be paid within 60 days of the date of this hearing, failure to do so will cause the Respondent's license to be automatically revoked. b. The Respondent's license is placed on probationary status for a twenty-four (24) month period. c. The Respondent's permit pulling privileges are suspended for a period of six (6) months, effective as of the date of this hearing. d. The Respondent shall take the Business and Law examination from a vendor approved by Collier County within 60 days of the date of this hearing and pass with a score of 75% or greater. If the Respondent does not do so, he is ordered to appear before the Board for further proceedings. The Respondent, any other party, the chairman of the Contractors' Licensing Board, the Contractors' Licensing Board as a body, or the assistant county attorney who tried the case may request a rehearing of any decision of the Contractors' Licensing Board. A request for rehearing shall be in writing and shall be filed with staff and a copy thereof should be delivered to all other parties within twenty (20) days from the date of mailing or other method of delivery to the Respondent(s) of the Board's written decision. A request for rehearing must be based only on the ground that the decision was contrary to the evidence or that the hearing involved an error on a ruling of law that was fundamental to the decision of the Board. The written request for rehearing must specify Page 5 of 8 427529.1 1 /14/2016 Page 324 of 339 the precise reasons therefore. The decision of the Board that is the subject of the rehearing request will remain in effect throughout the rehearing procedure unless the Board orders otherwise. The Board will make a determination as to whether or not to rehear the matter and its decision shall be made at a public meeting, which will be reduced to writing and mailed to the interested parties within 21 days after the determination is made. If the Contractors' Licensing Board determines it will grant a rehearing, it may: a. Schedule a hearing where the parties will be given the opportunity of presenting evidence or argument limited by the Board to the specific reasons for which the rehearing was granted; or b. Modify or reverse its prior decision, without receiving further evidence, providing that the change is based on a finding that the prior decision of the Board resulted from a ruling on a question of law that the Board had been informed by its counsel was an erroneous ruling and which ruling could affect the substantive decision. The parties are further notified that upon the timely filing of a Notice of Appeal within thirty (30) days you may have the decision of the Board reviewed pursuant to the procedure set out herein. The Respondent may appeal a decision of the Board to the Collier County Circuit Court. Such an appeal shall not be a hearing de nova but shall be limited to appellate review of the record created before the Board. Any appeal shall be filed with the Circuit Court and served on the parties within thirty (30) days of the mailing of the decision of the Board under the Code of Laws and Ordinances of Collier County, Florida, Section 22-202(g)(9). If there has been a re -hearing request granted, the appeal Page 6 of 8 427529.1 1/14/2016 Page 325 of 339 shall be filed with the Circuit Court and served on the parties within thirty (30) days of the mailing of the re -hearing decision under Code of Laws and Ordinances of Collier County, Florida, Section 22-205. In the event that the Respondent elects to appeal, a verbatim record and transcript of the proceedings will be necessary. It shall be the sole responsibility of said party to ensure that a record is made from which a transcript may be prepared which includes the testimony upon which an appeal may be taken. Neither Collier County nor the Board has any responsibility to provide a verbatim record transcript of the proceedings. In accordance with Section 489.131(7) (c) and (d), Florida Statutes, the disciplined contractor, the complainant, or the Department of Business and Professional Regulation may challenge the Board's recommended penalty to the State Construction Industry Licensing Board. Such challenge must be filed within sixty (60) days of the issuance of the recommended penalty to the State Construction Industry Licensing Board in Tallahassee, Florida. If challenged, there is a presumptive finding of probable cause and the case may proceed before the State Board without the need for a probable cause hearing. Failure of the disciplined contractor, the complainant, or the Department of Business and Professional Regulation to challenge the Board's recommended penalty within the time period set forth herein will constitute a waiver of the right to a hearing before the State Construction Industry Licensing Board and be deemed as an admission of the violation such that the penalty recommended will become a final order according to the procedures developed by State Board rule without further State Board action. Page 7of8 427529.1 1 /14/2016 Page 326 of 339 Pursuant to Section 120.59, Florida Statutes, the parties are hereby notified that they may thereafter appeal the Final Order of the State Board by filing one copy of a Notice of Appeal with the Clerk of the Department of Business and Professional Regulation, Northwood Centre, 1940 Monroe Street, Tallahassee, Florida 32399-0792, and by filing the filing fee and one copy of the Notice of Appeal with the appropriate District Court of Appeal within thirty (30) days of the effective date of said State Board Order. ORDERED by the Contractors' Licensing Board effecti e the 18th day of September, 2024. Stephen m.,Jar n, Chair Contractors' Li in Board 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 to the Respondent; and Tim Crotts, Licensing Compliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103, on this day of (r_ g; g i_ , 2024. Secretary / Contractors' Licensing Board Page 8 of 8 427529.1 1114, 2416 Page 327 of 339 Collier County Payment Slip (LC) Date: November 07, 2024 Contact: DUANE O. THOMAS 296 ROCKHILL COURT MARCO ISLAND, FL 34145 FEES: Fee Description I Issuance Type I Issuance # I Licensee # I Amount Examination Administrative Fee Q18928 $130.00 Total: $130.00 To pay online use the following link.- https://cvportal.colliercountyfl.gov/CityViewWeb/ Must be a GMD Public Portal registered user to make payment. Page 328 of 339 Receipt Number: Transaction Number: Date Paid: Amount Due: Payment Details: Amount Paid: Change / Overage: Contact: FEE DETAILS: Fee Description Examination Administrative Fee Cashier Name: Batch Number: Entered By: Collier County Growth Management Division 2800 Horseshoe Drive N. Naples, FL 34104 239-252-2400 RECEIPT OF PAYMENT 20241260206 2024-101876 11/07/2024 $130.00 Payment Method Credit Card $130.00 $0.00 duane thomas 296 rockhill ct marco island, FL 34145 Reference Number cvmanager 13556 ryancathey Amount Paid Check Number $130.00 3952831700 Original Amount GL Account Fee Paid $130.00 $130.00 113-138900-321220 Page 329 of 339 Collier County Growth Management Community Development Department SPONSORSHIP APPROVAL NOTICE DATE: QUALIFIER NO: TESTING AGENCY: EXAM CODE: EXPIRATION DATE: November 07, 2024 18928 PROV FL08100 May 07, 2024 This letter confirms that the sponsorship application for the below applicant has been accepted by Collier County Licensing. The examination administrative fee of $130.00 has been paid. This sponsorship and fee are good for six (6) months from the date payment was received. This fee is not transferable or refundable. This Sponsorship approval notice is sent to the testing agency that the applicant selected on their application. Applicant should reach out to the testing agency directly to acquire reference material and schedule testing dates. Name of Applicant: Address Telephone Date of Birth APPLICANT SPONSORED TO TAKE THE FOLLOWING EXAMINATION: Business and Law Name of Examination Requested SPONSORSED APPLICANT DETAILS DUANE O. THOMAS 296 ROCKHILL COURT MARCO ISLAND, FL 34145 239-642-0166 June 07, 1955 Driver's License #: T52017455207 Email Address: Duanethomasmarine@comcast.net Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslice nsing(a colIiercountyfl.gov Page 330 of 339 From: Duane Thomas To: Ryan Cathev Subject: FW: Score Letter, Thomas - # Unanswered Questions: 2 Date: Wednesdav, January 8. 2025 9:10:33 AM EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. From: scorenoreply@provexam.com <scorenoreply@provexam.com> Sent: Thursday, November 14, 2024 4:34 PM To: duanethomasmarine@comcast.net Subject: Score Letter, Thomas Score Report [Print] Name: Duane O Thomas Test: Business and Law, 2nd edition Sponsor: Collier County Date: 11/13/2024 ID #: Test ID: 091903070 Score: 70 Result: FAIL # Unanswered Questions: 2 Module Subject Area Status LOW CutScoreHIGH FLBO Business Organization F FLLIC Licensing FLTL Tax Laws F P 10 0 -------------------------------------- Page 331 of 339 FLSRR Safety OSHA P FLLL Labor Laws P FLCM Contract Management P W El IA ®❑ Page 332 of 339 FLPM Project Management F FLE&B Estimating & Bidding F -------------------------------------------------- FLFM Financial Management P FLRM Risk Management FLLIEN Lien laws F P 10 10 W Page 333 of 339 From: Duane Thomas To: Ryan Cathev Subject: FW: Score Letter, Thomas -* # Unanswered Questions: 0 - Score: 76 Result: Pass Date: Wednesday, January 8, 2025 9:11:32 AM EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. Thank you. Have a great day. Lee From: scorenoreply@provexam.com <scorenoreply@provexam.com> Sent: Wednesday, November 27, 2024 10:27 PM To: duanethomasmarine@comcast.net Subject: Score Letter, Thomas Score Report [Print] Lt Name: Duarte O Thomas Test: Business and Law, 2nd edition Sponsor: Collier County Date: 11/27/2024 ID #: Test ID: 801345498 Score: 76 Result: Pass # Unanswered Questions: 0 Module Subject Area Status LOW CutScoreHIGH FLBO Business Organization F 8° Page 334 of 339 FLLIC Licensing FLTL Tax Laws FLSRR Safety OSHA FLLL Labor Laws F P P P 0 100 8 ®❑ ®❑ M Page 335 of 339 FLCM Contract Management FLPM Project Management F FLE&B Estimating & Bidding F FLFM Financial Management F .------------ ---------------------------------- -------- FLRM Risk Management P Page 336 of 339 FLLIEN Lien laws 10 Page 337 of 339 From: su000rt(ftroyexam.com To: Ryan Cathey Subject: RE: Duane Thomas - Exam Result Date: Thursday, January 9, 2025 11:15:31 AM EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. Good morning Ryan, Yes, 76 is the correct score for Duane Thomas' Collier County Business and Law 2nd ed. exam taken on 11/27/24. Thank you, Becky Seamons Customer Service Supervisor From: Ryan.Cathey@colliercountyfl.gov Sent: Thu Jan 09 2025 07:16:25 GMT-0700 (Mountain Standard Time) To: support@provexam.com Subject: RE: Duane Thomas - Exam Result The applicant sent me an e-mail with the results. However, Assistant Director Timothy Crotts (Code Enforcement) is asking for verification of those scores from PROV. Please see the attached test results and confirm if this is accurate. Thank you, Ryan Cathey Supervisor - Operations I Code Enforcement Office:239-252-2418 2800 Horseshoe Dr N Naples, FL 34104 Ryan, Cathey(2colliercountvfl.aov From: support@provexam.com <support@provexam.com> Sent: Thursday, January 9, 2025 9:11 AM To: Ryan Cathey <Ryan.Cathey@colliercountyfl.gov> Subject: RE: Duane Thomas - Exam Result EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. I can go ahead and have the SL sent to his email that's on file. Unless he calls in and verifies his information and tells us to send that over to you. Warm regards, The Prov Team From: Ryan.Cathey-&colliercountyfl.gov Page 338 of 339 Sent: Thu Jan 09 2025 07:05:26 GMT-0700 (Mountain Standard Time) To: sWport&provexam.com Subject: Duane Thomas - Exam Result Good Morning, We have a contractor going before our licensing board on January 22. I am trying to confirm his test results for the business and law exam. Would you please forward the results for Duane O Thomas — Business and Law. I believe this was completed on November 27, 2024. Thank you, Ryan Cathey Supervisor - Operations I Code Enforcement Office:239-252-2418 2800 Horseshoe Dr N Naples, FL 34104 Ryan. Cathey colIiercountyfl.gov Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. Page 339 of 339