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Noncash Charitable Contributions (Form 8283) Form 8283 Noncash Charitable Contributions OMB.No 15.15.090e (Rev December 2a14) ►Attach to your tax return it you claimed a total deduction Department of the Treasury of over$500 for ail contributed property. Attachment !Memo!Revenue Service ► Information about Form 8283 and its separate Instructions Is at www.irs.00virorm8283. sequence No. 155 Name(s)shown on your income tax return Identifying number CG II, LLC 06-1688824 Note. Figure the amount of your contribution deduction before completing this form.See your lax return instructions. Section A. Donated Property of$5,000 or Less and Publicly Traded Securities- List in this section only items(or groups of similar items)for which you claimed a deduction of$5,000 or less.Also list publicly traded securities even if the deduction is more than$5,000(see instructions). Part I Information on Donated Property- II you need more space,attach a statement. 1 (a)Name and address of the f(b),tdonated property isIvehicle.chedt ! (c)Description of donated properly the boa Alae enter the vertfcle Identakeuon ! (For a vet,:cte,enter the year,make model,and mileage. donee organization number(artless Form/eie•C Is attached) I For secWUas.entre the company name and the number of ana.ea) A n _ e I1 n E � n Note.II the amount you claimed as a deduction for art dem is$500 or less,you do not have to complete columns(e),(I),and to). (d�p�ta of Me (/s oat.ocguked (t)How acquired (g))Donr'e coal r (h)Far market value (i)Method used to detrmin•the lair Eonblbullors b/dawr. mc., t-- by donor admuled bast$ flee lnetrucucytaj,_. market value A •, • C D 'Part II Partial Interests and Restricted Use Property-Complete lines 2a through 2e if you gave less than an entire interest in a properly listed in Part I.Complete lines 3a through 3c it conditions were placed on a contribution listed in Part I;also attach the required statement(see instructions). 2 a Enter the letter from Part I that Identifies the property for which you gave less than an entire interest ► If Part II applies to more than one property,attach a separate statement. h Total amount claimed as a deduction lot the property listed in Part I: (1)For this tax year ► (2)For any prior tax years - c Name and address of each organization to which any such contribution was made in a prior year(complete only if different from the donee organization above): Name of ohr,table organization(donee! Address(number,street,and room or au to no) City or town,$(ale,and ZIP coda d For tangible property,enter the place where the property is located or kept► e Name of any person,other than the donee organization,having actual possession of the property ► Yes No 3 a Is there a restriction,either temporary or permanent,on the donee's right to use or dispose of the donated property? b Did you give to anyone(other than the donee organization or another organization participating with the donee organization in cooperative fundraising)the right to the income from the donated properly or to the possession of the property,including the right to vote donated securities,to acquire the property by purchase or otherwise,or to designate the person having such income,possession,or right to acquire? . c Is there a restriction trailing the donated property for a particular use? LHA For Paperwork Reduction Act NotIce,see separate Instructions. Form 8283(Rev.12-2014) r1pi31 04.01.1T Form 8283(Rev.12-2014) Pays 2 Name(s)shown on your income tax return Identifying number CG II LLC 06-1688824 Section B. Donated Property Over$5,000(Except Publicly Traded Securities)- Complete this section for one item(or one group of similar items)for which you claimed a deduction of mare than$5,000 per item or group(except contributions of publicly traded securities reported in Section A).Provide a separate form for each property donated unless it is part at a group of similar items.An appraisal is generally required for property listed in Section 8.See instructions. (Part 1 I information on Donated Property• To be completed by the taxpayer and/cr the appraiser. 4 Check the box that describes the type of property donated: a [] Art"(contribution of$20,000 or more) d C] Art*(contribution of less than$20,000) g El Collectibles" j 13 1 Other b [1 Qualified Conservation Contribution e Other Real Estate h Q Intellectual Property c I Equipment I EJ Securities I D Vehicles 'Mo on:vdea uaxrnoa,aculpty ea,watercot,a,amts,Crewing,.earamr_s.antiques.decvaDve arta.16state.carpels,lava,vara rawanmipta.niator!cai memorao;ll a.and 011..er amen/obiscta —Ceneci bles include coin,,aln,Cli,s booed,yarns,)ewety spats mesn;rab pia,dolls,etc,but rot al aa defined above Note. In certain cases.you must attach a aua!ilied appraise of the property.See instructions. 5 (a) Description of donated property(if you need (b)It tangible property was donated,give a brief summary of the (c)Appraised fair more space,attach a separate statement) overall physical condition of the property at the time of the gift market value A 61 ACRES — SEE EXHIBIT A SEE APPRAISAL B _ C (d).Date See Instructions acquired by (e)Hart acquired (I) Donor's cost or (Q) Far bargain sales, donor by donor adjusted basis enter amount received (h)Amount claimed as a (1) Dale of contribution (ma.,vr.l deduction A 107/03 PURCHASE 12, 000 ,000. 05/04/18 8 C 0 Pert 11 Taxpayer(Donor)Statement-List each item included in Part I above that the appraisal identifies as having a value at S500 or less.See instructions. I declare that the following item(s)included in Part I above has to the best of my knowledge and belief an appraised value of nal more than$500(per item).Enter Identifying letter from Part I and describe the specific item.See instructions.► Signature of taxpay_er(donor) ► Dale ► I Part 111 1 Declaration of Appraiser I declare that I am not Ins dma,the donee,a?arty to the baasact,on in which he Cora acquired we progeny employed by or tainted to arty of the foregoing;maces,of marred to any person who Is related le any of lasIOre,�Oing DK Wry And.if repinety used by one dance,Carse,a Piety to 4'+e transaction,I p>lxrod the 1110Cr try of.ray appraisals diming my las yea !a obit,;mean,. Abe I cholla.that I perfa-n appraisals an a ray.,:$:esu:and that beoayse of my r.,ant:cation,as deaenbed:n ore ap?raise,t am qualified to masa=praisats of the type of,zopaty being valued I cert iy that the appryyal lees wets no(based on a pedcentags of the aeprased poverty value.Fur,-amore,I undo shad trot 3 latae a Ilaudutent o'vat aterner.l of the;meaty value as desalbed!n tn. quailiied appraisal a this Fan,629.7 may,..bpct me to he perair un Cor aachcn 6:01(a)(arcahg and abetting the understatement of tan tlabt!ity)In add:pnn I trdet Aland that I may be aub;ect to a penalty Lada Section mos.If l know,a:saacnably should know.that my appraisal id to be used En 0oenectr-n with a rattan x clot,^..fa reitr.d and s au-ba!ar.:el or 7oaa va oaten misstatement resulU ham my appraisal.I adirm that I hove not been barred ham cresenuna evidence a testimony by Lim Office of Pretest-snot Rescoavb'hy Sign Here I signator• Title bp, Cala► Biasesaddress(Ircrudingmom asu.ler•oI Identifying number City or town,state,and ZIP cods Part IV I Donee Acknowledgment-To be completed by the charitable organization. This charitable organization acknowledges that It is a qualified organization under section 170(c)and that it received the donated property as described in Section B,Part I,above on the following date ► 05/04/18 Furthermore,this organization affirms that In the event it sells,exchanges,or otherwise disposes of the property described in Section 8,Part I (or any portion thereof) within 3 years after the date of receipt,it will file Form 8282, Donee tnlormation Return,with the IRS and give the donor a copy of that farm.This acknowledgment does not represent agreement with the claimed lair market value. Does the organization intend to use the property tar an unrelated use? ► El Yes Il No Name of charitable organization(donee) Employeridentificationnumber COLLIER COUNTY, FLORIDA 5 1 -6 O00556 Address(number,street, room or suite no.) City or town,slate,and ZIP code 3333 m M( NAPLES, FL 34112 Authorized sig ore a Title Dale • > Ch lirrnia.r 710232 04-01-17 Form 8283(Rev.12-2014) • Apptc r;.... 16560501 765826 DLBCGII 2017.03040 CG II, LLC DL' CG{II1 roved as to form and • --1T E. BROCK, Clerk CA,R._, Attest 2S4airAssT§tant County ATI),ncy _ 4 U N89'13'U1"E 646 71' F...a, NT E, 1 .00 vd'i 00111,055.0LE D SISSIAY SO , 1._100) NB9°13'O1'E 506.60' a z NOO`47'00'W 465.01'-• N89'13'OG"E 411,86'-\ N4 II, u v o6 m oW tH 0 w M 'W G 2 7 00 10 tl O z S06"27'31"W 66.0(1' 34 --4-- N89'00'01'E 3728.0S' 389°00'O'I'W 1487.52' 3 (5 ti,..E OF N VI Of SEC 35-71W t¢RGE 28) ' -POINT OF BEGINNING MIDPOINT OF EAST LINE J 4 POINT OF OF SECTION 35 COMMENCEMENT: WEST 1!4 CORNER OF SECTION 35 2 F 3 7.;-- DESCRIPTION E A PORTION OF SECTION 35, TOWNSHIP 40 SOUTH, RANGE 26 EAST, COLLIER COUNTY, FLORIDA, BEING MORE PARTICULARLY i DESCIBED AS FOLLOWS: I. COMMENCE AT THE WEST QUARTER CORNER OF SECTION 35, TOWNSHIP 49 SOUTH, RANGE 26 EAST, COLDER COUNTY 6 FLORIDA; THENCE NORTH 89'00'01' EAST ALONG THE SOUTH LINE OF THE NORTH 1/2 OF SAID SECTION 35, A DISTANCE OF 3728.95 FEET TO THE PONT OF BEGINNING; THENCE NORTH NOT A SURVEY • 00'46'38" WEST DEPARTING SAID SOUTH UNE, A DISTANCE OF I HEREBY CERTIFY,TO THE BEST OF NY KNOWLEDGE 1 1103.12 FEET; THENCE NORTH 89'13'00" EAST, A DISTANCE OF ANO BELIEF;THAT THE LEGAL DESCRIPTION AND 411.68 FEET; THENCE NORTH 00'47'00" WEST, A DISTANCE OF ATTACHED SKETCH WERE PREPARED IN ACCORDANCE 465.81 FEET; THENCE NORTH 89'13'01" EAST, A DISTANCE OF WITH THE APPUCABLE PROVISIONS Of CHAPTER ko 506.60 FEET; THENCE NORTH 00'46'59" WEST, A DISTANCE OF 7.1,-C17.05. RORIW AO6RNISTRATNE CODE, PURSUANT 633.97 FEET; THENCE NORTH 8913'01" EAST, A DISTANCE OF HAPTER 4n, FtoAla srATulEs. • 646.71 FEET TO AN INTERSECTION OF THE EAST LINE OF SAID SECTION 35; THENCE SOUTH 00'30'14" EAST ALONG THE SAID • EAST LINE, A DISTANCE OF 2194.13 FEET TO THE SOUTHEAST BARRY E. SYREN(FCR THE MU L.B. 642) is CORNER OF THE SAID NORTH 1/2; THENCE SOUTH 851731" PROFESSIONAL SURVEYOR ANO MAPPER >r WEST ALONG THE SOUTH LINE OF THE NORTH 1/2 OF SAID FLORIDA CERTIFICATE NO. 5365 R SECTION 35. A DISTANCE OF 66.98 FEET; THENCE SOUTH R B9'00'01" WEST ALONG THE SAID SOUTH LINE, A DISTANCE OF GATE SIGNED: -- < 1487.52 FEET TO THE POINT OF BEGINNING. NOT VAUD WITHOUT THE SIGNATURE AND ORIGINAL & RAISED SEAL OF A FLORIDA LICENSED SLRVEYOR g PARCEL CONTAINS 61.00 ACRES, MORE OR LESS ANO MAPPER. MEMO JO2M5LW 101GIh10 COS WC. 3350 sr ID 4 ccu� SKETCH AND DESCRIPTION HG LE'S,noeu 34:12 InNO':E:13:01 43N-0313 ENGINEERING F-4.25(2311) i.3. AEWE ..react� AU CO. a¢r .'1 11/2017 20110213 35-40-26 1'.700' [ 1 W . _-..,<,/'-) 1 A iii Form 8283 Noncash Charitable Contributions OMB No.1545-0908 ► Attach to your tax return if you claimed a total deduction (Rev.December 2014) of over$500 for all contributed property. Attachment Department of the Treasury Sequence No.155 Internal Revenue Service ► Information about Form 8283 and its separate instructions is at www.irs.gov/form8283. Name(s)shown on your income tax return Identifying number CG II,LLC 06-1688824 Note.Figure the amount of your contribution deduction before completing this form.See your tax return instructions. Section A. Donated Property of $5,000 or Less and Publicly Traded Securities—List in this section only items (or groups of similar items) for which you claimed a deduction of $5,000 or less. Also list publicly traded securities even if the deduction is more than$5,000(see instructions). Part I Information on Donated Property—If you need more space, attach a statement. (b)If donated property is a vehicle(see instructions), (c) Description of donated property 1 (a) Name and address of the check the box.Also enter the vehicle identification (For a vehicle,enter the year,make,model,and donee organization mileage.For securities,enter the company name and number(unless Form 1098-C is attached). the number of shares.) A ■i■■au■NIMMEN■■■■ El B •■ui■iuii■iui■iii c ❑ ■u•■i■I MINE ■■I■ D ❑ •IIUiUUIUUU•UIUI E •••••••••ui••••• Note.If the amount you claimed as a deduction for an item is$500 or less,you do not have to complete columns(e),(f),and(g). (d) Date of the (e) Date acquired (f) How acquired (g) Donor's cost (h) Fair market value (i) Method used to determine contribution by donor(mo.,yr.) by donor or adjusted basis (see instructions) the fair market value A B C D E Part II Partial Interests and Restricted Use Property—Complete lines 2a through 2e if you gave less than an entire interest in a property listed in Part I. Complete lines 3a through 3c if conditions were placed on a contribution listed in Part I; also attach the required statement(see instructions). 2a Enter the letter from Part I that identifies the property for which you gave less than an entire interest 10- If If Part II applies to more than one property,attach a separate statement. b Total amount claimed as a deduction for the property listed in Part I: (1) For this tax year OP- (2) (2) For any prior tax years ► c Name and address of each organization to which any such contribution was made in a prior year(complete only if different from the donee organization above): Name of charitable organization(donee) Address(number,street,and room or suite no.) City or town,state,and ZIP code d For tangible property,enter the place where the property is located or kept 0- e e Name of any person,other than the donee organization, having actual possession of the property► 3a Is there a restriction, either temporary or permanent, on the donee's right to use or dispose of the donated Yes No property? b Did you give to anyone (other than the donee organization or another organization participating with the donee organization in cooperative fundraising)the right to the income from the donated property or to the possession of the property,including the right to vote donated securities,to acquire the property by purchase or otherwise,or to designate the person having such income, possession, or right to acquire? c Is there a restriction limiting the donated property for a particular use? For Paperwork Reduction Act Notice,see separate instructions. Cat.No.62299J Form 8283(Rev.12-2014) Form 8283(Rev.12-2014) Page 2 Name(s)shown on your income tax return Identifying number CG II,LLC 06-1688824 Section B.Donated Property Over$5,000(Except Publicly Traded Securities)—Complete this section for one item(or one group of similar items) for which you claimed a deduction of more than $5,000 per item or group (except contributions of publicly traded securities reported in Section A). Provide a separate form for each property donated unless it is part of a group of similar items.An appraisal is generally required for property listed in Section B. See instructions. Part I Information on Donated Property—To be completed by the taxpayer and/or the appraiser. 4 Check the box that describes the type of property donated: a ❑ Art'(contribution of$20,000 or more) d ❑ Art*(contribution of less than$20,000) g ❑ Collectibles" j ❑✓ Other b ❑ Qualified Conservation Contribution e ❑ Other Real Estate h ❑ Intellectual Property c ❑ Equipment f ❑ Securities i ❑ Vehicles 'Art includes paintings,sculptures,watercolors,prints,drawings,ceramics,antiques,decorative arts,textiles,carpets,silver,rare manuscripts,historical memorabilia,and other similar objects. "Collectibles include coins,stamps,books,gems,jewelry,sports memorabilia,dolls,etc.,but not art as defined above. Note.In certain cases,you must attach a qualified appraisal of the property.See instructions. 5 (a) Description of donated property(if you need (b) If tangible property was donated,give a brief summary of the overall (c) Appraised fair more space,attach a separate statement) physical condition of the property at the time of the gift market value A 4 83 Acres-See Exhibit A SEE APPRAISAL B C D (d)Date acquired (e)How acquired by donor (f)Donor's cost or (g)For bargain sales,enter See instructions by donor(mo.,yr.) adjusted basis amount received (h)Amount claimed as a deduction G)Date of contribution A 07/03 PURCHASE $966,000.00 3/05/2019 B C D Part II Taxpayer(Donor)Statement—List each item included in Part I above that the appraisal identifies as having a value of$500 or less. See instructions. I declare that the following item(s)included in Part I above has to the best of my knowledge and belief an appraised value of not more than$500 (per item).Enter identifying letter from Part I and describe the specific item.See instructions.► Signature of taxpayer(donor)► Date► Part III Declaration of Appraiser I declare that I am not the donor,the donee,a party to the transaction in which the donor acquired the property,employed by,or related to any of the foregoing persons,or married to any person who is related to any of the foregoing persons.And,if regularly used by the donor,donee,or party to the transaction,I performed the majority of my appraisals during my tax year for other persons. Also,I declare that I perform appraisals on a regular basis;and that because of my qualifications as described in the appraisal,I am qualified to make appraisals of the type of property being valued.I certify that the appraisal fees were not based on a percentage of the appraised property value.Furthermore,I understand that a false or fraudulent overstatement of the property value as described in the qualified appraisal or this Form 8283 may subject me to the penalty under section 6701(a)(aiding and abetting the understatement of tax liability).In addition,I understand that I may be subject to a penalty under section 6695A if I know,or reasonably should know,that my appraisal is to be used in connection with a return or claim for refund and a substantial or gross valuation misstatement results from my appraisal.I affirm that I have not been barred from presenting evidence or testimony by the Office of Professional Responsibility. Sign Here signature P. Title I. Date I. Business address(including room or suite no.) Identifying number City or town,state,and ZIP code Part IV Donee Acknowledgment—To be completed by the charitable organization. This charitable organization acknowledges that it is a qualified organization under section 170(c)and that it received the donated property as described in Section B,Part I,above on the following date► Furthermore,this organization affirms that in the event it sells,exchanges,or otherwise disposes of the property described in Section B, Part I(or any portion thereof)within 3 years after the date of receipt,it will file Form 8282, Donee Information Return,with the IRS and give the donor a copy of that form.This acknowledgment does not represent agreement with the claimed fair market value. Does the organization intend to use the property for an unrelated use? ► ❑ Yes ❑ No Name of charitable organization(donee) Employer identification number COLLIER COUNTY FLORIDA 59-6000558 + / ' Address(number, , • suite no.) City or town,state,and ZIP code 333 TAti1'�fu `*L AST NAPLES FL 34112 A oh. d e Title Date A IFS` C sa:.\r' CRYSTAL L K.KINZEI:, RK Aippmm el'as tv If'i,tta Ca UI k regyS283(Rev.12-2014) ISL7Y' w n� h c 1 A of 1'r.n`N.. A•4...-.,. ., Exhibit"A" A PORTION OF LOT 10,CITY GATE COMMERCE PARK PHASE THREE,AS RECORDED PLAT BOOK 63,PAGE 84, OF THE PUBLIC RECORDS OF COLLIER COUNTY, FLORIDA, LYING IN SECTION 35, TOWNSHIP 49 SOUTH, RANGE 26 EAST,COLLIER COUNTY,FLORIDA,BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: ALL OF SAID LOT 10,LESS THE WEST 52.77 FEET. , _ .0-9 4 I 0+ C GATE COMMERCE PARK P-A5.--REE 0_ o R - i _'s s _v z U 2� F N V V i. 1 - REMAINDER OT '0 "'1 5'' PARCEL M1 60950^_4422 i 012 GA'_ 50885658 FARK PHASE" 4.gi---.4 c n LLC N00 46'59"W 633.97(C) Pe 63 PC eb) t./ , —46' - 'i' C) '0o o9 j P. 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Z T > Z " ••5 DA O .Din m D N I m p > m0 p I MCII REVISIONS P ii $IB ' A PORTION OF LOT 10 m y 0 " C C , 1 ' CITY GATE COMMERCE PARK PHASE THREE a I g,m" 1 (PLAT BOOK 63,PAGE 84) y;.,� m G O PUE 1C RECORDS OF COLLIER COUNTY,FLORIDA c m> j a °i -.< - --_' — SECTION 35,TOWNSHIP 49 SOUTH,RANGE 26 EAST Y 5:-_ _ COLLIER COUNTY,FLORIDA Z i 3 : Si