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Agenda 04-04-19 B1 1 �►.�+'I �1 Q�,�\�\„B E AC Ki C R A COMMU N ffY REDEVELOPMENT AGENCY CRAAdvisory Board Meeting Thursday,April 4, 2019 -6:30 PM Intracoastal Park Clubhouse, 2240 N. Federal Highway, Boynton Beach, FL 33435 561-737-3256 ADVISORYEN AGENDA 1. Call to Order 2. Roll Call 3. Agenda Approval A. Additions, Deletions, Corrections to the Agenda B. Adoption of Agenda 4. Information Only A. Financial Report Period Ending March 31, 2019 5. Public Comment 6. Consent A. Approval of CRAAdvisory Board Meeting Minutes- March 7, 2019 7. Assignments A. Pending Assignments 1. Consideration of Equitable Economic Development Grants B. Reports on Pending Assignments C. New Assignments 8. CRA Board Items for CRAAdvisory Board Review and Recommendations A. Old Business 1. Discussion and Consideration of the Conceptual Design and Development Terms for the CRA's MLK Jr. Blvd Redevelopment Project B. New Business 9. Future Agenda Items 10. Adjournment Notice THE CRA SHALL FURNISH APPROPRIATE AUXILIARY AIDS AND SERVICES WHERE NECESSARY TO AFFORD AN INDIVIDUAL WITHA DISABILITYAN EQUAL OPPORTUNITY TO PARTICIPATE INAND ENJOY THE BENEFITS OF A SERVICE, PROGRAM OR ACTIVITY CONDUCTED BY THE CRA. PLEASE CONTACT THE CRA, (561) 737-3256,AT LEAST 48 HOURS PRIOR TO THE PROGRAM OR ACTIVITY IN ORDER FOR THE CRA TO REASONABLY ACCOMMODATE YOUR REQUEST. ADDITIONAL AGENDA ITEMS MAY BE ADDED SUBSEQUENT TO THE PUBLICATION OF THE AGENDA ON THE CRNS WEBSITE. INFORMATION REGARDING ITEMS ADDED TO THE AGENDAAFTER IT IS PUBLISHED ON THE CRNS WEBSITE CAN BE OBTAINED FROM THE CRA OFFICE. 1 I, AGENCYB E AC H C R A COMMUNITY REDEVELOPMENT ADVISORY BOARD ITEM 4.A. INFORMATION ONLY SUBJECT: Financial Report Period Ending March 31, 2019 SUMMARY: Attached is the monthly budget report for March 2019 representing the Agency's revenues and expenses (Attachment 1); Statement of Revenues, Expenditures and Changes in Fund Balance Report (Attachment 11); and, Budget Comparison Schedule - General Fund (Attachment III). CRA PLAN/PROJECT/PROGRAM: 2016 Boynton Beach Community Redevelopment Plan and FY2018-2019 CRA Budget ATTACHMENTS: Description D Attachment I - March 2019 Financial Summary o Attachment II -Statement of Revenues, Expenditures and Changes in Fund Balance Report D Attachment III - Budget Comparison Schedule I ,� C7 0 M 0 0 0 m 0 in M 00 in 0 Hz - O 000 II m m M0 0 Myo X000 In II 0 W w H 0 0 0 o m m o o o oro '.q H O O O m O �o LOLOo �o LO �o ,� II M o o Ln o v - II � ca o 1O o 1O � o II 1O o 1O c� o � � m o o II w 0 -- II om 61 O oM 0 LO0� � oo M �' m 0 II m m LO LO m In m II iO may' M N - o LO II N m o LO m o m m o 0 0- II 'z 0.II N � � � � � II II N II II H 00 0Oo II oO 00 00 - 0 O 00 0Oo II o ca 0 0 0 0 0 o II o 0 0 0 0 o m o m o 0 0 0 0 0 II w acG oO 000o II oO 00 o� om 0 - 000000 y' w II o c� H m o m - O M m II O m m m m m O o m o O o w o m o o � II o m o � m � � O m o m m 10 0 0 II Ca H II II W FC W - M M M - 0 II LO O 0 O O N 61 ,� O (n LO 0 iO m H Q U ,� O in LO O LO m iO m 0 m m m O LO O N H Z ,� �O II iO c� ,� �o c� o m II Ca O FC - IIII - - - - - - - - - - - - - - - - - h Ha L - O-,� II �Om o-c,- o- FC I al O - 0 cC H c� U O o 0 0 o o m m m m m o LO o a H o m o o o o o 1O 1� 1� o o II x w O iO O 61 a' 0 l0 O ,� H O f� O O ,� N 00 M - FC m -a H 0 o II o m 0,� o O O ,� �o �o M 0 II o w co m w x H > cG U 0 H II In m H 0 cg II c� h cG O H II In o z z Illi Illi o x w o O0 0 o O I I o 0 0 0 o LO 0 0 M �O M O m I I o m 0 �o w o S I I 0 0 0 0 - o 0 0 M �O � �o o m S I I cn ca H o o Ln o-In-o- o-r- -1O m- 1O II - II - - - - - - - - - - q C7 - 0 o m o m o m m O W 'z Ca N o N II m LO Cfl N N o L� o �O In m �O N II cC II II �00 O0 oO m0 00O 000 m � MLO o a m0 m II 0m 0O O 000 MO goo m II o II o c0 c0 c0 m o m o m M O �o c0 II C7 Ca - o c0 II m 0 o c0 �o c0 c0 �o In m �o c0 II 0 0 In H H II H II co cC H H o z z 0 W z o z x H H co x w a cC 5W_,' Ca a w co co q r c7 o w w co rOL co cn w rWL z z co co > a z H w z w O H z z H a z m w H H w H O O w w H w H w w U z H O z H H w '> > y' co 'z H U > oQ H O f� w a co U w z H 'z w H CC w O co FC z CC W ',� W C4 H H U H C7 U' U W Z, W CC CC W O xa co H zxa > z co w cozz Ha www a co co co cC w cC H co O co w w H U H 'x, U H C7 2. 2. 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W 'Z, cn W M M M M M FC Cu FC W co H CO 6l 6l 6l 6l 6l H H N I H FC U H I I I I I H W H 0. a CG m In In In m m x 000 00 H CD q q a q 0 H 'wz IIII o w w H II O C7 z o II o Ca H � II FC cC w II U ry c� I I N w - u - � u o II o ca o II o w II a cC o II o E, wx O � II II U I I z u w u w � u � E H u w a w o u H wi z � IIII m � H - -- ccCC H c� U cC CL H N II N x w cn u El H m w x H > - u cC c� 'z H o II o � cC O H H II H O H '' a, N IIII N H 0. x 0 H II O W cq Q H IIII w wz Q m IIII w � x N IIII > u w u c4 I I �n II o a H IIII cH7 Q m IIII cCm - u O c� II W CC H H Q z w cn a a w x H H cn c4 0 H H o cC H a c� ca w o� cwr� O w O m w z W w w i w w H x 0 H ca o H cC BOYNTON BEACH COMMUNITY REDEVELOPMENT AGENCY (A Component Unit of the City of Boynton Beach,Florida) Statement of Revenues,Expenditures and Changes in Fund Balances Through Year to Date-March 29,2019 Total Debt Service Governmental General Fund Projects Fund Fund Funds REVENUES Tax increment revenue $ 12,558,411 $ $ $ 12,558,411 Marina Rent&Fuel Sales 474,181 474,181 Contributions and donations - - Interest and other income 137,013 115,448 3,378 255,839 Total revenues 13,169,605 115,448 3,378 13,288,432 EXPENDITURES General government 1,480,323 - - 1,480,323 Redevelopment projects - 1,096,740 1,096,740 Debt service: - Principal - - - Interest and other charges - - 210,476 210,476 Total expenditures 1,480,323 1,096,740 210,476 2,787,540 Excess(deficiency)of revenues over expenditures 11,689,282 (981,292) (207,098) 10,500,892 OTHER FINANCING SOURCES(USES) Funds Transfers in - 7,462,303 2,136,465 9,598,768 Funds Transfers out (9,598,768) - (9,598,768) Total other financing sources(uses) (9,598,768) 7,462,303 2,136,465 - Net change in fund balances 2,090,514 6,481,011 1,929,367 10,500,892 Fund balances-beginning of year 2,402,302 11,105,679 91,183 13,599,164 Fund balances-end of year $ 4,492,816 $ 17,586,690 $ 2,020,550 $ 24,100,056 Footnote: Transfers between funds include monies received from TIF and carryover from general fund balance. The notes to the basic financial statements are an integral part of this statement. I BOYNTON BEACH COMMUNITY REDEVELOPMENT AGENCY (A Component Unit of the City of Boynton Beach,Florida) Statement of Revenues,Expenditures and Changes in Fund Balances Through Year to Date-March 29,2019 Total Debt Service Governmental General Fund Projects Fund Fund Funds REVENUES Tax increment revenue $ 12,558,411 $ $ $ 12,558,411 Marina Rent&Fuel Sales 474,181 474,181 Contributions and donations - - Interest and other income 137,013 115,448 3,378 255,839 Total revenues 13,169,605 115,448 3,378 13,288,432 EXPENDITURES General government 1,480,323 - - 1,480,323 Redevelopment projects - 1,096,740 1,096,740 Debt service: - Principal - - - Interest and other charges - - 210,476 210,476 Total expenditures 1,480,323 1,096,740 210,476 2,787,540 Excess(deficiency)of revenues over expenditures 11,689,282 (981,292) (207,098) 10,500,892 OTHER FINANCING SOURCES(USES) Funds Transfers in - 7,462,303 2,136,465 9,598,768 Funds Transfers out (9,598,768) - - (9,598,768) Total other financing sources(uses) (9,598,768) 7,462,303 2,136,465 - Net change in fund balances 2,090,514 6,481,011 1,929,367 10,500,892 Fund balances-beginning of year 2,402,302 11,105,679 91,183 13,599,164 Fund balances-end of year $ 4,492,816 $ 17,586,690 $ 2,020,550 $ 24,100,056 Footnote: Transfers between funds include monies received from TIF and carryover from general fund balance. The notes to the basic financial statements are an integral part of this statement. I 1 I, B E AC H C R A COMMUNITY REDEVELOPMENT AGENCY ADVISORY BOARD ITEM 6.A. CONSENT SUBJECT: Approval of CRA Advisory Board Meeting Minutes - March 7, 2019 SUMMARY: See attached minutes. CRAAB RECOMMENDATION: Approve March 7, 2019 CRAAdvisory Board meeting minutes. ATTACHMENTS: Description D 03.07.19 CRAAB Minutes MINUTES OF THE CRAADVISORY BOARD MEETING INTRACOASTAL PARK CLUBHOUSE 2240 N. FEDERAL HIGHWAY BOYNTON BEACH, FLORIDA 33435 HELD ON THURSDAY, MARCH 7, 2019, AT 6:30 P.M. PRESENT: STAFF: Linda Cross, Chair Michael Simon, CRA Executive Director Robert Pollock, Vice Chair Thuy Shutt, CRAAssistant Director Anthony Barber Theresa Utterback, CRA Dev. Svcs. Mgr. Allen Hendricks Lisa Tayar, Prototype, Inc. Rick Maharajh Thomas Devlin ABSENT: Golene Gordon 1. Call to Order The meeting was called to order at 6:35 p.m. 2. Roll Call Roll was called, and it was determined a quorum was present. 3. Agenda Approval A. Additions, Deletions, Corrections to the Agenda — None B. Adoption of Agenda Upon motion duly made and seconded, the Agenda was unanimously approved. 4. Information Only A. Financial Report Period Ending February 28, 2019 No questions. 5. Public Comment — None 6. Consent A. Approval of CRAAdvisory Board Meeting Minutes — February 7, 2019 Motion made by Mr. Barber, seconded by Mr. Pollock, to approve the February 7, 2019, minutes. In a voice vote, the motion passed unanimously (6-0). 7. Assignments A. Pending Assignments Meeting Minutes CRA Advisory Board Boynton Beach, Florida March 7, 2019 1. None B. Reports on Pending Assignments 1. None C. New Assignments 1. Discussion and Consideration of the CRA's MLK Jr Blvd Project Conceptual Development Terms Mr. Simon reported on the February 12, 2019, CRA Board meeting; the presentation from Centennial Management Corp was heard. The CRA Board voted not to move forward, but wants the CRAAB to listen to the presentation from Centennial Management for the RFP, which is a conceptual project. CRAAB needs to determine recommendations: • Listen to various financing options available; • Income eligibility for funds; connect dots between funding source and targeted income; • Comment on overall site plan and components. The goal is to try to find out how CRAAB and the public feel about this project. Instructions for initial public comment and beginning of Board recommendations were given. Brian Jaffey, Centennial Management, gave a Power Point presentation (see attached) on the conceptual site plan. Chair Cross asked about the timeline on the financing structure on the 9% and SAIL. The timeline is late October/early November, but site control must be set by that time to apply for both. Ocean Breeze East could possibly impact this development; due to local government contribution, proximity will not affect the 9%, however, it could affect the SAIL. To apply for SAIL, it would have to be an elderly demographic or Workforce; the difference between the two was discussed as there are two options for income under SAIL which provide a different target range. Workforce was under contract, but with the postponements, the contract expired and must be renegotiated so exact amounts are not currently known. Elizabeth Roque, Centennial Management, continued the discussion on the income/rent ratios, income limits, and utility allowances. Mr. Barber wondered about previous meetings when it was discussed contributing x-amount of dollars for one full parcel; Mr. Simon said there is funding available in the project either for acquisition or construction. The cost of Bell's property is prohibitive to the project and will not be part of the project. Mr. Pollock asked about single family homes. Ms. Roque explained this is an affordable housing community, rental property only. Another phase is being explored for townhouses and first time buyers. Mr. Simon 2 Meeting Minutes CRA Advisory Board Boynton Beach, Florida March 7, 2019 explained that the plan for the corridor, Seacrest to Railroad Ave, will be commercial/mixed use on each end with multi-family (townhouse, duplex, rental, apartments) in between. Cottage District and Ocean Breeze West may be 30-34 houses. Two types of development to be discussed will offer both single-family and rentals. Ms. Roque added that once the tenants are into the community, they can stay while their incomes increase which will give ability to eventually purchase within the expanded community. The floor was opened to public comments: • Dr. Stephanie Hayden-Adeyemo, SW 15th Ave, asked about income and demographics and applying for the 9% credit for SAIL, and could a majority of townhomes be considered as the majority of the land use; also, what about parking? Mr. Simon restated the questions as: o Can the project be townhomes; o Who is the demographic; while there is a percentage of income attached to every household, affordable housing is the goal of this project, whether 30% of median income up to 120%, all is considered affordable/workforce housing. o As to parking, the City has a calculation of parking spaces per unit that all projects have to meet. Dr. Hayden-Adeyemo continued that single family homes would be a better use than creation of parking lots. This is a lot of density; would have more flow if single-family homes. • Brenda Williams, 337 NE 24th Ave, is concerned there has not been adequate input on the development. No one on Board represents the kind of people they're trying to attract; also, parking is inadequate. • Rev. Bernard Wright, 713 NW 2nd St, as a community advocate, wanted to voice encouragement to continue to move forward. • Willie Akins, 726 NE 1 st St, president of Heart of Boynton Neighborhood Association, concerned that pricing is not cost-effective and the need to look at the demographics. Chair Cross explained the scale of income and how it is calculated to live in such an affordable housing community. • Tory Orr, 407 NE 17th Ave, #101, represents Boynton Strong, concerned about very low income and cannot get approval for this development. Again, the calculations were explained. The community kids center was commended. Also suggested in the corridor were the addition of an urgent care clinic, a farmer's market, and a grocery store. • Susan Oyer, 140 SE 27th Way, wondered if there could be more handicap parking if the demographics will include seniors. Mr. Simon noted that there will be less parking needs for seniors. The floor was closed to public comments. 3 Meeting Minutes CRA Advisory Board Boynton Beach, Florida March 7, 2019 Mr. Barber felt the project can be better in that a parking garage would be helpful, but that changes everything. Also, he wondered how close they are to getting the piece of property that separates the two properties. Louis Swezy, president Centennial Management, said just the land total would come out to $200,000 per unit. Ms. Roque stated whether or not those particular pieces are purchased at a fair price, this community is still moving forward. A discussion on the parking issue ensued; it was noted that parking garages cost about $25,000 per space. Mr. Devlin wondered about canopy covers for the parking and covered paths to the building. Ms. Roque commented the existing projects seem to have sufficient uncovered parking with no complaints. Mr. Simon added the possibility of canopy trees for natural shade. Chair Cross discussed financing options, if the project money is available for Option#1. Mr. Simon said there is $2.4 million set aside for the corridor and future projects; at least $1.2 million for matching funds for the low income tax credit program and SAIL program. If spent this year, it was unknown if the $873,000 is needed by October, but next year would there would be $30,000480,000 left. Mr. Simon went through year-by-year potential expenditures, noting it is financially doable though other projects would be limited. The three options were discussed. Motion made by Mr. Devlin, seconded by Mr. Barber, to recommend Options 2 and 3 using Workforce for Number 3; Option 2 is preferred, fall back is Option 3, revising in the future. In a voice vote, the motion passed unanimously (6-0). Mr. Simon clarified with Chair Cross to wait one cycle and see where it goes next year. 2. Discussion and Consideration of the CRA's Cottage District Infill Housing Project Conceptual Development Terms. Mr. Simon stated the CRA wants recommendations from the Board and public for single-family housing on CRA's Cottage District site. The CRA has selected Neighborhood Renaissance, Inc. to negotiate the plan and proposal. A Power Point was provided, the project is for full-style architecture, old-Florida cottages; home ownership; 28-34 units. Site plan is not approved or finalized. Concerns related to choosing site plan options, financial impact, potential development terms. No agreement is currently in place. Michael Pecar, Director of Real Estate Development, Neighborhood Renaissance, gave a Power Point presentation (see attached) including the history of the company and projects completed. 4 Meeting Minutes CRA Advisory Board Boynton Beach, Florida March 7, 2019 ➢ Plan A: Project will be single-family homes; priced $260,000 to $270,000, 1,300-1700 square feet, three-four bedrooms, one car garages; sustainable, energy efficient, certified green building standards; walkable, near new Town Center; public benefits; within transit oriented district; $10M increase in tax base; hire local subcontractors to employee locals through job fairs; outreach programs; streetscapes with sidewalks; 0.2 acre pocket park open to public, landscaping and benches, parallel parking spaces; interior street to building more homes on interior lots. ➢ Plan B: Concept of a larger greenspace, eliminate public park; have a cut through street from 4t" to 5t"; eliminates amount of street parking; all will have garages facing 5t"; three homes with Seacrest access. Both plans will have a proposed mix of elevations; there will be a pre-sale so owners can pick the model wanted; 120% of AMI affordable. Further descriptions of the proposed site, development features and schedules were given. The CRA would be contributing $1,120,000 worth of land with an estimated $2,000,000 contribution from CRA/City/Utilities. Chair Cross had questions about construction costs, confirming the overall total is $11 million, including the $3,177,000 CRA contribution. Mr. Pecar stated the market is currently $325,000 and up; they are trying to price these homes at $260,000. Mr. Simon added that the value of the land is included in the $3 million, the buyer subsidy is the CRA money, which keeps the pricing low and units affordable. CRA can provide a future spreadsheet showing how the numbers work, the income range should be sufficient to purchase the home in between the mortgage and purchase price. Discussion ensued on financing particulars and eligible buyers. As to resale, the ones with subsidies will depend on the program, and would have to sell to someone in the same AMI. The goal is to not sell to investors and will include deed restriction for owner occupancy. Mr. Devlin wondered if the CRA will get back the subsidy when the home is paid off; Mr. Pecar said this can be structured a number of different ways. Terri Murray, Executive Director, Neighborhood Renaissance, explained it is the community's choice what price points to be subsidized because project costs go up to the City if they put up the down payment assistance; if not, additional resources can be brought to buyer over and above what it takes to build the units. Chair Cross said if CRA puts in the land plus another $2 million, flipping a house is not an option; but if selling to someone in the same AMI, the subsidy should continue to roll over. If not, the CRA should get the subsidy back. Mr. Simon commented there would be restrictions that will keep the houses affordable as long as possible; and the details will be worked out. There will be no rentals, per 5 Meeting Minutes CRA Advisory Board Boynton Beach, Florida March 7, 2019 the RFP. AMI, assistance numbers, and methods to keep the housing affordable were further discussed. Regarding the design elements, Mr. Devlin originally liked Plan B as Plan A does not have a secure backyard, but after discussion favored Plan A. Discussed was parking, the creation of a two-way alley, and "real loading" of the lots to maintain the old cottage feel. It was noted that Plan A is the most direct response to RFP requirements; but that garbage/trash pickup is an issue to keep in mind. Discussion ensued on road design and access. The floor was opened to public comments: • Susan Oyer, 140 SE 27th Way, stated her family owns property near the site with historic houses three sites; concern is to keep people from going onto their property. Suggested adding trees to keep people from driving through the property; and her family favors Plan A as organic and beautiful. One question re: middle park area, is it meant to have open space for children to play, or to be like other park providing shade and a few playground pieces. Mr. Pecar said it is a passive green space, most likely will be dry retention, accessible, but no other improvements. Ms. Oyer further said this development would be the crown jewel of the neighborhood; would prefer to see 80%AMI and up which will allow people to afford maintaining the homes and raise property values. The Board was encouraged to accept Plan A. • Brenda Williams, 337 NE 24th Ave, confirmed the square footage of the houses to be 1,300-1,700. Also, asked about second mortgages; the concept of a silent mortgage was explained, that it has no repayment. Ms. Williams didn't like the one-car garages, which forces parking on the street for second car which narrows the street. • Alexandria Wilson, 2861 S Seacrest Blvd, would also like to see two- car garages, but likes Plan B because it more usable. Also, could the Board look into more affordable townhomes, something less costly for first-time buyers. • Mark Karageorge, 2408 Main Blvd, appreciated Neighborhood Renaissance's efforts and feels Plan A makes the most sense as it is affordable home ownership and geared to workforce pushed out of other markets. The floor was closed to public comments. In preparing for a motion, a discussion of two car/tandem garages and how this concept could result in fewer units being built ensued; perhaps a two car driveway with a one-car garage could be considered wherever possible, which could eliminate parking on the street. It was noted that Code requires that each house has parking for two cars minimum. 6 Meeting Minutes CRA Advisory Board Boynton Beach, Florida March 7, 2019 Motion made by Mr. Barber, seconded by Mr. Devlin, to recommend to CRA Board for Plan A, with funding proceeding as presented. In a voice vote, the motion passed unanimously (6-0). 3. Consideration of Equitable Economic Development Grants Mr. Simon introduced the consideration of research of economic and racial equity in the commercial grant programs to determine if these meet the intended goals of the Agency. CRAAB is to give recommendations on to improve the programs as they are or if they are okay as they are. This item is not expected to be resolved in one meeting. While unsure of the origin of this request, it is possible the CRA Board Chair felt certain things about the grants don't track and show racial and economic equity. Already being tracked are: ➢ Name of the business ➢ Amount of the grant ➢ Rent reimbursement ➢ Property improvement ➢ Location based on address Requested for consideration is: ➢ Three years of the above statistics ➢ Type of business ➢ Dollar amount the business provided and the amount CRA has provided Mr. Simon noted the applicant information is kept when an application is complete; so far no one who has completed an application has been denials. CRAAB could consider how low a credit score is acceptable to receive a grant of a particular size. A score of 601 was chosen as to industry standards and other types of lending. Discussion followed on credit score criteria followed; Ms. Utterback noted that walk-ins are frequent, Staff goes through all criteria with interested parties, and many never follow through. Mark Karageorge, former CRA Board Member, stated a lot of time has been spent on this program; guidelines have been tweaked, analyzed, studied, with the resulting criteria being risk-adverse for the Agency. Recommends not playing with the credit numbers. As to discrimination, it was written based on business principals and nothing else to be fair and equitable to all. The Agency is inclusive and does not discriminate in any way, shape or form, whether it's the City or the CRA. This program works and should be kept the way it is. This program is an incentive, not a handout, it is a handshake. 7 Meeting Minutes CRA Advisory Board Boynton Beach, Florida March 7, 2019 Chair Cross directed Mr. Simon to get the requested information for the next meeting. 8. CRA Board Items for CRAAdvisory Board Review and Recommendations A. Old Business 1. None B. New Business 1. Discussion and Consideration of the Purchase for the Property Located at 1101 N. Federal Highway Mr. Simon described this item as going before the next CRA Board meeting. The property appraised at $116,000 and owner has lowered expectation to $140,000. The CRA owns the property across the street. The building cannot be kept and has been vacant for many years. The site is in the CRA plan; it could possibly be some sort of gateway feature into the MLK corridor; pedestrian access could be added as there is no sidewalk. Acquiring the blighted property and developing it could provide enhancements to the business corridor, helping properties to the west and Federal Highway appear to be in much better condition. Staff recommends approval. The City is working on outstanding liens and is discussing waiving the running lien of many years and only charge the CRA the administrative costs of approximately $2,500 and pending liens of $1,600, or approximately $3,000 of additional costs on top of the $140,000. Chair Cross raised the question of foreclosure and a discussion followed on why many cities avoid foreclosures, the due process of service of notices, and legal complications; for answers to such questions, this needs to be brought directly to the Commission. Ms. Utterback reported on the negotiations for the property and the reduction of the liens. Motion made by Mr. Barber, seconded by Mr. Maharajh, to recommend that the property be purchased with appraised value of$116,000 with a 5% increase considering the liens, demolition, and the daily increase of lien. In a voice vote, the motion passed unanimously (6-0). 9. Future Agenda Items - None 10. Adjournment Upon motion duly made and seconded, the meeting was adjourned at 9:22 p.m. Attachments: Power Point Centennial Management Corp./MLK Jr. Blvd. Concept Power Point Neighborhood Renaissance/Cottage District [Minutes transcribed by M. Moore, Prototype, Inc.] 8 1 I, AGENCYB E AC H C R A COMMUNITY REDEVELOPMENT ADVISORY BOARD ITEM A.1. PENDING ASSIGNMENTS SUBJECT: Consideration of Equitable Economic Development Grants SUMMARY: At their February 12, 2019 meeting, the CRA Board approved a new assignment for the CRA Advisory Board (CRAAB). The assignment is for the CRAAB to research the topic of economic and racial equity and determine if the CRA's Commercial Grant Programs are meeting the intended goals of the Agency's programs. Are there any recommendations that can be made to improve the economic or racial equity of the CRA's grant programs for Fiscal Year 2019-2020? CRA staff has provided the current Commercial Grant Program Guidelines and Application packets as Attachments I & 11. At the March 7, 2019 meeting the CRA Advisory Board requested a list of grant recipients for the past three fiscal years which has been provided as Attachment 111. ATTACHMENTS: Description o Attachment I - FY 2018 -2019 Commercial Rent Reimbursement Grant Application D Attachment II - FY 2018 -2019 Commercial Property Improvement Grant Application D Attachment III - Master List of Grant Recipients f� h; ..iii . LJ I N ESI RA COMMUMTY REDEVELOPMENT AGENCY EN October 1 , 2018 — September 30, 2019 BOYNTON BEACH COMMUNITY REDEVELOPMENT AGENCY COMMERCIAL RENT REIMBURSEMENT GRANT PROGRAM Program Rules and Regulations The Commercial Rent Reimbursement Grant Program is designed to help facilitate the establishment of new businesses and aid in the expansion of existing businesses within the Boynton Beach Community Redevelopment Agency (the "CRA") District. The program is designed to provide financial assistance to new and existing businesses in the form of rent reimbursement intended to help businesses during the critical first year of operation. The CRA reserves the right to approve or deny any Commercial Rent Reimbursement Grant Program application and to deny payment at any time if, in its sole and absolute discretion, it determines that the business will not advance the goals and objectives established for redevelopment of the CRA District. The receipt of past payments is not a guarantee of future payments. For purposes of this application, the term "new business" means a company in operation for less than six months or relocating to Boynton Beach. The term "existing business" means a company that has been in operation within the CRA District for a minimum of two years at the time of application and has at least two years remaining on its existing lease. The Boynton Beach CRA is a public agency and is governed by the "Florida Public Records Law" under Florida State Statutes, Chapter 119. Any documents provided by Initials Page 1 of 15 Rent Reimbursement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com the Applicant(s) may be produced by the CRA upon receipt of a public records request, subject to any exemptions provided by Florida Law. Incentive Funding The Commercial Rent Reimbursement Grant Program offers financial assistance through a reimbursable grant in the form of a quarterly rent reimbursement. New businesses are eligible to apply for assistance for up to six months from the issuance of the City of Boynton Beach Business Tax Receipt. Rent Reimbursements will not be paid until all construction has ended, permits are closed out, City and County licenses are obtained, and the business is open for operation under a Temporary Certificate of Occupancy (TCO) or a Certificate of Occupancy (CO). For businesses that do not require any construction work, rent reimbursements will not be paid until City and County licenses are obtained and the business is open for operation. On a quarterly basis, the CRA will issue reimbursement directly to the applicant. Reimbursement is for the monthly rent payment made to the landlord, and is dependent upon receipt of verification that the payment has been cleared by the bank. The responsibility for all rental payments is between the parties to the lease, as such the tenant and the landlord. As grantor, the CRA neither bears nor accepts any responsibility for payment of rent at any time, nor penalties incurred for the late arrival of payments by any party. Eligibility Requirements Applicants must meet all of the following requirements in order to be considered eligible to receive grant funding: • Applicant must be the business entity (or d/b/a) named and the principal owners named on the corporation documents, and must be the landlord or business owner of the company occupying the property to be improved. • Must be located within the CRA District (see attached map). Initials Page 2 of 15 Rent Reimbursement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com • Must provide proof that the business is properly licensed by all necessary levels of government and professional associations or agencies (copies of city and county licenses or receipts that the licenses have been applied for). • Non-profit and residentially zoned properties are NOT eligible. • An existing business must expand to occupy more than 50% of its current square footage size. Verification of this threshold must be provided in the application package. Exceptions to this rule may be made at the discretion of the CRA Board if the tenant is losing their current space due to redevelopment of the site. • The Applicant's Experian consumer credit report must reflect an acceptable level of financial stability, as determined in the sole discretion of the CRA. A copy of the consumer report will be provided to the applicant upon request. Applicants must have an Experian credit score of 601 or higher and have no listed history of bankruptcy to be eligible. If there is more than one business owner, the majority of the business owners must have credit scores of 601 or higher to be eligible. • Applicant must have an executed multi-year lease with at least two years remaining on the lease. • Proposed leases must be executed within 30 days of CRA Board approval or the grant award is terminated. • The Commercial Rent Reimbursement Grant Program may only be used one time by any one specific business entity or business owner. • Grantees shall allow the CRA the rights and use of photos and project application materials. Ineligible Businesses The following businesses are considered ineligible for assistance under the Commercial Rent Reimbursement Grant Program: • Firearm Sales/Shooting Range • Convenience Store • Religion-Affiliated Retail Stores • Churches/places of worship • Non-profit organizations • Take-out Foods • Check Cashing Stores • Tattoo Shops / Body Piercing / • Kava Tea Bars Body Art Shops • Adult Entertainment • Liquor Stores • Adult Arcades • Vapor Cigarette, E Cigarette Stores Initials Page 3 of 15 Rent Reimbursement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com • Alcohol and/or Drug Rehabilitation • Pawn Shops Centers/Housing • Medical Research Centers/Housing • Any other use that the CRA staff or • Massage/Personal Services CRA Board determine will not support the redevelopment of the CRA District Grant Terms and Conditions This grant is divided into two tiers of eligibility. Businesses are classified into tiers based on the type of business, which then determines the amount of eligible funding. Grant funding amounts will be based on the applicant's project budget specified at the time of CRA Board approval. Tier One Business Tier One Businesses are eligible for reimbursement for up to half (50%) of the business's base monthly rent or $1,750 per month, whichever is less (maximum amount of the grant is $21,000, distributed in four quarterly payments). Tier One Businesses must be one of the following types of businesses: • Restaurant • Bakery • Gourmet Food Market Tier Two Business Tier Two Businesses are eligible for reimbursement for up to half (50%) of the business's base monthly rent or $1,250 per month, whichever is less (maximum amount of the grant is $15,000, distributed in four quarterly payments. Initials Page 4 of 15 Rent Reimbursement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com Examples of Tier Two Businesses include, but are not limited to, the following types of businesses: • Home D6cor/Design — home • Clothing Boutique — clothing, shoes furnishings, art galleries, kitchen & accessories wares • Law Offices • Accounting Offices • Hair/Nail Salons (no more than 2 • Real Estate Offices approvals per fiscal year) • Bed and Breakfasts • Medical Offices • Marketing Offices • Insurance Offices • Fitness Centers • Florists (no more than 2 approvals • Specialty Businesses — stationary, per fiscal year) gifts, sporting goods Lease Terms If the applicant is a tenant, it must have a proposed or executed multi-year lease with a minimum of two years remaining on the lease. The commercial lease must define the landlord-tenant relationship and at minimum provide the following information: • A description of the space being rented, including square footage and a drawing of the space; • Description of utilities that are the tenant's responsibility; • Rental rate and deposits along with terms of lease and methodology for future rent increases; • Responsible party for interior and exterior repairs and/or improvements; • Insurance requirements; • Ability to terminate; and • Consequences of default on the lease. For purposes of this paragraph, the term "subject property" means the leased premises of the grant recipient, for which the applicant or grant recipient is seeking rental reimbursement, or any part thereof. Grant recipients are prohibited from subletting the subject property. If a grant recipient sublets the property, the grant recipient will be required to repay the CRA for all grant money received up to that point and will not be eligible to receive any further grant funding. Initials Page 5 of 15 Rent Reimbursement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com For purposes of this grant, the CRA considers the following to be subletting: A) executing a sublease, assignment, or similar agreement with an entity that is not the grant recipient; B) allowing the subject property to be occupied by any business entity in which the grant recipient is not listed as the registered agent, owner, officer or director of said business, or assisting such a business in so doing; C) allowing or assisting a business entity other than the grant recipient to list its place of business as the subject property; or D) allowing or assisting a business entity other than the grant recipient to obtain a business tax license from the City of Boynton Beach for the subject property. The fact that a business entity other than the grant recipient occupies the subject property, lists its place of business as the subject property, obtains a business tax license for the subject property, or similarly appears to use the subject property is sufficient evidence that the grant recipient has allowed or assisted such other business entity to do so and is grounds for termination of any further grant payments and seeking reimbursement for previously paid grant payments. However, it shall not be considered a prohibited subleasing when the business purpose of the applicant is to provide a space for aspiring businesses, such as when the applicant is a business incubator, commissary kitchen, or business that provides co-op workspace. The CRA will determine whether a certain applicant fits into the exception described in this paragraph on a case-by-case basis. Application Process Applications can be obtained from the CRA office located at 710 North Federal Highway, Boynton Beach, FL 33435 or downloaded from www.catchboynton.com. All applicants are required to meet with CRA staff in order to determine eligibility before submitting an application. Applications will not be considered until all required documentation is submitted to the CRA office. Application to this grant program is not a guarantee of funding. Funding is at the sole discretion of the CRA Board. Applicants must submit an original, "hard copy" application with all materials to the CRA for review and approval by the CRA Board. Applicants will be considered on a first- come, first served basis. Application packets must include the following documentation: Initials Page 6 of 15 Rent Reimbursement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com 1. A non-refundable fee of $100, which will be used to obtain a consumer credit report on the business and principal/owners of business. Make check payable to: Boynton Beach CRA. 2. Resume for each principal/owner of the business. 3. Copy of the corporate documents for the applying business entity. 4. Copy of City and County Business Licenses (Business Tax Receipt). 5. Copy of executed multi-year commercial lease agreement. 6. Two years of corporate tax returns (for existing businesses only). 7. Two years of personal tax returns for the principal/owners of a new business. 8. List of jobs to be created and filled including job descriptions, pay range and weekly schedule. For existing businesses, provide a list of all current positions including job descriptions, pay range and weekly schedule. 9. If an existing business must expand to occupy more than 50% of its current square footage size, verification of this threshold must be provided in the application package. Exceptions to this rule may be made at the discretion of the CRA Board if the tenant is losing their current space due to redevelopment of the site. 10.Completed and signed application (attached). 11.Authorization to perform credit check for the business and each principal/owner of the business (attached). 12.W9 Form (attached). Approval of Funding Request All required application documentation must be submitted no later than noon two weeks prior to the second Tuesday of the month. CRA staff will review the application to evaluate whether the applicant is eligible for reimbursement. If it meets these requirements, CRA staff will present the funding request to the CRA Board for review and potential approval. The CRA Board meets on the second Tuesday of each month. The schedule for CRA Board meetings can be obtained at www.catchboynton.com. Applicants will be notified of the date and time that their applications will be considered by the CRA Board. The CRA recommends that applicants attend the CRA Board meeting during which the Board will consider their applications in order to answer any questions the CRA Board Initials Page 7 of 15 Rent Reimbursement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboVnton.com may have regarding their applications. CRA staff will notify the applicant of the CRA Board's approval or denial in writing. Site Visits CRA may conduct a site visit prior to transmitting the application to the CRA Board and once the project is completed. Staff may also conduct unannounced site visits before, during and after the project in order to determine and ensure compliance with the terms of the grant. Procedures for Reimbursement Quarterly rent reimbursement payments will be provided to the grant recipient beginning the first month the business is open for operation subsequent to CRA Board approval. A maximum of 12 consecutive monthly rent payments are eligible to be reimbursed to the approved applicant. Reimbursement will occur on a quarterly basis. Following the initial Reimbursement Request, each reimbursement request shall be made within 30 days of the start of the next quarter beginning on January 1St, April 1St July 1St and October 1St Months Eligible for Reimbursement Deadline to Submit for Reimbursement • October, November, December • January 30th • January, February, March • April 30th • April, May, June • July 30th • July, August, September • October 30th In order to receive quarterly rent reimbursement the grant applicant must submit the following: 1. Written request for reimbursement. 2. Proof of rent payments (i.e., copies of the front and back of cancelled checks for that quarter's reimbursement or proof of direct deposit). If applicant does not submit its quarterly reimbursement request within 30 days following the end of the quarter in which applicant is requesting reimbursement, applicant forfeits that quarter's reimbursement. Initials Page 8 of 15 Rent Reimbursement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboVnton.com Discontinuation of Payment The receipt of past payments does not guarantee future payments. The CRA retains the right to discontinue rent reimbursement payments at any time at its sole and absolute discretion. SUBMISSION OF AN APPLICATION IS NOT A GUARANTEE OF FUNDING It is the responsibility of the applicant to READ AND UNDERSTAND all aspects of the Grant Program's Rules/Requirements and Application. NOTICE TO THIRD PARTIES: The grant application program does not create any rights for any parties, including parties that performed work on the property. Nor shall issuance of a grant result in any obligation on the part of the CRA to any third party. The CRA is not required to verify that entities that have contracted with the applicant or applicant's landlord have been paid in full, or that such entities have paid any subcontractors in full. Applicant's submittal of verification that monthly rental payments have been cleared by the bank warranty is sufficient assurance for the CRA to award grant funding. Initials Page 9 of 15 Rent Reimbursement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com { n BOYNT011 "I loom BLACM �t; RA APPLICANT INFORMATION BUSINESS INFORMATION: Business Name (d/b/a if applicable): Current Business Address: Fed I D#: Business Phone Number: Fax: Website: Existing Business: Yes No Number of years in existence: Time at Current Location: New Business to Boynton Beach: Yes No Do you have an executed lease agreement: Yes No If so, monthly base rent: New Business Address: Square footage of current location: Square footage of new location: Type of Business: Number of Employees: Hours of Operation: Page 10 of 15 Rent Reimbursement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com { n BOYNT011 "I loom BLACM �t; RA APPLICANT INFORMATION PRINCIPAL/OWNER INFORMATION: (If more than 4 principals/owners additional sheets may be used) 1. Principal/Owner Name: Date of Birth: Email: Residential Address: Cell Phone Number: 2. Principal/Owner Name: Date of Birth: Email: Residential Address: Cell Phone Number: 3. Principal/Owner Name: Date of Birth: Email: Residential Address: Cell Phone Number: 4. Principal/Owner Name: Date of Birth: Email: Residential Address: Cell Phone Number: Page 11 of 15 Rent Reimbursement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com { n BOYNT011 "I loom BLACM �t; RA APPLICANT INFORMATION Are you applying for grant assistant under any other program offered by the CRA? Yes No If yes, what additional programs are you applying for: Are you receiving grant assistance under any other governmental agencies: Yes _ No If yes, list any additional grant sources and amounts: LANDLORD INFORMATION: Landlord Name: Landlord's Mailing Address: Landlord's Phone Number: CERTIFICATION AND WAIVER OF PRIVACY: For purposes of this certification and waiver of privacy, the term "I" refers to the applicant and to all signatories below individually. By signing below, each signatory represents and confirms that he or she is authorized to sign on behalf of the applicant(s). 1, the undersigned applicant(s), certify that all information presented in this application, and all of the information furnished in support of the application, is given for the purpose of obtaining a grant under the Boynton Beach Community Redevelopment Agency Commercial Rent Reimbursement Grant Program, and it is true and complete to the best of my knowledge and belief. I further certify that I am aware of the fact that I can be penalized by fine and/or imprisonment for making false statements or presenting false information. I further acknowledge that I have read and understand the terms and conditions set forth and described in the Boynton Beach Page 12 of 15 Rent Reimbursement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com { n BOYNT011 "I loom BLACM �t; RA APPLICANT INFORMATION Community Redevelopment Agency Commercial Rent Reimbursement Grant Program Rules and Requirements. I understand that this application is not a guarantee of grant assistance, and that award of grants is at the sole discretion of the Boynton Beach Community Redevelopment Agency Board. I understand that the purpose of the grant is to further the Boynton Beach Community Redevelopment Plan, and that the Boynton Beach Community Redevelopment Agency may decline my application for any legal reason, including the reason that granting the award will not further the Community Redevelopment Plan. Should my application be approved, I understand that the Boynton Beach Community Redevelopment Agency may, at its sole discretion, discontinue grant payments at any time if in its sole and absolute determination it feels such assistance no longer meets the program criteria or is no longer furthering the Boynton Beach Community Redevelopment Plan. To the maximum extent possible, I hereby waive my rights to privacy and confidentiality for all matters contained in my application, and give my consent to the Boynton Beach Community Redevelopment Agency, its agents and contractors to examine any confidential information given herein. I further grant permission, and authorize any bank, employers or other public or private agency to disclose information deemed necessary to complete this application. I specifically authorize the Boynton Beach Community Redevelopment Agency to run a credit report as part of this application, and understand that information in my credit report, including a record of bankruptcy, may disqualify me from obtaining grant funding. I give permission to the Boynton Beach Community Redevelopment Agency or its agents to take photos of myself and business to be used to promote the program. I understand that if this application and the information furnished in support of the application are found to be incomplete, it will be not processed. Page 13 of 15 Rent Reimbursement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com { n BOYNT011 "I loom BLACM �t; RA APPLICANT INFORMATION APPLICANT SIGNATURES: 1. Principal/Owner's Signature Date Printed Name Title 2. Principal/Owner's Signature Date Printed Name Title 3. Principal/Owner's Signature Date Printed Name Title 4. Principal/Owner's Signature Date Printed Name Title Notary as to Principal/Owner's Signatures - Multiple notary pages may be used if signing individually STATE OF COUNTY OF BEFORE ME, an officer duly authorized by law to administer oaths and take acknowledgements, personally appeared who is/are personally known to me or produced as identification, and acknowledged he/she executed the foregoing Agreement for the use and purposed mentioned in it and that the instrument is his/her act and deed. IN WITNESS OF THE FOREGOING, I have set my hand and official seal in the State and County aforesaid on this day of , 20 NOTARY PUBLIC My Commission Expires: Page 14 of 15 Rent Reimbursement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com { n BOYNT011 "I loom BLACM �t; RA LANLORD INFORMATION LANDLORD SIGNATURES: 1. Landlord's Signature Date Printed Name Title 2. Landlord's Signature Date Printed Name Title Notary as to Principal/Owner's Signatures - Multiple notary pages may be used if signing individually STATE OF COUNTY OF BEFORE ME, an officer duly authorized by law to administer oaths and take acknowledgements, personally appeared who is/are personally known to me or produced as identification, and acknowledged he/she executed the foregoing Agreement for the use and purposed mentioned in it and that the instrument is his/her act and deed. IN WITNESS OF THE FOREGOING, I have set my hand and official seal in the State and County aforesaid on this day of 20 NOTARY PUBLIC My Commission Expires: Page 15 of 15 Rent Reimbursement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com { n BOYNT011 "I loom BLACM �t; RA AUTHORIZATION TO PERFORM A CREDIT CHECK FOR PRINCIPAL/OWNER The applicant hereby consents to and authorizes the Boynton Beach Community Redevelopment Agency's ("CRA") investigation into the credit worthiness of the applicant. Such consent and authorization is given with respect to any and all persons who may conduct an investigation of the applicant's credit worthiness on behalf of the CRA, including independent contractors and credit agencies retained by the CRA for such purpose. Any information provided to the CRA is a public record subject to the provisions of Ch. 119 F.S. Applicant grants such consent and authorization to the CRA for the period commencing as of the date of this authorization and terminating on the date the grant has been fulfilled. This applicant hereby waives and all claims, past, present or future, which the applicant may have against the CRA by reason of any credit investigation made pursuant to applicant's consent and authorization herein give to the CRA. An authorization to Perform Credit Check needs to be complete by each Principal/Owner and by the Business. Please us a separate form for each principal/owner: Principal/Owner Name: Date of Birth: Current Home Address: Previous Home Address: Email: Phone Number: Signature: Date: 710 North Federal Highway, Boynton Beach, FL 33435—Phone: (561)737 -3256 Fax: (561) 737 -3258 www.catchboynton.com { n BOYNT011 "I loom BLACM �t; RA AUTHORIZATION TO PERFORM A CREDIT CHECK FOR BUSINESS The applicant hereby consents to and authorizes the Boynton Beach Community Redevelopment Agency's ("CRA") investigation into the credit worthiness of the applicant. Such consent and authorization is given with respect to any and all persons who may conduct an investigation of the applicant's credit worthiness on behalf of the CRA, including independent contractors and credit agencies retained by the CRA for such purpose. Any information provided to the CRA is a public record subject to the provisions of Ch. 119 F.S. Applicant grants such consent and authorization to the CRA for the period commencing as of the date of this authorization and terminating on the date the grant has been fulfilled. This applicant hereby waives and all claims, past, present or future, which the applicant may have against the CRA by reason of any credit investigation made pursuant to applicant's consent and authorization herein give to the CRA. An authorization to Perform Credit Check needs to be complete by each Principal/Owner and by the Business. Business (d/b/a if applicable): Federal Tax I D #: Current Business Address: State of Corporation: Email: Phone Number: Fax Number: Signature: Date: Title: 710 North Federal Highway, Boynton Beach, FL 33435—Phone: (561)737 -3256 Fax: (561) 737 -3258 www.catchboynton.com BOYNTON t# t. ICRA MAP Hypoluxo Rd v v l Mrs Miner Rd Miner Rd t NE 26th Ave U v z 'o Z o . Gateway Blvd a z v m a°p � e 4 0o z 2 t mm�C.Stanley Weaver Canal�� t 5`-Martin Luther King Jr Blvd Old Boynton Rd W Boynton Beach Blvd E Ocean Ave �t m i O ti N WoolbrightRd rz�}15' Golf Rd SW 23rd Ave �t SW 23rd Ave t�i1) j}it'h ,t Gulfstream Blvd u t ttti t: KEY II vECRADistrict Form W-9 Request for Taxpayer Give Form to the (Rev.December 2014) requester. Do not Department of the Treasury Identification Number and Certification send to the IRS. Internal Revenue Service 1 Name(as shown on your income tax return).Name is required on this line;do not leave this line blank. N 2 Business name/disregarded entity name,if different from above (D rn M 3 Check appropriate box for federal tax classification;check only one of the following seven boxes: 4 Exemptions(codes apply only to certain entities, not individuals; see O ❑Individual/sole proprietor or ❑ C Corporation ❑S Corporation ❑ Partnership ❑ Trust/estate rn instructions on page 3): arc single-member LLC CL O Limited liability company. Enter the tax classification(C=C corporation,S=S corporation, P=partnership)01 Exemptpayee code(if any) OExemption from FATCA reporting Note. For a single-member LLC that is disregarded,do not check LLC;check the appropriate box in the line above for y the tax classification of the single-member owner. code(if any) CL E]Other(see instructions)► (Applies to accounts maintained outside the U.S.) V w 5 Address(number,street,and apt.or suite no.) Requester's name and address(optional) v a CL CO 6 City,state,and ZIP code (D U) 7 List account number(s)here(optional) GM Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number backup withholding. For individuals, this is generally your social security number(SSN). However,for a resident alien,sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other — — entities, it is your employer identification number(EIN). If you do not have a number, see How to get a L I TIN on page 3. or Note. Ifthe account is in more than one name,see the instructions for line 1 and the chart on page 4 for Employer identification number guidelines on whose number to enter. F3 Ma Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2. I am not subject to backup withholding because:(a)I am exempt from backup withholding, or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends, or(c)the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S.citizen or other U.S. person(defined below);and 4. The FATCA code(s)entered on this form (if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRSthat you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN.See the instructions on page 3. Sign Signature of Here U.S.person► Date► General Instructions -Form 1098(home mortgage interest),1098-E(student loan interest),1098-T (tuition) Section references are to the Internal Revenue Code unless otherwise noted. -Form 1099-C(canceled debt) Future developments.Information about developments affecting Form W-9(such -Form 1099-A(acquisition or abandonment of secured property) as legislation enacted after we release it)is at www.irs.gov/fw9. Use Form W-9 only if you are a U.S.person(including a resident alien),to Purpose of Form provide your correct TIN. An individual or entity(Form W-9 requester)who is required to file an information If you do not return Form W-9 to the requester with a TIN,you might be subject return with the IRS must obtain your correct taxpayer identification number(TIN) to backup withholding. See What is backup withholding?on page 2. which may be your social security number(SSN),individual taxpayer identification By signing the filled-out form,you: number(ITIN),adoption taxpayer identification number(ATIN),or employer 1.Certify that the TIN you are giving is correct(or you are waiting for a number identification number(EIN),to report on an information return the amount paid to to be issued), you,or other amount reportable on an information return.Examples of information returns include,but are not limited to,the following: 2.Certify that you are not subject to backup withholding,or -Form 1099-INT(interestearned or paid) 3.Claim exemption from backup withholding if you are a U.S.exempt payee.If -Form 1099-DIV(dividends,including those from stocks or mutual funds) applicable,you are also certifying that as a U.S.person,your allocable share of any partnership income from a U.S.trade or business is not subject to the -Form 1099-MISC(varioustypes of income,prizes,awards,or gross proceeds) withholding tax on foreign partners'share of effectively connected income,and -Form 1099-B(stock or mutual fund sales and certain other transactions by 4.Certify that FATCA code(s)entered on this form(if any)indicating that you are brokers) exempt from the FATCA reporting,is correct. See What is FA TCA reporting?on -Form 1099-S(proceeds from real estate transactions) page 2 for further information. -Form 1099-K(merchant card and third party network transactions) Cat.No.10231X Form W-9 (Rev.12-2014) Form W-9(Rev.12-2014) Page 2 Note. If you are a U.S.person and a requester gives you a form other than Form 3.The IRS tells the requester that you furnished an incorrect TIN, W-9 to request your TIN,you must use the requester's form if it is substantially 4.The IRS tells you that you are subject to backup withholding because you did similar to this Form W-9. not report all your interest and dividends on your tax return(for reportable interest Definition of a U.S.person.For federal tax purposes,you are considered a U.S. and dividends only),or person if you are: 5.You do not certify to the requester that you are not subject to backup -An individual who is a U.S.citizen or U.S.resident alien; withholding under 4 above(for reportable interest and dividend accounts opened -A partnership,corporation,company, or association created or organized in the after 1983 only). United States or under the laws of the United States; Certain payees and payments are exempt from backup withholding.See Exempt -An estate(other than a foreign estate);or payee code on page 3 and the separate Instructions for the Requester of Form W-9 for more information. -Adomestic trust(as defined in Regulations section 301.7701-7). Also see Special rules for partnerships above. Special rules for partnerships.Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax under section What is FATCA reporting? 1446 on any foreign partners'share of effectively connected taxable income from such business. Further,in certain cases where a Form W-9 has not been received, The Foreign Account Tax Compliance Act(FATCA)requires a participating foreign the rules under section 1446 require a partnership to presume that a partner is a financial institution to report all United States account holders that are specified foreign person,and pay the section 1446 withholding tax.Therefore,if you are a United States persons.Certain payees are exempt from FATCA reporting.See U.S.person that is a partner in a partnership conducting a trade or business in the Exemption from FATCA reporting code on page 3 and the Instructions for the United States,provide Form W-9 to the partnership to establish your U.S.status Requester of Form W-9 for more information. and avoid section 1446 withholding on your share of partnership income. In the cases below,the following person must give Form W-9 to the partnership Updating Your Information for purposes of establishing its U.S.status and avoiding withholding on its You must provide updated information to any person to whom you claimed to be allocable share of net income from the partnership conducting a trade or business an exempt payee if you are no longer an exempt payee and anticipate receiving in the United States: reportable payments in the future from this person. For example,you may need to -In the case of a disregarded entity with a U.S.owner,the U.S.owner of the provide updated information if you are a C corporation that elects to be an S disregarded entity and not the entity; corporation,or if you no longer are tax exempt. In addition,you must furnish a new Form W-9 if the name or TIN changes for the account;for example,if the grantor -In the case of a grantor trust with a U.S.grantor or other U.S.owner,generally, of a grantor trust dies. the U.S.grantor or other U.S.owner of the grantor trust and not the trust;and -In the case of a U.S.trust(other than a grantor trust),the U.S.trust(other than a Penalties grantor trust)and not the beneficiaries of the trust. Failure to furnish TIN.If you fail to furnish your correct TIN to a requester,you are Foreign person.If you are a foreign person or the U.S.branch of a foreign bank subject to a penalty of$50 for each such failure unless your failure is due to that has elected to be treated as a U.S.person,do not use Form W-9.Instead,use reasonable cause and not to willful neglect. the appropriate Form W-8 or Form 8233(see Publication 515,Withholding of Tax Civil penalty for false information with respect to withholding.If you make a on Nonresident Aliens and Foreign Entities). false statement with no reasonable basis that results in no backup withholding, Nonresident alien who becomes a resident alien.Generally,only a nonresident you are subject to a$500 penalty. alien individual may use the terms of a tax treaty to reduce or eliminate U.S.tax on Criminal penalty for falsifying information.Willfully falsifying certifications or certain types of income.However,most tax treaties contain a provision known as affirmations may subject you to criminal penalties including fines and/or a"saving clause."Exceptions specified in the saving clause may permit an imprisonment. exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S.resident alien for tax purposes. Misuse of TINS.If the requester discloses or uses TINs in violation of federal law, If you are a U.S.resident alien who is relying on an exception contained in the the requester may be subject to civil and criminal penalties. saving clause of a tax treaty to claim an exemption from U.S.tax on certain types of income,you must attach a statement to Form W-9 that specifies the following Specific Instructions five items: 1.The treaty country. Generally,this must be the same treaty under which you Line 1 claimed exemption from tax as a nonresident alien. You must enter one of the following on this line;do not leave this line blank.The 2.The treaty article addressing the income. name should match the name on your tax return. 3.The article number(or location)in the tax treaty that contains the saving If this Form W-9 is for a joint account,list first,and then circle,the name of the clause and its exceptions. person or entity whose number you entered in Part I of Form W-9. 4.The type and amount of income that qualifies for the exemption from tax. a. Individual.Generally,enter the name shown on your tax return.If you have changed your last name without informing the Social Security Administration (SSA) 5.Sufficient facts to justify the exemption from tax under the terms of the treaty of the name change,enter your first name,the last name as shown on your social article. security card,and your new last name. Example.Article 20 of the U.S.-China income tax treaty allows an exemption Note.ITIN applicant:Enter your individual name as it was entered on your Form from tax for scholarship income received by a Chinese student temporarily present W-7 application, line 1 a.This should also be the same as the name you entered on in the United States.Under U.S.law,this student will become a resident alien for the Form 1040/1040A/1040EZ you filed with your application. tax purposes if his or her stay in the United States exceeds 5 calendar years. However,paragraph 2 of the first Protocol to the U.S.-China treaty(dated April 30, b. Sole proprietor or single-member LLC.Enter your individual name as 1984)allows the provisions of Article 20 to continue to apply even after the shown on your 1040/1040A/1040EZ on line 1.You may enter your business,trade, Chinese student becomes a resident alien of the United States.A Chinese student or"doing business as"(DBA)name on line 2. who qualifies for this exception (under paragraph 2 of the first protocol)and is c. Partnership,LLC that is not a single-member LLC,C Corporation,or S relying on this exception to claim an exemption from tax on his or her scholarship Corporation.Enter the entity's name as shown on the entity's tax return on line 1 or fellowship income would attach to Form W-9 a statement that includes the and any business,trade,or DBA name on line 2. information described above to support that exemption. d. Other entities.Enter your name as shown on required U.S.federal tax If you are a nonresident alien or a foreign entity,give the requester the documents on line 1.This name should match the name shown on the charter or appropriate completed Form W-8 or Form 8233. other legal document creating the entity.You may enter any business,trade,or DBA name on line 2. Backup Withholding e. Disregarded entity.For U.S.federal tax purposes,an entity that is What is backup withholding?Persons making certain payments to you must disregarded as an entity separate from its owner is treated as a"disregarded under certain conditions withhold and pay to the IRS 28% of such payments.This entity." See Regulations section 301.7701-2(c)(2)(iii).Enter the owner's name on is called"backup withholding." Payments that may be subject to backup line 1.The name of the entity entered on line 1 should never be a disregarded withholding include interest,tax-exempt interest,dividends,broker and barter entity.The name on line 1 should be the name shown on the income tax return on exchange transactions,rents,royalties,nonemployee pay,payments made in which the income should be reported. For example,if a foreign LLC that is treated settlement of payment card and third party network transactions,and certain as a disregarded entity for U.S.federal tax purposes has a single owner that is a payments from fishing boat operators. Real estate transactions are not subject to U.S.person,the U.S.owner's name is required to be provided on line 1.If the backup withholding. direct owner of the entity is also a disregarded entity,enter the first owner that is You will not be subject to backup withholding on payments you receive if you not disregarded for federal tax purposes.Enter the disregarded entity's name on line 2,"Business name/disregarded entity name."If the owner of the disregarded give the requester your correct TIN,make the proper certifications, and report all your taxable interest and dividends on your tax return. entity is a foreign person,the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S.TIN. Payments you receive will be subject to backup withholding if: 1.You do not furnish your TIN to the requester, 2.You do not certify your TIN when required(see the Part II instructions on page 3 for details), Form W-9(Rev.12-2014) Page 3 Line 2 2 However,the following payments made to a corporation and reportable on Form If you have a business name,trade name,DBA name,or disregarded entity name, 1099-MISC are not exempt from backup withholding: medical and health care you may enter it on line 2. payments,attorneys'fees,gross proceeds paid to an attorney reportable under section 6045(f),and payments for services paid by a federal executive agency. Line 3 Exemption from FATCA reporting code.The following codes identify payees Check the appropriate box in line 3 for the U.S.federal tax classification of the that are exempt from reporting under FATCA.These codes apply to persons person whose name is entered on line 1.Check only one box in line 3. submitting this form for accounts maintained outside of the United States by Limited Liability Company(LLC).If the name on line 1 is an LLC treated as a certain foreign financial institutions. Therefore,if you are only submitting this form for an account you hold in the United States,you may partnership for U.S.federal tax purposes,check the"Limited Liability Company" leave field blank. ethis box and enter"P" in the space provided. If the LLC has filed Form 8832 or 2553 to Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements.A requester may indicate that a code is be taxed as a corporation,check the"Limited Liability Company" box and in the not required by providing you with a Form W-9 with"Not Applicable" (or any space provided enter"C" for C corporation or"S" for S corporation. If it is a similar indication)written or printed on the line for a FATCA exemption code. single-member LLC that is a disregarded entity,do not check the"Limited Liability Company" box;instead check the first box in line 3"Individual/sole proprietor or A—An organization exempt from tax under section 501(a)or any individual single-member LLC." retirement plan as defined in section 7701(a)(37) Line 4, Exemptions B—The United States or any of its agencies or instrumentalities If you are exempt from backup withholding and/or FATCA reporting,enter in the C—A state,the District of Columbia,a U.S.commonwealth or possession,or appropriate s ace in o line 4 an code(s)that may apply to you. any of their political subdivisions or instrumentalities p y ( ) y pp y y D—A corporation the stock of which is regularly traded on one or more Exempt payee code. established securities markets,as described in Regulations section - Generally,individuals(including sole proprietors)are not exempt from backup 1.1472-1(c)(1)(i) withholding. E—A corporation that is a member of the same expanded affiliated group as a - Except as provided below,corporations are exempt from backup withholding corporation described in Regulations section 1.1472-1(c)(1)(i) for certain payments,including interest and dividends. F—A dealer in securities,commodities, or derivative financial instruments - Corporations are not exempt from backup withholding for payments made in (including notional principal contracts, futures,forwards,and options)that is settlement of payment card or third party network transactions. registered as such under the laws of the United States or any state - Corporations are not exempt from backup withholding with respect to attorneys' G—A real estate investment trust fees or gross proceeds paid to attorneys,and corporations that provide medical or H—A regulated investment company as defined in section 851 or an entity health care services are not exempt with respect to payments reportable on Form registered at all times during the tax year under the Investment Company Act of 1099-MISC. 1940 The following codes identify payees that are exempt from backup withholding. I—A common trust fund as defined in section 584(a) Enter the appropriate code in the space in line 4. 1—An organization exempt from tax under section 501(a),any IRA,or a J—A bank as defined in section 581 custodial account under section 403(b)(7)if the account satisfies the requirements K—A broker of section 401(f)(2) L—A trust exempt from tax under section 664 or described in section 4947(a)(1) 2—The United States or any of its agencies or instrumentalities M—A tax exempt trust under a section 403(b)plan or section 457(g)plan 3—A state,the District of Columbia,a U.S.commonwealth or possession,or Note.You may wish to consult with the financial institution requesting this form to any of their political subdivisions or instrumentalities determine whether the FATCA code and/or exempt payee code should be 4—A foreign government or any of its political subdivisions,agencies,or completed. instrumentalities Line 5 5—A corporation 6—A dealer in securities or commodities required to register in the United Enter your address(number,street,and apartment or suite number).This is where States,the District of Columbia,or a U.S.commonwealth or possession the requester of this Form W-9 will mail your information returns. 7—A futures commission merchant registered with the Commodity Futures Line 6 Trading Commission Enter your city,state,and ZIP code. 8—A real estate investment trust 9—An entity registered at all times during the tax year under the Investment Part I. Taxpayer Identification Number(TIN) Company Act of 1940 Enter your TIN in the appropriate box.If you are a resident alien and you do not 10—A common trust fund operated by a bank under section 584(a) have and are not eligible to get an SSN,your TIN is your IRS individual taxpayer identification number(ITIN).Enter it in the social security number box. If you do not 11—A financial institution have an ITIN,see How to get a TIN below. 12—A middleman known in the investment community as a nominee or If you are a sole proprietor and you have an EIN,you may enter either your SSN custodian or EIN.However,the IRS prefers that you use your SSN. 13—A trust exempt from tax under section 664 or described in section 4947 If you are a single-member LLC that is disregarded as an entity separate from its The following chart shows types of payments that may be exempt from backup owner(see Limited Liability Company(LLC)on this page),enter the owner's SSN withholding. The chart applies to the exempt payees listed above,1 through 13. (or EIN,if the owner has one).Do not enter the disregarded entity's EIN.If the LLC is classified as a corporation or partnership,enter the entity's EIN. IF the payment is for... THEN the payment is exempt for... Note.See the chart on page 4 for further clarification of name and TIN combinations. Interest and dividend payments All exempt payees except How to get a TIN.If you do not have a TIN,apply for one immediately.To apply for for 7 an SSN,get Form SS-5,Application for a Social Security Card,from your local SSA office or get this form online at wvvwssa.gov.You may also get this form by calling Broker transactions Exempt payees 1 through 4 and 6 1-800-772-1213. Use Form W-7,Application for IRS Individual Taxpayer through 11 and all C corporations. S Identification Number,to apply for an ITIN,or Form SS-4,Application for Employer corporations must not enter an exempt Identification Number,to apply for an EIN.You can apply for an EIN online by payee code because they are exempt accessing the IRS website at www.irs.gou/businesses and clicking on Employer only for sales of noncovered securities Identification Number(EIN)under Starting a Business.You can get Forms W-7 and acquired prior to 2012. SS-4 from the IRS by visiting IRS.gov or by calling 1-800-TAX-FORM (1-800-829-3676). Barter exchange transactions and Exempt payees 1 through 4 If you are asked to complete Form W-9 but do not have a TIN,apply for a TIN patronage dividends and write"Applied Foy'in the space for the TIN,sign and date the form,and give it to the requester.For interest and dividend payments,and certain payments made Payments over$600 required to be Generally,exempt payees with respect to readily tradable instruments,generally you will have 60 days to get reported and direct sales over$5,000 1 through 52 a TIN and give it to the requester before you are subject to backup withholding on payments.The 60-day rule does not apply to other types of payments.You will be Payments made in settlement of Exempt payees 1 through 4 subject to backup withholding on all such payments until you provide your TIN to payment card or third party network the requester. transactions Note.Entering"Applied Foy'means that you have already applied for a TIN or that 1 See Form 1099-MISC,Miscellaneous Income,and its instructions. you intend to apply for one soon. Caution:A disregarded U.S.entity that has a foreign owner must use the appropriate Form W-8. Form W-9(Rev.12-2014) Page 4 Part II. Certification 3You must show your individual name and you may also enter your business or DBAname on the"Business name/disregarded entity"name line.You may use either your SSN or EIN(ifyou To establish to the withholding agent that you are a U.S.person,or resident alien, have one),but the IRS encourages you to use your SSN. sign Form W-9.You may be requested to sign by the withholding agent even if 4 items 1,4,or 5 below indicate otherwise. List first and circle the name of the trust,estate,or pension trust.(Do not furnish the TINof the personal representative or trustee unless the legal entity itself is not designated in the account For a joint account,only the person whose TIN is shown in Part I should sign title.)Also see Special rules for partnerships on page 2. (when required).In the case of a disregarded entity,the person identified on line 1 *Note.Grantor also must provide a Form W-9 to trustee of trust. must sign.Exempt payees,see Exempt payee code earlier. Note. If no name is circled when more than one name is listed,the number will be Signature requirements.Complete the certification as indicated in items 1 considered to be that of the first name listed. through 5 below. Secure Your Tax Records from Identity Theft 1.Interest,dividend,and barter exchange accounts opened before 1984 and broker accounts considered active during 1983.You must give your Identity theft occurs when someone uses your personal information such as your correct TIN,but you do not have to sign the certification. name,SSN,or other identifying information,without your permission,to commit 2.Interest,dividend,broker,and barter exchange accounts opened after fraud or other crimes.An identity thief may use your SSN to get a job or may file a 1983 and broker accounts considered inactive during 1983.You must sign the tax return using your SSN to receive a refund. certification or backup withholding will apply. If you are subject to backup To reduce your risk: withholding and you are merely providing your correct TIN to the requester,you -Protect your SSN, must cross out item 2 in the certification before signing the form. -Ensure your employer is protecting your SSN,and 3.Real estate transactions.You must sign the certification. You may cross out item 2 of the certification. -Be careful when choosing a tax preparer. 4.Other payments.You must give your correct TIN,but you do not have to sign If your tax records are affected by identity theft and you receive a notice from the certification unless you have been notified that you have previously given an the IRS,respond right away to the name and phone number printed on the IRS incorrect TIN."Other payments" include payments made in the course of the notice or letter. requester's trade or business for rents,royalties,goods(otherthan bills for If your tax records are not currently affected by identity theft but you think you merchandise),medical and health care services(including payments to are at risk due to a lost or stolen purse or wallet,questionable credit card activity corporations),payments to a nonemployee for services,payments made in or credit report,contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit settlement of payment card and third party network transactions,payments to Form 14039. certain fishing boat crew members and fishermen,and gross proceeds paid to attorneys(including payments to corporations). For more information,see Publication 4535,Identity Theft Prevention and Victim Assistance. 5.Mortgage interest paid by you,acquisition or abandonment of secured Victims of identity theft who are experiencing economic harm or a system property,cancellation Cover debt,qualified tuition program payments(under problem,or are seeking help in resolving tax problems that have not been resolved section ions IRA,pension ell ESA,Archer MSA u HSA contributions IN through normal channels,may be eligible for Taxpayer Advocate Service(TAS) distributions,and pension distributions.You must give your correct TIN,but you assistance.You can reach TAS by calling the TAS toll-free case intake line at do not have to sign the certification. 1-877-777-4778 or TTY/TDD 1-800-829-4059. What Name and Number To Give the Requester Protect yourselffrom suspicious emails or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business For this type of account: Give name and SSN of: emails and websites.The most common act is sending an email to a user falsely 1.Individual The individual claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft. 2.Two or more individuals(joint The actual owner of the account or, account) if combined funds,the first The IRS does not initiate contacts with taxpayers via emails.Also,the IRS does individual on the account' not request personal detailed information through email or ask taxpayers for the PIN numbers,passwords,or similar secret access information for their credit card, 3.Custodian account of a minor The minor' bank,or other financial accounts. (Uniform Gift to Minors Act) If you receive an unsolicited email claiming to be from the IRS,forward this 4.a.The usual revocable savings The grantor-trustee' message to phishing@irs.gov.You may also report misuse of the IRS name,logo, trust(grantor is also trustee) or other IRS property to the Treasury Inspector General for Tax Administration b.So-called trust account that is The actual owner' (TIGTA)at 1-800-366-4484. You can forward suspicious emails to the Federal not a legal or valid trust under Trade Commission at:spam@uce.gov or contact them at www.ftc.gov/idtheft or state law 1-877-IDTHEFT(1-877-438-4338). 5.Sole proprietorship or disregarded The owner' Visit IRS.gov to learn more about identity theft and how to reduce your risk. entity owned by an individual 6.Grantor trust filing under Optional The grantor* Privacy Act Notice Form 1099 Filing Method 1 (see Regulations section 1.671-4(b)(2)(i) Section 6109 of the Internal Revenue Code requires you to provide your correct TIN (A)) to persons(including federal agencies)who are required to file information returns with the IRS to report interest,dividends,or certain other income paid to you; For this type of account: Give name and EIN of: mortgage interest you paid;the acquisition or abandonment of secured property; 7.Disregarded entity not owned by an The owner the cancellation of debt;or contributions you made to an IRA,Archer MSA,or HSA. individual The person collecting this form uses the information on the form to file information 8.A valid trust,estate,or pension trust Legal entity' returns with the IRS,reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal 9.Corporation or LLC electing The corporation litigation and to cities,states,the District of Columbia,and U.S.commonwealths corporate status on Form 8832 or and possessions for use in administering their laws.The information also may be Form 2553 disclosed to other countries under a treaty,to federal and state agencies to enforce 10.Association,club,religious, The organization civil and criminal laws,or to federal law enforcement and intelligence agencies to charitable,educational,or other tax- combat terrorism.You must provide your TIN whether or not you are required to file exempt organization a tax return.Under section 3406,payers must generally withhold a percentage of 11.Partnership or multi-member LLC The partnership taxable interest,dividend,and certain other payments to a payee who does not give a TIN to the payer.Certain penalties may also apply for providing false or 12.A broker or registered nominee The broker or nominee fraudulent information. 13.Account with the Department of The public entity Agriculture in the name of a public entity(such as a state or local government,school district, or prison)that receives agricultural program payments 14.Grantor trust filing under the Form The trust 1041 Filing Method or the Optional Form 1099 Filing Method 2(see Regulations section 1.671-4(b)(2)(i) (B)) 1 List first and circle the name of the person whose number you furnish.If only one person on a joint account has an SSN,that person's number must be furnished. 2 Circle the minor's name and furnish the minor's SSN. S4 S 'S P' Jy� fl r '\ 1 Y \ f itilll!;44! lits 4a`j RA ooeoo • - • • { A Id,R/018fifiv 0 u tre a c h M8 ,�rsm h G umn mmmn ummmmmm OW S ,. S C i S ). BUSINESS ! The Boynton Beach CRA 1s excited to inform you about our Social Media Outreach Program! Our ' goal is to helpbusinesses i ' establish line presence. The best ? is - ®completely ! Renee Roberts, Social Media & Communications Specialist, is here to teach you the tools you need to successfully market your busi ss on social i ' and online platforms. This program aims to help business owners manage . . and learn how to utilize social i s. We offer a range of services, from starting si ss accounts, building ad campaigns for events to special i s, or postingactivity products.and Contact us today to get started! CONTACT INFORMATION: Name: Q r • Business: Email: • f� h; ..iii . LJ I N ESI RA COMMUMTY REDEVELOPMENT AGENCY EN October 1 , 2018 — September 30, 2019 BOYNTON BEACH COMMUNITY REDEVELOPMENT AGENCY COMMERICAL PROPERTY IMPROVEMENT GRANT PROGRAM Program Rules and Regulations The Commercial Property Improvement Grant Program is designed to help facilitate the establishment of new businesses and aid in the expansion of existing businesses within the Boynton Beach Community Redevelopment Agency (the "CRA") District. The program is designed to provide financial assistance to new and existing businesses in the form of a reimbursable grant intended to reduce the initial costs associated with the repair and rehabilitation of buildings or other improvements in accordance with the CRA Community Redevelopment Plan. Improvements paid for by the CRA must be permanent and stay with the building. The CRA reserves the right to approve or deny any Commercial Property Improvement Grant Program application and to deny payment at any time if, in its sole and absolute discretion, it determines that the business will not advance the goals and objectives established for redevelopment of the CRA District. For purposes of this application, the term "new business" means a company in operation for less than six months or relocating to Boynton Beach. The term "existing business" means a company that has been in operation within the CRA District for a minimum of two years at the time of application and has at least two years remaining on its existing lease. The term "project" means the eligible exterior or interior improvement project for which the applicant seeks reimbursement. Initials Page 1 of 16 Property Improvement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com The Boynton Beach CRA is a public agency and is governed by the "Florida Public Records Law" under Florida State Statutes, Chapter 119. Any documents provided by the Applicant(s) may be produced the CRA upon receipt of a public records request, subject to any exemptions provided by Florida Law. Incentive Funding The Commercial Property Improvement Grant Program offers financial assistance to the landlord or business owner in the form of a reimbursable, matching grant for 50% of eligible expenses, up to $50,000, associated with the construction or renovation of the exterior and interior elements of the commercial operating space. Applicants are encouraged to take advantage of the City of Boynton Beach's PACE Program to help defer the cost of installing energy efficient items. Information regarding the PACE Program is available online at http-//www.boynton-beach.org/go- green/pace_program.php or by contacting the City of Boynton Beach at (561) 742-6067. Attached is the ReNew PACE Eligible Product List. Eligibility Requirements Applicants must meet all of the following requirements in order to be considered eligible to receive grant funding: • Applicant must be the business entity (or d/b/a) named and the principal owners named on the corporation documents, and must be the landlord or business owner of the company occupying the property to be improved. • Must be located within the CRA District (see attached map). • Must provide proof that the commercial business is properly licensed by all necessary levels of government and professional associations or agencies (copies of City and County licenses or receipts that the licenses have been applied for). • Improvements to non-profit and residentially zoned properties are NOT eligible expenses. • Applicant must have an executed multi-year lease with at least two years remaining on the lease. • Proposed leases must be executed within 30 days of CRA Board approval or the grant award is terminated. Initials Page 2 of 16 Property Improvement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com • The Applicant's Experian consumer credit report must reflect an acceptable level of financial stability, as determined in the sole discretion of the CRA. A copy of the consumer report will be provided to the applicant upon request. Applicants must have an Experian credit score of 601 or higher and have no listed history of bankruptcy to be eligible. If there is more than one business owner, the majority of the business owners must have credit scores of 601 or higher to be eligible. • All work must be done in compliance with applicable City of Boynton Beach Building Codes and Land Development Regulations. All contractors must be licensed as required to work in Boynton Beach and/or Palm Beach County. For any projects valued more than $250,000 (based on the project's construction value as it appears on the Palm Beach County-Wide/Municipal Building Permit Application Form submitted to the City of Boynton Beach), preference will be given to projects that will use contractors with an office in Palm Beach County. Please contact the City of Boynton Beach Development Department regarding the proposed work to be performed prior to submitting a grant application. • Grant funding amounts will be based on the applicant's project budget, specified at the time of the CRA Board approval, plus an added 20% contingency funding amount. • Grant funds will be reimbursed exclusively for approved work and approved change orders. • The Commercial Property Improvement Grant Program may only be used one time in any five year period for any one property. Entities hoping to improve properties that were previously improved using a CRA improvement grant may apply for additional grants any time after five years from previous grant approval. • In order to qualify for the grant, the subject property may not have any outstanding City of Boynton Beach liens at the time the applicant seeks reimbursement. To ensure that the property does not have any outstanding liens, violations or monies owed for utilities, the CRA will perform a lien search on the property at a cost of $115.00, which will be deducted from any grant funding awarded to the recipient. In the event that there is an outstanding lien against the property, the grant will not be awarded until the complete satisfaction of the lien. • The property owner or tenant must complete the project, obtain a Certificate of Occupancy/Completion from the City of Boynton Beach, and submit for reimbursement within 180 days of the issuance date of the permit for the project. If CRA Board Approves grant funding and the work being performed does not require a permit, the Certificate of Completion (or equivalent) and application for Initials Page 3 of 16 Property Improvement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com reimbursement must be within 180 days of the grant award. Failure to complete the improvements within the specified time frame will result in termination of the grant award. Only one 60 day administrative extension will be permitted, and the CRA has the sole and absolute discretion to grant or deny such extension. • Project items completed and paid for by the applicant more than 60 days prior to grant approval by the CRA Board are not eligible for reimbursement under the grant program. A complete application must be received within 60 days of payment in order for an expense to be eligible for reimbursement. Once a complete application is received, the application will be placed on the next available agenda for review and potential approval. • CRA Board approval of this grant results only in funding. Approval of CRA grant funding is NOT approval of any type of City processes including, but not limited to, permits and site plan modification. Applicants must apply for permits and site plan modification through the appropriate departments at the City. All commercial projects require permitting and site plan modification reviews. It is the responsibility of the applicant to obtain all necessary City approvals. • Grantees shall allow the CRA the rights and use of photos and project application materials. • The CRA Board may give preference to local businesses. For purposes of this grant, local business means a duly licensed business entity with an office location in Palm Beach County. Projects and items eligible for funding under this grant program are limited to: • Structural walls • Plumbing • Flooring • Grease trap installation • HVAC system • ADA Improvements • Electrical systems, • Hood & fire • Signage including lighting suppression • Doors/windows • Landscaping and • Parking lot re-paving, • Patio decks irrigation within the re-sealing, and/or connected to the project site restriping building • Painting • Fencing (excluding • Demolition of structure • Roofing (Not to chain link, barbed wire, and re-sodding of exceed 50% of and wood panels) vacant property total grant award) • Electric vehicle charging • Solar electricity and stations — See attached water heating — See ReNew PACE Eligible attached ReNew PACE Product List Eligible Product List Initials Page 4 of 16 Property Improvement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com Ineligible Businesses The following businesses are considered ineligible for assistance under the Commercial Property Improvement Grant Program: • Firearm Sales/Shooting Ranges • Convenience Stores • Religion-Affiliated Retail Stores • Churches/places of worships • Non-profit Organizations • Alcohol and/or Drug Rehabilitation • Adult Gambling Arcades Centers/Housing • Check Cashing Stores • Medical Research Centers/Housing • Adult Entertainment • Massage/Personal Services • Vapor Cigarette, E Cigarette Stores • Any other use that the CRA staff or CRA Board determine will not support the redevelopment of the CRA District Grant Terms and Conditions This grant is divided into three tiers of eligibility. Businesses are classified into tiers based on the type of business, which then determines the amount of eligible funding. All reimbursement checks from the CRA to the successful applicant will be made out to the applicant (the business entity). Grant funding amounts will be based on the applicant's project budget specified at the time of CRA Board approval, plus an added 20% for contingency funding. Tier One Business Tier One Businesses are eligible for reimbursement of 50% of the applicant's project budget as specified at the time of CRA Board approval, up to a maximum amount of $50,000 in grant funding. Tier One Businesses must be one of the following types of business: • Restaurant • Bakery • Gourmet Food Market Initials Page 5 of 16 Property Improvement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com Tier Two Business Tier Two Businesses are eligible for reimbursement of 50% of the applicant's project budget as specified at the time of CRA Board approval, up to a maximum amount of $25,000 in grant funding. Examples of Tier Two Businesses include, but are not limited to, the following types of businesses: • Home Decor/Design — home • Boutiques — clothing, shoes & furnishings, art galleries, kitchen accessories wares • Law Offices • Accounting Offices • Hair/Nail Salons (no more than two • Real Estate Offices approvals per fiscal year) • Bed and Breakfast • Medical Offices • Marketing Offices • Insurance Offices • Fitness Facilities — yoga, dance • Take Out Restaurants exercise, martial arts, etc. • Tattoo Parlor/Body Piercing/Body • Specialty Retail Businesses — Art Shop (no more than two stationary, gifts, sporting goods approvals per fiscal year) • Florists (no more than two approvals per fiscal year) Tier Three Business (no more than two approvals per fiscal year) Tier Three Businesses are subject to CRA Board for review and approval. Tier Three Businesses eligible for reimbursement of 50% of the applicant's project budget as specified at the time of CRA Board approval, up to a maximum amount of $15,000 in grant funding. Tier Three Businesses must be one of the following types of businesses: • Auto Services Facilities — repair, • Pawn Shops storage, sales, etc. • Liquor Store • Kava Tea Bar Initials Page 6 of 16 Property Improvement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com Lease Terms If the applicant is a tenant, it must have a proposed or executed multi-year lease with a minimum of two years remaining on lease. The commercial lease must define the landlord-tenant relationship and at minimum provide the following information: • A description of the space being rented, including square footage and a drawing of the space; • Description of utilities that are the tenant's responsibility; • Rental rate and deposits along with terms of lease and methodology for future rent increases; • Responsible party for interior and exterior repairs and/or improvements; • Insurance requirements; • Ability to terminate; and • Consequences of default on the lease. Application Process Applications can be obtained from the CRA office located at 710 North Federal Highway, Boynton Beach, FL 33435 or downloaded from www.catchboynton.com. All applicants are required to meet with CRA staff in order to determine eligibility before submitting an application. Applications will not be considered until all required documentation is submitted to the CRA office. Application to this grant program is not a guarantee of funding. Funding is at the sole discretion of the CRA Board. Applicants must submit an original, "hard copy" application with all materials to the CRA for review and approval by the CRA Board. Applicants will be considered on a first- come, first-serve basis. Application packets must include the following documentation- 1. ocumentation:1. A non-refundable fee of $100, which will be used to obtain a consumer credit report on the business and principal/owners of business. Make check payable to: Boynton Beach CRA. 2. Written detailed project budget describing the improvements to be done to the property. It must list all project costs for which the applicant is requesting reimbursement. The project budget must provide a total cost of the project. Initials Page 7 of 16 Property Improvement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com 3. Cost estimate(s) from a licensed contractor(s) as specified in the applicant's project budget. 4. Signage design, project color chips, material samples and material specifications, if applicable. 5. Copy of building permit receipt/application. If the permit has not been applied for prior to submission of the grant application, a copy of the building permit receipt is due within 90 days of grant approval, or the grant award may be terminated. 6. Resume for each principal/owner of the business. 7. Copy of the corporate documents for the applying business entity. 8. Copy of executed multi-year commercial lease agreement. 9. Copy of Warranty Deed. 10.Two years of corporate tax returns (for existing businesses only). 11.Two years of personal tax returns for the principal/owners of a new business. 12.Copy of design and construction plans associated with the proposed improvements. 13.List of jobs to be created and filled including job descriptions, pay range and weekly schedule. For existing businesses, provide a list of all current positions including job descriptions, pay range and weekly schedule. 14.A minimum of four color digital "before" photos of the exterior and interior portions of the project. 15.Completed and signed application (attached). 16.Authorization to perform credit check for the business and each principal/owner of the business (attached). 17.W9 Form (attached). 18.City Planning and Development Department Acknowledgement Form (attached). 19.City Permit Department Acknowledgement Form (attached). The above referenced City Forms (line 18 and 19) must be completed and submitted to the appropriate departments, which are located at City Hall 3310 Quantum Boulevard, Suite 101, Boynton Beach, FL 33426. Phone (561) 742-6000. Approval of Funding Request All required documentation must be submitted no later than noon two weeks prior to the second Tuesday of the month. CRA staff will review the application to evaluate whether the project is eligible for reimbursement. If it meets these requirements, CRA staff will present the funding request to the CRA Board for review and potential approval. Initials Page 8 of 16 Property Improvement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboVnton.com The CRA Board meets on the second Tuesday of each month at the Intracoastal Park Clubhouse located at 2240 N. Federal Highway, Boynton Beach, FL 33435. The schedule for CRA Board meetings can be obtained at www.catchboynton.com. Applicants will be notified of the date and time that their applications will be considered by the CRA Board. The CRA recommends that applicants attend the CRA Board meeting during which the Board will consider their applications in order to answer any questions the CRA Board may have regarding their applications. CRA staff will notify the applicant of the CRA Board's approval or denial in writing. Site Visits CRA may conduct a site visit prior to transmitting the application to the CRA Board and once the project is completed. Staff may also conduct unannounced site visits before, during, and after the project in order to determine and ensure compliance with the terms of the grant. Procedures for Reimbursement This program is designed as a matching 50% reimbursable grant. All work must be completed and paid for by the applicant prior to the release of CRA funds. The CRA will provide reimbursement to the applicant upon submittal of a complete reimbursement request package. All reimbursement requests and supporting documents must be submitted to the CRA (3) days prior to the grant expiration date. The CRA may refuse to issue grant funding if the submission is not received by the specified time. Once the work is completed the Reimbursement Request shall be summarized in a report and accompanied by the following documentation: 1. Invoices, receipts or other acceptable evidence of payment from suppliers and licensed contractor(s) that have been marked "paid in full." Proposals for "work to be completed" or "bids" are not considered proper documentation. a. Each item must be supported by a cancelled check showing the face of the check, as well as the back of the cancelled check. The only forms of cash payments that are acceptable as evidence of payments are cashier's checks and bank transfers. A copy of the cashier's check to the payee Initials Page 9 of 16 Property Improvement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com must be provided as proof of payment. If payment is being made by a bank transfer, a copy of the statement from both payer and payee showing the transaction and/or copy of the email/text verification from both parties. 2. A "final release of lien" signed by each licensed contractor(s). See attached Sample of a Final Release of Lien form. 3. Copy of City of Boynton Beach and Palm Beach County licenses (Business Tax Receipt). 4. A minimum of 4 color "after" photos of the project. By submitting for reimbursement, the applicant warrants that all bills for which applicant is directly responsible related to the project are paid in full including, but not limited to, all contractors, labor, materials, related fees and permits. Grantees may not submit work improvements for reimbursement that have been used as part of a reimbursement request for any other grant program offered by the CRA, City of Boynton Beach, Palm Beach County or the State of Florida. The Commercial Property Improvement Grant Program will only reimburse applicants for new expenditures that have not been submitted to other grant programs for reimbursement. SUBMISSION OF AN APPLICATION IS NOT A GUARANTEE OF FUNDING It is the responsibility of the applicant to READ AND UNDERSTAND all aspects of the Grant Program's Rules/Requirements and Application. NOTICE TO THIRD PARTIES: The grant application program does not create any rights for any parties, including parties that performed work on the project. Nor shall issuance of a grant result in any obligation on the part of the CRA to any third party. The CRA is not required to verify that entities that have contracted with the applicant have been paid in full, or that such entities have paid any subcontractors in full. Applicant's warranty that all bills related to the Project for which the applicant is directly responsible have been paid is sufficient assurance for the CRA to award grant funding. Initials Page 10 of 16 Property Improvement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com { n BOYNT011 "I loom BLACM �t; RA APPLICANT INFORMATION BUSINESS INFORMATION: Business Name (d/b/a if applicable): Current Business Address: Fed I D#: Business Phone Number: Cell: Website: Existing Business: Yes No Number of years in existence: Time at Current Location: New Business to Boynton Beach: Yes No Do you have an executed lease agreement: Yes _ No _ If so, monthly base rent: New Business Address (if applicable): Square footage of current location: Square footage of new location: Type of Business: Number of Employees: Hours of Operation: List of improvements seeking reimbursement for: Requested grant amount: Page 11 of 16 Property Improvement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com { n BOYNT011 "I loom BLACM �t; RA APPLICANT INFORMATION PRINCIPAL/OWNER INFORMATION: (If more than 4 principals/owners additional sheets may be used) 1. Principal/Owner Name: Date of Birth: Email: Residential Address: Cell Phone Number: 2. Principal/Owner Name: Date of Birth: Email: Residential Address: Cell Phone Number: 3. Principal/Owner Name: Date of Birth: Email: Residential Address: Cell Phone Number: 4. Principal/Owner Name: Date of Birth: Email: Residential Address: Cell Phone Number: Are you applying for grant assistant under any other program offered by the CRA? Yes No If yes, what additional programs are you applying for: Page 12 of 16 Property Improvement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com { n BOYNT011 "I loom BLACM �t; RA APPLICANT INFORMATION Are you receiving grant assistance under any other governmental agencies: Yes _ No If yes, list any additional grant sources and amounts: LANDLORD INFORMATION: Landlord Name: Landlord's Mailing Address: Landlord's Phone Number: CERTIFICATION AND WAIVER OF PRIVACY: For purposes of this certification and waiver of privacy, the term "I" refers to the applicant and to all signatories below individually. By signing below, each signatory represents and confirms that he or she is authorized to sign on behalf of the applicant(s). 1, the undersigned applicant(s), certify that all information presented in this application, and all of the information furnished in support of the application, is given for the purpose of obtaining a grant under the Boynton Beach Community Redevelopment Agency Commercial Property Improvement Grant Program, and it is true and complete to the best of my knowledge and belief. I further certify that I am aware of the fact that I can be penalized by fine and/or imprisonment for making false statements or presenting false information. I further acknowledge that I have read and understand the terms and conditions set forth and described in the Boynton Beach Community Redevelopment Agency Commercial Property Improvement Grant Program Rules and Requirements. Initials Page 13 of 16 Property Improvement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com { n BOYNT011 "I loom BLACM �t; RA APPLICANT INFORMATION I understand that this application is not a guarantee of grant assistance, and that award of grants is at the sole discretion of the Boynton Beach Community Redevelopment Agency Board. I understand that the purpose of the grant is to further the Boynton Beach Community Redevelopment Plan, and that the Boynton Beach Community Redevelopment Agency may decline my application for any legal reason, including the reason that granting the award will not further the Community Redevelopment Plan. Should my application be approved, I understand that the Boynton Beach Community Redevelopment Agency may, at its sole discretion, discontinue grant payments at any time if in its sole and absolute determination it feels such assistance no longer meets the program criteria or is no longer in furtherance of the Boynton Beach Community Redevelopment Plan. To the maximum extent possible, I hereby waive my rights to privacy and confidentiality for all matters contained in this application, and give my consent to the Boynton Beach Community Redevelopment Agency, its agents and contractors to examine any confidential information given herein. I further grant permission, and authorize any bank, employers or other public or private agency to disclose information deemed necessary to complete this application. I specifically authorize the CRA to run a credit report as part of this application, and understand that information in my credit report, including a record of bankruptcy, may disqualify me from obtaining grant funding. I give permission to the CRA or its agents to take photos of myself and business to be used to promote the program. I understand that if this application and the information furnished in support of the application are found to be incomplete, it will be not processed. Initials Page 14 of 16 Property Improvement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com { n BOYNT011 "I loom BLACM �t; RA APPLICANT INFORMATION APPLICANT SIGNATURES: 1. Principal/Owner's Signature Date Printed Name Title 2. Principal/Owner's Signature Date Printed Name Title 3. Principal/Owner's Signature Date Printed Name Title 4. Principal/Owner's Signature Date Printed Name Title Notary as to Principal/Owner's Signatures - Multiple notary pages may be used if signing individually STATE OF COUNTY OF BEFORE ME, an officer duly authorized by law to administer oaths and take acknowledgements, personally appeared who is/are personally known to me or produced as identification, and acknowledged he/she executed the foregoing Agreement for the use and purposed mentioned in it and that the instrument is his/her act and deed. IN WITNESS OF THE FOREGOING, I have set my hand and official seal in the State and County aforesaid on this day of 20 NOTARY PUBLIC My Commission Expires: Page 15 of 16 Property Improvement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com { n BOYNT011 "I loom BLACM �t; RA LANDLORD INFORMATION LANDLORD SIGNATURES: 1. Landlord's Signature Date Printed Name Title 2. Landlord's Signature Date Printed Name Title Notary as to Principal/Owner's Signatures - Multiple notary pages may be used if signing individually STATE OF COUNTY OF BEFORE ME, an officer duly authorized by law to administer oaths and take acknowledgements, personally appeared who is/are personally known to me or produced as identification, and acknowledged he/she executed the foregoing Agreement for the use and purposed mentioned in it and that the instrument is his/her act and deed. IN WITNESS OF THE FOREGOING, I have set my hand and official seal in the State and County aforesaid on this day of 20 NOTARY PUBLIC My Commission Expires: Page 16 of 16 Property Improvement 710 North Federal Highway, Boynton Beach, FL 33435— Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com { n BOYNT011 "I loom BLACM �t; RA AUTHORIZATION TO PERFORM A CREDIT CHECK FOR PRINCIPAL/OWNER The applicant hereby consents to and authorizes the Boynton Beach Community Redevelopment Agency's ("CRA") investigation into the credit worthiness of the applicant. Such consent and authorization is given with respect to any and all persons who may conduct an investigation of the applicant's credit worthiness on behalf of the CRA, including independent contractors and credit agencies retained by the CRA for such purpose. Any information provided to the CRA is a public record subject to the provisions of Ch. 119 F.S. Applicant grants such consent and authorization to the CRA for the period commencing as of the date of this authorization and terminating on the date the grant has been fulfilled. This applicant hereby waives and all claims, past, present or future, which the applicant may have against the CRA by reason of any credit investigation made pursuant to applicant's consent and authorization herein give to the CRA. An authorization to Perform Credit Check needs to be complete by each Principal/Owner and by the Business. Please us a separate form for each principal/owner: Principal/Owner Name: Date of Birth: Current Home Address: Previous Home Address: Email: Phone Number: Signature: Date: 710 North Federal Highway, Boynton Beach, FL 33435—Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com { n BOYNT011 "I loom BLACM �t; RA AUTHORIZATION TO PERFORM A CREDIT CHECK FOR BUSINESS The applicant hereby consents to and authorizes the Boynton Beach Community Redevelopment Agency's ("CRA") investigation into the credit worthiness of the applicant. Such consent and authorization is given with respect to any and all persons who may conduct an investigation of the applicant's credit worthiness on behalf of the CRA, including independent contractors and credit agencies retained by the CRA for such purpose. Any information provided to the CRA is a public record subject to the provisions of Ch. 119 F.S. Applicant grants such consent and authorization to the CRA for the period commencing as of the date of this authorization and terminating on the date the grant has been fulfilled. This applicant hereby waives and all claims, past, present or future, which the applicant may have against the CRA by reason of any credit investigation made pursuant to applicant's consent and authorization herein give to the CRA. An authorization to Perform Credit Check needs to be complete by each Principal/Owner and by the Business. Business (d/b/a if applicable): Federal Tax I D #: Current Business Address: State of Corporation: Email: Phone Number: Fax Number: Signature: Date: Title: 710 North Federal Highway, Boynton Beach, FL 33435—Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com { n BOYNT011 "II r loom BLACM �t; RA CITY OF BOYNTON BEACH PLANNING & DEVELOPMENT DEPT. ACKNOWLEDGEMENT FORM COMMERCIAL PROPERTY IMPROVEMENT GRANT PROGRAM CRA Grant Applicant: has met with the City's Planning & Development Department to review the improvements that will done on the property located at: List of Improvements: City of Boynton Beach Planning & Development Dept. Reviewed by: Date: Requirements: 710 North Federal Highway, Boynton Beach, FL 33435—Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com { n BOYNT011 "II r loom BLACM �t; RA CITY OF BOYNTON BEACH PERMIT DEPT. ACKNOWLEDGEMENT FORM COMMERCIAL PROPERTY IMPROVEMENT GRANT PROGRAM CRA Grant Applicant: has met with the City's Permit Department to review the improvements that will done on the property located at: List of Improvements: City of Boynton Beach Permit Dept. Reviewed by: Date: Requirements: 710 North Federal Highway, Boynton Beach, FL 33435—Phone: (561) 737 -3256 Fax: (561) 737 -3258 www.catchboynton.com WAIVER AND RELEASE OF LIEN UPON FINAL PAYMENT (PAYMENT BY CHECK) The undersigned lienor, in consideration of the final payment in the amount of $ and condition upon payment of check number issued to the undersigned by in said amount, waives and releases its lien and right to claim a lien for labor, services or materials furnished to (customers) on the job of(owner property) to the following described property: Dated on: , 20 Lienor's Name Address By Printed Name BOYNTON t# t. ICRA MAP Hypoluxo Rd v v l Mrs Miner Rd Miner Rd t NE 26th Ave U v z 'o Z o . 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Do not Department of the Treasury Identification Number and Certification send to the IRS. Internal Revenue Service 1 Name(as shown on your income tax return).Name is required on this line;do not leave this line blank. N 2 Business name/disregarded entity name,if different from above (D 0) M 3 Check appropriate box for federal tax classification;check only one of the following seven boxes: 4 Exemptions(codes apply only to certain entities, not individuals;see N ❑Individual/sole proprietor or ❑ C Corporation F]S Corporation F] Partnership F] Trust/estate instructions on page 3): ar c single-member LLC Q El Limited liability company. Enter the tax classification(C=C corporation,S=S corporation, P=partnership)01Exempt payee code(if any) `o Note. For a single-member LLC that is disregarded,do not check LLC;check the appropriate box in the line above for Exemption from FATCA reporting y the tax classification of the single-member owner. code(if any) CLE] 01Other(see instructions) (Applies to accounts maintained outside the U.S.) V w 5 Address(number,street,and apt.or suite no.) Requester's name and address(optional) v a CL CO 6 City,state,and ZIP code (D U) 7 List account number(s)here(optional) Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number backup withholding. For individuals, this is generally your social security number(SSN). However,for a resident alien,sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other — — entities, it is your employer identification number(EIN). If you do not have a number, see How to get a L I TIN on page 3. or Note. Ifthe account is in more than one name,see the instructions for line 1 and the chart on page 4 for Employer identification number guidelines on whose number to enter. F3 Ma Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2. I am not subject to backup withholding because:(a)I am exempt from backup withholding, or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends, or(c)the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S.citizen or other U.S. person(defined below);and 4. The FATCA code(s)entered on this form (if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRSthat you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN.See the instructions on page 3. Sign Signature of Here U.S.person► Date► General Instructions -Form 1098(home mortgage interest),1098-E(student loan interest),1098-T (tuition) Section references are to the Internal Revenue Code unless otherwise noted. -Form 1099-C(canceled debt) Future developments.Information about developments affecting Form W-9(such -Form 1099-A(acquisition or abandonment of secured property) as legislation enacted after we release it)is at www.irs.gov/fw9. Use Form W-9 only if you are a U.S.person(including a resident alien),to Purpose of Form provide your correct TIN. An individual or entity(Form W-9 requester)who is required to file an information If you do not return Form W-9 to the requester with a TIN,you might be subject return with the IRS must obtain your correct taxpayer identification number(TIN) to backup withholding. See What is backup withholding?on page 2. which may be your social security number(SSN),individual taxpayer identification By signing the filled-out form,you: number(ITIN),adoption taxpayer identification number(ATIN),or employer 1.Certify that the TIN you are giving is correct(or you are waiting for a number identification number(EIN),to report on an information return the amount paid to to be issued), you,or other amount reportable on an information return.Examples of information returns include,but are not limited to,the following: 2.Certify that you are not subject to backup withholding,or -Form 1099-INT(interestearned or paid) 3.Claim exemption from backup withholding if you are a U.S.exempt payee.If -Form 1099-DIV(dividends,including those from stocks or mutual funds) applicable,you are also certifying that as a U.S.person,your allocable share of any partnership income from a U.S.trade or business is not subject to the -Form 1099-MISC(varioustypes of income,prizes,awards,or gross proceeds) withholding tax on foreign partners'share of effectively connected income,and -Form 1099-B(stock or mutual fund sales and certain other transactions by 4.Certify that FATCA code(s)entered on this form(if any)indicating that you are brokers) exempt from the FATCA reporting,is correct. See What is FA TCA reporting?on -Form 1099-S(proceeds from real estate transactions) page 2 for further information. -Form 1099-K(merchant card and third party network transactions) Cat.No.10231X Form W-9 (Rev.12-2014) Form W-9(Rev.12-2014) Page 2 Note. If you are a U.S.person and a requester gives you a form other than Form 3.The IRS tells the requester that you furnished an incorrect TIN, W-9 to request your TIN,you must use the requester's form if it is substantially 4.The IRS tells you that you are subject to backup withholding because you did similar to this Form W-9. not report all your interest and dividends on your tax return(for reportable interest Definition of a U.S.person.For federal tax purposes,you are considered a U.S. and dividends only),or person if you are: 5.You do not certify to the requester that you are not subject to backup -An individual who is a U.S.citizen or U.S.resident alien; withholding under 4 above(for reportable interest and dividend accounts opened -A partnership,corporation,company,or association created or organized in the after 1983 only). United States or under the laws of the United States; Certain payees and payments are exempt from backup withholding. See Exempt -An estate(other than a foreign estate);or payee code on page 3 and the separate Instructions for the Requester of Form W-9 for more information. -Adomestic trust(as defined in Regulations section 301.7701-7). Also see Special rules for partnerships above. Special rules for partnerships.Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax under section What is FATCA reporting? 1446 on any foreign partners'share of effectively connected taxable income from such business. Further,in certain cases where a Form W-9 has not been received, The Foreign Account Tax Compliance Act(FATCA)requires a participating foreign the rules under section 1446 require a partnership to presume that a partner is a financial institution to report all United States account holders that are specified foreign person,and pay the section 1446 withholding tax.Therefore,if you are a United States persons.Certain payees are exempt from FATCA reporting.See U.S.person that is a partner in a partnership conducting a trade or business in the Exemption from FATCA reporting code on page 3 and the Instructions for the United States,provide Form W-9 to the partnership to establish your U.S.status Requester of Form W-9 for more information. and avoid section 1446 withholding on your share of partnership income. In the cases below,the following person must give Form W-9 to the partnership Updating Your Information for purposes of establishing its U.S.status and avoiding withholding on its You must provide updated information to any person to whom you claimed to be allocable share of net income from the partnership conducting a trade or business an exempt payee if you are no longer an exempt payee and anticipate receiving in the United States: reportable payments in the future from this person. For example,you may need to -In the case of a disregarded entity with a U.S.owner,the U.S.owner of the provide updated information if you are a C corporation that elects to be an S disregarded entity and not the entity; corporation,or if you no longer are tax exempt. In addition,you must furnish a new Form W-9 if the name or TIN changes for the account;for example,if the grantor -In the case of a grantor trust with a U.S.grantor or other U.S.owner,generally, of a grantor trust dies. the U.S.grantor or other U.S.owner of the grantor trust and not the trust;and -In the case of a U.S.trust(other than a grantor trust),the U.S.trust(other than a Penalties grantor trust)and not the beneficiaries of the trust. Failure to furnish TIN.If you fail to furnish your correct TIN to a requester,you are Foreign person.If you are a foreign person or the U.S.branch of a foreign bank subject to a penalty of$50 for each such failure unless your failure is due to that has elected to be treated as a U.S.person,do not use Form W-9.Instead,use reasonable cause and not to willful neglect. the appropriate Form W-8 or Form 8233(see Publication 515,Withholding of Tax Civil penalty for false information with respect to withholding.If you make a on Nonresident Aliens and Foreign Entities). false statement with no reasonable basis that results in no backup withholding, Nonresident alien who becomes a resident alien.Generally,only a nonresident you are subject to a$500 penalty. alien individual may use the terms of a tax treaty to reduce or eliminate U.S.tax on Criminal penalty for falsifying information.Willfully falsifying certifications or certain types of income.However,most tax treaties contain a provision known as affirmations may subject you to criminal penalties including fines and/or a"saving clause."Exceptions specified in the saving clause may permit an imprisonment. exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S.resident alien for tax purposes. Misuse of TINS.If the requester discloses or uses TINs in violation of federal law, If you are a U.S.resident alien who is relying on an exception contained in the the requester may be subject to civil and criminal penalties. saving clause of a tax treaty to claim an exemption from U.S.tax on certain types of income,you must attach a statement to Form W-9 that specifies the following Specific Instructions five items: 1.The treaty country. Generally,this must be the same treaty under which you Line 1 claimed exemption from tax as a nonresident alien. You must enter one of the following on this line;do not leave this line blank.The 2.The treaty article addressing the income. name should match the name on your tax return. 3.The article number(or location)in the tax treaty that contains the saving If this Form W-9 is for a joint account,list first,and then circle,the name of the clause and its exceptions. person or entity whose number you entered in Part I of Form W-9. 4.The type and amount of income that qualifies for the exemption from tax. a. Individual.Generally,enter the name shown on your tax return.If you have changed your last name without informing the Social Security Administration (SSA) 5.Sufficient facts to justify the exemption from tax under the terms of the treaty of the name change,enter your first name,the last name as shown on your social article. security card,and your new last name. Example.Article 20 of the U.S.-China income tax treaty allows an exemption Note.ITIN applicant:Enter your individual name as it was entered on your Form from tax for scholarship income received by a Chinese student temporarily present W-7 application, line 1 a.This should also be the same as the name you entered on in the United States.Under U.S.law,this student will become a resident alien for the Form 1040/1040A/1040EZ you filed with your application. tax purposes if his or her stay in the United States exceeds 5 calendar years. However,paragraph 2 of the first Protocol to the U.S.-China treaty(dated April 30, b. Sole proprietor or single-member LLC.Enter your individual name as 1984)allows the provisions of Article 20 to continue to apply even after the shown on your 1040/1040A/1040EZ on line 1.You may enter your business,trade, Chinese student becomes a resident alien of the United States.A Chinese student or"doing business as"(DBA)name on line 2. who qualifies for this exception (under paragraph 2 of the first protocol)and is c. Partnership,LLC that is not a single-member LLC,C Corporation,or S relying on this exception to claim an exemption from tax on his or her scholarship Corporation.Enter the entity's name as shown on the entity's tax return on line 1 or fellowship income would attach to Form W-9 a statement that includes the and any business,trade,or DBA name on line 2. information described above to support that exemption. d. Other entities.Enter your name as shown on required U.S.federal tax If you are a nonresident alien or a foreign entity,give the requester the documents on line 1.This name should match the name shown on the charter or appropriate completed Form W-8 or Form 8233. other legal document creating the entity.You may enter any business,trade,or DBA name on line 2. Backup Withholding e. Disregarded entity.For U.S.federal tax purposes,an entity that is What is backup withholding?Persons making certain payments to you must disregarded as an entity separate from its owner is treated as a"disregarded under certain conditions withhold and pay to the IRS 28% of such payments.This entity." See Regulations section 301.7701-2(c)(2)(iii).Enter the owner's name on is called"backup withholding." Payments that may be subject to backup line 1.The name of the entity entered on line 1 should never be a disregarded withholding include interest,tax-exempt interest,dividends,broker and barter entity.The name on line 1 should be the name shown on the income tax return on exchange transactions,rents,royalties,nonemployee pay,payments made in which the income should be reported. For example,if a foreign LLC that is treated settlement of payment card and third party network transactions,and certain as a disregarded entity for U.S.federal tax purposes has a single owner that is a payments from fishing boat operators. Real estate transactions are not subject to U.S.person,the U.S.owner's name is required to be provided on line 1.If the backup withholding. direct owner of the entity is also a disregarded entity,enter the first owner that is You will not be subject to backup withholding on payments you receive if you not disregarded for federal tax purposes.Enter the disregarded entity's name on line 2,"Business name/disregarded entity name."If the owner of the disregarded give the requester your correct TIN,make the proper certifications, and report all your taxable interest and dividends on your tax return. entity is a foreign person,the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S.TIN. Payments you receive will be subject to backup withholding if: 1.You do not furnish your TIN to the requester, 2.You do not certify your TIN when required(see the Part II instructions on page 3 for details), Form W-9(Rev.12-2014) Page 3 Line 2 2 However,the following payments made to a corporation and reportable on Form If you have a business name,trade name,DBA name,or disregarded entity name, 1099-MISC are not exempt from backup withholding: medical and health care you may enter it on line 2. payments,attorneys'fees,gross proceeds paid to an attorney reportable under section 6045(f),and payments for services paid by a federal executive agency. Line 3 Exemption from FATCA reporting code.The following codes identify payees Check the appropriate box in line 3 for the U.S.federal tax classification of the that are exempt from reporting under FATCA.These codes apply to persons person whose name is entered on line 1.Check only one box in line 3. submitting this form for accounts maintained outside of the United States by Limited Liability Company(LLC).If the name on line 1 is an LLC treated as a certain foreign financial institutions. Therefore,if you are only submitting this form for an account you hold in the United States,you may partnership for U.S.federal tax purposes,check the"Limited Liability Company" leave field blank. ethis box and enter"P" in the space provided. If the LLC has filed Form 8832 or 2553 to Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements.A requester may indicate that a code is be taxed as a corporation,check the"Limited Liability Company" box and in the not required by providing you with a Form W-9 with"Not Applicable" (or any space provided enter"C" for C corporation or"S" for S corporation. If it is a similar indication)written or printed on the line for a FATCA exemption code. single-member LLC that is a disregarded entity,do not check the"Limited Liability Company" box;instead check the first box in line 3"Individual/sole proprietor or A—An organization exempt from tax under section 501(a)or any individual single-member LLC." retirement plan as defined in section 7701(a)(37) Line 4, Exemptions B—The United States or any of its agencies or instrumentalities If you are exempt from backup withholding and/or FATCA reporting,enter in the C—A state,the District of Columbia,a U.S.commonwealth or possession,or appropriate s ace in o line 4 an code(s)that may apply to you. any of their political subdivisions or instrumentalities p y ( ) y pp y y D—A corporation the stock of which is regularly traded on one or more Exempt payee code. established securities markets,as described in Regulations section - Generally,individuals(including sole proprietors)are not exempt from backup 1.1472-1(c)(1)(i) withholding. E—A corporation that is a member of the same expanded affiliated group as a - Except as provided below,corporations are exempt from backup withholding corporation described in Regulations section 1.1472-1(c)(1)(i) for certain payments,including interest and dividends. F—A dealer in securities,commodities, or derivative financial instruments - Corporations are not exempt from backup withholding for payments made in (including notional principal contracts, futures,forwards, and options)that is settlement of payment card or third party network transactions. registered as such under the laws of the United States or any state - Corporations are not exempt from backup withholding with respect to attorneys' G—A real estate investment trust fees or gross proceeds paid to attorneys,and corporations that provide medical or H—A regulated investment company as defined in section 851 or an entity health care services are not exempt with respect to payments reportable on Form registered at all times during the tax year under the Investment Company Act of 1099-MISC. 1940 The following codes identify payees that are exempt from backup withholding. I—A common trust fund as defined in section 584(a) Enter the appropriate code in the space in line 4. 1—An organization exempt from tax under section 501(a),any IRA,or a J—A bank as defined in section 581 custodial account under section 403(b)(7)if the account satisfies the requirements K—A broker of section 401(f)(2) L—A trust exempt from tax under section 664 or described in section 4947(a)(1) 2—The United States or any of its agencies or instrumentalities M—A tax exempt trust under a section 403(b)plan or section 457(g)plan 3—A state,the District of Columbia,a U.S.commonwealth or possession,or Note.You may wish to consult with the financial institution requesting this form to any of their political subdivisions or instrumentalities determine whether the FATCA code and/or exempt payee code should be 4—A foreign government or any of its political subdivisions,agencies,or completed. instrumentalities Line 5 5—A corporation 6—A dealer in securities or commodities required to register in the United Enter your address(number,street,and apartment or suite number).This is where States,the District of Columbia,or a U.S.commonwealth or possession the requester of this Form W-9 will mail your information returns. 7—A futures commission merchant registered with the Commodity Futures Line 6 Trading Commission Enter your city,state,and ZIP code. 8—A real estate investment trust 9—An entity registered at all times during the tax year under the Investment Part I. Taxpayer Identification Number(TIN) Company Act of 1940 Enter your TIN in the appropriate box.If you are a resident alien and you do not 10—A common trust fund operated by a bank under section 584(a) have and are not eligible to get an SSN,your TIN is your IRS individual taxpayer identification number(ITIN).Enter it in the social security number box. If you do not 11—A financial institution have an ITIN,see How to get a TIN below. 12—A middleman known in the investment community as a nominee or If you are a sole proprietor and you have an EIN,you may enter either your SSN custodian or EIN.However,the IRS prefers that you use your SSN. 13—A trust exempt from tax under section 664 or described in section 4947 If you are a single-member LLC that is disregarded as an entity separate from its The following chart shows types of payments that may be exempt from backup owner(see Limited Liability Company(LLC)on this page),enter the owner's SSN withholding. The chart applies to the exempt payees listed above,1 through 13. (or EIN,if the owner has one).Do not enter the disregarded entity's EIN.If the LLC is classified as a corporation or partnership,enter the entity's EIN. IF the payment is for... THEN the payment is exempt for... Note.See the chart on page 4 for further clarification of name and TIN combinations. Interest and dividend payments All exempt payees except How to get a TIN.If you do not have a TIN,apply for one immediately.To apply for for 7 an SSN,get Form SS-5,Application for a Social Security Card,from your local SSA office or get this form online at wvvwssa.gov.You may also get this form by calling Broker transactions Exempt payees 1 through 4 and 6 1-800-772-1213. Use Form W-7,Application for IRS Individual Taxpayer through 11 and all C corporations. S Identification Number,to apply for an ITIN,or Form SS-4,Application for Employer corporations must not enter an exempt Identification Number,to apply for an EIN.You can apply for an EIN online by payee code because they are exempt accessing the IRS website at www.irs.gou/businesses and clicking on Employer only for sales of noncovered securities Identification Number(EIN)under Starting a Business.You can get Forms W-7 and acquired prior to 2012. SS-4 from the IRS by visiting IRS.gov or by calling 1-800-TAX-FORM (1-800-829-3676). Barter exchange transactions and Exempt payees 1 through 4 If you are asked to complete Form W-9 but do not have a TIN,apply for a TIN patronage dividends and write"Applied Foy'in the space for the TIN,sign and date the form,and give it to the requester.For interest and dividend payments,and certain payments made Payments over$600 required to be Generally,exempt payees with respect to readily tradable instruments,generally you will have 60 days to get reported and direct sales over$5,000 1 through 52 a TIN and give it to the requester before you are subject to backup withholding on payments.The 60-day rule does not apply to other types of payments.You will be Payments made in settlement of Exempt payees 1 through 4 subject to backup withholding on all such payments until you provide your TIN to payment card or third party network the requester. transactions Note.Entering"Applied Foy'means that you have already applied for a TIN or that 1 See Form 1099-MISC,Miscellaneous Income,and its instructions. you intend to apply for one soon. Caution:A disregarded U.S.entity that has a foreign owner must use the appropriate Form W-8. Form W-9(Rev.12-2014) Page 4 Part II. Certification 3You must show your individual name and you may also enter your business or DBAname on the"Business name/disregarded entity"name line.You may use either your SSN or EIN(ifyou To establish to the withholding agent that you are a U.S.person,or resident alien, have one),but the IRS encourages you to use your SSN. sign Form W-9.You may be requested to sign by the withholding agent even if 4 items 1,4,or 5 below indicate otherwise. List first and circle the name of the trust,estate,or pension trust.(Do not furnish the TINof the personal representative or trustee unless the legal entity itself is not designated in the account For a joint account,only the person whose TIN is shown in Part I should sign title.)Also see Special rules for partnerships on page 2. (when required).In the case of a disregarded entity,the person identified on line 1 *Note.Grantor also must provide a Form W-9 to trustee of trust. must sign.Exempt payees,see Exempt payee code earlier. Note. If no name is circled when more than one name is listed,the number will be Signature requirements.Complete the certification as indicated in items 1 considered to be that of the first name listed. through 5 below. Secure Your Tax Records from Identity Theft 1.Interest,dividend,and barter exchange accounts opened before 1984 and broker accounts considered active during 1983.You must give your Identity theft occurs when someone uses your personal information such as your correct TIN,but you do not have to sign the certification. name,SSN,or other identifying information,without your permission,to commit 2.Interest,dividend,broker,and barter exchange accounts opened after fraud or other crimes.An identity thief may use your SSN to get a job or may file a 1983 and broker accounts considered inactive during 1983.You must sign the tax return using your SSN to receive a refund. certification or backup withholding will apply. If you are subject to backup To reduce your risk: withholding and you are merely providing your correct TIN to the requester,you -Protect your SSN, must cross out item 2 in the certification before signing the form. -Ensure your employer is protecting your SSN,and 3.Real estate transactions.You must sign the certification. You may cross out item 2 of the certification. -Be careful when choosing a tax preparer. 4.Other payments.You must give your correct TIN,but you do not have to sign If your tax records are affected by identity theft and you receive a notice from the certification unless you have been notified that you have previously given an the IRS,respond right away to the name and phone number printed on the IRS incorrect TIN."Other payments" include payments made in the course of the notice or letter. requester's trade or business for rents,royalties,goods(otherthan bills for If your tax records are not currently affected by identity theft but you think you merchandise),medical and health care services(including payments to are at risk due to a lost or stolen purse or wallet,questionable credit card activity corporations),payments to a nonemployee for services,payments made in or credit report,contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit settlement of payment card and third party network transactions,payments to Form 14039. certain fishing boat crew members and fishermen,and gross proceeds paid to attorneys(including payments to corporations). For more information,see Publication 4535,Identity Theft Prevention and Victim Assistance. 5.Mortgage interest paid by you,acquisition or abandonment of secured Victims of identity theft who are experiencing economic harm or a system property,cancellation Cover debt,qualified tuition program payments(under problem,or are seeking help in resolving tax problems that have not been resolved section ions IRA,pension ell ESA,Archer MSA u HSA contributions IN through normal channels,may be eligible for Taxpayer Advocate Service(TAS) distributions,and pension distributions.You must give your correct TIN,but you assistance.You can reach TAS by calling the TAS toll-free case intake line at do not have to sign the certification. 1-877-777-4778 or TTY/TDD 1-800-829-4059. What Name and Number To Give the Requester Protect yourselffrom suspicious emails or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business For this type of account: Give name and SSN of: emails and websites.The most common act is sending an email to a user falsely 1.Individual The individual claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft. 2.Two or more individuals(joint The actual owner of the account or, account) if combined funds,the first The IRS does not initiate contacts with taxpayers via emails.Also,the IRS does individual on the account' not request personal detailed information through email or ask taxpayers for the PIN numbers,passwords,or similar secret access information for their credit card, 3.Custodian account of a minor The minor' bank,or other financial accounts. (Uniform Gift to Minors Act) If you receive an unsolicited email claiming to be from the IRS,forward this 4.a.The usual revocable savings The grantor-trustee' message to phishing@irs.gov.You may also report misuse of the IRS name,logo, trust(grantor is also trustee) or other IRS property to the Treasury Inspector General for Tax Administration b.So-called trust account that is The actual owner' (TIGTA)at 1-800-366-4484. You can forward suspicious emails to the Federal not a legal or valid trust under Trade Commission at:spam@uce.gov or contact them at www.ftc.gov/idtheft or state law 1-877-IDTHEFT(1-877-438-4338). 5.Sole proprietorship or disregarded The owner' Visit IRS.gov to learn more about identity theft and how to reduce your risk. entity owned by an individual 6.Grantor trust filing under Optional The grantor* Privacy Act Notice Form 1099 Filing Method 1 (see Regulations section 1.671-4(b)(2)(i) Section 6109 of the Internal Revenue Code requires you to provide your correct TIN (A)) to persons(including federal agencies)who are required to file information returns with the IRS to report interest,dividends,or certain other income paid to you; For this type of account: Give name and EIN of: mortgage interest you paid;the acquisition or abandonment of secured property; 7.Disregarded entity not owned by an The owner the cancellation of debt;or contributions you made to an IRA,Archer MSA,or HSA. individual The person collecting this form uses the information on the form to file information 8.A valid trust,estate,or pension trust Legal entity' returns with the IRS,reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal 9.Corporation or LLC electing The corporation litigation and to cities,states,the District of Columbia,and U.S.commonwealths corporate status on Form 8832 or and possessions for use in administering their laws.The information also may be Form 2553 disclosed to other countries under a treaty,to federal and state agencies to enforce 10.Association,club,religious, The organization civil and criminal laws,or to federal law enforcement and intelligence agencies to charitable,educational,or other tax- combat terrorism.You must provide your TIN whether or not you are required to file exempt organization a tax return.Under section 3406,payers must generally withhold a percentage of 11.Partnership or multi-member LLC The partnership taxable interest,dividend,and certain other payments to a payee who does not give a TIN to the payer.Certain penalties may also apply for providing false or 12.A broker or registered nominee The broker or nominee fraudulent information. 13.Account with the Department of The public entity Agriculture in the name of a public entity(such as a state or local government,school district, or prison)that receives agricultural program payments 14.Grantor trust filing under the Form The trust 1041 Filing Method or the Optional Form 1099 Filing Method 2(see Regulations section 1.671-4(b)(2)(i) (B)) 1 List first and circle the name of the person whose number you furnish.If only one person on a joint account has an SSN,that person's number must be furnished. 2 Circle the minor's name and furnish the minor's SSN. S4 S 'S P' Jy� fl r '\ 1 Y \ f itilll!;44! lits 4a`j RA ooeoo • - • • { A Id,R/018fifiv 0 u tre a c h M8 ,�rsm h G umn mmmn ummmmmm OW S ,. S C i S ). BUSINESS ! The Boynton Beach CRA 1s excited to inform you about our Social Media Outreach Program! Our ' goal is to helpbusinesses i ' establish line presence. The best ? is - ®completely ! Renee Roberts, Social Media & Communications Specialist, is here to teach you the tools you need to successfully market your busi ss on social i ' and online platforms. This program aims to help business owners manage . . and learn how to utilize social i s. We offer a range of services, from starting si ss accounts, building ad campaigns for events to special i s, or postingactivity products.and Contact us today to get started! 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OLD BUSINESS SUBJECT: Discussion and Consideration of the Conceptual Design and Development Terms for the CRA's MLK Jr. Blvd Redevelopment Project SUMMARY: The CRA Board tabled this item at their March 13, 2019 meeting and directed staff to hold two public meetings in order to solicit input from residents and business owners of the Heart of Boynton District and elsewhere. CRA staff and Centennial Management Corp will hold the first meeting at the Hester Community Center on April 25, 2019 at 6:30 p.m. and the second meeting will be held at the Carolyn Sims Center on April 29, 2019 at 6:30 p.m. There will also be an opportunity for public input at the regularly scheduled C RA Advisory Board's meeting on April 4, 2019 and the CRA Board's meeting on April 9, 2019 A total of 2,150 flyers for the public input meetings (see Attachment 1) were printed and distributed to the community on March 27th -29th to: • Rolling Green Elementary School • Poinciana Elementary School • First Baptist Church of Boynton Beach, First United Methodist Church Boynton Beach, St. John Missionary Baptist Church, Community Deliverance Church, New Mt. Zion Missionary Baptist Church, Emmanuel Fellowship Center, Greater St. Paul AME Church, Bride of Christ Church, Evangelical Church of Jesus Christ, Haitian Pentecostal, Good Samaritan Alliance, Eglise Assemble Evangelique, Deliverance of Faith, and The Christian Church by Faith • City Hall, Hester Community Center, Recreation and Parks Department, Senior Center, Intracoastal Park Clubhouse and the Library Below is the distribution for the flyers that were sent via US Postal Service: • 1,340 flyers mailed to residents within the Heart of Boynton on March 26th • Utility Bill insert forApril 4th,April 8th and April 9th mailing cycle (see Attachment 11) The City's Community Compliance Department and the Neighborhood Policing Officers assisted CRA staff with the distribution of 1,500 meeting notification door hangers to residents within the Heart of Boynton (see Attachment 111). Background: On January 8, 2019, the CRA Board selected Centennial Management Corp. (CMC) as the project developer for the CRA owned properties located on E. Martin Luther King Jr. Boulevard, the subject of a RFP-RFQ issued on June 18, 2019, and directed staff to begin negotiations of a proposed Purchase and Development Agreement. In addition to providing a conceptual design layout, CMC's Proposal included several funding options for the Project, each offering varying amounts of required CRA funding, development timelines, and the income ranges of future residents to be served (see Attachments IV & V). CRA staff and the CMC development team met on January 23, 2019, to discuss the design and funding details of their proposal. The main areas of focus were on the number and type of units, the target income and eligibility of the future residents, the commercial layout, and the various financial/funding scenarios presented in their proposal. Considerable discussion took place regarding the incorporation of a property/unit ownership component. At their February 12, 2019, meeting, the CRA Board tabled the item and gave CRAAB a new assignment to perform a review of CMC's proposal, allow for public comment (see Attachment VI)and provide the CRA Board with their recommendations on the following items: • the various financing options available to CMC (Attachment VII - CRA Project Fund Summary) • the area median income categories served within the project's residential components • overall site plan components as presented These factors are important in order to provide guidance to the CMC development team as they formulate their future development pro forma and financing packages. FISCAL IMPACT: FY2018-2019 Budget, Project Fund 02-58200-406, $1,600,000. CRA PLAN/PROJECT/PROGRAM: 2016 Boynton Beach Community Redevelopment Plan - Heart of Boynton District and the Downtown Vision & Master Plan. CRAAB RECOMMENDATION: At their March 7, 2019 meeting, the CRAAB provided the following recommendations to the CRA Board: Financing Options, order of preference: 1) 9% Low Income Housing Tax Credit Funding program, one application cycle; 2) SAIL and TI RF, one application cycle; and 3)TI RF Income Eligibility: 30-80% of Area Median Household Income under the 9% Low Income Housing Tax Credit Funding program. 80-120% of Area Median Household Income, multi-family, under the SAI L funding program. 60-120% of Area Median Household I ncome under the TI RF funding option. Site Plan: Consideration should be given to ensure that parking calculations meet or exceed the City's Land Development Regulation requirements. Consideration should be given to install larger caliper trees where possible throughout the development and parking lots to provide additional shade. Consideration should be given to provide covered walkways or entrances where possible throughout the development and parking lots. ATTACHMENTS: Description D Attachment I -Community Input Flyer D Attachment II - Utility Bill Insert D Attachment III - Door Hanger D Attachment IV -CMC's Project Presentation D Attachment V -CMC's Proposed Financial Options D Attachment VI -03.07.19 CRAAB Public Comment D Attachment VII -CRA Project Fund Summary • r 3t... tr+. .,r,. {r rr. tt ist i r Sys°'t +4 {i i{s 1:,sr1 t: ts2 j tsf i t ''F rl + �'r� + ? �r t'i s li f,.tt\i1; rF 5 1 i' t )rx s, F t 1 a t) ,{.7: v,t ,. ,, ,�s i,. { ...i i t ,._ , t., 1 ,',,:, t tt.,i„7 £}i,., t „>,a >,?, ,,•r, .,,+,t,SS a, v J.. i 'r v .r,.. ,, sr r.✓ ,,, ,.. ,,,t t rr ,.,...... ,. {, t,,, i20 r,r, 'r r,. J.c, Kl, ,,{h!::,, ,, v i,,.r,WAR +! i:- ' } s/r -n,irha, ! { \, t sr J,(ri);t t 3 ;S rrJtl i it:c }t tl t} i s 1 �,. i Ia t,,> r t r 1 1 7 t It t Irr tt a r , t ' S�'.' 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