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ANX2015-07020J u ° ater > � U 2853 SUNSET POINT RD ANX2015-07020 S.E. Combined Services of Florida, LLC Zoning: Institutional Atlas #: 255B Planning & Development Department Petition for Annexation ALL APPLICATIONS ARE TO BE FILLED OUT COMPLETELY AND CORRECTLY, AND SUBMITTED IN PERSON (NO FAX OR DELIVERIES) TO THE PLANNING & DEVELOPMENT DEPARTMENT BY NOON ON THE SCHEDULED DEADLINE DATE. ALL PAGES WITHIN MUST BE SIGNED BY ALL PROPERTY OWNERS LISTED ON THE DEED. A TOTAL OF 6 COMPLETE SETS OF APPLICATION AND SUPPLEMENTAL MATERIALS (1 ORIGINAL AND 5 COPIES) AS REQUIRED WITHIN ARE TO BE SUBMITTED FOR REVIEW BY THE DEVELOPMENT REVIEW COMMITTEE. APPLICATIONS AND SUPPLEMENTAL MATERIALS ARE REQUIRED TO BE COLLATED AND STAPLED INTO SETS. IT IS INCUMBENT UPON THE APPLICANT TO SUBMIT COMPLETE AND CORRECT INFORMATION. ANY MISLEADING, DECEPTIVE, INCOMPLETE OR INCORRECT INFORMATION MAY INVALIDATE YOUR APPLICATION. THE APPLICANT, BY FILING THIS APPLICATION, AGREES TO COMPLY WITH ALL APPLICABLE REQUIREMENTS OF THE COMMUNITY DEVELOPMENT CODE. APPLICATION FEE: IMPACT FEE/ASSESSMENT FEE: To Be Completed By City of Clearwater: TYPE OF ANNEXATION: $0 TBD /nformation on /mpact Fees orAssessment Fees is available from the City of Clearwater Engineering Department (562-4747). CONTIGUOUS X NONCONTIGUOUS (TYPE A ENCLAVE) To Be Completed By Property Owner: PROPERTY OWNER (PER DEED): S.E. Combined Services of Florida, LLC MAILING ADDRESS: 1929 Allen Parkway, Houston, TX 77019 PHONE NUMBER: EMAIL: AGENT OR REPRESENTATIVE: MAILING ADDRESS Katherine E. Cole, Esq., Hill Ward Henderson 600 Cleveland St., Suite 800, Clearwater, FL 33755 PHONE NUMBER: 727-724-3900 EMAIL: Katie.Cole@hwhlaw.com ADDRESS OF SUBJECT PROPERTY: 2853, 2859, 0 Sunset Point Road PARCEL NUMBER(S): 05-29-16-00000-130-0300, 05-29-16-00000-130-0400, 05-29-16-00000-420-0100 LEGAL DESCRIPTION: CURRENT CITY SERVICES: REQUESTED CITV SERV/CES: X (select all that applyJ attached Exhibit A SANITARY SEWER SANITARY SEWER SOLID WASTE X SOLID WASTE WATER Planning & Development Department,100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fa�c: 727-562-4865 Page 1 of 7 Revised 04H 5 � : o C�ear�ater U Planning & Development Department Petition for Annexation Data Sheet PLEASE ENSURE THAT THE FOLLOWING INFORMATION IS FILLED OUT, IN ITS ENTIRETY. FAILURE TO COMPLETE THIS FORM WILL RESULT IN YOUR APPLICATION BEING FOUND INCOMPLETE AND POSSIBLY DEFERRED UNTIL THE FOLLOWING APPLICATION CYCLE. FUTURE LAND USE PLAN DESIGNATION PRESENT (COUNTY): Institutional REQUESTED (CITY): Institutional SITE AREA: ZONING DISTRICT PRESENT (COUNTY): REQUESTED (CITY�: 17.541 SIZE OF DEVELOPMENT : Existing: 9390 sq. ft. Proposed: 12,205 sq. ft (e.g., number of uniis, hotel rooms or non- residential square footogeJ A-E Insfitutional acres USE OF PROPERTY: Existing (currently on site): Proposed (new use, if any; plus existing if to remain): If residential use, is unit(s) rental? ARE THERE ANY ACTIVE/OPEN PERMITS FOR THE PROPERTY WITHIN PINELLAS COUNTY? Funeral home and Personal Care Center and cemetery support Same YES X❑ NO ❑ IF YES, PLEASE LIST/EXPLAIN: Renovation of Personal Care Center and support area (plans included herewith) STATE OF FLORIDA, COUNTY OF PINELLAS I(we), the undersigned, acknowledge that all representations made in this application are true and accurate to the best of my knowledge and authorize City representatives to visit and photograph the property described in this application. Sworn to and subscribed before me this 1st day of July 2015 by � ^� '�iC'�� l i r� � ,�il t , who is personally k_ f n_ own/has � `�.�''`, produced _ _ as identification. Signatule of property owner Signature of property owner or representative �� t �1 i � .(,ti L,_ �ti Notary public� L_ , j . My commission expires:� ;�s�s;?i�;-, ROBIMAMOBiRING EXPIRES: November 11, 2017 Planning 8 Development Department, 700 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562�4865 Page 2 of 7 Revised 04/15 ° le�arwater �� U Submittal Pa Planning & Development Department PetltlOri fOI' AririeXlt1011 � Instructions & Checklist IN ADDITION TO THE COMPLETED AIVNEXATION PETITION FORM, ALL PETITION FOR ANNEXATION PACKAGES SHALL INCLUDE A SUBMITTAL PACKAGE THAT INCLUDES THE FOLLOWING: d� Signed and sworn (notarized) disclosure of interest statement (form attached). � If the property is not a platted lot of record, a current survey identifying the dimensions, area and location of the property having been prepared, signed and sealed by a land surveyor currently registered in the State of Florida within the most recent 12 months. [Nofe: Submit two copies only] C� If development is to be initiated prior to submission of an annexation petition and/or prior to the effective date of the annexation, requisite site plans, plat, and engineering plans. City staff will review proposed plans to determine their compliance with the City's Community Development Code. d��aTerms of a proposed Agreement to Annex, if any. ❑ If the proposed annexation requires a change in the land use classification and zoning category assigned to the property, a justification for such change must be submitted in writing. If the requested zoning is not consistent with the Future Land Use Map of the City of Clearwater Comprehensive Plan, the applicant will be required to fite a companion application to amend the map. Q Proof of ownership (e.g., copy of deed, title insurance policy, or other instrument demonstrating ownership). [Note: Submit two copies only] C� If connection to city services is desired prior to the effective date of the annexation, applicant must provide notarized Petition for Annexation Supplemental Statement (form attached). [Note: Submit original only] irl If applicant is designating an agent/representative to work with City, applicant must provide notarized Affidavit to Authorize Agent/Representative (form attached). [Note: Submit original onlyJ INFORMATION REQUIRED TO COMPLETE THE PETITION FOR ANNEXATION APPLICATION AND DATA SHEET CAN BE FOUND ON THE FOLLOWING DOCUMENTS AND/OR ONLINE AT THE FOLLOWING WEBSITES. IF THE APPLICANT IS UNCERTAIN WHERE TO LOCATE THIS INFORMATION OR NEEDS ADDITIONAL ASSISTANCE, PLEASE CONTACT THE PLANNING AND DEVELOPMENT DEPARTMENT, LONG RANGE PLANNING DIVISION AT 727-562-4567. L� PARCEL NUMBER (Parcel I.D. Number) can be found on the Warranty Deed. It can also be found by searching the Pinellas County Property Appraiser's Office website at www.ocaao.orrt (search database by address). � LEGAL DESCRIPTION can be found on the Warranty Deed. It can also be found by viewing the property record online at the Pinellas County Property Appraiser's Office website at www.ocpao.or�. C� FUTURE LAND USE PLAN DESI6NATION (COUNTY) can be found by viewing a Property Report using Pinellas County's Public GIS Viewer available online at http:1/�is.ainellascouniv.or�/oublic �is1. Search by property address or Parcel I.D. Number and report will appear. Ci FUTURE LAND USE PLAN DESIGNATION (CITY) is typically the same as the land use designation in Pinellas County, unless applicant is proposing a change (see submittal package requirements for more information). C� ZONING DISTRICT (COUNTY) can be found by viewing a Property Report using Pinellas County's Public GIS Viewer available online at httc�:llQis.pinellascountv.ora/public_ i�sl,. �] ZONING DISTRICT (CITY) can be found by contacting the Planning and Development Department or viewing the City's Zoning Atlas, available online at htta:/Iwww.mvclearwater.com/�ovldeats/awa/en�inlaubl ications/en�ailas/atlas. asp. ❑ SITE AREA (ACRES) can be found by viewing a Property Report using Pinellas County's Public GIS Viewer available online at http://�is.pineilascou�tv.or�/public �isl. Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865 Page 3 of 7 Revised 04/15 ° ater U ATTEIIIDANCE AT PUBLIC HEARINGS Planning & Development Department Petition for Annexation Information for Applicants The applicant or applicant's representative is encouraged to attend City Council public hearings unless the annexation pertains to a property developed or to be developed with one single family dwelling. STANDARDS FOR ANNEXATION In determining whether to annex a property, the City shall consider the extent to which: ❑ The proposed annexation will impact public services (e.g., water, sewer, police, parks, etc.). 0 The proposed annexation is consistent with the City of Clearwater Comprehensive Plan. ❑ The proposed annexation requires a change in the future land use and zoning classifications assigned to the property as well as the jurisdiction for said change. ❑ Existing or proposed development is consistent with City regulations. ❑ Terms of a proposed Annexation Agreement, if any, promotes the City of Clearwater Comprehensive Plan. PROPERTY OWNER AGREEMENT Please be advised that, in consideration of the annexation, the property owners do hereby agree that: ❑ All structures and improvements which are erected upon said property subsequent to the date of this petition for annexation shall comply with all applicable City of Clearwater regulations and ordinances as set forth in the City Community Development Code; ❑ All residential rental units, including single-family residences must comply with the requirements in the city's residential rental ordinance, which requires the property owner to obtain a Business Tax Receipt upon annexation into the city; ❑ If development is to be initiated prior to submission of an annexation petition and/or prior to the effective date of the annexation, requisite site plans, plat, and engineering plans shalt be submitted to ensure compliance with the city's Community Development Code (see Submittal Package Instructions Checklist). It is recommended that the applicant meet with Planning and Development Department staff to review plans and/or discuss the applicable city regulations; ❑ All annexations of residential dwellings of eight dwelling units or more shall convey such recreation facilities fees and recreation land dedication and/or fees in the amount and manner prescribed by Chapter 54, Article II of Clearwater Code of Ordinances; and ❑ When any substandard abutting street or utilities are subsequently upgraded by the City to meet City Standards, said improvement(s) will be done on an assessment basis, consistent with City procedures therefore. Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865 Page 4 of 7 Revised 04/15 � ° ater > U Planning & Development Department Petition for Annexation Disclosure Statement PROPERTY OWNER (PER DEED): S.E. Combined Services of Florida, LLC MAILING ADDRESS: 1929 Ailen Parkway, Houston, TX 77019 PHONE NUMBER: EMAIL: AGENT OR REPRESENTATIVE: Katherine E. Cole, Esq., Hill Ward Henderson MAILING ADDRESS: 600 Cleveland St. Suite 800, Clearwater FL 33755 PHONE NUMBER: 727-724-3900 EMAIL: Katie.Cole@hwhlaw.com OTHER PERSONS HAVING ANY OWNERSHIP INTEREST IN THE SUBJER PROPERTY: NAME: None INTEREST IS: SPECIFIC INTEREST HELD: DOES A CONTRACT EXIST FOR SALE OF THE SUBJECT PROPERTY? CONTRACT IS: PARTIES INVOLVED — NAME: NAME: ARE THERE ANY OPTIONS TO PURCHASE THE SUBJECT PROPERTY? PARTIES INVOLVED — NAME: NAME: ARE THERE ANY MORTGAGES OR LIENS ON THE SUBJECT PROPERTY? YES PHONE NUMBER: PHONE NUMBER: YES PHONE NUMBER: PHONE NUMBER: YES PARTIES INVOLVED — NAME: PHONE NUMBER: NAME: PHONE NUMBER: X NO X NO NO STATE OF FLORIDA, COUNTY OF PINELLAS I(we), the undersigned, acknowledge that all representations made in this application are true and accurate to the best of my knowledge and authorize City representatives to visit and photograph the property described in this application. Sworn to and subscribed before me this 1st �av nf 0 of property owner � , � July 2015 b .y }� <-� I�C'--� �� `E C- _(^ t� who is personally known/has � ��'�[ _��.,. �_ �. as identification. Notary pub�IC, 1 M commission ex ires: �r's R�rnA��' Y p, -„u, "•�,,� CaIWM1SS1(1N i FF Ofi9717 �5.... Signature of property owner or representative ��. �` EXPIRES: November 11, 2017 '%:f' c' ;�' BOMed 7hN Pbtery PubGc U1de�wrbeR Planning 8� Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; FaX: 727-562-4865 Page 5 of 7 Revised 04/15 ° Clearwater Planning & Development Department Petition for Annexation � Affidavit to Authorize Agent/Representative 1. Provide names of all property owners on deed — PRINT full names: S.E. Combined Services of Florida, LLC 2. That (I am/we are) the owner(s) and record title holder(s) of the following described property: See attached Exhibit A 3. That this property constitutes the property for which a request for (describe request): Annexation 4. That the undersigned (has/have) appointed and (does/do) appoint: Katherine E. Cole, Esq., Hill Ward Henderson as (his/their) agent(s) to execute any petitions or other documents necessary to affect such petition; 5. That this affidavit has been executed to induce the City of Clearwater, Florida to consider and act on the above described property; 6. That site visits to the property are necessary by City representatives in order to process this application and the owner authorizes City representatives to visit and photograph the property described in this application; 7. That (I/we), the undersigned authority, hereby certify that the foregoing is true and correct. Property Owner Property Owner Property Owner Property Owner STATE OF Pt01tTDA, COUNTY OF-P}Nltt7� 7�a1 H�rr � s BEFORE ME THE UNDERSIGNED, AN OFFICER DULY COMMISSIONED BY THE LAWS OF THE STATE OF FLORIDA, ON THIS �" � DAY OF __ �V.YIC, 2015 . PERSONALLY APPEARED IIM�IEL MMME !011R6EOIS My CO�IIIMlNOR EM�iht Jrl/ 14. Z019 Notary Seal/Stamp WHO HAVING BEEN FIRST DULY SWORN Y UNDERSTANDS THE CONTENTS OF THE AFFIDAVIT THAT HE/SHE SIGNED. Notary Public Si ature My Commission Expires: �� y �4 �� q Planning 8 Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865 Page 6 of 7 Revised 04H5 ° Clearwat r e U PROPERTY OWNER (PER DEED): S.E. Combined Services of Florida, LLC MAILING ADDRESS: 1929 Allen Parkway, Houston, TX 77019 CITY OF CLEARWATER CASE NUMBER: Planning & Development Department Petition for Annexation Supplemental Statement I/we, [insert names of all properry owners], having filed a Petition for Annexation regarding the above property/case number, grant consent, agree and acknowledge that the City of Clearwater may immediately or at a later time process the application to completion, including adoption and recordation of related Ordinances, without the necessity to further notice me/us. This Supplemental Statement shall supersede any provision in any Agreement to Annex executed by me/us or my/our predecessors in interest. Select One Option Below Which Applies to This Petition for Annexation: ❑ Annexation of Contiguous Parcel(s): I/we further agree and acknowledge that I/we shall not rescind the Petition for Annexation or execute any documents attempting such rescission, and that any attempted rescission shall be of no force and effect. L4 Annexation of Noncontiguous Parcel(s): I/we understand that this annexation is voluntary, and that I/we may withdraw this Petition for Annexation prior to final action on this Petition by the City of Clearwater. I/we further agree and acknowledge, however, that receipt of all sewer, solid waste or other city service is contingent upon completion of the Petition for Annexation process, and that any withdrawal of this Petition prior to final action by the City, may result in a discontinuance and termination of all City-provided services. STATE OF �!'EeA A, COUNTY OF P � I(we), the undersigned, acknowledge that all representations made in this application are true and accurate to the best of my knowledge and authorize City representatives to visit and photograph the property described in this application. Sworn to and subscribed before me this � �"` day of Signature of property owner (individual or authorized representative of corpo'ration, partnership or other entity) Signature of co-property owner �i,IJY��. 2015 , bY C�l..Y"��S 4�►��4L�1� who is personallv known/has produced as identification. No ry public, _ 14 -?��i MCMEL 1/AIpE Planning & Development Department, 100 S. Myrtle Avenue, Clearvvater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865 Page 7 of 7 Revised 04l15 EXHIBIT A Legal Description Pazcel #OS-29-16-00000-130-0300 THAT PORTiON OF THE EAST HALF OF SECTION 5. TOWNSHIP 29 SOUTH. RANGE 16 EAST. PINEILAS COtNJTY. FLORIDA. LYING SOUTH OF SUFISET P'OqJT RO�tU (100' RIGHT-OF-WA`� BEMG FllRTHER DESCRIBED AS FQLLOWS: COMMENCE AT THE CENTER OF SECTION 5. TOWMSHfP 29 SOUTH. RANGE 16 EAST, THENCE S89'43'14"E. fi19.61 FEET ALONG THE EAST�WEST CENTERUF� OF 5A�3 $ECTION 5. FOR THE POINT QF 9EGIMiiNG; THENCE LEAVMIG SAID UNE, Fl00'ft'02�E, 251.53 FEET T� THE SOUTH RIGHT-OF-NtAY LMfE OF SUNSET POINT ROAD; TNENCE ALONG SJ►ID UME, S'89 38'37'E, 250.d0 FEET; THENCE LEAVMIG SA{D Llt� S00't1'02"W, 348.51 FEET; IHQ�tCE N69 43`12'W. 250.00 FEET; T}iENCE NO(ri1'd2"E. 97.32 FEEf TO TNE POINT OF BEqM�ANG. CONTAINING 2.001 ACRfS MORE afi LESS Parcel #OS-29-16-00000-130-0400 THAT PORTION OF 71iE EAST HALF OF SECTION S. TOYMNSHIP 29 SOUTH, RAPiGE 16 EAST, PINELLAS �OtN1TY FLOR�A, LYING SOUTH OF SUNSET POINT RUAD (100' RIGHT-OF-MIAY) BEING FURTHER DESCRIBED AS FOLLOM/S: COMMENCE AT THE CENTER OF SECTION 5, TUMMSH� Z9 SOUTH, RANGE 16 EAST. THENCE S89 43'14'E, 86g.61 FEET ALONG THE EAST-WEST CENTERUNE OF SAID SECTION 5 FOR THE POINT OF BEGINNIN6; THENCE LEAWING SA10 LINE, NOp'11'U2"E, 257.19 FEET TO THE 50UTH RIGHT-OF-YMAY LINE OF 51N15ET POINT ROAD; THENC� ALONG SAId UIVE, S89'38�37"E. 255.55 FEET; THENCE LEAVING 5AID LM1E. S00'10'28"W, 250.85 FEET; THENCE N89'43'14"W, 255.59 FEET TO THE POINT OF BEqNNING, CONTAIMING 1.473 AC�2£S MURE dR LESS Parcel #OS-29-16-00000-420-0100 THAT POR'T10N OF THE EAST HALF OF SEC710N 5. ror�s� 2s souni. Ra�c� �s EasT. �r►alas co�nr. �ownn, ��c soun� oF suNSEr � r�oau (�oo' �c� oF-wAY} eoNC FuRn� �� as �oitc�rrs: BEqN AT TFE CEN7ER OF SEGTION 5. TOWMSHP 29 SOUTH. RANGE 16 EIST. TFENCE S89 43'14"E, 619.6t FEET AtONG 7FIE EAST-YMEST CENIERLM�IE OF SAID SECIIOPi 5; 7HENCE EEA1fM�iG SAb LM�E. Sb0i1'02"W. 97.32 FEET: 'iFiEHCE S8943'1YE, 250.00 FEET: 'IFIENCE N 00"11'02"E. 97.32 TO SAID EAST-M�EST (�N7ERUNE OF SAID SEC'TION 5; 7F�E ALOMG SAID UME. S89'43't4"E. M0.52 FEET TO 7HE W/��ST, cR-K�HT-cO•F�-4tlAYrLMIE OF COUNTY ROAD t93t THEriCE ALONG SAr{�D Uf� S0�0'�'17{'35"Mt, 4�55.42': �K L�L/'1�1��\7 J/M.! IJRL� i�V7 Ifi•L7w�ir �WW �r �� .l%.7 I.J•�T �fr %.7.L8 r[�,r ��` N89 43`03"W, 483.92: THE�tCE S87'09'29"Mt. 64&54 FEET TO TFIE NORTH-SOUTH C�IIERUPE OF SAD SEC710N 5; 'tF�NCf ALONG SAID LINE, FK)0'19'36"E. 514.34 FEET T+D TFIE POINT OF BE(�NG. CONTAN�NG 14.067 ACRES A�IqtE OR LESS 6847893v1 Justification Statement The existing land use is Institutional; however, the zoning category in the CounTy is Agricultural- Estate. Upon annexation, the land use and zoning will both be categorized as Institutional. This is appropriate for the use. Currently, funeral homes are included in the retail sales and service category only; a city-initiated code amendment will create a new permitted use category to appropriately place funeral homes, cemeteries and associated uses in the Institutional category. ��.? �� !:I �;� • „/ 9,l50 .,r , �..Z� , ^irp ...._..__._.._ �oi a'o'.'z-'o-- �� G � . INST # 9�-266663 PII3ELLAS SPT 23, 199� 11:49AM OFF.REC.BK 8792NTpG�LA. 172 .� �� ,� �� .- , � .' `� �. , , � •", .� ,' . . , . �.;. .',' .. ... �, . �� ;� �� . ' � QUIT CLAIM DEED --' ' _ _ � � ,; �� ,, __ THIS INDENTURE is made on �P��" 16 , 1994, balween iAtriSOiJTl,�1�;8ANK Ofi FLQRIDA, a Flarlda banking corporation, formeriy known as First Kat�rlaYBank of Ciearwater, T�ustee of the Fiood Trust dated 'l2/95/69 ("Grantor"), who�e-�sost office address is 400 Cleveland Street, Cfearwater, �lorida 3Q��6, and SYLVAN ABBEY M�MORIAL PARK, INC.* a Florida carparation, ("Grantee") y►ropse pp�t ofiice address is 2860 5unset Point Raad, P, 0. Drawer "B," Clsarw��sr;-Flo�itl�'�34�18, „ . . WITfVESS��M:�� ;�� '�v , „. ,� -- '�' � � Grantor, for and in consideration of �hs 'sum o��'�n Doll�rs ($10.00) and other gaod and valuabfe cansideration, the r��eipt of w"kiicl�r'is hereby acknowiedged, has remised, released and quitclaimed,,and't�� these%qresents does remise, release and quitclaim unko Grantee afi the rig�C,.tifle; �nCor�st,;¢Paim and damand which Grantor has in and to the following descr�becfx'eal,prop9�ty located in Pineilas, County, Fiorida: , . . �,, See Exhibit "A" ait�b'ed'�Qr�to and made a part he�eof. „ . ,,, ,- ', •. Real Estate Ta�i�Parc�( NumBer: 05-29-16-00000-42A-�100, 05-29-16-00000- 420-0200�- �5 2�'I��00000-420-0210, 05-29-16-00000-130-0200, 05-29-16- ' 00000»1 �0=0300; �b5-�a16-00000-130-0400, 05-29-16-00000-130-0500, 05-29- 16-OOOOb;130-060p; . . � �, Grantee,`� fi2xa�entificatian Number: 59-0600575. _ ,_; -- -� . �,'.,'i'�0,'� f�AVE'�AND TO HOLD the same, tagether with ail and singular , appurt�3fi,ai�bs thereunto befonging or in anywise appertaining, and all the estate, right, '�; �t�tle, inter�tst �nd claim whatsoever of Grantor, either in law ar equity, to the on(y proper '�Se� ber�gfit and bshoof of Grantee. {lO�D FOf�'P7CK LIP: oocurnentarv Tax Pd, A_�1��.. Tfi15 IN57RUAiE;•:T PRL•r'RIlEO 8Y .qND li�wqMMOi 71rbOTHY :3� .1nH�lSON. JR., [SC�UIRE a' ----•.. .. Int:�u:�ihl•i r;,:� r�i. JOHNSON. OLAY,ELY. POPL•, "aKCR. RUPPL•L ICnrlonn i�. . r, L;1 •ar, C'I��i. i'�r� .2.'r : Cnuo!y ptlD UU�itJS� P.A. 91t CHESTMUT STR:�ET �Y .-.�...._.. ..... l:.::•;�; t':.•�: POSi OFFICE OOX t368 CLEARWATER, FLORIDA aJSt7-1360 , . . PxNELLAS COUNTy FLA. OFF.REC.BK 8792 p� I73 (N WiTNESB WH�REOF, Grantor has executed this deed the day and year�, ', above written. � ,-___,,, , W1TNE5SES: T113G.�1. ` � ._ � �1,. Signa re �"garet M, t+lcGowan Vice President and 1'rust Officer Print name - , .�'��-� - 5ignature T - .. AmSOUTH BANK OF ��ORtD�4;,� ��,'� �� Flarida banking carporatian, fbr,��rlq;� known as First National8.a�'t)�vf��.�: Ciearwater, Trustee af ihie�i=lodsl�7'�t�'� d�ted 12/95l69 ; ; �� „ �, '�� .� `�` �� .`/ .il.U��:1`�� . I . � ,'' ., ' 7 � �y; ,v.. � ' � .� :'�,t :. ��'s . •. cli� �i Bdi"CjCtlsa `�';• �,' : 4; : : .4 r.i .+ i As: vice President arn!-'�rtist 0€ffi�a, �c:�� i�.�. . . �� : -� � l /\ /y� �� ',��• M,\ `\ `\ •��, �1��1�� Y ` \ , 1 `��R" ; �; �. , ,� :{!'asNt,�;� , - ,,,,.,..,,,�,�,,,,, , ,' ,�, ,,, ,� . , �, , -- , , Barbara J. Spotora ' - �' �' �' ` ' �, ;- . ., �, ,� , � c'� �� , Prfnt name '. � ; ; rCu4Ui �`� :.i;�:a , � „ �'> �`. ` �` � --' ' ki� �1��J' v1L�1H�� ,� '� �-- ,l •,.��tUiNG ,� '�, �, , �_�.v, •� � �+ U'I�-��•• f'1'1 �i i I : +JS: ,�tJ HE.��1' i�1�.MGf�iAL � •�1'�. ��J STATE OF FLORIDA '�� ,�;�' . � �`�ti ��'�� - t�t,11�� u + �:'rU ,;, , . CaUN7Y 4F P{N�1.,t�1S�;�} �'.% r L rf kJ+'��-(r`+LS: a��).U'� Z7G YIi�Yf1 H7�J�I� �1�.�.14VLI�1:Vi �:�iRJa L� The f'� oin ,`str.ument was acknawled ed before e this ` '' �Gi.: pr � � iR 'Oan G. a k s Jr., Vice 9 r t � �� day of �p��r � ; , 999�,'�by � rof AmSOUTH BANK C7�F� � f21DA�;,a Flori a banking aarporation, formerJy known as First Nationai Bank_ of Cia�a�er; Trustee af tha Flood Trust dated 121'f 5/69, on behalf of the corpor�a�ic�ri._��t�e] [Shej (is personaliy known to mej [has praducad both persanali.v icr�ovm as;i�JePrt!'Eicationj. ` , ., ., , ` `` y' �� `� .lt�it-Gi �� .` �� . � - Natary Public � Print name: "Natery Pubtie•St�ta of FL" My commissfon ex�iF�°'�`p•soP�ao, i�e� (70P 39S" RESERVEO FOR CLERKj CC317t17 08105/84 1;12 PM d-7 19058.91973 t/0047330.01 —2_ .' PxNELLAS COUNTY FLA. OFF.REC.BK 8792 PG 174 EXHIBIT "A" Cammencing at the center of Section �, Township 29 South, Range 16 East; �un S89°43'94"E along east west centeriine af said Ssc#ion 5, 480.78 feet; thence �� N00°18'16"E along the east boundary of the prapsrty described in O.R. 2037, �� Page 232, Pinellas Couniy, �lartda 251.66 feet ta the South right-of-way line of '---; CR #50 per Dead Book 1269, Page 589, Pinellas County, Florida; fhence - -'� 589°40'44"E along said south right-of-way line 828.97 feet to the West right-of- �'�� '�' way line of CR #193 psr Board of County Commission Book 8, Page 342, '�,�, .' % P(rtellas County, Florida; thence S00°09'47"W along said West right-af-way line-_,':; -'� 251.26 feet to tha East West centerline of Section �; thence S00°17'33"W afbng' �.; ., �.; �, said west right-of-way line 697.i7 feet; thence S89°41'54"E along the $outh �, ��' right-of-way line af CR #193 30.00 feet; thence SOfl°17'33"W along the_�as� I�ne ;; of the NWY4 of fhe SE%. of said Section 5, 637.19 feet to ihe Sout#�L}ine' of��tje�- ;:' NW%4 of the SE'/.; thence N89°40'32"W afang said Sauth line, 1�4'0.39 feQt,to-� the Narth South centerline of said Saction 5; thenca N00°17'34°'�� along S�id Nonh South centerlina 1333.31 feet ta the Point of Beginning. -- �� ,� . �. ,. �, , , 0050332.01/mme ;`r;; _ ��,� � � � , , '�' .� ,°, `� �� " ., . � . . � . . , � , ;; , , � . ,- ` �, � .�. , �, � ; ", � .. � �� ` �� `� „ .` �� _� � ., �� -- , ., '. . ., .' �. ' .", . ,�, ,� . ��, ,'.' - �. � , � �� ; �� . � � ;� � . �, � , . `, _ � . . . - ,� ,_, '' - - _. ` ___ _ ,, �^.� . �.� --, . . .� . \` ` �y� \\ ` � \ � / � / / � . � , • f `� ...°�_. a� 1 ° �i I?�� pb �Xg L( "a i' �� F� ��'I • �N Z� �� i� 8 y . ,.,,,�,.,��. . �'ilrh� ' ` i�2i� �ja. . .` ! ��_! ` ' . ��'• .:�:ti� � � . �� . ....�. ``` u.� u�y,6r jee1w�•� �• f� 1 THIB bOCiTb;gNT OIi A PORTION QP' THIB DOCUMENT T8 dF POOIi @UAGITYA1Vp MAYB� ILLE4TBI$. PINELL$S COUNTY FLA. OFF.ItEC.BK 8792 PG 175 �� ,� �� ,_,;� � -- _�. .� .', � , � � � .'�� . � , � � �,' . , � - � �� . ,�- . .� . I �'� =� �� r'_,'� � i ,' •� . a� � °I ' � �71 Pa�� a ' ��i �� rw ` I � , t : i i I � ; � � i i � �� rp � i �J�.yi. � �i I I : _ N � � � ; 4 f� .� � . i .w�w�rc�•�t• �T� �.'� � � 1 y"""' i '.w � +� � ' t i'� ;ti .. i..� '' ARTTCLES OF MERGER ��lC Dc� -3 r�f� 4� �6 Of ..�:i:�t;,;;: ;';�,`r ::�� `� �,a,�i: Arlingion Metnorial Park Cemetery and Funeral Home;�I�c.� ��'i.":5;=; .�-�. jZ�,.�,, Madcem af Florida, Inc. Memarial Parlc Cemetery, Inc. Oaklawn Park Cemetery and Funeral Home, Inc. Royal PaIm Memorial Gardens, Xnc. South Dade-Patms Memorial Park, �nc. Sylvan Abbey Memorial Park, Ync. Woodiawn Park Cemctery Company (al! Florida corporations) with and iara GARDEN OF MEMORIES,�LLC. (a Florida lirnited liabilxty company) Pursuant to Fla. Stat. § 607.1103, the undersigned as the Surviving LLC in a merger, hereby submits the following information: 1. The names of the constituent entities and the state under the laws of which each is organized are: Name State of Incarporation Arlington Memorial Park Cemetery and �uneral Home, Inc. Florida Madcem of �lorida, Tnc. �lorida Memarial Park Cemetery, Inc. Florida Oaklawn Park Cemetery an�l Funeral Hame, Ine. � Plorida Royal Palm Memorial Gardens, Inc. Florida South Dade-Palms Memarial Park, Inc, Florida Sylvan Abbey Memorial Park, Ine. FIorida Woodlawn Park Cemetery, Company Florida (the "Merging Entities"} Garden of Memories, I,LC. Florida ("GM" or the "Sucviving L,LC") 2. The law�s of Florida permit such merger, and the merger is in compiiance with said laws. Ciarden of Memories 1.LC merger.DOC � � ..:.vf �� f.�.. ,. � �„u �- � y � :4. ' 3. The name of the Surviving LLC is Garden of Memorie , LC whose name shall A reen�ierrt of Mer• er.� The Surviv nICLLC is to bda,�Le ed b S the laws ofhhe St te oa Flo�da�`, �� A� tr: �'� � � g g Y . ,: ; • ..�. .. . 'r.,( C �'�',.4CS;•;j�;: • ;ii:'�° 4. The shareholders of the Merging Entities are as follows: `"�•�� F� i; �;r:;;, .�,„. a. Arlington Memorial Park Cernetery and Funeral Home, Inc., Sylvan Abbey Memorial Park, Inc., Madcem of F[orida, Tne., Memorial Park Cemetery, Inc., Royat Palm Memorial Gardens, Inc., Oaklawn Park Cemetery and Funeral Home, Inc., Woodlawn Park Cemetery Company, and GM are a!1 wholly owned subsidiaries of Ceznetery Management, Inc, ("CMI"), a Florida cozporation. b. South Dade-Palms Memoria! Park, Tne. is a wholly owned subsidiary of Woodlawn Park Cemetery Company, a Fiorida corporation. Woodlawn Park Cemetery Campany is a wholly owned subsidiary of CMI. The boaxd of directors and the shareholder or member, as applicable, of CMI, GM, and the Merging Entities have adopted the $ttached Plan and Agzeement of Merger by unanimous consent dated October 25, 2d10. The Merging Entities, GM, and CMI waive all notice and mailing requirements required under Florida law. 5. The shareholders of the Merging Entities, who except far the applicability of Pla. Stat. § 607.I104, �vould be entitled to vote and who dissent from the mergex pursuant to § 697.1321, may be entitled, if they comply with the provisions of this act regarding appraisal rights, to be paid the fair value of their shares. 6. Conversion of Shares. The manner and basis of canverting,#he shares of stock of each corporation into shares, obligations, ar other securities of the Surviving LLC shall be as follows: (a} The issued and autstanding shares of stock of the Mergsng Entities sha31 be canceled in consideratian of the assumption by the Surviving LLC af a11 of the assets and liabilities of the Merging Entities. (b} All of the outstanding membership interest in GM as of the Effective Date shall continue to represent the membership interest of the Surviving LLC and shall be unaffected by the Merger. C;arden of Memories LI.0 mergcr.�OC � � h } �Y � � A % �Htir 7. The merger shall be effe�tive as of October 31, 201d at 11:59 p.m. C.S.T. k�4yN «�" �^'; �� ?�l��i„ � � Dated this 25th day of Uctober, 2010. :�, ��i`� :�: ;;.:,; v P� y� �� i�;.{ � ,, r � !;: r' . ,i', ;. f�: )fj •; ,, . . ; ., , �y�; 1'4 . y� jl.i � . A�: , Michael G. Hymel, Vi res dent of Arlington Memorial Park Cemetery and Funeral Home, Inc. Cemetery Management, Inc. Craxden of Memories�LLC Madcem of Flarida, Inc. Memoriaf Park Cemetery, Inc. Oaklawn Park Cemetery and Funeral Home, Inc. Ro,yal Palm Mernarial Gardens, Inc. South Dade-Palms Memorial Park, Inc. Sylvan Abbey Memorial Park, Inc. Woodlawn Park Cemetery Company CERTIFICATE I, Lewis �. Derbes, Jr., do hereby certify that the above mentioned and attached Plan and Agreement af Merger was adopted by the unanimous written consent of the board of directors of CMI, the board of directors of each of the Merging Entities, and the meznbers of GM, dated October 25, 201 d. By: is 3 erbes, J., Secre#ary for Arli gton emorial Park Cemetery �nd Funeral Hame, Inc. Cemetery Management, Inc. Garden of Memories?rLLC Madcem of Ftorida, Inc. Memorial Park Cemetery, Inc. Oaklawn Park Cemetery and Funeral Home, Inc. Royai Palm Memoriai Gardens, Inc. South Dade-Palms Memarial Park, Tnc. Sylvan Abbey Memorial Park, Inc. Woodlawn Park Cemetery Company Ciazden of Memorics LLC merger.DOC _.:+� ACKNOWLEDGMENT STATE OF LOUISTANA PARISH OF JEFFERSON ""` a r. �., � �.. „�. 1e �... : 9V�h �..�r. ( „. 20la �rE� �� p� {,: �� r � t� ./�: : �'. � �+j! � • . �'1+tl;(� C ��,.�..�;'r' " ..•.: �-1 iy.i: '. ' i;'�: , 'i—i:, j��i ^s';; ' � iJ �•, � �): t On this 2Sth day �f October, 2010, before me, personally came and appeared, Michael G. Hymei, Vice President of Arlington Memorial Park �emetery and Funeral Home, Inc., Sylvan Abbey Memorial Park, Inc., Madcem of �torida, Inc. , Memorial Park Cemetery, Inc., Royal Palm Memorial Gard�ns, Inc., Oaklawn Park Cemetery and Funeral Home, Inc., Woodlawn Pazk Cemetery Compar�.y, South Dade-Palms Memarial Park, Inc., Garden of Memorie.�LLC and Cernetery Management, Tnc, who being duly swom, did depose and say #hat he is the Vice I'resident of said entities, that the entities described in the foregoing instrument have taken the described action therein as their free act and deed, and he signs his name heretfl by order of the Board of Directors of the said entities. Ciazden of Memories LLC mer$er.DOC By: �,., MichaeI G. Hymel, Vice Pres' t of ArIington Memarial Fark Cemetery and Funerai Hame, Inc. Cemetery Management, Ine. Garden of Memories�LLC Madcem of Florida, Inc. MemoriaI Park Cemetery, Inc. Oakiawn Park Cemetery and Funeral Horne, inc. Royal Palm Memoriat Gardens, Inc. South Dadc-Pa1ms Memorial Park, Inc. Sylvan Abbey Memorial Park, Inc. Woodlawn Park Cemetery Company Y�`' �' � N4TARY PUBLIC KETI'H M, BEN1T NOrTARY PUBLIC STATBOF LOUiSiANA 8AR ROLL NUM9ER 24021 �O�tL4SKJN EXP�tES /►'i' D8A13i PLAN AND AGREEMENT OF MERGER of Arliugton Memorial Park Cemetery and Fuz�eral Home, Inc. Madcem of Florida, Inc. Memorial Park Cemetery, Ine. Oaklawn Park Cemctery and Funeral Horae, Inc. Rayal Palm Memorial Gardens, Inc. South Dade-Palms Memorial Park, �nc. S�lvan Abbey Memorial Park, Inc. . Woodlawn Park Cemeiery Campany {atl Florida corporaiions) with and into GARDEN OF MEMORIES�LC. (a Florida lim'rted liability company) � � �.. �°� "�' fY�rns y : z��aa�c -.3 �� t: �� r.!1ii:_ �st:, � ., .. . _ .. �� ,�� - �h�(_Fti(f�;'C.,."., � i;:i...;. :�_. !� [. =i;:•;i'i;;. This P4an and Agreexnent of Merger (this "Agreement"), dated as of October 25, 2010, is made and entered into by and between Arlington Memorial Park Cernetery and Funeral Home, Inc., Madcem of Florida, Inc., Memoria! Pazk Cemetery, Inc., Oaklawn Park Cemetery and Funeral Harne, Ine., Royal.Palm Memorial Gardens, LLC, South Dade-Paims Mernorial Park, Inc., Sylvan Abbey Memorial Park, Inc., Woodlawn Park Cemetery Company, (hereafter the "Merging Entities"), and Garden of MemorieS�,rTnc. ("GM"), all of which are Flarida entities. WHEREAS, the parties hereto wish to provide for the merger af the Merging Entities with and into GM (the "Merger") pursuant to which GM will be the surviving LLC (the "Surviving LLC"), all on the terms and conditions contained therein. NOW, TI-�EREFORE, in consideration of the premises and the mutuat agreements hereinafter expxessed, and subject to the satisfaction or waiver of the conditions hereof, the parties hereto agree as follows: 1. Merger and Effeet of Mer�er; (a) The constituent entities of the Merger are the Merging Entities and Garden of Memories, LLC. ("GM"}, all of which are Florida entities. {b) The shareholders af the Mergin� Entities are as follows: a. Arlin�ton Memorial Park Cemetery and Funeral Home, Inc„ Sylvan Abbey Memorial Park, Inc., Madcem of Florida, Inc., Memorial Park Cemetery, inc., Royal Palm Memorial Gardens, Inc., Oaklav+m Park Cemetery and Funeral Ciardtn ��f Memories I.LC mergnr.DOC Home, inc., Woadlawn Park Gemetery Comparry, and GM are all wholly owned subsidiaries of Cemetery Management, Inc. ("CMI"}, a Florida corporatian. b. Sauth Dade-Palms Memorial Park, Inc. is a wholly owned subsidiary of Woodlawn Paxk Cemetery Company, a Florida corparation. Waodlawn Park Cemetery Coznpany is a whoIly owned subsidiary of CMI. The board of directors and shareholder or member, as applicabie, of CMI, GM, and the Merging �ntities have adopted the attached Plan and Agreement of Merger by unanimous cansent dated October 25, 2010. The Merging Enrities, GM, and CMI waive all notice and mailing requirements required under Florida law. (c} At the Effective Date (defined hereinbelaw), the Merging Entities shal! be merged with and into GM and the sepazate corparate existence of the Merging Entities shall thereupan cease. GM shall be the Surviving LI.0 in the Merger, and GM with all iis purposes, abjects, rights, privileges, powers and franchises, shall cantinue unaffected and unimpaired by thc Merger. �.� ry 4 • � (d) The Surviving LLC shall succeed to alI of the rights, privileg�sr'.�o s ,,,,�..� and franchises of a public as well as of a private nature of the Merging Entitiea;.�:�id �, Yroy alI of the properties and as�ets of the Merging Entities and GM and alI of �� debts, a� causes in action and other interests due or belonging to the Merging Entities anc�;�y'il�.v1, �f'i'd ;,��w� shall be subject to, and responsible for, all of the debts, liabilities and dut�'e�:'of � ` Merging Entities and GM. '~� ` z: "" . ':� �-� � -•� (e) If, at any time after the Effective Date, the Surviving LLC shall��oiisid�i'' or be advised that any deeds, bills of sale, assignments, assurances or any other actions or things aze necessary or desirable to vest, perfect or confirm of record or otherwise in the Surviving LLC its right, title or interest in, to or under any of the rights, properties or assets of the 1vlerging Entities and GM acquired or to be acquired by the Surviving LLC as a result of, or in connection with, the Merger or to otherwise carry out this Agreemeni, the officers and directors of the Surviving LLC shall and will be authorized to execnte and deliver, in the name and on behaIf of the parties hereto or otherwise, atI such deeds, bilis of sale, assignments and assurances and to take and do, in the name and on behalf of the parties hezeto or otherwise, all such ather actions and things as may be necessary or desirable to vest, perfect or confirm any and all right, title and interest in, to and under such righ#s, properties or assets in the Surviving LLC or to otherwise carry out this Agreement. 2. Amendment to Articles of Organization of Garden_ of Memories. LLC (a) The Articles of Organization and Bylaws of the Surviving LLC as existin� and constituted immediately prior to the Effective Date shall be and constitute the Articles of Organizat�io and Bylaws of the Surviving LLC except that the entity's name, Garden of Memories�"LLC, sha11 be changed to S.E. Cambined Services of Florida, ..,,�% LLC. Garden of Memories LLC merger.DOC i .:..� (b} The members and the of�cers of the Surviving LI.,C immediately prior to the Effective Date shall be and constitute the members and officers of the Surviving I.LC. 3. Conversion of Shares. The manner and basis of canverting the shares -of stock of each corporation into shazes, obligations, or other securities of the Surviving LLC shall be as follows: (a) The issued and outstanding shares of stock of the Merging Entities shall be canceled in consideration af the assumption by the Surviving LLC of all of the assets and iiabilities of the Merging Entities. (b} All of the outstanding mernbership interest of GM as of the Effective Date shall continue to represent the membership interest of the Surviving Corporation and shaIl be unaffected by the Merger. 4. Effective Date. The merger sha11 be effective as of October 31, 2010 at 11;59 p.m. C.S.T. TN WITNESS W�3EREOF, the Merging Entities, CMI and GM have duly executed this Agreement as of the d e ii t abov written By: ' e s J, erhes, Jr., ecretary of ingto Memarial Park Cemetery and Funeral Horne, Inc. Cemetery Management, Inc. Garden of Memories '�LLC ='•' • ^*� ,_��" � Madcem of Flarida, Inc. '"c�� m �;� Q Memorial Park Cemeeery, Inc. =i=i �_ �'� i�: � �� Qaklawn Park Cemetery and Funeral Home, Tnc. �;�:X, � „�,�p Royal Palm Memarial Gardens, Inc. ;;'_;` � 4i t""'�• South Dade�Palms Memorial Park, Tnc. ,-, �= -t� r:}• � � :b Sylvan Abbey Memorial Park, Inc. ;�a,.,`'°: �„ A,,.' Woodlawn Park Cemetery Company ;�:j; r " ^--� .�� (;ardcn of Memories LLC merger.DCX: Detail by Entity Name Detail by Entity Name Florida Prafit Corporation SYLVAN ABBEY MEMORIAL PARK, INC. Filinq Information Document Number 018303 FEI/EIN Number 590600575 Date Filed 10/07/1948 State FL Status I NACTIVE Last Event CORPORATE MERGER Event Date Filed 'f2/03/2010 Eveni Effective Date NONE Principal Address 2853 SUNSET POINT RD CLEARWATER, FL 32759 Changed: 03/24/2000 Mailinq Address ATTN : TREASURY DEPT-BRIDGET GERSTNER 1333 S. CLEARVIEW PARKWAY JEFFERSON, LA 70121 Changed: 04/07/2009 Reqistered Aqent Name & Address CT CORPORATION SYSTEM 1200 PINE ISL.AND RD PLANTATION, FL. 33324 Name Changed: 05/06/1999 Address Changed: 05/06/1998 Officer/Director Detail Name & Address Title PAS PANTER, MARK A Page 1 of 3 http://seaxch. sunbiz. org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/dom... 10/21 /2014 Detail by Entity Name 5101 NEBRASKA AVE. TAMPA, FL 33603 Title V HYMEL, MICHAEL G 1333 S. CLEARVIEW PARKWAY JEFFERSON, LA 70121 Title S/T DERBES, LEWIS JJR 1333 S CLEARVEIW PKWY JEFFERSON, LA 70121 Title V CRAWFORD, THOMAS J 1333 S CLEARVIEW PKWY JEFFERSON, LA 70121 Title ASAT KITCHEN, THOMAS M 1333 S CLEARVIEW PARKWAY JEFFERSON, LA 70121 Title EVAS MYERS, KENNETH GJR 1333 S. CLEARVIEW PARKWAY JEFFERSON, LA 70121 Annual Reporis Report Year Filed Date 2008 04/21 /2008 2009 04/07/2009 2010 03/31 /2010 Document Imaqes 03/31/2010 -- ANNUAL REPORT 04/07/2009 -- ANNUAL REPORT 04/21/2008 -- ANNUAL REPORT 04/23/2007 -- ANNUAL REPORT 05/04/2006 -- ANNUAL REP�RT 05/04/2005 -- ANNUAL REPORT 04/28/2004 -- ANNUAL REPORT 05/05/2003 -- ANNUAL REPORT 04/21l2002 -- ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF formaf View image in PDF format View image in PDF format View image in PDF format http://search. sunbi z. org/Inquiry/CorpoxationS earch/S earchResultDetail/EntityName/dom. m Page 2 of 3 10/21/2014 Detail by Entity Name Page 3 of 3 06/28/2001 -- Amendment View image in PDF format 02/06/2Q01 -- ANNUAL REPORT View image in PDF format 03/24/2000 -- ANNUAL REPORT View image in PDF format 05/06/1999 -- ANNUAL REPORT View image in PDF format 12/21/1998 -- Req. Agent Change View image in PQF format 05/15/1998 -- ANNUAL REPOR7 View image in PDF format 06/23/1997 -- REG. AGENT CHANGE View image in PDF format 05/06/1997 -- ANNUAL REPORT View image in PDF format 05/01/1996 -- ANNUAL REPORT View image in PDF format 03/24/1995 -- ANNUAL REPORT View image in PDF format .� ri h i�5 and Privacv Politles State oF Florlda, pepartment of StaCe http://search.sunbiz. org/Inquiry/CorporationSeaxch/SearchResultDetaiUEntityName/dom... 10/21 /2014 Detail by Entity Name Detail by Entity Name Florida Limited Liabititv Company S.E. COMBINED SERVICES OF FLORIDA, LLC Filinq Information Document Number L10000120115 FEl/EIN Number 590259432 Date Filed 10/29/2010 State FL Status ACTIVE Effective Date 10/14/1937 Last Event LC STMNT OF RA/RO CHG Event Date Filed 07/03/2014 Event Effective Date NONE Principal Address 4207 E LAKE AVE TAMPA, FL 33610 Mailinq Address 1929 ALLEN PARKWAY HOUSTON, TX 77019 Changed: 04/09/2014 Repistered Apent Name & Address CORPORATION SERVICE COMPANY 1201 HAYS ST TALLAHASSEE, FL 32301 Name Changed: 07/03/2014 Address Changed: 07/03/2014 Authorized Person(s} Detai! Name & Address Title MANAGER KEY, JANET S 1929 ALLEN PARKWAY HOUSTON, TX 77019 nGt �'�` t J�- t�'N�' j� a/ V Yi.� � r�'�� Page 1 of 3 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/flal-1... 10/21 /2014 � Detail by Entity Name ' Title MANAGER GARRETT, SUSAN L 1929 ALLEN PARKWAY HOUSTON, TX 77019 Title MANAGER LONGINO, NOBLE L 1929 ALLEN PARKWAY HOUSTON, TX 77019 Titie MEMBER TRIESCH, MICHAEL G 1929 ALLEN PARKWAY HOUSTON, TX 77019 Title MEMBER GIBBS, BRENDA K 1333 S CLEARVIEW PKWY JEFFERSON, LA 70121 Title VP GEHL, PAMELA J 1333 S CLEARVIEW PKWY JEFFERSON, l..A 70121 Title VP GRUENDL, KEITH L 1333 S CLEARVIEW PKWY JEFFERSON, LA 70121 Title VP BRIGGS, CURTIS G 1929 ALLEN PARKWAY HOUSTON, TX 77019 Titie VP GUARA, MANUEL 1333 S CLEARVIEW PKWY JEFFERSON, LA 70121 Title VP LACOUR, ANGELA M 1333 S CLEARVIEW PKWY JEFFERSON, LA 70121 Page 2 of 3 http://seaxch. sunbiz. org/Inquiry/CorporationS earch/SearchResultDetail/EntityName/flal-1. .. 10/21 /2014 Detail by Entity Name Annual Fteports Report Year 2013 2014 2014 Document Imaqes Filed Date 04/26/2013 04/09/2014 05/15/2014 Page 3 of 3 07/03/2014 -- CORLCRACHG View image in PDF format 05/15/2014 -- AMENDED ANNUAL REPORT View image in PDF format 04/09/2014 — ANNUAL REPORT View image in PDF format 04/26/2013 — ANNUAL REPORT View image in PDF format 04/12l2012 -- ANNUAL REPORT View image in PDF format 04/11/2011 -- ANNUAL REPORT View image in PDF format 12/03/2010 -- Merqer View image in PDF format 10/29/2010 — Florida Limited Liabilitv View image in PDF format Convrioht C�) and Privacv Policies Slat•e oP �lorida, De�7aremenc or State http://search.sunbiz. org/Inquiry/CorporationSeaxch/SearchResultDeta.il/EntityName/flal-1... 10/21 /2014