HomeMy WebLinkAboutNC0065358_Owner (Name Change)_20240826 ' STATE a ;.
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ROY COOPER
Governor
ELIZABETH S.BISER
Secretary
S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NC0065358
1. Facility Name: Hidden Forest MHC, LLC
II. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of: RECEIVED
a. Change in ownership of property/company AUG 2 3 2024
b. Name change only
c. Other (please explain): NCDEQ/DWR/NPDES
2. New owner's name (name to be put on permit):
Hidden Forest MHC, LLC
3. New owner's or signing official's name and title: Brandon may
(Person legally responsible for permit)
COO
(Title)
4. Mailing address: 12670 Crabapple Rd Ste 200 City: Alpharetta
State: GA Zip Code: 30009 Phone: (404 ) 661-3333
E-mail address: brandon(c�solsidancap.com
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
DE NorthNorth Carolina DeSalisburypartmentStreet1 of1617 Environmental Quality I Division of Water Resources
'��/� 512 ,North Carolina 27699 1617
NORTH CAROLINA
^ ^^m^^ ^^ 919.707.9000
NPDES Name&Ownership Change
Page 2 of 2
Applicant's Certification:
I, Brandon May , attest that this application for a
name/ownership change has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this application are not completed and that
if all required supporting information and attachments are not included, this application
package will be returned as incomplete.
Signature: Date: 8-15-24
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ / DWR / NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
Version 7/2016
>+ F. k First American Tide Insurance Company
44 National Commercial Services
1380 17th Street•Denver,CO 80202
Office Phone:(303)876-1112 Office Fax:(877)235-9185
Buyer's Estimated Settlement Statement
File No: NCS-1215882-CO
Escrow Officer: Nichole Segura/EB
Estimated Settlement Date: 07/12/2024
Disbursement Date: 07/12/2024
Property:
6602 Holder Inman Road Ext, Randleman, NC 27317
Buyer:
Hidden Forest MHC, LLC
850 Mayfield Road, Suite 303, Milton, GA 30009
Seller:
SIP Hidden Forest, LLC
665 Hancock Street, Suite#3,Quincy, MA 02170
Lender:
Edgewood Capital Advisors, LLC
250 Pequot Avenue, Southport,CT 06890
Description Buyer Charge Buyer Credit
Consideration
Total Consideration 3,650,000.00
Deposits In Escrow
Receipt No.995468995 on 07/11/2024 by SCI GROWTH &INCOME FUND IV LLC 2,400,000.00
Receipt No.995468364 on 04/24/2024 by Solsidan Capital, LLC 50,000.00
Adjustments
Quincy Investment Group-Equity Contribution 500,000.00
Prorations
Est 2024 RE Taxes-7758609498 01/01/24 to 07/12/24 @$14,136.66/yr 7,454.58
Attorney
Attorney: MDH Law Group LLC
Attorney Fee 28,080.00
New Loan(s)
Lender: Edgewood Capital Advisors, LLC
Loan Amount 6,250,000.00
Borrower's Deposit held by Servicer 40,000.00
Funded Interest Reserve 665,000.00
Unfunded Renovation Reserve 4,500,000.00
Prepaid Interest @ 10.58717%20 days 10,293.08
Settlement Statement Page 1 of 2
Print Date:07/12/2024, 10:14 AM
Buyers Estimated Settlement Statement
Settlement Date: File No: NCS-1215882-CO
Officer: Nichole Segura/EB
Description Buyer Charge Buyer Credit
Loan Origination Points-ECA 62,500.00
Lender's Underwriting Fee due ECA 10,000 00
Credit and Third party 10,907.96
Misc./Travel expenses 2,168.62
BWE Placement Fee to Bellwether Enterprise Real Estate 62,500.00
Title/Escrow Charges
Closing-Escrow Fee to First American Title Insurance Company National Commercial 750.00
Services
Search and Exam to First American Title Insurance Company National Commercial 2,800.00
Services
Policy(L)Standard Coverage to First American Title Insurance Company National 26.00
Commercial Services
Policy(0)Standard Coverage to First American Title Insurance Company National 4,629.50
Commercial Services
North Carolina Endorsement(L)and(0)Bundle to First American Title Insurance 6,000.00
Company National Commercial Services
Estimated Recording Fees 750.00
Disbursements Paid
Miscellaneous Disbursement
Invoice-1432 to Solsidan Capital 16,425.38
Invoice-1429 to Solsidan Capital 73,000.00
Return of Excess Funds to Hidden Forest MHC, LLC 41,338.21
INVOICE 1630 to The Edge Group LLC 6,300.00
NY Counsel Invoice to Merlin&Karter LLC 4,200.00
Invoice 369695.00001 to Fox Rothschild LLP 13,000.00
Invoice 49710 to Wolz Corporate USA, Inc. 9,697.00
Invoice 1759440 to Bradley Arant Boult Cummings LLP 7,800.00
Invoice Number: HF_05031325 to Sunrise Capital Investors, LLC 22,455.10
Lender Leal Fees to O'Halloran Ryan PLLC 24,000.00
Investor Counsel Invoice to Whiteford,Taylor& Preston, L.L.P. 3,000.00
Invoice/Customer#38855 to CT Lien Solutions 5,600.73
Invoice SOLSCAP-01 to NFP Property&Casualty Services, Inc. 4,233.00
Totals 9,247,454.58 9,247,454.58
PLEASE NOTE: A modification of money-transfer or disbursement instructions can be a red flag for Online Banking Fraud
and could be a trap for the unwary. Should we knowingly receive such a modification, in the interest of prudence,we may
consider it suspect and call a known and trusted phone number to verify its authenticity and accuracy. Your awareness and
cooperation in taking appropriate steps to prevent fraud is greatly appreciated.
See Attached Signatures
Settlement Statement Page 2 of 2
Print Date: 07/12/2024, 10:14 AM
Buyer's Estimated Settlement Statement
Settlement Date: File No: NCS-1215882-CO
Officer: Nichole Segura/EB
BUYER(S):
Hidden Forest MHC, LLC, a Georgia limited
liability company
By:
N e: Jacob N.Harcrow
Title: Manager
By: SOC Hidden Forest, LLC, a Georgia
limited liability company, its Manager
By: JNH Holdings, LLC, a Georgia limited
liability co pany
By:
Na e: Jacob N. Harcrow
Title: Manager
Control Number:24091939
STATE OF GEORGIA
Secretary of State
Corporations Division
313 West Tower
2 Martin Luther King,Jr.Dr.
Atlanta,Georgia 30334-1530
CERTIFICATE OF ORGANIZATION
I, Brad Raffensperger, the Secretary of State and the Corporation Commissioner of the State of
Georgia,hereby certify under the seal of my office that
Hidden Forest MHC,LLC
a Domestic Limited Liability Company
has been duly organized under the laws of the State of Georgia on 05/06/2024 by the filing of articles of
organization in the Office of the Secretary of State and by the paying of fees as provided by Title 14 of the
Official Code of Georgia Annotated.
WITNESS my hand and official seal in the City of Atlanta
and the State of Georgia on 05/08/2024.
—
Brad Raffensperger
•
Secretary of State
•- -6
ARTICLES OF ORGANIZATION *Electronically Filed*
Secretary of State
Filing Date:5/6/2024 5:13:51 PM
USINESS INFORMATION _,� ,..
CONTROL NUMBER 24091939
BUSINESS NAME Hidden Forest MHC,LLC
BUSINESS TYPE Domestic Limited Liability Company
EFFECTIVE DATE 05/06/2024
'.RINCIPAL OFFICE ADDRESS
ADDRESS 12670 Crabapple Rd STE 200,Alpharetta,GA,30004,USA
WatTarrATTMW
NAME ADDRESS COUNTY
Universal Registered Agents,Inc. 990S0 Old Roswell Lakes Parkway,Suite 310,Roswell,GA,30076, Fulton
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).41261 Mink
NAME TITLE ADDRESS
Brandon May ORGANIZER 12670 Crabapple Rd STE 200,Alpharetta,GA,30004,USA
OPTIONAL PROVISIO
N/A
AUTHO' . R INFORMATION
AUTHORIZER SIGNATURE Brandon May
AUTHORIZER TITLE Organizer