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HomeMy WebLinkAboutNC0065358_Owner (Name Change)_20240826 ' STATE a ;. • / a 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 A ).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