Provide a description of real estate that is the subject of the transaction, including as applicable:
‘The approximate size (in acres, feet or other appropriate measurement)

‘The nature of the real estate (e.g., zoning type and the major topographical or other features of the real estate)

4
‘The current use of the real estate, including any physical security measures

‘Adescription of the plans of the foreign person with respect to the real estate and structures that are or will be on the real estate

4

‘A.description of any leases, censes, permits, easements, encumbrances, or other grants or approvals associated with the real estate,
including whether any involve the U.S. Goverment



General Details

fi} Select the Regulation button next to esch field to see the specific information requirements
for the relevant section.

Provide or describe the following information regarding the transaction in question:
Provide the rationale for and nature of the transaction, including its structure, such as a purchase, lease.
‘or concession, and term

@ Regulation

4

Describe whether the foreign person is acquiring a collection of assets or an interest in an entity
@ Regulation

4

Describe the extent to which the transaction is part of a larger project undertaken by the foreign person

@ Regulation

4

The total transaction value in U.S. dollars, as determined under § 802.1103. @ Regulation
Has the transaction already closed? @ Regulation
v

Provide the status of the transaction, including the actual or expected completion date @ Regulation



Real Estate Declaration

The instructions in these forms are provided to help facilitate the suomission of information required under 31
CFR Parts 800 and 802. Please consult the regulations, which are provided in pop-up buttons throughout
these forms, to see the soecific information requirements for a given field

Please note that information saved in or submitted via this system will be visible to the U.S. Government.
However, Treasury will not as a matter of practice access submitted information until parties have submitted it
for review by CFIUS in draft or final form.

Real Estate Declaration Stages

Participant Administration dit
‘Add users to this Real Estate Declaration

Persons Associated with the Transaction dit
st all U.S. and foreign parties, parents, and owners

General Details cit
Piease provide a general introduction of the transaction

Real Estate Details dit
Please describe the real estate that's the subject of the transaction

Foreign Person that is @ Party to the Transaction Edit
Piease provide general details about the foreign person that is a party to the transaction

Document Uploads Edit
Please provide required and addtional attachments

Submission Review Edit
Please review all submission entries and submit Real Estate Declaration here


Persons Associated with the Transaction

‘Select the Regulation button next to each field to see the specific information requirements
for the relevant section.

Please identify the individuals representing each party to the transaction and provide the Committee with
‘3 name and address for comespondence.
@ Add New

Name Company/Firm of Representative(s) Created On

‘There are no records to display.


CFIUS - Real Estate Location Create - Declaration

Please add information regarding the covered Real Estate Location.

The following information regarding the real estate that is the subject of the transaction:
Name

‘Geographic latitude coordinates (in decimal degrees to the fourth digit)

‘Geographic longitude coordinates (in decimal degrees to the fourth digit)

|



Document Uploads

Piesse upload documentation required for acceptance of the declaration by the Staff
Chairperson, and, 3s spplicable, supplemental attachments to your deciarstion.

Documentation submitted through the General Upload feature will be accessible by any
individual granted permission to access the declaration submission form for the transaction.
Should a party to the transaction wish to restrict accessibilty of any uploaded documentation,
such party may submit such documentation through the Restricted Document feature. Parties
may also password protect such documents and relay the document password to Treasury
separately. To access the template for a Fil upload click here. For frequently asked document
upload questions click here. Personal Identifier Information must be submitted vis Restricted
Upload only.

Under § 802.402, a party or parties submitting a declaration of a transaction under § 802.401
shall provide certain additionsl materials, which may be uploaded below. Please refer to the
regulations for a description of information required to be included in your submission. Parties
‘37 encouraged to review the regulatory provisions listed below:

= (©) (2) (v)Acopy of the definitive documentation of the transaction, such as a purchase,

lease, or concession agreement, or if none exists, the document establishing the

material terms of the transaction, which in the context of 3 transaction involving 3

‘covered port, must be signed and dated.

(c) (7) Acomplete pre-transaction organizational chart (and postransaction, if different)

including, information that identifies the name, principal place of business, place of

incorporation or other legal organization (for entities); nationality (for individuals): and

‘ownership percentage (expressed in terms of both voting and economic interest, if

<ifferent) for each of the following:

‘© The immediate parent, the ultimate parent, and each intermediate parent, if any, of
‘each foreign person that is a party to the transaction:

© Where the ultimate parent is 3 private company, the ultimate owner(s) of such
parent, and

‘© Where the ultimate parent is public company, any shareholder with an interest of
greater than five percent in such parent.

(6) Each party submitting a declaration shall provide a certification of the information

‘contained in the declaration consistent with § 802.202. A sample certification may be

found on the Committee's section of the Department of the Treasury website.

@ Add New

Name Document Type Created On

There are no records to display.


G create

The name(s) of and distance(s) to any facility that is relevant
to CFIUS jurisdiction
Name

Facility or property type

Distance to the real estate (in miles, klometers, or other appropriate
measurement)



Real Estate Details

fi} ‘Select the Regulation button next to each field to see the specific information requirements
for the relevant section.

Please provide a statement as to whether the foreign person will have any of the following
rights or abilities with respect to the real estate as a result of the transaction:

To physically access the real estate @ Regulation
[ v

‘Additional details may be provided here [optional]

4

‘The right to exclude others from physically scoessing the real estate @ Regulation
v

Additional details may be provided here [optional]

4

To improve or develop the real estate @ Regulation
v

‘Additional details may be provided here [optional]

4

To attach fixed or immovable structures or objects to the real estate @ Regulation
v

Additional details may be provided here [optional]

4

To attach fixed or immovable structures or objects to the real estate @ Reguistion
¥]

Additional details may be provided here [optional

4



G Create

Relationship Type

Foreign Person that is a Partly Vv Orqanization
Name
Public / Private [optional]

Place of incorporation or other legal organization [optional]

Address
(D International Address?

Address Line 1

[

Address Line 2 [optional]

Address Line 3 [optional]



Representative Information Create

Contact Information
Primary Contacts

Add New
Full Name 4 Email ‘Company Name Business Phone
‘There are no records to display.
Other Contacts
@Add New
Full Name 4 Email ‘Company Name Business Phone
‘There are no records to display.

Save Representative Information

G Create

CONTACT INFORMATION
First Name

Last Name

Email

Save Primary Contact



Representative Information Create

Name of Party to the Filing

[

CompanyiFirm of Representative(s)

Representative's Mailing Address
(D Intemational

Country
[ [x13]

Address Line 1
|

Address Line 2



Provide the following information regarding the real estate that is the subject of the
transaction:

@ Regulation

Name Nature of Real Estate Created On

‘There are no records to display.

Save and Next


Provide the name of the foreign person and the current holder of interest in the real estate
that are parties to, or, in applicable cases, the subject of the transaction, as well as the name,
telephone number, and email address of the primary point of contact for each party.

For the current holder of interest in the real estate:

Business or person name @ Regulation
802 Declaration - User 6

Primary point of contact name  @ Regulation

Phone number @ Regulation
For the foreign person:
Business or person name @ Regulation

Primary point of contact name  @ Regulation

Phone number @ Regulation

Primary email @ Regulation

Secondary email @ Regulation

Primary email @ Regulation

Secondary email @ Regulation

(D) International Number

fi} In this subgrid please provide information on: the current holder of interest in the real estate,
the foreign person that is a party to the transaction, the ultimate parent of the foreign party,
‘sources of financing for the transaction, and any brokers or real estate agents associated

‘with the transaction.

Name Type

There are no records to display.

@ Regulation

Relationship


Foreign Person that is a Party to the Transaction

fi} ‘Select the Regulation button next to each field to see the specific information requirements
for the relevant section.

Describe or provide, as applicable, the following:
Provide 3 brief summary of the respective business activities of the foreign person that is party to the
transaction and any of its parents

@ Regulation

Information regarding alll foreign government ownership in the foreign person's ownership structure,
including nationality and percentage of ownership, as well as any rights that a foreign government holds,
irectly or indirectly, with respect to the foreign person

@ Regulation

a= =


Home > CFIUS - Real Estate Declaration Create

CFIUS - Real Estate Declaration Create

To start processing 3 Real Estate Declaration, fil out these fields and click ‘Submit. These
fields will be used to generate a temporary name for your draft. It will be renamed by 3 case
officer after submission

Ukimate Parent of Foreign Person Current Holder of interest

Country of Uttimate Parent of Foreign
Person

v

Create New Record


G Create

Relationship

Type

[ Source of Financing

Name

Orqanization


City

State

| |

Postal Code

[

Address of the principal place of business
Use Primary Address for PPB Address

@ Nod Yes

{_) Intemational Address?

Address Line 1

Address Line 2 [optional]

Address Line 3 [optional]

City

State

Postal Code

Save



G create

CONTACT INFORMATION
First Name

[ ]



Provide a description of real estate that is the subject of the transaction, including as applicable:
‘The approximate size (in acres, feet or other appropriate measurement)

‘The nature ofthe real estate (e.g., zoning type and the major topographical or other features of the real estate)

4
‘The current use of the real estate, including any physical security measures

‘Adescription of the plans of the foreign person with respect to the real estate and structures that are or will be on the real estate

4)

‘Adescription of any leases, licenses, permits, easements, encumbrances, or other grants or approvals associated with the real estate,
including whether any involve the U.S. Govemment

Relevant Iterns



G create

Document Type

Attach a file
(Choose File) No fle chosen

Mitigation Documents
Name Document Type Created On
‘There are no records to display.

G Create

Name

Document Type

v
‘Attach a file

(Grose Fe] ie chosen



Real Estate Declaration

The instructions in these forms are provided to help facilitate the suomission of information required under 31
CFR Parts 800 and 802. Please consult the regulations, which are provided in pop-up buttons throughout
these forms, to see the soecific information requirements for a given field

Please note that information saved in or submitted via this system will be visible to the U.S. Government.
However, Treasury will not as a matter of practice access submitted information until parties have submitted it
for review by CFIUS in draft or final form.

Real Estate Declaration Stages

Participant Administration dit
‘Add users to this Real Estate Declaration

Persons Associated with the Transaction dit
st all U.S. and foreign parties, parents, and owners

General Details cit
Piease provide a general introduction of the transaction

Real Estate Details dit
Please describe the real estate that's the subject of the transaction

Foreign Person that is @ Party to the Transaction Edit
Piease provide general details about the foreign person that is a party to the transaction

Document Uploads Edit
Please provide required and addtional attachments

Submission Review Edit
Please review all submission entries and submit Real Estate Declaration here


Stipulations and Affirmations

© tite ssipuiasions are no: required from parties submixsing a declaration, they may
help expedice the Commizee's review, and may increase the likelihood of the
Commizee concluding all action under section 721 with respect to the covered
vansaction on the basis of the declaration. A parzy that offers a stipulation
acknowledges that the Commizee and the President are encided to rely on such
stipulation in determining whether the cransaccion is a covered real estate vansaction
for the purposes of seczion 721 and all authorities thereunder, and waives the right to
challenge any such determination. Neither che Committee nor the President is bound
by any such scipulacion, nor does any such stipulation limit the ability of the
Commizzee or the President to act on any authority provided under section 721 with
respect ro any covered real estate rransaczion.

Does any party filing the real estate declaration stipulate that the transaction is a covered real estate
transaction? [

@ Regulation
v

Provide a description of the basis for this stipulation, for example, with respect to: (i) the party or parties to
the transaction that are a foreign person under § 802.221: (a) the property rights under § 802.233 afforded
to the foreign person; (ii) how the real estate that is the subject of the transaction is covered real estate;
‘and (iv) the parties’ determination that the transaction is a covered real estate transaction under §
202.212(a), (b). or (c). Please identify the party or parties making this stipulation. [option:

@ Regulation
Z
Parties are invited to respond to the following additional questions:
Are all parties to this transaction submitting this declaration jointly? [option
v
Consider classifying your covered transaction as one of the following.
v

Prior Transactions

Has any party to the transaction been party to another transaction previously notified or submitted to the
Committee?

@ Regulation
v

If yes, provide the case number assigned by the Committee regarding such transaction(s).

@ Reguiation

Case Number

‘There are no records to display.


Real Estate Declaration

The instructions in these forms are provided to help facilitate the suomission of information required under 31
CFR Parts 800 and 802. Please consult the regulations, which are provided in pop-up buttons throughout
these forms, to see the soecific information requirements for a given field

Please note that information saved in or submitted via this system will be visible to the U.S. Government.
However, Treasury will not as a matter of practice access submitted information until parties have submitted it
for review by CFIUS in draft or final form.

Real Estate Declaration Stages

Participant Administration dit
‘Add users to this Real Estate Declaration

Persons Associated with the Transaction dit
st all U.S. and foreign parties, parents, and owners

General Details cit
Piease provide a general introduction of the transaction

Real Estate Details dit
Please describe the real estate that's the subject of the transaction

Foreign Person that is @ Party to the Transaction Edit
Piease provide general details about the foreign person that is a party to the transaction

Document Uploads Edit
Please provide required and addtional attachments

Submission Review Edit
Please review all submission entries and submit Real Estate Declaration here


Participant Administration

fi} (On this tab you may add other individuals to your filing. By sdding sn individual to 2 filing, you
acknowledge that such individual will be able to view all aspects of the filing other than
restricted uploads and to submit the filing to CFIUS. If you add such individual as an admin
they may also remove users from the fling and add new registered individuals to the fling
with the same abilties. If you add an individual as a payer they will be able to see the fling
status and name. It is your responsibility to appropriately limit and keep current the
individuals added to your fling. For frequently asked questions on Party Administration cick
here. Ifthe individual you wish to add does not have an account, they wil need to create one

prior to accessing this filing.
@ Add New
Filing Payer Created
Name # Email Admin? Only? On
‘There are no records to display.

= ==

G create

PLEASE NOTE: Only participants with an ID.me account
associated with the provided email address can be added to
the submission.

For security reasons, participant entries without an ID.me
accounts for the provided email address will be removed
from the list and must be added after an ID.me account is
acquired.

Name

Email

‘Would you like to make this new user a fling admin?
@ NO Yes

Would you like to make this new user payer-only?
@ Nod Yes



Real Estate Declaration

The instructions in these forms are provided to help facilitate the submission of information required under 31
CFR Parts 800 and 802. Please consult the regulations, which are provided in pop-up buttons throughout
these forms, to see the specific information requirements for given field.

Please note that information saved in or submitted via this system will be visible to the U.S. Government.
However, Treasury will not as a matter of practice access submitted information until parties have submitted it
for review by CFIUS in draft or final form.

Real Estate Declaration Stages

Participant Administration it
Add users to this Real Estate Declaration

Persons Associated with the Transaction dit
st all U.S. and foreign parties, parents, and owners

General Details cit
Piease provide a general introduction of the transaction

Real Estate Details cit
Please describe the real estate that's the subject of the transaction

Foreign Person that is @ Party to the Transaction Edit
Piease provide general details about the foreign person that is a party to the transaction

Document Uploads Edit
Please provide required and addtional attachments

Submission Review Edit
Please review all submission entries and submit Real Estate Declaration here


Real Estate Declaration

The instructions in these forms are provided to help facilitate the suomission of information required under 31
CFR Parts 800 and 802. Please consult the regulations, which are provided in pop-up buttons throughout
these forms, to see the soecific information requirements for a given field

Please note that information saved in or submitted via this system will be visible to the U.S. Government.
However, Treasury will not as a matter of practice access submitted information until parties have submitted it
for review by CFIUS in draft or final form.

Real Estate Declaration Stages

Participant Administration dit
‘Add users to this Real Estate Declaration

Persons Associated with the Transaction dit
st all U.S. and foreign parties, parents, and owners

General Details cit
Piease provide a general introduction of the transaction

Real Estate Details dit
Please describe the real estate that's the subject of the transaction

Foreign Person that is @ Party to the Transaction Edit
Piease provide general details about the foreign person that is a party to the transaction

Document Uploads Edit
Please provide required and addtional attachments

Submission Review Edit
Please review all submission entries and submit Real Estate Declaration here


© Upload Restricted Document

Restricted Document
Name + Type Created On

‘There are no records to display.

fi} Privacy Policy

= =

Restricted Document
Name

Restricted Document Type



Real Estate Declaration

The instructions in these forms are provided to help facilitate the submission of information required under 31
CFR Parts 800 and 802. Please consult the regulations, which are provided in pop-up buttons throughout
these forms, to see the specific information requirements for given field.

Please note that information saved in or submitted via this system will be visible to the U.S. Government.
However, Treasury will not as a matter of practice access submitted information until parties have submitted it
for review by CFIUS in draft or final form.

Real Estate Declaration Stages

Participant Administration it
Add users to this Real Estate Declaration

Persons Associated with the Transaction dit
st all U.S. and foreign parties, parents, and owners

General Details cit
Piease provide a general introduction of the transaction

Real Estate Details cit
Please describe the real estate that's the subject of the transaction

Foreign Person that is @ Party to the Transaction Edit
Piease provide general details about the foreign person that is a party to the transaction

Document Uploads Edit
Please provide required and addtional attachments

Submission Review Edit
Please review all submission entries and submit Real Estate Declaration here


G create

Criminal Convictions
Has the holder of the real estate, the foreign person, any parent of the foreign person, or any person of
which the foreign person is a parent, been convicted in the last 10 years of a crime in any jurisdiction?
@ Regulation
vv

If yes, provide a brief statement, including relevant jurisdiction and criminal case law number or legal
citation. [optional]

a= ==