Source: https://www.scribd.com/document/139523263/O2013-1588-2245-w-Pershing-Zoning-Application
Timestamp: 2019-04-22 21:01:58
Document Index: 310675675

Matched Legal Cases: ['ARTY 1', 'arts 3', 'art 60', 'ARTY 1', 'arts 3', 'art 60']

O2013-1588 2245 w Pershing Zoning Application | Partnership | Corporations
atty cajucom-corporation notes.docx
Chapter 3 Test Bankk Creativity and Innovation
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UNIT ONE ADFA.docx
PAT Digests 1st Set
O2013-1588
3/13/2013 Mendoza, Susana A. (Cierk) Ordinance Zoning Reclassification App No. 17692 at 2245 W Persliing Rd Committee on Zoning, Landmarks and Building Standards
SECTION 1. Title 17 of the Municipal Code of Chicago, the Chicago Zoning Ordinance, is, hereby amended by changing all the M2-3 Light Industry District symbols and indications as shown on Map No.lO-H in the area bounded by
West Pershing Road; a line 692.24 feet east of and parallel to South Western Avenue; a line 54.98 feet south of and parallel to West Pershing Road; a line 691.75 feet east of and parallel to South Western Avenue; a line 19.8.45 feet south of and parallel to West Pershing Road; a line 692.3 feet east of and parallel to South Western Avenue; a line from a point 692.3 feet east of South Western Avenue and 340 feet south of West Pershing Road; to a point, 693.06 feet of South Western Avenue and 359.85 feet south of West Pershing Road said line is a convex curved line running to the southeast with a radius of 240 feet and a chord length of 19.86 feet; a line 359.89 feet south of and parallel to West Pershing Road; a line 612.24 feet east of and parallel to South Western Avenue; a line 303.22 feet south of and parallel to West Pershing Road; a line 523.24 feet east of and parallel to South Western Avenue; a line 295.22 feet south of and parallel to West Pershing Road; and a line 418.24 feet east of and parallel to South Western Avenue,
to those of a RT-4 Residential Two-Flat, Townhouse and Multi-Unit District and a corresponding uses district is hereby established in the area above described.
2245 West Pershing Road
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ADDRESS of the property Applicant is seeking to rezone: 2245 West Pershing Road, Chicago, Illinois Ward Number that property is located in: 12 APPLICANT: Concept Schools NFP ADDRESS: 2250 East Devon Avenue. Suite 215 CITY: Chicago STATE: IL ZIP CODE: 60618 PHONE: (312) 782-1983 CONTACT PERSON: Sara K. Barnes, Esq. Attorney for Applicant Is the Applicant the owner of the property YES NO X If the Applicant is not the owner ofthe property, please provide the following infonnation regarding the owner and attach written authorization from the owner allowing the application to proceed. OWNER: Leggett & Piatt. Inc. ADDRESS: No. 1 Leggett Road CITY: Carthage STATE: MO ZIP CODE: 64836 PHONE: (417) 358-8131 CONTACT PERSON: Sheri Mossbeck
If the Applicant/Owner of the property has obtained a lawyer as their representative for the rezoning, please provide the following infonnation: ATTORNEY: Law Offices of Samuel VP Banks ADDRESS: 221 N. LaSalle SL, 38"' Floor CITY: Chicago STATE: JL ZIP CODE: 60601 PHONE: (312) 782-1983 FAX: (312)782-2433
If the applicant is a legal entity (Corporation, LLC, Partnership, etc.), please provide the names of all owners as disclosed on the Economic Disclosure Statements: See, "Appendix C" attached to the Economic Disclosure Statement, enclosed herewith. On what date did the owner acquire legal title to the subject property? Mav 31. 1996 Has the present owner previously rezoned this property? If Yes, when? No Present Zoning: Proposed Zoning: M2-3 Light Industry District RT-4 Residential Two-Flat, Townhouse, Multi-Unit District 86,704 sq. ft. (approx.)
Lot size in square feet (or dimensions?):
Current Use of the Property: The propertv is currently improved with a one-story industrial brick building.
Reason for rezoning the property: The Applicant would like to amend the zoning at the subject propertv in order to convert the existing industrial building into a charter school. Describe the proposed use ofthe property after the rezoning. Indicate the number of dwelling units; number of parking spaces; approximate square footage of any commercial space; and height ofthe proposed building. (BE SPECIFIC) The existing one-story building shall remain (approx. 63,668 sq. ft. of total building area). The proposed zoning amendment will allow a charter school with: 18 classrooms, 4 science/computer laboratory rooms, a library, a cafeteria (with kitchen), 10 restrooms and 8 offices, to be located and established at the property. There will be 26 on-site (off-street) vehicle parking spaces (10 of those spaces will be designated for student drop-off and pick-up), as well as a rack for 4 bicycles, provided along the east side ofthe building. There will also be a two-way drive isle with a 24' (diameter) turnaround area located along the east side ofthe building. No construction is proposed or intended for the exterior ofthe building. All proposed construction will occur inside the existing building. There are no dwelling units proposed for the property. On May 14, 2007, the Chicago City Council passed the Affordable Requirements Ordinance (ARO) that requires on-site affordable housing units or a financial contribution if residential housing projects receive a zoning change under certain circumstances. Based on the lot size ofthe project in question and the proposed zoning classification, is this project subject to the Affordable Requirements Ordinance? (See Fact Sheet for more information) YES NO X
1, SEDAT DUMAN, being first duly sworn on oath, state that all of the above statements and the statements contained in the documents submitted herewith are true and correct.
isiMature of Applicant
Subscribed and sworn to before me this day of Af^rC^ , 2013.
OFFICIAL SEAL KAIRATBEK MAVLYANKULOV Notary Public SUt of Illinois My Commission Expires May 1. 2016
Date of Introduction: File Number: Ward:
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Written Notice, Form of Affidavit: Section 17-13-0107 March 6, 2013 Honorable Daniel Solis Chainnan, Committee on Zoning 121 North LaSalle Street Room 304 - City Hall Chicago, Illinois 60602
To Whom It May Concern: The undersigned, Sara Barnes, being first duly sworn on oath, deposes and says the following: That the undersigned certifies that she has complied with the requirements of Section 17-130107 of the Zoning Code ofthe City ofChicago, by sending written notice to such property owners who appear to be the owners of the property within the subject area not solely owned by the Applicant, and on the owners of all property within 250 feet in each direction ofthe lot line of the subject property, exclusive ofthe public roads, streets, alleys and other public ways, or a total distance limited to 400 feet. Said written notice was or will be sent by USPS First Class Mail no more than 30 days before filing the application. That the undersigned certifies that the notice contained the address of the property sought to be rezoned as 2245 West Pershing Road, Chicago, XL; a statement of intended use of said property; the name and address of the Applicant; the name and address of the Owner; and a statement that the Applicant intends to file an application for a change in zoning on approximately March 6, 2013. That the Applicant has made a bonafide effort to determine the addresses of the parties to be notified under Section 17-13-0107 of the Zoning Code of the City of Chicago and that the Applicant certifies that the accompanying list of names and addresses of surrounding property owners within 250 feet is a complete list containing the names and last known addresses of the owners of the property required to be served. Samuel V.P. Banks
Subscribed and Sworn to before me this U ) day of VtVXOn , 2013.
PUBLIC NOTICE Via USPS First Class Mail March 6, 2013 Dear Sir or Madam: In accordance with Amendment to the Zoning Code enacted by the City Council, Section 17-130107-A, please be informed that on or about March 6, 2013, 1, the undersigned, filed an application for a change in zoning from an M2-3 Light Industry District to an RT-4 Residential Two-Flat, Townhouse and Multi-Unit District, on behalf of the Applicant, Concept Schools NFP, for the property located at 2245 West Pershing Road, Chicago, Illinois. The existing one-story building shall remain (approx. 63,668 sq. ft. of total building area). The proposed zoning amendment will allow a charter school with: 18 classrooms, 4 science/computer laboratory rooms, a library, a cafeteria (with kitchen), 10 restrooms and 8 offices, to be located and established at the property. There will be 26 on-site (off-street) vehicle parking spaces (10 of those spaces will be designated for student drop-off and pick-up), as well as a rack for 4 bicycles, provided along the east side of the building. There will also be a two-way drive isle with a 24' (diameter) turnaround area located along the east side of the building. No construction is proposed or intended for the exterior of the building. All proposed construction will occur inside the existing building. There are no dwelling units proposed for the property. The Applicant, Concept Schools NFP, is located at 2250 East Devon Avenue, Chicago, Illinois. The Owner, Leggett & Piatt, Inc., is located at No. 1 Leggett Road, Carthage, Missouri. The contact person for this application is Sara Barnes. My address is 221 N. LaSalle Street, Chicago, Illinois. My telephone nuinber is 312-782-1983.
Very truly yours, LAW-OFFTeEi^ OP SAMUEL V.P. BANKS
***Please note that the Applicant is not seeking to purchase or rezone your property. ***The Applicant is required by law to send this notice because you own property located within 250 feet of the property that is subject to the proposed zoning amendment.
To whom it may concern: I, SEDAT DUMAN, President of Concept Schools NFP, the Applicant with regard to the property located at 2245 West Pershing Road, Chicago, IL, authorize the Law Office of Samuel V.P. Banks, to file a zoning amendment application before the City of Chicago for that property.
February 28, 2013 To whom it may concern: I, SCOTT DOUGLAS, Senior Vice President and General Counsel of Leggett and Piatt, Incorporated, the Owner with regard to the property located at 2245 West Pershing Road, Chicago, IL (the "Property"), authorize the Law Office of Samuel V.P. Banks, as counsel to Concept Schools, NFP, to file a zoning amendment application before the City of Chicago for the Property under the following conditions: The application shall be made at the sole cost and expense of Concept Schools, NFP; The scope of the zoning change shall be to obtain a conditional change in the zoning of the Property to allow it to be used as a charter school; Leggett & Piatt, Incorporated is not obligated to assume, and the zoning amendment application will not create, any change in zoning or other liability in connection therewith (other than liabilities binding upon the Property or the then-owner thereof which accrue after, and only after, Concept Schools, NFP is the owner of the Property).
-FORM OF AFFIDAVITChairman, Committee on Zoning Room 304 - City Hall Chicago, IL 60602 To Whom It May Concern:
I, SEDAT DUMAN, on behalf of Concept Schools NFP, understand that the Law Office of Samuel V.P. Banks has filed a swom affidavit identifying Concept Schools NFP as the Applicant, and identifying Leggett & Piatt, Inc. as the Owner, holding interest in land subject to the proposed zoning amendment for the property identified as 2245 West Pershing Road, Chicago, Illinois. I, SEDAT DUMAN, being first duly swom under oath, depose and say that Concept Schools NFP, holds that interest for itself and no other person, association, or shareholder.
Subscribed and Swom to before me thisip^ day o i ^ ^ / t / t ^ / y , 2013.
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OFFICIAL SEAL KAIRATBEK MAVLYANKULOV Noury PuMe - StMt of iWnols My Commission Explrtt May 1.2016
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Chairman, Committee on Zoning Room 304 - City Hall Chicago, IL 60602 To Whom It May Concern:
I, SCOTT DOUGLAS, on behalf of the Owner, Leggett & Piatt, Incorporated, understand that the Law Office of Samuel V.P. Banks has filed a swom affidavit identifying Leggett & Piatt, Incorporated, as Owner holding interest in land subject to the proposed zoning amendment for the property identified as 2245 West Pershing Road, Chicago, Illinois. I, SCOTT DOUGLAS, , being first duly swom under oath, depose and say that Leggett & Piatt, Incorporated, holds that interest for itself and no other person, association, or shareholder.
Subscri^d and Swom to before me thisc^S-day of Fxbmarv\^, 2013
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A M B E RF L O O D ^ Commission Expires Decembsr 13,2016' Jasper Coun^, . Commission #12424714
Building Height: Allowed: None required for non-residenfial buildings (17-0203-11(a)) Existing: 26'
*17-10-0207-A *17-13-0303-C(2) Plans Attached.
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT SECTION I - GENERAL INFORMATION A. Legal name ofthe Disclosing Party submitting this EDS. Include d/b/a/ if applicable: COVJOe^T ^gMOr>L.-g> YAP?
Check ONE ofthe following three boxes: Indicate whether the Disclosing Party submitting this EDS is: 1. ^ the Applicant OR 2. [ ] a legal entity holding a direct or indirect interest in the Applicant. State the legal name of the AppUcant in which the Disclosing Party holds an interest: OR 3. [ ] a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in which the Disclosing Party holds a right of control: B. Business address of the Disclosing Party: p3gO
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C. Telephone: 9Ml-al(o-Sfl\OM Fax:
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D. Name of contact person: 6ip.OPcT D U M A I I J E. Federal Employer Identification No. (if you have one) F. Brief description of contract, transaction or other undertaking (referred to below as the "Matter") to which this EDS pertains. (Include project number and location of property, if applicable):
THE AWUcAMT t 4e6<.(v3C. TO AH&UO TWe HAF fbZ. - r u t , P e o P E e n M
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If the Matter is a contract being handled by the City's Department of Procurement Services, please complete the following: Specification # and Contract #
SECTION I I " DISCLOSURE OF OWNERSHIP INTERESTS A. NATURE OF THE DISCLOSING PARTY 1. Indicate the nature of the Disclosing Party: Person [ ] Limited liability company Publicly registered business corporation [ ] Limited liability partnership Privately held business corporation [ ] Joint venture Sole proprietorship IJd Not-for-profit corporation General partnership (Is the not-for-profit corporation also a 501(c)(3))? Limited partnership [ ] Yes [ ] No Trust [ ] Other (please specify)
2. For legal entities, the state (or foreign country) of incorporation or organization, if applicable: \t>UlMQl^ 3. For legal entities not organized in the State of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity? []Yes [JNo
)4N/A
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY: 1. List below the full names and titles of all executive officers and all directors of the entity. NOTE: For not-for-profit corporations, also list below all members, if any, which are legal entities. I f there are no such members, write "no members." For trusts, estates or other similar entities, list below the legal titleholder(s). If the entity is a general partnership, limited partnership, limited liability company, liniited liability partnership or joint venture, list below llae name and title of each general partner, managing member, manager or any other person or entity that controls the day-to-day management of the Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf. Name Title
2. Please provide the following infonnation conceming each person or entity having a direct or indirect beneficial interest (including ownership) in excess of 7.5% of the Disclosing Party, Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture, Page 2 of 13
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 ofthe Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure. Name Business Address Percentage Interest in the Disclosing Party
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SECTION III - BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 of the Municipal Code, with any City elected official in the 12 months before the date this EDS is signed? []Yes &<fNo
SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES The Disclosing Party must disclose the name and business address of each subcontractor, attomey, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature ofthe relationship, and the total amount ofthe fees paid or estimated to be paid. The Disclosuig Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll. "Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action. If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
Name (indicate whether retained or anticipated to be retained) LAW OPi^Cg OF ^ H U f c \ . VP B A M / A
Relationship to Disclosing Party Fees (indicate whether (subcontractor, attorney, paid or estimated.) NOTE: lobbyist, etc.) "hourly rate" or "t.b.d." is not an acceptable response. 221 M. \ D^DU^P. 4 T . ATTOctaey/^ $ S G O 0 ^ [cs-V.^ PLncw.
(Add sheets if necessary) [ ] Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V ~ CERTIFICATIONS A. COURT-ORDERED CHILD SUPPORT COMPLIANCE Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term. Has any person who directly or indirectly owns 10% or more ofthe Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction? [ ] Yes D^No [ ] No person directly or indirectly owns 10% or more of the Disclosing Party.
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement? [ ] Yes [JNo
B. FURTHER CERTIFICATIONS 1. Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee of the City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: if Article I applies to the Applicant, the permanent compliance timeframe in Article I supersedes somefive-yearcompliance timeframes in certifications 2 and 3 below.
2. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section II.B.l. of this EDS: a. are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from any transactions by any federal, state or local unit of government;
b. have not, within a five-year period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civQ judgment rendered against thein in connection with: obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft; forgery; bribery; falsification or destruction of records; malcing false statements; or receiving stolen property; c. are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any of the offenses set forth in clause B.2.b. of this Section V;
d. have not, within afive-yearperiod preceding the date of this EDS, had one or more public transactions (federal, state or local) terminated for cause or default; and e. have not, within afive-yearperiod preceding the date of this EDS, been convicted, adjudged guilty, or found liable in a civil proceeding, or in any criminal or civil action, including actions conceming environmental violations, instituted by the City or by the federal government, any state, or any other unit of local govemment.
3. The certifications in subparts 3, 4 and 5 concem: the Disclosing Party; any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties"); any "Affiliated Entity" (meaning a person or entity that, directly or indirectly: controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation: interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially t'ne same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity; any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee ofthe Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, durmg the five years before the date this EDS is signed, or, with respect to a Contractor, an Affiliated Entity, or an Affihated Entity of a Contractor during the five years before the date of such Contractor's or Affiliated Entity's contract or engagement in connection with the Matter; a. bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee ofthe City, the State of Illinois, or any agency ofthe federal govemment or of any state or local government in tlie United States of America, in that officer's or employee's official capacity;
b. agreed or colluded with other bidders or prospective bidders, or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or c. made an admission of such conduct described in a. or b. above diat is a matter of record, but have not been prosecuted for such conduct; or
d. violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance). 4. Neither the Disclosing Party, Affiliated Entity or Contractor, or any of their employees, officials, agents or partners, is barred from contracting with any unit of state or local government as a result of engaging in or being convicted of (1) bid-rigging in violation of 720 ILCS 5/33E-3; (2) bid-rotating in violation of 720 ILCS 5/33E-4; or (3) any similar offense of any state or ofthe United States of America that contains the same elements as the offense of bid-rigging or bid-rotating. 5. Neither the Disclosing Party nor any Affiliated Entity is listed on any of the foUowing lists maintained by the Office of Foreign Assets Control ofthe U.S. Departnient ofthe Treasury or the Bureau of Industry and Security ofthe U.S. Department of Commerce or their successors: the Specially Designated Nationals List, the Denied Persons List, the Unverified List, the Entity List and the Debarred List. 6. The Disclosing Party understands and shall comply with the applicable requirements of Chapters 2-55 (Legislative Inspector General), 2-56 (Inspector General) and 2-156 (Governmental Ethics) of the Municipal Code. 7. If the Disclosing Party is unable to certify to any of the above statements in this Part B (Further Certifications), the Disclosing Party must explain below:
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements. 8. To the best of the Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees of tlie Disclosing Party who were, at any time during the 12month period preceding the execution date of this EDS, an employee, or elected or appointed official, of the City of Chicago (if none, indicate with "N/A" or "none"). NoKie
9. To the best of the Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all gifts that the Disclosing Party has given or caused to be given, at any time during the 12-month period preceding the execution date of this EDS, to an employee, or elected or appointed official, of the City ofChicago. For purposes of this statement, a "gift" does not include: (i) anything made generally available to City employees or to the general public, or (ii) food or drink provided in the course of official City business and having a retail value of less than S20 per recipient (if none, indicate with "N/A" or "none"). As to any gift listed below, please also list the name of the City recipient.
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION 1. The Disclosing Party certifies that the Disclosing Party (check one) 60 is not
a "financial institution" as defined in Section 2-32-455(b) ofthe Municipal Code. 2. I f the Disclosing Party IS afinancialinstitution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in Chapter 2-32 ofthe Municipal Code, We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City." If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-455(b) of the Municipal Code) is a predatory lender within the meaning of Chapter 2-32 ofthe Municipal Code, explain here (attach additional pages if necessary):
If the letters "NA," the word "None," orno response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements. D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS Any words or terms that are defined in Chapter 2-156 ofthe Municipal Code have the same meanings when used in this Part D. 1. In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter?
NOTE: If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E. 2. Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City elected official or employee shall have a financial interest in his or her own name or in the name of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit of the City (collectively, "City Property Sale"). Compensation for property taken pursuant to tlie City's eminent domain power does not constitute a financial interest within the meaning of this Part D. Does the Matter involve a City Property Sale? [ J Yes [JNo
3. I f you checked "Yes" to Item D. 1., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest: Name Business Address Nature of Interest
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee. E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS please check either 1. or 2. below. If the Disclosing Party checks 2., the Disclosing Party must disclose below or in an attachment to this EDS all information required by paragraph 2. Failure to Page 8 of 13
comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City. _ X _ I The Disclosing Party verifies that the Disclosing Party has searched any and all records of the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records. 2. The Disclosing Party verifies that, as a result of conducting the search in step I above, the Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records:
SECTION VI .- CERTIFICATIONS FOR FEDERALLY FUNDED MATTERS NOTE: I f the Matter is federally funded, complete this Section V I . If the Matter is not federally funded, proceed to Section VII. For purposes of this Section VI, tax credits allocated by the City and proceeds of debt obligations of the City are not federal funding. A. CERTIFICATION REGARDING LOBBYING 1. List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter: (Add sheets if necessary):
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.) 2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A . l . above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally fiinded conlract, grant, loan, or cooperative agreement. Page 9 of 13
3. The Disclosing Party will submit an updated certification at the end of each calendar quarter in which there occurs any event that materially affects the accuracy of the statements and information set forth in paragraphs A . l . and A.2. above. 4. The Disclosing Party certifies that either: (i) it is not an organization described in section 501(c)(4) ofthe Internal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Intemal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities". 5. If the Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A . l . through A.4. above from all subcontractors before it awards any subcontract and the Disclosing Party must maintain all such subcontractors' certifications for the duration of the Matter and must make such certifications promptly available to the City upon request.
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following information with their bids or in writing at the outset of negotiations. Is the Disclosing Party the Applicant? [ J Yes [ J No
If "Yes," answer the three questions below: 1. Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.) [ J Yes [JNo 2. Have you filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements? [ J Yes [ J No 3. Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause? [ ] Yes [ j No If you checked "No" to question 1. or 2. above, please provide an explanation:
SECTION V I I ~ ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE The Disclosing Party understands and agrees that: A. The certifications, disclosures, and acknowledgments contained in this EDS will become part of any contract or other agreement between the Applicant and the City in connection with the Matter, whether procurement. City assistance, or other City action, and are material inducements to the City's execution of any contract or taking other action with respect to the Matter. The Disclosing Party understands that it must comply with all statutes, ordinances, and regulations on which this EDS is based. B. The City's Governmental Ethics and Campaign Financing Ordinances, Chapters 2-156 and 2-164 of the Municipal Code, impose certain duties and obligations on persons or entities seeking City contracts, work, business, or transactions. The full text of these ordinances and a training program is available on line at www.citvofchicago.org/Ethics. and may also be obtained from the City's Board of Ethics, 740 N. Sedgwick St., Suite 500, Chicago, IL 60610, (312) 744-9660. The Disclosing Party must comply fully with the applicable ordinances. C. I f the City detennines that any information provided in this EDS is false, incomplete or inaccurate, any contract or other agreement in connection with which it is submitted may be rescinded or be void or voidable, and the City may pursue any remedies under the contract or agreement (if not rescinded or void), at law, or in equity, including terminating the Disclosing Party's participation in the Matter and/or declining to allow the Disclosing Party to participate in other transactions with the City. Remedies at law for a false statement of material fact may include incarceration and an award to the City of treble damages. D. It is the City's policy to make this document available to the public on its Internet site and/or upon request. Some or all ofthe information provided on this EDS and any attachments to this EDS may be made available to the public on the Intemet, in response to a Freedom of Information Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS. E. The information provided in this EDS must be kept current. In the event of changes, the Disclosing Party must supplement this EDS up to the time the City takes action on the Matter. If the Mailer is a contract being handled by the City's Department of Procurement Services, the Disclosing Party must update this EDS as the contract requires. NOTE: With respect to Matters subject to Article I of Chapter 1-23 of the Municipal Code (imposing PERMANENT INELIGIBILITY for certain specified offenses), the information provided herein regarding eligibility must be kept current for a longer period, as required by Chapter 1-23 and Section 2-154-020 ofthe Municipal Code. The Disclosing Party represents and warrants that: Page 11 of 13
F.l. The Disclosing Party is not delinquent in the payment of any tax administered by the lUinois Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes. F.2 If the Disclosing Party is the Applicant, the Disclosing Party and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration. F.3 I f the Disclosing Party is the Applicant, the Disclosing Party will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F.l. and F.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide truthful certifications. NOTE: If the Disclosing Party cannot certify as to any of the items in F.l., F.2. or F.3. above, an explanatory statement must be attached to this EDS. CERTIFICATION Under penalty of perjury, the person signing below: (1) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) are true, accurate and complete as ofthe date furnished to the City.
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FAMILLVL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the Applicant exceeding 7.5 percent. I t is not to be completed by any legal entity which has only an indirect ownership interest in tlie Applicant. Under Municipal Code Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as of the date this EDS is signed, the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof is related to the mayor, any alderman, the city clerk, the city treasurer or any city department head as spouse or domestic partner or as any ofthe following, whether by blood or adoption: parent, child, brother or sister, aunt or uncle, niece or nephew, grandparent, grandchild, father-in-law, mother-in-law, son-in-law, daughter-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister, "Applicable Party" means (1) all executive ofBcers ofthe Disclosing Party listed in Section Il.B.l.a., if the Disclosing Party is a corporation; all partners of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners ofthe Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members ofthe Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers ofthe Disclosing Party; and (3) any person having more than a 7.5 percent ownership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial ofiicer, treasurer or secretary of a legal entity or any person exercising similar authority. Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "femilial relationship" with an elected city official or department head? [ J Yes ^ No
CITY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT SECTION I ~ GENERAL INFORMATION A. Legal name of the Disclosing Party submitting this EDS. Include d/b/a/ if applicable: Leggett & P i a t t , Incorporated ^ Check ONE of the following three boxes: Indicate whether the Disclosing Party submitting this EDS is: 1. ^cj the AyiililtXKK Owner OR 2. [J a legal entity holding a direct or indirect interest in the Applicant. State tlie legal name of the Applicant in which the Disclosing Party holds an interest: OR 3. [ J a legal entity with a right of control (see Section II.B.l.) State the legal name of the entity in which the Disclosing Party holds a right of control: B. Business address of the Disclosing Party: No. 1 Leggett Road Carthage, M O C. Telephone: 417-358-8131 Fax: 417-358-8027 64836 Email; sheri.mossbeck(31eegett.com
D. Name of contact person: Sheri Mossbeck. Vice President and Treasurer E. Federal Employer Identification No. (if you have ot F. Brief description of contract, transaction or other undertaking (referred to below as the "Matter") to which this EDS pertains. (Include project number and location of property, if applicable): Zoning Application re: 2245 W. Pershing Road, Chicago, IL (Applicant: Concept Schools NFP) G. Which City agency or department is requesting this EDS? DHE,D
'"See Appendix B, attached hereto and incorporated herein by reference. Ver. 01-01-12 Page I of 13
SECTION I I - DISCLOSURE OF OWNERSHIP INTERESTS A. NATURE OF THE DISCLOSING PARTY 1. Indicate the nature of the Disclosing Party: Person [ J Limited liability company Publicly registered business corporation [ ] Limited liability partnership Privately held business corporation [ ] Joint venture Sole proprietorship [ J Not-for-profit corporation General partnership (Is the not-for-profit corporation also a 501(c)(3))? Limited partnership [ ] Yes [ ] No Trust [ J Other (please specify)
[J [4 [J [J [J [J [J
Missouri 3. For legal entities not organized in the State of Illinois: Has the organization registered to do business in the State of Illinois as a foreign entity? [j^ Yes [ J No [ ] N/A
B. IF THE DISCLOSING PARTY IS A LEGAL ENTITY: 1. List below the full names and titles of all executive officers and all directors of the entity. NOTE: For not-for-profit corporations, also list below all members, if any, which arc legal entities. If there are no such members, write "no members." For trusts, estates or other similar entities, list below the legal titleholder(s). If the entity is a general partnership, limited partnership, limited liability company, limited Liability partnership or joint venture, list below the name and title of each general partner, managing member, manager or any other person or entity that controls the day-to-day management of the Disclosing Party. NOTE: Each legal entity listed below must submit an EDS on its own behalf. Name Title Attached as Appendix C i s a l i s t of the Directors and Sectlonj6 Executive O f f i c e r s of Leggett & P i a t t , Incorporated.
2. Please provide the following information concerning each person or entity having a direct or indirect beneficial interest (including ownership) in excess of 7.5% of the Disclosing Party. Examples of such an interest include shares in a corporation, partnership interest in a partnership or joint venture. Page 2 of 13
interest of a member or manager in a limited liability company, or interest of a beneficiary of a trust, estate or other similar entity. If none, state "None." NOTE: Pursuant to Section 2-154-030 of the Municipal Code of Chicago ("Municipal Code"), the City may require any such additional information from any applicant which is reasonably intended to achieve full disclosure. Name State Street Corporation
One L i n c o l n S t r e e t Boston, MA 02111 40 E. 52nd S t r e e t New York, NY 10022
Percentage Interest in the Disclosing Party
L l . 9 % (Appendix D) 8.27% (Appendix E)
SECTION I I I - BUSINESS RELATIONSHIPS WITH CITY ELECTED OFFICIALS Has the Disclosing Party had a "business relationship," as defined in Chapter 2-156 of the Municipal Code, with any City elected official in the 12 months before the date this EDS is signed? [JYes [xJ No
If yes, please identify below the name(s) of such City elected official(s) and describe such relationship(s): Disclosing Party knows of no such "business relationship" as that terms is conunonly used and understood. SECTION IV - DISCLOSURE OF SUBCONTRACTORS AND OTHER RETAINED PARTIES The Disclosing Party must disclose the name and business address of each subcontractor, attomey, lobbyist, accountant, consultant and any other person or entity whom the Disclosing Party has retained or expects to retain in connection with the Matter, as well as the nature of the relationship, and the total amount ofthe fees paid or estimated to be paid. The Disclosing Party is not required to disclose employees who are paid solely through the Disclosing Party's regular payroll. "Lobbyist" means any person or entity who undertakes to influence any legislative or administrative action on behalf of any person or entity other than: (1) a not-for-profit entity, on an unpaid basis, or (2) himself. "Lobbyist" also means any person or entity any part of whose duties as an employee of another includes undertaking to influence any legislative or administrative action. If the Disclosing Party is uncertain whether a disclosure is required under this Section, the Disclosing Party must either ask the City whether disclosure is required or make the disclosure.
2 D i s c l o s i n g Party i s a p u b l i c l y traded c o r p o r a t i o n r e g i s t e r e d w i t h the S e c u r i t i e s and Exchange Commission under the S e c u r i t i e s Exchange Act o f 1934. Attached hereto (as Appendix D and E) w i t h regard t o each a p p l i c a b l e e n t i t y pursuant t o Section I I . B . 2 i s the most recent f i l e d SEC Schedule 13G. Page 3 of 13
Fees (indicate whether paid or estimated.) NOTE: "hourly rate" or "t.b.d." is not an acceptable response.
(Add sheets if necessary) Check here if the Disclosing Party has not retained, nor expects to retain, any such persons or entities. SECTION V T-CERTIFICATIONS Please see Disclosing P a r t y ' s response provided f o l l o w i n g item B.7. A. COURT-ORDERED CHILD SUPPORT COMPLIANCE Under Municipal Code Section 2-92-415, substantial owners of business entities that contract with the City must remain in compliance with their child support obligations throughout the contract's term. Has any person who directly or indirectly owns 10% or more of the Disclosing Party been declared in arrearage on any child support obligations by any Illinois court of competent jurisdiction? [JYes No [ J No person directly or indirectly owns 10% or more of the Disclosing Party.
If "Yes," has the person entered into a court-approved agreement for payment of all support owed and is the person in compliance with that agreement? [ ] Yes [ J No
B. FURTHER CERTIFICATIONS 1. Pursuant to Municipal Code Chapter 1-23, Article I ("Article I")(which the Applicant should consult for defined terms (e.g., "doing business") and legal requirements), if the Disclosing Party submitting this EDS is the Applicant and is doing business with the City, then the Disclosing Party certifies as follows: (i) neither the Applicant nor any controlling person is currently indicted or charged with, or has admitted guilt of, or has ever been convicted of, or placed under supervision for, any criminal offense involving actual, attempted, or conspiracy to commit bribery, theft, fraud, forgery, perjury, dishonesty or deceit against an officer or employee ofthe City or any sister agency; and (ii) the Applicant understands and acknowledges that compliance with Article I is a continuing requirement for doing business with the City. NOTE: If Article 1 applies to the Applicant, the pennanent compliance timeframe in Article 1 supersedes some five-year compliance timeframes in certifications 2 and 3 below.
2. The Disclosing Party and, if the Disclosing Party is a legal entity, all of those persons or entities identified in Section I I . B . l . of this EDS: a. are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from any transactions by any federal, state or local unit of government; have not, within a five-year period preceding the date of this EDS, been convicted of a criminal offense, adjudged guilty, or had a civil judgment rendered against them in connection with: obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; a violation of federal or state antitrust statutes; fraud; embezzlement; theft; forgery; bribery; falsification or destruction of records; making false statements; or receiving stolen property; are not presently indicted for, or criminally or civilly charged by, a governmental entity (federal, state or local) with committing any of the offenses set forth in clause B.2.b. of this Section V; have not, within a five-year period preceding the date of this EDS, had one or more public transactions (federal, state or local) terminated for cause or default; and have not, within a five-year period preceding the date of this EDS, been convicted, adjudged guilty, or found liable in a civil proceeding, or in any criminal or civil action, including actions concerning environmental violations, instituted by the City or by the federal government, any state, or any other unit of local govemment. The certifications in subparts 3, 4 and 5 concern;
the Disclosing Party; any "Contractor" (meaning any contractor or subcontractor used by the Disclosing Party in connection with the Matter, including but not limited to all persons or legal entities disclosed under Section IV, "Disclosure of Subcontractors and Other Retained Parties"); any "Affiliated Entity" (meaning a person or entity that, directly or indirectly; controls the Disclosing Party, is controlled by the Disclosing Party, or is, with the Disclosing Party, under common control of another person or entity. Indicia of control include, without limitation; interlocking management or ownership; identity of interests among family members, shared facilities and equipment; common use of employees; or organization of a business entity following the ineligibility of a business entity to do business with federal or state or local government, including the City, using substantially the same management, ownership, or principals as the ineligible entity); with respect to Contractors, the term Affiliated Entity means a person or entity that directly or indirectly controls the Contractor, is controlled by it, or, with the Contractor, is under common control of another person or entity; any responsible official of the Disclosing Party, any Contractor or any Affiliated Entity or any other official, agent or employee ofthe Disclosing Party, any Contractor or any Affiliated Entity, acting pursuant to the direction or authorization of a responsible official of the Disclosing Party, any Contractor or any Affiliated Entity (collectively "Agents").
Neither the Disclosing Party, nor any Contractor, nor any Affiliated Entity of either the Disclosing Party or any Contractor nor any Agents have, during the five years before the date this EDS is signed, or, with respect to a Contractor, an Affiliated Entity, or an Affiliated Entity of a Contractor during the five years before the date of such Contractor's or Affiliated Entity's contract or engagement in connection with the Matter; a. bribed or attempted to bribe, or been convicted or adjudged guilty of bribery or attempting to bribe, a public officer or employee ofthe City, the State of Illinois, or any agency of the federal government or of any state or local government in the United States of America, in that officer's or employee's official capacity; agreed or coUuded with other bidders or prospective bidders, or been a party to any such agreement, or been convicted or adjudged guilty of agreement or collusion among bidders or prospective bidders, in restraint of freedom of competition by agreement to bid a fixed price or otherwise; or made an admission of such conduct described in a. or b. above that is a matter of record, but have not been prosecuted for such conduct; or violated the provisions of Municipal Code Section 2-92-610 (Living Wage Ordinance).
4. Neither the Disclosing Party, Affiliated Entity or Contractor, or any of their employees, officials, agents or partners, is barred from contracting with any unit of state or local government as a result of engaging in or being convicted of (1) bid-rigging in violation of 720 ILCS 5/33E-3; (2) bid-rotating in violation of 720 ILCS 5/33E-4; or (3) any similar offense of any state or ofthe United States of America that contains the same elements as the offense of bid-rigging or bid-rotating. 5. Neither the Disclosing Party nor any Affiliated Entity is listed on any of the following lists maintained by the Office of Foreign Assets Control of the U.S. Department ofthe Treasury or the Bureau of Industry and Security of the U.S. Department of Commerce or their successors: the Specially Designated Nationals List, the Denied Persons List, the Unverified List, the Entity List and the Debarred List. 6. The Disclosing Party understands and shall comply with the applicable requirements of Chapters 2-55 (Legislative Inspector General), 2-56 (Inspector General) and 2-156 (Governmental Ethics) of the Municipal Code. 7. If the Disclosing Party is unable to certify to any of the above statements in this Part B (Further Certifications), the Disclosing Party must explain below; iPisclosing Party has contracted w i t h the Applicant (Concept Schools NFP) f o r the sale of c e r t a i n r e a l property and the c e r t i f i c a t i o n s of Section V do not appear applicable as constructed. To the extent any of the Section VCcert:ificatlons apply. Disclosing
Party states t h a t , t o i t s a c t u a l knowledge, the representations t h e r e i n are c o r r e c t .
If the letters "NA," the word "None," or no response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements. 8. To the best of the Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all current employees ofthe Disclosing Party who were, at any time during the 12month period preceding the execution date of this EDS, an employee, or elected or appointed official, of the City of Chicago (if none, indicate with "N/A" or "none"). None.
9. To the best ofthe Disclosing Party's knowledge after reasonable inquiry, the following is a complete list of all gifts that the Disclosing Party has given or caused to be given, at any time during the 12-month period preceding the execution date of this EDS, to an employee, or elected or appointed official, of the City of Chicago. For purposes of this statement, a "gift" does not include: (i) anything made generally available to City employees or to the general public, or (ii) food or drink provided in the course of official City business and having a retail value of less than $20 per recipient (if none, indicate with "N/A" or "none"). As to any gift listed below, please also list the name of the City recipient. None.
C. CERTIFICATION OF STATUS AS FINANCIAL INSTITUTION 1. The Disclosing Party certifies that the Disclosing Party (check one). XI is not
[ J is
a "financial institution" as defined in Section 2-32-455(b) of the Municipal Code. 2. If the Disclosing Party IS afinancialinstitution, then the Disclosing Party pledges:
"We are not and will not become a predatory lender as defined in Chapter 2-32 of the Municipal Code. We further pledge that none of our affiliates is, and none of them will become, a predatory lender as defined in Chapter 2-32 of the Municipal Code. We understand that becoming a predatory lender or becoming an affiliate of a predatory lender may result in the loss of the privilege of doing business with the City." If the Disclosing Party is unable to make this pledge because it or any of its affiliates (as defined in Section 2-32-455(b) of the Municipal Code) is a predatory lender within the meaning of Chapter 2-32 of the Municipal Code, explain here (attach additional pages if necessary):
Page? of 13
If the letters "NA," the word "None," orno response appears on the lines above, it will be conclusively presumed that the Disclosing Party certified to the above statements. D. CERTIFICATION REGARDING INTEREST IN CITY BUSINESS Any words or terms that are defined in Chapter 2-156 ofthe Municipal Code have the same meanings when used in this Part D. 1. In accordance with Section 2-156-110 of the Municipal Code: Does any official or employee of the City have a financial interest in his or her own name or in the name of any other person or entity in the Matter? To the a c t u a l knowledge of Disclosing Party, no [ J Yes ^ No o f f i c i a l or employee of the City has a f i n a n c i a l i n t e r e s t , of the type described, i n the Matter. NOTE; If you checked "Yes" to Item D.l., proceed to Items D.2. and D.3. If you checked "No" to Item D.l., proceed to Part E. 2. Unless sold pursuant to a process of competitive bidding, or otherwise permitted, no City elected official or employee shall have a financial interest in his or her own name or in the name of any other person or entity in the purchase of any property that (i) belongs to the City, or (ii) is sold for taxes or assessments, or (iii) is sold by virtue of legal process at the suit of the City (collectively, "City Property Sale"). Compensation for property taken pursuant to the City's eminent domain power does not constitute a financial interest within the meaning of this Part D. Does the Matter involve a City Property Sale?
^J No
3. If you checked "Yes" to Item D.l., provide the names and business addresses of the City officials or employees having such interest and identify the nature of such interest; Name Business Address Nature of Interest
4. The Disclosing Party further certifies that no prohibited financial interest in the Matter will be acquired by any City official or employee. E. CERTIFICATION REGARDING SLAVERY ERA BUSINESS Please check either 1. or 2. below. If the Disclosing Party checks 2,, the Disclosing Party must disclose below or in an attachment to this EDS all information required by paragraph 2. Failure to Page 8 of 13
comply with these disclosure requirements may make any contract entered into with the City in connection with the Matter voidable by the City. X 1. The Disclosing Party verifies that the Disclosing Party has searched any and all records of the Disclosing Party and any and all predecessor entities regarding records of investments or profits from slavery or slaveholder insurance policies during the slavery era (including insurance policies issued to slaveholders that provided coverage for damage to or injury or death of their slaves), and the Disclosing Party has found no such records. 2. The Disclosing Party verifies that, as a result of conducting the search in step 1 above, the Disclosing Party has found records of investments or profits from slavery or slaveholder insurance policies. The Disclosing Party verifies that the following constitutes full disclosure of all such records, including the names of any and all slaves or slaveholders described in those records: Disclosing Party d i d not come i n t o existance u n t i l 1883> and has no predecessor e n t i t y .
SECTION VI - CERTIFICATIONS FOR F E D E R A L L Y FUNDED MATTERS NOTE: I f the Matter is federaUy funded, complete this Section V I . If the Matter is not federaUy funded, proceed to Section V I I . For purposes of this Section V I , tax credits allocated by the City and proceeds of debt obligations ofthe City are not federal funding. A. CERTIFICATION REGARDING LOBBYING 1. List below the names of all persons or entities registered under the federal Lobbying Disclosure Act of 1995 who have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter; (Add sheets if necessary);
(If no explanation appears or begins on the lines above, or if the letters "NA" or if the word "None" appear, it will be conclusively presumed that the Disclosing Party means that NO persons or entities registered under the Lobbying Disclosure Act of 1995 have made lobbying contacts on behalf of the Disclosing Party with respect to the Matter.) 2. The Disclosing Party has not spent and will not expend any federally appropriated funds to pay any person or entity listed in Paragraph A . l . above for his or her lobbying activities or to pay any person or entity to influence or attempt to influence an officer or employee of any agency, as defined by applicable federal law, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress, in connection with the award of any federally funded contract, making any federally funded grant or loan, entering into any cooperative agreement, or to extend, continue, renew, amend, or modify any federally funded contract, grant, loan, or cooperative agreement. Page 9 of 13
3. The Disclosing Party will submit an updated certification at the end of each calendar quarter in which there occurs any event that materially affects the accuracy of the statements and information set forth in paragraphs A . l . and A.2. above. 4. The Disclosing Party certifies that either; (i) it is not an organization described in section 501(c)(4) ofthe Intemal Revenue Code of 1986; or (ii) it is an organization described in section 501(c)(4) of the Intemal Revenue Code of 1986 but has not engaged and will not engage in "Lobbying Activities". 5. If the Disclosing Party is the Applicant, the Disclosing Party must obtain certifications equal in form and substance to paragraphs A . l . through A.4. above from all subcontractors before it awards any subcontract and the Disclosing Party must maintain all such subcontractors' certifications for the duration of the Matter and must make such certifications promptly available to the City upon request.
B. CERTIFICATION REGARDING EQUAL EMPLOYMENT OPPORTUNITY If the Matter is federally funded, federal regulations require the Applicant and all proposed subcontractors to submit the following infonnation with their bids or in writing at the outset of negotiations. Is the Disclosing Party the Applicant? [ J Yes [ ] No
If "Yes," answer the three questions below: 1. Have you developed and do you have on file affirmative action programs pursuant to applicable federal regulations? (See 41 CFR Part 60-2.) [ J Yes [ J No 2. Have you filed with the Joint Reporting Committee, the Director ofthe Office of Federal Contract Compliance Programs, or the Equal Employment Opportunity Commission all reports due under the applicable filing requirements? [ J Yes [ J No 3. Have you participated in any previous contracts or subcontracts subject to the equal opportunity clause? [ J Yes [ J No If you checked "No" to question 1. or 2. above, please provide an explanation;
SECTION V l l - ACKNOWLEDGMENTS, CONTRACT INCORPORATION, COMPLIANCE, PENALTIES, DISCLOSURE The Disclosing Party understands and agrees that: A. The certifications, disclosures, and acknowledgments contained in this EDS will become part of any contract or other agreement between the Applicant and the City in connection with the Matter, whether procurement. City assistance, or other City action, and are material inducements to the City's execution of any contract or taking other action with respect to the Matter. The Disclosing Party understands that it must comply with all statutes, ordinances, and regulations on which this EDS is based. B. The City's Govemmental Ethics and Campaign Financing Ordinances, Chapters 2-156 and 2-164 of the Municipal Code, impose certain duties and obligations on persons or entities seeking City contracts, work, business, or transactions. The full text of these ordinances and a training program is available on line at www.cityofchicago.org/Ethics, and may also be obtained from the City's Board of Ethics, 740 N . Sedgwick St., Suite 500, Chicago, IL 60610, (312) 744-9660. The Disclosing Party must comply fully with the applicable ordinances. C. If the City determines that any information provided in this EDS is false, incomplete or inaccurate, any contract or other agreement in connection with which it is submitted may be rescinded or be void or voidable, and the City may pursue any remedies under the contract or agreement (if not rescinded or void), at law, or in equity, including terminating the Disclosing Party's participation in the Matter and/or declining to allow the Disclosing Party to participate in other transactions with the City. Remedies at law for a false statement of material fact may include incarceration and an award to the City of treble damages. D. It is the City's policy to make this document available to the public on its Internet site and/or upon request. Some or all of the information provided on this EDS and any attachments to this EDS may be made available to the public on the Intemet, in response to a Freedom of Infonnation Act request, or otherwise. By completing and signing this EDS, the Disclosing Party waives and releases any possible rights or claims which it may have against the City in connection with the public release of information contained in this EDS and also authorizes the City to verify the accuracy of any information submitted in this EDS. E. The information provided in this EDS must be kept cunent. In the event of changes, the Disclosing Party must supplement this EDS up to the time the City takes action on the Matter. If the Matter is a contract being handled by the City's Department of Procurement Services, the Disclosing Party must update this EDS as the contract requires. NOTE: With respect to Matters subject to Article 1 of Chapter 1-23 ofthe Municipal Code (imposing PERMANENT I N E L I G I B I L I T Y for certain specified offenses), the infonnation provided herein regarding eligibility must be kept current for a longer period, as required by Chapter 1-23 and Section 2-154-020 of the Municipal Code. The Disclosing Party represents and warrants that: Page 11 of 13
F.l. The Disclosing Party is not delinquent in the payment of any tax administered by the'Illinois Department of Revenue, nor are the Disclosing Party or its Affiliated Entities delinquent in paying any fine, fee, tax or other charge owed to the City. This includes, but is not limited to, all water charges, sewer charges, license fees, parking tickets, property taxes or sales taxes. F.2 If the Disclosing Party is the Applicant, the Disclosing Party and its Affiliated Entities will not use, nor permit their subcontractors to use, any facility listed by the U.S. E.P.A. on the federal Excluded Parties List System ("EPLS") maintained by the U. S. General Services Administration. F.3 If the Disclosing Party is the Applicant, the Disclosing Party will obtain from any contractors/subcontractors hired or to be hired in connection with the Matter certifications equal in form and substance to those in F. 1. and F.2. above and will not, without the prior written consent of the City, use any such contractor/subcontractor that does not provide such certifications or that the Disclosing Party has reason to believe has not provided or cannot provide tmthful certifications. NOTE: If the Disclosing Party cannot certify as to any ofthe items in F.L, F.2. or F.3. above, an explanatory statement must be attached to this EDS. CERTIFICATION Under penalty of perjury, the person signing below; (1) warrants that he/she is authorized to execute this EDS and Appendix A (if applicable) on behalf of the Disclosing Party, and (2) warrants that all certifications and statements contained in this EDS and Appendix A (if applicable) are tme, accurate and complete as ofthe date fumished to the City. Leggett & P i a t t , Incorporated (Print of-type name of Disclosing Party)
(Sign here) Scott Douglas (Print or type name of person signing) ST, Vice President and General Counsel (Print or type title of person signing)
Signed and sworn to before me on (date) at JiXQp^y" County, fiAi-S4i l i i ^ i
(state). Notary Public.
^ . . ^ Commission expires:
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A M B E Ra O O D M yC o m m i s s i o n Expires D e c e m b e r 13,2016 ^ ^ 4
CrrY OF CHICAGO ECONOMIC DISCLOSURE STATEMENT AND AFFIDAVIT APPENDIX A
FAMILIAL RELATIONSHIPS WITH ELECTED CITY OFFICIALS AND DEPARTMENT HEADS This Appendix is to be completed only by (a) the Applicant, and (b) any legal entity which has a direct ownership interest in the AppUcant exceeding 7.5 percent. It is not to be completed by any legal entity which has only an indirect ownership interest in the Applicant. Under Municipal Code Section 2-154-015, the Disclosing Party must disclose whether such Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently has a "familial relationship" with any elected city official or department head. A "familial relationship" exists if, as ofthe date this EDS is signed, the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof is related to the mayor, any alderman, the city clerk, the city treasurer or any city depjirtment head as spouse or domestic partner or as any of the following, whether by blood or adoption: parent, child, brother or sister, aunt or uncle, niece or nephew, grandparent, grandchild, father-in-law, mother-in-law, son-in-law, daughter-in-law, stepfather or stepmother, stepson or stepdaughter, stepbrother or stepsister or half-brother or half-sister. "Applicable Party" means (1) all executive ofGcers ofthe Disclosing Party listed in Section II.B.l.a., if the Disclosing Party is a corporation; all parmers of the Disclosing Party, if the Disclosing Party is a general partnership; all general partners and limited partners of the Disclosing Party, if the Disclosing Party is a limited partnership; all managers, managing members and members ofthe Disclosing Party, if the Disclosing Party is a limited liability company; (2) all principal officers of the Disclosing Party; and (3) any person having more than a 7.5 percent ovraership interest in the Disclosing Party. "Principal officers" means the president, chief operating officer, executive director, chief financial officer, treasurer or secretary of a legal entity or any person exercising similar authority. Does the Disclosing Party or any "Applicable Party" or any Spouse or Domestic Partner thereof currently have a "familial relationship" with an elected city official or department head?
If ye.s, please identify below (1) the name and litle of such person, (2) the name ofthe legal entity to which such person is connected; (3) the name and title of the elected city official or department head to whom such person has a familial relationship, and (4) the precise nature of such familial relationship.
Appendix B Leggett & Piatt, Incorporated is a publicly traded corporation, listed on the New York Stock Exchange (LEG) and registered with the Securities and Exchange Commission under the Securities Exchange Act of 1934. All responses herein are necessarily limited by such status. Publicly available information regarding Leggett & Piatt, Incorporated may be located at www.leggett.com or obtained from the Securities and Exchange Commission.
Leggett & Piatt, Incorporated Board of Directors Richard T. Fisher, Chairman Robert E. Brunner Ralph W. Clark Robert G. Gulp, III R. Ted Enloe, III Matthew G. Flanigan Karl G. Glassman David S. Haffner Joseph W. McGlanathan Judy G. Odom Maurice E. Purnell, Jr. Phoebe A. Wood
Effective: January 10, 2013
Leggett & Piatt, Incorporated Executive Officers* David S. Haffner President and Chief Executive Officer Karl G. Glassman Executive Vice President and Chief Operating Officer Matthew C. Flanigan Senior Vice President - Chief Financial Officer Jack D. Crusa Senior Vice President, President - Specialized Products Segment Joseph D. Downes, Jr. Senior Vice President, President - Industrial Materials Segment Perry E. Davis Senior Vice President, President - Residential Furnishings Segment Dennis S. Park Senior Vice President, President - Gommercial Fixturing & Components Segment David M. DeSonier Senior Vice President - Strategy & Investor Relations Scott S. Douglas Senior Vice President and General Counsel John G. Moore *These officers are considered "executive officers" for purposes of Section 16 ofthe and Exchange Act of 1934. Senior Vice President - Chief Legal & Securities HR Officer and Secretary William S. Weil Vice President & Corporate Controller
APPENDIX D <DOCUMENT> <TY?E>SC 13G <SEQUENCE>1 <FILENAME>leg.txt <TEXT> State Street Corporation '
UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 ANNUAL FILING LEGGETT & PLATT (NAME OF ISSUER) C O M M O N STOCK (TITLE OF CLASS OF SECURITIES) 524660107 (CUSIP NUMBER) 12/31/2012 (DATE OF EVENT WHICH REQUIRES FILING OF THIS STATEMENT) CHECK THE APPROPRIATE BOX TO DESIGNATE THE RULE PURSUANT TO WHICH THIS SCHEDULE IS FILED: (X) RULE 13D-1 (B) ( ) RULE 13D-1 (C) ( ) RULE 13D-1 (D) *THE REMAINDER OF THIS COVER PAGE SHALL BE FILLED OUT FOR A REPORTING PERSON~S INITIAL FILING ON THIS FORM WITH RESPECT TO THE SUBJECT CLASS OF SECURITIES, AND FOR ANY SUBSEQUENT AMENDMENT CONTAINING INFORMATION WHICH WOULD ALTER THE DISCLOSURES PROVIDED IN A PRIOR COVER PAGE. THE INFORMATION REQUIRED IN THE REMAINDER OF THIS COVER PAGE SHALL NOT BE DEEMED TO BE "FILED" FOR THE PURPOSE OF SECTION 18 OF THE SECURITIES EXCHANGE ACT OF 1934 ("ACT") OR OTHERWISE SUBJECT TO THE LIABILITIES OF THAT SECTION OF THE ACT BUT SHALL BE SUBJECT TO ALL OTHER PROVISIONS OF THE ACT (HOWEVER, SEE THE NOTES).
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CUSIP NO: 524660107 1.
Page 2 o f 6 Pages
NAME OF REPORTING PERSON: STATE STREET CORPORATION I.R.S. IDENTIFICATION NO. OF THE ABOVE PERSON: 04-2456637
SEC USE ONLY CITIZENSHIP CR PLACE OF ORGANIZATION BOSTON, MASSACHUSETTS
SOLE VOTING P O W E R 0 SHARES
SHARED VOTING P O W E R 16,811,234
SOLE DISPOSITIVE P O W E R 0
SHARED DISPOSITIVE P O W E R 16,811,234
AGGREGATED AMOUNT BENEFICIALLY O W N E D BY EACH REPORTING PERSON 16,811,234
CHECK BOX I F THE AGGREGATE AMOUNT IN R O W (9) EXCLUDES CERTAIN SHARES NOT APPLICABLE
PERCENT OF CLASS REPRESENTED BY AMOUNT IN R O W 9 11.9%
TYPE OF REPORTING PERSON HC
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CUSIP NO: 524660107
1. NAME OF REPORTING PERSON: SSGA FUNDS MANAGEMENT, INC. ACTING IN VARIOUS CAPACITIES I.R.S. IDENTIFICATION NO. OF THE ABOVE PERSON: 04-3555193 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP NOT APPLICABLE 3. 4. SEC USE ONLY CITIZENSHIP OR PLACE OF ORGANIZATION BOSTON, MASSACHUSETTS 5. SOLE VOTING P O W E R 0 SHARES 6. SHARED VOTING P O W E R 12,195,591 7. SOLE DISPOSITIVE P O W E R 0 8. SHARED DISPOSITIVE P O W E R 12,195,591 9. AGGREGATED AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 12,195,591 10. CHECK BOX IF THE AGGREGATE AMOUNT IN R O W (9) EXCLUDES CERTAIN SHARES NOT APPLICABLE 11. PERCENT OF CLASS REPRESENTED- BY AMOUNT IN R O W 9 ' 8.6%
TYPE OF REPORTING PERSON IA
CUSIP NO: 524660107 ITEM 1. (A) (B)
Page 4 o f 6 Pages
NAME OF ISSUER LEGGETT & PLATT ADDRESS OF ISSUER"S PRINCIPAL EXECUTIVE OFFICES NO 1 LEGGETT ROAD POST OFFICE BOX 7 57 CARTHAGE, M O 64836
ITEM 2. (A) NAME OF PERSON FILING STATE STREET CORPORATION AND ANY OTHER REPORTING PERSON IDENTIFIED ON THE SECOND PART OF THE COVER PAGES HERETO (B) ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IN NONE, RESIDENCE STATE STREET FINANCIAL CENTER ONE LINCOLN STREET BOSTON, MA 02111 (FOR -ALL REPORTING PERSONS) (C) CITIZENSHIP: SEE ITEM 4 (CITIZENSHIP OR PLACE OF ORGANIZATION) OF COVER P . A G E S (D) TITLE OF CLASS OF SECURITIES C O M M O N STOCK (E) CUSIP NUMBER: 524660107 ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULE 13D-1(B), OR 13D-2(B)
OR (C), CHECK WHETHER THE PERSON FILING IS A: SEE FOR THE THE ITEM 12 (TYPE OF REPORTING PERSON) OF THE COVER PAGE EACH REPORTING PERSON AND THE TABLE BELOW, WHICH EXPLAINS MEANING OF THE TWO LETTER SYMBOLS APPEARING IN ITEM 12 OF COVER PAGES. CATEGORY BANK AS DEFINED IN SECTION 3(A) (6) OF THE ACT. INSURANCE COMPANY AS DEFINED IN SECTION 3 (A) (19) OF THE ACT INVESTMENT COMPANY REGISTERED UNDER SECTION 8 OF THE INVESTMENT COMPANY ACT CF 1940. AN INVESTMENT ADVISOR IN ACCORDANCE WITH RULE 13D-1(B) (1) ( I I ) (E) . AN EMPLOYEE BENEFIT PLAN OR ENDOWMENT FUND IN ACCORDANCE WITH RULE.13D-1(B) (1) ( I I ) (F) . A PARENT HOLDING COMPANY OR CONTROL PERSON IN ACCORDANCE WITH RULE 1 3 D - 1 ( B ) ( 1 ) ( I I ) (G). A SAVINGS ASSOCIATIONS AS DEFINED IN SECTION 3(B) OF THE FEDERAL DEPOSIT INSURANCE ACT (12 U.S.C. 1813) A CHURCH PLAN T . H A T IS EXCLUDED FROM THE DEFINITION OF AN INVESTMENT COMPANY UNDER SECTION 3(C)(14) OF THE INVESTMENT COMPANY ACT OF 1940. Page 5 of 6 Pages
SYMBOL BK IC IC IA EP HC SA CP
CUSIP NO: 524660107 ITEM 4. OWNERSHIP
THE INFOR.MATION SET FORTH IN R O W S 5 THROUGH 11 OF THE COVER PAGE HERETO FOR EACH OF THE REPORTING PERSONS IS INCORPORATED HEREIN BY REFERENCE.' ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF CLASS NOT APPLICABLE ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON NOT APPLICABLE ITEM 7. IDENTIFICATION AND CLASSIFICATION CF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY OR CONTROL PERSON SEE EXHIBIT 1 ATTACHED HERETO ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP NOT APPLICABLE ITEM 9. NOTICE OF DISSOLUTION OF GROUP NOT APPLICABLE ITEM 10. CERTIFICATION BY SIGNING BELOW I CERTIFY THAT, TO THE BEST OF MY KNOWLEDGE
AND BELIEF, THE SECURITIES REFERRED TO ABOVE WERE ACQUIRED AND ARE HELD IN THE ORDINARY COURSE OF BUSINESS AND WERE NOT ACQUIRED AND ARE NOT HELD FOR THE PURPOSE O R WITH THE EFFECT OF CHANGING O R INFLUENCING THE CONTROL OF THE ISSUER OF THE SECURITIES AND WERE NOT ACQUIRED AND ARE NOT HELD IN CONNECTION WITH O R AS A PARTICIPANT IN ANY TRANSACTION HAVING THAT PURPOSE O R EFFECT. SIGNATURES AFTER REASONABLE INQUIRY AND TO THE BEST OF HIS KNOWLEDGE AND BELIEF, EACH OF THE UNDERSIGNED CERTIFIES T:HAT THE INFORMATION SET FORTH IN THIS STATEMENT IS TRUE, COMPLETE AND CORRECT. 8 February 2013 STATE STREET CORPORATION
/s/ JAMES J. MALERBA EXECUTIVE VICE PRESIDENT, CORPORATION CONTROLLER
THE FOLLOWING TABLE LISTS THE IDENTITY AND ITEM 3 CLASSIFICATION OF EACH SUBSIDIARY OF STATE STREET CORPORATION, THE PARENT HOLDING COMPANY, THAT BENEFICIALLY O W N S THE ISSUER"S C O M M O N STOCK. PLEASE REFER TO ITEM 3 OF THE ATTACHED SCHEDULE 13G FOR A DESCRIPTION OF EACH OF THE TWO-LETTER SYMBOLS REPRESENTING THE ITEM 3 CLASSIFICATION BELOW. SUBSIDIARY STATE STREET GLOBAL ADVISORS FRANCE S.A. STATE STREET BANK AND TRUST COMPANY SSGA FUNDS MANAGEMENT, INC STATE STREET GLOBAL ADVISORS LIMITED STATE STREET GLOBAL ADVISORS LTD STATE STREET GLOBAL ADVISORS, AUSTRALIA LIMITED STATE STREET GLOBAL ADVISORS JAPAN CO., LTD. STATE STREET GLOBAL ADVISORS, ASIA LIMITED ITEM 3 CLASSIFICATION IA BK IA IA IA IA IA IA
NOTE: ALL OF THE LEGAL ENTITIES ABOVE ARE DIRECT O R INDIRECT SUBSIDIARIES OF STATE STREET CORPORATION. </TEXT> </DOCUMENT>
Page 1 of 7 Black Rock, Inc.
<DOCUMENT> <TYPE>SC 13G/A <SEQUENCE>1 <FILENAJME>leggeLt. . p l a t t . i n c . . t x t <TEXT> SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 2054S SCHEDULE 13G Under the S e c u r i t i e s Exchange Act c f 1934 (Ajnendment No: 3) LEGGETT & PLATT INC. (Na.me o f Issuer) Common Stock ( T i t l e o f Class o f S e c u r i t i e s ) 524660107 (CUSIP Number) December 31, 2012 (Date o f Event Which Requires r i l i n g o f t h i s Statement) Check the a p p r o p r i a t e box t o designate the r u l e pursua.it t o which t h i s Schedule i s f i l e d : [XI Rule 13G-l(b) [ ] Rule 13d-l(c) [ ] Rule 13c-l(d)
*The remainder o f t h i s cover page s h a l l be f i l l e d out f o r a r e p o r t i n g person's i n i t i a l f i l i n g on t h i s f o r n w i t h respect t o the subject class c f s e c u r i t i e s , and f o r any subsequent amendment c o n t a i n i n g infcr.m'ation which would a l t e r the d i s c l o s u r e s provided i n a p r i o r cover page. The i n f c r m a t i o n r e q u i r e d i n the remai.nder o f t h i s cover page s h a l l not be deemed t o be " f i l e d " f o r the purpose of Section 18 o f the S e c u r i t i e s Exchange Act o f 1934 ("Act") or otherwise s u b j e c t t o the l i a b i l i t i e s o f t h a t s e c t i o n o f the Act but s h a l l be s u b j e c t t o a l l other p r o v i s i o n s o f the Act (however, see the Notes).
(1)Names of reporting persons. BlackRock, I n c .
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(2) Check the a p p r o p r i a t e (a) [ 1 " (b) [X] (3) SEC use only
box i f a member o f a group
(4) C i t i z e n s h i p or place o f o r g a n i z a t i o n Delaware Number o f shares b e n e f i c i a l l y owned by each r e p o r t i n g person w i t h : (5) Sole v o t i n g power 11679825 (6) Shared v o t i n g power Ncne (7) Sole d i s p o s i t i v e power 11679825 (8) Shared d i s p o s i t i v e power None (9) Aggregate amount b e n e f i c i a l l y owned by each r e p o r t i n g person 11679825 (10) Check i f the aggregate amount i.n . R o w (9) excludes c e r t a i n shares (11) Percent c f class represented by amount i n Row 9 8.27'i (12) Type o f r e p o r t i n g person HC
Item 1. Item l ( a ; Name o f i s s u e r :
LEGGETT & PLATT INC. Item 1(b) Address o f i s s u e r ' s p r i n c i p a l executive o f f i c e s ;
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CARTHAGE MC 64 8 36 I te.T. 2 . 2(a) Name o f person f i l i n g :
BlackRock, I n c . 2(b) Address or p r i n c i p a l business o f f i c e or, i f none, residence:
BlackRock I n c . 40 East 52nd S t r e e t New York, N ' Y 10022 " 2(c) Citizenship:
See Item 4 o f Cover Page 2(d) T i t l e o f class o f s e c u r i t i e s :
Coirjnon Stock 2(e) CUSIP No.: See Cover Page
Item 3. I f t h i s statement i s f i l e d pursuant t o Rules 1 3 d - l ( b ) , or 13d-2(b) o r ( c ) , check whether the person f i l i n g i s a: [ ] Broker or dealer r e g i s t e r e d under Section 15 o f the Act; [ ] Bank as d e f i n e d i n Section 3 ( a ) ( 6 ) o f the Act; [ ] I.nsurance company as d e f i n e d i n Section 3(a) (19) o f the A c t ; [ ] Invest.ment company r e g i s t e r e d under Section 8 o f t h e Investment Company Act o f 1940; [ ] An investment a d v i s e r i n accordance w i t h Rule 1 3 d - l ( b ) ( 1 ) ( i i ) ( E ) ; [ J An employee be.nefit p l a n or endowment fund i n accordance v/ith Rule 13d-l(b) (1) ( i i ) (F) ; [Xl A parent h o l d i n g company or c o n t r o l person i n accordance w i t h Rule 13d-l(b) (1) ( i i ) (G) ; [ ] A savings a s s o c i a t i o n s as d e f i n e d i n Section 3(b) o f the Federal Deposit Insurance Act (12 U.S.C. 1313); [ ] A church plan t h a t i s e.xcluded from the d e f i n i t i o n o f an investment company under s e c t i o n 3 ( c ) ( 1 4 ) o f t h e Investment Company Act o f 1940; [ ]. A non-U. S. i n s t i t u t i o n i n accordance w i t h Rule 2 4 0 . 1 3 d - l ( b ) ( 1 ) ( i i ) ( J ) ; [ ] Group, i n accordance w i t h Rule 2 4 0 . 1 3 d - l ( b ) ( 1 ) ( i i ) ( K ) . I f f i l i n g as a non-U.S. i n s t i t u t i o n i n accordance w i t h
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Page.4 of 7
Rule 2 4 0 . 1 3 d - l ( b ) ( 1 ) ( i i ) ( J ) , please s p e c i f y the type o i institution: Ite.m 4. Ownership Provide the f o l l o w i n g i n f o r m a t i o n r e g a r d i n g the aggregate number and percentage o f the class o f s e c u r i t i e s o f the i s s u e r i d e n t i f i e d i n Item
Amount b e n e f i c i a l l y owned: 11679825 Percent o f c l a s s 8.27% Number o f shares as t o which such person has: Sole power t o vote c r t o d i r e c t the vote 11679825 Shared power t o vote or t o d i r e c t the vote .None Sole power t o dispose or t c d i r e c t the d i s p o s i t i o n o f 11679825 Shared power t o dispose or t o d i r e c t the d i s p o s i t i o n o f None
11 e . m 5. Ownership of 5 Percent or Less o f a Class. I f t h i s statem.ent i s being f i l e d t o r e p o r t the f a c t t h a t as of the date .hereof the r e p o r t i n g person has ceased t o be the b e n e f i c i a l owner of more than 5 percent o f the class o f s e c u r i t i e s , check the f o l l o w i n g [ j .
Item 6. Ownership o f More than 5 Percent on Behalf o f Another Perso.n I f any other person i s known t o have the r i g h t t o r e c e i v e or the power t o d i r e c t the r e c e i p t o f dividends from, or t h e proceeds from the sale of, such s e c u r i t i e s , a statement t o t h a t e f f e c t should be i n c l u d e d i.n response t c t h i s i t e m and, i f such i n t e r e s t r e l a t e s t o m.ore than 5 percent of the c l a s s , such person should be i d e n t i f i e d . A l i s t i n g o f the shareholders o f an investment company r e g i s t e r e d under the Investment
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Company Act o f 1940 or the b e n e f i c i a r i e s o f employee b e n e f i t plan, pension fund or endowment fu.nd i s not r e q u i r e d . Various persons have t h e r i g h t t o r e c e i v e or the power t o d i r e c t the r e c e i p t of dividends from, or the proceeds from the sale o f the common stock o f LEGGETT & PLATT INC.. No one person's i n t e r e s t i n the common stock o f LEGGETT & PLATT INC. i s more than f i v e percent o f t h e t o t a l o u t s t a n d i n g common shares.
Item 7. I d e n t i f i c a t i o n and C l a s s i f i c a t i o n o f the S u b s i d i a r y Which Acquired the S e c u r i t y Being Reported on by the Pare.nt Holding Company or C o n t r o l Person.
Item 8. I d e n t i f i c a t i o n and C l a s s i f i c a t i o . n o f Members o f the Grouo I f a group has f i l e d t h i s schedule pursuant t o Rule 1 3 d - l ( b ) ( i i ) ( J ) , so i n d i c a t e under Item 3 ( j ) and a t t a c h an e x h i b i t s t a t i n g t h e i d e n t i t y and Item 3 c l a s s i f i c a t i o n o f each member o f the group. I f a group has f i l e d t h i s schedule pursuant t o Rule 13d-l(c) or Rule 1 3 d - l ( d ) , a t t a c h an e x h i b i t stati.ng t h e i d e n t i t y o f each member o f the group.
Item 9. Notice o f D i s s o l u t i o n o f Group Notice o f d i s s o l u t i o n o f a grcup may be f u r n i s h e d as an e x h i b i t s t a t i n g the date o f the d i s s o l u t i o n and t h a t a l l f u r t h e r f i l i n g s w i t h respect t o t r a n s a c t i o n s i n the s e c u r i t y r e p o r t e d on w i l l be f i l e d , i f r e q u i r e d , by members o f the group, i n t h e i r i n d i v i d u a l c a p a c i t y . See Item 5.
It e . m IC. C e r t i f i c a t i o n s By s i g n i n g below I c e r t i f y t h a t , t o the best o f my knowledge and b e l i e f , t h e s e c u r i t i e s r e f e r r e d t o above were acquired a.nd are held i n the o r d i n a r y course o f business and were not acquired and are not held f o r the purpose o f or w i t h the e f f e c t o f changing or i n f l u e n c i n g the c o n t r o l o f the i s s u e r o f the s e c u r i t i e s and were not acquired and are not held i n connection w i t h or as a p a r t i c i p a . n t i n a.ny t r a n s a c t i o n having t h a t purpose or e f f e c t . Signature. A f t e r reasonable i n q u i r y and t o the best c f my knowledge and b e l i e f , I c e r t i f y t h a t the i n f o r m a t i o n set f o r t h i n t h i s statement i s t r u e , complete and c o r r e c t .
Dated: February 4, 2013 BlackRock, I n c .
Sianature: Matthew J. F i t z a e r a l d
The o r i g i n a l statement s h a l l be signed by each person on whose behalf the statement i s f i l e d or h i s a u t h o r i z e d represe.ntati ve. I f the state.ment i s signed on behalf o f a person by h i s a u t h o r i z e d r e p r e s e n t a t i v e other than a . n executive o f f i c e r or general part.ner of the f i l i n g person, evidence c f the r e p r e s e n t a t i v e ' s a u t h o r i t y t o s i g n on behalf o f such person s h a l l be f i l e d w i t h the statement, provided, however, t h a t a power o f a t t o r n e y f o r t h i s purpose which i s a l r e a d y on f i l e w i t h the Commission may be i n c o r p o r a t e d by reference. The na.me and a.ny t i t l e o f each person who signs the statement s h a l l be typed or p r i n t e d beneath h i s s i g n a t u r e .
A t t e n t i o n : I n t e n t i o n a l misstatements or omissions o f f a c t Federal cri.minal v i o l a t i o n s (see 13 U.S.C. 1001).
txhibi t A
Subsidiary BlackRock BlackRock BlackRock 3i.ackRcck BlackRock BlackRock BlackRock BlackRock BlackRock BlackRock BlackRock BlackRock BlackRock BlackRock BlackRock BlackRock BlackRock Advisors, LLC F i n a n c i a l Management, I n c . Investment Management, LLC Invest.ment Manage.ment ( A u s t r a l i a ) L i m i t e d (Netherlands) 3.V. Fund Managers L i m i t e d L i f e Li.mited Asset Management A u s t r a l i a L i m i t e d . Asset Management Canada Li.xited Asset Ma.nagement Deutschla.nd AG Asset Management I r e l a n d L i m i t e d Advisors (UK) L i m i t e d Fund Advisors International Limited I n s t i t u t i o n a l Trust Company, N.A. Japan Co. L t d . Invest.ment Managem.ent (UK) Li.mited
' E n t i t y b e n e f i c i a l l y owns 5 ^ = c r g r e a t e r o f the outstandi.ng shares o f the s e c u r i t y class bei.ng r e p o r t e d on t h i s Schedule 13G. Exhibit B
http://vAvw.sec.gov/Archives/edgar/data/58492/000108636413001912/leggett..platt.inc..txt
The undersigned, BLACKROCK, INC., a c o r p o r a t i o n duly organized under the laws o f t h e State o f Delaware, United States (the "Compa.ny"), does hereby make, c o n s t i t u t e and appoint each o f Matthew Mallow, Howard S u r l c f f , Edward Baer, Bartholo.mew E a t t i s t a , Dan Waltcher, Karen Clark, Daniel Ronnen,John S t e l l e y , Brian Kmdelan, John B l e v i n s , Richard F r o i o , Matthew F i t z g e r a l d and Con Tzatzakis a c t i n g s e v e r a l l y , as i t s t r u e and l a w f u l a t t o r n e y s - i n - f a c t , f o r t h e purpose o f , from ti.me t o ti.me, executing i n i t s name and on i t s b e h a l f , whether t h e Company i s a c t i n g i n d i v i d u a l l y or as r e p r e s e n t a t i v e o f o t h e r s , any and a l l docum.ents, c e r t i f i c a t e s , instruments, statem.ents, other f i l i . n g s and a.me,nd.ments t o t h e f o r e g o i n g ( c o l l e c t i v e l y , "documents") determined by such person t o be necessary or a p p r o p r i a t e t o comply w i t h ownership or c o n t r o l - p e r s o n r e p o r t i n g requirements i.mposed by a.ny u n i t e d States or non-United States govern.mental c r r e g u l a t o r y a u t h o r i t y , i.ncludmg w i t h o u t l i . m i t a t i o n Forms 3, 4, 5, 13D, 13F, 13G and 13H and any amendments t o any o f the f o r e g o i n g as may be r e q u i r e d t o be f i l e d w i t h the S e c u r i t i e s and Exchange Co.m.mission, and d e l i v e r i n g , f u r n i s h i n g or f i l i n g any such documents w i t h the a p p r o p r i a t e governmental, r e g u l a t o r y a u t h o r i t y or other person, and g i v i n g and g r a n t i n g t o each such a t t o r n e y - i n - f a c t power and a u t h o r i t y t o a c t i n the premises as f u l l y and t o a l l i n t e n t s and purposes as t h e Company might or c o u l d do i f perso.nally present by one of i t s a u t h o r i z e d s i g n a t o r i e s , hereby r a t i f y i n g and c o n f i r m i n g a l l t h a t s a i d a t t o r n e y - i n - f a c t s h a l l l a w f u l l y do or cause t o be done by v i r t u e hereof. Any such d e t e r m i n a t i o n by an a t t o r n e y - i n - f a c t named h e r e i n s h a l l be c o n c l u s i v e l y evidenced by sucn person's executic.n, d e l i v e r y , f u r n i s h i n g or f i l i n g o f the a p p l i c a b l e document. This power o f a t t o r n e y s h a l l e x p r e s s l y revoke the power o f a t t o r n e y dated 30th day c f Nove.mber, 2011 i n respect o f the s u b j e c t n a t t e r hereof, s h a l l be v a l i d from t h e date hereof and s h a l l remain i n f u l l f o r c e and e f f e c t u n t i l e i t h e r revoked i n w r i t i n g by t h e Company, o r , i n respect o f any a t t o r n e y - i n - f a c t named h e r e i n , u n t i l such person ceases t o be an employee o f the Com.pany or one o f i t s ' a f f i l i a t e s . IN WITNESS WHEREOF, the undersigned has caused t h i s power o f a t t o r n e y t o be executed as o f t h i s 10th day o f J u l y , 2012. BLACKROCK, INC.
By:_ I s / Chris Leavy Name: Chris Leavy T i t l e : Chief Investment O f f i c e :
</TEXT> </DOCUMENT>
17-13-0303-C (1) Narrative Zoning Analysis Proposed Zoning: RT-4 Residential Two-Flat, Townhouse and Multi-Unit District Lot Area: 86,704 sq. ft. (approx.) Proposed Land Use: The existing one-story building shall remain (approx. 63,668 sq. ft. of total building area). The proposed zoning amendment will allow a charter school with: 18 classrooms, 4 science/computer laboratory rooms, a library, a cafeteria (with kitchen), 10 restrooms and 8 offices, to be located and established at the property. There will be 26 on-site (off-street) vehicle parking spaces (10 of those spaces will be designated for student drop-off and pick-up), as well as a rack for 4 bicycles, provided along the east side of the building. There will also be a two-way drive isle with a 24' (diameter) turnaround area located along the cast side of the building. No construction is proposed or intended for the exterior of the building. All proposed construction will occur inside the existing building. There are no dwelling units proposed for the property. (a) The Project's Floor Area Ratio (F.A.R.): Allowed: 124,853 sq.ft. (1.2 F.A.R. per the Ordinance) Existing: 63,668 sq. ft. (0.7 F.A.R. approx.) The Project's Density (Lot Area Per Dwelling Unit): Allowed: 1,000 sq. ft. per dwelling unit Existing/Proposed: No (residential) dwelling units existing or proposed The Amount Of Off-Street Parking: Required: 1 parking space per dwelling unit Proposed: 26 off-street vehicle parking spaces (4 bicycle parking spaces) Setbacks: a. Front Yard: Required: Per the Ordinance (15 ft.) Existing: Approx. fe> b. Rear Yard: Required: Per the ordinance (30% lot depth) Existing: Approx. 1 ft. c. East Side Yard: Required: Per the Ordinance (No side yard setback is required to exceed 5') Exisfing: 45 ft. d. West Side Yard: Required: Per the Ordinance (No side yard setback is required to exceed 5') Exisfing: 0 ft.
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and Title Survey
R OF SECTION 6. TOWNSHIP 38 NORTH. RANGE ESCRIBED AS FOLLOWS: THE NORTH LINE AND 1772.39 FEET EAST OF ] lOF SECTION 6: I h SECONDS EAST ALONG A LINE
\ ITHWEST Q U A R T E R , A DISTANCE OF 54 98 FEET
BRICK BUILDING; ! 7 SECONDS WEST ALONG THE NORTH FACE OF ij T T TO THE NORTHWEST CORNER OF SAID 3 SECONDS EAST ALONG THE WEST FACE OF ISEET. TOTHE SOUTHWEST CORNER OF SAID 17 SECONDS EAST ALONG THE SOUTH FACE OF T TO A POINT IN THE EXTENSION OF SAID LAR TO SAID NORTH LINE OF NORTHWEST ,1 SECONDS EAST ALONG SAID PERPENDICULAR POINT OF CURVE BEING 373.00 FEET SOUTH OF :R OF SECTION 6; IG A CURVED LINE CONVEX TO THE ) UNE AT SAID POINT OF CURVE, HAVING A OF 19.86 FEET, TO A LINE 392.85 FEET SOUTH OF i m m WEST QUARTER; J2 SECONDS WEST ALONG SAID PARALLEL LINE, 11 SECONDS WEST ALONG A LINE THWEST QUARTER, 56.63 FEET TO A LINE 336.22 f j m LINE OF NORTH WEST QUARTER; 0 2 SECONDS WEST ALONG SAID PARALLEL LINE, \ !1 SECONDS WEST ALONG A LINE i THWEST QUARTER, 8.00 FEET TO A LINE 328.22 'rfTH LINE OF NORTH WEST QUARTER; 112 SECONDS WEST ALONG SAID PARALLEL LINE, ,0 NORTH LINE OF NORTHWEST QUARTER, BEING
Sloi-m CB Water MH Utility Pole Guy Anchor Electric Vault Electric Light Pole Gas Buffalo Box
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WEST A L O N G SAID ITH O F T H E N O R T H LINE A N D T Q U A R T E R O F S E C T I O N 6; EAST A L O N G A LINE 33 FEET S O U T H Q U A R T E R , 274.00 FEET TO T H E
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ITEMS USTED IN SCHEDULE B OF CHICAGO TITLE INSURANCE COMPANY COMMITMENT ORDER NO. 1401 006861739. B 9. RAILROAD RIGHTS OF WAY, SWITCH A ND SPUR TT^ACKS, IF ANY. C 10. EASEMENT FOR UTILITIES OVER THE NORTH 6 FEET OF THE LAND , AS SHOWN ON SURVEY. AFFECTS THE NORTH 6 FEET OF PARCEL 2 (PLOTTED) DII. GRANT DATED NOVEMBER 22.1916 AND RECORDED JULY 19, 1923 AS DOCUMENT 8029254 BY THE TRUSTEES OF THE CENTRAL MANUFACTURING DISTRICT TO THE CITY OF CHICAGO AND THE PUBUC . OF THE RIGHT TO USE THE SURFACE OF THE NORTH 6 FEET OF ALL THAT PORTION OF THE NORTH 1/4 OF SECTION 6, TOWNSHIP 38 NORTH. RANGE 14 EAST OF THE THIRD PRINCIPAL MERIDIAN, IN COOK COUNTY. ILLINOIS. LYING IMMEDIATELY SOUTH OF AND BORDERING ON THE SOUTH LINE OF WEST 39TH STREET FOR A SIDEWALK. EXCEPT WHERE INTERSECTED BY PRIVATE STREETS AS THEREAFTER LAID OUT BY THEM. E 12. UTIUTY TTJNNEL EASEMENT OVER , UNDER AND ALONG THE NORTH 6 FEET OF THE LAND RESERVED BY W. WOOD PRINCE AND JAMES F. DONOVAN , AS TTIUSTEE FOR CENTRAL MANUFACTURING DISTRICT AND THEIR SUCCESSORS, GRANTEES AND ASSIGNS IN THE TRUSTEE'S DEED DATED AUGUST 22,1973 ANO RECORDED AUGUST 24.1973 AS DOCUMENT 22452168 AFFECTS THE NORTH 6 FEET OF PARCEL 2 (PLOTTED) I 16. RIGHT OF THE COMMONWEALTH EDISON COMPANY UTILITY AS SHOWN BY OVER HEAD WIRES AS DESCRIBED IN UTILITY LETTER DATED NOVEMBER 7. 1984. AFFECTS PARCELS 1 AND 2 J 17. UNRECORDED EASEMENT DATED FEBRUARY 1.1956 BETWEEN THE TT^USTEES OF THE CENTRAL MANUFACTURING DISTRICT, COMMONWEALTH EDISON CO. THE CHICAGO JUNCTION RAILWAY COMPANY AMD THE FIRST NATIONAL BANK OF CHICAGO AS DISCLOSED BY GRANT FROM W. WOOD PRINCE AND JAMES F. DONOVAN AS TRUSTEES OF THE CENTRAL MANUFACTURING DISTRICT TO COMMONWEALTH EDISON CO RECORDED JUNE 28 , 1957 AS DOCUMENT NO 16944088. (SEE VICINITY MAP) K 18. EASEMENT RESERVED IN THE WARRANTY DEED FROM W. WOOD PRINCE AND JAMES F. DONOVAN AS TRUSTEES OF THE CENTRAL MANUFACTURING DISTRICT UNDER AN INDENTURE AND DECLARATION OF TRUST DATED FEBRUARY 1. 1916 AND RECORDED AS DOCUMENT NO . 5814222 TO WESTINGH0US6 ELECTRIC CORPORATION OF PENNSYLVANIA DATED JANUARY 17 . 1969 AND RECORDED FEBRUARY 3. 1969 AS DOCUMENT NO . 20746475 FOR THE ALTERATIONS. MAINTENANCE , OPERATION AND USE OF AN EXISTING TUNNEL ON. OVER , UNDER AND ALONG THE NORTH 6 FEET OF THE PROPERTY IN QUESTION, THE SURFACE OF SAID THE STRIP TO BE USED AT ALL TIMES FOR SIDEWALK PURPOSES . AFFECTS PARCEL 3 (PLOTTED) 119. EASEMENT RESERVED IN THE WARRANTY DEED FROM W. WOOD PRINCE AND JAMES F
DONOVAN AS TRUSTEES OF THE CENTRAL MANUFACTURING DISTRICT TO WESTINGHOUSE ELECTRIC CORPORATION OF PENNSYLVANIA DATED JANUARY 17 , 1969 AND RECORDED FEBRUARY 3. 1969ASDOCUMENTNO 20746475 FOR RAILROAD SWITCH TTWCK PURPOSES OVER A PORTION OF THE SOUTH 60 FEET OF THE PROPERTY IN QUESTION FOR THE PURPOSE OF AFFORDING SWITCH TRACK SERVICE TO PREMISES LYING TO THE WEST OF THE PREMISES HEREIN CONVEYED AFFECTS PARCEL 3 (PLOTTED) N 21 EASEMENTS FOR INGRESS ANO EGRESS, SEWERS. PUBLIC AND PRIVATE UTILITIES AND STEAM LINES AS CONTAINED IN THE QUIT CLAIM DEED DATED DECEMBER 15 . 1969 AND RECORDED JANUARY 13. 1970 AS DOCUMENT NO . 21056662 MADE BY W. WOOD PRINCE AND JAMES F. DONOVAN, AS TRUSTEES OF CENTRAL MANUFACTURING DISTRICT TO POPEIL BROTHERS, INC. THE TERMS , PROVISIONS AND CONDITIONS AS CONTAINED THEREIN . PAYMENT OF COSTS , EXPENSES, IMPROVING , REPAIRING AND MAINTAINING OAKLEY AVENUE AS CONTAINED IN THE TRUSTEE'S DEED DATED AUGUST 22 . 1973 ANO RECORDED AUGUST 24 . 1973 AS DOCUMENT NO . 0504019090 MADE BY W. WOOD PRINCE AND JAMES F DONOVAN , AS TRUSTEES OF CENTRAL MANUFACTURING DISTRICT TO THE PRUDENTIAL INSURANCE COMPANY OF AMERICA THE TERMS , PROVISIONS AND CONDITIONS AS CONTAINED THEREIN. MODIFICATION OF EASEMENT AGREEMENT DATED FEBRUARY 7, 2004 AND RECORDED FEBRUARY 9. 2005 AS DOCUMENT NO . 0604019090 MADE BY AND BETWEEN LEGGETT & PLATT , INCORPORATED AND ROBERT A. STACEY, LEONA G. STACEY , PATRICK F. DEGNAN AND JAN ICE DEGNAN MODIFYING THE TERMS OF THE EASEMENTS NOTED IN THE AFORESAID DEEDS . THE TERMS , PROVISIONS AND CONDITIONS AS CONTAINED THEREIN . AFFECTS PARCELS 1 ANO 2 AND OTHER PROPERTY RESERVATION OF AN EASEMENT FOR STEAM UNES AND UNDERGROUND UTILITIES. ON THE NORTH 6 FEET OF THE LAND IN FAVOR OF THE GRANTOR. AN EASEMENT FOR UTILITIES, ACCESS AND EGRESS IN FAVOR OF POIROT CONSTRUCTION COMPANY AND AN EASEMENT IN FAVOR OF THE GRANTOR FOR ACCESS AND EGRESS OVER THE LAND IN FAVOR OF THE PARCEL OF LAND CONTAINED 131 ,466 SQUARE FEET MORE OR LESS AND LYING EAST AND CONTIGUOUS TO LANDS CONVEYED HEREIN AS CONTAINED IN THE QUIT CLAIM DEED FROM W. WOOD PRINCE AND JAMES F. DONOVAN . AS TRUSTEES OF CENTRAL MANUFACTURING DISTRICT UNDER DECLARATION OF TRUST RECORDED AS DOCUMENT 5814222 TO POPIEL BROTHERS , INC , A CORPORATION OF DELAWARE. (PLOTTED)
SOUTH OF NORTH LINE OF /NORTHWEST QUARTER OF SECTION 6
THE CITY Of CHICAGO BOARD Of UNOERGROUHO IKVOLVtMEHT HAS SEEK REOUESTED FOR YOUR SURVEY. THE RESULTS TO DATE ARE INDICATED BELQIH ASACOmBIIENCETOYOUTHE UTIUTY DATA IS REVIEWED AND ADDED TO TMS PLAT AS IT IS RECEIVED. TIIESE RECORDS ARE THEN FORWARDED TO YOU. PIEASEBEAWARETHAT NO OTHER COPT OF THIS INFORMATION IS RETAINED. OUC# 5 1 5 4 4 X-INVOLVED. N-NOT INVOLVED. BLANK - NOT RECEDED.
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J< 1. ATiT-lLLINOISSeC J i 2. AT JT LOCAL HETTORK SERVICES J ! 3. BUREAU OF aECIRlCHY 1L4. COOT PROJECT DEVELOPMENT J ! 5 CDOT RED LIGHTCAMERAS J i 6. BUREAU OF FORESTRY 1 7. CDOT ENGINEERING J< 8.CTA-IRAFFIC JlS.CTA-EKGINEEfllHG N 10. RCN METRO OPTICAL NETWORKS - CHICAGO J i 11. CHICAGO PARK DISTRICT J l 12. COMED TRANSMISSION JL U DEPARTMENT OF WATER MANAGEMENT - SE^(ER SECTION J< M COMW WATER SECTION CONSULTANT J l 15 MCI i 1 6 M.W R.O. J i 17. PEOPLES GAS J l H, ABOVENET C0MMUH1CAH0HS J l 19. COMCAST S. 70. JCDECAUX NORTH AMERICA J121 DIGITAL REAI.TY TRUST (LAKESIDE TECHNOLOGY CENTER)
IT 486 75' SOUTH OF THE NORTH UNE NORTHWEST QUARTER OF SECtjOM 6
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J123 MDE/THERMAL CHICAGO CORPORATION J< 24 COMEO OlSTRIBUTON X. 25 CDOT - DIVISION OF ELECTRICAL OPERATIONS
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V NOTES: ' WARNING lerground utilities are shown hereon per previous Gremley & lann, inc. survey #2012-16127, dated ivlay 7. 2012, and have a t e d from field survey Information and existing drawings. The r makes NO guarantee that the underground utilities shown o all such Utilities in the area, either in service or abandoned. The r further does not warrant that the underground utilities shown are <act location Indicated although he does certify that they are as accurately as possible from Infonnation available. The < r has not physically located the underground utilities. 3GER - (312) 744-7000 within the City of Chicago. of the City of Chicago call J.U.LI.E. (800) 892-0123 pnor to ction or excavation.
To: Leggett & Platt, Incorporated; Chicago Title Insurance Company; Checkett & Pauly, PC This IS to certify that this map or plat and the survey on which it is based were made in accordance with the 20111vlinimum Standard Detail Requirements for ALTA/ACSM Land Title Surveys, jointiy established and adopted by ALTA and NSPS, and includes items 2, 3, 4, 7(a), 7(b)(1), 8,10(a) and 11(b) of Table A thereof. The field work was completed on February 27,2013. Date of Plat By:
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PARCEL 1: THAT PART OF THE NORTH WE: 14 EAST OF THE THIRD PRINCIPAL ^ BEGINNING AT A POINT 33 FEET THE EAST LINE OF SAID N0RTHW6S THENCE SOUTH 01 DEGREES 1 PERPENDICULAR TO SAID NORTH L TO THE NORTH FACE OF AN EXISTII THENCE SOUTH 87 DEGREES 3 AFORESAID BUILDING, A DISTANCE BUILDING; THENCE SOUTH 01 DEGREES 1 AFORESAID BUILDING. A DISTANCE BUILDING; THENCE NORTH 88 DEGREES' AFORESAID BUILDING . A DISTANCI HEREINBEFORE DESCRIBED LINE P QUARTER; THENCE SOUTH 01 DEGREES 1 LINE, 141.57 FEET, TO A POINT OF I THE NORTH LINE OF SAID NORTHV THENCE SOUTHEASTERLY 19.f SOUTHWEST TANGENTIAL TO LAS' RADIUS OF 240 FEET AND A CHORI AND PARALLEL WITH THE NORTH L THENCE SOUTH 88 DEGREES 80.82 FEET; THENCE NORTH 01 DEGREES PERPENDICULAR TO SAID NORTH FEET SOUTH OF AND PARALLEL W THENCE SOUTH 88 DEGREES 89.00 FEET; THENCE NORTH 01 DEGREES PERPENDICULAR TO SAID NORTH FEET SOUTH OF AND PARALLEL V\ THENCE SOUTH 86 DEGREES 105.00 FEET TO A LINE PERPENDK ALSO THE EAST LINE OF SOUTH C
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POINT 735.0' EAST & 573.0' SOUTH SURVEY NOTES: This Survey was prepared based on Chicago Title Insurance Company Comi No. 1401 008861739 D1 Effective Date: October 20, 2011 as to matters of re SCHEDULES ONLY. Surveyor's license expires November 30.2014.
PROPERTY APPEARS IN "OTHER AREAS" ZONE X, AREAS DETERMINE THE 0.2% ANNUAL CHANCE FLOODPLAIN, PER FLOOD INSURANCE R/ O R D E R E D BY: A D D R E S S : S i'SisCHECKEn 4 P A U L YP C ZiUi W. P E R S t U N CR O A D C H E C K E D : COUNTY, ILLINOIS, IVIAP NO. 17031C 0508J, tances respectively. Distances are marked in teet and deamat parts thereof. Compare al) points BEFORE building b; once report any differences BEFORE damage is done. For easements, butldtng {ines and other restriciions not shown on survey pJat refer to your abstr contract, trtle policy and local building tine regulations. Monumentation or witness points were not set at the interior parcel comers as of field date shov NO dimensions shall be assumed by scale measurement upon this plat. Unless otherwise noted hereon the Beanrg Basts, Elevation Datum and Coordinate Datum rf u; COPYRIGHT GREI^LEY & BIEDERMANN, INC 2013 -All Rights Rese/ved"
G R E M L E Y & B I E D E R M A N N
PLCS, CORPORATION UCEKSiNo lU-CgS322 PKfSSSIwn UHO SumcYOB 4505 NojTH ELSTW AVENUE, CHICACO, I L 60630 TELEPHONE. (775) 685-5102 FAX. (77J) 286-I.I!!. EMAIL 1NF0PLCS-SRVEY.C0H D A T E : F E B R U A R Y 28, 2 0 1 3 SCALE I INCH = 30 FEET P A G E K O .
O R D E R NO.
2013-17464-002
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