HomeMy WebLinkAboutLease-Change-Of-OwnershipTV6 Holdings LLO SBA
OWNERSHIP CHANGE FORM
(flame Change)
October 22. 2020
Submitted By,. Andrea Carly
Please ohenge the Ground Lessor inSormatIon as noted below on the lalloyiin-q Site-
5ile Name; TC 5R-70
site ID, FL17050-A-0
Previeus Owner Payee AROOO of St. Lucia, Inc-
& Address: Attn: lMlc#rael L. Adams
P.Q. Box 12909
Ft. Pierce, FL 34979
VendorlD= ID0042
New owner Payee; Adams Ranch, Ino,
New Payee l-andlard & P,O- Banc 12909
Remit lv Address; Fort Pierce, FL 34979
New Telephone, (772) 461-6321
New Cell; N; A
New Fax. (772) 461-6874
New E-rnall= deonnaadarnsrartchggrnail-coin
New Oantavl: Michael L. Adams, Presidenl
New W-9; Yes
Revenue SherIng- No
Printable Status; Yes
Revised COI Submitted: Yes
Notes (it necessary): Per the allac had merger does, please update P M D to relied
"Adams Ranch. Inc." as Owner Payee -
Silo Administratlon Approval.
54lLIron HLAV'ghton ial22l2
Sharon Haughton Data
Approved vta EMAU - AttAchO
Nancy Caecavale Date
SBA
OWNERSHIP CHANGE REQUEST FORM
Rear.* rotaro kris form along with ttta "ested docunwntation, # any, to the address istod Wow, To expedite this
matter. You may fax doournents to Andrea Carty, David Pfovenclier or Jessica Breau In Site Administration at fax
number (5611 226-3501 cr email tv &tarty 5basi#e,aom, dprovencher@sbasite,corn or abreau@sbasita.
Mdillnfl Address: SBA Communications and its Subsidiaries, Ater Site Administration
0051 Congress Avenue, So= Raton, FL 33457-1307
SfTE ID: 1'LIMO-A-G _ _ _ SITE RAAJ TC SR-70
Sr EADDRESS: 24BBO OkevChobea Raa4 PL Pieroe, FL 3MS-
ARCCO of S. LW Inc , as " prevfts mmff(s) of the proWy referemed 40ove is fegL*stinq lima SBA Update 1hPir
re+corm to re+fW the ohange in ownership. effective IMI0 202U (DATE),
Please stlach Ikea fdiowiig required applicable docurraengsj.
W-9 Forme
Lamar 1 Briar Cwrwe irtfarrnatianr
Name
AROCO of St LuCie Inc.
Address number, sines, etc.
Athr, Michael Lm Adam-,
P-0, fd m 12900
Stale and Zip Cove
Ft Pierce, FL U970
Horne andior O fiae Phone #
I --
Mmw Chrr" ininrrnmKhm
Name
Adorns Ratrioli lnc,
Address nwbar, sl etc
P O Box 12909
Cil , Slate and Zip, Code
Fort P FL U979
772 14321
P h one#
Cel Phone#
Fax #
772 -461-687 4
Email Address
dflnnnaadamsranch email -cam
If tie sigma n is a barfnpas rspresamarrve, pease -ndicare the title of Hw signarory under the "FWm !+lama'' Una
Print Name. Michael L. Adams
Title (if applicab le j Fre sutr n #
signed —
Print Nam,_ y
TRIO (if applicable).
Date: 10)21) 2020. - __.--
ARTICLES OF MERGER
The fol1mving -.irlicks of merger um vub,nittrd irk :wcvedunve %vith 1h4 1.1krida 13uxin g Cnrporation Act.
pips-s av to ;:ttiion 60 7. 11 US, l Iciriklu 5takka o-
FIRST: The r5.triw mid jur6diciimi ol'4hc mirti'ivinL tinkilv--
J [Ifisdicfio l 1?11tily TYM
DA MS RANCH, INC. Florida Corporation
SYCIiNDf 'r1ic rianic acid juri-ilickion uI-cwh mi•roici r!crig ibiv vatity:
hLm JtIrisdivLitill
ARCCO OF ST. L U IE, LLC Fiorlda
E y-I`n
Lim iled Uability
Cyr rripanv
[irk non dappik-Alc)
586
09CL1111011 Nunn r
Nr kir,u�n�appi�c:,hl�M
L1 COO 41033
jAU kq1-� T1u mLC: �vr wits-Lppnpv%. l 1w eitch C101 lcsk.ic mcrgi11 CWTHIn.[iilml In ix-iunlumt with ,,(307.1 101( IXh). F.., and
lry 1hc-L-Wnic Iaw gowniing Ilic other jzrrtkm W the r erpr-
F00WI'll: P11,W 0WVk tYnC 411 1hC b1-W!S INA aihirly %s Sut'I#in edici -
171i Lnlit}'v0sls t>m.-fiore Ihk: juergerand is ticrinuslit 1iligvnli y.
Q 'i`alis trlsity exists Ix-ron; N. nherger tlkw es IWI atHNpfi d to t unsaket him ift-Li ill Florida.
Q I`hii L!ulity* ct4ls l rJ+rC lhL rKkerger and is :I dorftslir 1iIh�;cntet}�.:u�[l its }�rticltSoJ'�rl�[srlxtrJliUrl art: lk�rl�
-jowk od irk iLllauIhul'
0 1WS enfitV k M3LOO tx'tlx IhltrVLrand i5:r vkxileslic LorpOw;ativn,u„d the rlrtiJcsol'Iiworixsralion ade all:lcltttd
Th'.q 4rvtrly iS U tTrle,J"Ji4' L:ILihi C11ttLu and k Hot a dcnsc.iic frow7wr OkIll Milt] Is bcinr. Pine ded in cunim-cllon w4h
alris raxrgr:r a-; arrarllo&
Q This tn1l4r is a dorlicAlic cligiblc colity Wing ertawd as v msull oflhc niergcr. Tiv. puirlle nrpn,c record ol'the
surviwrr is w1actwd_
-Phis I.7,kl v is errrl-d by llrc ni rgur and is dornailc adotllolic Ijai ued
Iialrilinr parsnurship_ its swiohicilr rfifquoliiicniion ix azwbod.
FlFr1l: I'IcaLv cbeLk otte c,fthe br w!i thm opfAp Lo dCrmLsiiE crrrpar:nit>tla;
113 pinll ul`n1 r Nn w7as iipprrn'&:cl by Lax Shnrchslkimaim I L`ach selxarllc vnisig tpAp &r. required,
O I'h4 talan OIL nx i-Svr did nrlt mgtrir: approval by IhL ehnreholdcrs,
IXTIt. I`iV-,L'; e1WA box hebvw ifalpplivabli IQ (mvign caqartlions
The Nnicipwiotrorthe rumigil c;orllao:16411L WtKduly akiftrind ill VC0PrdiMCC Id Ill TIT tl1M1ira1iool'5 organic
I; WSr
SF_Afk1l�^III: I 11cow rrhCCk ho-, Is lkrxt if 3ppii4%Ab1L to dODWStic ix fiwciSmi orssn corporaiiuiiU),
❑ Parlieipalionorthedauxsticar foreign umcorptxalion(s) wLm duly Lilo >griyptd in weryrrrlmiceWidledCil.Of SLK11
cli�il~Ic t oriruc t'ft%y,
&G}i'r'fi: If o[kcr dRUI dM! date of G li% th-e deImyed rf eefiwe date of the merger, which c anm be pnor Io nor moFr
ihm 94 dsys after the date this 4neumem is filed by the I-Mda Drptutmcm of Mate.
sum #fdw dmic insemcd in this blocR dms not mmi the applicable s[a[w[ory Ming requirmtms, tW5 date will no[ be
I is[e+d ms dte docmim's c lTcOve dote on the Dcpu=nt of Slatc't accords_
INILliTIS: Sipatuts{sj for EW, P";
— — T�jed or P6mcd
Dame of En6tyf0rvudxuiwt sgn ore s : Nrrx of lndn•rduzi:
ADAMS RANCH, I, INC. �� . � MIC"AEL L. aa►US.Prff3Wmn
ARCCO OF ST. LU IE, LLC ADAMS RANCH, INC.,
Manager and Sole Member
8y_b11GHAn L ADWS,Prns►GMl
Corpmt6mR
Crcncrel pamc[Ships
Florida L=iiod Parmerships:
Nron-Florkdo.Limiled ftr=rships:
i,inuud Liabiliry Companira'
Ch6mmn, Vivr Chi7imm-6 NgSiden[ rvOffj r
f{fr?r,sYpunridre y/�»ee,rfroraror_1
Sigrteturc pf geoCrel Pttr[ner Or aulhori3.ed POM
Signuures of all veneraJ P=Ncrs
SigArOnat Df 8 8CnC7al PaJSnCF
iignmure of an au[honxed person