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EXHIBIT "C" <br /> BENEFICIAL DISCLOSURE AFFIDAVIT <br /> STATE OF FLORIDA <br /> INDIAN RIVER COUNTY <br /> BEFORE ME , the undersigned authority, ersonally appeared Els n R. Smith , Jr. <br /> whose address isl lA /t � i1/� /�=fL i� /� rt _3j�94� j <br /> ("Affiant') who , being by me first worn , on oath , cTeposes and says : <br /> 1 . Affiant is the Managing Member of Padgett Creek, LLC , a Florida limited <br /> liability company ("Company' ). <br /> 2 . The Company is the fee simple owner of the property located in Indian River <br /> County, Florida , and legally described on Exhibit "A" attached hereto and by <br /> this reference made a part hereof ("Property'). <br /> 3 . Affiant , as Managing Member of such Company, intends to sell the Property <br /> to Indian River County, a political subdivision of the State of Florida . <br /> 4 . The names and addresses of the persons holding a beneficial interest in the <br /> Property , and respective percentage interest held by same as of today are <br /> as follows : <br /> Elson R . Smith , Jr. 50 % <br /> 4776 Old Dixie Highway <br /> Vero Beach , Florida 32967 <br /> R . William Becker 50 % <br /> 582 Beachland Blvd . , Suite 300 <br /> Vero Beach , Florida 32960 <br /> 5 . The above disclosure is made to the Chairman of the Indian River County <br /> Board of County Commissioners , as required under Section 286 . 23 , Florida <br /> Statutes . <br /> 6 . Affiant has made the disclosure contained herein under oath subject to and <br /> with full knowledge of the penalties prescribed for perjury under the laws of <br /> the State of Florida . <br /> FURTHER AFFIANT SAYETH NAUGHT. <br /> By r I C 1 <br /> z <br /> c Elson R. Smith , Jr. , Managing Member <br /> Date J G} <br /> V <br />