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provide a fully completed , executed , and sworn beneficial interest disclosure statement in the <br /> form attached to this Agreement as an exhibit that complies with all of the provisions of Florida <br /> Statutes Section 286 . 23 prior to approval of this Agreement by the County . However , pursuant <br /> to Florida Statutes Section 286 . 23 ( 3 ) ( a ) , the beneficial interest in any entity registered with the <br /> Federal Securities and Exchange Commission , or registered pursuant to Chapter 517 , Florida <br /> Statutes , whose interest is for sale to the general public , is exempt from disclosure ; and where <br /> the Seller is a non - public entity , that Seller is not required to disclose persons or entities holding <br /> less than five ( 5 % ) percent of the beneficial interest in Seller . <br /> IN WITNESS WHEREOF , the undersigned have executed this Agreement as of the date <br /> first set forth above . <br /> SELLER : COUNTY : <br /> JDC FLORIDA , INC . INDIAN RIVER COUNTY , FLORIDA <br /> Bva W& WA q, ,1 YP By : ` sL. (` <br /> Y _ U U <br /> Thomas S . Lowt;, 9, r,., Chairman <br /> Date Signed : f — � — � S Date Signed : F � ' <br /> 2, 005 <br /> <14114 <br /> est : Ba <br /> Y <br /> • x <br /> TSF <br /> B � nr' • • � i� k � <br /> r • <br /> Y <br /> out P,erk IIY� <br /> Y .1 , <br /> By l4e, <br /> : wg , ry �rta ` <br /> County Right-of-V1 `ay Agent <br /> Approved: <br /> By <br /> Co my Administrator <br /> A ov as r4w and legal suffic ' ency: <br /> B <br /> ounty AONVY tl <br /> t <br /> 5/20/2004F :\Public Works\Capital Projects\Misc.Agreements\MNcontractsJD5@45thSt10- 13 -04.doc <br />