Mr. Wilson is a participant in many community organizations. Present value of interest in cooperative conversion 125,000.00 Cash (checking, savings and money market accounts) 24,600.00 1. Total Liabilities: Net Worth: $131,000.00 41,000.00 12,000.00 $184,000.00 $1,209,400.00 Estimated market value based upon recent sales in the area. SCHEDULE A LIST OF PREVIOUS PROJECTS AND SECTION & CONTRACTS Illy my newer blown the complete into my pets and my particulation history as a princesal in Multifamily Housing programs of HUD/USDA-FmIA, State and Local Hartung NOTE Hatam follow the itched intetium sheet carefully, Alleviate where possible. Make full dncluwire. Auld eaten heers if you need more wace. Double check for accuray I he win. "No presion 1articipation. First Experience US DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT FARMERS HOME ADMINISTRATION PREVIOUS PARTICIPATION CERTIFICATION PARTI CERTIFICATE (To be completed by Principals of Multifamily Projects) 1 TO INamang City of HUB Are Office or USDA-FmNA District Office 10 190 Application is Food.) Denver Regional/Area Office Executive Tower Inn, 1405 Curtis Street Denver, Colorado 802C2 3. LOAN OR CONTRACT AMOUNT • NUMBER OF UNITS OR BEDS 144 2. PROJECT NAME, I.D., DA PROJECT NUMBER AND CITY, STATE CONTAINED IN THE APPLICATION Windsor Court Apartments Aurora, Colorado ALSO: SECTION & CONTRACT NUMBER LIST OF ALL PROPOSED PRINCIPAL PARTICIPANTS 7 Achabet.cai List of the Full Names ftast name first) ang Aggrew of bil known principa's and aftillates (Decale, businewes and organisations) proposing 10 Darlic gate in the project described above. B Role of Each Principal CO99-K 6. TYPE OF PROJECT Oct One; Eating 12 Rehab-1·18Proposed Lead 19. Expected % Interest in Ownersh 10. Social Security or IRS Employer Number Ilmeaning the ing... Jual who signs at me!!: the corporations, partnerships or other parties listed above who certify! hereby apply 10 HUD or USDA. FmMA, a the case may be, Jr opp va to participate as a principal in the •' and proiect listed abɔve based upen my following previous partici Detion record and in is Certificate. I cen∙ly tha: at the statements made by me are true, complete and correct 10 the best of my know page and beine' and bre made in good faith, in cluding the data contained in Schooute & and Exhib⋅is signed by me and attached 12 inis form. A. I further cent.' that 1. Schedule A contains a listing of every suited or insured project of HUD. USDA-FMHA one S10:0 and Local Government housing finance agencies in which I have been or art. now a principal. 2. For the period beginning 10 years prior to the date of this certifi cation, and except as shown by me on the con⋅ficate • No mongage on a project listed by me has ever beer in de'auit, assigned to the Government or foreclosed, nor has mortgage relief b. the mangager been given. Io I have no: experienced defaults or noncompliances under any Conve-11070: Contract or Turnkey Contract of Sate in connection with a pub'ic housing project. & To the best of my knowledge, there are no unresolved lingings raised as a result of HUD audits, management reviews or other Governmetal investigations concerning me or my projects. 6. There has not been a suspension or termination of Dayments under an, Mu as s'ance contract in whet. I have had a legal Dr Lene' cu interest attributable to my fault or negrgence. I have no: beer, convicted of a felony and am not presently, to my knowledge, the subject of a complains or ind.crment charging a telon, la fotony is defined any offense punishable by im. prisonmen: for a term excooding one year, but does not include any offense classified as misdemeanor under the law of State and punishable by imprisonment of two years or less): 1. I have not beer suspended. Geberred or otherwise restricted by any Deparment of Agency of the Feders: Government or of a State Government from doing business with such Department or Agency Typed or Printed Name of Principal Lance H. Wilson Signature of Princeol Lance # Wiles Lance t 8. I have not defaulted or an obligation covered by a surely of Derformance bone and have not been the subject of a claim. under an employee fait, bond. 3. All the names of the parties, known to me to be principals in this project(s) in which I Doce to participate, are iated above. 4. I am not a MUDISIMA employer or a member of a MUDIFmMA employee's emmeciate haisha's as defined in HUD's Stands-o of Conduct in 34 CFA 0 735.20510121/USDA's Standard of Conduct in 7 CFR Pan O Subpart B. S. I am not a principal participant in ar assisted of insured project this data on which construction has stopped for a perioc in excess of 20 days or whet. has been substantially completed for more than 90 davi and documents for closing including final cas: certification have not been fued wrist. HUD or FMHA 6. To my knowledge I have no: been found by HUD or FMMA 10 be in noncompliance with any applicable civil rights loves. 8. (APPLICABLE TO GENERAL PARTNERS OR PROJECT OWNERS ONLYI All the parties who are principa's or who are proposed as principals have are listed above and no princ gals or identities of interest are concealect or omitted. C. I am not a Member of Congress or a Residem Commissions nor other. wise prohibed or lanned by low from contracting with the Government of the United Stora of America. D. Statements above fif any! 10 which I cannot certify have been deleted by striking through the words with a pan. I have initialed each deletion lil any) and have attached a true and accurate signed statement lit appir cable to explain the fact and circumstances which I think help1 10 Qualify me a responsible principal for participation in this project. Title, Role of Capacity Deta Area Code and Telephone No. Original Limited Partner 4/20/52 212-713-3374 WARNING: 11 grime to snowingly make false $1010ment to the THIS FORM WAS PREPARED BY (Pose print name) AREA CODE & TELEPHONE NO. United States on the or any other similar farm. Penalties upon con •ction can include a fine and imprisonment. For der 100: Tr REPORT OF INSPECTOR GENERAL INTERNAL PROCESSING ONLY (303) 779-1555 THE INDICES OF THE INSPECTOR GENERAL'S OFFICE MAVE BEEN CHECKED FOR THE NAMES OF THE PRINCIPALS LISTED IN PART I ABOVE |