NYC 9/11 Public Portal Document
JUL. -15° 97 (TUE) 13:48 SILVERSTEIN PROP. TEL: 212 687 0067
JUL< 16-97 11:03 FROM: SILVERSTEIN PROPERTIES 1D: 2127421207
oe DEPARTMENT OF CIFYWIDF ADMINISTRA FIVE SERVICE
DIVISION OF REAL ESFATE SERVICES
Landlord Disclosure Form
FOR AGENCY USE ONLY
DRES Froject Ne.
Agenoy for which property will be used:
INSTRUCTIONS
* if applicant Is the landlord {owner of record), completa the Landlord Risciosure Farm BOA-4
* ff the applloant is the Sub-Landlord, complete both the Landlord and Sub-Landiord Disclosure Forms BOA 1 & 2
Property to be leased
Address; ? World Trade Center
Borough: Manhattan
Block and Lat: 84, Lot 36
Zip Code: )
Floor(syRoom: _ 23rd Floor
NOTE: If additional space is needed to complete any question(s), attach and reference the selected namber of
additional sheet:
L Identity of Landlord
1. Name: 7 World Trade Comnany, bP,
Address: 521 Eifth Avenue
Borough: __ New York, New York
Zip Code: _ 10475
2. Federal Tax Identification Number: Pll
3. Landlerd’s Legel Stam:
Individual, Sole Proprietor Corporation
x Partoerebap Not-For-Profit
3a. Corporate Landlord - Attach a Certificate of Good Standing.
Individuel / Sale Proprietor or Partnership ~ Attach Certificate of Doing Busmess Under an Assumed
Name (Business Certificate),
4. fs Partnership, names and addresses of parmers (melding limited partners of 10% or more):
If a Corporation, names and addresses of principals (officers and directors) and owners of 10% or more of the
outstanding shares:
Note: If partner or corporate shareholder is another partnership or cofporation, provide names and
eddresses of principals (corporate officers and direntors and/or names of individual partners).
If a Not-For-Profit, names and eddresses of officers and directors:
Silverstein-7 Wort d Trade
& Name: Company. Toc Address: 521 FiftbAvenue
' City: _New York, State: New York 10175.
b. Name: Larry A. Silverstein Address: 521 Fifth Avenue
City; New York, ; State: New York 40475
c. Name: Klara Silverstein Address: 521 Fifth Avenue
City. _ New York, State. ____ New York 10175
NYC-WTC_000167607
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000167607Source: NYC Law Department, mirrored locally
Affidavit sworn by a representative of Silverstein-7 World Trade Company, Inc. authorizing execution of a lease agreement with the City on behalf of 7 World Trade Company, L.P.