NAME (First, Middle, Last) OTHER PRINCIPAL HOME ADDRESS OFFICE HELD BUSINESS Uri Kaufman Manager Developer of Historic Residential Multifamily properties 2. Is the Company or management of the Company now a plaintiff or a defendant in any civil or criminal litigation? Yes _x ; No_. 3. Has any person listed above ever been convicted of a criminal offense ( other than a minor traffic violation)? Yes ; No x_. 4. Has any person listed above or any concern with whom such person has been connected ever been in receivership or been adjudicated a bankrupt? Yes ; No L. (If yes to any of the foregoing, furnish details in a separate attachment). 5. If the answer to any of questions 2 through 4 is yes, please, furnish details in a separate attachment. See Attachment #3, Notes on Pending Litigation, attached hereto. C. Principal Owners of Company: 1. Principal owners of Company: Is Company publicly held? Yes ; No A. If yes, list exchanges where stock traded: 2. If no, list all stockholders having a 5% or more interest in the Company: NAME ADDRESS Mohawk Trust 90 State Street, Suite 700, 50% Albany, NY 12207 PERCENTAGE OF HOLDING RV Trust 90 State Street, Suite 700, 50% Albany, NY 12207 8
e. Will the Project be located in one of the following: (i) an area designed as an economic development zone pursuant to Article 18-B of the General Municipal Law; or (ii) a census tract or block numbering area ( or census tract or block numbering area contiguous thereto) which, according to the most recent census data, has (x) a poverty rate of at least 20% for the year in which the data relates, or at least 20% of households receiving public assistance, and (y) an unemployment rate of at least 1.25 times the statewide unemployment rate for the year to which the data relates? Yes_; No x_. If yes, please explain: 6. If the answers to any of subdivisions c. through e. of question 5 is yes, will the Project preserve permanent, private sector jobs or increase the overall number of permanent, private sector jobs in the State of New York? Yes X ; No. If yes, please explain: Existing permanent private sector jobs to be preserved total 10, with 1 additional permanent private sector job anticipated to be created. 7. Will the completion of the Project result in the removal of a plant or facility of the Company or another proposed occupant of the Project (a "Project Occupant") from one area of the State of New York to another area of the State of New York? Yes_; No_X. If yes, please explain: 8. Will the completion of the Project result in the abandonment of one or more plants or facilities of the Company located in the State of New York? Yes ; No...x. If yes, please provide detail: 9. If the answer to either question 7 or question 8 is yes, indicate whether any of the following apply to the Project: Not applicable. a. Is the Project reasonably necessary to preserve the competitive position of the Company or such Project Occupant in its industry? Yes ; No. If yes, please provide detail: b. Is the Project reasonably necessary to discourage the Company or such Project Occupant from removing such other plant or facility to a location outside the State ofnew York? Yes ; No. If yes, please provide detail: l 0. Will the Project be owned by a not-for-profit corporation? Yes ; No x_. If yes, please provide detail: 11. Will the Project be sold or leased to a municipality? Yes_; No _X. If yes, please provide detail: 12
PROJECTED CONSTRUCTION EMPLOYMENT IMPACT I. Please provide estimates of total construction jobs and the total annual wages and benefits of construction jobs at the Project: ". Number of Construction Total Annual Wages and Benefits --- _J o b_s -L--! Current Year $ ---------- Year 1 30 $ -,..,.-------,--,----. Year2 $ : Year 3 $ l_year - $ Year 5 $ l -... Estimated Additional NYS Income Tax $ $ $ $ $-----.-... -.-...--.--.- $ PROJECTED PERMANENT EMPLOYMENT IMPACT I. Estimates of the total number of existing permanent jobs to be preserved or retained as a result of the Project are described in the tables in Section IV of the Application. II. III. Estimates of the total new permanent jobs to be created at the Project are described in the tables in Section IV of the Application. Please provide estimates for the following: A. Creation of New Job Skills relating to permanent jobs. Please complete Schedule A. IV. Provide the projected percentage of employment that would be filled by City of Cohoes residents: As many as practicable A. Provide a brief description of how the project expects to meet this percentage: Working with local contractors. PROJECTED OPERATING IMPACT I. Please provide estimates for the impact of Project operating purchases and sales: ----- - --------------........! Additional Purchases ( l st year following : project completion) $ : Additional Sales Tax Paid on Additional l Purchases : Estimated Additional Sales ( I st full year! following project completion) Estimated Additional Sales Tax to be collected on additional sales ( l st full year following project completion) $ $ $ 30
CERTIFICATION I certify that I have prepared the responses provided in this Questionnaire and that, to the best of my knowledge; such responses are true, correct, and complete. I understand that the foregoing information and attached documentation will be relied upon, and constitute inducement for, the Agency in providing financial assistance to the Project. I certify that I am familiar with the Project and am authorized by the Company to provide the foregoing information, and such information is true and complete to the best of my knowledge. I further agree that I will advise the Agency of any changes in such information, and will answer any further questions regarding the Project prior to the closing. I affirm under penalty of perjury that all statements made on this application are true, accurate and complete to the best of my knowledge. Date Signed: July.li) 2018. Name of Person Completing Project Questionnaire on, behalf of the Company. Name: Nadine F. Shadlock, Esq. Title: Attorney of the Project Phone Number: 518-432-3310 12 Van Rensselaer Blvd. Alban 32
EXHIBIT A DESCRIPTION OF THE LAND ALL that certain piece or parcel of land situate and being in the City of Cohoes, County of Albany, and State of New York, bounded and described as follows: BEGINNING at a point located along the easterly line of North Mohawk Street, said point being the intersection formed by said east line of North Mohawk Street with the division line between the Lands now or fonnerly of Harmony Mills Fallsview LLC (Book 2713, Page 859) on the north, and the lands now or formerly of Harmony Mills Riverview LLC (Book 2713. Page 852) on the south, said point of beginning also being located the following two courses from the intersection formed by said easterly line of North Mohawk Street with the southerly line of Front Street: 1) South 28E41 '30" East, 160.71 feet and South 32E06'45" East, 434.90 feet to a point; thence from said point of beginning and in an easterly direction along said division line between Harmony Mills Riverview, LLC and Harmony mills Fallsview, LLC, North 58/11 '10" East, 196.62 feet to a point; thence in a southerly direction and along the easterly line of the lands now or formerly of Erie Boulevard Hydropower, L.P. (Book 2636, Page 343), the following four courses: 1) South 24/06'24" East, 41.80 feet to a point; 2) South 16/31 '33" East, 150.00 feet to a point; 3) South 27/01 '48" East, 275.00 feet to a point and 4) South 09/44'26" East, 164.00 feet to a point; thence in a westerly direction and along the north line of the lands now or formerly of the BPO Elles Lodge 1317 (Book 2220, Page 597), South 58/47'58" West, 46.43 feet to a point; thence in a northerly direction and along the east line of North Mohawk Street as appropriated by the State of New York, the following three courses; 1) South 89/31 '26" West, 27.56 feet to a point; 2) North 31/10' 3 3" West, 44 7.52 feet to a point and 3) North 82/18'43" West, 3.95 feet to a point; thence continuing along the first mentioned east line of North Mohawk Street, the following two courses: 1) North 31/12'02" West, 119.31 feet to a point and 2) North 32/07'20" West, 28.01 feet to the point or place of beginning. Containing in all 1.979 acres being more or less. Together with and subject to a Declaration of Easement between Harmony Mills Fallsview LLC and Harmony Mills Riverview LLC, to be recorded. Together with an easement for a right of way granted between the westerly bank of the Mohawk River to the northeasterly side of Mill No. 3, from New York Power & light as contained in Book 843, Page 510: BEGINNING at a point being the northeast comer of the lands now or formerly of Harmony Mills Riverview, LLC (Book 2713, Page 859), said point of beginning also being located the following three courses from the intersection formed by said easterly line of North Mohawk Street with the southerly line of Front Street: 1) South 28E41 '30" East, 160.71 feet to a point; 2) South 32E06'45" East, 434.90 feet to a point and 3) North 58/11' 10" East, 196.62 feet to a point; thence from said point of beginning and in a northeasterly direction North 58/11' 10" East, 49.63 feet to a point; thence in a southerly direction and along the approximate top of bank to the Mohawk River, the following AWB0l\263101\1
seven courses: 1) South 13/53 '25" East, 122.91 feet to a point; 2) South 27 /37' 16" East, 50.88 feet to a point; 3) South 10/59'35" West, 29.30 feet to a point; 4) South 27/43'36" East, 113.85 feet to a point; 5) South 22/12'51" East, 171.95 feet to a point; 6) South 12/47'27"West, 39.47 feet to a point and 7) South 06/16' 36" East, 123.85 to southwesterly comer of the aforesaid lands of Hannony Mills Riverview. LLC; thence in a northerly direction and along the east line of said lands now or formerly of Harmony Mills Riverview, LLC, the following four courses: 1) North 09/44'26" West, 164.00 feet to a point; 2) North 27/01 '48" West, 275.00 feet to a point; 3) North 16/31 '33" West, 150.00 feet to a point and 4) North 24/06'24" West, 41.80 feet to the point or place of beginning. It is intended to describe that area that lies between the westerly bank of the Mohawk River and the northeasterly side of Mill No. 3, as first described above. Said area being contained in Book 843, Page 510. AUIBOl\263101\l