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County of Hawaii <br /> 201H Application Package <br /> Section I-General Information <br /> Project Name <br /> KUAKINI SENIOR LIVING <br /> I� <br /> 1. APPLICANT INFORMATION <br /> A) Applicant Information(refIectingy changes since apt71hwtign )vas initially suhnritted) <br /> I Applicant Name <br /> II KUAKII`1I HIGHWAY 75-6099 CORP. <br /> Applicant Tax ID Number: <br /> 46-2084372 <br /> Applicant Contact Name,Title Phone Number. <br /> IRein G---'r4ekenB iron "Blitz"Fox,,Asset Manger 650-s584 662$415-307-2405 <br /> Applicant Address: Fax Number: <br /> c/o TDA Investment Group 650-343-0858 <br /> 2025 Pioneer Court E-Mail Address: <br /> ESan Mateo,California 94403 ByronMfox(d),gmail.com <br /> Fill in the information below if application was prepared by a person or entity different from the applicant.. <br /> Application Preparer Name: <br /> CHUN KF--'R t_t_nt_r.n aMY 1-AWGROUP LLLC <br /> Application Preparer Contact Name,Title: Prone Number: <br /> Alison Davidson,Attorney 408 539 062 808-376-4925 <br /> Applicant Address: Fax Number- <br /> 9419L737 Bishop Street, Suite? 92800 999 664 9636808-376-4919 <br /> t <br /> Honolulu,Hawaii 96813 E-Mail Address: <br /> t <br /> adavidson(�jlnylawgroup.corn <br /> I4 <br /> t <br />'4 <br />`4 Form 201H-001 Page 1. <br /> G <br />