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Project Name <br />KUAKINI SENIOR LIVING <br />1. APPLICANT INFORMATION <br />County of Hawaii <br />201H Application Package <br />Section I - General Information <br />A) Applicant Information (reflecting changes sinee gXL)1 wth)n )vas initially vuhinitted) <br />Applicant Name <br />KUAKIM HIGHWAY 75-6099 CORP. <br />Applicant Tax ID Number: <br />46-2084372 <br />Applicant Contact Name, Title Phone Number. <br />ReinGar4ek-enByrt?n "Blitz" Fox,, Asset Manger 650-s584 662$415-307-2405 <br />Applicant Address: <br />c/o TDA Investment Group <br />2025 Pioneer Court <br />San Mateo, California 94403 <br />Fax Number: <br />650-343-0858 <br />E -Mail Address: <br />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 -AW GROUP LLLC <br />Application Preparer Contact Name, Title: Prone Number: <br />Alison Davidson, <br />9409-737 Bishop Street, Suite 2-4-W2800 <br />Honolulu, Hawaii 96813 <br />999 664 808-376-4919 <br />E -Mail Address: <br />adavidson(ri ilnylawgroup.corn <br />Form 201H-001 Page 1. <br />