Single Site Or Component Site Timeshare Filing Statement {TS 6000-6}

DBPR Form TS 6000-6 Revised: May 2001 SINGLE SITE/COMPONENT SITE TIMESHARE FILING STATEMENT DIRECTIONS: This filing statement must accompany each new single site or component site timeshare filing, and each such successor or concurrent developer timeshare filing submitted to the Division. If the requested information does not apply to the subject timeshare plan or component site, place "N/A" in the space provided. A filing fee of $ 2 per seven days of annual use availability which may be offered as part of the single-site timeshare plan must accompany this statement. If the number of days of annual use availability that may be offered is not evenly divisible by seven, the filing fee shall be prorated by dividing the total number of such days of annual use availability by seven and multiplying the result by the amount of the current fee. If the proposed single-site offering is a phase timeshare plan, only the filing fees relating to the phase(s) being filed with this statement need be submitted herewith. The developer understands that: (a) No closing may take place until: (i) (ii) (iii) (b) Developer receives an approval letter from the Division; The timeshare project is complete as defined in Section 721.05(6), F.S.; and The expiration of the purchaser's ten-day (10) cancellation period. Pursuant to section 721.056, F.S., it is the duty of the developer to supervise, manage and control all aspects of the offering of this timeshare plan. FOR DIVISION USE ONLY Developer# Fee Rec'd By Form Review Reviewed by _________ (1) Name of Timeshare Plan or Component Site:__________________________ Street Address:_____________________________________________________ City: County: State: Zip:_______ 1 American LegalNet, Inc. www.FormsWorkFlow.com DBPR Form TS 6000-6 Revised: May 2001 (2) Name of Developer:_________________________________________________ Street Address:_____________________________________________________ County: State: City: Zip:______ Telephone Number:_____________________ Name(s) of Owner(s) of Underlying Fee *:____________________________ Street Address:_____________________________________________________ County: State: City: Zip:______ If more than one owner, list each owner on a separate sheet and the interest held by each. Developer's Attorney/Agent **:_____________________________________ Street Address:_____________________________________________________ City: County: State: Zip:______ Telephone Number:_____________________ (3) * (4) ** IF THE DEVELOPER DOES NOT SPECIFY IN WRITING BELOW THE PERSON THAT THE DEVELOPER WISHES TO RECEIVE SUBSEQUENT CORRESPONDENCE CONCERNING THIS FILING, ALL CORRESPONDENCE, INCLUDING DEFICIENCY LETTERS, WILL BE DIRECTED TO THE PERSON LISTED IN ITEM (4) ABOVE. (5) Name of Single-Site/Component Site Managing Entity ***:_______________ Street Address:________________________________________________________ County: State: Zip:______ City: Telephone Number:__________________ ***NOTE: The component site managing entity listed here will be held responsible for compliance with Section 721.13, F.S., pursuant to Section 721.56(4), F.S. If no component site managing entity is listed here, the vacation club managing entity listed in BPR Form 517 will be responsible for component site compliance pursuant to Section 721.56(4), F.S. (6) What is the type of timeshare interest contemplated: Timeshare Estate Timeshare License Mixed 2 American LegalNet, Inc. www.FormsWorkFlow.com DBPR Form TS 6000-6 Revised: May 2001 (a) What is the form by which the purchaser acquires an interest in the timeshare or component site? Tenancy-in-Common Vacation License Lease Other Condominium Multi-Condominium Phase Condominium Cooperative (Please explain fully. Use additional space if necessary.) (7) What is the total number of non-timeshare units, timeshare units and timeshare interests (expressed in seven-day increments) in the timeshare plan or component site (if a phase timeshare plan, what is the total number of timeshare units and timeshare interests in all phases presently contemplated)? (NOTE: Please show maintenance periods separately.) Non-timeshare Units __________ Timeshare Units _________ Timeshare Interests _________ (8) If the timeshare plan or component site is a phase timeshare plan, what is the total number of timeshare units and timeshare interests in the phase(s) being filed? (NOTE: Please show maintenance periods separately.) Non-timeshare Units __________ Timeshare Units __________ Timeshare Interests __________ (9) What is the total number of maintenance periods contained in the timeshare plan or component site?_________ (10) How many timeshare interests are being offered in this timeshare filing?_______ (11) Have condominium parcels, whole units, timeshare units, or timeshare interests been offered for sale in this timeshare plan or component site by another developer? YES NO If YES, how many of each have been sold of each type?___________ (12) Is this timeshare plan in a development that contains more than one filed timeshare plan? YES NO (a) (b) IF YES, please answer (a), (b), and (c) below. Does each filed timeshare plan have its own association? YES NO 3 American LegalNet, Inc. www.FormsWorkFlow.com DBPR Form TS 6000-6 Revised: May 2001 (c) Is there only one association that operates all of the filed timeshare plans? YES NO Please indicate the name and fiscal year of each association. Is there both a separate association for each filed timeshare plan and a master/umbrella association? YES NO IF YES, please indicate the name and fiscal year end of the association. (d) (13) Is the timeshare plan a conversion of existing, previously occupied improvements? YES NO IF YES and a condominium, please answer the following questions: (a) What improvement assurance has the developer chosen pursuant to Section 721.03(3)(e)? Warranties _____________________________ Bonds ______________________________ Reserves _____________________________ What was the prior use of the structure(s)? (b) (14) Is the timeshare plan in a development that includes, or will include, other types of ownership such as single family detached homes or townhouses (planned unit development)? YES NO (15) What other legal description not specified in question (12) through (14) might characterize the timeshare plan? (Example: leasehold, land condominium, etc.) _______________________________________________ (16) Is the timeshare instrument (Declaration of Condominium or Declaration of C