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Page 2of 7Rezoning Attachment to Par. 1(b)DATE: July 14, 2015(enter date affidavit is notarized)for Application No. (s): RZ 2014-SP-015(enter County-assigned application number (s))[2 e n[ L NAME & ADDRESS OF CORPORATION: (enter complete name, number, street, city, state, and zip code)-HCRI Red Fox ManCo, LLC4500 Dorr StreetToledo, OH 43615DESCRIPTION OF CORPORATION: (check one statement)[/] There are 10 or less shareholders, and all of the shareholders are listed below.[ ] There are more than 10 shareholders, and all of the shareholders owning 10% or more of anyclass of stock issued by said corporation are listed below.[ ] There are more than 10 shareholders, but no shareholder owns 10% or more of any class ofstock issued by said corporation, and no shareholders are listed below.NAMES OF THE SHAREHOLDER: (enter first name, middle initial, and last name) Health Care REIT, Inc.NAMES OF OFFICERS & DIRECTORS: (enter first name, middle initial, last name, and title, e.g.President, Vice-President, Secretary, Treasurer, etc.)NAME & ADDRESS OF CORPORATION: (enter complete name, number, street, city, state, and zip code)Wealth Care REIT, Inc.4500 Dorr StreetToledo, OH 43615DESCRIPTION OF CORPORATION: (check one statement)[ ] There are 10 or less shareholders, and all of the shareholders are listed below.[ ] There are more than 10 shareholders, and all of the shareholders owning 10% or more of anyclass of stock issued by said corporation are listed below.[ ] There are more than 10 shareholders, but no shareholder owns 10% or more of any classof stock issued by said corporation, and no shareholders are listed below.NAMES OF THE SHAREHOLDERS: (enter first name, middle initial, and last name)-A real estate investment trust publicly traded on the NYSE.NAMES OF OFFICERS & DIRECTORS: (enter first name, middle initial, last name, and title, e.g.President, Vice-President, Secretary, Treasurer, etc.)(check if applicable)[/]FORM RZA-1 Updated (7/1/06)There is more corporation information and Par. 1(b) is continued further on a"Rezoning Attachment to Par. 1(b)" form.

Page 3of JRezoning Attachment to Par. 1(b)July 14, 2015(enter date affidavit is notarized)for Application No. (s): RZ 2014-SP-015(enter County-assigned application number (s))DATE: ZVTT INAME & ADDRESS OF CORPORATION: (enter complete name, number, street, city, state, and zip code)-Revera Health Services, Inc.55 Standish Court, 8th FloorMississauga, ON L5R 4B2DESCRIPTION OF CORPORATION: (check one statement)[y] There are 10 or less shareholders, and all of the shareholders are listed below.[ ] There are more than 10 shareholders, and all of the shareholders owning 10% or more of anyclass of stock issued by said corporation are listed below.[ ] There are more than 10 shareholders, but no shareholder owns 10% or more of any class ofstock issued by said corporation, and no shareholders are listed below.NAMES OF THE SHAREHOLDER: (enter first name, middle initial, and last name)Revera Inc.NAMES OF OFFICERS & DIRECTORS: (enter first name, middle initial, last name, and title, e.g.President, Vice-President, Secretary, Treasurer, etc.)Thomas G. Wellner, President/CEO; Frank Cerrone, SVP, General Counsel & Secretary; Jim Hardy, CFODirectors: Frank Cerrone, Patricia Barbato, Christopher Mitchell, Thomas G. WellnerNAME & ADDRESS OF CORPORATION: (enter complete name, number, street, city, state, and zip code)Revera Inc.55 Standish Court, 8th FloorMississauga, ON L5R 4B2DESCRIPTION OF CORPORATION: (check one statement)[ ] There are 10 or less shareholders, and all of the shareholders are listed below.[ ] There are more than 10 shareholders, and all of the shareholders owning 10% or more of anyclass of stock issued by said corporation are listed below.[ ] There are more than 10 shareholders, but no shareholder owns 10% or more of any classof stock issued by said corporation, and no shareholders are listed below.NAMES OF THE SHAREHOLDERS: (enter first name, middle initial, and last name)Public Sector Pension Investment BoardNAMES OF OFFICERS & DIRECTORS: (enter first name, middle initial, last name, and title, e.g.President, Vice-President, Secretary, Treasurer, etc.)Thomas G. Wellner, President/CEO; Frank Cerrone, SVP, General Counsel & Secretary; Jim Hardy, CFODirectors: Neil P. Cunningham, Gary F. Colter, Barbara Hill, Pat Jacobsen, Charles Jones, Calvin R. Stiller, Marie-Josee Turmel, John-Valentini, Thomas G. Wellner(check if applicable)[/]FORM RZA-1 Updated (7/1/06)There is more corporation information and Par. 1(b) is continued further on a"Rezoning Attachment to Par. 1(b)" form.

Page 4of 7Rezoning Attachment to Par. 1(b)DATE: July 14, 2015(enter date affidavit is notarized)for Application No. (s): RZ 2014-SP-015(enter County-assigned application number (s))1NAME & ADDRESS OF CORPORATION: (enter complete name, number, street, city, state, and zip code). Public Sector Pension Investment Board440 Laurier Avenue West, Suite 200Ottawa, OntarioDESCRIPTION OF CORPORATION: (check one statement)[ ] There are 10 or less shareholders, and all of the shareholders are listed below.[ ] There are more than 10 shareholders, and all of the shareholders owning 10% or more of anyclass of stock issued by said corporation are listed below.[y]There are more than 10 shareholders, but no shareholder owns 10% or more of any class ofstock issued by said corporation, and no shareholders are listed below.NAMES OF THE SHAREHOLDER: (enter first name, middle initial, and last name).The Public Sector Pension Investment Board is a publicly traded Canadian pension fund with thousands of members.NAMES OF OFFICERS & DIRECTORS: (enter first name, middle initial, last name, and title, e.g.President, Vice-President, Secretary, Treasurer, etc.)NAME & ADDRESS OF CORPORATION: (enter complete name, number, street, city, state, and zip code).Red Fox Acquisition Company, Inc.55 Standish Court, 8th FloorMississauga, ON L5R 4B2DESCRIPTION OF CORPORATION: (check one statement)[ ] There are 10 or less shareholders, and all of the shareholders are listed below.[ ] There are more than 10 shareholders, and all of the shareholders owning 10% or more of anyclass of stock issued by said corporation are listed below.[ ] There are more than 10 shareholders, but no shareholder owns 10% or more of any classof stock issued by said corporation, and no shareholders are listed below.NAMES OF THE SHAREHOLDERS: (enter first name, middle initial, and last name) Revera Health Services, Inc.* HCRI Red Fox ManCo, LLCNAMES OF OFFICERS & DIRECTORS: (enter first name, middle initial, last name, and title, e.g.President, Vice-President, Secretary, Treasurer, etc.)(check if applicable)[y]FORM RZA-1 Updated (7/1/06)There is more corporation information and Par. fib) is continued further on a"Rezoning Attachment to Par. 1(b)" form.

Page 5Rezoning Attachment to Par. 1(b)DATE: July 14, 2015(enter date affidavit is notarized)for Application No. (s): RZ 2014-SP-015(enter County-assigned application number (s))NAME & ADDRESS OF CORPORATION: (enter complete name, number, street, city, state, and zip code). VIKA, Incorporated8180 Greensboro Drive, Suite 200McLean, VA 22102DESCRIPTION OF CORPORATION: (check one statement)[y] There are 10 or less shareholders, and all of the shareholders are listed below.[ ] There are more than 10 shareholders, and all of the shareholders owning 10% or more of anyclass of stock issued by said corporation are listed below.[ ] There are more than 10 shareholders, but no shareholder owns 10% or more of any class ofstock issued by said corporation, and no shareholders are listed below.NAMES OF THE SHAREHOLDER: (enter first name, middle initial, and last name)John F. Amatetti, Charles A. Irish, Jr., Harry L. Jenkins, Robert R. Cochran, Mark G. Morelock, Jeffrey B. Amateau, Kyle U. Oliver,P. Christopher ChampagneNAMES OF OFFICERS & DIRECTORS: (enter first name, middle initial, last name, and title, e.g.President, Vice-President, Secretary, Treasurer, etc.)NAME & ADDRESS OF CORPORATION: (enter complete name, number, street, city, state, and zip code)VIKA Virginia, LLC8180 Greensboro Drive, #200McLean, VA 22102DESCRIPTION OF CORPORATION: (check one statement)[/] There are 10 or less shareholders, and all of the shareholders are listed below.[ ] There are more than 10 shareholders, and all of the shareholders owning 10% or more of anyclass of stock issued by said corporation are listed below.[ ] There are more than 10 shareholders, but no shareholder owns 10% or more of any classof stock issued by said corporation, and no shareholders are listed below.NAMES OF THE SHAREHOLDERS: (enter first name, middle initial, and last name)John F. Amatetti, Charles A. Irish, Jr., Harry L. Jenkins, Robert R. Cochran, Mark G. Morelock, Jeffrey B. Amateau, Kyle U. Oliver,P. Christopher ChampagneNAMES OF OFFICERS & DIRECTORS: (enter first name, middle initial, last name, and title, e.g.President, Vice-President, Secretary, Treasurer, etc.)(check if applicable)[y]FORM RZA-1 Updated (7/1/06)There is more corporation information and Par. 1(b) is continued further on a"Rezoning Attachment to Par. 1(b)" form.of 7

Page 6of 7Rezoning Attachment to Par. 1(b)DATE: July 14, 2015(enter date affidavit is notarized)for Application No. (s): RZ 2014-SP-015(enter County-assigned application number (s))NAME & ADDRESS OF CORPORATION: (enter complete name, number, street, city, state, and zip code)- Walsh, Colucci, Lubeley & Walsh, P.C.2200 Clarendon Boulevard, Suite 1300Arlington, VA 22201DESCRIPTION OF CORPORATION: (check one statement)[ ] There are 10 or less shareholders, and all of the shareholders are listed below.[ ] There are more than 10 shareholders, and all of the shareholders owning 10% or more of anyclass of stock issued by said corporation are listed below.[ ] There are more than 10 shareholders, but no shareholder owns 10% or more of any class ofstock issued by said corporation, and no shareholders are listed below.NAMES OF THE SHAREHOLDER: (enter first name, middle initial, and last name)Wendy A. Alexander, David I. Bomgardner, E. Andrew Burcher, Thomas J. Colucci, Michael J. Coughlin, Peter M. Dolan, Jr., Jay du Von,William A. Fogarty, John H, Foote, H. Mark Goetzman, Bryan H. Guidash, Michael J. Kalish, J. Randall Minchew, Andrew A. Painter,G, Evan Pritchard, M. Catharine Puskar, John E. Rinaldi, Kathleen H. Smith, Lynne J. Strobel, Garth M. Wainman, Nan E. WalshFormer Shareholders: Michael D. Lubeley, Martin D. WalshNAMES OF OFFICERS & DIRECTORS: (enter first name, middle initial, last name, and title, e.g.President, Vice-President, Secretary, Treasurer, etc.)NAME & ADDRESS OF CORPORATION: (enter complete name, number, street, city, state, and zip code)M.J. Wells & Associates, Inc.1420 Spring Hill Road, Suite 610Tysons, VA 22102DESCRIPTION OF CORPORATION: (check one statement)[ ] There are 10 or less shareholders, and all of the shareholders are listed below,j/] There are more than 10 shareholders, and all of the shareholders owning 10% or more of anyclass of stock issued by said corporation are listed below.[ ] There are more than 10 shareholders, but no shareholder owns 10% or more of any classof stock issued by said corporation, and no shareholders are listed below.NAMES OF THE SHAREHOLDERS: (enter first name, middle initial, and last name)M.J. Wells & Associates, Inc. Employee Stock Ownership Trust. All employees are eligible plan participants; however, no one employeeowns 10% or more of any class of stock.NAMES OF OFFICERS & DIRECTORS: (enter first name, middle initial, last name, and title, e.g.President, Vice-President, Secretary, Treasurer, etc.)(check if applicable)[y]FORM RZA-1 Updated (7/1/06)There is more corporation information and Par. 1(b) is continued further on a"Rezoning Attachment to Par. 1(b)" form.

Page 7Rezoning Attachment to Par. 1(b)DATE: July 14,2015(enter date affidavit is notarized)for Application No. (s): R-Z 2014-SP-015(enter County-assigned application number (s))NAME & ADDRESS OF CORPORATION: (enter complete name, number, street, city, state, and zip code)LSG Landscape Architecture Inc.1919 Gallows Road, #110Tysons Corner, VA 22182DESCRIPTION OF CORPORATION: (check one statement)[y] There are 10 or less shareholders, and all of the shareholders are listed below.[ ] There are more than 10 shareholders, and all of the shareholders owning 10% or more of anyclass of stock issued by said corporation are listed below.[ ] There are more than 10 shareholders, but no shareholder owns 10% or more of any class ofstock issued by said corporation, and no shareholders are listed below.NAMES OF THE SHAREHOLDER: (enter first name, middle initial, and last name)- Robert K. EsselburnMark C. GionetMark R. LewisYunhui Connie FanNAMES OF OFFICERS & DIRECTORS: (enter first name, middle initial, last name, and title, e.g.President, Vice-President, Secretary, Treasurer, etc.)NAME & ADDRESS OF CORPORATION: (enter complete name, number, street, city, state, and zip code) Heath Architecture, LLC2528 Starbrush DriveE. Petersburg, PA 17520DESCRIPTION OF CORPORATION: (check one statement)[ ] There are 10 or less shareholders, and all of the shareholders are listed below.[ ] There are more than 10 shareholders, and all of the shareholders owning 10% or more of anyclass of stock issued by said corporation are listed below.[ ] There are more than 10 shareholders, but no shareholder owns 10% or more of any classof stock issued by said corporation, and no shareholders are listed below.NAMES OF THE SHAREHOLDERS: (enter first name, middle initial, and last name)* Charles R. HeathNAMES OF OFFICERS & DIRECTORS: (enter first name, middle initial, last name, and title, e.g.President, Vice-President, Secretary, Treasurer, etc.)(check if applicable)[ ]FORM RZA-1 Updated (7/1/06)There is more corporation information and Par. 1(b) is continued further on a"Rezoning Attachment to Par. 1(b)" form.OuLJjJu Sri ra .{Le,it5of 7

Page ThreeREZONING AFFIDAVITDATE: July 14,2015I //,(enter date affidavit is notarized)for Application No. (s): RZ 2014-SP-015(enter County-assigned application number(s))1(c).The following constitutes a listing*** of all of the PARTNERS, both GENERAL and LIMITED, inany partnership disclosed in this affidavit:PARTNERSHIP INFORMATIONPARTNERSHIP NAME & ADDRESS: (enter complete name, number, street, city, state and zip code) RLPS, LLP d/b/a Reese, Lower Patrick & Scott Architects250 Valleybrook DriveLancaster, PA 17601(check if applicable)[ ] The above-listed partnership has no limited partners.NAMES AND TITLE OF THE PARTNERS (enter first name, middle initial, last name, and title, e.g.General Partner, Limited Partner, or General and Limited Partner)Michael J, MartinGregory J. ScottCraig H. Walton (former)David D. LobbCraig P. KimmelEric J. EndresEric S. McRobertsJohn F. Holliday(check if applicable)[ ] There is more partnership information and Par. 1(c) is continued on a "RezoningAttachment to Par. 1(c)" form.*** All listings which include partnerships, corporations, or trusts, to include the names of beneficiaries, must be broken downsuccessively until: (a) only individual persons are listed or (b) the listing for a corporation having more than 10 shareholdershas no shareholder owning 10% or more of any class of stock. In the case of an APPLICANT, TITLE OWNER,CONTRACT PURCHASER, or LESSEE* of the land that is a partnership, corporation, or trust, such successive breakdownmust include a listing and further breakdown of all of its partners, of its shareholders as required above, and ofbeneficiaries of any trusts. Such successive breakdown must also include breakdowns of any partnership, corporation, ortrust owning 10% or more of the APPLICANT, TITLE OWNER, CONTRACT PURCHASER or LESSEE* of the land.Limited liability companies and real estate investment trusts and their equivalents are treated as corporations, with membersbeing deemed the equivalent of shareholders; managing members shall also be listed. Use footnote numbers to designatepartnerships or corporations, which have further listings on an attachment page, and reference the same footnote numbers onthe attachment page.FORM RZA-1 Updated (7/1/06)

Page FourREZONING AFFIDAVITDATE: July 14, 2015(enter date affidavit is notarized)[TUl icLfor Application No. (s): RZ2014-SP-015(enter County-assigned application number(s))1(d).2.One of the following boxes must be checked:[ ]In addition to the names listed in Paragraphs 1(a), 1(b), and 1(c) above, the following is a listingof any and all other individuals who own in the aggregate (directly and as a shareholder, partner,and beneficiary of a trust) 10% or more of the APPLICANT, TITLE OWNER, CONTRACTPURCHASER, or LESSEE* of the land:[ ]Other than the names listed in Paragraphs 1(a), 1(b), and 1(c) above, no individual owns in theaggregate (directly and as a shareholder, partner, and beneficiary of a trust) 10% or more of theAPPLICANT, TITLE OWNER, CONTRACT PURCHASER, or LESSEE* of the land.That no member of the Fairfax County Board of Supervisors, Planning Commission, or any member ofhis or her immediate household owns or has any financial interest in the subject land eitherindividually, by ownership of stock in a corporation owning such land, or through an interest in apartnership owning such land.EXCEPT AS FOLLOWS: (NOTE: If answer is none, enter "NONE" on the line below.)None(check if applicable)FORM RZA-1 Updated (7/1/06)[ ]There are more interests to be listed and Par. 2 is continued on a"Rezoning Attachment to Par. 2" form.

Page FiveREZONING AFFIDAVITKirn/ADATE: July 14, 2015(enter date affidavit is notarized)for Application No. (s): RZ 2014-SP-015(enter County-assigned application number(s))3.That within the twelve-month period prior to the public hearing of this application, no member of theFairfax County Board of Supervisors, Planning Commission, or any member of his or her immediatehousehold, either directly or by way of partnership in which any of th

- Sunrise Senior Living, LLC 7902 Westpark Drive McLean, VA 22102 DESCRIPTION OF CORPORATION: (check one statement) [/] There are 10 or less shareholders, and all of the shareholders are listed below. [ ] There are more than 10 shareholde