| EXHIBIT 3.148 |
STATE OF ARIZONA
| Office of the |
| CORPORATION COMMISSION |
The Executive Director of the Arizona Corporation Commission does hereby certify that the attached copy of the following document:
ARTICLES OF ORGANIZATION, 12-10-2004
consisting of 03 pages, is a true and complete copy of the original of said document on file with this office for:
RIDGECREST SENIOR CARE, LLC
ACC file number: L-1169206-3
 | IN WITNESS WHEREOF, I have hereunto set my hand and affixed the official seal of the Arizona Corporation Commission on this date: | ||
| August 13, 2015. | |||
| /s/ Jodi A. Jerich | |||
| Jodi A. Jerich, Executive Director | |||
| By: | /s/ Walter Briceno | ||
| WALTER BRICENO | |||
| AZ CORPORATION COMMISSION | ||
| FILED | ||
| “EXP” | DEC 10 2004 | |
| FILE NO.L-1169206-3 |
Articlesof Organization
of
Ridgecrest Senior Care, LLC
Pursuant to Section 29-632 of the Arizona Revised Statutes, the undersignedstates as follows:
1. The name of the limited liability company is Ridgecrest Senior Care, LLC (the “Company”).
2. The address of the registered office of the Company in Arizona is 5020 N. 8thPlace, Phoenix, Arizona 85014.
3. The Company’s statutory agent for service of process is Derek L. Sorenson, whose address is Two North Central Avenue, Suite 2200, Phoenix, Arizona 85004.
4. There is no date by which the Company must dissolve.
5. Management of the Company is reserved to the Members.
6. The names and addresses of the Members of the Company are as follows: SLO Ridgecrest, LLC, an Arizona limited liability company, 5020 N. 8th Place, Phoenix, Arizona 85014, and G & L Senior Care Properties, LLC, a Nevada limited liability company, 439 N. Bedford Drive, Beverly Hills, California 90210.
| DATED: December 10, 2004. | Signed: | /s/ Derek L. Sorenson |
| Derek L. Sorenson |
The undersigned, having been designated to act as statutory agent for service ofprocess, hereby consents to act in that capacity until he is removed or his resignation is submitted in accordance with the Arizona Revised Statutes.
| /s/ Derek L. Sorenson | |
| Derek L. Sorenson |
| 893627 $ PAID $ 85.00 - 12/15/04 MOD |
ARIZONA CORPORATION COMMISSION
TRANSMITTAL for fax filing
| To: | ARIZONA CORPORATION COMMISSION | CORPORATE RECORDS |
| Corporations Division | FAX LINE FOR CERTIFIED COPIES & | |
| 1200 West Washington | PLAIN COPIES IS 542–3414 | |
| Phoenix, Arizona 25007 | FAX NUMBER: 542– 4100 FOR CORPORATE FIlINGS |
| FROM: | Bryan Cave | (Val Viemont 0045534) |
| (Account Holder) | ||
| Advance Account Number | 1461 | Fax Number | 364–7070 | |||||
| Contact Person: | Valerie A. Viemont | $50–LLC | ||||||
| Telephone Number: | 364-7449 | $35–EXP | ||||||
| $85.00 | ||||||||
| Corporation Name: | Ridgecrest Senior Care, LLC | |||||||
| Document Type: | Arts. of Orig. | |||||||
| Number of pages (including Transmittal) 2 | ||||||||
X PLEASE EXPEDITE THIS FILING AND CHARGE THE APPLICABLE FEE OF $35.00 (PER FILING) TO MYACCOUNT.
*******************************************************************************************************************************
_____ The Corporation Commission hereby acknowledges receipt of the document type described herein. *
| (Date Stamp) | RECEIVED DEC 10 2004 ARIZONA CORP. COMMISSION Corporations Division |
Filing fee(s) charged to your account in the amount of $____________
_____ There is a problem with your transmittal. Please call the undersigned at your earliest convenience. Thank you.
| Examiner | |||
| Telephone: |
* All documents are subject to review before filing.
Facsimile Cover
This facsimile contains information which (a) may beLegally Privileged, Proprietary In Nature, Or Otherwise Protected By Law From Disclosure and (b) is intended for the use of the Addressee(s) named below. If you are not the Addressee, or the person responsible for delivering this to the Addressee(s), you are hereby notified that reading, copying or distributing this facsimile is prohibited. If you have received this facsimile in error, please telephone us immediately and mail the facsimile back to us at the address to the right. Thank you. | Bryan Cave LLP | |
| One Renaissance Square | ||
| Two North Central Avenue | ||
| Suite 2200 | ||
| Phoenix, AZ 85004-4406 | ||
| Tel (602) 364-7000 | ||
| Fax (602) 364-7070 | ||
| www.bryancave.com |
| Date: | 12/10/04 | |
| From: | Valerie A. Viemont, Legal Assistant | Matter: 0045534 |
| Tel: | 602-364-7449 | |
| To: | ACC | Phone Number: |
| Company: | ||
| International | Country: | |
| Country Code: | City Code: |
Message:
See attached regarding Articles of Organization for Ridgecrest Senior Care, LLC
| RECEIVED DEC 10 2004 ARIZONA CORP. COMMISSION Corporations Division |
| To Sender: | ||
| Do you wish to be contacted when fax is sent? | o Yes | x No |
| Do you wish to be contacted at your home/office if fax | x Yes | o No |
| cannot be sent within one hour? Tel: |
| Fax Number: 602-542-4100 | Number of Pages Including Cover: 2 |
If all pages are not received, please call (602) 364-7366 or 602-364-7041.
STATE OF ARIZONA
| Office of the |
| CORPORATION COMMISSION |
The Executive Director of the Arizona Corporation Commission does hereby certify that the attached copy of the following document:
AMENDMENT, 04-14-2005
consisting of 04 pages, is a true and complete copy of the original of said document on file with this office for:
RIDGECREST SENIOR CARE, LLC
ACC file number: L-1169206-3
 | IN WITNESS WHEREOF, I have hereunto set my hand and affixed the official seal of the Arizona Corporation Commission on this date: | ||
| August 17, 2015. | |||
| /s/ Jodi A. Jerich | |||
| Jodi A. Jerich, Executive Director | |||
| By: | /s/ Walter Briceno | ||
| WALTER BRICENO | |||
| AZ CORPORATION COMMISSION FILED APR 14 2005 FILE NO.L-1169206-3 | FIRST AMENDMENT TO THE ARTICLES OF ORGANIZATION OF RIDGECREST SENIOR CARE, LLC |
| Pursuant to A.R.S. section 29-633, the undersigned states as follows. | |||
| 1. | The name of the limited liability company is Ridgecrest Senior Care, LLC. | ||
| 2. | The initial Articles of Organization were filed on December 10, 2004. | ||
| 3. | Paragraph 6 of the Articles of Organization is amended by deleting said paragraph in its entirety and inserting the following: | ||
| “6. The names and addresses of the Members of the Company are as follows: S&R Ridgecrest, LLC, an Arizona limited liability company, 5020 N. 8th Place, Suite A, Phoenix, Arizona 85104, and G & L Senior Care Properties, LLC, a Nevada limited liability company, 439 N. Bedford Drive, Beverly Hills, California 90210.” | |||
| 4. | Other than as set forth above, the Articles of Organization of Ridgecrest Senior Care, LLC remain unchanged. | ||
IN WITNESS WHEREOF, the undersigned has executed this Amendment of Articles of Organization this 13th day of April, 2005.
| G&L Senior Care Properties, LLC, a Nevada limited liability company, a Member | ||||
| By: | /s/ Steven D. Lebowitz | |||
| Name: | Steven D. Lebowitz | |||
| Its: | Managing Director | |||
Page 2 of 2 received on 4/13/2005 1:09:45 PM (Central Daylight Time) for 7168070.
| Facsimile Cover | Bryan Cave LLP One Renaissance Square Two North Central Avenue Suite 2200 Phoenix, AZ 85004-4406 Tel (602) 364-7000 Fax (602) 364-7070 www.bryancave.com | |
| This facsimile contains information which (a) may be LEGALLY PRIVILEGED, PROPRIETARY IN NATURE, OR OTHERWISE PROTECTED BY LAW FROM DISCLOSURE and (b) is intended for the use of the Addressee(s) named below. If you are not the Addressee, or the person responsible for delivering this to the Addressee(s), you are hereby notified that reading, copying or distributing this facsimile is prohibited. If you have received this facsimile in error, please telephone us immediately and mail the facsimile back to us at the address to the right. Thank you. |
| Date: | 4/14/05 | ||
| From: | Valerie A. Viemont, Legal Assistant | Matter: | 0183826 |
| Tel: | 602-364-7449 | ||
| To: | ACC | Phone Number: | |
| Company: | |||
| International | Country: | ||
| Country Code: | City Code: | ||
Message:
See attached regarding First Amendment to Articles of Organization for Ridgecrest Senior Care, LLC
| RECEIVED APR 14 2005 ARIZONA CORP. COMMISSION CORPORATIONS DIVISION | ||||
| To Sender: | ||||
| Do you wish to be contacted when fax is sent? | ☐ Yes | ☒ No | ||
| Do you wish to be contacted at your home/office if fax cannot be sent within one hour? Tel: | ☒ Yes | ☐ No | ||
| Fax Number: 602-542-4100 | Number of Pages Including Cover: 2 | |||
| If all pages are not received, please call (602) 364-7366 or 602-364-7041. | ||||
ARIZONA CORPORATION COMMISSION
TRANSMITTAL for fax filing
| To: | ARIZONA CORPORATION COMMISSION | CORPORATE RECORDS |
| Corporations Division | FAX LINE FOR CERTIFIED COPIES & | |
| 1200 West Washington | PLAIN COPIES IS 542–3414 | |
| Phoenix, Arizona 85007 | FAX NUMBER: 542–4100 FOR CORPORATE FILINGS |
| FROM: | Bryan Cave | (Val Viemont 0185826) |
| (Account Holder) | ||
| Advance Account Number | 1461 | Fax Number | 364–7070 | |||||
| Contact Person: | Valerie A. Viemont | |||||||
| Telephone Number: | 364-7449 | |||||||
| Corporation Name: | Ridgecrest Senior Care, LLC | |||||||
| Document Type: | 1st Am. | |||||||
| Number of pages (including Transmittal) 2 | ||||||||
| X | PLEASE EXPEDITE THIS FILING AND CHARGE THE APPLICABLE FEE OF $35.00 (PER FILING) TO MYACCOUNT. |
*******************************************************************************************************************************
| _____ | The Corporation Commission hereby acknowledges receipt of the document type described, herein. * |
| (Date Stamp) | 25 amdt 35 exp 60 total |
Filing fee(s) charged to your account in the amount of $____________
| _____ | There is a problem with your transmittal. Please call the undersigned at your earliest convenience. Thank you. |
| Examiner | FLOREZ–GASTELO, M. | ||
| Telephone: | (602) 542-3512 | ||
* All documents are subject to review before filing.
COMMISSIONERS JEFF HATCH–MULLER - Chairman WILLIAM A. MUNDELL MARC SPITZER MIKE GLEASON KRISTIN K. MAYES |  ARIZONA CORPORATION COMMISSION | BRIAN C. MCNEIL Executive Secretary DAVID RABER Director, Corporations Division |
05/21/05
Bryan Cave LLP
Attn: Valerie A. Viemont
Two North Central Ave., Ste. 2200
Phoenix, AZ, 85004-4406
| RE: | Ridgecrest Senior Care, LLC |
We are pleased to notify you that your Articles of Amendment/Restated Articles of Organization were filed on04/14/05.
If the publication box below has been checked, you must publish a copy of the Articles of Amendment/Restated Articles. The publication must be in a newspaper of general circulation in the county of the known place of business in Arizona, as filed with the Commission, for three consecutive publications. For your convenience we have attached a list of known qualified newspapers for publishing.
An Affidavit from the newspaper, evidencing such publication, must be delivered to the Commission for filing WITHIN NINETY (90) DAYS from the date of this letter.
The Commission strongly recommends that you periodically check Commission records regarding the Limited Liability Company. The Commission web sitewww.cc.state.az.us/corp contains information specific to each corporation of record and is a good general source of information.
| ☐ MUST BE PUBLISHED | |
| ☒ DO NOT PUBLISH | |
| M. Florez-Gastelo (602) 542-3512 | |
| Examiner | |
| Corporations Division | |
It you have any questions, please call the Corporations Division Phoenix (602) 542-3135,
Tucson (520)-628-6560 or toll free (Arizona residents only) at 1-800-345-5819
For more information contact our web site, at the address indicated below.
Apprllcother.wpd
Revised 03/2004
1300 WEST WASHINGTON, PHOENIX, ARIZONA 85007-2929 / 400 WEST CONGRESS STREET, TUCSON, ARIZONA 85701-1347
www.cc.state.az.us - 602-542-3135
STATE OF ARIZONA
| Office of the |
| CORPORATION COMMISSION |
The Executive Director of the Arizona Corporation Commission does hereby certify that the attached copy of the following document:
AMENDED & RESTATE ARTICLES, 07-06-2009
consisting of 02 pages, is a true and complete copy of the original of said document on file with this office for:
RIDGECREST SENIOR CARE, LLC
ACC file number: L-1169206-3
 | IN WITNESS WHEREOF, I have hereunto set my hand and affixed the official seal of the Arizona Corporation Commission on this date: | |||
| August 13, 2015. | ||||
| /s/ Jodi A. Jerich | ||||
| Jodi A. Jerich, Executive Director | ||||
| By: | /s/ Walter Briceno | |||
| WALTER BRICENO | ||||
| AZ CORPORATION COMMISSION | |
| FILED | |
| JUL 06 2009 | |
| FILE NO.L-11692063 |
AMENDED AND RESTATED
ARTICLES OF ORGANIZATION
OF
RIDGECREST SENIOR CARE, LLC
Ridgecrest Senior Care, LLC hereby amends and restates its Articles of Organization, which were originally filed on December 10, 2004, as follows:
1. The name of the limited liability company (the “Company”) is:
“Ridgecrest Senior Care, LLC”
2. The address of the registered office of the Company in Maricopa County, Arizona is 5020 North 8th Place, Suite A, Phoenix, Arizona 85014.
3. The name and business address of the Company’s agent for service of process in the State of Arizona are:
CT Corporation System
2394 E. Camelback Road
Phoenix, AZ 895016
4. The duration of the Company shall continue until the first to occur of: (a) the dissolution of the Company as provided in Article IX of its Operating Agreement; or (b) December 31, 2065.
5. Management of the Company is reserved to the Members. The name and business address of each Member are:
G&L Senior Care Properties, LLC
439 N. Bedford Drive
Beverly Hills, CA 90210
S&R Ridgecrest, LLC
16601 N. 40th Street, Suite 110
Phoenix,AZ 85032
| DATED: May 31, 2009 | G&L Senior Care Properties, LLC, | |||
| a Nevada limited liability company | ||||
| By: | /s/ Steven D. Lebowitz | |||
| Steven D. Lebowitz | ||||
| Its: Managing Member | ||||
| Ridgecrest Senior Care, LLC | AMENDED AND RESTATED | |
| ARTICLES OF ORGANIZATION | ||
| Page 1of 2 |
| AZ CORPORATION COMMISSION | ||
| FILED | ||
| JUL 22 2009 | ||
| FILE NO.L-11692063 |
| By: | /s/ Colleen Sweet | ||
| Colleen Sweet | |||
| Its: Manager | |||
ACCEPTANCE OF APPOINTMENT BY STATUTORY AGENT
The undersigned, having been designated to act as Statutory Agent of Ridgecrest Senior Care, LLC, hereby consents to act in that capacity until removed or its resignation is submitted in accordance with the Arizona Revised Statutes.
| DATED: July 6, 2009 | CT CORPORATION SYSTEM a Delaware corporation | ||
| By: | /s/ Donald H. Boadway | ||
| Printed Name: | Donald H. Boadway |
| Its: | Assistant Secretary |
| Ridgecrest Senior Care, LLC | AMENDED AND RESTATED | |
| ARTICLES OF ORGANIZATION | ||
| Page 2 of 2 |
STATE OF ARIZONA
| Office of the | ||
| CORPORATION COMMISSION | ||
The Executive Director of the Arizona Corporation Commission does hereby certify that the attached copy of the following document:
ARTICLES OF AMENDMENT, 12-21-2012
consisting of 04 pages, is a true and complete copy of the original of said document on file with this office for:
RIDGECREST SENIOR CARE, LLC
ACC file number: L-1169206-3
 | IN WITNESS WHEREOF, I have hereunto set my hand and affixed the official seal of the Arizona Corporation Commission on this date: | ||
| August 13, 2015. | |||
| /s/ Jodi A. Jerich | |||
| Jodi A. Jerich, Executive Director | |||
| By: | /s/ Walter Briceno | ||
| WALTER BRICENO | |||
 |
| AZ CORPORATION COMMISSION | AZ CORPORATION COMMISSION |
| FILED | FILED |
| DEC 07 2012 | DEC 21 2012 |
| FILE NO.L-1169206-3 | FILE NO.L-1169206-3 |
| DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY. |
ARTICLES OF AMENDMENT
Read the InstructionsL015i
| 1. | ENTITY NAME – give the exact name of the LLC at currently shown in A.C.C. records: | |
| Ridgecrest Senior Care, LLC | ||
| 2. | A.C.C. FILE NUMBER: | L-1169206-3 |
| Find the A.C.C. file number on the upper corner of filed documents OR on our website at:http://www.azcc.gov/Divisions/Corporations | ||
CHECK THE BOX NEXT TO EACH CHANGE BEING MADE AND
COMPLETE THE REQUESTED INFORMATION FOR THAT CHANGE.
| 3. | ☐ | ENTITY NAME CHANGE – type or print the exact NEW name of the LLC In the space below: |
| 4. | R | MEMBERS CHANGE (CHANGE IN MEMBERS) –see Instructions L015i –Use one block per person - FOR MEMBERS CURRENTLY SHOWN IN A.C.C. RECORDS - list the name of each member being changed, and below that provide any new information for that member (new name and/or address), then check all boxes that apply to indicate the change being made for that member. FOR NEW MEMBERS –in a separate block, list the name in the NEW Name blank and give the address, and check the appropriate box. If more space is needed, complete and attach theAmendment Attachment for Members form L044. |
S&R Ridgecrest LLC | |||||||||||
| Name currently shown in ACC records | Name currently shown in ACC records | ||||||||||
| OHI Asset HUD SF, LLC | |||||||||||
| NEW Name | NEW Name | ||||||||||
| 200 International Circle, Suite 3500 | 16601 N. 40th St., # 110 | ||||||||||
| Address 1 | Address 1 | ||||||||||
| Address 2 (optional) | Address 2 (optional) | ||||||||||
| Hunt Valley | MD | 21030 | Phoenix | AZ | 85032 | ||||||
| City | UNITED STATES | State or Province | Zip | City | State or Province | Zip | |||||
| Country | Country | ||||||||||
| ☐ Address change | R Add as 20% or more member | ☐ Address change | ☐ Add as 20% or more member | ||||||||
| ☐ Name change | ☐ Add as less than 20% member | ☐ Name change | ☐ Add as less than 20% member | ||||||||
| ☐ Remove member | R Remove member | ||||||||||
| G&L Senior Care Properties LLC | |||||||||||
| Name currently shown in ACC records | Name currently shown in ACC records | ||||||||||
| NEW Name | NEW Name | ||||||||||
| 439 N. Bedford Dr. | |||||||||||
| Address 1 | Address 1 | ||||||||||
| Address 2 (optional) | Address 2 (optional) | ||||||||||
| Beverly Hills | CA | 90210 | |||||||||
| City | State or Province | Zip | City | State or Province | Zip | ||||||
| Country | Country | ||||||||||
| ☐ Address change | ☐ Add as 20% or more member | ☐ Address change | ☐ Add as 20% or more member | ||||||||
| ☐ Name change | ☐ Add as less than 20% member | ☐ Name change | ☐ Add as less than 20% member | ||||||||
| R Remove member | ☐ Remove member | ||||||||||
| L015.001 | Arizona Corporation Commission – Corporations Division |
| Rev: 2010 | Page 1 of 3 |
| 5. | ☐ | MANAGERS CHANGE (CHANGE IN MANAGERS) –Use one block per person – FOR MANAGERS CURRENTLY SHOWN IN A.C.C. RECORDS – list the name of each manager being changed, and below that provide any new information for that manager (new name and/or address), then check all boxes that apply to indicate the change being made for that manager. FOR NEW MANAGERS –in a separate block, list the name in the NEW Name blank and give the address, and check the appropriate box. If more space is needed, complete and attach theAmendment Attachment for Managers form L043. |
| Name currently shown in ACC records | Name currently shown in ACC records | ||||||||||
| NEW Name | NEW Name | ||||||||||
| Address 1 | Address 1 | ||||||||||
| Address 2 (optional) | Address 2 (optional) | ||||||||||
| City | State or Province | Zip | City | State or Province | Zip | ||||||
| Country | Country | ||||||||||
| ☐ Address change | ☐ Add as manager | ☐ Address change | ☐ Add as manager | ||||||||
| ☐ Name change | ☐ Remove manager | ☐ Name change | ☐ Remove manager | ||||||||
| 6. | ☐ | MANAGEMENT STRUCTURE CHANGE–see Instructions L015i– check only one box below and follow instructions: | |
| ☐ | CHANGING TO MANAGER-MANAGED LLC – complete and attach theManager Structure Attachment form L040.The filing will be rejected if it is submitted without the attachment. | ||
| R | CHANGING TO MEMBER-MANAGED LLC – complete and attach theMember Structure Attachment form L041.The filing will be rejected if it is submitted without the attachment. | ||
| 7. | R | STATUTORY AGENT CHANGE – NEW AGENT APPOINTED –see Instructions L015i: | |||
| 7.1 | REQUIRED – give thename (can be an individual or an entity)andphysical or street address (not a P.O. Box) in Arizona of the NEW statutory agent: | 7.2 | OPTIONAL – mailing address in Arizona of NEW Statutory Agent (can be a P.O. Box): | ||
CT Corporation System | |||||
| Statutory Agent Name (required) | |||||
| Attention (optional) | Attention (optional) | ||||
| 2390 East Camelback Road | |||||
| Address 1 | Address 1 | ||||
| Address 2 (optional) | AZ | 85016 | Address 2 (optional) | ||
| City Phoenix | State | Zip | City | State | Zip |
| 7.3 | REQUIRED– theStatutory Agent Acceptance form M002 must be submitted along with these Articles of Amendment. |
| 8. | o | STATUTORY AGENT ADDRESS CHANGE – ADDRESS OF CURRENT STATUTORY AGENT – complete 8.1 and/or 8.2: | |||
| 8.1 | NEWphysical or street address (not a P.O. Box) in Arizona of the existing statutory agent: | 8.2 | NEW mailing address in Arizona of the existing statutory agent (can be a P.O. Box): | ||
| Attention (optional) | Attention (optional) | ||||
| Address 1 | Address 1 | ||||
| Address 2 (optional) | Address 2 (optional) | ||||
| City | State | Zip | City | State | Zip |
| L015.001 | Arizona Corporation Commission – Corporations Division |
| Rev: 2010 | Page of 2 of 3 |
| 9. | x | ARIZONA KNOWN PLACE OF BUSINESS ADDRESS CHANGE: | |
| 9.1 | Is the NEW Arizona known place of business address the same as the street address of the statutory agent? | ||
| x | Yes – go to number 10 and continue | ||
| o | No – go to number 9.2 and continue | ||
| 9.2 | Ifyou answered “No” to number 9.1, give theNEW physical or street address (not a P.O. Box) of the known place of business of the LLC in Arizona: | ||
| Attention (optional) | |||||
| Address 1 | |||||
| Address 2 (optional) | |||||
| City | State or | Zip | |||
| Province | |||||
| Country | |||||
| 10. | o | DURATION CHANGE –check one to indicate theNEW duration or life period of the LLC: | |
| o | Perpetual | ||
| o | The LLC’s life period will end on thisdate: ___________________ (enter a date – mm/dd/yy) | ||
| o | The LLC’s life period will end upon the occurrence of thisevent: | ||
| _________________________________________________________________ (describe an event) | |||
| 11. | o | ENTITY TYPE CHANGE – If changing entity type, check one and follow instructions: | |
| o | Changing to a PROFESSIONAL LLC – number 12 must also be completed. | ||
| o | Changing to a NON-PROFESSIONAL LLC (professional LLC becoming a regular LLC). | ||
| 12. | o | PROFESSIONAL SERVICES CHANGE – describe theNEW type of professional services the professional LLC will render: | |
| 13. | o | OTHER AMENDMENT – if an amendment was made that was not addressed by the check boxeson this form, then you must attach to these Articles of Amendment a complete copy of the LLC’s written amendment. | |
| SIGNATURE: | By checking the box marked “I accept” below, I acknowledgeunder penalty of perjury that this document together with any attachments is submitted in compliance with Arizona law. |
x I ACCEPT
| /s/ Daniel J. Booth | Daniel J. Booth | 11/30/2012 |
| Signature | Printed Name | Date (mm/dd/yy) |
| REQUIRED– check only one and fill in the corresponding blank if signing for an entity: | ||
| o | This is amanager-managed LLC and I am signing individually as amanager or I am signing for anentity manager named: | x | This is amember-managed LLC and I am signing individually as amember or I am signing for anentity member named: | ||
| OHI Asset HUD SF, LLC |
| Filing Fee: $25.00 (regular processing) Expedited processing – add $35.00 to filing fee. All fees are nonrefundable – see Instructions. | Mail: Fax: | Arizona Corporation Commission – Corporate Filings Section 1300 W. Washington St., Phoenix, Arizona 85007 602-542-4100 |
Please be advised that A.C.C forms reflect only theminimumprovisions required by statute. You should seek private legal counsel for those matters that may pertain to the individual needs of your business.
All documents filed with the Arizona Corporation Commission arepublic record and are open for public Inspection.
If you have questions after reading the Instructions, please call 602-542-3026 or (within Arizona only) 800-345-5819.
| L015.001 | Arizona Corporation Commission – Corporations Division |
| Rev: 2010 | Page 3 of 3 |
| DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY. |
|---|
STATUTORY AGENT ACCEPTANCE
Please read InstructionsM002i
| 1. | ENTITY NAME – give the exact name in Arizona of the corporation or LLC that has appointed the Statutory Agent: | |
Ridgecrest Senior Care, LLC | ||
| 2. | A.C.C. FILE NUMBER(if entity is already incorporated or registered in AZ): | L-1169206-3 |
| Find the A.C.C. file number on the upper corner of filed documents OR on our website at:http://www.azcc.gov/Divisions/Corporations | ||
| 3. | STATUTORY AGENT NAME –give the exact name of the Statutory Agent appointed by the entity listed in number 1 above (this will beeither an individual or an entity): | |
| C T Corporation System | ||
| 3.1 | Check one box: | ☐ The statutory agent is anIndividual (natural person). | |
| ☒ The statutory agent is anEntity. |
STATUTORY AGENT SIGNATURE:
| By the signature appearing below, the individual or entity named in number 3 above accepts the appointment as statutory agent for the entity named in number 1 above, and acknowledges that the appointment is effective until the entity replaces the statutory agent or the statutory agent resigns, whichever occurs first. | |
| By checking the box marked “I accept” below, I acknowledgeunder penalty of perjury that this document together with any attachments is submitted in compliance with Arizona law. |
| R I ACCEPT | |||
| Virginia G. Flock | |||
| /s/ Virginia G. Flock | Assistant Secretary | 12/07/2012 | |
| Signature | Printed Name | Date | |
REQUIRED– check only one:
| ☐ | Individual as statutory agent: I am signing on behalf of myself as the individual | © | Entity as statutory agent: I am signing on behalf of the entity named as statutory agent, and I am authorized to act for that entity. |
| Filing Fee: none (regular processing) | Mail: | Arizona Corporation Commission - Corporate Filings Section | ||||
| Expedited processing – add $35.00 to filing fee. | 1300 W. Washington St., Phoenix, Arizona 85007 | |||||
| All fees are nonrefundable - see Instructions. | Fax: | 602-542-4100 |
Please be advised that A.C.C. forms reflect only theminimumprovisions required by statute. You should seek private legal counsel for those matters that may pertain to the individual needs of your business.
All documents filed with the Arizona Corporation Commission arepublic record and are open for public inspection.
If you have questions after reading the Instructions, please call 602-542-3026 or (within Arizona only) 800-345-5819.
| M002.001 | Arizona Corporation Commission – Corporations Division |
| Rev: 2010 | Page 1 of 1 |