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Filing tables
Filing exhibits
- S-4 Registration of securities issued in business combination transactions
- 3.1 EX-3.1
- 3.2 EX-3.2
- 3.3 EX-3.3
- 3.4 EX-3.4
- 3.5 EX-3.5
- 3.6 EX-3.6
- 3.7 EX-3.7
- 3.8 EX-3.8
- 3.9 EX-3.9
- 3.10 EX-3.10
- 3.11 EX-3.11
- 3.12 EX-3.12
- 3.13 EX-3.13
- 3.14 EX-3.14
- 3.15 EX-3.15
- 3.16 EX-3.16
- 3.17 EX-3.17
- 3.18 EX-3.18
- 3.19 EX-3.19
- 3.20 EX-3.20
- 3.21 EX-3.21
- 3.22 EX-3.22
- 3.23 EX-3.23
- 3.24 EX-3.24
- 3.25 EX-3.25
- 3.26 EX-3.26
- 3.27 EX-3.27
- 3.28 EX-3.28
- 3.29 EX-3.29
- 3.30 EX-3.30
- 3.31 EX-3.31
- 3.32 EX-3.32
- 3.33 EX-3.33
- 3.34 EX-3.34
- 3.35 EX-3.35
- 3.36 EX-3.36
- 3.37 EX-3.37
- 3.38 EX-3.38
- 3.39 EX-3.39
- 3.40 EX-3.40
- 3.41 EX-3.41
- 3.42 EX-3.42
- 3.43 EX-3.43
- 3.44 EX-3.44
- 3.45 EX-3.45
- 3.46 EX-3.46
- 3.47 EX-3.47
- 3.48 EX-3.48
- 3.49 EX-3.49
- 3.50 EX-3.50
- 3.51 EX-3.51
- 3.52 EX-3.52
- 3.53 EX-3.53
- 3.53 EX-3.53
- 3.55 EX-3.55
- 3.56 EX-3.56
- 3.57 EX-3.57
- 3.58 EX-3.58
- 3.59 EX-3.59
- 3.60 EX-3.60
- 3.61 EX-3.61
- 3.62 EX-3.62
- 3.63 EX-3.63
- 3.64 EX-3.64
- 3.65 EX-3.65
- 3.66 EX-3.66
- 3.67 EX-3.67
- 3.68 EX-3.68
- 3.69 EX-3.69
- 3.70 EX-3.70
- 3.71 EX-3.71
- 3.72 EX-3.72
- 3.73 EX-3.73
- 3.74 EX-3.74
- 3.75 EX-3.75
- 3.76 EX-3.76
- 3.77 EX-3.77
- 3.78 EX-3.78
- 3.79 EX-3.79
- 3.80 EX-3.80
- 3.81 EX-3.81
- 3.82 EX-3.82
- 3.83 EX-3.83
- 3.84 EX-3.84
- 3.85 EX-3.85
- 3.86 EX-3.86
- 3.87 EX-3.87
- 3.88 EX-3.88
- 3.89 EX-3.89
- 3.90 EX-3.90
- 3.91 EX-3.91
- 3.92 EX-3.92
- 3.93 EX-3.93
- 3.94 EX-3.94
- 3.95 EX-3.95
- 3.96 EX-3.96
- 3.97 EX-3.97
- 3.98 EX-3.98
- 3.99 EX-3.99
- 3.100 EX-3.100
- 3.101 EX-3.101
- 3.102 EX-3.102
- 3.103 EX-3.103
- 3.104 EX-3.104
- 3.105 EX-3.105
- 3.106 EX-3.106
- 3.107 EX-3.107
- 3.108 EX-3.108
- 3.109 EX-3.109
- 3.110 EX-3.110
- 4.1 EX-4.1
- 4.3 EX-4.3
- 4.4 EX-4.4
- 4.5 EX-4.5
- 10.1 EX-10.1
- 10.2 EX-10.2
- 10.3 EX-10.3
- 10.4 EX-10.4
- 10.5 EX-10.5
- 10.6 EX-10.6
- 10.7 EX-10.7
- 10.8 EX-10.8
- 10.9 EX-10.9
- 10.10 EX-10.10
- 10.11 EX-10.11
- 10.12 EX-10.12
- 10.13 EX-10.13
- 10.14 EX-10.14
- 10.15 EX-10.15
- 10.16 EX-10.16
- 10.17 EX-10.17
- 10.18 EX-10.18
- 10.19 EX-10.19
- 10.20 EX-10.20
- 10.22 EX-10.22
- 10.23 EX-10.23
- 10.24 EX-10.24
- 10.25 EX-10.25
- 10.26 EX-10.26
- 10.27 EX-10.27
- 10.28 EX-10.28
- 10.29 EX-10.29
- 10.30 EX-10.30
- 12 EX-12
- 21 EX-21
- 23.2 EX-23.2
- 25.1 EX-25.1
- 99.1 EX-99.1
- 99.2 EX-99.2
- CORRESP Corresp
Farmington Clinic similar filings
- 23 Sep 11 Registration of securities issued in business combination transactions (amended)
- 21 Sep 11 Registration of securities issued in business combination transactions (amended)
- 2 Sep 11 Registration of securities issued in business combination transactions (amended)
- 28 Jun 11 Registration of securities issued in business combination transactions
Filing view
External links
EXHIBIT 3.103
United States of America
The State or Washington
Secretary of State
I, SAM REED, Secretary of. State of the State of Washington and custodian of its seal, hereby issue this
CERTIFICATE OF FORMATION
to
WESTERN WASHINGTON HEALTHCARE, LLC
a/an WA Limited Liability Company. Charter documents are effective on the date indicated below.
Date: 6/18/2004
UBI Number: 602-405-282
APPID: 110245
[SEAL]
Given under my hand and the Seal of the State of Washington at Olympia, the State Capital
/s/ Sam Reed | ||||
Sam Reed, Secretary of State | ||||
State of Washington | APPLICATION TO FORM | |
Secretary of State | A LIMITED LIABILITY COMPANY | |
• Please PRINT or TYPE in black ink | (Per Chapter 25.15 RCW) | |
• Sign, date and return original AND ONE COPY to: | FEE: $175 | |
CORPORATIONS DIVISION | ||
801 CAPITOL WAY SOUTH — PO Box ___ | EXPEDITED (24-HOUR) SERVICE AVAILABLE - $20 PER ENTITY | |
OLYMPIA, WA 98504-0234 | INCLUDE FEE AND WRITE “EXPEDITE” IN BOLD LETTERS ON OUTSIDE OF ENVELOPE | |
• BE SURE TO INCLUDE FILING FEE. Check should be made payable to “Secretary of State” | ||
FOR OFFICE USE ONLY | ||
Filed: ___/___/____ ___ 602405282 | ||
CORPORATION NUMBER: | ||
Important Person to contact about this filing | Daytime Phone Number (with area code) |
CERTIFICATE OF FORMATION
NAME OF LIMITED LIABILITY COMPANY (LLC) (Must contain the word “Limited Liability Company” “Limited Liability Co.” “L. L. C”- or “LLC’)
Western Washington Healthcare, LLC
ADDRESS OF LLC’S PRINCIPAL PLACE OF BUSINESS
Street Address (Required) One Park Plaza city Nashville State TN ZIP 37203
PO Box(Optional — Must be in same city as street address _______________ ZIP (If different than street ZIP)________________
EFFECTIVE DATE OF LLC (Specified effective date may be up to 90 days AFTER receipt of the document by the Secretary of State)
o Specific Date: | þ Upon filing by the Secretary of State | |
DATE OF DISSOLUTION (If applicable) | MANAGEMENT OF LLC IS VESTED IN ONE OR MORE MANAGERS | |
þYeso No |
>>>>PLEASE ATTACH ANY OTHER PROVISIONS THE LLC ELECTS TO INCLUDE<<<<
NAME AND ADDRESS OF WASHINGTON STATE REGISTERED AGENT
Name C T Corporation System
Street Address (Required) 520 Pike Street City Seattle, State WA ZIP 98101
PO Box (Optional — Must be in same city as street address) __________________ ZIP (If different than street ZIP)____________
I consent to serve as Registered Agent in the State of Washington for the above named LLC. I understand it will be my responsibility to accept Service of Process on behalf of the LLC; to forward mail to the LLC; and to immediately notify the Office of the Secretary of State if I resign or change the Registered Office Address.
/s/ Mary R. Adams | Mary R. Adams, Assistant Secretary | 06/17/2004 | ||
Signature of Agent | Printed Name | Date |
NAMES ADDRESSES OF EACH PERSON EXECUTING THIS CERTIFICATE (If necessary, attach additional names and addresses)
Printed Name | Dora A. Blackwood | |||
Address | One Park Plaza | |||
Printed Name | ||||
Address | ||||
Printed Name | ||||
Address | ||||
Signature | /s/ Dora A. Blackwood | |
City Nashville State TN ZIP 37203 | ||
Signature | ||
City ______________ State ________ Zip_________ | ||
Signature | ||
City ______________ State ________ Zip_________ |
INFORMATION AND ASSISTANCE — 360/753-7115 (TDD — 360/753 — 1485)
Filed
Secretary of State
June 18, 2004
State of Washington
Secretary of State
June 18, 2004
State of Washington