Exhibit 3.167
ROSS MILLER
Secretary of State
206 North Carson Street
Carson City, Nevada 89701-4299
(775) 684 5708
Website: secretaryofstate.biz
Articles of Organization Limited-Liability Company
(PURSUANT TO NRS 86)
Filed in the office of
Ross Miller Secretary of State State of Nevada
Document Number 20070365637-79
Filing Date and Time 05/29/2007 8:00 AM
Entity Number E0372932007-1
USE BLACK INK ONLY - DO NOT HIGHLIGHT
ABOVE SPACE IS FOR OFFICE USE ONLY
1. Name of Limited-Liability Company: (must contain approved limited-liability company wording: see instructions)
Trousdale Health Holdings LLC
Check box if a Series Limited-Liability Company
2. Resident Agent Name and Street Address:
(must be a Nevada address where process may be served)
National Registered Agents, Inc. of NV
Name
1000 East William Street, Suite 204 (MANDATORY) Physical Street Address
Carson City
City
Nevada
89701
Zip Code
(OPTIONAL) Mailing Address
City
State
Zip Code
3. Dissolution Date:
(OPTIONAL: see instructions)
Latest date upon which the company is to dissolve (if existence is not perpetual):
4. Management:
Company shall be managed by
Manager(s) OR X Members
(check only one box)
5. Name and Address of each Manager or Managing Member: (attach additional page if more than 3)
The Ensign Group, Inc.
Name
27101 Puerta Real, Suite 450
Address
Mission Viejo
City
Ca
State
92691
Zip Code
Name
Address City State Zip Code
Name
Address City State Zip Code
6. Name, Address and Signature of Organizer:
(attach additional page if more than 1)
Danny Walker, Organizer
Name
X
Signature
27101 Puerta Real, Suite 450
Address
Mission Viejo
City
Ca
State
92691
Zip Code
7. Certificate of Acceptance of Appointment of Resident Agent:
I hereby accept appointment as Resident Agent for the above named limited-liability company.
JoAn T. Petty, Assistant Secretary
Authorized Signature of R.A. or On Behalf of R.A. Company
5/25/07
Date
This form must be accompanied by appropriate fees.
Nevada Secretary of State Form LLC Arts 2007
Revised on 01/01/07
ROSS MILLER Secretary of State 202 North Carson Street Carson City, Nevada 89701-4201 (775) 684 5708
Website: secretaryofstate.biz
Resident Agent Acceptance
General Instructions for this form:
1. Please print legibly or type; Black Ink Only
2. Complete all fields. Do not highlight.
3. Ensure that document is signed in signature field.
ABOVE SPACE IS FOR OFFICE USE ONLY
In the matter of Trousdale Health Holdings LLC
(Name of business entity)
I, National Registered Agents, Inc. of NV
(Name of resident agent)
hereby state that on May 25, 2007
(Date)
I accepted the appointment as resident agent for the above named business entity. The street address of the resident agent in this state is as follows:
1000 East William Street, Suite 204
(MANDATORY) Physical Street Address Suite number
Carson City NEVADA 89701
City Zip Code
Optional: (address where mail will be sent)
(OPTIONAL) Additional Mailing Address Suite number
City State Zip Code
Signature:
X JoAn T. Petty, Assistant Secretary
Authorized Signature of R.A. or On Behalf of R.A. Company
5/25/07
Date
Nevada Secretary of State R.A. Acceptance 2007
Revised on: 01/01/07
INITIAL/ANNUAL LIST OF MANAGERS OR MANAGING MEMBERS AND STATE BUSINESS LICENSE APPLICATION OF:
TROUSDALE HEALTH HOLDINGS LLC NAME OF LIMITED-LIABILITY COMPANY
ENTITY NUMBER E0372932007-1
FOR THE FILING PERIOD OF MAY, 2014 TO MAY, 2015
*100401*
USE BLACK INK ONLY - DO NOT HIGHLIGHT
**YOU MAY FILE THIS FORM ONLINE AT www.nvsilverflume.gov**
Return one file stamped copy. (If filing not accompanied by order instructions, file stamped copy will be sent to registered agent.)
IMPORTANT: Read instructions before completing and returning this form.
1. Print or type names and addresses, either residence or business, for all manager or managing members. A Manager, or if none, a Managing Member of the LLC must sign the form. FORM WILL BE RETURNED IF UNSIGNED.
2. If there are additional managers or managing members, attach a list of them to this form.
3. Return completed form with the fee of $125.00. A $75.00 penalty must be added for failure to file this form by the deadline. An annual list received more than 90 days before its due date shall be deemed an amended list for the previous year.
4. State business license fee is $200.00. Effective 2/1/2010, $100.00 must be added for failure to file form by deadline.
5. Make your check payable to the Secretary of State.
6. Ordering Copies: If requested above, one file stamped copy will be returned at no additional charge. To receive a certified copy, enclose an additional $30.00 per certification. A copy fee of $2.00 per page is required for each additional copy generated when ordering 2 or more file stamped or certified copies. Appropriate instructions must accompany your order.
7. Return the completed form to: Secretary of State, 202 North Carson Street, Carson City, Nevada 89701 -4201, (775) 684-5708.
8. Form must be in the possession of the Secretary of State on or before the last day of the month in which it is due. (Postmark date is not accepted as receipt date.) Forms received after due date will be returned for additional fees and penalties. Failure to include annual list and business license fees will result in rejection of filing.
Filed in the office of
Ross Miller Secretary of State State of Nevada
Document Number
20140487706-49
Filing Date and Time
07/07/2014 7:36 AM
Entity Number
E0372932007-1
(This document was filed electronically.)
ABOVE SPACE IS FOR OFFICE USE ONLY
ANNUAL LIST FILING FEE: $125.00
LATE PENALTY: $75.00 (if filing late)
BUSINESS LICENSE FEE: $200.00
LATE PENALTY: $100.00 (if filing late)
CHECK ONLY IF APPLICABLE AND ENTER EXEMPTION CODE IN BOX BELOW NRS 76.020 Exemption Codes
001 - Governmental Entity
005 - Motion Picture Company
006 - NRS 680B.020 Insurance Co.
Pursuant to NRS Chapter 76, this entity is exempt from the business license 1ee. Exemption code:
NOTE: If claiming an exemption, a notarized Declaration of Eligibility form must be attached. Failure to attach the Declaration of Eligibility form will result in rejection, which could result in late fees.
NAME
CTR PARTNERSHIP, L.P. MANAGER OR MANAGING MEMBER
27101 PUERTA REAL, SUITE 400 , USA
ADDRESS
MISSION VIEJO
CITY
CA
STATE
92691
ZIP CODE
NAME
MANAGER OR MANAGING MEMBER
ADDRESS CITY STATE ZIP CODE
NAME
MANAGER OR MANAGING MEMBER
ADDRESS CITY STATE ZIP CODE
NAME
MANAGER OR MANAGING MEMBER
ADDRESS CITY STATE ZIP CODE
None of the managers or managing members identified in the list of managers and managing members has been identified with the fraudulent intent of concealing the identity of any person or persons exercising the power or authority of a manager or managing member in furtherance of any unlawful conduct.
I declare, to the best of my knowledge under penalty of perjury, that the information contained herein is correct and acknowledge that pursuant to NRS 239.330, it is a category C felony to knowingly offer any false or forged instrument for filing in the Office of the Secretary of State.
Title
CHIEF FINANCIAL OFFICER
Date
7/7/2014 7:36:41 AM
X WILLIAM WAGNER
Signature of Manager, Managing Member or Other Authorized Signature
Nevada Secretary of State List ManorMem
Revised: 8-8-13
