S-4: Registration of securities issued in business combination transactions
Published on August 10, 2010
Exhibit 3.111
CERTIFICATE OF TRUST
OF
OHI ASSET IV (PA) SILVER LAKE TRUST
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FIRST:
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The undersigned, OHI Asset (PA), LLC, whose post-office address is 200 International Circle, Suite 3500, Hunt Valley, MD 21030, does hereby form a business trust under the general laws of the State of Maryland.
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SECOND:
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The name of the Business trust is OHI Asset IV (PA) Silver Lake Trust (the “Trust”).
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THIRD:
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The purpose for which the Trust is formed is as follows; To engage in any or all lawful business for which a business trust may be organized under the general laws of the State of Maryland.
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FOURTH:
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The street address of the principal office of the Trust in Maryland is c/o Omega Healthcare Investors, Inc., 200 International Circle, Suite 3500, Hunt Valley, MD 21030.
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FIFTH:
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The name of the resident agent of the Trust in Maryland is Omega Healthcare Investors, Inc., 200 International Circle, Suite 3500, Hunt Valley, MD 21030.
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SIXTH:
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The number of trustees of the Trust shall be on (1), which number may be increased. The name of the initial trustee is: OHI Asset (PA), LLC, a Delaware limited liability company.
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IN WITNESS WHEREOF, I have signed this certificate and acknowledge the same to be my act.
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I hereby consent to my designation in this document as resident agent for this business trust.
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SlGNATURE OF TRUSTEE:
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SIGNATURE OF RESIDENT AGENT
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LISTED IN FIFTH:
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/s/ Daniel J. Booth
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/s/ Daniel J. Booth
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OHI ASSET (PA), LLC
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Omega Healthcare Investors, Inc.
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Daniel J. Booth, Chief Operating Officer
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Daniel J. Booth, Chief Operating Officer
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RETURN TO:
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Mark E. Derwent
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Doran Derwent, PLLC
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125 Ottawa Ave., N.W., Suite 420
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Grand Rapids, Michigan 49503
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CUST ID: 0002365219
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Telephone: (616) 451-8690
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WORK ORDER: 0001808257
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Facsimile: (616) 451-8697
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DATE: 12-17-2009 07:15 PM
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AMT. PAID: $191.00
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