Form: S-4

Registration of securities issued in business combination transactions

August 10, 2010

Documents

S-4: Registration of securities issued in business combination transactions

Published on August 10, 2010


Exhibit 3.129

(BAR CODE)
               
[ILLEGIBLE]
DOCUMENT ID
200319900148
DESCRIPTION
DOMESTIC AGENT SUBSEQUENT
APPOINTMENT (AGS)
FILING
25.00
EXPED
100.00
PENALTY
.00
CERT
.00
COPY
.00
 
Receipt
This is not a bill. Please do not remit payment.
 
C.T. CORPORATION SYSTEM
17 S. HIGH STREET
COLUMBUS, OH 43215
 
STATE OF OHIO
CERTIFICATE
Ohio Secretary of State, J. Kenneth Blackwell
1222454
 
It is hereby certified that the Secretary of State of Ohio has custody of the business records for
 
SKILLED NURSING - HICKSVILLE, INC.
 
and, that said business records show the filing and recording of
   
Document(s):
Document No(s):
   
DOMESTIC AGENT SUBSEQUENT APPOINTMENT
200319900148
 

(logo)
Witness my hand and the seal of the Secretary of State at Columbus, Ohio this 17th day of July, A.D. 2003.
     
United States of America
 
/s/ J. Kenneth Blackwell
State of Ohio
 
Ohio Secretary of State
Office of the Secretary of State
 

 
 

 

(logo)
Prescribed by J. Kenneth Blackwell
 
Please obtain fee amount and mailing instructions from the Forms Inventory List (using the 3 digit form # located at the bottom of this form). To obtain the Forms Inventory List or for assistance, please call Customer Service:
Central Ohio: (614)-466-3910 Toll Free: 1-877-SOS-FILE (1-877-767-3453)
 
ORIGINAL APPOINTMENT OF STATUTORY AGENT
   
The undersigned, being at least a majority of the incorporators of  
SKILLED NURSING - HICKSVILLE, INC.

 
CSC-Lawyers Incorporating Service
 
hereby appoint
(Corporation Service Company)
, to be statutory agent upon whom any process, notice or
     
demand required or permitted by statute to be served upon the corporation may be served. The complete address of the agent is:
 
50 West Broad Street
 
(street name and number P.O. Boxes are not acceptable)
 
Columbus
, Ohio
43215
 
(city, village or township)
 
(zip code)

Signature: 
     [ILLEGIBLE]
, Incorporator
Name:  
   
     
Signature:  
   
Name:  
   
     
Signature:  
   
Name:  
   
 
ACCEPTANCE OF APPOINTMENT
     
 
CSC-Lawyers Incorporating Service
 
The undersigned,
(Corporation Service Company)
, named herein as the statutory agent for,
SKILLED NURSING - HICKSVILLE, INC.
, hereby acknowledges and accepts the
appointment of statutory agent for said corporation.
 

 
CSC-Lawyers Incorporating Service
 
 
(Corporation Service Company)
 
     
Signature: 
by: /s/ Laura D. Mudra,
 Laura D. Mudra, Asst.
 
Statutory Agent
Secretary
 
Version: May 1, 1999
 
2 of 2

 
 
(BARCODE )
 
DATE:
DOCUMENT ID
DESCRIPTION
FILING
 
EXPED
 
PENALTY
 
CERT
 
COPY
04/16/2001
200110300204
DOMESTIC ARTICLES/FOR PROFIT
100.00
 
10.00
 
.00
 
.00
 
.00
   
(ARF)
                 
 
Receipt
This is not a bill. Please do not remit payment.
 
CSC
700 S. Second Street
Springfield, IL 62704
 
STATE OF OHIO
 
Ohio Secretary of State, J. Kenneth Blackwell
 
1222454
 
It is hereby certified that the Secretary of State of Ohio has custody of the business records for
 
SKILLED NURSING - HICKSVILLE, INC.
 
and, that said business records show the filing and recording of:
   
Document(s)
Document No(s):
   
DOMESTIC ARTICLES/FOR PROFIT
200110300204

(logo)
Witness my hand and the seal of the Secretary of State at Columbus, Ohio this 9th day of April, A.D. 2001.
   
United States of America
 
/s/ J. Kenneth Blackwell
State of Ohio
 
Ohio Secretary of State
Office of the Secretary of State
 

 
 

 
 
             
(logo)
  Prescribed by J. Kenneth Blackwell Please obtain fee amount and mailing instructions from the Forms Inventory List (using the 3 digit form # located at the bottom of this form). To obtain the Forms Inventory List or for assistance, please call Customer Service: Central Ohio: (614)-466-3910 Toll Free: 1-877-SOS-FILE (1-877-767-3453)          
Expedite this form
x Yes
     
 
ARTICLES OF INCORPORATION
(Under Chapter 1701 of the Ohio Revised Code)
Profit Corporation
 
The undersigned, desiring to form a corporation, for profit, under Sections 1701.01 et seq. of the Ohio Revised Code, do hereby state the following:
           
FIRST.
The name of said corporation shall be:
 
SKILLED NURSING - HICKSVILLE, INC.
   
SECOND.
The place in Ohio where its principal office is to be located is
           
 
     401 Fountain Street, Hicksville
,
          Defiance
 
 County, Ohio
 
(city, village or township)
       
   
THIRD.
The purpose(s) for which this corporation is formed is:
 
The purpose for which the corporation is organized to transact any or all lawful business for which corporations may be
 
incorporated under the Act.
   
   
   
FOURTH.
The number of shares which the corporation is authorized to have outstanding is: 1,000                                   
 
(Please state whether shares are common or preferred, and their par value, if any. Shares will be recorded as common with no par value unless otherwise indicated.)
   
IN WITNESS WHEREOF, we have hereunto subscribed our names, on March 2, 2001                                                                                                                                              
 
(date)
 
 
         
Signature:
 
/s/ [ILLEGIBLE]
 
, Incorporator
Name:
       
         
Signature:
     
, Incorporator
Name:
       
         
Signature:
     
, Incorporator
Name:
       
 
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