S-4: Registration of securities issued in business combination transactions
Published on August 10, 2010
Exhibit 3.129
[ILLEGIBLE]
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DOCUMENT ID
200319900148
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DESCRIPTION
DOMESTIC AGENT SUBSEQUENT
APPOINTMENT (AGS)
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FILING
25.00
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EXPED
100.00
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PENALTY
.00
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CERT
.00
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COPY
.00
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Receipt
This is not a bill. Please do not remit payment.
C.T. CORPORATION SYSTEM
17 S. HIGH STREET
COLUMBUS, OH 43215
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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):
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Document No(s):
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DOMESTIC AGENT SUBSEQUENT APPOINTMENT
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200319900148
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Witness my hand and the seal of the Secretary of State at Columbus, Ohio this 17th day of July, A.D. 2003.
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United States of America
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/s/ J. Kenneth Blackwell
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State of Ohio
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Ohio Secretary of State
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Office of the Secretary of State
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Prescribed by J. Kenneth Blackwell
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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
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SKILLED NURSING - HICKSVILLE, INC.
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CSC-Lawyers Incorporating Service
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hereby appoint
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(Corporation Service Company)
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, to be statutory agent upon whom any process, notice or
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demand required or permitted by statute to be served upon the corporation may be served. The complete address of the agent is:
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50 West Broad Street
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(street name and number P.O. Boxes are not acceptable)
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Columbus
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, Ohio
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43215
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(city, village or township)
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(zip code)
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Signature:
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[ILLEGIBLE]
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, Incorporator
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Name:
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Signature:
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Name:
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Signature:
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Name:
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ACCEPTANCE OF APPOINTMENT
CSC-Lawyers Incorporating Service
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The undersigned,
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(Corporation Service Company)
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, named herein as the statutory agent for,
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SKILLED NURSING - HICKSVILLE, INC.
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, hereby acknowledges and accepts the
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appointment of statutory agent for said corporation.
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CSC-Lawyers Incorporating Service
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(Corporation Service Company)
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Signature:
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by: /s/ Laura D. Mudra,
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Laura D. Mudra, Asst.
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Statutory Agent
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Secretary
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Version: May 1, 1999
2 of 2
DATE:
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DOCUMENT ID
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DESCRIPTION
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FILING
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EXPED
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PENALTY
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CERT
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COPY
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||||
04/16/2001
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200110300204
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DOMESTIC ARTICLES/FOR PROFIT
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100.00
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10.00
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.00
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.00
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.00
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||||
(ARF)
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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)
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Document No(s):
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DOMESTIC ARTICLES/FOR PROFIT
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200110300204
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Witness my hand and the seal of the Secretary of State at Columbus, Ohio this 9th day of April, A.D. 2001.
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United States of America
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/s/ J. Kenneth Blackwell
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State of Ohio
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Ohio Secretary of State
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Office of the Secretary of State
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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
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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.
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The name of said corporation shall be:
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SKILLED NURSING - HICKSVILLE, INC.
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SECOND.
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The place in Ohio where its principal office is to be located is
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401 Fountain Street, Hicksville
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,
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Defiance
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County, Ohio
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(city, village or township)
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THIRD.
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The purpose(s) for which this corporation is formed is:
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The purpose for which the corporation is organized to transact any or all lawful business for which corporations may be
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incorporated under the Act.
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FOURTH.
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The number of shares which the corporation is authorized to have outstanding is: 1,000
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(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.)
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IN WITNESS WHEREOF, we have hereunto subscribed our names, on March 2, 2001
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(date)
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Signature:
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/s/ [ILLEGIBLE]
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, Incorporator
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Name:
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Signature:
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, Incorporator
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Name:
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Signature:
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, Incorporator
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Name:
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