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

Published on October 6, 2015

 

 EXHIBIT  3.147

 

 

STATE OF ARIZONA

(SEAL)

 
Office of the
CORPORATION COMMISSION

 

          The Executive Director of the Arizona Corporation Commission does hereby certify that the attached copy of the following document:

 

ARTICLES OF ORGANIZATION, 05/11/2004

 

consisting of 2 pages, is a true and complete copy of the original of said document on file with this office for:

 

PALM VALLEY SENIOR CARE LLC
ACC file number: L-1128989-8
 

         
(SEAL)    IN WITNESS WHEREOF, I have hereunto set my hand and affixed the official seal of the Arizona Corporation Commission on this date:
  August 12, 2015.
   
  /s/ Jodi A. Jerich
  Jodi A. Jerich, Executive Director
       
  By: /s/ George Moya
    GEORGE MOYA

 

 

 
 

 

STATE OF ARIZONA
ACC/FAX
DATE FILED
 
   
MAY 11 2004  

 

DATE APPR

05-11-04 

 

TERM      

BY (ILLEGIBLE)  

  

L-1128989-8 ARTICLES OF ORGANIZATION
OF
PALM VALLEY SENIOR CARE, LLC
 

 

   
1 The name of the limited liability company is Palm Valley Senior Care, LLC.
   
2 The address of the registered office of the limited liability company in Maricopa County, Arizona is 13575 West McDowell Road, Goodyear, Arizona 85338.
   
3 The name and address of the statutory agent of the limited liability company in Arizona are C T Corporation System, 3225 North Central Avenue, Suite 1601, Phoenix, Arizona 85012
   
4 Management of the limited liability company is reserved to the members. The name and address of each Member are: G & L Senior Care Partnership, L.P. and S & R Management Group, LLC, 439 North Bedford Drive, Beverly Hills, CA 90210.

 

DATED           May 11, 2004.

       
      /s/ Jan Pouncey
      Jan Pouncey, Authorized Person

 

(ILLEGIBLE)

 

1  
 

 

ACCEPTANCE OF APPOINTMENT BY STATUTORY AGENT

 

The undersigned, having been designated to act as Statutory Agent of Palm Valley Senior Care, LLC, hereby consents to act in that capacity until removed or its resignation is submitted in accordance with the Arizona Revised Statutes. 

       
DATED:           May 11, 2004 C T CORPORATION SYSTEM,  
  a Delaware corporation  
     
    /s/ Terne L. Bates  
  By: Terne L. Bates  
  Its: Assistant Secretary  

 

(ILLEGIBLE)

 

2
 

 

 

STATE OF ARIZONA

 

(SEAL)

 
Office of the
CORPORATION COMMISSION

 

The Executive Director of the Arizona Corporation Commission does hereby certify that the attached copy of the following document:

 

ARTICLES OF AMENDMENT, 07/22/2009

 

consisting of 2 pages, is a true and complete copy of the original of said document on file with this office for:

 

PALM VALLEY SENIOR CARE LLC
ACC file number: L-1128989-8
 

       
(SEAL)    IN WITNESS WHEREOF, I have hereunto set my hand and affixed the official seal of the Arizona Corporation Commission on this date:
  August 19, 2015.
   
  /s/ Jodi A. Jerich
  Jodi A. Jerich, Executive Director
     
  By: /s/ George Moya
    GEORGE MOYA

 

 
 

 

 (BAR CODE)

 

AZ CORPORATION COMMISSION  
FILED  
   
JUL 06 2009  
   
FILE NO. L-1128989-8  

 

AMENDED AND RESTATED
ARTICLES OF ORGANIZATION
OF
PALM VALLEY SENIOR CARE, LLC

 

Palm Valley Senior Care, LLC hereby amends and restates its Articles of Organization, which were originally filed on May 11, 2004, as follows:

 

1.          The name of the limited liability company (the “Company”) is:

 

“Palm Valley Senior Care, LLC”

 

2.          The address of the registered office of the Company in Maricopa County, Arizona is 5020 North 8th Place, Suite A, Phoenix, Arizona 85014.

 

3.          The name and business address of the Company’s agent for service of process in the State of Arizona are:

 

CT Corporation System
2394 E. Camelback Road
Phoenix, AZ 895016

 

4.          The duration of the Company shall continue until the first to occur of: (a) the dissolution of the Company as provided in Article IX of its Operating Agreement; or:  (b) December 31, 2065.

 

5.          Management of the Company is reserved to the Members. The name and business address of each Member are:

 

G&L Senior Care Properties, LLC
439 N. Bedford Drive
Beverly Hills, CA 90210

 

S&R Management Group, LLC

16601 N. 40th Street, Suite 110

Phoenix, AZ 85032

       
DATED: May 31, 2009   G&L Senior Care Properties, LLC,
    a Nevada limited liability company
     
    By: /s/ Steven D. Lebowitz
      Steven D. Lebowitz
      Its: Managing Member
     
Palm Valley Senior Care, LLC AMENDED AND RESTATED  
  ARTICLES OF ORGANIZATION  
  Page 1 of 2  
   
AZ CORPORATION COMMISSION  
FILED  
   
JUL 22 2009  
   
FILE NO. L-1128989-8  

 

 
 

 

   
DATED: May 31, 2009 S&R Ridgecrest, LLC
  an Arizona limited liability company

       
  By: /s/ Colleen Sweet  
    Colleen Sweet
    Its: Manager

 

ACCEPTANCE OF APPOINTMENT BY STATUTORY.AGENT

 

          The undersigned, having been designated to act as Statutory Agent of Ridgecrest Senior Care, LLC, hereby consents to act in that capacity until removed or its resignation is submitted in accordance with the Arizona Revised Statutes.  

         
DATED: July 6, 2009 CT CORPORATION SYSTEM  
  a Delaware corporation  
         
  By: /s/ Donald H. Boadway  
  Printed Name: Donald H. Boadway  
  Its: Assistant Secretary

 

Ridgecrest Senior Care, LLC AMENDED AND RESTATED  
  ARTICLES OF ORGANIZATION  

Page 2 of 2

 

 
 

  

STATE OF ARIZONA

 

(SEAL) 

 

Office of the
CORPORATION COMMISSION

 

The Executive Director of the Arizona Corporation Commission does hereby certify that the attached copy of the following document:

 

ARTICLES OF AMENDMENT, 12/21/2012

 

consisting of 4 pages, is a true and complete copy of the original of said document on file with this office for:

 

PALM VALLEY SENIOR CARE LLC
ACC file number: L-1128989-8 

         
(SEAL)    IN WITNESS WHEREOF, I have hereunto set my hand and affixed
the official seal of the Arizona Corporation Commission on this date:
  August 12, 2015.
   
  /s/ Jodi A. Jerich  
  Jodi A. Jerich, Executive Director
     
  By: /s/ George Moya  
    GEORGE MOYA  

 

 
 

 

   
  (BAR CODE) 

 

AZ CORPORATION COMMISSION AZ CORPORATION COMMISSION
FILED FILED
   
DEC 07 2012 DEC 21 2012
FILE NO. L-1128989-8 FILE NO. L-1128989-8

 

DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY.

 

ARTICLES OF AMENDMENT

Read the Instructions L015i

     
1. ENTITY NAME – give the exact name of the LLC at currently shown in A.C.C. records:
  Palm Valley Senior Care, LLC
     
2. A.C.C. FILE NUMBER: L-1128989-8
  Find the A.C.C. file number on the upper corner of filed documents OR on our website at: http://www.azcc.gov/Divisions/Corporations

 

CHECK THE BOX NEXT TO EACH CHANGE BEING MADE AND
COMPLETE THE REQUESTED INFORMATION FOR THAT CHANGE.

     
3. ENTITY NAME CHANGE – type or print the exact NEW name of the LLC in the space below:
     
     
4. R MEMBERS CHANGE (CHANGE IN MEMBERS)see Instructions L015iUse one block per person - FOR MEMBERS CURRENTLY SHOWN IN A.C.C. RECORDS - list the name of each member being changed, and below that provide any new information for that member (new name and/or address), then check all boxes that apply to indicate the change being made for that member. FOR NEW MEMBERS – in a separate block, list the name in the NEW Name blank and give the address, and check the appropriate box. If more space is needed, complete and attach the Amendment Attachment for Members form L044.
                       
             

 

S&R Management Group LLC

  Name currently shown in ACC records   Name currently shown in ACC records
  OHI Asset HUD SF, LLC    
  NEW Name   NEW Name
  200 International Circle, Suite 3500   16601 N. 40 St., #110
  Address 1   Address 1
       
  Address 2 (optional)         Address 2 (optional)    
  Hunt Valley   MD   21030   Phoenix   AZ   85032
  City  UNITED STATES   State or
  Province
  Zip   City     State or
  Province
  Zip
  Country           Country      
    Address change R   Add as 20% or more member     Address change ☐   Add as 20% or more member
  ☐   Name change ☐   Add as less than 20% member   ☐   Name change ☐   Add as less than 20% member
    ☐   Remove member     R    Remove member
                       
  G&L Senior Care Properties LLC      
  Name currently shown in ACC records   Name currently shown in ACC records
       
  NEW Name   NEW Name
  439 N Bedford Dr.    
  Address 1   Address 1
     
  Address 2 (optional)         Address 2 (optional)    
  Beverly Hills   CA   90210        
  City     State or
  Province
  Zip   City     State or
  Province
  Zip
  Country           Country      
    Address change ☐   Add as 20% or more member     Address change   Add as 20% or more member
  ☐   Name change ☐   Add as less than 20% member   ☐   Name change   Add as less than 20% member
    R    Remove member       Remove member
                       
L015.001 Arizona Corporation Commission – Corporations Division
Rev: 2010 Page 1 of 3

 

 
 

 

5. MANAGERS CHANGE (CHANGE IN MANAGERS)Use one block per person - FOR MANAGERS CURRENTLY SHOWN IN A.C.C. RECORDS - list the name of each manager being changed, and below that provide any new information for that manager (new name and/or address), then check all boxes that apply to indicate the change being made for that manager. FOR NEW MANAGERS – in a separate block, list the name in the NEW Name blank and give the address, and check the appropriate box. If more space is needed, complete and attach the Amendment Attachment for Managers form L043.

 

                       
               
  Name currently shown in ACC records   Name currently shown in ACC records
       
  NEW Name   NEW Name
       
  Address 1   Address 1
       
  Address 2 (optional)         Address 2 (optional)    
               
  City     State or
  Province
  Zip   City     State or
  Province
  Zip
  Country           Country      
    Address change   Add as manager     Address change   Add as manager
  ☐   Name change   Remove manager   ☐   Name change   Remove manager

 

6. MANAGEMENT STRUCTURE CHANGE see Instructions L015i – check only one box below and follow instructions:
    CHANGING TO MANAGER-MANAGED LLC – complete and attach the Manager Structure Attachment form L040. The filing will be rejected if it is submitted without the attachment.
    R CHANGING TO MEMBER-MANAGED LLC – complete and attach the Member Structure Attachment form L041. The filing will be rejected if it is submitted without the attachment.
           
  7. o STATUTORY AGENT CHANGE – NEW AGENT appointedsee Instructions L015i:
  7.1 REQUIRED – give the name (can be an Individual or an entity) and physical or street address (not a P.O. Box) In Arizona of the NEW statutory agent:   7.2 OPTIONAL – mailing address in Arizona of NEW Statutory Agent (can be a P.O. Box):

 

 

         
  Statutory Agent Name (required)      
           
  Attention (optional)       Attention (optional)    
           
  Address 1       Address 1    
           
  Address 2 (optional)       Address 2 (optional)    
  City   State   Zip   City   State   Zip
  7.3 REQUIRED – the Statutory Agent Acceptance form M002 must be submitted along with these Articles of Amendment.
           
  8. o STATUTORY AGENT ADDRESS CHANGE – ADDRESS OF CURRENT STATUTORY AGENT – complete 8.1 and/or 8.2:
  8.1 NEW physical or street address (not a P.O. Box) in Arizona of the existing statutory agent:   8.2 NEW mailing address in Arizona of the existing statutory agent (can be a P.O. Box):
       
           
  Attention (optional)       Attention (optional)    
           
  Address 1       Address 1    
           
  Address 2 (optional)       Address 2 (optional)    
  City   State   Zip   City   State   Zip

 

M016.001 Arizona Corporation Commission – Corporations Division
Rev. 2010 Page 2 of 3

 

 
 

 

       
9. x ARIZONA KNOWN PLACE OF BUSINESS ADDRESS CHANGE:
     
9.1 Is the NEW Arizona known place of business address the same as the street address of the statutory agent?
    x Yes –  go to number 10 and continue
    o No  –  go to number 9.2 and continue
       
9.2 If you answered “No” to number 9.1, give the NEW physical or street address (not a P.O. Box) of the known place of business of the LLC in Arizona:
           
   
   
  Attention (optional)
   
  Address 1
   
  Address 2 (optional)    
           
  City     State or Zip
        Province  
  Country        
       
10. o DURATION CHANGE – check one to indicate the NEW duration or life period of the LLC:
    o Perpetual
    o The LLC’s life period will end on this date: ___________________ (enter a date – mm/dd/yy)
    o The LLC’s life period will end upon the occurrence of the this event:
       
      _________________________________________________________________ (describe an event)
       
11. o ENTITY TYPE CHANGE – if changing entity type, check one and follow instructions:
    o Changing to a PROFESSIONAL LLC – number 12 must also be completed.
    o Changing to a NON-PROFESSIONAL LLC (professional LLC becoming a regular LLC).
       
12. o PROFESSIONAL SERVICES CHANGE – describe the NEW type of professional services the professional LLC will render:
       
       
13. o OTHER AMENDMENT – if an amendment was made that was not addressed by the check boxes on this form, then you must attach to these Articles of Amendment a complete copy of the LLC’s written amendment.
   
SIGNATURE: By checking the box marked “I accept” below, I acknowledge under penalty of perjury that this document together with any attachments is submitted in compliance with Arizona law.

 

x I ACCEPT 

     
/s/ Daniel J. Booth Daniel J. Booth 11/30/2012          
Signature Printed Name  Date (mm/dd/yy)
     
REQUIRED - check only one and fill in the corresponding blank if signing for an entity:

  

o This is a manager-managed LLC and I am signing individually as a manager or I am signing for an entity manager named:   x This is a member-managed LLC and I am signing individually as a member or I am signing for an entity member named:  
        OHI Asset HUD SF, LLC  
     
Filing Fee: $25.00 (regular processing)
Expedited processing - add $35.00 to filing fee.
All fees are nonrefundable - see Instructions.
Mail:

Fax:
Arizona Corporation Commission - Corporate Filings Section
1300 W. Washington St., Phoenix, Arizona 85007
602-542-4100

Please be advised that A.C.C. forms reflect only the minimum provisions required by statute. You should seek private legal counsel for those matters that may pertain to the Individual needs of your business. 

All documents filed with the Arizona Corporation Commission are public record and are open for public inspection. 

If you have questions after reading the Instructions, please call 602-542-3026 or (within Arizona only) 800-345-5819. 

 

L015-001 Arizona Corporation Commission – Corporations Division
Rev: 2010 Page 3 of 3

 

 
 

 

 

DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY.

 

STATUTORY AGENT ACCEPTANCE
Please read Instructions M0021 

     
1. ENTITY NAME - give the exact name in Arizona of the corporation or LLC that has appointed the Statutory Agent:
  Palm Valley Senior Care, LLC
   
2. A.C.C. FILE NUMBER (if entity is already incorporated or registered in AZ):   L-1128989-8
Find the A.C.C. file number on the upper corner of filed documents OR on our website at: http://www.azcc.gov/Divisions/Corporations
   
3. STATUTORY AGENT NAME – give the exact name of the Statutory Agent appointed by the entity listed in number 1 above (this will be either an individual or an entity):
   
  C T Corporation System

  3.1 Check one box:   The statutory agent is an Individual (natural person).
      ☒  The statutory agent is an Entity.

 

STATUTORY AGENT SIGNATURE:

   
  By the signature appearing below, the individual or entity named in number 3 above accepts the appointment as statutory agent for the entity named in number 1 above, and acknowledges that the appointment is effective until the entity replaces the statutory agent or the statutory agent resigns, whichever occurs first.
   
  By checking the box marked “I accept” below, I acknowledge under penalty of perjury that this document together with any attachments is submitted in compliance with Arizona law.
       
R  I ACCEPT
 
Virginia G. Flock
  /s/ Virginia G. Flock Assistant Secretary 12/07/2012
  Signature Printed Name Date

 

REQUIRED – check only one:

           
  Individual as statutory agent: I am signing on behalf of myself as the individual   ©  Entity as statutory agent: I am signing on behalf of the entity named as statutory agent, and I am authorized to act for that entity.  

  

  Filing Fee: none (regular processing)     Mail: Arizona Corporation Commission - Corporate Filings Section  
  Expedited processing – add $35.00 to filing fee.       1300 W. Washington St., Phoenix, Arizona 85007  
  All fees are nonrefundable – see Instructions.     Fax: 602-542-4100  

Please be advised that A.C.C. forms reflect only the minimum provisions required by statute. You should seek private legal counsel for those matters that may pertain to the individual needs of your business.

All documents filed with the Arizona Corporation Commission are public record and are open for public inspection.
If you have questions after reading the Instructions, please call 602-542-3026 or (within Arizona only) 800-345-5819.

 

M002.001 Arizona Corporation Commission – Corporations Division
Rev: 2010 Page 1 of 1