Oklahoma State Department of Health Health Resource ... · SGSL Management Holdings, LLC 1/24/17...

Oklahoma State Department of HealthHealth Resource Development Services

Listing of Facilities Owned by an Owner (Excluding Former Owners)

for Nursing Homes

As of: January 15, 2020

Owner NameFacilities Owned

NH5578 405-635-9961315 S.W. 80th Street Oklahoma City, OK 73139

Accel at Crystal Park

100% Cruse Five, LLC eff 1/24/17

Stockholders/partners Who Are Officers

P.O. Box 890396 Okla. City, OK 73139

Anthony Cruse Oklahoma Limited Partnership

47.4887% WRI, LP; 59.9% LCCP, LP;

100% LC General Partner,LLC

Stockholders/partners -- Not Officers

1500 Waters Ridge Dr 200 Lewisville, TX 75077

Taylor John F.

33.7166% WRI, LP eff 1/24/17


1500 Waters Ridge Drive 200 Lewisville, TX 75057

Lake Creek Capital Partners, LP

11.9075% WRI,LP eff 1/24/17



Fisher James (Jim)

0.1% LCCP, LP eff 1/24/2017



LC General Partner, LLC

eff 1/24/17

Contracted Management


Stonegate Senior Living, LLC

3.4436% WRI, LP; 20% LCCP, LP eff

1/24/17


1500 Waters Ridge Dt Lewisville, TX 75057

Taylor John P.

84% SWALK Operations, LLC eff 9/8/17


1500 Waters Ridge Dr. 200 Lewisville, TX 75057

Southwest SNF Holdings, LLC

100% Southwest SNF Holdings, LLC eff

1/24/17


1500 Waters Ridge Dirve 200 Lewisville, TX 75057

WR Investments, LP

100% WRIGPM,I & Gen. Partner of WR

Investments, LP eff 1/24/17



WR Investments GP, Inc.

20% LCCP, LP eff 1/24/17



Campbell Scott

100% of Stonegate Senior Living, LLC

eff 1/24/17


1500 Waters Ridge Drive 200 Lewisville, OK 75057

SGSL Management Holdings, LLC

1/24/17

Operating Entity

1500 Waters Ridge Drive, Suite 200 Lewisville, TX 75057

SWALK Operations, LLC

Managing Member SWALK Operations,

LLC & (SW SNFH) eff 1/24/17

Officers Who Do Not Hold Stock

1500 waters Ridge Dr. Lewisville, TX 75057

WR Investments GP Manager, Inc.

of [email protected]


eff 1/24/17

Lessor Or Real Estate Owner

8100 S. Walker, Building A Oklahoma City, OK 73129

Cruse Five, LLC

4% Member of OP EFF 9/8/2017

Member

601 NW 160th St. Edmond, OK 73013

Amed Saud


Member

4101 NE 119th St. Oklahoma City, OK 73131

Raju Senthil


Member

14501 Glenmark Dr. Edmond, OK 73013

Kumar Bommasamudram


Member

600 NW 153rd St. Edmond, OK 73013

Ashfaq Ahmad


Member

432 NW 22nd Oklahoma City, OK 73103

J. Russell Womble, PLLC


Member

5901 Grandby Rd. Edmond, OK 73034

Absolute Best Care, PLLC

NH6201 580-332-3631931 North Country Club Road Ada, OK 74820

Ada Care Center

Mgr Ada RE& Ada CC & 100% Mgng

Mbr BKS-RE&BKS eff. 02/01/2012


131 North Broadway Ada, OK 74820

Reed Bart

100% Ada Care Center, LLC



BK Strategies, LLC

100% Member Ada Real Estate, LLC eff

02/01/2012



BK Strategies Real Estate, LLC

UPL Mgr. eff. 6/30/2017



Ada Care Center, LLC

100% RE eff.02/01/2012



Ada Real Estate, LLC

UPL Owner eff. 6/30/2017

Operating Entity

100 W. Paul Avenue Pauls Valley, OK 73075

City of Pauls Valley

NH7406 918-331-05506006 SE Adams Blvd Bartlesville, OK 74006

Adams PARC

100% of Senior Comfort Corp. eff.

04/25/2011


1825 E. 15th Tulsa, OK 74104

Jiles Jon P.

70% of OP, eff. 04/25/2011


1825 East 15th Street Tulsa, OK 74104

Senior Comfort Corp.



20% of OP, eff.04/25/2011


2080 Verona Way Edmond, OK 73034

Kittco, LLC

10% of OP, eff.04/25/2011


PO Box 768 Sallisaw, OK 74955

Sullivan, Jr. Frank


18831 Von Karman Ave. 400 Irvine, CA 92612

Sabra Health Care Holding I, LLC

100% of Sabra Holdings III

Member

18831 Von Karman Ave 400 Irvine, CA 92612

Sabra Health Care Limited Partnership

1% of Sabra Health Limited Partnership

Limited Partner


Sabra Health Care, LLC

99% of Sabra Health Limited Partnership

General Partner


Sabra Health Care REIT, Inc.

eff 06-01-11

Operating Entity

6006 SE Adams Blvd Bartlesville, OK 74006

ConHold of Bartlesville, LLC

100% of Kittco LLC eff. 04/25/2011


2617 Warwick Pl Edmond, OK 73013

Wakeley Kitt



Sabra Health Care Holdings III, LLC

Pres. Sabra health Holdings III, Sabra,

LLC, and REIT


18500 Von Karman Avenue 550 Lrvine, CA 92612

Matros Richard

CFO Sabra Holdings III, Sabra Health

Care and REIT



Andrews, Jr. Harold

CFO & Sec Sabra Holdings, Sabra Health

Care & REIT



Nevo-Hacohen Talya

NH5204 580 725-3400205 E. Maple Billings, OK 74630

Albert Hall

45% OP / RE President eff. 1/23/2015


PO Box 367 Billings, OK 74630

Hardin Kelly

20% OP / RE eff. 1/23/2015


108 Saskatchewan Roland, OK 74954

Pitchford Linda

10% OP / RE eff. 1/23/2015


1821 West Lincoln Street Broken Arrow, OK 74012

Adams Diane

5% OP / RE VP eff 1/23/2015


603 N. 7th Tonkawa, OK 74653

Lewallen Barry

10% OP / RE Sec. eff 1/23/2015


112566 S. 4750 Rd. Muldrow, OK 72908

Kelton Gary



5% OP / RE eff. 1/23/2015


2170 CR3212 Jacksonville, TX 75766

Kombos Britni

5% OP / RE eff. 1/23/2015


2829 Falcon Crest Enid, OK 73703

Hardin Chase

eff. 1/23/2015

Operating Entity

205 E. Maple Billings, OK 74630

Fairchild Home & Community Based Services, LLC

eff. 1/23/2015


205 E. Maple Billings, OK 74630

Capitol Long Term Investments

NH5410 918-650-9393318 E "A" Street Weleetka, OK 74880

Alcis Place

amended corp. name (fkaProdetik, Inc.)

eff 02-05-08

Operating Entity

P.O. Box 217 Weleetka, OK 74880

The Reach Corporation

Non-Profit Board President of The Reach

Corporation 1-8-08


P.O. Box 790 Uniontown, KY 42461

Welsh Richard

Non-Profit Board VP of The Reach

Corporation


PO Box 790 UnionTown, KY 42461

Bailey M. Geoffry

Non-Profit Board Sec/Treas of The Reach

Corporation


PO Box 790 Uniontown, KY 42461

Pyle William "Bill"

authorized agent for The Reach

Corporation


1201 West Trudgeon Place Henryetta, OK 74437

Bentley Roy

eff. 8-15-07


P.O. Box 409 Sturgis, KY 42459

Maricopa Properties, LLC

100% of RE



Maricopa Partners, LLC

33.33% of Maricopa Partners, LLC



Rock River, LLC




MMB, LLC




Lovenest, LLC

30.959% of Rock River, LLC



Ervin Gary




Ervin Lisa

32.88% of MMB, LLC



Ervin Tim



17.455% of MMB, LLC



Ervin Vicki

29.421% of Lovenest, LLC



Ervin Robert




Ervin Laura

53.016% of Rock River, LLC - 4 children

w/13.254% each



4 Irrevocable Trusts

25% of 4 Irrevocable Trusts


P.O.Box 409 Sturgis, KY 42459

Ervin Mallory




Ervin Jade




Ervin Luke




Ervin Gabe

49.665% of MMB, LLC - 5 children

w/9.933% each







Ervin Max



P.O. Box Sturgis, KY 42459

Linenger Jessica




Ervin Mitch




Linenger Jennifer




Ervin Brock

56.623% of Lovenest, LLC - 7 children

w/8.089% each




14.286% of 7 Irrevocable Trusts



Ervin Thea



P.O. Box 409 Stugris, KY 42459

Ervin Issac



P.O. Box 409 Stugis, KY 42459

Ervin Samuel




Ervin Elijah




Ervin Saul






Ervin Micah




Ervin Mathias

NH7201 918-743-78841340 East 61st Street Tulsa, OK 74136

Ambassador Manor Nursing Center

Mgr OP/RE/Amity Care, L.LC

Managing Member

4350 Will Rogers Parkway 300 Oklahoma City, OK 73108

Greiner Don

Mgr OP/RE/Amity Care, L.LC

Managing Member


Dimond Mike

Management EFF 3/01/2016


4350 Will Rogers Parkway 300 Okc, OK 73108

Amity Care, L.L.C.

99% OP & 78% Amity Care



Don Greiner Trustee Kenneth D.Greiner III Revocable Trust, Don Greiner

Benef/Trustee

58% RE



Clarity Properties, LLC

52% of Renew - Mike Dimond, Trustee



Stalwart Trust

100% Clarity Properties 48% Renew

Prop/22% Mngr


4530 Will Rogers Parkway 300 OKC, OK 73108

Don Greiner Family Trust, Don Greiner Trustee

42% RE



Renew Properties, L.L.C.

OP EFF 3/1/2016

Operating Entity


Ambassador Operations, L.L.C.

RE EFF 3/1/2016



Ambassador Properties, L.L.C.

NH0805 405-247-3346300 West Washington Anadarko, OK 73005

Anadarko Nursing & Rehab

100% Real Estate end 07-01-2016


10100 Santa Monica Blvd. Las Angeles, CA 90067

Ok-an Associates, L.P.

100% Anadarko N&R & Interhealth, LLC

eff10-01-2017


9 Professional Drive Bella Vista, AR 72715

Montgomery Bradford

100% Real Estate eff 07/01/2016


P.O. Box 130 Newport, AR 72112

Trinik Holdings, LLC



Contracted Management eff 02-17-2017



Interhealth, LLC

OP eff

Operating Entity


Anadarko Nursing & Rehabilitation, LLC

NH6401 580-298-3294511 East Main Antlers, OK 74523

Antlers Manor

Beneficiary of Gilbert F. Green Trust

Beneficiary

P.O. Box 1090 Sallisaw, OK 74955

Green Trust Philip Riley

25% BGM &

4thSuccesTrustee&BeneficiaryDelores O

Mitchell Revoc


P.O. Box 330 Muldrow, OK 74948

Tabor Angela

25%BGM & SuccesTrustee &

Beneficiary- Delores O Mitchell Revoc


111522 S. 4740 Rd. Muldrow, OK 74948

Mitchell Robert Michael

25% BGM & 3rd

SucceTruste&Beneficiary-

DeloresMitchell RevocTru


412 S. Dogwood Sallisaw, OK 74955

Mitchell Marcinda

25% BGM 2nd

SuccesTrustee&Beneficiary Delores O

Mitchell Revoc


7240 Chase Oaks Blvd 121 Plano, TX 75025

Mitchell Kelly O.

Trustee of Delores O. Mitchell Revocable

Trust

Trustee

412 South Dogwood Sallisaw, OK 74955

Mitchell Delores O.


Beneficiary


Green Reba

Beneficiary of GIlbert F. Green Trust

Beneficiary


Ellis, fka Seay Tiffany Renee


Beneficiary


Thurman Bronson Owen


Beneficiary

P.O. Box 1090 Sallisaw, Ok 74955

Tiffany Ellis, fka Seay Trust


Beneficiary


Thurman Trust, Gilbert F. Green, Trustee Bronson


Beneficiary


Michelle Green Lori

50%



Gilbert F. Green Trust

Manager of Antlers Manor, LLC

Manager

Box 939 Antlers, OK 74523

Bibbs Charlotte



Trustee of Gilbert F. Green Trust

Trustee


Green Gilbert F.

25%



Delores O. Mitchell Revocable Trust

25.00% OP eff 9-16-16


,

BGM Estate, LLC


Operating Entity

201 S. 2nd Street Hugo, OK 74743

City of Hugo

UPL Mgr - (name change) 02/27/2018


,

Antlers Manor I, LLC

NH1903 918-224-6012310 West Taft Sapulpa, OK 74066

Arbor Village

100% of Sapulpa Holding, LLC


PO Box 990 Edmond, OK 73013

Diakonos Group, LLC

49% OP/99% Diakonos Group,

LLC/100% Servant Holding Corporation.



Pilgrim Scott

1% Diakonos Group, LLC


P.O Box 990 Edmond, OK 73034

Servent Holding Corporation

sub-lessee eff. 3-1-10

Operating Entity

P.O.Box 990 Edmond, OK 73083

Arbor Village Nursing, LLC

1st lessee of property ONLY

eff.7-29-09-not reviewed by CN


3325 French Park Dr. 6 Edmond, OK 73034

Sapulpa Holding, LLC

51% OP, Managing member

eff.02/01/2013


P.O. Box 990 Edmond, OK 73083

Pilgrim Lee E.

NH5001 580-622-20301415 West 15th Street Sulphur, OK 73086

Artesian Home

Operating Entity

1415 W. 15th Sulphur, OK 73086

Artesian Home, Inc.

100% of Elmbrook Properties, Inc. &

President, eff 3/11/19


1908 12th Ave N.W. E Ardmore, OK 73401

Coble Tom C.

100% Op.Ent.


1908 12th Avenue, N W E Ardmore, OK 73401

Elmbrook Properties, Inc.

Officers Who Do Not Hold Stock Coble Brett



Vice-Pres & Director, OP & Elmbrook

Properties, Inc.eff 3/11/191908 12th Ave NW E Ardmore, OK 73401

Sec/Treas & Director OP & Elmbrook

Prop Inc.,eff 3/11/19


1908 12th Ave, NW E Ardmore, OK 73401

Lodes Jason

NH7261 539-367-45001251 West Houston Broken Arrow, OK 74012

Aspen Health and Rehab

100% Parks Edge Prop & Parks Edge

Care Center eff


415 Rogers Avenue Ft. Smith, AK 72902

Morton Michael

OP eff ??-??-2019

Operating Entity

5115 East 51st Street Tulsa, Ok 74135

Parks Edge Care Center, Inc.

RE eff ??-??-2019


415 Rogers Avenue Fort Smith, AR 72901

Parks Edge Nursing Property, Inc.

NH3209 405-452-3271202 East First Street Wetumka, OK 74883

Aspen Place Living Center, LLC

Trustee Family Trust & Pres PNHHC,

Inc. eff 12/31/12



Adkins Gerrol Dean

Trustee Family Trust & Sec. Pioneer

NHHC, Inc. eff 12/31/12



Adkins Arbret June


P.O. Box 488 Wetumka, OK 74880

Pioneer Nursing Home Of Hughes County, Inc.

Beneficiary CDM Irrevocable Trust. eff

12/31/12319 West 9th St. Weleetka, OK 74880

Majors Cynthia

Beneficiary DRS Irrevocable Trust

eff.12/31/12319 West 9th St Weleetka, OK 74880

Simmons Donna Renee

Beneficiary GDA II Irrevocable Trust

eff.12/31/12Rt. 1, Box 121A Weleetka, OK 74880

Adkins, II Gerrol D.

eff. 1-1-07

Operating Entity


Aspen Place Living Center, LLC

100% OP manag.member



Aspen Place Revocable Business Trust

52% of RE eff 12/31/12



Gerrol Dean Adkins & Arbret June Adkins Family Trust (GDA/AJA)

16% RE eff 12/31/12


Rt 1 Box 121A Weleetka, OK 74880

Gerrol Dean Adkins II Irrevocable Trust dated 12/28/12



16% RE eff 12/31/12


Rt 1 Box 121A Weleekta, OK 74880

Cynthia Denise Majors Irrevocable Trust dated 12/28/12

16% RE eff 12/31/12



Donna Renee Simmons Irrevocable Trust dated 12/28/12

Trustee eff 12/31/12

Trustee

523 W. Main Henryetta, OK 74437

Palmer, C.P.A. Reginald

Secretary Eff 12/14/12


603 N. 7th Tonkawa, OK 74653

Lewallen Barry

NH5416 918-650-9393102 North 9th Street Okemah, OK 74859

Atlanta Place


eff 02-05-08

Operating Entity




Corporation 1-8-08



Welsh Richard


Corproation 1-8-08



Bailey M. Geoffry

Non-Profit Board Sec/Tre of The Reach

Corporation



Pyle William "Bill"


Corporation



Bentley Roy

eff. 8-15-07




100% of RE







Rock River, LLC

33.33% of Maricopa Partnes, LLC



MMB, LLC




Lovenest, LLC




Ervin Gary




Ervin Lisa

32.88% of MMB, LLC



Ervin Tim



17.455% of MMB, LLC



Ervin Vicki




Ervin Robert




Ervin Laura


w/13.254% each







Ervin Mallory




Ervin Jade




Ervin Luke




Ervin Gabe


w/9.933% each







Ervin Max




Linenger Jessica




Ervin Mitch




Linenger Jennifer




Ervin Brock


w/8.089% each







Ervin Thea




Ervin Issac




Ervin Samuel




Ervin Elijah




Ervin Saul






Ervin Micah




Ervin Mathias

NH0302 580-889-25001500 South Virginia Street Atoka, OK 74525

Atoka Manor

OP/RE

Operating Entity

1500 South Virginia Atoka, OK 74525

Atoka Manor, Inc.

Vice-Chairman eff 4/10/19


P.O. Box 718 Atoka, OK 74525

McCall Clay

Governing Board Member Eff 1/20/17


P.O. Box 1133 Atoka, OK 74525

Hardison Clint

Manager, eff 4/10/19

Manager

1810 W US Hwy. 82 Sherman, TX 75092

Carrus Healthcare, LLC

Secretary, eff 4/10/19


3111 Old Hwy.70 Durant, OK 74701

Lively David

Treasurer, eff 4/10/19


3617 E.Boggy Depot Rd Atoka, OK 74525

Hauff Shawn

20% Carrus Healthcare, LLC eff 4/10/19


1810 W US Highway 182 Sherman, TX 75092

Rains John

80% Carrus Healthcare, LLC, eff 4/10/19


258 Lyndsie Drive Coppell, TX 75019

ARCP Health, LP

1% General Partner, ARCP Health, LP,

eff 4/10/19



Navaladi, LLC

94.1 % Limited Partner, ARCP Health,

LP, eff 4/10/19



Nachimuthu Anbarasu

NH3801 580-569-2258801 B Street Snyder, OK 73566

Ayers Nursing Home

OP & 100% RE

Operating Entity

801 B. Street Synder, OK 73566

Ayers Nursing Home, Inc.

50% & President Ayers Nursing Home

Inc.


Rt. 2 Box 49a Snyder, OK 73566

Ayers Norman Pat

50% & VP Ayers Nursing Home


115 8th Snyder, OK 73566

Ayers Jerry



NH6202 580-436-1414201 West 5th Street Ada, OK 74820

Ballard Nursing Center

President 100% Epecho Associates, Inc.



Reed Gary

S/ Treasurer of Epecho Associates, Inc.



Reed Lenora Kay

Pres 100% IHS Holding, Inc. & IHS

Management Consultants,Inc.



Reed Bart

Eff. 7/29/2019

Operating Entity


IHS Ballard Nursing Center, Inc.



C N C Retirement Living, Inc.

100% RE



Epecho Associates, Inc.

100% OP



IHS Holding, Inc.

eff. 12-01-08



Rocking Chair Services, Inc. f/k/a IHS Management Consultants, I

Sec. of IHS Management Consultants,

Inc. eff.2/5/09


131 N. Broadway Ada, OK 74820

Camerer Beth Ann

Treasurer of IHS Management

Consultants, Inc. eff.2/8/09



Taylor Amy

NH1201 580-326-83831200 West Finley Hugo, OK 74743

Baptist Village of Hugo

President


3800 N. May Oklahoma City, OK 73112

Pierce William M.

Operating Entity

3800 N. May Oklahoma City, OK 73112

Baptist Village Retirement Communities of Oklahoma, Inc.

CFO


3800 North May Avenue Okla. City, OK 73112

Mills Kenneth D.

VP Planning/Projects


3800 North May Ave. Oklahoma City, OK 73112

Short Wendell

VP- Operations


3800 N. May Ave. Oklahoma City, OK 73112

Thomas Steve



Corporate Secretary


3800 N May Ave. Oklahoma City, OK 73112

Hughes Judy

NH5701 918-847-2572411 S. 4th Street Barnsdall, OK 74002

Barnsdall Nursing Home


411 South Fourth Street Barnsdall, OK 74002

Osage Nursing Home Inc.

95% OP eff. 4-01-09 and 50% RE


1926 Glynwood Dr. Bartlesville, OK 74006

Hardin Janet

50% RE



Farmer Margaret Ann

Operating Entity

411 South 4th Barnsdall, OK 74002

Barnsdall Health Care, L.L.C.

5% OP eff. 4-01-09


411 South 4th Barnsdall, OK 74002

Jamison Susan

NH7403 918-333-95453434 Kentucky Place Bartlesville, OK 74006

Bartlesville Health and Rehabilitation Community

50% Mgng Mbr BHRC,LLC & 50% Pres

BCC, Inc. eff 12/03/2012


6445 Clearcrek Bartlesville, OK 74006

Dout Alex

Operating Entity

3434 Kentucky Pl. Bartlesville, OK 74006

Bartlesville Care Center, Inc.

50% Mgng Mbr BHRC,LLC & 50%

V.Pres BCC, Inc. eff 12/03/2012


2400 W. Camelback Duncan, OK 73553

Wilkins Tony

eff 12/03/2012


3434 Kentucky Place Bartlesville, OK 74006

BHRC, LLC

NH1902 918-2161811102 East Line Sapulpa, OK 74067

Beacon Ridge Senior Mental Health

100% of Sapulpa Holding, LLC eff

05/01/2014



Diakonos Group, LLC

49% Arbor Village, 99% of Diakonos

Group eff 05/01/2014



Pilgrim Scott



OP eff 05/01/2014

Operating Entity


Arbor Village Nursing, LLC

100% RE eff 05/01/014


3325 French Park Dr. 6 Edmond, OK 73034

Sapulpa Holding, LLC

51% of Arbor Village Nursing, LLC



Pilgrim Lee E.

NH7601 580-327-1274916 Noble Alva, OK 73717

Beadles Nursing Home

Operating Entity

916 Noble Alva, OK 73717

Beadles, Inc.

25% & Vice President, OP, eff

08/03/2012


916 Noble (P.O.Box 728) Alva, OK 73717

Mary Ruth Hiett Revocable Living Trust (MRHRLT)dated May 18,1999

25% & Secretary OP/ Beneficiary

MRHRLT, eff March 12, 2014


817 Noble Alva, OK 73717

Lynch Marietta

25% & President, OP/ Ben/Trste

MRHRLT, eff 08/03/2012


P.O. Box 62 Alva, OK 73717

Jordan Adam

25% & Treasurer OP/Beneficiary

MRHRLT, eff 08/03/2012


941 Baker Place (P.O. Box 134) Alva, OK 73717

Hiett Barbara

Beneficiary MRHRLT, eff 08/03/2012


915 Logan Alva, OK 73717

Swain Charlotte

NH6111 918-297-70001300 North Drive Hartshorne, OK 74547

Beare Manor

50% RE/OP


1929 Betty Jane Lane Muskogee, OK 74403

Montgomery Tom


P.O. Box 1015 Hartshorne, OK 74547

Beare's Co., Inc.

25% RE/OP


P.O. Box 1015 Hartshorne, OK 74547

Beare Karen

Operating Entity


Hartshorne Health Services, L.L.C.

25% OP/RE eff.12-26-09


PO Box 1015 Hartshorne, Ok 74547

Estate of Mickey Beare



NH0401 580-625-4571200 East 8th Street Beaver, OK 73932

Beaver County Nursing Home

Operating Entity

200 E. 8th Beaver, OK 72932

Beaver County Hospital Authority

Chairman


Rr Beaver, OK 72932

Myers Neill


111 West 2nd Street Beaver, OK 73932

Beaver County

Vice Chairman


Rt. 1, Box 34 Beaver, OK 73932

Collison Leslie

RE County Commissioner Eff 08/05/11


,

Rose Carl Jay



,

King Frank



,

Raven Brad

Secretary Board of Trustees OP eff

02/10/2014


902 Ave F Beaver, OK

Morrison Jack

Member Board of Trustees, eff. 07/30/12


RT 2 Box 86A Balko, OK

Grose Karen Sue

Member Board of Trustees Eff 02/10/14


P,P. BOX 1409 Beaver, OK

Parker Curtis

Administrator, eff 3/20/17


P.O. Box 220 Beaver, OK 73932

Barby Robin

NH0505 580-225-33352301 Bell Avenue Elk City, OK 73644

Bell Avenue Nursing Center

100% Elk City Holding & Bell Avenue

Nursing



Diakonos Group, LLC


Managing Member


Pilgrim Scott

100% OP

Operating Entity

3325 French Park Drive 6 Edmond, OK 73034

Bell Avenue Nursing, LLC

100% Real Estate Eff 01/01/2015


3325 French Park Drive 6 Edmond, OK 73034

Elk City Holding, LLC



NH5502 405-767-65006500 North Portland Avenue Oklahoma City, OK

73116

Bellevue Health & Rehabilitation Center

1/6 Northwest Nursing and Convales.

Home, Inc.


7405 Clayton Drive Okla. City, OK 73132

Estate of Caroline Ann Harris, Allen K. Harris, personal represe

1/3 Northwest Nursing and convales.

Home, Inc.


400 N.E. 70th Oklaoma City, OK

Stout Hugh A. Jr.

14.28% Bellevue Convalescent Hospital,

Inc.


2925 Hemingford Lane Oklahoma City, OK 73126

Thompson, Jr. Norman L.


Inc.


2504 Brookdale Edmond, OK 73034

Burgess Diane

1/6 Northwest Nursing and Convales.

Home, Inc.


7405 Clayton Drive Okla. City, OK 73132

Harris Allan K.

2/3 OP/RE


c/o 7843 West Britton Rd. Okla. City, OK 73132

Northwest Nursing and Convalescent Home, Inc.

1/3 OP/RE


6500 North Portland Ave. Okla. City, OK 73116

Bellevue Convalescent Hospital, Inc.


Inc.


2925 Hemingford Lane Oklahoma City, OK 73120

Thompson David


Inc.


6500 N. Portland Oklahoma City, OK 73116

Thompson Robert


Inc.


11300 N. Penn Unit #124 Oklahoma City, OK 73120

Thompson Stephen C.


Inc.


14524 Salem Creek Edmond, OK 73013

Hardeman Nancy

1/3 Northwest Nursing & Conval. Home

Inc.


PO Box 1689 Elephant Butte, NM 87935

Jones Betty Jo


Inc.


6500 North Portland Okla. City, OK 73116

Price Sandra

Operating Entity

6500 North Portland Avenue Okla. City, OK 73116

Bellevue Northwest Nursing Center, an Oklahoma partnership

NH2101 918-786-22751400 South Main Street Grove, OK 74344

Betty Ann Nursing Center



100% Ban NH, LLC (OP/RE) eff

07/28/11


593 Atlanta Street Roswell, GA 30075

Brogdon Connie

100% of Marsh Pointe Mgmt and

Manager of Ban NH LLC


3050 Peachtree Rd 355 Atlanta, GA 30305

Brogdon Christopher

OP/RE Eff 07/28/11

Operating Entity

1400 S. Main St. Grove, OK 74344

Ban NH, LLC



Two Buckhead Plaza, 3050 Peachtree Road NW 355 Atlanta, GA 30305

Marsh Pointe Managment, LLC

NH5413 918-650-9393732 East 3rd Street Weleetka, OK 74880

Beverly Place


eff 02-05-08

Operating Entity




Corporation 1-8-08



Welsh Richard


Corporation 1-8-08



Bailey M. Geoffry


Corporation



Pyle William "Bill"


Corporation



Bentley Roy

eff. 8-15-07




100% of RE







Rock River, LLC




MMB, LLC




Lovenest, LLC




Ervin Gary




Ervin Lisa

32.88% of MMB, LLC



Ervin Tim



17.455% of MMB, LLC



Ervin Vicki




Ervin Robert




Ervin Laura


w/13.254% each







Ervin Mallory




Ervin Jade




Ervin Luke




Ervin Gabe


w/9.933% each







Ervin Max




Linenger Jessica




Ervin Mitch




Linenger Jennifer




Ervin Brock


w/8.089% each







Ervin Thea




Ervin Issac




Ervin Samuel




Ervin Elijah




Ervin Saul






Ervin Micah




Ervin Mathias

NH5201 580-725-3533202 E Maple Billings, OK 74630

Billings Fairchild Center, Inc

Operating Entity

Highway 15 Billings, OK 74630

Billings Fairchild Center, Inc.

5%, V. President


112566 South 4750 Road Muldrow, OK 74948

Kelton Robin

60%; president eff. 06/18/2012



Hardin Kelly

20%


108 Saskatchewan Roland, OK 74954

Pitchford Linda

S/tres 10% ended 06/17/2012; 10% eff.

06/18/2012


112669 South 4750 Road Muldrow, OK 74948

Kelton Gertrude

5%


1821 West Lincoln Street Broken Arrow, OK 74012

Adams Diane

NH0806 405-656-2302516 North Broadway Binger, OK 73009

Binger Nursing and Rehabilitation

Mgr. OP;

99%COHEA,LP;100%CLPMgt. Group

eff 5/28/15


750 S. Cherokee Catoosa, OK 74015

Risman Dandy

Mgr. BN&R, LLC, Trustee Abbott Family

Trust eff 5/28/15


Rt. 3, Box 112 Hydro, OK 73048

Abbott Kent

50% Binger Nursing Rehab LLC,

ABBRIS Prop LLC & KD Hlth Mg52815


PO Box 130 Hydro, OK 73048

Abbott Family, LLC

100% Abbott Fmly, LLC eff 5/28/15



Abbott Family Trust

effective Sept. 23, 2014

Manager


KD Health Managment, LLC

effective May 28, 2015

Operating Entity

P.O. Box 70 Hydro, OK 73048

Binger Nursing and Rehabilitation, LLC



effective May 28, 2015


510 Arapaho Avenue Hydro, OK 73048

ABBRIS Properties, LLC

50% Binger Nursing & Rehab., LLC;

ABBRIS Prop., LLC, KD Hlth Mgt


P.O. Box 210 Ketchum, OK 74349

COHEA Limited Partners, LP

1% COHEA Limited Partners, LP eff

5/28/15


,

CLP Management Group, Inc.

NH3501 580-371-26361105 East Main Tishomingo, OK 73460

Blue River Healthcare, Inc.

100% Pres


2820 Ridgeway Ardmore, OK 73401

Walker Kenneth

eff01/27/2004

Operating Entity

HCR 70 Box 213A Ardmore, OK 73401

Blue River Healthcare, Inc.

NH3201 405-379-54431600 East Highway Holdenville, OK 74848

Boyce Manor Nursing Home

50% Medi-Plex Nursing Complex



Estate of Bob G Mitchell - deceased, Marcinda Mitchell, Personal

UPL Mgr.eff. 6/30/2017


1600 East Highway Holdenville, OK 74848

Medi-Plex Nursing Centers, Inc.

RE 6-30-2017


1600 East Highway Holdenville, OK 74848

Medi-Plex Nursing Centers, Inc.

Estate of Bob G. Mitchell (Personal

Representative)



Mitchell Marcinda

50% Medi-Plex/Trustee/Bene.




Trustee/Bene. of Gilbert F. Green Trust

Trustee


Green Gilbert F.

Sole Manager of Medi-Plex Nursing

Centers


1600 E. Highway Holdenville, ok 74848

Carr Jennifer

UPL Owner eff 6/30/2017

Operating Entity


City of Hugo

Mayor 1st ward OP



Frazier Darren

Vice-Mayor 2nd Ward OP


2015 S. 2nd St. Hugo, OK 74743

McCarty Ernest



City Council Member 4th Ward OP


2015 S. 2nd St. Hugo, OK 74743

Roxberry Donald

City County Member At Large, OP


2015 S. 2nd St. Hugo, OK 74743

Higginbotham Richard

City Council Member, 3rd Ward OP


2015 S. 2nd St. Hugo, OK 74743

Ridenour Gaylon

NH5111 918-683-8070841 North 38th Street Muskogee, OK 74401

Brentwood Extended Care & Rehab

100% Managing Member OpEnt and Real

Estate



Montgomery Montie

eff 1/11/07



Bomont Properties, L.L.C.

eff 1/11/07

Operating Entity


Brentwood Extended Care & Rehab, LLC

NH1407 405-527-6519301 Broadway Lexington, OK 73051

Broadway Living Center

50% OP/RE


3548 Wellsite Drive Norman, OK 73069

Scearce Audra

50% OP/RE



Scearce Joe

eff 9/1/04

Operating Entity

10217 Geronimo Norman, OK 73026

MM of Lexington LLC

eff. 03-04-08



Elder Health Care LLC

NH5101 918-683-28511622 East Broadway Muskogee, OK 74403

Broadway Manor Nursing Home

60% BHCP GP JV 2015, LLC, 7/1/16


332 S. Michigan Ave. 1100 Chicago, IL 60604

Birchwood Health Care Properties, LLC

Manager & 100% Mbr, Birchwood HCP

LLC& OK4 Manager, LLC 7/1/16



Dole Isaac



Manager 7/1/16

Manager

415 US Hwy377 S 200 Argyle, TX 76226

Transition Health Services-OK, LLC

100%Master Lessee (RE) eff 5/8/18



OK4 SNF HoldCo, LLC

100% OK4 SNF HoldCo, LLC, 7/1/16



OK4 HH/H Master HoldCo, LLC

5% BHCP OK4 HH/H JV, LLC 7/1/16



BHCP OK4 HH/H Sponsor, LLC

95% BHCP OK4 HH/H JV, LLC,7/1/16



BHCP OK4 HH/H Investors, LLC

70% BHCP OK4 HH/H Sponsor,LLC,eff

5/8/18



BHCP GP JV 2015, LLC

Mgr-Applicant,Lessor, OK4 SNF

HoldCo,LLC,OK4HH/H Master 7/1/16

Manager


OK4 Manager, LLC

0-25% OK4 HH/H Master HoldCo, LLC,

7/1/16


415 US Hwy 377 S 200 Argyle, TX 76226

SBS of OK, LLC

33.33% Member & Manager SBSof

OK,LLC&THS-OK,LLC,7/1/16


415 US Hwy 377 S 200 Argyle, TX 76226

Bates Josh




415 US Hwy 377 S 200 Argyle, TX 76226

Shelton Chana




415 US Hwy 377 S 200 Argyle, TX 76226

Sims Debra

OP Eff 1/7/16, & Sublessee, eff 5/8/18

Operating Entity


OK4 Broadway OpCo, LLC

RE Eff, 7/1/16



OK4 Broadway RealCo, LLC

NH7205 918-251-5343424 North Date Broken Arrow, OK 74012

Broken Arrow Nursing Home, Inc

Operating Entity

424 N. Date Broken Arrow, OK 74012

Broken Arrow Nursing Home, Inc.

88% Pres eff.7-2-07


424 N. Date Broken Arrow, OK 74012

Cooper Joannna

6% Sec eff. 7-2-07


Rt. 3 Broken Arrow, OK 74014

Cooper-Woodard Debra

6% Tres eff. 7-2-07


3610 Orange Circle Broken Arrow, OK 74012

Cooper-Poormon Paulie



NH4501 580-584-6433700 West Jones Broken Bow, OK 74728

Broken Bow Nursing Home

50% OP eff 02/07/2011


P.O. Box 2230 Waldron, AR 72958

Watts Fred

50% treasury st


700 West Jones Broken Bow, OK 74728

Indian Nations Nursing Home, Inc.

86.5% RE & President Eff 3-23-16



Farmer Don

50% OP, Eff 02/07/11


200 Home Street Pocola, OK 744902

Hensley Chris

Eff 02/07/11

Operating Entity

700 W. Jones Broken Bow, OK 74728

Broken Bow Health and Rehabilitation, LLC

13.5% RE & VP Eff 3-23-2016


3520 east 110th Place Tulsa, OK 74137

Farmer Frederick Sinclair

NH1405 405-292-22731050 Rambling Oaks Drive Norman, OK 73072

Brookhaven Extensive Care

Operating Entity

1126 Rambling Oaks Drive Norman, OK 73072

Brookhaven Gardens, L.L.C.

100% Oklahoma Senior Care, LLC


1126 Rambling Oaks Dr. Norman, OK 73072

OHara Dirk

President and 100% Senior Comfort

Corp. Eff. 12/31/2015


1825 E. 15th Tulsa, OK 74104

Jiles Jon P.

50% of Vision Health, LLC eff

08/01/2016





08/01/2016



Kittco, LLC


08/01/2016



Oklahoma Senior Care, L.L.C.

100% of Sabra Health Care Holdings, III




1% of Sabra Health Care Limited

Parnership eff 10/29/2014




100% RE eff 10/29/2014






CFO Sabra Holdings III, Sabra Health

Care and REIT



Andrews, Jr. Harold

Manager and 100% of Kittco, LLC Eff.

12/31/2016


2080 Verona Way Edmond, ok 73034

Wakeley Christopher

100% of Brookhaven Gardens, LLC eff

08/01/2016


922 NW 5th Street Oklahoma City, OK 73106

Vision Health, LLC

NH4801 580-795-2100310 Brookside Drive Madill, OK 73446

Brookside Nursing Center

Board Member of Senior Care Group,

Inc.


1240 Marbella Plaza Drive #12 Tampa, FL 33619

Vaughan David R.

su-lessee eff. 11-01-06

Operating Entity

1240 Marbella Drive Tampa, FL 33619

SCG Madill Brookside, LLC

eff. 11-01-06


1115 Marbella Plaza Drive Tampa, FL 33619

Investors in Real and Personal Property, Tenants in Common

eff. 11-01-06



SCG Red River Management, LLC

1.71% RE


1240Marbella Plaza Drive Tampa, FL 33619

Red River TIC - Christy, LLC

2.29% RE



Red River TIC - Fridrich, LLC

2.86% RE



Red River TIC - Drobeck, LLC

1.21% RE



Red River TIC - Correia, LLC

4.11% RE



Red River TIC - Klatt, LLC

1.37% RE



Red River TIC - Mealer, LLC

2.86% RE



Red River TIC - Fish, LLC

3.43% RE



Red River TIC - Page, LLC

2.29% RE



Red River TIC - Stalker, LLC

3.43% RE



Red River TIC - Pendleton, LLC



2.51% RE



Red River TIC - Brauburger, LLC

1.71% RE



Red River TIC - Mathews-Bingham, LLC

1.14% RE



Red River TIC - DeMane, LLC

1.14% RE



Red River TIC - Crowley, LLC

2.11% RE



Red River TIC - May, LLC

4.57% RE



Red River TIC - Young, LLC

2.29% RE



Red River TIC - Robert Yeh, LLC

2.29% RE



Red River TIC - Albert Yeh, LLC

5.39% RE



Red River TIC - Levenson, LLC

2.86% RE



Red River TIC - Wallace, LLC

3.75% RE



Red River TIC - Evelyn Wallace, LLC

5.91% RE



Red River TIC - Stangl, LLC

6.72% RE



Red River TIC - Shull, LLC

1.14% RE



Red River TIC - Restivo, LLC

2.29% RE



Red River TIC - McIntosh, LLC

2.29% RE



Red River TIC - Essayli, LLC

3.43% RE



Red River TIC - Hall, LLC

11.43% RE



Red River TIC - Alexander, LLC

2.29% RE



Red River TIC - Hijazi, LLC

1.26% RE



Red River TIC - Wang, LLC



0.29% RE



Red River TIC - Howard, LLC

1.0% RE



Red River TIC - Roberts, LLC

1.71% RE



Red River TIC - Sandra Shaner, LLC

4.92% RE



Red River TIC - Kelley, LLC

100% SCG Madill Brookside, LLC



Senior Care Group, Inc.

manager for TIC owners(real estate) eff.

1-01-08


2547 Mason Oaks Drive Valrico, FL 33596

Morgan Consulting Group, LLC

sole managing memeber Moran

Consulting Group, LLC



Moran Francis D.

CFO/Sec. Senior Care Group, Inc.

eff.3-23-10



Chudow Katherine (Kathy)

master lessee eff. 9-26-06



SCG Red River, LLC

President eff 6/2/2017



Vaughan Michelle

CJ2017-190 eff. 10-31-2018

Court Appointed Receiver

401 South Boston 2320 Tulsa, OK 74103

C. David Rhoades Court Appointed Receiver CJ-2017-190

eff.01/09/2019


1908 12th Ave. E Ardmore, OK 73401

Elmbrook Managment Company

NH5554 405-636-0626940 Southwest 84th Street Oklahoma City, OK 73139

Brookwood Skilled Nursing and Therapy

President/Manag.Member of

OP/RE/Manager



Greiner Don


2200 NW 50th 126 Oklahoma City, OK 73112

Azaleabrook, L. L. C.



Amity Care, L.L.C.

78% OP & Amity Care, LLC eff.

10-21-03




Benef/Trustee

22% OP & Amity Care, LLC

eff.10-21-03



Don Greiner Trust, Don Greiner Trustee



Secretary



Diamond Mike

Operating Entity

4350 Will Rogers 300 OKC, OK 73108

Brookwood Nursing Center, L.L.C.

NH5565 405-677-38642901 Southeast 22nd Street Oklahoma City, OK 73129

Bryant Place

Operating Entity

3317 S.E. 18th Street Del City, OK 73115

Reliant Living Centers of Oklahoma, Inc.

Treas. EFF 02/15/2013


821 SW 38th Oklahoma City, OK 73109

Black Art

President EFF 02/15/2013


4932 North Portland Avenue Oklahoma City, OK 73113

Love Willa

Vice President EFF 02/15/2013


9804 Casa Linda Oklahoma City, OK 73139

Moon Tim

Exec Director


2901 S.E. 22nd Oklahoma City, OK 73129

Jernigan Janelle F.

Secretary EFF 02/15/2013


325 W. Pinesway Mustang, OK 73064

Ellis Scott

NH5002 580-369-2653505 South 7th Street Davis, OK 73030

Burford Manor

100% Davis Health & Rehab - RE eff.

05-01-08 end 11/01/11


PO Box 1831 Ocean Springs, MS 39566

fax 601-510-9727 Daves, Jr. William E. (Billy)

eff. 05-01-08

Operating Entity

26 Riviera Drive Hattiesburg, MS 39402

Davis Health and Rehabilitation, LLC

Eff 11/01/11


303 W Madison St 2400 Chicago, IL 60606

Murray County, LLC

100% RE


,

AVIV Financing I, LLC

100% AVIV Financing I, LLC eff

11/01/11


,

AVIV Healthcare Properties Operating partnership I, LLC

0.1% AVIV HPOP I Inc;52.41%.AHPLP

eff 11/01/11


,

AVIV Reit, Inc

99.9% AVIV HPOP I, LP eff 11/1/11


,

AVIV Healthcare Properties Limited Partnership



35.17% AVIV HPLP eff 11/01/11


,

A Units

5.68% AVIV HPLP eff 11/01/11


,

F Units

6.22% AVIV HPLP eff 11/01/11


,

C Units

5.11% A Unit eff 11/01/11


303 W Madison 2400 Chicago, IL 60604

Zev Karkomi Gift Trust fbo Susan Karkomi u/a/d 12/9/1991

5.68% F Unit eff 11/01/11



Craig M. Bernfiedl Business ABF, LLC

PresAVIV Reit, Inc; 100% Craig Bernfiel

Business ABF eff 11/1/11



Bernfield Craig

Vice Pres AVIV Reit, Inc eff 11/01/11



Chavez Leticia

Sec AVIV Reit, Inc eff 11/01/11



Kovitz Samuel H.

Treas AVIV Reit, Inc eff 11/01/11



Insoft Steven J.

52.1% AVIV Reit Inc eff 11/01/11



G Units

Dir AVIV Reit, Inc eff 11/01/11


630 5th Ave, 30th floor New York, NY 10111

Dees Michael W.




Goldberg Alan E.




Lindsay Robert D.




Triedman James Rusell



10127 Wilshire Blvd 2001 Los Angeles, CA 90024

Ryan Ari

6.1656% G Units eff 11/01/11



Bessemer LGB LLC

NH0703 580-434-57271061 North Access Road Calera, OK 74730

Calera Manor

16.665% OP


808 North 4140 Road Hugo, OK 74743

McEwing Chance Gwendolyn



16.665% OP


3005 Candlestick Enid, OK 73703

McEwing Patrick

25% BGM Estate eff 9-16-16



Tabor Angela

25% BGM Estate, LLC Eff 9-16-16


111522 S. 4740 Rd. Muldrow, OK 74948


4.1675%OP End 7/2016 25% BGM

Estate, eff 9-16-16



Mitchell Marcinda

4.1675% OP, eff 04/22/13 End eff.

7/2016 25% BGM Estate



Mitchell Kelly O.


Trust

Trustee


Mitchell Delores O.

33.33% of OP




Manager Eff. 7/2016


,

Mitchell Heather

16.67% of Calera Manor, LLC (UPL

Manager) eff 06/30/2017




16.67% UPL Manager eff 06/30/2017


,

BGM Estate, LLC


Operating Entity


City of Hugo

UPL Mgr (name change) 2/26/2018


,

Calera Manor I, LLC

NH5003 580-622-24161300 West Lindsay Sulphur, OK 73086

Callaway Nursing Home

100% Pres/OP


P.O. Box 582 Sulphur, OK 73086

Jewell Samuel

Operating Entity

1300 West Lindsay Murray, OK 73086

Sulphur Manor, Inc.

100% RE



Callaway Nursing Home, Inc.

100% of Callaway Nursing Home, Inc.

(RE)


Sulphur, OK 73086

Hughes Brenda




Capitol Hill Skilled Nursing and Therapy


OP/RE/Manager



Greiner Don


2200 N.W. 50th 126 Oklahoma City, OK 73112

Capitolcreek, L.L.C.



Amity Care, L.L.C.


10-21-03




Benef/Trustee


eff.10-21-03




Secretary



Diamond Mike

UPL Mgr. eff. 6/30/2017


4350 Will Rogers Parkway Oklahoma City, OK 73108

Capitol Hill Nursing Center, L.L.C


Operating Entity



NH0801 580-654-1439225 North Broadway Carnegie, OK 73015

Carnegie Nursing Home, Inc.

51% OP/50% RE


P.O. Box 538 Carnegie, OK 73015

Hilburn Sherri G.

Operating Entity

225 Broadway Carnegie, OK 73015

Carnegie Nursing Home Inc.

49% OP/50% RE


P.O. Box 538 Carnegie, OK 73015

Hilburn Lloyd


502 Scott Carnegie, OK 73015

225 Broadway, L.L.C.

NH7203 918-366-621076 West Rachel Street Bixby, OK 74008

Cearu Medical Resort

owner/lessor to Southtown Holding

Company, LLC


76 West Rachel Street Bixby, OK 74008

15600 South Memorial Drive, Inc.



99% managing member of southtown

asset management, llc 100%SNLLC



Pilgrim Scott

effective 3/31/2016

Operating Entity

129 W. 1st B Edmond, OK 73008

Southtown Nursing, LLC

100%


129 West 1st B Edmond, OK 73003

Southtown Holding Company, LLC

100% Man Member Southtown Holding,

Co. LLC/Southtown Nursing LL


129 W. 1st B Edmond, OK 73003

Southtown Asset Management, LLC

1% of Southtown Asset Management,

LLC



Servent Holding Corporation

NH1409 405-329-6771600 24th Avenue Southwest Norman, OK 73069

Cedar Creek Nursing Center


10100 Santa Monica Blvd. Los Angeles, CA 90067

No-more Associates, L.P.

100% Gary Creek, LLC


4921 Haley Lane Stillwater, OK 74074

Smart Gary

100% of BK Strategies eff 01/11/2016



Reed Bart

100% Norman Cedar Creek Real Estate,

LLC eff 01/11/2016




99% & GP of Sabra Health Care Limited

Partnership eff 10/29/14

General Partner



100% RE eff 01/11/2016



Norman Cedar Creek Real Estate, LLC

UPL Mgr. eff 6/30/2017



Gary Creek, LLC


Operating Entity



NH1602 580-355-16161700 Northwest Fort Sill Blvd Lawton, OK 73507

Cedar Crest Manor

10% OP eff 03/30/11. 8.39% RE eff

08/23/11


3938 Saint Marks Road Durham, NC 27707

Bynum Paige



OP & 16.1466% RE eff 08/23/2011

Operating Entity

1700 Ft. Sill Blvd Lawton, OK 73567

Cedar Crest Manor, Inc.

0.1395% OP and beneficary of Mary A.

Abshere Rev. Trust


1827 S. State Hwy 65 Lawton, OK 73501

Abshere Aldridge Tarri Lynn

8.38%RE eff 8/23/11,29.9998 OP eff

06/01/2016


801 Pershing Drive Lawton, OK 73507

Matthey, II William A.

0.0930% eff 03/30/11 VP eff 0601/2016



Aldridge Lyn W.

6.6201%OP eff 03/30/11 Pres. 5.59% RE

eff 08/23/11


9609 Monticello Drive Granbury, TX 76049

Dennis David H.

0.2326%OP Eff 03/30/11.16.54%RE eff

08/23/11


5402 SW Lee Blvd Lawton, OK 73505

Aycock Alan E.

6.6667%OP eff 03/30/11.5. 59%RE eff

08/23/11


1842 Wood Road McAlester, OK 74501

Whipps Diane E.

6.6667% OP eff 03/30/11. 5.6%RE Eff

08/23/11


80634 Camino Santa Elise Indio, CA 92203

Demas Larry

6.6667% eff 03/30/11. 5.59%RE eff

08/23/11


P.O. Box 2945 Rancho de Taos, NM 87557

Demas Michael R.

6.6667% OP eff 03/30/11. 5.59%RE eff

08/23/11


P.O. Box 841 Adkins, TX 78101

Hunt Demas Pamela A.

0.0465%OP eff 03/30/11 Treas.


1317 NW Maple Ave. Lawton, OK 73507

Statts Jennifer

19.3023%OP eff 03/30/11. 16.19%RE eff

08/23/11



Mary A. Abshere Revocable Trust, Mary Alberta Abshere Trustee

0.2326% eff 03/30/11. Beneficary of

Mary A. Abshere Rev. Trust


138 NW 36th Street Lawton, OK 73501

Abshere Bobby W.

0.2326% eff 03/30/11. Beneficary of

Mary A. Abshere Rev. Trust


9003 SE Willow Lane Lawton, OK 73501

Abshere Charles G.

19.7208% eff.03/30/11 June is a Member


2 NW Cypress Lane Lawton, OK 73505

Aycock, JTWROS Keith & June

0.0465% eff 06/01/2016 Sec.


9609 Monticello Granbury, TX 76049

Dennis Barbara

Authorized Signatory Officer for Lawton

OPCO, LLC

Officer

330 Wabash Ave 3700 Chicago, IL 60611

Coleman Matthew



NH7224 918-251-32001306 East College Broken Arrow, OK 74012

Cedarcrest Care Center

33.34% OP 33 1/3% RE


124 S. Elm Place Broken Arrow, OK 74012

Ross LaDonna

23.6% OP


4123 E. 45st Place Tulsa, OK 74101

Heidinger Patricia

6.8% OP


1955 E. 45th Place Tulsa, OK 74101

Laura Heidinger Quest Trust

3% OP


4123 E. 41st Place Tulsa, OK

Heidinger Nicholas

Operating Entity

1306 E. College Broken Arrow, OK 74012

Senior Citizens Nursing Center, Inc.

16.63% OP 16.665% RE


1700 Southwest Blvd Tulsa, OK 74107

Bagwell Shelly

16.63% OP 16.665% RE


1700 Southwest Blvd 100 Tulsa, OK 74107

Franks, Jr. (aka J.L.Franks) Jerry Lynn


1306 East College Broken Arrow, OK 74012

Senior Citizen Nursing Center Building, a General Partnership

33 1/3% RE



Anchor Ltd. Family Partnership

NH0901 405-263-4658635 West Texas Okarche, OK 73762

Center of Family Love

Operating Entity

6th And Texas Okarche, OK 73762

Center Of Family Love

President, eff 06/01/12 End 6-1-16


11701 N. Hasting Ave Yukon, OK 73099

Allen Ed



P.O. Box 21000 Oklahoma City, ok 73156

Krittenbrink Jerry

Executive Director


6404 Commodore Ln Oklahoma City, OK 73162

Espinoza Debbie

President EFF 6-1-16


P.O. Box 245 Okarche, OK 73762

Fleckinger Joe

Vice President EFF 6-1-17


635 W Texas Ave Okarche, OK 73762

Avant Margie

Secretary EFF 6-1-17


635 West Texas Ave. Okarche, OK 73762

Pierce John



NH4102 405-258-1131601 West 1st Street Chandler, OK 74834

Chandler Therapy & Living Center, LLC

EFF 8/01/2016


1150 S. Waldron Rd. Fort Smith, AR 72903

601 CH, LLC

OP EFF 8/1/2016

Operating Entity

601 W 1st Chandler, OK 74834

Chandler Therapy & Living Center, LLC

100% Manager RE/51%OP


1150 S. Waldron Rd Fort Smith, AR 72903

Kilgore Joshua

Member 49% OP


809 Bayonne Bridge Ct. Edmond, OK 73034

Morgan M. Brandon

NH4602 918-473-2251321 Southeast 2nd Street Checotah, OK 74426

Checotah Nursing Center

99% COHEA LP, 100% & GP of CLP

Management eff 10/27/2016


750 S. Cherokee Catoosa, OK 74015

Risman Dandy

Manager OP & Trustee Abbott Family

Trust eff 10/27/2016



Abbott Kent

50% KD Health Management, LLC eff

02/14/2016



Abbott Family, LLC

100% Abbout Family, LLC eff

10/27/2016



Abbott Family Trust

Co-Trustee and Beneficiary of Abbott

Family Trust eff 10/27/2016

Trustee


Abbott Jaylee

50% Checotah Nursing & Rehab &

ABBRIS Properties II eff 10/27/20


P.O. Box 210 Ketchum, OK 74349

COHEA Limited Partners, LP

1% GP of COHEA LP eff 10/27/2016

General Partner

,

CLP Management Group, Inc.

OP eff 11-01-2015

Operating Entity

321 SE 2nd Checotah, OK 74426

Checotah Nursing and Rehabilitation, LLC

100% Real Estate Company eff

11/01/2016



Abbris Properties II, LLC



NH1104 918-456-34561504 North Cedar Avenue Tahlequah, OK 74464

Cherokee County Nursing Center


1504 N. Cedar Tahlequah, OK 74464

Ward Manor Inc.

president 100% OP/RE



Morton Michael

Operating Entity

1504 N. Cedar Ave. Tahlequah, OK 74464

Cherokee County Nursing Center, Inc.

NH2602 405-224-35932701 South 9th Street Chickasha, OK 73018

Chickasha Nursing Center, Inc

Operating Entity

2700 South Street Chickasha, OK 73018

Chickasha Nursing Center, Inc.

33.33% eff 8/31/15, pres Chickaha

NC,Inc.


2423 Blackoak Court Blanchard, OK 73505

Brunt Acie

11.11% Chickasha NC, Inc eff

09-16-2013


1311 SW 45th Street Lawton, OK 73505

Allen Gary

11.11% Chickasha NC, Inc & Secretary

eff 09-16-2013



Dunderdale Jeannie

11.11% Chickasha NC, Inc. & Treasurer

eff. 09-16-2013



Harris (Allen) Janet

16.66% Chickasha Nursing Center, Inc eff

11-2015


818 West Alabama Chickasha, OK 73018

Shropshire Pamela K

16.66% Chickasha Nursing Center, Inc eff

11-2015


2701 South 9th Street Chickasha, OK 73018

Stephens Johnna F.

NH6402 580-298-5528400 Southwest O Street Antlers, OK 74523

Choctaw Nation Nursing Home


P.o.drawer 1210 Durant, OK 74502-1210

Choctaw Nation Of Oklahoma

Trustee & Benef Delores O Mitchell Trust

25%BGM Est eff 10/25/16



Tabor Angela


25%BGM Est eff 10/25/16


111522 S. 4740 Rd. Muldrow, OK 74948





25%BGM Est eff 10/25/16



Mitchell Marcinda


25%BGM Est eff 10/25/16



Mitchell Kelly O.

Delores O. Mitchell RevocableTrust, 25%

of UPL Manager

Trustee


Mitchell Delores



400 S.W. O Street Antlers, OK 74523

Choctaw Nation Care Center, LLC

50% of UPL Manager




manager of UPL Manager

Managing Member

400 SW O Street Antlers, OK 74523

McClendon Jill

Trustee and beneficiary of Gilbert F.

Green Trust

Trustee


Green Gilbert F.

25% OP eff 7-17-2013




Chief of the Choctaw Nation of Oklahoma

eff 8/25/16


P.O. Box 1210 Durant, OK 74701-1210

Batton Gary

25.00% of UPL Manager


,

BGM Estate, LLC

Assistant Chief of Choctaw Nation of

Oklahoma


P.O Box 1210 Durant, OK 74701-1210

Austin Jr. Jack

UPL Owner EFF 6/30/2017

Operating Entity


City of Hugo

Mayor 1st ward OP



Frazier Darren



2015 S. 2nd St. Hugo, OK 74743

McCarty Ernest



2015 S. 2nd St. Hugo, OK 74743

Roxberry Donald



2015 S. 2nd St. Hugo, OK 74743




2015 S. 2nd St. Hugo, OK 74743

Ridenour Gaylon

NH3704 405-375-6857905 Beall Road Kingfisher, OK 73750

Cimarron Nursing Center



37.5% Great Plains Care Center




9.375%



Tabor Angela

9.375% EFF 8/1/2019


111522 S. 4740 Rd. Muldrow, OK 74948


9.375% EFF 8/1/2019



Mitchell Marcinda

21.875% Great Plains Care Center EFF

8/1/2019



Mitchell Kelly O.

UPL Mgr. 6/30/2017


905 Beall Road Kingfisher, OK 73750

Great Plains Care Center, Inc.

25% Great Plains Care Center



Philip M. Green Revocable Trust

25% Great Plains Care Center




Trustee/Bene. Philip M. Green Revocable

Trust

Trustee


Green Philip M.

Trustee/Bene.of Gilbert F. Green Trust

Trustee


Green Gilbert F.

Beneficiary 50% of Philp M. Green

Revocable Trust

Trustee

P.O. box 1090 Sallisaw, OK 74955

Stewart Lori Green

ben Philip M. Green Revocable Tr &

Trustee Philip Riley Green Tr

Trustee


Green Philip R.

President/Director, EFF 8/1/2019



Themer Diane

Mayor, City of Pauls Valley, eff

06/30/2017


PO Box 778 Pauls Valley, OK 73075

Alfred Gary

Vice-Mayor, City of Pauls Valley, eff

06/30/2017



Rushing Jocelyn

Member, City of Pauls Valley, eff

06/30/2017

Member


Grimmett Patrick


06/30/2017

Member

PO Box 778 Pauls Valley, Ok 73075

Parrish Michael

Director and President of Great Plains

Care Center


905 Beall Rd Kingfisher, OK 73750

Kopacka Brendan


06/30/2017

Member


Montgomery-Milligan Shirley



NH1907 918-865-7701404 East Cimarron Mannford, OK 74044

Cimarron Pointe Care Center

100% RE, OP, Mgr. ManMem. OP/REeff

12/10/2010



Sullivan, Jr. Frank

Eff. 12/10/2010


PO BOX 768 Sallisaw, OK 74955

Comprehensive Management Services Inc.

eff 12/10/2010



Requip of Mannford, LLC

eff 12/10/2010

Operating Entity


ConHold of Mannford, LLC

NH6601 918-341-4857920 East 16th Street Claremore, OK 74017

Claremore Nursing Home

Mangaer of Amity Care, LLC &

ReGlenpool, LLC eff 9/16/2015



Greiner Don

Mangers of Amity Care, LLC &

ReGlenpool, LLC eff. 9/16/2015



Dimond Mike

management company eff 9/16/2015



Amity Care, L.L.C.

99% OP & 78% Amity Care eff

9/16/2015




Benef/Trustee

22% Amity Care, LLC eff.9/16/2015

ben/trustee Don Greiner Tr




58% ReClaremorel, LLC eff 9/16/2015




52% of Renew - Mike Dimond,Trustee eff

9/16/2015



Stalwart Trust

42% ReClaremore, LLC eff 9/16/2015


4530 Will Rogers Park Way 300 OKC, OK 73108

Renew Properties, LLC


Prop. eff 9/16/2015




eff. 9/16/2015

Operating Entity


Claremore Operations, LLC

eff 9/16/2015


4530 Will Rogers Parkway OKC, Ok 73108

ReClaremore, LLC



NH5901 918-358-3135900 North Division Cleveland, OK 74020

Cleveland Manor Nursing & Rehab

eff. 7-13-06

Operating Entity


Sweet Town LLC

66 2/3 % managing memeber eff.

02/01/2016



Martin Melinda

33 1/3 % member eff. 02/01/2016


404 Ridge Dr Sallisaw, OK 74955

Martin Drew

NH2003 580-323-09122316 Modelle Clinton, OK 73601

Clinton Therapy & Living Center

100% Mbr & Mngr, Lessor, 51% Mbr &

Mgr OP eff 12/01/2017


1150 S. Waldron Rd Fort Smith, AR 72903

Kilgore Joshua

49% Mbr OP, eff 12/01/2017


809 Bayonne Bridge Ct. Edmond, OK 73034

Morgan M. Brandon

eff 12/01/2017


809 Bayonne Bridge Ct Edmond, OK 73034

2316WM, LLC

Eff 12/01/2017, OP

Operating Entity

2316 Modelle Clinton, OK 73601

Clinton Therapy & Living Center, LLC

NH6102 918-423-6011614 West Harrison McAlester, OK 74501

Colonial Lodge Care Center

50% member OP/RE Eff. 04/03/2015


3216 Shiloh Creek Stillwater, OK 74074

Young Jeffrey

50% member OP/RE Eff. 04/03/2015


46487 E. 1040 Rd. Sallisaw, OK 74955

Rhodes Johnathan Grant

eff 01/22/10


6116 s. MEMORIAL DR TULSA, OK 74133

Bedlam Properties, L.L.C.

eff 1/1/06

Operating Entity

614 West Harrison McAlester, OK 74501

The Oaks Healthcare Center - McAlester, L.L.C.

eff 1-1-06


4500 Soouth Garnett Road 610 Tulsa, OK 74501

Black Diamond Investments II, L.L.C.



COO of OP eff.07-01-09

Managing Member


Harper Pamela G.

CEO of manager eff. 08/10/09


9017 N. Yale Ave Sperry, OK 74073

Lietzke Mark

NH2902 580-688-9431120 West Versa Hollis, OK 73550

Colonial Manor II

Operating Entity

120 West Versa Hollis, OK 73550

Harmon County Healthcare Authority

Chairman


Rt 2 Box 372 Hollis, OK 73550

Horton Kelly

Secretary


Box 125 Gould, OK 73544

Gallagher Judy

Vice Chairman


703 West Vivian Hollis, OK 73550

Cummins David

OP/RE board member eff.07-28-09


17311 East 1650 Road Hollis, OK 73550

Boone Nicky

NH7208 918-743-78381815 East Skelly Drive Tulsa, OK 74105

Colonial Manor Nursing Home, Inc.


1815 East Skelly Drive Tulsa, OK 74015

Colonial Manor Nursing Home, Inc.

14.50% each OP/RE


14 Woodward Blvd. Tulsa, OK 74114

Anderson Robert L.

9.38% each OP/RE


1300 Canterbury Court Arlington, TX 76013

Lord Nancy

Vice/pres 8.20% OP/ RE


1815 East Skelly Dr. Tulsa, OK 74105

Rucker Ed

2.06% OP/RE


2716 East 39th Place Tulsa, OK 74105

Perryman Robert G.

2.08% OP/RE


2840 South Columbia Place Tulsa, OK 74114

Dunitz Scott E.

2.08% OP/RE


6585 South Yale 500 Tulsa, OK 74136

Bischoff James

1.14% each OP/RE


6733 South Gary Tulsa, OK 74136

Alexander Marjorie



13.27 % each OP/RE


66 Cedar Ridge Rod. Broken Arrow, OK 74011

Jack E. Thomas Trust,

13.27% each OP/RE


P.O. Box 2300 Tulsa, OK 74192

Ceylon S. Lewis, Jr., Trust A,

Operating Entity

1815 E. Skelly Dr. Tulsa, Ok 74105

Colonial Manor Management Company, L.L.C.

beneficiary of Genevieve K. Gary

Revocable Trust

Beneficiary

11711 South Braden Tulsa, OK 74137

Gary Richard

beneficiary of Genevieve K. Gary

Revocable Trust

Beneficiary


Miles Deanna

beneficary of Genevieve K. Gary

Revocable Trust

Beneficiary


Hughes Jenny


Revocable Trust

Beneficiary


Rucker Edward

beneficiary of Ceylon S. Lewis Jr. Trust A

Beneficiary

,

Lewis Corinne H.

beneficary of Ceylon S. Lewis Jr. Trust A

Beneficiary

,

Lorenz Sarah Lee

benefiary of Ceylon S. Lewis, Jr. Trust A

Beneficiary

,

Lewis, III C. S.

benefiary of Ceylon S. Lewis, Jr. Trust A

Beneficiary

,

Kast Carol D.

beneficary of Jack E. Thomas Trust

Beneficiary

66 Cedar Ridge Road Tulsa, OK 74012

Thomas Betty J.

benefiary of Jack E. Thomas Trust

Beneficiary

66 Cedar ridge Road Tulsa, OK 74012

Meek Mary Jean


Beneficiary


Thomas Randall E.


Beneficiary


Waggenblatt Deborah Lynn

NH5405 918-623-1936600 West Frontage Road Okemah, OK 74859

Colonial Park Manor

Trustee Gerrol Dean Adkins & Arbret

June Adkins Family Trust

Trustee


Adkins Gerrol Dean

Trustee Gerrol Dean Adkins & Arbret

June Adkins Family Trust

Trustee


Adkins Arbret June



33% Colonial Park Manor & True North

Healthcare Management


Rt. 1, Box 105C Weleetka, OK 74880

Cynthia Denise Majors Revocable Trust




Rt. 1, Box 114 Weleetka, ok 74880

Donna Renee Simmons Revocable Trust

Beneficiary GDA&AJAF-Trust & Trustee

Cynthia D Majors RevTrust


319 West 9th St. Weleetka, OK 74880

Majors Cynthia

Beneficiary GDA&AJAF-Trust & Trustee

DRSimmons RevTrust


319 West 9th St Weleetka, OK 74880

Simmons Donna Renee

Beneficiary Gerrol D Adkins & Arbret

June Adkins Fam Trust

Beneficiary

Rt. 1, Box 121A Weleetka, OK 74880


100% GJA Leasing CO,




Suc-Trustee Gerrol D Adkins Arbret June

Adkins Fam Trust

Trustee



100% RE eff 2/1/2016


319 W. 9th Street Weleetka, OK 74880

GAJ Leasing Company, LLC

OP eff. 2/1/2016

Operating Entity

319 W. 9th Street Weleetka, OK 74880

Colonial Park Manor, LLC

Contracted Management Company eff

2/1/2016


319 West 9th Street Weleetka, OK 74880

True North Healthcare Managment, LLC

Manager of GAJ Leasing CO, LLC eff

02/01/2016



Adkins June





The Charles Edward Simmons Revocable trust dated April 1 2015

Trustee of Charles Simmons Revocable

Trust



Simmons Charles

Beneficiary:Donna Simmons Rev Trust &

Charles Simmons Rev-Trust

Beneficiary


Simmons Kyle



Beneficiary


Simmons Lucas



Beneficiary


Simmons Nicholas

Beneficiary:Cynthia Denise Majors

Revocable Trust Dated 12-17-12

Beneficiary


Hayes Amber

Beneficiary:Cynthia Denise Majors

Revocable Trust Dated 12-17-12

Beneficiary

319 west 9th Street Weleetka, OK 74880

Hayes Benjamin



NH4901 918-825-53111320 Northeast 1st Place Pryor, OK 74362

Colonial Terrace Care Center

25% BGM Estate, LLC eff 9-16-16



Tabor Angela



111522 S. 4740 Rd. Muldrow, OK 74948





Mitchell Marcinda

Operating Entity

PO Box 1107 Pryor, OK 74362

Colonial Terrace Care Center, L.L.C

12.5% OP, eff 04/22/13 25%BGM Estate,

LLC Eff 9-16-16



Mitchell Kelly O.

25% member, effective 7/26/2013




25% member, eff. 10-26-12




Philip M. Green Revocable Trust eff.

7-26-13

Trustee


Green Philip M.

Gilbert F. Green Trust eff. 7-26-13

Trustee


Green Gilbert F.

37.50% OP eff 9-16-16


,

BGM Estate, LLC

Manager of OP Eff 10/26/2016


1320 NE. 1st Place Pryor, OK 74362

Cree Robert


Columbian Hall

100% Eff 10/31/11

Operating Entity





11701 N. Hasting Ave Yukon, OK 73099

Allen Ed




Krittenbrink Jerry

Vice President, eff 06/01/12


2516 Somerset PL Oklahoma City, OK 73116

Cooper Steve



Executive Director


6404 Commodore Ln Oklahoma City, OK 73162

Espinoza Debbie

NH6805 918-489-2299503 South Main Street Gore, OK 74435

Community Health Care Of Gore


Highway 100 Gore, OK 74435

Community Health Care Of Gore, Inc.

100% RE/OP eff.06-30-08


P.O. Box 638 Gore, OK 74435

Montgomery Schuyler

Operating Entity


Gore Health Services, L.L.C.

NH2701 580-594-22921153 Cherokee Street Wakita, OK 73771

Community Health Center

Operating Entity

500 Cherokee Street Wakita, OK 73771

James Dennis Medical Foundation

Chairman of the Board


3007Barn Swallow Enid, OK 73703

Rapp L.D.

Vice Chairman


PO Box 395 Wakita, OK 73771

Green Feller

Board member eff 07/29/11


PO Box 114 Medford, OK

Smith Rev. Bob

Board member eff 07/29/11


30149 County Rd 830 Wakita, OK 73771

Jones Alvin

Board Member eff.07/24/2012


78701 Kiowa Rd Manchester, OK 73758

Feist Peggy

Board Member eff. 10/15/13


1254 Caddo St Wakita, OK 73771

Burgess Kirk

Board Member eff. 10/03/16


80574 MC Clain Rd Manchester, Ok 73758

Lanie Randy

NH7501 580-832-33711400 North College Cordell, OK 73632

Cordell Christian Home



Operating Entity

1400 N. College Cordell, OK 73632

Cordell Christian Home, Cordell, Oklahoma

Director


P.O. Box 670 Sentinel, OK 73664

Mayfield Bruce



RR 1, Box 124-1 Dill City, OK 73641

Piercey Jimmy

Vice Pres eff 5/2/11


706 N. Lee St. Cordell, OK 73632

Corbett Jack

Sec/Treas eff 4/5/11


521 Frisco Clinton, OK 73601

Carpenter Penny

Director


112 E. 3rd St. Cordell, OK 73632

Doran Patty

Director


22455 E 1080 Rd Clinton, OK 73601

Martin Phyllis

Director eff 04/01/2014


1412 Park Ave Clinton, OK 73601

Moore Anthony

NH7502 580-343-2295106 West Adams Corn, OK 73024

Corn Heritage Village and Rehab


100 W. Main Corn, OK 73024

Corn ** The Mennonite Brethren Church of Corn, Oklahoma

Member eff 10-23-13



Loewen Neal

Chairman


Rt. 1, Box 76A Corn, OK 73024

Bartel Darrel

member


Rt 1 Box 31 Corn, OK 73024

Flaming Steve

eff. 07-01-09

Operating Entity

106 West Adams Corn, OK 73024

Corn Heritage Village of Corn Incorporated

Secretary eff. Oct 23-2013


Rt. 4 Box 54 Weatherford, OK 73096

Bartel Howard

Vice Chair eff 10-13-2016


510 N Oklahoma Corn, OK 73024

Wichert Jerome

NH2002 580-772-3993801 North Washington Weatherford, OK 73096

Corn Heritage Village and Rehab of Weatherford





Corn ** The Mennonite Brethren Church of Corn, Oklahoma

Chairman thru 07/1/11-member exp 2021



Loewen Neal

Member end Aug 2020


Rt. 1, Box 76A Corn, OK 73024

Bartel Darrel

member end 8/2019


Rt 1 Box 31 Corn, OK 73024

Flaming Steve

eff. 07-01-09

Operating Entity

801 North Washington Weatherford, OK 73096

Corn Heritage Village of Weatherford Incorporated

Secretary eff-10-23-2013 exp 2022


Rt. 4 Box 54 Weatherford, OK 73096

Bartel Howard

Board Mbr eff 10/13/2017 exp 2021


510 N Oklahoma Corn, OK 73024

Wichert Jerome

9/2019


207 W. Dewey Corn, OK

Peters Jonathan

NH6904 580-255-46001904 North Highway 81 Duncan, OK 73533

Country Club Care

Sec./Treas. RE/OP


7520 Hidden Creek Drive Duncan, OK 73533

Gregston Jack L.

25% RE


904 Whisenant Duncan, OK 73533

Akers Carla

25% VP RE


1603 Timbercreek Dr. Duncan, OK 73533

Gregston Jeff L.

Operating Entity

1904 North 81 Highway Duncan, OK 73533

Kanakuk, Inc.

25% RE


2414 Mallard Duncan, OK 73533

Gregston Jerry L.

25%RE 100%/OP President


1209 N. 13 Duncan, OK 73533

Gregston J. Lynn


1904 North 81 Highway Duncan, OK 73533

Gregstons Inc.

NH5601 918-267-3362306 East 7th Street Beggs, OK 74421

Country Lane



100% OP/RE



Diakonos Group, LLC

100% of Diakonos Group, LLC



Pilgrim Scott

eff 9-1-04

Operating Entity

306 East 7th Beggs, OK 74421

Servant Living Center Holding Co. Servant Living Center - Beggs, LLC



Servant Living Center Holding Company-Beggs, LLC

NH5615 918/267-3362303 East 7th Street Beggs, OK 74421

Country Lane Cottage #1

100% OP/RE



Diakonos Group, LLC

99% MagMemt Diakonos



Pilgrim Scott

Operating Entity








100% OP/RE



Diakonos Group, LLC

99% ManagMemt Diakonos



Pilgrim Scott

Operating Entity










100% OP/RE



Diakonos Group, LLC

99% ManagMemt Diakonos



Pilgrim Scott

Operating Entity








100% OP/RE



Diakonos Group, LLC

99% ManagMent Diakonos



Pilgrim Scott

Operating Entity






NH5619 918-267-3362511 N. Chippewa Beggs, OK 74421


100% OP/RE eff 1/10/17



Diakonos Group, LLC

99% Diakonos Group LLC eff 1/10/17



Pilgrim Scott

eff. 1/10/17

Operating Entity



eff. 1/10/17




1% Diakonos eff 1/10/17



Servant Holding Corporation



NH5409 918-650-9393Route 1, Box 2 (Highway 75) Weleetka, OK 74880

Country Place


eff 02-05-08

Operating Entity




Corproation 1-8-08



Welsh Richard


Corporation 1-8-08



Bailey M. Geoffry


Corporation



Pyle William "Bill"


Corporation



Bentley Roy

eff. 8-15-07




100% of RE







Rock River, LLC




MMB, LLC




Lovenest, LLC




Ervin Gary




Ervin Lisa

32.88% of MMB, LLC



Ervin Tim

17.455% of MMB, LLC



Ervin Vicki




Ervin Robert




Ervin Laura

53.016% of Rock River, LLC - 4

children w/13.254% each







Ervin Mallory






Ervin Jade




Ervin Luke




Ervin Gabe

49.665% of MMB, LLC- 5 children

w/9.933% each







Ervin Max




Linenger Jessica




Ervin Mitch




Linenger Jennifer




Ervin Brock


w/8.089% each







Ervin Thea




Ervin Issac




Ervin Samuel




Ervin Elijah




Ervin Saul




Ervin Micah




Ervin Mathias

NH5102 918-463-5143Highway 64 East Warner, OK 74469

Countryside Estates



50% of the Inc.


P.O. Box 1083 Warner, OK 74469

Rogers Scott

100% RE/OP


Hwy 64 East Warner, OK 74469

Countryside Estates Inc.

25% of the Inc.



Rogers Justin Todd


Highway 64 East Warner, OK 74489

SDE Holdings, LLC

Operating Entity

Highway 64 East Warner, OK 74489

Countryside Health Services, LLC

25 % of Inc



Three Oaks Rogers John Eric

NH7301 918-486-216630049 East 151st Street South Coweta, OK 74429

Coweta Manor Nursing Home

eff. 03-17-06


30049 E 151 St South Coweta, OK 74429

Hilldale Nursing Facility, Inc.

100% OP/RE eff 05/23/11



Martin Eddie

20% treasury stock in OP/RE thru

05/23/11


703 E. South Street Coweta, OK 74429

FNII, L.L.C.

FNII, LLC

Managing Member

,

Shankle Stacey

Eff 05/23/11

Operating Entity

30049 E 151 St South Coweta, OK 74429

CHRE, LLC

NH5407 918-650-9393104 East 6th Street Weleetka, OK 74880

Creek Place


eff 02-05-08

Operating Entity




Corporation 1-8-08



Welsh Richard


Corporation 1-8-08



Bailey M. Geoffry

Officers Who Do Not Hold Stock Pyle William "Bill"




CorporationPO Box 790 Uniontown, KY 42461


Corporation



Bentley Roy

eff. 8-15-07




100% of RE







Rock River, LLC




MMB, LLC




Lovenest, LLC




Ervin Gary




Ervin Lisa

32.88% of MMB, LLC



Ervin Tim

17.455% of MMB, LLC



Ervin Vicki




Ervin Robert




Ervin Laura


w/13.254% each







Ervin Mallory




Ervin Jade




Ervin Luke




Ervin Gabe


w/9.933% each







Ervin Max






Linenger Jessica




Ervin Mitch




Linenger Jennifer




Ervin Brock


w/8.089% each







Ervin Thea




Ervin Issac




Ervin Samuel




Ervin Elijah




Ervin Saul




Ervin Micah




Ervin Mathias

NH5614 918-650-9393405 West 17th Street Okmulgee, OK 74447

Cross Place


eff 02-05-08

Operating Entity




Corproation 1-8-08



Welsh Richard


Corporation 1-8-08



Bailey M. Geoffry


Corporation



Pyle William "Bill"


Corporation



Bentley Roy



eff. 8-15-07




100% of RE







Rock River, LLC




MMB, LLC




Lovenest, LLC




Ervin Gary




Ervin Lisa

32.88% of MMB, LLC



Ervin Tim

17.455% of MMB, LLC



Ervin Vicki




Ervin Robert




Ervin Laura


w/13.254% each







Ervin Mallory




Ervin Jade




Ervin Luke




Ervin Gabe


w/9.933% each







Ervin Max




Linenger Jessica




Ervin Mitch






Linenger Jennifer




Ervin Brock


w/8.089% each







Ervin Thea




Ervin Issac




Ervin Samuel




Ervin Elijah




Ervin Saul




Ervin Micah




Ervin Mathias

NH5521 405-251-99881400 Buena Vista Avenue Midwest City, OK 73110

Cross Timbers Nursing and Rehabilitation

100% of OP & RE



Diakonos Group, LLC

99% of Diakonos Group, LLC eff

01-05-2017



Pilgrim Scott





100% Real Estate eff 12-2016



Midwest City Holding, LLC

OP eff 01-05-2017

Operating Entity


MWC Operations, LLC

NH3212 405-452-3271204 East 1st Street Wetumka, OK 74883

Cypress Place Living Center, LLC



Trustee Family Trust & Pres. Pioneer

NHHC Inc. eff12/31/12



Adkins Gerrol Dean

Trustee Family Trust & Sec. Pioneer

NHHC, Inc. eff 12/31/12



Adkins Arbret June




Beneficiary eff.12/31/12319 West 9th St. Weleetka, OK 74880

Majors Cynthia

Beneficiary eff.12/31/12319 West 9th St Weleetka, OK 74880

Simmons Donna Renee

Beneficiary eff.12/31/12Rt. 1, Box 121A Weleetka, OK 74880


52% RE eff 12/31/12




eff. 1-1-07

Operating Entity

204 East First Street Wetumka, OK 74883

Cypress Place Living Center, LLC

100% manag.member of OP


204 East First Street Wetumka, OK 74883

Cypress Place Revocable Business Trust

16% RE eff 12/31/12




16% RE eff 12/31/12




16% RE eff 12/31/12





Trustee



NH7001 580-338-31861401 North Lelia Guymon, OK 73942

Dr. W F & Mada Dunaway Manor

Operating Entity

1401 N. Lelia Guymon, Ok 73942

The Dr. W.F. and Mada Dunaway Manor Nursing Home Of Guymon, Inc.



219 NW 4th Street Guymon, OK 73942

Brown Phillip

Member, eff 09/22/15


PO Box 772 Hooker, OK 73945

Hofferber Kevin



6068 Sunset Drive Guymon, OK 73942

Parkhurst Mike





108 NE 22nd Guymon, OK 73942

Peterson Donna



124 N Academy Guymon, OK 73942

Urias Carlos



Rt 1 Box 25A Texhoma, OK 73949

Skelton Jane



RR! Box 6 Hardesty, OK 73944

Stump Kathy

NH1901 918-352-3249Pine & Bristow Drumright, OK 74030

Drumright Nursing Home

Successor Trustee & Beneficiary -WBT

eff 5/24/12

Trustee


Watts Fred

9.61494% ONH, LTd


210 E. Choctaw, P.O. Box 429 Sallisaw, OK 74955-0429

Oklahoma Nursing Homes, Ltd. (ONH,Ltd.)

8.314% OP & ONH,Ltd/ 8.4112% RE/

9.401287% ONH, Inc eff 5/24/12



Cheek Barnie J.

8.314% OP & ONH,Ltd./8.4112% RE eff

5/24/12



Sandra Cheek Farmer Trust (SCFT)

5.834% OP&ONH,Ltd/5.9190% mgr

RE/6.597394% & Sec ONH,Inc.


4814 S. 164th East Ave. Tulsa, OK 74134

Haskins Lloyd

5.192%OP&ONH,Ltd/5.2626%RE/12.53

5047%ONH,Inc/TrusteeWBTeff 52412


101 Doris Drive #51 Sallisaw, OK 74955

Watts Cleo

Trustee for JKBRT

Trustee

Rt. 2 Box 339 Idabel, OK 74745

Bivin Steve

5.893% OP & ONH,Ltd / 5.9746% RE eff

5/24/12


103708 S 4627 Road Sallisaw, OK 74955

Watts Beneficiaries Trust (WBT) Sharon Rhodes

14.022%OP&ONH,Ltd/14.2078%RE/21.

936335% & VP ONH,Inc Eff 5/24/12


Box 856 Miami, OK 74355

Tubbs Steven

5.376% OP & ONH,Ltd / 5.4406% RE eff

5/24/12


3350 McCue Road #2002 Houston, TX 77056

Tubbs, Jr. Stanley I.

5.542% OP&ONH,Ltd/ 5.6186% RE/

6.267525% ONH,Inc eff 5/24/12


416 Fairway Dr. Athens, TX 75751

Estep Pat

2.771% OP & ONH,Ltd / 2.8037% RE eff

5/24/12 Trustee (JKBRT)


1500 West Elm Stroud, OK 74079

Julie Kay Bivin Revocable Trust (JKBRT)



5.135% OP & ONH,Ltd/ RE 5.2207% eff

5/24/12


6708 South 256th East Avenue Broken Arrow, OK 74014

Caroyln D. Leaverton Revocable Trust

2.771% OP & ONH,Ltd/ 2.8037% RE eff

5/24/12


894 Morrow Drive/ PO Box 417 Langley, OK 74350

Dr. William R. VanDeLinder Trust (DWVT)

2.771% OP & ONH,Ltd/ 2.8037% RE eff

5/24/12


3808 NW Marquess Drive Bentonville, AR 72712

Lynn M. Yowell Trust

9.7298% eff 05/24/12


210 East Choctaw Sallisaw, OK 74955

Midwest Nursing Homes, LLC (MNHLLC)

2.771% Mgmt. / 2.8038% RE


621 N Robinson 100 Oklahoma City, OK 73102

Heritage Trust Company Richard Armstrong Trust (RAT) C/O Matt McGuire

10.90% eff 09/23/19

Operating Entity


Drumright Nursing Home, LLC

1.219% OP & Ltd.Gen eral Partner ONH,

Ltd. Mgr eff 05/24/12



Oklahoma Nursing Homes, Inc. General Partner (ONH,Inc)

9.401287% ONH Inc.&2.771% ONH,Ltd

eff 5/24/12 Ben. RAT&RGAT


2802 W. Country Club Dr. Oklahoma City, OK 73116

Armstrong Richard James

Trustee-SCFT/9.401287% ONH,Inc.

5/24/12



Farmer Sandra

1.28306% OP&ONH,Ltd/ 1.3156%

RE/9.401287%ONH,Inc. eff11/21/16


20852 South Shannon Drive Claremore, OK 74017

Wilson James G.

2.079% OP & ONH,Ltd / 2.1028% RE eff

5/24/12



Ferguson Debra M.

5.556%

OP&ONH,Ltd/5.5630%RE/5.657265%&

Treas ONH,Inc.eff 5/24/12


607 Mayo Street Sallisaw, OK 74955

McGrew Justin

2.771% OP & ONH,Ltd/ 2.8038% RE


HCR 68 Box 1260 Vian, OK 74962

Armstrong Sally

9.401287% & Pres.ONH,Inc.eff

5/24/12/Trustee DWVT


PO Box 370 Adair, OK 74330

VanDeLinder Dr. William R.

.70095% RE/0.69275%

OP&ONHLtd/Ben. HAVT


1405 E. Seattle St. Broken Arrow, OK 74012

Heath Armstrong VanDeLinder Trust (HAVT)

RE 0.70095% & 0.69275% OP & Mgmt

Ben. MMMVT eff 05/24/12


5727 South Lewis Ave 800 Tulsa, OK 74105

BOKF Trustee/M Huigens Meredith Margaret Marie VanDeLinder Trust

(MMMVT)

0.69275%OP&ONHLtd/.70095%RE Eff.

05/24/12


8 Dinton Circle Bella Vista, AR 72714

Nicolas Edmund VanDeLinder Trust (NEVT)

0.69275% OP&OHNLtd/.70095% RE

Eff:05/24/12


2116 Whitney Lane McKinney, TX 75070

William Glen VanDelinder Trust (WGVT)



Julie Kay Bivin Revocable Trust

Trustee


Bivin Julie K.

2.771% OP &



Heritage Trust Company Richard Glen Armstrong Trust (RGAT)

Trustee-Carolyn D. Leaverton Rev. Trust

eff 05/24/12

Trustee

6708 South 256th East Ave Broken Bow, OK 74014

Leaverton Carolyn

Trustee -Carolyn D. Leaverton Rev. Trust

eff 05/24/12

Trustee

6708 South 256th East Ave Broken Arrow, OK 74014

Leaverton Ronald

Succ.Trustee & Benf-Carolyn D.

Leaverton Rev. Trust eff 05/24/12

Beneficiary


Johnson Karen Diane



Beneficiary


Fine Michael B.


eff 5/24/12

Trustee

51 Green Acre Village Sallisaw, OK 74955

Byers Karen

Successor Trustee & Beneficiary - WBT

eff 5/24/12

Trustee


Rhodes Sharon

Beneficiary - Watts Beneficiaries Trust

eff 5/24/12

Trustee


Rhodes Grant

Beneficiary - Watts Beneficiaries Trust eff

5/24/12

Beneficiary


Miles Sydney

Beneficiary - Watts Beneficiaries Trust

eff 5/24/12

Trustee


Cameron Amber

Successor Trustee - Sandra Cheek Farmer

Trust eff 5/24/12

Trustee



Beneficiary - Sandra Cheek Farmer Trust

eff 5/24/12

Beneficiary


Farmer Cassandra C.

Beneficiary - SCFT eff 5/24/12

Beneficiary


Farmer Alexandra C.

Trustee - WGVT, MMMVT ef11-27-13

Trustee

2812 West 114th St. south Jenks, ok 74037

Leutz William K.

Richard Armstrong Trust & Richard Glen

Armstrong Trust

Trustee

c/o Ben Bryers, 2802 W. Country Club DR. Oklahoma City, ok 73116

Heritage Trust Co.,

Lynn M. Yowell Trust eff- 11/27/2013

Trustee


Yowell Lynn

Lynn M. Yowell Trust eff- 11/27/2013 end

2014

Trustee

3808 NW Marquess Drive Bentonville,, AR 72712

Yowell Ron

Registered Agent, eff 09/23/19

Officer

317 N.W. 12th St. Oklahoma City, OK 73103

Burnsed (C. Craig Cole & Assoc.) Carrie



Ben. MMMVT

Beneficiary

2812 West 114th Street South Jenks, OK 74037

VanDeLinder Meredith Margaret Marie

Ben. JKBRT

Beneficiary


Bivin Jeremy

Ben. JKBRT

Beneficiary


Bivin Ryan

Ben. RAT & RGAT 05/24/12

Beneficiary

2802 W. Country Club Dr. Oklahoma, OK 73116

Heritage Trust Company Armstrong Carol

NH5113 918-682-31913500 Haskell Boulevard Muskogee, OK 74403

Eastgate Village Retirement Center

60% BHCP GP JV 2015, LLC, 7/1/16








Dole Isaac

Manager 7/1/16

Manager

415 US Hwy377 S 200 Argyle, TX 76226





OK4 SNF HoldCo, LLC













70% BHCP OK4 HH/H Sponsor,LLC, eff

5/8/18






Manager


OK4 Manager, LLC


7/1/16


415 US Hwy 377 S 200 Argyle, TX 76226

SBS of OK, LLC




415 US Hwy 377 S 200 Argyle, TX 76226

Bates Josh




415 US Hwy 377 S 200 Argyle, TX 76226

Shelton Chana




415 US Hwy 377 S 200 Argyle, TX 76226

Sims Debra



RE Eff, 7/1/16



OK4 Eastgate RealCo, LLC

OP Eff 1/7/16 & Sublessee eff 5/8/18

Operating Entity


OK4 Eastgate OpCo, LLC

NH5802 918-675-44556th & Highway 69 Commerce, OK 74339

Eastwood Manor

Beneficiary and Trustee Watts Benf Trust

Trustee


Watts Fred

9.61494% Oklahoma Nursing Home, Ltd,

Manager




8.314% OP & Mgr./ 8.4112% RE/

9.401287% Okla. Nurs. Homes, Inc.



Cheek Barnie J.

8.314% OP & Mgmt. / 8.4112% RE




5.834% OP & Mgmt/5.9190% mgr

RE/6.597394% & Sec. Okl. NH,Inc.



Haskins Lloyd

5.192% OP & Mgmt /5.2626%

RE/12.535047% ONHInc./Trustee WBT

Trustee


Watts Cleo

Success Trustee of JKBRT 05/24/12

Trustee

Rt. 2 Box 339 Idabel, OK 74745

Bivin Steve

5.893% OP & Mgmt. / 5.9746% RE




14.022% OP Mgt/ 14.2078% RE/

21.936335% &VP ONH, Inceff 10/26/10



Tubbs Steven

5.376% OP & Mgmt./5.4406% RE




5.542% OP & Mgr./ 5.6186%

RE/6.267525% Okla Nurs Homes, Inc.



Estep Pat

2.771% OP & ONH,Ltd / 2.8037% RE eff

5/24/12




5.135% OP/Mgt/5.2207% RE eff

05/27/11




2.771% OP & Mgmt./ 2.8037% RE




RE 2.8037%/2.771%OP & Mgmt






8.7298 eff 05/24/12




2.771% Mgmt. / 2.8038% RE




10.90% eff 10/15/19

Operating Entity


Eastwood Manor, LLC

1.219% mgr OP & Mgmt.




9.401287% Oklahoma Nursing Homes,

Inc; Ben. of RA Trust & RGAT




Trustee - SCFT/9401287%ONH, Inc

05/24/12



Farmer Sandra

1.283% OP&Mgmt./ 1.3156%

RE/9.401287%

Ok.Nurs.Hms,Inc.eff5/24/12



Wilson James G.

2.079% OP & Mgmt. / 2.1028% RE



Ferguson Debra M.

5.556%OP &

Mgmt./5.5630%RE/5.657065% & Treas.

ONH, Inc.



McGrew Justin

2.7710% OP ONH, Ltd/2.8038% RE



Armstrong Sally

9.401287% & Pres.ONH,Inc.eff 5/24/12;

Trustee of DWRVT




.70095%RE/ 0.69275% OP & Mgmt




RE 0.70095% & 0.69275% OP & Mgmt




(MMMVT)

.070095%RE/.69275%OP&MGMT




0.70095% RE/0.69275% OP & Mgmt




Trustee of JKBRT/

Trustee


Bivin Julie K.

2.771% OP





eff 05/24/12

Trustee


Leaverton Carolyn

Trustee - Carolyn D. Leverton Rev. Trust

eff. 05/14/12

Trustee


Leaverton Ronald



Suc. Trustee/Beneficiary CDLRT

Trustee


Johnson Karen Diane

Suc. Trustee/Beneficiary of CDLRT

Trustee


Fine Michael B.


Trustee


Byers Karen


Trustee


Rhodes Sharon

Beneficiary Watts Benf Trust

Beneficiary


Rhodes Grant


Beneficiary


Miles Sydney


Beneficiary


Byers Jack


Beneficiary


Cameron Amber

Successor Trustee of SCFT 05/12

Trustee



Beneficiary of SCFT

Beneficiary


Farmer Cassandra C.

Beneficary of SCFT

Beneficiary


Farmer Alexandra C.

Trustee of MMMV & WGV Trust

Trustee


Leutz William K.

Trustee of RA Trust & RGAT 5/24/12

Trustee


Heritage Trust Co.,

Trustee of LMYT

Trustee


Yowell Lynn

Trustee of LMYT

Trustee


Yowell Ron

Registered Agent, eff 10/15/19

Officer



Trustee/Ben of HAVT

Trustee


VanDelinder Heath Armstrong

Beneficiary of MMMVT

Beneficiary



Trustee & Ben NEVT; Ben. of Dr WRVT

Trustee


VanDelinder Nicolas Edmund

Trustee & Ben of WGVT & Ben

DWRVT

Trustee

6260 Dark Forest Drive McKinney, TX 75070

VanDelinder William Glen



Beneficiary of JKBRT

Beneficiary


Bivin Jeremy


Beneficiary


Bivin Ryan

Benf. RATrust * RGAT

Beneficiary



Beneficiary of LMYT

Beneficiary


Lamp Jo Ann

Beneficiary of LMYT

Beneficiary

3808 NW Marquess Drive Bentonville, ar 74017

Austin Jennifer

Successor Trustee DWRVT 05/12

Trustee

,

VanDeLinder Patricia Rene

NH5508 405-942-388439 East 33rd Street Edmond, OK 73013

Edmond Health Care Center

Gregory E. Machtolff Trust, President

R&M Nursing Home Inc.

Officer

P.O. Box 977 Guthrie, OK 73044

Machtolff Gregory E.

Trustee for George H. Machtolff, III

Trust, VP R&M Nurisng Home

Officer


Machtolff III George H.



R and M Nursing Homes, Inc.

Pres.100% OP



Crane Judy M.

Trustee of the Marty A. Trust & Sec/Treas

R&M Nursing Home, Inc.

Officer

221 East Cleveland Guthrie, OK 73044

Machtolff Marty

Operating Entity

3714 N. Portland Okla. City, OK 73112

Young and Crane, Inc.

1% of R & M Nursing Home Inc. eff

02/07/2019


PO Box 977 Guthrie, OK 73044

GMGP, INC.

50% GMGP, Inc. & 43.55% R & M

Nursing Home, Inc.



Gregory E. Machtolff Trust

50% GMGP, 49.50% R&M Nursing

Home eff 02-07-2019



George H. Machtolff III Trust

5.95% R&M Nursing Home, Inc. eff

02-07-2019



Marty A. Machtolff Trust



NH5549 405-424-22731530 Northeast Grand Blvd Oklahoma City, OK

73117

Edwards Redeemer Health & Rehab

100% ER Prty Hdgs LLC eff.12/5/12

Managing Member


Brogdon Christopher

eff.12/05/12


1145 Hembree Road Roswell, GA 30076

Edwards Redeemer Property Holdings, LLC

33.3% EBT Healthcare Partners, LLC

Eff. 10/11/2013


1633 Wembley Hills Knoxville, TN 37922

Thomas William M.

100% Edwards Redeemer Property

Holdings, LLC eff. 12/3/14


6800 N. 79th St 200 Niwot, CO 80503

Global Healthcare REIT Inc.

President-Global Healthcare REIT, Inc.


6800 North 78th Street 200 Niwot, CO 80503

Rhine Zvi

CEO-Global Healthcare REIT, Inc.



Baller Lance

OK County Court Appointed Receiver

(CJ-2019-5883) Eff. 12/6/2019

Operating Entity

210 Park Avenue 2920 Oklahoma City, OK 73102

C. David Rhodes, Receiver

Manager - Edwards Redeemer Property

Holdings, LLC Director GHR


6800 N. 79th St. 200 Niwot, CO 80503

Neuman Cliff

Director - Global Healthcare REIT, Inc.

(GHR)


6800 N. 79th Street 200 Niwot, Co 80503

Desmond Adam

NH0904 405-262-33232100 Townsend Drive El Reno, OK 73036

El Reno Post-Acute Rehabilitation Center

50% OP/RE;100% BG Mgt., Inc.; 99%

GD2 Inv., LP EFF 10/2/2014


19143 Chestermere Circle Edmond, OK 73012

Guymon Gregory L

50% OP/RE EFF 10/2/2014


22122 East 63rd Street Broken Arrow, OK 74014

Huxall Garrett

1% GD2 Inv., LP; 1% Health Care

Properties of Oklahoma, L.L.C.



BG Management, Inc.

1% Cat Daddy Inv, LP;1% Health Care

Properties of Oklahoma, L.LC



GRH Managment, Inc.

49% Health Care Properties of Oklahoma,

L.L.C.



GD2 Invstments, LP


L.L.C.


22122 E. 63rd Street Broken Arrow, OK 74014

Cat Daddy Investments, LP



100% RE EFF 10/2/2014


PO Box 140338 Broken Arrow, OK 74014

Health Care Properties of Oklahoma, L.L.C.

EFF 10/2/2014

Operating Entity

2100 Townsend Drive El Reno, OK 73036

El Reno Health Care, LLC

NH0503 580-225-2811301 North Garrett Elk City, OK 73644

Elk City Nursing and Rehabilitation Center

75% Man Mbr ECNH, LLC 9/12/14 &

99% Pres FWHC, Inc. eff 09/01/12


3434 S.E. Kentucky Place Bartlesville, OK 74006

Brown Jim

eff. 07-31-09

Operating Entity

3434 Southeast Kentucky Place Bartlesville, OK 74006

Elk City Nursing Home, L.L.C. (ECNH)

25% ECNH, LLC eff. 9/12/14


3805 Creek Bank Rd Edmond, OK 73003

Elk 421, LLC

50% ECNH, LLC eff. 09/12/14


3805 Creek Bank Rd Edmond, OK

David Braly Rev Trust

50% Elk 421, LLC 9/12/14


3805 Creek Bank Road ,

Maria Trapp-Braly Rev. Trust

CoTrust & Ben DEBRTrust & M-BRTrust

& Mgr Elk421 LLC eff 9/12/14


3805 Creek Road Blv. Edmond, OK 73003

Braly David

CoTrust & Ben DEBRTrust & M-BRTrust

& Mgr Elk421 LLC eff 9/12/14


3805 Creek Bank Road Edmond, OK 73003

Trapp-Braly Maria

Successor Trustee DEBR Trust & MT-BR

Trust eff 9/12/14



Ward Sharon J.

Successor Trustee DEBR Trust & MT-BR

Trust eff 9/12/14



BOKF, N.A.

NH6902 580-475-0750811 West Elk Duncan, OK 73533

Elk Crossing

70% OP eff 02/02/12



Gregston Jeff L.

25% OP eff 02/02/12




Benef/Trustee

100% RE eff 12/09/11






Eff 02/02/12

Operating Entity

700 Palm St Duncan, OK 73108

JLG Healthcare, LLC

Eff 12/09/11



JLG Real Estate, LLC

5% OP eff 02/02/12


2120 Elk 4 Duncan, ok 73533

Miller Douglas Che

NH1003 580-223-33031811 9th Street Northwest Ardmore, OK 73401

Elmbrook Home

Operating Entity

,

Elmbrook Home Inc.





Coble Tom C.

100% OP





Properties, Inc.eff 3/11/19


1908 12th Ave NW E Ardmore, OK 73401

Coble Brett





Lodes Jason

NH6701 405-257-6621300 South Seminole Wewoka, OK 74884

Elmwood Manor Nursing Home

100% manag.memb


PO Box 2 Holdenville, OK 74848

Humphreys Doug

Operating Entity

P.O. Box 2 Holdenville, OK 74848

Elmwood Manor Nursing Home L.L.C.

NH6603 918-341-43652800 North Hickory Street Claremore, OK 74017

Emerald Care Center Claremore

General Partner of RSF GenPar of RSF

GEnPar VI, LP

General Partner

3899 Maple Avenue 250 Dallas, TX 75219

McKinney VI, LLC

Manager of LME Family Holdings


34 Lord Ave. Lawrence, NY 11559

Lahasky Ephraim



95% YCOK Holdings eff 11/01/2018


99 West Hawthorne Ave L10 Valley Stream, NY 11580

Chafetz Yisreol

99% JW Oklahoma Holdings eff

11/01/2018



Walden Jacob

100% RE eff 11/01/2018


99 West Hawthorne Avenue L10 Valley Stream, NY 11580

Emerald Claremore Realty, LLC

OP eff 11-01-2018

Operating Entity


Emerald Care Center Claremore, LLC

100% Emerald Claremore Realty, LLC eff

11/01/2018


99 West Hawthorn Avenue L10 Valley Stream, NY 11580

EHC Claremore Capital, LLC

17.5% Emerald CCC & 17.5% EHC

Claremore Capital eff 05-01-2019


99 West Hawthorne Ave L10 Valley Stream, NY L10

JW Oklahoma Holdings, LLC


Claremore Capital eff 11/01/2018


99 Hawthorne Ave L10 Valley Stream, NY 11580

YCOK Holdings, LLC

17.5% EHC Claremore Capital, Mgr,17.5

EHC Claremore Operations


130 Lord Avenue Lawrence, NY 11559

LME Family Holdings, LLC

100% LME Holdings eff 11/01/2018



The Lahasky Family Trust

Trustee of The Lahasky Family Trust eff

05-01-2019

Trustee


Lahasky Even

24.83% EHC Claremore Cap & EHC

Claremore Operations No Authority


95 Harborview West Lawrence, NY 11559

David CM Fistel, LLC

Manager of David CN Fistel, LLC eff

05-01-2019

Officer


Fistel David

NH5512 405-737-66012900 Parklawn Drive Midwest City, OK 73110

Emerald Care Center Midwest

VP OP Eff 12-5-2016 end 3/16/17


333 N Summit St Toledo, OH 43604

Hoops Kathryn Sue

18.75% OP member/manager 5% RE

mgr. eff 3/17/17


22 Sherri Ln Spring Valley, NY 10977

Gamzeh David


mgr. eff 3/17/17


791 Flanders Dr. Valley Stream, NY 11581

Glatzer Akiva

18.75% OP member 50% RE mgr. eff

3/17/17



Lahasky Ephraim



16.875% OP member 20% RE eff 3/17/17



Chafetz Yisreol

16.875% OP member 20% RE eff 3/17/17



Walden Jacob

5% OP member eff 3/17/17


2116 New York Ave. Brooklyn, NY 11210

Farkovits Josh



1111 Marcus Ave. 107 Lake Success, NY 11042

ChickieStrong Midwest City LLC

33.33% ChickieStrong MWC, LLC

member eff 3/17/17



Carone Frank


member/mgr eff 3/17/17



Fensterman Jordan


member eff 3/17/17



Fensterman Lori

eff 3/17/17

Operating Entity

791 Flanders Drive Valley Stream, NY 11581

Garden Manor Rehab and Nursing of Midwest City LLC

eff 3/17/17



Garden Manor of Midwest City Real Estate LLC

NH5514 405-632-77715600 South Walker Oklahoma City, OK 73109

Emerald Care Center Southwest

eff 3/17/17

Operating Entity


Garden Manor Rehab and Nursing of Southwest LLC


mgr. eff 3/17/17



Gamzeh David


mgr. eff 3/17/17



Glatzer Akiva


3/17/17



Lahasky Ephraim

16.875% OP member 20% RE eff 3/17/17



Chafetz Yisreol

16.875% OP member 20% RE eff 3/17/17



Walden Jacob




Farkovits Josh








member eff 3/17/17



Carone Frank





Fensterman Jordan


member eff 3/17/17



Fensterman Lori

eff 3/17/17



Garden Manor of Southwest Real Estate LLC

NH7210 918-628-09322425 South Memorial Tulsa, OK 74129

Emerald Care Center Tulsa


mgr. eff 3/17/17



Gamzeh David


mgr. eff 3/17/17



Glatzer Akiva


3/17/17



Lahasky Ephraim

16.875% OP member 20% RE eff 3/17/17



Chafetz Yisreol

16.875% OP member 20% RE eff 3/17/17



Walden Jacob




Farkovits Josh






member eff 3/17/17



Carone Frank





Fensterman Jordan


member eff 3/17/17



Fensterman Lori

eff 3/17/17

Operating Entity


Garden Manor Rehab and Nursing of Tulsa LLC

eff 3/17/17


791 Flanders Valley Stream, NY 11581

Garden Manor of Tulsa Real Estate LLC



NH3302 580-477-11331515 Canterbury Blvd Altus, OK 73521

English Village Manor

100% RE & OP

Operating Entity

22260 Highway 62B Snyder, OK 73566

WCR Enterprises, Inc.

50 % & President WCR Enterprises eff

3/1/17



Ayers Michael

50% & Director WCR Enterprises eff

3/1/17



Ayers David

Director, V.P & Secretary WCR

Enterprise eff 3/1/17



Ayers Jake

Director WCR Enterprise eff 3/1/17



Ayers Allison

NH2410 580-237-1973410 North 30th Street Enid, OK 73701

Enid Senior Care

100% OP/RE eff 07/28/11



Brogdon Connie

Manager Senior NH, LLC and 100%

Marsh Pointe Management, LLC



Brogdon Christopher

OP /RE Eff 07/28/11

Operating Entity


Senior NH, LLC

Eff. 1/14/14




NH4603 918-689-32111152 Eunice Burns Road Eufaula, OK 74432

Eufaula Manor Nursing and Rehabilitation Center

100% RE/OP



Morton Michael


107 Mckinley Eufaula, OK 74432

Eufaula Manor, Inc.

Operating Entity

1033 Hospital Road Eufaula, OK 74432

Eufaula Care Center, Inc.



NH5702 918-642-3234282 County Road 6300 Fairfax, OK 74637

Fairfax Manor

Beneficiary &Trustee Watts Benf Trust

Trustee


Watts Fred

10.89800% Oklahoma Nursing Home,

Ltd, Manager




8.314% OP & Mgmt/ 8.4112% RE/

9.401287% ONH, INC. eff 05/24/12



Cheek Barnie J.

8.314% OP & Mgmt/ 8.4112% RE




5.834% OP&

Mgmt/5.9190%RE/6.597394% & Sec eff

05/24/12



Haskins Lloyd

12.535047%ONHInc/5.192%OP/ Mgt

5.2626%RE&Trustee Watts Ben Trust



Watts Cleo

5.893% OP & Mgmt/ 5.9746% RE




14.022% OP Mgt/ 14.2078% RE/

21.936335% &VP ONH,INC eff 05/24/12



Tubbs Steven

5.376% OP & Mgmt. / 5.4406% RE




5.542% OP & Mgmt/5.6186% RE/

6.267525% ONH, Inc eff 05/24/12



Estep Pat

2.771% OP & ONH,Ltd / 2.8037% RE eff

5/24/12




5.135% OP & MGMT/RE 5.2207% eff

05/27/11




2.771% OP & ONH,Ltd/ 2.8037% RE eff

5/24/12




2.771% OP & Mgmt. / 2.8037% RE




11.0454%RE eff 05/24/12




2.771% Mgmt. / 2.8038% RE




10.89800% OP eff 05/24/12

Operating Entity

PO Box 400 Fairfax, OK 74955

Fairfax Manor, LLC



1.219% OP / Manager eff 05/24/12 -

9.401287% Mgmt. eff 11/28/17




9.401287% Mngt. eff 05/24/12 Ben of RA

Trust & RGA Trust




9.401287% ONH, eff 08/02/12 & Trustee

SCFT



Farmer Sandra

2.079% OP&Mgt; 2.1028% RE; Eff. 5/12



Ferguson Debra M.

5.556% OP Mgm/5.5630% RE/

5.657065% &Treas ONH, Inc eff

05/24/12



McGrew Justin

2.771% OP & ONH,Ltd/ 2.8038% RE



Armstrong Sally

9.401287% & Pres. eff 05/24/12; Trustee

of DWRVT




.70095% RE/0.69275% OP & Mgmt




RE 0.70095% & 0.69275% OP & MGMT




(MMMVT)

RE 0.70095% & 0.69275% OP & Mgmt




0.70095% RE/0.69275% OP & Mgmt




Trustee of JKBRT

Trustee


Bivin Julie K.

2.77100% OP





eff 04/24/2014

Trustee


Leaverton Carolyn


eff 04/24/2014

Trustee


Leaverton Ronald

Trustee and Ben. Carolyn D. Leaverton

Rev. Trust eff 4/24/2014

Trustee


Johnson Karen Diane

Trustee & Ben.Carolyn D. Leaverton Rev.

Trust eff 4/24/2014

Trustee


Fine Michael B.


Trustee


Byers Karen


Trustee


Rhodes Sharon



Watts Beneficiaries Trust

Beneficiary


Rhodes Grant

Beneficiary of Watts Beneficiaries Trust

Beneficiary


Miles Sydney


Beneficiary


Byers Jack


Beneficiary


Cameron Amber

Successor Trustee - Sandra Cheek Farmer

Trust eff 4-24-14

Trustee



Sandra Cheek Farmer Trust eff 4/24/14

Beneficiary


Farmer Cassandra C.

Sandra Cheek Farmer Trust eff 4/24/14

Beneficiary


Farmer Alexandra C.

Trustee of the MMMV Trust, WGVT

Trustee


Leutz William K.

Trustee of RA Trust & RGAT

Trustee


Heritage Trust Co.,

Trustee LMYT

Trustee


Yowell Lynn

Trustee of LMYT

Trustee


Yowell Ron

Trustee and Beneficiary of the HAVT

Trustee



Beneficiary of the MMMVTrust

Beneficiary




Trustee



Trustee and Beneficiary of the WGVT,

Ben. of Dr. WRVT




Beneficiary Julie Kay Biven Revocable

Trust

Beneficiary


Bivin Jeremy


Trust

Beneficiary


Bivin Ryan

Beneficiary of RA RGA Trust

Beneficiary



Beneficiary of LMYT

Beneficiary


Lamp Jo Ann

Beneficiary of LMYT

Beneficiary


Austin Jennifer



NH5511 405-943-83663233 Northwest 10th Street Oklahoma City, OK 73107

Fairmont Skilled Nursing and Therapy


OP/RE/Manager



Greiner Don

eff. 07/12/2019

Operating Entity


Northwest, Incorporated



Amity Care, L.L.C.

78% OP eff. 7/12/2019 & Amity Care,

LLC eff. 10-21-03




Benef/Trustee

22% of OP eff. 7/12/2019 & Amity Care,

LLC eff.10-21-03




Secretary



Diamond Mike

eff. 07-01-07


4350 Will Rogers Parkway 300 Okla. City, OK 73108

Northwest 10th Real Estate, L.L.C.

Chairman/Mayor, City of Pauls Valley, eff

6/30/17



Alfred Gary

NH4701 580-227-3783605 East State Road Fairview, OK 73737

Fairview Fellowship Home For Senior Citizens, Inc

Operating Entity

605 East State Road Fairview, OK 73737

The Fairview Fellowship Home For Senior Citizens, Inc.

0% Chairman EFF 3/31/2019


P.O. Box 156 Fairview, OK 73737

Wiens Doug

Vice-Chair EFF 3/31/2019


802 Highland Fairview, OK 73737

Kliewer Clay



109 Woodcreek Fairview, OK 73737

Bartel Brenda

Board Member


115 Woodcreek Fairview, OK 73737

Ewbank Vicki

Board Member


910 N. Jefferson Ave. Fairview, OK 73737

Koehn Jerry

0% Treasurer EFF 3/31/2019


Rt #1 Box 190A Fairview, OK 73737

Willits Ann



Board Member EFF 3/31/2019


,

Brinson Glenda

0% EFF 3/31/2019


605 E. State Road Fairview, OK 73737

Hiett Marlin

0% EFF 3/31/2019


605 E. State Road Fairview, OK 73737

Eitzen Bob

NH5803 918-676-368512 East Conner Fairland, OK 74343

Family Care Center of Fairland

Eff 01/01/12


4773 FM 933 N Whitney, TX 76692

TG Operations, LLC

25% TG OP (RE)


4773 FM 933 N Whitney, TX 76692

Ward P. Diane

25% TG OP (RE)


4773 FM 933 N Whitney, TX 76692

Ward Michael L.

50% RE eff 09/2016

Member

4773 FM 933 N Whitnay, TX 76692

MIDI Family, LTD

Eff 01/01/12

Operating Entity

5430 West 640 Rd Chouteau, OK 74337

Awenasa Management, LLC

100% Awenasa Mgmt eff 1/1/12 & 50%

TG OP RE 9/2016


5430 West 640 Rd Chouteau, OK 74337

Mahurin Teresa

NH4802 580-564-2216701 Highway 32 Kingston, OK 73439

Family Care Center of Kingston

50%, MngMem. OP/RE eff. 10-4-12



Scearce Audra

50%, MngMem. OP/RE eff. 10-4-12



Scearce Joe

eff. 10-4-12

Operating Entity


FCC of Kingston LLC

eff. 10-4-12



EHC Holdings LLC



NH4209 405-282-81662102 W. Warner Guthrie, OK 73044

Fayes Place

100% of Op Entity and Real Estate Entity



Diakonos Group, LLC




Pilgrim Scott

EFF 09-01-2015

Operating Entity


Guthrie Cottages, LLC

EFF 09-01-2015



Guthrie Holding, LLC




Servant Living Center Holding Company

NH3702 405-375-31571415 South Main Street Kingfisher, OK 73750

First Shamrock Care Center


Beneficiary


Green Trust Philip Riley




Tabor Angela



111522 S. 4740 Rd. Muldrow, OK 74948


25% BGM Estate eff 9-27-16



Mitchell Marcinda

12.5% OP, eff 5/2/14 25% BGM Estate,

LLC eff 9-27-16



Mitchell Kelly O.

UPL Mgr. eff. 6/30/2017-8/1/2019/OP

8/1/2019

Operating Entity

201 N. Elm, Suite A Sallisaw, OK 74955

Shamrock Care Centers, L.L.C.


Beneficiary


Green Reba


Beneficiary




Beneficiary




Beneficiary

P.O. Box 1090 Sallisaw, Ok 74955

Tiffany Ellis, fka Seay Trust


Beneficiary


Thurman Trust, Gilbert F. Green, Trustee Bronson




Beneficiary


Michelle Green Lori

25% OP




25% OP




Trustee/ Beneficiary Philip M Green

Revocable Trust

Trustee


Green Philip M.

Trustee/ Beneficiary Philip M Green

Revocable Trust

Trustee


Green Philip M.

Trustee/ Beneficiary of Gilbert F. Green

Trust

Trustee


Green Gilbert F.

Trustee/ Beneficiary of Gilbert F. Green

Trust

Trustee


Green Gilbert F.

Beneficiary of Philip M. Green Revocable

Trust

Beneficiary


Stewart Lori Green


Trust

Beneficiary


Green Philip R.

Manager EFF 3/4/13 -11/2/15/ Re EFF

8/1/19



Themer Diane

37.50% OP eff 9-16-16


,

BGM Estate, LLC

Manager EFF 3/14/16


905 Beall Rd Kingfisher, OK 73750

Kopacka Brendan

NH7244 918-254-50004300 West Houston Broken Arrow, OK 74012

Forest Hills Care and Rehabilitation Center

100% RE Eff 11/15/2010

(Assignor-06/01/13)



Sabra Forest Hills, LLC

100% of Sabra Forest Hills, LLC



Sabra Health Care Holdings II, LLC

100% Sabra Health Care Holding II, LLC



Sabra Health Care Holding I, LLC

100% of Sabra Health Care I, LLC




1% Limited Partner of Sabra Health Care

Limited Partnership






99% General Paertner of Sabra Health

Care Limited Partnership






477 North Lindbergh Blvd 310 St. Louis, MO 63141

Midwest Geriatric Management, LLC

13.5% Forest Hills HC Managing

Member, 50% MGM


14447 Chellington Ct. 430 Chesterfield, MO 63017

Bienstock Judah

50% Managing Member OP, eff 06/01/13


8 Primrose Dr. Lakewood, NJ 08701

Jeremias Baruch

10% of Forest Hills Health Care, LLC eff

11/11/2017


1111 Marcus Ave 107 Lake Success, NY 11042

Fensterman Howard

37% of Forest Hills Health Care, LLC eff

11/11/2017



Landa Benjamin

Eff 06/01/2013

Operating Entity

477 North Lindergh Blvd 310 St. Louis, MO 63141

314-812-2550 Forest Hills Health Care, LLC

Eff. 06/01/2013 (Assignee)


2 City Place 200 St. Louis, MO 63141

Emerald Senior Care, LLC

13% of Forest Hill Heatlh Care, LLC eff

11/11/2017


59 Causeway Lawrence, NY 11559

Taub Miriam

33% of Forest Hills HC, 50% MGM and

Trustee of Nationwide Trust


8 Primrose Drive Lakewood, NJ 08701

Oklahoma Acquisitions, LLC

15.15% of Oklahoma Acquisitions eff

11-2016 no members have 5%


445 Central Ave 304 Cedarhurst, NY 11516

MACB Resources, LLC

NH7401 918-534-33551410 N. Choctaw St. Dewey, OK 74029

Forrest Manor Nursing Center


1802 N.E. Loop 410 #111 San Antonil, TX 78217

Cotter James F.

100% OP


105 Washington Pauls Valley, OK 73075

McCaskill Don

Operating Entity

PO Box 280 Dewey, OK 74029

Dewbar Management, L.L.C.

NH5103 918-478-2456205 East Poplar Fort Gibson, OK 74434

Fort Gibson Nursing Home



60% BHCP GP JV 2015, LLC, 7/1/16








Dole Isaac

RE Eff, 7/1//16



OK4 Ft. Gibson RealCo, LLC

Manager 7/1/16

Manager

415 US Hwy377 S 200 Argyle, TX 76226





OK4 SNF HoldCo, LLC














5/8/18






Manager


OK4 Manager, LLC


7/1/16


415 US Hwy 377 S 200 Argyle, TX 76226

SBS of OK, LLC




415 US Hwy 377 S 200 Argyle, TX 76226

Bates Josh




415 US Hwy 377 S 200 Argyle, TX 76226

Shelton Chana




415 US Hwy 377 S 200 Argyle, TX 76226

Sims Debra

OP Eff 1/7/16 & Sublessee eff 5/8/18

Operating Entity


OK4 Ft. Gibson OpCo, LLC

NH5603 918-652-7021107 East Barclay Henryetta, OK 74437

Fountain View Manor, Inc

Operating Entity

107 E. Barclay Henryetta, OK 74437

Fountain View Manor, Inc.

16.5% Pres


P.O. Box 179 Henryetta, OK 74437

Kramer Sylvia



50.5% of Fountain View Manor,

Inc.Sec/Treas 04/23/2019


111 E. Jefferson Henryetta, OK 74437

Clason (Munholland) Jennifer

16.5% Fountain View, Inc.


5013 South Ross Ave Oklahoma City, OK 73119

Molet Donna

5% Fountain View Manor, Inc. eff

04/23/2019


1075 Hickory Drive Choctaw, OK 73020

Molet David

11.5% Fountain View Manor, Inc. eff

04/23/2019


1075 Hickory Drive Choctaw, OK 731020

Molet Ann

NH0704 580-677-99111212 Four Seasons Drive Durant, OK 74701

Four Seasons Rehabilitation & Care

Chairman of Senior Care Group, Inc. eff.

10/28/10

Officer


Vaughan David R.

eff. 11-01-06

Operating Entity


SCG Durant Four Seasons, LLC

eff. 11-01-06




Contracted Management eff. 11-01-06

end 1/09/191240 Marbella Plaza Drive Tampa, FL 33619


1.71% RE




2.29% RE




2.86% RE




1.21% RE




4.11% RE




1.37% RE




2.86% RE




3.43% RE




2.29% RE






3.43% RE




2.51% RE




1.71% RE




1.14% RE




1.14% RE




2.11% RE




4.57% RE




2.29% RE




2.29% RE




5.39% RE




2.86% RE




3.75% RE




5.91% RE




6.72% RE




1.14% RE




2.29% RE




2.29% RE




3.43% RE




11.43% RE




2.29% RE






1.26% RE




0.29% RE




1.0% RE




1.71% RE




4.92% RE




100% OP/RE/Mnger

Managing Member



Board Memboer of Senior Care Group,

Inc.



Fridrich, Sr. Gerald D.


Inc.



Surtees Robert E.

Sole Managing Member Moran

Consulting Group, LLC



Moran Francis D.

Manager for TIC Owners (real estate) eff

1-01-08


2547 Mason Oaks Drive Vairico, FL 33596

Moran Consulting Group, LLC

Board Mem/Senior Care Group, Inc. eff.

10-28-10



Swart Louis

Pres, SCG eff 04/21/2017

Officer


Vaughan Michelle

CFO of SCG eff 04/21/2017

CFO

1240 Marbella Plaza Drvie Tampa, FL 33619

Barnhart Amy

COO for SCG eff 04/21/2017

Officer


Brinkerhoff Brian

CJ2017-190 eff. 10-31-2018




eff. 01/09/2019




NH5417 918-650-93931342 East Columbia Street Okemah, OK 74859

Freedom Place


eff 02-05-08

Operating Entity






Corporation



Welsh Richard


Corporation



Bailey M. Geoffry

Non-Profit Board Sec/Treas. of Prodetik,

Inc.



Pyle William "Bill"


Corporation



Bentley Roy

100% RE




100% Maricopa Properties, LLC eff

11-7-2008







Rock River, LLC




MMB, LLC




Lovenest, LLC

4 irrevocable trusts

Trustee


Ervin Gary


Trustee


Ervin Lisa

32.88% of MMB,LLC and trustee 3

irrevocable trusts



Ervin Tim

17.455% of MMB, LLC



Ervin Vicki

29.421% of Lovenest, LLC & Trustee 7

irrevocable trusts



Ervin Robert

13.957% of Lovenest, LLC & Trustee

7irrevocable trusts



Ervin Laura


w/13.254% each





Beneficiary


Ervin Mallory


Beneficiary


Ervin Jade


Beneficiary


Ervin Luke




Beneficiary


Ervin Gabe


w/9.933% each





Beneficiary


Ervin Max


Beneficiary


Linenger Jessica


Beneficiary


Ervin Mitch


Beneficiary


Linenger Jennifer


Beneficiary


Ervin Brock


w/8.089% each





Beneficiary


Ervin Thea


Beneficiary


Ervin Issac


Beneficiary


Ervin Samuel


Beneficiary


Ervin Elijah


Beneficiary


Ervin Saul


Beneficiary


Ervin Micah


Beneficiary


Ervin Mathias


Trustee

P.O Box 409 Sturgis, KY 42459

Ervin Vicky

NH2405 580-234-25261404 N. Garland Road Enid, OK 73703

Garland Road Nursing & Rehab Center

Trustee of Denver McCormick Revocable

Trust

Trustee

9813 S. Penn OKC, OK 73159

McCormick Denver



Trustee Linda McCormick Revocable

Trust

Trustee

9813 S. Penn OKC, OK 73159

McCormick Linda

Trustee of Arlena Dunbar Revocable

Trust

Trustee


Dunbar Arlena

trustee of the Don Nevard Rev Trust

Trustee

4800 N. Lincoln OKC, OK 73105

Nevard Donald

100% of RE


9813 South Penn Oklahoma City, OK 73159

HPM of Enid, LLC

29.167% RE Eff. 02/03/2014/


9813 S. Penn Oklahoma City, OK 73159

Denver McCormick Revocable Trust

29..167% RE Eff. 02/03/2014



Linda McCormick Revocable Trust

29.167% RE Eff. 02/03/2014


5413 N.W. 107th Okla. City, OK 73162

Arlena Dunbar Revocable Trust

12.5% of HPM of Enid, LLC


5 S.W. 9th Okla. City, OK

Donald Nevard, Revocable Trust

Beneficiary of Don Nevard Revocable

Trust

Beneficiary

4800 N. Lincoln Blvd. Okla. City, OK 73105

Nevard Debra

Beneficiary of Don Nevard Revocable

Trust

Beneficiary


Nevard Lisa

Beneficary of Don Nevard Revocable

Trust

Beneficiary


Nevard Michael

Beneficiary of Linda & Denver

McCormicks Revocable Trusts

Beneficiary

4108 Opus Ct. Flower Mound, TX 75022

Pennington Amy



Beneficiary

2433 Glenoak Dr. Norman, OK 73071

Petrone Alison



Beneficiary

8594 D East 133 Holdenville, OK 74850

Jones Joshua



Beneficiary


Jones Tanner

Beneficiary of Arlena Dunbar Revocable

Trust

Beneficiary

5413 NW 107th Okla. City, OK 73159

Dunbar William


Trust

Beneficiary

12204 N. Kimberlyn Rd. Okla. City, OK 73162

Dunbar Teresa

Subcontracted Manager Eff 6/30/2017





Trust

Beneficiary

3913 Spyglass Road Okla. City, OK 73167

Nard Charlotte



Mayor/Chairman, City of Pauls VAlley,

eff 5/14/19



Rushing Jocelyn

Councilman, City of Pauls Valley, eff

5/14/19



Grimmett Patrick

Vice-Mayor/Chairman, City of Pauls

Valley, eff 5/14/19





Operating Entity



UPL Manager Eff 6/30/2017


,

Garland Road Nursing & Rehab Center

Councilwoman, City of Pauls Valley, eff

5/14/19


100 W. Paul Pauls Valley, OK 73075

Meisel Veronica


Gatesway Foundation III

Operating Entity


Gatesway Foundation, Inc.

President


1844 North 106th East Avenue Owasso, OK 74116

Pacula Jim

Vice President


6111 E. Skelly Drive 506 Tulsa, OK 74135

Tulsa Community College Artis Dr. Fredrick

Treasurer


2720 N Hemlock CT C Broken Arrow, OK 74012

Parrish David

Secretary


510 S. Rockford Tulsa, OK 74120

Ruggles Debbie

CEO Eff Dec 2015


1217 E College Broken Arrow, OK 74012

Morton Gloria



Operating Entity



President, eff - 6/25/14



Pacula Jim

Vice President eff - 6/25/14


6111 E. Skelly Drive 506 Tulsa, OK 74135

Tulsa Community College Artis Dr. Fredrick



Treasuer eff - 6/25/14


2720 N Hemlock CT C Broken Arrow, OK 74012

Parrish David

Secretary eff - 6/25/14


510 S. Rockford Tulsa, OK 74120

Ruggles Debbie

CEO Eff Dec 2015



Morton Gloria


Gatesway Foundation, Inc. II

Operating Entity



Treasurer, eff. 06/25/2012


4705 S. 129th E. Ave. Tulsa, OK 74134

Warkentin Kent E.

Secretary, eff. 06/25/2012


1717 S. Boulder Ave. 900 Tulsa, OK 74119

Whiting Ralston Sharolyn

President,eff. 06/25/2012



Cook Joe

Vice President, eff. 06/25/2012



Pacula Jim

CEO Eff Dec 2015



Morton Gloria


Gatesway Foundation, Inc. IV

Operating Entity



Treasurer


4705 S. 129th E. Ave. Tulsa, OK 74134

Warkentin Kent E.





President, ef.06/27/2012



Cook Joe

Vice Pres. eff. 06/27/2012



Pacula Jim

CEO Eff Dec 2015



Morton Gloria



NH7258 91828914591313 East College Broken Arrow, OK 74012

Gatesway Foundation, Inc. V

Operating Entity



Treasurer


4705 S. 129th E. Ave. Tulsa, OK 74134

Warkentin Kent E.





President, eff. 06/27/2012



Cook Joe

Vice Pres. eff. 06/27/2012



Pacula Jim

NH0602 405-884-5440720 North Galena Geary, OK 73040

Geary Community Nursing Home

effective 3/19/2014

Operating Entity

2416 N. Portland Ave. OKC, OK 73112

First Choice Home Medical, Inc.

100% First Choice Home Medical, Inc.

President eff 01-25-2018


1804 E. Cavanaugh Elreno, OK 73036

Myers Vicki Dean Russell

NH7233 918-291-42301700 East 141st Street Glenpool, OK 74033

Glenwood Skilled Nursing and Therapy

Mangaer of Amity Care, LLC &

ReGlenpool, LLC eff 9/16/2015



Greiner Don

Mangers of Amity Care, LLC &

ReGlenpool, LLC eff. 9/16/2015



Dimond Mike

management company eff 9/16/2015



Amity Care, L.L.C.

99% OP & 78% Amity Care eff

9/16/2015




Benef/Trustee

22% Amity Care, LLC eff.9/16/2015







58% ReGlenpool, LLC eff 9/16/2015




52% of Renew - Mike Dimond,Trustee eff

9/16/2015



Stalwart Trust

eff. 9/16 /2015

Operating Entity


Glenpool Operations, LLC

eff 9/16/2015


4530 Will Rogers Park Way OKC, OK 73108

ReGlenpool, LLC

42% ReGlenpool, LLC eff 9/16/2015



Renew Properties, LLC


Prop. eff 9/16/2015




NH4203 405-282-6285419 East Oklahoma Guthrie, OK 73044

Golden Age Nursing Home of Guthrie, LLC

7% Mbr HMLC, LLC



Golden Age Nursing Home Of Guthrie, Inc.(GAN)

15% mbr HMLC, LLC


Box 1095 Guthrie, OK 73044

Chappell Mary Lou

3% Mbr HMLC, LLC eff 3/4/16



Perry Green Valley Nursing Home, Inc.(PGV)




Stilwell Nursing Home, Inc.(SNH)

Chappell 2012 Succession Tr

Beneficiary


Chappell Jeff

RE



H&M Family Property, LLC

27% RE, eff 3/4/16



Oklahoma All Risk, LLC

Manager of HMLC,LLC, OP & RE

Manager


Hastings Tandie

Operating Entity


Golden Age Nursing Home of Guthrie, LLC

34% RE eff 03/04/16



Bennie & Leo, LLC

100% Mbr OP & 39% RE



HMLC, LLC



Manager, HMLC, LLC; Trustee Chappell

2012 Succession Trust

Trustee


Chappell Hollie "Joe"

72% Mbr HMLC, LLC, eff 3/4/16



Chappell 2012 Succession Trust dated 1/3/2012


Beneficiary

,

Chappell Jon D.


Beneficiary

,

Crockett Mary Janice

NH2408 580-24926005801 North Oakwood Road Enid, OK 73703

Golden Oaks Village

Director-ORV, Inc. eff 03/13/2019


5801 N. Oakwood Rd. Enid, OK 73703

Lillie Annette

Director-ORV, Inc. eff 03/13/2019


5801 N.Oakwood Rd. Enid, OK 73703

Lillie Gary

Eff 6/4/18

Operating Entity

5801 N. Oakwood Enid, OK 73703

Oakwood Retirement Village, Inc.

President & Director-ORV, Inc. eff

03/13/2019


5801 N Oakwood Rd. Enid, OK 73703

Lillie Kyle

Secretary & Director-ORV, Inc. eff

03/13/2019



Nicholas Buddy

Treasurer & Director-ORV, Inc. eff

03/13/2019



Evans Tom

NH3001 580-735-2415111 Walnut Drive Buffalo, OK 73834

Grace Living Center-Buffalo


OP/RE/Manager



Greiner Don

Lessor



Rebuffalo, L.L.C.



Amity Care, L.L.C.


10-21-03




Benef/Trustee



22% OP & Amity Care, LLC eff.10-21-03




Secretary



Diamond Mike

Operating Entity


Western Nursing Home, L.L.C.

NH2603 405-224-64562300 Iowa Avenue Chickasha, OK 73023

Grace Living Center-Chickasha


OP/RE/Manager



Greiner Don



Stillgrady, L. L. C.



Amity Care, L.L.C.


10-21-03




Benef/Trustee





Secretary



Diamond Mike

Operating Entity


Convalescent Center of Grady County, L.L.C.


4350 Will Rogers Parkway 300 Okla. City, OK 73108

Rechickasha, L.L.C.

NH2001 580-323-11102400 West Modelle Clinton, OK 73601

Grace Living Center-Clinton

Manager - OP/RE/Mgt. Co., eff 07/01/19



Greiner Don

Eff, 7/1/19

Operating Entity

P.O. Box 270120 Oklahoma City, OK 73137

Clinton Nursing Center, L.L.C.



Herclin, L. L. C.

Manager - OP/RE/Mgt. CO., eff 07/01/19



Dimond Mike





Amity Care, L.L.C.


10-21-03




Benef/Trustee


eff.10-21-03




58% RE, eff 07/01/19




42% RE, eff 07/01/19




NH0903 405-262-28331901 Parkview Drive El Reno, OK 73036

Grace Living Center-El Reno


10-21-03




Benef/Trustee






Operating Entity


El Reno Nursing Center, L.L.C.

NH7202 918-299-8508711 North 5th Street Jenks, OK 74037

Grace Living Center-Jenks


OP/RE/Manager



Greiner Don

Operating Entity

4415 Highline Boulevard Oklahoma City, OK 73108

Jenks Living Centers, L.L.C.


4415 Highline Boulevard Oklahoma City, OK 73108

Highline L. L. C.

40% RE


4415 Highline Blvd. Oklahoma City, OK 73108

Captains Properties, L.L.C.

60% RE



Straight Path, L.L.C.

Secretary, op



Dimond Mike




10-21-03




Benef/Trustee


eff.10-21-03




Employment Tax Entity


Jenks Admin. LLC

NH2801 580-782-3346320 Carey Street Mangum, OK 73554

Grace Living Center-Mangum

Pres/Manag.Member of OP/RE/Manager

Trustee/ben. Don Greiner Trst



Greiner Don



Amity Care, L.L.C.


LLC eff. 10-21-03




Benef/Trustee


LLC eff.10-21-03




Secretary



Diamond Mike

eff. 7/12/2019

Operating Entity


Mangum Nursing Center, L.L.C


2200 NW 50th 126 Okla. City, OK 73112

Remangum, LLC

NH1410 405-366-8800201 48th Avenue Southwest Norman, OK 73072

Grace Living Center-Norman


OP/RE/Manager



Greiner Don

1% Corp Stock

Operating Entity


Security Health Care, L.L.C.


151 N. Main 700 Wichita, KS 67202

Norman Properties, LLC

99% OP & 78% Amity Care, LLC eff.

10-21-03




Benef/Trustee



Secretary



Diamond Mike

Tax Entity


4350 Will Rogers 300 Oklahoma City, OK 73108

Norman Admin, LLC

NH6004 405-372-10001215 West 10th Street Stillwater, OK 74074

Grace Living Center-Stillwater


OP/RE/Manager



Greiner Don



Stillgrady, L. L. C.



Amity Care, L.L.C.


10-21-03




Benef/Trustee


eff.10-21-03




Secretary



Diamond Mike

Operating Entity


Stillwater Nursing Center, L.L.C.

NH1103 918-456-2573614 Cherry Street Tahlequah, OK 74464

Grace Living Center-Tahlequah East Shawnee


OP/RE/Manager



Greiner Don



Amity Care, L.L.C.


10-21-03




Benef/Trustee





Secretary



Diamond Mike




2200 N.W. 50th 126 OKC, OK 73112

Reeastshawnee, LLC

Operating Entity

4350 Will Rogers Parkway 300 OKC, OK

East Shawnee Nursing Center, L.L.C.

NH1101 918-456-61811201 North Vinita Avenue Tahlequah, OK 74464

Grace Living Center-Tahlequah University Northwest


OP/RE/Manager



Greiner Don


OP/RE/Manager



Greiner Don


OP/RE/Manager



Greiner Don


2200 N.E. 50th Oklahoma City, OK 73112

Cherhomes, L. L. C.



Amity Care, L.L.C.


10-21-03




Benef/Trustee

22% OP and Amity Care, LLC

eff.10-21-03




Secretary



Diamond Mike

Operating Entity


University Northwest Nursing Center, L.L.C.

NH7703 580-256-6448429 E Downs Avenue Woodward, OK 73801

Grace Living Center-Woodward


OP/RE/Manager



Greiner Don



Wilwood, L.L.C.



Amity Care, L.L.C.




10-21-03




Benef/Trustee


eff.10-21-03




Secretary



Diamond Mike

Operating Entity


Woodward Nursing Center, L.L.C.

NH7229 918-622-34306201 East 36th Street Tulsa, OK 74135

Gracewood Health & Rehab

50% Gracewood Manor, 100%

Gracewood Health eff 10/31/2015



Montgomery Bradford

RE 100% eff 10/31/2015



Gracewood Manor, LLC

OP eff 10/31/2015

Operating Entity


Gracewood Health & Rehab, LLC

50% of Gracewood Manor, LLC eff

10/31/2015



Montgomery John

50% Managing Member of management

company


P.O. Box 1009 Gore Oklahoma City, OK 74435

Smith Layne

50% Member of managment company



Smith Brooke


Manager

Post Office Box 1009 Gore, OK 74435

Strong River Management, LLC

NH0905 405-350-23111110 South Cornwell Drive Yukon, OK 73099

Gran Grans Place

Trustee Gregory E Machtolff Trust,

President GHM Enter 03-09-18

Officer


Machtolff Gregory E.



GHM ENTERPRISES, INC.

Trustee George H Machtolff III Trust, VP

GHM Enter 03-09-18



Machtolff III George H.



eff 5-22-02

Operating Entity

917 Travertine Circle Yukon, OK 73099

PPG, L.L.C.

50%OpEnt



Lusty David

50%OpEnt



Lusty Nell

50% of GHM Enterprises, Inc. eff

03-09-2018, President



Gregory E. Machtolff Trust

50% of GHM Enterprises, Inc. eff

03-09-2018



George H. Machtolff III Trust

NH2102 918-786-2276103 Har-Ber Road Grove, OK 74345

Grand Lake Villa

100% of Oak Lake, LLC



Brogdon Connie

Manager of Oak Lake, LLC eff 07/28/11



Brogdon Christopher

Operating Entity

593 Atlanta, GA 30075

Oak Lake, LLC

Eff. 3/1/2014




NH7204 918-428-36003601 North Columbia Tulsa, OK 74110

Green Country Care Center

Pres 33.3%



Buford Stephen

V/pres 33.3%



Buford Sam

V/pres 33.3%



fka Buford Linsenmeyer Sharon B.

eff10-1-1998



Green Country Care Center, Inc.

Operating Entity

1563 Riverside Drive Tulsa, OK 74119

Court Appointed Receiver, Larry Cain/Phoenix Healthcare, L.L.C.,



NH2404 580-233-01211119 East Owen K Garriott Road Enid, OK 73701

Greenbrier Nursing Home

Operating Entity

,

Greenbrier Nursing Home Number Two, Inc.

34% GBV Enterpries, Inc.


1902 Mockingbird Lane Enid, OK 73703

Hackett Steven C.

39% GBV Enterprieses, Inc.


915 Westwood Rd. Enid,, OK 73703

Long Lori D. Hackett

27% GBV Enterprises, Inc.


1601 Bedford Oklahoma City, OK 73116

Naifeh Dick Alison R. Hackett

100% of Greenbrier Nursing Home

Number, Two eff. 2/20/2011


1119 E. Owen K. Garriott Road Enid, OK 73701

GBV Enterprises, Inc.

NH6903 580-658-2319711 South Broadway Marlow, OK 73055

Gregston Nursing Home, Inc.

Operating Entity

711 South Broadway Marlow, OK 73055

Gregston Nursing Home, Inc.

100%



Gregston Jeff L.

Secretary/Treasurer

,

Gregston Stephanie L.

NH2106 918-786-32231503 West Har-Ber Road Grove, OK 74344

Grove Nursing Center

Pres 33.33%



Buford Stephen

33.33%



Buford Sam

33.34%





P. O. Box 3669 Tulsa, OK 74101

Midwest Land And Investment Company

Operating Entity





NH5415 918-650-9393203 North 6th Avenue Okemah, OK 74859

Guthrie Place


eff 02-05-08

Operating Entity



Non-profit President The Reach Corp.

Eff 12/07



Welsh Richard


Corporation 12/07



Bailey M. Geoffry


Corporation 12/07



Pyle William "Bill"

authorized agent for The Reach Corp. Eff

12/07



Bentley Roy

100% RE







Rock River, LLC




MMB, LLC




Lovenest, LLC




Ervin Gary

32.88% of MMB, LLC



Ervin Tim

17.455% MMB, LLC



Ervin Vicki




Ervin Robert




Ervin Laura


w/13.254% each







Ervin Mallory




Ervin Jade






Ervin Luke




Ervin Gabe


w/9.933% each







Ervin Max




Linenger Jessica




Ervin Mitch




Linenger Jennifer




Ervin Brock


w/8.089% each







Ervin Thea




Ervin Issac




Ervin Samuel




Ervin Elijah




Ervin Saul




Ervin Micah




Ervin Mathias

NH5551 405-454-62552400 Whites Meadow Drive Harrah, OK 73045

Harrah Nursing Center

100%Harrah Whites Meadows

Nursing&Marsh Pointe Man eff 09/19/14



Brogdon Christopher



eff 07/31/2013

Operating Entity


Harrah Whites Meadows Nursing, LLC


Two Buckhead Plaza 3050 Atlanta, GA 30305

Harrah Property Holdings,LLC

Eff March 1, 2014




NH5104 918-482-3310405 North Choctaw Haskell, OK 74436

Haskell Care Center

100% mng member



Humphreys Doug

100% of opera


3218 North 372 Holdenville, OK 74848

Alpha Care Properties, L.L.C.

Operating Entity

PO Box 1319 Haskell, OK 74436

Haskell Care Center, L.L.C.

NH3102 918-967-33811402 Northwest 7th Street Stigler, OK 74462

Haskell County Nursing Center, Inc.

100%



Stites Edmund E.

Operating Entity


Haskell County Nursing Center, Inc.

NH5301 918-273-2002312 South Mississippi Nowata, OK 74048

Hays House


Manager Eff 4/25/2016




2.121569% OP/ 2.14% RE


P.O. Box 435 Vian, OK 74962

Armstrong Estate, Sally Armstrong, Executor James

8.314% OP & Mgr./ 8.4112% RE/




Cheek Barnie J.

1.838339% OP/ 1.86% RE


10105 S. 77th East Place Tulsa, OK 74133

Masako Cheek Trust, Masako Cheek Trustee



8.314% OP & Mgmt. / 8.4112% RE




5.834% OP&Mgnt/5.9190% mgr RE

&6.597394% Sec of Ok.Nrs.Hms,Inc.



Haskins Lloyd

5.192% OP & Mgmt./5.9746%

RE/12.535047%

OkNrs.Hms,Inc.eff5/24/12



Watts Cleo

5.893% OP & Mgmt. / 5.9746% RE




5.612090% OP/ 5.67% RE


20852 S. Shannon Dr. Claremore, OK 74017

William McKesson Wilson Sr. 1997 Trust

14.022% OP&Mgmt/14.2078%

RE21.936335% OkNrs.Hms,Inc.VP



Tubbs Steven

5.376% OP & Mgmt. / 5.4406% RE




2.771% OP & Mgmt. / 2.8038% RE



Armstrong-Leutz Joyce

5.542% OP & Mgr./ 5.6186%

RE/6.267525% Ok Nrs

Hms,Inc.eff5/24/12



Estep Pat

2.771% OP & Mgmt. / 2.8037% RE




5.135% OP/MANAGEMENT/ RE

7.2207% EFF 05/24/2012




2.771% OP & Mgmt./ 2.8037% RE &

8.309038% Okla.Nurs.Homes,Inc.




2.771% OP & Mgmt. / 2.8037% RE




9.7298% EFF 05/24/2012




2.771% OP & Mgmt. / 2.8038% RE




9.61494 OP & MGMT

Operating Entity


Hays House, LLC

1.219% mgr OP & Mgmt. EFF

05/24/2012





Inc. EFF 05/24/2012






8.4112 RE &9.401287% Oklahoma

Nursing Homes, Inc.eff 4/25/2016



Farmer Sandra

1.283% OP&Mgmt./ 1.3156%

RE/9.401287%




Wilson James G.

2.1028%RE/2.07900%OP



Ferguson Debra M.

5.5630%RE/5.55600%OP/5.657265% ok

nr hm,inc EFF 05/24/2012 Treas



McGrew Justin

2.771% OP & Mgmt/ 2.8038% RE



Armstrong Sally

9.401287% Ok Nrs Hms,Inc.

EFF05/24/12 Pres Trustee DWRVL

Trust




.70095%RE/.69275%OP&MGMT




.70095%RE/.69275%OP&MGMT EFF

4/25/2016




(MMMVT)

.070095%RE/.69275%OP&MGMT




.70095%RE/069275%OP&MGMT EFF

4/25/2016





Trustee


Bivin Julie K.

2.77100%OP 2.8038 RE edd 4/25/2016






Beneficiary


Johnson Karen Diane



Beneficiary


Fine Michael B.


eff 5/24/12

Beneficiary


Byers Karen


Beneficiary


Farmer Cassandra C.


Beneficiary


Farmer Alexandra C.

MMMV Trust

Beneficiary


Leutz William K.



Dr. WIlliam R. VanDeLinder Trust

Trustee

P.O. Box 370 Adair, ok 74330



Trustee


Yowell Lynn


Trustee


Yowell Ron

Beneficiary MMMV Trust

Beneficiary



Trustee & Benef WGV Trust Beneficary

DWRV Trust

Trustee




Trust

Beneficiary


Bivin Jeremy


Trust

Beneficiary


Bivin Ryan

NH1802 918-256-87681200 West Canadian Vinita, OK 74301

Heartsworth Center for Nursing and Rehabilitation

100% Vinita Holdgs,LLC/Heartsworth

Senior Lvng, EFF 03/01/2013



LEP Holdings, LLC

99% LEP Holdings, LLC EFF 03/01/2013



Pilgrim Lee E.

1% of LEP Holdings,LLC/1% LEP

Holdgs, LLC EFF 03/01/2013



LEP Senior Properties, Inc.



Vinita Holdings, LLC

OP EFF 03/01/2013

Operating Entity


Heartsworth Senior Living, LLC

NH4001 918-653-2464114 West 2nd Street Heavener, OK 74937

Heavener Nursing & Rehab

eff 3/31/2014

Operating Entity

9 Professional Drvie Bella Vista, AR 72715

Heavener Manor, LLC

100%



Montgomery Bradford



50% Managing Member of Managment

Company



Smith Layne

50% Member of Managment Company



Smith Brooke


Manager

Post Office Box 1009 Gore, OK 74435

Heavener Managment,LLC

NH3703 405-853-4390705 East 3rd Street Hennessey, OK 73742

Hennessey Nursing & Rehab

100% Hennessey Nursing & Rehab &

Interhealth, LLC eff 10-01-2017



Montgomery Bradford

95% Trinkik Holdings, LLC eff 7/1/2016



Niksefat Saeed Sy




Niksefat Sharona





Contracted Management eff 02/17/2017



Interhealth, LLC

OP eff 10/01/2017

Operating Entity

9 Orofessional Drive Bella Vista, AR 72715

Hennessey Nursing & Rehabilitation, LLC

NH5602 918-652-8797212 North Antes Henryetta, OK 74437

Henryetta Community Skilled Healthcare & Rehab

Manager of RE EFF 6/1/2016



Adkins Gerrol Dean

Manager of RE EFF 6/1/2016



Adkins Arbret June

33% MG member of OP/ Management


Rt. 1, Box 105C Weleetka, OK 74880

Cynthia Denise Majors Revocable Trust

33% Mng member OP/Management


Rt. 1, Box 114 Weleetka, ok 74880

Donna Renee Simmons Revocable Trust

Manager of OP/Management



Majors Cynthia




Simmons Donna Renee



100% sole member RE




1% of MNGR EFF 6/1/2016



True North Healthcare Managment, LLC

EFF 6/1/2016



Adkins Holdings, LLC

1 % of OP EFF 6/1/2016

Operating Entity


Henryetta Community Skilled Healthcare & Rehab, LLC

33% Managing Member OP/Managment



The Charles Edward Simmons Revocable trust dated April 1 2015




Simmons Charles

NH0502 580-928-2494Highway 152, Box 465 Sayre, OK 73662

Hensley Nursing & Rehab

100% Hensley Nursing, Hensley Manor

& Rehab and Interhealth,LLC



Montgomery Bradford

Management EFF 8-01-2018



Interhealth, LLC

OP eff 04/01/2019

Operating Entity


Hensley Nursing & Rehab, LLC

100% RE Eff 09-18-2019



Hensley Manor, LLC

NH5546 405-720-001013500 Brandon Place Oklahoma City, OK 73142

Heritage at Brandon Place Health & Rehabilitation

OP eff 12-1-2012, eff 01/01/16

Operating Entity 2

13500 Brandon Place Oklahoma City, OK 73142

QC Nursing, LLC

100% of QC Nursing, LLC


1145 Hembree Rd. Roswell, GA 30076

AdCare Operations, LLC

Contracted Management eff 05/2015


1518 Legacy Dr. #110 Frisco, TX 75034

Southwest LTC Management Services, LLC

1% Southwest LTC-Quail Creek

LLC,72.62% SW LTC,LTD eff 01/01/16


1518 Legacy Drive 110 Frisco, TX 75034

Payne Ronald

9.5%SW,LTC, LTD,20% of Southwest

LTC-Mgt Services eff 01/01/2016



Brashier Craig



Sr. VP-OP AdCare, Manager QC Nursing,

LLC eff 01/31/2015



AdCare Health Systems Thomas John C.

CEO-AdCare Health Systems, Manager

QC Nursingeff 01/31/2015



AdCare McBride William

99% Southwest LTC-Quail CReek LLC

eff 01/01/16


1518 Legacy Drive 110 Frisco, OK 75034

Southwest LTC Oklahoma Holdings,LLC

100% Southwest LTC Oklahoma

Holdings, LLC eff 01/01/16


1518 Legacy Dr. 110 Frisco, TX 75034

Southwest LTC, LTD

11.98% SW LTC, LTD eff 01/01/16


5731 Jackson St. Ext C Alexandria, LA 71303

Quality Care Givers, Inc.

1% SW LTC, LTD eff 01/01/16



Southwest LTC Mgt I LLC

OP eff 01/01/2016

Operating Entity


Southwest LTC-Quail Creek LLC

RE Owner eff 8/5/2019


34 Lord Ave Lawrence, NY 11559

Quail Creek Realty LLC

NH6105 918-423-2920411 North West Street McAlester, OK 74501

Heritage Hills Living & Rehabilitation Center

President of Heritage Hills NC & Trustee

of 1996 Rev Trust C Har


,

Charles F. Hardy, Iii, And Patricia J. Hardy

Operating Entity

411 N. West Street McAlester, ok 74502

Heritage Hills Nursing Center, Inc.


5252 E. 11th Pl. Tulsa, OK 74137

Heritage Hills Nursing Properties LLC

51% OP/RE Charles F. Hardy III &

Patricia J. Hardy, Indep Co-Tru

Trustee

5252 E 114th Place Tulsa, Ok 74137

1996 Revocable Trust of Patricia J. Hardy

49% OP/RE VP/Sec



1996 Revocable Trust of Charles F. Hardy III

NH5522 405-789-71033804 North Barr Oklahoma City, OK 73122

Heritage Manor

100% Op & Pres.eff 06/07/2016 Trustee

& BenJMC Liv Trst 6/1/17



Crane Judy M.



Operating Entity


Crane Younge and Associates, Inc.

100% Manor Home Property LLC eff

6/1/17



Judy M. Crane Living Trust

Mgr. Manor Home P.LLC -Trustee of

Judy M. Crane Trust eff 6/1/17



Hall Sonja

100% RE eff 6/1/17


3714 N. Portland Ave OKC, OK 73112

Manor Home Property LLC

NH5509 405-942-38846912 Northwest 23rd Street Bethany, OK 73008

Heritage Park

100% OP/Pres eff 06/07/2016,Truste &

Ben JMCLiv Trst eff 5/24/17



Crane Judy M.

Operating Entity

3714 North Porland Oklahoma City, Ok 73112

C and Y Management Company, Inc

eff 5/24/17



Park Home Property LLC

100% RE eff. 5/24/17



Judy M. Crane Living Trust

Trustee of the Judy M. Crane Liv Trust eff

5/24/17



Hall Sonja

NH7405 918-335-32221244 Woodland Loop Bartlesville, OK 74006

Heritage Villa Nursing Center

50% Arbor Springs of Oklahoma, LLC


8500 West 110th Street 510 Overland Park, KS 662010

Wurth David

50% Arbor Springs of Oklahoma, LLC


8500 West 110th Street 510 Overland Park, KS 66210

Wurth Charles

Real Estate Owner 05/01/2015


1633 North Campbell Avenue Chicago, IL 60647

BHCP Heritage Villa Real Co, LLC

OP eff 05/01/2015

Operating Entity


BHCP Heritage Villa OP Co, LLC

100% BHCP Heritage Villa Real Co &

BHCP Heritage Villa OP


1633 North Campbell Ave Chicago, IL 60647

BHCP Heritage Villa Hold Co, LLC



5% BHCP Heritage Villa Hold Co, LLC



BHCP Heritage Villa Sponsor, LLC

Manager of BHCP Heritage Villa Hold

Co, LLC

Manager


BHCP Heritage Villa Manager, LLC

95% BHCP Heritage Villa Hold Co, LLC



BHCP Heritage Villa Investors, LLC

95% of BHCP Heritage Villa Sponsor,

LLC




5% BHCP Heritage Villa Sponsor, LLC



Rothbart Jeff

100% Member/Manager Birchwood

Healthcare, LLC



Dole Isaac

Eff 6/27/2019


415 US Hwy377 S 200 Argyle, TX 76226


33.33% Mbr & Mgr Transition Health

Services-OK,LLC


415 US Hwy 377 S 200 Argyle, TX 76226

Bates Josh


Services-OK,LLC


415 US Hwy 377 S 200 Argyle, TX 76226

Shelton Chana


Services-OK,LLC


415 US Hwy 377 S 200 Argyle, TX 76226

Sims Debra

NH3205 405-786-2266801 Highway 48 North Holdenville, OK 74848

Heritage Village Nursing Home

Pres. of RE & Bene. & Trus of G D & A

J Adkins Fam Tr.

Trustee


Adkins Gerrol Dean

Sec. of RE & Bene. Gerrol D Adkins and

Arbret J Adkins Fam Trust



Adkins Arbret June

effective 7/1/87


Rt. 1 Box 54 Holdenville, OK 74848

Holdenville Nursing Home Inc.

Beneficiary of Cynthia Denise Majors

Irrevocable Tr. eff12/31/12

Trustee


Majors Cynthia

Beneficiary of Donna Renee Simmons

Irrevocable Tr. eff 12/31/12

Trustee


Simmons Donna Renee

Beneficiary Gerrol Dean Adkins II

Irrevocable Trust eff.12/31/12

Trustee

Rt. 1, Box 121A Weleetka, OK 74880




52%of RE eff 12/31/12




eff 1-1-07

Operating Entity

801 HWY 48 Holdenville, OK 74848

Heritage Village Nursing Center, LLC




Heritage Village Nursing Center Revocable Business Trust

16% RE eff 12/31/12




16% RE eff 12/31/12




16% RE eff 12/31/12




CMajors Ir.Tr, Gerrol II and DSimmons

Ir.Tr GDA/AJA Fam Trust.

Trustee



NH5806 918-674-2233407 Whitebird Avenue Quapaw, OK 74363

Higher Call Nursing Center

President /Trus


P.O. Box 918 Miami, OK 74355

Chirillo Gordon

V-Pres/trus



Wright Terry L.

eff 1-17-03

Operating Entity


Higher Call Nursing Center, Inc.

Vice President/Treasurer 02/2014



Harting-Henn Karen

NH5604 918-756-56111307 R D Miller Drive Okmulgee, OK 74447

Highland Park Health Care


Trust

Trustee

9813 S. Penn OKC, OK 73159

McCormick Linda

Real Estate


9813 South Penn Oklahoma City, OK 73159

Okmulgee Health Care, L.L.C.

Pres of Mgng Mbr,HPM SNF Operations,

LLC



Taylor John F.

33.4% RE






33.3% RE




33.3% RE


5413 N.W. 107th Okla. City, OK 73162




Beneficiary


Pennington Amy



Beneficiary


Petrone Alison



Beneficiary


Jones Joshua



Beneficiary


Jones Tanner


Trust

Beneficiary


Dunbar William


Trust

Beneficiary


Dunbar Teresa

Subcontracted Manager Eff 6/30/2017




Beneficiary of Arlenea Dunbar Revocable

Trust

Beneficiary


Nard Charlotte

100% mmbr-HPM SNF Operations, LLC

Member



Mayor/Chairman, City of Pauls Valley, eff

5/14/19



Rushing Jocelyn

Councilman, City of Pauls Valley

Member


Grimmett Patrick

Mgng Mbr-HPM SNF Operations, LLC

Member



Councilwoman, City of Pauls Valley

Member



UPL Owner EFF 10/1/2017

Operating Entity





,

HPM SNF Operations, LLC (HPM)


5/14/19



Meisel Veronica



NH4502 580-286-5398808 Northwest M L King Avenue Idabel, OK 74745

Hill Nursing Home, Inc.

Operating Entity

808 N.W. 1st Street Idabel, OK 74745

Hill Nursing Home, Inc.

100% of Hill Nursing Home, Inc.

President Eff 2012


P.O. Box 687 Idabel, OK 74745

Hill G. Joy

50% (RE) Abbris Properties II, LLC eff

10/27/2016



Abbott Cody

NH3604 580-363-32441210 South 6th Street Blackwell, OK 74631

Hillcrest Manor Nursing Center

33.3% mem



Hardin Kelly

50% RE mem. Eff. 04/03/2015



Young Jeffrey

50% RE mem. Eff. 04/03/2015


46487 E. 1040 Rd. Sallisaw, OK 74955


Operating Entity

6116 s. MEMORIAL DR TULSA, OK 74133

Bedlam Properties, L.L.C.


6116 S. Memorial Dr. Tulsa, Ok 74113

Black Diamond Investments, L.L.C.

CEO of OP eff. 03-23-10



Lietzke Mark

NH1402 405-794-24282120 North Broadway Moore, OK 73160

Hillcrest Nursing Center

100% of Gary Crest, LLC eff 01/11/2016



Smart Gary

100% of BK Strategies Real Estate, LLC



Reed Bart

100% Moore Hillcrest Real Estate, LLC

eff 01/11/2016




100% RE eff 01/11/2015



Moore Hillcrest Real Estate, LLC



UPL Manager Eff 6/30/2017 end

7/16/2019/OP EFF 7/16/2019

Operating Entity


Gary Crest, LLC

NH3803 580-726-3381709 North Lowe Hobart, OK 73651

Hobart Nursing & Rehab

100% of Hobart Manor & Hobart Nursing

& Rehab eff 01/09/2015



Montgomery Bradford

100% of the Real Estate eff 01/09/2015



Hobart Manor, LLC

OP eff 01/09/2015

Operating Entity


Hobart Nursing & Rehab, LLC

NH1403 405-321-7932301 East Dale Norman, OK 73069

Holiday Heights Healthcare


03-01-2018


4415 Highline Blvd., P.O. Box 23017 Oklahoma City, OK 73123

Amity Care Corporation

Manager Holiday Heights OP Holiday

Heights RE Amity Care 3-1-18

Manager


Greiner Don

Manager Holiday Heights OP Holiday

Height & RE Amity Care 3-1-18

Manager


Dimond Mike

99% Holiday Heights OP & 78% Amity

Care, LLC eff 03-1-20185




Benef/Trustee

22% Amity Care, LLC eff 03-01-2018




58% Holiday Heights Real Estate, LLC




58% Renew Properties, LLC eff

03-18-2018



Stalwart Trust

100% Clarity Properties & 48% Renew

Properties eff 03-01-2018




42% Holiday Heights Real Estate, LLC

eff 03-01-2018




100% OP eff 03-01-2018

Operating Entity

4350 Will Rogers Pkwy 300 Oklahoma City, OK 73108

Holiday Heights Operations, LLC



100% Real Estate eff 03-01-2018


4350 Will Rodgers Parkway 300 Oklahoma CIty, OK 73108

Holiday Heights Real Estate, LLC

NH1807 918-256-7825420 North Brewer Vinita, OK 74301

Home of Hope Brewer House

Director eff 5-23-14


6122 E. 107th St. Tulsa, OK 74137

Willis James A.

Operating Entity

900 Hope Avenue Vinita, OK 74301

Home Of Hope, Inc.

VP Operations


1005 West Canadian Vinita, OK 74301

Hartley Jot

Director


5924 Flagstaff Wichita, KS 67220

Harney Jerry

treasurer


332 N. Scraper Vinita, OK 74301

Luginbuel Jack

VP P&D


319 E. Illinois Vinita, OK 74301

Patrick Dennis

Secretary


450500 Happy Hollow Dr. Afton, OK 74331

Cupp Gary

Director


106 Lakeview Drive Vinita, OK 74301

Dalquest Len

Director


100 N. Broadway 1500 Oklahoma City, OK 73102

Hager Don

Director


310 South Scraper Vinita, OK 74301

Hartley Robert(Bob)

Director


PO Box 160 Langley, OK 74350

Sellers Jim

Director



Lynch Robert

Director


229 S. Smith St. Vinita, OK 74301

Montana Jo

Director eff 2014


20 East 5th St. 200 Tulsa, OK 74103

Frizzell Blaine

CEO 2014


3205 Par Ct Claremore, OK 74019

Home Of Home, Inc. Richardson Ralph

Director eff Sept 2015


2809 Summerfield Place Pryor, OK 74361

Brown Tim



Director Eff Sept 2015


37640 S. 4110 Rd. Big Cabin, OK 74322

Gibson Virginia

NH5809 918-540-07703125 East Street North Miami, OK 74354

Home of Hope Elmwood House

Director


6122 E. 107th St. Tulsa, OK 74137

Willis James A.

Operating Entity


Home Of Hope, Inc.

VP Operations



Hartley Jot

Director



Harney Jerry

Treasurer Eff April 21 2014



Luginbuel Jack

VP P&D Eff April 21 2014



Patrick Dennis

Secretary



Cupp Gary

Director



Dalquest Len

Director



Hager Don

Director



Hartley Robert(Bob)

Director



Sellers Jim

Director Eff April 21 2014



Lynch Robert

Director



Montana Jo

Director eff 2014



Frizzell Blaine

CEO eff 2014







Brown Tim





37640 S. 4110 Rd. Big Cabin, OK 74322

Gibson Virginia

NH1808 918-256-4958104 South Foreman Vinita, OK 74301

Home of Hope Foreman House

Director


6122 E. 107th St. Tulsa, OK 74137

Willis James A.

Operating Entity


Home Of Hope, Inc.

VP Operations



Hartley Jot

Director



Harney Jerry

Treasurer



Luginbuel Jack

VP P&D



Patrick Dennis

VP P&D



Patrick Dennis

Secretary



Cupp Gary

Director



Dalquest Len

Director



Hager Don

Director



Hartley Robert(Bob)

Director



Sellers Jim

Director



Lynch Robert

Director



Montana Jo

Director eff 2014



Frizzell Blaine

CEO eff 2014






NH1804 918-256-7825528 North Gunter Vinita, OK 74301

Home Of Hope Gunter House

Director end 12/07/2015


6122 E. 107th St. Tulsa, OK 74137

Willis James A.

Operating Entity


Home Of Hope, Inc.

VP operations



Hartley Jot

Director



Harney Jerry

Treasurer



Luginbuel Jack

VP P&D



Patrick Dennis

Secretary



Cupp Gary

Director



Dalquest Len

Director



Hager Don

Director 11/20/2013



Hartley Robert(Bob)

Director



Sellers Jim

Director



Sellers Jim

Director



Lynch Robert




Montana Jo

Director eff 2014



Frizzell Blaine

CEO eff 2014







Brown Tim



37640 S. 4110 Rd. Big Cabin, OK 74322

Gibson Virginia



NH5810 918-540-03001026 3rd Northwest Miami, OK 74354

Home of Hope K House

Director eff may 15, 2014


6122 E. 107th St. Tulsa, OK 74137

Willis James A.

Operating Entity


Home Of Hope, Inc.

VP Operations



Hartley Jot

Director



Harney Jerry

Treasurer



Luginbuel Jack

VP P&D



Patrick Dennis

Secretary



Cupp Gary

Director



Dalquest Len

Director



Hager Don

Director



Hartley Robert(Bob)

Director



Sellers Jim

Director



Lynch Robert

Director



Montana Jo

Director eff 2014



Frizzell Blaine




Brown Tim



37640 S. 4110 Rd. Big Cabin, OK 74322

Gibson Virginia



NH1812 918-256-8406954 West Hope Road Vinita, OK 74301

Home of Hope Macklanburg House

Director


6122 E. 107th St. Tulsa, OK 74137

Willis James A.

Operating Entity


Home Of Hope, Inc.

VP of Operations eff 09/2012



Hartley Jot

Treasurer



Luginbuel Jack

VP P&D



Patrick Dennis

Secretary eff 09/2012 (Director eff

09/2011 end 09/2012)



Cupp Gary

Director



Sellers Jim

Board of Dir./CEO







Brown Tim



37640 S. 4110 Rd. Big Cabin, OK 74322

Gibson Virginia

NH5811 918-540-06001615 20th Avenue Southwest Miami, OK 74354

Home of Hope Oakcrest House

Director eff. 09/2015


6122 E. 107th St. Tulsa, OK 74137

Willis James A.



6122 E. 107th St. Tulsa, OK 74137

Willis James A.

Operating Entity


Home Of Hope, Inc.

VP Operations eff 09/2012



Hartley Jot

Director



Harney Jerry

Treasure eff. 09/2015



Luginbuel Jack



Vice President P & D eff. 09/2012



Patrick Dennis

Secretary eff 09/2012



Cupp Gary

Director



Dalquest Len




Hager Don

Director



Hartley Robert(Bob)

Director



Sellers Jim

Director



Lynch Robert

Director eff 09/2015



Montana Jo

CEO of Home of Hope, Inc.




CEO of Home of Hope eff 06//







Brown Tim



37640 S. 4110 Rd. Big Cabin, OK 74322

Gibson Virginia

NH1809 918-256-4957822 North Scraper Vinita, OK 74301

Home of Hope Scraper House

Board Member

Officer

717 S. Houston Tulsa, OK

Brown Darvin L.

Director


6122 E. 107th St. Tulsa, OK 74137

Willis James A.

Operating Entity


Home Of Hope, Inc.

VP Operations



Hartley Jot




Harney Jerry



Treasurer



Luginbuel Jack

VP P&D



Patrick Dennis

Secretary



Cupp Gary




Hager Don




Hartley Robert(Bob)

CEO


P.O. Box 58 Vinita, OK 74301

Svedman David

Director



Sellers Jim




Montana Jo

Director Eff. 9-2015



Frizzell Blaine

CEO Eff. 9/2015







Brown Tim




Brown Tim



37640 S. 4110 Rd. Big Cabin, OK 74322

Gibson Virginia

NH1805 918-256-8106804 East Sequoyah Vinita, OK 74301

Home Of Hope Sequoyah House

Director


6122 E. 107th St. Tulsa, OK 74137

Willis James A.

Operating Entity


Home Of Hope, Inc.

VP Operations



Hartley Jot

VP Operations



Hartley Jot



Director



Harney Jerry

Treasurer



Luginbuel Jack

VP P&D



Patrick Dennis

Secretary



Cupp Gary

Director



Dalquest Len

Director



Hager Don




Hartley Robert(Bob)

Director



Sellers Jim

Director



Lynch Robert




Montana Jo

Director eff 2014



Frizzell Blaine

Board of Dir./CEO







Brown Tim



37640 S. 4110 Rd. Big Cabin, OK 74322

Gibson Virginia

NH1810 918-256-7825728 North Thompson Vinita, OK 74301

Home of Hope Thompson House

Director


6122 E. 107th St. Tulsa, OK 74137

Willis James A.

Operating Entity


Home Of Hope, Inc.

VP Operations



Hartley Jot



Treasurer



Luginbuel Jack

VP P&D



Patrick Dennis

Secretary eff 09/2012



Cupp Gary

Director



Sellers Jim

Board of Dir./CEO







Brown Tim



37640 S. 4110 Rd. Big Cabin, OK 74322

Gibson Virginia

NH1806 918-256-782524775 South 4400 Road Vinita, OK 74301

Home Of Hope Warren House

Director eff 2014 end 2016,eff 9/14/17


10641 E. 18th Pl. Tulsa, OK 74128

Wedding Tony

Director


6122 E. 107th St. Tulsa, OK 74137

Willis James A.

Operating Entity


Home Of Hope, Inc.

VP Operations



Hartley Jot

Director



Harney Jerry

Treasurer



Luginbuel Jack

VP P&D



Patrick Dennis

Secretary



Cupp Gary

Director



Dalquest Len

Director



Hager Don






Hartley Robert(Bob)

Director



Sellers Jim

Director



Lynch Robert




Montana Jo

Director



Frizzell Blaine

CEO Eff. 2016




Director



Brown Tim



37640 S. 4110 Rd. Big Cabin, OK 74322

Gibson Virginia

Director, eff 9/14/17


442570 E. 290 Road Vinita, OK 74301

Robinson Dee

NH5812 918-256-8406603 3rd Avenue Northwest Miami, OK 74354

Home of Hope Wilson House

Director


6122 E. 107th St. Tulsa, OK 74137

Willis James A.

Operating Entity


Home Of Hope, Inc.

VP Operations



Hartley Jot

Director



Harney Jerry

Treasurer



Luginbuel Jack

VP P & D eff2013



Patrick Dennis

Secretary



Cupp Gary

Director



Dalquest Len



Director



Hager Don

Direcor



Hartley Robert(Bob)

Director



Sellers Jim

Director



Lynch Robert

Director



Montana Jo

Director



Frizzell Blaine

CEO




Director



Brown Tim



37640 S. 4110 Rd. Big Cabin, OK 74322

Gibson Virginia

NH1811 918-256-2809950 West Hope Road Vinita, OK 74301

Home of Hope Wodloe House

Director Eff 11-23-2016


10641 E. 18th Pl. Tulsa, OK 74128

Wedding Tony

Director eff 11-22-13


6122 E. 107th St. Tulsa, OK 74137

Willis James A.

Operating Entity


Home Of Hope, Inc.

VP Operations



Hartley Jot

Director



Harney Jerry

Treasurer Eff. 11-22-13



Luginbuel Jack

VP P&D



Patrick Dennis

Secretary Eff. 11-22-13



Cupp Gary



Director



Hager Don

Director



Hartley Robert(Bob)

Director



Sellers Jim

Director, eff.07/09/2012



Lynch Robert

Director



Montana Jo

director started 12/07/2015



Frizzell Blaine

CEO eff 2014




Director 12/07/2015



Brown Tim

Director start 12/07/2015


37640 S. 4110 Rd. Big Cabin, OK 74322

Gibson Virginia

NH1202 580-326-77711001 Heritage Way Hugo, OK 74743

Homestead of Hugo

12.5% OP & RE


808 North 4140 Road Hugo, OK 74743

McEwing Chance Gwendolyn

12.5% OP & RE


3005 Candlestick Enid, OK 73703

McEwing Patrick

25% BGM Beneficiary Delores O

Mitchell Revocable Tr



Tabor Angela

25% BGM Estate Beneficiary Delores O

Mitchell Revocable T


111522 S. 4740 Rd. Muldrow, OK 74948






Mitchell Marcinda





Mitchell Kelly O.

Delores O. Mittchell Revocable Trust

Trustee


Mitchell Delores O.

effective 9/26/11


1505 W. Chickasaw Ave. Sallisaw, OK 74955

Hugo Health and Rehabilitation Center, L.L.C.




Beneficiary


Green Reba


Beneficiary




Beneficiary



Member 37.5% OP & RE




Manager, eff 03/28/13


1001 Heritage Way Huogo, OK 74743

Coffelt Linda


Trustee


Green Gilbert F.

18.75% Member OP & RE




18.75% OP eff 9-16-16


,

BGM Estate, LLC


Operating Entity


City of Hugo



1001 Heritage Way Hugo, OK 74743

Homestead of Hugo I, LLC

NH6606 918-543-8800400 North Broadway Inola, OK 74036

Inola Health & Rehabilitation

100% OP


PO Box 17888 Hattiesburg Hattiesburg, MS 39404

Johnson Christopher W.

Eff. 01/01/2013


303 W. Madison Chicago, Il 60606

Oklahoma Two Property, L.L.C. c/o Aviv Reit, Inc.

Eff 01/01/2013

Operating Entity

2100 E Washington Street D Idabel, OK 74745

Inola Health & Rehabilitation, LLC

NH7408 918-336-59285120 Jacquelyn Lane Bartlesville, OK 74006

Jacquelyn House

Vice-President, eff 9-17-19


2632 Roanoke Ridge Rd Bartlesville, OK 74006

Proctor Drew

Treasurer, eff 9-17-19


RR1, Box 107 Nowata, OK 74048

Casey Bettisu



OP, eff 9-26-19

Operating Entity

501 S. Virginia Ave Bartlesville, OK 74003

Ability Works of Oklahoma, Inc.

President, eff 0-17-19


POB690 G Bartlesville, OK 74004

Messerli Teresa

Secretary, eff 9-17-19


115 1/2 SE Frank Phillips Blvd Bartlesville, OK 74003

Haskell Debbie

Cheif Executive Officer, eff 9-17-19


5120 Jacquelyn Lane Bartlesville, OK 74006

Ingram Rebecca

NH6203 580-332-5328815 North Country Club Road Ada, OK 74820

Jan Frances Care Center




Tabor Angela

25% BGM Estate, LLC


111522 S. 4740 Rd. Muldrow, OK 74948


25% BGM Estat, LLC Eff 9-16-16



Mitchell Marcinda

12.5% Member OP 25% BGM Estate,

LLC eff 9-16-16



Mitchell Kelly O.

Beneficiary of Gilbert F. Green Trust 20%

LP

Beneficiary


Green Reba

Beneficiary of Gilbert F. Green Trust and

5% LP

Beneficiary



Beneficiary of Gilbert F. Green Trust and

5% LP

Beneficiary




Beneficiary


Michelle Green Lori

25% Member




25% Member




Trustee Philip M Green Tr. benef Gilbert

F Green Tr 10%LP

Trustee


Green Philip M.

Trustee and beneficiary of Gilbert F.

Green Trust

Trustee


Green Gilbert F.

Beneficiary of Philip M Green Revocable

Trust & 50%LP ef 4-23-14

Beneficiary


Stewart Lori Green




Tr. 50%LP eff 4-23-14

Beneficiary


Green Philip R.

Manager of Jan Frances Care Center,

LLC eff 12-08-2014

Manager

1600 EAST HIGHWAY HOLDENVILLE, OK 74848

Williams Casey

37.50% OP eff 9-16-16


,

BGM Estate, LLC

UPL Owner eff 6/30/2017

Operating Entity


City of Hugo



,

Jan Frances Care Center I, L.L.C.

NH2406 580-233-2722502 West Pine Enid, OK 73701

Kenwood Manor

100% of Kenmetal, LLC



Brogdon Connie

Manager of Kenmetal, LLC eff 07/28/11

100% MPM, LLC eff 3/1/14



Brogdon Christopher

Operating Entity

502 West Pine Avenue Enid, OK 73701

Kenmetal, LLC

eff 3/1/2014




NH5535 405-424-14491921 Northeast 21st Street Oklahoma City, OK 73111

Kingwood Skilled Nursing and Therapy




Greiner Don



Terrgar, L. L. C.




Dimond Mike



Amity Care, L.L.C.


10-21-03




Benef/Trustee

Stockholders/partners -- Not Officers Don Greiner Trust, Don Greiner Trustee




eff.10-21-034350 Will Rogers Parkway 300 Okc, OK 73108

Eff, 7/1/19

Operating Entity


Terrace Gardens Nursing Center, L.L.C.

58% RE, eff 07/01/19




42% RE, eff 07/01/19




NH4301 580-634-4712301 CE Colston Drive Marietta, OK 73448

Lake Country Nursing Center

100% RE


1802 N.E. Loop 410 #111 San Antonil, TX 78217

Cotter James F.

Chair & CEO of Senior Care Group, Inc.



Vaughan David R.

eff. 11-01-06

Operating Entity

1240 Marbella drive Tampa, Fl

SCG Lake Country, LLC

eff. 11-01-06




2.29% RE




sole manag.mem. of SCG Red River,

LLC/lessee

Managing Member



Senior VP, Sec, and Board Mem of




Thorn Rebecca


Inc.





Inc.



Surtees Robert E.


1-01-08




CFO & Secretary




NH5605 918-652-8101600 Lake Road Henryetta, OK 74437

Lake Drive Care and Rehabilitation Center



100% of Peak Medical Corp


101 Sun Ave. NE Albuquerque, NM 87109

SunBridge Healthcare LLC

100% of SunBridge Healthcare

Corporation


101 Sun Avenue NE Albuquerque, NM 87109

Sun Healthcare Group, Inc.

100% of Sabra Lake Drive, LLC





LP




99% GP of Sabra Health Care LP




7% South Park Health Care- 50%

Midwest Geriatric Mgmt 03-2017



Bienstock Judah

Mgr Okla Acquisitions & 50% Midwest

Geriatric Mgmt eff 03-2017



Jeremias Baruch

100% Sun Healthcare Group, Inc.


101 East State Street Kennett Square, PA 19348

GHC Holdings II, LLC

100% GHC Holdings II, LLC



Genesis Healthcare, LLC

100% Genesis Healthcare, LLC


3820 Mansell Road 280 Alpharetta, GA 30022

GEN Operations II, LLC

100% GEN Operations II, LLC


3820 Mansel Road 280 Alpharetta, GA 30022

GEN Operations I, LLC

21% FC-GEN Operations Investment,

LLC


3820 Mansell Road 280 Alpharetta, GA 30022

HCCF Management Group XI, LLC


LLC


One South Street, 27th Flr Baltimore, MD 21202

Gazelle Gen LLC


LLC



GEN Management, LLC


LLC


234 Church Street 901 New Haven, CT 06510

Senior Care Genesis, LLC


LLC


101 West Avenue, Third Floor Jenkintown, PA 19046

ZAC Properties XI, LLC

4% FC-GEN Operations Investment, LLC


6633 N. Lincoln Avenue Lincolnwood, IL 60712

Midway Gen Capital, LLC

57% Gazelle Gen LLC


One South Street, 27th Floor Baltimore, MD 21202

SL Gen LLC

92% Senior Care Genesis, LLC


234 Church Street 901 New Haven, CT 06510

Senior Care Holdings LLC



68% Senior Care Holdings LLC


19 Hilltop Place Rye, NY 10580

1995 Donna Reis Family Trust

10% Lake Drive Health Care



Fensterman Howard

37% of Lake Drive Health Care eff

03-2017



Landa Benjamin

eff 03/13/13

Operating Entity


Lake Drive Health Care, LLC

13% Lake Drive Health Care eff 03-2017



Taub Miriam

33% of Lake Drvie Health Care




84.85% of Oklahoma Acquisitions



10-26 Nationwide Trust





MACB Resources, LLC

NH5411 918-650-93934 Hillcrest Way Okemah, OK 74859

Lake Place


236 Main Street Uniontown, KY 42461

4-B Properties, L.L.C.


eff 02-05-08

Operating Entity




Corporation 1-8-08



Welsh Richard


Corporation 1-8-08



Bailey M. Geoffry


Corporation



Pyle William "Bill"


Corporation



Bentley Roy

eff. 8-15-07




100% of RE







Rock River, LLC






MMB, LLC




Lovenest, LLC




Ervin Gary




Ervin Lisa




Ervin Lisa

32.88% of MMB, LLC



Ervin Tim

17.455% of MMB, LLC



Ervin Vicki




Ervin Robert




Ervin Laura


w/13.254% each







Ervin Mallory




Ervin Jade




Ervin Luke




Ervin Gabe


w/9.933% each







Ervin Max




Linenger Jessica




Ervin Mitch




Linenger Jennifer




Ervin Brock




w/8.089% each







Ervin Thea




Ervin Issac




Ervin Samuel




Ervin Elijah




Ervin Saul




Ervin Micah




Ervin Mathias

Authorized Agent of the Reach

Corporation, eff 11/1/2019


1201 W. Trudgeon Henryetta, OK 74437

Ogle Gloria

NH1005 580-223-4501604 Lake Murray Drive Ardmore, OK 73401

Lakeland Manor, Inc.

Pres & 0% of LM,Inc./Pres &

100%LTCMngmtCo.


P.O. Box 128 Ardmore, OK 73402-0128

Porter Gary L.

Operating Entity

604 Lake Murray Drive Ardmore, OK 73401

Lakeland Manor, Inc.

mngmt



LTC Management Co.

100% LMNH,Inc.



Porter Mary E.

100% LM,Inc.


PO Box 20688 Okc, OK 73156

Lakeland Manor Nursing Home, Inc.

NH4604 918-618-9588607 Woodland Ave Eufaula, OK 74432

Lakeview Nursing & Rehab

100% of Lakeview Manor & Lakeview

Nursing & Rehab eff 06/29/2018



Montgomery Bradford



OP eff 06-29-2018

Operating Entity


Lakeview Nursing & Rehab, LLC

100% Real Estate Owner eff 06-29-2018



Lakeview Manor, LLC

NH5552 405-737-82008200 National Avenue Midwest City, OK 73110

Landmark of Midwest City Rehabilitation and Nursing Center

Lessor eff 09/01/2015


111 Clifton Ave Lakewood, NJ 08701

Midwest Texas Realty, LLC

100% 8200 National Avenue Realty, LLC


6101 Nimitz Parkway South Bend, IN 46628

Strawberry Fields REIT, LTD

100% RE


6101 Nimtz Parkway Southbend, IN 46628

8200 National Avenue Realty, LLC

99% of Benchmark


2804 South Twyckenham Drive South Bend, IN 46614

Sax Jeffrey

Co-CEO of Strawberry Fields REIT, LTD

CEO


Gubin Moishe

Contracted Mangement Company eff

06/18/2018


6101 Nimtz Parkway South Bend, IN 46628

Benchmark Healthcare Consultants, LLC

OP eff 06-18-2018

Operating Entity

6101 Nimtz Parkway South Bend, IN 46628

Landmark of Midwest City Rehabilitation and Nursing Center, LLC

100% of Landmark of Midwest City

Rehab & Nursing, LLC



A&M Healthcare Investments, LLC

14% A&M Healthcare Investments, LLC



Meisels Joseph

24% of A&M Healthcare Investment eff

06-18-2018



Meisels David


eff 06/18/2018



Meisels Zalmen

8% of A&M Healthcare Investments, LLC

eff 06-18-18


6101 Nimitz Parkway South Bend, OK 46628

Meisels Chaim

8% A&M Healthcare Investments eff

06-18-2018



Teitelbaum Brucha


eff 06/18/2018



Halberstam Roisa


eff 06-18-2018



Halberstam Chana




eff 06-18-2018



Ashkenazi Sara

NH3902 918-465-2255103 Southwest 9th Street Wilburton, OK 74578

Latimer Nursing Home

Operating Entity

103 S.W. 9th Wilburton, OK 74578

Eastern Oklahoma Nursing Homes, Inc.

Pres 44%


Box 508 Wilburton, OK 74578

Reager Rita

VP 44%


58 Wingate Little Rock, AK 72205

Gray Bequita

6%


Box 337 Hartshorne, OK 74547

James Rozella

6%


2807 Briarwood Drive Huntsville, AL 35801

Petricek Ann Lynn

Authorizated to sign application for

renewals eff 11/22/2011

Officer

103 Southwest 9th Street Wilburton, OK 74578

Reager Robert

NH7254 918-728-67007318 East Pine Street Tulsa, OK 74115

Laura Dester Childrens Center #1

OP eff 01/22/2019

Operating Entity


Oklahoma Department Of Human Services

100% of Liberty of Oklahoma Corp &



401 East City Ave. 820 Bala Cynwyd, PA 19004

Caskey, M.D. Herbert T.

Director of OKDHS

Officer


OKDHS Lake Ed

Contracted Managment Company eff

01/22/2019


7318 East Pine Tulsa, OK 74115

Liberty of Oklahoma Corporation

NH7255 918-728-67007318 East Pine Street Tulsa, OK 74115

Laura Dester Childrens Center #2

OP eff 03-27-2019

Operating Entity





100% Liberty of Oklahoma Corp &

President 03-27-2019




Director of OKDHS

Officer


OKDHS Lake Ed


03-27-2019


7318 East Pine Tulsa, OK 74115

Liberty of Oklahoma Corporation

NH7216 918-622-47472154 South 85th East Avenue Tulsa, OK 74129

Leisure Village Health Care Center

33% of Leisure Village Health Care, LLC

eff 07/01/2014



Bienstock Judah

33% of Leisure Village Health Care, LLC

eff 07/01/2014

Member


Jeremias Baruch

100% RE eff 07/01/2014


31110 Solon Road 9 Solon, OH 44139

Heatheridge and Leisure Village JDEK, LLC Heatheridge and Leisure Village

JDEK, LLC

OP eff 07/01/2014

Operating Entity


Leisure Village Health Care, LLC

25% of Heatheridge and Leisure Village

jdek, LLC eff 07/01/2014



GM Resources, LLC

8.93% of Heatheridge and Leisure Village




Deustch Investments, LLC

12.51% Heatheridge and Leisure Village




Moondance Capital Corporation

17.8% Heatheridge and Leisure Village




KJH JDEK Gold Medallion, LLC

Contracted Management Company


477 North Lindburg Blvd 310 St. Louis, MO 63141

MGM Healthcare MGM Healthcare

33.33% Leisure Village Health Care eff

11-17-15 (no authority)

Member


Tanb Miriam

NH1404 405-527-6531632 Southeast 3rd Street Lexington, OK 73051

Lexington Nursing Home, Inc.

Operating Entity

632 S E 3rd Lexington, OK 73051

Lexington Nursing Home, Inc.



100%


11 Brookside Drive Purcell, OK 73080

Lawson Gerald

NH5610 918-650-939314055 North 246th Street Okmulgee, OK 74447

Lexington Place





eff 02-05-08

Operating Entity




Corporation 1-8-08



Welsh Richard


Corporation 1-8-08



Bailey M. Geoffry


Corporation



Pyle William "Bill"


Corporation



Bentley Roy

eff. 8-15-07




100% of RE







Rock River, LLC




MMB, LLC




Lovenest, LLC




Ervin Gary




Ervin Lisa

32.88% of MMB, LLC



Ervin Tim

17.455% MMB, LLC



Ervin Vicki




Ervin Robert






Ervin Laura


w/13.254% each







Ervin Mallory




Ervin Jade




Ervin Luke




Ervin Gabe


w/9.933% each







Ervin Max




Linenger Jessica




Ervin Mitch




Linenger Jennifer




Ervin Brock


w/8.089% each







Ervin Thea




Ervin Issac




Ervin Samuel




Ervin Elijah




Ervin Saul




Ervin Micah




Ervin Mathias



NH5611 918-650-939314140 North 246th Road Okmulgee, OK 74447

Liberty Place




24%OP/25%RE


2801 S. Court Dr. Evansville, IN 47711

Brown George L.


eff 02-05-08

Operating Entity




Corporation 1-8-08



Welsh Richard


Corporation 1-8-08



Bailey M. Geoffry


Corporation



Pyle William "Bill"


Corporation



Bentley Roy

eff. 8-15-07




100% of RE







Rock River, LLC




MMB, LLC




Lovenest, LLC




Ervin Gary




Ervin Lisa

32.88% of MMB, LLC



Ervin Tim

17.455% of MMB, LLC



Ervin Vicki




Ervin Robert






Ervin Laura


w/13.254% each







Ervin Mallory




Ervin Jade




Ervin Luke




Ervin Gabe


w/9.933% each







Ervin Max




Linenger Jessica




Ervin Mitch




Linenger Jennifer




Ervin Brock


w/8.089% each







Ervin Thea




Ervin Issac




Ervin Samuel




Ervin Elijah




Ervin Saul




Ervin Micah




Ervin Mathias



NH2502 405-756-43341103 West Cherokee Lindsay, OK 73502

Lindsay Nursing & Rehab

100% Lindsay Nursing & Rehab &

Interhealth, LLC eff 10-01-2017



Montgomery Bradford




Niksefat Saeed Sy




Niksefat Sharona





Contracted Management eff 02/17/2017



Interhealth, LLC

OP eff 10/01/2017

Operating Entity


Lindsay Nursing & Rehabilitation, LLC

NH6001 918-225-2220530 South Linwood Cushing, OK 74023

Linwood Village Nursing & Retirement Apts.

14.50%OP Ent / 10%RE



Anderson Robert L.


1405 East Moses Cushing, OK 74023

Colonial Plaza Nursing Home, Inc.

21% RE 11.032% OP



Rucker Ed

2.% RE 3.232% OP


Route 2, Box 2465 Cushing, OK 74023

Reinecke David

14.085% OP 11% RE




15.% RE


1100 S. Highland Cushing, OK 74023

Danny W. Smith & Randy Smith, co-trustees of George W. Smith Tes

eff. 5-15-06

Operating Entity

530 S. Linwood Ave. Cushing, OK 74023

Colonial Plaza Management Company, L.L.C.

14.086% OP 10% RE





Revocable Trust

Beneficiary


Gary Richard




Revocable Trust

Beneficiary


Miles Deanna


Revocable Trust

Beneficiary


Hughes Jenny


Revocable Trust

Beneficiary


Rucker Edward

beneficary of Ceylon S. Lewis, Jr. Trust A

Beneficiary

,

Lewis Corinne H.


Beneficiary

,

Lorenz Sarah Lee


Beneficiary

,

Lewis, III C. S.


Beneficiary

,

Kast Carol D.


Beneficiary


Thomas Betty J.


Beneficiary


Meek Mary Jean


Beneficiary


Thomas Randall E.


Beneficiary



NH5557 405-677-24213317 Southeast 18th Street Del City, OK 73115

Mansfield Manor

Operating Entity



Board Member EFF 02/15/2013



Black Art

President EFF 02/15/2013



Love Willa

VP



Moon Tim

Exec Dir



Jernigan Janelle F.




Ellis Scott



NH0604 405-663-2455800 Arapaho Hydro, OK 73048

Maple Lawn Nursing and Rehabilitation Center

President of RE/co-trustee & beneficiary

of Abbott Family Trust



Abbott Kent

Mngr eff 11/2/07/ OP eff 06-04-08

Operating Entity


Western Health Management, Inc.

100% of OP



Russell Family Investment Trust

Pres OP/SoleTrustee & Bene. of Russell

Fam Invest.Trust



Russell Robert

Secretary/Treasurer of OP



Stegall Eichelberger Anita

Beneficiary of Russell Fam Trust

Beneficiary


Russell Rita

eff 05-30-08



Deer Creek Investments, LLC

100% RE & manag.member eff

10/27/2016



Abbott Family, LLC

100% member of Abott Family, LLC



Abbott Family Trust

trustee of Russell Family Trust/ VP of OP

eff 07/26/2011



Abbott Jaylee

NH3207 405-452-3271620 South Alabama Wetumka, OK 74883

Maple Place Living Center, LLC

President/Beneficiary of Family Trust

Trustee


Adkins Gerrol Dean

Secretary/Beneficiary of Family Trust

Trustee


Adkins Arbret June





Majors Cynthia


Simmons Donna Renee





52% RE and manag.member of Business

Trust




Operating Entity

620 South Alabama Wetumka, OK 74883

Maple Place Living Center, LLC




Maple Place Revocable Business Trust

16% RE eff 12/31/12Rt 1 Box 121A Weleetka, OK 74880


16% RE eff 12/31/12Rt 1 Box 121A Weleekta, OK 74880





Trustee




MapleWood Care Center

David Rhoades Reciver of SHOC, LLC -

CJ-2015-4701 eff 05/03/2016

Operating Entity

6202 E. 61st St. Tulsa, OK 74136

Skyline Heights Operating Co., L.L.C.

Chair&CEOend 1/10/14 Broad Member

eff 1/10/14 Senior Care Group



Vaughan David R.

100% Mang Member eff 03/15/11

Managing Member



Exec VP & CFO Senior Care Group



Kramer Mark D.

Board Member Senior Care Group, Inc.





Inc.



Surtees Robert E.

Secretary/Board Member Senior Care

Group, Inc.



Moran Francis D.

CFO & Secretary eff 03/15/11, Treasurer

eff 01/10/14 of SCG




Broadmember of Senior Care Group, Inc,

eff 01/10/2014



Vaughan Michelle



Broad Member eff 01/10/2014



Martin J. Michael



2001 Route 46 310 Parsippany, NJ 07054

LQC Partners VII,LLC LQC Partners VII, LLC

100% LQC Partners VII, LLC eff

04/08/2016


1300 South University Drive 306 Fort Worth, TX 76107

Senior Living Properties, LLC Senior Living Properties, LLC

Manager of LQC Partners, VII, LLC eff

04/08/2016

Manager

885 3rd Ave 2403 New York, NY 10022

LQC Partners, LLC LQC Partners, LLC

50% of Senior Living Properties, LLC


3395 North Pine Way 102 Wilson, WY 83014

Eden James

24.995% Senior Living Properties, LLC

eff 04/08/2016



Eden Allison

24.995% Senior Living Properties, LLC



Bonds Larry

Contract manager and .010% Senior

Living Properties, LLC


1300 South University Drive 306 Fort Worth, TX 76107

SLP Management, Inc. SLP Management, Inc.

Reciver of SHOC, LLC - CJ-2015-4701

eff 05/03/2016



Rhoades, Receiver CJ-2015-4701 C. David

100% SLP Management, Inc. eff

05/03/2016


1300 South University Dr. 306 Fort Worth, OK 76107

SLP Management Holdings, LLC

50% of SLP Management Holdings, LLC

eff 05/03/16


1300 S. University Drive 306 Fort Worth, TX 76107

Whitworth Scott

50% SLP Management Holding eff

05/03/2016


1300 S. University Dr. 306 Fort Worth, TX 76107

Boswell Darren

President SLP Management, Inc. eff

05/03/2016


1300 S University Dr Fort Worth, TX 76107

Leonard Joshua

NH6907 580-658-5468702 South 9th Street Marlow, OK 73055

Marlow Nursing & Rehab

100% Marlow Nursing & Rehab &

Interhealth, LLC eff 10/01/2017



Montgomery Bradford




Niksefat Saeed Sy

5% of Trinik Holdings, LLC eff

07/01/2016



Niksefat Sharona







Contracted Management Co. eff

02/17/2017



Interhealth, LLC

OP eff 10/01/2017

Operating Entity


Marlow Nursing & Rehabilitation, LLC

NH2403 580-725-3400209 E. Garber Garber, OK 73738

Mattox Hall

OP/ RE eff. 11/27/2017

Operating Entity


Northwest Oklahoma Homes for The Developmentally Disabled, LLC

NH6107 918-426-4010615 East Morris Street McAlester, OK 74501

McAlester Nursing & Rehab

OP end 10-01-2017


110 West Muskogee Sulphur, OK 73086

McAlester Manor, Inc.

100% McAlester Nursing & Rehab &

Interhealth, LLC eff 10/01/2017



Montgomery Bradford




Niksefat Saeed Sy




Niksefat Sharona






02/17/2017



Interhealth, LLC

OP eff 10-01-2017

Operating Entity


McAlester Nursing & Rehabilitation, LLC

NH6211 580-436-037313546 CR 3600 Ada, OK 74820-5378

McCalls Chapel School Inc #12

Operating Entity

Route 7 Box 232 Ada, OK 74820

McCalls Chapel School, Inc.



Board


P.O. Box 280 Fittstown, OK 74842

Brunk Bill

Board


6226 Colony Lane Oklahoma City, OK 73112

Burpee Dick

Chairman


P.O. Box 1219 Ada, OK 74820

Davison Denver

CEO


13545 CR 3600 Ada, OK 74820

Peschka Nina

NH6207 580-272-660013546 CR 3600 Ada, OK 74820-5378

McCalls Chapel School Inc. #5


P.O. Box 669 Ada, OK 74820

First National Bank And Trust Company Of Ada

Operating Entity



Board



Brunk Bill

Board



Burpee Dick

Chairman


P.O. Box 1219 Ada, OK 74820

Davison Denver

CEO


13545 CR 3600 Ada, OK 74820

Peschka Nina

NH6213 580-272-660013546 CR 3600 Ada, OK 74820-5378


Operating Entity



Board



Brunk Bill

Board



Burpee Dick

Chairman


P.O. Box 1219 Ada, OK 74820

Davison Denver

CEO


13545 CR 3600 Ada, OK 74820

Peschka Nina



NH6208 580-272-660013546 CR 3600 Ada, OK 74820-5378


Operating Entity



Board



Brunk Bill

Board



Burpee Dick

Chairman


P.O. Box 1219 Ada, OK 74820

Davison Denver

CEO


13545 CR 3600 Ada, OK 74820

Peschka Nina

NH6210 580-436-037313546 CR 3600 Ada, OK 74820-5378

McCalls Chapel School, Inc. #10

Operating Entity



Board



Brunk Bill

Board



Burpee Dick

Chairman


P.O. Box 1219 Ada, OK 74820

Davison Denver

CEO


13545 CR 3600 Ada, OK 74820

Peschka Nina

NH6217 580-436-037313546 CR 3600 Ada, OK 74820


Operating Entity



Board



Brunk Bill

Board



Burpee Dick



Chairman


P.O. Box 1219 Ada, OK 74820

Davison Denver

CEO


13545 CR 3600 Ada, OK 74820

Peschka Nina

NH6218 580-436-037313546 CR 3600 Ada, OK 74820


Operating Entity



Board



Brunk Bill

Board



Burpee Dick

Chairman


P.O. Box 1219 Ada, OK 74820

Davison Denver

CEO


13545 CR 3600 Ada, OK 74820

Peschka Nina

NH6219 580-272-660013546 CR 3600 Ada, OK 74820


OpEnt eff 1-30-07

Operating Entity



Board



Brunk Bill

Board



Burpee Dick

Chairman


P.O. Box 1219 Ada, OK 74820

Davison Denver

CEO


13545 CR 3600 Ada, OK 74820

Peschka Nina

NH6220 580-272-660013546 CR 3600 Ada, OK 74820




Operating Entity eff 10/28/2008

Operating Entity



Board Member



Brunk Bill

Board Member



Burpee Dick

Board Member


P.O. Box 1219 Ada, OK 74820

Davison Denver

Board Member


13545 CR 3600 Ada, OK 74820

Peschka Nina

CEO


13545 CR 3600 Ada, OK 74820

Peschka Nina

NH6214 580-272-660013546 CR 3600 Ada, OK 74820


Operating Entity



Board



Brunk Bill

Board



Burpee Dick

Chairman


P.O. Box 1219 Ada, OK 74820

Davison Denver

CEO


13545 CR 3600 Ada, OK 74820

Peschka Nina

NH6215 580-272-660013546 CR 3600 Ada, OK 74820


Operating Entity



Board



Brunk Bill

Board



Brunk Bill

Board



Burpee Dick



Board



Burpee Dick

Chairman


P.O. Box 1219 Ada, OK 74820

Davison Denver

CEO


13545 CR 3600 Ada, OK 74820

Peschka Nina

NH6216 580-272-660013546 CR 3600 Ada, OK 74820


Operating Entity



Board



Brunk Bill

Board



Burpee Dick

Chairman


P.O. Box 1219 Ada, OK 74820

Davison Denver

Chairman


P.O. Box 1219 Ada, OK 74820

Davison Denver

CEO


13545 CR 3600 Ada, OK 74820

Peschka Nina

NH6209 580-272-660013546 CR 3600 Ada, OK 74820


Operating Entity



Board



Brunk Bill

Board



Burpee Dick

Chairman


P.O. Box 1219 Ada, OK 74820

Davison Denver

CEO


13545 CR 3600 Ada, OK 74820

Peschka Nina



NH5613 918-650-9393405 West 18th Street Okmulgee, OK 74447

McCurdy Place

Lessor




24%OP/25%RE


2801 S. Court Dr. Evansville, IN 47711

Brown George L.


eff 02-05-08

Operating Entity




Corporation 1-8-08



Welsh Richard


Corporation 1-8-08



Bailey M. Geoffry


Corporation



Pyle William "Bill"


Corporation



Bentley Roy

eff. 8-15-07




100% of RE







Rock River, LLC




MMB, LLC




Lovenest, LLC




Ervin Gary




Ervin Lisa

32.88% of MMB, LLC



Ervin Tim

17.455% of MMB, LLC



Ervin Vicki




Ervin Robert




Ervin Laura




w/13.254% each







Ervin Mallory




Ervin Jade




Ervin Luke




Ervin Gabe


w/9.933% each







Ervin Max




Linenger Jessica




Ervin Mitch




Linenger Jennifer




Ervin Brock


w/8.089% each







Ervin Thea




Ervin Issac




Ervin Samuel




Ervin Elijah




Ervin Saul




Ervin Micah




Ervin Mathias



NH6309 405-964-2961701 South 8th Street Mcloud, OK 74851

Mcloud Nursing Center

100% OP eff 09/19/2014, 100% RE eff

07/26/2013 & 100% of Manager



Brogdon Christopher

OP eff 07/26/2013

Operating Entity

Two Buckhead Plaza, 3050 Peachtree RD NW 355 Atlanta, GA 30305

MCL Nursing, LLC

RE owner eff 07/26/2013



McLoud Property Holdings, LLC

Manager eff 03/01/2014




NH1606 580-357-32402007 NW 52nd Street Lawton, OK 73505

McMahon-Tomlinson Nursing & Rehabilitation Center

Operating Entity

3401 W. Gore Blvd. Lawton, OK 73505

Comanche County Hospital Authority

Member eff

10/21/2014,Vice-Chair-4-12-17


411 S.W. 6th Street Lawton, OK 73501

Zelbst John

Chairman eff10/21/2014, Member eff

4-12-17


1130 SW Lee Blvd Lawton, OK 7501

Henry Pat

Secretary & Treasurer eff

10/21/2014,Chairman eff 4-12-17


810 SW C Avenue Lawton, OK 73501

Butler Dennis

Member eff 10/21/2014, Secretary eff

4-12-2017


15 SW Bishop Rd Lawton, OK 73501

Green Clayton (Buddy)

Member eff 4-12-17


3201 W. Gore Blvd. 100 Lawton, OK 73505

Legako Edward

NH4012 918-658-365621256 Meadow Lane Howe, OK 74940

Meadow Brook ICF/MR

Operating Entity

1200 Meadow Lane Howe, OK 74940

Meadow Brook Intermediate Care-M.R. Facility, L.L.C.



Meadow Brook Intermediate Care-M.R. Facility, L.L.C.



Trustee Bobby Cox Living Trust eff

01/2015

Trustee


Cox, II Bobby D.

100% of Meadow Brook ICMR



Bobby Cox Living Trust, A Revocable Trusr 01-29-1997

NH4004 918-658-208821270 Meadow Lane Howe, OK 74940

Meadow Brook ICFMR #2

Trustee Bobby Cox Living Trust eff

01/2015

Trustee


Cox, II Bobby D.

eff 02/29/08

Operating Entity


Meadow Brook Intermediate Care - M.R. Facility, #2, L.L.C.

100% of Meadow Brook ICMR #2



Bobby Cox Living Trust, A Revocable Trusr 01-29-1997

NH4903 918-476-8918113 East Jones Chouteau, OK 74337

Meadowbrook Nursing Center




Tabor Angela

25% BGM Estate, LLC


111522 S. 4740 Rd. Muldrow, OK 74948





Mitchell Marcinda

16.67% & 25% BGM Estate, LLC eff

9-16-16



Mitchell Kelly O.



201 N. Elm Sallisaw, OK 74955

Colonial Care Center, L. L. C.

Manager of Colonial Care Center, LLC

eff 05/05/2014


210 S. Adair Pryor, OK 74362

Carson Jonathan

Manager of Colonial Care Center, LLC

eff 04/16/20156

Manager

113 East Jones Chouteau, OK 74337

Miller Jenifer

83.33% UPL Manager eff 9-16-16


,

BGM Estate, LLC


Operating Entity


City of Hugo



Mayor 1st ward OP



Frazier Darren



2015 S. 2nd St. Hugo, OK 74743

McCarty Ernest



2015 S. 2nd St. Hugo, OK 74743

Roxberry Donald



2015 S. 2nd St. Hugo, OK 74743




2015 S. 2nd St. Hugo, OK 74743

Ridenour Gaylon


Meadowlake Estates

21.25% Meadow Lake Estates & 42.50%

Meadow Lake Op

Managing Member

9813 S. Penn OKC, OK 73159

McCormick Denver

21.25% Meadow Lake Estates, LLC


9813 S. Penn OKC, OK 73159

McCormick Linda

Sub - Lessor eff 10-01-2017



Meadow Lake Operating, L.L.C.

21.25% Meadow Lake Estates & Meadow

Lake OP eff 10-01-2017


4800 N. Lincoln OKC, OK 73105

Nevard Donald

47.48% WR Inves, 59.9% LCCP, LP

100% LC GP & WR Inves GP 10-2017



Taylor John F.

33.7166% of WR Investments, LP




11.9075% WR Investments, LP eff

10-01-2017



Fisher James (Jim)

0.1% GP Lake Creek Capital Partners, LP

General Partner



21.25% Meadow Lake Estates Eff

10-01-2017


5413 N.W. 107th Okla. City, OK 73162


Beneficiary Donald Nevard Revocable

Trust

Trustee


Nevard Debra


Trust

Trustee


Nevard Lisa


Trust

Trustee


Nevard Michael





Trustee


Pennington Amy



Beneficiary


Petrone Alison



Beneficiary


Jones Joshua



Beneficiary


Jones Tanner


Trust

Trustee


Dunbar William


Trust

Trustee

3913 Spyglass Rd. Okla. City, OK 73162

Nard Charlotte


Trust

Trustee


Dunbar Teresa

Subcontracted management Eff 6/30/2017




OP end 10-01-2017 - RE Only


9813 South Penn Okla. City, OK 73159

Meadow Lake Estates, LLC

3.4436% WR Invest, LP & 20% Lake

Creek Cap Part 10-01-2017



Taylor John P.

100% MLE SNF OPCO, LLL eff

10-01-2017




100% Southwest SNF Holdings eff

10-01-2017



WR Investments, LP

100% WR Investments GP Manager &

(GP) WR Investments eff 10-2-17




3.4436% WR Investment, LP 20% Lake

Creek Capital Partners, LP



Campbell Scott

100% Stonegate Senior Living, LLC





5/14/19



Rushing Jocelyn

Manageing Member MLE SNF OP eff

10-01-2017

Managing Member



UPL Owner eff 10-1-2017

Operating Entity



UPL Manager eff 10-01-2017


1500 Waters Ridge Drive Lewisville, TX 75057

MLE SNF OPCO, LLC



15% Meadow Lake Estates & Meadow

Lake OP eff 10-1-2017


P.O. Box 130 Durant, OK 74715

First United Venture

NH1418 405-321-21883110 Healthplex Drive Norman, OK 73072-9705

Medical Park West Rehabilitation and Skilled Care

45.806% of WR Invest,LP, 100% WR

GP, 59.9% LCCP, 100% LC GP



Taylor John F.

30.323% of WR Investments, LP Eff

02/10/2014




10.709% WR Investments, LP



Fisher James (Jim)




Pierce Paula

General Partner of Lake Creek Capital

Partners, LP 02/10/2014




Contracted Mangement Company eff

03/15/13






1500 Waters Ridge Dr Lewisville, TX 75057

EM Operations, LLC

3.0970% WR Inv LP, 20% Lake Creek

Cap Part



Taylor John P.

100% of RE eff 03/15/2013


200 International Circle 3500 Hunt Valley, MD 21030

Texas Lessor-Stonegate, LP

Sub Lessor to the OP



Stonegate SNF Properties, LP

100% of EM Operations, LLC & 100%

Stonegate SNF GP, LLC




100% of Southwest SNF Holdings, LLC

& 100% SGSL Mgt Holdings



WR Investments, LP

General Partner of WR Investments, LP

eff 02/10/2014




20% of Lake Creek Capital Partners, LP

eff 02/10/2014



Campbell Scott

100% Stonegate Senior Living, LLC







5/14/19



Rushing Jocelyn


5/14/19

Member


Grimmett Patrick

Vice Mayor/Vice Chair, City of Pauls

Valley, eff 5/14/19





Valley, eff 5/14/19





Operating Entity




5/14/19

Member


Meisel Veronica

NH7404 918-534-2848430 Bartles Road Dewey, OK 74029

Medicalodges Dewey

100%


201 W. 8th Coffeyville, KS 67337

Medicalodges, Inc., Employee Stock Ownership

Pres./CEO eff 7/8/10 - Gen.

Counsel/Secretary/Board of Dir-.3/16


3113 Crown Drive Independence, KS 67301

Cox Garen

VP Financial Reporting


P.O. Box 702 S. Coffeyville, OK 67337

McCord Cathy

Operating Entity

201 W. 8th Coffeyville, KS 67337

Medicalodges, Inc.

Chairman of Board


4050 Washington Indianapolis, IN 67337

Butler Dick

VP/CFO eff 07/08/2010 eff. 3/16 Treas.

Board of Dir.


2905 Royal Court Independence, KS 67301

Hines Scott

V.P./COO


903 South Oak PLATTBURG, MO 64477

Ledger Shannon

Corporate Compliance & Gen. Counsel

eff 3/16


9773 West 125th Street Burlingame, KS 66413

Smith Pamela

Regional V. P. eff. 3/16


804 C Street Washington, KS 66968

Cardenas Staci

Regional VP eff 3.16


6624 SW Fieldwood Topeka, KS 66619

Lantz Kathy

Regional VP eff. 3/16


1103 South 220th Pittsburg, ks

McBride Travis



Assistant Secetary eff 3/16


Route 1 Box 207-12 So. Coffeyville, OK

Belty Mecca

Board of Directors eff 3/16


220 NW. RD Mize Rd. Blue Springs, MO

Voss Diane

Board of Director


103 Leasure Hall Manhatten, KS

Doll Gayle

Board of Directors


6904 Stockton Drive Fort Worth, TX

Marshall Carol

Board of Directors


8201 Limerick Lane Wichita, KS

Ott Ron

NH4106 405-279-3521500 North Dawson Street Meeker, OK 74855

Meeker Nursing Center

100% of RE, 100% OP, & 100% of

Manager



Brogdon Christopher

100% RE Owner - eff 07/26/2013


3050 Peachtree Road 355 Atlanta, GA 30305

Meeker Property Holdings,LLC

OP eff 07/26/2013

Operating Entity


Meeker North Dawson Nursing, LLC

Manager eff 03/01/2014




NH4504 580-286-10651305 Southeast Adams Idabel, OK 74745

Memorial Heights Nursing Center

100% UPL Manager Eff. 11-30-2017 End

4/1/2019


1305 Southeast Adams Street Idabel, OK 74745

Heartway Corporation

Director end 6/1/10 Secetary, Board of

Directors eff 6/1/10


2202 Sunset Ridge Muskogee, OK 74403

Black Vletta (Kathy)

Treasurer, Board of Directors


3254 Roan Way San Antonio, TX 78205

Johnson Thomas R

VP, Board of Directors eff 6/1/10


1302 S. Lynn Lane Idabel, OK 74745

Salyer Dr. Thomas W.

Director, Board of Directors Eff 6/1/10


810 W. Adams Street Broken Arrow, OK 74728

Darby, Jr Pastor Charles L. (Chuck)

President, Board of Directors


13490 Old Livingston Road Naples, FL 34109-3855

Carter Daniel E.



Treas & Director eff. 4/1/19


13490 Old Livingston Road Naples, FL 34109

Barton Blaine

Mayor of City of Hugo EFF 11/30/2017



Frazier Darren

city of hugo board member


2015 S. 2nd St. Hugo, OK 74743

McCarty Ernest



2015 S. 2nd St. Hugo, OK 74743

Roxberry Donald



2015 S. 2nd St. Hugo, OK 74743




2015 S. 2nd St. Hugo, OK 74743

Ridenour Gaylon

UPL Reversion 4/1/2019

Operating Entity

1305 SE Adams Idabel, OK 74745


Eff.4/1/2019


108 N. Central Idabel, OK 74745

McCurtain County Development Authority

Chairman McCurtain County Dev. Auth.

eff 4/1/19



Leatherwood Don

Secretary McCurtain County Dev. Auth.

eff. 4/1/19



House Faye

NH7103 580-335-6646319 East Josephine Frederick, OK 73542

Memorial Nursing Center

100% OP

Operating Entity

319 E. Josephine Frederick, OK 73542

Tillman County-City Of Frederick Hospital Authority

Vice Chairman eff 08/12/2013


Route 1 Box 20 Frederick, OK 73542

Oxford Jay

Chariman eff 08/12/2012


702 North 15th Street Frederick, OK 73542

Tyler Gary

Interim Site Administrator Eff 7/15/15

Managing Member

310 N Mary Davidson, OK 73530

Coleman Ricky

NH6609 918-283-49492700 North Hickory Street Claremore, OK 74017

Memory Care Center at Emerald

Manager of LME Family Holdings



Lahasky Ephraim



95% YCOK Holdings eff 11/01/2018



Chafetz Yisreol

99% JW Oklahoma Holdings eff

11/01/2018



Walden Jacob

100% Emerald Memory Care Real Estate

eff 11/01/2018


99 West Hawthorn Avenue L10 Valley Stream, NY 11580

EHC Claremore Capital, LLC


Claremore Capital eff 05-01-2019





Claremore Capital eff 11/01/2018


99 Hawthorne Ave L10 Valley Stream, NY 11580

YCOK Holdings, LLC

33.33% Managing Member EHC

Claremore Capital, LLC eff 11/01/2018



LME Family Holdings, LLC

100% LME Holdings eff 11/01/2018



The Lahasky Family Trust

OP eff 11/01/2018

Operating Entity


Memory Care Center at Emerald, LLC

100% RE



Emerald Memory Care Realty, LLC

Trustee of The Lahasky Family Trust eff

05-01-2019

Trustee


Lahasky Even

24.83% EHC Claremore Cap & EHC

Claremore Operations No Authority



David CM Fistel, LLC

Manager of David CM Fistel, LLC eff

05-01-2019

Officer


Fistel David

NH6908 580-439-2398Route 2, Box 335 Comanche, OK 73529

Meridian Nursing Home

50%



Coble Tom C.

Operating Entity

1908 12th Avenue NW, Suite E Ardmore, OK 73401

Meridian Health Care LLC

50%


110 Barr Avenue Pauls Valley, OK 73075

Washita Valley Investments, L.L.C.

100% Washita Valley Investments, LLC

eff 04-30-2016


110 Burr Aveneu Pauls Valley, OK 73075

Justice Julie



NH5805 918-542-33351100 East Street Northeast Miami, OK 74354

Miami Nursing Center, LLC


Manager Eff 4/25/2016




1.118067% OP/ 1.14% RE


P.O. Box 188 Muskogee, OK 74402

Glen Armstrong Trust c/o Armstrong Bank, Ray King & Billy Taylor

2.121569% OP/ 2.14% RE



Armstrong Estate, Sally Armstrong, Executor James

8.314% OP & Mgr./ 8.4112% RE/




Cheek Barnie J.

1.838339% OP/ 1.86% RE


10105 S. 77th East Place Tulsa, OK 74133

Masako Cheek Trust, Masako Cheek Trustee

8.314% OP & Mgmt. / 8.4112% RE




5.834% OP & Mgmt/5.9190% mgr

RE/6.597394% Okla. Nurs.Homes,Inc.



Haskins Lloyd

5.192% OP & Mgmt. / 5.2626% RE/




Watts Cleo

5.893% OP & Mgmt. / 5.9746% RE




5.612090% OP/ 5.67% RE




14.022% OP & Mgmt/ 14.2078% RE/




Tubbs Steven

5.376% OP & Mgmt. / 5.4406% RE




5.542% OP & Mgr./ 5.6186% RE/

6.267525% Okla Nurs Homes, Inc.



Estep Pat

2.771% OP & Mgmt. / 2.8037% RE





5.2207%




2.771% OP & Mgmt./ 2.8037% RE




2.771% OP & Mgmt. / 2.8037% RE






3.89% of Midwest Nursing Home, LLC

9.7298% RE




2.771% OP & Mgmt. / 2.8038% RE




8.61494% of Miami Nurisng Center, LLC

Eff 4/25/2016

Operating Entity


Miami Nursing Center, LLC






Inc. Beneficiary RGA Trust





Inc. Trustee SCFT



Farmer Sandra

1.283% OP&Mgmt./ 1.3156%

RE/9.401287%




Wilson James G.

2.079% OP & Mgmt. / 2.1028% RE



Ferguson Debra M.

5.5630%RE/5.55600%OP/5.657265% ok

nr hm,inc EFF 05/24/2012 Treas



McGrew Justin

2.771% OP & Mgmt/ 2.8038% RE



Armstrong Sally


Inc. President




RE 0.70095% & 0.69275% OP




RE 0.70095% & 0.69275% OP




(MMMVT)

RE 0.70095% & 0.69275% OP




RE 0.70095% & 0.69275% OP





Trustee


Bivin Julie K.



Beneficiary


Johnson Karen Diane



Beneficiary


Fine Michael B.


eff 5/24/12

Beneficiary


Byers Karen




Beneficiary


Farmer Cassandra C.


Beneficiary


Farmer Alexandra C.

Trustee MMMV Trust

Beneficiary


Leutz William K.

Richard Armstrong Trust

Trustee


Heritage Trust Co.,

Dr. WIlliam R. VanDeLinder Trust

Trustee

P.O. Box 370 Adair, ok 74330



Trustee


Yowell Lynn


Trustee


Yowell Ron

4.77%OP, 4.77% of ONH LTD 4.8398%

Midwest Nursing Homes eff 8/14


4248 A Street #201 Auburn, WA 98002

Young Sindy

Trustee & Beneficiary HAV Trust

Trustee



Beneficiary MMMV Trust

Beneficiary



Trustee & Beneficiary Nicolas Edmund

VanDelinder trust

Trustee




Trust

Beneficiary


Bivin Jeremy


Trust

Beneficiary


Bivin Ryan

NH5510 405-677-3349400 South Scott Street Del City, OK 73115

Mid-Del Skilled Nursing and Therapy




Greiner Don




Dimond Mike



Amity Care, L.L.C.

78% OP & Amity Care, LLC eff,

07/01/19




Benef/Trustee




eff.10-21-03




eff 07/01/19

Operating Entity


Del City Nursing Center, L.L.C.

58% RE, eff 07/01/19




42% RE, eff 07/01/19




Eff 07/01/19


4350 WIll Rogers Parkway 300 Oklahoma City, OK 73102

Del City Real Estate , LLC

NH6104 918-423-4661315 West Electric Avenue McAlester, OK 74501

Mitchell Manor

100% OK4 Manager, LLC



Dole Isaac


05/01/2018


415 US Hwy377 S 200 Argyle, TX 76226


5% HoldCo MM Mc




95% HoldCo MM Mc,




Mgr - RealCo MM Mc HoldCo MM Mc

BHCP OK4 HH/H Invest OpCo MM Mc

Manager


OK4 Manager, LLC

0% (May hold up to 10% in HoldCo MM

Mc)


415 US Hwy 377 S 200 Argyle, TX 76226

SBS of OK, LLC

Managing Member 33% SBS of OK &

Transition Health Service - OK


415 US Hwy 377 S 200 Argyle, TX 76226

Bates Josh




415 US Hwy 377 S 200 Argyle, TX 76226

Shelton Chana




415 US Hwy 377 S 200 Argyle, TX 76226

Sims Debra

Lessee/OP eff 05/01/2018

Operating Entity

332 South Michigan Avenue 1100 Chicago, IL 60604

OpCo MM McAlester, OK, LLC

100% RE eff 05/01/2018



RealCo MM McAlester, OK, LLC

100% RealCo MM McAlester & OpCo

MM McAlester eff 05/01/2018



HoldCo MM McAlester, OK, LLC



NH2104 918-253-4500226 East Monroe Street Jay, OK 74346

Monroe Manor

op

Operating Entity


Grand Union HealthCare, L.L.C.

50% interest holder/Managing Member


12112 South 4th Street Jenk, OK 74037

DuBois Charles R.

50% interest holder/Member


1705 Sunset Circle Grove, OK 74344

VanLear Michael

Sec


31234 South 613 Lane Grove, OK 74344

VanLear Shirley

0%/Board Member


1015 E. 9th Place Cushing, OK 74023

DuBois Connie M.

NH1605 580-536-28667604 NW Quanah Parker Trailway Lawton, OK 73505

Montevista Rehabilitation and Skilled Care

eff. 12-11-06



Lawton SNF Realty, LLC

47.4887% of WR Inves,LP, 100% WR

GP, 80.91% S-SNF Prp, 100% SSL

Managing Member


Taylor John F.


12-28-17




11.9075% of WR Investment, LP eff

12-28-17



Fisher James (Jim)

0.1% general partner in Lake Creek

Captial Partners, LP




20% limited partner in Lake Creek

Capital Partners, LP


1500 WatersRidge Lewisville, TX 75057

Taylor John Paul & Casey

20% Lake Creek Capital Partners,

LP&3.4436% WR Invest LP eff 12/


1500 Waters Ridge Lewisville, TX 75057

Campbell Scott & Syndney

eff. 9-25-07,ended 6/29/17; UPL Manager

eff 06/30/17

Manager


Lawton SNF Operations, LLC

eff.06-30-10






2.0964% Lawton SNF Operations, LLC

Member

,

Healthcare Development Systems, LLC

1.3976% LAwton SNF Operations, LLC

Member

,

Hooper Holdings, Inc.

3.4436% of WR Investment, LP, Lake

Creek 20% eff 12-28-17



Taylor John P.

96.506% of OP Lawton SNF Operations,

LLC eff 4/25/2014





eff 12-2013



WR Investments, LP


eff 12-2013

General Partner




eff 12-2013



Campbell Scott


5/14/19



Rushing Jocelyn

Member, City of Pauls Valley, eff 6/30/17

Member


Grimmett Patrick


Member


Parrish Michael


Valley, eff 5/14/19





Operating Entity



NH7702 580-994-5570402 Southeast 6th Street Mooreland, OK 73852

Mooreland Heritage Manor

Operating Entity

P.O. Box 468 Nowata, OK 74048

Lightning Creek Investment Group, Inc.

33.3% OP/Pres.


Rt. 1, Box 546 Nowata, OK 74048

Maddux Douglas G.

33.3% OP/Sec/Tres


Rt. 1, Box 210 Nowata, OK 74048

Krouse Johnny W.

33.3% OP VP


4600 Centre Court Rogers, AK 72756

Honea Sherman D.


P.O. Box 1014 Mooreland, OK 73852

Arney & Associates, Inc.



NH5609 918-756-9211900 East Airport Road Okmulgee, OK 74447

Muscogee (Creek) Nation Skilled Nursing Facility

A Division of the Muscogee (Creek)

Nation eff 12-03-2013

Operating Entity

FNB Dept 001, PO Box 1312 Okmulgee, OK 74447

Creek Nation Hospitals & Clinics

100% of OP eff 12-03-2013 & RE

11-25-2013


FNB Dept 001, PO Box 1312 Okmulgee, OK 74447-1312

Muscogee (Creek) Nation

Chief of the Muscogee (Creek) Nation eff

12-03-13 end 05-03-16


FNB Dept 001, P.O. Box 1312 Okmulgee, OK 74447

Tiger George

Lt. Commander of Creek Nation Hospital

& Clinics eff 12-03-2013


FNB Dept. 001, P.O. Box 1312 Okmulgee, OK 74447

Smith Seneca

Chief of the Muscogee (Creek) Nation eff.

05/03/2016


FNB Dept 001, PO Box 1312 Okmulgee, ok 74447

Floyd James

Secretary of Health - Authorized Signer

(TR 16-107) eff 08-2016

Officer

P.O. Box 400 Okmulgee, OK 74447

Terry Shawn

NH5108 918-682-9232602 North "M" Street Muskogee, OK 74403

Muskogee Nursing Center

100% OpEntity and Real Estate Entity



Montgomery Tom


,

Muskogee Nursing Center, Inc.

eff 11-01-04

Operating Entity


Muskogee Health Services, L.L.C.

NH6101 918-423-90951220 East Electric Boulevard McAlester, OK 74501

New Hope Retirement & Care Center

100% Bully Good 100% Aspire

Management eff 10-01-2016



Montgomery Tom

OP eff 10/01/2016 MGMT03/01/2016

end 10/01/2016

Operating Entity


Aspire Management, LLC

RE eff 10-01-2016



Bully Good, Inc.



NH1414 405-872-71021501 North 8th Street Noble, OK 73068

Noble Health Care Center


Trust

Trustee

9813 S. Penn OKC, OK 73159

McCormick Denver


Trust

Trustee

9813 S. Penn OKC, OK 73159

McCormick Denver

Trustee of the Linda McCormick

Revocable Trust

Trustee

9813 S. Penn OKC, OK 73159

McCormick Linda


Trust

Trustee


Dunbar Arlena


Trust

Trustee


Dunbar Arlena

Pres WRInvGP

Mgr,42.709%WRInvestLP100% WR

Invest GP, 59.9% LCCP



Taylor John F.






Limited Partner


Fisher James (Jim)


Limited Partner


Pierce Paula

0.1% General Partner of Lake Creek


General Partner



33..34% Noble Health Care, LLC




33.33% of Noble Heatlh Care, LLC




33.3% Noble Health Care, LLC


5413 N.W. 107th Okla. City, OK 73162




Trustee


Pennington Amy



Beneficiary


Petrone Alison



Beneficiary


Jones Joshua





Beneficiary


Jones Tanner


Trust

Trustee


Dunbar William


Trust

Trustee


Dunbar Teresa


Trust

Trustee


Nard Charlotte

3.097% WR Investments, LP, 20% Lake


Limited Partner


Taylor John P.

100% of NHCC OPCO, LLC eff

6/30/2017




100% Southwest SNF Holdings,



WR Investments, LP

General Partner of WR Investments, LP,

100% WR Investments GP

General Partner



3.097% WR Investments, LP, 20% Lake


Limited Partner


Campbell Scott


5/14/19



Rushing Jocelyn


6/30/17

Member


Grimmett Patrick

Managing Member of NHCC OPCO,

LLC & WR Investments, LP 6-30-17

Managing Member




Valley, eff 5/14/19





Operating Entity



UPL Manager, eff 6/30/17


1500 Waters Ridge Drive Lewisville, TX 75057

NHCC OPCO, LLC


5/14/19

Member


Meisel Veronica

NH7207 918-371-25452300 West Broadway Collinsville, OK 74021

North County Center for Nursing and Rehabilitation



EFF 03/01/2013



CVille Holding, LLC

100% CVille Holding, LLC/100% North

County Sr. Living EFF 3/1/13



LEP Holdings, LLC

99% LEP Hldgs,LLC/Mgr CVille

Hldg/Mgr Nth cnty sr. liv EFF3/1/13



Pilgrim Lee E.

Operating Entity


North County Senior Living, LLC

NH5528 405-942-10143718 North Portland Oklahoma City, OK 73112

North Winds Living Center

President 100%



Crane Judy M.

Operating Entity

,

North Winds Living Center, Inc.

NH5524 405-842-66012801 Northwest 61st Street Oklahoma City, OK 73112

Northwest Nursing Center

Contracted Management Co. Eff

06/10/2015




1% Southwest LTC-NW OKC,

LLC,72.62% SW,LTC,LTD, eff 01/01/16



Payne Ronald

20% of Southwest LTC-Mgt

Services,9.5%SW,LTC, LTD eff

01/01/2016



Brashier Craig

99% OP




100% Southwest LTC Oklahoma

Holdings, LLC eff 01/01/16



Southwest LTC, LTD

11.98% SW LTC, LTD eff 01/01/16




Eff 01/01/2016

Operating Entity


Southwest LTC-NW OKC, LLC

4.9% SW LTC, LTD eff 01/01/16



Guilbeaux Richard



1% SW LTC, LTD eff 01/01/16



Southwest LTC Mgt I LLC

16.33% Member of ELQN Holdings

LLC/ Manager of RE



Lahasky Ephraim

95% Member of YCQN Holdings

LLC/Manager of RE



Chafetz Yisreol

Manager of RE



Walden Jacob

31.6666% of RE




RE EFF 08/28/2019



Northwest Nursing Realty LLC

31.6666% of RE


99 W Hawthorne Ave L10 Valley Stream, NY 11581

YCQN Holdings LLC

100% Member of JW Quail North

Holdings


,

The JW Family Trust

100% Member of YDGK LLC/ Manager

RE


,

Kohn Brian

NH5302 918-273-2236436 South Joe Nowata, OK 74048

Nowata Nursing Center

Operating Entity

,

Nowata Nursing Center, Inc.

100% BG Mgt., Inc.; 99% GD2 Inv., LP

eff. 5/1/2012



Guymon Gregory L

100% GRH Mgt., Inc.; 99% Cat Daddy

Inv., LP eff. 5/1/2012



Huxall Garrett

1% GD2 Inv., LP; 1% Health Care

Properties of Oklahoma, L.L.C.



BG Management, Inc.

1% Cat Daddy Inv, LP;1% Health Care

Properties of Oklahoma, L.LC



GRH Managment, Inc.


L.L.C.



GD2 Invstments, LP


L.L.C.


22122 E. 63rd Street Broken Arrow, OK 74014

Cat Daddy Investments, LP



100% Nowata Nursing Center, Inc.


PO Box 140338 Broken Arrow, OK 74014

Health Care Properties of Oklahoma, L.L.C.

NH5525 405-400-22951100 West Georgia Jones, OK 73049

Oak Hills Living Center

Eff. 3/26/2019


1500 Gateway Plaza 201 Midwest City, OK 73110

Randy L. Goodman, Court Appointed Receiver

Eff. 3/26/2019

Operating Entity

P.O. Box 1218 Nicoma Park, OK 73066

Oak Hills Care Center Receivership, LLC

NH3213 405-452-3299201 East Second Street Wetumka, OK 74883

Oak Place Living Center, LLC


Trustee


Adkins Gerrol Dean


Trustee


Adkins Arbret June





Majors Cynthia


Simmons Donna Renee



52% RE and manag.member of Business

Trust




Operating Entity

201 East Second Street Wetumka, OK 74883

Oak Place Living Center, LLC


Managing Member


Oak Place Revocable Business Trust










Trustee



NH6703 405-257-58007th & Compton Wewoka, OK 74884

Oakridge Home


eff 5/24/12

Trustee


Watts Fred


Manager




8.314% OP & Mgr./ 8.4112% RE/




Cheek Barnie J.

8.314% OP & Mgmt. / 8.4112% RE




5.834% OP & Mgmt/5.9190%

RE/6.597394% ONH,Inc. & Secretary



Haskins Lloyd

5.192% OP & Mgmt. / 5.2626% RE/




Watts Cleo

5.893% OP & Mgmt. / 5.9746% RE




14.022% OP & Mgmt/ 14.2078% RE/

21.936335% ONH,Inc. & VP



Tubbs Steven

5.376% OP & Mgmt. / 5.4406% RE




5.542% OP & Mgr./ 5.6186% RE/




Estep Pat

2.771% OP & Mgmt. / 2.8037% RE





5.2207%




2.771% OP & Mgmt./ 2.8037% RE




2.771% OP & Mgmt. / 2.8037% RE








2.771% Mgmt. / 2.8038% RE






9.61494% Oakridge Home, LLC

Operating Entity


Oakridge Home, LLC

1.219% Manager, OP and Management

Co.





Inc./Ben. of RA Trust




Trustee-SCFT/9.401287% Oklahoma

Nursing Homes, Inc.



Farmer Sandra

1.28306% OP & Mgmt./ 1.3156%

RE/9.401287% Okla.Nurs. Homes,Inc.



Wilson James G.

2.079% OP & Mgmt. / 2.1028% RE



Ferguson Debra M.

5.563% RE,5.556% OP & Manager,

5.657265% ONH, Inc & Treas.



McGrew Justin

2.771% OP & Mgmt/ 2.8038% RE



Armstrong Sally

9.401287% ONH, Inc. President; Trustee

of DWRVT




RE 0.70095% & 0.69275% OP & Mgmt




RE 0.70095% & 0.69275% OP




(MMMVT)

RE 0.70095% & 0.69275% OP




RE 0.70095% & 0.69275% OP & Mgmt




Trustee of JKBRT

Trustee


Bivin Julie K.

2.77100% OP





eff 05/24/12

Trustee


Leaverton Carolyn


eff 05/24/12

Trustee


Leaverton Ronald



Beneficiary


Johnson Karen Diane



Beneficiary


Fine Michael B.




eff 5/24/12

Trustee


Byers Karen


eff 5/24/12

Trustee


Rhodes Sharon

Beneficiary - WTB eff 5/24/12

Beneficiary


Rhodes Grant


Beneficiary


Miles Sydney


Beneficiary


Cameron Amber

Successor Trustee - SCFT eff 5/24/12

Trustee




Beneficiary


Farmer Cassandra C.


Beneficiary


Farmer Alexandra C.

Trustee of the MMMV Trust, & WGVT

Trustee


Leutz William K.

Trustee of RA Trust

Trustee


Heritage Trust Co.,

Trustee and Beneficiary of the HAVT

Trustee




Beneficiary




Trustee



Trustee Ben. of WGVT; Ben. DWRVT

Trustee




Beneficiary


Bivin Jeremy


Beneficiary


Bivin Ryan

Beneficiary of RA & RGA Trust

Beneficiary



Beneficiary of LMYT

Beneficiary


Lamp Jo Ann

Beneficiary of LMYT

Beneficiary


Austin Jennifer



NH0706 580-924-32441100 Oak Ridge Drive Durant, OK 74701

Oakridge Nursing Center

Chair&CEOend 1/10/14 Broad Member

eff 1/10/14 Senior Care Group



Vaughan David R.

eff. 11-01-06 Senior Care Group Mang

Member

Operating Entity

1240 Marbella Plaza Drive Tampa, FL 33619-7905

SCG Oak Ridge, LLC

eff. 11-01-06




eff. 11-01-06 Senior Care Group 100%




manager for RE owner



Red River, LLC

1.71% RE




2.29% RE




2.86% RE




1.21% RE




4.11% RE




1.37% RE




2.86% RE




3.43% RE




2.29% RE




3.43% RE




2.51% RE




1.71% RE




1.14% RE






1.14% RE




2.11% RE




4.57% RE




2.29% RE




2.29% RE




5.39% RE




2.86% RE




3.75% RE




5.91% RE




6.72% RE




1.14% RE




2.29% RE




2.29% RE




3.43% RE




11.43% RE




2.29% RE




1.26% RE




0.29% RE




1.0% RE




1.71% RE






4.92% RE




sole manag.mem. of SCG Red River,

LLC/lessee

Managing Member




Inc.





Inc.



Surtees Robert E.


1-01-08




CFO & Secretary/Treasurer of Senior

Care Group, Inc. eff 1/10/14





Inc.



Swart Louis



SCG Red River, LLC

Broad Member of Senior Care Group, Inc

eff 1/10/2014



Vaughan Michelle

Board Member eff 1/10/2014



Martin J. Michael

CJ2017-190 eff. 10-31-2018




eff. 01/09/2019




NH5404 918-623-1126112 North Woody Guthrie Okemah, OK 74859-0446

Okemah Care Center

100%-AlphaCare



Humphreys Doug

eff 7-23-01

Operating Entity

202 N. Woody Guthrie Okemah, OK 74859

Okemah Care Center, L.L.C.

100%OpEnt


3218 North 372 Holdenville, OK 74848

Alpha Care Properties, L.L.C.




Oklahoma Methodist Manor, Inc.

Operating Entity

4134 E. 31st Street Tulsa, OK 74135

Oklahoma Methodist Manor, Inc.

exec director/CEO - signature authortiy

eff 10/22/2008


4134 E 31st Street Tulsa, OK 74135

Dickie Steven

Vice president EFF 04/29/2013 Pres-2015



Funk Bob

Vice President - 2015


4134 E 31st Street Tulsa, OK 74135

Belitz Gary

Secretary 2015



Teter Stan

Treasurer 2015



Early Sharon

NH7260 918-599-5900744 West 9th Street Tulsa, OK 74127

Oklahoma State University Medical Center Skilled Nursing Facilit

St. Francis Health System - Chairman eff

03-05-2019


6161 S. Yale Tulsa, OK 74136

Warren John Kelly

100% of ConHold of Sand Springs, LLC

eff 10-30-2018


111 East Chicksaw Sallisaw, OK 74955

Tenant One, LLC

100% RE


1111 West 17th Street Tulsa, OK 74107

Oklahoma State University Medical Authority

OP eff 03-05-2019

Operating Entity


Oklahoma State University Medical Trust

OSU Medical Trust - Secretary, eff

03-05-2019



Helm J. Loy


03-05-2019


6161 South Yale Avenue Tulsa, OK 74136

St. Francis Health System, Inc.

OSU Medical Trust - Vice-Chair &

Treasurer



Keller Ed

OSU Medical Trust - Board Member eff

03+05-2019



Pasternik-Ikard Rebecca Ann

OSU Medical Trust - Board Member eff

03-05-2019



Shrum, D.O. Kayse



OSU Medical Trust - Board Member



Steichen Berry

St. Francis Health System - Vice Chair


6161 South Yale Avenue Tulsa, OK 74136

Kishner Judy

NH1010 580-223-22661015 South Commerce Ardmore, OK 73402

Oklahoma Veterans Center, Ardmore Division

Operating Entity

2311 N. Central, Box 53067 Oklahoma City, OK 73152

Oklahoma Department Of Veterans Affairs

Executive Director eff 02-02-2015



Deering Myles

NH6607 918-283-29633001 West Blue Starr Drive Claremore, OK 74018

Oklahoma Veterans Center, Claremore Division

OP SB629 eff 5/29/2013

Operating Entity



Deputy Director

Officer

,

Stewart Danny


Officer


Deering Myles

NH2007 580-331-2200Hwy 183 South Clinton, OK 73601

Oklahoma Veterans Center, Clinton Division

OP SB629 eff 5/29/2013

Operating Entity




Officer


Deering Myles

NH1608 580-351-6511501 S.E. Flowers Mound Road Lawton, OK 73501

Oklahoma Veterans Center, Lawton/Ft Sill Division

OP eff 05/29/2013

Operating Entity





Deputy Director

Officer

,

Stewart Danny


Officer


Deering Myles

NH1413 405-360-56001776 East Robinson Norman, OK 73070

Oklahoma Veterans Center, Norman Division

OP SB629 eff 5/29/2013

Operating Entity




Officer


Deering Myles

NH5004 580-622-2144304 East Fairlane Sulphur, OK 73086

Oklahoma Veterans Center, Sulphur Division

OP SB629 eff 5/29/2013

Operating Entity




Officer


Deering Myles

NH4011 918-567-225110014 SE 1138th Ave Talihina, OK 74571

Oklahoma Veterans Center, Talihina Division

OP SB629 eff 5/29/2013

Operating Entity




Officer


Deering Myles

NH5607 918-756-3556720 North Miami Okmulgee, OK 74447

Okmulgee Terrace


eff 5/24/12

Trustee


Watts Fred


Manager






8.314% OP & Mgr./ 8.4112% RE/




Cheek Barnie J.

8.314% OP & Mgmt. / 8.4112% RE




5.834% OP & Mgmt/5.9190% mgr




Haskins Lloyd

5.192% OP &Mgmt./5.2626%

RE/12.535047%ONH,Inc.TrusteeWBTeff

5/12



Watts Cleo

5.893% OP & Mgmt. / 5.9746% RE




5.612090% OP/ 5.67% RE




14.022% OP & Mgmt/ 14.2078% RE/

21.936335% ONH,Inc. & VP



Tubbs Steven

5.376% OP & Mgmt. / 5.4406% RE




5.542% OP & Mgr./ 5.6186% RE/




Estep Pat

2.771% OP & Mgmt. / 2.8037% RE





5.2207%




2.771% OP & Mgmt./ 2.8037% RE




2.771% OP & Mgmt. / 2.8037% RE








2.771% Mgmt. / 2.8038% RE




9.61494% Okmulgee Terrace, LLC

Operating Entity

P.O.Box 400 Sallisaw, OK 74955

Okmulgee Terrace, LLC






Inc./ Ben. RA Trust





Nursing Homes, Inc.



Farmer Sandra



1.28306% OP & Mgmt./ 1.3156%




Wilson James G.

2.079% OP & Mgmt. / 2.1028% RE



Ferguson Debra M.

5.556% OP & Mgmt./5.5630% RE/

5.657265% in ONH, Inc. & Treas



McGrew Justin

2.771% OP & Mgmt/ 2.8038% RE



Armstrong Sally

Trustee of DWRVT/9.401287%

Oklahoma Nursing Home, Inc. Presid




RE 0.70095% & 0.69275% OP & Mgmt




RE 0.70095% & 0.69275% OP & Mgmt




(MMMVT)

RE 0.70095% & 0.69275% OP




RE 0.70095% & 0.69275% OP & Mgmt




Trustee of the JKBRT

Trustee


Bivin Julie K.

2.77100%OP





eff 05/24/12

Trustee


Leaverton Carolyn


eff 05/24/12

Trustee


Leaverton Ronald



Beneficiary


Johnson Karen Diane



Trustee


Fine Michael B.


eff 5/24/12

Trustee


Byers Karen


eff 5/24/12

Trustee


Rhodes Sharon


Beneficiary


Rhodes Grant


Beneficiary


Miles Sydney




Beneficiary


Byers Jack


Beneficiary


Cameron Amber

Sucessor Trustee-SCFT EFF 05/24/2012

Trustee




Beneficiary


Farmer Cassandra C.


Beneficiary


Farmer Alexandra C.

Trustee of MMMVT & WGVT

Trustee


Leutz William K.

Trustee of RA Trust

Trustee


Heritage Trust Co.,

Beneficiary of LMYT

Beneficiary


Yowell Lynn

Beneficiary LMYT

Beneficiary


Yowell Ron

Trustee and Beneficiary of HAVT

Trustee




Beneficiary



Trustee & Beneficiary of NEVT; Trustee

of DWRVT

Trustee



Trustee & Beneficiary of WGVT;

Beneficiary of DWRVT

Trustee




Beneficiary


Bivin Jeremy


Beneficiary


Bivin Ryan

Beneficiary of RA & RGA Trust &

Richard Glen Armstrong Trust

Beneficiary



Beneficiary of LMYT

Beneficiary


Lamp Jo Ann

Beneficiary of LMYT

Beneficiary


Austin Jennifer



NH5414 918-650-9393103 North Oneida Weleetka, OK 74880

Oneida Place





eff 02-05-08

Operating Entity




Corporation 1-8-08



Welsh Richard


Corporation 1-8-08



Bailey M. Geoffry


Corporation



Pyle William "Bill"

authorized agent for The Reach Corp. Eff

12/07



Bentley Roy

eff. 8-15-07




100% of RE







Rock River, LLC




MMB, LLC




Lovenest, LLC




Ervin Gary




Ervin Lisa

32.88% of MMB, LLC



Ervin Tim

17.455% of MMB, LLC



Ervin Vicki




Ervin Robert




Ervin Laura


w/13.254% each









Ervin Mallory




Ervin Jade




Ervin Luke




Ervin Gabe


w/9.933% each







Ervin Max




Linenger Jessica




Ervin Mitch




Linenger Jennifer




Ervin Brock


w/8.089% each







Ervin Thea




Ervin Issac




Ervin Samuel




Ervin Elijah




Ervin Saul




Ervin Micah




Ervin Mathias



NH5303 918-273-2012822 West Osage Nowata, OK 74048

Osage Nursing Home


eff 5/24/12

Trustee


Watts Fred


Manager




8.314% OP & Mgr./ 8.4112% RE/




Cheek Barnie J.

8.314% OP & Mgmt. / 8.4112% RE




5.834% OP & Mgmt/5.9190% mgr




Haskins Lloyd

5.192% OP&Mgmt./5.2626%

RE/12.535047%ONH,Inc.TrusteeWBTeff

5/12



Watts Cleo

5.893% OP & Mgmt. / 5.9746% RE




14.022% OP & Mgmt/ 14.2078% RE/

21.936335% VP of ONH,Inc.



Tubbs Steven

5.376% OP & Mgmt. / 5.4406% RE




5.542% OP & Mgr./ 5.6186% RE/




Estep Pat

2.771% OP & ONH,Ltd / 2.8037% RE eff

5/24/12 & Trustee of JKBRT





5.2207%




2.771% OP & Mgmt./ 2.8037% RE




2.771% OP & Mgmt. / 2.8037% RE








2.77100% Mgmt. / 2.8038% RE




9.61494% of Osage Nursing Center, LLC

Operating Entity


Osage Nursing Center, LLC



1.2190 mgr OP & Mgmt.





Inc.; Ben. of RA Trust





Nursing Homes, Inc.



Farmer Sandra

1.28306% OP & Mgmt./ 1.3156%




Wilson James G.

2.079% OP & Mgmt. / 2.1028% RE



Ferguson Debra M.

5.556% OP & Mgmt./5.5630% RE/ Treas

w/5.657265% in ONH, Inc.



McGrew Justin

2.771% OP & Mgmt/ 2.8038% RE



Armstrong Sally


Inc. President; Trustee of DWRV




RE 0.70095% & 0.69275% OP & Mgmt




RE 0.70095% & 0.69275% OP & Mgmt




(MMMVT)

RE 0.70095% & 0.69275% OP & Mgmt




RE 0.70095% & 0.69275% OP & Mgmt




2.77100% OP





eff 05/24/12

Trustee


Leaverton Carolyn


eff 05/24/12

Trustee


Leaverton Ronald



Beneficiary


Johnson Karen Diane


eff 5/24/12

Trustee


Byers Karen


eff 5/24/12

Trustee


Rhodes Sharon


Beneficiary


Rhodes Grant




Beneficiary


Miles Sydney


Beneficiary


Cameron Amber

Successor Trustee - SCFT eff 5/24/12

Trustee




Beneficiary


Farmer Cassandra C.


Beneficiary


Farmer Alexandra C.

Trustee of RGAT

Trustee


Heritage Trust Co.,

Registered Agent

Officer



Ben. of Julie Kay bivin Revocable Trust

Eff. 2016

Beneficiary


Bivin Jeremy

Ben. pf Julie Kay Bivin Revocable Trust

Beneficiary


Bivin Ryan

NH5504 405-946-69326312 North Portland Oklahoma City, OK 73112

PARCway

100% of Oklahoma Senior Care, eff

08/1/2015


1126 Rambling Oaks Dr. Norman, OK 73072

OHara Dirk

100% Senior Comfort Corp.


1825 E. 15th Tulsa, OK 74104

Jiles Jon P.

eff. 12-18-06

Operating Entity

6312 N. Portland Okla. City, OK 73102

N-Vest Skilled Nursing of Oklahoma LLC

50% OP eff.09/09/2013 ( 69% RE ended

10/28/2014)




30% OP eff. 09/09/2013 (RE end

10/28/2014)



Kittco, LLC

100% Kittco, LLC eff. 12-18-06


2808 Verpma Wau Edmond, OK 73034

Wakeley Kitt

30% N-Vest Skilled Nursing eff 08/01/15



Oklahoma Senior Care, L.L.C.


4005 NW Expressway 500 Oklahoma City, OK 73112

Paycom, LLC



100% of Sabra Health Care Holdings III,

LLC




1% of Sabra Health Care Limited

Parnership eff 10/29/2014

Limited Partner



99% & GP of Sabra Health Care Limited

Partnership eff 10/29/14

General Partner



RE eff 10/29/2014




President of Sabra Health Care Holding

III, LLC, SHC, & Reit


18500 Von Karman Avenue 550 Lrvine, CA 92612

Matros Richard

CFO and Secretary of Sabra Health Care

Holdings III, SHC & Reit



Andrews, Jr. Harold

CFO-Secretary of Sabra Health Care

Holdings III, SHC & Reit



Nevo-Hacohen Talya

NH4904 918-434-5600319 N. Owen Walters Blvd. Salina, OK 74365

Parkhill North Nursing Home




Tabor Angela



111522 S. 4740 Rd. Muldrow, OK 74948





Mitchell Marcinda

12.5% of OP and 25% BGM Estate, LLC

eff 9-16-16



Mitchell Kelly O.

Operating Entity

319 N. Owen Walters Blvd. Salina, OK 74365

Salina Care Center, L.L.C.

25% of OP




25% of OP




Manager of OpEntity


319 N. Owen Walters Blvd. Salina, OK 74365

Hobbs Jeanan

37.50% OP eff 9-16-16


,

BGM Estate, LLC



NH4103 405-567-2201922 West Parkland Avenue Prague, OK 74864

Parkland Manor Living Center

51% Mbr of JNH



Justice Jack

100% of Parkland Manor Living Center,

LLC


110 Barr Avenue Pauls Valley, OK 73075

Washita Valley Investments, L.L.C.

49% Mng Mbr of JNH Prop/100%Mem

of Wash Val Inv Eff 9/1/16



Justice Julie

Op Ent eff 3/27/2007

Operating Entity

110 Burr Ave Pauls Valley, OK 73075

Parkland Manor Living Center, L.L.C.

Real Estate


110 Burr Ave. Pauls Valley, OK 73075

Parkland Properties, LLC

100% member of Parkland Properties,

LLC



JNH Properties, LLC

NH2504 405-238-64111413 South Chickasaw Pauls Valley, OK 73075

Pauls Valley Care Center

Mng Mem 100% PVCC, LLC/100% Mng

Mem of BK Strategies, LLC



Reed Bart

Member 100% interest in Pauls Valley

Care Center, LLC



BK Strategies, LLC

100% of Pauls Valley Real Estate,LLC eff

02/01/2012




OP eff 07/12/2019

Operating Entity

131 N. Broadway Ada, OK 74820

Pauls Valley Care Center, LLC

(1%RE END06/1/09)/OP General Partner



GMGP, INC.

100% of RE Eff 02/01/2012



Pauls Valley Real Estate, LLC

NH5202 580-336-22851103 Birch Street Perry, OK 73077

Perry Green Valley Nursing Home, LLC

8% Mbr HMLC, LLC






Trustee-Mary Lou Chappell Trust

Trustee


Chappell Mary Lou

2%Mbr HMLC, LLC




4%Mbr HMLC, LLC




Beneficiary - Chappell 2012 Succession

Trust dated 01/03/2012

Beneficiary


Chappell Jeff

Real Estate



H & M Noble Property, LLC

Mgr. GAN,PGV,SNH; Mgr. of OP/RE

06/01/2016

Manager


Hastings Tandie

Eff 7/1/2007

Operating Entity


Perry Green Valley Nursing Home, LLC

100% Mmbr OP & RE, eff 04/18/12



HMLC, LLC

Mgr of HMCL, LLC,Trustee Chappell

2012 Succession Trust




76% member HMLC, LLC 4/15/16 Benef

MLC Trust Eff 6/1/16




10% mbr HMLC, 100% SNH, PGV Inc.,

GAN 06/01/2016



Mary Lou Chappell Trust



Beneficiary

,

Chappell Jon D.

Beneficiary - Chappell 2012

SuccessionTrust dated 01/03/2012

Beneficiary

,


NH3305 580-480-18002610 Cedar Creek Drive Altus, OK 73521

Plantation Village Nursing Center

Manager/President Altus Operations LLC

(Manager)

Trustee


Greiner Don

Manager/Secretary of Altus Operations,

LLC (Manager)



Dimond Mike

eff 7/27/2006



Amity Care, L.L.C.

78% Altus Operations, LLC (Manager)




Benef/Trustee



22% of Altus Operations, LLC (Manager)




eff 1/9/07

Operating Entity


Altus Operations, L.L.C.

RE eff 7/27/2006



Altus Real Estate, LLC

NH5109 918-682-53911120 Illinois Muskogee, OK 74403

Pleasant Valley Health Care Center

Operating Entity

,

Pleasant Valley Health Care Center, Inc.

65% President


3412 Riverbend Rd. Muskogee, OK 74403

Nevitt Mary

35% Sec/Treas


3707 East Harris Road Muskogee, OK 74403

Nevitt Danny

NH4008 918-436-2228200 Home Street Pocola, OK 74902

Pocola Health and Rehab

CN04-016



Farmer, Jr. Archie Don

eff 9-30-02


115 Washington Street Pocola, OK 72958

Pocola Manor, L.L.C.

eff 09/29/04

Operating Entity


Pocola Nursing Center, L.L.C.

100% manag.member Pocola Nursing

Center, LLC



Hensley Chris

NH3606 580-762-66681400 North Waverly Ponca City, OK 74601

Ponca City Nursing & Rehabilitation Center

34% N&R Ponca City & Health Systems

of Oklahoma eff 01/01/2017


329 Townepark Circle 100 Louisville, KY 40243

Vinson John

Management



Health Systems of Oklahoma, L.L.C.



eff 10-01-02

Operating Entity

2450 Shelbyville Rd Shelbyville, KY 40065

N & R of Ponca City, L.L.C.


200 Inernational Circle 3500 Hunt Valley, MD 21030

CSE Ponca City LLC

Member with 100% interest of CSE

Ponca City


4445 Willard Ave, 12th Floor Chevy Chase, MD 20815

CSE Casablanca Holdings LLC

100% interest and Member of CSE

Casablanca LLC



CSE SLB LLC

100% interest and Member of CSE SLB,

LLC



CSE Mortgage LLC

CEO of CSE/RE


,

Pickett Taylor

COO of CSE/RE


,

Booth Daniel J.

Senior VP of CSE/RE


,

Crabill, Jr R. Lee

100% Owner of CSE Ponca City LLC



Omega Healthcare Investors, Inc.

33% N&R Ponca City & Health Systems



329 Townepark Circle Louisville, KY 40243

Vinson, Jr John

33% N&R of Ponca City & Health

Systems of Oklahoma eff 01-1-2017


329 Towepark Circle Louisville, KY 40243

Trumbo Jay H.

NH4208 405-282-8166405 North 20th Street Guthrie, OK 73044

Providence House

100% of Op Entity and Real Estate Entity



Diakonos Group, LLC




Pilgrim Scott

EFF 09-01-2015

Operating Entity


Guthrie Cottages, LLC

EFF 09-01-2015



Guthrie Holding, LLC







NH4402 405-527-7798801 North 6th Street Purcell, OK 73080

Purcell Care Center

100% Purcell Care Care & RE eff

09/16/2015



Reed Bart

UPL Mgr. eff. 6/30/2017end

7/16/2019/OP EFF 7/16/2019

Operating Entity

131 N Broadway Ada, OK 74820

Purcell Care Center, LLC

100% of RE



Purcell Real Estate, LLC

NH2105 918-422-5138564 State Line Road Colcord, OK 74338

Quail Ridge Living Center, Inc.

29.2%


606 E. Boone Tahlequah, OK 74464

Burris Lynn

21.6%


1500 East Downing 110 Tahlequah, OK 74464

Pointer Ed

21.6%


Rt. 7, Box 67 Tahlequah, OK 74464

Pointer Patrick

Operating Entity

P.O. Box 1005 Siloam Springs, AR 72761

Quail Ridge Living Center, Inc.

6.9%


P.O. Box 9 Gentry, AR 72734

Weaver, M.D. Robert

6.9%


8520 S. 36th Terrace Fort Smith, AR 72908

Stein James

6.9%


8520 S. 36th Terrace Fort Smith, AR 72908

Stein Paul

6.9%


PO Box 1005 Siloam Springs, AR 74955

Zambrano Tamara & Rene

NH6106 918-469-26001209 West Main Quinton, OK 74561

Quinton Manor Nursing Home

50% IPC Healthcare, LLC & Tidwell Fam

HealthCare eff 01/01/2016


900 Ranchwood Dr Wilburton, OK 74578

Tidwell Melissa

50% IPC Healthcare, LLC & Tidwell Fam

HealthCare eff 01/01/2016


225 W Main St Wilburton, OK 74578

Tidwell Darren



Eff 10/01/2016



IPC HealthCare, LLC

Eff 01/01/2016

Operating Entity


Tidwell Family HealthCare, LLC

NH5401 405-786-2244300 West 9th Street Weleetka, OK 74880

Rainbow Terrace Care Center

Operating Entity

300 W. 9th Weleetka, OK 74880

Williamson Care Centers, Inc.

President 50% EFF 11-17-2014



Williamson Jerry R.

Vice-President 50% EFF 11-17-2014



Williamson Donald L.

NH1905 918-224-25781310 East Cleveland Sapulpa, OK 74066

Ranch Terrace Nursing Home

33.33% Hillside Prop Hold & Three Oaks

eff 02/23/2016



Rogers Justin Todd

33.33% Hillside Prop Hold and Three

Oaks eff 02/23/2016


P. O. box 749 Warner, OK 74469

Three Oaks LLC Rogers Jack

33.33% Hillside Prop Hold and Three

Oaks eff 02/23/2016




33.33 02/02/2016



Three Oaks LLC Rogers Todd

OP eff 02/23/2016

Operating Entity


Three Oaks, LLC Three Oaks, LLC

100% RE eff 02/23/2016


312 Cary Place Muskogee, OK 74403

Hillside Property Holdings, LLC Hillside Property Holdings, LLC

NH0908 405-354-2022824 S. Yukon Parkway Yukon, OK 73099

Ranchwood Nursing Center

Trustee of the Denver McCormick

Revocable Trust

Trustee

9813 S. Penn OKC, OK 73159

McCormick Denver




Trust & Beneficary Denver McCo

Trustee

9813 S. Penn OKC, OK 73159

McCormick Linda

Trustee Arlena Dunbar Revocable Trust

Trustee


Dunbar Arlena

Eff 6/30/2017



Southwest Elderly Care Center, LLC

33.4% Member RE




33.3%Member RE




33.3% RE


5413 N.W. 107th Okla. City, OK 73162




Trustee


Pennington Amy



Beneficiary


Petrone Alison



Beneficiary


Jones Joshua



Beneficiary


Jones Tanner


Trust

Trustee


Dunbar William


Trust

Trustee


Dunbar Teresa

Subcontracted management Eff 6/30/2017





Trust

Trustee


Nard Charlotte

Mayor/Chairman eff 8/2/2019



Rushing Jocelyn

Councilman/Trustee eff 5/14/2019



Grimmett Patrick

V Mayor & V Chairman eff 5/14/2019





Operating Entity





,

South Yukon SNF OPCO, LLC (SY)



Councilwoman/Trustee eff 5/14/2019



Meisel Veronica

NH5608 918-756-19671701 East 6th Street Okmulgee, OK 74447

Rebold Manor

100% RE OP Mgr

Managing Member


Greiner Don

1% OP


Box 23017 Oklahoma City, OK 73123

E. C. Properties, Inc.

Property


1915 Parkview Dr. Okmulgee, OK 74447

Diversified Investments



Amity Care, L.L.C.

99% OP 78% Mgt




Benef/Trustee


eff.10-21-03




0% RE OP Mgmt



Diamond Mike

Property



Okmulgee Real Estate, L.L.C.

Operating Entity


Rebold Manor, L.L.C.

NH3211 405/452-3271623 South Alabama Wetumka, OK 74883

Redwood Place Living Center, LLC

President /Beneficiary of Family Trust

Trustee


Adkins Gerrol Dean


Trustee


Adkins Arbret June





Majors Cynthia


Simmons Donna Renee





52% RE and manag. member of Business

Trust




eff. 1-1-07

Operating Entity


Redwood Place Living Center, LLC

100% OP manag. member

Managing Member


Redwood Place Revocable Business Trust








Trustee



NH5537 405-677-05022901 Southeast 22nd Street Oklahoma City, OK 73129

Reliant Living Center

Operating Entity



Board Member



Black Art

Secretary



Love Willa

President


8800 S. Drexel Apt 809 Oklahoma City, OK 73159

Stokes Steve

VP



Moon Tim

Exec Director



Jernigan Janelle F.

Secretary



Ellis Scott

NH5547 405-677-24213317 Southeast 18th Street Del City, OK 73115

Reliant Living Center of Del City



Operating Entity



Board Member


8305 N.W. 35th Bethany, OK 73008

Mcniff Harold

Board Member



Black Art

Secretary



Love Willa

President


8800 S. Drexel Apt 809 Oklahoma City, OK 73159

Stokes Steve

VP



Moon Tim

Member


P.O. Box 567 Wheatland, OK 73097

King Zil

Exec Dir



Jernigan Janelle F.

Treasurer



Lewis George B.




Ellis Scott

NH5412 918-650-9393110 Hillcrest Way Okemah, OK 74859

Ridgeview Place


eff 02-05-08

Operating Entity




Corporation 1-8-08



Welsh Richard


Corporation 1-8-08



Bailey M. Geoffry


Corporation



Pyle William "Bill"


Corporation



Bentley Roy

eff. 8-15-07




100% of RE









Rock River, LLC




MMB, LLC




Lovenest, LLC




Ervin Gary




Ervin Lisa




Ervin Lisa

32.88% of MMB, LLC



Ervin Tim

17.455% of MMB, LLC



Ervin Vicki




Ervin Robert




Ervin Laura


w/13.254% each







Ervin Mallory




Ervin Jade




Ervin Luke




Ervin Gabe


w/9.933% each







Ervin Max




Linenger Jessica




Ervin Mitch




Linenger Jennifer






Ervin Brock


w/8.089% each







Ervin Thea




Ervin Issac




Ervin Samuel




Ervin Elijah




Ervin Saul




Ervin Micah




Ervin Mathias

NH4003 918-875-31071008 Arkansas Street Arkoma, OK 74901

Riverside Health Services

33 1/3% Member OP/RE



Rogers Justin Todd

33 1/3% Member OP/RE


P. O. box 749 Warner, OK 74469

Three Oaks LLC Rogers Jack

33 1/3% Sole Manager OP/RE




EFF 8/15/2016

Operating Entity

312 Cary Place Musckogee, OK 74403

Riverside Health Services, LLC

EFF 8/15/2016


212 Cary Place Musckogee, OK 74403

Riverside Property Holdings, LLC

NH2414 580-548-26992501 Northeast Delaware Enid, OK 73701

Robert M Greer Center

Operating Entity





MGR


3073 Horseshoe Dr. South Naples, FL 34104

Liberty Healthcare of Oklahoma, Inc.

Parent Mgmt Corp of Liberty of

Oklahoma Corporation


2501 N.E. Delaware Enid, OK 73701-9410

Liberty Healthcare Corporation

100% & President of Liberty of

Oklahoma Corp




Director, DHS Eff 11/1/2012



OKDHS Lake Ed

NH6604 918-266-5500801 North 193 East Avenue Catoosa, OK 74015

Rolling Hills Care Center

OP/RE 100% President



Sullivan, Jr. Frank

Eff - 12/10/2010




Eff 12/10/2010



Requip of Catoosa, LLC

Eff 12/10/2010

Operating Entity


ConHold of Catoosa, LLC

NH1501 580-927-23777 North Covington Coalgate, OK 74538-0326

Ruth Wilson Hurley Manor

Treasurer OP


114 S. Arno Coalgate, OK 74538

Owen Tom

Chairman RE


Rt. 4, Box 510 Coalgate, OK 74538

Servais Jean Neal

Member RE


Rt. 1 Box 1535 Coalgate, OK 74538

Thomas Bobby Zane


7 N. Covington Coalgate, OK 74538

Coal County General Hospital Holding Company

ViceChairman RE


Queen Avenue Coalgate, OK 74538

Sandmann Louis

Secretary OP


105 W. Ivy Coalgate, OK 74538

Watkins Gerry

Member RE/OP


PO Box 253 Coalgate, OK 74538

Mixon Phyllis



Member RE/OP


Route 1, Box 1310 Coalgate, OK 74538

Chaney Rick

eff 7/29/2006

Operating Entity

7 N. Covington Coalgate, OK 745338

Coal County Extended Care, Incorporated

NH0912 405- 263-4658644 West Texas Okarche, OK 73762

Saint Andre Bessette

Eff 08/10/16

Operating Entity



Executive Director, eff 08/10/16


635 W Texas Okarche, OK 73762

Espinosa Debbie



3129 Pine Ridge Rd Oklahoma City, OK 73120

Fleckinger Joseph

Vice-President, eff 08/10/16


2113 N.W. 59th PL Oklahoma City, OK 73112

Dolan Robert




Krittenbrink Jerry



1608 Stepping Stone TR Edmond, OK 73013

Black Denise


Salatka Hall

100%

Operating Entity



Secretary of OP


12111 NE 164th Street Jones, OK 73049

Pierce John

Treasurer EFF 06/01/2012



Krittenbrink Jerry

VP EFF 06/01/2012-7/1/13; Pres. eff

7/1/13



Cooper Steve

VP eff 7/1/13


2113 NW 59th Place okc, OK 73112

Dolin Robert (Bob)

Executive Director



Espinosa Debbie



NH7217 918-245-59081025 North Adams Sand Springs, OK 74063

Sand Springs Nursing and Rehabilitation


980 N. Michigan 1080 Chicago, IL 60611

H. A. Sand Springs, LLC

55% of Tenant One, LLC, Trustee of

SSSTrust



Sullivan, Jr. Frank

Management Co.


24641 US Highway 19 N Clearwater, FL 33763

Traditions Senior Management, Inc.

100% of the RE eff 08/29/2013


1025 North Adams Sand Springs, OK 74063

Requip of Sand Springs

OP eff 08/29/2013

Operating Entity

1025 North Adams Sand Springs, OK 74063

ConHold of Sand Springs, LLC

45% of Tenant One, LLC


111 East Chickasaw Sallisaw, OK 74955

Sullivan Sand Springs Trust

NH1415 405-793-16431000 B S. Santa Fe Moore, OK 73160

Santa Fe Cheyenne House


6619 S. Western Oklahoma City, OK 73139

Forrest White Great-West, L.L.C.

90%

Managing Member

6619 S. Western Okla. City, OK 73139

White Wm. Forrest

5%



Talley Janice

5%


PO Box 281 Vinita, OK 74301

Jones De Nellda

Operating Entity

6619 South Western Oklahoma City, OK 73139

Santa Fe Place, L.L.C.

NH1416 405-912-53771000 A South Santa Fe Moore, OK 73160

Santa Fe Sierra House




90%

Managing Member


White Wm. Forrest

5%



Talley Janice



5%



Jones De Nellda

Op Ent eff 5/23/2007

Operating Entity



NH1419 405-634-88881000 S Santa Fe Moore, Ok 73160

Santa Fe Tucson House

100% Real Estate Eff 02-08-2018




85% Santa Fe Place, LLC eff 02-08-2018



White Wm. Forrest




Talley Janice

0% Member of Santa Fe Place, LLC eff

02-08-2018



Jones De Nellda

Operating Entity & 100% Great West,

LLC eff 02-08-2018

Operating Entity






White Josh

5% of Santa Fe Place, LLC eff

02-08-2018



White Mark

NH2201 580-922-4433914 NE Highway 60 Seiling, OK 73663

Seiling Nursing Center

Seling Vice Mayor-Board Member

Seiling Nursing Facility Authorty

Officer

PO Box 702 Seiling, OK 73663

Nichols Michael

Seiling Mayor - Board Member Seiling

Nursing Fac Authority

Officer


Louthan Micky

Board Member/Trustee Seiling Nursing

Facility Authorty

Officer

Rt 1 Box 20D Seiling, OK 73663

Adair Wanda

Trustee/Board Member Seiling Nursing

Fac Authority

Officer

HC60 Box 168 Fairview, OK 73737

Case Rodger


Fac Authority

Officer

P.O. Box 292 Seiling, OK 73663

McCurley Brandon



Vice-Pres Seiling Nursing Facility

Authority

Officer

P.O. Box 274 Seiling, OK 73663

Cooley Karen

Vice-Mayor eff 4/19/11 end 12/15/16

Board Member Seiling NF Auth

Officer

Rt 1 Box 826 Mutual, OK 73853

Bensch Starley


Fac Authority

Officer

Seiling, OK 73663

Biggs Amy

Board Member Seiling Nursing Facility

Authority

Officer


Daugherty Pat

Board Member Seiling Nursing Fac

Authority

Officer

310 North Main Street Seiling, OK 73663

Goodman Gayla

OP eff 02/14/2017

Operating Entity

315 North Main Street Seiling, OK 73663

Seiling Nursing Facility Authority

NH6706 405-382-11271200 Wrangler Blvd Seminole, OK 74868

Seminole Care and Rehabilitation Center

100% of Sabra Health Care Holdings III





LP




99% GP of Sabra Health Care Limited

Partnership








7% (Manager) of Seminole Health Care

eff 11-09-2016



Bienstock Judah

Manager of Okla Acqu & 50% MGM and

Trustee of Nationalwide Trust



Jeremias Baruch

eff12-19-2011




10% Seminole Health Care eff

11-09-2016



Fensterman Howard

37% of Seminole Health Care eff

11-09-2016



Landa Benjamin

EFF 03/15/2013

Operating Entity


Seminole Health Care, LLC



13% of Seminole Health Care eff

11-09-2016



Taub Miriam

33% of Seminole Health Care, LLC eff

11-09-2016





11-2016








MACB Resources, LLC

NH6704 405-382-12701705 Boren Blvd Seminole, OK 74868

Seminole Pioneer Nursing Home

100% Pres/OP & 100% RE Seminole

Property Holding, LLC eff 6-1-12



Jewell Samuel

eff 1-31-03

Operating Entity

1705 Boren Boulevard Seminole, OK 74868

Seminole Nursing Home, Inc.



110 West Muskogee Ave Sulphur, OK 73086

Seminole Property Holdings, LLC

NH5406 918/650-9393202 East 5th Street Weleetka, OK 74880

Seminole Place


eff 02-05-08

Operating Entity




Corporation 1-8-08



Welsh Richard


Corporation 1-8-08



Bailey M. Geoffry


Corporation



Pyle William "Bill"


Corporation



Bentley Roy

eff. 8-15-07




100% of RE









Rock River, LLC




MMB, LLC




Lovenest, LLC




Ervin Gary




Ervin Lisa

32.88% of MMB, LLC



Ervin Tim

17.455% of MMB, LLC



Ervin Vicki




Ervin Robert




Ervin Laura


w/13.254% each







Ervin Mallory




Ervin Jade




Ervin Luke




Ervin Gabe


w/9.933% each







Ervin Max




Linenger Jessica




Ervin Mitch




Linenger Jennifer




Ervin Brock




w/8.089% each







Ervin Thea




Ervin Issac




Ervin Samuel




Ervin Elijah




Ervin Saul




Ervin Micah




Ervin Mathias

NH7214 918-250-54053501 West Washington Street Broken Arrow, OK

74012

Senior Suites Healthcare

Pres 50% RE/OP end 03/17/11; Presi

100% RE/OP eff 03/17/11


6271 East 120th Court 100 Tulsa, OK 74137

Cox Steve

Operating Entity


Cox Building Company, Inc.

NH4403 405-485-33151104 North Madison Blanchard, OK 73010

Senior Village Healthcare


03-01-2018




Manager Senior Village OP Senior

Village RE & Amity Care 3-1-18

Manager


Greiner Don

Manager Senior Village OP Senior

Village RE & Amity Care 3-1-18

Managing Member


Dimond Mike

99% Senior Village OP & 78% Amity

Care, LLC eff 03-1-20185




Benef/Trustee



22% Amity Care, LLC eff 03-01-2018




58% Senior Village Real Estate, LLC




58% Renew Properties, LLC eff

03-18-2018



Stalwart Trust

100% Clarity Properties & 48% Renew

Properties eff 03-01-2018




42% Senior Village Real Estate, LLC




100% OP eff 03-01-2018

Operating Entity

4350 Will Rogers PKWY 300 Oklahoma City, OK 73108

Senior Village Operations, LLC

100% RE eff 03-01-2018


4350 Will Rogers Parkway 300 Oklahoma City, ok 73108

Senior Village Real Estate, LLC

NH6802 918-427-7401701 S. Taylor Road Roland, OK 74954

Sequoyah East Nursing Center, LLC

12.5% Pres




9.096%



Pointer Ed



Sequoyah House, Inc.

100% of OP




8.4%


104 S. Oak Sallisaw, OK 74955

Corley Bert N. M. III

6.08% Sequoyah House inc


1603 Fryar Dr. Sallisaw, OK 74955

Fred B. Oliver Family Trust, Virginia Kaye Ronk, Trustee



P. O. Box 338 Sallisaw, OK 74955

Oliver Family Trust Fred B.

12.5



Mitchell Delores O.

Corp. Sec.


Rt. 1, Box 165 Sallisaw, OK 74955

Qualls Wava Sue

eff 4-1-02

Operating Entity

Rt. 1 Taylor Road Roland, OK 74954

Sequoyah East Nursing Center, L.L.C.



8.33%











Bivin Julie K.

8.333% Sequoyah House



Yowell Lynn M.

NH6803 918-775-4881615 East Redwood Sallisaw, OK 74955

Sequoyah Manor, LLC

12.5% Pres




9.096%



Pointer Ed

100% of OP




100% of LLC




8.4%


104 S. Oak Sallisaw, OK 74955

Corley Bert N. M. III

18.92% Director


1603 Fryar Dr. Sallisaw, OK 74955

Fred B. Oliver Family Trust, Virginia Kaye Ronk, Trustee

12.5



Mitchell Delores O.

Corp. Sec.


Rt. 1, Box 165 Sallisaw, OK 74955

Qualls Wava Sue

eff 4-3-02

Operating Entity

615 East Redwood Sallisaw, OK 74955

Sequoyah Manor, L.L.C.

8.33%




NH7242 918-272-51518515 North 123rd East Avenue Owasso, OK 74055

Sequoyah Pointe Living Center

100% OP, RE Mgr



Sullivan, Jr. Frank



Eff. 12/10/2010



Requip of Owasso, LLC

Eff. 12/10/2010

Operating Entity


ConHold of Owasso, LLC

Eff. 12/10/2010




NH2702 580-395-2105616 South Front Street Medford, OK 73759

Servant Living Center - Medford

100% SLCHC - Medford &

SLC-Medford eff12-03-16



Diakonos Group, LLC

Managing Member and 99% owner of

Diakonos Group



Pilgrim Scott

OP

Operating Entity

616 S. Front Medford, OK 73759

Servant Living Center-Medford, LLC

Eff 12-03-16



Servant Living Center Holding Company-Medford, LLC (SLCHC - Medf

1% Mbr of Diakonos Grp ,LLC, Eff

12-03-16




NH4907 918-825-4455210 South Adair Pryor, OK 74361

Shady Rest Care Center




Tabor Angela



111522 S. 4740 Rd. Muldrow, OK 74948





Mitchell Marcinda

Operating Entity

201 N. Elm A Sallisaw, OK 74955

Shady Rest Care Center, L. L. C.

12.5% OP and 25% BGM Estate, LLC

9-16-2016



Mitchell Kelly O.


Beneficiary


Green Reba


Beneficiary






Beneficiary



25% OP




25 % OP Eff 02-20-2014




bene Gilbert F. Green Trust Trustee Philip

M. Green Revocable Tr

Trustee


Green Philip M.


Trustee


Green Gilbert F.


Beneficiary


Stewart Lori Green


Beneficiary


Green Philip R.

Manager end 12/31/2015


210 S. Adair Pryor, OK 74362

Carson Jonathan

37.50% OP eff 9-16-16


,

BGM Estate, LLC

Manager of OP eff7/25/2016


1320 NE. 1st Place Pryor, OK 74362

Cree Robert

NH2604 405-224-13972500 South 12th Street Chickasha, OK 73023-0969

Shanoan Springs Nursing and Rehabilitation Center

34% N&R Chickasha & Health Systems




Vinson John

eff 08/24/2011




eff 08/24/2011 RE mem 49%; OP/Mngr

mem 4%;



Vinson Cathy

eff 08/24/2011



Cambridge Investments, LLC

eff 08/24/2011

Operating Entity

2500 S. 12th Street Chickasha, OK 73018

N&R of Chickasha, LLC





Vinson, Jr John





Trumbo Jay H.



NH7602 580-430-3383730 Share Drive Alva, OK 73717

Share Medical Center

Operating Entity

730 Share Drive Alva, OK 73717

Alva Hospital Authority

Vice-Chairman


722 Logan Alva, OK 73717

Sanderson Darlene

Chairman


1030 Church Alva, OK 73717

Gaisford Jason

Secretary


1029 Center Alva, OK 73717

Simon Halah

NH2301 580-938-2501201 North Alfalfa Shattuck, OK 73858

Shattuck Nursing Center

1% Treas Stock

Operating Entity

201 N. Alfalfa Shattuck, OK 73858

Shattuck Nursing Center, Inc.

99% President



Brown Jim

NH3607 580-765-33642024 Turner Road Ponca City, OK 74604

Shawn Manor Nursing Home

100% OP/RE and Manager eff

12/10/2010



Sullivan, Jr. Frank

100% owner Manager eff 12/10/2010




100% Owner RE eff 12/10/2010



Requip of Ponca, LLC

100% Owner OP eff. 12/10/2010

Operating Entity


Conhold of Ponca, LLC

NH6304 405-273-80431202 West Gilmore Shawnee, OK 74804

Shawnee Care Center






Tabor Angela



111522 S. 4740 Rd. Muldrow, OK 74948





Mitchell Marcinda

12.5% and 25% BGM Estate, LLC eff

9-16-16



Mitchell Kelly O.


Beneficiary


Green Reba


Beneficiary




Beneficiary



25%




25%




Trustee Philip M Green Revocable Trust

Ben-Gilbert F Green Trust

Trustee


Green Philip M.


Trustee


Green Gilbert F.


Beneficiary


Stewart Lori Green


Beneficiary


Green Philip R.

Sole Manager

Manager

1202 W Gilmore Shawnee, OK 74804

Chappell Kathy

37.50% OP eff 9-16-16


,

BGM Estate, LLC


Operating Entity


City of Hugo

Mayor of City of Hugo, Ward 1

6/30/2017



Frazier Darren

Vice Mayor, 2nd Ward 6/30/2017


2015 S. 2nd St. Hugo, OK 74743

McCarty Ernest

City of Hugo Council Member, Ward 4

6/30/2017


2015 S. 2nd St. Hugo, OK 74743

Roxberry Donald

Officers Who Do Not Hold Stock Higginbotham Richard



City of Hugo Council Member, At large

6/30/20172015 S. 2nd St. Hugo, OK 74743

City of Hugo Council Member, Ward 3

6/30/2017


2015 S. 2nd St. Hugo, OK 74743

Ridenour Gaylon

UPL Mgr (name change) 02/28/2018


,

Shawnee Care Center I, L.L.C.

NH6311 405-273-7661535 West Federal Street Shawnee, OK 74804

Shawnee Colonial Estates Nursing Home

34% of N&R Shawnee & Health Systems




Vinson John




eff 10/01/03

Operating Entity

535 W. Federal Shawnee, OK 74804

N & R of Shawnee, L.L.C.



CSE Shawnee, LLC

CEO of CSE/RE


,

Pickett Taylor

COO of CSE/RE


,

Booth Daniel J.

Senior VP of CSE/RE


,

Crabill, Jr R. Lee

100% Owner of CSE Shawnee LLC








Vinson, Jr John





Trumbo Jay H.

NH7225 918-446-42842416 West 51st South Tulsa, OK 74107

Sherwood Manor Nursing Home

25% Member of RE



Montgomery Schuyler

25% Member of RE



Montgomery Bobbie



EFF 9/3/2014



Ponderosa Holdings, LLC

25% Managing Member RE/ 50%

Managing Member OP


101042 South 4450 Rd. Gore, OK 74435

Holland Vernie Mathew

25% Managing Member RE/ 50%

Managing Member OP


101042 South 4450 Rd Gore, OK 74435

Holland Whitney J.

EFF 9/3/2014

Operating Entity


Sherwood Health Services. LLC

NH5507 405-869-07009221 Harmony Drive Midwest City, OK 73130

Sienna Extended Care & Rehab


208 East Fifth Street Gore, OK 74435

Mulberry Properties, L.L.C.

Operating Entity

P.O. Box 638 Gore, Ok 74435

Sienna Extended Care & Rehab, LLC

100% RE/OP



Montgomery Bobbie

NH5705 918-396-2149318 South Cherry Skiatook, OK 74070

Skiatook Nursing Home, LLC

Successor Trustee/Ben-WBTeff 5/24/12

Beneficiary


Watts Fred


Manager




8.4112%RE 8.314%P 9.401287% mgmt



Cheek Barnie J.

OP/MANAGEMENT 8.314% / RE

8.4112%




5.834% OP & Mgmt/5.9190% mgr




Haskins Lloyd

5.192% OP & Mgmt. / 5.2626% RE/




Watts Cleo

RE 5.9746% 5.893OP/ONH,Ltd






RE 14.022%OP/ONH,Ltd- 21.936335%

mgmt



Tubbs Steven

OP/MANAGEMENT 5.376% RE

5.4406%




5.542% OP & Mgr./ 5.6186% RE/




Estep Pat


2.8037%




5.2207%RE 5.135%

OP/MANAGEMENT





2.8037%





2.8037%





Eff 4-25-16





2.8038%




9.61494% Skiatook Nursing Home.LLC

Eff 4-25-16

Operating Entity


Skiatook Nursing Home, LLC






Inc.





Nursing Homes, Inc.



Farmer Sandra

1.28306% OP & Mgmt./ 1.3156%




Wilson James G.


2.1028%



Ferguson Debra M.

5.556% OP & Mgmt./5.5630% RE/

5.657265% i& Treas ONH,Inc.



McGrew Justin


2.8038%



Armstrong Sally

9.401287% Okla. Nursing Homes,Inc.

President







eff 05/24/12

Trustee


Leaverton Carolyn


eff 05/24/12

Trustee


Leaverton Ronald



Beneficiary


Johnson Karen Diane


Beneficiary


Byers Karen


Beneficiary


Rhodes Sharon


Beneficiary


Rhodes Grant


Beneficiary


Miles Sydney


Beneficiary


Cameron Amber

Sucessor Trustee-SCFT EFF 05/24/2012

Beneficiary




Beneficiary


Farmer Cassandra C.


Beneficiary


Farmer Alexandra C.

Registered Agent317 N.W. 12th St. Oklahoma City, OK 73103


NH5539 405-427-13222200 Coltrane Road Oklahoma City, OK 73121

Skyview Nursing Center

100%



Crane Judy M.

eff 6-19-2006

Operating Entity

3714 North Portland Oklahoma City, OK 73112

Skyview Nursing Center, Inc.

100% of the Real Estate eff 3/28/2012


3126 South Boulevard Edmond, OK 73103

R&B Lynch, LLC

25% of R&B Lynch, LLC eff 3/28/2012


3203 North Coltrane Road Oklahoma City, OK 73121

Chambers Phyills



1212 Cedar Pointe Drive Wylie, TX 75098

Lynch Terry





4208 NE 19th Street Oklahoma City, OK 73121

Lynch Irish



3201 North Coltrane Road Oklahoma City, OK 73121

Burden Brenda

Contracted Manager eff 05-05-2019


1100 W. Georgia Jones, OK 73049

Voyage LTC, Inc.


South Park East

33.33%



Buford Stephen

33.33%



Buford Sam

33.34%




Operating Entity



NH5532 405-685-47915725 South Ross Oklahoma City, OK 73119

South Pointe Rehabilitation and Care Center

Contracted admiinstrative management eff

03-2017 end 12-2019




100% South Pointe Realty, LLC & 50%

MGM eff 12-30-2019



Bienstock Judah

100% 10-26 Nationwide Trust, Trustee &

50% MGM



Jeremias Baruch

50% SP Okla Realty & SP Healthcare

Mgt eff 12-30-2019




100% RE



South Pointe Oklahoma Realty, LLC

OP eff 12-30-2019

Operating Entity


SP Healthcare Management, LLC

50% SP Oklahoma Realty, LLC eff

12-30-2019


477 North Lindbergh Blvd 310 St. Louis, OK 63141

South Pointe Realty, LLC



NH1006 580-223-5901832 Isabel Southwest Ardmore, OK 73401

Southbrook Healthcare, Inc.


832 Isabel S W Ardmore, OK 73401

Lu-ken Manor Inc.

Operating Entity

1811 9th Nw Ardmore, OK 83401

Southbrook Healthcare, Inc.





Coble Tom C.

100% OpEnt








Coble Brett





Lodes Jason

NH7227 918-496-39635170 South Vandalia Tulsa, OK 74135

Southern Hills Rehabilitation Center

100% Southern Tulsa TLC & Southern

Hills Rehab Center


6800 N. 79th St 200 Niwot, CO 80503

Global Healthcare REIT Inc.

CJ2016-01781- Healthcare Mgt

Oklahoma eff 05/10/2016 end 12/1/19



Turnaround Professionals C. David Rhoades Court Appointed Receiver

CJ2016-01781

100% RE Eff 10-30-2014



Southern Tulsa TLC, LLC

OP eff 12-01-2019

Operating Entity

5170 South Vandalia Avenue Tulsa, OK 74135

Southern Hills Rehab Center, LLC

Manager of OP and Pres Global

Healthcare REIT

Manager


Rhine Zvi

Interim Chief Executive Officer Global

Healthcare REIT

CEO


Baller Lance

NH5902 918-762-25151401 4th Street Pawnee, OK 74058

Southern Oaks Care Center



Pres 33.33%



Buford Stephen

Sec/Trea. 33.33



Buford Sam

VP 33.34%






Pawnee Living Center, Inc.

Operating Entity



NH0707 580-296-4500101 Sherrard Drive Colbert, OK 74733

Southern Pointe Living Center

25%




6.25% OP



Tabor Angela

6.25% OP


111522 S. 4740 Rd. Muldrow, OK 74948


6.25% OP



Mitchell Marcinda

UPL Mgr. effective 6/30/2017


101 Sherrard Colbert, OK 74733

Colbert Nursing Home, Inc.

6.25% OP



Mitchell Kelly O.


Beneficiary


Green Reba


Beneficiary




Beneficiary



25% OP




25% OP




President/Director Eff. 05-12-2016


,

Mitchell Heather



Director/President - No longer

associated


101 Sherrard Dr. Colbert, OK 74733

Gilbert Paul


Beneficiary


Green Philip M.


Beneficiary


Stewart Lori Green


Beneficiary


Green Philip R.


Operating Entity


City of Hugo

NH4005 918-962-2308401 South Main Spiro, OK 74959

Spiro Nursing Home, Inc.

42.9% Pres&VP Removed Mr. Gary

McClure due to death 8/24/10


401 S. Main Spiro, OK 74959

McClure Rhonda

40% Sec/Treas


5735 Worskey Rd. Charleston, AR 72933

McKean Linda

Operating Entity


Spiro Nursing Home, Inc.

2.10% Director



Wilson Happy

10%


P.O. Box 346 Spiro, Ok 74959

Odom Patsy

5% OP EFF 02/01/2016



McClure Garon & Kerry

NH5529 405-728-78889400 Saint Ann Drive Oklahoma City, OK 73162

St. Anns Skilled Nursing and Therapy

Mgr OP/RE/Amity Care, L.LC, eff 8/1/18

Managing Member


Greiner Don

Eff 8/1/18

Managing Member


Dimond Mike

Eff 8/1/18



Amity Care, L.L.C.

99% OP & 78% Amity Care, LLC, eff

8/1/18




Benef/Trustee



58% SA Real Estate, LLC eff 8/1/18




52% of Renew Prop- Mike Dimond,

Trustee, eff 8/1/18



Stalwart Trust

22%-Amity Care, 100% Clarity Prop &

48% Renew Prop eff 8/1/18




42% SA Real Estate, LLC eff 8/1/18




Eff 8/1/18

Operating Entity


SA Operations, LLC

Eff. 8/1/18



SA Real Estate, LLC

NH2413 580-233-6100305 South 5th Street Enid, OK 73701

St. Marys Regional Medical Center

Operating Entity

367 South Gulph Road King of Prussia, PA 19406

UHS of Oklahoma, Inc.

NH0101 918-696-7715422 West Locust Street Stilwell, OK 74960

Stilwell Nursing Home, LLC

7%Mbr HMLC, LLC




Trustee-MLC Trust eff 04/18/2012 100%

owner SNH, PGV, GAN

Trustee


Chappell Mary Lou

3%Mbr HMLC, LLC EFF 04/15/16




3% Mbr HMLC,LLC




Beneficiary- Chappell 2012 Succession


Beneficiary


Chappell Jeff

Real Estate



CC&G Rentals, LLC

Mrg of RE/OP & HMLC,LLC

Manager


Hastings Tandie

eff 07/01/07

Operating Entity

P.O.Box 1095 Guthrie, OK 73044

Stilwell Nursing Home, LLC



100% Mmbr OP; 33.3% Mmbr RE, eff

04/18/12



HMLC, LLC

Trustee Chappell 2012 Succession Trust;

Mngr OP & HMLC

Trustee



72% member HMLC, LLC 4/15/16 Benef

MLC Trust Eff 6/1/16




Trustee & Beneficiary of Cook Family

Revocable Trust

Trustee

P.O. Box 1418 Ponca City, OK 74602

Cook Dr. William Z.

33%Mbr of RE



Burdge Green Family Ltd. Partnership

15 % mbr HMLC, LLC




Beneficiary- Chappell 2012 Succession


Beneficiary

,

Chappell Jon D.



Beneficiary

,


33.3% Mem RE eff 08-28-2013


P.O. Box 1418 Ponca City, OK 74602

Cook Family Revocable Living Trust

25% Burdge Green Family Ltd

Partnership Eff 6/1/2016



Burdge Green Family Ltd Partnership Counts-Ellis Beverly





Bollenback Barbara Ruth





Morrison Marion DeCell





Green-Elder Catherine

Trustee Cook Family Revocable Trust

Trustee

PO Box 1095 Guthrie, 73044

Cook Norma Lee

NH4101 918-968-2075721 West Olive Stroud, OK 74079

Stroud Health Care Center South

Operating Entity

P.O. Box 680 Stroud, OK 74079

Contemporary Enterprises, Ltd.

President 100% OpEnt and Real Estate


P.O. Box 680 Stroud, OK 74079

Garrett Debbie Jo



VP


P.O. Box 680 Stroud, Ok 74079

Keim Jason

Sec/Treas


P.O.Box 680 Stroud, OK 74079

Keim Vicki

100%


720 S Old Stroud Rd. Stroud, OK 74079

GK Properties Management, L.L.C.

NH0601 580-822-4441119 North 6th Street Okeene, OK 73763

Summers Health Services,LLC

60% RE Autumn Health Care

LLC/60%OP Summers Health Care LLC

Managing Member

2801 Redbird Lane Enid, OK 73703

Miller Michael

EFF 03/31/2014



Autumn Health Care LLC

40%RE Autumn HealthCare,LLC/40%OP

Summers Health Care, LLC


1402 Indian DamRoad Lahoma, OK 73754

Heinen Tyanne

Eff 03/31/2014

Operating Entity

119 North 6th Street Okeene, OK 73763

Summers Health Services LLC

EFF 04/1/2012



Autumn Health Care LLC

NH6307 405-598-2167201 West Walnut Tecumseh, OK 74873

Sunset Estates

OP 7/12/19 - RE & Manager

(Manager/Trustee) eff 06-12-2013



Greiner Don

Manager OP eff 7/12/19 - RE & Manager

eff 06-10-2013



Dimond Mike

eff. 6/12/2013



Amity Care, L.L.C.

99% OP eff. 7/12/19 - 78% Amity Care

eff 06-12-2013




Benef/Trustee

22% Amity Care, 100% Clarity Prop,

48% Renew eff 06-12-2013




100% RE ended June 10, 2013


201 South Rangeline Tecumseh, OK 74873

Sunset Estates of Tecumseh, LLC



58% of RE Company - eff 06-12-2013




42% of RE Company eff 06-12-2013



Renew, LLC


eff 06-12-2013



Stalwart Trust

eff 7/12/2019

Operating Entity


Tecumseh Operations, L.L.C.




Tecumseh Real Estate, LLC

NH4401 405-527-2122915 North 7th Avenue Purcell, OK 73080

Sunset Estates Of Purcell

Operating Entity

915 1015 N 7th Purcell, OK 73080

Sunset Estates Of Purcell, Inc.

100% PresSecTre


Rt. 1 Purcell, OK 73080

Baird Tony


5801 Broadway Ext. 301 Okla. City, OK 73118

Jiles Brothers & Associates, an Oklahoma Ltd Partnership

NH5612 918-650-9393404 South Taft Okmulgee, OK 74447

Taft Place


eff 02-05-08

Operating Entity




Corporation 1-8-08



Welsh Richard


Corporation 1-8-08



Bailey M. Geoffry


Corporation



Pyle William "Bill"


Corporation



Bentley Roy

eff. 8-15-07






100% of RE







Rock River, LLC




MMB, LLC




Lovenest, LLC




Ervin Gary




Ervin Lisa

32.88% of MMB, LLC



Ervin Tim

17.455% of MMB, LLC



Ervin Vicki




Ervin Robert




Ervin Laura


w/13.254% each







Ervin Mallory




Ervin Jade




Ervin Luke




Ervin Gabe


w/9.933% each







Ervin Max




Linenger Jessica




Ervin Mitch




Linenger Jennifer






Ervin Brock


w/8.089% each







Ervin Thea




Ervin Issac




Ervin Samuel




Ervin Elijah

14.286% of 7 Irrevocable Trust



Ervin Saul




Ervin Micah




Ervin Mathias

NH4006 918-567-2279First & Emmert Street Talihina, OK 74571

Talihina Manor

25% BGM Estate, LLC Benef- Delores

O. Mitchell Revocab Trust



Tabor Angela

25% BGM Estate Benef- Delores O.

Mitchell Revocab Trust


111522 S. 4740 Rd. Muldrow, OK 74948


25% BGM Benef- Delores O. Mitchell

Revocab Trust



Mitchell Marcinda

25% BGM Estate Benef- Delores O.

Mitchell Revocab Trust

Beneficiary


Mitchell Kelly O.


Trust

Trustee


Mitchell Delores

20% of GIlbert F. Green Trust

Beneficiary


Green Reba

5% of Gilbert F. Green Trust

Beneficiary



5% of Gilbert F. green Trust

Beneficiary





50%




manager/administrator

Managing Member

First & Emmert Street Talihina, OK 74571

Hibdon Nikki

10% of Gilbert F. Green Trust

Beneficiary


Green Philip M.

55.6% of Gilbert F. Green Trust

Trustee


Green Gilbert F.

25%




25.00% OP eff 9-16-16


,

BGM Estate, LLC


Operating Entity


City of Hugo

Mayor of City of Hugo 6/30/2017



Frazier Darren

UPL Mgr-(name change) 2/26/2018


,

Talihina Manor I, LLC

NH1702 580-825-6336100 West Green Avenue Temple, OK 73568

Temple Manor Nursing Home

Indirect Owner 25% RE/OP




Indirect Owner 25% RE/OP



Dole Isaac

contracted management since 09/01/2015




Indirect owner 54.46% RE/OP & Indirect

80% Mgt



Payne Ronald

Indirect Owner 7.13% RE/OP & Direct

Owner 20% Mgt



Brashier Craig

RE 12/1/2015



Temple LTC Land, LLC

direct owner 75% RE/OP




Indirect owner 75% RE/OP



Southwest LTC, LTD




Owner 80% Mgt



Ronald R. Payne, P.C.

Indirect Owner 8.99% RE/OP




Direct Owner 25% RE/OP


1633 N. Campbell ave Chicago, IL 60647

BHCP OK 3 Sponsor, LLC

EFF 12/1/2015

Operating Entity

,

Southwest LTC-Temple, LLC

NH7253 918-742-73157707 South Memorial Drive Tulsa, OK 74133

The Cottage Extended Care

100% Cox Retirement Prop.Inc.



Cox Steve

OP

Operating Entity


Cox Retirement Properties, Inc.

NH1906 918-224-06001165 South Brenner Road Sapulpa, OK 74066

The Gardens

Pres 33.33%



Buford Stephen

S/tres 33.33%



Buford Sam

V/pres 33.34%







Operating Entity



NH6308 405-273-710638801 Hardesty Road Shawnee, OK 74801

The Golden Rule Home

51% OP/RE, managing member eff

09/01/11


PO Box 1831 Ocean Springs, MS 39566

fax 601-510-9727 Daves, Jr. William E. (Billy)



49% OP/RE, managing member eff

09/01/11


PO Box 17888 Hattiesburg Hattiesburg, MS 39404

Johnson Christopher W.

Thru 09/01/11

Operating Entity

129 W. 1st Street B Edmond, OK 73003

Golden Rule Senior Properties, LLC

100% GRSP, LLC. RE eff 09/01/11,


129 W. 1st Street B Edmond, OK 73003

Shawnee Asset Management, LLC

NH5518 405-789-72427000 Northwest 32nd Street Bethany, OK 73008

The Grand at Bethany Skilled Nursing and Therapy


OP/RE/Manager



Greiner Don



Bethlinwood, L. L. C.



Amity Care, L.L.C.


10-21-03




Benef/Trustee


Beneficiary/Trustee of Don Greiner Tr




Secretary



Diamond Mike

Operating Entity


Putnam City Convalescent Center, L.L.C.

NH7259 918-928-480010098 N. 123rd E. Ave. Owasso, OK 74055

The Highlands at Owasso

100% OP President



Cox Steve

Operating Entity

3501 West Washington Street Broken Arrow, OK 74012

Golf Course Property, Inc.

NH0705 580-924-04961223 West Baltimore Durant, OK 74701

The Kings Daughters & Sons Nursing Home



President


947 N. 10th Durant, OK 74701

Haynie Lena

Treasurer


P.O. Box 831 Durant, OK 74701

Intolubbe Velman

Secretary


118 N. 11th Durant, OK 74701

Mason Minnah Leah

Chairman


1945 W. Elm Durant, OK 74701

Swearengin Rector

Member


2302 W. Wilson Durant, OK 74701

Morton Bill

Member


508 W. Main Durant, OK 74701

Haynie Dr. W. K.

100% / Pres.


Rt 1, Box 140-5 Durant, OK 73449

K.D.&S. Homes, Inc. Seay Gregory w.

100%

Operating Entity

1223 Baltimore Durant, OK 74701

K.D.&S. Homes, Inc.


1026 Radio Road Durant, OK 74701

Greg Seay Enterprises, LLC

NH5519 405-773-89005701 West Britton Road Oklahoma City, OK 73132

The Lakes

Pres 33.33%



Buford Stephen

S/tres 33.33%



Buford Sam

V/pres 33.34%







Operating Entity



NH2401 580-234-14111409 North 17th Street Enid, OK 73701

The Living Center

100% OP & RE eff 07/28/2011

Operating Entity


Living Center, LLC



100% of Living Center, LLC



Brogdon Connie

Mngr of Living Center, LLC eff 07/28/11

100% Marsh Pointe Mngmt



Brogdon Christopher

Eff 03/01/2014




NH5513 405-251-28475301 North Brookline Oklahoma City, OK 73112

The Lodge at Brookline

100% owner of OP/RE



Diakonos Group, LLC

99% owner of Diakonos Group



Pilgrim Scott

1% owner of Diakonos Group




EFF Oct 1 2015


,

Brookline Holding, LLC

EFF Oct 1 2015

Operating Entity

,

Brookline Operations, LLC


The Loosen Center

Operating Entity





12111 NE 164th Street Jones, OK 73049

Pierce John

Treasurer EFF 07/30/2012



Krittenbrink Jerry

President EFF. 7-1-2013



Cooper Steve

Vice President EFF 7/1/2013


2113 NW 59th Place okc, OK 73112

Dolin Robert (Bob)

Executive Director Eff 2-1-2012



Espinosa Debbie



NH5553 405-348-6682330 West Danforth Edmond, OK 73003

The Nova Centre

Treasurer eff 07/28/11

Secretary/Treasurer

7501 N. Classen Oklahoma City, OK 73116

Musgrave Chuck

Operating Entity

330 West Danforth Edmond, OK 73034

Edmond Association Of Retarded Citizens, Inc.

Vice Pres


PO BOX 925 PROSPER, TX 75708

BAILEY CLARENCE

Pres 07/1/2012


2600 SOMERSET OKC, OK 73116

Cooper Catherine


1104 CHESTNUT LANE EDMOND, OK 73034

DREW JR. GEORGE M.

Secretary


713 NW 19th OKC, OK 73103

Holloway Kenny

NH4009 918-647-82361501 Clayton Avenue Poteau, OK 74953

The Oaks Healthcare Center

50% of OP Mmbr/Mngr



Young Jeffrey

50% of OP Mmbr/Mngr


46487 E. 1040 Rd. Sallisaw, OK 74955


OP/REeff 4-15-02 END 12/1/2017 -RE

ONLY EFF 12/1/2017


217 East 9th Avenue Stillwater, OK 74074

Poteau Nursing Center, L.L.C.

COO of OP eff.07-01-09



Harper Pamela G.

CEO of OP eff. 07-01-09



Lietzke Mark

OP EFF. 12/1/2017

Operating Entity

9717 East 42nd St. 135 Tulsa, OK 74146

The Oaks Healthcare Center-Poteau, LLC

NH6301 405-275-90041610 North Bryan Avenue Shawnee, OK 74804

The Regency Skilled Nursing and Therapy

Manager eff 06-10-2013




Officers Who Do Not Hold Stock Greiner Don



OP, RE & Manager (Manager/Trustee)

eff 06-12-20134350 Will Rogers Parkway 300 Oklahoma City, OK 73108

Manager of OP, RE & Manager eff

06-12-2013



Dimond Mike

99% of OP, 78% Amity Care eff

06-12-2013




Benef/Trustee

100% of Clarity Prop & 48% of Renew

eff 06-12-2013




OP Eff 06-12-2013

Operating Entity


Opshaw, LLC

100% RE


4350 Will Rogers PKWY 300 Oklahoma City, OK 73018

Reshaw, LLC

58% of RE Company - eff 06-12-2013




42% of RE Company eff 06-12-2013



Renew, LLC


eff 06-12-2013



Stalwart Trust

NH5106 918-683-29145800 West Okmulgee Muskogee, OK 74401

The Springs Skilled Nursing and Therapy


OP/RE/Manager



Greiner Don



Azaleabrook, L. L. C.



Amity Care, L.L.C.


10-21-03




Benef/Trustee


eff.10-21-03




Secretary



Diamond Mike

Operating Entity


Azalea Park Manor, L.L.C.



NH5536 405-341-14332520 South Rankin Edmond, OK 73013

The Timbers Skilled Nursing and Therapy


OP/RE/Manager



Greiner Don



Timwest, L. L. C.



Amity Care, L.L.C.


10-21-03




Benef/Trustee


eff.10-21-03




Secretary



Diamond Mike



4350 Will Rogers Parkway 300 Oklahoma, OK 73108

Timberlane Manor, L.L.C.


Operating Entity



NH5541 405-478-0531505 East Wilshire Blvd Oklahoma City, OK 73105

The Wilshire Skilled Nursing and Therapy




Greiner Don




Dimond Mike



Amity Care, L.L.C.


10-21-03




Benef/Trustee


eff.10-21-03




Eff 7/1/19

Operating Entity


Wilshire Nursing Home, L.L.C.

58% RE, eff 07/01/19




42% RE, eff 07/01/19







4350 Will Rogers Parkway 300 OKlahoma City, OK 73108

Rewilshire, LLC

NH5548 405-454-140018501 Northeast 63rd Street Harrah, OK 73045

The Wolfe Living Center at Summit Ridge


4735 NW 63rd Harrah, OK 73132

Summit Ridge Retirement Center

Operating Entity


Wolfe Living Center Association

Chairman of Wolfe Living Center

Association eff 09/23/2017



Shires James

Secretary-Treasurer Wolfe Living Center

Assoication eff 09/22/17



Driver Roger

Vice Chairman Wolfe Living Center

Association eff 09/22/2017



Park Jung-Wook

NH5408 918/650-9393125 East 3rd Street Weleetka, OK 74880

Third (3rd) Place


eff 02-05-08

Operating Entity




Corporation 1-8-08



Welsh Richard


Corporation 1-8-08



Bailey M. Geoffry


Corporation



Pyle William "Bill"


Corporation



Bentley Roy

eff. 8-15-07




100% of RE







Rock River, LLC






MMB, LLC




Lovenest, LLC




Ervin Gary




Ervin Lisa

32.88% of MMB, LLC



Ervin Tim

17.455% of MMB, LLC



Ervin Vicki




Ervin Robert




Ervin Laura


w/13.254% each







Ervin Mallory




Ervin Jade




Ervin Luke




Ervin Gabe


w/9.933% each







Ervin Max




Linenger Jessica




Ervin Mitch




Linenger Jennifer




Ervin Brock


w/8.089% each









Ervin Thea




Ervin Issac




Ervin Samuel




Ervin Elijah




Ervin Saul




Ervin Micah




Ervin Mathias

Authority to Sign Application eff

11/1/20191201 W. Trudgeon Henryetta, OK 74437

Ogle Gloria

NH3903 918-465-5020900 West Ranchwood Drive Wilburton, OK 74578

Tidwell Living Center

OP eff 12/15/2013 - (Manager

10/01/13-12-15-13)

Operating Entity

225 W. Main Wilburton, OK 74578

Tidwell HealthCare, LLC



225 West Main Wilburton, OK 74578

ICP HealthCare, LLC

50% IPC Healthcare & Tidwell

Healthcare eff 09/30/2013


900 Ranchwood Dr Wilburton, OK 74578

Tidwell Melissa

50% of IPC Healthcare & Tidwell

Healthcare eff 09/30/2013



Tidwell Darren

NH2202 580-995-4216619 Speck Vici, OK 73859

Town Of Vici Nursing Home

Operating Entity

619 Speck Vici, OK 73859

Town Of Vici

Town of Vici Broad Member - eff

06-2-2017

Officer

Vici, OK 73859

Butler Kim



Town of Vici - Mayor eff 06-22-2017

Officer

,

Worsencroft Joseph Bradley

Town of Vici Broad Member eff

06-22-2017

Officer


Peeks Douglas


06-22-2017

Officer


Campbell Nick


06-22-2017

Officer


Poulson Jason


Tulsa Nursing Center

45.806% of WR Invest,LP, 100% WR GP

eff 02/10/2014



Taylor John F.


02/10/2014




10.7090% of WR Investment, LP eff

02/10/2014



Fisher James (Jim)

10.0650% WR Investment, LP eff

02-2014- Authorized Officer



Pierce Paula

0.1% general partner in Lake Creek

Captial Partners, LP







1500 WatersRidge Lewisville, TX 75057

Taylor John Paul & Casey




1500 Waters Ridge Lewisville, TX 75057

Campbell Scott & Syndney



TNC Realty, LLC

Subcontracted Managment EFF

6/30/2017







TNC Operations, LLC

3.0970% of WR Investment, LP, Lake

Creek 20% eff 12-2013



Taylor John P.

100% of TNC Operations, LLC eff

02/10/2014







& SW Post Acute Prop 02/2013



WR Investments, LP


eff 02/10/2014





eff 12-2013



Campbell Scott

100% of TNC Realty, LLC



SW Post Acute Properties, LLC (SW PAP)

100% of Stonegate Senior Living, LLC

02/10/2014




Mayor/Chairman eff 8/2/2019



Rushing Jocelyn

Councilman/Trustee eff 5/14/2019



Grimmett Patrick

V Mayor & V Chairman eff 5/14/2019





Operating Entity



Councilwoman/Trustee eff 5/14/2019



Meisel Veronica

NH5542 405-286-08352333 Tuscany Blvd Oklahoma City, OK 73120

Tuscany Village Nursing Center

60% Southwest Healthcare Management,

Inc.


9813 S. Penn OKC, OK 73159

McCormick Denver


9813 S. Penn Okla. City, OK 73159

Southwest Health Care Management, Inc.

40% Southwest Healthcare Management,

Inc.



Dunbar Arlena

25% OP eff. 12-20-06 Denver

McCormick, Beneficiary & Trustee




25% OP eff. 12-20-06 Linda McCormick,

Trustee & Beneficiary




25% OP eff. 12-20-06 Arlena Dunbar,

Trustee & Beneficiary


5413 N.W. 107th Okla. City, OK 73162


Stockholders/partners -- Not Officers Donald Nevard, Revocable Trust



25% OP eff. 12-20-06 Donald Nevard,

Beneficiary & Trustee5 S.W. 9th Okla. City, OK


Trust

Trustee


Nevard Debra

Donald Nevard Revocable Trust

Trustee


Nevard Lisa

Donald Nevard Revocable Trust

Trustee


Nevard Michael



Trustee


Pennington Amy



Beneficiary


Petrone Alison



Beneficiary


Jones Joshua

Linda McCormick Revocable

Trust/Denver McCormick Revocable

Trust

Beneficiary


Jones Tanner

Benficiary - Arlena Dunbar Revocable

Trust

Trustee


Dunbar William


Trustee

3913 Spyglass Rd. Okla. City, OK 73162

Nard Charlotte


Trustee


Dunbar Teresa


5/14/19



Rushing Jocelyn


Member


Grimmett Patrick


Member


Parrish Michael


Valley, eff 5/14/19





Operating Entity



UPL Manager, eff 6/30/17

Manager

1500 Waters Ridge Dr. Lewisville, TX 75057

Tuscany SNF OPCO, LLC

NH2601 405-381-3363104 Southeast 4th Street Tuttle, OK 73089

Tuttle Care Center



Direct Owner 25% OP/RE




Indirect Owner 25% OP/RE



Dole Isaac

managment 09/01/2015




Indirect Owner 54.46% RE/OP,Indirect

Owner MGT80%



Payne Ronald


Owner 20% Mgt



Brashier Craig

direct Owner 75% OP/RE







Southwest LTC, LTD

Direct Owner 80% MGT/Indirect Owner

54.46% RE/OP




Indirect Owner 8.99% OP/RE








RE EFF 12/01/2015



Tuttle LTC Land, LLC

OP EFF 12/1/2015

Operating Entity


Southwest LTC-Tuttle, LLC

NH7706 918-650-93931635 East 2nd Street Okmulgee, OK 74447

University Place


eff 02-05-08

Operating Entity




Corporation 1-8-08



Welsh Richard


Corporation 1-8-08



Bailey M. Geoffry


Corporation



Pyle William "Bill"


Corporation



Bentley Roy



eff. 8-15-07




100% of RE







Rock River, LLC




MMB, LLC




Lovenest, LLC




Ervin Gary




Ervin Lisa

32.88% of MMB, LLC



Ervin Tim

17.455% of MMB, LLC



Ervin Vicki




Ervin Robert




Ervin Laura


w/13.254% each







Ervin Mallory




Ervin Jade




Ervin Luke




Ervin Gabe


w/9.933% each







Ervin Max




Linenger Jessica




Ervin Mitch






Linenger Jennifer




Ervin Brock


w/8.089% each







Ervin Thea




Ervin Issac




Ervin Samuel




Ervin Elijah




Ervin Saul




Ervin Micah




Ervin Mathias

Authorized Agent of the Reach

Corporation, eff 11/1/2019


1201 W. Trudgeon Henryetta, OK 74437

Ogle Gloria

NH7231 918-299-26618555 South Lewis Avenue Tulsa, OK 74137

University Village Retirement Community

RE 38%/OP 385/ Managmnt 51% start

0729/2011

Managing Member

2021 S. Lewis Ave. 300 Tulsa, OK 74104

Fail Blake N.

RE 38%/OP 38%/ Managmnt 49% start

0729/2011

Managing Member

2021 S. Lewis Ave. 300 Tulsa, OK 74104

Gawey Matthew R.

RE 23%/OP 24% start 07/29/2011


8555 S. Lewis Ave Tulsa, OK 74137

Roberts Keith A.

start 07/29/2011

Operating Entity


University Village Retirement Community, LLC

start 07/29/2011



Triad Aspen Partners, LLC



NH6804 918-773-5258305 North Thornton Vian, OK 74962

Vian Nursing & Rehab

50% RE/OP

Managing Member


Montgomery Schuyler

50% RE/OP

Managing Member


Montgomery Bobbie

Operating Entity


Vian Nursing & Rehab, LLC



Vian Health Services, LLC

NH7228 918-251-26261709 South Main Broken Arrow, OK 74012

Village Health Care Center

100% RE/OP



Ross LaDonna

100% RE/OP



Ross LaDonna

Sec/tres


124 S. Elm Broken Arrow, OK 74012

Owen Jacquelyn D.

Operating Entity

1709 S. Main Broken Arrow, OK 74012

The Village Health Care Center, Inc.

LaDonna Ross Managing Member 100%


124 South Elm Place Broken Arrow, OK 74012

The Village Care Center, LLC

NH7302 918-378-2562205 North Lincoln Avenue Wagoner, OK 74467

Wagoner Health & Rehab

50% Managing Member of Wagoner Care

Center,LLC


P.O. Box 1009 Gore, OK 74435

Montgomery John B.


P. O. Box 547 Sallisaw, OK 74955

S.M.K. of Oklahoma, Inc.

100% sole stockholder


P.O. Box 726 Stigler, OK 74462

Wagoner Care Center, L.L.C.

Pres of S.M.K of OK,Inc, 50%

WCC,LLC, 100% MM OP Eff 10-1-15



Montgomery Bradford



EFF 10-1-2015

Operating Entity

,

Wagoner Health & Rehab, LLC

EFF 4-3-2019



Wagoner Management, LLC

Managing Member to Mgt. EFF 4-3-2019

Managing Member


Smith Layne

Managing Member to Mgt. EFF 4-3-2019

Managing Member


Smith Brooke

NH6110 918-423-73731001 South George Nigh Expressway McAlester, OK

74502

Walnut Grove Living Center

60% BHCP GP JV 2015, LLC, 7/1/16








Dole Isaac

Manager 7/1/16

Manager

415 US Hwy377 S 200 Argyle, TX 76226





OK4 SNF HoldCo, LLC














5/8/18






Manager


OK4 Manager, LLC


7/1/16


415 US Hwy 377 S 200 Argyle, TX 76226

SBS of OK, LLC




415 US Hwy 377 S 200 Argyle, TX 76226

Bates Josh




415 US Hwy 377 S 200 Argyle, TX 76226

Shelton Chana




415 US Hwy 377 S 200 Argyle, TX 76226

Sims Debra



RE Eff,7/1/16



OK4 McAlester RealCo, LLC

OP,Eff 7/1/16 & Sublessee eff,5/8/18

Operating Entity


OK4 McAlester OpCo, LLC

NH5515 405-721-54446501 North MacArthur Oklahoma City, OK 73132

Warr Acres Nursing Center

96% of OHI Healthcare Prop EFF 2/1/19




100% Aviv Finance II, LLC EFF 2/1/19


,


100% OP EFF 2/1/19



LEP Holdings, LLC

99% of LEP Holdings, LLC/100% LEP

Senior Prop EFF 2/1/19



Pilgrim Lee E.

1% of LEP Holdings,LLC EFF 2/1/19




EFF 06/01/2013


303 West Madison St. 2400 Chicago, IL 60606

Oklahoma Warr Wind, L.L.C. (OWW)

100% of RE EFF 2/1/19


,

Aviv Financiing II, LLC

100% of Aviv Healthcare Prop EFF

2/1/19


,

OHI Healthcare Properties Limited Partnership

EFF 2/1/19

Operating Entity


Warr Acres Operating LLC

NH2501 405-238-5528105 Washington Pauls Valley, OK 73075-5039

Washita Valley Living Center

eff 12-20-01

Operating Entity


Washita Valley Living Center, Inc.

Pres100%OpEnt/50% Member RE



Justice Jack

50% RE Managing Member



Justice Julie

Effective 12/28/2007



WVLC Properties, LLC



NH3403 580-228-23631100 North Ash Street Waurika, OK 73573

Westbrook Healthcare, Inc.





Coble Tom C.

1%

Operating Entity

1100 N. Ash Waurika, OK 73573

Westbrook Healthcare, Inc.

100% of OP




RE EFF 10/27/2014


16203 Chasemore Spring, TX 77379

Covenant Care Centers, LLC

100% Owner of RE EFF 10/27/2014


16203 Chasemore Springs, TX 77379

Sanborn Ron





Coble Brett





Lodes Jason

NH6006 405-743-11401215 South Western Stillwater, OK 74074

Westhaven Nursing Home

34% N&RWesthaven & Health Systems




Vinson John




eff 10-01-02

Operating Entity

1215 S. Western Stillwater, OK 74074

N & R of Westhaven, L.L.C.



CSE Stillwater LLC

CEO of CSE/RE


,

Pickett Taylor

COO of CSE/RE


,

Booth Daniel J.

Senior VP of CSE/RE


,

Crabill, Jr R. Lee

100% Owner of CSE Stillwater LLC






33% N&R Westhaven & Health Systems




Vinson, Jr John

33% N&R of Westhaven & Health

Systems of Oklahoma eff 01/01/2017



Trumbo Jay H.

NH4206 405-282-02051900 West Harrison Guthrie, OK 73044

Westview Cottages

100% OP/RE



Diakonos Group, LLC




Pilgrim Scott





EFF 09/01/2015


P.O. BOX 990 Edmond, OK 73083

Westview Holding, LLC

EFF 09/01/2015

Operating Entity


Westview Cottages, LLC

NH6705 405-257-33931400 West First Street Wewoka, OK 74884

Wewoka Healthcare Center

100% of BK Strategies, BK Strategies

Real Estate, LLC & MGR



Reed Bart

100% Wewoka Healthcare Center



BK Strategies, LLC

100% Wewoka Real Estate, LLC




OP eff 7/12/2019

Operating Entity


Wewoka Healthcare Center, LLC

eff 10/11/2011



Wewoka Real Estate, LLC

NH1002 580-223-4803111 13th Avenue Northwest Ardmore, OK 73401

Whispering Oaks



100%



Porter Gary L.

Operating Entity

PO Box 128 Ardmore, OK 73402-0128

Premier Health Care, L.L.C.


PO Box 128 Ardmore, OK 73402-0128

LTC Management Co.

NH5501 405-427-54141913 Northeast 50th Street Oklahoma City, OK 73111

Wildewood Skilled Nursing and Therapy


OP/RE/Manager



Greiner Don

40% RE



Captains Properties, L.L.C.

60% RE



Straight Path, L.L.C.

UPL Manager eff 6/30/2017



Sooner Geriatrics, L.L.C.

Secretary, ended 6/29/17; Manager-UPL

eff 6/30/17

Managing Member


Dimond Mike



Amity Care, L.L.C.


10-21-03




Benef/Trustee


eff.10-21-03





2200 NW 50th Street 126 Okla. City, OK 73112

33 Real Estate, L.L.C.

Chairman/Mayor, City of Pauls Valley, eff

6/30/17



Alfred Gary

V-Chair/V-Mayor City of Pauls Valley,

eff 6/30/17



Rushing Jocelyn


Member


Grimmett Patrick


Member


Parrish Michael


Member






Operating Entity




Wildwood Care Center, Inc.

15.374%VP


66 Cedar Ridge Road Broken Arrow, OK 74011

Thomas Jack

16.135% each OP/RE



Anderson Robert L.

Pres/C.E.O. 26% each OP/RE



Rucker Ed

15.116% Sec each OP/RE



Perryman Robert G.

5.433% each OP/RE



Dunitz Scott E.

3.396% each OP/RE



Bischoff James

3.396% Treasurer each OP/RE


2452 South Peoria Tulsa, OK 74124

Garrett Robert

13.429% each OP/RE




9.395% each OP/RE




OP Ent eff 10/4/06

Operating Entity


Wildwood Management Company, L.L.C.


Revocable Trust

Beneficiary


Gary Richard


Revocable Trust

Beneficiary


Miles Deanna


Revocable Trust

Beneficiary


Hughes Jenny


Revocable Trust

Beneficiary


Rucker Edward


Beneficiary

,

Lewis Corinne H.


Beneficiary

,

Lorenz Sarah Lee




Beneficiary

,

Lewis, III C. S.


Beneficiary

,

Kast Carol D.


Beneficiary


Thomas Betty J.


Beneficiary


Meek Mary Jean


Beneficiary


Thomas Randall E.


Beneficiary



4.157%


5727 S. Lewis Tulsa, OK 74105

Genevieve K. Gary, Trust Bank of Oklahoma, Trustee

.998000% Secretary, C.O.O.


1815 E. Skelly Dr. Tulsa, OK 74105

Pope Robert

NH6905 580-252-39551205 South 4th Street Duncan, OK 73533

Wilkins Health and Rehabilitation Community

President 75%, eff. 10-1-13


2400 W. Camelback Duncan, OK 73553

Wilkins Tony

Sec/Treas


4845 Odom Duncan, OK 73553

Wilkins Melanie

5%


3612 Rolling Lane Midwest City, OK 73110

Allen David

Operating Entity

1205 South 4th Street Duncan, OK 73533

Duncan Health Care, Inc.

20% eff. 11-1-91



Brown Jim

NH4201 405-282-16862300 West Noble Guthrie, OK 73044

Willow Creek Health Care

100% of OP


2300 W. Noble Guthrie, OK 73044

Coles Nursing Home, L.L.C.

8% Mbr HMLC, LLC






Trustee-Mary Lou Chappell Trust; Mbr

HMLC, LLC eff 04/18/2012



Chappell Mary Lou

2% Mbr HMLC, LLC




4% Mbr HMLC, LLC






Bradford Square Properties, L.L.C. Bradford Square Properties, LLC

Manager of RE/OP EFF 05-20-2014 &

Ben Chappell Succession Trust



Chappell Jeff

President of GAN,PGV,SNH; Mrg of

HMLC,LLC



Hastings Tandie

eff. 01-01-2010

Operating Entity

PO Box 1095 Guthrie, Ok 73044

Willow Creek Health Care, L.L.C.

100% Coles NH LLC (OP) & RE, eff

04/18/12



HMLC, LLC

Mrg of HMCL, LLC, Trustee Chappell

2012 Succession Trust & Ben.








10% Mbr HMLC, LLC 100% SNH,

PGVNH & GANH




Chappel Succession Trust dated 1/3/2012

Beneficiary

,

Chappell Jon D.

Chappell Succession Trust dated 1/3/2012

Beneficiary

,


NH3602 580-628-25291301 North 5th Street Tonkawa, OK 74653

Willow Haven


805 Avenue L Brooklyn, NY 11230

1340 East 9th Street Realty Corp.

50% owner in RE



Pinter Fagie

50% owner in RE



Pinter Samuel

eff 07/15/2009

Operating Entity

8627 S. 90th Street Tulsa, OK 74133

Ila Seaton, LLC, as Receiver, CJ-06-201 Sequoyah County



100% Managing Member of Illa Seaton,

LLC


8627 S. 90th Street Tulsa, OK 74133

Seaton Illa

NH1607 580-536-12797019 Northwest Cache Road Lawton, OK 73505

Willow Park Health Care Center








Dole Isaac

managment 09/01/2015




Indirect Owner 54.46% RE/OP,Indirect

Owner MGT80%



Payne Ronald

Direct Owner 20% MGT, Indirect Owner

7.13% OP/RE



Brashier Craig

Direct owner 75% OP/RE







Southwest LTC, LTD

Direct Owner 80% MGT/Indirect Owner

54.46% RE/OP




Indirect Owner 8.99% OP/RE








RE EFF 12/1/2015



Lawton LTC Land, LLC

OP EFF 12/1/2015

Operating Entity


Southwest LTC- Lawton, LLC

NH3203 405-452-3271620 South Alabama Wetumka, OK 74883

Willow Place


Trustee


Adkins Gerrol Dean


Trustee


Adkins Arbret June






Beneficiary eff.12/31/12

Beneficiary


Majors Cynthia

Beneficiary eff.12/31/12

Beneficiary


Simmons Donna Renee

52% RE and 100% manag. member of

Business Trust




100% OP manag. member

Managing Member


Willow Place Revocable Business Trust

eff. 1-1-07

Operating Entity


Willow Place Living Center, LLC

16% RE eff 12/31/12




16% RE eff 12/31/12




16% RE eff 12/31/12





Trustee



NH1007 580-668-2337867 US Highway 70A Wilson, OK 73463

Wilson Nursing Center

50%Pres


203 Thomas Healdton, OK 73438

McNeill Glyn

50%SecTreas


203 Thomas Healdton, OK 73438

McNeill Ruth Ann

eff 4/20/04

Operating Entity

8 N.W. 8th Street Healdton, OK 73438

Court Appointed Receiver, Tom McNeill/Equity Funding, LLC


PO Box 856 Healdton, OK 73438

Tricare, LLC

NH5804 918-540-23002530 North Elm Street Miami, OK 74354

Windridge Nursing and Rehabilitation Center

10.89800%






8.314% OP & Mgr./ 8.4112% RE/




Cheek Barnie J.

8.314% OP & ONH,Ltd./8.4112% RE




5.834% OP&ONH,Ltd/5.9190% mgr

RE/6.597394% & Sec ONH,Inc.



Haskins Lloyd

5.192%OP&ONH,Ltd/5.2626%RE/12.53

5047%ONH,Inc/TrusteeWBT



Watts Cleo

5.893% OP & ONH,Ltd / 5.9746% RE




14.022%OP&ONH,Ltd/14.2078%RE/21.

936335% & VP ONH,Inc



Tubbs Steven

5.376% OP & ONH,Ltd / 5.4406% RE




5.542% OP&ONH,Ltd/ 5.6186% RE/

6.267525% ONH,Inc



Estep Pat

2.771% OP & Mgmt. / 2.8037% RE




5.135% OP & ONH,Ltd/ RE 5.2207%




2.771% OP & ONH,Ltd/ 2.8037% RE




2.771% OP & Mgmt. / 2.8037% RE




11.0454%RE




2.771% Mgmt. / 2.8038% RE




1.219% OP / Manager 9.401287% Mgmt.




9.401287% ONH Inc.&2.771% ONH,Ltd




2.079% OP & ONH,Ltd / 2.1028% RE



Ferguson Debra M.

5.556%

OP&ONH,Ltd/5.5630%RE/5.657265%&

Treas ONH,Inc



McGrew Justin

2.771% OP & ONH,Ltd/ 2.8038% RE



Armstrong Sally



RE 0.70095% & 0.69275% OP & Mgmt




RE 0.70095% & 0.69275% OP & Mgmt

Ben. MMMVT




(MMMVT)

0.69275%OP&ONHLtd/.70095%RE




0.69275%OP&ONHLtd/.70095%RE




0.69275% OP&OHNLtd/.70095% RE




EFF 3-1-2019

Operating Entity


Miami Healthcare, LLC

NH5516 405-942-85662416 North Ann Arbor Oklahoma City, OK 73127

Windsor Hills Nursing Center

96% of OHI Healthcare Prop EFF 2/1/19




100% Aviv Finance II, LLC EFF 2/1/19


,


100% OP EFF 2/1/19



LEP Holdings, LLC

99% of LEP Holdings, LLC/100% LEP

Senior Prop EFF 2/1/19



Pilgrim Lee E.

1% of LEP Holdings,LLC EFF 2/1/19




EFF 06/01/2013


303 West Madison St. 2400 Chicago, IL 60606

Oklahoma Warr Wind, L.L.C. (OWW)

100% of RE EFF 2/1/19


,

Aviv Financiing II, LLC

100% of Aviv Healthcare Prop EFF

2/1/19


,

OHI Healthcare Properties Limited Partnership

EFF 2/1/19

Operating Entity


Windsor Hills Operating LLC

NH7232 918-252-25215707 South Memorial Tulsa, OK 74145

Woodland Park Home, Inc.



Trustee of Jack Thomas Trust & VP of

Woodland Park Management Co

Officer

66 Cedar Ridge Road Broken Arrow, OK 74011

Thomas Jack

9.818%


2300 Riverside Dr. 8F Tulsa, OK 74114

C.S. Lewis Living Trust, Bank of Oklahoma

Pres/C.E.O. Woodland Park Management

Co.



Rucker Ed

Sec 14.289% each OP/RE



Perryman Robert G.

3.755% each OP/RE



Dunitz Scott E.

2.261% each OP/RE



Bischoff James

Treasurer 2.261% each OP/RE


2452 South Peoria Tulsa, OK 74124

Garrett Robert

9.387% each OP/RE


6733 South Gary Tulsa, OK 74136

Alexander Marjorie

9.817% Woodland Park Management Co

eff 11-18-2016




9.817% each OP/RE




Op Ent /RE eff 07/1/2014

Operating Entity

5707 South Memorial Drive Tulsa, OK 74145

Woodland Park Management Company, L.L.C.


Revocable Trust

Beneficiary


Gary Richard


Revocable Trust



Miles Deanna


Revocable Trust

Beneficiary


Hughes Jenny


Revocable Trust

Beneficiary


Rucker Edward


Beneficiary

,

Lewis Corinne H.


Beneficiary

,

Lorenz Sarah Lee


Beneficiary

,

Lewis, III C. S.


Beneficiary

,

Kast Carol D.




Beneficiary


Thomas Betty J.


Beneficiary


Meek Mary Jean


Beneficiary


Thomas Randall E.


Beneficiary



Ceylon S.Lewis, Jr. Trust A, eff. 10/4/06

Trustee

PO Box 23000 Tulsa, OK 74192

Bank of Oklahoma, N.A.

1% & Secretary/COO Woodland Park

Management Co


1815 E. Skelly Dr. Tulsa, OK 74105

Pope Robert

35.798% Woodland Park Management

Co, LLC


1815 East Skellly Drive Tulsa, OK 74105

ED & Kim Rucker Trust 06/30/2014

8.982% Woodland Park Management Co,

LLC


16221 Wynncrest Ridge Court Wildwood, MO 63005

Jenny A. Hughes Rev. Trust

Beneficiary of ED and Kim Rucker Trust

Beneficiary


Rucker Benjamin

Beneficiary of Ed & Kim Rucker Trust

Beneficiary


Rucker Sarah

Beneficiary Jenny A. Hughes Rev. Trust

Beneficiary


Reichardt Diane

Beneficiary Jenny A. Hughes Rev. Trust

Beneficiary


Rainey Kathleen

NH1008 580-226-54541630 3rd Avenue Northeast Ardmore, OK 73401

Woodview Home, Inc.

Operating Entity

1630 3rd N.E. Ardmore, OK 73401

Woodview Home, Inc.





Coble Tom C.

100% OpEnt








Coble Brett





Lodes Jason



NH5112 918-682-6724500 South York Muskogee, OK 74403

York Manor Nursing Home

100% UPL Manager EFF 11-30-2017


1305 Southeast Adams Street Idabel, OK 74745


Secretary Board of Directors eff 11-5-14


2202 Sunset Ridge Muskogee, OK 74403

Black Vletta (Kathy)

VP Board of Directors


1302 S. Lynn Lane Idabel, OK 74745

Salyer Dr. Thomas W.

Director, Board of Directors


810 W. Adams Street Broken Arrow, OK 74728

Darby, Jr Pastor Charles L. (Chuck)

President, Board of Directors eff 11-5-14


13490 Old Livingston Road Naples, FL 34109-3855

Carter Daniel E.

Treasurer, Board of Directors Eff

11-5-2014


13490 Old Livingston Road Naples, FL 34109

Barton Blaine

UPL Reversion EFF 4/1/2019

Operating Entity

1305 SE Adams Idabel, OK 74745


RE EFF 4-1-2019


3000 North Street Muskogee, OK 74403

Muskogee County Economic Development Authority

EFF 4-1-2019 RE


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Doke Ken

EFF 4-1-2019 RE


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Wright Stephen

EFF 4-1-2019 RE


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Payne Kenny


Oklahoma State Department of Health Health Resource ... · SGSL Management Holdings, LLC 1/24/17...

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Transcript of Oklahoma State Department of Health Health Resource ... · SGSL Management Holdings, LLC 1/24/17...