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Oklahoma State Department of HealthHealth Resource Development Services
Listing of Facilities Owned by an Owner (Excluding Former Owners)
for Assisted Living, Adult Day Care, Residential Care and Continuum of Care
As of: January 15, 2020
Owner NameFacilities Owned
3C Old Fashioned Boarding Home RC4101 719 South Jim Thorpe Blvd Prague, OK 74864 405-567-2280
Operating Entity
1021 S. Jim Thorpe Blvd. Prague, OK 74864
Chase E. Inc.
33 1/3% RE/OP
Stockholders/partners Who Are Officers
P.O. Box 48 Prague, Ok 74864
Cook Jvon
33 1/3% RE/OP
Stockholders/partners Who Are Officers
P.O. Box 48 Prague, OK 74864
Cook Patsy
33 1/3% OP/RE
Stockholders/partners Who Are Officers
PO Box 48 Progue, Ok 74864
Cook Chase
Aberdeen Heights Assisted Living AL7201 7220 South Yale Tulsa, OK 74136 918-496-0123
33.34% TCG Communities&43.06%
Covenat Group Holdings eff 9-15-17
Stockholders/partners -- Not Officers
4356 Patricias Ridge Benbrook, TX 76126
Bullock Robert
50% EDEV, LLC &28.42% Covenat
Group Holdings eff 9-15-17
Stockholders/partners -- Not Officers
149 PR 3297 Decatur, TX 76234
Edwards Donny
33.33% TCG Communities&28.42%
Covenat Group Holdings eff 9-15-17
Stockholders/partners -- Not Officers
605 Meandering Woods Keller, TX 76248
McCaleb Bryan
99.9% Covenant Group Tex LP & 100%
Covenant
Limited Partner
1200 Summit Avenue 444 Fort Worth, TX 76102
Covenant Group Holdings, LP
100% Sagora Senior Living, Inc. eff
09-15-2017
Stockholders/partners -- Not Officers
801 Cherry St. Unit 31 2400 Fort Worth, TX 76102
Covenant Group of Texas, LP
0.1% Covenant Group of Texas, LP eff
09-15-2017
General Partner
1200 Summit Avenue 444 Fort Worth, TX 76102
Covenant Group Holdings GP, LLC
95% of Welltower TCG NNN Landlord,
LLC eff 09-15-2017
Stockholders/partners -- Not Officers
4500 Dorr Street Toledo, OH 43615
Welltower, Inc.
Contracted Management eff 09-15-2017
Contracted Management
801 Cherry St. 2400 Unit 31 Fort Worth, TX 76102
Sagora Senior Living, Inc.
0.1% Covenant Group of Texas, LP eff
09-15-2017
General Partner
801 Cherry St. Unit 31 2400 Fort Worth, TX 76102
Covenant Group of Texas GP, LLC
Page 1 of [email protected]
Owner NameFacilities Owned
100% RE eff 09-15-2017
Lessor Or Real Estate Owner
4500 Dorr Street Toledo, OH 73615
Welltower TCG NNN Landlord, LLC
5% Welltower TCG NNN Landlord
Stockholders/partners -- Not Officers
801 Cherry Street 2400 Fort Worth, TX 76102
TCG Communities, LLC
OP eff 09-15-2017
Operating Entity
801 Cherry Street 2400 Fort Worth, TX 76102
S TCG Tulsa AL
33.33% of TCG Communities, LLC
Stockholders/partners -- Not Officers
149 PR 3297 Decatur, TX 76234
Edwards Seniors Housing Capital, LLC
100% of Edmonds Seniors Housing
Capital, LLC, eff 01/24/2018
Stockholders/partners -- Not Officers
149 PR 3297 Decatur, TX 76234
Edwards Diamond E. Ventures, LLC
50% Edwards Diamond E Ventures, LLC
Stockholders/partners -- Not Officers
149 PR 3297 Decatur, TX 76234
Edwards Marcy
Aberdeen Memory Care of Tulsa AL7258 7210 South Yale Avenue Tulsa, OK 74136 918-591-2525
33.34% TCG Communities43.06%
Covenat Group Holdings eff 09-15-17
Stockholders/partners -- Not Officers
4356 Patricias Ridge Benbrook, TX 76126
Bullock Robert
50% Edwards Diamond & 28.42%
Covenat Group Holdings eff 10-4-17
Stockholders/partners -- Not Officers
149 PR 3297 Decatur, TX 76234
Edwards Donny
33.33%TCG Communities&28.42%
Covenat Group Holdings eff 10-4-17
Stockholders/partners -- Not Officers
605 Meandering Woods Keller, TX 76248
McCaleb Bryan
95% Welltower TCG NNN Landlord eff
10-04-2017
Stockholders/partners -- Not Officers
4500 Dorr Street Toledo, OH 43615
Welltower, Inc.
Contracted Management eff 10-04-2017
Contracted Management
801 Cherry St. 2400 Unit 31 Fort Worth, TX 76102
Sagora Senior Living, Inc.
0.1% Covenant Group of Texas GP, LLC
Stockholders/partners -- Not Officers
801 Cherry St. Unit 31 2400 Fort Worth, TX 76102
Covenant Group of Texas GP, LLC
100% RE eff 10-04-2017
Lessor Or Real Estate Owner
4500 Dorr Street Toledo, OH 73615
Welltower TCG NNN Landlord, LLC
5% Welltower TCG NNN Landlord &
STCG Tulsa MC eff 10-04-2017
Stockholders/partners -- Not Officers
801 Cherry Street 2400 Fort Worth, TX 76102
TCG Communities, LLC
OP eff 10-04-2017
Operating Entity
801 Cherry Street 2400, Unit 31 Fort Worth, TX 76102
S TCG Tulsa MC, LLC
33.33% of TCG Communities, LLC
Stockholders/partners -- Not Officers
149 PR 3297 Decatur, TX 76234
Edwards Seniors Housing Capital, LLC
100% of Edmonds Seniors Housing
Capital, LLC eff 01/24/2018
Stockholders/partners -- Not Officers
149 PR 3297 Decatur, TX 76234
Edwards Diamond E. Ventures, LLC
50% Edwards Diamond E Ventures, LLC
Stockholders/partners -- Not Officers
149 PR 3297 Decatur, TX 76234
Edwards Marcy
Page 2 of [email protected]
Owner NameFacilities Owned
Ada Senior Care Center, Inc. DC6201 301 East Kings Road Ada, OK 74820 580-332-2855
Operating Entity
301 East Kings Road Ada, OK 74820-2002
Ada Senior Care Center, Inc.
Lessor Or Real Estate Owner
301 East Kings Road Ada, OK 74820
First Presbyterian Church
Member, eff 1/1/14
Member
10810 CR 3590 Ada, OK 74820
Cooper Tom
Ex Dir eff 7/18/17
Officers Who Do Not Hold Stock
1140 S Stockton Ada, OK 74820
Mansfield Amy
Board Pres eff 7/18/17
Officers Who Do Not Hold Stock
621 W 24th Ada, OK 74820
Clayton Judy
Board Secretary eff 7/18/17-08/13/2019;
President
Officers Who Do Not Hold Stock
9052 CR 3500 Ada, OK 74820
Saidleman Viki
Board Mbr eff 7/18/17
Officers Who Do Not Hold Stock
400 SE Country Road Ada, OK 74820
Roberson Regina
Board Mbr eff 7/18/17
Officers Who Do Not Hold Stock
10244 CR 1542 Ada, OK 74820
Dodson Lori
Board Mbr
Officers Who Do Not Hold Stock
1906 E 14th Ada, OK 74820
Bennett Kacie
Member EFF 08-13-2019
Member
1038 S. Francis Ada, OK 74820
Thompson Kara
Treasurer EFF 08-13-2019
Officers Who Do Not Hold Stock
509 Hampton Court Ada, OK 74820
Lawson Lacie
Member EFF 8-13-2019
Member
P.O. Box 189 Fittstown, OK 74842
McFarland Shawna
Secretary EFF 08-13-2019
Officers Who Do Not Hold Stock
810 Beams Ave. Ada, OK 74820
Lee Kylee
Afton ERC RC5807 138 S. Main Afton, OK 74331 918/257-5955
Operating Entity
114 W. Delaware Nowata, OK 74048
Grand Lake Mental Health Center, Inc.
Exec. Dir.
Officers Who Do Not Hold Stock
114 W. Delaware Nowata, OK 74048
Danley Charles
Pres.
Officers Who Do Not Hold Stock
P.O. Box 1246 Claremore, OK 74018
Jim Tanner
VP
Officers Who Do Not Hold Stock
313 Savannah Pk. Pryor, OK 74361
Lou Swank
Page 3 of [email protected]
Owner NameFacilities Owned
Angelwood Assisted Living and Memory Care AL2002 3200 West Hayes Clinton, OK 73601 580-323-0990
eff 3/1/15
Lessor Or Real Estate Owner
303 East Wacker Dr. 2400 Chicago, IL 60601
WC - Angelwood LLC
SLN Mgr. West, LLC & SLMgmt.
Holdings, LLC eff 11/1/14
Officers Who Do Not Hold Stock
303 E. Wacker Drive 2400 Chicago, IL 60601
DeLuca Jon A.
SLN Mgr. West, LLC & SLMgmt.
Holdings, LLC eff 11/1/14
Manager
303 E. Wacker Dr. 2400 Chicago, IL 60601
Kaplan William B.
SLN Mgr. West, LLC & SLMgmt.
Holdings, LLC eff 11/1/14
Manager
303 E. Wacker Dr. 2400 Chicago, IL 60601
Frumm Jerrold H.
Secretary WC-Angelwood OPS &
Manager of SLN Manager West
Officers Who Do Not Hold Stock
303 E. Wacker Dr. 2400 Chicago, IL 60601
Levy Stephen J.
66% Member of Senior Lifestyle Holding
Company, LLC eff 11/1/14
Stockholders/partners -- Not Officers
303 East Wacker Drive 2400 Chicago, IL 60601
K&K Lifestyle Associates, LLC
100% Healthcare Holdings-T, LLC
Stockholders/partners -- Not Officers
2 Bethesda Metro Center 1300 Bethesda, MD 20814
NorthStar Realty Healthcare, LLC (NRH, LLC)
100% of Northstar Realty Healthcare,
LLC
Stockholders/partners -- Not Officers
399 Park Ave New York, NY 10022
NRFC Healthcare Holding Company, LLC
100% NSRF Limited Partnership Eff
8-10-2016
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, NY 10022
NorthStar Realty Finance Corp (NRF, Corp)-publicly traded
Chairman/CEO NRF, Corp Director
NRFC Eff 8-10-16
Officers Who Do Not Hold Stock
399 Park Avenue 18th Floor New York City, NY 10022
Hamamoto David
eff 3/1/15
Contracted Management
303 East Wacker Dr. 2400 Chicago, IL 60601
SLN Manager West, LLC
100% Mbr. of SLN Manager West, LLC
eff 11/1/14
Stockholders/partners -- Not Officers
303 E. Wacker Drive 2400 Chicago, IL 60601
Senior Lifestyle Management Holdings, LLC
100% Mbr. of Senior Lifestyle Mgmt.
Holdings, LLC eff 11/1/14
Stockholders/partners -- Not Officers
303 E. Wacker Drive 2400 Chicago, IL 60601
Senior Lifestyle Holding Company, LLC
13% Senior Lifestyle Holding Company,
LLC
Stockholders/partners -- Not Officers
Attn: John Heuberger, 203 W. LaSalle Street 1900 Chicago, IL 60601
WBK 2012 Trust U/A/D 12/14/2012
13% Senior Lifestyle Holding Company,
LLC
Stockholders/partners -- Not Officers
1220 Astor St. Chicago, IL 60610
JBMK Limited Partnership
12% Senior Lifestyle Holding Company,
LLC
Stockholders/partners -- Not Officers
1220 Astor St. Chicago, IL 60610
JBK Trust dated 11/20/2012
OP eff 3/1/15
Operating Entity
303 East Wacker Dr. 2400 Chicago, IL 60601
WC - Angelwood OPS, LLC
Page 4 of [email protected]
Owner NameFacilities Owned
100% WC-Anglewood, LLC Eff
8-10-2016
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, NY 10022
HC-SLC Owner JV, LLC
98% of HC-SLC Owner JV, LLC &
Healthcare CAM2-T, LLC
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, NY 10022
Healthcare Holdings-T, LLC
Director of Northstar Finance Corp
Officers Who Do Not Hold Stock
399 Park Avenue, 18th Floor New York City, NY 10022
Hannaway Judith
Director of Northstar Relty Finance Corp
Officer
399 Park Avenue, 18th Floor New York City, NY 10022
Minami Wesley
100% WC-Angelwood OPS, LLC Eff
8-10-2016
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, NY 10022
HC-SLC Operator JV, LLC
100% HC-SLC Operator JV, LLC
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, OK 10022
Healthcare CAM2-T, LLC
4% Senior Lifestyle Holding Company,
LLC
Stockholders/partners -- Not Officers
303 East Wacker Drive 2400 Chicago, IL 60601
North Mohawk, LP
100% NRFC Healthcare, LLC
Stockholders/partners -- Not Officers
399 Park Avenue 18th floor New York, NY 10022
NorthStar Realty Finance Limited Partnership
President NRFC Eff 8-10-16
Officers Who Do Not Hold Stock
399 Park Avenue 18th Floor New York, NY 10022
Tylis Albert
Chief Financial Officer NRFC Eff
8-10-16
Officers Who Do Not Hold Stock
399 Park Avenue 18th Floor New York, NY 10022
Hess Debra A.
Exec. VP, Sec, & Genral Counsel Eff
8-10-16
Officers Who Do Not Hold Stock
399 Park Avenue 18th Floor New York, NY 10022
Lieberman Ronald J.
Executive VP Eff 8-10-2016
Officers Who Do Not Hold Stock
399 Park Avenue 18th Floor New York, NY 10022
Raffe Daniel D.
Arbor House Assisted Living Center AL1405 4501 West Main Street Norman, OK 73072 405-292-9200
Scott Richison Revocable Trust
Beneficiary
,
parcway
Brian F. Wilson Revocable Trust
Beneficiary
4508 Tuscany Norman, OK 73072
Wilson Brian F.
Individual (JTWROS), 17.5% II, Inc.
Stockholders/partners -- Not Officers
2513 McCallum Austin, TX 78703
McKinney Rick
1% OP
Stockholders/partners -- Not Officers
2401 Tee Circle Suite 103 Norman, OK 73069
Innovative Investments, Inc.
Operating Entity
2401 Tee Circle 10 Norman, OK 73069
Arbor House Assisted Living Centers, L.L.C.
Individual JTWROS (Joint Tennant With
Rights of Survivorship)
Beneficiary
2513 McCallum Austin, TX 78703
McKinney Deborah
Page 5 of [email protected]
Owner NameFacilities Owned
Shaye Donica Revocable Trust
Beneficiary
2401 Tee Circle 103 Norman, OK 73069
Donica Shaye
100% RE Effective 12-21-2012
Stockholders/partners -- Not Officers
353 North Clark Street 3300 Chicago, IL 60654
Ventas, Inc. Ventas, Inc.
56.7% OP
Stockholders/partners -- Not Officers
2513 McCallum Austin, TX 78703
McKinney JTWROS (JOINT TENANT WITH RIGHTS OF SURVIVORSHIP)
Rick and Deborah
10% BBCapital, LLC, 100% SNW
Capital, LLC, Belinda Wilson, Bnf.
Stockholders/partners -- Not Officers
4508 Tuscany Norman, OK 73072
SNW Irrevocable Trust
Belinda Wilson Revocable Trust, 100%
SNW Irrevocable Trust
Beneficiary
4508 Tuscany Norman, OK 73072
Wilson Belinda
16.1% OP
Stockholders/partners -- Not Officers
307 W. Washington St. Sherman, TX 75090
BBW Investments
Stockholders/partners -- Not Officers
,
BBW Capital, LLC
49.09% BBWI, 20.625% II Inc., 45%
BBWC, LLC
Stockholders/partners -- Not Officers
,
Brian F. Wilson Revocable Trust
49.09% BBW I, 20.625% II, Inc., 45%
BBWC, LLC
Stockholders/partners -- Not Officers
,
Belinda Wilson Revocable Trust
10% OP
Stockholders/partners -- Not Officers
2401 Tee Circle 103 Norman, OK 73069
Shaye Donica Revocable Trust
16.1% OP, 41.25% Innovative
Investments, Inc.
Stockholders/partners -- Not Officers
4012 Morrison Court Norman, OK 73072
Scott H. Richison Revocable Trust
Lessor Or Real Estate Owner
10350 Ormsby Park Place Ste. 300 Louisville, KY 40223
VENTAS AH Norman, LLC
.83% BBW Investments
Stockholders/partners -- Not Officers
,
SNW Capital, LLC
Arbor House Assisted Living of Midwest City AL5530 9240 East Reno Avenue Midwest City, OK 73110 405-455-3900
Benef. of Scott H. Richison Revocable
Trust eff 09/16/2014
Trustee
,
parcway
Benef. of Scott H. Richison Revocable
Trust eff 09/16/2014
Trustee
,
parcway
JTWROS (Joint Tenant With Rights of
Survivorship) eff 09/16/2014
Beneficiary
2513 McCallum Austin, TX 78703
McKinney Rick
Operating Entity
2401 Tee Circle #103 Norman, Ok 73069
Arbor House of Midwest City, L.L.C.
Beneficiary McKinney Deborah
Page 6 of [email protected]
Owner NameFacilities Owned
JTWROS (Joint Tenant With Rights of
Survivorship) eff 09/16/20142513 McCallum Austin, TX 78703
Benef. of Shaye Donica Revocable Trust
eff 09/16/2014
Trustee
2401 Tee Circle 103 Norman, OK 73069
Donica Shaye
56.7% OP eff 09/16/2014
Stockholders/partners -- Not Officers
2513 McCallum Austin, TX 78703
McKinney JTWROS (JOINT TENANT WITH RIGHTS OF SURVIVORSHIP)
Rick and Deborah
10% OP eff 09/16/2014
Stockholders/partners -- Not Officers
2401 Tee Circle 103 Norman, OK 73069
Shaye Donica Revocable Trust
16.65% OP eff 09/16/2014
Stockholders/partners -- Not Officers
4012 Morrison Court Norman, OK 73072
Scott H. Richison Revocable Trust
16.65% OP eff 09/16/2014
Stockholders/partners -- Not Officers
4508 Tuscany Norman, OK 73072
BBW Investments, LP
Benef. of Scott H. Richison Revocable
Trust eff 09/16/2014
Trustee
4012 Morrison Court Norman, OK 73072
Richison Scott H.
Arbor House Assisted Living of Mustang AL0903 850 North Clearsprings Road Mustang, OK 73064 405-801-2879
,
parcway
JTWROS (Joint Tenant With Rights of
Survivorship) eff 09/16/2014
Beneficiary
2513 McCallum Austin, TX 78703
McKinney Rick
Operating Entity
2401 Tee Circle #103 Norman, OK 73069
Arbor House of Mustang, L.L.C.
JTWROS (Joint Tenant With Rights of
Survivorship) eff 09/16/2014
Beneficiary
2513 McCallum Austin, TX 78703
McKinney Deborah
Benef. of Shaye Donica Revocable Trust
eff 09/16/2014
Trustee
2401 Tee Circle 103 Norman, OK 73069
Donica Shaye
56.7% OP eff 09/16/2014
Stockholders/partners -- Not Officers
2513 McCallum Austin, TX 78703
McKinney JTWROS (JOINT TENANT WITH RIGHTS OF SURVIVORSHIP)
Rick and Deborah
10% OP eff 091614
Stockholders/partners -- Not Officers
2401 Tee Circle 103 Norman, OK 73069
Shaye Donica Revocable Trust
16.65% OP eff 09/16/2014
Stockholders/partners -- Not Officers
4012 Morrison Court Norman, OK 73072
Scott H. Richison Revocable Trust
16.65% of OP eff 09/16/2014
Stockholders/partners -- Not Officers
4508 Tuscany Norman, OK 73072
BBW Investments, LP
Beneficiary of Scott H. Richison
Revocable Trust eff09/16/14
Beneficiary
4012 Morrison Court Norman, OK 73072
Richison Scott H.
Page 7 of [email protected]
Owner NameFacilities Owned
Arbor House Reminisce AL1408 151 48th Avenue Southwest Norman, OK 73072 405-310-2499
Scott Richison Revocable Trust
Beneficiary
,
parcway
Brian F. Wilson Revocable Trust
Beneficiary
4508 Tuscany Norman, OK 73072
Wilson Brian F.
Individual (JTWROS), 17.5% II, Inc.
Stockholders/partners -- Not Officers
2513 McCallum Austin, TX 78703
McKinney Rick
1% OP
Stockholders/partners -- Not Officers
2401 Tee Circle Suite 103 Norman, OK 73069
Innovative Investments, Inc.
effective 12-21-2012
Operating Entity
2401 Tee Circle 103 Norman, OK 73069
Arbor House Reminisce, L.L.C.
Shaye Donica Revocable Trust
Beneficiary
2401 Tee Circle 103 Norman, OK 73069
Donica Shaye
100% RE Effective 12-21-2012
Stockholders/partners -- Not Officers
353 North Clark Street 3300 Chicago, IL 60654
Ventas, Inc. Ventas, Inc.
56.7% OP
Stockholders/partners -- Not Officers
2513 McCallum Austin, TX 78703
McKinney JTWROS (JOINT TENANT WITH RIGHTS OF SURVIVORSHIP)
Rick and Deborah
10% BBCapital, LLC, 100% SNW
Capital, LLC, Belinda Wilson, Bnf.
Stockholders/partners -- Not Officers
4508 Tuscany Norman, OK 73072
SNW Irrevocable Trust
Belinda Wilson Revocable Trust, 100%
SNW Irrevocable Trust
Beneficiary
4508 Tuscany Norman, OK 73072
Wilson Belinda
16.1%OP
Stockholders/partners -- Not Officers
307 W. Washington St. Sherman, TX 75090
BBW Investments
.83% BBW Investments
Stockholders/partners -- Not Officers
,
SNW Capital,LLC
Stockholders/partners -- Not Officers
,
BBW Capital, LLC
49.09% BBWI, 20.625% II Inc, 45%
BBWC, LLC.
Stockholders/partners -- Not Officers
,
Brian F. Wilson Revocable Trust
49.09% BBW I, 20.625% II, Inc., 45%
BBWC, LLC
Stockholders/partners -- Not Officers
,
Belinda Wilson Revocable Trust
10% Member OP
Stockholders/partners -- Not Officers
2401 Tee Circle 103 Norman, OK 73069
Shaye Donica Revocable Trust
Individual JTWROS (Joint Tenant with
Rights of Survivorship)
Beneficiary
2513 McCallum Austin, TX 78703
McKinney Deborah
16.1% OP, 41.25% Innovative
Investments, Inc.
Stockholders/partners -- Not Officers
4012 Morrison Court Norman, OK 73072
Scott H. Richison Revocable Trust
Page 8 of [email protected]
Owner NameFacilities Owned
Lessor Or Real Estate Owner
10350 Ormsby Park Place Ste. 300 Louisville, KY 40223
VENTAS AH Norman, LLC
Ash Street Place AL4201 111 South Ash Guthrie, OK 73044 405-282-2000
8% Mbr HMLC, LLC eff 003/14/2018
Stockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Golden Age Nursing Home Of Guthrie, Inc.(GAN)
2% Mbr HMLC, LLC eff 03/14/2018
Stockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Perry Green Valley Nursing Home, Inc.(PGV)
Operating Entity
PO Box 1095 Guthrie, OK 73044
Ash Street Place, L.L.C.
4% Mbr HMLC, LLC eff 03/14/2018
Stockholders/partners -- Not Officers
PO Box 1095 Guthrie, OK 73044
Stilwell Nursing Home, Inc.(SNH)
Lessor Or Real Estate Owner
PO Box 1095 Guthrie, OK 73044
Four Story Property, L.L.C.
Beneficiary Mary Lou Chappell Trust Eff
3/4/16
Beneficiary
P.O. Box 1095 Guthrie, OK 73044
Chappell Jeff
Mngr RE/OP & Mgr HMLC,LLC eff
3/04/16
Manager
P.O. Box 1095 Guthrie, OK 73044
Hastings Tandie
100% Member RE/OP, eff 03/22/12
Stockholders/partners -- Not Officers
PO Box 1095 Guthrie, OK 73044
HMLC, LLC
Mngr RE/OP & Mgr HMLC, LLC,
Trustee MLCT & C2012STeff 03/04/16
Managing Member
PO Box 1095 Guthrie, OK 73044
Chappell Hollie "Joe"
76% Mbr HMLC, LLC & Benef MLC
Trust eff 03142018
Stockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Chappell 2012 Succession Trust dated 1/3/2012
10% Mbr HMLC, 100% SNH, PGV, Inc.,
GAN
Stockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Mary Lou Chappell Trust
Beneficiary Mary Lou Chappell Trust Eff
3/4/16
Beneficiary
,
Chappell Jon D.
Beneficiary Mary Lou Chappell Trust Eff
3/4/16
Beneficiary
,
Crockett Mary Janice
Ashbrook Village AL6902 915 West Plato Road Duncan, OK 73533 580-252-8300
100% Real Estate and HCP1OC
Ashbrook, LLC eff 11/25/2014
Lessor Or Real Estate Owner
C/O Boathouse, 2900 Paradise Drive Tiburon, CA 94920
HCP1HO Ashbrook, LLC
OP eff 11/25/2014
Operating Entity
C/O Boathouse, 2900 Paradise Drvie Tiburon, CA 94920
HCP1OC Ashbrook, LLC
Page 9 of [email protected]
Owner NameFacilities Owned
100% of HCP1HO eff 11/25/2014
Stockholders/partners -- Not Officers
C/O The Boathouse, 2900 Paradise Drive Tiburon, CA 94920
Honey Creek Pool 1-1, LLC
16.44% of Honey Creek Pool 1-1, LLC
eff 11/25/2014
Stockholders/partners -- Not Officers
260 Seaview Ave Piedmont, CA 94610
Hurwich Joseph
16.71% of Honey Creek Pool 1-1, LLC
eff 11/25/2014
Stockholders/partners -- Not Officers
1528 South Hayford Road Airway Heights, WA 99001
Klingel A. Barclay
8.63% of Honey Creek Pool 1-1, LLC eff
11/25/2014
Stockholders/partners -- Not Officers
163 Elizabeth Road San Antonio, TX
Schoenbau Virginia
33.43% of Honey Creek Pool 1-1, LLC
eff 11/25/2014
Stockholders/partners -- Not Officers
6655 Windsor Lane Miami Beach, FL 33141
Spitaleri Vito
8.36% Honey Creek Pool 1-1, LLC
Stockholders/partners -- Not Officers
West 601 Riverside Spokane, WA 99201
Stevenson Thomas/Gail
8.36% Honey Creek Pool 1-1, LLC eff
11/25/2014
Stockholders/partners -- Not Officers
360 Madison Ave New York, NY 10017
Vaughn James
Pres-CEO of HCP1HO
Officers Who Do Not Hold Stock
875 Glengate Place Atlanta, GA 30328
Marro Frank
Chairman of HCP1HO Ashbrook, LLC
Officers Who Do Not Hold Stock
2900 Paradise Drvie Tiburon, CA 94920
Drever Maxwell
Senior Managing Director eff 11/25/2014
Officers Who Do Not Hold Stock
2900 Paradise Drive Tiburon, CA 94920
Drever Noah
CFO of HCP1HO Ashbrook, LLC eff
11/25/2014
Officers Who Do Not Hold Stock
2900 Paradise Drive Tiburon, CA 94920
Baker Edward
8.36% Honey Creek Pool 1-1 LLC
11/25/2014
Stockholders/partners -- Not Officers
39 Fifth Ave., 12B New York, NY 10003
Spitaleri Aleta
65.4% Oxford Mangement Group, LLC
eff 04/1/2019
Stockholders/partners -- Not Officers
125 North Market 1230 Wichita, KS 67202
Austin Powers, LLC
50% Austin Powers, LLC eff 4/01/2019
Stockholders/partners -- Not Officers
2661 Bayside Wichita, KS 67205
Austin Steven
50% Austin Powers, LLC eff 04/01/2019
Stockholders/partners -- Not Officers
2641 Bayside Wichita, KS 67205
Schawe Dale
18.9% Oxford Management Group, LLC
eff 04/01/2019
Stockholders/partners Who Are Officers
125 N Market 1230 Wichita, KS 67202
Wiley Jason
15.7% Oxford Management Group, LLC
eff 04/01/2019
Stockholders/partners Who Are Officers
125 North Market 1230 Wichita, KS 67202
Dennis James Chris
Contracted Management Company eff
04-15-2019
Contracted Management
125 N. Market 1230 Wichita, KS 67202
Oxford Management Group LLC
Owner & Manager 50% of OSL, LLC eff.
10/01/2016
Stockholders/partners Who Are Officers
398 N. Sage Ct. Maize, KS 67101
Hanson Craig
Page 10 of [email protected]
Owner NameFacilities Owned
Autumn Leaves of Edmond AL5598 1001 S. Bryant Avenue Edmond, OK 73034 405-341-1450
73.84% TLG Family & 43.75% The
LaSalle Grp eff 12/20/17
Stockholders/partners -- Not Officers
545 E John Carpenter Fwy 545 Irving, TX 75062
Warren Melvin W. Jr
Manager - 5% TLG Family Management.
LLC eff 12/20/17
Managing Member
545 E John Carpenter Fwy 545 Irving, TX 75062
The LaSalle Group, Inc
21.16%TLG Family Mgt & 56.25% The
LaSalle Grp, eff 12/20/17
Stockholders/partners Who Are Officers
545 E John Carpenter Fwy 545 Irving, TX 75062
Warren Mitchell W.
Contracted Manager, eff 09/23/2014, &
12/20/17
Contracted Management
545 E. John Carpenter Fwy 545 Irving, TX 75062
TLG Family Management, LLC
,
Chafetz
OP, eff 12/20/17
Operating Entity
6370 LBJ Freeway 276 Dallas, TX 75240
Leading Life Senior Living, Inc.
Chairman of Board-OP, eff 12/20/17
Officers Who Do Not Hold Stock
6370 LBJ Freeway 276 Dallas, TX 75240
Mosteller Robert
Secretary of Board-OP, eff 12/20/17
Officers Who Do Not Hold Stock
6370 LBJ Freeway 276 Dallas, TX 75240
Barnes Brian
Autumn Leaves of Southwest Oklahoma City AL5543 2232 S. W. 104 Street Oklahoma City, OK 73159 405-237-7070
73.84% TLG Family & 43.75% The
LaSalle Grp eff 12/20/17
Stockholders/partners -- Not Officers
545 E John Carpenter Fwy 545 Irving, TX 75062
Warren Melvin W. Jr
Manager - 5% TLG Family Management.
LLC eff 12/20/17
Managing Member
545 E John Carpenter Fwy 545 Irving, TX 75062
The LaSalle Group, Inc
21.16%TLG Family Mgt & 56.25% The
LaSalle Grp, eff 12/20/17
Stockholders/partners Who Are Officers
545 E John Carpenter Fwy 545 Irving, TX 75062
Warren Mitchell W.
Contracted Manager eff 03-??-2015 &
12/20/17
Contracted Management
545 E. John Carpenter Fwy 545 Irving, TX 75062
TLG Family Management, LLC
OP,eff 12/20/17
Operating Entity
6370 LBJ Freeway 276 Dallas, TX 75240
Leading Life Senior Living, Inc.
Chairman of Board-OP, eff 12/20/17
Officers Who Do Not Hold Stock
6370 LBJ Freeway 276 Dallas, TX 75240
Mosteller Robert
Secretary of Board-OP, eff 12/20/17
Officers Who Do Not Hold Stock
6370 LBJ Freeway 276 Dallas, TX 75240
Barnes Brian
Page 11 of [email protected]
Owner NameFacilities Owned
Autumn Leaves of Tulsa AL7238 7807 S. Mingo Rd. Tulsa, OK 74133 918-249-1300
OP/RE eff 08/19/11
Operating Entity
1833 S Morgan Rd Oklahoma City, OK 73128
Tulsa Memory Care, LLC
5% OP/RE eff 08/19/11
Stockholders/partners -- Not Officers
545 E John Carpenter Fwy 545 Irving, TX 75062
LaSalle Tulsa Management, LLC c/o The LaSalle Group Inc.
43.85% OP/RE, 90% The LaSalle Group
Inc eff 08/19/11, 50% TLG
Stockholders/partners Who Are Officers
545 E John Carpenter Fwy 545 Irving, TX 75062
Warren Melvin W. Jr
50% OP/RE eff 08/19/11
Stockholders/partners Who Are Officers
16660 Dallas parkway Dallas, TX 75248
RTP III, LLC
100% LaSalle Tulsa Mngmet LLC eff
08/19/11
Stockholders/partners -- Not Officers
545 E John Carpenter Fwy 545 Irving, TX 75062
The LaSalle Group, Inc
10% The LaSalle Group Inc eff 08/19/11,
50% TLG Family Mgt.
Stockholders/partners -- Not Officers
545 E John Carpenter Fwy 545 Irving, TX 75062
Warren Mitchell W.
Contracted Management
545 E. John Carpenter Fwy 545 Irving, TX 75062
TLG Family Management, LLC
Corp Secretary, The LaSalle Group, Inc.
eff 12/14/18
Officers Who Do Not Hold Stock
545 E John Carpenter Freeway Irving, TX 75248
Fletcher Margaret
Avondale Cottage of Pryor AL2102 1300 Damon Drive Pryor, OK 74361 918-824-4566
100% OP Managing Member
Stockholders/partners -- Not Officers
PO Box 17888 Hattiesburg Hattiesburg, MS 39404
Johnson Christopher W.
RE eff 01/01/2013
Lessor Or Real Estate Owner
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
Pryor Assisted Living, LLC
Avonlea Cottage of Seminole, LLC AL6701 2207 West Wrangler Seminole, OK 74868 405-382-4450
eff. 5-4-07
Contracted Management
10501 W 84th Terr Lenexa, KS 66214
United Resource Management, LLC
100% member of United Resource
Management, LLC
Stockholders/partners -- Not Officers
10501 W. 84th Terr Lenexa, KS 66214
United Resource Management, LLC United Resource Holdings, LLC
eff. 5-4-07
Operating Entity
10501 W. 84th Terr Lenexa, KS 66214
United Senior Properties of Seminole, LLC
100% OP
Stockholders/partners -- Not Officers
10501 W. 84th Terr Lenexa, KS 66214
United Senior Properties LLC
Page 12 of [email protected]
Owner NameFacilities Owned
35% of United SR Properties LLC/ 50%
United Resource Holdings LL
Managing Member
9216 Bond Overland Park, KS 66214
Thoma Paul K.
35% of United SR Properties LLC/50%
United Resources Holdings LL
Stockholders/partners -- Not Officers
9216 Bond Overland Park, KS 66214
Julian John J.
30% of United Senior Properties LLC
Stockholders/partners -- Not Officers
775 W. 1200 North 100 Springville, UT 84663
Morley Michael T.
Avonlea Cottage of Shawnee, LLC AL6302 789 East Country Grove Drive Shawnee, OK 74804 405-273-3323
Contracted Management
10501 W 84th Terr Lenexa, KS 66214
United Resource Management, LLC
50%United Res Mgt, LLC & 5% United
Snr Prop Shawnee,eff 6/3/19
Stockholders/partners Who Are Officers
9216 Bond Overland Park, KS 66214
Thoma Paul K.
50% United Senior Properties of
Shawnee, LLC,eff 6/3/19
Stockholders/partners -- Not Officers
9216 Bond Overland Park, KS 66214
Julian John J.
45% United Snr Prop of Shawnee, LLC,
eff 6/3/19
Stockholders/partners -- Not Officers
9216 Bond Overland Park, KS 66214
Feingold David
50% United Resource Mgt, LLC, eff
6/3/19
Stockholders/partners -- Not Officers
9216 Bond Overland Park, KS 66214
Julian Linda
OP, Eff 6/3/19
Operating Entity
9216 Bond St Overland Park, KS 66214
United Senior Properties of Shawnee, LLC
Baptist Village of Oklahoma City CC5501 9700 Mashburn Blvd Oklahoma City, OK 73162 405-721-2466
Pres
Officers Who Do Not Hold Stock
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
Officers Who Do Not Hold Stock
3800 North May Avenue Okla. City, OK 73112
Mills Kenneth D.
VP-planning/Projects
Officers Who Do Not Hold Stock
3800 North May Ave. Oklahoma City, OK 73112
Short Wendell
VP-Operations
Officers Who Do Not Hold Stock
3800 N. May Ave. Oklahoma City, OK 73112
Thomas Steve
Corporate Secretary-1-1-2014
Officers Who Do Not Hold Stock
3800 N May Ave. Oklahoma City, OK 73112
Hughes Judy
Baptist Village of Owasso cc7206 7410 N. 127th E. Ave Owasso, OK 74055 918-272-2281
Page 13 of [email protected]
Owner NameFacilities Owned
President, Baptist Village Retirement
Communities, Inc
Officer
3800 N. May Oklahoma City, OK 73112
Pierce William M.
100% OP, 100% RE Eff 10/28/10
Operating Entity
3800 N. May Oklahoma City, OK 73112
Baptist Village Retirement Communities of Oklahoma, Inc.
CFO Baptist Village Retirement
Communities Oklahoma
CFO
3800 North May Avenue Okla. City, OK 73112
Mills Kenneth D.
VP-Planning & Project Baptist Village
RetCommunities of OK
Officer
3800 North May Ave. Oklahoma City, OK 73112
Short Wendell
VP-Operations
Officer
3800 N. May Ave. Oklahoma City, OK 73112
Thomas Steve
Corp Secretary Baptist Village Retirement
Communities Oklahoma
Officer
3800 N May Ave. Oklahoma City, OK 73112
Hughes Judy
Bartlesville Assisted Living AL7405 4605 Price Road Bartlesville, OK 74006 918-8763700
10% Member of OP/RE
Managing Member
13620 S. Air Depot Edmond, OK 73034
Trout C.R.
45% Member RE/OP
Managing Member
9875 S. Broadway Guthrie, OK 73044
Yount Mary
OP EFF 10-03-2018
Operating Entity
2001 Sunrise Blvd Grove, OK 74344
Grandwood Assisted Living, L.C.
45% Member RE/OP
Managing Member
335858 E. 810 Rd Carney, OK 74832
Herring Regina
EFF 10-03-2018
Lessor Or Real Estate Owner
4605 Price Road Bartlesville, OK 74006
BAL Holdings, LC
Belfair of McAlester AL6102 802 Windsong Way McAlester, OK 74501 918-423-7020
50% Associated Senior Living Group,
LLC
Stockholders/partners -- Not Officers
1500 E. Van Buren Dr. Mcalester, OK 74501
McAlester Regional Health Center Authority
100% Southeast Healthcare Investments,
LLC
Stockholders/partners -- Not Officers
1500 South Virginia Atoka, OK 74525
Atoka Manor, Inc.
Chairman Mcalester Regional Health
Center Authority
Officers Who Do Not Hold Stock
1 Clark Bass Blvd. McAlester, OK 74501
Smith Weldon
47.4% of Associated Healthcare Group,
LLC
Stockholders/partners -- Not Officers
11032 Quail Creek Road 108 Oklahoma City, OK 73120
Carland Group, L.L.C.
5% Belfair of McAlester & 65% Carland
Group, LLC
Stockholders/partners -- Not Officers
2609 Dorchester Dr Oklahoma City, OK 73120
Carty Enterprises LLC
Page 14 of [email protected]
Owner NameFacilities Owned
10% of Carland Group, LLC
Stockholders/partners -- Not Officers
3156 Birch Bark Lane Oklahoma City, OK 73120
Cook, Jr. Charles
10% of Carland Group, LLC
Stockholders/partners -- Not Officers
720 Martina LAne Edmond, OK 73034
David & Angela Schenck
5% of Carland Group, LLC
Stockholders/partners -- Not Officers
300 Perth Drive Edmond, OK 730013
Shofstall Lacy
10% Carland Group, LLC
Stockholders/partners -- Not Officers
1703 Pennington Way Oklahoma City, OK 73116
Miller Richard & Kelli
Chairman, eff 4/10/19
Officers Who Do Not Hold Stock
P.O. Box 1133 Atoka, OK 74525
Hardison Clint
50% Carty Enterprises, LLC
Stockholders/partners -- Not Officers
1701 Pennington Way Nichols Hills, OK 73116
Carty Terry
50% Carty Enterprises, LLC
Stockholders/partners -- Not Officers
1701 Pennington Way Nichols Hills, OK 73116
Carty Janice
OP eff 03/28/2019
Operating Entity
11032 Quail Creek Rd 108 Oklahoma City, OK 73120
Belfair of McAlester, LLC
95% of Belfair of McAlester
Stockholders/partners -- Not Officers
802 Windsons Way McAlester, OK 74501
Associated Healthcare Group, LLC
Contracted Management & 52.6% of
Associated Heathcare Group, LLC
Contracted Management
802 Wingsong Way McAlester, OK 74501
Associated Senior Living, LLC
50% Associated Senior Living Group,
LLC
Stockholders/partners -- Not Officers
1500 South Virginia Ave Atoka, OK 74525
Southeast Healthcare Investments, LLC
Belfair of Shawnee AL6304 1723 Airport Drive Shawnee, OK 74804 405-275-1199
Secretary-Seniority, Inc. eff 08/16/13
Officers Who Do Not Hold Stock
6120 Stoneridge Mall Road Pleasanton, CA 94588
Ferguson David
Treasurer-Seniority, Inc. eff 08/16/13
Officers Who Do Not Hold Stock
6120 Stoneridge Mall Road Pleasanton, CA 94588
Claassen Pamela Scott
eff. 08/16/13
Operating Entity
11032 Quail Creek Road 108 Oklahoma City, OK 73120
Carland Group, L.L.C.
eff. 08/16/13
Contracted Management
6120 Stoneridge Mall Road, Third Floor Pleasanton, CA 94588
Seniority, Inc
President-Seniority, Inc. eff 08/16/13
Officers Who Do Not Hold Stock
6120 Stoneridge Mall Road 300 Pleasanton, CA 94588
Bently Sloan
VP of Managament-Seniority, Inc. eff
08/16/13
Officers Who Do Not Hold Stock
6120 Stoneridge Mall Road 300 Pleasanton, CA 94588
Amari Nicolo
60% OP, eff 08/16/13
Stockholders/partners -- Not Officers
2609 Dorchester Dr Oklahoma City, OK 73120
Carty Enterprises LLC
Page 15 of [email protected]
Owner NameFacilities Owned
10% OP, eff 08/16/13
Stockholders/partners -- Not Officers
3156 Birch Bark Lane Oklahoma City, OK 73120
Cook, Jr. Charles
10% OP, eff 08/16/13
Stockholders/partners -- Not Officers
720 Martina LAne Edmond, OK 73034
David & Angela Schenck
10% OP, eff 08/16/13
Stockholders/partners -- Not Officers
300 Perth Drive Edmond, OK 730013
Shofstall Lacy
10% OP, eff 08/16/13
Stockholders/partners -- Not Officers
1703 Pennington Way Oklahoma City, OK 73116
Miller Richard & Kelli
Bellarose Senior Living AL7240 18001 E. 51st Street Tulsa, OK 74134 918-355-0151
33.3% of TCG Holding 33.34% TCG
Holding Genpar 43.06%CGH GP
Stockholders/partners -- Not Officers
4356 Patricias Ridge Benbrook, TX 76126
Bullock Robert
100% TCG Tenant II, LLC eff 05-2017
Stockholders/partners -- Not Officers
801 Cherry Street 2400 Unit 31 Fort Worth, TX 76102
TCG Holdings, LP
0.10% of TCG Holdings, LP eff 05-2017
Stockholders/partners -- Not Officers
801 Cherry Street 2400 Unit 31 Fort Worth, TX 76102
TCG Holdings Genpar, LLC (TCGHG)
33.3% TCG Holding, LP & TCG Holding
Genpar, LLC
Stockholders/partners -- Not Officers
149 PR 3297 Decatur, TX 76234
Edwards Donny
33.3% TCG Holdings, LP & TCG
Holding Cenpar, LLC
Stockholders/partners -- Not Officers
605 Meandering Woods Keller, TX 76248
McCaleb Bryan
100% Covenant Group of Texas GP, LLC
Stockholders/partners -- Not Officers
1200 Summit Avenue 444 Fort Worth, TX 76102
Covenant Group Holdings, LP
100% Sagora Senior Living, Inc.
Stockholders/partners -- Not Officers
801 Cherry St. Unit 31 2400 Fort Worth, TX 76102
Covenant Group of Texas, LP
99.9% Covenant Group of Texas, LP
Stockholders/partners -- Not Officers
1200 Summit Avenue 444 Fort Worth, TX 76102
Covenant Group Holdings GP, LLC
100% RE
Lessor Or Real Estate Owner
4500 Dorr Street Toledo, OH 43615
Welltower, Inc.
100% TCG Tulsa Campus, LLC eff
05-2017
Stockholders/partners -- Not Officers
801 Cherry Street, 2400 Unit 31 Fort Worth, TX 76102
TCG Tenant II, LLC
Contracted Managment
Contracted Management
801 Cherry St. 2400 Unit 31 Fort Worth, TX 76102
Sagora Senior Living, Inc.
0.1% Covenant Group of Texas GP, LLC
Stockholders/partners -- Not Officers
801 Cherry St. Unit 31 2400 Fort Worth, TX 76102
Covenant Group of Texas GP, LLC
100% Operating Entity
Operating Entity
801 Cherry Street 2400 Fort Worth, TX 76102
TCG Tulsa Campus, LLC
0.10% Covenant Group Holdings, LP
General Partner
801 Cherry Street 2400 Unit 31 Fort Worth, TX 76102
Covenant Group Holdings GP, LLC
Page 16 of [email protected]
Owner NameFacilities Owned
Blue Ridge Place AL5505 615 West Blue Ridge Drive Midwest City, OK 73110 405-741-2000
100% Midwest City BG PROPCO, LLC
eff 09-29-2016
Stockholders/partners -- Not Officers
330 North Wabash Ave. 3700 Chicago, IL 60611
Master BG PROPCO, LLC
100% Master BG Propco, LLC & Parent
BG OPCO TRS, LLC eff 9-29-16
Stockholders/partners -- Not Officers
330 North Wabash Ave. 3700 Chicago, IL 60611
UPREIT BG CO, LLC
100% UPREIT BG CO, LLC
Stockholders/partners -- Not Officers
330 N. Wabash Ave. 3700 Chicago, IL 60611
BLUEGRASS RE HOLDINGS, LLC
19.37% TPG RE II Bluegrass Hold eff
09-29-2016
Stockholders/partners -- Not Officers
301 COMMERCE STREET 330 FORT WORTH, TX 76102
TPG Real Estate Partners II (E1), LP
100% BLUEGRASS RE HOLDINGS eff
09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II Bluegrass Holdings, LP
100% TPG Real Estate Partners II (E1),
LP
Stockholders/partners -- Not Officers
1001 Square-Victoria C-500 Montreal, QC H2Z 2B5
Cadim Holdings U.S., Inc.
19.92% TPG RE II Bluegrass Holdings,
LP eff 09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG Real Estate Partners II, LP
55.18% TPG RE Bluegrass Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II Bluegrass BL, LP
100% TPG RE II Bluegrass BL, LP eff
09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II Bluegrass BL, Inc.
38.57% TPG RE II Bluegrass BL, Inc. eff
09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II BDH (A), LP
100% TPG RE II BDH (A), LP eff
09-29-2016
Stockholders/partners -- Not Officers
301 Cmmerce Street 3300 Fort Worth, TX 76102
TPG Real Estate Partners II (A), LP
34.13% TPG Real Estate Partners II (A),
LP
Stockholders/partners -- Not Officers
No. 168 Zhuangjing Road, Xinyi Dist, Taipei City, TW 11049
Nan Shan Life Insurance Co., Ltd
61.43% TPG RE II Bluegrass BL, Inc.
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG Real Estate Partners II (B), LP
28.57% TGP Real Estate Partners II (B),
LP eff 09-29-2016
Stockholders/partners -- Not Officers
13 (Shincheon-dong), Olympioc-ro 35 da-gil, Seoul, KR
National Pension Service of The Republic of Korea
28.57 TPG Real Estate Partners II (B), LP
eff 09-29-2016
Stockholders/partners -- Not Officers
17F & 18F State Tower Namsan, !00 Toegye-ro Seoul, KR 100-052
Korea Investment Corporation
28.57% TPG Real Estate Partners II (B),
LP eff 09-29-2016
Stockholders/partners -- Not Officers
One Bush Street 1100 San Francisco, CA 94104
TxPac II, LLC
100% Midwest City BG OPCO, LLC
Stockholders/partners -- Not Officers
330 North Wasbash Ave. 3700 Chicago, IL 60611
Master Tenant (FNMA) BG OPCO, LLC
Page 17 of [email protected]
Owner NameFacilities Owned
100% Master Tenant (FNMA) BG OPCO,
LLC
Stockholders/partners -- Not Officers
330 North Wabash Ave 3700 Chicago, IL 60611
Parent BG OPCO TRS, LLC
Contracted Management Company eff
09-29-2016
Contracted Management
330 North Wabash Ave 3700 Chicago, IL 60611
Enlivant Management Co, LLC
29.13% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Aid, LP
10.04% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
P.O. Box 309 Cayman Islands,
TPG VI Delfir BDH-B, LP
9.72% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
PO. BOX 309 Grand Cayman, KY1-1104
TPG VI Delfir BDH-A, LP
100% TPG VI Defir BDH-A, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Delfir AIV I-A, LP
7.58% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
11 Madison Ave 16th Floor New York, NY 10010
Cerium Jambo Limited
100% TPG VI Delfir BDH-B, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Delfir AIV I-B, LP
9.37% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
P.O. Box 309 Ugland House Grand Caman, CI KY1-1104
TPG VI Delfir BDH-C, LP
100% TPG VI Delfir BDH-C L.P
Stockholders/partners -- Not Officers
301 Commerce Street Fort Worth, TX 76102
TPG VI Delfir AIV I-C, LP
49.86% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Delfir AIV II, LP
17.36% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG/NJ (RE) Partnership, LP
30.38% TPG Real Estate Partners II, LP
& 16.69% TPG VI AID Hold
Stockholders/partners -- Not Officers
DOL, PO Box 290 Trenton, NJ 08625
Common Pension Fund E
Authorized Signatory Officer for Midwest
City BG OPCO, LLC
Officer
330 Wabash Ave 3700 Chicago, IL 60611
Coleman Matthew
Authorized Signatory Officer for Enlivant
Management CO, LLC
Officer
330 Wabash Ave 3700 Chicago, IL 60611
Callison Jack
Authorized Signatory Officer for Enlivant
Management CO, LLC
Officer
330 North Wabash Ave 3700 Chicago, IL 60611
Tarsney Peter
Authorized Signatory Officer for Enlivant
Management CO, LLC
Officer
330 North Wabash Ave 3700 Chicago, IL 60611
Sharma Akhil
Authorized Signatory Officer for Enlivant
Management CO, LLC
Officer
330 N Wabash Ave 3700 Chicago, IL 60611
Guill Daniel
100% Envliant Manament Co eff
09-29-2016
Stockholders/partners -- Not Officers
330 North Wabash Ave 3700 Chicago, IL 60611
Enlivant Master MGMT CO, LLC
Page 18 of [email protected]
Owner NameFacilities Owned
OP eff 09-29-2016
Operating Entity
330 North Wabash Ave 3700 Chicago, IL 60611
Midwest City BG OPCO, LLC
100% Real Estate Company eff
09-29-2016
Lessor Or Real Estate Owner
330 N. Wabash Ave 3700 Chicago, IL 60611
Midwest City BG PROPCO, LLC
100% of Enlivant Master Mgmt CO, LLC
eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
Aid Holding II Management Services, LLC
80% of Aid Holdings II Management
Services eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
AID Holdings II, LLC
20% AID Holdings II Management
Services, LLC eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
Enlivant Management Holdings, LLC
100% AID Holdings II, LLC eff
01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI AID Holdings II Aggregation, LP
GP of TPG VI AID Holding II
Aggregation & Enlivant Holdings, LP
General Partner
301 Commerce Street 3300 Fort Worth, TX 76102
TPG Advisors VI, Inc.
Boley Residential Care Home #1 RC5401 222 North Maple Boley, OK 74829 918-667-3778
60% Pres Eff 1/29/2019
Stockholders/partners Who Are Officers
P.O. Box 295 Boley, OK 74829
Spears Yoko
Operating Entity
110 Leftwich Boley, OK 74829
Spears Management Company, Inc.
20% VP
Stockholders/partners Who Are Officers
P.O. Box 295 Boley, OK 74829
Boyce Ellenton Spears
20% VP
Stockholders/partners Who Are Officers
P.O. Box 295 Boley, OK 74829
Spears, Jr. Larry K.
Boley Residential Care Home #2 RC5405 102 East Seward Avenue Boley, OK 74829 918-667-3779
30% Pres.
Stockholders/partners Who Are Officers
P.O. Box 295 Boley, OK 74829
Spears, Sr. Larry
30% Sec.Treas.
Stockholders/partners Who Are Officers
P.O. Box 295 Boley, OK 74829
Spears Yoko
Operating Entity
110 Leftwich Boley, OK 74829
Spears Management Company, Inc.
20% Sec.Tre. Eff1/29/2019
Stockholders/partners Who Are Officers
P.O. Box 295 Boley, OK 74829
Boyce Ellenton Spears
20% VP
Stockholders/partners Who Are Officers
P.O. Box 295 Boley, OK 74829
Spears, Jr. Larry K.
Page 19 of [email protected]
Owner NameFacilities Owned
Bradford Village Healthcare Center CC5502 906 North Boulevard Edmond, OK 73034 405-341-0810
Manager of BV Operations, L.L.C.
Managing Member
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
100% of BKD Bradford Village, PropCo
eff 06/26/2014
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
Effective 03/01/2018
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
Manager of BV Operations L.L.C.
Managing Member
4350 Will Rogers Parkway 300 Okc, OK 73108
Diamond Mike
100% ARC Management & BDK
Bradford Village OPCo eff 06/26/2014
Stockholders/partners -- Not Officers
111 Westwood Place 200 Brentwood, TN 37027
American Retirement Corporation
ExecVP CAO RE, OP, MGMT, BSLC,
Inc, BSL, Inc, & ARC Eff 12-22-16
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
100% American Ret Corp & Brookdale
Living Comm eff 6/26/14
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
CEO/Pres RE, OP, MGMT, BSLC, Inc,
BSL, Inc, & ARC Eff 12-22-16
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
Senior VPRE,OP, MGMT,BSLC,Inc,
BSL,Inc,& ARCEff 12-22-16end32417
Officers Who Do Not Hold Stock
6737 W. Washington St 2300 Milwaukee, WI 53214
Krupp-Gordon Geri
99% of BV Operations, L.L.C.
Stockholders/partners -- Not Officers
4350 Will Rogers parkway 300 Oklahoma City, OK 73108
Kenneth D. Greiner, III Revocable Trust
COORE,OP,MGMT,
BSLC,Inc,BSL,Inc,& ARCEff
12-22-16end102417
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Diab Labeed
Senior VP RE, OP, MGMT, BSLC, Inc,
BSL, Inc, & ARC Eff 12-22-16
Officers Who Do Not Hold Stock
6737 W. Washington Street 2300 Milwaukee, WI 53214
Leskowicz Joanne
Non-Exec. Chairman of the Board for
BSL, Inc eff 12/22/16
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Decker Daniel
Effective 03/01/2018
Operating Entity
906 N. Boulevard Edmond, OK 73034
BV Operations, L.L.C.
Effective 03/01/2018
Lessor Or Real Estate Owner
4350 Will Rogers Parkway 300 OKC, OK 73108
Bradford Real Estate, LLC
Broken Arrow Assisted Living AL7262 2621 S. Elm Place Broken Arrow, OK 74012 918-451-9626
21.24% of Murfin, Inc. (CEO) eff
4/18/14
Stockholders/partners Who Are Officers
250 N WATER 300 IMA PLAZA WICHITA, KS 67203
Murfin David
Page 20 of [email protected]
Owner NameFacilities Owned
36% of OP eff 4/18/14
Stockholders/partners -- Not Officers
2900 Willowbridge Circle Austin, TX 78703
Meyer, Jr. John E.
60% of OP eff 4/18/14
Stockholders/partners -- Not Officers
250 North Water 300 Wichita, KS 67202
Murfin, Inc.
4% of OP eff 4/18/14
Stockholders/partners -- Not Officers
6800 South Granite Avenue Tulsa, OK 74136
Meyer, Sr. John E.
19.27% of Murfin, Inc. eff 4/18/14
Stockholders/partners -- Not Officers
250 North Water 300 Wichita, KS 67202
Murfin Murphy Barbara
23.47% of Murfin Inc eff 4/18/14
Stockholders/partners -- Not Officers
250 North Water 300 Wichita, KS 67202
Murfin Moxley Nancy
100% of the Real Estate & OP
04/18/2014
Operating Entity
2900 Willowbridge Circle Austin, TX 78703
Canoe Brook BA, LLC
66.42% of Oxford Management Group,
LLC
Stockholders/partners -- Not Officers
125 North Market 1230 Wichita, KS 67202
Austin Powers, LLC
16.76% of Oxford Management Group,
LLC Eff 01012016
Stockholders/partners -- Not Officers
125 N Market 1230 Wichita, KS 67202
Wiley Jason
Contracted Management Group, LLC Eff
01012017
Contracted Management
125 N. Market 1230 Wichita, KS 67202
Oxford Management Group LLC
16.79% of Oxford Management Group,
LLC
Stockholders/partners -- Not Officers
8902 W. Silver Hollow Wichita, KS 67205
JCD Shocker, LLC
Brookdale Ada AL6201 801 Stadium Drive Ada, OK 74820 414-918-5242
OP
Operating Entity
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
Lessor Or Real Estate Owner
31365 Oak Creek Dr. 200 Westlake Villag, CA 91361
LTC Properties, Inc. LTC Properties, Inc.
100% OP 2-2-17
Stockholders/partners Who Are Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Holdings, Inc.
Exec. VP Eff 2-1-16
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
100% of FEBC-ALT Investors LLC
2-2-17
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
100% FEBC-ALT Holdings, Inc. 2-2-17
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Investors LLC (FEBC-ALT Invest)
PResident and CEO Eff 2-2-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
Senior VP eff 2-2-17
Officers Who Do Not Hold Stock
6737 W. Washington St 2300 Milwaukee, WI 53214
Krupp-Gordon Geri
Page 21 of [email protected]
Owner NameFacilities Owned
Senior VP eff 2-13-17
Officers Who Do Not Hold Stock
6737 W. Washington Street 2300 Milwaukee, WI 53214
Leskowicz Joanne
VP & Authorized Rep OP Eff 2-2-17
Officers Who Do Not Hold Stock
6737 W. Washington St. 400 Milwaukee, WI 53214
Ulmer Betty
Exec Chairman BSL, Inc. eff 2-2-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Decker Daniel
Brookdale Bartlesville North AL7401 5420 Southeast Adams Blvd Bartlesville, OK 74006 918-333-9400
Operating Entity
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
Director for BSLC, Inc., FEBC-ALT Inv.
& Hldg, BSL, Inc.
Officers Who Do Not Hold Stock
131 S. Dearborn St. 2800 Chicago, MD 60603
Petty William T.
Lessor Or Real Estate Owner
One Sea Gate 1500 Toledo, OH 43604
Health Care Reit, Inc.
100% OP
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Holdings, Inc.
<1% stock, CEO BSLC, Inc., FEBC-ALT
Inv. & Hldg, BSL, Inc.
Stockholders/partners Who Are Officers
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
Exe. VP Corp Dev./ BSLC, Inc.,
FEBC-ALT Inv. & Hldg, BSL, Inc
Officers Who Do Not Hold Stock
111 Westwood Place 200 Brentwood, TN 37027
Kaestner H. Todd
Exe VP Corp. Dev./ BSLC, Inc.,
FEBC-ALT Inv. & Hldg, BSL, Inc.
Officers Who Do Not Hold Stock
111 Westwood Place 200 Brentwood, TN 37027
Hicks George T.
100% of FEBC-ALT Investors LLC
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
100% of FEBC-ALT Holdings, Inc.
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Investors LLC (FEBC-ALT Invest)
CEO
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
Assistant Sec. BSLC, Inc, FEBC-ALT
Inv. & Hldg, BSL, Inc.
Officers Who Do Not Hold Stock
6737 West Washington Street Milwaukee, WI 53214
Hoaglund Eric W.
SR. VP for CEO BSLC, Inc., FEBC-ALT
Inv. & Hldg, BSL, Inc.
Officers Who Do Not Hold Stock
6737 W. Washington St 2300 Milwaukee, WI 53214
Krupp-Gordon Geri
COO for BSLC, Inc., FEBC-ALT Inv. &
Hldg, BSL, Inc.
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Diab Labeed
Sr. VP for CEO BSLC, Inc., FEBC-ALT
Inv. & Hldg, BSL, Inc.
Officers Who Do Not Hold Stock
6737 W. Washington Street 2300 Milwaukee, WI 53214
Leskowicz Joanne
Officers Who Do Not Hold Stock Ulmer Betty
Page 22 of [email protected]
Owner NameFacilities Owned
VP for CEO BSLC, Inc., FEBC-ALT Inv.
& Hldg, BSL, Inc.6737 W. Washington St. 400 Milwaukee, WI 53214
Exe.VP Chief Pple Off. BSLC, Inc.
FEBC-ALT Inv. & Hldg BSL, Inc
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Patchett Mary Sue
Non-Exe COB/ BSLC, Inc., FEBC-ALT
Inv. & Hldg, BSL, Inc.
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Decker Daniel
Director of BSLC, Inc., FEBC-ALT Inv.
& Hldg, BSL, Inc.
Officers Who Do Not Hold Stock
2300 Charlotte Ave. 103 Nashville, TN 37203
Bumstead Frank
Director for BSLC, Inc., FEBC-ALT Inv.
& Hldg, BSL, Inc.
Officers Who Do Not Hold Stock
8 Seventh Street, NE Washington, DC 20002
Clegg Jackie
Director for BSLC, Inc., FEBC-ALT Inv.
& Hldg, BSL, Inc.
Officers Who Do Not Hold Stock
23 Inverness Court White Plains, NY 10605
Leeds Jeffery
Director for BSLC, Inc., FEBC-ALT Inv.
& Hldg, BSL, Inc.
Officers Who Do Not Hold Stock
2 N. Riverside Plaza 400 Chicago, IL 60606
Parrell Mark
Director for BSLC, Inc., FEBC-ALT Inv.
& Hldg, BSL, Inc.
Officers Who Do Not Hold Stock
18 Le Mans Court Prairie Village, KS 66208
Seward James
Director for BSLC, Inc., FEBC-ALT Inv.
& Hldg, BSL, Inc.
Officers Who Do Not Hold Stock
999 Executive Parkway 210 Creve Coeur, MO 63141
Wielanski Lee
Brookdale Bartlesville South AL7402 3737 Southeast Camelot Drive Bartlesville, OK 74005 918-331-9409
100% OP eff 1-31-17
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
Operating Entity
450 N. Sunnyslope Road 300 Brookfield, WI 53005
Assisted Living Properties, Inc.
100% BSL, inc. eff 1-31-17
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Holdings, Inc.
Exec. VP/Chief AO, Less than 1% -
effective 02/11/2013
Stockholders/partners Who Are Officers
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
100% GEBC-ALT Investors, LLC eff
1-31-17
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
100% of FEBC-ALT Holdings, Inc. eff
1-31-17
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Investors LLC (FEBC-ALT Invest)
CEO
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
Contracted Management
6737 W. Washington St. 2300 Milwaukee, WI 53214
Alterra Healthcare Corporation
Officers Who Do Not Hold Stock Hoaglund Eric W.
Page 23 of [email protected]
Owner NameFacilities Owned
Assistant Secretary Brookdale Senior
Living Communities, Inc.6737 West Washington Street Milwaukee, WI 53214
SR. VP BSLC, Inc., FEBC-ALT Inv. &
Hldg, BSL, Inc. eff 1-31-17
Officers Who Do Not Hold Stock
6737 W. Washington St 2300 Milwaukee, WI 53214
Krupp-Gordon Geri
VP for BSLC, Inc., FEBC-ALT Inv. &
Hldg, BSL, Inc. eff 1-31-17
Officers Who Do Not Hold Stock
6737 W. Washington St. 400 Milwaukee, WI 53214
Ulmer Betty
Brookdale Broken Arrow AL7204 4001 South Aspen Broken Arrow, OK 74011 918-451-1987
Operating Entity
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
100% OP
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Holdings, Inc.
Exec. VP/Chief Admn. Officer
Stockholders/partners Who Are Officers
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
100% of FEBC-ALT Investors LLC eff
1-19-17
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
100% of FEBC-ALT Holdings, Inc. eff
1-19-17
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Investors LLC (FEBC-ALT Invest)
CEO EFF 2/20/13
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
Assistant Secretary Brookdale Senior
Living Communities, Inc.
Officers Who Do Not Hold Stock
6737 West Washington Street Milwaukee, WI 53214
Hoaglund Eric W.
100% RE
Lessor Or Real Estate Owner
10350 Ormsby Park Place 300 Louisville, KY 40223
JER/NHP Senior Living Acquisition, LLC
CFO eff 1-19-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Baier Lucinda
Senior VP eff 1-19-17
Officers Who Do Not Hold Stock
6737 W. Washington Street 2300 Milwaukee, WI 53214
Leskowicz Joanne
Vice President and Authorized
Representative Eff 1-19-17
Officers Who Do Not Hold Stock
6737 W. Washington St. 400 Milwaukee, WI 53214
Ulmer Betty
Executive Chairman of the Board eff
1-19-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Decker Daniel
Brookdale Cedar Ridge AL7256 10107 South Garnett Road Broken Arrow, OK 74011 918-252-0590
Director BSL, Inc. eff 1-26-17
Officers Who Do Not Hold Stock
131 S. Dearborn St. 2800 Chicago, MD 60603
Petty William T.
Page 24 of [email protected]
Owner NameFacilities Owned
Exec VP BSL, Inc. eff 1-26-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
Exec VP BSL, Inc. eff 1-26-17
Officers Who Do Not Hold Stock
111 Westwood Place 200 Brentwood, TN 37027
Kaestner H. Todd
Exec VP BSL, Inc. eff 1-26-17
Officers Who Do Not Hold Stock
111 Westwood Place 200 Brentwood, TN 37027
Hicks George T.
100% OP
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
CEO
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
Eff 11/01/2010
Operating Entity
3131 Elliott Avenue 500 Seattle, OK 98121
Emeritus Corporation
Senior VP OP eff 1-26-17
Officers Who Do Not Hold Stock
6737 W. Washington St 2300 Milwaukee, WI 53214
Krupp-Gordon Geri
COO OP & BSL, Inc. eff 1-26-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Diab Labeed
CFO BSL. Inc. Eff 1-26-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Baier Lucinda
Senior VP OP
Officers Who Do Not Hold Stock
6737 W. Washington Street 2300 Milwaukee, WI 53214
Leskowicz Joanne
VP & Authorized Rep OP Eff 1-26-17
Officers Who Do Not Hold Stock
6737 W. Washington St. 400 Milwaukee, WI 53214
Ulmer Betty
Executive VP of BSL, Inc. 1-26-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwwod, TN 37027
Coco Cedric
Exec VP, BSL, inc. eff 1-26-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Patchett Mary Sue
Exec Chairman BSL, Inc. eff 1-26-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Decker Daniel
Director BSL, Inc. eff 1-26-17
Officers Who Do Not Hold Stock
2300 Charlotte Ave. 103 Nashville, TN 37203
Bumstead Frank
Director BSL, Inc. eff 1-26-17
Officers Who Do Not Hold Stock
8 Seventh Street, NE Washington, DC 20002
Clegg Jackie
Director BSL, Inc. eff 1-26-17
Officers Who Do Not Hold Stock
23 Inverness Court White Plains, NY 10605
Leeds Jeffery
Director BSL, Inc. eff 1-26-17
Officers Who Do Not Hold Stock
2 N. Riverside Plaza 400 Chicago, IL 60606
Parrell Mark
Director BSL, Inc. Eff 1-26-17
Officers Who Do Not Hold Stock
18 Le Mans Court Prairie Village, KS 66208
Seward James
Director BSL, Inc. eff 1-26-17
Officers Who Do Not Hold Stock
999 Executive Parkway 210 Creve Coeur, MO 63141
Wielanski Lee
Page 25 of [email protected]
Owner NameFacilities Owned
100% RE eff 03-29-2017
Lessor Or Real Estate Owner
345 Park Avenue, 42nd Floor New York, NY 10154
BRE Knight SH OK Owner, LLC
Brookdale Chickasha AL2601 801 Country Club Road Chickasha, OK 73018 405-224-8300
Operating Entity
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
Lessor Or Real Estate Owner
One Sea Gate 1500 Toledo, OH 43604
Health Care Reit, Inc.
100% Brookdale Seniro Living
Communities
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Holdings, Inc.
Executive VP Brookdale Senior Living
Communitites 02-2017
Stockholders/partners Who Are Officers
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
100% of FEBC-ALT Investors LLC
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
100% of FEBC-ALT Holdings, Inc.
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Investors LLC (FEBC-ALT Invest)
President and CEO
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
Senior VP Brookdale Senior Living
Communitites 02-2017
Officers Who Do Not Hold Stock
6737 W. Washington Street 2300 Milwaukee, WI 53214
Leskowicz Joanne
VP & Authorized Rep Brookdale Senior
Living Communitites 02-2017
Officers Who Do Not Hold Stock
6737 W. Washington St. 400 Milwaukee, WI 53214
Ulmer Betty
Brookdale Claremore AL6601 1605 North Highway 88 Claremore, OK 74017 918-343-3300
Operating Entity
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
Lessor Or Real Estate Owner
One Sea Gate 1500 Toledo, OH 43604
Health Care Reit, Inc.
100% OP eff 1-31-17
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Holdings, Inc.
Less than 1% stock
Stockholders/partners Who Are Officers
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
100% FEBC-ALT Investors LLC eff
1/31/17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
100% of FEBC-ALT Holdings, Inc. eff
1-31-17
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Investors LLC (FEBC-ALT Invest)
Page 26 of [email protected]
Owner NameFacilities Owned
Exec. V.P. / Secretary
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
Assistant Secretary Brookdale Senior
Living Communities, Inc.
Officers Who Do Not Hold Stock
6737 West Washington Street Milwaukee, WI 53214
Hoaglund Eric W.
Senior VP eff 1-31-17
Officers Who Do Not Hold Stock
6737 W. Washington St 2300 Milwaukee, WI 53214
Krupp-Gordon Geri
VP for BSLC, Inc., FEBC-ALT Inv. &
Hldg, BSL, Inc. eff 1-31-17
Officers Who Do Not Hold Stock
6737 W. Washington St. 400 Milwaukee, WI 53214
Ulmer Betty
Brookdale Durant AL0701 1500 North 19th Street Durant, OK 74701 580-931-0600
100% RE eff12/13/10
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
Lessor Or Real Estate Owner
31365 Oak Creek Dr. 200 Westlake Villag, CA 91361
LTC Properties, Inc. LTC Properties, Inc.
100% Brookdale Senior Living
Communitites eff 02-13-2017
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Holdings, Inc.
Executive VP Brookdale Senior Living
Communitites 02-2017
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
100% of FEBC-ALT Investors LLC &
100% Emeritus Corporation
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
100% of FEBC-ALT Holdings, Inc.
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Investors LLC (FEBC-ALT Invest)
President and CEO
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
Assistant Secretary Brookdale Senior
Living Communities, Inc.
Officers Who Do Not Hold Stock
6737 West Washington Street Milwaukee, WI 53214
Hoaglund Eric W.
Court Appointed Receiver
3131 Elliott Avenue 500 Seattle, OK 98121
Emeritus Corporation
Senior Vice President - Brookdale Senior
Living Communitites
Officers Who Do Not Hold Stock
6737 W. Washington Street 2300 Milwaukee, WI 53214
Leskowicz Joanne
Vice President & Authorized
Representative
Officers Who Do Not Hold Stock
6737 W. Washington St. 400 Milwaukee, WI 53214
Ulmer Betty
Brookdale Edmond Danforth AL5506 116 West Danforth Edmond, OK 73003 405-330-9100
100% of BKD Sterling House of Edmond,
LLC
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
Page 27 of [email protected]
Owner NameFacilities Owned
100% OP eff 2-6-17
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Holdings, Inc.
Exec. VP eff 2-6-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
100% of FEBC-ALT Investors LLC
2-6-17
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
100% of FEBC-ALT Holdings, Inc. eff
2-6-17
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Investors LLC (FEBC-ALT Invest)
CEO and president eff 2-6-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
Assistant Secretary Brookdale Senior
Living Communities, Inc.
Officers Who Do Not Hold Stock
6737 West Washington Street Milwaukee, WI 53214
Hoaglund Eric W.
OP eff 03-25-2019
Operating Entity
6737 W. Washingto St. 2300 Milwuukee, WI 53214
BKD Sterling House of Edmond, LLC
COO eff 2-6-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Diab Labeed
Chief Financial Officer BSL, Inc. eff
2-6-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Baier Lucinda
Senior VP eff 2-6-17
Officers Who Do Not Hold Stock
6737 W. Washington Street 2300 Milwaukee, WI 53214
Leskowicz Joanne
Exec. VP & Chief People Officer for
BSL, Inc eff 2-6-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwwod, TN 37027
Coco Cedric
Brookdale Edmond Santa Fe AL5508 1500 North Santa Fe Edmond, OK 73003 405-330-6600
Operating Entity
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
100% OP
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Holdings, Inc.
Exec VP eff 3-14-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
100% of FEBC-ALT Investors LLC
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
100% of FEBC-ALT Holdings, Inc.
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Investors LLC (FEBC-ALT Invest)
CEO/President eff 3-14-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
Assistant Secretary Brookdale Senior
Living Communities, Inc.
Officers Who Do Not Hold Stock
6737 West Washington Street Milwaukee, WI 53214
Hoaglund Eric W.
Page 28 of [email protected]
Owner NameFacilities Owned
CFO eff 3-14-07
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Diab Labeed
Senior VP eff 3-14-17
Officers Who Do Not Hold Stock
6737 W. Washington Street 2300 Milwaukee, WI 53214
Leskowicz Joanne
VP & Authorized Representative 3-14-17
Officers Who Do Not Hold Stock
6737 W. Washington St. 400 Milwaukee, WI 53214
Ulmer Betty
Brookdale Enid AL2401 4613 West Willow Road Enid, OK 73703 580-237-0700
100% BKD Sterling House of Enid, LLC
eff 03-25-2019
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
100% OP 2-13-17
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Holdings, Inc.
Exec. VP/Chief AO
Stockholders/partners Who Are Officers
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
100% of FEBC-ALT Investors LLC
2-13-17
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
100% of FEBC-ALT Holdings, Inc. eff
2-13-17
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Investors LLC (FEBC-ALT Invest)
CEO and President eff 2-13-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
Assistant Secretary Brookdale Senior
Living Communities, Inc.
Officers Who Do Not Hold Stock
6737 West Washington Street Milwaukee, WI 53214
Hoaglund Eric W.
OP/RE eff 03/25/18 -100%by Brookdale
Senior Living Comm.Inc
Operating Entity
111 Westwood Place 400 Brentwood, TN 37027
BKD Sterling House of Enid LLC
COO eff 2-13-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Diab Labeed
Manager of BKD Sterling House of Enid
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Baier Lucinda
Manager of BKD Sterling House of Enid
eff 03-25-2019
Officers Who Do Not Hold Stock
6737 W. Washington Street 2300 Milwaukee, WI 53214
Leskowicz Joanne
VP and authorized representative eff
2-13-17
Officers Who Do Not Hold Stock
6737 W. Washington St. 400 Milwaukee, WI 53214
Ulmer Betty
Manager of BKD Sterling House of Enid
eff 03/25/2019
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Patchett Mary Sue
Manager of Sterling House of Enid eff
03-25-2019
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
White Chad C.
Page 29 of [email protected]
Owner NameFacilities Owned
Brookdale Muskogee AL5101 3211 Chandler Road Muskogee, OK 74403 918-683-8388
Exec VP of OP and BSL, Inc. Eff 1-26-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
100 % OP eff 1-26-2017
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
CEO and President of OP and BSL, Inc.
eff 1-26-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
eff 8/5/2010 & 5.1% of BRE/SW
Portfolio LLC
Operating Entity
3131 Elliott Avenue 500 Seattle, OK 98121
Emeritus Corporation
eff 10/31/12
Lessor Or Real Estate Owner
3760 Kilroy Airport Way 300 Long Beach, CA 90806
HCP SH ELP2 Properties, LLC
Senior VP of OP Eff 1-26-17
Officers Who Do Not Hold Stock
6737 W. Washington Street 2300 Milwaukee, WI 53214
Leskowicz Joanne
VP & Authorized rep for OP eff 1-26-17
Officers Who Do Not Hold Stock
6737 W. Washington St. 400 Milwaukee, WI 53214
Ulmer Betty
Brookdale Norman AL1401 1701 East Alameda Norman, OK 73071 405-573-9200
100% RE eff12/13/10
Operating Entity
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
Lessor Or Real Estate Owner
One Sea Gate 1500 Toledo, OH 43604
Health Care Reit, Inc.
100% OP Eff 5/3/16
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Holdings, Inc.
Exec VP BSL, BSLC, FEBC-ALT
Inc/LLC Eff 5/3/16
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
100 of FEBC-ALT Investors LLC Eff
5/3/16
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
100% of FEBC-ALT Holdings, Inc. Eff
5/3/16
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Investors LLC (FEBC-ALT Invest)
VP Brookdale Senior Living
Communities, Inc.
Officers Who Do Not Hold Stock
6737 West Washington Street Milwaukee, WI 53214
Hoaglund Eric W.
COO BSL, BSLC, FEBC-ALT Inc/LLC
Eff 5/3/16
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Diab Labeed
Senior VP BSLC, FEBC-ALT Inc/LLC
Eff 5/3/16
Officers Who Do Not Hold Stock
6737 W. Washington Street 2300 Milwaukee, WI 53214
Leskowicz Joanne
Page 30 of [email protected]
Owner NameFacilities Owned
Brookdale Oklahoma City Southwest AL5510 10001 South May Avenue Oklahoma City, OK 73159 405-691-0409
Contracted Management
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
100% managmnt
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Holdings, Inc.
eff. 12/09/05
Operating Entity
6737 W. Washington St. Ste 2300 Milwaukee, WI 53214
KGC Operator, Inc.
100% of FEBC-ALT Investors LLC
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
100% of FEBC-ALT Holdings, Inc.
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Investors LLC (FEBC-ALT Invest)
eff. 10/24/07
Lessor Or Real Estate Owner
6737 West Washington Street 2300 Milwaukee, WI 53214
BKD Clare Bridge of Oklahoma City-SW, LLC
COO KGC O, Inc FEBC ALT H, Inc.,
FEBC-ALT I, LLC & BSLC, Inc.
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Diab Labeed
CEO & President
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Baier Lucinda
Senior VP KGC O, Inc., BSLC, Inc.,
FEBC-ALT, Inc. FEBC-ALT, LLC
Officers Who Do Not Hold Stock
6737 W. Washington Street 2300 Milwaukee, WI 53214
Leskowicz Joanne
Exec. VP
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Patchett Mary Sue
Exec. VP & Secretary
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
White Chad C.
Brookdale Owasso AL7207 12807 East 86th Place North Owasso, OK 74055 918/272-0202
Operating Entity
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
Lessor Or Real Estate Owner
One Sea Gate 1500 Toledo, OH 43604
Health Care Reit, Inc.
Exec. VP/Chief Admin. Officer
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
CEO
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
Brookdale Shawnee AL6301 3947 North Kickapoo Shawnee, OK 74804 405-275-7747
Page 31 of [email protected]
Owner NameFacilities Owned
Operating Entity
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
Lessor Or Real Estate Owner
One Sea Gate 1500 Toledo, OH 43604
Health Care Reit, Inc.
Executive VP & Chief Adm Officer eff
10/19/2011
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
CEO - 04/04/13
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
Brookdale Stillwater AL6001 1616 East McElroy Road Stillwater, OK 74075 405-624-1616
Operating Entity
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
Director of BSL, Inc eff 3-7-17
Officers Who Do Not Hold Stock
131 S. Dearborn St. 2800 Chicago, MD 60603
Petty William T.
Lessor Or Real Estate Owner
One Sea Gate 1500 Toledo, OH 43604
Health Care Reit, Inc.
less than 1% ended 3-7-17/Exec V.P.
started 3-7-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
Exec V.P. 3-7-17
Officers Who Do Not Hold Stock
111 Westwood Place 200 Brentwood, TN 37027
Kaestner H. Todd
Exec V.P. 3-7-17
Officers Who Do Not Hold Stock
111 Westwood Place 200 Brentwood, TN 37027
Hicks George T.
President and CEO-03-07-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
Senior VP Brookdale Senior Living
Communities,Inc. eff 3-7-17
Officers Who Do Not Hold Stock
6737 W. Washington St 2300 Milwaukee, WI 53214
Krupp-Gordon Geri
Chief Operating Officer 3-7-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Diab Labeed
Chief Financial Officer 3-7-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Baier Lucinda
Senior VP Brookdale Senior Living
Communities,Inc. eff 3-7-17
Officers Who Do Not Hold Stock
6737 W. Washington Street 2300 Milwaukee, WI 53214
Leskowicz Joanne
Senior VP Brookdale Senior Living
Communities,Inc. eff 3-7-17
Officers Who Do Not Hold Stock
6737 W. Washington St. 400 Milwaukee, WI 53214
Ulmer Betty
Exec V.P. 3-7-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwwod, TN 37027
Coco Cedric
Exec V.P. 3-7-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Patchett Mary Sue
Page 32 of [email protected]
Owner NameFacilities Owned
Exec Chairman of Board 3-7-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Decker Daniel
Director of BSL, Inc eff 3-7-17
Officers Who Do Not Hold Stock
2300 Charlotte Ave. 103 Nashville, TN 37203
Bumstead Frank
Director of BSL, Inc eff 3-7-17
Officers Who Do Not Hold Stock
8 Seventh Street, NE Washington, DC 20002
Clegg Jackie
Director of BSL, Inc eff 3-7-17
Officers Who Do Not Hold Stock
23 Inverness Court White Plains, NY 10605
Leeds Jeffery
Director of BSL, Inc eff 3-7-17
Officers Who Do Not Hold Stock
2 N. Riverside Plaza 400 Chicago, IL 60606
Parrell Mark
Director of BSL, Inc eff 3-7-17
Officers Who Do Not Hold Stock
18 Le Mans Court Prairie Village, KS 66208
Seward James
Director of BSL, Inc eff 3-7-17
Officers Who Do Not Hold Stock
999 Executive Parkway 210 Creve Coeur, MO 63141
Wielanski Lee
Brookdale Tahlequah Heritage AL1101 1380 N. Heritage Lane Tahlequah, OK 74464 918-456-7117
Managing Member
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
Dir. of BSL, Inc.
Officers Who Do Not Hold Stock
131 S. Dearborn St. 2800 Chicago, MD 60603
Petty William T.
Exec VP of Emeritus Corporation &
Brookdale SL, Inc.
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
Exe. VP for BSL, Inc.
Officers Who Do Not Hold Stock
111 Westwood Place 200 Brentwood, TN 37027
Kaestner H. Todd
Exe. VP for BSL, Inc.
Officers Who Do Not Hold Stock
111 Westwood Place 200 Brentwood, TN 37027
Hicks George T.
100% owner of Emeritus Corporation
4-21-16
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
eff 08-06-10 & 5.1% of BRE/SW
Portfolio LLC
Operating Entity
3131 Elliott Avenue 500 Seattle, OK 98121
Emeritus Corporation
eff. 10-31-12
Lessor Or Real Estate Owner
3760 Kilroy Airport Way 300 Long Beach, CA 90806
HCP SH ELPI Properties, LLC
Senior VP of RE Eff 4/21/16
Officers Who Do Not Hold Stock
1900 Main Street 1200 Irvine, OK 92614
Mohr Larry
Executive VP of RE Eff 4/21/16
Officers Who Do Not Hold Stock
1920 Main Street 1200 Irvine, CA 92614
Young Kendall
COO Emeritus Corporation & Brookdale
SL, INC.
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Diab Labeed
Page 33 of [email protected]
Owner NameFacilities Owned
CFO Emeritus Corporation & Brookdale
SL, Inc. eff 4/21/16
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Baier Lucinda
Senior VP Emeritus Corporation &
Brookdale SL, Inc. Eff 4/21/16
Officers Who Do Not Hold Stock
6737 W. Washington Street 2300 Milwaukee, WI 53214
Leskowicz Joanne
Executive VP of RE eff 4/21/16
Officers Who Do Not Hold Stock
1920 Main Street 1200 Irvine, CA 92614
Hutchens J. Justin
Executive VP of RE Eff 4/21/16
Officers Who Do Not Hold Stock
1920 Main Street 1200 Irvine, CA 92614
Kowalske Darren
Exe. VP for BSL, Inc.
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwwod, TN 37027
Coco Cedric
Exe. VP for BSL, Inc
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Patchett Mary Sue
Exe. Chairman of Board for BSL, Inc.
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Decker Daniel
Dir. of BSL, Inc.
Officers Who Do Not Hold Stock
2300 Charlotte Ave. 103 Nashville, TN 37203
Bumstead Frank
Dir. of BSL, Inc.
Officers Who Do Not Hold Stock
8 Seventh Street, NE Washington, DC 20002
Clegg Jackie
Dir. of BSL, Inc.
Officers Who Do Not Hold Stock
23 Inverness Court White Plains, NY 10605
Leeds Jeffery
Dir. of BSL, Inc.
Officers Who Do Not Hold Stock
2 N. Riverside Plaza 400 Chicago, IL 60606
Parrell Mark
Dir. of BSL, Inc.
Officers Who Do Not Hold Stock
18 Le Mans Court Prairie Village, KS 66208
Seward James
Dir. of BSL, Inc.
Officers Who Do Not Hold Stock
999 Executive Parkway 210 Creve Coeur, MO 63141
Wielanski Lee
Brookdale Tulsa 71st and Sheridan AL7206 6022 East 71st Street Tulsa, OK 74136 918-494-4011
Name change Eff 11/20/2010
Operating Entity
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
Director of BSL, Inc.
Officers Who Do Not Hold Stock
131 S. Dearborn St. 2800 Chicago, MD 60603
Petty William T.
100% OP
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Holdings, Inc.
owns less than 1%
Officer
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
Exec. VP & Corp. Dev. for BSL, Inc
Officers Who Do Not Hold Stock
111 Westwood Place 200 Brentwood, TN 37027
Kaestner H. Todd
Page 34 of [email protected]
Owner NameFacilities Owned
Exec. VP Corp. Dev. for BSL, Inc
Officers Who Do Not Hold Stock
111 Westwood Place 200 Brentwood, TN 37027
Hicks George T.
100% of FEBC-ALT Investors LLC
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
100% of FEBC-ALT Holdings, Inc.
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Investors LLC (FEBC-ALT Invest)
CEO/Pres. BSLC,Inc BSL, Inc.
FEBC-ALT Hldg, FEBC-ALT Invest
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
Ass. Sec, BSLC, Inc, FEBC-ALT Hldg,
FEBC-ALT Invest.
Officers Who Do Not Hold Stock
6737 West Washington Street Milwaukee, WI 53214
Hoaglund Eric W.
Ass. Sec, BSLC, Inc, FEBC-ALT Hldg,
FEBC-ALT Invest.
Officers Who Do Not Hold Stock
6737 West Washington Street Milwaukee, WI 53214
Hoaglund Eric W.
Lessor Or Real Estate Owner
22917 Pacific Coast Hwy 350 Malibu, CA 90265
LTC-K2 Limited Partnership
CFO for BSL, Inc.
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Baier Lucinda
Senior VP, BSLC, Inc, FEBC-ALT Hldg,
FEBC-ALT Invest. Dir. BSL,
Officers Who Do Not Hold Stock
6737 W. Washington Street 2300 Milwaukee, WI 53214
Leskowicz Joanne
VP, BSLC, Inc, FEBC-ALT Hldg,
FEBC-ALT Invest.
Officers Who Do Not Hold Stock
6737 W. Washington St. 400 Milwaukee, WI 53214
Ulmer Betty
Exec. VP & Chief People Officer for
BSL, Inc
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwwod, TN 37027
Coco Cedric
Exec. VP Community & Fields Ops. for
BSL, Inc
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Patchett Mary Sue
Non-Exec. Chairman of the Board for
BSL, Inc
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Decker Daniel
Director of BSL, Inc
Officers Who Do Not Hold Stock
2300 Charlotte Ave. 103 Nashville, TN 37203
Bumstead Frank
Director for BSL, Inc
Officers Who Do Not Hold Stock
8 Seventh Street, NE Washington, DC 20002
Clegg Jackie
Director for BSL, Inc
Officers Who Do Not Hold Stock
23 Inverness Court White Plains, NY 10605
Leeds Jeffery
Director for BSL, Inc
Officers Who Do Not Hold Stock
2 N. Riverside Plaza 400 Chicago, IL 60606
Parrell Mark
Director of BSL, Inc.
Officers Who Do Not Hold Stock
18 Le Mans Court Prairie Village, KS 66208
Seward James
Director of BSL, Inc.
Officers Who Do Not Hold Stock
999 Executive Parkway 210 Creve Coeur, MO 63141
Wielanski Lee
Page 35 of [email protected]
Owner NameFacilities Owned
Brookdale Tulsa Midtown AL7216 5211 South Lewis Avenue Tulsa, OK 74105 918-743-2700
Managing Member
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
AO
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
fka CNL Retirement MA2 Oklahoma, LP
Eff 10/01/2010
Lessor Or Real Estate Owner
450 South Orange Avenue Orlando, FL 32803
HCP MA2 Oklahoma, LP
CEO
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
Eff 11/01/2010
Operating Entity
3131 Elliott Avenue 500 Seattle, OK 98121
Emeritus Corporation
Senior VP Emeritus Corporation &
Brookdale SL, Inc.
Officers Who Do Not Hold Stock
6737 W. Washington St 2300 Milwaukee, WI 53214
Krupp-Gordon Geri
COO Emeritus Corporation & Brookdale
SL, INC.
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Diab Labeed
CFO Emeritus Corporation & Brookdale
SL, Inc. eff 4/21/16
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Baier Lucinda
Senior VP Emeritus Corporation &
Brookdale SL, Inc. Eff 4/21/16
Officers Who Do Not Hold Stock
6737 W. Washington Street 2300 Milwaukee, WI 53214
Leskowicz Joanne
Brookdale Tulsa South AL7205 8231 South Mingo Road Tulsa, OK 74133 918-461-1100
Operating Entity
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
100% OP
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Holdings, Inc.
Executive VP Brookdale Senior Living
Communitites 02-2017
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
100% of FEBC-ALT Investors LLC
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
100% of FEBC-ALT Holdings, Inc.
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Investors LLC (FEBC-ALT Invest)
President & CEO of Brookdale Senior
Living Communities
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
Assistant Secretary Brookdale Senior
Living Communities, Inc.
Officers Who Do Not Hold Stock
6737 West Washington Street Milwaukee, WI 53214
Hoaglund Eric W.
Page 36 of [email protected]
Owner NameFacilities Owned
Lessor Or Real Estate Owner
22917 Pacific Coast Hwy 350 Malibu, CA 90265
LTC-K2 Limited Partnership
Senior Vice President Brookdale Senior
Living Communities
Officers Who Do Not Hold Stock
6737 W. Washington Street 2300 Milwaukee, WI 53214
Leskowicz Joanne
Vice President and Authorized
Representative
Officers Who Do Not Hold Stock
6737 W. Washington St. 400 Milwaukee, WI 53214
Ulmer Betty
Brookdale Village AL5519 2333 Manchester Drive Oklahoma City, OK 73120 405-751-8430
Managing Member
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
Exec VP Director-MGMT CO eff
8-29-2014
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
100% Emeritus Coprotaiton eff 5-2-217
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
CEO-Director Management Co eff
8-29-2014CEO
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
100% BKD Ridea OpCo HJoldCo
Member, LLC eff 5-22-17
Stockholders/partners -- Not Officers
3131 Elliott Avenue 500 Seattle, OK 98121
Emeritus Corporation
100% HCP S-H 2014 Member, LLC Eff
5-22-2017
Stockholders/partners -- Not Officers
1920 Main St. 1200 Irvine, CA 92614
HCP, Inc.
eff 8-29-2014
Contracted Management
6737 W Washington Street 2300 Milwaukee, WI 53214
BKD Twenty-One Management Company, Inc.
100% OP eff 5-22-17
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
S-H Forty-Nine OpCo Ventures, LLC
ExecVP - OP and RE eff 8-29-2014
Officers Who Do Not Hold Stock
1920 Main Street 1200 Irvine, CA 92614
Young Kendall
eff 8-29-14
Operating Entity
1920 Main Street 1200 Irvine, CA 92614
S-H OpCo Village, LLC
CFO Emeritus Corporation & Brookdale
SL, Inc.
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Baier Lucinda
Assistant Corporate Secretary, 3/24/2017
Officers Who Do Not Hold Stock
6737 W. Washington Street 2300 Milwaukee, WI 53214
Leskowicz Joanne
Executive VP of RE eff 4/21/16
Officers Who Do Not Hold Stock
1920 Main Street 1200 Irvine, CA 92614
Hutchens J. Justin
Exe. VP for BSL, Inc.
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwwod, TN 37027
Coco Cedric
Dir. of BSL, Inc.
Officers Who Do Not Hold Stock
2300 Charlotte Ave. 103 Nashville, TN 37203
Bumstead Frank
Page 37 of [email protected]
Owner NameFacilities Owned
100% RE (PropCo Village) Eff 5-22-2017
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
S-H Forty-Nine Properties, LLC
100% SH Forty-Nine Properties, LLC
Eff 5-22-2017
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
S-H Forty-Nine PropCo Ventures, LLC
90% S-H Forty-Nine PropCo Ventures,
LLC eff 5-22-2017
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
HCP PropCo Ventures VI, LLC
10% S-H Forty-Nine PropCo Ventures,
LLC Eff 5-22-2017
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
BKD RIDEA PropCo HoldCo Member, LLC
44.5%HCP PropCo Ventures VI, LLC
100% S-H 2014OpCoTRS 5-22-17
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
HCP S-H 2014 Member, LLC
100% S-H 2014OpCoTRS
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
HCP S-H 2014 Member, LLC
55.4667% HCP PropCo Ventures VI,
LLC eff 5-22-2017
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
CP RIDEA 49 Propco, LLC
100% CP Ridea 49 Propco, LLC Eff
5-22-2017
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
SHP REIT I, LLC
100% SHP REIT I TRS, LLC eff
5-22-2017
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
SHP REIT I, LLC
100% SHP REIT I, LLC & SHP REIT I
Manager Eff 5-22-2017
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
Columbia Pacific 2016 Acquisition, II, L.P
General Partner of Columbia Pacific 2016
eff 5-22-2017
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
CP 2016 Aquisitiion II GP, LLC
non-member manager of SHP REIT I,
LLC eff 5-22-2017
Manager
1920 Main Street 1200 Irvine, CA 92614
SHP REIT I Manager, LLC
10% S-H Forty-Nine OpCo Ventures,
LLC eff 5-22-17
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
BKD RIDEA OpCo HoldCo Member, LLC
90% S-H Forty-Nine OpCo Ventures,
LLC eff 5-22-17
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
HCP OpCo Ventures VI, LLC
44.5333% HCP, OpCo Ventures VI, LLC
eff 5-22-2017
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
S-H 2014 OpCo TRS, Inc
55.46% HCP, OpCo Ventures VI, LLC
Stockholders/partners -- Not Officers
13320 Main Street 1200 Irvine, CA 92614
CP RIDEA 49 OpCo
100% CP RIDEA 49 OpCo eff 5-22-2017
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
SHP REIT I TRS, LLC
Exec VP and Secretary OP 8-1-16
Officers Who Do Not Hold Stock
1920 Main Street 1200 Irvine, CA 92614
Lung Hsiao Kai
Real Estate Eff 5-22-2017
Lessor Or Real Estate Owner
1920 Main Street 1200 Irvine, CA 92614
S-H Forty-Nine PropCo Village, LLC
Page 38 of [email protected]
Owner NameFacilities Owned
Senior VP, General Counsel, Secretary
Eff 3-24-2017
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
White Chad C.
Brookdale Weatherford AL2001 800 Gartrell Place Weatherford, OK 73096 580-772-6600
Operating Entity
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living Communities, Inc.
Lessor Or Real Estate Owner
31365 Oak Creek Dr. 200 Westlake Villag, CA 91361
LTC Properties, Inc. LTC Properties, Inc.
CEO/real estate
Officers Who Do Not Hold Stock
300 Esplanade Drive 1860 Oxnard, CA
LTC Properties, Inc. Dimitriadis Andre C.
100% Brookdale Senior Living
Communities
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Holdings, Inc.
COO Brookdale Senior Living
Communitites 02-2017
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
100% of FEBC-ALT Investors LLC
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
100% of FEBC-ALT Holdings, Inc.
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Investors LLC (FEBC-ALT Invest)
President and CEO
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
Assistant Secretary Brookdale Senior
Living Communities, Inc.
Officers Who Do Not Hold Stock
6737 West Washington Street Milwaukee, WI 53214
Hoaglund Eric W.
Senior VP Brookdale Senior Living
Communities eff 02-2017
Officers Who Do Not Hold Stock
6737 W. Washington Street 2300 Milwaukee, WI 53214
Leskowicz Joanne
Vice President & Authorized
Representative Brookdale SL
Officers Who Do Not Hold Stock
6737 W. Washington St. 400 Milwaukee, WI 53214
Ulmer Betty
Brookridge Retirement Community AL1604 7802 Quanah Parker Trailway Lawton, OK 73505 580-536-9700
50
Stockholders/partners Who Are Officers
208 Mockingbird Lawton, OK 73507
Gill II George
50
Stockholders/partners Who Are Officers
2607 NW Stonehill Drive Lawton, OK 73505
Ghosn Sam
Operating Entity
7802 Quanah Parkder Trailway Lawton, OK 73505
BrookRidge, Inc.
Canoe Brook Ardmore AL1003 2215 4th Avenue NW Ardmore, OK 73401 580-226-3337
Page 39 of [email protected]
Owner NameFacilities Owned
24.24% of Murfin, Inc
Stockholders/partners -- Not Officers
250 N WATER 300 IMA PLAZA WICHITA, KS 67203
Murfin David
OP eff 04/15/2015
Operating Entity
2900 Willowbridge Circle Austin, TX 78703
Canoe Brook Ardmore, LLC
36% of Canoe Brook Ardmore, LLC
Stockholders/partners -- Not Officers
2900 Willowbridge Circle Austin, TX 78703
Meyer, Jr. John E.
60% Canoe Brook Ardmore, LLC eff
04/15/2015
Stockholders/partners -- Not Officers
250 North Water 300 Wichita, KS 67202
Murfin, Inc.
OP eff 04/15/2015
Stockholders/partners -- Not Officers
6800 South Granite Avenue Tulsa, OK 74136
Meyer, Sr. John E.
19.27 of Murfin, Inc eff 04/16/2015
Stockholders/partners -- Not Officers
250 North Water 300 Wichita, KS 67202
Murfin Murphy Barbara
23.47% of Murfin, Inc eff 04/16/2015
Stockholders/partners -- Not Officers
250 North Water 300 Wichita, KS 67202
Murfin Moxley Nancy
66.42% of Oxford Management Group,
LLC
Stockholders/partners -- Not Officers
125 North Market 1230 Wichita, KS 67202
Austin Powers, LLC
16.79% of Oxford Management Group,
LLC Eff 01012017
Stockholders/partners -- Not Officers
125 N Market 1230 Wichita, KS 67202
Wiley Jason
Contract Management eff 01/01/2017
Contracted Management
125 N. Market 1230 Wichita, KS 67202
Oxford Management Group LLC
16.79% of Oxford Management Group,
LLC
Stockholders/partners -- Not Officers
8902 W. Silver Hollow Wichita, KS 67205
JCD Shocker, LLC
Carriage House Homes AL0908 11012 Coachman Road Yukon, OK 73099 405 301-0989
Operating Entity
11012 Coachman Rd Yukon, ok 73099
Carriage House Homes, LLC
100% Carriage House Homes, LLC
Stockholders/partners -- Not Officers
3100 NE Apache Piedmont, OK
Crawford Angela
Cherokee Elder Care DC1101 1387 West 4th Street Tahlequah, OK 74464 918-453-5554
Operating Entity
1387 West 4th Street Tahlequah, OK 74464
Cherokee Nation Comprehensive Care Agency
Chairman eff 12-2013 secretary/treasurer
eff 05-2012-12-2013
Officers Who Do Not Hold Stock
25291 East Rosewood Broken Arrow, OK 74014
Dibble Janie
Secretary eff 12-2013
Officers Who Do Not Hold Stock
1230 West Dupoint Claremore, OK 74017
Tadpole Elmer
Page 40 of [email protected]
Owner NameFacilities Owned
Broad Member eff 12-2013 end 2019
Interim Program Director
Officer
20307 East Allen Rd Tahlequah, OK 74464
Davis Connie
Vice Chairman eff 2019
Officer
1387 West 4th Street Tahlequah, OK 74464
Hathcoat Sandie
Board Member
Officer
1387 West 4th Street Tahlequah, OK 74464
Rogers Valerie
Treasurer eff 2019
Officer
1387 West 4th Street Tahlequah, OK 74464
Gernandt Wilfred
Chisholm Trail Assisted Living AL6903 625 Chisholm Trail Parkway Duncan, OK 73533 580-470-8700
Operating Entity
625 Chisholm Trail Pkwy Duncan, OK 73533
Chisholm Trail Retirement Community, Inc.
100%
Stockholders/partners Who Are Officers
3615 Camelback Rd Duncan, OK 73533
Cox Dustin
333 S. Broadway Wichita, KS 67202
Omega Senior Living
Christian Home RC2002 1524 Steiner Weatherford, OK 73096 580-772-2794
Operating Entity
1524 Steiner Weatherford, OK 73096
Gary L. And Nina Smith
Comfort Assisted Living Home AL7237 12403 E. 33rd Court Tulsa, OK 74146 918-664-2688
50%
Stockholders/partners -- Not Officers
12403 E. 33rd Ct. Tulsa, OK 74146
Onyema Susan
50%
Stockholders/partners -- Not Officers
12403 E. 33rd Court Tulsa, OK 74146
Onyema George
100%
Operating Entity
12403 E. 33rd Court Tulsa, OK 71416
Comfort Care Services, Inc.
Comprehensive Community Rehab Services AL AL7219 10018 East 29th Street Tulsa, OK 74129 918-488-6165
eff. 03/25/13
Operating Entity
7146 S. Braden Ave. 500 Tulsa, OK 74136
Comprehensive Community Rehabilitation Services, Inc.
CEO, 66 2/3 % of OP, eff. 3/25/13
Stockholders/partners Who Are Officers
7146 S. Braden Ave. 500 Tulsa, OK 74136
Shaw Terry
Page 41 of [email protected]
Owner NameFacilities Owned
coo, 33 1/3 % of OP, eff. 3-25-13
Stockholders/partners Who Are Officers
7146 S. Braden Ave. 500 Tulsa, OK 74136
Friedman Michael
Copps Residential Care, Inc. RC6601 14092 East 500 Road Claremore, OK 74019 918-341-2543
Operating Entity
Rt. 7, Box 138 Claremore, OK 74017
Copp's Residential Care, Inc.
50% President
Stockholders/partners Who Are Officers
14092 E. 500 Rd. Claremore, OK 74017
Copp Jerry
50% Sec. Treas.
Stockholders/partners Who Are Officers
14092 E. 500 Rd Claremore, OK 74019
Copp Tracy
Country Club at Woodland Hills RC7208 6333 South 91st East Avenue Tulsa, OK 74133 918-252-5451
100% NHI-REITof CCWH, LLC, eff
12/01/2017
Stockholders/partners Who Are Officers
222 Robert Rose Dr. Murfreesboro, TN 37129
National Health Investors, Inc.
Eff, 12/01/2017
Lessor Or Real Estate Owner
222 Robert Rose Dr. Murfreesboro, TN 37129
NHI-REIT of CCWH, LLC
OP, eff 12/01/2017
Operating Entity
27599 Riverview Center Blvd #201 Bonita Springs, FL 34134
Discovery Woodlands Leasing LLC
Eff 12/01/2017
Contracted Management
27599 Riverview Center Blvd #201 Bonita Springs, FL 34134
American Trust Senior Care LLC
47.94% OP, eff 12/01/2017
Stockholders/partners -- Not Officers
46 S Reynolds RD Winslow, ME 04901
HF Winslow XVIII LLC
20.50% OP eff 12/01/2017
Stockholders/partners -- Not Officers
12530 Seminole Beach Rd North Palm Beac, FL 34110
Al Hoffman 95 Trust
25.56% OP, eff 12/01/2017
Stockholders/partners -- Not Officers
12530 Seminole Beach Rd North Palm Beac, FL 34110
Al Hoffman GST Trust
64.66% American Trust Senior Care LLC.
eff 12/01/2017
Managing Member
27599 Riverview Center Blvd Bonita Springs, FL 34134
DSL Investors LLC
32.33% American Trust Senior Care LLC,
eff 12/01/17
Member
One Town Center Rd Boca Raton, FL 33486
Kayne Anderson Senior Housing LLC
2% OP & CFO, eff 12/01/2017
Stockholders/partners Who Are Officers
6205 Tower Rd Land O Lakes, L 34638
Costello Thomas
2% OP & COO, eff 12/01/2017
Stockholders/partners Who Are Officers
4820 Lasqueti Way Naples, FL 34119
Smith Randy
Country Gardens Assisted Living Community AL5103 611 South Country Club Road Muskogee, OK 74403 918-686-8100
Page 42 of [email protected]
Owner NameFacilities Owned
sole member of Tutera Investments,
L.L.C.
Stockholders/partners -- Not Officers
7611 Stateline Rd. 301 Kansas City, KS 64114
Tutera Joseph C.
eff. 10-01-08
Lessor Or Real Estate Owner
7611 State Line Road 301 Kansas City, MO 64114
TI-Country Gardens, L.L.C.
100% member of RE/OP
Stockholders/partners -- Not Officers
7611 State Line Road 301 Kansas City, MO 64114
Tutera Investments, L.L.C.
eff. 01/12/09
Operating Entity
7611 State Line Road 301 Kansas City, MO 64114
Country Gardens Assisted Living Facility (Muskogee, OK), L.L.C.
Power of Attorney 05/27/16-06/15/20167611 Stateline Rd. Kansas City, KS 64114
Birk Scott
Countrywood Assisted Living and Memory Care AL3701 1604 South 13th Street Kingfisher, OK 73750 405-375-5232
eff 3/1/2015
Lessor Or Real Estate Owner
2 Bethesda Metro Center 1300 Bethesda, MD 20814
WC - Countrywood, LLC
SLN Mgr. West, LLC & SLMgmt.
Holdings, LLC eff 11/1/14
Officers Who Do Not Hold Stock
303 E. Wacker Drive 2400 Chicago, IL 60601
DeLuca Jon A.
SLN Mgr. West, LLC & SLMgmt.
Holdings, LLC eff 11/1/14
Manager
303 E. Wacker Dr. 2400 Chicago, IL 60601
Kaplan William B.
SLN Mgr. West, LLC & SLMgmt.
Holdings, LLC eff 11/1/14
Manager
303 E. Wacker Dr. 2400 Chicago, IL 60601
Frumm Jerrold H.
SLN Mgr. West, LLC & Secretary
WC-Countrywood OPS, LLC
Officers Who Do Not Hold Stock
303 E. Wacker Dr. 2400 Chicago, IL 60601
Levy Stephen J.
66% Member of Senior Lifestyle Holding
Company, LLC eff 11/1/14
Stockholders/partners -- Not Officers
303 East Wacker Drive 2400 Chicago, IL 60601
K&K Lifestyle Associates, LLC
100% Healthcare Holdings-T, LLC
Stockholders/partners -- Not Officers
2 Bethesda Metro Center 1300 Bethesda, MD 20814
NorthStar Realty Healthcare, LLC (NRH, LLC)
100% NorthStar Realty Healthcare, LLC
Stockholders/partners -- Not Officers
399 Park Ave New York, NY 10022
NRFC Healthcare Holding Company, LLC
100% of NRFC Limited Partner eff
8/2016
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, NY 10022
NorthStar Realty Finance Corp (NRF, Corp)-publicly traded
Chairman/CEO NRF, Corp eff
03-01-2015
Stockholders/partners Who Are Officers
399 Park Avenue 18th Floor New York City, NY 10022
Hamamoto David
eff 3/1/2015
Contracted Management
303 East Wacker Dr. 2400 Chicago, IL 60601
SLN Manager West, LLC
100% Mbr. of SLN Manager West, LLC
eff 11/1/14
Stockholders/partners -- Not Officers
303 E. Wacker Drive 2400 Chicago, IL 60601
Senior Lifestyle Management Holdings, LLC
Page 43 of [email protected]
Owner NameFacilities Owned
100% Mbr. of Senior Lifestyle Mgmt.
Holdings, LLC eff 11/1/14
Stockholders/partners -- Not Officers
303 E. Wacker Drive 2400 Chicago, IL 60601
Senior Lifestyle Holding Company, LLC
13% Senior Lifestyle Holding Company,
LLC
Stockholders/partners -- Not Officers
Attn: John Heuberger, 203 W. LaSalle Street 1900 Chicago, IL 60601
WBK 2012 Trust U/A/D 12/14/2012
13% Senior Lifestyle Holding Company,
LLC
Stockholders/partners -- Not Officers
1220 Astor St. Chicago, IL 60610
JBMK Limited Partnership
12% Senior Lifestyles Holding
Companay, LLC
Stockholders/partners -- Not Officers
1220 Astor St. Chicago, IL 60610
JBK Trust dated 11/20/2012
100% of WC-Countrywood, LLC
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, NY 10022
HC-SLC Owner JV, LLC
98% HC-SLC Owner JV, LLC &
Healthcare CAM2-T, LLC
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, NY 10022
Healthcare Holdings-T, LLC
Director of Northstar Finance Corp
Officers Who Do Not Hold Stock
399 Park Avenue, 18th Floor New York City, NY 10022
Hannaway Judith
100% of WC-Countrywood OPS, LLC
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, NY 10022
HC-SLC Operator JV, LLC
100% HC-SLC Operator, JV, LLC
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, OK 10022
Healthcare CAM2-T, LLC
4% Senior Lifestyle Holding Company,
LLC
Stockholders/partners -- Not Officers
303 East Wacker Drive 2400 Chicago, IL 60601
North Mohawk, LP
OP eff 3/1/2015
Operating Entity
303 East Warker Drive 2400 Chicago, IL 60601
WC - Countrywood OPS, LLC
Covenant Living of Bixby AL7264 7300 East 121st Place, South Bixby, OK 74008 918 970-4433
Vice President of CPT and CRC eff
03-23-2017
Officers Who Do Not Hold Stock
5700 Old Orchard Rd. 100 Skokie, IL 60077
Erickson David
President & CEO of CPT and CRC eff
03-23-2017
Officers Who Do Not Hold Stock
5700 Old Orchard Rd Skokie, Il 60077
Cunliffe Terri S.
Assistant Secretary
Officers Who Do Not Hold Stock
5700 Old Orchard Road Skokie, IL 60077
Carlson Peter K.
Contracted Mangement Co eff
03-23-2017
Contracted Management
5700 Old Orchard Road 100 Skokie, IL 60077
Covenant Retiremant Communities, Inc.
Board Chair of Covenant Place of Tulsa
eff 03-23-2017
Officers Who Do Not Hold Stock
5700 Old Orchard Road 100 Skokie, IL 60077
Palmer Mary
Vice Chair Covenant Place of Tulsa, Inc.
Officers Who Do Not Hold Stock
5700 Old Orchard Road 100 Skokie, IL 60077
Creaney Janet
Page 44 of [email protected]
Owner NameFacilities Owned
Board Chair of Covenant Retirement
Communitites eff 03-23-2017
Officers Who Do Not Hold Stock
5700 Old Orchard Road 100 Skokie, IL 60077
Eastburg Mark
Vice Chair of Covenant Retirement
Communiities eff 03-23-2017
Officers Who Do Not Hold Stock
5700 Old Orchard Road 100 Skokie, IL 60077
Espinosa Marc
Secretary of Covnant Retirement
Communitites eff 03-23-2017
Officers Who Do Not Hold Stock
5700 Old Orchard Road 100 Skokie, IL 60077
Holt Judy
Associate VP of Covenant Retirement
Communities
Officers Who Do Not Hold Stock
5700 Old Orchard Road 100 Skokie, IL 60077
Anderson Joshua
OP EFF 7/29/2019
Operating Entity
,
Covenant Living of Bixby, Inc.
Covenant Living of Tulsa Hills CC1902 3800 W. 71st Street South Tulsa, OK 74132 918-481-9988
Employment Tax Entity
20030 Century Blvd. #300 Germantown, MD 20874
Affiliated Associates, Inc.
Employment Tax Entity
20030 Century Blvd. 300 Germantown, MD 20874
Affliated Associates, Inc
Senior Vice President/Gen Counsel -
11-01-2019
Officers Who Do Not Hold Stock
5700 Old Orchard Rd. 100 Skokie, IL 60077
Erickson David
President - Tulsa Hills Community
11-01-2019
Officers Who Do Not Hold Stock
5700 Old Orchard Rd Skokie, Il 60077
Cunliffe Terri S.
Chairman Tulsa Hills Community, Inc.
Eff 11-01-2019
Officers Who Do Not Hold Stock
5700 Old Orchard Road 100 Skokie, IL 60077
Eastburg Mark
CFO/Treasurer - Tulsa Hills Community
11-01-2019
Officers Who Do Not Hold Stock
5700 Old Orchard Road 100 Skokie, IL 60077
Holt Judy
OP Eff 11-01-2019
Operating Entity
5700 Old Orchard Road Skokie, IL 60077
Tulsa Hills Community, Inc.
Vice-Chair - Tulsa Hills Community, Inc.
Eff 11/01/2019
Officers Who Do Not Hold Stock
5700 Old Orchard Road Skokie, IL 60077
Manlove Matt
Secretary - Tulsa Hills Community eff
11-01-2019
Officers Who Do Not Hold Stock
5700 Old Orchard Road Skokie, IL 60077
Bentley Sarah
Assistant Secretary - Tulsa Hills
Community eff 11-01-2019
Officers Who Do Not Hold Stock
5700 Old Orchard Road Skokie, IL 60077
Erickson Rebekah
Creekside Village AL3603 1500 East Bradley Avenue Ponca City, OK 74604 580-765-9900
BKD SLC, Inc CEO - 04/02/2013 end
11/25/2014
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith T. Andrew
Page 45 of [email protected]
Owner NameFacilities Owned
100% of HCP1HO Creekside eff
11/25/2014
Stockholders/partners -- Not Officers
C/O The Boathouse, 2900 Paradise Drive Tiburon, CA 94920
Honey Creek Pool 1-1, LLC
16.44% of Honey Creek Pool 1-1, LLC
eff 11/25/2014
Stockholders/partners -- Not Officers
260 Seaview Ave Piedmont, CA 94610
Hurwich Joseph
16.71% of Honey Creek Pool 1-1, LLC
eff 11/25/2014
Stockholders/partners -- Not Officers
1528 South Hayford Road Airway Heights, WA 99001
Klingel A. Barclay
8.63% of Honey Creek Pool 1-1, LLC eff
11/25/2014
Stockholders/partners -- Not Officers
163 Elizabeth Road San Antonio, TX
Schoenbau Virginia
33.43% of Honey Creek Pool 1-1, LLC
eff 11/25/2014
Stockholders/partners -- Not Officers
6655 Windsor Lane Miami Beach, FL 33141
Spitaleri Vito
8.36% Honey Creek Pool 1-1, LLC
Stockholders/partners -- Not Officers
West 601 Riverside Spokane, WA 99201
Stevenson Thomas/Gail
8.36% Honey Creek Pool 1-1, LLC
Stockholders/partners -- Not Officers
360 Madison Ave New York, NY 10017
Vaughn James
Pres-CEO of HCP1HO Creekside, LLC
eff 11/25/2014
Officers Who Do Not Hold Stock
875 Glengate Place Atlanta, GA 30328
Marro Frank
Chairman of HCP1HO Creekside, LLC
Officers Who Do Not Hold Stock
2900 Paradise Drvie Tiburon, CA 94920
Drever Maxwell
Senior Managing Director HCP1HO
Creekside eff 11/25/2014
Officers Who Do Not Hold Stock
2900 Paradise Drive Tiburon, CA 94920
Drever Noah
CFO of HCP1HO Creekside, LLC eff
11/25/2014
Officers Who Do Not Hold Stock
2900 Paradise Drive Tiburon, CA 94920
Baker Edward
100% RE & 100 HCP1OC Creekside,
LLC eff 11/25/2014
Lessor Or Real Estate Owner
C/O The Boathouse, 2900 Paradise Drive Tiburon, OK 94920
HCP1HO Creekside, LLC
OP eff 11/25/2014
Operating Entity
C/O The Boathouse, 2900 Paradise Drive Tiburon, CA 94920
HCP1OC Creekside, LLC
8.36% of Honey Creek Pool 1-1, LLC
Stockholders/partners -- Not Officers
39 Fifth Ave., 12B New York, NY 10003
Spitaleri Aleta
65.4% Oxford Management Group, LLC
eff 04/01/2019
Stockholders/partners -- Not Officers
125 North Market 1230 Wichita, KS 67202
Austin Powers, LLC
50% Austin Powers, LLC eff 04/01/2019
Stockholders/partners -- Not Officers
2661 Bayside Wichita, KS 67205
Austin Steven
50% Austin Powers, LLC eff 04/01/2019
Stockholders/partners -- Not Officers
2641 Bayside Wichita, KS 67205
Schawe Dale
18.9% Oxford Management Group, LLC
04/01/2019
Stockholders/partners Who Are Officers
125 N Market 1230 Wichita, KS 67202
Wiley Jason
15.7% Oxford Management Group, LLC
eff 04/01/2019
Stockholders/partners Who Are Officers
125 North Market 1230 Wichita, KS 67202
Dennis James Chris
Page 46 of [email protected]
Owner NameFacilities Owned
Contracted Management Company eff
04/15/2019
Contracted Management
125 N. Market 1230 Wichita, KS 67202
Oxford Management Group LLC
Owner & Manager 50% of OSL eff.
10/01/2016
Stockholders/partners Who Are Officers
398 N. Sage Ct. Maize, KS 67101
Hanson Craig
Crossroads Residential Care RC4601 Route 2, Box 1542 Checotah, OK 74426 918-689-7416
effective 8/13/2010
Operating Entity
P.O. Box 48 Mead, OK
Southeastern Oklahoma Family Services, Inc.
Chairman
Officers Who Do Not Hold Stock
P.O. Box 48 Mead, OK 73449
Piatt Bill
CEO EFF 11/21/2012
Officers Who Do Not Hold Stock
901 N. Neshoba Tishomingo, OK 73460
Ragan Virginia
Member EFF 11/21/2012
Officers Who Do Not Hold Stock
HC 70, Box 349 Kingston, OK 73439
Fulfer Karla
Member EFF 11/21/2012
Officers Who Do Not Hold Stock
6613 N. Meridian Ave. Oklahoma City, OK 73116
Holloway, Jr. MD. Willis
Member EFF 11/21/2012
Officers Who Do Not Hold Stock
P.O. Box 61241 Oklahoma City, OK 73146
Johnson Senator Constance
Crystal Place, L.L.C. AL5518 400 Southwest 79th Street Oklahoma City, OK 73139 405-616-1980
Mgr. of OP, Grantor/Settlor of trusts eff
12-31-2012
Manager
8100 S. Walker Oklahoma City, OK 73139
Cruse , D.O. Anthony L.
Operating Entity
400 SW 79th Street Oklahoma Citu, OK 73139
Crystal Place, L.L.C.
50% OP eff 12/31/2012
Stockholders/partners -- Not Officers
8100 S. Walker Oklahoma City, OK 73139
Anthony L. Cruse, Jr. 2012 Family Trust
50% OP eff 12/31/2012
Stockholders/partners -- Not Officers
8100 S. Walker Oklahoma City, OK 73139
Lindsay E. Cruse 2012 Family Trust
Anthony L. Cruse, Jr. 2012 Family Trust
eff 12/31/2012
Beneficiary
8100 W. Walker Oklahoma City, OK 73139
Cruse, Jr. Anthony L.
Lindsay E. Cruse 2012 Family Trust eff
12/31/2012
Beneficiary
8100 S. Walker Oklahoma City, OK 73139
Cruse Lindsay E.
Anthony Jr. & Lindsay Cruse 2012
Family Trust eff 12/31/12
Trustee
211 North Robinson Oklahoma City, OK 73102-7103
Cole Steven P.
Daily Living Center South DC5530 1681 Southwest 86th Street Oklahoma City, OK 73159 405-688-5388
Page 47 of [email protected]
Owner NameFacilities Owned
Operating Entity
3000 N. Rockwell Ave Bethany, OK 73008
The Daily Living Centers, Inc.
Board Sec, eff 05/18/16
Officers Who Do Not Hold Stock
6112 Walnut Lane Okla. City, OK 73132
Kozakowski Fran
Associate member EFF 06-13-2018
Officers Who Do Not Hold Stock
1525 Bittercreek Terrace Mustang, OK 73064
Ross Rick
EFF 07/22/2019-Vice Pres of Operations
Officers Who Do Not Hold Stock
507 Redwing Dr Norman, OK 73026
Ingram Patricia
Treasurer, eff 05/18/16
Officers Who Do Not Hold Stock
1601 NW Expressway Oklahoma City, OK 73118
Laib Brian
Chairman of Board, eff 05/18/16
Officers Who Do Not Hold Stock
10321 SE 55th St Oklahoma City, OK 73150
Todd Virgil
President and CEO of Operator EFF
12-12-2016
Officers Who Do Not Hold Stock
3000 N. Rockwell Ave Bethany, OK 73008
Rush Brian (Richard)
Board Vice Chair EFF07/22/2019
Officers Who Do Not Hold Stock
LSN11W, 211 N Robinson Oklahoma City, OK 73102
Stephens Creig
EFF 7/18/2019-DLC Board Chair
Officers Who Do Not Hold Stock
4406 NW 59th St Oklahoma City, OK 73112
Hefner Ellyn Novak
Board Sec, EFF 07/22/2019
Officers Who Do Not Hold Stock
6209 N. Barnes Ave Oklahoma City, OK 73112
Scimeca Whitney Herzog
Daily Living Centers - Edmond DC5516 3413 Wynn Drive Edmond, OK 73013 405-471-6866
Operating Entity
3000 N. Rockwell Ave Bethany, OK 73008
The Daily Living Centers, Inc.
EFF 6-13-2019
Officers Who Do Not Hold Stock
PO Box 31265 Edmond, OK 73003
Gray Jim
Lessor Or Real Estate Owner
P.O. Box 75447 Okla. City, OK 73147
SFR Realty
Board Sec, eff 05/18/16
Officers Who Do Not Hold Stock
6112 Walnut Lane Okla. City, OK 73132
Kozakowski Fran
EFF 06-13-2018
Officers Who Do Not Hold Stock
1525 Bittercreek Terrace Mustang, OK 73064
Ross Rick
Eff 07/22/2019-Vice Pres of Operations
Officers Who Do Not Hold Stock
507 Redwing Dr Norman, OK 73026
Ingram Patricia
Treasurer, eff 05/18/16
Officers Who Do Not Hold Stock
1601 NW Expressway Oklahoma City, OK 73118
Laib Brian
Chairman of Board, eff 05/18/16
Officers Who Do Not Hold Stock
10321 SE 55th St Oklahoma City, OK 73150
Todd Virgil
Page 48 of [email protected]
Owner NameFacilities Owned
President and CEO of Operator EFF
12-12-2016
Officers Who Do Not Hold Stock
3000 N. Rockwell Ave Bethany, OK 73008
Rush Brian (Richard)
EFF 6-13-2019
Officers Who Do Not Hold Stock
4908 N. Vermont Oklahoma City, OK 73112
Bowers Donna
EFF 6-13-2019
Officers Who Do Not Hold Stock
907 NW 20th Oklahoma City, OK 73106
Hendrix Ed
EFF 6-13-2019
Officers Who Do Not Hold Stock
7487 Ashley Trail Edmond, OK 73025
Hudson Charles
EFF 6-13-2019
Officers Who Do Not Hold Stock
13776 SE 95th Oklahoma City, OK 73165
Lipham David
EFF 6-13-2019
Officers Who Do Not Hold Stock
5300 Gateway Bridge Ct Edmond, OK 73034
Moore Scott
EFF 06-13-2018-DLC Board Vice Chair
Officers Who Do Not Hold Stock
LSN11W, 211 N Robinson Oklahoma City, OK 73102
Stephens Creig
EFF 06-13-2018
Officers Who Do Not Hold Stock
3625 N. McKinley Ave. Oklahoma City, OK 73118
Werner Jack
Eff 7/22/2019-DLC Board Chair
Officers Who Do Not Hold Stock
4406 NW 59th St Oklahoma City, OK 73112
Hefner Ellyn Novak
Eff 7/22/2019-DLC Board Secretary
Officers Who Do Not Hold Stock
6209 N. Barnes Ave Oklahoma City, OK 73112
Scimeca Whitney Herzog
Daily Living Centers at Jeltz DC5515 1225 North Kate Oklahoma City, OK 73117 405-702-8640
eff. 9-17-07
Operating Entity
3000 N. Rockwell Ave Bethany, OK 73008
The Daily Living Centers, Inc.
EFF 6-13-2019
Officers Who Do Not Hold Stock
PO Box 31265 Edmond, OK 73003
Gray Jim
Lessor Or Real Estate Owner
1800 Northeast 4th Okla. City, OK 73117
Oklahoma City Housing Authority
Board Sec, eff 05/18/16
Officers Who Do Not Hold Stock
6112 Walnut Lane Okla. City, OK 73132
Kozakowski Fran
EFF 06-13-2018
Officers Who Do Not Hold Stock
1525 Bittercreek Terrace Mustang, OK 73064
Ross Rick
Treasurer, eff 05/18/16
Officers Who Do Not Hold Stock
1601 NW Expressway Oklahoma City, OK 73118
Laib Brian
EFF 6-13-2019 end 7/22/19
Officers Who Do Not Hold Stock
330 North Wabash Ave Chicago, IL 60611
OKC 7535 Hefner BG PROPCO, LLC
President and CEO of Operator EFF
12-12-2016
Officers Who Do Not Hold Stock
3000 N. Rockwell Ave Bethany, OK 73008
Rush Brian (Richard)
Page 49 of [email protected]
Owner NameFacilities Owned
EFF 6-13-2019
Officers Who Do Not Hold Stock
4908 N. Vermont Oklahoma City, OK 73112
Bowers Donna
EFF 6-13-2019 end 7/22/19
Officers Who Do Not Hold Stock
16505 Sunny Hollow Rd. Edmond, OK 73012
Carter Brittany
EFF 6-13-2019
Officers Who Do Not Hold Stock
907 NW 20th Oklahoma City, OK 73106
Hendrix Ed
EFF 6-13-2019
Officers Who Do Not Hold Stock
6209 N. Barnes Ave. Oklahoma City, OK 73112
Whitney Herzog Scimeca DLC Bourd Secretary
EFF 6-13-2019
Officers Who Do Not Hold Stock
7487 Ashley Trail Edmond, OK 73025
Hudson Charles
EFF 6-13-2019
Officers Who Do Not Hold Stock
13776 SE 95th Oklahoma City, OK 73165
Lipham David
EFF 6-13-2019
Officers Who Do Not Hold Stock
5300 Gateway Bridge Ct Edmond, OK 73034
Moore Scott
EFF 06-13-2018
Officers Who Do Not Hold Stock
LSN11W, 211 N Robinson Oklahoma City, OK 73102
Stephens Creig
EFF 06-13-2018
Officers Who Do Not Hold Stock
3625 N. McKinley Ave. Oklahoma City, OK 73118
Werner Jack
Daily Living Centers Rockwell DC5538 3000 North Rockwell Bethany, OK 73008 405-792-2401
Operating Entity
3000 N. Rockwell Ave Bethany, OK 73008
The Daily Living Centers, Inc.
Board Sec, eff 05/18/16
Officers Who Do Not Hold Stock
6112 Walnut Lane Okla. City, OK 73132
Kozakowski Fran
EFF 06-13-2018
Officers Who Do Not Hold Stock
1525 Bittercreek Terrace Mustang, OK 73064
Ross Rick
Treasurer, eff 05/18/16
Officers Who Do Not Hold Stock
1601 NW Expressway Oklahoma City, OK 73118
Laib Brian
Chairman of Board, eff 05/18/16
Officers Who Do Not Hold Stock
10321 SE 55th St Oklahoma City, OK 73150
Todd Virgil
President and CEO of Operator EFF
12-12-2016
Officers Who Do Not Hold Stock
3000 N. Rockwell Ave Bethany, OK 73008
Rush Brian (Richard)
DayBreak Adult Day Health Center DC7403 1223 Southeast Swan Drive Bartlesville, OK 74006 918/336-8500
Operating Entity
1223 Swan Dr Bartlesville, OK 74003
Washington County Elder Care, Inc.
President, 9/15/17
Officers Who Do Not Hold Stock
2233 Deerfield Place Bartlesville, OK 74006
Smith Steve
Page 50 of [email protected]
Owner NameFacilities Owned
Eff 11-2019 Chair Planning Develop
Officers Who Do Not Hold Stock
2409 Georgetown Dr. Bartlesville, OK 74006
Satterfield Thad
CEO & Executive Director
Officers Who Do Not Hold Stock
325 Martin Lane Dewey, OK 74029
Rumsey Cordell
Dogwood Creek Retirement Center AL5102 3230 East Shawnee Avenue Muskogee, OK 74403 918-683-5100
Operating Entity
6830 N. W. 23rd St. Bethany, OK 73008
Dogwood Creek Retirement Center Limited Partnership
35%OP/RE
Stockholders/partners Who Are Officers
6830 N.W. 23rd Street Bethany, OK 73008
Merritt David R.
50%OP/RE
Stockholders/partners Who Are Officers
6830 N.W. 23rd Street Bethany, OK 73008
Merritt Border R.
15%OP/RE
Stockholders/partners Who Are Officers
6830 N.W. 23rd Street Bethany, OK 73008
Parham Deann
Dorset Place - Assisted Living AL5504 2435 Northwest 122nd Street Oklahoma City, OK 73120 405-755-7800
100% OKC 2434 122nd BG PROPCO,
LLC eff 09-29-2016
Stockholders/partners -- Not Officers
330 North Wabash Ave. 3700 Chicago, IL 60611
Master BG PROPCO, LLC
100% Master BG Propco, LLC & Parent
BG OPCO TRS, LLC eff 9-29-16
Stockholders/partners -- Not Officers
330 North Wabash Ave. 3700 Chicago, IL 60611
UPREIT BG CO, LLC
100% UPREIT BG CO, LLC
Stockholders/partners -- Not Officers
330 N. Wabash Ave. 3700 Chicago, IL 60611
BLUEGRASS RE HOLDINGS, LLC
19.37% TPG RE II Bluegrass Hold eff
09-29-2016
Stockholders/partners -- Not Officers
301 COMMERCE STREET 330 FORT WORTH, TX 76102
TPG Real Estate Partners II (E1), LP
100% BLUEGRASS RE HOLDINGS eff
09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II Bluegrass Holdings, LP
100% TPG Real Estate Partners II (E1),
LP
Stockholders/partners -- Not Officers
1001 Square-Victoria C-500 Montreal, QC H2Z 2B5
Cadim Holdings U.S., Inc.
19.92% TPG RE II Bluegrass Holdings,
LP eff 09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG Real Estate Partners II, LP
55.18% TPG RE Bluegrass Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II Bluegrass BL, LP
100% TPG RE II Bluegrass BL, LP eff
09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II Bluegrass BL, Inc.
38.57% TPG RE II Bluegrass BL, Inc. eff
09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II BDH (A), LP
Page 51 of [email protected]
Owner NameFacilities Owned
100% TPG RE II BDH (A), LP eff
09-29-2016
Stockholders/partners -- Not Officers
301 Cmmerce Street 3300 Fort Worth, TX 76102
TPG Real Estate Partners II (A), LP
34.13% TPG Real Estate Partners II (A),
LP
Stockholders/partners -- Not Officers
No. 168 Zhuangjing Road, Xinyi Dist, Taipei City, TW 11049
Nan Shan Life Insurance Co., Ltd
61.43% TPG RE II Bluegrass BL, Inc.
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG Real Estate Partners II (B), LP
28.57% TGP Real Estate Partners II (B),
LP eff 09-29-2016
Stockholders/partners -- Not Officers
13 (Shincheon-dong), Olympioc-ro 35 da-gil, Seoul, KR
National Pension Service of The Republic of Korea
28.57 TPG Real Estate Partners II (B), LP
eff 09-29-2016
Stockholders/partners -- Not Officers
17F & 18F State Tower Namsan, !00 Toegye-ro Seoul, KR 100-052
Korea Investment Corporation
28.57% TPG Real Estate Partners II (B),
LP eff 09-29-2016
Stockholders/partners -- Not Officers
One Bush Street 1100 San Francisco, CA 94104
TxPac II, LLC
100% OKC 2435 122nd OPCO, LLC eff
09-29-2016
Stockholders/partners -- Not Officers
330 North Wasbash Ave. 3700 Chicago, IL 60611
Master Tenant (FNMA) BG OPCO, LLC
100% Master Tenant (FNMA) BG OPCO,
LLC
Stockholders/partners -- Not Officers
330 North Wabash Ave 3700 Chicago, IL 60611
Parent BG OPCO TRS, LLC
Contracted Management Co. eff
09-29-2016
Contracted Management
330 North Wabash Ave 3700 Chicago, IL 60611
Enlivant Management Co, LLC
29.13% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Aid, LP
10.04% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
P.O. Box 309 Cayman Islands,
TPG VI Delfir BDH-B, LP
9.72% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
PO. BOX 309 Grand Cayman, KY1-1104
TPG VI Delfir BDH-A, LP
100% TPG VI Defir BDH-A, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Delfir AIV I-A, LP
7.58% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
11 Madison Ave 16th Floor New York, NY 10010
Cerium Jambo Limited
100% TPG VI Delfir BDH-B, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Delfir AIV I-B, LP
9.37% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
P.O. Box 309 Ugland House Grand Caman, CI KY1-1104
TPG VI Delfir BDH-C, LP
100% TPG VI Delfir BDH-C L.P
Stockholders/partners -- Not Officers
301 Commerce Street Fort Worth, TX 76102
TPG VI Delfir AIV I-C, LP
49.86% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Delfir AIV II, LP
17.36% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG/NJ (RE) Partnership, LP
Page 52 of [email protected]
Owner NameFacilities Owned
30.38% TPG Real Estate Partners II, LP
& 16.69% TPG VI AID Hold
Stockholders/partners -- Not Officers
DOL, PO Box 290 Trenton, NJ 08625
Common Pension Fund E
Authorized Signatory Officer for OKC
2435 122nd BG OPCO, LLC
Officer
330 Wabash Ave 3700 Chicago, IL 60611
Coleman Matthew
Authorized Signatory Officer for Enlivant
Management CO, LLC
Officer
330 Wabash Ave 3700 Chicago, IL 60611
Callison Jack
Authorized Signatory Officer for Enlivant
Management CO, LLC
Officer
330 North Wabash Ave 3700 Chicago, IL 60611
Tarsney Peter
Authorized Signatory Officer for Enlivant
Management CO, LLC
Officer
330 North Wabash Ave 3700 Chicago, IL 60611
Sharma Akhil
Authorized Signatory Officer for Enlivant
Management CO, LLC
Officer
330 N Wabash Ave 3700 Chicago, IL 60611
Guill Daniel
100% Envliant Manament Co eff
09-29-2016
Stockholders/partners -- Not Officers
330 North Wabash Ave 3700 Chicago, IL 60611
Enlivant Master MGMT CO, LLC
100% Real Estate Company eff
09-29-2016
Lessor Or Real Estate Owner
330 North Wabash Ave 3700 Chicago, IL 60611
OKC 2435 1122nd BG PROPCO, LLC
OP eff 09-29-2016
Operating Entity
330 North Wabash Ave Chicago, IL 60611
OKC 2435 122nd BG OPCO, LLC
100% of Enlivant Master Mgmt CO, LLC
eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
Aid Holding II Management Services, LLC
80% of Aid Holdings II Management
Services eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
AID Holdings II, LLC
20% AID Holdings II Management
Services, LLC eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
Enlivant Management Holdings, LLC
100% AID Holdings II, LLC eff
01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI AID Holdings II Aggregation, LP
100% Enlivant Management Holdings,
LLC eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
Enlivant Holdings, L.P.
GP of TPG VI AID Holding II
Aggregation & Enlivant Holdings, LP
General Partner
301 Commerce Street 3300 Fort Worth, TX 76102
TPG Advisors VI, Inc.
Dorset Place Memory Care AL5515 12401 Dorset Drive Oklahoma City, OK 73120 405-752-4220
100% FEBC-ALT Holdings, Inc. end
09/29/2016
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
FEBC-ALT Investors LLC (FEBC-ALT Invest)
100% OKC 12435 122nd BG PROPCO
eff 09-29-2016
Stockholders/partners -- Not Officers
330 North Wabash Ave. 3700 Chicago, IL 60611
Master BG PROPCO, LLC
Page 53 of [email protected]
Owner NameFacilities Owned
100% Master BG Propco, LLC & Parent
BG OPCO TRS, LLC eff 9-29-16
Stockholders/partners Who Are Officers
330 North Wabash Ave. 3700 Chicago, IL 60611
UPREIT BG CO, LLC
100% UPREIT BG CO, LLC
Stockholders/partners -- Not Officers
330 N. Wabash Ave. 3700 Chicago, IL 60611
BLUEGRASS RE HOLDINGS, LLC
19.37% TPG RE II Bluegrass Hold eff
09-29-2016
Stockholders/partners -- Not Officers
301 COMMERCE STREET 330 FORT WORTH, TX 76102
TPG Real Estate Partners II (E1), LP
100% BLUEGRASS RE HOLDINGS eff
09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II Bluegrass Holdings, LP
100% TPG Real Estate Partners II (E1),
LP
Stockholders/partners -- Not Officers
1001 Square-Victoria C-500 Montreal, QC H2Z 2B5
Cadim Holdings U.S., Inc.
19.92% TPG RE II Bluegrass Holdings,
LP eff 09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG Real Estate Partners II, LP
55.18% TPG RE II Bluegrass Holdings,
LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II Bluegrass BL, LP
100% TPG RE II Bluegrass BL, LP eff
09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II Bluegrass BL, Inc.
38.57% TPG RE II Bluegrass BL, Inc. eff
09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II BDH (A), LP
100% TPG RE II BDH (A), LP eff
09-29-2016
Stockholders/partners -- Not Officers
301 Cmmerce Street 3300 Fort Worth, TX 76102
TPG Real Estate Partners II (A), LP
34.13% TPG Real Estate Partners II (A),
LP
Stockholders/partners -- Not Officers
No. 168 Zhuangjing Road, Xinyi Dist, Taipei City, TW 11049
Nan Shan Life Insurance Co., Ltd
61.43% TPG RE II Bluegrass BL, Inc.
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG Real Estate Partners II (B), LP
28.57% TGP Real Estate Partners II (B),
LP eff 09-29-2016
Stockholders/partners -- Not Officers
13 (Shincheon-dong), Olympioc-ro 35 da-gil, Seoul, KR
National Pension Service of The Republic of Korea
28.57 TPG Real Estate Partners II (B), LP
eff 09-29-2016
Stockholders/partners -- Not Officers
17F & 18F State Tower Namsan, !00 Toegye-ro Seoul, KR 100-052
Korea Investment Corporation
28.57% TPG Real Estate Partners II (B),
LP eff 09/29/2016
Stockholders/partners -- Not Officers
One Bush Street 1100 San Francisco, CA 94104
TxPac II, LLC
OKC 12401 Dorset OPCO, LLC eff
09-29-2016
Stockholders/partners -- Not Officers
330 North Wasbash Ave. 3700 Chicago, IL 60611
Master Tenant (FNMA) BG OPCO, LLC
100% Master Tenant (FNMA) BG OPCO,
LLC
Stockholders/partners -- Not Officers
330 North Wabash Ave 3700 Chicago, IL 60611
Parent BG OPCO TRS, LLC
Contracted Management Company eff
09-29-2016
Contracted Management
330 North Wabash Ave 3700 Chicago, IL 60611
Enlivant Management Co, LLC
Page 54 of [email protected]
Owner NameFacilities Owned
29.13% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Aid, LP
10.04% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
P.O. Box 309 Cayman Islands,
TPG VI Delfir BDH-B, LP
9.72% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
PO. BOX 309 Grand Cayman, KY1-1104
TPG VI Delfir BDH-A, LP
100% TPG VI Defir BDH-A, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Delfir AIV I-A, LP
100% TPG VI Delfir BDH-B, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Delfir AIV I-B, LP
9.37% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
P.O. Box 309 Ugland House Grand Caman, CI KY1-1104
TPG VI Delfir BDH-C, LP
100% TPG VI Delfir BDH-C L.P
Stockholders/partners -- Not Officers
301 Commerce Street Fort Worth, TX 76102
TPG VI Delfir AIV I-C, LP
49.86% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Delfir AIV II, LP
17.36% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG/NJ (RE) Partnership, LP
30.38% TPG Real Estate Partners II, LP
& 16.69% TPG VI AID Hold
Stockholders/partners -- Not Officers
DOL, PO Box 290 Trenton, NJ 08625
Common Pension Fund E
Authorized Signatory Officer for OKC
12401 Dorset BG OPCO, LLC
Officer
330 Wabash Ave 3700 Chicago, IL 60611
Coleman Matthew
Authorized Signatory Officer for Enlivant
Management CO, LLC
Officer
330 North Wabash Ave 3700 Chicago, IL 60611
Tarsney Peter
Authorized Signatory Officer for Enlivant
Management CO, LLC
Officer
330 North Wabash Ave 3700 Chicago, IL 60611
Sharma Akhil
Authorized Signatory Officer for Enlivant
Management CO, LLC
Officer
330 N Wabash Ave 3700 Chicago, IL 60611
Guill Daniel
100% Real Estate Co
Lessor Or Real Estate Owner
330 N Wabash Ave 3700 Chicago, IL 60611
OKC 2436 122nd BG PROPCO, LLC
OP eff 09-29-2016
Operating Entity
330 N Wabash Ave 3700 Chicago, IL 60611
OKC 12401 Dorset BG OPCO, LLC
100% Envliant Manament Co eff
09-29-2016
Stockholders/partners -- Not Officers
330 North Wabash Ave 3700 Chicago, IL 60611
Enlivant Master MGMT CO, LLC
100% of Enlivant Master Mgmt CO, LLC
eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
Aid Holding II Management Services, LLC
80% of Aid Holdings II Management
Services eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
AID Holdings II, LLC
Page 55 of [email protected]
Owner NameFacilities Owned
20% AID Holdings II Management
Services, LLC eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
Enlivant Management Holdings, LLC
100% AID Holdings II, LLC eff
01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI AID Holdings II Aggregation, LP
100% Enlivant Management Holdings,
LLC eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
Enlivant Holdings, L.P.
GP of TPG VI AID Holding II
Aggregation & Enlivant Holdings, LP
General Partner
301 Commerce Street 3300 Fort Worth, TX 76102
TPG Advisors VI, Inc.
Duncan Assisted Living AL6905 415 Chisholm Trail Parkway Duncan, OK 73533 316-201-3210
24.24% of Murfin, Inc
Stockholders/partners -- Not Officers
250 N WATER 300 IMA PLAZA WICHITA, KS 67203
Murfin David
36% of Canoe Brook Duncan, LLC eff
04/16/2015
Stockholders/partners -- Not Officers
2900 Willowbridge Circle Austin, TX 78703
Meyer, Jr. John E.
60% Canoe Brook Duncan, LLC eff
04/16/2015
Stockholders/partners -- Not Officers
250 North Water 300 Wichita, KS 67202
Murfin, Inc.
4% Canoe Brook Duncan, LLC eff
04/16/2015
Stockholders/partners -- Not Officers
6800 South Granite Avenue Tulsa, OK 74136
Meyer, Sr. John E.
19.27 of Murfin, Inc eff 04/15/2015
Stockholders/partners -- Not Officers
250 North Water 300 Wichita, KS 67202
Murfin Murphy Barbara
23.47% of Murfin, Inc eff 04/15/2015
Stockholders/partners -- Not Officers
250 North Water 300 Wichita, KS 67202
Murfin Moxley Nancy
OP eff 04/16/2015
Operating Entity
2900 Willowbridge Circle Austin, TX 78703
Canoe Brook Duncan, LLC Canoe Brook Duncan, LLC
66.42% of Oxford Management Group,
LLC Eff 01/01/2017
Stockholders/partners -- Not Officers
125 North Market 1230 Wichita, KS 67202
Austin Powers, LLC
50% of Austin Powers LLC eff 2-24-17
Stockholders/partners -- Not Officers
2641 Bayside Wichita, KS 67205
Schawe Dale
16.79% of Oxford Management Group,
LLC
Stockholders/partners -- Not Officers
125 N Market 1230 Wichita, KS 67202
Wiley Jason
100% JCD Schocker, LLC eff 2-27-2017
Stockholders/partners -- Not Officers
125 North Market 1230 Wichita, KS 67202
Dennis James Chris
Contracted Management Eff. 01/01/2017
Contracted Management
125 N. Market 1230 Wichita, KS 67202
Oxford Management Group LLC
16.79% of Oxford Managment Group,
LLC
Stockholders/partners -- Not Officers
8902 W. Silver Hollow Wichita, KS 67205
JCD Shocker, LLC
Page 56 of [email protected]
Owner NameFacilities Owned
50% Austin Powers, LLC eff 2-24-17
Stockholders/partners -- Not Officers
2641 Bayside Wichita, KS 67205
Steven Austin
Duncan Community Residence RC6901 1510 West Main Duncan, OK 73534 580-255-3926
1217 E. College Broken Arrow, OK 74012
Gatesway Foundation, Inc.
Operating Entity
P. O. Box 1474 Duncan, OK 73534
Duncan Community Residence, Inc.
President, eff 10/10/17
Officers Who Do Not Hold Stock
675 E. Camelback Rd Duncan, OK 73533
McGhyghy Eric
Vic-Pres. eff 10/10/17
Officers Who Do Not Hold Stock
P.O. Box 1710 Kingston, OK 73439
Ragan Virginia
Sec, eff 10/10/17
Officers Who Do Not Hold Stock
918 Daryl Place Duncan, OK 73533
Lott Nancy
Treasurer, eff 10/10/17
Officers Who Do Not Hold Stock
202 Emery RD Duncan, OK 73533
Adkins Janet
E.O.C. Technology Center, Senior Adult Day Center DC5505 4601 North Choctaw Road Choctaw, OK 73020 405-390-4400
Operating Entity
4601 N. Choctaw Rd. Choctaw, OK 73020-9017
E.O.C. Technology Center District #23
President
Officers Who Do Not Hold Stock
PO Box 816 Jones, OK 73049
Stephens Larry
superintendent
Officers Who Do Not Hold Stock
4601 North Choctaw Choctaw, OK 73020
Underwood Terry
Member
Officers Who Do Not Hold Stock
PO Box 281 Arcadia, OK 73054
Delano Dennis
V. Pres.
Officers Who Do Not Hold Stock
2341 Moran road Choctaw, OK 73030
Albee Rodney
Treasurer
Officers Who Do Not Hold Stock
4601 North Choctaw Road Choctaw, OK 73020
McCully Bill
Program Director
Officers Who Do Not Hold Stock
4601 N. Choctaw Road Choctaw, OK 73020
Wilson Eileen
Clerk
Officers Who Do Not Hold Stock
4601 N. Choctaw Rd. Choctaw, Ok 73020
Howard Gary
Member
Officers Who Do Not Hold Stock
4601 N. Choctaw Rd. Choctaw, OK 73020
Henry Gary
Page 57 of [email protected]
Owner NameFacilities Owned
Eden Care Cottage at Oak Tree AL4202 13701 S. Santa Fe Edmond, OK 73025 405-285-5983
eff. 11-16-12
Operating Entity
4119 Crimson Bluff Way Edmond, OK 73034
Eden Care Homes, LLC
50% OP, eff11/16/12
Stockholders/partners -- Not Officers
4119 Crimson Bluff Way Edmond, OK 73034
McClure Douglas
50% OP, eff 11/16/12
Stockholders/partners Who Are Officers
4119 Crimson Bluff Way Edmond, OK 73034
McClure Shannon
Eden House at The Greens AL5539 4025 Apple Valley Dr Oklahoma City, OK 73120 405-830-9828
eff 05/29/13
Operating Entity
4119 Crimson Bluff Way Edmond, OK 73034
Eden Care Homes, LLC
50% of OP (Eden Care Homes, LLC) eff
08/01/2013
Stockholders/partners Who Are Officers
4119 Crimson Bluff Way Edmond, OK 73034
McClure Douglas
50% OP (Eden Care Home, LLC) eff
08/01/2013
Stockholders/partners Who Are Officers
4119 Crimson Bluff Way Edmond, OK 73034
McClure Shannon
RE owner eff 06/25/2013
Lessor Or Real Estate Owner
4025 Apple Valley Drive Oklahoma City, OK
McClure James & Nancy
Edith Kassanavoid Gordon Assisted Living AL1605 1001 SE 36th St Lawton, OK 73501 580-461-3872
100% OP and RE
Operating Entity
584 NW Bingo Rd Lawton, OK 73502
Comanche Nation
Chairman, eff 9-26-2016
Officers Who Do Not Hold Stock
548 Bingo Road Lawton, OK 73507
Nelson William
Edna Lees Residential Care RC1806 421 West South Avenue Vinita, OK 74301 918-256-3131
100%
Stockholders/partners Who Are Officers
421 West S. Ave. Vinita, OK 74301
Keaton Edna Lee
Operating Entity
421 W. South Ave Vinita, OK 74301
Edna Lees Room & Board, Inc.
Sec RE eff 01/30/12
Officers Who Do Not Hold Stock
443655 E 240 Rd Vinita, OK 74301
Kelley Ron
Elite Adult Day Care DC7205 3336 E. 32nd Street Tulsa, OK 74135 918-742-4900
Page 58 of [email protected]
Owner NameFacilities Owned
Operating Entity
3817 South Lewis Avenue Tulsa, OK 74105
Oasis, Inc. (Older Adult Services and Interfaith Sharing)
Elkwood Assisted Living and Memory Care AL0501 1000 Elkwood Blvd Elk City, OK 73644 580-225-0506
SLN Mgr. West, LLC & SLMgmt.
Holdings, LLC eff 11/1/14
Officers Who Do Not Hold Stock
303 E. Wacker Drive 2400 Chicago, IL 60601
DeLuca Jon A.
eff 3/1/2015
Lessor Or Real Estate Owner
2 Wisconsin Circle Ste. 540 Chevy Chase, MD 20815
WC - Elkwood LLC
SLN Mgr. West, LLC & SLMgmt.
Holdings, LLC eff 11/1/14
Manager
303 E. Wacker Dr. 2400 Chicago, IL 60601
Kaplan William B.
Asst Sec WC-Elkwood OPS, LLC& Mngr
SLN Manager West eff 11/1/14
Officers Who Do Not Hold Stock
303 E. Wacker Dr. 2400 Chicago, IL 60601
Frumm Jerrold H.
Secretary WC-Elkwood OPS & Manager
of SLN Manager West
Officers Who Do Not Hold Stock
303 E. Wacker Dr. 2400 Chicago, IL 60601
Levy Stephen J.
66% Member of Senior Lifestyle Holding
Company, LLC eff 11/1/14
Stockholders/partners -- Not Officers
303 East Wacker Drive 2400 Chicago, IL 60601
K&K Lifestyle Associates, LLC
100% Healthcare Holdings-T, LLC
Stockholders/partners -- Not Officers
2 Bethesda Metro Center 1300 Bethesda, MD 20814
NorthStar Realty Healthcare, LLC (NRH, LLC)
100% of Northstar Realty Healthcare,
LLC
Stockholders/partners -- Not Officers
399 Park Ave New York, NY 10022
NRFC Healthcare Holding Company, LLC
100% of Northstar Realty Finance LP eff.
8/2016
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, NY 10022
NorthStar Realty Finance Corp (NRF, Corp)-publicly traded
eff 3/1/2015
Contracted Management
303 East Wacker Dr. 2400 Chicago, IL 60601
SLN Manager West, LLC
100% Mbr. of SLN Manager West, LLC
eff 11/1/14
Stockholders/partners -- Not Officers
303 E. Wacker Drive 2400 Chicago, IL 60601
Senior Lifestyle Management Holdings, LLC
100% Mbr. of Senior Lifestyle Mgmt.
Holdings, LLC eff 11/1/14
Stockholders/partners -- Not Officers
303 E. Wacker Drive 2400 Chicago, IL 60601
Senior Lifestyle Holding Company, LLC
13% Senior Lifestyle Holding Company,
LLC
Stockholders/partners -- Not Officers
Attn: John Heuberger, 203 W. LaSalle Street 1900 Chicago, IL 60601
WBK 2012 Trust U/A/D 12/14/2012
13% Senior Lifestyle Holding Company,
LLC
Stockholders/partners -- Not Officers
1220 Astor St. Chicago, IL 60610
JBMK Limited Partnership
12% Senior Lifestyle Holding Company,
LLC
Stockholders/partners -- Not Officers
1220 Astor St. Chicago, IL 60610
JBK Trust dated 11/20/2012
98% of HC-SLC Owner JV, LLC &
Healthcare CAM2-T, LLC
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, NY 10022
Healthcare Holdings-T, LLC
Page 59 of [email protected]
Owner NameFacilities Owned
98% WC-Elkwood OPS, LLC
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, NY 10022
HC-SLC Operator JV, LLC
100% HC-SLC Operator JV, LLC
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, OK 10022
Healthcare CAM2-T, LLC
4% Senior Lifestyle Holding Company,
LLC
Stockholders/partners -- Not Officers
303 East Wacker Drive 2400 Chicago, IL 60601
North Mohawk, LP
OP eff 03/01/2015
Operating Entity
303 East Wacker Drive 2400 Chicago, IL 60601
WC-Elkwood OPS, LLC
Emerald Square Assisted Living Community AL5509 701 North Council Road Oklahoma City, OK 73127 405-787-4466
Eff 08/21/11
Contracted Management
P.O. Box 2568 Hickory, NC 28603
Meridian Senior Living, LLC (MSL, LLC)
100% ROC-MSL JV1, LLC eff.
11/6/2015 end 4/24/19
Stockholders/partners -- Not Officers
1000 Legion Place 1750 Orlando, FL 32801
ROC Seniors Housing Holdings, LLC
eff: 12/06/2018
Contracted Management
50 North Depot Street New Palestine, IN 46163
Heartland Living Centers of Oklahoma, LLC
74.16% RE & OP, eff 4/24/19
Stockholders/partners -- Not Officers
1780 S Bellaire Street, 8th Flr Denver, CO 80222
Bow River Capital Real Estate Fund II-QP, LP
10.98% RE & OP, eff 4/24/19
Stockholders/partners -- Not Officers
1780 S Bellaire Street, 8th Flr Denver, CO 80222
Bow River Capital Real Estate Fund II, LP
10% RE & OP, eff 4/24/19
Stockholders/partners -- Not Officers
50 North Depot Street New Palestine, IN 46163
Hunt Partners, LLC
50% Hunt Partners, LLC, eff 4/24/19
Stockholders/partners -- Not Officers
50 North Depot Street New Palestine, IN 46163
Reed David
50% Hunt Partners,LLC, eff 4/24/19
Stockholders/partners -- Not Officers
1900 McKinney Avenue,Unit 811 Dallas, TX 75201
Ravenstein Kurt
Eff 4/24/2019
Lessor Or Real Estate Owner
1780 S Bellaire St., 8th Flr Denver, CO 80222
RE II Senior II, LLC
OP eff. 4/24/2019
Operating Entity
1780 S Bellaire St., 8th Flr Denver, CO 80222
RE II SENIOR II OPCO LLC
Epworth Villa Health Services CC5504 14901 North Pennsylvania Avenue Oklahoma City, OK 73134 405-752-1200
non-profit
Operating Entity
14901 N. Pennsylvania Oklahoma City, OK 73134-6008
Central Oklahoma United Methodist Retirement Facility, Inc.
Secretary Central Oklahoma United
Methodist/Epworth Living 2/14
Officers Who Do Not Hold Stock
,
Brandenburg Barbara
Page 60 of [email protected]
Owner NameFacilities Owned
100% Central Okla Methodiist &
Manager eff 02/19/2014
Contracted Management
14901 North Pennsylvania Avenue Oklahoma City, OK 73134
Epworth Living, Inc.
Chairman - Epworth Living, Inc. eff
02/19/2014
Officers Who Do Not Hold Stock
14901 North Pennsylvania Ave Oklahoma City, OK 73134
Harroz, III Nicholas
Treasurer-Central Okla United
Mehodist/Epworth Liviing eff2/2014
Officers Who Do Not Hold Stock
14901 N. Pennsylvania Ave Oklahoma City, OK 73134
Clewell Rev. David
Vice Chairman Cen Okla United
Methodist/Epworth Living eff 02/14
Officers Who Do Not Hold Stock
14901 N. Pennsylvania Avenue Oklahoma City, OK 73162
Spinks Dr. Robert
Pres/CEO of OP/Mgr EFF 10/25/17
Officers Who Do Not Hold Stock
,
Kelly Ron
Chairman of Epworth Living Inc. EFF
9/17/2018
Officers Who Do Not Hold Stock
11912 Blueridge CT Oklahoma City, 73162
Hull Charles
Vice Chairman Epworth Living Inc. EFF
9/17/2018
Officers Who Do Not Hold Stock
6307 Waterford Blvd. Oklahoma City, OK 73118
Davis Scott
Excel Special Services DC5519 8901 NE 23rd Street Oklahoma City, OK 73141 405-769-1079
Eff 10/10/2011
Operating Entity
8901 NE 23rd Street Oklahoma City, OK 73141
Excel Special Services, LLC
100% OP & RE Eff 10/10/2011
Stockholders/partners Who Are Officers
8901 NE 23rd Street Oklahoma City, OK 73141
Traylor Myra
Lessor Or Real Estate Owner
8901 NE 23rrd Street Oklahoma City, OK 73141
Empowered Properties, LLC
eff. 2/16/2017
Operating Entity
8901 NE 23rd Street Oklahoma City, OK 73141
Excel Special Services, LLC
100% OP eff 2/16/2017
Stockholders/partners Who Are Officers
8901 NE 23rd Street Oklahoma City, OK 73141
Traylor Myra
eff 2/16/2017
Lessor Or Real Estate Owner
4905 Kindling LN Oklahoma City, OK 73135
Kim Hyun J & Yang O
Fairview Fellowship Home Assisted Living AL4702 600 Legion Drive Fairview, OK 73737 580-227-3783
eff. 5/1/2017
Operating Entity
605 East State Road Fairview, OK 73737
The Fairview Fellowship Home For Senior Citizens, Inc.
Board Wiens
Officers Who Do Not Hold Stock
P.O. Box 156 Fairview, OK 73737
Wiens Doug
Chairman - eff 2016
Officers Who Do Not Hold Stock
802 Highland Fairview, OK 73737
Kliewer Clay
Page 61 of [email protected]
Owner NameFacilities Owned
Vice Chairman eff.
Officers Who Do Not Hold Stock
P.O. Box 157 Ringwood, Ok 73768
Nichols Oma Gay
Secretary eff 2016
Officers Who Do Not Hold Stock
109 Woodcreek Fairview, OK 73737
Bartel Brenda
Board Member
Officers Who Do Not Hold Stock
115 Woodcreek Fairview, OK 73737
Ewbank Vicki
Board Member
Officers Who Do Not Hold Stock
NW of City Isabella, OK 73747
Levings Jason
Board Member - eff 2016
Officers Who Do Not Hold Stock
Rt. 1, Box 127 Ringwood, OK 73737
Wahl Monica
Board Member eff 2016
Officers Who Do Not Hold Stock
910 N. Jefferson Ave. Fairview, OK 73737
Koehn Jerry
Board Member eff 2016
Officers Who Do Not Hold Stock
Rt #1 Box 190A Fairview, OK 73737
Willits Ann
Featherstone Assisted Living Community of Ada AL6202 1501 N Monte Vista Ada, OK 74820 580-332-5200
50% Tutela Holdings, LLC eff 6-11-2014
Stockholders/partners -- Not Officers
3 Forrest Brook Texarkana, TX 75503
Potter, II David
100% Featherstone AL Comm Ada, LLC
& 100% RE eff 06-11-2014
Lessor Or Real Estate Owner
210 North State Line 102 Texarkana, TX 71854
Tutela Holdings, LLC
50% RE Tutela, LLC 6-11-2014
Stockholders/partners -- Not Officers
699 Heritage Oaks Texarkana, TX
Assisted Rest, LLC
1/6% Assisted Rest,LLC eff 6-11-2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Keith Naples Irrevocable Trust
1/6% Assisted Rest,LLC eff 6-11-2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Kyle Naples Irrevocable Trust
1/6% Assisted Rest, LLC eff 6-11-2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Kimberly Bice Irrevocable Trust
1/6% Assisted Rest, LLC eff 6-11-2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Kasey Naples Irrevocable Trust
1/6% Assisted Rest, LLC eff 6-11-2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Catherine Naples Irrevocable Trust
1/6% Assisted Rest, LLC eff 6-11-2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Courtney Riggs Irrevocable Trust
OP eff 06-11-2014
Operating Entity
210 N State Line #102 Texarkana, AR 71854
Featherstone Assisted Living of Ada, LLC
Trustee for the (All) Naples Trusts, eff
06-11-2014
Trustee
699 Heritage Oaks Texarkana, TX 75503
Naples Susan
Page 62 of [email protected]
Owner NameFacilities Owned
CEO Featherstone AL Comm Ada, LLC
eff 03-2015
Officers Who Do Not Hold Stock
PO Box 8085 Fort Smith, AR 72902
Willis (fka Baker) Holli
Beneficiary of the Keith Naples
Irrevocable Trust eff 06-11-2016
Beneficiary
6930 Summerhill RD Texarkana, TX 75503
Naples Keith
Beneficiary of the Kasey Naples
Irrevocable Trust eff 06-11-2016
Beneficiary
6930 Summerhill Rd Texarkana, TX 75503
Naples Kasey
Beneficiary - Kimberly Bice Irrevocable
Trust eff 06-11-2016
Beneficiary
6930 Summerhill Road Texarkana, TX 75503
Bice Kimberly
Beneficiary - Catherine Naples
Irrevocable Trust eff 06-11-2016
Beneficiary
6930 Summerhill Road Texarkana, TX 75503
Naples Catherine
Beneficiary - Courtney Riggs Irrevocable
Trust eff 06-11-2016
Beneficiary
6930 Summerhill Road Texarkana, TX 75503
Riggs Courtney
Featherstone Assisted Living Community of Durant AL0703 1919 University Blvd Durant, OK 74701 479-459-2610
50% Tutela Holdings, LLC eff 6-11-2014
Stockholders/partners -- Not Officers
3 Forrest Brook Texarkana, TX 75503
Potter, II David
100% Featherstone AL Comm Durant,
LLC & 100% RE eff 06-11-2014
Lessor Or Real Estate Owner
210 North State Line 102 Texarkana, TX 71854
Tutela Holdings, LLC
50% Tutela Holdings, LLC 6-11-2014
Stockholders/partners -- Not Officers
699 Heritage Oaks Texarkana, TX
Assisted Rest, LLC
1/6% Assisted Rest,LLC eff 6-11-2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Keith Naples Irrevocable Trust
1/6% Assisted Rest,LLC eff 6-11-2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Kyle Naples Irrevocable Trust
1/6% Assisted Rest, LLC eff 6-11-2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Kimberly Bice Irrevocable Trust
1/6% Assisted Rest, LLC eff 6-11-2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Kasey Naples Irrevocable Trust
1/6% Assisted Rest, LLC eff 6-11-2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Catherine Naples Irrevocable Trust
1/6% Assisted Rest, LLC eff 6-11-2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Courtney Riggs Irrevocable Trust
OP eff 06-11-2014
Operating Entity
210 N State Line #102 Texarkana, AR 71854
Featherstone Assisted Living of Durant, LLC
Trustee for (All) Naples, Bice & Riggs
Trusts, eff 06-11-2014
Trustee
699 Heritage Oaks Texarkana, TX 75503
Naples Susan
Officers Who Do Not Hold Stock Willis (fka Baker) Holli
Page 63 of [email protected]
Owner NameFacilities Owned
CEO Featherstone AL Comm Durant,
LLC eff 03-2015PO Box 8085 Fort Smith, AR 72902
Beneficiary Keith Naples Irrevocable
Trust eff 06-11-2016
Beneficiary
6930 Summerhill RD Texarkana, TX 75503
Naples Keith
Beneficiary of the Kyle Naples
Irrevocable Trust eff 06-11-2016
Beneficiary
6930 Summerhill Road Texarkana, TX 75503
Naples Kyle
Beneficiary of the Kyle Naples
Irrevocable Trust eff 06-11-2016
Beneficiary
6930 Summerhill Road Texarkana, TX 75503
Naples Kyle
Beneficiary of the Kyle Naples
Irrevocable Trust eff 06-11-2016
Beneficiary
6930 Summerhill Road Texarkana, TX 75503
Naples Kyle
Beneficiary of the Kasey Naples
Irrevocable Trust eff 06-11-2016
Beneficiary
6930 Summerhill Rd Texarkana, TX 75503
Naples Kasey
Beneficiary of the Kasey Naples
Irrevocable Trust eff 06-11-2016
Beneficiary
6930 Summerhill Rd Texarkana, TX 75503
Naples Kasey
Beneficiary - Kimberly Bice Irrevocable
Trust eff 06-11-2016
Beneficiary
6930 Summerhill Road Texarkana, TX 75503
Bice Kimberly
Beneficiary - Catherine Naples
Irrevocable Trust eff 06-11-2016
Beneficiary
6930 Summerhill Road Texarkana, TX 75503
Naples Catherine
Beneficiary - Courtney Riggs Irrevocable
Trust eff 06-11-2016
Beneficiary
6930 Summerhill Road Texarkana, TX 75503
Riggs Courtney
Featherstone Assisted Living Community of Moore AL1409 301 North Eastern Moore, OK 73160 405-799-9919
50% Tutela Holdings, LLC mem eff
6-11-2014
Stockholders/partners -- Not Officers
3 Forrest Brook Texarkana, TX 75503
Potter, II David
100% Featherstone AL Comm Moore,
LLC & 100% RE eff 06-11-2014
Lessor Or Real Estate Owner
210 North State Line 102 Texarkana, TX 71854
Tutela Holdings, LLC
50% Tutela Holdings, LLC eff 6-11-2014
Stockholders/partners -- Not Officers
699 Heritage Oaks Texarkana, TX
Assisted Rest, LLC
1/6% Assisted Rest, LLC eff 6-11-2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Keith Naples Irrevocable Trust
1/6% Assisted Rest,LLC eff 6-11-2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Kyle Naples Irrevocable Trust
1/6% Assisted Rest, LLC eff 6-11-2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Kimberly Bice Irrevocable Trust
1/6% Assisted Rest, LLC eff 6-11-2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Kasey Naples Irrevocable Trust
1/6% Assisted Rest, LLC eff 6-11-2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Catherine Naples Irrevocable Trust
Page 64 of [email protected]
Owner NameFacilities Owned
1/6% Assisted Rest, LLC eff 6-11-2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Courtney Riggs Irrevocable Trust
OP eff 06-11-2014
Operating Entity
210 N State Line #102 Texarkana, AR 71854
Featherstone Assisted Living of Moore, LLC
Trustee for the (All) Naples Trusts, eff
06-11-2014
Trustee
699 Heritage Oaks Texarkana, TX 75503
Naples Susan
CEO Featherstone AL Comm Moore,
LLC eff 03-2015
Officers Who Do Not Hold Stock
PO Box 8085 Fort Smith, AR 72902
Willis (fka Baker) Holli
Beneficiary of the Keith Naples
Irrevocable Trust eff 06-11-2016
Beneficiary
6930 Summerhill RD Texarkana, TX 75503
Naples Keith
Beneficiary of the Kyle Naples
Irrevocable Trust eff 06-11-2016
Beneficiary
6930 Summerhill Road Texarkana, TX 75503
Naples Kyle
Beneficiary of the Kasey Naples
Irrevocable Trust eff 06-11-2016
Beneficiary
6930 Summerhill Rd Texarkana, TX 75503
Naples Kasey
Beneficiary - Kimberly Bice Irrevocable
Trust eff 06-11-2016
Beneficiary
6930 Summerhill Road Texarkana, TX 75503
Bice Kimberly
Beneficiary - Catherine Naples
Irrevocable Trust eff 06-11-2016
Beneficiary
6930 Summerhill Road Texarkana, TX 75503
Naples Catherine
Beneficiary - Courtney Riggs Irrevocable
Trust eff 06-11-2016
Beneficiary
6930 Summerhill Road Texarkana, TX 75503
Riggs Courtney
Featherstone of Miami RC5803 2128 Denver Harnar Drive Miami, OK 74354 918-542-4040
50% Featherstone AL Miami & 50%
Tutela Holdings eff 03-07-2019
Stockholders/partners Who Are Officers
3 Forrest Brook Texarkana, TX 75503
Potter, II David
100% RE eff 06/15/2014 & 50%
Featherstone AL Miami eff 03-07-19
Lessor Or Real Estate Owner
210 North State Line 102 Texarkana, TX 71854
Tutela Holdings, LLC
50% RE-Tutela eff 06/15/2014
Stockholders/partners -- Not Officers
699 Heritage Oaks Texarkana, TX
Assisted Rest, LLC
16% of Assisted Rest, LLC eff 6/15/2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Keith Naples Irrevocable Trust
16% of Assisted Rest, LLC eff
06/15/2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Kyle Naples Irrevocable Trust
16% Assisted Rest, LLC eff 6/15/2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Kimberly Bice Irrevocable Trust
16% of Assisted Rest, LLC eff
06/15/2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Kasey Naples Irrevocable Trust
Page 65 of [email protected]
Owner NameFacilities Owned
16% of Assisted Rest, LLC eff
06/15/2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Catherine Naples Irrevocable Trust
16% of Assisted Rest, LLC eff
06/15/2014
Stockholders/partners -- Not Officers
6930 Summerhill Rd Texarkana, TX 75503
Courtney Riggs Irrevocable Trust
OP eff 03-07-2019
Operating Entity
210 State Line Road Texarkana, AR 71854
Featherstone Assisted Living of Miami, LLC
Firm Foundation RC5406 2 miles East of Boley Highway 62 Boley, OK 74829 918-667-3388
30% Pres.
Stockholders/partners Who Are Officers
P.O. Box 295 Boley, OK 74829
Spears, Sr. Larry
30% Pres.
Stockholders/partners Who Are Officers
P.O. Box 295 Boley, OK 74829
Spears Yoko
Operating Entity
110 Leftwich Boley, OK 74829
Spears Management Company, Inc.
20% VP
Stockholders/partners Who Are Officers
P.O. Box 295 Boley, OK 74829
Boyce Ellenton Spears
20% VP
Stockholders/partners Who Are Officers
P.O. Box 295 Boley, OK 74829
Spears, Jr. Larry K.
Forest Hills Assisted Living Retirement and Care Center AL7211 4304 West Houston Broken Arrow, OK 74012 918-250-1700
100% RE (Assignor-06/01/13)
Lessor Or Real Estate Owner
18831 Von Karman Ave. 400 Irvine, CA 92612
Sabra Forest Hills, LLC
13.5% of Forest Hills ALF & 50% of
MGM
Stockholders/partners Who Are Officers
14447 Chellington Ct. 430 Chesterfield, MO 63017
Bienstock Judah
Manager of Okla Acqu & 50% MGM and
trustee of Nationalwide Trust
Stockholders/partners -- Not Officers
8 Primrose Dr. Lakewood, NJ 08701
Jeremias Baruch
10% of Forest Hills ALF, LLC eff
01/11/2017
Stockholders/partners -- Not Officers
1111 Marcus Ave 107 Lake Success, NY 11042
Fensterman Howard
37% of Forest Hill ALF, LLC
Stockholders/partners -- Not Officers
1111 Marcus Ave. 107 Lake Success, NY 11042
Landa Benjamin
effective June 1, 2013
Operating Entity
477 North Lindbergh Blvd 310 St. Louis, MO 63017
Forest Hills ALF, LLC
39.5% of Forest Hills ALF, LLC
Stockholders/partners -- Not Officers
8 Primrose Drive Lakewood, NJ 08701
Oklahoma Acquisitions, LLC
FountainBrook Assisted Living & Memory Support AL5537 11510 SE 15th Street Midwest City, OK 73130 405-769-7677
Page 66 of [email protected]
Owner NameFacilities Owned
OP-Management Co.
Operating Entity
2575 Kelley Pointe Parkway 300 Edmond, OK 73013
CS Management, LLC
91% of Senior MWC, LLC
Stockholders/partners -- Not Officers
2952 Via Esperanza Edmond, OK 73013
Advisors Healthcare Fund, LLC
90% of CS Management, 5.1% of
Reflections at Oakwood
Stockholders/partners -- Not Officers
2575 Kelley Pointe Parkway 300 Edmond, OK 73013
CS Holdings, LLC
Manager of Advisors Healthcare Fund,
LLC
Officer
2952 Via Esperanza Edmond, OK 73013
Bowie Joseph "Joe"
10% of CS Management, 100% of CS
Holdings
Stockholders/partners -- Not Officers
2575 Kelley Pointe Parkway 300 Edmond, OK 73013
Brooks Gary D.
RE
Lessor Or Real Estate Owner
2575 Kelley Pointe Parkway 300 Edmond, OK 73013
Reflections at Oakwood, LLC
11% of Advisors Healthcare Fund, LLC
Stockholders/partners -- Not Officers
PO Box 826 Poteau, OK 74953-0826
Reed Roy
70% of Reflections at Oakwood, LLC
Stockholders/partners -- Not Officers
420 Southfork Drvie Lewisville, TX 75057
Reflections, LLC
24.9% of Reflections at Oakwood, LLC
Stockholders/partners -- Not Officers
2575 Kelley Pointe Parkway 300 Edmond, OK 73013
Senior MWC, LLC
80% of Reflections, LLC
Stockholders/partners -- Not Officers
420 Southfork Drive Lewisville, OK 75057
Nicholas Charlie
20% of Reflections, LLC
Stockholders/partners -- Not Officers
420 Southfork Drive Lewisville, TX 75057
Nicholas Alex
9% of Senior MWC, LLC
Stockholders/partners -- Not Officers
2526 E. 71 A Tulsa, OK 74136
House David
36% of Advisors Healthcare Fund, LLC
Stockholders/partners -- Not Officers
P.O. Box 1137 Guthrie, OK 73044
S&K Assets
65.4% of oxford, eff. 9-14-15
Stockholders/partners -- Not Officers
125 North Market 1230 Wichita, KS 67202
Austin Powers, LLC
50% of Austin Powers, LLC eff. 9-14-15
Member
2661 Bayside Wichita, KS 67205
Austin Steven
50% of Austin Powers LLC
Stockholders/partners -- Not Officers
2641 Bayside Wichita, KS 67205
Schawe Dale
18.9% of Oxford, eff. 9-14-15
Managing Member
125 N Market 1230 Wichita, KS 67202
Wiley Jason
15.7% of Oxford, eff. 9-14-14
Managing Member
125 North Market 1230 Wichita, KS 67202
Dennis James Chris
eff. 9-14-15
Contracted Management
125 N. Market 1230 Wichita, KS 67202
Oxford Management Group LLC
Page 67 of [email protected]
Owner NameFacilities Owned
Franciscan Villa CC7202 17110 East 51st Street Broken Arrow, OK 74012 918-355-1596
eff June 1, 2015 100% OP/RE
Stockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Diakonos Group, LLC
eff June 1, 2015 - 99% Diakonos Group,
LLC
Stockholders/partners Who Are Officers
PO Box 990 Edmond, OK 73013
Pilgrim Scott
eff. June 1, 2015 - 1% of Diakonos
Group, LLC
Stockholders/partners Who Are Officers
P.O Box 990 Edmond, OK 73034
Servent Holding Corporation
effective June 1, 2015
Operating Entity
17110 east 51st Street Broken Arrow, OK 74012
Franciscan Villa, LLC
effective June 1, 2015
Lessor Or Real Estate Owner
17110 East 51st street Oklahoma City, OK 74012
Franciscan Holding, LLC
From the Heart Adult Day Care DC5518 9232 NW 112 Oklahoma City, OK 73162 405-919-9018
eff 01/03/10
Operating Entity
6609 Avondale Drive OKC, OK 73116
FROM THE HEART, LLC
51% OP Eff 01/03/10
Lessor Or Real Estate Owner
6606 Avondale Drive OKC, OK 73116
Hicks Laura
49% OP eff 01/03/11
Lessor Or Real Estate Owner
2704 Huntleigh Drive OKC, OK 73120
McKee Leslie
Full Circle Adult Day Center DC1405 4223 28th Avenue NW Norman, OK 73069 405-447-2955
100% OP & RE, Eff 02/13/19
Operating Entity
1304 Lindsey Plaza Dr. Norman, OK 73071
Full Circle Adult Day Center, Inc.
President, eff 2/13/19
Officers Who Do Not Hold Stock
1808 Asbury Pl Norman, OK 73071
Roberts Paula
VIce President, Eff 2/13/19
Officers Who Do Not Hold Stock
813 SE 5th Court Moore, OK 73160
Compton Amber
Treasurer, Eff 2/13/19
Officers Who Do Not Hold Stock
3757 24th Ave SE # 9 Norman, OK 73071
Grebaudo Elliot
Secretary, Eff 2/113/19
Officers Who Do Not Hold Stock
3061 Poemlo Circle Norman, OK 73071
Jensen Dana
Executive Director, Eff 2/13/19
Officers Who Do Not Hold Stock
1304 Lindsey Plaza Drive Norman, OK 70371
Pyeatt Donald
Glade Avenue Assisted Living AL5511 2500 North Glade Avenue Bethany, OK 73008 405-705-2400
Page 68 of [email protected]
Owner NameFacilities Owned
10% Member
Stockholders/partners Who Are Officers
13620 S. Air Depot Edmond, OK 73034
Trout C.R.
45% OP Co-Manager/Member
Stockholders/partners Who Are Officers
9875 S. Broadway Guthrie, OK 73044
Yount Mary
OP EFF 12/1/2017
Operating Entity
2001 Sunrise Blvd Grove, OK 74344
Grandwood Assisted Living, L.C.
45% OP Co-Manager/Member
Stockholders/partners Who Are Officers
335858 E. 810 Rd Carney, OK 74832
Herring Regina
100% RE
Lessor Or Real Estate Owner
12017 Brookhollow Rd. Bethany, OK 73120
Glade Investors, LLC
30% RE/Managing Member EFF
12/1/2017
Stockholders/partners Who Are Officers
12017 Brookhollow Rd. Oklahoma City, OK 73120
Portman David
25.2738% Managing Member RE EFF
12/1/2017
Stockholders/partners Who Are Officers
,
Rooney
16.8492% RE Member EFF 12/1/2017
Stockholders/partners Who Are Officers
,
Portman L
16.8492% RE Member EFF 12/1/2017
Stockholders/partners Who Are Officers
,
Ramadan
8.4246% RE Member EFF 12/1/2017
Stockholders/partners Who Are Officers
,
Glade REE, LLC
4.5493% RE Member EFF 12/1/2017
Stockholders/partners Who Are Officers
,
Crassus Holdings, LLC
4.5493% RE Member EFF 12/1/2017
Stockholders/partners Who Are Officers
,
Montgomery
2.2746% Member RE EFF 12/1/2017
Stockholders/partners Who Are Officers
,
Morris
2.2746% Member RE EFF 12/1/2017
Stockholders/partners Who Are Officers
,
Morris Jr.
Glade Avenue South AL5512 2480 North Glade Avenue Bethany, OK 73008 405-705-2400
10% Member
Stockholders/partners Who Are Officers
13620 S. Air Depot Edmond, OK 73034
Trout C.R.
45% OP Co-Manager/Member
Stockholders/partners Who Are Officers
9875 S. Broadway Guthrie, OK 73044
Yount Mary
OP EFF 12/1/2017
Operating Entity
2001 Sunrise Blvd Grove, OK 74344
Grandwood Assisted Living, L.C.
45% OP Co-Manager/Member
Stockholders/partners Who Are Officers
335858 E. 810 Rd Carney, OK 74832
Herring Regina
Page 69 of [email protected]
Owner NameFacilities Owned
100% RE
Lessor Or Real Estate Owner
12017 Brookhollow Rd. Bethany, OK 73120
Glade Investors, LLC
30% RE/Managing Member EFF
12/1/2017
Stockholders/partners Who Are Officers
12017 Brookhollow Rd. Oklahoma City, OK 73120
Portman David
25.2738% Managing Member EFF
12/1/2017
Stockholders/partners Who Are Officers
,
Rooney
16.8492% RE Member EFF 12/1/2017
Stockholders/partners Who Are Officers
,
Portman L
16.8492% RE Member EFF 12/1/2017
Stockholders/partners Who Are Officers
,
Ramadan
8.4246% RE Member EFF 12/1/2017
Stockholders/partners Who Are Officers
,
Glade REE, LLC
4.5493% RE Member EFF 12/1/2017
Stockholders/partners Who Are Officers
,
Crassus Holdings, LLC
4.5493% RE Member EFF 12/1/2017
Stockholders/partners Who Are Officers
,
Montgomery
2.2746% Member RE EFF 12/1/2017
Stockholders/partners Who Are Officers
,
Morris
2.2746% Member RE EFF 12/1/2017
Stockholders/partners Who Are Officers
,
Morris Jr.
Glenhaven Retirement Village CC2601 3003 Iowa Chickasha, OK 73023 405-224-0909
Operating Entity
Route 1 Box 75 Wardville, OK 74576
The Glenhaven Corporation
25% eff 6/14/16
Stockholders/partners -- Not Officers
Route 1 Nox 75 Wardville, OK 74576
Mason Mike
25% eff 6/14/16
Stockholders/partners -- Not Officers
Route 1 Box 75 Wardville, OK 74576
Mason Pat
20% President
Stockholders/partners Who Are Officers
Route 1 Box 75 Wardville, OK 74576
Lance Bill G.
25% Secretary
Stockholders/partners Who Are Officers
Route 1 Box 75 Wardville,, OK 74576
Hamilton Glenda
5.0%
Stockholders/partners -- Not Officers
Route 1 Box 75 Wardville, OK 74576
Trett Jenny
Go Ye Village Continuum of Care Retirement Community CC1101 1201 W. 4th Street Tahlequah, OK 74464 918-456-4542
eff. 10-25-12
Operating Entity
1201 W. 4th Street Tahlequah, OK 74464
Go Ye Village, Inc.
Page 70 of [email protected]
Owner NameFacilities Owned
Board Member Eff. 12-2016
Member
2717 Cemetary Rd Yukon, OK 73099
Unruh Jerry D.
Board Member eff 05/26/2016
Member
114 Eubanks Tahlequah, OK 74464
Hunt Buddy
Board Member Eff. 12-2016
Vice President
2317 Cemetery Road Yukon, OK 73099
Bigby Dalton
Board Member President Eff. 12-2016
Officers Who Do Not Hold Stock
10770 S. 77th East Ave. Tulsa, OK 74133
Carlton Alan
Board member Eff. 12-2016
Member
106 N. Olde Bridge Rd Moore, OK 73160
Fannin Ron
Board Member/ Secretary Eff. 12-2016
Member
1205 W. 4th Apt 723 Tahlequah, OK 74464
Noel Nelson
Golden Life Residential Care RC1802 408 North East Center Bluejacket, OK 74333 918-784-2359
100% GLRC eff. 08/13/2013
Stockholders/partners -- Not Officers
444455 East 230 Road Vinita, OK 74301
McKinney Randy
Operating Entity
445555 E. 170th RD Bluejacket, OK 74333
Golden Life Residenital Care, LLC
Golden Oaks Assisted Living AL2403 5801 North Oakwood Road Enid, OK 73703 580-249-2600
Director-ORV, Inc. eff 03/13/2019
Officers Who Do Not Hold Stock
5801 N. Oakwood Rd. Enid, OK 73703
Lillie Annette
Director-ORV, Inc. eff 03/13/2019
Officers Who Do Not Hold Stock
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
Officers Who Do Not Hold Stock
5801 N Oakwood Rd. Enid, OK 73703
Lillie Kyle
Secretary & Director-ORV, Inc. eff
03/13/2019
Officers Who Do Not Hold Stock
5801 N. Oakwood Rd. Enid, OK 73703
Nicholas Buddy
Treasurer & Director-ORV, Inc. eff
03/13/2019
Officers Who Do Not Hold Stock
5801 N. Oakwood Rd. Enid, OK 73703
Evans Tom
8% Member HMLC, LLC eff 03/22/12
Stockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Golden Age Nursing Home Of Guthrie, Inc.(GAN)
Trustee - Mary Lou Chappell Trust
Trustee
Box 1095 Guthrie, OK 73044
Chappell Mary Lou
Page 71 of [email protected]
Owner NameFacilities Owned
2% Member HMLC, LLC eff 3/4/16
Stockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Perry Green Valley Nursing Home, Inc.(PGV)
Operating Entity
P.O.Box 1095 Guthrie, OK 73044
Golden Oaks Village of Stillwater, L. L. C.
4% Member HMLC, LLC eff 3/22/12
Stockholders/partners -- Not Officers
PO Box 1095 Guthrie, OK 73044
Stilwell Nursing Home, Inc.(SNH)
RE
Lessor Or Real Estate Owner
PO Box 1095 Guthrie, OK 73044
Stillwater West Property, L.L.C.
Beneficiary - chappell 2012 Succession
Trust dated 1/3/12
Beneficiary
P.O. Box 1095 Guthrie, OK 73044
Chappell Jeff
Manager, OP/RE eff 5/20/2014
Manager
P.O. Box 1095 Guthrie, OK 73044
Hastings Tandie
100% Member OP & RE, eff 03/22/2012
Stockholders/partners -- Not Officers
PO Box 1095 Guthrie, OK 73044
HMLC, LLC
76% Member HMLC, LLC eff 03/22/12
Benef MLC Trust eff 6/1/16
Stockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Chappell 2012 Succession Trust dated 1/3/2012
Mgr. OP/RE/HMLC, LLC, BEN/Trustee
C S Trust Dated 1/3/12
Trustee
P.O. Box 1095 Guthrie, OK 73044
Chappell Hollie Joe
15% mbr, 100% SNH, PGV Inc., GAN
06/01/16
Stockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Mary Lou Chappell Trust
Beneficiary - Chappell 2012 Succession
Trust Dated 1/3/12
Beneficiary
,
Chappell Jon D.
Beneficiary - Chappell 2012 Succession
Trust Dated 1/3/2012
Beneficiary
,
Crockett Mary Janice
Golden Oaks Residential Care RC2406 5801 North Oakwood Road Enid, OK 73703 580-249-2600
Director-ORV, Inc. eff 03/13/2019
Officers Who Do Not Hold Stock
5801 N. Oakwood Rd. Enid, OK 73703
Lillie Annette
Director-ORV, Inc. eff 03/13/2019
Officers Who Do Not Hold Stock
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
Officers Who Do Not Hold Stock
5801 N Oakwood Rd. Enid, OK 73703
Lillie Kyle
Secretary & Director-ORV, Inc. eff
03/13/2019
Officers Who Do Not Hold Stock
5801 N. Oakwood Rd. Enid, OK 73703
Nicholas Buddy
Officers Who Do Not Hold Stock Evans Tom
Page 72 of [email protected]
Owner NameFacilities Owned
Treasurer & Director-ORV, Inc. eff
03/13/20195801 N. Oakwood Rd. Enid, OK 73703
Golden Villa Adult Day Care DC3602 100 East Hartford Ponca City, OK 74601 580-762-0264
OP eff 02/17/2019
Operating Entity
1722 N 4th St B Ponca City, OK 74601
Golden Villa Center, Inc.
Golden Years Residential Care RC6701 308 West 4th Street Konawa, OK 74849 580-925-3618
Operating Entity
P. O. Box 339 Konawa, OK 74849
CBW, Inc
100% Pres.
Stockholders/partners Who Are Officers
P.O. Box 107 Purcell, OK 73080
Webb Mary Rose
Vice President Eff 4-12-2019
Officers Who Do Not Hold Stock
PO Box 107 Purcell, OK 73080
Webb Todd
Goodwill Adult Day Care Center DC1601 923 Northwest Hilltop Drive Lawton, OK 73507 580-248-9313
OP
Operating Entity
923 Nw Hilltop Drive Lawton, OK 73507
Goodwill Industries Of Southwest Oklahoma & North Texas, Inc.
OP
Operating Entity
923 Nw Hilltop Drive Lawton, OK 73507
Goodwill Industries Of Southwest Oklahoma & North Texas, Inc.
President Eff 07/22/2010
Officers Who Do Not Hold Stock
1210 Summit Ave Lawton, OK 73501
Crews Jimmy
President Eff 07/22/2010
Officers Who Do Not Hold Stock
1210 Summit Ave Lawton, OK 73501
Crews Jimmy
Secretary eff 7/22/2010
Officers Who Do Not Hold Stock
1210 Summit Ave Lawton, OK 73501
Zea Karol
Secretary eff 7/22/2010
Officers Who Do Not Hold Stock
1210 Summit Ave Lawton, OK 73501
Zea Karol
Vice Chairman eff 7/22/2010
Officers Who Do Not Hold Stock
1210 Summit Ave Lawton, OK 73501
Scraper Margaret
Vice Chairman eff 7/22/2010
Officers Who Do Not Hold Stock
1210 Summit Ave Lawton, OK 73501
Scraper Margaret
Chairman Eff 7/22/2010
Officers Who Do Not Hold Stock
1210 Summit Ave Lawton, OK 73501
Stafford Joel
Chairman Eff 7/22/2010
Officers Who Do Not Hold Stock
1210 Summit Ave Lawton, OK 73501
Stafford Joel
Page 73 of [email protected]
Owner NameFacilities Owned
Goodwill Adult Day Services Chickasha DC2603 205 South 5th Street Chickasha, OK 73018 405-222-4480
OP eff 04-03-2017
Operating Entity
923 Nw Hilltop Drive Lawton, OK 73507
Goodwill Industries Of Southwest Oklahoma & North Texas, Inc.
Lessor Or Real Estate Owner
1102 Pikes Peak Road Chickasha, OK 73023
Bordwine Urban & Rural Development Corp.
RE Owner
Stockholders/partners Who Are Officers
P.O. Box 327 Chickasha, OK 73023
Bordwine Brannan
CEO of Goodwill Industries SW OK & N
Tex
Officer
1210 Summit Ave Lawton, OK 73501
Crews Jimmy
Chair of Goodwill Industries of SW OK
North TX
Officer
1210 SW Summitt Lawton, OK 73501
Johnson Stewart
Vice Chair - Goodwill Industries of SW
OKla & North Tex
Officer
1210 SW Summit Lawton, OK 73501
Leroux Sheri
Treasurer of Goodwill Industries of SW
OKla & North Tex
Officer
1210 Summit Lawton, OK 73501
McLaughlin Jarrod
Grandwood Assisted Living, L.C. AL2103 2001 Sunrise Boulevard Grove, OK 74344 918-787-2011
10% OP % 10% RE Mgr Mem of both
Managing Member
13620 S. Air Depot Edmond, OK 73034
Trout C.R.
45% of OP and 45% RE Mgr Mem. of
both
Managing Member
9875 S. Broadway Guthrie, OK 73044
Yount Mary
Operating Entity
2001 Sunrise Blvd Grove, OK 74344
Grandwood Assisted Living, L.C.
Lessor Or Real Estate Owner
3720 E. 2nd Edmond, OK 73034
GWA Holding, L.C.
45% OP & 45% RE Mgr Mem of both
Managing Member
335858 E. 810 Rd Carney, OK 74832
Herring Regina
Green Country Village Assisted Living Center AL7403 1027 Swan Drive Bartlesville, OK 74006 918-335-2086
100%
Operating Entity
1025 Swan Drive Bartlesville, OK 74006
Green Country Village, Inc.
Contracted Management
400 Locust Street 820 Des Moines, IA 50309
Life Care Services, LLC
President
Officers Who Do Not Hold Stock
1025 Swan Drive Bartlesville, OK 74006
Dausses Bill
Page 74 of [email protected]
Owner NameFacilities Owned
Vice President
Officers Who Do Not Hold Stock
1025 Swan Drive Bartlesville, OK
Garrison Glenda
Treasurer
Officers Who Do Not Hold Stock
1025 Swan Drive Bartlesville, Ok
Fenstermaker Donna Kay
Executive Director
Officers Who Do Not Hold Stock
1027 Swain Drive Bartlesville, OK 74006
Pelzer J. Michael
Green Tree at Sand Springs AL7228 4402 South 129th West Avenue Sand Springs, OK 74063 918-246-8733
43% Legend Senior Prop & 50% Legend
Senior Living
Stockholders/partners -- Not Officers
8415 E. 21st N 100 Wichita, KS 67206
Buchanan Timothy J.
Contracted Management Company eff
09-30-2013
Contracted Management
8415 E. 21 Street North 110 Wichita, KS 67206
Legend Senior Living , LLC
43% Legend Senior Prop & 50% Legend
Senior Living
Stockholders/partners -- Not Officers
8415 E. 21st N 100 Wichita, KS 67206
Buchanan Meredith Gail
84% Drymen, LLC Eff 09/30/2013
Stockholders/partners -- Not Officers
8415 East 21st Street North 100 Wichita, KS 67206
Legend Senior Properties, LLC
Trustee Stephen D. Russell Revocable
Trust
Trustee
1900 Lincoln Dr. Sarasota, FL 34236
Russell Stephen D.
Trustee Cathy Layton Revocable Trust
Trustee
1900 Lincoln Dr. Sarasota, FL 34236
Layton Cathy L.
100% 129th Ave ALF, LLC (OP) Eff
09/30/2013
Stockholders/partners -- Not Officers
8415 E. 21st ST. 100 Wichita, KS 67206
Jupiter Tenant, LLC
20% of Jupiter Tenant, LLC Eff
9/30/2013
Stockholders/partners -- Not Officers
4500 Dorr St. Toledo, OH 43615
HCRI Tucson Properties Inc.
80% Jupiter Tenant, LLC / 12% Jupiter
Landlord,LLC Eff 9/30/2013
Stockholders/partners -- Not Officers
8415 E. 21st St. 100 Wichita, KS 67206
Drymen, LLC
16% Dryman, LLC eff 9-30-2013
Stockholders/partners -- Not Officers
1800 2nd St Ste. 717 Sarasota, FL 34236
SDR-CLL, LLC
50% Member SDR-CLL,LLC Stephen D.
Russel Trustee Eff. 09/30/2013
Stockholders/partners -- Not Officers
1800 2nd St. Ste. 717 Sarasota, FL 34236
Stephen D. Russell Revocable Trust
50% Member SDR-CLL,LLC Cathy L.
LaytonTrustee Eff. 09/30/2013
Stockholders/partners -- Not Officers
1800 2nd St. Ste. 717 Sarasota, FL 34236
Cathy L. Layton Revocable Trust
100% 4402 S 129th Ave West, LLC Eff
9/30/3013
Stockholders/partners -- Not Officers
4500 Dorr St. Toledo, OH 43615
Jupiter Landlord, LLC
OP eff 9/30/2013
Operating Entity
8415 E. 21st Street North 100 Wichita, KS 67206
129th Avenue ALF, LLC
Page 75 of [email protected]
Owner NameFacilities Owned
100% RE eff 9/30/2013
Lessor Or Real Estate Owner
8415 E. 21st Street North 100 Wichita, KS 67206
4402 South 129th Avenue West, LLC
100% Welltower TRS Holdco, LLC 88%
Jupiter Landlord eff 12-31-15
Stockholders/partners -- Not Officers
4500 Dorr Street Toledo, OH 43615
Welltower, Inc.
100% HCRI Tucson Properties, Inc.
Stockholders/partners -- Not Officers
4500 Dorr Street Toledo, OH 43615
Welltower TRS Holdingco, LLC
Greenbrier Village Residential Living L.L.C. AL2405 1217 E. Garriott Enid, OK 73701 580-233-1333
Operating Entity
1217 E. Garriott Enid, OK 73701
Greenbrier Village Residential Living, L.L.C.
34%, Sec/Treas. OP
Stockholders/partners Who Are Officers
1902 Mockingbird Lane Enid, OK 73703
Hackett Steven C.
39%, President of OP
Stockholders/partners Who Are Officers
915 Westwood Rd. Enid,, OK 73703
Long Lori D. Hackett
27%, VP of OP
Stockholders/partners Who Are Officers
1601 Bedford Oklahoma City, OK 73116
Dick Alison
Harbor Chase of South Oklahoma City AL5555 10801 South May Ave. Oklahoma City, OK 73170 405-259-2309
RE
Lessor Or Real Estate Owner
2240 Blake Street 200 Denver, CO 80205
CD-HRA (South Oklahoma City), LLC
OP
Operating Entity
2240 Blake Street 200 Denver, CO 80205
CD-TT South Oklahoma City, LLC
Contracted Management Company
Contracted Management
958 20th Place 2nd Floor Vero Beach, FL 32960
Harbor South Oklahoma City Management, LLC
Heartsworth House Assisted Living AL1802 802 North Brewer Vinita, OK 74301 918-256-7856
100% of Vinita Holding, & Heartsworth
SL eff 03/01/2013
Stockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
LEP Holdings, LLC
99% of of LEP Holding, LLC eff
03/01/2013
Managing Member
P.O. Box 990 Edmond, OK 73083
Pilgrim Lee E.
1% of LEP Holdings, LLC
Stockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
LEP Senior Properties, Inc.
100% RE eff 03/01/2013
Lessor Or Real Estate Owner
P.O. Box 990 Edmond, OK 73083
Vinita Holdings, LLC
OP 100%
Operating Entity
P.O. Box 990 Edmond, OK 73083
Heartsworth Senior Living, LLC
Page 76 of [email protected]
Owner NameFacilities Owned
Heatheridge Assisted Living AL7203 2130 South 85th East Avenue Tulsa, OK 74129 918-622-9191
33.33% OP eff 07/01/2014 & 50% of
MGM Healthcare eff 2014
Stockholders/partners -- Not Officers
14447 Chellington Ct. 430 Chesterfield, MO 63017
Bienstock Judah
33.33% OP eff 07/01/2014 & 50% of
MGM Healthcare eff. 2014
Member
8 Primrose Dr. Lakewood, NJ 08701
Jeremias Baruch
100% RE eff 07/01/2014
Lessor Or Real Estate Owner
31110 Solon Road 9 Solon, OH 44139
Heatheridge and Leisure Village JDEK, LLC Heatheridge and Leisure Village
JDEK, LLC
25% of Heatheridge and Leisure Village
jdek, LLC eff 07/01/2014
Stockholders/partners -- Not Officers
31110 Solon Road 9 Solon, OH 44139
GM Resources, LLC
8.93% Heatheridge and Leisure Village
jdek, LLC eff 07/01/2014
Stockholders/partners -- Not Officers
31110 Solon Road 9 Solon, OH 44139
Deustch Investments, LLC
12.51% Heatheridge and Leisure Village
jdek, LLC eff 07/01/14
Stockholders/partners -- Not Officers
31110 Solon Road 9 Solon, OH 44139
Moondance Capital Corporation
17.8% Heatheridge and Leisure Village
jdek, LLC eff 07/01/2014
Stockholders/partners -- Not Officers
31110 Solon Road 9 Solon, OH 44139
KJH JDEK Gold Medallion, LLC
OP eff 07/01/2014
Operating Entity
477 North Lindbergh Blvd 310 St. Louis, MO 63141
Heatheridge Health Care, LLC Heatheridge Health Care, LLC
eff 04/29/2013
Contracted Management
477 North Lindburg Blvd 310 St. Louis, MO 63141
MGM Healthcare MGM Healthcare
start 11/17/2015 member 33% of OP
Member
59 Causeway Lawrence, NY 11559
Tanb Miriam
Heatheridge Residential Care Center RC7215 2130 South 85th East Avenue Tulsa, OK 74129 918-622-9191
33.1/3% Heatheridge Health Care, LLC
eff 10/2016
Stockholders/partners -- Not Officers
14447 Chellington Ct. 430 Chesterfield, MO 63017
Bienstock Judah
33 1/3 in Heatheridge Health Care, LLC
eff 10/2016
Stockholders/partners -- Not Officers
8 Primrose Dr. Lakewood, NJ 08701
Jeremias Baruch
100% of RE eff 07/01/2014
Lessor Or Real Estate Owner
31110 Solon Road 9 Solon, OH 44139
Heatheridge and Leisure Village JDEK, LLC Heatheridge and Leisure Village
JDEK, LLC
Leisure Village jdek, LLC eff 07/01/2014
Stockholders/partners -- Not Officers
31110 Solon Road 9 Solon, OH 44139
GM Resources, LLC
5.963% Leisure Village jdek, LLC eff
07/01/2014
Stockholders/partners -- Not Officers
31110 Solon Road 9 Solon, OH 44139
Deustch Investments, LLC
12.51% Leisure Village jdek, LLC eff
07/01/14
Stockholders/partners -- Not Officers
31110 Solon Road 9 Solon, OH 44139
Moondance Capital Corporation
Page 77 of [email protected]
Owner NameFacilities Owned
17.8% Leisure Village jdek, LLC eff
07/01/2014
Stockholders/partners -- Not Officers
31110 Solon Road 9 Solon, OH 44139
KJH JDEK Gold Medallion, LLC
OP eff 07/01/2014
Operating Entity
477 North Lindbergh Blvd 310 St. Louis, MO 63141
Heatheridge Health Care, LLC Heatheridge Health Care, LLC
33 1/3 of Heatheridge Health Care, Inc.eff
10/2016
Stockholders/partners -- Not Officers
59 Causeway Lawrence, NY 11559
Taub Miriam
Heaven House Georgia AL5544 8501 N. Georgia Oklahoma City, OK 73114 405 850-1007
Trustee & Beneficiary of the David C.
Cooper Trust eff 03-2016
Trustee
2600 SOMERSET OKC, OK 73116
Cooper Catherine
100% Heaven House, 33 1/3 - D Group,
LLC eff 09/01/2015
Stockholders/partners -- Not Officers
1902 Elmhurst Nichols Hills, OK 73120
Timmerman - OConner Diane Cooper
RE eff 09/01/2015
Lessor Or Real Estate Owner
3000 United Founder Blvd 145 Oklahoma City, OK 73112
The D Group, LLC
OP eff 09/01/2015
Operating Entity
8501 North Georgia Oklahoma City, OK 73114
The Heaven House, LLC
33 1/3 - D Group, LLC eff 09/01/2015
Stockholders/partners -- Not Officers
2613 Elmhurst Oklahoma City, OK 73116
Cooper Richard L
Heaven House, Westchester AL5552 1312 Westchester Drive Oklahoma City, OK 73120 405-850-1007
OP eff 12-14-2018
Operating Entity
8501 North Georgia Oklahoma City, OK 73114
The Heaven House, LLC
Heritage Assisted Living AL0905 9025 NW Expressway Yukon, OK 73099 405-722-5552
50% eff 6/1/13
Stockholders/partners -- Not Officers
1017 W. Highway 152 Mustang, OK 73064
Aduddell Kendall Jr.
Operating Entity
9025 NW Expressway Yukon, OK 73099
Heritage Assisted Living Center L.L.C.
Contracted Management
9025 NW Expressway Yukon, OK 73099
Prime Life Heritage, L.L.C.
50% eff 6/1/13
Stockholders/partners -- Not Officers
2560 Mission Springs Drive Edmond, OK 73012
Aduddell Curtis
Heritage Community AL7001 1401 N. Lelia Guymon, OK 73942 580-338-3186
Page 78 of [email protected]
Owner NameFacilities Owned
Operating Entity
1401 N. Lelia Guymon, Ok 73942
The Dr. W.F. and Mada Dunaway Manor Nursing Home Of Guymon, Inc.
President
Officers Who Do Not Hold Stock
219 NW 4th Street Guymon, OK 73942
Brown Phillip
Secretary-Treasurer eff 1-16-14
Secretary/Treasurer
PO Box 1 Hooker, OK 73945
Ridge Elaine
Stockholders/partners -- Not Officers
PO Box 772 Hooker, OK 73945
Hofferber Kevin
Stockholders/partners -- Not Officers
6068 Sunset Drive Guymon, OK 73942
Parkhurst Mike
Stockholders/partners -- Not Officers
108 NE 22nd Guymon, OK 73942
Petersen Donna
Stockholders/partners -- Not Officers
124 N Academy Guymon, OK 73942
Urias Carlos
Stockholders/partners -- Not Officers
Rt 1 Box 25A Texhoma, OK 73949
Skelton Jane
Stockholders/partners -- Not Officers
RR! Box 6 Hardesty, OK 73944
Stump Kathy
Stockholders/partners -- Not Officers
1401 N. Lelia Street Guymon, OK 73942
Edenborough Bud
Heritage Park Estates RC5507 3244 NW Grand Blvd. Oklahoma City, OK 73116 405-879-0677
Operating Entity
3007 N.W. 63rd 210 Oklahoma City, OK 73116
Heritage Management Group, Inc.
Heritage Point of Oklahoma City AL5599 12000 N MacArthur Blvd Oklahoma City, OK 73162 405-252-8200
RE Owner eff 05/14/2015
Lessor Or Real Estate Owner
15050 Antioch 101 Overland Park, KS 66221
Oklahoma City Senior Realty, LLC
OP eff 05/14/2015
Operating Entity
15050 Antioch 101 Overland Park, KS 66221
Heritage Point Senior Living, LLC
100% Okc Senior Realty & Heritage
Point Senior Living
Stockholders/partners -- Not Officers
15050 Antioch 101 Overland Park, KS 66221
Oklahoma City Senior Holding, LLC
Contracted Management eff 04/01/2015
Contracted Management
15050 Antioch 101 Overland Park, KS 66221
Senior Living Services, LLC
85% Sen Living Ser & Manager 15% Okc
Sen Holdings
Stockholders/partners Who Are Officers
15050 Antioch 101 Overland Park, KS 66221
Pammenter Kip
Stockholders/partners Who Are Officers Adam Matthew
Page 79 of [email protected]
Owner NameFacilities Owned
15% Oklahoma City Senior Holding &
manager Heritage Point SL15050 Antioch 101 Overland Park, KS 66221
Heritage Point of Tulsa AL7266 9494 East 101st Street South Tulsa, OK 74133 918-940-1800
Contracted Management Eff 12-02-2016
Contracted Management
15050 Antioch 101 Overland Park, KS 66221
Senior Living Services, LLC
Manager, Tulsa Senior Holding & Tulsa
Senior Living 90% Senior
Stockholders/partners Who Are Officers
15050 Antioch 101 Overland Park, KS 66221
Pammenter Kip
100% RE eff December 2016
Lessor Or Real Estate Owner
15050 Antioch Road 101 Overland Park, KS 66221
Tulsa Senior Realty, LLC
OP eff 12-02-2016
Operating Entity
15050 Antioch Road 101 Overland Park, KS 66221
Tulsa Senior Living, LLC
High Cedar Residential Care RC1404 18601 Cedar Lane Noble, OK 73068 405-447-2532
OP eff 10-20-2016
Operating Entity
18601 Cedar Lane Noble, OK 73068
Brandon Jonny
Home Away From Home Adult Day Services DC5521 9213 N.E. 10th St Midwest City, OK 73130 405-264-7627
OP, Eff 7/18/17
Operating Entity
9213 NE 10th St. Midwest City, OK 73130
Home Away From Home Adult Day Services
100% Eff 07/18/17
Lessor Or Real Estate Owner
9207 NE 10th St. Midwest City, OK 73130
Tran Richard
100%, Eff 7/18/17
Stockholders/partners Who Are Officers
9213 NE 10th St. Midwest City, OK 73170
Richardson Kimberly
Homestead of Bethany, LLC AL5502 4101 North Council Road Bethany, OK 73008 405-787-9200
.5% & Pres, Klaton Ventures, LLC eff
12/6/19
Stockholders/partners Who Are Officers
4425 SW Storybrook Drive Topeka, KS 66610
Klausman James A.
.5% & VP Klaton Ventures,LLC eff
12/6/19
Stockholders/partners Who Are Officers
6225 South Pointe Drive Auburn, KS 66402
Eaton, Jr. Floyd C.
100% Homestead of Bethany Operations,
LLC & RE, eff 12/6/19
Stockholders/partners -- Not Officers
3024 SW Wanamaker Rd 300 Topeka, KS 66614
Klaton Ventures, LLC
24.75% Klaton Ventures, LLC, eff
12/6/19
Stockholders/partners -- Not Officers
3024 SW Wanamaker Rd 300 Topeka, KS 66614
James Brett Klausman Trust 2012
Page 80 of [email protected]
Owner NameFacilities Owned
24.75% Klaton Ventures, LLC, eff
12/6/19
Stockholders/partners -- Not Officers
3024 Wanamaker Rd 300 Topeka, KS 66614
Jamie N. Eaton Trust 2012
24.75% Klaton Ventures, LLC, eff
12/6/19
Stockholders/partners -- Not Officers
3024 SW Wanamaker Rd 300 Topeka, KS 66614
Floyd C. Eaton III Trust 2012
24.75% Klaton Ventures, LLC, eff
12/6/19
Stockholders/partners -- Not Officers
3024 Wanamaker Rd 300 Topeka, KS 66614
Michael Graham Klausman Trust 2012
OP Eff 12/6/19
Operating Entity
3024 SW Wanamaker Rd 300 Topeka, KS 66614
Homestead of Bethany Operations, LLC
RE Eff 12/6/19
Lessor Or Real Estate Owner
3024 SW Wanamaker Rd 300 Topeka, KS 66614
Homestead of Bethany, LLC
Homestead Residential Care RC1811 35284 South 4440 Road Vinita, OK 74301 918-782-9969
50% Homestead Residential Care,LLC
Stockholders/partners Who Are Officers
443655 E. 240 Rd. Vinita, OK 74301
Kelley Donna
Operating Entity
,
Homestead Residential Care LLC
50% Homestead Residential Care
Stockholders/partners Who Are Officers
443655 E. 240 Rd. Vinita, OK 74301
Kelley Ronnie
Iris Memory Care of Edmond AL5547 2424 NW 178th Street Edmond, OK 73012 405-330-2222
EFF 9/9/2016
Operating Entity
3131 McKinney Avenue 600 Dallas, TX 75204
ESE OKC NW 178th I,LLC
Manager OP/ ESE OKC Investor EFF
09/9/2016
Managing Member
,
Meszaros Brandon
Manager OP/ESE OKC Investor EFF
9/9/2016
Managing Member
5455 Monticello Ave Dallas, TX 75206
Krukiel David
5% OP
Stockholders/partners -- Not Officers
3131 McKinney Ave, 600 Dallas, TX 75204
ESE OKC Investor I, LLC
95% OP
Lessor Or Real Estate Owner
8333 Douglas Ave. 300 Dallas, TX 75225
RCP OKC Senior Housing, LLC
Manager of RCP OKC Senior Housing,
LLC
Officers Who Do Not Hold Stock
,
RCP Gen Par 2015, LLC
15.3% RCP OKC Senior Housing,LLC
Stockholders/partners -- Not Officers
610 Reilly Ave. Farmington, NM 87401
Milagrd Group,LLC
12.82% of RCP OKC Senior
Housing,LLC
Stockholders/partners -- Not Officers
11527 Green Oaks Dr. Houston, TX 77024
Casid Michael
Page 81 of [email protected]
Owner NameFacilities Owned
7.65% of RCP OKC Senior Housing,
LLC
Stockholders/partners -- Not Officers
57 Lamerson Rd. Chester, NJ 07930
Stevens Glenn H.
Manager of Milagrd Group,LLC
Managing Member
,
Barnes Michael A.
33.3% owner.mgr member of ESL, LLC
Managing Member
1603 Eagle Passway Allen, TX 75013
Girard Michael
Contracted Managemnt Eff. 01/12/2017
Contracted Management
1333 West McDermptt Drive Allen, TX 75013
Evolve Senior Living, LLC (ESL, LLC)
33.3% owner/mng member of ESL, LLC
Managing Member
319 Arlington Dr. Charleston, SC 29414
Pearce Benjamin
33.3% owner/mng member of ESL, LLC
Managing Member
16 Trishas Way Stratham, NH 03885
LaFrance Edmond
John H Johnson Care Suites AL5554 1213 NW 122nd Street Oklahoma City, OK 73120 (405)269-2266
RE Eff 11-20-2019
Lessor Or Real Estate Owner
1700 NE 4th Street Oklahoma City, OK 73117
Community Enhancement Organization
OP eff 11-21-2019
Operating Entity
1700 NE 4th Oklahoma City, OK 73117
John H. Johnson ALF, LP
Contracted Management Company eff
11-21-2019
Contracted Management
217 Lakeview Road Van Buren, AR 72196
Care Suites of Chisholm Creek, LLC
Gen Partner of John H Johnson ALF eff
11-21-2019
General Partner
1700 NE 4th Oklahoma City, OK 73117
JHJ GP, LLC
??? eff 11-21-2019
Stockholders/partners -- Not Officers
1700 NE 4th Oklahoma City, OK 73117
42EP AALF Fund I, LP
??? Eff 11-21-2019
Stockholders/partners -- Not Officers
1700 NE 4th Oklahoma City, OK 73117
42EP SLP, LLC
51% Care Suites of Chisholm Creek, LLC
Stockholders/partners Who Are Officers
217 Lakewood Road Van Buren, AR 72196
Hightower Todd
Officer - John H Johnson ALF, LP eff
11-21-2019
Officers Who Do Not Hold Stock
1700 NE 4th Street Oklahoma City, OK 73117
Colgan Lan
49% of Care Suite of Chishom Creek,
LLC eff 11-21-2019
Stockholders/partners -- Not Officers
1917 Red Prairle Drive Edmond, OK 72196
Talentmax, Inc.
Ki Bois Adult Day Services DC3102 1105 Central Street Stigler, OK 74462 918-967-3375
Operator
Operating Entity
PO Box 727 Stigler, OK 74462-0727
Ki Bois Community Action Foundation, Inc.
Page 82 of [email protected]
Owner NameFacilities Owned
0%, Executive Director
Officers Who Do Not Hold Stock
PO Box 727 Stigler, OK 74462
Huggins R. Carroll
0%, Chairman
Officers Who Do Not Hold Stock
PO Box 727 Stigler, OK 74462
Bass Gene
0%,1st Vice Chair
Officers Who Do Not Hold Stock
PO Box 727 Stigler, OK 74662
Cook John
0%, Secretary/Treasure
Officers Who Do Not Hold Stock
PO Box 727 Stigler, OK 74462
Coplen Jan
2nd Vice Chairman
Officers Who Do Not Hold Stock
P.O. Box 114 Howe, OK 74940
Williams Cecil
% Parlimentarian
Officers Who Do Not Hold Stock
P.O. Box 426 Gore, OK 74435
Carter Steve
Lake Francis Retirement Care Home, L.L.C. RC0101 3rd & Cemetery Road Watts, OK 74964 918-422-9907
Lessor Or Real Estate Owner
27753 S. Welling Rd. Welling, OK 74471
McIntosh Family Limited Partnership
Operating Entity
3rd & Cemetary Rd. Watts, OK 74964
Lake Francis Residential Care Home, L.L.C.
16% of McIntosh Family Limited
Partnership eff 01/28/2014
Stockholders/partners -- Not Officers
25114 South Welling Road Welling, OK 74471
Davis Denise
5.33% 01/28/2014
Stockholders/partners -- Not Officers
13480 Cherokee Street Oolagah, OK 74053
Nofire Tahlina
5.33%
Stockholders/partners -- Not Officers
20675 West Petit Bay Road Parkhill, OK 74451
Nofire April
5.34%
Stockholders/partners -- Not Officers
24304 East 831 Road Welling, OK 74471
Nofire John
5.47%
Stockholders/partners -- Not Officers
26402 South Welling Road Welling, OK 74471
Ketcher Letawna
56.97% eff 06/13/2019
Stockholders/partners -- Not Officers
25502 South 581 Road Welling, OK 74471
Ketcher Autumn
5.56%
Stockholders/partners -- Not Officers
25502 South 581 Road Welling, OK 74471
McIntosh Zachariah
Laris Res Care, L.L.C. RC4903 Highway 28 Langley, OK 74350 918-782-3747
100%
Stockholders/partners Who Are Officers
P. O. Box 727 Langley, OK 74350
Crane Allensworth Lari
Operating Entity
P.O. box 727 Langley, OK 74350
Lari's Res Care, L.L.C.
Page 83 of [email protected]
Owner NameFacilities Owned
Legend at 71st Street AL1103 701 West 71st South Tulsa, OK 74132 316 616-6231
45% Legend Senior Properties, LLC eff
2-23-2018
Stockholders/partners Who Are Officers
8415 E. 21st N 100 Wichita, KS 67206
Buchanan Timothy J.
Contracted Management Company eff
1-16-14
Contracted Management
8415 E. 21 Street North 110 Wichita, KS 67206
Legend Senior Living , LLC
45% Legend Senior Prop, LLC eff
2-23-2018
Stockholders/partners -- Not Officers
8415 E. 21st N 100 Wichita, KS 67206
Buchanan Meredith Gail
84% Dryman, LLC eff 2-23-18
Stockholders/partners -- Not Officers
8415 East 21st Street North 100 Wichita, KS 67206
Legend Senior Properties, LLC
Trustee & Beneficiary - Stephen D.
Russell Revocable Trust
Stockholders/partners -- Not Officers
1900 Lincoln Dr. Sarasota, FL 34236
Russell Stephen D.
Trustee & Beneficiary - Cathy L. Layton
Revocable Trust
Stockholders/partners -- Not Officers
1900 Lincoln Dr. Sarasota, FL 34236
Layton Cathy L.
100% of 71st Street ALF, LLC eff
2-23-2018
Stockholders/partners -- Not Officers
8415 E. 21st ST. 100 Wichita, KS 67206
Jupiter Tenant, LLC
80% Jupiter Tenant, LLC eff. 2/23/2018
Stockholders/partners -- Not Officers
8415 E. 21st St. 100 Wichita, KS 67206
Drymen, LLC
16% Drymen, LLC
Stockholders/partners -- Not Officers
1800 2nd St Ste. 717 Sarasota, FL 34236
SDR-CLL, LLC
50% SDR-CLL, LLC eff 2-23-2018
Stockholders/partners -- Not Officers
1800 2nd St. Ste. 717 Sarasota, FL 34236
Stephen D. Russell Revocable Trust
50% SDR-CLL, LLC eff 2-23-2018
Stockholders/partners -- Not Officers
1800 2nd St. Ste. 717 Sarasota, FL 34236
Cathy L. Layton Revocable Trust
20% Jupiter Tenant, LLC eff. 2/23/2018
Stockholders/partners -- Not Officers
4500 Dorr Street Toledo, OH 43615
Welltower, Inc.
effective 2/23/2018
Operating Entity
8415 E. 21st N 100 Wichita, KS 67206
71st Street ALF, LLC
eff. 2/23/2018
Lessor Or Real Estate Owner
4500 Dorr Street Toldeo, OH 43615
701 W. 71st Street South, LLC
Legend at Council Road AL5594 11320 North Council Road Oklahoma City, OK 73162 405-721-0300
43% Legend Senior Prop & 50% Legend
Senior Living
Stockholders/partners Who Are Officers
8415 E. 21st N 100 Wichita, KS 67206
Buchanan Timothy J.
Contracted Management Company
Contracted Management
8415 E. 21 Street North 110 Wichita, KS 67206
Legend Senior Living , LLC
Page 84 of [email protected]
Owner NameFacilities Owned
43% Legend Senior Prop & 50% Legend
Senior Living eff 12-31-15
Stockholders/partners -- Not Officers
8415 E. 21st N 100 Wichita, KS 67206
Buchanan Meredith Gail
84% of Drymen eff. 12-31-2016
Stockholders/partners -- Not Officers
8415 East 21st Street North 100 Wichita, KS 67206
Legend Senior Properties, LLC
Stephen D. Russell Revocable Trust
Trustee
1900 Lincoln Dr. Sarasota, FL 34236
Russell Stephen D.
Cathy L. Layton Revocable Trust
Trustee
1900 Lincoln Dr. Sarasota, FL 34236
Layton Cathy L.
100% Council ALF, LLC eff. 10-22-13
Stockholders/partners -- Not Officers
8415 E. 21st ST. 100 Wichita, KS 67206
Jupiter Tenant, LLC
eff. 10-22-13, 20% Jupiter Tenant
Stockholders/partners -- Not Officers
4500 Dorr St. Toledo, OH 43615
HCRI Tucson Properties Inc.
eff. 10-22-13, 80% Jupiter Tenant and
12% Jupiter Land
Stockholders/partners -- Not Officers
8415 E. 21st St. 100 Wichita, KS 67206
Drymen, LLC
16% of Drymen, eff. 10-22-13
Stockholders/partners -- Not Officers
1800 2nd St Ste. 717 Sarasota, FL 34236
SDR-CLL, LLC
50% SDR CLL, LLC eff 10-22-13
Stephen Russell Trustee
Stockholders/partners -- Not Officers
1800 2nd St. Ste. 717 Sarasota, FL 34236
Stephen D. Russell Revocable Trust
50% SDR-CLL,LLC Cathy L.
LaytonTrustee eff. 10-22-13
Stockholders/partners -- Not Officers
1800 2nd St. Ste. 717 Sarasota, FL 34236
Cathy L. Layton Revocable Trust
100% 11320 N Council eff 10-22-13
Stockholders/partners -- Not Officers
4500 Dorr St. Toledo, OH 43615
Jupiter Landlord, LLC
OP eff. 10-22-13
Operating Entity
8415 East 21st Street 100 Wichita, KS 67206
Council ALF, LLC
100% RE eff. 10-22-13
Lessor Or Real Estate Owner
4500 Dorr Street Toledo, OH 43615
11320 North Council Road, LLC
100% Welltower TRS Holdco, LLC 88%
Jupiter Landlord eff 12-31-15
Stockholders/partners -- Not Officers
4500 Dorr Street Toledo, OH 43615
Welltower, Inc.
100% HCRI Tucson Properties, Inc.
Stockholders/partners -- Not Officers
4500 Dorr Street Toledo, OH 43615
Welltower TRS Holdingco, LLC
Legend at Mingo Road AL7261 7902 S Mingo Road East Tulsa, OK 74133 918-893-3500
45% Legend Senior Properties & 50%
Legend Senior Living
Stockholders/partners Who Are Officers
8415 E. 21st N 100 Wichita, KS 67206
Buchanan Timothy J.
Contracted Management Company
Contracted Management
8415 E. 21 Street North 110 Wichita, KS 67206
Legend Senior Living , LLC
45% Legend Senior Properties & 50%
Legend Senior Living
Stockholders/partners -- Not Officers
8415 E. 21st N 100 Wichita, KS 67206
Buchanan Meredith Gail
Page 85 of [email protected]
Owner NameFacilities Owned
84% Drymen, LLC
Stockholders/partners -- Not Officers
8415 East 21st Street North 100 Wichita, KS 67206
Legend Senior Properties, LLC
88% Jupiter Landlord, LLC
Stockholders/partners -- Not Officers
4500 Dorr St. Toledo, OH 43615
Healthcare Reit, Inc.
100% Mingo Road ALF, LLC
Stockholders/partners -- Not Officers
8415 E. 21st ST. 100 Wichita, KS 67206
Jupiter Tenant, LLC
20% Jupiter Tenant, LLC
Stockholders/partners -- Not Officers
4500 Dorr St. Toledo, OH 43615
HCRI Tucson Properties Inc.
12% Jupiter, LLC & 80% Jupiter Tenant,
LLC
Stockholders/partners -- Not Officers
8415 E. 21st St. 100 Wichita, KS 67206
Drymen, LLC
16% Drymen, LLC
Stockholders/partners -- Not Officers
1800 2nd St Ste. 717 Sarasota, FL 34236
SDR-CLL, LLC
50% SDR-CLL, LLC
Stockholders/partners -- Not Officers
1800 2nd St. Ste. 717 Sarasota, FL 34236
Stephen D. Russell Revocable Trust
50% SDR-CLL, LLC
Stockholders/partners -- Not Officers
1800 2nd St. Ste. 717 Sarasota, FL 34236
Cathy L. Layton Revocable Trust
100% 7902 South Mingo Road East, LLC
Stockholders/partners -- Not Officers
4500 Dorr St. Toledo, OH 43615
Jupiter Landlord, LLC
100% RE eff 06/03/2015
Lessor Or Real Estate Owner
4500 Dorr Street Toledo, OH 43615
7902 South Mingo Road East, LLC
100% OP eff 02-28-2018
Operating Entity
8415 East 21st Street North 100 Wichita, KS 67206
Mingo Road ALF, LLC
Legend at Rivendell (The) AL1410 13200 South May Avenue Oklahoma City, OK 73170 405-691-2300
43% Legend Senior Prop & 50% Legend
Senior Living
Stockholders/partners Who Are Officers
8415 E. 21st N 100 Wichita, KS 67206
Buchanan Timothy J.
Contracted Managerment Company eff
8/13/2008
Contracted Management
8415 E. 21 Street North 110 Wichita, KS 67206
Legend Senior Living , LLC
43% Legend Senior Prop & 50% Legend
Senior Living
Stockholders/partners Who Are Officers
8415 E. 21st N 100 Wichita, KS 67206
Buchanan Meredith Gail
84% of Drymen, LLC eff. 6-2-214
Stockholders/partners -- Not Officers
8415 East 21st Street North 100 Wichita, KS 67206
Legend Senior Properties, LLC
Trustee Stephen D. Russell Revocable
Trust
Trustee
1900 Lincoln Dr. Sarasota, FL 34236
Russell Stephen D.
Trustee Cathy Layton Revocable Trust
Trustee
1900 Lincoln Dr. Sarasota, FL 34236
Layton Cathy L.
100% May ALF,LLC (OP) eff 6-2-2014
Stockholders/partners -- Not Officers
8415 E. 21st ST. 100 Wichita, KS 67206
Jupiter Tenant, LLC
Page 86 of [email protected]
Owner NameFacilities Owned
20% Jupiter Tenant,LLC
Stockholders/partners -- Not Officers
4500 Dorr St. Toledo, OH 43615
HCRI Tucson Properties Inc.
80% Jupiter Tenant, LLC & 12% Jupiter
Landlord, LLC
Stockholders/partners -- Not Officers
8415 E. 21st St. 100 Wichita, KS 67206
Drymen, LLC
16% of Drymen,LLC
Stockholders/partners -- Not Officers
1800 2nd St Ste. 717 Sarasota, FL 34236
SDR-CLL, LLC
50% SDR CLL, LLC
Stockholders/partners -- Not Officers
1800 2nd St. Ste. 717 Sarasota, FL 34236
Stephen D. Russell Revocable Trust
50% SDR CLL, LLC
Stockholders/partners -- Not Officers
1800 2nd St. Ste. 717 Sarasota, FL 34236
Cathy L. Layton Revocable Trust
100% 13200 South May Ave, LLC (RE)
eff 6-2-2014
Stockholders/partners -- Not Officers
4500 Dorr St. Toledo, OH 43615
Jupiter Landlord, LLC
OP eff 06-02-2014
Operating Entity
8415 E 21st Street N 100 Wichita, KS 67206
May ALF, LLC
100% RE
Lessor Or Real Estate Owner
8415 E 21 Street N 100 Wichita, KS 67206
13200 South May Avenue,LLC
100% Welltower TRS Holdco, LLC 88%
Jupiter Landlord eff 12-31-15
Stockholders/partners -- Not Officers
4500 Dorr Street Toledo, OH 43615
Welltower, Inc.
100% HCRI Tucson Properties, Inc.
Stockholders/partners -- Not Officers
4500 Dorr Street Toledo, OH 43615
Welltower TRS Holdingco, LLC
Life Adult Day Center DC6001 411 West Mathews Stillwater, OK 74075 405-377-0978
Operating Entity
411 W. Mathews Stillwater, OK 74075
Living Improvement for the Elderly Center, Inc.
Lessor Or Real Estate Owner
411 W. Mathews Stillwater, OK 74075
First Christian Church
Treasurer eff 06/2011
Officers Who Do Not Hold Stock
2017 S. Highland Ct. Stillwater, OK 74076
Keener Margaret
President, eff 2018
Officers Who Do Not Hold Stock
2312 W. 9th Ave Stillwater, OK 74074
Gladden Shelley
Secretary, eff 2018
Officers Who Do Not Hold Stock
4906 W. Woodland Dr Stillwater, OK 74074
Reese-Melancon Cindy
V.Pres, eff 2018
Officers Who Do Not Hold Stock
18595 Chisholm Stillwater, OK 74075
Zayat-Bloodgood Valerie
Executive DIrector eff 3/1/17
Officers Who Do Not Hold Stock
411 W. Mathews Stillwater, OK 74075
Moorman Kristy
Page 87 of [email protected]
Owner NameFacilities Owned
LIFE Senior Services, Inc. DC7204 5950 East 31st Street Tulsa, OK 74135 918-664-9000
Operating Entity
5950 E. 31st St. Tulsa, OK 74135
LIFE Senior Services, Inc.
eff. 01/23/19
Officers Who Do Not Hold Stock
1223 Swan Dr Bartlesville, OK 74006
Fogle J. Michael
Secreatary Eff 10/2015, ended Vic. Chair
3/3/17
Officers Who Do Not Hold Stock
3701 Martin Luther King Jr Blvd Tulsa, OK 74106
Fick Lindsay Hurley
Treas, ended 06/18/2012, Chair eff.
02/23/16 end 1/23/19
Officers Who Do Not Hold Stock
5330 East 31st Street Tulsa, OK 74135
Nordstrom Rod
Secretary, eff 3/3/17
Officers Who Do Not Hold Stock
5417 East 104th Place Tulsa, OK 74137
Sturges Jeanne
President/CEO, eff.09/2010
Officers Who Do Not Hold Stock
5950 E 31st St. Tulsa, OK 74135
Kenny Laura
Treasurer, eff 3/3/17
Officers Who Do Not Hold Stock
6800 S. Granite Ave Tulsa, OK 74136
Larson Angela
LIFE Senior Services, Inc. - Broken Arrow DC7211 3106 South Juniper Broken Arrow, OK 74012 918/664-9000
Operating Entity
5950 E. 31st St. Tulsa, OK 74135
LIFE Senior Services, Inc.
COO
Officers Who Do Not Hold Stock
1223 Swan Dr Bartlesville, OK 74006
Fogle J. Michael
Chairman eff 10/12/2018
Officers Who Do Not Hold Stock
3701 Martin Luther King Jr Blvd Tulsa, OK 74106
Fick Lindsay Hurley
Secretary eff 10/18/2018
Officers Who Do Not Hold Stock
5417 East 104th Place Tulsa, OK 74137
Sturges Jeanne
President/CEO effec 6/15/2011
Officers Who Do Not Hold Stock
5950 E 31st St. Tulsa, OK 74135
Kenny Laura
Treasurer Eff 10/2016
Officers Who Do Not Hold Stock
6800 S. Granite Ave Tulsa, OK 74136
Larson Angela
Treasurer eff 07/2013
Secretary/Treasurer
1 Williams Center, 36 NE Tulsa, OK 74102
Rock Bob
CAO eff 10-18-2018
Officers Who Do Not Hold Stock
5950 East 31st Street Tulsa, OK 74135
Palmer Kathleen
LIFE Senior Services, Inc. - North DC7210 902 East Pine Tulsa, OK 74106 918/664-9000
Page 88 of [email protected]
Owner NameFacilities Owned
Operating Entity
5950 E. 31st St. Tulsa, OK 74135
LIFE Senior Services, Inc.
Secretary eff 11/19/2015
Officers Who Do Not Hold Stock
3701 Martin Luther King Jr Blvd Tulsa, OK 74106
Fick Lindsay Hurley
Chairman eff 11/13/2013
Officers Who Do Not Hold Stock
5330 East 31st Street Tulsa, OK 74135
Nordstrom Rod
Treasurer Eff 10/2016
Officers Who Do Not Hold Stock
5417 East 104th Place Tulsa, OK 74137
Sturges Jeanne
President/CEO eff. 6/15/2011
Officers Who Do Not Hold Stock
5950 E 31st St. Tulsa, OK 74135
Kenny Laura
Treasurer, eff 11/16/17
Officers Who Do Not Hold Stock
6800 S. Granite Ave Tulsa, OK 74136
Larson Angela
CFO eff 07/2013
Officers Who Do Not Hold Stock
5950 East 31st Street Tulsa, OK 74135
Palmer Kathleen
Living Rose Christian Assisted Living Home AL7260 1108 N. Fern Ave. Broken Arrow, OK 74012 918-851-7906
eff. 11/30/12
Operating Entity
701 W.Lansing Broken Arrow, OK 74012
Living Rose Christian Assisted Living Home, Inc.
90% OP, eff. 11/30/12
Stockholders/partners -- Not Officers
701 W. Lansing Broken Arrow, OK 74012
Spinazzola Tammy
10% OP, eff. 11/30/12
Stockholders/partners -- Not Officers
701 W. Lansing Broken Arrow, OK 74012
Spinazzola David
eff. 11/30/12
Lessor Or Real Estate Owner
9345 Blue House Rd. Apt. 8303 Ladson, SC 29456
Spinazzola Lucas
Lorettas Adult Daycare DC5522 10400 N. Vineyard Blvd., Suite C & D Oklahoma City, OK 73120 405-439-1559
100% OP eff June 1, 2018
Stockholders/partners Who Are Officers
2802 Sparkling Water Court Joplin, MO 64801
Steere Loretta
eff. June 1, 2018
Lessor Or Real Estate Owner
8521 NW Expressway Oklahoma City, OK 73162
Belle Isle Offices LLC
eff. June 1, 2018
Operating Entity
10400 Vineyard Blvd. C & D Oklahoma City, OK 73120
Lorettas Adult Day Care Incorporated
50% RE eff June 1, 2018
Stockholders/partners -- Not Officers
13800 Lost Creek Edmond, OK 73013
Austin David
50% RE eff. June 1, 2018
Stockholders/partners -- Not Officers
13809 Lost Creek Edmond, OK 73013
Russell Kim
Page 89 of [email protected]
Owner NameFacilities Owned
Lyndale at Edmond AL5525 1225 Lakeshore Drive Edmond, OK 73013 405-348-6006
33.34% TCG Communities43.06%
Covenat Group Holdings eff 09-15-17
Stockholders/partners -- Not Officers
4356 Patricias Ridge Benbrook, TX 76126
Bullock Robert
50% Edwards Diamond &28.42%
Covenat Group Holdings eff 9-15-17
Stockholders/partners -- Not Officers
149 PR 3297 Decatur, TX 76234
Edwards Donny
33.33% TCG Communities&28.42%
Covenat Group Holdings eff 9-15-17
Stockholders/partners Who Are Officers
605 Meandering Woods Keller, TX 76248
McCaleb Bryan
99.9% Covenant Group Tex LP & 100%
Covenant Group Tex GP 9-15-17
Limited Partner
1200 Summit Avenue 444 Fort Worth, TX 76102
Covenant Group Holdings, LP
100% of Sagora Senior Living, Inc
Stockholders/partners -- Not Officers
801 Cherry St. Unit 31 2400 Fort Worth, TX 76102
Covenant Group of Texas, LP
.10% Covenant Group Holdings, LP eff
09-15-2017
Stockholders/partners -- Not Officers
1200 Summit Avenue 444 Fort Worth, TX 76102
Covenant Group Holdings GP, LLC
95% Welltower TCG NNN Landlord,
LLC eff 09-15-2017
Stockholders/partners -- Not Officers
4500 Dorr Street Toledo, OH 43615
Welltower, Inc.
Contracted Management eff 06-01-2016
Contracted Management
801 Cherry Street 2400 Fort Worth, TX 76102
Sogora Senior Living, Inc.
CEO of Welltower, Inc
Officers Who Do Not Hold Stock
4500 Dorr Street Toledo, OH 43615
DeRosa Thomas J.
0.1% Covenant Group of Texas, LP eff
09-15-2017
Stockholders/partners -- Not Officers
801 Cherry St. Unit 31 2400 Fort Worth, TX 76102
Covenant Group of Texas GP, LLC
100 RE eff 09/15/2017
Lessor Or Real Estate Owner
4500 Dorr Street Toledo, OH 73615
Welltower TCG NNN Landlord, LLC
5% Welltower TCG NNN Landlord,
100%STCG Edmond Lake
Stockholders/partners -- Not Officers
801 Cherry Street 2400 Fort Worth, TX 76102
TCG Communities, LLC
OP eff 09/15/2017
Operating Entity
801 Cherry Street 2400, Unit 31 Forth Worth, TX 76102
S TCG Edmond Lake Campus, LLC
33.33% of TCG Communities, LLC
Stockholders/partners -- Not Officers
149 PR 3297 Decatur, TX 76234
Edwards Seniors Housing Capital, LLC
100% Edwards Senior Housing Capital,
LLC eff 01/24/2018
Stockholders/partners -- Not Officers
149 PR 3297 Decatur, TX 76234
Edwards Diamond E. Ventures, LLC
50% Edwards Diamond E Ventures, LLC
Stockholders/partners -- Not Officers
149 PR 3297 Decatur, TX 76234
Edwards Marcy
Maple Lawn Manor, Inc. DC0806 800 Arapaho Avenue Hydro, OK 73048 405-663-2455
Page 90 of [email protected]
Owner NameFacilities Owned
Operating Entity
800 Arapaho Hydro, OK 73048
Maple Lawn Manor, Inc.
Chairman
Officers Who Do Not Hold Stock
Rt. 1 Box 167 Hydro, Ok 73048
Propps Mike
V. Chairman
Officers Who Do Not Hold Stock
Rt. 1 Box 88 Thomas, Ok 73669
Switzer Kent
Secretary
Officers Who Do Not Hold Stock
Rt. 1 Box 11 Hydro, Ok 73048
Lee Chris
Marshas Place RC7279 305 S. Fir Avenue Broken Arrow, Ok 74012 918-259-0780
95% OP & Real Estate EFF12-10-2018
Stockholders/partners Who Are Officers
305 S. Fir Ave Broken Arrow, OK 74012
Vandiver Erica
OP, eff 4/26/18
Operating Entity
305 S. Fir Ave Broken Arrow, OK 74012
Marshas Place, LLC
5% of MArsha Place LLC EFF
!2-10-2018
Stockholders/partners -- Not Officers
8425 S Murphree Drive Broken Arrow, OK 74014
Schwark Pamela
Maud Residential Care RC6304 403 W. Wanda Jackson Blvd. Maud, Ok 74854 405-374-9992
25% Vice President
Stockholders/partners Who Are Officers
35232 EW 1380 Konowa, OK 74849
Stanfield Geraldine
eff. 02/24/2012
Operating Entity
403 W. Wanda Jackson Blvd. Maud, OK 74854
Maud Residential Care, Inc.
25% President
Stockholders/partners Who Are Officers
35232 EW 1380 Konowo, OK 74849
Stanfield Wendell
25% Secretary
Stockholders/partners Who Are Officers
300 Hwy 39 E Konowa, OK 74849
Snider Sherry
25%
Stockholders/partners -- Not Officers
300 Hwy 39 E Konowa, OK 74849
Snider E. Jerone
Meadow Brook Residential Care RC4003 1000 Meadow Lane Howe, OK 74940 918-658-2509
100% OP end 1-2015
Stockholders/partners Who Are Officers
1000 Meadow Lane Howe, OK 74940
Cox , I Bobby D.
Operating Entity
1000 Meadow Lane Howe, OK 74940
Meadow Brook Residential Facility L.L.C.
100% OP 1-2015
Stockholders/partners -- Not Officers
1000 Meadow Lane Howe, OK 74940
Cox, II Bobby D.
Page 91 of [email protected]
Owner NameFacilities Owned
100% of OP
Stockholders/partners -- Not Officers
21256 Meadow Lane Howe, OK 74940
Bobby Cox Living Trust, A Revocable Trusr 01-29-1997
Meadowlakes Retirement Village AL1411 963 SW 107th Street Oklahoma City, OK 73170 405-703-4225
25% Meadowlake Retirement Village,
LLC
Stockholders/partners -- Not Officers
9813 S. Penn OKC, OK 73159
McCormick Denver
25% Meadowlake Retirement Village,
LLC
Stockholders/partners -- Not Officers
9813 S. Penn OKC, OK 73159
McCormick Linda
25% Meadowlake Retirement Village,
LLC
Stockholders/partners -- Not Officers
4800 N. Lincoln OKC, OK 73105
Nevard Donald
47.48% WR Inves, 59.9% LCCP, LP
100% LC GP & WR Inves GP 10-2017
Stockholders/partners -- Not Officers
1500 Waters Ridge Dr 200 Lewisville, TX 75077
Taylor John F.
33.7166% WR Investments, LP eff
10-01-2017
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Lake Creek Capital Partners, LP
11.9075% WR Investments, LP eff
10-01-2017
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Fisher James (Jim)
0.1% Gen. Partner of Lake Creek Capital,
LP
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
LC General Partner, LLC
25% Meadowlake Retirement Village,
LLC
Stockholders/partners Who Are Officers
5413 N.W. 107th Okla. City, OK 73162
Arlena Dunbar Revocable Trust
Trustee of Arlena Dunbar Revocable
Trust
Trustee
5413 NW 107th Okla. City, OK 73159
Dunbar William
Beneficiary Arlena Dunbar Revocable
Trust
Beneficiary
3913 Spyglass Rd. Okla. City, OK 73162
Nard Charlotte
Beneficiary Arlena Dunbar Revocable
Trust
Beneficiary
12204 N. Kimberlyn Rd. Okla. City, OK 73162
Dunbar Teresa
Contracted Mangaement Company Eff.
10/11/2016
Contracted Management
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Stonegate Senior Living, LLC
100% RE
Lessor Or Real Estate Owner
9813 South Pennsylvania Avenue Oklahoma City, OK 73159
Meadowlakes Retirement Village, LLC
3.4436% WR Invest, LP & 20% Lake
Creek Cap Part 10-01-2017
Stockholders/partners -- Not Officers
1500 Waters Ridge Dt Lewisville, TX 75057
Taylor John P.
100% MLR ALF OPCO, LLC eff
10-01-2017
Stockholders/partners -- Not Officers
1500 Waters Ridge Dr. 200 Lewisville, TX 75057
Southwest SNF Holdings, LLC
100% SW SNF Holdings & SGSL
Management Holding 10-01-17
Stockholders/partners -- Not Officers
1500 Waters Ridge Dirve 200 Lewisville, TX 75057
WR Investments, LP
Page 92 of [email protected]
Owner NameFacilities Owned
Gen. Partner of WR Invest; 100% of WR
Investments GP Mgr, Inc.
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
WR Investments GP, Inc.
3.4436% WR Invest, LP & 20% Lake
Creek Cap Part 10-01-2017
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Campbell Scott
100% Stongate Senior Living, LLC eff
10/2016
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, OK 75057
SGSL Management Holdings, LLC
Managing Member - MLR ALF OPCO &
WR Invest, LP eff 10-01-2017
Managing Member
1500 waters Ridge Dr. Lewisville, TX 75057
WR Investments GP Manager, Inc.
Managing Member - MLR ALF OPCO &
WR Invest, LP eff 10-01-2017
Managing Member
1500 waters Ridge Dr. Lewisville, TX 75057
WR Investments GP Manager, Inc.
Managing Member - MLR ALF OPCO &
WR Invest, LP eff 10-01-2017
Managing Member
1500 waters Ridge Dr. Lewisville, TX 75057
WR Investments GP Manager, Inc.
OP eff 10-01-2017
Operating Entity
1500 Waters Ridge Drive 200 Lewisville, TX 73159
MLR ALF OPCO, LLC
Mercy Love County Adult Day Center & Family Services DC4301 200 Wanda Street Marietta, OK 73448 580 276-7545
Chairman
Officers Who Do Not Hold Stock
4734 Hilton Rd. Marietta, OK 73448
Testerman Jack
Board Member
Officers Who Do Not Hold Stock
P.O.Box 527 Marietta, OK 73448
Brannan Bob
Board Member
Officers Who Do Not Hold Stock
7869 Hilton Rd. Marietta, OK 73448
Locke Andrea
Board Member
Officers Who Do Not Hold Stock
12474 Reed Rd. Marietta, OK 73448
Smith Jr. Steve
Board Member
Officers Who Do Not Hold Stock
605 E. Chickasaw St. Marietta, OK 73448
Radde Lenna
OP eff 12-19-2014
Operating Entity
300 Wanda Street Marietta, OK 73448
Love County Health Center Foundation of Love County Oklahoma
Metropolitan Better Living Center DC5507 702 Northeast 37th Street Oklahoma City, OK 73111 405-525-3024
Operating Entity
702 N.E. 37th St. Okla. City, OK 73105
Metropolitan Better Living Center, Inc.
Board Member, eff. 06/20/2012 end
7/17/2019
Officers Who Do Not Hold Stock
5024 Brettshire Way Okla. City, OK 73142
Griffith, M.C. Carvason
Executive Board - Founder of MBLC, eff.
06/20/2012 end 7/17/2019
Officers Who Do Not Hold Stock
2731 Orlie Drive Forest Park, OK 73121
Davis Juanita
Page 93 of [email protected]
Owner NameFacilities Owned
President, eff. 06/20/2012 end 7/17/2019
Officers Who Do Not Hold Stock
1409 N.E. 13th Street OKC, OK 73117
Porter Leona
Board Member, eff. 06/20/2012 end
07/17/2019
Officers Who Do Not Hold Stock
2908 Orlie Drive OKC, OK 73121
Brooks Joyce
Board Member, eff. 06/20/2012 end
07/17/2019
Officers Who Do Not Hold Stock
900 N.E. 69th Street OKC, OK 73105
Brown Ezra
Board Member, eff. 06/20/2012 end
7/17/2019
Officers Who Do Not Hold Stock
9400 N. Broadway 300 Oklahoma City, OK 73114
Thomas Kayla
Executive Director, eff. 06/20/2012 end
7/17/2019
Officers Who Do Not Hold Stock
702 NE 37th Street Oklahoma City, OK 73105
Parks Jackie
Executive Board, eff. 06/20/2012
Officers Who Do Not Hold Stock
1320 NE 23rd street Oklahoma City, OK 73111
Reid Wayne
Board Member, eff. 06/20/2012 end
7/17/2019
Officers Who Do Not Hold Stock
10500 SE 89th Oklahoma City, Ok 73150
Kinchion Willner
Board Member, eff. 06/20/2012 end
7/17/2019
Officers Who Do Not Hold Stock
3113 N. Coltrane Oklahoma City, OK 73121
Hurst Arthur
Board Member, eff. 06/20/2012 end
7/17/2019
Officers Who Do Not Hold Stock
1813 Flamingo Avenue Okl;ahoma City, OK 73127
Draper Ambrose
Vice Chair eff. 7/17/2019
Officers Who Do Not Hold Stock
1122 NE 13th St. 1200 Oklahoma City, OK 73117
Dowers-Nichols Claire
Treasure eff 7/17/2019
Officers Who Do Not Hold Stock
317 Timberdale Dr. Edmond, OK 73034
Mouton Shontai
eff 7/17/2019
Officers Who Do Not Hold Stock
12112 Mortiz Ct Oklahoma City, OK 73162
Doolin Valenthia
eff 7/17/2019
Officers Who Do Not Hold Stock
3705 Kings Row Forrest Park, OK 73121
Jeffries Larry
eff 7/17/2019
Officers Who Do Not Hold Stock
P.O. Box Oklahoma City, OK 73113
Broiles Ethel
eff 7/17/2019
Officers Who Do Not Hold Stock
10800 N Ann Arbor Oklahoma City, OK 73163
Nubine Johnny
Metropolitan Better Living Center Inc. DC5547 1407 NE 10th St. Oklahoma City, OK 73117 405-525-3024
OP EFF 3/8/2019
Operating Entity
702 N.E. 37th St. Okla. City, OK 73105
Metropolitan Better Living Center, Inc.
Chairman 3/8/2019
Officers Who Do Not Hold Stock
1320 NE 23rd street Oklahoma City, OK 73111
Reid Wayne
Vice Chair eff. 07/17/2019
Stockholders/partners -- Not Officers
1122 NE 13th St. 1200 Oklahoma City, OK 73117
Dowers-Nichols Claire
Page 94 of [email protected]
Owner NameFacilities Owned
Treasurer 3/8/2019
Officers Who Do Not Hold Stock
317 Timberdale Dr. Edmond, OK 73034
Mouton Shontai
Board member EFF 3/8/2019
Officers Who Do Not Hold Stock
12112 Mortiz Ct Oklahoma City, OK 73162
Doolin Valenthia
Board member EFF 3/8/2019
Officers Who Do Not Hold Stock
3705 Kings Row Forrest Park, OK 73121
Jeffries Larry
Board member Eff 3/8/2019
Officers Who Do Not Hold Stock
P.O. Box Oklahoma City, OK 73113
Broiles Ethel
Board member Eff 3/8/2019
Officers Who Do Not Hold Stock
10800 N Ann Arbor Oklahoma City, OK 73163
Nubine Johnny
Millers Residential Care, LLC RC1803 203 North Gunter Vinita, OK 74301-0459 918-256-3796
100% of OP & RE Manager eff. 1-18-13
Stockholders/partners Who Are Officers
443655 E 240 Rd Vinita, OK 74301
Kelley Ron
Operating Entity
203 N. Gunter Vinita, OK 74301
Millers Residential Care, LLC
Montereau, Inc. CC7204 6800 South Granite Avenue Tulsa, OK 74136 918/491-5250
Operating Entity
6585 S. Yale #900 Tulsa, OK 74136
Montereau, Inc. Montereau, Inc.
Lessor Or Real Estate Owner
P.O. Box 470372 Tulsa, OK 74147-0372
The William K. Warren Medical Research Center, Inc.
Chairman eff 8/13/2016
Officers Who Do Not Hold Stock
6161 S. Yale Tulsa, OK 74136
Warren John Kelly
Vice Chairman eff 8-13-2016
Officers Who Do Not Hold Stock
6585 S. Yale 1040 Tulsa, OK 74136
Cooper Thomas E.
President/CEO
Officers Who Do Not Hold Stock
6800 S Granite Ave. Tulsa, OK 74136
Murlette David
CFO/Treasure/Secretary eff 03-06-2013
Officers Who Do Not Hold Stock
6800 S. Granite Ave Tulsa, OK 74136
Larson Angela
COO Health Service EFF 1-1-2016
Officers Who Do Not Hold Stock
6800 S. Granite Ave. Tulsa, OK 74136
Brown Tammy
MPower Adult Day Center DC6002 316 S. Stallard Stillwater, OK 74074 405-377-0834
effective 9/6/2018
Operating Entity
316 S. Stallard Stillwater, OK 74074
MPower, Inc.
Page 95 of [email protected]
Owner NameFacilities Owned
Executive Director eff 9/6/2018
Officers Who Do Not Hold Stock
P.O. Box 1509 Stillwater, OK 74076
Spiva Amy
Chairperson eff 9/6/18
Officers Who Do Not Hold Stock
501 W. Elm - P.O. Box 729 Stillwater, OK 74076
Beasley Dara
V-Chairperson eff 9/6/18
Officers Who Do Not Hold Stock
5725 Pecan Hill Court Stillwater, OK 74074
Carpenter Pam
Secretary eff 9/6/18
Officers Who Do Not Hold Stock
1115 Western Stillwater, OK 74075
MPower, Inc. Walstad Jerry
Treasurer eff. 9/6/18
Officers Who Do Not Hold Stock
308 S. Main Stillwater, OK 74074
Russell Blain
Trustee eff 9/6/18
Officers Who Do Not Hold Stock
9015 W. 2nd Ave. Stillwater, OK 74074
Washington Gay
Trustee eff. 9/6/18
Officers Who Do Not Hold Stock
1715 E. 4th Ave. Stillwater, OK 74074
Harrell Joyce
Trustee eff. 9/6/18
Officers Who Do Not Hold Stock
1514 W. Hall of Fame Stillwater, OK 74078-2026
Gofourth Milissa
Trustee eff. 9/6/18
Officers Who Do Not Hold Stock
4718 Brush Creek Rd. Stillwater, OK 74075
Aulgur Kaye
Trustee eff. 9/6/18
Officers Who Do Not Hold Stock
2121 Legendary Ln. Stillwater, OK 74075
Karns Marcia
Trustee eff. 9/6/18
Officers Who Do Not Hold Stock
3014 W. 44th Street Stillwater, OK 74074
Talley Caryl
Trustee eff. 9/6/18
Officers Who Do Not Hold Stock
4005 S. Western Rd. Stillwater, OK 74074
Wall Randall
Trustee eff. 6/9/18
Officers Who Do Not Hold Stock
1202 S. Stonecrest Stillwater, OK 74074
Lewis Christopher
New Beginnings Residential Care Home RC7301 214 South Fourth Street Red Bird, OK 74458 918-483-1425
Operating Entity
214 S. 4th St. Red Bird, OK 74458
Burdine Inc.
owner/pres 60% eff 06/11/1998
Stockholders/partners Who Are Officers
214 S. 4th st Red Bird, OK 74458
Burdine James
owner/vp 40% eff 06/11/1998
Stockholders/partners Who Are Officers
214 S. 4th St. Red Bird, OK 74458
Burdine Barbara
New Hope Retirement & Care Center RC6105 1220 East Electric Blvd McAlester, OK 74501 918-423-9095
100% Bully Good 100% Aspire
Management eff 12/5/16
Stockholders/partners Who Are Officers
1929 Betty Jane Lane Muskogee, OK 74403
Montgomery Tom
Page 96 of [email protected]
Owner NameFacilities Owned
Eff 12/5/16
Operating Entity
1929 Betty Jane Lane Muskogee, OK 74403
Aspire Management, LLC
Eff 12/5/16
Lessor Or Real Estate Owner
1925 Betty Jane Lane Muskogee, OK 74403
Bully Good, Inc.
Nora ONeal Adult Day Care DC1604 631 E. Avenue Lawton, OK 73501 580 351-0207
President, 100%, eff.09/18/2012
Stockholders/partners Who Are Officers
309 NW 63rd St. Lawton, OK 73505
Simpkins Barbie L.
Operating Entity
1908 E. Gore, Bldg. B Lawton, OK 73501
Williams-Simpkins Inc.
RE
Lessor Or Real Estate Owner
P.O. Box 2183 Red Lodge, MT 59067
Hastings Mike
North County Assisted Living AL7218 523 N. 22nd Collinsville, OK 74021 918-371-2545
RE eff 03/01/2013
Lessor Or Real Estate Owner
P.O. Box 990 Edmond, OK 73083
CVille Holding, LLC
100% of CVille & North County SL eff
03/01/2013
Stockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
LEP Holdings, LLC
99% of LEP Holding, LLC eff
03/01/2013
Managing Member
P.O. Box 990 Edmond, OK 73083
Pilgrim Lee E.
OP eff 03/01/2013
Operating Entity
P.O. Box 990 Edmond, OK 73083
North County Senior Living, LLC
1% of LEP Holding, LLC eff 03/01/2013
Stockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
LEP Senior Properties, Inc.
Northhaven Place AL5507 7535 West Hefner Road Oklahoma City, OK 73162 405-773-8300
100% of FEBC-ALT Investors LLC
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
100% Real Estate Company eff
09-29-2016
Stockholders/partners -- Not Officers
330 North Wabash Ave. 3700 Chicago, IL 60611
Master BG PROPCO, LLC
100% Master BG Propco, LLC & Parent
BG OPCO TRS, LLC eff 9-29-16
Stockholders/partners -- Not Officers
330 North Wabash Ave. 3700 Chicago, IL 60611
UPREIT BG CO, LLC
100% UPREIT BG CO, LLC
Stockholders/partners -- Not Officers
330 N. Wabash Ave. 3700 Chicago, IL 60611
BLUEGRASS RE HOLDINGS, LLC
19.37% TPG RE II Bluegrass Hold eff
09-29-2016
Stockholders/partners -- Not Officers
301 COMMERCE STREET 330 FORT WORTH, TX 76102
TPG Real Estate Partners II (E1), LP
Page 97 of [email protected]
Owner NameFacilities Owned
100% BLUEGRASS RE HOLDINGS eff
09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II Bluegrass Holdings, LP
100% TPG Real Estate Partners II (E1),
LP
Stockholders/partners -- Not Officers
1001 Square-Victoria C-500 Montreal, QC H2Z 2B5
Cadim Holdings U.S., Inc.
19.92% TPG RE II Bluegrass Holdings,
LP eff 09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG Real Estate Partners II, LP
55.18% TPG RE Bluegrass Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II Bluegrass BL, LP
100% TPG RE II Bluegrass BL, LP eff
09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II Bluegrass BL, Inc.
38.57% TPG RE II Bluegrass BL, Inc. eff
09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II BDH (A), LP
100% TPG RE II BDH (A), LP eff
09-29-2016
Stockholders/partners -- Not Officers
301 Cmmerce Street 3300 Fort Worth, TX 76102
TPG Real Estate Partners II (A), LP
34.13% TPG Real Estate Partners II (A),
LP
Stockholders/partners -- Not Officers
No. 168 Zhuangjing Road, Xinyi Dist, Taipei City, TW 11049
Nan Shan Life Insurance Co., Ltd
61.43% TPG RE II Bluegrass BL, Inc.
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG Real Estate Partners II (B), LP
28.57 TPG Real Estate Partners II (B), LP
eff 09-29-2016
Stockholders/partners -- Not Officers
17F & 18F State Tower Namsan, !00 Toegye-ro Seoul, KR 100-052
Korea Investment Corporation
28.57% TPG Real Estate Partners II (B),
LP eff 09-29-2016
Stockholders/partners -- Not Officers
One Bush Street 1100 San Francisco, CA 94104
TxPac II, LLC
100% OKC 7535 Hefner BG OPCO, LLC
eff 09/29/2016
Stockholders/partners -- Not Officers
330 North Wasbash Ave. 3700 Chicago, IL 60611
Master Tenant (FNMA) BG OPCO, LLC
100% Master Tenant (FNMA) BG OPCO,
LLC
Stockholders/partners -- Not Officers
330 North Wabash Ave 3700 Chicago, IL 60611
Parent BG OPCO TRS, LLC
Contracted Management Company eff
09-29-2016
Contracted Management
330 North Wabash Ave 3700 Chicago, IL 60611
Enlivant Management Co, LLC
29.13% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Aid, LP
10.04% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
P.O. Box 309 Cayman Islands,
TPG VI Delfir BDH-B, LP
9.72% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
PO. BOX 309 Grand Cayman, KY1-1104
TPG VI Delfir BDH-A, LP
100% TPG VI Defir BDH-A, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Delfir AIV I-A, LP
7.58% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
11 Madison Ave 16th Floor New York, NY 10010
Cerium Jambo Limited
Page 98 of [email protected]
Owner NameFacilities Owned
100% TPG VI Delfir BDH-B, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Delfir AIV I-B, LP
9.37% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
P.O. Box 309 Ugland House Grand Caman, CI KY1-1104
TPG VI Delfir BDH-C, LP
100% TPG VI Delfir BDH-C L.P
Stockholders/partners -- Not Officers
301 Commerce Street Fort Worth, TX 76102
TPG VI Delfir AIV I-C, LP
49.86% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Delfir AIV II, LP
17.36% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG/NJ (RE) Partnership, LP
30.38% TPG Real Estate Partners II, LP
& 16.69% TPG VI AID Hold
Stockholders/partners -- Not Officers
DOL, PO Box 290 Trenton, NJ 08625
Common Pension Fund E
Authorized Signatory Officer for OKC
7535 Hefner BG OPCO, LLC
Officer
330 North Wabash Ave 3700 Chicago, IL 60611
Roberts Sean
Authorized Signatory Officer for
OKC7535 Hefner BG OPCO, LLC
Officer
330 Wabash Ave 3700 Chicago, IL 60611
Coleman Matthew
Authorized Signatory Officer for Enlivant
Management CO, LLC
Officer
330 Wabash Ave 3700 Chicago, IL 60611
Callison Jack
Authorized Signatory Officer for Enlivant
Management CO, LLC
Officer
330 North Wabash Ave 3700 Chicago, IL 60611
Tarsney Peter
Authorized Signatory Officer for Enlivant
Management CO, LLC
Officer
330 North Wabash Ave 3700 Chicago, IL 60611
Sharma Akhil
Authorized Signatory Officer for Enlivant
Management CO, LLC
Officer
330 N Wabash Ave 3700 Chicago, IL 60611
Guill Daniel
100% Envliant Manament Co eff
09-29-2016
Stockholders/partners -- Not Officers
330 North Wabash Ave 3700 Chicago, IL 60611
Enlivant Master MGMT CO, LLC
100% Real Estate Co eff 09-29-2016
Lessor Or Real Estate Owner
330 North Wabash Ave Chicago, IL 60611
OKC 7535 Hefner BG PROPCO, LLC
OP eff 09-29-2016
Operating Entity
330 North Wabash AVE 3700 Chicago, IL 60611
OKC 7535 Hefner BG OPCO, LLC
100% of Enlivant Master Mgmt CO, LLC
eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
Aid Holding II Management Services, LLC
80% of Aid Holdings II Management
Services eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
AID Holdings II, LLC
20% AID Holdings II Management
Services, LLC eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
Enlivant Management Holdings, LLC
100% AID Holdings II, LLC eff
01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI AID Holdings II Aggregation, LP
Page 99 of [email protected]
Owner NameFacilities Owned
100% Enlivant Management Holdings,
LLC eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
Enlivant Holdings, L.P.
GP of TPG VI AID Holding II
Aggregation & Enlivant Holdings, LP
General Partner
301 Commerce Street 3300 Fort Worth, TX 76102
TPG Advisors VI, Inc.
Oasis Adult Day Services DC1905 1500 East Dewey Sapulpa, OK 74066 918-857-2213
Eff 10/7/19
Lessor Or Real Estate Owner
425 W. Wells Blvd Sapulpa, OK 74066
Show Inc.
OP eff 10/07/19
Operating Entity
1500 East Dewey Sapulpa, OK 74066
OASIS INC.
Chair, eff 10/7/19
Officers Who Do Not Hold Stock
1500 East Dewey Sapulpa, OK 74066
Johnson Robert
Vice Chair, eff 10/7/19
Officers Who Do Not Hold Stock
1500 East Dewey Sapulpa, OK 74066
Schow Roger
Treasurer, eff 10/7/19
Officers Who Do Not Hold Stock
1500 East Dewey Sapulpa, OK 74066
Elliott Bryan
Secretary, eff 10/7/19
Officers Who Do Not Hold Stock
1500 East Dewey Sapulpa, OK 74066
Solomon Tammie
Executive Director, eff 10/7/19
Officers Who Do Not Hold Stock
1500 East Dewey Sapulpa, OK 74066
Woodruff Mandy
Oklahoma Foundation for the Disabled, Inc. DC5535 8421 North Walker Oklahoma City, OK 73114 405-842-6636
Operating Entity
8421 N Walker OKC, Ok 73114
Oklahoma Foundation for the Disabled, Inc.
President end 10/2015 - Member eff
10/27/2015
Officers Who Do Not Hold Stock
11809 Bevenshire Oklahoma City, OK 73162
Weber Connie
Secretary EFF 6/7/2012 end 10/27/2015
Member eff 10/27/2015
Officers Who Do Not Hold Stock
8608 NW 105th Oklahoma city, ok 73162
Culpepper Rosetta
Member
Officers Who Do Not Hold Stock
2319 CR 1224 blanchard, ok 73010
Thomas Billy
end 10/27/2015
Officers Who Do Not Hold Stock
2000 Classen Blvd Oklahoma City, OK 73106
Gifford Ellen
end 10/27/2015
Officers Who Do Not Hold Stock
4100 Will Rogers Pkwy Oklahoma City, OK 73108
Evans Adam
President eff 10-27-2015
Officers Who Do Not Hold Stock
2737 NW 140th 912 Oklahoma City, OK 73134
McKee Candie
Page 100 of [email protected]
Owner NameFacilities Owned
Vice President eff 10/27/2015
Officers Who Do Not Hold Stock
2701 NW 68th Street Oklahoma City, OK 73111
Whitaker Parrish
Secretary eff 10/27/2015
Officers Who Do Not Hold Stock
5213 North Dewey Oklahoma City, OK 73118
Canada Chelsea
Oklahoma Methodist Manor Inc AL7226 3130 South Sandusky Ave Tulsa, OK 74135 918-743-2565
Operating Entity
4134 E. 31st Street Tulsa, OK 74135
Oklahoma Methodist Manor, Inc.
CEO of Oklahoma Methodist Manor
Officers Who Do Not Hold Stock
4134 E 31st Street Tulsa, OK 74135
Dickie Steven
Secretary
Officers Who Do Not Hold Stock
4134 E. 31st Street Tulsa, OK 74135
Teter Stan
Treasurer
Officers Who Do Not Hold Stock
4134 E. 31st Street Tulsa, OK 74135
Early Sharon
Board President eff 02-07-2019
Officers Who Do Not Hold Stock
4134 East 31st Street Tulsa, OK 74135
Butlerworth Susie
Board Vice President
Officers Who Do Not Hold Stock
4134 East 31st Street Tulsa, OK 74135
Taylor Jim
Oklahoma NeuroRestorative Center AL7252 10107 South Garnett Road Broken Arrow, OK 74011 501-758-8799
75%
Stockholders/partners Who Are Officers
,
Robertson John
10%
Stockholders/partners Who Are Officers
4500 W. Commercial Dr. Little Rock, AR 72116
NeuroRestorative Associates, Inc. Carillo Roger
10%
Stockholders/partners Who Are Officers
4500 W. Commercial Dr. Little Rock, AR 72116
NeuroRestorative Associates, Inc. Roberts Jan
5%
Stockholders/partners Who Are Officers
4500 W. Commercial Dr. Little Rock, AR 72116
NeuroRestorative Associates, Inc. Stoker Owen
Operating Entity
4500 W. Commercial Dr. N. Little Rock, AR 72116
Neuro Restorative Associates Inc.
Oxford Glen at Owasso AL7239 11113 E 103rd Street North Owasso, OK 74055 918-376-4810
OP eff 11/20/2015
Operating Entity
125 North Market 1230 Whichita, KS 67202
Oxford Owasso Memory Care, LLC
5% of Oxford Owasso Memory Care,
65.4% Oxford Tulsa Cap
Stockholders/partners -- Not Officers
125 North Market 1230 Wichita, KS 67202
Austin Powers, LLC
Page 101 of [email protected]
Owner NameFacilities Owned
95%Oxford Owasso Mem Care & 10%
CBC Oxford Owasso Man Member
Stockholders/partners -- Not Officers
125 North Market 67202 Wichita, KS 67202
Oxford Tulsa Capital, LLC
50% Austin Powers Eff 11/20/2015
Stockholders/partners -- Not Officers
2661 Bayside Wichita, KS 67205
Austin Steven
50% Austin Powers, LLC eff 11/20/2015
Stockholders/partners -- Not Officers
2641 Bayside Wichita, KS 67205
Schawe Dale
18.9% of Oxford Tulsa Capital, Managing
Member
Stockholders/partners Who Are Officers
125 N Market 1230 Wichita, KS 67202
Wiley Jason
15.7% Oxford Tulsa Capital and
Managing Member eff 11/20/2015
Stockholders/partners Who Are Officers
125 North Market 1230 Wichita, KS 67202
Dennis James Chris
100% of CBC Oxford Owasso, LLC end
03/17/2016
Stockholders/partners -- Not Officers
4706 Broadway 240 Kansas City, MO 64112
CBC Oxford Owasso Managing Member, LLC
100% Daniel K Trust
Trustee
8611 North Donnelly Kansas City, MO 64157
Carr Daniel K
16% CBC Oxford Owasso Managing
Member eff 11/20/2015
Stockholders/partners -- Not Officers
11302 West 139th Terrace Overland Park, KS 66221
Kelly Kevin T.
Parkview Pointe Senior Living AL3001 721 S. W. 2nd Street Laverne, OK 73848 580-921-7275
eff 6/28/2013
Operating Entity
Rt. 1 Box 116 Rossotor, OK 73855
Harper County Development Authority
Chairman eff 6/28/2013
Officers Who Do Not Hold Stock
PO Box 1147 Laverne, OK 73848
Cook David
Vice Chairman, eff 6/28/2013
Officers Who Do Not Hold Stock
PO Box 1045 Laverne, OK 73848
Crocker C.G.
eff 06/28/13
Member
Box 290 Laverne, OK 73848
Shaffer Lana
eff 05/08/14
Member
Rt. 1, Box 37 Buffalo, OK 73834
Immell Dennis
Secretary/Treasurer Eff 08/2014
Officers Who Do Not Hold Stock
Rt. 1, Box 145 May, OK 73851
Hennigh Cindy
Eff 9-13-2018
Member
104 Walnut Drive Buffalo, OK 73834
Vinnedge Danielle
EFF 9-13-2018
Member
P.O. Box 406 Buffalo, OK 73834
Opferman Jan
Patchwork Angels Adult Day Care Center LLC DC0701 1420 East Highway 70 Durant, OK 74701 580/931-0444
Page 102 of [email protected]
Owner NameFacilities Owned
Operating Entity
1420 E Hwy 70 Durant, OK 74701
Patchwork Angels Adult Day Care Center LLC
50% OP
Stockholders/partners Who Are Officers
1004 Skyline Dr. Durant, OK 74701
Brister Gene
50% OP
Stockholders/partners Who Are Officers
1004 S. Skyline Dr. Durant, OK 74701
Sherman Brianna
Plantation Village Memory Care AL3303 2600 Cedar Creek Drive Altus, OK 73521 580-482-6735
Mgr/Pres of OP/Amity Care, LLC & Mgr
of RE eff 6/20/2006
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
12.5
Stockholders/partners -- Not Officers
PO Box 817 Altus, OK 73521
Brinkman Wade
12.5
Stockholders/partners -- Not Officers
5500 N. Western 142 Oklahoma City, OK 73118
Derryberrry Darren
25
Stockholders/partners -- Not Officers
P.O. Box 821 Altus, OK 73521
Ray Billy F.
Mgr/Sec of OP/Amity Care, LLC & Mgr
of RE eff 6/20/2006
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Dimond Mike
eff 06/20/2006
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
22% of OP/ Amity Care, LLC eff
6/20/2006
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
12.5%
Stockholders/partners -- Not Officers
3104 Trails Court Norman, OK 73072
Denver and Linda McCormick
Op Eff 11/27/2006
Operating Entity
2600 Cedar Creek Drive Altus, OK 73152
Altus Assisted Living, L.L.C.
eff 06/20/2006
Lessor Or Real Estate Owner
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Plantation Real Estate, LLC
78% OP/Amity Care, LLC eff
06/20/2006
Stockholders/partners -- Not Officers
4350 Will Rogers parkway 300 Oklahoma City, OK 73108
Kenneth D. Greiner, III Revocable Trust
99% of RE eff 06/20/2006
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Renew Properties, L.L.C.
Prairie House Assisted Living & Memory Care AL7241 2450 N. Stone Ridge Drive Broken Arrow, OK 74012 918-940-5200
100% of Utica Services, Inc.
Stockholders/partners -- Not Officers
1923 S. Utica Tulsa, OK 74104
St. John Health Systems, Inc.
Page 103 of [email protected]
Owner NameFacilities Owned
Contracted Management Company eff
06-08-2018
Contracted Management
12700 Park Central Dr. 300 Dallas, TX 75251
Heritage Oaks Management Enterprises USA, LLC
100% Real Estate, 100% PSL PH BA
Operations, LLC eff 12-15-2016
Lessor Or Real Estate Owner
8214 Westchester Drive 600 Dallas, TX 75225
PSL Prairie House BA, LP
OP eff 12-15-2016
Operating Entity
2450 North Stone Ridge Drive Broken Arrow, OK 74012
PSL Prairie House BA Operations, LLC
29% PSL Prairie House BA, LP (PSL PH
BA) eff 12-15-2016
Stockholders/partners -- Not Officers
8214 Westchester 600 Dallas, TX 75225
PSL Investments 2, LLC
13% of PSL Prairie House BA, LP eff
12-15-2016
Stockholders/partners -- Not Officers
1923 South Utica Ave Tulsa, OK 74104-6502
Utica Services, Inc
57% PSL Prairie House BA, LP eff
12-15-2016
Stockholders/partners -- Not Officers
809 North Cuernavaca Drive Austin, TX 78733
Thrive Prairie House Partners
50% PSL Investments 2, LLC
Stockholders/partners -- Not Officers
8214 Westchester 600 Dallas, TX 75225
Brown Allan
50% PSL Investments 2, LLC
Stockholders/partners -- Not Officers
8214 Westchester 600 Dallas, TX 75225
Crutcher H. Dodd
General Partner of Thrive Prairie House
Partners
Stockholders/partners -- Not Officers
809 North Cuernavaca Drive Austin, TX 78733
Thrive Prairie House GP, LLC
43.2% of Thrive Prairie House GP, LLC
Stockholders/partners -- Not Officers
809 Cuernavaca Drvie Austin, TX 78733
Newman JP
28.8% Thrive Prairie House GP, LLC
Stockholders/partners -- Not Officers
809 North Cuernavaca Drive Austin, TX 78733
Lufschanowski Adrian
CEO Life Care Services
CEO
400 Locust Street 820 Des Moines, IA 50309
Kenny Edward R.
President and COO
Officer
400 Locust Street 820 Des Moines, IA 50309
Nelson Joel
Executive VP, Treasurer and Secretary
Officer
400 Locust Street 820 Des Moines, IA 50309
Bridgewater Diane
Executive Vice President
Officer
400 Locust Street Des Moines, IA 50309
Exline Rick
Prairie Pointe at Stroud AL4102 701 West Olive Street Stroud, OK 74079 918 987-1130
Member of of Stroud Hosp &
Development Authority
Officer
P.O. Box 680 Stroud, OK 74079
Garrett Debbie Jo
OP eff 06-01-2016
Operating Entity
P.O. Box 500 Stroud, OK 74079
Stroud Hospital and Development Authority
Sec-Treas
Officer
577 RFD 1 Stroud, OK 74079
Hubbell Tom
Page 104 of [email protected]
Owner NameFacilities Owned
Chariman, eff 11/28/17
Officer
P.O. Box 680 Stroud, OK 74079
Chace Adam
Primrose Retirement Community of Stillwater AL6009 832 S. Range Road Stillwater, OK 74074 405-533-3300
eff. 12/19/13
Operating Entity
815 n. 2nd Street Aberdeen, SD 57401
Stillwater Retirement, L.L.C.
24.70% OP, President eff 3/7/13
Stockholders/partners Who Are Officers
815 N. 2nd St. Aberdeen, SD 57401
Thares James L.
8% OP, Vice President eff 3/7/13
Stockholders/partners Who Are Officers
815 N. 2nd St. Aberdeen, SD 57401
Schaefbauer II William J.
8% OP, Treasusrer
Stockholders/partners Who Are Officers
815 N. 2nd. St. Aberdeen, SD 57401
Morgan Brian
8% OP, Secretary
Stockholders/partners Who Are Officers
12940 Ironwood Drive Aberdeen, SD 57401
McNeary Mark W.
Primrose Retirement Community of Shawnee AL6303 1905 N. Bryan Avenue Shawnee, OK 74804 405-273-0925
Contracted Management Company eff
05/31/2019
Contracted Management
815 North 2nd Street Aberdeen, SD 57401
Primrose Retirement Communities, LLC (PRC)
20% Pres-PSH,40% CEO PRC eff
05-31-2019
Stockholders/partners Who Are Officers
815 N. 2nd St. Aberdeen, SD 57401
Thares James L.
8% VP PSH & 20% Pres/COO PRC eff
05/31/2019
Stockholders/partners Who Are Officers
815 N. 2nd St. Aberdeen, SD 57401
Schaefbauer II William J.
8% Treasurer PSH & 20% CFO/VP PRC
eff 05/31/2019
Stockholders/partners Who Are Officers
815 N. 2nd. St. Aberdeen, SD 57401
Morgan Brian
2% Secretary PSH&20% VP/CLO
Primrose Ret Comm (PRC) 05-31-2019
Stockholders/partners Who Are Officers
12940 Ironwood Drive Aberdeen, SD 57401
McNeary Mark W.
OP Eff 05-31-2019
Operating Entity
1905 North Byan Avemue Shawnee, OK 74804
Primrose Senior Holdings, LLC
12% of Primrose Senior Holdings, LLC
(PSH) eff 05-31-2019
Stockholders/partners -- Not Officers
1256500 West Shore Drive Aberdeen, SD 57401
Teal Patrick Alan
8% Primrose Senior Holdings, LLC
(PSH) eff 05-31-2019
Stockholders/partners -- Not Officers
P.O. Box 1915 Aberdeen, SD 57401
Evans Michael R.
6% Primrose Senior Holdings eff
05/31/2019
Stockholders/partners -- Not Officers
8971 Avila Cove Eden Prairie, MN 55347
Larson Gregory E.
Page 105 of [email protected]
Owner NameFacilities Owned
Providence Place AL7702 1109 Downs Avenue Woodward, OK 73801 580-256-5900
Board Member eff 05/13
Member
2824 Yeager Drive Woodward, OK 73801
Stout Jack
Operating Entity
900 17th Street Woodward, OK 73801
Health Services Foundation
Board Member
Member
3200 Oklahoma Ave Woodward, OK 73801
Liles Sandi
Vice-Chairman eff 2014
Officer
2907 Yeager Drive Woodward, OK 73801
Case, II Alan
Board Member
Member
PO Box 1026 Woodward, OK 73802
Phillips LaVern
Board Member
Member
1219 8th Street Woodward, OK 73801
Riffel Alan
Chairman
Officers Who Do Not Hold Stock
3921 34th Street Woodward, OK 73801
Mitchell Sue
Treasurer eff 2014
Officers Who Do Not Hold Stock
PO Box 68 Woodward, OK 73802
Wagner Roger
Vice-Chairman
Officers Who Do Not Hold Stock
P.O. Box 1043 Woodward, OK 73802
Craighead Stephanie
Secretary eff 2014
Officer
3522 Apache Dr. Woodward, OK 73801
Gentry Debbie
Board Member EFF 02/07/2013
Member
P.O. Box 829 Woodward, OK 73802
Jones Steve
Quail Creek Senior Living AL5513 12928 North May Avenue Oklahoma City, OK 73120 405-748-6464
Exec VP Director-MGMT CO eff
8-29-2014
Stockholders/partners Who Are Officers
111 Westwood Place 400 Brentwood, TN 37027
Richardson Bryan D.
100% BKD HB Acquisition Sub, Inc. Eff
1-9-16 100% Emeritus Cop
Stockholders/partners -- Not Officers
111 Westwood Place 400 Brentwood, TN 37027
Brookdale Senior Living, Inc.
Board of Managers
ColumbiaPacificAdvisors, LLC 1-18-17
Officers Who Do Not Hold Stock
3131 Eliott Avenue 500 Seattle, WA 98121
Baty Daniel R.
100% BKDROpCo&BKDRPropco
100% MGMT 1-28-17
Stockholders/partners -- Not Officers
3131 Elliott Avenue 500 Seattle, OK 98121
Emeritus Corporation
100% HCP S-H 2014 Member, LLC Eff
1-18-17
Stockholders/partners -- Not Officers
1920 Main St. 1200 Irvine, CA 92614
HCP, Inc.
Board of Managers
ColumbiaPacificAdvisors, LLC 1-18-17
Officers Who Do Not Hold Stock
1910 Fairview Ave. East 500 Seattle, WA 98102
Baty Stanley
Page 106 of [email protected]
Owner NameFacilities Owned
eff 8-29-2014
Operating Entity
1920 Main Street 1200 Irvine, CA 92614
S-H OpCo Quail Creek, LLC
eff 8-29-2014
Contracted Management
6737 W Washington Street 2300 Milwaukee, WI 53214
BKD Twenty-One Management Company, Inc.
ExecVP - OP and RE eff 8-29-2014
Officers Who Do Not Hold Stock
1920 Main Street 1200 Irvine, CA 92614
Young Kendall
100% owner BKD Twenty-One
Management Company, Inc eff 8-29-14
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irving, CA 92614
BKD HB Acquisition Sub, Inc
Exec VP BSL, Inc. Eff 1-18-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Diab Labeed
CFO BSL, Inc. Eff 1-18-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Baier Lucinda
Exec VP HCP, Inc. Eff 1-18-17
Officers Who Do Not Hold Stock
1920 Main Street 1200 Irvine, CA 92614
Hutchens J. Justin
Exe. Chairman of Board for BSL, Inc. eff
1-18-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Decker Daniel
100% RE Eff 1-18-17
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
S-H Forty-Nine Properties, LLC
Real Estate Owner Eff 1-18-17
Lessor Or Real Estate Owner
1920 Main Street Suite 1200 Irving, CA 92614
S-H Forty-Nine PropCo - Quail Creek, LLC
100% SH Forty-Nine Properties, LLC
Eff 1-18-17
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
S-H Forty-Nine PropCo Ventures, LLC
90% S-H Forty-Nine PropCo Ventures,
LLC Eff 1-18-17
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
HCP PropCo Ventures VI, LLC
10% S-H Forty-Nine PropCo Ventures,
LLC Eff 1-18-17
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
BKD RIDEA PropCo HoldCo Member, LLC
44.5%HCP PropCo Ventures VI, LLC
100% S-H 2014OpCoTRS 1-18-2017
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
HCP S-H 2014 Member, LLC
55.4667% HCP PropCp HoldCo Member,
LLC Eff 1-18-17
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
CP RIDEA 49 Propco, LLC
100% CP Ridea 49 Propco, LLC Eff
1-18-17
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
SHP REIT I, LLC
100% SHP REIT I, LLC & SHP REIT I
Manager Eff 1-18-2017
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
Columbia Pacific 2016 Acquisition, II, L.P
General Partner of Columbia Pacific 2016
eff 1-18-17
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
CP 2016 Aquisitiion II GP, LLC
Manager of General Partner CP 2016
Acquisition II GP eff 1-18-17
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
Columbia Pacific Advisors, LLC
Page 107 of [email protected]
Owner NameFacilities Owned
non-member manager of SHP REIT I,
LLC eff 1-18-2017
Manager
1920 Main Street 1200 Irvine, CA 92614
SHP REIT I Manager, LLC
Director BSL, Inc. Eff 1-18-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Blumstead Frank
Director, external BSL, INC eff 1-18-17
Officers Who Do Not Hold Stock
111 Westwood Place 400 BRentwood, TN 37027
Klegg Jackie
CEO BSL,Inc. Eff 1-18-2017
Officers Who Do Not Hold Stock
111 Westwood Place 400 Brentwood, TN 37027
Smith Thomas
10% S-H OpCo Quail Creek, LLC Eff
1-18-2017
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
BKD RIDEA OpCo HoldCo Member, LLC
90% S-H Forty-Nine OpCo Ventures,
LLC eff 1-18-17
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
HCP OpCo Ventures VI, LLC
44.5333% HCP, OpCo Ventures VI, LLC
eff 1-18-17
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
S-H 2014 OpCo TRS, Inc
55.46% HCP, OpCo Ventures VI, LLC
Stockholders/partners -- Not Officers
13320 Main Street 1200 Irvine, CA 92614
CP RIDEA 49 OpCo
100% CP RIDEA 49 OpCo eff 1-18-17
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
SHP REIT I TRS, LLC
Board of Managers
ColumbiaPacificAdvisors, LLC 1-18-17
Officers Who Do Not Hold Stock
1910 Fairview Ave East 200 Seattle, WA 98201
Washburn Alexander
Exec VP and Secretary OP 8-1-16
Officers Who Do Not Hold Stock
1920 Main Street 1200 Irvine, CA 92614
Lung Hsiao Kai
Quail Ridge Senior Living AL5523 12401 Trail Oaks Drive Oklahoma City, OK 73120 405-755-5775
Mngmt eff 8/10/06
Contracted Management
12401 Trail Oak Drive Oklahoma City, OK 73120
Quail Ridge Management Services, LLC
eff 8/21/06 Operating Entity
Operating Entity
1837 South Mesa Drive A-202 Mesa, AZ 85210
Quail Ridge Senior Development, LLC
Lessor
Lessor Or Real Estate Owner
12401 Trail Oaks Drive Oklahoma City, OK 73120
Quail Ridge Senior Holdings, LLC
36.49% Quail Ridge Senior Development
& QRSH Managing Member
Stockholders/partners Who Are Officers
7820 Maryland Ave. Clayton, MZ 63105
Smith Revocable Trust dated February 24, 2003 David A.
36.49% Quail Ridge Senior Development
& QRSH Managing Member
Stockholders/partners Who Are Officers
7711 Country Club Court St. Louis, MZ 63105
Fisher Living Trust dated June 1, 2004 Alexandra M.
18.18% Member of QRSH & QRSD
Stockholders/partners -- Not Officers
222 7th Street 212 Santa Monica, CA 90402
Quail Ridge Investors, LLC
9.02% Quail Ridge Senior Development
& QRSH Member
Stockholders/partners Who Are Officers
222 7th Street 212 Santa Monica, CA 90402
Levey Jonathan
Page 108 of [email protected]
Owner NameFacilities Owned
Trustee & Beneficiary of the David Smith
Revocable Trust
Stockholders/partners -- Not Officers
One McKnight Place St. Louis, MO 63124
Smith David A.
Trustee & Beneficiary Alexandra Fisher
Living Trust
Stockholders/partners -- Not Officers
One McKnight Place St. Louis, MO 63124
Fisher Alexandra
Rainbow Health Care Community and Rainbow Assisted Living Commun CC1901 111 E. Washington Bristow, OK 74010 918-367-2246
eff. Jan 11, 2017
Contracted Management
477 North Lindbergh Blvd 310 St. Louis, MO 63141
Midwest Geriatric Management, LLC
33 1/3%% of Rainbow Health Care, LLC
eff 02/14/2017
Stockholders/partners -- Not Officers
14447 Chellington Ct. 430 Chesterfield, MO 63017
Bienstock Judah
33 1/3% of Rainbow Health Care, LLC
eff 2/16/17
Stockholders/partners -- Not Officers
8 Primrose Dr. Lakewood, NJ 08701
Jeremias Baruch
25% of Rainbow Jdek, LLC eff
07/01/2014
Stockholders/partners -- Not Officers
31110 Solon Road 9 Solon, OH 44139
GM Resources, LLC
5.575% of Rainbow jdek, LLC eff
07/01/2014
Stockholders/partners -- Not Officers
31110 Solon Road 9 Solon, OH 44139
Deustch Investments, LLC
12.51% of Rainbow jdek, LLC eff
07/01/2014
Stockholders/partners -- Not Officers
31110 Solon Road 9 Solon, OH 44139
Moondance Capital Corporation
17.8% of Rainbow jdek, LLC eff
07/01/2014
Stockholders/partners -- Not Officers
31110 Solon Road 9 Solon, OH 44139
KJH JDEK Gold Medallion, LLC
100% of REeff 07/01/2014
Lessor Or Real Estate Owner
31110 Solon Road 9 Solon, OH 44139
Rainbow jdek, LLC
OP eff 07/01/2014
Operating Entity
477 North Lindgergh 310 St. Louis, MO 63141
Rainbow Health Care, LLC
33 1/3 of Heatheridge Health Care, Inc.eff
2/14/2017
Stockholders/partners -- Not Officers
59 Causeway Lawrence, NY 11559
Taub Miriam
Rambling Oaks Assisted Living AL1403 1060 Rambling Oaks Drive Norman, OK 73072 405-360-4755
100% ELCM Abington AL Leasing eff
08/10/2018
Stockholders/partners -- Not Officers
650 Madison Ave, FL 22 New York, NY 10022
ELCM Abington Leasing, LLC
100% ELCM Abington Leasing, LLC eff
08/10/2018
Stockholders/partners -- Not Officers
100 Crescent Court 700 Dallas, TX 75201
ELCM TRS 1, LLC
100% ELCM TRS I, LLC eff 08/10/2018
Stockholders/partners -- Not Officers
100 Crescent Court 700 Dallas, TX 75201
ELCM HCRE Operating Entity I, LLC
5% ELCM Abington AL Leasing, LLC eff
08/07/2018
Stockholders/partners -- Not Officers
100 Crescent Court 700 Dallas, TX 75201
HCRE HoldCo, LLC
Page 109 of [email protected]
Owner NameFacilities Owned
100% ELCM HCRE HoldCo, LLC eff
8/10/2017
Stockholders/partners -- Not Officers
100 Crescent Court 700 Dallas, TX 75201
ELCM Healthcare Real Estate Fund, LP
5% ELCM Abington AL Leasing, LLC eff
08/07/2018
Stockholders/partners Who Are Officers
650 Madison Avenue 22nd Floor New York, NY 10022
ELCM Fund, LLC
1% ELCM Healthcare RE Fund, LP eff
08/10/2018
Stockholders/partners -- Not Officers
1920 McKinney Ave 7th Floor Dallas, TX 75201
ELCM HCRE GP, LLC
5% indirect owner of ELCM Abington AL
Leasing & 5% GMF Ventures
Stockholders/partners -- Not Officers
C/O 650 Madison Avenue, 22nd Floor New York, NY 10022
Lobell J. Jay
5% indirect owner of ELCM Abington
MC Leasing 5% GMF Ventures
Stockholders/partners -- Not Officers
C/O 650 Madison Avenue, 22nd Floor New York, NY 10022
Fegel Gary
5% indirect owner of ELCM Abington
MC Leasing 5% GMF Ventures
Stockholders/partners -- Not Officers
C/O 650 Madison Avenue, 22nd Floor New York, NY 10022
Fegel Gary
5% ELCM Abington AL Leasing, LLC &
ELCM Abington AL Management
Stockholders/partners -- Not Officers
C/O 100 Crescent Court 700 Dallas, TX 75201
White Andrew
5% ELCM Abington AL Management,
LLC eff 08/07/2018
Stockholders/partners -- Not Officers
100 Crescent Court Dallas, TX 75201
ELCM Abington Management, LLC
5% ELCM Abington AL Management,
LLC eff 08/07/2018
Stockholders/partners -- Not Officers
C/O 100 Crescent Court 700 Dallas, TX 75201
Property Manager, LLC
5% ELCM Abington AL Management,
LLC eff 08/07/2018
Stockholders/partners -- Not Officers
100 Crescent Court 700 Dallas, TX 75201
East Lake Captial Management, LLC
5% ELCM Abington AL Management,
LLC eff 08/07/2018
Stockholders/partners -- Not Officers
100 Crescent Court 700 Dallas, TX 75201
Partners, LLC
100% ELCM HCRE Operating Entity I
LLC eff 08/10/2018
Stockholders/partners -- Not Officers
1920 McKinney Ave, 7th Floor Dallas, TX 75201
ELCM HCRE HoldCo, LLC
90% ELCM Healthcare RE Fund, LP eff
08/10/2018
Stockholders/partners -- Not Officers
1920 McKinney Ave 7th Floor Dallas, TX 75201
GMF ELCM Fund, LLC
5% ELCM Healthcare RE Fund, LP eff
08/10/2018
Stockholders/partners -- Not Officers
1920 McKinney Ave 7th Floor Dallas, TX 75201
ELCM HCRE Investor I, LLC
Manager of ELCM Abington AL Leasing,
LLC
Officer
1920 McKinney Ave 7th Floor Dallas, TX 75201
Lord Benjamin
Manager of ELCM Abington AL Leasing,
LLC
Officer
1920 McKinney Ave 7th Floor Dallas, TX 75201
Lord Benjamin
C.A. No. 2018-0840-SG Receiver
Court Appointed Receiver
Eight West Laurel Street Georgetown, DE 19947
Chandler, III William
100% RE Eff 08/07/2018
Lessor Or Real Estate Owner
650 Madison Ave, FL 22 New York, NY 10022
ELCM Abington AL Owner, LLC
Page 110 of [email protected]
Owner NameFacilities Owned
OP eff 08/07/2019
Operating Entity
650 Madison Ave, FL 22 New York, NY 10022
ELCM Abington AL Leasing, LLC
Court Appointed Receiver for ELCM
Abington AL Leasing
Court Appointed Receiver
650 Madison Ave, FL 22 New York, NY 10022
GMF Ventures, LLC (Court Appointed Receiver C.A. No. 2018-0840-S
Contracted Management
Contracted Management
6931 Arlington Road 320 Bethesda, MD 20814
Meridian Senior Living, LLC
Rambling Oaks Courtyard Assisted Living and Memory Care AL1407 12310 South Western Avenue Oklahoma City, OK 73170 405-691-6555
10% Integral Senior Living Management,
LLC eff 11/14/2014
Stockholders/partners -- Not Officers
550 Laguna Drive A Carlsbad, CA 92008
Valentine Family Trust
100% ELCM Abington MC Leasing, LLC
Stockholders/partners -- Not Officers
650 Madison Ave, FL 22 New York, NY 10022
ELCM Abington Leasing, LLC
100% ELCM Abington Leasing, LLC eff
08/10/2018
Stockholders/partners -- Not Officers
100 Crescent Court 700 Dallas, TX 75201
ELCM TRS 1, LLC
100% ELCM TRS I, LLC eff 08/10/2018
Stockholders/partners -- Not Officers
100 Crescent Court 700 Dallas, TX 75201
ELCM HCRE Operating Entity I, LLC
100% ELCM HCRE HoldCo, LLC eff
8/10/2017
Stockholders/partners -- Not Officers
100 Crescent Court 700 Dallas, TX 75201
ELCM Healthcare Real Estate Fund, LP
100% ELCM TRS I, LLC eff 08/10/2018
Stockholders/partners -- Not Officers
1920 McKinney Ave 7th Floor Dallas, TX 75201
ELCM HCRE GP, LLC
5% indirect owner of ELCM Abington
MC Leasing, LLC
Stockholders/partners -- Not Officers
C/O 650 Madison Avenue, 22nd Floor New York, NY 10022
Lobell J. Jay
5% indirect owner of ELCM Abington AL
Leasing, LLC
Stockholders/partners -- Not Officers
C/O 100 Crescent Court 700 Dallas, TX 75201
White Andrew
5% ELCM Abington mcManagement,
LLC eff 08/07/2018
Stockholders/partners -- Not Officers
100 Crescent Court 700 Dallas, TX 75201
Partners, LLC
100% ELCM HCRE Operating Entity I
LLC eff 08/10/2018
Stockholders/partners -- Not Officers
1920 McKinney Ave, 7th Floor Dallas, TX 75201
ELCM HCRE HoldCo, LLC
90% ELCM Healthcare RE Fund, LP eff
08/10/2018
Stockholders/partners -- Not Officers
1920 McKinney Ave 7th Floor Dallas, TX 75201
GMF ELCM Fund, LLC
C.A. No. 2018-0840-SG Receiver
Court Appointed Receiver
Eight West Laurel Street Georgetown, DE 19947
Chandler, III William
100% RE eff 08/10/2018
Lessor Or Real Estate Owner
650 Madison Ave, FL 22 New York, NY 10022
ELCM Abington MC Owner, LLC
OP eff 08/10/2018
Operating Entity
650 Madison Ave, FL 22 New York, NY 10022
ELCM Abington MC Leasing, LLC
Page 111 of [email protected]
Owner NameFacilities Owned
Court Appointed Receiver for ELCM
Abington MC Leasing
Court Appointed Receiver
650 Madison Ave, FL 22 New York, NY 10022
GMF Ventures, LLC (Court Appointed Receiver C.A. No. 2018-0840-S
Contracted Management
Contracted Management
6931 Arlington Road 320 Bethesda, MD 20814
Meridian Senior Living, LLC
Red Bud Assisted Living AL6006 215 W. Freeman Perkins, OK 74059 405-547-8311
2% HMLC, LLC eff. 11/1/2019
Stockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Perry Green Valley Nursing Home, Inc.(PGV)
4% JMLC, LLC eff. 11/1/2019
Stockholders/partners -- Not Officers
PO Box 1095 Guthrie, OK 73044
Stilwell Nursing Home, Inc.(SNH)
Beneficiary Chappell Succession Trust
dated 1/3/2012
Stockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Chappell Jeff
Manager HMLC, LLC eff. 11/1/2019
Stockholders/partners Who Are Officers
P.O. Box 1095 Guthrie, OK 73044
Hastings Tandie
100% of OP Red Bud AL, LLC RE
Glden Hthcare, LLC eff. 11/1/2019
Stockholders/partners -- Not Officers
PO Box 1095 Guthrie, OK 73044
HMLC, LLC
76% HMLC, LLC eff. 11/1/2019
Stockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Chappell 2012 Succession Trust dated 1/3/2012
Manager HMLC, LLC / Ben. Chappell
Succesion Trust
Stockholders/partners Who Are Officers
P.O. Box 1095 Guthrie, OK 73044
Chappell Hollie Joe
100% Stilwel NH Inc, Pery Green Val
NH, Gold Age NH Inc.11/1/19
Stockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Mary Lou Chappell Trust
10% HMLC, LLC eff. 11/1/2019
Stockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Mary Lou Chappell Trust
Beneficiary Chappell Succession Trust
dated 1/3/2012
Officers Who Do Not Hold Stock
,
Chappell Jon D.
Beneficiary Chappell Succession Trust
dated 1/3/2012
Stockholders/partners -- Not Officers
,
Crockett Mary Janice
eff 12/03/2015 end 11/1/2019
Trustee
110 N. Main St., PO Box 9 Perkins, OK 74059
Rudd Max
eff. 11/1/2019
Operating Entity
PO Box 1095 Guthrie, OK 73044
Red Bud Assisted Living, LLC
eff. 11/1/2019
Lessor Or Real Estate Owner
PO Box 1095 Guthrie, OK 73044
Golden Healthcare, LLC
8% HMLC, LLC eff. 11/1/2019
Stockholders/partners -- Not Officers
PO Box 1095 Guthrie, OK 73044
Golden Age Nursing Home, Inc.
Page 112 of [email protected]
Owner NameFacilities Owned
Rogers County Adult Day Center DC6602 2223 North Highway 88 Claremore, OK 74017 918-341-7588
OP eff 07/25/2017
Operating Entity
2680 North Highway 88 Claremore, OK 74017
Rogers County Elder Day Care Center, Inc.
OP eff 07/25/2017
Operating Entity
2680 North Highway 88 Claremore, OK 74017
Rogers County Elder Day Care Center, Inc.
Member eff 12/07/2017
Officers Who Do Not Hold Stock
1509 NE Oakridge Dr 201 Claremore, OK 74017
Smith, MD William
Member eff 12/07/2017
Officers Who Do Not Hold Stock
1509 NE Oakridge Dr 201 Claremore, OK 74017
Smith, MD William
President eff -4-26-2019
Officers Who Do Not Hold Stock
3100 Medical Parkway 100 Claremore, OK 74017
Franklin, MD Helen
President eff -4-26-2019
Officers Who Do Not Hold Stock
3100 Medical Parkway 100 Claremore, OK 74017
Franklin, MD Helen
Treasurer eff 07/25/2017,ended;member
eff 12/07/17
Officers Who Do Not Hold Stock
1200 Andre Circle Claremore, OK 74017
Jesina Connie
Treasurer eff 07/25/2017,ended;member
eff 12/07/17
Officers Who Do Not Hold Stock
1200 Andre Circle Claremore, OK 74017
Jesina Connie
Secretary, eff 12/07/2017
Officers Who Do Not Hold Stock
10325 E. Rose Glen Dr Claremore, OK 74017
McGehee Peggy
Secretary, eff 12/07/2017
Officers Who Do Not Hold Stock
10325 E. Rose Glen Dr Claremore, OK 74017
McGehee Peggy
Vice President, eff 12/07/2017
Officers Who Do Not Hold Stock
7425 E. Oologah Place Oologah, OK
Holehan Joe
Vice President, eff 12/07/2017
Officers Who Do Not Hold Stock
7425 E. Oologah Place Oologah, OK
Holehan Joe
Treasurer of Rogers County Elder Day
Care eff 4-26-2019
Officers Who Do Not Hold Stock
219 N. Lynn Riggs Blvd. Claremore, OK 74017
Ashbaugh David
Treasurer of Rogers County Elder Day
Care eff 4-26-2019
Officers Who Do Not Hold Stock
219 N. Lynn Riggs Blvd. Claremore, OK 74017
Ashbaugh David
Royal Residential Living Center, Inc. RC4102 57523 Moccasin Trail Road Prague, OK 74864 405-567-3202
08/27/2009
Operating Entity
57523 Moccasin Trail Road Prague, OK 74864
Royal Residential Living Center, Inc.
Pres. 50%
Stockholders/partners Who Are Officers
57523 Moccasin Trail Road Prague, OK 74864
Thornton Mary Ann
VP 50%
Stockholders/partners Who Are Officers
57523 Moccasin Trail Road Prague, OK 74864
Thornton , Sr. Anthony
Page 113 of [email protected]
Owner NameFacilities Owned
Rt. 66 Residential Care Home, LLC RC5810 21992 S. Hwy 69 Afton, OK 74331 918-257-4061
Member 50 % RE/OP
Stockholders/partners Who Are Officers
P.O. Box 466 Afton, OK 74331
Wheatley Michael
Member 50% RE/OP
Stockholders/partners Who Are Officers
P.O. Box 466 Afton, OK 74331
Wheatley Tracy
Operating Entity
P.O. Box 466 Afton, OK 74331
Rt. 66 Residential Care Home, LLC
Saint Ann Assisted Living AL5522 7501 West Britton Road Oklahoma City, OK 73132 405-721-0747
Operating Entity
7501 W. Britton Rd. Oklahoma City, OK 73132
Saint Ann Retirement Center, Inc.
Lessor Or Real Estate Owner
7501 W. Britton Rd. Oklahoma City, OK 73132
Saint Ann Retirement Center, Inc.
Board Member of Saint Ann Retirement
Ct. eff 8/3/2013
Officer
2301 NW Expressway 300 Oklahoma City, OK 73112
Mulligan Michael J.
Board Member of Saint Ann Retirement
Ctr. eff 8/3/2013
Officer
7501 NW Expressway Oklahoma City, OK 73132
Johnson David J.
ended 7/28/17
Employment Tax Entity
4350 Will Rogers 300 Oklahoma City, OK 73108
Norman Admin, LLC
Board Member of Saint Ann Retirement
Ctr. eff 8/3/2013
Officer
7501 NW Expressway Oklahoma City, OK 73132
Coakley Paul S.
Board Member of Saint Ann Retirement
Ctr. eff 8/3/2013
Officer
7501 NW Expressway Oklahoma City, OK 73132
Novak Rev. William
Saint Simeons Episcopal Home CC7205 3701 Martin Luther King Jr Blvd Tulsa, OK 74106 918-425-3583
100% RE & OP eff 09/01/2011
Operating Entity
3701 Martin Luther King Jr. Blvd. Tulsa, OK 74106
Saint Simeons Episcopal Home, Inc.
Executive Chairman, eff 2/27/19
Officers Who Do Not Hold Stock
1406 Terrace Drive Tulsa, OK 74104
Atkins & Atkins, P.C. Atkins Blake
Execuitive Vice-Chairman, eff 2/27/2019
Officers Who Do Not Hold Stock
8916 S. College Place Tulsa, OK 74137
Schooley Tom
President/CEO, eff 2/27/19
Officers Who Do Not Hold Stock
3701 Martin Lither King Jr. B Tulsa, OK 74106
Schafer Tammy
Treasurer, eff 2/27/19
Officers Who Do Not Hold Stock
One Williams Center, 8th Fly Tulsa, OK 74172
Chaffin Ky
Page 114 of [email protected]
Owner NameFacilities Owned
Sand Plum Assisted Living Community AL7229 9999 East 121st Street South Bixby, OK 74008 918-369-7100
1%
Stockholders/partners -- Not Officers
6830 N.W. 23rd Street Bethany, OK 73008
Merritt Housing, Inc.
34%
Stockholders/partners -- Not Officers
6830 N.W. 23rd Street Bethany, OK 73008
Merritt David R.
50%
Stockholders/partners -- Not Officers
6830 N.W. 23rd Street Bethany, OK 73008
Merritt Border R.
15%
Stockholders/partners -- Not Officers
6830 N.W. 23rd Street Bethany, OK 73008
Parham Deann
Operating Entity
6830 NW 23rd Street Bethany, OK 73008
The Sand Plum Limited Partnership
Santa Fe Residential Care Home RC1804 618 East Canadian Vinita, OK 74301 918-256-3424
50% each
Stockholders/partners -- Not Officers
618 E. Canadian Vinita, OK 74301
Bob And Vicki Tipton
Operating Entity
618 E. Canadian Vinita, OK 74301
Santa Fe Residential Care Home, L.L.C.
Sarahs Residential Living Home RC7262 1571 East 53rd Street North Tulsa, OK 74126 918/951-2443
Lessor Or Real Estate Owner
P.O. Box 6293 Tulsa, OK 74148
Lee Robert
Operating Entity
1571 East 53rd Street North Tulsa, OK 74126
Sarah"s Residential Living Home Inc.
100%
Stockholders/partners Who Are Officers
5465 North Johnstown Tulsa, OK 74126
McDondle Berdina (Elaine
Senior Star at Plantation House AL5601 1001 South Belmont Okmulgee, OK 74447 918-756-1253
eff 12/31/2014
Contracted Management
1516 South Boston 301 Tulsa, OK 74119
Senior Star Management Company
50% & Pres, Sr. Star Mgmt. Co., 35%
Gemini Partners, LLC
Stockholders/partners -- Not Officers
1516 South Boston 301 Tulsa, OK 74419
Thomas William F.
50% & Exec. VP of Senior Star
Managment Co. eff 12/31/14
Stockholders/partners Who Are Officers
1516 South Boston 301 Tulsa, OK 74119
Thomas Robert D.
Page 115 of [email protected]
Owner NameFacilities Owned
OP Eff 01-04-2012 / 100% Real Estate
Operating Entity
1516 South Boston 301 Tulsa, OK 74119
GP Holdings, LLC
100% of GP Holdings eff 01-04-2012
Stockholders/partners -- Not Officers
1516 South Boston 301 Tulsa, OK 74119
Gemini Partners, LLC
Senior VP of Senior Star Management
Co. eff 01-04-2012
Officers Who Do Not Hold Stock
1516 South Boston 301 Tulsa, OK 74119
Rogers Anja
6.2% Gemini Partners, LLC eff 12/31/14
Stockholders/partners -- Not Officers
2251 East 39th Street Tulsa, OK 74105
Thomas Olivia J.
5.2% Gemini Partners, LLC eff 12/31/14
Stockholders/partners -- Not Officers
329 East 29th Tulsa, OK 74114
Thomas Abigail F.
5.2% Gemini Partners, LLC eff 12/31/14
Stockholders/partners -- Not Officers
315 2nd Street Ann Arbor, MI 48103
Thomas William R.
30% Gemini Partners, LLC eff 12/31/14
Stockholders/partners -- Not Officers
1516 S Boston 301 Tulsa, OK 74119
Robert D. Thomas Trust 1998 Revocable Trust AMD & Restated u/d/t
6.2% Gemini Partners, LLC eff 12/31/14
Stockholders/partners -- Not Officers
1516 S. Boston 301 Tulsa, OK 74119
Alexandra Ann Thomas Trust u/d/t 10/6/2010
Sr. VP/CFO of Sr. Star Management Co.
eff 12/31/14
Officers Who Do Not Hold Stock
1516 S. Boston 301 Tulsa, OK 74119
Clifton Matthew
VP of Senior Star Management Company
eff 12/31/14
Officers Who Do Not Hold Stock
1516 S. Boston 301 Tulsa, OK 74119
Jackson Letitia
Senior Star at The Arbors AL7215 10201 South Yale Ave. Tulsa, OK 74137 918-298-7799
eff 12/31/2014
Contracted Management
1516 South Boston 301 Tulsa, OK 74119
Senior Star Management Company
35% Gemini Part LLC & Sr. Star Mgmt.
Company eff 12/31/2014
Stockholders/partners -- Not Officers
1516 South Boston 301 Tulsa, OK 74419
Thomas William F.
eff 09/23/11
Operating Entity
1516 South Boston 301 Tulsa, OK 74119
GP Holdings, LLC
Sole owner OP/RE eff 09/23/11
Lessor Or Real Estate Owner
1516 South Boston 301 Tulsa, OK 74119
Gemini Partners, LLC
.5% Gemini Partners, LLC & Senior Star
Mgmt. Co. eff 12/31/14
Stockholders/partners -- Not Officers
1516 South Boston 301 Tulsa, OK 74119
Detrich Donald
6.2% Gemini Partners, LLC & Sr. Star
Mgmt. Co. eff 12/31/14
Stockholders/partners -- Not Officers
2251 East 39th Street Tulsa, OK 74105
Thomas Olivia J.
5.2% Gemini Partners, LLC & Sr. Star
Mgmt. Co. eff 12/31/14
Stockholders/partners -- Not Officers
329 East 29th Tulsa, OK 74114
Thomas Abigail F.
5.2% Gemini Partners, LLC & Sr. Star
Mgmt. Co. eff 12/31/14
Stockholders/partners -- Not Officers
315 2nd Street Ann Arbor, MI 48103
Thomas William R.
Page 116 of [email protected]
Owner NameFacilities Owned
30% Gemini Partners, LLC & Sr. Star
Mgmt. Co. eff 12/31/14
Stockholders/partners -- Not Officers
1516 S Boston 301 Tulsa, OK 74119
Robert D. Thomas Trust 1998 Revocable Trust AMD & Restated u/d/t
6.2% Gemini Partners, LLC & Sr. Star
Mgmt. Co. eff 12/31/14
Stockholders/partners -- Not Officers
1516 S. Boston 301 Tulsa, OK 74119
Alexandra Ann Thomas Trust u/d/t 10/6/2010
Shiloh Manor RC5512 8528 Southwest 74th Street Oklahoma City, OK 73169 405-745-3270
Operating Entity
8528 S. W. 74th Oklahoma City, OK 73169
Shiloh Manor, Inc.
50% Shiloh Manor, Inc. eff 11-09-2018
Stockholders/partners Who Are Officers
6109 South Country Club Drive Oklahoma City, OK 73159
Hernandez Teresa
50% Shiloh Manor, Inc. President eff
11-09-2018
Stockholders/partners Who Are Officers
6109 South Country Club Drive Oklahoma City, OK 73159
Hernandez Tony
Show Inc. DC1903 425 W. Wells Blvd. Sapulpa, OK 74066 918 224-7214
VP end 4/15/19 - Treasurer eff. 4/15/2019
Officers Who Do Not Hold Stock
15795 S. 87th Tulsa, OK 74066
Ellis Randy
Secretary end 4/15/19 - President eff.
4/15/19
Officers Who Do Not Hold Stock
6289 Rockwood N Cr Sapulpa, OK 74066
Janowiak Sandy
OP/RE
Operating Entity
425 W. Wells Blvd Sapulpa, OK 74066
Show Inc.
Secretary 4/15/2019
Officers Who Do Not Hold Stock
3209 Echo Rd. Sapulpa, OK 74066
Stewart Sheila
Vice President - 4/15/2019
Officers Who Do Not Hold Stock
1309 Colleen Dr. Sapulpa, OK 74066
Naifeh Hugo
Director (with authority to sign)
Officers Who Do Not Hold Stock
425 W. Wells Blvd. Sapulpa, OK 74066
Deerinwater Nancy
Executive Director eff. 4/15/2019
Officers Who Do Not Hold Stock
425 W. Wells Blvd. Sapulpa, OK 74066
Lawrence Robert
Sommerset Neighborhood AL1402 1601 Southwest 119th Street Oklahoma City, OK 73170 405-691-9221
Contracted Management eff 08/13/2015
Contracted Management
10701 Montgomery Blvd.NE F Albuquerque, NH 87111
Haverland Carter Lifestyle Group Operating, LLC
100% Sommerset Neighborhood, LLC,
RE and HCLG OP, LLC
Stockholders/partners -- Not Officers
10701 Montgomery Blvd NE F Albuquerque, NM 87111
Haverland Carter Lifestyle Group, New Mexico non-profit 501(c)(3
CEO & Chair of Board eff 08-29-2016 -
Former Manager S.N., LLC
Officers Who Do Not Hold Stock
10701 Montgomery Blvd NE F Albuquerque, NH 87111
Eaton E. DeAnn
Page 117 of [email protected]
Owner NameFacilities Owned
CFO Som Neigh., Inc. eff 08/29/2016 &
Former Manager S.N., LLC
Officers Who Do Not Hold Stock
10701 Montgomery Blvd NE F Albuguerque, NM 87111
Hawkins Andre
OP eff 08/29/2016
Operating Entity
1601 SW 119th Street Oklahoma City, OK 73170
Sommerset Neighborhood, Inc.
Sec.-Vice Chair Som.Neigh Inc & Board
Chair Haverland Carter LG
Officers Who Do Not Hold Stock
10701 Montgomery Blvd. NE F Albuquerque, NM 87111
Fritz Shelly
Vice-Chair Haverland Carter, LG eff
08/29/2016
Officers Who Do Not Hold Stock
10701 Montgomery Blvd, NE F Albuquerque, NM 87111
Rider Reg
Southern Hills Assisted Living Center AL7213 5170 S. Vandalia Tulsa, OK 74135 918-496-3963
Operating Entity
2150 Good Lette Rd. Suite 600 Naples, FL 34102
Southern Hills Nursing Center, Inc.
Southern Plaza Assisted Living and Memory Care AL5549 3704 North Asbury Bethany, OK 73008 405-440-1111
Trustee of Brian F. Wilson Revocable
Trust eff 10-16-2017
Trustee
4508 Tuscany Norman, OK 73072
Wilson Brian F.
Rick McKinney Rev, RLM Trust #1 &
JEM Trust #1 eff 10-16-2017
Trustee
2513 McCallum Austin, TX 78703
McKinney Rick
Trustee of Deborah McKinney Revocable
Trust eff 10-16-2017
Trustee
2513 McCallum Austin, TX 78703
McKinney Deborah
Benef. of Shaye Donica Revocable Trust
eff 10-16-2017
Trustee
2401 Tee Circle 103 Norman, OK 73069
Donica Shaye
Trustee of Belinda Wilson Revocable
Trust eff 10-16-2017
Trustee
4508 Tuscany Norman, OK 73072
Wilson Belinda
49.09% of BBW Investment, LP eff
10-16-2017
Stockholders/partners -- Not Officers
,
Brian F. Wilson Revocable Trust
49.09% BBW Investments, LP eff
10-16-2017
Stockholders/partners -- Not Officers
,
Belinda Wilson Revocable Trust
40% of Southern Plaza Management Co
eff 10-16-2017
Stockholders/partners -- Not Officers
2401 Tee Circle 103 Norman, OK 73069
Shaye Donica Revocable Trust
11.1% of Southern Plaza Management Co
eff 10-16-2017
Stockholders/partners -- Not Officers
4012 Morrison Court Norman, OK 73072
Scott H. Richison Revocable Trust
11.1% of Southern Plaza Management Co
eff 10-16-2017
Stockholders/partners -- Not Officers
4508 Tuscany Norman, OK 73072
BBW Investments, LP
Page 118 of [email protected]
Owner NameFacilities Owned
Beneficiary of Scott H. Richison
Revocable Trust
Trustee
4012 Morrison Court Norman, OK 73072
Richison Scott H.
OP eff 10-16-2017
Operating Entity
6729 NW 39th Expressway Bethany, OK 730058
Southern Plaza Retirement Community, LLC
Contracted Mangement Company eff
10-16-2017
Contracted Management
2401 Tee Circle 103 Norman, OK 73069
Southern Plaza Management Company, LLC
100% of Southern Plaza Retiremant
Company eff 10-16-2017
Stockholders/partners -- Not Officers
6729 NW 239th Expressway Bethany, OK 73008
Southern Nazarene University
Chairman of Southern Nazarene
University eff 10-16-2017
Officer
6729 NW 39th Expressway Bethany, OK 73008
Moore Brad
Vice Chairman of SNU eff 10-16-2017
Officer
6729 NW 39th Expressway Bethany, OK 730085
Rowland Terry
Secretary of SNU eff 10-16-2017
Officer
6729 NW 39th Expressway Bethany, OK 73008
Stark-Wilson Peggy
37.8% Southern Plaza Management Co
Stockholders/partners -- Not Officers
2513 McCallum Austin, TX 78703
RDRJ, LP
37.43% of RDRJ, LP eff 10-16-2017
Stockholders/partners -- Not Officers
2513 McCallum Austin, TX 78703
Rick McKinney Revocable Trust
37.43% of RDRJ, LP eff 10-16-2017
Stockholders/partners -- Not Officers
2513 McCallum Austin, TX 78703
Deborah McKinney Revocable Trust
RDRJ, LP
Stockholders/partners -- Not Officers
2513 McCallum Austin, TX 78703
RLM Trust #1
12.07% RDRJ, LP eff 10-16-2017
Stockholders/partners -- Not Officers
2513 McCallum Austin, TX 78703
JEM Trust #1
1% RDRJ, LP eff 10-16-2017
Stockholders/partners -- Not Officers
2513 McCallum Austin, TX 78703
Bay Point Investment, Inc.
Southridge Place AL5503 2500 Southwest 89th Street Oklahoma City, OK 73159 405-691-3366
100% OKC 2500 89th BG PROP, LLC
eff 09-29-2016
Stockholders/partners -- Not Officers
330 North Wabash Ave. 3700 Chicago, IL 60611
Master BG PROPCO, LLC
100% Master BG Propco, LLC & Parent
BG OPCO TRS, LLC eff 9-29-16
Officers Who Do Not Hold Stock
330 North Wabash Ave. 3700 Chicago, IL 60611
UPREIT BG CO, LLC
100% UPREIT BG CO, LLC
Stockholders/partners -- Not Officers
330 N. Wabash Ave. 3700 Chicago, IL 60611
BLUEGRASS RE HOLDINGS, LLC
19.37% TPG RE II Bluegrass Hold eff
09-29-2016
Stockholders/partners -- Not Officers
301 COMMERCE STREET 330 FORT WORTH, TX 76102
TPG Real Estate Partners II (E1), LP
100% BLUEGRASS RE HOLDINGS eff
09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II Bluegrass Holdings, LP
Page 119 of [email protected]
Owner NameFacilities Owned
100% TPG Real Estate Partners II (E1),
LP
Stockholders/partners -- Not Officers
1001 Square-Victoria C-500 Montreal, QC H2Z 2B5
Cadim Holdings U.S., Inc.
19.92% TPG RE II Bluegrass Holdings,
LP eff 09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG Real Estate Partners II, LP
55.18% TPG RE Bluegrass Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II Bluegrass BL, LP
100% TPG RE II Bluegrass BL, LP eff
09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II Bluegrass BL, Inc.
38.57% TPG RE II Bluegrass BL, Inc. eff
09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II BDH (A), LP
100% TPG RE II BDH (A), LP eff
09-29-2016
Stockholders/partners -- Not Officers
301 Cmmerce Street 3300 Fort Worth, TX 76102
TPG Real Estate Partners II (A), LP
34.13% TPG Real Estate Partners II (A),
LP
Stockholders/partners -- Not Officers
No. 168 Zhuangjing Road, Xinyi Dist, Taipei City, TW 11049
Nan Shan Life Insurance Co., Ltd
61.43% TPG RE II Bluegrass BL, Inc.
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG Real Estate Partners II (B), LP
28.57% TGP Real Estate Partners II (B),
LP eff 09-29-2016
Stockholders/partners -- Not Officers
13 (Shincheon-dong), Olympioc-ro 35 da-gil, Seoul, KR
National Pension Service of The Republic of Korea
28.57 TPG Real Estate Partners II (B), LP
eff 09-29-2016
Stockholders/partners -- Not Officers
17F & 18F State Tower Namsan, !00 Toegye-ro Seoul, KR 100-052
Korea Investment Corporation
28.57% TPG Real Estate Partners II (B),
LP eff 09-29-2016
Stockholders/partners -- Not Officers
One Bush Street 1100 San Francisco, CA 94104
TxPac II, LLC
OP eff 09/29/2016
Stockholders/partners -- Not Officers
330 North Wasbash Ave. 3700 Chicago, IL 60611
Master Tenant (FNMA) BG OPCO, LLC
100% Master Tenant (FNMA) BG OPCO,
LLC
Stockholders/partners -- Not Officers
330 North Wabash Ave 3700 Chicago, IL 60611
Parent BG OPCO TRS, LLC
Contracted Management Company eff
09-29-2016
Contracted Management
330 North Wabash Ave 3700 Chicago, IL 60611
Enlivant Management Co, LLC
29.13% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Aid, LP
10.04% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
P.O. Box 309 Cayman Islands,
TPG VI Delfir BDH-B, LP
9.72% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
PO. BOX 309 Grand Cayman, KY1-1104
TPG VI Delfir BDH-A, LP
100% TPG VI Defir BDH-A, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Delfir AIV I-A, LP
7.58% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
11 Madison Ave 16th Floor New York, NY 10010
Cerium Jambo Limited
Page 120 of [email protected]
Owner NameFacilities Owned
9.37% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
P.O. Box 309 Ugland House Grand Caman, CI KY1-1104
TPG VI Delfir BDH-C, LP
100% TPG VI Delfir BDH-C L.P
Stockholders/partners -- Not Officers
301 Commerce Street Fort Worth, TX 76102
TPG VI Delfir AIV I-C, LP
49.86% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Delfir AIV II, LP
17.36% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG/NJ (RE) Partnership, LP
30.38% TPG Real Estate Partners II, LP
& 16.69% TPG VI AID Hold
Stockholders/partners -- Not Officers
DOL, PO Box 290 Trenton, NJ 08625
Common Pension Fund E
Authorized Signatory Officer for OKC
2435 122nd BG OPCO, LLC
Officer
330 Wabash Ave 3700 Chicago, IL 60611
Coleman Matthew
Authorized Signatory Officer for Enlivant
Management CO, LLC
Officer
330 Wabash Ave 3700 Chicago, IL 60611
Callison Jack
Authorized Signatory Officer for Enlivant
Management CO, LLC
Officer
330 North Wabash Ave 3700 Chicago, IL 60611
Tarsney Peter
Authorized Signatory Officer for Enlivant
Management CO, LLC
Officer
330 North Wabash Ave 3700 Chicago, IL 60611
Sharma Akhil
Authorized Signatory Officer for Enlivant
Management CO, LLC
Officer
330 N Wabash Ave 3700 Chicago, IL 60611
Guill Daniel
100% Envliant Manament Co eff
09-29-2016
Stockholders/partners -- Not Officers
330 North Wabash Ave 3700 Chicago, IL 60611
Enlivant Master MGMT CO, LLC
100% Real Estate Company Eff
09-29-2016
Lessor Or Real Estate Owner
330 North Wabash Avenue 3700 Chiago, IL 60611
OKC 2500 89th BG PROPCO, LLC
OP eff 09-29-2016
Operating Entity
330 North Wabash Ave 3700 Chiago, IL 60611
OKC 2500 89th BG OPCO, LLC
100% of Enlivant Master Mgmt CO, LLC
eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
Aid Holding II Management Services, LLC
80% of Aid Holdings II Management
Services eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
AID Holdings II, LLC
20% AID Holdings II Management
Services, LLC eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
Enlivant Management Holdings, LLC
100% AID Holdings II, LLC eff
01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI AID Holdings II Aggregation, LP
100% Enlivant Management Holdings,
LLC eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
Enlivant Holdings, L.P.
100% Enlivant Management Holdings,
LLC eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
Enlivant Holdings, L.P.
Page 121 of [email protected]
Owner NameFacilities Owned
GP of TPG VI AID Holding II
Aggregation & Enlivant Holdings, LP
General Partner
301 Commerce Street 3300 Fort Worth, TX 76102
TPG Advisors VI, Inc.
Spanish Cove Housing Authority CC0901 11 Palm Avenue Yukon, OK 73099 405-354-1901
Operating Entity
11 Palm Yukon, OK 73099
Spanish Cove Housing Authority
Vice Chairman eff 05-1993
Officers Who Do Not Hold Stock
112 Snowmass Dr. Yukon, OK 73099
Taylor Larry
Trustee end 09-2016
Trustee
401 Elm Yukon, OK 73099
Goodwin David
Executive Administrator/CEO eff
06/01/2011
Officers Who Do Not Hold Stock
4612 Deer Creek Ct. Yukon, OK 73099
Blose Don
Trustee eff 08-2008
Trustee
1500 Vandament Yukon, OK 73099
Yanda Donna
Trustee eff 05/04/2012 Chairman eff
05-2015
Officers Who Do Not Hold Stock
1503 Cornwell 204 Yukon, OK 73099
Drumeller Clarence
COO, NH Administrator & Authorized
Signer eff 07/24/2011
Officers Who Do Not Hold Stock
11 Palm Yukon, OK 73099
ONeill Cheryl
Secretary
Officers Who Do Not Hold Stock
11 Palm Yukon, OK 73099
Johnston Velta
Trustee eff 08-2019
Trustee
11 Palm Yukon, OK 73099
Soulen Leslie
Trustee eff 08-2018
Trustee
11 Palm Yukon, OK 73099
Meacham Scott
CFO eff 07/01/2004
Officers Who Do Not Hold Stock
11 Palm Yukon, OK 73099
Ritter Elizabeth
St. Katharine Drexel Retirement Center AL0907 301 West Wade El Reno, OK 73036 405-262-2920
Sec/Treasure
Officers Who Do Not Hold Stock
7501 NW Expressway Oklahoma City, OK 73132
Johnson David J.
Operating Entity
208 S. Evans El Reno, OK 73036
St. Katharine Drexel Retirement Center, Inc.
Board Member
Officers Who Do Not Hold Stock
117 S. Rock Island El Reno, OK 73036
Eaton David
Board Member
Officers Who Do Not Hold Stock
810 S. Macomb El Reno, OK 73036
Dyer Sean
Page 122 of [email protected]
Owner NameFacilities Owned
Board Member eff 11-17-2011
Officers Who Do Not Hold Stock
208 S. Evans El Reno, OK 73036
Mason Mark
President eff 11-17-2011
Officers Who Do Not Hold Stock
7501 NW Expressway Oklahoma City, OK 73132
Coakley Paul S.
StoneCreek Assisted Living and Memory Care AL5548 17701 North Western Avenue Edmond, OK 73012 405-330-5020
6/29/2017 OP
Operating Entity
5700 W. Plano Parkway 3000 Plano, TX 75093
OKC Senior Living Operations, LP
6/29/2017 OP
Operating Entity
5700 W. Plano Parkway 3000 Plano, TX 75093
OKC Senior Living Operations, LP
Storey Oaks AL5536 8300 N. May Ave. Oklahoma City, OK 73120 405-286-9500
100% RE eff 12-21-2015
Lessor Or Real Estate Owner
835 W. 6th St. 1500 Austin, TX 78703
Silver Oaks Oklahoma City Memory Care, LLC
OP eff 12/21/2015
Operating Entity
835 West 6th 1500 Austin, TX 78703
Oklahoma Oaks Memory Care, LLC
Contracted Management eff 12-21-2015
Contracted Management
12700 Park Central Dr. 300 Dallas, TX 75251
Heritage Oaks Management Enterprises USA, LLC
100% RE & OP eff 12-21-2015
Stockholders/partners -- Not Officers
835 W. 6th St. 1500 Austin, TX 78703
Virtus Real Estate Capital II Direct, LP
100% Virtus RECapital II Direct eff
12/21/15
Stockholders/partners -- Not Officers
835 W 6th St 1500 Austin, TX 78703
Virtus Real Estate Capital II, LP
General Manager of Virtus Real Estate
Capital II
General Partner
835 W. 6th St. 1500 Austin, TX 78703
Virtus Real Estate Capital II Management GP, LLC
100% Virtus Real Estate Capital II, eff
12/21/2015
Stockholders/partners -- Not Officers
835 W. 6th St. 1500 Austin, TX 78703
Virtus Real Estate, LLC
100% of Virtus Real Estate, LLC
Stockholders/partners -- Not Officers
835 W. 6th St. 1500 Austin, TX 78703
Gates Terrell
100% Heritage Oaks Mgt Ent USA, eff
12/21/2015
Stockholders/partners -- Not Officers
12700 Park Central Dr. 300 Dallas, TX 75251
12 Oaks Management Services, Inc.
100% CEO 12 Oaks Management
Services, Inc eff 12/21/2015
Stockholders/partners Who Are Officers
12700 Park Central Dr. 300 Dallas, TX 75251
Blaylock Richard
President 12 Oaks Management Services,
Inc. eff 12/21/2015
Officers Who Do Not Hold Stock
12700 Park Central Dr. 300 Dallas, TX 75251
Ashburn Keith
Sr VP-12 Oaks Management Services,
Inc.eff12/21/2015 end 5/15/19
Officers Who Do Not Hold Stock
5310 Harvest Hill Rd 280 Dallas, TX 75230
Nelson Lisa
Page 123 of [email protected]
Owner NameFacilities Owned
Sugar Mountain Retreat, Inc. RC0201 25376 South Welling Road Welling, OK 74471 918-456-1010
Operating Entity
25396 S. 581 Welling, OK 74471
Sugar Mountain Retreat, Inc.
Real Estate
Lessor Or Real Estate Owner
27753 S. Welling Rd. Welling, OK 74471
McIntosh Family Limited Partnership
16%
Stockholders/partners -- Not Officers
25114 South Welling Road Welling, OK 74471
Davis Denise
5.33
Stockholders/partners -- Not Officers
13480 Cherokee Street Oolagah, OK 74053
Nofire Tahlina
5.33%
Stockholders/partners -- Not Officers
20675 West Petit Bay Road Parkhill, OK 74451
Nofire April
5.33%
Stockholders/partners -- Not Officers
24304 East 831 Road Welling, OK 74471
Nofire John
5.97%
Stockholders/partners -- Not Officers
26402 South Welling Road Welling, OK 74471
Ketcher Letawna
56.08% eff. 7/13/2019
Stockholders/partners -- Not Officers
25502 South 581 Road Welling, OK 74471
Ketcher Autumn
5.96%
Stockholders/partners -- Not Officers
25502 South 581 Road Welling, OK 74471
McIntosh Zachariah
Sunbeam Emergency Shelter for Seniors RC5537 1100 N. W. 14th Street Oklahoma City, OK 73106 405 609-1987
eff. 3/3/15
Operating Entity
P.O. Box 61237 Okla. City, OK 73103
Sunbeam Family Services, Inc.
President eff 3/3/15
Officers Who Do Not Hold Stock
9520 N. May Oklahoma City, OK 73120
Ray Joe
President-Elect
Officers Who Do Not Hold Stock
P.O. Box 675 Oklahoma, OK 73101
Davis Larry
Secretary eff 3/3/15
Officers Who Do Not Hold Stock
1506 Camden Way Oklahoma City, OK 73116
Starling Sally
Treasurer-eff 3/3/15
Officers Who Do Not Hold Stock
401 N. Harvey Oklahoma City, OK 73102
Ramkumar Priya
Member
701 NW 16 st Oklahoma City, OK 73103
Ahpeaton Aimee
Member
7608 N. Harvey Ave Oklahoma City, OK 73116
Gary Allison
Member
420 West Main St. 110 Oklahoma City, OK 73102
Berry Dianna
Page 124 of [email protected]
Owner NameFacilities Owned
Member
1924 S. Coltrane Edmond, OK 73013
Bross Leslie
Member
201 Edgemere St Oklahoma City, OK 73118
Cain Bernest
Sunshine Adult Day Services DC1004 534 Park Street SE Ardmore, OK 73401 580-226-3385
Executive Director, Eff 1-23-2017
Officers Who Do Not Hold Stock
1110 S. Meadow Dr. Ardmore, OK 73401
Walker Melissa
Treasurer, Board of Drectors, eff 1-23-17
Officers Who Do Not Hold Stock
4308 Kings Road Ardmore, OK 73401
Youderian Ryan
Board of Directors, Eff 1/23/17
Officers Who Do Not Hold Stock
820 Wood-N-Creek Ardmore, OK 73401
Farabough Gary
Board of Directors, Eff 1-23-2017
Officers Who Do Not Hold Stock
1003 McLish Ardmore, OK 73401
Whitaker Robert
Board of Directors, Eff 1-23-2017
Officers Who Do Not Hold Stock
721 Franklin Drive 200 Ardmore, OK 73401
Rahhal Bill
Board of Directors, Eff 1-23-2017
Officers Who Do Not Hold Stock
P.O.Box 369 Ardmore, OK 73402
Johnson Neil
OP/RE Eff 1/23/2017
Operating Entity
500 Park S.E. Ardmore, OK 73401
Sunshine Industries, Inc.
Board of Directors, Eff 1-23-2017
Officers Who Do Not Hold Stock
19261 Stratford Road Overbrook, KS 73453-7514
Hicks T. Todd
Board of Directors, Eff 1-23-2017
Officers Who Do Not Hold Stock
301 W. Main 400 Ardmore, OK 73401
Verner Nathan
Preisdent, board of directors EFF
1-23-2017
Officers Who Do Not Hold Stock
530 Valley Ranch Road Ardmore, OK 73401
Williams Troy
Board of Directors, Eff 1-23-17
Officers Who Do Not Hold Stock
2007 N. commerce 246 Ardmore, OK 73401
Bynum Allen
Board of Directors, Eff 1-23-2017
Officers Who Do Not Hold Stock
2003 Yorktown Court Ardmore, OK 73401
Nease Stacy
VP Board of Directors eff 1-23-17
Officers Who Do Not Hold Stock
1704 Southern Hills Ardmore, OK 73401
Callender Scott
Board Member Eff 1-23-2017
Officers Who Do Not Hold Stock
PO Box 1865 Lone Grove, OK 73443
Morris Belinda
Executive Director eff. 6/28/2018
Officers Who Do Not Hold Stock
,
Holly Lisa
Sunshine Industries DC1002 500 Park SE Ardmore, OK 73401 580-226-1444
Page 125 of [email protected]
Owner NameFacilities Owned
100%
Operating Entity
500 Park St. SE Ardmore, OK 73402
Sunshine Industries, Inc. Adult Day Services
Exec. Director
Officers Who Do Not Hold Stock
1110 S. Meadow Dr. Ardmore, OK 73401
Walker Melissa
Asst. Admin
Officers Who Do Not Hold Stock
P.O. Box 272 Springer, OK 73458
Johnson Lorene
Tamarack Retirement Center AL3301 1224 E. Tamarack Road Altus, OK 73521 580-379-6988
100%
Operating Entity
P.O. Box 8190 Altus, OK 73521
JCMH Health Care Corporation
President
Officers Who Do Not Hold Stock
1200 E. Pecan Altus, OK 73521
Hartgraves Steven
Vice Pres/CEO Eff 8/14/17
Officers Who Do Not Hold Stock
1200 E Pecan Altus, OK 73521
Miranda Casey
Secretary/Treasure eff 07-2019
Secretary/Treasurer
1200 East Peacan Attus, OK 73521
Watson Jennifer
Teal Creek Assisted Living & Memory Care AL5541 13501 N. Bryant Avenue Edmond, OK 73136 405 312-8050
Eff 3/31/2017
Operating Entity
13501 N. Bryant Oklahoma City, OK 73013
Teal Creek Life Care Community, Inc.
42.5% OP & Treasurer, eff 3/31/17
Stockholders/partners Who Are Officers
7884 NW 131st St Oklahoma City, OK 73142
Cersonsky Steven
32.5% OP & V. Pres, eff 3/31/2017
Stockholders/partners Who Are Officers
157 Lake Aluma Dr. Oklahoma City, OK 73121
Jones Gregory
12.5% OP & Secretary, eff 3/31/2017
Stockholders/partners Who Are Officers
P.O. Box 3358 Evergreen, CO 80437
Ellman Katherine
12.5% OP & President, eff 3/31/2017
Stockholders/partners Who Are Officers
19413 Chestermere Circle Edmond, OK 73012
CIAG, LLC-Greg Guymon Mbr
Eff 3/31/2017
Lessor Or Real Estate Owner
13501 N. Bryant Oklahoma City, OK 73013
Teal Creek , LLC
Tealridge Assisted Living AL5535 2200 NE 140th Edmond, OK 73013 405-604-5433
OP eff 11-29-2016
Operating Entity
2100 NE 140th Street Edmond, OK 73013
Affordable Community Housing Trust-Delta
Executive Director eff 11-*29-2016
Officers Who Do Not Hold Stock
2100 NE 140th Street Edmond, OK 73013
Overbey Scot
Page 126 of [email protected]
Owner NameFacilities Owned
Board member eff 11-29-2016
Officers Who Do Not Hold Stock
2100 NE 140th Street Edmond, OK 73013
Paden Jon
Board Member eff 11-29-2016
Officers Who Do Not Hold Stock
2100 NE 140th Street Edmond, OK 73013
Johnson Ron
Board Member eff 11-29-2016
Officers Who Do Not Hold Stock
2100 NE 140th Street Edmond, OK 731013
Chrisman Steve
Board Member eff 11-29-2016
Officers Who Do Not Hold Stock
2100 NE 140th Street Edmond, OK 73013
Rapp Phil
Ten Oaks Place AL1602 3610 Southeast Huntington Circle Lawton, OK 73501 580-353-1190
100% RE eff 09-29-2016
Lessor Or Real Estate Owner
330 North Wabash Ave 3700 Chicago, IL 60611
Lawton BG PROPCO, LLC
100% Lawton BG PROPCO eff
09-29-2016
Stockholders/partners -- Not Officers
330 North Wabash Ave. 3700 Chicago, IL 60611
Master BG PROPCO, LLC
100% Master BG Propco, LLC & Parent
BG OPCO TRS, LLC eff 9-29-16
Stockholders/partners -- Not Officers
330 North Wabash Ave. 3700 Chicago, IL 60611
UPREIT BG CO, LLC
100% UPREIT BG CO, LLC
Stockholders/partners -- Not Officers
330 N. Wabash Ave. 3700 Chicago, IL 60611
BLUEGRASS RE HOLDINGS, LLC
19.37% TPG RE II Bluegrass Hold eff
09-29-2016
Stockholders/partners -- Not Officers
301 COMMERCE STREET 330 FORT WORTH, TX 76102
TPG Real Estate Partners II (E1), LP
100% BLUEGRASS RE HOLDINGS eff
09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II Bluegrass Holdings, LP
100% TPG Real Estate Partners II (E1),
LP
Stockholders/partners -- Not Officers
1001 Square-Victoria C-500 Montreal, QC H2Z 2B5
Cadim Holdings U.S., Inc.
19.92% TPG RE II Bluegrass Holdings,
LP eff 09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG Real Estate Partners II, LP
30.38% TPG Real Estate Partners II, LP
eff 09-29-2016
Stockholders/partners -- Not Officers
DOL, P.O. Box 290 Trenton, NJ 08625
Commmon Pensions Fund E
55.18% TPG RE Bluegrass Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II Bluegrass BL, LP
100% TPG RE II Bluegrass BL, LP eff
09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II Bluegrass BL, Inc.
38.57% TPG RE II Bluegrass BL, Inc. eff
09-29-2016
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG RE II BDH (A), LP
100% TPG RE II BDH (A), LP eff
09-29-2016
Stockholders/partners -- Not Officers
301 Cmmerce Street 3300 Fort Worth, TX 76102
TPG Real Estate Partners II (A), LP
Page 127 of [email protected]
Owner NameFacilities Owned
34.13% TPG Real Estate Partners II (A),
LP
Stockholders/partners -- Not Officers
No. 168 Zhuangjing Road, Xinyi Dist, Taipei City, TW 11049
Nan Shan Life Insurance Co., Ltd
61.43% TPG RE II Bluegrass BL, Inc.
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG Real Estate Partners II (B), LP
28.57% TGP Real Estate Partners II (B),
LP eff 09-29-2016
Stockholders/partners -- Not Officers
13 (Shincheon-dong), Olympioc-ro 35 da-gil, Seoul, KR
National Pension Service of The Republic of Korea
28.57 TPG Real Estate Partners II (B), LP
eff 09-29-2016
Stockholders/partners -- Not Officers
17F & 18F State Tower Namsan, !00 Toegye-ro Seoul, KR 100-052
Korea Investment Corporation
28.57% TPG Real Estate Partners II (B),
LP eff 09-29-2016
Stockholders/partners -- Not Officers
One Bush Street 1100 San Francisco, CA 94104
TxPac II, LLC
OP eff 09-29-2016
Operating Entity
330 North Wabash Avenue 3700 Chicago, IL 60611
Lawton BG OPCO, LLC
100% Lawton OPCO, LLC eff
09-29-2016
Stockholders/partners -- Not Officers
330 North Wasbash Ave. 3700 Chicago, IL 60611
Master Tenant (FNMA) BG OPCO, LLC
100% Master Tenant (FNMA) BG OPCO,
LLC
Stockholders/partners -- Not Officers
330 North Wabash Ave 3700 Chicago, IL 60611
Parent BG OPCO TRS, LLC
Contracted Management Company eff
09-29-2016
Contracted Management
330 North Wabash Ave 3700 Chicago, IL 60611
Enlivant Management Co, LLC
29.13% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Aid, LP
10.04% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
P.O. Box 309 Cayman Islands,
TPG VI Delfir BDH-B, LP
9.72% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
PO. BOX 309 Grand Cayman, KY1-1104
TPG VI Delfir BDH-A, LP
100% TPG VI Defir BDH-A, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Delfir AIV I-A, LP
7.58% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
11 Madison Ave 16th Floor New York, NY 10010
Cerium Jambo Limited
100% TPG VI Delfir BDH-B, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Delfir AIV I-B, LP
9.37% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
P.O. Box 309 Ugland House Grand Caman, CI KY1-1104
TPG VI Delfir BDH-C, LP
100% TPG VI Delfir BDH-C L.P
Stockholders/partners -- Not Officers
301 Commerce Street Fort Worth, TX 76102
TPG VI Delfir AIV I-C, LP
49.86% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI Delfir AIV II, LP
17.36% TPG VI AID Holdings, LP
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG/NJ (RE) Partnership, LP
Page 128 of [email protected]
Owner NameFacilities Owned
30.38% TPG Real Estate Partners II, LP
& 16.69% TPG VI AID Hold
Stockholders/partners -- Not Officers
DOL, PO Box 290 Trenton, NJ 08625
Common Pension Fund E
Authorized Signatory Officer for OKC
Lawton BG OPCO, LLC
Officer
330 Wabash Ave 3700 Chicago, IL 60611
Coleman Matthew
Authorized Signatory Officer for Enlivant
Management CO, LLC
Officer
330 Wabash Ave 3700 Chicago, IL 60611
Callison Jack
Authoritzed Signatory Officer for
Enlivant Management CO, LLC
Officer
330 North Wabash Ave 3700 Chicago, IL 60611
Tarsney Peter
Authoritzed Signatory Officer for
Enlivant Management CO, LLC
Officer
330 North Wabash Ave 3700 Chicago, IL 60611
Sharma Akhil
Authoritzed Signatory Officer for
Enlivant Management CO, LLC
Officer
330 N Wabash Ave 3700 Chicago, IL 60611
Guill Daniel
100% Envliant Manament Co eff
09-29-2016
Stockholders/partners -- Not Officers
330 North Wabash Ave 3700 Chicago, IL 60611
Enlivant Master MGMT CO, LLC
100% of Enlivant Master Mgmt CO, LLC
eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
Aid Holding II Management Services, LLC
80% of Aid Holdings II Management
Services eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
AID Holdings II, LLC
20% AID Holdings II Management
Services, LLC eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
Enlivant Management Holdings, LLC
100% AID Holdings II, LLC eff
01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
TPG VI AID Holdings II Aggregation, LP
100% Enlivant Management Holdings,
LLC eff 01/02/2018
Stockholders/partners -- Not Officers
301 Commerce Street 3300 Fort Worth, TX 76102
Enlivant Holdings, L.P.
GP of TPG VI AID Holding II
Aggregation & Enlivant Holdings, LP
General Partner
301 Commerce Street 3300 Fort Worth, TX 76102
TPG Advisors VI, Inc.
The Arbors Assisted Living Center AL2404 4502 West Randolph Enid, OK 73703 580-541-8402
OP/RE Eff. 01/01/2020
Operating Entity
4502 W Randolph Ave Enid, OK 73703
Prime Living LLC
100% & Managing Member, Prime
Living LLC Eff 01/01/2020
Stockholders/partners Who Are Officers
6320 W Chestnut Ave Enid, OK 73703
Brooks Jeff
The Brentwood Senior Living AL1601 6920 West Lee Lawton, OK 73505 580-536-4848
Page 129 of [email protected]
Owner NameFacilities Owned
100% Renaissance Senior Communities
eff 11/19/2015
Stockholders/partners -- Not Officers
12933 West Highway 42 Prospect, KY 40059
Bellande Ralph H.
99% OP eff 07-16-2014
Operating Entity
3452 East Foothill Blvd 200 Pasadena, CA 91107
Lawton Oklahoma Senior Living, LP
1% OP eff 07-16-2014
Stockholders/partners -- Not Officers
3452 East Foothill Blvd 200 ,
Grandtag Madison Realty, LLC
Managing Director-eff 07-17-2014
Managing Member
3452 East Foothill Blvd 200 Pasadena, CA 91107
Burdette Forbes
EFF 10-1-2017
Contracted Management
3452 East Foothill Blvd. Pasadena, CA 91107
DRIVE Management Inc.
The Brookfield AL6602 915 East 16th Street Claremore, OK 74017 918-343-3850
Mangaer of Amity Care, LLC &
Brookfield RE, LLC eff 9/16/20154350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Mangers of Amity Care, LLC &
Brookfield RE, LLC eff. 9/16/2015
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Dimond Mike
eff 9/16/2015
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
99% OP & 78% Amity Care eff
9/16/2015
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Don Greiner Trustee Kenneth D.Greiner III Revocable Trust, Don Greiner
Benef/Trustee
1% OP & 22% AC,LL eff.9/16/2015
ben/trustee Don Greiner Tr
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
Ronald L. Lessley Revocable Trust eff
9-21-14
Beneficiary
P.O. Box 1023 Claremore, OK 74018
Lessley Meredith A.
Pres/ OP Mgr. RE, Brett L. Lessley Rev
Trt eff 9-21-14 e 9/16/15
Trustee
P.O. Box 1023 Claremore, OK 74018
Lessley Brett L.
42% Brookfield RE, LLC eff 9/16/2015
Stockholders/partners -- Not Officers
4530 Will Rogers Park Way 300 OKC, OK 73108
Renew Properties, LLC
eff 9/16/2015
Operating Entity
915 E. 16th Street Claremore, OK 74017
Brookfield Operations, LLC
eff 9/16/2015
Lessor Or Real Estate Owner
4350 Will Rogers Parkway 300 OKC, OK 73108
Brookfield Real Estate, LLC
The Chateau AL1603 6302 Southwest Lee Boulevard Lawton, OK 73505 580/536-6800
100% OP/RE
Stockholders/partners Who Are Officers
2607 NW Stonehill Drive Lawton, OK 73505
Ghosn Sam
Page 130 of [email protected]
Owner NameFacilities Owned
eff. 05-01-2009
Lessor Or Real Estate Owner
2607 N.W. Stone Hill Drive Lawton, OK 73505
Ghosn Senior, LLC
eff. 05-01-2009
Operating Entity
6302 Southwest Lee Boulevard Lawton, OK 73505
The Chateau of Lawton, Inc.
The Commons CC2401 301 S. Oakwood Rd. Enid, OK 73703 580-237-6164
Operating Entity
301 S. Oakwood Rd. Enid, OK 73703
United Methodist Home Of Enid, Inc.
Board Member
Officers Who Do Not Hold Stock
201 E. 11th Cherokee, OK
Hawkins Lon
Lessor Or Real Estate Owner
301 S. Oakwood Rd. Enid, OK 73703
United Methodist Continuum of Care Community of Enid, Inc.
Secretary eff 07/27/11 end 08/15 Broad
Member
Officers Who Do Not Hold Stock
1002 Lisa Lane Enid,, OK 73703
Miller Kristi
eff 08/2018
Officers Who Do Not Hold Stock
5809 Will Rogers Dr Enid, OK 73703
Walkingstick Steven
Board Member
Officers Who Do Not Hold Stock
2113 Wilshire Dr. Enid, OK 73703
Russell David (Dr.)
Board Member & VP eff 08/2015
Officers Who Do Not Hold Stock
2514 B. Heritage Trail Enid, OK 73703
Sheets Tom
Board Member
Officers Who Do Not Hold Stock
7217 Breckenridge Rd. Enid, OK 73701
Schmidt Jerry
Board Member
Officers Who Do Not Hold Stock
P.O. Box 3707 Enid, OK 73702
Mitchell Randy(Rev)
Board Member eff 08/2015
Officers Who Do Not Hold Stock
401 West Broadway 223 Enid, OK 73701
Outhier Philip
Board Member eff 08/2015
Officers Who Do Not Hold Stock
700 West Liberty, A Ponca City, OK 74601
Malloy Reverend Tish
Board Member eff 08/2015
Officers Who Do Not Hold Stock
4201 Classen Blvd Oklahoma City, OK 73118
Battles David
eff. 08/13/18
Officers Who Do Not Hold Stock
3302 Willowlake Lane Enid, OK 73703
Rickman Michael
The Courtyards at The Ambassador Memory Care Assisted Living AL7210 1380 East 61st Street Tulsa, OK 74136 405-743-7887
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
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Dimond Mike
Page 131 of [email protected]
Owner NameFacilities Owned
EFF 3/1/2016
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
99% OP
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Don Greiner Trustee Kenneth D.Greiner III Revocable Trust, Don Greiner
Benef/Trustee
1% OP
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
58% RE
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Clarity Properties, LLC
22% Mngr
Stockholders/partners -- Not Officers
4530 Will Rogers Parkway 300 OKC, OK 73108
Don Greiner Family Trust, Don Greiner Trustee
42% RE
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Renew Properties, L.L.C.
OP EFF 03-1-2016
Operating Entity
1380 East 61st St. Tulsa`, OK 74136
Courtyards Operations, L.L.C.
RE EFF 3/1/2016
Lessor Or Real Estate Owner
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Courtyards Real Estate, L.L.C
The Fountains at Canterbury CC5503 1402 Northwest 122nd Street Oklahoma City, OK 73114 405-751-3600
50% mem. WS IV, LLC, Chair-VP-Sec of
WRC/Mngr of WFH and TFG
Stockholders/partners Who Are Officers
2020 West Rudasill Road Tucson, AZ 85704
Freshwater David J.
Vice Chairman of (NSHI)
Officers Who Do Not Hold Stock
3760 Kilroy Airport Way 300 Long Beach, CA 90806
Flaherty III James F.
manag entity eff.05-01-10/ 50% mem.
Watermark Services IV,LLC
Contracted Management
2020 West Rudasill Road Tucson, AZ 85704
Watermark Retirement Communities, Inc.(WRC)
50% of WRC/Mngr of WFH/ Pres-Tres of
WRC
Stockholders/partners Who Are Officers
2020 West Rudasill Road Tuscon, AZ 85704
Barnes David Noble
Employment Tax Entity
2020 West Rudasill Road Tucson, AZ 58704
Watermark Services IV, LLC (WS IV,LCC)
EFF 06-01-2015/ lessee to WFT EFF
09/01/2017
Lessor Or Real Estate Owner
,
Fountains Canterbury Owner NT-HCI, LLC
Executive Chairman of (NSHI)
Officers Who Do Not Hold Stock
399 Park Avenue 18th Floor New York, NY 10022
Gilbert Daniel R
Chief Financial Officer/Treasurer of
(NSHI)
Officers Who Do Not Hold Stock
399 Park Avenue 18th Floor New York, NY 10022
Hess Debra A.
Exec.Vice Pres./Gen. Counsel, Secretary
of (NSHI)
Officers Who Do Not Hold Stock
399 Park Avenue 18th Floor New York, NY 10022
Lieberman Ronald J.
OP and sublessee of WFT EFF 09/1/2017
sole of mem WFT
Operating Entity
2020 W. Rudasill Rd. Tucson, AZ 85704
Watermark Canterbury, LLC
Page 132 of [email protected]
Owner NameFacilities Owned
Lessee to OP Eff 09/01/2017 sole of mem
WFI
Stockholders/partners -- Not Officers
2020 W. Rudasill Rd. Tucson, AZ 85704
Watermark Fountains Tenant,LLC (WFT)
managed by NorthStar Healthcare
Income, Inc.
Stockholders/partners -- Not Officers
,
Fountains Portfolio Owner LLC (FPO)
general partner of NHI,LP/ sole member
of FPO
Stockholders/partners -- Not Officers
,
NorthStar Healthcare Income, Inc. (NSHI)
sole member of FPO, LLC
Stockholders/partners -- Not Officers
,
NorthStar Healthcare Income Operating Partnership, LP (NHI,LP)
Chief Executive Officer/President of
(NSHI)
Officers Who Do Not Hold Stock
,
Jeanneault Ronald
Chief Investment Officer of (NSHI)
Officers Who Do Not Hold Stock
,
Bath Douglas W.
sole member of WFT
Member
,
Watermark Fountains Investments, LLC (WFI)
sole member of Watermark Fountains
Investments
Member
,
Watermark Fountains Holdings,LLC (WFH)
47.505% member of Watermark
Fountains Holdings, LLC
Stockholders/partners -- Not Officers
,
TFG Holdings II, LLC (TFG)
47.505 % memb of WFH, David
Barnes-Trust/Ben,Lisa Barnes-Bene
Stockholders/partners -- Not Officers
,
Barnes Family Revocable Trust
100% memb of TFG,David
Freshwater-Trust/Bene,Diana
Barnes-Bene
Stockholders/partners -- Not Officers
,
Diana and David Freshwater Living Trust
The Gardens at Rivermont AL1404 750 Canadian Trails Drive Norman, OK 73072 405-360-6056
43% Legend Senior Prop & 50% Legend
Senior Living 12-31-15
Stockholders/partners -- Not Officers
8415 E. 21st N 100 Wichita, KS 67206
Buchanan Timothy J.
Contracted Management Company
Contracted Management
8415 E. 21 Street North 110 Wichita, KS 67206
Legend Senior Living , LLC
43% Legend Senior Prop & 50% Legend
Senior Living 12-31-15
Stockholders/partners -- Not Officers
8415 E. 21st N 100 Wichita, KS 67206
Buchanan Meredith Gail
84% of Drymen, LLC
Stockholders/partners -- Not Officers
8415 East 21st Street North 100 Wichita, KS 67206
Legend Senior Properties, LLC
Trustee Stephen D. Russell Revocable
Trust
Trustee
1900 Lincoln Dr. Sarasota, FL 34236
Russell Stephen D.
Trustee Cathy Layton Revocable Trust
Trustee
1900 Lincoln Dr. Sarasota, FL 34236
Layton Cathy L.
Page 133 of [email protected]
Owner NameFacilities Owned
100% of OP EFF 10/09/2013
Stockholders/partners -- Not Officers
8415 E. 21st ST. 100 Wichita, KS 67206
Jupiter Tenant, LLC
20% Jupiter Tenant,LLC
Stockholders/partners -- Not Officers
4500 Dorr St. Toledo, OH 43615
HCRI Tucson Properties Inc.
80% of Jupiter Tenant, LLC / 12% Jupiter
Landlord,LLC
Stockholders/partners -- Not Officers
8415 E. 21st St. 100 Wichita, KS 67206
Drymen, LLC
16% of Drymen, LLC EFF 10/09/2013
Stockholders/partners -- Not Officers
1800 2nd St Ste. 717 Sarasota, FL 34236
SDR-CLL, LLC
50% Member of SDR-CLL,LLC Stephen
D. Russel Trustee EFF10/9/2013
Stockholders/partners -- Not Officers
1800 2nd St. Ste. 717 Sarasota, FL 34236
Stephen D. Russell Revocable Trust
50% Member of SDR-CLL,LLC Cathy L.
LaytonTrustee EFF10/9/2013
Stockholders/partners -- Not Officers
1800 2nd St. Ste. 717 Sarasota, FL 34236
Cathy L. Layton Revocable Trust
100% of RE EFF 10/09/2013
Stockholders/partners -- Not Officers
4500 Dorr St. Toledo, OH 43615
Jupiter Landlord, LLC
100% Real Etate EFF 10/09/2013
Lessor Or Real Estate Owner
4500 Dorr St. Toledo, OH 43615
800 Canadian Trails Drive,LLC
OP eff 10/09/2013
Operating Entity
8115 E. 21st 100 Wichita, KS 67206
Canadian Trails ILF ALF,LLC
100% Welltower TRS Holdco, LLC 88%
Jupiter Landlord eff 12-31-15
Stockholders/partners -- Not Officers
4500 Dorr Street Toledo, OH 43615
Welltower, Inc.
100% HCRI Tucson Properties, Inc.
Stockholders/partners -- Not Officers
4500 Dorr Street Toledo, OH 43615
Welltower TRS Holdingco, LLC
The Health Center at Concordia CC5509 7707 W. Britton Road Okla. City, OK 73132 405/720-7200
President EFF 01-28-2015
Officers Who Do Not Hold Stock
6407 Avondale Drive Okla. City, OK 73116
Lippert John
Secretary
Officers Who Do Not Hold Stock
15404 Essex Court Edmond, OK 73013
Kastens Robert H.
Treasurer
Officers Who Do Not Hold Stock
2008 Wickshire Circle Edmond, OK 73034
Endicott Jim
eff 08-31-11
Operating Entity
7707 W. Britton Road OKC, OK 73132
Lutheran Senior Citizens, Inc.
Assistant Treasurer
Officers Who Do Not Hold Stock
300 Crown Colony Road Edmond, Ok 73034
Namken Robert
Vice-President EFF 01-28-2015
Officers Who Do Not Hold Stock
4104 NW 146th St. Oklahoma City, OK 73134
Seaman David
Parliamentarian EFF 01-28-2015
Officers Who Do Not Hold Stock
7707 W Britton Road Apt 2201 Oklahoma City, OK 73132
Kamman Rev. Harold
Page 134 of [email protected]
Owner NameFacilities Owned
COO of Luthern Senior citizens, Inc.
Officers Who Do Not Hold Stock
7707 W. Britton Road OKC, OK 73132
Luthern Senior Citizens, Inc. Eischen Danny
Entity w/legal duties
Employment Tax Entity
,
The Health Center at Concordia
The Heaven House AL5526 3420 Treadwell Drive Oklahoma City, OK 73112 405-848-8393
Trustee & Beneficiary of the David C.
Cooper Trust eff 03-2016
Trustee
2600 SOMERSET OKC, OK 73116
Cooper Catherine
100% real estate TDG, LLC eff
08/02/2010
Operating Entity
1902 Elmhurst Nichols Hills, OK 73120
Timmerman - OConner Diane Cooper
100%
Lessor Or Real Estate Owner
3000 United Founder Blvd 145 Oklahoma City, OK 73112
The D Group, LLC
The Heaven House Elmwood AL5538 3141 Elmwood Oklahoma City, OK 73116 405-850-1007
Trustee & Beneficiary of the David C.
Cooper Trust eff 03-2016
Trustee
2600 SOMERSET OKC, OK 73116
Cooper Catherine
100% Heaven House, LLC; 33.3 -The D
Group, LLC eff 05-07-2012
Stockholders/partners -- Not Officers
1902 Elmhurst Nichols Hills, OK 73120
Timmerman - OConner Diane Cooper
Lessor Or Real Estate Owner
3000 United Founder Blvd 145 Oklahoma City, OK 73112
The D Group, LLC
33.3% TD Group, LLC
Stockholders/partners -- Not Officers
2613 Elmhurst Oklahoma City, OK 73120
Cooper Dick
Operating Entity
8501 North Georgia Oklahoma City, OK 73114
The Heaven House, LLC
The Heaven House LLC, St. Clair AL5597 4613 St. Clair Oklahoma City, OK 73112 405 850-1007
Trustee & Beneficiary of the David C.
Cooper Trust eff Nov 2016
Trustee
2600 SOMERSET OKC, OK 73116
Cooper Catherine
100% Heaven House, LLC/ 33.3% -The
D Group, LLC 09-20-2013
Stockholders/partners -- Not Officers
1902 Elmhurst Nichols Hills, OK 73120
Timmerman - OConner Diane Cooper
Lessor Or Real Estate Owner
3000 United Founder Blvd 145 Oklahoma City, OK 73112
The D Group, LLC
Operating Entity
8501 North Georgia Oklahoma City, OK 73114
The Heaven House, LLC
33.3 -The D Group, LLC
Stockholders/partners -- Not Officers
2613 Elmhurst Oklahoma City, OK 73116
Cooper Richard L
Page 135 of [email protected]
Owner NameFacilities Owned
The Homestead of Owasso AL7225 14701 East 86th Street North Owasso, OK 74055 918-376-2226
eff 02/20/2014
Lessor Or Real Estate Owner
3715 SW 29th Street Topeka, KS 66614
Midwest Homestead of Owasso, LLC
.5% Klaton Ventures & Pres & 20%
Midwest Health eff 02-12-2019
Stockholders/partners Who Are Officers
4425 SW Storybrook Drive Topeka, KS 66610
Klausman James A.
20% Midwest Health & VP eff
02-12-2019
Stockholders/partners Who Are Officers
6446 S. Pointe Drive Auburn, KS 66402
Eaton, III Floyd C.
eff 02/09/2012
Operating Entity
3715 SW 29th Street Topeka, KS 66614
Midwest Homestead of Owasso Operations, LLC
Contracted Management eff 02/09/2012
Contracted Management
3715 SW 29th Street Topeka, KS 66614
Midwest Health, Inc.
20% Midwest Health Secretary eff
02-12-2019
Stockholders/partners Who Are Officers
5804 SW 44th Court Topeka, KS 66610
Klausman James B.
10% Midwest Health eff 02-12-2019
Stockholders/partners -- Not Officers
13862 Goodman Street Overlans Park, KS 66222
Perkin Joseph
20% Midwest Health Treasurer eff
02-12-2019
Stockholders/partners Who Are Officers
4506 NW 50th Topeka, KS 66618
Tryon Michael D.
.5% & VP Klaton Ventures & 20%
Midwest Health eff 02-12-2019
Stockholders/partners Who Are Officers
6225 South Pointe Drive Auburn, KS 66402
Eaton, Jr. Floyd C.
100% Midwest Homestead of Owasso
Operations (OP) MH Owasso (RE)
Stockholders/partners -- Not Officers
3024 SW Wanamaker Rd 300 Topeka, KS 66614
Klaton Ventures, LLC
24.75% Klaton Ventures, LLC
Stockholders/partners -- Not Officers
3024 SW Wanamaker Rd 300 Topeka, KS 66614
James Brett Klausman Trust 2012
24.75% Klaton Ventures, LLC
Stockholders/partners -- Not Officers
3024 Wanamaker Rd 300 Topeka, KS 66614
Jamie N. Eaton Trust 2012
24.75% Klaton Ventures, LLC
Stockholders/partners -- Not Officers
3024 SW Wanamaker Rd 300 Topeka, KS 66614
Floyd C. Eaton III Trust 2012
24.75% Klaton Ventures, LLC
Stockholders/partners -- Not Officers
3024 Wanamaker Rd 300 Topeka, KS 66614
Michael Graham Klausman Trust 2012
The Legend at Jeffersons Garden AL5517 15401 North Penn Edmond, OK 73013 405-715-1717
43% Legend Senior Prop & 50% Legend
Senior Living
Stockholders/partners Who Are Officers
8415 E. 21st N 100 Wichita, KS 67206
Buchanan Timothy J.
Contracted Management Company EFF
09/26/2013
Contracted Management
8415 E. 21 Street North 110 Wichita, KS 67206
Legend Senior Living , LLC
Page 136 of [email protected]
Owner NameFacilities Owned
43% Legend Senior Prop & 50% Legend
Senior Living
Stockholders/partners -- Not Officers
8415 E. 21st N 100 Wichita, KS 67206
Buchanan Meredith Gail
84% of Drymen, LLC EFF 09/26/2013
Stockholders/partners -- Not Officers
8415 East 21st Street North 100 Wichita, KS 67206
Legend Senior Properties, LLC
Trustee Stephen D. Russell Revocable
Trust
Trustee
1900 Lincoln Dr. Sarasota, FL 34236
Russell Stephen D.
Trustee Cathy L Layton Revocable Trust
Trustee
1900 Lincoln Dr. Sarasota, FL 34236
Layton Cathy L.
OP EFF 09/26/2013
Operating Entity
8415 E. 21st. St. 100 Witchita, KS 67206
Pennsylvania ALF, LLC
100% Pensylavia ALF, LLC (OP) EFF
09/26/2013
Stockholders/partners -- Not Officers
8415 E. 21st ST. 100 Wichita, KS 67206
Jupiter Tenant, LLC
20% of Jupiter Tenant, LLC
Stockholders/partners -- Not Officers
4500 Dorr St. Toledo, OH 43615
HCRI Tucson Properties Inc.
80% of Jupiter Tenant, LLC / 12% Jupiter
Landlord,LLC
Stockholders/partners -- Not Officers
8415 E. 21st St. 100 Wichita, KS 67206
Drymen, LLC
16% of Drymen, LLC EFF 09/26/2013
Stockholders/partners -- Not Officers
1800 2nd St Ste. 717 Sarasota, FL 34236
SDR-CLL, LLC
50% Member of SDR-CLL,LLC Stephen
D. Russel Trustee EFF09/26/13
Stockholders/partners -- Not Officers
1800 2nd St. Ste. 717 Sarasota, FL 34236
Stephen D. Russell Revocable Trust
50% SDR-CLL,LLC Cathy L.
LaytonTrustee EFF09/26/13
Stockholders/partners -- Not Officers
1800 2nd St. Ste. 717 Sarasota, FL 34236
Cathy L. Layton Revocable Trust
100% RE EFF 09/26/2013
Lessor Or Real Estate Owner
8415 E. 21st St. 100 Witchita, KS 67206
15401 North Pennsylvania Avenue, LLC
100% 15401 North Pennsylvania Ave,
LLC (RE) EFF 09/26/2013
Stockholders/partners -- Not Officers
4500 Dorr St. Toledo, OH 43615
Jupiter Landlord, LLC
100% Welltower TRS Holdco, LLC 88%
Jupiter Landlord eff 12-31-15
Stockholders/partners -- Not Officers
4500 Dorr Street Toledo, OH 43615
Welltower, Inc.
100% HCRI Tucson Properties, Inc.
Stockholders/partners -- Not Officers
4500 Dorr Street Toledo, OH 43615
Welltower TRS Holdingco, LLC
The Linden at Stonehaven Square AL7267 10802 East 81st Street Tulsa, OK 74133 918-203-0210
25% of Columbia Pacific Advisors, LLC
eff 09-28-2017
Stockholders/partners -- Not Officers
3131 Eliott Avenue 500 Seattle, WA 98121
Baty Daniel R.
37.5% Columbia Pacific Advisors, LLC
eff 09-28-2017
Stockholders/partners -- Not Officers
1910 Fairview Ave. East 500 Seattle, WA 98102
Baty Stanley
Page 137 of [email protected]
Owner NameFacilities Owned
100% Columbia Pacific Real Estate Fund
II GP, LLC
Stockholders/partners -- Not Officers
1920 Main Street 1200 Irvine, CA 92614
Columbia Pacific Advisors, LLC
37.5% Columbia Pacific Advisors, LLC
eff 09/28/2017
Stockholders/partners -- Not Officers
1910 Fairview Ave East 200 Seattle, WA 98201
Washburn Alexander
OP eff 09/28/2017
Operating Entity
1910 Fairview Avenue E. 200 Seattle, WA 98102
Tulsa Care Group, LLC
100% RE & Tulsa Care Group, LLC eff
09/28/2017
Lessor Or Real Estate Owner
1910 Fairview Ave E 2000 Seattle, WA 98102
Columbia Pacific Real Estate Fund II, LP
86.79% Columbia Pacific Real Estate
Fund II, LP
Stockholders/partners -- Not Officers
1910 Fairview Avenue E 2000 Seattle, WA 98102
Columbia Pacific Senior Housing Fund, LP
Manager - Tulsa Care Group, LLC eff
09/28/2017
Officers Who Do Not Hold Stock
1910 Fairview Avenue E 2000 Seattle, WA 98102
Columbia Pacific Senior Housing Fund GP, LLC
Contracted Manager eff 09/28/2017
Contracted Management
999 3rd Avenue, 4550 Seattle, WA 98104
Leisure Care, LLC
53.33% of Leisure Care, LLC, eff 3-1-18
Stockholders/partners -- Not Officers
999 3rd Avenue 4550 Seattle, WA 98102
180 Holdings, LLC
24.67% Leisure Care, LLC eff 3-1-18
Stockholders/partners -- Not Officers
1910 Fairview Avenue E 2000 Seattle, WA 78102
Columbia Pacific Opportunity Fund, LP
Vice President & Authorized Agent for
Leisure Care
Officers Who Do Not Hold Stock
999 3rd Avenue 4550 Seattle, WA 98104
Billbe Scott
17% of Leisure Care, LLC, eff 3-1-18
Stockholders/partners -- Not Officers
993 3rd Ave 4550 Seattle, WA 98104
181 Investors, LLC
5% of Leisure Care, LLC, eff 3-1-18
Stockholders/partners -- Not Officers
550 Latona Rd, Bldg A 4550 Rochester, NY 14626
WFLC9, LLC
The Mansion at Waterford AL5591 6110 North Penn Avenue Oklahoma City, OK 73112 405/848-1817
Contracted Management
201 NE Park Plaza Drive 105 Vancouver, WA 98684
Milestone Retirement Communities, LLC
Mgr. (Milestone Retirment Communities,
LLC)
Officers Who Do Not Hold Stock
,
Dendy Chris
effective June 29, 2012
Operating Entity
13115 NE 4th Street 120 Vancouver, WA 98684
The Mansion Operations, LLC
Lessor Or Real Estate Owner
111 South Wacker Drive 4800 Chicago, IL 60606
Ventas Mansion at Waterford, LLC
100% The Mansions Operations, LLC
Stockholders/partners -- Not Officers
13115 NE 4th Street 120 Vancouver, WA 98684
Vancouver Investments, CMPE, LLC
33.3 Mgr Vancouver Inv. CMPE, LLC &
28.33% Milestone Retire. Com
Stockholders/partners -- Not Officers
201 NE Park Plaza Drive 105 Vancouver, WA 98684
Dendy Paul
Page 138 of [email protected]
Owner NameFacilities Owned
33.3% Member Vancouver Inv. CMPE,
LLC & 28.3% Milestone Ret. Com
Stockholders/partners -- Not Officers
201 Park Plaza Dirve 105 Vancouver, WA 98684
Wiesner Mark
33.3% Member Vancouver Inv. CMPE,
LLC & 28.3% Milestone Ret. Com
Stockholders/partners -- Not Officers
201 NE Park Plaza Drive 105 Vancouver, WA 98684
Anderson Donald
10% Milestone Retirment Communities,
LLC
Stockholders/partners -- Not Officers
201 NE Park Plaza Drive 105 Vancouver, WA 98684
Dooley Patrick
5% Milestone Retirment Communities,
LLC
Stockholders/partners -- Not Officers
201 NE Park Plaza Drive 105 Vancouver, WA 98684
Branch Angelo
The Neighborhoods at Baptist Village of Ada AL6203 3501 Oakridge Drive Ada, OK 74820 580 332-6004
Pres of OP eff 9/21/12
Stockholders/partners -- Not Officers
3800 N. May Oklahoma City, OK 73112
Pierce William M.
eff. 1-24-13
Operating Entity
3800 N. May Oklahoma City, OK 73112
Baptist Village Retirement Communities of Oklahoma, Inc.
CFO of OP eff 9/21/12
Stockholders/partners Who Are Officers
3800 North May Avenue Okla. City, OK 73112
Mills Kenneth D.
VP, Planning & Project Management eff
10/08/15
Stockholders/partners Who Are Officers
3800 North May Ave. Oklahoma City, OK 73112
Short Wendell
VP of OP eff 9/21/12
Stockholders/partners Who Are Officers
3800 N. May Ave. Oklahoma City, OK 73112
Thomas Steve
Corp. Secretary of OP eff 10/08/15
Stockholders/partners Who Are Officers
3800 N May Ave. Oklahoma City, OK 73112
Hughes Judy
The Neighborhoods at Baptist Village of Broken Arrow Al7259 2801 North Birch Broken Arrow, OK 74012 918-355-0099
President
Officers Who Do Not Hold Stock
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.
Chief Financial Officer
Officers Who Do Not Hold Stock
3800 North May Avenue Okla. City, OK 73112
Mills Kenneth D.
VP-Planning/Projects
Officers Who Do Not Hold Stock
3800 North May Ave. Oklahoma City, OK 73112
Short Wendell
VP-Operations
Officers Who Do Not Hold Stock
3800 N. May Ave. Oklahoma City, OK 73112
Thomas Steve
Corporate Secretary
Officers Who Do Not Hold Stock
3800 N May Ave. Oklahoma City, OK 73112
Hughes Judy
Page 139 of [email protected]
Owner NameFacilities Owned
The Neighborhoods at Baptist Village of Elk City AL0502 1500 West Country Club Blvd. Elk City, OK 73644 580-225-5555
President, Baptist Village Retirement
Communities of Oklahoma
Officer
3800 N. May Oklahoma City, OK 73112
Pierce William M.
OP eff 12-01-2016
Operating Entity
3800 N. May Oklahoma City, OK 73112
Baptist Village Retirement Communities of Oklahoma, Inc.
CFO Baptist Village Retirement
Communities Oklahoma
CFO
3800 North May Avenue Okla. City, OK 73112
Mills Kenneth D.
VP Baptist Village Retirement
Communities Oklahoma
Officer
3800 North May Ave. Oklahoma City, OK 73112
Short Wendell
Vice President Baptist Village Retirement
Communities Oklahoma
Vice President
3800 N. May Ave. Oklahoma City, OK 73112
Thomas Steve
Corporate Secretary Baptist Village
Retirement Communities Okla
Officer
3800 N May Ave. Oklahoma City, OK 73112
Hughes Judy
The Neighborhoods at Baptist Village of Okmulgee AL5602 1500 West 6th Street Okmulgee, OK 74447 918 756-5377
President Baptist Village RetCommunities
of OK eff 07/01/2015
Officers Who Do Not Hold Stock
3800 N. May Oklahoma City, OK 73112
Pierce William M.
Op eff 07/01/2015
Operating Entity
3800 N. May Oklahoma City, OK 73112
Baptist Village Retirement Communities of Oklahoma, Inc.
CFO - Baptist Village RetCommunities of
OK eff 07/01/2015
Officers Who Do Not Hold Stock
3800 North May Avenue Okla. City, OK 73112
Mills Kenneth D.
VP-Planning & Project Baptist Village
RetCommunities of OK
Officers Who Do Not Hold Stock
3800 North May Ave. Oklahoma City, OK 73112
Short Wendell
VP - OP Baptist Village RetCommunities
of OK eff 07/01/2015
Vice President
3800 N. May Ave. Oklahoma City, OK 73112
Thomas Steve
Corp Secretary Baptist Village Retirement
Communities Oklahoma
Officers Who Do Not Hold Stock
3800 N May Ave. Oklahoma City, OK 73112
Hughes Judy
The Parke Assisted Living AL7208 7821 East 76th Street Tulsa, OK 74133 918-249-1262
Operating Entity
2202 E. 49th St. 310 Tulsa, OK 74105
The Parke Assisted Living, L. L. C.
33% OP/RE
Stockholders/partners -- Not Officers
2202 E. 49th St. 310 Tulsa, OK 74105
East Donald A.
33% OP/RE
Stockholders/partners -- Not Officers
2202 E. 49th St. 350 Tulsa, OK 74105
Davis Terry L.
Page 140 of [email protected]
Owner NameFacilities Owned
33% OP/RE
Stockholders/partners -- Not Officers
2202 E. 49th St. 310 Tulsa, OK 74105
St. Clair Ron
The Renaissance of Ponca City AL3601 2616 Turner Road Ponca City, OK 74604 580-765-5900
Operating Entity Effective 1-1-08
Operating Entity
2616 Turner Road Ponca City, OK 74604
Renaissance Partners at Ponca City, LLC
50% GP of Renaissance Property at Ponca
City, LP
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Renaissance Property GP, Inc.
24% LP Real Est/24%Mem RH-O LLC
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
ZZ Irrevocable Trust
10% RealEst/10%RH-O LLC/
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Alan S. Funk Declaration of Trust
24.09% RE, 24.09% OP eff 01/2011
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
The Keith J. Pomeroy Trust
23.91%RE, 23.91 RE,
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Stutz Jonah L.
Trustee & Benef. of Alan S Funk
DeclTrust
Trustee
5480 Corporate Drive 230 Troy, MI 48098
Funk Alan S.
Trustee ZZ IrrvTrst & Keith J Pomeroy
Trust/Chair Pom Inv Corp/
Officers Who Do Not Hold Stock
5480 Corporate drive 230 Troy, MI 48098
Pomeroy Keith J.
Beneficiary, ZZ Irrevocable Trust
Beneficiary
5480 Corporate Drive 230 Troy, MI 48098
Zamarripa Leo
Beneficiary, ZZ Irrevocable Trust
Beneficiary
5480 Corporate Drive 230 Troy, MI 48098
Zamarripa Francesca
Beneficiary, ZZ Irrevocable Trust
Beneficiary
5480 Corporate Drive 230 Troy, MI 48098
Zamarripa Paulina
Beneficiary, ZZ Irrevocable Trust
Beneficiary
5480 Corporate Drive 230 Troy, MI 48098
Zamarripa Vasco
100% Member of Renaissance Partners at
Ponca City, LLC
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Renaissance Holdings-Oklahoma, LLC
Contracted Management Company eff
02/01/2015
Contracted Management
201 NE Park Plaza Drive 105 Vancouver, WA 98684
Milestone Retirement Communities, LLC
17.50 of RE/18% of OP eff 01/04/2011
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Lyle Properties,LLC
35% of Lyle Properties, Member
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Zoey Lyle Irrevocable Trust dated 12/4/85
60% of Lyle Properties, Member
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Zoey Lyle Irrevocable Trust dated 7/14/95
Page 141 of [email protected]
Owner NameFacilities Owned
2.88% of Lyle Properties, Member
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Pomeroy Delaware Investments #2, LLC
Sole Shareholder/Ofcr.of RP GP, Inc.,
Trustee of Zoey Lyle IT
Stockholders/partners Who Are Officers
5480 Corporate Drive 230 Troy, MI 48098
Pomeroy Marc
1.12% of Lyle Properties, Member
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Enid Barden Trust
Trustee of Enid Barden Trust and Zoey
Lyle Irrevocable Trust
Trustee
5480 Corporate Drive 230 Troy, MI 48098
Barden Enid
Beneficiary of Zoey Lyle Irrevocable
Trust 12/4/85 & 7/14/95
Beneficiary
5480 Corporate Drive 230 Troy, MI 48098
Zamarripa Zoey
CEO & 28.33% Milestone Retirment
Communities, LLC
Stockholders/partners Who Are Officers
201 NE Park Plaza Drive 105 Vancouver, WA 98684
Dendy Paul
COO & 28.33% Milestone Retirment
Communities, LLC
Stockholders/partners Who Are Officers
201 Park Plaza Dirve 105 Vancouver, WA 98684
Wiesner Mark
CCO & 28.33% Milestone Retirment
Communities, LLC
Stockholders/partners Who Are Officers
201 NE Park Plaza Drive 105 Vancouver, WA 98684
Anderson Donald
VP & 10% Milestone Retirment
Communities, LLC
Stockholders/partners Who Are Officers
201 NE Park Plaza Drive 105 Vancouver, WA 98684
Dooley Patrick
VP & 5.1% Milestone Retirment
Communities, LLC
Stockholders/partners Who Are Officers
201 NE Park Plaza Drive 105 Vancouver, WA 98684
Branch Angelo
The Renaissance of Stillwater-Assisted Living AL6002 1400 East McElroy Stillwater, OK 74075 405-743-4900
Operating Entity Effective 1-1-08
Operating Entity
1400 East McElroy Road Stillwater, OK 74075
Renaissance Partners at Stillwater, LLC
100% RE
Lessor Or Real Estate Owner
5480 Corporate Drive 230 Troy, MI 48098
Renaissance Property at Stillwater, LP
50% of Renaissance Property at
Stillwater, LP (RE)
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Renaissance Property GP, Inc.
24% LP of RE, 24% OP & Member
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
ZZ Irrevocable Trust
10% LP RE, 10% OP & Member
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Alan S. Funk Declaration of Trust
24.09% LP RE, 24% OP & Member
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
The Keith J. Pomeroy Trust
23.91% RE, 23.91 OP
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Stutz Jonah L.
Page 142 of [email protected]
Owner NameFacilities Owned
Trustee & Benef. of Alan S Funk
DeclTrust. President
Trustee
5480 Corporate Drive 230 Troy, MI 48098
Funk Alan S.
Trustee ZZ IrrvTrst & Keith J Pomeroy
Trust/Chair Pom Inv Corp/
Officers Who Do Not Hold Stock
5480 Corporate drive 230 Troy, MI 48098
Pomeroy Keith J.
Beneficiary, ZZ Irrevocable Trust
Beneficiary
5480 Corporate Drive 230 Troy, MI 48098
Zamarripa Leo
Beneficiary, ZZ Irrevocable Trust
Beneficiary
5480 Corporate Drive 230 Troy, MI 48098
Zamarripa Francesca
Beneficiary, ZZ Irrevocable Trust
Beneficiary
5480 Corporate Drive 230 Troy, MI 48098
Zamarripa Paulina
Beneficiary, ZZ Irrevocable Trust
Beneficiary
5480 Corporate Drive 230 Troy, MI 48098
Zamarripa Vasco
100% Member Renaissance Partners at
Stillwater, LLC (OP)
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Renaissance Holdings-Oklahoma, LLC
Contracted Managment Company eff
02/01/2015
Contracted Management
201 NE Park Plaza Drive 105 Vancouver, WA 98684
Milestone Retirement Communities, LLC
17.50% LP RE, 18% OP eff 1/1/2011
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Lyle Properties,LLC
35% of Lyle Properties
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Zoey Lyle Irrevocable Trust dated 12/4/85
60% of Lyle Properties
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Zoey Lyle Irrevocable Trust dated 7/14/95
2.88% of Lyle Properties
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Pomeroy Delaware Investments #2, LLC
Sole Shar100% Ren Prop GP,Mgr Memb
Lyle Prop,Trustee Zoey Lyle
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Pomeroy Marc
1.12% of Lyle Properties, Member
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Enid Barden Trust
Trustee of Enid Braden Trust & Zoey
Lyle Irrevocable Trusts
Trustee
5480 Corporate Drive 230 Troy, MI 48098
Barden Enid
Beneficiary of the Zoey Lyle Irrevocable
Trust 12/4/85 & 7/14/95
Beneficiary
5480 Corporate Drive 230 Troy, MI 48098
Zamarripa Zoey
CEO & 28.33% Milestone Retirment
Communities, LLC
Stockholders/partners Who Are Officers
201 NE Park Plaza Drive 105 Vancouver, WA 98684
Dendy Paul
COO & 28.33% Milestone Retirment
Communities eff 02/01/2015
Stockholders/partners Who Are Officers
201 Park Plaza Dirve 105 Vancouver, WA 98684
Wiesner Mark
CCO & 28.33% Milestone Retirment
Communities, LLC
Stockholders/partners Who Are Officers
201 NE Park Plaza Drive 105 Vancouver, WA 98684
Anderson Donald
Page 143 of [email protected]
Owner NameFacilities Owned
VP & 10% Milestone Retirment
Communities, LLC
Stockholders/partners Who Are Officers
201 NE Park Plaza Drive 105 Vancouver, WA 98684
Dooley Patrick
VP & 5.1% Milestone Retirment
Communities, LLC
Stockholders/partners Who Are Officers
201 NE Park Plaza Drive 105 Vancouver, WA 98684
Branch Angelo
The Renaissance of Stillwater-Memory Care AL6004 1450 East McElroy Stillwater, OK 74075 405-743-4900
Operating Entity Effective 1-1-08
Operating Entity
1400 East McElroy Road Stillwater, OK 74075
Renaissance Partners at Stillwater, LLC
100% of RE
Lessor Or Real Estate Owner
5480 Corporate Drive 230 Troy, MI 48098
Renaissance Property at Stillwater, LP
50% and GP of Renaissance Property at
Stillwater, LP
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Renaissance Property GP, Inc.
24% LP RE, 24% OP
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
ZZ Irrevocable Trust
10% RE, 10% OP
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Alan S. Funk Declaration of Trust
24.09% RE, 24.09% OP eff 01/2011
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
The Keith J. Pomeroy Trust
23.91%RE, 23.91 OP
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Stutz Jonah L.
Trustee & Benef. of Alan S Funk
DeclTrust
Trustee
5480 Corporate Drive 230 Troy, MI 48098
Funk Alan S.
Trustee ZZ IrrvTrst & Keith J Pomeroy
Trust/Chair Pom Inv Corp/
Trustee
5480 Corporate drive 230 Troy, MI 48098
Pomeroy Keith J.
Beneficiary, ZZ Irrevocable Trust
Beneficiary
5480 Corporate Drive 230 Troy, MI 48098
Zamarripa Leo
Beneficiary, ZZ Irrevocable Trust
Beneficiary
5480 Corporate Drive 230 Troy, MI 48098
Zamarripa Francesca
Beneficiary, ZZ Irrevocable Trust
Beneficiary
5480 Corporate Drive 230 Troy, MI 48098
Zamarripa Paulina
Beneficiary, ZZ Irrevocable Trust
Beneficiary
5480 Corporate Drive 230 Troy, MI 48098
Zamarripa Vasco
Beneficiary, ZZ Irrev Trust & KeithJPom
Trust
Beneficiary
5480 Corporate Drive 230 Troy, MI 48098
Keith J. Pomeroy Estate
100% Member of Renaissance Partners at
Stillwater, LLC
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Renaissance Holdings-Oklahoma, LLC
Contracted Management Company
02/01/2015
Contracted Management
201 NE Park Plaza Drive 105 Vancouver, WA 98684
Milestone Retirement Communities, LLC
Page 144 of [email protected]
Owner NameFacilities Owned
17.5% RE& 18% OP Eff 01/2011
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Lyle Properties,LLC
35% of Lyle Properties
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Zoey Lyle Irrevocable Trust dated 12/4/85
60% of Lyle Properties
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Zoey Lyle Irrevocable Trust dated 7/14/95
2.88% of Lyle Properties
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Pomeroy Delaware Investments #2, LLC
100% of Ren. Prop GP, Mgr Memb Lyle
Prop, Trustee of Zoey Lyle
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Pomeroy Marc
1.12% of Lyle Properties
Stockholders/partners -- Not Officers
5480 Corporate Drive 230 Troy, MI 48098
Enid Barden Trust
Trustee of Enid Barden Trust and Zoey
Lyle Irrevocable Trust
Trustee
5480 Corporate Drive 230 Troy, MI 48098
Barden Enid
Beneficiary of Zoey Lyle Irrevocable
Trust 12/4/85 & 7/14/95
Beneficiary
5480 Corporate Drive 230 Troy, MI 48098
Zamarripa Zoey
CEO & 28.33% Milestone Retirement
Communities, LLC
Stockholders/partners Who Are Officers
201 NE Park Plaza Drive 105 Vancouver, WA 98684
Dendy Paul
COO & 28.33% Milestone Retirement
Communities eff 02/01/2015
Stockholders/partners Who Are Officers
201 Park Plaza Dirve 105 Vancouver, WA 98684
Wiesner Mark
CCO & 28.33% Milestone Retirement
Communities, LLC
Stockholders/partners Who Are Officers
201 NE Park Plaza Drive 105 Vancouver, WA 98684
Anderson Donald
VP & 10% Milestone Retirement
Communities, LLC
Stockholders/partners Who Are Officers
201 NE Park Plaza Drive 105 Vancouver, WA 98684
Dooley Patrick
VP & 5.1% Milestone Retirement
Communities, LLC
Stockholders/partners Who Are Officers
201 NE Park Plaza Drive 105 Vancouver, WA 98684
Branch Angelo
The Suites at Elmbrook, Inc. AL1001 1711 9th Avenue Northwest Ardmore, OK 73401 580-223-3100
100% of Elmbrook Properties, Inc. &
President
Stockholders/partners Who Are Officers
1908 12th Ave N.W. E Ardmore, OK 73401
Coble Tom C.
100% RE & The Suites at Elmbrook, Inc.
(OP)
Lessor Or Real Estate Owner
1908 12th Avenue, N W E Ardmore, OK 73401
Elmbrook Properties, Inc.
OP
Operating Entity
1711 9th Ave. NW Ardmore, OK 73401
The Suites at Elmbrook, Inc.
Vice President of Elmbrook Properties
Inc.
Officers Who Do Not Hold Stock
1908 12th Ave NW E Ardmore, OK 73401
Coble Brett
Page 145 of [email protected]
Owner NameFacilities Owned
Secretary/Treasurer of Elmbrook
Properties Inc.
Officers Who Do Not Hold Stock
1908 12th Ave, NW E Ardmore, OK 73401
Lodes Jason
The Veraden AL5545 2709 E Danforth Rd Edmond, OK 73034 405-359-1230
33.3% LP TCGH; 33.34% TCGHG; 43%
LP CGH& CGHGP Eff.11/16
Stockholders/partners -- Not Officers
4356 Patricias Ridge Benbrook, TX 76126
Bullock Robert
100% TCG Tenant II, LLC
Stockholders/partners -- Not Officers
801 Cherry Street 2400 Unit 31 Fort Worth, TX 76102
TCG Holdings, LP
0.10% GP TCGH Eff. 11/2016
Stockholders/partners -- Not Officers
801 Cherry Street 2400 Unit 31 Fort Worth, TX 76102
TCG Holdings Genpar, LLC (TCGHG)
33.3% LP TCGH; 33.33% TCGHG; 28%
LP CGH & CGHGP Eff. 1/16
Stockholders/partners -- Not Officers
149 PR 3297 Decatur, TX 76234
Edwards Donny
33% TCGH 33% TCGHG SR.VP TCGE
28% CGH& CGHGP Pres.SSL
Stockholders/partners Who Are Officers
605 Meandering Woods Keller, TX 76248
McCaleb Bryan
99.9% LP of CGoT; 100% CGoTGP eff
11/16
Stockholders/partners -- Not Officers
1200 Summit Avenue 444 Fort Worth, TX 76102
Covenant Group Holdings, LP
Sole Stockholder of SSL eff 11/16
Stockholders/partners -- Not Officers
801 Cherry St. Unit 31 2400 Fort Worth, TX 76102
Covenant Group of Texas, LP
0.10%GP CGH eff 11/16
Stockholders/partners -- Not Officers
1200 Summit Avenue 444 Fort Worth, TX 76102
Covenant Group Holdings GP, LLC
100 Real Estate eff 11/16
Lessor Or Real Estate Owner
4500 Dorr Street Toledo, OH 43615
Welltower, Inc.
Sole Stockholder/100% of TCG Edmond
Campus, LLC Eff. 11/2016
Stockholders/partners -- Not Officers
801 Cherry Street, 2400 Unit 31 Fort Worth, TX 76102
TCG Tenant II, LLC
Operating Entity
801 Cherry Street 2400 Fort Worth, TX 76102
TCG Edmond Campus, LLC (TCGEC)
Eff 11/17
Contracted Management
801 Cherry St. 2400 Unit 31 Fort Worth, TX 76102
Sagora Senior Living, Inc.
0.1% GP of CGoT eff. 11/16
Stockholders/partners -- Not Officers
801 Cherry St. Unit 31 2400 Fort Worth, TX 76102
Covenant Group of Texas GP, LLC
The Villages at Southern Hills CC7207 5721 S Lewis Ave. Tulsa, OK 74105 918-447-6447
RE/OP/Mgr eff 07/21/11; 47.48%
WRI;100%WRIGP;59.9%LCCP;100%L
CGP
Stockholders/partners -- Not Officers
1500 Waters Ridge Dr 200 Lewisville, TX 75077
Taylor John F.
33.72% of WRI, LP
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Lake Creek Capital Partners, LP
Page 146 of [email protected]
Owner NameFacilities Owned
11.91% WRILP
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Fisher James (Jim)
0.100& GP of LCCP
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
LC General Partner, LLC
20% limited partner in Lake Creek
Capital Partners, LP
Stockholders/partners -- Not Officers
1500 WatersRidge Lewisville, TX 75057
Taylor John Paul & Casey
3.44% WRI LP EFF 1/8/2018
Stockholders/partners -- Not Officers
1500 Waters Ridge Lewisville, TX 75057
Campbell Scott & Syndney
John F. Taylor Manager start 07/21/2011
Contracted Management
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Stonegate Senior Living, LLC
John F. Taylor Manager start 07/21/2011
Lessor Or Real Estate Owner
1500 Waters Ridge Dr. Lewisville, TX 75057
Tulsa SHP Realty, LLC
John F. Taylor Mgr start 07/21/2011;
Operating Entity
1500 Waters Ridge Dr Lewisville, TX 75057
South Lewis SH Opco, LLC
3.44% LP of WRILP; 20% LP of LCCP
Stockholders/partners -- Not Officers
1500 Waters Ridge Dt Lewisville, TX 75057
Taylor John P.
99% mem of South Lewis SH Opco
Stockholders/partners Who Are Officers
1500 Waters Ridge Dr. 200 Lewisville, TX 75057
Southwest SNF Holdings, LLC
100% Sole mem of SW PAP .; 100% mem
SSNFH
Stockholders/partners -- Not Officers
1500 Waters Ridge Dirve 200 Lewisville, TX 75057
WR Investments, LP
0% GP of WRILP; 100% WRIGP Mgr
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
WR Investments GP, Inc.
20% LP LCCP/3.4436% WRI,LP
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Campbell Scott
99% mem ofTulsa SHP Realty
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
SW Post Acute Properties, LLC (SW PAP)
0% mng mem SWSNFH
Officers Who Do Not Hold Stock
1500 waters Ridge Dr. Lewisville, TX 75057
WR Investments GP Manager, Inc.
1% mem of RE & OP 10/27/2016
Stockholders/partners -- Not Officers
35 Jersey St. Denver, CO 80220
G. P. Simpson Senior Housing Investments, LLC (GPSSHI)
100% Sole mem of GPSSHI 10/16
Stockholders/partners -- Not Officers
35 Jersey Street Denver, CO 80220
Simpson Glen
The Willows AL2502 301 Melville Drive Pauls Valley, OK 73075 405-238-4414
Lessor Or Real Estate Owner
PO Box 368 Pauls Valley, OK 73075
Pauls Valley General Hospital Foundation, Inc.
Operating Entity
P.O. Box 368 Pauls Valley, OK 73075
Pauls Valley Hospital Authority
Page 147 of [email protected]
Owner NameFacilities Owned
eff 01/14/2015 Mayor/ Cty of Pauls
Valley
Officers Who Do Not Hold Stock
PO Box 778 Pauls Valley, OK 73075
Alfred Gary
eff 01/14/2015 City Co. Member
Officers Who Do Not Hold Stock
PO Box 778 Pauls Valley, OK 73075
Rushing Jocelyn
eff 01/14/2015 City Co. Member
Officers Who Do Not Hold Stock
PO Box 778 Pauls Valley, OK 73075
Grimmett Patrick
eff 01/14/2015 City Co. Member
Officers Who Do Not Hold Stock
PO Box 778 Pauls Valley, Ok 73075
Parrish Michael
City Co. Member eff 2-14-17
Officers Who Do Not Hold Stock
PO Box 778 Pauls Valley, OK 73075
Montgomery-Milligan Shirley
CEO of RE eff 2-14-17
Officers Who Do Not Hold Stock
PO Box 368 Pauls Valley, OK 73075
Staggs Nathan
Director, Eff 2/11/19
Officers Who Do Not Hold Stock
301 Melville Drive Pauls Valley, OK 73075
Dobbins Michael
Think Ability Inc. DC6903 2115 W. Beech Duncan, OK 73533-4328 580 252-8000
President, 05/10/16
Officers Who Do Not Hold Stock
707 W. Pecan Duncan, OK 73533
Howland Don
Vic.Pres. eff 05/10/16
Officers Who Do Not Hold Stock
1521 Pearl St Duncan, OK 73533
Jennings Tim
Sec/Treasurer, eff 05/10/16
Officers Who Do Not Hold Stock
15 N. 9th Duncan, OK 73533
Steely Ellen
Director, eff 05/10/16 END 8-31-2018
Officers Who Do Not Hold Stock
1301 W. Main Duncan, OK 73533
Jones Janetta
EFF 8-24-2018 Director
Officers Who Do Not Hold Stock
,
Stephens Renee
EFF 5/23/2019
Operating Entity
2115 W Beech Duncan, OK 73533
Think Ability Inc.
Timberwood Assisted Living & Memory Care AL5520 5020 Southeast 44th Street Oklahoma City, OK 73135 405-619-0079
eff 3/1/2015
Lessor Or Real Estate Owner
2 Wisconsin Circle 540 Chevy Chase, MD 20815
WC-Timberwood LLC
SLN Mgr. West, LLC & SLMgmt.
Holdings, LLC eff 11/1/14
Officers Who Do Not Hold Stock
303 E. Wacker Drive 2400 Chicago, IL 60601
DeLuca Jon A.
SLN Mgr. West, LLC & SLMgmt.
Holdings, LLC eff 11/1/14
Manager
303 E. Wacker Dr. 2400 Chicago, IL 60601
Kaplan William B.
Page 148 of [email protected]
Owner NameFacilities Owned
SLN Mgr. West, LLC & SLMgmt.
Holdings, LLC eff 11/1/14
Manager
303 E. Wacker Dr. 2400 Chicago, IL 60601
Frumm Jerrold H.
SLN Mgr. West, LLC & SLMgmt.
Holdings, LLC eff 11/1/14
Manager
303 E. Wacker Dr. 2400 Chicago, IL 60601
Levy Stephen J.
66% Member of Senior Lifestyle Holding
Company, LLC eff 11/1/14
Stockholders/partners -- Not Officers
303 East Wacker Drive 2400 Chicago, IL 60601
K&K Lifestyle Associates, LLC
100% Healthcare Holdings-T, LLC
Stockholders/partners -- Not Officers
2 Bethesda Metro Center 1300 Bethesda, MD 20814
NorthStar Realty Healthcare, LLC (NRH, LLC)
100% of Northstar Realty Healthcare,
LLC
Stockholders/partners -- Not Officers
399 Park Ave New York, NY 10022
NRFC Healthcare Holding Company, LLC
100% NSRF Limited Partners
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, NY 10022
NorthStar Realty Finance Corp (NRF, Corp)-publicly traded
Chairman/CEO NRF, Corp eff
03-01-2015
Stockholders/partners -- Not Officers
399 Park Avenue 18th Floor New York City, NY 10022
Hamamoto David
eff 3/1/2015
Contracted Management
303 East Wacker Dr. 2400 Chicago, IL 60601
SLN Manager West, LLC
100% Mbr. of SLN Manager West, LLC
eff 11/1/14
Stockholders/partners -- Not Officers
303 E. Wacker Drive 2400 Chicago, IL 60601
Senior Lifestyle Management Holdings, LLC
100% Mbr. of Senior Lifestyle Mgmt.
Holdings, LLC eff 11/1/14
Stockholders/partners -- Not Officers
303 E. Wacker Drive 2400 Chicago, IL 60601
Senior Lifestyle Holding Company, LLC
13% Senior Lifestyle Holding Company,
LLC
Stockholders/partners -- Not Officers
Attn: John Heuberger, 203 W. LaSalle Street 1900 Chicago, IL 60601
WBK 2012 Trust U/A/D 12/14/2012
13% Senior Lifestyle Holding Company,
LLC
Stockholders/partners -- Not Officers
1220 Astor St. Chicago, IL 60610
JBMK Limited Partnership
13% Senior Lifestyle Holding Company,
LLC
Stockholders/partners -- Not Officers
1220 Astor St. Chicago, IL 60610
JBK Trust dated 11/20/2012
98% of HC-SLC Owner JV, LLC &
Healthcare CAM2-T, LLC
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, NY 10022
Healthcare Holdings-T, LLC
Director of Northstar Finance Corp
Officers Who Do Not Hold Stock
399 Park Avenue, 18th Floor New York City, NY 10022
Hannaway Judith
100% of WC-Timberwood OPS, LLC
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, NY 10022
HC-SLC Operator JV, LLC
100% HC-SLC Operator JV, LLC
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, OK 10022
Healthcare CAM2-T, LLC
4% Senior Lifestyle Holding Company,
LLC
Stockholders/partners -- Not Officers
303 East Wacker Drive 2400 Chicago, IL 60601
North Mohawk, LP
OP eff 03/01/2015
Operating Entity
303 East Wacker Drive 2400 Chicago, IL 60601
WC-Timberwood OPS, LLC
Page 149 of [email protected]
Owner NameFacilities Owned
Today Makes Tomorrow Adult Day Care Center and Recreational Faci DC5601 1535 E 6th Street Okmulgee, OK 74447 918-777-0685
50% OP, Eff 03/01/2019
Stockholders/partners -- Not Officers
1018 E 2nd St Okmulgee, OK 74447
Stallings Brian
OP/RE, Eff 03/01/2019
Operating Entity
1535 E 6th St Okmulgee, OK 74447
Today Makes Tomorrow Adult Day Care Center and Recreational Faci
50% OP, Eff 03/01/2019
Stockholders/partners Who Are Officers
1018 E 2nd St Okmulgee, OK 74447
Stallings Anita
Touchmark at Coffee Creek AL5532 2801 Shortgrass Road Edmond, OK 73003 405-340-1975
Operating Entity
2801 Shortgrass Rd Edmond, OK 73003
Touchmark at Coffee Creek, LLC
.14% OP, .57% Touchmark, LLC &
Mgmt.
Stockholders/partners -- Not Officers
9224 S.W. Fir Grove Portland, OR 97225
Billig Joseph A.
.14% OP, President & .95% TM, LLC &
TMLC, Inc.
Stockholders/partners Who Are Officers
19120 SW Murphy Court Aloha, OR 97007
Moe Thomas J.
Mgr., OP eff 5/2013 end 08/02/2019
Contracted Management
5150 SW Griffith Drive Beaverton, OR 97005
Touchmark Living Center, Inc.
99.86% OP, eff 5/2013
Stockholders/partners -- Not Officers
5150 SW Griffith Drive Beaverton, OR 97005
Touchmark, LLC
18.54% Touchmark, LLC & Touchmark
Living Centers, Inc.
Stockholders/partners -- Not Officers
5150 SW Griffith Drive Beaverton, OR 97005
Colleen & Werner G. Nistler, Jr. Family Trust
19.13% Member, Touchmark, LLC eff.
7/8/14
Stockholders/partners -- Not Officers
5150 SW Griffith Drive Beaverton, OR 97005
DWELLM TRUST ONE (GT)
CEO of TM, LLC & TMLC, Inc., Trustee
of DMTO(GT) & DMTT(IDGT)
Officers Who Do Not Hold Stock
5150 SW Griffith Drive Beaverton, OR 97005
Nistler, Jr. Werner
4.80% Touchmark, LLC & Mgmt.
Stockholders/partners -- Not Officers
7691 Highway 12W Helena, MT 59601
Nistler Steve W.
.95% Touchmark, LLC & Touchmark
Living Centers, Inc.
Stockholders/partners -- Not Officers
16360 SW Marcile Lane Beaverton, OR 97007
Pryor Brian E
.57% Touchmark, LLC & Touchmark
Living Centers, Inc.
Stockholders/partners -- Not Officers
PO Box 30035 Spokane, WA 99223
Bair Jeffrey P.
CFO & .95% Touchmark, LLC &
Touchmark Living Centers, Inc.
Officers Who Do Not Hold Stock
2475 SW Timberline Drive Portland, OR 97225
Breuer Marcus P.
Sec. of TM,LLC & TMLC, Inc., Trustee
of DMTO(GT) & DMTT (IDGT)
Officers Who Do Not Hold Stock
5150 SW Griffith Drive Beaverton, OR 97005
Nistler Colleen T.
Page 150 of [email protected]
Owner NameFacilities Owned
.95% Touchmark, LLC & Touchmark
Living Centers, Inc.
Stockholders/partners -- Not Officers
1160 NW Constellation Drive Bend, OR 97701
Biel Thomas L.
Treasurer of Touchmark, LLC &
Touchmark Living Centers, Inc.
Officers Who Do Not Hold Stock
5150 SW Griffith Drive Beaverton, OR 97005
Spelman Thomas G.
52.04% Touchmark, LLC & 71.57%
Touchmark Living Centers, Inc.
Stockholders/partners -- Not Officers
5150 SW Griffith Drive Beaverton, OR 97005
DWELLM TRUST TWO (IDGT)
Eff. 08/02/2019
Contracted Management
5150 SW Griffith Drive Beaverton, OR 97005
Touchmark Managment, LLC
Town Village Assisted Living AL5595 13000 N. May Avenue Oklahoma City, OK 73120 405-297-9600
100% RE Eff 08/29/2013
Lessor Or Real Estate Owner
450 South Orange Avenue 1200 Orlando, FL 32801-3336
CHP Town Village OK Owner, LLC
OP eff 08/29/2013
Operating Entity
450 South Orange Avenue 1200 Orlando, OK 32801-3336
CHP Town Village OK Tenant Corp.
Manager eff 08/29/2013
Contracted Management
3110 West Southlake, Blvd 120 Southlake, TX 76092
Integrated Senior Living, LLC
100% of CHP Town Village OK Owner
Stockholders/partners -- Not Officers
450 South Orange Ave 1200 Orlando, FL 32801-3336
CHP SL Owner Holding I, LLC
100% of CHP SL Owner Holding I, LLC
Stockholders/partners -- Not Officers
450 South Orange Ave 1200 Orlando, FL 32801-3336
CHP Partners, LP
100% of CHP Partners, LP
Stockholders/partners -- Not Officers
450 South Orange Ave 1200 Orlando, FL 32801-3336
CHP GP, LLC
100% of CHP GP, LLC & CHP TRS
Holding, Inc.
Stockholders/partners -- Not Officers
450 South Orange Ave 1200 Orlando, FL 32801
CNL Healthcare Properties, Inc.
100% of CHP Town Village OK Tenant
Corp.
Stockholders/partners -- Not Officers
450 South Orange Ave 1200 Orlando, FL 32801-3336
CHP TRS Holding, Inc.
Director of CHP Town Village OK Tenant
Corp
Stockholders/partners Who Are Officers
450 South Orange Ave 1200 Orlando, FL 32801-3336
Greer Holly
Director of CHP Town Village OK Tenant
Corp
Stockholders/partners Who Are Officers
450 South Orange Ave 1200 Orlando, FL 32801-3336
Johnson Joseph
VP of CHP Town Village OK Tenant
Corp.
Officers Who Do Not Hold Stock
450 South Orange Ave 1200 Orlando, FL 32801-3336
Bracco Tracey
Sr VP of CHP Town Village OK Tenant
Corp.
Officers Who Do Not Hold Stock
450 South Orange Ave 1200 Orlando, FL 32801-3336
Duarte Ixchell
50% of Integrated Senior Living, LLC
Stockholders/partners -- Not Officers
3110 West Southlake Blvd 120 Southlake, TX 76092
Simmons Richard
Page 151 of [email protected]
Owner NameFacilities Owned
50% of Integrated Senior Living, LLC
Stockholders/partners -- Not Officers
3110 West Southlake Blvd 120 Southlake, TX 76092
Spaulding Craig
Trusted Kare RC7243 5709 S. 66th East Avenue Tulsa, OK 74145 918-499-2379
Mary McNeill
Lessor Or Real Estate Owner
7083 W. 191st St. Mounds, OK 74047
Adonai Properties LLC
100% of Trusted Kare, LLC
Stockholders/partners Who Are Officers
5709 S. 66th East Ave Mounds, OK 74047
McNeill Mary
OP
Operating Entity
5709 South 66th East Ave Tulsa, OK 74145
Trusted Kare, LLC
Tulsa Assisted Living and Memory Care AL7302 20102 E. Admiral Place Catoosa, OK 74015 918-739-4700
21.24% of Murfin, Inc. & CEO eff
4/18/14
Stockholders/partners Who Are Officers
250 N WATER 300 IMA PLAZA WICHITA, KS 67203
Murfin David
36% OP eff 4/18/14
Stockholders/partners -- Not Officers
2900 Willowbridge Circle Austin, TX 78703
Meyer, Jr. John E.
60% OP eff 4/18/14
Stockholders/partners -- Not Officers
250 North Water 300 Wichita, KS 67202
Murfin, Inc.
4% OP eff 4/18/14
Stockholders/partners -- Not Officers
6800 South Granite Avenue Tulsa, OK 74136
Meyer, Sr. John E.
19.27% of Murfin, Inc. eff 4/18/14
Stockholders/partners -- Not Officers
250 North Water 300 Wichita, KS 67202
Murfin Murphy Barbara
23.47% of Murfin, Inc. eff 4/18/14.
Stockholders/partners -- Not Officers
250 North Water 300 Wichita, KS 67202
Murfin Moxley Nancy
effective 12-08-2009
Operating Entity
3509 South Yorktown Place Tulsa, OK 74105
Canoe Brook Properties, LLC
36.02% of Murfin, Inc. eff 4/18/14
Stockholders/partners -- Not Officers
,
(other minority owners at less than 5% each)
66.42% of Oxford Management, LLC eff.
02/01/2017
Stockholders/partners -- Not Officers
125 North Market 1230 Wichita, KS 67202
Austin Powers, LLC
16.789% of Oxford Management Group,
LLC
Stockholders/partners Who Are Officers
125 N Market 1230 Wichita, KS 67202
Wiley Jason
Eff. 02-1-2017
Contracted Management
125 N. Market 1230 Wichita, KS 67202
Oxford Management Group LLC
16.79% of Oxford Management Group,
LLC
Stockholders/partners -- Not Officers
8902 W. Silver Hollow Wichita, KS 67205
JCD Shocker, LLC
Page 152 of [email protected]
Owner NameFacilities Owned
University Village Retirement Community AL7214 8555 South Lewis Avenue Tulsa, OK 74137 918-298-3652
RE 38% OP, 38% Managmnt 51% start
0721/2011
Managing Member
2021 S. Lewis Ave. 300 Tulsa, OK 74104
Fail Blake N.
start 07/29/2011
Lessor Or Real Estate Owner
1127 E. 33rd Place Tulsa, OK 74105
University Village Lifestyles, LLC
RE 38%/OP 38%/Mngmnt 49% start
07/21/2011
Managing Member
2021 S. Lewis Ave. 300 Tulsa, OK 74104
Gawey Matthew R.
RE 23%/OP 24% start 07/21/2011
Stockholders/partners -- Not Officers
8555 S. Lewis Ave Tulsa, OK 74137
Roberts Keith A.
start 07/21/2011
Operating Entity
8555 S. Lewis Ave Tulsa, OK 74137
University Village Retirement Community, LLC
start 07/21/2011
Contracted Management
8555 S. Lewis Ave Tulsa, OK 74137
Triad Aspen Partners, LLC
Valir PACE Foundation DC5542 721 N. W. 6th Street Oklahoma City, OK 73102 405 609-3688
100% of ABBE Rehab &Medical
Services,LLC
Stockholders/partners -- Not Officers
P.O. Box 592 Sallisaw, OK 74955
Jiles J. Max
100% of OHara Investments, LLC
Stockholders/partners -- Not Officers
1126 Rambling Oaks Dr. Norman, OK 73072
OHara Dirk
100% Senior Comfort Corp
Stockholders/partners -- Not Officers
1825 E. 15th Tulsa, OK 74104
Jiles Jon P.
38.35% of Valir Health, LLC
Stockholders/partners -- Not Officers
1825 East 15th Street Tulsa, OK 74104
Senior Comfort Corp.
8.54% of Valir Health, LLC eff
02-03-2017
Stockholders/partners -- Not Officers
2080 Verona Way Edmond, OK 73034
Kittco, LLC
8.79% of Valir Health, LLC, eff
02/3/2017
Stockholders/partners -- Not Officers
825 North Broadway 400 Okla. City, OK 73112
Physical Therapy Excellence, P.C.
33% of ABBE Rehab &Medical
Services,LLC/100% Kittco,LLC
Stockholders/partners -- Not Officers
2808 Verpma Wau Edmond, OK 73034
Wakeley Kitt
7.69% of Valir Health,LLC, eff
02-03-2017
Stockholders/partners -- Not Officers
3100 Meadow Ave Norman, OK 73072
OHara Investments, LLC
Lessor Or Real Estate Owner
,
Valir Real Estate, LLC
60% of Valir Pace Foundation eff
02-03-2017
Stockholders/partners -- Not Officers
700 N.W. 7th St Oklahoma City, OK 73102
Valir Health, LLC
Page 153 of [email protected]
Owner NameFacilities Owned
5% of RE end 02-03-2017
Stockholders/partners -- Not Officers
,
Physical Medicine Rehabilitation Associates, P.C.
36.63% of Valir Health, LLC
Stockholders/partners -- Not Officers
,
ABBE Rehab & Medical Services,LLC
100% of Bill Sanders Cota/L, PC
Stockholders/partners -- Not Officers
,
Sanders Bill
OP
Operating Entity
324 North Robinson Avenue 100 Oklahoma City, OK 73102
Valir Pace Foundation
Authorized person
Officer
,
Bailey Brandy
Van Buren House Assisted Living AL6101 1500 East Van Buren McAlester, OK 74501 918 426-5600
eff 1/7/15
Operating Entity
1500 E. Van Buren Dr. Mcalester, OK 74501
McAlester Regional Health Center Authority
Chairman,McAlester Regional Health
Center Authority
Officers Who Do Not Hold Stock
1 Clark Bass Blvd. McAlester, OK 74501
Smith Weldon
McAlester Regional Health Center
Authority eff 110514
Member
1 Clark Bass Blvd. McAlester, OK 74501
Bland Cara
Member
1 Clark Bass Blvd. McAlester, OK 74501
McBride Evans
McAlester Regional Health Center
Authority eff 110514
Member
1 Clark Bass Blvd. McAlester, OK 74502
Milton MD. L.M.
CEO, McAlester Regional Health Center
Authority eff 110514
Officers Who Do Not Hold Stock
1 Clark Bass Blvd McAlester, OK 74501
Keith David
secretary-McAlester Regional Health
Center Authority eff 110514
Officers Who Do Not Hold Stock
1 Clark Bass Blvd. McAlester, OK 74501
Grilliot Brent
McAlester Regional Health Center
Authority eff 110514
Member
1 Clark Bass Blvd. McAlester, OK 74501
Kanard Susan
McAlester Regional Health Center
Authority eff 110514
Member
1 Clark Bass Blvd. McAlester, OK 74501
Sehgal, M.D. Mark
Vice ChairMcAlester Regional Health
Center Authority eff 110514
Officers Who Do Not Hold Stock
1 Clark Bass Blvd. McAlester, OK 74501
Shannon Mary
McAlester Regional Health Center
Authority eff 6-27-2017
Member
1 Clark Bass Blvd. McAlester, OK 74501
Priddle Kevin
Veterans Harbor RC5521 4100 North Newport Avenue Oklahoma City, OK 73112 405-943-2273
Page 154 of [email protected]
Owner NameFacilities Owned
Operating Entity
4100 Newport Ave. Oklahoma City, OK 73112
Hav-Tap, Inc.
50% OP/RE
Stockholders/partners Who Are Officers
2308 NW 45 Place Okla. City, OK 73112
Tackett Robert L.
50% OP/RE
Stockholders/partners Who Are Officers
2308 NW 45 Place Okla. City, OK 73112
Tackett Rebecca D.
Lessor Or Real Estate Owner
2308 NW 45 Pl. Okla. City, OK 73112
Tackett Investments LLC
Via Christi Village Ponca City, Inc. CC3601 1601 Academy Road Ponca City, OK 74604 580-762-0927
OP/RE
Operating Entity
1601 Academy Road Ponca City, OK 74604
Via Christi Village Ponca City, Inc.
100 % OP Eff 8-19-16
Stockholders/partners -- Not Officers
12250 Weber Hill Road 200 St. Louis, MO 63127
Ascension Senior Living (ASL)
President & CEO ASL Eff 8-19-16 end
9/10/2018
Officers Who Do Not Hold Stock
12250 Weber Hill Road 200 St. Louis, MO 63127
Jantzen Jesse
COO Eff. 9/10/2018
Officers Who Do Not Hold Stock
12250 Weber Hill Road 200 St. Louis, MO 63127
Stricker Daniel
Executive Director Eff. 9/10/2018
Officers Who Do Not Hold Stock
1601 Academy Road Ponca City, OK 74604
Otjen Will
Chairman Eff. 9/10/2018
Officers Who Do Not Hold Stock
1111 Palmer Land Olathe, KS 66061
Audiss Zandi
Treasurer Eff. 9/10/2018
Officers Who Do Not Hold Stock
14800 W. St. Teresa MOB#252 Wichita, KS 67235
Chadwick Robyn
Secretary Eff. 9/10/2018
Officers Who Do Not Hold Stock
1131 S. Clifton Avenue Wichita, KS 67235
Womack John
Victorian Estates AL0901 1129 Cameo Drive Yukon, OK 73099 405-350-1055
29.5% Victorian Estates, LLC eff
10-01-2017
Stockholders/partners -- Not Officers
9813 S. Penn OKC, OK 73159
McCormick Denver
29.50% Victorian Estates, LLC eff
10/14/2015
Stockholders/partners -- Not Officers
9813 S. Penn OKC, OK 73159
McCormick Linda
Trustee of Arlena Dunbar Rev Trust
Trustee
5413 NW 107th Street Oklahoma City, OK 73162
Dunbar Arlena
11.5% of Victorian Estates, LLC eff
10-01-2017
Stockholders/partners -- Not Officers
20 N. Broadway 1800 Okla. City, OK 73102
Blankenship & Associates J. Lawrence
Page 155 of [email protected]
Owner NameFacilities Owned
6.5% OP non-active member
Stockholders/partners -- Not Officers
20 N. Broadway OKC, OK 73105
Davis Gary
3% OP - deceased
Stockholders/partners -- Not Officers
20 N. Broadway OKC, Ok 73105
Hall, Jr. James
2% OP non-active member
Stockholders/partners -- Not Officers
20 N. Broadway OKC, Ok 73105
Hamilton Morse Judy
47.48% WR Inves, 59.9% LCCP, LP
100% LC GP & WR Inves GP 10-2017
Stockholders/partners -- Not Officers
1500 Waters Ridge Dr 200 Lewisville, TX 75077
Taylor John F.
33.7166% WR Investments, LP eff
10-01-2017
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Lake Creek Capital Partners, LP
11.9075% WR Investments, LP eff
10-01-2017
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Fisher James (Jim)
10.065% LP of WR Invests, LP eff
10/2016
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Pierce Paula
0.1% Gen. Partner of Lake Creek Capital,
LP
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
LC General Partner, LLC
3.097% LP of WR Invest. LP eff 10/2016
Stockholders/partners -- Not Officers
1500 WatersRidge Lewisville, TX 75057
Taylor John Paul & Casey
20% LP of Lake Creek Capital Partners,
LP
Stockholders/partners -- Not Officers
1500 Waters Ridge Lewisville, TX 75057
Campbell Scott & Syndney
29.05% Victorian Estates, LLC
Stockholders/partners -- Not Officers
5413 N.W. 107th Okla. City, OK 73162
Arlena Dunbar Revocable Trust
Benef of LMcCormick Rev Trust &
DMcCormick Rev Trust eff 8/7/13
Trustee
4108 Opus Ct. Flower Mound, TX 75022
Pennington Amy
Benef of LMcCormick Rev Trust &
DMcCormick Rev Trust eff 8/7/13
Beneficiary
2433 Glenoak Dr. Norman, OK 73071
Petrone Alison
Benef of LMcCormick Rev Trust &
DMcCormick Rev Trust eff 8/7/13
Beneficiary
8594 D East 133 Holdenville, OK 74850
Jones Joshua
Benef of LMcCormick Rev Trust &
DMcCormick Rev Trust eff 8/7/13
Beneficiary
8594 D East 133 Holdenville, OK 74850
Jones Tanner
Beneficiary of Arlena Dunbar Revocable
Trust eff 8/7/2013
Beneficiary
5413 NW 107th Okla. City, OK 73159
Dunbar William
Beneficiary of Arlena Dunbar Revocable
Trust eff 8/7/2013
Trustee
3913 Spyglass Rd. Okla. City, OK 73162
Nard Charlotte
Beneficiary of Arlena Dunbar Revocable
Trust eff 8/7/2013
Beneficiary
12204 N. Kimberlyn Rd. Okla. City, OK 73162
Dunbar Teresa
Eff. 10/11/2016
Contracted Management
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Stonegate Senior Living, LLC
Page 156 of [email protected]
Owner NameFacilities Owned
3.4436% WR Invest, LP & 20% Lake
Creek Cap Part 10-01-2017
Stockholders/partners -- Not Officers
1500 Waters Ridge Dt Lewisville, TX 75057
Taylor John P.
100% Yukon ALF OPCO, LLC eff
10-01-2017
Stockholders/partners -- Not Officers
1500 Waters Ridge Dr. 200 Lewisville, TX 75057
Southwest SNF Holdings, LLC
100% of SGSL Management Holdings,
LLC eff 10/2016
Stockholders/partners -- Not Officers
1500 Waters Ridge Dirve 200 Lewisville, TX 75057
WR Investments, LP
Gen. Partner of WR Invest; 100% of WR
Investments GP Mgr, Inc.
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
WR Investments GP, Inc.
3.4436% WR Invest, LP & 20% Lake
Creek Cap Part 10-01-2017
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Campbell Scott
100% of Stonegate Senior Living, LLC
eff 10/2016
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, OK 75057
SGSL Management Holdings, LLC
Managing Member - Yukno ALF OPCO
& WR Invest, LP eff 10-01-2017
Stockholders/partners -- Not Officers
1500 waters Ridge Dr. Lewisville, TX 75057
WR Investments GP Manager, Inc.
OP eff 10-01-2017
Operating Entity
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Yukon ALF OPCO, LLC
Village at Oakwood AL5534 817 Southwest 59th Street Oklahoma City, OK 73109 405-605-6353
RE/OP
Operating Entity
23130 Lauren Lane Edmond, OK 73003
Village at Oakwood, L.L.C.
99.99% Owner of Village at Oakwood,
L.L.C.
Stockholders/partners -- Not Officers
PO Box 447 Waverly, NE 68462
Horizon Bank
Horizon Bank President & CEO
Officers Who Do Not Hold Stock
PO Box 447 Waverly, NE 68462
Latimer Janet
Horizon Bank SVP
Officers Who Do Not Hold Stock
PO Box 447 Waverly, NE 68462
OHare James
Horizon Bank VP Cashier
Officers Who Do Not Hold Stock
PO Box 447 Waverly, NE 68462
Steenson Jennifer
Horizon Bank VP
Officers Who Do Not Hold Stock
PO Box 447 Waverly, NE 68462
Krause Susan
Horizon Bank AVP
Officers Who Do Not Hold Stock
PO Box 447 Waverly, NE 68462
Argo Darrell Scott
Horizon Bank Branch Officer
Officers Who Do Not Hold Stock
PO Box 447 Waverly, NE 68462
McGowan Marlene
Contracted Management
23130 Lauren Lane Edmond, OK 73025
VAO Service Provider, L.L.C.
Trustee Shavers Gary
Page 157 of [email protected]
Owner NameFacilities Owned
VAO Service Provider, L.L.C. 100% sole
member23130 Lauren Lane Edmond, OK 73025
Beneficiary
Trustee
23130 Lauren Lane Edmond, OK 73003
Shavers Kayla
Village Lodge of Ardmore Village AL1002 1310 Knox Road Ardmore, OK 73401 580-223-8400
Operating Entity
1550 Knox Road, Ardmore, OK 73401
Omnia Assisted Living Residence, Inc.
President (three year term ending 4/2019)
eff 12/11/2015
Officers Who Do Not Hold Stock
411 N. Washington Ardmore, OK 73401
Dalton Robert
Board Member (three year term ending
4/2016) eff 12/11/2015
Stockholders/partners -- Not Officers
800 M Street Ardmore, OK 73401
King Marcy
Board Member (three year term ending
4/2019) eff 12/11/2015
Stockholders/partners -- Not Officers
1400 Bixby Ardmore, OK 73401
Kittrell Claudia
(permanent seat)
Stockholders/partners -- Not Officers
924 N. Robinson Oklahoma City, OK 73102
Konieczny "Bishop Ed" Right Reverend Edward J.
Chairman of the Board
Officers Who Do Not Hold Stock
2525 N. Commerce St. Ardmore, OK 73401
Mordy Dave
Executive Director
Officers Who Do Not Hold Stock
1550 Knox Road Ardmore, OK 73401
Seeley Sammie Jo
Secretary (three year term ending 4/2017)
eff 12/11/2015
Officers Who Do Not Hold Stock
601 A St. SE Ardmore, OK 73401
Pope Scott
Board Member (three year term ending
4/2016) eff 12/11/2015
Stockholders/partners -- Not Officers
920 15 Ave. Ardmore, OK 73401
Riley Tom
Stockholders/partners -- Not Officers
315 N. Rockford Road Ardmore, OK 73401
Wilson Cade
Executive Director (permanent seat) eff
12/11/2015
Officers Who Do Not Hold Stock
1550 Knox Rd. Ardmore, OK 73401
McFarland Randy
Treasurer (three year term ending 4/2018)
eff 12/11/2015
Officers Who Do Not Hold Stock
111 Woods Ln. Ardmore, OK 73401
Cox Janice
Board Member (three year term ending
4/2018) eff 12/11/2015
Stockholders/partners -- Not Officers
601 A St. SE Ardmore, OK 73401
Potts David
Proxy for Bishop Ed
Officers Who Do Not Hold Stock
916 McLish Ardmore, OK 73401
Stephenson Mike
Board Member (three year term ending
4/2020) Eff12/7/2018
Officers Who Do Not Hold Stock
2301 Cloverleaf Place Ardmore, OK 73401
Riesen Martha
Page 158 of [email protected]
Owner NameFacilities Owned
Village on the Park- Oklahoma City AL1412 1515 Kingsridge Drive Oklahoma City, OK 73170 405-692-8700
eff 2/10/14 100% Bridge Manage,99%
Bridge Houston,mgr all LLCs
Stockholders/partners Who Are Officers
1502 Augusta Dr. 380 Houston, TX 77057
Gray James
eff2/10/2014
Lessor Or Real Estate Owner
1502 Augusta Drive 380 Houston, TX 77057
HSRE OKC, LLC
eff 2/10/14 100% of BW RCM Hold
Stockholders/partners -- Not Officers
1502 Augusta Dr. 380 Houston, TX 77057
Bridgewood Houston Property Company,LP
EFF 2/10/14, GP OF BW HOUS PROP,
1%
Stockholders/partners -- Not Officers
1502 AUGUSTA DR 380 HOUSTON, TX 77024
BRIDGEWOOD MANAGEMENT COMPANY, LLC
eff 2/10/2014 100% BridgeHouston,
Contracted Management
1502 Augusta dr. 380 Houston, TX 77057
Bridgewood -RCM Property Management, LLC
Eff 05/05/16
Operating Entity
6363 Woodway #410 Houston, TX 77057
Cardinal Bay, Inc.
Chairman, eff 05/05/16
Officers Who Do Not Hold Stock
2505 N. Plano Road 1200 Allen, TX 75082
Nance T. Wayne
President, eff 05/05/16
Officers Who Do Not Hold Stock
317 Martinique Pass Lakeway, TX 78734
Wittner Robbie
Secretary, eff 05/05/16
Officers Who Do Not Hold Stock
100 Crescent Court 700 Dallas, TX 75201
Rodriguez Jennifer
Vice-Pres, eff 1/22/18
Officers Who Do Not Hold Stock
317 Martinique Pass Lakeway, TX 78734
Kitchen Trey
Villagio of Oklahoma City AL5514 14300 North Portland Oklahoma City, OK 73134 405-471-4202
VP/Sec OP, SC OP Hold II, SC US Hold,
15% RCap, LLC eff 12/1/14
Officers Who Do Not Hold Stock
9510 Ormsby Station Road 101 Louisville, KY 40233
Barber Robin L.
eff. 5-22-15
Operating Entity
2956 Via Esperanza Edmond, OK 73013
Select Operations of Quail Springs LLC
Select Property Operations, LLC eff
05-22-2015
Lessor Or Real Estate Owner
2956 Via Esperanza Edmond, OK 73013
Senior RE Choice of Quail Springs, LLC
100% Summit Senior Living, LLC eff
05-22-2015
Stockholders/partners Who Are Officers
P.O. Box 1750 Aledo, TX 760085
Lindsey Eric
100% of Senior RE Choice Q S & Select
OP of QS eff 05-22-2015
Stockholders/partners -- Not Officers
2956 Via Esperanza Edmond, OK 73013
Senior Choice Properties, LLC
100% Select Property Operations, LLC
eff 05-22-2015
Stockholders/partners -- Not Officers
2956 Via Esperanza Edmond, OK 73013
Choice Capital Partners, LLC
Page 159 of [email protected]
Owner NameFacilities Owned
36.66% Choice Capital Partners, LLC eff
05-22-2015
Stockholders/partners -- Not Officers
15001 Gaillardia Lane Oklahoma, OK 73142
JMM Farms, LLC
18.33% of Choice Capital Partners eff
05-22-2015
Stockholders/partners -- Not Officers
201 Robert S. Kerr Oklahoma City, OK 73102
Cason Family Trust
18.33% Choice Capital Partners, LLC
Stockholders/partners -- Not Officers
2840 NW 234th Street Edmond, OK 73003
Hal French, LLC
8.25% Choice Capital Partners eff
05-22-2015
Stockholders/partners -- Not Officers
2840 NW 234th Street Edmond, OK 73003
TREL Investments, LLC
18.33% Choice Capital Partners eff
05-22-2015
Stockholders/partners -- Not Officers
3612 Country Club Muskogee, OK 74403
John Harold Saxon III Trust
Contracted Management Company Eff
08/01/2019
Contracted Management
9570 South Kingston Court 300 Englewood, CO 80112
Christian Living Services, Inc. d/b/a Cappella Living Solutions
President of Christian Living Services,
Inc. eff 08/01/2019
Officers Who Do Not Hold Stock
9570 South Kingston Court 300 Englewood, CO 80112
Burke Camille
VP & Treasure of Christian Living
Services, Inc
Officers Who Do Not Hold Stock
9570 South Kingston Court 300 Englewwd, CO 80112
Trout Jeff
V-JS Residential Care Home, L.L.C. RC5403 224 North Cedar Paden, OK 74860-0327 405-932-4702
Operating Entity
224 N. Cedar Paden, Ok 74860
V-Js Residential Care Home, L.L.C.
67% OP/100% RE
Lessor Or Real Estate Owner
5312 Summertime Lane Culver City, Ca 90230
Brewer Helen/V-J Associates
30% OP
Stockholders/partners Who Are Officers
P.O. Box 235 Boley, Ok 74829
Patterson Mary
3% OP
Stockholders/partners Who Are Officers
Rt. 1 Box 54-0 Boley, Ok 74829
Miller Addie
Wagoner Health & Rehab Res Care RC7303 205 North Lincoln Wagoner, OK 74467 918-485-2203
50% Wagoner Care Center, LLC
Managing Member
P.O. Box 1009 Gore, OK 74435
Montgomery John B.
Lessor Or Real Estate Owner
P. O. Box 547 Sallisaw, OK 74955
S.M.K. of Oklahoma, Inc.
100% OP EFF 4/20/2016 Pres of RE
50% MM Wagoner Care Center LLC
Managing Member
9 Professional Drive Bella Vista, AR 72715
Montgomery Bradford
Eff. 4/20/2016
Operating Entity
,
Wagoner Health & Rehab, LLC
Page 160 of [email protected]
Owner NameFacilities Owned
100% S M K of Oklahoma Inc.
Stockholders/partners -- Not Officers
9 Professional Drive Bella Vista, AR 72715
Wagoner Care Center, LLC
We Care Adult Day Care Center DC3201 7852 E. County Road 134 Holdenville, OK 74848 405 379-2928
OP/RE
Lessor Or Real Estate Owner
7852 E. County Rd. 134 Holdenville, OK 74848
Shiloh Baptist Evamgelist Temple Church of God in Christ
Chairman
Officers Who Do Not Hold Stock
,
Hooks Doyle
Secretary
Officers Who Do Not Hold Stock
,
Carolina Brenda Walker
Treasurer
Officers Who Do Not Hold Stock
,
Jones Judy
Member
Officers Who Do Not Hold Stock
,
Hooks Melvin
Member
Officers Who Do Not Hold Stock
,
Jones Michael
Member
Officers Who Do Not Hold Stock
,
Hooks I.J.
Weatherwood Assisted Living and Memory Care AL2003 3601 East Main Weatherford, OK 73096 580-774-2955
eff 3/1/2015
Lessor Or Real Estate Owner
2 Wisconsin Circle 540 Chevy Chase, MC 20815
WC-Weatherwood, LLC
SLN Mgr. West, LLC & SLMgmt.
Holdings, LLC eff 11/1/14
Officers Who Do Not Hold Stock
303 E. Wacker Drive 2400 Chicago, IL 60601
DeLuca Jon A.
SLN Mgr. West, LLC & SLMgmt.
Holdings, LLC eff 11/1/14
Manager
303 E. Wacker Dr. 2400 Chicago, IL 60601
Kaplan William B.
SLN Mgr. West, LLC & SLMgmt.
Holdings, LLC eff 11/1/14
Manager
303 E. Wacker Dr. 2400 Chicago, IL 60601
Frumm Jerrold H.
Secretary WC-Weatherwood OPS &
Manager of SLN Manager West
Officers Who Do Not Hold Stock
303 E. Wacker Dr. 2400 Chicago, IL 60601
Levy Stephen J.
66% Member of Senior Lifestyle Holding
Company, LLC eff 11/1/14
Stockholders/partners -- Not Officers
303 East Wacker Drive 2400 Chicago, IL 60601
K&K Lifestyle Associates, LLC
100% Healthcare Holding-T, LLC
Stockholders/partners -- Not Officers
2 Bethesda Metro Center 1300 Bethesda, MD 20814
NorthStar Realty Healthcare, LLC (NRH, LLC)
100% of Northstar Realty Healthcare,
LLC
Stockholders/partners -- Not Officers
399 Park Ave New York, NY 10022
NRFC Healthcare Holding Company, LLC
Page 161 of [email protected]
Owner NameFacilities Owned
100% NRFC Helathcare Holding
Company, LLC
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, NY 10022
NorthStar Realty Finance Corp (NRF, Corp)-publicly traded
Chairman/CEO NRF, Corp eff
03-01-2015
Officers Who Do Not Hold Stock
399 Park Avenue 18th Floor New York City, NY 10022
Hamamoto David
eff 3/1/2015
Contracted Management
303 East Wacker Dr. 2400 Chicago, IL 60601
SLN Manager West, LLC
100% Mbr. of SLN Manager West, LLC
eff 11/1/14
Stockholders/partners -- Not Officers
303 E. Wacker Drive 2400 Chicago, IL 60601
Senior Lifestyle Management Holdings, LLC
100% Mbr. of Senior Lifestyle Mgmt.
Holdings, LLC eff 11/1/14
Stockholders/partners -- Not Officers
303 E. Wacker Drive 2400 Chicago, IL 60601
Senior Lifestyle Holding Company, LLC
13% Senior Lifestyle Holding Company,
LLC
Stockholders/partners -- Not Officers
Attn: John Heuberger, 203 W. LaSalle Street 1900 Chicago, IL 60601
WBK 2012 Trust U/A/D 12/14/2012
13% Senior Lifestyle Holding Company,
LLC
Stockholders/partners -- Not Officers
1220 Astor St. Chicago, IL 60610
JBMK Limited Partnership
12% Senior Lifestyle Holding Company,
LLC
Stockholders/partners -- Not Officers
1220 Astor St. Chicago, IL 60610
JBK Trust dated 11/20/2012
98% of HC-SLC Owner JV, LLC &
Healthcare CAM2-T, LLC
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, NY 10022
Healthcare Holdings-T, LLC
Director of Northstar Finance Corp
Officers Who Do Not Hold Stock
399 Park Avenue, 18th Floor New York City, NY 10022
Hannaway Judith
100% WC-Weatherwood OPS, LLC eff:
2016
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, NY 10022
HC-SLC Operator JV, LLC
98% HC-SLC Operator JV, LLC eff:2016
Stockholders/partners -- Not Officers
399 Park Avenue, 18th Floor New York City, OK 10022
Healthcare CAM2-T, LLC
4% Senior Lifestyle Holding Company,
LLC
Stockholders/partners -- Not Officers
303 East Wacker Drive 2400 Chicago, IL 60601
North Mohawk, LP
OP eff 03-01-2015
Operating Entity
303 East Wacker Drive 2400 Chicago, IL 60601
WC-Weatherwood OPS, LLC
Welcome Home Adult Daycare DC5548 11720 S. Western Oklahoma City, OK 73139 405-692-1800
OP EFF 06-04-2019
Operating Entity
1000 S.W. 104 Oklahoma City, OK 73139
Welcome Home Adult Day Care LLC
100% of Welcome Home Adult Daye
Care LLC
Stockholders/partners Who Are Officers
1604 S.W. 123 Oklahoma City, OK 73170
Forrest Karla J.
Wellington Parke, LLC AL5531 3107 Tinker Diagonal Del City, OK 73115 405-677-2273
Page 162 of [email protected]
Owner NameFacilities Owned
Operating Entity
3107 Tinker Diagonal Del City, OK 73115
Wellington Parke, L.L.C.
50% RE/OP
Stockholders/partners Who Are Officers
3201 Wakefield Ln Choctaw, OK 73020
McWhirter Jim V.
50% RE/OP
Stockholders/partners Who Are Officers
3201 Wakefield Ln Choctaw, OK 73020
McWhirter Lisa Jo
Vice Mayor/Vice Chair, City of Pauls
Valley, eff 5/14/19
Officers Who Do Not Hold Stock
PO Box 778 Pauls Valley, OK 73075
Montgomery-Milligan Shirley
Wellsprings Cove Community Residential Care Home RC5510 901 NW 25th Street Oklahoma City, OK 73106 405-521-0919
100% RE
Lessor Or Real Estate Owner
P.O. Box 571720 Tarzana, CA 91357
Adiv Holdings, LLC
20% Integrated Partners & General
Manager eff 06-05-2019
Stockholders/partners Who Are Officers
913 8th Street Oklahoma City, OK 73013
Murgal John
20% Integrated Partners, LLC & Director
of Health eff 06-05-2019
Stockholders/partners -- Not Officers
500 NW 159th Street Edmond, OK 73013
Smith Terry
20% Integrated Partners, LLC & Director
of Quality Management
Stockholders/partners Who Are Officers
2701 North Martin Luther King Ave Oklahoma City, OK 73111
Ferdinand Agatha
20% Integrated Partners, LLC & Director
of Food Services
Stockholders/partners Who Are Officers
2701 North Martin Luther King Ave Oklahoma City, OK 73111
McMillan Sharon
20% Partners in Care, LLC & Director of
Community Involvement
Stockholders/partners Who Are Officers
2701 North Martin Luther King Ave Oklahoma City, OK 73111
McMillan Michael
Authorized Signor for Integrated Partners,
LLC
Officers Who Do Not Hold Stock
4950 West 103rd Street North Sperry, OK 74073
Gammel Tony
OP eff 06/05/2019
Operating Entity
901 NW 25th Street Oklahoma City, OK 73106
Integrated Partners, LLC
West Wind Assisted Living AL6904 111 North 9th Street Marlow, OK 73055 580-658-1200
20%
Stockholders/partners Who Are Officers
7520 Hidden Creek Drive Duncan, OK 73533
Gregston Jack L.
20%
Stockholders/partners Who Are Officers
1603 Timbercreek Dr. Duncan, OK 73533
Gregston Jeff L.
20%
Stockholders/partners Who Are Officers
1601 Timber Creek Duncan, OK 73533
Gregston Jay
Operating Entity
111 North 9th Marlow, OK 73055
Gregston Assisted Living Enterprises, L.L.C.
Page 163 of [email protected]
Owner NameFacilities Owned
20%
Stockholders/partners -- Not Officers
2414 Mallard Duncan, OK 73533
Gregston Jerry L.
20%
Stockholders/partners -- Not Officers
1209 N. 13 Duncan, OK 73533
Gregston J. Lynn
Westbrook Gardens SLC AL4401 1215 Westbrook Blvd Purcell, OK 73080 405/527-1365
Manager, 80% Oklahoma Senior Care
LLC OP eff 4/19/11
Stockholders/partners -- Not Officers
1126 Rambling Oaks Dr. Norman, OK 73072
OHara Dirk
100% OP - Westbrook Gardens SLC LLC
Stockholders/partners -- Not Officers
1126 Rambling Oaks Drive Norman, OK 73072
Oklahoma Senior Care, L.L.C.
Member, 20% Oklahoma Senior Care
LLC OP eff 04/19/11
Stockholders/partners -- Not Officers
1126 Rambling Oaks Dr. Norman, OK 73072
OHara Stephanie J.
100% Oklahoma Senior Care LLC
Operating Entity
1126 Rambling Oaks Drive Norman, OK 73072
Westbrook Gardens SLC LLC
eff. 9/25/13
Lessor Or Real Estate Owner
1126 Rambling Oaks Drive Norman, OK 73072
Purcell Healthcare Properties LLC
Willowood at Mustang Assisted Living & Memory Care AL0902 1017 West Highway 152 Mustang, OK 73064 405-376-1200
eff: 12/06/2019
Contracted Management
50 North Depot Street New Palestine, IN 46163
Heartland Living Centers of Oklahoma, LLC
74.16% RE & OP, eff 4/24/19
Stockholders/partners -- Not Officers
1780 S Bellaire Street, 8th Flr Denver, CO 80222
Bow River Capital Real Estate Fund II-QP, LP
10.98% RE & OP, eff 4/24/19
Stockholders/partners -- Not Officers
1780 S Bellaire Street, 8th Flr Denver, CO 80222
Bow River Capital Real Estate Fund II, LP
10% RE & OP, eff 4/24/19
Stockholders/partners -- Not Officers
50 North Depot Street New Palestine, IN 46163
Hunt Partners, LLC
50% Hunt Partners, LLC, eff 4/24/19
Stockholders/partners -- Not Officers
50 North Depot Street New Palestine, IN 46163
Reed David
50% Hunt Partners,LLC, eff 4/24/19
Stockholders/partners -- Not Officers
1900 McKinney Avenue,Unit 811 Dallas, TX 75201
Ravenstein Kurt
RE eff 4/24/19
Lessor Or Real Estate Owner
1780 S Bellaire St., 8th Flr Denver, CO 80222
RE II Senior II, LLC
OP eff 4/24/19
Operating Entity
1780 S Bellaire St., 8th Flr Denver, CO 80222
RE II SENIOR II OPCO LLC
Auth Signatory, Bow River...QP,LP &
Bow River...LP eff 4/24/19
Officers Who Do Not Hold Stock
1780 S Bellaire St. 8th Flr Denver, CO 80222
Wham Richard
Page 164 of [email protected]
Owner NameFacilities Owned
Woodland Gardens Assisted Living AL3801 915 North Broadway Hobart, OK 73651 580-726-6635
OP eff 08/24/2018
Operating Entity
902 S. Park Hobart, OK 73651
Searchlight Center, Inc.
Board President - Searchlight Center eff
08/24/2018
Officer
100 N. Broadway Hobart, Ok 73651
Gish John
CEO of Searchlight Center eff
08-24-2018
CEO
902 S. Park Hobart, OK 73651
Linville Shirley
Secretary eff 08/24/2018
Secretary/Treasurer
P.O. Box 804 Hobart, OK 73651
Kirk Charlotte
Treasurer
Secretary/Treasurer
P.O. Box 804 Hobart, OK 73651
Sims Louis
Wovenlife DC5512 701 Northeast 13th Street Oklahoma City, OK 73104 405/239-2525
President/CEO
Officers Who Do Not Hold Stock
701 NE 13th OKC, OK 73104
Porter Paula
Chairman Elect - eff 12-2013,ended
3/7/17,Treasurer,eff 3/7/17
Officers Who Do Not Hold Stock
One Remingtion Place Oklahoma City, OK 73111
Remington Park Vance Matt
Chairman, eff 3/7/17
Officers Who Do Not Hold Stock
6305 Brentford Place Oklahoma City, OK 73132
McCombs Keith
Chairman Elect, eff 3/7/17
Officers Who Do Not Hold Stock
1220 S. Santa Fe Ave Edmond, OK 73025
Massad Krista
Secretary, eff 3/7/17
Officers Who Do Not Hold Stock
3909 Patty Lane Bethany, OK 73008
Wilson Casie
Name Change form Easter Seals
Oklahoma,Inc effective 05/09/2018
Operating Entity
701 N E 13th Oklahoma City, OK 73104
Wovenlife, Inc.
Zarrow Pointe CC7203 2025 East 71st Street Tulsa, OK 74136 918-496-8333
Operating Entity
2025 East 71st Street Tulsa, OK 74136
The Tulsa Jewish Community Retirement And Health Care Center, In
Exec. Director
Officers Who Do Not Hold Stock
2025 E. 71st Tulsa, OK 74136
Jakubovitz James M.
Page 165 of [email protected]