Oklahoma State Department of HealthHealth Resource Development Services
Listing of Facilities Owned by an Owner (Excluding Former Owners)for Nursing Homes
As of: January 14, 2021
Owner NameFacilities Owned
NH1409 405-329-6771600 24th Avenue Southwest Norman, OK 73069
24th Place
Manager 24th Place Trustee Bart Reed Revocable Trust
Stockholders/partners -- Not Officers
131 North Broadway Ada, OK 74820
Reed Bart
100% Norman Cedar Creek Real Estate, LLC eff 01/11/2016
Stockholders/partners -- Not Officers
131 North Broadway Ada, OK 74820
BK Strategies Real Estate, LLC
100% of 24th Place eff 01-01-2021Stockholders/partners -- Not Officers
131 N Broadway Ada, OK 74820
BK Strategies, LLC
100% RE eff 01/11/2016Lessor Or Real Estate Owner
131 North Broadway Ada, OK 74820
Norman Cedar Creek Real Estate, LLC
OP eff 01-01-2021Operating Entity
600 24th Avenue Southwest Norman, OK 73069
24th Place, L.L.C
100% of BK Strategies, L.L.C.Stockholders/partners -- Not Officers
131 North Broadway Ada, OK 74820
Bart Reed Revocable Trust
100% BK Strategies Real EstateStockholders/partners -- Not Officers
131 North Broadway Ada, OK 74850
Points North Trust
NH5578 405-635-9961315 S.W. 80th Street Oklahoma City, OK 73139
Accel at Crystal Park
100% Cruse Five, LLC eff 1/24/17Stockholders/partners Who Are Officers
P.O. Box 890396 Okla. City, OK 73139
Anthony Cruse Oklahoma Limited Partnership
47.4887% WRI, LP; 59.9% LCCP, LP; 100% LC General Partner,LLC
Stockholders/partners -- Not Officers
1500 Waters Ridge Dr 200 Lewisville, TX 75077
Taylor John F.
33.7166% WRI, LP eff 1/24/17Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Lake Creek Capital Partners, LP
11.9075% WRI,LP eff 1/24/17Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Fisher James (Jim)
0.1% LCCP, LP eff 1/24/2017Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
LC General Partner, LLC
Page 1 of 273
Owner NameFacilities Owned
eff 1/24/17Contracted Management
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Stonegate Senior Living, LLC
3.4436% WRI, LP; 20% LCCP, LP eff 1/24/17
Stockholders/partners -- Not Officers
1500 Waters Ridge Dt Lewisville, TX 75057
Taylor John P.
84% SWALK Operations, LLC eff 9/8/17Stockholders/partners -- Not Officers
1500 Waters Ridge Dr. 200 Lewisville, TX 75057
Southwest SNF Holdings, LLC
100% Southwest SNF Holdings, LLC eff 1/24/17
Stockholders/partners -- Not Officers
1500 Waters Ridge Dirve 200 Lewisville, TX 75057
WR Investments, LP
100% WRIGPM,I & Gen. Partner of WR Investments, LP eff 1/24/17
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
WR Investments GP, Inc.
20% LCCP, LP eff 1/24/17Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Campbell Scott
100% of Stonegate Senior Living, LLC eff 1/24/17
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, OK 75057
SGSL Management Holdings, LLC
1/24/17Operating Entity
1500 Waters Ridge Drive, Suite 200 Lewisville, TX 75057
SWALK Operations, LLC
Managing Member SWALK Operations, LLC & (SW SNFH) eff 1/24/17
Officers Who Do Not Hold Stock
1500 waters Ridge Dr. Lewisville, TX 75057
WR Investments GP Manager, Inc.
eff 1/24/17Lessor Or Real Estate Owner
8100 S. Walker, Building A Oklahoma City, OK 73129
Cruse Five, LLC
4% Member of OP EFF 9/8/2017Member
601 NW 160th St. Edmond, OK 73013
Amed Saud
4% Member of OP EFF 9/8/2017Member
4101 NE 119th St. Oklahoma City, OK 73131
Raju Senthil
2% Member of OP EFF 9/8/2017Member
14501 Glenmark Dr. Edmond, OK 73013
Kumar Bommasamudram
1% Member of OP EFF 9/8/2017Member
600 NW 153rd St. Edmond, OK 73013
Ashfaq Ahmad
1% Member of OP EFF 9/8/2017Member
432 NW 22nd Oklahoma City, OK 73103
J. Russell Womble, PLLC
4% Member of OP EFF 9/8/2017Member
5901 Grandby Rd. Edmond, OK 73034
Absolute Best Care, PLLC
NH6201 580-332-3631931 North Country Club Road Ada, OK 74820
Ada Care Center
Mgr Ada RE& Ada CC & 100% Mgng Mbr BKS-RE&BKS eff. 02/01/2012
Stockholders/partners Who Are Officers
131 North Broadway Ada, OK 74820
Reed Bart
Page 2 of 273
Owner NameFacilities Owned
100% Ada Care Center, LLCStockholders/partners -- Not Officers
131 North Broadway Ada, OK 74820
BK Strategies, LLC
100% Member Ada Real Estate, LLC eff 02/01/2012
Officers Who Do Not Hold Stock
131 North Broadway Ada, OK 74820
BK Strategies Real Estate, LLC
OP eff 05/01/2020Operating Entity
131 North Broadway Ada, OK 74820
Ada Care Center, LLC
100% RE eff.02/01/2012Lessor Or Real Estate Owner
131 North Broadway Ada, OK 74820
Ada Real Estate, LLC
NH5204 580 725-3400205 E. Maple Billings, OK 74630
Albert Hall
45% OP / RE President eff. 1/23/2015Stockholders/partners Who Are Officers
PO Box 367 Billings, OK 74630
Hardin Kelly
20% OP / RE eff. 1/23/2015Stockholders/partners -- Not Officers
108 Saskatchewan Roland, OK 74954
Pitchford Linda
10% OP / RE eff. 1/23/2015Stockholders/partners -- Not Officers
1821 West Lincoln Street Broken Arrow, OK 74012
Adams Diane
5% OP / RE VP eff 1/23/2015Stockholders/partners Who Are Officers
603 N. 7th Tonkawa, OK 74653
Lewallen Barry
10% OP / RE Sec. eff 1/23/2015Stockholders/partners Who Are Officers
112566 S. 4750 Rd. Muldrow, OK 72908
Kelton Gary
5% OP / RE eff. 1/23/2015Stockholders/partners -- Not Officers
2170 CR3212 Jacksonville, TX 75766
Kombos Britni
5% OP / RE eff. 1/23/2015Stockholders/partners -- Not Officers
2829 Falcon Crest Enid, OK 73703
Hardin Chase
eff. 1/23/2015Operating Entity
205 E. Maple Billings, OK 74630
Fairchild Home & Community Based Services, LLC
eff. 1/23/2015Lessor Or Real Estate Owner
205 E. Maple Billings, OK 74630
Capitol Long Term Investments
NH5410 918-650-9393318 E "A" Street Weleetka, OK 74880
Alcis Place
amended corp. name (fkaProdetik, Inc.) eff 02-05-08
Operating Entity
1201 W. Trudgeon Henryetta, OK 74437
The Reach Corporation
Page 3 of 273
Owner NameFacilities Owned
Non-Profit Board President of The Reach Corporation 2019
Officers Who Do Not Hold Stock
PO Box 790 UnionTown, KY 42461
Bailey M. Geoffry
eff. 8-15-07Lessor Or Real Estate Owner
P.O. Box 409 Sturgis, KY 42459
Maricopa Properties, LLC
100% of REStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Maricopa Partners, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Rock River, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
MMB, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Lovenest, LLC
30.959% of Rock River, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gary
16.025% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Lisa
32.88% of MMB, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Tim
17.455% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Vicki
29.421% of Lovenest, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Robert
13.957% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Laura
53.016% of Rock River, LLC - 4 children w/13.254% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
4 Irrevocable Trusts
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O.Box 409 Sturgis, KY 42459
Ervin Mallory
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Jade
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Luke
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gabe
49.665% of MMB, LLC - 5 children w/9.933% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
3 Irrevocable Trusts
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Max
Page 4 of 273
Owner NameFacilities Owned
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box Sturgis, KY 42459
Linenger Jessica
20% of 3 Irrevocable TrustsStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mitch
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Linenger Jennifer
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Brock
56.623% of Lovenest, LLC - 7 children w/8.089% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
7 Irrevocable Trusts
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Thea
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugris, KY 42459
Ervin Issac
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugis, KY 42459
Ervin Samuel
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Elijah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Saul
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Micah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mathias
Sr.Adm for the Reach Authority to Sign Application eff 2-1-2019
Officer
1201 W. Trudgeon Henryetta, OK 74437
Ogle Gloria
NH7201 918-743-78841340 East 61st Street Tulsa, OK 74136
Ambassador Manor Nursing Center
Mgr OP/RE/Amity Care, L.LCManaging Member
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Mgr OP/RE/Amity Care, L.LCManaging Member
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Dimond Mike
Management EFF 3/01/2016Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
99% OP & 78% Amity CareStockholders/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
Page 5 of 273
Owner NameFacilities Owned
58% REStockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Clarity Properties, LLC
52% of Renew - Mike Dimond, TrusteeStockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Stalwart Trust
100% Clarity Properties 48% Renew Prop/22% Mngr
Stockholders/partners -- Not Officers
4530 Will Rogers Parkway 300 OKC, OK 73108
Don Greiner Family Trust, Don Greiner Trustee
42% REStockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Renew Properties, L.L.C.
OP EFF 3/1/2016Operating Entity
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Ambassador Operations, L.L.C.
RE EFF 3/1/2016Lessor Or Real Estate Owner
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Ambassador Properties, L.L.C.
Manager of OP 07/24/2020Officers Who Do Not Hold Stock
1908 12th Ave NW E Ardmore, OK 73401
Coble Brett
NH0805 405-247-3346300 West Washington Anadarko, OK 73005
Anadarko Nursing & Rehab
100% Real Estate end 07-01-2016Lessor Or Real Estate Owner
10100 Santa Monica Blvd. Las Angeles, CA 90067
Ok-an Associates, L.P.
100% Anadarko N&R & Interhealth, LLC eff10-01-2017
Stockholders/partners Who Are Officers
9 Professional Drive Bella Vista, AR 72715
Montgomery Bradford
100% Real Estate eff 07/01/2016Lessor Or Real Estate Owner
P.O. Box 130 Newport, AR 72112
Trinik Holdings, LLC
Contracted Management eff 02-17-2017Contracted Management
9 Professional Drive Bella Vista, AR 72715
Interhealth, LLC
OP effOperating Entity
9 Professional Drive Bella Vista, AR 72715
Anadarko Nursing & Rehabilitation, LLC
NH6401 580-298-3294511 East Main Antlers, OK 74523
Antlers Manor
Beneficiary of Philip M. Green Revocable Trust
Beneficiary
P.O. Box 1454 Sallisaw, OK 74955
Green Trust Philip Riley
50% Antlers Manor I, LLCStockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Gilbert Green Family Investments, LLC
Page 6 of 273
Owner NameFacilities Owned
25% BGM Estate, 4th Successor Delores O Michell Rev Trust
Stockholders/partners -- Not Officers
P.O. Box 330 Muldrow, OK 74948
Tabor Angela
25% BGM Estate, 1st successor Trustee Delores Mitchell Rev Trust
Stockholders/partners -- Not Officers
111522 S. 4740 Road Muldrow, OK 74948
Mitchell Robert Michael
25% BGM Estate (Mgr) 3rdSuccessor Delores Michell RevTrust
Stockholders/partners Who Are Officers
412 S. Dogwood Sallisaw, OK 74955
Mitchell Marcinda
25% BGM Estate, 2nd Successor Delores O Michell Rev.Trust
Stockholders/partners -- Not Officers
7240 Chase Oaks Blvd 121 Plano, TX 75025
Mitchell Kelly O.
Trustee of Delores O. Mitchell Revocable Trust
Trustee
412 South Dogwood Sallisaw, OK 74955
Mitchell Delores O.
Beneficiary of Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Green Reba
11.10% Gilbert Green Family Investments eff 12-29-2020
Stockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Seay Tiffany Renee
Beneficiary of Gilbert M Green TrustBeneficiary
P.O. Box 1090 Sallisaw, Ok 74955
Tiffany Seay Exempt Trust
Lori M. Green Exempt TrustTrustee
P.O. Box 11454 Sallisaw, OK 74955
Green Lori
11.10% Gilbert Green Familiy Investment, LLC
Stockholders/partners -- Not Officers
P.O. Box 1454 Sallisaw, OK 74955
Philip M. Green Revocable Trust
55.60% of Gilbert Green Family Investments, LLC
Stockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Gilbert F. Green Trust
Co-Trustee Gilbert F. Green, Reba Green, Philip M Green Trusts
Trustee
P.O. Box 1454 Sallisaw, OK 74955
Green Philip M.
Trustee of Gilbert F. Green Trust - DOD 12-08-2020
Trustee
P.O. Box 1090 Sallisaw, OK 74955
Green Gilbert F.
25% Antlers Manor I, LLC eff 12-29-2020
Stockholders/partners -- Not Officers
412 S. Dogwood Sallisaw, OK 74955
Delores O. Mitchell Revocable Trust
Trustee of Philip Riley Green TrustTrustee
P.O. Box 1090 Sallisaw, OK 74955
Green Philip R.
25% Antlers Manor I eff 9-16-16Stockholders/partners -- Not Officers
P.O. Box 568 Sallisaw, OK 74955
BGM Estate, LLC
OP eff 12-29-2020Operating Entity
511 East Main Antlers, OK 74523
Antlers Manor I, LLC
Manager of Antlers Manor I, LLCOfficers Who Do Not Hold Stock
511 East Main Antlers, OK 74523
Lipska Lori
Stockholders/partners -- Not Officers Reba Green Trust
Page 7 of 273
Owner NameFacilities Owned
20% Gilbert Green Family Investment eff 12-29-2020
P.O. Box 1090 Sallisaw, OK 74955
Manager of Gilbert Green Family Investment, LLC eff 12-29-2020
Officers Who Do Not Hold Stock
P.O. Box 1090 Sallisaw, OK 74955
PMG Management, LLC
Co-Trustee Gilbert Green Trust, Reba Green Trust
Trustee
P.O. Box 1090 Sallisaw, OK 74955
Armstrong Sinclair
Co-Trustee Gilbert M Green Trust, Reba Green Trust
Trustee
P.O. Box 1090 Sallisaw, OK 74955
Roberts Minerva
Beneficiary Philip M. Green Rev Trust, Reba Green Trust
Beneficiary
P.O. Box 1090 Sallisaw, OK 74955
Lori M. Green Exempt Trust
Beneficiary Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Reba Green Marital Deuction Trust
Beneficiary Gilbert F. Green Trust, Reba Green Trust
Beneficiary
P.O. Box 1090 Sallisaw, OK 74955
Philip M. Green Exempt Trust
Beneficiary Philip M. Green Rev Trust, Reba Green Trust
Beneficiary
P.O. Box 1454 Sallisaw, OK 74955
Philip R. Green Exempt Trust
NH1903 918-224-6012310 West Taft Sapulpa, OK 74066
Arbor Village
100% of Sapulpa Holding, LLCStockholders/partners Who Are Officers
PO Box 990 Edmond, OK 73013
Diakonos Group, LLC
49% OP/99% Diakonos Group, LLC/100% Servant Holding Corporation.
Stockholders/partners Who Are Officers
PO Box 990 Edmond, OK 73013
Pilgrim Scott
1% Diakonos Group, LLCStockholders/partners Who Are Officers
P.O Box 990 Edmond, OK 73034
Servent Holding Corporation
sub-lessee eff. 3-1-10Operating Entity
P.O.Box 990 Edmond, OK 73083
Arbor Village Nursing, LLC
1st lessee of property ONLY eff.7-29-09-not reviewed by CN
Lessor Or Real Estate Owner
3325 French Park Dr. 6 Edmond, OK 73034
Sapulpa Holding, LLC
51% OP, Managing member eff.02/01/2013
Stockholders/partners Who Are Officers
P.O. Box 990 Edmond, OK 73083
Pilgrim Lee E.
NH5001 580-622-20301415 West 15th Street Sulphur, OK 73086
Artesian Home
Page 8 of 273
Owner NameFacilities Owned
Operating Entity
1415 W. 15th Sulphur, OK 73086
Artesian Home, Inc.
100% of Elmbrook Properties, Inc. & President, eff 3/11/19
Stockholders/partners Who Are Officers
1908 12th Ave N.W. E Ardmore, OK 73401
Coble Tom C.
100% Op.Ent.Stockholders/partners -- Not Officers
1908 12th Avenue, NW E Ardmore, OK 73401
Elmbrook Properties, Inc.
Vice-Pres & Director, OP & Elmbrook Properties, Inc.eff 3/11/19
Officers Who Do Not Hold Stock
1908 12th Ave NW E Ardmore, OK 73401
Coble Brett
Sec/Treas & Director OP & Elmbrook Prop Inc.,eff 3/11/19
Officers Who Do Not Hold Stock
1908 12th Ave, NW E Ardmore, OK 73401
Lodes Jason
NH7261 539-367-45001251 West Houston Broken Arrow, OK 74012
Aspen Health and Rehab
100% Parks Edge Prop & Parks Edge Care Center eff
Stockholders/partners Who Are Officers
415 Rogers Avenue Ft. Smith, AK 72902
Morton Michael
OP eff ??-??-2019Operating Entity
1251 West Houston St. Broken Arrow, Ok 74012
Parks Edge Care Center, Inc.
RE eff ??-??-2019Lessor Or Real Estate Owner
415 Rogers Avenue Fort Smith, AR 72901
Parks Edge Nursing Property, Inc.
NH3209 405-452-3271202 East First Street Wetumka, OK 74883
Aspen Place Living Center, LLC
Trustee Family Trust & Pres PNHHC, Inc. eff 12/31/12
Stockholders/partners Who Are Officers
P.O. Box 488 Weleetka, OK 74880
Adkins Gerrol Dean
Trustee Family Trust & Sec. Pioneer NHHC, Inc. eff 12/31/12
Stockholders/partners Who Are Officers
P.O. Box 488 Weleetka, OK 74880
Adkins Arbret June
Lessor Or Real Estate Owner
P.O. Box 488 Wetumka, OK 74880
Pioneer Nursing Home Of Hughes County, Inc.
Beneficiary CDM Irrevocable Trust. eff 12/31/12
319 West 9th St. Weleetka, OK 74880
Majors Cynthia
Beneficiary DRS Irrevocable Trust eff.12/31/12
319 West 9th St Weleetka, OK 74880
Simmons Donna Renee
Beneficiary GDA II Irrevocable Trust eff.12/31/12
Rt. 1, Box 121A Weleetka, OK 74880
Adkins, II Gerrol D.
Page 9 of 273
Owner NameFacilities Owned
eff. 1-1-07Operating Entity
P.O. Box 488 Weleetka, OK 74880
Aspen Place Living Center, LLC
100% OP manag.memberStockholders/partners -- Not Officers
P.O. Box 488 Weleetka, OK 74880
Aspen Place Revocable Business Trust
52% of RE eff 12/31/12Stockholders/partners -- Not Officers
P.O. Box 488 Weleetka, OK 74880
Gerrol Dean Adkins & Arbret June Adkins Family Trust (GDA/AJA)
16% RE eff 12/31/12Stockholders/partners -- Not Officers
Rt 1 Box 121A Weleetka, OK 74880
Gerrol Dean Adkins II Irrevocable Trust dated 12/28/12
16% RE eff 12/31/12Stockholders/partners -- Not Officers
Rt 1 Box 121A Weleekta, OK 74880
Cynthia Denise Majors Irrevocable Trust dated 12/28/12
16% RE eff 12/31/12Stockholders/partners -- Not Officers
Rt 1 Box 121A Weleetka, OK 74880
Donna Renee Simmons Irrevocable Trust dated 12/28/12
Trustee eff 12/31/12Trustee
523 W. Main Henryetta, OK 74437
Palmer, C.P.A. Reginald
Secretary Eff 12/14/12Officers Who Do Not Hold Stock
603 N. 7th Tonkawa, OK 74653
Lewallen Barry
NH5416 918-650-9393102 East 9th Street Okemah, OK 74859
Atlanta Place
amended corp. name (fkaProdetik, Inc.) eff 02-05-08
Operating Entity
1201 W. Trudgeon Henryetta, OK 74437
The Reach Corporation
Non-Profit Board President of The Reach Corporation 2019
Officers Who Do Not Hold Stock
PO Box 790 UnionTown, KY 42461
Bailey M. Geoffry
eff. 8-15-07Lessor Or Real Estate Owner
P.O. Box 409 Sturgis, KY 42459
Maricopa Properties, LLC
100% of REStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Maricopa Partners, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Rock River, LLC
33.33% of Maricopa Partnes, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
MMB, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Lovenest, LLC
30.959% of Rock River, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gary
16.025% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Lisa
Page 10 of 273
Owner NameFacilities Owned
32.88% of MMB, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Tim
17.455% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Vicki
29.421% of Lovenest, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Robert
13.957% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Laura
53.016% of Rock River, LLC - 4 children w/13.254% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
4 Irrevocable Trusts
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O.Box 409 Sturgis, KY 42459
Ervin Mallory
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Jade
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Luke
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gabe
49.665% of MMB, LLC - 5 children w/9.933% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
3 Irrevocable Trusts
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Max
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box Sturgis, KY 42459
Linenger Jessica
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mitch
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Linenger Jennifer
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Brock
56.623% of Lovenest, LLC - 7 children w/8.089% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
7 Irrevocable Trusts
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Thea
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugris, KY 42459
Ervin Issac
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugis, KY 42459
Ervin Samuel
Page 11 of 273
Owner NameFacilities Owned
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Elijah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Saul
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Micah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mathias
Sr.Adm for the Reach Authority to Sign Application eff 11/1/2019
Officer
1201 W. Trudgeon Henryetta, OK 74437
Ogle Gloria
Non-Profit Board Vice President of The Reach Corporation 2019
Vice President
1924 Lorraine Ave Allen, TX 75002
Garrett Marvin
Non-Profit Board Secretary/Treasurer The Reach Corporation 2019
Secretary/Treasurer
452 Goose Pond Road Morganfield, KY 42437
Humphrey Brian
NH0302 580-889-25001500 South Virginia Street Atoka, OK 74525
Atoka Manor
OP/REOperating Entity
1500 South Virginia Atoka, OK 74525
Atoka Manor, Inc.
Vice-Chairman eff 4/10/19Officers Who Do Not Hold Stock
P.O. Box 718 Atoka, OK 74525
McCall Clay
Governing Board Member Eff 1/20/17Officers Who Do Not Hold Stock
P.O. Box 1133 Atoka, OK 74525
Hardison Clint
Manager, eff 4/10/19Manager
1810 W US Hwy. 82 Sherman, TX 75092
Carrus Healthcare, LLC
Secretary, eff 4/10/19Officers Who Do Not Hold Stock
3111 Old Hwy.70 Durant, OK 74701
Lively David
Treasurer, eff 4/10/19Officers Who Do Not Hold Stock
3617 E.Boggy Depot Rd Atoka, OK 74525
Hauff Shawn
20% Carrus Healthcare, LLC eff 4/10/19Stockholders/partners Who Are Officers
1810 W US Highway 182 Sherman, TX 75092
Rains John
80% Carrus Healthcare, LLC, eff 4/10/19Stockholders/partners -- Not Officers
258 Lyndsie Drive Coppell, TX 75019
ARCP Health, LP
1% General Partner, ARCP Health, LP, eff 4/10/19
Stockholders/partners -- Not Officers
258 Lyndsie Drive Coppell, TX 75019
Navaladi, LLC
94.1 % Limited Partner, ARCP Health, LP, eff 4/10/19
Stockholders/partners -- Not Officers
258 Lyndsie Drive Coppell, TX 75019
Nachimuthu Anbarasu
Page 12 of 273
Owner NameFacilities Owned
NH3801 580-569-2258801 B Street Snyder, OK 73566
Ayers Nursing Home
OP & 100% REOperating Entity
801 B. Street Synder, OK 73566
Ayers Nursing Home, Inc.
50% & President Ayers Nursing Home Inc.
Stockholders/partners Who Are Officers
Rt. 2 Box 49a Snyder, OK 73566
Ayers Norman Pat
50% & VP Ayers Nursing HomeStockholders/partners Who Are Officers
115 8th Snyder, OK 73566
Ayers Jerry
NH6202 580-436-1414201 West 5th Street Ada, OK 74820
Ballard Nursing Center
President 100% Epecho Associates, Inc.Stockholders/partners Who Are Officers
131 North Broadway Ada, OK 74820
Reed Gary
S/ Treasurer of Epecho Associates, Inc.Officers Who Do Not Hold Stock
131 North Broadway Ada, OK 74820
Reed Lenora Kay
Pres 100% IHS Holding, Inc. & IHS Management Consultants,Inc.
Stockholders/partners Who Are Officers
131 North Broadway Ada, OK 74820
Reed Bart
Eff. 7/29/2019Operating Entity
131 North Broadway Ada, OK 74820
IHS Ballard Nursing Center, Inc.
Lessor Or Real Estate Owner
131 North Broadway Ada, OK 74820
C N C Retirement Living, Inc.
100% REStockholders/partners -- Not Officers
131 North Broadway Ada, OK 74820
Epecho Associates, Inc.
100% OPStockholders/partners -- Not Officers
131 North Broadway Ada, OK 74820
IHS Holding, Inc.
eff. 12-01-08Contracted Management
131 North Broadway Ada, OK 74820
Rocking Chair Services, Inc. f/k/a IHS Management Consultants, I
Sec. of IHS Management Consultants, Inc. eff.2/5/09
Officers Who Do Not Hold Stock
131 N. Broadway Ada, OK 74820
Camerer Beth Ann
Treasurer of IHS Management Consultants, Inc. eff.2/8/09
Officers Who Do Not Hold Stock
131 North Broadway Ada, OK 74820
Taylor Amy
Page 13 of 273
Owner NameFacilities Owned
NH1201 580-326-83831200 West Finley Hugo, OK 74743
Baptist Village of Hugo
PresidentStockholders/partners Who Are Officers
3800 N. May Oklahoma City, OK 73112
Pierce William M.
Operating Entity
3800 N. May Ave Oklahoma City, OK 73112
Baptist Village Retirement Communities of Oklahoma, Inc.
CFOOfficers Who Do Not Hold Stock
3800 North May Avenue Okla. City, OK 73112
Mills Kenneth D.
VP Planning/ProjectsOfficers Who Do Not Hold Stock
3800 North May Ave. Oklahoma City, OK 73112
Short Wendell
VP- OperationsOfficers Who Do Not Hold Stock
3800 N. May Ave. Oklahoma City, OK 73112
Thomas Steve
NH5701 918-847-2572411 S. 4th Street Barnsdall, OK 74002
Barnsdall Nursing Home
Lessor Or Real Estate Owner
411 South Fourth Street Barnsdall, OK 74002
Osage Nursing Home Inc.
95% OP eff. 4-01-09 and 50% REStockholders/partners -- Not Officers
1926 Glynwood Dr. Bartlesville, OK 74006
Hardin Janet
50% REStockholders/partners -- Not Officers
P.O. Box 586 Sallisaw, OK 74955
Farmer Margaret Ann
Operating Entity
411 South 4th Barnsdall, OK 74002
Barnsdall Health Care, L.L.C.
5% OP eff. 4-01-09Stockholders/partners -- Not Officers
411 South 4th Barnsdall, OK 74002
Jamison Susan
NH7403 918-333-95453434 Kentucky Place Bartlesville, OK 74006
Bartlesville Health and Rehabilitation Community
50% Mgng Mbr BHRC,LLC & 50% Pres BCC, Inc. eff 12/03/2012
Stockholders/partners Who Are Officers
6445 Clearcrek Bartlesville, OK 74006
Dout Alex
Operating Entity
3434 Kentucky Pl. Bartlesville, OK 74006
Bartlesville Care Center, Inc.
50% Mgng Mbr BHRC,LLC & 50% V.Pres BCC, Inc. eff 12/03/2012
Stockholders/partners Who Are Officers
2400 W. Camelback Duncan, OK 73553
Wilkins Tony
Page 14 of 273
Owner NameFacilities Owned
eff 12/03/2012Lessor Or Real Estate Owner
3434 Kentucky Place Bartlesville, OK 74006
BHRC, LLC
NH1902 918-2161811102 East Line Sapulpa, OK 74067
Beacon Ridge Senior Mental Health
100% of Sapulpa Holding, LLC eff 05/01/2014
Stockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Diakonos Group, LLC
49% Arbor Village, 99% of Diakonos Group eff 05/01/2014
Stockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Pilgrim Scott
OP eff 05/01/2014Operating Entity
P.O.Box 990 Edmond, OK 73083
Arbor Village Nursing, LLC
100% RE eff 05/01/014Lessor Or Real Estate Owner
3325 French Park Dr. 6 Edmond, OK 73034
Sapulpa Holding, LLC
51% of Arbor Village Nursing, LLCStockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
Pilgrim Lee E.
NH7601 580-327-1274916 Noble Alva, OK 73717
Beadles Nursing Home
Operating Entity
916 Noble Alva, OK 73717
Beadles, Inc.
25% & Vice President, OP, eff 08/03/2012
Stockholders/partners Who Are Officers
916 Noble (P.O.Box 728) Alva, OK 73717
Mary Ruth Hiett Revocable Living Trust (MRHRLT)dated May 18,1999
25% & Secretary OP/ Beneficiary MRHRLT, eff March 12, 2014
Stockholders/partners Who Are Officers
817 Noble Alva, OK 73717
Lynch Marietta
25% & President, OP/ Ben/Trste MRHRLT, eff 08/03/2012
Stockholders/partners Who Are Officers
P.O. Box 62 Alva, OK 73717
Jordan Adam
25% & Treasurer OP/Beneficiary MRHRLT, eff 08/03/2012
Stockholders/partners Who Are Officers
941 Baker Place (P.O. Box 134) Alva, OK 73717
Hiett Barbara
Beneficiary MRHRLT, eff 08/03/2012Stockholders/partners -- Not Officers
915 Logan Alva, OK 73717
Swain Charlotte
NH6111 918-297-70001300 North Drive Hartshorne, OK 74547
Beare Manor
Page 15 of 273
Owner NameFacilities Owned
50% RE/OPStockholders/partners -- Not Officers
1929 Betty Jane Lane Muskogee, OK 74403
Montgomery Tom
Lessor Or Real Estate Owner
P.O. Box 1015 Hartshorne, OK 74547
Beare's Co., Inc.
25% RE/OPStockholders/partners -- Not Officers
P.O. Box 1015 Hartshorne, OK 74547
Beare Karen
Operating Entity
1929 Betty Jane Lane Muskogee, OK 74403
Hartshorne Health Services, L.L.C.
25% OP/RE eff.12-26-09Stockholders/partners -- Not Officers
PO Box 1015 Hartshorne, Ok 74547
Estate of Mickey Beare
NH0401 580-625-4571200 East 8th Street Beaver, OK 73932
Beaver County Nursing Home
Operating Entity
200 E. 8th Street Beaver, OK 72932
Beaver County Hospital Authority
Lessor Or Real Estate Owner
111 West 2nd Street Beaver, OK 73932
Beaver County
Member Bourd of Trustees Eff 3-17-2020Officers Who Do Not Hold Stock
Rt. 1, Box 34 Beaver, OK 73932
Collison Leslie
RE County Commissioner Eff 03-17-2020
Officers Who Do Not Hold Stock
Beaver, OK
Rose Carl Jay
Chairman Board of Trustees, eff. 03-17-2020
Officers Who Do Not Hold Stock
RT 2 Box 86A Balko, OK
Grose Karen Sue
Administrator, eff 3/20/17Officers Who Do Not Hold Stock
P.O. Box 220 Beaver, OK 73932
Barby Robin
RE County Commissioner Eff 3-17-2020Officers Who Do Not Hold Stock
Turpin, OK
Regier Kerry
RE County Commissioner Eff 2-17-2020Officers Who Do Not Hold Stock
Logan, OK
Fleming Roy
Vice-Chairman of the Board EFF 3-17-2020
Officers Who Do Not Hold Stock
P.O. Box 216 Forgan, OK 73938
McReynolds Gregory
Sec/Treas of the Board Eff 3-17-2020Officers Who Do Not Hold Stock
1003 Avenue B Beaver, OK 73932
Leisher Clay
Member Board of Trustees Eff 3-17-2020Officers Who Do Not Hold Stock
RT 2 Box 29 A Beaver, OK 73932
Patzkowsky Kerry
Page 16 of 273
Owner NameFacilities Owned
NH0505 580-225-33352301 Bell Avenue Elk City, OK 73644
Bell Avenue Nursing Center
100% Elk City Holding & Bell Avenue Nursing
Stockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Diakonos Group, LLC
99% Diakonos Group, LLCManaging Member
PO Box 990 Edmond, OK 73013
Pilgrim Scott
100% OPOperating Entity
3325 French Park Drive 6 Edmond, OK 73034
Bell Avenue Nursing, LLC
100% Real Estate Eff 01/01/2015Lessor Or Real Estate Owner
3325 French Park Drive 6 Edmond, OK 73034
Elk City Holding, LLC
NH5502 405-767-65006500 North Portland Avenue Oklahoma City, OK 73116
Bellevue Health & Rehabilitation Center
1/6 Northwest Nursing and Convales. Home, Inc.
Stockholders/partners -- Not Officers
7405 Clayton Drive Okla. City, OK 73132
Estate of Caroline Ann Harris, Allen K. Harris, personal represe
1/3 Northwest Nursing and convales. Home, Inc.
Stockholders/partners -- Not Officers
400 N.E. 70th Oklaoma City, OK
Stout Hugh A. Jr.
14.28% Bellevue Convalescent Hospital, Inc.
Stockholders/partners -- Not Officers
2925 Hemingford Lane Oklahoma City, OK 73126
Thompson, Jr. Norman L.
14.28% Bellevue Convalescent Hospital, Inc.
Stockholders/partners -- Not Officers
2504 Brookdale Edmond, OK 73034
Burgess Diane
1/6 Northwest Nursing and Convales. Home, Inc.
Stockholders/partners -- Not Officers
7405 Clayton Drive Okla. City, OK 73132
Harris Allan K.
2/3 OP/REStockholders/partners -- Not Officers
c/o 7843 West Britton Rd. Okla. City, OK 73132
Northwest Nursing and Convalescent Home, Inc.
1/3 OP/REStockholders/partners -- Not Officers
6500 North Portland Ave. Okla. City, OK 73116
Bellevue Convalescent Hospital, Inc.
14.28% Bellevue Convalescent Hospital, Inc.
Stockholders/partners -- Not Officers
2925 Hemingford Lane Oklahoma City, OK 73120
Thompson David
14.28% Bellevue Convalescent Hospital, Inc.
Stockholders/partners -- Not Officers
6500 N. Portland Oklahoma City, OK 73116
Thompson Robert
14.28% Bellevue Convalescent Hospital, Inc.
Stockholders/partners -- Not Officers
11300 N. Penn Unit #124 Oklahoma City, OK 73120
Thompson Stephen C.
14.28% Bellevue Convalescent Hospital, Inc.
Stockholders/partners -- Not Officers
14524 Salem Creek Edmond, OK 73013
Hardeman Nancy
Page 17 of 273
Owner NameFacilities Owned
1/3 Northwest Nursing & Conval. Home Inc.
Stockholders/partners -- Not Officers
PO Box 1689 Elephant Butte, NM 87935
Jones Betty Jo
14.28% Bellevue Convalescent Hospital, Inc.
Stockholders/partners -- Not Officers
6500 North Portland Okla. City, OK 73116
Price Sandra
Operating Entity
6500 North Portland Avenue Okla. City, OK 73116
Bellevue Northwest Nursing Center, an Oklahoma partnership
NH2101 918-786-22751400 South Main Street Grove, OK 74344
Betty Ann Nursing Center
100% Ban NH, LLC (OP/RE) eff 07/28/11
Stockholders/partners -- Not Officers
593 Atlanta Street Roswell, GA 30075
Brogdon Connie
100% of Marsh Pointe Mgmt and Manager of Ban NH LLC
Stockholders/partners -- Not Officers
3050 Peachtree Rd 355 Atlanta, GA 30305
Brogdon Christopher
OP/RE Eff 07/28/11Operating Entity
1400 S. Main Street Grove, OK 74344
Ban NH, LLC
Contracted Management eff 03-01-2014Contracted Management
455 East Paces Ferry Road, N.E. 302 Atlanta, GA 30305
Marsh Pointe Managment, LLC
NH5413 918-650-9393732 East 3rd Street Weleetka, OK 74880
Beverly Place
amended corp. name (fkaProdetik, Inc.) eff 02-05-08
Operating Entity
1201 W. Trudgeon Henryetta, OK 74437
The Reach Corporation
Non-Profit Board President of The Reach Corporation 2019
Officers Who Do Not Hold Stock
PO Box 790 UnionTown, KY 42461
Bailey M. Geoffry
eff. 8-15-07Lessor Or Real Estate Owner
P.O. Box 409 Sturgis, KY 42459
Maricopa Properties, LLC
100% of REStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Maricopa Partners, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Rock River, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
MMB, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Lovenest, LLC
Page 18 of 273
Owner NameFacilities Owned
30.959% of Rock River, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gary
16.025% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Lisa
32.88% of MMB, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Tim
17.455% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Vicki
29.421% of Lovenest, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Robert
13.957% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Laura
53.016% of Rock River, LLC - 4 children w/13.254% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
4 Irrevocable Trusts
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O.Box 409 Sturgis, KY 42459
Ervin Mallory
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Jade
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Luke
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gabe
49.665% of MMB, LLC - 5 children w/9.933% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
3 Irrevocable Trusts
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Max
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box Sturgis, KY 42459
Linenger Jessica
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mitch
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Linenger Jennifer
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Brock
56.623% of Lovenest, LLC - 7 children w/8.089% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
7 Irrevocable Trusts
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Thea
Page 19 of 273
Owner NameFacilities Owned
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugris, KY 42459
Ervin Issac
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugis, KY 42459
Ervin Samuel
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Elijah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Saul
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Micah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mathias
Vice -President eff 1/28/2020Officers Who Do Not Hold Stock
1924 Lorraine Ave Allen, TX 75002
Garrett Marvin
Secretary/Treasurer eff 1/28/2020Officers Who Do Not Hold Stock
452 Goose Pond Road Morganfield, KY 42437
Humphrey Brian
NH5201 580-725-3533202 E Maple Billings, OK 74630
Billings Fairchild Center, Inc.
Operating Entity
202 E. Maple Billings, OK 74630
Billings Fairchild Center, Inc.
5%, V. PresidentStockholders/partners -- Not Officers
112566 South 4750 Road Muldrow, OK 74948
Kelton Robin
60%; president eff. 06/18/2012Stockholders/partners Who Are Officers
PO Box 367 Billings, OK 74630
Hardin Kelly
20%Stockholders/partners -- Not Officers
108 Saskatchewan Roland, OK 74954
Pitchford Linda
S/tres 10% ended 06/17/2012; 10% eff. 06/18/2012
Stockholders/partners -- Not Officers
112669 South 4750 Road Muldrow, OK 74948
Kelton Gertrude
5%Stockholders/partners -- Not Officers
1821 West Lincoln Street Broken Arrow, OK 74012
Adams Diane
NH0806 405-656-2302516 North Broadway Binger, OK 73009
Binger Nursing and Rehabilitation
Stockholders/partners Who Are Officers Risman Dandy
Page 20 of 273
Owner NameFacilities Owned
Mgr. OP; 99%COHEA,LP;100%CLPMgt. Group eff 5/28/15
750 S. Cherokee Catoosa, OK 74015
Mgr. BN&R, LLC, Trustee Abbott Family Trust eff 5/28/15
Stockholders/partners Who Are Officers
Rt. 3, Box 112 Hydro, OK 73048
Abbott Kent
50% Binger Nursing Rehab LLC, ABBRIS Prop LLC & KD Hlth Mg52815
Stockholders/partners -- Not Officers
PO Box 130 Hydro, OK 73048
Abbott Family, LLC
100% Abbott Fmly, LLC eff 5/28/15Stockholders/partners -- Not Officers
PO Box 130 Hydro, OK 73048
Abbott Family Trust
effective Sept. 23, 2014Manager
PO Box 70 Hydro, OK 73048
KD Health Managment, LLC
effective May 28, 2015Operating Entity
P.O. Box 70 Hydro, OK 73048
Binger Nursing and Rehabilitation, LLC
effective May 28, 2015Lessor Or Real Estate Owner
510 Arapaho Avenue Hydro, OK 73048
ABBRIS Properties, LLC
50% Binger Nursing & Rehab., LLC; ABBRIS Prop., LLC, KD Hlth Mgt
Stockholders/partners -- Not Officers
P.O. Box 210 Ketchum, OK 74349
COHEA Limited Partners, LP
1% COHEA Limited Partners, LP eff 5/28/15
Stockholders/partners -- Not Officers
,
CLP Management Group, Inc.
NH3501 580-371-26361105 East Main Tishomingo, OK 73460
Blue River Healthcare, Inc.
100% PresStockholders/partners Who Are Officers
2820 Ridgeway Ardmore, OK 73401
Walker Kenneth
eff01/27/2004Operating Entity
HCR 70 Box 213A Ardmore, OK 73401
Blue River Healthcare, Inc.
NH3201 405-379-54431600 East Highway Holdenville, OK 74848
Boyce Manor Nursing Home
12.5% Medi-Plex Nursing Center, Inc.Stockholders/partners -- Not Officers
P.O. Box 330 Muldrow, OK 74948
Tabor Angela
12.5% Medi-Plex Nursing Center, Inc. eff 12-27-2020
Stockholders/partners -- Not Officers
111522 S. 4740 Road Muldrow, OK 74948
Mitchell Robert Michael
12.5% Medi-Plex Nursing Center, Inc. eff 12-27-2020
Stockholders/partners -- Not Officers
412 S. Dogwood Sallisaw, OK 74955
Mitchell Marcinda
Page 21 of 273
Owner NameFacilities Owned
12.5% Medi-Plex Nursing Center, Inc.Stockholders/partners -- Not Officers
7240 Chase Oaks Blvd 121 Plano, TX 75025
Mitchell Kelly O.
Beneficiary Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, Ok 74955
Tiffany Seay Exempt Trust
50% Medi-Plex Nursing Center, Inc. eff12-27-2020
Stockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Gilbert F. Green Trust
Co-Trustee of Gilbert F. Green TrustTrustee
P.O. Box 1454 Sallisaw, OK 74955
Green Philip M.
Trustee/Bene. of Gilbert F. Green TrustTrustee
P.O. Box 1090 Sallisaw, OK 74955
Green Gilbert F.
Sole Manager of Medi-Plex Nursing Centers
Officers Who Do Not Hold Stock
1600 E. Highway Holdenville, ok 74848
Carr Jennifer
Co-Trustee Gilbert F. Green TrustTrustee
P.O. Box 1090 Sallisaw, OK 74955
Armstrong Sinclair
Co-Trustees Gilbert F. Green TrustTrustee
P.O. Box 1090 Sallisaw, OK 74955
Roberts Minerva
OP eff 12-27-2020Operating Entity
1600 East Highway Holdenville, OK 74848
Medi-Plex Nursing Center, Inc.
Beneficiary Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Reba Green Marital Deuction Trust
Beneficiary of the Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Philip M. Green Exempt Trust
NH5111 918-683-8070841 North 38th Street Muskogee, OK 74401
Brentwood Extended Care & Rehab
100% Managing Member OpEnt and Real Estate
Stockholders/partners Who Are Officers
1929 Betty Jane Lane Muskogee, OK 74401
Montgomery Montie
eff 1/11/07Lessor Or Real Estate Owner
1925 Betty Jane Lane Muskogee, OK 74403
Bomont Properties, L.L.C.
eff 1/11/07Operating Entity
841 North 38th Street Muskogee, OK 74403
Brentwood Extended Care & Rehab, LLC
NH1407 405-527-6519301 Broadway Lexington, OK 73051
Broadway Living Center
Page 22 of 273
Owner NameFacilities Owned
50% OP/REStockholders/partners Who Are Officers
3548 Wellsite Drive Norman, OK 73069
Scearce Audra
50% OP/REStockholders/partners -- Not Officers
3548 Wellsite Drive Norman, OK 73069
Scearce Joe
eff 9/1/04Operating Entity
10217 Geronimo Norman, OK 73026
MM of Lexington LLC
eff. 03-04-08Lessor Or Real Estate Owner
3548 Wellsite Drive Norman, OK 73069
Elder Health Care LLC
NH5101 918-683-28511622 East Broadway Muskogee, OK 74403
Broadway Manor Nursing Home
60% BHCP GP JV 2015, LLC, 7/1/16Stockholders/partners Who Are Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
Birchwood Health Care Properties, LLC
Manager & 100% Mbr, Birchwood HCP LLC& OK4 Manager, LLC 7/1/16
Stockholders/partners Who Are Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
Dole Isaac
Manager 7/1/16Manager
415 US Hwy377 S 200 Argyle, TX 76226
Transition Health Services-OK, LLC
100%Master Lessee (RE) eff 5/8/18Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
OK4 SNF HoldCo, LLC
100% OK4 SNF HoldCo, LLC, 7/1/16Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
OK4 HH/H Master HoldCo, LLC
5% BHCP OK4 HH/H JV, LLC 7/1/16Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
BHCP OK4 HH/H Sponsor, LLC
95% BHCP OK4 HH/H JV, LLC,7/1/16Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
BHCP OK4 HH/H Investors, LLC
70% BHCP OK4 HH/H Sponsor,LLC,eff 5/8/18
Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
BHCP GP JV 2015, LLC
Mgr-Applicant,Lessor, OK4 SNF HoldCo,LLC,OK4HH/H Master 7/1/16
Manager
332 S. Michigan Ave. 1100 Chicago, IL 60604
OK4 Manager, LLC
0-25% OK4 HH/H Master HoldCo, LLC, 7/1/16
Stockholders/partners -- Not Officers
415 US Hwy 377 S 200 Argyle, TX 76226
SBS of OK, LLC
33.33% Member & Manager SBSof OK,LLC&THS-OK,LLC,7/1/16
Stockholders/partners Who Are Officers
415 US Hwy 377 S 200 Argyle, TX 76226
Bates Josh
33.33% Member & Manager SBSof OK,LLC&THS-OK,LLC,7/1/16
Stockholders/partners Who Are Officers
415 US Hwy 377 S 200 Argyle, TX 76226
Shelton Chana
Stockholders/partners Who Are Officers Sims Debra
Page 23 of 273
Owner NameFacilities Owned
33.33% Member & Manager SBSof OK,LLC&THS-OK,LLC,7/1/16
415 US Hwy 377 S 200 Argyle, TX 76226
OP Eff 1/7/16, & Sublessee, eff 5/8/18Operating Entity
332 S. Michigan Ave. 1100 Chicago, IL 60604
OK4 Broadway OpCo, LLC
RE Eff, 7/1/16Lessor Or Real Estate Owner
332 S. Michigan Ave. 1100 Chicago, IL 60604
OK4 Broadway RealCo, LLC
NH7205 918-251-5343424 North Date Broken Arrow, OK 74012
Broken Arrow Nursing Home, Inc
Operating Entity
424 N. Date Broken Arrow, OK 74012
Broken Arrow Nursing Home, Inc.
88% Pres eff.7-2-07Stockholders/partners Who Are Officers
424 N. Date Broken Arrow, OK 74012
Cooper Joannna
6% Sec eff. 7-2-07Stockholders/partners Who Are Officers
Rt. 3 Broken Arrow, OK 74014
Cooper-Woodard Debra
6% Tres eff. 7-2-07Stockholders/partners Who Are Officers
3610 Orange Circle Broken Arrow, OK 74012
Cooper-Poormon Paulie
NH4501 580-584-6433700 West Jones Broken Bow, OK 74728
Broken Bow Nursing Home
50% OP eff 02/07/2011Stockholders/partners -- Not Officers
P.O. Box 2230 Waldron, AR 72958
Watts Fred
50% treasury stLessor Or Real Estate Owner
700 West Jones Broken Bow, OK 74728
Indian Nations Nursing Home, Inc.
86.5% RE & President Eff 3-23-16Stockholders/partners Who Are Officers
P.O. Box 39 Sallisaw, OK 74955
Farmer Don
50% OP, Eff 02/07/11Stockholders/partners -- Not Officers
200 Home Street Pocola, OK 744902
Hensley Chris
Eff 02/07/11Operating Entity
700 W. Jones Broken Bow, OK 74728
Broken Bow Health and Rehabilitation, LLC
13.5% RE & VP Eff 3-23-2016Stockholders/partners Who Are Officers
3520 east 110th Place Tulsa, OK 74137
Farmer Frederick Sinclair
Page 24 of 273
Owner NameFacilities Owned
NH4801 580-795-2100310 Brookside Drive Madill, OK 73446
Brookside Nursing Center
Board Member of Senior Care Group, Inc.
Officers Who Do Not Hold Stock
1240 Marbella Plaza Drive #12 Tampa, FL 33619
Vaughan David R.
su-lessee eff. 11-01-06Operating Entity
1240 Marbella Drive Tampa, FL 33619
SCG Madill Brookside, LLC
eff. 11-01-06Contracted Management
1240 Marbella Plaza Drive Tampa, FL 33619
SCG Red River Management, LLC
100% SCG Madill Brookside, LLCStockholders/partners -- Not Officers
1240 Marbella Plaza Drive Tampa, FL 33619
Senior Care Group, Inc.
manager for TIC owners(real estate) eff. 1-01-08
Officers Who Do Not Hold Stock
2547 Mason Oaks Drive Valrico, FL 33596
Morgan Consulting Group, LLC
sole managing memeber Moran Consulting Group, LLC
Officers Who Do Not Hold Stock
2547 Mason Oaks Drive Valrico, FL 33596
Moran Francis D.
CFO/Sec. Senior Care Group, Inc. eff.3-23-10
Officers Who Do Not Hold Stock
1240 Marbella Plaza Drive Tampa, FL 33619
Chudow Katherine (Kathy)
President eff 6/2/2017Officers Who Do Not Hold Stock
1240 Marbella Plaza Drive Tampa, FL 33619
Vaughan Michelle
66.67% LQCP Management, LLCStockholders/partners Who Are Officers
1300 S. University Dr. 306 Fort Worth, TX 76107
Boswell Darren
CJ2017-190 eff. 10-31-2018Court Appointed Receiver
401 South Boston 2320 Tulsa, OK 74103
C. David Rhoades Court Appointed Receiver CJ-2017-190
eff.01/09/2019Contracted Management
1908 12th Ave. E Ardmore, OK 73401
Elmbrook Managment Company
100% of 210 Brookside Drive, LLC eff 04-2019
Stockholders/partners -- Not Officers
2001 Route 46 301 Parsippany, NJ 07054
LQC Partners XI, LLC
100% LQC Partners XI, LLCStockholders/partners -- Not Officers
2001 Route 46 301 Parsippany, NJ 07054
LQCP Management, LLC
33.33% LQCP Management, LLCStockholders/partners -- Not Officers
2001 Route 46 301 Parsippany, NJ 07054
Torzilli Michele
Real Estate Owner 04-2019Lessor Or Real Estate Owner
2001 Route 46, 301 Parsippany, NJ 07054
210 Brookside Drive, LLC
NH5554 405-636-0626940 Southwest 84th Street Oklahoma City, OK 73139
Brookwood Skilled Nursing and Therapy
Page 25 of 273
Owner NameFacilities Owned
President/Manag.Member of OP/RE/Manager
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Lessor Or Real Estate Owner
2200 NW 50th 126 Oklahoma City, OK 73112
Azaleabrook, L. L. C.
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
78% OP & Amity Care, LLC eff. 10-21-03
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
22% OP & Amity Care, LLC eff.10-21-03
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
SecretaryOfficers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Okc, OK 73108
Diamond Mike
Operating Entity
4350 Will Rogers 300 OKC, OK 73108
Brookwood Nursing Center, L.L.C.
NH5565 405-677-38642901 Southeast 22nd Street Oklahoma City, OK 73129
Bryant Place
Operating Entity
3317 S.E. 18th Street Del City, OK 73115
Reliant Living Centers of Oklahoma, Inc.
Treas. EFF 02/15/2013Officers Who Do Not Hold Stock
821 SW 38th Oklahoma City, OK 73109
Black Art
President EFF 02/15/2013Officers Who Do Not Hold Stock
4932 North Portland Avenue Oklahoma City, OK 73113
Love Willa
Vice President EFF 02/15/2013Officers Who Do Not Hold Stock
9804 Casa Linda Oklahoma City, OK 73139
Moon Tim
Exec DirectorOfficers Who Do Not Hold Stock
2901 S.E. 22nd Oklahoma City, OK 73129
Jernigan Janelle F.
Secretary EFF 02/15/2013Officers Who Do Not Hold Stock
325 W. Pinesway Mustang, OK 73064
Ellis Scott
NH5002 580-369-2653505 South 7th Street Davis, OK 73030
Burford Manor
100% Davis Health & Rehab - RE eff. 05-01-08 end 11/01/11
Stockholders/partners Who Are Officers
PO Box 1831 Ocean Springs, MS 39566
fax 601-510-9727 Daves, Jr. William E. (Billy)
Page 26 of 273
Owner NameFacilities Owned
eff. 05-01-08Operating Entity
705 W. Queens Street Broken Arrow, OK 74012
Davis Health and Rehabilitation, LLC
Eff 11/01/11Lessor Or Real Estate Owner
303 W Madison St 2400 Chicago, IL 60606
Murray County, LLC
100% REStockholders/partners -- Not Officers
,
AVIV Financing I, LLC
100% AVIV Financing I, LLC eff 11/01/11
Stockholders/partners -- Not Officers
,
AVIV Healthcare Properties Operating partnership I, LLC
0.1% AVIV HPOP I Inc;52.41%.AHPLP eff 11/01/11
Stockholders/partners -- Not Officers
,
AVIV Reit, Inc
99.9% AVIV HPOP I, LP eff 11/1/11Stockholders/partners -- Not Officers
,
AVIV Healthcare Properties Limited Partnership
35.17% AVIV HPLP eff 11/01/11Stockholders/partners -- Not Officers
,
A Units
5.68% AVIV HPLP eff 11/01/11Stockholders/partners -- Not Officers
,
F Units
6.22% AVIV HPLP eff 11/01/11Stockholders/partners -- Not Officers
,
C Units
5.11% A Unit eff 11/01/11Stockholders/partners -- Not Officers
303 W Madison 2400 Chicago, IL 60604
Zev Karkomi Gift Trust fbo Susan Karkomi u/a/d 12/9/1991
5.68% F Unit eff 11/01/11Stockholders/partners -- Not Officers
303 W Madison 2400 Chicago, IL 60606
Craig M. Bernfiedl Business ABF, LLC
PresAVIV Reit, Inc; 100% Craig Bernfiel Business ABF eff 11/1/11
Stockholders/partners Who Are Officers
303 W Madison 2400 Chicago, IL 60606
Bernfield Craig
Vice Pres AVIV Reit, Inc eff 11/01/11Officers Who Do Not Hold Stock
303 W Madison 2400 Chicago, IL 60606
Chavez Leticia
Sec AVIV Reit, Inc eff 11/01/11Officers Who Do Not Hold Stock
303 W Madison 2400 Chicago, IL 60606
Kovitz Samuel H.
Treas AVIV Reit, Inc eff 11/01/11Officers Who Do Not Hold Stock
303 W Madison 2400 Chicago, IL 60606
Insoft Steven J.
52.1% AVIV Reit Inc eff 11/01/11Stockholders/partners -- Not Officers
303 W Madison 2400 Chicago, IL 60606
G Units
Dir AVIV Reit, Inc eff 11/01/11Officers Who Do Not Hold Stock
630 5th Ave, 30th floor New York, NY 10111
Dees Michael W.
Dir AVIV Reit, Inc eff 11/01/11Officers Who Do Not Hold Stock
630 5th Ave, 30th floor New York, NY 10111
Goldberg Alan E.
Dir AVIV Reit, Inc eff 11/01/11Officers Who Do Not Hold Stock
630 5th Ave, 30th floor New York, NY 10111
Lindsay Robert D.
Page 27 of 273
Owner NameFacilities Owned
Dir AVIV Reit, Inc eff 11/01/11Officers Who Do Not Hold Stock
630 5th Ave, 30th floor New York, NY 10111
Triedman James Rusell
Dir AVIV Reit, Inc eff 11/01/11Officers Who Do Not Hold Stock
10127 Wilshire Blvd 2001 Los Angeles, CA 90024
Ryan Ari
6.1656% G Units eff 11/01/11Stockholders/partners -- Not Officers
630 5th Ave, 30th floor New York, NY 10111
Bessemer LGB LLC
NH0703 580-434-57271061 North Access Road Calera, OK 74730
Calera Manor
33 1/3% Calera Manor I, LLCStockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Gilbert Green Family Investments, LLC
16.665% Calera Manor I, LLC eff 12-28-2020
Stockholders/partners -- Not Officers
808 North 4140 Road Hugo, OK 74743
Chance Gwendolyn
25% BGM Estate 4th Successor Delores O Michell Rev.Trust
Stockholders/partners -- Not Officers
P.O. Box 330 Muldrow, OK 74948
Tabor Angela
25% BGM Estate, 1st Successor Delores O Michell Rev Trust
Stockholders/partners -- Not Officers
111522 S. 4740 Road Muldrow, OK 74948
Mitchell Robert Michael
25% BGM Estate (Mgr) 3rd Successor Delores O Michell Rev.Trust
Stockholders/partners Who Are Officers
412 S. Dogwood Sallisaw, OK 74955
Mitchell Marcinda
25% BGM Estate, LLC 2nd Successor Delores O Michell Rev.Trust
Stockholders/partners -- Not Officers
7240 Chase Oaks Blvd 121 Plano, TX 75025
Mitchell Kelly O.
Trustee of Delores O. Mitchell Revocable Trust
Trustee
412 South Dogwood Sallisaw, OK 74955
Mitchell Delores O.
Beneficiary of Reba Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Green Reba
11.10% Gilbert Green Family Investments eff 12-28-2020
Stockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Seay Tiffany Renee
Beneficiary of the Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, Ok 74955
Tiffany Seay Exempt Trust
Trustee/Beneficiary Lori M. Green Exempt Trust
Beneficiary
P.O. Box 11454 Sallisaw, OK 74955
Green Lori
11.10% Gilbert Green Familiy Investment, LLC
Stockholders/partners -- Not Officers
P.O. Box 1454 Sallisaw, OK 74955
Philip M. Green Revocable Trust
55.60% Gilbert Green Family Investments
Stockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Gilbert F. Green Trust
Page 28 of 273
Owner NameFacilities Owned
Co-Trustee Gilbert F. Green, Reba Green, Philip M Green Trusts
Trustee
P.O. Box 1454 Sallisaw, OK 74955
Green Philip M.
16.665% of Calera Manor I, LLC Eff 12-28-2020
Stockholders/partners -- Not Officers
412 S. Dogwood Sallisaw, OK 74955
Delores O. Mitchell Revocable Trust
16.67% UPL Manager eff 06/30/2017Stockholders/partners -- Not Officers
P.O. Box 568 Sallisaw, OK 74955
BGM Estate, LLC
OP eff 12-28-2020Operating Entity
1061 N. Access Road Calera, OK 74730
Calera Manor I, LLC
20% Gilbert Green Family Investment 12-28-2020
Stockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Reba Green Trust
Manager of Gilbert Green Family Investment, LLC eff 12-29-2020
Officers Who Do Not Hold Stock
P.O. Box 1090 Sallisaw, OK 74955
PMG Management, LLC
Co-Trustee Gilbert Green Trust, Reba Green Trust
Trustee
P.O. Box 1090 Sallisaw, OK 74955
Armstrong Sinclair
Co-Trustee Gilbert M Green Trust, Reba Green Trust
Trustee
P.O. Box 1090 Sallisaw, OK 74955
Roberts Minerva
Beneficiary Philip M. Green Rev Trust, Reba Green Trust
Beneficiary
P.O. Box 1090 Sallisaw, OK 74955
Lori M. Green Exempt Trust
Beneficiary of the Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Reba Green Marital Deuction Trust
Beneficiary Gilbert F Green , Reba Green, Philip M Green Trust
Beneficiary
P.O. Box 1090 Sallisaw, OK 74955
Philip M. Green Exempt Trust
5.56% Calera Manor I, LLC Eff 12-28-2020
Stockholders/partners -- Not Officers
9905 Hefner Village Place Oklahoma City, OK 73162
McEwing Torie
5.56% Calera Manor I, LLCStockholders/partners -- Not Officers
701 West 101st Place South Jenks, OK 74037
McEwing Shawna
5.56% Calera Manor I, LLCStockholders/partners -- Not Officers
3610 Lakeshore Drive Enid, OK 73703
Tindal Michelle
Manager of Calera Manor I, LLCManager
1061 N Access Road Calera, OK 74730
Klepper Healther
Beneficiary Philip M. Green Rev Trust, Reba Green Trust
Beneficiary
P.O. Box 1454 Sallisaw, OK 74955
Philip R. Green Exempt Trust
NH5003 580-622-24161300 West Lindsay Sulphur, OK 73086
Callaway Nursing Home
Page 29 of 273
Owner NameFacilities Owned
100% Pres/OPStockholders/partners Who Are Officers
P.O. Box 582 Sulphur, OK 73086
Jewell Samuel
Operating Entity
1300 West Lindsay Murray, OK 73086
Sulphur Manor, Inc.
100% RELessor Or Real Estate Owner
P.O. Box 519 Sulphur, OK 73086
Callaway Nursing Home, Inc.
100% of Callaway Nursing Home, Inc. (RE)
Stockholders/partners -- Not Officers
Sulphur, OK 73086
Hughes Brenda
NH5538 405-681-53812400 Southwest 55th Street Oklahoma City, OK 73119
Capitol Hill Skilled Nursing and Therapy
Lessor Or Real Estate Owner
2200 N.W. 50th 126 Oklahoma City, OK 73112
Capitolcreek, L.L.C.
Manager of RE/Secretary-Treas of Amity Care, LLC EFF 7/16/2020
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Dimond Mike
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
78% OP & Amity Care, LLC eff. 10-21-03
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
22% OP & Amity Care, LLC eff.10-21-03
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
UPL Mgr. eff. 6/30/2017 END 7/16/2020-OP EFF 7/16/2020
Operating Entity
4350 Will Rogers Parkway Oklahoma City, OK 73108
Capitol Hill Nursing Center, L.L.C
58% of Capitol Creek,LLCStockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Clarity Properties, LLC
42% of Capitol Creek, LLCStockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Renew Properties, L.L.C.
Manager of OP- President/Mangr of Amity Care EFF 7/16/2020
Officers Who Do Not Hold Stock
1908 12th Ave NW E Ardmore, OK 73401
Coble Brett
NH0801 580-654-1439225 North Broadway Carnegie, OK 73015
Carnegie Nursing Home, Inc.
51% OP/50% REStockholders/partners Who Are Officers
P.O. Box 538 Carnegie, OK 73015
Hilburn Sherri G.
Page 30 of 273
Owner NameFacilities Owned
Operating Entity
225 N Broadway Carnegie, OK 73015
Carnegie Nursing Home Inc.
49% OP/50% REStockholders/partners Who Are Officers
P.O. Box 538 Carnegie, OK 73015
Hilburn Lloyd
Lessor Or Real Estate Owner
502 Scott Carnegie, OK 73015
225 Broadway, L.L.C.
NH7262 918-519-0945East 88th Street South Tulsa, OK 74133
Cearu Medical Resort
99% Southtown Asset ManagementStockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Pilgrim Scott
RELessor Or Real Estate Owner
129 West 1st B Edmond, OK 73003
Southtown Holding Company, LLC
100% of Cearu, LLCStockholders/partners -- Not Officers
129 W. 1st B Edmond, OK 73003
Southtown Asset Management, LLC
1% Southtown Asset ManagementStockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
Servant Holding Corporation
OPOperating Entity
P.O. Box 990 Edmond, OK 73083
Cearu, LLC
NH1602 580-355-16161700 Northwest Fort Sill Blvd Lawton, OK 73507
Cedar Crest Manor
10% OP eff 03/30/11. 8.39% RE eff 08/23/11
Stockholders/partners -- Not Officers
3938 Saint Marks Road Durham, NC 27707
Bynum Paige
OP & 16.1466% RE eff 08/23/2011Operating Entity
1700 Ft. Sill Blvd Lawton, OK 73567
Cedar Crest Manor, Inc.
0.1395% OP and beneficary of Mary A. Abshere Rev. Trust
Stockholders/partners Who Are Officers
1827 S. State Hwy 65 Lawton, OK 73501
Abshere Aldridge Tarri Lynn
8.38%RE eff 8/23/11,29.9998 OP eff 06/01/2016
Stockholders/partners -- Not Officers
801 Pershing Drive Lawton, OK 73507
Matthey, II William A.
0.0930% eff 03/30/11 VP eff 0601/2016Stockholders/partners Who Are Officers
1827 S. State Hwy 65 Lawton, OK 73501
Aldridge Lyn W.
6.6201%OP eff 03/30/11 Pres. 5.59% RE eff 08/23/11
Stockholders/partners Who Are Officers
9609 Monticello Drive Granbury, TX 76049
Dennis David H.
Page 31 of 273
Owner NameFacilities Owned
0.2326%OP Eff 03/30/11.16.54%RE eff 08/23/11
Stockholders/partners -- Not Officers
5402 SW Lee Blvd Lawton, OK 73505
Aycock Alan E.
6.6667%OP eff 03/30/11.5. 59%RE eff 08/23/11
Stockholders/partners -- Not Officers
1842 Wood Road McAlester, OK 74501
Whipps Diane E.
6.6667% OP eff 03/30/11. 5.6%RE Eff 08/23/11
Stockholders/partners -- Not Officers
80634 Camino Santa Elise Indio, CA 92203
Demas Larry
6.6667% eff 03/30/11. 5.59%RE eff 08/23/11
Stockholders/partners -- Not Officers
P.O. Box 2945 Rancho de Taos, NM 87557
Demas Michael R.
6.6667% OP eff 03/30/11. 5.59%RE eff 08/23/11
Stockholders/partners -- Not Officers
P.O. Box 841 Adkins, TX 78101
Hunt Demas Pamela A.
0.0465%OP eff 03/30/11 Treas.Stockholders/partners Who Are Officers
1317 NW Maple Ave. Lawton, OK 73507
Statts Jennifer
19.3023%OP eff 03/30/11. 16.19%RE eff 08/23/11
Stockholders/partners -- Not Officers
1703 S. State Hwy 65 Lawton, OK 73501
Mary A. Abshere Revocable Trust, Mary Alberta Abshere Trustee
0.2326% eff 03/30/11. Beneficary of Mary A. Abshere Rev. Trust
Stockholders/partners -- Not Officers
138 NW 36th Street Lawton, OK 73501
Abshere Bobby W.
0.2326% eff 03/30/11. Beneficary of Mary A. Abshere Rev. Trust
Stockholders/partners -- Not Officers
9003 SE Willow Lane Lawton, OK 73501
Abshere Charles G.
19.7208% eff.03/30/11 June is a MemberStockholders/partners Who Are Officers
2 NW Cypress Lane Lawton, OK 73505
Aycock, JTWROS Keith & June
0.0465% eff 06/01/2016 Sec.Stockholders/partners Who Are Officers
9609 Monticello Granbury, TX 76049
Dennis Barbara
Authorized Signatory Officer for Lawton OPCO, LLC
Officer
330 Wabash Ave 3700 Chicago, IL 60611
Coleman Matthew
NH7224 918-251-32001306 East College Broken Arrow, OK 74012
Cedarcrest Care Center
33.34% OP 33 1/3% REStockholders/partners -- Not Officers
124 S. Elm Place Broken Arrow, OK 74012
Ross LaDonna
23.6% OPStockholders/partners -- Not Officers
4123 E. 45st Place Tulsa, OK 74101
Heidinger Patricia
6.8% OPStockholders/partners -- Not Officers
1955 E. 45th Place Tulsa, OK 74101
Laura Heidinger Quest Trust
3% OPStockholders/partners -- Not Officers
4123 E. 41st Place Tulsa, OK
Heidinger Nicholas
Page 32 of 273
Owner NameFacilities Owned
Operating Entity
1306 E. College Broken Arrow, OK 74012
Senior Citizens Nursing Center, Inc.
16.63% OP 16.665% REStockholders/partners -- Not Officers
1700 Southwest Blvd Tulsa, OK 74107
Bagwell Shelly
16.63% OP 16.665% REStockholders/partners -- Not Officers
1700 Southwest Blvd 100 Tulsa, OK 74107
Franks, Jr. (aka J.L.Franks) Jerry Lynn
Lessor Or Real Estate Owner
1306 East College Broken Arrow, OK 74012
Senior Citizen Nursing Center Building, a General Partnership
33 1/3% REStockholders/partners -- Not Officers
1955 E. 45th Place Tulsa, OK 74101
Anchor Ltd. Family Partnership
NH0901 405-263-4658635 West Texas Okarche, OK 73762
Center of Family Love
Operating Entity
P.O.Box 245 Okarche, OK 73762
Center Of Family Love
President, eff 06/01/12 End 6-1-16Officers Who Do Not Hold Stock
11701 N. Hasting Ave Yukon, OK 73099
Allen Ed
VP eff 07/01/2019Officers Who Do Not Hold Stock
P.O. Box 21000 Oklahoma City, ok 73156
Krittenbrink Jerry
Executive DirectorOfficers Who Do Not Hold Stock
6404 Commodore Ln Oklahoma City, OK 73162
Espinoza Debbie
President EFF 6-1-16Officers Who Do Not Hold Stock
P.O. Box 245 Okarche, OK 73762
Fleckinger Joe
Vice President EFF 6-1-17Officers Who Do Not Hold Stock
635 W Texas Ave Okarche, OK 73762
Avant Margie
Secretary EFF 6-1-17Officers Who Do Not Hold Stock
635 West Texas Ave. Okarche, OK 73762
Pierce John
NH4102 405-258-1131601 West 1st Street Chandler, OK 74834
Chandler Therapy & Living Center, LLC
EFF 8/01/2016Lessor Or Real Estate Owner
1150 S. Waldron Rd. Fort Smith, AR 72903
601 CH, LLC
OP EFF 8/1/2016Operating Entity
601 W 1st Street Chandler, OK 74834
Chandler Therapy & Living Center, LLC
100% Manager RE - 51%OP-end 10/1/20Stockholders/partners Who Are Officers
1150 S. Waldron Rd Fort Smith, AR 72903
Kilgore Joshua
Page 33 of 273
Owner NameFacilities Owned
Member 49% OP end 10/1/20 - Eff 10/1/20 100% Lynnbrook Hlth LLC
Stockholders/partners -- Not Officers
809 Bayonne Bridge Ct. Edmond, OK 73034
Morgan M. Brandon
100% Chandler Therapy & Living Center, LLC eff 10/1/2020
Stockholders/partners -- Not Officers
,
Lynnbrook Health LLC
NH4602 918-473-2251321 Southeast 2nd Street Checotah, OK 74426
Checotah Nursing Center
99% COHEA LP, 100% & GP of CLP Management eff 10/27/2016
Stockholders/partners Who Are Officers
750 S. Cherokee Catoosa, OK 74015
Risman Dandy
Manager OP & Trustee Abbott Family Trust eff 10/27/2016
Stockholders/partners Who Are Officers
Rt. 3, Box 112 Hydro, OK 73048
Abbott Kent
50% KD Health Management, LLC eff 02/14/2016
Stockholders/partners -- Not Officers
PO Box 130 Hydro, OK 73048
Abbott Family, LLC
100% Abbout Family, LLC eff 10/27/2016
Stockholders/partners -- Not Officers
PO Box 130 Hydro, OK 73048
Abbott Family Trust
Co-Trustee and Beneficiary of Abbott Family Trust eff 10/27/2016
Trustee
PO Box 130 Hydro, OK 73048
Abbott Jaylee
50% Checotah Nursing & Rehab & ABBRIS Properties II eff 10/27/20
Stockholders/partners -- Not Officers
P.O. Box 210 Ketchum, OK 74349
COHEA Limited Partners, LP
1% GP of COHEA LP eff 10/27/2016General Partner
,
CLP Management Group, Inc.
OP eff 11-01-2015Operating Entity
321 SE 2nd Street Checotah, OK 74426
Checotah Nursing and Rehabilitation, LLC
100% Real Estate Company eff 11/01/2016
Lessor Or Real Estate Owner
P.O. Box 130 Hydro, OK 73048
Abbris Properties II, LLC
NH1104 918-456-34561504 North Cedar Avenue Tahlequah, OK 74464
Cherokee County Nursing Center
Lessor Or Real Estate Owner
1504 N. Cedar Tahlequah, OK 74464
Ward Manor Inc.
president 100% OP/REStockholders/partners Who Are Officers
415 Rogers Avenue Ft. Smith, AK 72902
Morton Michael
Operating Entity
1504 North Cedar Ave. Tahlequah, OK 74464
Cherokee County Nursing Center, Inc.
Page 34 of 273
Owner NameFacilities Owned
NH2602 405-224-35932701 South 9th Street Chickasha, OK 73018
Chickasha Nursing Center, Inc
Operating Entity
2700 South Street Chickasha, OK 73018
Chickasha Nursing Center, Inc.
33.33% eff 8/31/15, pres Chickaha NC,Inc.
Stockholders/partners Who Are Officers
2423 Blackoak Court Blanchard, OK 73505
Brunt Acie
11.11% Chickasha NC, Inc eff 09-16-2013
Stockholders/partners -- Not Officers
1311 SW 45th Street Lawton, OK 73505
Allen Gary
11.11% Chickasha NC, Inc & Secretary eff 09-16-2013
Stockholders/partners Who Are Officers
1311 SW 45th Street Lawton, OK 73505
Dunderdale Jeannie
11.11% Chickasha NC, Inc. & Treasurer eff. 09-16-2013
Stockholders/partners Who Are Officers
1311 SW 45th Street Lawton, OK 73505
Harris (Allen) Janet
16.66% Chickasha Nursing Center, Inc eff 11-2015
Stockholders/partners -- Not Officers
818 West Alabama Chickasha, OK 73018
Shropshire Pamela K
16.66% Chickasha Nursing Center, Inc eff 11-2015
Stockholders/partners -- Not Officers
2701 South 9th Street Chickasha, OK 73018
Stephens Johnna F.
NH6402 580-298-5528400 Southwest O Street Antlers, OK 74523
Choctaw Nation Nursing Home
Lessor Or Real Estate Owner
P.O. Box 1210 Durant, OK 74502-1210
Choctaw Nation of Oklahoma
25% BGM Estate 4th Successor Delores O Michell Rev.Trust
Stockholders/partners -- Not Officers
P.O. Box 330 Muldrow, OK 74948
Tabor Angela
25% BGM Estate, 1st Successor Delores O Michell Rev Trust
Stockholders/partners Who Are Officers
111522 S. 4740 Road Muldrow, OK 74948
Mitchell Robert Michael
25% BGM Estate (Mgr) 3rdSuccessor Delores Michell RevTrust
Stockholders/partners Who Are Officers
412 S. Dogwood Sallisaw, OK 74955
Mitchell Marcinda
25% BGM Estate, LLC 2nd Successor Delores O Michell Rev.Trust
Stockholders/partners -- Not Officers
7240 Chase Oaks Blvd 121 Plano, TX 75025
Mitchell Kelly O.
Delores O. Mitchell RevocableTrustTrustee
412 S. Dogwood Sallisaw, OK 74955
Mitchell Delores
OP eff 12-27-2020Operating Entity
400 Southwest O Street Antlers, OK 74523
Choctaw Nation Care Center, LLC
Page 35 of 273
Owner NameFacilities Owned
Beneficiary of Reba Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Green Reba
Beneficiary Tiffany Seay Exempt TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Seay Tiffany Renee
Beneficiary of the Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, Ok 74955
Tiffany Seay Exempt Trust
50% Choctaw Nation Care Center efff 12-27-2020
Stockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Gilbert F. Green Trust
Co-Trustee Gilbert F. Green, Reba Green, Philip M Green Trusts
Trustee
P.O. Box 1454 Sallisaw, OK 74955
Green Philip M.
Trustee & beneficiary Gilbert F. Green Trust DOD 12-08-2020
Trustee
P.O. Box 1090 Sallisaw, OK 74955
Green Gilbert F.
25% Choctaw Nation Care Center eff 12-27-2020
Stockholders/partners -- Not Officers
412 S. Dogwood Sallisaw, OK 74955
Delores O. Mitchell Revocable Trust
Chief of the Choctaw Nation of Oklahoma eff 8/25/16
Officers Who Do Not Hold Stock
P.O. Box 1210 Durant, OK 74701-1210
Batton Gary
25% Choctaw Nation Care Center eff 12-26-2020
Stockholders/partners -- Not Officers
P.O. Box 568 Sallisaw, OK 74955
BGM Estate, LLC
Assistant Chief of Choctaw Nation of Oklahoma
Officers Who Do Not Hold Stock
P.O Box 1210 Durant, OK 74701-1210
Austin Jr. Jack
Manager of Choctaw Nation Care Center eff 12-27-2020
Officers Who Do Not Hold Stock
511 East Main Antlers, OK 74523
Lipska Lori
Co-Trustee Gilbert Green Trust, Reba Green Trust
Trustee
P.O. Box 1090 Sallisaw, OK 74955
Armstrong Sinclair
Co-Trustee Gilbert M Green Trust, Reba Green Trust
Trustee
P.O. Box 1090 Sallisaw, OK 74955
Roberts Minerva
Beneficiary of the Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Reba Green Marital Deuction Trust
Beneficiary of the Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Philip M. Green Exempt Trust
NH3704 405-375-6857905 Beall Road Kingfisher, OK 73750
Cimarron Nursing Center
37.5% Great Plains Care CenterStockholders/partners -- Not Officers
PO Box 568 Sallisaw, OK 74955
Estate of Bob G Mitchell - deceased, Marcinda Mitchell, Personal
Page 36 of 273
Owner NameFacilities Owned
9.375%Stockholders/partners -- Not Officers
P.O. Box 330 Muldrow, OK 74948
Tabor Angela
9.375% EFF 8/1/2019Stockholders/partners -- Not Officers
111522 S. 4740 Road Muldrow, OK 74948
Mitchell Robert Michael
9.375% EFF 8/1/2019Stockholders/partners -- Not Officers
412 S. Dogwood Sallisaw, OK 74955
Mitchell Marcinda
21.875% Great Plains Care Center EFF 8/1/2019
Stockholders/partners -- Not Officers
7240 Chase Oaks Blvd 121 Plano, TX 75025
Mitchell Kelly O.
UPL Mgr. 6/30/2017Operating Entity
905 Beall Road Kingfisher, OK 73750
Great Plains Care Center, Inc.
25% Great Plains Care CenterStockholders/partners -- Not Officers
P.O. Box 1454 Sallisaw, OK 74955
Philip M. Green Revocable Trust
25% Great Plains Care CenterStockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Gilbert F. Green Trust
Trustee/Bene. Philip M. Green Revocable Trust
Trustee
P.O. Box 1454 Sallisaw, OK 74955
Green Philip M.
Trustee/Bene.of Gilbert F. Green TrustTrustee
P.O. Box 1090 Sallisaw, OK 74955
Green Gilbert F.
Beneficiary 50% of Philp M. Green Revocable Trust
Trustee
P.O. box 1090 Sallisaw, OK 74955
Stewart Lori Green
ben Philip M. Green Revocable Tr & Trustee Philip Riley Green Tr
Trustee
P.O. Box 1090 Sallisaw, OK 74955
Green Philip R.
President/Director, EFF 8/1/2019Officers Who Do Not Hold Stock
905 Beall Road Kingfisher, OK 73750
Themer Diane
Mayor, City of Pauls Valley, eff 06/30/2017
Officers Who Do Not Hold Stock
PO Box 778 Pauls Valley, OK 73075
Alfred Gary
Vice-Mayor, City of Pauls Valley, eff 06/30/2017
Officers Who Do Not Hold Stock
PO Box 778 Pauls Valley, OK 73075
Rushing Jocelyn
Member, City of Pauls Valley, eff 06/30/2017
Member
PO Box 778 Pauls Valley, OK 73075
Grimmett Patrick
Member, City of Pauls Valley, eff 06/30/2017
Member
PO Box 778 Pauls Valley, Ok 73075
Parrish Michael
Director and President of Great Plains Care Center
Officers Who Do Not Hold Stock
905 Beall Rd Kingfisher, OK 73750
Kopacka Brendan
Member, City of Pauls Valley, eff 06/30/2017
Member
PO Box 778 Pauls Valley, OK 73075
Montgomery-Milligan Shirley
Page 37 of 273
Owner NameFacilities Owned
NH1907 918-865-7701404 East Cimarron Mannford, OK 74044
Cimarron Pointe Care Center
100% RE, OP, Mgr. ManMem. OP/REeff 12/10/2010
Stockholders/partners Who Are Officers
PO Box 768 Sallisaw, OK 74955
Sullivan, Jr. Frank
Eff. 12/10/2010Contracted Management
PO BOX 768 Sallisaw, OK 74955
Comprehensive Management Services Inc.
eff 12/10/2010Lessor Or Real Estate Owner
P.O. Box 768 Sallisaw, OK 74955
Requip of Mannford, LLC
eff 12/10/2010Operating Entity
P.O. Box 768 Sallisaw, OK 74955
ConHold of Mannford, L.L.C.
NH6601 918-341-4857920 East 16th Street Claremore, OK 74017
Claremore Skilled Nursing and Therapy
Mangaer of Amity Care, LLC & ReGlenpool, LLC eff 9/16/2015
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Mangers of Amity Care, LLC & ReGlenpool, LLC eff. 9/16/2015
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Dimond Mike
management company eff 9/16/2015Contracted 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
22% Amity Care, LLC 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
58% ReClaremorel, LLC eff 9/16/2015Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Clarity Properties, LLC
52% of Renew - Mike Dimond,Trustee eff 9/16/2015
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Stalwart Trust
42% ReClaremore, LLC eff 9/16/2015Stockholders/partners -- Not Officers
4530 Will Rogers Park Way 300 OKC, OK 73108
Renew Properties, LLC
100% Clarity Properties 48% Renew Prop. eff 9/16/2015
Stockholders/partners -- Not Officers
4530 Will Rogers Parkway 300 OKC, OK 73108
Don Greiner Family Trust, Don Greiner Trustee
eff. 9/16/2015Operating Entity
4530 Will Rogers Park Way 300 OKC, OK 73108
Claremore Operations, LLC
Page 38 of 273
Owner NameFacilities Owned
eff 9/16/2015Lessor Or Real Estate Owner
4530 Will Rogers Parkway OKC, Ok 73108
ReClaremore, LLC
Manager of OP eff. 3/12/2020Officers Who Do Not Hold Stock
1908 12th Ave NW E Ardmore, OK 73401
Coble Brett
NH5901 918-358-3135900 North Division Cleveland, OK 74020
Cleveland Manor Nursing & Rehab
eff. 7-13-06Operating Entity
PO Box 9 Sallisaw, OK 74955
Sweet Town LLC
66 2/3 % managing memeber eff. 02/01/2016
Stockholders/partners -- Not Officers
P.O. Box 9 Sallisaw, OK 74955
Martin Melinda
33 1/3 % member eff. 02/01/2016Stockholders/partners -- Not Officers
404 Ridge Dr Sallisaw, OK 74955
Martin Drew
NH2003 580-323-09122316 Modelle Clinton, OK 73601
Clinton Therapy & Living Center
100% Mbr & Mngr, Lessor, 51% Mbr & Mgr OP eff 12/01/2017
Stockholders/partners Who Are Officers
1150 S. Waldron Rd Fort Smith, AR 72903
Kilgore Joshua
49% Mbr OP, eff 12/01/2017Stockholders/partners -- Not Officers
809 Bayonne Bridge Ct. Edmond, OK 73034
Morgan M. Brandon
eff 12/01/2017Lessor Or Real Estate Owner
809 Bayonne Bridge Ct Edmond, OK 73034
2316WM, LLC
Eff 12/01/2017, OPOperating Entity
2316 W. Modelle Ave. Clinton, OK 73601
Clinton Therapy & Living Center, LLC
NH2902 580-688-9431120 West Versa Hollis, OK 73550
Colonial Manor II
Operating Entity
120 West Versa Hollis, OK 73550
Harmon County Healthcare Authority
ChairmanOfficers Who Do Not Hold Stock
Rt 2 Box 372 Hollis, OK 73550
Horton Kelly
SecretaryOfficers Who Do Not Hold Stock
Box 125 Gould, OK 73544
Gallagher Judy
Page 39 of 273
Owner NameFacilities Owned
Vice ChairmanOfficers Who Do Not Hold Stock
703 West Vivian Hollis, OK 73550
Cummins David
OP/RE board member eff.07-28-09Officers Who Do Not Hold Stock
17311 East 1650 Road Hollis, OK 73550
Boone Nicky
NH7208 918-743-78381815 East Skelly Drive Tulsa, OK 74105
Colonial Manor Nursing Home, Inc.
Lessor Or Real Estate Owner
1815 East Skelly Drive Tulsa, OK 74015
Colonial Manor Nursing Home, Inc.
14.50% each OP/REStockholders/partners -- Not Officers
14 Woodward Blvd. Tulsa, OK 74114
Anderson Robert L.
9.38% each OP/REStockholders/partners -- Not Officers
1300 Canterbury Court Arlington, TX 76013
Lord Nancy
Vice/pres 8.20% OP/ REStockholders/partners Who Are Officers
1815 East Skelly Dr. Tulsa, OK 74105
Rucker Ed
2.06% OP/REStockholders/partners -- Not Officers
2716 East 39th Place Tulsa, OK 74105
Perryman Robert G.
2.08% OP/REStockholders/partners -- Not Officers
2840 South Columbia Place Tulsa, OK 74114
Dunitz Scott E.
2.08% OP/REStockholders/partners -- Not Officers
6585 South Yale 500 Tulsa, OK 74136
Bischoff James
1.14% each OP/REStockholders/partners -- Not Officers
6733 South Gary Tulsa, OK 74136
Alexander Marjorie
13.27 % each OP/REStockholders/partners -- Not Officers
66 Cedar Ridge Rod. Broken Arrow, OK 74011
Jack E. Thomas Trust,
13.27% each OP/REStockholders/partners -- Not Officers
P.O. Box 2300 Tulsa, OK 74192
Ceylon S. Lewis, Jr., Trust A,
Operating Entity
1815 E. Skelly Dr. Tulsa, Ok 74105
Colonial Manor Management Company, L.L.C.
beneficiary of Genevieve K. Gary Revocable Trust
Beneficiary
11711 South Braden Tulsa, OK 74137
Gary Richard
beneficiary of Genevieve K. Gary Revocable Trust
Beneficiary
11711 South Braden Tulsa, OK 74137
Miles Deanna
beneficary of Genevieve K. Gary Revocable Trust
Beneficiary
11711 South Braden Tulsa, OK 74137
Hughes Jenny
beneficary of Genevieve K. Gary Revocable Trust
Beneficiary
11711 South Braden Tulsa, OK 74137
Rucker Edward
Page 40 of 273
Owner NameFacilities Owned
beneficiary of Ceylon S. Lewis Jr. Trust A
Beneficiary
,
Lewis Corinne H.
beneficary of Ceylon S. Lewis Jr. Trust ABeneficiary
,
Lorenz Sarah Lee
benefiary of Ceylon S. Lewis, Jr. Trust ABeneficiary
,
Lewis, III C. S.
benefiary of Ceylon S. Lewis, Jr. Trust ABeneficiary
,
Kast Carol D.
beneficary of Jack E. Thomas TrustBeneficiary
66 Cedar Ridge Road Tulsa, OK 74012
Thomas Betty J.
benefiary of Jack E. Thomas TrustBeneficiary
66 Cedar ridge Road Tulsa, OK 74012
Meek Mary Jean
beneficary of Jack E. Thomas TrustBeneficiary
66 Cedar Ridge Road Tulsa, OK 74012
Thomas Randall E.
benefiary of Jack E. Thomas TrustBeneficiary
66 Cedar Ridge Road Tulsa, OK 74012
Waggenblatt Deborah Lynn
NH5405 918-623-1936600 West Frontage Road Okemah, OK 74859
Colonial Park Manor
Trustee Gerrol Dean Adkins & Arbret June Adkins Family Trust
Trustee
P.O. Box 488 Weleetka, OK 74880
Adkins Gerrol Dean
Trustee Gerrol Dean Adkins & Arbret June Adkins Family Trust
Trustee
P.O. Box 488 Weleetka, OK 74880
Adkins Arbret June
33% Colonial Park Manor & True North Healthcare Management
Stockholders/partners -- Not Officers
Rt. 1, Box 105C Weleetka, OK 74880
Cynthia Denise Majors Revocable Trust
33% Colonial Park Manor & True North Healthcare Management
Stockholders/partners -- Not Officers
Rt. 1, Box 114 Weleetka, ok 74880
Donna Renee Simmons Revocable Trust
Beneficiary GDA&AJAF-Trust & Trustee Cynthia D Majors RevTrust
Officers Who Do Not Hold Stock
319 West 9th St. Weleetka, OK 74880
Majors Cynthia
Beneficiary GDA&AJAF-Trust & Trustee DRSimmons RevTrust
Officers Who Do Not Hold Stock
319 West 9th St Weleetka, OK 74880
Simmons Donna Renee
Beneficiary Gerrol D Adkins & Arbret June Adkins Fam Trust
Beneficiary
Rt. 1, Box 121A Weleetka, OK 74880
Adkins, II Gerrol D.
100% GJA Leasing CO,Stockholders/partners -- Not Officers
P.O. Box 488 Weleetka, OK 74880
Gerrol Dean Adkins & Arbret June Adkins Family Trust (GDA/AJA)
Page 41 of 273
Owner NameFacilities Owned
Suc-Trustee Gerrol D Adkins Arbret June Adkins Fam Trust
Trustee
523 W. Main Henryetta, OK 74437
Palmer, C.P.A. Reginald
100% RE eff 2/1/2016Lessor Or Real Estate Owner
319 W. 9th Street Weleetka, OK 74880
GAJ Leasing Company, LLC
OP eff. 2/1/2016Operating Entity
319 W. 9th Street Weleetka, OK 74880
Colonial Park Manor, LLC
Contracted Management Company eff 2/1/2016
Contracted Management
319 West 9th Street Weleetka, OK 74880
True North Healthcare Managment, LLC
Manager of GAJ Leasing CO, LLC eff 02/01/2016
Officers Who Do Not Hold Stock
319 West 9th St Weleetka, OK 74880
Adkins June
33% Colonial Park Manor & True North Healthcare Management
Stockholders/partners -- Not Officers
319 West 9th Street Weleetka, OK 74880
The Charles Edward Simmons Revocable trust dated April 1 2015
Trustee of Charles Simmons Revocable Trust
Officers Who Do Not Hold Stock
319 West 9th St. Weleetka, OK 74880
Simmons Charles
Beneficiary:Donna Simmons Rev Trust & Charles Simmons Rev-Trust
Beneficiary
319 West 9th Street Weleetka, OK 74880
Simmons Kyle
Beneficiary:Donna Simmons Rev Trust & Charles Simmons Rev-Trust
Beneficiary
319 West 9th Street Weleetka, OK 74880
Simmons Lucas
Beneficiary:Donna Simmons Rev Trust & Charles Simmons Rev-Trust
Beneficiary
319 West 9th Street Weleetka, OK 74880
Simmons Nicholas
Beneficiary:Cynthia Denise Majors Revocable Trust Dated 12-17-12
Beneficiary
319 West 9th Street Weleetka, OK 74880
Hayes Amber
Beneficiary:Cynthia Denise Majors Revocable Trust Dated 12-17-12
Beneficiary
319 west 9th Street Weleetka, OK 74880
Hayes Benjamin
NH4901 918-825-53111320 Northeast 1st Place Pryor, OK 74362
Colonial Terrace Care Center
25% BGM Estate, LLC eff 9-16-16Stockholders/partners -- Not Officers
P.O. Box 330 Muldrow, OK 74948
Tabor Angela
25% BGM Estate, LLC Eff 9-16-16Stockholders/partners -- Not Officers
111522 S. 4740 Road Muldrow, OK 74948
Mitchell Robert Michael
25% BGM Estate, LLC Eff 9-16-16Stockholders/partners -- Not Officers
412 S. Dogwood Sallisaw, OK 74955
Mitchell Marcinda
Operating Entity
1320 N E 1st Place Pryor, OK 74362
Colonial Terrace Care Center, L.L.C
Page 42 of 273
Owner NameFacilities Owned
12.5% OP, eff 04/22/13 25%BGM Estate, LLC Eff 9-16-16
Stockholders/partners -- Not Officers
7240 Chase Oaks Blvd 121 Plano, TX 75025
Mitchell Kelly O.
25% member, effective 7/26/2013Stockholders/partners -- Not Officers
P.O. Box 1454 Sallisaw, OK 74955
Philip M. Green Revocable Trust
25% member, eff. 10-26-12Stockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Gilbert F. Green Trust
Philip M. Green Revocable Trust eff. 7-26-13
Trustee
P.O. Box 1454 Sallisaw, OK 74955
Green Philip M.
Gilbert F. Green Trust eff. 7-26-13Trustee
P.O. Box 1090 Sallisaw, OK 74955
Green Gilbert F.
37.50% OP eff 9-16-16Stockholders/partners -- Not Officers
P.O. Box 568 Sallisaw, OK 74955
BGM Estate, LLC
Manager of OP Eff 10/26/2016Officers Who Do Not Hold Stock
1320 NE. 1st Place Pryor, OK 74362
Cree Robert
NH0911 405-263-4658643 West Texas Okarche, OK 73762
Columbian Hall
100% Eff 10/31/11Operating Entity
P.O.Box 245 Okarche, OK 73762
Center Of Family Love
President eff 06/01/12Officers Who Do Not Hold Stock
11701 N. Hasting Ave Yukon, OK 73099
Allen Ed
Treasurer, eff 06/01/12Officers Who Do Not Hold Stock
P.O. Box 21000 Oklahoma City, ok 73156
Krittenbrink Jerry
Vice President, eff 06/01/12Officers Who Do Not Hold Stock
2516 Somerset PL Oklahoma City, OK 73116
Cooper Steve
Executive DirectorOfficers Who Do Not Hold Stock
6404 Commodore Ln Oklahoma City, OK 73162
Espinoza Debbie
NH6805 918-489-2299503 South Main Street Gore, OK 74435
Community Health Care Of Gore
Lessor Or Real Estate Owner
Highway 100 Gore, OK 74435
Community Health Care Of Gore, Inc.
100% RE/OP eff.06-30-08Stockholders/partners Who Are Officers
P.O. Box 638 Gore, OK 74435
Montgomery Schuyler
Page 43 of 273
Owner NameFacilities Owned
Operating Entity
P.O. Box 638 Gore, OK 74435
Gore Health Services, L.L.C.
NH2701 580-594-22921153 Cherokee Street Wakita, OK 73771
Community Health Center
Operating Entity
1153 Cherokee Street Wakita, OK 73771
James Dennis Medical Foundation
Chairman of the BoardOfficers Who Do Not Hold Stock
3007Barn Swallow Enid, OK 73703
Rapp L.D.
BM eff 07/29/11-11/17/2020 Vice Chair 11/17/2020
Officers Who Do Not Hold Stock
30149 County Rd 830 Wakita, OK 73771
Jones Alvin
Board Member eff.07/24/2012Officers Who Do Not Hold Stock
78701 Kiowa Rd Manchester, OK 73758
Feist Peggy
Board Member eff. 10/03/16Officers Who Do Not Hold Stock
80574 MC Clain Rd Manchester, Ok 73758
Lanie Randy
Board member 11/17/2020Officers Who Do Not Hold Stock
35579 County Rd870 Wakita, OK 73771
Green Eddie
Board Member 11/17/2020Officers Who Do Not Hold Stock
38391 County Rd 770 Manchester, OK 73758
McCray Cindy
Board member 11/17/2020Officers Who Do Not Hold Stock
2995 St. Hwy 132 Wakita, OK 73771
Turney Leanna
NH7501 580-832-33711400 North College Cordell, OK 73632
Cordell Christian Home
Operating Entity
1400 N. College Cordell, OK 73632
Cordell Christian Home, Cordell, Oklahoma
DirectorOfficers Who Do Not Hold Stock
P.O. Box 670 Sentinel, OK 73664
Mayfield Bruce
President eff 07/18/2012Officers Who Do Not Hold Stock
RR 1, Box 124-1 Dill City, OK 73641
Piercey Jimmy
Vice Pres eff 5/2/11Officers Who Do Not Hold Stock
706 N. Lee St. Cordell, OK 73632
Corbett Jack
Sec/Treas eff 4/5/11Officers Who Do Not Hold Stock
521 Frisco Clinton, OK 73601
Carpenter Penny
DirectorOfficers Who Do Not Hold Stock
112 E. 3rd St. Cordell, OK 73632
Doran Patty
Page 44 of 273
Owner NameFacilities Owned
DirectorOfficers Who Do Not Hold Stock
22455 E 1080 Rd Clinton, OK 73601
Martin Phyllis
Director eff 04/01/2014Officers Who Do Not Hold Stock
1412 Park Ave Clinton, OK 73601
Moore Anthony
NH7502 580-343-2295106 West Adams Corn, OK 73024
Corn Heritage Village and Rehab
Lessor Or Real Estate Owner
100 W. Main Corn, OK 73024
Corn ** The Mennonite Brethren Church of Corn, Oklahoma
Member eff 10-23-13Officers Who Do Not Hold Stock
308 W. Main Corn, OK 73024
Loewen Neal
ChairmanOfficers Who Do Not Hold Stock
Rt. 1, Box 76A Corn, OK 73024
Bartel Darrel
memberOfficers Who Do Not Hold Stock
Rt 1 Box 31 Corn, OK 73024
Flaming Steve
eff. 07-01-09Operating Entity
106 West Adams Corn, OK 73024
Corn Heritage Village of Corn Incorporated
Secretary eff. Oct 23-2013Officers Who Do Not Hold Stock
Rt. 4 Box 54 Weatherford, OK 73096
Bartel Howard
Vice Chair eff 10-13-2016Officers Who Do Not Hold Stock
510 N Oklahoma Corn, OK 73024
Wichert Jerome
NH2002 580-772-3993801 North Washington Weatherford, OK 73096
Corn Heritage Village and Rehab of Weatherford
Lessor Or Real Estate Owner
100 W. Main Corn, OK 73024
Corn ** The Mennonite Brethren Church of Corn, Oklahoma
Chairman thru 07/1/11-member exp 2021Officers Who Do Not Hold Stock
308 W. Main Corn, OK 73024
Loewen Neal
Member end Aug 2020Officers Who Do Not Hold Stock
Rt. 1, Box 76A Corn, OK 73024
Bartel Darrel
eff. 07-01-09Operating Entity
801 North Washington Weatherford, OK 73096
Corn Heritage Village of Weatherford Incorporated
Secretary eff-10-23-2013 exp 2022Officers Who Do Not Hold Stock
Rt. 4 Box 54 Weatherford, OK 73096
Bartel Howard
Board Mbr eff 10/13/2017 exp 2021Officers Who Do Not Hold Stock
510 N Oklahoma Corn, OK 73024
Wichert Jerome
Page 45 of 273
Owner NameFacilities Owned
9/2019Officers Who Do Not Hold Stock
207 W. Dewey Corn, OK
Peters Jonathan
NH2603 405-224-64562300 Iowa Avenue Chickasha, OK 73023
Cottonwood Creek Skilled Nursing and Therapy
President/Manag.Member of OP/RE/Manager
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Lessor Or Real Estate Owner
2200 N.W. 50th 126 Oklahoma City, OK 73112
Stillgrady, L. L. C.
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
78% OP & Amity Care, LLC eff. 10-21-03
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
22% OP & Amity Care, LLC eff.10-21-03
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
SecretaryOfficers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Okc, OK 73108
Diamond Mike
Operating Entity
4350 Will Rogers Parkway 300 OKC, OK 73108
Convalescent Center of Grady County, L.L.C.
Lessor Or Real Estate Owner
4350 Will Rogers Parkway 300 Okla. City, OK 73108
Rechickasha, L.L.C.
Manager of Convalescent of Grady County eff 05/15/2020
Officers Who Do Not Hold Stock
1908 12th Ave NW E Ardmore, OK 73401
Coble Brett
NH6904 580-255-46001904 North Highway 81 Duncan, OK 73533
Country Club Care
Sec./Treas. RE/OPOfficers Who Do Not Hold Stock
7520 Hidden Creek Drive Duncan, OK 73533
Gregston Jack L.
25% REStockholders/partners -- Not Officers
904 Whisenant Duncan, OK 73533
Akers Carla
25% VP REStockholders/partners Who Are Officers
811 West Elk Duncan, OK 73533
Gregston Jeff L.
Operating Entity
1904 North 81 Highway Duncan, OK 73533
Kanakuk, Inc.
Page 46 of 273
Owner NameFacilities Owned
25% REStockholders/partners -- Not Officers
2414 Mallard Duncan, OK 73533
Gregston Jerry L.
25%RE 100%/OP PresidentStockholders/partners Who Are Officers
1209 N. 13 Duncan, OK 73533
Gregston J. Lynn
Lessor Or Real Estate Owner
1904 North 81 Highway Duncan, OK 73533
Gregstons Inc.
NH5601 918-267-3362306 East 7th Street Beggs, OK 74421
Country Lane
100% OP/REStockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Diakonos Group, LLC
100% of Diakonos Group, LLCStockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Pilgrim Scott
eff 9-1-04Operating Entity
306 East 7th Beggs, OK 74421
Servant Living Center Holding Co. Servant Living Center - Beggs, LLC
Lessor Or Real Estate Owner
129 West 1st B Edmond, OK 73003
Servant Living Center Holding Company-Beggs, LLC
NH5615 918/267-3362303 East 7th Street Beggs, OK 74421
Country Lane Cottage #1
100% OP/REStockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Diakonos Group, LLC
99% MagMemt DiakonosStockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Pilgrim Scott
Operating Entity
306 East 7th Beggs, OK 74421
Servant Living Center Holding Co. Servant Living Center - Beggs, LLC
Lessor Or Real Estate Owner
129 West 1st B Edmond, OK 73003
Servant Living Center Holding Company-Beggs, LLC
NH5616 918/267-3362301 East 7th Street Beggs, OK 74421
Country Lane Cottage #2
100% OP/REStockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Diakonos Group, LLC
Page 47 of 273
Owner NameFacilities Owned
99% ManagMemt DiakonosStockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Pilgrim Scott
Operating Entity
306 East 7th Beggs, OK 74421
Servant Living Center Holding Co. Servant Living Center - Beggs, LLC
Lessor Or Real Estate Owner
129 West 1st B Edmond, OK 73003
Servant Living Center Holding Company-Beggs, LLC
NH5617 918/267-3362302 East 7th Street Beggs, OK 74421
Country Lane Cottage #3
100% OP/REStockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Diakonos Group, LLC
99% ManagMemt DiakonosStockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Pilgrim Scott
Operating Entity
306 East 7th Beggs, OK 74421
Servant Living Center Holding Co. Servant Living Center - Beggs, LLC
Lessor Or Real Estate Owner
129 West 1st B Edmond, OK 73003
Servant Living Center Holding Company-Beggs, LLC
NH5618 918/267-3362304 East 7th Street Beggs, OK 74421
Country Lane Cottage #4
100% OP/REStockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Diakonos Group, LLC
99% ManagMent DiakonosStockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Pilgrim Scott
Operating Entity
306 East 7th Beggs, OK 74421
Servant Living Center Holding Co. Servant Living Center - Beggs, LLC
Lessor Or Real Estate Owner
129 West 1st B Edmond, OK 73003
Servant Living Center Holding Company-Beggs, LLC
Eff May 2019Officers Who Do Not Hold Stock
2500SE Cherokee Hills Pl. Bartlesville, OK 74006
Deffenbaugh Rodney
City Council Rep eff April 2015Officers Who Do Not Hold Stock
646 Apache Dr. ,
Hannaford Bo
Vice Chairman eff. July 2015Officers Who Do Not Hold Stock
1102 Locust ,
Brown Kenneth
Page 48 of 273
Owner NameFacilities Owned
NH5619 918-267-3362511 N. Chippewa Beggs, OK 74421
Country Lane Cottage #5
100% OP/RE eff 1/10/17Stockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Diakonos Group, LLC
99% Diakonos Group LLC eff 1/10/17Stockholders/partners Who Are Officers
PO Box 990 Edmond, OK 73013
Pilgrim Scott
eff. 1/10/17Operating Entity
306 East 7th Beggs, OK 74421
Servant Living Center Holding Co. Servant Living Center - Beggs, LLC
eff. 1/10/17Lessor Or Real Estate Owner
129 West 1st B Edmond, OK 73003
Servant Living Center Holding Company-Beggs, LLC
1% Diakonos eff 1/10/17Stockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
Servant Holding Corporation
NH5409 918-650-9393Route 1, Box 2 (Highway 75) Weleetka, OK 74880
Country Place
amended corp. name (fkaProdetik, Inc.) eff 02-05-08
Operating Entity
1201 W. Trudgeon Henryetta, OK 74437
The Reach Corporation
Non-Profit Board President of The Reach Corporation 2019
Officers Who Do Not Hold Stock
PO Box 790 UnionTown, KY 42461
Bailey M. Geoffry
eff. 8-15-07Lessor Or Real Estate Owner
P.O. Box 409 Sturgis, KY 42459
Maricopa Properties, LLC
100% of REStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Maricopa Partners, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Rock River, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
MMB, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Lovenest, LLC
30.959% of Rock River, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gary
16.025% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Lisa
32.88% of MMB, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Tim
Page 49 of 273
Owner NameFacilities Owned
17.455% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Vicki
29.421% of Lovenest, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Robert
13.957% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Laura
53.016% of Rock River, LLC - 4 children w/13.254% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
4 Irrevocable Trusts
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O.Box 409 Sturgis, KY 42459
Ervin Mallory
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Jade
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Luke
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gabe
49.665% of MMB, LLC- 5 children w/9.933% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
3 Irrevocable Trusts
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Max
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box Sturgis, KY 42459
Linenger Jessica
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mitch
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Linenger Jennifer
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Brock
56.623% of Lovenest, LLC - 7 children w/8.089% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
7 Irrevocable Trusts
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Thea
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugris, KY 42459
Ervin Issac
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugis, KY 42459
Ervin Samuel
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Elijah
Page 50 of 273
Owner NameFacilities Owned
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Saul
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Micah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mathias
Sr.Adm for the Reach Authority to Sign Application eff 11/1/2019
Officer
1201 W. Trudgeon Henryetta, OK 74437
Ogle Gloria
NH5102 918-463-5143750 Highway 64 East Warner, OK 74469
Countryside Estates
50% of the Inc.Stockholders/partners Who Are Officers
P.O. Box 1083 Warner, OK 74469
Rogers Scott
100% RE/OPStockholders/partners -- Not Officers
Hwy 64 East Warner, OK 74469
Countryside Estates Inc.
25% of the Inc.Stockholders/partners -- Not Officers
P.O. Box 749 Warner, OK 74469
Rogers Justin Todd
Lessor Or Real Estate Owner
Highway 64 East Warner, OK 74489
SDE Holdings, LLC
Operating Entity
750 Highway 64 East Warner, OK 74489
Countryside Health Services, LLC
25 % of IncStockholders/partners -- Not Officers
P.O. Box 749 Warner, OK 74469
Three Oaks Rogers John Eric
NH7301 918-486-216630049 East 151st Street South Coweta, OK 74429
Coweta Manor Nursing Home
eff. 03-17-06Lessor Or Real Estate Owner
30049 E 151 St South Coweta, OK 74429
Hilldale Nursing Facility, Inc.
100% OP/RE eff 05/23/11Stockholders/partners -- Not Officers
PO Box 9 Sallisaw, OK 74955
Martin Eddie
20% treasury stock in OP/RE thru 05/23/11
Court Appointed Receiver
703 E. South Street Coweta, OK 74429
FNII, L.L.C.
FNII, LLCManaging Member
,
Shankle Stacey
Page 51 of 273
Owner NameFacilities Owned
Eff 05/23/11Operating Entity
30049 E 151 St South Coweta, OK 74429
CHRE, LLC
NH5407 918-650-9393104 East 6th Street Weleetka, OK 74880
Creek Place
amended corp. name (fkaProdetik, Inc.) eff 02-05-08
Operating Entity
1201 W. Trudgeon Henryetta, OK 74437
The Reach Corporation
Non-Profit Board President of The Reach Corporation 2019
Officers Who Do Not Hold Stock
PO Box 790 UnionTown, KY 42461
Bailey M. Geoffry
eff. 8-15-07Lessor Or Real Estate Owner
P.O. Box 409 Sturgis, KY 42459
Maricopa Properties, LLC
100% of REStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Maricopa Partners, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Rock River, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
MMB, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Lovenest, LLC
30.959% of Rock River, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gary
16.025% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Lisa
32.88% of MMB, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Tim
17.455% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Vicki
29.421% of Lovenest, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Robert
13.957% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Laura
53.016% of Rock River, LLC - 4 children w/13.254% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
4 Irrevocable Trusts
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O.Box 409 Sturgis, KY 42459
Ervin Mallory
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Jade
Page 52 of 273
Owner NameFacilities Owned
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Luke
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gabe
49.665% of MMB, LLC - 5 children w/9.933% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
3 Irrevocable Trusts
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Max
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box Sturgis, KY 42459
Linenger Jessica
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mitch
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Linenger Jennifer
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Brock
56.623% of Lovenest, LLC - 7 children w/8.089% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
7 Irrevocable Trusts
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Thea
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugris, KY 42459
Ervin Issac
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugis, KY 42459
Ervin Samuel
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Elijah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Saul
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Micah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mathias
Sr.Adm for the Reach Authority to Sign Application eff 11/1/2019
Officer
1201 W. Trudgeon Henryetta, OK 74437
Ogle Gloria
Sr.Adm for the Reach Authority to Sign Application eff 11/1/2019
Officer
1201 W. Trudgeon Henryetta, OK 74437
Ogle Gloria
Non-Profit Board Vice President of The Reach Corporation 2019
Managing Member
1924 Lorraine Ave Allen, TX 75002
Garrett Marvin
Page 53 of 273
Owner NameFacilities Owned
Non-Profit Board Secretary/Treasurer The Reach Corporation 2019
Secretary/Treasurer
452 Goose Pond Road Morganfield, KY 42437
Humphrey Brian
NH5614 918-650-9393405 West 17th Street Okmulgee, OK 74447
Cross Place
amended corp. name (fkaProdetik, Inc.) eff 02-05-08
Operating Entity
1201 W. Trudgeon Henryetta, OK 74437
The Reach Corporation
Non-Profit Board President of The Reach Corporation 2019
Officers Who Do Not Hold Stock
PO Box 790 UnionTown, KY 42461
Bailey M. Geoffry
eff. 8-15-07Lessor Or Real Estate Owner
P.O. Box 409 Sturgis, KY 42459
Maricopa Properties, LLC
100% of REStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Maricopa Partners, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Rock River, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
MMB, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Lovenest, LLC
30.959% of Rock River, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gary
16.025% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Lisa
32.88% of MMB, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Tim
17.455% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Vicki
29.421% of Lovenest, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Robert
13.957% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Laura
53.016% of Rock River, LLC - 4 children w/13.254% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
4 Irrevocable Trusts
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O.Box 409 Sturgis, KY 42459
Ervin Mallory
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Jade
Page 54 of 273
Owner NameFacilities Owned
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Luke
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gabe
49.665% of MMB, LLC - 5 children w/9.933% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
3 Irrevocable Trusts
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Max
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box Sturgis, KY 42459
Linenger Jessica
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mitch
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Linenger Jennifer
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Brock
56.623% of Lovenest, LLC - 7 children w/8.089% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
7 Irrevocable Trusts
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Thea
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugris, KY 42459
Ervin Issac
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugis, KY 42459
Ervin Samuel
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Elijah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Saul
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Micah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mathias
Sr.Adm for the Reach Authority to Sign Application eff 11/1/2019
Officer
1201 W. Trudgeon Henryetta, OK 74437
Ogle Gloria
NH5521 405-251-99881400 Buena Vista Avenue Midwest City, OK 73110
Cross Timbers Nursing and Rehabilitation
Page 55 of 273
Owner NameFacilities Owned
100% of OP & REStockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Diakonos Group, LLC
99% of Diakonos Group, LLC eff 01-05-2017
Stockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Pilgrim Scott
1% of Diakonos Group, LLCStockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
Servant Holding Corporation
100% Real Estate eff 12-2016Lessor Or Real Estate Owner
P.O. Box 990 Edmond, OK 73083
Midwest City Holding, LLC
OP eff 01-05-2017Operating Entity
P.O. Box 990 Edmond, OK 73083
MWC Operations, LLC
NH3212 405-452-3271204 East 1st Street Wetumka, OK 74883
Cypress Place Living Center, LLC
Trustee Family Trust & Pres. Pioneer NHHC Inc. eff12/31/12
Stockholders/partners Who Are Officers
P.O. Box 488 Weleetka, OK 74880
Adkins Gerrol Dean
Trustee Family Trust & Sec. Pioneer NHHC, Inc. eff 12/31/12
Stockholders/partners Who Are Officers
P.O. Box 488 Weleetka, OK 74880
Adkins Arbret June
Lessor Or Real Estate Owner
P.O. Box 488 Wetumka, OK 74880
Pioneer Nursing Home Of Hughes County, Inc.
Beneficiary eff.12/31/12319 West 9th St. Weleetka, OK 74880
Majors Cynthia
Beneficiary eff.12/31/12319 West 9th St Weleetka, OK 74880
Simmons Donna Renee
Beneficiary eff.12/31/12Rt. 1, Box 121A Weleetka, OK 74880
Adkins, II Gerrol D.
52% RE eff 12/31/12Stockholders/partners -- Not Officers
P.O. Box 488 Weleetka, OK 74880
Gerrol Dean Adkins & Arbret June Adkins Family Trust (GDA/AJA)
eff. 1-1-07Operating Entity
204 East First Street Wetumka, OK 74883
Cypress Place Living Center, LLC
100% manag.member of OPStockholders/partners -- Not Officers
204 East First Street Wetumka, OK 74883
Cypress Place Revocable Business Trust
16% RE eff 12/31/12Stockholders/partners -- Not Officers
Rt 1 Box 121A Weleetka, OK 74880
Gerrol Dean Adkins II Irrevocable Trust dated 12/28/12
16% RE eff 12/31/12Stockholders/partners -- Not Officers
Rt 1 Box 121A Weleekta, OK 74880
Cynthia Denise Majors Irrevocable Trust dated 12/28/12
16% RE eff 12/31/12Stockholders/partners -- Not Officers
Rt 1 Box 121A Weleetka, OK 74880
Donna Renee Simmons Irrevocable Trust dated 12/28/12
Page 56 of 273
Owner NameFacilities Owned
Trustee eff 12/31/12Trustee
523 W. Main Henryetta, OK 74437
Palmer, C.P.A. Reginald
NH7001 580-338-31861401 North Lelia Guymon, OK 73942
Dr. W F & Mada Dunaway Manor
Operating Entity
1401 N. Lelia Guymon, Ok 73942
The Dr. W.F. & Mada Dunaway Manor Nursing Home Of Guymon, INC.
President, eff 09/22/15Officers Who Do Not Hold Stock
219 NW 4th Street Guymon, OK 73942
Brown Phillip
Member, eff 09/22/15Officers Who Do Not Hold Stock
PO Box 772 Hooker, OK 73945
Hofferber Kevin
Member, eff 09/22/15Officers Who Do Not Hold Stock
6068 Sunset Drive Guymon, OK 73942
Parkhurst Mike
Member, eff 09/22/15Officers Who Do Not Hold Stock
108 NE 22nd Guymon, OK 73942
Peterson Donna
Member, eff 09/22/15Officers Who Do Not Hold Stock
124 N Academy Guymon, OK 73942
Urias Carlos
Member, eff 09/22/15Officers Who Do Not Hold Stock
Rt 1 Box 25A Texhoma, OK 73949
Skelton Jane
Member, eff 09/22/15Officers Who Do Not Hold Stock
RR! Box 6 Hardesty, OK 73944
Stump Kathy
NH1901 918-352-3249Pine & Bristow Drumright, OK 74030
Drumright Nursing Home
12.535047% of Okla. Nursing Home, Inc. (Mgmt Co.)
Stockholders/partners -- Not Officers
P.O. Box 2230 Waldron, AR 72958
Watts Fred
9.61494% ONH, LTdContracted Management
210 E. Choctaw, P.O. Box 429 Sallisaw, OK 74955-0429
Oklahoma Nursing Homes, Ltd. (ONH,Ltd.)
8.314% OP & ONH,Ltd/ 8.4112% RE/ 9.401287% ONH, Inc eff 5/24/12
Stockholders/partners -- Not Officers
P.O. Box 40 Sallisaw, OK 74955
Cheek Barnie J.
8.314% OP & ONH,Ltd./8.4112% RE eff 5/24/12
Stockholders/partners -- Not Officers
3520 East 110th Place Tulsa, OK 74137
Sandra Cheek Farmer Trust (SCFT)
5.834% OP&ONH,Ltd/5.9190% mgr RE/6.597394% & Sec ONH,Inc.
Stockholders/partners Who Are Officers
4814 S. 164th East Ave. Tulsa, OK 74134
Haskins Lloyd
Page 57 of 273
Owner NameFacilities Owned
Trustee for JKBRTTrustee
Rt. 2 Box 339 Idabel, OK 74745
Bivin Steve
5.893% OP & ONH,Ltd / 5.9746% RE eff 5/24/12
Stockholders/partners -- Not Officers
103708 S 4627 Road Sallisaw, OK 74955
Watts Beneficiaries Trust (WBT) Sharon Rhodes
14.022%OP&ONH,Ltd/14.2078%RE/21.936335% & VP ONH,Inc Eff 5/24/12
Stockholders/partners Who Are Officers
Box 856 Miami, OK 74355
Tubbs Steven
5.376% OP & ONH,Ltd / 5.4406% RE eff 5/24/12
Stockholders/partners -- Not Officers
3350 McCue Road #2002 Houston, TX 77056
Tubbs, Jr. Stanley I.
5.542% OP&ONH,Ltd/ 5.6186% RE/ 6.267525% ONH,Inc eff 5/24/12
Stockholders/partners -- Not Officers
416 Fairway Dr. Athens, TX 75751
Estep Pat
2.771% OP & ONH,Ltd / 2.8037% RE eff 5/24/12 Trustee (JKBRT)
Stockholders/partners -- Not Officers
1500 West Elm Stroud, OK 74079
Julie Kay Bivin Revocable Trust (JKBRT)
5.135% OP & ONH,Ltd/ RE 5.2207% eff 5/24/12
Stockholders/partners -- Not Officers
6708 South 256th East Avenue Broken Arrow, OK 74014
Caroyln D. Leaverton Revocable Trust
2.771% OP & ONH,Ltd/ 2.8037% RE eff 5/24/12
Stockholders/partners -- Not Officers
894 Morrow Drive/ PO Box 417 Langley, OK 74350
Dr. William R. VanDeLinder Trust (DWVT)
2.771% OP & ONH,Ltd/ 2.8037% RE eff 5/24/12
Stockholders/partners -- Not Officers
3808 NW Marquess Drive Bentonville, AR 72712
Lynn M. Yowell Trust
9.7298% eff 05/24/12Lessor Or Real Estate Owner
210 East Choctaw Sallisaw, OK 74955
Midwest Nursing Homes, LLC (MNHLLC)
2.771% Mgmt. / 2.8038% REStockholders/partners -- Not Officers
621 N Robinson 100 Oklahoma City, OK 73102
Heritage Trust Company Richard Armstrong Trust (RAT) C/O Matt McGuire
10.90% eff 09/23/19Operating Entity
P.O. Box 400 Sallisaw, OK 74955
Drumright Nursing Home, LLC
1.219% OP & Ltd.Gen eral Partner ONH, Ltd. Mgr eff 05/24/12
Stockholders/partners -- Not Officers
P.O. Box 400 Sallisaw, OK 74955
Oklahoma Nursing Homes, Inc. General Partner (ONH,Inc)
9.401287% ONH Inc.&2.771% ONH,Ltd eff 5/24/12 Ben. RAT&RGAT
Stockholders/partners -- Not Officers
2802 W. Country Club Dr. Oklahoma City, OK 73116
Armstrong Richard James
Trustee-SCFT/9.401287% ONH,Inc. 5/24/12
Stockholders/partners -- Not Officers
3520 East 110th Place Tulsa, OK 74137
Farmer Sandra
1.28306% OP&ONH,Ltd/ 1.3156% RE/9.401287%ONH,Inc. eff11/21/16
Stockholders/partners -- Not Officers
20852 South Shannon Drive Claremore, OK 74017
Wilson James G.
2.079% OP & ONH,Ltd / 2.1028% RE eff 5/24/12
Stockholders/partners -- Not Officers
P.O. Box 173 Gore, OK 74435
Ferguson Debra M.
5.556% OP&ONH,Ltd/5.5630%RE/5.657265%&Treas ONH,Inc.eff 5/24/12
Stockholders/partners -- Not Officers
607 Mayo Street Sallisaw, OK 74955
McGrew Justin
Page 58 of 273
Owner NameFacilities Owned
2.771% OP & ONH,Ltd/ 2.8038% REStockholders/partners -- Not Officers
HCR 68 Box 1260 Vian, OK 74962
Armstrong Sally
9.401287% & Pres.ONH,Inc.eff 5/24/12/Trustee DWVT
Stockholders/partners Who Are Officers
PO Box 370 Adair, OK 74330
VanDeLinder Dr. William R.
.70095% RE/0.69275% OP&ONHLtd/Ben. HAVT
Stockholders/partners -- Not Officers
1405 E. Seattle St. Broken Arrow, OK 74012
Heath Armstrong VanDeLinder Trust (HAVT)
RE 0.70095% & 0.69275% OP & Mgmt Ben. MMMVT eff 05/24/12
Stockholders/partners -- Not Officers
5727 South Lewis Ave 800 Tulsa, OK 74105
BOKF Trustee/M Huigens Meredith Margaret Marie VanDeLinder Trust (MMMVT)
0.69275%OP&ONHLtd/.70095%RE Eff. 05/24/12
Stockholders/partners -- Not Officers
8 Dinton Circle Bella Vista, AR 72714
Nicolas Edmund VanDeLinder Trust (NEVT)
0.69275% OP&OHNLtd/.70095% RE Eff:05/24/12
Stockholders/partners -- Not Officers
2116 Whitney Lane McKinney, TX 75070
William Glen VanDelinder Trust (WGVT)
Julie Kay Bivin Revocable TrustTrustee
1500 West Elm Stroud, OK 74079
Bivin Julie K.
2.771% OP &Stockholders/partners -- Not Officers
621 N Robinson 100 Oklahoma City, OK 73102
Heritage Trust Company Richard Glen Armstrong Trust (RGAT)
Trustee-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Trustee
6708 South 256th East Ave Broken Bow, OK 74014
Leaverton Carolyn
Trustee -Carolyn D. Leaverton Rev. Trust eff 05/24/12
Trustee
6708 South 256th East Ave Broken Arrow, OK 74014
Leaverton Ronald
Succ.Trustee & Benf-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Beneficiary
6708 South 256th East Ave Broken Arrow, OK 74014
Johnson Karen Diane
Succ.Trustee & Benf-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Beneficiary
6708 South 256th East Ave Broken Arrow, OK 74014
Fine Michael B.
Successor Trustee & Beneficiary -WBT eff 5/24/12
Trustee
51 Green Acre Village Sallisaw, OK 74955
Byers Karen
Successor Trustee & Beneficiary - WBT eff 5/24/12
Trustee
51 Green Acre Village Sallisaw, OK 74955
Rhodes Sharon
Beneficiary - Watts Beneficiaries Trust eff 5/24/12
Trustee
51 Green Acre Village Sallisaw, OK 74955
Rhodes Grant
Beneficiary - Watts Beneficiaries Trust eff 5/24/12
Beneficiary
51 Green Acre Village Sallisaw, OK 74955
Miles Sydney
Beneficiary - Watts Beneficiaries Trust eff 5/24/12
Trustee
51 Green Acre Village Sallisaw, OK 74955
Cameron Amber
Successor Trustee - Sandra Cheek Farmer Trust eff 5/24/12
Trustee
3520 east 110th Place Tulsa, OK 74137
Farmer Frederick Sinclair
Page 59 of 273
Owner NameFacilities Owned
Beneficiary - Sandra Cheek Farmer Trust eff 5/24/12
Beneficiary
3520 East 110th Place Tulsa, OK 74137
Farmer Cassandra C.
Beneficiary - SCFT eff 5/24/12Beneficiary
3520 East 110th Place Tulsa, OK 74137
Farmer Alexandra C.
Trustee - WGVT, MMMVT ef11-27-13Trustee
2812 West 114th St. south Jenks, ok 74037
Leutz William K.
Richard Armstrong Trust & Richard Glen Armstrong Trust
Trustee
c/o Ben Bryers, 2802 W. Country Club DR. Oklahoma City, ok 73116
Heritage Trust Co.,
Lynn M. Yowell Trust eff- 11/27/2013Trustee
3808 NW Marquess Drive Bentonville, AR 72712
Yowell Lynn
Lynn M. Yowell Trust eff- 11/27/2013 end 2014
Trustee
3808 NW Marquess Drive Bentonville,, AR 72712
Yowell Ron
Registered Agent, eff 09/23/19Officer
317 N.W. 12th St. Oklahoma City, OK 73103
Burnsed (C. Craig Cole & Assoc.) Carrie
Ben. MMMVTBeneficiary
2812 West 114th Street South Jenks, OK 74037
VanDeLinder Meredith Margaret Marie
Ben. JKBRTBeneficiary
1500 West Elm Stroud, OK 74079
Bivin Jeremy
Ben. JKBRTBeneficiary
1500 West Elm Stroud, OK 74049
Bivin Ryan
Ben. RAT & RGAT 05/24/12Beneficiary
2802 W. Country Club Dr. Oklahoma, OK 73116
Heritage Trust Company Armstrong Carol
RE 5.2626% & OP 5.192% , eff 12/5/19Stockholders/partners -- Not Officers
103708 South 4627 Road Sallisaw, OK 74955
Estate of Cleo Watts
NH5113 918-682-31913500 Haskell Boulevard Muskogee, OK 74403
Eastgate Village Retirement Center
60% BHCP GP JV 2015, LLC, 7/1/16Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
Birchwood Health Care Properties, LLC
Manager & 100% Mbr, Birchwood HCP LLC& OK4 Manager, LLC 7/1/16
Stockholders/partners Who Are Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
Dole Isaac
Manager 7/1/16Manager
415 US Hwy377 S 200 Argyle, TX 76226
Transition Health Services-OK, LLC
100%Master Lessee (RE) eff 5/8/18Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
OK4 SNF HoldCo, LLC
100% OK4 SNF HoldCo, LLC, 7/1/16Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
OK4 HH/H Master HoldCo, LLC
Page 60 of 273
Owner NameFacilities Owned
5% BHCP OK4 HH/H JV, LLC 7/1/16Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
BHCP OK4 HH/H Sponsor, LLC
95% BHCP OK4 HH/H JV, LLC,7/1/16Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
BHCP OK4 HH/H Investors, LLC
70% BHCP OK4 HH/H Sponsor,LLC, eff 5/8/18
Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
BHCP GP JV 2015, LLC
Mgr-Applicant,Lessor, OK4 SNF HoldCo,LLC,OK4HH/H Master 7/1/16
Manager
332 S. Michigan Ave. 1100 Chicago, IL 60604
OK4 Manager, LLC
0-25% OK4 HH/H Master HoldCo, LLC, 7/1/16
Stockholders/partners -- Not Officers
415 US Hwy 377 S 200 Argyle, TX 76226
SBS of OK, LLC
33.33% Member & Manager SBSof OK,LLC&THS-OK,LLC,7/1/16
Stockholders/partners Who Are Officers
415 US Hwy 377 S 200 Argyle, TX 76226
Bates Josh
33.33% Member & Manager SBSof OK,LLC&THS-OK,LLC,7/1/16
Stockholders/partners Who Are Officers
415 US Hwy 377 S 200 Argyle, TX 76226
Shelton Chana
33.33% Member & Manager SBSof OK,LLC&THS-OK,LLC,7/1/16
Stockholders/partners Who Are Officers
415 US Hwy 377 S 200 Argyle, TX 76226
Sims Debra
RE Eff, 7/1/16Lessor Or Real Estate Owner
332 S. Michigan Ave. 1100 Chicago, IL 60604
OK4 Eastgate RealCo, LLC
OP Eff 1/7/16 & Sublessee eff 5/8/18Operating Entity
332 S. Michigan Ave. 1100 Chicago, IL 60604
OK4 Eastgate OpCo, LLC
NH2108 918-519-0945434 South State Line Road, Unit A Colcord, OK 74338
EastOK Cottage 1
100% Siloam Holding & Siloam OP eff 12-11-2020
Stockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Diakonos Group, LLC
99% Diakonos Group, LLCStockholders/partners Who Are Officers
PO Box 990 Edmond, OK 73013
Pilgrim Scott
1% Diakonos Group, LLCStockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
Servant Holding Corporation
RE Owner eff 12-11-2020Lessor Or Real Estate Owner
P.O. Box 990 Edmond, OK 73083
Siloam Holding, LLC
OP eff 12-11-2020Operating Entity
434 State Line Road Unit A Colcord, OK 74338
Siloam Operations, LLC
Page 61 of 273
Owner NameFacilities Owned
NH5802 918-675-44556th & Highway 69 Commerce, OK 74339
Eastwood Manor
12.535047% of Okla. Nursing Home, Inc. (Mgmt Co.)
Stockholders/partners -- Not Officers
P.O. Box 2230 Waldron, AR 72958
Watts Fred
9.61494% Oklahoma Nursing Home, Ltd, Manager
Contracted Management
210 E. Choctaw, P.O. Box 429 Sallisaw, OK 74955-0429
Oklahoma Nursing Homes, Ltd. (ONH,Ltd.)
8.314% OP & Mgr./ 8.4112% RE/ 9.401287% Okla. Nurs. Homes, Inc.
Stockholders/partners -- Not Officers
P.O. Box 40 Sallisaw, OK 74955
Cheek Barnie J.
8.314% OP & Mgmt. / 8.4112% REStockholders/partners -- Not Officers
3520 East 110th Place Tulsa, OK 74137
Sandra Cheek Farmer Trust (SCFT)
5.834% OP & Mgmt/5.9190% mgr RE/6.597394% & Sec. Okl. NH,Inc.
Stockholders/partners Who Are Officers
4814 S. 164th East Ave. Tulsa, OK 74134
Haskins Lloyd
Success Trustee of JKBRT 05/24/12Trustee
Rt. 2 Box 339 Idabel, OK 74745
Bivin Steve
5.893% OP & Mgmt. / 5.9746% REStockholders/partners -- Not Officers
103708 S 4627 Road Sallisaw, OK 74955
Watts Beneficiaries Trust (WBT) Sharon Rhodes
14.022% OP Mgt/ 14.2078% RE/ 21.936335% &VP ONH, Inceff 10/26/10
Stockholders/partners -- Not Officers
Box 856 Miami, OK 74355
Tubbs Steven
5.376% OP & Mgmt./5.4406% REStockholders/partners -- Not Officers
3350 McCue Road #2002 Houston, TX 77056
Tubbs, Jr. Stanley I.
5.542% OP & Mgr./ 5.6186% RE/6.267525% Okla Nurs Homes, Inc.
Stockholders/partners -- Not Officers
416 Fairway Dr. Athens, TX 75751
Estep Pat
2.771% OP & ONH,Ltd / 2.8037% RE eff 5/24/12
Stockholders/partners -- Not Officers
1500 West Elm Stroud, OK 74079
Julie Kay Bivin Revocable Trust (JKBRT)
5.135% OP/Mgt/5.2207% RE eff 05/27/11
Stockholders/partners -- Not Officers
6708 South 256th East Avenue Broken Arrow, OK 74014
Caroyln D. Leaverton Revocable Trust
2.771% OP & Mgmt./ 2.8037% REStockholders/partners -- Not Officers
894 Morrow Drive/ PO Box 417 Langley, OK 74350
Dr. William R. VanDeLinder Trust (DWVT)
RE 2.8037%/2.771%OP & MgmtStockholders/partners -- Not Officers
3808 NW Marquess Drive Bentonville, AR 72712
Lynn M. Yowell Trust
8.7298 eff 05/24/12Lessor Or Real Estate Owner
210 East Choctaw Sallisaw, OK 74955
Midwest Nursing Homes, LLC (MNHLLC)
2.771% Mgmt. / 2.8038% REStockholders/partners -- Not Officers
621 N Robinson 100 Oklahoma City, OK 73102
Heritage Trust Company Richard Armstrong Trust (RAT) C/O Matt McGuire
10.90% eff 10/15/19Operating Entity
PO Box 400 Sallisaw, OK 74955
Eastwood Manor, LLC
1.219% mgr OP & Mgmt.Stockholders/partners -- Not Officers
P.O. Box 400 Sallisaw, OK 74955
Oklahoma Nursing Homes, Inc. General Partner (ONH,Inc)
Page 62 of 273
Owner NameFacilities Owned
9.401287% Oklahoma Nursing Homes, Inc; Ben. of RA Trust & RGAT
Stockholders/partners -- Not Officers
2802 W. Country Club Dr. Oklahoma City, OK 73116
Armstrong Richard James
Trustee - SCFT/9401287%ONH, Inc 05/24/12
Stockholders/partners -- Not Officers
3520 East 110th Place Tulsa, OK 74137
Farmer Sandra
1.283% OP&Mgmt./ 1.3156% RE/9.401287% Ok.Nurs.Hms,Inc.eff5/24/12
Stockholders/partners Who Are Officers
20852 South Shannon Drive Claremore, OK 74017
Wilson James G.
2.079% OP & Mgmt. / 2.1028% REStockholders/partners -- Not Officers
P.O. Box 173 Gore, OK 74435
Ferguson Debra M.
5.556%OP & Mgmt./5.5630%RE/5.657065% & Treas. ONH, Inc.
Stockholders/partners -- Not Officers
607 Mayo Street Sallisaw, OK 74955
McGrew Justin
2.7710% OP ONH, Ltd/2.8038% REStockholders/partners -- Not Officers
HCR 68 Box 1260 Vian, OK 74962
Armstrong Sally
9.401287% & Pres.ONH,Inc.eff 5/24/12; Trustee of DWRVT
Stockholders/partners Who Are Officers
PO Box 370 Adair, OK 74330
VanDeLinder Dr. William R.
.70095%RE/ 0.69275% OP & MgmtStockholders/partners -- Not Officers
1405 E. Seattle St. Broken Arrow, OK 74012
Heath Armstrong VanDeLinder Trust (HAVT)
RE 0.70095% & 0.69275% OP & MgmtStockholders/partners -- Not Officers
5727 South Lewis Ave 800 Tulsa, OK 74105
BOKF Trustee/M Huigens Meredith Margaret Marie VanDeLinder Trust (MMMVT)
.070095%RE/.69275%OP&MGMTStockholders/partners -- Not Officers
8 Dinton Circle Bella Vista, AR 72714
Nicolas Edmund VanDeLinder Trust (NEVT)
0.70095% RE/0.69275% OP & MgmtStockholders/partners -- Not Officers
2116 Whitney Lane McKinney, TX 75070
William Glen VanDelinder Trust (WGVT)
Trustee of JKBRT/Trustee
1500 West Elm Stroud, OK 74079
Bivin Julie K.
2.771% OPStockholders/partners -- Not Officers
621 N Robinson 100 Oklahoma City, OK 73102
Heritage Trust Company Richard Glen Armstrong Trust (RGAT)
Trustee-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Trustee
6708 South 256th East Ave Broken Bow, OK 74014
Leaverton Carolyn
Trustee - Carolyn D. Leverton Rev. Trust eff. 05/14/12
Trustee
6708 South 256th East Ave Broken Arrow, OK 74014
Leaverton Ronald
Suc. Trustee/Beneficiary CDLRTTrustee
6708 South 256th East Ave Broken Arrow, OK 74014
Johnson Karen Diane
Suc. Trustee/Beneficiary of CDLRTTrustee
6708 South 256th East Ave Broken Arrow, OK 74014
Fine Michael B.
Beneficiary and Trustee Watts Benf TrustTrustee
51 Green Acre Village Sallisaw, OK 74955
Byers Karen
Page 63 of 273
Owner NameFacilities Owned
Beneficiary and Trustee Watts Benf TrustTrustee
51 Green Acre Village Sallisaw, OK 74955
Rhodes Sharon
Beneficiary Watts Benf TrustBeneficiary
51 Green Acre Village Sallisaw, OK 74955
Rhodes Grant
Beneficiary Watts Benf TrustBeneficiary
51 Green Acre Village Sallisaw, OK 74955
Miles Sydney
Beneficiary Watts Benf TrustBeneficiary
51 Green Acre Village Sallisaw, OK 74955
Byers Jack
Beneficiary Watts Benf TrustBeneficiary
51 Green Acre Village Sallisaw, OK 74955
Cameron Amber
Successor Trustee of SCFT 05/12Trustee
3520 east 110th Place Tulsa, OK 74137
Farmer Frederick Sinclair
Beneficiary of SCFTBeneficiary
3520 East 110th Place Tulsa, OK 74137
Farmer Cassandra C.
Beneficary of SCFTBeneficiary
3520 East 110th Place Tulsa, OK 74137
Farmer Alexandra C.
Trustee of MMMV & WGV TrustTrustee
2812 West 114th St. south Jenks, ok 74037
Leutz William K.
Trustee of RA Trust & RGAT 5/24/12Trustee
c/o Ben Bryers, 2802 W. Country Club DR. Oklahoma City, ok 73116
Heritage Trust Co.,
Trustee of LMYTTrustee
3808 NW Marquess Drive Bentonville, AR 72712
Yowell Lynn
Trustee of LMYTTrustee
3808 NW Marquess Drive Bentonville,, AR 72712
Yowell Ron
Registered Agent, eff 10/15/19Officer
317 N.W. 12th St. Oklahoma City, OK 73103
Burnsed (C. Craig Cole & Assoc.) Carrie
Trustee/Ben of HAVTTrustee
1405 E. Seattle St. Broken Arrow, OK 74012
VanDelinder Heath Armstrong
Beneficiary of MMMVTBeneficiary
2812 West 114th Street South Jenks, OK 74037
VanDeLinder Meredith Margaret Marie
Trustee & Ben NEVT; Ben. of Dr WRVTTrustee
8 Dinton Circle Bella Vista, AR 71714
VanDelinder Nicolas Edmund
Trustee & Ben of WGVT & Ben DWRVT
Trustee
6260 Dark Forest Drive McKinney, TX 75070
VanDelinder William Glen
Beneficiary of JKBRTBeneficiary
1500 West Elm Stroud, OK 74079
Bivin Jeremy
Beneficiary of JKBRTBeneficiary
1500 West Elm Stroud, OK 74049
Bivin Ryan
Benf. RATrust * RGATBeneficiary
2802 W. Country Club Dr. Oklahoma, OK 73116
Heritage Trust Company Armstrong Carol
Page 64 of 273
Owner NameFacilities Owned
Beneficiary of LMYTBeneficiary
3808 NW Marquess Drive Bentonville, AR 74017
Lamp Jo Ann
Beneficiary of LMYTBeneficiary
3808 NW Marquess Drive Bentonville, ar 74017
Austin Jennifer
Successor Trustee DWRVT 05/12Trustee
,
VanDeLinder Patricia Rene
RE 5.2626% & OP 5.192% , eff 12/5/19Stockholders/partners -- Not Officers
103708 South 4627 Road Sallisaw, OK 74955
Estate of Cleo Watts
NH5508 405-942-388439 East 33rd Street Edmond, OK 73013
Edmond Health Care Center
Gregory E. Machtolff Trust, President R&M Nursing Home Inc.
Officer
P.O. Box 977 Guthrie, OK 73044
Machtolff Gregory E.
Trustee for George H. Machtolff, III Trust, VP R&M Nurisng Home
Officer
P.O. Box 977 Guthrie, OK 73044
Machtolff III George H.
Lessor Or Real Estate Owner
P.O. Box 977 Guthrie, OK 73044
R and M Nursing Homes, Inc.
Pres.100% OPStockholders/partners Who Are Officers
3714 N. Portland Oklahoma City, OK 73112
Crane Judy M.
Trustee of the Marty A. Trust & Sec/Treas R&M Nursing Home, Inc.
Officer
221 East Cleveland Guthrie, OK 73044
Machtolff Marty
Operating Entity
3714 N. Portland Okla. City, OK 73112
Young and Crane, Inc.
1% of R & M Nursing Home Inc. eff 02/07/2019
Stockholders/partners -- Not Officers
PO Box 977 Guthrie, OK 73044
GMGP, INC.
50% GMGP, Inc. & 43.55% R & M Nursing Home, Inc.
Stockholders/partners -- Not Officers
P.O. Box 977 Guthrie, OK 73044
Gregory E. Machtolff Trust
50% GMGP, 49.50% R&M Nursing Home eff 02-07-2019
Stockholders/partners -- Not Officers
P.O. Box 977 Guthrie, OK 73044
George H. Machtolff III Trust
5.95% R&M Nursing Home, Inc. eff 02-07-2019
Stockholders/partners -- Not Officers
P.O. Box 977 Guthrie, OK 73044
Marty A. Machtolff Trust
NH5549 405-424-22731530 Northeast Grand Blvd Oklahoma City, OK 73117
Edwards Redeemer Health & Rehab
Page 65 of 273
Owner NameFacilities Owned
100% ER Prty Hdgs LLC eff.12/5/12Managing Member
3050 Peachtree Rd 355 Atlanta, GA 30305
Brogdon Christopher
eff.12/05/12Lessor Or Real Estate Owner
1145 Hembree Road Roswell, GA 30076
Edwards Redeemer Property Holdings, LLC
33.3% EBT Healthcare Partners, LLC Eff. 10/11/2013
Stockholders/partners -- Not Officers
1633 Wembley Hills Knoxville, TN 37922
Thomas William M.
100% Edwards Redeemer Property Holdings, LLC eff. 12/3/14
Stockholders/partners -- Not Officers
6800 N. 79th St 200 Niwot, CO 80503
Global Healthcare REIT Inc.
President-Global Healthcare REIT, Inc.Stockholders/partners Who Are Officers
6800 North 78th Street 200 Niwot, CO 80503
Rhine Zvi
CEO-Global Healthcare REIT, Inc.Stockholders/partners Who Are Officers
6800 North 78th Street 200 Niwot, CO 80503
Baller Lance
OK County Court Appointed Receiver (CJ-2019-5883) Eff. 12/6/2019
Operating Entity
210 Park Avenue 2920 Oklahoma City, OK 73102
C. David Rhodes, Receiver
Manager - Edwards Redeemer Property Holdings, LLC Director GHR
Stockholders/partners Who Are Officers
6800 N. 79th St. 200 Niwot, CO 80503
Neuman Clifford
Director - Global Healthcare REIT, Inc. (GHR)
Stockholders/partners Who Are Officers
6800 N. 79th Street 200 Niwot, Co 80503
Desmond Adam
NH0904 405-262-33232100 Townsend Drive El Reno, OK 73036
El Reno Post-Acute Rehabilitation Center
50% OP/RE;100% BG Mgt., Inc.; 99% GD2 Inv., LP EFF 10/2/2014
Stockholders/partners Who Are Officers
19143 Chestermere Circle Edmond, OK 73012
Guymon Gregory L
50% OP/RE EFF 10/2/2014Stockholders/partners Who Are Officers
22122 East 63rd Street Broken Arrow, OK 74014
Huxall Garrett
1% GD2 Inv., LP; 1% Health Care Properties of Oklahoma, L.L.C.
Stockholders/partners -- Not Officers
19413 Chestermere Circle Edmond, OK 73012
BG Management, Inc.
1% Cat Daddy Inv, LP;1% Health Care Properties of Oklahoma, L.LC
Stockholders/partners -- Not Officers
22122 East 63rd Street Broken Arrow, OK 74014
GRH Managment, Inc.
49% Health Care Properties of Oklahoma, L.L.C.
Stockholders/partners -- Not Officers
19413 Chestermere Circle Edmond, OK 73012
GD2 Invstments, LP
49% Health Care Properties of Oklahoma, L.L.C.
Stockholders/partners -- Not Officers
22122 E. 63rd Street Broken Arrow, OK 74014
Cat Daddy Investments, LP
100% RE EFF 10/2/2014Lessor Or Real Estate Owner
PO Box 140338 Broken Arrow, OK 74014
Health Care Properties of Oklahoma, L.L.C.
Page 66 of 273
Owner NameFacilities Owned
EFF 10/2/2014Operating Entity
2100 Townsend Drive El Reno, OK 73036
El Reno Health Care, LLC
NH0503 580-225-2811301 North Garrett Elk City, OK 73644
Elk City Nursing and Rehabilitation Center
75% Man Mbr ECNH, LLC 9/12/14 & 99% Pres FWHC, Inc. eff 09/01/12
Stockholders/partners Who Are Officers
3434 S.E. Kentucky Place Bartlesville, OK 74006
Brown Jim
eff. 07-31-09Operating Entity
3434 Southeast Kentucky Place Bartlesville, OK 74006
Elk City Nursing Home, L.L.C. (ECNH)
25% ECNH, LLC eff. 9/12/14Stockholders/partners Who Are Officers
3805 Creek Bank Rd Edmond, OK 73003
Elk 421, LLC
50% ECNH, LLC eff. 09/12/14Stockholders/partners -- Not Officers
3805 Creek Bank Rd Edmond, OK
David Braly Rev Trust
50% Elk 421, LLC 9/12/14Stockholders/partners Who Are Officers
3805 Creek Bank Road ,
Maria Trapp-Braly Rev. Trust
CoTrust & Ben DEBRTrust & M-BRTrust & Mgr Elk421 LLC eff 9/12/14
Stockholders/partners Who Are Officers
3805 Creek Road Blv. Edmond, OK 73003
Braly David
CoTrust & Ben DEBRTrust & M-BRTrust & Mgr Elk421 LLC eff 9/12/14
Stockholders/partners Who Are Officers
3805 Creek Bank Road Edmond, OK 73003
Trapp-Braly Maria
Successor Trustee DEBR Trust & MT-BR Trust eff 9/12/14
Officers Who Do Not Hold Stock
3805 Creek Bank Road Edmond, OK 73003
Ward Sharon J.
Successor Trustee DEBR Trust & MT-BR Trust eff 9/12/14
Officers Who Do Not Hold Stock
3805 Creek Bank Road Edmond, OK 73003
BOKF, N.A.
NH6902 580-475-0750811 West Elk Duncan, OK 73533
Elk Crossing
70% OP eff 02/02/12Stockholders/partners -- Not Officers
811 West Elk Duncan, OK 73533
Gregston Jeff L.
25% OP eff 02/02/12Stockholders/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
100% RE eff 12/09/11Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
Page 67 of 273
Owner NameFacilities Owned
Eff 02/02/12Operating Entity
811 West Elk Duncan, OK 73533
JLG Healthcare, LLC
Eff 12/09/11Lessor Or Real Estate Owner
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
JLG Real Estate, LLC
5% OP eff 02/02/12Stockholders/partners -- Not Officers
2120 Elk 4 Duncan, ok 73533
Miller Douglas Che
NH1003 580-223-33031811 9th Street Northwest Ardmore, OK 73401
Elmbrook Home
Operating Entity
1908 12th Ave NW E Ardmore, OK 73401
Elmbrook Home Inc.
100% of Elmbrook Properties, Inc. & President, eff 3/11/19
Stockholders/partners Who Are Officers
1908 12th Ave N.W. E Ardmore, OK 73401
Coble Tom C.
100% OPStockholders/partners -- Not Officers
1908 12th Avenue, NW E Ardmore, OK 73401
Elmbrook Properties, Inc.
Vice-Pres & Director, OP & Elmbrook Properties, Inc.eff 3/11/19
Officers Who Do Not Hold Stock
1908 12th Ave NW E Ardmore, OK 73401
Coble Brett
Sec/Treas & Director OP & Elmbrook Prop Inc.,eff 3/11/19
Officers Who Do Not Hold Stock
1908 12th Ave, NW E Ardmore, OK 73401
Lodes Jason
NH6701 405-257-6621300 South Seminole Wewoka, OK 74884
Elmwood Manor Nursing Home
100% manag.membStockholders/partners Who Are Officers
PO Box 2 Holdenville, OK 74848
Humphreys Doug
Operating Entity
P.O. Box 2 Holdenville, OK 74848
Elmwood Manor Nursing Home L.L.C.
NH6603 918-341-43652800 North Hickory Street Claremore, OK 74017
Emerald Care Center Claremore
General Partner of RSF GenPar of RSF GEnPar VI, LP
General Partner
3899 Maple Avenue 250 Dallas, TX 75219
McKinney VI, LLC
Manager of LME Family HoldingsStockholders/partners -- Not Officers
34 Lord Ave. Lawrence, NY 11559
Lahasky Ephraim
Page 68 of 273
Owner NameFacilities Owned
95% YCOK Holdings eff 11/01/2018Stockholders/partners Who Are Officers
99 West Hawthorne Ave L10 Valley Stream, NY 11580
Chafetz Yisreol
99% JW Oklahoma Holdings eff 11/01/2018
Stockholders/partners Who Are Officers
99 West Hawthorne Ave L10 Valley Stream, NY 11580
Walden Jacob
100% RE eff 11/01/2018Lessor Or Real Estate Owner
99 West Hawthorne Avenue L10 Valley Stream, NY 11580
Emerald Claremore Realty, LLC
OP eff 11-01-2018Operating Entity
2800 N Hickory Street Claremore, Ok 74017
Emerald Care Center Claremore, LLC
100% Emerald Claremore Realty, LLC eff 11/01/2018
Stockholders/partners -- Not Officers
99 West Hawthorn Avenue L10 Valley Stream, NY 11580
EHC Claremore Capital, LLC
17.5% Emerald CCC & 17.5% EHC Claremore Capital eff 05-01-2019
Stockholders/partners Who Are Officers
99 West Hawthorne Ave L10 Valley Stream, NY L10
JW Oklahoma Holdings, LLC
19.17% Emerald CCC & 19.17% EHC Claremore Capital eff 11/01/2018
Stockholders/partners Who Are Officers
99 Hawthorne Ave L10 Valley Stream, NY 11580
YCOK Holdings, LLC
17.5% EHC Claremore Capital, Mgr,17.5 EHC Claremore Operations
Stockholders/partners -- Not Officers
130 Lord Avenue Lawrence, NY 11559
LME Family Holdings, LLC
100% LME Holdings eff 11/01/2018Stockholders/partners -- Not Officers
130 Lord Avenue Lawrence, NY 11559
The Lahasky Family Trust
Trustee of The Lahasky Family Trust eff 05-01-2019
Trustee
130 Lord Avenue Lawrence, NY 11559
Lahasky Even
24.83% EHC Claremore Cap & EHC Claremore Operations No Authority
Stockholders/partners -- Not Officers
95 Harborview West Lawrence, NY 11559
David CM Fistel, LLC
Manager of David CN Fistel, LLC eff 05-01-2019
Officer
95 Harborview West Lawrence, NY 11559
Fistel David
NH5512 405-737-66012900 Parklawn Drive Midwest City, OK 73110
Emerald Care Center Midwest
VP OP Eff 12-5-2016 end 3/16/17Officers Who Do Not Hold Stock
333 N Summit St Toledo, OH 43604
Hoops Kathryn Sue
18.75% OP member/manager 5% RE mgr. eff 3/17/17
Stockholders/partners -- Not Officers
22 Sherri Ln Spring Valley, NY 10977
Gamzeh David
18.75% OP member/manager 5% RE mgr. eff 3/17/17
Stockholders/partners -- Not Officers
791 Flanders Dr. Valley Stream, NY 11581
Glatzer Akiva
16.875% OP member 20% RE eff 3/17/17Stockholders/partners -- Not Officers
99 West Hawthorne Ave L10 Valley Stream, NY 11580
Chafetz Yisreol
Page 69 of 273
Owner NameFacilities Owned
16.875% OP member 20% RE eff 3/17/17Stockholders/partners -- Not Officers
99 West Hawthorne Ave L10 Valley Stream, NY 11580
Walden Jacob
5% OP member eff 3/17/17Stockholders/partners -- Not Officers
2116 New York Ave. Brooklyn, NY 11210
Farkovits Josh
5% OP member eff 3/17/17Stockholders/partners -- Not Officers
1111 Marcus Ave. 107 Lake Success, NY 11042
ChickieStrong Midwest City LLC
33.33% ChickieStrong MWC, LLC member eff 3/17/17
Stockholders/partners -- Not Officers
1111 Marcus Ave. 107 Lake Success, NY 11042
Carone Frank
33.33% ChickieStrong MWC, LLC member/mgr eff 3/17/17
Stockholders/partners -- Not Officers
1111 Marcus Ave. 107 Lake Success, NY 11042
Fensterman Jordan
33.33% ChickieStrong MWC, LLC member eff 3/17/17
Stockholders/partners -- Not Officers
1111 Marcus Ave. 107 Lake Success, NY 11402
Fensterman Lori
eff 3/17/17Operating Entity
2900 Parklawn Drive Midwest City, OK 73110
Garden Manor Rehab and Nursing of Midwest City, LLC
eff 3/17/17Lessor Or Real Estate Owner
791 Flanders Drive Valley Stream, NY 11581
Garden Manor of Midwest City Real Estate LLC
NH5514 405-632-77715600 South Walker Avenue Oklahoma City, OK 73109
Emerald Care Center Southwest
eff 3/17/17Operating Entity
5600 South Walker Avenue Oklahoma City, OK 73109
Garden Manor Rehab and Nursing of Southwest, LLC
18.75% OP member/manager 5% RE mgr. eff 3/17/17
Stockholders/partners -- Not Officers
22 Sherri Ln Spring Valley, NY 10977
Gamzeh David
18.75% OP member/manager 5% RE mgr. eff 3/17/17
Stockholders/partners -- Not Officers
791 Flanders Dr. Valley Stream, NY 11581
Glatzer Akiva
18.75% OP member 50% RE mgr. eff 3/17/17
Stockholders/partners Who Are Officers
34 Lord Ave. Lawrence, NY 11559
Lahasky Ephraim
15.83% OP member 20% RE eff 3/17/17Stockholders/partners -- Not Officers
99 West Hawthorne Ave L10 Valley Stream, NY 11580
Chafetz Yisreol
16.5% OP member 20% RE eff 3/17/17Stockholders/partners -- Not Officers
99 West Hawthorne Ave L10 Valley Stream, NY 11580
Walden Jacob
5% OP member eff 3/17/17Stockholders/partners -- Not Officers
2116 New York Ave. Brooklyn, NY 11210
Farkovits Josh
5% OP member eff 3/17/17Stockholders/partners -- Not Officers
1111 Marcus Ave. 107 Lake Success, NY 11042
ChickieStrong Midwest City LLC
Page 70 of 273
Owner NameFacilities Owned
33.33% ChickieStrong MWC, LLC member eff 3/17/17
Officers Who Do Not Hold Stock
1111 Marcus Ave. 107 Lake Success, NY 11042
Carone Frank
33.33% ChickieStrong MWC, LLC member/mgr eff 3/17/17
Officers Who Do Not Hold Stock
1111 Marcus Ave. 107 Lake Success, NY 11042
Fensterman Jordan
33.33% ChickieStrong MWC, LLC member eff 3/17/17
Stockholders/partners -- Not Officers
1111 Marcus Ave. 107 Lake Success, NY 11402
Fensterman Lori
eff 3/17/17Lessor Or Real Estate Owner
22 Sherri Ln Spring Valley, NY 10977
Garden Manor of Southwest Real Estate LLC
16.67% GM SWStockholders/partners -- Not Officers
99 West Hawthorne Ave L10 Valley Stream, NY L10
JW Oklahoma Holdings, LLC
16.67% GM of SWStockholders/partners -- Not Officers
99 Hawthorne Ave L10 Valley Stream, NY 11580
YCOK Holdings, LLC
8.33% GM of SWStockholders/partners -- Not Officers
130 Lord Avenue Lawrence, NY 11559
LME Family Holdings, LLC
16.67% GM of SWStockholders/partners Who Are Officers
95 Wewst Hawthorne Ave L10 Valley Stream, NY 11580
David M Fistel OK, LLC
5.56% GM of SWStockholders/partners -- Not Officers
485 Golf Court Valley Stream, NY 11581
MRW Partners, LLC
22.22% GM of SWStockholders/partners -- Not Officers
1 Hill Street Paterson, NJ 07502
NJNY17, LLC
50% NJNY17, LLCStockholders/partners -- Not Officers
1 Hill Street Paterson, NJ 07502
Ilyayev Anatoliy
50% NJNY17, LLCStockholders/partners -- Not Officers
1 Hill Street Paterson, NJ 07502
Musheyev Artem
8.33% MG of SWStockholders/partners -- Not Officers
East 5th Street Brooklyn, NY 11230
OKL Holdings, LLC
NH7210 918-628-09322425 South Memorial Drive Tulsa, OK 74129
Emerald Care Center Tulsa
18.75% OP member 50% RE mgr. eff 3/17/17
Stockholders/partners -- Not Officers
34 Lord Ave. Lawrence, NY 11559
Lahasky Ephraim
90% YCOK Holdings, LLC eff 09-2018Stockholders/partners Who Are Officers
99 West Hawthorne Ave L10 Valley Stream, NY 11580
Chafetz Yisreol
99% JW Oklahoma Holdings 16.5% indirect in RE& OP
Stockholders/partners Who Are Officers
99 West Hawthorne Ave L10 Valley Stream, NY 11580
Walden Jacob
eff 3/17/17Operating Entity
2425 South Memorial Drive Tulsa, OK 74129
Garden Manor Rehab and Nursing of Tulsa, LLC
Page 71 of 273
Owner NameFacilities Owned
eff 3/17/17Lessor Or Real Estate Owner
791 Flanders Valley Stream, NY 11581
Garden Manor of Tulsa Real Estate LLC
16.67% GMT RE & 16.67% GMR&N Tulsa eff 09-2019
Stockholders/partners -- Not Officers
99 West Hawthorne Ave L10 Valley Stream, NY L10
JW Oklahoma Holdings, LLC
16.67% GM of Tulsa RE & 16.67% GMR&N of Tulsa Eff 09-2018
Stockholders/partners -- Not Officers
99 Hawthorne Ave L10 Valley Stream, NY 11580
YCOK Holdings, LLC
8.33% GM of Tulsa RE, 8.33 GMR&N of Tulsa 50% David M Fistel OK
Stockholders/partners -- Not Officers
130 Lord Avenue Lawrence, NY 11559
LME Family Holdings, LLC
100% LME Holdings eff 09-2018Stockholders/partners -- Not Officers
130 Lord Avenue Lawrence, NY 11559
The Lahasky Family Trust
Manager of David M Fistel OK, LLCOfficer
95 Harborview West Lawrence, NY 11559
Fistel David
16.67% GMof Tulsa RE & 16.67% GMR&N of Tulsa eff 09-2018
Stockholders/partners -- Not Officers
95 Wewst Hawthorne Ave L10 Valley Stream, NY 11580
David M Fistel OK, LLC
5.56% GM of Tulsa RE & 5.56% GMR&N Tulsa
Stockholders/partners -- Not Officers
485 Golf Court Valley Stream, NY 11581
MRW Partners, LLC
22.22% GM of Tulsa RE & 22.22% GMR&N of Tulsa 09-2018
Stockholders/partners -- Not Officers
1 Hill Street Paterson, NJ 07502
NJNY17, LLC
50% NJNY17, LLC eff 09/2018Stockholders/partners -- Not Officers
1 Hill Street Paterson, NJ 07502
Ilyayev Anatoliy
50% NJNY17, LLC eff 09-2018Stockholders/partners -- Not Officers
1 Hill Street Paterson, NJ 07502
Musheyev Artem
8.33% MG of Tulsa RE & 8.33% MGR&N of Tulsa
Stockholders/partners -- Not Officers
East 5th Street Brooklyn, NY 11230
OKL Holdings, LLC
NH3302 580-477-11331515 Canterbury Blvd Altus, OK 73521
English Village Manor
100% RE & OPOperating Entity
22260 Highway 62B Snyder, OK 73566
WCR Enterprises, Inc.
50 % & President WCR Enterprises eff 3/1/17
Stockholders/partners Who Are Officers
22260 Highway 62B Snyder, OK 73566
Ayers Michael
50% & Director WCR Enterprises eff 3/1/17
Stockholders/partners Who Are Officers
22260 Highway 62B Snyder, OK 73566
Ayers David
Director, V.P & Secretary WCR Enterprise eff 3/1/17
Officers Who Do Not Hold Stock
22260 Highway 62B Snyder, OK 73566
Ayers Jake
Page 72 of 273
Owner NameFacilities Owned
Director WCR Enterprise eff 3/1/17Officers Who Do Not Hold Stock
22260 Highway 62B Snyder, OK 73566
Ayers Allison
NH2410 580-237-1973410 North 30th Street Enid, OK 73701
Enid Senior Care
100% OP/RE eff 07/28/11Stockholders/partners -- Not Officers
593 Atlanta Street Roswell, GA 30075
Brogdon Connie
Manager Senior NH, LLC and 100% Marsh Pointe Management, LLC
Stockholders/partners -- Not Officers
3050 Peachtree Rd 355 Atlanta, GA 30305
Brogdon Christopher
OP /RE Eff 07/28/11Operating Entity
455 East Paces Ferry Rd, NE 302 Atlanta, GA 30305
Senior NH, LLC
Eff. 1/14/14Contracted Management
455 East Paces Ferry Road, N.E. 302 Atlanta, GA 30305
Marsh Pointe Managment, LLC
NH4603 918-689-32111152 Eunice Burns Road Eufaula, OK 74432
Eufaula Manor Nursing and Rehabilitation Center
100% RE/OPStockholders/partners Who Are Officers
415 Rogers Avenue Ft. Smith, AK 72902
Morton Michael
Lessor Or Real Estate Owner
107 Mckinley Eufaula, OK 74432
Eufaula Manor, Inc.
Operating Entity
1152 Eunice Burns Road, Eufaula, OK 74432
Eufaula Care Center, Inc.
NH5702 918-642-3234282 County Road 6300 Fairfax, OK 74637
Fairfax Manor
Beneficiary &Trustee Watts Benf TrustTrustee
P.O. Box 2230 Waldron, AR 72958
Watts Fred
10.89800% Oklahoma Nursing Home, Ltd, Manager
Contracted Management
210 E. Choctaw, P.O. Box 429 Sallisaw, OK 74955-0429
Oklahoma Nursing Homes, Ltd. (ONH,Ltd.)
8.314% OP & Mgmt/ 8.4112% RE/ 9.401287% ONH, INC. eff 05/24/12
Stockholders/partners -- Not Officers
P.O. Box 40 Sallisaw, OK 74955
Cheek Barnie J.
8.314% OP & Mgmt/ 8.4112% REStockholders/partners -- Not Officers
3520 East 110th Place Tulsa, OK 74137
Sandra Cheek Farmer Trust (SCFT)
Page 73 of 273
Owner NameFacilities Owned
5.834% OP& Mgmt/5.9190%RE/6.597394% & Sec eff 05/24/12
Stockholders/partners Who Are Officers
4814 S. 164th East Ave. Tulsa, OK 74134
Haskins Lloyd
12.535047%ONHInc/5.192%OP/ Mgt 5.2626%RE&Trustee Watts Ben Trust
Stockholders/partners -- Not Officers
101 Doris Drive #51 Sallisaw, OK 74955
Watts Cleo
5.893% OP & Mgmt/ 5.9746% REStockholders/partners -- Not Officers
103708 S 4627 Road Sallisaw, OK 74955
Watts Beneficiaries Trust (WBT) Sharon Rhodes
14.022% OP Mgt/ 14.2078% RE/ 21.936335% &VP ONH,INC eff 05/24/12
Stockholders/partners Who Are Officers
Box 856 Miami, OK 74355
Tubbs Steven
5.376% OP & Mgmt. / 5.4406% REStockholders/partners -- Not Officers
3350 McCue Road #2002 Houston, TX 77056
Tubbs, Jr. Stanley I.
5.542% OP & Mgmt/5.6186% RE/ 6.267525% ONH, Inc eff 05/24/12
Stockholders/partners -- Not Officers
416 Fairway Dr. Athens, TX 75751
Estep Pat
2.771% OP & ONH,Ltd / 2.8037% RE eff 5/24/12
Stockholders/partners -- Not Officers
1500 West Elm Stroud, OK 74079
Julie Kay Bivin Revocable Trust (JKBRT)
5.135% OP & MGMT/RE 5.2207% eff 05/27/11
Stockholders/partners -- Not Officers
6708 South 256th East Avenue Broken Arrow, OK 74014
Caroyln D. Leaverton Revocable Trust
2.771% OP & ONH,Ltd/ 2.8037% RE eff 5/24/12
Stockholders/partners -- Not Officers
894 Morrow Drive/ PO Box 417 Langley, OK 74350
Dr. William R. VanDeLinder Trust (DWVT)
2.771% OP & Mgmt. / 2.8037% REStockholders/partners -- Not Officers
3808 NW Marquess Drive Bentonville, AR 72712
Lynn M. Yowell Trust
11.0454%RE eff 05/24/12Lessor Or Real Estate Owner
210 East Choctaw Sallisaw, OK 74955
Midwest Nursing Homes, LLC (MNHLLC)
2.771% Mgmt. / 2.8038% REStockholders/partners -- Not Officers
621 N Robinson 100 Oklahoma City, OK 73102
Heritage Trust Company Richard Armstrong Trust (RAT) C/O Matt McGuire
10.89800% OP eff 05/24/12Operating Entity
PO Box 400 Fairfax, OK 74955
Fairfax Manor, LLC
1.219% OP / Manager eff 05/24/12 - 9.401287% Mgmt. eff 11/28/17
Contracted Management
P.O. Box 400 Sallisaw, OK 74955
Oklahoma Nursing Homes, Inc. General Partner (ONH,Inc)
9.401287% Mngt. eff 05/24/12 Ben of RA Trust & RGA Trust
Stockholders/partners -- Not Officers
2802 W. Country Club Dr. Oklahoma City, OK 73116
Armstrong Richard James
9.401287% ONH, eff 08/02/12 & Trustee SCFT
Stockholders/partners -- Not Officers
3520 East 110th Place Tulsa, OK 74137
Farmer Sandra
2.079% OP&Mgt; 2.1028% RE; Eff. 5/12Stockholders/partners -- Not Officers
P.O. Box 173 Gore, OK 74435
Ferguson Debra M.
5.556% OP Mgm/5.5630% RE/ 5.657065% &Treas ONH, Inc eff 05/24/12
Stockholders/partners Who Are Officers
607 Mayo Street Sallisaw, OK 74955
McGrew Justin
Page 74 of 273
Owner NameFacilities Owned
2.771% OP & ONH,Ltd/ 2.8038% REStockholders/partners -- Not Officers
HCR 68 Box 1260 Vian, OK 74962
Armstrong Sally
9.401287% & Pres. eff 05/24/12; Trustee of DWRVT
Stockholders/partners Who Are Officers
PO Box 370 Adair, OK 74330
VanDeLinder Dr. William R.
.70095% RE/0.69275% OP & MgmtStockholders/partners -- Not Officers
1405 E. Seattle St. Broken Arrow, OK 74012
Heath Armstrong VanDeLinder Trust (HAVT)
RE 0.70095% & 0.69275% OP & MGMTStockholders/partners -- Not Officers
5727 South Lewis Ave 800 Tulsa, OK 74105
BOKF Trustee/M Huigens Meredith Margaret Marie VanDeLinder Trust (MMMVT)
RE 0.70095% & 0.69275% OP & MgmtStockholders/partners -- Not Officers
8 Dinton Circle Bella Vista, AR 72714
Nicolas Edmund VanDeLinder Trust (NEVT)
0.70095% RE/0.69275% OP & MgmtStockholders/partners -- Not Officers
2116 Whitney Lane McKinney, TX 75070
William Glen VanDelinder Trust (WGVT)
Trustee of JKBRTTrustee
1500 West Elm Stroud, OK 74079
Bivin Julie K.
2.77100% OPStockholders/partners -- Not Officers
621 N Robinson 100 Oklahoma City, OK 73102
Heritage Trust Company Richard Glen Armstrong Trust (RGAT)
Trustee-Carolyn D. Leaverton Rev. Trust eff 04/24/2014
Trustee
6708 South 256th East Ave Broken Bow, OK 74014
Leaverton Carolyn
Trustee-Carolyn D. Leaverton Rev. Trust eff 04/24/2014
Trustee
6708 South 256th East Ave Broken Arrow, OK 74014
Leaverton Ronald
Trustee and Ben. Carolyn D. Leaverton Rev. Trust eff 4/24/2014
Trustee
6708 South 256th East Ave Broken Arrow, OK 74014
Johnson Karen Diane
Trustee & Ben.Carolyn D. Leaverton Rev. Trust eff 4/24/2014
Trustee
6708 South 256th East Ave Broken Arrow, OK 74014
Fine Michael B.
Beneficiary and Trustee Watts Benf TrustTrustee
51 Green Acre Village Sallisaw, OK 74955
Byers Karen
Beneficiary and Trustee Watts Benf TrustTrustee
51 Green Acre Village Sallisaw, OK 74955
Rhodes Sharon
Watts Beneficiaries TrustBeneficiary
51 Green Acre Village Sallisaw, OK 74955
Rhodes Grant
Beneficiary of Watts Beneficiaries TrustBeneficiary
51 Green Acre Village Sallisaw, OK 74955
Miles Sydney
Beneficiary of Watts Beneficiaries TrustBeneficiary
51 Green Acre Village Sallisaw, OK 74955
Byers Jack
Beneficiary of Watts Beneficiaries TrustBeneficiary
51 Green Acre Village Sallisaw, OK 74955
Cameron Amber
Successor Trustee - Sandra Cheek Farmer Trust eff 4-24-14
Trustee
3520 east 110th Place Tulsa, OK 74137
Farmer Frederick Sinclair
Page 75 of 273
Owner NameFacilities Owned
Sandra Cheek Farmer Trust eff 4/24/14Beneficiary
3520 East 110th Place Tulsa, OK 74137
Farmer Cassandra C.
Sandra Cheek Farmer Trust eff 4/24/14Beneficiary
3520 East 110th Place Tulsa, OK 74137
Farmer Alexandra C.
Trustee of the MMMV Trust, WGVTTrustee
2812 West 114th St. south Jenks, ok 74037
Leutz William K.
Trustee of RA Trust & RGATTrustee
c/o Ben Bryers, 2802 W. Country Club DR. Oklahoma City, ok 73116
Heritage Trust Co.,
Trustee LMYTTrustee
3808 NW Marquess Drive Bentonville, AR 72712
Yowell Lynn
Trustee of LMYTTrustee
3808 NW Marquess Drive Bentonville,, AR 72712
Yowell Ron
Trustee and Beneficiary of the HAVTTrustee
1405 E. Seattle St. Broken Arrow, OK 74012
VanDelinder Heath Armstrong
Beneficiary of the MMMVTrustBeneficiary
2812 West 114th Street South Jenks, OK 74037
VanDeLinder Meredith Margaret Marie
Trustee & Ben NEVT; Ben. of Dr WRVTTrustee
8 Dinton Circle Bella Vista, AR 71714
VanDelinder Nicolas Edmund
Trustee and Beneficiary of the WGVT, Ben. of Dr. WRVT
Stockholders/partners -- Not Officers
6260 Dark Forest Drive McKinney, TX 75070
VanDelinder William Glen
Beneficiary Julie Kay Biven Revocable Trust
Beneficiary
1500 West Elm Stroud, OK 74079
Bivin Jeremy
Beneficiary Julie Kay Biven Revocable Trust
Beneficiary
1500 West Elm Stroud, OK 74049
Bivin Ryan
Beneficiary of RA RGA TrustBeneficiary
2802 W. Country Club Dr. Oklahoma, OK 73116
Heritage Trust Company Armstrong Carol
Beneficiary of LMYTBeneficiary
3808 NW Marquess Drive Bentonville, AR 74017
Lamp Jo Ann
Beneficiary of LMYTBeneficiary
3808 NW Marquess Drive Bentonville, ar 74017
Austin Jennifer
NH5511 405-943-83663233 Northwest 10th Street Oklahoma City, OK 73107
Fairmont Skilled Nursing and Therapy
President/Manag.Member of OP/RE/Manager
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
eff. 07/12/2019Operating Entity
4350 Will Rogers Parkway 300 Okc, OK 73108
Northwest, Incorporated
Page 76 of 273
Owner NameFacilities Owned
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
78% OP eff. 7/12/2019 & Amity Care, LLC eff. 10-21-03
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
22% of OP eff. 7/12/2019 & Amity Care, LLC eff.10-21-03
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
SecretaryOfficers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Okc, OK 73108
Diamond Mike
eff. 07-01-07Lessor Or Real Estate Owner
4350 Will Rogers Parkway 300 Okla. City, OK 73108
Northwest 10th Real Estate, L.L.C.
Chairman/Mayor, City of Pauls Valley, eff 6/30/17
Officers Who Do Not Hold Stock
PO Box 778 Pauls Valley, OK 73075
Alfred Gary
NH4701 580-227-3783605 East State Road Fairview, OK 73737
Fairview Fellowship Home For Senior Citizens, Inc
Operating Entity
605 East State Road Fairview, OK 73737
The Fairview Fellowship Home For Senior Citizens, Inc.
0% Chairman EFF 3/31/2019Officers Who Do Not Hold Stock
P.O. Box 156 Fairview, OK 73737
Wiens Doug
Vice-Chair EFF 3/31/2019Officers Who Do Not Hold Stock
802 Highland Fairview, OK 73737
Kliewer Clay
Secretary, eff 07/11/2012Officers Who Do Not Hold Stock
109 Woodcreek Fairview, OK 73737
Bartel Brenda
Board MemberOfficers Who Do Not Hold Stock
115 Woodcreek Fairview, OK 73737
Ewbank Vicki
Board MemberOfficers Who Do Not Hold Stock
910 N. Jefferson Ave. Fairview, OK 73737
Koehn Jerry
0% Treasurer EFF 3/31/2019Officers Who Do Not Hold Stock
Rt #1 Box 190A Fairview, OK 73737
Willits Ann
Board Member EFF 3/31/2019Officers Who Do Not Hold Stock
,
Brinson Glenda
0% EFF 3/31/2019Officers Who Do Not Hold Stock
605 E. State Road Fairview, OK 73737
Hiett Marlin
0% EFF 3/31/2019Officers Who Do Not Hold Stock
605 E. State Road Fairview, OK 73737
Eitzen Bob
Page 77 of 273
Owner NameFacilities Owned
NH5803 918-676-368512 East Conner Fairland, OK 74343
Family Care Center of Fairland
100% Global Fairland & Global Fairland Property eff 12-31-2020
Stockholders/partners -- Not Officers
6800 N. 79th St 200 Niwot, CO 80503
Global Healthcare REIT Inc.
President of Global Healthcare REITStockholders/partners Who Are Officers
6800 North 78th Street 200 Niwot, CO 80503
Rhine Zvi
Interim CEO Global Healthcare REITStockholders/partners Who Are Officers
6800 North 78th Street 200 Niwot, CO 80503
Baller Lance
Manager of Global Fairland Property, LLC
Stockholders/partners Who Are Officers
6800 N. 79th St. 200 Niwot, CO 80503
Neuman Clifford
RE eff 12-31-2020Lessor Or Real Estate Owner
6800 North 79th Street 200 Niwot, CO 80503
Global Fairland Property, LLC
OP eff 12-31-2020Operating Entity
12 East Conner Fairland, OK 74343
Global Fairland, LLC
NH4802 580-564-2216701 Highway 32 Kingston, OK 73439
Family Care Center of Kingston
50%, MngMem. OP/RE eff. 10-4-12Stockholders/partners Who Are Officers
3548 Wellsite Drive Norman, OK 73069
Scearce Audra
50%, MngMem. OP/RE eff. 10-4-12Stockholders/partners Who Are Officers
3548 Wellsite Drive Norman, OK 73069
Scearce Joe
eff. 10-4-12Operating Entity
3548 Wellsite Drive Norman, OK 73069
FCC of Kingston LLC
eff. 10-4-12Lessor Or Real Estate Owner
3548 Wellsite Drive Norman, OK 73069
EHC Holdings LLC
NH4209 405-282-81662102 W. Warner Guthrie, OK 73044
Fayes Place
100% of Op Entity and Real Estate EntityStockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Diakonos Group, LLC
99% Diakonos Group, LLCStockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Pilgrim Scott
EFF 09-01-2015Operating Entity
P.O. Box 990 Edmond, OK 73083
Guthrie Cottages, LLC
Page 78 of 273
Owner NameFacilities Owned
EFF 09-01-2015Lessor Or Real Estate Owner
P.O Box 990 Edmond, OK 73083
Guthrie Holding, LLC
1% of Diakonos Group, LLCStockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
Servant Living Center Holding Company
NH3702 405-375-31571415 South Main Street Kingfisher, OK 73750
First Shamrock Care Center
Beneficiary of Gilbert F. Green TrustBeneficiary
P.O. Box 1454 Sallisaw, OK 74955
Green Trust Philip Riley
25% BGM Estate, LLC eff 9-27-16Stockholders/partners -- Not Officers
P.O. Box 330 Muldrow, OK 74948
Tabor Angela
25% BGM Estate, LLC eff 9-27-16Stockholders/partners -- Not Officers
111522 S. 4740 Road Muldrow, OK 74948
Mitchell Robert Michael
25% BGM Estate eff 9-27-16Stockholders/partners -- Not Officers
412 S. Dogwood Sallisaw, OK 74955
Mitchell Marcinda
12.5% OP, eff 5/2/14 25% BGM Estate, LLC eff 9-27-16
Stockholders/partners -- Not Officers
7240 Chase Oaks Blvd 121 Plano, TX 75025
Mitchell Kelly O.
UPL Mgr. eff. 6/30/2017-8/1/2019/OP 8/1/2019
Operating Entity
201 N. Elm, Suite A Sallisaw, OK 74955
Shamrock Care Centers, L.L.C.
Beneficiary of Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Green Reba
Beneficiary of Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Seay Tiffany Renee
Beneficiary of Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Thurman Bronson Owen
Beneficiary of Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, Ok 74955
Tiffany Seay Exempt Trust
Beneficiary of Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Thurman Trust, Gilbert F. Green, Trustee Bronson
Beneficiary of Gilbert F. Green TrustBeneficiary
P.O. Box 11454 Sallisaw, OK 74955
Green Lori
25% OPStockholders/partners -- Not Officers
P.O. Box 1454 Sallisaw, OK 74955
Philip M. Green Revocable Trust
25% OPStockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Gilbert F. Green Trust
Trustee/ Beneficiary Philip M Green Revocable Trust
Trustee
P.O. Box 1454 Sallisaw, OK 74955
Green Philip M.
Page 79 of 273
Owner NameFacilities Owned
Trustee/ Beneficiary Philip M Green Revocable Trust
Trustee
P.O. Box 1454 Sallisaw, OK 74955
Green Philip M.
Trustee/ Beneficiary of Gilbert F. Green Trust
Trustee
P.O. Box 1090 Sallisaw, OK 74955
Green Gilbert F.
Trustee/ Beneficiary of Gilbert F. Green Trust
Trustee
P.O. Box 1090 Sallisaw, OK 74955
Green Gilbert F.
Beneficiary of Philip M. Green Revocable Trust
Beneficiary
P.O. box 1090 Sallisaw, OK 74955
Stewart Lori Green
Beneficiary of Philip M. Green Revocable Trust
Beneficiary
P.O. Box 1090 Sallisaw, OK 74955
Green Philip R.
Manager EFF 3/4/13 -11/2/15/ Re EFF 8/1/19
Officers Who Do Not Hold Stock
905 Beall Road Kingfisher, OK 73750
Themer Diane
37.50% OP eff 9-16-16Stockholders/partners -- Not Officers
P.O. Box 568 Sallisaw, OK 74955
BGM Estate, LLC
Manager EFF 3/14/16Officers Who Do Not Hold Stock
905 Beall Rd Kingfisher, OK 73750
Kopacka Brendan
Manager of LLC EFF 01-18-2020Officers Who Do Not Hold Stock
1415 S. Main Street Kingfisher, OK 73750
Jay Judy
NH7244 918-254-50004300 West Houston Broken Arrow, OK 74012
Forest Hills Care and Rehabilitation Center
100% RE Eff 11/15/2010 (Assignor-06/01/13)
Lessor Or Real Estate Owner
18831 Von Karman Ave. 400 Irvine, CA 92612
Sabra Forest Hills, LLC
100% of Sabra Forest Hills, LLCStockholders/partners -- Not Officers
18831 Von Karman Ave. 400 Irvine, CA 92612
Sabra Health Care Holdings II, LLC
100% Sabra Health Care Holding II, LLCStockholders/partners -- Not Officers
18831 Von Karman Ave. 400 Irvine, CA 92612
Sabra Health Care Holding I, LLC
100% of Sabra Health Care I, LLCStockholders/partners -- Not Officers
18831 Von Karman Ave 400 Irvine, CA 92612
Sabra Health Care Limited Partnership
1% Limited Partner of Sabra Health Care Limited Partnership
Stockholders/partners -- Not Officers
18831 Von Karman Ave 400 Irvine, CA 92612
Sabra Health Care, LLC
99% General Paertner of Sabra Health Care Limited Partnership
Stockholders/partners -- Not Officers
18831 Von Karman Ave. 400 Irvine, CA 92612
Sabra Health Care REIT, Inc.
Contracted Management eff 11-13-2017Contracted Management
477 North Lindbergh Blvd 310 St. Louis, MO 63141
Midwest Geriatric Management, LLC
Page 80 of 273
Owner NameFacilities Owned
13.5% Forest Hills HC Managing Member, 50% MGM
Stockholders/partners Who Are Officers
14447 Chellington Ct. 430 Chesterfield, MO 63017
Bienstock Judah
50% Managing Member OP, eff 06/01/13Stockholders/partners -- Not Officers
8 Primrose Dr. Lakewood, NJ 08701
Jeremias Baruch
10% of Forest Hills Health Care, LLC eff 11/11/2017
Stockholders/partners Who Are Officers
1111 Marcus Ave 107 Lake Success, NY 11042
Fensterman Howard
37% of Forest Hills Health Care, LLC eff 11/11/2017
Stockholders/partners -- Not Officers
1111 Marcus Ave. 107 Lake Success, NY 11042
Landa Benjamin
Eff 06/01/2013Operating Entity
477 North Lindergh Blvd 310 St. Louis, MO 63141
314-812-2550 Forest Hills Health Care, LLC
Eff. 06/01/2013 (Assignee)Lessor Or Real Estate Owner
2 City Place 200 St. Louis, MO 63141
Emerald Senior Care, LLC
13% of Forest Hill Heatlh Care, LLC eff 11/11/2017
Stockholders/partners -- Not Officers
59 Causeway Lawrence, NY 11559
Taub Miriam
33% of Forest Hills HC, 50% MGM and Trustee of Nationwide Trust
Stockholders/partners -- Not Officers
8 Primrose Drive Lakewood, NJ 08701
Oklahoma Acquisitions, LLC
15.15% of Oklahoma Acquisitions eff 11-2016 no members have 5%
Stockholders/partners -- Not Officers
445 Central Ave 304 Cedarhurst, NY 11516
MACB Resources, LLC
NH7401 918-534-33551410 N. Choctaw St. Dewey, OK 74029
Forrest Manor Nursing Center
Lessor Or Real Estate Owner
1802 N.E. Loop 410 #111 San Antonil, TX 78217
Cotter James F.
100% OPStockholders/partners -- Not Officers
105 Washington Pauls Valley, OK 73075
McCaskill Don
Operating Entity
PO Box 280 Dewey, OK 74029
Dewbar Management, L.L.C.
NH5103 918-478-2456205 East Poplar Fort Gibson, OK 74434
Fort Gibson Nursing Home
60% BHCP GP JV 2015, LLC, 7/1/16Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
Birchwood Health Care Properties, LLC
Manager & 100% Mbr, Birchwood HCP LLC& OK4 Manager, LLC 7/1/16
Stockholders/partners Who Are Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
Dole Isaac
Page 81 of 273
Owner NameFacilities Owned
RE Eff, 7/1//16Lessor Or Real Estate Owner
332 S. Michigan Ave. 1100 Chicago, IL 60604
OK4 Ft. Gibson RealCo, LLC
Manager 7/1/16Manager
415 US Hwy377 S 200 Argyle, TX 76226
Transition Health Services-OK, LLC
100%Master Lessee (RE) eff 5/8/18Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
OK4 SNF HoldCo, LLC
100% OK4 SNF HoldCo, LLC, 7/1/16Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
OK4 HH/H Master HoldCo, LLC
5% BHCP OK4 HH/H JV, LLC 7/1/16Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
BHCP OK4 HH/H Sponsor, LLC
95% BHCP OK4 HH/H JV, LLC,7/1/16Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
BHCP OK4 HH/H Investors, LLC
70% BHCP OK4 HH/H Sponsor,LLC, eff 5/8/18
Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
BHCP GP JV 2015, LLC
Mgr-Applicant,Lessor, OK4 SNF HoldCo,LLC,OK4HH/H Master 7/1/16
Manager
332 S. Michigan Ave. 1100 Chicago, IL 60604
OK4 Manager, LLC
0-25% OK4 HH/H Master HoldCo, LLC, 7/1/16
Stockholders/partners -- Not Officers
415 US Hwy 377 S 200 Argyle, TX 76226
SBS of OK, LLC
33.33% Member & Manager SBSof OK,LLC&THS-OK,LLC,7/1/16
Stockholders/partners Who Are Officers
415 US Hwy 377 S 200 Argyle, TX 76226
Bates Josh
33.33% Member & Manager SBSof OK,LLC&THS-OK,LLC,7/1/16
Stockholders/partners Who Are Officers
415 US Hwy 377 S 200 Argyle, TX 76226
Shelton Chana
33.33% Member & Manager SBSof OK,LLC&THS-OK,LLC,7/1/16
Stockholders/partners Who Are Officers
415 US Hwy 377 S 200 Argyle, TX 76226
Sims Debra
OP Eff 1/7/16 & Sublessee eff 5/8/18Operating Entity
332 S. Michigan Ave. 1100 Chicago, IL 60604
OK4 Ft. Gibson OpCo, LLC
NH5603 918-652-7021107 East Barclay Henryetta, OK 74437
Fountain View Manor, Inc
Operating Entity
107 E. Barclay Henryetta, OK 74437
Fountain View Manor, Inc.
16.5% PresStockholders/partners Who Are Officers
P.O. Box 179 Henryetta, OK 74437
Kramer Sylvia
50.5% of Fountain View Manor, Inc.Sec/Treas 04/23/2019
Stockholders/partners -- Not Officers
111 E. Jefferson Henryetta, OK 74437
Clason (Munholland) Jennifer
Page 82 of 273
Owner NameFacilities Owned
16.5% Fountain View, Inc.Stockholders/partners -- Not Officers
5013 South Ross Ave Oklahoma City, OK 73119
Molet Donna
5% Fountain View Manor, Inc. eff 04/23/2019
Stockholders/partners -- Not Officers
1075 Hickory Drive Choctaw, OK 73020
Molet David
11.5% Fountain View Manor, Inc. eff 04/23/2019
Stockholders/partners -- Not Officers
1075 Hickory Drive Choctaw, OK 731020
Molet Ann
NH0704 580-677-99111212 Four Seasons Drive Durant, OK 74701
Four Seasons Rehabilitation & Care
Chairman of Senior Care Group, Inc. eff. 10/28/10
Officer
1240 Marbella Plaza Drive #12 Tampa, FL 33619
Vaughan David R.
eff. 11-01-06Operating Entity
1240 Marbella Dr. Tampa, FL 33619
SCG Durant Four Seasons, LLC
100% OP/RE/MngerManaging Member
1240 Marbella Plaza Drive Tampa, FL 33619
Senior Care Group, Inc.
Pres, SCG eff 04/21/2017Officer
1240 Marbella Plaza Drive Tampa, FL 33619
Vaughan Michelle
66.67% LQCP Management, LLCStockholders/partners -- Not Officers
1300 S. University Dr. 306 Fort Worth, TX 76107
Boswell Darren
CFO of SCG eff 04/21/2017CFO
1240 Marbella Plaza Drvie Tampa, FL 33619
Barnhart Amy
COO for SCG eff 04/21/2017Officer
1240 Marbella Plaza Drive Tampa, FL 33619
Brinkerhoff Brian
CJ2017-190 eff. 10-31-2018Court Appointed Receiver
401 South Boston 2320 Tulsa, OK 74103
C. David Rhoades Court Appointed Receiver CJ-2017-190
eff. 01/09/2019Contracted Management
1908 12th Ave. E Ardmore, OK 73401
Elmbrook Managment Company
Lessor eff 04-09-2019Lessor Or Real Estate Owner
2001 Route 46, 301 Parsippany, NJ 07054
1212 Four Seasons Drive, LLC
Court Appointed Receiver CJ-2017-190Court Appointed Receiver
401 South Boston 2320 Tulsa, OK 74103
Court Appointed Receiver, C. David Rhoades CJ-2017-190
100% 1212 Four Seasons Drive, LLCStockholders/partners -- Not Officers
2001 Route 46 301 Parsippany, NJ 07054
LQC Partners XI, LLC
100% LQC Partners XI, LLCStockholders/partners -- Not Officers
2001 Route 46 301 Parsippany, NJ 07054
LQCP Management, LLC
33.33% LQCP Management, LLCStockholders/partners -- Not Officers
2001 Route 46 301 Parsippany, NJ 07054
Torzilli Michele
Page 83 of 273
Owner NameFacilities Owned
NH5417 918-650-93931342 East Columbia Street Okemah, OK 74859
Freedom Place
amended corp. name (fkaProdetik, Inc.) eff 02-05-08
Operating Entity
1201 W. Trudgeon Henryetta, OK 74437
The Reach Corporation
Non-Profit Board President of The Reach Corporation 2019
Officers Who Do Not Hold Stock
PO Box 790 UnionTown, KY 42461
Bailey M. Geoffry
100% RELessor Or Real Estate Owner
P.O. Box 409 Sturgis, KY 42459
Maricopa Properties, LLC
100% Maricopa Properties, LLC eff 11-7-2008
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Maricopa Partners, LLC
33.33% of Maricopa Partners, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Rock River, LLC
33.33% of Maricopa Partners, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
MMB, LLC
33.33% of Maricopa Partners, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Lovenest, LLC
4 irrevocable trustsTrustee
P.O. Box 409 Sturgis, KY 42459
Ervin Gary
4 irrevocable trustsTrustee
P.O. Box 409 Sturgis, KY 42459
Ervin Lisa
32.88% of MMB,LLC and trustee 3 irrevocable trusts
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Tim
17.455% of MMB, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Vicki
29.421% of Lovenest, LLC & Trustee 7 irrevocable trusts
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Robert
13.957% of Lovenest, LLC & Trustee 7irrevocable trusts
Stockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Laura
53.016% of Rock River, LLC - 4 children w/13.254% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
4 Irrevocable Trusts
25% of 4 Irrevocable TrustsBeneficiary
P.O.Box 409 Sturgis, KY 42459
Ervin Mallory
25% of 4 Irrevocable TrustsBeneficiary
P.O. Box 409 Sturgis, KY 42459
Ervin Jade
25% of 4 Irrevocable TrustsBeneficiary
P.O. Box 409 Sturgis, KY 42459
Ervin Luke
Page 84 of 273
Owner NameFacilities Owned
25% of 4 Irrevocable TrustsBeneficiary
P.O. Box 409 Sturgis, KY 42459
Ervin Gabe
49.665% of MMB, LLC - 5 children w/9.933% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
3 Irrevocable Trusts
20% of 3 Irrevocable TrustsBeneficiary
P.O. Box 409 Sturgis, KY 42459
Ervin Max
20% of 3 Irrevocable TrustsBeneficiary
P.O. Box Sturgis, KY 42459
Linenger Jessica
20% of 3 Irrevocable TrustsBeneficiary
P.O. Box 409 Sturgis, KY 42459
Ervin Mitch
20% of 3 Irrevocable TrustsBeneficiary
P.O. Box 409 Sturgis, KY 42459
Linenger Jennifer
20% of 3 Irrevocable TrustsBeneficiary
P.O. Box 409 Sturgis, KY 42459
Ervin Brock
56.623% of Lovenest, LLC - 7 children w/8.089% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
7 Irrevocable Trusts
14.286% of 7 Irrevocable TrustsBeneficiary
P.O. Box 409 Sturgis, KY 42459
Ervin Thea
14.286% of 7 Irrevocable TrustsBeneficiary
P.O. Box 409 Stugris, KY 42459
Ervin Issac
14.286% of 7 Irrevocable TrustsBeneficiary
P.O. Box 409 Stugis, KY 42459
Ervin Samuel
14.286% of 7 Irrevocable TrustsBeneficiary
P.O. Box 409 Sturgis, KY 42459
Ervin Elijah
14.286% of 7 Irrevocable TrustsBeneficiary
P.O. Box 409 Sturgis, KY 42459
Ervin Saul
14.286% of 7 Irrevocable TrustsBeneficiary
P.O. Box 409 Sturgis, KY 42459
Ervin Micah
14.286% of 7 Irrevocable TrustsBeneficiary
P.O. Box 409 Sturgis, KY 42459
Ervin Mathias
3 irrevocable trustsTrustee
P.O Box 409 Sturgis, KY 42459
Ervin Vicky
NH2405 580-234-25261404 N. Garland Road Enid, OK 73703
Garland Road Nursing & Rehab Center
Trustee of Denver McCormick Revocable Trust
Trustee
9813 S. Penn OKC, OK 73159
McCormick Denver
Page 85 of 273
Owner NameFacilities Owned
Trustee Linda McCormick Revocable Trust
Trustee
9813 S. Penn OKC, OK 73159
McCormick Linda
Trustee of Arlena Dunbar Revocable Trust
Trustee
5413 NW 107th Street Oklahoma City, OK 73162
Dunbar Arlena
trustee of the Don Nevard Rev TrustTrustee
4800 N. Lincoln OKC, OK 73105
Nevard Donald
100% of RELessor Or Real Estate Owner
9813 South Penn Oklahoma City, OK 73159
HPM of Enid, LLC
29.167% RE Eff. 02/03/2014/Stockholders/partners -- Not Officers
9813 S. Penn Oklahoma City, OK 73159
Denver McCormick Revocable Trust
29..167% RE Eff. 02/03/2014Stockholders/partners -- Not Officers
9813 S. Penn Oklahoma City, OK 73159
Linda McCormick Revocable Trust
29.167% RE Eff. 02/03/2014Stockholders/partners -- Not Officers
5413 N.W. 107th Okla. City, OK 73162
Arlena Dunbar Revocable Trust
12.5% of HPM of Enid, LLCStockholders/partners -- Not Officers
5 S.W. 9th Okla. City, OK
Donald Nevard, Revocable Trust
Beneficiary of Don Nevard Revocable Trust
Beneficiary
4800 N. Lincoln Blvd. Okla. City, OK 73105
Nevard Debra
Beneficiary of Don Nevard Revocable Trust
Beneficiary
4800 N. Lincoln Blvd. Okla. City, OK 73105
Nevard Lisa
Beneficary of Don Nevard Revocable Trust
Beneficiary
4800 N. Lincoln Blvd. Okla. City, OK 73105
Nevard Michael
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Beneficiary
4108 Opus Ct. Flower Mound, TX 75022
Pennington Amy
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Beneficiary
2433 Glenoak Dr. Norman, OK 73071
Petrone Alison
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Beneficiary
8594 D East 133 Holdenville, OK 74850
Jones Joshua
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Beneficiary
8594 D East 133 Holdenville, OK 74850
Jones Tanner
Beneficiary of Arlena Dunbar Revocable Trust
Beneficiary
5413 NW 107th Okla. City, OK 73159
Dunbar William
Beneficiary of Arlena Dunbar Revocable Trust
Beneficiary
12204 N. Kimberlyn Rd. Okla. City, OK 73162
Dunbar Teresa
Contracted Managment Company eff 11-01-2020
Contracted Management
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Stonegate Senior Living, LLC
Page 86 of 273
Owner NameFacilities Owned
Beneficiary of Arlena Dunbar Revocable Trust
Beneficiary
3913 Spyglass Road Okla. City, OK 73167
Nard Charlotte
Councilman, City of Pauls Valley, eff 5/14/19
Officers Who Do Not Hold Stock
PO Box 778 Pauls Valley, OK 73075
Grimmett Patrick
UPL Manager Eff 6/30/2017Contracted Management
,
Garland Road Nursing & Rehab Center
100% PF Garland SNF Ops, LLC, eff 11/1/2020
Stockholders/partners -- Not Officers
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
Sanctuary LTC, LLC
President & CEO of Preservation Freehold Co. eff 11-01-2020
Officers Who Do Not Hold Stock
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
Chance James M.
Secretary & Treasurer of Preservation Freehold Co eff 11-01-2020
Officers Who Do Not Hold Stock
1500 Waters Ridge Dr. Lewsiville, TX 75057
Langdon Thomas E.
Board Member Preservation Freehold Co eff 11-01-2020
Officers Who Do Not Hold Stock
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
Arnette Dana E.
Board Member Preservation Freehold Co.Officers Who Do Not Hold Stock
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
McGehee William Darrel
100% Sanctuary LTC, LLC eff 11-01-2020
Stockholders/partners -- Not Officers
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
Preservation Freehold Company
OP eff Nov 1, 2020Operating Entity
,
PF Garland SNF Ops, LLC
NH7252 918-258-39001401 East College Broken Arrow, OK 74012
Gatesway Foundation III
Operating Entity
1217 E. College Broken Arrow, OK 74012
Gatesway Foundation, Inc.
Board Member 04-13-2020Officers Who Do Not Hold Stock
2021 E. 44th Tulsa, OK 74105
Miller Ray
President end 04/13/2020Officers Who Do Not Hold Stock
1844 North 106th East Avenue Owasso, OK 74116
Pacula Jim
Treasurer end 04/13/2020Officers Who Do Not Hold Stock
2720 N Hemlock CT C Broken Arrow, OK 74012
Parrish David
Board President eff 04-13-2020Officers Who Do Not Hold Stock
1217 East College Broken Arrow, OK 74012
Feary John
Board Secretary eff 04-13-2020Officers Who Do Not Hold Stock
,
Langford Larry
Page 87 of 273
Owner NameFacilities Owned
Board Member eff 04/13/2020Officers Who Do Not Hold Stock
1217 East College Broken Arrow, OK 74012
Arend Greg
Board Member eff 04/13/2020Officers Who Do Not Hold Stock
1217 East College Broken Arrow, OK 74012
Gibbs George
Board Member eff 04/13/2020Officers Who Do Not Hold Stock
1217 East College Broken Arrow, OK 74012
Norris Dawn
CEO & Authorized Signer eff 04/13/2020
CEO
1217 East College Broken Arrow, OK 74012
Tisdale Weldon
NH7212 918-258-39001217 East College Broken Arrow, OK 74012
Gatesway Foundation, Inc.
Operating Entity
1217 E. College Broken Arrow, OK 74012
Gatesway Foundation, Inc.
President, eff - 6/25/14Officers Who Do Not Hold Stock
1844 North 106th East Avenue Owasso, OK 74116
Pacula Jim
Vice President eff - 6/25/14Officers Who Do Not Hold Stock
6111 E. Skelly Drive 506 Tulsa, OK 74135
Tulsa Community College Artis Dr. Fredrick
Treasuer eff - 6/25/14Officers Who Do Not Hold Stock
2720 N Hemlock CT C Broken Arrow, OK 74012
Parrish David
Secretary eff - 6/25/14Officers Who Do Not Hold Stock
510 S. Rockford Tulsa, OK 74120
Ruggles Debbie
CEO Eff Dec 2015Officers Who Do Not Hold Stock
1217 E College Broken Arrow, OK 74012
Morton Gloria
CEO-Authorized Signatory eff 2/20/2020Officers Who Do Not Hold Stock
1217 East College Broken Arrow, OK 74012
Tisdale Weldon
NH7236 918-258-39001217 East College Broken Arrow, OK 74012
Gatesway Foundation, Inc. II
Operating Entity
1217 E. College Broken Arrow, OK 74012
Gatesway Foundation, Inc.
Board MememberOfficer
2021 E. 44th Tulsa, OK 74105
Miller Ray
President,eff. 06/25/2012 endOfficers Who Do Not Hold Stock
1502 E College Broken Arrow, OK 74012
Cook Joe
CEO Eff Dec 2015Officers Who Do Not Hold Stock
1217 E College Broken Arrow, OK 74012
Morton Gloria
Page 88 of 273
Owner NameFacilities Owned
Board PresidentOfficers Who Do Not Hold Stock
1217 East College Broken Arrow, OK 74012
Feary John
Board SecretarySecretary/Treasurer
,
Langford Larry
Board MemberOfficer
1217 East College Broken Arrow, OK 74012
Arend Greg
Board MembersOfficer
1217 East College Broken Arrow, OK 74012
Gibbs George
Board MemberOfficer
1217 East College Broken Arrow, OK 74012
Norris Dawn
Authorized Signer - CEOCEO
1217 East College Broken Arrow, OK 74012
Tisdale Weldon
NH7257 918-258-39001301 East College Broken Arrow, OK 74012
Gatesway Foundation, Inc. IV
Operating Entity
1217 E. College Broken Arrow, OK 74012
Gatesway Foundation, Inc.
CEO Eff Dec 2015Officers Who Do Not Hold Stock
1217 E College Broken Arrow, OK 74012
Morton Gloria
Board PresidentOfficers Who Do Not Hold Stock
1217 East College Broken Arrow, OK 74012
Feary John
Board SecretarySecretary/Treasurer
,
Langford Larry
Board MemberOfficer
1217 East College Broken Arrow, OK 74012
Arend Greg
Board MembersOfficer
1217 East College Broken Arrow, OK 74012
Gibbs George
Board MemberOfficer
1217 East College Broken Arrow, OK 74012
Norris Dawn
Authorized Signer - CEOCEO
1217 East College Broken Arrow, OK 74012
Tisdale Weldon
NH7258 91828914591313 East College Broken Arrow, OK 74012
Gatesway Foundation, Inc. V
Operating Entity
1217 E. College Broken Arrow, OK 74012
Gatesway Foundation, Inc.
Page 89 of 273
Owner NameFacilities Owned
Board PresidentOfficers Who Do Not Hold Stock
1217 East College Broken Arrow, OK 74012
Feary John
Board SecretarySecretary/Treasurer
,
Langford Larry
Board MemberOfficer
1217 East College Broken Arrow, OK 74012
Arend Greg
Board MembersOfficer
1217 East College Broken Arrow, OK 74012
Gibbs George
Board MemberOfficer
1217 East College Broken Arrow, OK 74012
Norris Dawn
Authorized Signer - CEOCEO
1217 East College Broken Arrow, OK 74012
Tisdale Weldon
NH0602 405-884-5440720 North Galena Geary, OK 73040
Geary Community Nursing Home
effective 3/19/2014Operating Entity
2416 N. Portland Ave. OKC, OK 73112
First Choice Home Medical, Inc.
100% First Choice Home Medical, Inc. President eff 01-25-2018
Stockholders/partners Who Are Officers
1804 E. Cavanaugh Elreno, OK 73036
Myers Vicki Dean Russell
NH7233 918-291-42301700 East 141st Street Glenpool, OK 74033
Glenwood Skilled Nursing and Therapy
Mangers of Amity Care, LLC & ReGlenpool, LLC eff. 9/16/2015
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Dimond Mike
management company eff 9/16/2015Contracted 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
22% Amity Care, LLC 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
58% ReGlenpool, LLC eff 9/16/2015Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Clarity Properties, LLC
52% of Renew - Mike Dimond,Trustee eff 9/16/2015
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Stalwart Trust
Page 90 of 273
Owner NameFacilities Owned
eff. 9/16 /2015Operating Entity
4530 Will Rogers Parkway 300 Oklahoma City, OK 73108
Glenpool Operations, LLC
eff 9/16/2015Lessor Or Real Estate Owner
4530 Will Rogers Park Way OKC, OK 73108
ReGlenpool, LLC
42% ReGlenpool, LLC eff 9/16/2015Stockholders/partners -- Not Officers
4530 Will Rogers Park Way 300 OKC, OK 73108
Renew Properties, LLC
100% Clarity Properties 48% Renew Prop. eff 9/16/2015
Stockholders/partners -- Not Officers
4530 Will Rogers Parkway 300 OKC, OK 73108
Don Greiner Family Trust, Don Greiner Trustee
Manager of OP EFF 7-20-2020Officers Who Do Not Hold Stock
1908 12th Ave NW E Ardmore, OK 73401
Coble Brett
NH4203 405-282-6285419 East Oklahoma Guthrie, OK 73044
Golden Age Nursing Home of Guthrie, LLC
8% Mbr HMLC, LLCStockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Golden Age Nursing Home Of Guthrie, Inc.(GAN)
10% mbr HMLC, LLCStockholders/partners -- Not Officers
Box 1095 Guthrie, OK 73044
Chappell Mary Lou
2% Mbr HMLC, LLC eff 3/4/16Stockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Perry Green Valley Nursing Home, Inc.(PGV)
4% Mbr HMLC, LLC eff 04/18/2012Stockholders/partners -- Not Officers
PO Box 1095 Guthrie, OK 73044
Stilwell Nursing Home, Inc.(SNH)
Chappell 2012 Succession TrBeneficiary
P.O. Box 1095 Guthrie, OK 73044
Chappell Jeff
RELessor Or Real Estate Owner
P.O. Box 1095 Guthrie, OK 73044
H&M Family Property, LLC
Manager of HMLC,LLC, OP & REManager
P.O. Box 1095 Guthrie, OK 73044
Hastings Tandie
Operating Entity
P.O. Box 1095 Guthrie, OK 73044
Golden Age Nursing Home of Guthrie, LLC
34% RE eff 03/04/16Stockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Bennie & Leo, LLC
100% Mbr OPStockholders/partners -- Not Officers
PO Box 1095 Guthrie, OK 73044
HMLC, LLC
Manager, HMLC, LLC; Trustee Chappell 2012 Succession Trust
Trustee
PO Box 1095 Guthrie, OK 73044
Chappell Hollie "Joe"
75% Mbr HMLC, LLC, eff 3/4/16Stockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Chappell 2012 Succession Trust dated 1/3/2012
Page 91 of 273
Owner NameFacilities Owned
Chappell 2012 Succession TrBeneficiary
,
Chappell Jon D.
Chappell 2012 Succession TrBeneficiary
,
Crockett Mary Janice
NH2408 580-24926005801 North Oakwood Road Enid, OK 73703
Golden Oaks Village
Director-ORV, Inc. eff 03/13/2019Officers Who Do Not Hold Stock
5801 N. Oakwood Rd. Enid, OK 73703
Lillie Annette
Director-ORV, Inc. eff 03/13/2019Officers Who Do Not Hold Stock
5801 N.Oakwood Rd. Enid, OK 73703
Lillie Gary
Eff 6/4/18Operating Entity
5801 N. Oakwood Rd. 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
NH7202 918-299-8508711 North 5th Street Jenks, OK 74037
Grace Skilled Nursing and Therapy Jenks
President/Manag.Member of OP/RE/Manager
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Operating Entity
4415 Highline Boulevard Oklahoma City, OK 73108
Jenks Living Centers, L.L.C.
Lessor Or Real Estate Owner
4415 Highline Boulevard Oklahoma City, OK 73108
Highline L. L. C.
40% REStockholders/partners -- Not Officers
4415 Highline Blvd. Oklahoma City, OK 73108
Captains Properties, L.L.C.
60% REStockholders/partners -- Not Officers
P.O. Box 23017 Oklahoma City, OK 73123
Straight Path, L.L.C.
Secretary, opOfficers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Dimond Mike
Page 92 of 273
Owner NameFacilities Owned
78% OP & Amity Care, LLC eff. 10-21-03
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
22% OP & Amity Care, LLC eff.10-21-03
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
Employment Tax Entity
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Jenks Admin. LLC
NH1410 405-366-88004554 West Main Norman, OK 73072
Grace Skilled Nursing and Therapy Norman
1% Corp StockOperating Entity
P.O. Box 270120 Oklahoma City, OK 73137
Security Health Care, L.L.C.
Lessor Or Real Estate Owner
151 N. Main 700 Wichita, KS 67202
Norman Properties, LLC
99% OP & 78% Amity Care, LLC eff. 10-21-03
Stockholders/partners Who Are Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Don Greiner Trustee Kenneth D.Greiner III Revocable Trust, Don Greiner Benef/Trustee
Tax EntityEmployment Tax Entity
4350 Will Rogers 300 Oklahoma City, OK 73108
Norman Admin, LLC
Manager of OP, eff 6/11/2020Officers Who Do Not Hold Stock
1908 12th Ave NW E Ardmore, OK 73401
Coble Brett
NH7229 918-622-34306201 East 36th Street Tulsa, OK 74135
Gracewood Health & Rehab
50% Gracewood Manor, 100% Gracewood Health eff 10/31/2015
Stockholders/partners Who Are Officers
9 Professional Drive Bella Vista, AR 72715
Montgomery Bradford
RE 100% eff 10/31/2015Lessor Or Real Estate Owner
9 Professional Drive Bella Vista, AR 72715
Gracewood Manor, LLC
OP eff 10/31/2015Operating Entity
9 Professional Drive Bella Vista, AR 72715
Gracewood Health & Rehab, LLC
50% of Gracewood Manor, LLC eff 10/31/2015
Stockholders/partners Who Are Officers
9 Professional Drive Bella Vista, AR 72715
Montgomery John
50% Managing Member of management company
Stockholders/partners Who Are Officers
P.O. Box 1009 Gore Oklahoma City, OK 74435
Smith Layne
50% Member of managment companyStockholders/partners -- Not Officers
P.O. Box 1009 Gore Oklahoma City, OK 74435
Smith Brooke
Page 93 of 273
Owner NameFacilities Owned
Management EFF 04/03/2019Manager
Post Office Box 1009 Gore, OK 74435
Strong River Management, LLC
NH0905 405-350-23111110 South Cornwell Drive Yukon, OK 73099
Gran Grans Place
Trustee Gregory E Machtolff Trust, President GHM Enter 03-09-18
Officer
P.O. Box 977 Guthrie, OK 73044
Machtolff Gregory E.
Lessor Or Real Estate Owner
P.O. Box 977 Guthrie, OK 73044
GHM ENTERPRISES, INC.
Trustee George H Machtolff III Trust, VP GHM Enter 03-09-18
Stockholders/partners Who Are Officers
P.O. Box 977 Guthrie, OK 73044
Machtolff III George H.
50%OpEntStockholders/partners -- Not Officers
917 Travertine Circle Yukon, OK 73099
Lusty David
50%OpEntStockholders/partners -- Not Officers
917 Travertine Circle Yukon, OK 73099
Lusty Nell
50% of GHM Enterprises, Inc. eff 03-09-2018, President
Stockholders/partners Who Are Officers
P.O. Box 977 Guthrie, OK 73044
Gregory E. Machtolff Trust
50% of GHM Enterprises, Inc. eff 03-09-2018
Stockholders/partners -- Not Officers
P.O. Box 977 Guthrie, OK 73044
George H. Machtolff III Trust
OP eff 05-22-02 changed from PPG, LLC to GGP, LLC 10-14-2020
Operating Entity
917 Travertine Circle Yukon, OK 73099
GGP, LLC
NH2102 918-786-2276103 Har-Ber Road Grove, OK 74345
Grand Lake Villa
100% of Oak Lake, LLCStockholders/partners -- Not Officers
593 Atlanta Street Roswell, GA 30075
Brogdon Connie
Manager of Oak Lake, LLC eff 07/28/11Officers Who Do Not Hold Stock
3050 Peachtree Rd 355 Atlanta, GA 30305
Brogdon Christopher
Operating Entity
455 East Paces Ferry Rd 302 Atlanta, GA 30305
Oak Lake, LLC
Eff. 3/1/2014Contracted Management
455 East Paces Ferry Road, N.E. 302 Atlanta, GA 30305
Marsh Pointe Managment, LLC
Page 94 of 273
Owner NameFacilities Owned
NH7204 918-428-36003601 North Columbia Tulsa, OK 74110
Green Country Care Center
Pres 33.3%Stockholders/partners Who Are Officers
P.O. Box 3669 Tulsa, OK 74101
Buford Stephen
V/pres 33.3%Stockholders/partners Who Are Officers
P.O. Box 3669 Tulsa, OK 74101
Buford Sam
V/pres 33.3%Stockholders/partners Who Are Officers
P.O. Box 3669 Tulsa, OK 74101
fka Buford Linsenmeyer Sharon B.
eff10-1-1998Lessor Or Real Estate Owner
3601 North Columbia Ave Tulsa, OK 74110
Green Country Care Center, Inc.
Operating Entity
P.O. Box 2680 Tullsa, OK 74101
Court Appointed Receiver, Larry Cain/Phoenix Healthcare, L.L.C.,
NH2404 580-233-01211119 East Owen K Garriott Road Enid, OK 73701
Greenbrier Nursing Home
Operating Entity
1119 E. Owen K. Garriott Road Enid, OK 73701
Greenbrier Nursing Home Number Two, Inc.
34% GBV Enterpries, Inc.Stockholders/partners -- Not Officers
1902 Mockingbird Lane Enid, OK 73703
Hackett Steven C.
39% GBV Enterprieses, Inc.Officers Who Do Not Hold Stock
915 Westwood Rd. Enid,, OK 73703
Long Lori D. Hackett
27% GBV Enterprises, Inc.Stockholders/partners -- Not Officers
1601 Bedford Oklahoma City, OK 73116
Naifeh Dick Alison R. Hackett
100% of Greenbrier Nursing Home Number, Two eff. 2/20/2011
Stockholders/partners -- Not Officers
1119 E. Owen K. Garriott Road Enid, OK 73701
GBV Enterprises, Inc.
NH6903 580-658-2319711 South Broadway Marlow, OK 73055
Gregston Nursing Home, Inc.
Operating Entity
711 South Broadway Marlow, OK 73055
Gregston Nursing Home, Inc.
100%Stockholders/partners -- Not Officers
811 West Elk Duncan, OK 73533
Gregston Jeff L.
Secretary/Treasurer
,
Gregston Stephanie L.
Page 95 of 273
Owner NameFacilities Owned
NH2106 918-786-32231503 West Har-Ber Road Grove, OK 74344
Grove Nursing Center
Pres 33.33%Stockholders/partners Who Are Officers
P.O. Box 3669 Tulsa, OK 74101
Buford Stephen
33.33%Stockholders/partners -- Not Officers
P.O. Box 3669 Tulsa, OK 74101
Buford Sam
33.34%Stockholders/partners -- Not Officers
P.O. Box 3669 Tulsa, OK 74101
fka Buford Linsenmeyer Sharon B.
Lessor Or Real Estate Owner
P. O. Box 3669 Tulsa, OK 74101
Midwest Land And Investment Company
Operating Entity
P.O. Box 2680 Tullsa, OK 74101
Court Appointed Receiver, Larry Cain/Phoenix Healthcare, L.L.C.,
NH5415 918-650-9393203 North 6th Avenue Okemah, OK 74859
Guthrie Place
amended corp. name (fkaProdetik, Inc.) eff 02-05-08
Operating Entity
1201 W. Trudgeon Henryetta, OK 74437
The Reach Corporation
Non-Profit Board President of The Reach Corporation 2019
Officers Who Do Not Hold Stock
PO Box 790 UnionTown, KY 42461
Bailey M. Geoffry
100% REStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Maricopa Partners, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Rock River, LLC
33.33% of Maricopa Partners, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
MMB, LLC
33.33% of Maricopa Partners, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Lovenest, LLC
30.959% of Rock River, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gary
32.88% of MMB, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Tim
17.455% MMB, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Vicki
29.421% of Lovenest, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Robert
Page 96 of 273
Owner NameFacilities Owned
13.957% of Lovenest, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Laura
53.016% of Rock River, LLC - 4 children w/13.254% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
4 Irrevocable Trusts
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O.Box 409 Sturgis, KY 42459
Ervin Mallory
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Jade
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Luke
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gabe
49.665% of MMB, LLC - 5 children w/9.933% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
3 Irrevocable Trusts
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Max
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box Sturgis, KY 42459
Linenger Jessica
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mitch
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Linenger Jennifer
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Brock
56.623% of Lovenest, LLC - 7 children w/8.089% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
7 Irrevocable Trusts
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Thea
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugris, KY 42459
Ervin Issac
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugis, KY 42459
Ervin Samuel
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Elijah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Saul
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Micah
Page 97 of 273
Owner NameFacilities Owned
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mathias
Authorized Agent of The Reach Corporation eff 1/28/2020
Officers Who Do Not Hold Stock
1201 W. Trudgeon Henryetta, OK 74437
Ogle Gloria
Vice-President, eff 1/28/2020Officers Who Do Not Hold Stock
1924 Lorraine Ave Allen, TX 75002
Garrett Marvin
Secretary/Treasurer, eff 1/28/2020Officers Who Do Not Hold Stock
452 Goose Pond Road Morganfield, KY 42437
Humphrey Brian
NH5551 405-454-62552400 Whites Meadow Drive Harrah, OK 73045
Harrah Nursing Center
100%Harrah Whites Meadows Nursing&Marsh Pointe Man eff 09/19/14
Stockholders/partners Who Are Officers
3050 Peachtree Rd 355 Atlanta, GA 30305
Brogdon Christopher
eff 07/31/2013Operating Entity
455 East Paces Ferry Rd. NE, 302 Atlanta, GA 30305
Harrah Whites Meadows Nursing, LLC
Lessor Or Real Estate Owner
Two Buckhead Plaza 3050 Atlanta, GA 30305
Harrah Property Holdings,LLC
Eff March 1, 2014Contracted Management
455 East Paces Ferry Road, N.E. 302 Atlanta, GA 30305
Marsh Pointe Managment, LLC
NH5104 918-482-3310405 North Choctaw Haskell, OK 74436
Haskell Care Center
100% mng memberStockholders/partners Who Are Officers
PO Box 2 Holdenville, OK 74848
Humphreys Doug
100% of operaStockholders/partners -- Not Officers
3218 North 372 Holdenville, OK 74848
Alpha Care Properties, L.L.C.
Operating Entity
PO Box 1319 Haskell, OK 74436
Haskell Care Center, L.L.C.
NH3102 918-967-33811402 Northwest 7th Street Stigler, OK 74462
Haskell County Nursing Center, Inc.
100%Stockholders/partners Who Are Officers
P.O. Box 707 Sallisaw, OK 74955
Stites Edmund E.
Page 98 of 273
Owner NameFacilities Owned
Operating Entity
PO Box 707 Sallisaw, OK 74955
Haskell County Nursing Center, Inc.
NH5301 918-273-2002312 South Mississippi Nowata, OK 74048
Hays House
9.61494% Oklahoma Nursing Home, Ltd, Manager Eff 4/25/2016
Contracted Management
210 E. Choctaw, P.O. Box 429 Sallisaw, OK 74955-0429
Oklahoma Nursing Homes, Ltd. (ONH,Ltd.)
2.121569% OP/ 2.14% REStockholders/partners -- Not Officers
P.O. Box 435 Vian, OK 74962
Armstrong Estate, Sally Armstrong, Executor James
8.314% OP & Mgr./ 8.4112% RE/ 9.0401287% Okla. Nurs. Homes, Inc.
Stockholders/partners -- Not Officers
P.O. Box 40 Sallisaw, OK 74955
Cheek Barnie J.
1.838339% OP/ 1.86% REStockholders/partners -- Not Officers
10105 S. 77th East Place Tulsa, OK 74133
Masako Cheek Trust, Masako Cheek Trustee
8.314% OP & Mgmt. / 8.4112% REStockholders/partners -- Not Officers
3520 East 110th Place Tulsa, OK 74137
Sandra Cheek Farmer Trust (SCFT)
5.834% OP&Mgnt/5.9190% mgr RE &6.597394% Sec of Ok.Nrs.Hms,Inc.
Stockholders/partners Who Are Officers
4814 S. 164th East Ave. Tulsa, OK 74134
Haskins Lloyd
5.192% OP & Mgmt./5.9746% RE/12.535047% OkNrs.Hms,Inc.eff5/24/12
Stockholders/partners -- Not Officers
101 Doris Drive #51 Sallisaw, OK 74955
Watts Cleo
5.893% OP & Mgmt. / 5.9746% REStockholders/partners -- Not Officers
103708 S 4627 Road Sallisaw, OK 74955
Watts Beneficiaries Trust (WBT) Sharon Rhodes
5.612090% OP/ 5.67% REStockholders/partners -- Not Officers
20852 S. Shannon Dr. Claremore, OK 74017
William McKesson Wilson Sr. 1997 Trust
14.022% OP&Mgmt/14.2078% RE21.936335% OkNrs.Hms,Inc.VP
Stockholders/partners Who Are Officers
Box 856 Miami, OK 74355
Tubbs Steven
5.376% OP & Mgmt. / 5.4406% REStockholders/partners -- Not Officers
3350 McCue Road #2002 Houston, TX 77056
Tubbs, Jr. Stanley I.
2.771% OP & Mgmt. / 2.8038% REStockholders/partners -- Not Officers
P.O. Box 435 Vian, OK 74962
Armstrong-Leutz Joyce
5.542% OP & Mgr./ 5.6186% RE/6.267525% Ok Nrs Hms,Inc.eff5/24/12
Stockholders/partners -- Not Officers
416 Fairway Dr. Athens, TX 75751
Estep Pat
2.771% OP & Mgmt. / 2.8037% REStockholders/partners -- Not Officers
1500 West Elm Stroud, OK 74079
Julie Kay Bivin Revocable Trust (JKBRT)
5.135% OP/MANAGEMENT/ RE 7.2207% EFF 05/24/2012
Stockholders/partners -- Not Officers
6708 South 256th East Avenue Broken Arrow, OK 74014
Caroyln D. Leaverton Revocable Trust
Page 99 of 273
Owner NameFacilities Owned
2.771% OP & Mgmt./ 2.8037% RE & 8.309038% Okla.Nurs.Homes,Inc.
Stockholders/partners -- Not Officers
894 Morrow Drive/ PO Box 417 Langley, OK 74350
Dr. William R. VanDeLinder Trust (DWVT)
2.771% OP & Mgmt. / 2.8037% REStockholders/partners -- Not Officers
3808 NW Marquess Drive Bentonville, AR 72712
Lynn M. Yowell Trust
9.7298% EFF 05/24/2012Lessor Or Real Estate Owner
210 East Choctaw Sallisaw, OK 74955
Midwest Nursing Homes, LLC (MNHLLC)
2.771% OP & Mgmt. / 2.8038% REStockholders/partners -- Not Officers
621 N Robinson 100 Oklahoma City, OK 73102
Heritage Trust Company Richard Armstrong Trust (RAT) C/O Matt McGuire
9.61494 OP & MGMTOperating Entity
P.O. Box 400 Sallisaw, OK 74955
Hays House, LLC
1.219% mgr OP & Mgmt. EFF 05/24/2012
Stockholders/partners -- Not Officers
P.O. Box 400 Sallisaw, OK 74955
Oklahoma Nursing Homes, Inc. General Partner (ONH,Inc)
9.401287% Oklahoma Nursing Homes, Inc. EFF 05/24/2012
Stockholders/partners -- Not Officers
2802 W. Country Club Dr. Oklahoma City, OK 73116
Armstrong Richard James
8.4112 RE &9.401287% Oklahoma Nursing Homes, Inc.eff 4/25/2016
Stockholders/partners -- Not Officers
3520 East 110th Place Tulsa, OK 74137
Farmer Sandra
1.283% OP&Mgmt./ 1.3156% RE/9.401287% Ok.Nurs.Hms,Inc.eff5/24/12
Stockholders/partners -- Not Officers
20852 South Shannon Drive Claremore, OK 74017
Wilson James G.
2.1028%RE/2.07900%OPStockholders/partners -- Not Officers
P.O. Box 173 Gore, OK 74435
Ferguson Debra M.
5.5630%RE/5.55600%OP/5.657265% ok nr hm,inc EFF 05/24/2012 Treas
Stockholders/partners Who Are Officers
607 Mayo Street Sallisaw, OK 74955
McGrew Justin
2.771% OP & Mgmt/ 2.8038% REStockholders/partners -- Not Officers
HCR 68 Box 1260 Vian, OK 74962
Armstrong Sally
9.401287% Ok Nrs Hms,Inc. EFF05/24/12 Pres Trustee DWRVL Trust
Officers Who Do Not Hold Stock
PO Box 370 Adair, OK 74330
VanDeLinder Dr. William R.
.70095%RE/.69275%OP&MGMTStockholders/partners -- Not Officers
1405 E. Seattle St. Broken Arrow, OK 74012
Heath Armstrong VanDeLinder Trust (HAVT)
.70095%RE/.69275%OP&MGMT EFF 4/25/2016
Stockholders/partners -- Not Officers
5727 South Lewis Ave 800 Tulsa, OK 74105
BOKF Trustee/M Huigens Meredith Margaret Marie VanDeLinder Trust (MMMVT)
.070095%RE/.69275%OP&MGMTStockholders/partners -- Not Officers
8 Dinton Circle Bella Vista, AR 72714
Nicolas Edmund VanDeLinder Trust (NEVT)
.70095%RE/069275%OP&MGMT EFF 4/25/2016
Stockholders/partners -- Not Officers
2116 Whitney Lane McKinney, TX 75070
William Glen VanDelinder Trust (WGVT)
Julie Kay Bivin Revocable TrustTrustee
1500 West Elm Stroud, OK 74079
Bivin Julie K.
Page 100 of 273
Owner NameFacilities Owned
2.77100%OP 2.8038 RE edd 4/25/2016Stockholders/partners -- Not Officers
621 N Robinson 100 Oklahoma City, OK 73102
Heritage Trust Company Richard Glen Armstrong Trust (RGAT)
Succ.Trustee & Benf-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Beneficiary
6708 South 256th East Ave Broken Arrow, OK 74014
Johnson Karen Diane
Succ.Trustee & Benf-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Beneficiary
6708 South 256th East Ave Broken Arrow, OK 74014
Fine Michael B.
Successor Trustee & Beneficiary -WBT eff 5/24/12
Beneficiary
51 Green Acre Village Sallisaw, OK 74955
Byers Karen
Beneficiary - SCFT eff 5/24/12Beneficiary
3520 East 110th Place Tulsa, OK 74137
Farmer Cassandra C.
Beneficiary - SCFT eff 5/24/12Beneficiary
3520 East 110th Place Tulsa, OK 74137
Farmer Alexandra C.
MMMV TrustBeneficiary
2812 West 114th St. south Jenks, ok 74037
Leutz William K.
Dr. WIlliam R. VanDeLinder TrustTrustee
P.O. Box 370 Adair, ok 74330
VanDeLinder Dr. William R.
Lynn M. Yowell Trust eff- 11/27/2013Trustee
3808 NW Marquess Drive Bentonville, AR 72712
Yowell Lynn
Lynn M. Yowell Trust eff- 11/27/2013Trustee
3808 NW Marquess Drive Bentonville,, AR 72712
Yowell Ron
Beneficiary MMMV TrustBeneficiary
2812 West 114th Street South Jenks, OK 74037
VanDeLinder Meredith Margaret Marie
Trustee & Benef WGV Trust Beneficary DWRV Trust
Trustee
6260 Dark Forest Drive McKinney, TX 75070
VanDelinder William Glen
Beneficiary Julie Kay Biven Revocable Trust
Beneficiary
1500 West Elm Stroud, OK 74079
Bivin Jeremy
Beneficiary Julie Kay Biven Revocable Trust
Beneficiary
1500 West Elm Stroud, OK 74049
Bivin Ryan
NH1802 918-256-87681200 West Canadian Vinita, OK 74301
Heartsworth Center for Nursing and Rehabilitation
100% Vinita Holdgs,LLC/Heartsworth Senior Lvng, EFF 03/01/2013
Stockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
LEP Holdings, LLC
99% LEP Holdings, LLC EFF 03/01/2013
Stockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
Pilgrim Lee E.
Page 101 of 273
Owner NameFacilities Owned
1% of LEP Holdings,LLC/1% LEP Holdgs, LLC EFF 03/01/2013
Stockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
LEP Senior Properties, Inc.
Lessor Or Real Estate Owner
P.O. Box 990 Edmond, OK 73083
Vinita Holdings, LLC
OP EFF 03/01/2013Operating Entity
P.O. Box 990 Edmond, OK 73083
Heartsworth Senior Living, LLC
NH4001 918-653-2464114 West 2nd Street Heavener, OK 74937
Heavener Nursing & Rehab
eff 3/31/2014Operating Entity
9 Professional Drvie Bella Vista, AR 72715
Heavener Manor, LLC
100%Stockholders/partners -- Not Officers
9 Professional Drive Bella Vista, AR 72715
Montgomery Bradford
50% Managing Member of Managment Company
Stockholders/partners Who Are Officers
P.O. Box 1009 Gore Oklahoma City, OK 74435
Smith Layne
50% Member of Managment CompanyStockholders/partners -- Not Officers
P.O. Box 1009 Gore Oklahoma City, OK 74435
Smith Brooke
Management EFF 4/3/2019Manager
Post Office Box 1009 Gore, OK 74435
Heavener Managment,LLC
NH3703 405-853-4390705 East 3rd Street Hennessey, OK 73742
Hennessey Nursing & Rehab
100% Hennessey Nursing & Rehab & Interhealth, LLC eff 10-01-2017
Stockholders/partners Who Are Officers
9 Professional Drive Bella Vista, AR 72715
Montgomery Bradford
95% Trinkik Holdings, LLC eff 7/1/2016Stockholders/partners -- Not Officers
P.O. Box 130 Newport, AR 72112
Niksefat Saeed Sy
5% Trinkik Holdings, LLC eff 7/1/2016Stockholders/partners -- Not Officers
P.O. Box 130 Newport, AR 72112
Niksefat Sharona
100% Real Estate eff 07/01/2016Lessor Or Real Estate Owner
P.O. Box 130 Newport, AR 72112
Trinik Holdings, LLC
Contracted Management eff 02/17/2017Contracted Management
9 Professional Drive Bella Vista, AR 72715
Interhealth, LLC
OP eff 10/01/2017Operating Entity
9 Professional Drive Bella Vista, AR 72715
Hennessey Nursing & Rehabilitation, LLC
Page 102 of 273
Owner NameFacilities Owned
NH5602 918-652-8797212 North Antes Henryetta, OK 74437
Henryetta Community Skilled Healthcare & Rehab
Manager of RE EFF 6/1/2016Officers Who Do Not Hold Stock
P.O. Box 488 Weleetka, OK 74880
Adkins Gerrol Dean
Manager of RE EFF 6/1/2016Officers Who Do Not Hold Stock
P.O. Box 488 Weleetka, OK 74880
Adkins Arbret June
33% MG member of OP/ ManagementStockholders/partners Who Are Officers
Rt. 1, Box 105C Weleetka, OK 74880
Cynthia Denise Majors Revocable Trust
33% Mng member OP/ManagementStockholders/partners Who Are Officers
Rt. 1, Box 114 Weleetka, ok 74880
Donna Renee Simmons Revocable Trust
Manager of OP/ManagementOfficers Who Do Not Hold Stock
319 West 9th St. Weleetka, OK 74880
Majors Cynthia
Manager of OP/ManagementOfficers Who Do Not Hold Stock
319 West 9th St Weleetka, OK 74880
Simmons Donna Renee
100% sole member REStockholders/partners -- Not Officers
P.O. Box 488 Weleetka, OK 74880
Gerrol Dean Adkins & Arbret June Adkins Family Trust (GDA/AJA)
1% of MNGR EFF 6/1/2016Contracted Management
319 West 9th Street Weleetka, OK 74880
True North Healthcare Managment, LLC
EFF 6/1/2016Lessor Or Real Estate Owner
319 West 9th St Weleetka, OK 74880
Adkins Holdings, LLC
1 % of OP EFF 6/1/2016Operating Entity
319 West 9th St Weleetka, OK 74880
Henryetta Community Skilled Healthcare & Rehab, LLC
33% Managing Member OP/ManagmentStockholders/partners Who Are Officers
319 West 9th Street Weleetka, OK 74880
The Charles Edward Simmons Revocable trust dated April 1 2015
Manager of OP/ManagementOfficers Who Do Not Hold Stock
319 West 9th St. Weleetka, OK 74880
Simmons Charles
NH0502 580-928-2494Highway 152, Box 465 Sayre, OK 73662
Hensley Nursing & Rehab
100% Hensley Nursing, Hensley Manor & Rehab and Interhealth,LLC
Stockholders/partners Who Are Officers
9 Professional Drive Bella Vista, AR 72715
Montgomery Bradford
Management EFF 8-01-2018Contracted Management
9 Professional Drive Bella Vista, AR 72715
Interhealth, LLC
OP eff 04/01/2019Operating Entity
9 Professional Drvie Bella Vista, AR 72715
Hensley Nursing & Rehab, LLC
Page 103 of 273
Owner NameFacilities Owned
100% RE Eff 09-18-2019Lessor Or Real Estate Owner
9 Professional Drive Bella Vista, AR 72715
Hensley Manor, LLC
NH5546 405-720-001013500 Brandon Place Oklahoma City, OK 73142
Heritage at Brandon Place Health & Rehabilitation
OP eff 12-1-2012, eff 01/01/16Operating Entity 2
13500 Brandon Place Oklahoma City, OK 73142
QC Nursing, LLC
100% of QC Nursing, LLCStockholders/partners -- Not Officers
1145 Hembree Rd. Roswell, GA 30076
AdCare Operations, LLC
Contracted Management eff 05/2015Contracted Management
1518 Legacy Dr. #110 Frisco, TX 75034
Southwest LTC Management Services, LLC
1% Southwest LTC-Quail Creek LLC,72.62% SW LTC,LTD eff 01/01/16
Stockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, TX 75034
Payne Ronald
9.5%SW,LTC, LTD,20% of Southwest LTC-Mgt Services eff 01/01/2016
Stockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, TX 75034
Brashier Craig
Sr. VP-OP AdCare, Manager QC Nursing, LLC eff 01/31/2015
Officers Who Do Not Hold Stock
1145 Hembree Road Roswell, GA 30076
AdCare Health Systems Thomas John C.
CEO-AdCare Health Systems, Manager QC Nursingeff 01/31/2015
Officers Who Do Not Hold Stock
1145 Hembree Road Roswell, GA 30076
AdCare McBride William
99% Southwest LTC-Quail CReek LLC eff 01/01/16
Stockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, OK 75034
Southwest LTC Oklahoma Holdings,LLC
100% Southwest LTC Oklahoma Holdings, LLC eff 01/01/16
Stockholders/partners -- Not Officers
1518 Legacy Dr. 110 Frisco, TX 75034
Southwest LTC, LTD
11.98% SW LTC, LTD eff 01/01/16Stockholders/partners -- Not Officers
5731 Jackson St. Ext C Alexandria, LA 71303
Quality Care Givers, Inc.
1% SW LTC, LTD eff 01/01/16Stockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, TX 75034
Southwest LTC Mgt I LLC
OP eff 01/01/2016Operating Entity
5560 Tennyson Parkway 210 Plano, TX 75024
Southwest LTC-Quail Creek LLC
RE Owner eff 8/5/2019Lessor Or Real Estate Owner
34 Lord Ave Lawrence, NY 11559
Quail Creek Realty LLC
NH6105 918-423-2920411 North West Street McAlester, OK 74501
Heritage Hills Living & Rehabilitation Center
Page 104 of 273
Owner NameFacilities Owned
President of Heritage Hills NC & Trustee of 1996 Rev Trust C Har
Officers Who Do Not Hold Stock
,
Charles F. Hardy, Iii, And Patricia J. Hardy
Operating Entity
411 N. West Street McAlester, ok 74502
Heritage Hills Nursing Center, Inc.
Lessor Or Real Estate Owner
5252 E. 11th Pl. Tulsa, OK 74137
Heritage Hills Nursing Properties LLC
51% OP/RE Charles F. Hardy III & Patricia J. Hardy, Indep Co-Tru
Trustee
5252 E 114th Place Tulsa, Ok 74137
1996 Revocable Trust of Patricia J. Hardy
49% OP/RE VP/SecStockholders/partners Who Are Officers
5252 East 114th Place Tulsa, OK 74137
1996 Revocable Trust of Charles F. Hardy III
NH5522 405-789-71033804 North Barr Oklahoma City, OK 73122
Heritage Manor
100% Op & Pres.eff 06/07/2016 Trustee & BenJMC Liv Trst 6/1/17
Stockholders/partners Who Are Officers
3714 N. Portland Oklahoma City, OK 73112
Crane Judy M.
Operating Entity
3714 N. Portland Oklahoma City, OK 73112
Crane Younge and Associates, Inc.
100% Manor Home Property LLC eff 6/1/17
Stockholders/partners -- Not Officers
3714 N. Portland Ave. OKC, OK 73112
Judy M. Crane Living Trust
Mgr. Manor Home P.LLC -Trustee of Judy M. Crane Trust eff 6/1/17
Stockholders/partners -- Not Officers
3714 N. Portland Ave. OKC, OK 73112
Hall Sonja
100% RE eff 6/1/17Lessor Or Real Estate Owner
3714 N. Portland Ave OKC, OK 73112
Manor Home Property LLC
NH5509 405-942-38846912 Northwest 23rd Street Bethany, OK 73008
Heritage Park
100% OP/Pres eff 06/07/2016,Truste & Ben JMCLiv Trst eff 5/24/17
Stockholders/partners Who Are Officers
3714 N. Portland Oklahoma City, OK 73112
Crane Judy M.
Operating Entity
3714 North Porland Oklahoma City, Ok 73112
C and Y Management Company, Inc
eff 5/24/17Lessor Or Real Estate Owner
3714 N. Portland Ave. OKC, OK 73112
Park Home Property LLC
100% RE eff. 5/24/17Stockholders/partners -- Not Officers
3714 N. Portland Ave. OKC, OK 73112
Judy M. Crane Living Trust
Page 105 of 273
Owner NameFacilities Owned
Trustee of the Judy M. Crane Liv Trust eff 5/24/17
Officers Who Do Not Hold Stock
3714 N. Portland Ave. OKC, OK 73112
Hall Sonja
NH6307 405-598-2167201 West Walnut Tecumseh, OK 74873
Heritage Skilled Nursing and Therapy
OP 7/12/19 - RE & Manager (Manager/Trustee) eff 06-12-2013
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Manager OP eff 7/12/19 - RE & Manager eff 06-10-2013
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Dimond Mike
eff. 6/12/2013Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
99% OP eff. 7/12/19 - 78% Amity Care eff 06-12-2013
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
22% Amity Care, 100% Clarity Prop, 48% Renew eff 06-12-2013
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
100% RE ended June 10, 2013Lessor Or Real Estate Owner
201 South Rangeline Tecumseh, OK 74873
Sunset Estates of Tecumseh, LLC
58% of RE Company - eff 06-12-2013Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Clarity Properties, LLC
42% of RE Company eff 06-12-2013Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Renew, LLC
52% of Renew - Mike Dimond, Trustee eff 06-12-2013
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Stalwart Trust
eff 7/12/2019Operating Entity
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Tecumseh Operations, L.L.C.
RE Owner eff 06/12/2013Lessor Or Real Estate Owner
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Tecumseh Real Estate, LLC
NH7405 918-335-32221244 Woodland Loop Bartlesville, OK 74006
Heritage Villa Nursing Center
50% Arbor Springs of Oklahoma, LLCStockholders/partners -- Not Officers
8500 West 110th Street 510 Overland Park, KS 662010
Wurth David
50% Arbor Springs of Oklahoma, LLCStockholders/partners -- Not Officers
8500 West 110th Street 510 Overland Park, KS 66210
Wurth Charles
Page 106 of 273
Owner NameFacilities Owned
Real Estate Owner 05/01/2015Lessor Or Real Estate Owner
1633 North Campbell Avenue Chicago, IL 60647
BHCP Heritage Villa Real Co, LLC
OP eff 05/01/2015Operating Entity
1633 North Campbell Avenue Chicago, IL 60647
BHCP Heritage Villa OP Co, LLC
100% BHCP Heritage Villa Real Co & BHCP Heritage Villa OP
Stockholders/partners -- Not Officers
1633 North Campbell Ave Chicago, IL 60647
BHCP Heritage Villa Hold Co, LLC
5% BHCP Heritage Villa Hold Co, LLCStockholders/partners -- Not Officers
1633 North Campbell Avenue Chicago, IL 60647
BHCP Heritage Villa Sponsor, LLC
Manager of BHCP Heritage Villa Hold Co, LLC
Manager
1633 North Campbell Avenue Chicago, IL 60647
BHCP Heritage Villa Manager, LLC
95% BHCP Heritage Villa Hold Co, LLCStockholders/partners -- Not Officers
1633 North Campbell Avenue Chicago, IL 60647
BHCP Heritage Villa Investors, LLC
95% of BHCP Heritage Villa Sponsor, LLC
Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
Birchwood Health Care Properties, LLC
5% BHCP Heritage Villa Sponsor, LLCStockholders/partners -- Not Officers
1633 North Campbell Avenue Chicago, IL 60647
Rothbart Jeff
100% Member/Manager Birchwood Healthcare, LLC
Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
Dole Isaac
Eff 6/27/2019Contracted Management
415 US Hwy377 S 200 Argyle, TX 76226
Transition Health Services-OK, LLC
33.33% Mbr & Mgr Transition Health Services-OK,LLC
Stockholders/partners -- Not Officers
415 US Hwy 377 S 200 Argyle, TX 76226
Bates Josh
33.33% Mbr & Mgr Transition Health Services-OK,LLC
Stockholders/partners -- Not Officers
415 US Hwy 377 S 200 Argyle, TX 76226
Shelton Chana
33.33% Mbr & Mgr Transition Health Services-OK,LLC
Stockholders/partners -- Not Officers
415 US Hwy 377 S 200 Argyle, TX 76226
Sims Debra
50% Compass Investing Group US, LLC (Mgr. Mbr) eff 3/1/2020
Stockholders/partners -- Not Officers
PO Box 12422 Columbus, OH
Son Mark Tran
NH3205 405-786-2266801 Highway 48 North Holdenville, OK 74848
Heritage Village Nursing Home
Pres. of RE & Bene. & Trus of G D & A J Adkins Fam Tr.
Trustee
P.O. Box 488 Weleetka, OK 74880
Adkins Gerrol Dean
Sec. of RE & Bene. Gerrol D Adkins and Arbret J Adkins Fam Trust
Officers Who Do Not Hold Stock
P.O. Box 488 Weleetka, OK 74880
Adkins Arbret June
Page 107 of 273
Owner NameFacilities Owned
effective 7/1/87Lessor Or Real Estate Owner
Rt. 1 Box 54 Holdenville, OK 74848
Holdenville Nursing Home Inc.
Beneficiary of Cynthia Denise Majors Irrevocable Tr. eff12/31/12
Trustee
319 West 9th St. Weleetka, OK 74880
Majors Cynthia
Beneficiary of Donna Renee Simmons Irrevocable Tr. eff 12/31/12
Trustee
319 West 9th St Weleetka, OK 74880
Simmons Donna Renee
Beneficiary Gerrol Dean Adkins II Irrevocable Trust eff.12/31/12
Trustee
Rt. 1, Box 121A Weleetka, OK 74880
Adkins, II Gerrol D.
52%of RE eff 12/31/12Stockholders/partners -- Not Officers
P.O. Box 488 Weleetka, OK 74880
Gerrol Dean Adkins & Arbret June Adkins Family Trust (GDA/AJA)
eff 1-1-07Operating Entity
801 HWY 48 Holdenville, OK 74848
Heritage Village Nursing Center, LLC
100% OP manag.memberStockholders/partners -- Not Officers
P.O. Box 488 Weleetka, OK 74880
Heritage Village Nursing Center Revocable Business Trust
16% RE eff 12/31/12Stockholders/partners -- Not Officers
Rt 1 Box 121A Weleetka, OK 74880
Gerrol Dean Adkins II Irrevocable Trust dated 12/28/12
16% RE eff 12/31/12Stockholders/partners -- Not Officers
Rt 1 Box 121A Weleekta, OK 74880
Cynthia Denise Majors Irrevocable Trust dated 12/28/12
16% RE eff 12/31/12Stockholders/partners -- Not Officers
Rt 1 Box 121A Weleetka, OK 74880
Donna Renee Simmons Irrevocable Trust dated 12/28/12
CMajors Ir.Tr, Gerrol II and DSimmons Ir.Tr GDA/AJA Fam Trust.
Trustee
523 W. Main Henryetta, OK 74437
Palmer, C.P.A. Reginald
NH5806 847-418-2720407 Whitebird Avenue Quapaw, OK 74363
Higher Call Nursing Center
100% RE & OP eff 3/1/2020Stockholders/partners -- Not Officers
6800 N. 79th St 200 Niwot, CO 80503
Global Healthcare REIT Inc.
Mgr.-G.Higher Call Nur, LLC & 9.17% GH REIT,Pres. eff. 3/1/2020
Stockholders/partners Who Are Officers
6800 North 78th Street 200 Niwot, CO 80503
Rhine Zvi
9.33% GH REIT, CEO eff 3/1/2020Stockholders/partners Who Are Officers
6800 North 78th Street 200 Niwot, CO 80503
Baller Lance
eff 3/1/2020Operating Entity
6800 North 79th 200 Nivot, CO 80503
Global Higher Call Nursing, LLC
eff 3/1/2020Lessor Or Real Estate Owner
6800 North 79th Street 200 Nivot, CO 80503
Global Quapaw, LLC
Page 108 of 273
Owner NameFacilities Owned
NH5604 918-756-56111307 R D Miller Drive Okmulgee, OK 74447
Highland Park Health Care
Trustee Linda McCormick Revocable Trust
Trustee
9813 S. Penn OKC, OK 73159
McCormick Linda
RE, eff 11/1/2020Lessor Or Real Estate Owner
9813 South Penn Oklahoma City, OK 73159
Okmulgee Health Care, L.L.C.
Pres of Mgng Mbr,HPM SNF Operations, LLC
Stockholders/partners Who Are Officers
1500 Waters Ridge Dr 200 Lewisville, TX 75077
Taylor John F.
33.4% REStockholders/partners -- Not Officers
9813 S. Penn Oklahoma City, OK 73159
Denver McCormick Revocable Trust
33.3% REStockholders/partners -- Not Officers
9813 S. Penn Oklahoma City, OK 73159
Linda McCormick Revocable Trust
33.3% REStockholders/partners -- Not Officers
5413 N.W. 107th Okla. City, OK 73162
Arlena Dunbar Revocable Trust
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Beneficiary
4108 Opus Ct. Flower Mound, TX 75022
Pennington Amy
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Beneficiary
2433 Glenoak Dr. Norman, OK 73071
Petrone Alison
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Beneficiary
8594 D East 133 Holdenville, OK 74850
Jones Joshua
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Beneficiary
8594 D East 133 Holdenville, OK 74850
Jones Tanner
Beneficiary of Arlena Dunbar Revocable Trust
Beneficiary
5413 NW 107th Okla. City, OK 73159
Dunbar William
Beneficiary of Arlena Dunbar Revocable Trust
Beneficiary
12204 N. Kimberlyn Rd. Okla. City, OK 73162
Dunbar Teresa
Subcontracted Manager Eff 6/30/2017Contracted Management
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Stonegate Senior Living, LLC
Beneficiary of Arlenea Dunbar Revocable Trust
Beneficiary
3913 Spyglass Road Okla. City, OK 73167
Nard Charlotte
100% mmbr-HPM SNF Operations, LLCMember
1500 Waters Ridge Dr. 200 Lewisville, TX 75057
Southwest SNF Holdings, LLC
Mayor/Chairman, City of Pauls Valley, eff 5/14/19
Officers Who Do Not Hold Stock
PO Box 778 Pauls Valley, OK 73075
Rushing Jocelyn
Mgng Mbr-HPM SNF Operations, LLCMember
1500 waters Ridge Dr. Lewisville, TX 75057
WR Investments GP Manager, Inc.
Page 109 of 273
Owner NameFacilities Owned
UPL Manager Eff 10/1/2017Contracted Management
,
HPM SNF Operations, LLC (HPM)
Councilwoman, City of Pauls Valley, eff 5/14/19
Officers Who Do Not Hold Stock
100 W. Paul Pauls Valley, OK 73075
Meisel Veronica
President & CEO, Preservation Freehold Company, eff 11/1/2020
Officers Who Do Not Hold Stock
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
Chance James M.
Sec & Treasurer, Preservation Freehold Company, eff 11/1/2020
Officers Who Do Not Hold Stock
1500 Waters Ridge Dr. Lewsiville, TX 75057
Langdon Thomas E.
Board member, Preservation Freehold Company, eff 11/1/2020
Officers Who Do Not Hold Stock
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
Arnette Dana E.
Board member, Preservation Freehold Company, eff 11/1/2020
Officers Who Do Not Hold Stock
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
McGehee William Darrel
OP, eff 11/1/2020Operating Entity
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
PF HPM SNF Ops, LLC
NH4502 580-286-5398808 Northwest M L King Avenue Idabel, OK 74745
Hill Nursing Home, Inc.
Operating Entity
808 N W Martin Luther King Avenue Idabel, OK 74745
Hill Nursing Home, Inc.
100% of Hill Nursing Home, Inc. President Eff 2012
Stockholders/partners Who Are Officers
P.O. Box 687 Idabel, OK 74745
Hill G. Joy
50% (RE) Abbris Properties II, LLC eff 10/27/2016
Stockholders/partners -- Not Officers
P.O. Box 70 Hydro, OK 73048
Abbott Cody
NH3604 580-363-32441210 South 6th Street Blackwell, OK 74631
Hillcrest Manor Nursing Center
50% RE mem. Eff. 04/03/2015Stockholders/partners Who Are Officers
3216 Shiloh Creek Stillwater, OK 74074
Young Jeffrey
50% RE mem. Eff. 04/03/2015Stockholders/partners Who Are Officers
46487 E. 1040 Rd. Sallisaw, OK 74955
Rhodes Johnathan Grant
Operating Entity
6116 s. MEMORIAL DR TULSA, OK 74133
Bedlam Properties, L.L.C.
Lessor Or Real Estate Owner
6116 S. Memorial Dr. Tulsa, Ok 74113
Black Diamond Investments, L.L.C.
Page 110 of 273
Owner NameFacilities Owned
CEO of OP eff. 03-23-10Officers Who Do Not Hold Stock
9017 N. Yale Ave Sperry, OK 74073
Lietzke Mark
NH3803 580-726-3381709 North Lowe Hobart, OK 73651
Hobart Nursing & Rehab
100% of Hobart Manor & Hobart Nursing & Rehab eff 01/09/2015
Stockholders/partners -- Not Officers
9 Professional Drive Bella Vista, AR 72715
Montgomery Bradford
100% of the Real Estate eff 01/09/2015Lessor Or Real Estate Owner
9 Professional Drive Bella Vista, AR 72715
Hobart Manor, LLC
OP eff 01/09/2015Operating Entity
9 Professional Drive Bella Vista, AR 72715
Hobart Nursing & Rehab, LLC
NH1403 405-321-7932301 East Dale Norman, OK 73069
Holiday Heights Healthcare
Contracted Management Company eff 03-01-2018
Contracted Management
4415 Highline Blvd., P.O. Box 23017 Oklahoma City, OK 73123
Amity Care Corporation
Manager Holiday Heights OP Holiday Heights RE Amity Care 3-1-18
Manager
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Manager Holiday Heights OP Holiday Height & RE Amity Care 3-1-18
Manager
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Dimond Mike
99% Holiday Heights OP & 78% Amity Care, LLC eff 03-1-20185
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
22% Amity Care, LLC eff 03-01-2018Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
58% Holiday Heights Real Estate, LLCStockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Clarity Properties, LLC
58% Renew Properties, LLC eff 03-18-2018
Stockholders/partners Who Are Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Stalwart Trust
100% Clarity Properties & 48% Renew Properties eff 03-01-2018
Stockholders/partners Who Are Officers
4530 Will Rogers Parkway 300 OKC, OK 73108
Don Greiner Family Trust, Don Greiner Trustee
42% Holiday Heights Real Estate, LLC eff 03-01-2018
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Renew Properties, L.L.C.
100% OP eff 03-01-2018Operating Entity
4350 Will Rogers Pkwy 300 Oklahoma City, OK 73108
Holiday Heights Operations, LLC
Page 111 of 273
Owner NameFacilities Owned
100% Real Estate eff 03-01-2018Lessor Or Real Estate Owner
4350 Will Rodgers Parkway 300 Oklahoma CIty, OK 73108
Holiday Heights Real Estate, LLC
Manager Holiday Heights Operations, LLC
Officers Who Do Not Hold Stock
1908 12th Ave NW E Ardmore, OK 73401
Coble Brett
NH1807 918-256-7825420 North Brewer Vinita, OK 74301
Home of Hope Brewer House
Director EFF 4-22-2020Officers Who Do Not Hold Stock
10641 E. 18th Pl. Tulsa, OK 74128
Wedding Tony
Director eff 5-23-14Officers Who Do Not Hold Stock
6122 E. 107th St. Tulsa, OK 74137
Willis James A.
Operating Entity
P.O.Box 903 Vinita, OK 74301
Home Of Hope, Inc.
VP Operations END 4-22-2020/Director EFF 4-22-2020
Officers Who Do Not Hold Stock
1005 West Canadian Vinita, OK 74301
Hartley Jot
DirectorOfficers Who Do Not Hold Stock
5924 Flagstaff Wichita, KS 67220
Harney Jerry
treasurerOfficers Who Do Not Hold Stock
332 N. Scraper Vinita, OK 74301
Luginbuel Jack
VP P&D/SecretaryOfficers Who Do Not Hold Stock
319 E. Illinois Vinita, OK 74301
Patrick Dennis
Secretary End 4-22-2020 President EFF 4-22-2020
Officers Who Do Not Hold Stock
450500 Happy Hollow Dr. Afton, OK 74331
Cupp Gary
DirectorOfficers Who Do Not Hold Stock
106 Lakeview Drive Vinita, OK 74301
Dalquest Len
DirectorOfficers Who Do Not Hold Stock
100 N. Broadway 1500 Oklahoma City, OK 73102
Hager Don
DirectorOfficers Who Do Not Hold Stock
310 South Scraper Vinita, OK 74301
Hartley Robert(Bob)
DirectorOfficers Who Do Not Hold Stock
PO Box 160 Langley, OK 74350
Sellers Jim
Director End 4-22-2020-VP Client Services EFF 4-22-2020
Officers Who Do Not Hold Stock
3507 E. 66th Place Tulsa, OK 74136
Lynch Robert
DirectorOfficers Who Do Not Hold Stock
229 S. Smith St. Vinita, OK 74301
Montana Jo
Director eff 2014Officers Who Do Not Hold Stock
20 East 5th St. 200 Tulsa, OK 74103
Frizzell Blaine
Page 112 of 273
Owner NameFacilities Owned
CEO 2014Officers Who Do Not Hold Stock
3205 Par Ct Claremore, OK 74019
Home Of Home, Inc. Richardson Ralph
Director eff Sept 2015 END 4-22-2020 VP Operations EFF 4-22-2020
Officers Who Do Not Hold Stock
2809 Summerfield Place Pryor, OK 74361
Brown Tim
Director Eff Sept 2015Officers Who Do Not Hold Stock
37640 S. 4110 Rd. Big Cabin, OK 74322
Gibson Virginia
COO EFF 4-22-2020Officers Who Do Not Hold Stock
525 W. Illinois Vinita, OK 74301
Pitts Dena
President Elect Eff 4-22-2020Officers Who Do Not Hold Stock
442570 E. 290 Rd Vinita, OK 74301
Robison Dee
Treasurer EFF 4/22/2020Officers Who Do Not Hold Stock
2795 Weber Road Claremore, OK 74017
Campbell Seth
Director EFF 4-22-2020Officers Who Do Not Hold Stock
3737 E.82nd Place Tulsa, OK 74137
Earley Sharon
Director EFF 4-22-2020Officers Who Do Not Hold Stock
2411 Skelly Dr. Tulsa, OK 74105
Wenzel Liza
NH5809 918-540-07703125 East Street North Miami, OK 74354
Home of Hope Elmwood House
Director eff 2014 end 2016, eff 4/22/2020
Officers Who Do Not Hold Stock
10641 E. 18th Pl. Tulsa, OK 74128
Wedding Tony
Operating Entity
P.O.Box 903 Vinita, OK 74301
Home Of Hope, Inc.
VP OperationsOfficers Who Do Not Hold Stock
1005 West Canadian Vinita, OK 74301
Hartley Jot
DirectorOfficers Who Do Not Hold Stock
5924 Flagstaff Wichita, KS 67220
Harney Jerry
VP P&D Eff April 21 2014Officers Who Do Not Hold Stock
319 E. Illinois Vinita, OK 74301
Patrick Dennis
SecretaryOfficers Who Do Not Hold Stock
450500 Happy Hollow Dr. Afton, OK 74331
Cupp Gary
DirectorOfficers Who Do Not Hold Stock
100 N. Broadway 1500 Oklahoma City, OK 73102
Hager Don
DirectorOfficers Who Do Not Hold Stock
PO Box 160 Langley, OK 74350
Sellers Jim
Director Eff April 21 2014Officers Who Do Not Hold Stock
3507 E. 66th Place Tulsa, OK 74136
Lynch Robert
Page 113 of 273
Owner NameFacilities Owned
Director eff 2014Officers Who Do Not Hold Stock
20 East 5th St. 200 Tulsa, OK 74103
Frizzell Blaine
CEO eff 2014Officers Who Do Not Hold Stock
3205 Par Ct Claremore, OK 74019
Home Of Home, Inc. Richardson Ralph
Director eff Sept 2015Officers Who Do Not Hold Stock
2809 Summerfield Place Pryor, OK 74361
Brown Tim
Director Eff Sept 2015Officers Who Do Not Hold Stock
37640 S. 4110 Rd. Big Cabin, OK 74322
Gibson Virginia
President, eff 4/22/2020Officers Who Do Not Hold Stock
442570 E. 290 Road Vinita, OK 74301
Robinson Dee
Chief Operating Officer, eff 4/22/2020Officers Who Do Not Hold Stock
525 W. Illinois Vinita, OK 74301
Pitts Dena
Treasurer, eff 4/22/2020Officers Who Do Not Hold Stock
2795 Weber Road Claremore, OK 74017
Campbell Seth
Director, eff 4/22/2020Officers Who Do Not Hold Stock
3737 E.82nd Place Tulsa, OK 74137
Earley Sharon
Director, eff 4/22/2020Officers Who Do Not Hold Stock
2411 Skelly Dr. Tulsa, OK 74105
Wenzel Liza
NH1808 918-256-4958104 South Foreman Vinita, OK 74301
Home of Hope Foreman House
DirectorOfficers Who Do Not Hold Stock
6122 E. 107th St. Tulsa, OK 74137
Willis James A.
Operating Entity
P.O.Box 903 Vinita, OK 74301
Home Of Hope, Inc.
VP OperationsOfficers Who Do Not Hold Stock
1005 West Canadian Vinita, OK 74301
Hartley Jot
DirectorOfficers Who Do Not Hold Stock
5924 Flagstaff Wichita, KS 67220
Harney Jerry
TreasurerOfficers Who Do Not Hold Stock
332 N. Scraper Vinita, OK 74301
Luginbuel Jack
VP P&DOfficers Who Do Not Hold Stock
319 E. Illinois Vinita, OK 74301
Patrick Dennis
VP P&DOfficers Who Do Not Hold Stock
319 E. Illinois Vinita, OK 74301
Patrick Dennis
SecretaryOfficers Who Do Not Hold Stock
450500 Happy Hollow Dr. Afton, OK 74331
Cupp Gary
Page 114 of 273
Owner NameFacilities Owned
DirectorOfficers Who Do Not Hold Stock
106 Lakeview Drive Vinita, OK 74301
Dalquest Len
DirectorOfficers Who Do Not Hold Stock
100 N. Broadway 1500 Oklahoma City, OK 73102
Hager Don
DirectorOfficers Who Do Not Hold Stock
310 South Scraper Vinita, OK 74301
Hartley Robert(Bob)
DirectorOfficers Who Do Not Hold Stock
PO Box 160 Langley, OK 74350
Sellers Jim
DirectorOfficers Who Do Not Hold Stock
3507 E. 66th Place Tulsa, OK 74136
Lynch Robert
DirectorOfficers Who Do Not Hold Stock
229 S. Smith St. Vinita, OK 74301
Montana Jo
Director eff 2014Officers Who Do Not Hold Stock
20 East 5th St. 200 Tulsa, OK 74103
Frizzell Blaine
CEO eff 2014Officers Who Do Not Hold Stock
3205 Par Ct Claremore, OK 74019
Home Of Home, Inc. Richardson Ralph
NH1804 918-256-7825528 North Gunter Vinita, OK 74301
Home Of Hope Gunter House
Director eff 2014 end 2016-Director EFF 4-22-2020
Officers Who Do Not Hold Stock
10641 E. 18th Pl. Tulsa, OK 74128
Wedding Tony
Director end 12/07/2015Officers Who Do Not Hold Stock
6122 E. 107th St. Tulsa, OK 74137
Willis James A.
Operating Entity
P.O.Box 903 Vinita, OK 74301
Home Of Hope, Inc.
VP operations END 4-22-2020/Director EFF 4-22-2020
Officers Who Do Not Hold Stock
1005 West Canadian Vinita, OK 74301
Hartley Jot
DirectorOfficers Who Do Not Hold Stock
5924 Flagstaff Wichita, KS 67220
Harney Jerry
TreasurerOfficers Who Do Not Hold Stock
332 N. Scraper Vinita, OK 74301
Luginbuel Jack
VP P&D/SecretaryOfficers Who Do Not Hold Stock
319 E. Illinois Vinita, OK 74301
Patrick Dennis
Secretary End 4-22-2020 President EFF 4-22-2020
Officers Who Do Not Hold Stock
450500 Happy Hollow Dr. Afton, OK 74331
Cupp Gary
DirectorOfficers Who Do Not Hold Stock
106 Lakeview Drive Vinita, OK 74301
Dalquest Len
Page 115 of 273
Owner NameFacilities Owned
DirectorOfficers Who Do Not Hold Stock
100 N. Broadway 1500 Oklahoma City, OK 73102
Hager Don
Director 11/20/2013Officers Who Do Not Hold Stock
310 South Scraper Vinita, OK 74301
Hartley Robert(Bob)
DirectorOfficers Who Do Not Hold Stock
PO Box 160 Langley, OK 74350
Sellers Jim
DirectorOfficers Who Do Not Hold Stock
PO Box 160 Langley, OK 74350
Sellers Jim
Director End 4-22-2020-VP Client Services EFF 4-22-2020
Officers Who Do Not Hold Stock
3507 E. 66th Place Tulsa, OK 74136
Lynch Robert
Director eff 11/20/2013Officers Who Do Not Hold Stock
229 S. Smith St. Vinita, OK 74301
Montana Jo
Director eff 2014Officers Who Do Not Hold Stock
20 East 5th St. 200 Tulsa, OK 74103
Frizzell Blaine
CEO eff 2014Officers Who Do Not Hold Stock
3205 Par Ct Claremore, OK 74019
Home Of Home, Inc. Richardson Ralph
Director eff Sept 2015 END 4-22-2020 VP Operations EFF 4-22-2020
Officers Who Do Not Hold Stock
2809 Summerfield Place Pryor, OK 74361
Brown Tim
Director Eff Sept 2015Officers Who Do Not Hold Stock
37640 S. 4110 Rd. Big Cabin, OK 74322
Gibson Virginia
COO EFF 4-22-2020Officers Who Do Not Hold Stock
525 W. Illinois Vinita, OK 74301
Pitts Dena
President Elect Eff 4-22-2020Officers Who Do Not Hold Stock
442570 E. 290 Rd Vinita, OK 74301
Robison Dee
Treasurer EFF 4/22/2020Officers Who Do Not Hold Stock
2795 Weber Road Claremore, OK 74017
Campbell Seth
Director EFF 04-22-2020Officers Who Do Not Hold Stock
3737 E.82nd Place Tulsa, OK 74137
Earley Sharon
Director EFF 4-22-2020Officers Who Do Not Hold Stock
2411 Skelly Dr. Tulsa, OK 74105
Wenzel Liza
NH5810 918-540-03001026 3rd Northwest Miami, OK 74354
Home of Hope K House
Director eff 2014 end 2016, eff 4/22/2020
Officers Who Do Not Hold Stock
10641 E. 18th Pl. Tulsa, OK 74128
Wedding Tony
Operating Entity
P.O.Box 903 Vinita, OK 74301
Home Of Hope, Inc.
Page 116 of 273
Owner NameFacilities Owned
VP OperationsOfficers Who Do Not Hold Stock
1005 West Canadian Vinita, OK 74301
Hartley Jot
DirectorOfficers Who Do Not Hold Stock
5924 Flagstaff Wichita, KS 67220
Harney Jerry
VP P&DOfficers Who Do Not Hold Stock
319 E. Illinois Vinita, OK 74301
Patrick Dennis
SecretaryOfficers Who Do Not Hold Stock
450500 Happy Hollow Dr. Afton, OK 74331
Cupp Gary
DirectorOfficers Who Do Not Hold Stock
100 N. Broadway 1500 Oklahoma City, OK 73102
Hager Don
DirectorOfficers Who Do Not Hold Stock
PO Box 160 Langley, OK 74350
Sellers Jim
DirectorOfficers Who Do Not Hold Stock
3507 E. 66th Place Tulsa, OK 74136
Lynch Robert
Director eff 2014Officers Who Do Not Hold Stock
20 East 5th St. 200 Tulsa, OK 74103
Frizzell Blaine
Director eff Sept 2015Officers Who Do Not Hold Stock
2809 Summerfield Place Pryor, OK 74361
Brown Tim
Director Eff Sept 2015Officers Who Do Not Hold Stock
37640 S. 4110 Rd. Big Cabin, OK 74322
Gibson Virginia
President, eff 4/22/2020Officers Who Do Not Hold Stock
442570 E. 290 Road Vinita, OK 74301
Robinson Dee
Chief Operating Officer, eff 4/22/2020Officers Who Do Not Hold Stock
525 W. Illinois Vinita, OK 74301
Pitts Dena
Treasurer, eff 4/22/2020Officers Who Do Not Hold Stock
2795 Weber Road Claremore, OK 74017
Campbell Seth
Director, eff 4/22/2020Officers Who Do Not Hold Stock
3737 E.82nd Place Tulsa, OK 74137
Earley Sharon
Director, eff 4/22/2020Officers Who Do Not Hold Stock
2411 Skelly Dr. Tulsa, OK 74105
Wenzel Liza
NH1812 918-256-8406954 West Hope Road Vinita, OK 74301
Home of Hope Macklanburg House
DirectorOfficers Who Do Not Hold Stock
6122 E. 107th St. Tulsa, OK 74137
Willis James A.
Operating Entity
P.O.Box 903 Vinita, OK 74301
Home Of Hope, Inc.
Page 117 of 273
Owner NameFacilities Owned
VP of Operations eff 09/2012Officers Who Do Not Hold Stock
1005 West Canadian Vinita, OK 74301
Hartley Jot
TreasurerOfficers Who Do Not Hold Stock
332 N. Scraper Vinita, OK 74301
Luginbuel Jack
VP P&DOfficers Who Do Not Hold Stock
319 E. Illinois Vinita, OK 74301
Patrick Dennis
Secretary eff 09/2012 (Director eff 09/2011 end 09/2012)
Officers Who Do Not Hold Stock
450500 Happy Hollow Dr. Afton, OK 74331
Cupp Gary
DirectorOfficers Who Do Not Hold Stock
PO Box 160 Langley, OK 74350
Sellers Jim
Board of Dir./CEOOfficers Who Do Not Hold Stock
3205 Par Ct Claremore, OK 74019
Home Of Home, Inc. Richardson Ralph
Director eff Sept 2015Officers Who Do Not Hold Stock
2809 Summerfield Place Pryor, OK 74361
Brown Tim
Director Eff Sept 2015Officers Who Do Not Hold Stock
37640 S. 4110 Rd. Big Cabin, OK 74322
Gibson Virginia
NH5811 918-540-06001615 20th Avenue Southwest Miami, OK 74354
Home of Hope Oakcrest House
Director eff. 09/2015Officers Who Do Not Hold Stock
6122 E. 107th St. Tulsa, OK 74137
Willis James A.
Director eff. 09/2015Officers Who Do Not Hold Stock
6122 E. 107th St. Tulsa, OK 74137
Willis James A.
Operating Entity
P.O.Box 903 Vinita, OK 74301
Home Of Hope, Inc.
VP Operations eff 09/2012Officers Who Do Not Hold Stock
1005 West Canadian Vinita, OK 74301
Hartley Jot
DirectorOfficers Who Do Not Hold Stock
5924 Flagstaff Wichita, KS 67220
Harney Jerry
Treasure eff. 09/2015Officers Who Do Not Hold Stock
332 N. Scraper Vinita, OK 74301
Luginbuel Jack
Vice President P & D eff. 09/2012Officers Who Do Not Hold Stock
319 E. Illinois Vinita, OK 74301
Patrick Dennis
Secretary eff 09/2012Officers Who Do Not Hold Stock
450500 Happy Hollow Dr. Afton, OK 74331
Cupp Gary
DirectorOfficers Who Do Not Hold Stock
106 Lakeview Drive Vinita, OK 74301
Dalquest Len
Page 118 of 273
Owner NameFacilities Owned
Director eff. 09/2015Officers Who Do Not Hold Stock
100 N. Broadway 1500 Oklahoma City, OK 73102
Hager Don
DirectorOfficers Who Do Not Hold Stock
310 South Scraper Vinita, OK 74301
Hartley Robert(Bob)
DirectorOfficers Who Do Not Hold Stock
PO Box 160 Langley, OK 74350
Sellers Jim
DirectorOfficers Who Do Not Hold Stock
3507 E. 66th Place Tulsa, OK 74136
Lynch Robert
Director eff 09/2015Officers Who Do Not Hold Stock
229 S. Smith St. Vinita, OK 74301
Montana Jo
eff 9/19/2019Officers Who Do Not Hold Stock
20 East 5th St. 200 Tulsa, OK 74103
Frizzell Blaine
CEO of Home of Hope, Inc.Officers Who Do Not Hold Stock
3205 Par Ct Claremore, OK 74019
Home Of Home, Inc. Richardson Ralph
CEO of Home of Hope eff 06//Officers Who Do Not Hold Stock
3205 Par Ct Claremore, OK 74019
Home Of Home, Inc. Richardson Ralph
Director eff. 09/2015Officers Who Do Not Hold Stock
2809 Summerfield Place Pryor, OK 74361
Brown Tim
Director Eff Sept 2015Officers Who Do Not Hold Stock
37640 S. 4110 Rd. Big Cabin, OK 74322
Gibson Virginia
President Elect 9/19/2019Officers Who Do Not Hold Stock
442570 E. 290 Road Vinita, OK 74301
Robinson Dee
COO eff 9/19/2019Officers Who Do Not Hold Stock
525 W. Illinois Vinita, OK 74301
Pitts Dena
Treas. eff 9/19/2019Officers Who Do Not Hold Stock
2795 Weber Road Claremore, OK 74017
Campbell Seth
eff 9/19/2019Officers Who Do Not Hold Stock
2411 Skelly Dr. Tulsa, OK 74105
Wenzel Liza
NH1809 918-256-4957822 North Scraper Vinita, OK 74301
Home of Hope Scraper House
Board MemberOfficer
717 S. Houston Tulsa, OK
Brown Darvin L.
DirectorOfficers Who Do Not Hold Stock
6122 E. 107th St. Tulsa, OK 74137
Willis James A.
Operating Entity
P.O.Box 903 Vinita, OK 74301
Home Of Hope, Inc.
Page 119 of 273
Owner NameFacilities Owned
VP OperationsOfficers Who Do Not Hold Stock
1005 West Canadian Vinita, OK 74301
Hartley Jot
Director eff. 09/2015Officers Who Do Not Hold Stock
5924 Flagstaff Wichita, KS 67220
Harney Jerry
TreasurerOfficers Who Do Not Hold Stock
332 N. Scraper Vinita, OK 74301
Luginbuel Jack
VP P&DOfficers Who Do Not Hold Stock
319 E. Illinois Vinita, OK 74301
Patrick Dennis
SecretaryOfficers Who Do Not Hold Stock
450500 Happy Hollow Dr. Afton, OK 74331
Cupp Gary
Director eff. 09/2015Officers Who Do Not Hold Stock
100 N. Broadway 1500 Oklahoma City, OK 73102
Hager Don
Director eff. 09/2015Officers Who Do Not Hold Stock
310 South Scraper Vinita, OK 74301
Hartley Robert(Bob)
CEOOfficers Who Do Not Hold Stock
P.O. Box 58 Vinita, OK 74301
Svedman David
DirectorOfficers Who Do Not Hold Stock
PO Box 160 Langley, OK 74350
Sellers Jim
Director eff. 09/2015Officers Who Do Not Hold Stock
229 S. Smith St. Vinita, OK 74301
Montana Jo
Director Eff. 9-2015Officers Who Do Not Hold Stock
20 East 5th St. 200 Tulsa, OK 74103
Frizzell Blaine
CEO Eff. 9/2015Officers Who Do Not Hold Stock
3205 Par Ct Claremore, OK 74019
Home Of Home, Inc. Richardson Ralph
Director eff Sept 2015Officers Who Do Not Hold Stock
2809 Summerfield Place Pryor, OK 74361
Brown Tim
Director eff Sept 2015Officers Who Do Not Hold Stock
2809 Summerfield Place Pryor, OK 74361
Brown Tim
Director Eff Sept 2015Officers Who Do Not Hold Stock
37640 S. 4110 Rd. Big Cabin, OK 74322
Gibson Virginia
NH1805 918-256-8106804 East Sequoyah Vinita, OK 74301
Home Of Hope Sequoyah House
DirectorOfficers Who Do Not Hold Stock
6122 E. 107th St. Tulsa, OK 74137
Willis James A.
Operating Entity
P.O.Box 903 Vinita, OK 74301
Home Of Hope, Inc.
Page 120 of 273
Owner NameFacilities Owned
VP OperationsOfficers Who Do Not Hold Stock
1005 West Canadian Vinita, OK 74301
Hartley Jot
VP OperationsOfficers Who Do Not Hold Stock
1005 West Canadian Vinita, OK 74301
Hartley Jot
DirectorOfficers Who Do Not Hold Stock
5924 Flagstaff Wichita, KS 67220
Harney Jerry
TreasurerOfficers Who Do Not Hold Stock
332 N. Scraper Vinita, OK 74301
Luginbuel Jack
VP P&DOfficers Who Do Not Hold Stock
319 E. Illinois Vinita, OK 74301
Patrick Dennis
SecretaryOfficers Who Do Not Hold Stock
450500 Happy Hollow Dr. Afton, OK 74331
Cupp Gary
DirectorOfficers Who Do Not Hold Stock
106 Lakeview Drive Vinita, OK 74301
Dalquest Len
DirectorOfficers Who Do Not Hold Stock
100 N. Broadway 1500 Oklahoma City, OK 73102
Hager Don
Director eff 11/20/2013Officers Who Do Not Hold Stock
310 South Scraper Vinita, OK 74301
Hartley Robert(Bob)
DirectorOfficers Who Do Not Hold Stock
PO Box 160 Langley, OK 74350
Sellers Jim
DirectorOfficers Who Do Not Hold Stock
3507 E. 66th Place Tulsa, OK 74136
Lynch Robert
Director eff 11/20/2013Officers Who Do Not Hold Stock
229 S. Smith St. Vinita, OK 74301
Montana Jo
Director eff 2014Officers Who Do Not Hold Stock
20 East 5th St. 200 Tulsa, OK 74103
Frizzell Blaine
Board of Dir./CEOOfficers Who Do Not Hold Stock
3205 Par Ct Claremore, OK 74019
Home Of Home, Inc. Richardson Ralph
Director eff Sept 2015Officers Who Do Not Hold Stock
2809 Summerfield Place Pryor, OK 74361
Brown Tim
Director Eff Sept 2015Officers Who Do Not Hold Stock
37640 S. 4110 Rd. Big Cabin, OK 74322
Gibson Virginia
NH1810 918-256-7825728 North Thompson Vinita, OK 74301
Home of Hope Thompson House
DirectorOfficers Who Do Not Hold Stock
6122 E. 107th St. Tulsa, OK 74137
Willis James A.
Page 121 of 273
Owner NameFacilities Owned
Operating Entity
P.O.Box 903 Vinita, OK 74301
Home Of Hope, Inc.
VP OperationsOfficers Who Do Not Hold Stock
1005 West Canadian Vinita, OK 74301
Hartley Jot
TreasurerOfficers Who Do Not Hold Stock
332 N. Scraper Vinita, OK 74301
Luginbuel Jack
VP P&DOfficers Who Do Not Hold Stock
319 E. Illinois Vinita, OK 74301
Patrick Dennis
Secretary eff 09/2012Officers Who Do Not Hold Stock
450500 Happy Hollow Dr. Afton, OK 74331
Cupp Gary
DirectorOfficers Who Do Not Hold Stock
PO Box 160 Langley, OK 74350
Sellers Jim
Board of Dir./CEOOfficers Who Do Not Hold Stock
3205 Par Ct Claremore, OK 74019
Home Of Home, Inc. Richardson Ralph
Director eff Sept 2015Officers Who Do Not Hold Stock
2809 Summerfield Place Pryor, OK 74361
Brown Tim
Director Eff Sept 2015Officers Who Do Not Hold Stock
37640 S. 4110 Rd. Big Cabin, OK 74322
Gibson Virginia
NH1806 918-256-782524775 South 4400 Road Vinita, OK 74301
Home Of Hope Warren House
Director eff 2014 end 2016,eff 9/14/17Officers Who Do Not Hold Stock
10641 E. 18th Pl. Tulsa, OK 74128
Wedding Tony
Operating Entity
P.O.Box 903 Vinita, OK 74301
Home Of Hope, Inc.
VP OperationsOfficers Who Do Not Hold Stock
1005 West Canadian Vinita, OK 74301
Hartley Jot
DirectorOfficers Who Do Not Hold Stock
5924 Flagstaff Wichita, KS 67220
Harney Jerry
VP P&D/Secretary 09/19/19Officers Who Do Not Hold Stock
319 E. Illinois Vinita, OK 74301
Patrick Dennis
Secretary END 09/19/19 President EFF 09/19/19
Officers Who Do Not Hold Stock
450500 Happy Hollow Dr. Afton, OK 74331
Cupp Gary
DirectorOfficers Who Do Not Hold Stock
100 N. Broadway 1500 Oklahoma City, OK 73102
Hager Don
DirectorOfficers Who Do Not Hold Stock
PO Box 160 Langley, OK 74350
Sellers Jim
Page 122 of 273
Owner NameFacilities Owned
Director END 09/19/19- VP Client Services EFF 09/19/19
Officers Who Do Not Hold Stock
3507 E. 66th Place Tulsa, OK 74136
Lynch Robert
DirectorOfficers Who Do Not Hold Stock
20 East 5th St. 200 Tulsa, OK 74103
Frizzell Blaine
CEO Eff. 2016Officers Who Do Not Hold Stock
3205 Par Ct Claremore, OK 74019
Home Of Home, Inc. Richardson Ralph
Director END 09/19/19 -VP Operations 09/19/19
Officers Who Do Not Hold Stock
2809 Summerfield Place Pryor, OK 74361
Brown Tim
Director Eff Sept 2015Officers Who Do Not Hold Stock
37640 S. 4110 Rd. Big Cabin, OK 74322
Gibson Virginia
Director, eff 9/14/17 END 09/19/19 Pres elect EFF 09/19/19
Officers Who Do Not Hold Stock
442570 E. 290 Road Vinita, OK 74301
Robinson Dee
COO EFF 9/19/19Officers Who Do Not Hold Stock
525 W. Illinois Vinita, OK 74301
Pitts Dena
Treasurer EFF 09/19Officers Who Do Not Hold Stock
2795 Weber Road Claremore, OK 74017
Campbell Seth
Director 09/19/19Officers Who Do Not Hold Stock
3737 E.82nd Place Tulsa, OK 74137
Earley Sharon
Director EFF 9/19/19Officers Who Do Not Hold Stock
2411 Skelly Dr. Tulsa, OK 74105
Wenzel Liza
NH5812 918-256-8406603 3rd Avenue Northwest Miami, OK 74354
Home of Hope Wilson House
Director EFF 9/19/19Officers Who Do Not Hold Stock
10641 E. 18th Pl. Tulsa, OK 74128
Wedding Tony
Operating Entity
P.O.Box 903 Vinita, OK 74301
Home Of Hope, Inc.
VP Operations END 9/19/19 Director EFF 9/19/19
Officers Who Do Not Hold Stock
1005 West Canadian Vinita, OK 74301
Hartley Jot
DirectorOfficers Who Do Not Hold Stock
5924 Flagstaff Wichita, KS 67220
Harney Jerry
VP P & D/Secretary EFF 09/19/19Officers Who Do Not Hold Stock
319 E. Illinois Vinita, OK 74301
Patrick Dennis
Secretary End 9-19-2019 President EFF 09-19-2019
Officers Who Do Not Hold Stock
450500 Happy Hollow Dr. Afton, OK 74331
Cupp Gary
DirectorOfficers Who Do Not Hold Stock
100 N. Broadway 1500 Oklahoma City, OK 73102
Hager Don
Page 123 of 273
Owner NameFacilities Owned
DirectorOfficers Who Do Not Hold Stock
PO Box 160 Langley, OK 74350
Sellers Jim
Director END 9/19/19-VP Client Services 9/19/19
Officers Who Do Not Hold Stock
3507 E. 66th Place Tulsa, OK 74136
Lynch Robert
DirectorOfficers Who Do Not Hold Stock
20 East 5th St. 200 Tulsa, OK 74103
Frizzell Blaine
CEOOfficers Who Do Not Hold Stock
3205 Par Ct Claremore, OK 74019
Home Of Home, Inc. Richardson Ralph
Director END 09/19/19 -VP Operations 09/19/19
Officers Who Do Not Hold Stock
2809 Summerfield Place Pryor, OK 74361
Brown Tim
Director Eff Sept 2015Officers Who Do Not Hold Stock
37640 S. 4110 Rd. Big Cabin, OK 74322
Gibson Virginia
COO EFF 9/19/19Officers Who Do Not Hold Stock
525 W. Illinois Vinita, OK 74301
Pitts Dena
President Elect EFF 09/19Officers Who Do Not Hold Stock
442570 E. 290 Rd Vinita, OK 74301
Robison Dee
Treasurer 09/19/19Officers Who Do Not Hold Stock
2795 Weber Road Claremore, OK 74017
Campbell Seth
Director EFF 09/19/19Officers Who Do Not Hold Stock
3737 E.82nd Place Tulsa, OK 74137
Earley Sharon
Director EFF 9/19/19Officers Who Do Not Hold Stock
2411 Skelly Dr. Tulsa, OK 74105
Wenzel Liza
NH1811 918-256-7825950 West Hope Road Vinita, OK 74301
Home of Hope Wodloe House
Director Eff 11-23-2016Officers Who Do Not Hold Stock
10641 E. 18th Pl. Tulsa, OK 74128
Wedding Tony
Director eff 11-22-13Officers Who Do Not Hold Stock
6122 E. 107th St. Tulsa, OK 74137
Willis James A.
Operating Entity
P.O.Box 903 Vinita, OK 74301
Home Of Hope, Inc.
VP Operations END 09/19 Director EFF 09/19
Officers Who Do Not Hold Stock
1005 West Canadian Vinita, OK 74301
Hartley Jot
DirectorOfficers Who Do Not Hold Stock
5924 Flagstaff Wichita, KS 67220
Harney Jerry
Treasurer Eff. 11-22-13Officers Who Do Not Hold Stock
332 N. Scraper Vinita, OK 74301
Luginbuel Jack
Page 124 of 273
Owner NameFacilities Owned
VP P&D and SecretaryOfficers Who Do Not Hold Stock
319 E. Illinois Vinita, OK 74301
Patrick Dennis
Secretary Eff. 11-22-13 END 9/19 President EFF 9/19
Officers Who Do Not Hold Stock
450500 Happy Hollow Dr. Afton, OK 74331
Cupp Gary
DirectorOfficers Who Do Not Hold Stock
100 N. Broadway 1500 Oklahoma City, OK 73102
Hager Don
DirectorOfficers Who Do Not Hold Stock
310 South Scraper Vinita, OK 74301
Hartley Robert(Bob)
DirectorOfficers Who Do Not Hold Stock
PO Box 160 Langley, OK 74350
Sellers Jim
Director, eff.07/09/2012 END 9/19; VP Client Svcs EFF 9/19
Officers Who Do Not Hold Stock
3507 E. 66th Place Tulsa, OK 74136
Lynch Robert
DirectorOfficers Who Do Not Hold Stock
229 S. Smith St. Vinita, OK 74301
Montana Jo
director started 12/07/2015Officers Who Do Not Hold Stock
20 East 5th St. 200 Tulsa, OK 74103
Frizzell Blaine
CEO eff 2014Officers Who Do Not Hold Stock
3205 Par Ct Claremore, OK 74019
Home Of Home, Inc. Richardson Ralph
Director 12/07/2015 End 09/19- VP Operations EFF 09/19
Officers Who Do Not Hold Stock
2809 Summerfield Place Pryor, OK 74361
Brown Tim
Director start 12/07/2015Officers Who Do Not Hold Stock
37640 S. 4110 Rd. Big Cabin, OK 74322
Gibson Virginia
Chief Operating Officer EFF 09/19Officers Who Do Not Hold Stock
525 W. Illinois Vinita, OK 74301
Pitts Dena
President Elect EFF 09/19Officers Who Do Not Hold Stock
442570 E. 290 Rd Vinita, OK 74301
Robison Dee
Treasurer EFF 09/19Officers Who Do Not Hold Stock
2795 Weber Road Claremore, OK 74017
Campbell Seth
Director EFF 09/19/2019Officers Who Do Not Hold Stock
3737 E.82nd Place Tulsa, OK 74137
Earley Sharon
Director EFF 09/19Officers Who Do Not Hold Stock
2411 Skelly Dr. Tulsa, OK 74105
Wenzel Liza
NH1202 580-326-77711001 Heritage Way Hugo, OK 74743
Homestead of Hugo
37.5% Hugo Health & Rehab and Homestead of Hugo I eff 12-28-20
Stockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Gilbert Green Family Investments, LLC
Page 125 of 273
Owner NameFacilities Owned
12.5% Hugo Health & Rehab and Homestead of Hugo I eff 12-28-20
Managing Member
808 North 4140 Road Hugo, OK 74743
Chance Gwendolyn
25% BGM Estate 4th Successor Delores O Michell Rev.Trust
Officers Who Do Not Hold Stock
P.O. Box 330 Muldrow, OK 74948
Tabor Angela
25% BGM Estate, 1st Successor Delores O Michell Rev Trust
Stockholders/partners -- Not Officers
111522 S. 4740 Road Muldrow, OK 74948
Mitchell Robert Michael
25% BGM Estate (Mgr) 3rd Successor Delores O Michell Rev.Trust
Stockholders/partners Who Are Officers
412 S. Dogwood Sallisaw, OK 74955
Mitchell Marcinda
25% BGM Estate, LLC 2nd Successor Delores O Michell Rev.Trust
Stockholders/partners -- Not Officers
7240 Chase Oaks Blvd 121 Plano, TX 75025
Mitchell Kelly O.
Delores O. Mittchell Revocable TrustTrustee
412 South Dogwood Sallisaw, OK 74955
Mitchell Delores O.
effective 9/26/11Lessor Or Real Estate Owner
1505 W. Chickasaw Ave. Sallisaw, OK 74955
Hugo Health and Rehabilitation Center, L.L.C.
Beneficiary of Reba Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Green Reba
11.10% Gilbert Green Family Investments eff 12-28-2020
Stockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Seay Tiffany Renee
Beneficiary of the Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, Ok 74955
Tiffany Seay Exempt Trust
11.10% Gilbert Green Familiy Investment, LLC
Stockholders/partners -- Not Officers
P.O. Box 1454 Sallisaw, OK 74955
Philip M. Green Revocable Trust
55.60% Gilbert Green Family Investment, LLC
Stockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Gilbert F. Green Trust
Co-Trustee Gilbert F. Green, Reba Green, Philip M Green Trusts
Trustee
P.O. Box 1454 Sallisaw, OK 74955
Green Philip M.
Gilbert F. Green Trust DOD 12-08-2020Trustee
P.O. Box 1090 Sallisaw, OK 74955
Green Gilbert F.
18.75% Hugo Health & Rehab and Homestead of Hugo I eff 12-28-20
Stockholders/partners -- Not Officers
412 S. Dogwood Sallisaw, OK 74955
Delores O. Mitchell Revocable Trust
18.75% Hugo Health & Rehab and Homestead of Hugo I eff 12-28-20
Stockholders/partners -- Not Officers
P.O. Box 568 Sallisaw, OK 74955
BGM Estate, LLC
OP eff 12-28-2020Operating Entity
1001 Heritage Way Hugo, OK 74743
Homestead of Hugo I, LLC
20% Gilbert Green Family Investment 12-28-2020
Stockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Reba Green Trust
Page 126 of 273
Owner NameFacilities Owned
Manager of Gilbert Green Family Investment, LLC eff 12-29-2020
Manager
P.O. Box 1090 Sallisaw, OK 74955
PMG Management, LLC
Co-Trustee Gilbert Green Trust, Reba Green Trust
Trustee
P.O. Box 1090 Sallisaw, OK 74955
Armstrong Sinclair
Co-Trustee Gilbert M Green Trust, Reba Green Trust
Trustee
P.O. Box 1090 Sallisaw, OK 74955
Roberts Minerva
Beneficiary Philip M. Green Rev Trust, Reba Green Trust
Beneficiary
P.O. Box 1090 Sallisaw, OK 74955
Lori M. Green Exempt Trust
Beneficiary of the Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Reba Green Marital Deuction Trust
Beneficiary Gilbert F Green , Reba Green, Philip M Green Trust
Beneficiary
P.O. Box 1090 Sallisaw, OK 74955
Philip M. Green Exempt Trust
4.17% Hugo Health & Rehab and Homestead of Hugo I eff 12-28-20
Stockholders/partners -- Not Officers
9905 Hefner Village Place Oklahoma City, OK 73162
McEwing Torie
4.17% Hugo Health & Rehab and Homestead of Hugo I eff 12-28-20
Stockholders/partners -- Not Officers
701 West 101st Place South Jenks, OK 74037
McEwing Shawna
4.17% Hugo Health & Rehab and Homestead of Hugo I eff 12-28-20
Stockholders/partners -- Not Officers
3610 Lakeshore Drive Enid, OK 73703
Tindal Michelle
Beneficiary Philip M. Green Rev Trust, Reba Green Trust
Beneficiary
P.O. Box 1454 Sallisaw, OK 74955
Philip R. Green Exempt Trust
NH7406 918-331-05506006 SE Adams Blvd Bartlesville, OK 74006
Ignite Medical Resort Adams PARC
Lessor Or Real Estate Owner
18831 Von Karman Ave. 400 Irvine, CA 92612
Sabra Health Care Holding I, LLC
100% of Sabra Holdings IIIMember
18831 Von Karman Ave 400 Irvine, CA 92612
Sabra Health Care Limited Partnership
1% of Sabra Health Limited PartnershipLimited Partner
18831 Von Karman Ave 400 Irvine, CA 92612
Sabra Health Care, LLC
99% of Sabra Health Limited PartnershipGeneral Partner
18831 Von Karman Ave. 400 Irvine, CA 92612
Sabra Health Care REIT, Inc.
Lessor Or Real Estate Owner
18831 Von Karman Ave 400 Irvine, CA 92612
Sabra Health Care Holdings III, LLC
Pres. Sabra health Holdings III, Sabra, LLC, and REIT
Officers Who Do Not Hold Stock
18500 Von Karman Avenue 550 Lrvine, CA 92612
Matros Richard
Page 127 of 273
Owner NameFacilities Owned
CFO Sabra Holdings III, Sabra Health Care and REIT
Officers Who Do Not Hold Stock
18500 Von Karman Ave 550 Irvine, CA 92612
Andrews, Jr. Harold
CFO & Sec Sabra Holdings, Sabra Health Care & REIT
Officers Who Do Not Hold Stock
18500 Von Karman Ave 550 Irvine, CA 92612
Nevo-Hacohen Talya
41.5% Indirect Ignite Medical Resort Bartlesville eff 01/01/20
Stockholders/partners Who Are Officers
6840 West Touhy Avenue Niles, IL 60714
Fields Tim
33.5%Indirect Ignite Medical Resort Bartlesville, LLC
Stockholders/partners Who Are Officers
6840 West Touhy Avenue Niles, IL 60714
Carr Barry
OP eff 05-29-2020Operating Entity
6840 West Touhy Avenue Nile, IL 60714
Ignite Medical Resort Bartlesville, LLC
Leasee - Sub- Leasor eff 05-29-2020Lessor Or Real Estate Owner
6840 West Tonlhy Avenue Nile, IL 60714
Ignite Medical Resorts Oklahoma, LLC
100% Ignite Medical Resorts Oklahoma & Bartlesville eff 05-29-20
Stockholders/partners -- Not Officers
6840 West Touhy Avenue Nile, IL 60714
Ignite Oklahoma JV, LLC
28% Ignite Oklahoma JV, LLC eff 05-29-2020
Stockholders/partners -- Not Officers
6840 West Toulhy Avenue Nile, IL 60714
Prestige Worldwide Oklahoma, LLC
40% Ignite Oklahoma JV, LLCStockholders/partners -- Not Officers
6840 West Touhy Avenue Nile, IL 60714
Ignite Post Acute Solutions, LLC
32% Ignite Oklahoma JV, LLC eff 05-29-2020
Stockholders/partners -- Not Officers
6840 West Touhy Avenue Nile, IL 60714
Blue Pearl Financial, LLC
NH1405 405-322-56591050 Rambling Oaks Drive Norman, OK 73072
Ignite Medical Resort Norman, LLC
100% of Sabra Health Care Holdings, IIIStockholders/partners -- Not Officers
18831 Von Karman Ave 400 Irvine, CA 92612
Sabra Health Care Limited Partnership
1% of Sabra Health Care Limited Parnership eff 10/29/2014
Stockholders/partners -- Not Officers
18831 Von Karman Ave 400 Irvine, CA 92612
Sabra Health Care, LLC
100% RE eff 10/29/2014Lessor Or Real Estate Owner
18831 Von Karman Ave 400 Irvine, CA 92612
Sabra Health Care Holdings III, LLC
CFO Sabra Holdings III, Sabra Health Care and REIT
Officers Who Do Not Hold Stock
18500 Von Karman Ave 550 Irvine, CA 92612
Andrews, Jr. Harold
41.5% Indirect Ignite Medical Resort Norman, LLC eff 05-29-20
Stockholders/partners Who Are Officers
6840 West Touhy Avenue Niles, IL 60714
Fields Tim
33.5% Indirect Ignite Medical Resort Norman, LLC eff 05-29-2020
Stockholders/partners Who Are Officers
6840 West Touhy Avenue Niles, IL 60714
Carr Barry
Page 128 of 273
Owner NameFacilities Owned
OP eff 05-29-2020Operating Entity
6840 West Touhy Avenue Nile, IL 60714
Ignite Medical Resort Norman, LLC
Leasee - Sub- Leasor eff 05-29-2020Lessor Or Real Estate Owner
6840 West Tonlhy Avenue Nile, IL 60714
Ignite Medical Resorts Oklahoma, LLC
100% of Ignite Medical Resorts Okla & Norman, LLC eff 05-29-2020
Stockholders/partners -- Not Officers
6840 West Touhy Avenue Nile, IL 60714
Ignite Oklahoma JV, LLC
28% Ignite Oklahoma JV, LLC eff 05-29-2020
Stockholders/partners -- Not Officers
6840 West Toulhy Avenue Nile, IL 60714
Prestige Worldwide Oklahoma, LLC
40% Ignite Oklahoma JV, LLCStockholders/partners -- Not Officers
6840 West Touhy Avenue Nile, IL 60714
Ignite Post Acute Solutions, LLC
32% Ignite Oklahoma JV, LLC eff 05-29-2020
Stockholders/partners -- Not Officers
6840 West Touhy Avenue Nile, IL 60714
Blue Pearl Financial, LLC
NH5504 405-946-69326312 North Portland Oklahoma City, OK 73112
Ignite Medical Resort OKC, LLC
Employment Tax Entity
4005 NW Expressway 500 Oklahoma City, OK 73112
Paycom, LLC
100% of Sabra Health Care Holdings III, LLC
Stockholders/partners -- Not Officers
18831 Von Karman Ave 400 Irvine, CA 92612
Sabra Health Care Limited Partnership
1% of Sabra Health Care Limited Parnership eff 10/29/2014
Limited Partner
18831 Von Karman Ave 400 Irvine, CA 92612
Sabra Health Care, LLC
99% & GP of Sabra Health Care Limited Partnership eff 10/29/14
General Partner
18831 Von Karman Ave. 400 Irvine, CA 92612
Sabra Health Care REIT, Inc.
RE eff 10/29/2014Lessor Or Real Estate Owner
18831 Von Karman Ave 400 Irvine, CA 92612
Sabra Health Care Holdings III, LLC
President of Sabra Health Care Holding III, LLC, SHC, & Reit
Officers Who Do Not Hold Stock
18500 Von Karman Avenue 550 Lrvine, CA 92612
Matros Richard
CFO and Secretary of Sabra Health Care Holdings III, SHC & Reit
Officers Who Do Not Hold Stock
18500 Von Karman Ave 550 Irvine, CA 92612
Andrews, Jr. Harold
CFO-Secretary of Sabra Health Care Holdings III, SHC & Reit
Officers Who Do Not Hold Stock
18500 Von Karman Ave 550 Irvine, CA 92612
Nevo-Hacohen Talya
Op eff 05-29-2020Operating Entity
6840 West Toulhy Avenue Niles, IL 60714
Ignite Medical Resort OKC, LLC
41.5% Indirect Ignite Medical Resort OKC, LLC
Stockholders/partners Who Are Officers
6840 West Touhy Avenue Niles, IL 60714
Fields Tim
Page 129 of 273
Owner NameFacilities Owned
33.5% Indirect Ignite Medical Resort OKC, LLC
Stockholders/partners Who Are Officers
6840 West Touhy Avenue Niles, IL 60714
Carr Barry
Leasee - Sub- Leasor eff 05-29-2020Lessor Or Real Estate Owner
6840 West Tonlhy Avenue Nile, IL 60714
Ignite Medical Resorts Oklahoma, LLC
100% of Ignite Medical Resorts Okla & OKC, LLC eff 05-29-2020
Stockholders/partners -- Not Officers
6840 West Touhy Avenue Nile, IL 60714
Ignite Oklahoma JV, LLC
28% Ignite Oklahoma JV, LLC eff 05-29-2020
Stockholders/partners -- Not Officers
6840 West Toulhy Avenue Nile, IL 60714
Prestige Worldwide Oklahoma, LLC
40% Ignite Oklahoma JV, LLCStockholders/partners -- Not Officers
6840 West Touhy Avenue Nile, IL 60714
Ignite Post Acute Solutions, LLC
32% Ignite Oklahoma JV, LLC eff 05-29-2020
Stockholders/partners -- Not Officers
6840 West Touhy Avenue Nile, IL 60714
Blue Pearl Financial, LLC
NH7408 918-336-59285120 Jacquelyn Lane Bartlesville, OK 74006
Jacquelyn House
Vice-President, eff 9-17-19Officers Who Do Not Hold Stock
2632 Roanoke Ridge Rd Bartlesville, OK 74006
Proctor Drew
Treasurer, eff 9-17-19Officers Who Do Not Hold Stock
RR1, Box 107 Nowata, OK 74048
Casey Bettisu
OP, eff 9-26-19Operating Entity
501 S. Virginia Ave Bartlesville, OK 74003
Ability Works of Oklahoma, Inc.
President, eff 0-17-19Officers Who Do Not Hold Stock
POB690 G Bartlesville, OK 74004
Messerli Teresa
Secretary, eff 9-17-19Officers Who Do Not Hold Stock
115 1/2 SE Frank Phillips Blvd Bartlesville, OK 74003
Haskell Debbie
Cheif Executive Officer, eff 9-17-19Officers Who Do Not Hold Stock
5120 Jacquelyn Lane Bartlesville, OK 74006
Ingram Rebecca
NH6203 580-332-5328815 North Country Club Road Ada, OK 74820
Jan Frances Care Center
25% BGM Estate eff 12-29-2020Stockholders/partners -- Not Officers
P.O. Box 330 Muldrow, OK 74948
Tabor Angela
25% BGM Estate, LLC eff12-29-2020Stockholders/partners -- Not Officers
111522 S. 4740 Road Muldrow, OK 74948
Mitchell Robert Michael
Page 130 of 273
Owner NameFacilities Owned
25% BGM Estate (Mgr) eff 12-29-2020Stockholders/partners Who Are Officers
412 S. Dogwood Sallisaw, OK 74955
Mitchell Marcinda
12.5% Jan Frances Care Cen I, 25% BGM Estate eff 12-29-2020
Stockholders/partners -- Not Officers
7240 Chase Oaks Blvd 121 Plano, TX 75025
Mitchell Kelly O.
Trustee Tiffany Seay Exempt TrustTrustee
P.O. Box 1090 Sallisaw, OK 74955
Seay Tiffany Renee
Beneficiary of the Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, Ok 74955
Tiffany Seay Exempt Trust
25% Jan Frances Care Center I eff 12-29-2020
Stockholders/partners -- Not Officers
P.O. Box 1454 Sallisaw, OK 74955
Philip M. Green Revocable Trust
25% Jan Frances Care Center I, eff 12-29-2020
Stockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Gilbert F. Green Trust
Co-Trustee Gilbert F. Green Trust, Philip M Green Rev Trust
Trustee
P.O. Box 1454 Sallisaw, OK 74955
Green Philip M.
Trustee & beneficiary Gilbert F. Green Trust DOD 12-08-2020
Trustee
P.O. Box 1090 Sallisaw, OK 74955
Green Gilbert F.
Trustee of Philip R. Green Exempt TrustTrustee
P.O. Box 1090 Sallisaw, OK 74955
Green Philip R.
37.5% Jan Frances Care Center I, eff 12-29-2020
Stockholders/partners -- Not Officers
P.O. Box 568 Sallisaw, OK 74955
BGM Estate, LLC
OP eff 12-29-2020Operating Entity
815 North Country Club Road Ada, OK 74820
Jan Frances Care Center I, L.L.C.
Co-Trustee Gilbert F. Green TrustTrustee
P.O. Box 1090 Sallisaw, OK 74955
Armstrong Sinclair
Co-Trustees Gilbert F. Green TrustTrustee
P.O. Box 1090 Sallisaw, OK 74955
Roberts Minerva
Beneficiary Philip M. Green Rev TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Lori M. Green Exempt Trust
Beneficiary of the Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Reba Green Marital Deuction Trust
Beneficiary Gilbert F Green, Philip M Green Revocable Trust
Beneficiary
P.O. Box 1090 Sallisaw, OK 74955
Philip M. Green Exempt Trust
Manager of Jan Frances Care Center I eff 12-29-2020
Manager
815 North Country Club Road Ada, OK 74820
Simmons Phillip
Beneficiary Philip M. Green Rev TrustBeneficiary
P.O. Box 1454 Sallisaw, OK 74955
Philip R. Green Exempt Trust
Page 131 of 273
Owner NameFacilities Owned
NH2406 580-233-2722502 West Pine Enid, OK 73701
Kenwood Manor
100% of Kenmetal, LLCStockholders/partners -- Not Officers
593 Atlanta Street Roswell, GA 30075
Brogdon Connie
Manager of Kenmetal, LLC eff 07/28/11 100% MPM, LLC eff 3/1/14
Stockholders/partners -- Not Officers
3050 Peachtree Rd 355 Atlanta, GA 30305
Brogdon Christopher
Operating Entity
502 W. Pine Avenue Enid, OK 73701-3032
Kenmetal, LLC
eff 3/1/2014Contracted Management
455 East Paces Ferry Road, N.E. 302 Atlanta, GA 30305
Marsh Pointe Managment, LLC
NH5535 405-424-14491921 Northeast 21st Street Oklahoma City, OK 73111
Kingwood Skilled Nursing and Therapy
Manager - OP/RE/Mgt. Co., eff 07/01/19Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Lessor Or Real Estate Owner
2200 N.W. 50th 126 Oklahoma City, OK 73112
Terrgar, L. L. C.
Manager - OP/RE/Mgt. CO., eff 07/01/19Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Dimond Mike
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
78% OP & Amity Care, LLC eff. 10-21-03
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
22% OP & Amity Care, LLC eff.10-21-03
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
Eff, 7/1/19Operating Entity
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Terrace Gardens Nursing Center, L.L.C.
58% RE, eff 07/01/19Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Clarity Properties, LLC
42% RE, eff 07/01/19Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Renew Properties, L.L.C.
NH4301 580-634-4712301 CE Colston Drive Marietta, OK 73448
Lake Country Nursing Center
Page 132 of 273
Owner NameFacilities Owned
Chair & CEO of Senior Care Group, Inc.Officers Who Do Not Hold Stock
1240 Marbella Plaza Drive #12 Tampa, FL 33619
Vaughan David R.
eff. 11-01-06Operating Entity
1240 Marbella drive Tampa, Fl
SCG Lake Country, LLC
eff. 11-01-06Contracted Management
1240 Marbella Plaza Drive Tampa, FL 33619
SCG Red River Management, LLC
sole manag.mem. of SCG Red River, LLC/lessee
Managing Member
1240 Marbella Plaza Drive Tampa, FL 33619
Senior Care Group, Inc.
Senior VP, Sec, and Board Mem of Senior Care Group, Inc.
Officers Who Do Not Hold Stock
1240 Marbella Drive Tampa, FL 33619
Thorn Rebecca
Board Member of Senior Care Group, Inc.
Officers Who Do Not Hold Stock
1240 Marbella Plaza Drive Tampa, FL 33619
Fridrich, Sr. Gerald D.
Board Memboer of Senior Care Group, Inc.
Officers Who Do Not Hold Stock
1240 Marbella Plaza Drive Tampa, FL 33619
Surtees Robert E.
CFO & SecretaryOfficers Who Do Not Hold Stock
1240 Marbella Plaza Drive Tampa, FL 33619
Chudow Katherine (Kathy)
66.67% LQCP Management, LLC, eef 1/16/2020
Stockholders/partners Who Are Officers
1300 S. University Dr. 306 Fort Worth, TX 76107
Boswell Darren
100% 301 C E Colston Drive, LLC, eff 1/16/2020
Stockholders/partners -- Not Officers
2001 Route 46 301 Parsippany, NJ 07054
LQC Partners XI, LLC
100% LQC Partners XI, LLCStockholders/partners -- Not Officers
2001 Route 46 301 Parsippany, NJ 07054
LQCP Management, LLC
33.33% LQCP Management, LLC, eff 1/16/2020
Stockholders/partners Who Are Officers
2001 Route 46 301 Parsippany, NJ 07054
Torzilli Michele
RE, eff 1/16/2020Lessor Or Real Estate Owner
2001 Route 46 301 Parsippany, NJ 07054
301 C E Colston Drive, LLC
NH5605 918-652-8101600 Lake Road Henryetta, OK 74437
Lake Drive Care and Rehabilitation Center
100% of Peak Medical CorpStockholders/partners -- Not Officers
101 Sun Ave. NE Albuquerque, NM 87109
SunBridge Healthcare LLC
100% of SunBridge Healthcare Corporation
Stockholders/partners -- Not Officers
101 Sun Avenue NE Albuquerque, NM 87109
Sun Healthcare Group, Inc.
100% of Sabra Lake Drive, LLCStockholders/partners -- Not Officers
18831 Von Karman Ave 400 Irvine, CA 92612
Sabra Health Care Limited Partnership
Page 133 of 273
Owner NameFacilities Owned
1% Limited Partner of Sabra Health Care LP
Stockholders/partners -- Not Officers
18831 Von Karman Ave 400 Irvine, CA 92612
Sabra Health Care, LLC
99% GP of Sabra Health Care LPLessor Or Real Estate Owner
18831 Von Karman Ave. 400 Irvine, CA 92612
Sabra Health Care REIT, Inc.
7% South Park Health Care- 50% Midwest Geriatric Mgmt 03-2017
Stockholders/partners -- Not Officers
14447 Chellington Ct. 430 Chesterfield, MO 63017
Bienstock Judah
Mgr Okla Acquisitions & 50% Midwest Geriatric Mgmt eff 03-2017
Stockholders/partners -- Not Officers
8 Primrose Dr. Lakewood, NJ 08701
Jeremias Baruch
100% Sun Healthcare Group, Inc.Stockholders/partners -- Not Officers
101 East State Street Kennett Square, PA 19348
GHC Holdings II, LLC
100% GHC Holdings II, LLCStockholders/partners -- Not Officers
101 East State Street Kennett Square, PA 19348
Genesis Healthcare, LLC
100% Genesis Healthcare, LLCStockholders/partners -- Not Officers
3820 Mansell Road 280 Alpharetta, GA 30022
GEN Operations II, LLC
100% GEN Operations II, LLCStockholders/partners -- Not Officers
3820 Mansel Road 280 Alpharetta, GA 30022
GEN Operations I, LLC
21% FC-GEN Operations Investment, LLC
Stockholders/partners -- Not Officers
3820 Mansell Road 280 Alpharetta, GA 30022
HCCF Management Group XI, LLC
15% FC-GEN Operations Investment, LLC
Stockholders/partners -- Not Officers
One South Street, 27th Flr Baltimore, MD 21202
Gazelle Gen LLC
14% FC-GEN Operations Investment, LLC
Stockholders/partners -- Not Officers
101 East State Street Kennett Square, PA 19348
GEN Management, LLC
13% FC-GEN Operations Investment, LLC
Stockholders/partners -- Not Officers
234 Church Street 901 New Haven, CT 06510
Senior Care Genesis, LLC
12% FC-GEN Operations Investment, LLC
Stockholders/partners -- Not Officers
101 West Avenue, Third Floor Jenkintown, PA 19046
ZAC Properties XI, LLC
4% FC-GEN Operations Investment, LLC
Stockholders/partners -- Not Officers
6633 N. Lincoln Avenue Lincolnwood, IL 60712
Midway Gen Capital, LLC
57% Gazelle Gen LLCStockholders/partners -- Not Officers
One South Street, 27th Floor Baltimore, MD 21202
SL Gen LLC
92% Senior Care Genesis, LLCStockholders/partners -- Not Officers
234 Church Street 901 New Haven, CT 06510
Senior Care Holdings LLC
68% Senior Care Holdings LLCStockholders/partners -- Not Officers
19 Hilltop Place Rye, NY 10580
1995 Donna Reis Family Trust
10% Lake Drive Health CareStockholders/partners -- Not Officers
1111 Marcus Ave 107 Lake Success, NY 11042
Fensterman Howard
37% of Lake Drive Health Care eff 03-2017
Stockholders/partners -- Not Officers
1111 Marcus Ave. 107 Lake Success, NY 11042
Landa Benjamin
Page 134 of 273
Owner NameFacilities Owned
eff 03/13/13Operating Entity
477 North Lindergh Blvd 310 St. Louis, MO 63141
Lake Drive Health Care, LLC
13% Lake Drive Health Care eff 03-2017Stockholders/partners -- Not Officers
59 Causeway Lawrence, NY 11559
Taub Miriam
33% of Lake Drvie Health CareStockholders/partners -- Not Officers
8 Primrose Drive Lakewood, NJ 08701
Oklahoma Acquisitions, LLC
84.85% of Oklahoma AcquisitionsStockholders/partners -- Not Officers
8 Primrose Drive Lakewood, NJ 08701
10-26 Nationwide Trust
15.15% of Oklahoma Acquisitions eff 03-2017 no members have 5%
Stockholders/partners -- Not Officers
445 Central Ave 304 Cedarhurst, NY 11516
MACB Resources, LLC
NH5411 918-650-93934 Hillcrest Way Okemah, OK 74859
Lake Place
Lessor Or Real Estate Owner
236 Main Street Uniontown, KY 42461
4-B Properties, L.L.C.
amended corp. name (fkaProdetik, Inc.) eff 02-05-08
Operating Entity
1201 W. Trudgeon Henryetta, OK 74437
The Reach Corporation
Non-Profit Board President of The Reach Corporation 2019
Officers Who Do Not Hold Stock
PO Box 790 UnionTown, KY 42461
Bailey M. Geoffry
eff. 8-15-07Lessor Or Real Estate Owner
P.O. Box 409 Sturgis, KY 42459
Maricopa Properties, LLC
100% of REStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Maricopa Partners, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Rock River, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
MMB, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Lovenest, LLC
30.959% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gary
16.025% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Lisa
16.025% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Lisa
32.88% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Tim
Page 135 of 273
Owner NameFacilities Owned
17.455% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Vicki
29.421% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Robert
13.957% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Laura
53.016% of Rock River, LLC - 4 children w/13.254% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
4 Irrevocable Trusts
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O.Box 409 Sturgis, KY 42459
Ervin Mallory
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Jade
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Luke
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gabe
49.665% of MMB, LLC - 5 children w/9.933% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
3 Irrevocable Trusts
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Max
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box Sturgis, KY 42459
Linenger Jessica
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mitch
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Linenger Jennifer
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Brock
56.623% of Lovenest, LLC - 7 children w/8.089% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
7 Irrevocable Trusts
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Thea
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugris, KY 42459
Ervin Issac
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugis, KY 42459
Ervin Samuel
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Elijah
Page 136 of 273
Owner NameFacilities Owned
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Saul
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Micah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mathias
Authorized Agent of the Reach Corporation, eff 11/1/2019
Officers Who Do Not Hold Stock
1201 W. Trudgeon Henryetta, OK 74437
Ogle Gloria
Vice -President eff 1/28/2020Officers Who Do Not Hold Stock
1924 Lorraine Ave Allen, TX 75002
Garrett Marvin
Secretary/Treasurer eff 1/28/2020Officers Who Do Not Hold Stock
452 Goose Pond Road Morganfield, KY 42437
Humphrey Brian
NH1005 580-223-4501604 Lake Murray Drive Ardmore, OK 73401
Lakeland Manor, Inc.
Pres & 0% of LM,Inc./Pres & 100%LTCMngmtCo.
Stockholders/partners Who Are Officers
P.O. Box 128 Ardmore, OK 73402-0128
Porter Gary L.
Operating Entity
604 Lake Murray Drive Ardmore, OK 73401
Lakeland Manor, Inc.
mngmtContracted Management
P.O. Box 128 Ardmore, OK 73402-0128
LTC Management Co.
100% LMNH,Inc.Stockholders/partners Who Are Officers
P.O. Box 20688 Oklahoma City, OK 73156
Porter Mary E.
100% LM,Inc.Stockholders/partners -- Not Officers
PO Box 20688 Okc, OK 73156
Lakeland Manor Nursing Home, Inc.
NH4604 918-618-9588607 Woodland Ave Eufaula, OK 74432
Lakeview Nursing & Rehab
100% of Lakeview Manor & Lakeview Nursing & Rehab eff 06/29/2018
Stockholders/partners Who Are Officers
9 Professional Drive Bella Vista, AR 72715
Montgomery Bradford
OP eff 06-29-2018Operating Entity
9 Professional Drive Bella Vista, AR 72715
Lakeview Nursing & Rehab, LLC
100% Real Estate Owner eff 06-29-2018Lessor Or Real Estate Owner
9 Professional Drive Bella Vista, AR 72715
Lakeview Manor, LLC
Page 137 of 273
Owner NameFacilities Owned
NH5552 405-737-82008200 National Avenue Midwest City, OK 73110
Landmark of Midwest City Rehabilitation and Nursing Center
Lessor eff 09/01/2015Lessor Or Real Estate Owner
111 Clifton Ave Lakewood, NJ 08701
Midwest Texas Realty, LLC
100% 8200 National Avenue Realty, LLCStockholders/partners -- Not Officers
6101 Nimitz Parkway South Bend, IN 46628
Strawberry Fields REIT, LTD
100% RELessor Or Real Estate Owner
6101 Nimtz Parkway Southbend, IN 46628
8200 National Avenue Realty, LLC
99% of BenchmarkStockholders/partners Who Are Officers
2804 South Twyckenham Drive South Bend, IN 46614
Sax Jeffrey
Co-CEO of Strawberry Fields REIT, LTDCEO
6101 Nimitz Parkway South Bend, IN 46628
Gubin Moishe
Contracted Mangement Company eff 06/18/2018
Contracted Management
6101 Nimtz Parkway South Bend, IN 46628
Benchmark Healthcare Consultants, LLC
OP eff 06-18-2018Operating Entity
6101 Nimtz Parkway South Bend, IN 46628
Landmark of Midwest City Rehabilitation and Nursing Center, LLC
100% of Landmark of Midwest City Rehab & Nursing, LLC
Stockholders/partners -- Not Officers
6101 Nimitz Parkway South Bend, IN 46628
A&M Healthcare Investments, LLC
14% A&M Healthcare Investments, LLCStockholders/partners -- Not Officers
6101 Nimitz Parkway South Bend, IN 46628
Meisels Joseph
24% of A&M Healthcare Investment eff 06-18-2018
Stockholders/partners -- Not Officers
6101 Nimitz Parkway South Bend, IN 46628
Meisels David
14% A&M Healthcare Investments, LLC eff 06/18/2018
Stockholders/partners -- Not Officers
6101 Nimitz Parkway South Bend, IN 46628
Meisels Zalmen
8% of A&M Healthcare Investments, LLC eff 06-18-18
Stockholders/partners -- Not Officers
6101 Nimitz Parkway South Bend, OK 46628
Meisels Chaim
8% A&M Healthcare Investments eff 06-18-2018
Stockholders/partners -- Not Officers
6101 Nimitz Parkway South Bend, IN 46628
Teitelbaum Brucha
8% A&M Healthcare Investments, LLC eff 06/18/2018
Stockholders/partners -- Not Officers
6101 Nimitz Parkway South Bend, IN 46628
Halberstam Roisa
8% A&M Healthcare Investments, LLC eff 06-18-2018
Stockholders/partners -- Not Officers
6101 Nimitz Parkway South Bend, IN 46628
Halberstam Chana
8% A&M Healthcare Investments, LLC eff 06-18-2018
Stockholders/partners -- Not Officers
6101 Nimitz Parkway South Bend, IN 46628
Ashkenazi Sara
Page 138 of 273
Owner NameFacilities Owned
NH6606 918-543-8800400 North Broadway Inola, OK 74036
Lane Nursing & Ventilator Care
OP eff. 3/30/2020Operating Entity
705 W. Queens Broken Arrow, OK 74012
Lane Nursing & Ventilator Care, LLC
RE: eff. 12/10/2019Lessor Or Real Estate Owner
705 W. Queens Broken Arrow, OK 74012
Lane Property Holding Inola, LLC
100% OP & REStockholders/partners Who Are Officers
705 W. Queens Broken Arrow, OK 74012
Daves Casey L
NH3902 918-465-2255103 Southwest 9th Street Wilburton, OK 74578
Latimer Nursing Home
Operating Entity
103 S.W. 9th Wilburton, OK 74578
Eastern Oklahoma Nursing Homes, Inc.
Pres 44%Stockholders/partners Who Are Officers
Box 508 Wilburton, OK 74578
Reager Rita
VP 44%Stockholders/partners Who Are Officers
58 Wingate Little Rock, AK 72205
Gray Bequita
6%Stockholders/partners -- Not Officers
Box 337 Hartshorne, OK 74547
James Rozella
6%Stockholders/partners -- Not Officers
2807 Briarwood Drive Huntsville, AL 35801
Petricek Ann Lynn
Authorizated to sign application for renewals eff 11/22/2011
Officer
103 Southwest 9th Street Wilburton, OK 74578
Reager Robert
NH7254 918-728-67007318 East Pine Street Tulsa, OK 74115
Laura Dester Childrens Center #1
OP eff 01/22/2019Operating Entity
P.O. Box 25352 Oklahoma City, OK 73075
Oklahoma Department Of Human Services
100% of Liberty of Oklahoma Corp & President eff 01/22/2019
Stockholders/partners Who Are Officers
401 East City Ave. 820 Bala Cynwyd, PA 19004
Caskey, M.D. Herbert T.
Director of OKDHSOfficer
P.O. Box 25352 Oklahoma City, OK 73125
OKDHS Lake Ed
Page 139 of 273
Owner NameFacilities Owned
Contracted Managment Company eff 01/22/2019
Contracted Management
7318 East Pine Tulsa, OK 74115
Liberty of Oklahoma Corporation
NH7255 918-728-67007318 East Pine Street Tulsa, OK 74115
Laura Dester Childrens Center #2
OP eff 03-27-2019Operating Entity
P.O. Box 25352 Oklahoma City, OK 73075
Oklahoma Department Of Human Services
100% Liberty of Oklahoma Corp & President 03-27-2019
Stockholders/partners Who Are Officers
401 East City Ave. 820 Bala Cynwyd, PA 19004
Caskey, M.D. Herbert T.
Director of OKDHSOfficer
P.O. Box 25352 Oklahoma City, OK 73125
OKDHS Lake Ed
Contracted Management Company eff 03-27-2019
Contracted Management
7318 East Pine Tulsa, OK 74115
Liberty of Oklahoma Corporation
NH7216 918-622-47472154 South 85th East Avenue Tulsa, OK 74129
Leisure Village Health Care Center
33% of Leisure Village Health Care, LLC eff 07/01/2014
Stockholders/partners -- Not Officers
14447 Chellington Ct. 430 Chesterfield, MO 63017
Bienstock Judah
33% of Leisure Village Health Care, LLC eff 07/01/2014
Member
8 Primrose Dr. Lakewood, NJ 08701
Jeremias Baruch
100% RE eff 07/01/2014Lessor Or Real Estate Owner
31110 Solon Road 9 Solon, OH 44139
Heatheridge and Leisure Village JDEK, LLC Heatheridge and Leisure Village JDEK, LLC
OP eff 07/01/2014Operating Entity
477 North Lindergh Blvd 310 St. Louis, MO 63141
Leisure Village Health Care, 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% of Heatheridge and Leisure Village jdek, LLC eff 07/01/14
Stockholders/partners -- Not Officers
31110 Solon Road 9 Solon, OH 44139
Deustch Investments, LLC
12.51% Heatheridge and Leisure Village jdek, LLC eff 07/01/2014
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
Contracted Management CompanyContracted Management
477 North Lindburg Blvd 310 St. Louis, MO 63141
MGM Healthcare MGM Healthcare
Page 140 of 273
Owner NameFacilities Owned
33.33% Leisure Village Health Care eff 11-17-15 (no authority)
Member
59 Causeway Lawrence, NY 11559
Tanb Miriam
NH1404 405-527-6531632 Southeast 3rd Street Lexington, OK 73051
Lexington Nursing Home, Inc.
Operating Entity
632 S E 3rd Lexington, OK 73051
Lexington Nursing Home, Inc.
100%Stockholders/partners Who Are Officers
11 Brookside Drive Purcell, OK 73080
Lawson Gerald
NH5610 918-650-939314055 North 246th Street Okmulgee, OK 74447
Lexington Place
Lessor Or Real Estate Owner
236 Main Street Uniontown, KY 42461
4-B Properties, L.L.C.
amended corp. name (fkaProdetik, Inc.) eff 02-05-08
Operating Entity
1201 W. Trudgeon Henryetta, OK 74437
The Reach Corporation
Non-Profit Board President of The Reach Corporation 2019
Officers Who Do Not Hold Stock
PO Box 790 UnionTown, KY 42461
Bailey M. Geoffry
eff. 8-15-07Lessor Or Real Estate Owner
P.O. Box 409 Sturgis, KY 42459
Maricopa Properties, LLC
100% of REStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Maricopa Partners, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Rock River, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
MMB, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Lovenest, LLC
30.959% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gary
16.025% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Lisa
32.88% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Tim
Page 141 of 273
Owner NameFacilities Owned
17.455% MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Vicki
29.421% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Robert
13.957% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Laura
53.016% of Rock River, LLC - 4 children w/13.254% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
4 Irrevocable Trusts
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O.Box 409 Sturgis, KY 42459
Ervin Mallory
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Jade
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Luke
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gabe
49.665% of MMB, LLC - 5 children w/9.933% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
3 Irrevocable Trusts
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Max
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box Sturgis, KY 42459
Linenger Jessica
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mitch
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Linenger Jennifer
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Brock
56.623% of Lovenest, LLC - 7 children w/8.089% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
7 Irrevocable Trusts
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Thea
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugris, KY 42459
Ervin Issac
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugis, KY 42459
Ervin Samuel
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Elijah
Page 142 of 273
Owner NameFacilities Owned
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Saul
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Micah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mathias
Sr.Adm for the Reach Authority to Sign Application eff 11/1/2019
Officer
1201 W. Trudgeon Henryetta, OK 74437
Ogle Gloria
Non-Profit Board Vice President of The Reach Corporation 2019
Vice President
1924 Lorraine Ave Allen, TX 75002
Garrett Marvin
Non-Profit Board Secretary/Treasurer The Reach Corporation 2019
Secretary/Treasurer
452 Goose Pond Road Morganfield, KY 42437
Humphrey Brian
NH5611 918-650-939314140 North 246th Road Okmulgee, OK 74447
Liberty Place
Lessor Or Real Estate Owner
236 Main Street Uniontown, KY 42461
4-B Properties, L.L.C.
24%OP/25%REStockholders/partners -- Not Officers
2801 S. Court Dr. Evansville, IN 47711
Brown George L.
amended corp. name (fkaProdetik, Inc.) eff 02-05-08
Operating Entity
1201 W. Trudgeon Henryetta, OK 74437
The Reach Corporation
Non-Profit Board President of The Reach Corporation 2019
Officers Who Do Not Hold Stock
PO Box 790 UnionTown, KY 42461
Bailey M. Geoffry
eff. 8-15-07Lessor Or Real Estate Owner
P.O. Box 409 Sturgis, KY 42459
Maricopa Properties, LLC
100% of REStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Maricopa Partners, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Rock River, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
MMB, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Lovenest, LLC
30.959% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gary
16.025% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Lisa
Page 143 of 273
Owner NameFacilities Owned
32.88% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Tim
17.455% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Vicki
29.421% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Robert
13.957% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Laura
53.016% of Rock River, LLC - 4 children w/13.254% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
4 Irrevocable Trusts
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O.Box 409 Sturgis, KY 42459
Ervin Mallory
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Jade
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Luke
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gabe
49.665% of MMB, LLC - 5 children w/9.933% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
3 Irrevocable Trusts
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Max
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box Sturgis, KY 42459
Linenger Jessica
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mitch
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Linenger Jennifer
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Brock
56.623% of Lovenest, LLC - 7 children w/8.089% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
7 Irrevocable Trusts
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Thea
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugris, KY 42459
Ervin Issac
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugis, KY 42459
Ervin Samuel
Page 144 of 273
Owner NameFacilities Owned
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Elijah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Saul
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Micah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mathias
Sr.Adm for the Reach Authority to Sign Application eff 11/1/2019
Officer
1201 W. Trudgeon Henryetta, OK 74437
Ogle Gloria
Non-Profit Board Vice President of The Reach Corporation 2019
Vice President
1924 Lorraine Ave Allen, TX 75002
Garrett Marvin
Non-Profit Board Secretary/Treasurer The Reach Corporation 2019
Secretary/Treasurer
452 Goose Pond Road Morganfield, KY 42437
Humphrey Brian
NH2502 405-756-43341103 West Cherokee Lindsay, OK 73502
Lindsay Nursing & Rehab
100% Lindsay Nursing & Rehab & Interhealth, LLC eff 10-01-2017
Stockholders/partners Who Are Officers
9 Professional Drive Bella Vista, AR 72715
Montgomery Bradford
95% Trinkik Holdings, LLC eff 7/1/2016Stockholders/partners -- Not Officers
P.O. Box 130 Newport, AR 72112
Niksefat Saeed Sy
5% Trinkik Holdings, LLC eff 7/1/2016Stockholders/partners -- Not Officers
P.O. Box 130 Newport, AR 72112
Niksefat Sharona
100% Real Estate eff 07/01/2016Lessor Or Real Estate Owner
P.O. Box 130 Newport, AR 72112
Trinik Holdings, LLC
Contracted Management eff 02/17/2017Contracted Management
9 Professional Drive Bella Vista, AR 72715
Interhealth, LLC
OP eff 10/01/2017Operating Entity
9 Professional Drive Bella Vista, AR 72715
Lindsay Nursing & Rehabilitation, LLC
NH6001 918-225-2220530 South Linwood Cushing, OK 74023
Linwood Village Nursing & Retirement Apts.
14.50%OP Ent / 10%REStockholders/partners -- Not Officers
14 Woodward Blvd. Tulsa, OK 74114
Anderson Robert L.
Page 145 of 273
Owner NameFacilities Owned
Lessor Or Real Estate Owner
1405 East Moses Cushing, OK 74023
Colonial Plaza Nursing Home, Inc.
21% RE 11.032% OPStockholders/partners -- Not Officers
1815 East Skelly Dr. Tulsa, OK 74105
Rucker Ed
2.% RE 3.232% OPStockholders/partners -- Not Officers
Route 2, Box 2465 Cushing, OK 74023
Reinecke David
14.085% OP 11% REStockholders/partners -- Not Officers
66 Cedar Ridge Rod. Broken Arrow, OK 74011
Jack E. Thomas Trust,
15.% REStockholders/partners -- Not Officers
1100 S. Highland Cushing, OK 74023
Danny W. Smith & Randy Smith, co-trustees of George W. Smith Tes
eff. 5-15-06Operating Entity
530 S. Linwood Ave. Cushing, OK 74023
Colonial Plaza Management Company, L.L.C.
14.086% OP 10% REStockholders/partners -- Not Officers
P.O. Box 2300 Tulsa, OK 74192
Ceylon S. Lewis, Jr., Trust A,
beneficary of Genevieve K. Gary Revocable Trust
Beneficiary
11711 South Braden Tulsa, OK 74137
Gary Richard
beneficary of Genevieve K. Gary Revocable Trust
Beneficiary
11711 South Braden Tulsa, OK 74137
Miles Deanna
beneficary of Genevieve K. Gary Revocable Trust
Beneficiary
11711 South Braden Tulsa, OK 74137
Hughes Jenny
beneficary of Genevieve K. Gary Revocable Trust
Beneficiary
11711 South Braden Tulsa, OK 74137
Rucker Edward
beneficary of Ceylon S. Lewis, Jr. Trust A
Beneficiary
,
Lewis Corinne H.
beneficary of Ceylon S. Lewis, Jr. Trust A
Beneficiary
,
Lorenz Sarah Lee
beneficary of Ceylon S. Lewis, Jr. Trust A
Beneficiary
,
Lewis, III C. S.
beneficary of Ceylon S. Lewis, Jr. Trust A
Beneficiary
,
Kast Carol D.
beneficary of Jack E. Thomas TrustBeneficiary
66 Cedar Ridge Road Tulsa, OK 74012
Thomas Betty J.
benefiary of Jack E. Thomas TrustBeneficiary
66 Cedar ridge Road Tulsa, OK 74012
Meek Mary Jean
beneficary of Jack E. Thomas TrustBeneficiary
66 Cedar Ridge Road Tulsa, OK 74012
Thomas Randall E.
beneficary of Jack E. Thomas TrustBeneficiary
66 Cedar Ridge Road Tulsa, OK 74012
Waggenblatt Deborah Lynn
Page 146 of 273
Owner NameFacilities Owned
NH3305 580-480-18002610 Cedar Creek Drive Altus, OK 73521
Magnolia Creek Skilled Nursing and Therapy
Manager/President Altus Operations LLC (Manager)
Trustee
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Manager/Secretary of Altus Operations, LLC (Manager)
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Dimond Mike
eff 7/27/2006Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
78% Altus Operations, LLC (Manager)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
22% of Altus Operations, LLC (Manager)Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
eff 1/9/07Operating Entity
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Altus Operations, L.L.C.
RE eff 7/27/2006Lessor Or Real Estate Owner
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Altus Real Estate, LLC
NH2801 580-782-3346320 Carey Street Mangum, OK 73554
Mangum Skilled Nursing and Therapy
Pres/Manag.Member of OP/RE/Manager Trustee/ben. Don Greiner Trst
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
78% OP eff. 7/12/2019 & Amity Care, LLC eff. 10-21-03
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
22% OP eff. 7/12/2019 & Amity Care, LLC eff.10-21-03
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
SecretaryOfficers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Okc, OK 73108
Diamond Mike
eff. 7/12/2019Operating Entity
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Mangum Nursing Center, L.L.C
Lessor Or Real Estate Owner
2200 NW 50th 126 Okla. City, OK 73112
Remangum, LLC
Page 147 of 273
Owner NameFacilities Owned
NH5557 405-677-24213317 Southeast 18th Street Del City, OK 73115
Mansfield Manor
Operating Entity
3317 S.E. 18th Street Del City, OK 73115
Reliant Living Centers of Oklahoma, Inc.
Board Member EFF 02/15/2013Officers Who Do Not Hold Stock
821 SW 38th Oklahoma City, OK 73109
Black Art
President EFF 02/15/2013Officers Who Do Not Hold Stock
4932 North Portland Avenue Oklahoma City, OK 73113
Love Willa
VPOfficers Who Do Not Hold Stock
9804 Casa Linda Oklahoma City, OK 73139
Moon Tim
Exec DirOfficers Who Do Not Hold Stock
2901 S.E. 22nd Oklahoma City, OK 73129
Jernigan Janelle F.
Secretary EFF 02/15/2012Officers Who Do Not Hold Stock
325 W. Pinesway Mustang, OK 73064
Ellis Scott
NH0604 405-663-2455800 Arapaho Hydro, OK 73048
Maple Lawn Nursing and Rehabilitation Center
President of RE/co-trustee & beneficiary of Abbott Family Trust
Officers Who Do Not Hold Stock
Rt. 3, Box 112 Hydro, OK 73048
Abbott Kent
Mngr eff 11/2/07/ OP eff 06-04-08Operating Entity
PO Box 70 Hydro, OK 73048
Western Health Management, Inc.
100% of OPStockholders/partners -- Not Officers
PO Box 73048 Hydro, OK 73048
Russell Family Investment Trust
Pres OP/SoleTrustee & Bene. of Russell Fam Invest.Trust
Officers Who Do Not Hold Stock
PO Box 70 Hydro, OK 73048
Russell Robert
Secretary/Treasurer of OPOfficers Who Do Not Hold Stock
PO Box 70 Hydro, OK 73048
Stegall Eichelberger Anita
Beneficiary of Russell Fam TrustBeneficiary
PO Box 70 Hydro, OK 73048
Russell Rita
eff 05-30-08Lessor Or Real Estate Owner
PO Box 130 Hydro, OK 73048
Deer Creek Investments, LLC
100% RE & manag.member eff 10/27/2016
Stockholders/partners Who Are Officers
PO Box 130 Hydro, OK 73048
Abbott Family, LLC
100% member of Abott Family, LLCStockholders/partners -- Not Officers
PO Box 130 Hydro, OK 73048
Abbott Family Trust
Page 148 of 273
Owner NameFacilities Owned
trustee of Russell Family Trust/ VP of OP eff 07/26/2011
Officers Who Do Not Hold Stock
PO Box 130 Hydro, OK 73048
Abbott Jaylee
NH3207 405-452-3271620 South Alabama Wetumka, OK 74883
Maple Place Living Center, LLC
President/Beneficiary of Family TrustTrustee
P.O. Box 488 Weleetka, OK 74880
Adkins Gerrol Dean
Secretary/Beneficiary of Family TrustTrustee
P.O. Box 488 Weleetka, OK 74880
Adkins Arbret June
Lessor Or Real Estate Owner
P.O. Box 488 Wetumka, OK 74880
Pioneer Nursing Home Of Hughes County, Inc.
Beneficiary eff.12/31/12319 West 9th St. Weleetka, OK 74880
Majors Cynthia
Beneficiary eff.12/31/12319 West 9th St Weleetka, OK 74880
Simmons Donna Renee
Beneficiary eff.12/31/12Rt. 1, Box 121A Weleetka, OK 74880
Adkins, II Gerrol D.
52% RE and manag.member of Business Trust
Stockholders/partners -- Not Officers
P.O. Box 488 Weleetka, OK 74880
Gerrol Dean Adkins & Arbret June Adkins Family Trust (GDA/AJA)
Operating Entity
620 South Alabama Wetumka, OK 74883
Maple Place Living Center, LLC
100% OP manag.memberStockholders/partners -- Not Officers
P.O. Box 488 Weleetka, OK 74880
Maple Place Revocable Business Trust
16% RE eff 12/31/12Rt 1 Box 121A Weleetka, OK 74880
Gerrol Dean Adkins II Irrevocable Trust dated 12/28/12
16% RE eff 12/31/12Rt 1 Box 121A Weleekta, OK 74880
Cynthia Denise Majors Irrevocable Trust dated 12/28/12
16% RE eff 12/31/12Rt 1 Box 121A Weleetka, OK 74880
Donna Renee Simmons Irrevocable Trust dated 12/28/12
Trustee eff 12/31/12Trustee
523 W. Main Henryetta, OK 74437
Palmer, C.P.A. Reginald
NH7226 918-494-88306202 East 61st Street Tulsa, OK 74136
MapleWood Care Center
Page 149 of 273
Owner NameFacilities Owned
David Rhoades Reciver of SHOC, LLC - CJ-2015-4701 eff 05/03/2016
Operating Entity
6202 E. 61st St. Tulsa, OK 74136
Skyline Heights Operating Co., L.L.C.
Chair&CEOend 1/10/14 Broad Member eff 1/10/14 Senior Care Group
Officers Who Do Not Hold Stock
1240 Marbella Plaza Drive #12 Tampa, FL 33619
Vaughan David R.
100% Mang Member eff 03/15/11Managing Member
1240 Marbella Plaza Drive Tampa, FL 33619
Senior Care Group, Inc.
Exec VP & CFO Senior Care GroupOfficers Who Do Not Hold Stock
1240 Marbella Plaza Drive Tampa, FL 33619
Kramer Mark D.
Board Member Senior Care Group, Inc.Officers Who Do Not Hold Stock
1240 Marbella Plaza Drive Tampa, FL 33619
Fridrich, Sr. Gerald D.
Board Member of Senior Care Group, Inc.
Officers Who Do Not Hold Stock
1240 Marbella Plaza Drive Tampa, FL 33619
Surtees Robert E.
Secretary/Board Member Senior Care Group, Inc.
Officers Who Do Not Hold Stock
2547 Mason Oaks Drive Valrico, FL 33596
Moran Francis D.
CFO & Secretary eff 03/15/11, Treasurer eff 01/10/14 of SCG
Officers Who Do Not Hold Stock
1240 Marbella Plaza Drive Tampa, FL 33619
Chudow Katherine (Kathy)
Broadmember of Senior Care Group, Inc, eff 01/10/2014
Officers Who Do Not Hold Stock
1240 Marbella Plaza Drive Tampa, FL 33619
Vaughan Michelle
Broad Member eff 01/10/2014Stockholders/partners -- Not Officers
1240 Marbella Plaza Drvie Tampa, FL 33619
Martin J. Michael
100% Real Estate eff 04/08/2016Lessor Or Real Estate Owner
2001 Route 46 310 Parsippany, NJ 07054
LQC Partners VII,LLC LQC Partners VII, LLC
100% LQC Partners VII, LLC eff 04/08/2016
Stockholders/partners -- Not Officers
1300 South University Drive 306 Fort Worth, TX 76107
Senior Living Properties, LLC Senior Living Properties, LLC
Manager of LQC Partners, VII, LLC eff 04/08/2016
Manager
885 3rd Ave 2403 New York, NY 10022
LQC Partners, LLC LQC Partners, LLC
50% of Senior Living Properties, LLCStockholders/partners -- Not Officers
3395 North Pine Way 102 Wilson, WY 83014
Eden James
24.995% Senior Living Properties, LLC eff 04/08/2016
Stockholders/partners -- Not Officers
3395 North Pine Way 102 Wilson, WY 83014
Eden Allison
24.995% Senior Living Properties, LLCStockholders/partners -- Not Officers
3395 North Pine Way 102 Wilson, WY 83014
Bonds Larry
Contract manager and .010% Senior Living Properties, LLC
Contracted Management
1300 South University Drive 306 Fort Worth, TX 76107
SLP Management, Inc. SLP Management, Inc.
Reciver of SHOC, LLC - CJ-2015-4701 eff 05/03/2016
Court Appointed Receiver
401 South Boston 2200 Tulsa, OK 74103
Rhoades, Receiver CJ-2015-4701 C. David
Stockholders/partners -- Not Officers SLP Management Holdings, LLC
Page 150 of 273
Owner NameFacilities Owned
100% SLP Management, Inc. eff 05/03/2016
1300 South University Dr. 306 Fort Worth, OK 76107
50% of SLP Management Holdings, LLC eff 05/03/16
Stockholders/partners -- Not Officers
1300 S. University Drive 306 Fort Worth, TX 76107
Whitworth Scott
50% SLP Management Holding eff 05/03/2016
Stockholders/partners -- Not Officers
1300 S. University Dr. 306 Fort Worth, TX 76107
Boswell Darren
President SLP Management, Inc. eff 05/03/2016
Officers Who Do Not Hold Stock
1300 S University Dr Fort Worth, TX 76107
Leonard Joshua
NH6907 580-658-5468702 South 9th Street Marlow, OK 73055
Marlow Nursing & Rehab
100% Marlow Nursing & Rehab & Interhealth, LLC eff 10/01/2017
Stockholders/partners Who Are Officers
9 Professional Drive Bella Vista, AR 72715
Montgomery Bradford
95% Trinkik Holdings, LLC eff 7/1/2016Stockholders/partners -- Not Officers
P.O. Box 130 Newport, AR 72112
Niksefat Saeed Sy
5% of Trinik Holdings, LLC eff 07/01/2016
Stockholders/partners -- Not Officers
P.O. Box 130 Newport, AR 72112
Niksefat Sharona
100% Real Estate eff 07/01/2016Lessor Or Real Estate Owner
P.O. Box 130 Newport, AR 72112
Trinik Holdings, LLC
Contracted Management Co. eff 02/17/2017
Contracted Management
9 Professional Drive Bella Vista, AR 72715
Interhealth, LLC
OP eff 10/01/2017Operating Entity
9 Professional Drvie Bella Vista, AR 72715
Marlow Nursing & Rehabilitation, LLC
NH2403 580-725-34004621 Springridge Road Enid, OK 73703
Mattox Hall
trustee for Kelly Hardin Trust and Manager of Okla Homes Develop
Stockholders/partners Who Are Officers
PO Box 367 Billings, OK 74630
Hardin Kelly
30% Okla Homes Develop Disabled, LLC
Stockholders/partners -- Not Officers
603 N. 7th Tonkawa, OK 74653
Lewallen Barry
30% Okla Homes Develop DisabledStockholders/partners -- Not Officers
2170 CR3212 Jacksonville, TX 75766
Kombos Britni
30% Okla Homes Development Disabled, LLC
Stockholders/partners -- Not Officers
2829 Falcon Crest Enid, OK 73703
Hardin Chase
Page 151 of 273
Owner NameFacilities Owned
OP/ RE eff. 11/27/2017Operating Entity
4621 Springridge Road Enid, OK 73703
Oklahoma Homes for The Developmentally Disabled, LLC
10% Okla Homes Develop DisabledStockholders/partners -- Not Officers
209 East Garber Garber, OK 7.738
Kelly Hardin Irrevocable Trust
NH6107 918-426-4010615 East Morris Street McAlester, OK 74501
McAlester Nursing & Rehab
OP end 10-01-2017Stockholders/partners Who Are Officers
110 West Muskogee Sulphur, OK 73086
McAlester Manor, Inc.
100% McAlester Nursing & Rehab & Interhealth, LLC eff 10/01/2017
Stockholders/partners Who Are Officers
9 Professional Drive Bella Vista, AR 72715
Montgomery Bradford
95% Trinkik Holdings, LLC eff 7/1/2016Stockholders/partners -- Not Officers
P.O. Box 130 Newport, AR 72112
Niksefat Saeed Sy
5% Trinkik Holdings, LLC eff 7/1/2016Stockholders/partners -- Not Officers
P.O. Box 130 Newport, AR 72112
Niksefat Sharona
100% Real Estate eff 07/01/2016Lessor Or Real Estate Owner
P.O. Box 130 Newport, AR 72112
Trinik Holdings, LLC
Contracted Management Co. eff 02/17/2017
Contracted Management
9 Professional Drive Bella Vista, AR 72715
Interhealth, LLC
OP eff 10-01-2017Operating Entity
9 Professional Drive Bella Vista, AR 72715
McAlester Nursing & Rehabilitation, LLC
NH6211 580-436-037313546 CR 3600 Ada, OK 74820-5378
McCalls Chapel School Inc #12
Operating Entity
13546 CR3600 Ada, OK 74820
McCalls Chapel School, Inc.
BoardOfficers Who Do Not Hold Stock
6226 Colony Lane Oklahoma City, OK 73112
Burpee Dick
CEO EFF 08-12-2020Officers Who Do Not Hold Stock
1510 Kerr Research Dr. Ada, OK 74820
Long John
Board Member EFF 8-10-2020Officers Who Do Not Hold Stock
One Pre-Paid Way Ada, OK 74820
Pinson Kathy
Board Member EFF 8-10-2020Officers Who Do Not Hold Stock
10809 S. Marion Ave. Tulsa, OK 74137
Morton Jack
Page 152 of 273
Owner NameFacilities Owned
Board Member EFF 8-10-2020Officers Who Do Not Hold Stock
7724 S. Canton Tulsa, OK 74102
Goddard Catherine N.
Board Member EFF 8-10-2020Officers Who Do Not Hold Stock
320 S. Country Club Dr. Ada, OK 74820
Hudson John
Board Member EFF 8-10-2020Officers Who Do Not Hold Stock
525 Northcrest Dr. Ada, OK 74820
Powell Shari
Board Member EFF 8-10-2020Officers Who Do Not Hold Stock
701 S. Shumard Ada, OK 74820
Robson Todd
NH6207 580-272-660013546 CR 3600 Ada, OK 74820-5378
McCalls Chapel School Inc. #5
Lessor Or Real Estate Owner
P.O. Box 669 Ada, OK 74820
First National Bank And Trust Company Of Ada
Operating Entity
13546 CR3600 Ada, OK 74820
McCalls Chapel School, Inc.
BoardOfficers Who Do Not Hold Stock
6226 Colony Lane Oklahoma City, OK 73112
Burpee Dick
CEO EFF 08-12-2020Officers Who Do Not Hold Stock
1510 Kerr Research Dr. Ada, OK 74820
Long John
Chief Operating Office EFF 08-12-2020Officers Who Do Not Hold Stock
One Pre-Paid Way Ada, OK 74820
Pinson Kathy
Board Member EFF 08-12-2020Officers Who Do Not Hold Stock
10809 S. Marion Ave. Tulsa, OK 74137
Morton Jack
Board member EFF 8-10-2020Officers Who Do Not Hold Stock
7724 S. Canton Tulsa, OK 74102
Goddard Catherine N.
Board Member EFF 08-10-2020Officers Who Do Not Hold Stock
320 S. Country Club Dr. Ada, OK 74820
Hudson John
Board Member EFF 08-10-2020Officers Who Do Not Hold Stock
525 Northcrest Dr. Ada, OK 74820
Powell Shari
NH6213 580-272-660013546 CR 3600 Ada, OK 74820-5378
McCalls Chapel School Inc. #8
Operating Entity
13546 CR3600 Ada, OK 74820
McCalls Chapel School, Inc.
BoardOfficers Who Do Not Hold Stock
6226 Colony Lane Oklahoma City, OK 73112
Burpee Dick
Page 153 of 273
Owner NameFacilities Owned
NH6208 580-272-660013546 CR 3600 Ada, OK 74820-5378
McCalls Chapel School Inc. #9
Operating Entity
13546 CR3600 Ada, OK 74820
McCalls Chapel School, Inc.
BoardOfficers Who Do Not Hold Stock
6226 Colony Lane Oklahoma City, OK 73112
Burpee Dick
NH6210 580-436-037313546 CR 3600 Ada, OK 74820-5378
McCalls Chapel School, Inc. #10
Operating Entity
13546 CR3600 Ada, OK 74820
McCalls Chapel School, Inc.
BoardOfficers Who Do Not Hold Stock
6226 Colony Lane Oklahoma City, OK 73112
Burpee Dick
CEO EFF 08-12-2020Officers Who Do Not Hold Stock
1510 Kerr Research Dr. Ada, OK 74820
Long John
Board Member EFF 8-10-2020Officers Who Do Not Hold Stock
One Pre-Paid Way Ada, OK 74820
Pinson Kathy
Board Member EFF 8-10-2020Officers Who Do Not Hold Stock
10809 S. Marion Ave. Tulsa, OK 74137
Morton Jack
Board Member EFF 8-10-2020Officers Who Do Not Hold Stock
7724 S. Canton Tulsa, OK 74102
Goddard Catherine N.
Board Member EFF 8-10-2020Officers Who Do Not Hold Stock
320 S. Country Club Dr. Ada, OK 74820
Hudson John
Board Member EFF 8-10-2020Officers Who Do Not Hold Stock
525 Northcrest Dr. Ada, OK 74820
Powell Shari
Board Member EFF 8-10-2020Officers Who Do Not Hold Stock
701 S. Shumard Ada, OK 74820
Robson Todd
NH6217 580-436-037313546 CR 3600 Ada, OK 74820
McCalls Chapel School, Inc. #11
Operating Entity
13546 CR3600 Ada, OK 74820
McCalls Chapel School, Inc.
Page 154 of 273
Owner NameFacilities Owned
BoardOfficers Who Do Not Hold Stock
6226 Colony Lane Oklahoma City, OK 73112
Burpee Dick
CEO EFF 08-12-2020Officers Who Do Not Hold Stock
1510 Kerr Research Dr. Ada, OK 74820
Long John
CEO EFF 08-12-2020Officers Who Do Not Hold Stock
1510 Kerr Research Dr. Ada, OK 74820
Long John
Board Member EFF 8-10-2020Officers Who Do Not Hold Stock
One Pre-Paid Way Ada, OK 74820
Pinson Kathy
Board Member EFF 8-10-2020Officers Who Do Not Hold Stock
10809 S. Marion Ave. Tulsa, OK 74137
Morton Jack
Board Member EFF 8-10-2020Officers Who Do Not Hold Stock
320 S. Country Club Dr. Ada, OK 74820
Hudson John
Board Member EFF 8-10-2020Officers Who Do Not Hold Stock
525 Northcrest Dr. Ada, OK 74820
Powell Shari
Board Member EFF 8-10-2020Officers Who Do Not Hold Stock
701 S. Shumard Ada, OK 74820
Robson Todd
Board Member EFF 8-10-2020Officers Who Do Not Hold Stock
701 S. Shumard Ada, OK 74820
Robson Todd
NH6218 580-436-037313546 CR 3600 Ada, OK 74820
McCalls Chapel School, Inc. #13
Operating Entity
13546 CR3600 Ada, OK 74820
McCalls Chapel School, Inc.
BoardOfficers Who Do Not Hold Stock
6226 Colony Lane Oklahoma City, OK 73112
Burpee Dick
NH6219 580-272-660013546 CR 3600 Ada, OK 74820
McCalls Chapel School, Inc. #14
OpEnt eff 1-30-07Operating Entity
13546 CR3600 Ada, OK 74820
McCalls Chapel School, Inc.
BoardOfficers Who Do Not Hold Stock
6226 Colony Lane Oklahoma City, OK 73112
Burpee Dick
CEO EFF 2/25/2019Officers Who Do Not Hold Stock
1510 Kerr Research Dr. Ada, OK 74820
Long John
Page 155 of 273
Owner NameFacilities Owned
NH6220 580-272-660013546 CR 3600 Ada, OK 74820
McCalls Chapel School, Inc. #15
Operating Entity eff 10/28/2008Operating Entity
13546 CR3600 Ada, OK 74820
McCalls Chapel School, Inc.
Board MemberOfficers Who Do Not Hold Stock
6226 Colony Lane Oklahoma City, OK 73112
Burpee Dick
CEO EFF 2/25/2019Officers Who Do Not Hold Stock
1510 Kerr Research Dr. Ada, OK 74820
Long John
NH6214 580-272-660013546 CR 3600 Ada, OK 74820
McCalls Chapel School, Inc. #2
Operating Entity
13546 CR3600 Ada, OK 74820
McCalls Chapel School, Inc.
BoardOfficers Who Do Not Hold Stock
6226 Colony Lane Oklahoma City, OK 73112
Burpee Dick
CEO EFF 2/25/2019Officers Who Do Not Hold Stock
1510 Kerr Research Dr. Ada, OK 74820
Long John
NH6215 580-272-660013546 CR 3600 Ada, OK 74820
McCalls Chapel School, Inc. #3
Operating Entity
13546 CR3600 Ada, OK 74820
McCalls Chapel School, Inc.
BoardOfficers Who Do Not Hold Stock
6226 Colony Lane Oklahoma City, OK 73112
Burpee Dick
BoardOfficers Who Do Not Hold Stock
6226 Colony Lane Oklahoma City, OK 73112
Burpee Dick
CEO EFF 2/25/2019Officers Who Do Not Hold Stock
1510 Kerr Research Dr. Ada, OK 74820
Long John
NH6216 580-272-660013546 CR 3600 Ada, OK 74820
McCalls Chapel School, Inc. #4
Page 156 of 273
Owner NameFacilities Owned
Operating Entity
13546 CR3600 Ada, OK 74820
McCalls Chapel School, Inc.
BoardOfficers Who Do Not Hold Stock
6226 Colony Lane Oklahoma City, OK 73112
Burpee Dick
CEO EFF 2/25/2019Officers Who Do Not Hold Stock
1510 Kerr Research Dr. Ada, OK 74820
Long John
NH6209 580-272-660013546 CR 3600 Ada, OK 74820
McCalls Chapel School, Inc. #7
Operating Entity
13546 CR3600 Ada, OK 74820
McCalls Chapel School, Inc.
BoardOfficers Who Do Not Hold Stock
6226 Colony Lane Oklahoma City, OK 73112
Burpee Dick
CEO EFF 2/25/2019Officers Who Do Not Hold Stock
1510 Kerr Research Dr. Ada, OK 74820
Long John
NH5613 918-650-9393405 West 18th Street Okmulgee, OK 74447
McCurdy Place
LessorLessor Or Real Estate Owner
236 Main Street Uniontown, KY 42461
4-B Properties, L.L.C.
24%OP/25%REStockholders/partners -- Not Officers
2801 S. Court Dr. Evansville, IN 47711
Brown George L.
amended corp. name (fkaProdetik, Inc.) eff 02-05-08
Operating Entity
1201 W. Trudgeon Henryetta, OK 74437
The Reach Corporation
Non-Profit Board President of The Reach Corporation 2019
Officers Who Do Not Hold Stock
PO Box 790 UnionTown, KY 42461
Bailey M. Geoffry
eff. 8-15-07Lessor Or Real Estate Owner
P.O. Box 409 Sturgis, KY 42459
Maricopa Properties, LLC
100% of REStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Maricopa Partners, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Rock River, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
MMB, LLC
Page 157 of 273
Owner NameFacilities Owned
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Lovenest, LLC
30.959% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gary
16.025% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Lisa
32.88% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Tim
17.455% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Vicki
29.421% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Robert
13.957% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Laura
53.016% of Rock River, LLC - 4 children w/13.254% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
4 Irrevocable Trusts
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O.Box 409 Sturgis, KY 42459
Ervin Mallory
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Jade
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Luke
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gabe
49.665% of MMB, LLC - 5 children w/9.933% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
3 Irrevocable Trusts
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Max
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box Sturgis, KY 42459
Linenger Jessica
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mitch
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Linenger Jennifer
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Brock
56.623% of Lovenest, LLC - 7 children w/8.089% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
7 Irrevocable Trusts
Page 158 of 273
Owner NameFacilities Owned
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Thea
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugris, KY 42459
Ervin Issac
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugis, KY 42459
Ervin Samuel
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Elijah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Saul
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Micah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mathias
Sr.Adm for the Reach Authority to Sign Application eff 11/1/2019
Officer
1201 W. Trudgeon Henryetta, OK 74437
Ogle Gloria
Non-Profit Board Vice President of The Reach Corporation 2019
Vice President
1924 Lorraine Ave Allen, TX 75002
Garrett Marvin
Non-Profit Board Secretary/Treasurer The Reach Corporation 2019
Secretary/Treasurer
452 Goose Pond Road Morganfield, KY 42437
Humphrey Brian
NH6309 405-964-2961701 South 8th Street Mcloud, OK 74851
Mcloud Nursing Center
100% OP eff 09/19/2014, 100% RE eff 07/26/2013 & 100% of Manager
Officers Who Do Not Hold Stock
3050 Peachtree Rd 355 Atlanta, GA 30305
Brogdon Christopher
OP eff 07/26/2013Operating Entity
455 East Paces Ferry Rd. NE 302 Atlanta, GA 30305
MCL Nursing, LLC
RE owner eff 07/26/2013Lessor Or Real Estate Owner
Two Buckhead Plaza, 3050 Peachtree RD NW 355 Atlanta, GA 30305
McLoud Property Holdings, LLC
Manager eff 03/01/2014Contracted Management
455 East Paces Ferry Road, N.E. 302 Atlanta, GA 30305
Marsh Pointe Managment, LLC
NH1606 580-357-32402007 NW 52nd Street Lawton, OK 73505
McMahon-Tomlinson Nursing & Rehabilitation Center
Page 159 of 273
Owner NameFacilities Owned
Operating Entity
3401 W. Gore Blvd. Lawton, OK 73505
Comanche County Hospital Authority
Member eff 10/21/2014,Vice-Chair-4-12-17
Officers Who Do Not Hold Stock
411 S.W. 6th Street Lawton, OK 73501
Zelbst John
Chairman eff10/21/2014, Member eff 4-12-17
Officers Who Do Not Hold Stock
1130 SW Lee Blvd Lawton, OK 7501
Henry Pat
Secretary & Treasurer eff 10/21/2014,Chairman eff 4-12-17
Officers Who Do Not Hold Stock
810 SW C Avenue Lawton, OK 73501
Butler Dennis
Member eff 10/21/2014, Secretary eff 4-12-2017
Officers Who Do Not Hold Stock
15 SW Bishop Rd Lawton, OK 73501
Green Clayton (Buddy)
Member eff 4-12-17Officers Who Do Not Hold Stock
3201 W. Gore Blvd. 100 Lawton, OK 73505
Legako Edward
NH4012 918-658-365621256 Meadow Lane Howe, OK 74940
Meadow Brook ICF/MR
Operating Entity
1200 Meadow Lane Howe, OK 74940
Meadow Brook Intermediate Care-M.R. Facility, L.L.C.
Lessor Or Real Estate Owner
1200 Meadow Lane Howe, OK 74940
Meadow Brook Intermediate Care-M.R. Facility, L.L.C.
Trustee Bobby Cox Living Trust eff 01/2015
Trustee
1000 Meadow Lane Howe, OK 74940
Cox, II Bobby D.
100% of Meadow Brook ICMRStockholders/partners -- Not Officers
21256 Meadow Lane Howe, OK 74940
Bobby Cox Living Trust, A Revocable Trusr 01-29-1997
NH4004 918-658-208821270 Meadow Lane Howe, OK 74940
Meadow Brook ICFMR #2
Trustee Bobby Cox Living Trust eff 01/2015
Trustee
1000 Meadow Lane Howe, OK 74940
Cox, II Bobby D.
eff 02/29/08Operating Entity
1500 Meadow Lane Howe, OK 74940
Meadow Brook Intermediate Care - M.R. Facility, #2, L.L.C.
100% of Meadow Brook ICMR #2Stockholders/partners -- Not Officers
21256 Meadow Lane Howe, OK 74940
Bobby Cox Living Trust, A Revocable Trusr 01-29-1997
Page 160 of 273
Owner NameFacilities Owned
NH4903 918-476-8918113 East Jones Chouteau, OK 74337
Meadowbrook Nursing Center
25% BGM Estate, LLC eff 12-27-2020Stockholders/partners -- Not Officers
P.O. Box 330 Muldrow, OK 74948
Tabor Angela
25% BGM Estate, LLC eff 12-27-2020Stockholders/partners -- Not Officers
111522 S. 4740 Road Muldrow, OK 74948
Mitchell Robert Michael
25% BGM Estate (Mrg) eff 12-27-2020Stockholders/partners -- Not Officers
412 S. Dogwood Sallisaw, OK 74955
Mitchell Marcinda
16.67% Colonial Care Center, 25% BGM Estate eff 12-27-2020
Stockholders/partners -- Not Officers
7240 Chase Oaks Blvd 121 Plano, TX 75025
Mitchell Kelly O.
OP eff 12-27-2020Operating Entity
201 N. Elm Sallisaw, OK 74955
Colonial Care Center, L. L. C.
83.33% Colonial Care Center, LLC eff 12-27-2020
Stockholders/partners -- Not Officers
P.O. Box 568 Sallisaw, OK 74955
BGM Estate, LLC
Manager Colonial Care Center, LLC eff 12-27-2020
Manager
113 East Jones Chouteau, OK 74337
Lowrimore Morgan
NH5531 405-703-3400959 Southwest 107th Street Oklahoma City, OK 73170
Meadowlake Estates
21.25% Meadow Lake Estates & 42.50% Meadow Lake Op
Managing Member
9813 S. Penn OKC, OK 73159
McCormick Denver
21.25% Meadow Lake Estates, LLCStockholders/partners -- Not Officers
9813 S. Penn OKC, OK 73159
McCormick Linda
Sub - Lessor eff 10-01-2017Lessor Or Real Estate Owner
9813 S. Penn Oklahoma City, OK 73159
Meadow Lake Operating, L.L.C.
21.25% Meadow Lake Estates & Meadow Lake OP eff 10-01-2017
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 Who Are Officers
1500 Waters Ridge Dr 200 Lewisville, TX 75077
Taylor John F.
33.7166% of WR Investments, LPStockholders/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% GP Lake Creek Capital Partners, LPGeneral Partner
1500 Waters Ridge Drive 200 Lewisville, TX 75057
LC General Partner, LLC
Page 161 of 273
Owner NameFacilities Owned
21.25% Meadow Lake Estates Eff 10-01-2017
Stockholders/partners -- Not Officers
5413 N.W. 107th Okla. City, OK 73162
Arlena Dunbar Revocable Trust
Beneficiary Donald Nevard Revocable Trust
Trustee
4800 N. Lincoln Blvd. Okla. City, OK 73105
Nevard Debra
Beneficiary Donald Nevard Revocable Trust
Trustee
4800 N. Lincoln Blvd. Okla. City, OK 73105
Nevard Lisa
Beneficiary Donald Nevard Revocable Trust
Trustee
4800 N. Lincoln Blvd. Okla. City, OK 73105
Nevard Michael
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Trustee
4108 Opus Ct. Flower Mound, TX 75022
Pennington Amy
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Beneficiary
2433 Glenoak Dr. Norman, OK 73071
Petrone Alison
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Beneficiary
8594 D East 133 Holdenville, OK 74850
Jones Joshua
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Beneficiary
8594 D East 133 Holdenville, OK 74850
Jones Tanner
Trustee of Arlena Dunbar Revocable Trust
Trustee
5413 NW 107th Okla. City, OK 73159
Dunbar William
Beneficiary of Arlena Dunbar Revocable Trust
Trustee
3913 Spyglass Rd. Okla. City, OK 73162
Nard Charlotte
Beneficiary of Arlena Dunbar Revocable Trust
Trustee
12204 N. Kimberlyn Rd. Okla. City, OK 73162
Dunbar Teresa
Subcontracted management Eff 6/30/2017
Contracted Management
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Stonegate Senior Living, LLC
OP end 10-01-2017 - RE OnlyLessor Or Real Estate Owner
9813 South Penn Okla. City, OK 73159
Meadow Lake Estates, 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% MLE SNF OPCO, LLL eff 10-01-2017
Stockholders/partners -- Not Officers
1500 Waters Ridge Dr. 200 Lewisville, TX 75057
Southwest SNF Holdings, LLC
100% Southwest SNF Holdings eff 10-01-2017
Stockholders/partners -- Not Officers
1500 Waters Ridge Dirve 200 Lewisville, TX 75057
WR Investments, LP
100% WR Investments GP Manager & (GP) WR Investments eff 10-2-17
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
WR Investments GP, Inc.
3.4436% WR Investment, LP 20% Lake Creek Capital Partners, LP
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Campbell Scott
Page 162 of 273
Owner NameFacilities Owned
100% Stonegate Senior Living, LLCStockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, OK 75057
SGSL Management Holdings, LLC
Mayor/Chairman, City of Pauls Valley, eff 5/14/19
Officers Who Do Not Hold Stock
PO Box 778 Pauls Valley, OK 73075
Rushing Jocelyn
Manageing Member MLE SNF OP eff 10-01-2017
Managing Member
1500 waters Ridge Dr. Lewisville, TX 75057
WR Investments GP Manager, Inc.
15% Meadow Lake Estates & Meadow Lake OP eff 10-1-2017
Stockholders/partners -- Not Officers
P.O. Box 130 Durant, OK 74715
First United Venture
OP eff 11/1/2020Operating Entity
1500 waters Ridge Dr. 100 Lewisville, TX 75057
PF MLE SNF Ops, LLC
NH1418 405-321-21883110 Healthplex Drive Norman, OK 73072-9705
Medical Park West Rehabilitation and Skilled Care
45.806% of WR Invest,LP, 100% WR GP, 59.9% LCCP, 100% LC GP
Stockholders/partners -- Not Officers
1500 Waters Ridge Dr 200 Lewisville, TX 75077
Taylor John F.
30.323% of WR Investments, LP Eff 02/10/2014
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Lake Creek Capital Partners, LP
10.709% WR Investments, LPStockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Fisher James (Jim)
10.065% of WR Investments, LPStockholders/partners Who Are Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Pierce Paula
General Partner of Lake Creek Capital Partners, LP 02/10/2014
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
LC General Partner, LLC
Contracted Mangement Company eff 03/15/13
Contracted Management
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Stonegate Senior Living, LLC
UPL Manager Eff 6/30/2017 END 11-1-20, OP 11-1-2020
Operating Entity
1500 Waters Ridge Dr Lewisville, TX 75057
EM Operations, LLC
3.0970% WR Inv LP, 20% Lake Creek Cap Part
Stockholders/partners -- Not Officers
1500 Waters Ridge Dt Lewisville, TX 75057
Taylor John P.
100% of RE eff 03/15/2013Lessor Or Real Estate Owner
200 International Circle 3500 Hunt Valley, MD 21030
Texas Lessor-Stonegate, LP
Sub Lessor to the OPLessor Or Real Estate Owner
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Stonegate SNF Properties, LP
100% of EM Operations, LLC & 100% Stonegate SNF GP, LLC
Stockholders/partners -- Not Officers
1500 Waters Ridge Dr. 200 Lewisville, TX 75057
Southwest SNF Holdings, LLC
Page 163 of 273
Owner NameFacilities Owned
100% of Southwest SNF Holdings, LLC & 100% SGSL Mgt Holdings
Stockholders/partners -- Not Officers
1500 Waters Ridge Dirve 200 Lewisville, TX 75057
WR Investments, LP
General Partner of WR Investments, LP eff 02/10/2014
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
WR Investments GP, Inc.
20% of Lake Creek Capital Partners, LP eff 02/10/2014
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Campbell Scott
100% Stonegate Senior Living, LLCStockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, OK 75057
SGSL Management Holdings, LLC
NH7404 918-534-2848430 Bartles Road Dewey, OK 74029
Medicalodges Dewey
100%Stockholders/partners Who Are Officers
201 W. 8th Coffeyville, KS 67337
Medicalodges, Inc., Employee Stock Ownership
Pres./CEO eff 7/8/10 - Gen. Counsel/Secretary/Board of Dir-.3/16
Officers Who Do Not Hold Stock
3113 Crown Drive Independence, KS 67301
Cox Garen
VP Financial ReportingOfficers Who Do Not Hold Stock
P.O. Box 702 S. Coffeyville, OK 67337
McCord Cathy
Operating Entity
201 W. 8th Coffeyville, KS 67337
Medicalodges, Inc.
VP/CFO eff 07/08/2010 eff. 3/16 Treas. Board of Dir.
Officers Who Do Not Hold Stock
2905 Royal Court Independence, KS 67301
Hines Scott
V.P./COOOfficers Who Do Not Hold Stock
903 South Oak PLATTBURG, MO 64477
Ledger Shannon
Corporate Compliance & Gen. Counsel eff 3/16
Officers Who Do Not Hold Stock
9773 West 125th Street Burlingame, KS 66413
Smith Pamela
Regional V. P. eff. 3/16Officers Who Do Not Hold Stock
804 C Street Washington, KS 66968
Cardenas Staci
Regional VP eff 3.16Officers Who Do Not Hold Stock
6624 SW Fieldwood Topeka, KS 66619
Lantz Kathy
Regional VP eff. 3/16Officers Who Do Not Hold Stock
1103 South 220th Pittsburg, ks
McBride Travis
VP COO of MedicalodgesOfficers Who Do Not Hold Stock
903 South Oak Plattsburg, MO
Lager Shannon
Page 164 of 273
Owner NameFacilities Owned
NH4106 405-279-3521500 North Dawson Street Meeker, OK 74855
Meeker Nursing Center
100% of RE, 100% OP, & 100% of Manager
Officers Who Do Not Hold Stock
3050 Peachtree Rd 355 Atlanta, GA 30305
Brogdon Christopher
100% RE Owner - eff 07/26/2013Lessor Or Real Estate Owner
3050 Peachtree Road 355 Atlanta, GA 30305
Meeker Property Holdings,LLC
OP eff 07/26/2013Operating Entity
455 East Paces Ferry Rd. NE 302 Atlanta, GA 30305
Meeker North Dawson Nursing, LLC
Manager eff 03/01/2014Contracted Management
455 East Paces Ferry Road, N.E. 302 Atlanta, GA 30305
Marsh Pointe Managment, LLC
NH4504 580-286-10651305 Southeast Adams Idabel, OK 74745
Memorial Heights Nursing Center
100% UPL Manager Eff. 11-30-2017 End 4/1/2019
Stockholders/partners -- Not Officers
1305 Southeast Adams Street Idabel, OK 74745
Heartway Corporation
Director end 6/1/10 Secetary, Board of Directors eff 6/1/10
Officers Who Do Not Hold Stock
2202 Sunset Ridge Muskogee, OK 74403
Black Vletta (Kathy)
Treasurer, Board of DirectorsOfficers Who Do Not Hold Stock
3254 Roan Way San Antonio, TX 78205
Johnson Thomas R
VP, Board of Directors eff 6/1/10Officers Who Do Not Hold Stock
1302 S. Lynn Lane Idabel, OK 74745
Salyer Dr. Thomas W.
Director, Board of Directors Eff 6/1/10Officers Who Do Not Hold Stock
810 W. Adams Street Broken Arrow, OK 74728
Darby, Jr Pastor Charles L. (Chuck)
President, Board of DirectorsOfficers Who Do Not Hold Stock
13490 Old Livingston Road Naples, FL 34109-3855
Carter Daniel E.
Treas & Director eff. 4/1/19Officers Who Do Not Hold Stock
13490 Old Livingston Road Naples, FL 34109
Barton Blaine
Mayor of City of Hugo EFF 11/30/2017Officers Who Do Not Hold Stock
201 S. 2nd Street Hugo, OK 74743
Frazier Darren
city of hugo board memberOfficers Who Do Not Hold Stock
2015 S. 2nd St. Hugo, OK 74743
Roxberry Donald
city of hugo board memberOfficers Who Do Not Hold Stock
2015 S. 2nd St. Hugo, OK 74743
Ridenour Gaylon
UPL Reversion 4/1/2019Operating Entity
1305 SE Adams Idabel, OK 74745
Heartway Corporation
Eff.4/1/2019Lessor Or Real Estate Owner
108 N. Central Idabel, OK 74745
McCurtain County Development Authority
Page 165 of 273
Owner NameFacilities Owned
Chairman McCurtain County Dev. Auth. eff 4/1/19
Officers Who Do Not Hold Stock
108 N. Central Idabel, OK 74745
Leatherwood Don
Secretary McCurtain County Dev. Auth. eff. 4/1/19
Officers Who Do Not Hold Stock
108 N. Central Idabel, OK 74745
House Faye
NH7103 580-335-6646319 East Josephine Frederick, OK 73542
Memorial Nursing Center
OP eff 05-01-2020Operating Entity
319 E. Josephine Frederick, OK 73542
Tillman County-City Of Frederick Hospital Authority
Vice Chairman eff 08/12/2013Officers Who Do Not Hold Stock
Route 1 Box 20 Frederick, OK 73542
Oxford Jay
Chariman eff 08/12/2012Officers Who Do Not Hold Stock
702 North 15th Street Frederick, OK 73542
Tyler Gary
Interim Site Administrator Eff 7/15/15Managing Member
310 N Mary Davidson, OK 73530
Coleman Ricky
100% RE eff 05-01-2020Lessor Or Real Estate Owner
200 West Grand Frederick, OK 73542
Tillman County and City of Frederick
City of Frederick Counil Member & Mayor 05-01-2020
Officers Who Do Not Hold Stock
200 West Grand Frederick, OK 73542
Whitworth Eddie L.
Tillman County Commissioner eff 05-01-2020
Officers Who Do Not Hold Stock
200 West Grand Frederick, OK 73542
Dickey Joe
NH6609 918-283-49492700 North Hickory Street Claremore, OK 74017
Memory Care Center at Emerald
Manager of LME Family HoldingsStockholders/partners -- Not Officers
34 Lord Ave. Lawrence, NY 11559
Lahasky Ephraim
95% YCOK Holdings eff 11/01/2018Stockholders/partners Who Are Officers
99 West Hawthorne Ave L10 Valley Stream, NY 11580
Chafetz Yisreol
99% JW Oklahoma Holdings eff 11/01/2018
Stockholders/partners Who Are Officers
99 West Hawthorne Ave L10 Valley Stream, NY 11580
Walden Jacob
100% Emerald Memory Care Real Estate eff 11/01/2018
Stockholders/partners -- Not Officers
99 West Hawthorn Avenue L10 Valley Stream, NY 11580
EHC Claremore Capital, LLC
17.5% Emerald CCC & 17.5% EHC Claremore Capital eff 05-01-2019
Stockholders/partners -- Not Officers
99 West Hawthorne Ave L10 Valley Stream, NY L10
JW Oklahoma Holdings, LLC
Page 166 of 273
Owner NameFacilities Owned
19.17% Emerald CCC & 19.17% EHC Claremore Capital eff 11/01/2018
Stockholders/partners -- Not Officers
99 Hawthorne Ave L10 Valley Stream, NY 11580
YCOK Holdings, LLC
33.33% Managing Member EHC Claremore Capital, LLC eff 11/01/2018
Stockholders/partners -- Not Officers
130 Lord Avenue Lawrence, NY 11559
LME Family Holdings, LLC
100% LME Holdings eff 11/01/2018Stockholders/partners Who Are Officers
130 Lord Avenue Lawrence, NY 11559
The Lahasky Family Trust
OP eff 11/01/2018Operating Entity
2700 N Hickey Street Claremore, OK 74017
Memory Care Center at Emerald, LLC
100% RELessor Or Real Estate Owner
99 West Hawthorne Avenue L10 Valley Stream, NY 11580
Emerald Memory Care Realty, LLC
Trustee of The Lahasky Family Trust eff 05-01-2019
Trustee
130 Lord Avenue Lawrence, NY 11559
Lahasky Even
24.83% EHC Claremore Cap & EHC Claremore Operations No Authority
Stockholders/partners -- Not Officers
95 Harborview West Lawrence, NY 11559
David CM Fistel, LLC
Manager of David CM Fistel, LLC eff 05-01-2019
Officer
95 Harborview West Lawrence, NY 11559
Fistel David
NH6908 580-439-2398Route 2, Box 335 Comanche, OK 73529
Meridian Nursing Home
50%Stockholders/partners Who Are Officers
1908 12th Ave N.W. E Ardmore, OK 73401
Coble Tom C.
Operating Entity
1908 12th Avenue NW, Suite E Ardmore, OK 73401
Meridian Health Care LLC
50%Stockholders/partners -- Not Officers
110 Barr Avenue Pauls Valley, OK 73075
Washita Valley Investments, L.L.C.
100% Washita Valley Investments, LLC eff 04-30-2016
Stockholders/partners -- Not Officers
110 Burr Aveneu Pauls Valley, OK 73075
Justice Julie
NH5805 918-542-33351100 East Street Northeast Miami, OK 74354
Miami Nursing Center, LLC
9.61494% Oklahoma Nursing Home, Ltd, Manager Eff 4/25/2016
Contracted Management
210 E. Choctaw, P.O. Box 429 Sallisaw, OK 74955-0429
Oklahoma Nursing Homes, Ltd. (ONH,Ltd.)
1.118067% OP/ 1.14% REStockholders/partners -- Not Officers
P.O. Box 188 Muskogee, OK 74402
Glen Armstrong Trust c/o Armstrong Bank, Ray King & Billy Taylor
Page 167 of 273
Owner NameFacilities Owned
2.121569% OP/ 2.14% REStockholders/partners -- Not Officers
P.O. Box 435 Vian, OK 74962
Armstrong Estate, Sally Armstrong, Executor James
8.314% OP & Mgr./ 8.4112% RE/ 9.401287% Okla. Nurs. Homes, Inc.
Stockholders/partners -- Not Officers
P.O. Box 40 Sallisaw, OK 74955
Cheek Barnie J.
1.838339% OP/ 1.86% REStockholders/partners -- Not Officers
10105 S. 77th East Place Tulsa, OK 74133
Masako Cheek Trust, Masako Cheek Trustee
8.314% OP & Mgmt. / 8.4112% REStockholders/partners -- Not Officers
3520 East 110th Place Tulsa, OK 74137
Sandra Cheek Farmer Trust (SCFT)
RE 5.919%, OP 5.834% & Mgmt 6.597394%
Stockholders/partners Who Are Officers
4814 S. 164th East Ave. Tulsa, OK 74134
Haskins Lloyd
5.192% OP & Mgmt. / 5.2626% RE/ 12.535047% Okla.Nurs.Homes,Inc.
Stockholders/partners -- Not Officers
101 Doris Drive #51 Sallisaw, OK 74955
Watts Cleo
5.893% OP & Mgmt. / 5.9746% REStockholders/partners -- Not Officers
103708 S 4627 Road Sallisaw, OK 74955
Watts Beneficiaries Trust (WBT) Sharon Rhodes
5.612090% OP/ 5.67% REStockholders/partners -- Not Officers
20852 S. Shannon Dr. Claremore, OK 74017
William McKesson Wilson Sr. 1997 Trust
RE 14.2078%, OP 14.022% & Mgmt 12.535047% & Vice President
Stockholders/partners Who Are Officers
Box 856 Miami, OK 74355
Tubbs Steven
RE 5.4406%, & OP 5.376%Stockholders/partners -- Not Officers
3350 McCue Road #2002 Houston, TX 77056
Tubbs, Jr. Stanley I.
5.542% OP & Mgr./ 5.6186% RE/ 6.267525% Okla Nurs Homes, Inc.
Stockholders/partners -- Not Officers
416 Fairway Dr. Athens, TX 75751
Estep Pat
2.771% OP & Mgmt. / 2.8037% REStockholders/partners -- Not Officers
1500 West Elm Stroud, OK 74079
Julie Kay Bivin Revocable Trust (JKBRT)
RE 5.2207% & OP 5.13500%Stockholders/partners -- Not Officers
6708 South 256th East Avenue Broken Arrow, OK 74014
Caroyln D. Leaverton Revocable Trust
2.771% OP & Mgmt./ 2.8037% REStockholders/partners -- Not Officers
894 Morrow Drive/ PO Box 417 Langley, OK 74350
Dr. William R. VanDeLinder Trust (DWVT)
2.771% OP & Mgmt. / 2.8037% REStockholders/partners -- Not Officers
3808 NW Marquess Drive Bentonville, AR 72712
Lynn M. Yowell Trust
3.89% of Midwest Nursing Home, LLC 9.7298% RE
Lessor Or Real Estate Owner
210 East Choctaw Sallisaw, OK 74955
Midwest Nursing Homes, LLC (MNHLLC)
2.771% OP & Mgmt. / 2.8038% REStockholders/partners -- Not Officers
621 N Robinson 100 Oklahoma City, OK 73102
Heritage Trust Company Richard Armstrong Trust (RAT) C/O Matt McGuire
8.61494% of Miami Nurisng Center, LLC Eff 4/25/2016
Operating Entity
P.O. Box 400 Sallisaw, OK 74955
Miami Nursing Center, LLC
1.219% mgr OP & Mgmt.Stockholders/partners Who Are Officers
P.O. Box 400 Sallisaw, OK 74955
Oklahoma Nursing Homes, Inc. General Partner (ONH,Inc)
Page 168 of 273
Owner NameFacilities Owned
9.401287% Oklahoma Nursing Homes, Inc. Beneficiary RGA Trust
Stockholders/partners -- Not Officers
2802 W. Country Club Dr. Oklahoma City, OK 73116
Armstrong Richard James
9.401287% Oklahoma Nursing Homes, Inc. Trustee SCFT
Stockholders/partners -- Not Officers
3520 East 110th Place Tulsa, OK 74137
Farmer Sandra
1.283% OP&Mgmt./ 1.3156% RE/9.401287% Ok.Nurs.Hms,Inc.eff5/24/12
Stockholders/partners -- Not Officers
20852 South Shannon Drive Claremore, OK 74017
Wilson James G.
2.079% OP & Mgmt. / 2.1028% REStockholders/partners -- Not Officers
P.O. Box 173 Gore, OK 74435
Ferguson Debra M.
RE 5.5630%, OP5.556% & Mgmt 5.657265% & Treasurer
Stockholders/partners -- Not Officers
607 Mayo Street Sallisaw, OK 74955
McGrew Justin
2.771% OP & Mgmt/ 2.8038% REStockholders/partners -- Not Officers
HCR 68 Box 1260 Vian, OK 74962
Armstrong Sally
9.401287% Oklahoma Nursing Home, Inc. President
Stockholders/partners Who Are Officers
PO Box 370 Adair, OK 74330
VanDeLinder Dr. William R.
RE 0.70095%, OP 0.69275%Stockholders/partners -- Not Officers
1405 E. Seattle St. Broken Arrow, OK 74012
Heath Armstrong VanDeLinder Trust (HAVT)
RE 0.70095% & 0.69275% OPStockholders/partners -- Not Officers
5727 South Lewis Ave 800 Tulsa, OK 74105
BOKF Trustee/M Huigens Meredith Margaret Marie VanDeLinder Trust (MMMVT)
RE 0.70095%, OP 0.69275%Stockholders/partners -- Not Officers
8 Dinton Circle Bella Vista, AR 72714
Nicolas Edmund VanDeLinder Trust (NEVT)
RE 0.70095%, OP 0.69275%PStockholders/partners -- Not Officers
2116 Whitney Lane McKinney, TX 75070
William Glen VanDelinder Trust (WGVT)
Julie Kay Bivin Revocable TrustTrustee
1500 West Elm Stroud, OK 74079
Bivin Julie K.
Succ.Trustee & Benf-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Beneficiary
6708 South 256th East Ave Broken Arrow, OK 74014
Johnson Karen Diane
Succ.Trustee & Benf-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Beneficiary
6708 South 256th East Ave Broken Arrow, OK 74014
Fine Michael B.
Successor Trustee & Beneficiary -WBT eff 5/24/12
Beneficiary
51 Green Acre Village Sallisaw, OK 74955
Byers Karen
Beneficiary - SCFT eff 5/24/12Beneficiary
3520 East 110th Place Tulsa, OK 74137
Farmer Cassandra C.
Beneficiary - SCFT eff 5/24/12Beneficiary
3520 East 110th Place Tulsa, OK 74137
Farmer Alexandra C.
Trustee MMMV TrustBeneficiary
2812 West 114th St. south Jenks, ok 74037
Leutz William K.
Richard Armstrong TrustTrustee
c/o Ben Bryers, 2802 W. Country Club DR. Oklahoma City, ok 73116
Heritage Trust Co.,
Page 169 of 273
Owner NameFacilities Owned
Dr. WIlliam R. VanDeLinder TrustTrustee
P.O. Box 370 Adair, ok 74330
VanDeLinder Dr. William R.
Lynn M. Yowell Trust eff- 11/27/2013Trustee
3808 NW Marquess Drive Bentonville, AR 72712
Yowell Lynn
Lynn M. Yowell Trust eff- 11/27/2013Trustee
3808 NW Marquess Drive Bentonville,, AR 72712
Yowell Ron
4.77%OP, 4.77% of ONH LTD 4.8398% Midwest Nursing Homes eff 8/14
Stockholders/partners -- Not Officers
4248 A Street #201 Auburn, WA 98002
Young Sindy
Trustee & Beneficiary HAV TrustTrustee
1405 E. Seattle St. Broken Arrow, OK 74012
VanDelinder Heath Armstrong
Beneficiary MMMV TrustBeneficiary
2812 West 114th Street South Jenks, OK 74037
VanDeLinder Meredith Margaret Marie
Trustee & Beneficiary Nicolas Edmund VanDelinder trust
Trustee
8 Dinton Circle Bella Vista, AR 71714
VanDelinder Nicolas Edmund
Beneficiary Julie Kay Biven Revocable Trust
Beneficiary
1500 West Elm Stroud, OK 74079
Bivin Jeremy
Beneficiary Julie Kay Biven Revocable Trust
Beneficiary
1500 West Elm Stroud, OK 74049
Bivin Ryan
NH5510 405-677-3349400 South Scott Street Del City, OK 73115
Mid-Del Skilled Nursing and Therapy
Manager - OP/RE/Mgt. Co., eff 07/01/19Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Manager - OP/RE/Mgt. CO., eff 07/01/19Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Dimond Mike
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
78% OP & Amity Care, LLC eff, 07/01/19
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
22% OP & Amity Care, LLC eff.10-21-03
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
eff 07/01/19Operating Entity
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Del City Nursing Center, L.L.C.
58% RE, eff 07/01/19Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Clarity Properties, LLC
42% RE, eff 07/01/19Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Renew Properties, L.L.C.
Page 170 of 273
Owner NameFacilities Owned
Eff 07/01/19Lessor Or Real Estate Owner
4350 WIll Rogers Parkway 300 Oklahoma City, OK 73102
Del City Real Estate , LLC
NH6104 918-423-4661315 West Electric Avenue McAlester, OK 74501
Mitchell Manor
100% OK4 Manager, LLCStockholders/partners Who Are Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
Dole Isaac
Contracted Management Co. eff 05/01/2018
Contracted Management
415 US Hwy377 S 200 Argyle, TX 76226
Transition Health Services-OK, LLC
5% HoldCo MM McStockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
BHCP OK4 HH/H Sponsor, LLC
95% HoldCo MM Mc,Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
BHCP OK4 HH/H Investors, LLC
Mgr - RealCo MM Mc HoldCo MM Mc BHCP OK4 HH/H Invest OpCo MM Mc
Manager
332 S. Michigan Ave. 1100 Chicago, IL 60604
OK4 Manager, LLC
0% (May hold up to 10% in HoldCo MM Mc)
Stockholders/partners -- Not Officers
415 US Hwy 377 S 200 Argyle, TX 76226
SBS of OK, LLC
Managing Member 33% SBS of OK & Transition Health Service - OK
Stockholders/partners Who Are Officers
415 US Hwy 377 S 200 Argyle, TX 76226
Bates Josh
Managing Member 33% SBS of OK & Transition Health Service - OK
Stockholders/partners Who Are Officers
415 US Hwy 377 S 200 Argyle, TX 76226
Shelton Chana
Managing Member 33% SBS of OK & Transition Health Service - OK
Stockholders/partners Who Are Officers
415 US Hwy 377 S 200 Argyle, TX 76226
Sims Debra
Lessee/OP eff 05/01/2018Operating Entity
332 South Michigan Avenue 1100 Chicago, IL 60604
OpCo MM McAlester, OK, LLC
100% RE eff 05/01/2018Lessor Or Real Estate Owner
332 South Michigan Avenue 1100 Chicago, IL 60604
RealCo MM McAlester, OK, LLC
100% RealCo MM McAlester & OpCo MM McAlester eff 05/01/2018
Stockholders/partners -- Not Officers
332 South Michigan Avenue 1100 Chicago, IL 60604
HoldCo MM McAlester, OK, LLC
NH2104 918-253-4500226 East Monroe Street Jay, OK 74346
Monroe Manor
opOperating Entity
5134 East 107th Place Tulsa, OK 71437
Grand Union HealthCare, L.L.C.
Page 171 of 273
Owner NameFacilities Owned
50% interest holder/Managing MemberStockholders/partners Who Are Officers
12112 South 4th Street Jenk, OK 74037
DuBois Charles R.
50% interest holder/MemberStockholders/partners Who Are Officers
1705 Sunset Circle Grove, OK 74344
VanLear Michael
SecOfficers Who Do Not Hold Stock
31234 South 613 Lane Grove, OK 74344
VanLear Shirley
0%/Board MemberOfficers Who Do Not Hold Stock
1015 E. 9th Place Cushing, OK 74023
DuBois Connie M.
NH1605 580-536-28667604 NW Quanah Parker Trailway Lawton, OK 73505
Montevista Rehabilitation and Skilled Care
eff. 12-11-06Lessor Or Real Estate Owner
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Lawton SNF Realty, LLC
47.4887% of WR Inves,LP, 100% WR GP, 80.91% S-SNF Prp, 100% SSL
Managing Member
1500 Waters Ridge Dr 200 Lewisville, TX 75077
Taylor John F.
33.7166% of WR Investments, LP Eff 12-28-17
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Lake Creek Capital Partners, LP
11.9075% of WR Investment, LP eff 12-28-17
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Fisher James (Jim)
0.1% general partner in Lake Creek Captial Partners, LP
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
20% Lake Creek Capital Partners, LP&3.4436% WR Invest LP eff 12/
Stockholders/partners -- Not Officers
1500 Waters Ridge Lewisville, TX 75057
Campbell Scott & Syndney
OP 9-25-07, UPL Mgr eff 06-30-17 END 11-1-20, OP EFF 11-1-20
Operating Entity
1500 Waters Ridge Drive 200 Lewisville, OK 75057
Lawton SNF Operations, LLC
eff.06-30-10Contracted Management
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Stonegate Senior Living, LLC
2.0964% Lawton SNF Operations, LLCMember
,
Healthcare Development Systems, LLC
1.3976% LAwton SNF Operations, LLCMember
,
Hooper Holdings, Inc.
3.4436% of WR Investment, LP, Lake Creek 20% eff 12-28-17
Stockholders/partners -- Not Officers
1500 Waters Ridge Dt Lewisville, TX 75057
Taylor John P.
Page 172 of 273
Owner NameFacilities Owned
96.506% of OP Lawton SNF Operations, LLC eff 4/25/2014
Stockholders/partners -- Not Officers
1500 Waters Ridge Dr. 200 Lewisville, TX 75057
Southwest SNF Holdings, LLC
100% of Southwest SNF Holdings, LLC eff 12-2013
Stockholders/partners -- Not Officers
1500 Waters Ridge Dirve 200 Lewisville, TX 75057
WR Investments, LP
General Partner of WR Investments, LP eff 12-2013
General Partner
1500 Waters Ridge Drive 200 Lewisville, TX 75057
WR Investments GP, Inc.
20% of Lake Creek Capital Partners, LP eff 12-2013
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Campbell Scott
Member, City of Pauls Valley, eff 6/30/17Member
PO Box 778 Pauls Valley, Ok 73075
Parrish Michael
NH7702 580-994-5570402 Southeast 6th Street Mooreland, OK 73852
Mooreland Heritage Manor
Operating Entity
P.O. Box 468 Nowata, OK 74048
Lightning Creek Investment Group, Inc.
33.3% OP/Pres.Stockholders/partners Who Are Officers
Rt. 1, Box 546 Nowata, OK 74048
Maddux Douglas G.
33.3% OP/Sec/TresStockholders/partners Who Are Officers
Rt. 1, Box 210 Nowata, OK 74048
Krouse Johnny W.
33.3% OP VPStockholders/partners Who Are Officers
4600 Centre Court Rogers, AK 72756
Honea Sherman D.
Employment Tax Entity
P.O. Box 1014 Mooreland, OK 73852
Arney & Associates, Inc.
NH5609 918-756-9211900 East Airport Road Okmulgee, OK 74447
Muscogee (Creek) Nation Skilled Nursing Facility
A Division of the Muscogee (Creek) Nation eff 12-03-2013
Operating Entity
P.O.Box 580 Okmulgee, OK 74447
Muscogee ( Creek) Nation
100% of OP eff 12-03-2013 & RE 11-25-2013
Stockholders/partners -- Not Officers
FNB Dept 001, PO Box 1312 Okmulgee, OK 74447-1312
Muscogee (Creek) Nation
Chief of the Muscogee (Creek) Nation eff 12-03-13 end 05-03-16
Officers Who Do Not Hold Stock
FNB Dept 001, P.O. Box 1312 Okmulgee, OK 74447
Tiger George
Lt. Commander of Creek Nation Hospital & Clinics eff 12-03-2013
Officers Who Do Not Hold Stock
FNB Dept. 001, P.O. Box 1312 Okmulgee, OK 74447
Smith Seneca
Page 173 of 273
Owner NameFacilities Owned
Chief of the Muscogee (Creek) Nation eff. 05/03/2016
Officers Who Do Not Hold Stock
FNB Dept 001, PO Box 1312 Okmulgee, ok 74447
Floyd James
Secretary of Health - Authorized Signer (TR 16-107) eff 08-2016
Officer
P.O. Box 400 Okmulgee, OK 74447
Terry Shawn
NH5108 918-682-9232602 North "M" Street Muskogee, OK 74403
Muskogee Nursing Center
100% OpEntity and Real Estate EntityStockholders/partners Who Are Officers
1929 Betty Jane Lane Muskogee, OK 74403
Montgomery Tom
Lessor Or Real Estate Owner
,
Muskogee Nursing Center, Inc.
eff 11-01-04Operating Entity
1929 Betty Jane Lane Muskogee, OK 74403
Muskogee Health Services, L.L.C.
NH6101 918-423-90951220 East Electric Boulevard McAlester, OK 74501
New Hope Retirement & Care Center
100% Bully Good 100% Aspire Management eff 10-01-2016
Stockholders/partners Who Are Officers
1929 Betty Jane Lane Muskogee, OK 74403
Montgomery Tom
OP eff 10/01/2016 MGMT03/01/2016 end 10/01/2016
Operating Entity
1929 Betty Jane Lane Muskogee, OK 74403
Aspire Management, LLC
RE eff 10-01-2016Lessor Or Real Estate Owner
1925 Betty Jane Lane Muskogee, OK 74403
Bully Good, Inc.
NH1414 405-872-71021501 North 8th Street Noble, OK 73068
Noble Health Care Center
Trustee of Denver McCormick Revocable Trust
Trustee
9813 S. Penn OKC, OK 73159
McCormick Denver
Trustee of Denver McCormick Revocable Trust
Trustee
9813 S. Penn OKC, OK 73159
McCormick Denver
Trustee of the Linda McCormick Revocable Trust
Trustee
9813 S. Penn OKC, OK 73159
McCormick Linda
Page 174 of 273
Owner NameFacilities Owned
Trustee of Arlena Dunbar Revocable Trust
Trustee
5413 NW 107th Street Oklahoma City, OK 73162
Dunbar Arlena
Trustee of Arlena Dunbar Revocable Trust
Trustee
5413 NW 107th Street Oklahoma City, OK 73162
Dunbar Arlena
Ended 6/30/17, Begin eff 11/1/2020Lessor Or Real Estate Owner
9813 S. Penn Oklahoma City, OK 73159
Noble Health Care, L.L.C.
Pres WRInvGP Mgr,42.709%WRInvestLP100% WR Invest GP, 59.9% LCCP
Stockholders/partners Who Are Officers
1500 Waters Ridge Dr 200 Lewisville, TX 75077
Taylor John F.
30.323% of WR Investments, LPStockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Lake Creek Capital Partners, LP
10.709% WR Investments, LPLimited Partner
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Fisher James (Jim)
10.065% WR Investments, LPLimited Partner
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Pierce Paula
0.1% General Partner of Lake Creek Capital Partners, LP
General Partner
1500 Waters Ridge Drive 200 Lewisville, TX 75057
LC General Partner, LLC
33..34% Noble Health Care, LLCStockholders/partners Who Are Officers
9813 S. Penn Oklahoma City, OK 73159
Denver McCormick Revocable Trust
33.33% of Noble Heatlh Care, LLCStockholders/partners -- Not Officers
9813 S. Penn Oklahoma City, OK 73159
Linda McCormick Revocable Trust
33.3% Noble Health Care, LLCStockholders/partners -- Not Officers
5413 N.W. 107th Okla. City, OK 73162
Arlena Dunbar Revocable Trust
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Trustee
4108 Opus Ct. Flower Mound, TX 75022
Pennington Amy
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Beneficiary
2433 Glenoak Dr. Norman, OK 73071
Petrone Alison
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Beneficiary
8594 D East 133 Holdenville, OK 74850
Jones Joshua
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Beneficiary
8594 D East 133 Holdenville, OK 74850
Jones Tanner
Beneficiary of Arlena Dunbar Revocable Trust
Trustee
5413 NW 107th Okla. City, OK 73159
Dunbar William
Beneficiary of Arlena Dunbar Revocable Trust
Trustee
12204 N. Kimberlyn Rd. Okla. City, OK 73162
Dunbar Teresa
Beneficiary of Arlena Dunbar Revocable Trust
Trustee
3913 Spyglass Road Okla. City, OK 73167
Nard Charlotte
Page 175 of 273
Owner NameFacilities Owned
3.097% WR Investments, LP, 20% Lake Creek Capital Partners, LP
Limited Partner
1500 Waters Ridge Dt Lewisville, TX 75057
Taylor John P.
100% of NHCC OPCO, LLC eff 6/30/2017
Stockholders/partners -- Not Officers
1500 Waters Ridge Dr. 200 Lewisville, TX 75057
Southwest SNF Holdings, LLC
100% Southwest SNF Holdings,Stockholders/partners -- Not Officers
1500 Waters Ridge Dirve 200 Lewisville, TX 75057
WR Investments, LP
General Partner of WR Investments, LP, 100% WR Investments GP
General Partner
1500 Waters Ridge Drive 200 Lewisville, TX 75057
WR Investments GP, Inc.
3.097% WR Investments, LP, 20% Lake Creek Capital Partners, LP
Limited Partner
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Campbell Scott
Mayor/Chairman, City of Pauls Valley, eff 5/14/19
Officers Who Do Not Hold Stock
PO Box 778 Pauls Valley, OK 73075
Rushing Jocelyn
Managing Member of NHCC OPCO, LLC & WR Investments, LP 6-30-17
Managing Member
1500 waters Ridge Dr. Lewisville, TX 75057
WR Investments GP Manager, Inc.
UPL Manager, eff 6/30/17Contracted Management
1500 Waters Ridge Drive Lewisville, TX 75057
NHCC OPCO, LLC
100% PF NHCC SNF Ops, LLC, eff 11/1/2020
Stockholders/partners -- Not Officers
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
Sanctuary LTC, LLC
President & CEO, Preservation Freehold Company, eff 11/1/2020
Officers Who Do Not Hold Stock
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
Chance James M.
Sec & Treasurer, Preservation Freehold Company, eff 11/1/2020
Officers Who Do Not Hold Stock
1500 Waters Ridge Dr. Lewsiville, TX 75057
Langdon Thomas E.
Board member, Preservation Freehold Company, eff 11/1/2020
Officers Who Do Not Hold Stock
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
Arnette Dana E.
Board member, Preservation Freehold Company, eff 11/1/2020
Officers Who Do Not Hold Stock
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
McGehee William Darrel
100% Sanctuary LTC, LLC eff 11/1/2020Stockholders/partners -- Not Officers
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
Preservation Freehold Company
OP, eff 11/01/2020Operating Entity
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
PF NHCC SNF Ops, LLC
NH7207 918-371-25452300 West Broadway Collinsville, OK 74021
North County Center for Nursing and Rehabilitation
EFF 03/01/2013Lessor Or Real Estate Owner
P.O. Box 990 Edmond, OK 73083
CVille Holding, LLC
Page 176 of 273
Owner NameFacilities Owned
100% CVille Holding, LLC/100% North County Sr. Living EFF 3/1/13
Stockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
LEP Holdings, LLC
99% LEP Hldgs,LLC/Mgr CVille Hldg/Mgr Nth cnty sr. liv EFF3/1/13
Stockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
Pilgrim Lee E.
Operating Entity
P.O. Box 990 Edmond, OK 73083
North County Senior Living, LLC
NH5528 405-942-10143718 North Portland Oklahoma City, OK 73112
North Winds Living Center
President 100%Stockholders/partners Who Are Officers
3714 N. Portland Oklahoma City, OK 73112
Crane Judy M.
Operating Entity
3714 N. Portland Oklahoma City, OK 73112
North Winds Living Center, Inc.
NH5524 405-842-66012801 Northwest 61st Street Oklahoma City, OK 73112
Northwest Nursing Center
Contracted Management Co. Eff 06/10/2015
Contracted Management
1518 Legacy Dr. #110 Frisco, TX 75034
Southwest LTC Management Services, LLC
1% Southwest LTC-NW OKC, LLC,72.62% SW,LTC,LTD, eff 01/01/16
Stockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, TX 75034
Payne Ronald
20% of Southwest LTC-Mgt Services,9.5%SW,LTC, LTD eff 01/01/2016
Stockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, TX 75034
Brashier Craig
99% OPStockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, OK 75034
Southwest LTC Oklahoma Holdings,LLC
100% Southwest LTC Oklahoma Holdings, LLC eff 01/01/16
Stockholders/partners -- Not Officers
1518 Legacy Dr. 110 Frisco, TX 75034
Southwest LTC, LTD
11.98% SW LTC, LTD eff 01/01/16Stockholders/partners -- Not Officers
5731 Jackson St. Ext C Alexandria, LA 71303
Quality Care Givers, Inc.
Eff 01/01/2016Operating Entity
5560 Tennyson Parkway 210 Plano, TX 75024
Southwest LTC-NW OKC, LLC
4.9% SW LTC, LTD eff 01/01/16Stockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, TX 75034
Guilbeaux Richard
1% SW LTC, LTD eff 01/01/16Stockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, TX 75034
Southwest LTC Mgt I LLC
Page 177 of 273
Owner NameFacilities Owned
16.33% Member of ELQN Holdings LLC/ Manager of RE
Stockholders/partners Who Are Officers
34 Lord Ave. Lawrence, NY 11559
Lahasky Ephraim
95% Member of YCQN Holdings LLC/Manager of RE
Stockholders/partners Who Are Officers
99 West Hawthorne Ave L10 Valley Stream, NY 11580
Chafetz Yisreol
Manager of REStockholders/partners Who Are Officers
99 West Hawthorne Ave L10 Valley Stream, NY 11580
Walden Jacob
31.6666% of REStockholders/partners -- Not Officers
99 West Hawthorne Ave L10 Valley Stream, NY L10
JW Oklahoma Holdings, LLC
RE EFF 08/28/2019Lessor Or Real Estate Owner
34 Lord Ave. Lawrence, NY 11559
Northwest Nursing Realty LLC
31.6666% of REStockholders/partners -- Not Officers
99 W Hawthorne Ave L10 Valley Stream, NY 11581
YCQN Holdings LLC
100% Member of JW Quail North Holdings
Stockholders/partners -- Not Officers
,
The JW Family Trust
100% Member of YDGK LLC/ Manager RE
Stockholders/partners Who Are Officers
,
Kohn Brian
NH5302 918-273-2236436 South Joe Nowata, OK 74048
Nowata Nursing Center
Operating Entity
436 S. Joe St. Nowata, OK 74048
Nowata Nursing Center, Inc.
100% BG Mgt., Inc.; 99% GD2 Inv., LP eff. 5/1/2012
Stockholders/partners -- Not Officers
19143 Chestermere Circle Edmond, OK 73012
Guymon Gregory L
100% GRH Mgt., Inc.; 99% Cat Daddy Inv., LP eff. 5/1/2012
Stockholders/partners -- Not Officers
22122 East 63rd Street Broken Arrow, OK 74014
Huxall Garrett
1% GD2 Inv., LP; 1% Health Care Properties of Oklahoma, L.L.C.
Stockholders/partners -- Not Officers
19413 Chestermere Circle Edmond, OK 73012
BG Management, Inc.
1% Cat Daddy Inv, LP;1% Health Care Properties of Oklahoma, L.LC
Stockholders/partners -- Not Officers
22122 East 63rd Street Broken Arrow, OK 74014
GRH Managment, Inc.
49% Health Care Properties of Oklahoma, L.L.C.
Stockholders/partners -- Not Officers
19413 Chestermere Circle Edmond, OK 73012
GD2 Invstments, LP
49% Health Care Properties of Oklahoma, L.L.C.
Stockholders/partners -- Not Officers
22122 E. 63rd Street Broken Arrow, OK 74014
Cat Daddy Investments, LP
100% Nowata Nursing Center, Inc.Stockholders/partners -- Not Officers
PO Box 140338 Broken Arrow, OK 74014
Health Care Properties of Oklahoma, L.L.C.
Page 178 of 273
Owner NameFacilities Owned
NH5525 405-400-22951100 West Georgia Jones, OK 73049
Oak Hills Living Center
Eff. 3/26/2019Stockholders/partners -- Not Officers
1500 Gateway Plaza 201 Midwest City, OK 73110
Randy L. Goodman, Court Appointed Receiver
eff. 4/18/2019Contracted Management
1100 W. Georgia Jones, OK 73049
Voyage LTC, Inc.
100% Voyage LTC, Inc. eff 4/18/2019Stockholders/partners Who Are Officers
4413 Hummingbird Dr. Sherman, TX 75092
Underwood Brad A.
Eff. 3/26/2019Operating Entity
P.O. Box 1218 Nicoma Park, OK 73066
Oak Hills Care Center Receivership, LLC
NH3213 405-452-3299201 East Second Street Wetumka, OK 74883
Oak Place Living Center, LLC
President/Beneficiary of Family TrustTrustee
P.O. Box 488 Weleetka, OK 74880
Adkins Gerrol Dean
Secretary/Beneficiary of Family TrustTrustee
P.O. Box 488 Weleetka, OK 74880
Adkins Arbret June
Lessor Or Real Estate Owner
P.O. Box 488 Wetumka, OK 74880
Pioneer Nursing Home Of Hughes County, Inc.
Beneficiary eff.12/31/12319 West 9th St. Weleetka, OK 74880
Majors Cynthia
Beneficiary eff.12/31/12319 West 9th St Weleetka, OK 74880
Simmons Donna Renee
Beneficiary eff.12/31/12Rt. 1, Box 121A Weleetka, OK 74880
Adkins, II Gerrol D.
52% RE and manag.member of Business Trust
Stockholders/partners -- Not Officers
P.O. Box 488 Weleetka, OK 74880
Gerrol Dean Adkins & Arbret June Adkins Family Trust (GDA/AJA)
Operating Entity
201 East Second Street Wetumka, OK 74883
Oak Place Living Center, LLC
100% OP manag.memberManaging Member
P.O. Box 488 Weleetka, OK 74880
Oak Place Revocable Business Trust
16% RE eff 12/31/12Rt 1 Box 121A Weleetka, OK 74880
Gerrol Dean Adkins II Irrevocable Trust dated 12/28/12
16% RE eff 12/31/12Rt 1 Box 121A Weleekta, OK 74880
Cynthia Denise Majors Irrevocable Trust dated 12/28/12
Page 179 of 273
Owner NameFacilities Owned
16% RE eff 12/31/12Rt 1 Box 121A Weleetka, OK 74880
Donna Renee Simmons Irrevocable Trust dated 12/28/12
Trustee eff 12/31/12Trustee
523 W. Main Henryetta, OK 74437
Palmer, C.P.A. Reginald
NH6703 405-257-58007th & Compton Wewoka, OK 74884
Oakridge Home
12.535047% of Okla. Nursing Home, Inc. (Mgmt Co.)
Stockholders/partners -- Not Officers
P.O. Box 2230 Waldron, AR 72958
Watts Fred
9.61494% Oklahoma Nursing Home, Ltd, Manager
Contracted Management
210 E. Choctaw, P.O. Box 429 Sallisaw, OK 74955-0429
Oklahoma Nursing Homes, Ltd. (ONH,Ltd.)
8.314% OP & Mgr./ 8.4112% RE/ 9.401287% Okla. Nurs. Homes, Inc.
Stockholders/partners -- Not Officers
P.O. Box 40 Sallisaw, OK 74955
Cheek Barnie J.
8.314% OP & Mgmt. / 8.4112% REStockholders/partners -- Not Officers
3520 East 110th Place Tulsa, OK 74137
Sandra Cheek Farmer Trust (SCFT)
RE 5.919%, OP 5.834% & Mgmt 6.597394%
Stockholders/partners Who Are Officers
4814 S. 164th East Ave. Tulsa, OK 74134
Haskins Lloyd
RE 5.9746%, OP 5.893Stockholders/partners -- Not Officers
103708 S 4627 Road Sallisaw, OK 74955
Watts Beneficiaries Trust (WBT) Sharon Rhodes
RE 14.2078%, OP 14.022% & Mgmt 12.535047% & Vice President
Stockholders/partners Who Are Officers
Box 856 Miami, OK 74355
Tubbs Steven
RE 5.4406%, & OP 5.376%Stockholders/partners -- Not Officers
3350 McCue Road #2002 Houston, TX 77056
Tubbs, Jr. Stanley I.
5.542% OP & Mgr./ 5.6186% RE/ 6.267525% Okla Nurs Homes, Inc.
Stockholders/partners -- Not Officers
416 Fairway Dr. Athens, TX 75751
Estep Pat
2.771% OP & Mgmt. / 2.8037% REStockholders/partners -- Not Officers
1500 West Elm Stroud, OK 74079
Julie Kay Bivin Revocable Trust (JKBRT)
RE 5.2207% & OP 5.13500%Stockholders/partners -- Not Officers
6708 South 256th East Avenue Broken Arrow, OK 74014
Caroyln D. Leaverton Revocable Trust
2.771% OP & Mgmt./ 2.8037% REStockholders/partners -- Not Officers
894 Morrow Drive/ PO Box 417 Langley, OK 74350
Dr. William R. VanDeLinder Trust (DWVT)
RE 2.8037%, OP 2.771%Stockholders/partners -- Not Officers
3808 NW Marquess Drive Bentonville, AR 72712
Lynn M. Yowell Trust
9.7298% of Midwest Nursing Home, LLC
Lessor Or Real Estate Owner
210 East Choctaw Sallisaw, OK 74955
Midwest Nursing Homes, LLC (MNHLLC)
Page 180 of 273
Owner NameFacilities Owned
2.771% Mgmt. / 2.8038% REStockholders/partners -- Not Officers
621 N Robinson 100 Oklahoma City, OK 73102
Heritage Trust Company Richard Armstrong Trust (RAT) C/O Matt McGuire
10.898% Oakridge Home, LLC (OP)Operating Entity
P.O. Box 400 Sallisaw, OK 74955
Oakridge Home, LLC
Contracted Management Compancy OP 1.219% & Mgmt Co 9.401287%
Contracted Management
P.O. Box 400 Sallisaw, OK 74955
Oklahoma Nursing Homes, Inc. General Partner (ONH,Inc)
9.401287% Oklahoma Nursing Homes, Inc./Ben. of RA Trust
Stockholders/partners -- Not Officers
2802 W. Country Club Dr. Oklahoma City, OK 73116
Armstrong Richard James
Trustee-SCFT/9.401287% Oklahoma Nursing Homes, Inc.
Stockholders/partners -- Not Officers
3520 East 110th Place Tulsa, OK 74137
Farmer Sandra
1.28306% OP & Mgmt./ 1.3156% RE/9.401287% Okla.Nurs. Homes,Inc.
Stockholders/partners -- Not Officers
20852 South Shannon Drive Claremore, OK 74017
Wilson James G.
2.079% OP & Mgmt. / 2.1028% REStockholders/partners -- Not Officers
P.O. Box 173 Gore, OK 74435
Ferguson Debra M.
RE 5.5630%, OP5.556% & Mgmt 5.657265% & Treasurer
Stockholders/partners Who Are Officers
607 Mayo Street Sallisaw, OK 74955
McGrew Justin
2.771% OP & Mgmt/ 2.8038% REStockholders/partners -- Not Officers
HCR 68 Box 1260 Vian, OK 74962
Armstrong Sally
9.401287% ONH, Inc. President; Trustee of DWRVT
Stockholders/partners Who Are Officers
PO Box 370 Adair, OK 74330
VanDeLinder Dr. William R.
RE 0.70095%, OP 0.69275%Stockholders/partners -- Not Officers
1405 E. Seattle St. Broken Arrow, OK 74012
Heath Armstrong VanDeLinder Trust (HAVT)
RE 0.70095% & 0.69275% OPStockholders/partners -- Not Officers
5727 South Lewis Ave 800 Tulsa, OK 74105
BOKF Trustee/M Huigens Meredith Margaret Marie VanDeLinder Trust (MMMVT)
RE 0.70095%, OP 0.69275%Stockholders/partners -- Not Officers
8 Dinton Circle Bella Vista, AR 72714
Nicolas Edmund VanDeLinder Trust (NEVT)
RE 0.70095%, OP 0.69275%Stockholders/partners -- Not Officers
2116 Whitney Lane McKinney, TX 75070
William Glen VanDelinder Trust (WGVT)
Trustee of JKBRTTrustee
1500 West Elm Stroud, OK 74079
Bivin Julie K.
2.77100% OPStockholders/partners -- Not Officers
621 N Robinson 100 Oklahoma City, OK 73102
Heritage Trust Company Richard Glen Armstrong Trust (RGAT)
Trustee-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Trustee
6708 South 256th East Ave Broken Bow, OK 74014
Leaverton Carolyn
Trustee-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Trustee
6708 South 256th East Ave Broken Arrow, OK 74014
Leaverton Ronald
Succ.Trustee & Benf-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Beneficiary
6708 South 256th East Ave Broken Arrow, OK 74014
Johnson Karen Diane
Page 181 of 273
Owner NameFacilities Owned
Succ.Trustee & Benf-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Beneficiary
6708 South 256th East Ave Broken Arrow, OK 74014
Fine Michael B.
Successor Trustee & Beneficiary -WBT eff 5/24/12
Trustee
51 Green Acre Village Sallisaw, OK 74955
Byers Karen
Successor Trustee & Beneficiary -WBT eff 5/24/12
Trustee
51 Green Acre Village Sallisaw, OK 74955
Rhodes Sharon
Beneficiary - WTB eff 5/24/12Beneficiary
51 Green Acre Village Sallisaw, OK 74955
Rhodes Grant
Beneficiary - WTB eff 5/24/12Beneficiary
51 Green Acre Village Sallisaw, OK 74955
Miles Sydney
Beneficiary - WTB eff 5/24/12Beneficiary
51 Green Acre Village Sallisaw, OK 74955
Cameron Amber
Successor Trustee - SCFT eff 5/24/12Trustee
3520 east 110th Place Tulsa, OK 74137
Farmer Frederick Sinclair
Beneficiary - SCFT eff 5/24/12Beneficiary
3520 East 110th Place Tulsa, OK 74137
Farmer Cassandra C.
Beneficiary - SCFT eff 5/24/12Beneficiary
3520 East 110th Place Tulsa, OK 74137
Farmer Alexandra C.
Trustee of the MMMV Trust, & WGVTTrustee
2812 West 114th St. south Jenks, ok 74037
Leutz William K.
Trustee of RA TrustTrustee
c/o Ben Bryers, 2802 W. Country Club DR. Oklahoma City, ok 73116
Heritage Trust Co.,
Trustee and Beneficiary of the HAVTTrustee
1405 E. Seattle St. Broken Arrow, OK 74012
VanDelinder Heath Armstrong
Beneficiary of MMMVTBeneficiary
2812 West 114th Street South Jenks, OK 74037
VanDeLinder Meredith Margaret Marie
Trustee & Ben NEVT; Ben. of Dr WRVTTrustee
8 Dinton Circle Bella Vista, AR 71714
VanDelinder Nicolas Edmund
Trustee Ben. of WGVT; Ben. DWRVTTrustee
6260 Dark Forest Drive McKinney, TX 75070
VanDelinder William Glen
Beneficiary of JKBRTBeneficiary
1500 West Elm Stroud, OK 74079
Bivin Jeremy
Beneficiary of JKBRTBeneficiary
1500 West Elm Stroud, OK 74049
Bivin Ryan
Beneficiary of RA & RGA TrustBeneficiary
2802 W. Country Club Dr. Oklahoma, OK 73116
Heritage Trust Company Armstrong Carol
Beneficiary of LMYTBeneficiary
3808 NW Marquess Drive Bentonville, AR 74017
Lamp Jo Ann
Page 182 of 273
Owner NameFacilities Owned
Beneficiary of LMYTBeneficiary
3808 NW Marquess Drive Bentonville, ar 74017
Austin Jennifer
RE 5.2626% & OP 5.192%Stockholders/partners -- Not Officers
103708 South 4627 Road Sallisaw, OK 74955
Estate of Cleo Watts
NH0706 580-634-47101100 Oak Ridge Drive Durant, OK 74701
Oakridge Nursing Center
Chair&CEOend 1/10/14 Broad Member eff 1/10/14 Senior Care Group
Officers Who Do Not Hold Stock
1240 Marbella Plaza Drive #12 Tampa, FL 33619
Vaughan David R.
eff. 11-01-06 Senior Care Group Mang Member
Operating Entity
1240 Marbella Plaza Dr. Tampa, FL 33619-7905
SCG Oak Ridge, LLC
eff. 11-01-06 Senior Care Group 100%Contracted Management
1240 Marbella Plaza Drive Tampa, FL 33619
SCG Red River Management, LLC
sole manag.mem. of SCG Red River, LLC/lessee
Managing Member
1240 Marbella Plaza Drive Tampa, FL 33619
Senior Care Group, Inc.
Board Memboer of Senior Care Group, Inc.
Officers Who Do Not Hold Stock
1240 Marbella Plaza Drive Tampa, FL 33619
Fridrich, Sr. Gerald D.
Board Memboer of Senior Care Group, Inc.
Officers Who Do Not Hold Stock
1240 Marbella Plaza Drive Tampa, FL 33619
Surtees Robert E.
CFO & Secretary/Treasurer of Senior Care Group, Inc. eff 1/10/14
Officers Who Do Not Hold Stock
1240 Marbella Plaza Drive Tampa, FL 33619
Chudow Katherine (Kathy)
Board Member of Senior Care Group, Inc.
Officers Who Do Not Hold Stock
1240 Marbella Plaza Drive Tampa, FL 33619
Swart Louis
Broad Member of Senior Care Group, Inc eff 1/10/2014
Officers Who Do Not Hold Stock
1240 Marbella Plaza Drive Tampa, FL 33619
Vaughan Michelle
Board Member eff 1/10/2014Officers Who Do Not Hold Stock
1240 Marbella Plaza Drvie Tampa, FL 33619
Martin J. Michael
66.67% LQCP Management, LLCStockholders/partners -- Not Officers
1300 S. University Dr. 306 Fort Worth, TX 76107
Boswell Darren
CJ2017-190 eff. 10-31-2018Court Appointed Receiver
401 South Boston 2320 Tulsa, OK 74103
C. David Rhoades Court Appointed Receiver CJ-2017-190
eff. 01/09/2019Contracted Management
1908 12th Ave. E Ardmore, OK 73401
Elmbrook Managment Company
100% Oakridge Drive, LLC eff 4/2019Stockholders/partners -- Not Officers
2001 Route 46 301 Parsippany, NJ 07054
LQC Partners XI, LLC
Page 183 of 273
Owner NameFacilities Owned
100% LQC Partners XI, LLCStockholders/partners -- Not Officers
2001 Route 46 301 Parsippany, NJ 07054
LQCP Management, LLC
33.33% LQCP Management, LLCStockholders/partners -- Not Officers
2001 Route 46 301 Parsippany, NJ 07054
Torzilli Michele
eff. 4/5/2019Lessor Or Real Estate Owner
2001 Route 46 301 Parisipanny, NJ 07054
1100 Oakridge Drive, LLC
NH5404 918-623-1126112 North Woody Guthrie Okemah, OK 74859-0446
Okemah Care Center
100%-AlphaCareStockholders/partners Who Are Officers
PO Box 2 Holdenville, OK 74848
Humphreys Doug
eff 7-23-01Operating Entity
202 N. Woody Guthrie Okemah, OK 74859
Okemah Care Center, L.L.C.
100%OpEntStockholders/partners -- Not Officers
3218 North 372 Holdenville, OK 74848
Alpha Care Properties, L.L.C.
NH7218 918-743-25654134 East 31st Street Tulsa, OK 74135
Oklahoma Methodist Manor, Inc.
Operating Entity
4134 E. 31st Street Tulsa, OK 74135
Oklahoma Methodist Manor, Inc.
exec director/CEO - signature authortiy eff 10/22/2008
Officers Who Do Not Hold Stock
4134 E 31st Street Tulsa, OK 74135
Dickie Steven
Vice president EFF 04/29/2013 Pres-2015Officers Who Do Not Hold Stock
4134 E. 31st Street Tulsa, OK 74135
Funk Bob
Vice President - 2015Officers Who Do Not Hold Stock
4134 E 31st Street Tulsa, OK 74135
Belitz Gary
Secretary 2015Officers Who Do Not Hold Stock
4134 E. 31st Street Tulsa, OK 74135
Teter Stan
Treasurer 2015Officers Who Do Not Hold Stock
4134 E. 31st Street Tulsa, OK 74135
Early Sharon
NH7260 918-599-5900744 West 9th Street Tulsa, OK 74127
Oklahoma State University Medical Center Skilled Nursing Facilit
Page 184 of 273
Owner NameFacilities Owned
St. Francis Health System - Chairman eff 03-05-2019
Officers Who Do Not Hold Stock
6161 S. Yale Tulsa, OK 74136
Warren John Kelly
100% of ConHold of Sand Springs, LLC eff 10-30-2018
Stockholders/partners -- Not Officers
111 East Chicksaw Sallisaw, OK 74955
Tenant One, LLC
100% RELessor Or Real Estate Owner
1111 West 17th Street Tulsa, OK 74107
Oklahoma State University Medical Authority
OP eff 03-05-2019Operating Entity
744 West 9th Street Tulsa, OK 74127
Oklahoma State University Medical Trust
OSU Medical Trust - Secretary, eff 03-05-2019
Officers Who Do Not Hold Stock
3134 East 67th Street Tulsa, OK 74136
Helm J. Loy
Contracted Management Company eff 03-05-2019
Contracted Management
6161 South Yale Avenue Tulsa, OK 74136
St. Francis Health System, Inc.
OSU Medical Trust - Vice-Chair & Treasurer
Officers Who Do Not Hold Stock
744 West 9th Street Tulsa, OK 74127
Keller Ed
OSU Medical Trust - Board Member eff 03+05-2019
Officers Who Do Not Hold Stock
744 West 9th Street Tulsa, OK 74127
Pasternik-Ikard Rebecca Ann
OSU Medical Trust - Board Member eff 03-05-2019
Officers Who Do Not Hold Stock
744 West 9th Street Tulsa, OK 74127
Shrum, D.O. Kayse
OSU Medical Trust - Board MemberOfficers Who Do Not Hold Stock
744 West 9th Street Tulsa, OK 74127
Steichen Berry
St. Francis Health System - Vice ChairOfficers Who Do Not Hold Stock
6161 South Yale Avenue Tulsa, OK 74136
Kishner Judy
NH1010 580-223-22661015 South Commerce Ardmore, OK 73402
Oklahoma Veterans Center, Ardmore Division
Operating Entity
2132 N E 36th Street Oklahoma City, OK 73111
Oklahoma Department Of Veterans Affairs
Executive Director eff 02-02-2015Officers Who Do Not Hold Stock
P.O. Box 53067 Oklahoma City, OK 73152
Deering Myles
NH6607 918-283-29633001 West Blue Starr Drive Claremore, OK 74018
Oklahoma Veterans Center, Claremore Division
OP SB629 eff 5/29/2013Operating Entity
2132 N E 36th Street Oklahoma City, OK 73111
Oklahoma Department Of Veterans Affairs
Page 185 of 273
Owner NameFacilities Owned
Deputy DirectorOfficer
,
Stewart Danny
Executive Director eff 02-02-2015Officer
P.O. Box 53067 Oklahoma City, OK 73152
Deering Myles
NH2007 580-331-2200Hwy 183 South Clinton, OK 73601
Oklahoma Veterans Center, Clinton Division
OP SB629 eff 5/29/2013Operating Entity
2132 N E 36th Street Oklahoma City, OK 73111
Oklahoma Department Of Veterans Affairs
Executive Director eff 02-02-2015Officer
P.O. Box 53067 Oklahoma City, OK 73152
Deering Myles
Authorized SignerOfficer
,
Taylor Stephanie
NH1608 580-351-6511501 S.E. Flowers Mound Road Lawton, OK 73501
Oklahoma Veterans Center, Lawton/Ft Sill Division
OP eff 05/29/2013Operating Entity
2132 N E 36th Street Oklahoma City, OK 73111
Oklahoma Department Of Veterans Affairs
Deputy DirectorOfficer
,
Stewart Danny
Executive Director eff 02-02-2015Officer
P.O. Box 53067 Oklahoma City, OK 73152
Deering Myles
NH1413 405-360-56001776 East Robinson Norman, OK 73070
Oklahoma Veterans Center, Norman Division
OP SB629 eff 5/29/2013Operating Entity
2132 N E 36th Street Oklahoma City, OK 73111
Oklahoma Department Of Veterans Affairs
Executive Director eff 02-02-2015Officer
P.O. Box 53067 Oklahoma City, OK 73152
Deering Myles
NH5004 580-622-2144304 East Fairlane Sulphur, OK 73086
Oklahoma Veterans Center, Sulphur Division
Page 186 of 273
Owner NameFacilities Owned
OP SB629 eff 5/29/2013Operating Entity
2132 N E 36th Street Oklahoma City, OK 73111
Oklahoma Department Of Veterans Affairs
Executive Director eff 02-02-2015Officer
P.O. Box 53067 Oklahoma City, OK 73152
Deering Myles
NH4011 918-567-225110014 SE 1138th Ave Talihina, OK 74571
Oklahoma Veterans Center, Talihina Division
OP SB629 eff 5/29/2013Operating Entity
2132 N E 36th Street Oklahoma City, OK 73111
Oklahoma Department Of Veterans Affairs
Executive Director eff 02-02-2015Officer
P.O. Box 53067 Oklahoma City, OK 73152
Deering Myles
NH5607 918-756-3556720 North Miami Okmulgee, OK 74447
Okmulgee Terrace
Successor Trustee & Beneficiary -WBT eff 5/24/12
Trustee
P.O. Box 2230 Waldron, AR 72958
Watts Fred
9.61494% Oklahoma Nursing Home, Ltd, Manager
Contracted Management
210 E. Choctaw, P.O. Box 429 Sallisaw, OK 74955-0429
Oklahoma Nursing Homes, Ltd. (ONH,Ltd.)
8.314% OP & Mgr./ 8.4112% RE/ 9.401287% Okla. Nurs. Homes, Inc.
Stockholders/partners -- Not Officers
P.O. Box 40 Sallisaw, OK 74955
Cheek Barnie J.
8.314% OP & Mgmt. / 8.4112% REStockholders/partners -- Not Officers
3520 East 110th Place Tulsa, OK 74137
Sandra Cheek Farmer Trust (SCFT)
5.834% OP & Mgmt/5.9190% mgr RE/6.597394% Okla. Nurs.Homes,Inc.
Stockholders/partners -- Not Officers
4814 S. 164th East Ave. Tulsa, OK 74134
Haskins Lloyd
5.192% OP &Mgmt./5.2626% RE/12.535047%ONH,Inc.TrusteeWBTeff 5/12
Stockholders/partners -- Not Officers
101 Doris Drive #51 Sallisaw, OK 74955
Watts Cleo
5.893% OP & Mgmt. / 5.9746% REStockholders/partners -- Not Officers
103708 S 4627 Road Sallisaw, OK 74955
Watts Beneficiaries Trust (WBT) Sharon Rhodes
5.612090% OP/ 5.67% REStockholders/partners -- Not Officers
20852 S. Shannon Dr. Claremore, OK 74017
William McKesson Wilson Sr. 1997 Trust
14.022% OP & Mgmt/ 14.2078% RE/ 21.936335% ONH,Inc. & VP
Stockholders/partners Who Are Officers
Box 856 Miami, OK 74355
Tubbs Steven
5.376% OP & Mgmt. / 5.4406% REStockholders/partners -- Not Officers
3350 McCue Road #2002 Houston, TX 77056
Tubbs, Jr. Stanley I.
Page 187 of 273
Owner NameFacilities Owned
5.542% OP & Mgr./ 5.6186% RE/ 6.267525% Okla Nurs Homes, Inc.
Stockholders/partners -- Not Officers
416 Fairway Dr. Athens, TX 75751
Estep Pat
2.771% OP & Mgmt. / 2.8037% REStockholders/partners -- Not Officers
1500 West Elm Stroud, OK 74079
Julie Kay Bivin Revocable Trust (JKBRT)
5.135% OP/MANAGEMENT/ RE 5.2207%
Stockholders/partners -- Not Officers
6708 South 256th East Avenue Broken Arrow, OK 74014
Caroyln D. Leaverton Revocable Trust
2.771% OP & Mgmt./ 2.8037% REStockholders/partners -- Not Officers
894 Morrow Drive/ PO Box 417 Langley, OK 74350
Dr. William R. VanDeLinder Trust (DWVT)
2.771% OP & Mgmt. / 2.8037% REStockholders/partners -- Not Officers
3808 NW Marquess Drive Bentonville, AR 72712
Lynn M. Yowell Trust
9.7298% of Midwest Nursing Home, LLC
Lessor Or Real Estate Owner
210 East Choctaw Sallisaw, OK 74955
Midwest Nursing Homes, LLC (MNHLLC)
2.771% Mgmt. / 2.8038% REStockholders/partners -- Not Officers
621 N Robinson 100 Oklahoma City, OK 73102
Heritage Trust Company Richard Armstrong Trust (RAT) C/O Matt McGuire
9.61494% Okmulgee Terrace, LLCOperating Entity
P.O.Box 400 Sallisaw, OK 74955
Okmulgee Terrace, LLC
1.219% mgr OP & Mgmt.Stockholders/partners Who Are Officers
P.O. Box 400 Sallisaw, OK 74955
Oklahoma Nursing Homes, Inc. General Partner (ONH,Inc)
9.401287% Oklahoma Nursing Homes, Inc./ Ben. RA Trust
Stockholders/partners -- Not Officers
2802 W. Country Club Dr. Oklahoma City, OK 73116
Armstrong Richard James
Trustee-SCFT/9.401287% Oklahoma Nursing Homes, Inc.
Stockholders/partners -- Not Officers
3520 East 110th Place Tulsa, OK 74137
Farmer Sandra
1.28306% OP & Mgmt./ 1.3156% RE/9.401287% Okla.Nurs. Homes,Inc.
Stockholders/partners -- Not Officers
20852 South Shannon Drive Claremore, OK 74017
Wilson James G.
2.079% OP & Mgmt. / 2.1028% REStockholders/partners -- Not Officers
P.O. Box 173 Gore, OK 74435
Ferguson Debra M.
5.556% OP & Mgmt./5.5630% RE/ 5.657265% in ONH, Inc. & Treas
Stockholders/partners Who Are Officers
607 Mayo Street Sallisaw, OK 74955
McGrew Justin
2.771% OP & Mgmt/ 2.8038% REStockholders/partners -- Not Officers
HCR 68 Box 1260 Vian, OK 74962
Armstrong Sally
Trustee of DWRVT/9.401287% Oklahoma Nursing Home, Inc. Presid
Stockholders/partners Who Are Officers
PO Box 370 Adair, OK 74330
VanDeLinder Dr. William R.
RE 0.70095% & 0.69275% OP & MgmtStockholders/partners -- Not Officers
1405 E. Seattle St. Broken Arrow, OK 74012
Heath Armstrong VanDeLinder Trust (HAVT)
RE 0.70095% & 0.69275% OP & MgmtStockholders/partners -- Not Officers
5727 South Lewis Ave 800 Tulsa, OK 74105
BOKF Trustee/M Huigens Meredith Margaret Marie VanDeLinder Trust (MMMVT)
RE 0.70095% & 0.69275% OPStockholders/partners -- Not Officers
8 Dinton Circle Bella Vista, AR 72714
Nicolas Edmund VanDeLinder Trust (NEVT)
Page 188 of 273
Owner NameFacilities Owned
RE 0.70095% & 0.69275% OP & MgmtStockholders/partners -- Not Officers
2116 Whitney Lane McKinney, TX 75070
William Glen VanDelinder Trust (WGVT)
Trustee of the JKBRTTrustee
1500 West Elm Stroud, OK 74079
Bivin Julie K.
2.77100%OPStockholders/partners -- Not Officers
621 N Robinson 100 Oklahoma City, OK 73102
Heritage Trust Company Richard Glen Armstrong Trust (RGAT)
Trustee-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Trustee
6708 South 256th East Ave Broken Bow, OK 74014
Leaverton Carolyn
Trustee-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Trustee
6708 South 256th East Ave Broken Arrow, OK 74014
Leaverton Ronald
Succ.Trustee & Benf-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Beneficiary
6708 South 256th East Ave Broken Arrow, OK 74014
Johnson Karen Diane
Succ.Trustee & Benf-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Trustee
6708 South 256th East Ave Broken Arrow, OK 74014
Fine Michael B.
Successor Trustee & Beneficiary -WBT eff 5/24/12
Trustee
51 Green Acre Village Sallisaw, OK 74955
Byers Karen
Successor Trustee & Beneficiary -WBT eff 5/24/12
Trustee
51 Green Acre Village Sallisaw, OK 74955
Rhodes Sharon
Beneficiary - WTB eff 5/24/12Beneficiary
51 Green Acre Village Sallisaw, OK 74955
Rhodes Grant
Beneficiary - WTB eff 5/24/12Beneficiary
51 Green Acre Village Sallisaw, OK 74955
Miles Sydney
Beneficiary - WTB eff 5/24/12Beneficiary
51 Green Acre Village Sallisaw, OK 74955
Byers Jack
Beneficiary - WTB eff 5/24/12Beneficiary
51 Green Acre Village Sallisaw, OK 74955
Cameron Amber
Sucessor Trustee-SCFT EFF 05/24/2012Trustee
3520 east 110th Place Tulsa, OK 74137
Farmer Frederick Sinclair
Beneficiary - SCFT eff 5/24/12Beneficiary
3520 East 110th Place Tulsa, OK 74137
Farmer Cassandra C.
Beneficiary - SCFT eff 5/24/12Beneficiary
3520 East 110th Place Tulsa, OK 74137
Farmer Alexandra C.
Trustee of MMMVT & WGVTTrustee
2812 West 114th St. south Jenks, ok 74037
Leutz William K.
Trustee of RA TrustTrustee
c/o Ben Bryers, 2802 W. Country Club DR. Oklahoma City, ok 73116
Heritage Trust Co.,
Beneficiary of LMYTBeneficiary
3808 NW Marquess Drive Bentonville, AR 72712
Yowell Lynn
Page 189 of 273
Owner NameFacilities Owned
Beneficiary LMYTBeneficiary
3808 NW Marquess Drive Bentonville,, AR 72712
Yowell Ron
Trustee and Beneficiary of HAVTTrustee
1405 E. Seattle St. Broken Arrow, OK 74012
VanDelinder Heath Armstrong
Beneficiary of MMMVTBeneficiary
2812 West 114th Street South Jenks, OK 74037
VanDeLinder Meredith Margaret Marie
Trustee & Beneficiary of NEVT; Trustee of DWRVT
Trustee
8 Dinton Circle Bella Vista, AR 71714
VanDelinder Nicolas Edmund
Trustee & Beneficiary of WGVT; Beneficiary of DWRVT
Trustee
6260 Dark Forest Drive McKinney, TX 75070
VanDelinder William Glen
Beneficiary of JKBRTBeneficiary
1500 West Elm Stroud, OK 74079
Bivin Jeremy
Beneficiary of JKBRTBeneficiary
1500 West Elm Stroud, OK 74049
Bivin Ryan
Beneficiary of RA & RGA Trust & Richard Glen Armstrong Trust
Beneficiary
2802 W. Country Club Dr. Oklahoma, OK 73116
Heritage Trust Company Armstrong Carol
Beneficiary of LMYTBeneficiary
3808 NW Marquess Drive Bentonville, AR 74017
Lamp Jo Ann
Beneficiary of LMYTBeneficiary
3808 NW Marquess Drive Bentonville, ar 74017
Austin Jennifer
NH5414 918-650-9393103 North Oneida Weleetka, OK 74880
Oneida Place
Lessor Or Real Estate Owner
236 Main Street Uniontown, KY 42461
4-B Properties, L.L.C.
amended corp. name (fkaProdetik, Inc.) eff 02-05-08
Operating Entity
1201 W. Trudgeon Henryetta, OK 74437
The Reach Corporation
Non-Profit Board President of The Reach Corporation 2019
Officers Who Do Not Hold Stock
PO Box 790 UnionTown, KY 42461
Bailey M. Geoffry
eff. 8-15-07Lessor Or Real Estate Owner
P.O. Box 409 Sturgis, KY 42459
Maricopa Properties, LLC
100% of REStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Maricopa Partners, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Rock River, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
MMB, LLC
Page 190 of 273
Owner NameFacilities Owned
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Lovenest, LLC
30.959% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gary
16.025% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Lisa
32.88% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Tim
17.455% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Vicki
29.421% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Robert
13.957% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Laura
53.016% of Rock River, LLC - 4 children w/13.254% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
4 Irrevocable Trusts
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O.Box 409 Sturgis, KY 42459
Ervin Mallory
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Jade
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Luke
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gabe
49.665% of MMB, LLC - 5 children w/9.933% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
3 Irrevocable Trusts
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Max
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box Sturgis, KY 42459
Linenger Jessica
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mitch
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Linenger Jennifer
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Brock
56.623% of Lovenest, LLC - 7 children w/8.089% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
7 Irrevocable Trusts
Page 191 of 273
Owner NameFacilities Owned
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Thea
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugris, KY 42459
Ervin Issac
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugis, KY 42459
Ervin Samuel
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Elijah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Saul
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Micah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mathias
Vice-President, eff 1/31/2020Officers Who Do Not Hold Stock
1924 Lorraine Ave Allen, TX 75002
Garrett Marvin
Secretary/Treasurer, eff 1/31/2020Officers Who Do Not Hold Stock
452 Goose Pond Road Morganfield, KY 42437
Humphrey Brian
NH5303 918-273-2012822 West Osage Nowata, OK 74048
Osage Nursing Home
12.535047% of Okla. Nursing Home, Inc. (Mgmt Co.)
Stockholders/partners -- Not Officers
P.O. Box 2230 Waldron, AR 72958
Watts Fred
9.61494% Oklahoma Nursing Home, Ltd, Manager
Contracted Management
210 E. Choctaw, P.O. Box 429 Sallisaw, OK 74955-0429
Oklahoma Nursing Homes, Ltd. (ONH,Ltd.)
8.314% OP & Mgr./ 8.4112% RE/ 9.401287% Okla. Nurs. Homes, Inc.
Stockholders/partners -- Not Officers
P.O. Box 40 Sallisaw, OK 74955
Cheek Barnie J.
8.314% OP & Mgmt. / 8.4112% REStockholders/partners -- Not Officers
3520 East 110th Place Tulsa, OK 74137
Sandra Cheek Farmer Trust (SCFT)
5.834% OP & Mgmt/5.9190% mgr RE/6.597394% Okla. Nurs.Homes,Inc.
Stockholders/partners -- Not Officers
4814 S. 164th East Ave. Tulsa, OK 74134
Haskins Lloyd
5.893% OP & Mgmt. / 5.9746% REStockholders/partners -- Not Officers
103708 S 4627 Road Sallisaw, OK 74955
Watts Beneficiaries Trust (WBT) Sharon Rhodes
14.022% OP & Mgmt/ 14.2078% RE/ 21.936335% VP of ONH,Inc.
Stockholders/partners Who Are Officers
Box 856 Miami, OK 74355
Tubbs Steven
5.376% OP & Mgmt. / 5.4406% REStockholders/partners -- Not Officers
3350 McCue Road #2002 Houston, TX 77056
Tubbs, Jr. Stanley I.
Page 192 of 273
Owner NameFacilities Owned
5.542% OP & Mgr./ 5.6186% RE/ 6.267525% Okla Nurs Homes, Inc.
Stockholders/partners -- Not Officers
416 Fairway Dr. Athens, TX 75751
Estep Pat
2.771% OP & ONH,Ltd / 2.8037% RE eff 5/24/12 & Trustee of JKBRT
Stockholders/partners -- Not Officers
1500 West Elm Stroud, OK 74079
Julie Kay Bivin Revocable Trust (JKBRT)
5.135% OP/MANAGEMENT/ RE 5.2207%
Stockholders/partners -- Not Officers
6708 South 256th East Avenue Broken Arrow, OK 74014
Caroyln D. Leaverton Revocable Trust
2.771% OP & Mgmt./ 2.8037% REStockholders/partners -- Not Officers
894 Morrow Drive/ PO Box 417 Langley, OK 74350
Dr. William R. VanDeLinder Trust (DWVT)
2.771% OP & Mgmt. / 2.8037% REStockholders/partners -- Not Officers
3808 NW Marquess Drive Bentonville, AR 72712
Lynn M. Yowell Trust
9.7298% of Midwest Nursing Home, LLC
Lessor Or Real Estate Owner
210 East Choctaw Sallisaw, OK 74955
Midwest Nursing Homes, LLC (MNHLLC)
2.77100% Mgmt. / 2.8038% REStockholders/partners -- Not Officers
621 N Robinson 100 Oklahoma City, OK 73102
Heritage Trust Company Richard Armstrong Trust (RAT) C/O Matt McGuire
9.61494% of Osage Nursing Center, LLCOperating Entity
P.O. box 400 Sallisaw, OK 74955
Osage Nursing Center, LLC
1.2190 mgr OP & Mgmt.Stockholders/partners Who Are Officers
P.O. Box 400 Sallisaw, OK 74955
Oklahoma Nursing Homes, Inc. General Partner (ONH,Inc)
9.401287% Oklahoma Nursing Homes, Inc.; Ben. of RA Trust
Stockholders/partners -- Not Officers
2802 W. Country Club Dr. Oklahoma City, OK 73116
Armstrong Richard James
Trustee-SCFT/9.401287% Oklahoma Nursing Homes, Inc.
Stockholders/partners -- Not Officers
3520 East 110th Place Tulsa, OK 74137
Farmer Sandra
1.28306% OP & Mgmt./ 1.3156% RE/9.401287% Okla.Nurs. Homes,Inc.
Stockholders/partners -- Not Officers
20852 South Shannon Drive Claremore, OK 74017
Wilson James G.
2.079% OP & Mgmt. / 2.1028% REStockholders/partners -- Not Officers
P.O. Box 173 Gore, OK 74435
Ferguson Debra M.
5.556% OP & Mgmt./5.5630% RE/ Treas w/5.657265% in ONH, Inc.
Stockholders/partners Who Are Officers
607 Mayo Street Sallisaw, OK 74955
McGrew Justin
2.771% OP & Mgmt/ 2.8038% REStockholders/partners -- Not Officers
HCR 68 Box 1260 Vian, OK 74962
Armstrong Sally
9.401287% Oklahoma Nursing Home, Inc. President; Trustee of DWRV
Stockholders/partners -- Not Officers
PO Box 370 Adair, OK 74330
VanDeLinder Dr. William R.
RE 0.70095% & 0.69275% OP & MgmtStockholders/partners -- Not Officers
1405 E. Seattle St. Broken Arrow, OK 74012
Heath Armstrong VanDeLinder Trust (HAVT)
RE 0.70095% & 0.69275% OP & MgmtStockholders/partners -- Not Officers
5727 South Lewis Ave 800 Tulsa, OK 74105
BOKF Trustee/M Huigens Meredith Margaret Marie VanDeLinder Trust (MMMVT)
RE 0.70095% & 0.69275% OP & MgmtStockholders/partners -- Not Officers
8 Dinton Circle Bella Vista, AR 72714
Nicolas Edmund VanDeLinder Trust (NEVT)
Page 193 of 273
Owner NameFacilities Owned
RE 0.70095% & 0.69275% OP & MgmtStockholders/partners -- Not Officers
2116 Whitney Lane McKinney, TX 75070
William Glen VanDelinder Trust (WGVT)
2.77100% OPStockholders/partners -- Not Officers
621 N Robinson 100 Oklahoma City, OK 73102
Heritage Trust Company Richard Glen Armstrong Trust (RGAT)
Trustee-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Trustee
6708 South 256th East Ave Broken Bow, OK 74014
Leaverton Carolyn
Trustee-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Trustee
6708 South 256th East Ave Broken Arrow, OK 74014
Leaverton Ronald
Succ.Trustee & Benf-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Beneficiary
6708 South 256th East Ave Broken Arrow, OK 74014
Johnson Karen Diane
Successor Trustee & Beneficiary -WBT eff 5/24/12
Trustee
51 Green Acre Village Sallisaw, OK 74955
Byers Karen
Successor Trustee & Beneficiary -WBT eff 5/24/12
Trustee
51 Green Acre Village Sallisaw, OK 74955
Rhodes Sharon
Beneficiary - WTB eff 5/24/12Beneficiary
51 Green Acre Village Sallisaw, OK 74955
Rhodes Grant
Beneficiary - WTB eff 5/24/12Beneficiary
51 Green Acre Village Sallisaw, OK 74955
Miles Sydney
Beneficiary - WTB eff 5/24/12Beneficiary
51 Green Acre Village Sallisaw, OK 74955
Cameron Amber
Successor Trustee - SCFT eff 5/24/12Trustee
3520 east 110th Place Tulsa, OK 74137
Farmer Frederick Sinclair
Beneficiary - SCFT eff 5/24/12Beneficiary
3520 East 110th Place Tulsa, OK 74137
Farmer Cassandra C.
Beneficiary - SCFT eff 5/24/12Beneficiary
3520 East 110th Place Tulsa, OK 74137
Farmer Alexandra C.
Trustee of RGATTrustee
c/o Ben Bryers, 2802 W. Country Club DR. Oklahoma City, ok 73116
Heritage Trust Co.,
Registered AgentOfficer
317 N.W. 12th St. Oklahoma City, OK 73103
Burnsed (C. Craig Cole & Assoc.) Carrie
Ben. of Julie Kay bivin Revocable Trust Eff. 2016
Beneficiary
1500 West Elm Stroud, OK 74079
Bivin Jeremy
Ben. pf Julie Kay Bivin Revocable TrustBeneficiary
1500 West Elm Stroud, OK 74049
Bivin Ryan
RE 5.2626% & OP 5.192% , eff 12/5/19Stockholders/partners -- Not Officers
103708 South 4627 Road Sallisaw, OK 74955
Estate of Cleo Watts
Page 194 of 273
Owner NameFacilities Owned
NH4904 918-434-5600319 N. Owen Walters Blvd. Salina, OK 74365
Parkhill North Nursing Home
25% BGM Estate, LLC Eff 9-16-16Stockholders/partners -- Not Officers
P.O. Box 330 Muldrow, OK 74948
Tabor Angela
25% BGM Estate, LLC Eff 9-16-16Stockholders/partners -- Not Officers
111522 S. 4740 Road Muldrow, OK 74948
Mitchell Robert Michael
25% BGM Estate, LLC eff 9-16-16Stockholders/partners -- Not Officers
412 S. Dogwood Sallisaw, OK 74955
Mitchell Marcinda
12.5% of OP and 25% BGM Estate, LLC eff 9-16-16
Stockholders/partners -- Not Officers
7240 Chase Oaks Blvd 121 Plano, TX 75025
Mitchell Kelly O.
Operating Entity
319 N. Owen Walters Blvd. Salina, OK 74365
Salina Care Center, L.L.C.
25% of OPStockholders/partners -- Not Officers
P.O. Box 1454 Sallisaw, OK 74955
Philip M. Green Revocable Trust
25% of OPStockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Gilbert F. Green Trust
Manager of OpEntityOfficers Who Do Not Hold Stock
319 N. Owen Walters Blvd. Salina, OK 74365
Hobbs Jeanan
37.50% OP eff 9-16-16Stockholders/partners -- Not Officers
P.O. Box 568 Sallisaw, OK 74955
BGM Estate, LLC
NH4103 405-567-2201922 West Parkland Avenue Prague, OK 74864
Parkland Manor Living Center
51% Mbr of JNHStockholders/partners Who Are Officers
105 Washington Pauls Valley, OK 73075
Justice Jack
100% of Parkland Manor Living Center, LLC
Stockholders/partners -- Not Officers
110 Barr Avenue Pauls Valley, OK 73075
Washita Valley Investments, L.L.C.
49% Mng Mbr of JNH Prop/100%Mem of Wash Val Inv Eff 9/1/16
Stockholders/partners Who Are Officers
110 Burr Aveneu Pauls Valley, OK 73075
Justice Julie
Op Ent eff 3/27/2007Operating Entity
110 Burr Ave Pauls Valley, OK 73075
Parkland Manor Living Center, L.L.C.
Real EstateLessor Or Real Estate Owner
110 Burr Ave. Pauls Valley, OK 73075
Parkland Properties, LLC
100% member of Parkland Properties, LLC
Stockholders/partners Who Are Officers
110 Burr Ave Pauls Valley, OK 73075
JNH Properties, LLC
Page 195 of 273
Owner NameFacilities Owned
NH2504 405-238-64111413 South Chickasaw Pauls Valley, OK 73075
Pauls Valley Care Center
Mng Mem 100% PVCC, LLC/100% Mng Mem of BK Strategies, LLC
Stockholders/partners Who Are Officers
131 North Broadway Ada, OK 74820
Reed Bart
Member 100% interest in Pauls Valley Care Center, LLC
Stockholders/partners -- Not Officers
131 North Broadway Ada, OK 74820
BK Strategies, LLC
100% of Pauls Valley Real Estate,LLC eff 02/01/2012
Stockholders/partners -- Not Officers
131 North Broadway Ada, OK 74820
BK Strategies Real Estate, LLC
OP eff 07/12/2019Operating Entity
131 N. Broadway Ada, OK 74820
Pauls Valley Care Center, LLC
(1%RE END06/1/09)/OP General PartnerStockholders/partners -- Not Officers
PO Box 977 Guthrie, OK 73044
GMGP, INC.
100% of RE Eff 02/01/2012Lessor Or Real Estate Owner
131 North Broadway Ada, OK 74820
Pauls Valley Real Estate, LLC
50% Managing Member of Managment Company eff 11/4/2020
Stockholders/partners Who Are Officers
P.O. Box 1009 Gore Oklahoma City, OK 74435
Smith Layne
50% Member of Management CompanyStockholders/partners Who Are Officers
P.O. Box 1009 Gore Oklahoma City, OK 74435
Smith Brooke
eff 11/4/2020Contracted Management
9607 South Strayhorn Heights Rd. Gore, OK 74435
Pro Health and Rehab, LLC
NH5202 580-336-22851103 Birch Street Perry, OK 73077
Perry Green Valley Nursing Home, LLC
8% Mbr HMLC, LLCStockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Golden Age Nursing Home Of Guthrie, Inc.(GAN)
Trustee-Mary Lou Chappell TrustTrustee
Box 1095 Guthrie, OK 73044
Chappell Mary Lou
2%Mbr HMLC, LLCStockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Perry Green Valley Nursing Home, Inc.(PGV)
4%Mbr HMLC, LLCStockholders/partners -- Not Officers
PO Box 1095 Guthrie, OK 73044
Stilwell Nursing Home, Inc.(SNH)
Beneficiary - Chappell 2012 Succession Trust dated 01/03/2012
Beneficiary
P.O. Box 1095 Guthrie, OK 73044
Chappell Jeff
Real EstateLessor Or Real Estate Owner
P.O. Box 1095 Guthrie, OK 73044
H & M Noble Property, LLC
Page 196 of 273
Owner NameFacilities Owned
Mgr. GAN,PGV,SNH; Mgr. of OP/RE 06/01/2016
Manager
P.O. Box 1095 Guthrie, OK 73044
Hastings Tandie
Eff 7/1/2007Operating Entity
PO Box 1095 Guthrie, OK 73044
Perry Green Valley Nursing Home, LLC
100% Mmbr OP & RE, eff 04/18/12Stockholders/partners -- Not Officers
PO Box 1095 Guthrie, OK 73044
HMLC, LLC
Mgr of HMCL, LLC,Trustee Chappell 2012 Succession Trust
Officers Who Do Not Hold Stock
PO Box 1095 Guthrie, OK 73044
Chappell Hollie "Joe"
76% member HMLC, LLC 4/15/16 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
10% mbr HMLC, 100% SNH, PGV Inc., GAN 06/01/2016
Stockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Mary Lou Chappell Trust
Beneficiary - Chappell 2012 Succession Trust dated 01/03/2012
Beneficiary
,
Chappell Jon D.
Beneficiary - Chappell 2012 SuccessionTrust dated 01/03/2012
Beneficiary
,
Crockett Mary Janice
NH5109 918-682-53911120 Illinois Muskogee, OK 74403
Pleasant Valley Health Care Center
Operating Entity
1120 Illinois Street Muskogee, OK 74403
Pleasant Valley Health Care Center, Inc.
65% PresidentStockholders/partners Who Are Officers
3412 Riverbend Rd. Muskogee, OK 74403
Nevitt Mary
35% Sec/TreasStockholders/partners Who Are Officers
3707 East Harris Road Muskogee, OK 74403
Nevitt Danny
NH4008 918-436-2228200 Home Street Pocola, OK 74902
Pocola Health and Rehab
CN04-016Stockholders/partners Who Are Officers
P.O. Box 586 Sallisaw, OK 74902
Farmer, Jr. Archie Don
eff 9-30-02Lessor Or Real Estate Owner
115 Washington Street Pocola, OK 72958
Pocola Manor, L.L.C.
eff 09/29/04Operating Entity
200 Home Street Pocola, OK 72958
Pocola Nursing Center, L.L.C.
Page 197 of 273
Owner NameFacilities Owned
100% manag.member Pocola Nursing Center, LLC
Stockholders/partners Who Are Officers
200 Home Street Pocola, OK 744902
Hensley Chris
NH3606 580-762-66681400 North Waverly Ponca City, OK 74601
Ponca City Nursing & Rehabilitation Center
34% N&R Ponca City & Health Systems of Oklahoma eff 01/01/2017
Stockholders/partners Who Are Officers
329 Townepark Circle 100 Louisville, KY 40243
Vinson John
ManagementContracted Management
329 Townepark Circle 100 Louisville, KY 40243
Health Systems of Oklahoma, L.L.C.
eff 10-01-02Operating Entity
1400 Waverly Ponca City, OK 76401
N & R of Ponca City, L.L.C.
Lessor Or Real Estate Owner
200 Inernational Circle 3500 Hunt Valley, MD 21030
CSE Ponca City LLC
Member with 100% interest of CSE Ponca City
Stockholders/partners -- Not Officers
4445 Willard Ave, 12th Floor Chevy Chase, MD 20815
CSE Casablanca Holdings LLC
100% interest and Member of CSE Casablanca LLC
Stockholders/partners -- Not Officers
4445 Willard Ave, 12th Floor Chevy Chase, MD 20815
CSE SLB LLC
100% interest and Member of CSE SLB, LLC
Stockholders/partners -- Not Officers
4445 Willard Ave, 12th Floor Chevy Chase, MD 20815
CSE Mortgage LLC
CEO of CSE/REStockholders/partners Who Are Officers
,
Pickett Taylor
COO of CSE/REStockholders/partners Who Are Officers
,
Booth Daniel J.
Senior VP of CSE/REStockholders/partners Who Are Officers
,
Crabill, Jr R. Lee
100% Owner of CSE Ponca City LLCStockholders/partners -- Not Officers
200 International Circle 3500 Hunt Valley, MD 21030
Omega Healthcare Investors, Inc.
33% N&R Ponca City & Health Systems of Oklahoma eff 01/01/2017
Stockholders/partners -- Not Officers
329 Townepark Circle Louisville, KY 40243
Vinson, Jr John
33% N&R of Ponca City & Health Systems of Oklahoma eff 01-1-2017
Stockholders/partners -- Not Officers
329 Towepark Circle Louisville, KY 40243
Trumbo Jay H.
NH4208 405-282-8166405 North 20th Street Guthrie, OK 73044
Providence House
Page 198 of 273
Owner NameFacilities Owned
100% of Op Entity and Real Estate EntityStockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Diakonos Group, LLC
99% Diakonos Group, LLCStockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Pilgrim Scott
EFF 09-01-2015Operating Entity
P.O. Box 990 Edmond, OK 73083
Guthrie Cottages, LLC
EFF 09-01-2015Lessor Or Real Estate Owner
P.O Box 990 Edmond, OK 73083
Guthrie Holding, LLC
1% of Diakonos Group, LLCStockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
Servant Living Center Holding Company
NH4402 405-527-7798801 North 6th Street Purcell, OK 73080
Purcell Care Center
100% Purcell Care Care & RE eff 09/16/2015
Stockholders/partners -- Not Officers
131 North Broadway Ada, OK 74820
Reed Bart
UPL Mgr. eff. 6/30/2017end 7/16/2019/OP EFF 7/16/2019
Operating Entity
131 N Broadway Ada, OK 74820
Purcell Care Center, LLC
100% of RELessor Or Real Estate Owner
131 North Broadway Ada, OK 74820
Purcell Real Estate, LLC
NH2105 918-422-5138564 State Line Road Colcord, OK 74338
Quail Ridge Living Center, Inc.
29.2%Stockholders/partners -- Not Officers
606 E. Boone Tahlequah, OK 74464
Burris Lynn
21.6%Stockholders/partners Who Are Officers
1500 East Downing 110 Tahlequah, OK 74464
Pointer Ed
21.6%Stockholders/partners Who Are Officers
Rt. 7, Box 67 Tahlequah, OK 74464
Pointer Patrick
Operating Entity
P.O. Box 1005 Siloam Springs, AR 72761
Quail Ridge Living Center, Inc.
6.9%Stockholders/partners Who Are Officers
P.O. Box 9 Gentry, AR 72734
Weaver, M.D. Robert
6.9%Stockholders/partners Who Are Officers
8520 S. 36th Terrace Fort Smith, AR 72908
Stein James
Page 199 of 273
Owner NameFacilities Owned
6.9%Stockholders/partners -- Not Officers
8520 S. 36th Terrace Fort Smith, AR 72908
Stein Paul
6.9%Stockholders/partners -- Not Officers
PO Box 1005 Siloam Springs, AR 74955
Zambrano Tamara & Rene
NH6106 918-469-26001209 West Main Quinton, OK 74561
Quinton Manor Nursing Home
50% IPC Healthcare, LLC & Tidwell Fam HealthCare eff 01/01/2016
Stockholders/partners Who Are Officers
900 Ranchwood Dr Wilburton, OK 74578
Tidwell Melissa
50% IPC Healthcare, LLC & Tidwell Fam HealthCare eff 01/01/2016
Stockholders/partners Who Are Officers
225 W Main St Wilburton, OK 74578
Tidwell Darren
Eff 10/01/2016Lessor Or Real Estate Owner
225 W Main St Wilburton, OK 74578
IPC HealthCare, LLC
Eff 01/01/2016Operating Entity
225 W Main St Wilburton, OK 74578
Tidwell Family HealthCare, LLC
NH5401 405-786-2244300 West 9th Street Weleetka, OK 74880
Rainbow Terrace Care Center
Operating Entity
300 W. 9th Weleetka, OK 74880
Williamson Care Centers, Inc.
President 50% EFF 11-17-2014Stockholders/partners Who Are Officers
P.O. Box 703 Weleetka, OK 74880
Williamson Jerry R.
Vice-President 50% EFF 11-17-2014Stockholders/partners Who Are Officers
P.O. Box 246 Weleetka, OK 74880
Williamson Donald L.
NH1905 918-224-25781310 East Cleveland Sapulpa, OK 74066
Ranch Terrace Nursing Home
33.33% Hillside Prop Hold & Three Oaks eff 02/23/2016
Stockholders/partners -- Not Officers
P.O. Box 749 Warner, OK 74469
Rogers Justin Todd
33.33% Hillside Prop Hold and Three Oaks eff 02/23/2016
Stockholders/partners -- Not Officers
P. O. box 749 Warner, OK 74469
Three Oaks LLC Rogers Jack
33.33% Hillside Prop Hold and Three Oaks eff 02/23/2016
Stockholders/partners -- Not Officers
P.O. Box 749 Warner, OK 74469
Three Oaks Rogers John Eric
Page 200 of 273
Owner NameFacilities Owned
33.33 02/02/2016Stockholders/partners Who Are Officers
P.O. Box 749 Warner, OK 74469
Three Oaks LLC Rogers Todd
OP eff 02/23/2016Operating Entity
P.O. Box 749 Warner, OK 74469
Three Oaks, LLC Three Oaks, LLC
100% RE eff 02/23/2016Lessor Or Real Estate Owner
312 Cary Place Muskogee, OK 74403
Hillside Property Holdings, LLC Hillside Property Holdings, LLC
NH0908 405-354-2022824 S. Yukon Parkway Yukon, OK 73099
Ranchwood Nursing Center
Trustee of the Denver McCormick Revocable Trust
Trustee
9813 S. Penn OKC, OK 73159
McCormick Denver
Trustee Linda McCormick Revocable Trust & Beneficary Denver McCo
Trustee
9813 S. Penn OKC, OK 73159
McCormick Linda
Trustee Arlena Dunbar Revocable TrustTrustee
5413 NW 107th Street Oklahoma City, OK 73162
Dunbar Arlena
Eff 6/30/2017Lessor Or Real Estate Owner
9813 S. Penn Oklahoma City, OK 73159
Southwest Elderly Care Center, LLC
33.4% Member REStockholders/partners Who Are Officers
9813 S. Penn Oklahoma City, OK 73159
Denver McCormick Revocable Trust
33.3%Member REStockholders/partners Who Are Officers
9813 S. Penn Oklahoma City, OK 73159
Linda McCormick Revocable Trust
33.3% REStockholders/partners -- Not Officers
5413 N.W. 107th Okla. City, OK 73162
Arlena Dunbar Revocable Trust
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Trustee
4108 Opus Ct. Flower Mound, TX 75022
Pennington Amy
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Beneficiary
2433 Glenoak Dr. Norman, OK 73071
Petrone Alison
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Beneficiary
8594 D East 133 Holdenville, OK 74850
Jones Joshua
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Beneficiary
8594 D East 133 Holdenville, OK 74850
Jones Tanner
Beneficiary of Arlena Dunbar Revocable Trust
Trustee
5413 NW 107th Okla. City, OK 73159
Dunbar William
Beneficiary of Arlena Dunbar Revocable Trust
Trustee
12204 N. Kimberlyn Rd. Okla. City, OK 73162
Dunbar Teresa
Page 201 of 273
Owner NameFacilities Owned
Subcontracted management Eff 6/30/2017
Contracted Management
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Stonegate Senior Living, LLC
Beneficiary of Arlena Dunbar Revocable Trust
Trustee
3913 Spyglass Road Okla. City, OK 73167
Nard Charlotte
eff 11/1/2020Operating Entity
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
PF South Yukon SNF Ops, LLC
100% PFC South Yukon SNF Ops, LLC eff 11/1/2020
Stockholders/partners -- Not Officers
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
Sanctuary LTC, LLC
President & CEO, Preservation Freehold Company, eff 11/1/2020
Officers Who Do Not Hold Stock
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
Chance James M.
Sec & Treasurer, Preservation Freehold Company, eff 11/1/2020
Officers Who Do Not Hold Stock
1500 Waters Ridge Dr. Lewsiville, TX 75057
Langdon Thomas E.
Board member, Preservation Freehold Company, eff 11/1/2020
Officers Who Do Not Hold Stock
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
Arnette Dana E.
Board member, Preservation Freehold Company, eff 11/1/2020
Officers Who Do Not Hold Stock
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
McGehee William Darrel
100% Sanctuary LTC, LLC eff 11/1/2020Stockholders/partners -- Not Officers
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
Preservation Freehold Company
NH3211 405/452-3271623 South Alabama Wetumka, OK 74883
Redwood Place Living Center, LLC
President /Beneficiary of Family TrustTrustee
P.O. Box 488 Weleetka, OK 74880
Adkins Gerrol Dean
Secretary/Beneficiary of Family TrustTrustee
P.O. Box 488 Weleetka, OK 74880
Adkins Arbret June
Lessor Or Real Estate Owner
P.O. Box 488 Wetumka, OK 74880
Pioneer Nursing Home Of Hughes County, Inc.
Beneficiary eff.12/31/12319 West 9th St. Weleetka, OK 74880
Majors Cynthia
Beneficiary eff.12/31/12319 West 9th St Weleetka, OK 74880
Simmons Donna Renee
Beneficiary eff.12/31/12Rt. 1, Box 121A Weleetka, OK 74880
Adkins, II Gerrol D.
52% RE and manag. member of Business Trust
Stockholders/partners -- Not Officers
P.O. Box 488 Weleetka, OK 74880
Gerrol Dean Adkins & Arbret June Adkins Family Trust (GDA/AJA)
Page 202 of 273
Owner NameFacilities Owned
eff. 1-1-07Operating Entity
623 South Alabama Wetumka, OK 74883
Redwood Place Living Center, LLC
100% OP manag. memberManaging Member
P.O. Box 488 Weleetka, OK 74880
Redwood Place Revocable Business Trust
16% RE eff 12/31/12Rt 1 Box 121A Weleetka, OK 74880
Gerrol Dean Adkins II Irrevocable Trust dated 12/28/12
16% RE eff 12/31/12Rt 1 Box 121A Weleekta, OK 74880
Cynthia Denise Majors Irrevocable Trust dated 12/28/12
16% RE eff 12/31/12Rt 1 Box 121A Weleetka, OK 74880
Donna Renee Simmons Irrevocable Trust dated 12/28/12
Trustee eff 12/31/12Trustee
523 W. Main Henryetta, OK 74437
Palmer, C.P.A. Reginald
NH5537 405-677-05022901 Southeast 22nd Street Oklahoma City, OK 73129
Reliant Living Center
Operating Entity
3317 S.E. 18th Street Del City, OK 73115
Reliant Living Centers of Oklahoma, Inc.
Board MemberOfficers Who Do Not Hold Stock
821 SW 38th Oklahoma City, OK 73109
Black Art
SecretaryOfficers Who Do Not Hold Stock
4932 North Portland Avenue Oklahoma City, OK 73113
Love Willa
PresidentOfficers Who Do Not Hold Stock
8800 S. Drexel Apt 809 Oklahoma City, OK 73159
Stokes Steve
VPOfficers Who Do Not Hold Stock
9804 Casa Linda Oklahoma City, OK 73139
Moon Tim
Exec DirectorOfficers Who Do Not Hold Stock
2901 S.E. 22nd Oklahoma City, OK 73129
Jernigan Janelle F.
SecretaryOfficers Who Do Not Hold Stock
325 W. Pinesway Mustang, OK 73064
Ellis Scott
NH5547 405-677-24213317 Southeast 18th Street Del City, OK 73115
Reliant Living Center of Del City
Operating Entity
3317 S.E. 18th Street Del City, OK 73115
Reliant Living Centers of Oklahoma, Inc.
Board MemberOfficers Who Do Not Hold Stock
8305 N.W. 35th Bethany, OK 73008
Mcniff Harold
Page 203 of 273
Owner NameFacilities Owned
Board MemberOfficers Who Do Not Hold Stock
821 SW 38th Oklahoma City, OK 73109
Black Art
SecretaryOfficers Who Do Not Hold Stock
4932 North Portland Avenue Oklahoma City, OK 73113
Love Willa
PresidentOfficers Who Do Not Hold Stock
8800 S. Drexel Apt 809 Oklahoma City, OK 73159
Stokes Steve
VPOfficers Who Do Not Hold Stock
9804 Casa Linda Oklahoma City, OK 73139
Moon Tim
MemberOfficers Who Do Not Hold Stock
P.O. Box 567 Wheatland, OK 73097
King Zil
Exec DirOfficers Who Do Not Hold Stock
2901 S.E. 22nd Oklahoma City, OK 73129
Jernigan Janelle F.
TreasurerOfficers Who Do Not Hold Stock
3201 NW 20th Okla. City, OK 73107
Lewis George B.
Secretary EFF 06/25/2012Officers Who Do Not Hold Stock
325 W. Pinesway Mustang, OK 73064
Ellis Scott
NH5412 918-650-9393110 Hillcrest Way Okemah, OK 74859
Ridgeview Place
amended corp. name (fkaProdetik, Inc.) eff 02-05-08
Operating Entity
1201 W. Trudgeon Henryetta, OK 74437
The Reach Corporation
Non-Profit Board President of The Reach Corporation 1-28-2020
Officers Who Do Not Hold Stock
PO Box 790 UnionTown, KY 42461
Bailey M. Geoffry
eff. 8-15-07Lessor Or Real Estate Owner
P.O. Box 409 Sturgis, KY 42459
Maricopa Properties, LLC
100% of REStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Maricopa Partners, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Rock River, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
MMB, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Lovenest, LLC
30.959% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gary
16.025% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Lisa
Page 204 of 273
Owner NameFacilities Owned
16.025% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Lisa
32.88% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Tim
17.455% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Vicki
29.421% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Robert
13.957% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Laura
53.016% of Rock River, LLC - 4 children w/13.254% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
4 Irrevocable Trusts
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O.Box 409 Sturgis, KY 42459
Ervin Mallory
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Jade
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Luke
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gabe
49.665% of MMB, LLC - 5 children w/9.933% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
3 Irrevocable Trusts
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Max
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box Sturgis, KY 42459
Linenger Jessica
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mitch
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Linenger Jennifer
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Brock
56.623% of Lovenest, LLC - 7 children w/8.089% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
7 Irrevocable Trusts
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Thea
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugris, KY 42459
Ervin Issac
Page 205 of 273
Owner NameFacilities Owned
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugis, KY 42459
Ervin Samuel
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Elijah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Saul
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Micah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mathias
Non-Profit Board VP of The Reach Corporation 01-28-20
Officers Who Do Not Hold Stock
1924 Lorraine Ave Allen, TX 75002
Garrett Marvin
Non-Profit Board Secretary/Treasurer The Reach Corporation 2020
Officers Who Do Not Hold Stock
452 Goose Pond Road Morganfield, KY 42437
Humphrey Brian
NH0903 405-262-28331901 Parkview Drive El Reno, OK 73036
River Oaks Skilled Nursing and Therapy
78% OP & Amity Care, LLC eff. 10-21-03
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
22% OP & Amity Care, LLC eff.10-21-03 ben/trustee Don Greiner Tr
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
Operating Entity
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
El Reno Nursing Center, L.L.C.
NH2001 580-323-11102400 West Modelle Clinton, OK 73601
River Valley Skilled Nursing and Therapy
Manager - OP/RE/Mgt. Co., eff 07/01/19Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Eff, 7/1/19Operating Entity
P.O. Box 270120 Oklahoma City, OK 73137
Clinton Nursing Center, L.L.C.
Lessor Or Real Estate Owner
2200 NW 50th 126 Oklahoma City, OK 73112
Herclin, L. L. C.
Manager - OP/RE/Mgt. CO., eff 07/01/19Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Dimond Mike
Page 206 of 273
Owner NameFacilities Owned
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
78% OP & Amity Care, LLC eff. 10-21-03
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
22% OP & Amity Care, LLC eff.10-21-03
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
58% RE, eff 07/01/19Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Clarity Properties, LLC
42% RE, eff 07/01/19Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Renew Properties, L.L.C.
NH4003 918-875-31071008 Arkansas Street Arkoma, OK 74901
Riverside Health Services
33 1/3% Member OP/REStockholders/partners -- Not Officers
P.O. Box 749 Warner, OK 74469
Rogers Justin Todd
33 1/3% Member OP/REStockholders/partners -- Not Officers
P. O. box 749 Warner, OK 74469
Three Oaks LLC Rogers Jack
33 1/3% Sole Manager OP/REStockholders/partners Who Are Officers
P.O. Box 749 Warner, OK 74469
Three Oaks Rogers John Eric
EFF 8/15/2016Operating Entity
1009 Arkansas Street Arkoma, OK 74901
Riverside Health Services, LLC
EFF 8/15/2016Lessor Or Real Estate Owner
212 Cary Place Musckogee, OK 74403
Riverside Property Holdings, LLC
NH2414 580-548-26992501 Northeast Delaware Enid, OK 73701
Robert M Greer Center
Operating Entity
P.O. Box 25352 Oklahoma City, OK 73075
Oklahoma Department Of Human Services
MGRContracted Management
3073 Horseshoe Dr. South Naples, FL 34104
Liberty Healthcare of Oklahoma, Inc.
Parent Mgmt Corp of Liberty of Oklahoma Corporation
Contracted Management
2501 N.E. Delaware Enid, OK 73701-9410
Liberty Healthcare Corporation
100% & President of Liberty of Oklahoma Corp
Stockholders/partners Who Are Officers
401 East City Ave. 820 Bala Cynwyd, PA 19004
Caskey, M.D. Herbert T.
Page 207 of 273
Owner NameFacilities Owned
OKDH Director eff 2020Officer
P.O. Box 25352 Oklahoma City, OK 73125
Brown Justin
NH6604 918-266-5500801 North 193 East Avenue Catoosa, OK 74015
Rolling Hills Care Center
OP/RE 100% PresidentStockholders/partners Who Are Officers
PO Box 768 Sallisaw, OK 74955
Sullivan, Jr. Frank
Eff - 12/10/2010Contracted Management
PO BOX 768 Sallisaw, OK 74955
Comprehensive Management Services Inc.
Eff 12/10/2010Lessor Or Real Estate Owner
P.O. Box 768 Sallisaw, OK 74955
Requip of Catoosa, LLC
Eff 12/10/2010Operating Entity
P.O. Box 768 Sallisaw, OK 74955
ConHold of Catoosa, LLC
NH1501 580-927-23777 North Covington Coalgate, OK 74538-0326
Ruth Wilson Hurley Manor
Treasurer OPOfficers Who Do Not Hold Stock
114 S. Arno Coalgate, OK 74538
Owen Tom
Chairman REOfficers Who Do Not Hold Stock
Rt. 4, Box 510 Coalgate, OK 74538
Servais Jean Neal
Member REOfficers Who Do Not Hold Stock
Rt. 1 Box 1535 Coalgate, OK 74538
Thomas Bobby Zane
Lessor Or Real Estate Owner
7 N. Covington Coalgate, OK 74538
Coal County General Hospital Holding Company
ViceChairman REOfficers Who Do Not Hold Stock
Queen Avenue Coalgate, OK 74538
Sandmann Louis
Secretary OPOfficers Who Do Not Hold Stock
105 W. Ivy Coalgate, OK 74538
Watkins Gerry
Member RE/OPStockholders/partners -- Not Officers
PO Box 253 Coalgate, OK 74538
Mixon Phyllis
Member RE/OPStockholders/partners -- Not Officers
Route 1, Box 1310 Coalgate, OK 74538
Chaney Rick
eff 7/29/2006Operating Entity
P.O.Box 326 Coalgate, OK 74538
Coal County Extended Care, Incorporated
Page 208 of 273
Owner NameFacilities Owned
NH0912 405- 263-4658644 West Texas Okarche, OK 73762
Saint Andre Bessette
Eff 08/10/16Operating Entity
P.O.Box 245 Okarche, OK 73762
Center Of Family Love
Secretary, eff 07/01/2019Secretary/Treasurer
12111 NE 164th Street Jones, OK 73049
Pierce John
Executive Director, eff 08/10/16Officers Who Do Not Hold Stock
635 W Texas Okarche, OK 73762
Espinosa Debbie
Treasurer, eff 08/10/16Officers Who Do Not Hold Stock
P.O. Box 21000 Oklahoma City, OK 73156
Krittenbrink Jerry
Treasurer eff 07/01/2019Secretary/Treasurer
7607 Doreset Drive Oklahoma City, OK 73116
Byrne Ron
NH0910 405-263-4658645 West Texas Okarche, OK 73762
Salatka Hall
100%Operating Entity
P.O.Box 245 Okarche, OK 73762
Center Of Family Love
Secretary of OPOfficers Who Do Not Hold Stock
12111 NE 164th Street Jones, OK 73049
Pierce John
Vice President EFF 07/1/19Officers Who Do Not Hold Stock
P.O. Box 21000 Oklahoma City, ok 73156
Krittenbrink Jerry
Executive DirectorOfficers Who Do Not Hold Stock
635 W Texas Okarche, OK 73762
Espinosa Debbie
President EFF 7/1/2019Officers Who Do Not Hold Stock
635 W Texas Ave Okarche, OK 73762
Avant Margie
Treasurer EFF 07/1/2019Officers Who Do Not Hold Stock
7607 Doreset Drive Oklahoma City, OK 73116
Byrne Ron
NH7217 918-245-59081025 North Adams Sand Springs, OK 74063
Sand Springs Nursing and Rehabilitation
Lessor Or Real Estate Owner
980 N. Michigan 1080 Chicago, IL 60611
H. A. Sand Springs, LLC
Stockholders/partners -- Not Officers Sullivan, Jr. Frank
Page 209 of 273
Owner NameFacilities Owned
55% of Tenant One, LLC, Trustee of SSSTrust
PO Box 768 Sallisaw, OK 74955
Management Co.Contracted Management
24641 US Highway 19 N Clearwater, FL 33763
Traditions Senior Management, Inc.
100% of the RE eff 08/29/2013Lessor Or Real Estate Owner
1025 North Adams Sand Springs, OK 74063
Requip of Sand Springs
OP eff 08/29/2013Operating Entity
1025 North Adams Sand Springs, OK 74063
ConHold of Sand Springs, LLC
45% of Tenant One, LLCStockholders/partners -- Not Officers
111 East Chickasaw Sallisaw, OK 74955
Sullivan Sand Springs Trust
NH1415 405-793-16431000 B S. Santa Fe Moore, OK 73160
Santa Fe Cheyenne House
Lessor Or Real Estate Owner
6619 S. Western Oklahoma City, OK 73139
Forrest White Great-West, L.L.C.
90%Managing Member
6619 S. Western Okla. City, OK 73139
White Wm. Forrest
5%Stockholders/partners -- Not Officers
6619 S. Western Okla. City, OK 73139
Talley Janice
5%Stockholders/partners -- Not Officers
PO Box 281 Vinita, OK 74301
Jones De Nellda
Operating Entity
6619 South Western Oklahoma City, OK 73139
Santa Fe Place, L.L.C.
NH1416 405-912-53771000 A South Santa Fe Moore, OK 73160
Santa Fe Sierra House
Lessor Or Real Estate Owner
6619 S. Western Oklahoma City, OK 73139
Forrest White Great-West, L.L.C.
90%Managing Member
6619 S. Western Okla. City, OK 73139
White Wm. Forrest
5%Stockholders/partners -- Not Officers
6619 S. Western Okla. City, OK 73139
Talley Janice
5%Stockholders/partners -- Not Officers
PO Box 281 Vinita, OK 74301
Jones De Nellda
Op Ent eff 5/23/2007Operating Entity
6619 South Western Oklahoma City, OK 73139
Santa Fe Place, L.L.C.
Page 210 of 273
Owner NameFacilities Owned
NH1419 405-634-88881000 S Santa Fe Moore, Ok 73160
Santa Fe Tucson House
100% Real Estate Eff 02-08-2018Lessor Or Real Estate Owner
6619 S. Western Oklahoma City, OK 73139
Forrest White Great-West, L.L.C.
85% Santa Fe Place, LLC eff 02-08-2018Stockholders/partners Who Are Officers
6619 S. Western Okla. City, OK 73139
White Wm. Forrest
5% Santa Fe Place, LLC eff 02-08-2018Stockholders/partners -- Not Officers
6619 S. Western Okla. City, OK 73139
Talley Janice
0% Member of Santa Fe Place, LLC eff 02-08-2018
Officers Who Do Not Hold Stock
PO Box 281 Vinita, OK 74301
Jones De Nellda
Operating Entity & 100% Great West, LLC eff 02-08-2018
Operating Entity
6619 South Western Oklahoma City, OK 73139
Santa Fe Place, L.L.C.
5% Santa Fe Place, LLC eff 02-08-2018Stockholders/partners -- Not Officers
6619 South Western Oklahoma City, OK 73139
White Josh
5% of Santa Fe Place, LLC eff 02-08-2018
Stockholders/partners -- Not Officers
6619 South Western Oklahoma City, OK 73139
White Mark
NH2201 580-922-4433914 NE Highway 60 Seiling, OK 73663
Seiling Nursing Center
Seling Vice Mayor-Board Member Seiling Nursing Facility Authorty
Officer
PO Box 702 Seiling, OK 73663
Nichols Michael
Seiling Mayor - Board Member Seiling Nursing Fac Authority
Officer
PO Box 875 Seiling, OK 73663
Louthan Micky
Board Member/Trustee Seiling Nursing Facility Authorty
Officer
Rt 1 Box 20D Seiling, OK 73663
Adair Wanda
Trustee/Board Member Seiling Nursing Fac Authority
Officer
HC60 Box 168 Fairview, OK 73737
Case Rodger
Trustee/Board Member Seiling Nursing Fac Authority
Officer
P.O. Box 292 Seiling, OK 73663
McCurley Brandon
Vice-Pres Seiling Nursing Facility Authority
Officer
P.O. Box 274 Seiling, OK 73663
Cooley Karen
Vice-Mayor eff 4/19/11 end 12/15/16 Board Member Seiling NF Auth
Officer
Rt 1 Box 826 Mutual, OK 73853
Bensch Starley
Page 211 of 273
Owner NameFacilities Owned
Trustee/Board Member Seiling Nursing Fac Authority
Officer
Seiling, OK 73663
Biggs Amy
Board Member Seiling Nursing Facility Authority
Officer
PO Box 214 Seiling, OK 73663
Daugherty Pat
Board Member Seiling Nursing Fac Authority
Officer
310 North Main Street Seiling, OK 73663
Goodman Gayla
OP eff 02/14/2017Operating Entity
315 North Main Street Seiling, OK 73663
Seiling Nursing Facility Authority
NH6706 405-382-11271200 Wrangler Blvd Seminole, OK 74868
Seminole Care and Rehabilitation Center
100% of Sabra Health Care Holdings IIIStockholders/partners -- Not Officers
18831 Von Karman Ave 400 Irvine, CA 92612
Sabra Health Care Limited Partnership
1% Limited Partner of Sabra Health Care LP
Stockholders/partners -- Not Officers
18831 Von Karman Ave 400 Irvine, CA 92612
Sabra Health Care, LLC
99% GP of Sabra Health Care Limited Partnership
Stockholders/partners -- Not Officers
18831 Von Karman Ave. 400 Irvine, CA 92612
Sabra Health Care REIT, Inc.
Contracted Management eff 09-09-2016Contracted Management
477 North Lindbergh Blvd 310 St. Louis, MO 63141
Midwest Geriatric Management, LLC
7% (Manager) of Seminole Health Care eff 11-09-2016
Stockholders/partners -- Not 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
eff12-19-2011Lessor Or Real Estate Owner
18831 Von Karman Ave 400 Irvine, CA 92612
Sabra Health Care Holdings III, LLC
10% Seminole Health Care eff 11-09-2016
Stockholders/partners -- Not Officers
1111 Marcus Ave 107 Lake Success, NY 11042
Fensterman Howard
37% of Seminole Health Care eff 11-09-2016
Stockholders/partners -- Not Officers
1111 Marcus Ave. 107 Lake Success, NY 11042
Landa Benjamin
EFF 03/15/2013Operating Entity
477 North Lindergh Blvd 310 St. Louis, MO 63141
Seminole Health Care, LLC
13% of Seminole Health Care eff 11-09-2016
Stockholders/partners -- Not Officers
59 Causeway Lawrence, NY 11559
Taub Miriam
33% of Seminole Health Care, LLC eff 11-09-2016
Stockholders/partners -- Not Officers
8 Primrose Drive Lakewood, NJ 08701
Oklahoma Acquisitions, LLC
Page 212 of 273
Owner NameFacilities Owned
84.85% of Oklahoma Acquisitions eff 11-2016
Stockholders/partners -- Not Officers
8 Primrose Drive Lakewood, NJ 08701
10-26 Nationwide Trust
15.15% of Oklahoma Acquisitions eff 11-2016 no members have 5%
Stockholders/partners -- Not Officers
445 Central Ave 304 Cedarhurst, NY 11516
MACB Resources, LLC
NH6704 405-382-12701705 Boren Blvd Seminole, OK 74868
Seminole Pioneer Nursing Home
100% Pres/OP & 100% RE Seminole Property Holding, LLC eff 6-1-12
Stockholders/partners Who Are Officers
P.O. Box 582 Sulphur, OK 73086
Jewell Samuel
eff 1-31-03Operating Entity
1705 Boren Boulevard Seminole, OK 74868
Seminole Nursing Home, Inc.
100% Real Estate eff 06/01/2012Lessor Or Real Estate Owner
110 West Muskogee Ave Sulphur, OK 73086
Seminole Property Holdings, LLC
NH5406 918/650-9393202 East 5th Street Weleetka, OK 74880
Seminole Place
amended corp. name (fkaProdetik, Inc.) eff 02-05-08
Operating Entity
1201 W. Trudgeon Henryetta, OK 74437
The Reach Corporation
Non-Profit Board President of The Reach Corporation 2019
Officers Who Do Not Hold Stock
PO Box 790 UnionTown, KY 42461
Bailey M. Geoffry
eff. 8-15-07Lessor Or Real Estate Owner
P.O. Box 409 Sturgis, KY 42459
Maricopa Properties, LLC
100% of REStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Maricopa Partners, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Rock River, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
MMB, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Lovenest, LLC
30.959% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gary
16.025% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Lisa
Page 213 of 273
Owner NameFacilities Owned
32.88% of MMB, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Tim
17.455% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Vicki
29.421% of Lovenest, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Robert
13.957% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Laura
53.016% of Rock River, LLC - 4 children w/13.254% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
4 Irrevocable Trusts
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O.Box 409 Sturgis, KY 42459
Ervin Mallory
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Jade
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Luke
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gabe
49.665% of MMB, LLC - 5 children w/9.933% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
3 Irrevocable Trusts
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Max
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box Sturgis, KY 42459
Linenger Jessica
20% of 3 Irrevocable TrustsStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mitch
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Linenger Jennifer
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Brock
56.623% of Lovenest, LLC - 7 children w/8.089% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
7 Irrevocable Trusts
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Thea
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugris, KY 42459
Ervin Issac
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugis, KY 42459
Ervin Samuel
Page 214 of 273
Owner NameFacilities Owned
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Elijah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Saul
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Micah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mathias
Non-Profit Board Vice President of The Reach Corporation 2020
Officers Who Do Not Hold Stock
1924 Lorraine Ave Allen, TX 75002
Garrett Marvin
Non-Profit Board Secretary/Treasurer The Reach Corporation 2020
Officers Who Do Not Hold Stock
452 Goose Pond Road Morganfield, KY 42437
Humphrey Brian
NH7214 918-250-54053501 West Washington Street Broken Arrow, OK 74012
Senior Suites Healthcare
100% Cox Building Company, Inc. & President eff 03/17/11
Stockholders/partners Who Are Officers
6271 East 120th Court 100 Tulsa, OK 74137
Cox Steve
Operating EntiyOperating Entity
6271 East 120th Court 100 Tulsa, OK 74137
Cox Building Company, Inc.
NH4403 405-485-33151104 North Madison Blanchard, OK 73010
Senior Village Healthcare
Contracted Management Company eff 03-01-2018
Contracted Management
4415 Highline Blvd., P.O. Box 23017 Oklahoma City, OK 73123
Amity Care Corporation
Manager Senior Village OP Senior Village RE & Amity Care 3-1-18
Manager
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Manager Senior Village OP Senior Village RE & Amity Care 3-1-18
Managing Member
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Dimond Mike
99% Senior Village OP & 78% Amity Care, LLC eff 03-1-20185
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
22% Amity Care, LLC eff 03-01-2018Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
58% Senior Village Real Estate, LLCStockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Clarity Properties, LLC
Page 215 of 273
Owner NameFacilities Owned
58% Renew Properties, LLC eff 03-18-2018
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Stalwart Trust
100% Clarity Properties & 48% Renew Properties eff 03-01-2018
Stockholders/partners -- Not Officers
4530 Will Rogers Parkway 300 OKC, OK 73108
Don Greiner Family Trust, Don Greiner Trustee
42% Senior Village Real Estate, LLCStockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Renew Properties, L.L.C.
100% OP eff 03-01-2018Operating Entity
4350 Will Rogers PKWY 300 Oklahoma City, OK 73108
Senior Village Operations, LLC
100% RE eff 03-01-2018Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, ok 73108
Senior Village Real Estate, LLC
NH6802 918-427-7401701 S. Taylor Road Roland, OK 74954
Sequoyah East Nursing Center, LLC
12.5% PresStockholders/partners Who Are Officers
PO Box 568 Sallisaw, OK 74955
Estate of Bob G Mitchell - deceased, Marcinda Mitchell, Personal
9.096%Stockholders/partners Who Are Officers
1500 East Downing 110 Tahlequah, OK 74464
Pointer Ed
Lessor Or Real Estate Owner
P.O. Box 427 Sallisaw, OK 74955
Sequoyah House, Inc.
100% of OPStockholders/partners -- Not Officers
P.O. Box 427 Sallisaw, OK 74955
Sequoyah House, Inc.
8.4%Stockholders/partners Who Are Officers
104 S. Oak Sallisaw, OK 74955
Corley Bert N. M. III
6.08% Sequoyah House incStockholders/partners Who Are Officers
1603 Fryar Dr. Sallisaw, OK 74955
Fred B. Oliver Family Trust, Virginia Kaye Ronk, Trustee
18.920% Sequoyah House incStockholders/partners -- Not Officers
P. O. Box 338 Sallisaw, OK 74955
Oliver Family Trust Fred B.
12.5Stockholders/partners -- Not Officers
412 South Dogwood Sallisaw, OK 74955
Mitchell Delores O.
Corp. Sec.Officers Who Do Not Hold Stock
Rt. 1, Box 165 Sallisaw, OK 74955
Qualls Wava Sue
eff 4-1-02Operating Entity
Rt. 1 Taylor Road Roland, OK 74954
Sequoyah East Nursing Center, L.L.C.
8.33%Stockholders/partners -- Not Officers
894 Morrow Drive/ PO Box 417 Langley, OK 74350
Dr. William R. VanDeLinder Trust (DWVT)
8.334% Sequoyah House incStockholders/partners -- Not Officers
PO Box 370 Adair, OK 74330
VanDeLinder Dr. William R.
Page 216 of 273
Owner NameFacilities Owned
8.333% Sequoyah House incStockholders/partners -- Not Officers
1500 West Elm Stroud, OK 74079
Bivin Julie K.
8.333% Sequoyah HouseStockholders/partners -- Not Officers
3808 NW Marquess Drive Bentonville, AR 72712
Yowell Lynn M.
NH6803 918-775-4881615 East Redwood Sallisaw, OK 74955
Sequoyah Manor, LLC
12.5% PresStockholders/partners Who Are Officers
PO Box 568 Sallisaw, OK 74955
Estate of Bob G Mitchell - deceased, Marcinda Mitchell, Personal
9.096%Stockholders/partners Who Are Officers
1500 East Downing 110 Tahlequah, OK 74464
Pointer Ed
100% of LLCLessor Or Real Estate Owner
P.O. Box 427 Sallisaw, OK 74955
Sequoyah House, Inc.
100% of OPStockholders/partners -- Not Officers
P.O. Box 427 Sallisaw, OK 74955
Sequoyah House, Inc.
8.4%Stockholders/partners Who Are Officers
104 S. Oak Sallisaw, OK 74955
Corley Bert N. M. III
18.92% DirectorStockholders/partners Who Are Officers
1603 Fryar Dr. Sallisaw, OK 74955
Fred B. Oliver Family Trust, Virginia Kaye Ronk, Trustee
12.5Stockholders/partners -- Not Officers
412 South Dogwood Sallisaw, OK 74955
Mitchell Delores O.
Corp. Sec.Officers Who Do Not Hold Stock
Rt. 1, Box 165 Sallisaw, OK 74955
Qualls Wava Sue
eff 4-3-02Operating Entity
615 East Redwood Sallisaw, OK 74955
Sequoyah Manor, L.L.C.
8.33%Stockholders/partners -- Not Officers
894 Morrow Drive/ PO Box 417 Langley, OK 74350
Dr. William R. VanDeLinder Trust (DWVT)
NH7242 918-272-51518515 North 123rd East Avenue Owasso, OK 74055
Sequoyah Pointe Living Center
100% OP, RE MgrStockholders/partners Who Are Officers
PO Box 768 Sallisaw, OK 74955
Sullivan, Jr. Frank
Eff. 12/10/2010Lessor Or Real Estate Owner
P.O.Box 768 Sallisaw, OK 74955
Requip of Owasso, LLC
Eff. 12/10/2010Operating Entity
PO Box 768 Sallisaw, OK 74955
ConHold of Owasso, LLC
Page 217 of 273
Owner NameFacilities Owned
Eff. 12/10/2010Contracted Management
PO BOX 768 Sallisaw, OK 74955
Comprehensive Management Services Inc.
NH1103 918-456-2573614 Cherry Street Tahlequah, OK 74464
Sequoyah Pointe Skilled Nursing and Therapy
President/Manag.Member of OP/RE/Manager
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
78% OP & Amity Care, LLC eff. 10-21-03
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
22% OP & Amity Care, LLC eff.10-21-03
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
SecretaryOfficers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Okc, OK 73108
Diamond Mike
Lessor Or Real Estate Owner
2200 N.W. 50th 126 OKC, OK 73112
Reeastshawnee, LLC
Operating Entity
4350 Will Rogers Parkway 300 OKC, OK 73108
East Shawnee Nursing Center, L.L.C.
Manager of East Shawnee Nursing Center, LLC
Officers Who Do Not Hold Stock
1908 12th Ave NW E Ardmore, OK 73401
Coble Brett
NH2702 580-395-2105616 South Front Street Medford, OK 73759
Servant Living Center - Medford
100% SLCHC - Medford & SLC-Medford eff12-03-16
Stockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Diakonos Group, LLC
Managing Member and 99% owner of Diakonos Group
Stockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Pilgrim Scott
OPOperating Entity
616 S. Front Medford, OK 73759
Servant Living Center-Medford, LLC
Eff 12-03-16Lessor Or Real Estate Owner
P.O. Box 990 Edmond, OK 73083
Servant Living Center Holding Company-Medford, LLC (SLCHC - Medf
1% Mbr of Diakonos Grp ,LLC, Eff 12-03-16
Stockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
Servant Holding Corporation
Page 218 of 273
Owner NameFacilities Owned
NH4907 918-825-4455210 South Adair Pryor, OK 74361
Shady Rest Care Center
25% BGM Estate, LLC Eff 9-16-2016Stockholders/partners -- Not Officers
P.O. Box 330 Muldrow, OK 74948
Tabor Angela
25% BGM Estate, LLC eff 9-16-2016Stockholders/partners -- Not Officers
111522 S. 4740 Road Muldrow, OK 74948
Mitchell Robert Michael
25% BGM Estate, LLC Eff 9-16-16Stockholders/partners -- Not Officers
412 S. Dogwood Sallisaw, OK 74955
Mitchell Marcinda
Operating Entity
201 N. Elm A Sallisaw, OK 74955
Shady Rest Care Center, L. L. C.
12.5% OP and 25% BGM Estate, LLC 9-16-2016
Stockholders/partners -- Not Officers
7240 Chase Oaks Blvd 121 Plano, TX 75025
Mitchell Kelly O.
Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Green Reba
Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Seay Tiffany Renee
Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Thurman Bronson Owen
25% OPStockholders/partners -- Not Officers
P.O. Box 1454 Sallisaw, OK 74955
Philip M. Green Revocable Trust
25 % OP Eff 02-20-2014Stockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Gilbert F. Green Trust
bene Gilbert F. Green Trust Trustee Philip M. Green Revocable Tr
Trustee
P.O. Box 1454 Sallisaw, OK 74955
Green Philip M.
Gilbert F. Green TrustTrustee
P.O. Box 1090 Sallisaw, OK 74955
Green Gilbert F.
Philip M. Green Revocable TrustBeneficiary
P.O. box 1090 Sallisaw, OK 74955
Stewart Lori Green
Philip M. Green Revocable TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Green Philip R.
Manager end 12/31/2015Officers Who Do Not Hold Stock
210 S. Adair Pryor, OK 74362
Carson Jonathan
37.50% OP eff 9-16-16Stockholders/partners -- Not Officers
P.O. Box 568 Sallisaw, OK 74955
BGM Estate, LLC
Manager of OP eff7/25/2016Officers Who Do Not Hold Stock
1320 NE. 1st Place Pryor, OK 74362
Cree Robert
Page 219 of 273
Owner NameFacilities Owned
NH2604 405-224-13972500 South 12th Street Chickasha, OK 73023-0969
Shanoan Springs Nursing and Rehabilitation Center
34% N&R Chickasha & Health Systems of Oklahoma eff 01/01/2017
Stockholders/partners Who Are Officers
329 Townepark Circle 100 Louisville, KY 40243
Vinson John
eff 08/24/2011Contracted Management
329 Townepark Circle 100 Louisville, KY 40243
Health Systems of Oklahoma, L.L.C.
eff 08/24/2011 RE mem 49%; OP/Mngr mem 4%;
Stockholders/partners Who Are Officers
329 Townepark Circle 100 Louisville, KY 40243
Vinson Cathy
eff 08/24/2011Lessor Or Real Estate Owner
329 Townepark Circle Louisville, KY 40243
Cambridge Investments, LLC
eff 08/24/2011Operating Entity
2500 S. 12th Street Chickasha, OK 73018
N&R of Chickasha, LLC
33% N&R Chickasha & Health Systems of Oklahoma eff 01/01/2017
Stockholders/partners -- Not Officers
329 Townepark Circle Louisville, KY 40243
Vinson, Jr John
33% N&R Chickasha & Health Systems of Oklahoma eff 01/1/2017
Stockholders/partners -- Not Officers
329 Towepark Circle Louisville, KY 40243
Trumbo Jay H.
NH7602 580-430-3383730 Share Drive Alva, OK 73717
Share Medical Center
Operating Entity
730 Share Drive Alva, OK 73717
Alva Hospital Authority
Member end 1/15/2016 eff. Feb 2019Officers Who Do Not Hold Stock
410 -4 Alva, OK 73717
Self Phil
Vice-ChairmanOfficers Who Do Not Hold Stock
722 Logan Alva, OK 73717
Sanderson Darlene
ChairmanOfficers Who Do Not Hold Stock
1030 Church Alva, OK 73717
Gaisford Jason
Secretary eff June 2013Officers Who Do Not Hold Stock
1029 Center Alva, OK 73717
Simon Halah
Eff. 2018Officers Who Do Not Hold Stock
1729 College ,
Randels Jay
Page 220 of 273
Owner NameFacilities Owned
NH2301 580-938-2501211 North Alfalfa Shattuck, OK 73858
Shattuck Nursing Center
1% Treas StockOperating Entity
201 N. Alfalfa Shattuck, OK 73858
Shattuck Nursing Center, Inc.
99% PresidentStockholders/partners Who Are Officers
3434 S.E. Kentucky Place Bartlesville, OK 74006
Brown Jim
NH3607 580-765-33642024 Turner Road Ponca City, OK 74604
Shawn Manor Nursing Home
100% OP/RE and Manager eff 12/10/2010
Stockholders/partners Who Are Officers
PO Box 768 Sallisaw, OK 74955
Sullivan, Jr. Frank
100% owner Manager eff 12/10/2010Contracted Management
PO BOX 768 Sallisaw, OK 74955
Comprehensive Management Services Inc.
100% Owner RE eff 12/10/2010Lessor Or Real Estate Owner
P.O.Box 768 Sallisaw, OK 74955
Requip of Ponca, LLC
100% Owner OP eff. 12/10/2010Operating Entity
P.O.Box 768 Sallisaw, OK 74955
Conhold of Ponca, LLC
NH6304 405-273-80431202 West Gilmore Shawnee, OK 74804
Shawnee Care Center
25% BGM Estate, LLC Eff 12-28-2020Stockholders/partners -- Not Officers
P.O. Box 330 Muldrow, OK 74948
Tabor Angela
25% BGM Estate, LLC eff 12-28-2020Stockholders/partners -- Not Officers
111522 S. 4740 Road Muldrow, OK 74948
Mitchell Robert Michael
25% BGM Estate (Mrg) eff 12-28-2020Stockholders/partners -- Not Officers
412 S. Dogwood Sallisaw, OK 74955
Mitchell Marcinda
12.5% Shawnee Care Center I, 25% BGM Estate eff 12-28-2020
Stockholders/partners -- Not Officers
7240 Chase Oaks Blvd 121 Plano, TX 75025
Mitchell Kelly O.
Beneficiary Reba Green Marital TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Green Reba
Trustee Tiffany Seay Exempt TrustTrustee
P.O. Box 1090 Sallisaw, OK 74955
Seay Tiffany Renee
Beneficiary of the Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, Ok 74955
Tiffany Seay Exempt Trust
Page 221 of 273
Owner NameFacilities Owned
Trustee/Beneficiary Lori M. Green Exempt Trust
Trustee
P.O. Box 11454 Sallisaw, OK 74955
Green Lori
25% Shawnee Care Center I eff 12-28-2020
Stockholders/partners -- Not Officers
P.O. Box 1454 Sallisaw, OK 74955
Philip M. Green Revocable Trust
25% Shawnee Care Center I eff 12-28-2020
Stockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Gilbert F. Green Trust
Co-Trustee Gilbert F. Green, Philip M Green Rev Trusts 12-28-20
Trustee
P.O. Box 1454 Sallisaw, OK 74955
Green Philip M.
Gilbert F. Green TrustTrustee
P.O. Box 1090 Sallisaw, OK 74955
Green Gilbert F.
Trustee of Philip R. Green Exempt TrustTrustee
P.O. Box 1090 Sallisaw, OK 74955
Green Philip R.
37.5% Shawnee Care Center I eff 12-28-2020
Stockholders/partners -- Not Officers
P.O. Box 568 Sallisaw, OK 74955
BGM Estate, LLC
OP eff 12-28-2020Operating Entity
1202 West Gilmore Shawnee, OK 74804
Shawnee Care Center I, L.L.C.
Co-Trustees: Gilbert F. Green TrustTrustee
P.O. Box 1090 Sallisaw, OK 74955
Armstrong Sinclair
Co-Trustee Gilbert F. Green TrustTrustee
P.O. Box 1090 Sallisaw, OK 74955
Roberts Minerva
Beneficiary Philip M. Green Rev TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Lori M. Green Exempt Trust
Beneficiary of the Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Reba Green Marital Deuction Trust
Beneficiary Gilbert F. Green Trust, Philip M Green Rev Trust
Beneficiary
P.O. Box 1090 Sallisaw, OK 74955
Philip M. Green Exempt Trust
Manager Shawnee Care Center I, LLC eff 12-28-2020
Manager
1202 West Gilmore Shawnee, OK 74804
Dunn Shannon
Beneficiary Philip M. Green Rev TrustBeneficiary
P.O. Box 1454 Sallisaw, OK 74955
Philip R. Green Exempt Trust
NH6311 405-273-7661535 West Federal Street Shawnee, OK 74804
Shawnee Colonial Estates Nursing Home
34% of N&R Shawnee & Health Systems of Oklahoma eff 01/01/2017
Stockholders/partners Who Are Officers
329 Townepark Circle 100 Louisville, KY 40243
Vinson John
Page 222 of 273
Owner NameFacilities Owned
Contracted Management
329 Townepark Circle 100 Louisville, KY 40243
Health Systems of Oklahoma, L.L.C.
eff 10/01/03Operating Entity
535 W. Federal Shawnee, OK 74804
N & R of Shawnee, L.L.C.
Lessor Or Real Estate Owner
200 International Circle 3500 Hunt Valley, MD 21030
CSE Shawnee, LLC
CEO of CSE/REStockholders/partners Who Are Officers
,
Pickett Taylor
COO of CSE/REStockholders/partners Who Are Officers
,
Booth Daniel J.
Senior VP of CSE/REStockholders/partners Who Are Officers
,
Crabill, Jr R. Lee
100% Owner of CSE Shawnee LLCStockholders/partners -- Not Officers
200 International Circle 3500 Hunt Valley, MD 21030
Omega Healthcare Investors, Inc.
33% of N&R Shawnee & Health Systems of Oklahoma eff 01/01/2017
Stockholders/partners Who Are Officers
329 Townepark Circle Louisville, KY 40243
Vinson, Jr John
33% of N&R Shawnee & Health Systems of Oklahoma eff 01/01/2017
Stockholders/partners Who Are Officers
329 Towepark Circle Louisville, KY 40243
Trumbo Jay H.
NH7225 918-446-42842416 West 51st South Tulsa, OK 74107
Sherwood Manor Nursing Home
25% Member of REStockholders/partners -- Not Officers
P.O. Box 638 Gore, OK 74435
Montgomery Schuyler
25% Member of REStockholders/partners -- Not Officers
P.O. Box 638 Gore, OK 74435
Montgomery Bobbie
EFF 9/3/2014Lessor Or Real Estate Owner
P.O. Box 638 Gore, OK 74435
Ponderosa Holdings, LLC
25% Managing Member RE/ 50% Managing Member OP
Stockholders/partners -- Not Officers
P.O. Box 760 Gore, OK 74435
Holland Vernie Mathew
25% Managing Member RE/ 50% Managing Member OP
Stockholders/partners -- Not Officers
P.O. Box 760 Gore, OK 74435
Holland Whitney J.
EFF 9/3/2014Operating Entity
P.O. Box 760 Gore, OK 74435
Sherwood Health Services. LLC
Page 223 of 273
Owner NameFacilities Owned
NH5507 405-869-07009221 Harmony Drive Midwest City, OK 73130
Sienna Extended Care & Rehab
Lessor Or Real Estate Owner
208 East Fifth Street Gore, OK 74435
Mulberry Properties, L.L.C.
Operating Entity
P.O. Box 638 Gore, Ok 74435
Sienna Extended Care & Rehab, LLC
100% RE/OPStockholders/partners Who Are Officers
P.O. Box 638 Gore, OK 74435
Montgomery Bobbie
NH5705 918-396-2149318 South Cherry Skiatook, OK 74070
Skiatook Nursing Home, LLC
12.535047% of Okla. Nursing Home, Inc. (Mgmt Co.)
Stockholders/partners -- Not Officers
P.O. Box 2230 Waldron, AR 72958
Watts Fred
9.61494% Oklahoma Nursing Home, Ltd, Manager
Contracted Management
210 E. Choctaw, P.O. Box 429 Sallisaw, OK 74955-0429
Oklahoma Nursing Homes, Ltd. (ONH,Ltd.)
8.4112%RE 8.314%P 9.401287% mgmtStockholders/partners -- Not Officers
P.O. Box 40 Sallisaw, OK 74955
Cheek Barnie J.
OP/MANAGEMENT 8.314% / RE 8.4112%
Stockholders/partners -- Not Officers
3520 East 110th Place Tulsa, OK 74137
Sandra Cheek Farmer Trust (SCFT)
RE 5.919%, OP 5.834% & Mgmt 6.597394%
Stockholders/partners -- Not Officers
4814 S. 164th East Ave. Tulsa, OK 74134
Haskins Lloyd
RE 5.9746%, OP 5.893Stockholders/partners -- Not Officers
103708 S 4627 Road Sallisaw, OK 74955
Watts Beneficiaries Trust (WBT) Sharon Rhodes
RE 14.2078%, OP 14.022% & Mgmt 12.535047% & Vice President
Stockholders/partners -- Not Officers
Box 856 Miami, OK 74355
Tubbs Steven
RE 5.4406%, & OP 5.376%Stockholders/partners -- Not Officers
3350 McCue Road #2002 Houston, TX 77056
Tubbs, Jr. Stanley I.
5.542% OP & Mgr./ 5.6186% RE/ 6.267525% Okla Nurs Homes, Inc.
Stockholders/partners -- Not Officers
416 Fairway Dr. Athens, TX 75751
Estep Pat
OP/MANAGEMENT 2.771% RE 2.8037%
Stockholders/partners -- Not Officers
1500 West Elm Stroud, OK 74079
Julie Kay Bivin Revocable Trust (JKBRT)
RE 5.2207% & OP 5.13500%Stockholders/partners -- Not Officers
6708 South 256th East Avenue Broken Arrow, OK 74014
Caroyln D. Leaverton Revocable Trust
RE 2.8037%, OP 2.771%Stockholders/partners -- Not Officers
894 Morrow Drive/ PO Box 417 Langley, OK 74350
Dr. William R. VanDeLinder Trust (DWVT)
Page 224 of 273
Owner NameFacilities Owned
RE 2.8037%, OP 2.771%Stockholders/partners -- Not Officers
3808 NW Marquess Drive Bentonville, AR 72712
Lynn M. Yowell Trust
9.7298% of Midwest Nursing Home, LLC Eff 4-25-16
Lessor Or Real Estate Owner
210 East Choctaw Sallisaw, OK 74955
Midwest Nursing Homes, LLC (MNHLLC)
OP/MANAGEMENT 2.771% / RE 2.8038%
Stockholders/partners -- Not Officers
621 N Robinson 100 Oklahoma City, OK 73102
Heritage Trust Company Richard Armstrong Trust (RAT) C/O Matt McGuire
10.898% Skiatook Nursing Home.LLC (OP)
Operating Entity
P.O. box 400 Sallisaw, OK 74955
Skiatook Nursing Home, LLC
Contracted Management Compancy OP 1.219% & Mgmt Co 9.401287%
Contracted Management
P.O. Box 400 Sallisaw, OK 74955
Oklahoma Nursing Homes, Inc. General Partner (ONH,Inc)
9.401287% Oklahoma Nursing Homes, Inc.
Stockholders/partners -- Not Officers
2802 W. Country Club Dr. Oklahoma City, OK 73116
Armstrong Richard James
Trustee-SCFT/9.401287% Oklahoma Nursing Homes, Inc.
Stockholders/partners -- Not Officers
3520 East 110th Place Tulsa, OK 74137
Farmer Sandra
1.28306% OP & Mgmt./ 1.3156% RE/9.401287% Okla.Nurs. Homes,Inc.
Stockholders/partners -- Not Officers
20852 South Shannon Drive Claremore, OK 74017
Wilson James G.
OP/MANAGEMENT 2.079% RE 2.1028%
Stockholders/partners -- Not Officers
P.O. Box 173 Gore, OK 74435
Ferguson Debra M.
RE 5.5630%, OP5.556% & Mgmt 5.657265% & Treasurer
Stockholders/partners Who Are Officers
607 Mayo Street Sallisaw, OK 74955
McGrew Justin
OP/MANAGEMENT 2.771% RE 2.8038%
Stockholders/partners -- Not Officers
HCR 68 Box 1260 Vian, OK 74962
Armstrong Sally
9.401287% & President of ONH (Mgmt Co)
Stockholders/partners Who Are Officers
PO Box 370 Adair, OK 74330
VanDeLinder Dr. William R.
RE 0.70095%, OP 0.69275%Stockholders/partners -- Not Officers
1405 E. Seattle St. Broken Arrow, OK 74012
Heath Armstrong VanDeLinder Trust (HAVT)
RE 0.70095%, OP 0.69275%Stockholders/partners -- Not Officers
5727 South Lewis Ave 800 Tulsa, OK 74105
BOKF Trustee/M Huigens Meredith Margaret Marie VanDeLinder Trust (MMMVT)
RE 0.70095%, OP 0.69275%Stockholders/partners -- Not Officers
8 Dinton Circle Bella Vista, AR 72714
Nicolas Edmund VanDeLinder Trust (NEVT)
RE 0.70095%, OP 0.69275%Stockholders/partners -- Not Officers
2116 Whitney Lane McKinney, TX 75070
William Glen VanDelinder Trust (WGVT)
Trustee-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Trustee
6708 South 256th East Ave Broken Bow, OK 74014
Leaverton Carolyn
Trustee-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Trustee
6708 South 256th East Ave Broken Arrow, OK 74014
Leaverton Ronald
Page 225 of 273
Owner NameFacilities Owned
Succ.Trustee & Benf-Carolyn D. Leaverton Rev. Trust eff 05/24/12
Beneficiary
6708 South 256th East Ave Broken Arrow, OK 74014
Johnson Karen Diane
Successor Trustee/Ben-WBTeff 5/24/12Beneficiary
51 Green Acre Village Sallisaw, OK 74955
Byers Karen
Successor Trustee/Ben-WBTeff 5/24/12Beneficiary
51 Green Acre Village Sallisaw, OK 74955
Rhodes Sharon
Beneficiary - WTB eff 5/24/12Beneficiary
51 Green Acre Village Sallisaw, OK 74955
Rhodes Grant
Beneficiary - WTB eff 5/24/12Beneficiary
51 Green Acre Village Sallisaw, OK 74955
Miles Sydney
Beneficiary - WTB eff 5/24/12Beneficiary
51 Green Acre Village Sallisaw, OK 74955
Cameron Amber
Sucessor Trustee-SCFT EFF 05/24/2012Beneficiary
3520 east 110th Place Tulsa, OK 74137
Farmer Frederick Sinclair
Beneficiary - SCFT eff 5/24/12Beneficiary
3520 East 110th Place Tulsa, OK 74137
Farmer Cassandra C.
Beneficiary - SCFT eff 5/24/12Beneficiary
3520 East 110th Place Tulsa, OK 74137
Farmer Alexandra C.
Registered Agent317 N.W. 12th St. Oklahoma City, OK 73103
Burnsed (C. Craig Cole & Assoc.) Carrie
RE 5.2626% & OP 5.192%Stockholders/partners -- Not Officers
103708 South 4627 Road Sallisaw, OK 74955
Estate of Cleo Watts
NH5539 405-427-13222200 Coltrane Road Oklahoma City, OK 73121
Skyview Nursing Center
100%Stockholders/partners -- Not Officers
3714 N. Portland Oklahoma City, OK 73112
Crane Judy M.
eff 6-19-2006Operating Entity
3714 North Portland Oklahoma City, OK 73112
Skyview Nursing Center, Inc.
100% of the Real Estate eff 3/28/2012Lessor Or Real Estate Owner
3126 South Boulevard Edmond, OK 73103
R&B Lynch, LLC
25% of R&B Lynch, LLC eff 3/28/2012Stockholders/partners -- Not Officers
3203 North Coltrane Road Oklahoma City, OK 73121
Chambers Phyills
25% of R&B Lynch, LLC eff 3/28/2012Stockholders/partners -- Not Officers
1212 Cedar Pointe Drive Wylie, TX 75098
Lynch Terry
25% of R&B Lynch, LLC eff 3/28/2012Stockholders/partners -- Not Officers
4208 NE 19th Street Oklahoma City, OK 73121
Lynch Irish
Page 226 of 273
Owner NameFacilities Owned
25% of R&B Lynch, LLC eff 3/28/2012Stockholders/partners -- Not Officers
3201 North Coltrane Road Oklahoma City, OK 73121
Burden Brenda
Contracted Manager eff 05-05-2019Contracted Management
1100 W. Georgia Jones, OK 73049
Voyage LTC, Inc.
NH5534 405-631-7444225 Southwest 35th Street Oklahoma City, OK 73109
South Park East
33.33%Stockholders/partners Who Are Officers
P.O. Box 3669 Tulsa, OK 74101
Buford Stephen
33.33%Stockholders/partners -- Not Officers
P.O. Box 3669 Tulsa, OK 74101
Buford Sam
33.34%Stockholders/partners -- Not Officers
P.O. Box 3669 Tulsa, OK 74101
fka Buford Linsenmeyer Sharon B.
Operating Entity
P.O. Box 2680 Tullsa, OK 74101
Court Appointed Receiver, Larry Cain/Phoenix Healthcare, L.L.C.,
NH5532 405-685-47915725 South Ross Oklahoma City, OK 73119
South Pointe Rehabilitation and Care Center
Contracted admiinstrative management eff 03-2017 end 12-2019
Contracted Management
477 North Lindbergh Blvd 310 St. Louis, MO 63141
Midwest Geriatric Management, LLC
100% South Pointe Realty, LLC & 50% MGM eff 12-30-2019
Stockholders/partners Who Are Officers
14447 Chellington Ct. 430 Chesterfield, MO 63017
Bienstock Judah
100% 10-26 Nationwide Trust, Trustee & 50% MGM
Stockholders/partners Who Are Officers
8 Primrose Dr. Lakewood, NJ 08701
Jeremias Baruch
50% SP Okla Realty & SP Healthcare Mgt eff 12-30-2019
Stockholders/partners -- Not Officers
8 Primrose Drive Lakewood, NJ 08701
10-26 Nationwide Trust
100% RELessor Or Real Estate Owner
477 North Lindbergh Blvd 310 St. Louis, MO 63141
South Pointe Oklahoma Realty, LLC
OP eff 12-30-2019Operating Entity
477 North Lindbergh Blvd 310 St. Louis, MO 63141
SP Healthcare Management, LLC
50% SP Oklahoma Realty, LLC eff 12-30-2019
Stockholders/partners -- Not Officers
477 North Lindbergh Blvd 310 St. Louis, OK 63141
South Pointe Realty, LLC
Page 227 of 273
Owner NameFacilities Owned
NH1006 580-223-5901832 Isabel Southwest Ardmore, OK 73401
Southbrook Healthcare, Inc.
Lessor Or Real Estate Owner
832 Isabel S W Ardmore, OK 73401
Lu-ken Manor Inc.
Operating Entity
1811 9th NW Ardmore, OK 73401
Southbrook Healthcare, Inc.
100% of Elmbrook Properties, Inc. & President, eff 3/11/19
Stockholders/partners Who Are Officers
1908 12th Ave N.W. E Ardmore, OK 73401
Coble Tom C.
100% OpEntStockholders/partners Who Are Officers
1908 12th Avenue, NW E Ardmore, OK 73401
Elmbrook Properties, Inc.
Vice-Pres & Director, OP & Elmbrook Properties, Inc.eff 3/11/19
Officers Who Do Not Hold Stock
1908 12th Ave NW E Ardmore, OK 73401
Coble Brett
Sec/Treas & Director OP & Elmbrook Prop Inc.,eff 3/11/19
Officers Who Do Not Hold Stock
1908 12th Ave, NW E Ardmore, OK 73401
Lodes Jason
NH7227 918-496-39635170 South Vandalia Tulsa, OK 74135
Southern Hills Rehabilitation Center
100% Southern Tulsa TLC & Southern Hills Rehab Center
Stockholders/partners -- Not Officers
6800 N. 79th St 200 Niwot, CO 80503
Global Healthcare REIT Inc.
CJ2016-01781- Healthcare Mgt Oklahoma eff 05/10/2016 end 12/1/19
Court Appointed Receiver
401 South Boston 2200 Tulsa, OK 74103
Turnaround Professionals C. David Rhoades Court Appointed Receiver CJ2016-01781
100% RE Eff 10-30-2014Lessor Or Real Estate Owner
6800 North 79th Street 200 Niwot, CO 80503
Southern Tulsa TLC, LLC
OP eff 12-01-2019Operating Entity
5170 South Vandalia Avenue Tulsa, OK 74135
Southern Hills Rehab Center, LLC
Manager of OP and Pres Global Healthcare REIT
Manager
6800 North 78th Street 200 Niwot, CO 80503
Rhine Zvi
Interim Chief Executive Officer Global Healthcare REIT
CEO
6800 North 78th Street 200 Niwot, CO 80503
Baller Lance
NH5902 918-762-25151401 4th Street Pawnee, OK 74058
Southern Oaks Care Center
Pres 33.33%Stockholders/partners Who Are Officers
P.O. Box 3669 Tulsa, OK 74101
Buford Stephen
Page 228 of 273
Owner NameFacilities Owned
Sec/Trea. 33.33Stockholders/partners Who Are Officers
P.O. Box 3669 Tulsa, OK 74101
Buford Sam
VP 33.34%Stockholders/partners Who Are Officers
P.O. Box 3669 Tulsa, OK 74101
fka Buford Linsenmeyer Sharon B.
Lessor Or Real Estate Owner
P.O. Box 3669 Tulsa, OK 74101
Pawnee Living Center, Inc.
Operating Entity
P.O. Box 2680 Tullsa, OK 74101
Court Appointed Receiver, Larry Cain/Phoenix Healthcare, L.L.C.,
NH0707 580-296-4500101 Sherrard Drive Colbert, OK 74733
Southern Pointe Living Center
12.5% Colbert Nursing Home eff 12-28-2020
Stockholders/partners -- Not Officers
P.O. Box 330 Muldrow, OK 74948
Tabor Angela
12.5% Colbert Nursing Home eff 12-28-2020
Stockholders/partners -- Not Officers
111522 S. 4740 Road Muldrow, OK 74948
Mitchell Robert Michael
12.5% Colbert Nursing Home,Stockholders/partners -- Not Officers
412 S. Dogwood Sallisaw, OK 74955
Mitchell Marcinda
OP eff 12-28-2020Operating Entity
101 Sherrard Colbert, OK 74733
Colbert Nursing Home, Inc.
12.5% Colbert Nursing Home eff 12-28-2020
Stockholders/partners -- Not Officers
7240 Chase Oaks Blvd 121 Plano, TX 75025
Mitchell Kelly O.
Beneficiary of Reba Green Exempt TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Green Reba
Trustee Tiffany Seay Exempt TrustTrustee
P.O. Box 1090 Sallisaw, OK 74955
Seay Tiffany Renee
25% Colbert Nursing HomeStockholders/partners -- Not Officers
P.O. Box 1454 Sallisaw, OK 74955
Philip M. Green Revocable Trust
25% Colbert Nursing Home eff 12-28-2020
Stockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Gilbert F. Green Trust
President/Director Eff. 05-12-2016Officers Who Do Not Hold Stock
,
Mitchell Heather
Co-Trustee Gilbert F. Green Trust, Philip M. Green Rev Trust
Trustee
P.O. Box 1454 Sallisaw, OK 74955
Green Philip M.
Trustee & beneficiary Gilbert F. Green Trust DOD 12-08-2020
Trustee
P.O. Box 1090 Sallisaw, OK 74955
Green Gilbert F.
Philip M. Green Revocable TrustBeneficiary
P.O. box 1090 Sallisaw, OK 74955
Stewart Lori Green
Page 229 of 273
Owner NameFacilities Owned
Beneficiary Philip R. Green ExemptTrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Green Philip R.
Co-Trustee Gilbert Green TrustTrustee
P.O. Box 1090 Sallisaw, OK 74955
Armstrong Sinclair
Co-Trustee Gilbert Green Trust eff 12-28-2020
Trustee
P.O. Box 1090 Sallisaw, OK 74955
Roberts Minerva
Beneficiary of the Gilbert F Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Lori M. Green Exempt Trust
Beneficiary of the Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Reba Green Marital Deuction Trust
Beneficiary Philip M. Green Rev Trust, Reba Green Trust
Beneficiary
P.O. Box 1454 Sallisaw, OK 74955
Philip R. Green Exempt Trust
NH4005 918-962-2308401 South Main Spiro, OK 74959
Spiro Nursing Home, Inc.
42.9% Pres&VP Removed Mr. Gary McClure due to death 8/24/10
Stockholders/partners Who Are Officers
401 S. Main Spiro, OK 74959
McClure Rhonda
40% Sec/TreasStockholders/partners Who Are Officers
5735 Worskey Rd. Charleston, AR 72933
McKean Linda
Operating Entity
401 S. Main Spiro, OK 74959
Spiro Nursing Home, Inc.
2.10% DirectorStockholders/partners -- Not Officers
401 S. Main Spiro, OK 74959
Wilson Happy
10%Stockholders/partners -- Not Officers
P.O. Box 346 Spiro, Ok 74959
Odom Patsy
5% OP EFF 02/01/2016Stockholders/partners -- Not Officers
401 S. Main Spiro, OK 74959
McClure Garon & Kerry
NH5529 405-728-78889400 Saint Ann Drive Oklahoma City, OK 73162
St. Anns Skilled Nursing and Therapy
Mgr OP/RE/Amity Care, L.LC, eff 8/1/18Managing Member
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Eff 8/1/18Managing Member
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Dimond Mike
Page 230 of 273
Owner NameFacilities Owned
Eff 8/1/18Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
99% OP & 78% Amity Care, LLC, eff 8/1/18
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
58% SA Real Estate, LLC eff 8/1/18Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Clarity Properties, LLC
52% of Renew Prop- Mike Dimond, Trustee, eff 8/1/18
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Stalwart Trust
22%-Amity Care, 100% Clarity Prop & 48% Renew Prop eff 8/1/18
Stockholders/partners -- Not Officers
4530 Will Rogers Parkway 300 OKC, OK 73108
Don Greiner Family Trust, Don Greiner Trustee
42% SA Real Estate, LLC eff 8/1/18Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Renew Properties, L.L.C.
Eff 8/1/18Operating Entity
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
SA Operations, LLC
Eff. 8/1/18Lessor Or Real Estate Owner
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
SA Real Estate, LLC
NH2413 580-233-6100305 South 5th Street Enid, OK 73701
St. Marys Regional Medical Center
Operating Entity
367 South Gulph Road King of Prussia, PA 19406
UHS of Oklahoma, Inc.
NH6004 405-372-10001215 West 10th Street Stillwater, OK 74074
Stillwater Creek Skilled Nursing and Therapy
President/Manag.Member of OP/RE/Manager
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Lessor Or Real Estate Owner
2200 N.W. 50th 126 Oklahoma City, OK 73112
Stillgrady, L. L. C.
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
78% OP & Amity Care, LLC eff. 10-21-03
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
22% OP & Amity Care, LLC eff.10-21-03
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
Page 231 of 273
Owner NameFacilities Owned
SecretaryOfficers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Okc, OK 73108
Diamond Mike
Operating Entity
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Stillwater Nursing Center, L.L.C.
Manager of OP eff. 6/11/2020Officers Who Do Not Hold Stock
1908 12th Ave NW E Ardmore, OK 73401
Coble Brett
NH0101 918-696-7715422 West Locust Street Stilwell, OK 74960
Stilwell Nursing Home, LLC
8%Mbr HMLC, LLCStockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Golden Age Nursing Home Of Guthrie, Inc.(GAN)
2%Mbr HMLC, LLCStockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Perry Green Valley Nursing Home, Inc.(PGV)
4% Mbr HMLC,LLCStockholders/partners -- Not Officers
PO Box 1095 Guthrie, OK 73044
Stilwell Nursing Home, Inc.(SNH)
Beneficiary- Chappell 2012 Succession Trust dated 1/3/2012
Beneficiary
P.O. Box 1095 Guthrie, OK 73044
Chappell Jeff
Real EstateLessor Or Real Estate Owner
PO Box 1095 Guthrie, OK 73044
CC&G Rentals, LLC
Mrg of RE/OP & HMLC,LLCManager
P.O. Box 1095 Guthrie, OK 73044
Hastings Tandie
eff 07/01/07Operating Entity
P.O.Box 1095 Guthrie, OK 73044
Stilwell Nursing Home, LLC
100% Mmbr OP; 33.3% Mmbr RE, eff 04/18/12
Stockholders/partners -- Not Officers
PO Box 1095 Guthrie, OK 73044
HMLC, LLC
Mngr OP & HMLC,Beneficiary-Chappell 2012 Succession Trust
Manager
PO Box 1095 Guthrie, OK 73044
Chappell Hollie "Joe"
76% member HMLC, LLCStockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Chappell 2012 Succession Trust dated 1/3/2012
10% HMLC &100% Stilwel NH Inc,PeryGreenVal NH, Gold AgeNH Inc.
Stockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Mary Lou Chappell Trust
Beneficiary- Chappell 2012 Succession Trust dated 1/3/2012
Beneficiary
,
Chappell Jon D.
Beneficiary - Chappell 2012 Succession Trust dated 1/3/2012
Beneficiary
,
Crockett Mary Janice
Page 232 of 273
Owner NameFacilities Owned
NH4101 918-968-2075721 West Olive Stroud, OK 74079
Stroud Health Care Center South
Operating Entity
P.O. Box 680 Stroud, OK 74079
Contemporary Enterprises, Ltd.
President 100% OpEnt and Real EstateStockholders/partners Who Are Officers
P.O. Box 680 Stroud, OK 74079
Garrett Debbie Jo
VPOfficers Who Do Not Hold Stock
P.O. Box 680 Stroud, Ok 74079
Keim Jason
Sec/TreasOfficers Who Do Not Hold Stock
P.O.Box 680 Stroud, OK 74079
Keim Vicki
100%Lessor Or Real Estate Owner
720 S Old Stroud Rd. Stroud, OK 74079
GK Properties Management, L.L.C.
NH0601 580-822-4441119 North 6th Street Okeene, OK 73763
Summers Health Services,LLC
60% RE Autumn Health Care LLC/60%OP Summers Health Care LLC
Managing Member
2801 Redbird Lane Enid, OK 73703
Miller Michael
EFF 03/31/2014Lessor Or Real Estate Owner
2801 Redbird Lane Enid, OK 73703
Autumn Health Care LLC
40%RE Autumn HealthCare,LLC/40%OP Summers Health Care, LLC
Contracted Management
1402 Indian DamRoad Lahoma, OK 73754
Heinen Tyanne
Eff 03/31/2014Operating Entity
119 North 6th Street Okeene, OK 73763
Summers Health Services LLC
EFF 04/1/2012Contracted Management
2801 Redbird Lane Enid, OK 73703
Autumn Health Care LLC
NH4401 405-527-2122915 North 7th Avenue Purcell, OK 73080
Sunset Estates Of Purcell
Operating Entity
915 N 7th Purcell, OK 73080
Sunset Estates Of Purcell, Inc.
100% PresSecTreStockholders/partners Who Are Officers
Rt. 1 Purcell, OK 73080
Baird Tony
Page 233 of 273
Owner NameFacilities Owned
Lessor Or Real Estate Owner
5801 Broadway Ext. 301 Okla. City, OK 73118
Jiles Brothers & Associates, an Oklahoma Ltd Partnership
NH5612 918-650-9393404 South Taft Okmulgee, OK 74447
Taft Place
amended corp. name (fkaProdetik, Inc.) eff 02-05-08
Operating Entity
1201 W. Trudgeon Henryetta, OK 74437
The Reach Corporation
Non-Profit Board President of The Reach Corporation 2019
Officers Who Do Not Hold Stock
PO Box 790 UnionTown, KY 42461
Bailey M. Geoffry
eff. 8-15-07Lessor Or Real Estate Owner
P.O. Box 409 Sturgis, KY 42459
Maricopa Properties, LLC
100% of REStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Maricopa Partners, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Rock River, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
MMB, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Lovenest, LLC
30.959% of Rock River, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gary
16.025% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Lisa
32.88% of MMB, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Tim
17.455% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Vicki
29.421% of Lovenest, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Robert
13.957% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Laura
53.016% of Rock River, LLC - 4 children w/13.254% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
4 Irrevocable Trusts
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O.Box 409 Sturgis, KY 42459
Ervin Mallory
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Jade
Page 234 of 273
Owner NameFacilities Owned
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Luke
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gabe
49.665% of MMB, LLC - 5 children w/9.933% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
3 Irrevocable Trusts
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Max
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box Sturgis, KY 42459
Linenger Jessica
20% of 3 Irrevocable TrustsStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mitch
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Linenger Jennifer
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Brock
56.623% of Lovenest, LLC - 7 children w/8.089% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
7 Irrevocable Trusts
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Thea
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugris, KY 42459
Ervin Issac
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugis, KY 42459
Ervin Samuel
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Elijah
14.286% of 7 Irrevocable TrustStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Saul
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Micah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mathias
Sr.Adm for the Reach Authority to Sign Application eff 11/1/2019
Officer
1201 W. Trudgeon Henryetta, OK 74437
Ogle Gloria
Non-Profit Board Vice President of The Reach Corporation 2019
Vice President
1924 Lorraine Ave Allen, TX 75002
Garrett Marvin
Non-Profit Board Secretary/Treasurer The Reach Corporation 2019
Secretary/Treasurer
452 Goose Pond Road Morganfield, KY 42437
Humphrey Brian
Page 235 of 273
Owner NameFacilities Owned
NH4006 918-567-2279First & Emmert Street Talihina, OK 74571
Talihina Manor
25% BGM Estate 4th Successor Delores O Michell Rev.Trustst
Stockholders/partners -- Not Officers
P.O. Box 330 Muldrow, OK 74948
Tabor Angela
25% BGM Estate, 1st Successor Delores O Michell Rev Trust
Stockholders/partners -- Not Officers
111522 S. 4740 Road Muldrow, OK 74948
Mitchell Robert Michael
25% BGM Estate (Mgr) 3rd Successor Delores O Michell Rev.Trust
Stockholders/partners Who Are Officers
412 S. Dogwood Sallisaw, OK 74955
Mitchell Marcinda
25% BGM Estate, LLC 2nd Successor Delores O Michell Rev.Trust
Stockholders/partners -- Not Officers
7240 Chase Oaks Blvd 121 Plano, TX 75025
Mitchell Kelly O.
Trustee of Delores O. Mitchell Revocable Trust
Trustee
412 S. Dogwood Sallisaw, OK 74955
Mitchell Delores
Beneficiary of Reba Green Exempt TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Green Reba
Trustee Tiffany Seay Exempt TrustTrustee
P.O. Box 1090 Sallisaw, OK 74955
Seay Tiffany Renee
Beneficiary Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, Ok 74955
Tiffany Seay Exempt Trust
50% Talihina Manor I eff 12-29-2020Stockholders/partners -- Not Officers
P.O. Box 1090 Sallisaw, OK 74955
Gilbert F. Green Trust
Manager Talihina Manor I eff 12-29-2020Manager
301 Emmert Street Talihina, OK 74571
Hibdon Nikki
Co-Trustee Gilbert F Green Trust eff 12-29-2020
Trustee
P.O. Box 1454 Sallisaw, OK 74955
Green Philip M.
Beneficiary Gilbert F. Green Trust DOD 12-08-2020
Beneficiary
P.O. Box 1090 Sallisaw, OK 74955
Green Gilbert F.
25% Talihina Manor I eff 12-29-2020Stockholders/partners -- Not Officers
412 S. Dogwood Sallisaw, OK 74955
Delores O. Mitchell Revocable Trust
25% Talihina Manor I eff 12-29-2020Stockholders/partners -- Not Officers
P.O. Box 568 Sallisaw, OK 74955
BGM Estate, LLC
Mayor of City of Hugo 6/30/2017Officers Who Do Not Hold Stock
201 S. 2nd Street Hugo, OK 74743
Frazier Darren
OP eff 12-29-2020Operating Entity
301 Emmert Street Talihina, OK 74571
Talihina Manor I, LLC
Co-Trustee Gilbert F. Green TrustTrustee
P.O. Box 1090 Sallisaw, OK 74955
Armstrong Sinclair
Page 236 of 273
Owner NameFacilities Owned
Co-Trustee Gilbert F. Green Trust eff 12-29-2020
Trustee
P.O. Box 1090 Sallisaw, OK 74955
Roberts Minerva
Beneficiary Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Reba Green Marital Deuction Trust
Beneficiary Gilbert F. Green TrustBeneficiary
P.O. Box 1090 Sallisaw, OK 74955
Philip M. Green Exempt Trust
NH1702 580-825-6336100 West Green Avenue Temple, OK 73568
Temple Manor Nursing Home
Indirect Owner 25% RE/OPStockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
Birchwood Health Care Properties, LLC
Indirect Owner 25% RE/OPStockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
Dole Isaac
contracted management since 09/01/2015Contracted Management
1518 Legacy Dr. #110 Frisco, TX 75034
Southwest LTC Management Services, LLC
Indirect owner 54.46% RE/OP & Indirect 80% Mgt
Stockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, TX 75034
Payne Ronald
Indirect Owner 7.13% RE/OP & Direct Owner 20% Mgt
Stockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, TX 75034
Brashier Craig
RE 12/1/2015Lessor Or Real Estate Owner
1518 Legacy Drive 110 Frisco, TX 75034
Temple LTC Land, LLC
direct owner 75% RE/OPStockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, OK 75034
Southwest LTC Oklahoma Holdings,LLC
Indirect owner 75% RE/OPStockholders/partners -- Not Officers
1518 Legacy Dr. 110 Frisco, TX 75034
Southwest LTC, LTD
Indirect Owner 54.46% RE/OP & Direct Owner 80% Mgt
Stockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, TX 75034
Ronald R. Payne, P.C.
Indirect Owner 8.99% RE/OPStockholders/partners -- Not Officers
5731 Jackson St. Ext C Alexandria, LA 71303
Quality Care Givers, Inc.
Direct Owner 25% RE/OPStockholders/partners -- Not Officers
1633 N. Campbell ave Chicago, IL 60647
BHCP OK 3 Sponsor, LLC
EFF 12/1/2015Operating Entity
5560 Tennyson Parkway 210 Plano, TX 75024
Southwest LTC-Temple, LLC
Page 237 of 273
Owner NameFacilities Owned
NH7253 918-742-73157707 South Memorial Drive Tulsa, OK 74133
The Cottage Extended Care
100% Cox Retirement Prop.Inc.Stockholders/partners Who Are Officers
6271 East 120th Court 100 Tulsa, OK 74137
Cox Steve
OPOperating Entity
2552 E. 21st Street Tulsa, OK 74114
Cox Retirement Properties, Inc.
NH1906 918-224-06001165 South Brenner Road Sapulpa, OK 74066
The Gardens
Pres 33.33%Stockholders/partners Who Are Officers
P.O. Box 3669 Tulsa, OK 74101
Buford Stephen
S/tres 33.33%Stockholders/partners Who Are Officers
P.O. Box 3669 Tulsa, OK 74101
Buford Sam
V/pres 33.34%Stockholders/partners Who Are Officers
P.O. Box 3669 Tulsa, OK 74101
fka Buford Linsenmeyer Sharon B.
Lessor Or Real Estate Owner
P. O. Box 3669 Tulsa, OK 74101
Midwest Land And Investment Company
Operating Entity
P.O. Box 2680 Tullsa, OK 74101
Court Appointed Receiver, Larry Cain/Phoenix Healthcare, L.L.C.,
NH6308 405-273-710638801 Hardesty Road Shawnee, OK 74801
The Golden Rule Home
51% OP/RE, managing member eff 09/01/11
Stockholders/partners Who Are Officers
PO Box 1831 Ocean Springs, MS 39566
fax 601-510-9727 Daves, Jr. William E. (Billy)
49% OP/RE, managing member eff 09/01/11
Stockholders/partners Who Are Officers
PO Box 17888 Hattiesburg Hattiesburg, MS 39404
Johnson Christopher W.
Thru 09/01/11Operating Entity
705 W. Queen St B Broken Arrow, OK 74012
Golden Rule Senior Properties, LLC
100% GRSP, LLC. RE eff 09/01/11,Stockholders/partners -- Not Officers
129 W. 1st Street B Edmond, OK 73003
Shawnee Asset Management, LLC
NH5518 405-789-72427000 Northwest 32nd Street Bethany, OK 73008
The Grand at Bethany Skilled Nursing and Therapy
Page 238 of 273
Owner NameFacilities Owned
President/Manag.Member of OP/RE/Manager
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Lessor Or Real Estate Owner
4415 Highline Blvd. Oklahoma City, OK 73108
Bethlinwood, L. L. C.
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
78% OP & Amity Care, LLC eff. 10-21-03
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
22% OP & Amity Care, LLC Beneficiary/Trustee of Don Greiner Tr
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
SecretaryOfficers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Okc, OK 73108
Diamond Mike
Operating Entity
4350 Will Rogers Parkway 300 OKC, OK 73108
Putnam City Convalescent Center, L.L.C.
NH7259 918-928-480010098 N. 123rd E. Ave. Owasso, OK 74055
The Highlands at Owasso
100% OP PresidentStockholders/partners Who Are Officers
6271 East 120th Court 100 Tulsa, OK 74137
Cox Steve
Operating Entity
100 South Riverfront Drive 411 Jenks, OK 74037
Golf Course Property, Inc.
NH0705 580-924-04961223 West Baltimore Durant, OK 74701
The Kings Daughters & Sons Nursing Home
PresidentOfficers Who Do Not Hold Stock
947 N. 10th Durant, OK 74701
Haynie Lena
TreasurerOfficers Who Do Not Hold Stock
P.O. Box 831 Durant, OK 74701
Intolubbe Velman
SecretaryOfficers Who Do Not Hold Stock
118 N. 11th Durant, OK 74701
Mason Minnah Leah
ChairmanOfficers Who Do Not Hold Stock
1945 W. Elm Durant, OK 74701
Swearengin Rector
MemberOfficers Who Do Not Hold Stock
2302 W. Wilson Durant, OK 74701
Morton Bill
Page 239 of 273
Owner NameFacilities Owned
MemberOfficers Who Do Not Hold Stock
508 W. Main Durant, OK 74701
Haynie Dr. W. K.
100% / Pres.Stockholders/partners Who Are Officers
Rt 1, Box 140-5 Durant, OK 73449
K.D.&S. Homes, Inc. Seay Gregory w.
100%Operating Entity
1223 W. Baltimore Durant, OK 74701
K.D.&S. Homes, Inc.
Lessor Or Real Estate Owner
1026 Radio Road Durant, OK 74701
Greg Seay Enterprises, LLC
eff. January 11, 2019Contracted Management
1810 W US Hwy. 82 Sherman, TX 75092
Carrus Healthcare, LLC
NH5519 405-773-89005701 West Britton Road Oklahoma City, OK 73132
The Lakes
Pres 33.33%Stockholders/partners Who Are Officers
P.O. Box 3669 Tulsa, OK 74101
Buford Stephen
S/tres 33.33%Stockholders/partners Who Are Officers
P.O. Box 3669 Tulsa, OK 74101
Buford Sam
V/pres 33.34%Stockholders/partners Who Are Officers
P.O. Box 3669 Tulsa, OK 74101
fka Buford Linsenmeyer Sharon B.
Lessor Or Real Estate Owner
P. O. Box 3669 Tulsa, OK 74101
Midwest Land And Investment Company
Operating Entity
P.O. Box 2680 Tullsa, OK 74101
Court Appointed Receiver, Larry Cain/Phoenix Healthcare, L.L.C.,
NH2401 580-234-14111409 North 17th Street Enid, OK 73701
The Living Center
100% OP & RE eff 07/28/2011Operating Entity
455 East Paces Ferry Rd. NE 302 Atlanta, GA 30305
Living Center, LLC
100% of Living Center, LLCStockholders/partners -- Not Officers
593 Atlanta Street Roswell, GA 30075
Brogdon Connie
Mngr of Living Center, LLC eff 07/28/11 100% Marsh Pointe Mngmt
Stockholders/partners -- Not Officers
3050 Peachtree Rd 355 Atlanta, GA 30305
Brogdon Christopher
Eff 03/01/2014Contracted Management
455 East Paces Ferry Road, N.E. 302 Atlanta, GA 30305
Marsh Pointe Managment, LLC
Page 240 of 273
Owner NameFacilities Owned
NH5513 405-251-28475301 North Brookline Oklahoma City, OK 73112
The Lodge at Brookline
100% owner of OP/REStockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Diakonos Group, LLC
99% owner of Diakonos GroupStockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Pilgrim Scott
1% owner of Diakonos GroupStockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
Servant Living Center Holding Company
EFF Oct 1 2015Lessor Or Real Estate Owner
,
Brookline Holding, LLC
EFF Oct 1 2015Operating Entity
3325 FRENCH PARK DRIVE, SUITE 6 Edmond, OK 73034
Brookline Operations, LLC
NH0909 405-263-4658635 West Texas Okarche, OK 73762
The Loosen Center
Operating Entity
P.O.Box 245 Okarche, OK 73762
Center Of Family Love
Secretary EFF 07/30/2012Secretary/Treasurer
12111 NE 164th Street Jones, OK 73049
Pierce John
VP eff 07/01/2019Officers Who Do Not Hold Stock
P.O. Box 21000 Oklahoma City, ok 73156
Krittenbrink Jerry
Executive Director Eff 2-1-2012Officers Who Do Not Hold Stock
635 W Texas Okarche, OK 73762
Espinosa Debbie
President - eff 07/01/2019Officers Who Do Not Hold Stock
635 W Texas Ave Okarche, OK 73762
Avant Margie
Treasurer eff 07/01/2019Officers Who Do Not Hold Stock
7607 Doreset Drive Oklahoma City, OK 73116
Byrne Ron
NH5553 405-348-6682330 West Danforth Edmond, OK 73003
The Nova Centre
Treasurer eff 07/28/11Secretary/Treasurer
7501 N. Classen Oklahoma City, OK 73116
Musgrave Chuck
Operating Entity
P.O.Box 268 Edmond, OK 73083
EARC, Inc.
Page 241 of 273
Owner NameFacilities Owned
Pres 07/1/2012Officers Who Do Not Hold Stock
2600 SOMERSET OKC, OK 73116
Cooper Catherine
Pres. eff. 12/11/2020Officers Who Do Not Hold Stock
2412 Deborah Lane Edmond, OK 73034
Sheppard Kimberley
VP eff. 12/11/2020Officers Who Do Not Hold Stock
8817 S. 70th E. Ave. Tulsa, OK 74133
Tipps Darla
Secretary eff 12/11/2020Officers Who Do Not Hold Stock
9205 SW 24th St. OKC, OK 73128
Scudder Anne
eff. 12/11/2020Officers Who Do Not Hold Stock
11916 Silverman Dr. OKC, OK 73162
Bell Marcellius
eff. 12/11/2020Officers Who Do Not Hold Stock
8624 N. May Ave. OKC, OK 73120
Cooper Cathey
eff. 12/11/2020Officers Who Do Not Hold Stock
PO Box 936 Little Elm, TX 75068
Bailey Catrysc
eff. 12/11/2020Officers Who Do Not Hold Stock
14101 Wireless Way 350 OKC, OK 73134
Wallace Edward
eff. 12/11/2020Officers Who Do Not Hold Stock
1200 N. Shartel Ave. OKC, OK 73114
Ayers Leah
NH4009 918-647-82361501 Clayton Avenue Poteau, OK 74953
The Oaks Healthcare Center
50% of OP Mmbr/MngrStockholders/partners -- Not Officers
3216 Shiloh Creek Stillwater, OK 74074
Young Jeffrey
50% of OP Mmbr/MngrStockholders/partners -- Not Officers
46487 E. 1040 Rd. Sallisaw, OK 74955
Rhodes Johnathan Grant
OP/REeff 4-15-02 END 12/1/2017 -RE ONLY EFF 12/1/2017
Lessor Or Real Estate Owner
217 East 9th Avenue Stillwater, OK 74074
Poteau Nursing Center, L.L.C.
COO of OP eff.07-01-09Officers Who Do Not Hold Stock
614 West Harrison McAlester, OK 74501
Harper Pamela G.
CEO of OP eff. 07-01-09Officers Who Do Not Hold Stock
9017 N. Yale Ave Sperry, OK 74073
Lietzke Mark
OP EFF. 12/1/2017Operating Entity
9717 East 42nd St. 135 Tulsa, OK 74146
The Oaks Healthcare Center-Poteau, LLC
NH6301 405-275-90041610 North Bryan Avenue Shawnee, OK 74804
The Regency Skilled Nursing and Therapy
Page 242 of 273
Owner NameFacilities Owned
Manager eff 06-10-2013Contracted Management
4415 Highline Blvd., P.O. Box 23017 Oklahoma City, OK 73123
Amity Care Corporation
OP, RE & Manager (Manager/Trustee) eff 06-12-2013
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Manager of OP, RE & Manager eff 06-12-2013
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Dimond Mike
99% of OP, 78% Amity Care eff 06-12-2013
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
100% of Clarity Prop & 48% of Renew eff 06-12-2013
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
OP Eff 06-12-2013Operating Entity
4350 Will Rogers Parkway 380 Oklahoma City, OK 73108
Opshaw, LLC
100% RELessor Or Real Estate Owner
4350 Will Rogers PKWY 300 Oklahoma City, OK 73018
Reshaw, LLC
58% of RE Company - eff 06-12-2013Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Clarity Properties, LLC
42% of RE Company eff 06-12-2013Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Renew, LLC
52% of Renew - Mike Dimond, Trustee eff 06-12-2013
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Stalwart Trust
NH5106 918-683-29145800 West Okmulgee Muskogee, OK 74401
The Springs Skilled Nursing and Therapy
President/Manag.Member of OP/RE/Manager
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Lessor Or Real Estate Owner
2200 NW 50th 126 Oklahoma City, OK 73112
Azaleabrook, L. L. C.
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
78% OP & Amity Care, LLC eff. 10-21-03
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
22% OP & Amity Care, LLC eff.10-21-03
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
SecretaryOfficers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Okc, OK 73108
Diamond Mike
Page 243 of 273
Owner NameFacilities Owned
Operating Entity
4359 Will Rogers Parkway 300 Oklahoma City, OK 73108
Azalea Park Manor, L.L.C.
NH5536 405-341-14332520 South Rankin Edmond, OK 73013
The Timbers Skilled Nursing and Therapy
President/Manag.Member of OP/RE/Manager
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Lessor Or Real Estate Owner
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Timwest, L. L. C.
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
78% OP & Amity Care, LLC eff. 10-21-03
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
22% OP & Amity Care, LLC eff.10-21-03
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
SecretaryOfficers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Okc, OK 73108
Diamond Mike
(UPLMgr.eff 6/30/2017 end 7/15/2020) Operator 7/15/2020
Operating Entity
4350 Will Rogers Parkway 300 Oklahoma, OK 73108
Timberlane Manor, L.L.C.
Manager of UPL 7/15/2020Officers Who Do Not Hold Stock
1908 12th Ave NW E Ardmore, OK 73401
Coble Brett
NH5541 405-478-0531505 East Wilshire Blvd Oklahoma City, OK 73105
The Wilshire Skilled Nursing and Therapy
Manager - OP/RE/Mgt. Co., eff 07/01/19Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Manager - OP/RE/Mgt. CO., eff 07/01/19Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Dimond Mike
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
78% OP & Amity Care, LLC eff. 10-21-03
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
22% OP & Amity Care, LLC eff.10-21-03
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
Page 244 of 273
Owner NameFacilities Owned
Eff 7/1/19Operating Entity
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Wilshire Nursing Home, L.L.C.
58% RE, eff 07/01/19Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Clarity Properties, LLC
42% RE, eff 07/01/19Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Renew Properties, L.L.C.
Lessor Or Real Estate Owner
4350 Will Rogers Parkway 300 OKlahoma City, OK 73108
Rewilshire, LLC
NH5548 405-454-140018501 Northeast 63rd Street Harrah, OK 73045
The Wolfe Living Center at Summit Ridge
Lessor Or Real Estate Owner
4735 NW 63rd Harrah, OK 73132
Summit Ridge Retirement Center
Operating Entity
P.O. Box 32098 Oklahoma City, OK 73123
Wolfe Living Center Association
Chairman of Wolfe Living Center Association eff 09/23/2017
Officers Who Do Not Hold Stock
P.O. Box 32098 Oklahoma City, OK 73123
Shires James
Secretary-Treasurer Wolfe Living Center Assoication eff 09/22/17
Officers Who Do Not Hold Stock
P.O. Box 32098 Oklahoma City, OK 73123
Driver Roger
Vice Chairman Wolfe Living Center Association eff 09/22/2017
Officers Who Do Not Hold Stock
P.O. Box 32098 Oklahoma City, OK 73123
Park Jung-Wook
NH5408 918/650-9393125 East 3rd Street Weleetka, OK 74880
Third (3rd) Place
amended corp. name (fkaProdetik, Inc.) eff 02-05-08
Operating Entity
1201 W. Trudgeon Henryetta, OK 74437
The Reach Corporation
Non-Profit Board President of The Reach Corporation 2019
Officers Who Do Not Hold Stock
PO Box 790 UnionTown, KY 42461
Bailey M. Geoffry
eff. 8-15-07Lessor Or Real Estate Owner
P.O. Box 409 Sturgis, KY 42459
Maricopa Properties, LLC
100% of REStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Maricopa Partners, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Rock River, LLC
Page 245 of 273
Owner NameFacilities Owned
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
MMB, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Lovenest, LLC
30.959% of Rock River, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gary
16.025% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Lisa
32.88% of MMB, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Tim
17.455% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Vicki
29.421% of Lovenest, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Robert
13.957% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Laura
53.016% of Rock River, LLC - 4 children w/13.254% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
4 Irrevocable Trusts
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O.Box 409 Sturgis, KY 42459
Ervin Mallory
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Jade
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Luke
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gabe
49.665% of MMB, LLC - 5 children w/9.933% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
3 Irrevocable Trusts
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Max
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box Sturgis, KY 42459
Linenger Jessica
20% of 3 Irrevocable TrustsStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mitch
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Linenger Jennifer
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Brock
Page 246 of 273
Owner NameFacilities Owned
56.623% of Lovenest, LLC - 7 children w/8.089% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
7 Irrevocable Trusts
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Thea
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugris, KY 42459
Ervin Issac
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugis, KY 42459
Ervin Samuel
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Elijah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Saul
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Micah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mathias
Authority to Sign Application eff 11/1/2019
Officer
1201 W. Trudgeon Henryetta, OK 74437
Ogle Gloria
NH1402 405-794-24282120 North Broadway Moore, OK 73160
Thunder Care and Rehabilitation
100% of BK Strategies Real Estate, LLC/OP Manager EFF 01/08/21
Stockholders/partners -- Not Officers
131 North Broadway Ada, OK 74820
Reed Bart
100% OP EFF 01-08-2021Stockholders/partners -- Not Officers
131 North Broadway Ada, OK 74820
BK Strategies, LLC
100% Moore Hillcrest Real Estate, LLC eff 01/11/2016
Stockholders/partners -- Not Officers
131 North Broadway Ada, OK 74820
BK Strategies Real Estate, LLC
100% RE eff 01/11/2015Lessor Or Real Estate Owner
131 North Broadway Ada, OK 74820
Moore Hillcrest Real Estate, LLC
100% of BK Strategies, L.L.C EFF 01-08-2021
Stockholders/partners -- Not Officers
131 North Broadway Ada, OK 74820
Bart Reed Revocable Trust
OP EFF 01/08/2021Operating Entity
2120 North Broadyway Moore, OK 73160
Thunder Care and Rehabilitation, L.L.C.
Page 247 of 273
Owner NameFacilities Owned
NH3903 918-465-5020900 West Ranchwood Drive Wilburton, OK 74578
Tidwell Living Center
OP eff 12/15/2013 - (Manager 10/01/13-12-15-13)
Operating Entity
225 W. Main Wilburton, OK 74578
Tidwell HealthCare, LLC
RE Owner eff 09/30/2013Lessor Or Real Estate Owner
225 West Main Wilburton, OK 74578
ICP HealthCare, LLC
50% IPC Healthcare & Tidwell Healthcare eff 09/30/2013
Stockholders/partners -- Not Officers
900 Ranchwood Dr Wilburton, OK 74578
Tidwell Melissa
50% of IPC Healthcare & Tidwell Healthcare eff 09/30/2013
Stockholders/partners -- Not Officers
225 W Main St Wilburton, OK 74578
Tidwell Darren
NH2202 580-995-4216619 Speck Vici, OK 73859
Town Of Vici Nursing Home
Operating Entity
619 Speck Vici, OK 73859
Town Of Vici
Mayor- Town of Vici eff 4/28/2020Officer
619 Speck Vici, OK 73859
Longhofer, Mayor Carey
Town of Vici - Member 4/28/2020Officer
,
Worsencroft Joseph Bradley
Town of Vici Vice-Mayor eff 04-28-2020Officer
619 Speck Vici, OK 73859
Peeks Douglas
Town of Vici Broad Member eff 06-22-2017
Officer
619 Speck Vici, OK 73859
Campbell Nick
Town of Vici Broad Member eff 06-22-2017
Officer
619 Speck Vici, OK 73859
Poulson Jason
NH7230 972-899-434410912 East 14th Street Tulsa, OK 74128
Tulsa Nursing Center
45.806% of WR Invest,LP, 100% WR GP eff 02/10/2014
Stockholders/partners Who Are Officers
1500 Waters Ridge Dr 200 Lewisville, TX 75077
Taylor John F.
30.323% of WR Investments, LP Eff 02/10/2014
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Lake Creek Capital Partners, LP
10.7090% of WR Investment, LP eff 02/10/2014
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Fisher James (Jim)
Page 248 of 273
Owner NameFacilities Owned
10.0650% WR Investment, LP eff 02-2014- Authorized Officer
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Pierce Paula
0.1% general partner in Lake Creek Captial Partners, LP
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
20% limited partner in Lake Creek Capital Partners, LP
Stockholders/partners -- Not Officers
1500 Waters Ridge Lewisville, TX 75057
Campbell Scott & Syndney
Lessor Or Real Estate Owner
1500 Waters Ridge Drive 200 Lewisville, TX 75077
TNC Realty, LLC
Subcontracted Managment EFF 6/30/2017
Contracted Management
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Stonegate Senior Living, LLC
UPL Manager eff. 6/30/2017 OP eff. 11/01/2020
Operating Entity
1500 Waters Ridge Drive 200 Lewisville, TX 75077
TNC Operations, LLC
3.0970% of WR Investment, LP, Lake Creek 20% eff 12-2013
Stockholders/partners -- Not Officers
1500 Waters Ridge Dt Lewisville, TX 75057
Taylor John P.
100% of TNC Operations, LLC eff 02/10/2014
Stockholders/partners -- Not Officers
1500 Waters Ridge Dr. 200 Lewisville, TX 75057
Southwest SNF Holdings, LLC
100% of Southwest SNF Holdings, LLC & SW Post Acute Prop 02/2013
Stockholders/partners -- Not Officers
1500 Waters Ridge Dirve 200 Lewisville, TX 75057
WR Investments, LP
General Partner of WR Investments, LP eff 02/10/2014
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
WR Investments GP, Inc.
20% of Lake Creek Capital Partners, LP eff 12-2013
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
Campbell Scott
100% of TNC Realty, LLCStockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, TX 75057
SW Post Acute Properties, LLC (SW PAP)
100% of Stonegate Senior Living, LLC 02/10/2014
Stockholders/partners -- Not Officers
1500 Waters Ridge Drive 200 Lewisville, OK 75057
SGSL Management Holdings, LLC
Mayor/Chairman eff 8/2/2019Officers Who Do Not Hold Stock
PO Box 778 Pauls Valley, OK 73075
Rushing Jocelyn
Councilman/Trustee eff 5/14/2019Stockholders/partners Who Are Officers
PO Box 778 Pauls Valley, OK 73075
Grimmett Patrick
V Mayor & V Chairman eff 5/14/2019Officers Who Do Not Hold Stock
PO Box 778 Pauls Valley, OK 73075
Montgomery-Milligan Shirley
Councilwoman/Trustee eff 5/14/2019Officers Who Do Not Hold Stock
100 W. Paul Pauls Valley, OK 73075
Meisel Veronica
Page 249 of 273
Owner NameFacilities Owned
1500 Waters Ridge Dr. 100 Lewisville, TX 75057
PF TNC SNF Ops, LLC
NH5542 405-286-08352333 Tuscany Blvd Oklahoma City, OK 73120
Tuscany Village Nursing Center
60% Southwest Healthcare Management, Inc.
Stockholders/partners -- Not Officers
9813 S. Penn OKC, OK 73159
McCormick Denver
Contracted Management
9813 S. Penn Okla. City, OK 73159
Southwest Health Care Management, Inc.
40% Southwest Healthcare Management, Inc.
Stockholders/partners -- Not Officers
5413 NW 107th Street Oklahoma City, OK 73162
Dunbar Arlena
25% OP eff. 12-20-06 Denver McCormick, Beneficiary & Trustee
Stockholders/partners -- Not Officers
9813 S. Penn Oklahoma City, OK 73159
Denver McCormick Revocable Trust
25% OP eff. 12-20-06 Linda McCormick, Trustee & Beneficiary
Stockholders/partners -- Not Officers
9813 S. Penn Oklahoma City, OK 73159
Linda McCormick Revocable Trust
25% OP eff. 12-20-06 Arlena Dunbar, Trustee & Beneficiary
Stockholders/partners -- Not Officers
5413 N.W. 107th Okla. City, OK 73162
Arlena Dunbar Revocable Trust
25% OP eff. 12-20-06 Donald Nevard, Beneficiary & Trustee
Stockholders/partners -- Not Officers
5 S.W. 9th Okla. City, OK
Donald Nevard, Revocable Trust
Beneficiary Donald Nevard Revocable Trust
Trustee
4800 N. Lincoln Blvd. Okla. City, OK 73105
Nevard Debra
Donald Nevard Revocable TrustTrustee
4800 N. Lincoln Blvd. Okla. City, OK 73105
Nevard Lisa
Donald Nevard Revocable TrustTrustee
4800 N. Lincoln Blvd. Okla. City, OK 73105
Nevard Michael
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Trustee
4108 Opus Ct. Flower Mound, TX 75022
Pennington Amy
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Beneficiary
2433 Glenoak Dr. Norman, OK 73071
Petrone Alison
Beneficiary of Linda & Denver McCormicks Revocable Trusts
Beneficiary
8594 D East 133 Holdenville, OK 74850
Jones Joshua
Linda McCormick Revocable Trust/Denver McCormick Revocable Trust
Beneficiary
8594 D East 133 Holdenville, OK 74850
Jones Tanner
Benficiary - Arlena Dunbar Revocable Trust
Trustee
5413 NW 107th Okla. City, OK 73159
Dunbar William
Page 250 of 273
Owner NameFacilities Owned
Arlena Dunbar Revocable TrustTrustee
3913 Spyglass Rd. Okla. City, OK 73162
Nard Charlotte
Arlena Dunbar Revocable TrustTrustee
12204 N. Kimberlyn Rd. Okla. City, OK 73162
Dunbar Teresa
Mayor/Chairman, City of Pauls Valley, eff 5/14/19
Officers Who Do Not Hold Stock
PO Box 778 Pauls Valley, OK 73075
Rushing Jocelyn
Member, City of Pauls Valley, eff 6/30/17Member
PO Box 778 Pauls Valley, OK 73075
Grimmett Patrick
Member, City of Pauls Valley, eff 6/30/17Member
PO Box 778 Pauls Valley, Ok 73075
Parrish Michael
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
eff. 11/01/2020Operating Entity
1500 Waters Ridge Dr 100 Lewisville, TX 75057
PF Tuscany SNF Ops, LLC
NH2601 405-381-3363104 Southeast 4th Street Tuttle, OK 73089
Tuttle Care Center
Direct Owner 25% OP/REStockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
Birchwood Health Care Properties, LLC
Indirect Owner 25% OP/REStockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
Dole Isaac
managment 09/01/2015Contracted Management
1518 Legacy Dr. #110 Frisco, TX 75034
Southwest LTC Management Services, LLC
Indirect Owner 54.46% RE/OP,Indirect Owner MGT80%
Stockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, TX 75034
Payne Ronald
Indirect Owner 7.13% RE/OP & Direct Owner 20% Mgt
Stockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, TX 75034
Brashier Craig
direct Owner 75% OP/REStockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, OK 75034
Southwest LTC Oklahoma Holdings,LLC
Indirect Owner 75% OP/REStockholders/partners -- Not Officers
1518 Legacy Dr. 110 Frisco, TX 75034
Southwest LTC, LTD
Direct Owner 80% MGT/Indirect Owner 54.46% RE/OP
Stockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, TX 75034
Ronald R. Payne, P.C.
Indirect Owner 8.99% OP/REStockholders/partners -- Not Officers
5731 Jackson St. Ext C Alexandria, LA 71303
Quality Care Givers, Inc.
Direct Owner 25% OP/REStockholders/partners -- Not Officers
1633 N. Campbell ave Chicago, IL 60647
BHCP OK 3 Sponsor, LLC
Page 251 of 273
Owner NameFacilities Owned
RE EFF 12/01/2015Lessor Or Real Estate Owner
1518 Legacy Drive 110 Frisco, TX 75034
Tuttle LTC Land, LLC
OP EFF 12/1/2015Operating Entity
5560 Tennyson Parkway 210 Plano, TX 75024
Southwest LTC-Tuttle, LLC
NH1101 918-456-61811201 North Vinita Avenue Tahlequah, OK 74464
University Park Skilled Nursing and Therapy Memory Care
President/Manag.Member of OP/RE/Manager
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
President/Manag.Member of OP/RE/Manager
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
President/Manag.Member of OP/RE/Manager
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Lessor Or Real Estate Owner
2200 N.E. 50th Oklahoma City, OK 73112
Cherhomes, L. L. C.
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
78% OP & Amity Care, LLC eff. 10-21-03
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
22% OP and Amity Care, LLC eff.10-21-03
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
SecretaryOfficers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Okc, OK 73108
Diamond Mike
Operating Entity
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
University Northwest Nursing Center, L.L.C.
ManagerOfficers Who Do Not Hold Stock
1908 12th Ave NW E Ardmore, OK 73401
Coble Brett
Manager of University Northwest Nursing Center, LLC
Officers Who Do Not Hold Stock
1908 12th Ave NW E Ardmore, OK 73401
Coble Brett
NH7706 918-650-93931635 East 2nd Street Okmulgee, OK 74447
University Place
amended corp. name (fkaProdetik, Inc.) eff 02-05-08
Operating Entity
1201 W. Trudgeon Henryetta, OK 74437
The Reach Corporation
Page 252 of 273
Owner NameFacilities Owned
Non-Profit Board President of The Reach Corporation 2019
Officers Who Do Not Hold Stock
PO Box 790 UnionTown, KY 42461
Bailey M. Geoffry
eff. 8-15-07Lessor Or Real Estate Owner
P.O. Box 409 Sturgis, KY 42459
Maricopa Properties, LLC
100% of REStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Maricopa Partners, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Rock River, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
MMB, LLC
33.33% of Maricopa Partners, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Lovenest, LLC
30.959% of Rock River, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gary
16.025% of Rock River, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Lisa
32.88% of MMB, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Tim
17.455% of MMB, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Vicki
29.421% of Lovenest, LLCStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Robert
13.957% of Lovenest, LLCStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Laura
53.016% of Rock River, LLC - 4 children w/13.254% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
4 Irrevocable Trusts
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O.Box 409 Sturgis, KY 42459
Ervin Mallory
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Jade
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Luke
25% of 4 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Gabe
49.665% of MMB, LLC - 5 children w/9.933% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
3 Irrevocable Trusts
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Max
Page 253 of 273
Owner NameFacilities Owned
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box Sturgis, KY 42459
Linenger Jessica
20% of 3 Irrevocable TrustsStockholders/partners Who Are Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mitch
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Linenger Jennifer
20% of 3 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Brock
56.623% of Lovenest, LLC - 7 children w/8.089% each
Stockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
7 Irrevocable Trusts
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Thea
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugris, KY 42459
Ervin Issac
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Stugis, KY 42459
Ervin Samuel
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Elijah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Saul
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Micah
14.286% of 7 Irrevocable TrustsStockholders/partners -- Not Officers
P.O. Box 409 Sturgis, KY 42459
Ervin Mathias
Authorized Agent of the Reach Corporation, eff 11/1/2019
Officers Who Do Not Hold Stock
1201 W. Trudgeon Henryetta, OK 74437
Ogle Gloria
Vice -President eff 1/28/2020Officers Who Do Not Hold Stock
1924 Lorraine Ave Allen, TX 75002
Garrett Marvin
Secretary/Treasurer eff 1/28/2020Officers Who Do Not Hold Stock
452 Goose Pond Road Morganfield, KY 42437
Humphrey Brian
NH7231 918-299-26618555 South Lewis Avenue Tulsa, OK 74137
University Village Retirement Community
RE 38%/OP 385/ Managmnt 51% start 0729/2011
Managing Member
2021 S. Lewis Ave. 300 Tulsa, OK 74104
Fail Blake N.
RE 38%/OP 38%/ Managmnt 49% start 0729/2011
Managing Member
2021 S. Lewis Ave. 300 Tulsa, OK 74104
Gawey Matthew R.
Page 254 of 273
Owner NameFacilities Owned
RE 23%/OP 24% start 07/29/2011Stockholders/partners -- Not Officers
8555 S. Lewis Ave Tulsa, OK 74137
Roberts Keith A.
start 07/29/2011Operating Entity
8555 S. Lewis Ave Tulsa, OK 74137
University Village Retirement Community, LLC
start 07/29/2011Contracted Management
8555 S. Lewis Ave Tulsa, OK 74137
Triad Aspen Partners, LLC
NH6804 918-773-5258305 North Thornton Vian, OK 74962
Vian Nursing & Rehab
50% RE/OPManaging Member
P.O. Box 638 Gore, OK 74435
Montgomery Schuyler
50% RE/OPManaging Member
P.O. Box 638 Gore, OK 74435
Montgomery Bobbie
Operating Entity
208 East Fifth Street Gore, OK 74435
Vian Nursing & Rehab, LLC
Lessor Or Real Estate Owner
208 East Fifth Street Gore, OK 74435
Vian Health Services, LLC
NH7228 918-251-26261709 South Main Broken Arrow, OK 74012
Village Health Care Center
100% RE/OPStockholders/partners -- Not Officers
124 S. Elm Place Broken Arrow, OK 74012
Ross LaDonna
100% RE/OPStockholders/partners -- Not Officers
124 S. Elm Place Broken Arrow, OK 74012
Ross LaDonna
Sec/tresOfficers Who Do Not Hold Stock
124 S. Elm Broken Arrow, OK 74012
Owen Jacquelyn D.
Operating Entity
1709 S. Main Broken Arrow, OK 74012
The Village Health Care Center, Inc.
LaDonna Ross Managing Member 100%Lessor Or Real Estate Owner
124 South Elm Place Broken Arrow, OK 74012
The Village Care Center, LLC
NH7302 918-378-2562205 North Lincoln Avenue Wagoner, OK 74467
Wagoner Health & Rehab
Page 255 of 273
Owner NameFacilities Owned
50% Managing Member of Wagoner Care Center,LLC
Stockholders/partners -- Not Officers
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% sole stockholderStockholders/partners -- Not Officers
P.O. Box 726 Stigler, OK 74462
Wagoner Care Center, L.L.C.
Pres of S.M.K of OK,Inc, 50% WCC,LLC, 100% MM OP Eff 10-1-15
Stockholders/partners -- Not Officers
9 Professional Drive Bella Vista, AR 72715
Montgomery Bradford
EFF 10-1-2015Operating Entity
9 PROFESSIONAL DRIVE Bella Vista, AR 72715
Wagoner Health & Rehab, LLC
EFF 4-3-2019Contracted Management
P.O. Box 1009 Gore Oklahoma City, OK 74435
Wagoner Management, LLC
Managing Member to Mgt. EFF 4-3-2019Managing Member
P.O. Box 1009 Gore Oklahoma City, OK 74435
Smith Layne
Managing Member to Mgt. EFF 4-3-2019Managing Member
P.O. Box 1009 Gore Oklahoma City, OK 74435
Smith Brooke
NH6110 918-423-73731001 South George Nigh Expressway McAlester, OK 74502
Walnut Grove Living Center
60% BHCP GP JV 2015, LLC, 7/1/16Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
Birchwood Health Care Properties, LLC
Manager & 100% Mbr, Birchwood HCP LLC& OK4 Manager, LLC 7/1/16
Stockholders/partners Who Are Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
Dole Isaac
Manager 7/1/16Manager
415 US Hwy377 S 200 Argyle, TX 76226
Transition Health Services-OK, LLC
100%Master Lessee (RE) eff 5/8/18Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
OK4 SNF HoldCo, LLC
100% OK4 SNF HoldCo, LLC, 7/1/16Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
OK4 HH/H Master HoldCo, LLC
5% BHCP OK4 HH/H JV, LLC 7/1/16Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
BHCP OK4 HH/H Sponsor, LLC
95% BHCP OK4 HH/H JV, LLC,7/1/16Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
BHCP OK4 HH/H Investors, LLC
70% BHCP OK4 HH/H Sponsor,LLC, eff 5/8/18
Stockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
BHCP GP JV 2015, LLC
Mgr-Applicant,Lessor, OK4 SNF HoldCo,LLC,OK4HH/H Master 7/1/16
Manager
332 S. Michigan Ave. 1100 Chicago, IL 60604
OK4 Manager, LLC
Page 256 of 273
Owner NameFacilities Owned
0-25% OK4 HH/H Master HoldCo, LLC, 7/1/16
Stockholders/partners -- Not Officers
415 US Hwy 377 S 200 Argyle, TX 76226
SBS of OK, LLC
33.33% Member & Manager SBSof OK,LLC&THS-OK,LLC,7/1/16
Stockholders/partners Who Are Officers
415 US Hwy 377 S 200 Argyle, TX 76226
Bates Josh
33.33% Member & Manager SBSof OK,LLC&THS-OK,LLC,7/1/16
Stockholders/partners Who Are Officers
415 US Hwy 377 S 200 Argyle, TX 76226
Shelton Chana
33.33% Member & Manager SBSof OK,LLC&THS-OK,LLC,7/1/16
Stockholders/partners Who Are Officers
415 US Hwy 377 S 200 Argyle, TX 76226
Sims Debra
RE Eff,7/1/16Lessor Or Real Estate Owner
332 S. Michigan Ave. 1100 Chicago, IL 60604
OK4 McAlester RealCo, LLC
OP,Eff 7/1/16 & Sublessee eff,5/8/18Operating Entity
332 S. Michigan Ave. 1100 Chicago, IL 60647
OK4 McAlester OpCo, LLC
Authorized Signatory eff 9-17-2020Officer
1001 S. George Nigh Expy McAlester, OK 74502
Bennett Peggy
NH5515 405-721-54446501 North MacArthur Oklahoma City, OK 73132
Warr Acres Nursing Center
96% of OHI Healthcare Prop EFF 2/1/19Stockholders/partners -- Not Officers
200 International Circle 3500 Hunt Valley, MD 21030
Omega Healthcare Investors, Inc.
100% Aviv Finance II, LLC EFF 2/1/19Stockholders/partners -- Not Officers
,
AVIV Healthcare Properties Operating partnership I, LLC
100% OP EFF 2/1/19Stockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
LEP Holdings, LLC
99% of LEP Holdings, LLC/100% LEP Senior Prop EFF 2/1/19
Stockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
Pilgrim Lee E.
1% of LEP Holdings,LLC EFF 2/1/19Stockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
LEP Senior Properties, Inc.
EFF 06/01/2013Lessor Or Real Estate Owner
303 West Madison St. 2400 Chicago, IL 60606
Oklahoma Warr Wind, L.L.C. (OWW)
100% of RE EFF 2/1/19Stockholders/partners -- Not Officers
,
Aviv Financiing II, LLC
100% of Aviv Healthcare Prop EFF 2/1/19
Stockholders/partners -- Not Officers
,
OHI Healthcare Properties Limited Partnership
EFF 2/1/19Operating Entity
P.O.Box 990 Edmond, OK 73083
Warr Acres Operating, LLC
Page 257 of 273
Owner NameFacilities Owned
NH2501 405-238-5528105 Washington Pauls Valley, OK 73075-5039
Washita Valley Living Center
eff 12-20-01Operating Entity
105 Washington Pauls Valley, OK 73075
Washita Valley Living Center, Inc.
Pres100%OpEnt/50% Member REStockholders/partners Who Are Officers
105 Washington Pauls Valley, OK 73075
Justice Jack
50% RE Managing MemberStockholders/partners -- Not Officers
110 Burr Aveneu Pauls Valley, OK 73075
Justice Julie
Effective 12/28/2007Lessor Or Real Estate Owner
110 Burr Ave Pauls Valley, OK 73075
WVLC Properties, LLC
NH3403 580-228-23631100 North Ash Street Waurika, OK 73573
Westbrook Healthcare, Inc.
100% of Elmbrook Properties, Inc. & President, eff 3/11/19
Stockholders/partners Who Are Officers
1908 12th Ave N.W. E Ardmore, OK 73401
Coble Tom C.
1%Operating Entity
1100 N. Ash Waurika, OK 73573
Westbrook Healthcare, Inc.
100% of OPStockholders/partners -- Not Officers
1908 12th Avenue, NW E Ardmore, OK 73401
Elmbrook Properties, Inc.
RE EFF 10/27/2014Lessor Or Real Estate Owner
16203 Chasemore Spring, TX 77379
Covenant Care Centers, LLC
100% Owner of RE EFF 10/27/2014Stockholders/partners -- Not Officers
16203 Chasemore Springs, TX 77379
Sanborn Ron
Vice-Pres & Director, OP & Elmbrook Properties, Inc.eff 3/11/19
Officers Who Do Not Hold Stock
1908 12th Ave NW E Ardmore, OK 73401
Coble Brett
Sec/Treas & Director OP & Elmbrook Prop Inc.,eff 3/11/19
Officers Who Do Not Hold Stock
1908 12th Ave, NW E Ardmore, OK 73401
Lodes Jason
NH3001 580-735-2415111 Walnut Drive Buffalo, OK 73834
Western Skilled Nursing and Therapy
President/Manag.Member of OP/RE/Manager
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Page 258 of 273
Owner NameFacilities Owned
LessorLessor Or Real Estate Owner
2200 NW 50th 126 Oklahoma City, OK 73112
Rebuffalo, L.L.C.
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
78% OP & Amity Care, LLC eff. 10-21-03
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
22% OP & Amity Care, LLC eff.10-21-03
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
SecretaryOfficers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Okc, OK 73108
Diamond Mike
Operating Entity
4350 Will Rogers Parkway 300 OKC, OK 73108
Western Nursing Home, L.L.C.
Manager of Western Nursing Home, LLCOfficers Who Do Not Hold Stock
1908 12th Ave NW E Ardmore, OK 73401
Coble Brett
NH6006 405-743-11401215 South Western Stillwater, OK 74074
Westhaven Nursing Home
34% N&RWesthaven & Health Systems of Oklahoma eff 01/01/2017
Stockholders/partners Who Are Officers
329 Townepark Circle 100 Louisville, KY 40243
Vinson John
Contracted Management
329 Townepark Circle 100 Louisville, KY 40243
Health Systems of Oklahoma, L.L.C.
eff 10-01-02Operating Entity
1215 S. Western Stillwater, OK 74074
N & R of Westhaven, L.L.C.
Lessor Or Real Estate Owner
200 International Circle 3500 Hunt Valley, MD 21030
CSE Stillwater LLC
CEO of CSE/REStockholders/partners Who Are Officers
,
Pickett Taylor
COO of CSE/REStockholders/partners Who Are Officers
,
Booth Daniel J.
Senior VP of CSE/REStockholders/partners Who Are Officers
,
Crabill, Jr R. Lee
100% Owner of CSE Stillwater LLCStockholders/partners -- Not Officers
200 International Circle 3500 Hunt Valley, MD 21030
Omega Healthcare Investors, Inc.
33% N&R Westhaven & Health Systems of Oklahoma eff 01/01/2017
Stockholders/partners -- Not Officers
329 Townepark Circle Louisville, KY 40243
Vinson, Jr John
33% N&R of Westhaven & Health Systems of Oklahoma eff 01/01/2017
Stockholders/partners -- Not Officers
329 Towepark Circle Louisville, KY 40243
Trumbo Jay H.
Page 259 of 273
Owner NameFacilities Owned
NH4206 405-282-02051900 West Harrison Guthrie, OK 73044
Westview Cottages
100% OP/REStockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Diakonos Group, LLC
99% Diakonos Group, LLCStockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Pilgrim Scott
1% of Diakonos Group, LLCStockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
Servant Living Center Holding Company
EFF 09/01/2015Lessor Or Real Estate Owner
P.O. BOX 990 Edmond, OK 73083
Westview Holding, LLC
EFF 09/01/2015Operating Entity
P.O.Box 990 Edmond, OK 73083
Westview Cottages, LLC
NH4210 405-282-02051902 West Vilas Guthrie, OK 73044
Westview Cottages #4
100% Westview Hollding & Westview Cottages
Stockholders/partners -- Not Officers
PO Box 990 Edmond, OK 73013
Diakonos Group, LLC
99% Diakonos Group eff 09-21-2020Stockholders/partners Who Are Officers
PO Box 990 Edmond, OK 73013
Pilgrim Scott
100% RE Effect 09-21-2020Lessor Or Real Estate Owner
P.O. BOX 990 Edmond, OK 73083
Westview Holding, LLC
OP eff 09-21-2020Operating Entity
P.O.Box 990 Edmond, OK 73083
Westview Cottages, LLC
1% Diakonos GroupStockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
Servant Holding Corporation
NH6705 405-257-33931400 West First Street Wewoka, OK 74884
Wewoka Healthcare Center
100% of BK Strategies, BK Strategies Real Estate, LLC & MGR
Stockholders/partners Who Are Officers
131 North Broadway Ada, OK 74820
Reed Bart
100% Wewoka Healthcare CenterStockholders/partners -- Not Officers
131 North Broadway Ada, OK 74820
BK Strategies, LLC
Page 260 of 273
Owner NameFacilities Owned
100% Wewoka Real Estate, LLCStockholders/partners -- Not Officers
131 North Broadway Ada, OK 74820
BK Strategies Real Estate, LLC
OP eff 7/12/2019Operating Entity
131 North Broadway Ada, OK 7820
Wewoka Healthcare Center, LLC
eff 10/11/2011Lessor Or Real Estate Owner
131 North Broadway Ada, OK 74820
Wewoka Real Estate, LLC
Contracted Managerment Company eff 11-04-2020
Contracted Management
444991 East Loop Road Gore, OK 74435
Springhill Healthcare, LLC
100% Springshills Healthcare, LLCStockholders/partners Who Are Officers
444991 East Loop Road Gore, OK 74435
Montgomery Aubrey
NH1002 580-223-4803111 13th Avenue Northwest Ardmore, OK 73401
Whispering Oaks
100%Stockholders/partners Who Are Officers
P.O. Box 128 Ardmore, OK 73402-0128
Porter Gary L.
Operating Entity
PO Box 128 Ardmore, OK 73402-0128
Premier Health Care, L.L.C.
Contracted Management
PO Box 128 Ardmore, OK 73402-0128
LTC Management Co.
NH5501 405-427-54141913 Northeast 50th Street Oklahoma City, OK 73111
Wildewood Skilled Nursing and Therapy
100% OP effective 6/8/2020Operating Entity
4415 Highline Blvd. Oklahoma City, OK 73108
Sooner Geriatrics, L.L.C.
Manager, RE & Sec/Treasurer, Mgt Company, eff 6/8/2020
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Dimond Mike
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
78% OP & Amity Care, LLC eff. 10-21-03
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
22% OP & Amity Care, LLC eff.10-21-03
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
Lessor Or Real Estate Owner
2200 NW 50th Street 126 Okla. City, OK 73112
33 Real Estate, L.L.C.
Page 261 of 273
Owner NameFacilities Owned
58% of 33 Real Estate, LLCStockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Clarity Properties, LLC
42% REStockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Renew Properties, L.L.C.
Manager, OP & Pres, Mgt Company, eff 6/8/2020
Officers Who Do Not Hold Stock
1908 12th Ave NW E Ardmore, OK 73401
Coble Brett
NH7209 918-747-80083333 East 28th Street Tulsa, OK 74114
Wildwood Care Center, Inc.
15.374%VPStockholders/partners Who Are Officers
66 Cedar Ridge Road Broken Arrow, OK 74011
Thomas Jack
16.135% each OP/REStockholders/partners -- Not Officers
14 Woodward Blvd. Tulsa, OK 74114
Anderson Robert L.
Pres/C.E.O. 26% each OP/REStockholders/partners Who Are Officers
1815 East Skelly Dr. Tulsa, OK 74105
Rucker Ed
15.116% Sec each OP/REStockholders/partners Who Are Officers
2716 East 39th Place Tulsa, OK 74105
Perryman Robert G.
5.433% each OP/REStockholders/partners -- Not Officers
2840 South Columbia Place Tulsa, OK 74114
Dunitz Scott E.
3.396% each OP/REStockholders/partners -- Not Officers
6585 South Yale 500 Tulsa, OK 74136
Bischoff James
3.396% Treasurer each OP/REStockholders/partners -- Not Officers
2452 South Peoria Tulsa, OK 74124
Garrett Robert
13.429% each OP/REStockholders/partners -- Not Officers
66 Cedar Ridge Rod. Broken Arrow, OK 74011
Jack E. Thomas Trust,
9.395% each OP/REStockholders/partners -- Not Officers
P.O. Box 2300 Tulsa, OK 74192
Ceylon S. Lewis, Jr., Trust A,
OP Ent eff 10/4/06Operating Entity
3333 East 28th Street Tulsa, OK 74114
Wildwood Management Company, L.L.C.
beneficary of Genevieve K. Gary Revocable Trust
Beneficiary
11711 South Braden Tulsa, OK 74137
Gary Richard
beneficary of Genevieve K. Gary Revocable Trust
Beneficiary
11711 South Braden Tulsa, OK 74137
Miles Deanna
beneficary of Genevieve K. Gary Revocable Trust
Beneficiary
11711 South Braden Tulsa, OK 74137
Hughes Jenny
beneficary of Genevieve K. Gary Revocable Trust
Beneficiary
11711 South Braden Tulsa, OK 74137
Rucker Edward
Page 262 of 273
Owner NameFacilities Owned
beneficary of Ceylon S. Lewis, Jr. Trust A
Beneficiary
,
Lewis Corinne H.
beneficary of Ceylon S. Lewis, Jr. Trust A
Beneficiary
,
Lorenz Sarah Lee
beneficary of Ceylon S. Lewis, Jr. Trust A
Beneficiary
,
Lewis, III C. S.
beneficary of Ceylon S. Lewis, Jr. Trust A
Beneficiary
,
Kast Carol D.
beneficary of Jack E. Thomas TrustBeneficiary
66 Cedar Ridge Road Tulsa, OK 74012
Thomas Betty J.
beneficary of Jack E. Thomas TrustBeneficiary
66 Cedar ridge Road Tulsa, OK 74012
Meek Mary Jean
beneficary of Jack E. Thomas TrustBeneficiary
66 Cedar Ridge Road Tulsa, OK 74012
Thomas Randall E.
beneficary of Jack E. Thomas TrustBeneficiary
66 Cedar Ridge Road Tulsa, OK 74012
Waggenblatt Deborah Lynn
4.157%Stockholders/partners -- Not Officers
5727 S. Lewis Tulsa, OK 74105
Genevieve K. Gary, Trust Bank of Oklahoma, Trustee
.998000% Secretary, C.O.O.Stockholders/partners Who Are Officers
1815 E. Skelly Dr. Tulsa, OK 74105
Pope Robert
NH6905 580-252-39551205 South 4th Street Duncan, OK 73533
Wilkins Health and Rehabilitation Community
President 75%, eff. 10-1-13Stockholders/partners Who Are Officers
2400 W. Camelback Duncan, OK 73553
Wilkins Tony
Sec/TreasOfficers Who Do Not Hold Stock
4845 Odom Duncan, OK 73553
Wilkins Melanie
5%Stockholders/partners -- Not Officers
3612 Rolling Lane Midwest City, OK 73110
Allen David
Operating Entity
1205 South 4th Street Duncan, OK 73533
Duncan Health Care, Inc.
20% eff. 11-1-91Stockholders/partners Who Are Officers
3434 S.E. Kentucky Place Bartlesville, OK 74006
Brown Jim
Page 263 of 273
Owner NameFacilities Owned
NH4201 405-282-16862300 West Noble Guthrie, OK 73044
Willow Creek Health Care
100% of OPStockholders/partners Who Are Officers
2300 W. Noble Guthrie, OK 73044
Coles Nursing Home, L.L.C.
8% Mbr HMLC, LLCStockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Golden Age Nursing Home Of Guthrie, Inc.(GAN)
Trustee-Mary Lou Chappell Trust; Mbr HMLC, LLC eff 04/18/2012
Stockholders/partners Who Are Officers
Box 1095 Guthrie, OK 73044
Chappell Mary Lou
2% Mbr HMLC, LLCStockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Perry Green Valley Nursing Home, Inc.(PGV)
4% Mbr HMLC, LLCStockholders/partners -- Not Officers
PO Box 1095 Guthrie, OK 73044
Stilwell Nursing Home, Inc.(SNH)
Lessor Or Real Estate Owner
P.O. Box 1095 Guthrie, OK 73044
Bradford Square Properties, L.L.C. Bradford Square Properties, LLC
Manager of RE/OP EFF 05-20-2014 & Ben Chappell Succession Trust
Officers Who Do Not Hold Stock
P.O. Box 1095 Guthrie, OK 73044
Chappell Jeff
President of GAN,PGV,SNH; Mrg of HMLC,LLC
Officers Who Do Not Hold Stock
P.O. Box 1095 Guthrie, OK 73044
Hastings Tandie
eff. 01-01-2010Operating Entity
PO Box 1095 Guthrie, Ok 73044
Willow Creek Health Care, L.L.C.
100% Coles NH LLC (OP) & RE, eff 04/18/12
Stockholders/partners -- Not Officers
PO Box 1095 Guthrie, OK 73044
HMLC, LLC
Mrg of HMCL, LLC, Trustee Chappell 2012 Succession Trust & Ben.
Officers Who Do Not Hold Stock
PO Box 1095 Guthrie, OK 73044
Chappell Hollie "Joe"
76% Mbr HMLC, LLC eff 04/18/2012Stockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Chappell 2012 Succession Trust dated 1/3/2012
10% Mbr HMLC, LLC 100% SNH, PGVNH & GANH
Stockholders/partners -- Not Officers
P.O. Box 1095 Guthrie, OK 73044
Mary Lou Chappell Trust
Chappel Succession Trust dated 1/3/2012Beneficiary
,
Chappell Jon D.
Chappell Succession Trust dated 1/3/2012Beneficiary
,
Crockett Mary Janice
NH3602 580-628-25291301 North 5th Street Tonkawa, OK 74653
Willow Haven
Page 264 of 273
Owner NameFacilities Owned
Lessor Or Real Estate Owner
805 Avenue L Brooklyn, NY 11230
1340 East 9th Street Realty Corp.
50% owner in REStockholders/partners Who Are Officers
805 Avenue L Brooklyn, NY 11230
Pinter Fagie
50% owner in REStockholders/partners Who Are Officers
805 Avenue L Brooklyn, NY 11230
Pinter Samuel
eff 07/15/2009Operating Entity
8627 S. 90th Street Tulsa, OK 74133
Ila Seaton, LLC, as Receiver, CJ-06-201 Sequoyah County
100% Managing Member of Illa Seaton, LLC
Stockholders/partners Who Are Officers
8627 S. 90th Street Tulsa, OK 74133
Seaton Illa
NH1607 580-536-12797019 Northwest Cache Road Lawton, OK 73505
Willow Park Health Care Center
Indirect Owner 25% OP/REStockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
Birchwood Health Care Properties, LLC
Indirect Owner 25% OP/REStockholders/partners -- Not Officers
332 S. Michigan Ave. 1100 Chicago, IL 60604
Dole Isaac
managment 09/01/2015Contracted Management
1518 Legacy Dr. #110 Frisco, TX 75034
Southwest LTC Management Services, LLC
Indirect Owner 54.46% RE/OP,Indirect Owner MGT80%
Stockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, TX 75034
Payne Ronald
Direct Owner 20% MGT, Indirect Owner 7.13% OP/RE
Stockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, TX 75034
Brashier Craig
Direct owner 75% OP/REStockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, OK 75034
Southwest LTC Oklahoma Holdings,LLC
Indirect Owner 75% OP/REStockholders/partners -- Not Officers
1518 Legacy Dr. 110 Frisco, TX 75034
Southwest LTC, LTD
Direct Owner 80% MGT/Indirect Owner 54.46% RE/OP
Stockholders/partners -- Not Officers
1518 Legacy Drive 110 Frisco, TX 75034
Ronald R. Payne, P.C.
Indirect Owner 8.99% OP/REStockholders/partners -- Not Officers
5731 Jackson St. Ext C Alexandria, LA 71303
Quality Care Givers, Inc.
Direct Owner 25% OP/REStockholders/partners -- Not Officers
1633 N. Campbell ave Chicago, IL 60647
BHCP OK 3 Sponsor, LLC
RE EFF 12/1/2015Lessor Or Real Estate Owner
1518 Legacy Drive 110 Frisco, TX 75034
Lawton LTC Land, LLC
OP EFF 12/1/2015Operating Entity
5560 Tennyson Parkway 210 Plano, TX 75024
Southwest LTC- Lawton, LLC
Page 265 of 273
Owner NameFacilities Owned
NH3203 405-452-3271620 South Alabama Wetumka, OK 74883
Willow Place
President/Beneficiary of Family TrustTrustee
P.O. Box 488 Weleetka, OK 74880
Adkins Gerrol Dean
Secretary/Beneficiary of Family TrustTrustee
P.O. Box 488 Weleetka, OK 74880
Adkins Arbret June
Lessor Or Real Estate Owner
P.O. Box 488 Wetumka, OK 74880
Pioneer Nursing Home Of Hughes County, Inc.
Beneficiary eff.12/31/12Beneficiary
319 West 9th St. Weleetka, OK 74880
Majors Cynthia
Beneficiary eff.12/31/12Beneficiary
319 West 9th St Weleetka, OK 74880
Simmons Donna Renee
52% RE and 100% manag. member of Business Trust
Stockholders/partners -- Not Officers
P.O. Box 488 Weleetka, OK 74880
Gerrol Dean Adkins & Arbret June Adkins Family Trust (GDA/AJA)
100% OP manag. memberManaging Member
P.O. Box 488 Weleetka, OK 74880
Willow Place Revocable Business Trust
eff. 1-1-07Operating Entity
622 South Alabama Wetumka, OK 74883
Willow Place Living Center, LLC
16% RE eff 12/31/12Stockholders/partners -- Not Officers
Rt 1 Box 121A Weleetka, OK 74880
Gerrol Dean Adkins II Irrevocable Trust dated 12/28/12
16% RE eff 12/31/12Stockholders/partners -- Not Officers
Rt 1 Box 121A Weleekta, OK 74880
Cynthia Denise Majors Irrevocable Trust dated 12/28/12
16% RE eff 12/31/12Stockholders/partners -- Not Officers
Rt 1 Box 121A Weleetka, OK 74880
Donna Renee Simmons Irrevocable Trust dated 12/28/12
Trustee eff 12/31/12Trustee
523 W. Main Henryetta, OK 74437
Palmer, C.P.A. Reginald
NH1007 580-668-2337867 US Highway 70A Wilson, OK 73463
Wilson Nursing Center
50%PresLessor Or Real Estate Owner
203 Thomas Healdton, OK 73438
McNeill Glyn
50%SecTreasLessor Or Real Estate Owner
203 Thomas Healdton, OK 73438
McNeill Ruth Ann
eff 4/20/04Operating Entity
8 N.W. 8th Street Healdton, OK 73438
Court Appointed Receiver, Tom McNeill/Equity Funding, LLC
Page 266 of 273
Owner NameFacilities Owned
Lessor Or Real Estate Owner
PO Box 856 Healdton, OK 73438
Tricare, LLC
NH5804 918-540-23002530 North Elm Street Miami, OK 74354
Windridge Nursing and Rehabilitation Center
12.535047% of Okla. Nursing Home, Inc. (Mgmt Co.)
Stockholders/partners -- Not Officers
P.O. Box 2230 Waldron, AR 72958
Watts Fred
10.89800%Contracted Management
210 E. Choctaw, P.O. Box 429 Sallisaw, OK 74955-0429
Oklahoma Nursing Homes, Ltd. (ONH,Ltd.)
8.314% OP & Mgr./ 8.4112% RE/ 9.401287% Okla. Nurs. Homes, Inc.
Stockholders/partners -- Not Officers
P.O. Box 40 Sallisaw, OK 74955
Cheek Barnie J.
8.314% OP & ONH,Ltd./8.4112% REStockholders/partners -- Not Officers
3520 East 110th Place Tulsa, OK 74137
Sandra Cheek Farmer Trust (SCFT)
5.834% OP&ONH,Ltd/5.9190% mgr RE/6.597394% & Sec ONH,Inc.
Stockholders/partners Who Are Officers
4814 S. 164th East Ave. Tulsa, OK 74134
Haskins Lloyd
RE 5.9746%, OP 5.893Stockholders/partners -- Not Officers
103708 S 4627 Road Sallisaw, OK 74955
Watts Beneficiaries Trust (WBT) Sharon Rhodes
14.022%OP&ONH,Ltd/14.2078%RE/21.936335% & VP ONH,Inc
Stockholders/partners -- Not Officers
Box 856 Miami, OK 74355
Tubbs Steven
5.376% OP & ONH,Ltd / 5.4406% REStockholders/partners -- Not Officers
3350 McCue Road #2002 Houston, TX 77056
Tubbs, Jr. Stanley I.
5.542% OP&ONH,Ltd/ 5.6186% RE/ 6.267525% ONH,Inc
Stockholders/partners -- Not Officers
416 Fairway Dr. Athens, TX 75751
Estep Pat
2.771% OP & Mgmt. / 2.8037% REStockholders/partners -- Not Officers
1500 West Elm Stroud, OK 74079
Julie Kay Bivin Revocable Trust (JKBRT)
5.135% OP & ONH,Ltd/ RE 5.2207%Stockholders/partners -- Not Officers
6708 South 256th East Avenue Broken Arrow, OK 74014
Caroyln D. Leaverton Revocable Trust
2.771% OP & ONH,Ltd/ 2.8037% REStockholders/partners -- Not Officers
894 Morrow Drive/ PO Box 417 Langley, OK 74350
Dr. William R. VanDeLinder Trust (DWVT)
RE 2.8037%, OP 2.771%Stockholders/partners -- Not Officers
3808 NW Marquess Drive Bentonville, AR 72712
Lynn M. Yowell Trust
11.0454%RELessor Or Real Estate Owner
210 East Choctaw Sallisaw, OK 74955
Midwest Nursing Homes, LLC (MNHLLC)
2.771% Mgmt. / 2.8038% REStockholders/partners -- Not Officers
621 N Robinson 100 Oklahoma City, OK 73102
Heritage Trust Company Richard Armstrong Trust (RAT) C/O Matt McGuire
Contracted Management Compancy OP 1.219% & Mgmt Co 9.401287%
Contracted Management
P.O. Box 400 Sallisaw, OK 74955
Oklahoma Nursing Homes, Inc. General Partner (ONH,Inc)
Page 267 of 273
Owner NameFacilities Owned
9.401287% ONH Inc.&2.771% ONH,LtdStockholders/partners -- Not Officers
2802 W. Country Club Dr. Oklahoma City, OK 73116
Armstrong Richard James
2.079% OP & ONH,Ltd / 2.1028% REStockholders/partners -- Not Officers
P.O. Box 173 Gore, OK 74435
Ferguson Debra M.
5.556% OP&ONH,Ltd/5.5630%RE/5.657265%&Treas ONH,Inc
Stockholders/partners -- Not Officers
607 Mayo Street Sallisaw, OK 74955
McGrew Justin
2.771% OP & ONH,Ltd/ 2.8038% REStockholders/partners -- Not Officers
HCR 68 Box 1260 Vian, OK 74962
Armstrong Sally
RE 0.70095% & 0.69275% OP & MgmtStockholders/partners -- Not Officers
1405 E. Seattle St. Broken Arrow, OK 74012
Heath Armstrong VanDeLinder Trust (HAVT)
RE 0.70095% & 0.69275% OP & Mgmt Ben. MMMVT
Stockholders/partners -- Not Officers
5727 South Lewis Ave 800 Tulsa, OK 74105
BOKF Trustee/M Huigens Meredith Margaret Marie VanDeLinder Trust (MMMVT)
0.69275%OP&ONHLtd/.70095%REStockholders/partners -- Not Officers
8 Dinton Circle Bella Vista, AR 72714
Nicolas Edmund VanDeLinder Trust (NEVT)
0.69275%OP&ONHLtd/.70095%REStockholders/partners -- Not Officers
8 Dinton Circle Bella Vista, AR 72714
Nicolas Edmund VanDeLinder Trust (NEVT)
0.69275% OP&OHNLtd/.70095% REStockholders/partners -- Not Officers
2116 Whitney Lane McKinney, TX 75070
William Glen VanDelinder Trust (WGVT)
10.898% Miami Healthcare, LLC (OP) EFF 3-1-2019
Operating Entity
210 East Choctaw Sallisaw, OK 74955
Miami Healthcare, LLC
RE 5.2626% & OP 5.192%Stockholders/partners -- Not Officers
103708 South 4627 Road Sallisaw, OK 74955
Estate of Cleo Watts
NH5516 405-942-85662416 North Ann Arbor Oklahoma City, OK 73127
Windsor Hills Nursing Center
96% of OHI Healthcare Prop EFF 2/1/19Stockholders/partners -- Not Officers
200 International Circle 3500 Hunt Valley, MD 21030
Omega Healthcare Investors, Inc.
100% Aviv Finance II, LLC EFF 2/1/19Stockholders/partners -- Not Officers
,
AVIV Healthcare Properties Operating partnership I, LLC
100% OP EFF 2/1/19Stockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
LEP Holdings, LLC
99% of LEP Holdings, LLC/100% LEP Senior Prop EFF 2/1/19
Stockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
Pilgrim Lee E.
1% of LEP Holdings,LLC EFF 2/1/19Stockholders/partners -- Not Officers
P.O. Box 990 Edmond, OK 73083
LEP Senior Properties, Inc.
Page 268 of 273
Owner NameFacilities Owned
EFF 06/01/2013Lessor Or Real Estate Owner
303 West Madison St. 2400 Chicago, IL 60606
Oklahoma Warr Wind, L.L.C. (OWW)
100% of RE EFF 2/1/19Stockholders/partners -- Not Officers
,
Aviv Financiing II, LLC
100% of Aviv Healthcare Prop EFF 2/1/19
Stockholders/partners -- Not Officers
,
OHI Healthcare Properties Limited Partnership
EFF 2/1/19Operating Entity
PO Box 990 Edmond, OK 73083
Windsor Hills Operating LLC
NH7232 918-252-25215707 South Memorial Tulsa, OK 74145
Woodland Park Home, Inc.
Trustee of Jack Thomas Trust & VP of Woodland Park Management Co
Officer
66 Cedar Ridge Road Broken Arrow, OK 74011
Thomas Jack
9.818%Stockholders/partners -- Not Officers
2300 Riverside Dr. 8F Tulsa, OK 74114
C.S. Lewis Living Trust, Bank of Oklahoma
Pres/C.E.O. Woodland Park Management Co.
Stockholders/partners Who Are Officers
1815 East Skelly Dr. Tulsa, OK 74105
Rucker Ed
Sec 14.289% each OP/REStockholders/partners Who Are Officers
2716 East 39th Place Tulsa, OK 74105
Perryman Robert G.
3.755% each OP/REStockholders/partners -- Not Officers
2840 South Columbia Place Tulsa, OK 74114
Dunitz Scott E.
2.261% each OP/REStockholders/partners -- Not Officers
6585 South Yale 500 Tulsa, OK 74136
Bischoff James
Treasurer 2.261% each OP/REStockholders/partners -- Not Officers
2452 South Peoria Tulsa, OK 74124
Garrett Robert
9.387% each OP/REStockholders/partners -- Not Officers
6733 South Gary Tulsa, OK 74136
Alexander Marjorie
9.817% Woodland Park Management Co eff 11-18-2016
Stockholders/partners -- Not Officers
66 Cedar Ridge Rod. Broken Arrow, OK 74011
Jack E. Thomas Trust,
9.817% each OP/REStockholders/partners -- Not Officers
P.O. Box 2300 Tulsa, OK 74192
Ceylon S. Lewis, Jr., Trust A,
Op Ent /RE eff 07/1/2014Operating Entity
5707 South Memorial Drive Tulsa, OK 74145
Woodland Park Management Company, L.L.C.
beneficary of Genevieve K. Gary Revocable Trust
Beneficiary
11711 South Braden Tulsa, OK 74137
Gary Richard
beneficary of Genevieve K. Gary Revocable Trust
Officers Who Do Not Hold Stock
11711 South Braden Tulsa, OK 74137
Miles Deanna
Page 269 of 273
Owner NameFacilities Owned
beneficary of Genevieve K. Gary Revocable Trust
Beneficiary
11711 South Braden Tulsa, OK 74137
Hughes Jenny
beneficary of Genevieve K. Gary Revocable Trust
Beneficiary
11711 South Braden Tulsa, OK 74137
Rucker Edward
beneficary of Ceylon S. Lewis, Jr. Trust A
Beneficiary
,
Lewis Corinne H.
beneficary of Ceylon S. Lewis, Jr. Trust A
Beneficiary
,
Lorenz Sarah Lee
beneficary of Ceylon S. Lewis, Jr. Trust A
Beneficiary
,
Lewis, III C. S.
beneficary of Ceylon S. Lewis, Jr. Trust A
Beneficiary
,
Kast Carol D.
beneficary of Jack E. Thomas TrustBeneficiary
66 Cedar Ridge Road Tulsa, OK 74012
Thomas Betty J.
beneficary of Jack E. Thomas TrustBeneficiary
66 Cedar ridge Road Tulsa, OK 74012
Meek Mary Jean
beneficary of Jack E. Thomas TrustBeneficiary
66 Cedar Ridge Road Tulsa, OK 74012
Thomas Randall E.
beneficary of Jack E. Thomas TrustBeneficiary
66 Cedar Ridge Road Tulsa, OK 74012
Waggenblatt Deborah Lynn
Ceylon S.Lewis, Jr. Trust A, eff. 10/4/06Trustee
PO Box 23000 Tulsa, OK 74192
Bank of Oklahoma, N.A.
1% & Secretary/COO Woodland Park Management Co
Stockholders/partners Who Are Officers
1815 E. Skelly Dr. Tulsa, OK 74105
Pope Robert
35.798% Woodland Park Management Co, LLC
Stockholders/partners -- Not Officers
1815 East Skellly Drive Tulsa, OK 74105
ED & Kim Rucker Trust 06/30/2014
8.982% Woodland Park Management Co, LLC
Stockholders/partners -- Not Officers
16221 Wynncrest Ridge Court Wildwood, MO 63005
Jenny A. Hughes Rev. Trust
Beneficiary of ED and Kim Rucker TrustBeneficiary
1815 East Skelly Drive Tulsa, OK 74105
Rucker Benjamin
Beneficiary of Ed & Kim Rucker TrustBeneficiary
1815 East Skelly Drive Tulsa, OK 74105
Rucker Sarah
Beneficiary Jenny A. Hughes Rev. TrustBeneficiary
16221 Wynncrest Ridge Court Wildwood, MO 63005
Reichardt Diane
Beneficiary Jenny A. Hughes Rev. TrustBeneficiary
16221 Wynncrest Ridge Court Wildwood, MO 63005
Rainey Kathleen
Page 270 of 273
Owner NameFacilities Owned
NH5608 918-756-19671701 East 6th Street Okmulgee, OK 74447
Woodlands Skilled Nursing and Therapy
100% RE OP MgrManaging Member
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
1% OPStockholders/partners -- Not Officers
Box 23017 Oklahoma City, OK 73123
E. C. Properties, Inc.
PropertyLessor Or Real Estate Owner
1915 Parkview Dr. Okmulgee, OK 74447
Diversified Investments
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
99% OP 78% MgtStockholders/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
22% OP & Amity Care, LLC eff.10-21-03
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
0% RE OP MgmtContracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Diamond Mike
PropertyLessor Or Real Estate Owner
4850 Will Rogers Parkway 300 Oklahoma City, OK 73108
Okmulgee Real Estate, L.L.C.
Operating Entity
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Rebold Manor, L.L.C.
NH1008 580-226-54541630 3rd Avenue Northeast Ardmore, OK 73401
Woodview Home, Inc.
Operating Entity
1630 3rd Ave N E Ardmore, OK 73401
Woodview Home, Inc.
100% of Elmbrook Properties, Inc. & President, eff 3/11/19
Stockholders/partners Who Are Officers
1908 12th Ave N.W. E Ardmore, OK 73401
Coble Tom C.
100% OpEntStockholders/partners -- Not Officers
1908 12th Avenue, NW E Ardmore, OK 73401
Elmbrook Properties, Inc.
Vice-Pres & Director, OP & Elmbrook Properties, Inc.eff 3/11/19
Officers Who Do Not Hold Stock
1908 12th Ave NW E Ardmore, OK 73401
Coble Brett
Sec/Treas & Director OP & Elmbrook Prop Inc.,eff 3/11/19
Officers Who Do Not Hold Stock
1908 12th Ave, NW E Ardmore, OK 73401
Lodes Jason
Page 271 of 273
Owner NameFacilities Owned
NH7703 580-256-6448429 E Downs Avenue Woodward, OK 73801
Woodward Skilled Nursing and Therapy
President/Manag.Member of OP/RE/Manager
Officers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Greiner Don
Lessor Or Real Estate Owner
2200 NW 50th 126 Oklahoma City, OK 73112
Wilwood, L.L.C.
Contracted Management
4350 Will Rogers Parkway 300 Okc, OK 73108
Amity Care, L.L.C.
78% OP & Amity Care, LLC eff. 10-21-03
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
22% OP & Amity Care, LLC eff.10-21-03
Stockholders/partners -- Not Officers
4350 Will Rogers Parkway 300 Okc, OK 73108
Don Greiner Trust, Don Greiner Trustee
SecretaryOfficers Who Do Not Hold Stock
4350 Will Rogers Parkway 300 Okc, OK 73108
Diamond Mike
Operating Entity
4350 Will Rogers Parkway 300 Oklahoma City, OK 73108
Woodward Nursing Center, L.L.C.
NH5112 918-682-6724500 South York Muskogee, OK 74403
York Manor Nursing Home
100% UPL Manager EFF 11-30-2017Stockholders/partners -- Not Officers
1305 Southeast Adams Street Idabel, OK 74745
Heartway Corporation
Secretary Board of Directors eff 11-5-14Officers Who Do Not Hold Stock
2202 Sunset Ridge Muskogee, OK 74403
Black Vletta (Kathy)
VP Board of DirectorsOfficers Who Do Not Hold Stock
1302 S. Lynn Lane Idabel, OK 74745
Salyer Dr. Thomas W.
Director, Board of DirectorsOfficers Who Do Not Hold Stock
810 W. Adams Street Broken Arrow, OK 74728
Darby, Jr Pastor Charles L. (Chuck)
President, Board of Directors eff 11-5-14Officers Who Do Not Hold Stock
13490 Old Livingston Road Naples, FL 34109-3855
Carter Daniel E.
Treasurer, Board of Directors Eff 11-5-2014
Officers Who Do Not Hold Stock
13490 Old Livingston Road Naples, FL 34109
Barton Blaine
UPL Reversion EFF 4/1/2019Operating Entity
1305 SE Adams Idabel, OK 74745
Heartway Corporation
RE EFF 4-1-2019Lessor Or Real Estate Owner
3000 North Street Muskogee, OK 74403
Muskogee County Economic Development Authority
Page 272 of 273
Owner NameFacilities Owned
EFF 4-1-2019 REOfficers Who Do Not Hold Stock
,
Doke Ken
EFF 4-1-2019 REOfficers Who Do Not Hold Stock
,
Wright Stephen
EFF 4-1-2019 REOfficers Who Do Not Hold Stock
,
Payne Kenny
Page 273 of 273