9999999995-14-002610.txt : 20140827 9999999995-14-002610.hdr.sgml : 20140827 20140827001529 ACCESSION NUMBER: 9999999995-14-002610 CONFORMED SUBMISSION TYPE: EFFECT PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20140826 DATE AS OF CHANGE: 20140827 EFFECTIVENESS DATE: 20140826 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (WV) Danville, LLC CENTRAL INDEX KEY: 0001613467 IRS NUMBER: 471084194 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-08 FILM NUMBER: 141066402 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Cedar Rapids LLC CENTRAL INDEX KEY: 0001499006 IRS NUMBER: 205884941 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-266 FILM NUMBER: 141066411 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Augusta LLC CENTRAL INDEX KEY: 0001498679 IRS NUMBER: 205885921 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-276 FILM NUMBER: 141066422 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Amarillo LLC CENTRAL INDEX KEY: 0001498676 IRS NUMBER: 205862752 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-278 FILM NUMBER: 141066424 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Colonial Gardens, LLC CENTRAL INDEX KEY: 0001350215 IRS NUMBER: 260110549 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-281 FILM NUMBER: 141066428 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bayside Colorado Healthcare Associates, Inc. CENTRAL INDEX KEY: 0001294378 IRS NUMBER: 383517837 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-287 FILM NUMBER: 141066434 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: 2425 Teller Avenue, LLC CENTRAL INDEX KEY: 0001555850 IRS NUMBER: 205672217 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-295 FILM NUMBER: 141066443 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Texas Lessor - Stonegate GP, Inc. CENTRAL INDEX KEY: 0001294554 IRS NUMBER: 320008071 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-34 FILM NUMBER: 141066450 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Skyler Maitland LLC CENTRAL INDEX KEY: 0001499140 IRS NUMBER: 203888672 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-39 FILM NUMBER: 141066455 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pensacola Real Estate Holdings I, Inc. CENTRAL INDEX KEY: 0001613436 IRS NUMBER: 471112048 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-46 FILM NUMBER: 141066462 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset, LLC CENTRAL INDEX KEY: 0001294479 IRS NUMBER: 320079270 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-56 FILM NUMBER: 141066472 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset HUD WO, LLC CENTRAL INDEX KEY: 0001553375 IRS NUMBER: 452379675 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-64 FILM NUMBER: 141066480 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: (410) 427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (TN) Bartlett, LLC CENTRAL INDEX KEY: 0001613591 IRS NUMBER: 464727889 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-67 FILM NUMBER: 141066483 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (SC) Pickens Rosemond, LLC CENTRAL INDEX KEY: 0001613583 IRS NUMBER: 464629569 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-72 FILM NUMBER: 141066488 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (SC) Greenville Griffith, LLC CENTRAL INDEX KEY: 0001613535 IRS NUMBER: 464510885 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-81 FILM NUMBER: 141066497 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI (Indiana), Inc. CENTRAL INDEX KEY: 0001294437 IRS NUMBER: 383568359 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-165 FILM NUMBER: 141066510 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Leatherman Partnership 89-2, Inc. CENTRAL INDEX KEY: 0001350224 IRS NUMBER: 341656491 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-172 FILM NUMBER: 141066518 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Florida Real Estate Company, LLC CENTRAL INDEX KEY: 0001499130 IRS NUMBER: 201458431 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-182 FILM NUMBER: 141066529 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Desert Lane LLC CENTRAL INDEX KEY: 0001499616 IRS NUMBER: 203098022 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-187 FILM NUMBER: 141066534 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Whitehouse LLC CENTRAL INDEX KEY: 0001499125 IRS NUMBER: 208294979 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-194 FILM NUMBER: 141066542 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE The Village LLC CENTRAL INDEX KEY: 0001499115 IRS NUMBER: 205186550 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-198 FILM NUMBER: 141066546 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Ripon LLC CENTRAL INDEX KEY: 0001499107 IRS NUMBER: 260480886 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-208 FILM NUMBER: 141066557 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Piggott LLC CENTRAL INDEX KEY: 0001498665 IRS NUMBER: 205883659 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-215 FILM NUMBER: 141066565 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Orlando-Pinar Terrace Manor LLC CENTRAL INDEX KEY: 0001498662 IRS NUMBER: 205863043 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-218 FILM NUMBER: 141066568 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Lowell LLC CENTRAL INDEX KEY: 0001498654 IRS NUMBER: 205885381 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-227 FILM NUMBER: 141066578 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Lenoir L.P. CENTRAL INDEX KEY: 0001499122 IRS NUMBER: 205888528 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-232 FILM NUMBER: 141066584 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Las Vegas LLC CENTRAL INDEX KEY: 0001499101 IRS NUMBER: 205887216 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-234 FILM NUMBER: 141066586 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Jefferson City LLC CENTRAL INDEX KEY: 0001498700 IRS NUMBER: 208295101 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-244 FILM NUMBER: 141066597 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Green Bay LLC CENTRAL INDEX KEY: 0001498693 IRS NUMBER: 205888029 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-251 FILM NUMBER: 141066605 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Denver Iliff LLC CENTRAL INDEX KEY: 0001499001 IRS NUMBER: 208037772 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-260 FILM NUMBER: 141066615 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Chesterton LLC CENTRAL INDEX KEY: 0001498689 IRS NUMBER: 205885195 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-263 FILM NUMBER: 141066618 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Beech Grove, LLC CENTRAL INDEX KEY: 0001613552 IRS NUMBER: 461000956 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-137 FILM NUMBER: 141066623 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (AR) Walnut Ridge, LLC CENTRAL INDEX KEY: 0001613543 IRS NUMBER: 463751920 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-154 FILM NUMBER: 141066632 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (AR) Malvern, LLC CENTRAL INDEX KEY: 0001613471 IRS NUMBER: 463719491 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-158 FILM NUMBER: 141066636 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (MS) Byhalia, LLC CENTRAL INDEX KEY: 0001613513 IRS NUMBER: 464298734 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-106 FILM NUMBER: 141066645 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (UT) Roy, LLC CENTRAL INDEX KEY: 0001613614 IRS NUMBER: 464931511 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-14 FILM NUMBER: 141066657 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Seymour, LLC CENTRAL INDEX KEY: 0001613494 IRS NUMBER: 464133715 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-117 FILM NUMBER: 141066667 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Noblesville, LLC CENTRAL INDEX KEY: 0001613492 IRS NUMBER: 461103366 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-120 FILM NUMBER: 141066671 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Jasper, LLC CENTRAL INDEX KEY: 0001613562 IRS NUMBER: 464100999 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-125 FILM NUMBER: 141066676 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (MS) Picayune, LLC CENTRAL INDEX KEY: 0001613428 IRS NUMBER: 901036523 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-95 FILM NUMBER: 141066687 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset CSE - E, LLC CENTRAL INDEX KEY: 0001499135 IRS NUMBER: 271675861 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-05 FILM NUMBER: 141066399 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (MS) Grenada, LLC CENTRAL INDEX KEY: 0001613423 IRS NUMBER: 464376223 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-100 FILM NUMBER: 141066405 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (MS) Columbia, LLC CENTRAL INDEX KEY: 0001613516 IRS NUMBER: 464340609 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-103 FILM NUMBER: 141066408 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Bolivar LLC CENTRAL INDEX KEY: 0001498682 IRS NUMBER: 208295024 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-273 FILM NUMBER: 141066419 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Bedford LLC CENTRAL INDEX KEY: 0001498680 IRS NUMBER: 205886082 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-275 FILM NUMBER: 141066421 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: 523 Hayes Lane, LLC CENTRAL INDEX KEY: 0001613522 IRS NUMBER: 451777721 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-290 FILM NUMBER: 141066438 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: 245 East Wilshire Avenue, LLC CENTRAL INDEX KEY: 0001613416 IRS NUMBER: 900266386 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-294 FILM NUMBER: 141066442 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Washington Lessor - Silverdale, Inc. CENTRAL INDEX KEY: 0001294533 IRS NUMBER: 562386887 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-30 FILM NUMBER: 141066446 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Texas Lessor - Stonegate Limited, Inc. CENTRAL INDEX KEY: 0001294562 IRS NUMBER: 320008072 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-33 FILM NUMBER: 141066449 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: St. Marys Properties, Inc. CENTRAL INDEX KEY: 0001350252 IRS NUMBER: 201914905 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-37 FILM NUMBER: 141066453 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pavillion North Partners, Inc. CENTRAL INDEX KEY: 0001350250 IRS NUMBER: 202597892 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-49 FILM NUMBER: 141066465 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Mezz Lender, LLC CENTRAL INDEX KEY: 0001613462 IRS NUMBER: 463201249 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-55 FILM NUMBER: 141066471 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset IV (PA) Silver Lake Trust CENTRAL INDEX KEY: 0001499138 IRS NUMBER: 806146794 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-59 FILM NUMBER: 141066475 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset II (CA), LLC CENTRAL INDEX KEY: 0001294549 IRS NUMBER: 201000879 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-63 FILM NUMBER: 141066479 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset HUD SF, LLC CENTRAL INDEX KEY: 0001553374 IRS NUMBER: 800830116 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-65 FILM NUMBER: 141066481 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: (410) 427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (SC) Simpsonville West Curtis, LLC CENTRAL INDEX KEY: 0001613590 IRS NUMBER: 464712666 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-68 FILM NUMBER: 141066484 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (SC) McCormick, LLC CENTRAL INDEX KEY: 0001613708 IRS NUMBER: 464597938 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-75 FILM NUMBER: 141066491 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (SC) Greer, LLC CENTRAL INDEX KEY: 0001613584 IRS NUMBER: 464551649 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-77 FILM NUMBER: 141066493 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (SC) Easley Crestview, LLC CENTRAL INDEX KEY: 0001613533 IRS NUMBER: 464489507 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-83 FILM NUMBER: 141066499 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (OH), LLC CENTRAL INDEX KEY: 0001294475 IRS NUMBER: 043759938 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-90 FILM NUMBER: 141066506 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (TX), LLC CENTRAL INDEX KEY: 0001294477 IRS NUMBER: 043759927 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-17 FILM NUMBER: 141066515 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: LAD 1 Real Estate Company, LLC CENTRAL INDEX KEY: 0001499165 IRS NUMBER: 201454154 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-175 FILM NUMBER: 141066521 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Georgia Lessor - Bonterra/Parkview, Inc. CENTRAL INDEX KEY: 0001294403 IRS NUMBER: 161650494 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-181 FILM NUMBER: 141066528 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Dixon Health Care Center, Inc. CENTRAL INDEX KEY: 0001350217 IRS NUMBER: 341509772 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-185 FILM NUMBER: 141066532 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Delta Investors II, LLC CENTRAL INDEX KEY: 0001294394 IRS NUMBER: 542112456 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-188 FILM NUMBER: 141066535 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Williamsport LLC CENTRAL INDEX KEY: 0001499126 IRS NUMBER: 260480953 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-193 FILM NUMBER: 141066541 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Upland LLC CENTRAL INDEX KEY: 0001499114 IRS NUMBER: 205891148 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-197 FILM NUMBER: 141066545 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Seminole LLC CENTRAL INDEX KEY: 0001499110 IRS NUMBER: 205887615 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-205 FILM NUMBER: 141066554 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Ponca City LLC CENTRAL INDEX KEY: 0001498667 IRS NUMBER: 205887495 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-212 FILM NUMBER: 141066562 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Pennsylvania Holdings CENTRAL INDEX KEY: 0001498664 IRS NUMBER: 206974946 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-216 FILM NUMBER: 141066566 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Omro LLC CENTRAL INDEX KEY: 0001498660 IRS NUMBER: 205887998 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-220 FILM NUMBER: 141066571 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Mobile LLC CENTRAL INDEX KEY: 0001498651 IRS NUMBER: 205883572 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-224 FILM NUMBER: 141066575 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Marianna Holdings LLC CENTRAL INDEX KEY: 0001498653 IRS NUMBER: 201411422 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-226 FILM NUMBER: 141066577 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Lakewood LLC CENTRAL INDEX KEY: 0001499102 IRS NUMBER: 205884352 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-235 FILM NUMBER: 141066587 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE King L.P. CENTRAL INDEX KEY: 0001499121 IRS NUMBER: 205888725 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-240 FILM NUMBER: 141066593 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Jeffersonville-Hillcrest Center LLC CENTRAL INDEX KEY: 0001499106 IRS NUMBER: 205885261 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-243 FILM NUMBER: 141066596 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Elkton Realty LLC CENTRAL INDEX KEY: 0001498997 IRS NUMBER: 205959253 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-256 FILM NUMBER: 141066610 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Chelmsford LLC CENTRAL INDEX KEY: 0001498688 IRS NUMBER: 205920451 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-264 FILM NUMBER: 141066619 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (FL) Lake Placid, LLC CENTRAL INDEX KEY: 0001613545 IRS NUMBER: 463827043 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-149 FILM NUMBER: 141066626 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (CA), LLC CENTRAL INDEX KEY: 0001294461 IRS NUMBER: 043759925 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-152 FILM NUMBER: 141066630 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (AZ) Austin House, LLC CENTRAL INDEX KEY: 0001613544 IRS NUMBER: 464385050 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-153 FILM NUMBER: 141066631 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (MO), LLC CENTRAL INDEX KEY: 0001294473 IRS NUMBER: 043759939 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-107 FILM NUMBER: 141066646 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (VA) Hillsville, LLC CENTRAL INDEX KEY: 0001613455 IRS NUMBER: 464987367 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-11 FILM NUMBER: 141066649 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Wabash, LLC CENTRAL INDEX KEY: 0001553377 IRS NUMBER: 383879151 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-114 FILM NUMBER: 141066654 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: (410) 427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IL), LLC CENTRAL INDEX KEY: 0001499132 IRS NUMBER: 141951802 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-140 FILM NUMBER: 141066658 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (ID) Holly, LLC CENTRAL INDEX KEY: 0001613548 IRS NUMBER: 464268973 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-143 FILM NUMBER: 141066661 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Terre Haute, LLC CENTRAL INDEX KEY: 0001613496 IRS NUMBER: 461140102 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-115 FILM NUMBER: 141066665 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Monticello, LLC CENTRAL INDEX KEY: 0001613566 IRS NUMBER: 461090601 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-121 FILM NUMBER: 141066672 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Kokomo, LLC CENTRAL INDEX KEY: 0001613563 IRS NUMBER: 461071289 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-124 FILM NUMBER: 141066675 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Indianapolis, LLC CENTRAL INDEX KEY: 0001553379 IRS NUMBER: 364736441 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-126 FILM NUMBER: 141066677 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: (410) 427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Eagle Valley, LLC CENTRAL INDEX KEY: 0001613557 IRS NUMBER: 461021612 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-132 FILM NUMBER: 141066684 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (VA) Rocky Mount, LLC CENTRAL INDEX KEY: 0001613456 IRS NUMBER: 465002710 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-10 FILM NUMBER: 141066404 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (TX) Anderson, LLC CENTRAL INDEX KEY: 0001613602 IRS NUMBER: 464764905 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-27 FILM NUMBER: 141066415 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Blountville LLC CENTRAL INDEX KEY: 0001498681 IRS NUMBER: 208295288 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-274 FILM NUMBER: 141066420 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Carnegie Gardens LLC CENTRAL INDEX KEY: 0001498674 IRS NUMBER: 202442381 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-283 FILM NUMBER: 141066430 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bayside Street, Inc. CENTRAL INDEX KEY: 0001294384 IRS NUMBER: 383160026 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-285 FILM NUMBER: 141066432 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Wilcare, LLC CENTRAL INDEX KEY: 0001350255 IRS NUMBER: 250110550 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-29 FILM NUMBER: 141066437 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sterling Acquisition Corp. CENTRAL INDEX KEY: 0001294526 IRS NUMBER: 383207992 STATE OF INCORPORATION: KY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-36 FILM NUMBER: 141066452 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pavillion North, LLP CENTRAL INDEX KEY: 0001350249 IRS NUMBER: 753202956 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-48 FILM NUMBER: 141066464 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHIMA, Inc. CENTRAL INDEX KEY: 0001294492 IRS NUMBER: 061552118 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-53 FILM NUMBER: 141066469 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset II (FL), LLC CENTRAL INDEX KEY: 0001499137 IRS NUMBER: 271813906 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-62 FILM NUMBER: 141066478 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (SC) Easley Anne, LLC CENTRAL INDEX KEY: 0001613532 IRS NUMBER: 464475177 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-84 FILM NUMBER: 141066500 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI ASSET (PA) TRUST CENTRAL INDEX KEY: 0001309738 IRS NUMBER: 000000000 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-88 FILM NUMBER: 141066504 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (OH) Lender, LLC CENTRAL INDEX KEY: 0001309737 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-91 FILM NUMBER: 141066507 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI (Connecticut), Inc. CENTRAL INDEX KEY: 0001294433 IRS NUMBER: 061552120 STATE OF INCORPORATION: CT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-167 FILM NUMBER: 141066512 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: North Las Vegas LLC CENTRAL INDEX KEY: 0001499168 IRS NUMBER: 203098036 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-170 FILM NUMBER: 141066516 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Hutton Land I, Inc. CENTRAL INDEX KEY: 0001350228 IRS NUMBER: 201914403 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-179 FILM NUMBER: 141066525 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Encanto Senior Care, LLC CENTRAL INDEX KEY: 0001613500 IRS NUMBER: 201669755 STATE OF INCORPORATION: AZ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-184 FILM NUMBER: 141066531 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Winter Haven LLC CENTRAL INDEX KEY: 0001499127 IRS NUMBER: 205863327 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-192 FILM NUMBER: 141066540 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Salina LLC CENTRAL INDEX KEY: 0001499109 IRS NUMBER: 205885669 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-206 FILM NUMBER: 141066555 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (TX) Granbury, LLC CENTRAL INDEX KEY: 0001613608 IRS NUMBER: 464852513 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-21 FILM NUMBER: 141066559 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (TX) Diboll, LLC CENTRAL INDEX KEY: 0001613607 IRS NUMBER: 464843528 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-22 FILM NUMBER: 141066570 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Lake Worth LLC CENTRAL INDEX KEY: 0001499103 IRS NUMBER: 205863173 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-236 FILM NUMBER: 141066588 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Jacinto City LLC CENTRAL INDEX KEY: 0001498699 IRS NUMBER: 205186519 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-245 FILM NUMBER: 141066598 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (TX) Burleson, LLC CENTRAL INDEX KEY: 0001613604 IRS NUMBER: 464795498 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-25 FILM NUMBER: 141066603 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Frankston LLC CENTRAL INDEX KEY: 0001498690 IRS NUMBER: 205862947 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-253 FILM NUMBER: 141066607 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Clinton, LLC CENTRAL INDEX KEY: 0001613554 IRS NUMBER: 464095764 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-135 FILM NUMBER: 141066621 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (AR) Pocahontas, LLC CENTRAL INDEX KEY: 0001613474 IRS NUMBER: 463728913 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-156 FILM NUMBER: 141066634 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI (Iowa), Inc. CENTRAL INDEX KEY: 0001294439 IRS NUMBER: 383377918 STATE OF INCORPORATION: IA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-164 FILM NUMBER: 141066643 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (MI), LLC CENTRAL INDEX KEY: 0001502890 IRS NUMBER: 273378345 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-108 FILM NUMBER: 141066647 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Zionsville, LLC CENTRAL INDEX KEY: 0001613497 IRS NUMBER: 461152307 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-112 FILM NUMBER: 141066652 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Anderson, LLC CENTRAL INDEX KEY: 0001613551 IRS NUMBER: 460989235 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-138 FILM NUMBER: 141066655 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (GA) Macon, LLC CENTRAL INDEX KEY: 0001613464 IRS NUMBER: 471027224 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-146 FILM NUMBER: 141066664 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Rosewalk, LLC CENTRAL INDEX KEY: 0001613493 IRS NUMBER: 461116285 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-119 FILM NUMBER: 141066669 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Madison, LLC CENTRAL INDEX KEY: 0001613565 IRS NUMBER: 461745924 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-122 FILM NUMBER: 141066673 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (MS) Holly Springs, LLC CENTRAL INDEX KEY: 0001613424 IRS NUMBER: 383921178 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-98 FILM NUMBER: 141066690 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OMEGA HEALTHCARE INVESTORS INC CENTRAL INDEX KEY: 0000888491 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 383041398 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061 FILM NUMBER: 141066394 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (MS) Corinth, LLC CENTRAL INDEX KEY: 0001613517 IRS NUMBER: 464351222 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-102 FILM NUMBER: 141066407 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Centennial Village CENTRAL INDEX KEY: 0001499004 IRS NUMBER: 206974959 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-265 FILM NUMBER: 141066410 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Arden L.P. CENTRAL INDEX KEY: 0001498678 IRS NUMBER: 205888680 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-277 FILM NUMBER: 141066423 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Colorado Lessor - Conifer, Inc. CENTRAL INDEX KEY: 0001294389 IRS NUMBER: 320008069 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-280 FILM NUMBER: 141066427 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Canton Health Care Land, Inc. CENTRAL INDEX KEY: 0001350211 IRS NUMBER: 201914579 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-284 FILM NUMBER: 141066431 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Suwanee, LLC CENTRAL INDEX KEY: 0001499141 IRS NUMBER: 205223977 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-35 FILM NUMBER: 141066451 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Skyler Florida, Inc. CENTRAL INDEX KEY: 0001613433 IRS NUMBER: 640821299 STATE OF INCORPORATION: MS FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-40 FILM NUMBER: 141066456 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pensacola Real Estate Holdings III, Inc. CENTRAL INDEX KEY: 0001613477 IRS NUMBER: 593667939 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-44 FILM NUMBER: 141066460 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pavillion Nursing Center North, Inc. CENTRAL INDEX KEY: 0001350251 IRS NUMBER: 251222652 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-47 FILM NUMBER: 141066463 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Orange Village Care Center, Inc. CENTRAL INDEX KEY: 0001350240 IRS NUMBER: 341321728 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-51 FILM NUMBER: 141066467 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Tennessee, Inc. CENTRAL INDEX KEY: 0001498671 IRS NUMBER: 383509157 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-54 FILM NUMBER: 141066470 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset II (PA) Trust CENTRAL INDEX KEY: 0001350238 IRS NUMBER: 846390330 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-61 FILM NUMBER: 141066477 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (TN) Collierville, LLC CENTRAL INDEX KEY: 0001613592 IRS NUMBER: 464738239 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-66 FILM NUMBER: 141066482 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (SC) Simpsonville SE Main, LLC CENTRAL INDEX KEY: 0001613588 IRS NUMBER: 464682098 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-70 FILM NUMBER: 141066486 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (SC) Edgefield, LLC CENTRAL INDEX KEY: 0001613534 IRS NUMBER: 464494366 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-82 FILM NUMBER: 141066498 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (OR) Portland, LLC CENTRAL INDEX KEY: 0001613528 IRS NUMBER: 300805633 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-89 FILM NUMBER: 141066505 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (NC) Wadesboro, LLC CENTRAL INDEX KEY: 0001613527 IRS NUMBER: 352492230 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-92 FILM NUMBER: 141066508 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (MS) Yazoo City, LLC CENTRAL INDEX KEY: 0001613519 IRS NUMBER: 383921461 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-93 FILM NUMBER: 141066509 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Indiana Lessor - Wellington Manor, Inc. CENTRAL INDEX KEY: 0001294410 IRS NUMBER: 320008064 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-176 FILM NUMBER: 141066522 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Florida Lessor - Meadowview, Inc. CENTRAL INDEX KEY: 0001294541 IRS NUMBER: 562398721 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-183 FILM NUMBER: 141066530 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Dixie White House Nursing Home, Inc. CENTRAL INDEX KEY: 0001613506 IRS NUMBER: 593738671 STATE OF INCORPORATION: MS FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-186 FILM NUMBER: 141066533 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Woodfin L.P. CENTRAL INDEX KEY: 0001499128 IRS NUMBER: 205888619 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-191 FILM NUMBER: 141066539 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE West Point LLC CENTRAL INDEX KEY: 0001499124 IRS NUMBER: 205887119 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-195 FILM NUMBER: 141066543 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Safford LLC CENTRAL INDEX KEY: 0001499108 IRS NUMBER: 205883807 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-207 FILM NUMBER: 141066556 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Richmond LLC CENTRAL INDEX KEY: 0001498669 IRS NUMBER: 205885427 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-210 FILM NUMBER: 141066560 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Pilot Point LLC CENTRAL INDEX KEY: 0001498666 IRS NUMBER: 205862827 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-214 FILM NUMBER: 141066564 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Live Oak LLC CENTRAL INDEX KEY: 0001498656 IRS NUMBER: 205863086 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-228 FILM NUMBER: 141066579 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Lawrenceburg LLC CENTRAL INDEX KEY: 0001499100 IRS NUMBER: 205887802 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-233 FILM NUMBER: 141066585 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Kingsport LLC CENTRAL INDEX KEY: 0001499104 IRS NUMBER: 205887736 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-239 FILM NUMBER: 141066591 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Indianapolis-Continental LLC CENTRAL INDEX KEY: 0001498697 IRS NUMBER: 205885046 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-247 FILM NUMBER: 141066600 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Fort Wayne LLC CENTRAL INDEX KEY: 0001498995 IRS NUMBER: 205885125 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-254 FILM NUMBER: 141066608 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (TX) Bryan, LLC CENTRAL INDEX KEY: 0001613603 IRS NUMBER: 464781488 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-26 FILM NUMBER: 141066614 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Connersville, LLC CENTRAL INDEX KEY: 0001613555 IRS NUMBER: 464289202 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-134 FILM NUMBER: 141066620 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (FL), LLC CENTRAL INDEX KEY: 0001294462 IRS NUMBER: 134225158 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-147 FILM NUMBER: 141066624 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (AR) Sheridan, LLC CENTRAL INDEX KEY: 0001613475 IRS NUMBER: 463739623 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-155 FILM NUMBER: 141066633 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (AR) Conway, LLC CENTRAL INDEX KEY: 0001613579 IRS NUMBER: 611721332 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-161 FILM NUMBER: 141066640 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (MI) Heather Hills, LLC CENTRAL INDEX KEY: 0001613512 IRS NUMBER: 461515395 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-109 FILM NUMBER: 141066648 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (LA), LLC CENTRAL INDEX KEY: 0001294471 IRS NUMBER: 043759935 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-111 FILM NUMBER: 141066651 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) American Village, LLC CENTRAL INDEX KEY: 0001613550 IRS NUMBER: 464279515 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-139 FILM NUMBER: 141066656 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (ID), LLC CENTRAL INDEX KEY: 0001294466 IRS NUMBER: 043759931 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-141 FILM NUMBER: 141066659 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (VA) Farmville, LLC CENTRAL INDEX KEY: 0001613616 IRS NUMBER: 464955482 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-12 FILM NUMBER: 141066670 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Lafayette, LLC CENTRAL INDEX KEY: 0001613564 IRS NUMBER: 461085161 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-123 FILM NUMBER: 141066674 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Forest Creek, LLC CENTRAL INDEX KEY: 0001613559 IRS NUMBER: 461040435 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-130 FILM NUMBER: 141066682 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (MS) Vicksburg, LLC CENTRAL INDEX KEY: 0001613429 IRS NUMBER: 901036559 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-94 FILM NUMBER: 141066686 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Skyler Boyington, Inc. CENTRAL INDEX KEY: 0001613434 IRS NUMBER: 421572543 STATE OF INCORPORATION: MS FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-41 FILM NUMBER: 141066457 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Shawnee LLC CENTRAL INDEX KEY: 0001499111 IRS NUMBER: 205887524 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-204 FILM NUMBER: 141066553 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Kerrville LLC CENTRAL INDEX KEY: 0001499120 IRS NUMBER: 208684872 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-241 FILM NUMBER: 141066594 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Lexington Park LLC CENTRAL INDEX KEY: 0001498659 IRS NUMBER: 205886951 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-231 FILM NUMBER: 141066583 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Westfield, LLC CENTRAL INDEX KEY: 0001553376 IRS NUMBER: 320381277 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-113 FILM NUMBER: 141066653 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: (410) 427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (TN) Memphis, LLC CENTRAL INDEX KEY: 0001613593 IRS NUMBER: 464750926 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-28 FILM NUMBER: 141066426 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Texas Lessor - Stonegate, L.P. CENTRAL INDEX KEY: 0001294568 IRS NUMBER: 320008073 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-32 FILM NUMBER: 141066448 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: 13922 Cerise Avenue, LLC CENTRAL INDEX KEY: 0001613415 IRS NUMBER: 710976970 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-296 FILM NUMBER: 141066444 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (CT) Lender, LLC CENTRAL INDEX KEY: 0001351349 IRS NUMBER: 753205111 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-150 FILM NUMBER: 141066628 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Casablanca Holdings II LLC CENTRAL INDEX KEY: 0001499008 IRS NUMBER: 260595183 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-268 FILM NUMBER: 141066413 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: 1200 Ely Street Holdings Co. LLC CENTRAL INDEX KEY: 0001555840 IRS NUMBER: 273524594 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-297 FILM NUMBER: 141066445 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset III (PA) Trust CENTRAL INDEX KEY: 0001350239 IRS NUMBER: 846390331 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-60 FILM NUMBER: 141066476 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (SC) Aiken, LLC CENTRAL INDEX KEY: 0001613530 IRS NUMBER: 464426281 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-86 FILM NUMBER: 141066502 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Greenbough, LLC CENTRAL INDEX KEY: 0001499164 IRS NUMBER: 270258266 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-180 FILM NUMBER: 141066527 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRLCE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRLCE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE North Carolina Holdings II LLC CENTRAL INDEX KEY: 0001498648 IRS NUMBER: 205888430 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-221 FILM NUMBER: 141066572 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Elkton LLC CENTRAL INDEX KEY: 0001498998 IRS NUMBER: 205887006 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-257 FILM NUMBER: 141066611 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (GA) Snellville, LLC CENTRAL INDEX KEY: 0001613547 IRS NUMBER: 464259685 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-144 FILM NUMBER: 141066662 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Elkhart, LLC CENTRAL INDEX KEY: 0001613558 IRS NUMBER: 461035197 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-131 FILM NUMBER: 141066683 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset HUD Delta, LLC CENTRAL INDEX KEY: 0001613458 IRS NUMBER: 271895030 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-02 FILM NUMBER: 141066396 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Casablanca Holdings LLC CENTRAL INDEX KEY: 0001499007 IRS NUMBER: 208724466 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-267 FILM NUMBER: 141066412 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Arizona Lessor - Infinia, Inc. CENTRAL INDEX KEY: 0001294370 IRS NUMBER: 320008074 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-288 FILM NUMBER: 141066435 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Omega TRS I, Inc. CENTRAL INDEX KEY: 0001294498 IRS NUMBER: 383587540 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-52 FILM NUMBER: 141066468 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (PA), LLC CENTRAL INDEX KEY: 0001294545 IRS NUMBER: 900137715 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-87 FILM NUMBER: 141066503 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FORMER COMPANY: FORMER CONFORMED NAME: OHI Asset (FL) Tarpon Springs, Pinellas Park & Gainesville, LLC DATE OF NAME CHANGE: 20040619 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Leatherman Partnership 89-1, Inc. CENTRAL INDEX KEY: 0001350223 IRS NUMBER: 341656489 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-173 FILM NUMBER: 141066519 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Spring Branch LLC CENTRAL INDEX KEY: 0001499113 IRS NUMBER: 205186484 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-203 FILM NUMBER: 141066552 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Orlando-Terra Vista Rehab LLC CENTRAL INDEX KEY: 0001498663 IRS NUMBER: 205863223 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-217 FILM NUMBER: 141066567 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Georgetown LLC CENTRAL INDEX KEY: 0001498692 IRS NUMBER: 205886126 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-252 FILM NUMBER: 141066606 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Clarksville, LLC CENTRAL INDEX KEY: 0001613553 IRS NUMBER: 461011127 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-136 FILM NUMBER: 141066622 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (AR) Ash Flat, LLC CENTRAL INDEX KEY: 0001613529 IRS NUMBER: 463670959 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-163 FILM NUMBER: 141066642 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Salem, LLC CENTRAL INDEX KEY: 0001613395 IRS NUMBER: 464111473 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-118 FILM NUMBER: 141066668 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (MS) Natchez, LLC CENTRAL INDEX KEY: 0001613426 IRS NUMBER: 464384987 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-96 FILM NUMBER: 141066688 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (SC) Orangeburg, LLC CENTRAL INDEX KEY: 0001613466 IRS NUMBER: 471034331 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-74 FILM NUMBER: 141066490 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Stillwater LLC CENTRAL INDEX KEY: 0001499116 IRS NUMBER: 205887548 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-202 FILM NUMBER: 141066551 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Pine View LLC CENTRAL INDEX KEY: 0001613526 IRS NUMBER: 205398686 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-213 FILM NUMBER: 141066563 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (TX) College Station, LLC CENTRAL INDEX KEY: 0001613605 IRS NUMBER: 464805289 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-24 FILM NUMBER: 141066592 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Denver LLC CENTRAL INDEX KEY: 0001499000 IRS NUMBER: 205884311 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-259 FILM NUMBER: 141066613 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (AR) Des Arc, LLC CENTRAL INDEX KEY: 0001613469 IRS NUMBER: 463691025 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-160 FILM NUMBER: 141066639 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset CSE - U, LLC CENTRAL INDEX KEY: 0001499136 IRS NUMBER: 271675768 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-04 FILM NUMBER: 141066398 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Canton LLC CENTRAL INDEX KEY: 0001498687 IRS NUMBER: 205887312 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-269 FILM NUMBER: 141066414 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Suburban Pavillion, Inc. CENTRAL INDEX KEY: 0001350253 IRS NUMBER: 341035431 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-31 FILM NUMBER: 141066447 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset RO, LLC CENTRAL INDEX KEY: 0001613461 IRS NUMBER: 901018980 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-57 FILM NUMBER: 141066473 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (SC) Anderson, LLC CENTRAL INDEX KEY: 0001613531 IRS NUMBER: 464455254 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-85 FILM NUMBER: 141066501 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (TX) Winnsboro, LLC CENTRAL INDEX KEY: 0001613611 IRS NUMBER: 464881288 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-18 FILM NUMBER: 141066526 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Texas City LLC CENTRAL INDEX KEY: 0001499119 IRS NUMBER: 205862791 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-199 FILM NUMBER: 141066547 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE North Carolina Holdings I LLC CENTRAL INDEX KEY: 0001498649 IRS NUMBER: 205888397 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-222 FILM NUMBER: 141066573 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Jeffersonville-Jennings House LLC CENTRAL INDEX KEY: 0001499105 IRS NUMBER: 205885346 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-242 FILM NUMBER: 141066595 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Claremont LLC CENTRAL INDEX KEY: 0001499003 IRS NUMBER: 205883891 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-262 FILM NUMBER: 141066617 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (MS) Cleveland, LLC CENTRAL INDEX KEY: 0001613514 IRS NUMBER: 364774986 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-105 FILM NUMBER: 141066644 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Spring Mill, LLC CENTRAL INDEX KEY: 0001613495 IRS NUMBER: 461120573 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-116 FILM NUMBER: 141066666 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Franklin, LLC CENTRAL INDEX KEY: 0001613561 IRS NUMBER: 461062818 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-128 FILM NUMBER: 141066679 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Yorktown LLC CENTRAL INDEX KEY: 0001499129 IRS NUMBER: 205885163 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-190 FILM NUMBER: 141066538 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (MS) Greenwood, LLC CENTRAL INDEX KEY: 0001613518 IRS NUMBER: 464361245 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-101 FILM NUMBER: 141066406 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: 48 High Point Road, LLC CENTRAL INDEX KEY: 0001555839 IRS NUMBER: 272498824 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-291 FILM NUMBER: 141066439 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Panama City Nursing Center LLC CENTRAL INDEX KEY: 0001499139 IRS NUMBER: 202568041 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-50 FILM NUMBER: 141066466 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NRS Ventures, LLC CENTRAL INDEX KEY: 0001294432 IRS NUMBER: 384236118 STATE OF INCORPORATION: KY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-169 FILM NUMBER: 141066514 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Port St. Lucie LLC CENTRAL INDEX KEY: 0001498668 IRS NUMBER: 205863294 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-211 FILM NUMBER: 141066561 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Huntsville LLC CENTRAL INDEX KEY: 0001498696 IRS NUMBER: 205887764 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-248 FILM NUMBER: 141066601 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Greensburg, LLC CENTRAL INDEX KEY: 0001553378 IRS NUMBER: 383879137 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-127 FILM NUMBER: 141066678 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: (410) 427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (WA) Battle Ground, LLC CENTRAL INDEX KEY: 0001613457 IRS NUMBER: 465006928 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-09 FILM NUMBER: 141066403 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Albany LLC CENTRAL INDEX KEY: 0001498675 IRS NUMBER: 205885886 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-279 FILM NUMBER: 141066425 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Skyler Pensacola, Inc. CENTRAL INDEX KEY: 0001613435 IRS NUMBER: 593561064 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-38 FILM NUMBER: 141066454 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (SC) Greenville Laurens, LLC CENTRAL INDEX KEY: 0001613581 IRS NUMBER: 464524387 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-80 FILM NUMBER: 141066496 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI (Illinois), Inc. CENTRAL INDEX KEY: 0001294436 IRS NUMBER: 371332375 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-166 FILM NUMBER: 141066511 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Ripley LLC CENTRAL INDEX KEY: 0001498670 IRS NUMBER: 208295238 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-209 FILM NUMBER: 141066558 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Douglas LLC CENTRAL INDEX KEY: 0001499613 IRS NUMBER: 205883761 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-258 FILM NUMBER: 141066612 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (AR) Mena, LLC CENTRAL INDEX KEY: 0001613473 IRS NUMBER: 383915930 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-157 FILM NUMBER: 141066635 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset CSB LLC CENTRAL INDEX KEY: 0001499134 IRS NUMBER: 272820083 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-06 FILM NUMBER: 141066400 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: 3806 Clayton Road, LLC CENTRAL INDEX KEY: 0001613421 IRS NUMBER: 900266403 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-293 FILM NUMBER: 141066441 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (SC) Simpsonville West Broad, LLC CENTRAL INDEX KEY: 0001613589 IRS NUMBER: 464695995 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-69 FILM NUMBER: 141066485 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Delta Investors I, LLC CENTRAL INDEX KEY: 0001294393 IRS NUMBER: 542112455 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-189 FILM NUMBER: 141066536 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Memphis LLC CENTRAL INDEX KEY: 0001498652 IRS NUMBER: 208295130 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-225 FILM NUMBER: 141066576 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (FL) Lender, LLC CENTRAL INDEX KEY: 0001512924 IRS NUMBER: 274450390 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-148 FILM NUMBER: 141066625 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21031 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21031 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Fort Wayne, LLC CENTRAL INDEX KEY: 0001613560 IRS NUMBER: 461050897 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-129 FILM NUMBER: 141066680 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (WV) Ivydale, LLC CENTRAL INDEX KEY: 0001613468 IRS NUMBER: 471112048 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-07 FILM NUMBER: 141066401 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: 637 East Romie Lane, LLC CENTRAL INDEX KEY: 0001613523 IRS NUMBER: 900266404 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-289 FILM NUMBER: 141066436 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (SC) Pickens East Cedar, LLC CENTRAL INDEX KEY: 0001613586 IRS NUMBER: 464613823 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-73 FILM NUMBER: 141066489 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ocean Springs Nursing Home, Inc. CENTRAL INDEX KEY: 0001613507 IRS NUMBER: 582635823 STATE OF INCORPORATION: MS FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-168 FILM NUMBER: 141066513 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (TX) Italy, LLC CENTRAL INDEX KEY: 0001613610 IRS NUMBER: 464873054 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-19 FILM NUMBER: 141066537 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Lexington Park Realty LLC CENTRAL INDEX KEY: 0001498658 IRS NUMBER: 205959280 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-230 FILM NUMBER: 141066582 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Hilliard LLC CENTRAL INDEX KEY: 0001498694 IRS NUMBER: 205887347 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-250 FILM NUMBER: 141066604 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (AR) Hot Springs, LLC CENTRAL INDEX KEY: 0001613470 IRS NUMBER: 800951655 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-159 FILM NUMBER: 141066637 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (GA) Moultrie, LLC CENTRAL INDEX KEY: 0001613546 IRS NUMBER: 464254981 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-145 FILM NUMBER: 141066663 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bayside Street II, Inc. CENTRAL INDEX KEY: 0001294383 IRS NUMBER: 383519969 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-286 FILM NUMBER: 141066433 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD, SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Orange Park LLC CENTRAL INDEX KEY: 0001498661 IRS NUMBER: 205863371 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-219 FILM NUMBER: 141066569 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Texarkana LLC CENTRAL INDEX KEY: 0001499118 IRS NUMBER: 205862880 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-200 FILM NUMBER: 141066549 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (UT) Provo, LLC CENTRAL INDEX KEY: 0001613613 IRS NUMBER: 464915063 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-15 FILM NUMBER: 141066627 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (SC) Piedmont, LLC CENTRAL INDEX KEY: 0001613587 IRS NUMBER: 464640288 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-71 FILM NUMBER: 141066487 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Indianapolis-Greenbriar LLC CENTRAL INDEX KEY: 0001498698 IRS NUMBER: 205885096 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-246 FILM NUMBER: 141066599 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (MS) Clinton, LLC CENTRAL INDEX KEY: 0001613515 IRS NUMBER: 800965657 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-104 FILM NUMBER: 141066409 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pensacola Real Estate Holdings IV, Inc. CENTRAL INDEX KEY: 0001613508 IRS NUMBER: 593667940 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-43 FILM NUMBER: 141066459 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (ID) Midland, LLC CENTRAL INDEX KEY: 0001613549 IRS NUMBER: 464279515 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-142 FILM NUMBER: 141066660 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (SC) Greenville, LLC CENTRAL INDEX KEY: 0001613465 IRS NUMBER: 471053139 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-78 FILM NUMBER: 141066494 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (TX) Hondo, LLC CENTRAL INDEX KEY: 0001613609 IRS NUMBER: 461346058 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-20 FILM NUMBER: 141066548 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Cambridge LLC CENTRAL INDEX KEY: 0001498683 IRS NUMBER: 205886976 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-272 FILM NUMBER: 141066418 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Hutton III Land, Inc. CENTRAL INDEX KEY: 0001350221 IRS NUMBER: 201914529 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-177 FILM NUMBER: 141066523 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Moore LLC CENTRAL INDEX KEY: 0001498650 IRS NUMBER: 205887574 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-223 FILM NUMBER: 141066574 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Fairhaven LLC CENTRAL INDEX KEY: 0001498996 IRS NUMBER: 208281491 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-255 FILM NUMBER: 141066609 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Camden LLC CENTRAL INDEX KEY: 0001498686 IRS NUMBER: 208295066 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-270 FILM NUMBER: 141066416 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CFG 2115 Woodstock Place LLC CENTRAL INDEX KEY: 0001555754 IRS NUMBER: 261123970 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-282 FILM NUMBER: 141066429 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pensacola Real Estate Holdings II, Inc. CENTRAL INDEX KEY: 0001613476 IRS NUMBER: 593667937 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-45 FILM NUMBER: 141066461 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Hutton II Land, Inc. CENTRAL INDEX KEY: 0001350226 IRS NUMBER: 201914470 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-178 FILM NUMBER: 141066524 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Huntingdon LLC CENTRAL INDEX KEY: 0001498695 IRS NUMBER: 208295191 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-249 FILM NUMBER: 141066602 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Corpus North LLC CENTRAL INDEX KEY: 0001499112 IRS NUMBER: 205186415 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-261 FILM NUMBER: 141066616 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (UT) Ogden, LLC CENTRAL INDEX KEY: 0001613612 IRS NUMBER: 464903181 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-16 FILM NUMBER: 141066638 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset HUD SF CA, LLC CENTRAL INDEX KEY: 0001613459 IRS NUMBER: 461251365 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-01 FILM NUMBER: 141066395 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset RO PMM Services, LLC CENTRAL INDEX KEY: 0001613460 IRS NUMBER: 464309941 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-58 FILM NUMBER: 141066474 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (SC) Greenville North, LLC CENTRAL INDEX KEY: 0001613582 IRS NUMBER: 464538349 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-79 FILM NUMBER: 141066495 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Walnut Cove L.P. CENTRAL INDEX KEY: 0001499123 IRS NUMBER: 205888502 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-196 FILM NUMBER: 141066544 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (TX) Comfort, LLC CENTRAL INDEX KEY: 0001613606 IRS NUMBER: 464815908 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-23 FILM NUMBER: 141066581 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (CO), LLC CENTRAL INDEX KEY: 0001499131 IRS NUMBER: 841706510 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-151 FILM NUMBER: 141066629 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Cambridge Realty LLC CENTRAL INDEX KEY: 0001498684 IRS NUMBER: 205959318 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-271 FILM NUMBER: 141066417 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: 42235 County Road Holdings Co. LLC CENTRAL INDEX KEY: 0001555853 IRS NUMBER: 830500167 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-292 FILM NUMBER: 141066440 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Taylorsville LLC CENTRAL INDEX KEY: 0001499117 IRS NUMBER: 205886196 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-201 FILM NUMBER: 141066550 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pensacola Real Estate Holdings V, Inc. CENTRAL INDEX KEY: 0001613509 IRS NUMBER: 593667941 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-42 FILM NUMBER: 141066458 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset HUD CFG, LLC CENTRAL INDEX KEY: 0001555864 IRS NUMBER: 453662151 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-03 FILM NUMBER: 141066397 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Knightdale L.P. CENTRAL INDEX KEY: 0001499614 IRS NUMBER: 205888653 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-238 FILM NUMBER: 141066590 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (MD), LLC CENTRAL INDEX KEY: 0001553380 IRS NUMBER: 452611748 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-110 FILM NUMBER: 141066650 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: (410) 427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Ligonier LLC CENTRAL INDEX KEY: 0001498657 IRS NUMBER: 205885484 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-229 FILM NUMBER: 141066580 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Leatherman 90-1, Inc. CENTRAL INDEX KEY: 0001350222 IRS NUMBER: 201914625 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-174 FILM NUMBER: 141066520 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (IN) Crown Point, LLC CENTRAL INDEX KEY: 0001613556 IRS NUMBER: 461738072 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-133 FILM NUMBER: 141066685 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Meridian Arms Land, Inc. CENTRAL INDEX KEY: 0001350233 IRS NUMBER: 201914864 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-171 FILM NUMBER: 141066517 BUSINESS ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 9690 DEERECO ROAD STREET 2: SUITE 100 CITY: TIMONIUM STATE: MD ZIP: 21093 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (SC) Marietta, LLC CENTRAL INDEX KEY: 0001613585 IRS NUMBER: 464569172 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-76 FILM NUMBER: 141066492 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (AR) Camden, LLC CENTRAL INDEX KEY: 0001613578 IRS NUMBER: 463672608 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-162 FILM NUMBER: 141066641 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Lake City LLC CENTRAL INDEX KEY: 0001499615 IRS NUMBER: 205863259 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-237 FILM NUMBER: 141066589 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (VA) Charlottesville, LLC CENTRAL INDEX KEY: 0001613615 IRS NUMBER: 464945417 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-13 FILM NUMBER: 141066681 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (MS) Indianola, LLC CENTRAL INDEX KEY: 0001613425 IRS NUMBER: 901036275 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-198061-97 FILM NUMBER: 141066689 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE, SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 EFFECT 1 primary_doc.xml X0101 EFFECT 33 LIVE 2014-08-26 09:00:00

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333-198061-236 0001499102 CSE Lakewood LLC 333-198061-235 0001499101 CSE Las Vegas LLC 333-198061-234 0001499100 CSE Lawrenceburg LLC 333-198061-233 0001499122 CSE Lenoir L.P. 333-198061-232 0001498659 CSE Lexington Park LLC 333-198061-231 0001498658 CSE Lexington Park Realty LLC 333-198061-230 0001613606 OHI Asset (TX) Comfort, LLC 333-198061-23 0001498657 CSE Ligonier LLC 333-198061-229 0001498656 CSE Live Oak LLC 333-198061-228 0001498654 CSE Lowell LLC 333-198061-227 0001498653 CSE Marianna Holdings LLC 333-198061-226 0001498652 CSE Memphis LLC 333-198061-225 0001498651 CSE Mobile LLC 333-198061-224 0001498650 CSE Moore LLC 333-198061-223 0001498649 CSE North Carolina Holdings I LLC 333-198061-222 0001498648 CSE North Carolina Holdings II LLC 333-198061-221 0001498660 CSE Omro LLC 333-198061-220 0001613607 OHI Asset (TX) Diboll, LLC 333-198061-22 0001498661 CSE Orange Park LLC 333-198061-219 0001498662 CSE Orlando-Pinar Terrace Manor LLC 333-198061-218 0001498663 CSE Orlando-Terra 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Upland LLC 333-198061-197 0001499123 CSE Walnut Cove L.P. 333-198061-196 0001499124 CSE West Point LLC 333-198061-195 0001499125 CSE Whitehouse LLC 333-198061-194 0001499126 CSE Williamsport LLC 333-198061-193 0001499127 CSE Winter Haven LLC 333-198061-192 0001499128 CSE Woodfin L.P. 333-198061-191 0001499129 CSE Yorktown LLC 333-198061-190 0001613610 OHI Asset (TX) Italy, LLC 333-198061-19 0001294393 Delta Investors I, LLC 333-198061-189 0001294394 Delta Investors II, LLC 333-198061-188 0001499616 Desert Lane LLC 333-198061-187 0001613506 Dixie White House Nursing Home, Inc. 333-198061-186 0001350217 Dixon Health Care Center, Inc. 333-198061-185 0001613500 Encanto Senior Care, LLC 333-198061-184 0001294541 Florida Lessor - Meadowview, Inc. 333-198061-183 0001499130 Florida Real Estate Company, LLC 333-198061-182 0001294403 Georgia Lessor - Bonterra/Parkview, Inc. 333-198061-181 0001499164 Greenbough, LLC 333-198061-180 0001613611 OHI Asset (TX) Winnsboro, LLC 333-198061-18 0001350228 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Snellville, LLC 333-198061-144 0001613548 OHI Asset (ID) Holly, LLC 333-198061-143 0001613549 OHI Asset (ID) Midland, LLC 333-198061-142 0001294466 OHI Asset (ID), LLC 333-198061-141 0001499132 OHI Asset (IL), LLC 333-198061-140 0001613614 OHI Asset (UT) Roy, LLC 333-198061-14 0001613550 OHI Asset (IN) American Village, LLC 333-198061-139 0001613551 OHI Asset (IN) Anderson, LLC 333-198061-138 0001613552 OHI Asset (IN) Beech Grove, LLC 333-198061-137 0001613553 OHI Asset (IN) Clarksville, LLC 333-198061-136 0001613554 OHI Asset (IN) Clinton, LLC 333-198061-135 0001613555 OHI Asset (IN) Connersville, LLC 333-198061-134 0001613556 OHI Asset (IN) Crown Point, LLC 333-198061-133 0001613557 OHI Asset (IN) Eagle Valley, LLC 333-198061-132 0001613558 OHI Asset (IN) Elkhart, LLC 333-198061-131 0001613559 OHI Asset (IN) Forest Creek, LLC 333-198061-130 0001613615 OHI Asset (VA) Charlottesville, LLC 333-198061-13 0001613560 OHI Asset (IN) Fort Wayne, LLC 333-198061-129 0001613561 OHI Asset (IN) Franklin, LLC 333-198061-128 0001553378 OHI Asset (IN) Greensburg, LLC 333-198061-127 0001553379 OHI Asset (IN) Indianapolis, LLC 333-198061-126 0001613562 OHI Asset (IN) Jasper, LLC 333-198061-125 0001613563 OHI Asset (IN) Kokomo, LLC 333-198061-124 0001613564 OHI Asset (IN) Lafayette, LLC 333-198061-123 0001613565 OHI Asset (IN) Madison, LLC 333-198061-122 0001613566 OHI Asset (IN) Monticello, LLC 333-198061-121 0001613492 OHI Asset (IN) Noblesville, LLC 333-198061-120 0001613616 OHI Asset (VA) Farmville, LLC 333-198061-12 0001613493 OHI Asset (IN) Rosewalk, LLC 333-198061-119 0001613395 OHI Asset (IN) Salem, LLC 333-198061-118 0001613494 OHI Asset (IN) Seymour, LLC 333-198061-117 0001613495 OHI Asset (IN) Spring Mill, LLC 333-198061-116 0001613496 OHI Asset (IN) Terre Haute, LLC 333-198061-115 0001553377 OHI Asset (IN) Wabash, LLC 333-198061-114 0001553376 OHI Asset (IN) Westfield, LLC 333-198061-113 0001613497 OHI Asset (IN) Zionsville, LLC 333-198061-112 0001294471 OHI Asset (LA), LLC 333-198061-111 0001553380 OHI Asset (MD), LLC 333-198061-110 0001613455 OHI Asset (VA) Hillsville, LLC 333-198061-11 0001613512 OHI Asset (MI) Heather Hills, LLC 333-198061-109 0001502890 OHI Asset (MI), LLC 333-198061-108 0001294473 OHI Asset (MO), LLC 333-198061-107 0001613513 OHI Asset (MS) Byhalia, LLC 333-198061-106 0001613514 OHI Asset (MS) Cleveland, LLC 333-198061-105 0001613515 OHI Asset (MS) Clinton, LLC 333-198061-104 0001613516 OHI Asset (MS) Columbia, LLC 333-198061-103 0001613517 OHI Asset (MS) Corinth, LLC 333-198061-102 0001613518 OHI Asset (MS) Greenwood, LLC 333-198061-101 0001613423 OHI Asset (MS) Grenada, LLC 333-198061-100 0001613456 OHI Asset (VA) Rocky Mount, LLC 333-198061-10 0001613457 OHI Asset (WA) Battle Ground, LLC 333-198061-09 0001613467 OHI Asset (WV) Danville, LLC 333-198061-08 0001613468 OHI Asset (WV) Ivydale, LLC 333-198061-07 0001499134 OHI Asset CSB LLC 333-198061-06 0001499135 OHI Asset CSE - E, LLC 333-198061-05 0001499136 OHI Asset CSE - U, LLC 333-198061-04 0001555864 OHI Asset HUD CFG, LLC 333-198061-03 0001613458 OHI Asset HUD Delta, LLC 333-198061-02 0001613459 OHI Asset HUD SF CA, LLC 333-198061-01