9999999995-15-001646.txt : 20150618 9999999995-15-001646.hdr.sgml : 20150618 20150618001533 ACCESSION NUMBER: 9999999995-15-001646 CONFORMED SUBMISSION TYPE: EFFECT PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20150617 DATE AS OF CHANGE: 20150618 EFFECTIVENESS DATE: 20150617 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Darien ALF Property, L.L.C. CENTRAL INDEX KEY: 0001547220 IRS NUMBER: 300694838 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-100 FILM NUMBER: 15938641 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sun-Mesa Properties, L.L.C. CENTRAL INDEX KEY: 0001519163 IRS NUMBER: 364047650 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-04 FILM NUMBER: 15938648 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bellingham II Associates, L.L.C. CENTRAL INDEX KEY: 0001519252 IRS NUMBER: 113747130 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-107 FILM NUMBER: 15938653 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Star City Arkansas, L.L.C. CENTRAL INDEX KEY: 0001519162 IRS NUMBER: 432089308 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-113 FILM NUMBER: 15938660 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Searcy Aviv, L.L.C. CENTRAL INDEX KEY: 0001519157 IRS NUMBER: 383779442 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-117 FILM NUMBER: 15938664 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Prescott Arkansas, L.L.C. CENTRAL INDEX KEY: 0001519146 IRS NUMBER: 043835264 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-127 FILM NUMBER: 15938675 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Norwalk ALF Property, L.L.C. CENTRAL INDEX KEY: 0001519135 IRS NUMBER: 274083805 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-137 FILM NUMBER: 15938686 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: N.M. Espanola Three Plus One Ltd Co CENTRAL INDEX KEY: 0001519130 IRS NUMBER: 742748289 STATE OF INCORPORATION: NM FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-141 FILM NUMBER: 15938691 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Minnesota Associates, L.L.C. CENTRAL INDEX KEY: 0001519123 IRS NUMBER: 364469552 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-148 FILM NUMBER: 15938698 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Hutchinson Kansas, L.L.C. CENTRAL INDEX KEY: 0001519103 IRS NUMBER: 510559326 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-158 FILM NUMBER: 15938709 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Hidden Acres Property, L.L.C. CENTRAL INDEX KEY: 0001519098 IRS NUMBER: 272457250 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-163 FILM NUMBER: 15938715 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Effingham Associates, L.L.C. CENTRAL INDEX KEY: 0001519083 IRS NUMBER: 364150491 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-174 FILM NUMBER: 15938727 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CR Aviv, L.L.C. CENTRAL INDEX KEY: 0001519081 IRS NUMBER: 205354773 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-176 FILM NUMBER: 15938729 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Colonial Madison Associates, L.L.C. CENTRAL INDEX KEY: 0001519076 IRS NUMBER: 383741678 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-180 FILM NUMBER: 15938734 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Camas Associates, L.L.C. CENTRAL INDEX KEY: 0001519069 IRS NUMBER: 364340182 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-186 FILM NUMBER: 15938740 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Alamogordo Aviv, L.L.C. CENTRAL INDEX KEY: 0001519042 IRS NUMBER: 270123540 STATE OF INCORPORATION: NM FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-204 FILM NUMBER: 15938760 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sterling Acquisition, LLC 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: 333-203447-212 FILM NUMBER: 15938769 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: Sterling Acquisition Corp. DATE OF NAME CHANGE: 20040619 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Skyler Florida, LLC 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: 333-203447-216 FILM NUMBER: 15938773 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 FORMER COMPANY: FORMER CONFORMED NAME: Skyler Florida, Inc. DATE OF NAME CHANGE: 20140711 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pensacola Real Estate Holdings III, LLC 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: 333-203447-220 FILM NUMBER: 15938778 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 FORMER COMPANY: FORMER CONFORMED NAME: Pensacola Real Estate Holdings III, Inc. DATE OF NAME CHANGE: 20140711 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pavillion Nursing Center North, LLC 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: 333-203447-223 FILM NUMBER: 15938781 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 FORMER COMPANY: FORMER CONFORMED NAME: Pavillion Nursing Center North, Inc. DATE OF NAME CHANGE: 20060119 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Tennessee, LLC 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: 333-203447-230 FILM NUMBER: 15938789 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 FORMER COMPANY: FORMER CONFORMED NAME: OHI Tennessee, Inc. DATE OF NAME CHANGE: 20100810 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: 333-203447-234 FILM NUMBER: 15938793 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 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: 333-203447-238 FILM NUMBER: 15938797 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 (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: 333-203447-248 FILM NUMBER: 15938808 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) 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: 333-203447-257 FILM NUMBER: 15938818 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: 333-203447-271 FILM NUMBER: 15938834 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: 333-203447-276 FILM NUMBER: 15938839 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: 333-203447-284 FILM NUMBER: 15938848 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) 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: 333-203447-290 FILM NUMBER: 15938855 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) 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: 333-203447-295 FILM NUMBER: 15938860 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 (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: 333-203447-306 FILM NUMBER: 15938872 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: 333-203447-314 FILM NUMBER: 15938881 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) 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: 333-203447-316 FILM NUMBER: 15938883 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: 333-203447-320 FILM NUMBER: 15938888 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: 333-203447-325 FILM NUMBER: 15938893 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) 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: 333-203447-336 FILM NUMBER: 15938905 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: 333-203447-344 FILM NUMBER: 15938914 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 (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: 333-203447-349 FILM NUMBER: 15938919 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: 333-203447-350 FILM NUMBER: 15938921 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 (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: 333-203447-355 FILM NUMBER: 15938926 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), LLC 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: 333-203447-370 FILM NUMBER: 15938943 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 (Connecticut), Inc. DATE OF NAME CHANGE: 20040619 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: 333-203447-387 FILM NUMBER: 15938961 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: 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: 333-203447-390 FILM NUMBER: 15938965 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: 333-203447-397 FILM NUMBER: 15938972 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: 333-203447-400 FILM NUMBER: 15938976 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: 333-203447-403 FILM NUMBER: 15938979 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: 333-203447-418 FILM NUMBER: 15938995 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: 2400 Parkside Drive, LLC CENTRAL INDEX KEY: 0001639236 IRS NUMBER: 300482288 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-42 FILM NUMBER: 15938997 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 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: 333-203447-424 FILM NUMBER: 15939002 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: 333-203447-434 FILM NUMBER: 15939013 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: Wellington Leasehold, L.L.C. CENTRAL INDEX KEY: 0001519169 IRS NUMBER: 273971187 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-44 FILM NUMBER: 15939019 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Watauga Associates, L.L.C. CENTRAL INDEX KEY: 0001519168 IRS NUMBER: 364163268 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-45 FILM NUMBER: 15939030 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 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: 333-203447-453 FILM NUMBER: 15939034 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: 333-203447-459 FILM NUMBER: 15939040 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 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: 333-203447-469 FILM NUMBER: 15939051 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: 333-203447-478 FILM NUMBER: 15939061 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: Tujunga, L.L.C. CENTRAL INDEX KEY: 0001519164 IRS NUMBER: 364389732 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-48 FILM NUMBER: 15939063 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bayside Street, LLC 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: 333-203447-488 FILM NUMBER: 15939072 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: Bayside Street, Inc. DATE OF NAME CHANGE: 20040619 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: 333-203447-496 FILM NUMBER: 15939081 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: Pennington Road Property, L.L.C. CENTRAL INDEX KEY: 0001593080 IRS NUMBER: 364768380 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-50 FILM NUMBER: 15939085 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Oso Avenue Property, L.L.C. CENTRAL INDEX KEY: 0001593079 IRS NUMBER: 300767014 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-51 FILM NUMBER: 15939087 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Oklahoma Two Property, L.L.C. CENTRAL INDEX KEY: 0001593065 IRS NUMBER: 371695177 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-58 FILM NUMBER: 15939094 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fort Stockton Property, L.L.C. CENTRAL INDEX KEY: 0001592992 IRS NUMBER: 383918639 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-68 FILM NUMBER: 15939104 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: 446 Sycamore Road, L.L.C. CENTRAL INDEX KEY: 0001592960 IRS NUMBER: 320380782 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-75 FILM NUMBER: 15939111 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Seguin Texas Property, L.L.C. CENTRAL INDEX KEY: 0001589521 IRS NUMBER: 352456377 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-80 FILM NUMBER: 15939116 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Texas Fifteen Property, L.L.C. CENTRAL INDEX KEY: 0001547242 IRS NUMBER: 352437626 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-82 FILM NUMBER: 15939118 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ohio Pennsylvania Property, L.L.C. CENTRAL INDEX KEY: 0001547236 IRS NUMBER: 320350654 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-87 FILM NUMBER: 15939123 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Iowa Lincoln County Property, L.L.C. CENTRAL INDEX KEY: 0001547225 IRS NUMBER: 454445450 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-94 FILM NUMBER: 15939130 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Germantown Property, L.L.C. CENTRAL INDEX KEY: 0001547224 IRS NUMBER: 454444655 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-95 FILM NUMBER: 15939131 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fredericksburg South Adams Street, L.L.C. CENTRAL INDEX KEY: 0001547222 IRS NUMBER: 275459311 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-97 FILM NUMBER: 15939133 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Cuyahoga Falls Property, L.L.C. CENTRAL INDEX KEY: 0001547219 IRS NUMBER: 352419468 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-101 FILM NUMBER: 15938642 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Conroe Rigby Owen Road, L.L.C. CENTRAL INDEX KEY: 0001547217 IRS NUMBER: 275458820 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-103 FILM NUMBER: 15938649 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Commerce Sterling Hart Drive, L.L.C. CENTRAL INDEX KEY: 0001547215 IRS NUMBER: 275458991 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-104 FILM NUMBER: 15938650 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Biglerville Road, L.L.C. CENTRAL INDEX KEY: 0001547212 IRS NUMBER: 352410897 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-106 FILM NUMBER: 15938652 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Southeast Missouri Property, L.L.C. CENTRAL INDEX KEY: 0001519161 IRS NUMBER: 273502072 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-114 FILM NUMBER: 15938661 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Santa Fe Missouri Associates, L.L.C. CENTRAL INDEX KEY: 0001519155 IRS NUMBER: 364165126 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-118 FILM NUMBER: 15938665 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: San Juan NH Property, L.L.C. CENTRAL INDEX KEY: 0001519153 IRS NUMBER: 113714511 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-120 FILM NUMBER: 15938668 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Red Rocks, L.L.C. CENTRAL INDEX KEY: 0001519148 IRS NUMBER: 364192351 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-125 FILM NUMBER: 15938673 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Raton Property Ltd Co CENTRAL INDEX KEY: 0001519147 IRS NUMBER: 364111094 STATE OF INCORPORATION: NM FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-126 FILM NUMBER: 15938674 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Orange ALF Property, L.L.C. CENTRAL INDEX KEY: 0001519141 IRS NUMBER: 274083471 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-131 FILM NUMBER: 15938680 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: October Associates, L.L.C. CENTRAL INDEX KEY: 0001519137 IRS NUMBER: 364572030 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-135 FILM NUMBER: 15938684 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: N.M. Bloomfield Three Plus One Ltd Co CENTRAL INDEX KEY: 0001519129 IRS NUMBER: 742748292 STATE OF INCORPORATION: NM FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-142 FILM NUMBER: 15938692 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Missouri Associates, L.L.C. CENTRAL INDEX KEY: 0001519124 IRS NUMBER: 364572033 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-147 FILM NUMBER: 15938697 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Mansfield Aviv, L.L.C. CENTRAL INDEX KEY: 0001519121 IRS NUMBER: 320183852 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-150 FILM NUMBER: 15938701 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Karan Associates, L.L.C. CENTRAL INDEX KEY: 0001519106 IRS NUMBER: 113747208 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-155 FILM NUMBER: 15938706 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Houston Texas Aviv, L.L.C. CENTRAL INDEX KEY: 0001519102 IRS NUMBER: 364587739 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-159 FILM NUMBER: 15938710 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Hot Springs Aviv, L.L.C. CENTRAL INDEX KEY: 0001519101 IRS NUMBER: 300470700 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-160 FILM NUMBER: 15938712 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Great Bend Property, L.L.C. CENTRAL INDEX KEY: 0001519095 IRS NUMBER: 273971138 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-166 FILM NUMBER: 15938718 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Four Fountains Aviv, L.L.C. CENTRAL INDEX KEY: 0001519089 IRS NUMBER: 364601434 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-170 FILM NUMBER: 15938723 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Commerce Nursing Homes, L.L.C. CENTRAL INDEX KEY: 0001519080 IRS NUMBER: 364122632 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-177 FILM NUMBER: 15938730 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Clayton Associates, L.L.C. CENTRAL INDEX KEY: 0001519075 IRS NUMBER: 364572014 STATE OF INCORPORATION: NM FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-181 FILM NUMBER: 15938735 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: California Aviv, L.L.C. CENTRAL INDEX KEY: 0001519068 IRS NUMBER: 383786697 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-187 FILM NUMBER: 15938741 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Avon Ohio, L.L.C. CENTRAL INDEX KEY: 0001519056 IRS NUMBER: 364601433 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-193 FILM NUMBER: 15938748 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Aviv Liberty, L.L.C. CENTRAL INDEX KEY: 0001519054 IRS NUMBER: 364572034 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-194 FILM NUMBER: 15938749 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Aviv Financing I, L.L.C. CENTRAL INDEX KEY: 0001519046 IRS NUMBER: 113747125 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-200 FILM NUMBER: 15938756 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Arma Yates, L.L.C. CENTRAL INDEX KEY: 0001519044 IRS NUMBER: 273971035 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-202 FILM NUMBER: 15938758 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Texas Lessor - Stonegate Limited, LLC 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: 333-203447-209 FILM NUMBER: 15938765 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: Texas Lessor - Stonegate Limited, Inc. DATE OF NAME CHANGE: 20040619 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pensacola Real Estate Holdings V, LLC 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: 333-203447-218 FILM NUMBER: 15938775 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 FORMER COMPANY: FORMER CONFORMED NAME: Pensacola Real Estate Holdings V, Inc. DATE OF NAME CHANGE: 20140711 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pensacola Real Estate Holdings I, LLC 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: 333-203447-222 FILM NUMBER: 15938780 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 FORMER COMPANY: FORMER CONFORMED NAME: Pensacola Real Estate Holdings I, Inc. DATE OF NAME CHANGE: 20140711 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: 333-203447-226 FILM NUMBER: 15938784 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: OHIMA, LLC 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: 333-203447-229 FILM NUMBER: 15938787 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: OHIMA, Inc. DATE OF NAME CHANGE: 20040619 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: 333-203447-231 FILM NUMBER: 15938790 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: 333-203447-245 FILM NUMBER: 15938805 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 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: 333-203447-247 FILM NUMBER: 15938807 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: Kentucky NH Properties, L.L.C. CENTRAL INDEX KEY: 0001639263 IRS NUMBER: 611730147 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-25 FILM NUMBER: 15938810 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 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: 333-203447-256 FILM NUMBER: 15938817 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: 333-203447-261 FILM NUMBER: 15938823 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: 333-203447-268 FILM NUMBER: 15938830 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) 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: 333-203447-270 FILM NUMBER: 15938833 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: 333-203447-274 FILM NUMBER: 15938837 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: 333-203447-279 FILM NUMBER: 15938842 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: 333-203447-285 FILM NUMBER: 15938849 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: 333-203447-296 FILM NUMBER: 15938861 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: 333-203447-302 FILM NUMBER: 15938868 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: 333-203447-309 FILM NUMBER: 15938875 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), 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: 333-203447-311 FILM NUMBER: 15938878 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: 333-203447-313 FILM NUMBER: 15938880 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: 333-203447-321 FILM NUMBER: 15938889 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: 333-203447-328 FILM NUMBER: 15938896 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) 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: 333-203447-330 FILM NUMBER: 15938899 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: 333-203447-333 FILM NUMBER: 15938902 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) 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: 333-203447-339 FILM NUMBER: 15938908 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: 333-203447-343 FILM NUMBER: 15938913 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: 333-203447-346 FILM NUMBER: 15938916 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: Crete Plus Five Property, L.L.C. CENTRAL INDEX KEY: 0001639424 IRS NUMBER: 300855110 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-35 FILM NUMBER: 15938920 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 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: 333-203447-354 FILM NUMBER: 15938925 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: Colville Washington Property, L.L.C. CENTRAL INDEX KEY: 0001639425 IRS NUMBER: 352521805 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-36 FILM NUMBER: 15938931 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Chardon Ohio Property Holdings, L.L.C. CENTRAL INDEX KEY: 0001639426 IRS NUMBER: 371762860 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-37 FILM NUMBER: 15938942 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 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: 333-203447-378 FILM NUMBER: 15938951 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 II Land, LLC 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: 333-203447-381 FILM NUMBER: 15938955 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 FORMER COMPANY: FORMER CONFORMED NAME: Hutton II Land, Inc. DATE OF NAME CHANGE: 20060119 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Georgia Lessor - Bonterra/Parkview, LLC 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: 333-203447-384 FILM NUMBER: 15938958 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: Georgia Lessor - Bonterra/Parkview, Inc. DATE OF NAME CHANGE: 20040619 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Dixon Health Care Center, LLC 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: 333-203447-388 FILM NUMBER: 15938962 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 FORMER COMPANY: FORMER CONFORMED NAME: Dixon Health Care Center, Inc. DATE OF NAME CHANGE: 20060119 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: 333-203447-394 FILM NUMBER: 15938969 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 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: 333-203447-396 FILM NUMBER: 15938971 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 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: 333-203447-402 FILM NUMBER: 15938978 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: 333-203447-411 FILM NUMBER: 15938988 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: 333-203447-413 FILM NUMBER: 15938990 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: 333-203447-420 FILM NUMBER: 15938998 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: 333-203447-421 FILM NUMBER: 15938999 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: 333-203447-425 FILM NUMBER: 15939003 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 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: 333-203447-432 FILM NUMBER: 15939011 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 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: 333-203447-439 FILM NUMBER: 15939018 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: 333-203447-442 FILM NUMBER: 15939022 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-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: 333-203447-449 FILM NUMBER: 15939029 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 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: 333-203447-452 FILM NUMBER: 15939033 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: 333-203447-460 FILM NUMBER: 15939042 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 Centennial Village, LP 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: 333-203447-468 FILM NUMBER: 15939050 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 FORMER COMPANY: FORMER CONFORMED NAME: CSE Centennial Village DATE OF NAME CHANGE: 20100812 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: 333-203447-470 FILM NUMBER: 15939053 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 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: 333-203447-482 FILM NUMBER: 15939066 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 II, LLC 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: 333-203447-489 FILM NUMBER: 15939073 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: Bayside Street II, Inc. DATE OF NAME CHANGE: 20040619 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bayside Colorado Healthcare Associates, LLC 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: 333-203447-490 FILM NUMBER: 15939075 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: Bayside Colorado Healthcare Associates, Inc. DATE OF NAME CHANGE: 20040619 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: 333-203447-497 FILM NUMBER: 15939082 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: Pocatello Idaho Property, L.L.C. CENTRAL INDEX KEY: 0001593078 IRS NUMBER: 352449870 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-52 FILM NUMBER: 15939088 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Riverside Nursing Home Associates Two, L.L.C. CENTRAL INDEX KEY: 0001593077 IRS NUMBER: 273524946 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-53 FILM NUMBER: 15939089 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Texhoma Avenue Property, L.L.C. CENTRAL INDEX KEY: 0001593075 IRS NUMBER: 352470607 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-55 FILM NUMBER: 15939091 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: North Royalton Ohio Property, L.L.C. CENTRAL INDEX KEY: 0001593061 IRS NUMBER: 371729308 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-60 FILM NUMBER: 15939096 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Mishawaka Property, L.L.C. CENTRAL INDEX KEY: 0001592999 IRS NUMBER: 364734067 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-64 FILM NUMBER: 15939100 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Florida ALF Properties, L.L.C. CENTRAL INDEX KEY: 0001592990 IRS NUMBER: 320417622 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-69 FILM NUMBER: 15939105 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Stevens Avenue Property, L.L.C. CENTRAL INDEX KEY: 0001589546 IRS NUMBER: 352446030 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-77 FILM NUMBER: 15939113 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Glendale NH Property, L.L.C. CENTRAL INDEX KEY: 0001589530 IRS NUMBER: 611686455 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-79 FILM NUMBER: 15939115 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sedgwick Properties, L.L.C. CENTRAL INDEX KEY: 0001547240 IRS NUMBER: 364694767 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-84 FILM NUMBER: 15939120 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Murray County, L.L.C. CENTRAL INDEX KEY: 0001547233 IRS NUMBER: 364708756 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-90 FILM NUMBER: 15939126 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: McCarthy Street Property, L.L.C. CENTRAL INDEX KEY: 0001547231 IRS NUMBER: 383855495 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-91 FILM NUMBER: 15939127 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Crooked River Road, L.L.C. CENTRAL INDEX KEY: 0001547218 IRS NUMBER: 275081057 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-102 FILM NUMBER: 15938643 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bradenton ALF Property, L.L.C. CENTRAL INDEX KEY: 0001547214 IRS NUMBER: 454444919 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-105 FILM NUMBER: 15938651 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Yuba Aviv, L.L.C. CENTRAL INDEX KEY: 0001519175 IRS NUMBER: 113750228 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-109 FILM NUMBER: 15938655 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Skyview Associates, L.L.C. CENTRAL INDEX KEY: 0001519160 IRS NUMBER: 364572023 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-115 FILM NUMBER: 15938662 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Santa Ana-Bartlett, L.L.C. CENTRAL INDEX KEY: 0001519154 IRS NUMBER: 364212739 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-119 FILM NUMBER: 15938666 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Oregon Associates, L.L.C. CENTRAL INDEX KEY: 0001519143 IRS NUMBER: 364572024 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-129 FILM NUMBER: 15938677 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Kingsville Texas, L.L.C. CENTRAL INDEX KEY: 0001519108 IRS NUMBER: 371522939 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-153 FILM NUMBER: 15938704 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fullerton California, L.L.C. CENTRAL INDEX KEY: 0001519091 IRS NUMBER: 364480527 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-168 FILM NUMBER: 15938720 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Columbus Western Avenue, L.L.C. CENTRAL INDEX KEY: 0001519079 IRS NUMBER: 710960205 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-178 FILM NUMBER: 15938731 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Clarkston Care, L.L.C. CENTRAL INDEX KEY: 0001519074 IRS NUMBER: 760802028 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-182 FILM NUMBER: 15938736 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Aviv Healthcare Properties Operating Partnership I, L.P. CENTRAL INDEX KEY: 0001519057 IRS NUMBER: 113747120 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-192 FILM NUMBER: 15938747 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Washington Lessor - Silverdale, LLC 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: 333-203447-206 FILM NUMBER: 15938762 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: Washington Lessor - Silverdale, Inc. DATE OF NAME CHANGE: 20040619 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Texas Lessor - Stonegate GP, LLC 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: 333-203447-210 FILM NUMBER: 15938767 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: Texas Lessor - Stonegate GP, Inc. DATE OF NAME CHANGE: 20040619 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pavillion North Partners, LLC 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: 333-203447-225 FILM NUMBER: 15938783 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 FORMER COMPANY: FORMER CONFORMED NAME: Pavillion North Partners, Inc. DATE OF NAME CHANGE: 20060119 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: 333-203447-240 FILM NUMBER: 15938800 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: 333-203447-246 FILM NUMBER: 15938806 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 (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: 333-203447-250 FILM NUMBER: 15938811 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: 333-203447-255 FILM NUMBER: 15938816 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: 333-203447-259 FILM NUMBER: 15938820 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: 333-203447-269 FILM NUMBER: 15938831 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: 333-203447-273 FILM NUMBER: 15938836 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: 333-203447-278 FILM NUMBER: 15938841 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: 333-203447-293 FILM NUMBER: 15938858 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: 333-203447-297 FILM NUMBER: 15938862 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) 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: 333-203447-303 FILM NUMBER: 15938869 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) 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: 333-203447-308 FILM NUMBER: 15938874 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: 333-203447-312 FILM NUMBER: 15938879 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: 333-203447-327 FILM NUMBER: 15938895 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: 333-203447-334 FILM NUMBER: 15938903 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) 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: 333-203447-342 FILM NUMBER: 15938912 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) 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: 333-203447-347 FILM NUMBER: 15938917 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) 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: 333-203447-352 FILM NUMBER: 15938923 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: 333-203447-365 FILM NUMBER: 15938937 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), LLC 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: 333-203447-368 FILM NUMBER: 15938940 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 (Indiana), Inc. DATE OF NAME CHANGE: 20040619 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Leatherman Partnership 89-1, LLC 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: 333-203447-376 FILM NUMBER: 15938949 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 FORMER COMPANY: FORMER CONFORMED NAME: Leatherman Partnership 89-1, Inc. DATE OF NAME CHANGE: 20060119 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Hutton III Land, LLC 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: 333-203447-380 FILM NUMBER: 15938954 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 FORMER COMPANY: FORMER CONFORMED NAME: Hutton III Land, Inc. DATE OF NAME CHANGE: 20060119 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: 333-203447-395 FILM NUMBER: 15938970 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 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: 333-203447-399 FILM NUMBER: 15938974 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: 333-203447-409 FILM NUMBER: 15938985 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 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: 333-203447-412 FILM NUMBER: 15938989 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: 333-203447-416 FILM NUMBER: 15938993 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 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: 333-203447-431 FILM NUMBER: 15939010 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: 333-203447-437 FILM NUMBER: 15939016 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: 333-203447-448 FILM NUMBER: 15939028 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: 333-203447-457 FILM NUMBER: 15939038 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: 333-203447-461 FILM NUMBER: 15939043 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: 333-203447-465 FILM NUMBER: 15939047 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 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: 333-203447-475 FILM NUMBER: 15939058 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: 333-203447-485 FILM NUMBER: 15939069 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: Savoy/Bonham Venture, L.L.C. CENTRAL INDEX KEY: 0001519165 IRS NUMBER: 364572026 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-49 FILM NUMBER: 15939074 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Chardon Ohio Property, L.L.C. CENTRAL INDEX KEY: 0001593013 IRS NUMBER: 611722650 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-63 FILM NUMBER: 15939099 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Falcon Four Property, L.L.C. CENTRAL INDEX KEY: 0001592989 IRS NUMBER: 300794160 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-70 FILM NUMBER: 15939106 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Mount Washington Property, L.L.C. CENTRAL INDEX KEY: 0001589531 IRS NUMBER: 455010153 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-78 FILM NUMBER: 15939114 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sandalwood Arkansas Property, L.L.C. CENTRAL INDEX KEY: 0001547238 IRS NUMBER: 611665105 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-85 FILM NUMBER: 15939121 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Jasper Springhill Street, L.L.C. CENTRAL INDEX KEY: 0001547227 IRS NUMBER: 275458704 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-93 FILM NUMBER: 15939129 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Gardnerville Property, L.L.C. CENTRAL INDEX KEY: 0001547223 IRS NUMBER: 371657201 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-96 FILM NUMBER: 15939132 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: S.C. Portfolio Property, L.L.C. CENTRAL INDEX KEY: 0001639319 IRS NUMBER: 320457621 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-08 FILM NUMBER: 15938638 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Wheeler Healthcare Associates, L.L.C. CENTRAL INDEX KEY: 0001519171 IRS NUMBER: 742752353 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-111 FILM NUMBER: 15938658 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pomona Vista L.L.C. CENTRAL INDEX KEY: 0001519158 IRS NUMBER: 364111095 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-116 FILM NUMBER: 15938663 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Richland Washington, L.L.C. CENTRAL INDEX KEY: 0001519149 IRS NUMBER: 260081509 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-124 FILM NUMBER: 15938672 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ohio Aviv, L.L.C. CENTRAL INDEX KEY: 0001519139 IRS NUMBER: 364597043 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-133 FILM NUMBER: 15938682 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Oakland Nursing Homes, L.L.C. CENTRAL INDEX KEY: 0001519136 IRS NUMBER: 364572018 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-136 FILM NUMBER: 15938685 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Massachusetts Nursing Homes, L.L.C. CENTRAL INDEX KEY: 0001519122 IRS NUMBER: 202873416 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-149 FILM NUMBER: 15938699 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Manor Associates, L.L.C. CENTRAL INDEX KEY: 0001519109 IRS NUMBER: 364572020 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-152 FILM NUMBER: 15938703 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset CHG ALF, LLC CENTRAL INDEX KEY: 0001639278 IRS NUMBER: 383945599 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-16 FILM NUMBER: 15938711 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Elite Yorkville, L.L.C. CENTRAL INDEX KEY: 0001519085 IRS NUMBER: 364454114 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-172 FILM NUMBER: 15938725 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Denison Texas, L.L.C. CENTRAL INDEX KEY: 0001519082 IRS NUMBER: 320173170 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-175 FILM NUMBER: 15938728 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Chippewa Valley, L.L.C. CENTRAL INDEX KEY: 0001519073 IRS NUMBER: 364065826 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-183 FILM NUMBER: 15938737 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Burton NH Property, L.L.C. CENTRAL INDEX KEY: 0001519066 IRS NUMBER: 113714506 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-189 FILM NUMBER: 15938743 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Aviv Foothills, L.L.C. CENTRAL INDEX KEY: 0001519052 IRS NUMBER: 364572035 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-195 FILM NUMBER: 15938750 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Arkansas Aviv, L.L.C. CENTRAL INDEX KEY: 0001519043 IRS NUMBER: 300509615 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-203 FILM NUMBER: 15938759 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Suburban Pavilion, LLC 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: 333-203447-207 FILM NUMBER: 15938763 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 FORMER COMPANY: FORMER CONFORMED NAME: Suburban Pavillion, Inc. DATE OF NAME CHANGE: 20060119 FILER: COMPANY DATA: COMPANY CONFORMED NAME: St. Marys Properties, LLC 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: 333-203447-213 FILM NUMBER: 15938770 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 FORMER COMPANY: FORMER CONFORMED NAME: St. Marys Properties, Inc. DATE OF NAME CHANGE: 20060119 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Skyler Boyington, LLC 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: 333-203447-217 FILM NUMBER: 15938774 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 FORMER COMPANY: FORMER CONFORMED NAME: Skyler Boyington, Inc. DATE OF NAME CHANGE: 20140711 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: 333-203447-224 FILM NUMBER: 15938782 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: Nicholasville Kentucky Property, L.L.C. CENTRAL INDEX KEY: 0001639265 IRS NUMBER: 465411821 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-23 FILM NUMBER: 15938788 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 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: 333-203447-233 FILM NUMBER: 15938792 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: 333-203447-243 FILM NUMBER: 15938803 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: 333-203447-251 FILM NUMBER: 15938812 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) 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: 333-203447-254 FILM NUMBER: 15938815 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), 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: 333-203447-258 FILM NUMBER: 15938819 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) 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: 333-203447-262 FILM NUMBER: 15938824 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: Illinois Missouri Properties, L.L.C. CENTRAL INDEX KEY: 0001639260 IRS NUMBER: 352520792 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-27 FILM NUMBER: 15938832 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 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: 333-203447-275 FILM NUMBER: 15938838 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) 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: 333-203447-280 FILM NUMBER: 15938844 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: 333-203447-286 FILM NUMBER: 15938850 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), 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: 333-203447-291 FILM NUMBER: 15938856 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: 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: 333-203447-298 FILM NUMBER: 15938863 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: 333-203447-300 FILM NUMBER: 15938866 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) 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: 333-203447-307 FILM NUMBER: 15938873 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: 333-203447-310 FILM NUMBER: 15938877 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: Golden Hill Real Estate Company, LLC CENTRAL INDEX KEY: 0001639254 IRS NUMBER: 710976967 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-32 FILM NUMBER: 15938887 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 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: 333-203447-326 FILM NUMBER: 15938894 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) 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: 333-203447-332 FILM NUMBER: 15938901 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: 333-203447-337 FILM NUMBER: 15938906 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: 333-203447-341 FILM NUMBER: 15938911 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: 333-203447-348 FILM NUMBER: 15938918 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 (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: 333-203447-356 FILM NUMBER: 15938927 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) 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: 333-203447-360 FILM NUMBER: 15938932 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: 333-203447-364 FILM NUMBER: 15938936 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, LLC 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: 333-203447-371 FILM NUMBER: 15938944 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 FORMER COMPANY: FORMER CONFORMED NAME: Ocean Springs Nursing Home, Inc. DATE OF NAME CHANGE: 20140711 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bala Cynwyd Real Estate, LP CENTRAL INDEX KEY: 0001639427 IRS NUMBER: 271726563 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-38 FILM NUMBER: 15938953 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Avery Street Property, L.L.C. CENTRAL INDEX KEY: 0001639429 IRS NUMBER: 364775490 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-39 FILM NUMBER: 15938964 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 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: 333-203447-401 FILM NUMBER: 15938977 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 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: 333-203447-406 FILM NUMBER: 15938982 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: 11900 East Artesia Boulevard, LLC CENTRAL INDEX KEY: 0001639215 IRS NUMBER: 900266391 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-41 FILM NUMBER: 15938986 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSE Pennsylvania Holdings, LP 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: 333-203447-419 FILM NUMBER: 15938996 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 FORMER COMPANY: FORMER CONFORMED NAME: CSE Pennsylvania Holdings DATE OF NAME CHANGE: 20100810 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: 333-203447-427 FILM NUMBER: 15939005 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: 333-203447-430 FILM NUMBER: 15939009 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 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: 333-203447-433 FILM NUMBER: 15939012 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: 333-203447-450 FILM NUMBER: 15939031 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: 333-203447-454 FILM NUMBER: 15939035 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: 333-203447-458 FILM NUMBER: 15939039 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: 333-203447-466 FILM NUMBER: 15939048 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: 333-203447-474 FILM NUMBER: 15939057 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 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: 333-203447-477 FILM NUMBER: 15939060 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: 333-203447-484 FILM NUMBER: 15939068 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: 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: 333-203447-492 FILM NUMBER: 15939077 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: Oklahoma Warr Wind, L.L.C. CENTRAL INDEX KEY: 0001593066 IRS NUMBER: 383886603 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-57 FILM NUMBER: 15939093 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sierra Ponds Property, L.L.C. CENTRAL INDEX KEY: 0001593042 IRS NUMBER: 383888430 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-62 FILM NUMBER: 15939098 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Gonzales Texas Property, L.L.C. CENTRAL INDEX KEY: 0001592994 IRS NUMBER: 320403901 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-67 FILM NUMBER: 15939103 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ravenna Ohio Property, L.L.C. CENTRAL INDEX KEY: 0001592954 IRS NUMBER: 611692048 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-76 FILM NUMBER: 15939112 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Florida Four Properties, L.L.C. CENTRAL INDEX KEY: 0001589519 IRS NUMBER: 352456486 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-81 FILM NUMBER: 15939117 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PV Realty-Willow Tree, LLC CENTRAL INDEX KEY: 0001639318 IRS NUMBER: 270328038 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-09 FILM NUMBER: 15938639 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 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: 333-203447-301 FILM NUMBER: 15938867 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 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: 333-203447-414 FILM NUMBER: 15938991 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 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: 333-203447-441 FILM NUMBER: 15939021 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: Washington Idaho Property, L.L.C. CENTRAL INDEX KEY: 0001639395 IRS NUMBER: 611743318 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-06 FILM NUMBER: 15938633 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: West Pearl Street, L.L.C. CENTRAL INDEX KEY: 0001519170 IRS NUMBER: 810637081 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-112 FILM NUMBER: 15938659 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Freewater Oregon, L.L.C. CENTRAL INDEX KEY: 0001519090 IRS NUMBER: 362280966 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-169 FILM NUMBER: 15938721 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Casa/Sierra California Associates, L.L.C. CENTRAL INDEX KEY: 0001519070 IRS NUMBER: 364572017 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-185 FILM NUMBER: 15938739 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 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: 333-203447-318 FILM NUMBER: 15938885 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: Leatherman 90-1, LLC 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: 333-203447-377 FILM NUMBER: 15938950 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 FORMER COMPANY: FORMER CONFORMED NAME: Leatherman 90-1, Inc. DATE OF NAME CHANGE: 20060119 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Washington-Oregon Associates, L.L.C. CENTRAL INDEX KEY: 0001519167 IRS NUMBER: 364192347 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-46 FILM NUMBER: 15939041 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 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: 333-203447-479 FILM NUMBER: 15939062 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: N.M. Silver City Three Plus One Ltd Co CENTRAL INDEX KEY: 0001519132 IRS NUMBER: 742748283 STATE OF INCORPORATION: NM FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-139 FILM NUMBER: 15938688 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 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: 333-203447-405 FILM NUMBER: 15938981 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: 333-203447-493 FILM NUMBER: 15939078 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: Belleville Illinois, L.L.C. CENTRAL INDEX KEY: 0001519251 IRS NUMBER: 320188341 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-108 FILM NUMBER: 15938654 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: BHG Aviv, L.L.C. CENTRAL INDEX KEY: 0001519063 IRS NUMBER: 364601432 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-191 FILM NUMBER: 15938746 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 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: 333-203447-294 FILM NUMBER: 15938859 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) 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: 333-203447-366 FILM NUMBER: 15938938 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: Florida Lessor - Meadowview, LLC 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: 333-203447-386 FILM NUMBER: 15938960 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: Florida Lessor - Meadowview, Inc. DATE OF NAME CHANGE: 20040619 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: 333-203447-446 FILM NUMBER: 15939026 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: Stephenville Texas Property, L.L.C. CENTRAL INDEX KEY: 0001639323 IRS NUMBER: 465421870 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-02 FILM NUMBER: 15938646 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ogden Associates, L.L.C. CENTRAL INDEX KEY: 0001519138 IRS NUMBER: 364412291 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-134 FILM NUMBER: 15938683 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Aviv Healthcare Capital Corp CENTRAL INDEX KEY: 0001519119 IRS NUMBER: 274536064 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-151 FILM NUMBER: 15938702 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Heritage Monterey Associates, L.L.C. CENTRAL INDEX KEY: 0001519096 IRS NUMBER: 364056688 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-165 FILM NUMBER: 15938717 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 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: 333-203447-208 FILM NUMBER: 15938764 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 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: 333-203447-244 FILM NUMBER: 15938804 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) 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: 333-203447-267 FILM NUMBER: 15938829 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: 333-203447-287 FILM NUMBER: 15938851 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: Greenville Kentucky Property, L.L.C. CENTRAL INDEX KEY: 0001639255 IRS NUMBER: 300838127 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-31 FILM NUMBER: 15938876 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 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: 333-203447-340 FILM NUMBER: 15938910 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) 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: 333-203447-363 FILM NUMBER: 15938935 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 I Land, LLC 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: 333-203447-382 FILM NUMBER: 15938956 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 FORMER COMPANY: FORMER CONFORMED NAME: Hutton Land I, Inc. DATE OF NAME CHANGE: 20060119 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: 333-203447-410 FILM NUMBER: 15938987 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 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: 333-203447-428 FILM NUMBER: 15939006 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: 333-203447-467 FILM NUMBER: 15939049 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: 333-203447-473 FILM NUMBER: 15939056 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, LLC 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: 333-203447-491 FILM NUMBER: 15939076 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: Arizona Lessor - Infinia, Inc. DATE OF NAME CHANGE: 20040619 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Champaign Williamson Franklin, L.L.C. CENTRAL INDEX KEY: 0001592972 IRS NUMBER: 364769741 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-73 FILM NUMBER: 15939109 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Healthcare Properties Limited Partnership CENTRAL INDEX KEY: 0001639315 IRS NUMBER: 364796206 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-11 FILM NUMBER: 15938656 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset Management, LLC CENTRAL INDEX KEY: 0001639309 IRS NUMBER: 364798979 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-13 FILM NUMBER: 15938678 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: N.M. Lordsburg Three Plus One Ltd Co CENTRAL INDEX KEY: 0001519131 IRS NUMBER: 742748286 STATE OF INCORPORATION: NM FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-140 FILM NUMBER: 15938690 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: KB Northwest Associates, L.L.C. CENTRAL INDEX KEY: 0001519107 IRS NUMBER: 364572025 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-154 FILM NUMBER: 15938705 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Highland Leasehold, L.L.C. CENTRAL INDEX KEY: 0001519099 IRS NUMBER: 202873499 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-162 FILM NUMBER: 15938714 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Columbus Texas Aviv, L.L.C. CENTRAL INDEX KEY: 0001519078 IRS NUMBER: 383735473 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-179 FILM NUMBER: 15938732 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 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: 333-203447-205 FILM NUMBER: 15938761 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 (FL) Lutz, LLC CENTRAL INDEX KEY: 0001639267 IRS NUMBER: 300858827 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-22 FILM NUMBER: 15938777 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 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: 333-203447-239 FILM NUMBER: 15938798 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: 333-203447-253 FILM NUMBER: 15938814 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) 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: 333-203447-264 FILM NUMBER: 15938826 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: 333-203447-281 FILM NUMBER: 15938845 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: 333-203447-299 FILM NUMBER: 15938864 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: Dallas Two Property, L.L.C. CENTRAL INDEX KEY: 0001639423 IRS NUMBER: 611746734 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-34 FILM NUMBER: 15938909 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 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: 333-203447-351 FILM NUMBER: 15938922 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: Albany Street Property, L.L.C. CENTRAL INDEX KEY: 0001639430 IRS NUMBER: 611754256 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-40 FILM NUMBER: 15938975 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 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: 333-203447-417 FILM NUMBER: 15938994 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: 333-203447-429 FILM NUMBER: 15939007 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: 333-203447-444 FILM NUMBER: 15939024 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 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: 333-203447-456 FILM NUMBER: 15939037 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 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: 333-203447-471 FILM NUMBER: 15939054 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: 333-203447-486 FILM NUMBER: 15939070 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: 333-203447-500 FILM NUMBER: 15939086 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: Ohio Indiana Property, L.L.C. CENTRAL INDEX KEY: 0001593063 IRS NUMBER: 364764623 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-59 FILM NUMBER: 15939095 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Southern California Nevada, L.L.C. CENTRAL INDEX KEY: 0001547241 IRS NUMBER: 300705746 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-83 FILM NUMBER: 15939119 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Tulare County Property, L.L.C. CENTRAL INDEX KEY: 0001639397 IRS NUMBER: 465446413 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-07 FILM NUMBER: 15938635 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Falfurrias Texas, L.L.C. CENTRAL INDEX KEY: 0001519086 IRS NUMBER: 611501714 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-171 FILM NUMBER: 15938724 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Aviv Financing V, L.L.C. CENTRAL INDEX KEY: 0001519051 IRS NUMBER: 270836548 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-196 FILM NUMBER: 15938751 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 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: 333-203447-232 FILM NUMBER: 15938791 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) 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: 333-203447-265 FILM NUMBER: 15938827 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: Hot Springs Atrium Owner, LLC CENTRAL INDEX KEY: 0001639257 IRS NUMBER: 471359052 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-30 FILM NUMBER: 15938865 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 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: 333-203447-322 FILM NUMBER: 15938890 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) 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: 333-203447-338 FILM NUMBER: 15938907 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: 333-203447-361 FILM NUMBER: 15938933 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 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: 333-203447-422 FILM NUMBER: 15939000 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: 333-203447-451 FILM NUMBER: 15939032 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: 333-203447-472 FILM NUMBER: 15939055 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: 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: 333-203447-498 FILM NUMBER: 15939083 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: Rockingham Drive Property, L.L.C. CENTRAL INDEX KEY: 0001593076 IRS NUMBER: 352485732 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-54 FILM NUMBER: 15939090 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 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: 333-203447 FILM NUMBER: 15938644 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: HHM Aviv, L.L.C. CENTRAL INDEX KEY: 0001519097 IRS NUMBER: 320205746 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-164 FILM NUMBER: 15938716 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (TN) Jefferson City, LLC CENTRAL INDEX KEY: 0001639272 IRS NUMBER: 611750374 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-18 FILM NUMBER: 15938733 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (OR) Troutdale, LLC CENTRAL INDEX KEY: 0001639269 IRS NUMBER: 472564223 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-21 FILM NUMBER: 15938766 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Muscatine Toledo Properties, L.L.C. CENTRAL INDEX KEY: 0001639264 IRS NUMBER: 364777497 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-24 FILM NUMBER: 15938799 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 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: 333-203447-249 FILM NUMBER: 15938809 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) 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: 333-203447-266 FILM NUMBER: 15938828 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: 333-203447-272 FILM NUMBER: 15938835 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 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: 333-203447-288 FILM NUMBER: 15938852 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) 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: 333-203447-304 FILM NUMBER: 15938870 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: Danbury ALF Property, L.L.C. CENTRAL INDEX KEY: 0001639422 IRS NUMBER: 274083747 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-33 FILM NUMBER: 15938898 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 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: 333-203447-353 FILM NUMBER: 15938924 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 (Illinois), LLC 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: 333-203447-369 FILM NUMBER: 15938941 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 (Illinois), Inc. DATE OF NAME CHANGE: 20040619 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: 333-203447-383 FILM NUMBER: 15938957 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 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: 333-203447-415 FILM NUMBER: 15938992 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: 333-203447-438 FILM NUMBER: 15939017 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 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: 333-203447-462 FILM NUMBER: 15939044 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: VRB Aviv, L.L.C. CENTRAL INDEX KEY: 0001519166 IRS NUMBER: 760802032 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-47 FILM NUMBER: 15939052 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Canton Health Care Land, LLC 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: 333-203447-487 FILM NUMBER: 15939071 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 FORMER COMPANY: FORMER CONFORMED NAME: Canton Health Care Land, Inc. DATE OF NAME CHANGE: 20060119 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Falcon Four Property Holding, L.L.C. CENTRAL INDEX KEY: 0001592976 IRS NUMBER: 463986352 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-71 FILM NUMBER: 15939107 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 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: 333-203447-242 FILM NUMBER: 15938802 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: Newtown ALF Property, L.L.C. CENTRAL INDEX KEY: 0001519133 IRS NUMBER: 274083571 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-138 FILM NUMBER: 15938687 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 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: 333-203447-408 FILM NUMBER: 15938984 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 III (PA), LP 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: 333-203447-236 FILM NUMBER: 15938795 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 FORMER COMPANY: FORMER CONFORMED NAME: OHI Asset III (PA) Trust DATE OF NAME CHANGE: 20060119 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Idaho Associates, L.L.C. CENTRAL INDEX KEY: 0001519104 IRS NUMBER: 364114446 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-157 FILM NUMBER: 15938708 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Willis Texas Aviv, L.L.C. CENTRAL INDEX KEY: 0001519172 IRS NUMBER: 371522942 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-110 FILM NUMBER: 15938657 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (TN) Rogersville, LLC CENTRAL INDEX KEY: 0001639277 IRS NUMBER: 383954783 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-17 FILM NUMBER: 15938722 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Aviv Financing III, L.L.C. CENTRAL INDEX KEY: 0001519048 IRS NUMBER: 364641210 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-198 FILM NUMBER: 15938753 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 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: 333-203447-228 FILM NUMBER: 15938786 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: 333-203447-252 FILM NUMBER: 15938813 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: Hot Springs Marina Owner, LLC CENTRAL INDEX KEY: 0001639259 IRS NUMBER: 471461931 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-28 FILM NUMBER: 15938843 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 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: 333-203447-329 FILM NUMBER: 15938897 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: 333-203447-359 FILM NUMBER: 15938930 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, LLC 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: 333-203447-374 FILM NUMBER: 15938947 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 FORMER COMPANY: FORMER CONFORMED NAME: Meridian Arms Land, Inc. DATE OF NAME CHANGE: 20060119 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: 333-203447-407 FILM NUMBER: 15938983 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: 1628 B Street, LLC CENTRAL INDEX KEY: 0001639216 IRS NUMBER: 300482286 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-43 FILM NUMBER: 15939008 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 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: 333-203447-455 FILM NUMBER: 15939036 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, LLC 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: 333-203447-483 FILM NUMBER: 15939067 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: Colorado Lessor - Conifer, Inc. DATE OF NAME CHANGE: 20040619 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ostrom Avenue Property, L.L.C. CENTRAL INDEX KEY: 0001639317 IRS NUMBER: 320457123 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-10 FILM NUMBER: 15938640 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Rose Baldwin Park Property L.L.C. CENTRAL INDEX KEY: 0001519151 IRS NUMBER: 364111092 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-122 FILM NUMBER: 15938670 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Missouri Regency Associates, L.L.C. CENTRAL INDEX KEY: 0001519125 IRS NUMBER: 364572031 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-146 FILM NUMBER: 15938696 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Aviv Financing IV, L.L.C. CENTRAL INDEX KEY: 0001519050 IRS NUMBER: 270836481 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-197 FILM NUMBER: 15938752 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 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: 333-203447-215 FILM NUMBER: 15938772 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 IV (PA) Silver Lake, LP 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: 333-203447-235 FILM NUMBER: 15938794 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 FORMER COMPANY: FORMER CONFORMED NAME: OHI Asset IV (PA) Silver Lake Trust DATE OF NAME CHANGE: 20100813 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: 333-203447-241 FILM NUMBER: 15938801 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: Karissa Court Property, L.L.C. CENTRAL INDEX KEY: 0001639262 IRS NUMBER: 383923400 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-26 FILM NUMBER: 15938821 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 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: 333-203447-277 FILM NUMBER: 15938840 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: Hot Springs Cottages Owner, LLC CENTRAL INDEX KEY: 0001639258 IRS NUMBER: 471371567 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-29 FILM NUMBER: 15938854 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 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: 333-203447-317 FILM NUMBER: 15938884 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: 333-203447-335 FILM NUMBER: 15938904 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), LLC 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: 333-203447-367 FILM NUMBER: 15938939 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 (Iowa), Inc. DATE OF NAME CHANGE: 20040619 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: 333-203447-391 FILM NUMBER: 15938966 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 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: 333-203447-404 FILM NUMBER: 15938980 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: 333-203447-436 FILM NUMBER: 15939015 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: 333-203447-464 FILM NUMBER: 15939046 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: 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: 333-203447-494 FILM NUMBER: 15939079 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: Magnolia Drive Property, L.L.C. CENTRAL INDEX KEY: 0001592997 IRS NUMBER: 300793756 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-65 FILM NUMBER: 15939101 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Peabody Associates Two, L.L.C. CENTRAL INDEX KEY: 0001547237 IRS NUMBER: 275346222 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-86 FILM NUMBER: 15939122 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Mt. Vernon Texas, L.L.C. CENTRAL INDEX KEY: 0001519128 IRS NUMBER: 352270167 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-143 FILM NUMBER: 15938693 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: California Aviv Two, L.L.C. CENTRAL INDEX KEY: 0001519067 IRS NUMBER: 264117080 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-188 FILM NUMBER: 15938742 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Skyler Pensacola, LLC 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: 333-203447-214 FILM NUMBER: 15938771 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 FORMER COMPANY: FORMER CONFORMED NAME: Skyler Pensacola, Inc. DATE OF NAME CHANGE: 20140711 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: 333-203447-282 FILM NUMBER: 15938846 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: 333-203447-319 FILM NUMBER: 15938886 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: 333-203447-357 FILM NUMBER: 15938928 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 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: 333-203447-426 FILM NUMBER: 15939004 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: 333-203447-481 FILM NUMBER: 15939065 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: Whitlock Street Property, L.L.C. CENTRAL INDEX KEY: 0001593074 IRS NUMBER: 320419832 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-56 FILM NUMBER: 15939092 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: West Yarmouth Property I, L.L.C. CENTRAL INDEX KEY: 0001639380 IRS NUMBER: 465495346 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-05 FILM NUMBER: 15938631 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: St. Joseph Missouri Property, L.L.C. CENTRAL INDEX KEY: 0001639321 IRS NUMBER: 364597042 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-03 FILM NUMBER: 15938647 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset CSE-U Subsidiary, LLC CENTRAL INDEX KEY: 0001639308 IRS NUMBER: 320459385 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-14 FILM NUMBER: 15938689 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Aviv Financing II, L.L.C. CENTRAL INDEX KEY: 0001519047 IRS NUMBER: 364597042 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-199 FILM NUMBER: 15938754 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset II (PA), LP 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: 333-203447-237 FILM NUMBER: 15938796 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 FORMER COMPANY: FORMER CONFORMED NAME: OHI Asset II (PA) Trust DATE OF NAME CHANGE: 20060119 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: 333-203447-263 FILM NUMBER: 15938825 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: 333-203447-283 FILM NUMBER: 15938847 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) 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: 333-203447-315 FILM NUMBER: 15938882 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: 333-203447-345 FILM NUMBER: 15938915 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: Leatherman Partnership 89-2, LLC 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: 333-203447-375 FILM NUMBER: 15938948 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 FORMER COMPANY: FORMER CONFORMED NAME: Leatherman Partnership 89-2, Inc. DATE OF NAME CHANGE: 20060119 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: 333-203447-423 FILM NUMBER: 15939001 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 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: 333-203447-440 FILM NUMBER: 15939020 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: 333-203447-480 FILM NUMBER: 15939064 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: Orange, L.L.C. CENTRAL INDEX KEY: 0001519142 IRS NUMBER: 364095365 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-130 FILM NUMBER: 15938679 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (PA) GP, LLC CENTRAL INDEX KEY: 0001639270 IRS NUMBER: 472553542 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-20 FILM NUMBER: 15938755 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 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: 333-203447-305 FILM NUMBER: 15938871 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 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: 333-203447-443 FILM NUMBER: 15939023 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 II, LLC 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: 333-203447-221 FILM NUMBER: 15938779 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 FORMER COMPANY: FORMER CONFORMED NAME: Pensacola Real Estate Holdings II, Inc. DATE OF NAME CHANGE: 20140711 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Salem Associates, L.L.C. CENTRAL INDEX KEY: 0001519152 IRS NUMBER: 364572028 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-121 FILM NUMBER: 15938669 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Chatham Aviv, L.L.C. CENTRAL INDEX KEY: 0001519071 IRS NUMBER: 270354315 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-184 FILM NUMBER: 15938738 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 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: 333-203447-331 FILM NUMBER: 15938900 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 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: 333-203447-445 FILM NUMBER: 15939025 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: Texas Four Property, L.L.C. CENTRAL INDEX KEY: 0001639400 IRS NUMBER: 465459201 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-01 FILM NUMBER: 15938645 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (PA) West Mifflin, LP CENTRAL INDEX KEY: 0001639271 IRS NUMBER: 300852028 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-19 FILM NUMBER: 15938744 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 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: 333-203447-324 FILM NUMBER: 15938892 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: 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: 333-203447-373 FILM NUMBER: 15938946 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: Bethel ALF Property, L.L.C. CENTRAL INDEX KEY: 0001592968 IRS NUMBER: 364759871 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-74 FILM NUMBER: 15939110 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Omaha Associates, L.L.C. CENTRAL INDEX KEY: 0001519140 IRS NUMBER: 364572019 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-132 FILM NUMBER: 15938681 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 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: 333-203447-289 FILM NUMBER: 15938853 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: 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: 333-203447-385 FILM NUMBER: 15938959 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: Kansas Five Property, L.L.C. CENTRAL INDEX KEY: 0001547230 IRS NUMBER: 361647542 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-92 FILM NUMBER: 15939128 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Monterey Park Leasehold Mortgage, L.L.C. CENTRAL INDEX KEY: 0001519127 IRS NUMBER: 320267202 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-144 FILM NUMBER: 15938694 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 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: 333-203447-323 FILM NUMBER: 15938891 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: 333-203447-392 FILM NUMBER: 15938967 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: Ohio Aviv Two, L.L.C. CENTRAL INDEX KEY: 0001547234 IRS NUMBER: 275081906 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-89 FILM NUMBER: 15939125 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Riverside Nursing Home Associates, L.L.C. CENTRAL INDEX KEY: 0001519150 IRS NUMBER: 364340184 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-123 FILM NUMBER: 15938671 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Karan Associates Two, L.L.C. CENTRAL INDEX KEY: 0001519105 IRS NUMBER: 611514965 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-156 FILM NUMBER: 15938707 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bonham Texas, L.L.C. CENTRAL INDEX KEY: 0001519065 IRS NUMBER: 300358809 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-190 FILM NUMBER: 15938745 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Indiana Lessor - Wellington Manor, LLC 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: 333-203447-379 FILM NUMBER: 15938952 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: Indiana Lessor - Wellington Manor, Inc. DATE OF NAME CHANGE: 20040619 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: 333-203447-463 FILM NUMBER: 15939045 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: Louisville Dutchmans Property, L.L.C. CENTRAL INDEX KEY: 0001592996 IRS NUMBER: 611715555 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-66 FILM NUMBER: 15939102 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset (PA), LP 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: 333-203447-292 FILM NUMBER: 15938857 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 (PA) TRUST DATE OF NAME CHANGE: 20041124 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: 333-203447-447 FILM NUMBER: 15939027 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 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: 333-203447-476 FILM NUMBER: 15939059 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: Edgewood Drive Property, L.L.C. CENTRAL INDEX KEY: 0001592975 IRS NUMBER: 320405276 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-72 FILM NUMBER: 15939108 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ohio Aviv Three, L.L.C. CENTRAL INDEX KEY: 0001547235 IRS NUMBER: 275082021 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-88 FILM NUMBER: 15939124 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Asset CSE-E Subsidiary, LLC CENTRAL INDEX KEY: 0001639302 IRS NUMBER: 611756267 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-15 FILM NUMBER: 15938700 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Aviv Asset Management, L.L.C. CENTRAL INDEX KEY: 0001519045 IRS NUMBER: 300305067 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-201 FILM NUMBER: 15938757 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pensacola Real Estate Holdings IV, LLC 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: 333-203447-219 FILM NUMBER: 15938776 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 FORMER COMPANY: FORMER CONFORMED NAME: Pensacola Real Estate Holdings IV, Inc. DATE OF NAME CHANGE: 20140711 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Dixie White House Nursing Home, LLC 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: 333-203447-389 FILM NUMBER: 15938963 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 FORMER COMPANY: FORMER CONFORMED NAME: Dixie White House Nursing Home, Inc. DATE OF NAME CHANGE: 20140711 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Peabody Associates, L.L.C. CENTRAL INDEX KEY: 0001519144 IRS NUMBER: 364572029 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-128 FILM NUMBER: 15938676 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Giltex Care, L.L.C. CENTRAL INDEX KEY: 0001519094 IRS NUMBER: 364572036 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-167 FILM NUMBER: 15938719 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 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: 333-203447-495 FILM NUMBER: 15939080 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: 333-203447-393 FILM NUMBER: 15938968 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: 333-203447-435 FILM NUMBER: 15939014 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) 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: 333-203447-260 FILM NUMBER: 15938822 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: East Rollins Street, L.L.C. CENTRAL INDEX KEY: 0001547221 IRS NUMBER: 383838004 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-98 FILM NUMBER: 15939134 BUSINESS ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON ST. STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 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: 333-203447-211 FILM NUMBER: 15938768 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: 333-203447-362 FILM NUMBER: 15938934 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: Hobbs Associates, L.L.C. CENTRAL INDEX KEY: 0001519100 IRS NUMBER: 364177337 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-161 FILM NUMBER: 15938713 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Healthcare Properties Holdco, Inc. CENTRAL INDEX KEY: 0001639311 IRS NUMBER: 472148273 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-12 FILM NUMBER: 15938667 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Montana Associates, L.L.C. CENTRAL INDEX KEY: 0001519126 IRS NUMBER: 364149849 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-145 FILM NUMBER: 15938695 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: New Hope Property, L.L.C. CENTRAL INDEX KEY: 0001593046 IRS NUMBER: 611720871 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-61 FILM NUMBER: 15939097 BUSINESS ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-855-0930 MAIL ADDRESS: STREET 1: 303 W. MADISON STREET 2: SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Elite Mattoon, L.L.C. CENTRAL INDEX KEY: 0001519084 IRS NUMBER: 364454111 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-203447-173 FILM NUMBER: 15938726 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312) 855-0930 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 2400 CITY: CHICAGO STATE: IL ZIP: 60606 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: 333-203447-358 FILM NUMBER: 15938929 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: 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: 333-203447-372 FILM NUMBER: 15938945 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 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: 333-203447-398 FILM NUMBER: 15938973 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: 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: 333-203447-499 FILM NUMBER: 15939084 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: Orange Village Care Center, LLC 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: 333-203447-227 FILM NUMBER: 15938785 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 FORMER COMPANY: FORMER CONFORMED NAME: Orange Village Care Center, Inc. DATE OF NAME CHANGE: 20060119 EFFECT 1 primary_doc.xml X0101 EFFECT 33 LIVE 2015-06-17 09:00:00

S-4

0000888491 OMEGA HEALTHCARE INVESTORS INC 333-203447 0001547221 East Rollins Street, L.L.C. 333-203447-98 0001547222 Fredericksburg South Adams Street, L.L.C. 333-203447-97 0001547223 Gardnerville Property, L.L.C. 333-203447-96 0001547224 Germantown Property, L.L.C. 333-203447-95 0001547225 Iowa Lincoln County Property, L.L.C. 333-203447-94 0001547227 Jasper Springhill Street, L.L.C. 333-203447-93 0001547230 Kansas Five Property, L.L.C. 333-203447-92 0001547231 McCarthy Street Property, L.L.C. 333-203447-91 0001547233 Murray County, L.L.C. 333-203447-90 0001547234 Ohio Aviv Two, L.L.C. 333-203447-89 0001547235 Ohio Aviv Three, L.L.C. 333-203447-88 0001547236 Ohio Pennsylvania Property, L.L.C. 333-203447-87 0001547237 Peabody Associates Two, L.L.C. 333-203447-86 0001547238 Sandalwood Arkansas Property, L.L.C. 333-203447-85 0001547240 Sedgwick Properties, L.L.C. 333-203447-84 0001547241 Southern California Nevada, L.L.C. 333-203447-83 0001547242 Texas Fifteen Property, L.L.C. 333-203447-82 0001589519 Florida Four Properties, L.L.C. 333-203447-81 0001589521 Seguin Texas Property, L.L.C. 333-203447-80 0001589530 Glendale NH Property, L.L.C. 333-203447-79 0001589531 Mount Washington Property, L.L.C. 333-203447-78 0001589546 Stevens Avenue Property, L.L.C. 333-203447-77 0001592954 Ravenna Ohio Property, L.L.C. 333-203447-76 0001592960 446 Sycamore Road, L.L.C. 333-203447-75 0001592968 Bethel ALF Property, L.L.C. 333-203447-74 0001592972 Champaign Williamson Franklin, L.L.C. 333-203447-73 0001592975 Edgewood Drive Property, L.L.C. 333-203447-72 0001592976 Falcon Four Property Holding, L.L.C. 333-203447-71 0001592989 Falcon Four Property, L.L.C. 333-203447-70 0001592990 Florida ALF Properties, L.L.C. 333-203447-69 0001592992 Fort Stockton Property, L.L.C. 333-203447-68 0001592994 Gonzales Texas Property, L.L.C. 333-203447-67 0001592996 Louisville Dutchmans Property, L.L.C. 333-203447-66 0001592997 Magnolia Drive Property, L.L.C. 333-203447-65 0001592999 Mishawaka Property, L.L.C. 333-203447-64 0001593013 Chardon Ohio Property, L.L.C. 333-203447-63 0001593042 Sierra Ponds Property, L.L.C. 333-203447-62 0001593046 New Hope Property, L.L.C. 333-203447-61 0001593061 North Royalton Ohio Property, L.L.C. 333-203447-60 0001593063 Ohio Indiana Property, L.L.C. 333-203447-59 0001593065 Oklahoma Two Property, L.L.C. 333-203447-58 0001593066 Oklahoma Warr Wind, L.L.C. 333-203447-57 0001593074 Whitlock Street Property, L.L.C. 333-203447-56 0001593075 Texhoma Avenue Property, L.L.C. 333-203447-55 0001593076 Rockingham Drive Property, L.L.C. 333-203447-54 0001593077 Riverside Nursing Home Associates Two, L.L.C. 333-203447-53 0001593078 Pocatello Idaho Property, L.L.C. 333-203447-52 0001593079 Oso Avenue Property, L.L.C. 333-203447-51 0001555840 1200 Ely Street Holdings Co. LLC 333-203447-500 0001593080 Pennington Road Property, L.L.C. 333-203447-50 0001613415 13922 Cerise Avenue, LLC 333-203447-499 0001555850 2425 Teller Avenue, LLC 333-203447-498 0001613416 245 East Wilshire Avenue, LLC 333-203447-497 0001613421 3806 Clayton Road, LLC 333-203447-496 0001555853 42235 County Road Holdings Co. LLC 333-203447-495 0001555839 48 High Point Road, LLC 333-203447-494 0001613522 523 Hayes Lane, LLC 333-203447-493 0001613523 637 East Romie Lane, LLC 333-203447-492 0001294370 Arizona Lessor - Infinia, LLC 333-203447-491 0001294378 Bayside Colorado Healthcare Associates, LLC 333-203447-490 0001519165 Savoy/Bonham Venture, L.L.C. 333-203447-49 0001294383 Bayside Street II, LLC 333-203447-489 0001294384 Bayside Street, LLC 333-203447-488 0001350211 Canton Health Care Land, LLC 333-203447-487 0001498674 Carnegie Gardens LLC 333-203447-486 0001555754 CFG 2115 Woodstock Place LLC 333-203447-485 0001350215 Colonial Gardens, LLC 333-203447-484 0001294389 Colorado Lessor - Conifer, LLC 333-203447-483 0001498675 CSE Albany LLC 333-203447-482 0001498676 CSE Amarillo LLC 333-203447-481 0001498678 CSE Arden L.P. 333-203447-480 0001519164 Tujunga, L.L.C. 333-203447-48 0001498679 CSE Augusta LLC 333-203447-479 0001498680 CSE Bedford LLC 333-203447-478 0001498681 CSE Blountville LLC 333-203447-477 0001498682 CSE Bolivar LLC 333-203447-476 0001498683 CSE Cambridge LLC 333-203447-475 0001498684 CSE Cambridge Realty LLC 333-203447-474 0001498686 CSE Camden LLC 333-203447-473 0001498687 CSE Canton LLC 333-203447-472 0001499008 CSE Casablanca Holdings II LLC 333-203447-471 0001499007 CSE Casablanca Holdings LLC 333-203447-470 0001519166 VRB Aviv, L.L.C. 333-203447-47 0001499006 CSE Cedar Rapids LLC 333-203447-469 0001499004 CSE Centennial Village, LP 333-203447-468 0001498688 CSE Chelmsford LLC 333-203447-467 0001498689 CSE Chesterton LLC 333-203447-466 0001499003 CSE Claremont LLC 333-203447-465 0001499112 CSE Corpus North LLC 333-203447-464 0001499001 CSE Denver Iliff LLC 333-203447-463 0001499000 CSE Denver LLC 333-203447-462 0001499613 CSE Douglas LLC 333-203447-461 0001498998 CSE Elkton LLC 333-203447-460 0001519167 Washington-Oregon Associates, L.L.C. 333-203447-46 0001498997 CSE Elkton Realty LLC 333-203447-459 0001498996 CSE Fairhaven LLC 333-203447-458 0001498995 CSE Fort Wayne LLC 333-203447-457 0001498690 CSE Frankston LLC 333-203447-456 0001498692 CSE Georgetown LLC 333-203447-455 0001498693 CSE Green Bay LLC 333-203447-454 0001498694 CSE Hilliard LLC 333-203447-453 0001498695 CSE Huntingdon LLC 333-203447-452 0001498696 CSE Huntsville LLC 333-203447-451 0001498697 CSE Indianapolis-Continental LLC 333-203447-450 0001519168 Watauga Associates, L.L.C. 333-203447-45 0001498698 CSE Indianapolis-Greenbriar LLC 333-203447-449 0001498699 CSE Jacinto City LLC 333-203447-448 0001498700 CSE Jefferson City LLC 333-203447-447 0001499106 CSE Jeffersonville-Hillcrest Center LLC 333-203447-446 0001499105 CSE Jeffersonville-Jennings House LLC 333-203447-445 0001499120 CSE Kerrville LLC 333-203447-444 0001499121 CSE King L.P. 333-203447-443 0001499104 CSE Kingsport LLC 333-203447-442 0001499614 CSE Knightdale L.P. 333-203447-441 0001499615 CSE Lake City LLC 333-203447-440 0001519169 Wellington Leasehold, L.L.C. 333-203447-44 0001499103 CSE Lake Worth LLC 333-203447-439 0001499102 CSE Lakewood LLC 333-203447-438 0001499101 CSE Las Vegas LLC 333-203447-437 0001499100 CSE Lawrenceburg LLC 333-203447-436 0001499122 CSE Lenoir L.P. 333-203447-435 0001498659 CSE Lexington Park LLC 333-203447-434 0001498658 CSE Lexington Park Realty LLC 333-203447-433 0001498657 CSE Ligonier LLC 333-203447-432 0001498656 CSE Live Oak LLC 333-203447-431 0001498654 CSE Lowell LLC 333-203447-430 0001639216 1628 B Street, LLC 333-203447-43 0001498653 CSE Marianna Holdings LLC 333-203447-429 0001498652 CSE Memphis LLC 333-203447-428 0001498651 CSE Mobile LLC 333-203447-427 0001498650 CSE Moore LLC 333-203447-426 0001498649 CSE North Carolina Holdings I LLC 333-203447-425 0001498648 CSE North Carolina Holdings II LLC 333-203447-424 0001498660 CSE Omro LLC 333-203447-423 0001498661 CSE Orange Park LLC 333-203447-422 0001498662 CSE Orlando-Pinar Terrace Manor LLC 333-203447-421 0001498663 CSE Orlando-Terra Vista Rehab LLC 333-203447-420 0001639236 2400 Parkside Drive, LLC 333-203447-42 0001498664 CSE Pennsylvania Holdings, LP 333-203447-419 0001498665 CSE Piggott LLC 333-203447-418 0001498666 CSE Pilot Point LLC 333-203447-417 0001613526 CSE Pine View LLC 333-203447-416 0001498667 CSE Ponca City LLC 333-203447-415 0001498668 CSE Port St. Lucie LLC 333-203447-414 0001498669 CSE Richmond LLC 333-203447-413 0001498670 CSE Ripley LLC 333-203447-412 0001499107 CSE Ripon LLC 333-203447-411 0001499108 CSE Safford LLC 333-203447-410 0001639215 11900 East Artesia Boulevard, LLC 333-203447-41 0001499109 CSE Salina LLC 333-203447-409 0001499110 CSE Seminole LLC 333-203447-408 0001499111 CSE Shawnee LLC 333-203447-407 0001499113 CSE Spring Branch LLC 333-203447-406 0001499116 CSE Stillwater LLC 333-203447-405 0001499117 CSE Taylorsville LLC 333-203447-404 0001499118 CSE Texarkana LLC 333-203447-403 0001499119 CSE Texas City LLC 333-203447-402 0001499115 CSE The Village LLC 333-203447-401 0001499114 CSE Upland LLC 333-203447-400 0001639430 Albany Street Property, L.L.C. 333-203447-40 0001499123 CSE Walnut Cove L.P. 333-203447-399 0001499124 CSE West Point LLC 333-203447-398 0001499125 CSE Whitehouse LLC 333-203447-397 0001499126 CSE Williamsport LLC 333-203447-396 0001499127 CSE Winter Haven LLC 333-203447-395 0001499128 CSE Woodfin L.P. 333-203447-394 0001499129 CSE Yorktown LLC 333-203447-393 0001294393 Delta Investors I, LLC 333-203447-392 0001294394 Delta Investors II, LLC 333-203447-391 0001499616 Desert Lane LLC 333-203447-390 0001639429 Avery Street Property, L.L.C. 333-203447-39 0001613506 Dixie White House Nursing Home, LLC 333-203447-389 0001350217 Dixon Health Care Center, LLC 333-203447-388 0001613500 Encanto Senior Care, LLC 333-203447-387 0001294541 Florida Lessor - Meadowview, LLC 333-203447-386 0001499130 Florida Real Estate Company, LLC 333-203447-385 0001294403 Georgia Lessor - Bonterra/Parkview, LLC 333-203447-384 0001499164 Greenbough, LLC 333-203447-383 0001350228 Hutton I Land, LLC 333-203447-382 0001350226 Hutton II Land, LLC 333-203447-381 0001350221 Hutton III Land, LLC 333-203447-380 0001639427 Bala Cynwyd Real Estate, LP 333-203447-38 0001294410 Indiana Lessor - Wellington Manor, LLC 333-203447-379 0001499165 LAD 1 Real Estate Company, LLC 333-203447-378 0001350222 Leatherman 90-1, LLC 333-203447-377 0001350223 Leatherman Partnership 89-1, LLC 333-203447-376 0001350224 Leatherman Partnership 89-2, LLC 333-203447-375 0001350233 Meridian Arms Land, LLC 333-203447-374 0001499168 North Las Vegas LLC 333-203447-373 0001294432 NRS Ventures, LLC 333-203447-372 0001613507 Ocean Springs Nursing Home, LLC 333-203447-371 0001294433 OHI (Connecticut), LLC 333-203447-370 0001639426 Chardon Ohio Property Holdings, L.L.C. 333-203447-37 0001294436 OHI (Illinois), LLC 333-203447-369 0001294437 OHI (Indiana), LLC 333-203447-368 0001294439 OHI (Iowa), LLC 333-203447-367 0001613529 OHI Asset (AR) Ash Flat, LLC 333-203447-366 0001613578 OHI Asset (AR) Camden, LLC 333-203447-365 0001613579 OHI Asset (AR) Conway, LLC 333-203447-364 0001613469 OHI Asset (AR) Des Arc, LLC 333-203447-363 0001613470 OHI Asset (AR) Hot Springs, LLC 333-203447-362 0001613471 OHI Asset (AR) Malvern, LLC 333-203447-361 0001613473 OHI Asset (AR) Mena, LLC 333-203447-360 0001639425 Colville Washington Property, L.L.C. 333-203447-36 0001613474 OHI Asset (AR) Pocahontas, LLC 333-203447-359 0001613475 OHI Asset (AR) Sheridan, LLC 333-203447-358 0001613543 OHI Asset (AR) Walnut Ridge, LLC 333-203447-357 0001613544 OHI Asset (AZ) Austin House, LLC 333-203447-356 0001294461 OHI Asset (CA), LLC 333-203447-355 0001499131 OHI Asset (CO), LLC 333-203447-354 0001351349 OHI Asset (CT) Lender, LLC 333-203447-353 0001613545 OHI Asset (FL) Lake Placid, LLC 333-203447-352 0001512924 OHI Asset (FL) Lender, LLC 333-203447-351 0001294462 OHI Asset (FL), LLC 333-203447-350 0001639424 Crete Plus Five Property, L.L.C. 333-203447-35 0001613464 OHI Asset (GA) Macon, LLC 333-203447-349 0001613546 OHI Asset (GA) Moultrie, LLC 333-203447-348 0001613547 OHI Asset (GA) Snellville, LLC 333-203447-347 0001613548 OHI Asset (ID) Holly, LLC 333-203447-346 0001613549 OHI Asset (ID) Midland, LLC 333-203447-345 0001294466 OHI Asset (ID), LLC 333-203447-344 0001499132 OHI Asset (IL), LLC 333-203447-343 0001613550 OHI Asset (IN) American Village, LLC 333-203447-342 0001613551 OHI Asset (IN) Anderson, LLC 333-203447-341 0001613552 OHI Asset (IN) Beech Grove, LLC 333-203447-340 0001639423 Dallas Two Property, L.L.C. 333-203447-34 0001613553 OHI Asset (IN) Clarksville, LLC 333-203447-339 0001613554 OHI Asset (IN) Clinton, LLC 333-203447-338 0001613555 OHI Asset (IN) Connersville, LLC 333-203447-337 0001613556 OHI Asset (IN) Crown Point, LLC 333-203447-336 0001613557 OHI Asset (IN) Eagle Valley, LLC 333-203447-335 0001613558 OHI Asset (IN) Elkhart, LLC 333-203447-334 0001613559 OHI Asset (IN) Forest Creek, LLC 333-203447-333 0001613560 OHI Asset (IN) Fort Wayne, LLC 333-203447-332 0001613561 OHI Asset (IN) Franklin, LLC 333-203447-331 0001553378 OHI Asset (IN) Greensburg, LLC 333-203447-330 0001639422 Danbury ALF Property, L.L.C. 333-203447-33 0001553379 OHI Asset (IN) Indianapolis, LLC 333-203447-329 0001613562 OHI Asset (IN) Jasper, LLC 333-203447-328 0001613563 OHI Asset (IN) Kokomo, LLC 333-203447-327 0001613564 OHI Asset (IN) Lafayette, LLC 333-203447-326 0001613565 OHI Asset (IN) Madison, LLC 333-203447-325 0001613566 OHI Asset (IN) Monticello, LLC 333-203447-324 0001613492 OHI Asset (IN) Noblesville, LLC 333-203447-323 0001613493 OHI Asset (IN) Rosewalk, LLC 333-203447-322 0001613395 OHI Asset (IN) Salem, LLC 333-203447-321 0001613494 OHI Asset (IN) Seymour, LLC 333-203447-320 0001639254 Golden Hill Real Estate Company, LLC 333-203447-32 0001613495 OHI Asset (IN) Spring Mill, LLC 333-203447-319 0001613496 OHI Asset (IN) Terre Haute, LLC 333-203447-318 0001553377 OHI Asset (IN) Wabash, LLC 333-203447-317 0001553376 OHI Asset (IN) Westfield, LLC 333-203447-316 0001613497 OHI Asset (IN) Zionsville, LLC 333-203447-315 0001294471 OHI Asset (LA), LLC 333-203447-314 0001553380 OHI Asset (MD), LLC 333-203447-313 0001613512 OHI Asset (MI) Heather Hills, LLC 333-203447-312 0001502890 OHI Asset (MI), LLC 333-203447-311 0001294473 OHI Asset (MO), LLC 333-203447-310 0001639255 Greenville Kentucky Property, L.L.C. 333-203447-31 0001613513 OHI Asset (MS) Byhalia, LLC 333-203447-309 0001613514 OHI Asset (MS) Cleveland, LLC 333-203447-308 0001613515 OHI Asset (MS) Clinton, LLC 333-203447-307 0001613516 OHI Asset (MS) Columbia, LLC 333-203447-306 0001613517 OHI Asset (MS) Corinth, LLC 333-203447-305 0001613518 OHI Asset (MS) Greenwood, LLC 333-203447-304 0001613423 OHI Asset (MS) Grenada, LLC 333-203447-303 0001613424 OHI Asset (MS) Holly Springs, LLC 333-203447-302 0001613425 OHI Asset (MS) Indianola, LLC 333-203447-301 0001613426 OHI Asset (MS) Natchez, LLC 333-203447-300 0001639257 Hot Springs Atrium Owner, LLC 333-203447-30 0001613428 OHI Asset (MS) Picayune, LLC 333-203447-299 0001613429 OHI Asset (MS) Vicksburg, LLC 333-203447-298 0001613519 OHI Asset (MS) Yazoo City, LLC 333-203447-297 0001613527 OHI Asset (NC) Wadesboro, LLC 333-203447-296 0001309737 OHI Asset (OH) Lender, LLC 333-203447-295 0001294475 OHI Asset (OH), LLC 333-203447-294 0001613528 OHI Asset (OR) Portland, LLC 333-203447-293 0001309738 OHI Asset (PA), LP 333-203447-292 0001294545 OHI Asset (PA), LLC 333-203447-291 0001613530 OHI Asset (SC) Aiken, LLC 333-203447-290 0001639258 Hot Springs Cottages Owner, LLC 333-203447-29 0001613531 OHI Asset (SC) Anderson, LLC 333-203447-289 0001613532 OHI Asset (SC) Easley Anne, LLC 333-203447-288 0001613533 OHI Asset (SC) Easley Crestview, LLC 333-203447-287 0001613534 OHI Asset (SC) Edgefield, LLC 333-203447-286 0001613535 OHI Asset (SC) Greenville Griffith, LLC 333-203447-285 0001613581 OHI Asset (SC) Greenville Laurens, LLC 333-203447-284 0001613582 OHI Asset (SC) Greenville North, LLC 333-203447-283 0001613465 OHI Asset (SC) Greenville, LLC 333-203447-282 0001613584 OHI Asset (SC) Greer, LLC 333-203447-281 0001613585 OHI Asset (SC) Marietta, LLC 333-203447-280 0001639259 Hot Springs Marina Owner, LLC 333-203447-28 0001613708 OHI Asset (SC) McCormick, LLC 333-203447-279 0001613466 OHI Asset (SC) Orangeburg, LLC 333-203447-278 0001613586 OHI Asset (SC) Pickens East Cedar, LLC 333-203447-277 0001613583 OHI Asset (SC) Pickens Rosemond, LLC 333-203447-276 0001613587 OHI Asset (SC) Piedmont, LLC 333-203447-275 0001613588 OHI Asset (SC) Simpsonville SE Main, LLC 333-203447-274 0001613589 OHI Asset (SC) Simpsonville West Broad, LLC 333-203447-273 0001613590 OHI Asset (SC) Simpsonville West Curtis, LLC 333-203447-272 0001613591 OHI Asset (TN) Bartlett, LLC 333-203447-271 0001613592 OHI Asset (TN) Collierville, LLC 333-203447-270 0001639260 Illinois Missouri Properties, L.L.C. 333-203447-27 0001613593 OHI Asset (TN) Memphis, LLC 333-203447-269 0001613602 OHI Asset (TX) Anderson, LLC 333-203447-268 0001613603 OHI Asset (TX) Bryan, LLC 333-203447-267 0001613604 OHI Asset (TX) Burleson, LLC 333-203447-266 0001613605 OHI Asset (TX) College Station, LLC 333-203447-265 0001613606 OHI Asset (TX) Comfort, LLC 333-203447-264 0001613607 OHI Asset (TX) Diboll, LLC 333-203447-263 0001613608 OHI Asset (TX) Granbury, LLC 333-203447-262 0001613609 OHI Asset (TX) Hondo, LLC 333-203447-261 0001613610 OHI Asset (TX) Italy, LLC 333-203447-260 0001639262 Karissa Court Property, L.L.C. 333-203447-26 0001613611 OHI Asset (TX) Winnsboro, LLC 333-203447-259 0001294477 OHI Asset (TX), LLC 333-203447-258 0001613612 OHI Asset (UT) Ogden, LLC 333-203447-257 0001613613 OHI Asset (UT) Provo, LLC 333-203447-256 0001613614 OHI Asset (UT) Roy, LLC 333-203447-255 0001613615 OHI Asset (VA) Charlottesville, LLC 333-203447-254 0001613616 OHI Asset (VA) Farmville, LLC 333-203447-253 0001613455 OHI Asset (VA) Hillsville, LLC 333-203447-252 0001613456 OHI Asset (VA) Rocky Mount, LLC 333-203447-251 0001613457 OHI Asset (WA) Battle Ground, LLC 333-203447-250 0001639263 Kentucky NH Properties, L.L.C. 333-203447-25 0001613467 OHI Asset (WV) Danville, LLC 333-203447-249 0001613468 OHI Asset (WV) Ivydale, LLC 333-203447-248 0001499134 OHI Asset CSB LLC 333-203447-247 0001499135 OHI Asset CSE - E, LLC 333-203447-246 0001499136 OHI Asset CSE - U, LLC 333-203447-245 0001555864 OHI Asset HUD CFG, LLC 333-203447-244 0001613458 OHI Asset HUD Delta, LLC 333-203447-243 0001613459 OHI Asset HUD SF CA, LLC 333-203447-242 0001553374 OHI Asset HUD SF, LLC 333-203447-241 0001553375 OHI Asset HUD WO, LLC 333-203447-240 0001639264 Muscatine Toledo Properties, L.L.C. 333-203447-24 0001294549 OHI Asset II (CA), LLC 333-203447-239 0001499137 OHI Asset II (FL), LLC 333-203447-238 0001350238 OHI Asset II (PA), LP 333-203447-237 0001350239 OHI Asset III (PA), LP 333-203447-236 0001499138 OHI Asset IV (PA) Silver Lake, LP 333-203447-235 0001613460 OHI Asset RO PMM Services, LLC 333-203447-234 0001613461 OHI Asset RO, LLC 333-203447-233 0001294479 OHI Asset, LLC 333-203447-232 0001613462 OHI Mezz Lender, LLC 333-203447-231 0001498671 OHI Tennessee, LLC 333-203447-230 0001639265 Nicholasville Kentucky Property, L.L.C. 333-203447-23 0001294492 OHIMA, LLC 333-203447-229 0001294498 Omega TRS I, Inc. 333-203447-228 0001350240 Orange Village Care Center, LLC 333-203447-227 0001499139 Panama City Nursing Center LLC 333-203447-226 0001350250 Pavillion North Partners, LLC 333-203447-225 0001350249 Pavillion North, LLP 333-203447-224 0001350251 Pavillion Nursing Center North, LLC 333-203447-223 0001613436 Pensacola Real Estate Holdings I, LLC 333-203447-222 0001613476 Pensacola Real Estate Holdings II, LLC 333-203447-221 0001613477 Pensacola Real Estate Holdings III, LLC 333-203447-220 0001639267 OHI Asset (FL) Lutz, LLC 333-203447-22 0001613508 Pensacola Real Estate Holdings IV, LLC 333-203447-219 0001613509 Pensacola Real Estate Holdings V, LLC 333-203447-218 0001613434 Skyler Boyington, LLC 333-203447-217 0001613433 Skyler Florida, LLC 333-203447-216 0001499140 Skyler Maitland LLC 333-203447-215 0001613435 Skyler Pensacola, LLC 333-203447-214 0001350252 St. Marys Properties, LLC 333-203447-213 0001294526 Sterling Acquisition, LLC 333-203447-212 0001499141 Suwanee, LLC 333-203447-211 0001294554 Texas Lessor - Stonegate GP, LLC 333-203447-210 0001639269 OHI Asset (OR) Troutdale, LLC 333-203447-21 0001294562 Texas Lessor - Stonegate Limited, LLC 333-203447-209 0001294568 Texas Lessor - Stonegate, L.P. 333-203447-208 0001350253 Suburban Pavilion, LLC 333-203447-207 0001294533 Washington Lessor - Silverdale, LLC 333-203447-206 0001350255 Wilcare, LLC 333-203447-205 0001519042 Alamogordo Aviv, L.L.C. 333-203447-204 0001519043 Arkansas Aviv, L.L.C. 333-203447-203 0001519044 Arma Yates, L.L.C. 333-203447-202 0001519045 Aviv Asset Management, L.L.C. 333-203447-201 0001519046 Aviv Financing I, L.L.C. 333-203447-200 0001639270 OHI Asset (PA) GP, LLC 333-203447-20 0001519047 Aviv Financing II, L.L.C. 333-203447-199 0001519048 Aviv Financing III, L.L.C. 333-203447-198 0001519050 Aviv Financing IV, L.L.C. 333-203447-197 0001519051 Aviv Financing V, L.L.C. 333-203447-196 0001519052 Aviv Foothills, L.L.C. 333-203447-195 0001519054 Aviv Liberty, L.L.C. 333-203447-194 0001519056 Avon Ohio, L.L.C. 333-203447-193 0001519057 Aviv Healthcare Properties Operating Partnership I, L.P. 333-203447-192 0001519063 BHG Aviv, L.L.C. 333-203447-191 0001519065 Bonham Texas, L.L.C. 333-203447-190 0001639271 OHI Asset (PA) West Mifflin, LP 333-203447-19 0001519066 Burton NH Property, L.L.C. 333-203447-189 0001519067 California Aviv Two, L.L.C. 333-203447-188 0001519068 California Aviv, L.L.C. 333-203447-187 0001519069 Camas Associates, L.L.C. 333-203447-186 0001519070 Casa/Sierra California Associates, L.L.C. 333-203447-185 0001519071 Chatham Aviv, L.L.C. 333-203447-184 0001519073 Chippewa Valley, L.L.C. 333-203447-183 0001519074 Clarkston Care, L.L.C. 333-203447-182 0001519075 Clayton Associates, L.L.C. 333-203447-181 0001519076 Colonial Madison Associates, L.L.C. 333-203447-180 0001639272 OHI Asset (TN) Jefferson City, LLC 333-203447-18 0001519078 Columbus Texas Aviv, L.L.C. 333-203447-179 0001519079 Columbus Western Avenue, L.L.C. 333-203447-178 0001519080 Commerce Nursing Homes, L.L.C. 333-203447-177 0001519081 CR Aviv, L.L.C. 333-203447-176 0001519082 Denison Texas, L.L.C. 333-203447-175 0001519083 Effingham Associates, L.L.C. 333-203447-174 0001519084 Elite Mattoon, L.L.C. 333-203447-173 0001519085 Elite Yorkville, L.L.C. 333-203447-172 0001519086 Falfurrias Texas, L.L.C. 333-203447-171 0001519089 Four Fountains Aviv, L.L.C. 333-203447-170 0001639277 OHI Asset (TN) Rogersville, LLC 333-203447-17 0001519090 Freewater Oregon, L.L.C. 333-203447-169 0001519091 Fullerton California, L.L.C. 333-203447-168 0001519094 Giltex Care, L.L.C. 333-203447-167 0001519095 Great Bend Property, L.L.C. 333-203447-166 0001519096 Heritage Monterey Associates, L.L.C. 333-203447-165 0001519097 HHM Aviv, L.L.C. 333-203447-164 0001519098 Hidden Acres Property, L.L.C. 333-203447-163 0001519099 Highland Leasehold, L.L.C. 333-203447-162 0001519100 Hobbs Associates, L.L.C. 333-203447-161 0001519101 Hot Springs Aviv, L.L.C. 333-203447-160 0001639278 OHI Asset CHG ALF, LLC 333-203447-16 0001519102 Houston Texas Aviv, L.L.C. 333-203447-159 0001519103 Hutchinson Kansas, L.L.C. 333-203447-158 0001519104 Idaho Associates, L.L.C. 333-203447-157 0001519105 Karan Associates Two, L.L.C. 333-203447-156 0001519106 Karan Associates, L.L.C. 333-203447-155 0001519107 KB Northwest Associates, L.L.C. 333-203447-154 0001519108 Kingsville Texas, L.L.C. 333-203447-153 0001519109 Manor Associates, L.L.C. 333-203447-152 0001519119 Aviv Healthcare Capital Corp 333-203447-151 0001519121 Mansfield Aviv, L.L.C. 333-203447-150 0001639302 OHI Asset CSE-E Subsidiary, LLC 333-203447-15 0001519122 Massachusetts Nursing Homes, L.L.C. 333-203447-149 0001519123 Minnesota Associates, L.L.C. 333-203447-148 0001519124 Missouri Associates, L.L.C. 333-203447-147 0001519125 Missouri Regency Associates, L.L.C. 333-203447-146 0001519126 Montana Associates, L.L.C. 333-203447-145 0001519127 Monterey Park Leasehold Mortgage, L.L.C. 333-203447-144 0001519128 Mt. Vernon Texas, L.L.C. 333-203447-143 0001519129 N.M. Bloomfield Three Plus One Ltd Co 333-203447-142 0001519130 N.M. Espanola Three Plus One Ltd Co 333-203447-141 0001519131 N.M. Lordsburg Three Plus One Ltd Co 333-203447-140 0001639308 OHI Asset CSE-U Subsidiary, LLC 333-203447-14 0001519132 N.M. Silver City Three Plus One Ltd Co 333-203447-139 0001519133 Newtown ALF Property, L.L.C. 333-203447-138 0001519135 Norwalk ALF Property, L.L.C. 333-203447-137 0001519136 Oakland Nursing Homes, L.L.C. 333-203447-136 0001519137 October Associates, L.L.C. 333-203447-135 0001519138 Ogden Associates, L.L.C. 333-203447-134 0001519139 Ohio Aviv, L.L.C. 333-203447-133 0001519140 Omaha Associates, L.L.C. 333-203447-132 0001519141 Orange ALF Property, L.L.C. 333-203447-131 0001519142 Orange, L.L.C. 333-203447-130 0001639309 OHI Asset Management, LLC 333-203447-13 0001519143 Oregon Associates, L.L.C. 333-203447-129 0001519144 Peabody Associates, L.L.C. 333-203447-128 0001519146 Prescott Arkansas, L.L.C. 333-203447-127 0001519147 Raton Property Ltd Co 333-203447-126 0001519148 Red Rocks, L.L.C. 333-203447-125 0001519149 Richland Washington, L.L.C. 333-203447-124 0001519150 Riverside Nursing Home Associates, L.L.C. 333-203447-123 0001519151 Rose Baldwin Park Property L.L.C. 333-203447-122 0001519152 Salem Associates, L.L.C. 333-203447-121 0001519153 San Juan NH Property, L.L.C. 333-203447-120 0001639311 OHI Healthcare Properties Holdco, Inc. 333-203447-12 0001519154 Santa Ana-Bartlett, L.L.C. 333-203447-119 0001519155 Santa Fe Missouri Associates, L.L.C. 333-203447-118 0001519157 Searcy Aviv, L.L.C. 333-203447-117 0001519158 Pomona Vista L.L.C. 333-203447-116 0001519160 Skyview Associates, L.L.C. 333-203447-115 0001519161 Southeast Missouri Property, L.L.C. 333-203447-114 0001519162 Star City Arkansas, L.L.C. 333-203447-113 0001519170 West Pearl Street, L.L.C. 333-203447-112 0001519171 Wheeler Healthcare Associates, L.L.C. 333-203447-111 0001519172 Willis Texas Aviv, L.L.C. 333-203447-110 0001639315 OHI Healthcare Properties Limited Partnership 333-203447-11 0001519175 Yuba Aviv, L.L.C. 333-203447-109 0001519251 Belleville Illinois, L.L.C. 333-203447-108 0001519252 Bellingham II Associates, L.L.C. 333-203447-107 0001547212 Biglerville Road, L.L.C. 333-203447-106 0001547214 Bradenton ALF Property, L.L.C. 333-203447-105 0001547215 Commerce Sterling Hart Drive, L.L.C. 333-203447-104 0001547217 Conroe Rigby Owen Road, L.L.C. 333-203447-103 0001547218 Crooked River Road, L.L.C. 333-203447-102 0001547219 Cuyahoga Falls Property, L.L.C. 333-203447-101 0001547220 Darien ALF Property, L.L.C. 333-203447-100 0001639317 Ostrom Avenue Property, L.L.C. 333-203447-10 0001639318 PV Realty-Willow Tree, LLC 333-203447-09 0001639319 S.C. Portfolio Property, L.L.C. 333-203447-08 0001639397 Tulare County Property, L.L.C. 333-203447-07 0001639395 Washington Idaho Property, L.L.C. 333-203447-06 0001639380 West Yarmouth Property I, L.L.C. 333-203447-05 0001519163 Sun-Mesa Properties, L.L.C. 333-203447-04 0001639321 St. Joseph Missouri Property, L.L.C. 333-203447-03 0001639323 Stephenville Texas Property, L.L.C. 333-203447-02 0001639400 Texas Four Property, L.L.C. 333-203447-01