Details for APPLICATION FOR REGISTRATION OF TRADE NAME

APPLICATION FOR REGISTRATION OF TRADE NAME Trade Name: Azria Health Grand Island Name of Applicant: BCP Grand Island, LLC Address: 702 S. Highway, Gretna, NE 68028 Applicant is: Limited Liability Company If other than an Individual, state under whose laws entity formed: Nebraska Date of first use of name in Nebraska: 6/27/2019 General Nature of Business: Operate skilled nursing facility /s/Steve Hornung Manager 22

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