B0981-0682 08/03/2022 3:27 PM Received by California Secretary of State

BA20220614929

STATE OF CALIFORNIA For Office Use Only

Office of the Secretary of State
STATEMENT OF INFORMATION -FILED-
CA NONPROFIT CORPORATION
California Secretary of State File No.: BA20220614929
1500 11th Street Date Filed: 8/3/2022
Sacramento, California 95814
(916) 653-3516

Entity Details
Corporation Name ANTIOCH HILLCREST TERRACE, INC.
Entity No. 1996529
Formed In CALIFORNIA
Street Address of California Principal Office of Corporation
Street Address of California Office 1855 OLYMPIC BLVD.
SUITE 300
WALNUT CREEK, CA 94596
Mailing Address of Corporation
Mailing Address 1855 OLYMPIC BLVD.
SUITE 300
WALNUT CREEK, CA 94596
Attention Rafael PeBenito
Officers

Officer Name Officer Address Position(s)

• Syd Najeeb 1855 OLYMPIC BLVD. Chief Executive Officer

SUITE 300
WALNUT CREEK, CA 94596
• Mary Donovan Turner 1855 OLYMPIC BLVD Secretary
SUITE 300
WALNUT CREEK, CA 94596
• Connie Inglish 1855 OLYMPIC BLVD. Chief Financial Officer
SUITE 300
WALNUT CREEK, CA 94596

Additional Officers

Officer Name Officer Address Position Stated Position

None Entered

Agent for Service of Process

California Registered Corporate Agent (1505) URS AGENTS INC.
Registered Corporate 1505 Agent
Email Notifications
Opt-in Email Notifications Yes, I opt-in to receive entity notifications via email.
Electronic Signature

By signing, I affirm that the information herein is true and correct and that I am authorized by California law to sign.

Rafael PeBenito 08/03/2022

Signature Date

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