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APPLICATION FOR AMENDED ' <br />CERTIFICATE OF AUTHORITY <br />LIMITED LIABILITY COMPANY <br />(FOREIGN) <br />Submit in Duplicate <br />200407385 <br />Scott Moore, Secretary of State <br />Room 1305 State Capitol, P.O. Box 94608 <br />Lincoln, NE 68509 <br />NE S— ell�'I III�1 iIl�111lIf {Ill l��I http.11www.noLorg l omeJSOS/ <br />1000228344 P95 1 1 <br />GRAND ISLAND BICKFORD COTTAGE <br />Filed: 07/11/2001 01!20 PM <br />P <br />Name of Limited Liability Company Grand Island sterling House, L.L.c. <br />Organized under the laws of the State of Kansas <br />Date original certificate of authority was filed in Nebraska 7 i 81 <br />The name of the organization has been changed to: <br />Grand Island Bickford Cotta L.L.C. <br />Name and address of registered agent in Nebraska: <br />Registered Agent Name: David Hohman <br />Address: 13710 FNB Parkwav Suite 200 Omaha NE 68514 <br />Street Address City Zip <br />E <br />Michael D Eby <br />Signature of Member T Printed name of Member <br />1 <br />FILING FEE: $15.00 <br />Revised 2/11/99 <br />NUM - 9MM Cr system Od= <br />Neb. Rev. Stat. 21 -2641 <br />I <br />