7/15/2020 LEGACY HEALTHCARE CENTER Ownership Information Ownership Information LEGACY HEALTHCARE CENTER 1570 NORTH FAIR OAKS AVE PASADENA, CA 91103 (626) 798-0558 Ownership: For profit - Corporation Legal Business Name: LEGACY HEALTHCARE CENTER LLC Owners and Managers of LEGACY HEALTHCARE CENTER 5% OR GREATER DIRECT OWNERSHIP INTEREST LEGACY HEALTHCARE CENTER LLC (NO PERCENTAGE PROVIDED), since 04/16/2016 LEGACY LICENSEE LLC (NO PERCENTAGE PROVIDED), since 04/16/2016 5% OR GREATER INDIRECT OWNERSHIP INTEREST LEGACY ROSE GROUP LLC (NO PERCENTAGE PROVIDED), since 04/15/2016 PASADENA SKILLED LLC (NO PERCENTAGE PROVIDED), since 04/15/2016 JACOBS, DOV (NO PERCENTAGE PROVIDED), since 04/16/2016 TAUB, JUDAH (NO PERCENTAGE PROVIDED), since 04/16/2016 OPERATIONAL/MANAGERIAL CONTROL JACOBS, DOV, since 04/16/2016 PELLICER, RAYMOND, since 04/16/2016 https://www.medicare.gov/nursinghomecompare/ownership-info.html#ID=555893 1/1 7/15/2020 ROSE GARDEN HEALTHCARE CENTER Ownership Information Ownership Information ROSE GARDEN HEALTHCARE CENTER 1899 N RAYMOND AVE PASADENA, CA 91103 (626) 797-2120 Ownership: For profit - Corporation Legal Business Name: ROSE GARDEN SUBACUTE & REHABILITATION CENTER LLC Owners and Managers of ROSE GARDEN HEALTHCARE CENTER 5% OR GREATER DIRECT OWNERSHIP INTEREST ROSE GARDEN LICENSEE, LLC (NO PERCENTAGE PROVIDED), since 04/15/2016 ROSE GARDEN SUBACUTE & REHABILITATION CENTER LLC (NO PERCENTAGE PROVIDED), since 04/15/2016 5% OR GREATER INDIRECT OWNERSHIP INTEREST LEGACY ROSE GROUP LLC (NO PERCENTAGE PROVIDED), since 04/15/2016 PASADENA SKILLED LLC (NO PERCENTAGE PROVIDED), since 04/15/2016 JACOBS, DOV (NO PERCENTAGE PROVIDED), since 04/15/2016 TAUB, JUDAH (NO PERCENTAGE PROVIDED), since 04/15/2016 OPERATIONAL/MANAGERIAL CONTROL ROSE GARDEN SUBACUTE & REHABILITATION CENTER LLC, since 04/15/2016 DOYLE, ERMEL, since 03/01/2020 JACOBS, DOV, since 04/15/2016 PELLICER, RAYMOND, since 04/15/2016 OFFICER JACOBS, DOV, since 04/15/2016 https://www.medicare.gov/nursinghomecompare/ownership-info.html#ID=055862 1/1