EXHIBIT 3.3
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200129000002
STATE OF CALIFORNIA ENDORSED - FILED
[SEAL] IN THE OFFICE OF THE SECRETARY OF STATE
SECRETARY OF STATE OF THE STATE OF CALIFORNIA
XXXX XXXXX
OCT 16 2001
CERTIFICATE OF LIMITED PARTNERSHIP
XXXX XXXXX, SECRETARY OF STATE
A $70.00 FILING FEE MUST ACCOMPANY THIS FORM.
IMPORTANT -- READ INSTRUCTIONS BEFORE COMPLETING THIS FORM THIS SPACE FOR FILING USE ONLY
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1. NAME OF THE LIMITED PARTNERSHIP (END THE NAME WITH THE WORDS "LIMITED PARTNERSHIP" OR THE ABBREVIATION "LP.")
ARVP Acquisition, L.P.
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2. STREET ADDRESS OF PRINCIPAL EXECUTIVE OFFICE CITY AND STATE ZIP CODE
000 Xxxxxxx Xxxxxx, Xxxxx X-0 Xxxxx Xxxx, XX 00000
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3. STREET ADDRESS OF CALIFORNIA OFFICE WHERE RECORDS ARE KEPT CITY ZIP CODE
000 Xxxxxxx Xxxxxx, Xxxxx X-0 Xxxxx Xxxx, XX 00000
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4. COMPLETE IF LIMITED PARTNERSHIP WAS FORMED PRIOR TO JULY 1, 1984 AND IS IN EXISTENCE ON THE DATE THIS
CERTIFICATE IS EXECUTED.
THE ORIGINAL LIMITED PARTNERSHIP CERTIFICATE WAS RECORDED ON ____________________ 19________ WITH THE RECORDER
OF _________________________ COUNTY. FILE OR RECORDATION NUMBER ___________________________
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5. NAME THE AGENT FOR SERVICE OF PROCESS AND CHECK THE APPROPRIATE PROVISION BELOW:
Xxxx X. Xxxxxx WHICH IS
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[X] AN INDIVIDUAL RESIDING IN CALIFORNIA. PROCEED TO ITEM 6.
[ ] A CORPORATION WHICH HAS FILED A CERTIFICATE PURSUANT TO SECTION 1505. PROCEED TO ITEM 7.
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6. IF AN INDIVIDUAL, CALIFORNIA ADDRESS OF THE AGENT FOR SERVICE OF PROCESS:
ADDRESS: 000 Xxxxxxx Xxxxxx, Xxxxx X-0
CITY: Costa Mesa STATE: CA ZIP CODE: 92626
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7. NAME AND ADDRESSES OF ALL GENERAL PARTNERS: (ATTACH ADDITIONAL PAGES, IF NECESSARY)
A. NAME: ARV Assisted Living, Inc.
ADDRESS: 000 Xxxxxxx Xxxxxx, Xxxxx X-0
CITY: Costa Mesa STATE: CA ZIP CODE: 92626
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B. NAME:
ADDRESS:
CITY: STATE: ZIP CODE:
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8. INDICATE THE NUMBER OF GENERAL PARTNERS' SIGNATURES REQUIRED FOR FILING CERTIFICATES OF AMENDMENT, RESTATEMENT,
MERGER, DISSOLUTION, CONTINUATION AND CANCELLATION. [1]
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9. OTHER MATTERS TO BE INCLUDED IN THIS CERTIFICATE MAY BE SET FORTH ON SEPARATE ATTACHED PAGES AND ARE MADE A
PART OF THIS CERTIFICATE BY CHECKING THIS BOX. OTHER MATTERS MAY INCLUDE THE PURPOSE OF BUSINESS OF THE LIMITED
PARTNERSHIP E.G. GAMBLING ENTERPRISE.
[ ]
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10. TOTAL NUMBER OF PAGES ATTACHED, IF ANY:
[-0-]
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11. I CERTIFY THAT THE STATEMENTS CONTAINED IN THIS DOCUMENT ARE TRUE AND CORRECT TO MY OWN KNOWLEDGE. I DECLARE
THAT I AM THE PERSON WHO IS EXECUTING THIS INSTRUMENT, WHICH EXECUTION IS MY ACT AND DEED.
ARV Assisted Living, Inc.
General Partner
/s/ XXXX X. XXXXXX President XXXX X. XXXXXX 10/15/01
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SIGNATURE POSITION OR TITLE PRINT NAME DATE
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SIGNATURE POSITION OR TITLE PRINT NAME DATE
[OFFICE OF THE SECRETARY XXXX]
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SEC/STATE (REV. 11/[ILLEGIBLE]) FORM LP-1 - FILING FEE: $70.00
Approved by Secretary of State
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