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Full title: Affidavit/Declaration of Service re: Periodic Report Regarding Value, Operations and Profitability of Entities in Which the Debtor Holds a Substantial or Controlling Interest; and Notice of Change of Hearing Time for November 23, 2021 Omnibus Hearing. Filed by Epiq Corporate Restructuring, LLC. (related document(s)[248], [255]) (Gallerie, Bridget)

Document posted on Nov 18, 2021 in the bankruptcy, 9 pages and 0 tables.

Bankrupt11 Summary (Automatically Generated)

I am employed as a Director of Client Services by Epiq Corporate Restructuring, LLC, with their principal office located at 777 Third Avenue, New York, New York 10017.LONG TERM CARE UNIT 2727 MAHAN DRIVE, MAIL STOP 33 TALLAHASSEE FL 32308IA DEPARTMENT OF COMMUNITY HEALTH HEALTHCARE FACILITYPA 19104-5016 ARE & MEDICAID SERVICES 7500 SECURITY BLVD BALTIMORE MD 21244SSIPPI STATE DEPARTMENT OF HEALTH BUREAU OF HEALTH FACILITIES LICENSURE AND CERTIFICATION 143-B LEFLEURS SQUAJACKSON MS 39215 McCARTER & ENGLISH, LLP kbuck@mccarter.com McCARTER & ENGLISH, LLP shumiston@mccarter.com LAW FIRM OF RUSSELL R. JOHNSON III, PLC russell@russelljohnsonlawfirm.comLAW FIRM OF RUSSELL R. JOHNSON III, PLC john@russelljohnsonlawfirm.comANDREW R. VARA

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IN THE UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF DELAWARE In re: Chapter 11 GULF COAST HEALTH CARE, LLC, et al.,1 Case No. 21-11336 (KBO) Debtors. Jointly Administered Ref. Docket Nos. 248, 255 AFFIDAVIT OF SERVICE STATE OF CONNECTICUT) ) ss.: COUNTY OF MIDDLESEX ) ANGHARAD BOWDLER, being duly sworn, deposes and says: 1. I am employed as a Director of Client Services by Epiq Corporate Restructuring, LLC, with their principal office located at 777 Third Avenue, New York, New York 10017. I am over the age of eighteen years and am not a party to the above-captioned action. 2. On November 15, 2021, I caused to be served the: a. “Periodic Report Regarding Value, Operations and Profitability of Entities in Which the Debtor Holds a Substantial or Controlling Interest,” dated November 15, 2021 [Docket No. 248], (the “Periodic Report”), and b. “Notice of Change of Hearing Time for November 23, 2021 Omnibus Hearing,” dated November 15, 2021 [Docket No. 255], (the “Notice”), by causing true and correct copies of the: i. Periodic Report and Notice to be enclosed securely in separate postage pre-paid envelopes and delivered via first class mail to those parties listed on the annexed Exhibit A, ii. Periodic Report and Notice to be delivered via electronic mail to those parties listed on the annexed Exhibit B, and ______________________________________________ 1 The last four digits of Gulf Coast Health Care, LLC’s federal tax identification number are 9281. There are 62 Debtors in these chapter 11 cases, which cases are being jointly administered for procedural purposes only. A complete list of the Debtors and the last four digits of their federal tax identification numbers are not provided herein. A complete list of such information may be obtained on the website of the Debtors’ claims and noticing agent at https://dm.epiq11.com/GulfCoastHealthCare. The location of Gulf Coast Health Care, LLC’s corporate headquarters and the

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iii. Notice to be delivered via electronic mail to those parties listed on the annexed Exhibit C. 3. All envelopes utilized in the service of the foregoing contained the following legend: “LEGAL DOCUMENTS ENCLOSED. PLEASE DIRECT TO THE ATTENTION OF ADDRESSEE, PRESIDENT OR LEGAL DEPARTMENT.” /s/ Angharad Bowdler Angharad Bowdler Sworn to before me this 18th day of November, 2021 /s/ Amy E. Lewis Notary Public, State of Connecticut Acct. No. 100624 Commission Expires: 8/31/2022

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EXHIBIT A

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Y FOR HEALTH CARE ADMINISTRATION LONG TERM CARE UNIT 2727 MAHAN DRIVE, MAIL STOP 33 TALLAHASSEE FL 32308IA DEPARTMENT OF COMMUNITY HEALTH HEALTHCARE FACILITY REGULATION DIVISION NURSING HOME PROGRAM 2 PEACHTREE STNW, SUITE 31-44 7 ATLANTA GA 30303-3142 NAL REVENUE SERVICE CENTRALIZED INSOLVENCY OPERATION PO BOX 7346 PHILADELPHIA PA 19101-7346NAL REVENUE SERVICE CENTRALIZED INSOLVENCY OPERATION 2970 MARKET ST MAIL STOP 5 Q30 133PHILADELPHIA PA 19104-5016 ARE & MEDICAID SERVICES 7500 SECURITY BLVD BALTIMORE MD 21244SSIPPI STATE DEPARTMENT OF HEALTH BUREAU OF HEALTH FACILITIES LICENSURE AND CERTIFICATION 143-B LEFLEURS SQUAJACKSON MS 39215 Total Creditor count 6

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EXHIBIT B

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Case No. 21‐11336 2002 Email List 
Table 1 on page 6. Back to List of Tables
AIS PORTFOLIO SERVICES, LP ecfnotices@aisinfo.com;
ANTHONY & PARTNERS, LLC janthony@anthonyandpartners.com
ARENT FOX LLP george.angelich@arentfox.com
michael.blass@arentfox.com;
ARENT FOX LLP george.angelich@arentfox.com
beth.brownstein@arentfox.com
brett.goodman@arentfox.com
ASHBY & GEDDES, P.A rpalacio@ashbygeddes.com;
CARLTON FIELDS, PA namer@carltonfields.com;
COLE SCHOTZ P.C. aroth‐moore@coleschotz.com;
COOCH AND TAYLOR gdick@coochtaylor.com;
CROSS & SIMON, LLC kmann@crosslaw.com;
DE BEAUBIEN, SIMMONS, KNIGHT, MANTZARIS & NEAL jbreslin@dsklawgroup.com
aballentine@dsklawgroup.com
asbpleadings@dsklawgroup.com
jabpleadings@dsklawgroup.com
DLA PIPER LLP (US) james.muenker@dlapiper.com;
DLA PIPER LLP (US) stuart.brown@us.dlapiper.com
FENIGSTEIN & KAUFMAN, APC jack_fenigstein@fenkauf.com;
FERGUSON BRASWELL FRAZER KUBASTA PC laiken@fbfk.law;
FOLEY & LARDNER, LLP ggoodman@foley.com;
GREENBERG TRAURIG, LLP petermanN@gtlaw.comkurzweild@gtlaw.com
melorod@gtlaw.comHoweE@gtlaw.com
ICE MILLER LLP john.cannizzaro@icemiller.com
jason.torf@icemiller.com
JACK SHRUM, PA Jshrum@jshrumlaw.com
LOCKE LORD, LLP dswanson@lockelord.com
jonathan.young@lockelord.com
stephen.humeniuk@lockelord.com
LOWENSTEIN SANDLER LLP rhirsh@lowenstein.comlsklar@lowenstein.com;
MCDERMOTT WILL & EMERY LLP dhurst@mwe.com;
MORITT HOCK & HAMROFF LLP lberkoff@moritthock.com;
MORRIS, NICHOLS, ARSHT & TUNNELL LLP eschwartz@morrisnichols.com
rdehney@morrisnichols.com;
MORRISON COHEN LLP bankruptcy@morrisoncohen.com
dkozlowski@morrisoncohen.com;
OFFICE OF THE UNITED STATES ATTORNEY usade.press@usdoj.gov;
OFFICE OF THE UNITED STATES TRUSTEE david.l.buchbinder@usdoj.gov;
PAUL, WEISS, RIFKIND, WHARTON & GARRISON LLP aeaton@paulweiss.comkcornish@paulweiss.com;
RICHARDS, LAYTON & FINGER, P.A. silberglied@rlf.comqueroli@rlf.com;
RICHARDS, LAYTON & FINGER, P.A. heath@rlf.com;  steele@rlf.comdelillo@rlf.com
maddox@rlf.com
SECURITIES & EXCHANGE COMMISSION help@sec.gov;
SECURITIES & EXCHANGE COMMISSION newyork@sec.gov;
SMITH, ANDERSON, BLOUNT, DORSETT, MITCHELL & JE jjeutter@smithlaw.com

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Case No. 21‐11336 2002 Email List 
Table 1 on page 7. Back to List of Tables
THE ROSNER LAW GROUP LLC rosner@teamrosner.comgibson@teamrosner.com;
TOGUT, SEGAL & SEGAL LLP frankoswald@teamtogut.com
mnester@teamtogut.com;
U.S. DEPARTMENT OF JUSTICE augustus.t.curtis@usdoj.gov
alexis.daniel2@usdoj.gov;
WEIL, GOTSHAL & MANGES LLP gary.holtzer@weil.comrobert.lemons@weil.com
jason.hufendick@weil.com;
Count: 61

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EXHIBIT C

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Name Email Address McCARTER & ENGLISH, LLP wtaylor@mccarter.com McCARTER & ENGLISH, LLP kbuck@mccarter.com McCARTER & ENGLISH, LLP shumiston@mccarter.com LAW FIRM OF RUSSELL R. JOHNSON III, PLC russell@russelljohnsonlawfirm.comLAW FIRM OF RUSSELL R. JOHNSON III, PLC john@russelljohnsonlawfirm.comANDREW R. VARA UNITED STATES TRUSTEE, REGIONS 3 and 9 joseph.mcmahon@usdoj.govANDREW R. VARA UNITED STATES TRUSTEE, REGIONS 3 and 9 joseph.cudia@usdoj.gov

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