NOTICE PERSONALLY, APPEARED BEFORE ME, SIMCHA Z KROHN, WHO ON OATH DEPOSES AND SAYS THAT BLOSSOM HEALTHCARE LLC 26 BIRCH ST. LAKEWOOD, NJ 08701 IS DOING BUSINESS IN BIBB COUNTY, GEORGIA 3051 WHITESIDE RD. MACON GA 31216 UNDER THE NAME AND STYLE OF BLOSSOM HEALTHCARE & REHABILITATION CENTER. THE BUSINESS TO BE CARRIED ON IS NURSING HOME. THIS AFFIDAVIT IS MADE IN ACCORDANCE WITH THE LAWS OF THE STATE OF GEORGIA SIMCHA Z KROHN, APPLICANT. FILED IN OFFICE THIS 17TH DAY OF SEPTEMBER 2025. ERICA L. WOODFORD, BIBB COUNTY SUPERIOR COURT CLERK. IPL0276771 Sep 28,Oct 5 2025