Exhibit T3A-84

 

DocuSign Envelope ID: C9534FA4-9775-4610-9CAF-E3226DAE755C IMPORTANT- Read Instructions before completing this form. Filing Fee—$100.00 Copy Fees—First page $1 .00; each attachment page $0.50; Certification Fee- $5.00 ARTS-GS 4137399 {I w/ FILED v~ I Secretary of State Gs 5 State of Califorma APR 1 6 2018 Note: Corporations may have to pay minimum $800 tax to the California Franchise Tax Board each year. For more information, go to https.llwww ftb ca gov. C.... This Space For Office Use Only 1. Corporate Name (Go to www sos ca govl businesslbel name-availability for general corporale name requirements and restrictions .) The name of the corporation is The Healing Center of San Diego 2. Business Addresses (Enter the complete business addresses.) a. Initial Street Address of Corporation- Do not list a P.O. Box City (no abbreviations) State Zip Code 3703 Camino Del Rio S. #215A San Diego CA 92129 b Initial Mailing Address of Corporation, if different than item 2a City (no abbreviations) State Zip Code 3. Service of Process (Must provide either Individual OR Corporation.) INDIVIDUAL- Complete Items 3a and 3b only. Must include agent’s full name and California street address. a. California Agent’s First Name (if agent is not a corporation) Middle Name I Last Name I Suffix Jessica c McElfresh b. Street Address (if agent is not a corporation)· Do not enter a P.O. Box City (no abbreviations) I State I Zip Code 646 Valley Avenue, Suite C2 Solana Beach CA 92075 CORPORATION- Complete Item 3c. Only include the name of the registered agent Corporation. c California Registered Corporate Agent’s Name (if agent is a corporation)—Do not complete Item 3a or 3b 4. Shares (Enter the number of shares the corporation is authorized to issue. Do not leave blank or enter zero {0) .) This corporation is authorized to issue only one class of shares of stock. The total number of shares which this corporation is authorized to issue is ______1_ ,_0_0_0_,0_0__0 _____ 5. Purpose Statement (Do not alter the Purpose Statement.) The purpose of the corporation is to engage in any lawful act or activity for which a corporation may be organized under the General Corporation Law of California other than the banking business, the trust company business or the practice of a profession permitted to be incorporated by the California Corporations Code. 6. Read and Sign Below (This form must be signed by each incorporator. See instructions for signature requirements.) ~ Signature ARTS-GS (REV 04/2017) Jessica C. McElfresh Type or Print Name 2017 California Secretary of State www .sos. ca.gov/business/be