UNITED STATES BANKRUPTCY COURT MIDDLE DISTRICT OF FLORIDA JACKSONVILLE DIVISION NOTICE OF FILING PARTIAL MATRIX OF CREDITORS AND PARTIES IN INTEREST
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1 UNITED STATES BANKRUPTCY COURT MIDDLE DISTRICT OF FLORIDA JACKSONVILLE DIVISION In re LIFE CARE ST. JOHNS, INC., a Florida not-for-profit corporation doing business as GLENMOOR, 1 Debtor. Case No.: 3:13-bk-4158-JAF Chapter 11 NOTICE OF FILING PARTIAL MATRIX OF CREDITORS AND PARTIES IN INTEREST Life Care St. Johns, Inc., a Florida not-for-profit corporation doing business as Glenmoor ( Debtor, gives notice of filing of the attached partial matrix of creditors and parties in interest entitled to receive notices in this case. Debtor may be prohibited by the Health Insurance Portability and Accountability Act of 1996 from disclosing the names and addresses of its present, former or prospective residents and will be filing a motion to file such information under seal. STUTSMAN THAMES & MARKEY, P.A /s/ Richard R. Thames By Richard R. Thames Florida Bar Number North Laura Street, Suite 1600 Jacksonville, Florida ( ( (Facsimile rrt@stmlaw.net Proposed attorneys for Life Care St. Johns, Inc., a Florida not-for-profit corporation doing business as Glenmoor 1 The Federal Employer Identification Number for the Debtor is The address of the Debtor is 235 Towerview Drive, St. Augustine, Florida,
2 Certificate of Service I certify that, on July 9, 2013, a copy of the foregoing was filed electronically with the Court s CM/ECF filing system which will generate an electronic notice of filing to the Office of the United States Trustee, 135 W. Central Blvd., Room 620, Orlando, Florida and to all creditors and parties in interest who have consented to receiving electronic notices in this case. 143 /s/ Richard R. Thames Attorney
3 Abacus Carpentry, LLC 1008 Loring Ave., #29 Orange Park, FL Abacus Contracting, LLC 1008 Loring Ave., #29 Orange Park, FL Aetna P.O. Box Chicago, IL Aetna - Middletown P.O. Box Charlotte, NC All About Blinds 7501 Philips Hwy. All American Air Conditioning & Heating Contractors, Inc S.R. 312 Saint Augustine, FL American Data Services P.O. Box 640 Sauk City, WI American Health Associates, Inc Corporate Way Hollywood, FL Atkinson's Healthcare Providers Attn: Robert Allen, President P.O. Box 7023 Orange Park, FL Atlantic Self Storage 1975 S.R. 16 Saint Augustine, FL Beall, Jennifer L. Dysphagia Decision Solutions, LLC 4400 N. Alatamaha St. Saint Augustine, FL Blackwell, Jeffery E Ivy Mill Pl. N Jacksonville, FL Bonura, Joseph W., DPM 19 Burning Sands Ln. Palm Coast, FL Bunnell, Charlene, personal rep. for the Estate of Walter Bugeski Carames, Earnest, M.D. 16 St. Johns Medical Park Dr. Saint Augustine, FL Century Ambulance Service, Inc. Page 1
4 Attn: Melanie Delaney 2144 Rosselle St. Jacksonville, FL Cheney Brothers, Inc. One Cheney Way West Palm Beach, FL City Electric Supply P.O. Box Orlando, FL Community Hospice of Northeast Florida, Inc. Attn: Compliance / Legal Dept Sunbeam Rd., Bldg. 300 Jacksonville, FL Community Hospice of Northeast Florida, Inc. Attn: Carlos Bosque, Executive VP 4266 Sunbeam Rd. Jacksonville, FL Daniel S. Bleck, Esq. Mintz Levin One Financial Center Boston, MA Dysphagia Decision Solutions, Inc N. Alatamaha St. Saint Augustine, FL Ecolab Pest Elimination Network Pl. Chicago, IL Edward Don & Company 2500 S. Harlem Ave. Riverside, IL Facility Automation Solutions 524 Stockton St. Jacksonville, FL First Coast Cabinets, Inc Wilson Blvd. Jacksonville, FL FL Department of Financial Service Attn: Timothy L. Newhall, Esq Capital Circle SE Tallahassee, FL FL Department of Financial Service Attn: Lourdes Calzadilla, Esq Capital Circle SE Tallahassee, FL FL Dept. of Revenue 5050 W. Tennessee St. Tallahassee, FL Page 2
5 FL Dept. of State Clifton Building 2661 Executive Center Dr. Tallahassee, FL FL Office of Insurance Regulation Attn: Dan Papka, Fin. Examiner 200 E. Gaines St. Tallahassee, FL FL Office of Insurance Regulation Attn: Kevin M. McCarthy 200 E. Gaines St. Tallahassee, FL Flagler Hospital, Inc. Attn: James D. Conzemius, Pres. 400 Health Park Blvd. Saint Augustine, FL Florida Dept. of Financial Service Bureau of Licensing Revenue Processing Section P.O. Box 6100 Tallahassee, FL Florida Medical Quality Assurance Attn: Logan Malone, Ed.D., CEO 4350 W. Cypress St., #900 Tampa, FL Florida Power & Light Co. P.O. Box Miami, FL FPL Energy Services P.O. Box Miami, FL FreshPoint, Inc Hilton St. Jacksonville, FL Garden Wholesale, Inc., The 280 Hastings Rd. Saint Augustine, FL Hair & Beauty Spa of Glenmoor 305 Oleander Neptune Beach, FL HD Supply Facilities Maintenance P.O. Box San Diego, CA Hershey's Ice Cream 1089 Jetstream Dr. Orlando, FL Hill's Home Care, Inc R.G. Skinner Pkwy., #803 Page 3
6 Hoffman, Michael 7128 Greenfern Ln. Jacksonville, FL Home Depot Credit Services P.O. Box 9101 Des Moines, IA Humana Insurance Co. P.O. Box 533 Carol Stream, IL Int Med Assoc. of St. Johns County 16 St. Johns Medical Park Dr. Saint Augustine, FL Internal Revenue Service P.O. Box 7346 Philadelphia, PA Isaac Garvin Construction, Inc. 362 Commerce Way, #120 Longwood, FL J&L Koscoe Corp U.S. 1 N Saint Augustine, FL Jacksonville Mobile Imaging Serv. First Coast Mobile Imaginge Serv Salisbury Rd., #306 Jacksonville, FL Jax Home Health, Inc R.G. Skinner Pkwy., #803 Lamp Sales Unlimited, Inc St. Augustine Rd. Jacksonville, FL LCPS Management, Inc Vicar's Landing Way Ponte Vedra Beach, FL Life Care Ponte Vedra, Inc. d/b/a Vicar's Landing 1000 Vicars Landing Way Ponte Vedra Beach, FL Lifetime Enclosures 5521 Chronicle Ct. Lloyd S. Manukian, Esq. Farah & Farah, P.A Plantation Island Dr., #206A Saint Augustine, FL Lucks, Sharon 4743 Seaboard Ave. Jacksonville, FL Page 4
7 Lucks, Sharon, RD, LD 4743 Seaboard Ave. Jacksonville, FL Masco Contractor Services Central d/b/a Vern's Insulation & Special P.O. Box 754 New Smyrna Beach, FL Mayport C&C Fisheries 36 W. 6th St. Atlantic Beach, FL McKesson Red Line Extended Care P.O. Box Cincinnati, OH Medco, Inc. 653 Kingsley Ave. Orange Park, FL Nader's Pest Raiders P.O. Box 3399 Ponte Vedra Beach, FL Nanek's Landscaping Grounds Maintenance, Inc Davis Creek Ct. Office Depot P.O. Box Cincinnati, OH Old Dominion Insurance Company P.O. Box Dallas, TX On Shift, Inc Euclid Ave., #1500 Cleveland, OH Otis Elevator Company 6631 Executive Park Ct. Jacksonville, FL Pitney Bowes Global Financial Serv P.O. Box Pittsburgh, PA ProMed Waste Solutions 320 Enterprise St. Ocoee, FL Publix Customer Charge P.O. Box Lakeland, FL Richard Saelenski 5428 Deleon Ln. Elkton, FL Page 5
8 Ring Power Corporation P.O. Box Atlanta, GA Royal Cup Dine-Mor, Inc. P.O. Box Birmingham, AL RT Publishing, Inc San Jose Blvd., #403 Jacksonville, FL Shredding Source, Inc. P.O. Box Jacksonville, FL Simplex Grinnell Dept. CH Palatine, IL SimplexGrinnell Fortune Pkwy., #120 Sirius XM Radio, Inc. P.O. Box Louisville, KY Smart Stream IT Solutions Monument Rd., #302 Jacksonville, FL Southeastern Paper Group LockBox Momentum Pl. Chicago, IL Southeastern Paper Group, Inc. P.O. Box 330 Browns Summit, NC Southern Wines & Spirits P.O. Box Lakeland, FL St. Johns County Industrial Development Authority 4020 Lewis Speedway Saint Augustine, FL St. Johns County Tax Collector P.O. Box 9001 Saint Augustine, FL St. JOhns County Utility Dept. P.O. Drawer 3006 St. Augustine, FL Stephen R. Senn, Esq. Peterson & Myers, P.A. P.O. Box Lakeland, FL Page 6
9 Sun Life Assurance Company Canada P.O. Box Philadelphia, PA Sysco - SFS Jacksonville, Inc. P.O. Box Jacksonville, FL T.G. Lee Foods P.O. Box Atlanta, GA Trayco of S.C., Inc. P.O. Box Atlanta, GA United Healthcare Specialty Benefi P.O. Box 2485 Carol Stream, IL Valley Crest P.O. Box Atlanta, GA Value First, Inc University Ave. W, #350 South Saint Paul, MN W.W. Gay Mechanics Construction 524 Stockton St. Jacksonville, FL Wells Fargo Bank, N.A., as trustee Attn: Michael Slade 625 Marqueete Ave., 11th Fl. Minneapolis, MN Page 7
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