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Home My WebLink AboutName Certificate Form 503 ' This space reserved for office use. (Revised 01/06) 5 el' Return in duplicate to: �•' In the Cf the Secretary of State _- ~ Secretary of State of T Austin,P.OBTXx 787 Assumed Name Certificate APR 0 2 ZQO8 787 1 1-3697 512 463-5555 FAX: 512 463-5709 corporations$ecbOn Filing Fee: S25 The assumed name under which the business or professional service is, or is to be, conducted or rendered is: St.Joseph Health System a s '' ' The name of the entity filing the assumed name is: St.Joseph Services Corporation State the name of the entity as currently shown in the records of the secretary of state or on its certificate of formation,if not filed with the secretary of state. The filing entity is a:(Select the appropriate entity type below.) ❑For-profit Corporation 0 Professional Corporation WI Nonprofit Corporation 0 Professional Limited Liability Company ❑Cooperative Association 0 Professional Association ❑Limited Liability Company 0 Limited Partnership Other Specify type of entity if there is no check box applicable. The file number, if any, issued to the filing entity by the secretary of state is: 102649401 The state,country,or other jurisdiction of formation is: Texas The registered or similar office of the entity in the jurisdiction of formation is: 2801 Franciscan Drive, Bryan,TX 77802 ®The entity is required to maintain a registered office and agent in Texas. The address of its registered office in Texas and the name of the registered agent at such address is: 2801 Franciscan Drive,Bryan,TX 77802 John J. Buckley Jr. The address of the principal office of the entity(if not the same as the registered office) is: ❑ The entity is not required to maintain a registered office and agent in Texas. Its office address in Form 503 4 OS 10,0i-C% 10C�� in Texas is: 0 The entity is not incorporated,organized or associated under the laws of Texas. The address of the principal place of business in this state is: The office address of the entity is: } _ AI The period during which the assumed name will be used is 10 years from the date of filing with the secretary of state. OR ❑ The period during which the assumed name will be used is years from the date of filing with the secretary of state(not to exceed 10 years). OR ❑ The assumed name will be used until (not to exceed 10 years). mnildd/yytyy The county or counties where business or professional services are being or are to be conducted or rendered under the assumed name are: [a All counties ❑ All counties with the exception of the following counties: • ❑ Only the following counties: The undersigned signs this document subject to the penalties imposed by law for the submission of a materially faise or fraudulent instrument. If the undersigned is acting in the capacity of an attorney in fact for the entity,the undersigned certifies that the entity has duly authorized the undersigned in writing to execute this document. Date: April 2, 2008 ; f Or Buckley J. Bu y Jr., zsident Signature and title of authorized person(s)(see instructions) Form 503 5 s "� Phil Wilson Corporations Section '� TE O P.O.Box 13697 ice ;= - ,XSecretary of State to Austin,Texas 78711-3697 &r.) t Office of the Secretary of State CERTIFICATE OF FILING OF ST. JOSEPH SERVICES CORPORATION File Number: 102649401 Assumed Name: St.Joseph Health System The undersigned, as Secretary of State of Texas,hereby certifies that the assumed name certificate for the above named entity has been received in this office and filed as provided by law on the date shown below. ACCORDINGLY the undersigned, as Secretary of State, and by virtue of the authority vested in the secretary by law hereby issues this Certificate of Filing. Dated: 04/02/2008 Effective: 04/02/2008 c,,tct•S E Op C44 VZ{1 -S4 '" ':ii)e ?‹ egiet/A=44...L ': e% Phil Wilson �e//iiki, = Secretary of State Come visit us on the internet at http://www.sos.state.tx.us/ Phone:(512)463-5555 Fax:(512)463-5709 Dial:7-1-1 for Relay Services Prepared by: Lisa Sartin TID: 10342 Document:210675830002 ter/ ,4 Fi l ed for Record i n: BRAZOS COUNTY On: Aar 04,2008 et 10:33A Asa Recordings S91'AT>EOFT'BgAS Docuaentp� 993340 KNOW ALL MEN BY THESE PRESENTS Aaount 15.00 COUNTY OF BRAZOS Receipt timber - 338444 891 Lynn Greer THAT I the undeceived, far the purpose of complying with Chapter 36,Tide 4, Business and Commerce Code adios State of Texas,do hereby certify to the following facts 1_ St. Joseph Health System is the assumed tame under which the business or professional services is or it to be=ideated or rendered. 2. Registrant St. Joseph Services Corporation 3. Names and Ackheeses 1. John J. Buckley,Jr. 2801 Franciscan Drive President Bryan" TX 77802 • Tide city sew zip 2. Nam Address Tide City slate Zip 3. New Addres. title Gy State Trp Said Company was duly associated under the laws of TEXAS and its registered or similar office address is 2801 Franciscan Dnve, Bryan,TX 77802 Country a.maths within the State of Texas where the business or professional,ervicm are being or are to be conducted or rendered under said assumed rime:All 4. The business service b a 'ea'i ares gani - r on 5. `• The p sca od,pat to led tea(10)years,der which the assumod namfront e will be used is the 27 day of April ,20 Ou until the 27 day of April IN TES 1'[MCN'Y WHEREOF, have hereunto sad hand_, this the day of ,20 ___51!:fii ._.__, SWORN To AND SUBSCRIBED BEFORE ME this 1 day of C-Ualati ,2O S61v_ • Misty Public State of Texas - II ; ~'.' a TARP PUBLIC --�-^�� THEM ANDERSON i By: i R Aci SMe of Trema mi Commie ion Espies O6 00B 1 are Ner, cly,= Office of the Secretary of State Filed in the Office of the ,'A VI Reports Unit Secretary of State of Texas P.O. Box 12028 Filing #: 102649401 06/05/2007 Austin,Texas 78711-2028 Document#: 173051690002 Image Generated Electronically (Form 802) for Web Filing PERIODIC REPORT-NONPROFIT CORPORATION File Number: 102649401 1. The corporation name is: ST.JOSEPH SERVICES CORPORATION 2. It is incorporated under the laws of: TEXAS.USA 3. The name of the registered agent is: John J Buckley Jr 4. The registered office address, which is identical to the business office address of the registered agent in Texas, is: 2801 Franciscan Drive, Bryan,TX, USA 77802 5. If the corporation is a foreign corporation, the address of its principal office in the state or country under the laws of which it is incorporated, is: 6. The names and addresses of all directors of the corporation are: Director/Executive 1: (Individual Name) John C Hicks ,Title: Director_ Address: Box 1166 Franklin, TX,USA 77856 Director/Executive 2: (Individual Name) Donald E Voelter 'Title: Director Address: 450 Country Place West Brenham, TX, USA 778_33 Director/Executive 3 (Individual Name) James W Stegall Title: Director Address: 2509 Memorial Drive Bryan, TX, USA 77802 Director/Executive 4: (Individual Name) John J Buckley Jr Title: Director Address: 2801 Franciscan Drive Bryan, TX,USAW77802 7. The names, addresses and titles of all officers of the corporation are: Officer 1: (Individual Name) John C Hicks Title: Chairperson Address: Box 1166 Franklin, TX, USA 77856 �- —�-- Officer 2: (Individual Name) John J Buckley Jr Title: President Address: 2801 Franciscan Drive Bryan, TX,USA 77802 Officer 3: (Individual Name) James W Stegall Title: Secretary Address: 2509 Memorial DriveBryan, TX,USA 77802 Officer 4: (Individual Name) Donald E Voelter Title: Vice-Chairperson Address: 450 Country Place West Brenham, TX, USA 77833 # - Aro Execution: The undersigned signs this document subject to the penalties imposed by law for the submission of a materially false or fraudulent instrument. Date: June 5,2007 John J Buckley, Jr. Signature of authorized officer FILING OFFICE COPY