Detail by Officer/Registered Agent Name

Foreign Limited Liability Company

BROOKDALE PROVIDENT MANAGEMENT, LLC

Filing Information
M04000003682 20-1363684 09/08/2004 DE ACTIVE LC STMNT OF RA/RO CHG 10/05/2016 NONE
Principal Address
111 WESTWOOD PLACE
SUITE 400
BRENTWOOD, TN 37027

Changed: 04/05/2011
Mailing Address
111 WESTWOOD PLACE
SUITE 400
BRENTWOOD, TN 37027

Changed: 04/25/2012
Registered Agent Name & Address CORPORATION SERVICE COMPANY
1201 HAYS STREET
TALLAHASSEE, FL 32301

Name Changed: 10/05/2016

Address Changed: 04/03/2024
Authorized Person(s) Detail Name & Address

Title MGR, CEO, President

Baier, Lucinda M
111 WESTWOOD PLACE
SUITE 400
BRENTWOOD, TN 37027

Title MGR, EVP AND SECRETARY

White, Chad C
111 WESTWOOD PLACE
SUITE 400
BRENTWOOD, TN 37027

Title CFO

KUSSOW, DAWN L
111 WESTWOOD PLACE
SUITE 400
BRENTWOOD, TN 37027

Title EVP

Kussow, Dawn
111 WESTWOOD PLACE
SUITE 400
BRENTWOOD, TN 37027

Title MGR, DVP

RICCI, BENJAMIN J
111 WESTWOOD PLACE
SUITE 400
BRENTWOOD, TN 37027

Annual Reports
Report YearFiled Date
2022 04/20/2022
2023 04/22/2023
2024 04/03/2024