[{"ENROLLMENT ID":"O20180919002570","ASSOCIATE ID":"9830440551","ORGANIZATION NAME":"DYNASTY VALLEY LLC","ASSOCIATE ID - OWNER":"5395096028","TYPE - OWNER":"O","ROLE CODE - OWNER":"34","ROLE TEXT - OWNER":"5% OR GREATER DIRECT OWNERSHIP INTEREST","ASSOCIATION DATE - OWNER":"2018-05-14","FIRST NAME - OWNER":"","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"THE RON REGGEV REVOCABLE TRUST DATE JUNE 30,2017","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"4286 HORTENSIA ST","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"SAN DIEGO","STATE - OWNER":"CA","ZIP CODE - OWNER":"921031105","PERCENTAGE OWNERSHIP":"50","CREATED FOR ACQUISITION - OWNER":"N","CORPORATION - OWNER":"N","LLC - OWNER":"N","MEDICAL PROVIDER SUPPLIER - OWNER":"N","MANAGEMENT SERVICES COMPANY - OWNER":"N","MEDICAL STAFFING COMPANY - OWNER":"N","HOLDING COMPANY - OWNER":"N","INVESTMENT FIRM - OWNER":"N","FINANCIAL INSTITUTION - OWNER":"N","CONSULTING FIRM - OWNER":"N","FOR PROFIT - OWNER":"N","NON PROFIT - OWNER":"N","PRIVATE EQUITY COMPANY - OWNER":"N","REIT - OWNER":"N","CHAIN HOME OFFICE - OWNER":"N","TRUST OR TRUSTEE - OWNER":"N","OTHER TYPE - OWNER":"Y","OTHER TYPE TEXT - OWNER":"TRUST","PARENT COMPANY - OWNER":"N","OWNED BY ANOTHER ORG OR IND - OWNER":"N"},{"ENROLLMENT ID":"O20180919002570","ASSOCIATE ID":"9830440551","ORGANIZATION NAME":"DYNASTY VALLEY LLC","ASSOCIATE ID - OWNER":"5395096028","TYPE - OWNER":"O","ROLE CODE - OWNER":"43","ROLE TEXT - OWNER":"OPERATIONAL\/MANAGERIAL CONTROL","ASSOCIATION DATE - OWNER":"2018-05-14","FIRST NAME - OWNER":"","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"THE RON REGGEV REVOCABLE TRUST DATE JUNE 30,2017","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"4286 HORTENSIA ST","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"SAN DIEGO","STATE - OWNER":"CA","ZIP CODE - OWNER":"921031105","PERCENTAGE OWNERSHIP":"","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"N","LLC - OWNER":"N","MEDICAL PROVIDER SUPPLIER - OWNER":"N","MANAGEMENT SERVICES COMPANY - OWNER":"N","MEDICAL STAFFING COMPANY - OWNER":"N","HOLDING COMPANY - OWNER":"N","INVESTMENT FIRM - OWNER":"N","FINANCIAL INSTITUTION - OWNER":"N","CONSULTING FIRM - OWNER":"N","FOR PROFIT - OWNER":"N","NON PROFIT - OWNER":"N","PRIVATE EQUITY COMPANY - OWNER":"N","REIT - OWNER":"N","CHAIN HOME OFFICE - OWNER":"N","TRUST OR TRUSTEE - OWNER":"N","OTHER TYPE - OWNER":"Y","OTHER TYPE TEXT - OWNER":"TRUST","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20180919002570","ASSOCIATE ID":"9830440551","ORGANIZATION NAME":"DYNASTY VALLEY LLC","ASSOCIATE ID - OWNER":"5395096028","TYPE - OWNER":"O","ROLE CODE - OWNER":"72","ROLE TEXT - OWNER":"ADP OF THE SNF","ASSOCIATION DATE - OWNER":"2018-05-14","FIRST NAME - OWNER":"","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"THE RON REGGEV REVOCABLE TRUST DATE JUNE 30,2017","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"4286 HORTENSIA ST","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"SAN DIEGO","STATE - OWNER":"CA","ZIP CODE - OWNER":"921031105","PERCENTAGE OWNERSHIP":"","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"N","LLC - OWNER":"N","MEDICAL PROVIDER SUPPLIER - OWNER":"N","MANAGEMENT SERVICES COMPANY - OWNER":"N","MEDICAL STAFFING COMPANY - OWNER":"N","HOLDING COMPANY - OWNER":"N","INVESTMENT FIRM - OWNER":"N","FINANCIAL INSTITUTION - OWNER":"N","CONSULTING FIRM - OWNER":"N","FOR PROFIT - OWNER":"N","NON PROFIT - OWNER":"N","PRIVATE EQUITY COMPANY - OWNER":"N","REIT - OWNER":"N","CHAIN HOME OFFICE - OWNER":"N","TRUST OR TRUSTEE - OWNER":"N","OTHER TYPE - OWNER":"Y","OTHER TYPE TEXT - OWNER":"TRUST","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20180919002570","ASSOCIATE ID":"9830440551","ORGANIZATION NAME":"DYNASTY VALLEY LLC","ASSOCIATE ID - OWNER":"5395096028","TYPE - OWNER":"O","ROLE CODE - OWNER":"85","ROLE TEXT - OWNER":"DIRECT OWNERSHIP INTEREST","ASSOCIATION DATE - OWNER":"2018-05-14","FIRST NAME - OWNER":"","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"THE RON REGGEV REVOCABLE TRUST DATE JUNE 30,2017","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"4286 HORTENSIA ST","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"SAN DIEGO","STATE - OWNER":"CA","ZIP CODE - OWNER":"921031105","PERCENTAGE OWNERSHIP":"50","CREATED FOR ACQUISITION - OWNER":"N","CORPORATION - OWNER":"N","LLC - OWNER":"N","MEDICAL PROVIDER SUPPLIER - OWNER":"N","MANAGEMENT SERVICES COMPANY - OWNER":"N","MEDICAL STAFFING COMPANY - OWNER":"N","HOLDING COMPANY - OWNER":"N","INVESTMENT FIRM - OWNER":"N","FINANCIAL INSTITUTION - OWNER":"N","CONSULTING FIRM - OWNER":"N","FOR PROFIT - OWNER":"N","NON PROFIT - OWNER":"N","PRIVATE EQUITY COMPANY - OWNER":"N","REIT - OWNER":"N","CHAIN HOME OFFICE - OWNER":"N","TRUST OR TRUSTEE - OWNER":"N","OTHER TYPE - OWNER":"Y","OTHER TYPE TEXT - OWNER":"TRUST","PARENT COMPANY - OWNER":"N","OWNED BY ANOTHER ORG OR IND - OWNER":"N"}]