Exhibit,Appendix: Edwina Polite as Administrator of the Estate of Vivian Polite, deceased v. Kfg Operating 1, Llc D/B/A Hopkins Center For Rehabilitation And Healthcare

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                                FILED:         KINGS       COUNTY         CLERK        09/26/2022             05:09       PM                        INDEX    NO.   514703/2021
   NYSCEF     DOC.   NO.   12                                                                                 RECEIVED      NYSCEF:     09/26/2022
                               Request         for    Judicial      Intervention            Addendum                            UCS-840A (7/2012)


      Supreme COURT, COUNTY OF Kings                                                                        Index No:     514703/2021
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              Name: KFG Operating 1, LLC d/b/a
        ☐     Hopkins Center for Rehabilitation
                                                   ANDREW REINERS, 1225 FRANKLIN AVE STE 325 ,
                                                   GARDEN CITY, NY    11530,
              and Healthcare                       legalworkrequests@guideone.com                               ☒  YES   ☐  NO
              Role(s): Defendant/Respondent



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