On May 08, 2023 a
Proof of Service
was filed
involving a dispute between
Gastelum, Christian,
Gastelum, Maria,
and
Bay Bridge Capital Partners, Llc,
California Opco, Llc,
Does 1-50,
Does 51-60,
Flagstone Healthcare Central Llc,
Macadamia Holdings, Llc,
Opco Holdings, Llc,
Providence Group, Inc,
The Ensign Group, Inc,
Upland Community Care, Inc,
for Other PI/PD/WD Unlimited
in the District Court of San Bernardino County.
Preview
ATTORNEY OR PARTY WITHOUT ATTORNEY POS-010
(Name, S‘ate Bar number, and address):
FOR COURT USE ONLY
Dawn M. Smith, SBN 222481
Smith Clinesmith, LLP
325 N. St. Paul St., 29th Floor
Dallas, TX 75201 s
TELEPHONE NO.: (214) 953-1900 FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name): Plaintiff
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
SAN BERNARDINO - SAN BERNARDINO
STREErADDREss: 247 W. 3rd St.
By.°
MAILING ADDRESS: 247 W. 3rd St.
CFI’Y AND ZIP CODE:
San Bernardino, CA 92415—021 0
BRANCH NAME: SUPERIOR COURT OF CALIF
ORNIA. COUNTY OF SAN BERNARDINO
- SAN BERNARDINO
PLAINTIFF/PETITIONER: Christian Gastel
um, as Guardian at Litem of Maria Gastelum CASE NUMBER:
DEFENDANT/RESPONDENT: Macadamia Holdings, LLC d/b/a Trellis Chino; 2310430
Bay Bridge
Capital Partners, LLC; California OPCO,
LLC; OPCO Holdings, (,1 V$6
LLC; Providence Group, |nc.; Upland Commu
nity Care, Inc.
d/b/aUpland Rehabilitation and Care Center; Flagst
one
Healthcare Central LLC; The
r;
_i
(Separate proof ofservice j H
is required for each partyserved.) “f
M ’Lnj,
1. At the time ofservice lwas at least 18 years ofage and not a partyto this action.
2. l served copies of: Summons; Complaint; Civil Case Cover Sheet; Notice of Trial
Setting Conference and Notice of Case
Assignment; [Blank] Initial Trial Setting Conference Statement
3. a. Party served (specify name ofparty as shown on docum ents served): OPCO Holdings, LLC
b.
E Person (otherthan the partyin item 3a) served on
item 5b on whom substituted service
Stauss, Authorized Employee of
behalf of an entity or
was made) (specify name and relationship
as an authorized agent (and nota person under
to the party named in item 3a): Nicole
Registered Agent
4. Address where the party was served: 2710 Gatew
ay Oaks Dr, Suite 150N Sacramento, CA 95833
5. lserved the party (check properbox)
a.
E] by personal service. personally delivered the documents listed
l
in item 2 to the party or person author
ized to receive
b.
E service ofprocess forthe party(1 on: 6/2/20
) 23 (2) at: 02:46
by substituted service. On: at: leftthe documents listed in item
relationship to person indicated in item
3):
I
PM
2 with or in the presence of (name and title or
(1)
D (business) a person at least 18 years of age appare
the person to be served. informed him or her
I
ntlyin charge at the office or usual place of busine
ofthe general nature ofthe papers.
ss of
(2)
E (home) a competent mem ber ofthe household (at least 18
ofabode ofthe party. informed him or her ofthe genera
years ofage) atthe dweling house or usual place
E l nature ofthe papers
I
.
(3) (physical address unknown) a person of at least 18 years of age apparently in charge atthe usual mailing
address ofthe person to be served, other than a United
States Postal Service postoffice box. l informed him
or her ofthe general nature ofthe papers.
Page1of3
P050“) [Ravi Jam,” 200,, PROOF 0F SERVICE 0F SUMMONs
"mice # 7661161.“
PLAINTIFF/PETITIONER: Christian Gastelum, as Guardian
atLitem ofMaria Gastelum CASE NUMBER:
DEFENDANT/RESPONDENT: Macadamia Holdings, LLC d/b/a Trellis Chino; Bay Bridge 2310430
Capital Partners, LLC', California
OPCO, LLC; OPCO
Holdings, LLC; Providence Group, Inc.;
Upland Community
Care, Inc. d/b/a Upland Rehabilitation and
Care Center;
Flagstone Healthcare Central LLC; The
(4) lthereafter mailed (byfirst-class, postage prepaid) copies ofthe documents
to the person to be sewed at
E] the place where the copies were |eft(Code Civ. Proc.,
§ 415. 20). |mai|ed the documents.
on: from: or Ea declaration ofmailing Is attached.
E lattach a declaration of diligence statin
g actions taken firstto attempt perso
nal service.
5.
E by mail and acknowledgment of receipt of service
address shown'In item 4, byfirst—class mail,
lmailed the documents
postage prepaid,
listed in item 2 to the party, to the
(1)
(3)
on:
E with two copies ofthe Notice
addressed to me. (Attach
(2) from:
and AcknowledgmentofReceiptand
completed Notice and Acknowledgment of
a postage-paid return envelope
(4)
D to an address outside California with return receip
t requested. (Code
Receipt.) (Code Civ. Proc., § 41 5.30.)
d.
E by other means (specify means ofservice and author
izing code section):
Civ. Proc.,
§ 415.40.)
The "Notice
E Additional page describing service is attached.
6.
a.
b-
D[:1
to the Person Served" (on the
as an individual defendant.
as the person sued underthe fictitious
summons) was completed as follows:
c.
d-
D
E
as occupant.
On behalf of (specify): OPCO Holdings,
name
LLC
of (specify):
under the following Code ofCivil Procedure section:
416.10 (corporation)
415.95 (business organization, form unkno
wn)
DUE] 416.20 (defunctcorporation)
416.60 (minor)
DUB
416.30 (jointstock
416.70 (ward or conservatee)
company/association)
DD
416.40 (association or partnership)
416.50 (public entity)
D
E
416.90 (authorized person)
415.46 (occupant)
7. Person who served papers
Name: Katrina Williams
D other:
Address: 2700 Eureka Way, Redding, CA 96001
5099.5.“
Telephone number: 530-241-7686
The fee for service was:
|am:
(1)
2)
D
[j
not a registered California process server
.
exemptfrom registrafion under Business and Profe
3)
E E a registered California process server:
ssions Code section 22350(b).
(i)
(ii)
owner
Registration No.:2015-10
[:1 employee
E independentcontractor.
(iii) CountySacramento
POS-010 [Rev. January 1. 2007]
pROOF OF SERV'CE 0F SUMMONS Page 2 o! 3
Invoice#: 7661 161-04
Document Filed Date
June 06, 2023
Case Filing Date
May 08, 2023
Category
Other PI/PD/WD Unlimited
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