Public record

CMS Skilled Nursing Facility All Owners

Associate id: 8628433661 · 44 matching records

Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
0446745251
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-10-01
First name - owner
ELIZALDE
Last name - owner
DUQUE
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
0446745251
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-10-01
First name - owner
ELIZALDE
Last name - owner
DUQUE
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
0749775575
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-10-01
First name - owner
SILVIA
Last name - owner
VALADEZ-ALMARAZ
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
0749775575
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-10-01
First name - owner
SILVIA
Last name - owner
VALADEZ-ALMARAZ
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
0840785689
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2022-10-01
Percentage ownership
4.5
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
1052806890
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2022-10-01
Percentage ownership
4.5
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
1355836263
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2022-10-01
Address line 1 - owner
6442 COLDWATER CANYON AVENUE
Address line 2 - owner
SUITE 100
City - owner
NORTH HOLLYWOOD
State - owner
CA
Zip code - owner
916062013
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
Y
Other type - owner
N
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
1355836263
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2022-10-01
Address line 1 - owner
6442 COLDWATER CANYON AVENUE
Address line 2 - owner
SUITE 100
City - owner
NORTH HOLLYWOOD
State - owner
CA
Zip code - owner
916062013
Percentage ownership
4.5
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
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
1456846260
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-10-01
First name - owner
MARY
Middle name - owner
EDITH
Last name - owner
BAUTISTA
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
1456846260
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-10-01
First name - owner
MARY
Middle name - owner
EDITH
Last name - owner
BAUTISTA
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
1850886680
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-10-01
First name - owner
ANDREA
Last name - owner
BOWLINE
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
1850886680
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-10-01
First name - owner
ANDREA
Last name - owner
BOWLINE
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
2163887118
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-10-01
Organization name - owner
SPYGLASS HEALTHCARE LLC
Address line 1 - owner
365 E. CAMPBELL AVE.
City - owner
CAMPBELL
State - owner
CA
Zip code - owner
950082013
Percentage ownership
50
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
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
Y
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
N
Parent company - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
2264669217
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-10-01
First name - owner
BRADY
Last name - owner
O'SHEA
Percentage ownership
5
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
3779078696
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2022-10-01
Address line 1 - owner
6442 COLDWATER CANYON AVENUE
Address line 2 - owner
SUITE 100
City - owner
NORTH HOLLYWOOD
State - owner
CA
Zip code - owner
916062013
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
Y
Other type - owner
N
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
3779078696
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2022-10-01
Address line 1 - owner
6442 COLDWATER CANYON AVENUE
Address line 2 - owner
SUITE 100
City - owner
NORTH HOLLYWOOD
State - owner
CA
Zip code - owner
916062013
Percentage ownership
4.5
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
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
3870972854
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-10-10
First name - owner
SHANE
Last name - owner
MCCORMACK
Percentage ownership
5
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
3870972854
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-10-01
First name - owner
SHANE
Last name - owner
MCCORMACK
Title - owner
ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
3870972854
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-10-01
First name - owner
SHANE
Last name - owner
MCCORMACK
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
3971606955
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-10-01
First name - owner
GREGORY
Middle name - owner
G
Last name - owner
SMITH
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
3971606955
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-10-01
First name - owner
GREGORY
Middle name - owner
G
Last name - owner
SMITH
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
4183857782
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-10-01
First name - owner
ABRAHAM
Last name - owner
BAK
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
4183857782
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2023-04-13
First name - owner
ABRAHAM
Last name - owner
BAK
Percentage ownership
4.5
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
4284129099
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2022-10-01
Address line 1 - owner
6442 COLDWATER CANYON AVENUE
Address line 2 - owner
SUITE 100
City - owner
NORTH HOLLYWOOD
State - owner
CA
Zip code - owner
916062013
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
Y
Other type - owner
N
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
4284129099
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2022-10-01
Address line 1 - owner
6442 COLDWATER CANYON AVENUE
Address line 2 - owner
SUITE 100
City - owner
NORTH HOLLYWOOD
State - owner
CA
Zip code - owner
916062013
Percentage ownership
4.5
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
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
4587159322
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-10-01
First name - owner
VEISINIA
Last name - owner
HAUNGA
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
5597250332
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-10-01
First name - owner
QURATUL
Last name - owner
SYED
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
5597250332
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-10-01
First name - owner
QURATUL
Last name - owner
SYED
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
5799879854
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-10-01
First name - owner
ROBERT
Last name - owner
BRANDI
Percentage ownership
20
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
5799879854
Type - owner
I
Role code - owner
86
Role text - owner
INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-10-01
First name - owner
ROBERT
Last name - owner
BRANDI
Percentage ownership
20
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
6507221553
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-10-01
First name - owner
RYAN
Middle name - owner
C
Last name - owner
MCCORMACK
Percentage ownership
20
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
6507351327
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-10-01
First name - owner
KIMBERLY
Last name - owner
MEJIA-ACEITUNO
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
6507351327
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-10-01
First name - owner
KIMBERLY
Last name - owner
MEJIA-ACEITUNO
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
6608362702
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2022-10-01
Address line 1 - owner
6442 COLDWATER CANYON AVENUE
Address line 2 - owner
SUITE 100
City - owner
NORTH HOLLYWOOD
State - owner
CA
Zip code - owner
916062013
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
Y
Other type - owner
N
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
6608362702
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2022-10-01
Address line 1 - owner
6442 COLDWATER CANYON AVENUE
Address line 2 - owner
SUITE 100
City - owner
NORTH HOLLYWOOD
State - owner
CA
Zip code - owner
916062013
Percentage ownership
4.5
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
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
7416442231
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-10-01
First name - owner
KRISTIN
Last name - owner
YUMANG
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
7416442231
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-10-01
First name - owner
KRISTIN
Last name - owner
YUMANG
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
7618462524
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2022-10-01
Address line 1 - owner
6442 COLDWATER CANYON AVENUE
Address line 2 - owner
SUITE 100
City - owner
NORTH HOLLYWOOD
State - owner
CA
Zip code - owner
916062013
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
Y
Other type - owner
N
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
7618462524
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2022-10-01
Address line 1 - owner
6442 COLDWATER CANYON AVENUE
Address line 2 - owner
SUITE 100
City - owner
NORTH HOLLYWOOD
State - owner
CA
Zip code - owner
916062013
Percentage ownership
4.5
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
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
7810482627
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2022-10-01
Address line 1 - owner
6442 COLDWATER CANYON AVENUE
Address line 2 - owner
SUITE 100
City - owner
NORTH HOLLYWOOD
State - owner
CA
Zip code - owner
916062013
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
Y
Other type - owner
N
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
7810482627
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2022-10-01
Address line 1 - owner
6442 COLDWATER CANYON AVENUE
Address line 2 - owner
SUITE 100
City - owner
NORTH HOLLYWOOD
State - owner
CA
Zip code - owner
916062013
Percentage ownership
4.5
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
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
7911492830
Type - owner
O
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2022-10-01
Address line 1 - owner
6442 COLDWATER CANYON AVENUE
Address line 2 - owner
SUITE 100
City - owner
NORTH HOLLYWOOD
State - owner
CA
Zip code - owner
916062013
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
Y
Other type - owner
N
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
7911492830
Type - owner
O
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2022-10-01
Address line 1 - owner
6442 COLDWATER CANYON AVENUE
Address line 2 - owner
SUITE 100
City - owner
NORTH HOLLYWOOD
State - owner
CA
Zip code - owner
916062013
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
Y
Other type - owner
N
Parent company - owner
N
Owned by another org or ind - owner
N
Enrollment id
O20230427000583
Associate id
8628433661
Organization name
CIRBY HOLDINGS LLC
Associate id - owner
8325533151
Type - owner
I
Role code - owner
85
Role text - owner
DIRECT OWNERSHIP INTEREST
Association date - owner
2022-10-01
Percentage ownership
4.99

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