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First Name

ioj

Last Name

jio

Practice

11-25

Address

lkl

City

jkl

Zip

jklj

Office Phone

jk

Cell Phone

ldasdas

The benefit(s) I am most interested in realizing from CPOMP is(are):

The ability to network with industry experts and sponsors, Using CPOMP as an informational resource to better educate members of our practice

My greatest area(s) if interest include:

New project development and related issues, Ownership succession (sustaining buy-ins and buyouts), Debt (sourcing, negotiating, and leveraging), Monetization methods (sale leasebacks / re-syndication / refinancing), Consolidating disparately-owned real estate entities, Other

How many partners are in the practice?

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Of those practice partners, how many have ownership interest in at least one of the real estate properties that the practice occupies?

1-25

Our real estate portfolio includes:

Surgical / Mini Hospital, SNF (Skilled Nursing Facility)

The estimated total Fair Market Value of the real estate is $______

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Have you been involved in any sale-leasebacks of your real estate?

No

Do you anticipate growing your real estate portfolio in the next three years?

No

If qualified, are you interested in attending the CPOMP Annual Meeting?

Yes

How did you hear about CPOMP?

Attendance at another conference

If you selected referral, another conference, or other, please specify

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