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Nursing homeFAID #13497

Professional Post Acute Center

81 PROFESSIONAL CENTER PARKWAY, SAN RAFAEL, CA, 94903
(415) 479-5161
99 licensed beds

CMS rates Professional Post Acute Center 3 out of 5 overall. Federal inspectors issued 92 citations across 22 inspections in the last three years, with $143,211 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall2/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

81 Professional Center Parkway
San Rafael, CA 94903
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Public record summary

What we can show you for free.
Bed capacity
99
CMS facility ID
555214
Care type
Nursing home
County
Marin
Facility name
Professional Post Acute Center
Street address
81 PROFESSIONAL CENTER PARKWAY
City / state / ZIP
San Rafael, CA 94903
Phone
(415) 479-5161

About this facility — Professional Post Acute Center

Professional Post Acute Center is a Medicare/Medicaid-certified skilled nursing facility in San Rafael, California. It is licensed for 99 beds — close to the median for skilled nursing facilities in California (98 beds).

It is one of 36 senior care facilities in San Rafael and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Cambridge Healthcare Services, a group of 32 facilities on this site.

Federal inspectors have cited Professional Post Acute Center 92 times across 22 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $143,211 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Cambridge Healthcare Services
Ownership type
For profit - Limited Liability company

Registered owners & officers

Crescent Facilities Operations Llc
Direct owner — 100% stake — since 2006
Win Win Enterprises, Llc
Indirect owner · Additional disclosable party — 35% stake — since 2006
Jenmax Enterprises Llc
Indirect owner · Additional disclosable party — 23% stake — since 2006
Jk-csh Jv Llc
Indirect owner · Additional disclosable party — 12% stake — since 2006
Manhattan Five Partners Llc
Indirect owner — 7% stake — since 2006
Bering Properties Llc
Indirect owner — 6% stake — since 2007
81 Professional Center Llc
Additional disclosable party — since 2006
Bh Alliance
Indirect owner — since 2006
Bretsch, Gregory
Governing body · Operational control · Additional disclosable party — since 2019
Butenko, Julie
Operational control · Additional disclosable party — since 2023
Cambridge Healthcare Services Llc
Operational control · Additional disclosable party — since 2014
Capela, Heidi
Operational control · Additional disclosable party — since 2023
Copp, Noreen
Operational control — since 2025
Foreman, Nicole
Governing body · Operational control · Additional disclosable party — since 2024
Hassell, Lance
Operational control · Additional disclosable party — since 2022
Lutz, Linda
Operational control · Additional disclosable party — since 2012
Salazar, Paulina
Operational control · Additional disclosable party — since 2020
Smedra, Ira
Operational control · Additional disclosable party — since 2007
The Jacob Wintner Trust
Indirect owner — since 2006
The Wintner Living Trust Dated 7/08/1992
Indirect owner — since 2007
Wintner, Jacob
Indirect owner · Operational control · Additional disclosable party — since 2007

Regulatory standing

Federal court records
1 naming this facility · 2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1985-12-12
CMS overall rating
3 of 5 stars
Health deficiencies
9 at the last standard inspection
Federal fines
$143,211 total
Last standard inspection
2026-07-17
Nurse staffing
3.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$373 per day (≈ $11,340/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
88% Medicaid · 5% Medicare · 7% private/other
Occupancy
87% (fiscal year 2023)
Vs. state median
27% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds
99
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-07-17Health inspectionComplaint-triggered5 citations
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-08-10
F-0688
E · No harm found
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2026-08-10
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-08-10
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-08-10
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-08-10
2026-05-08Health inspectionComplaint-triggered1 citation
F-0692
D · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-06-04
19 earlier / fire-safety inspections (86 citations)
2026-05-04Health inspectionComplaint-triggered1 citation
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-05-29
2026-03-04Health inspectionComplaint-triggered2 citations
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-03-05
F-0761
D · No harm foundFrom a complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2026-03-05
2025-08-13Health inspectionComplaint-triggered2 citations
F-0557
D · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-09-18
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-18
2025-07-08Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-08-08
2025-04-21Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-12
2025-02-06Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-11
2024-09-19Health inspection2 citations
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-10-08
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-10-08
2024-09-03Health inspectionComplaint-triggered3 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-09-20
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-09-20
F-0921
D · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-09-20
2024-06-11Health inspectionComplaint-triggered1 citation
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-18
2024-02-28Health inspectionComplaint-triggered2 citations
F-0697
G · Actual harmFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-03-28
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-28
2024-02-27Health inspectionComplaint-triggered3 citations
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-15
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-15
F-0732
D · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2024-03-15
2024-02-15Health inspectionComplaint-triggered6 citations
F-0553
E · No harm foundFrom a complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-03-28
F-0657
E · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-03-28
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-28
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-28
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-28
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-28
2024-02-14Health inspectionComplaint-triggered1 citation
F-0557
E · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-03-22
2024-01-04Health inspectionComplaint-triggered2 citations
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-02-27
F-0776
D · No harm foundFrom a complaint
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2024-02-27
2023-11-22Health inspectionComplaint-triggered5 citations
F-0550
E · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-12-24
F-0584
E · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-12-24
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-24
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-24
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2023-12-24
2021-05-19Health inspection23 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-08-17
F-0572
E · No harm found
Give residents a notice of rights, rules, services and charges.
Corrected 2021-08-17
F-0584
E · No harm found
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2021-08-17
F-0600
H · Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2021-08-23
F-0607
G · Actual harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2021-08-23
F-0609
G · Actual harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2021-08-23
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-08-17
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2021-08-17
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-08-17
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-08-17
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2021-08-17
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-08-17
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2021-08-17
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2021-08-17
F-0726
F · No harm found
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2021-08-17
F-0727
F · No harm found
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2021-08-17
F-0732
E · No harm found
Post nurse staffing information every day.
Corrected 2021-08-17
F-0761
D · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2021-08-17
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-08-17
F-0842
E · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-08-17
F-0867
E · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2021-08-17
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2021-08-17
F-0925
E · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2021-08-17
2026-07-17Fire-safety inspection8 citations
K-0341
F · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2026-07-30
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-07-23
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-08-03
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2026-08-03
K-0711
D · No harm found
Provide a written emergency evacuation plan.
Corrected 2026-08-03
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-08-10
K-0919
D · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2026-08-03
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2026-08-03
2024-09-19Fire-safety inspection9 citations
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-07
K-0293
D · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2024-11-07
K-0347
F · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-11-07
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-07
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-11-07
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-11-07
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-07
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-11-07
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-11-07
2021-05-19Fire-safety inspection13 citations
E-0006
D · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2021-06-08
E-0024
D · No harm found
Establish policies and procedures for volunteers.
Corrected 2021-06-08
E-0026
D · No harm found
Establish roles under a Waiver declared by secretary.
Corrected 2021-06-08
E-0030
D · No harm found
List the names and contact information of those in the facility.
Corrected 2021-06-08
E-0035
D · No harm found
Provide family notifications of emergency plan.
Corrected 2021-06-08
K-0161
D · No harm found
Use approved construction type or materials.
Corrected 2021-06-08
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2021-06-08
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2021-06-08
K-0341
D · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2021-06-08
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-06-08
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2021-06-08
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2021-06-08
K-0914
E · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2021-06-08

Federal penalties

2025-07-08Fine$79,560
2024-01-04Fine$61,204
2023-10-17Fine$2,447
Total fines$143,211
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 555214.

Quality of care & staffing

How it compares in California.
Inspection citations, 3 years
92
More than 80% of nursing homes in the state
State median: 65
Federal fines, 3 years
$143,211
More than 96% of nursing homes in the state
State median: $0
Nurse staffing, hours per resident per day
3.9
Higher than 13% of nursing homes in the state
State median: 4.3
Nursing staff turnover, annual
38%
Higher than 55% of nursing homes in the state
State median: 36%

Resident outcomes

On 19 federal quality measures, this facility does better than the California average on 8 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased9.6%10.2%13.5%Near state average
Lose too much weight4.8%4.1%5.1%Worse than state
With a catheter inserted and left in their bladder0.0%0.7%0.7%Better than state
With a urinary tract infection0.0%1.2%1.5%Better than state
Have depressive symptoms3.1%7.6%13.5%Better than state
Were physically restrained0.0%0.3%0.1%Better than state
Experiencing one or more falls with major injury2.3%1.6%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine100.0%98.7%93.7%Near state average
Ability to walk independently worsened12.8%8.9%12.7%Worse than state
Received an antianxiety or hypnotic medication1.6%13.7%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine100.0%97.9%95.3%Near state average
With pressure ulcers3.4%4.3%4.5%Better than state
With new or worsened bowel or bladder incontinence9.6%9.8%18.3%Near state average
Received an antipsychotic medication7.6%12.3%15.4%Better than state
Hospitalizations per 1000 long-stay resident days2.542.211.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days0.911.501.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine99.4%94.6%82.3%Near state average
Newly received an antipsychotic medication1.5%1.3%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine96.9%93.1%80.1%Near state average
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0658 6 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
  • F-0689 6 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 4 inspections. Provide and implement an infection prevention and control program.
  • K-0363 3 inspections. Install corridor and hallway doors that block smoke.
  • F-0600 3 inspections. Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  • F-0609 3 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

What its owners also hold

  • Win Win Enterprises, Llc has an ownership stake on file at 28 nursing homes, averaging 2.6 of 5 on CMS's overall rating.
  • The Wintner Living Trust Dated 7/08/1992 has an ownership stake on file at 12 nursing homes, averaging 2.8 of 5 on CMS's overall rating.
  • Manhattan Five Partners Llc has an ownership stake on file at 11 nursing homes, averaging 2.9 of 5 on CMS's overall rating.
  • Bh Alliance has an ownership stake on file at 11 nursing homes, averaging 3 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in California

  • Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
  • File a complaint: 844-538-8766 · Online
  • Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
  • Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Kaiser Foundation Hospital, about 0.9 miles. CMS rating 4 of 5.
  • Marinhealth Medical Center, about 4.4 miles. CMS rating 5 of 5.
  • Novato Community Hospital, about 6.1 miles. CMS rating 5 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 92 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered