New Jersey § 26:2h-33

§ 26:2h-33.

Every nursing home operating in the State shall, within 90 days after the end of its

fiscal year, file an annual report with the State Commissioner of Health. Such annual report shall be in such form and shall contain such information as shall

be prescribed by the commissioner, including the following: a. A balance sheet of the nursing home as of the end of such fiscal year, setting

forth assets and liabilities at such date including all capital, surplus, reserve,

depreciation and similar accounts; b. A statement of operations of the nursing home for such fiscal year, setting forth

all revenues, expenses, taxes, extraordinary items and other credits or charges; c. The name and address of each of the following persons: (1) The operator of the nursing home; (2) Any person who, directly or indirectly, beneficially owns any interest in the

land on which the nursing home is located; (3) Any person who, directly or indirectly, beneficially owns any interest in the

building in which the nursing home is located; (4) Any person who, directly or indirectly, beneficially owns a 10% or greater interest

in any mortgage, note, deed of trust or other obligation secured in whole or in part

by the land on which or building in which the nursing home is located; (5) Any person who directly or indirectly, has any interest as lessor or lessee in

any lease or sublease of the land on which or the building in which the nursing home

is located; (6) Any person who, directly or indirectly, beneficially owns a 10% or greater interest

in any mortgage, note, deed of trust or other obligation which, although not secured

by the land on which or building in which the nursing home is located, is considered

an outstanding liability on the books of the nursing home and was executed to finance

directly or indirectly the purchase of the nursing home, land, building, lease or

sublease pertaining thereto; d. If the nursing home or any person named in response to subsection c. is a partnership,

then the name and address of each partner; e. If the nursing home or any person named in response to subsection c. is a corporation,

other than a corporation whose shares are traded on a national securities exchange

or a commercial bank, savings bank or savings and loan association, then the name

and address of each officer, director, principal shareholder and controlling person

of such corporation; f. If any corporation named in response to subsection c. is a corporation whose shares

are traded on a national securities exchange or which is a commercial bank, savings

bank or savings and loan association, then the name and address of the principal executive

officers and each director, principal stockholder and controlling person of said corporation; g. If the nursing home paid or received an aggregate of $2,500.00 or more during the

fiscal year in connection with transactions with any person named in response to subsections

c., d., e., or f., or any affiliate of said person, a description of the transactions,

naming the parties thereto and describing the relationships which require the transactions

to be described and the goods, services, payment or other consideration received by

each party to the transactions.