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COPY

Series <DC 0026060

Federal Service for Health Supervision

LICENSE

No. <DC-25-01-001401 as of «27» October 2017

for (licensed type of activity)

MEDICAL ACTIVITIES

(with the exception of the specified activities carried out by medical organizations

and other organizations that are a part of the private health care system, in the

territory of the «Skolkovo» innovation center)

types of work (services) performed (rendered) as part of the licensed type of

activity, in accordance with part 2 of Article 12 of the Federal Law «On Licensing

of Certain Types of Activity»: (is to indicate in accordance with the list of works (services) estab li shed by the regulation on licensing the corresponding type of

activity)

According to the appendix (es) to the license

This license is granted : (to indicate are the full and (if available) abbreviated name (including firm name),

legal form of a legal entity, surname, given name, and (if avai lable) patronymic of the individual entrepreneur, name and details of the document, identifying him)

Federal state budget educational institution

«Russian Children's Center «Ocean»

FSBEI RCC «Ocean»

Principle state registration number of the legal entity (individual entrepreneur) (PS~) 1022502127592

Tax identification number 2539009984 ----------------~~~~~~------------------

Location and implementations places of the licensed type of activity (to indicate are the address of the locati on (the pl ace of residence of the individual entrepreneur) and the address of the work

(serv ices) performed (provided) as part of the licensed type of activ ity shall be indicated)

690108, Primorsky Krai, Vladivostok city, 10 Artekovskaya str.

Addresses of the places of the activity according to the appendix (es)

This license is granted for the period:

D termless till « » ---

(to indicate if the federa l laws governing

the implementation of the types of activities

specified in paragraph 4 of Article I of the Federal Law

«On Licensing Certain Types of Activities» stipulate a license validity period)

This license is granted on the basis of a decision of the licensing authority-order

(order)

a of « » No. ------------------------

Thi li n is reissued based on the decision of the licensing authority-order (order

as of « 2 » October 2017 --~~~~--~~~------

No. _ _..;6;;...;;;8'-'-a;.;;...-=n;;;.&p;;.;..../;;;...17;....__ __ _

This licens ha J appendix (es)

on 4 sheets, hi h are its integral part

Acting Head /signature/ of the Territorial Authority of the Federal Service for Supervision of

(s ignature of an authorized person) (ful l name of an authorized person)

Nesterenko T.S.

Health in Primm·sky Krai

Seal: Federal Service for Supervision ofHealthcare, Territorial Authority of the Federal Service for Supervision ofHealthcare in Primorsky Krai, PSRN 1042504381468

The Russian Federation Vladivostok city ofPrimorsky Krai- September 30, 2019

I, Rotko Sofia Andreevna, acting for notary public Matyushenko Irina Yurievna of Vladivostok notarial district ofPrimorsky Krai, hereby certify this to be a true copy ofthe original document. Registered under No. 25/61-H/25-2019-7-704 Fee charged: 20 rubles Paid for legal and technical services 220 rubles

/signature/ Rotko S.A.

Seal: in the center: the coat-of-arms of the Russian Federation; around the circle: Notary public I. Yu. Matyushenko; Place of location: Vladivostok city, Notarial district: Vladivostok; TIN 2536001 75943

It is threaded, numbered and sealed ___ 2 (two) sheets

Rotko S.A.

Seal: in the center: the coat-of-arms of the Russian Federation; around the circle: Notary public I. Yu. Matyushenko; Place of location: Vladivostok city, Notarial district: Vladivostok; TIN 253600175943

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Series <DC


Appendix No. 1 (p. 1)

COPY

0131496

to the license No. <DC-25-01-001401 as of «27» October 2017

for

MEDICAL ACTIVITIES



territory ofthe «Skolkovo» innovation center)

issued to (name of the legal entity indicat ing the legal fo rm, full name indi vidua l entrepreneur)

Federal state budget educational institution «Russian Children's Center «Ocean»

addresses of places of work (services) performed (rendered) as part of the licensed type of activity


When providing primary, including pre-medical, medical and specialized, medical care, the following works (services) are organized and performed: in the provision of primary pre-medical health care on an outpatient basis for: laboratory diagnostics, nursing in pediatrics, dentistry, physiotherapy; when providing primary medical health care on an outpatient basis in: pediatrics; in the provision of primary specialized health care on an outpatient basis in: pediatric surgery, pediatric dentistry. In the provision of specialized, including high-tech, medical care, the following works (services) are organized and performed: when providing specialized medical care in stationary conditions: healthcare organization and public

Acting Head of the Territorial Authority of the Federal Service for

/signature/ (signatu re of an authorized person) (fu ll name of an authorized person)

N esterenko T. S.

Supervision of Health in Primorsky Krai

The appendix is an integral part of the license

Seal: Federal Service for Supervision ofHealthcare, Territorial Authority of the

Federal Service for Supervision ofHealthcare in Primorsky Krai, PSRN

1042504381468

The Russian Federation Vladivostok city ofPrimorsky Krai- September 30,2019

I, Rotko Sofia Andreevna, acting for notary public Matyushenko Irina Y urievna of Vladivostok notarial district of Primorsky Krai, hereby certify this to be a true copy ofthe original document. Registered under No. 25/61-H/25-2019-7-705 Fee charged: lQ rubles Paid for legal and technical services 11 0 rubles



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COPY

Series cDC 0131497


Appendix No. 1 (p. 2)

to the license No. Cl>C-25-0 1-001401 as of «27» October 2017

for

MEDICAL ACTIVITIES




issued to (name of the legal entity indicating the legal form, fu ll name individual entrepreneur)


addresses of places of work (services) performed (rendered) as part ofthe licensed

type of activity


health, pediatrics, nursing in pediatrics, ultrasound diagnostics. In the

provision of emergency, including specialized emergency medical care, the

following work (services) are organized and performed: in the provision of

emergency medical care outside the medical organization for: emergency

medical care. During medical examinations, medical examinations and

medical examinations, the following works (services) are organized and

performed: during medical examinations on: medical examinations (pre-trip,

post-trip).

Acting Head /signature/ of the Territorial Authority of the Federal Service for Supervision of

(signature of an authorized person) (full name of an authorized person)

N esterenko T. S.

Health in Primorsky Krai




1042504381468

The Russian Federation Vladivostok city ofPrimorsky Krai- September 30, 2019

I, Rotko Sofia Andreevna, acting for notary public Matyushenko Irina Yurievna of Vladivostok notarial district ofPrimorsky Krai, hereby certify this to be a true copy ofthe original document. Registered under No. 25/61-H/25-2019-7-706 Fee charged: lQ rubles Paid for legal and technical services 110 rubles


Seal: in the center: the coat-ofarms of the Russian Federation; around the circle: Notary public !. Yu. Matyushenko; Place of location: Vladivostok city, Notarial district: Vladivostok; TIN 2536001 75943

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COPY

Series <DC 0131498


Appendix No. 2


for

MEDICAL ACTIVITIES




issued tO (name of the legal entity indicating th e legal form, full name individual entrepreneur)


addresses of places of work (services) performed (rendered) as part of the licensed

type of activ ity


When providing primary, including pre-medical, medical, specialized and

health care, the following works (services) are organized and carried out: in

the provision of primary pre-medical health care on an outpatient basis:

vaccination (preventive vaccination), nursing, nursing in pediatrics; in the

provision of primary medical health care on an outpatient basis for:

vaccination (preventive vaccination), pediatrics, therapy.

Acting Head of the Territorial Authority of the Federal Service for

/signature/ (signature of an authori zed person) (ful l name of an authorized person)

~estererUko T.S.

Supervision of Health in Primorsky Krai




1042504381468

The Russian Federat ion Vladivostok city of Primorsky Krai- September 30, 2019

I, Rotko Sofia Andreevna, acting for notary public Matyushenko Irina Yurievna of Vladivostok notarial district ofPrimorsky Krai, hereby certify this to be a true copy of the original document. Registered under o. 25/6 1-H/25-20 19-7-707 Fee charged: lQ rubles Paid for legal and technical services 110 rubles


Seal: in the center: the coat-of-arms of the Russian Federation; around the circle: Notary public I. Yu. Matyushenko ,· Place of location: Vladivostok city, Notarial district: Vladivostok; TIN 253600175943

vhoro npowHypoBaHo, npoHyMepoBaHo, cKpenneHo neYaTbiO :Jf nHCTOB.

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Series <DC

Appendix No. 3


COPY

0131499


for

MEDICAL ACTIVITIES


and other organizations that are a part of the private health care system, in the territory of the «Skolkovo» innovation center)

issued to (name of the lega l entity indicat ing the lega l form, full name indi vidual entrepreneur)


addresses of places of work (services) performed (rendered) as part of the licensed

type of activity


During medical examinations, medical clearence and medical inspections, the following works (services) are organized and performed: during medical examinations in accordance with: medical examinations (pre-trip, post-trip)

Acting Head of the Territorial Authority of the Federal Service for Supervision of Health in Primorsky Krai

/signature/ (s ignature of an authorized person) (full name of an authorized person)

Nesterenko T.S.


Seal: Federal Service for Supervision ofHealthcare, Tenitorial Authority of the


1042504381468

The Russian Federation Vladivostok city ofPrimorsky Krai- September 30,2019

I, Rotko Sofia Andreevna, acting for notary public Matyushenko Irina Yurievna ofVladivostok notarial district ofPrimorsky Krai, hereby certify this to be a true copy of the original document. Registered under No. 25/61-H/25-2019-7-708 Fee charged: lQ rubles Paid for legal and technical services 110 rubles

!signature/ Rotko S.A.


YfToro npowHypoBaHO, npoHyMepoBaHO, CKpenJleHO neLJaTbiO

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E,llEPAJihHAH C.JlY/KliA no HAJJ;'JOPY B C EPE ... · Ccpu.H C 0026060 E,llEPAJihHAH C.JlY/KliA no...

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