2024-12-19T10:37:23-06:00 2023-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2023-01-01 310544277 MAPLE KNOLL COMMUNITIES INC MAPL 5137822400 11100 SPRINGFIELD DRIVE CINCINNATI OH 45246 ROGER WEIDEMAN SVP & CFO 5137822400 2024-12-19 1 1 AMY CIMINELLO P00796388 6148493000 2024-12-19 2023 2024-10-15 13:58:12Z SEE SCHEDULE O TIMOTHY MCGOWAN 11100 SPRINGFIELD DRIVE CINCINNATI OH 45246 47554125 0 X WWW.MKCOMMUNITIES.ORG X 1934 OH MAPLE KNOLL COMMUNITIES, INC. IS A NOT-FOR-PROFIT CORPORATION WHICH PROVIDES HOUSING, HEALTH CARE AND OTHER RELATED SERVICES AND ACTIVITIES FOR THE BENEFIT OF THE ELDERLY. MAPLE KNOLL COMMUNITIES OWNS AND OPERATES TWO CONTINUING CARE RETIREMENT COMMUNITIES (CCRC) LOCATED IN CINCINNATI, OHIO AND OXFORD, OHIO. 14 12 603 407 0 0 7763930 1496861 20923398 43057625 31103255 1259479 315247 1013091 60105830 46827056 272618 360419 0 0 10081764 21034213 0 0 204554 14460409 28899353 24814791 50293985 35291039 -3466929 155630296 155232307 110273794 109929410 45356502 45302897 X MAPLE KNOLL COMMUNITIES, INC. IS RECOGNIZED AS A GROWING PROVIDER OF OUTSTANDING SENIOR COMMUNITIES AND SERVICES THAT ALLOWS THOSE WE SERVE TO THRIVE IN A STIMULATING AND DIGNIFIED ENVIRONMENT. THIS WILL BE ACCOMPLISHED THROUGH CREATIVITY AND RESPONSIBLE FISCAL STEWARDSHIP. 0 0 28876656 182125 29884091 "MAPLE KNOLL VILLAGE" - MAPLE KNOLL VILLAGE IS A NON-PROFIT CONTINUING CARE RETIREMENT COMMUNITY WITH A HISTORY OF MORE THAN 170 YEARS. LOCATED ON A BEAUTIFUL 54-ACRE CAMPUS, OUR COMMUNITY OFFERS 292 VILLAS AND APARTMENTS, 63 ASSISTED LIVING APARTMENTS AND A 90-BED NURSING FACILITY. THE COMMUNITY IS RECOGNIZED AS A TEACHING FACILITY FOR FUTURE GERIATRICIANS THROUGH THE UNIVERSITY OF CINCINNATI. THE GERIATRIC EVALUATION CENTER, A CLINICAL SERVICE OF THE UNIVERSITY FAMILY PHYSICIANS, INC. IS LOCATED ON THIS CAMPUS 13241551 178294 11781194 "THE KNOLLS OF OXFORD" - THE KNOLLS OF OXFORD IS A NON-PROFIT CONTINUING CARE RETIREMENT COMMUNITY WITH CULTURE AND CHARM. LOCATED ON A BEAUTIFUL 85-ACRE CAMPUS, THE COMMUNITY OFFERS 108 VILLAS, 28 ASSISTED LIVING APARTMENTS AND A 57-BED SKILLED NURSING FACILITY AND REHABILITATION CENTER. THE COMMUNITY BOASTS OF A UNIQUE AFFILIATION WITH MIAMI UNIVERSITY. THIS AGREEMENT OFFERS MULTIPLE OPPORTUNITIES FOR MIAMI STUDENTS, BUT IS ALSO A TREMENDOUS BENEFIT FOR KNOLLS RESIDENTS AS WELL. 714980 0 644435 MAPLE KNOLL OUTREACH SERVICES FOR SENIORS STAFF AND VOLUNTEERS SET FORTH TO PROVIDE HOME AND COMMUNITY-BASED SERVICES TO OVER 1,000 OLDER ADULTS THROUGHOUT 35 GREATER CINCINNATI COMMUNITIES THIS PAST FISCAL YEAR.MEALS ON WHEELS OFFERED THROUGH MAPLE KNOLL OUTREACH SERVICES FOR SENIORS PROVIDED MORE THAN JUST A NUTRITIOUS MEAL. THE PROGRAM ADDRESSED ISSUES RANGING FROM SENIOR ISOLATION TO A VARIETY OF NUTRITION PROGRAMS THAT HELP CLIENTS MANAGE CHRONIC HEALTH ISSUES. THE MEALS ARE DELIVERED TO THE CLIENT'S DOOR WITH THE HELP OF STAFF AND 100 TRAINED VOLUNTEERS, WHO ARE OFTEN THE ONLY PEOPLE OUR CLIENTS SEE DAILY. TOGETHER THESE INDIVIDUALS DELIVERED 74,000 MEALS TO OVER 425 OLDER ADULTS. IN ADDITION, THE PROGRAM HAS ALLOWED FOR OVER 3,250 POUNDS OF GOOD FOOD AS WELL AS VARIOUS CLEANING SUPPLIES TO BE DELIVERED TO HELP CARE FOR OUR CLIENT'S FURRY FRIENDS.MOBILITY AND ACCESSIBILITY ARE ESSENTIAL FOR INDEPENDENT LIVING, AND TRANSPORTATION IS THE LINK THAT ALLOWS ACCESS TO NEEDED SERVICES AND ACTIVITIES. TRANSPORTATION PLAYS A VITAL ROLE IN THE LIVES OF OLDER ADULTS IN OUR COMMUNITY AND NO SINGLE SOLUTION CAN MEET ALL THE MOBILITY NEEDS OF THESE INDIVIDUALS. RATHER, A VARIETY OF SERVICES AND SYSTEMS ARE NECESSARY TO DO SO EFFECTIVELY. MAPLE KNOLL OUTREACH SERVICES FOR SENIORS FILLS THIS GAP IN SENIOR CARE AND IN THE INDEPENDENCE OF OVER 550 OLDER ADULTS BY DRIVING OVER 60,000 MILES TO PROVIDE 8,500 NON-EMERGENCY MEDICAL AND NON-MEDICAL TRIPS THIS PAST FISCAL YEAR.NOT STOPPING THERE, ADDITIONAL SERVICES WERE OFFERED TO HELP OLDER ADULTS STAY AFLOAT DURING THEIR TIME OF NEED. THESE INCLUDED THE OFFERING OF A HEALTHY U WORKSHOP TO BETTER SELF-MANAGE CHRONIC DISEASES, FACILITATING OF HIGH SCHOOL STUDENT SOCIAL SERVICE PROJECTS TO PROVIDE LAWN BEAUTIFICATION TO IMMOBILE SENIORS AND HELPING OUR POPULATION NAVIGATE THEIR SERVICE NEEDS AND AVAILABILITY IN THE COMMUNITY. AS PROUD MEMBERS OF MEALS ON WHEELS AMERICA, MAPLE KNOLL OUTREACH SERVICES PROVIDES MUCH MORE THAN JUST A MEAL AND NUTRITION EDUCATION. VOLUNTEERS GO ABOVE AND BEYOND FOR CLIENTS AND BUILD LASTING FRIENDSHIPS. THESE AMAZING PEOPLE WORK TOGETHER AS THE ULTIMATE TEAM SERVING THE COMMUNITY OF HOMEBOUND ELDERLY PROVIDING AN OPPORTUNITY FOR THEM TO BE ACTIVE AND SAFE WHILE IMPROVING HEALTH AND INCREASING LONGEVITY. 748555 0 815531 748555 815531 43581742 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 40 0 1 603 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 14 12 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X JAMES STAHL 5137822687 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 JOHN DATTILO DIRECTOR/CEO 1.00 52.00 X X 0 404814 47926 WENDY MEREDITH DIRECTOR/SECRETARY 1.00 14.00 X X 0 0 0 JEFF TERP DIRECTOR/VICE-CHAIRPERSON 1.00 10.00 X X 0 0 0 JANE RICHARDSON DIRECTOR/CHAIRPERSON 1.00 10.00 X X 0 0 0 JOHN BLOOMSTROM DIRECTOR 1.00 8.00 X 0 0 0 BRIAN ELLIS DIRECTOR 1.00 10.00 X 0 0 0 L DEAN JONES DIRECTOR 1.00 10.00 X 0 0 0 BETH KELLY DIRECTOR 1.00 10.00 X 0 0 0 FRED ROBBINS DIRECTOR 1.00 10.00 X 0 0 0 ROGER MILLER DIRECTOR 1.00 14.00 X 0 0 0 DEXTER COOLEY DIRECTOR 1.00 10.00 X 0 0 0 JANE SEIGEL DIRECTOR 1.00 10.00 X 0 0 0 JEFFREY CALDWELL DIRECTOR 1.00 10.00 X 0 0 0 ROGER E WEIDEMAN II DIRECTOR/CFO/TREASURER 1.00 52.00 X X 0 358586 46241 TIMOTHY MCGOWAN PRESIDENT 40.00 0.10 X 226627 0 47055 JAMES STAHL VICE PRESIDENT, FINANCE 40.00 1.00 X 191042 0 35583 ANDREW CRAIG VICE PRESIDENT 40.00 0.00 X 182275 0 48609 BETH THRESS VICE PRESIDENT 40.00 0.00 X 134343 0 47277 MEGAN ULRICH VICE PRESIDENT 40.00 0.00 X 145526 0 47598 JOHN AMMERMAN DIRECTOR OF MARKETING 40.00 0.00 X 127544 0 19914 JANE DESELMS RN 40.00 0.00 X 108234 0 19323 MARK PLUNKETT DIRECTOR - IT 40.00 0.00 X 107953 0 5795 JAMES FORMAL FORMER PRESIDENT/CEO 0.00 0.00 X 405833 0 0 1629377 763400 365321 11 1 1 0 MORRISON COMMUNITY LIVING PO BOX 102289 ATLANTA GA 303682289 FOOD SERVICE STAFFING 4729164 EUGENE RUECKERT 9458 FLICK ROAD CINCINNATI OH 45247 CONSTRUCTION 1495521 CONCEPT REHAB 7150 GRANITE CIRCLE SUITE 200 TOLEDO OH 43617 THERAPY SERVICES 1255005 DARWINS CONSTRUCTION LLC 559 N WAYNE AVE CINCINNATI OH 45215 CONSTRUCTION 876346 UPSCALE LAWN & PROPERTY MANAGEMENT PO BOX 11628 CINCINNATI OH 45211 LAWN CARE, LANDSCAPING, & SNOW REMOVAL 609515 14 50325 433418 563198 449920 31300 1496861 ROOM AND BOARD REVENUE 623000 37537337 37537337 AMORTIZED ENTRANCE FEE 623000 4796899 4796899 COMMUNITY SERVICES 623000 638930 638930 MONTESSORI PRESCHOOL 623000 59940 59940 GERIATRIC EVALUATION CENTER 623000 24519 24519 43057625 1735258 1735258 216453 231773 -15320 -15320 -15320 138652 337127 -138652 -337127 -475779 -475779 43600 50325 19517 24083 24083 INSURANCE PROCEEDS 900099 269778 269778 WMKV UNDERWRITING 900099 194818 194818 CAFE REVENUE 900099 169448 169448 370284 67626 302658 1004328 46827056 43125251 0 2204944 2225 2225 358194 358194 1137024 1137024 15397393 14200873 1093494 103026 412965 335125 74774 3066 2877156 2519008 340645 17503 1209675 1049384 152689 7602 480000 480000 111241 111241 78235 78235 199601 199601 3939234 3688932 250302 379991 252615 127376 2508102 2132100 363093 12909 1121925 265176 832219 24530 4441964 4308465 133499 222098 124174 97924 4039668 4039668 6242731 6242731 457667 457667 FOOD EXPENSE 1860354 1488743 371611 MEDICAL SUPPLIES/ PURCH 1842517 1842517 TAXES AND LICENSES 443816 359926 83890 BAD DEBT EXPENSE 318612 318612 211597 53274 122405 35918 50293985 43581742 6507689 204554 2997529 2167612 240507 296925 8740454 9122328 152105 139785 266696 415068 117643518 9800242 110229346 107843276 10827988 11127932 17919404 19472185 4256267 4647196 155630296 155232307 6475235 6261179 0 45604 363596 703623 67107000 65830000 37386 28059 36290577 37060945 110273794 109929410 X 32809840 31477032 12546662 13825865 45356502 45302897 155630296 155232307 X -3466929 1114943 2298381 X X 0 1 X 1 0 X 2105161 3303819 6384885 7763930 1496861 21054656 41908883 39383317 40134392 20955970 43125251 185507813 44014044 42687136 46519277 28719900 44622112 206562469 38741 27077 24519 15269 6273 111879 0 38741 27077 24519 15269 6273 111879 206450590 1199926 1167088 1477513 3001885 1951711 8798123 1199926 1167088 1477513 3001885 1951711 8798123 569155 470358 571062 316404 980302 2907281 45783125 44324582 48567852 32038189 47554125 218267873 0.94590 0.94890 0.04030 0.03820 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 125,159. 2020 AMOUNT: $ 145,549. 2021 AMOUNT: $ 114,744. 2022 AMOUNT: $ 75,506. 2023 AMOUNT: $ 180,913. SALON REVENUE - 2019 AMOUNT: $ 94,408. 2020 AMOUNT: $ 35,151. 2021 AMOUNT: $ 89,436. 2022 AMOUNT: $ 44,307. 2023 AMOUNT: $ 87,003. CAFE REVENUE - 2019 AMOUNT: $ 224,489. 2020 AMOUNT: $ 80,843. 2021 AMOUNT: $ 115,270. 2022 AMOUNT: $ 63,785. 2023 AMOUNT: $ 169,448. TELEPHONE/INTERNET/CABLE REVENUE - 2019 AMOUNT: $ 5,887. 2020 AMOUNT: $ 5,604. 2021 AMOUNT: $ 5,589. 2022 AMOUNT: $ 2,512. 2023 AMOUNT: $ 14,211. FUNDRAISING REVENUE - 2019 AMOUNT: $ 20,310. 2020 AMOUNT: $ 21,200. 2021 AMOUNT: $ 33,200. 2022 AMOUNT: $ 15,870. 2023 AMOUNT: $ 43,600. CATERING REVENUE - 2019 AMOUNT: $ 83,818. 2020 AMOUNT: $ 13,874. 2021 AMOUNT: $ 32,206. 2022 AMOUNT: $ 34,320. 2023 AMOUNT: $ 12,970. MKC SERVICE CENTER REVENUE - 2019 AMOUNT: $ 15,084. 2020 AMOUNT: $ 7,729. 2021 AMOUNT: $ 15,669. 2022 AMOUNT: $ 11,061. 2023 AMOUNT: $ 7,561. WMKV UNDERWRITING - 2020 AMOUNT: $ 160,408. 2021 AMOUNT: $ 164,948. 2022 AMOUNT: $ 69,043. 2023 AMOUNT: $ 194,818. INSURANCE PROCEEDS - 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 269,778. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6461667 6461667 97212534 7574968 89637566 5059236 477903 4581333 8255428 1402595 6852833 654653 344776 309877 107843276 DEBT SERVICE FUNDS 2846196 F BENEFICIAL INTEREST IN IRREVOCABLE TRUST 10978050 F INTEREST SERVICE FUND 229 F OTHER 5647710 F 19472185 CAPITAL LEASES PAYABLE 830889 OPERATING LEASE PAYABLE 237596 DUE TO RELATED ORG 1500000 ENTRANCE FEES 34492460 37060945 X PART X, LINE 2: NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS SINCE THE ORGANIZATION IS EXEMPT FROM SUCH TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2023, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. WMKV GOLF OUTING 93925 50325 43600 16226 3291 93925 50325 43600 16226 3291 19517 24083 1 CHARITABLE ASSISTANCE - RENT 14 358194 0 N/A N/A PART I, LINE 2: RESIDENTS MUST MEET SET FINANCIAL CRITERIA TO QUALIFY FOR ASSISTANCE. VICE PRESIDENT OF FINANCIAL REPORTING REVIEWS FINANCIAL INFORMATION WITH RESIDENT AND DETERMINES HOW MUCH THE RESIDENT CAN AFFORD TO PAY FOR RENT. ACTUAL RENT IS THEN REDUCED WITH THE ASSISTANCE BY THE DETERMINED AMOUNT. X X X 1 1 0 0 0 0 0 1 0 JOHN DATTILO DIRECTOR/CEO 0 364814 0 40000 0 0 0 17548 0 30378 0 452740 0 0 JAMES FORMAL FORMER PRESIDENT/CEO 0 0 0 0 405833 0 0 0 0 0 405833 0 0 0 ROGER E WEIDEMAN II DIRECTOR/CFO/TREASURER 0 323586 0 35000 0 0 0 16268 0 29973 0 404827 0 0 TIMOTHY MCGOWAN PRESIDENT 204750 0 0 0 21877 0 29750 0 17305 0 273682 0 0 0 ANDREW CRAIG VICE PRESIDENT 160938 0 15850 0 5487 0 19993 0 28616 0 230884 0 0 0 JAMES STAHL VICE PRESIDENT, FINANCE 142425 0 16421 0 32196 0 20173 0 15410 0 226625 0 0 0 MEGAN ULRICH VICE PRESIDENT 118177 0 12314 0 15035 0 18996 0 28602 0 193124 0 0 0 BETH THRESS VICE PRESIDENT 113096 0 11843 0 9404 0 18675 0 28602 0 181620 0 0 0 PART I, LINES 4A-B THE ORGANIZATION MADE SEVERANCE PAYMENTS DURING THE CALENDAR YEAR FOR THE FOLLOWING INDIVIDUALS: JAMES FORMAL - $393,333 THE ORGANIZATION MADE CONTRIBUTIONS TO A NONQUALIFIED RETIREMENT PLAN DURING THE CALENDAR YEAR FOR THE FOLLOWING INDIVIDUALS: BETH THRESS - $15,000 JAMES STAHL - $15,000 MEGAN ULRICH - $15,000 ANDREW CRAIG - $15,000 TIMOTHY MCGOWAN - $23,000 MAPLE KNOLL COMMUNITIES ADOPTED THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FOR THE EXECUTIVE REFERENCED ABOVE IN 2007. A PORTION OF THE COMPENSATION HAS BEEN DEFERRED IN ACCORDANCE WITH TERMS OF THE AGREEMENT WHICH STATES THAT THE EXECUTIVE WILL BE ENTITLED TO RECEIVE THIS BENEFIT UPON RETIREMENT. IN 2019 THIS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WAS AMENDED TO DISTRIBUTE THE VESTED PORTION OF THE RETIREMENT PLAN ASSETS IN OCTOBER 2019 AND OCTOBER 2022 TO THE EXECUTIVE. THE NON-QUALIFIED RETIREMENT PLAN AMOUNTS LISTED ABOVE ARE INCLUDED IN COMPENSATION REPORTED IN SCHEDULE J, PART II, COLUMN C. THE SEVERANCE AMOUNTS LISTED ABOVE ARE INCLUDED IN COMPENSATION REPORTED IN SCHEDULE J, PART II, COLUMN B. PART I, LINE 7 SOME PERSONS LISTED RECEIVED NON-FIXED PERFORMANCE BASED BONUSES. A BUTLER COUNTY PORT AUTHORITY 651235109 12355RAT3 2021-05-27 35215000 SEE PART VI 0 0 0 B BUTLER COUNTY PORT AUTHORITY 651235109 12355RAZ9 2022-04-05 9212000 SEE PART VI 0 0 0 C BUTLER COUNTY PORT AUTHORITY 651235109 000000000 2023-04-05 22342000 SEE PART VI 0 0 0 A 415000 35292378 2541335 704300 2514978 29531536 229 2023 1 1 0 1 B 265000 21807674 408790 21398884 2007 0 1 1 1 C 269000 34949944 34949944 2007 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 1 FIRST FINANCIAL BANK 4.250000000000 0 0 0 0 1 C 0 1 0 0 0 1 SEE PART VI 3.250000000000 0 0 0 0 1 A 1 B 1 C 1 PART I, LINE A, COLUMN (F): CURRENTLY REFUND THE ORGANIZATION'S TAX-EXEMPT 2013B BONDS AND 2013C BONDS; PAY ACCRUED INTEREST ON THE TAX-EXEMPT BONDS BEING CURRENTLY REFUNDED; RETIRE CERTAIN OUTSTANDING TAXABLE OBLIGATIONS; PAY COSTS OF ACQUIRING, CONSTRUCTING, INSTALLING AND EQUIPPING CAPITAL IMPROVEMENTS AT THE CONTINUING CARE RETIREMENT COMMUNITIES OWNED AND OPERATED BY THE ORGANIZATION; AND DEPOSIT FUNDS INTO A DEBT SERVICE RESERVE FUND. PART I, LINE B, COLUMN (F): CURRENTLY REFUND THE ORGANIZATION'S (I) ECONOMIC DEVELOPMENT FACAILITIES REFUNDING REVENUE BONS, SERIES 2021A-2 (MAPLE KNOLL COMMUNITIES, INC.) (FEDERALLY TAXABLE CONVERTIBLE TO TAX-EXEMPT); AND (II) ECONOMIC DEVELOPMENT FACILITIES REFUNDING REVENUE BONDS, SERIES 2021B-1 (MAPLE KNOLL COMMUNITIES, INC) (FEDERALLY TAXABLE CONVERTIBLE TO TAX-EXEMPT). PART I, LINE C, COLUMN (F): CURRENTLY REFUND THE ORGANIZATION'S (I) ECONOMIC DEVELOPMENT FACILITIES REFUNDING REVENUE BONDS, SERIES 2021B-2 (MAPLE KNOLL COMMUNITIES, INC.) (FEDERALLY TAXABLE CONVERTIBLE TO TAX-EXEMPT); AND (II) ECONOMIC DEVELOPMENT FACILITIES REFUNDING REVENUE BONDS, SERIES 2021B-3 (MAPLE KNOLL COMMUNITIES, INC.) (FEDERALLY TAXABLE CONVERTIBLE TO TAX-EXEMPT). PART II, LINE 3, COLUMN A: TOTAL PROCEEDS OF ISSUE ARE SALE PROCEEDS PLUS INVESTMENT PROCEEDS EARNED ON DEBT SERVICE RESERVE FUND. PART II, LINE 3, COLUMN B: TOTAL PROCEEDS OF ISSUE ARE SALE PROCEEDS PLUS TRANSFERRED PROCEEDS FROM THE SERIES 2021A-2 BONDS AND THE SERIES 2021B-1 BONDS. PART II, LINE 3, COLUMN C: TOTAL PROCEEDS OF ISSUE ARE SALE PROCEEDS PLUS TRANSFERRED PROCEEDS FROM THE SERIES 2021B-2 BONDS AND THE SERIES 2021B-3 BONDS. PART IV, LINE 4B, COLUMN C: HEDGE PROVIDERS ARE FIRST FINANCIAL BANK ($6,544,000) AND THE HUNTINGTON NATIONAL BANK ($15,798,000). X SOLAR PANELS 1 31300 COST 0 0 0 FORM 990, SECTION C, DOING BUSINESS AS NAME: MAPLE KNOLL VILLAGE, THE KNOLLS OF OXFORD, MAPLE KNOLL OUTREACH SERVICES FOR SENIORS, WMKV-FM. FORM 990, PART VI, SECTION A, LINE 6 BHI SENIOR LIVING INC IS THE SOLE MEMBER OF MAPLE KNOLL COMMUNITIES, INC. FORM 990, PART VI, SECTION A, LINE 7A BHI SENIOR LIVING INC. APPOINTS THE BOARD MEMBERS FOR MAPLE KNOLL COMMUNITIES, INC. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS EMAILED TO ALL MEMEBERS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST POLICY IS COMPLETED ONCE A YEAR AT A BOARD MEETING BY THE BOARD OF DIRECTORS. THE POLICY ALSO COVERS KEY MEMBERS OF THE ORGANIZATION. THE BOARD DETERMINES IF A POTENTIAL CONFLICT EXISTS, REVIEWS THE FACTS AND CIRCUMSTANCES, AND VOTES ON THE FINAL DETERMINATION, EXCLUDING THE MEMBER WHO HAS THE POTENTIAL CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR OFFICERS AND OTHER KEY EMPLOYEES IS REVIEWED BY THEIR SUPERIOR OFFICER DURING THEIR ANNUAL PERFORMANCE APPRAISAL TO DETERMINE COMPENSATION AMOUNTS. ALL SUPERIOR OFFICERS ARE INDEPENDENT OF THE OFFICERS AND KEY EMPLOYEES THAT HE OR SHE IS REVIEWING. THIS POLICY WAS LAST REVIEWED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF DERIVATIVE -127,530. ADJUSTMENT FROM PY ACQUISITION 871,747. TRANSFER FROM AFFILIATE 181,900. CHANGE IN BENEFICIAL INTEREST 1,372,264. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS OVERSEES THE AUDIT PROCESS AND APPROVES THE INDEPENDENT AUDIT FIRM. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS. MAPLE KNOLL PROFESSIONAL BUILDING LLC 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 RENTAL OFFICES OH 213453 2187198 MAPLE KNOLL COMMUNITIES SYCAMORE-ANDERSON SENIOR HOUSING INC 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 311209103 HUD SUBSIDIZED HOUSING OH 501(C)(3) 509(A)(2) MAPLE KNOLL COMMUNITIES INC 1 SYCAMORE-ANDERSON SENIOR HOUSING II INC 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 311428462 HUD SUBSIDIZED HOUSING OH 501(C)(3) 509(A)(2) MAPLE KNOLL COMMUNITIES INC 1 MKVINC 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 310914017 HUD SUBSIDIZED HOUSING OH 501(C)(3) 509(A)(2) MAPLE KNOLL COMMUNITIES INC 1 BHI SENIOR LIVING INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 350931432 SENIOR LIVING IN 501(C)(3) LINE 10 N/A 0 BHI FOUNDATION INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 351680796 SENIOR LIVING IN 501(C)(3) LINE 12A, I BHI SENIOR LIVING INC 1 BHI RETIREMENT COMMUNITIES INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 260262903 SENIOR LIVING IN 501(C)(3) LINE 12A, I BHI SENIOR LIVING INC 1 WESLEY MANOR INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 351020934 SENIOR LIVING IN 501(C)(3) LINE 10 BHI RETIREMENT COMMUNITIES INC 1 FOUR SEASONS VILLAS INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 311011187 SENIOR LIVING IN 501(C)(3) LINE 10 BHI SENIOR LIVING INC 1 HOOSIER MANOR INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 311011190 SENIOR LIVING IN 501(C)(3) LINE 10 BHI SENIOR LIVING INC 1 PRAIRIE LANDING COMMUNITY INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 262053830 SENIOR LIVING IN 501(C)(3) LINE 10 BHI RETIREMENT COMMUNITIES INC 1 MAPLE KNOLL COMMUNITIES FOUNDATION 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 881290177 SENIOR LIVING OH 501(C)(3) LINE 7 MAPLE KNOLL COMMUNITIES INC 1 CLARK RETIREMENT COMMUNITY FOUNDATION 1551 FRANKLIN STREET SE GRAND RAPIDS MI 49506 383236052 SENIOR LIVING MI 501(C)(3) LINE 12A, I CLARK RETIREMENT COMMUNITY INC 1 CLARK RETIREMENT SERVICES COMPANY 1551 FRANKLIN STREET SE GRAND RAPIDS MI 49506 842692761 SENIOR LIVING MI 501(C)(3) LINE 12B, II CLARK RETIREMENT COMMUNITY INC 1 CLARK RETIREMENT COMMUNITY INC 1551 FRANKLIN STREET SE GRAND RAPIDS MI 49506 381366932 SENIOR LIVING MI 501(C)(3) LINE 10 BHI RETIREMENT COMMUNITIES INC 1 SLDEVELOPMENT INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 452664455 GOLF COURSE IN N/A C 1 BHI HOME CARE INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 475160712 HOME CARE IN N/A C 1 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 1 0 MAPLE KNOLL COMMUNITIES FOUNDATION C 433418 CASH