2023-11-08T13:48:24-06:00 2022-12-31 420714325 RSM US LLP 100 INTERNATIONAL DRIVE SUITE 1400 BALTIMORE MD 21202 990 2022-01-01 521874053 OAK CREST VILLAGE INC OAKC 4106651000 8800 WALTHER BOULEVARD PARKVILLE MD 21234 EILEEN ERSTAD TREASURER 4106651000 2023-10-31 1 EILEEN ERSTAD 999009999 0 JULIA FLANNERY CPA P00928918 4102469300 2023-10-31 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z STEPHANIE REEL 8800 WALTHER BOULEVARD PARKVILLE MD 21234 93485028 0 X WWW.NATIONALSENIORCAMPUSES.ORG X 1994 MD PROVIDE A HOME FOR SENIORS THAT SATISFIES THEIR THREE PRIMARY NEEDS. 12 7 1585 334 0 0 4538317 2204728 85824507 90532881 136781 174158 472349 484135 90971954 93395902 205400 257186 0 0 44912974 47479804 0 0 178936 55975336 58836622 101093710 106573612 -10121756 -13177710 495556334 443607823 495734031 496617643 -177697 -53009820 X MISSION STATEMENT - HOME IS BELONGING, PEACE OF MIND, LOVE AND ACCEPTANCE. WELCOME HOME!VISION STATEMENT - OAK CREST VILLAGE, INC. CELEBRATES AGING! GROUNDED IN INCLUSION, INNOVATION AND ADVOCACY, WE CREATE UNPARALLELED VALUE AND OPPORTUNITIES FOR EVERY LIFE WE TOUCH. AS PART OF THE NATIONAL SENIOR COMMUNITIES ENTERPRISE, WE LEVERAGE OUR STRONG FINANCIAL FOUNDATION AND GOVERNANCE FOR THE BENEFIT OF SENIORS AND THOSE WHO SUPPORT THEM. 0 0 91277802 257186 90532881 OAK CREST VILLAGE PROVIDES SERVICES NEEDED BY SENIOR RESIDENTS, ALL OF WHOM RESIDE IN 1,458 INDEPENDENT LIVING UNITS, 125 ASSISTED LIVING UNITS, 120 SKILLED NURSING BEDS AND 40 MEMORY CARE BEDS. THE SERVICES WE PROVIDE TO OUR RESIDENTS INCLUDE, BUT ARE NOT LIMITED TO, HOUSING, FOOD, MEDICAL, SECURITY AND MAINTENANCE SERVICES, RECREATIONAL AND PASTORAL ACTIVITIES. 91277802 1 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 1 90 0 1 1585 1 0 0 0 0 0 1 1 0 0 0 1 0 0 0 X 12 7 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X X IBI KHAN 4102422880 701 MAIDEN CHOICE LANE BALTIMORE MD 21228 X FREDICK W HAAS DIRECTOR (THRU 3/31/22) 0.10 15.30 X 0 37500 0 JAMES P HAYES DIRECTOR (THRU 3/31/22) 0.10 8.40 X 0 38125 0 C JACKSON BAIN DIRECTOR 0.10 6.60 X 0 87500 0 BARBARA C BISGAIER DIRECTOR 0.10 9.50 X 0 110000 0 MARY D COLINS SECRETARY 0.10 7.70 X X 0 150000 0 EILEEN G ERSTAD VICE CHAIR & VP/TREASURER 0.10 21.70 X X 0 161875 0 REV DR ZINA JACQUE DIRECTOR 0.10 11.00 X 0 187500 0 STEPHANIE L REEL PRESIDENT 0.80 8.40 X X 0 134315 0 MICHAEL W ROSKIEWICZ DIRECTOR 0.10 7.20 X 0 100000 0 ARNOLD SPEERT DIRECTOR 0.10 6.20 X 0 90000 0 PATRICIA M BROWN DIRECTOR (BEG 4/1/22) 0.10 7.10 X 0 76833 0 PAMELA D PAULK DIRECTOR (BEG 4/1/22) 0.10 6.10 X 0 76833 0 MONTY C LEONARD DIRECTOR (BEG 4/1/22) 0.10 10.20 X 0 76833 0 ALBERT W PALEWICZ RESIDENT DIRECTOR 0.20 X 0 0 0 NEAL GANTERT ASSISTANT TREASURER 0.50 6.50 X 0 0 0 MARK EMBLEY ASSISTANT TREASURER 0.50 7.50 X 0 0 0 JOHN HALL ASSISTANT TREASURER 0.50 6.50 X 0 0 0 CHRIS RATHMANN ASSISTANT TREASURER 0.50 6.50 X 0 0 0 MARK ROUSSEY EXECUTIVE DIRECTOR 40.00 X 229077 0 18207 KEVIN SITOSKI DIRECTOR OF FINANCE (THRU 6/19/22) 40.00 X 78738 0 10068 LISA WYBORSKI DIRECTOR OF FINANCE (BEG 9/5/22) 40.00 X 110046 0 8975 REGINA NGENOH LICENSED PRACTICAL NURSE 40.00 X 176279 0 15760 VICTORINE BINDA REGISTERED NURSE 40.00 X 163535 0 3165 BERNARD MWAURA SUPERVISOR, RN NURSING 40.00 X 159998 0 12308 CLAUDIA MOON DIRECTOR, NURSING 40.00 X 146882 0 10967 KELLY FRIEND SALES COUNSELOR 40.00 X 146557 0 15739 E MICHELLE BOHREER FORMER PRESIDENT 0.00 X 0 135625 0 1211112 1462939 95189 43 1 1 0 ERICKSON SENIOR LIVING LLC 701 MAIDEN CHOICE LANE BALTIMORE MD 21228 MANAGEMENT - SEE SCH. O 11910822 AEROSEAL WINDOWS AND STOREFRONT 8350 BRISTOL CT JESSUP MD 20794 CONTRACTOR 3148387 COMMERCIAL INTERIOR CONSTRUCTION 10489 JOSSMAN ROAD GOODRICH MI 48438 CONSTRUCTION 2555753 BUCH CONSTRUCTION INC 11292 BUCH WAY LAUREL MD 20723 CONSTRUCTION 2342936 COVE ELECTRIC INC 897 TANGLEWOOD RD TOMS RIVER NJ 08753 ELECTRICAL 1317554 35 18375 505185 1681168 601024 2204728 RESIDENT FEES 623000 81523931 81523931 ANCILLARY FEES 623000 8396422 8396422 RESIDENT DEPOSITS 623000 611928 611928 PROCESSING FEES 623000 600 600 90532881 216612 216612 406471 0 406471 406471 406471 13747 56201 0 -56201 13747 -42454 -42454 108340 18375 32925 75415 75415 PANDEMIC RELATED RESID 900099 2249 2249 2249 93395902 90532881 0 658293 17242 17242 239944 239944 455111 455111 38571861 33371369 5067250 133242 737402 627161 107596 2645 4726887 3793370 915032 18485 2988543 2557294 421215 10034 3736177 3736177 41923 41923 76878 76878 11021 11021 10167850 3701336 6466514 2762244 2762244 9721857 8423127 1284257 14473 4707574 4707574 95615 54922 40654 39 3843103 3813103 30000 19892448 19892448 970869 970869 EQUIPMENT RENTAL 1486024 1455308 30716 CHARITY CARE 836983 836983 RESIDENT RELATIONS 486056 317331 168707 18 106573612 91277802 15116874 178936 4855 4855 31810685 26640184 4238784 4569648 7378778 4233026 290138 221949 1516331 1460890 433356851 240599749 190969106 192757102 6252481 3498216 253095176 210221953 495556334 443607823 9465605 9979413 111163590 108535644 1191800 913900 373913036 377188686 495734031 496617643 X -2981458 -55699816 2803761 2689996 -177697 -53009820 495556334 443607823 X -13177710 -438406 -39216007 X 0 1 X 1 1 1 X 1080225 1431224 2813670 4538317 2204728 12068164 89021060 90639071 87726315 85931752 90641221 443959419 90101285 92070295 90539985 90470069 92845949 456027583 100000 100000 100000 395000 215837 910837 0 100000 100000 100000 395000 215837 910837 455116746 659077 675753 572459 496361 623083 3026733 659077 675753 572459 496361 623083 3026733 615 2249 2864 90760362 92746048 91112444 90967045 93471281 459057180 0.99140 0.99140 0.00660 0.00680 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 11360000 11360000 393991494 222430194 171561300 22158625 17707947 4450678 5846732 461608 5385124 192757102 BENEFICIAL INTEREST IN CCI BENEVOLENT CARE FOUNDATION 19444 F BENEFICIAL INTEREST IN NATIONAL CCRC BUSINESS TRUST I 202343653 F BENEFICIAL INTEREST IN NATIONAL CCRC STATUTORY TIER IV TRUST 7084637 F FIXED INCOME SECURITIES 774219 F 210221953 RESIDENT DEPOSITS (NET) 365057301 FUNDS HELD FOR RESIDENTS 1120898 RESIDENT REFUNDS 9774200 EMPLOYEE HEALTH PLAN 1088608 CAPITAL LEASE 63323 DEFERRED MANAGEMENT & MARKETING 84356 377188686 X 53607637 -438406 -39197838 -39636244 93243881 11021 141000 152021 93395902 106439760 -122831 -122831 106562591 11021 11021 106573612 PART IV, LINE 2B: PROSPECTIVE RESIDENTS ARE REQUIRED TO MAKE CERTAIN INSTALLMENT PAYMENTS PRIOR TO THE FINAL SETTLEMENT OF THE GIVEN UNIT. THOSE ADVANCE DEPOSITS ARE REPORTED ON FORM 990, PART X, LINE 21. PART X, LINE 2: OAK CREST VILLAGE, INC. ("OCV") IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE APPLICABLE STATE INCOME TAX REGULATIONS. OAK CAMPUS PARTNERS, LLC ("OCP") IS A SINGLE-MEMBER LIMITED LIABILITY COMPANY AND HAS ELECTED TO BE DISREGARDED FOR FEDERAL AND STATE INCOME TAX PURPOSES. OCP'S FINANCIAL STATEMENT ACTIVITY IS REFLECTED ON OCV'S BOOKS AND RECORDS. MANAGEMENT HAS EVALUATED OCV'S TAX POSITIONS AND HAS CONCLUDED THAT OCV HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL FUNDRAISING EXPENSES NETTED WITH REVENUE ON FORM 990 32,925. ADJUSTMENT TO NET ASSETS WITH DONOR RESTRICTIONS -14,756. CHANGE IN BENEFICIAL INTEREST IN NATIONAL CCRC BUSINESS TRUST I -39,421,786. CHANGE IN RESTRICTED NET INVESTMENT RETURN 205,779. PART XI, LINE 4B - OTHER ADJUSTMENTS: ERTC NETTED WITH EXPENSES ON THE FINANCIAL STATEMENTS 141,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL FUNDRAISING EXPENSES NETTED WITH REVENUE ON FORM 990 32,925. ADJUSTMENT TO NET ASSETS WITH DONOR RESTRICTIONS -14,756. ERTC NETTED WITH EXPENSES ON THE FINANCIAL STATEMENTS -141,000. ANNUAL GALA 81110 8625 72485 13352 600 2513 GOLF 45605 9750 35855 2600 8558 5002 300 126715 18375 108340 2600 8558 18354 600 2813 32925 75415 1 FOOD BANK OF THE ROCKIES 10700 EAST 45TH AVE DENVER CO 80239 840772672 501(C)(3) 0 17242 FAIR MARKET VALUE N95 MASKS GENERAL SUPPORT 1 0 EDUCATIONAL SCHOLARSHIPS - SEE PART IV 87 239944 0 SCHEDULE I, PART I, LINE 2 SCHOLAR CANDIDATES MUST BE CURRENTLY EMPLOYED YEAR-ROUND AT OAK CREST VILLAGE. ONLY MEDICAL LEAVES OF ABSENCE ARE ALLOWABLE DURING THE TWO YEARS. OTHER REQUESTS FOR A LEAVE OF ABSENCE WILL BE REVIEWED AND DETERMINED CASE BY CASE. A SCHOLAR CANDIDATE MUST HAVE BEEN EMPLOYED BY OAK CREST VILLAGE ON OR BEFORE SEPTEMBER 30, OF THE START OF THEIR JUNIOR YEAR IN HIGH SCHOOL. THE CANDIDATE MUST ALSO ACHIEVE 700 HOURS OF WORK DURING A TIME SPAN THAT BEGINS NO EARLIER THAN JUNE 1, OF THEIR JUNIOR YEAR OF HIGH SCHOOL (300 OF 700 HOURS MUST BE COMPLETED BY THE END OF THEIR JUNIOR YEAR OF HIGH SCHOOL TO QUALIFY). ANY HOURS WORKED PRIOR TO JUNE 1, OF THE START OF THEIR JUNIOR YEAR DO NOT COUNT TOWARDS THE 700 HOURS REQUIREMENT. CANDIDATES MUST ACHIEVE THE 700 HOUR REQUIREMENT AS WELL AS FULFILL THE TWO-YEAR MINIMUM EMPLOYMENT REQUIREMENT. CANDIDATES MUST BE IN "GOOD STANDING" FROM THEIR ORIGINAL DATE OF HIRE THROUGH THEIR LAST DAY OF WORK. TO MAINTAIN "GOOD STANDING," SCHOLAR CANDIDATES, AS EMPLOYEES, MUST ABIDE BY ALL EMPLOYMENT POLICIES AND PROCEDURES, TO INCLUDE GIVING TWO WEEKS NOTICE TO THEIR SUPERVISOR WHEN TERMINATING EMPLOYMENT. SCHOLAR CANDIDATES MUST COMPLETE EACH STEP AS OUTLINED IN THE PROGRAM DESCRIPTION BY THE RESPECTIVE DUE DATE. FURTHERMORE, CANDIDATES MUST TURN IN PROOF OF FULL-TIME STATUS WITHIN THE DATES SPECIFIED IN THE PROGRAM DESCRIPTION FOR EACH SPRING AND FALL SEMESTER THEY ATTEND SCHOOL. FAILURE TO DO SO WILL DISQUALIFY THE SCHOLAR THAT SEMESTER AND WILL COUNT TOWARDS ONE OF THE TWO ALLOWABLE SEMESTER LAPSES. CANDIDATES SHOULD INTEND TO GO TO COLLEGE OR TRADE SCHOOL AFTER HIGH SCHOOL. SCHOLAR CANDIDATES MUST ATTEND SCHOOL FULL-TIME (12 CREDIT HOURS EACH SEMESTER) AFTER HIGH SCHOOL. SCHOLAR CANDIDATES MUST BE ACCEPTED AND/OR REGISTERED IN THE FALL OF 2022 AT A TRADE SCHOOL, COLLEGE, OR UNIVERSITY TO BENEFIT. (IN EXCEPTIONAL CASES, A SCHOLAR CANDIDATE MAY ARRANGE TO START SCHOOL UP TO TWO SEMESTERS AFTER BEING INDUCTED INTO THE PROGRAM, BUT THEY MUST MAKE ARRANGEMENTS WITH THE RESIDENT LIFE DEPARTMENT. THESE TWO SEMESTERS WILL COUNT AS THE TWO ALLOCABLE SEMESTER LAPSES.) SCHOLARS WHO LAPSE FROM THE PROGRAM FOR MORE THAN A TOTAL OF TWO SEMESTERS AFTER BEING INDUCTED INTO THE PROGRAM ARE NO LONGER ELIGIBLE TO RECEIVE THE AWARD. X X X 1 0 0 0 0 0 0 1 0 MARK ROUSSEY EXECUTIVE DIRECTOR 186525 0 36900 0 5652 0 7415 0 10792 0 247284 0 0 0 REGINA NGENOH LICENSED PRACTICAL NURSE 158085 0 16800 0 1394 0 4929 0 10831 0 192039 0 0 0 REV DR ZINA JACQUE DIRECTOR 0 187500 0 0 0 0 0 0 0 0 0 187500 0 0 BERNARD MWAURA SUPERVISOR, RN NURSING 151149 0 8050 0 799 0 5110 0 7198 0 172306 0 0 0 VICTORINE BINDA REGISTERED NURSE 147142 0 16100 0 293 0 2871 0 294 0 166700 0 0 0 KELLY FRIEND SALES COUNSELOR 137157 0 9200 0 200 0 3993 0 11746 0 162296 0 0 0 EILEEN G ERSTAD VICE CHAIR & VP/TREASURER 0 161875 0 0 0 0 0 0 0 0 0 161875 0 0 CLAUDIA MOON DIRECTOR, NURSING 130815 0 15416 0 651 0 0 0 10967 0 157849 0 0 0 E MICHELLE BOHREER FORMER PRESIDENT 0 0 0 0 0 135625 0 0 0 0 0 135625 0 0 PART I, LINE 4A SEVERANCE PAYMENT, MICHELLE BOHREER - $135,625. PART I, LINE 7 THE EMPLOYEES LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED A DISCRETIONARY BONUS DURING THE YEAR. SCHEDULE J, PART II: MARK ROUSSEY IS LISTED IN SCHEDULE J, PART II AND IS AN EMPLOYEE OF ERICKSON SENIOR LIVING, LLC ("ESL"), AN UNRELATED ORGANIZATION TO OAK CREST VILLAGE, INC., IN ACCORDANCE WITH THE MANAGEMENT AGREEMENT BETWEEN OAK CREST VILLAGE, INC. AND ESL. SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 3. THEREFORE, FOR IRS MATCHING PURPOSES, ESL IS THE ISSUER OF THIS FORM W-2. UNDER THE MANAGEMENT AGREEMENT, OAK CREST VILLAGE, INC. REIMBURSES ESL FOR THE COST OF SERVICES PERFORMED FOR OAK CREST VILLAGE, INC. A BALTIMORE COUNTY MD 526000889 059151CG3 2016-12-23 61857991 REFUND OF PRIOR ISSUE 2007 0 0 0 B BALTIMORE COUNTY MD 526000889 059151CM0 2020-01-29 61374244 REFUND OF PRIOR ISSUE 2015 0 0 0 A 9570000 61857991 344688 61513303 2007 1 0 1 1 B 61374244 974145 20904524 28754099 10741476 1 0 0 1 A 1 1 1 1 0 0 0 1 B 1 1 1 1 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 PART III, COLUMN A & B, LINE 1: THE ORGANIZATION IS THE SOLE MEMBER OF A DISREGARDED ENTITY WHICH OWNS BOND-FINANCED PROPERTY. PART III, COLUMN A & B, LINES 4 & 6: THE PERCENTAGE IS LESS THAN 3%. PART IV, COLUMN A, LINE 2C: REBATE COMPUTATION DATE OF 11/23/21 FOR ACTIVITY THROUGH 03/31/21. X 10 41750 GROSS PROCEEDS FROM SALE X 1 548254 FAIR MARKET VALUE X SIGNAGE 1 11020 BOOK VALUE 0 0 1 PART I, LINE 32B: A THIRD PARTY IS USED TO MANAGE THE CAR DONATIONS. FORM 990, PART VI, SECTION A, LINE 1A IF THERE ARE MATERIAL DIFFERENCES IN VOTING RIGHTS AMONG MEMBERS OF THE GOVERNING BODY, OR IF THE GOVERNING BODY DELEGATED BROAD AUTHORITY TO AN EXECUTIVE COMMITTEE OR SIMILAR COMMITTEE, EXPLAIN IN SCHEDULE O. UNDER THE BYLAWS OF THE ORGANIZATION, THE BOARD HAS DELEGATED AUTHORITY TO AN EXECUTIVE COMMITTEE COMPRISED OF THE ORGANIZATION'S CHAIR, VICE CHAIRS, PRESIDENT, SECRETARY AND TREASURER. THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE ALL OF THE POWERS AND AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE ORGANIZATION EXCEPT FOR THOSE ACTIONS RESERVED SOLELY TO THE MEMBER OR THE DIRECTORS UNDER THE GENERAL LAWS OF THE STATE OF MARYLAND. FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS INCLUDED ON LINE 1A, ABOVE, WHO ARE INDEPENDENT. THE BOARD MEMBERS THAT ARE DEEMED NOT INDEPENDENT ON THE FORM 990 ARE THOSE INDIVIDUALS WHO RECEIVE COMPENSATION AS AN OFFICER OR OTHER EMPLOYEE FROM THE ORGANIZATION OR FROM A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 3 DID THE ORGANIZATION DELEGATE CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECT SUPERVISION OF OFFICERS, DIRECTORS, OR TRUSTEES, OR KEY EMPLOYEES TO A MANAGEMENT COMPANY OR OTHER PERSON? OAK CREST VILLAGE, INC. ENTERED INTO A NEW MANAGEMENT AND MARKETING AGREEMENT TO REPLACE THE EXISTING AMENDED & RESTATED MANAGEMENT AND MARKETING AGREEMENT ALREADY IN EFFECT WITH ERICKSON SENIOR LIVING, LLC ("ESL"). THE AGREEMENT WAS EFFECTIVE AS OF APRIL 30, 2020. WHILE BASED IN LARGE PART ON THE PRIOR AGREEMENT, AMONG OTHER THINGS, THE NEW MANAGEMENT AND MARKETING AGREEMENT EXTENDS THE TERM BEYOND THE PRIOR EXPIRATION, INCLUDES VARIOUS OBJECTIVE PERFORMANCE REQUIREMENTS ON THE PART OF THE MANAGER AS WELL AS CERTAIN NON-COMPETITION PROVISIONS BENEFITTING THE COMMUNITY. ESL IS A MARYLAND LIMITED LIABILITY COMPANY WHICH MANAGES LARGE SCALE CONTINUING CARE RETIREMENT COMMUNITIES. TAX-EXEMPT BONDS HAVE BEEN ISSUED FOR THE BENEFIT OF THE ORGANIZATION, AND THE MANAGEMENT AGREEMENT COMPLIES WITH REV. PROC. 2017-13. THE ORGANIZATION ENTERED INTO A DEVELOPMENT SERVICES AGREEMENT DATED AS OF JANUARY 1, 2018 WITH ERICKSON LIVING HOLDINGS, LLC, AN AFFILIATE OF ESL, TO, AMONG OTHER THINGS, MANAGE THE DAY-TO-DAY ACTIVITIES INVOLVED IN THE REPOSITIONING PROJECT REFERRED TO AS THE OAK CREST VILLAGE SQUARE RENOVATIONS. THE FOLLOWING OFFICERS ARE LISTED IN PART VII, AS NON-COMPENSATED OFFICERS OF THE FILING ORGANIZATION, JOHN HALL, CHRIS RATHMANN, NEAL GANTERT, AND MARK EMBLEY. THEIR DUTIES ARE CONSIDERED PERFORMED PRO BONO. MARK ROUSSEY, EXECUTIVE DIRECTOR, KEVIN SITOSKI, DIRECTOR OF FINANCE (THRU 6/19/22), AND LISA WYBORSKI, DIRECTOR OF FINANCE (BEG 9/5/22), ARE LEASED EMPLOYEES FROM THE MANAGEMENT COMPANY. THE FILING ORGANIZATION REIMBURSES THE MANAGEMENT COMPANY FOR THEIR COMPENSATION WHICH IS REPORTED ON FORM 990, PART VII, SECTION A. FORM 990, PART VI, SECTION A, LINE 6 DID THE ORGANIZATION HAVE MEMBERS OR STOCKHOLDERS? OAK CREST VILLAGE, INC.'S SOLE MEMBER IS NATIONAL SENIOR COMMUNITIES, INC. ("NSC"). NSC IS A MARYLAND NON-STOCK CORPORATION. NSC IS A "SUPPORTING ORGANIZATION" WITH RESPECT TO OAK CREST VILLAGE, AS WELL AS CERTAIN OTHER ORGANIZATIONS SPECIFIED IN ITS GOVERNING DOCUMENTS. AS REQUIRED BY THE REGULATIONS RELATING TO "SUPPORTING ORGANIZATIONS," CERTAIN MEMBERS OF THE BOARD OF DIRECTORS OF NSC WILL ALSO BE MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A DID THE ORGANIZATION HAVE MEMBERS, STOCKHOLDERS, OR OTHER PERSONS WHO HAD THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY? THE BOARD OF DIRECTORS MAY NOMINATE A SLATE OF CANDIDATES FOR CONSIDERATION BY THE MEMBER, BUT THE MEMBER HAS SOLE DISCRETION TO ELECT DIRECTORS WHETHER OR NOT NOMINATED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B ARE ANY GOVERNANCE DECISIONS OF THE ORGANIZATION RESERVED TO (OR SUBJECT TO APPROVAL BY) MEMBERS, STOCKHOLDERS, OR PERSONS OTHER THAN THE GOVERNING BODY? CERTAIN EXTRAORDINARY ACTIONS OF THE CORPORATION REQUIRE THE APPROVAL OF THE MEMBER UNDER APPLICABLE STATE LAW. UNDER THE ORGANIZATION'S BYLAWS, CERTAIN GOVERNANCE DECISIONS ARE MADE BY THE BOARD WITH THE CONSENT OF THE MEMBER AS SHARED POWERS AND CERTAIN GOVERNANCE DECISIONS ARE RESERVED TO THE MEMBER. SHARED POWERS INCLUDE AMENDMENTS TO ANY OF THE COMMUNITY DOCUMENTS (EXCEPT WHERE IT INVOLVES A RESERVED POWER), APPROVAL OF ALL CONTRACTS WITH OR PAYMENTS TO THE MEMBER OR OTHER RELATED ENTITIES (OTHER THAN GOVERNANCE COSTS OF THE MEMBER), AUTHORIZING THE FILING OF ANY BANKRUPTCY, CHANGES TO SHARED POWERS, A SIGNIFICANT EXPANSION OR NEW LINE OF BUSINESS JUST INVOLVING THE ORGANIZATION, AND SELECTION OF THE MANAGEMENT COMPANY. RESERVED POWERS OF THE MEMBER INCLUDE: APPROVAL OF POLICIES AFFECTING MORE THAN ONE COMMUNITY; SPONSORSHIP OF A NEW COMMUNITY; PAYMENT OF REASONABLE AMOUNTS TO COVER THE MEMBER'S OPERATING COSTS; THE EXECUTION OF JOINT PURCHASE CONTRACTS OR SIMILAR AGREEMENTS ALONG WITH AFFILIATE(S); THE DISPOSITION OR PLEDGE OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS (OTHER THAN A PLEDGE IN CONNECTION WITH AN ASSET OR FINANCING TRANSACTION); COMPENSATION OF OFFICERS, DIRECTORS AND ADVISORY COMMITTEE MEMBERS; AND APPROVAL OF CONTRACTS, AMENDMENTS, ETC. AFFECTING THE ORGANIZATION AND ONE OR MORE RELATED ENTITIES OR THE RESIDENTS OF THEIR COMMUNITIES. FORM 990, PART VI, SECTION B, LINE 11B HAS THE ORGANIZATION PROVIDED A COMPLETE COPY OF THIS FORM 990 TO ALL MEMBERS OF ITS GOVERNING BODY BEFORE FILING THE FORM? THE CHAIR OF THE AUDIT, INVESTMENT, AND TREASURY COMMITTEE APPOINTS THE REVIEWER OF THE FORM 990. ONCE THAT REVIEW IS COMPLETE, THE FULL BOARD IS GIVEN THE OPPORTUNITY TO REVIEW THE FINAL VERSION OF FORM 990 BEFORE IT IS FILED AND ASK QUESTIONS OF THE REVIEWER REGARDING THE FORM. FORM 990, PART VI, SECTION B, LINE 12C DID THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THE POLICY? ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, EMPLOYEES AND VOLUNTEERS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER OAK CREST VILLAGE, INC.'S AFFAIRS, COMMITTEE MEMBERS, PROSPECTIVE DIRECTORS, AND SENIOR STAFF PROVIDING SERVICES TO THE ORGANIZATION UNDER A MANAGEMENT AGREEMENT COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY AND AS POTENTIAL CONFLICTS ARISE DURING THE YEAR. THE DIRECTOR CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE BOARD CHAIR. IF THE CONFLICT INVOLVES A COVERED EMPLOYEE, THE CHAIR DETERMINES WHETHER A CONFLICT EXISTS AND, IF SO, HOW IT IS TO BE HANDLED, OR THE CHAIR MAY REFER THE MATTER TO THE BOARD OF DIRECTORS FOR CONSIDERATION. FOR ALL OTHER CONFLICTS, THE BOARD OF DIRECTORS OR A COMMITTEE OF DISINTERESTED DIRECTORS WILL DETERMINE WHETHER A CONFLICT ACTUALLY EXISTS. A COVERED PERSON MAY NOT PARTICIPATE IN ANY DISCUSSION OR DEBATE BY THE BOARD BUT MAY ANSWER QUESTIONS OR PROVIDE CLARIFYING INFORMATION UNLESS ANY BOARD MEMBER OBJECTS. FORM 990, PART VI, SECTION B, LINE 15 DID THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, OR OTHER OFFICERS OR KEY EMPLOYEES, INCLUDE A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION? THE BOARD HAS APPROVED A DIRECTORS' COMPENSATION POLICY WHICH ESTABLISHES THE PROCESS BY WHICH ALL DIRECTOR COMPENSATION IS DETERMINED. A REVIEW OF THE DIRECTORS' COMPENSATION IS CONDUCTED EACH FISCAL YEAR. AN INDEPENDENT COMPENSATION CONSULTANT IS PERIODICALLY RETAINED TO PERFORM AN ANALYSIS OF OAK CREST VILLAGE, INC.'S COMPENSATION USING COMPARABLES OF BOTH FOR-PROFIT AND NON-PROFIT PEERS. A COMMITTEE OF THE NSC BOARD REVIEWS THE CONSULTANT'S REPORT AND MAKES A RECOMMENDATION TO THE ORGANIZATION AS TO APPROPRIATE COMPENSATION OF DIRECTORS. THE COMMITTEE OF THE NSC BOARD HAS ACCESS TO THE CONSULTANT'S REPORT AND AN OPPORTUNITY TO QUESTION THE CONSULTANT ABOUT THE PROCESS, METRICS, AND COMPARABLES THAT WERE USED IN DETERMINING THE RECOMMENDED COMPENSATION. THE BOARD THEN VOTES ON THE COMPENSATION RECOMMENDATIONS AND A CONTEMPORANEOUS RECORD IS MADE OF THE MEETING AND THE VOTE. A NEW COMPENSATION STUDY WAS UNDERTAKEN IN THE FALL OF 2021 WHICH DID NOT RECOMMEND ANY CHANGE TO THE CURRENT STRUCTURE. COMPENSATION IS APPROACHED ON AN OVERALL BASIS AND THE TOTAL VALUE OF ALL FORMS OF COMPENSATION IS ESTABLISHED AND MONITORED. THERE IS A COMPREHENSIVE COMPENSATION REVIEW PERFORMED ANNUALLY FOR THE EXECUTIVE DIRECTOR AND OTHER KEY MANAGEMENT PERSONNEL. THE COMPENSATION IS REVIEWED, DOCUMENTED, AND APPROVED BY THE BOARD DURING THE BUDGET PROCESS. FORM 990, PART VI, SECTION C, LINE 19 DESCRIBE WHETHER (AND IF SO, HOW) THE ORGANIZATION MADE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC DURING THE TAX YEAR. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST TO REVIEW AT THE EXECUTIVE DIRECTOR'S OFFICE FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART VII, SECTION B: INDEPENDENT CONTRACTORS COMPENSATION. THE AMOUNT INCLUDED IN COLUMN (C) FOR ERICKSON SENIOR LIVING IS FOR PAYMENTS MADE FOR MANAGEMENT SERVICES AND THE DIRECT AND SHARED COSTS ALLOCATED TO THE COMMUNITY. DIRECT AND SHARED COSTS INCLUDE SALARIES AND BENEFITS FOR MANAGEMENT PERSONNEL, AND THE USE OF SERVICES SUCH AS FINANCE, LEGAL, HUMAN RESOURCES, INFORMATION SERVICES, AND OPERATIONS. FORM 990, PART VII, SECTION A: REPORTABLE COMPENSATION FROM THE ORGANIZATION AND FROM RELATED ORGANIZATIONS. THE COMPENSATION INCLUDED IN COLUMNS D AND E FOR THE BOARD DIRECTORS IS FOR SERVICES PERFORMED FOR THE FILING ORGANIZATION AND ALL RELATED ORGANIZATIONS INCLUDED ON SCHEDULE R, PART II. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN BUSINESS TRUST -39,421,786. CHANGE IN RESTRICTED NET INVESTMENT RETURN 205,779. 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