2022-08-15T12:54:21-05:00 2021-09-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2020-10-01 943008774 BAY AREA SENIOR SERVICES INC BAYA 8887246424 ONE BALDWIN AVENUE SAN MATEO CA 94401 DOUG SCHMOR CHAIR/PRESIDENT 8887246424 2022-08-11 1 DOUG SCHMOR 999009999 KURT BENNION CPA P01469618 4252506100 2022-08-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z THE PENINSULA REGENT DOUG SCHMOR 1 WEST MAIN SUITE 303 MEDFORD OR 97501 19902168 0 X WWW.RETIREMENT.ORG X 1986 CA TO PROVIDE CARE AND HOUSING FOR THE ELDERLY. 4 2 55 99 0 0 43600 21100 16694928 16889871 -80444 92165 113692 -240502 16771776 16762634 0 0 0 0 3440929 3866269 0 0 0 13630905 14432261 17071834 18298530 -300058 -1535896 50509627 56248028 37612161 44724415 12897466 11523613 TO PROVIDE CARE AND HOUSING FOR THE ELDERLY. 0 0 14207052 0 16889871 BAY AREA SENIOR SERVICES, INC. IS THE LESSEE AND OPERATOR OF THE PENINSULA REGENT, A RETIREMENT COMMUNITY PROVIDING HOUSING AND OTHER RELATED SERVICES IN SAN MATEO, CALIFORNIA. 14207052 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 46 0 1 55 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 2 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 CA X JOSH BLACKSON 5418577205 1 WEST MAIN SUITE 303 MEDFORD OR 97501 X BRIAN MCLEMORE CHAIR/PRESIDENT (THROUGH JAN 2021) 1.00 52.00 X X 0 749195 59034 MARY SCHOEGGL VICE PRESIDENT/CFO 1.00 50.00 X X 0 476423 59034 MARIANNE NANNESTAD EXECUTIVE DIRECTOR 40.00 0.00 X 247834 0 39342 LESLIE BOWERS HR DIRECTOR 40.00 0.00 X 144755 0 5971 ELIZABETH GUILHOT DIRECTOR OF HEALTH & WELLNESS 40.00 0.00 X 102940 0 26000 LILY YANG CHARGE NURSE 40.00 0.00 X 103934 0 13000 DOUG SCHMOR VICE CHAIR/SECRETARY & CHAIR/PRESIDENT 1.00 4.00 X X 0 0 0 JUDITH HIRSCH RESIDENT DIRECTOR & SECRETARY 1.00 0.00 X X 0 0 0 RUTH FREEMAN RESIDENT DIRECTOR (THROUGH JAN 2021) 1.00 0.00 X 0 0 0 LARRY KNAPP DIRECTOR 1.00 0.00 X 0 0 0 BILL POMERANZ DIRECTOR (THROUGH APRIL 2021) 1.00 0.00 X 0 0 0 599463 1225618 202381 4 0 1 0 MORRISON COMMUNITY LIVING PO BOX 102289 ATLANTA GA 30342 DINING SERVICES 5998218 GYDS HOME DESIGN 8265 SIERRA COLLEGE BLVD 304B ROSEVILLE CA 95661 CONSTRUCTION 402422 MATRIX HG INC 115 MASON CIR CONCORD CA 94520 CONSTRUCTION 348623 EQUITY BUILDERS GROUP INC PO BOX 1429 SAN CARLOS CA 94070 CONSTRUCTION 342682 JUDSON CARE CENTER PO BOX 638360 CINCINNATI OH 45211 RESIDENT HEALTH CARE SERVICES 131417 5 21100 21100 SERVICE FEES 531110 13701727 13701727 OTHER SERVICES 531110 2495146 2495146 LEVEL OF CARE 531110 535843 535843 DIETARY 531110 128707 128707 GARAGE & CARPORT 531110 28448 28448 16889871 117539 117539 3078238 35922 2993159 146375 85079 -110453 -25374 -25374 EARLY DEBT EXTINGUISH 900099 -240502 -240502 -240502 16762634 16889871 0 -148337 X 255068 255068 2654022 1424166 1229856 179298 74659 104639 574266 338881 235385 203615 104462 99153 344714 344714 12333 12333 16533 16533 7917 7917 5152102 4947473 204629 267144 267144 480072 389993 90079 81646 81646 1033968 1033968 51528 19018 32510 41578 2282 39296 2947339 2947339 1257383 1257383 398057 398057 OTHER FACILITY SERVICE 1412257 341681 1070576 OTHER DIETARY EXPENSE 915513 915513 HEALTH CENTER EXPENSE 12177 12177 18298530 14207052 4091478 0 2634475 2031109 210615 399651 77317 389581 320228 46714673 4916750 42032388 41797923 4792639 11029997 449929 591803 50509627 56248028 927134 648082 82591 70849 22469384 43778124 14133052 227360 37612161 44724415 X 12893866 11520013 3600 3600 12897466 11523613 50509627 56248028 -1535896 162043 0 X 0 1 X 1 0 X 43600 21100 64700 11785629 14754557 17484700 16694928 16889871 77609685 11785629 14754557 17484700 16738528 16910971 77674385 0 0 0 77674385 5303 16332 17488 72446 117539 229108 5303 16332 17488 72446 117539 229108 113292 113292 11790932 14770889 17502188 16924266 17028510 78016785 0.99560 0.99690 0.00290 0.00160 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME PART III, COLUMN B: PART III, COLUMN B IS FOR A SHORT PERIOD THAT BEGAN ON JANUARY 1, 2017 AND ENDED ON SEPTEMBER 30, 2017. 0 1 X 24650000 24650000 17094967 3000925 14094042 4209756 1915825 2293931 759950 759950 41797923 DUE TO AFFILIATES 68383 OTHER CURRENT LIABILITIES 158977 227360 X PART IV, LINE 2B: RESIDENT SECURITY DEPOSITS ARE HELD IN A SEPARATE BANK ACCOUNT. WHEN THE RESIDENT LEAVES THE FACILITY THE SECURITY DEPOSIT, MINUS ANY AMOUNTS RETAINED FOR REPAIRS, IS REFUNDED. PART X, LINE 2: THE CORPORATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE CORPORATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT SEPTEMBER 30, 2021 AND 2020, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. 0 0 0 0 0 0 0 1 0 BRIAN MCLEMORE CHAIR/PRESIDENT (THROUGH JAN 2021) 0 652679 0 96516 0 0 0 26000 0 33034 0 808229 0 0 MARY SCHOEGGL VICE PRESIDENT/CFO 0 443266 0 33157 0 0 0 26000 0 33034 0 535457 0 0 MARIANNE NANNESTAD EXECUTIVE DIRECTOR 210363 0 37471 0 0 0 26000 0 13342 0 287176 0 0 0 LESLIE BOWERS HR DIRECTOR 144755 0 0 0 0 0 5584 0 387 0 150726 0 0 0 PART I, LINE 3 COMPENSATION WAS RECOMMENDED BY PACIFIC RETIREMENT SERVICES, INC. AND APPROVED BY THE BAY AREA SENIOR SERVICES, INC. BOARD AS PART OF THE ANNUAL BUDGET PROCESS. PART I, LINE 7 THE ORGANIZATION PAID BONUSES THIS YEAR. THE PROCESS FOR DETERMINING EXECUTIVE BONUSES IS DISCRETIONARY. IT IS DETERMINED BY THE VP OF OPERATIONS FOR PRS AND IT IS BASED ON THE PERFORMANCE OF THE COMMUNITY FOR THE YEAR. FORM 990, PART VI, SECTION A, LINE 3 BAY AREA SENIOR SERVICES, INC. DELEGATES MANAGEMENT DUTIES TO PACIFIC RETIREMENT SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER, PACIFIC RETIREMENT SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A PACIFIC RETIREMENT SERVICES, INC. HAS THE AUTHORITY TO ELECT THE ORGANIZATION'S DIRECTORS. ONE RESIDENT DIRECTOR IS NOMINATED BY THE RESIDENTS' COUNCIL OF THE PENINSULA REGENT. THE REMAINING DIRECTORS ARE NOMINATED BY THE BOARD OF DIRECTORS OF BAY AREA SENIOR SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE EXCLUSIVE POWER TO TAKE THE FOLLOWING ACTIONS ON BEHALF OF BAY AREA SENIOR SERVICES, INC. ("THE ORGANIZATION"): (A) ADOPT, AMEND OR RESTATE THE ORGANIZATION'S BYLAWS; (B) ADOPT, AMEND OR RESTATE THE ORGANIZATION'S ANNUAL BUDGET, LONG-RANGE PLAN, STRATEGIC PLAN, OR MISSION STATEMENT; (C) APPROVE ANY MERGER OR CONSOLIDATION OF THE ORGANIZATION WITH ANOTHER ENTITY, OR ANY PARTIAL OR TOTAL LIQUIDATION OF THE ORGANIZATION'S ASSETS; (D) AUTHORIZE THE ORGANIZATION TO INCUR ANY DEBT OR ENTER INTO ANY CONTRACT NOT CONTEMPLATED BY THE ANNUAL BUDGET, IF THE DOLLAR AMOUNT EXCEEDS THE SUM OF $100,000; (E) MAKE ANY GIFTS OR GRATUITOUS TRANSFERS IN EXCESS OF $5,000 IN ANY CALENDAR YEAR; (F) CREATE A TAXABLE OR TAX-EXEMPT SUBSIDIARY OR AFFILIATE ORGANIZATION; (G) ACQUIRE A CONTROLLING INTEREST IN ANOTHER ENTITY; (H) APPOINT OUTSIDE AUDITORS; (I) APPOINT A MANAGER TO MANAGE THE OPERATIONS OF THE ORGANIZATION'S CONTINUING CARE RETIREMENT COMMUNITY; (J) ELECT OR APPOINT THE ORGANIZATION'S DIRECTORS, INCLUDING THE FILLING OF VACANCIES CAUSED BY THE DEATH, REMOVAL OR RESIGNATION OF A DIRECTOR; (K) ELECT OR APPOINT A DIRECTOR TO BE ON THE BOARD OF DIRECTORS OF THE MEMBER; AND (L) REMOVE ANY OF THE ORGANIZATION'S DIRECTORS OR OFFICERS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE CFO, ASSISTANT CONTROLLER, VP OF ACCOUNTING, AND THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE ARE SENT TO ALL BOARD MEMBERS AND KEY EMPLOYEES ANNUALLY. THERE ARE TWO POLICIES RELATED TO CONFLICTS OF INTEREST: 1) BOARD OF DIRECTORS; 2)KEY EMPLOYEES, WHICH IDENTIFY THE PURPOSE, DEFINITIONS, AND PROCEDURES. IF A CONFLICT IS SELF-IDENTIFIED BY A BOARD MEMBER OR KEY EMPLOYEE IN THE QUESTIONNAIRE AND/OR MEETING, PROCEDURES ARE FOLLOWED AND DOCUMENTED ACCORDING TO THE POLICY. FORM 990, PART VI, SECTION B, LINE 15A A COMPENSATION COMMITTEE OF THE PRS BOARD EXISTS TO DETERMINE COMPENSATION FOR THE EXECUTIVE DIRECTOR OF EACH COMMUNITY. THIS COMMITTEE IS COMPRISED OF THE OFFICERS OF THE PRS BOARD OF DIRECTORS. THE COMMITTEE HAS A CHARTER THAT OUTLINES ITS DUTIES AND RESPONSIBILITIES. IT ALSO HAS AGENDA ELEMENTS THAT DESCRIBE THE ACTIVITIES THAT THE COMMITTEE UNDERTAKES DURING THE YEAR. THE VP OF HUMAN RESOURCES PROVIDED SALARY STUDIES FROM THE FOLLOWING RESOURCES TO THE COMMITTEE RELATIVE TO EXECUTIVE DIRECTOR COMPENSATION: SALARY.COM, PAYSCALE.COM, 990 REVIEW (LIKE SIZE ORGANIZATIONS), CEMO (CHIEF EXECUTIVE OFFICERS OF MULTI-FACILITY ORGANIZATIONS) SALARY STUDY RESULTS, AND INDUSTRY STATE ASSOCIATION SALARY STUDY RESULTS BASED ON GEOGRAPHICAL LOCATION. THE RECOMMENDATION FOR BASE COMPENSATION AND BONUS ARE PROVIDED BY THE EXECUTIVE DIRECTOR'S DIRECT SUPERVISOR (COO OR VP OF OPERATIONS). FORM 990, PART VI, SECTION C, LINE 19 ALL REQUESTS GO THROUGH CORPORATE COUNSEL. FORM 990, PART VII, SECTION A: NOTE THAT MARIANNE NANNESTAD IS A LEASED EMPLOYEE OF PACIFIC RETIREMENT SERVICES, INC. AND PERFORMS SERVICES ON BEHALF OF BAY AREA SENIOR SERVICES, INC. PURSUANT TO A MANAGEMENT SERVICES AGREEMENT BETWEEN BAY AREA SENIOR SERVICES, INC. AND PACIFIC RETIREMENT SERVICES, INC. UNDER THE MANAGEMENT SERVICES AGREEMENT, THEIR COMPENSATION IS REIMBURSED BY BAY AREA SENIOR SERVICES, INC. COMPENSATION HAS BEEN REPORTED IN FORM 990, PART VII, SECTION A IN ORDER TO HIGHLIGHT AMOUNTS PAID BY BAY AREA SENIOR SERVICES, INC., NOTWITHSTANDING THAT SHE IS A LEASED EMPLOYEE OF PACIFIC RETIREMENT SERVICES, INC. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 4,947,473. MANAGEMENT AND GENERAL EXPENSES 204,629. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,152,102. PACIFIC RETIREMENT SERVICES INC 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 931067253 SUPPORTING ORGANIZATION OR 501(C)(3) LINE 12C, III-FI N/A 0 PACIFIC RETIREMENT SERVICES FOUNDATION INC 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 472352652 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 PACIFIC RETIREMENT SERVICES INC 0 ROGUE VALLEY MANOR 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 930453216 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 THE CUMBERLAND REST INC 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 750891470 SENIOR HOUSING TX 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 CASCADE MANOR INC 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 930557803 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 UNIVERSITY RETIREMENT COMMUNITY AT DAVIS 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 931179254 SENIOR HOUSING CA 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 HOLLADAY PARK PLAZA 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 930513697 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 CAPITOL LAKES INC 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 391412320 SENIOR HOUSING WI 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 ROGUE VALLEY MANOR FOUNDATION INC 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 930712867 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 ROGUE VALLEY MANOR 0 UNIVERSITY RETIREMENT COMMUNITY FOUNDATION INC 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 931301816 PUBLIC FOUNDATION CA 501(C)(3) LINE 7 UNIVERSITY RETIREMENT COMMUNITY AT DAVIS 0 HOLLADAY PARK PLAZA FOUNDATION INC 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 264529118 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 HOLLADAY PARK PLAZA 0 MIRABELLA WASHINGTON FOUNDATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 450574348 PUBLIC FOUNDATION WA 501(C)(3) LINE 7 MIRABELLA 0 CASCADE MANOR FOUNDATION INC 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 931330100 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 CASCADE MANOR INC 0 CAPITOL LAKES FOUNDATION INC 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 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WEST MAIN ST SUITE 303 MEDFORD OR 97501 943136037 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM ROSEBURG HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 943179782 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM MYRTLE CREEK HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 943162074 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM BEND HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 943163349 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM EAGLE POINT HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 943191447 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM KLAMATH FALLS HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 943196455 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM MEDFORD II HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 943212537 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM LIVELY OAKS HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 943194409 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM REEDSPORT HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 943212538 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM YREKA HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 943212540 SENIOR HOUSING CA 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM EUGENE HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 943247154 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM FORT WORTH I HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 311520436 SENIOR HOUSING TX 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM BEND II HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 943260016 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM FORT WORTH II HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 311587415 SENIOR HOUSING TX 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM MEDFORD III HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 311587418 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM ROSEBURG II HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 311587420 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM GRANTS PASS II HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 311662259 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM DAVIS HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 311662208 SENIOR HOUSING CA 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM MYRTLE CREEK II HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 311715321 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM PORTLAND HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 311780332 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM PORTLAND II HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 300037898 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM CENTRAL POINT HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 300315618 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM MANSFIELD HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 900292647 SENIOR HOUSING TX 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 MIDDLETON GLEN INC 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 911859494 SENIOR HOUSING WI 501(C)(3) LINE 10 CAPITOL LAKES INC 0 SENIOR HOUSING OF MIDDLETON INC 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 470825736 SENIOR HOUSING WI 501(C)(3) LINE 10 CAPITOL LAKES INC 0 MIRABELLA AT ASU INC 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 813784956 SENIOR HOUSING AZ 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 CREST PARK INC 1 WEST MAIN SUITE 303 MEDFORD OR 97501 931169683 REAL ESTATE OR N/A C 0 PRS MANAGEMENT INC 1 WEST MAIN SUITE 303 MEDFORD OR 97501 931328250 MANAGEMENT COMPANY OR N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0