STRATEGY STUDIO / PUBLIC DATA EXPLORER

TARRANT COUNTY SENIOR LIVING CENTER INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
TARRANT COUNTY SENIOR LIVING CENTER INC (EIN 20-8068602)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202233199349315123
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-15T13:22:55-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 S 6TH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN208068602EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TARRANT COUNTY SENIOR LIVING CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTARRBusinessNameControlTxt
Phone5152885805PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14201 CORPORATE DRIVEAddressLine1Txt
CityWEST DES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50266ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNICK HARSHFIELDPersonNm
Person TitleCFO & TREASURERPersonTitleTxt
Phone5152885805PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstNICKPersonFirstNm
Person LastHARSHFIELDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJED CHENEYPreparerPersonNm
PTINP01587750PTIN
Phone6123764500PhoneNum
Preparation2022-11-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1THE STAYTON AT MUSEUM WAYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJESSE JANTZENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14201 CORPORATE DRIVEAddressLine1Txt
CityWEST DES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50266ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$29,378,220GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.THESTAYTON.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionCREATE COMMUNITIES CELEBRATING THE LIVES OF SENIORSActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee235TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$60,558TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$59,058NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$666,621PYContributionsGrantsAmt
CY Contributions Grants$47,788CYContributionsGrantsAmt
PY Program Service Revenue$22,746,870PYProgramServiceRevenueAmt
CY Program Service Revenue$22,674,608CYProgramServiceRevenueAmt
PY Investment Income$654,223PYInvestmentIncomeAmt
CY Investment Income$239,412CYInvestmentIncomeAmt
PY Other Revenue$42,990PYOtherRevenueAmt
CY Other Revenue$60,558CYOtherRevenueAmt
PY Total Revenue$24,110,704PYTotalRevenueAmt
CY Total Revenue$23,022,366CYTotalRevenueAmt
PY Grants And Similar Paid$831,173PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,217,883CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,948,108PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,811,909CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$33,466,947PYOtherExpensesAmt
CY Other Expenses$28,854,669CYOtherExpensesAmt
PY Total Expenses$42,246,228PYTotalExpensesAmt
CY Total Expenses$37,884,461CYTotalExpensesAmt
PY Revenues Less Expenses-$18,135,524PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$14,862,095CYRevenuesLessExpensesAmt
Total Assets BOY$173,236,445TotalAssetsBOYAmt
Total Assets EOY$161,252,746TotalAssetsEOYAmt
Total Liabilities BOY$200,390,343TotalLiabilitiesBOYAmt
Total Liabilities EOY$203,775,961TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$27,153,898NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$42,523,215NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCREATING COMMUNITIES CELEBRATING THE LIVES OF SENIORS. LIFESPACE RECOGNIZES THAT ITS MISSION CAN ONLY BE FULFILLED THROUGH THE DEDICATED EFFORTS OF ITS EMPLOYEES, THEREFORE, INCLUDED IN OUR MISSION IS THE ABILITY TO PROVIDE DISASTER RELIEF FUNDS TO EMPLOYEES WHO ENCOUNTER CIRCUMSTANCES RECOGNIZED BY FEDERAL AND STATE AGENCIES AS QUALIFYING FOR EMERGENCY DISASTER RELIEF.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$32,476,956ExpenseAmt
Grant$1,217,883GrantAmt
Revenue$22,674,608RevenueAmt
DescTO PROVIDE APARTMENTS AND HEALTH CARE FOR RETIRED PERSONS. RESIDENTS PAY AN INITIAL ENTRANCE FEE AND MONTHLY FEES THEREAFTER WHICH ENTITLE THEM TO USE OF THE COMMUNITY FOR LIFE AND UNLIMITED USE OF THE HEALTH CENTER. RESIDENTS DO NOT ACQUIRE TITLE TO THE PROPERTY.Desc
Total Program Service Expenses$32,476,956TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document70IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee235EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TIM NEVINSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5152885805PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14201 CORPORATE DRIVEAddressLine1Txt
CityWEST DES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50266ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JESSE JANTZEN
PRESIDENT & CEO & DIRECTOR2.0040.50Yes (X)Yes (X)$0$911,488$15,857
NICK HARSHFIELD
SVP & CFO2.0040.50Yes (X)Yes (X)$0$462,933$15,653
EDDIE FENGLIO
COO & SECRETARY2.0040.00Yes (X)Yes (X)$0$454,617$10,480
SANDRA PARKER
GENERAL COUNSEL & SECRETARY (JUL-DEC)2.0040.50Yes (X)Yes (X)$0$286,586$2,387
PAMELA HAMAN
EXECUTIVE DIRECTOR40.000.00$219,283$0$9,292Yes (X)
DONNA ECHOLS
DIRECTOR OF NURSING SERVICES40.000.00$119,617$0$9,606Yes (X)
JEROMY PARKER
SALES COUNSELOR40.000.00$119,423$0$6,913Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$458,323TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,115,624TotReportableCompRltdOrgAmt
Total Other Compensation$70,188TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
THOMAS MANAGEMENT LLC
700 E FRANKLIN ROADMERIDIANID83642CULINARY SERVICES$1,384,931
SELECT REHABILITATION LLC
PO BOX 71985CHICAGOIL60694THERAPY SERVICES$924,443
UNIDINE CORPORATION
PO BOX 102289ATLANTAGA30368CULINARY SERVICES$506,490
A&G SERVICES
3124 WICHITA COURTFORT WORTHTX76140HVAC SERVICES$385,202
LONESTAR GENERAL CONTRACTING
634 E CENTRE PARK BLVDDESOTOTX75115CONSTRUCTION$374,670
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
Related Organizations$28,757RelatedOrganizationsAmt
Government Grants$19,031GovernmentGrantsAmt
Total Contributions$47,788TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INDEPENDENT LIVING531110$10,828,260$10,828,260
SKILLED NURSING623000$10,216,603$10,216,603
ENTRANCE FEES531110$1,629,745$1,629,745
FieldValueIRS element (for citing)
Total Program Service Revenue$22,674,608TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$183,424TotalRevenueColumnAmt
Exclusion$183,424ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,411,842SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$6,353,589SecuritiesAmt
Other$2,265OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$58,253SecuritiesAmt
Other-$2,265OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$55,988TotalRevenueColumnAmt
Exclusion$55,988ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CELL TOWER LEASE517000$55,058$55,058
ROOFTOP CAMERA LEASE515100$5,500$5,500
FieldValueIRS element (for citing)
Other Revenue Total$60,558OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,022,366TotalRevenueColumnAmt
Related Or Exempt Func Income$22,674,608RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$60,558UnrelatedBusinessRevenueAmt
Exclusion$239,412ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$100,742TotalAmt
Program Services$100,742ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,117,141TotalAmt
Program Services$1,117,141ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,274,270TotalAmt
Program Services$5,019,416ProgramServicesAmt
Management And General$1,254,854ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$35,207TotalAmt
Program Services$28,166ProgramServicesAmt
Management And General$7,041ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,040,518TotalAmt
Program Services$832,414ProgramServicesAmt
Management And General$208,104ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$461,914TotalAmt
Program Services$369,531ProgramServicesAmt
Management And General$92,383ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,357,914TotalAmt
Program Services$1,290,018ProgramServicesAmt
Management And General$67,896ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$51,775TotalAmt
Management And General$51,775ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,738TotalAmt
Management And General$11,738ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$22,000TotalAmt
Management And General$22,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,689,547TotalAmt
Management And General$2,689,547ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$456,935TotalAmt
Program Services$365,548ProgramServicesAmt
Management And General$91,387ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$179,601TotalAmt
Management And General$179,601ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$509,083TotalAmt
Program Services$509,083ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$87,847TotalAmt
Program Services$70,278ProgramServicesAmt
Management And General$17,569ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,455,034TotalAmt
Program Services$6,455,034ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,084,605TotalAmt
Program Services$13,380,375ProgramServicesAmt
Management And General$704,230ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$468,994TotalAmt
Program Services$459,614ProgramServicesAmt
Management And General$9,380ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
OTHER GENERAL AND ADMIN$1,005,754$1,005,754
PLANT OPERATIONS$910,829$910,829
MEDICAL AND OTHER RESID$455,650$455,650
DIETARY$72,838$72,838

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$34,525TotalAmt
Program Services$34,525ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$37,884,461TotalAmt
Program Services$32,476,956ProgramServicesAmt
Management And General$5,407,505ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,813,567BOYAmt
EOY$1,010,395EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,144,966BOYAmt
EOY$168,170EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$29,418BOYAmt
EOY$46,283EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$208,024BOYAmt
EOY$345,331EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$108,979,398LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,845,466LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$102,689,631BOYAmt
EOY$100,133,932EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,877,736BOYAmt
EOY$3,276,964EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$52,555,233BOYAmt
EOY$45,547,868EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,917,870BOYAmt
EOY$10,723,803EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$173,236,445BOYAmt
EOY$161,252,746EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,689,110BOYAmt
EOY$1,960,755EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$112,261,464BOYAmt
EOY$112,964,976EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$124,444BOYAmt
EOY$104,944EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$86,315,325BOYAmt
EOY$88,745,286EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$200,390,343BOYAmt
EOY$203,775,961EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$27,153,898BOYAmt
EOY-$42,523,215EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$27,153,898BOYAmt
EOY-$42,523,215EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$173,236,445BOYAmt
EOY$161,252,746EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$14,862,095ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$158,880NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$666,102OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$666,621CurrentTaxYearMinus1YearAmt
Current Tax Year$47,788CurrentTaxYearAmt
Total$714,409TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,576,843CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,901,799CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,512,134CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,746,870CurrentTaxYearMinus1YearAmt
Current Tax Year$22,674,608CurrentTaxYearAmt
Total$110,412,254TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,576,843CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,901,799CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,512,134CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,413,491CurrentTaxYearMinus1YearAmt
Current Tax Year$22,722,396CurrentTaxYearAmt
Total$111,126,663TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$111,126,663PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$255,270CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$302,944CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$131,719CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$202,878CurrentTaxYearMinus1YearAmt
Current Tax Year$183,424CurrentTaxYearAmt
Total$1,076,235TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$255,270CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$302,944CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$131,719CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$202,878CurrentTaxYearMinus1YearAmt
Current Tax Year$183,424CurrentTaxYearAmt
Total$1,076,235TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$51,558CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,146CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$54,353CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,490CurrentTaxYearMinus1YearAmt
Current Tax Year$60,058CurrentTaxYearAmt
Total$257,605TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$185,079CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$122,808CurrentTaxYearMinus3YearsAmt
Total$307,887TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,068,750CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,376,697CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,698,206CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,658,859CurrentTaxYearMinus1YearAmt
Current Tax Year$22,965,878CurrentTaxYearAmt
Total$112,768,390TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98540PublicSupportCY509Pct
Public Support PY5090.98140PublicSupportPY509Pct
Investment Income CY0.00950InvestmentIncomeCYPct
Investment Income PY0.01010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,551,457OtherCostOrOtherBasisAmt
Book Value$4,551,457BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$101,685,936OtherCostOrOtherBasisAmt
Depreciation$8,426,417DepreciationAmt
Book Value$93,259,519BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,333,082OtherCostOrOtherBasisAmt
Depreciation$419,049DepreciationAmt
Book Value$1,914,033BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$408,923OtherCostOrOtherBasisAmt
Book Value$408,923BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$100,133,932TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
ASSETS LIMITED AS TO USE$10,322,702
INTERCOMPANY RECEIVABLES$401,101
FieldValueIRS element (for citing)
Total Book Value Other Assets$10,723,803TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLES$216,602
DEFERRED & REFUNDABLE ENTRANCE FEES$88,528,684
FieldValueIRS element (for citing)
Total Liability$88,745,286TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$22,046,000TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$158,880NetUnrealizedGainsInvstAmt
Other Revenue$3,895OtherRevenueAmt
Revenue Not Reported$162,775RevenueNotReportedAmt
Revenue Subtotal$21,883,225RevenueSubtotalAmt
Other Revenues Not Included$1,139,141OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,139,141RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$23,022,366TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$37,358,000TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$669,022OtherExpensesIncludedAmt
Expenses Not Reported$669,022ExpensesNotReportedAmt
Expenses Subtotal$36,688,978ExpensesSubtotalAmt
Other Expenses Not Included$1,195,483OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,195,483ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$37,884,461TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:ESCROW AND CUSTODIAL ARRANGEMENTS THE ORGANIZATION REQUIRES FUTURE RESIDENTS WISHING TO RESERVE SPACE AT THE COMMUNITY TO PAY A DEPOSIT OF 10% OF THE ADVANCE FEE WHICH WILL BE REQUIRED UPON RESIDENCY. THE DEPOSITS ARE HELD IN AN INTEREST-BEARING ACCOUNT UNTIL RESIDENCY IS ESTABLISHED AT WHICH TIME THE RESIDENT PAYS THE BALANCE OF THE REQUIRED ENTRANCE FEE. THE RESIDENT'S DEPOSIT IS RESTRICTED BY THE TEXAS DEPARTMENT OF INSURANCE UNTIL THE RESIDENT TAKES OCCUPANCY OF AN APARTMENT
PART X, LINE 2:THE STAYTON HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAS BEEN DESIGNATED AS A PUBLICLY SUPPORTED ORGANIZATION (RATHER THAN A PRIVATE FOUNDATION). THE STAYTON EVALUATES TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING ITS TAX RETURNS TO DETERMINE WHETHER IT IS "MORE LIKELY THAN NOT" THAT EACH TAX POSITION WOULD BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY BASED ON THE TECHNICAL MERITS OF THE POSITION. TAX POSITIONS NOT DEEMED TO MEET THE MORE-LIKELY-THAN-NOT THRESHOLD WOULD BE RECORDED AS A TAX BENEFIT OR EXPENSE IN THE CURRENT YEAR. FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020, THE STAYTON HAS NOT RECORDED ANY SUCH TAX BENEFIT OR EXPENSE IN THE ACCOMPANYING FINANCIAL STATEMENTS. NO EXAMINATIONS ARE IN PROGRESS OR ANTICIPATED AT THIS TIME. THE STAYTON'S FEDERAL INCOME TAX RETURNS ARE OPEN TO EXAMINATION FOR THE YEARS ENDED DECEMBER 31, 2018 THROUGH DECEMBER 31, 2021.
PART XI, LINE 2D - OTHER ADJUSTMENTS:ROUNDING ON AUDITED FINANCIAL STATEMENTS 1,630. LOSS ON DISPOSAL OF ASSET 2,265.
PART XI, LINE 4B - OTHER ADJUSTMENTS:REVENUES NETTED AGAINST EXPENSES ON FINANCIAL STATEMENTS 22,000. HARDSHIP DISCOUNTS 1,117,141.
PART XII, LINE 2D - OTHER ADJUSTMENTS:INCREASE IN OBLIGATION TO PROVIDE FUTURE SERVICES 666,000. ROUNDING ON AUDITED FINANCIAL STATEMENTS 757. LOSS ON DISPOSAL OF ASSET 2,265.
PART XII, LINE 4B - OTHER ADJUSTMENTS:REVENUES NETTED AGAINST EXPENSES ON FINANCIAL STATEMENTS 22,000. CONTRIBUTIONS TO LIFESPACE COMMUNITIES 56,342. HARDSHIP DISCOUNTS 1,117,141.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
LIFESPACE COMMUNITIES INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266421068850501(C)3$56,342$0N/AN/ACAPITAL CONTRIBUTION
ALZHEIMER'S ASSOCIATION
2630 WEST FREEWAYFORT WORTHTX76102133039601501(C)3$5,000$0N/AN/ATO FURTHER ORGANIZATIONAL MISSION
THE CLIBURN
201 MAIN STREET SUITE 100FORT WORTHTX76102751098332501(C)3$20,000$0N/AN/ATO FURTHER ORGANIZATIONAL MISSION
LIFESPACE FOUNDATION
4201 CORPORATE DRIVEWEST DES MOINESIA50266421370848501(C)3$18,900$0N/AN/ATRANSFER OF FOUNDATION FUNDS
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org3TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeHARDSHIP ASSISTANCE - REDUCTION OF FEESGrantTypeTxt
Recipient17RecipientCnt
Cash Grant$1,117,141CashGrantAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 2:THE ORGANIZATION CAN EASILY MONITOR THE USE OF THE GRANTS TO INDIVIDUALS BECAUSE THE GRANTS ARE SIMPLY REDUCTIONS OF THE MONTHLY FEES AND ENTRANCE FEES THAT THE RESIDENT WOULD OWE IF THE HARDSHIP ASSISTANCE WAS NOT GRANTED.
SCHEDULE I, PART IIIRESIDENTS DO FROM TIME TO TIME SEEK FINANCIAL ASSISTANCE BY REQUESTING ASSISTANCE WITH THE MONTHLY FEE. SINCE THESE RESIDENTS HAVE SIGNED A LIFE CARE CONTRACT, THE ORGANIZATION IS OBLIGATED TO LET THEM CONTINUE TO LIVE IN THE COMMUNITY. MANAGEMENT SHALL REVIEW CRITERIA TO DETERMINE WHETHER THE RESIDENT IS A CANDIDIATE TO RECEIVE A HARDSHIP DISCOUNT. IF THE RESIDENT QUALIFIES FOR A HARDSHIP DISCOUNT, THE DISCOUNT WILL BEGIN TO BE DEDUCTED FROM THE MONTHLY FEES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JESSE JANTZEN
PRESIDENT & CEO & DIRECTOR$0$648,173$0$216,143$0$47,172$0$7,810$0$8,047$0$927,345$0$0
NICK HARSHFIELD
SVP & CFO$0$377,264$0$58,079$0$27,590$0$5,940$0$9,713$0$478,586$0$0
EDDIE FENGLIO
COO & SECRETARY$0$425,000$0$150$0$29,467$0$1,804$0$8,676$0$465,097$0$0
SANDRA PARKER
GENERAL COUNSEL & SECRETARY (JUL-DEC$0$167,308$0$118,268$0$1,010$0$0$0$2,387$0$288,973$0$0
PAMELA HAMAN
EXECUTIVE DIRECTOR$192,361$0$19,891$0$7,031$0$6,579$0$2,713$0$228,575$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE J, PART IIFormAndLineReferenceDesc
ExplanationCOMPENSATION OF THE EXECUTIVE DIRECTOR THE EXECUTIVE DIRECTOR, AND ASSOCIATE EXECUTIVE DIRECTOR WAS PAID THROUGH A RELATED SUPPORTING ORGANIZATION. THE PAYROLL WAS PAID THROUGH A DIFFERENT RELATED NON-PROFIT ORGANIZATION, LIFESPACE COMMUNITIES, INC. (EIN: 42-1068850).ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1TARRANT CNTY CULTURAL EDU FACILITIES FINANCE CORPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN043833551BondIssuerEIN
CUSIP87638RDB0CUSIPNum
Bond Issued2020-01-03BondIssuedDt
Issue Price$112,261,464IssuePriceAmt
PurposeREFUND PRIOR ISSUE (11/12/09)PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$112,261,464TotalProceedsAmt
In Reserve Fund$7,504,402InReserveFundAmt
Other Spent Proceeds$112,261,464OtherSpentProceedsAmt
Substantial Completion2011SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00300PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00300TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 3FormAndLineReferenceDesc
ExplanationTHE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4 -12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1ATHE BYLAWS OF THE ORGANIZATION PROVIDE FOR AN EXECUTIVE COMMITTEE, BUT AT THIS TIME THE COMMITTEE IS NOT ACTIVE. IF THE COMMITTEE DOES COMMENCE MEETINGS, IT WILL CONTEMPORANEOUSLY DOCUMENT MEETINGS HELD AND WRITTEN ACTIONS UNDERTAKEN DURING THE YEAR CONSISTENT WITH EXISTING PRACTICES OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR OF THE BOARD, THE VICE CHAIR OF THE BOARD, THE IMMEDIATE PAST CHAIR OF THE BOARD, THE CHAIR OF THE GOVERNANCE AND NOMINATING COMMITTEE AND, AS AN EX-OFFICIO MEMBER, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. EXCEPT AS LIMITED HEREIN, AND EXCEPT FOR RESPONSIBILITIES DELEGATED TO ANOTHER COMMITTEE, THE EXECUTIVE COMMITTEE SHALL POSSESS AND MAY EXERCISE ALL OF THE POWERS OF THE BOARD OF DIRECTORS IN THE OVERSIGHT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, EXCEPT AS HEREIN PROVIDED. THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE POWERS OF THE BOARD OF DIRECTORS WITH RESPECT TO AUTHORIZING DISTRIBUTIONS; APPROVING DISSOLUTION, MERGER, OR THE SALE, PLEDGE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; ELECTING, APPOINTING, OR REMOVING DIRECTORS OR FILLING VACANCIES ON THE BOARD OF DIRECTORS OR ON ANY OF ITS COMMITTEES; OR ADOPTING, AMENDING, REPEALING THE ARTICLES OF INCORPORATION OR THE BYLAWS, OR THE APPOINTMENT OR REMOVAL OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. THE PRIMARY PURPOSE OF THE COMMITTEE IS TO ENABLE THE BOARD OF DIRECTORS TO ACT WHERE AN ASSEMBLY OF A QUORUM OF THE BOARD WOULD BE IMPRACTICABLE OR IMPOSSIBLE. THE COMMITTEE ALSO SHALL SERVE AS AN ADVISOR TO THE PRESIDENT AND CEO, PROVIDING CONSULTATION, SUPPORT AND GUIDANCE ON AN INFORMAL BASIS AS REQUESTED FROM TIME TO TIME, AND REVIEW AND APPROVE BOARD MEETING AGENDAS.
FORM 990, PART VI, SECTION A, LINE 6LIFESPACE COMMUNITIES, INC. IS THE SOLE MEMBER OF TARRANT COUNTY SENIOR LIVING, INC.
FORM 990, PART VI, SECTION A, LINE 7ALIFESPACE COMMUNITIES, INC. HAS THE AUTHORITY TO ELECT THE MEMBERS OF THE GOVERNING BODY OF TARRANT COUNTY SENIOR LIVNG CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7BTHE BOARD OF DIRECTORS OF LIFESPACE COMMUNITIES, INC. HAS RESERVED POWERS OVER CERTAIN GOVERNANCE DECISIONS.
FORM 990, PART VI, SECTION B, LINE 11BMANAGEMENT PERFORMS A THOROUGH REVIEW OF THE FORM 990. A COPY OF THE FORM 990 WILL BE DISTRIBUTED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING. MEMBERS OF THE BOARD OF DIRECTORS DIRECT ANY QUESTIONS OR CONCERNS TO THE CHIEF FINANCIAL OFFICER TO BE RESOLVED PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS OF TARRANT COUNTY SENIOR LIVING, INC. AND ALL RELATED ORGANIZATIONS MUST CONDUCT THEIR PERSONAL AFFAIRS IN SUCH A MANNER AS TO AVOID ANY POSSIBLE CONFLICTS OF INTEREST WITH DUTIES AND RESPONSIBILITIES AS OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS. ALL NEW BOARD MEMBERS AND OFFICERS ARE REQUIRED TO COMPLETE A CONFLICTS OF INTEREST STATEMENT. THIS IS REVIEWED BY THE GOVERNANCE & NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL. OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS ANNUALLY ARE REQUIRED TO COMPLETE A CONFLICTS OF INTEREST STATEMENT. THESE STATEMENTS ARE REVIEWED BY THE GOVERNANCE AND NOMINATING COMMITTEE TO DETERMINE IF ANY CONFLICTS OF INTEREST EXIST PRIOR TO REAPPOINTMENT TO THE BOARD AND OFFICER POSITIONS. ANY DIRECTORS HAVING A CONFLICT OF INTEREST SHALL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION.
FORM 990, PART VI, SECTION C, LINE 19REQUESTS FROM THIRD PARTIES FOR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE REFERRED TO THE CHIEF FINANCIAL OFFICER. ANNUAL RETURNS AND THE APPLICATION FOR EXEMPTION ARE MADE AVAILABLE FOR THE PUBLIC INSPECTION AND ARE PROVIDED TO INDIVIDUALS WHO REQUEST THEM. COPIES ARE PROVIDED WITHIN 30 DAYS OF A WRITTEN REQUEST OR THE SAME DAY IF REQUESTED IN PERSON.
FORM 990, PART XI, LINE 9:FUTURE SERVICE OBLIGATION -666,000. ROUNDING ON AUDITED FINANCIALS -102.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
LIFESPACE COMMUNITIES INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266421068850OPERATION OF RETIREMENT COMMUNITIESIA501(C)(3)LINE 10LIFESPACE INC0
THE LIFESPACE FOUNDATION
4201 CORPORATE DRIVEWEST DES MOINESIA50266421370848SUPPORT OF RETIREMENT COMMUNITIESIA501(C)(3)LINE 12A, ILIFESPACE INC0
LIFESPACE INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266273270337OWNERSHIP & ADMINISTRATION OF RETIREMENT COMMUNITY PROPERTYIA501(C)(3)LINE 12B, II0N/A
LIFESPACE MANAGEMENT INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266273271283MANAGEMENT OF RETIREMENT COMMUNITIESIA501(C)(3)LINE 12B, IILIFESPACE INC0
LIFESPACE SERVICES INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266273271147HEALTH SERVICES AND PROGRAMS FOR RETIREMENT COMMUNITIESIA501(C)(3)LINE 10LIFESPACE INC0
DEERFIELD RETIREMENT COMMUNITY INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266421508960OPERATION OF RETIREMENT COMMUNITIESIA501(C)(3)LINE 10LIFESPACE COMMUNITIES INC0
NORTHWEST SENIOR HOUSING CORPORATION
4201 CORPORATE DRIVEWEST DES MOINESIA50266752771278OPERATION OF RETIREMENT COMMUNITIESTX501(C)(3)LINE 10LIFESPACE COMMUNITIES INC0
SENIOR QUALITY LIFESTYLES CORPORATION
4201 CORPORATE DRIVEWEST DES MOINESIA50266364502669OPERATION OF RETIREMENT COMMUNITIESTX501(C)(3)LINE 10LIFESPACE COMMUNITIES INC0
BARTON CREEK SENIOR LIVING INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266201203479OPERATION OF RETIREMENT COMMUNITIESTX501(C)(3)LINE 10LIFESPACE COMMUNITIES INC0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
SENIORITY INC
15601 DALLAS PKWY STE 200ADDISONTX75001942287180RETIREMENT LIVINGTXSENIOR QUALITY LIFESTYLE CORPORATIONC0
PRAIRIE VIEW CLUB OF KANSAS
8101 MISSION ROADPRAIRIE VILLAGEKS66208481159378RESIDENT ENTERTAINMENT SERVICESKSLIFESPACE COMMUNITIES INCC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd