2021-11-15T10:50:23-06:00 2021-06-30 410746749 CLIFTONLARSONALLEN LLP 1301 WEST 22ND STREET SUITE 1100 OAK BROOK IL 60523 990 2020-07-01 364335178 WASHINGTON AND JANE SMITH HOME WASH 7734747300 2320 WEST 113TH PLACE NO 1335 CHICAGO IL 60643 RAY MARNERIS CFO 7734747350 2021-11-12 1 RAY MARNERIS 999009999 CHRIS MANDERFIELD P01238973 6305738600 2021-11-12 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z SMITH SENIOR LIVING KEVIN MCGEE 2320 WEST 113TH PLACE NO 1335 CHICAGO IL 60643 15148251 0 X WWW.SMITHSENIORLIVING.ORG X 1999 IL TO ENRICH THE LIVES OF SENIOR ADULTS BY OFFERING THOUGHTFUL INNOVATIONS IN SERVICES FOR A VARIETY OF LIFESTYLES. 14 14 127 0 0 0 1392 1156874 8443957 8553101 2111156 2267055 1277 23280 10557782 12000310 6580805 607015 0 0 7326872 7411069 0 0 5729 1268047 1302965 15175724 9321049 -4617942 2679261 43299259 53153126 1998397 929912 41300862 52223214 X THE MISSION OF WASHINGTON AND JANE SMITH HOME IS TO ENRICH THE LIVES OF SENIOR ADULTS THROUGH THE HIGHEST QUALITY OF SERVICES. THE ORGANIZATION'S CHARITABLE PURPOSE IS TO PROVIDE MANAGEMENT, PLANNING, FINANCIAL AND ADMINISTRATIVE SERVICES (SEE SCHEDULE O) EXCLUSIVELY TO ITS RELATED CCRC ORGANIZATIONAL AFFILIATES. 0 0 3859809 607015 3669084 WASHINGTON AND JANE SMITH HOME PROVIDES PLANNING, FINANCIAL AND ADMINISTRATIVE SERVICES EXCLUSIVELY TO ITS RELATED CONTINUING CARE RETIREMENT COMMUNITY ORGANIZATIONAL AFFILIATES. 5137897 4884017 WASHINGTON AND JANE SMITH HOME IS THE SOLE MEMBER OF SMITH CARES, LLC, A STAFFING HOLDING COMPANY. SMITH CARES PROVIDES PROFESSIONAL STAFF TO THE AFFILIATED COMPANIES OF WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY AND WASHINGTON AND JANE SMITH COMMUNITY - ORLAND PARK WHEN THE INDIVIDUALS ARE SHARED BETWEEN THE TWO AFFILIATE ORGANIZATIONS. 8997706 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 26 0 1 127 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X X RAY MARNERIS 7734747350 2320 WEST 113TH PLACE CHICAGO IL 60643 HUGH J AHERN TRUSTEE 2.00 1.00 X 0 0 0 ANDREW J ANELLO TRUSTEE 2.00 2.00 X 0 0 0 ANN HASKINS TRUSTEE 1.00 1.00 X 0 0 0 THOMAS L HOGAN VICE BOARD CHAIR 2.00 2.00 X X 0 0 0 ALICE E KEANE TRUSTEE 1.00 1.00 X 0 0 0 KEVIN A LANE TRUSTEE 1.00 1.00 X 0 0 0 JOHN E LEAHY TRUSTEE 1.00 1.00 X 0 0 0 JUDITH K LEWIS TRUSTEE 1.00 1.00 X 0 0 0 GEORGE E PETRAITIS TRUSTEE 1.00 1.00 X 0 0 0 BRIAN PIEJKO TRUSTEE 1.00 1.00 X 0 0 0 MONICA RYAN TRUSTEE 1.00 1.00 X 0 0 0 ANNE Z SCHAIBLE TRUSTEE 1.00 1.00 X 0 0 0 MICHAEL P STANTON TRUSTEE 1.00 1.00 X 0 0 0 KAY E THURN BOARD CHAIR 3.00 2.00 X X 0 0 0 MCGEE KEVIN PRESIDENT/CEO 37.50 24.00 X 215058 0 38835 MARNERIS RAYMOND TREASURER/CFO 37.50 24.00 X 196386 0 38775 SCHMITT JAMES CHIEF INFORMATION OFFICER 37.50 24.00 X 172598 0 34561 RAMIREZ YAHAIRA DIRECTOR OF CLINICAL OPERATIONS 37.50 24.00 X 126000 0 20036 AUGUST CHRISTOPHER CORPORATE ENVIRONMENTAL & SAFETY DIRECTOR 37.50 24.00 X 105015 0 5526 815057 0 137733 5 0 1 0 SHEILA KING PO BOX 10425 CHICAGO IL 60610 PUBLIC RELATIONS 107010 CLIFTON LARSON ALLEN LLP PO BOX 775967 CHICAGO IL 60677 AUDIT, COST REPORTS AND TAX FILINGS 103491 2 1152700 4174 1156874 AGENCY FEE 623000 4884017 4884017 CONSULTING FEE 541610 3669084 3669084 8553101 869065 869065 4545931 3147941 1397990 1397990 1397990 MISCELLANEOUS 623990 23280 23280 23280 12000310 8553101 0 2290335 607015 607015 6105047 6105047 163821 163821 686588 686588 455613 455613 106299 25712 80587 75814 75814 119649 119649 110855 110855 413340 327462 82601 3277 216608 214156 2452 136668 136668 3115 3115 1956 -312 2268 32195 32195 83785 7441 76344 TAXES AND FEES 2681 2681 9321049 8997706 317614 5729 1733982 1303745 50382 78146 718153 602188 139085 115965 40379549 50496748 996261 1158522 43299259 53153126 733874 818126 1152700 0 111823 111786 1998397 929912 X 27488901 34586408 13811961 17636806 41300862 52223214 43299259 53153126 2679261 8243091 0 X 0 1 X 1 0 X X 2 WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY 362167948 10 1 607015 0 WASHINGTON AND JANE SMITH COMMUNITY - ORLAND PARK 364333423 10 1 0 0 2 607015 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X 1 0 FORM 990, SCHEDULE A, PART IV, SECTION E, LINE 3A THE BOARD OF TRUSTEES OF WASHINGTON AND JANE SMITH HOME APPOINT THE BOARD OF TRUSTEES AND THE OFFICERS OF WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY AND WASHINGTON AND JANE SMITH COMMUNITY - ORLAND PARK. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13811961 4431860 607015 17636806 14582817 -340565 430291 13811961 14068499 1006318 492000 14582817 13122478 946021 14068499 11568100 1554378 13122478 0.05000 0.95000 0 0 564609 488982 75627 153544 113206 40338 115965 CHARITABLE GIFT ANNUITY 111786 111786 X 20243401 8243091 8243091 12000310 0 12000310 9321049 0 9321049 0 9321049 PART V, LINE 4: THE EARNINGS ON THE ASSETS OF THE ENDOWMENT FUND HAVE BEEN DESIGNATED TO SUPPORT THE CHARITABLE CARE ACTIVITIES OF WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY PART X, LINE 2: THE ORGANIZATIONS THAT MAKE UP WASHINGTON AND JANE SMITH HOME QUALIFY AS TAX-EXEMPT CORPORATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL OPEN YEARS COULD BE SUBJECT TO REVIEW BY THE INTERNAL REVENUE SERVICE (IRS). 1 WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY 2320 WEST 113TH PLACE CHICAGO IL 60643 362167948 501(C)(3) 607015 FMV CHARITABLE CARE ACTIVITIES X X X X 0 0 0 0 0 0 0 0 0 MCGEE KEVIN PRESIDENT/CEO 210058 0 5000 0 0 0 8564 0 30271 0 253893 0 0 0 MARNERIS RAYMOND TREASURER/CFO 191386 0 5000 0 0 0 8066 0 30709 0 235161 0 0 0 SCHMITT JAMES CHIEF INFORMATION OFFICER 153348 0 19250 0 0 0 7020 0 27541 0 207159 0 0 0 PART I, LINE 3 THE COMPENSATION COMMITTEE OF WASHINGTON AND JANE SMITH HOME EVALUATES AND ESTABLISHES COMPENSATION AND REVIEWS PROTOCOL FOR THE ORGANIZATION'S CEO AND CFO. ANNUAL COMPENSATION COMPARISONS TO INDUSTRY PROFESSIONALS ARE GATHERED AND REVIEWED ON AN ANNUAL BASIS. DECISIONS ARE DOCUMENTED IN THE COMPENSATION COMMITTEE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S INTERNAL MANAGEMENT AND THE FINANCE COMMITTEE REVIEWS THE RETURN WITH ITS PAID TAX PREPARER. AFTER REVIEW, COPIES OF THE FULL FORM 990 ARE MADE AVAILABLE TO ALL TRUSTEES PRIOR TO FILING THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY ALL TRUSTEES, CORPORATE OFFICERS, EXECUTIVE AND KEY PERSONNAL ARE REQUIRED TO COMPLETE A DISCLOSURE FOR CONFLICTS OF INTEREST. THE DISCLOSURES ARE SUMMARIZED BY THE CFO AND REVIEWED BY THE GOVERNANCE COMMITTEE WHO DETERMINES IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS. IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS THE TRUSTEE IS REQUIRED TO RECUSE THEMSELVES FROM ANY VOTING, DELIBERATION, OR DECISION ON THE TRANSACTION AT THE BOARD LEVEL. FURTHERMORE, ALL VENDOR PAYMENT ACTIVITY IS REVIEWED BY THE CFO FOR VENDORS THAT MAY BE RELATED TO THE FILING ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF WASHINGTON AND JANE SMITH HOME EVALUATES AND ESTABLISHES COMPENSATION AND REVIEWS PROTOCOL FOR THE ORGANIZATION'S CEO AND CFO. ANNUAL COMPENSATION COMPARISONS TO INDUSTRY PROFESSIONALS ARE GATHERED AND REVIEWED ON AN ANNUAL BASIS. DECISIONS ARE DOCUMENTED IN THE COMPENSATION COMMITTEE MEETING MINUTES. THE LAST COMPENSATION REVIEW WAS COMPLETED IN OCTOBER 2020. THE CEO OF WASHINGTON AND JANE SMITH HOME DETERMINES THE ANNUAL COMPENSATION OF ALL OTHER OFFICERS, WITH THE EXCEPTION OF THE CFO, BY COMPARING THE COMPENSATION OF EACH OFFICER AND KEY EMPLOYEES TO PROFESSIONALS PERFORMING SIMILAR SERVICES IN SIMILAR INDUSTRIES ON AN ANNUAL BASIS. THE LAST COMPENSATION REVIEW WAS COMPLETED IN JULY 2020. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. SMITH CARES LLC 2320 WEST 113TH PLACE CHICAGO IL 60643 262018889 STAFFING IL 448727 WASHINGTON AND JANE SMITH HOME WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY 2320 WEST 113TH PLACE CHICAGO IL 60643 362167948 LIFE PLAN COMMUNITY IL 501(C)(3) LINE 11 WASHINGTON AND JANE SMITH HOME 1 WASHINGTON AND JANE SMITH HOME - ORLAND PARK 10501 EMILIE LANE ORLAND PARK IL 60467 364333423 LIFE PLAN COMMUNITY IL 501(C)(3) LINE 11 WASHINGTON AND JANE SMITH HOME 1 0 1 0 1 1 0 0 0 0 0 1 1 0 0 0 0 0 1 0 WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY E 1508396 COST WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY L 4173286 COST WASHINGTON AND JANE SMITH COMMUNITY - ORLAND PARK L 4379815 COST WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY K 136668 COST WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY B 607015 COST WASHINGTON AND JANE SMITH COMMUNITY - ORLAND PARK E 1137228 COST