2020-08-14T13:58:24-05:00 2019-09-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2018-10-01 813784956 MIRABELLA AT ASU INC MIRA 8887246424 300 EAST UNIVERSITY DRIVE 6TH FLOOR TEMPE AZ 85281 DOUG WILSON TREASURER 8887246424 2020-08-11 1 KURT BENNION CPA P01469618 4252506100 2020-08-11 67.137.57.251 2020-08-11 14:27:17 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 CB8FE41F7A1541848066F2058C3AF12D9D3FCB15 2018 2020-09-23 17:36:50Z BRIAN MCLEMORE 1 WEST MAIN SUITE 303 MEDFORD OR 97501 3371550 0 X WWW.RETIREMENT.ORG X 2016 AZ DEVELOPMENT AND OPERATION OF A COMPREHENSIVE CONTINUING CARE RETIREMENT COMMUNITY FOR THE ELDERLY. 7 6 0 8 0 0 18427123 3371550 0 0 0 0 -163816 0 18263307 3371550 0 0 0 0 689839 341447 0 0 0 864893 780829 1554732 1122276 16708575 2249274 291994962 305622518 276825111 288203393 15169851 17419125 DEVELOPMENT AND OPERATION OF A COMPREHENSIVE CONTINUING CARE RETIREMENT COMMUNITY FOR THE ELDERLY. 0 0 286805 0 0 THE ORGANIZATION WILL DEVELOP AND OPERATE A COMPREHENSIVE CONTINUING CARE RETIREMENT COMMUNITY FOR THE ELDERLY. HOWEVER, NO ACTIVITIES WERE CONDUCTED BEFORE YEAR-END. 286805 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X JOSH BLACKSON 5418577205 1 WEST MAIN SUITE 303 MEDFORD OR 97501 X BRIAN MCLEMORE CHAIR 1.00 52.00 X X 0 657512 86777 DOUG WILSON TREASURER 1.00 4.00 X X 0 0 0 ED JOLLY SECRETARY 1.00 0.00 X X 0 0 0 GINNY DESANTO DIRECTOR 1.00 0.00 X 0 0 0 BILL LEEVER DIRECTOR (THROUGH 9/30/19) 1.00 0.00 X 0 0 0 RANDY LEVIN DIRECTOR 1.00 0.00 X 0 0 0 BOB MAYERS DIRECTOR 1.00 3.00 X 0 0 0 RICK SHANGRAW JR DIRECTOR 1.00 0.00 X 0 0 0 DIANE SCHWARTZ MARKETING AND SALES DIRECTOR 40.00 0.00 X 104582 0 17621 104582 657512 104398 1 0 1 0 MCCARTHY BUILDING COMPANIES INC 6225 N 24TH STREET SUITE 200 PHOENIX AZ 85016 CONSTRUCTION 24979341 ANKROM MOISAN ASSOC 38 NW DAVIS SUITE 300 PORTLAND OR 97209 ARCHITECTURAL SERVICES 1305116 2 3371550 3371550 3371550 0 0 0 275108 275108 11816 11816 33926 33926 20597 20597 1356 1356 354054 354054 105063 8275 96788 23516 23516 14568 349 14219 390 390 667 667 206176 206176 516 516 PROGRAM FUND EXPENSES 70822 70822 OTHER FACILITY SERVICES 3701 3701 1122276 286805 835471 0 1399429 221155316 139523683 39941 23937 16750 22692 142813614 460592 46943928 142353022 23839027 22299755 291994962 305622518 11701355 23296746 247592270 247955339 16882501 15414052 648985 1537256 276825111 288203393 X 8213324 10533421 6956527 6885704 15169851 17419125 291994962 305622518 2249274 0 X 0 1 X 1 0 X 18427123 3371550 21798673 18427123 3371550 21798673 0 0 0 21798673 18427123 3371550 21798673 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 758467 410638 347829 50000 49954 46 142005147 142005147 142353022 PREPAID LAND LEASE 6885703 RESTRICTED DEPOSITS 15414052 22299755 DUE TO AFFILIATES 240086 ACCRUED INTEREST 1297170 1537256 X 70823 70823 70823 0 3371550 3371550 3371550 1122276 0 1122276 0 1122276 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, 2019 AND 2018, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS 70,823. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS FROM AFFILIATES 3,371,550. 0 0 0 0 0 0 0 1 0 BRIAN MCLEMORE CHAIR 0 567312 0 90200 0 0 0 66052 0 20725 0 744289 0 0 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. A THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF TEMPE ARIZONA 860439481 87972MAY8 2017-12-22 251534712 REFUND A LOAN AND FINANCE FACILITY IMPROVEMENTS 0 0 0 A 252099339 12890259 11180056 3835246 94134867 7250000 122808911 1 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 1 0 0 0 0 0 1 A 1 PART II, LINE 3: THE DIFFERENCE BETWEEN PART I, COLUMN E AND PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART III, LINE 2, 3(A) AND 3(C): AS THE PROJECT HAS NOT BEEN COMPLETED, NO LEASES, MANAGEMENT CONTRACTS, OR RESEARCH CONTRACTS HAVE BEEN ENTERED INTO WITH RESPECT TO THE CAPITAL PROJECT. PART IV, LINE 2(A), AND 2(C): THE 5TH BOND YEAR HAS NOT OCCURRED, THUS NO REBATE CALCULATION COULD BE DUE. PART IV, LINE 2(B): THE PORTION OF THE BONDS USED TO CURRENT REFUND A PRIOR LOAN HAS MET THE SIX-MONTH EXCEPTION TO THE REBATE REQUIREMENT. FORM 990, PART VI, SECTION A, LINE 3 MIRABELLA AT ASU, INC. DELEGATES MANAGEMENT DUTIES TO PACIFIC RETIREMENT SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO MEMBERS: MIRABELLA ASU TEMPE LLC AND PACIFIC RETIREMENT SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A THREE DIRECTORS ARE ELECTED BY MIRABELLA ASU TEMPE LLC AND FOUR DIRECTORS ARE ELECTED BY PACIFIC RETIREMENT SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS MAY NOT BE TAKEN BY MIRABELLA AT ASU, INC. ("THE ORGANIZATION") WITHOUT THE APPROVAL OF BOTH MEMBERS: (1) THE MERGER OF THE ORGANIZATION WITH OR INTO ANY OTHER ENTITY, INCLUDING ANY APPROVAL OF A PLAN OF MERGER; (2) ANY ADOPTION, AMENDMENT OR RESTATEMENT OF THE ARTICLES OR BYLAWS; (3) THE ADMISSION OF ANY ADDITIONAL MEMBERS TO THE ORGANIZATION; (4) THE TRANSFER OF ANY MEMBER'S MEMBERSHIP INTEREST IN THE ORGANIZATION; (5) THE SALE, TRANSFER OR CONVEYANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION, OR ANY SIMILAR TRANSACTION; (6) ANY DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION, WHETHER SUCH PROCEEDINGS ARE JUDICIAL OR OTHERWISE, PROVIDED, HOWEVER, THAT A DISSOLUTION OF THE ORGANIZATION FOLLOWING THE SALE, TRANSER OR CONVEYANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION (SO LONG AS SUCH SALE, TRANSFER OR CONVEYANCE WAS UNANIMOUSLY APPROVED BY THE MEMBERS) SHALL NOT REQUIRE ANY SEPARATE APPROVAL OF THE MEMBERS; (7) ANY ACTION WHICH WOULD RESULT IN, OR WOULD BE LIKELY TO RESULT IN, THE ORGANIZATION FAILING TO QUALIFY OR BE TREATED AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986 (AS THE SAME MAY BE AMENDED OR REPLACED FROM TIME TO TIME, "THE CODE"), A PUBLIC CHARITY UNDER SECTION 509(A)(1) OR (2)OF THE CODE, OR A SUPPORTED ORGANIZATION OF PRS; OR (8) ENGAGE IN ANY BUSINESS UNRELATED TO THE ORGANIZATION'S PRIMARY PURPOSE, WHICH IS THE DEVELOPMENT AND OPERATION OF A CONTINUING CARE RETIREMENT COMMUNITY FOR THE ELDERLY IN TEMPE, ARIZONA. THE FOLLOWING ACTIONS MAY NOT BE TAKEN BY THE ORGANIZATION WITHOUT THE APPROVAL OF PACIFIC RETIREMENT SERVICES, INC.: (1) APPROVAL OF THE ORGANIZATION'S STRATEGIC PLAN; (2) APPROVAL OF THE POLICIES REGARDING, AND MONITORING PROGRESS TOWARD, THE ORGANIZATION'S STRATEGIC GOALS; AND (3) APPROVAL OF THE OPERATING AND CAPITAL BUDGETS AND FACILITY PLANNING WITH RESPECT TO THE ORGANIZATION'S CONTINUING CARE RETIREMENT COMMUNITY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE CFO, VP OF ACCOUNTING, AND CONTROLLER OF PACIFIC RETIREMENT SERVICES, INC., THE ORGANIZATION'S GENERAL COUNSEL, 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 15 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 DIANE SCHWARTZ IS A LEASED EMPLOYEE OF PACIFIC RETIREMENT SERVICES, INC. AND PERFORMS SERVICES ON BEHALF OF MIRABELLA AT ASU, INC. PURSUANT TO A MANAGEMENT SERVICES AGREEMENT BETWEEN MIRABELLA AT ASU, INC. AND PACIFIC RETIREMENT SERVICES, INC. UNDER THE MANAGEMENT SERVICES AGREEMENT, HER COMPENSATION IS REIMBURSED BY MIRABELLA AT ASU, INC. COMPENSATION HAS BEEN REPORTED IN FORM 990, PART VII, SECTION A IN ORDER TO HIGHLIGHT AMOUNTS PAID BY MIRABELLA AT ASU, INC., NOTWITHSTANDING THAT SHE IS A LEASED EMPLOYEE OF PACIFIC RETIREMENT SERVICES, INC. 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 TRINITY TERRACE FOUNDATION INC 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 912162130 PUBLIC FOUNDATION TX 501(C)(3) LINE 7 THE CUMBERLAND REST INC 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 383781089 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 CAPITOL LAKES INC 0 MIRABELLA 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 342030255 SENIOR HOUSING WA 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 MIRABELLA PORTLAND FOUNDATION INC 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 452508860 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 MIRABELLA AT SOUTH WATERFRONT 0 MIRABELLA AT SOUTH WATERFRONT 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 711016384 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 COMMUNITY VOLUNTEER NETWORK 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 930892261 COMMUNITY SERVICES OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 930864466 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM ASHLAND HOUSING CORPORATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 930942933 SENIOR HOUSING OR 501(C)(3) LINE 10 PACIFIC RETIREMENT SERVICES INC 0 RVM GRANTS PASS HOUSING CORPORATION 1 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 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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 BAY AREA SENIOR SERVICES INC 1 BALDWIN AVENUE SAN MATEO CA 94401 943008774 SENIOR HOUSING CA 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 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0