2019-09-13T20:25:00-05:00 2018-10-31 410746749 CLIFTONLARSONALLEN LLP 20 E THOMAS RD 2300 PHOENIX AZ 85012 990 2017-11-01 860521061 ARIZONA RETIREMENT CENTERS INC ARIZ 6239720212 17300 NORTH 88TH AVENUE PEORIA AZ 85382 KATHLEEN CROWLEY PRESIDENT 6239720212 2019-09-10 1 CHAD KUNZE P00639380 6022662248 67.137.57.251 2019-09-10 19:03:55 PD P 9B7B25719712F3A4E72003CF91A8812A4961FDDA CB8FE41F7A1541848066F2058C3AF12D9D3FCB15 2017 2019-02-21 02:37:17Z SIERRA WINDS SHANNON BROWN 17300 NORTH 88TH AVENUE PEORIA AZ 85382 26083406 0 X WWW.SIERRAWINDS.COM X 1984 AZ OPERATE AND MAINTAIN A LIFE CARE RETIREMENT CENTER. 9 9 307 77 0 0 41380 69441 13017310 13777580 117316 157206 10265 116687 13186271 14120914 0 0 0 0 6606701 6685824 0 0 0 7106800 7920210 13713501 14606034 -527230 -485120 36521772 33026461 58782787 55832248 -22261015 -22805787 X THE MISSION OF SIERRA WINDS IS TO PROVIDE THE FACILITIES, PROGRAMS AND SERVICES WHICH WILL PROMOTE THE HIGHEST DEGREE OF COMFORT, SECURITY, INDEPENDENCE, AND LIFE SATISFACTION FOR ITS RESIDENTS. SIERRA WINDS IS COMMITTED TO THE BELIEF THAT THE RETIREMENT YEARS CAN BE THE MOST FULFILLING YEARS OF LIFE; THEREFORE, ALL GOALS AND OBJECTIVES ARE DEDICATED TO ENHANCE THE QUALITY OF LIFE DURING THESE YEARS. 0 0 10462914 0 13777580 THE ORGANIZATION PROVIDES SERVICES FOR 240 APARTMENT RESIDENTS AND 70SKILLED NURSING CARE RESIDENTS. 10462914 1 1 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 44 0 307 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 1 1 0 0 0 AZ X ROBERT PLOHAL 6239720212 17300 NORTH 88TH AVENUE PEORIA AZ 85382 X KATHLEEN CROWLEY PRESIDENT 4.00 0.50 X X 0 0 0 RITA DANINGER VICE PRESIDENT 2.00 0.00 X X 0 0 0 TERI SELLERS SECRETARY 1.00 0.00 X X 0 0 0 LAURIE FOX DIRECTOR 1.00 0.00 X 0 0 0 VICKI FRYE DIRECTOR (THROUGH AUG 2018) 1.00 0.00 X 0 0 0 WANDA PERDUE DIRECTOR 1.00 0.00 X 0 0 0 PAM PRINE DIRECTOR 1.00 0.00 X 0 0 0 NEIL TERRY DIRECTOR 1.00 0.00 X 0 0 0 SEAN THOMPSON DIRECTOR 1.00 0.00 X 0 0 0 SHELLEIGH WOLFE-PETERSON DIRECTOR 4.00 0.50 X 0 0 0 SHANNON BROWN EXECUTIVE DIRECTOR 40.00 0.00 X 0 0 0 0 0 0 0 0 0 0 LIFE CARE SERVICES LLC 400 LOCUST STREET STE 820 DES MOINES IA 50309 MANAGEMENT SERVICES 883742 QUALITY CARE REHAB 8477 S SUNCOAST BLVD HOMOSASSA FL 34446 THERAPY SERVICES 393706 ALLEN CONTRACTING LLC 1110 W MONTE CRISTO AVENUE PHEONIX AZ 85023 GENERAL CONTRACTOR 205958 GUARDIAN PHARMACY OF ARIZONA 2401 W BEHREND DRIVE 17 PHEONIX AZ 85027 PHARMACY SERVICES 151212 ORCUTT WINSLOW PARTNERSHIP 3003 N CENTRAL AVENUE 16TH FLOOR PHEONIX AZ 85012 ARCHITECTURAL SERVICES 149282 5 66259 3182 69441 RETIREMENT CENTER 623000 7930849 7930849 HEATHCARE CENTER 621400 3763252 3763252 RESIDENT ENTRANCE FEES 900099 2083479 2083479 13777580 179577 179577 4832 0 4832 4832 4832 11940121 11962492 -22371 -22371 -22371 CHANGE IN INTEREST IN FOUNDATION 900099 97780 97780 MISCELLANEOUS INCOME 900099 14075 14075 111855 14120914 13777580 0 273893 5654416 4677726 976690 604891 515484 89407 426517 384373 42144 497151 497151 30147 30147 59414 59414 22957 22957 98727 36554 62173 155393 1148 154245 167281 114635 52646 98676 98676 877374 831489 45885 65276 45138 20138 1385 1122 263 1721230 1721230 1472607 1472607 220160 220160 FOOD 1255444 1255444 MEDICAL SUPPLIES 1096162 1096162 MISCELLANEOUS 80826 31032 49794 14606034 10462914 4143120 0 254093 46912 373399 361354 141000 146916 138347 170901 172345 41438767 20609182 21065571 20829585 12990449 10000694 1379443 1477224 36521772 33026461 2324422 1629684 24380834 22848335 31157843 30489024 43000 14890 876688 850315 58782787 55832248 X -23640459 -24283011 1379444 1477224 -22261015 -22805787 36521772 33026461 -485120 -59652 0 X 0 1 X 0 0 X 39516 32355 50515 41380 19783 183549 11952487 12155043 12074161 13017310 13777580 62976581 11992003 12187398 12124676 13058690 13797363 63160130 0 535094 528692 29651 7434 1100871 535094 528692 29651 7434 1100871 62059259 259236 317840 184764 144449 184849 1091138 259236 317840 184764 144449 184849 1091138 8133 1257 19391 5 111855 140641 12259372 12506495 12328831 13203144 14094067 64391909 0.96380 0.94900 0.01690 0.01970 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: VENDING MACHINE REVENUE MISCELLANEOUS REVENUE REBATES CHANGE IN INTEREST IN FOUNDATION 0 1 X 4446473 4446473 30792119 15969509 14822610 1457867 621553 836314 4742308 4018120 724188 20829585 WAIT LIST 3000 ACCRUED INTEREST 847315 850315 X 13777580 -59652 82023 22371 13755209 365705 365705 14120914 14513462 0 14513462 92572 92572 14606034 PART IV, LINE 2B: THE ORGANIZATION HOLDS DEPOSITS IN TRUST ON BEHALF OF ITS RESIDENTS. PART X, LINE 2: ARIZONA RETIREMENT CENTERS, INC. (DBA: SIERRA WINDS) IS ORGANIZED AS AN ARIZONA NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 50L(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 50L(C)(3) AND HAS BEEN DETERMINED NOT TO BE A PRIVATE FOUNDATION UNDER SECTION 509(A)(L). ACCORDINGLY, CONTRIBUTIONS TO IT QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A). THE ORGANIZATION IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE ORGANIZATION IS GENERALLY SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. MANAGEMENT HAS DETERMINED THE ORGANIZATION HAS NO TAXABLE UNRELATED BUSINESS INCOME AND HAS NOT FILED THE EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (IRS FORM 990-T) OR ITS ARIZONA EQUIVALENT (FORM 99-T). PART XI, LINE 2D - OTHER ADJUSTMENTS: REALIZED AND UNREALIZED LOSSES ON INVESTMENTS 82,023. PART XI, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 97,780. INTEREST & DIVIDEND INCOME 179,577. OTHER INCOME 88,348. PART XII, LINE 4B - OTHER ADJUSTMENTS: OTHER EXPENSES 92,572. A THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF PEORIA ARIZONA 521767454 71284MCA5 2014-11-18 32958450 REFINANCING SENIOR LIVING PROJECT BONDS ISSUED 8/18/1999 0 0 0 A 1893450 32958450 2428550 656000 5900090 23973809 2017 1 0 1 1 A 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS A MANAGEMENT AGREEMENT WITH LIFE CARE SERVICES CORPORATION TO PROVIDE MANAGEMENT SERVICES RELATED TO THE OPERATION OF THE ORGANIZATION. THIS INCLUDES MANAGEMENT FEES, MARKETING FEES, AND REIMBURSEMENT OF THE COMPENSATION AND RELATED COSTS FOR SPECIFIED EMPLOYEES. THE POSITION OF EXECUTIVE DIRECTOR, WHICH REPRESENTS THE TOP MANAGEMENT AND TOP FINANCIAL OFFICIAL, IS COMPENSATED BY THE MANAGEMENT COMPANY. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS REVIEWED BY THE EXECUTIVE DIRECTOR, ACCOUNTING DIRECTOR AND BOARD PRESIDENT PRIOR TO THE RETURN BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS ONLY THE MEMBERS OF THE BOARD OF DIRECTORS. ANY DIRECTOR WITH A CONFLICT IS ASKED TO RESIGN FROM THE BOARD OF DIRECTORS OR DISCONTINUE THE CONFLICT. THE ORGANIZATION ALSO HAS A CORPORATE COMPLIANCE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. SIERRA WINDS CHARITABLE FOUNDATION 17300 N 88TH AVE PL 2 PEORIA AZ 85382 860908834 SUPPORTING ORGANIZATION AZ 501(C)(3) LINE 12A, I ARIZONA RETIREMENT CENTERS INC 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 SIERRA WINDS CHARITABLE FOUNDATION C 66259 CASH