2018-11-15T15:20:36-06:00 2017-12-31 751044330 LANE GORMAN TRUBITT LLC 2626 HOWELL ST SUITE 700 DALLAS TX 75204 990 2017-01-01 300097872 BUCKINGHAM SENIOR LIVING COMMUNITY INC BUCK 4694205450 15601 DALLAS PARKWAY NO 200 ADDISON TX 75001 SCOTT COLLIER CHAIRMAN 4694205450 2018-11-13 1 JAMES A YOUNGBLOOD CPA P00047431 2148717500 74.202.44.50 2018-11-13 08:56:12 CS P DAC6BC04A5BBF53FEE3A4D4D05270D521B99A8DC 4E957E137C0DA7269A9962E60BC4734AB919DB11 2017 2019-02-21 02:37:17Z THE BUCKINGHAM JOE ANDERSON 15601 DALLAS PARKWAY NO 200 ADDISON TX 75001 146002314 0 X HTTP://WWW.BUCKINGHAMHOUSTON.COM/ X 2002 TX TO PROVIDE QUALITY RESIDENTIAL HOUSING FOR SENIOR CITIZENS ALONG WITH PERSONAL SERVICES, ASSISTED LIVING AND NURSING SERVICES. 4 3 457 0 0 0 1000 0 22537553 21479265 458664 916293 257335 194700 23254552 22590258 10795 269 0 0 10889920 11831120 0 0 0 15238040 19340305 26138755 31171694 -2884203 -8581436 246133027 277565957 306969125 346825252 -60836098 -69259295 TO PROVIDE QUALITY RESIDENTIAL HOUSING FOR SENIOR CITIZENS ALONG WITH PERSONAL SERVICES, ASSISTED LIVING AND NURSING SERVICES. 0 0 25976618 269 21673965 NURSING AND RETIREMENT FACILITY WITH SERVICES RANGING FROMINDIVIDUAL RETIREMENT LIVING TO 24-HOUR SKILLED NURSINGCARE. 25976618 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 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 X 81 0 1 457 1 0 0 0 0 0 0 0 0 X 4 3 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 0 X X ABBY NICHOLSON 7139793080 8580 WOODWAY HOUSTON TX 77063 X JAN VAN SANT DIRECTOR 1.00 3.00 X 0 44000 0 DAVID GOBBLE SECRETARY/TREASURER 1.00 3.00 X X 0 36000 0 SCOTT COLLIER CHAIR 1.00 4.00 X X 0 76000 0 JULIE FENSKE EXECUTIVE DIRECTOR 40.00 X 0 128943 3386 STAN WATERHOUSE PRESIDENT & CEO (UNTIL 6/30/17) 1.00 45.00 X 0 499832 3639 JOE ANDERSON PRESIDENT & CEO (FROM 7/1/2017) 1.00 46.00 X 0 77500 0 PHILIP JACOB ASSISTANT EXECUTIVE DIRECTOR 40.00 X 133683 0 222 DARRELL SHEAFFER EXECUTIVE DIRECTOR 40.00 X 156125 0 0 LEANNA MOUHOT DIRECTOR OF NURSING 40.00 X 115296 0 1065 CATHERINE SCHEMPF DIRECTOR OF SALES & MARKET 40.00 X 147065 0 3325 552169 862275 11637 4 0 1 0 SENIOR QUALITY LIFESTYLES CORP 15601 DALLAS PARKWAY SUITE 200 ADDISON TX 75001 MANAGEMENT SERVICES 1001257 SENIORITY INC 15601 DALLAS PARKWAY SUITE 200 ADDISON TX 75001 MANAGEMENT SERVICES 843545 TEXAS CONTRACT CONSTRUCTION INC 7915 MASTERS RD MANVEL TX 77578 CONSTRUCTION SERVICES 681933 MAINTENANCE SOURCE INC 7915 MASTERS RD MANVEL TX 77578 CONSTRUCTION SERVICES 602985 GREYSTONE MANAGEMENT SERVICES COMPANY 225 E JOHN CARPENTER FREEWAY STE IRVING TX 75062 MANAGEMENT SERVICES 514414 19 RESIDENT SERVICES 623000 21479265 21479265 21479265 383796 383796 118477 118477 123826076 123412056 414020 414020 414020 MEAL REVENUE 531110 80235 80235 ACCOMODATION 721000 52788 52788 MISCELLANEOUS RENTALS 900099 17088 17088 44589 44589 194700 22590258 21673965 0 916293 269 269 422358 380122 42236 9168479 8251631 916848 1455861 1310275 145586 784422 705980 78442 2556676 2556676 144468 130021 14447 93527 84174 9353 1292828 1163545 129283 323678 291310 32368 390549 351494 39055 221291 199162 22129 2458839 2212955 245884 211922 190730 21192 14474 14474 4150481 3735433 415048 3538269 3179442 358827 112160 100944 11216 DINING 2060783 2060783 NURSING AND ASSISTED LI 647826 647826 REPAIRS & MAINTENANCE 507078 507078 OTHER 295654 295654 319802 177790 142012 31171694 25976618 5195076 0 1052133 0 23880056 45072380 2273286 5477484 47100 64258 177653 196357 221833186 33727463 150750777 188105723 58261180 21413702 11212724 9690842 6023329 246133027 277565957 17595933 14146598 5594627 8279188 186316423 184928445 483767 0 96978375 139471021 306969125 346825252 X -60836098 -69259295 -60836098 -69259295 246133027 277565957 -8581436 158239 0 X X 0 0 0 X 1776 0 50 1000 0 2826 21385087 21947683 22443951 22537553 21479265 109793539 21386863 21947683 22444001 22538553 21479265 109796365 0 0 0 109796365 746607 672088 413978 649799 502273 2984745 746607 672088 413978 649799 502273 2984745 212964 211662 227118 257335 194700 1103779 22346434 22831433 23085097 23445687 22176238 113884889 0.96410 0.96270 0.02620 0.02780 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: ADMINISTRATIVE FEES - 2013 AMOUNT: $ 29,000. 2014 AMOUNT: $ 26,356. 2015 AMOUNT: $ 15,100. 2016 AMOUNT: $ 18,000. 2017 AMOUNT: $ 14,766. GUEST RENTAL FEES - 2013 AMOUNT: $ 38,550. 2014 AMOUNT: $ 43,951. 2015 AMOUNT: $ 28,362. 2016 AMOUNT: $ 34,929. 2017 AMOUNT: $ 52,788. MISCELLANEOUS FEES - 2013 AMOUNT: $ 10,667. 2014 AMOUNT: $ 11,681. 2015 AMOUNT: $ 53,536. 2016 AMOUNT: $ 23,522. 2017 AMOUNT: $ 14,250. BEAUTY/BARBER SHOP FEES - 2013 AMOUNT: $ 21,000. 2014 AMOUNT: $ 21,000. 2015 AMOUNT: $ 21,000. 2016 AMOUNT: $ 21,000. 2017 AMOUNT: $ 5,877. OFFICE SPACE FEES - 2013 AMOUNT: $ 6,640. 2014 AMOUNT: $ 5,640. 2015 AMOUNT: $ 5,640. 2016 AMOUNT: $ 5,200. 2017 AMOUNT: $ 12,444. PARKING FEES - 2013 AMOUNT: $ 3,945. 2014 AMOUNT: $ 4,512. 2015 AMOUNT: $ 4,850. 2016 AMOUNT: $ 5,616. 2017 AMOUNT: $ 4,644. EQUIPMENT RENTAL FEES - 2013 AMOUNT: $ 2,457. 2014 AMOUNT: $ 90. 2015 AMOUNT: $ 0. 2016 AMOUNT: $ 0. 2017 AMOUNT: $ 0. GUEST MEALS FEES - 2013 AMOUNT: $ 85,392. 2014 AMOUNT: $ 88,346. 2015 AMOUNT: $ 89,980. 2016 AMOUNT: $ 83,402. 2017 AMOUNT: $ 80,235. DRY CLEANING LAUNDRY - 2013 AMOUNT: $ 2,692. 2014 AMOUNT: $ 1,527. 2015 AMOUNT: $ 1,083. 2016 AMOUNT: $ 1,586. 2017 AMOUNT: $ 1,760. MAINTENANCE SERVICES - 2013 AMOUNT: $ 10,029. 2014 AMOUNT: $ 6,734. 2015 AMOUNT: $ 6,564. 2016 AMOUNT: $ 2,160. 2017 AMOUNT: $ 1,936. STORAGE FEES - 2013 AMOUNT: $ 2,592. 2014 AMOUNT: $ 1,825. 2015 AMOUNT: $ 1,003. 2016 AMOUNT: $ 228. THERAPY SERVICES - 2016 AMOUNT: $ 61,692. PERSONAL FITNESS TRAINER - 2017 AMOUNT: $ 6,000. 0 1 X 23810594 23810594 179575542 25151807 154423735 7359217 4363811 2995406 11087833 4211845 6875988 188105723 REFUNDABLE ENTRANCE FEE LIABILITY 135596230 RESIDENT DEPOSIT LIABILITIES 3358856 PAYABLE DUE TO SQLC 515935 139471021 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 THE ADVANCE FEE WHICH WILL BE REQUIRED UPON RESIDENCY. THE AMOUNT OF THE REQUIRED DEPOSIT DEPENDS ON THE CONSTRUCTION PHASE OF THE COMMUNITY. THE AMOUNT OF DEPOSIT REQUIRED FOR PHASE I IS $20,000 OF THE ADVANCE FEE. THE AMOUNT OF DEPOSIT REQUIRED FOR PHASE II IS 10% OF THE ADVANCE FEE. 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. 0 0 0 0 0 0 0 0 0 STAN WATERHOUSE PRESIDENT & CEO (UNTIL 6/30/17) 0 456082 0 43750 0 0 0 0 0 3639 0 503471 0 0 DARRELL SHEAFFER EXECUTIVE DIRECTOR 156125 0 0 0 0 0 0 0 0 0 156125 0 0 0 CATHERINE SCHEMPF DIRECTOR OF SALES & MARKET 147065 0 0 0 0 0 2223 0 1102 0 150390 0 0 0 FORM 990, SCHEDULE J, PART II COMPENSATION OF THE EXECUTIVE DIRECTOR THE EXECUTIVE DIRECTOR, ASSISTANT EXECUTIVE DIRECTOR AND HEALTH DIRECTOR WERE PAID THROUGH A RELATED SUPPORTING ORGANIZATION, SENIOR QUALITY LIFESTYLES CORPORATION (EIN: 36-4502669) FROM 1/1/2017 TO 6/30/2017. AS OF 7/1/2017, THEY BECAME EMPLOYEES OF SENIORITY, INC. (EIN: 94-3287180), A FOR PROFIT MANAGEMENT COMPANY WHOLLY OWNED BY SQLC. HOWEVER, THEIR FORM W-2S ARE ISSUED THROUGH A THIRD-PARTY, PROFESSIONAL EMPLOYER ORGANIZATION, AUREON HR, INC. (EIN: 42-1368750). A TARRANT CTY CULTURAL EDUC FACILITIES FIN CORP 043833551 87638RCH8 2007-08-09 71351739 REFUND 2004 BOND ISSUE 0 0 0 B TARRANT CTY CULTURAL EDUC FACILITIES FIN CORP 043833551 87638REB9 2014-10-02 18575000 COMMUNITY EXPANSION - LAND PURCHASE 0 0 0 C TARRANT CTY CULTURAL EDUC FACILITIES FIN CORP 043833551 87638REZ6 2015-08-05 109464270 COMMUNITY EXPANSION AND IMPROVEMENTS 0 0 0 A 98690946 5142427 49846578 1420979 39361935 2007 0 1 1 1 B 18604432 1074276 128500 371500 17158656 2014 0 0 1 1 C 111282602 5806017 10461964 2105164 17541 76180340 16711576 0 0 0 1 A 0 0 0 0 0 0 0 B 0 1 1 1 0 0 0 1 C 0 1 1 1 0 0 0 1 A 0 0 0 1 0 0 0 0 0 B 0 1 0 1 0 0 0 0 1 C 0 1 0 1 0 0 0 0 1 A 0 B 0 C 0 SCHEDULE K, PART II, LINE 3 ADDITIONAL PROCEEDS PROCEEDS OF THE ISSUE ON PART II-LINE 3 INCLUDE INVESTMENT PROCEEDS IN ADDITION TO THE SALES PROCEEDS OF THE ISSUE REPORTED IN PART I-COLUMN E. SCHEDULE K, PART V PROCEDURES TO UNDERTAKE CORRECTIVE ACTION BUCKINGHAM SENIOR LIVING COMMUNITY, INC. (THE "CORPORATION") WILL CONSIDER ADOPTING SPECIFIC WRITTEN PROCEDURES TO ENSURE TIMELY CORRECTION OF POTENTIAL VIOLATIONS OF FEDERAL TAX REQUIREMENTS RELATED TO ITS BOND ISSUE THROUGH THE USE OF THE VOLUNTARY CLOSING AGREEMENT PROGRAM IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS. HOWEVER, THE CORPORATION HAS COVENANTED IN ITS MASTER TRUST INDENTURE AND OTHER DOCUMENTS RELATED TO ITS BOND ISSUE TO COMPLY WITH ALL APPLICABLE FEDERAL TAX REQUIREMENTS RELATED TO ITS BOND ISSUE AND THE CORPORATION MAY NOT TAKE CERTAIN ACTIONS, SUCH AS A DISPOSITION OF THE PROJECT OR DEFEASANCE OR REFUNDING OF THE BOND ISSUE, WITHOUT FIRST OBTAINING AN OPINION OF BOND COUNSEL THAT SUCH ACTIONS WILL NOT CAUSE THE BOND ISSUE TO FAIL TO MEET THE FEDERAL TAX REQUIREMENTS APPLICABLE TO THE BOND ISSUE. ADDITIONALLY, THE CORPORATION HAS COVENANTED TO MAINTAIN ALL REQUIRED RECORDS RELATED TO ITS BOND ISSUE FOR FEDERAL TAX COMPLIANCE AND ENGAGES AN EXPERT TO COMPUTE THE CORPORATION'S POTENTIAL REBATE LIABILITY UNDER APPLICABLE ARBITRAGE REBATE REGULATIONS EACH YEAR TO ENSURE TIMELY COMPLIANCE WITH THESE REQUIREMENTS. SCHEDULE K, PART IV, LINE 2C ARBITRAGE REBATE BASED ON REBATE COMPUTATIONS DATED 7/31/2017 AND 8/31/2017, NO REBATE LIABILITY EXISTS AND REPORTING TO THE IRS IS NOT REQUIRED AT THIS TIME. SCHEDULE K, PART III, LINE 9 AND PART IV, LINE 7, COLUMN A WRITTEN MONITORING PROCEDURES THE ORGANIZATION HAS REPRESENTED THAT IT WILL, AND COVENANTED TO, COMPLY WITH ALL TAX REQUIREMENTS IMPOSED BY THE CODE TO SATISFY SECTIONS 141 AND 145 THROUGH 150 OF THE CODE IN THE TAX CERTIFICATE AND LOAN AGREEMENT RELATED TO THE TAX-EXEMPT BOND ISSUE. OTHER THAN THESE REPRESENTATIONS AND COVENANTS, THE ORGANIZATION HAS NOT ADOPTED POST-ISSUANCE MONITORING PROCEDURES. THE ORGANIZATION REALIZES THAT POST-ISSUANCE MONITORING PROCEDURES ARE AN IMPORTANT TOOL IN THE MANAGEMENT OF ISSUES ARISING AFTER TAX-EXEMPT BONDS ARE ISSUED. WHILE THE ORGANIZATION DOES NOT CURRENTLY HAVE DETAILED WRITTEN PROCEDURES, IT HOWEVER HAS CONSULTANTS, WITH WHOM IT CONSULTS FROM TIME TO TIME ON AN AD HOC BASIS, INCLUDING BOND COUNSEL, TO ENSURE ONGOING COMPLIANCE WITH TAX AND SECURITIES LAWS. IN ADDITION, THE ORGANIZATION IS CONSIDERING ESTABLISHING ADDITIONAL POST-ISSUANCE MONITORING PROCEDURES TO ENSURE CONTINUED COMPLIANCE WITH SECTIONS 141 AND 145 THROUGH 150 OF THE CODE. FORM 990, PAGE 1, SECTION G: GROSS RECEIPTS PER THE IRS FORM INSTRUCTIONS, THE AMOUNT REPORTED IN BOX G FOR GROSS RECEIPTS INCLUDES SALES PROCEEDS OF SECURITIES OF $123,826,076. FORM 990, PART V, LINE 2B: EMPLOYEES REPORTED THROUGH OUTSOURCED PROFESSIONAL EMPLOYER ORGANIZATION THE ORGANIZATION DID NOT ISSUE FORM W-2S DIRECTLY. THE INDIVIDUALS THAT COMPRISE THE TOTAL LISTED ON LINE 2(A) ARE CONSIDERED EMPLOYEES OF THE ORGANIZATION FOR THE PURPOSES OF PART V. HOWEVER, THE ORGANIZATION UTILIZES A PROFESSIONAL EMPLOYER ORGANIZATION, AUREON HR, INC. (EIN: 42-1368750), WHICH IS THE EMPLOYER OF RECORD, ISSUES ALL W-2S AND ACTS AS AN OUTSOURCED HUMAN RESOURCES PAYROLL DEPARTMENT FOR THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS THE FOLLOWING BOARD MEMBERS MAINTAIN A BUSINESS RELATIONSHIP WITH EACH OTHER DUE TO COMMON PARTICIPATION AS OFFICERS OR DIRECTORS OF VARIOUS OTHER RELATED NOT-FOR-PROFIT ENTITIES BY WHICH ONE OR MORE OF THE INDIVIDUALS IS COMPENSATED: STAN WATERHOUSE (UNTIL 6/30/2017) JOE ANDERSON (FROM 7/1/2017) SCOTT COLLIER DAVID GOBBLE JAN VAN SANT FORM 990, PART VI, SECTION A, LINE 6 CORPORATE MEMBER SENIOR QUALITY LIFESTYLES CORPORATION ("SQLC") IS THE SOLE MEMBER OF THE ORGANIZATION. SQLC ACTS AS A SUPPORTING ORGANIZATION, PROVIDING OVERSIGHT, DIRECTION, AND GOVERNANCE SUPPORT, AND WILL MAKE GRANTS AND/OR PROVIDE OTHER FORMS OF FINANCIAL ASSISTANCE AS NEEDED. SQLC, AS THE SOLE MEMBER, HAS AUTHORITY TO ELECT BOARD MEMBERS OF THE ORGANIZATION. SQLC, AS THE SOLE MEMBER OF THE ORGANIZATION, HAS ALL OF THE TYPICAL RIGHTS AFFORDED TO A MEMBER OF A TEXAS NONPROFIT CORPORATION, SUCH AS THE RIGHT TO APPROVE ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS, AND THE RIGHT TO APPROVE ANY PROPOSED DISSOLUTION OF THE ORGANIZATION. BYLAWS, AND THE RIGHT TO APPROVE ANY PROPOSED DISSOLUTION OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A SEE PART VI, SECTION A, LINE 6 FOR EXPLANATION. FORM 990, PART VI, SECTION A, LINE 7B SEE PART VI, SECTION A, LINE 6 FOR EXPLANATION. FORM 990, PART VI, SECTION A, LINE 8B DOCUMENTATION OF COMMITTEES LINE 8B IS ANSWERED NO BECAUSE THERE ARE NO COMMITTEES IN PLACE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY AT THIS TIME. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS THE BOARD MEMBERS OF BUCKINGHAM SENIOR LIVING COMMUNITY, INC. AND SENIOR QUALITY LIFESTYLES CORPORATION REVIEW THE FORM 990 UPON COMPLETION. THE BOARD REVIEW AND APPROVAL OF THE FORM 990 IS COMPLETED PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY ENFORCEMENT AND MONITORING ANNUALLY THE CONFLICT OF INTEREST POLICY IS REVIEWED DURING A BOARD MEETING, IN ADDITION TO HAVING THE NECESSARY INDIVIDUALS SIGN THE DISCLOSURE STATEMENT ON AN ANNUAL BASIS. IT IS THE EXPECTATION THAT MANAGEMENT STAFF (COMMUNITY AND CORPORATE) IN ADDITION TO THE MANAGEMENT COMPANY WILL BRING ANY QUESTIONABLE ACTIVITY TO THE ATTENTION OF THE BOARD OR AN OFFICER. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEW OF MANAGEMENT DURING 2017 THE CEO OF SENIOR QUALITY LIFESTYLES CORPORATION, ALONG WITH THE MANAGEMENT COMPANY, GREYSTONE, AND AUREON, AN INDEPENDENT PAYROLL PROCESSOR, SET THE SALARY FOR THE EXECUTIVE DIRECTOR. BOTH GREYSTONE AND AUREON PROVIDE COMPARATIVE SALARY DATA. THE EXECUTIVE DIRECTOR, GREYSTONE REGIONALS, AND AUREON SET OTHER TOP MANAGEMENT RATES BASED ON MARKET WAGES AND YEARS OF EXPERIENCE. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE TO PUBLIC THE FINANCIAL STATEMENTS ARE POSTED TO NATIONALLY RECOGNIZED ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) AND ALSO MADE AVAILABLE IN THE LIBRARY OF THE COMMUNITY FOR VIEWING BY RESIDENTS OR AVAILABLE UPON REQUEST BY PROSPECTIVE RESIDENTS. THE 990 IS ALSO MADE AVAILABLE IN THE LIBRARY OF THE COMMUNITY AND ALSO BY REQUEST. ANY ADDITIONAL GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION A, LINE 3: MANAGEMENT COMPANY GREYSTONE MANAGEMENT IS AN UNRELATED BUSINESS ORGANIZATION ENGAGED BY THE BOARD OF DIRECTORS OF BUCKINGHAM SENIOR LIVING COMMUNITY, INC. TO PROVIDE MANAGEMENT SERVICES DURING 2017. MANAGEMENT DUTIES INCLUDE HIRING AND RECRUITING QUALIFIED PERSONNEL, PREPARING ANNUAL OPERATING BUDGET FOR SUBMISSION TO THE BOARD OF DIRECTORS, AND ASSISTING IN THE PREPARATION OF MONTHLY AND ANNUAL FINANCIAL REPORTING DISCLOSURES. THE BOARD OF DIRECTORS HAVE FINAL AUTHORITY OVER THE APPROVAL OF THE ANNUAL OPERATING BUDGET, APPROVAL OF MONTHLY AND ANNUAL FINANCIAL REPORTING DISCLOSURES, AND OVERSIGHT OF THE MANAGEMENT COMPANY. FORM 990, PART VII: TOP MANAGEMENT AND FINANCIAL OFFICIAL THE EXECUTIVE DIRECTOR IS THE TOP MANAGEMENT OFFICIAL AND TOP FINANCIAL OFFICIAL. PER THE FORM INSTRUCTIONS, THE TOP MANAGEMENT AND FINANCIAL OFFICIALS ARE DEEMED TO BE OFFICERS. FORM 990 BENEVOLENT CARE THE ORGANIZATION PROVIDES CARE TO RESIDENTS WHO MEET CERTAIN CRITERIA UNDER ITS BENEVOLENT CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS BENEVOLENT CARE, THEY ARE NOT REPORTED AS REVENUE. SUCH RESIDENTS ARE IDENTIFIED BASED ON FINANCIAL INFORMATION OBTAINED FROM THE RESIDENT AND SUBSEQUENT ANALYSES. NORTHWEST SENIOR HOUSING CORPORATION 15601 DALLAS PARKWAY SUITE 200 ADDISON TX 75001 752771278 HEALTH CARE TX 501(C)(3) LINE 10 SQLC 0 BARTON CREEK SENIOR LIVING COMMUNITY INC 15601 DALLAS PARKWAY SUITE 200 ADDISON TX 75001 201203479 HEALTH CARE TX 501(C)(3) LINE 10 SQLC 0 SENIOR QUALITY LIFESTYLES CORP (SQLC) 15601 DALLAS PARKWAY SUITE 200 ADDISON TX 75001 364502669 HEALTH CARE TX 501(C)(3) LINE 12B, II N/A 0 SQLC SENIOR LIVING CTR AT CORPUS CHRISTI 15601 DALLAS PARKWAY SUITE 200 ADDISON TX 75001 261778912 HEALTH CARE TX 501(C)(3) LINE 10 SQLC 0 TARRANT COUNTY SENIOR LIVING CENTER INC 15601 DALLAS PARKWAY SUITE 200 ADDISON TX 75001 208068602 HEALTH CARE TX 501(C)(3) LINE 10 SQLC 0 SQLC CHARITABLE FOUNDATION 15601 DALLAS PARKWAY SUITE 200 ADDISON TX 75001 262474373 FOUNDATION TX 501(C)(3) LINE 7 SQLC 0 MAYFLOWER COMMUNITIES INC 15601 DALLAS PARKWAY SUITE 200 ADDISON TX 75001 261446350 HEALTH CARE DE 501(C)(3) LINE 10 SQLC 0 SENTINEL RIDGE SENIOR LIVING CORPORATION 15601 DALLAS PARKWAY SUITE 200 ADDISON TX 75001 472871995 INACTIVE TX 501(C)(3) LINE 10 SQLC 0 SENIORITY INC 15601 DALLAS PARKWAY SUITE 200 ADDISON TX 75001 943287180 RETIREMENT LIVING TX SQLC C 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 NA