2016-07-25T14:35:10-05:00 2015-12-31 420714325 RSM US LLP 100 INTERNATIONAL DRIVE SUITE 1400 BALTIMORE MD 21202 990 2015-01-01 522126751 SEABROOK VILLAGE INC SEAB 7326432000 3000 ESSEX ROAD TINTON FALLS NJ 07753 FREDERICK GRUEL TREASURER 7326432000 2016-07-20 1 JAMES P SWEENEY CPA P01263012 4102469300 2015 2016-12-15 16:53:06Z FREDERICK W HAAS 3000 ESSEX ROAD TINTON FALLS NJ 07753 59077211 0 X WWW.NATIONALSENIORCAMPUSES.ORG X 1998 MD PROVIDE A HOME FOR SENIORS THAT SATISFIES THEIR THREE PRIMARY NEEDS. 8 8 1046 451 0 0 419867 506391 56386205 57374028 516189 742917 458546 452443 57780807 59075779 160436 127517 0 0 26633014 26584212 0 0 92273 34168666 37901306 60962116 64613035 -3181309 -5537256 273692127 274968205 325849103 333416177 -52156976 -58447972 X OUR MISSION IS TO PROVIDE AN ACTIVE AND ENGAGED QUALITY OF LIFE FOR RESIDENTS AND FUTURE RESIDENTS THROUGH APPROPRIATE HIGH QUALITY PROGRAMS, SERVICES, AND FACILITIES, AND A FULL CONTINUUM OF HEALTH CARE, AND WHERE FEASIBLE, A LIFELONG COMMITMENT WHILE MAINTAINING AFFORDABILITY AND LONG-TERM FINANCIAL STABILITY OF THE COMMUNITY. 0 0 61865366 127517 57374028 SEABROOK VILLAGE PROVIDES SERVICES NEEDED BY SENIOR RESIDENTS, WHO RESIDE IN 986 INDEPENDENT LIVING UNITS, 95 ASSISTED LIVING UNITS, AND 76 SKILLED NURSING BEDS. THE SERVICES WE PROVIDE TO OUR RESIDENTS INCLUDE, BUT ARE NOT LIMITED TO HOUSING, FOOD, MEDICAL, SECURITY AND MAINTENANCE SERVICES, RECREATIONAL AND PASTORAL ACTIVITIES. 61865366 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 275 0 1 1046 1 0 0 0 0 0 1 1 0 0 0 0 X 8 8 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X X MARY WINDSOR 4104022364 701 MAIDEN CHOICE LANE BALTIMORE MD 21228 FRED HAAS CHAIRPERSON 1.00 7.00 X X 12500 40000 0 BILL KENNEDY PRESIDENT/VICE CHAIR 2.00 12.00 X X 7500 57500 0 JEANNE MCARTHUR SECRETARY 5.00 X X 10000 0 0 FRED GRUEL TREASURER 1.00 4.00 X X 7500 27500 0 STANLEY ELWELL DIRECTOR 1.00 7.00 X 7500 35000 0 BARBARA BISGAIER DIRECTOR 1.00 4.00 X 7500 27500 0 MARY COLINS DIRECTOR 1.00 4.00 X 7500 28750 0 ARNOLD SPEERT DIRECTOR 1.00 4.00 X 7500 31875 0 JOHN HALL ASSISTANT TREASURER 0.50 7.00 X 0 0 0 CHRIS RATHMANN ASSISTANT TREASURER 0.50 7.50 X 0 0 0 JAMES WALTER ASSISTANT TREASURER 0.50 7.00 X 0 0 0 ARTHUR SPARKS EXECUTIVE DIRECTOR 40.00 X 197915 0 296 TODD DELANEY EXEC. DIR. (BEG 12/6/15), ASSOC E.D. 40.00 X 137634 0 17562 NEAL FIORE DIRECTOR OF FINANCE 40.00 X 131176 0 16509 JENNIFER COURLAS DIRECTOR OF CONTINUING CARE 40.00 X 131562 0 14920 MINDY KAMINSKY DIRECTOR OF NURSING CONTINUING CARE 40.00 X 127125 0 24192 KAREN KOLLMER DIRECTOR OF GENERAL SERVICES 40.00 X 124981 0 1959 VANESSA SMITH DIRECTOR OF HUMAN RESOURCES 40.00 X 120664 0 17192 LAURIE WILLIAMSON PERSONAL MOVING CONSULTANT 40.00 X 116302 0 8150 1154859 248125 100780 9 0 1 0 ERICKSON LIVING MANAGEMENT LLC 701 MAIDEN CHOICE LANE BALTIMORE MD 21228 MANAGEMENT 1978717 DAVE BIERBACH 5080 HOMESTEAD AVE PENNSAUKEN NJ 08190 HOME RENOVATIONS 1380954 SAPPHIRE BUILDERS PO BOX 354 EATONTOWN NJ 07724 CONSTRUCTION 709574 JOHN BOYD CONTRUCTION & EQUIPMENT 5299 ASBURY AVENUE TINTON FALLS NJ 07753 CONSTRUCTION 311279 GARIPPA LOTZ & GIANNUARIO PC 66 PARK ST 3 MONTCLAIR NJ 07042 LEGAL 253891 18 506391 506391 RESIDENT FEES 623990 49933499 49933499 ANCILLARY FEES 623990 7352636 7352636 CONTRACT REVENUE 623990 76768 76768 RESIDENT DEPOSITS 623990 8272 8272 PROCESSING FEES 623990 2853 2853 57374028 744349 744349 451693 0 451693 451693 451693 1432 -1432 -1432 -1432 OTHER INCOME 623990 750 750 750 59075779 57374028 0 1195360 14883 14883 112634 112634 420907 420907 20062944 19229607 763272 70065 265016 219030 44041 1945 4171709 4001200 163831 6678 1663636 1555129 103104 5403 1978717 1978717 34368 6651 27717 62760 62760 44596 44596 4777417 3964316 812905 196 2239882 2239882 5321920 5233035 83460 5425 6205661 6205197 464 95278 50082 45051 145 2232869 2232869 8928723 8928723 405918 405918 LOSS ON EXTINGUISHMENT 3903403 3903403 EQUIPMENT RENTAL 779903 772575 7320 8 ADMINISTRATIVE 530833 465933 64900 RESIDENT RELATIONS 278549 202313 73828 2408 80509 80509 64613035 61865366 2655396 92273 1470 6470 31670530 31157306 2303857 2710326 1425900 2048384 136135 140359 235092 297158 301481772 73459003 231921798 228022769 4748410 9696874 1248935 888559 273692127 274968205 5363986 5099877 8980000 55420669 61668221 256084448 266648079 325849103 333416177 X -53288668 -59776824 972741 1169901 158951 158951 -52156976 -58447972 273692127 274968205 X -5537256 -349369 -404371 X 0 1 X 1 0 X 538901 483906 449229 419867 506391 2398294 56049907 57716079 58562605 56386205 57374028 286088824 56588808 58199985 59011834 56806072 57880419 288487118 125000 125000 100000 100000 100000 550000 0 125000 125000 100000 100000 100000 550000 287937118 500719 897082 962071 972172 1196042 4528086 500719 897082 962071 972172 1196042 4528086 1000 750 1750 57089527 59097067 59974905 57778244 59077211 293016954 0.98270 0.98500 0.01550 0.01310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16910678 16910678 271509821 66996714 204513107 6833151 5333267 1499884 6228122 1129022 5099100 228022769 RESIDENT DEPOSITS 255960890 ADVANCED DEPOSITS 1047500 RESIDENT REFUNDS 8198801 EMPLOYEE HEALTH PLAN 1147790 FUNDS HELD FOR RESIDENTS 149812 UNCLAIMED PROPERTY 1832 DEFERRED MANAGEMENT FEES 98936 MARKETING FEE DEFERRED 42518 266648079 X 58691479 -349369 -34931 -384300 59075779 0 59075779 64982475 369440 369440 64613035 0 64613035 PART X, LINE 2: SEABROOK VILLAGE, INC. ("SBV") IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE APPLICABLE STATE INCOME TAX REGULATIONS. TINTON FALLS CAMPUS, LLC ("TFC") IS A SINGLE MEMBER LIMITED LIABILITY COMPANY AND HAS ELECTED TO BE DISREGARDED FOR FEDERAL AND STATE INCOME TAX PURPOSES. TFC'S FINANCIAL STATEMENT ACTIVITY IS REFLECTED ON SBV'S BOOKS AND RECORDS. MANAGEMENT HAS EVALUATED SBV'S TAX POSITIONS AND HAS CONCLUDED THAT SBV HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: TRNA ADJUSTMENT 216,605. CHANGE IN BENEFICIAL INTEREST IN NATIONAL CCRC BUSINESS TRUST I -251,536. PART XII, LINE 2D - OTHER ADJUSTMENTS: TRNA ADJUSTMENT 216,605. REVERSAL OF PRIOR AMORTIZATION 152,835. 1 EDUCATIONAL SCHOLARSHIPS - SEE PART IV 87 112634 SCHEDULE I, PART I, LINE 2 SCHOLAR CANDIDATES MUST BE CURRENTLY EMPLOYED YEAR-ROUND AT SEABROOK VILLAGE. ONLY MEDICAL LEAVES OF ABSENCE ARE ALLOWABLE DURING THE TWO YEARS. OTHER REQUESTS FOR A LEAVE OF ABSENCE WILL BE REVIEWED AND DETERMINED CASE BY CASE. A SCHOLAR CANDIDATE MUST HAVE BEEN EMPLOYED BY SEABROOK VILLAGE ON OR BEFORE SEPTEMBER 30, 2015. THE CANDIDATE MUST ALSO ACHIEVE 1,000 HOURS OF WORK DURING A TIME SPAN THAT BEGINS NO EARLIER THAN JUNE 1, 2015 OF THEIR JUNIOR YEAR OF HIGH SCHOOL (300 OF 1,000 HOURS MUST BE COMPLETED BY THE END OF THEIR JUNIOR YEAR OF HIGH SCHOOL TO QUALIFY). ANY HOURS WORKED PRIOR TO JUNE 1, 2015 DO NOT COUNT TOWARDS THE 1,000 HOURS REQUIREMENT. CANDIDATES MUST ACHIEVE THE 1,000 HOUR REQUIREMENT AS WELL AS FULFILL THE TWO-YEAR MINIMUM EMPLOYMENT REQUIREMENT. CANDIDATES MUST BE IN "GOOD STANDING" FROM THEIR ORIGINAL DATE OF HIRE THROUGH THEIR LAST DAY OF WORK. TO MAINTAIN "GOOD STANDING," SCHOLAR CANDIDATES, AS EMPLOYEES, MUST ABIDE BY ALL EMPLOYMENT POLICIES AND PROCEDURES, TO INCLUDE GIVING TWO WEEKS NOTICE TO THEIR SUPERVISOR WHEN TERMINATING EMPLOYMENT. SCHOLAR CANDIDATES MUST COMPLETE EACH STEP AS OUTLINED IN THE PROGRAM DESCRIPTION BY THE RESPECTIVE DUE DATE. FURTHERMORE, CANDIDATES MUST TURN IN PROOF OF FULL-TIME STATUS WITHIN THE DATES SPECIFIED IN THE PROGRAM DESCRIPTION FOR EACH SPRING AND FALL SEMESTER THEY ATTEND SCHOOL. FAILURE TO DO SO WILL DISQUALIFY THE SCHOLAR THAT SEMESTER AND WILL COUNT TOWARDS ONE OF THE TWO ALLOWABLE SEMESTER LAPSES. CANDIDATES SHOULD INTEND TO GO TO COLLEGE OR TRADE SCHOOL AFTER HIGH SCHOOL. SCHOLAR CANDIDATES MUST ATTEND SCHOOL FULL-TIME (12 CREDIT HOURS EACH SEMESTER) AFTER HIGH SCHOOL. SCHOLAR CANDIDATES MUST BE ACCEPTED AND/OR REGISTERED IN THE FALL OF 2015 AT A TRADE SCHOOL, COLLEGE, OR UNIVERSITY TO BENEFIT. (IN EXCEPTIONAL CASES, A SCHOLAR CANDIDATE MAY ARRANGE TO START SCHOOL UP TO TWO SEMESTERS AFTER BEING INDUCTED INTO THE PROGRAM, BUT THEY MUST MAKE ARRANGEMENTS WITH THE RESIDENT LIFE DEPARTMENT. THESE TWO SEMESTERS WILL COUNT AS THE TWO ALLOCABLE SEMESTER LAPSES.) SCHOLARS WHO LAPSE FROM THE PROGRAM FOR MORE THAN A TOTAL OF TWO SEMESTERS AFTER BEING INDUCTED INTO THE PROGRAM ARE NO LONGER ELIGIBLE TO RECEIVE THE AWARD. X X X 0 0 0 0 0 0 0 0 0 ARTHUR SPARKS EXECUTIVE DIRECTOR 165086 0 25000 0 7829 0 0 0 296 0 198211 0 0 0 TODD DELANEY EXEC. DIR. (BEG 12/6/15), ASSOC E.D. 116448 0 17500 0 3686 0 0 0 17562 0 155196 0 0 0 MINDY KAMINSKY DIRECTOR OF NURSING CONTINUING CARE 110254 0 16500 0 371 0 3893 0 20299 0 151317 0 0 0 SCHEDULE J, PART II: INDIVIDUALS ARTHUR SPARKS AND TODD DELANEY ARE LISTED IN SCHEDULE J, PART II AND ARE EMPLOYEES OF ERICKSON LIVING MANAGEMENT, LLC ("ELM"), AN UNRELATED ORGANIZATION TO SEABROOK VILLAGE, INC., IN ACCORDANCE WITH THE MANAGEMENT AGREEMENT BETWEEN SEABROOK VILLAGE, INC. AND ELM. SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 3. THEREFORE, FOR IRS MATCHING PURPOSES, ELM IS THE ISSUER OF THESE FORMS W-2. UNDER THE MANAGEMENT AGREEMENT, SEABROOK VILLAGE, INC. REIMBURSES ELM FOR THE COST OF SERVICES PERFORMED FOR SEABROOK VILLAGE, INC. FORM 990, PART VI, SECTION A, LINE 1 UNDER THE BYLAWS OF THE ORGANIZATION, THE BOARD HAS DELEGATED AUTHORITY TO AN EXECUTIVE COMMITTEE COMPRISED OF THE ORGANIZATION'S CHAIRMAN, PRESIDENT, SECRETARY AND TREASURER. THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE ALL OF THE POWERS AND AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE ORGANIZATION EXCEPT FOR THOSE ACTIONS RESERVED SOLELY TO THE MEMBER OR THE DIRECTORS UNDER THE GENERAL LAWS OF THE STATE OF MARYLAND. FORM 990, PART VI, SECTION A, LINE 3 SEABROOK VILLAGE, INC. ENTERED INTO A MANAGEMENT AND MARKETING AGREEMENT ON APRIL 30, 2010 WITH ERICKSON LIVING MANAGEMENT, LLC ("ELM"). ELM IS A MARYLAND LIMITED LIABILITY COMPANY WHICH OPERATES AND MANAGES LARGE SCALE CONTINUING CARE RETIREMENT COMMUNITIES. THE MANAGEMENT AGREEMENT COMPLIES WITH REV. PROC. 97-13. THE ORGANIZATION AND THE MANAGER AMENDED THE MANAGEMENT AND MARKETING AGREEMENT TO REVISE CERTAIN PROVISIONS RELATING TO THE MARKET TESTING OF THE MANAGEMENT FEES AND TO REPLACE THE CONTRACT EXECUTION POLICY WITH AN UPDATED VERSION OF THE POLICY. THE FOLLOWING OFFICERS ARE LISTED IN PART VII, AS NON-COMPENSATED OFFICERS OF THE FILING ORGANIZATION, JOHN HALL, JAMES WALTER, AND CHRIS RATHMANN. THEIR DUTIES ARE CONSIDERED PERFORMED PRO BONO. ARTHUR SPARKS, EXECUTIVE DIRECTOR, TODD DELANEY, EXECUTIVE DIRECTOR (BEGINNING 12/6/15)/ASSOCIATE EXECUTIVE DIRECTOR, NEAL FIORE, DIRECTOR OF FINANCE, JENNIFER COURLAS, DIRECTOR OF CONTINUING CARE, KAREN KOLLMER, DIRECTOR OF GENERAL SERVICES, AND VANESSA SMITH, DIRECTOR OF HUMAN RESOURCES, ARE LEASED EMPLOYEES FROM THE MANAGEMENT COMPANY. THE FILING ORGANIZATION REIMBURSES THE MANAGEMENT COMPANY FOR THEIR COMPENSATION WHICH IS REPORTED ON FORM 990, PART VII, SECTION A. FORM 990, PART VI, SECTION A, LINE 4 DURING 2015, THE ORGANIZATION APPROVED AMENDED AND RESTATED BYLAWS PROVIDING ADDITIONAL AUTHORITY TO THE ORGANIZATION'S MEMBER, NATIONAL SENIOR CAMPUSES, INC., ("NSC"), INCLUDING CERTAIN RESERVED POWERS AND IDENTIFYING CERTAIN POWERS THAT ARE SHARED BETWEEN NSC AND THE ORGANIZATION. THE CHANGES WILL ENABLE NSC AS A SUPPORTING ORGANIZATION AND THE ORGANIZATION AS A SUPPORTED ORGANIZATION (AS WELL AS NSC'S OTHER SUPPORTED ORGANIZATIONS) TO PURSUE THEIR CHARITABLE MISSIONS IN A MORE EFFICIENT, EFFECTIVE AND COORDINATED MANNER. THE AMENDED & RESTATED BYLAWS WENT INTO EFFECT IN 2016. FORM 990, PART VI, SECTION A, LINE 6 SEABROOK VILLAGE, INC.'S SOLE MEMBER IS NATIONAL SENIOR CAMPUSES, INC. ("NSC"). NSC IS A MARYLAND NON-STOCK CORPORATION. NSC IS A "SUPPORTING ORGANIZATION" WITH RESPECT TO SEABROOK VILLAGE, AS WELL AS CERTAIN OTHER ORGANIZATIONS SPECIFIED IN ITS GOVERNING DOCUMENTS. AS REQUIRED BY THE REGULATIONS RELATING TO "SUPPORTING ORGANIZATIONS," CERTAIN MEMBERS OF THE BOARD OF DIRECTORS OF NSC WILL ALSO BE MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A NATIONAL SENIOR CAMPUSES, INC. HAS THE RIGHT TO APPOINT AND ELECT ALL DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN EXTRAORDINARY ACTIONS OF THE CORPORATION REQUIRE THE APPROVAL OF THE MEMBER UNDER APPLICABLE STATE LAW. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD APPOINTS A COMMITTEE FROM AMONG ITS DIRECTORS AS WELL AS THE DIRECTORS FROM ONE OR MORE RELATED ENTITIES TO OVERSEE THE PREPARATION OF FORM 990. THE BOARD CHAIR HAS THE RESPONSIBILITY TO REVIEW FORM 990 PRIOR TO ITS FILING OR TO DESIGNATE ANOTHER BOARD MEMBER TO REVIEW THE FORM. THE FULL BOARD IS GIVEN THE OPPORTUNITY TO REVIEW THE FINAL VERSION OF FORM 990 BEFORE IT IS FILED AND ASK QUESTIONS OF THE COMMITTEE OR THE REVIEWER REGARDING THE FORM. THE BOARD CHAIR DESIGNATES AN OFFICER TO SIGN FORM 990. FORM 990, PART VI, SECTION B, LINE 12C SEABROOK VILLAGE, INC.'S CONFLICT OF INTEREST POLICY COVERS ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, EMPLOYEES AND VOLUNTEERS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER SEABROOK VILLAGE, INC.'S AFFAIRS, COMMITTEE MEMBERS, PROSPECTIVE DIRECTORS, AND SENIOR STAFF PROVIDING SERVICES TO THE ORGANIZATION UNDER A MANAGEMENT AGREEMENT. EACH COVERED PERSON COMPLETES A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY AND AS POTENTIAL CONFLICTS ARISE DURING THE YEAR. THESE STATEMENTS ARE REVIEWED BY THE BOARD CHAIR. IF THE CONFLICT INVOLVES A COVERED EMPLOYEE, THE CHAIR DETERMINES WHETHER A CONFLICT EXISTS AND, IF SO, HOW IT IS TO BE HANDLED, OR THE CHAIR MAY REFER THE MATTER TO THE BOARD OF DIRECTORS FOR CONSIDERATION. FOR ALL OTHER CONFLICTS, THE BOARD OF DIRECTORS OR A COMMITTEE OF DISINTERESTED DIRECTORS WILL DETERMINE WHETHER A CONFLICT ACTUALLY EXISTS. A COVERED PERSON MAY NOT PARTICIPATE IN ANY DISCUSSION OR DEBATE BY THE BOARD BUT MAY ANSWER QUESTIONS OR PROVIDE CLARIFYING INFORMATION UNLESS ANY BOARD MEMBER OBJECTS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD HAS APPROVED A DIRECTORS' COMPENSATION POLICY WHICH ESTABLISHES THE PROCESS BY WHICH ALL DIRECTOR COMPENSATION IS DETERMINED. OFFICERS SERVE WITHOUT COMPENSATION. A REVIEW OF THE DIRECTORS' COMPENSATION IS CONDUCTED EACH FISCAL YEAR. COMPENSATION IS APPROACHED ON AN OVERALL BASIS AND THE TOTAL VALUE OF ALL FORMS OF COMPENSATION IS ESTABLISHED AND MONITORED. AN INDEPENDENT COMPENSATION CONSULTANT IS PERIODICALLY RETAINED TO PERFORM AN ANALYSIS OF SEABROOK VILLAGE, INC.'S COMPENSATION USING COMPARABLES OF BOTH FOR-PROFIT AND NON-PROFIT PEERS. A COMMITTEE OF THE NSC BOARD REVIEWS THE CONSULTANT'S REPORT AND MAKES A RECOMMENDATION TO THE ORGANIZATION AS TO APPROPRIATE COMPENSATION OF DIRECTORS. THE FULL BOARD HAS ACCESS TO SEABROOK VILLAGE INC.'S CONSULTANT'S REPORT AND AN OPPORTUNITY TO QUESTION THE CONSULTANT ABOUT THE PROCESS, METRICS, AND COMPARABLES THAT WERE USED IN DETERMINING THE RECOMMENDED COMPENSATION. THE BOARD THEN VOTES ON THE COMPENSATION RECOMMENDATIONS AND A CONTEMPORANEOUS RECORD IS MADE OF THE MEETING AND THE VOTE. THE CONSULTANT REVIEW WAS LAST UNDERTAKEN IN 2014 AND WAS ACTED UPON BY THE BOARD IN EARLY 2015. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE EXECUTIVE DIRECTOR'S OFFICE FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART XI, LINE 9: REVERSAL OF PRIOR AMORTIZATION -152,835. CHANGE IN BENEFICIAL INTEREST IN NATIONAL CCRC BUSINESS TRUST I -251,536. TINTON FALLS CAMPUS LLC 3000 ESSEX ROAD TINTON FALLS NJ 07753 522027818 OWNER OF LAND AND BUILDINGS MD 0 269546524 SEABROOK VILLAGE INC ASHBY PONDS INC 21170 ASHBY PONDS BLVD ASHBURN VA 20147 205609803 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 BROOKSBY VILLAGE INC 100 BROOKSBY VILLAGE DRIVE PEABODY MA 01960 522126755 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 CEDAR CREST VILLAGE INC 1 CEDAR CREST VILLAGE DRIVE POMPTON PLAINS NJ 07444 522184915 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 EAGLE'S TRACE INC 14703 EAGLE VISTA DRIVE HOUSTON TX 77077 030498683 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 FOX RUN VILLAGE INC 41000 13 MILE ROAD NOVI MI 48377 522291271 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 ANN'S CHOICE INC 10000 ANNS CHOICE WAY WARMINSTER PA 18974 522095427 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 HICKORY CHASE INC 701 MAIDEN CHOICE LANE BALTIMORE MD 21228 208991395 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 HIGHLAND SPRINGS INC 8000 FRANKFORD ROAD DALLAS TX 75252 510536892 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 LINDEN PONDS INC 300 LINDEN PONDS WAY HINGHAM MA 02043 141849849 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 MARIS GROVE INC 100 MARIS GROVE WAY GLEN MILLS PA 19342 550878964 CONTINUING CARE RETIREMENT COMMUNITY PA 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 NATIONAL SENIOR CAMPUSES INC 5425 WISCONSIN AVE SUITE 600 CHEVY CHASE MD 21043 204356247 SUPPORTING ORGANIZATION MD 501(C)(3) 11, III-FI N/A 0 NATIONAL SENIOR CAMPUSES FOUNDATION INC 5425 WISCONSIN AVE SUITE 600 CHEVY CHASE MD 21043 030611973 SUPPORTING ORGANIZATION MD 501(C)(3) 11, III-FI N/A 0 OAK CREST VILLAGE INC 8800 WALTHER BOULEVARD PARKVILLE MD 21234 521874053 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 RIDERWOOD VILLAGE INC 3110 GRACEFIELD ROAD SILVER SPRING MD 20904 522126753 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 TALLGRASS CREEK INC 13800 METCALF AVENUE OVERLAND PARK KS 66223 870765641 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 WIND CREST INC 3235 MILL VISTA ROAD HIGHLANDS RANCH CO 80129 510549976 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 GREENSPRING VILLAGE INC 7440 SPRING VILLAGE DRIVE SPRINGFIELD VA 22150 522095427 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 LANTERN HILL INC 535 MOUNTAIN AVENUE NEW PROVIDENCE NJ 07974 371742780 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0