2025-11-14T16:35:14-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 2021 SPRING ROAD SUITE 200 OAK BROOK IL 60523 990 2024-01-01 421068850 LIFESPACE COMMUNITIES INC LIFE 5152885805 3501 OLYMPUS BLVD 300 DALLAS TX 75019 NICK HARSHFIELD SVP, CFO & TREASURER 5152885805 2025-11-14 1 1 CHAD KUNZE P00639380 6305738600 2025-11-12 2024 2025-03-06 01:10:19Z JESSE JANTZEN 3501 OLYMPUS BLVD 300 DALLAS TX 75019 393055890 0 X WWW.LIFESPACECOMMUNITIES.COM X 1976 IA CREATE COMMUNITIES CELEBRATING THE LIVES OF SENIORS. 11 11 5163 751 0 0 1295699 2884646 338768901 370492112 -109787015 10324609 5809810 7487926 236087395 391189293 10312892 1944701 0 0 184664573 199227272 0 0 0 227878139 246529540 422855604 447701513 -186768209 -56512220 1333809519 1338142264 1719746365 1772852798 -385936846 -434710534 X CREATING COMMUNITIES CELEBRATING THE LIVES OF SENIORS. LIFESPACE RECOGNIZES THAT ITS MISSION CAN ONLY BE FULFILLED THROUGH THE DEDICATED EFFORTS OF ITS EMPLOYEES, THEREFORE INCLUDED IN OUR MISSION IS THE ABILITY TO PROVIDE DISASTER RELIEF FUNDS TO EMPLOYEES WHO ENCOUNTER CIRCUMSTANCES RECOGNIZED BY FEDERAL AND STATE AGENCIES AS QUALIFYING FOR EMERGENCY DISASTER RELIEF. 0 0 393017554 1944701 370492112 LIFESPACE COMMUNITIES, INC. OWNS SIXTEEN DIFFERENT COMMUNITIES (5 IN FL, 4 TX, 3 IN IL, 1 IN MN, KS, PA, AND WI) WHICH PROVIDE APARTMENTS AND HEALTH CARE FOR RETIRED PERSONS. RESIDENTS PAY AN INITIAL ENTRANCE FEE AND MONTHLY FEES THEREAFTER WHICH ENTITLE THEM TO THE USE OF THE COMMUNITY FOR LIFE AND UNLIMITED USE OF THE HEALTH CENTER. RESIDENTS DO NOT ACQUIRE TITLE OF THE PROPERTY. 393017554 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 516 0 1 5163 1 0 0 0 0 0 0 0 0 0 0 1 0 X 11 11 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL IL KS MN PA X NICK HARSHFIELD 5152885805 3501 OLYMPUS BLVD DALLAS TX 75019 VENITA FIELDS DIRECTOR 2.50 2.00 X 71667 0 0 NEAL YANOFSKY DIRECTOR 2.50 2.00 X 45000 0 0 ANA DUTRA DIRECTOR 2.50 2.00 X 49000 0 0 PATRICK SPANGLER DIRECTOR 2.50 2.00 X 49000 0 0 JOYCE DARKEY-HRINYA DIRECTOR 2.50 2.00 X 42000 0 0 GARY BLACKFORD DIRECTOR 2.50 2.00 X 49000 0 0 DAVID S WILLIAMS III DIRECTOR 2.50 2.00 X 49000 0 0 JONATHAN SOKEYE DIRECTOR 2.50 2.00 X 49000 0 0 CLYDE STRETCH DIRECTOR 2.50 2.00 X 40000 0 0 AMY MCDONOUGH DIRECTOR 2.50 2.00 X 40000 0 0 CLAUS JENSEN DIRECTOR 2.50 2.00 X 40000 0 0 JENIFER SALAMINO UNTIL 092024 DIRECTOR 2.50 2.00 X 40000 0 0 JESSE JANTZEN PRESIDENT & CEO 42.00 2.00 X 1201697 0 101040 NICHOLAS HARSHFIELD CHIEF FINANCIAL OFFICER 42.00 2.00 X 679873 0 42076 JOSEPH GORMAN GENERAL COUNSEL 42.00 2.00 X 504000 0 43040 NIKKI KRESSE CHIEF EXPERIENCE & PEOPLE OFFICER 42.00 2.00 X 644212 0 37615 BRIAN ROBBINS CHIEF OPERATING OFFICER 42.00 2.00 X 604199 0 54213 MICHAEL ROACH CHIEF STRATEFY OFFICER 42.00 2.00 X 523517 0 34844 MARYANN GILLETTE SENIOR VICE PRESIDENT SALES 42.00 2.00 X 383425 0 25096 SRINI ALAGARSAMY CHIEF TECHNOLOGY OFFICER 42.00 2.00 X 277233 0 604 NATALLIA FUTRELL CHIEF CLINICAL OFFICER 42.00 2.00 X 211315 0 235 HEATHER ANN JULIAN CHIEF MARKETING OFFICER 42.00 2.00 X 153743 0 0 CURT GIELOW FOUNDATION 42.00 2.00 X 180000 0 0 TRACEY CROWNOVER VP OF PROCESS & SYSTEM OPTIMIZATION 42.00 0.00 X 340600 0 0 RUSSEL MAUK VP OF DESIGN & CONSTRUCTION 42.00 0.00 X 427405 0 0 RICK OROS VP OF HEALTHCARE OPERATIONS 42.00 0.00 X 339882 0 2219 ERIN POPE SR. VP CHIEF COMPLIANCE COUNSEL 42.00 0.00 X 373197 0 0 KERRY SANTO DIRECTOR SALES 42.00 0.00 X 388348 0 0 7796313 0 340982 222 0 1 0 UNIDINE CORPORATION PO BOX 102289 ATLANTA GA 30368 CULINARY SERVICES 27434673 WALSH CONSTRUCTION 929 WEST ADAMS STREET CHICAGO IL 60607 CONSTRUCTION/REDEVELOPMENT 18362081 SELECT REHABILITATION PO BOX 71985 CHICAGO IL 60694 MEDICAL/THERAPY SERVICES 13435432 THE WEITZ GROUP LLC PO BOX 210474 DES MOINES IA 50331 CONSTRUCTION/REDEVELOPMENT 8972885 GRANITE TELECOMMUNICATIONS PO BOX 841304 BOSTON MA 02298 COMMUNITY WIRELESS 6872053 239 2884646 2884646 INDEPENDENT LIVING 531110 178697771 178697771 SKILLED NURSING 623000 154277120 154277120 ENTRANCE FEES 531110 37517221 37517221 370492112 8210847 8210847 3980359 0 1866597 3980359 -1866597 2113762 2113762 MANAGEMENT FEES 623000 6132876 6132876 EXTINGUISHMENT OF DEBT 900099 1249664 1249664 EMPLOYEE MEALS 623990 102151 102151 3235 3235 7487926 391189293 370492112 0 17812535 550753 550753 1393948 1393948 6265644 4674315 1591329 147107251 118024001 29083250 3412328 2729862 682466 24884807 19907846 4976961 17557242 14045794 3511448 1354290 1354290 593410 593410 3068084 3068084 9979501 9480526 498975 10534419 8427535 2106884 3860195 3088156 772039 6993735 5594988 1398747 31068490 31068490 4184004 3347203 836801 33554099 33554099 77375160 77375160 3528149 3457586 70563 DIETARY 28110668 28110668 PLANT OPERATIONS 10131018 10131018 MEDICAL SUPPLIES/DRUGS 7596606 7596606 RECRUITING 2357519 1886015 471504 12240193 8572985 3667208 447701513 393017554 54683959 0 17212591 22194369 8209608 9863371 14526908 13400835 691321 674386 5476359 6400838 1649377909 707987108 925308120 941390801 80990084 73334508 1165641 1221891 80693956 53212102 199534931 216449163 1333809519 1338142264 75890392 66944861 10544428 2873643 756446529 835234522 64038136 9431210 1459666 1470036 811367214 856898526 1719746365 1772852798 X -385936846 -434710534 -385936846 -434710534 1333809519 1338142264 X -56512220 6056751 471254 1210527 X X 0 1 X 1 0 X 8579418 2364988 3422164 1295699 2884646 18546915 249893244 267286534 316473826 338768901 370492112 1542914617 9586389 6610149 6423098 5810380 7487926 35917942 268059051 276261671 326319088 345874980 380864684 1597379474 245076 1613263 2911818 1212945 2884646 8867748 0 245076 1613263 2911818 1212945 2884646 8867748 1588511726 5870016 5290143 3388686 8617333 8210847 31377025 5870016 5290143 3388686 8617333 8210847 31377025 273929067 281551814 329707774 354492313 389075531 1628756499 0.97530 0.97480 0.01930 0.02100 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 33135192 33135192 1401826157 629998980 771827177 214416560 77988128 136428432 941390801 ASSETS WHOSE USE IS LIMITED: OPERATING RESERVE FUND 30578599 ASSETS WHOSE USE IS LIMITED: DEBT SERVICE RESERVE FUND 41921722 ASSETS WHOSE USE IS LIMITED: PRINCIPAL & INTEREST FUND 92830074 ASSETS WHOSE USE IS LIMITED: WAIT LIST RESERVE FUND 4140450 ASSETS WHOSE USE IS LIMITED: ENTRANCE FEE DEPOSITS 3775965 ASSETS WHOSE USE IS LIMITED: ASSET REPLACEMENT FUND 12274728 DEFERRED EXPENSES 9952032 DUE FROM RELATED PARTIES 15922503 SETTLEMENT FUND 17722 ROU ASSET 5035368 216449163 DEFERRED ENTRANCE FEES, REFUNDABLE ENTRANCE & MEMBERSHIP FEES 803025353 DUE TO RELATED PARTIES 358632 LEASE OBLIGATIONS 5510394 SETTLEMENT PAYABLE 48004147 856898526 X PART X, LINE 2: LIFESPACE EVALUATES TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING ITS TAX RETURNS TO DETERMINE WHETHER IT IS "MORE LIKELY THAN NOT" THAT EACH TAX POSITION WOULD BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY BASED ON THE TECHNICAL MERITS OF THE POSITION. TAX POSITIONS NOT DEEMED TO MEET THE MORE-LIKELY-THAN-NOT THRESHOLD WOULD BE RECORDED AS TAX BENEFIT OR EXPENSE IN THE CURRENT YEAR. AS OF OR DURING THE YEARS ENDED DECEMBER 31, 2024 AND 2023, LIFESPACE HAS NOT RECORDED ANY SUCH TAX BENEFIT OR EXPENSE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. NO EXAMINATIONS ARE IN PROGRESS OR ANTICIPATED AT THIS TIME. LIFESPACE'S FEDERAL INCOME TAX RETURNS ARE OPEN TO EXAMINATION FOR THE YEARS ENDED DECEMBER 31, 2021 THROUGH DECEMBER 31, 2023. 1 THE LIFESPACE FOUNDATION 3501 OLYMPUS BLVD SUITE 300 DALLAS TX 75019 421370848 509(A)(1) 26177 490484 BOOK LEGAL AND PROFESSIONAL SERVICES LEGAL AND PROFESSIONAL SERVICES HARDSHIP ASSISTANCE - REDUCTION OF FEES 48 1393948 FAIR MARKET VALUE OF REDUCTION FEES RESIDENTS DO FROM TIME TO TIME SEEK FINANCIAL ASSISTANCE BY REQUESTING ASSISTANCE WITH THE MONTHLY FEE. SINCE THESE RESIDENTS HAVE SIGNED A LIFE CARE CONTRACT, THE ORGANIZATION IS OBLIGATED TO LET THEM CONTINUE TO LIVE IN THE COMMUNITY. MANAGEMENT SHALL REVIEW CRITERIA TO DETERMINE WHETHER THE RESIDENT IS A CANDIDIATE TO RECEIVE A HARDSHIP DISCOUNT. IF THE RESIDENT QUALIFIES FOR A HARDSHIP DISCOUNT, THE DISCOUNT WILL BEGIN TO BE DEDUCTED FROM THE MONTHLY FEES. PART I, LINE 2: THE ORGANIZATION CAN EASILY MONITOR THE USE OF THE GRANTS TO INDIVIDUALS BECAUSE THE GRANTS ARE SIMPLY REDUCTIONS OF THE MONTHLY FEES AND ENTRANCE FEES THAT THE RESIDENTS WOULD OWE IF THE HARDSHIP ASSISTANCE WAS NOT GRANTED. THE GRANT TO THE LIFESPACE FOUNDATION IS A TRANSFER TO A RELATED AFFILIATE. THE USE OF FUNDS ARE MONITORED DURING THE FINANCIAL REPORTING PROCESS AS BOTH AFFILIATES SHARE A COMMON BOARD OF DIRECTORS AND MANAGEMENT TEAM. PART III, COLUMN (B): THOSE RECEIVING A HARDSHIP WERE PULLED FROM POINT CLICK CARE AND COUNT PERFORMED. X X X X X 0 0 0 1 1 1 1 0 0 JESSE JANTZEN PRESIDENT & CEO 753053 0 445740 0 2904 0 98171 0 2869 0 1302737 0 0 0 NICHOLAS HARSHFIELD CHIEF FINANCIAL OFFICER 472987 0 202782 0 4104 0 42076 0 0 0 721949 0 0 0 NIKKI KRESSE CHIEF EXPERIENCE & PEOPLE OFFICER 386769 0 254538 0 2905 0 37001 0 614 0 681827 0 0 0 BRIAN ROBBINS CHIEF OPERATING OFFICER 465018 0 137387 0 1794 0 51002 0 3211 0 658412 0 0 0 MICHAEL ROACH CHIEF STRATEFY OFFICER 343091 0 178974 0 1452 0 34514 0 330 0 558361 0 0 0 JOSEPH GORMAN GENERAL COUNSEL 375132 0 124764 0 4104 0 42900 0 140 0 547040 0 0 0 RUSSEL MAUK VP OF DESIGN & CONSTRUCTION 294941 0 94126 0 38338 0 0 0 0 0 427405 0 0 0 MARYANN GILLETTE SENIOR VICE PRESIDENT SALES 290816 0 88505 0 4104 0 25096 0 0 0 408521 0 0 0 KERRY SANTO DIRECTOR SALES 145338 0 241456 0 1554 0 0 0 0 0 388348 0 0 0 ERIN POPE SR. VP CHIEF COMPLIANCE COUNSEL 281082 0 90585 0 1530 0 0 0 0 0 373197 0 0 0 RICK OROS VP OF HEALTHCARE OPERATIONS 250579 0 85150 0 4153 0 0 0 2219 0 342101 0 0 0 TRACEY CROWNOVER VP OF PROCESS & SYSTEM OPTIMIZATION 254540 0 84530 0 1530 0 0 0 0 0 340600 0 0 0 SRINI ALAGARSAMY CHIEF TECHNOLOGY OFFICER 276513 0 0 0 720 0 0 0 604 0 277837 0 0 0 NATALLIA FUTRELL CHIEF CLINICAL OFFICER 210595 0 0 0 720 0 0 0 235 0 211550 0 0 0 CURT GIELOW FOUNDATION 180000 0 0 0 0 0 0 0 0 0 180000 0 0 0 HEATHER ANN JULIAN CHIEF MARKETING OFFICER 153008 0 0 0 735 0 0 0 0 0 153743 0 0 0 PART I, LINE 5 THE LONG-TERM INCENTIVE PLAN HAS A CONTINGENCY FOR THE CMW OBLIGATED GROUP (MADE UP OF CRAIG AMARILLO, LLC, WESLEY COURT, LLC AND MEADOW LAKE, LLC) PORTFOLIO TO REACH 7% OF THE NET OPERATING MARGIN; THE SHORT-TERM INCENTIVE PLAN IS CONTINGENT ON NET CASH PRODUCTION GOALS, NET ENTRANCE FEE GOALS AND NET OPERATING MARGIN GOALS THAT ARE SET. PART I, LINE 6 THE LONG-TERM INCENTIVE PLAN HAS A CONTINGENCY FOR THE CMW OBLIGATED GROUP (MADE UP OF CRAIG AMARILLO, LLC, WESLEY COURT, LLC AND MEADOW LAKE, LLC) PORTFOLIO TO REACH 7% OF THE NET OPERATING MARGIN; THE SHORT-TERM INCENTIVE PLAN IS CONTINGENT ON NET CASH PRODUCTION GOALS, NET ENTRANCE FEE GOALS AND NET OPERATING MARGIN GOALS THAT ARE SET. A ILLINOIS FINANCE AUTHORITY 861091967 45203HT28 2015-03-25 38167219 CONSTRUCTION OF FACILITY & REFUND PRIOR ISSUES (5/19/99 10/23/03 & 2/20/13) 0 0 0 B PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY 521297506 696507UA8 2015-03-25 47992621 REFUND PRIOR ISSUES (11/28/07 & 2/20/13) 0 0 0 C IOWA FINANCE AUTHORITY 521699886 46246K3P5 2016-11-22 52715703 RENOVATE FACILITIES 0 0 0 D PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY 521297506 696507UD2 2016-11-22 24609426 RENOVATE FACILITIES 0 0 0 A 12590000 38316919 2490350 687038 18737148 16830399 2016 1 0 1 1 B 14775000 48768235 3517430 70475 858282 46624107 2017 1 1 1 1 C 53730090 4392511 4802507 1052101 43482972 0 0 1 1 D 25386500 2054880 2235506 490963 20605150 2021 0 0 1 1 A 1 1 0 0 0.00300 0.00000 0.00300 0 0 1 B 1 1 0 0 0.00300 0.00000 0.00300 0 0 1 C 1 1 0 0 0.00300 0.00000 0.00300 0 0 1 D 1 1 0 0 0.00300 0.00000 0.00300 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 02/28/2020 ENTITY 1, SCHEDULE K, PART II, COLUMN A, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 1, SCHEDULE K, PART 1, ROW C, COLUMN (E) DUE TO INVESTMENT EARNINGS/MARKET VALUE FLUCTUATION. ENTITY 1, SCHEDULE K, PART II, COLUMN C, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE ENTITY 1, SCHEDULE K, PART 1 ROW D, COLUMN (E) DUE TO INVESTMENT EARNINGS/MARKET VALUE FLUCTUATION. ENTITY 1, SCHEDULE K, PART II, COLUMN C, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. ENTITY 1, SCHEDULE K, PART II, COLUMN D, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 1, SCHEDULE K, PART I, ROW A, COLUMN (E) DUE TO INVESTMENT EARNINGS. ENTITY 1, SCHEDULE K, PART II, COLUMN D, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. ENTITY 2, SCHEDULE K, PART II, COLUMN A, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 2, SCHEDULE K, PART I, ROW A, COLUMN (E) DUE TO INVESTMENT EARNINGS/MARKET VALUE FLUCTUATION. ENTITY 2, SCHEDULE K, PART II, COLUMN B, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 2, SCHEDULE K, PART I, ROW B, COLUMN (E) DUE TO INVESTMENT EARNINGS/MARKET VALUE FLUCTUATION. ENTITY 2, SCHEDULE K, PART II, COLUMN C, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 2, SCHEDULE K, PART I, ROW B, COLUMN (E) DUE TO INVESTMENT EARNINGS. ENTITY 2, SCHEDULE K, PART II, COLUMN D, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS OF ISSUE DO NOT EQUAL THE SUMMATION OF LINES 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. ENTITY 3, SCHEDULE K, PART II, COLUMN A, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 3, SCHEDULE K, PART I, ROW A, COLUMN (E) DUE TO INVESTMENT EARNINGS. ENTITY 3, SCHEDULE K, PART II, COLUMN B, LINE 3, TOTAL PROCEEDS OF ISSUE THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 3, SCHEDULE K, PART I, ROW B, COLUMN (E) DUE TO INVESTMENT EARNINGS/MARKET VALUE FLUCTUATION. A IOWA FINANCE AUTHORITY 521699886 46246K4T6 2018-08-28 141806310 RENOVATE FACILITIES 0 0 0 B PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY 521297506 696507UN0 2018-08-28 32281188 RENOVATE FACILITIES 0 0 0 C IOWA FINANCE AUTHORITY 521699886 46246K6Y3 2019-11-20 54891394 RENOVATE FACILITIES 0 0 0 D PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY 521297506 696507US9 2019-11-20 55279646 RENOVATE FACILITIES 0 0 0 A 146366274 13445422 13221556 2662656 117036639 0 0 0 1 B 33501026 3157949 2879562 645624 26817892 2021 0 0 1 1 C 1360000 55795726 2987514 876925 51931287 0 0 1 1 D 56212447 4070747 989659 51152042 0 0 0 1 A 1 1 0 0 0.00300 0.00000 0.00300 0 0 1 B 1 1 0 0 0.00300 0.00000 0.00300 0 0 1 C 1 1 0 0 0.00300 0.00000 0.00300 0 0 1 D 1 1 0 0 0.00300 0.00000 0.00300 0 0 1 A 0 0 0 1 0 0 0 1 1 B 0 0 0 1 0 0 0 1 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 0 0 0 0 1 1 A 1 B 1 C 1 D 1 A IOWA FINANCE AUTHORITY 521699886 46247SBP8 2021-08-31 167807223 RENOVATE FACILITIES & REFUND ISSUE (11/18/10) 0 0 0 B PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY 521297506 696507VF6 2021-08-31 19198516 RENOVATE FACILITIES & REFUND ISSUE (11/18/10) 0 0 0 C PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY 521297506 000000000 2022-11-16 85000000 RENOVATE FACILITIES & PAYOFF LOC (1/23/18) 0 0 0 D IOWA FINANCE AUTHORITY 521699886 46247SFF6 2023-12-14 81199249 RENOVATE FACILITIES & REFUND ISSUE (5/25/23) 0 0 0 A 55450000 169632254 5183108 2544457 138771271 14722709 8410709 1 0 0 1 B 470000 19232794 739187 381511 9644176 8467921 1 0 0 1 C 89355899 3720611 781183 52106336 12008449 20739319 0 1 0 1 D 2215000 81809015 4736537 1623985 15374122 52838333 7236038 1 0 0 1 A 1 1 0 0 0.00300 0.00000 0.00300 0 0 1 B 1 1 0 0 0.00300 0.00000 0.00300 0 0 1 C 1 1 0 0 0.00300 0.00000 0.00300 0 0 1 D 1 1 0 0 0.00300 0.00000 0.00300 0 0 1 A 0 1 1 0 1 0 0 0 1 B 0 0 1 1 0 0 0 0 1 C 0 1 1 0 1 0 0 0 0 D 0 1 1 0 0 0 0 0 0 A 1 B 1 C 1 D 1 A PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY 521297506 696507VT6 2023-12-14 28955317 RENOVATE FACILITIES 0 0 0 B IOWA FINANCE AUTHORITY 521699886 46247SFV1 2024-12-19 128384189 RENOVATE FACILITIES & REFUND ISSUE (8/31/21) 0 0 0 C PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY 521297505 696507RV6 2004-12-22 5465000 ACQUISITION, CONSTRUCTION, AND EQUIPPING FACILITY 0 0 0 A 29994447 1706572 579106 7233423 18837841 0 0 0 1 B 128384189 2306233 22268401 67618275 36191280 1 1 0 1 C 2590000 5503734 392276 109300 7211 4994947 2005 0 0 1 1 A 1 1 0 0 0.00300 0.00000 0.00300 0 0 1 B 1 1 0 0 0.00300 0.00000 0.00300 0 0 1 C 1 1 0 0 0.00300 0.00000 0.00300 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 1 0 0 0 0 0 1 C 0 0 1 1 1 0 0 0 1 A 1 B 1 C 1 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR OF THE BOARD, THE VICE CHAIR OF THE BOARD, THE IMMEDIATE PAST CHAIR OF THE BOARD, THE CHAIR OF THE GOVERNANCE AND NOMINATING COMMITTEE AND, AS AN EX-OFFICIO MEMBER, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. EXCEPT AS LIMITED HEREIN, AND EXCEPT FOR RESPONSIBILITIES DELEGATED TO ANOTHER COMMITTEE, THE EXECUTIVE COMMITTEE SHALL POSSESS AND MAY EXERCISE ALL OF THE POWERS OF THE BOARD OF DIRECTORS IN THE OVERSIGHT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, EXCEPT AS HEREIN PROVIDED. THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE POWERS OF THE BOARD OF DIRECTORS WITH RESPECT TO AUTHORIZING DISTRIBUTIONS; APPROVING DISSOLUTION, MERGER, OR THE SALE, PLEDGE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; ELECTING, APPOINTING, OR REMOVING DIRECTORS OR FILLING VACANCIES ON THE BOARD OF DIRECTORS OR ON ANY OF ITS COMMITTEES; OR ADOPTING, AMENDING, REPEALING THE ARTICLES OF INCORPORATION OR THE BYLAWS, OR THE APPOINTMENT OR REMOVAL OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. THE PRIMARY PURPOSE OF THE COMMITTEE IS TO ENABLE THE BOARD OF DIRECTORS TO ACT WHERE AN ASSEMBLY OF A QUORUM OF THE BOARD WOULD BE IMPRACTICABLE OR IMPOSSIBLE. THE COMMITTEE ALSO SHALL SERVE AS AN ADVISOR TO THE PRESIDENT AND CEO, PROVIDING CONSULTATION, SUPPORT AND GUIDANCE ON AN INFORMAL BASIS AS REQUESTED FROM TIME TO TIME, AND REVIEW AND APPROVE BOARD MEETING AGENDAS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION SHALL BE LIFESPACE, INC. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY TAX ADVISORS OF A NATIONAL ACCOUNTING FIRM WITH INFORMATION PROVIDED BY MANAGEMENT. MANAGEMENT PERFORMED A THOROUGH REVIEW OF THE FORM 990. THE RISK MANAGEMENT & AUDIT COMMITTEE OF THE BOARD OF DIRECTORS REVIEWED AND APPROVED THE FORM 990 PRIOR TO FILING. ANY CONCERNS OR SUGGESTIONS IDENTIFIED BY THE RISK MANAGEMENT & AUDIT COMMITTEE WERE REPORTED TO THE FULL BOARD OF DIRECTORS. A COPY OF THE FORM 990 WAS DISTRIBUTED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING. MEMBERS OF THE BOARD OF DIRECTORS DIRECTED ANY QUESTIONS OR CONCERNS TO THE CHIEF FINANCIAL OFFICER TO BE RESOLVED PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS OF LIFESPACE COMMUNITIES, INC. AND ALL RELATED ORGANIZATIONS MUST CONDUCT THEIR PERSONAL AFFAIRS IN SUCH A MANNER AS TO AVOID ANY POSSIBLE CONFLICTS OF INTEREST WITH DUTIES AND RESPONSIBILITIES AS OFFICERS AND MEMBERS OF THE BOARD OR DIRECTORS. ALL NEW BOARD MEMBERS AND OFFICERS ARE REQUIRED TO COMPLETE A CONFLICTS OF INTEREST STATEMENT. THIS IS REVIEWED BY THE GOVERNANCE & NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL. OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS ANNUALLY ARE REQUIRED TO COMPLETE A CONFLICTS OF INTEREST STATEMENT. THESE STATEMENTS ARE REVIEWED BY THE GOVERNANCE & NOMINATING COMMITTEE TO DETERMINE IF ANY CONFLICTS OF INTEREST EXIST PRIOR TO REAPPOINTMENT TO THE BOARD AND OFFICER POSITIONS. ANY DIRECTOR HAVING A CONFLICT OF INTEREST SHALL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR DIRECTORS (INCLUDING THE OFFICER-DIRECTOR POSITIONS OF CHAIR AND VICE-CHAIR) IS REVIEWED ANNUALLY BY THE GOVERNANCE AND NOMINATING COMMITTEE. GENERALLY, AN OUTSIDE CONSULTANT IS RETAINED EVERY YEAR TO DETERMINE THE REASONABLENESS OF DIRECTOR COMPENSATION. A REPORT IS PROVIDED TO THE BOARD OF DIRECTORS BY THE CONSULTANT. THE BOARD OF DIRECTORS APPROVES THE ANNUAL COMPENSATION BASED ON THESE REVIEWS. COMPENSATION FOR EMPLOYEES WHO ARE DISQUALIFIED PERSONS UNDER INTERMEDIATE SANCTIONS REGULATION IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE DISQUALIFIED PERSONS INCLUDE THE CEO, THE CFO, THE SVP OF OPERATIONS, AND THE SVP OF SUCCESSFUL AGING AND HEALTH SERVICES. THE COMPENSATION COMMITTEE USES AN OUTSIDE, INDEPENDENT COMPENSATION CONSULTANT AT LEAST EVERY OTHER YEAR TO DETERMINE THE REASONABLENESS OF THE DISQUALIFIED PERSONS' COMPENSATION. THE COMPENSATION CONSULTANT PROVIDES A REPORT TO THE COMPENSATION COMMITTEE OF ITS MARKET COMPETITIVENESS REVIEW, FINDINGS, AND RECOMMENDATIONS, AND A LETTER STATING ITS ASSESSMENT OF THE REASONABLENESS OF COMPENSATION. IN YEARS WHEN THE COMPENSATION COMMITTEE DOES NOT USE AN OUTSIDE CONSULTANT, IT REVIEWS SURVEY INFORMATION TO DETERMINE THE REASONABLENESS OF COMPENSATION. THE COMPENSATION COMMITTEE RECOMMENDS TO THE BOARDS, AND THE BOARD OF DIRECTORS APPROVES THE ANNUAL COMPENSATION CHANGES BASED ON THE RECOMMENDATION OF THE COMPENSATION COMMITTEE. THE SALARIES AND BENEFITS LISTED CONTAIN THE TOTAL SALARIES AND BENEFITS PAID TO EACH INDIVIDUAL THROUGH LIFESPACE COMMUNITIES, INC. AND ALL RELATED ENTITIES. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. FORM 990, PART VI, SECTION C, LINE 19 REQUESTS FROM THIRD PARTIES FOR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE REFERRED TO THE CHIEF FINANCIAL OFFICER. ANNUAL RETURNS AND THE APPLICATION FOR EXEMPTION ARE MADE AVAILABLE FOR PUBLIC INSPECTION AND ARE PROVIDED TO INDIVIDUALS WHO REQUEST THEM. COPIES ARE PROVIDED WITHIN 30 DAYS OF A WRITTEN REQUEST OR THE SAME DAY IF REQUESTED IN PERSON. FORM 990, PART XI, LINE 9: EQUITY TRANSFER OUTSIDE OBLIGATED GROUP -332,599. EQUITY ADJUSTMENTS DUE TO MEADOW LAKE PROSPECTIVE CHANGE 3,595,418. UNREALIZED GAIN/LOSS ON DERIVATIVE -2,052,292. FORM 990, PART XII, LINE 2C: THE PROCESS OF OVERSEEING THE AUDIT AND SELECTING AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. 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