2014-10-20T13:23:58-05:00 2013-12-31 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2013-01-01 362169165 PLYMOUTH PLACE INC PLYM 7083540340 315 N LAGRANGE ROAD LAGRANGE PARK IL 60526 DALE LILBURN CEO 7083540340 2014-10-17 1 GREGORY S ADAMS P00095597 6305738600 2013 2015-11-30 17:44:51Z DALE LILBURN 315 N LAGRANGE ROAD LAGRANGE PARK IL 60526 30627071 0 X WWW.PLYMOUTHPLACE.ORG X 1938 IL RETIREMENT HOME FOR SENIOR CITIZENS 14 14 405 45 0 0 2366140 2214687 23877777 27768454 527393 643930 0 0 26771310 30627071 0 0 0 0 9591694 9754739 0 0 0 18115419 18007485 27707113 27762224 -935803 2864847 142116481 143631593 165671275 179524954 -23554794 -35893361 PLYMOUTH PLACE IS DEDICATED TO PROVIDING A WELCOMING ENVIRONMENT FOR OLDER ADULTS. WITH A FOCUS ON THE DIGNITY AND WORTH OF EACH INDIVIDUAL, WE HONOR EVERY RESIDENT'S RIGHT TO EXPERIENCE LIFE TO THE FULLEST. 0 0 24458600 27768454 PLYMOUTH PLACE IS A NONPROFIT CORPORATION WHICH PROVIDES HOUSING, HEALTH CARE, AND OTHER RELATED SERVICES TO THE RESIDENTS OF THE LANDING AT PLYMOUTH PLACE, A RETIREMENT COMMUNITY IN LAGRANGE PARK, ILLINOIS. THE LANDING, A REDEVELOPMENT OF THE ORGANIZATION'S FORMER RETIREMENT COMMUNITY, CONSISTS OF 182 INDEPENDENT LIVING APARTMENTS, 52 ASSISTED LIVING, 26 MEMORY SUPPORT UNITS, 86 HEALTH CARE BEDS, AND 23 RENOVATED COTTAGES. 24458600 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 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 0 0 0 0 1 17 0 1 405 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 IL X DALE LILBURN 7083540340 315 N LAGRANGE ROAD LAGRANGE PARK IL 60526 ARMBRUSTER DR KENT DIRECTOR 1.00 X 0 0 0 CONLIN R DEAN DIRECTOR 1.00 X 0 0 0 GAGE JAMES DIRECTOR 6.00 X 0 0 0 BALDWIN MARVIN DIRECTOR 3.00 X 0 0 0 BRYANT DORIS DIRECTOR 2.00 X 0 0 0 FELSON RAY DIRECTOR 1.00 X 0 0 0 HORTON DR LOREN DIRECTOR 1.00 X 0 0 0 HAMBURGER DIANE DIRECTOR 1.50 X 0 0 0 BUSSE DR WALTER DIRECTOR 1.00 X 0 0 0 COATES WILLIAM DIRECTOR 2.00 X 0 0 0 SUTHERLAND NANCY DIRECTOR 5.00 X 0 0 0 ONION DAVID DIRECTOR 4.00 X 0 0 0 RITTER-JENKINS LESLIE DIRECTOR 1.00 X 0 0 0 VERGOWE HARRIET DIRECTOR 2.00 X 0 0 0 LILBURN DALE CEO 50.00 X 192719 0 8782 SLEEZER SHARON DIRECTOR OF SALES 40.00 X 110756 0 8037 GILBERT MARGARET SR LIVING COUNSELOR 50.00 X 104769 0 11818 WEILER DANIEL DIR OF ENV SERVICES 50.00 X 104288 0 2761 STANTON LISA SR. LIVING COUNSELOR 50.00 X 101709 0 12662 614241 0 44060 5 0 1 0 SODEXO INC PO BOX 70060 CHICAGO IL 60673 DIETARY SERVICE 1778467 COMPREHENSIVE THERAPEUTICS LTD 3703 WEST LAKE AVE GLENVIEW IL 60025 NURSING THERAPY 1345375 PROVIDENCE MANAGEMENT 18601 NORTH CREEK DRIVE TINLEY PARK IL 60477 MANAGEMENT 771380 OMNICARE OF NORTHERN ILLINOIS PO BOX 641805 CINCINNATTI OH 45264 PHARMACY 609771 NOVASTAFF 2021 MIDWEST RD 200 OAK BROOK IL 60523 NURSING SERVICES 241243 13 2214687 2214687 SENIOR HOUSING, ASSISTANCE 623000 27768454 27768454 27768454 643930 643930 30627071 27768454 0 643930 192719 192719 7517886 6591147 926739 83466 67681 15785 1396100 1119340 276760 564568 486495 78073 837043 627728 209315 35996 35996 53304 53304 994610 994610 7855 7855 162946 162946 1264161 1264161 4932990 4932990 3702772 3702772 201563 201563 SUPPLIES 1933286 1901368 31918 OTHER 1595752 1479711 116041 NURSING - THERAP 1306761 1306761 NURSING - PHARMACY 506369 506369 472077 472077 27762224 24458600 3303624 0 2032649 4223126 2921135 2645146 539008 103177 130837417 26737527 107118288 104099890 26120230 23575774 3385171 8984480 142116481 143631593 2341447 2300149 73005318 14622425 81905000 79600000 8419510 83002380 165671275 179524954 X -29609241 -42775662 14838 207505 6039609 6674796 -23554794 -35893361 142116481 143631593 X 2864847 76545 -14226387 -1053572 X X 0 1 X 1 0 X 1208665 757704 3573526 2366140 2214687 10120722 18485983 21360817 22878195 24405170 27768454 114898619 19694648 22118521 26451721 26771310 29983141 125019341 0 0 0 125019341 417984 211973 279552 527393 643930 2080832 417984 211973 279552 527393 643930 2080832 20112632 22330494 26731273 27298703 30627071 127100173 0.98360 0.97440 0.01640 0.03000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 85418 85418 126006611 24542720 101463891 398258 141105 257153 4331675 2047327 2284348 15455 6375 9080 104099890 DEFERRED FINANCING COSTS 1837043 DEFERRED MARKETING COSTS 472641 BENEFICIAL INTEREST IN PERPETUAL TRUST 6674796 8984480 REFUNDABLE ENTRANCE FEES 77553156 ACCRUED DEVELOPER FEE 1405474 RESIDENT DEPOSITS 139845 WAITING LIST DEPOSITS 76500 UNAMORTIZED BOND DISCOUNT -455221 FUTURE SERVICE OBLIGATION 4282626 83002380 X 29650044 76545 -1053572 -977027 30627071 0 30627071 27762224 0 27762224 0 27762224 PART X, LINE 2: THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARDS FOR INCOME TAXES IN EVALUATING UNCERTAIN TAX POSITIONS. THE ORGANIZATION FILES INFORMATIONAL RETURNS AS A TAX-EXEMPT ORGANIZATION. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE FEDERAL AND STATE RETURNS FOR THE ORGANIZATION FOR THE FISCAL YEARS ENDED DECEMBER 31, 2010-2012 ARE OPEN TO EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THE DATE OF FILING. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 635,187. LOSS ON REFINANCING -1,688,759. X 0 0 0 0 0 0 0 0 0 LILBURN DALE CEO 192719 0 0 0 0 0 3372 0 5410 0 201501 0 0 0 A ILLINOIS FINANCE AUTHORITY 861091967 45200BUB2 2005-12-08 1920000 CONSTRUCT REPLACEMENT 0 0 0 B ILLINOIS FINANCE AUTHORITY 861091967 45200BUC0 2005-12-08 14335000 CONSTRUCT REPLACEMENT 0 0 0 C ILLINOIS FINANCE AUTHORITY 861091967 45200BUD8 2005-12-08 38485000 CONSTRUCT REPLACEMENT 0 0 0 D ILLINOIS FINANCE AUTHORITY 861091967 45200BUB2 2005-12-08 1030000 CONSTRUCT REPLACEMENT 0 0 0 A 935000 1920000 1452500 47643 1743182 2008 0 0 1 1 B 14335000 1087228 359157 12899383 2008 0 0 1 1 C 38485000 2920050 963861 34636227 2008 0 0 1 1 D 1030000 256454 918229 2008 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 0 0 0 0 0 B 0 0 0 1 0 0 0 0 0 C 0 0 0 1 0 0 0 0 0 D 0 0 0 1 0 0 0 0 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/10/2010 ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/10/2010 ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/10/2010 ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/10/2010 A ILLINOIS FINANCE AUTHORITY 861091967 45203HQP0 2013-05-15 24765000 REFINANCING OF SERIES 2005 BONDS 0 0 0 A 24765000 1563750 976061 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 0 FORM 990, PART I, LINE 6 THE VOLUNTEERS PERFORM MINIMAL TASKS IN ASSISTING THE RESIDENTS AT THE FACILITY. FORM 990, PART VI, SECTION A, LINE 3 PLYMOUTH PLACE HAS CONTRACTED WITH PROVIDENCE MANAGEMENT TO PROVIDE CFO AND RELATED ACCOUNTING SERVICES, IT SERVICES AND NURSING CENTER ADMINISTRATION. FORM 990, PART VI, SECTION B, LINE 11 A DRAFT OF THE 990 IS PREPARED AND SUBMITTED TO THE CEO FOR INITIAL REVIEW. THE CEO PRESENTS TO THE AUDIT COMMITTEE A COPY OF THE 990 FOR THEIR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS REVIEW AND UPDATE THEIR ANNUAL DISCLOSURE OF INTERESTS. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD ANNUALLY RECEIVES AND REVIEWS THE COMPENSATION SURVEYS OF AAHSA & LEADINGAGE ILLINOIS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE FACILITY OFFICE. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF PERPETUAL TRUST 635,187. LOSS ON REFINANCING OF LONG-TERM DEBT -1,688,759. FORM 990, PART XII, LINE 2C: THE OVERSIGHT PROCESS FOR THE AUDIT HAS NOT CHANGED IN THE PAST YEAR.