2012-08-15T13:30:57-05:00 2011-09-30 MOSS ADAMS LLP 3121 WEST MARCH LANE SUITE 100 STOCKTON CA 952192303 990 2010-10-01 391412320 CAPITOL LAKES INC CAPI 8887246424 333 W MAIN ST MADISON WI 53703 BRIAN MCLEMORE 8887246424 2012-08-13 1 TRACY S PAGLIA 2099556100 2010 2016-02-24 21:20:13Z X LARRY BOECK 965 ELLENDALE DRIVE MEDFORD OR 97501 36053105 0 X WWW.RETIREMENT.ORG X 1990 WI CAPITOL LAKES, INC.'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE CARE AND HOUSING FOR THE ELDERLY. 4 4 362 5 0 0 0 729 17553930 17806007 118720 1003666 0 24216 17672650 18834618 0 0 0 0 8362630 8435407 0 0 0 14198175 13623003 22560805 22058410 -4888155 -3223792 72909793 68328224 90869226 90929933 -17959433 -22601709 CAPITOL LAKES IS A VIBRANT CONTINUING CARE RETIREMENT COMMUNITY COMMITTED TO THE ENRICHMENT OF RESIDENTS' LIVES. 0 0 19035645 0 17806007 CAPITOL LAKES IS A CONTINUING CARE RETIREMENT COMMUNITY, DEDICATED TO ENHANCING OUR RESIDENTS QUALITY OF LIFE IN A STIMULATING, SECURE ENVIRONMENT. WE PROVIDE HIGH-QUALITY SERVICES INCLUDING HOUSING, NUTRITIOUS MEALS, NURSING, HOUSEKEEPING, MAINTENANCE, AND OTHER SUPPORT TO THOSE WE SERVE. OUR LEVELS OF SERVICE INCLUDE INDEPENDENT LIVING, ASSISTED LIVING, AND SKILLED NURSING. 19035645 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 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 0 1 25 0 1 362 1 0 0 0 0 0 0 0 0 0 0 X 4 4 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X SHERI DRESSLER 5418577644 965 ELLENDALE DRIVE MEDFORD OR 97504 X LEN MERRYMAN 1.00 X X 0 0 0 LARRY BOECK 1.00 X X 0 0 0 PAULA BONNER 1.00 X X 0 0 0 BRIAN PURTELL 1.00 X 0 0 0 TIM CONROY 40.00 X 121099 0 21743 ANTHONY SABATINI 40.00 X 140278 0 23445 261377 0 45188 2 0 1 0 PACIFIC RETIREMENT SERVICES 965 ELLENDALE DRIVE MEDFORD OR 97504 MANAGEMENT SERVICES 1398843 CONSONUS REHAB 4560 SE INTERNATIONAL WAY MILWAUKEE OR 97222 THERAPY 1322470 MCGANN CONSTRUCTION 3622 LEXINGTON AVE MADISON WI 53714 CONSTRUCTION 179737 3 729 729 HEALTH SERVICE REVENUE 623990 9385481 9385481 SERVICE FEES 623990 6532307 6532307 ENTRANCE FEES 623990 1141604 1141604 DINING REVENUE 623990 282783 282783 RELATED RENTAL 623990 275831 275831 188001 188001 17806007 199621 199621 22918 22918 22918 22918 18022532 17218487 804045 804045 804045 1298 1298 1298 18834618 17806007 0 1027882 6598866 5776109 822757 251761 210895 40866 1089262 920513 168749 495518 433579 61939 950636 950636 127173 127173 43999 43999 16923 16923 544589 360612 183977 246402 92 246310 615067 518024 97043 45894 45894 1123277 1122696 581 59231 2981 56250 19973 17281 2692 3514995 3514995 2970930 2970930 211646 211646 HEALTH CENTER EXPENSE 2160346 2160346 DIETARY EXPENSE 743966 743966 FACILITY SERVICE EXPENS 169975 70980 98995 ASSET DISPOSAL 54651 54651 PROGRAM FUND EXPENSES 3330 3330 22058410 19035645 3022765 0 1774971 2565862 11970847 10041300 1871111 1414312 24673 28208 335491 335837 55159819 10094140 47102755 45065679 8427200 7638168 1402745 1238858 72909793 68328224 3502137 2967704 19238150 20995815 51485000 50485000 6985000 6275000 9658939 10206414 90869226 90929933 X -18362470 -23021040 326710 343004 76327 76327 -17959433 -22601709 72909793 68328224 X -3223792 -1418484 X 0 1 1 X 0 X 8940 5858 5047 729 20574 16441247 7767598 17070710 17553930 17806007 76639492 16450187 7773456 17075757 17553930 17806736 76660066 0 79883 92168 86407 68494 326952 79883 92168 86407 68494 326952 76333114 428073 244758 197403 215381 222539 1308154 428073 244758 197403 215381 222539 1308154 1298 1298 16878260 8018214 17273160 17769311 18030573 77969518 0.97900 0.98110 0.01680 0.01890 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: NON OPERATING INCOME 0 22058410 22058410 1000000 250000 0 0 1000000 1000000 1500000 250000 250000 375000 8537600 8537600 42317206 8765395 33551811 2121393 895870 1225523 2183620 432875 1750745 45065679 REFUNDABLE DEPOSITS 151780 DUE TO AFFILIATES 3004453 SWAP AGREEMENTS 6847326 OTHER CURRENT LIABILITIES 31957 ASSET RETIREMENT OBLIGATION 170898 10206414 18834618 22058410 -3223792 -868001 -550483 -1418484 -4642276 17399211 -868001 -550483 -1418484 18817695 16923 16923 18834618 22041487 0 22041487 16923 16923 22058410 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE CORPORATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE CORPORATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT SEPTEMBER 30, 2011 AND 2010, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN NET ASSETS OF CAPITOL LAKES FOUNDATION, INC. 11,560. CHANGE IN VALUE OF INTEREST RATE SWAP -562,043. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENTS -562,043. CHANGE IN INTEREST IN NET ASSETS OF CAPITOL LAKES FOUNDATION, INC. 11,560. X X X 0 0 0 0 0 0 0 0 0 ANTHONY SABATINI 140278 0 0 0 0 0 4208 0 19237 0 163723 0 0 0 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES 391337855 97710V7V4 2008-04-01 44590000 ACQUISITION, CONST, RENOVATION & IMPROVEMENT OF FACILITIES & REFUND BOND 0 0 0 44826384 3146723 771878 890841 724551 29743151 3479412 6069829 2011 1 0 0 1 0 1 1 0 1 0.00200 0.00000 0.00200 1 0 1 1 KBC BANK 11.900000000000 0 0 0 1 0 THE DIFFERENCE BETWEEN ISSUE PRICE IN PART I(E) AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. THE BONDS REFUNDED WERE ISSUED ON 4/25/1995 AND 8/25/1999. FORM 990, PART VI, SECTION A, LINE 3 CAPITOL LAKES DELEGATES MANAGEMENT TO PACIFIC RETIREMENT SERVICES. FORM 990, PART VI, SECTION A, LINE 6 CAPITOL LAKES, INC. HAS ONE MEMBER, PACIFIC RETIREMENT SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A PACIFIC RETIREMENT SERVICES HAS THE RIGHT TO ELECT THE DIRECTORS OF THE BOARD OF CAPITOL LAKES INC. FORM 990, PART VI, SECTION A, LINE 7B SOME DECISIONS OF THE BOARD ARE SUBJECT TO APPROVAL BY PACIFIC RETIREMENT SERVICES, AS OUTLINED IN ARTICLE IV SECTION 1 OF THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS CURRENTLY BEING REVIEWED BY THE CONTROLLER AND THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE ARE SENT TO ALL BOARD MEMBERS AND KEY EMPLOYEES ANNUALLY. THERE ARE TWO POLICIES RELATED TO CONFLICTS OF INTEREST: 1) BOARD OF DIRECTORS; 2) KEY EMPLOYEES, WHICH IDENTIFY THE PURPOSE, DEFINITIONS, AND PROCEDURES. IF A CONFLICT IS SELF-IDENTIFIED BY A BOARD MEMBER OR KEY EMPLOYEE IN THE QUESTIONNAIRE AND/OR MEETING, PROCEDURES ARE FOLLOWED AND DOCUMENTED ACCORDING TO THE POLICY. FORM 990, PART VI, SECTION B, LINE 15A A COMPENSATION COMMITTEE OF THE PRS BOARD EXISTS TO DETERMINE COMPENSATION FOR THE EXECUTIVE DIRECTOR OF EACH COMMUNITY. THIS COMMITTEE IS COMPRISED OF THE OFFICERS OF THE PRS BOARD OF DIRECTORS. THE COMMITTEE HAS A CHARTER THAT OUTLINES ITS DUTIES AND RESPONSIBILITIES. IT ALSO HAS AGENDA ELEMENTS THAT DESCRIBE THE ACTIVITIES THAT THE COMMITTEE UNDERTAKES DURING THE YEAR. THE VP OF HUMAN RESOURCES PROVIDED SALARY STUDIES FROM THE FOLLOWING RESOURCES TO THE COMMITTEE RELATIVE TO EXECUTIVE DIRECTOR COMPENSATION: SALARY.COM, PAYSCALE.COM, 990 REVIEW (LIKE SIZE ORGANIZATIONS), CEMO (CHIEF EXECUTIVE OFFICERS OF MULTI-FACILITY ORGANIZATIONS) SALARY STUDY RESULTS, AND INDUSTRY STATE ASSOCIATION SALARY STUDY RESULTS BASED ON GEOGRAPHICAL LOCATION. THE RECOMMENDATION FOR BASE COMPENSATION AND BONUS ARE PROVIDED BY THE EDS DIRECT SUPERVISOR (COO OR VP OF OPERATIONS). FORM 990, PART VI, SECTION C, LINE 19 ALL REQUESTS GO THROUGH CORPORATE COUNSEL. HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: PART VII, SECTION A: - LEN MERRYMAN DEVOTES 1 HOUR PER WEEK TO EACH OF THE FOLLOWING ENTITIES: * ROGUE VALLEY MANOR * UNIVERSITY RETIREMENT COMMUNITY AT DAVIS * MIRABELLA SEATTLE * MIRABELLA WASHINGTON FOUNDATION * MIRABELLA PORTLAND - LARRY BOEK DEVOTES 1 HOUR PER WEEK TO EACH OF THE FOLLOWING ENTITIES: * UNIVERSITY RETIREMENT COMMUNITY AT DAVIS * MIRABELLA SEATTLE * MIRABELLA WASHINGTON FOUNDATION * MIRABELLA PORTLAND - ANTHONY SABATINI DEVOTES 1 HOUR PER WEEK TO MIRABELLA PORTLAND FOUNDATION CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -868,001. CHANGE IN INTEREST IN NET ASSETS OF CAPITOL LAKES FOUNDATION, INC. 11,560. CHANGE IN VALUE OF INTEREST RATE SWAP -562,043. TOTAL TO FORM 990, PART XI, LINE 5: -1,418,484. PACIFIC RETIREMENT SERVICES INC 965 ELLENDALE DRIVE MEDFORD OR 97504 931067253 SUPPORTING ORGANIZATION OR 501(C)(3) LINE 11C, III-FI N/A 0 ROGUE VALLEY MANOR 965 ELLENDALE DRIVE MEDFORD OR 97504 930453216 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 THE CUMBERLAND REST INC 965 ELLENDALE DRIVE MEDFORD OR 97504 750891470 SENIOR HOUSING TX 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 UNIVERSITY RETIREMENT COMMUNITY AT DAVIS 965 ELLENDALE DRIVE MEDFORD OR 97504 931179254 SENIOR HOUSING CA 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 HOLLADAY PARK PLAZA 965 ELLENDALE DRIVE MEDFORD OR 97504 930513697 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 HOLLADAY PARK PLAZA ENDOWMENT FUND 965 ELLENDALE DRIVE MEDFORD OR 97504 930776291 ASSISTANCE TRUST OR 501(C)(3) LINE 7 HOLLADAY PARK PLAZA 0 CASCADE MANOR INC 965 ELLENDALE DRIVE MEDFORD OR 97504 930557803 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 ROGUE VALLEY MANOR FOUNDATION 965 ELLENDALE DRIVE MEDFORD OR 97504 930712867 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 PACIFIC RETIREMENT SERVICES INC 0 UNIVERSITY RETIREMENT COMMUNITY AT DAVIS FOUNDATION 965 ELLENDALE DRIVE MEDFORD OR 97504 931301816 PUBLIC FOUNDATION CA 501(C)(3) LINE 7 PACIFIC RETIREMENT SERVICES INC 0 TRINITY TERRACE FOUNDATION INC 965 ELLENDALE DRIVE MEDFORD OR 97504 912162130 PUBLIC FOUNDATION TX 501(C)(3) LINE 7 PACIFIC RETIREMENT SERVICES INC 0 HOLLADAY PARK PLAZA FOUNDATION 965 ELLENDALE DRIVE MEDFORD OR 97504 264529118 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 PACIFIC RETIREMENT SERVICES INC 0 MIRABELLA WASHINGTON FOUNDATION 965 ELLENDALE DRIVE MEDFORD OR 97504 450574348 PUBLIC FOUNDATION WA 501(C)(3) LINE 7 PACIFIC RETIREMENT SERVICES INC 0 CASCADE MANOR FOUNDATION 965 ELLENDALE DRIVE MEDFORD OR 97504 931330100 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 PACIFIC RETIREMENT SERVICES INC 0 CAPITOL LAKES FOUNDATION 965 ELLENDALE DRIVE MEDFORD OR 97504 383781089 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 PACIFIC RETIREMENT SERVICES INC 0 MIRABELLA 965 ELLENDALE DRIVE MEDFORD OR 97504 342030255 SENIOR HOUSING WA 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 MIRABELLA PORTLAND FOUNDATION 965 ELLENDALE DRIVE MEDFORD OR 97504 452508860 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 PACIFIC RETIREMENT SERVICES INC 0 MIRABELLA AT SOUTH WATERFRONT 965 ELLENDALE DRIVE MEDFORD OR 97504 711016384 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 MIRABELLA SAN FRANCISCO BAY 965 ELLENDALE DRIVE MEDFORD OR 97504 200428927 SENIOR HOUSING CA 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM COMMUNITY SERVICES INC 965 ELLENDALE DRIVE MEDFORD OR 97504 930892261 COMM SRVCS OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 930864466 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM ASHLAND HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 930942933 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM GRANTS PASS HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943136037 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM ROSEBURG HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943179782 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM MYRTLE CREEK HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943162074 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM BEND HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943163349 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM EAGLE POINT HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943191447 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM KLAMATH FALLS HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943196455 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM MEDFORD II HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943212537 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM LIVELY OAKS HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943194409 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM REEDSPORT HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943212538 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM YREKA HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943212540 SENIOR HOUSING CA 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM EUGENE HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943247154 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM FORT WORTH I HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 311520436 SENIOR HOUSING TX 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM BEND II HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943260016 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM FORT WORTH II HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 311587415 SENIOR HOUSING TX 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM MEDFORD III HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 311587418 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM ROSEBURG II HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 311587420 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM GRANTS PASS II HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 311662259 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM DAVIS HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 311662208 SENIOR HOUSING CA 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM MYRTLE CREEK II HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 311715321 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM PORTLAND HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 311780332 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM PORTLAND II HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 300037898 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM CENTRAL POINT HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 300315618 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM MANSFIELD HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 900292647 SENIOR HOUSING TX 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 CORBINTON RETIREMENT 965 ELLENDALE DRIVE MEDFORD OR 97504 262987036 SENIOR HOUSING NC 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 MIRABELLA MARIN 965 ELLENDALE DRIVE MEDFORD OR 97504 263800433 SENIOR HOUSING CA 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 MIRABELLA AT MORRISON 965 ELLENDALE DRIVE MEDFORD OR 97504 271016196 SENIOR HOUSING NC 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 CREST PARK INC 965 ELLENDALE DRIVE MEDFORD OR 97504 931169683 HOTEL OR N/A C RETIREMENT SERVICES INC 965 ELLENDALE DRIVE MEDFORD OR 97504 631328250 MANAGEMENT COMPANY OR N/A C PRS SCHOOL OF AGING SERVICES INC 965 ELLENDALE DRIVE MEDFORD OR 97504 262477424 SCHOOL OR N/A C 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0