Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
SENIOR QUALITY LIFESTYLES CORPORATION
Employer identification number
36-4502669
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
No
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
No
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
No
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
(A)
NORTHWEST SENIOR HOUSING CORPORATION
752771278
09
Yes
Yes
Yes
0
(B)
BARTON CREEK SENIOR LIVING CENTER INC
201203479
09
Yes
Yes
Yes
0
(C)
BUCKINGHAM SENIOR LIVING COMMUNITY INC
300097872
09
Yes
Yes
Yes
0
(D)
SQLC SENIOR LIVING CENTER AT CORPUS CHRISTI
261778912
09
Yes
Yes
Yes
0
(E)
TARRANT COUNTY SENIOR LIVING CENTER INC
208068602
09
Yes
Yes
Yes
0
(F)
MAYFLOWER COMMUNITIES INC
261446350
09
Yes
Yes
Yes
0
Total
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here........................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2012.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2011.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2012.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2011.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
The supported organizations are designated by class in the organization's Articles of Incorporation. See Treas. Reg. 1.509(a)-4(d)(2)(b). The organization supports the supported organizations in various ways that enable the supported organizations to better carry out their charitable purposes, including favorable loans and other forms of liquidity support, and furnishing of services, facilities, and other forms of non-cash assistance. The organization is in continuing contact with each supporting organization, so the supported organizations are well aware of this support.
Schedule A (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
SENIOR QUALITY LIFESTYLES CORPORATION
Employer identification number
36-4502669
Identifier
Return Reference
Explanation
EMPLOYEES REPORTED THROUGH OUTSOURCED PROFESSIONAL EMPLOYER ORGANIZATION
FORM 990, PART V, LINE 2(A)
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, MERIT RESOURCES, INC. (EIN: 42-1368750), WHICH IS THE EMPLOYER OF RECORD, ISSUES ALL W-2S AND ACTS AS AN OUTSOURCED HUMAN RESOURCES AND PAYROLL DEPARTMENT FOR THE ORGANIZATION.
DOCUMENTATION OF MEETINGS
FORM 990, PART VI, SECTION A, LINE 8(B)
Line 8(b) 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 REVIEW PROCESS
FORM 990, PART VI, SECTION B, LINE 11
The Board Members of SENIOR QUALITY LIFESTYLES CORPORATION and Greystone Communities, the management company, review the Form 990 upon completion. The board review and approval of the Form 990 is completed prior to filing.
COMPENSATION REVIEW OF MANAGEMENT
FORM 990, PART VI, SECTION B, LINE 15
The CEO of Senior Quality Lifestyles Corporation, along with the management company, Greystone, and Merit, an independent payroll processor, set the salary for the Executive Director. Both Greystone and Merit Provide Comparative Salary Data. The CEO and Executive HR Director, along with Merit Resources and Greystone determine other top management rates based on market wages and years of experience.
DOCUMENTS AVAILABLE TO THE PUBLIC
FORM 990, PART VI, SECTION C, LINE 19
Documents are available to the public upon request.
CONFLICT OF INTEREST POLICY ENFORCEMENT AND MONITORING
FORM 990, PART VI, SECTION B, LINE 12(C)
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 in addition to the Management Company will bring any questionable activity to the attention of the board or AN officer.
APPLICABILITY OF POLICIES TO DISREGARDED ENTITY
FORM 990, PART VI, SECTION B
SQLC LSA, LLC IS A DISREGARDED ENTITY WITH RESPECT TO SENIOR QUALITY LIFESTYLES CORPORATION. SQLC LSA, LLC HAS NOT SPECIFICALLY ADOPTED A CONFLICT OF INTEREST, WHISTLEBLOWER OR DOCUMENT RETENTION AND DESCTRUCTION POLICY. HOWEVER, SINCE SENIOR QUALITY LIFESTYLES CORPORATION IS THE SOLE MEMBER OF SQLC LSA, LLC AND THE TWO ENTITIES SHARE COMMON DIRECTORS AND OFFICERS, POLICIES OF SENIOR QUALITY LIFESTYLES CORPORATION ARE CONSIDERED TO BE EFFECTIVE FOR SQLC LSA, LLC.
PRIOR YEARS' REPORTING OF OFFICER'S COMPENSATION
FORM 990, PART VII FOR CALENDAR YEARS 2009 - 2011
Form 990 for 2009, 2010 and 2011 incorrectly allocated a portion of David Brown's W-2 income to SQLC SENIOR LIVING CENTER AT CORPUS CHRISTI and TARRANT COUNTY SENIOR LIVING CENTER, INC. SENIOR QUALITY LIFESTYLES CORPORATION (SQLC) should have allocated all of David Brown's W-2 income to SQLC at Part VII on its Forms 990 for 2009, 2010 and 2011. David Brown received compensation under Merit Resources Inc.'s (Merit) federal employer identification number and issued David Brown a Form W-2. SQLC paid Merit FOR all of the wages RECEIVED BY David Brown FROM MERIT. David Brown was included in the number of persons reported on line 2(a) of Part V that SQLC considered to be its employees. The incorrect reporting did not result in an underpayment of tax, or a failure to disclose material information. David Brown's compensation for 2012 is being reported correctly.
Joint Venture Policies
Form 990, Part VI, Section B, Line 16
The organization has been involved in only one such joint venture, and this occurred in 2012 for only a brief period of time under unusual circumstances. Because the organization has no plans to engage in these joint ventures, no policy or procedure is believed to be necessary.
Amended Articles of Incorporation
Form 990, Part VI, Section A, Line 4
THE ORGANIZATION AMENDED THE ARTICLES OF INCORPORATION IN 2012 TO DESCRIBE THE SUPPORTED ORGANIZATIONS BY CLASS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.