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. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
LEXINGTON RETIREMENT COMMUNITY INC
Employer identification number
54-1795871
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)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
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
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
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—2012.
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—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
229,487
60,772
49,682
139,974
60,745
540,660
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......
11,171,738
12,387,673
13,450,577
13,843,126
13,747,615
64,600,729
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.
11,401,225
12,448,445
13,500,259
13,983,100
13,808,360
65,141,389
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
197,311
3,050
3,437
3,307
207,105
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.
0
c
Add lines 7a and 7b..
197,311
3,050
3,437
3,307
207,105
8
Public support (Subtract line 7c from line 6.)
64,934,284
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
11,401,225
12,448,445
13,500,259
13,983,100
13,808,360
65,141,389
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
199,658
293,395
373,606
377,827
434,532
1,679,018
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
199,658
293,395
373,606
377,827
434,532
1,679,018
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.)
..
789,255
49,590
57,775
71,785
60,906
1,029,311
13
Total support. (Add lines 9, 10c, 11, and 12.)..
12,390,138
12,791,430
13,931,640
14,432,712
14,303,798
67,849,718
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 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
95.700 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
94.860 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
2.470 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
2.920 %
19a
33 1/3% support tests—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
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
Schedule A (Form 990 or 990-EZ) 2013
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.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
LEXINGTON RETIREMENT COMMUNITY INC
Employer identification number
54-1795871
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 1
THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE ELECTED OFFICERS OF THE CORPORATION, THE CHAIR OF THE BOARD DEVELOPMENT COMMITTEE, THE EXECUTIVE DIRECTOR, EX OFFICIO, THE FINANCE MANAGER, AND, UPON REQUEST OF THE CHAIR OF THE BOARD, AND IF WILLING TO SERVE, THE IMMEDIATE PAST CHAIR OF THE BOARD FOR A PERIOD NOT TO EXCEED ONE YEAR. THE EXECUTIVE COMMITTEE SHALL PREPARE BOARD MEETING AGENDAS, PLAN THE WORK OF THE BOARD, AND HELP THE BOARD ACCOMPLISH ITS WORK. IT SHALL MAKE DECISIONS ON BEHALF OF THE BOARD WHEN CIRCUMSTANCES REQUIRE A DECISION BETWEEN REGULAR MEETINGS OF THE BOARD, AND SHALL MAKE DECISIONS ON BEHALF OF THE BOARD WHEN THE BOARD DELEGATES TO THE COMMITTEE THE AUTHORITY TO DO SO. THE EXECUTIVE COMMITTEE SHALL HAVE SUCH OTHER RESPONSIBILITIES AS ARE OUTLINED IN THE COMMITTEE DESCRIPTION APPROVED BY THE BOARD.
FORM 990, PART VI, SECTION A, LINE 1
THE BOARD WILL ENDEAVOR TO MAKE DECISIONS BY CONSENSUS, RATHER THAN BY VOTING, IN THE MANNER TRADITIONALLY USED FOR THE CONDUCT OF BUSINESS BY MEMBERS OF THE RELIGIOUS SOCIETY OF FRIENDS. EACH DIRECTOR SHALL BE ENTITLED TO ONE VOTE IN PERSON. VOTING BY PROXY SHALL NOT BE PERMITTED.
FORM 990, PART VI, SECTION A, LINE 2
BEATRIX RUMFORD, NORMAN JONES, RUTH WOODCOCK, AND LLOYD L. CRAIGHILL ARE INDEPENDENT RESIDENTS OF THE COMMUNITY WHO SERVED ON THE BOARD IN 2013. DAWN H. PECK AND DANIEL WALZ HAD PARENTS OR IN-LAWS AS RESIDENTS IN 2013.
FORM 990, PART VI, SECTION A, LINE 7B
THE DIRECTORS SHALL SEEK AND MUST OBTAIN THE APPROVAL OF THE KENDAL CORPORATION WITH RESPECT TO THE FOLLOWING: A. CHANGES IN CORPORATE PURPOSES; B. THE INCURRING OF INDEBTEDNESS WITH A VALUE LARGER THAN THAT SPECIFIED IN THE MOST RECENT AFFILIATION AGREEMENT IN SECTION II. J.; C. THE CORPORATION'S USE OF THE NAME "KENDAL"; D. THE SUBSTANCE OF RESIDENT CONTRACTS; E. THE PURCHASE, SALE, LEASE OR OTHER DISPOSITION OF ANY REAL ESTATE OR IMPROVEMENTS THEREON, WITH A VALUE GREATER THAN THAT SPECIFIED IN THE MOST RECENT AFFILIATION AGREEMENT IN SECTION II. J.; F. DISSOLUTION, MERGER WITH ANOTHER ENTITY, DIVISION, OR ACQUIRING CONTROL OF ANOTHER ENTITY; G. THE SELECTION OF NEW MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION; AND H. AMENDMENTS TO THE ARTICLES OF INCORPORATION I. CERTAIN SECTIONS OF THE BY-LAWS OF THE CORPORATION
FORM 990, PART VI, SECTION B, LINE 11
THE FORM 990 IS REVIEWED BY THE BOARD CHAIR AND BOARD EXECUTIVE COMMITTEE. A COPY OF THE FORM 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS TO APPROVE THE RETURN BEFORE THE FINAL COPY IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C
ANNUALLY ALL BOARD MEMBERS ARE GIVEN A COPY OF KENDAL AT LEXINGTON'S "POLICY REGARDING CONFLICTS OF INTEREST AND DISCLOSURE OF RELATED ACTIVITIES" TO REVIEW. THE POLICY OUTLINES THE GUIDING PRINCIPLES OF THE POLICY AND DISCLOSURE REQUIREMENTS. IN ADDITION, BOARD MEMBERS ARE REQUIRED TO COMPLETE THE ANNUAL CONFLICTS OF INTEREST AND DISCLOSURE OF RELATED ACTIVITIES STATEMENT. THE STATEMENT ASKS SPECIFIC QUESTIONS REGARDING CONFLICTS OF INTEREST. IF A CONFLICT EXISTS, BOARD MEMBERS ARE ASKED TO EXPLAIN THE SITUATION. THE STATEMENTS ARE REVIEWED AND ACTED UPON IF DEEMED APPROPRIATE.
FORM 990, PART VI, SECTION B, LINE 15
THE EXECUTIVE DIRECTOR'S COMPENSATION WAS DETERMINED AFTER AN ANNUAL EVALUATION WAS COMPLETED BY THE EXECUTIVE DIRECTOR'S REVIEW COMMITTEE. THE COMMITTEE CONSISTED OF THE BOARD CHAIR AND TWO INDEPENDENT BOARD MEMBERS. INPUT FOR THE EVALUATION WAS OBTAINED FROM VARIOUS SOURCES, INCLUDING BUT NOT LIMITED TO, KENDAL AT LEXINGTON STAFF, KENDAL CORPORATION STAFF, BOARD MEMBERS AND RESIDENTS. EARNINGS FOR COMPARABLE POSITIONS IN THE MARKET AREA WERE OBTAINED AND USED TO SET COMPENSATION. 2013 WAS THE MOST RECENT YEAR IN WHICH THE PROCESS INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTION OF THE DELIBERATION AND DECISION. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES WAS DETERMINED BY THE EXECUTIVE DIRECTOR WITH INPUT FROM THE DIRECTOR OF HUMAN RESOURCES AND FINANCE MANAGER. ANNUAL EVALUATIONS AND EARNINGS DATA FOR COMPARABLE POSITIONS IN THE MARKET AREA WERE USED TO SET COMPENSATION. THE THREE WAGE SURVEYS USED WERE: ERI - ECONOMIC RESEARCH INSTITUTE, VANHA REGION 5, AND LEADING AGE.
FORM 990, PART VI, SECTION C, LINE 18
THE ORGANIZATION'S 990 IS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G
FEES FOR OTHER SERVICES: PROGRAM SERVICE EXPENSES 1,226,368. MANAGEMENT AND GENERAL EXPENSES 217,206. FUNDRAISING EXPENSES 142. TOTAL EXPENSES 1,443,716.
FORM 990, PART XI, LINE 9:
CHANGE IN BENEFICIAL INTEREST IN CHARITABLE REMAINDER UNITRUST RECEIVABLES 3,559.
FORM 990, PART XII, LINE 2C:
THE BOARD AUDIT AND OVERSIGHT COMMITTEE HAS RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT PROCESS AND REVIEW OF THE AUDITED FINANCIAL STATEMENTS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.