Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
NORTHWEST SENIOR HOUSING CORPORATION |
752771278 | 9 | Yes | 0 | 0 | |
| (B)
BARTON CREEK SENIOR LIVING CENTER INC |
201203479 | 9 | Yes | 0 | 0 | |
| (C)
BUCKINGHAM SENIOR LIVING COMMUNITY INC |
300097872 | 9 | Yes | 0 | 0 | |
| (D)
TARRANT COUNTY SENIOR LIVING CENTER INC |
208068602 | 9 | Yes | 0 | 0 | |
| (E)
MAYFLOWER COMMUNITIES INC |
261446350 | 9 | Yes | 0 | 0 | |
| (F)
SQLC SENIOR LIVING CENTER AT CORPUS CHRISTI |
261778912 | 9 | Yes | 0 | 0 | |
| Total 6 | 0 | 0 | ||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| FORM 990, SCHEDULE A, PART I, LINE 11(G)(I - VII) | SUPPORTED ORGANIZATIONS 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, PART IV, SECTION A, LINE 1 | THE SUPPORTED ORGANIZATIONS ARE LISTED AND DESIGNATED BY CLASS IN SQLC'S GOVERNING DOCUMENTS. |
| SCHEDULE A, PART IV, SECTION A, LINE 2 | SENTINEL RIDGE SENIOR LIVING CORPORATION WAS FORMED IN JANUARY 2015 TO OWN AND OPERATE A CONTINUING CARE RETIREMENT COMMUNITY IN COLORADO SPRINGS, COLORADO. SENTINEL RIDGE WAS FORMED FOR CHARITABLE PURPOSES DESCRIBED IN SECTION 501(C)(3) AND IS IN THE PROCESS OF APPLYING FOR EXEMPTION FROM FEDERAL INCOME TAX AS A CHARITABLE ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ONCE SENTINEL RIDGE BEGINS OPERATIONS, ITS REVENUES ARE EXPECTED TO SATISFY THE PUBLIC SUPPORT TEST DESCRIBED IN SECTION 509(A)(2) OF THE INTERNAL REVENUE CODE. |
| SCHEDULE A, PART IV, SECTION A, LINE 5A | SENTINEL RIDGE SENIOR LIVING CORPORATION (EIN:47-2871995); SENTINEL RIDGE WAS FORMED TO EXPAND SQLC'S SYSTEM OF CONTINUING CARE RETIREMENT COMMUNITIES TO PROVIDE SUCH SERVICES IN COLORADO SPRINGS, COLORADO; SENTINEL RIDGE FITS WITHIN THE EXISTING CLASS OF SUPPORTED ORGANIZATIONS DESCRIBED IN SQLC'S GOVERNING DOCUMENTS; THE FORMATION OF SENTINEL RIDGE AND ITS STRUCTURE AS AN ADDITIONAL SUPPORTED ORGANIZATION OF SQLC WAS APPROVED BY THE SQLC BOARD OF DIRECTORS. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART V, LINE 2B: | EMPLOYEES REPORTED THROUGH OUTSOURCED PROFESSIONAL EMPLOYER ORGANIZATION 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, AUREON HR, 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. |
| FORM 990, PART VI, SECTION A, LINE 8B | DOCUMENTATION OF MEETINGS LINE 8(B) IS ANSWERED NO BECAUSE THE COMMITTEES DO NOT DOCUMENT THEIR DISCUSSIONS WHICH TYPICALLY OCCUR OUTSIDE OF BOARD MEETINGS. THE COMMITTEES MAY PROVIDE FEEDBACK TO THE BOARD HOWEVER THE COMMITTEE DISCUSSIONS ARE INFORMAL AND NOT DOCUMENTED. |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 REVIEW PROCESS 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. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY ENFORCEMENT AND MONITORING 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. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION REVIEW OF MANAGEMENT THE CEO OF SENIOR QUALITY LIFESTYLES CORPORATION, ALONG WITH THE MANAGEMENT COMPANY, GREYSTONE, AND AUREON HR, AN INDEPENDENT PAYROLL PROCESSOR, SET THE SALARY FOR THE EXECUTIVE DIRECTOR. BOTH GREYSTONE AND AUREON HR PROVIDE COMPARATIVE SALARY DATA. THE CEO, ALONG WITH AUREON HR AND GREYSTONE, DETERMINE OTHER TOP MANAGEMENT RATES BASED ON MARKET WAGES AND YEARS OF EXPERIENCE. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN ITS RELATED ORGANIZATION, NORTHWEST SENIOR HOUSING CORPORATION'S, CONSOLIDATED FINANCIAL STATEMENTS, WHICH ARE POSTED TO NATIONALLY RECOGNIZED ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA). DOCUMENTS ARE ALSO AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION B | APPLICABILITY OF POLICIES TO DISREGARDED ENTITY 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 DESTRUCTION 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. |
| FORM 990, PART X - NOTES AND LOANS RECEIVABLE | BORROWER: SQLC SENIOR LIVING CTR AT CORPUS CHRISTI ORIGINAL AMOUNT: 2,750,000. INTEREST RATE: 3.250000 DATE OF NOTE: 02/13/2008 REPAYMENT TERMS: TO BE REPAID AFTER STABILIZATION OF SQLC-CORPUS PURPOSE OF LOAN: PRE-PERMANENT FINANCING COSTS OF SQLC CORPUS BEGINNING BALANCE DUE ........................................ 3,213,460. ENDING BALANCE DUE ........................................... 3,335,677. BORROWER: TARRANT COUNTY SENIOR LIVING CENTER ORIGINAL AMOUNT: 6,000,000. INTEREST RATE: 3.250000 DATE OF NOTE: 11/05/2009 REPAYMENT TERMS: UPON TCSLC ACHIEVING SPECIFIED BENCHMARKS PURPOSE OF LOAN: LIQUIDITY SUPPORT BEGINNING BALANCE DUE ........................................ 6,000,000. ENDING BALANCE DUE ........................................... 6,000,000. BORROWER: TARRANT COUNTY SENIOR LIVING CENTER ORIGINAL AMOUNT: 663,957. INTEREST RATE: 3.250000 DATE OF NOTE: 11/12/2009 REPAYMENT TERMS: TO BE REPAID AFTER STABILIZATION OF TCSLC PURPOSE OF LOAN: COST OF ISSUANCE OF TCSLC TAX-EXEMPT BONDS BEGINNING BALANCE DUE ........................................ 779,719. ENDING BALANCE DUE ........................................... 804,388. BORROWER: SQLC SENIOR LIVING CTR AT CORPUS CHRISTI ORIGINAL AMOUNT: 2,500,000. INTEREST RATE: 3.250000 DATE OF NOTE: 03/10/2010 REPAYMENT TERMS: UPON SQLC-CORPUS ACHIEVING SPECIFIED BENCHMARKS PURPOSE OF LOAN: LIQUIDITY SUPPORT BEGINNING BALANCE DUE ........................................ 2,500,000. ENDING BALANCE DUE ........................................... 2,500,000. BORROWER: MAYFLOWER COMMUNITIES, INC. ORIGINAL AMOUNT: 200,000. INTEREST RATE: 3.250000 DATE OF NOTE: 08/30/2012 REPAYMENT TERMS: TO BE REPAID AFTER STABILIZATION OF THE BARRINGTON PURPOSE OF LOAN: PRE-PERMANENT FINANCING OF THE BARRINGTON BEGINNING BALANCE DUE ........................................ 214,847. ENDING BALANCE DUE ........................................... 221,313. BORROWER: SQLC SENIOR LIVING CTR AT CORPUS CHRISTI ORIGINAL AMOUNT: 2,592,554. INTEREST RATE: 3.250000 DATE OF NOTE: 03/10/2013 MATURITY DATE: 05/31/2028 REPAYMENT TERMS: REPAYMENT AFTER OTHER SUBORDINATED NOTES ARE PAID PURPOSE OF LOAN: COST OF INTEREST PAYMENTS RELATED TO BONDS BEGINNING BALANCE DUE ........................................ 3,669,603. ENDING BALANCE DUE ........................................... 3,766,294. BORROWER: MAYFLOWER COMMUNITIES, INC ORIGINAL AMOUNT: 2,000,000. INTEREST RATE: 3.250000 DATE OF NOTE: 08/30/2012 REPAYMENT TERMS: UPON ACHIEVING SPECIFIED BENCHMARKS PURPOSE OF LOAN: LIQUIDITY SUPPORT BEGINNING BALANCE DUE ........................................ 2,000,000. ENDING BALANCE DUE ........................................... 2,000,000. BORROWER: SENTINEL RIDGE SENIOR LIVING CORPORATION ORIGINAL AMOUNT: 500,000 INTEREST RATE: 3.250000 DATE OF NOTE: 08/24/2015 REPAYMENT TERMS: TO BE REPAID AFTER STABILIZATION OF SENTINEL RIDGE PURPOSE OF LOAN: LIQUIDITY SUPPORT FOR CONSTRUCTION OF COMMUNITY BEGINNING BALANCE DUE ........................................ 500,000. ENDING BALANCE DUE ........................................... 500,000. TOTAL BEGINNING NOTES AND LOANS RECEIVABLE 18,377,629. TOTAL ENDING NOTES AND LOANS RECEIVABLES 19,127,672. |
| FORM 990, PART XII, LINE 2C: | COMMITTEE'S OVERSIGHT AND SELECTION PROCESS THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY OF THE OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE TO THE PROCESS DURING THE YEAR. |
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