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 | |||||
| Total | ||||||
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.") . | 17,366 | 17,366 | ||||
| 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...... | 30,640,208 | 32,403,714 | 31,445,851 | 31,838,892 | 32,051,348 | 158,380,013 |
| 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. | 30,640,208 | 32,403,714 | 31,445,851 | 31,838,892 | 32,068,714 | 158,397,379 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | |||||
| 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.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 158,397,379 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 30,640,208 | 32,403,714 | 31,445,851 | 31,838,892 | 32,068,714 | 158,397,379 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1,810,014 | 2,513,163 | 2,129,987 | 2,146,168 | 1,921,094 | 10,520,426 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 1,810,014 | 2,513,163 | 2,129,987 | 2,146,168 | 1,921,094 | 10,520,426 |
| 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.) .. | 373,136 | 400,534 | 619,351 | 677,600 | 573,160 | 2,643,781 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 32,823,358 | 35,317,411 | 34,195,189 | 34,662,660 | 34,562,968 | 171,561,586 |
| 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 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 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) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | BEAUTY/BARBERSHOP RENT - 2011 AMOUNT: $ 27,360. 2012 AMOUNT: $ 26,830. 2013 AMOUNT: $ 27,360. 2014 AMOUNT: $ 27,360. 2015 AMOUNT: $ 27,360. OFFICE SPACE RENT - 2011 AMOUNT: $ 7,148. 2012 AMOUNT: $ 10,148. 2013 AMOUNT: $ 3,848. 2014 AMOUNT: $ 3,448. 2015 AMOUNT: $ 3,120. DRYCLEANING AND LAUNDRY - 2011 AMOUNT: $ 15,320. 2012 AMOUNT: $ 11,377. 2013 AMOUNT: $ 18,886. 2014 AMOUNT: $ 16,576. 2015 AMOUNT: $ 17,608. PARKING RENT - 2011 AMOUNT: $ 25,572. 2012 AMOUNT: $ 26,607. 2013 AMOUNT: $ 28,206. 2014 AMOUNT: $ 29,755. 2015 AMOUNT: $ 30,092. GUEST APARTMENT RENT - 2011 AMOUNT: $ 88,210. 2012 AMOUNT: $ 91,190. 2013 AMOUNT: $ 95,710. 2014 AMOUNT: $ 98,400. 2015 AMOUNT: $ 105,870. ROLL AWAY BED RENT - 2011 AMOUNT: $ 6,855. 2012 AMOUNT: $ 8,130. 2013 AMOUNT: $ 4,815. 2014 AMOUNT: $ 7,683. 2015 AMOUNT: $ 8,052. REPAIR AND MAINTENANCE - 2011 AMOUNT: $ 19,693. 2012 AMOUNT: $ 22,853. 2013 AMOUNT: $ 16,102. 2014 AMOUNT: $ 15,212. 2015 AMOUNT: $ 22,692. FURNITURE RENT - 2013 AMOUNT: $ 1,022. 2014 AMOUNT: $ 5,254. 2015 AMOUNT: $ 949. MEAL REVENUE - 2011 AMOUNT: $ 110,425. 2012 AMOUNT: $ 104,581. 2013 AMOUNT: $ 125,260. 2014 AMOUNT: $ 191,319. 2015 AMOUNT: $ 170,876. OTHER PERSONAL SERVICES - 2011 AMOUNT: $ 11,983. 2012 AMOUNT: $ 18,581. 2013 AMOUNT: $ 20,006. 2014 AMOUNT: $ 17,362. 2015 AMOUNT: $ 14,456. MISCELLANEOUS - 2011 AMOUNT: $ 39,360. 2012 AMOUNT: $ 4,493. 2013 AMOUNT: $ 19,389. 2014 AMOUNT: $ 20,816. 2015 AMOUNT: $ 13,237. COMMUNITY AND ADMIN FEE - 2011 AMOUNT: $ 21,210. 2012 AMOUNT: $ 19,615. 2013 AMOUNT: $ 7,427. 2014 AMOUNT: $ 1,291. 2015 AMOUNT: $ 2,122. INCOME FROM JOINT VENTURE - 2012 AMOUNT: $ 56,129. 2013 AMOUNT: $ 251,320. 2014 AMOUNT: $ 243,124. 2015 AMOUNT: $ 156,726. |
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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 IV, LINE 24(B) | INVESTMENT OF TAX-EXEMPT BOND PROCEEDS THE INVESTMENT YIELD DID NOT EXCEED THE YIELD ON THE BONDS, AND THEREFORE, NO REBATE OF ANY ARBITRAGE IS DUE. |
| FORM 990, PART V, LINE 2(A) | 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 2 | BUSINESS RELATIONSHIPS THE FOLLOWING BOARD MEMBERS MAINTAIN A BUSINESS RELATIONSHIP WITH EACH OTHER DUE TO COMMON PARTICIPATION AS OFFICERS OR DIRECTORS OF VARIOUS OTHER RELATED NOT-FOR-PROFIT ENTITIES BY WHICH ONE OR MORE OF THE INDIVIDUALS IS COMPENSATED: CHARLES B. BREWER BERNIE FRANCIS SUSAN CARTER SCOTT COLLIER |
| FORM 990, PART VI, SECTION A, LINE 4 | SIGNIFICANT CHANGE TO GOVERNING DOCUMENTS THE BYLAWS FOR WERE AMENDED AND RESTATED DURING THE YEAR TO ALLOW FOR THE APPOINTMENT OF THE PRESIDENT OF EACH COMMUNITY'S RESIDENT COUNCIL AS AN EX-OFFICIO NON-VOTING DIRECTOR OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | CORPORATE MEMBER SENIOR QUALITY LIFESTYLES CORPORATION ("SQLC") IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. SQLC ACTS AS A SUPPORTING ORGANIZATION, PROVIDING OVERSIGHT, DIRECTION, AND GOVERNANCE SUPPORT, AND WILL MAKE GRANTS AND/OR PROVIDE OTHER FORMS OF FINANCIAL ASSISTANCE AS NEEDED. SQLC, AS THE SOLE MEMBER, HAS AUTHORITY TO ELECT THE BOARD MEMBERS OF THE ORGANIZATION. SQLC, AS THE SOLE MEMBER OF THE ORGANIZATION, HAS ALL OF THE TYPICAL RIGHTS AFFORDED TO A MEMBER OF A TEXAS NONPROFIT CORPORATION, SUCH AS THE RIGHT TO APPROVE ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS, AND THE RIGHT TO APPROVE ANY PROPOSED DISSOLUTION OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | SEE PART VI, SECTION A, LINE 6 FOR EXPLANATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE PART VI, SECTION A, LINE 6 FOR EXPLANATION. |
| FORM 990, PART VI, SECTION A, LINE 8B | DOCUMENTATION OF MEETINGS 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, PART VI, SECTION B, LINE 11 | FORM 990 REVIEW PROCESS THE BOARD MEMBERS OF NORTHWEST SENIOR HOUSING CORPORATION, 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 (COMMUNITY AND CORPORATE) 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, AN INDEPENDENT PAYROLL PROCESSOR, SET THE SALARY FOR THE EXECUTIVE DIRECTOR. BOTH GREYSTONE AND AUREON PROVIDE COMPARATIVE SALARY DATA. THE EXECUTIVE DIRECTOR, GREYSTONE REGIONALS, AND AUREON SET OTHER TOP MANAGEMENT RATES BASED ON MARKET WAGES AND YEARS OF EXPERIENCE. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS AVAILABLE TO PUBLIC THE FINANCIAL STATEMENTS ARE POSTED TO NATIONALLY RECOGNIZED ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA). DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION ALSO PROVIDES DOCUMENTS THROUGH THE ANNUAL DISCLOSURE STATEMENT TO THE TEXAS DEPARTMENT OF INSURANCE. |
| FORM 990, PART VI, LINE 3 | MANAGEMENT COMPANY GREYSTONE MANAGEMENT IS AN UNRELATED BUSINESS ORGANIZATION ENGAGED BY NORTHWEST SENIOR HOUSING CORPORATION'S BOARD OF DIRECTORS TO PROVIDE MANAGEMENT SERVICES. MANAGEMENT DUTIES INCLUDE HIRING AND RECRUITING QUALIFIED PERSONNEL, PREPARING ANNUAL OPERATING BUDGET FOR SUBMISSION TO THE BOARD OF DIRECTORS, AND ASSISTING IN THE PREPARATION OF MONTHLY AND ANNUAL FINANCIAL REPORTING DISCLOSURES. THE BOARD OF DIRECTORS HAVE FINAL AUTHORITY OVER THE APPROVAL OF THE ANNUAL OPERATING BUDGET, APPROVAL OF MONTHLY AND ANNUAL FINANCIAL REPORTING DISCLOSURES, AND OVERSIGHT OF THE MANAGEMENT COMPANY. |
| FORM 990, PART VII | TOP MANAGEMENT AND FINANCIAL OFFICIAL THE MANAGING DIRECTOR IS THE TOP MANAGEMENT OFFICIAL AND TOP FINANCIAL OFFICIAL. PER THE FORM INSTRUCTIONS, THE TOP MANAGEMENT AND FINANCIAL OFFICIALS ARE DEEMED TO BE OFFICERS. |
| FORM 990, PART IX, LINE 24A | LOSS ON EARLY EXTINGUISHMENT OF DEBT AS STATED IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS, THE ORGANIZATION INCURRED A LOSS ON AN EARLY EXTINGUISHMENT OF DEBT TOTALING $2,691,512 ASSOCIATED WITH THE WRITE-OFF OF THE PREMIUM AND BOND ISSUANCE COSTS ASSOCIATED WITH THE EXTINGUISHED PORTION OF THE SERIES 2006 TAX-EXEMPT BONDS. |
| FORM 990, PART XI, LINE 9: | CHANGE IN SWAP VALUATION - UNREALIZED GAIN 81,495. CHANGE IN CAP VALUATION - UNREALIZED GAIN 8. |
| 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. |
| FORM 990, PAGE 1, SECTION G | GROSS RECEIPTS PER THE IRS FORM INSTRUCTIONS, THE AMOUNT REPORTED IN BOX G FOR GROSS RECEIPTS INCLUDES PROCEEDS OF $36,176,347 FOR SALE OF SECURITIES. |
| 2015 ADOPTED ACCOUNTING PRONOUNCEMENT DISCLOSURE | IN APRIL 2015, THE FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ISSUED ACCOUNTING STANDARDS UPDATE ("ASU") INTEREST - IMPUTATION OF INTEREST ("ASU 2015-03"). ASU 2015-03 REQUIRES THAT DEBT ISSUANCE COSTS RELATED TO A RECOGNIZED DEBT LIABILITY BE PRESENTED IN THE BALANCE SHEET AS A DIRECT DEDUCTION FROM THE CARRYING AMOUNT OF THAT DEBT LIABILITY, CONSISTENT WITH DEBT DISCOUNTS. THE RECOGNITION AND MEASUREMENT GUIDANCE FOR DEBT ISSUANCE COSTS ARE NOT AFFECTED BY THE AMENDMENTS IN ASU 2015-03. THE AMENDMENTS IN ASU 2015-03 ARE EFFECTIVE FOR FISCAL PERIODS BEGINNING AFTER DECEMBER 15, 2015 AND MAY BE ADOPTED EARLIER. THE ORGANIZATION ADOPTED ASU 2015-03 ON JANUARY 1, 2015. THE ORGANIZATION'S ADOPTION OF ASU NO. 2015-03 RESULTED IN THE RECLASSIFICATION OF BOND ISSUANCE COSTS AS AN ASSET TO A DIRECT DEDUCTION FROM THE RELATED BOND PAYABLE. THE EFFECT OF THE ADOPTION OF ASU NO. 2015-03 WAS A REDUCTION OF INTANGIBLE ASSETS AND NOTES PAYABLE OF $2,091,864 AT DECEMBER 31, 2015. THE ADOPTION OF ASU NO. 2015-03 ALSO CAUSED A DECREASE IN AMORTIZATION OF BOND ISSUANCE COSTS AND A RELATED INCREASE IN INTEREST EXPENSE OF $111,730 FOR DECEMBER 31, 2015. THE ADOPTION OF ASU 2015-03 DID NOT RESULT IN A CHANGE TO NET DEFICIT FOR 2015. |
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