2022-05-16T13:24:45-07:00 2021-06-30 990 2020-07-01 810698227 LAVENDER MOUNTAIN SENIOR LIVING INC LAVE 7062362265 PO Box 490129 Mount Berry GA 30149 Brian Erb Treasurer 7062362265 2022-05-13 1 11 0 AAL2 X 2020 2022-09-23 18:48:47Z Brian Erb PO Box 490129 Mount Berry GA 30149 5176789 0 X www.retireatberry.com X 2015 GA CONTINUING CARE RETIREMENT COMMUNITY FOR ADULTS 55 YEARS-OLD AND ABOVE ON THE CAMPUS OF BERRY COLLEGE, INC. 7 7 0 0 0 0 0 0 39784 5122964 1006773 53825 0 0 1046557 5176789 0 0 0 0 319896 4012877 0 0 0 8102283 14312060 8422179 18324937 -7375622 -13148148 119321656 141195331 127510997 162532820 -8189341 -21337489 CONTINUING CARE RETIREMENT COMMUNITY FOR ADULTS 55 YEARS OLD AND OLDER ON THE CAMPUS OF BERRY COLLEGE, INC. 0 0 14953980 0 5122964 THE SPIRES IS A LAKESIDE CONTINUING CARE COMMUNITY TO PROMOTE THE WELFARE OF INDIVIDUALS, AGES 55 AND OLDER, THROUGH THE PROVISION OF HOUSING AND RELATED SERVICES. THE FACILITIES ARE LOCATED ON THE CAMPUS OF BERRY COLLEGE, INC. THE FIRST PHASE OPENED UP IN THE SUMMER OF 2020, WITH THE REMAINING INITIAL PHASES OPENING UP IN THE FALL OF 2020. THERE ARE 144 INDEPENDENT LIVING APARTMENTS, 26 COTTAGES, 36 ASSISTED LIVING UNITS, 34 SKILLED NURSING BEDS AND 36 MEMORY CARE BEDS. 0 0 0 14953980 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 36 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X BRIAN ERB 7062362265 PO Box 490129 Mount Berry GA 30149 X Susan Anderson Chair of the Board 6 0 X 0 0 0 Stephen Briggs CEO 10 0 X X 0 0 0 Brian Erb Treasurer 10 0 X X 0 0 0 Cecil B Wright Board Member 4 0 X 0 0 0 Dr Toby Morgan Board Member 4 0 X 0 0 0 John Bennett Board Member 4 0 X 0 0 0 Dr Daryl Lowry Board Member 4 0 X 0 0 0 Brad Reeder Secretary 10 0 X 0 0 0 0 0 0 0 0 0 0 Brasfield & Gorrie LLC 2999 Circle 75 Parkway Atlanta GA 30339 Construction 11655759 Greenbrier Development LLC 3232 McKinney Ave Suite 1160 Dallas TX 75204 Development Consulting 2132526 Paychex Oasis 2970 Clairmont Road Atlanta GA 30329 PEO 3470990 Levlane 100 Penn Square East Philadelphia PA 19107 Advertising 702793 Garner & Glover 135 E 8th Ave Rome GA 30161 Insurance Broker 312956 16 0 ROOM AND BOARD FEES, NET 623311 4050571 4050571 0 0 EARNED NON-REFUNDABLE ENTRANCE FEES 623311 1005351 1005351 0 0 OTHER OPERATING INCOME 623311 67042 67042 0 0 0 0 0 0 5122964 0 0 0 0 53825 53825 0 0 0 0 0 0 0 0 0 0 0 5176789 5176789 0 0 4012877 2787082 1225795 15373 15373 46550 46550 76135 76135 1467487 1467487 336836 257149 79687 1814768 1803869 10899 18482 18482 1340 1340 6390213 6390213 2379067 2379067 325353 262747 62606 FOOD SUPPLIES 514292 514292 0 0 MAINTENANCE AND REPAIRS 216190 216190 0 0 RESIDENT MOVE COORDINATION 600 0 600 0 OTHER EXPENSES 366003 0 366003 0 343371 343371 18324937 14953980 3370957 0 15469429 11829156 8034575 7778786 4694 199419 190801 111354 104448858 2705548 95622157 101743310 19533306 119321656 141195331 2465719 454076 0 0 96877528 92035531 10877359 25018146 0 6500000 6500000 10790391 38525067 127510997 162532820 X -8189341 -21337489 0 0 -8189341 -21337489 119321656 141195331 -13148148 0 0 0 0 0 X 0 1 X 1 0 X 1000 19500 0 20500 20284 5122964 5143248 0 0 1000 39784 5122964 5163748 5163748 767706 1006773 53825 1828304 0 0 767706 1006773 53825 1828304 0 0 768706 1046557 5176789 6992052 X 0 1 X 0 0 0 99215902 0 1885491 97330411 294207 0 294207 0 4802124 0 510746 4291378 136625 0 15104 121521 101743310 Operating Lease Right-of-use Asset 19533306 19533306 0 On-hold Deposits 15600 Accrued Expenses 171923 Operating Lease Liability 20467888 Accrued Interest 3588910 Non-refundable Entrance Fees 14280746 38525067 X 5122964 0 0 0 0 0 5122964 0 53825 53825 5176789 18324937 0 0 0 0 0 18324937 0 0 0 18324937 Schedule D, Part IV, Line 2b Future resident deposits Schedule D, Part X, Line 2 The Company analyzed its tax positions for the years ended June 30, 2021 and 2020 and determined that there were no uncertain tax positions that would have a material impact on the Company's financial statements. Schedule D, Part XI, Line 4b Investment income. A DEVELOPMENT AUTHORITY OF FLOYD COUNTY 237182908 343572AE3 2018-11-16 81930000 CONSTRUCTION BONDS 0 0 0 B DEVELOPMENT AUTHORITY OF FLOYD COUNTY 237182908 343572AE3 2018-11-16 37750000 CONSTRUCTION BONDS 0 0 0 A 0 0 80801363 14209024 0 0 2051840 0 0 64540499 0 0 2020 0 0 1 1 B 24175113 0 37750000 0 33918 0 0 0 0 37277524 438558 0 0 0 0 1 A 0 0 0 0 0 0 0 0 0 1 B 0 0 0 0 0 0 0 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 Form 990, Part VI, Section A, Line 3 Greenbrier Senior Living, LLC manages the daily operations. Form 990, Part VI, Section B, Line 11b The Form 990 was initially reviewed by the Treasurer, after approval the Form 990 was provided to the board members for review, comment and approval prior to submitting the return to the IRS. Form 990, Part VI, Section B, Line 12c The board members are required to acknowledge and disclose any conflict of interest annually. The individual board members realize their fiduciary duty to disclose any potential conflicts of interest so that the board can determine the appropriate course of action should a conflict arise. Form 990, Part VI, Section B, Line 15 The Company does not have any direct employees. The executive director is an employee of the consulting firm hired to help manage the day to day operations of the facility. All other employees are members of a third party professional employer organization (PEO). All compensation and benefit packages are comparable for the industry and local market. Form 990, Part VI, Section C, Line 19 The Organization makes its governing documents and financial statements available to the public upon request.