2022-08-23T10:34:09-05:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 1301 WEST 22ND STREET SUITE 1100 OAK BROOK IL 60523 990 2021-01-01 362169165 PLYMOUTH PLACE INC PLYM 7083540340 315 N LAGRANGE ROAD LAGRANGE PARK IL 60526 JAMES BIERE CHIEF EXECUTIVE OFFICER 7083540340 2022-08-19 1 JAMES BIERE 999009999 CHRIS MANDERFIELD P01238973 6305738600 2022-08-19 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JAMES BIERE 315 N LAGRANGE ROAD LAGRANGE PARK IL 60526 33621674 0 X WWW.PLYMOUTHPLACE.ORG X 1938 IL RETIREMENT HOME FOR SENIOR CITIZENS 15 15 462 0 0 0 3869506 840829 29861722 30405120 5066828 1099558 0 0 38798056 32345507 0 109628 0 0 15320012 14674029 0 0 0 18540943 18537463 33860955 33321120 4937101 -975613 138760868 140283826 174945003 186428607 -36184135 -46144781 PLYMOUTH PLACE IS DEDICATED TO PROVIDING A WELCOMING ENVIRONMENT FOR OLDER ADULTS. WITH A FOCUS ON THE DIGNITY AND WORTH OF EACH INDIVIDUAL, WE HONOR EVERY RESIDENT'S RIGHT TO EXPERIENCE LIFE TO THE FULLEST. 0 0 27714117 109628 30405120 PLYMOUTH PLACE IS A NONPROFIT CORPORATION WHICH PROVIDES HOUSING, HEALTH CARE, AND OTHER RELATED SERVICES TO THE RESIDENTS OF THE LANDING AT PLYMOUTH PLACE, A RETIREMENT COMMUNITY IN LAGRANGE PARK, ILLINOIS. THE LANDING, A REDEVELOPMENT OF THE ORGANIZATION'S FORMER RETIREMENT COMMUNITY, CONSISTS OF 182 INDEPENDENT LIVING APARTMENTS, 52 ASSISTED LIVING, 26 MEMORY SUPPORT UNITS, 86 HEALTH CARE BEDS, AND 5 RENOVATED COTTAGES. 27714117 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 118 0 1 462 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 IL X JAMES BIERE 7084826842 315 N LAGRANGE ROAD LAGRANGE PARK IL 60526 ART GRUNDKE DIRECTOR 1.00 X 0 0 0 MARK CLOGHESSY DIRECTOR 1.00 X 0 0 0 DORIS BRYANT DIRECTOR 1.00 X 0 0 0 MIKE THIESSEN 2ND VICE CHAIR 1.00 X X 0 0 0 DR LARRY LAPALIO DIRECTOR 1.00 X 0 0 0 NICHOLAS LYNN DIRECTOR 1.00 X 0 0 0 JOYCE LINN DIRECTOR 1.00 X 0 0 0 LAURA WEYRAUCH DIRECTOR 1.00 X 0 0 0 MARVIN BALDWIN DIRECTOR 1.00 X 0 0 0 ELIZABETH ASPERGER CHAIR 1.00 X X 0 0 0 THOM SERAFIN DIRECTOR 1.00 X 0 0 0 DR RICHARD KIRCHHERR DIRECTOR 1.00 X 0 0 0 JOHN BARRETT 1ST VICE CHAIR 1.00 X X 0 0 0 DR RAJEEV KUMAR DIRECTOR 1.00 X 0 0 0 REBECCA S LAKE DIRECTOR 1.00 X 0 0 0 JAMES BIERE CEO 45.00 X 283480 0 7805 REBECCA MATHIS CFO 45.00 X 252432 0 16301 CHERI BOUBLIS SENIOR DIRECTOR OF HOSPITALITY SERVICES 45.00 X 162776 0 9598 MARY FREESE DIRECTOR OF FACILITIES 45.00 X 186952 0 18645 JACQUELYN LEE TERPSTRA SENIOR DIRECTOR OF CLINICAL SERVICES 45.00 X 139772 0 13718 ARLENE ARROYO DIRECTOR OF NURSING 45.00 X 138243 0 318 NITSA FOUNDOS SENIOR DIRECTOR OF SALES 45.00 X 151366 0 3632 1315021 0 70017 11 0 1 0 JOINT & NEURO REHAB ASSOCIATES OF CHICAG 10400 WEST HIGGINS ROAD SUITE 300 ROSEMONT IL 60018 REHAB SERVICES 1543721 SILVER AGE HOMES LLC 109 OGDEN AVENUE CLARENDON HILLS IL 60514 APARTMENT TURNOVER REFURBISHMENTS 947481 TOP CABINETRY 2714 N LARAMIE AVE CHICAGO IL 60639 CARPENTRY 384999 TAKE ACTION SERVICES LLC 14522 ASH STREET ORLAND PARK IL 60462 CONSTRUCTION 342285 FORTUNE FISH & GOURMET 1068 W SOUTH THORNDALE AVE BENSENVILLE IL 60106 FOOD 284114 9 840829 840829 SENIOR HOUSING, ASSISTANCE 623000 30405120 30405120 30405120 920466 920466 1455259 1276167 179092 179092 179092 32345507 30405120 0 1099558 109628 109628 535912 429236 106676 11130520 8914932 2215588 175133 133943 41190 2021474 1546035 475439 810990 620250 190740 409349 263919 145430 185896 185896 231358 1574 229784 493267 493267 397770 397770 1732970 1628992 103978 3643488 3424879 218609 4367117 4083254 283863 370569 348335 22234 DIETARY AND DINING 2096112 2096112 NURSING - THERAPY 1534399 1534399 MEDICAL SUPPLIES AND PH 1045456 1045456 2029712 1533173 496539 33321120 27714117 5607003 0 6762565 5111748 2855604 3829446 388768 480355 141112934 51239305 87736115 89873629 33352843 32072433 7664973 8916215 138760868 140283826 3427425 3296147 10474183 11948427 75860930 82932211 85182465 88251822 174945003 186428607 X -43734706 -54408535 7550571 8263754 -36184135 -46144781 138760868 140283826 X -975613 1668971 -10654004 X X 0 1 X 1 1 1 X 445544 248941 304933 3869506 840829 5709753 27841220 29727101 30754454 29861722 30405120 148589617 28286764 29976042 31059387 33731228 31245949 154299370 0 0 0 154299370 880201 999707 1088914 5066828 920466 8956116 880201 999707 1088914 5066828 920466 8956116 29166965 30975749 32148301 38798056 32166415 163255486 0.94510 0.94420 0.05490 0.05580 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 85418 85418 128951120 50267210 78683910 5729742 788813 4940929 6346654 183282 6163372 89873629 DEFERRED MARKETING COSTS 194811 BENEFICIAL INTEREST IN PERPETUAL TRUST 8246240 DUE FROM AFFILIATES 39859 FAIR VALUE OF INTEREST RATE SWAP 435305 8916215 REFUNDABLE ENTRANCE FEES 87864467 RESIDENT DEPOSITS 176855 WAITING LIST DEPOSITS 210500 88251822 X PART X, LINE 2: THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARDS FOR INCOME TAXES IN EVALUATING UNCERTAIN TAX POSITIONS. THE ORGANIZATION FILES INFORMATIONAL RETURNS AS A TAX-EXEMPT ORGANIZATION. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. 1 EMPLOYEE SCHOLARSHIPS 32 109628 PART I, LINE 2: THE ORGANIZATION PROVIDES SCHOLARSHIPS TO CURRENT EMPLOYEES IN ORDER TO ALLOW THEM TO ENHANCE AND ADVANCE THEIR PROFESSIONAL CAREERS. ALL SCHOLARSHIPS ARE EITHER PAID TO CURRENT EMPLOYEES ON A REIMBURSEMENT BASIS, AFTER PROVIDING APPROPRIATE SUPPORTING DOCUMENTATION, OR PAID DIRECTLY TO THE EDUCATIONAL INSTITUTION. X X 0 0 0 0 0 0 0 0 0 JAMES BIERE CEO 257480 0 26000 0 0 0 780 0 7025 0 291285 0 0 0 REBECCA MATHIS CFO 247432 0 5000 0 0 0 7863 0 8438 0 268733 0 0 0 MARY FREESE DIRECTOR OF FACILITIES 181952 0 5000 0 0 0 5496 0 13149 0 205597 0 0 0 CHERI BOUBLIS SENIOR DIRECTOR OF HOSPITALITY SERVI 159776 0 3000 0 0 0 4914 0 4684 0 172374 0 0 0 NITSA FOUNDOS SENIOR DIRECTOR OF SALES 119916 0 31450 0 0 0 3598 0 34 0 154998 0 0 0 JACQUELYN LEE TERPSTRA SENIOR DIRECTOR OF CLINICAL SERVICES 134772 0 5000 0 0 0 4473 0 9245 0 153490 0 0 0 A ILLINOIS FINANCE AUTHORITY 861091967 45204FHV0 2021-04-22 26928001 REFINANCING OF SERIES 2013 BONDS 0 0 0 A 1750500 527700 24649801 2021 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 4 ON MARCH 2, 2021 THE ORGANIZATION AMENDED ITS BYLAWS TO NAME PLYMOUTH PLACE HOLDINGS, INC. AS TI SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 6 PLYMOUTH PLACE, INC. HAS ONE CORPORATE MEMBER, WHICH IS PLYMOUTH PLACE HOLDINGS, INC., AN ILLINOIS NOT-FOR-PROFIT CORPROATION. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OF THE BOARD SHALL BE APPOINTED BY THE SOLE CORPORATE MEMBER, PLYMOUTH PLACE HOLDINGS, INC. FOR A ONE-YEAR TERM OF OFFICE BY A RESOLUTION OF THE BOARD OF DIRECTORS OF THE SOLE CORPORATE MEMBER OR A UNANIMOUS WRITTEN CONSENT SIGNED BY ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS SHALL REQUIRE THE APPROVAL OF THE BOARD OF DIRECTORS OF THE SOLE CORPORATE MEMBER, PLYMOUTH PLACE HOLDINGS, INC., THROUGH A RESOLUTION OF THE BOARD OF DIRECTORS OF THE SOLE CORPORATE MEMBER OR A UNANIMOUS WRITTEN CONSENT SIGNED BY ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS OF THE SOLE CORPORATE MEMBER: 1. ADOPT AND AMEND STATEMENTS OF MISSION, PHILOSOPHY OR PURPOSE; 2. ADOPT, AMEND AND REPEAL THE ARTICLES OF INCORPORATION, THE BYLAWS AND ANY PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION; 3. THE ANNUAL BUDGET OF PLYMOUTH PLACE; 4. ANY SALE, LEASE OR MORTGAGE OF PLYMOUTH PLACE'S REAL PROPERTY, EXCEPT AS SUCH ACTIONS RELATE TO REAL PROPERTY TRANSFERRED FROM RESIDENTS OR DONORS, INCLUDING WITHOUT LIMITATION, RESIDENTIAL REAL ESTATE; 5. ANY SALE, LEASE OR MORTGAGE OF SUBSTANTIALLY ALL OF PLYMOUTH PLACE'S PERSONAL PROPERTY; 6. ANY FORMAL AFFILIATION WITH ANOTHER ENTITY; 7. ANY BORROWING OF MONEY; 8. ANY MAJOR CHANGE IN PROGRAMS AND SERVICES, INCLUDING ANY CREATION OF MAJOR NEW PROGRAMS OR THE DISCONTINUATION OF MAJOR EXISTING PROGRAMS; OR 9. THE ACCEPTANCE OF ANY CHARITABLE CONTRIBUTION WHICH IMPOSES A MATERIAL OBLIGATION. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE 990 IS PROVIDED DIRECTLY TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS REVIEW AND UPDATE THEIR ANNUAL DISCLOSURE OF INTERESTS. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD ANNUALLY RECEIVES AND REVIEWS THE COMPENSATION SURVEYS OF AAHSA & LEADINGAGE ILLINOIS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE FACILITY OFFICE. FORM 990, PART XI, LINE 9: LOSS ON REFINANCING OF LONG-TERM DEBT -11,908,753. CHANGE IN FAIR VALUE OF SWAP 435,305. CHANGE IN VALUE OF PERPETUAL TRUST 819,444. FORM 990, PART XII, LINE 2C PLYMOUTH PLACE, INC.'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE IS CHARGED WITH ALL DUTIES AND RESPONSIBILITIES OF THE BOARD AND IS AUTHORIZED AND EMPOWERED TO ACT ON BEHALF OF THE BOARD, BETWEEN ITS REGULAR OR SPECIAL MEETINGS, EXCEPT FOR BUYING, SELLING, MORTGAGING, ENCUMBERING, LEASING, COVEYING, AND TRASFERRING OF REAL ESTATE THAT IS OWNED OR OPERATED BY PLYMOUTH PLACE. THE CHAIR, OR VICE-CHAIR, SHALL REPORT ALL EXECUTIVE COMMITTEE ACTIONS TAKEN ON BEHALF OF THE BOARD, PROMPTLY AND IN FULL, AT THE NEXT REGULARLY, SCHEDULED BOARD OF DIRECTORS MEETING. THE CHAIR SHALL HAVE THE AUTHORITY TO CALL A SPECIAL MEETING OF THE BOARD IF, IN THE CHAIR'S OPINION, EXECUTIVE COMMITTEE ACTIONS WARANT AN IMMEDIATE REPORT TO THE FULL BOARD. PLYMOUTH PLACE HOLDINGS INC 315 N LAGRANGE ROAD LAGRANGE PARK IL 60523 854041493 PROVIDE STRATEGIC DIRECTION AND OVERSIGHT TO PLYMOUTH PLACE, INC. IL 501(C)(3) LINE 12C, III-FI N/A 0 PLYMOUTH PLACE MANAGEMENT SERVICES INC 315 N LAGRANGE ROAD LAGRANGE PARK IL 60526 833496599 OWNER OF PROGRAM RELATED INVESTMENTS DE PLYMOUTH PLACE INC C 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0