TARRANT COUNTY SENIOR LIVING CENTER INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
TARRANT COUNTY SENIOR LIVING CENTER INC (EIN 20-8068602)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-15
IRS object ID
202103199349305675
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-15T09:50:46-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 S 6TH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN208068602EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TARRANT COUNTY SENIOR LIVING CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTARRBusinessNameControlTxt
Phone5152885805PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14201 CORPORATE DRIVEAddressLine1Txt
CityWEST DES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50266ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNICK HARSHFIELDPersonNm
Person TitleCFO & TREASURERPersonTitleTxt
Phone5152885805PhoneNum
Signature2021-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstNICKPersonFirstNm
Person LastHARSHFIELDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJED CHENEYPreparerPersonNm
PTINP01587750PTIN
Phone6123764500PhoneNum
Preparation2021-11-12PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1THE STAYTON AT MUSEUM WAYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJESSE JANTZENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14201 CORPORATE DRIVEAddressLine1Txt
CityWEST DES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50266ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$34,360,832GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.THESTAYTON.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionCREATE COMMUNITIES CELEBRATING THE LIVES OF SENIORSActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee241TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$42,990TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$41,490NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$666,621CYContributionsGrantsAmt
PY Program Service Revenue$23,512,134PYProgramServiceRevenueAmt
CY Program Service Revenue$22,746,870CYProgramServiceRevenueAmt
PY Investment Income$141,914PYInvestmentIncomeAmt
CY Investment Income$654,223CYInvestmentIncomeAmt
PY Other Revenue$54,853PYOtherRevenueAmt
CY Other Revenue$42,990CYOtherRevenueAmt
PY Total Revenue$23,708,901PYTotalRevenueAmt
CY Total Revenue$24,110,704CYTotalRevenueAmt
PY Grants And Similar Paid$809,207PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$831,173CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,155,606PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,948,108CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$29,016,808PYOtherExpensesAmt
CY Other Expenses$33,466,947CYOtherExpensesAmt
PY Total Expenses$37,981,621PYTotalExpensesAmt
CY Total Expenses$42,246,228CYTotalExpensesAmt
PY Revenues Less Expenses-$14,272,720PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$18,135,524CYRevenuesLessExpensesAmt
Total Assets BOY$185,333,874TotalAssetsBOYAmt
Total Assets EOY$173,236,445TotalAssetsEOYAmt
Total Liabilities BOY$189,125,729TotalLiabilitiesBOYAmt
Total Liabilities EOY$200,390,343TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$3,791,855NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$27,153,898NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCREATING COMMUNITIES CELEBRATING THE LIVES OF SENIORS. LIFESPACE RECOGNIZES THAT ITS MISSION CAN ONLY BE FULFILLED THROUGH THE DEDICATED EFFORTS OF ITS EMPLOYEES, THEREFORE, INCLUDED IN OUR MISSION IS THE ABILITY TO PROVIDE DISASTER RELIEF FUNDS TO EMPLOYEES WHO ENCOUNTER CIRCUMSTANCES RECOGNIZED BY FEDERAL AND STATE AGENCIES AS QUALIFYING FOR EMERGENCY DISASTER RELIEF.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$36,363,417ExpenseAmt
Grant$831,173GrantAmt
Revenue$22,746,870RevenueAmt
DescTO PROVIDE APARTMENTS AND HEALTH CARE FOR RETIRED PERSONS. RESIDENTS PAY AN INITIAL ENTRANCE FEE AND MONTHLY FEES THEREAFTER WHICH ENTITLE THEM TO USE OF THE COMMUNITY FOR LIFE AND UNLIMITED USE OF THE HEALTH CENTER. RESIDENTS DO NOT ACQUIRE TITLE TO THE PROPERTY.Desc
Total Program Service Expenses$36,363,417TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document60IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee241EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TIM NEVINSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5152885805PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14201 CORPORATE DRIVEAddressLine1Txt
CityWEST DES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50266ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JESSE JANTZEN
PRESIDENT & CEO & DIRECTOR2.0040.50Yes (X)Yes (X)$0$618,707$7,341
LARRY SMITH
INTERIM PRES, CEO & CFO (THRU JUNE)2.0040.50Yes (X)Yes (X)$0$390,244$18,352
THOMAS BROD
SVP OF BUSINESS DEVELOPMEN (THRU JUNE)40.002.00Yes (X)Yes (X)$0$331,888$22,155
NICK HARSHFIELD
CFO & TREASURER2.0040.50Yes (X)Yes (X)$0$231,603$5,087
CHRIS HUTFLESS
INTERIM SVP & GENERAL COUNSEL (THRU JULY)2.0040.50Yes (X)Yes (X)$0$209,963$5,973
TIMOTHY STUTEVILLE
ASSOCIATE EXECUTIVE DIRECTOR40.000.00$173,665$0$4,911Yes (X)
PAMELA HAMAN
EXECUTIVE DIRECTOR40.000.00$163,484$0$2,584Yes (X)
ABDUL SHAKOOR
DEPUTY GENERAL COUNSEL & DIRECTOR (JUL-OCT)2.0040.50Yes (X)$0$146,559$11,192
JEROMY PARKER
SALES COUNSELOR40.000.00$136,551$0$1,930Yes (X)
DAVID BROWN
ADMINISTRATOR40.000.00$129,697$0$4,262Yes (X)
ASHLEY TERRY
DIRECTOR OF SALES & MARKETING40.000.00$130,145$0$4,182Yes (X)
DONNA ECHOLS
DIRECTOR OF NURSING SERVICES40.000.00$116,319$0$7,429Yes (X)
EDDIE FENOGLIO
COO & SECRETARY2.0040.50Yes (X)Yes (X)$0$90,163$1,796
FieldValueIRS element (for citing)
Total Reportable Comp From Org$849,861TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,019,127TotReportableCompRltdOrgAmt
Total Other Compensation$97,194TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HEALTHPRO HERITAGE
PO BOX 69268BALTIMOREMD21264HEALTHCARE SERVICES$995,315
GLYNNDEVINS INC
8880 WARD PARKWAY SUITE 400KANSAS CITYMO64114MARKETING CONSULTING$574,608
THOMAS MANAGEMENT LLC
700 E FRANKLIN ROADMERIDIANID83642CULINARY SERVICES$347,856
GLENVIEW PROF PHARMACY INC
7640 GLENVIEW DRFORT WORTHTX76180HEALTHCARE SERVICES$278,022
LONGHORN MECHANICAL INC
PO BOX 909VAN ALSTYNETX75495HVAC SERVICES$274,623
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Government Grants$666,621GovernmentGrantsAmt
Total Contributions$666,621TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INDEPENDENT LIVING531110$11,007,953$11,007,953
SKILLED NURSING623000$10,351,449$10,351,449
ENTRANCE FEES531110$1,387,468$1,387,468
FieldValueIRS element (for citing)
Total Program Service Revenue$22,746,870TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$202,878TotalRevenueColumnAmt
Exclusion$202,878ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$10,701,473SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$10,234,392SecuritiesAmt
Other$15,736OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$467,081SecuritiesAmt
Other-$15,736OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$451,345TotalRevenueColumnAmt
Exclusion$451,345ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CELL TOWER LEASE517000$36,990$36,990
ROOFTOP CAMERA LEASE515100$6,000$6,000
FieldValueIRS element (for citing)
Other Revenue Total$42,990OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,110,704TotalRevenueColumnAmt
Related Or Exempt Func Income$22,746,870RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$42,990UnrelatedBusinessRevenueAmt
Exclusion$654,223ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$27,121TotalAmt
Program Services$27,121ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$804,052TotalAmt
Program Services$804,052ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,925,634TotalAmt
Program Services$4,740,507ProgramServicesAmt
Management And General$1,185,127ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$29,722TotalAmt
Program Services$23,778ProgramServicesAmt
Management And General$5,944ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,414,591TotalAmt
Program Services$1,131,673ProgramServicesAmt
Management And General$282,918ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$578,161TotalAmt
Program Services$462,529ProgramServicesAmt
Management And General$115,632ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,434,718TotalAmt
Program Services$1,362,982ProgramServicesAmt
Management And General$71,736ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$137,923TotalAmt
Management And General$137,923ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,315TotalAmt
Management And General$25,315ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$23,000TotalAmt
Management And General$23,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,865,829TotalAmt
Management And General$2,865,829ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$396,060TotalAmt
Program Services$316,848ProgramServicesAmt
Management And General$79,212ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$184,716TotalAmt
Management And General$184,716ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$501,045TotalAmt
Program Services$501,045ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$77,770TotalAmt
Program Services$62,216ProgramServicesAmt
Management And General$15,554ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,398,758TotalAmt
Program Services$6,398,758ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,679,052TotalAmt
Program Services$16,795,099ProgramServicesAmt
Management And General$883,953ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$297,609TotalAmt
Program Services$291,657ProgramServicesAmt
Management And General$5,952ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
OTHER GENERAL AND ADMIN$1,951,833$1,951,833
PLANT OPERATIONS$915,676$915,676
MEDICAL AND OTHER RESID$520,817$520,817
DIETARY$37,594$37,594

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$19,232TotalAmt
Program Services$19,232ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$42,246,228TotalAmt
Program Services$36,363,417ProgramServicesAmt
Management And General$5,882,811ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,343,643BOYAmt
EOY$1,813,567EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,603,612BOYAmt
EOY$1,144,966EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$17,493BOYAmt
EOY$29,418EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$438,150BOYAmt
EOY$208,024EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$107,797,177LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,107,546LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$105,874,313BOYAmt
EOY$102,689,631EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$4,877,736EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$59,874,175BOYAmt
EOY$52,555,233EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,182,488BOYAmt
EOY$9,917,870EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$185,333,874BOYAmt
EOY$173,236,445EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,129,045BOYAmt
EOY$1,689,110EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$105,795,000BOYAmt
EOY$112,261,464EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$224,444BOYAmt
EOY$124,444EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$73,977,240BOYAmt
EOY$86,315,325EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$189,125,729BOYAmt
EOY$200,390,343EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$3,791,855BOYAmt
EOY-$27,153,898EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$3,791,855BOYAmt
EOY-$27,153,898EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$185,333,874BOYAmt
EOY$173,236,445EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$18,135,524ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$197,486NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$5,424,005OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,420CurrentTaxYearMinus4YearsAmt
Current Tax Year$666,621CurrentTaxYearAmt
Total$668,041TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,281,982CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,576,843CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,901,799CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,512,134CurrentTaxYearMinus1YearAmt
Current Tax Year$22,746,870CurrentTaxYearAmt
Total$108,019,628TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,283,402CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,576,843CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,901,799CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,512,134CurrentTaxYearMinus1YearAmt
Current Tax Year$23,413,491CurrentTaxYearAmt
Total$108,687,669TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$108,687,669PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$228,105CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$255,270CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$302,944CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$131,719CurrentTaxYearMinus1YearAmt
Current Tax Year$202,878CurrentTaxYearAmt
Total$1,120,916TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$228,105CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$255,270CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$302,944CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$131,719CurrentTaxYearMinus1YearAmt
Current Tax Year$202,878CurrentTaxYearAmt
Total$1,120,916TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$50,303CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$51,558CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,146CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$54,353CurrentTaxYearMinus1YearAmt
Current Tax Year$42,490CurrentTaxYearAmt
Total$247,850TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$386,923CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$185,079CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$122,808CurrentTaxYearMinus2YearsAmt
Total$694,810TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,948,733CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,068,750CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,376,697CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,698,206CurrentTaxYearMinus1YearAmt
Current Tax Year$23,658,859CurrentTaxYearAmt
Total$110,751,245TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98140PublicSupportCY509Pct
Public Support PY5090.97990PublicSupportPY509Pct
Investment Income CY0.01010InvestmentIncomeCYPct
Investment Income PY0.00860InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,551,457OtherCostOrOtherBasisAmt
Book Value$4,551,457BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$100,980,224OtherCostOrOtherBasisAmt
Depreciation$5,074,506DepreciationAmt
Book Value$95,905,718BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,265,496OtherCostOrOtherBasisAmt
Depreciation$33,040DepreciationAmt
Book Value$2,232,456BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$102,689,631TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DEFERRED EXPENSES$52,621
ASSETS LIMITED AS TO USE$9,613,555
INTERCOMPANY RECEIVABLES$251,694
FieldValueIRS element (for citing)
Total Book Value Other Assets$9,917,870TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLES$93,770
DEFERRED & REFUNDABLE ENTRANCE FEES$86,221,555
FieldValueIRS element (for citing)
Total Liability$86,315,325TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$23,519,000TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$197,486NetUnrealizedGainsInvstAmt
Revenue Not Reported$197,486RevenueNotReportedAmt
Revenue Subtotal$23,321,514RevenueSubtotalAmt
Other Revenues Not Included$789,190OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$789,190RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$24,110,704TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$46,857,000TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$5,424,000OtherExpensesIncludedAmt
Expenses Not Reported$5,424,000ExpensesNotReportedAmt
Expenses Subtotal$41,433,000ExpensesSubtotalAmt
Other Expenses Not Included$813,228OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$813,228ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$42,246,228TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:ESCROW AND CUSTODIAL ARRANGEMENTS THE ORGANIZATION REQUIRES FUTURE RESIDENTS WISHING TO RESERVE SPACE AT THE COMMUNITY TO PAY A DEPOSIT OF 10% OF THE ADVANCE FEE WHICH WILL BE REQUIRED UPON RESIDENCY. THE DEPOSITS ARE HELD IN AN INTEREST-BEARING ACCOUNT UNTIL RESIDENCY IS ESTABLISHED AT WHICH TIME THE RESIDENT PAYS THE BALANCE OF THE REQUIRED ENTRANCE FEE. THE RESIDENT'S DEPOSIT IS RESTRICTED BY THE TEXAS DEPARTMENT OF INSURANCE UNTIL THE RESIDENT TAKES OCCUPANCY OF AN APARTMENT
PART X, LINE 2:THE STAYTON HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAS BEEN DESIGNATED AS A PUBLICLY SUPPORTED ORGANIZATION (RATHER THAN A PRIVATE FOUNDATION). THE STAYTON EVALUATES TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING ITS TAX RETURNS TO DETERMINE WHETHER IT IS "MORE LIKELY THAN NOT" THAT EACH TAX POSITION WOULD BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY BASED ON THE TECHNICAL MERITS OF THE POSITION. TAX POSITIONS NOT DEEMED TO MEET THE MORE-LIKELY-THAN-NOT THRESHOLD WOULD BE RECORDED AS A TAX BENEFIT OR EXPENSE IN THE CURRENT YEAR. FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019, THE STAYTON HAS NOT RECORDED ANY SUCH TAX BENEFIT OR EXPENSE IN THE ACCOMPANYING FINANCIAL STATEMENTS. NO EXAMINATIONS ARE IN PROGRESS OR ANTICIPATED AT THIS TIME. THE STAYTON'S FEDERAL INCOME TAX RETURNS ARE OPEN TO EXAMINATION FOR THE YEARS ENDED DECEMBER 31, 2017 THROUGH DECEMBER 31, 2019.
PART XI, LINE 4B - OTHER ADJUSTMENTS:REVENUES NETTED AGAINST EXPENSES ON FINANCIAL STATEMENTS 788,316. ROUNDING ON AUDITED FINANCIAL STATEMENTS 874.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUTURE SERVICE OBLIGATION 5,424,000.
PART XII, LINE 4B - OTHER ADJUSTMENTS:REVENUES NETTED AGAINST EXPENSES ON FINANCIAL STATEMENTS 788,316. ROUNDING ON AUDITED FINANCIAL STATEMENTS 791. CONTRIBUTIONS TO LIFESPACE COMMUNITIES 24,121.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1LIFESPACE COMMUNITIES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14201 CORPORATE DRIVEAddressLine1Txt
CityWEST DES MOINESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50266ZIPCd
FieldValueIRS element (for citing)
Recipient EIN421068850RecipientEIN
IRC Section501(C)3IRCSectionDesc
Cash Grant$24,121CashGrantAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc
Purpose Of GrantCAPITAL CONTRIBUTIONPurposeOfGrantTxt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeHARDSHIP ASSISTANCE - REDUCTION OF FEESGrantTypeTxt
Recipient13RecipientCnt
Cash Grant$804,052CashGrantAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistanceRESIDENTS DO FROM TIME TO TIME SEEK FINANCIAL ASSISTANCE BY REQUESTING ASSISTANCE WITH THE MONTHLY FEE. SINCE THESE RESIDENTS HAVE SIGNED A LIFE CARE CONTRACT, THE ORGANIZATION IS OBLIGATED TO LET THEM CONTINUE TO LIVE IN THE COMMUNITY. MANAGEMENT SHALL REVIEW CRITERIA TO DETERMINE WHETHER THE RESIDENT IS A CANDIDIATE TO RECEIVE A HARDSHIP DISCOUNT. IF THE RESIDENT QUALIFIES FOR A HARDSHIP DISCOUNT, THE DISCOUNT WILL BEGIN TO BE DEDUCTED FROM THE MONTHLY FEES.NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION CAN EASILY MONITOR THE USE OF THE GRANTS TO INDIVIDUALS BECAUSE THE GRANTS ARE SIMPLY REDUCTIONS OF THE MONTHLY FEES AND ENTRANCE FEES THAT THE RESIDENT WOULD OWE IF THE HARDSHIP ASSISTANCE WAS NOT GRANTED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JESSE JANTZEN
PRESIDENT & CEO & DIRECTOR$0$467,654$0$150,000$0$1,053$0$0$0$7,341$0$626,048$0$0
LARRY SMITH
INTERIM PRES, CEO & CFO (THRU JUNE)$0$281,420$0$87,961$0$20,863$0$8,550$0$9,802$0$408,596$0$0
THOMAS BROD
SVP OF BUSINESS DEVELOPMEN (THRU JUN$0$184,123$0$84,876$0$62,889$0$14,038$0$8,117$0$354,043$0$0
NICK HARSHFIELD
CFO & TREASURER$0$181,096$0$50,000$0$507$0$0$0$5,087$0$236,690$0$0
CHRIS HUTFLESS
INTERIM SVP & GENERAL COUNSEL (THRU$0$97,744$0$76,564$0$35,655$0$0$0$5,973$0$215,936$0$0
TIMOTHY STUTEVILLE
ASSOCIATE EXECUTIVE DIRECTOR$137,735$0$30,682$0$5,248$0$0$0$4,911$0$178,576$0$0$0
PAMELA HAMAN
EXECUTIVE DIRECTOR$151,442$0$11,916$0$126$0$0$0$2,584$0$166,068$0$0$0
ABDUL SHAKOOR
DEPUTY GENERAL COUNSEL & DIRECTOR (J$0$132,462$0$10,950$0$3,147$0$3,815$0$7,377$0$157,751$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE J, PART IIFormAndLineReferenceDesc
ExplanationCOMPENSATION OF THE EXECUTIVE DIRECTOR THE EXECUTIVE DIRECTOR, AND ASSOCIATE EXECUTIVE DIRECTOR WAS PAID THROUGH A RELATED SUPPORTING ORGANIZATION. THE PAYROLL WAS PAID THROUGH A DIFFERENT RELATED NON-PROFIT ORGANIZATION, LIFESPACE COMMUNITIES, INC. (EIN: 42-1068850).ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1TARRANT CNTY CULTURAL EDU FACILITIES FINANCE CORPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN043833551BondIssuerEIN
CUSIP87638RDB0CUSIPNum
Bond Issued2020-01-03BondIssuedDt
Issue Price$112,261,464IssuePriceAmt
PurposeREFUND PRIOR ISSUE (11/12/09)PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$112,261,464TotalProceedsAmt
In Reserve Fund$7,561,998InReserveFundAmt
Other Spent Proceeds$112,261,464OtherSpentProceedsAmt
Substantial Completion2011SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00300PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00300TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 3FormAndLineReferenceDesc
ExplanationTHE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4 -12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE BYLAWS OF THE ORGANIZATION PROVIDE FOR AN EXECUTIVE COMMITTEE, BUT AT THIS TIME THE COMMITTEE IS NOT ACTIVE. IF THE COMMITTEE DOES COMMENCE MEETINGS, IT WILL CONTEMPORANEOUSLY DOCUMENT MEETINGS HELD AND WRITTEN ACTIONS UNDERTAKEN DURING THE YEAR CONSISTENT WITH EXISTING PRACTICES OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR OF THE BOARD, THE VICE CHAIR OF THE BOARD, THE IMMEDIATE PAST CHAIR OF THE BOARD, THE CHAIR OF THE GOVERNANCE AND NOMINATING COMMITTEE AND, AS AN EX-OFFICIO MEMBER, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. EXCEPT AS LIMITED HEREIN, AND EXCEPT FOR RESPONSIBILITIES DELEGATED TO ANOTHER COMMITTEE, THE EXECUTIVE COMMITTEE SHALL POSSESS AND MAY EXERCISE ALL OF THE POWERS OF THE BOARD OF DIRECTORS IN THE OVERSIGHT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, EXCEPT AS HEREIN PROVIDED. THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE POWERS OF THE BOARD OF DIRECTORS WITH RESPECT TO AUTHORIZING DISTRIBUTIONS; APPROVING DISSOLUTION, MERGER, OR THE SALE, PLEDGE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; ELECTING, APPOINTING, OR REMOVING DIRECTORS OR FILLING VACANCIES ON THE BOARD OF DIRECTORS OR ON ANY OF ITS COMMITTEES; OR ADOPTING, AMENDING, REPEALING THE ARTICLES OF INCORPORATION OR THE BYLAWS, OR THE APPOINTMENT OR REMOVAL OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. THE PRIMARY PURPOSE OF THE COMMITTEE IS TO ENABLE THE BOARD OF DIRECTORS TO ACT WHERE AN ASSEMBLY OF A QUORUM OF THE BOARD WOULD BE IMPRACTICABLE OR IMPOSSIBLE. THE COMMITTEE ALSO SHALL SERVE AS AN ADVISOR TO THE PRESIDENT AND CEO, PROVIDING CONSULTATION, SUPPORT AND GUIDANCE ON AN INFORMAL BASIS AS REQUESTED FROM TIME TO TIME, AND REVIEW AND APPROVE BOARD MEETING AGENDAS.
FORM 990, PART VI, SECTION A, LINE 6LIFESPACE COMMUNITIES, INC. IS THE SOLE MEMBER OF TARRANT COUNTY SENIOR LIVING, INC.
FORM 990, PART VI, SECTION A, LINE 7ALIFESPACE COMMUNITIES, INC. HAS THE AUTHORITY TO ELECT THE MEMBERS OF THE GOVERNING BODY OF TARRANT COUNTY SENIOR LIVNG CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7BTHE BOARD OF DIRECTORS OF LIFESPACE COMMUNITIES, INC. HAS RESERVED POWERS OVER CERTAIN GOVERNANCE DECISIONS.
FORM 990, PART VI, SECTION B, LINE 11BMANAGEMENT PERFORMS A THOROUGH REVIEW OF THE FORM 990. A COPY OF THE FORM 990 WILL BE DISTRIBUTED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING. MEMBERS OF THE BOARD OF DIRECTORS DIRECT ANY QUESTIONS OR CONCERNS TO THE CHIEF FINANCIAL OFFICER TO BE RESOLVED PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS OF TARRANT COUNTY SENIOR LIVING, INC. AND ALL RELATED ORGANIZATIONS MUST CONDUCT THEIR PERSONAL AFFAIRS IN SUCH A MANNER AS TO AVOID ANY POSSIBLE CONFLICTS OF INTEREST WITH DUTIES AND RESPONSIBILITIES AS OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS. ALL NEW BOARD MEMBERS AND OFFICERS ARE REQUIRED TO COMPLETE A CONFLICTS OF INTEREST STATEMENT. THIS IS REVIEWED BY THE GOVERNANCE & NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL. OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS ANNUALLY ARE REQUIRED TO COMPLETE A CONFLICTS OF INTEREST STATEMENT. THESE STATEMENTS ARE REVIEWED BY THE GOVERNANCE AND NOMINATING COMMITTEE TO DETERMINE IF ANY CONFLICTS OF INTEREST EXIST PRIOR TO REAPPOINTMENT TO THE BOARD AND OFFICER POSITIONS. ANY DIRECTORS HAVING A CONFLICT OF INTEREST SHALL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION.
FORM 990, PART VI, SECTION C, LINE 19REQUESTS FROM THIRD PARTIES FOR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE REFERRED TO THE CHIEF FINANCIAL OFFICER. ANNUAL RETURNS AND THE APPLICATION FOR EXEMPTION ARE MADE AVAILABLE FOR THE PUBLIC INSPECTION AND ARE PROVIDED TO INDIVIDUALS WHO REQUEST THEM. COPIES ARE PROVIDED WITHIN 30 DAYS OF A WRITTEN REQUEST OR THE SAME DAY IF REQUESTED IN PERSON.
FORM 990, PART XI, LINE 9:FUTURE SERVICE OBLIGATION -5,424,000. ROUNDING ON AUDITED FINANCIALS -5.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
LIFESPACE COMMUNITIES INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266421068850OPERATION OF RETIREMENT COMMUNITIESIA501(C)(3)LINE 10LIFESPACE INC0
THE LIFESPACE FOUNDATION
4201 CORPORATE DRIVEWEST DES MOINESIA50266421370848SUPPORT OF RETIREMENT COMMUNITIESIA501(C)(3)LINE 12A, ILIFESPACE INC0
LIFESPACE INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266273270337OWNERSHIP & ADMINISTRATION OF RETIREMENT COMMUNITY PROPERTYIA501(C)(3)LINE 12B, II0N/A
LIFESPACE MANAGEMENT INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266273271283MANAGEMENT OF RETIREMENT COMMUNITIESIA501(C)(3)LINE 12B, IILIFESPACE INC0
LIFESPACE SERVICES INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266273271147HEALTH SERVICES AND PROGRAMS FOR RETIREMENT COMMUNITIESIA501(C)(3)LINE 10LIFESPACE INC0
DEERFIELD RETIREMENT COMMUNITY INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266421508960OPERATION OF RETIREMENT COMMUNITIESIA501(C)(3)LINE 10LIFESPACE COMMUNITIES INC0
NORTHWEST SENIOR HOUSING CORPORATION
4201 CORPORATE DRIVEWEST DES MOINESIA50266752771278OPERATION OF RETIREMENT COMMUNITIESTX501(C)(3)LINE 10LIFESPACE COMMUNITIES INC0
SENIOR QUALITY LIFESTYLES CORPORATION
4201 CORPORATE DRIVEWEST DES MOINESIA50266364502669OPERATION OF RETIREMENT COMMUNITIESTX501(C)(3)LINE 10LIFESPACE COMMUNITIES INC0
BARTON CREEK SENIOR LIVING INC
4201 CORPORATE DRIVEWEST DES MOINESIA50266201203479OPERATION OF RETIREMENT COMMUNITIESTX501(C)(3)LINE 10LIFESPACE COMMUNITIES INC0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
SENIORITY INC
15601 DALLAS PKWY STE 200ADDISONTX75001942287180RETIREMENT LIVINGTXSENIOR QUALITY LIFESTYLE CORPORATIONC0
PRAIRIE VIEW CLUB OF KANSAS
8101 MISSION ROADPRAIRIE VILLAGEKS66208481159378RESIDENT ENTERTAINMENT SERVICESKSLIFESPACE COMMUNITIES INCC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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