2021-10-14T09:30:00-05:00 2020-12-31 751044330 LANE GORMAN TRUBITT LLC 2626 HOWELL ST SUITE 700 DALLAS TX 75204 990 2020-01-01 300097872 BUCKINGHAM SENIOR LIVING COMM-TAX BUCK 7139793838 8580 WOODWAY DRIVE HOUSTON TX 77063 MICHAEL WYSE CHAIR 7139793838 2021-10-13 1 MICHAEL WYSE 999009999 KEVIN WARNEKE P01294950 2148717500 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z THE BUCKINGHAM MICHAEL WYSE 8580 WOODWAY DRIVE HOUSTON TX 77063 40770655 0 X HTTP://WWW.BUCKINGHAMHOUSTON.COM/ X 2002 TX TO PROVIDE QUALITY RESIDENTIAL HOUSING FOR SENIOR CITIZENS ALONG WITH PERSONAL SERVICES, ASSISTED LIVING AND NURSING SERVICES. 5 5 446 8 0 0 0 5554784 28739797 25293483 647312 235276 310342 63187 29697451 31146730 0 300 0 0 15034832 14907943 0 0 0 36498216 28199474 51533048 43107717 -21835597 -11960987 215478071 205729400 335651672 337873152 -120173601 -132143752 TO PROVIDE QUALITY RESIDENTIAL HOUSING FOR SENIOR CITIZENS ALONG WITH PERSONAL SERVICES, ASSISTED LIVING AND NURSING SERVICES. 0 0 37868697 300 25356670 NURSING AND RETIREMENT FACILITY WITH SERVICES RANGING FROMINDIVIDUAL RETIREMENT LIVING TO 24-HOUR SKILLED NURSINGCARE. 37868697 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 X 98 0 1 446 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X X ARCHIE CLINTON 2816615395 8580 WOODWAY HOUSTON TX 77063 MIKE WYSE CHAIR 15.00 X X 105000 0 0 ROBERT OGLE SECRETARY/TREASURER/AUDIT 15.00 X X 105000 0 0 BERRY SPEARS DIRECTOR 12.00 X 105000 0 0 MICHAEL BUCKLEY DIRECTOR 12.00 X 105000 0 0 JAN VAN SANT DIRECTOR 10.00 X 57500 0 0 DEXTER LITTLEFIELD OFFICER 40.00 X 101507 0 8073 VICENTE BURLAOS OFFICER 40.00 X 109376 0 7010 AUDREY RAMSBACHER OFFICER 40.00 X 113510 0 215 PHILLIP TAYLOR OFFICER 40.00 X 132150 0 8992 PHILIP JACOB OFFICER 40.00 X 162178 0 8658 1096221 0 32948 9 0 1 0 GREYSTONE MANAGEMENT SERVICES COMPANY 225 E JOHN CARPENTER FRWY IRVING TX 75062 MANAGEMENT SERVICES 1949512 SYSCO FOOD SERVICES OF HOUSTON 10710 GREENS CROSSING BLVD HOUSTON TX 77038 FOOD SERVICES 1327299 GLYNNDEVINS MARKETING & ADVERTISING 8880 WARD PARKWAY STE 400 KANSAS CITY MO 64114 MARKETING SERVICES 1218405 GARDAWORLD PO BOX 843886 KANSAS CITY MO 64184 SECURITY SERVICES 957520 THOMPSON & KNIGHT LLP PO BOX 660684 DALLAS TX 75266 LEGAL SERVICES 811104 18 5554784 5554784 RESIDENT SERVICES 623000 25293483 25293483 25293483 11998 11998 143285 143285 9703918 9623925 79993 79993 79993 MEAL REVENUE 531110 37534 37534 COMMUNITY AND ADMIN FEES 900099 8302 8302 ACCOMODATION 721000 6968 6968 10383 10383 63187 31146730 25356670 0 235276 300 300 477500 429750 47750 11572864 10417328 1155536 1844707 1660236 184471 1012872 911585 101287 1497041 1497041 144588 144588 47942 47942 22281 22281 1797050 1617345 179705 1251418 1245443 5975 345719 311147 34572 373713 336342 37371 1456738 1311064 145674 67226 60503 6723 7955393 7955393 7091486 7091486 712227 712227 DINING 1944005 1944005 UNUSUAL EVENT - COVID 1 1543659 1543659 REPAIRS & MAINTENANCE 974767 974767 NURSING AND ASSISTED LI 632344 632344 341877 257432 84445 43107717 37868697 5239020 0 5259928 4656232 4648099 2084743 105698 119646 592122 761279 239884337 54784649 190724358 185099688 12298580 11219828 1849286 1787984 215478071 205729400 15544744 18990112 8602130 8003261 138317492 138553713 173187306 172326066 335651672 337873152 X -120173601 -132143752 -120173601 -132143752 215478071 205729400 -11960987 -9164 0 X 0 1 X 0 0 X 1000 5554784 5555784 22537553 21479265 27405788 28739797 25293483 125455886 22538553 21479265 27405788 28739797 30848267 131011670 0 0 0 131011670 649799 502273 858133 281511 235276 2526992 649799 502273 858133 281511 235276 2526992 257335 194700 206137 310342 63187 1031701 23445687 22176238 28470058 29331650 31146730 134570363 0.97360 0.96920 0.01880 0.02140 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: ADMINISTRATIVE FEES - 2016 AMOUNT: $ 18,000. 2017 AMOUNT: $ 14,766. 2018 AMOUNT: $ 21,292. 2019 AMOUNT: $ 50,614. 2020 AMOUNT: $ 8,302. GUEST RENTAL FEES - 2016 AMOUNT: $ 34,929. 2017 AMOUNT: $ 52,788. 2018 AMOUNT: $ 49,201. 2019 AMOUNT: $ 36,068. 2020 AMOUNT: $ 6,968. MISCELLANEOUS FEES - 2016 AMOUNT: $ 23,522. 2017 AMOUNT: $ 14,250. 2018 AMOUNT: $ 8,727. 2019 AMOUNT: $ 19,613. 2020 AMOUNT: $ 300. BEAUTY/BARBER SHOP FEES - 2016 AMOUNT: $ 21,000. 2017 AMOUNT: $ 5,877. 2018 AMOUNT: $ 3,335. 2019 AMOUNT: $ 77,448. 2020 AMOUNT: $ 3,045. OFFICE SPACE FEES - 2016 AMOUNT: $ 5,200. 2017 AMOUNT: $ 12,444. 2018 AMOUNT: $ 11,576. 2019 AMOUNT: $ 10,124. 2020 AMOUNT: $ 1,080. PARKING FEES - 2016 AMOUNT: $ 5,616. 2017 AMOUNT: $ 4,644. 2018 AMOUNT: $ 2,881. 2019 AMOUNT: $ 2,124. 2020 AMOUNT: $ 1,548. GUEST MEALS FEES - 2016 AMOUNT: $ 83,402. 2017 AMOUNT: $ 80,235. 2018 AMOUNT: $ 96,467. 2019 AMOUNT: $ 99,613. 2020 AMOUNT: $ 37,534. DRY CLEANING - 2016 AMOUNT: $ 1,586. 2017 AMOUNT: $ 1,760. 2018 AMOUNT: $ 2,824. 2019 AMOUNT: $ 2,651. 2020 AMOUNT: $ 2,090. MAINTENANCE SERVICES - 2016 AMOUNT: $ 2,160. 2017 AMOUNT: $ 1,936. 2018 AMOUNT: $ 1,184. 2019 AMOUNT: $ 4,637. 2020 AMOUNT: $ 1,020. STORAGE FEES - 2016 AMOUNT: $ 228. 2017 AMOUNT: $ 0. 2018 AMOUNT: $ 0. 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 0. THERAPY SERVICES - 2016 AMOUNT: $ 61,692. 2017 AMOUNT: $ 0. 2018 AMOUNT: $ 0. 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 0. PERSONAL FITNESS TRAINER - 2016 AMOUNT: $ 0. 2017 AMOUNT: $ 6,000. 2018 AMOUNT: $ 8,650. 2019 AMOUNT: $ 7,450. 2020 AMOUNT: $ 1,300. 0 1 X 23810594 23810594 215231745 54784649 160447096 841998 841998 185099688 REFUNDABLE ENTRANCE FEE LIABILITY 154427368 RESIDENT DEPOSIT LIABILITIES 335699 PAYABLE DUE TO SQLC 7622 FUTURE SERVICE OBLIGATION 14878000 PPP LOAN 2677377 172326066 31115285 -9164 -9164 31124449 22281 22281 31146730 43085436 0 43085436 22281 22281 43107717 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 THE ADVANCE FEE WHICH WILL BE REQUIRED UPON RESIDENCY. THE AMOUNT OF THE REQUIRED DEPOSIT DEPENDS ON THE CONSTRUCTION PHASE OF THE COMMUNITY. THE AMOUNT OF DEPOSIT REQUIRED FOR PHASE I IS $20,000 OF THE ADVANCE FEE. THE AMOUNT OF DEPOSIT REQUIRED FOR PHASE II IS 10% OF THE ADVANCE FEE. 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 UNIT. 0 0 0 0 0 0 0 0 0 PHILIP JACOB OFFICER 162178 0 0 0 0 0 0 0 8658 0 170836 0 0 0 A TARRANT CTY CULTURAL EDUC FACILITIES FIN CORP 043833551 87638RCH8 2007-08-09 71351739 REFUND 2004 BOND ISSUE 0 0 0 B TARRANT CTY CULTURAL EDUC FACILITIES FIN CORP 043833551 87638REB9 2014-10-02 18575000 COMMUNITY EXPANSION - LAND PURCHASE 0 0 0 C TARRANT CTY CULTURAL EDUC FACILITIES FIN CORP 043833551 87638REZ6 2015-08-05 109464270 COMMUNITY EXPANSION AND IMPROVEMENTS 0 0 0 A 98690946 5142427 49846578 1420979 39361935 2007 0 1 1 1 B 18604432 1074276 371500 17158656 2014 0 0 1 1 C 111110406 5806017 10461964 2105164 40688 94793028 31561 2020 0 0 0 1 A 0 0 0 0 0 0 0 B 0 1 1 1 0 0 0 1 C 0 1 1 1 0 0 0 1 A 0 0 0 1 0 0 0 0 0 B 0 1 0 1 0 0 0 0 1 C 0 1 0 1 0 0 0 0 1 A 0 B 0 C 0 SCHEDULE K, PART II, LINE 3 ADDITIONAL PROCEEDS PROCEEDS OF THE ISSUE ON PART II-LINE 3 INCLUDE INVESTMENT PROCEEDS IN ADDITION TO THE SALES PROCEEDS OF THE ISSUE REPORTED IN PART I-COLUMN E. SCHEDULE K, PART V PROCEDURES TO UNDERTAKE CORRECTIVE ACTION BUCKINGHAM SENIOR LIVING COMMUNITY, INC. (THE "CORPORATION") WILL CONSIDER ADOPTING SPECIFIC WRITTEN PROCEDURES TO ENSURE TIMELY CORRECTION OF POTENTIAL VIOLATIONS OF FEDERAL TAX REQUIREMENTS RELATED TO ITS BOND ISSUE THROUGH THE USE OF THE VOLUNTARY CLOSING AGREEMENT PROGRAM IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS. HOWEVER, THE CORPORATION HAS COVENANTED IN ITS MASTER TRUST INDENTURE AND OTHER DOCUMENTS RELATED TO ITS BOND ISSUE TO COMPLY WITH ALL APPLICABLE FEDERAL TAX REQUIREMENTS RELATED TO ITS BOND ISSUE AND THE CORPORATION MAY NOT TAKE CERTAIN ACTIONS, SUCH AS A DISPOSITION OF THE PROJECT OR DEFEASANCE OR REFUNDING OF THE BOND ISSUE, WITHOUT FIRST OBTAINING AN OPINION OF BOND COUNSEL THAT SUCH ACTIONS WILL NOT CAUSE THE BOND ISSUE TO FAIL TO MEET THE FEDERAL TAX REQUIREMENTS APPLICABLE TO THE BOND ISSUE. ADDITIONALLY, THE CORPORATION HAS COVENANTED TO MAINTAIN ALL REQUIRED RECORDS RELATED TO ITS BOND ISSUE FOR FEDERAL TAX COMPLIANCE AND ENGAGES AN EXPERT TO COMPUTE THE CORPORATION'S POTENTIAL REBATE LIABILITY UNDER APPLICABLE ARBITRAGE REBATE REGULATIONS EACH YEAR TO ENSURE TIMELY COMPLIANCE WITH THESE REQUIREMENTS. SCHEDULE K, PART IV, LINE 2C ARBITRAGE REBATE BASED ON REBATE COMPUTATIONS DATED 7/31/2017 AND 8/31/2017, NO REBATE LIABILITY EXISTS AND REPORTING TO THE IRS IS NOT REQUIRED AT THIS TIME. SCHEDULE K, PART III, LINE 9 AND PART IV, LINE 7, COLUMN A WRITTEN MONITORING PROCEDURES THE ORGANIZATION HAS REPRESENTED THAT IT WILL, AND COVENANTED TO, COMPLY WITH ALL TAX REQUIREMENTS IMPOSED BY THE CODE TO SATISFY SECTIONS 141 AND 145 THROUGH 150 OF THE CODE IN THE TAX CERTIFICATE AND LOAN AGREEMENT RELATED TO THE TAX-EXEMPT BOND ISSUE. OTHER THAN THESE REPRESENTATIONS AND COVENANTS, THE ORGANIZATION HAS NOT ADOPTED POST-ISSUANCE MONITORING PROCEDURES. THE ORGANIZATION REALIZES THAT POST-ISSUANCE MONITORING PROCEDURES ARE AN IMPORTANT TOOL IN THE MANAGEMENT OF ISSUES ARISING AFTER TAX-EXEMPT BONDS ARE ISSUED. WHILE THE ORGANIZATION DOES NOT CURRENTLY HAVE DETAILED WRITTEN PROCEDURES, IT HOWEVER HAS CONSULTANTS, WITH WHOM IT CONSULTS FROM TIME TO TIME ON AN AD HOC BASIS, INCLUDING BOND COUNSEL, TO ENSURE ONGOING COMPLIANCE WITH TAX AND SECURITIES LAWS. IN ADDITION, THE ORGANIZATION IS CONSIDERING ESTABLISHING ADDITIONAL POST-ISSUANCE MONITORING PROCEDURES TO ENSURE CONTINUED COMPLIANCE WITH SECTIONS 141 AND 145 THROUGH 150 OF THE CODE. FORM 990, PAGE 1, SECTION G: GROSS RECEIPTS PER THE IRS FORM INSTRUCTIONS, THE AMOUNT REPORTED IN BOX G FOR GROSS RECEIPTS INCLUDES SALES PROCEEDS OF SECURITIES OF $9,623,925. FORM 990 BENEVOLENT CARE THE ORGANIZATION PROVIDES CARE TO RESIDENTS WHO MEET CERTAIN CRITERIA UNDER ITS BENEVOLENT CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS BENEVOLENT CARE, THEY ARE NOT REPORTED AS REVENUE. SUCH RESIDENTS ARE IDENTIFIED BASED ON FINANCIAL INFORMATION OBTAINED FROM THE RESIDENT AND SUBSEQUENT ANALYSES. FORM 990, PAGE 5, LINE 2A 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, OASIS PAYCHEX HR, INC., WHICH IS THE EMPLOYER OF RECORD, ISSUES ALL W-2S AND ACTS AS AN OUTSOURCED HUMAN RESOURCES PAYROLL DEPARTMENT FOR THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT COMPANY GREYSTONE MANAGEMENT SERVICES COMPANY, LLC, AN UNRELATED ENTITY, WAS ENGAGED BY BUCKINGHAM SENIOR LIVING COMMUNITY, INC. 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 HAS 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 VI, SECTION A, LINE 8B DOCUMENTATION OF COMMITTEES LINE 8B 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 11B FORM 990 REVIEW PROCESS THE BOARD MEMBERS OF BUCKINGHAM SENIOR LIVING COMMUNITY, INC. RECEIVE A COPY OF THE FORM 990 UPON COMPLETION, AND 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 C, LINE 19 DOCUMENTS AVAILABLE TO PUBLIC THE FINANCIAL STATEMENTS ARE POSTED TO NATIONALLY RECOGNIZED ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) AND ALSO MADE AVAILABLE IN THE LIBRARY OF THE COMMUNITY FOR VIEWING BY RESIDENTS OR AVAILABLE UPON REQUEST BY PROSPECTIVE RESIDENTS. THE 990 IS ALSO MADE AVAILABLE IN THE LIBRARY OF THE COMMUNITY AND ALSO BY REQUEST. ANY ADDITIONAL GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.