2020-03-27T09:04:30-05:00 2019-06-30 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2018-07-01 310544277 MAPLE KNOLL COMMUNITIES INC MAPL 5137822400 11100 SPRINGFIELD DRIVE CINCINNATI OH 45246 JAMES STAHL CFO 5137822400 2020-03-25 1 AMY CIMINELLO P00796388 6148493000 2020-03-25 74.113.40.52 2020-03-25 10:34:12 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9620C6601C99D82B50252550C6445223DEA5F6EE 2018 2020-09-22 18:59:49Z SEE SCHEDULE O JAMES FORMAL 11100 SPRINGFIELD DRIVE CINCINNATI OH 45246 46717932 0 X WWW.MKCOMMUNITIES.ORG X 1934 OH MAPLE KNOLL COMMUNITIES, INC. IS A NOT-FOR-PROFIT CORPORATION WHICH PROVIDES HOUSING, HEALTH CARE AND OTHER RELATED SERVICES AND ACTIVITIES FOR THE BENEFIT OF THE ELDERLY. MAPLE KNOLL COMMUNITIES OWNS AND OPERATES TWO CONTINUING CARE RETIREMENT COMMUNITIES (CCRC) LOCATED IN CINCINNATI, OHIO AND OXFORD, OHIO. 18 18 1305 782 -38056 -1321 1173479 1861842 42072655 42258508 1120013 1487282 574727 696142 44940874 46303774 435991 538774 0 0 23934171 25160970 0 0 164118 22673891 22408625 47044053 48108369 -2103179 -1804595 122161322 119781241 102228208 101614581 19933114 18166660 X MAPLE KNOLL COMMUNITIES, INC. IS RECOGNIZED AS A GROWING PROVIDER OF OUTSTANDING SENIOR COMMUNITIES AND SERVICES THAT ALLOWS THOSE WE SERVE TO THRIVE IN A STIMULATING AND DIGNIFIED ENVIRONMENT. THIS WILL BE ACCOMPLISHED THROUGH CREATIVITY AND RESPONSIBLE FISCAL STEWARDSHIP. 0 0 29287579 538101 29716978 "MAPLE KNOLL VILLAGE" - MAPLE KNOLL VILLAGE IS A NON-PROFIT CONTINUING CARE RETIREMENT COMMUNITY WITH A HISTORY OF MORE THAN 170 YEARS. LOCATED ON A BEAUTIFUL 54-ACRE CAMPUS, OUR COMMUNITY OFFERS 280 VILLAS AND APARTMENTS, 63 ASSISTED LIVING APARTMENTS AND A 145-BED NURSING FACILITY. THE COMMUNITY IS RECOGNIZED AS A TEACHING FACILITY FOR FUTURE GERIATRICIANS THROUGH THE UNIVERSITY OF CINCINNATI. THE GERIATRIC EVALUATION CENTER, A CLINICAL SERVICE OF THE UNIVERSITY FAMILY PHYSICIANS, INC. IS LOCATED ON THIS CAMPUS. 13418902 673 11656287 "THE KNOLLS OF OXFORD" - THE KNOLLS OF OXFORD IS A NON-PROFIT CONTINUING CARE RETIREMENT COMMUNITY WITH CULTURE AND CHARM. LOCATED ON A BEAUTIFUL 85-ACRE CAMPUS, THE COMMUNITY OFFERS 108 VILLAS, 28 ASSISTED LIVING APARTMENTS AND A 62-BED SKILLED NURSING FACILITY AND REHABILITATION CENTER. THE COMMUNITY BOASTS OF A UNIQUE AFFILIATION WITH MIAMI UNIVERSITY. THIS AGREEMENT OFFERS MULTIPLE OPPORTUNITIES FOR MIAMI STUDENTS, BUT IS ALSO A TREMENDOUS BENEFIT FOR KNOLLS RESIDENTS AS WELL. 706780 0 567533 MAPLE KNOLL OUTREACH SERVICES FOR SENIORS STAFF AND VOLUNTEERS SET FORTH TO PROVIDE SERVICES TO OVER 900 OLDER ADULTS THROUGHOUT 35 COMMUNITIES THIS PAST FISCAL YEAR. MEALS ON WHEELS OFFERED THROUGH MAPLE KNOLL OUTREACH SERVICES FOR SENIORS PROVIDED MORE THAN JUST A NUTRITIOUS MEAL. THE PROGRAM ADDRESSED ISSUES RANGING FROM SENIOR ISOLATION TO A VARIETY OF NUTRITION PROGRAMS THAT HELP CLIENTS MANAGE CHRONIC HEALTH ISSUES. THE MEALS ARE DELIVERED TO THE CLIENT'S DOOR WITH THE HELP OF STAFF AND 85 TRAINED VOLUNTEERS, WHO ARE OFTEN THE ONLY PEOPLE OUR CLIENTS SEE ON A DAILY BASIS. TOGETHER THESE INDIVIDUALS DELIVERED 69,500 MEALS TO OVER 450 OLDER ADULTS. IN ADDITION, THE PROGRAM HAS ALLOWED FOR OVER 3,000 POUNDS OF DOG FOOD AS WELL AS VARIOUS CLEANING SUPPLIES TO BE DELIVERED TO HELP CARE FOR CLIENT'S FURRY FRIENDS.MOBILITY AND ACCESSIBILITY ARE ESSENTIAL FOR INDEPENDENT LIVING, AND TRANSPORTATION IS THE LINK THAT ALLOWS ACCESS TO NEEDED SERVICES AND ACTIVITIES. TRANSPORTATION PLAYS A VITAL ROLE IN THE LIVES OF OLDER ADULTS IN OUR COMMUNITY AND NO SINGLE SOLUTION CAN MEET ALL THE MOBILITY NEEDS OF THESE INDIVIDUALS RATHER, A VARIETY OF SERVICES AND SYSTEMS ARE NECESSARY TO DO SO EFFECTIVELY. MAPLE KNOLL OUTREACH SERVICES FOR SENIORS PLAYED A VITAL ROLE IN THE INDEPENDENCE OF OVER 519 OLDER ADULTS BY DRIVING OVER 60,000 MILES TO PROVIDE 9,000 TRIPS THIS PAST FISCAL YEAR. NOT STOPPING THERE, ADDITIONAL SERVICES WERE OFFERED TO HELP OLDER ADULTS STAY AFLOAT DURING THEIR TIME OF NEED. THESE INCLUDED THE OFFERING OF A HEALTHY U WORKSHOP TO BETTER SELF-MANAGE CHRONIC DISEASES FOR, FACILITATING OF HIGH SCHOOL STUDENT SOCIAL SERVICE PROJECTS TO PROVIDE LAWN BEAUTIFICATION TO IMMOBILE SENIORS AND LASTLY THE REVAMPING OF A FRIENDLY CALLER PROGRAM. THE PROGRAM NOW INCLUDES 60 PARTICIPANTS AND PROVIDES A LIFELINE TO HOMEBOUND SENIORS. THESE SERVICES ARE PROVIDING AN OPPORTUNITY FOR OLDER ADULTS TO BE ACTIVE AND SAFE, WHICH NOT ONLY ENRICHES THEIR QUALITY OF LIFE, BUT ALSO IMPROVES HEALTH AND INCREASES LONGEVITY. 298398 0 317710 MAPLE KNOLL COMMUNITIES CONTINUED TO PROVIDE AND EXPAND UPON CRUCIAL PROGRAMS BY OFFERING TWO VITAL SERVICES BASED OUT OF THE MAPLE KNOLL VILLAGE CAMPUS IN SPRINGDALE. THESE PROGRAMS, MEALS ON WHEELS AND TRANSPORTATION SERVICES, SUPPORT HOME BOUND SENIORS NEEDING EXTRA COMFORT AND ASSISTANCE UNDER THE NEW NAME OF MAPLE KNOLL OUTREACH SERVICES FOR SENIORS. AS PROUD MEMBERS OF MEALS ON WHEELS AMERICA, MAPLE KNOLL OUTREACH SERVICE FOR SENIORS PROVIDES MUCH MORE THAN JUST MEALS AND NUTRITION EDUCATION. VOLUNTEERS GO ABOVE AND BEYOND FOR CLIENTS AND BUILD LASTING FRIENDSHIPS. CURRENTLY, THERE ARE 85 ACTIVE MEALS ON WHEELS VOLUNTEERS. STAFF AND VOLUNTEERS WORK TOGETHER AS THE ULTIMATE TEAM AS THEY RACE THROUGH NEIGHBORING COMMUNITIES DELIVERING 69,500 MEALS TO 450 CLIENTS PER YEAR. OUR STAFF DROVE OVER 60,000 MILES TO PROVIDE 9,000 MEDICAL AND NON-MEDICAL TRIPS FOR 519 CLIENTS.OTHER:OTHER PROGRAMS INCLUDE WMKV 89.3 FM, A PUBLIC RADIO STATION PLAYING OLD RADIO PROGRAMS AND MUSIC FROM THE 30'S 40'S AND 50'S. WMKV HAS OVER 32,000 LISTENERS THROUGH ITS RADIO SIGNALS AND ONLINE STREAMING. MAPLE KNOLL COMMUNITIES MANAGES THREE HOUSING AND URBAN DEVELOPMENT HOUSING UNITS. MAPLE KNOLL SERVES OVER 250 LOW INCOME SENIORS. 298398 0 317710 43711659 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 76 0 1 1305 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 18 18 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X JAMES STAHL 5137822687 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 JOHN C BLOOMSTROM CHAIRMAN OF THE BOARD 1.00 0.00 X X 0 0 0 FRED ROBBINS FIRST VICE-CHAIRMAN 1.00 0.00 X X 0 0 0 MARILYN HOSKINS SECOND VICE-CHAIRMAN 1.00 0.00 X X 0 0 0 KURT MARTY TREASURER 1.00 0.00 X X 0 0 0 DAVID ZUIDEMA SECRETARY 1.00 0.00 X X 0 0 0 RONALD A BEYMER BOARD MEMBER 1.00 0.00 X 0 0 0 THOMAS E DEWEY BOARD MEMBER 1.00 0.00 X 0 0 0 RICHARD M NORMAN BOARD MEMBER 1.00 0.00 X 0 0 0 SUSAN LANG BOARD MEMBER 1.00 0.00 X 0 0 0 PAT BENNETT BOARD MEMBER 1.00 0.00 X 0 0 0 JAMES KING BOARD MEMBER 1.00 0.00 X 0 0 0 LYNN LARSON BOARD MEMBER 1.00 0.00 X 0 0 0 JOLENE SOBOTKA BOARD MEMBER 1.00 0.00 X 0 0 0 WOODROW UIBLE BOARD MEMBER 1.00 0.00 X 0 0 0 STEVE KOMRSKA BOARD MEMBER 1.00 0.00 X 0 0 0 RICK PAYNE BOARD MEMBER 1.00 0.00 X 0 0 0 DAVID WALLACE BOARD MEMBER 1.00 0.00 X 0 0 0 TAMILYN BAKAS BOARD MEMBER 1.00 0.00 X 0 0 0 JAMES FORMAL PRESIDENT, CEO 40.00 0.00 X 436694 0 26537 JAMES STAHL CFO 40.00 0.00 X 158469 0 10720 TIMOTHY MCGOWAN VICE PRESIDENT 40.00 0.00 X 277905 0 15552 ANDREW CRAIG VICE PRESIDENT 40.00 0.00 X 155954 0 22075 ERIN HERMAN SPEECH THERAPIST 40.00 0.00 X 117061 0 4539 ROBERT HANNEKEN WMKV DEVELOPMENT DIRECTOR 40.00 0.00 X 116246 0 15804 DUANY DE LA CRUZ THERAPY MANAGER (TERM 10/22/18) 40.00 0.00 X 114560 0 21685 1376889 0 116912 10 0 1 0 EUGENE RUECKERT DBO GNO CONSTRUCTION 9458 FLICK ROAD CINCINNATI OH 45247 CONSTRUCTION 925396 EMCOR (FKA VIOX SERVICES) LOCATION NO 347 CINCINNATI OH 452640347 LANDSCAPING/MAINTENANCE 400994 LUMINAUT INC 1100 SYCAMORE STREET SUITE 200 CINCINNATI OH 45202 ARCHITECT/INTERIOR DESIGN 337758 GENESIS MECHNICAL SERVICES PO BOX 58679 CINCINNATI OH 45258 HEATING & AIR CONDITIONING 291505 CINCINNATI LAWN MASTERS LLC 2022 NEW LONDON ROAD HAMILTON OH 45013 LANDSCAPING 235612 17 23171 23871 1814800 39796 1861842 ROOM AND BOARD REVENUE 623000 37352090 37352090 AMORTIZED ENTRANCE FEE 623000 4320366 4320366 COMMUNITY SERVICES 623000 586052 586052 42258508 1182308 1182308 252310 268575 -16265 -16265 -38056 21791 309261 111330 0 115617 309261 -4287 304974 304974 20475 23871 29966 -9491 -9491 CAFE REVENUE 900099 268546 268546 SALON REVENUE 900099 143283 143283 CATERING REVENUE 900099 128561 128561 181508 181508 721898 46303774 42258508 -38056 2221480 538774 538774 630508 630508 18903677 17309710 1478334 115633 511086 390339 120747 3175641 2937506 238135 1940058 1742075 197983 94452 94452 83051 83051 198944 198944 347629 319718 27911 323241 269347 53894 4131116 3777158 305473 48485 722643 116249 606394 3424045 3424045 40884 37344 3540 3695623 3695623 5502903 5502903 498086 498086 FOOD EXPENSE 2232064 2232064 LICENSE SURCHARGE 515376 322150 193226 BAD DEBTS 361472 361472 IMPAIRMENT LOSS 183541 183541 53555 53555 48108369 43711659 4232592 164118 1691670 1161340 86925 704088 2085692 1742193 372466 282238 172062763 92098656 82819646 79964107 13386365 13128678 14397024 14424308 7321534 8374289 122161322 119781241 6275553 6365202 31298854 31491599 61400624 59890340 75037 70935 3178140 3796505 102228208 101614581 X 8472625 6518031 138813 412031 11321676 11236598 19933114 18166660 122161322 119781241 X -1804595 326162 -288021 X X 0 1 X 1 0 X 1535597 1315953 1666061 1173479 1861842 7552932 40239867 41552714 41277508 42072655 42258508 207401252 41775464 42868667 42943569 43246134 44120350 214954184 22023 27125 23361 25165 32982 130656 0 22023 27125 23361 25165 32982 130656 214823528 1628366 1196426 1103193 1413874 1434618 6776477 1628366 1196426 1103193 1413874 1434618 6776477 568228 670770 1245383 627525 742373 3854279 43972058 44735863 45292145 45287533 46297341 225584940 0.95230 0.94940 0.03000 0.02950 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2014 AMOUNT: $ 88,049. 2015 AMOUNT: $ 158,023. 2016 AMOUNT: $ 716,294. 2017 AMOUNT: $ 93,770. 2018 AMOUNT: $ 159,640. SALON REVENUE - 2014 AMOUNT: $ 164,425. 2015 AMOUNT: $ 154,122. 2016 AMOUNT: $ 156,323. 2017 AMOUNT: $ 150,229. 2018 AMOUNT: $ 143,283. CAFE REVENUE - 2014 AMOUNT: $ 279,224. 2015 AMOUNT: $ 300,098. 2016 AMOUNT: $ 244,792. 2017 AMOUNT: $ 255,916. 2018 AMOUNT: $ 268,546. TELEPHONE/INTERNET/CABLE REVENUE - 2014 AMOUNT: $ 2,643. 2015 AMOUNT: $ 3,678. 2016 AMOUNT: $ 5,308. 2017 AMOUNT: $ 6,179. 2018 AMOUNT: $ 5,268. FUNDRAISING REVENUE - 2014 AMOUNT: $ 33,887. 2015 AMOUNT: $ 54,849. 2016 AMOUNT: $ 12,000. 2017 AMOUNT: $ 15,500. 2018 AMOUNT: $ 20,475. CATERING REVENUE - 2014 AMOUNT: $ 0. 2015 AMOUNT: $ 0. 2016 AMOUNT: $ 110,666. 2017 AMOUNT: $ 105,931. 2018 AMOUNT: $ 128,561. MKC SERVICE CENTER REVENUE - 2014 AMOUNT: $ 0. 2015 AMOUNT: $ 0. 2016 AMOUNT: $ 0. 2017 AMOUNT: $ 0. 2018 AMOUNT: $ 16,600. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1210060 1210060 138975498 68732231 70243267 13212590 8505659 4706931 18512037 14860766 3651271 152578 152578 79964107 DEBT SERVICE FUNDS 3134990 F BENEFICIAL INTEREST IN IRREVOCABLE TRUST 10217938 F INTEREST SERVICE FUND 1071380 F 14424308 OTHER NONCURRENT ASSETS 7065285 CONSTRUCTION IN PROGRESS 1309004 8374289 PROVISIONS FOR INTEREST RATE SWAP 1065338 CHARITABLE GIFT ANNUITY 4372 DEFERRED COMPENSATION 131669 CAPITAL LEASES PAYABLE 445126 LINE OF CREDIT 2150000 3796505 X 45923864 326162 -792588 -466426 46390290 -86516 -86516 46303774 47666695 298541 298541 47368154 740215 740215 48108369 PART X, LINE 2: NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS SINCE THE ORGANIZATION IS EXEMPT FROM SUCH TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF JUNE 30, 2019, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -271,079. NONOPERATING EXPENSES INCLUDED IN REVENUE ON FS -50,871. GRANTS TO INDIVIDUALS -538,774. CHANGE IN VALUE OF CHARITABLE GIFT ANNUITIES 68,136. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES REPORTED ON PART VIII -268,575. FUNDRAISING EXPENSES REPORTED ON PART VIII -29,966. CAPITAL CONTRIBUTION REPORTED ON PART VIII 61,455. INVESTMENT MANAGEMENT FEES 150,570. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES REPORTED ON PART VIII 268,575. FUNDRAISING EXPENSES REPORTED ON PART VIII 29,966. PART XII, LINE 4B - OTHER ADJUSTMENTS: NONOPERATING EXPENSES INCLUDED IN REVENUE ON FS 50,871. GRANTS TO INDIVIDUALS 538,774. INVESTMENT MANAGEMENT FEES 150,570. WMKV GOLF OUTING 44346 23871 20475 7202 21208 1556 44346 23871 20475 7202 21208 1556 29966 -9491 1 CHARITABLE ASSISTANCE - RENT 18 538774 PART I, LINE 2: RESIDENTS MUST MEET SET FINANCIAL CRITERIA TO QUALIFY FOR ASSISTANCE. CFO REVIEWS FINANCIAL INFORMATION WITH RESIDENT AND DETERMINES HOW MUCH THE RESIDENT CAN AFFORD TO PAY FOR RENT. ACTUAL RENT IS THEN REDUCED WITH THE ASSISTANCE BY THE DETERMINED AMOUNT. X 1 1 X X X 0 1 0 0 0 0 0 1 0 JAMES FORMAL PRESIDENT, CEO 273873 0 60000 0 102821 0 8250 0 18287 0 463231 0 0 0 JAMES STAHL CFO 122914 0 15000 0 20555 0 4687 0 6033 0 169189 0 0 0 TIMOTHY MCGOWAN VICE PRESIDENT 175811 0 30000 0 72094 0 8198 0 7354 0 293457 0 0 0 ANDREW CRAIG VICE PRESIDENT 122324 0 15000 0 18630 0 4677 0 17398 0 178029 0 0 0 ERIN HERMAN SPEECH THERAPIST 79470 0 0 0 37591 0 3205 0 1334 0 121600 0 0 0 ROBERT HANNEKEN WMKV DEVELOPMENT DIRECTOR 60479 0 32201 0 23566 0 3475 0 12329 0 132050 0 0 0 DUANY DE LA CRUZ THERAPY MANAGER (TERM 10/22/18) 90913 0 0 0 23647 0 2907 0 18778 0 136245 0 0 0 PART I, LINE 1A CEO USES FOR BUSINESS PURPOSES. THE COST IS NOT INCLUDED IN THE CEO'S TAXABLE INCOME. PART I, LINE 4B THE ORGANIZATION MADE CONTRIBUTIONS TO A NONQUALIFIED RETIREMENT PLAN FOR THE FOLLOWING INDIVIDUALS: JAMES FORMAL $35,000 TIMOTHY MCGOWN $18,000 MAPLE KNOLL COMMUNITIES ADOPTED THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FOR THE TWO EXECUTIVES REFERENCED ABOVE IN 2007. A PORTION OF THE COMPENSATION HAS BEEN DEFERRED IN ACCORDANCE WITH TERMS OF THE AGREEMENT WHICH STATES THAT THE EXECUTIVE WILL BE ENTITLED TO RECEIVE THIS BENEFIT UPON RETIREMENT. IN 2019 THIS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WAS AMENDED TO DISTRIBUTE THE VESTED PORTION OF THE RETIREMENT PLAN ASSETS IN OCTOBER 2019 AND OCTOBER 2022 TO THE EXECUTIVES. THE AMOUNTS LISTED ABOVE ARE INCLUDED IN COMPENSATION REPORTED IN SCHEDULE J, PART II, COLUMN C. PART I, LINE 7 PER FORMAL'S EMPLOYMENT CONTRACT, EMPLOYEE SHALL BE ELIGIBLE TO RECEIVE A PERFORMANCE BONUS. THE BOARD, OR THE BOARD'S DESIGNEE, SHALL EVALUATE EMPLOYEE'S PERFORMANCE AND HIS ACHIEVEMENT OF THE GOALS AND OBJECTIVES ESTABLISHED BY THE BOARD FOR SUCH FISCAL YEAR, INCLUDING ACTIONS TO BE TAKEN TO IMPLEMENT MAPLE KNOLL'S LONG-TERM BUSINESS STRATEGY, AND SHALL RECOMMEND THE AMOUNT, IF ANY, OF EMPLOYEE'S PERFORMANCE BONUS, WHICH RECOMMENDATION WILL BE SUBJECT TO THE BOARD'S APPROVAL. WHILE IT IS AGREED THAT THE PAYMENT OF A PERFORMANCE BONUS IS AT THE DISCRETION OF THE BOARD, IT IS ANTICIPATED THAT ANY BONUS PAID WILL BE AN AMOUNT EQUAL TO FROM ZERO (0) TO TWENTY-FIVE PERCENT (25%) OF THE EMPLOYEE'S BASE SALARY DEPENDING UPON EMPLOYEE'S PERFORMANCE AND HIS ACHIEVEMENT OF THE GOALS AND OBJECTIVES ESTABLISHED BY THE BOARD FOR THE IMMEDIATELY PRECEDING FISCAL YEAR. THE FOREGOING RANGE IS INTENDED TO BE A GUIDELINE ONLY. FIFTEEN PERCENT (15%) WILL BE THE ANNUAL TARGET BUT THE BONUS MAY EXCEED 25% PERCENT OF THE EMPLOYEE'S BASE SALARY IF, IN ITS DISCRETION, THE BOARD DETERMINES SUCH LARGER AMOUNT IS WARRANTED. A BUTLER COUNTY PORT AUTHORITY 310544477 12355RAC0 2013-07-31 24415000 REFUNDING 0 0 0 B BUTLER COUNTY PORT AUTHORITY 310544477 12355RAB2 2013-07-31 6505000 REFUNDING 0 0 0 C BUTLER COUNTY PORT AUTHORITY 310544477 2013-08-15 4000000 REFUNDING 0 0 0 D BUTLER COUNTY PORT AUTHORITY 310544477 2013-08-15 6000000 REFUNDING 0 0 0 A 24415000 3092000 619298 1 0 1 0 B 6505000 1 0 1 0 C 4000000 1 0 1 0 D 6000000 1 0 1 0 A 0 1 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 1 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 1 0 0 0.00000 0.00000 0.00000 0 0 0 D 0 1 0 0 0.00000 0.00000 0.00000 0 0 0 A 1 0 0 0 0 0 B 1 0 0 0 0 0 C 0 0 0 0 1 0 0 0 0 D 0 0 0 0 1 0 0 0 0 A 0 B 0 C 0 D 0 FORM 990, SCHEDULE K, COLUMN B, PART II, LINE 14: THE REFINANCING OF ALL EXISTING DEBT OCCURRED IN A SERIES OF TRANSACTIONS ON JULY 31, 2013 (3), AUGUST 15, 2013 (2), SEPTEMBER 3, 2013 (2), AND SEPTEMBER 18, 2013. A COMPLETE EXPLANATION CAN BE FOUND IN THE OFFICIAL STATEMENT, STORED IN THE ELECTRONIC MUNICPIAL MARKET ACCESS WEBSITE (WWW.EMMA.MSRB). IN CONNECTION WITH THE BONDS A NEW HEDGE WAS ENTERED INTO ON JUNE 26, 2017. A BUTLER COUNTY PORT AUTHORITY 310544477 2013-09-03 1000000 REFUNDING 0 0 0 B BUTLER COUNTY PORT AUTHORITY 310544477 2013-09-03 9000000 REFUNDING 0 0 0 C BUTLER COUNTY PORT AUTHORITY 310544477 2013-09-18 9185000 REFUNDING 0 0 0 D BUTLER COUNTY PORT AUTHORITY 310544477 2013-07-31 3625000 REFUNDING 0 0 0 A 1000000 1 0 1 0 B 9000000 1 0 1 0 C 9185000 1 0 1 0 D 3625000 77000 1 0 1 0 A 0 1 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 1 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 1 0 0 0.00000 0.00000 0.00000 0 0 0 D 0 1 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 0 1 0 0 0 0 B 0 0 0 0 1 1 HUNTINGTON BANK 72.000000000000 0 0 0 0 0 C 0 0 0 0 1 1 HUNTINGTON BANK 72.000000000000 0 0 0 0 0 D 1 1 1 HUNTINGTON BANK 72.000000000000 0 0 0 0 0 A 0 B 0 C 0 D 0 X 6 39796 FMV 0 0 1 PART I, LINE 32B: STOCK IS SOLD BY AN INVESTMENT FIRM FORM 990, SECTION C, DOING BUSINESS AS NAME: MAPLE KNOLL VILLAGE, THE KNOLLS OF OXFORD, MAPLE KNOLL OUTREACH SERVICES FOR SENIORS, WMKV-FM, VILLAGE HOME AND HOSPICE FORM 990, PART VI, SECTION A, LINE 7A RESIDENTS ELECT ONE BOARD MEMBER. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS UPLOADED TO BOARDPAQ, AN ONLINE BOARD MANAGEMENT SOFTWARE PACKAGE THAT ALLOWS THE BOARD MEMBERS TO REVIEW THE 990, PRIOR TO THE FILING DATE FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST POLICY IS COMPLETED ONCE A YEAR AT A BOARD MEETING BY THE BOARD OF DIRECTORS. THE POLICY ALSO COVERS KEY MEMBERS OF THE ORGANIZATION. THE BOARD DETERMINES IF A POTENTIAL CONFLICT EXISTS, REVIEWS THE FACTS AND CIRCUMSTANCES, AND VOTES ON THE FINAL DETERMINATION, EXCLUDING THE MEMBER WHO HAS THE POTENTIAL CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 FOR THE CEO, THE COMPENSATION COMMITTEE MEETS ANNUALLY TO REVIEW THE CURRENT SALARIED COMPENSATION AND BONUS PACKAGE, BASED ON THE CONTRACTUAL AGREEMENT SIGNED IN THE CEO'S SALARY CONTRACT. THE ORANIZATION PARTICIPATES IN THE CHIEF EXECUTIVE FOR MULTI-SITE ORGANIZATIONS SURVEY SPONSORED BY LEADING AGE. THE RESULTS OF THIS SURVEY ARE SHARED WITH THE COMPENSATION COMMITTEE WHO THEN DETERMINES THE COMPENSATION AND EMPLOYMENT CONTRACT OF THE CEO. COMPENSATION FOR OFFICERS AND OTHER KEY EMPLOYEES IS REVIEWED BY THEIR SUPERIOR OFFICER DURING THEIR ANNUAL PERFORMANCE APPRAISAL TO DETERMINE COMPENSATION AMOUNTS. ALL SUPERIOR OFFICERS ARE INDEPENDENT OF THE OFFICERS AND KEY EMPLOYEES THAT HE OR SHE IS REVIEWING. THIS POLICY WAS LAST REVIEWED IN 2019. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF CHARITABLE GIFT ANNUITES 68,136. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -271,079. LOSS ON BENEFICIAL INTEREST -85,078. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS OVERSEES THE AUDIT PROCESS AND APPROVES THE INDEPENDENT AUDIT FIRM. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS. MAPLE KNOLL PROFESSIONAL BUILDING LLC 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 RENTAL OFFICES OH 230519 2157063 MAPLE KNOLL COMMUNITIES SYCAMORE-ANDERSON SENIOR HOUSING INC 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 311209103 HUD SUBSIDIZED HOUSING OH 501(C)(3) 509(A)(2) MAPLE KNOLL COMMUNITIES INC 1 SYCAMORE-ANDERSON SENIOR HOUSING II INC 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 311428462 HUD SUBSIDIZED HOUSING OH 501(C)(3) 509(A)(2) MAPLE KNOLL COMMUNITIES INC 1 MKVINC 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 310914017 HUD SUBSIDIZED HOUSING OH 501(C)(3) 509(A)(2) MAPLE KNOLL COMMUNITIES INC 1 53 PRIVATE BANK - ELIZABETH PATTERSON TRUST 5050 KINSLEY DRIVE CINCINNATI OH 45263 TRUST OH N/A T 259810 0.66670 1 US BANK - FLORIS SACKETT TRUST 425 WALNUT STREET 5TH FLOOR CINCINNATI OH 45202 TRUST OH N/A T 17494 334965 1.00000 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 SYCAMORE-ANDERSON SENIOR HOUSING INC L 58779 GENERAL LEDGER