2019-11-15T17:11:42-06:00 2018-12-31 751044330 LANE GORMAN TRUBITT LLC 2626 HOWELL ST SUITE 700 DALLAS TX 75204 990 2018-01-01 261446350 MAYFLOWER COMMUNITIES INC MAYF 4694205450 15601 DALLAS PARKWAY NO 200 ADDISON TX 75001 LOUIS ROBICHAUX CHIEF RESTRUCTURING OFFICER 4694205450 2019-11-15 1 KEVIN WARNEKE P01294950 2148717500 74.202.44.50 2019-11-15 15:36:24 CS P 4E957E137C0DA7269A9962E60BC4734AB919DB11 2E8E9F538789828D263ADD410F886786F65711CE 2018 2020-03-31 21:24:44Z THE BARRINGTON OF CARMEL LOUIS ROBICHAUX 15601 DALLAS PARKWAY NO 200 ADDISON TX 75001 44229672 0 X WWW.THEBARRINGTONOFCARMEL.COM X 2007 DE TO OWN AND OPERATE A HEALTHCARE FACILITY TO PROVIDE QUALITY RESIDENTIAL HOUSING FOR SENIOR CITIZENS ALONG WITH PERSONAL SERVICES, ASSISTED LIVING, AND NURSING SERVICES. 5 1 366 0 0 0 0 0 16566762 17616302 282600 298902 188663 156687 17038025 18071891 311 1892 0 0 7565378 7599143 0 0 0 34842541 14055463 42408230 21656498 -25370205 -3584607 103577107 92029540 165432377 161919205 -61855270 -69889665 TO OWN AND OPERATE A HEALTHCARE FACILITY TO PROVIDE QUALITY RESIDENTIAL HOUSING FOR SENIOR CITIZENS ALONG WITH PERSONAL SERVICES, ASSISTED LIVING, AND NURSING SERVICES. 0 0 18164621 1892 17772989 A NURSING AND RETIREMENT FACILITY WITH SERVICES RANGING FROMINDIVIDUAL RETIREMENT LIVING TO 24-HOUR SKILLED NURSING CARE. 18164621 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 1 0 0 0 1 65 0 1 366 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 1 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 0 X X ABIGAIL NICHOLSON 3178101813 15601 DALLAS PKWY SUITE 200 ADDISON TX 75001 SUSAN CARTER DIRECTOR 1.00 6.00 X 0 37000 0 DAVID GOBBLE SECRETARY/TREASURER 1.00 3.00 X 0 27000 0 BERNIE FRANCIS VICE CHAIRMAN 1.00 6.00 X 0 38998 0 SCOTT COLLIER CHAIRMAN 1.00 6.00 X 0 133000 0 JOSEPH FRIEDMAN INDEPENDENT DIRECTOR 1.00 2.00 X 1935 0 0 JESSE SIAS EXECUTIVE DIRECTOR 40.00 X 179489 0 0 JOE ANDERSON PRESIDENT & CEO 0.00 46.00 X 0 256992 12441 SUSIE R HERRMANN SALES COUNSELOR 40.00 X 126806 0 0 KARA CHRISTINE OWEN ADMINISTRATOR 40.00 X 101650 0 4965 409880 492990 17406 3 0 1 0 ATC HEALTHCARE SERVICES INC 75 REMITTANCE DRIVE DEPT 6773 CHICAGO IL 606756773 CONTRACT LABOR SERVICES 994990 SENIORITY INC 15601 DALLAS PKWY STE 200 ADDISON TX 75001 MANAGEMENT SERVICES 960711 HEALTHPRO THERAPY SERVICES LLC 536 OLD HOWELL RD GREENVILLE SC 29615 THERAPY SERVICES 565453 GLYNN DEVINS 8880 WARD PKWY SUITE 400 KANSAS CITY MO 64114 ADVERTISING SERVICES 294295 SECURITAS SECURITY SERVICES USA INC PO BOX 403412 ATLANTA GA 30384 CONTRACT SECURITY SERVICES 257104 11 PROG.SERV.REVENUE 623000 17616302 17616302 17616302 116378 116378 186496 186496 26153809 26157781 -3972 -3972 -3972 MEAL REVENUE 900099 56819 56819 REPAIR AND MAINTENANCE 900099 29266 29266 ACCOMODATION 721000 22672 22672 47930 47930 156687 18071891 17772989 0 298902 1892 1892 289057 260151 28906 5914788 5323309 591479 912917 821625 91292 482381 434143 48238 1284114 1284114 31758 28582 3176 41718 37546 4172 70181 63163 7018 1469325 1322392 146933 348055 313249 34806 622704 560434 62270 110084 99076 11008 954364 858928 95436 156825 141142 15683 7753553 6978198 775355 2348789 2113910 234879 149845 134860 14985 DINING 1403764 1403764 0 NURSING AND ASSISTED LI 998312 998312 0 REPAIRS AND MAINTENANCE 312447 281202 31245 HOUSEKEEPING 125804 125804 -4126179 -4137061 10882 21656498 18164621 3491877 0 440616 4395722 5151449 1673139 1817812 2058255 29282 19850 134377 343886 89371067 12319931 78847105 77051136 12826500 6462358 4329966 25194 103577107 92029540 2111878 2774685 8809302 7997423 90129605 89310012 28000 39000 64353592 61798085 165432377 161919205 X -61855270 -69889665 -61855270 -69889665 103577107 92029540 X -3584607 -65586 -4235086 -149115 X 0 1 X 1 0 X 5896255 13548623 14866841 16270522 17467187 68049428 5896255 13548623 14866841 16270522 17467187 68049428 0 0 0 68049428 161597 184083 271909 357179 302874 1277642 161597 184083 271909 357179 302874 1277642 90891 201518 220621 193663 156687 863380 6148743 13934224 15359371 16821364 17926748 70190450 0.96950 0.01820 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MEAL REVENUE - 2014 AMOUNT: $ 42,152. 2015 AMOUNT: $ 91,887. 2016 AMOUNT: $ 78,584. 2017 AMOUNT: $ 61,331. 2018 AMOUNT: $ 56,819. ACTIVITIES REVENUE - 2014 AMOUNT: $ 18,440. 2015 AMOUNT: $ 23,584. 2016 AMOUNT: $ 62,750. 2017 AMOUNT: $ 77,179. 2018 AMOUNT: $ 20,958. DRYCLEANING LAUNDRY REVENUE - 2014 AMOUNT: $ 3,525. 2015 AMOUNT: $ 8,108. 2016 AMOUNT: $ 744. 2017 AMOUNT: $ 9,098. 2018 AMOUNT: $ 10,512. REPAIR MAINTENANCE REVENUE - 2014 AMOUNT: $ 2,248. 2015 AMOUNT: $ 8,596. 2016 AMOUNT: $ 32,152. 2017 AMOUNT: $ 5,225. 2018 AMOUNT: $ 29,266. RESIDENT PERSONAL SERVICES - 2014 AMOUNT: $ 3,339. 2015 AMOUNT: $ 7,351. 2016 AMOUNT: $ 7,832. 2017 AMOUNT: $ 5,871. 2018 AMOUNT: $ 7,412. COMMUNITY ADMIN - 2014 AMOUNT: $ 5,286. 2015 AMOUNT: $ 3,153. 2016 AMOUNT: $ 214. 2017 AMOUNT: $ 1,563. 2018 AMOUNT: $ 4,359. ACCOMODATION - 2014 AMOUNT: $ 7,380. 2015 AMOUNT: $ 17,932. 2016 AMOUNT: $ 25,002. 2017 AMOUNT: $ 18,840. 2018 AMOUNT: $ 22,672. MISCELLANEOUS - 2014 AMOUNT: $ 8,521. 2015 AMOUNT: $ 20,432. 2016 AMOUNT: $ 13,343. 2017 AMOUNT: $ 14,556. 2018 AMOUNT: $ 4,689. CAREGIVERS CHARGE REVENUE - 2015 AMOUNT: $ 20,475. 0 1 X 5214273 5214273 79673538 10251390 69422148 694688 41521 653167 1834656 1130410 704246 1953912 896610 1057302 77051136 PAYABLE TO SQLC 2457692 NOTE PAYABLE - RELATED PARTY 2289319 REFUNDABLE ENTRANCE FEE 44460074 FUTURE SERVICE OBLIGATIONS LIABILITY 12591000 61798085 17787009 -65586 -65586 17852595 70181 149115 219296 18071891 21586318 0 21586318 70181 70181 21656499 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 7% 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 DEPOSITS ARE RESTRICTED IN ACCORDANCE WITH THE LAWS OF THE STATE OF INDIANA. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED AGAINST REVENUE IN FINANCIAL STATEMENTS 149,115. 0 0 0 0 0 0 0 0 0 JESSE SIAS EXECUTIVE DIRECTOR 179489 0 0 0 0 0 0 0 0 0 179489 0 0 0 JOE ANDERSON PRESIDENT & CEO 0 256992 0 0 0 0 0 0 0 12441 0 269433 0 0 PART II COMPENSATION OF THE EMPLOYEES THE EMPLOYEES WERE PAID THROUGH A RELATED SUPPORTING ORGANIZATION, SENIORITY, INC. (EIN: 94-3287180), A FOR PROFIT MANAGEMENT COMPANY WHOLLY OWNED BY SQLC. HOWEVER THEIR W-2'S ARE ISSUED THROUGH A THIRD-PARTY, PROFESSIONAL EMPLOYER ORGANIZATION, AUREON HR, INC. (EIN: 42-1368750) A CITY OF CARMEL INDIANA 356000975 143298AE7 2012-08-30 110975241 CONSTRUCTION & EQUIPMENT CCRC FACILITY 0 0 0 A 19285000 115589533 7630223 10933190 2219505 4349465 85062852 2013 0 0 1 1 A 0 1 1 1 0 0 0 1 A 0 0 0 1 1 0 1 ZIEGLER 7.200000000000 1 0 1 A 1 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 III, LINE 3 (A) MANAGEMENT AND SERVICE CONTRACTS THE ORGANIZATION HAS DETERMINED THAT THE COMMUNITY'S MANAGEMENT AND SERVICES CONTRACTS MEET THE SAFE HARBOR PROVISIONS UNDER REV. PROC. 97-13, 1997-1 C.B. 632. SCHEDULE K, PART IV, LINE 2C ARBITRAGE REPORT BASED ON REBATE COMPUTATIONS DATED 8/30/2018, NO REBATE LIABILITY EXISTS. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS THE FOLLOWING BOARD MEMBERS MAINTAIN A BUSINESS RELATIONSHIP WITH EACH OTHER DUE TO COMMON PARTICIPATION AS OFFICERS OR DIRECTORS OF VARIOUS OTHER RELATED NOT-FOR-PROFIT ENTITIES BY WHICH ONE OR MORE OF THE INDIVIDUALS IS COMPENSATED: SUSAN CARTER DAVID GOBBLE BERNIE FRANCIS JOE ANDERSON FORM 990, PART VI, SECTION A, LINE 6 CORPORATE MEMBER SENIOR QUALITY LIFESTYLES CORPORATION (SQLC) IS THE ORGANIZATION'S SOLE MEMBER. SQLC ACTS AS A SUPPORTING ORGANIZATION, PROVIDING OVERSIGHT, DIRECTION, AND GOVERNANCE SUPPORT, AND WILL MAKE GRANTS AND/OR PROVIDE OTHER FORMS OF FINANCIAL ASSISTANCE AS NEEDED. SQLC, AS THE SOLE MEMBER, HAS AUTHORITY TO ELECT BOARD MEMBERS OF THE ORGANIZATION. SQLC, AS THE SOLE MEMBER OF THE ORGANIZATION, HAS ALL OF THE TYPICAL RIGHTS AFFORDED TO A MEMBER OF A TEXAS NONPROFIT CORPORATION, SUCH AS THE RIGHT TO APPROVE ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS, AND THE RIGHT TO APPROVE ANY PROPOSED DISSOLUTION OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A SEE PART VI, SECTION A, LINE 6 FOR EXPLANATION FORM 990, PART VI, SECTION A, LINE 7B SEE PART VI, SECTION A, LINE 6 FOR EXPLANATION FORM 990, PART VI, SECTION A, LINE 8B DOCUMENTATION OF COMMITTEE MEETING 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 MAYFLOWER COMMUNITIES, INC. AND SENIOR QUALITY LIFESTYLES CORPORATION REVIEW THE FORM 990 UPON COMPLETION. THE BOARD REVIEW AND APPROVAL OF THE FORM 990 IS COMPLETED 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 B, LINE 15 COMPENSATION REVIEW DURING 2018 THE CEO OF SENIOR QUALITY LIFESTYLES CORPORATION, ALONG WITH THE MANAGEMENT COMPANY, GREYSTONE, AND AUREON HR, INC., AN INDEPENDENT PAYROLL PROCESSOR, SET THE SALARY FOR THE EXECUTIVE DIRECTOR. BOTH GREYSTONE AND AUREON HR PROVIDE COMPARATIVE SALARY DATA. THE EXECUTIVE DIRECTOR, GREYSTONE REGIONALS, AND AUREON HR SET OTHER TOP MANAGEMENT RATES BASED ON MARKET WAGES AND YEARS OF EXPERIENCE. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE UPON REQUEST GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE POSTED TO NATIONALLY RECOGNIZED ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) AND ARE ALSO AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: BAD DEBT EXPENSE -149,115. 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