2018-11-15T15:21:29-06:00 2017-12-31 751044330 LANE GORMAN TRUBITT LLC 2626 HOWELL ST SUITE 700 DALLAS TX 75204 990 2017-01-01 364502669 SENIOR QUALITY LIFESTYLES CORPORATION SENI 4694205450 15601 DALLAS PARKWAY NO 200 ADDISON TX 75001 SCOTT COLLIER CHAIRMAN 4694205450 2018-11-14 1 JAMES A YOUNGBLOOD CPA P00047431 2148717500 74.202.44.50 2018-11-14 13:04:01 CS P DAC6BC04A5BBF53FEE3A4D4D05270D521B99A8DC 4E957E137C0DA7269A9962E60BC4734AB919DB11 2017 2019-02-21 02:37:17Z JOE ANDERSON 15601 DALLAS PARKWAY NO 200 ADDISON TX 75001 4484050 0 X WWW.SQLC.ORG X 2002 TX DEVELOPS, SUPPORTS AND OVERSEES NOT-FOR-PROFIT NURSING AND RETIREMENT FACILITIES WITH SERVICES RANGING FROM INDIVIDUAL RETIREMENT LIVING TO 24-HOUR SKILLED NURSING CARE. 6 5 57 0 0 0 0 0 3474898 4407296 0 0 0 76754 3474898 4484050 0 0 0 0 2208210 2470951 0 0 0 1290216 2013099 3498426 4484050 -23528 0 34123543 45356373 32555615 43788445 1567928 1567928 DEVELOPS, SUPPORTS AND OVERSEES NOT-FOR-PROFIT NURSING AND RETIREMENT FACILITIES WITH SERVICES RANGING FROM INDIVIDUAL RETIREMENT LIVING TO 24-HOUR SKILLED NURSING CARE. 0 0 3834112 4407296 SUPPORTS AND OVERSEES NOT-FOR-PROFIT NURSING AND RETIREMENTFACILITIES WITH SERVICES RANGING FROM INDIVIDUAL RETIREMENT LIVINGTO 24-HOUR SKILLED NURSING CARE. 3834112 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 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 X 38 0 1 57 1 0 0 0 0 0 0 0 0 0 0 X 6 5 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X X MIKE BRATKOVICH 4694205457 15601 DALLAS PARKWAYS SUITE 200 ADDISON TX 75001 CHARLES WATERHOUSE PRESIDENT & CEO (UNTIL 6/30/2017) 40.00 6.00 X X 0 499832 3639 JOE ANDERSON PRESIDENT & CEO (FROM 7/1/2017) 40.00 7.00 X X 77500 0 0 SCOTT COLLIER CHAIRMAN 1.00 4.00 X X 76000 0 0 BERNIE FRANCES VICE CHAIRMAN 1.00 5.00 X X 52000 0 0 DAVID GOBBLE SECRETARY/TREASURER 1.00 3.00 X X 36000 0 0 SUSAN CARTER DIRECTOR 1.00 5.00 X 34000 0 0 JAN VAN SANT DIRECTOR 1.00 3.00 X 44000 0 0 BEN CANTRELL CHIEF FINANCIAL OFFICER 40.00 X 237757 0 0 JOHNATHON CARRIER CHIEF DEVELOPMENT OFFICER 40.00 X 274202 0 0 TERESA BATES WELLNESS COORDINATOR 40.00 X 221087 0 334 RAFEAL GEMOETS VP OF TECHNOLOGY 40.00 X 205351 0 814 1257897 499832 4787 18 0 1 0 THOMPSON & KNIGHT LLP PO BOX 660684 DALLAS TX 75266 LEGAL SERVICES 426830 PEGASUS TECHNOLOGY SOLUTIONS LLC 2611 INTERNET BLVD FRISCO TX 75034 CONSTRUCTION IN PROGRESS 329047 MIRATEK CORPORATION 8201 LOCKHEED DR EL PASO TX 79925 IT CONSULTING SERVICES 298478 DSS42 LLC 7101 N MESA 282 EL PASO TX 79912 IT CONSULTING SERVICES 295750 K2 CONSTRUCTION INC 6688 N CENTRAL EXPY STE 100 DALLAS TX 75206 CONSTRUCTION SERVICES 293625 16 MANAGEMENT FEES 4407296 4407296 4407296 41552 0 41552 41552 41552 MISCELLANEOUS 35202 35202 35202 4484050 4484050 0 0 X 1085014 976513 108501 776170 698553 77617 482367 434130 48237 127400 114660 12740 536807 483126 53681 22231 20008 2223 570375 513338 57037 16222 14600 1622 254185 228766 25419 85828 77245 8583 131156 118040 13116 100559 90503 10056 223924 223924 35365 31828 3537 1241 1117 124 DUES & SUBSCRIPTIONS 25778 23200 2578 MISCELLANEOUS EXPENSE 9428 8485 943 4484050 3834112 649938 0 X 1068059 416704 24816129 25443832 385998 3937089 0 0 147201 0 100000 100000 7606156 15458748 34123543 45356373 696590 6484143 31859025 37304302 32555615 43788445 X 1567928 1567928 1567928 1567928 34123543 45356373 0 0 X 0 0 0 X X 6 NORTHWEST SENIOR HOUSING CORPORATION 752771278 10 1 0 0 BARTON CREEK SENIOR LIVING CENTER INC 201203479 10 1 0 0 BUCKINGHAM SENIOR LIVING COMMUNITY INC 300097872 10 1 0 0 TARRANT COUNTY SENIOR LIVING CENTER INC 208068602 10 1 0 0 MAYFLOWER COMMUNITIES INC 261446350 10 1 0 0 SQLC SENIOR LIVING CENTER AT CORPUS CHRISTI 261778912 10 1 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 FORM 990, SCHEDULE A, PART I, LINE 12(G)(I - VII) SUPPORTED ORGANIZATIONS THE SUPPORTED ORGANIZATIONS ARE DESIGNATED BY CLASS IN THE ORGANIZATION'S ARTICLES OF INCORPORATION. SEE TREAS. REG. 1.509(A)-4(D)(2)(B). THE ORGANIZATION SUPPORTS THE SUPPORTED ORGANIZATIONS IN VARIOUS WAYS THAT ENABLE THE SUPPORTED ORGANIZATIONS TO BETTER CARRY OUT THEIR CHARITABLE PURPOSES, INCLUDING FAVORABLE LOANS AND OTHER FORMS OF LIQUIDITY SUPPORT, AND FURNISHING OF SERVICES, FACILITIES, AND OTHER FORMS OF NON-CASH ASSISTANCE. THE ORGANIZATION IS IN CONTINUING CONTACT WITH EACH SUPPORTING ORGANIZATION, SO THE SUPPORTED ORGANIZATIONS ARE WELL AWARE OF THIS SUPPORT. SCHEDULE A, PART IV, SECTION A, LINE 1 THE SUPPORTED ORGANIZATIONS ARE LISTED AND DESIGNATED BY CLASS IN SQLC'S GOVERNING DOCUMENTS. 0 DUE FROM BSLC 515934 DUE FROM NSHC 653432 DUE FROM BCSLC 388857 DUE FROM SQLC-CORPUS 2359444 DUE FROM TCSLC 3414690 DUE FROM BARRINGTON 2603715 RELATED PARTY BENEFIT RECEIVABLE 337683 DUE FROM SENIORITY 5184993 15458748 DUE TO NSHC 35604302 DUE TO SENIORITY 1700000 37304302 X X 1 1 X 0 0 0 0 0 0 0 0 0 CHARLES WATERHOUSE PRESIDENT & CEO (UNTIL 6/30/2017) 0 456082 0 43750 0 0 0 0 0 3639 0 503471 0 0 BEN CANTRELL CHIEF FINANCIAL OFFICER 216402 0 21355 0 0 0 0 0 0 0 237757 0 0 0 JOHNATHON CARRIER CHIEF DEVELOPMENT OFFICER 245942 0 28260 0 0 0 0 0 0 0 274202 0 0 0 TERESA BATES WELLNESS COORDINATOR 199554 0 21533 0 0 0 0 0 334 0 221421 0 0 0 RAFEAL GEMOETS VP OF TECHNOLOGY 193841 0 11510 0 0 0 0 0 814 0 206165 0 0 0 FORM 990, PART V, LINE 2B: 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, AUREON HR, INC. (EIN: 42-1368750), WHICH IS THE EMPLOYER OF RECORD, ISSUES ALL W-2S AND ACTS AS AN OUTSOURCED HUMAN RESOURCES AND PAYROLL DEPARTMENT FOR THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 8B DOCUMENTATION OF MEETINGS LINE 8(B) IS ANSWERED NO BECAUSE THE COMMITTEES DO NOT DOCUMENT THEIR DISCUSSIONS WHICH TYPICALLY OCCUR OUTSIDE OF BOARD MEETINGS. THE COMMITTEES MAY PROVIDE FEEDBACK TO THE BOARD; HOWEVER, THE COMMITTEE DISCUSSIONS ARE INFORMAL AND NOT DOCUMENTED. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS THE BOARD MEMBERS OF 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 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 OF MANAGEMENT DURING 2017 THE CEO OF SENIOR QUALITY LIFESTYLES CORPORATION, ALONG WITH THE MANAGEMENT COMPANY, GREYSTONE, AND AUREON HR, AN INDEPENDENT PAYROLL PROCESSOR, SET THE SALARY FOR THE EXECUTIVE DIRECTOR. BOTH GREYSTONE AND AUREON HR PROVIDE COMPARATIVE SALARY DATA. THE CEO, ALONG WITH AUREON HR AND GREYSTONE, DETERMINE OTHER TOP MANAGEMENT RATES BASED ON MARKET WAGES AND YEARS OF EXPERIENCE. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN ITS RELATED ORGANIZATION, NORTHWEST SENIOR HOUSING CORPORATION'S, CONSOLIDATED FINANCIAL STATEMENTS, WHICH ARE POSTED TO NATIONALLY RECOGNIZED ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA). DOCUMENTS ARE ALSO AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B APPLICABILITY OF POLICIES TO DISREGARDED ENTITY SQLC LSA, LLC IS A DISREGARDED ENTITY WITH RESPECT TO SENIOR QUALITY LIFESTYLES CORPORATION. SQLC LSA, LLC HAS NOT SPECIFICALLY ADOPTED A CONFLICT OF INTEREST, WHISTLEBLOWER OR DOCUMENT RETENTION AND DESTRUCTION POLICY. HOWEVER, SINCE SENIOR QUALITY LIFESTYLES CORPORATION IS THE SOLE MEMBER OF SQLC LSA, LLC AND THE TWO ENTITIES SHARE COMMON DIRECTORS AND OFFICERS, POLICIES OF SENIOR QUALITY LIFESTYLES CORPORATION ARE CONSIDERED TO BE EFFECTIVE FOR SQLC LSA, LLC. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 513,338. MANAGEMENT AND GENERAL EXPENSES 57,037. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 570,375. FORM 990, PART X - NOTES AND LOANS RECEIVABLE BORROWER: SQLC SENIOR LIVING CTR AT CORPUS CHRISTI ORIGINAL AMOUNT: 2,750,000. INTEREST RATE: 3.250000 DATE OF NOTE: 02/13/2008 REPAYMENT TERMS: TO BE REPAID AFTER STABILIZATION OF SQLC-CORPUS PURPOSE OF LOAN: PRE-PERMANENT FINANCING COSTS OF SQLC CORPUS BEGINNING BALANCE DUE ..................................... 3,397,838. ENDING BALANCE DUE ........................................ 3,818,578. BORROWER: TARRANT COUNTY SENIOR LIVING CENTER ORIGINAL AMOUNT: 6,000,000. INTEREST RATE: 3.250000 DATE OF NOTE: 11/05/2009 REPAYMENT TERMS: UPON TCSLC ACHIEVING SPECIFIED BENCHMARKS PURPOSE OF LOAN: LIQUIDITY SUPPORT BEGINNING BALANCE DUE ..................................... 6,000,000. ENDING BALANCE DUE ........................................ 6,000,000. BORROWER: TARRANT COUNTY SENIOR LIVING CENTER ORIGINAL AMOUNT: 663,957. INTEREST RATE: 3.250000 DATE OF NOTE: 11/12/2009 REPAYMENT TERMS: TO BE REPAID AFTER STABILIZATION OF TCSLC PURPOSE OF LOAN: COST OF ISSUANCE OF TCSLC TAX-EXEMPT BONDS BEGINNING BALANCE DUE ....................................... 831,831. ENDING BALANCE DUE .......................................... 864,675. BORROWER: SQLC SENIOR LIVING CTR AT CORPUS CHRISTI ORIGINAL AMOUNT: 2,500,000. INTEREST RATE: 3.250000 DATE OF NOTE: 03/10/2010 REPAYMENT TERMS: UPON SQLC-CORPUS ACHIEVING SPECIFIED BENCHMARKS PURPOSE OF LOAN: LIQUIDITY SUPPORT BEGINNING BALANCE DUE ..................................... 2,500,000. ENDING BALANCE DUE ........................................ 2,500,000. BORROWER: MAYFLOWER COMMUNITIES, INC. ORIGINAL AMOUNT: 200,000. INTEREST RATE: 3.250000 DATE OF NOTE: 08/30/2012 REPAYMENT TERMS: TO BE REPAID AFTER STABILIZATION OF THE BARRINGTON PURPOSE OF LOAN: PRE-PERMANENT FINANCING OF THE BARRINGTON BEGINNING BALANCE DUE ....................................... 228,372. ENDING BALANCE DUE .......................................... 236,646. BORROWER: SQLC SENIOR LIVING CTR AT CORPUS CHRISTI ORIGINAL AMOUNT: 2,592,554. INTEREST RATE: 3.250000 DATE OF NOTE: 03/10/2013 MATURITY DATE: 05/31/2028 REPAYMENT TERMS: REPAYMENT AFTER OTHER SUBORDINATED NOTES ARE PAID PURPOSE OF LOAN: COST OF INTEREST PAYMENTS RELATED TO BONDS BEGINNING BALANCE DUE ..................................... 3,948,298. ENDING BALANCE DUE ........................................ 3,948,298. BORROWER: MAYFLOWER COMMUNITIES, INC ORIGINAL AMOUNT: 2,000,000. INTEREST RATE: 3.250000 DATE OF NOTE: 08/30/2012 REPAYMENT TERMS: UPON ACHIEVING SPECIFIED BENCHMARKS PURPOSE OF LOAN: LIQUIDITY SUPPORT BEGINNING BALANCE DUE ..................................... 2,000,000. ENDING BALANCE DUE ........................................ 2,000,000. BORROWER: SENTINEL RIDGE SENIOR LIVING CORPORATION ORIGINAL AMOUNT: 500,000 INTEREST RATE: 3.250000 DATE OF NOTE: 08/24/2015 REPAYMENT TERMS: TO BE REPAID AFTER STABILIZATION OF SENTINEL RIDGE PURPOSE OF LOAN: LIQUIDITY SUPPORT FOR CONSTRUCTION OF COMMUNITY BEGINNING BALANCE DUE ..................................... 3,015,977. ENDING BALANCE DUE ........................................ 3,181,792. BORROWER: SQLC SENIOR LIVING CTR AT CORPUS CHRISTI ORIGINAL AMOUNT: 2,830,306. INTEREST RATE: 3.5000 DATE OF NOTE: 05/1/2016 REPAYMENT TERMS: REPAYMENT AFTER OTHER SUBORDINATED NOTES ARE PAID PURPOSE OF LOAN: COST OF INTEREST PAYMENTS RELATED TO BONDS BEGINNING BALANCE DUE ..................................... 2,893,813. ENDING BALANCE DUE ........................................ 2,893,813. TOTAL BEGINNING NOTES AND LOANS RECEIVABLE 24,816,129. TOTAL ENDING NOTES AND LOANS RECEIVABLES 25,443,832. SQLC LSA LLC 15601 DALLAS PKWY STE 200 ADDISON TX 75001 271275904 SUPPORT SQLC TX 11422708 SQLC BARTON CREEK SENIOR LIVING COMMUNITY INC 15601 DALLAS PKWY STE 200 ADDISON TX 75001 201203479 HEALTH CARE TX 501(C)(3) LINE 10 SQLC 1 BUCKINGHAM SENIOR LIVING COMMUNITY INC 15601 DALLAS PKWY STE 200 ADDISON TX 75001 300097872 HEALTH CARE TX 501(C)(3) LINE 10 SQLC 1 SQLC SENIOR LIVING CTR AT CORPUS CHRISTI 15601 DALLAS PKWY STE 200 ADDISON TX 75001 261778912 HEALTH CARE TX 501(C)(3) LINE 10 SQLC 1 NORTHWEST SENIOR HOUSING CORPORATION 15601 DALLAS PKWY STE 200 ADDISON TX 75001 752771278 HEALTH CARE TX 501(C)(3) LINE 10 SQLC 1 SQLC CHARITABLE FOUNDATION 15601 DALLAS PKWY STE 200 ADDISON TX 75001 262474373 FOUNDATION TX 501(C)(3) LINE 7 SQLC 1 TARRANT COUNTY SENIOR LIVING CENTER INC 15601 DALLAS PKWY STE 200 ADDISON TX 75001 208068602 HEALTH CARE TX 501(C)(3) LINE 10 SQLC 1 MAYFLOWER COMMUNITIES INC 15601 DALLAS PKWY STE 200 ADDISON TX 75001 261446350 HEALTH CARE DE 501(C)(3) LINE 10 SQLC 1 SENTINEL RIDGE SENIOR LIVING CORPORATION 15601 DALLAS PKWY STE 200 ADDISON TX 75001 472871995 INACTIVE TX 501(C)(3) LINE 10 SQLC 1 SENIORITY INC 15601 DALLAS PKWY STE 200 ADDISON TX 75001 943287180 RETIREMENT LIVING TX SQLC C 1 0 0 0 1 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 TARRANT COUNTY SENIOR LIVING CENTER D SEE PART VII SQLC SENIOR LIVING CTR AT CORPUS CHRISTI D SEE PART VII MAYFLOWER COMMUNITIES INC D SEE PART VII SENTINEL RIDGE SENIOR LIVING CORPORATION D SEE PART VII NORTHWEST SENIOR HOUSING CORPORATION E SEE PART VII BARTON CREEK SENIOR LIVING CENTER Q SEE PART VII BUCKINGHAM SENIOR LIVING COMMUNITY Q SEE PART VII NORTHWEST SENIOR HOUSING CORPORATION Q SEE PART VII TARRANT COUNTY SENIOR LIVING CENTER Q SEE PART VII SQLC SENIOR LIVING CTR AT CORPUS CHRISTI Q SEE PART VII MAYFLOWER COMMUNITIES INC Q SEE PART VII SCHEDULE R, PART V, LINE 2, COLUMN (D) CALCULATION OF AMOUNT OF TRANSACTIONS WITH RELATED ORGANIZATIONS THE FAIR MARKET VALUE OF ALL TRANSACTIONS LISTED WITH RELATED ORGANIZATIONS IS BASED ON THE CASH PAID OR RECEIVED OR BASED ON THE AMOUNT ACCRUED USING THE PRESCRIBED METHOD PER THE SIGNED NOTE AGREEMENTS AND EXPECTED TO BE PAID OR RECEIVED IN FUTURE PERIODS.