2018-10-17T12:40:33-05:00 2017-12-31 750786316 WEAVER AND TIDWELL LLP 12221 MERIT DRIVE SUITE 1400 DALLAS TX 75251 990 2017-01-01 461785859 BUCKNER SENIOR LIVING INC BUCK 2147588000 700 N PEARL ST NO 1200 DALLAS TX 75201 JEFFREY K GENTRY SR VP, CFO 2147588000 2018-10-15 1 IRA L NEVELOW P00083210 9724901970 174.47.139.16 2018-10-15 21:12:09 CD P 81DE22CF9F7F0862406D1A466D95956A5FFF36F5 943C2B779621AE68CF3E0BED5C235FDF89DF7949 2017 2018-06-14 16:35:46Z ALBERT L REYES 700 N PEARL ST NO 1200 DALLAS TX 75201 5000 0 X WWW.BUCKNER.ORG X 2012 TX TO DEVELOP AND OPERATE A CONTINUING CARE RETIREMENT COMMUNITY TO BE LOCATED IN DALLAS, TEXAS, WHICH WILL PROVIDE QUALITY HOUSING, HEALTH CARE SERVICES & OTHER PROGRAMS TO SENIOR CITIZENS. 5 3 0 3 0 0 0 5000 0 0 0 0 0 0 0 5000 0 0 0 0 0 0 0 0 0 636561 321397 636561 321397 -636561 -316397 21808058 239522520 23466092 243532117 -1658034 -4009597 TO DEVELOP AND OPERATE A CONTINUING CARE RETIREMENT COMMUNITY TO BE LOCATED IN DALLAS, TEXAS, WHICH WILL PROVIDE QUALITY HOUSING, HEALTH CARE SERVICES & OTHER PROGRAMS TO SENIOR CITIZENS. 0 0 321397 TO DEVELOP AND OPERATE A CONTINUING CARE RETIREMENT COMMUNITY TO BE LOCATED IN DALLAS, TEXAS, WHICH WILL PROVIDE QUALITY HOUSING, HEALTH CARE SERVICES AND OTHER PROGRAMS TO SENIOR CITIZENS. 321397 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 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 11 0 1 0 0 0 0 0 0 0 0 0 0 0 X 5 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X JEFFREY K GENTRY 2147588000 700 N PEARL ST STE 1200 DALLAS TX 75201 X ED FRANCIS CHAIR 1.00 7.00 X 0 0 0 DR RODNEY HENRY VICE CHAIR 1.00 7.00 X 0 0 0 LYNETTE GUY RANTON DIRECTOR 1.00 7.00 X 0 0 0 ALBERT L REYES PRESIDENT, CEO, DIRECTOR 4.00 36.00 X X 0 349022 131866 CHARLES G WILSON SR VICE PRESIDENT 5.00 35.00 X X 0 293343 47751 PATRICK L CRUMP VICE PRESIDENT 1.00 39.00 X 0 78452 0 TONY LINTELMAN VP OF CORP. ADMIN. 4.00 36.00 X 0 308008 50367 STEPHEN WAKEFIELD GEN COUNSEL, VP, SECRETARY 4.00 36.00 X 0 259444 45494 CHRIS S ALLERT ASSISTANT SECRETARY 4.00 36.00 X 0 107065 11252 BRIAN L ROBBINS VICE PRESIDENT 5.00 35.00 X 0 144475 1849 JEFFREY K GENTRY SR VICE PRESIDENT AND CFO 4.00 36.00 X 0 55164 4726 RICHARD M MUNOZ ASSISTANT SECRETARY 4.00 36.00 X 0 153757 3102 0 1748730 296407 0 0 1 0 DIXON HUGHES GOODMAN LLP 4350 CONGRESS ST SUITE 900 CHARLOTTE NC 28209 FEASIBILITY STUDY 133900 THE BELAIRE GROUP LLC 1342 BOYD DRIVE IRVING TX 75061 CONSTRUCTION CONSULTANT 102975 2 5000 5000 5000 0 0 0 158257 158257 97931 97931 PROPERTY TAXES 65209 65209 321397 321397 0 0 355008 173157 7642875 9883921 98470 0 42980454 0 9919768 42980454 3791937 186484988 21808058 239522520 359888 5590240 0 227902025 14943414 0 66741 0 8096049 10039852 23466092 243532117 X -1658034 -4009597 -1658034 -4009597 21808058 239522520 -316397 -2035166 0 X 0 1 X 1 0 X 5000 5000 5000 5000 0 0 0 5000 1346 1346 1346 1346 1346 5000 6346 0.78790 0.21210 X 5022654 5022654 37957800 37957800 42980454 CAPITALIZED MARKETING COSTS - BSL VENTANA 5375399 REVENUE BOND PROCEEDS HELD BY TRUSTEE 181109589 186484988 ENTRANCE FEES 9884022 INTERFUND PAYABLE/RECEIVABLE 104931 MISCELLANEOUS LIABILITIES 50899 10039852 X PART X, LINE 2: BUCKNER SENIOR LIVING IS A SUBSIDIARY OF BUCKNER RETIREMENT SERVICES (BRS), WHICH IS AUDITED ON AN ANNUAL BASIS. THE OPERATIONS OF BUCKNER SENIOR LIVING ARE DISCLOSED IN THE SUPPLEMENTAL INFORMATION SECTION OF THE BUCKNER RETIREMENT SERVICES AUDIT REPORT. THE CODIFICATION GUIDANCE FOR ACCOUNTING FOR UNCERTAINTIES IN INCOME TAXES REQUIRES THAT BRS RECOGNIZE IN ITS CONSOLIDATED FINANCIAL STATEMENTS THE FINANCIAL EFFECTS OF A TAX POSITION, IF THAT POSITION IS MORE LIKELY THAN NOT OF BEING SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTION OF ANY APPEALS OR LITIGATION PROCESSES, BASED UPON THE TECHNICAL MERITS OF THE TAX POSITION. THE NEW REQUIREMENTS ALSO PROVIDE GUIDANCE ON MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES AND DISCLOSURE. TAX POSITIONS TAKEN RELATED TO BRS'S TAX EXEMPT STATUS, UNRELATED BUSINESS ACTIVITIES TAXABLE INCOME AND DEDUCTIBILITY OF EXPENSES AND OTHER MISCELLANEOUS TAX POSITIONS HAVE BEEN REVIEWED, AND MANAGEMENT IS OF THE OPINION THAT MATERIAL POSITIONS TAKEN WOULD MORE LIKELY THAN NOT BE SUSTAINED BY EXAMINATION. ACCORDINGLY, BRS HAS NOT RECORDED AN INCOME TAX LIABILITY FOR UNCERTAIN TAX BENEFITS. FOR THE YEAR ENDED DECEMBER 31, 2017, THERE WERE NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2017, BRS'S TAX YEARS 2014 AND THEREAFTER REMAIN SUBJECT TO EXAMINATION. 0 1 0 0 0 0 0 0 0 ALBERT L REYES PRESIDENT, CEO, DIRECTOR 0 252841 0 91011 0 5170 0 53417 0 78449 0 480888 0 0 CHARLES G WILSON SR VICE PRESIDENT 0 246112 0 45959 0 1272 0 45191 0 2560 0 341094 0 0 TONY LINTELMAN VP OF CORP. ADMIN. 0 264320 0 39821 0 3867 0 47491 0 2876 0 358375 0 0 STEPHEN WAKEFIELD GEN COUNSEL, VP, SECRETARY 0 234582 0 20854 0 4008 0 42449 0 3045 0 304938 0 0 RICHARD M MUNOZ ASSISTANT SECRETARY 0 141984 0 8967 0 2806 0 0 0 3102 0 156859 0 0 PART I, LINE 3 METHODS USED TO ESTABLISH COMPENSATION OF THE ORGANIZATION'S PRESIDENT: THE PRESIDENT OF BUCKNER SENIOR LIVING IS EMPLOYED BY BUCKNER INTERNATIONAL (BI), A RELATED 501(C)(3) ORGANIZATION. BI USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR THE PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - FORM 990 OF OTHER ORGANIZATIONS - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE 457(F) IS A DEFERRED COMPENSATION PLAN THAT ALLOWS BUCKNER TO CONTRIBUTE MONEY ON A PRE-TAX BASIS INTO INVESTMENTS THAT PROVIDE KEY EXECUTIVES WITH A RETIREMENT BENEFIT. ALL CONTRIBUTIONS REMAIN AN ASSET OF THE ORGANIZATION UNTIL DISTRIBUTED. ALBERT L. REYES $32,464 TONY E. LINTELMAN $25,923 CHARLIE WILSON $24,776 STEPHEN N. WAKEFIELD $23,171 A TARRANT CO CULTURAL EDU FACILITIES FINANCE CORP 043833551 87638RJE8 2017-06-08 229698200 FINANCE THE DEVELOPMENT OF A LIFE PLAN CONTINUUM CARE RETIREMENT COMMUNITY 0 0 0 A 231885812 15739441 5961857 4668838 40910359 165612539 2019 0 0 0 1 A 0 0 1 1 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 SCHEDULE K, PART II, LINE 3 INCLUDES SALES PROCEEDS OF $229,698,200 PLUS INVESTMENT EARNINGS OF $2,187,612. SCHEDULE K, PART III, LINE 7 WITH RESPECT TO THE BOND ISSUE, BUCKNER SENIOR LIVING LIMITS TRADE WITH THIRD PARTY VENDORS FOR BUSINESS USE TO 5%. FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATION MEMBERS: BUCKNER RETIREMENT SERVICES IS THE SOLE MEMBER OF BUCKNER SENIOR LIVING. FORM 990, PART VI, SECTION A, LINE 7A ORGANIZATION MEMBERS HAVE POWER TO ELECT: BUCKNER RETIREMENT SERVICES ELECTS THE DIRECTORS FOR BUCKNER SENIOR LIVING. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS RESERVED TO MEMBERS OTHER THAN THE GOVERNING BODY: CERTAIN DECISIONS OF BUCKNER SENIOR LIVING ARE SUBJECT TO APPROVAL OF ITS SOLE MEMBER, BUCKNER RETIREMENT SERVICES. FORM 990, PART VI, SECTION B, LINE 11B REVIEW PROCESS: THE BUCKNER INTERNATIONAL (BI) FINANCE COMMITTEE APPOINTS A BI BOARD MEMBER, FAMILIAR AND QUALIFIED IN ACCOUNTING MATTERS, TO REVIEW AND DISCUSS THE TAX FORMS WITH STAFF. UPON APPROVAL OF THIS REVIEW, THE TAX FORM IS SENT TO THE FULL BOARD PRIOR TO THE FILING OF THE FORM. FORM 990, PART VI, SECTION B, LINE 12C MONITOR AND ENFORCE COMPLIANCE WITH THE WRITTEN CONFLICT OF INTEREST POLICY: DIRECTORS AND OFFICERS ARE REQUIRED TO SUBMIT A STATEMENT OF DISCLOSURE UPON APPOINTMENT TO THE BOARD AND THEREAFTER ANNUALLY. THE PURPOSE OF THIS STATEMENT IS TO PROVIDE A MECHANISM FOR THE DISCLOSURE OF ANY ACTUAL OR POTENTIAL CONFLICT(S) OF INTEREST. ANY ACTUAL OR POTENTIAL CONFLICTS THAT ARISE BETWEEN ANNUAL STATEMENT SUBMISSIONS ARE REQUIRED TO BE COMMUNICATED AS SOON AS POSSIBLE IN WRITING TO THE GENERAL COUNSEL. THE CONFLICT OF INTEREST POLICY (COI) IS EXPLAINED AT TIME OF ISSUANCE FOR SIGNATURE. THE COI DEFINES DISQUALIFIED PERSONS AND POTENTIAL CONFLICTS. ANY CONFLICTS THAT ARISE ARE REVIEWED BY THE BOARD OUTSIDE OF THE PRESENCE OF THE INDIVIDUAL(S) INVOLVED. FORM 990, PART VI, SECTION B, LINE 15 PROCESS OF DETERMING COMPENSATION: COMPENSATION DECISIONS FOR THE EXECUTIVE JOBS ARE BASED ON RELEVANT COMPENSATION SURVEY DATA, EVIDENCED JOBHOLDER PERFORMANCE AND AVAILABLE RESOURCES. THE CHAIRMAN OF THE BOARD OF TRUSTEES OF BUCKNER INTERNATIONAL, A RELATED ENTITY, IN CONSULTATION WITH THE TRUSTEES IS RESPONSIBLE FOR SETTING THE COMPENSATION FOR THE PRESIDENT/CEO JOB. THE BOARD CHAIR COORDINATES WITH THE HUMAN RESOURCES CONSULTANT TO CONDUCT A FORMAL EVALUATION OF THE JOB PERFORMANCE OF THE PRESIDENT/CEO. THE EVALUATION INVOLVES FEEDBACK FROM THE PRESIDENT/CEO, HIS DIRECT REPORTS AND THE TRUSTEES. THAT DATA IS REVIEWED BY THE BOARD MEMBERS AND A REPORT IS REVIEWED WITH THE PRESIDENT/CEO DURING HIS ANNUAL JOB PERFORMANCE EVALUATION MEETING. THIS MEETING OCCURS DURING THE LAST 6 MONTHS OF EACH YEAR. FOR ALL OTHER EXECUTIVE JOB HOLDERS, SURVEY DATA IS PROVIDED TO THE PRESIDENT/CEO FOR DETERMINING COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC DISCLOSURE: GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR REVIEW BY REQUEST. THEY MAY BE REVIEWED AT THE CORPORATE OFFICE IN DALLAS OR MAY BE SENT BY MAIL. FORM 990, PART VII: AVERAGE HOURS AND REPORTABLE COMPENSATION: COMPENSATION REFLECTS TOTAL COMPENSATION PAID BY THE ORGANIZATION OR A RELATED ORGANIZATION AND DOES NOT REFLECT PAYMENT FOR SERVICES AS OFFICERS OR DIRECTORS. AVERAGE HOURS PER WEEK ARE AN ESTIMATE OF THE HOURS SPENT IN THE CAPACITY OF AN OFFICER OR DIRECTOR. BUCKNER RETIREMENT SERVICES 700 N PEARL ST STE 1200 DALLAS TX 75201 752571394 SOCIAL SVCS TX 501(C)(3) LINE 10 BI 1 BUCKNER ADOPTION AND MATERNITY SERVICES 700 N PEARL ST STE 1200 DALLAS TX 75201 752571396 SOCIAL SVCS TX 501(C)(3) LINE 7 BI 1 BUCKNER INTERNATIONAL 700 N PEARL ST STE 1200 DALLAS TX 75201 750891443 MGMT, ADM TX 501(C)(3) LINE 12C, III-FI N/A 0 BUCKNER CHILDREN & FAMILY SERVICES INC 700 N PEARL ST STE 1200 DALLAS TX 75201 752571395 SOCIAL SVCS TX 501(C)(3) LINE 7 BI 1 BUCKNER FOUNDATION 700 N PEARL ST STE 1200 DALLAS TX 75201 752125945 MGMT, ADM TX 501(C)(3) LINE 12A, I BI 1 MY FATHER'S HOUSE LUBBOCK 700 N PEARL ST STE 1200 DALLAS TX 75201 752914146 SOCIAL SVCS TX 501(C)(3) LINE 7 BCFS 1 RIO GRANDE CHILDREN'S HOME 700 N PEARL ST STE 1200 DALLAS TX 75201 741492806 SOCIAL SVCS TX 501(C)(3) LINE 7 BCFS 1 RIO GRANDE CHILDREN'S HOME FOUNDATION 700 N PEARL ST STE 1200 DALLAS TX 75201 742552150 MGMT, ADM TX 501(C)(3) LINE 12B, II RGCH 1 BAPTIST MEMORIALS MINISTRIES 902 N MAIN ST SAN ANGELO TX 76902 752755400 SOCIAL SVCS TX 501(C)(3) LINE 10 BRS 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 BUCKNER RETIREMENT SERVICES P 323135