2017-08-15T12:46:13-05:00 2016-09-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2015-10-01 931067253 PACIFIC RETIREMENT SERVICES INC PACI 8887246424 1 WEST MAIN STREET NO 303 MEDFORD OR 97501 BRIAN MCLEMORE PRESIDENT/CEO 8887246424 2017-08-14 1 KURT BENNION CPA P01469618 4252506100 2015 2021-01-29 14:40:06Z DOUG SCHMOR 1 WEST MAIN STREET NO 303 MEDFORD OR 97501 18242464 0 X WWW.RETIREMENT.ORG X 1990 OR PROVIDE EXCEPTIONAL LEADERSHIP TO OUR FAMILY OF ORGANIZATIONS TO ENHANCE THE AGING EXPERIENCE. 13 13 58 15 48647 44502 0 11771 15898419 14580920 -16984 1864997 20440 -53693 15901875 16403995 0 3495364 0 0 7939913 9424220 0 0 0 2902246 3453790 10842159 16373374 5059716 30621 53925960 54337085 1364888 1717560 52561072 52619525 PACIFIC RETIREMENT SERVICES PROVIDE EXCEPTIONAL LEADERSHIP TO OUR FAMILY OF ORGANIZATIONS, WORKING TOGETHER TO ENHANCE THE AGING EXPERIENCE. 0 0 15941016 3495364 14580920 PACIFIC RETIREMENT SERVICES, INC.'S VISION IS THAT EVERY PERSON DESERVES A STABLE RETIREMENT EXPERIENCE. WE PURSUE THIS VISION BY CREATING COMMUNITIES TO PROVIDE EACH RESIDENT WITH LIFESTYLE OPPORTUNITIES THAT FACILITATE HEALTHY AGING AND SUPPORTIVE SERVICES TO ENSURE STABILITY AND SECURITY AS RESIDENTS AGE. 15941016 1 0 0 1 0 0 0 0 0 0 1 1 1 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 57 0 1 58 1 1 1 0 0 0 0 0 0 0 0 0 X 13 13 0 0 1 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 OR CA WI X SHERI LOYA 5418577644 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 X DOUG SCHMOR CHAIR 1.00 0.00 X X 0 0 0 LARRY BOECK VICE CHAIR 1.00 1.00 X X 0 0 0 DOUG SPANI SECRETARY 1.00 0.00 X X 0 0 0 CAROLYN LYN HENNION ASSISTANT SECRETARY 1.00 0.00 X X 0 0 0 LYNN JOHNSON TREASURER 1.00 2.00 X X 0 0 0 JACQUE BARTHOLOMEW DIRECTOR (THROUGH 11/2/15) 1.00 1.00 X 0 0 0 MARC BAYLISS DIRECTOR (THROUGH 10/2/15) 1.00 1.00 X 0 0 0 JOHN HUBBARD DIRECTOR 1.00 2.00 X 0 0 0 EDWARD A JOLLY DIRECTOR 1.00 0.00 X 0 0 0 BOB KERR DIRECTOR 1.00 1.00 X 0 0 0 WILLIAM BILL LEEVER DIRECTOR 1.00 0.00 X 0 0 0 TODD MARTIN DIRECTOR 1.00 4.00 X 0 0 0 BOB MAYERS DIRECTOR 1.00 1.00 X 0 0 0 BILL VAN VACTOR DIRECTOR 1.00 2.00 X 0 0 0 DOUG WILSON DIRECTOR 1.00 0.00 X 0 0 0 BRIAN MCLEMORE PRESIDENT/CEO 38.00 12.00 X 0 537933 48238 MARY SCHOEGGL CFO 38.00 12.00 X 0 354809 56109 MICHAEL MORRIS COO 38.00 12.00 X 0 375087 41240 DEBBIE RAYBURN CHO 38.00 12.00 X 0 257675 36550 PAUL RIEPMA II SENIOR VP OF MARKETING 38.00 12.00 X 0 240716 27010 STEPHEN L EICHEN CIO 38.00 12.00 X 0 242682 34449 STEVEN RINKLE GENERAL COUNSEL 38.00 12.00 X 0 268563 37228 TAMARA NORDIN SENIOR VP OF HUMAN RESOURCES 38.00 12.00 X 0 229549 40922 0 2507014 321746 21 0 1 0 PRS MANAGEMENT INC 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 MANAGEMENT SERVICES 6994470 MOSS ADAMS LLP 3121 WEST MARCH LANE SUITE 100 STOCKTON CA 95219 AUDIT AND TAX SERVICES 758389 MCDERMOTT WILL & EMERY LLP 444 WEST LAKE STREET CHICAGO IL 60606 LEGAL SERVICES 548118 DAVIS WRIGHT TREMAINE LLP 1201 THIRD AVENUE SUITE 2200 SEATTLE WA 98101 LEGAL SERVICES 107907 4 11771 11771 MANAGEMENT FEE REVENUE 561000 10316134 10316134 ACCOUNTING FEES 561000 1320097 1320097 INFO TECH SVC FEES 561000 1204815 1204815 DEVELOPMENT FEES REVENUE 561000 897586 897586 ADMINISTRATIVE REVENUE 561000 521411 521411 320877 272230 48647 14580920 40094 40094 64957 118650 -53693 -53693 -53693 241722 3303000 239371 1480448 2351 1822552 1824903 1824903 16403995 14532273 48647 1811304 3495364 3495364 9371433 9371433 44332 44332 8073 8073 382 382 213161 1 213160 102816 102816 2985 2985 476322 476322 120779 120779 216457 216457 478513 478513 482021 482021 401197 401197 60510 60510 408906 408906 55479 55479 OTHER FACILITY SERVICE 426947 318860 108087 INCOME TAXES 5310 5310 HEALTH CENTER EXPENSES 2387 2387 16373374 15941016 432358 0 3536808 8647986 1422391 1189632 104833 4909 5271195 3420957 20185 9700 371512 430165 3961952 2828532 2337432 1133420 3122027 3490567 7623830 7785109 30115747 28224640 53925960 54337085 1063455 1110446 273349 301433 333765 1364888 1717560 X 52561072 52609704 9821 52561072 52619525 53925960 54337085 30621 27832 0 X 0 1 X 1 0 X X 35 CAPITOL LAKES INC 391412320 9 1 0 0 CASCADE MANOR INC 930557803 9 1 0 0 HOLLADAY PARK PLAZA 930513697 9 1 0 0 MIRABELLA 342030255 9 1 0 0 MIRABELLA AT SOUTH WATERFRONT 711016384 9 1 0 0 ROGUE VALLEY MANOR 930453216 9 1 0 0 ROGUE VALLEY MANOR ASHLAND HOUSING CORPORATION 930942933 9 1 0 0 ROGUE VALLEY MANOR BEND HOUSING CORPORATION 943163349 9 1 1231 0 ROGUE VALLEY MANOR BEND II HOUSING CORPORATION 943260016 9 1 0 0 ROGUE VALLEY MANOR CENTRAL POINT HOUSING CORPORATION 300315618 9 1 0 0 ROGUE VALLEY MANOR DAVIS HOUSING CORPORTION 311662208 9 1 445 0 ROGUE VALLEY MANOR EAGLE POINT HOUSING CORPORATION 943191447 9 1 0 0 ROGUE VALLEY MANOR EUGENE HOUSING CORPORATION 943247154 9 1 2584 0 ROGUE VALLEY MANOR FORT WORTH HOUSING CORPORATION 311520436 9 1 0 0 ROGUE VALLEY MANOR FORT WORTH II HOUSING CORPORATION 311587415 9 1 315 0 ROGUE VALLEY MANOR GRANTS PASS HOUSING CORPORATION 943136037 9 1 0 0 ROGUE VALLEY MANOR GRANTS PASS II HOUSING CORPORATION 311662259 9 1 0 0 ROGUE VALLEY MANOR HOUSING CORPORATION 930864466 9 1 0 0 ROGUE VALLEY MANOR KLAMATH FALLS HOUSING CORPORATION 943196455 9 1 655 0 ROGUE VALLEY MANOR LIVELY OAKS HOUSING CORPORATION 943194409 9 1 1652 0 ROGUE VALLEY MANOR MANSFIELD HOUSING CORPORATION 900292647 9 1 0 0 ROGUE VALLEY MANOR MEDFORD II HOUSING CORPOTATION 943212537 9 1 1316 0 ROGUE VALLEY MANOR MEDFORD III HOUSING CORPORATION 311587418 9 1 1282 0 ROGUE VALLEY MANOR MYRTLE CREEK HOUSING CORPORATION 943162074 9 1 2136 0 ROGUE VALLEY MANOR MYRTLE II CREEK HOUSING CORPORATION 311715321 9 1 0 0 ROGUE VALLEY MANOR PORTLAND HOUSING CORPORATION 311780332 9 1 1243 0 ROGUE VALLEY MANOR PORTLAND II HOUSING CORPORATION 300037898 9 1 1789 0 ROGUE VALLEY MANOR REEDSPORT HOUSING CORPORATION 943212538 9 1 143 0 ROGUE VALLEY MANOR ROSEBURG HOUSING CORPORATION 943179782 9 1 0 0 ROGUE VALLEY MANOR ROSEBURG II HOUSING CORPORATION 311587420 9 1 0 0 ROGUE VALLEY MANOR YREKA HOUSING CORPORATION 943212540 9 1 152 0 THE CUMBERLAND REST INC 750891470 9 1 0 0 UNIVERSITY RETIREMENT COMMUNITY AT DAVIS 931179254 9 1 0 0 COMMUNITY VOLUNTEER NETWORK 930892261 9 1 4813 0 PACIFIC RETIREMENT SERVICES FOUNDATION INC 472352652 7 1 0 0 35 19756 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART IV, SECTION A, LINE 5A: PRS AMENDED ITS ARTICLES OF INCORPORATION IN FEBRUARY 2016 TO ADD PACIFIC RETIREMENT SERVICES FOUNDATION (EIN: 47-2352652) AND COMMUNITY VOLUNTEER NETWORK (EIN: 93-0892261) AS SUPPORTED ORGANIZATIONS. PACIFIC RETIREMENT SERVICES FOUNDATION IS A PUBLIC CHARITY UNDER SECTION 170(B)(1)(A)(VI) AND COMMUNITY VOLUNTEER NETWORK IS A PUBLIC CHARITY UNDER SECTION 509(A)(2). PRS' BOARD OF DIRECTORS VOTED TO APPROVE THE AMENDMENT IN ORDER TO DESIGNATE EACH ORGANIZATION AS A SUPPORTED ORGANIZATION. PART IV, SECTION D, LINE 3: THE SUPPORTED ORGANIZATIONS OF PRS HAD A SIGNIFICANT VOICE IN THE PRS INVESTMENT POLICIES AND IN DIRECTING THE USE OF PRS' INCOME OR ASSETS AT ALL TIMES DURING THE TAX YEAR. EACH SUPPORTED ORGANIZATION HAS AT LEAST ONE DIRECTOR WHO ALSO SERVES ON THE PRS BOARD OF DIRECTORS (SOME ALSO SERVE AS OFFICERS AT PRS) AS SET FORTH IN 26 CFR 1.509(A)-4(I)(3)(II)(B), AS WELL AS REPRESENTATION ON THE PRS INVESTMENT SUBCOMMITTEE, AND AS SUCH CONTROLS THE INVESTMENT POLICIES OF PRS AND DETERMINE HOW THE INCOME AND ASSETS OF PRS ARE TO BE USED. PART IV, SECTION E, LINE 3A: THE BYLAWS OF EACH OF THE PRS SUPPORTED ORGANIZATIONS PROVIDE THAT A MAJORITY OF THE SUPPORTED ORGANIZATION'S OFFICERS AND/OR DIRECTORS ARE ELECTED OR APPOINTED BY PRS ACTING THROUGH ITS GOVERNING BODY. PART IV, SECTION E, LINE 3B: PRS EXERCISED A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS AND ACTIVITIES OF EACH OF ITS SUPPORTED ORGANIZATION. PRS EXERCISES AUTHORITY FOR REVIEWING AND APPROVING THE BUDGETS, STRATEGIC PLANS, UNBUDGETED CONTRACTS IN EXCESS OF STATED DOLLAR AMOUNTS, CHANGES TO GOVERNING DOCUMENTS, ETC. OF THE SUPPORTED ORGANIZATION. PRS ALSO PROVIDES MANAGEMENT SERVICES TO THE SUPPORTED ORGANIZATIONS. 0 0 0 16373374 16373374 968669 242167 0 0 620109 645057 692108 968669 2925943 4388915 155027 161264 173027 242167 731485 1097228 130560 130560 360740 9515 351225 3462087 2819017 643070 8565 8565 1133420 3490567 F 3490567 INVESTMENT IN AFFILIATES - AFFORD. HOUS. 784031 F CCIC CAPITAL INVESTMENT 1301078 F INVESTMENT IN PRS MANAGEMENT, INC. 5700000 F 7785109 DUE FROM AFFILIATES 26830601 OTHER NONCURRENT ASSETS 333765 LINE OF CREDIT & GUARANTEES 1060274 28224640 OTHER LONG TERM LIABILITIES 333765 333765 X PART X, LINE 2: THE ORGANIZATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT SEPTEMBER 30, 2016, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. 1 CAPITOL LAKES INC 333 WEST MAIN STREET MADISON WI 53703 391412320 501(C)(3) 3495364 BANKRUPTCY ASSISTANCE 1 0 PART I, LINE 2: THE ONLY GRANT WAS TO A SUBSIDIARY OF PRS. BOTH ORGANIZATIONS ARE MANAGED BY THE SAME EXECUTIVE TEAM, WHO ENSURED THAT THE TRANSFERRED FUNDS WERE USED FOR THE INTENDED PURPOSE. X X X X 0 0 0 0 0 0 0 1 0 BRIAN MCLEMORE PRESIDENT/CEO 0 499433 0 38500 0 0 0 33500 0 14738 0 586171 0 0 MARY SCHOEGGL CFO 0 327809 0 27000 0 0 0 41371 0 14738 0 410918 0 0 MICHAEL MORRIS COO 0 345087 0 30000 0 0 0 26500 0 14740 0 416327 0 0 DEBBIE RAYBURN CHO 0 242675 0 15000 0 0 0 21812 0 14738 0 294225 0 0 PAUL RIEPMA II SENIOR VP OF MARKETING 0 220716 0 20000 0 0 0 19509 0 7501 0 267726 0 0 STEPHEN L EICHEN CIO 0 222682 0 20000 0 0 0 20354 0 14095 0 277131 0 0 STEVEN RINKLE GENERAL COUNSEL 0 246163 0 22400 0 0 0 22490 0 14738 0 305791 0 0 TAMARA NORDIN SENIOR VP OF HUMAN RESOURCES 0 210649 0 18900 0 0 0 28656 0 12266 0 270471 0 0 PART I, LINE 7 THE VP OF HUMAN RESOURCES PROVIDED SALARY STUDIES FROM THE FOLLOWING RESOURCES TO THE COMPENSATION COMMITTEE (A COMMITTEE OF THE PRS BOARD OF DIRECTORS) RELATIVE TO EXECUTIVE STAFF COMPENSATION: - SALARY.COM - PAYSCALE.COM - 990 REVIEW (LIKE-SIZE ORGANIZATIONS) - CEOM (CHIEF EXECUTIVE OFFICERS OF MULTI-FACILITY ORGANIZATIONS) SALARY STUDY RESULTS RECOMMENDATIONS FOR BASE COMPENSATION AND INCENTIVES ARE PROVIDED BY THE IMMEDIATE SUPERVISOR BASED ON STUDY FINDINGS AND PERFORMANCE FACTORS. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE IS COMPRISED OF THE CHAIR, VICE CHAIR, SECRETARY AND TREASURER OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE HAS THE POWER TO ACT ON BEHALF OF THE BOARD OF DIRECTORS ONLY ON THOSE MATTERS OF ROUTINE BUSINESS REQUIRING DECISIONS BETWEEN REGULAR MEETINGS OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE IS ALSO RESPONSIBLE FOR ESTABLISHING EXECUTIVE COMPENSATION. THE EXECUTIVE COMMITTEE REPORTS ITS ACTIONS AT THE NEXT REGULAR MEETING OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 4 THE ARTICLES OF INCORPORATION WERE AMENDED IN FEBRUARY 2016 TO ADD PACIFIC RETIREMENT SERVICES FOUNDATION AND COMMUNITY VOLUNTEER NETWORK AS SUPPORTED ORGANIZATIONS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS REVIEWED BY THE ASSISTANT CONTROLLER, CFO AND THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE ARE SENT TO ALL BOARD MEMBERS AND KEY EMPLOYEES ANNUALLY. THERE ARE TWO POLICIES RELATED TO CONFLICTS OF INTEREST: 1) BOARD OF DIRECTORS; 2)KEY EMPLOYEES, WHICH IDENTIFY THE PURPOSE, DEFINITIONS, AND PROCEDURES. IF A CONFLICT IS SELF-IDENTIFIED BY A BOARD MEMBER OR KEY EMPLOYEE IN THE QUESTIONNAIRE AND/OR MEETING, PROCEDURES ARE FOLLOWED AND DOCUMENTED ACCORDING TO THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 A COMPENSATION COMMITTEE OF THE PRS BOARD EXISTS TO DETERMINE COMPENSATION FOR THE EXECUTIVE DIRECTOR OF EACH COMMUNITY. THIS COMMITTEE IS COMPRISED OF THE OFFICERS OF THE PRS BOARD OF DIRECTORS. THE COMMITTEE HAS A CHARTER THAT OUTLINES ITS DUTIES AND RESPONSIBILITIES. IT ALSO HAS AGENDA ELEMENTS THAT DESCRIBE THE ACTIVITIES THAT THE COMMITTEE UNDERTAKES DURING THE YEAR. THE VICE PRESIDENT OF HUMAN RESOURCES PROVIDED SALARY STUDIES FROM THE FOLLOWING RESOURCES TO THE COMMITTEE RELATIVE TO EXECUTIVE DIRECTOR COMPENSATION: SALARY.COM, PAYSCALE.COM, 990 REVIEW (LIKE SIZE ORGANIZATIONS), CEMO (CHIEF EXECUTIVE OFFICERS OF MULTI-FACILITY ORGANIZATIONS) SALARY STUDY RESULTS, AND INDUSTRY STATE ASSOCIATION SALARY STUDY RESULTS BASED ON GEOGRAPHICAL LOCATION. THE RECOMMENDATION FOR BASE COMPENSATION AND BONUS ARE PROVIDED BY THE IMMEDIATE SUPERVISOR, BASED ON STUDY FINDING AND PERFORMANCE FACTORS. FORM 990, PART VI, SECTION C, LINE 19 ALL REQUESTS GO THROUGH THE CORPORATE COUNSEL. FORM 990, PART VII, SECDTION B: THE INDEPENDENT CONTRACTORS REPORTED IN FORM 990, PART VII, SECTION B PROVIDE SERVICES TO PACIFIC RETIREMENT SERVICES, INC. ("PRS") AND TO ITS AFFILIATES. THE AMOUNTS REPORTED AS PAID TO THESE INDEPENDENT CONTRACTORS ARE THE TOTAL AMOUNTS PAID BY PRS FOR SERVICES TO PROVIDED TO PRS AND ITS AFFILIATES. PRS PROPERTY HOLDINGS LLC 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 931067253 OFFICE BUILDING OR 1770626 1513062 PACIFIC RETIREMENT SERVICES INC PACIFIC RETIREMENT SERVICES FOUNDATION INC 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 472352652 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 PACIFIC RETIRMENT SERVICES INC 1 ROGUE VALLEY MANOR 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 930453216 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 THE CUMBERLAND REST INC 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 750891470 SENIOR HOUSING TX 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 CASCADE MANOR INC 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 930557803 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 UNIVERSITY RETIREMENT COMMUNITY AT DAVIS INC 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 931179254 SENIOR HOUSING CA 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 HOLLADAY PARK PLAZA INC 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 930513697 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 CAPITOL LAKES INC 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 391412320 SENIOR HOUSING WI 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 ROGUE VALLEY MANOR FOUNDATION INC 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 930712867 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 ROGUE VALLEY MANOR 1 UNIVERSITY RETIREMENT COMMUNITY FOUNDATION INC 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 931301816 PUBLIC FOUNDATION CA 501(C)(3) LINE 7 UNIVERSITY RETIREMENT COMMUNITY AT DAVIS 1 TRINITY TERRACE FOUNDATION INC 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 912162130 PUBLIC FOUNDATION TX 501(C)(3) LINE 7 THE CUMBERLAND REST INC 1 HOLLADAY PARK PLAZA FOUNDATION INC 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 264529118 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 HOLLADAY PARK PLAZA INC 1 MIRABELLA WASHINGTON FOUNDATION 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 450574348 PUBLIC FOUNDATION WA 501(C)(3) LINE 7 MIRABELLA 1 CASCADE MANOR FOUNDATION INC 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 931330100 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 CASCADE MANOR INC 1 CAPITOL LAKES FOUNDATION INC 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 383781089 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 CAPITOL LAKES INC 1 MIRABELLA 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 342030255 SENIOR HOUSING WA 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 MIRABELLA PORTLAND FOUNDATION INC 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 452508860 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 MIRABELLA AT SOUTH WATERFRONT 1 MIRABELLA AT SOUTH WATERFRONT 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 711016384 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 COMMUNITY VOLUNTEER NETWORK 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 930892261 COMMUNITY SERVICES OR 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 RVM ASHLAND HOUSING CORPORATION 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 930942933 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 RVM BEND HOUSING CORPORATION 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 943163349 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 RVM CENTRAL POINT HOUSING CORPORATION 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 300315618 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 RVM DAVIS HOUSING CORPORATION 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 311662208 SENIOR HOUSING CA 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 RVM FORT WORTH I HOUSING CORPORATION 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 311520436 SENIOR HOUSING TX 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 RVM FORT WORTH II HOUSING CORPORATION 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 311587415 SENIOR HOUSING TX 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 RVM GRANTS PASS HOUSING CORPORATION 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 943136037 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 RVM GRANTS PASS II HOUSING CORPORATION 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 311662259 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 RVM HOUSING CORPORATION 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 930864466 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 RVM MEDFORD III HOUSING CORPORATION 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 311587418 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 RVM MYRTLE CREEK HOUSING CORPORATION 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 943162074 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 RVM MYRTLE CREEK II HOUSING CORPORATION 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 311715321 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 RVM PORTLAND HOUSING CORPORATION 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 311780332 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 RVM PORTLAND II HOUSING CORPORATION 1 WEST MAIN STREET SUITE 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INC 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 470825736 SENIOR HOUSING WI 501(C)(3) LINE 9 CAPITOL LAKES INC 1 MIRABELLA AT ASU INC 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 813784956 SENIOR HOUSING AZ 501(C)(3) LINE 9 PACIFIC RETIRMENT SERVICES INC 1 CREST PARK INC 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 931169583 REAL ESTATE OR PACIFIC RETIREMENT SERVICES INC C 459454 7263842 1.00000 0 PRS MANAGEMENT INC 1 WEST MAIN STREET SUITE 303 MEDFORD OR 97501 931328250 MANAGEMENT COMPANY OR PACIFIC RETIREMENT SERVICES INC C 18089705 4382149 1.00000 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 PRS MANAGEMENT INC A 48647 MARKET RATE CAPITOL LAKES INC B 3495364 CASH ROGUE VALLEY MANOR L 2223004 PERCENTAGE OF REVENUE TO CAP THE CUMBERLAND REST INC L 1081313 PERCENTAGE OF REVENUE CASCADE MANOR INC L 453673 PERCENTAGE OF REVENUE UNIVERSITY RETIREMENT COMMUNITY AT DAVIS INC L 1219288 PERCENTAGE OF REVENUE HOLLADAY PARK PLAZA INC L 986041 PERCENTAGE OF REVENUE CAPITOL LAKES INC L 766833 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