2016-11-21T08:47:18-06:00 2016-06-30 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2015-07-01 364335178 WASHINGTON AND JANE SMITH HOME WASH 7734747300 2320 WEST 113TH PLACE NO 1335 CHICAGO IL 60643 RAY MARNERIS CFO 7734747350 2016-11-18 1 GREGORY S ADAMS P00095597 6305738600 2015 2017-02-10 21:41:12Z SMITH SENIOR LIVING KEVIN MCGEE 2320 WEST 113TH PLACE NO 1335 CHICAGO IL 60643 22570993 0 X WWW.SMITHSENIORLIVING.ORG X 1999 IL TO ENRICH THE LIVES OF SENIOR ADULTS THROUGH THE HIGHEST QUALITY OF SERVICES. 13 13 130 13 0 -109013 61003 40491 6729094 7101807 2065624 2775173 808 2894 8856529 9920365 765678 553109 0 0 5978408 6023698 0 0 3717 1030562 1641969 7774648 8218776 1081881 1701589 42231472 43322828 1357404 902232 40874068 42420596 X THE MISSION OF WASHINGTON AND JANE SMITH HOME IS TO ENRICH THE LIVES OF SENIOR ADULTS THROUGH THE HIGHEST QUALITY OF SERVICES. THE ORGANIZATION'S CHARITABLE PURPOSE IS TO PROVIDE MANAGEMENT, PLANNING, FINANCIAL AND ADMINISTRATIVE SERVICES (SEE SCHEDULE O) EXCLUSIVELY TO ITS RELATED CCRC ORGANIZATIONAL AFFILIATES. 0 0 3271563 37308 3153840 WASHINGTON AND JANE SMITH HOME PROVIDES PLANNING, FINANCIAL AND ADMINISTRATIVE SERVICES EXCLUSIVELY TO ITS RELATED CONTINUING CARE RETIREMENT COMMUNITY ORGANIZATIONAL AFFILIATES. 4095332 3947967 WASHINGTON AND JANE SMITH HOME IS THE SOLE MEMBER OF SMITH CARES, LLC, A STAFFING HOLDING COMPANY. SMITH CARES PROVIDES PROFESSIONAL STAFF TO THE AFFILIATED COMPANIES OF WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY AND WASHINGTON AND JANE SMITH COMMUNITY - ORLAND PARK WHEN THE INDIVIDUALS ARE SHARED BETWEEN THE TWO AFFILIATE ORGANIZATIONS. 553109 515801 MONIES PROVIDED BY DONATION TO THE ORGANIZATION ARE A SHARING OF EARNINGS ON THE ORIGINAL ENDOWMENT CREATED BY EMILIE SMITH. THE BOARD HAS DESIGNATED THAT 4% OF THE VALUE OF THE ENDOWMENT BE CONTRIBUTED EACH YEAR TO WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY FOR CHARITABLE CARE. 7920004 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 1 1 0 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 23 0 0 130 1 1 1 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X RAY MARNERIS 7734747350 2320 WEST 113TH PLACE CHICAGO IL 60643 GEORGE A PETRAITIS BOARD CHAIR 3.00 1.00 X X 0 0 0 TIMOTHY A REGAN TRUSTEE 2.00 1.00 X 0 0 0 THOMAS L HOGAN TRUSTEE 2.00 1.00 X 0 0 0 STEVEN J MURPHY BOARD VICE CHAIR 2.00 1.00 X X 0 0 0 KAY E THURN TRUSTEE 3.00 1.00 X 0 0 0 ANDREW J ANELLO TRUSTEE 3.00 1.00 X 0 0 0 THOMAS E CHOMICZ TRUSTEE 2.00 1.00 X 0 0 0 HUGH J AHERN TRUSTEE 3.00 1.00 X 0 0 0 JUDITH K LEWIS TRUSTEE 2.00 1.00 X 0 0 0 ANNE Z SCHAIBLE TRUSTEE 2.00 1.00 X 0 0 0 ANN HASKINS TRUSTEE 2.00 1.00 X 0 0 0 JOHN E LEAHY TRUSTEE 2.00 1.00 X 0 0 0 MICHAEL P STANTON TRUSTEE 2.00 1.00 X 0 0 0 RAYMOND J MARNERIS TREASURER/CFO 37.50 24.00 X 179646 0 34590 KEVIN MCGEE PRESIDENT/CEO 37.50 24.00 X 193965 0 37978 JAMES SCHMITT CHIEF INFORMATION OFFICER 37.50 24.00 X 144696 0 5256 518307 0 77824 3 0 1 0 BURKE WARREN MACKAY & SERRITELLA 230 NORTH WABASH AVENUE CHICAGO IL 60611 LEGAL SERVICES 256712 1 40491 40491 AGENCY FEE 623000 3947967 3947967 CONSULTING FEE 541610 3153840 3153840 7101807 926556 926556 14498985 260 12650628 0 1848357 260 1848617 1848617 MISCELLANEOUS 623990 2894 2894 2894 9920365 7101807 0 2778067 553109 553109 518307 518307 4501650 4501650 95611 95611 507314 507314 400816 400816 269944 269944 73208 32840 40368 73780 73780 251608 251608 127678 127378 300 492349 353817 138532 146688 143271 3417 160 160 20259 20259 7835 6471 1364 22665 22665 79282 79282 48370 7359 41011 TAXES AND FEES 28143 28143 8218776 7920004 295055 3717 816013 776517 266704 48690 953753 684432 501197 269321 32263768 34851451 1603839 0 6779951 7376849 42231472 43322828 717261 627909 640143 274323 1357404 902232 X 28515649 30852496 11491752 10701433 866667 866667 40874068 42420596 42231472 43322828 1701589 -155061 0 X 0 1 X 1 0 X X 2 WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY 362167948 9 1 515801 0 WASHINGTON AND JANE SMITH COMMUNITY - ORLAND PARK 364333423 9 1 37308 0 2 553109 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X 1 0 FORM 990, SCHEDULE A, PART IV, SECTION E, LINE 3A THE BOARD OF TRUSTEES OF WASHINGTON AND JANE SMITH HOME APPOINT THE BOARD OF TRUSTEES TO WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY AND WASHINGTON AND JANE SMITH COMMUNITY - ORLAND PARK. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12358419 -274518 515801 11568100 13244905 -377552 508934 12358419 12080174 1667730 481154 21845 13244905 11505438 1104546 462252 67558 12080174 11903799 -85920 434403 121962 11505438 0.07000 0.93000 0 0 564609 374619 189990 389144 309813 79331 269321 DUE FROM AFFILIATES 6579325 DEPOSITS 797524 7376849 X 9765304 -155061 -155061 9920365 0 9920365 8218776 0 8218776 0 8218776 PART V, LINE 4: THE EARNINGS ON THE ASSETS OF THE ENDOWMENT FUND HAVE BEEN DESIGNATED TO SUPPORT THE CHARITABLE CARE ACTIVITIES OF WASHINGTON AND JANE SMITH COMMUNITY - BEVERLY PART X, LINE 2: THE ORGANIZATIONS THAT MAKE UP WASHINGTON AND JANE SMITH HOME QUALIFY AS TAX-EXEMPT CORPORATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL OPEN YEARS COULD BE SUBJECT TO REVIEW BY THE INTERNAL REVENUE SERVICE (IRS). 1 WASHINGTON AND JANE SMITH COMMUNITY-BEVERLY 2320 WEST 113TH PLACE CHICAGO IL 60643 362167948 501(C)(3) 515801 N/A N/A CHARITABLE CARE ACTIVITIES WASHINGTON AND JANE SMITH COMMUNITY-ORLAND PARK 2320 WEST 113TH PLACE CHICAGO IL 60643 364333423 501(C)(3) 37308 N/A N/A CHARITABLE CARE ACTIVITIES 2 0 PART I, LINE 2: THE GRANTED FUNDS ARE NOT RESTRICTED AS TO USE AND ARE FOR CHARITABLE CARE OPERATIONS. THE GRANT WAS MADE TO A RELATED TAX-EXEMPT ORGANIZATION AND MANAGEMENT ENSURES THE FUNDS ARE USED TO SUPPORT THE ORGANIZATION'S EXEMPT PURPOSE. X X X X 0 0 0 0 0 0 0 0 0 RAYMOND J MARNERIS TREASURER/CFO 176358 0 0 0 3288 0 7241 0 27349 0 214236 0 0 0 KEVIN MCGEE PRESIDENT/CEO 190369 0 0 0 3596 0 7741 0 30237 0 231943 0 0 0 PART I, LINE 3 THE COMPENSATION COMMITTEE OF WASHINGTON AND JANE SMITH HOME EVALUATES AND ESTABLISHES COMPENSATION AND REVIEWS PROTOCOL FOR THE ORGANIZATION'S CEO AND CFO. ANNUAL COMPENSATION COMPARISONS TO INDUSTRY PROFESSIONALS ARE GATHERED AND REVIEWED ON AN ANNUAL BASIS. DECISIONS ARE DOCUMENTED IN THE COMPENSATION COMMITTEE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATIONS INTERNAL MANAGEMENT AND THE FINANCE COMMITTEE REVIEWS THE RETURN WITH ITS PAID TAX PREPARER. AFTER REVIEW, COPIES OF THE FULL FORM 990 ARE PRESENTED TO ALL TRUSTEES AND REVIEWED AT A BOARD MEETING PRIOR TO FILING THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY ALL TRUSTEES AND KEY PERSONNEL ARE REQUIRED TO COMPLETE A DISCLOSURE FOR CONFLICTS OF INTEREST. THE DISCLOSURES ARE SUMMARIZED BY THE CFO AND REVIEWED BY THE GOVERNANCE COMMITTEE WHO DETERMINES IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS. IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS THE TRUSTEE IS REQUIRED TO RECUSE THEMSELVES FROM ANY VOTING, DELIBERATION, OR DECISION ON THE TRANSACTION AT THE BOARD LEVEL. FURTHERMORE, ALL VENDOR PAYMENT ACTIVITY IS REVIEWED BY THE CFO FOR VENDORS THAT MAY BE RELATED TO THE FILING ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF WASHINGTON AND JANE SMITH HOME EVALUATES AND ESTABLISHES COMPENSATION AND REVIEWS PROTOCOL FOR THE ORGANIZATION'S CEO AND CFO. ANNUAL COMPENSATION COMPARISONS TO INDUSTRY PROFESSIONALS ARE GATHERED AND REVIEWED ON AN ANNUAL BASIS. DECISIONS ARE DOCUMENTED IN THE COMPENSATION COMMITTEE MEETING MINUTES. THE LAST COMPENSATION REVIEW WAS COMPLETED IN NOVEMBER 2015. THE CEO OF WASHINGTON AND JANE SMITH HOME DETERMINES THE ANNUAL COMPENSATION OF ALL OTHER OFFICERS, WITH THE EXCEPTION OF THE CFO, BY COMPARING THE COMPENSATION OF EACH OFFICER AND KEY EMPLOYEES TO PROFESSIONALS PERFORMING SIMILAR SERVICES IN SIMILAR INDUSTRIES ON AN ANNUAL BASIS. THE LAST COMPENSATION REVIEW WAS COMPLETED IN OCTOBER 2015. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. 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