2014-07-28T14:37:38-05:00 2013-12-31 420794029 DENMAN & COMPANY LLP 1601 22ND STREET SUITE 400 WEST DES MOINES IA 502661453 990 2013-01-01 421068850 LIFESPACE COMMUNITIES INC LIFE 5152885805 100 EAST GRAND AVENUE NO 200 DES MOINES IA 50309 M SLOAN BENTLEY PRESIDENT & CEO 5152885805 2014-07-23 1 BRUCE CAHILL P00546325 5152258400 2013 2015-11-30 17:44:51Z M SLOAN BENTLEY 100 EAST GRAND AVENUE NO 200 DES MOINES IA 50309 325455611 0 X WWW.LIFESPACECOMMUNITIES.COM X 1976 IA CREATING COMMUNITIES CELEBRATING THE LIVES OF SENIORS. 9 8 3259 1423 0 0 506432 401776 210118367 210646816 3599311 2346273 0 0 214224110 213394865 6283333 966551 0 0 91861754 95836928 0 0 0 107807517 111314340 205952604 208117819 8271506 5277046 614897413 713181641 462957377 766246697 151940036 -53065056 CREATING COMMUNITIES CELEBRATING THE LIVES OF SENIORS. 0 0 181069562 966551 209689275 LIFESPACE COMMUNITIES, INC. OWNS ELEVEN DIFFERENT COMMUNITIES (5 IN FL, 2 IN IL, 1 IN MN, KS, PA AND NE) WHICH PROVIDE APARTMENT UNITS AND HEALTH CARE FOR RETIRED PERSONS. RESIDENTS PAY AN INITIAL ENTRANCE FEE AND MONTHLY SERVICE FEES THEREAFTER WHICH ENTITLE THEM TO THE USE OF THE FACILITY FOR LIFE AND UNLIMITED USE OF THE HEALTH CENTER. RESIDENTS DO NOT ACQUIRE TITLE TO THE PROPERTY. 181069562 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 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 1883 0 3259 1 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X JASON BULS 5152885805 100 EAST GRAND AVENUE SUITE 200 DES MOINES IA 50309 JOHN J KADUCE DIRECTOR 2.00 2.50 X 30000 0 0 SCOTT M HARRISON PRESIDENT/CEO/DIRECTOR 40.00 2.50 X X 464951 0 321480 ANN A WAGNER-HAUSER DIRECTOR 2.00 2.50 X 34000 0 0 DONALD W BOURNE DIRECTOR 2.00 2.50 X 34000 0 0 WILLIAM R COOK DIRECTOR 2.00 2.50 X 33000 0 0 JAMES E NOLAND PRIOR DIRECTOR 2.00 2.50 X 22500 0 0 PAULA J SHIVES DIRECTOR & PRIOR CHAIR 6.00 6.50 X 35433 0 0 RITA M DRAGONETTE DIRECTOR 2.00 2.50 X 34000 0 0 E LAVERNE EPP DIRECTOR & VICE-CHAIR 2.00 2.50 X 34000 0 0 ROBERT C KEHM DIRECTOR & CHAIR 2.00 2.50 X 39567 0 0 LARRY M SMITH VICE PRES/CFO & TREASURER 40.00 2.50 X 280131 0 26539 JOEILYNN LEONHARDT VICE PRESIDENT - HR 40.00 2.50 X 174271 0 23732 KIMBERLY HULETT VICE PRESIDENT - MARKETING 40.00 2.50 X 173313 0 27642 SYDNEY J CODER CORPORATE SECRETARY 2.00 2.50 X 16345 0 0 THOMAS SMITH EXECUTIVE DIRECTOR 40.00 0.00 X 151122 0 20339 BLAIRE GOLDSTEIN EXECUTIVE DIRECTOR 40.00 0.00 X 159864 0 18002 DAVID RANDAZZO EXECUTIVE DIRECTOR 40.00 0.00 X 182359 0 12230 RICHARD MEYER EXECUTIVE DIRECTOR 40.00 0.00 X 152774 0 16519 BOBBI JO HADEN EXECUTIVE DIRECTOR 40.00 0.00 X 217450 0 13420 HAROLD KAVAN RISK MANAGER 40.00 0.00 X 161835 0 24517 SHAWN PERRIGO EXECUTIVE DIRECTOR 40.00 0.00 X 160440 0 6073 CHRIS PLANCE DIRECTOR OF STRATEGIC PLANNING 40.00 0.00 X 162015 0 6272 SCARLETT PAINE MARKETING DIRECTOR 40.00 0.00 X 146964 0 0 2900334 0 516765 27 0 1 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 631503534 THERAPY 5593901 KRAUS-ANDERSON CONSTRUCTION CO 525 SOUTH EIGHTH STREET MINNEAPOLIS MN 55404 CONTRACTOR 5002728 WEIS BUILDERS INC 7645 LYNDALE AVENUE SOUTH MINNEAPOLIS MN 55423 CONSTRUCTION 4703524 KAST CONSTRUCTION LLC 701 NORTHPOINT PARKWAY SUITE 400 WEST PALM BEACH FL 33407 CONSTRUCTION 2533516 GLYNN DEVINS ADVERTISING 11230 COLLEGE BLVD OVERLAND PARK KS 66210 MARKETING 2257889 90 340067 61709 401776 APARTMENT FEES 531110 125246715 125246715 SKILLED NURSING 623000 61347771 61347771 ENTRANCE FEES 531110 24052330 24052330 210646816 3293887 3293887 111093618 19514 111083691 977055 9927 -957541 -947614 -957541 9927 213394865 209689275 0 3303814 31696 31696 934855 934855 2518113 503623 2014490 73944781 59155825 14788956 877329 701863 175466 11780566 9424453 2356113 6716139 5372911 1343228 8208949 7798501 410448 614053 614053 165740 165740 285741 285741 4755824 3804659 951165 6393328 6393328 30164366 28656148 1508218 5256869 5151731 105138 MEDICAL & OTHER RESIDEN 15135652 15135652 DIETARY 13372798 13372798 PLANT OPERATIONS 11604044 11604044 OTHER GENERAL & ADMINIS 4897155 3917724 979431 10459821 9109751 1350070 208117819 181069562 27048257 0 17183048 23112923 2676997 3049149 36382139 39258853 7300000 8830000 683924 741642 3052782 3052727 678317591 290855084 369921726 387462507 107340848 133266835 4153267 3848082 66202682 110558923 614897413 713181641 29423908 32692353 5532316 5684343 133642903 158207291 4709966 4700000 20000000 20000000 269648284 544962710 462957377 766246697 X 151940036 -53065056 151940036 -53065056 614897413 713181641 X 5277046 -5295793 -204986345 0 X X 0 1 X 1 0 X 412953 1308774 666440 506432 401776 3296375 160660380 165529506 192164208 210118367 210646816 939119277 161073333 166838280 192830648 210624799 211048592 942415652 412953 1308774 643990 506432 336877 3209026 0 412953 1308774 643990 506432 336877 3209026 939206626 3970310 2790758 3125752 2935383 3293887 16116090 3970310 2790758 3125752 2935383 3293887 16116090 165043643 169629038 195956400 213560182 214342479 958531742 0.97980 0.97700 0.01680 0.01930 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 31372736 31372736 619227445 271876749 347350696 385855 304880 80975 27331555 18673455 8658100 387462507 BOND DISCOUNT - NET 347546 ASSETS WHOSE USE IS LIMITED: OPERATING RESERVE FUND 14456122 ASSETS WHOSE USE IS LIMITED: DEBT SERVICE RESERVE FUND 12297562 ASSETS WHOSE USE IS LIMITED: PRINCIPAL & INTEREST FUND 11833824 ASSETS WHOSE USE IS LIMITED: WAIT LIST RESERVE FUND 3613654 ASSETS WHOSE USE IS LIMITED: ENTRANCE FEE DEPOSITS 1870234 ASSETS WHOSE USE IS LIMITED: ASSET REPLACEMENT FUND 9562770 DEFERRED EXPENSES 3753953 GOODWILL 52823258 110558923 DEFERRED ENTRANCE FEES 544962710 544962710 X PART X, LINE 2: LIFESPACE COMMUNITIES, DEERFIELD, AND THE LIFESPACE FOUNDATION HAVE BEEN GRANTED EXEMPTIONS FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAVE BEEN DESIGNATED AS PUBLICLY SUPPORTED ORGANIZATIONS (RATHER THAN PRIVATE FOUNDATIONS). LIFESPACE DG, LLC, D/B/A OAK TRACE SHARES THE SAME EXEMPTIONS AS LIFESPACE BY VIRTUE OF LIFESPACE BEING THE SOLE MEMBER OF OAK TRACE. LIFESPACE EVALUATES TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING ITS TAX RETURNS TO DETERMINE WHETHER IT IS "MORE LIKELY THAN NOT" THAT EACH TAX POSITION WOULD BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY BASED ON THE TECHNICAL MERITS OF THE POSITION. TAX POSITIONS NOT DEEMED TO MEET THE MORE-LIKELY-THAN-NOT THRESHOLD WOULD BE RECORDED AS TAX BENEFIT OR EXPENSE IN THE CURRENT YEAR. AS OF OR DURING THE YEARS ENDED DECEMBER 31, 2013 AND 2012, LIFESPACE HAS NOT RECORDED ANY SUCH TAX BENEFIT OR EXPENSE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. NO EXAMINATIONS ARE IN PROGRESS OR ANTICIPATED AT THIS TIME. LIFESPACE'S FEDERAL INCOME TAX RETURNS ARE OPEN TO EXAMINATION FOR THE YEARS ENDED DECEMBER 31, 2010 THROUGH DECEMBER 31, 2012. 1 THE LIFESPACE FOUNDATION 100 EAST GRAND AVENUE SUITE 200 DES MOINES IA 50309 421370848 501(C)(3) 31696 REIMBURSE FOR ADMINISTRATIVE EXPENSES 1 0 HARDSHIP ASSISTANCE - REDUCTION OF FEES 54 934855 FAIR MARKET VALUE OF REDUCTION OF FEES RESIDENTS DO FROM TIME TO TIME SEEK FINANCIAL ASSISTANCE BY REQUESTING ASSISTANCE WITH THE MONTHLY SERVICE FEE. SINCE THESE RESIDENTS HAVE SIGNED A LIFE CARE CONTRACT, THE ORGANIZATION IS OBLIGATED TO LET THEM CONTINUE TO LIVE IN THE COMMUNITY. MANAGEMENT SHALL REVIEW BOARD APPROVED CRITERIA TO DETERMINE WHETHER THE RESIDENT IS A CANDIDATE TO RECEIVE A HARDSHIP DISCOUNT. IF THE RESIDENT QUALIFIES FOR A HARDSHIP DISCOUNT, THE DISCOUNT WILL BEGIN TO BE DEDUCTED FROM THE MONTHLY SERVICE FEES. PART I, LINE 2: THE ORGANIZATION CAN EASILY MONITOR THE USE OF THE GRANTS TO INDIVIDUALS BECAUSE THE GRANTS ARE SIMPLY REDUCTIONS OF THE MONTHLY SERVICE FEES AND ENTRANCE FEES THAT THE RESIDENT WOULD OWE IF THE HARDSHIP ASSISTANCE WAS NOT GRANTED. THE GRANT TO THE LIFESPACE FOUNDATION IS A REIMBURSEMENT OF DOCUMENTED ADMINISTRATIVE EXPENSES OF THE FOUNDATION. X 1 1 X X X X 0 1 0 0 0 0 0 0 0 SCOTT M HARRISON PRESIDENT/CEO/DIRECTOR 389502 0 73450 0 1999 0 309282 0 12198 0 786431 0 0 0 LARRY M SMITH VICE PRES/CFO & TREASURER 238803 0 41070 0 258 0 6337 0 20202 0 306670 0 0 0 JOEILYNN LEONHARDT VICE PRESIDENT - HR 155861 0 18350 0 60 0 5363 0 18369 0 198003 0 0 0 KIMBERLY HULETT VICE PRESIDENT - MARKETING 151772 0 21481 0 60 0 5449 0 22193 0 200955 0 0 0 THOMAS SMITH EXECUTIVE DIRECTOR 133952 0 17087 0 83 0 2414 0 17925 0 171461 0 0 0 BLAIRE GOLDSTEIN EXECUTIVE DIRECTOR 136048 0 23756 0 60 0 5087 0 12915 0 177866 0 0 0 DAVID RANDAZZO EXECUTIVE DIRECTOR 145121 0 37184 0 54 0 5520 0 6710 0 194589 0 0 0 RICHARD MEYER EXECUTIVE DIRECTOR 132804 0 19662 0 308 0 1623 0 14896 0 169293 0 0 0 BOBBI JO HADEN EXECUTIVE DIRECTOR 170538 0 46822 0 90 0 5441 0 7979 0 230870 0 0 0 HAROLD KAVAN RISK MANAGER 143881 0 17864 0 90 0 5029 0 19488 0 186352 0 0 0 SHAWN PERRIGO EXECUTIVE DIRECTOR 100700 0 17267 0 42473 0 2210 0 3863 0 166513 0 0 0 CHRIS PLANCE DIRECTOR OF STRATEGIC PLANNING 161811 0 150 0 54 0 0 0 6272 0 168287 0 0 0 PART I, LINE 1A COUNTRY CLUB MEMBERSHIP DUES FOR SCOTT M. HARRISON (OFFICER & DIRECTOR) ARE REIMBURSED BY LIFESPACE COMMUNITIES, INC. AND ARE INCLUDED IN HIS W-2 AS TAXABLE WAGES. PART I, LINE 4B SCOTT M. HARRISON (OFFICER & DIRECTOR) IS A PARTICIPANT IN A SECTION 457(F) PLAN MAINTAINED BY LIFESPACE COMMUNITIES, INC. HE DID NOT RECEIVE A PAYMENT FROM THIS PLAN DURING THE YEAR. LIFESPACE COMMUNITIES, INC. MADE A $300,000 CONTRIBUTION TO THE PLAN IN DECEMBER 2013. A PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY 521297505 696507RP9 2003-09-24 7009688 REFUND BONDS (4/30/92) 0 0 0 B PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY 521297505 696507SF0 2007-11-28 27930499 CONSTRUCTION OF FACILITY AND REFUND PRIOR ISSUE (11/20/1997) 0 0 0 C PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY 521297505 696507RV6 2004-12-22 5465000 ACQUISITION, CONSTRUCTION AND EQUIPPING FACILITY 0 0 0 D ILLINOIS FINANCE AUTHORITY 861091967 45200BMX3 2005-04-21 12165166 REFUND BONDS (4/29/1997) 0 0 0 A 3745000 7009688 1799982 140194 200479 6669015 2003 1 0 1 1 B 2700000 28762777 2248984 558610 17433952 10255713 2010 1 0 1 1 C 825000 5521436 417189 109300 4994947 2005 0 0 1 1 D 4585000 12165166 1053720 241856 279578 11643732 2005 1 0 1 1 A 0 1 0 0 0.00100 0.00000 0.00100 0 0 1 B 0 1 0 0 0.00060 0.00000 0.00060 0 0 1 C 0 1 0 0 0.00300 0.00000 0.00300 0 0 1 D 0 1 0 0 0.00300 0.00000 0.00300 0 0 1 A 0 0 1 1 0 0 0 0 1 B 0 0 1 1 0 0 1 TRANSAMERICAN LIFE 1.800000000000 1 0 1 C 0 0 1 1 1 0 0 0 1 D 0 0 1 1 1 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/24/2013 ISSUER NAME: PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/31/2012 ISSUER NAME: PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/22/2009 ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/21/2010 ISSUER NAME: CHARTIERS VALLEY INDUSTRIAL & COMMERCIAL DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/01/2013 ISSUER NAME: CITY OF PRAIRIE VILLAGE, KANSAS DATE THE REBATE COMPUTATION WAS PERFORMED: 08/01/2013 ISSUER NAME: HOSPITAL AUTHORITY NO.1 OF LANCASTER COUNTY, NEBRASKA DATE THE REBATE COMPUTATION WAS PERFORMED: 03/05/2005 ISSUER NAME: HOSPITAL AUTHORITY NO.1 OF LANCASTER COUNTY, NEBRASKA DATE THE REBATE COMPUTATION WAS PERFORMED: 12/05/2008 ENTITY 1, SCHEDULE K, PART II, COLUMN A, LINE 3, TOTAL PROCEEDS OF ISSUE: THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. ENTITY 1, SCHEDULE K, PART II, COLUMN B, LINE 3, TOTAL PROCEEDS OF ISSUE: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 1, SCHEDULE K, PART I, ROW B, COLUMN (E) DUE TO INVESTMENT EARNINGS. ENTITY 1, SCHEDULE K, PART II, COLUMN B, LINE 3, TOTAL PROCEEDS OF ISSUE: THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. ENTITY 1, SCHEDULE K, PART II, COLUMN C, LINE 3, TOTAL PROCEEDS OF ISSUE: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 1, SCHEDULE K, PART I, ROW C, COLUMN (E) DUE TO INVESTMENT EARNINGS. ENTITY 1, SCHEDULE K, PART II, COLUMN D, LINE 3, TOTAL PROCEEDS OF ISSUE: THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. ENTITY 2, SCHEDULE K, PART II, COLUMN A, LINE 3, TOTAL PROCEEDS OF ISSUE: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 2, SCHEDULE K, PART I, ROW A, COLUMN (E) DUE TO INVESTMENT EARNINGS. ENTITY 2, SCHEDULE K, PART II, COLUMN B, LINE 3, TOTAL PROCEEDS OF ISSUE: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 2, SCHEDULE K, PART I, ROW B, COLUMN (E) DUE TO INVESTMENT EARNINGS. ENTITY 2, SCHEDULE K, PART II, COLUMN C, LINE 3, TOTAL PROCEEDS OF ISSUE: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 2, SCHEDULE K, PART I, ROW C, COLUMN (E) DUE TO INVESTMENT EARNINGS. ENTITY 2, SCHEDULE K, PART II, COLUMN D, LINE 3, TOTAL PROCEEDS OF ISSUE: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 2, SCHEDULE K, PART I, ROW D, COLUMN (E) DUE TO INVESTMENT EARNINGS. ENTITY 3, SCHEDULE K, PART II, COLUMN A, LINE 3, TOTAL PROCEEDS OF ISSUE: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN ENTITY 3, SCHEDULE K, PART I, ROW A, COLUMN (E) DUE TO INVESTMENT EARNINGS. ENTITY 2, SCHEDULE K, PART IV, COLUMN B, LINE 4B, NAME OF PROVIDER: LEHMAN BROTHERS SPECIAL FINANCING, INC. ENTITY 2, SCHEDULE K, PART IV, COLUMN C, LINE 2, REBATE COMPUTATION: NOTE REGARDING THE 03/05/2005 REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS NO FURTHER REBATE CALCULATIONS WERE NECESSARY. ENTITY 2, SCHEDULE K, PART IV, COLUMN D, LINE 2, REBATE COMPUTATION: NOTE REGARDING THE 12/05/2008 REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS NO FURTHER REBATE CALCULATIONS WERE NECESSARY. A CHARTIERS VALLEY INDUSTRIAL & COMMERCIAL DEVELOPMENT AUTHORITY 251330516 161388BY8 2003-10-22 10167738 REFUND BONDS (6/27/1996) 0 0 0 B CITY OF PRAIRIE VILLAGE KANSAS 486077081 73971EAK7 2003-08-28 9410000 REFUND PRIOR ISSUE (9/2/1993) 0 0 0 C HOSPITAL AUTHORITY NO1 OF LANCASTER COUNTY NEBRASKA 470721900 2003-03-05 9700000 CONSTRUCTION OF FACILITY 0 0 0 D HOSPITAL AUTHORITY NO1 OF LANCASTER COUNTY NEBRASKA 470721900 2005-12-05 13050000 CONSTRUCTION OF FACILITY 0 0 0 A 4880000 10171636 964856 201859 9004921 2003 1 0 1 1 B 3450000 9410684 756964 188200 95657 144780 8225083 2003 1 0 1 1 C 2067820 9777788 9777788 2004 0 0 1 1 D 1586400 13603719 200000 13403719 2007 0 0 1 1 A 0 1 0 0 0.00200 0.00000 0.00200 0 0 1 B 0 1 0 0 0.00300 0.00000 0.00300 0 0 1 C 0 1 0 0 0.00100 0.00000 0.00100 0 0 1 D 0 1 0 0 0.00100 0.00000 0.00100 0 0 1 A 0 0 1 1 0 0 0 0 1 B 0 0 1 1 1 1 SEE PART VI 6.900000000000 0 1 0 0 1 C 0 0 1 1 1 0 0 0 1 D 0 0 0 1 1 0 0 0 1 A 1 B 1 C 1 D 1 A KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 485429BX1 2010-11-18 25526524 CONSTRUCTION OF FACILITY AND REFUND A TAXABLE LOAN (7/1/2009) 0 0 0 B KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 2013-02-20 30000000 ACQUIRE AND CONSTRUCT PROJECT 0 0 0 A 25971264 2696029 431072 19922450 2921714 2012 1 0 1 1 B 30000000 409628 20355260 9235112 0 0 0 1 A 0 1 0 0 0.00300 0.00000 0.00300 0 0 1 B 0 1 0 0 0.00300 0.00000 0.00300 0 0 1 A 0 1 1 0 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 DEERFIELD RETIREMENT COMMUNITY INC RELATED CHARITABLE ORGANIZATION FINANCING FOR CONSTRUCTION AND OPERATION OF HEALTH CARE FACILITIES X 8830000 8830000 0 1 1 8830000 FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENT PERFORMS A THOROUGH REVIEW OF THE FORM 990. THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE FORM 990 PRIOR TO FILING. ANY CONCERNS OR SUGGESTIONS IDENTIFIED BY THE AUDIT COMMITTEE ARE REPORTED TO THE FULL BOARD OF DIRECTORS. A COPY OF THE FORM 990 WILL BE DISTRIBUTED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING. MEMBERS OF THE BOARD OF DIRECTORS DIRECT ANY QUESTIONS OR CONCERNS TO THE CHIEF FINANCIAL OFFICER TO BE RESOLVED PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS OF LIFESPACE COMMUNITIES, INC. AND ALL RELATED ORGANIZATIONS MUST CONDUCT THEIR PERSONAL AFFAIRS IN SUCH A MANNER AS TO AVOID ANY POSSIBLE CONFLICTS OF INTEREST WITH DUTIES AND RESPONSIBILITIES AS OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS. ALL NEW BOARD MEMBERS AND OFFICERS ARE REQUIRED TO COMPLETE A CONFLICTS OF INTEREST STATEMENT. THIS IS REVIEWED BY THE MANAGEMENT DEVELOPMENT COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL. OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS ANNUALLY ARE REQUIRED TO COMPLETE A CONFLICTS OF INTEREST STATEMENT. THESE STATEMENTS ARE REVIEWED BY THE MANAGEMENT DEVELOPMENT COMMITTEE TO DETERMINE IF ANY CONFLICTS OF INTEREST EXIST PRIOR TO REAPPOINTMENT TO THE BOARD AND OFFICER POSITIONS. ANY DIRECTOR HAVING A CONFLICT OF INTEREST SHALL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR OFFICERS AND DIRECTORS IS REVIEWED BY THE MANAGEMENT DEVELOPMENT COMMITTEE ANNUALLY. AN OUTSIDE CONSULTANT IS USED EVERY OTHER YEAR TO DETERMINE THE REASONABLENESS OF OFFICER AND DIRECTOR COMPENSATION. A REPORT IS PROVIDED TO THE BOARD OF DIRECTORS BY THE CONSULTANT. IN YEARS WHEN AN OUTSIDE CONSULTANT IS NOT USED, THE MANAGEMENT DEVELOPMENT COMMITTEE REVIEWS SURVEY INFORMATION TO DETERMINE THE REASONABLENESS OF OFFICER AND DIRECTOR COMPENSATION. THE BOARD OF DIRECTORS APPROVES THE ANNUAL COMPENSATION BASED ON THESE REVIEWS. OFFICERS FOR WHICH THIS PROCESS IS USED ARE THE CEO, COO AND CFO. THE SALARIES AND BENEFITS LISTED CONTAIN THE TOTAL SALARIES AND BENEFITS PAID TO EACH INDIVIDUAL THROUGH LIFESPACE COMMUNITIES, INC. AND ALL RELATED ENTITIES. FORM 990, PART VI, SECTION C, LINE 19 REQUESTS FROM THIRD PARTIES FOR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE REFERRED TO THE CHIEF FINANCIAL OFFICER. ANNUAL RETURNS AND THE APPLICATION FOR EXEMPTION ARE MADE AVAILABLE FOR PUBLIC INSPECTION AND ARE PROVIDED TO INDIVIDUALS WHO REQUEST THEM. COPIES ARE PROVIDED WITHIN 30 DAYS OF A WRITTEN REQUEST OR THE SAME DAY IF REQUESTED IN PERSON. FORM 990, PART XII, LINE 2C: THE PROCESS OF OVERSEEING THE AUDIT AND SELECTING AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART XI, LINE 8 - PRIOR PERIOD ADJUSTMENTS: IN JULY 2012, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED ACCOUNTING STANDARDS UPDATE (ASU) 2012-01, HEALTH CARE ENTITIES: CONTINUING CARE RETIREMENT COMMUNITIES - REFUNDABLE ADVANCE FEES. THE AMENDMENTS IN THIS ASU CLARIFY THAT AN ENTITY SHOULD CLASSIFY AN ADVANCE FEE AS DEFERRED REVENUE WHEN A CCRC HAS A RESIDENT CONTRACT THAT PROVIDES FOR PAYMENT OF THE REFUNDABLE ADVANCE FEE UPON RE-OCCUPANCY BY A SUBSEQUENT RESIDENT, WHICH IS LIMITED TO THE PROCEEDS OF RE-OCCUPANCY BY A SUBSEQUENT RESIDENT. THE AMENDMENTS ALSO CLARIFY THAT REFUNDABLE ADVANCE FEES THAT ARE CONTINGENT UPON RE-OCCUPANCY BY A SUBSEQUENT RESIDENT BUT ARE NOT LIMITED TO THE PROCEEDS OF RE-OCCUPANCY SHOULD BE ACCOUNTED FOR AND REPORTED AS A LIABILITY. THE AMENDMENTS IN THE ASU ARE EFFECTIVE FOR FISCAL PERIODS BEGINNING AFTER DECEMBER 15, 2012 FOR PUBLIC ENTITIES, AS DEFINED, WITH EARLY ADOPTION PERMITTED. THEREFORE THE AMENDMENTS WERE EFFECTIVE FOR OUR CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEAR ENDING DECEMBER 31, 2013. UPON ADOPTION THE PURCHASE PRICE OF OAK TRACE WAS REALLOCATED AND IS REFLECTED AS GOODWILL ON THE BALANCE SHEET. THE TOTAL AMOUNT OF THE PRIOR PERIOD ADJUSTMENT WAS ($204,986,345) AS IS SHOWN ON FORM 990, PART XI, LINE 8. THE PRIOR PERIOD ADJUSTMENT IS SHOWN IN ORDER TO CONFORM TO THE FORM 990 INSTRUCTIONS WHICH STATE THAT THE ORGANIZATION SHOULD GENERALLY USE THE SAME ACCOUNTING METHOD ON THE RETURN TO REPORT REVENUE AND EXPENSES THAT IT REGULARLY USES TO KEEP ITS BOOKS AND RECORDS. LIFESPACE DG LLC DBA OAK TRACE 100 EAST GRAND AVENUE SUITE 200 DES MOINES IA 50309 452672674 OPERATION OF RETIREMENT COMMUNITY IA -2332000 77951000 DEERFIELD RETIREMENT COMMUNITY INC 100 EAST GRAND AVENUE SUITE 200 DES MOINES IA 50309 421508960 OPERATION OF RETIREMENT COMMUNITY IA 501(C)(3) LINE 9 1 THE LIFESPACE FOUNDATION 100 EAST GRAND AVENUE SUITE 200 DES MOINES IA 50309 421370848 SUPPORT OF RETIREMENT COMMUNITIES IA 501(C)(3) LINE 11A, I 1 LIFESPACE INC 100 EAST GRAND AVENUE SUITE 200 DES MOINES IA 50309 273270337 OWNERSHIP & ADMINISTRATION OF RETIREMENT COMMUNITY PROPERTY IA 501(C)(3) LINE 11B, II 1 LIFESPACE MANAGEMENT INC 100 EAST GRAND AVENUE SUITE 200 DES MOINES IA 50309 273271283 MANAGEMENT OF RETIREMENT COMMUNITIES IA 501(C)(3) LINE 11B, II 1 LIFESPACE SERVICES INC 100 EAST GRAND AVENUE SUITE 200 DES MOINES IA 50309 273271147 HEALTH SERVICES AND PROGRAMS FOR RETIREMENT COMMUNITIES IA 501(C)(3) LINE 9 1 PRAIRIE VIEW CLUB OF KANSAS 8101 MISSION RD PRAIRIE VILLAGE KS 66208 481159378 RESIDENT ENTERTAINMENT SERVICES KS C -6528 15053 1.00000 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 DEERFIELD RETIREMENT COMMUNITY INC A 365000 THE LIFESPACE FOUNDATION B 31696 THE LIFESPACE FOUNDATION C 336877 TRUST AGREEMENT NO ONE C 3190 DEERFIELD RETIREMENT COMMUNITY INC D 1530000 DEERFIELD RETIREMENT COMMUNITY INC Q 477575 THE LIFESPACE FOUNDATION Q 78359