2013-08-15T18:42:47-05:00 2012-09-30 910189318 MOSS ADAMS LLP 3121 WEST MARCH LANE SUITE 100 STOCKTON CA 952192303 990 2011-10-01 750891470 THE CUMBERLAND REST INC CUMB 8887246424 1600 TEXAS ST FORT WORTH TX 761023434 LEE PATTERSON 8887246424 2013-08-15 1 TRACY S PAGLIA P00366884 2099556100 2011 2016-02-24 21:20:13Z TRINITY TERRACE DOUG WILSON 965 ELLENDALE DRIVE MEDFORD OR 97504 18797214 0 X WWW.RETIREMENT.ORG X 1943 TX TO PROVIDE COMPREHENSIVE CARE AND HOUSING FOR THE ELDERLY. 10 10 217 12 0 0 7789 33761 17444437 17513263 2994784 363841 145832 2635 20592842 17913500 0 0 0 0 6305324 6754422 0 0 0 12386307 13217461 18691631 19971883 1901211 -2058383 100613772 108891580 97747519 97954562 2866253 10937018 TRINITY TERRACE IS A NOT-FOR-PROFIT CONTINUING CARE RETIREMENT COMMUNITY PROVIDING EXCEPTIONAL SERVICES AND A SECURE, COMFORTABLE ENVIRONMENT TO ENRICH THE LIVES OF SENIORS. 0 0 15710356 0 17513263 CUMBERLAND REST, INC. IS A CONTINUING CARE RETIREMENT COMMUNITY, DEDICATED TO ENHANCING OUR RESIDENTS QUALITY OF LIFE IN A STIMULATING, SECURE ENVIRONMENT. WE PROVIDE HIGH-QUALITY SERVICES INCLUDING HOUSING, NUTRITIOUS MEALS, NURSING, HOUSEKEEPING, MAINTENANCE, AND OTHER SUPPORT TO THOSE WE SERVE. OUR LEVELS OF SERVICE INCLUDE INDEPENDENT LIVING, ASSISTED LIVING, AND SKILLED NURSING. 15710356 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 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 0 1 49 0 1 217 1 0 0 0 0 0 0 0 0 0 1 0 X 10 10 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X SHERI DRESSLER 5418577644 965 ELLENDALE DRIVE MEDFORD OR 97504 X DOUG WILSON 1.00 X X 0 0 0 JIM WHITTON 1.00 X 0 0 0 GRETCHEN SMITH 1.00 X X 0 0 0 MICHAEL HYATT 1.00 X X 0 0 0 ALLAN BARR 1.00 X X 0 0 0 JIM AUSTIN 1.00 X 0 0 0 DONALD MILLS 1.00 X 0 0 0 CARLELA VOGEL 1.00 X 0 0 0 REV KARL TRAVIS 1.00 X 0 0 0 MICK MCMAHON 1.00 X 0 0 0 LEE PATTERSON 40.00 X 146308 0 31447 146308 0 31447 1 0 1 0 LONE STAR CLASSIC CONSTRUCTION 3750 KELLY ROAD ALEDO TX 76008 CONSTRUCTION 1793720 PRS - PACIFIC RETIREMENT SERVICES 965 ELLENDALE DRIVE MEDFORD OR 97504 MANAGEMENT SERVICES 1075988 UNITED HEALTHCARE INSURANCE COMPANY PO BOX 740819 ATLANTA GA 30374 EMPLOYEE BENEFITS 422971 CONSONUS REHAB PO BOX 4800 PORTLAND OR 97208 THERAPY 409357 V TEC MECHANICAL INC 6001 W IH 20 STE 209 ARLINGTON TX 76017 CONSTRUCTION 218325 12 33761 5940 33761 SERVICE FEES 623000 10346157 10346157 ENTRANCE FEES 623000 3535739 3535739 HEALTH CENTER REVENUE 623000 3139614 3139614 DINING REVENUE 623000 193902 193902 LEVEL OF CARE SVCS 623000 152040 152040 145811 145811 17513263 744748 744748 2635 2635 500002 2805 612449 271265 -112447 -268460 -380907 -380907 17913500 17513263 0 366476 5146979 4363009 783970 144382 97032 47350 1079896 909855 170041 383165 328114 55051 1263460 1263460 63378 63378 53822 53822 90920 90920 6706 6706 328850 638 328212 409601 332408 77193 45319 45319 1874837 1874837 54339 16555 37784 14787 5526 9261 2310394 2310394 3582684 3582684 163490 163490 LOSS ON EXTINGUISHMENT 1037297 1037297 DIETARY EXPENSES 786883 786883 HEALTH CENTER EXPENSES 506687 506687 CONTRACT SERVICES 357415 266788 90627 266592 165456 101136 19971883 15710356 4261527 0 2770051 1807429 1708497 2475095 228959 462112 41676 35877 167268 198302 89596444 34744892 56393388 54851552 30048881 33533861 9255052 15527352 100613772 108891580 2257749 2406553 42995868 44099057 46675000 45225000 5818902 6223952 97747519 97954562 X -9352774 -9037560 7084937 13008150 5134090 6966428 2866253 10937018 100613772 108891580 X -2058383 10129148 X 0 1 1 X 0 X 3270 2016 7789 33761 46836 13735929 14372299 16572145 17444437 17513263 79638073 13739199 14374315 16572145 17452226 17547024 79684909 0 48382 48382 48382 48382 79636527 637217 254467 637846 805097 747383 3082010 637217 254467 637846 805097 747383 3082010 14376416 14628782 17209991 18257323 18294407 82766919 0.96220 0.96390 0.03720 0.03610 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 19971883 19971883 1000000 250000 0 0 1000000 1000000 2000000 3000000 250000 250000 500000 750000 703023 703023 78290252 30343789 47946463 9730633 4000493 5730140 872536 400610 471926 54851552 BOND ISSUE COSTS 1057900 INTEREST IN NET ASSETS OF TRINITY TERRACE FOUNDATION 25678 OIL AND GAS MINERAL RIGHTS 14443774 15527352 REFUNDABLE DEPOSITS 896630 SWAP AGREEMENT 5202775 DUE TO AFFILIATES 124547 6223952 17913500 19971883 -2058383 1313617 8815531 10129148 8070765 28220188 1313617 9083991 10397608 17822580 90920 90920 17913500 20149423 268460 268460 19880963 90920 90920 19971883 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE CORPORATION 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 CORPORATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSE. AT SEPTEMBER 30, 2012 AND 2011, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. PART XI, LINE 8 - OTHER ADJUSTMENTS: SWAP GAIN 233,551. CHANGE IN INTEREST IN NET ASSETS OF TRINITY FOUNDATION -2,274. CHANGE IN FAIR VALUE OF SPLIT INTEREST TRUST 8,584,254. TOTAL TO SCHEDULE D, PART XI, LINE 8: 8,815,531. PART XII, LINE 2D - OTHER ADJUSTMENTS: SWAP GAIN 233,551. CHANGE IN INTEREST OF NET ASSETS -2,274. CHANGE IN FAIR VALUE OF SPLIT INTEREST TRUST 8,584,254. LOSS ON DISPOSAL OF ASSETS 268,460. PART XIII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS 268,460. 0 0 0 0 0 0 0 0 0 LEE PATTERSON 122308 0 24000 0 0 0 14549 0 16898 0 177755 0 0 0 PART I, LINE 3 COMPENSATION WAS RECOMMENDED BY PACIFIC RETIREMENT SERVICES, INC. AND APPROVED BY THE CUMBERLAND REST, INC. BOARD AS PART OF THE ANNUAL BUDGET PROCESS. TARRANT COUNTY CULTURAL EDUCATION FINANCE CORPORATION 043833551 2011-12-29 46558312 REFUND THE ISSUER'S SERIES 2006 BONDS 0 0 0 1450000 46558312 46558312 2008 1 0 1 1 0 1 1 1 0 0.00000 0.00000 0.00000 1 0 1 1 MORGAN STANLEY CAP SERV INC 24.600000000000 0 0 0 0 1 X SCHEDULE K, PART I (F) THE ISSUER'S SERIES 2006 BONDS WERE ISSUED ON 12/7/06. FORM 990, PART VI, SECTION A, LINE 3 THE CUMBERLAND REST, INC. (AKA TRINITY TERRACE) BOARD DELEGATES MANAGEMENT TO PACIFIC RETIREMENT SERVICES. FORM 990, PART VI, SECTION A, LINE 6 THE CUMBERLAND REST, INC. (AKA TRINITY TERRACE) HAS ONE MEMBER, PACIFIC RETIREMENT SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A PACIFIC RETIREMENT SERVICES, INC. HAS THE AUTHORITY TO ELECT ALL DIRECTORS FROM NOMINEES SELECTED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B SOME DECISIONS OF THE BOARD ARE SUBJECT TO APPROVAL BY PACIFIC RETIREMENT SERVICES, AS OUTLINED IN ARTICLE III, SECTION 2 OF THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE CFO, ASSISTANT CONTROLLER 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 15A 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 VP 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 ED'S DIRECT SUPERVISOR (COO OR VP OF OPERATIONS). FORM 990, PART VI, SECTION C, LINE 19 ALL REQUESTS GO THROUGH CORPORATE COUNSEL. HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: PART VII, SECTION A: DOUG WILSON DEVOTES 1 HOUR PER WEEK EACH TO PACIFIC RETIREMENT SERVICES AND TRINITY TERRACE FOUNDATION. GRETCHEN SMITH, ALLAN BARR AND CARLELA VOGEL DEVOTE 1 HOUR PER WEEK TO TRINITY TERRACE FOUNDATION. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,313,617. SWAP GAIN 233,551. CHANGE IN INTEREST IN NET ASSETS OF TRINITY FOUNDATION -2,274. CHANGE IN FAIR VALUE OF SPLIT INTEREST TRUST 8,584,254. TOTAL TO FORM 990, PART XI, LINE 5: 10,129,148. PACIFIC RETIREMENT SERVICES INC 965 ELLENDALE DRIVE MEDFORD OR 97504 931067253 SUPPORTING ORGANIZATION OR 501(C)(3) LINE 11C, III-FI N/A 0 ROGUE VALLEY MANOR 965 ELLENDALE DRIVE MEDFORD OR 97504 930453216 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 CASCADE MANOR INC 965 ELLENDALE DRIVE MEDFORD OR 97504 930557803 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 UNIVERSITY RETIREMENT COMMUNITY AT DAVIS 965 ELLENDALE DRIVE MEDFORD OR 97504 931179254 SENIOR HOUSING CA 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 HOLLADAY PARK PLAZA 965 ELLENDALE DRIVE MEDFORD OR 97504 930513697 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 HOLLADAY PARK PLAZA ENDOWMENT FUND 965 ELLENDALE DRIVE MEDFORD OR 97504 930776291 ASSISTANCE TRUST OR 501(C)(3) LINE 7 HOLLADAY PARK PLAZA 0 CAPITOL LAKES INC 965 ELLENDALE DRIVE MEDFORD OR 97504 391412320 SENIOR HOUSING WI 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 ROGUE VALLEY MANOR FOUNDATION 965 ELLENDALE DRIVE MEDFORD OR 97504 930712867 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 PACIFIC RETIREMENT SERVICES INC 0 UNIVERSITY RETIREMENT COMMUNITY AT DAVIS FOUNDATION 965 ELLENDALE DRIVE MEDFORD OR 97504 931301816 PUBLIC FOUNDATION CA 501(C)(3) LINE 7 PACIFIC RETIREMENT SERVICES INC 0 TRINITY TERRACE FOUNDATION INC 965 ELLENDALE DRIVE MEDFORD OR 97504 912162130 PUBLIC FOUNDATION TX 501(C)(3) LINE 7 PACIFIC RETIREMENT SERVICES INC 0 HOLLADAY PARK PLAZA FOUNDATION 965 ELLENDALE DRIVE MEDFORD OR 97504 264529118 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 PACIFIC RETIREMENT SERVICES INC 0 MIRABELLA WASHINGTON FOUNDATION 965 ELLENDALE DRIVE MEDFORD OR 97504 450574348 PUBLIC FOUNDATION WA 501(C)(3) LINE 7 PACIFIC RETIREMENT SERVICES INC 0 CASCADE MANOR FOUNDATION 965 ELLENDALE DRIVE MEDFORD OR 97504 931330100 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 PACIFIC RETIREMENT SERVICES INC 0 CAPITOL LAKES FOUNDATION 965 ELLENDALE DRIVE MEDFORD OR 97504 383781089 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 CAPITOL LAKES INC 0 MIRABELLA 965 ELLENDALE DRIVE MEDFORD OR 97504 342030255 SENIOR HOUSING WA 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 MIRABELLA AT SOUTH WATERFRONT 965 ELLENDALE DRIVE MEDFORD OR 97504 711016384 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 MIRABELLA SAN FRANCISCO BAY 965 ELLENDALE DRIVE MEDFORD OR 97504 200428927 SENIOR HOUSING CA 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM COMMUNITY SERVICES INC 965 ELLENDALE DRIVE MEDFORD OR 97504 930892261 COMM SRVCS OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 930864466 SENIOR HOUSING OR 501(C)(3) LINE 9 ROGUE VALLEY MANOR 0 RVM ASHLAND HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 930942933 SENIOR HOUSING OR 501(C)(3) LINE 9 ROGUE VALLEY MANOR 0 RVM GRANTS PASS HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943136037 SENIOR HOUSING OR 501(C)(3) LINE 9 ROGUE VALLEY MANOR 0 RVM ROSEBURG HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943179782 SENIOR HOUSING OR 501(C)(3) LINE 9 ROGUE VALLEY MANOR 0 RVM MYRTLE CREEK HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943162074 SENIOR HOUSING OR 501(C)(3) LINE 9 ROGUE VALLEY MANOR 0 RVM BEND HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943163349 SENIOR HOUSING OR 501(C)(3) LINE 9 ROGUE VALLEY MANOR 0 RVM EAGLE POINT HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943191447 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM KLAMATH FALLS HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943196455 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM MEDFORD II HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943212537 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM LIVELY OAKS HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943194409 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM REEDSPORT HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943212538 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM YREKA HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943212540 SENIOR HOUSING CA 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM EUGENE HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943247154 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM FORT WORTH I HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 311520436 SENIOR HOUSING TX 501(C)(3) LINE 9 ROGUE VALLEY MANOR 0 RVM BEND II HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 943260016 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 RVM FORT WORTH II HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 311587415 SENIOR HOUSING TX 501(C)(3) LINE 9 ROGUE VALLEY MANOR 0 RVM MEDFORD III HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 311587418 SENIOR HOUSING OR 501(C)(3) LINE 9 ROGUE VALLEY MANOR 0 RVM ROSEBURG II HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 311587420 SENIOR HOUSING OR 501(C)(3) LINE 9 ROGUE VALLEY MANOR 0 RVM GRANTS PASS II HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 311662259 SENIOR HOUSING OR 501(C)(3) LINE 9 ROGUE VALLEY MANOR 0 RVM DAVIS HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 311662208 SENIOR HOUSING CA 501(C)(3) LINE 9 ROGUE VALLEY MANOR 0 RVM MYRTLE CREEK II HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 311715321 SENIOR HOUSING OR 501(C)(3) LINE 9 ROGUE VALLEY MANOR 0 RVM PORTLAND HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 311780332 SENIOR HOUSING OR 501(C)(3) LINE 9 ROGUE VALLEY MANOR 0 RVM PORTLAND II HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 300037898 SENIOR HOUSING OR 501(C)(3) LINE 9 ROGUE VALLEY MANOR 0 RVM CENTRAL POINT HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 300315618 SENIOR HOUSING OR 501(C)(3) LINE 9 ROGUE VALLEY MANOR 0 RVM MANSFIELD HOUSING CORPORATION 965 ELLENDALE DRIVE MEDFORD OR 97504 900292647 SENIOR HOUSING TX 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 CORBINTON RETIREMENT 965 ELLENDALE DRIVE MEDFORD OR 97504 262987036 SENIOR HOUSING NC 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 MIRABELLA AT MORRISON 965 ELLENDALE DRIVE MEDFORD OR 97504 271016196 SENIOR HOUSING NC 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 MIRABELLA PORTLAND FOUNDATION 965 ELLENDALE DRIVE MEDFORD OR 97504 452508860 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 PACIFIC RETIREMENT SERVICES INC 0 CREST PARK INC 965 ELLENDALE DRIVE MEDFORD OR 97504 931169683 HOTEL OR N/A C RETIREMENT SERVICES INC 965 ELLENDALE DRIVE MEDFORD OR 97504 931328250 MANAGEMENT COMPANY OR N/A C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0