2012-07-10T08:40:01-05:00 2011-12-31 420714325 MCGLADREY LLP 101 INTERNATIONAL DRIVE SUITE 1400 BALTIMORE MD 21202 990 2011-01-01 522095427 GREENSPRING VILLAGE INC GREE 7039234600 7440 SPRING VILLAGE DRIVE SPRINGFIELD VA 22150 EILEEN ERSTAD 7039234600 2012-06-28 1 JULIA FLANNERY P00928918 4102469300 2011 2016-02-24 21:20:13Z JOANNE RORAPAUGH 7440 SPRING VILLAGE DRIVE SPRINGFIELD VA 22150 82779356 0 X WWW.NATIONALSENIORCAMPUSES.ORG X 1997 MD PROVIDE A HOME FOR SENIORS THAT SATISFIES THEIR THREE PRIMARY NEEDS. SEE SCHEDULE O. 9 9 1416 831 0 0 1180381 827172 78756977 81258725 88955 200315 357546 455873 80383859 82742085 100782 105419 0 0 36278510 37235997 101236 98861 203303 39837783 39858145 76318311 77298422 4065548 5443663 442253067 446206650 409526006 408510696 32727061 37695954 THE BOARD OF DIRECTORS OF NATIONAL SENIOR CAMPUSES, INC. AND ITS SUPPORTED COMMUNITIES ARE COMMITTED TO CREATING COMMUNITIES THAT CELEBRATE LIFE. SEE SCHEDULE O FOR THE COMPLETE MISSION STATEMENT. 0 0 74072302 105419 81258725 GREENSPRING VILLAGE PROVIDES SERVICES NEEDED BY SENIOR RESIDENTS, WHO RESIDE IN 1,390 INDEPENDENT LIVING UNITS, 144 ASSISTED LIVING UNITS AND 129 SKILLED NURSING BEDS. THE SERVICES WE PROVIDE TO OUR RESIDENTS INCLUDE, BUT ARE NOT LIMITED TO HOUSING, FOOD, MEDICAL, SECURITY AND MAINTENANCE SERVICES, RECREATIONAL AND PASTORAL ACTIVITIES. 74072302 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 89 0 1 1416 1 0 0 0 0 0 1 1 0 0 0 0 X 9 9 0 1 0 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 VA X X BRUCE SIXX 4104022362 701 MAIDEN CHOICE LANE BALTIMORE MD 21228 JOANNE RORAPAUGH 2.00 X X 14708 37792 0 L CARROLL YINGLING 1.00 X X 10954 33046 0 LARRY SHUBNELL 2.00 X X 9725 131775 0 RONALD LEVIN 3.00 X X 11875 0 0 EILEEN ERSTAD 3.00 X X 9375 31875 0 JIM ANDERS 2.00 X X 9725 74275 0 JACKSON BAIN 1.00 X 9375 31875 0 MAURICE BELLAN 0.30 X 9375 28125 0 JERRY SEALS 0.40 X 9375 28125 0 ROBIN GLIBOFF 40.00 X 178123 0 15049 BENJAMIN CORNTHWAITE 1.00 X 2689 143212 19406 BERWICK DREWS 40.00 X 110096 0 6059 JOHN HALL 0.50 X 0 0 0 CLARA PARKER 0.50 X 0 0 0 JAMES WALTER 0.50 X 0 0 0 ALBERTA MOMOH 40.00 X 130968 0 0 JOSEPH MAREK 40.00 X 116291 0 750 SHEILA WILLING 40.00 X 112983 0 12615 STEPHEN ALLMAN 40.00 X 114164 0 6809 KARLA HIBBS 40.00 X 105823 0 12127 965624 540100 72815 11 0 1 0 ERICKSON LIVING MANAGEMENT 701 MAIDEN CHOICE LANE BALTIMORE MD 21228 MANAGEMENT 3188933 SYSCO - BALTIMORE 8000 DORSEY RUN ROAD JESSUP MD 20794 FOOD SERVICE 2892297 CYPRESS CONTRACTING 23465 ROCK HAVEN WAY SUITE 130 DULLES VA 20166 CONTRACTUAL CONSTRUCTION 2031545 OMNICARE INC 9036 JUNCTION DRIVE ANNAPOLIS MD 20701 MEDICAL SERVICES 701419 KEANY PRODUCE CO 3310 75TH AVE LANDOVER MD 20785 FOOD SERVICE 564035 21 399715 427457 827172 RESIDENT FEES 623990 64899785 64899785 ANCILLARY FEES 623990 8587782 8587782 RESIDENT DEPOSITS 623990 7714122 7714122 PROCESSING FEES 623990 20400 20400 CONTRACT REVENUE 923990 18648 18648 17988 17988 81258725 223313 223313 460146 460146 460146 460146 18618 4380 -18618 -4380 -22998 -22998 10000 399715 14273 -4273 -4273 82742085 81258725 0 656188 28500 28500 76919 76919 406861 406861 29901908 28680643 1171317 49948 223837 165778 53867 4192 4404127 4168093 225115 10919 2299264 2159023 128814 11427 3188933 3188933 60599 57915 2684 62742 62742 98861 98861 17925 17925 3228765 2422487 800198 6080 1936441 1936441 7513738 7408466 88183 17089 4246746 4246746 86652 70762 15061 829 2933008 2933008 13234353 13234353 524803 524803 EQUIPMENT RENTAL 1669749 1636087 33662 LOSS ON EXTINGUISHMENT 575404 575404 RESIDENT RELATIONS 268396 210628 54028 3740 ADMINISTRATIVE & MISC. 257956 214711 43027 218 51935 51935 77298422 74072302 3022817 203303 1075 1325 31499966 39784303 3222559 3343845 5933610 6648000 173368 141095 16058 22760 431789694 84479082 351570743 347310612 48687321 48204226 1148367 750484 442253067 446206650 7566482 8821464 61014799 59716960 340944725 339972272 409526006 408510696 X 32073641 36833751 653420 862203 32727061 37695954 442253067 446206650 X 5443663 -474770 X 0 1 1 X 0 X 372982 426736 402293 1180381 827172 3209564 71523465 74291349 78325898 78756977 81258725 384156414 71896447 74718085 78728191 79937358 82085897 387365978 0 0 0 387365978 2248000 1679843 725863 450375 683459 5787540 2248000 1679843 725863 450375 683459 5787540 74144447 76397928 79454054 80387733 82769356 393153518 0.98530 0.98120 0.01470 0.01880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 21203114 21203114 394131324 72823614 321307710 13210143 9210497 3999646 3245113 2444971 800142 347310612 BENEFICIAL INTEREST IN NATIONAL CCRC BUSINESS TRUST I 48204226 F 48204226 ADVANCE DEPOSITS 1529700 RESIDENT DEPOSITS (NET) 328681574 RESIDENT REFUNDS 4921447 FUNDS HELD FOR RESIDENTS 265865 CLAIMS RESERVE 1749096 ACCRUED LIABILITY ON SWAP AGREEMENTS 2598588 UNCLAIMED PROPERTY 65239 MARKETING FEE DEFERRED 1316 DEFERRED MANAGEMENT FEE 159447 339972272 82742085 77298422 5443663 8324 -483094 -474770 4968893 83418197 8324 649170 657494 82760703 -18618 -18618 82742085 78449304 1150882 1150882 77298422 0 77298422 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: GREENSPRING VILLAGE, INC. ("GSV") IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE AND THE APPLICABLE STATE INCOME TAX REGULATIONS. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN NATIONAL CCRC BUSINESS TRUST I -483,094. PART XII, LINE 2D - OTHER ADJUSTMENTS: ADJUSTMENT TO TRNA 1,117,991. SPECIAL FUNDRAISING EVENT EXPENSE NETTED WITH REVENUE ON FORM 990 14,273. CHANGE IN BENEFICIAL INTEREST IN NATIONAL CCRC BUSINESS TRUST -483,094. PART XII, LINE 4B - OTHER ADJUSTMENTS: LOSS ON INVESTMENTS INCLUDED IN FUNCTIONAL EXPENSES ON FINANCIAL STATEMENTS -18,618. PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL FUNDRAISING EVENT EXPENSE NETTED WITH REVENUE ON FORM 990 14,273. ADJUSTMENT TO TRNA 1,117,991. LOSS ON INVESTMENTS INCLUDED IN FUNCTIONAL EXPENSES ON FINANCIAL STATEMENTS 18,618. X X X X X X 1 ERICKSON LIVING MANAGEMENT LLC 701 MAIDEN CHOICE LANE BALTIMORE MD 21228 SOLICITATION, SPECIAL EVENTS 1 1417966 98861 1319105 1417966 98861 1319105 VA ANNUAL GALA 409715 399715 10000 11203 2600 470 409715 399715 10000 11203 2600 470 14273 -4273 1 MVLE 7420 FULLERTON ROAD 110 SPRINGFIELD VA 22153 540910005 501(C)(3) 7500 PROGRAM SERVICE PROGRAM SERVICE PROGRAM SERVICE 1 0 EDUCATIONAL SCHOLARSHIPS - SEE PART IV 55 76919 SCHOLAR CANDIDATES MUST BE CURRENTLY EMPLOYED YEAR-ROUND AT GREENSPRING VILLAGE. ONLY MEDICAL LEAVES OF ABSENCE ARE ALLOWABLE DURING THE TWO YEARS. OTHER REQUESTS FOR A LEAVE OF ABSENCE WILL BE REVIEWED AND DETERMINED CASE BY CASE. A SCHOLAR CANDIDATE MUST HAVE BEEN EMPLOYED BY GREENSPRING VILLAGE ON OR BEFORE SEPTEMBER 30, 2011. THE CANDIDATE MUST ALSO ACHIEVE 1,000 HOURS OF WORK DURING A TIME SPAN THAT BEGINS NO EARLIER THAN JUNE 1, 2011 OF THEIR JUNIOR YEAR OF HIGH SCHOOL (300 OF 1,000 HOURS MUST BE COMPLETED BY THE END OF THEIR JUNIOR YEAR OF HIGH SCHOOL TO QUALIFY). ANY HOURS WORKED PRIOR TO JUNE 1, 2011 DO NOT COUNT TOWARDS THE 1,000 HOURS REQUIREMENT. CANDIDATES MUST ACHIEVE THE 1,000 HOUR REQUIREMENT AS WELL AS FULFILL THE TWO-YEAR MINIMUM EMPLOYMENT REQUIREMENT. CANDIDATES MUST BE IN "GOOD STANDING" FROM THEIR ORIGINAL DATE OF HIRE THROUGH THEIR LAST DAY OF WORK. TO MAINTAIN "GOOD STANDING," SCHOLAR CANDIDATES, AS EMPLOYEES, MUST ABIDE BY ALL EMPLOYMENT POLICIES AND PROCEDURES, TO INCLUDE GIVING TWO WEEKS NOTICE TO THEIR SUPERVISOR WHEN TERMINATING EMPLOYMENT. SCHOLAR CANDIDATES MUST COMPLETE EACH STEP AS OUTLINED IN THE PROGRAM DESCRIPTION BY THE RESPECTIVE DUE DATE. FURTHERMORE, CANDIDATES MUST TURN IN PROOF OF FULL-TIME STATUS WITHIN THE DATES SPECIFIED IN THE PROGRAM DESCRIPTION FOR EACH SPRING AND FALL SEMESTER THEY ATTEND SCHOOL. FAILURE TO DO SO WILL DISQUALIFY THE SCHOLAR THAT SEMESTER AND WILL COUNT TOWARDS ONE OF THE TWO ALLOWABLE SEMESTER LAPSES. CANDIDATES SHOULD INTEND TO GO TO COLLEGE OR TRADE SCHOOL AFTER HIGH SCHOOL. SCHOLAR CANDIDATES MUST ATTEND SCHOOL FULL-TIME (12 CREDIT HOURS EACH SEMESTER) AFTER HIGH SCHOOL. SCHOLAR CANDIDATES MUST BE ACCEPTED AND/OR REGISTERED IN THE FALL OF 2011 AT A TRADE SCHOOL, COLLEGE, OR UNIVERSITY TO BENEFIT. (IN EXCEPTIONAL CASES, A SCHOLAR CANDIDATE MAY ARRANGE TO START SCHOOL UP TO TWO SEMESTERS AFTER BEING INDUCTED INTO THE PROGRAM, BUT THEY MUST MAKE ARRANGEMENTS WITH THE RESIDENT LIFE DEPARTMENT. THESE TWO SEMESTERS WILL COUNT AS THE TWO ALLOCABLE SEMESTER LAPSES.) SCHOLARS WHO LAPSE FROM THE PROGRAM FOR MORE THAN A TOTAL OF TWO SEMESTERS AFTER BEING INDUCTED INTO THE PROGRAM ARE NO LONGER ELIGIBLE TO RECEIVE THE AWARD. X X X 0 0 0 0 0 0 0 0 0 ROBIN GLIBOFF 142023 0 24000 0 12100 0 750 0 16939 0 195812 0 0 0 BENJAMIN CORNTHWAITE 2282 121523 407 21689 0 0 14 736 350 18652 3053 162600 0 0 SUPPLEMENTAL INFORMATION PART III ALL OF THE INDIVIDUALS LISTED IN SCHEDULE J, PART II ARE EMPLOYEES OF ERICKSON LIVING MANAGEMENT, LLC ("ELM"), AN UNRELATED ORGANIZATION TO GREENSPRING VILLAGE, INC., IN ACCORDANCE WITH THE MANAGEMENT AGREEMENT BETWEEN GREENSPRING VILLAGE, INC. AND ELM. SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 3. THEREFORE, FOR IRS MATCHING PURPOSES, ELM IS THE ISSUER OF THESE FORMS W-2. UNDER THE MANAGEMENT AGREEMENT, GREENSPRING VILLAGE, INC. REIMBURSES ELM FOR THE COST OF SERVICES PERFORMED FOR GREENSPRING VILLAGE, INC. FAIRFAX COUNTY ECONOMIC DEVELOPMENT AUTHORITY 540787833 30382EDS0 2006-10-12 35362678 REFUND PRIOR ISSUE (ORIGINAL ISSUE WAS PRE 2003) 0 0 0 FAIRFAX COUNTY ECONOMIC DEVELOPMENT AUTHORITY 540787833 30382EEY6 2011-07-07 28160000 REFUND PRIOR ISSUE (ORIGINAL ISSUE WAS PRE 2003) 0 0 0 3755000 35362678 2232438 664685 32465555 0 1 1 1 28160000 28160000 1 0 1 1 0 0 0 0 1 0 0 1 0 0 0 1 PART II, LINE 11, COLUMN A & B: PROCEEDS SPENT REFUNDING PRIOR ISSUES PART IV, LINE 5, COLUMN A: PROCEEDS WERE HELD IN A YIELD RESTRICTED REFUNDING ESCROW. PART V: IN TAX YEAR 2012, THE ORGANIZATION HAS ADOPTED MANAGEMENT PRACTICES AND PROCEDURES TO ENSURE POST-ISSUANCE COMPLIANCE OF ITS TAX EXEMPT BOND LIABILITIES. THESE PROCEDURES INCLUDE WRITTEN PROCEDURES TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED AND CORRECTED THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS. FORM 990, PART VI, SECTION A, LINE 1 UNDER THE BYLAWS OF THE ORGANIZATION, THE BOARD HAS DELEGATED AUTHORITY TO AN EXECUTIVE COMMITTEE COMPRISED OF THE ORGANIZATION'S CHAIRMAN, PRESIDENT, SECRETARY AND TREASURER. THE EXECUTIVE COMMITTEE ACTS BETWEEN MEETINGS OF THE BOARD. THE EXECUTIVE COMMITTEE IS ONLY EXPECTED TO TAKE ACTION IF THE CHAIRMAN OF THE EXECUTIVE COMMITTEE DETERMINES THAT ACTION IS NECESSARY AND A REPORT OF THE ACTION TAKEN IS PROMPTLY MADE TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 3 ON APRIL 30, 2010, GREENSPRING VILLAGE, INC. ENTERED INTO A NEW MANAGEMENT AND MARKETING AGREEMENT WITH ERICKSON LIVING MANAGEMENT, LLC ("ELM") TO PROVIDE THE SERVICES PREVIOUSLY PROVIDED BY ERC. ELM IS A SUBSIDIARY OF REDWOOD-ERC SENIOR LIVING HOLDINGS, LLC, NOW KNOWN AS ERICKSON LIVING HOLDINGS, LLC WHICH, TOGETHER WITH OTHER RELATED ENTITIES, PURCHASED THE MAJORITY OF THE ASSETS OF ERC. ELM IS A MARYLAND LIMITED LIABILITY COMPANY WHICH OPERATES AND MANAGES LARGE SCALE CONTINUING CARE RETIREMENT COMMUNITIES. THE MANAGEMENT AGREEMENT COMPLIES WITH REV. PROC. 97-13. THE MANAGEMENT AND MARKETING AGREEMENT WITH ERICKSON LIVING MANAGEMENT, LLC WAS AMENDED ON AUGUST 19, 2011 WITH RESPECT TO THE PROCESS FOR CONDUCTING RESIDENT SATISFACTION SURVEYS. FORM 990, PART VI, SECTION A, LINE 6 GREENSPRING VILLAGE, INC.'S SOLE MEMBER IS NATIONAL SENIOR CAMPUSES, INC. ("NSC"). NSC IS A MARYLAND NON-STOCK CORPORATION. NSC IS A "SUPPORTING ORGANIZATION" WITH RESPECT TO GREENSPRING VILLAGE, AS WELL AS CERTAIN OTHER ORGANIZATIONS SPECIFIED IN ITS GOVERNING DOCUMENTS. AS REQUIRED BY THE REGULATIONS RELATING TO "SUPPORTING ORGANIZATIONS," CERTAIN MEMBERS OF THE BOARD OF DIRECTORS OF NSC WILL ALSO BE MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE NATIONAL SENIOR CAMPUSES, INC. BOARD OF DIRECTORS APPOINTS THE DIRECTORS OF GREENSPRING VILLAGE, INC. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN EXTRAORDINARY ACTIONS OF THE CORPORATION REQUIRE THE APPROVAL OF THE MEMBER UNDER APPLICABLE STATE LAW. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD APPOINTS A COMMITTEE FROM AMONG ITS DIRECTORS AS WELL AS THE DIRECTORS FROM ONE OR MORE RELATED ENTITIES TO OVERSEE THE PREPARATION OF FORM 990. THE BOARD CHAIR HAS THE RESPONSIBILITY TO REVIEW FORM 990 PRIOR TO ITS FILING OR TO DESIGNATE ANOTHER BOARD MEMBER TO REVIEW THE FORM. THE FULL BOARD IS GIVEN THE OPPORTUNITY TO REVIEW THE FINAL VERSION OF FORM 990 BEFORE IT IS FILED AND ASK QUESTIONS OF THE COMMITTEE OR THE REVIEWER REGARDING THE FORM. THE BOARD CHAIR DESIGNATES AN OFFICER TO SIGN FORM 990. FORM 990, PART VI, SECTION B, LINE 12C GREENSPRING VILLAGE, INC.'S CONFLICT OF INTEREST POLICY COVERS ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, EMPLOYEES AND VOLUNTEERS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER GREENSPRING VILLAGE, INC.'S AFFAIRS, COMMITTEE MEMBERS, PROSPECTIVE DIRECTORS, AND SENIOR STAFF PROVIDING SERVICES TO THE ORGANIZATION UNDER A MANAGEMENT AGREEMENT. EACH COVERED PERSON COMPLETES A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY AND AS POTENTIAL CONFLICTS ARISE DURING THE YEAR. THESE STATEMENTS ARE REVIEWED BY THE BOARD CHAIR. IF THE CONFLICT INVOLVES A COVERED EMPLOYEE, THE CHAIR DETERMINES WHETHER A CONFLICT EXISTS AND, IF SO, HOW IT IS TO BE HANDLED, OR THE CHAIR MAY REFER THE MATTER TO THE BOARD OF DIRECTORS FOR CONSIDERATION. FOR ALL OTHER CONFLICTS, THE BOARD OF DIRECTORS OR A COMMITTEE OF DISINTERESTED DIRECTORS WILL DETERMINE WHETHER A CONFLICT ACTUALLY EXISTS. A COVERED PERSON MAY NOT PARTICIPATE IN ANY DISCUSSION OR DEBATE BY THE BOARD BUT MAY ANSWER QUESTIONS OR PROVIDE CLARIFYING INFORMATION UNLESS ANY BOARD MEMBER OBJECTS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD HAS APPROVED A DIRECTORS' COMPENSATION POLICY WHICH ESTABLISHES THE PROCESS BY WHICH ALL DIRECTOR COMPENSATION IS DETERMINED. OFFICERS SERVE WITHOUT COMPENSATION. A REVIEW OF THE DIRECTORS' COMPENSATION IS CONDUCTED EACH FISCAL YEAR. COMPENSATION IS APPROACHED ON AN OVERALL BASIS AND THE TOTAL VALUE OF ALL FORMS OF COMPENSATION IS ESTABLISHED AND MONITORED. AN INDEPENDENT COMPENSATION CONSULTANT IS PERIODICALLY RETAINED TO PERFORM AN ANALYSIS OF GREENSPRING VILLAGE, INC.'S COMPENSATION USING COMPARABLES OF BOTH FOR-PROFIT AND NON-PROFIT PEERS. A COMMITTEE OF THE NSC BOARD REVIEWS THE CONSULTANT'S REPORT AND MAKES A RECOMMENDATION TO THE ORGANIZATION AS TO APPROPRIATE COMPENSATION OF DIRECTORS. THE FULL BOARD HAS ACCESS TO GREENSPRING VILLAGE, INC.'S CONSULTANT'S REPORT AND AN OPPORTUNITY TO QUESTION THE CONSULTANT ABOUT THE PROCESS, METRICS, AND COMPARABLES THAT WERE USED IN DETERMINING THE RECOMMENDED COMPENSATION. THE BOARD THEN VOTES ON THE COMPENSATION RECOMMENDATIONS AND A CONTEMPORANEOUS RECORD IS MADE OF THE MEETING AND THE VOTE. THE CONSULTANT REVIEW WAS LAST UNDERTAKEN IN 2010 AND WAS ACTED UPON BY THE BOARD IN EARLY 2011. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE EXECUTIVE DIRECTOR'S OFFICE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 8,324. CHANGE IN BENEFICIAL INTEREST IN NATIONAL CCRC BUSINESS TRUST I -483,094. TOTAL TO FORM 990, PART XI, LINE 5: -474,770. MISSION STATEMENT - 990 PAGE 1, PART I, LINE 1 AND PART III, LINE 1 MISSION STATEMENT SHARING OUR GIFTS TO CREATE COMMUNITIES THAT CELEBRATE LIFE THE BOARD OF DIRECTORS OF NATIONAL SENIOR CAMPUSES, INC. AND ITS SUPPORTED COMMUNITIES ARE COMMITTED TO ACHIEVING THE MISSION BY: 1. PROMOTING AN ACTIVE QUALITY OF LIFE FOR SENIORS -CREATING LARGE SCALE RETIREMENT CAMPUSES TO PROMOTE ACTIVITY AND HEALTHY LIVING. -PROVIDING A RESIDENT CENTERED SERVICE CULTURE. -ENCOURAGING RESIDENT RUN ACTIVITIES WITH PROFESSIONAL SUPPORT. 2. ACHIEVING EXCELLENCE IN SERVICES AND PROGRAMS -EXERCISING ITS AUTHORITY IN SERVICES, PROGRAMS, FEES, FACILITIES AND FINANCING. -EMBRACING COMPLIANCE, ETHICS AND INTEGRITY. -OVERSEEING SERVICES AND PROGRAMS PERSONALLY AND IN MEETINGS WITH THE RESIDENTS ADVISORY COUNCIL. -TAKING A LONG-TERM VIEW OF FIDUCIARY RESPONSIBILITY. 3. INSURING AFFORDABILITY TO MIDDLE INCOME SENIORS -FOCUSING ON THE LONG TERM VIABILITY OF THE COMMUNITY FOR CURRENT AND FUTURE RESIDENTS. -USING FINANCING STRATEGIES TO LOWER THE COST OF CAPITAL. -QUALIFYING FOR EXEMPTION FROM FEDERAL AND STATE INCOME TAX. -OBTAINING PROPERTY TAX REDUCTIONS FROM COMMUNITY GOVERNMENTS. -ACCUMULATING NET INCOME TO FURTHER THE MISSION. -MAINTAINING A POLICY FOR FULLY REFUNDABLE ENTRANCE DEPOSIT. -OFFERING FEE-FOR-SERVICE HEALTH CARE. 4. MAKING A LIFE CARE COMMITMENT -TO THE EXTENT FEASIBLE, ENSURING THAT NO RESIDENT SHOULD EVER HAVE TO LEAVE A COMMUNITY AS A RESULT OF FINANCIAL INABILITY TO PAY FOR THE COST OF THEIR CARE. -ENCOURAGING FUNDRAISING EFFORTS IN SUPPORT OF BENEVOLENT CARE. 5. FOSTERING GROWTH -COMMITTING TO MAKING THIS LIFESTYLE AVAILABLE TO AN INCREASING NUMBER OF SENIORS. -INCREASING EFFORTS TO ACHIEVE AFFORDABILITY. -DEVELOPING NEW COMMUNITIES IN CURRENT MARKETS. -DEVELOPING COMMUNITIES IN NEW MARKETS. FORM 990, PART VI, LINE 9 THE BOARD OF DIRECTORS AS LISTED IN PART VII, SECTION A, CAN BE REACHED AT THE FOLLOWING ADDRESS: UNIVERSITY OF MARYLAND-BALTIMORE COUNTY (UMBC) RESEARCH TECHNOLOGY PARK 5525 RESEARCH PARK DRIVE, 3RD FLOOR BALTIMORE, MD 21228 FORM 990, PART VII - BOARD OF DIRECTORS COMPENSATION THE COMPENSATION PAID BY RELATED ENTITIES FOR EACH DIRECTOR IS AS FOLLOWS: INDIVIDUAL: JOANNE RORAPAUGH ORGANIZATION COMPENSATION ANN'S CHOICE, INC. $ 334 ASHBY PONDS, INC. $ 14,708 BROOKSBY VILLAGE, INC. $ 334 CEDAR CREST VILLAGE, INC. $ 334 EAGLE'S TRACE, INC. $ 334 FOX RUN VILLAGE, INC. $ 334 GREENSPRING VILLAGE, INC. $ 14,708 HIGHLAND SPRINGS, INC. $ 333 LINDEN PONDS, INC. $ 333 MARIS GROVE, INC. $ 333 NATIONAL SENIOR CAMPUSES, INC. $ 0 OAK CREST VILLAGE, INC. $ 9,708 RIDERWOOD VILLAGE, INC. $ 9,708 SEABROOK VILLAGE, INC. $ 333 TALLGRASS CREEK, INC. $ 333 WIND CREST, INC. $ 333 NSC FOUNDATION, INC. $ 0 HICKORY CHASE, INC. $ 0 --------- INDIVIDUAL SUB-TOTAL $ 52,500 INDIVIDUAL: L. CARROLL YINGLING ORGANIZATION COMPENSATION ANN'S CHOICE, INC. $ 16 ASHBY PONDS, INC. $ 10,954 BROOKSBY VILLAGE, INC. $ 16 CEDAR CREST VILLAGE, INC. $ 16 EAGLE'S TRACE, INC. $ 17 FOX RUN VILLAGE, INC. $ 17 GREENSPRING VILLAGE, INC. $ 10,954 HIGHLAND SPRINGS, INC. $ 17 LINDEN PONDS, INC. $ 17 MARIS GROVE, INC. $ 17 NATIONAL SENIOR CAMPUSES, INC. $ 0 OAK CREST VILLAGE, INC. $ 10,954 RIDERWOOD VILLAGE, INC. $ 10,954 SEABROOK VILLAGE, INC. $ 17 TALLGRASS CREEK, INC. $ 17 WIND CREST, INC. $ 17 NSC FOUNDATION, INC. $ 0 HICKORY CHASE, INC. $ 0 --------- INDIVIDUAL SUB-TOTAL $ 44,000 INDIVIDUAL: LARRY SHUBNELL ORGANIZATION COMPENSATION ANN'S CHOICE, INC. $ 350 ASHBY PONDS, INC. $ 9,725 BROOKSBY VILLAGE, INC. $ 350 CEDAR CREST VILLAGE, INC. $ 350 EAGLE'S TRACE, INC. $ 350 FOX RUN VILLAGE, INC. $ 350 GREENSPRING VILLAGE, INC. $ 9,725 HIGHLAND SPRINGS, INC. $ 350 LINDEN PONDS, INC. $ 67,850 MARIS GROVE, INC. $ 350 NATIONAL SENIOR CAMPUSES, INC. $ 31,250 OAK CREST VILLAGE, INC. $ 9,725 RIDERWOOD VILLAGE, INC. $ 9,725 SEABROOK VILLAGE, INC. $ 350 TALLGRASS CREEK, INC. $ 350 WIND CREST, INC. $ 350 NSC FOUNDATION, INC. $ 0 HICKORY CHASE, INC. $ 0 --------- INDIVIDUAL SUB-TOTAL $141,500 INDIVIDUAL: EILEEN ERSTAD ORGANIZATION COMPENSATION ANN'S CHOICE, INC. $ 0 ASHBY PONDS, INC. $ 9,375 BROOKSBY VILLAGE, INC. $ 0 CEDAR CREST VILLAGE, INC. $ 0 EAGLE'S TRACE, INC. $ 0 FOX RUN VILLAGE, INC. $ 0 GREENSPRING VILLAGE, INC. $ 9,375 HIGHLAND SPRINGS, INC. $ 0 LINDEN PONDS, INC. $ 0 MARIS GROVE, INC. $ 0 NATIONAL SENIOR CAMPUSES, INC. $ 3,750 OAK CREST VILLAGE, INC. $ 9,375 RIDERWOOD VILLAGE, INC. $ 9,375 SEABROOK VILLAGE, INC. $ 0 TALLGRASS CREEK, INC. $ 0 WIND CREST, INC. $ 0 NSC FOUNDATION, INC. $ 0 HICKORY CHASE, INC. $ 0 --------- INDIVIDUAL SUB-TOTAL $ 41,250 INDIVIDUAL: JIM ANDERS ORGANIZATION COMPENSATION ANN'S CHOICE, INC. $ 350 ASHBY PONDS, INC. $ 9,725 BROOKSBY VILLAGE, INC. $ 350 CEDAR CREST VILLAGE, INC. $ 350 EAGLE'S TRACE, INC. $ 350 FOX RUN VILLAGE, INC. $ 350 GREENSPRING VILLAGE, INC. $ 9,725 HIGHLAND SPRINGS, INC. $ 350 LINDEN PONDS, INC. $ 350 MARIS GROVE, INC. $ 350 NATIONAL SENIOR CAMPUSES, INC. $ 31,250 OAK CREST VILLAGE, INC. $ 14,725 RIDERWOOD VILLAGE, INC. $ 14,725 SEABROOK VILLAGE, INC. $ 350 TALLGRASS CREEK, INC. $ 350 WIND CREST, INC. $ 350 NSC FOUNDATION, INC. $ 0 HICKORY CHASE, INC. $ 0 --------- INDIVIDUAL SUB-TOTAL $ 84,000 INDIVIDUAL: JACKSON BAIN ORGANIZATION COMPENSATION ANN'S CHOICE, INC. $ 0 ASHBY PONDS, INC. $ 9,375 BROOKSBY VILLAGE, INC. $ 0 CEDAR CREST VILLAGE, INC. $ 0 EAGLE'S TRACE, INC. $ 0 FOX RUN VILLAGE, INC. $ 0 GREENSPRING VILLAGE, INC. $ 9,375 HIGHLAND SPRINGS, INC. $ 0 LINDEN PONDS, INC. $ 0 MARIS GROVE, INC. $ 0 NATIONAL SENIOR CAMPUSES, INC. $ 3,750 OAK CREST VILLAGE, INC. $ 9,375 RIDERWOOD VILLAGE, INC. $ 9,375 SEABROOK VILLAGE, INC. $ 0 TALLGRASS CREEK, INC. $ 0 WIND CREST, INC. $ 0 NSC FOUNDATION, INC. $ 0 HICKORY CHASE, INC. $ 0 --------- INDIVIDUAL SUB-TOTAL $ 41,250 INDIVIDUAL: MAURICE BELLAN ORGANIZATION COMPENSATION ANN'S CHOICE, INC. $ 0 ASHBY PONDS, INC. $ 9,375 BROOKSBY VILLAGE, INC. $ 0 CEDAR CREST VILLAGE, INC. $ 0 EAGLE'S TRACE, INC. $ 0 FOX RUN VILLAGE, INC. $ 0 GREENSPRING VILLAGE, INC. $ 9,375 HIGHLAND SPRINGS, INC. $ 0 LINDEN PONDS, INC. $ 0 MARIS GROVE, INC. $ 0 NATIONAL SENIOR CAMPUSES, INC. $ 0 OAK CREST VILLAGE, INC. $ 9,375 RIDERWOOD VILLAGE, INC. $ 9,375 SEABROOK VILLAGE, INC. $ 0 TALLGRASS CREEK, INC. $ 0 WIND CREST, INC. $ 0 NSC FOUNDATION, INC. $ 0 HICKORY CHASE, INC. $ 0 --------- INDIVIDUAL SUB-TOTAL $ 37,500 INDIVIDUAL: JERRY SEALS ORGANIZATION COMPENSATION ANN'S CHOICE, INC. $ 0 ASHBY PONDS, INC. $ 9,375 BROOKSBY VILLAGE, INC. $ 0 CEDAR CREST VILLAGE, INC. $ 0 EAGLE'S TRACE, INC. $ 0 FOX RUN VILLAGE, INC. $ 0 GREENSPRING VILLAGE, INC. $ 9,375 HIGHLAND SPRINGS, INC. $ 0 LINDEN PONDS, INC. $ 0 MARIS GROVE, INC. $ 0 NATIONAL SENIOR CAMPUSES, INC. $ 0 OAK CREST VILLAGE, INC. $ 9,375 RIDERWOOD VILLAGE, INC. $ 9,375 SEABROOK VILLAGE, INC. $ 0 TALLGRASS CREEK, INC. $ 0 WIND CREST, INC. $ 0 NSC FOUNDATION, INC. $ 0 HICKORY CHASE, INC. $ 0 --------- INDIVIDUAL SUB-TOTAL $ 37,500 FORM 990, PART VII - BOARD OF DIRECTORS HOURS PER WEEK APPROXIMATE HOURS PER WEEK, BY ENTITY NSC OCV GSV RWV ALP CCV SBV ACH MGV BBV J.RORAPAUGH 0 2 2 2 2 0 0 0 0 0 C. YINGLING 1 1 1 1 1 0 0 0 0 0 L. SHUBNELL 6 2 2 2 2 0 0 0 0 0 E. ERSTAD 2 3 3 3 3 0 0 0 0 0 J. ANDERS 7 2 2 2 2 0 0 0 0 0 J. BAIN 1 1 1 1 1 0 0 0 0 0 M. BELLAN 0 .3 .3 .3 .3 0 0 0 0 0 J. SEALS 0 .4 .4 .4 .4 0 0 0 0 0 LPH FRV TCK HSD ETH WCD NSCF HCH J.RORAPAUGH 0 0 0 0 0 0 0 0 C. YINGLING 0 0 0 0 0 0 0 0 L. SHUBNELL 0 0 0 0 0 0 0 2 E. ERSTAD 0 0 0 0 0 0 1 0 J. ANDERS 0 0 0 0 0 0 0 2 J. BAIN 0 0 0 0 0 0 0 0 M. BELLAN 0 0 0 0 0 0 0 0 J. SEALS 0 0 0 0 0 0 0 0 FORM 990, PART VII - OFFICERS HOURS PER WEEK JOHN HALL, CLARA PARKER, AND JAMES WALTER, ASSISTANT TREASURERS, ARE ALSO OFFICERS OF OCV, GSV, RWV, CCV, SBV, MGV, BBV, LPH, FRV, TCK, HSD, ETH, WCD, ALL OF WHICH ARE RELATED ENTITIES. THESE OFFICERS DEVOTE APPROXIMATLY .5 HOURS PER WEEK TO EACH ENTITY. ASHBY PONDS INC 21170 ASHBY PONDS BLVD ASHBURN VA 20147 205609803 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 BROOKSBY VILLAGE INC 100 BROOKSBY VILLAGE DRIVE PEABODY MA 01960 522126755 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 CEDAR CREST VILLAGE INC 1 CEDAR CREST VILLAGE DRIVE POMPTON PLAINS NJ 07444 522184915 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 EAGLE'S TRACE INC 14703 EAGLE VISTA DRIVE HOUSTON TX 77077 030498683 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 FOX RUN VILLAGE INC 41000 13 MILE ROAD NOVI MI 48377 522291271 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 ANN'S CHOICE INC 10000 ANNS CHOICE WAY WARMINSTER PA 18974 522095427 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 HICKORY CHASE INC 701 MAIDEN CHOICE LANE BALTIMORE MD 21228 208991395 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 HIGHLAND SPRINGS INC 8000 FRANKFORD ROAD DALLAS TX 75252 510536892 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 LINDEN PONDS INC 300 LINDEN PONDS WAY HINGHAM MA 02043 141849849 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 MARIS GROVE INC 100 MARIS GROVE WAY GLEN MILLS PA 19342 550878964 CONTINUING CARE RETIREMENT COMMUNITY PA 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 NATIONAL SENIOR CAMPUSES INC 701 MAIDEN CHOICE LANE BALTIMORE MD 21228 204356247 SUPPORTING ORGANIZATION MD 501(C)(3) LINE 11C, III-FI N/A 0 NATIONAL SENIOR CAMPUSES FOUNDATION INC 701 MAIDEN CHOICE LANE BALTIMORE MD 21228 030611973 SUPPORTING ORGANIZATION MD 501(C)(3) LINE 11C, III-FI N/A 0 OAK CREST VILLAGE INC 8800 WALTHER BOULEVARD PARKVILLE MD 21234 521874053 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 RIDERWOOD VILLAGE INC 3110 GRACEFIELD ROAD SILVER SPRING MD 20904 522126753 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 SEABROOK VILLAGE INC 3000 ESSEX ROAD TINTON FALLS NJ 07753 522126751 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 TALLGRASS CREEK INC 13800 METCALF AVENUE OVERLAND PARK KS 66223 870765641 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 WINDCREST INC 3235 MILL VISTA ROAD HIGHLANDS RANCH CO 80129 510549976 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) 9 NATIONAL SENIOR CAMPUSES INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0