2023-03-23T10:21:11-05:00 2022-05-09 410746749 CLIFTONLARSONALLEN LLP 1301 WEST 22ND STREET SUITE 1100 OAK BROOK IL 60523 990EZ 2022-01-01 273271283 LIFESPACE MANAGEMENT INC LIFE 5152885805 4201 CORPORATE DRIVE WEST DES MOINES IA 50266 NICK HARSHFIELD SENIOR VICE PRESIDENT & CFO 5152885805 2023-03-20 1 NICK HARSHFIELD 999009999 0 CHAD D KUNZE CPA P00639380 6305738600 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z X X X N/A X X 0 0 0 0 0 0 0 0 X THE PURPOSE FOR WHICH LIFESPACE MANAGEMENT, INC. IS ORGANIZED ARE TO OPERATE EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES INCLUDING THE FOLLOWING:(A) TO PROVIDE MANAGEMENT AND RELATED SERVICES TO UNLICENSED OR LICENSED RESIDENTIAL PROPERTIES WHICH ARE OWNED AND/OR OPERATED BY LIFESPACE COMMUNITIES, INC.(B) TO PROVIDE MANAGEMENT AND RELATED SERVICES TO AGENCIES WHICH ARE OWNED AND/OR OPERATED BY LIFESPACE SERVICES, INC. AND ANY FUTURE EXEMPT AFFILIATE OR SUBSIDIARY.(C) TO DEVELOP RESOURCES TO ENHANCE AND SUPPORT PROGRAMS FOR THE SPECIALIZED NEEDS OF AGED PERSONS. (D) TO PARTICIPATE IN ACTIVITIES WHICH PROMOTE THE GENERAL MENTAL AND PHYSICAL HEALTH OF THE RESIDENTS OF THE COMMUNITIES SERVED. (E) TO SECURE, RAISE AND ARRANGE CAPITAL TO PROVIDE FOR THE DEVELOPMENT, IMPLEMENTATION AND SUPPORT OF SUCH FACILITIES, PROGRAMS, AND SERVICES CONSISTENT WITH THE PURPOSE OF LIFESPACE MANAGEMENT, INC. NO ACTIVITY DURING THE YEAR 0 0 X GARY BLACKFORD DIRECTOR 0.00 0 0 0 SCOTT COLLIER DIRECTOR 0.00 0 0 0 JOYCE DARKEY-HRINYA DIRECTOR 0.00 0 0 0 SUE DELVAUX DIRECTOR 0.00 0 0 0 LAURIE DOTTER DIRECTOR 0.00 0 0 0 ANA DUTRA DIRECTOR 0.00 0 0 0 E LAVERNE EPP DIRECTOR 0.00 0 0 0 VENITA FIELDS DIRECTOR 0.00 0 0 0 TIM GORMAN GENERAL COUNSEL & SECRETAR 0.00 0 0 0 NICK HARSHFIELD SVP & CFO 0.00 0 0 0 JESSE JANTZEN PRESIDENT & CEO & DIRECTOR 0.00 0 0 0 ROBERT C KEHM DIRECTOR (THRU APRIL) 0.00 0 0 0 X 0 0 0 0 1 0 0 0 0 0 0 0 0 0 TIM NEVINS 4201 CORPORATE DRIVE WEST DES MOINES IA 50266 5152885805 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X X 7 LIFESPACE COMMUNITIES INC 421068850 10 1 0 0 LIFESPACE SERVICES INC 273271147 10 1 0 0 DEERFIELD RETIREMENT COMMUNITY INC 421508960 10 0 0 0 NORTHWEST SENIOR HOUSING CORPORATION 752771278 10 0 0 0 BARTON CREEK SENIOR LIVING CENTER INC 201203479 10 0 0 0 SENIOR QUALITY LIFESTYLES CORPORATION 364502669 10 0 0 0 TARRANT COUNTY SENIOR LIVING CENTER INC 208068602 10 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 PART IV, SECTION A, LINE 1 DEERFIELD RETIREMENT COMMUNITY, INC. (DEERFIELD) IS NOT SPECIFICALLY LISTED AS A SUPPORTED ORGANIZATION IN THE ARTICLES OF INCORPORATION. THE EXEMPT PURPOSE OF DEERFIELD IS IDENTICAL TO THE EXEMPT PURPOSE OF LIFESPACE COMMUNITIES, INC. (LIFESPACE), ANOTHER SUPPORTED ORGANIZATION. ADDITIONALLY, THE BOARD OF DIRECTORS OF THIS ORGANIZATION, LIFESPACE MANAGEMENT, INC., IS IDENTICAL TO THAT OF BOTH DEERFIELD AND LIFESPACE. 0 0 0 0 0 1 1 0 0 THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.