2024-11-15T16:07:08-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 20 E THOMAS RD SUITE 2300 PHOENIX AZ 85012 990 2023-01-01 860739097 LIFESTREAM COMPLETE SENIOR LIVING AT THUNDERBIRD INC LIFE 7194875386 11555 WEST PEORIA AVENUE YOUNGTOWN AZ 85363 NATHAN MERRILL CFO 7194815481 2024-11-14 1 1 JEFF PARKER P00970069 6022662248 2024-11-14 2023 2024-10-15 13:58:12Z X NATHAN MERRILL 15475 GLENEAGLE DRIVE COLORADO SPRINGS CO 80921 2383229 0 X WWWW.LIFESTREAMLIVING.COM X 1993 AZ SERVING SENIORS BY ENRICHING THEIR PHYSICAL, EMOTIONAL AND SPIRITUAL HEALTH IN A CLOSE-KNIT COMMUNITY. X 10 1 58 24 0 0 178225 0 3300145 2358711 -1228 19385 4837 5133 3481979 2383229 0 0 0 0 2257036 1668681 0 0 0 1826495 1477428 4083531 3146109 -601552 -762880 1992372 0 10221887 0 -8229515 0 X OUR MISSION IS TO SERVE SENIORS BY ENRICHING THEIR PHYSICAL, EMOTIONAL AND SPIRITUAL HEALTH IN A CLOSE-KNIT COMMUNITY. 0 1 2981894 0 2358711 LIFESTREAM AT THUNDERBIRD OPERATES A 170-APARTMENT RETIREMENT COMMUNITY IN GLENDALE, ARIZONA. THE CAMPUS INCLUDES 170 APARTMENTS OF INDEPENDENT LIVING. SERVICES INCLUDE ASSISTANCE WITH ACTIVITIES OF DAILY LIVING, MEDICATION MANAGEMENT, WELL-BEING CHECKS, TRANSPORTATION, ACTIVITIES PROGRAMS, HOUSEKEEPING AND LAUNDRY, MEALS IN A DINING ROOM, SPIRITUAL CARE VIA A CHAPLAIN, AND OTHER SERVICES TO OUR RESIDENTS. 2981894 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 20 0 58 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 1 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X NATHAN MERRILL 7194815481 15475 GLENEAGLE DRIVE COLORADO SPRINGS CO 80921 DANA RASIC BOARD CHAIR / CEO 2.00 52.00 X X 0 364389 15902 NATHAN MERRILL TREASURER / CFO 2.00 48.00 X X 0 249361 20032 AUSTIN HARBACH ASSISTANT SECRETARY 2.00 46.00 X X 0 115312 10479 TOM WORKMAN ASSISTANT SECRETARY 1.00 4.50 X X 0 0 0 BRIAN LARENA EXECUTIVE DIRECTOR (END 8/23) 40.00 0.00 X 0 122724 9435 DALE TURNER BOARD MEMBER 1.00 11.00 X 0 61000 0 DAN VAGLE BOARD MEMBER 1.00 11.00 X X 0 61000 0 DON MORGAN BOARD MEMBER 1.00 11.00 X 0 61000 0 JENNY KENNEDY BOARD MEMBER 1.00 46.00 X X 0 10453 0 LARRY SMITH BOARD MEMBER 1.00 11.00 X 0 30500 0 RICK SUMMERS BOARD MEMBER / COO 3.00 47.00 X 0 241509 13033 0 1317248 68881 0 0 1 0 0 SENIOR HOUSING 623000 2358711 2358711 2358711 2 2 19383 0 19383 19383 19383 OTHER RESIDENT SERVICE 812900 5133 5133 5133 2383229 2358711 0 24518 1413091 1413091 151166 151166 104424 104424 48665 48665 1103 1103 15317 15317 26817 26817 131669 131669 33059 33059 382162 382162 2685 2685 1399 1399 194098 194098 230679 230679 101837 101837 RESIDENT SERVICES / FOO 132422 132422 MAINTENANCE AND REPAIRS 91201 91201 DUES AND SUBSCRIPTIONS 59946 59946 BAD DEBT EXPENSE 20006 20006 4363 4363 3146109 2981894 164215 0 1396 0 314156 0 0 14631 0 0 0 0 9815 0 9041 0 0 1643333 0 0 0 0 0 0 1992372 0 172509 4444 2949538 396 190002 6904998 0 10221887 0 X -8229515 0 -8229515 0 1992372 0 X -762880 8992395 X X 0 1 X 1 0 X 4298 7099 7282 178225 0 196904 4051403 4029375 3702174 3300145 2358711 17441808 4055701 4036474 3709456 3478370 2358711 17638712 0 0 0 17638712 100 938 339 72 2 1451 100 938 339 72 2 1451 22761 8664 10650 4837 5133 52045 4078562 4046076 3720445 3483279 2363846 17692208 0.99700 0.99610 0.00010 0.00010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUES - 2019 AMOUNT: $ 2,275. 2020 AMOUNT: $ 1,282. 2021 AMOUNT: $ 2,155. 2022 AMOUNT: $ 605. 2023 AMOUNT: $ 0. EMPLOYEE/GUEST MEALS - 2019 AMOUNT: $ 11,317. 2020 AMOUNT: $ 3,130. 2023 AMOUNT: $ 0. CATERING REVENUE - 2019 AMOUNT: $ 1,121. 2020 AMOUNT: $ 1,285. 2021 AMOUNT: $ 2,048. 2022 AMOUNT: $ 2,212. 2023 AMOUNT: $ 0. OTHER RESIDENT SERVICES - 2019 AMOUNT: $ 8,048. 2020 AMOUNT: $ 2,967. 2021 AMOUNT: $ 6,447. 2022 AMOUNT: $ 2,020. 2023 AMOUNT: $ 5,133. 0 0 0 X PART X, LINE 2: THE ORGANIZATION APPLIES THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022. 0 0 0 0 0 0 0 0 0 DANA RASIC BOARD CHAIR / CEO 0 340497 0 23892 0 0 0 6600 0 9302 0 380291 0 0 NATHAN MERRILL TREASURER / CFO 0 236579 0 12782 0 0 0 5051 0 14981 0 269393 0 0 RICK SUMMERS BOARD MEMBER / COO 0 235594 0 5915 0 0 0 4819 0 8214 0 254542 0 0 CASH AND CASH EQUIVALENTS 2023-12-31 4270 BOOK VALUE 237458267 LIFESTREAM COMPLETE SENIOR LIVING INC 11555 WEST PEORIA AVENUE YOUNGTOWN AZ 85363 501(C)(3) PROPERTY AND EQUIPMENT 2023-12-31 2523739 BOOK VALUE 237458267 LIFESTREAM COMPLETE SENIOR LIVING INC 11555 WEST PEORIA AVENUE YOUNGTOWN AZ 85363 501(C)(3) ACCOUNTS RECEIVABLE 2023-12-31 12439 BOOK VALUE 237458267 LIFESTREAM COMPLETE SENIOR LIVING INC 11555 WEST PEORIA AVENUE YOUNGTOWN AZ 85363 501(C)(3) INVESTMENTS 2023-12-31 311001 BOOK VALUE 237458267 LIFESTREAM COMPLETE SENIOR LIVING INC 11555 WEST PEORIA AVENUE YOUNGTOWN AZ 85363 501(C)(3) PREPAID EXPENSES 2023-12-31 7779 BOOK VALUE 237458267 LIFESTREAM COMPLETE SENIOR LIVING INC 11555 WEST PEORIA AVENUE YOUNGTOWN AZ 85363 501(C)(3) INVENTORY 2023-12-31 9662 BOOK VALUE 237458267 LIFESTREAM COMPLETE SENIOR LIVING INC 11555 WEST PEORIA AVENUE YOUNGTOWN AZ 85363 501(C)(3) LAND 2023-12-31 380653 BOOK VALUE 237458267 LIFESTREAM COMPLETE SENIOR LIVING INC 11555 WEST PEORIA AVENUE YOUNGTOWN AZ 85363 501(C)(3) 0 0 0 0 1 1 1 1 0 SCHEDULE N, PART I EFFECTIVE DECEMBER 1, 2023, THE BOARD OF DIRECTORS UNANIMOUSLY APPROVED THE DISSOLUTION OF LIFESTREAM COMPLETE SENIOR LIVING AT THUNDERBIRD, INC. AND TRANSFER REMAINING ASSETS TO LIFESTREAM. THE DISSOLUTION WAS FORMALLY APPROVED BY THE ARIZONA COPORATION COMMISSION ON DECEMBER 11, 2023. THE ENTITY CONTINUES TO OPERATE, OWNED BY THE PARENT CORPORATION, AS LIFESTREAM AT GLENDALE. FORM 990, PART III, LINE 3 EFFECTIVE DECEMBER 2023, THE BOARD OF DIRECTORS ELECTED TO TRANSFER THE ASSETS OF THE ORGANIZATION TO A RELATED ENTITY AS PART OF THE LIQUIDATION PROCESS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS LIFESTREAM COMPLETE SENIOR LIVING, INC. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER ELECTS THE BOARD OF DIRECTORS OF LIFESTREAM COMPLETE SENIOR LIVING AT THUNDERIRD, INC. FORM 990, PART VI, SECTION B, LINE 11B TAX RETURNS ARE PROVIDED TO THE BOARD MEMBERS PRIOR TO THE FILING OF THE RETURN. BOARD MEMBERS ARE AFFORDED THE OPPORTUNITY TO PROPOSE APPROPRIATE CHANGES TO THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY AND FORMS ARE DISTRIBUTED AND DISCUSSED AT THE ANNUAL MEETING OF THE BOARD. EACH BOARD DIRECTOR, COMMITTEE MEMBER AND OFFICER WITH BOARD DELEGATED POWERS WHETHER THEY BE DIRECT OR INDIRECT MUST READ AND SIGN INDICATING TO HAVE READ AND UNDERSTOOD THE CONFLICT POLICY AND AGREE TO COMPLY. EACH PERSON, ACCORDING TO THE POLICY, HAS THE DUTY TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST BY DISCLOSING THE EXISTENCE AND NATURE OF HIS OR HER FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. THE MINUTES OF THE BOARD AND ALL COMMITTEE WITH BOARD-DELEGATED POWERS SHALL CONTAIN - THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED. THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: NET ASSET CHANGE DUE TO TRANSFER TO RELATED ENTITY 8,992,395. FORM 990, PAGE 12, PART XII, LINE 2C THERE HAS BEEN NO CHANGE IN EITHER THE OVERSIGHT OR THE SELECTION PROCESS DURING THE TAX YEAR. LIFESTREAM COMPLETE SENIOR LIVING INC 11555 WEST PEORIA AVENUE YOUNGTOWN AZ 85363 237458267 SKILLED NURSING AZ 501(C)(3) LINE 10 BETHESDA SENIOR LIVING COMMUNITIES 0 LIFESTREAM COMPLETE SENIOR LIVING NORTHEAST PHOENIX INC 11555 WEST PEORIA AVENUE YOUNGTOWN AZ 85363 860682800 SENIOR APTS AZ 501(C)(3) LINE 10 LIFESTREAM COMPLETE SENIOR LIVING INC 0 LIFESTREAM COMPLETE SENIOR LIVING AT SUN RIDGE INC 11555 WEST PEORIA AVENUE YOUNGTOWN AZ 85363 860739097 SKILLED NURSING AZ 501(C)(3) LINE 10 LIFESTREAM COMPLETE SENIOR LIVING INC 0 BETHESDA SENIOR LIVING COMMUNITIES 15475 GLENEAGLE DRIVE COLORADO SPRINGS CO 80921 470497753 DEVELOPMENT AND OPERATION CO 501(C)(3) LINE 10 N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0