2025-11-17T06:33:15-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 20 E THOMAS RD STE 2300 PHOENIX AZ 85012 990 2024-01-01 860682800 LIFESTREAM COMPLETE SENIOR LIVING AT NORTHEAST PHOENIX INC LIFE 7194875386 11555 WEST PEORIA AVENUE YOUNGTOWN AZ 85363 NATHAN MERRILL CFO 7194815481 2025-11-14 1 1 JEFF PARKER P00970069 6022662248 2025-11-13 2024 2025-03-06 01:10:19Z NATHAN MERRILL 15475 GLENEAGLE DRIVE COLORADO SPRINGS CO 80921 2419346 0 X WWWW.LIFESTREAMLIVING.COM X 1993 AZ SERVING SENIORS BY ENRICHING THEIR PHYSICAL, EMOTIONAL AND SPIRITUAL HEALTH IN A CLOSE-KNIT COMMUNITY 12 1 14 10 0 0 105 56 2185745 2416603 19404 0 2355 2687 2207609 2419346 0 0 0 0 483987 474980 0 0 0 1582357 1737795 2066344 2212775 141265 206571 5324229 5202285 5038473 4709958 285756 492327 OUR MISSION IS TO SERVE SENIORS BY ENRICHING THEIR PHYSICAL, EMOTIONAL AND SPIRITUAL HEALTH IN A CLOSE-KNIT COMMUNITY. 0 0 1900490 0 2416603 LIFESTREAM COMPLETE SENIOR LIVING AT NORTH PHOENIX OPERATES A 77-APARTMENT RETIREMENT COMMUNITY IN PHOENIX, ARIZONA. AN AVERAGE OF 85 INDEPENDENT RESIDENTS LIVED WITH US IN 2024. SERVICES INCLUDE TRANSPORTATION, ACTIVITIES PROGRAMS, HOUSEKEEPING AND LAUNDRY, MEALS IN A DINING ROOM, SPIRITUAL CARE VIA A CHAPLAIN, AND OTHER SERVICES TO OUR RESIDENTS. 1900490 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 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 1 X 12 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 1 1 1 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 60.00 X X 0 407174 34700 DANIEL VAGLE BOARD MEMBER 0.50 6.50 X 0 65604 0 NATHAN MERRILL BOARD TREASURER/CFO 2.00 55.00 X X 0 311825 38304 JENNY KENNEDY BOARD SECRETARY 0.50 6.00 X X 0 10700 0 AUSTIN HARBACH ASSISTANT SECRETARY 3.00 53.00 X X 0 157189 15482 TOM WORKMAN ASSISTANT SECRETARY 0.50 4.00 X X 0 0 0 RICK SUMMERS BOARD MEMBER/COO 3.00 59.00 X X 0 297506 18741 CHRISTI MILLER BOARD MEMBER/VP OF HUMAN RESOURCES 3.00 47.00 X 0 227426 17882 KRISTEN JACOBY BOARD MEMBER/RGNL DIRECTOR OPS. 0.00 51.00 X 0 169236 3734 DON MORGAN BOARD MEMBER 0.50 7.50 X 0 70167 0 LARRY SMITH BOARD MEMBER 0.50 9.50 X 0 32775 0 DALE TURNER BOARD MEMBER 0.50 8.50 X 0 65604 0 LISA D SISCO EXECUTIVE DIRECTOR 40.00 0.00 X 0 104225 28235 0 1919431 157078 0 0 1 0 0 56 56 SENIOR HOUSING 623990 2353288 2353288 LIFE TENANCY REVENUE 623990 63315 63315 2416603 EMPLOYEE/GUEST MEALS 812900 1547 1547 BEAUTY/BARBER SERVICES 812900 600 600 MISC. REVENUES 812900 540 540 2687 2419346 2416603 0 2687 X 372850 372850 74761 74761 27369 27369 145161 145161 105 105 460147 460147 19931 19931 54488 54488 13303 13303 271108 271108 2229 2229 948 948 178485 178485 341734 341734 65298 65298 MAINTENANCE AND REPAIRS 100828 100828 RESIDENT SERVICES/FOOD 70979 70979 DUES AND SUBSCRIPTIONS 13051 13051 2212775 1900490 312285 0 2500 1727 337616 355369 411 4673 959 12759540 7915310 4979029 4844230 5324229 5202285 65590 135992 218820 157327 3206588 3206588 134323 19785 1413152 1190266 5038473 4709958 X 285756 492327 285756 492327 5324229 5202285 206571 0 X X 0 1 X 1 0 X 2953 20565 5263 105 56 28942 2313515 1786422 2024556 2185745 2416603 10726841 2316468 1806987 2029819 2185850 2416659 10755783 0 0 0 10755783 68 1 69 68 1 69 15575 8925 5308 2355 2687 34850 2332111 1815913 2035127 2188205 2419346 10790702 0.99680 0.99440 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: ALL OTHER MISC - 2020 AMOUNT: $ 12,043. 2021 AMOUNT: $ 6,804. 2022 AMOUNT: $ 3,783. 2023 AMOUNT: $ 520. 2024 AMOUNT: $ 540. BEAUTY/BARBER - 2020 AMOUNT: $ 2,349. 2021 AMOUNT: $ 1,471. 2022 AMOUNT: $ 1,462. 2023 AMOUNT: $ 925. 2024 AMOUNT: $ 600. HOUSEKEEPING/LAUNDRY - OTHER RESIDENT SERVICES - 2020 AMOUNT: $ 1,183. 2021 AMOUNT: $ 650. 2022 AMOUNT: $ 63. 2023 AMOUNT: $ 910. 2024 AMOUNT: $ 1,547. 603284 603284 11327309 7375557 3951752 828947 539753 289194 4844230 SECURITY DEPOSITS 41899 REFUNDABLE LIFE TENANCY CONTRACTS 263025 DUE TO AFFILIATES 885342 1190266 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, 2024 AND 2023. 0 0 0 0 0 0 0 0 0 DANA RASIC BOARD CHAIR/CEO 0 407174 0 0 0 0 0 6900 0 27800 0 441874 0 0 NATHAN MERRILL BOARD TREASURER/CFO 0 281825 0 30000 0 0 0 6305 0 31999 0 350129 0 0 RICK SUMMERS BOARD MEMBER/COO 0 275953 0 21553 0 0 0 5492 0 13249 0 316247 0 0 CHRISTI MILLER BOARD MEMBER/VP OF HUMAN RESOURCES 0 216926 0 10500 0 0 0 4206 0 13676 0 245308 0 0 KRISTEN JACOBY BOARD MEMBER/RGNL DIRECTOR OPS. 0 157123 0 12113 0 0 0 3120 0 614 0 172970 0 0 AUSTIN HARBACH ASSISTANT SECRETARY 0 149539 0 7650 0 0 0 3219 0 12263 0 172671 0 0 A IDA OF THE CITY OF PEORIA AZ 521767454 F1284MBG3 2012-12-20 3198828 REFUNDED PRIOR ISSUE DATED 11/20/03 0 0 0 A 3198828 172643 63976 2962208 2013 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: IDA OF THE CITY OF PEORIA, AZ DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2022 FORM 990, PART V, LINE 2B: EMPLOYEES ARE EMPLOYED UNDER THE TAXPAYER IDENTIFICATION NUMBER (TIN) OF LIFESTREAM COMPLETE SENIOR LIVING, WHICH IS RESPONSIBLE FOR FILING ALL REQUIRED FEDERAL EMPLOYMENT TAX RETURNS. FORM 990, PART VI, SECTION A, LINE 1A THERE ARE 4 COMMITTEES TO WHICH THE BOARD DELEGATES AUTHORITY TO ACT: THE INVESTMENT COMMITTEE, THE ETHICS COMMITTEE, THE ADMINISTRATIVE COMMITTEE, AND THE RETIREMENT PLANS COMMITTEE. THE INVESTMENT COMMITTEE IS COMPRISED OF 6 BOARD MEMBERS AND NO OTHER PERSONS. THE ADMINISTRATIVE COMMITTEE IS COMPRISED OF 6 BOARD MEMBERS AND NO OTHER PERSONS. THE ETHICS COMMITTEE IS COMPRISED OF 4 BOARD MEMBERS AND NO OTHER PERSONS. THE RETIREMENT PLANS COMMITTEE IS COMPRISED OF 6 BOARD MEMBERS AND NO OTHER PERSONS. THE SCOPE OF EACH COMMITTEE IS SUMMARIZED AS FOLLOWS: A. INVESTMENT COMMITTEE: THE INVESTMENT COMMITTEE ASSISTS THE CEO AND THE CFO IN THE MANAGEMENT OF LIFESTREAM'S INVESTMENT PORTFOLIO, IF ANY. B. ETHICS COMMITTEE: THE ETHICS COMMITTEE IS RESPONSIBLE FOR OVERSEEING AND IMPLEMENTING LIFESTREAM'S WHISTLEBLOWING POLICY, AND FOR INVESTIGATING POTENTIAL ETHICS VIOLATIONS AND PERFORMING SUBSEQUENT REMEDIAL MEASURES AS IDENTIFIED BY LIFESTREAM'S WHISTLEBLOWING POLICY. C. ADMINISTRATIVE COMMITTEE: THE ROLE OF THE ADMINISTRATIVE COMMITTEE IS TO PROVIDE OVERSIGHT AND APPROVAL OF THE PHILOSOPHY, METHODOLOGY, AND GUIDELINES FOR COMPENSATING EMPLOYEES, WITH THE CEO HAVING THE RESPONSIBILITY OF EXECUTING ACCORDINGLY. D. RETIREMENT PLANS COMMITTEE: THE RETIREMENT PLANS COMMITTEE OVERSEES LIFESTREAM'S RETIREMENT PLANS IN AN EFFORT TO ENSURE LEGAL COMPLIANCE, INCLUDING: I. REVIEW PLAN DOCUMENTS AND SUGGEST CHANGES WHERE APPLICABLE; II. REVIEW PROPER OPERATION OF PLANS; III. REVIEW COMPLIANCE TESTS, INCLUDING NONDISCRIMINATION TESTING; IV. REVIEW FUND PERFORMANCE WITH PROVIDER AND INVESTMENT ADVISOR, AND, WHERE NECESSARY, RECOMMEND FUND CHANGES TO THE INVESTMENT COMMITTEE; V. REVIEW PLAN PROVIDER AND SERVICE LEVEL AT LEAST EVERY TWO YEARS; COMPARE TO OTHER PROVIDERS AT LEAST EVERY FOUR YEARS; VI. PROVIDE MINUTES OF COMMITTEE MEETINGS TO THE BOARD AT LEAST ANNUALLY FOR REVIEW AND RATIFICATION OF ACTIONS; VII. ANY OTHER ITEMS RELATED TO THE OPERATION OF THE 403(B) RETIREMENT PLAN. FORM 990, PART VI, SECTION A, LINE 2 DALE TURNER AND DAN VAGLE HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 LIFESTREAM HAS A MANAGEMENT AGREEMENT WITH BETHESDA FOUNDATION D.B.A. BETHESDA SENIOR LIVING COMMUNITIES IN WHICH BETHESDA PROVIDES GENERAL OPERATIONAL SUPPORT AND COUNSEL. IN RETURN, LIFESTREAM COMPENSATES BETHESDA WITH A MANAGEMENT FEE. 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 NORTHEAST PHOENIX, 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 B, LINE 15 ANNUALLY, THE COMPENSATION COMMITTEE (COMPRISED OF THE CHAIRMAN AND VICE-CHAIRMAN OF THE BOARD PLUS ONE OTHER MEMBER OF THE BOARD OF DIRECTORS) REVIEWS THE FOLLOWING INFORMATION TO SET AND APPROVE EXECUTIVE COMPENSATION: INDEPENDENT SALARY SURVEY INFORMATION; PERFORMANCE REVIEW FOR CEO BASED ON MISSION, QUALITY, FINANCIAL AND STAFF LEADERSHIP; PERFORMANCE FEEDBACK ON OTHER EXECUTIVES PROVIDED BY CEO; BACKGROUND, SKILLS, QUALIFICATIONS FOR EACH EXECUTIVE. THE COMPENSATION COMMITTEE MEETS AND MAKES RECOMMENDATIONS TO THE FULL BOARD OF DIRECTORS DURING EXECUTIVE SESSION. MINUTES ARE TAKEN AT EACH MEETING AND MADE PART OF THE CORPORATE RECORD. 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 IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 455,372. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 455,372. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,775. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,775. FORM 990, PAGE 12, PART XII, LINE 2C THERE HAS BEEN NO CHANGE IN EITHER THE OVERSIGHT OR 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 BETHESDA SENIOR LIVING COMMUNITIES 15475 GLENEAGLE DRIVE COLORADO SPRINGS CO 80921 470497753 DEVELOPMENT AND OPERATIONS 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