2025-11-17T08:53:24-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 20 E THOMAS RD STE 2300 PHOENIX AZ 85012 990 2024-01-01 237458267 LIFESTREAM COMPLETE SENIOR LIVING 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 11580933 0 X WWWW.LIFESTREAMLIVING.COM X 1975 AZ SERVING SENIORS BY ENRICHING THEIR PHYSICAL, EMOTIONAL AND SPIRITUAL HEALTH IN A CLOSE-KNIT COMMUNITY. 12 1 158 1 0 0 140505 145193 5849980 8585161 990645 2790055 150279 60524 7131409 11580933 0 0 0 0 4009976 4758041 0 0 0 4276552 6312886 8286528 11070927 -1155119 510006 21060205 20899698 13659672 12922468 7400533 7977230 OUR MISSION IS TO SERVE SENIORS BY ENRICHING THEIR PHYSICAL, EMOTIONAL AND SPIRITUAL HEALTH IN A CLOSE-KNIT COMMUNITY. 0 0 3838597 0 1594858 THE ORGANIZATION PROVIDES HEALTH CARE SERVICES TO APPROXIMATELY 57 SENIOR RESIDENTS AT A REASONABLE COST. OUR MISSION IS ACTED OUT BY 54 ASSOCIATES. WE HAVE CHAPLAINS THAT ATTEND TO THE SPIRITUAL AND EMOTIONAL NEEDS OF OUR RESIDENTS. THE CHALLENGES OUR CHAPLAINS FACE EXTEND FROM SENIOR'S FEARS AND FRUSTRATIONS TO ILLNESSES AND THE LOSS OF LOVED ONES. ON A DAILY BASIS OUR ASSOCIATES HELP RESIDENTS MAKE THE TRANSITION FROM DISCOMFORT TO CONTENTMENT AND FROM APPREHENSION TO ASSURANCE FROM UNCERTAINTY. 6943447 0 6990303 THE ORGANIZATION PROVIDES QUALITY AFFORDABLE HOUSING AND SERVICES TO APPROXIMATELY 344 SENIOR RESIDENTS AT A REASONABLE COST. RESIDENTS CAN ENJOY THE OUTDOORS AS WELL AS A VARIETY OF SOCIAL ACTIVITIES. SERVICES SUCH AS MEDICATION MANAGEMENT, WELL-BEING CHECKS, PET CARE, TRANSPORTATION TO MEALS, COMPANION SERVICE AND A HOST OF OTHER SERVICES ARE AVAILABLE TO OUR SENIOR HOUSING RESIDENTS. WE ALSO HAVE CHAPLAINS THAT ATTEND TO THE SPIRITUAL AND EMOTIONAL NEEDS OF OUR RESIDENTS. 10782044 1 1 0 0 0 0 0 0 1 1 1 0 0 1 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 1 0 0 0 1 62 0 158 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 1 1 1 0 0 0 0 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 5.00 57.00 X X 0 407174 34700 NATHAN MERRILL BOARD TREASURER/CFO 5.00 52.00 X X 0 311825 38304 RICK SUMMERS VICE PRESIDENT/COO 7.00 55.00 X X 0 297506 18741 CHRISTI MILLER BOARD MEMBER/VP OF HUMAN RESOURCES 7.00 43.00 X 0 227426 17882 KRISTEN JACOBY BOARD MEMBER/RGNL DIRECTOR OPS. 0.00 51.00 X 0 169236 3734 AUSTIN HARBACH ASSISTANT SECRETARY 5.00 51.00 X X 0 157189 15482 DON MORGAN BOARD MEMBER 0.50 7.50 X 0 70167 0 DAN VAGLE BOARD MEMBER 0.50 6.50 X 0 65604 0 DALE TURNER BOARD MEMBER 0.50 8.50 X 0 65604 0 LARRY SMITH BOARD MEMBER 0.50 9.50 X 0 32775 0 JENNY KENNEDY BOARD SECRETARY 0.50 6.00 X X 0 10700 0 TOM WORKMAN ASSISTANT SECRETARY 0.50 4.00 X X 0 0 0 DEBRA BLANEY EXECUTIVE DIRECTOR 40.00 0.00 X 0 109171 13191 0 1924377 142034 0 0 1 0 VALLEY DNA REMODELING LLC 12415 NORTH 103RD AVE SUN CITY AZ 85351 REMODELING SERVICES 163920 SONORAN LANDSCAPE MAINTENANCE PO BOX 8681 PHOENIX AZ 85066 LANDSCAPING SERVICES 123623 2 144500 693 145193 LIFE TENANCY 623990 8521636 8521636 SENIOR HOUSING 623990 63525 63525 8585161 204734 204734 2585321 0 2585321 2585321 2585321 OTHER PERSONAL SERVICES FOR RESID 812900 44980 44980 MISCELLANEOUS REVENUE 623000 15544 15544 60524 11580933 8585161 0 2850579 4027765 4027765 418968 418968 311308 311308 572437 572437 21211 11586 9625 69250 69250 30 30 54925 54925 317107 300434 16673 89114 84114 5000 1572289 1572187 102 10358 9703 655 14942 14942 564914 447901 117013 1335698 1299418 36280 292885 271959 20926 RESIDENT RELATED SUPPLI 1026587 1026587 DUES AND SUBSCRIPTIONS 153157 153092 65 BAD DEBT 109594 109594 MAINTENANCE AND REPAIRS 95124 95124 13264 13264 11070927 10782044 288883 0 48789 316182 1006600 1058751 1701994 1619806 44287 43100 84683 37562 43233954 29866113 12928346 13367841 1871776 1672321 613980 626740 2759750 2157395 21060205 20899698 586181 733291 30930 24979 9553412 9553412 738275 70346 2750874 2540440 13659672 12922468 X 5777585 6326841 1622948 1650389 7400533 7977230 21060205 20899698 X 510006 53931 12760 X X 0 1 X 1 0 X 3037015 3639710 1593627 140405 145193 8555950 14266385 11603079 9081851 5849980 8585161 49386456 17303400 15242789 10675478 5990385 8730354 57942406 38506 16154 54660 0 38506 16154 54660 57887746 3234 5243 71571 30745 204734 315527 3234 5243 71571 30745 204734 315527 50419 22178 44979 150279 60524 328379 17357053 15270210 10792028 6171409 8995612 58586312 0.98810 0.99150 0.00540 0.00190 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2020 AMOUNT: $ 22,494. 2021 AMOUNT: $ 7,030. 2022 AMOUNT: $ 10,399. 2023 AMOUNT: $ 129,025. 2024 AMOUNT: $ 15,544. CATERING SERVICES - 2020 AMOUNT: $ 13,621. 2021 AMOUNT: $ 9,198. 2022 AMOUNT: $ 7,250. OTHER PERSONAL SERVICES FOR RESIDENTS - 2020 AMOUNT: $ 9,316. 2021 AMOUNT: $ 5,124. 2022 AMOUNT: $ 27,330. 2023 AMOUNT: $ 21,254. 2024 AMOUNT: $ 44,980. EMPLOYEE GUEST MEALS - 2020 AMOUNT: $ 4,988. 2021 AMOUNT: $ 826. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 1715820 -78408 1637412 1973004 -257184 1715820 2104139 -131135 1973004 1760498 377425 33784 2104139 1639142 148356 27000 1760498 0.02140 0.82525 0.15335 1 0 4234495 4234495 33963265 25428330 8534935 4864619 4437783 426836 171575 171575 13367841 DUE FROM AFFILIATES 2157395 2157395 SECURITY DEPOSITS 82916 REFUNDABLE LIFE TENANCY CONTRACTS 202721 DUE TO AFFILIATES 2204641 LEASE LIABILITY 50162 2540440 X PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED TO SUPPORT RETIRED PASTORS AND MISSIONARIES, SUPPORT CHAPLAINS, PROVIDE EMERGENCY ASSISTANCE TO EMPLOYEES, PROVIDE HEALTHCARE SERVICES, AND PURCHASE NEEDED EQUIPMENT. 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. X X X X 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 VICE PRESIDENT/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 5969957 REFUNDED PRIOR ISSUE DATED 11/20/03 0 0 0 B IDA OF THE CITY OF PEORIA AZ 521767454 F1284MBG3 2012-12-20 3053716 REFUNDED PRIOR ISSUE DATED 11/20/03 0 0 0 A 5969957 322203 119399 5528355 2013 1 0 1 1 B 3053716 164811 61074 2827830 2013 1 0 1 1 A 0 1 0 0 0.00100 0.00000 0.00100 0 0 1 B 0 1 0 0 0.00100 0.00000 0.00100 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: IDA OF THE CITY OF PEORIA, AZ DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2022 ISSUER NAME: IDA OF THE CITY OF PEORIA, AZ DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2022 SCHEDULE K, PART I, LINE B / PARTS II, III, IV, AND V, COLUMN B LIFESTREAM COMPLETE SENIOR LIVING AT THUNDERBIRD, INC. (86-0739097) WAS MERGED INTO THIS ENTITY EFFECTIVE DECEMBER 2023. AS SUCH, THE SCHEDULE K ACTIVITY PREVIOUSLY REPORTED ON ITS RETURN IS NOW BEING REPORTED ON THIS RETURN. 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 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 COMMITTEES 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, 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: CSPRGC CHANGE 12,760. FORM 990, PAGE 12, PART XII, LINE 2C THERE HAS BEEN NO CHANGE IN EITHER THE OVERSIGHT PROCESS OR THE SELECTION PROCESS DURING THE TAX YEAR. LIFESTREAM COMPLETE SENIOR LIVING AT NORTHEAST PHOENIX INC 11555 WEST PEORIA AVENUE YOUNGTOWN AZ 85363 860682800 SENIOR APARTMENTS AZ 501(C)(3) LINE 10 LIFESTREAM COMPLETE SENIOR LIVING INC 1 BETHESDA SENIOR LIVING COMMUNITIES 15475 GLENEAGLE DR COLORADO SPRINGS CO 80921 470497753 DEVELOPMENT AND OPERATION OF SENIOR LIVING FACILITIES CO 501(C)(3) LINE 10 N/A 0 CHARITABLE TRUST (1) INVESTMENTS AZ LIFESTREAM COMPLETE SENIOR LIVING INC T 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0