SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
right arrow Attach to Form 990 or 990-EZ.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
STONERIDGE RETIREMENT LIVING
 
Employer identification number

23-1379523
Return Reference Explanation
Form 990, Part VI, Section B, Line 11b Completed form is posted to the Organizations website in a section for Trustee access and trustees are informed that it is available for review.
Form 990, Part VI, Section C, Line 19 No documents available to the public.
Form 990, Part VI, Section A, Line 6 7 StoneRidge Retirement Living is a controlled entity of StoneRidge Retirement Living Communities, Inc andStoneRidge Retirement Living Communities Inc. elects all of the Trustees of the Board. StoneRidge Retirement Living Communities Inc. is the sole member of StoneRidge Retirement Living.
Form 990, Part IX, Line 11 Includes agency nursing - 1,165,577 contracted rehabilitation services - 841,697 contracted dietary services - 2,021,877 contracted pastoral services -87,026 contracted barber and beauty services - 53,101 contracted medical director services - 30,000 contracted pharmacy services - 21,585 other contracted services - 105,058
Form 990, Part XI, Line 9 Unrealized gain on interest rate swap 182,996 unrealized losses on trust assets 337,773
Form 990, Part VI, Section A, Line 3 Management services were provided by StoneRidge Retirement Living Communities, Inc. 20-8424515
Form 990, Part VI, Section B, Line 12c By-laws require an annual statement from Trustees.
Form 990, Part VI, Section B, Line 15a 15b CEO is employed and compensated by the management company noted in Line 6 above.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2022


Additional Data


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