EXHIBIT 10.4



 Exhibit 10.4 
 THIRD AMENDMENT TO LOAN AGREEMENT AND OMNIBUS AMENDMENT AND 

REAFFIRMATION OF LOAN DOCUMENTS 
 This THIRD AMENDMENT TO LOAN AGREEMENT AND OMNIBUS AMENDMENT AND REAFFIRMATION OF LOAN DOCUMENTS (this “Amendment”) is dated as of June 2, 2011 by and
among HSH NORDBANK AG, acting through its NEW YORK BRANCH, a German banking corporation acting through its New York branch, as administrative agent (together with its successors and assigns in such capacity as agent for Lenders, the
“Administrative Agent”), sole Arranger and Lender, AL US DEVELOPMENT VENTURE, LLC, a Delaware limited liability company (the “Borrower”), SUNRISE SENIOR LIVING
INVESTMENTS, INC., a Virginia corporation (“SSLII”), SUNRISE SENIOR LIVING, INC., a Delaware corporation (“Sunrise”), the parties listed on Schedule I (the
“Intermediate Tier Owners”) and Schedule II attached hereto (the “Property Companies”; and together with the Borrower and Intermediate Tier Owners, collectively, the
“Loan Parties”) (the Loan Parties, together with SSLII and Sunrise, collectively, the “Sunrise Parties”) and Lenders. 

W I T N E S S E T H: 

WHEREAS, the Borrower, the Administrative Agent and Lenders are party to that certain Loan Agreement dated as of
June 14, 2007, as amended by that certain First Amendment to Loan Agreement dated as of April 22, 2009, and as further amended by that certain Second Amendment to Loan Agreement dated as of July     , 2010 (as so
amended, the “Existing Loan Agreement”; the Existing Loan Agreement, as amended hereby, the “Loan Agreement”) pursuant to which Lenders agreed to make, and the
Administrative Agent agreed to administer, a loan to Borrower in the principal amount of up to $370,500,000 (the “Loan”), upon the terms and conditions set forth in the Existing Loan Agreement (all capitalized
terms used but not defined herein shall have the respective meanings ascribed to them in the Existing Loan Agreement); 
 WHEREAS, in connection with the Loan, in addition to the Existing Loan Agreement, the Loan Parties, the Administrative Agent and certain other Affiliates of the Borrower, entered into other Loan
Documents (the “Existing Loan Documents”; the Existing Loan Documents, as amended hereby, the “Loan Documents”); 

WHEREAS, as of the date hereof (and prior to giving effect to this Amendment), the outstanding principal balance
of the Loan is $364,790,086.29, as reflected in that certain Consolidated, Amended and Restated Promissory Note dated as of the date hereof (and prior to giving effect to this Amendment); 

WHEREAS, the Sunrise Parties, the Administrative Agent and Lenders desire to amend the Existing Loan Agreement and
the Existing Loan Documents pursuant to this Amendment and the documents set forth on Schedule III attached hereto (such documents, collectively, the “Recorded Document Amendments”); and 

WHEREAS, in order to induce the Administrative Agent and Lenders to enter into this Amendment and the Recorded
Document Amendments, and as a condition precedent to the effectiveness of this Amendment, immediately prior to the effectiveness of this Amendment, 







 
(i) certain successors-in-interest to MS Senior have transferred one hundred percent (100%) of their respective interests in the Borrower to SSLII, such that upon the Third Amendment Date
SSLII shall own one hundred percent (100%) of the membership interest in the Borrower and (ii) immediately following such transfer, but immediately prior to the effectiveness of this Amendment, the Borrower has made a payment to the
Administrative Agent in the amount of $25,000,000 to be applied in reduction of the outstanding principal balance of the Loan, such that the outstanding principal balance of the Loan after such payment is $339,790,086.29; 

NOW, THEREFORE, in consideration of the premises set forth herein and to induce the Lenders and the Administrative
Agent to enter into this Amendment, and for other valuable consideration, the receipt and sufficiency of which are acknowledged, and intending to be legally bound hereby, the Sunrise Parties, the Administrative Agent and Lenders hereby agree that
the Existing Loan Agreement and Existing Loan Documents are hereby amended as follows: 
 Section 1.
Existing Loan Agreement Amendments. 
 (a) The definitions in the Existing Loan Agreement of the terms
(i) “Loan Agreement”, (ii) “Loan Documents” (including in any document defined in such term), and (iii) “Security Documents” (including in any document defined in such term), are amended to include this
Amendment and the Recorded Document Amendments, as applicable. 
 (b) The definitions in Section 1.01
of the Existing Loan Agreement of the terms set forth below are amended and restated in their entirety by the following: 
 “Annual Budget” means the operating and capital budget with respect to the Facilities furnished to and approved by the Administrative Agent pursuant to Section 6.20.

 “Applicable Margin” means (a) with respect to Base Rate Advances,
an amount equal to One Hundred Twenty-Five (125) basis points (1.25%) per annum and (b) with respect to LIBOR Advances, an amount equal to One Hundred Seventy Five (175) basis points (1.75%) per annum. 

“Borrower’s Members” means SSLII. 

“Cash Sweep Start Date” means the Third Amendment Date. 

“Cash Sweep Stop Date” means the date upon which all of the Loan Obligations have
been paid in full or otherwise satisfied. 
 “Excess Cash Flow of the Borrower”
means, for any period of calculation, the excess of (a) the Total Revenues of the Borrower and the Guarantors on a consolidated basis over (b) the sum on an aggregated and consolidated basis, of their (i) Operating Expenses
(or, in the event that a Section 2.03(c) Default has occurred and at all times thereafter, Approved Operating Expenses), (ii) non-operating expenses otherwise approved by the Administrative Agent, (iii) mandatory principal and
interest payments on Indebtedness and (iv) Capital Expenditures made in accordance with Section 7.13; provided that such excess shall be adjusted to exclude (y) depreciation and all other
non-

  
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cash charges and expenses (other than expenses that must be accrued monthly such as real and personal property taxes and insurance premiums) and (z) revenues not resulting in the receipt of
cash during such period. 
 “Imputed Debt Service” means, for any
calculation period, the higher of (i) the amount of principal and interest payable in such period taking into account the net effect of any Interest Rate Agreement and (ii) the amount that would have been payable had the rate been equal to
(A) from the Third Amendment Date through December 31, 2011, seven percent (7.0%) constant, (B) thereafter, through December 31, 2012, seven and one-half percent (7.5%) constant, (C) thereafter, through
December 31, 2013, seven and three-quarters percent (7.75%) constant, and (D) thereafter, eight percent (8%) constant. 
 “Maturity Date” means June 14, 2015. 

(c) The following definitions are added to Section 1.01 of the Existing Loan Agreement in alphabetical order:

 “Additional Collateral” has the meaning ascribed to such term in
Section 10(a) of the Third Amendment to Loan Agreement. 
 “Additional
Collateral Letter of Credit” has the meaning ascribed to such term in Section 10(b) of the Third Amendment to Loan Agreement. 

“Additional Operating Expenses” shall have the meaning ascribed thereto in
Section 2.03(c). 
 “Approved Operating Expenses” means the
Operating Expenses made by the Borrower which (i) are included in the then current Annual Budget approved by the Administrative Agent pursuant to Section 6.20, on an aggregated and consolidated basis or (ii) have otherwise been
approved by the Administrative Agent, which approval shall not be unreasonably withheld or delayed; provided, however, that such approval of the Administrative Agent shall not be required if aggregated and consolidated Operating
Expenses do not exceed one hundred three percent (103%) of the aggregated and consolidated Operating Expenses set forth in the Annual Budget, and such Operating Expenses shall be deemed “Approved Operating Expenses” hereunder.

 “Consumer Price Index” means the Consumer Price Index: All Urban
Consumers, (1982-84=100), All Items, U.S. City Average (CPI-U), as published by the United States Department of Labor, Bureau of Labor Statistics. If the Consumer Price Index shall cease to use 1982-84 as the base year, the Consumer Price Index
shall be converted in accordance with the conversion factor, if any, published by the United States Department of Labor, Bureau of Labor Statistics. If the Consumer Price Index is discontinued or revised prior to the Maturity Date, such other
governmental index or computation, if any, with which it is replaced shall be used. 

“Dissolution” has the meaning ascribed to such term in Section 9 of
the Third Amendment to Loan Agreement. 

  
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 “Dissolved Entities” has the meaning
ascribed to such term in Section 9 of the Third Amendment to Loan Agreement. 

“Dissolved Entity Transfer” has the meaning ascribed to such term in
Section 9 of the Third Amendment to Loan Agreement. 
 “Emergency
Circumstances” means circumstances that (i) present an immediate threat to the health, safety or welfare of any Person or danger or loss to the Property, (ii) could result in the immediate suspension of any necessary service
in or to the Property or (iii) could result in a condition which could immediately subject Manager or and/or Property Owners to regulatory, civil, or criminal liability, and in each case with respect to which it would be impracticable, in the
Borrower’s reasonable judgment, under the circumstances to obtain the Administrative Agent’s prior written consent before incurring certain emergency expenditures, provided that the Borrower delivers notice to the Administrative Agent as
soon as practicable after incurring such emergency expenditures. 
 “Immaterial
Permit” means any Permit which, if not maintained in full force and effect by a Facility would not result in (i) a Material Adverse Effect or (ii) such Facility being required to (a) pay a fine or penalty in excess of
$100,000 for one violation or $250,000 per annum in the aggregate for any and all violations (relating to all Permits in the aggregate), (b) cease or suspend all or any part of its operations, (c) cease or suspend marketing for, or
admitting, any new residents or any class or type of new residents, (d) cease or suspend providing any services to any resident, (e) not provide a contemplated service to any resident, or (f) relocate or discharge any of its residents
from such Facility. 
 “Immaterial Violation” means any violation of
Applicable Laws that will not result in (i) the imposition of a fine or penalty against the Borrower, the applicable Property Company or the Facility in excess of $100,000 for one violation or $250,000 per annum in the aggregate for any and all
violations, (ii) the expenditure of a material amount to correct or remedy such violation or (iii) the termination or suspension of a Material Permit. 

“Material Permit” means any Permit which is not an Immaterial Permit. 

“Material Violation” means any violation of Applicable Laws that is not an
Immaterial Violation. 
 “Section 2.03(c) Default”
means an Event of Default that occurs pursuant to Section 11.01(j). 

“Third Amendment Date” means June 2, 2011. 

“Third Amendment to Loan Agreement” means that certain Third Amendment to Loan
Agreement and Omnibus Amendment and Reaffirmation of Loan Documents dated as of the Third Amendment Date among the Administrative Agent, the Lenders, the Borrower, the Intermediate Tier Companies, the Property Companies, Sunrise and SSLII.


  
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 “Winding Up Process” has the meaning
ascribed to such term in Section 9 of the Third Amendment to Loan Agreement. 
 (d) The following
definitions set forth in Section 1.01 of the Existing Loan Agreement are hereby amended as follows: 
 (i) The definition of “DSCR Release Test Amount” is hereby amended by replacing the text “Section 7.03(c)” with the text “Section 7.03(b)”.

 (ii) The definition of “ERISA Affiliate” is hereby amended by deleting
the phrase “provided, however, ERISA Affiliate does not include Affiliates of Morgan Stanley other than MS Senior, the Borrower or any Guarantor”. 
 (e) The definitions in Section 1.1 of the Existing Loan Agreement of the terms “Member Interest Pledge and Security Agreement (MS)” and “MS Senior” and all references to such
terms in the Existing Loan Agreement and the Existing Loan Documents are deleted in their entirety. 
 (f) The
following text is inserted as Section 2.03(c) of the Existing Loan Agreement: 
 “In the event that,
with regard to any Fiscal Quarter prior to which a Section 2.03(c) Default has occurred, the Borrower has incurred Operating Expenses in excess of Approved Operating Expenses (the “Additional Operating Expenses”), then
on the earlier to occur of (i) ten (10) Business Days after the Borrower’s delivery of the certified statement required to be delivered pursuant to Section 6.01(c) or (ii) sixty (60) days after the applicable
Fiscal Quarter, the Borrower shall make a payment to the Administrative Agent in the amount of the Additional Operating Expenses for such Fiscal Quarter to be applied in reduction of the outstanding principal balance of the Loan.” 

(g) Section 6.01(c) of the Existing Loan Agreement is amended by adding the following sentence after the last
sentence thereof: 
 “In addition to the aforementioned deliverables, within forty-five (45) days after
each Fiscal Quarter, the Borrower shall also deliver to the Administrative Agent a certified statement from the chief financial officer of the Borrower or its Managing Member (i) certifying that either (x) all Operating Expenses paid
during such Fiscal Quarter constituted Approved Operating Expenses or (y) if all Operating Expenses paid during such Fiscal Quarter did not constitute Approved Operating Expenses, then a calculation showing the amount by which such Operating
Expenses exceeded Approved Operating Expenses for such Fiscal Quarter; provided that in the event that a Section 2.03(c) Default has occurred and at all times thereafter, sub-clause (y) of this Section 6.01(c) shall not
apply and the Borrower must then deliver the certificate specified in sub-clause (x) above, and (ii) showing the calculation for the Excess Cash Flow of the Borrower for the Fiscal Quarter just ended along with any other


  
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documents and back-up reasonably requested by the Administrative Agent supporting such calculation.” 
 (h) Section 6.20(b) of the Existing Loan Agreement is amended and restated in its entirety as follows: 
 “(b) Each Annual Budget shall set forth revenues and expenses and capital expenditures for the respective Facility by category in reasonable detail and include adjusted operating expenses, total
adjusted operating revenues and projected occupancy, it being acknowledged and agreed by the Administrative Agent that budgeted expenses are based upon anticipated occupancy and revenue levels set forth in the Annual Budget. Each Annual Budget will
be submitted by the Borrower to the Administrative Agent at least thirty (30) days prior to the commencement of the Fiscal Year to which it relates.” 
 (i) The following text is inserted as Section 6.20(d) of the Existing Loan Agreement: 
 “(d) Notwithstanding anything to the contrary contained herein, in addition to being approved by the governing body of the respective Borrower and each Guarantor, each proposed Annual Budget shall
not be adopted as final or amended without the Administrative Agent’s prior written consent, which consent shall not be unreasonably withheld, conditioned or delayed; provided, however, that during the existence of an Event of
Default, (i) the Borrower shall not adopt any such proposed Annual Budget as final and (ii) no Annual Budget shall be amended, in each case, without the prior written consent of Administrative Agent, which consent may be withheld in
Administrative Agent’s sole and absolute discretion. Within thirty (30) days after receiving a draft Annual Budget for approval in accordance with this Section 6.20(d), the Administrative Agent will by written notice to the
Borrower either approve the draft Annual Budget or state its reasons for disapproving the draft Annual Budget and the revisions it deems necessary for granting its approval for such draft Annual Budget. If the Administrative Agent fails to approve
any portion of the Annual Budget on or before the beginning of the applicable calendar year, then the prior year’s Annual Budget with respect to such unapproved portion shall be deemed to continue as the Annual Budget until a new proposed
Annual Budget is approved by the Administrative Agent, subject to increase for (a) the amount of any non-discretionary expenses (such as, for example, taxes) and (b) with respect to discretionary expenses, by any increase in the Consumer
Price Index, until such unapproved portions of the Annual Budget are approved. The amount of Consumer Price Index increase for any given calendar year shall be determined by multiplying (A) the applicable portions of the Annual Budget for the
previous calendar year by (B) a fraction, the numerator of which shall be (x) (i) the most recently published value of the Consumer Price Index, minus (ii) the value of the Consumer Price


  
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Index for the corresponding period of the immediately preceding calendar year, and the denominator of which shall be (y) the amount stated in clause (ii) hereof. Mathematically, the
Consumer Price Index fraction referred to in the immediately preceding sentence may be summarized as (current Consumer Price Index - last year Consumer Price Index)/last year Consumer Price Index.” 

(j) Sub-clause (C) of Section 6.22(a)(ii) of the Existing Loan Agreement is amended and restated in its
entirety by the following: “intentionally omitted;”. 
 (k) Section 6.24(d) of the Existing Loan
Agreement is amended by adding the following sentence at the end of such Section: 
 “Notwithstanding
anything herein to the contrary, all calculations for Debt Service Coverage Ratio compliance shall be calculated using the trailing twelve (12) months as the applicable test period.” 

(l) The following text is inserted as Section 6.27 of the Existing Loan Agreement: 

“In the event that the Borrower expends any funds in order to cure any Material Violations or any violation related
to a Material Permit in connection with the covenants in Sections 6.09 or 6.14, the Borrower shall provide evidence reasonably satisfactory to the Administrative Agent that the source of such funds was not from Total Revenues.”

 (m) The first sentence of Section 7.03(b) of the Existing Loan Agreement is amended and restated in its
entirety as follows: 
 “The Borrower may sell, transfer or otherwise dispose of a Facility (excluding
dispositions as a result of a casualty or condemnation to the extent addressed in Section 6.11) or a Property Company, or otherwise cause such Facility to be released from the lien of the applicable Mortgage and removed as a
“Facility” hereunder, if the following conditions are satisfied:” 
 (n) Section 7.03(b)(i)
of the Existing Loan Agreement is amended and restated in its entirety as follows: 
 “(i) no Conditional
Default, Default or Event of Default has occurred and is continuing, unless (x) the sale will generate funds sufficient to cure such Default and such sales proceeds are so applied, or (y) the release of such Facility from the lien of the
applicable Mortgage and removal as a “Facility” hereunder will cause such Conditional Default, Default or Event of Default to cease or be cured; 
 (o) Section 7.03(c) of the Existing Loan Agreement is amended and restated in its entirety by the following: 

  
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 “(c) The Borrower shall not be permitted to make any Distributions at
any time during which the Loan Obligations are outstanding.” 
 (p) Section 7.03(d) of the Existing
Loan Agreement is amended by deleting the text “, (b)(iii) and (c)(iii) (except for amounts under subsection (c)(iii) applied on the Maturity Date or after a Default, which will be applied as the Administrative Agent so
determines)” and replacing it with the following text: “and (b)(iii)”. 
 (q)
Section 7.08 of the Existing Loan Agreement is amended and restated in its entirety by the following: 

“SECTION 7.08 Change in Control. The Borrower will not, and will cause the Guarantors not to,
amend their respective Governing Documents if the effect of such amendment is to change the identity of such Person’s Members or Managing Member.” 
 (r) Section 7.13 of the Existing Loan Agreement is amended and restated in its entirety by the following: 
 “SECTION 7.13 Capital Expenditures. The Borrower will not, and will cause the Guarantors not to, make Capital Expenditures, including payments due under Capitalized Leases and
Purchase Money Debt, in any Fiscal Year except (a) aggregate Capital Expenditures in accordance with the then current Annual Budget accepted and approved by the Administrative Agent pursuant to Section 6.20; provided
however that such aggregate Capital Expenditures may exceed the amount budgeted therefor by one hundred three percent (103%) without the consent of the Administrative Agent, and provided, further, however, that if
not expended during the applicable Fiscal Year, such unexpended portion of the budgeted aggregate Capital Expenditures as adjusted pursuant to this clause (a) shall be permitted to be made within sixty (60) days after the
commencement of the following Fiscal Year, (b) as permitted under Section 6.11 with respect to the application of Net Insurance and Condemnation Proceeds with respect to the Mortgaged Properties, (c) Capital Expenditures funded
by capital contributions from the Borrower’s Members, (d) Capital Expenditures necessary to address Emergency Circumstances or (e) Capital Expenditures which have been approved by the Administrative Agent, which approval shall not be
unreasonably withheld or delayed.” 
 (s) Section 11.01 (a) of the Existing Loan Agreement is
amended by deleting the text “2.03” and replacing it with the text “2.03(a) or (b)”. 
 (t) Section 11.01 (b) of the Existing Loan Agreement is amended by deleting the text (i) “6.09 (in a material respect)” and (ii) “6.14 (in a material
respect)”. 
 (u) Section 11.01(c) of the Existing Loan Agreement is amended by adding the following
text after the text “to which it is a party”: 

  
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 “, including, without limitation, Section 6.09 as it
relates to Immaterial Permits and Section 6.14 as it relates to Immaterial Violations,”. 
 (v)
Section 11.01(j) of the Existing Loan Agreement is amended and restated in its entirety by the following: 

“the Borrower fails to pay when due any amount required to be paid pursuant to Section 2.03(c);”

 (w) Section 11.01(k) of the Existing Loan Agreement is amended and restated in its entirety by the
following: 
 “there shall occur a failure by the Borrower to observe or perform any of the covenants or
conditions contained in Section 6.09 with regard to any Material Permit or Section 6.14 with regard to any Material Violation; provided that, the same shall not constitute an Event of Default if such breach is cured on
or before the earlier to occur of (i) the time provided by Applicable Law to cure such breach or (ii) thirty (30) days after the occurrence of such breach; provided, further, that if such failure is susceptible of cure,
but cannot reasonably be cured within such thirty (30) day period, and that the Borrower shall have commenced to cure the same within such thirty (30) day period and thereafter diligently and expeditiously proceeds to cure the same, such
period will be extended for an additional period of time as is reasonably necessary for Borrower in the exercise of due diligence to cure such default, such additional period not to exceed the lesser of (x) the time provided by Applicable Law
to cure such breach or (y) an additional sixty (60) days;” 
 (x) Section 14.05 of the
Existing Loan Agreement is amended by replacing the notices addresses with the following: 
 If to the Borrower,
a Guarantor, SSLII, Management Company, Sunrise Senior Living, Inc.: 
 [Name of Party] 

c/o Sunrise Senior Living Investments, Inc. 

7900 Westpark Drive, Suite T-900 
 McLean, VA 22102 
 Attention: General Counsel 

Telephone: (703) 273-7500 
 Facsimile: (703) 744-1628 
 with a copy to: 

c/o Sunrise Senior Living Investments, Inc. 

7900 Westpark Drive, Suite T-900 
 McLean, VA 22102 

  
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 Attention: Chief Executive Officer 

Telephone: (703) 273-7500 
 Facsimile: (703) 744-1628 
 with a copy to: 

Willkie Farr & Gallagher LLP 

787 Seventh Avenue 
 New York, New York 10019 
 Attn: Eugene Pinover, Esq. 

Telephone: (212)728-8254 
 Facsimile: (212) 728-9254 
 If to the Administrative Agent or
HSHN as a Lender: 
 HSH Nordbank AG, New York Branch 

230 Park Avenue 
 New York, NY 10169-0005 
 Attention: Gregory Nuber 

Telephone: (212) 407-6038 
 Facsimile: (212) 407-6833 
 with a copy to: 

HSH Nordbank, New York Branch 
 230 Park Avenue 
 New York, NY 10169-0005 

Attention: Carl E. Stetz, General Counsel 

Telephone: (212) 407-6142 
 Facsimile: (212) 407-6875 
 with a copy to: 

Kaye Scholer LLP 
 425 Park Avenue 
 New York, NY 10022 

Attention: Warren Bernstein, Esq. 
 Telephone: (212) 836-8073 
 Facsimile: (212)407-6673

 (y) Exhibit 5.20. Exhibit 5.20 to the Existing Loan Agreement is amended
and restated in its entirety by Exhibit 5.20 attached hereto.1 
  

	1 	 Borrower to attach revised organizational chart. 



  
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 (z) Exhibit 5.21. Exhibit 5.21 to the Existing Loan Agreement
is amended and restated in its entirety by Exhibit 5.21 attached hereto. 
 (aa) Exhibit 6.07.
Exhibit 6.07 to the Existing Loan Agreement is amended and restated in its entirety by Exhibit 6.07 attached hereto. 
 (bb) Exhibit 7.03(b). Exhibit 7.03(b) to the Existing Loan Agreement is amended and restated in its entirety by Exhibit 7.03(b) attached hereto. 

Section 2. Existing Loan Document Amendments. 

(a) Definitions. The definitions in the Existing Loan Documents of (y) the terms (i) “Loan
Agreement”, (ii) “Loan Documents” (including in any document defined in such term) and (iii) “Security Documents” (including in any document defined in such term) are amended to include this Amendment and the
Recorded Document Amendments and (z) the terms (i) “Maturity Date” and “Applicable Margin” are amended to replace such definitions with the meaning ascribed to such terms herein. 

(b) Notice Addresses. The notice addresses for each of the Administrative Agent, the Sunrise Parties, Management
Company and Sunrise Senior Living, Inc., as applicable in the Existing Loan Documents shall be as set forth in Section 14.05 of the Loan Agreement. 
 (c) Guaranty of Non-Recourse Obligations Amendment. 
 (i) Recital A of the Guaranty of Non-Recourse Obligations is hereby amended by deleting the text “20%” and replacing it with the text “100%”. 

(ii) Section 2 of the Guaranty of Non-Recourse Obligations is hereby renamed “Guaranty Relating
to Bankruptcy and Dissolved Entities” 
 (iii) The first sentence of clause (a) of
Section 2 of the Guaranty of Non-Recourse Obligations is hereby amended and restated in its entirety by the following: 
 “Sunrise hereby absolutely and unconditionally guaranties to the Administrative Agent for the benefit of the Lenders the full and prompt payment when due, whether at the Maturity Date or earlier, of
the below defined Guaranteed Obligations, in the event that: (x) the Administrative Agent or the Lenders incur or suffer any loss, cost, damage, claim, liability or expense, including attorney’s fees and disbursements (each of the
foregoing, a “Lender Party Loss”), as a result of, in connection with, or arising from (i) a breach by the Borrower or a Related Party of the representations and covenants made in Section 9(c)(ii) or
(d) of the Third Amendment to Loan Agreement; or (ii) the Dissolution of the Dissolved Entities, the Winding Up Process (including any Lender Party Loss incurred by operation or application of Section 15.908.01 of the
California Corporations Code), or the Dissolved Entity Transfer 

  
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(the occurrence of an event described in subclause (i) or (ii), each a “Dissolved Entity Event”); or (y) any one or more of the following events
(each a “Bankruptcy Event”) occurs:” 
 (iv) Clause (d) of
Section 2 of the Guaranty of Non-Recourse Obligations is hereby amended and restated in its entirety by the following: 
 “For purposes of this Guaranty, “Guaranteed Obligations” means, upon the Administrative Agent’s request, (i) with respect to clauses (a)(x)(i) and
(a)(x)(ii) of this Section 2, after any Dissolved Entity Event, the full and timely payment to the Administrative Agent and the Lenders of any Lender Party Loss arising out of or in connection with such Dissolved Entity Event and
(ii) with respect to clause (a)(y) of this Section 2, after any Bankruptcy Event has occurred, the full and timely payment of any Loan Obligations in an amount which does not exceed the Maximum Amount; provided that
with regard to a Dissolved Entity Event, prior to seeking recovery of any funds from Sunrise, the Administrative Agent shall first seek any recovery from the Additional Collateral or Additional Collateral Letter of Credit, as applicable. The
“Maximum Amount” is $339,790,086.29. This is a guaranty of payment and performance and not of collection only.” 
 (d) Member Interest Pledge and Security Agreement (SSLII). 
 (i) Recital A of the Member Interest Pledge and Security Agreement (SSLII) is hereby amended by deleting the text “20%” and replacing it with the text “100%”. 

(ii) Clause (i) of Section 6(a) of the Member Interest Pledge and Security Agreement (SSLII) is
hereby amended by deleting the text: “or MS Senior”. 
 (e) Security Agreement. Clause
(i) of Section 6(a) of the Security Agreement is hereby amended by deleting the text: “or MS Senior Living, L.L.C.”. 
 (f) Funds Pledge Agreement. 
 (i)
Section 3(a) of the Funds Pledge Agreement is amended by adding the following text after the text “Section 6.24(b) of the Loan Agreement”: 

“and notwithstanding the foregoing, the Pledgors hereby acknowledge and agree that until all of the Loan Obligations
have been paid in full or otherwise satisfied, all Excess Cash Flow of the Pledgors shall be deposited into the Borrower’s Fund.” 
 (ii) Clause (i) of Section 4(a) of the Funds Pledge Agreement is amended and restated in its entirety by the following: 

  
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 “The Administrative Agent shall apply all amounts on deposit in the
Borrower’s Fund towards prepayment of the principal amount of the Loan and shall continue to do so, as and when additional deposits are made pursuant to Section 6.24(b) of the Loan Agreement, until the occurrence of a Cash Sweep
Stop Date” 
 Section 3. Member Interest Pledge and Security Agreement (MS). The Member
Interest Pledge and Security Agreement (MS) is hereby terminated. 
 Section 4. Interest Rate Agreement.
With regard to the Initial Interest Rate Agreement, the Borrower hereby elects to unwind the Initial Interest Rate Agreement as of the Third Amendment Date and to deliver a new Interest Rate Agreement with a term expiring on the Maturity Date
(as extended in accordance with the terms hereof). 
 Section 5. Subordinated Management Fees. All
of the Subordinated Management Fees currently held in escrow shall be disbursed for payment to Manager. 

Section 6. Banking Arrangements. The Administrative Agent hereby approves the transfer of the funds held in
the operating accounts referenced on Exhibit 5.21 of the Existing Loan Agreement (the “BOA Accounts”) together with funds in the amount of $6,000,000 currently held in reserve with Merrill Lynch, Pierce, Fenner &
Smith Incorporated (the “Merrill Liquidity Reserve”), to the operating accounts referenced on Exhibit 5.21 of this Amendment at KeyBank, National Association (the “KeyBank Accounts”), which
funds in the Merrill Liquidity Reserve and BOA Accounts shall be transferred on the date hereof. The Merrill Liquidity Reserve shall be closed within two (2) Business Days of the date hereof. The Borrower shall close the BOA Accounts within
(90) ninety days of the date hereof and shall direct all depositors to make all future deposits into the KeyBank Accounts, provided that in the event that any funds are deposited into the BOA Accounts by any third parties prior to the
termination date thereof as set forth in this Section 6, the Borrower shall, or shall cause the Manager to, within two (2) Business Days of such deposit into the BOA Accounts, cause such deposited funds to be transferred to the
KeyBank Accounts. 
 Section 7. 2011 Budget. The Administrative Agent hereby acknowledges that the
Annual Budget for Fiscal Year 2011 attached hereto as Schedule VI has been approved by the Administrative Agent in accordance with the provisions of Section 6.20 of the Loan Agreement. 

Section 8. Residency Documents. The Administrative Agent hereby approves the form of Residency Documents
attached hereto as Exhibits A-1 through A-5. 
 Section 9. Winding Up of Certain Property
Companies and Transfer of Certain Facilities. The Sunrise Parties hereby acknowledge that the term of each of the limited partnership agreements of AL U.S./Bonita Senior Housing, L.P., AL U.S./La Palma Senior Housing, L.P., AL U.S./LaJolla
Senior Housing, L.P., and AL U.S./Sacramento Senior Housing, L.P. (collectively, the “Dissolved Entities”) have each expired pursuant to the terms of their respective Amended and Restated Agreements of Limited Partnership,
the result of which being that each Dissolved Entity has been dissolved pursuant to Section 15.908.01 of the California Corporations Code (the “Dissolution”) and each Dissolved Entity’s activities must be wound up


  
 13 









 
pursuant to those certain Agreements to Dissolve, Wind Up and Terminate attached hereto as Exhibits B-1 through B-4 (each a “Plan of Dissolution”) (the
“Winding Up Process”). 
 (a) As a consequence of the foregoing, the
applicable Sunrise Parties hereby covenant and agree, as promptly and expediently as possible, but in no event later than twelve (12) months from the date hereof (as the same may be extended pursuant to the terms hereof, the
“Dissolved Entity Transfer Termination Date”), to take the following actions (the occurrence of the following being collectively referred to as the “Dissolved Entity Transfer”); provided that in
the event that the applicable Sunrise Parties have taken all actions required under this Section 9 (including the submission of any applications for any new Permits) other than those that are contingent on the Replacement Property
Companies’ receipt of any Permits from the applicable Governmental Authority, and provided that the Replacement Property Companies have provided the Administrative Agent with evidence that proper application has been made for the transfer of
such Permits (or receipt of new Permits) and evidence of satisfaction of the applicable conditions set forth in this Section 9, such evidence to be accepted by the Administrative Agent in its sole and absolute discretion, then such
Dissolved Entity Transfer Termination Date shall be extended until the earlier to occur of the Dissolved Entity Transfer or the date that is six (6) months from the initial Dissolved Entity Transfer Termination Date: 

(i) Take all actions necessary to consummate and complete the Winding Up Process in accordance with each
Plan of Dissolution and the California Corporations Code and any other Applicable Law. 
 (ii)
Form four new limited partnerships (the “Replacement Property Companies”) in accordance with Applicable Law, which Replacement Property Companies shall (x) be Affiliates of the Sunrise Parties with the same
organizational and ownership structure as the Dissolved Entities and (y) each take title to one of the respective Facilities currently held by a Dissolved Entity pursuant to the terms of this Section 9. 

(iii) Cause each Dissolved Entity to transfer and convey such Dissolved Entity’s interest in the
respective Facility that such Dissolved Entity has title to, along with all other property and assets of such Dissolved Entity, to such Dissolved Entity’s respective Replacement Property Company counterpart. 

(iv) Cause each Dissolved Entity to transfer and convey, to the extent permitted by Applicable Law, any
Permits currently in the name of or held by such Dissolved Entity to such Dissolved Entity’s respective Replacement Property Company counterpart, or to the extent such Permits cannot be transferred under Applicable Law, cause such Replacement
Property Company to obtain new Permits. 
 (v) Cause each Replacement Property Company to join in
the Loan Documents (in the same capacity as the Dissolved Entities) or otherwise enter into new Loan Documents to evidence each such Replacement Property Company’s agreement to be bound by each Loan Document (in the same capacity as the
Dissolved Entities) and to evidence the Administrative Agent’s first priority security interest in each Facility being transferred to the Replacement Property Companies and any other assets that each


  
 14 









 
Replacement Property Company shall then have title to or thereafter acquire title to, including the granting of a new Mortgage for each such Facility (or an assumption of the existing Mortgage
for such Facility) and otherwise causing each Replacement Property Company and the applicable Intermediate Tier Owner to deliver any other items required to be delivered pursuant to the Loan Documents, including, without limitation, all certificates
and assignments evidencing the applicable Intermediate Tier Owner’s respective membership interests in the Replacement Property Companies. 
 (vi) Cause each Replacement Property Company to deliver, with respect to itself or the Facility to be transferred to such Replacement Property Company, to the Administrative Agent those items described in
Sections 8.01(a), (d) (provided that an ALTA 2006 title policy shall be acceptable) through (g), (i) through (m), (s)(i), (ii) & (iii), (t)(i), (iii) & (iv) and (z), as applicable, of the Loan Agreement (provided
that any reference therein to the Closing Date shall mean the date of the Dissolved Entity Transfer). 
 (vii) Confirm that the conditions set forth in Sections 8.02(a) (as they relate to the Dissolved Entity Transfer) and (b)(i) of the Loan Agreement have been satisfied and are accurate as of the date of
the Dissolved Entity Transfer. 
 (b) Borrower’s failure to comply with the provisions of
Section 9(a) hereof on or before the Dissolved Entity Transfer Termination Date shall constitute an immediate Event of Default without the need for any additional notice from the Administrative Agent and upon the occurrence of such an
Event of Default the Administrative Agent shall have all rights and remedies afforded to the Administrative Agent pursuant to the Loan Agreement and other Loan Documents. 

(c) The Sunrise Parties represent, warrant and covenant to the Administrative Agent and the Lenders that
as of the date hereof: 
 (i) the Winding Up Process and Dissolved Entity Transfer shall not
result in the assessment or levying by any governmental or taxing authority of any governmental charges, taxes, payments in lieu of taxes, charges, impositions or assessments (general or special) of any kind (such assessment or levying, a
“Tax Event”) except for any mortgage recording taxes, filing fees or transfer taxes resulting from the Winding Up Process or Dissolved Entity Transfer and the filing of any Security Documents in connection therewith, the cost
for which shall be borne solely by the Sunrise Parties (and shall not be payable from any Total Revenues), provided however that a breach of the foregoing representation, warranty and covenant shall not be deemed a Default or Event of Default
hereunder if the Sunrise Parties comply with their obligations under Section 9(e) below; and 
 (ii) the Dissolved Entities do not have any secured or unsecured creditors related to any obligation other than (w) the Administrative Agent, (x) the Lenders, (y) the entities described on
Schedule VII attached hereto with regard to the trade payables described on said Schedule VII and (z) any trade payables not in excess 

  
 15 









 
of $2,500 per item or $10,000 in the aggregate for each Facility owned by a Dissolved Entity. 

(d) After the Third Amendment Date, the Dissolved Entities shall not incur any additional Indebtedness
other than Indebtedness related to trade payables incurred in the ordinary course of business in accordance with the terms hereof. 
 (e) In the event of a Tax Event, the Sunrise Parties shall pay for any charges or taxes resulting therefrom with funds the source of which are not from Total Revenues, and the Sunrise Parties shall
provide the Administrative Agent with evidence thereof. 
 (f) The applicable Intermediate Tier
Owners affirmatively agree to cause the Dissolved Entities to perform the Dissolved Entities’ obligations during the Dissolution, the Winding Up Process and Dissolved Entity Transfer and agree and acknowledge that the entering into of this
Amendment and the performance of the Dissolved Entities’ obligations hereunder are in furtherance of the planned dissolution of each Dissolved Entity in accordance with the Plans of Dissolution, the Winding Up Process and Dissolved Entity
Transfer, and hereby forever release and shall forever hold harmless the Administrative Agent and the Lenders from all actions, causes of action, suits, debts, dues, sums of money, accounts, reckonings, bonds, bills, specialties, covenants,
contracts, controversies, agreements, promises, variances, trespasses, damages, judgments, extents, executions, claims and demands whatsoever, in law or equity which the applicable Intermediate Tier Owners, their heirs, executors, administrators,
successors and assigns ever had, now have or hereafter can, shall or may, have against the Administrative Agent and the Lenders for, upon or by reason of any matter, cause or thing whatsoever arising under or which may be claimed through or related
to the Dissolution of the Dissolved Entities, the Plans of Dissolution, the Winding Up Process or the Dissolved Entity Transfer. Further, the Borrower and each of the applicable Intermediate Tier Owners hereby agree that in connection with any
action or proceeding sought by the Administrative Agent or the Lenders that is based upon or related to the status of the Dissolved Entities or as a result of the Winding Up Process, the Borrower and each of the applicable Intermediate Tier Owners
unconditionally and forever waive the right to assert any claim, counterclaim or defense in any such action or proceeding. 
 (g) The Sunrise Parties agree to jointly and severally expand the terms of, and join in under the terms of, the indemnification described in Section 12.01 of the Loan Agreement, as indemnitors, solely in
connection with, and to the extent of any losses suffered by the Indemnitiees in connection with, the occurrence of any Dissolved Entity Event. 
 (h) Nothing contained in this Section 9 shall otherwise restrict the right of the Administrative Agent from declaring an Event of Default pursuant to Section 11.01(k) of the Loan
Agreement with regard to the Dissolved Entities. 
 Section 10. Additional Collateral. 

(a) On the date hereof, the Borrower has deposited $5,000,000 (the “Additional
Collateral”) in an account held by the Administrative Agent (the “Additional Collateral Account”) which shall be held as additional cash collateral for the Loan Obligations. The Sunrise Parties hereby grant to the
Administrative Agent for itself and on behalf of the Lenders a 

  
 16 









 
security interest in all rights of the Sunrise Parties in and to the Additional Collateral Account and all sums on deposit therein as additional security for the Loan Obligations. All sums
deposited in the Additional Collateral Account shall be released and applied in accordance with the terms of this Section 10. The credit balance in the Additional Collateral Account shall not constitute trust funds and may be commingled
with the general funds of the Administrative Agent. To the extent that any sums on deposit in the Additional Collateral Account are held in a time deposit account and are withdrawn from the Additional Collateral Account prior to the maturity of any
time deposit, whether at the direction of a Borrower Party or by the Administrative Agent in connection with the exercise by the Administrative Agent of the Administrative Agent’s rights and remedies hereunder, neither the Administrative Agent
nor the Lenders shall be liable for any interest forfeited or otherwise foregone by the Sunrise Parties as the result of such withdrawal. Any income from such investments will be deposited to, and become a portion of, the Additional Collateral
Account. The Administrative Agent shall have sole dominion and control over the Additional Collateral Account. 
 (b) Upon fifteen (15) Business Days’ prior written notice to the Administrative Agent, the Borrower may elect to substitute the Additional Collateral for an Additional Collateral Letter of
Credit in the amount of the Additional Collateral then being held in the Additional Collateral Account and the Borrower shall pay to the Administrative Agent all of the Administrative Agent’s reasonable out-of-pocket costs and expenses in
connection therewith. Neither Borrower nor the applicant/obligor under the applicable Letter of Credit shall be entitled to draw upon any such Letter of Credit. Within two (2) Business Days of the Administrative Agent’s receipt of such an
Additional Collateral Letter of Credit, the Administrative Agent shall return the Additional Collateral to the Borrower pursuant to written instructions delivered by the Borrower. As used herein, “Additional Collateral Letter of Credit”
shall mean an irrevocable and unconditional letter of credit (and any renewals, replacements and amendments thereof), issued by (i) KeyBank National Association or (ii) an
issuer whose long-term unsecured debt is rated at least “A” (or the equivalent) or better by S&P, Moody’s or Fitch, or which is otherwise reasonably acceptable to the Administrative Agent, for the account of SSLII or the Borrower
to and for the benefit of the Administrative Agent, which shall (a) be expressly transferable and assignable one or more times (and shall provide that any fees required to be paid in connection with a transfer or assignment shall be paid by
SSLII or the Borrower and not the Administrative Agent), (b) be payable at sight upon presentment to a New York, New York area branch of the issuer of a sight draft accompanied by a signed statement that the Administrative Agent is permitted to
draw on said letter of credit pursuant to the terms of the Loan Agreement, (c) permit the Administrative Agent to make multiple draws at the Administrative Agent’s election, (d) have an expiration date no earlier than one
(1) year from the date of issuance and provide that it shall automatically be renewed from year to year without further action on the part of any Person unless the issuer thereof notifies the Administrative Agent in writing no less than forty-
five (45) days prior to the expiration date, and (e) be otherwise in form and content reasonably acceptable to the Administrative Agent. 

(c) In addition to all other rights and remedies available to the Administrative Agent and Lenders, in the
event of any Event of Default, including, without limitation if the Dissolved Entity Transfer does not occur by the Dissolved Entity Transfer Termination Date, the Administrative Agent shall have the right without notice to any Borrower Party or any
other Person to apply the Additional Collateral and make drawings under any Collateral Letter of 

  
 17 









 
Credit for the payment of any and all Loan Obligations that are due and payable, with such amounts to be applied in accordance with the Loan Agreement. The Administrative Agent may also draw on
any such Collateral Letter of Credit in the event that the issuer thereof notifies the Administrative Agent that such Collateral Letter of Credit shall be not renewed, or shall be revoked or otherwise terminated, in which event the proceeds thereof
shall be retained, held and applied by the Administrative Agent as Additional Collateral in accordance with this Section 10. If (i) any Collateral Letter of Credit expires or is revoked, unrenewed or otherwise not in full force and
the Administrative Agent shall not have fully drawn the amount of such Collateral Letter of Credit prior to the date that it is no longer in effect, (i) the issuer thereof declares its inability to pay its debts on time, is the subject of any
bankruptcy, insolvency, reorganization, receivership, dissolution or similar proceedings, is prohibited by law or court order from doing business in the State of New York or the state of its organization/incorporation or from otherwise performing
its obligations under such Collateral Letter of Credit or other financial obligations, or has its credit rating downgraded below its rating as of the date such Collateral Letter of Credit is issued by S&P, Moody’s, Fitch or another
financial services rating agency or (iii) the issuer thereof fails to pay upon or otherwise refuses or is unable to honor the Administrative Agent’s draft within the time period set forth in such Collateral Letter of Credit, the Sunrise
Parties shall, within five (5) Business Days after notice from the Administrative Agent, deliver to the Administrative Agent substitute Additional Collateral. 

(d) Within two (2) Business Days of the successful completion of the Dissolved Entity Transfer prior
to or on the Dissolved Entity Transfer Termination Date and satisfaction in all material respects of the conditions set forth in Section 9 of this Amendment, which successful completion shall be determined by the Administrative Agent in
its reasonable discretion, the Administrative Agent shall return the Additional Collateral or Additional Collateral Letter of Credit, as applicable, to the Borrower pursuant to written instructions delivered by the Borrower. 

Section 11. Conditions Precedent. The obligation of the Administrative Agent and Lenders to modify the
Existing Loan Agreement and Existing Loan Documents as set forth in this Amendment shall be conditioned upon the Administrative Agent’s receipt and approval of the following items and documents, duly executed and acknowledged where applicable,
in each case in form and substance satisfactory to the Administrative Agent: 
 (a) this Amendment and the
Recorded Document Amendments; 
 (b) Account Control Agreements in connection with the accounts listed on
Exhibit 5.21 of this Amendment; 
 (c) a collateral assignment of Interest Rate Agreement in connection
with the Interest Rate Agreement entered into pursuant to Section 4 of this Amendment. 
 (d)
evidence reasonably satisfaction to the Administrative Agent that the provisional or final license to operate the Facility owned by Newton Square Assisted Living, L.L.C. has been renewed and that there are no outstanding violations relating thereto;

 (e) documents evidencing the transfer by MS Senior or any of its Affiliates of one hundred percent
(100%) of their respective interest in the Borrower to SSLII, such that upon the 

  
 18 









 
Third Amendment Date SSLII shall own one hundred percent of the membership interest in the Borrower (the “Membership Interest Sale”); the Administrative Agent agrees that
it shall deliver its consent to the Membership Interest Sale to the Borrower concurrently with the execution and delivery of this Amendment; 
 (f) a certified organizational chart of the Sunrise Parties and certified organizational documents and evidence of good standing with respect to the Sunrise Parties and their constituent entities and
evidence of the due authorization by the Sunrise Parties and such other entities of the documents required hereby to be executed and delivered by the Sunrise Parties and such other entities; 

(g) an opinion of the Sunrise Parties’ counsel to such effects as the Administrative Agent shall reasonably require;

 (h) reports from the Title Company or the appropriate filing offices of the state and county in which the
Facilities are located, indicating that no judgments, tax or other liens, security interests, leases of personalty, financing statements or other encumbrances (other than Permitted Encumbrances), are of record or on file encumbering any portion of
the Facilities, and that there are no judgments or tax liens outstanding with respect to the Sunrise Parties; 

(i) an updated Title Policy, including all endorsements thereto, effective as of the date of this Amendment insuring the
Mortgages, as amended by the Recorded Document Amendments, together with evidence of the payment of all title premiums with respect thereto; 
 (j) such other documents, instruments, opinions and approvals as the Administrative Agent shall have reasonably requested; 

(k) payment of the sum of $25,000,000, to be applied in reduction of the outstanding principal balance of the Loan; and

 (l) payment of a restructuring fee to the Administrative Agent in the amount of $849,475.22 for the account
of Lenders, and payment of all of the Administrative Agent’s reasonable out-of-pocket expenses in connection with this Amendment. 
 By its execution hereof, the Administrative Agent acknowledges that the foregoing conditions have been satisfied. 
 Section 12. Ratification and Reaffirmation. The Sunrise Parties hereby ratify and reaffirm their respective obligations, waivers, indemnities and covenants under the Existing Loan Agreement
and Existing Loan Documents to which each is party, as amended hereby or by the Recorded Document Amendments. The Administrative Agent acknowledges and agrees that the Dissolved Entities are executing and delivering this Amendment only to the extent
permitted under Applicable Law. Each Sunrise Party further agrees that in the event that after the date hereof a Governmental Authority or any other Person shall declare or otherwise assert that one or more of the Sunrise Parties, including without
limitation the Dissolved Entities, did not have the proper authority to execute this Amendment or the Recorded Document Amendments and to perform their obligations hereunder or thereunder, the remaining Sunrise Parties’ ratification and
reaffirmation under this Section 12 shall remain effective and the obligations of such remaining 

  
 19 









 
Sunrise Parties hereunder and thereunder shall remain in full force and effect. The Administrative Agent acknowledges and agrees that any such declaration or assertion by any such Governmental
Authority or other Person with respect to the authority of the Dissolved Entities to execute this Amendment or the Recorded Document Amendments or to perform their obligations hereunder or thereunder shall not be a Default or Event of Default
hereunder or thereunder. 
 Section 13. Remaking of Representations and Warranties. The Sunrise
Parties hereby certify as of the date hereof that all of the representations and warranties set forth in the Existing Loan Agreement and the Existing Loan Documents to which each is a party are true and correct in all material respects as if remade
as of the date hereof, except as set forth on Schedule IV of this Amendment. Notwithstanding the foregoing, all representations and warranties relating to the corporate power and authority of the Dissolved Entities, along with those
representations and warranties set forth in Sections 5.22(h) and (i) of the Existing Loan Agreement (collectively, the “Dissolution Reps”), are qualified by the Sunrise Parties’ disclosure of the Dissolution and
Winding Up Process. To the extent that, due to such Dissolution and Winding Up Process, such representations and warranties with regard to the Dissolved Entities (including the Dissolution Reps) are incorrect after December 31, 2009 in a
material respect with regard to the corporate power and authority of the Dissolved Entities, it shall not constitute a Default or Event of Default hereunder. 
 Section 14. Representations and Warranties. The Sunrise Parties hereby represent and warrant to the Administrative Agent as of the date hereof as follows below, provided however, that all
representations and warranties relating to the corporate power and authority of the Dissolved Entities, along with the Dissolution Reps, are qualified by the Sunrise Parties’ disclosure of the Dissolution and Winding Up Process. To the extent
that, due to such Dissolution and Winding Up Process, such representations and warranties with regard to the Dissolved Entities (including the Dissolutions Reps) are incorrect after December 31, 2009 in a material respect with regard to the
corporate power and authority of the Dissolved Entities, it shall not constitute a Default or Event of Default hereunder. 
 (a) The execution, delivery and performance of this Amendment and the Recorded Document Amendments by the Sunrise Parties which are a party to the foregoing are within such respective party’s
corporate power and authority, and have been duly authorized by all necessary corporate action of such Person. 

(b) Each Loan Party is a limited liability company or limited partnership duly organized and existing under the laws of
the State of Delaware or California, as applicable, with lawful power and authority to enter into this Amendment and the Recorded Amendment Documents to which each is a party, and each has the power and authority to conduct its business as currently
conducted and to own its assets. 
 (c) SSLII is a corporation duly organized and existing under the laws of the
State of Virginia with lawful power and authority to enter into this Amendment, and has the power and authority to conduct its business as currently conducted and to own its assets. 

  
 20 









 (d) The Existing Loan Agreement and Existing Loan Documents, as amended
hereby or by the Recorded Document Amendments, constitute valid and binding obligations of the Sunrise Parties, as applicable, and each is enforceable against such Person in accordance with its respective terms, except as such enforceability may be
limited by such party’s bankruptcy, insolvency, reorganization, moratorium or other laws or equitable principles relating to or limiting creditors’ rights generally. 

(e) The consummation of the transactions herein contemplated, the execution and delivery of this Amendment, the
Recordable Document Amendments and all other agreements and instruments to be executed by the Sunrise Parties in connection with this Amendment, and the performance by each Sunrise Party of its respective obligations under the Existing Loan
Agreement and Existing Loan Documents to which each is a party, as amended hereby or by the Recorded Document Amendments, do not and will not (i) violate any legal requirement, (ii) result in a breach of any of the terms, conditions or
provisions of, or constitute a default under any mortgage, deed of trust, indenture, agreement, permit, franchise, license, note or instrument to which any Sunrise Party is a party or by which it or any of its properties is bound, (iii) result
in the creation or imposition of any lien, charge or encumbrance of any nature whatsoever upon any of the assets of any Sunrise Party (except as contemplated by the Loan Agreement and other Loan Documents), or (iv) violate any provision of any
Sunrise Party’s organizational documents. No Sunrise Party has received notice of any default with respect to any legal requirement relating to its formation or organization. 

(f) All consents, approvals, orders or authorizations of, or registrations, declarations or filings with, or other
actions with respect to or by, any Governmental Authorities or any party to any Permitted Encumbrance that are required in connection with the valid execution, delivery and performance by the Sunrise Parties of the Existing Loan Agreement and
Existing Loan Documents to which each is a party, as amended hereby or by the Recorded Amendment Documents, and all other agreements and instruments to be executed by any Sunrise Party in connection herewith or therewith have been obtained and are
in full force and effect. 
 (g) There are no actions, suits or proceedings at law or in equity or before or
instituted by any Governmental Authority (i) pending or, to each Sunrise Party’s knowledge, threatened in writing against any Sunrise Party, or to each Sunrise Party’s knowledge, pending or threatened in writing against or affecting
the Property or any part thereof (including any condemnation or eminent domain proceeding against the Property, or any part thereof) or (ii) pending or, to each Sunrise Party’s knowledge, threatened, which affect or might affect the
validity or enforceability of any Security Document (or the priority of the lien thereof), or any of the Existing Loan Documents, as amended hereby or by the Recorded Document Amendments, which in each case are reasonably likely to have a material
adverse effect. 
 (h) As of the date hereof, no Sunrise Party has any claims, defenses, offsets, or
counterclaims under the Existing Loan Agreement or Existing Loan Documents, as amended hereby or by the Recorded Document Amendments, and no Sunrise Party otherwise has claims or counterclaims against the Administrative Agent or Lenders or any of
their present or past respective affiliates, officers, directors, employees and agents with regard to the Loan. In confirmation of the foregoing, each Sunrise Party hereby releases the foregoing Persons from any liability to each Sunrise Party with
respect to any such claims or counterclaims or any related 

  
 21 









 
liabilities as of the date hereof (whether or not the factual matters giving rise to the same are known as of the date hereof); provided, however, that, subject to any restrictions
and limitations set forth in the Loan Documents, the Sunrise Parties do not release, and nothing herein shall alter, affect or modify, the rights of any Sunrise Party to assert good faith defenses to any causes of action or claims made by the
Administrative Agent or Lenders following the date hereof but with respect to the period prior to the date hereof. 
 Section 15. Waiver. This Amendment is not, and shall not be construed to be, a waiver or approval of or consent to any other matter or transaction, or a waiver of any Default or Event of
Default of any Sunrise Party or any of the rights and remedies of the Administrative Agent or the Lenders under the Loan Agreement and Loan Documents or otherwise; provided, however, that the Administrative Agent and Lenders hereby
waive and release any Conditional Defaults, Defaults or Events of Default existing on or prior to the Third Amendment Date arising under or with respect to those matters set forth on Schedule V attached hereto and made a part hereof.

 Section 16. Consent to Amendments. The Administrative Agent hereby consents to the execution of
that certain (i) First Amendment to Second Amended and Restated Agreement of Limited Partnership of AL U.S./Seal Beach Senior Housing, L.P., (ii) First Amendment to Second Amended and Restated Agreement of Limited Partnership of AL
U.S./Studio City Senior Housing, L.P. and (iii) Second Amendment to Amended and Restated Agreement of Limited Partnership of AL U.S./Playa Vista Senior Housing, L.P., each in the form as attached to the Officer’s Certificates delivered to
the Administrative Agent on the date hereof in connection with the execution of this Amendment. 

Section 17. Entire Agreement. The Existing Loan Agreement and Existing Loan Documents, as amended hereby or
by the Recorded Document Amendments, represent the entire agreement between the parties with respect to the subject matter thereof. 
 Section 18. Successors and Assigns. This Amendment shall be binding upon and inure to the benefit of the Administrative Agent and Lenders and their respective successors and assigns and the
Borrower. 
 Section 19. No Other Amendments; Effectiveness. Except as amended hereby or by the
Recorded Document Amendments, the Existing Loan Agreement and Existing Loan Documents remain unmodified and in full force and effect. 
 Section 20. Recitals. The recitals of this Amendment constitute a part of this Amendment. 
 Section 21. Governing Law. THIS AMENDMENT SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK (AND, FOR PURPOSES OF DETERMINING THE HIGHEST LAWFUL RATE,
APPLICABLE FEDERAL LAW IF THE APPLICATION OF FEDERAL LAW RESULTS IN A HIGHER RATE OF INTEREST) WITHOUT GIVING EFFECT TO CONFLICTS OF LAWS PROVISIONS. 

  
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 Section 22. Counterparts. This Amendment may be executed in any
number of counterparts and by the different parties hereto on separate counterparts each of which, when so executed, shall be deemed an original, but all such counterparts shall constitute but one and the same instrument. A copy of an executed
counterpart of this Amendment that is transmitted by facsimile or email in .PDF or .TIF (or other similar) format shall constitute an original for all purposes. 
 [The remainder of this page is intentionally left blank] 

  
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 IN WITNESS WHEREOF, the parties hereto have executed this Amendment
as of the date first above written. 
  

							
	BORROWER:
	
	 AL US DEVELOPMENT VENTURE, LLC, a
 Delaware limited liability company

		
	 By:
	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
			
		 	 By:
	 	 /s/ Edward W. Burnett

		 		 	 Name:
	 	 Edward W. Burnett

		 		 	 Title:
	 	 Vice President



 [Signatures continued on next page] 







 
									
	INTERMEDIATE TIER OWNERS:
	
	AL U.S. POOL ONE, LLC, a Delaware limited liability company
		
	By:	 	AL US Development Venture, LLC, a Delaware limited liability company, its sole member
			
		 	By:	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
				
		 		 	By:	 	 /s/ Edward W. Burnett 

		 		 		 	Name:	 	 Edward W. Burnett

		 		 		 	Title:	 	 Vice President



  

									
	AL U.S. POOL TWO, LLC, a Delaware limited liability company
		
	By:	 	AL US Development Venture, LLC, a Delaware limited liability company, its sole member
			
		 	By:	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
				
		 		 	By:	 	 /s/ Edward W. Burnett 

		 		 		 	Name:	 	 Edward W. Burnett

		 		 		 	Title:	 	 Vice President



  

									
	AL U.S. POOL THREE, LLC, a Delaware limited liability company
		
	By:	 	AL US Development Venture, LLC, a Delaware limited liability company, its sole member
			
		 	By:	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
				
		 		 	By:	 	 /s/ Edward W. Burnett 

		 		 		 	Name:	 	 Edward W. Burnett

		 		 		 	Title:	 	 Vice President



 [Signatures continued on next page] 







 
											
	AL CALIFORNIA GP, LLC, a Delaware limited liability company
		
	By:	 	AL U.S. Pool One, LLC, a Delaware limited liability company
			
		 	By:	 	AL US Development Venture, LLC, a Delaware limited liability company, its sole member
				
		 		 	By:	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
					
		 		 		 	By:	 	 /s/ Edward W. Burnett

		 		 		 		 	Name:	 	 Edward W. Burnett

		 		 		 		 	Title:	 	 Vice President



  

											
	AL CALIFORNIA GP-II, LLC, a Delaware limited liability company
		
	By:	 	AL U.S. Pool Two, LLC, a Delaware limited liability company
			
		 	By:	 	AL US Development Venture, LLC, a Delaware limited liability company, its sole member
				
		 		 	By:	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
					
		 		 		 	By:	 	 /s/ Edward W. Burnett

		 		 		 		 	Name:	 	 Edward W. Burnett

		 		 		 		 	Title:	 	 Vice President



 [Signatures continued on next page] 







 
											
	AL CALIFORNIA GP-III, LLC, a Delaware limited liability company
		
	By:	 	AL U.S. Pool Three, LLC, a Delaware limited liability company
			
		 	By:	 	AL US Development Venture, LLC, a Delaware limited liability company, its sole member
				
		 		 	By:	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
					
		 		 		 	By:	 	 /s/ Edward W. Burnett

		 		 		 		 	Name:	 	 Edward W. Burnett

		 		 		 		 	Title:	 	 Vice President



  

													
	PROPERTY COMPANIES: 
	
	 AL U.S./BONITA SENIOR HOUSING, L.P., a
 California limited partnership

		
	By:	 	AL California GP, LLC, a Delaware limited liability company, its general partner
			
		 	By:	 	AL U.S. Pool One, LLC, a Delaware limited liability company, its sole member
				
		 		 	By:	 	AL US Development Venture, LLC, a Delaware limited liability company, its sole member
					
		 		 		 	By:	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
						
		 		 		 		 	By:	 	 /s/ Edward W. Burnett

		 		 		 		 		 	Name:	 	 Edward W. Burnett

		 		 		 		 		 	Title:	 	 Vice President



 [Signatures continued on next page] 







 
													
	 AL U.S./LAPALMA SENIOR HOUSING, L.P., a
 California limited partnership

		
	By:	 	AL California GP, LLC, a Delaware limited liability company, its general partner
			
		 	By:	 	AL U.S. Pool One, LLC, a Delaware limited liability company, its sole member
				
		 		 	By:	 	AL US Development Venture, LLC, a Delaware limited liability company, its sole member
					
		 		 		 	By:	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
						
		 		 		 		 	By:	 	 /s/ Edward W. Burnett

		 		 		 		 		 	Name:	 	 Edward W. Burnett

		 		 		 		 		 	Title:	 	 Vice President

	
	 AL U.S./LAJOLLA SENIOR HOUSING, L.P., a
 California limited partnership

		
	By:	 	AL California GP, LLC, a Delaware limited liability company, its general partner
			
		 	By:	 	AL U.S. Pool One, LLC, a Delaware limited liability company, its sole member
				
		 		 	By:	 	AL US Development Venture, LLC, a Delaware limited liability company, its sole member
					
		 		 		 	By:	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
						
		 		 		 		 	By:	 	 /s/ Edward W. Burnett

		 		 		 		 		 	Name:	 	 Edward W. Burnett

		 		 		 		 		 	Title:	 	 Vice President



 [Signatures continued on next page] 







 
													
	AL U.S./SACRAMENTO SENIOR HOUSING, L.P., a California limited partnership
		
	By:	 	AL California GP, LLC, a Delaware limited liability company, its general partner
			
		 	By:	 	AL U.S. Pool One, LLC, a Delaware limited liability company, its sole member
				
		 		 	By:	 	AL US Development Venture, LLC, a Delaware limited liability company, its sole member
					
		 		 		 	By:	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
						
		 		 		 		 	By:	 	 /s/ Edward W. Burnett

		 		 		 		 		 	Name:	 	 Edward W. Burnett

		 		 		 		 		 	Title:	 	 Vice President



  

													
	 BOULDER ASSISTED LIVING, L.L.C., a Delaware limited liability company

		
	By:	 	AL U.S. Pool One, LLC, a Delaware limited liability company, its sole member
			
		 	By:	 	 AL US Development Venture, LLC, a
 Delaware limited liability company, its sole member

				
		 		 	By:	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
					
		 		 		 	By:	 	 /s/ Edward W. Burnett

		 		 		 		 	Name:	 	 Edward W. Burnett

		 		 		 		 	Title:	 	 Vice President



 [Signatures continued on next page] 







 
													
	 NEWTOWN SQUARE ASSISTED LIVING, L.L.C., a Delaware limited liability company

		
	By:	 	AL U.S. Pool One, LLC, a Delaware limited liability company, its sole member
			
		 	By:	 	 AL US Development Venture, LLC, a
 Delaware limited liability company, its sole member

				
		 		 	By:	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
					
		 		 		 	By:	 	 /s/ Edward W. Burnett

		 		 		 		 	Name:	 	 Edward W. Burnett

		 		 		 		 	Title:	 	 Vice President



  

													
	
	 WILMINGTON ASSISTED LIVING, L.L.C., a
 Delaware limited liability company

		
	By:	 	AL U.S. Pool One, LLC, a Delaware limited liability company, its sole member
			
		 	By:	 	 AL US Development Venture, LLC, a
 Delaware limited liability company, its sole member

				
		 		 	By:	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
					
		 		 		 	By:	 	 /s/ Edward W. Burnett

		 		 		 		 	Name:	 	 Edward W. Burnett

		 		 		 		 	Title:	 	 Vice President



 [Signatures continued on next page] 








													
	AL U.S./HUNTINGTON BEACH SENIOR HOUSING, L.P., a California limited partnership 
		
	By:	 	AL California GP-II, LLC, a Delaware limited liability company, its general partner
			
		 	By:	 	AL U.S. Pool Two, LLC, a Delaware limited liability company, its sole member
				
		 		 	By:	 	AL US Development Venture, LLC, a Delaware limited liability company, its sole member
					
		 		 		 	By:	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
						
		 		 		 		 	By:	 	 /s/ Edward W. Burnett

		 		 		 		 		 	Name:	 	 Edward W. Burnett

		 		 		 		 		 	Title:	 	 Vice President



  

													
	
	AL U.S./SAN GABRIEL SENIOR HOUSING, L.P., a California limited partnership
		
	By:	 	AL California GP-II, LLC, a Delaware limited liability company, its general partner
			
		 	By:	 	AL U.S. Pool Two, LLC, a Delaware limited liability company, its sole member
				
		 		 	By:	 	AL US Development Venture, LLC, a Delaware limited liability company, its sole member
					
		 		 		 	By:	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
						
		 		 		 		 	By:	 	 /s/ Edward W. Burnett

		 		 		 		 		 	Name:	 	 Edward W. Burnett

		 		 		 		 		 	Title:	 	 Vice President



 [Signatures continued on next page] 







 
													
	AL U.S./SEAL BEACH SENIOR HOUSING, L.P., a California limited partnership
		
	By:	 	AL California GP-II, LLC, a Delaware limited liability company, its general partner
			
		 	By:	 	AL U.S. Pool Two, LLC, a Delaware limited liability company, its sole member
				
		 		 	By:	 	AL US Development Venture, LLC, a Delaware limited liability company, its sole member
					
		 		 		 	By:	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
						
		 		 		 		 	By:	 	 /s/ Edward W. Burnett

		 		 		 		 		 	Name:	 	 Edward W. Burnett

		 		 		 		 		 	Title:	 	 Vice President



  

													
	
	AL U.S./STUDIO CITY SENIOR HOUSING, L.P., a California limited partnership
		
	By:	 	AL California GP-II, LLC, a Delaware limited liability company, its general partner
			
		 	By:	 	AL U.S. Pool Two, LLC, a Delaware limited liability company, its sole member
				
		 		 	By:	 	AL US Development Venture, LLC, a Delaware limited liability company, its sole member
					
		 		 		 	By:	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
						
		 		 		 		 	By:	 	 /s/ Edward W. Burnett

		 		 		 		 		 	Name:	 	 Edward W. Burnett

		 		 		 		 		 	Title:	 	 Vice President



 [Signatures continued on next page] 







 
													
	AL U.S./WOODLAND HILLS SENIOR HOUSING, L.P., a California limited partnership
		
	By:	 	AL California GP-II, LLC, a Delaware limited liability company, its general partner
			
		 	By:	 	AL U.S. Pool Two, LLC, a Delaware limited liability company, its sole member
				
		 		 	By:	 	AL US Development Venture, LLC, a Delaware limited liability company, its sole member
					
		 		 		 	By:	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
						
		 		 		 		 	By:	 	/s/ Edward W. Burnett
		 		 		 		 		 	Name:	 	Edward W. Burnett
		 		 		 		 		 	Title:	 	Vice President


  

													
	G.P. WOODS ASSISTED LIVING, LLC, a Delaware limited liability company
		
	By:	 	AL U.S. Pool Two, LLC, a Delaware limited liability company, its sole member
			
		 	By:	 	AL US Development Venture, LLC, a Delaware limited liability company, its sole member
				
		 		 	By:	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
					
		 		 		 	By:	 	/s/ Edward W. Burnett
		 		 		 		 	Name:	 	Edward W. Burnett
		 		 		 		 	Title:	 	Vice President


 [Signatures continued on next page] 







 
													
	AL U.S./PLAYA VISTA SENIOR HOUSING, L.P., a California limited partnership
		
	By:	 	AL California GP-III, LLC, a Delaware limited liability company, its general partner
			
		 	By:	 	AL U.S. Pool Three, LLC, a Delaware limited liability company, its sole member
				
		 		 	By:	 	AL US Development Venture, LLC, a Delaware limited liability company, its sole member
					
		 		 		 	By:	 	Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member
						
		 		 		 		 	By:	 	/s/ Edward W. Burnett
		 		 		 		 		 	Name:	 	Edward W. Burnett
		 		 		 		 		 	Title:	 	Vice President


  

													
	AL U.S./GP WOODS II SENIOR HOUSING, LLC, a Delaware limited liability company
		
	 By:
	 	AL U.S. Pool Three, LLC, a Delaware limited liability company, its sole member
			
		 	 By:
	 	 AL US Development Venture, LLC, a Delaware limited liability company, its sole member

				
		 		 	 By:
	 	 Sunrise Senior Living Investments, Inc., a Virginia corporation, its Administrative Managing Member

					
		 		 		 	 By:
	 	 /s/ Edward W. Burnett

		 		 		 		 	 Name:
	 	 Edward W. Burnett

		 		 		 		 	 Title:
	 	Vice President


 [Signatures continued on next page] 







 
					
	 SSLII:

	
	 SUNRISE SENIOR LIVING INVESTMENTS, INC., a Virginia corporation

		
	 By:
	 	 /s/ Edward W. Burnett

		 	 Name:
	 	 Edward W. Burnett

		 	 Title:
	 	 Vice President



 [Signatures continued on next page] 







 
					
	 SUNRISE:

	
	SUNRISE SENIOR LIVING, INC., a Delaware corporation
		
	 By:
	 	 /s/ David Haddock

		 	 Name:
	 	 David Haddock

		 	 Title:
	 	 General Counsel and Secretary



 [Signatures continued on next page] 







 
					
	ADMINISTRATIVE AGENT:
	
	HSH NORDBANK AG, NEW YORK BRANCH, as Administrative Agent, sole Arranger and Lender
		
	 By:
	 	 /s/ Heldrun Meyer

		 	 Name:
	 	 Heldrun Meyer

		 	 Title:
	 	 Senior Vice President
 HSH Nordbank AG, New York Branch

		
	 By:
	 	 /s/ Sven Schiolaut

		 	 Name:
	 	 Sven Schiolaut

		 	 Title:
	 	 Vice President
 HSH Nordbank AG, New York Branch










 Schedule I 
 Intermediate Tier Owners 
 AL US Pool One, LLC 

AL US Pool Two, LLC 
 AL US Pool Three, LLC 
 AL California GP, LLC 

AL California GP-II, LLC 
 AL California GP-III, LLC 







 Schedule II 
 Property Companies 
 AL U.S./Bonita Senior Housing, L.P. 

AL U.S./GP Woods II Senior Housing, LLC 
 AL U.S./Huntington Beach Senior Housing, L.P. 
 AL U.S./LaJolla Senior Housing,
L.P. 
 AL U.S./LaPalma Senior Housing, L.P 
 AL U.S./Playa Vista Senior Housing, L.P. 
 AL U.S./Sacramento Senior Housing, L.P.

 AL U.S./San Gabriel Senior Housing, L.P. 
 AL U.S./Seal Beach Senior Housing, L.P. 
 AL U.S./Studio City Housing, L.P.

 AL U.S./Woodland Hills Senior Housing, L.P. 
 Boulder Assisted Living, L.L.C. 
 G.P. Woods Assisted Living, LLC 

Newtown Square Assisted Living, L.L.C. 
 Wilmington Assisted Living, L.L.C. 







 Schedule III 
 Recorded Document Amendments 
  

	1.	 First Amendment to Deed of Trust, Security Agreement, Fixture Filing and Assignment of Leases and Rents and Assignment of Residency Documents by and
between AL U.S./Playa Vista Senior Housing, L.P. and Administrative Agent; 


  

	2.	 First Amendment to Deed of Trust, Security Agreement, Fixture Filing and Assignment of Leases and Rents and Assignment of Residency Documents by and
between AL U.S./San Gabriel Senior Housing, L.P. and Administrative Agent; 


  

	3.	 First Amendment to Deed of Trust, Security Agreement, Fixture Filing and Assignment of Leases and Rents and Assignment of Residency Documents by and
between AL U.S./Studio City Senior Housing, L.P. and Administrative Agent; and 


  

	4.	 First Amendment to Deed of Trust, Security Agreement, Fixture Filing and Assignment of Leases and Rents and Assignment of Residency Documents by and
between AL U.S./Woodland Hills Senior Housing, L.P. and Administrative Agent. 


  

	5.	 First Amendment to Deed of Trust, Security Agreement, Fixture Filing and Assignment of Leases and Rents and Assignment of Residency Documents by and
between AL U.S./Huntington Beach Senior Housing, L.P. and Administrative Agent; 


  

	6.	 First Amendment to Deed of Trust, Security Agreement, Fixture Filing and Assignment of Leases and Rents and Assignment of Residency Documents by and
between AL U.S./LaPalma Senior Housing, L.P. and Administrative Agent; 


  

	7.	 First Amendment to Deed of Trust, Security Agreement, Fixture Filing and Assignment of Leases and Rents and Assignment of Residency Documents by and
between AL U.S./Seal Beach Senior Housing, L.P. and Administrative Agent; 


  

	8.	 First Amendment to Deed of Trust, Security Agreement, Fixture Filing and Assignment of Leases and Rents and Assignment of Residency Documents by and
between AL U.S./Bonita Senior Housing, L.P. and Administrative Agent; 


  

	9.	 First Amendment to Deed of Trust, Security Agreement, Fixture Filing and Assignment of Leases and Rents and Assignment of Residency Documents by and
between AL U.S./LaJolla Senior Housing, L.P. and Administrative Agent; 


  

	10.	 First Amendment to Deed of Trust, Security Agreement, Fixture Filing and Assignment of Leases and Rents and Assignment of Residency Documents by and
between AL U.S./Sacramento Senior Housing, L.P. and Administrative Agent; 


  

	11.	 First Amendment to Deed of Trust, Security Agreement, Fixture Filing and Assignment of Leases and Rents and Assignment of Residency Documents by and
between Boulder Assisted Living, L.L.C. and Administrative Agent; 










	12.	 First Amendment to Mortgage and Assignment of Residency Documents by and between Wilmington Assisted Living, L.L.C. and Administrative Agent;



  

	13.	 First Amendment to Mortgage by and between G.P. Woods Assisted Living, LLC (“GP Woods Owner”) and Administrative Agent;



  

	14.	 First Amendment to Mortgage by and between AL U.S./GP Woods II Senior Housing, LLC (“GP Woods 2 Owner”) and Administrative Agent;



  

	15.	 First Amendment to Assignment of Residency Documents by and between GP Woods Owner, for the benefit of Administrative Agent;



  

	16.	 First Amendment to Assignment of Residency Documents by and between GP Woods 2 Owner and Administrative Agent; 



 

	17.	 First Amendment to Open-End Mortgage, Security Agreement, Fixture Filing and Assignment of Leases and Rents by and between Newtown Square Assisted
Living, L.L.C. (“Newtown Owner”) and Administrative Agent; and 


  

	18.	 First Amendment to Assignment of Residency Documents by and between Newtown Owner and Administrative Agent. 









 Schedule IV 
 Representation and Warranty Bringdown 
 Loan Agreement 

 

	 	1.	 Section 5.02(a) is qualified with the phrase “; in each case as of the Closing Date”. 



 

	 	2.	 Section 5.12 is qualified with the phrase “, other than such Defaults or Conditional Defaults waived by the Administrative Agent as of the
date of the Third Amendment to Loan Agreement, or cured in connection with the modifications set forth in the Third Amendment to Loan Agreement.” 


  


	 	3.	 Section 5.21 is amended by deleting the phrase “and each such account is the subject of an Account Control Agreement.”



 Membership Interest Pledge and Security Agreement (SSLII) 

 

	 	1.	 Clause (ii) of Section 5(a) is amended by deleting the text “twenty percent (20%)” and replacing it with “one hundred
percent (100%)”. 


  

	 	2.	 Exhibit A is amended by deleting the text “20%” and replacing it with “100%”. 









 Schedule V 
 Waiver of Defaults, Events of Default and Conditional Defaults 
 The
Administrative Agent and Lenders hereby waive and release any Conditional Defaults, Defaults or Event of Defaults existing on or prior to the Third Amendment Date arising under or with respect to: 

 

	 	1.	 any failure to deliver a certification of the Insurance Consultant pursuant to Section 6.07 of the Existing Loan Agreement;



  

	 	2.	 any breach of covenants with respect to the Annual Budget related deliveries and expenditures pursuant to Sections 6.20 and 7.13 of the Existing
Loan Agreement; 


  

	 	3.	 the breach of any Debt Service Coverage Ratio requirements in violation of Section 6.24 of the Existing Loan Agreement;



  

	 	4.	 Section 11.01 (q) of the Loan Agreement; 



 

	 	5.	 any failure to notify Administrative Agent and Lenders of the foregoing Conditional Defaults, Defaults or Event of Defaults; and



  

	 	6.	 any Default or Event of Default arising after December 31, 2009 with regard to the corporate power and authority of the Dissolved Entities (or
Default or Event of Default arising from a breach of the Dissolution Reps). Administrative Agent hereby agrees to forebear from exercising any remedies with regard to such Defaults or Events of Default from and after the date hereof unless the
Dissolved Entity Transfer does not occur on or prior to the Dissolved Entity Transfer Termination Date. 









 Schedule VI 
 Annual Budget for Fiscal Year 2011 
 (see attached) 








																					
	 	 	2011	 	 	Budget	 	 	 	 	 	 	 	 	 	 
	 	 	AL US Development (P).	 	 	Bonita CA M	 	 	Boulder CO M	 	 	Grosse Pointe II Ml FS	 	 	Grosse Pointe Woods Ml M	 
	 Occupancy %
	 	****	 	 	****	 	 	****	 	 	****	 	 	****	 
	 Total Resident Fees
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Care Revenue
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Other Revenues
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Revenue
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Total Cost of Sales
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Total Labor
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Utilities (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Workers Comp - Insurance (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Insurance (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Bad Debt Write-Offs (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Key Controllable Operating Expense (Others)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Key Controllable Operating Expense (Total)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Other Department Controllables
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Operating Expense
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 House Profit
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Facility License Fee (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Insurance - Property Premium (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Leases - Non Dept (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Management Fees
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Taxes - Gross Receipts (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Taxes - Personal Property (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Taxes - Real Estate (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Taxes - State and Local (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Non Department Expense
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Total Operating Expenses
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 NOI
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 

 The portions of this document marked with “****” have been omitted pursuant to a confidential
treatment request. The omitted portions have been filed separately with the Securities and Exchange Commission. 








																									
	 	 	Huntington Beach CA M	 	 	La Jolla CA M	 	 	La Palma CA M	 	 	Newtown Square PA M	 	 	Playa Vista CA M	 	 	Sacramento CA M	 
	 Occupancy %
	 	****	 	 	****	 	 	****	 	 	****	 	 	****	 	 	****	 
	 Total Resident Fees
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Care Revenue
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Other Revenues
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Revenue
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Total Cost of Sales
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Total Labor
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Utilities (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Workers Comp - Insurance (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Insurance (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Bad Debt Write-Offs (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Key Controllable Operating Expense (Others)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Key Controllable Operating Expense (Total)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Other Department Controllables
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Operating Expense
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 House Profit
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Facility License Fee (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Insurance - Property Premium (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Leases - Non Dept (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Management Fees
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Taxes - Gross Receipts (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Taxes - Personal Property (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Taxes - Real Estate (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Taxes - State and Local (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Non Department Expense
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Total Operating Expenses
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 NOI
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 

 The portions of this document marked with “****” have been omitted pursuant to a confidential
treatment request. The omitted portions have been filed separately with the Securities and Exchange Commission. 








																					
	 	 	San Marino CA M	 	 	Seal Beach CA M	 	 	Studio City CA M	 	 	Wilmington DE M	 	 	Woodland Hills CA M	 
	 Occupancy %
	 	****	 	 	****	 	 	****	 	 	****	 	 	****	 
	 Total Resident Fees
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Care Revenue
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Other Revenues
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Revenue
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Total Cost of Sales
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Total Labor
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Utilities (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Workers Comp - Insurance (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Insurance (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Bad Debt Write-Offs (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Key Controllable Operating Expense (Others)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Key Controllable Operating Expense (Total)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Other Department Controllables
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Operating Expense
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 House Profit
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 Facility License Fee (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Insurance - Property Premium (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Leases - Non Dept (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Management Fees
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Taxes - Gross Receipts (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Taxes - Personal Property (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Taxes - Real Estate (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Taxes - State and Local (NON-DISCRETIONARY)
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Non Department Expense
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
	 Total Operating Expenses
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 NOI
	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  	 	 	****	  
		 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 

 The portions of this document marked with “****” have been omitted pursuant to a confidential
treatment request. The omitted portions have been filed separately with the Securities and Exchange Commission. 








																									
	 	  	2011
AL US
Development (P).	 	  	Budget
Bonita CA 
M	 	  	Boulder CO M	 	  	Grosse Pointe II MI
FS	 	  	Grosse Pointe
Woods MI
M	 	  	Huntington Beach
CA
M	 
	 	  	  	  	  	  	  
	 	  	  	  	  	  	  
	 Assisted Living
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Independent Living
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Reminiscence
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Skilled Nursing Center
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Edna’s Place
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Terrace Club and Avon Place
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Admin or Care Offices
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Resident and Model Rooms
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Interior Care
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Laundry and Housekeeping
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Kitchen
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Interior Other
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Building Envelope
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Vehicle
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Site and Civil
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Building Exterior
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Resident and Life Safety
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Physical Therapy Room
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Exercise and Rehab
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Healthcare Equipment
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Resident & Life Safety
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Electronics
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Vertical Transportation
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 MEP
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Other
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Emergency CapEx
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
		  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 
	 Total
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
		  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 

 The portions of this document marked with “****” have been omitted pursuant to a confidential
treatment request. The omitted portions have been filed separately with the Securities and Exchange Commission. 








																									
	 	  	La Jolla CA M	 	  	La Palma
CA M	 	  	Newtown Square
PA
M	 	  	Playa Vista
CA M	 	  	Sacramento
CA M	 	  	San Marino
CA M	 
	 	  	  	  	  	  	  
	 Assisted Living
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Independent Living
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Reminiscence
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Skilled Nursing Center
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Edna’s Place
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Terrace Club and Avon Place
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Admin or Care Offices
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Resident and Model Rooms
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Interior Care
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Laundry and Housekeeping
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Kitchen
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Interior Other
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Building Envelope
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Vehicle
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Site and Civil
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Building Exterior
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Resident and Life Safety
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Physical Therapy Room
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Exercise and Rehab
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Healthcare Equipment
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Resident & Life Safety
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Electronics
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Vertical Transportation
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 MEP
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Other
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Emergency CapEx
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
		  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 
	 Total
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
		  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 

 The portions of this document marked with “****” have been omitted pursuant to a confidential
treatment request. The omitted portions have been filed separately with the Securities and Exchange Commission. 








																	
	 	  	Seal Beach
CA M	 	  	Studio City
CA M	 	  	Wilmington
DE M	 	  	Woodland Hills
CA M	 
	 Assisted Living
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Independent Living
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Reminiscence
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Skilled Nursing Center
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Edna’s Place
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Terrace Club and Avon Place
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Admin or Care Offices
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Resident and Model Rooms
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Interior Care
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Laundry and Housekeeping
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Kitchen
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Interior Other
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Building Envelope
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Vehicle
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Site and Civil
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Building Exterior
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Resident and Life Safety
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Physical Therapy Room
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Exercise and Rehab
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Healthcare Equipment
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Resident & Life Safety
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Electronics
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Vertical Transportation
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 MEP
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Other
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
	 Emergency CapEx
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
		  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 
	 Total
	  	 	****	  	  	 	****	  	  	 	****	  	  	 	****	  
		  	 	 	 	  	 	 	 	  	 	 	 	  	 	 	 

 The portions of this document marked with “****” have been omitted pursuant to a confidential
treatment request. The omitted portions have been filed separately with the Securities and Exchange Commission. 







 Schedule VII 
 Trade Payables 
 (see attached) 







 Sunrise of Sacramento 

 

					
	 Local Vendor
	  	Gross Invoice Amount	 
	 A 1 JANITORIAL SUPPLY
	  	$	314.89	  
	 TAKE IT 2 HEART
	  	$	90.00	  
	 ACCOLADES LASER ENGRAVING LLC
	  	$	23.05	  
	 WON DOOR CORPORATION
	  	$	302.92	  
	 NIAGARA HOOD CLEANING
	  	$	315.00	  
	 A 1 JANITORIAL SUPPLY
	  	$	214.14	  
	 A 1 JANITORIAL SUPPLY
	  	$	211.53	  
	 OCE IMAGISTICS INC
	  	$	119.46	  
	 WILLIAMS OF FAIR OAKS
	  	$	50.00	  
	 CAPITOL CITY HOME MEDICAL SUPPLIES
	  	$	86.95	  
	 OLD COUNTRY BIMBO BAKERIES USA
	  	$	99.22	  
	 INDUSTRIAL ELECTRONIC SYSTEMS
	  	$	90.00	  
	 TRUGREEN LANDCARE
	  	$	482.00	  
	 ACCOLADES LASER ENGRAVING LLC
	  	$	13.11	  
	 A 1 JANITORIAL SUPPLY
	  	$	261.59	  
	 GCS SERVICE INC
	  	$	452.83	  
	 A 1 JANITORIAL SUPPLY
	  	$	125.67	  
	 OLD COUNTRY BIMBO BAKERIES USA
	  	$	100.49	  

 SUNRISE SENIOR LIVING MANAGEMENT, INC. 

(The management company is the legal obligor on payroll and national and regional contracts applicable to multiple facilities (e.g., food,
utilities, etc.). The management company is liable for payroll and the costs of goods or services supplied to the facility under the contracts, and is reimbursed by the facility for such costs.) 

  
 Page 1 of 4









 Sunrise of Bonita 
  

					
	 Local Vendor
	  	Gross Invoice Amount	 
	 BEYOND EXPECTATIONS CARPET CLEANING
	  	$	398.30	  
	 CLEAN ENVIRONMENTS
	  	$	140.00	  
	 STANLEY STEEMER
	  	$	394.00	  
	 A O REED & CO
	  	$	137.00	  
	 WON DOOR CORPORATION
	  	$	392.00	  
	 VAL U CHEM INC
	  	$	211.31	  
	 LIGHTSPEED LASER INC
	  	$	14.50	  
	 ECKSTEIN PROMOTIONS LLC
	  	$	408.67	  
	 WON DOOR CORPORATION
	  	$	605.00	  
	 LIGHTSPEED LASER INC
	  	$	21.00	  
	 YEATTS TRANSFER COMPANY INC
	  	$	426.98	  
	 ABSOLUTE STYLE LLC
	  	$	2,953.16	  
	 LIGHTSPEED LASER INC
	  	$	14.50	  
	 LIGHTSPEED LASER INC
	  	$	14.50	  
	 LIGHTSPEED LASER INC
	  	$	14.50	  
	 YEATTS TRANSFER COMPANY INC
	  	$	227.22	  
	 A O REED & CO
	  	$	322.33	  
	 EVERSOFT
	  	$	183.22	  
	 T & D ELECTRIC
	  	$	86.50	  

 SUNRISE SENIOR LIVING MANAGEMENT, INC. 

(The management company is the legal obligor on payroll and national and regional contracts applicable to multiple facilities (e.g., food,
utilities, etc.). The management company is liable for payroll and the costs of goods or services supplied to the facility under the contracts, and is reimbursed by the facility for such costs.) 

  
 Page 2 of 4









 Sunrise of La Jolla 
  


					
	 Local Vendor
	  	Gross Invoice Amount	 
	 DRAIN PATROL
	  	$	172.61	  
	 DENISE MCMURTRIE
	  	$	120.00	  
	 INITIAL IMPRESSION
	  	$	11.46	  
	 SAN DIEGO HUMANE SOCIETY AND SPCA
	  	$	35.00	  
	 DOOR SERVICE REPAIR INC
	  	$	147.00	  
	 A O REED & CO
	  	$	213.45	  
	 SHRED IT
	  	$	45.00	  
	 QUIKTECH INC
	  	$	81.62	  
	 BRAFF CONSULTING
	  	$	150.00	  
	 OLD COUNTRY BIMBO BAKERIES USA
	  	$	85.34	  
	 OLD COUNTRY BIMBO BAKERIES USA
	  	$	67.02	  
	 OLD COUNTRY BIMBO BAKERIES USA
	  	$	112.92	  
	 A O REED & CO
	  	$	485.72	  
	 EVERSOFT
	  	$	83.61	  
	 MAINTENANCE SOLUTIONS INC
	  	$	302.67	  
	 DENISE MCMURTRIE
	  	$	120.00	  

 SUNRISE SENIOR LIVING MANAGEMENT, INC. 

(The management company is the legal obligor on payroll and national and regional contracts applicable to multiple facilities (e.g., food,
utilities, etc.). The management company is liable for payroll and the costs of goods or services supplied to the facility under the contracts, and is reimbursed by the facility for such costs.) 

  
 Page 3 of 4









 Sunrise of La Palma 
  


					
	 Local Vendor
	  	Gross Invoice Amount	 
	 RAMCO REFRIGERATION & A C INC
	  	$	483.38	  
	 RAMCO REFRIGERATION & A C INC
	  	$	563.22	  
	 ZEP MANUFACTURING COMPANY
	  	$	110.20	  
	 MCMASTER CARR SUPPLY COMPANY
	  	$	99.84	  
	 WON DOOR CORPORATION
	  	$	120.00	  
	 WON DOOR CORPORATION
	  	$	275.48	  
	 ELECTRIC CONSTRUCTION COMPANY
	  	$	493.50	  
	 MITSUBISHI ELECTRIC AND ELECTRONICS USA
	  	$	310.87	  
	 PYRO COMM SYSTEMS
	  	$	45.00	  
	 MCMASTER CARR SUPPLY COMPANY
	  	$	22.71	  
	 MCMASTER CARR SUPPLY COMPANY
	  	$	118.83	  
	 WILCOX SOUND & COMMUNICATIONS INC
	  	$	155.00	  

 SUNRISE SENIOR LIVING MANAGEMENT, INC. 

(The management company is the legal obligor on payroll and national and regional contracts applicable to multiple facilities (e.g., food,
utilities, etc.). The management company is liable for payroll and the costs of goods or services supplied to the facility under the contracts, and is reimbursed by the facility for such costs.) 

  
 Page 4 of 4









 Exhibit A-1 
 Form of Residency Document (California) 
 (see attached) 







 PREAMBLE 

The purpose of this Residency Agreement is to provide a statement of the services that will be provided to you and the
legal obligations that the Community will be assuming. This Residency Agreement also sets forth your obligations to the Community, both financial and non-financial. Your residence is identified by the suite number in Exhibit 1 of this Residency
Agreement. You may move into your suite (the “Suite”) as of the date (the “Occupancy Date”) listed in Exhibit 1. 
 ARTICLE I 
 Resident Evaluation 

A. Qualification for Residency. The Community may only accept or retain an individual to be a resident if
management determines, in its sole discretion, it is able to provide appropriate services, and the individual meets the requirements set forth by state law and is capable of complying with the terms of the Residency Agreement. The Community is a
residential care facility for the elderly that depends on sufficient fees to operate on a sound financial basis and provide an appropriate level of care and services to all residents. As such, the Community does not admit individuals who receive or
who are eligible to receive Supplemental Security Income (“SSI”), or are otherwise unable to pay the Fees set forth in this Agreement. The Community is not required to admit or retain the Resident or to contract with the Resident for
services, if the Community determines, in its sole discretion, that it cannot meet the Resident’s needs or the Resident fails to meet the requirements as set forth by law. 

B. Physician’s Report. Prior to move-in, the Resident will provide the Community a completed
Physician’s Report (the “Physician’s Report”) on a form provided by the Community. This Report will include a physical examination conducted within thirty (30) days prior to move-in and must demonstrate that the Resident
meets criteria for residency. After move-in, the Community may require a Physician’s Report, acceptable to the Community, following any hospitalization, when the Community determines that the Resident’s health condition warrants, or as
required by law. 
 C. Psychiatric Examination. In addition to the Physician’s Report, the
Community may require a report of a current psychiatric examination (the “Psychiatric Examination”) prior to move-in if the Resident is taking psychotropic drugs, or has a history of aggressive behavior, to determine if the Resident’s
needs can be met in an Assisted Living Program and to assist in the Resident’s care plan. After move-in, the Community may require a psychiatric consultation when the Community, along with the Resident’s personal physician, determines that
the Resident’s health condition warrants. Failure to comply with the request for a consultation after move-in may result in a termination of this Residency Agreement. 

D. Assessment. The level of assisted living services required by the Resident is determined through an
assessment (“Assessment”) of the Resident. The Assessment is performed by designated team members and includes an evaluation of each Resident’s specific needs. It covers areas such as: mobility, skin care, eating habits, oral hygiene,
continence, cognitive behavior, and medication. This Assessment, along with the Physician’s Report, provides the basis for identifying the Resident’s Service Level. 







 
The Assessment is performed when the Resident desires to move into the Community, and is performed again (i) when additional assisted living services may be needed, (ii) upon the
Resident’s change in condition or (iii) upon a Resident’s return from the hospital or other care facility. The Resident, his/her family, and any Responsible Party named in this Residency Agreement will be informed of changes in the
Resident’s condition and any additional assisted living services needed, and are encouraged to participate in the review, assessment, and care plan process. 

E. Resident Service Plan. A Service Plan will be developed based on the Physician’s Report, the
Psychiatric Examination (if applicable) and the Assessment. The Resident’s service plan will be developed with the Resident and/or any individual the Resident designates, including any Responsible Party. The service plan will outline the
services the Resident is to receive. 
 F. Change in Resident’s Condition. If the
Resident’s condition changes so that the previously assessed level of services is no longer appropriate, the Community will reevaluate the Resident’s needs to determine which level of service is appropriate and notify the
Resident/Responsible Party of such reevaluation. The rate charged will vary according to the level of service provided. Should the Resident wish to decrease the services received, prior approval from the Community is required. Changes in services
provided will be reflected in a revised service plan. 
 G. Notification of Third Parties. In the
event that the Resident requires emergency services or experiences a significant change in condition, the Community will attempt to contact the Responsible Party or other individual designated by the Resident, within twelve (12) hours. The
Resident is responsible for ensuring that the Community has current telephone numbers for the individuals to be notified. 

ARTICLE II 
 Responsibilities and Representations of the Resident 

A. The Resident will use the Suite only for residential dwelling purposes. 

B. Smoking is not allowed in any Resident Suite. Smoking is only allowed in designated “Smoking Areas.” Whether
to designate any Smoking Areas is within the sole discretion of the Community. The Community may require residents to be supervised when smoking. 
 C. A live-in companion is considered an additional person living in the Suite and is required to pay the Base Fee associated with the Resident’s Suite. 

D. Resident agrees to maintain the Suite in a clean, sanitary and orderly condition. Resident will reimburse the
Community for the repair or replacement of furnishings and fixtures in the Suite beyond normal wear and tear. In addition, Resident will reimburse the Community for loss or damage to real or personal property of the Community caused by pets or the
negligence or willful misconduct of the Resident or the Resident’s agents, guests, or invitees. 

  
 3 








 E. Any damage to carpeting in the Resident’s Suite, other than normal
wear and tear, including stains and/or odors due to incontinence or pets, will result in the carpet being professionally cleaned, repaired or replaced by the Community. The Community will have the right to determine whether the carpet needs to be
repaired, cleaned, or replaced. The Resident shall be responsible for the cost of the repairing, cleaning, or replacing the carpet. 
 F. The Resident will not alter or improve the Suite without the prior written consent of the Community. Upon the termination of this Residency Agreement, the Resident will be required to return the Suite
to the original condition at his/her own expense prior to the expiration of any applicable notice periods. 
 G.
The Resident will notify the Community promptly of any defects in the Suite, common areas or in the Community’s equipment, appliances, or fixtures. 
 H. Community employees or agents may enter the Suite at any reasonable time in order to provide services to the Resident, to perform building inspection and maintenance functions, to show the Suite to
prospective residents, and otherwise to carry out the Community’s obligations under this Residency Agreement. Resident shall allow entry into the Suite at any time to the Community’s employees or agents when they are responding to the
medical alert system, fire alert system or other emergency. As a licensed Community, the Department of Social Services has the authority to enter the Resident’s suite, and also examine the Resident records as part of its evaluation of the
Community. Community personnel will respect the Resident’s privacy and make their presence known (except in an emergency) when entering the Suite and will schedule the entry in advance whenever possible. 

I. The Resident will vacate the Suite at the termination of this Residency Agreement, remove all of the Resident’s
property, and deliver possession of the Suite and any furniture, equipment, appliances, and fixtures supplied by the Community, to the Community in good condition, ordinary wear and tear excepted. The Resident will pay the cost of removing and
storing any property of the Resident remaining in the Suite after the termination of this Residency Agreement. 

J. The Resident will comply with all guidelines established by the Community regarding resident conduct in the Community
(the “Community Guidelines”), which shall be deemed incorporated herein. The Community Guidelines may be amended from time to time as the Community determines to be appropriate. 

K. The Resident will not keep a dog, cat, bird, fish, or other pet of any kind in the Suite unless the Resident and
Community have executed the Pet Addendum, available upon request. 
 L. If at any time the Resident wishes to
use a motorized vehicle he/she must execute a Motorized Vehicle Addendum, available upon request. 
 M. The
Resident agrees to maintain his/her own personal physician. 
 N. The Resident and Responsible Party understand
and agree that the Executive Director or designee may restrict an individual’s visitation rights or bar an individual from entering the 

  
 4 








 
Community if it is determined that the individual is disrupting the care of the Resident, the care of other residents or if the presence of the individual has a negative effect on a
resident’s physical or psychosocial well being. 
 O. The Resident and the Responsible Party each
individually represent, warrant and covenant that the Resident: (i) does not currently receive or qualify to receive Supplemental Security Income (“SSI”), and (ii) does not anticipate qualifying to receive SSI in the foreseeable
future. 
 ARTICLE III 
 Financial Arrangements 
 A. Fees. The
Resident will pay to the Community the fees indicated on Exhibit 1 and any Additional Amenities provided to the Resident at the fees indicated on Exhibit 3. 

B. Move-in Fee. The Resident will pay to the Community a non-refundable Move-in Fee
(the “Move-in Fee”) in an amount indicated on Exhibit 1, subject to the provisions of this Article III.B. The Move-in Fee covers administrative costs associated with the Resident’s move-in: the cost of performing the
Resident’s comprehensive service level assessment including nursing, physician, pharmacy and social/activity evaluations: and preparation of the Resident’s individualized service plan. The Move-in Fee is fully refundable prior to move in
if the Community has not yet conducted its assessment of you, and you do not move in. If the Community has conducted an assessment of you, five hundred dollars ($500) of the Move-in Fee becomes non-refundable. The remaining amount of your Move-in
Fee is eighty percent (80%) refundable if this Residency Agreement terminates during your first (1st) month of residency or the resident has had an assessment but does not move in, sixty (60%) refundable if this Residency Agreement terminates during your second (2nd) month of residency and forty percent (40%) refundable if
this Residency Agreement terminates during you third
(3rd) month of residency. After you have resided at
the Community for more than three (3) months, your Move-in Fee is entirely non-refundable. 
 C.
Special Assessments. The Community reserves the right to assess charges for special circumstances outside the Community’s control, such as sharp increases in costs of utilities or other necessary expenses. The Community shall provide
the Resident at least thirty (30) days’ written notice (or such additional days’ notice as may be required by law) prior to the imposition of such special assessments. 

D. Payment Schedule and Monthly Statement. Prior to or on the Occupancy Date, the
Resident shall pay the Community an amount equal to the Total Daily Fee set forth in Exhibit 2. This payment shall be applied to Resident’s first month’s residence in the Community. If the Occupancy Date is on a day other than the
first day of the month, the advance payment shall be prorated accordingly and the residual amount will be credited to the following month’s payment. Thereafter, the Community will provide to the Resident a monthly statement itemizing fees and
charges and payments received, and showing the balance due. The Daily Fee shall be due in advance, on the first
(1st) calendar day of each month. 

  
 5 








 E. Late Payment Charge. If the Resident’s account is not
paid in full by the first of the month, a late payment charge will be assessed on the outstanding balance of one and one-quarter percent (11/4%) per month until paid. This periodic rate is equivalent to an annual percentage rate of fifteen
percent (15%). The Resident will pay all costs and expenses, including reasonable attorneys’ fees and court costs, incurred by the Community in collecting amounts past due under this Residency Agreement. 

F. Increases in Fees and Charges. Annual increases in the Resident’s then current Fees will be
implemented on January 1st of each year. Notice of any increase in the Schedule of Fees (see Exhibit 2), will be provided to the Resident in writing sixty (60) days prior to the effective date of the increase. The Resident will pay
all applicable new or increased fees and charges, unless the Resident terminates this Residency Agreement in accordance with Article IV of this Residency Agreement, effective prior to the effective date of the fee or charge increase. If the
Community agrees at the request of the Resident to provide additional services, no advance notice requirement will apply to any fees or charges relating to such services. 

A change in the level of service is not considered a change of fees or charges. Rather, it is an increase in
services which are subject to the higher fees corresponding to those services. The Resident shall be responsible for the cost of the increased level of service when he/she begins receiving such services. 

G. Fees During Resident Absence. During an absence from the Community, the Resident is responsible for
payment of the Base Fee and all service level fees through the third day of absence. Beginning with the fourth day of absence, the Resident will not be responsible for service level fees above the Base Rate. 

H. Suite Hold. During an absence from the Community, the Resident’s suite will be held for the
Resident provided that, upon return, the Resident continues to meet the Community’s admission criteria and all fees and charges incurred by the Resident have been paid. 

I. Double Occupancy. If two individuals are parties to this Residency Agreement, the second person fees, as
listed in Exhibit 1-A, shall be applied. Both Residents shall be jointly and severally liable for all fees and charges incurred by each Resident. When two persons are parties to this Residency Agreement, and when one such person permanently
vacates the Suite, the remaining resident shall have the option of: 
  

	 	•	 	 Retaining the same Suite, with the understanding that a prospective resident may select that Suite for double occupancy; or



  

	 	•	 	 Retaining the same Suite and paying the fee applicable to private occupancy; or 



 

	 	•	 	 Relocating to a single occupancy Suite, if available. 



J. Refund Upon Closing. In the event the Community ceases to operate, the Resident will be entitled to a
pro rata refund of any prepaid amounts for services covering the period after the building has closed. 

  
 6 








 ARTICLE IV 

Term and Termination 
 A. Term of Residency Agreement. This Residency Agreement shall commence on the effective date set forth on the Exhibits attached hereto (the “Effective Date”) and will continue on
a month-to-month basis. 
 B. Non-Renewal. As a month-to-month Contract, Community may elect not
to renew the Contract upon thirty (30) days notice to Resident. 
 C. Termination. The
Community may terminate this Residency Agreement prior to the expiration of its term, upon thirty (30) days prior written notice (“Community Notice Period”) to the Resident and the Responsible Party for one of the following reasons,
as determined by the Community: 
  

	 	1.	 Non-payment of the rate for basic services within 10 (ten) days of the due date; 



 

	 	2.	 Failure of Resident to comply with state or local law after receiving written notice of the alleged violation; 



 

	 	3.	 Failure of Resident to comply with general policies of the Community. (Please see Section V.F. below); 



 

	 	4.	 If after admission, it is determined that Resident has a need not previously identified and a reappraisal has been conducted pursuant to
Section 87587 of Title 22 of the California Code of Regulations, and the Community and the person who performs the reappraisal believe that the Community is not appropriate for the Resident (see Section V.E. below for a list of some of the
conditions that may lead to a termination under this Section V.B.4.) 


 D. Termination
of Agreement Upon Three-Day Notice. The Community may, upon obtaining prior written approval from the Department of Social Services, evict Resident upon three (3) days written notice to the Resident if the Resident is engaging in
behavior which is a threat to the mental and/or physical health or safety of the Resident or to the mental and/or physical health or safety of others in the Community. 

E. Copies and Reports. The Community shall, in addition to either serving thirty (30) days notice or
seeking approval from the Department of Social Services and serving three (3) days notice on Resident, notify or mail a copy of the notice to the Resident’s responsible person and a written report of any eviction shall be sent to the
Department of Social Services within five (5) days. 
 F. Conditions that May Result in
Termination. The existence of the following conditions, as determined by the Community, may lead to termination of the Residency Agreement in accordance with Section V.B.4 above: 

  
 7 









	 	1.	 Resident does not meet the residency requirements established by state law and Department of Social Services; 



 

	 	2.	 Resident presents an imminent physical threat or danger to self or others; 



 

	 	3.	 Resident has active communicable tuberculosis or another similar communicable disease; 



 

	 	4.	 Resident requires 24-hour, skilled nursing or intermediate care; 



 

	 	5.	 Resident is not elderly and either has needs in conflict with the other residents or the program of services offered, or requires more care and
supervision than other residents; 


  

	 	6.	 Resident has a primary need for care and supervision that results from dementia or a mental disorder resulting in ongoing behavior which would upset
the general resident group, would require a greater amount of care and supervision than the other residents in the Community, or cannot generally benefit from the program of services available in the facility; 



 

	 	7.	 Resident is bedridden as defined by the state licensing regulations; 



 

	 	8.	 Resident refuses to accept additional services when it is in the best interest of the Resident to have these services provided to him/her;



  

	 	9.	 Resident has health care needs that cannot be met in the Community, for reasons such as licensure, design or staffing, as determined by the
Community; 


  

	 	10.	 Resident’s personal physician has determined that Resident requires services not available at the Community. 



G. Termination for Failure to Comply with General Policies of the Community. As stated in Section V.B.3
above, the Community may evict Resident due to failure of the Resident to comply with general policies of the Community. The Community’s policies, which are for the purpose of making it possible for residents to live together, are for the most
part set forth in the Community Guidelines. Failure of the Resident to abide by any Community Policies, whether listed in this Residency Agreement or in the Community Guidelines may, in the discretion of the Community, lead to an eviction.

  

	 	1.	 Residents of the Community must pay all fees and charges that are owing to the Community in accordance with this Residency Agreement when due.



  

	 	2.	 Residents may not breach any representation, covenant, agreement or obligation of the Resident under this Residency Agreement.



  

	 	3.	 Residents must not be disruptive, not create unsafe conditions, and not be physically or verbally abusive to other residents or staff.




  
 8 









	 	4.	 Residents must ensure that their family members, guardians, Responsible Parties or guests are not disruptive, do not create unsafe conditions, and
are not physically or verbally abusive to the detriment of the resident, other residents or staff. 


 H. Notice of Termination. If the Community gives a Resident a notice of termination and the Resident disagrees with the notice and wishes to discuss the reasons for termination with the
Community. Resident may do so by requesting a meeting with the Community’s Area Manager. Such request shall be made within ten (10) days of receipt of the notice of termination and may be submitted at the administrative office of the
Community. Following the meeting, the Area Manager will make a final decision with respect to the notice of termination. 
 Notwithstanding the foregoing, the Community may terminate this Residency Agreement for health or safety reasons, consistent with state law or in the event of a Community emergency or a Resident
emergency, as determined by the Community. This Residency Agreement will also terminate if the Department of Social Services orders the relocation of the Resident. If this Residency Agreement is terminated for these reasons, the Community will not
be required to provide prior written notice. 
 The Resident may terminate this Residency Agreement, upon thirty
(30) days prior written notice to the Community (“Resident Notice Period”), for any reason. 
 In
the event of the death of the Resident, this Residency Agreement shall terminate as of the date of the Resident’s death; however, the Resident shall remain liable for the fees under this Residency Agreement until the Resident’s belongings
are removed in accordance with Section V. E. If this Residency Agreement is with more than one resident the termination shall only be effective regarding the Resident that has passed away. 

In order to evict a resident who remains in [the Community] after the effective date of the termination, [the Community]
must file an unlawful detainer action in superior court and receive a written judgment signed by the judge. If [the Community] pursues an unlawful detainer action, you must be served with a summons and complaint. You have a right to contest the
eviction in writing and through a hearing. In addition, you may request that the Department of Social Services investigate the reasons given for an eviction notice.” 

1. Refunds. 
  

	 	1.	 In the event the Community terminates this Residency Agreement and the Resident vacates the Suite before the Community Notice Period is over, the
Community shall refund the Resident a prorated amount of the paid Base Fee, and the Additional Assisted Living Services Fees for the unused portion of the Community Notice Period. 



 

	 	2.	 In the event the Resident terminates this Residency Agreement, the Resident will be liable for all charges accrued or incurred for the entire length
of the Resident Notice Period, regardless of whether the Resident vacates the Suite prior to the expiration of the Resident Notice Period. 



  
 9 








 J. Removal of Personal Property. Upon termination of this
Residency Agreement, the Resident’s personal property must be removed from the Suite. The Community shall continue to assess, and the Resident will be required to pay, the Base Fee on a prorated basis until the personal property is removed from
the Suite. 
 K. Termination Based on Licensure Forfeiture or Community Closure. The Community may
terminate this Residency Agreement upon forfeiture of our license whether due to closure or otherwise, or change of use of the Community. See Schedule A attached. 
 ARTICLE V 
 Miscellaneous Provisions 

A. Choice of Accommodations. In the event that the suite of the Resident’s choice is not immediately
available, an alternate suite will be made available and the Resident will be charged the rate customarily associated with such suite. Once the Resident’s desired suite becomes available the Resident will be allowed to move into the desired
suite in accordance with the Community’s policy and the rate set forth in Exhibit 2, will apply. 
 If,
in the sole discretion of the Community, it is determined that there has been a change in Resident’s care needs such that another suite or neighborhood in the Community is more suitable, Resident agrees to relocate to that suite or
neighborhood, subject to availability. 
 B. Grievance Procedure / Conflict Resolution /
Arbitration. The Community’s Grievance Procedure is set forth in Exhibit .4. While most issues can be resolved under the Grievance Procedures outlined in Exhibit 4, in the event that the parties are unable to resolve their
differences short of litigation, the parties agree that any dispute shall be resolved by submission to neutral, binding arbitration. Accordingly: 
 Arbitration. By entering into this Residency Agreement, you agree that any and all claims and disputes arising from or related to this Residency Agreement or to your residency, care or services at
this Community shall be resolved by submission to neutral, binding arbitration; except that any claim involving unlawful detainer actions (eviction) or any claims that are brought in small claims court shall not be subject to arbitration unless both
parties agree to arbitrate such proceedings. Both parties give up their constitutional rights to have any such dispute decided in a court of law before a jury, and instead accept the use of arbitration. The arbitration shall be conducted in
                     [insert name of county in which the community is located] County, California, by a single neutral arbitrator selected as
provided in the California Code of Civil Procedure, unless otherwise mutually agreed. In reaching a decision, the arbitrator shall prepare findings of fact and conclusions of law. Each party shall bear its own costs and fees in connection with the
arbitration. This arbitration clause binds all parties to this Residency Agreement and their spouse, heirs, representatives, executors, administrators, successors, and assigns, as applicable. After termination of this Residency Agreement, this
arbitration clause shall remain in effect for the resolution of all claims and disputes that are unresolved as of that date. 

  
 10 









 C. Insurance. The Resident is responsible for maintaining at
all times his or her own insurance coverage, including health, personal property, liability, automobile (if applicable), and other insurance coverages in adequate amounts. This includes renter’s insurance. The Resident acknowledges that neither
Sunrise nor the Owner is an insurer of the Resident’s person or property. 
 D. Maintenance and
Repairs. The Resident acknowledges that he or she has had an opportunity to inspect the Suite and the Resident accepts the Suite in its “as is” condition. The Community will deliver and maintain the Suite in a fit and habitable
condition and will maintain all common areas in a clean and structurally safe condition, and will maintain all equipment, appliances, and fixtures, other than the personal property of the Resident, and all electrical, plumbing, heating, ventilating,
and air conditioning equipment in good and safe working order and condition. Temporary interruption of such utility services may occur periodically due to factors outside of the Community’s control or due to repairs, maintenance or replacement
of equipment. 
 E. Notices. Any notices to be given under this Residency Agreement will be deemed
to have been properly given when delivered personally or when mailed by first class mail, postage prepaid, addressed as follows: 
 1. If to the Resident: addressed to the Suite or to such other address as the Resident may designate by notice. 
 2. If to the Community: addressed to the Executive Director of the Community or to such other address as the Community may designate in writing. 

F. Assignment. The Resident’s rights and obligations under this Contract are personal to the Resident
and cannot be transferred or assigned, without the prior written consent of the Community. The rights and obligations of the Community may be assigned to any person or entity, without the prior consent of the Resident. The Community may engage
another person or entity to perform any or all of the services under this Contract. 
 G. Ownership
Rights. The Resident has no ownership interest or proprietary right to the Suite, nor to the personal property, land, buildings, improvements or other Community facilities provided under this Residency Agreement. This Residency Agreement
shall not be construed to be a lease or to confer any rights of tenancy or ownership in the Resident. The Resident’s rights under this Residency Agreement are subject to all terms and conditions set forth herein and subordinate to any mortgage,
financing deed, deed of trust, or financing lease on Community premises. Upon request, the Resident agrees to execute and deliver any instrument requested by the Community or the owner or holder of any such document to affect the sale, assignment,
or conveyance thereof, provided that by so doing the Resident shall not be required to prejudice his/her rights under this Residency Agreement. 
 H. Guests. The Resident’s guests shall at all times abide by the Community’s policies, including the Community Guidelines. The Community reserves the right to take appropriate
enforcement action if the Community determines that the guest is failing to follow such Community policies. The Resident shall be responsible for the charges incurred by any actions of any guest. The Resident may have guests stay overnight in the
Suite, in accordance with the Community Guidelines. 

  
 11 









 I. Weapons. For the safety and well-being of all residents and
staff, weapons, including, but not limited to guns and knives, are not to be brought into the Community at any time. This policy applies to Resident guests as well. 

J. Arrangement for Guardianship or Conservatorship. If it appears that you may not be able to care properly
for yourself or your property, and if you have made no other designation of a person or legal entity to serve as guardian or conservator then Sunrise may apply to a court of law to appoint a legal guardian or conservator. Alternatively, if other
persons seek appointment as your legal guardian or conservator, Sunrise may be required to participate in such proceedings. You agree to pay all attorney’s fees and costs incurred by Sunrise in connection with such action(s). 

K. Resident Rights. The Resident and Responsible Party(s) have been advised of and have received a copy of
the “Statement of Resident Rights,” which is attached as Exhibit 5 and made part of this Residency Agreement. 
 L. Admission Policy. Residents are admitted to the Community without regard to race, color, creed, national origin, sex, religion or handicap. 

M. Assurance of Confidentiality. The Community acknowledges that the Resident’s personal and
medical information are confidential. The Community shall maintain the confidentiality of the Resident’s personal and medical information in compliance with state and federal law. 

N. Examination of Records. A representative of the agency responsible for licensing the Community, or any
agency acting under its guidance, may inspect the Resident’s records that are on file at the Community as a part of their evaluation of the Community. 
 O. Amendment. Subject to any provision of this Residency Agreement to the contrary, no modification, amendment, or waiver of any provision of this Residency Agreement will be effective
unless set forth in writing and signed by the Sunrise area Director of Operations for the Region and the Resident. 
 P. Entire Agreement. This Residency Agreement, including the Exhibits hereto, and subject to Article V.T. below, constitutes the entire agreement between the parties and it supercedes all
prior oral or written agreements, commitments, or understandings with respect to the matters provided for herein. 
 Q. Waiver. Neither delay nor failure in requiring strict compliance by the Resident with any of the terms of this Residency Agreement shall be construed to be a waiver by the Community of
such term, or of the right to insist upon strict compliance by the Resident with any of the other terms of this Residency Agreement. 
 R. Severability. If any provision of this Residency Agreement is found invalid or otherwise unenforceable, the other provisions of this Residency Agreement shall remain binding and
enforceable. 

  
 12 









 S. Governing Law. This Residency Agreement, its construction,
performance, the obligations and duties of the parties, and any claims or disputes arising from it will be governed by and construed in accordance with the laws of the state in which the Community is located. 

T. Accuracy of Application Documents. As part of the Resident’s application to the Community, the
Resident has filed with the Community an application form. The Resident warrants that all information contained in these documents and any other document supplied to the Community as part of the application process is true and correct, and the
Resident understands that the Community has relied on this information in accepting the Resident for residency at the Community. Any misrepresentation or omission made by the Resident or on the Resident’s behalf, whether written or verbal,
shall be grounds for the Community’s termination of this Residency Agreement upon thirty (30) days prior written notice to the Resident. 
 U. Advance Directives. It is the policy of the Community to ask all prospective residents if they have executed any “advance directives.” Advance directives can include a health
care power of attorney, a living will, or other documents which describe the amount, level or type of health care the Resident would want to receive at a time when the Resident can no longer communicate those decisions to a doctor or other health
professional. It also includes documents in which the Resident names another person who has the legal authority to make health care decisions for the Resident. If the Resident has executed any such documents, or if the Resident executes any such
documents while living at the Community, it is the Resident’s responsibility to advise the Community’s staff of these documents, and to provide copies to the Community. If the Resident has such documents, and has provided copies of them to
the Community, the Community will provide copies of the documents to other health care professionals who may be called to assist the Resident with his/her health care needs. If the Resident executes such documents, and later changes or revokes them,
it is the Resident’s responsibility to inform the Community, so that the Community can assist the Resident in communicating the Resident’s health care choices to other professionals. 

V. Review of Documents and Policies. The Resident and the Responsible Party named in this Residency
Agreement acknowledge(s) that they have received copies of, and have reviewed, this Residency Agreement between the Community and the Resident and all exhibits. The Resident and the Responsible Party further acknowledge(s) that the Community has
explained to him/them the Community’s policies and procedures for implementing residents’ rights and responsibilities, including the grievance procedure (attached as Exhibit 4) and the Resident has been offered the opportunity to execute
advance directives. 
 W. Family Visits and Other Communication. Family members may visit the
Community at any time that is mutually convenient for them and the Resident. It is the policy of this Community to openly communicate with residents and families on a regular basis, including personal phone calls, Community newsletters, family
nights, resident council meetings, and resident service plan meetings. 
 X. Responsibility for
Third Party Contractors/Health Services. The Resident has the right to receive services from third-party contractors consistent with the Community’s policies and state law. All third-party contractors must comply with the
Community’s rules and policies. The Community has no responsibility to screen third party contractors and the Community is not 

  
 13 









 
responsible for care provided by third-party contractors to the Resident. The Resident shall indemnify the Community and its owners, directors, agents, employees and contractors against any
losses, costs, expenses, claims, liabilities, damages, or judgments, including without limitation, legal fees, court costs, expert fees, and similar expenses incurred, which may be asserted against, imposed upon or incurred by the other party as a
result of the negligence or intentional conduct of the third-party contractor. The Community reserves the right to bar any third-party contractor from the Community. 
 The Resident hereby indemnifies, holds harmless and releases the Community and its owners, directors, agents, employees, and contractors from any and all liability, cost, and responsibility for injury and
damage, including attorneys’ fees, arising from the Resident’s failure to obtain, or from the failure of others to furnish, nursing, health care or personal care services, and from all injury and damages which could have been avoided or
reduced if such services had been obtained or furnished or as a result of the Resident/Responsible Party’s negligence, intentional wrongdoing or breach of his/her contractual obligations. 

ARTICLE VI 
 Services Available to Residents at the Community 

A. Services Available at the Community. The services and programs described in the following pages of this
Residency Agreement are available to residents, as determined by the Community following the Assessment process described in Article I. 
 B. Services Not Provided by The Community. The Community does not provide any services not described in this Residency Agreement. However, certain services such as eyeglasses, dentures,
podiatric care, psychiatric consultation, physical therapy, speech therapy, and occupational therapy, private duty care givers, prescription medications, physician services, prosthetic devices and mechanical aides in some cases may be arranged
through the Community. Any such services and items will be billed to the Resident by the third party provider. 

C. Emergency Services. The Resident authorizes the Community to obtain emergency health care services for
the Resident, at the Resident’s expense, whenever, in the Community’s sole discretion, such emergency services are deemed necessary. The Community shall notify any Responsible Party, as soon as possible after such emergency where health
care services have been provided. 
 D. Transfer to Facility Providing Higher Level of Care. If
the Resident needs care beyond what can be provided in the Community, the Resident and any Responsible Party shall, upon written notification from the Community, make arrangements for transfer to an appropriate care setting. 

E. Review of Documents and Policies. You acknowledge that you have received a copy of, and have reviewed,
this Residency Agreement as well as the following specific information: 

  
 14 










	 	ii.	 The Community’s policies and procedures for implementing Resident Rights (attached as Exhibit 5); 



 

	 	iii.	 The Resident Grievance Procedure (attached as Exhibit 4); 



 

	 	iv.	 Article V(B) of this Residency Agreement titled “Grievance Procedure / Conflict Resolution / Arbitration”.



 You acknowledge that the Community has explained the terms of this Residency Agreement to
you. You agree to the terms of this Residency Agreement by signing in the space provided below: 
 IN WITNESS
WHEREOF, the parties have executed this Residency Agreement effective as of the date first written above. 
  

			
	RESIDENT:	  	RESPONSIBLE PARTY:
		
	 	  	 
	 Signature
	  	 Signature

		
	 	  	 
	 Print Name
	  	 Print Name



 

			
		
	 SECOND RESIDENT (if applicable):
	  	RESPONSIBLE PARTY:
		
	 	  	 
	 Signature
	  	 Signature

		
	 	  	 
	 Print Name
	  	 Print Name

		
		  	SUNRISE:
		
		  	 
		  	 Signature

		
		  	 
		  	Executive Director

 Please also execute all of the Exhibits to this Residency Agreement. 

  
 15 









 EXHIBIT 1  

YOUR SUITE AND FEES 
 Name of Resident:                      

Suite #:                     
                                         
                                         
                                         
         Occupancy Date:                      

 

			
	 Base Fees
	  	 
	 Assisted Living Suite
	  	 $             /day

	 Reminiscence Suite
	  	 $             /day

	 Edna’s Place Suite
	  	 $             /day

	 Avon Place Suite
	  	 $             /day

		
	 Service Level Fees
	  	 
	 Assisted Living Plus
	  	 $             /day

	 Assisted Living Plus Plus
	  	 $             /day

	 Reminiscence Program Fee
	  	 $             /day

	 Reminiscence Plus
	  	 $             /day

	 Reminiscence Plus Plus
	  	 $             /day

	 Terrace Club Program Fee
	  	 $             /day

	 Terrace Club Plus
	  	 $             /day

	 Edna’s Place Program Fee
	  	 $             /day

	 Edna’s Place Plus
	  	 $             /day

	 Avon Place Program Fee
	  	 $            /day

	 Avon Place Plus
	  	 $             /day

	 Enhanced Care
	  	 $             /day

		
	 Medication Management
	  	 $                    

		
	          Level
1                              Level 2
	  	
		
	 Total Daily Fee:
	  	 $             /day

	 Move-in Fee:
	  	 $                    


 Effective Date:
                     

  
 16 









 EXHIBIT 1-A 
 SECOND RESIDENT’S FEES 
 Name of Second Resident:
_____________________ 
 Occupancy Date: _________________ 

 

			
	 Base Fees
	  	 
	 Assisted Living Suite
	  	 $            /day

	 Reminiscence Suite
	  	 $            /day

	 Edna’s Place Suite
	  	 $            /day

	 Avon Place Suite
	  	 $            /day

		
	 Service Level Fees
	  	 
	 Assisted Living Plus
	  	 $            /day

	 Assisted Living Plus Plus
	  	 $            /day

	 Reminiscence Program Fee
	  	 $            /day

	 Reminiscence Plus
	  	 $            /day

	 Reminiscence Plus Plus
	  	 $            /day

	 Terrace Club Program Fee
	  	 $            /day

	 Terrace Club Plus
	  	 $            /day

	 Edna’s Place Program Fee
	  	 $            /day

	 Edna’s Place Plus
	  	 $            /day

	 Avon Place Program Fee
	  	 $            /day

	 Avon Place Plus
	  	 $            /day

	 Enhanced Care
	  	 $            /day

		
	 Medication Management
	  	 $            

		
	          Level
1                              Level 2
	  	
		
	 Total Daily Fee:
	  	 $            /day

	 Move-in Fee:
	  	 $            

		
	 Effective Date: _______________
	  	


  
 17 









 EXHIBIT 2 
 SCHEDULE OF COMMUNITY FEES 
 A. Schedule of
Fees. The fees for all of the various services and products offered by the Community are as follows: 
  

			
	 Base Fees (starting from)
	  	 
	 Assisted Living Suite
	  	 $            /day

	 Reminiscence Suite
	  	 $            /day

	 Edna’s Place Suite
	  	 $            /day

	 Avon Place Suite
	  	 $            /day

		
	 Service Level Fees
	  	 
	 Assisted Living Plus
	  	 $            /day

	 Assisted Living Plus Plus
	  	 $            /day

	 Reminiscence Program Fee
	  	 $            /day

	 Reminiscence Plus
	  	 $            /day

	 Reminiscence Plus Plus
	  	 $            /day

	 Terrace Club Program Fee
	  	 $            /day

	 Terrace Club Plus
	  	 $            /day

	 Edna’s Place Program Fee
	  	 $            /day

	 Edna’s Place Plus
	  	 $            /day

	 Avon Place Program Fee
	  	 $            /day

	 Avon Place Plus
	  	 $            /day

	 Enhanced Care* (starting from)
	  	 $            /day

		
	 Medication Management
	  	 $            

		
	          Level
1                              Level 2
	  	
		
	 Move-in Fee:
	  	 $            

		
	 Effective Date: _______________
	  	

  

	*	 Enhanced Care fees are variable, depending on the needs of the resident as determined by the resident’s assessment score.




  
 18 









 EXHIBIT 3 
 SCHEDULE OF THE COMMUNITY’S ADDITIONAL AMENITIES 
 Additional Amenities

  

					
	 1.
	  	 Assistance with Resident requested special maintenance projects, such as hanging pictures, furniture assembly, etc. beyond that maintenance required by
this Residency Agreement. The use of outside contractors or handyman services is not permitted without prior written approval of Community.
	  	 $            /day

	 2.
	  	 Housekeeping services in addition to those included as part of the Assisted Living Services
	  	 $            /day

	 3.
	  	 Transportation for personal trips, scheduled in advance by the Resident. The hours that transportation is available for scheduling will be determined by
Community.
	  	 $            /hour

	 4.
	  	 Rental furniture
	  	 $            /month

	 5.
	  	 Guest meals
	  	 $            /breakfast

		  		  	 $            /lunch

		  		  	 $            /dinner

	 6.
	  	 Barber and Beauty services
	  	 $            

	 7.
	  	 Dry cleaning
	  	 $            

	 8.
	  	 Continence Products
	  	 $            

		  	          Level
1                              Level 2

         Level 3
	  	
	 9.
	  	 The View Programming Fee
	  	 $            

	 10.
	  		  	 $            

	 11.
	  		  	 $            

	 12.
	  		  	 $            

	 13.
	  		  	 $            



  
 19 









 EXHIBIT 4 
 RESIDENT GRIEVANCE PROCEDURE 
 The Community encourages all
residents and family members to express their complaints about the Community and to suggest remedies or improvements in its policies and services. The Community will try to be responsive to reasonable concerns and suggestions. We also encourage
residents and family members to let staff know when services and policies are satisfactory and should continue unchanged. 

PROCEDURES: 
 The
Community team members are expected to listen courteously and respectfully to complaints. If team members are able to do so, they will attempt to explain the reason for the procedure or incident in question. If you are not satisfied, team members
will explain the Community’s steps for making a complaint which are as follows: 
  

	1.	 Discuss the concern or complaint with the Executive Director of the Community. If there is no resolution to the matter or you do not feel
comfortable discussing the matter with the Executive Director, then, 


  

	2.	 Discuss the concern or complaint with the area Director of Operations for the Community,
                    , whose voicemail number is
                    . If there is no satisfaction at that point, then, 



 

	3.	 Contact the Area Vice-President of Operations,
                     whose voicemail number is
                    . If there is no satisfaction at that point, then 



 

	4.	 Contact the Sunrise Senior Living National Office Customer Service Center to express the complaint at 1-800-929-4124. If you are still unsatisfied
then, 


  

	5.	 Contact the following agencies: 


  

			
	 State Licensing Authority
	  	 Ombudsman

	 Department of Social Services
	  	 California State Long Term Care

	 Telephone Number: (916) 324-4031
	  	 Ombudsman

		  	 Toll-Free Number: (800) 321 -4042


 Another way to air grievances is through the monthly Resident Council meetings. 

At no time will any team member of the Community take any improper action against a resident for making a complaint, whether or not the
complaint is valid. The Community will consider dismissing any employee who is found to be threatening, ignoring, humiliating, retaliating, or discriminating against residents who voice complaints. 

  
 20 










 EXHIBIT 4 (CONT.) 
  

 Whenever any team member observes what appears to be a violation of resident rights or a
violation of any of the laws and regulations under which the Community must operate, whether or not a resident has actually voiced a complaint, the team member is immediately expected to correct the situation, if possible. If the team member is
unable to do so, he/she is to bring the problem to the attention of the Executive Director or Administrative Team Member on Call who will ensure corrective action and, when required, notify authorities. 

 

					
	RESIDENT/ RESPONSIBLE PARTY:	 		 	SECOND RESIDENT/ RESPONSIBLE PARTY:
			
	  	 		 	  
	 (Signature)
	 		 	 (Signature)

			
	  	 		 	  
	 (Print Name)
	 		 	 (Print Name)

			
	  	 		 	  
	 (Date)
	 		 	 (Date)



  

					
		 	21	 	









 EXHIBIT 5 
 RESIDENT RIGHTS 
 Each resident shall have personal rights which
include, but are not limited to, the following: 
 (1) To be accorded dignity in his/her personal relationships with staff,
residents, and other persons. 
 (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.

 (3) To be free from corporal or unusual punishment, humiliation, intimidation, mental abuse, or other actions of a punitive
nature, such as withholding of monetary allowances or interfering with daily living functions such as eating or sleeping patterns or elimination. 
 (4) To be informed by the licensee of the provisions of law regarding complaints and of procedures to confidentially register complaints, including, but not limited to, the address and telephone number of
the complaint receiving unit of the licensing agency. 
 (5) To have the freedom of attending religious services or activities
of his/her choice and to have visits from the spiritual advisor of his/her choice. Attendance at religious services, either in or outside the facility, shall be on a completely voluntary basis. 

(6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night.
This does not prohibit the establishment of house rules, such as the locking of doors at night, for the protection of residents; nor does it prohibit, with permission of the licensing agency, the barring of windows against intruders. 

(7) To visit the facility prior to residence along with his/her family and responsible persons. 

(8) To have his/her family or responsible persons regularly informed by the facility of activities related to his/her care or services
including ongoing evaluations, as appropriate to the resident’s needs. 
 (9) To have communications to the facility from
his/her family and responsible persons answered promptly and appropriately. 
 (10) To be informed of the facility’s policy
concerning family visits and other communications with residents. The policy shall encourage regular family involvement and provide ample opportunities for family participation in activities at the facility. 

(11) To have his/her visitors, including ombudspersons and advocacy representatives permitted to visit privately during reasonable hours
and without prior notice, provided that the rights of other residents are not infringed upon. 
 (12) To wear his/her own
clothes; to keep and use his/her own personal possessions, including his/her toilet articles; and to keep and be allowed to spend his/her own money. 
 (13) To have access to individual storage space for private use. 

  
 22 










 EXHIBIT 5 (CONT.) 
  

 (14) To have reasonable access to telephones, to both make and receive confidential
calls. The licensee may require reimbursement for long distance calls. 
 (15) To mail and receive unopened correspondence in a
prompt manner. 
 (16) To receive or reject medical care, or other services. 

(17) To receive assistance in exercising the right to vote. 
 (18) To move from the facility. 
 PERSONAL RIGHTS 

EXPLANATION: The California Code of Regulations, Title 22 requires that any person admitted to a facility must be advised of
his/her personal rights. Facilities licensed for seven (7) or more are also required to post these rights in areas accessible to the public. Consequently, this form is designed to meet both the needs of persons admitted to facilities and the
facility owners who are required to post these rights. 
 This form describes the personal rights to be afforded each person
admitted to a facility. This form also provides the complaint procedures for the resident and the residents responsible person. The facility staff, residents responsible person or conservator must explain these rights in a manner appropriate to the
residents ability. 
 This form is to be reviewed, completed and signed by each resident, and/or responsible person (if any), or
conservator upon admission to the facility. The resident and/or responsible person or conservator also has the right to receive a completed copy of the originally signed form. This originally signed copy shall be retained in the residents file,
which is maintained by the facility. 
 RESIDENT OR CONSERVATOR AND RESPONSIBLE PERSON 

Upon satisfactory and full disclosure of the personal rights, complete the following: 

I/we have been personally advised and have received a copy of the personal rights contained in the California Code of Regulations, Title
22. 

					
			
	  	 		 	  
	 (PRINT THE NAME OF THE FACILITY)
	 		 	 (PRINT THE ADDRESS OF THE FACILITY)

			
	  	 		 	 
	(PRINT THE NAME OF THE RESIDENT)	 		 	


  

					
		 	23	 	










 EXHIBIT 5 (CONT.) 
  

   

 
 (SIGNATURE OF THE RESIDENT)


                      
                                         
                                         
         
 (DATE) 

 
  
 (SIGNATURE OF THE RESPONSIBLE PERSON OR CONSERVATOR) 
  

 
 (TITLE OF THE RESPONSIBLE PERSON
OR CONSERVATOR) 
  
  

THE RESIDENT AND/OR THE RESPONSIBLE PERSON OR CONSERVATOR HAS THE RIGHT TO BE INFORMED OF THE APPROPRIATE LICENSING AGENCY TO CONTACT
REGARDING COMPLAINTS, WHICH IS: 
  
  

NAME 
  

 
 ADDRESS 

 
  

			
	CITY	  	ZIP CODE

 AREA CODE/TELEPHONE NUMBER 
  

 
 To report known or suspected elder abuse,
contact the Statewide Ombudsman Toll Free 24-hour CRISIS line at 1-800-231-4024. Local Ombudsman’s Office Telephone Number ____________________. 
  

					
	 RESIDENT/ RESPONSIBLE PARTY:
	 		 	 SECOND RESIDENT/ RESPONSIBLE PARTY:

			
	  	 		 	  
	 (Signature)
	 		 	 (Signature)

			
	  	 		 	  
	 (Print Name)
	 		 	 (Print Name)

			
	  	 		 	  
	 (Date)
	 		 	 (Date)



  

					
		 	24	 	









 EXHIBIT 6 
 RESPONSIBLE PARTY CONTRACT 
 THIS CONTRACT is
entered into as of this              day of                     ,
            , by and among
                                 (hereinafter referred to as the
“Resident”);                                  (the “Responsible
Party”) and Sunrise Senior Living Management, Inc., (“Sunrise”), Manager for Owner. 
 WHEREAS,
the Resident desires to live in the suite, or already lives in the suite (the “Suite”) identified in an Contract between Sunrise and the Resident (the “Residency Agreement”), of which this Contract is made a part thereof; and

 WHEREAS, Sunrise is willing to enter into the Residency Agreement if the Resident identifies an individual
who is willing to provide certain assistance to or on behalf of the Resident in the event that such assistance is necessary, and who is willing to pay the Resident’s financial obligations to Sunrise under the Residency Agreement in the event
that the Resident does not make payments when due; and 
 WHEREAS, the Responsible Party has agreed to provide
such assistance and to pay such obligations if and as necessary. 
 In consideration of the foregoing, the
parties agree as follows: 
  

	 	1.	 In the event that the condition of the Resident makes such assistance necessary or advisable, the Responsible Party, upon the request of the
Community, will: 


  

	 	a)	 Participate as needed with the Community staff in evaluating the Resident’s needs and in planning and implementing an appropriate plan for the
Resident’s care; 


  

	 	b)	 Assist the Resident as necessary to maintain the Resident’s welfare and to fulfill the Resident’s obligations under the Residency
Agreement; 


  

	 	c)	 Assist the Resident in transferring to a hospital, nursing home, or other medical facility in the event that the Resident’s needs can no longer
be met by the Community; 


  

	 	d)	 Assist in removing the Resident’s personal property from the Apartment/Suite when the Resident leaves the Community;



  

	 	e)	 Make necessary arrangements, or assist the legally responsible person in making necessary arrangements, for funeral services and burial in the event
of death. 



  

					
		 	25	 	










	 	2.	 In the event that the Resident fails to pay any amount or amounts due to the Community under the Residency Agreement, the Responsible Party hereby
agrees to pay the Community all amounts due from the Resident under the Residency Agreement, as it may be amended from time to time, including any amounts resulting from increases in fees or charges authorized by the Residency Agreement. The
Responsible Party agrees to pay the Community within thirty (30) days of receiving each notice from the Community of nonpayment by the Resident. 


  

	 	3.	 The Responsible Party acknowledges that he/she has received and has reviewed a copy of the Residency Agreement, and has had an opportunity to ask
any questions the Responsible Party may have. 


 IN WITNESS WHEREOF, the undersigned have duly
executed this Contract, or have caused this Contract to be duly executed on their behalf, as of the day and year first above written. 
  

					
	Sunrise:	 		  	Responsible Party
			
	 	 		  	 
	Signature	 		  	Signature
			
	Executive Director	 		  	 
	(Title)	 		  	(Print Name)
			
	 	 		  	 
	(Name of Community)	 		  	(Address)
			
	 	 		  	 
	(Date)	 		  	(Date)
			
		 		  	 
		 		  	Social Security Number
			
		 		  	 
		 		  	Resident’s Name


  

					
		 	26	 	









 EXHIBIT 7 
 CONSENT TO PHOTOGRAPH 
 Sunrise was founded on the belief that human life
is sacred — each person deserves to be treated with the utmost dignity and respect. At times photographic images of residents are required to ensure their safety and / or enhance their Sunrise experience. 

Because Sunrise desires to ensure that each resident is able to exercise the right to make his or her own choices, this Consent to
Photograph authorizes Sunrise Senior Living Management, Inc. and/or Sunrise Senior Living Services, Inc. (collectively referred to herein as “Sunrise”) to act according to your wishes With respect to photographs. 

I,
                                , consent to photographs of
                                , being used for the following reason(s):

  

	 	 ̈	 Identification purposes intended to assist in the delivery of care and/or dietary services in order to ensure my best interests and needs are met. I
understand that these images will be treated by the Community as confidential. 


  

	 	 ̈	 Recognition of anniversary, birthday, celebrations and events attended while living as a Sunrise resident. I understand that these images may be
placed in a photo album and/or posted online at www.SunriseConnected or other Sunrise web site, to enable my family and others to enjoy seeing the celebrations and events provided. 



I release and hold harmless Sunrise and any affiliated companies and businesses as well as their employees, officers, directors and
agents from any and all claims arising from the use of             ’s, photograph as authorized above. 

                   
                                         
                                     

Resident Name (please print) 
                                  
                                         
                       
 Responsible Party, Attorney in Fact or Guardian Name — if applicable (please print) 

  

					
		 	27	 	









 SCHEDULE A 

 

	A.	 TERMINATION BASED ON LICENSURE FORFEITURE OR COMMUNITY CLOSURE 



1. Upon sixty (60) Days Written Notice. Community may terminate this Residency Agreement upon sixty
(60) days’ prior written notice to the Resident and any Responsible party, if the following events occur: 
 (a) Community’s license is forfeited because of a sale or transfer of the Community or its property, surrender of the license, or abandonment of the Community in accordance with Health and Safety
Code Sections 1569.19(a), (b) or (f); or 
 (b) Change of use of the facility. 

2. Notice. If Community terminates this Residency Agreement under this Section A, the Resident and any Responsible
Party, shall receive a notice of the reason for the termination, with specific facts to permit a determination of the date, place, witnesses, and circumstances concerning the reasons. The notice will also include a copy of your current Assessment,
your relocation evaluation prepared by Community (see Section 6 below), a list of referral agencies, and an explanation of the Resident and any Responsible Party’s right to contact the California Department of Social Services
(“DSS”) to investigate the reasons given for the termination. Community will send to DSS a written report of the termination within five (5) days after issuing the termination notice. 

3. Refund of Community Fee. 

(a) If Community terminates this Residency Agreement under this Section, the first five hundred dollars
($500) or less of the Community Fee that you paid to Community is non-refundable. The remainder of the Community Fee paid (that is, after deducting $500 (thereinafter referred to as the “balance”)) is refundable to the Resident and any
Responsible Party on the following basis: 
 (i) a full refund of the balance if the Community
Fee was paid within six months of the notice of termination. 
 (ii) a seventy five
(75) percent refund of the balance if the Community fee was paid more than six months but not more than twelve months before the notice of termination. 

(iii) a fifty (50) percent refund of the balance if the Community Fee was paid more than twelve
months but not more than eighteen months before the notice of termination. 
 (iv) a twenty five
(25) percent refund of the balance if the Community fee was paid more than eighteen months but less than twenty five months before the notice of termination. 

  

					
		 	28	 	









 (b) You shall not be entitled to a refund of the Community
fee, or any part thereof, if you paid it twenty five (25) months or more before the notice of termination. 

4. Timing of Refund/Credit. Any refund due under Section 3 above shall be paid to you within fifteen
(15) days of issuing the notice of termination. Instead of receiving a refund due under Section 3 above, Community shall, at your request, give you a credit toward your Monthly Fee payment obligation in an amount equal to the refund due
under Section 3 above. 
 5. Refund of Prepaid Monthly Fee. Following termination of this Residency
Agreement under this Section A, Community will pay the Resident and any Responsible Party a proportional per diem amount of any prepaid Monthly Fee. The Resident and any Responsible Party shall receive the refund on the date you move out of the
Community and vacate your Suite (see Article V (H) Refunds and (I) Removal of Personal Property), provided you submit a written request to Community to receive such refund on that date at least five (5) days before your scheduled
move-out date. Otherwise, the Resident and any Responsible Party shall receive such refund within seven (7) days from the date that you leave the Community and your Suite is vacated (see Article V (H) Refunds and (I) Removal of
Personal Property). 
 6. Relocation Evaluation. If Community terminates Residency Agreements under this
Section A, it will take all reasonable steps to transfer affected residents safely and to minimize possible transfer trauma. Before you receive a termination notice under Section 2 above, Community will prepare a relocation evaluation of your
needs. Your relocation evaluation shall include recommendations on the type of facility that would meet your present needs based on your current Assessment and a list of those type of facilities that are located within a 60-mile radius of the
Community. Community shall discuss your relocation evaluation with the Resident and any Responsible Party within thirty (30) days of issuing the notice of termination under Section 2. 

7. Closure Plan. If Community plans to terminate the residency of seven (7) or more residents under
Section 1 above, Community shall submit a proposed closure plan in accordance with Health and Safety Code Section 1569.682(b) to DSS for approval. Community will not accept new residents or enter into new Residency Agreements after it
submits the closure plan to DSS. Until such time that DSS approves the closure plan, Community shall not issue a notice of termination to any resident under Section 2 above or require any resident to transfer. Upon approval by DSS, Community
shall send a copy of the closure plan to the local ombudsperson program and commence issuing termination notices under Section 2 above. 
 8. Notice to DSS and Ombudsperson. Community shall submit a final list of names and new locations of all transferred residents to DSS and the local ombudsperson program within ten (10) days of
the date that the final resident is transferred from the Community. 

  

					
		 	29	 	









 CARE PROGRAMS AND SERVICES 
 ASSISTED LIVING 
 The Community’s Assisted Living Program
consists of reminders, supervision and/or hands on assistance with certain activities of daily living. Such services are offered at Assisted Living Plus, Assisted Living Plus Plus and Enhanced Care, depending on the nature and extent of services
provided. 
 REMINISCENCE PROGRAM 
 The Community’s Reminiscence Program (“Reminiscence Program”) is designed for residents who have a diagnosis of Alzheimer’s Disease, dementia or related disorders or who have similar
care needs. The Reminiscence Program is offered in a specially designed Reminiscence Neighborhood. The Reminiscence Program is offered at different levels, depending on the nature and extent of services provided. 

TERRACE CLUB 
 The
Terrace Club is a specially designed program for residents who have, or are concerned about, early memory loss. It is offered as an addition to the Assisted Living program and included two service levels. 

AVON PLACE 
 Avon
Place is a specially designed neighborhood in the Community with programming designed for residents with early to mid stage memory loss usually associated with Alzheimer’s disease or related disorder such as dementia. It is offered at a
“Base” level and a “Plus” level, depending on the nature and extent of services provided. 
 EDNA’S PLACE

 Edna’s Place consists of a cluster of suites within the Reminiscence Neighborhood and incorporates design
features, therapeutic programs and closely supervised activities for residents who have higher level needs due to more severe cognitive impairment such as late stage memory loss or Alzheimer’s Disease. Edna’s Place is offered at a
“Base” level, and a “Plus” level, depending on the nature and extent of services provided. 
 MEDICATION ASSISTANCE
PROGRAM 
 The Medication Program is available to those residents who may require help with their medications. Medication
assistance is subject to state law but may include the following: a) reminding the resident of the time to take medication; b) reading the medication label to the 

  

					
		 	30	 	









 
resident; c) checking the dosage of self administered medication against the container label; and d) physically assisting the resident in pouring or otherwise taking the medication. If the
resident is able to self-administer his/her own medications, the medications must be kept in a locked box or area (at Resident’s expense) in the Resident’s Suite. 
 The Community’s Medication Program requires the use of a uniform medication packaging system. The Resident may purchase medications from a pharmacy that has contracted with the Community, or the
Resident can provide written notice to the Community that he/she will obtain medications from another pharmacy. While the Resident is free to select any pharmacy, the pharmacy must provide medications in a manner consistent with the Community’s
system in order for the Resident to participate in the Medication Program. 

  

					
		 	31	 	









 REFERRAL DISCLOSURE ADDENDUM 

This is to advise you that, in the ordinary course of business, Sunrise communities develop relationships with local and national
organizations that may lead to referrals and move-ins. It is just one of many ways of ensuring that residents who need care locate the appropriate setting to meet their needs. In some cases, if allowed by law, the referral source may require
compensation from the Community if a resident whom they referred moves into the Community. The majority of move-ins are not the result of compensated referrals. Payment of a fee has no effect on a resident’s stay at our community. 

  

					
		 	32	 	









 RESPITE STAY ADDENDUM 

THIS RESPITE STAY ADDENDUM (this “Addendum”) is entered into as of this
             day of                     ,
20    , by and between: (i) Sunrise and (ii)
                                         
                        (“you” or “Resident”). 

WHEREAS, the Resident desires to reside at the Community for a temporary respite stay (the “Respite Stay”); and

 WHEREAS, the Resident and the Community have entered into a Residency Agreement dated
                    , 20     (the “Residency Agreement”), as amended herein. 

NOW THEREFORE, the Resident and the Community agree as follows: 

1. Article IV.A. of the Residency Agreement is hereby amended as follows: Resident shall reside at the Community for the
period commencing on                     , 20     and terminating no later than
                    , 20__. 
 2. The Move-in Fee referred to in Article III.B. of the Residency Agreement shall be waived during the Resident’s Respite Stay. 

3. Article III. of the Residency Agreement is amended to add the following: 

L. Respite Stay Daily Fee. During the Respite Stay, the Resident shall pay a daily fee in the amount of
$             (the “Respite Stay Daily Fee”). 
 4. In the event that Resident becomes a permanent resident of the Community, Resident shall be responsible for payment of the Move-in Fee upon the first day of such permanent residency. A portion of the
Respite Stay Daily Fee, in the amount of $            , is referred to as the Respite Premium Fee. Resident’s Move-In Fee shall be credited by the amount of the Respite Premium
Fee paid over the course of the Respite stay, up to the full amount of the Move-in Fee. For example, if the Resident pays a Respite Premium Fee of $25.00 to the standard room rate for a Respite Stay of 10 days, the Resident will receive a Respite
Premium credit of $250 towards the Move-in Fee. 
 5. Except as modified herein, all of the other terms and
conditions of the Residency Agreement remain in full force and effect. 
 (Signatures are on the following page) 

  
 33 









 IN WITNESS WHEREOF, the parties have executed this Addendum effective as of
the date first written above. 
  

					
	SUNRISE	 		 	
			
	  	 		 	 
	Signature	 		 	
			
	  	 		 	 
	Executive Director	 		 	
			
	  	 		 	 
	Date	 		 	
			
	RESIDENT	 		 	RESPONSIBLE PARTY
			
	  	 		 	  
	 Signature
	 		 	 Signature

			
	  	 		 	  
	 Print Name
	 		 	 Print Name

			
	  	 		 	  
	 Date
	 		 	 Date



  
 34 









 PET ADDENDUM 
 The Community consents to the Resident keeping in the Suite the household pet described as follows (the “Pet”): 
  

					
	_____________	 	 Kind and breed
	 	
			
	_____________	 	 Name
	 	
			
	_____________	 	 Color
	 	
		
	_____________	 	 Height (maximum height permitted is 18”)

		
	_____________	 	 Weight (maximum weight permitted is 30 lbs.)

			
	_____________	 	 Age
	 	

 The Resident will provide the Community a photograph of the Pet at the time this Addendum is executed. 

A. Responsibilities of the Resident. The Resident will keep the Pet in the Suite, except when walking the
Pet, if applicable, or transporting it to and from the Suite. The Resident will not allow the Pet in building lobbies or in common residential area, other than to transport the Pet to and from the Suite. The Resident will walk and curb the Pet only
in areas designated by the Community and will be responsible for cleaning up after the Pet. When the Pet is not in the Suite, the Resident will keep it on a leash no longer than five feet or in a cage or other appropriate closed and ventilated
container, and in the control of the Resident. If the Pet is a bird, the Resident will keep it caged both in and out of the Suite. If the Pet is a dog or cat, the Resident will ensure that it wears a collar with appropriate identification (including
the Resident’s telephone number) at all times that it is out of the Suite. 
 The Resident will comply with
all vaccination and licensing requirements applicable to the Pet, showing proof of this upon request, and will comply with appropriate standards of care, treatment, and grooming. The Resident will be responsible for the health, welfare, and proper
care of the Pet. The Resident will ensure that the Pet does not disturb the right of other residents to the peaceful enjoyment of their Suites and of the common areas. The Resident will not leave the Pet unattended when the Pet is not in the Suite.

 The Resident will be liable for any personal injury or property damage caused by the Pet that is suffered by
the Community, its employees or agents, other residents, guests, or invitees. The Resident will pay all costs and expenses, including reasonable attorneys’ fees and court costs incurred by the Community in enforcing any liability of the
Resident under this Addendum. 
 B. Term and Termination. This Addendum will continue until the
Residency Agreement between the Resident and the Community is terminated, unless either party terminates this Addendum for any reason by giving seven (7) days prior written notice to the other party. The Community may terminate
this Addendum upon twenty-four (24) hours notice in the event the Resident breaches any of the Resident’s obligations under this Addendum. In the event that the Pet 

  
 35 









 
is left unattended for more than twenty-four (24) hours, or if the Community determines that the Resident, for any reason, is unable to care for the Pet, the Community reserves the right to
arrange for the Pet to be delivered to: 
  

	
	  
	(Sponsor)

 or to such other individual or agency as the Community determines to be appropriate. The Resident will
pay all costs of delivery, feeding, care, treatment, and housing of the Pet. The Resident acknowledges that the Resident has no right to keep a pet except to the extent expressly permitted by this Addendum, and that the Community reserves the right
to withdraw its consent to the Resident keeping the Pet at any time by terminating this Addendum as permitted above. 
  

							
		 		 		 	 Community

				
	Date: ___________________	 		 	By:	 	 
		 		 	Title:	 	 
			
		 		 	 Resident / Responsible Party:

				
	Date: ___________________	 		 	  	 	  
		 		 	 Signature

				
		 		 	  	 	  
		 		 	 Title

			
		 		 	 Resident / Responsible Party:

				
	Date: ___________________	 		 	  	 	  
		 		 	 Signature

				
		 		 	  	 	  
		 		 	 Title



  
 36 









 MOTORIZED VEHICLE ADDENDUM  

RULES FOR MOTORIZED VEHICLES 
 This Exhibit is hereby attached to and becomes a part of the attached Residency Agreement by and between the Community and the Resident dated
                         20      . 

The Resident and the Community agree that the Resident shall be entitled to use a motorized vehicle in the Community so
long as this Residency Agreement remains in force upon the following terms. 
 Any Resident who wishes to
operate an electric wheelchair, motorized cart or similar device (a “Motorized Vehicle”) at the Community must register with the Community and follow the Rules presented below. The Rules governing Motorized Vehicle use are designed to
protect residents and staff. 
 To complete registration, the Resident must submit to the Executive Director a written statement
indicating that the Resident’s need for use of a Motorized Vehicle is due to the Resident’s disability. 
 A. Resident acknowledges responsibility for any damage or injury caused by use of the Motorized Vehicle. The Community encourages Residents to purchase liability insurance that covers Residents for
any injury or damaged caused by Residents’ Motorized Vehicles. Without such insurance, Residents may be personally liable for substantial amounts of money plus attorneys’ fees. 

B. The Community will review with the Resident how to properly operate the scooter, i.e start, stop, and
understand the turning capabilities of the scooter. The use of the Motorized Vehicle may be restricted, if it becomes evident to the Community’s leadership that the use of the Motorized Vehicle constitutes a direct threat to the health or
safety of others or result in substantial physical damage. 
 C. No Motorized Vehicle shall be operated
at the Community at a speed that exceeds a normal walking pace, estimated at 2 miles per hour. 
 D. The
Resident must operate the Motorized Vehicle at the lowest possible speed and then transfer to a dining chair for the meal, due to the Motorized Vehicle blocking ingress and egress. For the safety of residents and staff, staff will park the Motorized
Vehicle in the dining room foyer during the meal. The Community will consider modifications of this Rule if the Resident’s medical condition precludes transfer to a chair. 

E. The Motorized Vehicle must be operated at all times in a safe manner and with due care to avoid causing any
personal injury or property damage. The Resident must be particularly careful to avoid persons who are entering or leaving their Suites. 
 F. The Motorized Vehicle should be driven in the center of the hallway. The Resident must stop at hallway intersections, look both ways and make sure it is clear before slowly proceeding through
the intersection. 

  

					
		 	37	 	









 G. The Motorized Vehicle must not be left unattended near any
entrances, exits or intersections. When the Resident retires to his or her Suite, he or she must also bring the Motorized Vehicle inside. 
 H. Residents requesting any reasonable accommodation in the Community’s Rules shall submit a written request to the Executive Director. 

 

									
	DATED:                     	 		 		 	 
		 		 		 		 	Resident
				
	 	 		 		 	
	Executive Director	 		 	


  

					
		 	38	 	









 Exhibit A-2 
 Form of Residency Document (Colorado) 
 (see attached) 







 PREAMBLE 

The purpose of this Residency Agreement is to provide a statement of the services that will be provided to you and the
legal obligations that the Community will be assuming. This Residency Agreement also sets forth your obligations to the Community, both financial and non-financial. Your residence is identified by the suite number in Exhibit 1 of this Residency
Agreement. You may move into your suite (the “Suite”) as of the date (the “Occupancy Date”) listed in Exhibit 1. 
 ARTICLE I  
 Resident Evaluation 

A. Qualification for Residency. The Community may only accept or retain an individual to be a resident if
management determines, in its sole discretion, it is able to provide appropriate services and the individual meets the requirements set forth by state law. The Community is not required to admit or retain the Resident or to contract with the
Resident for services, if the Community determines, in its sole discretion, that it cannot meet the Resident’s needs or the Resident fails to meet the requirements as set forth by law. 

B. Physician’s Report. Prior to move-in, the Resident will provide the Community a completed
Physician’s Report (the “Physician’s Report”) on a form provided by the Community. This Report will include a physical examination conducted within thirty (30) days prior to move-in and must demonstrate that the Resident
meets criteria for residency. After move-in, the Community may require a Physician’s Report, acceptable to the Community, following any hospitalization, when the Community determines that the Resident’s health condition warrants, or as
required by law. 
 C. Psychiatric Examination. In addition to the Physician’s Report, the
Community may require a report of a current psychiatric examination (the “Psychiatric Examination”) prior to move-in if the Resident is taking psychotropic drugs, or has a history of aggressive behavior, to determine if the
Resident’s needs can be met in an Assisted Living Program and to assist in the Resident’s care plan. After move-in, the Community may require a psychiatric consultation when the Community, along with the Resident’s personal physician,
determines that the Resident’s health condition warrants. Failure to comply with the request for a consultation after move-in may result in a termination of this Residency Agreement. 

D. Assessment. The level of assisted living services required by the Resident is determined through an
assessment (“Assessment”) of the Resident. The Assessment is performed by designated team members and includes an evaluation of each Resident’s specific needs. It covers areas such as: mobility, skin care, eating habits, oral hygiene,
continence, cognitive behavior, and medication. This Assessment, along with the Physician’s Report, provides the basis for identifying the Resident’s Service Level. 

  
 2 








 The Assessment is performed when the Resident desires to move into the
Community, and is performed again (i) when additional assisted living services may be needed, (ii) upon the Resident’s change in condition or (iii) upon a Resident’s return from the hospital or other care facility. The
Resident, his/her family, and any Responsible Party named in this Residency Agreement will be informed of changes in the Resident’s condition and any additional assisted living services needed, and are encouraged to participate in the review,
assessment, and care plan process. 
 E. Resident Service Plan. A Service Plan will be developed
based on the Physician’s Report, the Psychiatric Examination (if applicable) and the Assessment. The Resident’s service plan will be developed with the Resident and/or any individual the Resident designates, including any Responsible
Party. The service plan will outline the services the Resident is to receive. 
 F. Change in
Resident’s Condition. If the Resident’s condition changes so that the previously assessed level of services is no longer appropriate, the Community will reevaluate the Resident’s needs to determine which level of service is
appropriate and notify the Resident/Responsible Party of such reevaluation. The rate charged will vary according to the level of service provided. Should the Resident wish to decrease the services received, prior approval from the Community is
required. Changes in services provided will be reflected in a revised service plan. 
 G. Notification of
Third Parties. In the event that the Resident requires emergency services or experiences a significant change in condition, the Community will attempt to contact the Responsible Party or other individual designated by the Resident, within
twelve (12) hours. The Resident is responsible for ensuring that the Community has current telephone numbers for the individuals to be notified. 
 ARTICLE II  
 Responsibilities and Representations of the
Resident 
 A. The Resident will use the Suite only for residential dwelling purposes.

 B. Smoking is not allowed in any Resident Suite. Smoking is only allowed in designated “Smoking
Areas.” Whether to designate any Smoking Areas is within the sole discretion of the Community. The Community may require residents to be supervised when smoking. 

C. A live-in companion is considered an additional person living in the Suite and is required to pay the Base Fee
associated with the Resident’s Suite. 
 D. Resident agrees to maintain the Suite in a clean,
sanitary and orderly condition. Resident will reimburse the Community for the repair or replacement of furnishings and fixtures in the Suite beyond normal wear and tear. In addition, Resident will reimburse the Community


  
 3 








 
for loss or damage to real or personal property of the Community caused by pets or the negligence or willful misconduct of the Resident or the Resident’s agents, guests, or invitees.

 E. Any damage to carpeting in the Resident’s Suite, other than normal wear and tear, including
stains and/or odors due to incontinence or pets, will result in the carpet being professionally cleaned, repaired or replaced by the Community. The Community will have the right to determine whether the carpet needs to be repaired, cleaned, or
replaced. The Resident shall be responsible for the cost of the repairing, cleaning, or replacing the carpet. 

F. The Resident will not alter or improve the Suite without the prior written consent of the Community. Upon the
termination of this Residency Agreement, the Resident will be required to return the Suite to the original condition at his/her own expense prior to the expiration of any applicable notice periods. 

G. The Resident will notify the Community promptly of any defects in the Suite, common areas or in the
Community’s equipment, appliances, or fixtures. 
 H. Community employees or agents may enter the
Suite at any reasonable time in order to provide services to the Resident, to perform building inspection and maintenance functions, to show the Suite to prospective residents, and otherwise to carry out the Community’s obligations under this
Residency Agreement. Resident shall allow entry into the Suite at any time to the Community’s employees or agents when they are responding to the medical alert system, fire alert system or other emergency. Community personnel will respect the
Resident’s privacy and make their presence known (except in an emergency) when entering the Suite and will schedule the entry in advance whenever possible. 

I. The Resident will vacate the Suite at the termination of this Residency Agreement, remove all of the
Resident’s property, and deliver possession of the Suite and any furniture, equipment, appliances, and fixtures supplied by the Community, to the Community in good condition, ordinary wear and tear excepted. The Resident will pay the cost of
removing and storing any property of the Resident remaining in the Suite after the termination of this Residency Agreement. 
 J. The Resident will comply with all guidelines established by the Community regarding resident conduct in the Community (the “Community Guidelines”), which shall be deemed incorporated
herein. The Community Guidelines may be amended from time to time as the Community determines to be appropriate. 
 K. The Resident will not keep a dog, cat, bird, fish, or other pet of any kind in the Suite unless the Resident and Community have executed the Pet Addendum, available upon request. 

L. If at any time the Resident wishes to use a motorized vehicle he/she must execute a Motorized Vehicle Addendum,
available upon request. 

  
 4 








 M. The Resident agrees to maintain his/her own personal physician.

 N. The Resident and Responsible Party understand and agree that the Executive Director or designee may
restrict an individual’s visitation rights or bar an individual from entering the Community if it is determined that the individual is disrupting the care of the Resident, the care of other residents or if the presence of the individual has a
negative effect on a resident’s physical or psychosocial well being. 
 ARTICLE III 

Financial Arrangements 
 A. Fees. The Resident will pay to the Community the fees indicated on Exhibit 1 and any Additional Amenities provided to the Resident at the fees indicated on Exhibit 3.

 B. Move-in Fee. The Resident will pay to the Community a non-refundable Move-in Fee (the
“Move-in Fee”) in an amount indicated on Exhibit 1, subject to the provisions of this Article III.B. The Move-in Fee covers administrative costs associated with the Resident’s move-in: the cost of performing the Resident’s
comprehensive service level assessment including nursing, physician, pharmacy and social/activity evaluations: and preparation of the Resident’s individualized service plan. In addition, the Move-in Fee covers expenses associated with the
upkeep and maintenance of the Community’s common areas and refurbishment of the Suite when the Resident vacates it upon termination of the Residency Agreement. 

C. Special Assessments. The Community reserves the right to assess charges for special circumstances
outside the Community’s control, such as sharp increases in costs of utilities or other necessary expenses. The Community shall provide the Resident at least thirty (30) days’ written notice (or such additional days’ notice as
may be required by law) prior to the imposition of such special assessments. 
 D.
Payment Schedule and Monthly Statement. Prior to or on the Occupancy Date, the Resident shall pay the Community an amount equal to the Total Daily Fee set forth in Exhibit 2. This payment shall be applied to Resident’s first
month’s residence in the Community. If the Occupancy Date is on a day other than the first day of the month, the advance payment shall be prorated accordingly and the residual amount will be credited to the following month’s payment.
Thereafter, the Community will provide to the Resident a monthly statement itemizing fees and charges and payments received, and showing the balance due. The Daily Fee shall be due in advance, on the first (1st) calendar day of each month. 

E. Late Payment Charge. If the Resident’s account is not paid in full by the first
of the month, a late payment charge will be assessed on the outstanding balance of one and one-quarter percent (1 1/4%) per month until paid. This periodic rate is equivalent to an annual percentage rate of fifteen percent (15%). The Resident will pay all costs and expenses, including
reasonable attorneys’ fees and court costs, incurred by the Community in collecting amounts past due under this Residency Agreement. 

  
 5 








 F. Increases in Fees and Charges. Annual increases in the
Resident’s then current Fees will be implemented on January 1st of each year. Notice of any increase in the Schedule of Fees (see Exhibit 2), will be provided to the Resident in writing thirty (30) days prior to the effective
date of the increase. The Resident will pay all applicable new or increased fees and charges, unless the Resident terminates this Residency Agreement in accordance with Article IV of this Residency Agreement, effective prior to the effective date of
the fee or charge increase. If the Community agrees at the request of the Resident to provide additional services, no advance notice requirement will apply to any fees or charges relating to such services. 

A change in the level of service is not considered a change of fees or charges. Rather, it is an increase in
services which are subject to the higher fees corresponding to those services. The Resident shall be responsible for the cost of the increased level of service when he/she begins receiving such services. 

G. Fees During Resident Absence. During an absence from the Community, the Resident is responsible for
payment of the Base Fee and all service level fees through the third day of absence. Beginning with the fourth day of absence, the Resident will not be responsible for service level fees above the Base Rate. 

H. Suite Hold. During an absence from the Community, the Resident’s suite will be held for the
Resident provided that, upon return, the Resident continues to meet the Community’s admission criteria and all fees and charges incurred by the Resident have been paid. 

I. Double Occupancy. If two individuals are parties to this Residency Agreement, the second person fees, as
listed in Exhibit 1-A, shall be applied. Both Residents shall be jointly and severally liable for all fees and charges incurred by each Resident. When two persons are parties to this Residency Agreement, and when one such person permanently
vacates the Suite, the remaining resident shall have the option of: 
  

	 	•	 	 Retaining the same Suite, with the understanding that a prospective resident may select that Suite for double occupancy; or



  

	 	•	 	 Retaining the same Suite and paying the fee applicable to private occupancy; or 



 

	 	•	 	 Relocating to a single occupancy Suite, if available. 



J. Refund Upon Closing. In the event the Community ceases to operate, the Resident will be entitled to a
pro rata refund of any prepaid amounts for services covering the period after the building has closed. 

  
 6 








 ARTICLE IV  

Term and Termination 
 A. Term of Residency Agreement. This Residency Agreement shall commence on the effective date set forth on the Exhibits attached hereto (the “Effective Date”) and will continue on
a month-to-month basis. 
 B. Non-Renewal. As a month-to-month Contract, Community may elect not
to renew the Contract upon thirty (30) days notice to Resident. 
 C. Termination. The
Community may terminate this Residency Agreement prior to the expiration of its term, upon thirty (30) days prior written notice (“Community Notice Period”) to the Resident and the Responsible Party for one of the following reasons,
as determined by the Community: 
 1. The Resident: 

 

	 	a.	 Does not meet the residency requirements established by the state 



 

	 	b.	 Presents an imminent physical threat or danger to self or others; 



 

	 	c.	 Is consistently, uncontrollably, incontinent of bladder unless the staff is capable of preventing the incontinence from becoming a health hazard;



  

	 	d.	 Is consistently, uncontrollably incontinent of bowel unless the Resident is totally capable of self care; 



 

	 	e.	 Is totally bedfast with limited potential for improvement; 



 

	 	f.	 Needs medical or nursing services on a 24-hour basis; 



 

	 	g.	 Needs restraints as defined by state regulations; 


  


	 	h.	 Has a communicable disease or infection unless the Resident is receiving medical or drug treatment for the condition; 



 

	 	i.	 Fails to pay fees and charges when due, or breaches any representation, covenant, agreement, or obligation of the Resident under this Residency
Agreement. 


  

	 	j.	 Fails to accept additional services when it is in the best interest of the Resident to have these services provided to him/her;




  
 7 









	 	k.	 Has health care needs that cannot be met in the Community, for reasons such as licensure, design or staffing, as determined by the Community;



  

	 	l.	 Fails to comply with the Community Guidelines; 


  

	 	m.	 Is habitually disruptive, creates unsafe conditions, or is physically or verbally abusive to other residents or staff. 



2. The Resident’s family, guardian, Responsible Party, or guest is habitually disruptive,
creates unsafe conditions, or is physically or verbally abusive to the detriment of the welfare of the Resident, other residents or staff. 
 3. The Resident’s personal physician has determined that the Resident needs other services, not available at the Community; or 

4. The Community is closed. 

Notwithstanding the foregoing, the Community may terminate this Residency Agreement for health or safety reasons,
consistent with state law or in the event of a Community emergency or a Resident emergency, as determined by the Community. If this Residency Agreement is terminated for these reasons, the Community will not be required to provide prior written
notice. 
 D. Termination by Resident. The Resident may terminate this Residency Agreement, upon
thirty (30) days prior written notice to the Community (“Resident Notice Period”), for any reason. In the event of the death of the Resident, this Residency Agreement will terminate on the first full day after all articles are removed
from the suite. In the event of a medical emergency, as determined by Sunrise, this Residency Agreement shall terminate effective fourteen (14) calendar days after Sunrise receives notice, provided all articles are removed from the suite by
that date. 
 E. Refunds. 

1. In the event the Community terminates this Residency Agreement and the Resident vacates the
Suite before the Community Notice Period is over, the Community shall refund the Resident a prorated amount of the paid Base Fee, and the Additional Assisted Living Services Fees for the unused portion of the Community Notice Period. 

2. In the event the Resident terminates this Residency Agreement, the Resident will be liable for
all charges accrued or incurred for the entire length of the Resident Notice Period, regardless of whether the Resident vacates the Suite prior to the expiration of the Resident Notice Period. 

F. Removal of Personal Property. Upon termination of this Residency Agreement, the Resident’s personal
property must be removed from the Suite. The Community shall 

  
 8 








 
continue to assess, and the Resident will be required to pay, the Base Fee on a prorated basis until the personal property is removed from the Suite. 

ARTICLE V  
 Miscellaneous Provisions 
 A. Choice of
Accommodations. In the event that the suite of the Resident’s choice is not immediately available, an alternate suite will be made available and the Resident will be charged the rate customarily associated with such suite. Once the
Resident’s desired suite becomes available the Resident will be allowed to move into the desired suite in accordance with the Community’s policy and the rate set forth in Exhibit 2, will apply. 

If, in the sole discretion of the Community, it is determined that there has been a change in Resident’s care
needs such that another suite or neighborhood in the Community is more suitable, Resident agrees to relocate to that suite or neighborhood, subject to availability. 

B. Grievance Procedure / Conflict Resolution / Waiver of Jury Trial. The Community’s Grievance
Procedure is set forth in Exhibit 4. While most issues can be resolved under the Grievance Procedures outlined in Exhibit 4, in the event that the parties are unable to resolve their differences short of litigation, the parties agree that any
trial shall be before a judge and not a jury. Accordingly: 
 WAIVER OF TRIAL BY JURY: THE PARTIES TO THIS RESIDENCY
AGREEMENT HEREBY KNOWINGLY AND UNCONDITIONALLY WAIVE ALL RIGHT TO A TRIAL BY JURY IN ANY LAWSUIT OR COUNTERCLAIM THAT MAY BE FILED BY EITHER PARTY IN CONTRACT, TORT, EQUITY OR BY STATUTE ARISING OUT OF OR RELATED TO THIS RESIDENCY AGREEMENT AND/OR
ANY SERVICES OR CARE PROVIDED BY THE COMMUNITY TO THE RESIDENT. THE “COMMUNITY” SHALL INCLUDE THE MANAGER, OWNER and/or TENANT, AND ALL OF THEIR RESPECTIVE AFFILIATES, SUBSIDIARIES, PARENT COMPANIES AND SISTER COMPANIES AND ALL OF THEIR
RESPECTIVE EMPLOYEES, AGENTS, CONTRACTORS, ASSIGNEES, OFFICERS AND DIRECTORS. IF THE UNDERSIGNED IS ANYONE OTHER THAN THE RESIDENT, THE UNDERSIGNED REPRESENTS THAT HE/SHE HAS FULL LEGAL AND EXPRESS AUTHORITY TO WAIVE THE RESIDENT’S, HIS/HER
HEIR’(S), BENEFICIARIES, AND/OR ESTATE’S RIGHT TO A TRIAL BY JURY. 
 C. Insurance.
The Resident is responsible for maintaining at all times his or her own insurance coverage, including health, personal property, liability, automobile (if applicable), and other insurance coverages in adequate amounts. This includes
renter’s insurance. The Resident acknowledges that neither Sunrise nor the Owner is an insurer of the Resident’s person or property. 

  
 9 








 D. Maintenance and Repairs. The Resident acknowledges that he
or she has had an opportunity to inspect the Suite and the Resident accepts the Suite in its “as is” condition. The Community will deliver and maintain the Suite in a fit and habitable condition and will maintain all common areas in a
clean and structurally safe condition, and will maintain all equipment, appliances, and fixtures, other than the personal property of the Resident, and all electrical, plumbing, heating, ventilating, and air conditioning equipment in good and safe
working order and condition. Temporary interruption of such utility services may occur periodically due to factors outside of the Community’s control or due to repairs, maintenance or replacement of equipment. 

E. Notices. Any notices to be given under this Residency Agreement will be deemed to have been properly
given when delivered personally or when mailed by first class mail, postage prepaid, addressed as follows: 
 1. If to the Resident: addressed to the Suite or to such other address as the Resident may designate by notice. 

2. If to the Community: addressed to the Executive Director of the Community or to such other
address as the Community may designate in writing. 
 F. Assignment. The Resident’s rights
and obligations under this Residency Agreement are personal to the Resident and cannot be transferred or assigned, without the prior written consent of the Community. The rights and obligations of the Community may be assigned to any person or
entity, without the prior consent of the Resident. The Community may engage another person or entity to perform any or all of the services under this Residency Agreement. 

G. Ownership Rights. The Resident has no ownership interest or proprietary right to the Suite, nor to the
personal property, land, buildings, improvements or other Community facilities provided under this Residency Agreement. This Residency Agreement shall not be construed to be a lease or to confer any rights of tenancy or ownership in the Resident.
The Resident’s rights under this Residency Agreement are subject to all terms and conditions set forth herein and subordinate to any mortgage, financing deed, deed of trust, or financing lease on Community premises. Upon request, the Resident
agrees to execute and deliver any instrument requested by the Community or the owner or holder of any such document to affect the sale, assignment, or conveyance thereof, provided that by so doing the Resident shall not be required to prejudice
his/her rights under this Residency Agreement. 
 H. Guests. The Resident’s guests shall at
all times abide by the Community’s policies, including the Community Guidelines. The Community reserves the right to take appropriate enforcement action if the Community determines that the guest is failing to follow such Community policies.
The Resident shall be responsible for the charges incurred by any actions of any guest. The Resident may have guests stay overnight in the Suite, in accordance with the Community Guidelines. 

  
 10 









 I. Weapons. For the safety and well-being of all residents and
staff, weapons, including, but not limited to guns and knives, are not to be brought into the Community at any time. This policy applies to Resident guests as well. 

J. Arrangement for Guardianship or Conservatorship. If it appears that you may not be able to care properly
for yourself or your property, and if you have made no other designation of a person or legal entity to serve as guardian or conservator then Sunrise may apply to a court of law to appoint a legal guardian or conservator. Alternatively, if other
persons seek appointment as your legal guardian or conservator, Sunrise may be required to participate in such proceedings. You agree to pay all attorney’s fees and costs incurred by Sunrise in connection with such action(s). 

K. Resident Rights. The Resident and Responsible Party(s) have been advised of and have received a copy of
the “Statement of Resident Rights,” which is attached as Exhibit 5 and made part of this Residency Agreement. 
 L. Admission Policy. Residents are admitted to the Community without regard to race, color, creed, national origin, sex, religion or handicap. 

M. Assurance of Confidentiality. The Community acknowledges that the Resident’s personal and medical
information are confidential. The Community shall maintain the confidentiality of the Resident’s personal and medical information in compliance with state and federal law. 

N. Examination of Records. A representative of the agency responsible for licensing the Community,
or any agency acting under its guidance, may inspect the Resident’s records that are on file at the Community as a part of their evaluation of the Community. 

O. Amendment. Subject to any provision of this Residency Agreement to the contrary, no modification,
amendment, or waiver of any provision of this Residency Agreement will be effective unless set forth in writing and signed by the Sunrise area Director of Operations for the Region and the Resident. 

P. Entire Agreement. This Residency Agreement, including the Exhibits hereto, and subject to Article V.T.
below, constitutes the entire agreement between the parties and it supercedes all prior oral or written agreements, commitments, or understandings with respect to the matters provided for herein. 

Q. Waiver. Neither delay nor failure in requiring strict compliance by the Resident with any of the terms
of this Residency Agreement shall be construed to be a waiver by the Community of such term, or of the right to insist upon strict compliance by the Resident with any of the other terms of this Residency Agreement. 

  
 11 









 R. Severability. If any provision of this Residency Agreement
is found invalid or otherwise unenforceable, the other provisions of this Residency Agreement shall remain binding and enforceable. 
 S. Governing Law. This Residency Agreement, its construction, performance, the obligations and duties of the parties, and any claims or disputes arising from it will be governed by and
construed in accordance with the laws of the state in which the Community is located. 
 T. Accuracy of
Application Documents. As part of the Resident’s application to the Community, the Resident has filed with the Community an application form. The Resident warrants that all information contained in these documents and any other document
supplied to the Community as part of the application process is true and correct, and the Resident understands that the Community has relied on this information in accepting the Resident for residency at the Community. Any misrepresentation or
omission made by the Resident or on the Resident’s behalf, whether written or verbal, shall be grounds for the Community’s termination of this Residency Agreement upon thirty (30) days prior written notice to the Resident. 

U. Advance Directives. It is the policy of the Community to ask all prospective residents if they have
executed any “advance directives.” Advance directives can include a health care power of attorney, a living will, or other documents which describe the amount, level or type of health care the Resident would want to receive at a time when
the Resident can no longer communicate those decisions to a doctor or other health professional. It also includes documents in which the Resident names another person who has the legal authority to make health care decisions for the Resident. If the
Resident has executed any such documents, or if the Resident executes any such documents while living at the Community, it is the Resident’s responsibility to advise the Community’s staff of these documents, and to provide copies to the
Community. If the Resident has such documents, and has provided copies of them to the Community, the Community will provide copies of the documents to other health care professionals who may be called to assist the Resident with his/her health care
needs. If the Resident executes such documents and later changes or revokes them, it is the Resident’s responsibility to inform the Community, so that the Community can assist the Resident in communicating the Resident’s health care
choices to other professionals. 
 V. Review of Documents and Policies. The Resident and the
Responsible Party named in this Residency Agreement acknowledge(s) that they have received copies of, and have reviewed, this Residency Agreement between the Community and the Resident and all exhibits. The Resident and the Responsible Party further
acknowledge(s) that the Community has explained to him/them the Community’s policies and procedures for implementing residents’ rights and responsibilities, including the grievance procedure (attached as Exhibit 4) and the Resident
has been offered the opportunity to execute advance directives. 
 W. Responsibility for Third Party
Contractors/Health Services. The Resident has the right to receive services from third-party contractors consistent with the Community’s policies and state law. All third-party contractors must comply with the Community’s rules and
policies. The Community has no responsibility to screen third party contractors and the 

  
 12 









 Community is not responsible for care provided by third-party contractors to the Resident.
The Resident shall indemnify the Community and its owners, directors, agents, employees and contractors against any losses, costs, expenses, claims, liabilities, damages, or judgments, including without limitation, legal fees, court costs, expert
fees, and similar expenses incurred, which may be asserted against, imposed upon or incurred by the other party as a result of the negligence or intentional conduct of the third-party contractor. The Community reserves the right to bar any
third-party contractor from the Community. 
 The Resident hereby indemnifies, holds harmless and releases the
Community and its owners, directors, agents, employees, and contractors from any and all liability, cost, and responsibility for injury and damage, including attorneys’ fees, arising from the Resident’s failure to obtain, or from the
failure of others to furnish, nursing, health care or personal care services, and from all injury and damages which could have been avoided or reduced if such services had been obtained or furnished or as a result of the Resident/Responsible
Party’s negligence, intentional wrongdoing or breach of his/her contractual obligations. 
 ARTICLE VI 

Services Available to Residents at the Community 

A. Services Available at the Community. The services and programs described in the following pages of this
Residency Agreement are available to residents, as determined by the Community following the Assessment process described in Article I. 
 B. Services Not Provided by The Community. The Community does not provide any services not described in this Residency Agreement. However, certain services such as eyeglasses, dentures,
podiatric care, psychiatric consultation, physical therapy, speech therapy, and occupational therapy, private duty care givers, prescription medications, physician services, prosthetic devices and mechanical aides in some cases may be arranged
through the Community. Any such services and items will be billed to the Resident by the third party provider. 

C. Emergency Services. The Resident authorizes the Community to obtain emergency health care services for
the Resident, at the Resident’s expense, whenever, in the Community’s sole discretion, such emergency services are deemed necessary. The Community shall notify any Responsible Party, as soon as possible after such emergency where health
care services have been provided. 
 D. Transfer to Facility Providing Higher Level of Care. If
the Resident needs care beyond what can be provided in the Community, the Resident and any Responsible Party shall, upon written notification from the Community, make arrangements for transfer to an appropriate care setting. 

Review of Documents and Policies. You acknowledge that you have received a copy of, and have reviewed, this Residency
Agreement as well as the following specific information: 

  
 13 









 1. The Resident Grievance Procedure (attached as
Exhibit 4); 
 2. The Community’s policies and procedures for implementing Resident
Rights (attached as Exhibit 5); 
 3. The Community’s policy concerning Advance
Directives, set forth in Article V, paragraph U of this Residency Agreement; 
 4. Article V(B)
of this Residency Agreement titled “Grievance Procedure / Conflict Resolution / Waiver of Jury Trial”. 
 You
acknowledge that the Community has explained the terms of this Residency Agreement to you. You agree to the terms of this Residency Agreement by signing in the space provided below: 

(Signature may appear on next page) 
  

					
	RESIDENT:	 		 	RESPONSIBLE PARTY:
			
	  	 		 	  
	Signature	 		 	Signature
			
	  	 		 	  
	 Print Name 
	 		 	 Print Name 

			
	SECOND RESIDENT (if applicable):	 		 	RESPONSIBLE PARTY:
			
	  	 		 	  
	Signature	 		 	Signature
			
	  	 		 	  
	 Print Name
	 		 	 Print Name

			
	SUNRISE:	 		 	
			
	  	 		 	 
	Signature	 		 	
			
	  	 		 	 
	Executive Director	 		 	


  
 14 









 EXHIBIT 1  

YOUR SUITE AND FEES 

Name of Resident:
                                         
    
 Suite #:
                                         
    Occupancy Date:                          

 

			
	 Base Fees
	  	 
	 Assisted Living Suite
	  	$_______/ day
	 Reminiscence Suite
	  	$_______/ day
	 Edna’s Place Suite
	  	$_______/ day
	 Avon Place Suite
	  	$_______/ day
		
	 Service Level Fees
	  	 
	 Assisted Living Plus
	  	$_______/ day
	 Assisted Living Plus Plus
	  	$_______/ day
	 Reminiscence Program Fee
	  	$_______/ day
	 Reminiscence Plus
	  	$_______/ day
	 Reminiscence Plus Plus
	  	$_______/ day
	 Terrace Club Program Fee
	  	$_______/ day
	 Terrace Club Plus
	  	$_______/ day
	 Edna’s Place Program Fee
	  	$_______/ day
	 Edna’s Place Plus
	  	$_______/ day
	 Avon Place Program Fee
	  	$_______/ day
	 Avon Place Plus
	  	$_______/ day
	 Enhanced Care
	  	$_______/ day
		
	 Medication Management
	  	$_______
	
	          Level 1
                              Level 2

		
	 Total Daily Fee:
	  	$_______/ day
		
	 Move-in Fee:
	  	$_______

 Effective Date:
                                         
    

  
 15 









 EXHIBIT 1-A 
 SECOND RESIDENT’S FEES 
 Name of Second Resident:
                                         
    
 Occupancy Date:
                                        

  

			
	 Base Fees
	  	 
	 Assisted Living Suite
	  	$_______/ day
	 Reminiscence Suite
	  	$_______/ day
	 Edna’s Place Suite
	  	$_______/ day
	 Avon Place Suite
	  	$_______/ day
		
	 Service Level Fees
	  	 
	 Assisted Living Plus
	  	$_______/ day
	 Assisted Living Plus Plus
	  	$_______/ day
	 Reminiscence Program Fee
	  	$_______/ day
	 Reminiscence Plus
	  	$_______/ day
	 Reminiscence Plus Plus
	  	$_______/ day
	 Terrace Club Program Fee
	  	$_______/ day
	 Terrace Club Plus
	  	$_______/ day
	 Edna’s Place Program Fee
	  	$_______/ day
	 Edna’s Place Plus
	  	$_______/ day
	 Avon Place Program Fee
	  	$_______/ day
	 Avon Place Plus
	  	$_______/ day
	 Enhanced Care
	  	$_______/ day
		
	 Medication Management
	  	$_______
	
	          Level 1
                              Level 2

		
	 Total Daily Fee:
	  	$_______/ day
		
	 Move-in Fee:
	  	$_______

 Effective Date:
                                         
    
 EXHIBIT 2 

  
 16 









 SCHEDULE OF COMMUNITY FEES 

A. Schedule of Fees. The fees for all of the various services and products offered by the Community
are as follows: 
  

			
	 Base Fees (starting from)
	  	 
	 Assisted Living Suite
	  	$_______/ day
	 Reminiscence Suite
	  	$_______/ day
	 Edna’s Place Suite
	  	$_______/ day
	 Avon Place Suite
	  	$_______/ day
		
	 Service Level Fees
	  	 
	 Assisted Living Plus
	  	$_______/ day
	 Assisted Living Plus Plus
	  	$_______/ day
	 Reminiscence Program Fee
	  	$_______/ day
	 Reminiscence Plus
	  	$_______/ day
	 Reminiscence Plus Plus
	  	$_______/ day
	 Terrace Club Program Fee
	  	$_______/ day
	 Terrace Club Plus
	  	$_______/ day
	 Edna’s Place Program Fee
	  	$_______/ day
	 Edna’s Place Plus
	  	$_______/ day
	 Avon Place Program Fee
	  	$_______/ day
	 Avon Place Plus
	  	$_______/ day
	 Enhanced Care* (starting from)
	  	$_______/ day
		
	 Medication Management
	  	$_______
	
	          Level 1
                              Level 2

		
	 Move-in Fee:
	  	$_______

 Effective Date:
                                         
    
  

	*	 Enhanced Care fees are variable, depending on the needs of the resident as determined by the resident’s assessment score.




  
 17 









 EXHIBIT 3 
 SCHEDULE OF THE COMMUNITY’S ADDITIONAL AMENITIES 
 Additional Amenities

  

					
	 (1)
	  	Assistance with Resident requested special maintenance projects, such as hanging pictures, furniture assembly, etc. beyond that maintenance required by this Residency
Agreement. The use of outside contractors or handyman services is not permitted without prior written approval of Community.	  	$             /        
	 (2)
	  	Housekeeping services in addition to those included as part of the Assisted Living Services	  	$             /        
	 (3)
	  	Transportation for personal trips, scheduled in advance by the Resident. The hours that transportation is available for scheduling will be determined by Community.	  	$             /hour
	 (4)
	  	Rental furniture	  	$             /month
	 (5)
	  	Guest meals	  	$            /breakfast
		  		  	$             /lunch
		  		  	$             /dinner
	 (6)
	  	Barber and Beauty services	  	$            
	 (7)
	  	Dry cleaning	  	$            
	 (8)
	  	Continence Products	  	$            
		  	         Level
1                              Level 2	  	
		  	         Level 3	  	
	 (9)
	  	The View Programming Fee	  	$            
	 (10)
	  		  	$            
	 (11)
	  		  	$            
	 (12)
	  		  	$            
	 (13)
	  		  	$            


  
 18 









 EXHIBIT 4 
 RESIDENT GRIEVANCE PROCEDURE 
 The Community encourages all
residents and family members to express their complaints about the Community and to suggest remedies or improvements in its policies and services. Your Community will try to be responsive to reasonable concerns and suggestions. We also encourage
residents and family members to let staff know when services and policies are satisfactory and should continue unchanged. 

PROCEDURES: 
 The
Community team members are expected to listen courteously and respectfully to complaints. If team members are able to do so, they will attempt to explain the reason for the procedure or incident in question. If you are not satisfied, team members
will explain the Community’s steps for making a complaint which are as follows: 
  

	1.	 Discuss the concern or complaint with the Executive Director of the Community. If there is no resolution to the matter or you do not feel
comfortable discussing the matter with the Executive Director, then, 


  

	2.	 Discuss the concern or complaint with the area Director of Operations for the
Community,            , whose voicemail number is            . If there is no satisfaction at that point, then,



  

	3.	 Contact the Area Vice-President of Operations,            whose voicemail number
is            . If there is no satisfaction at that point, then 


  

	4.	 Contact the Sunrise Senior Living National Office Customer Service Center to express the complaint at 1-800-929-4124. If you are still unsatisfied
then, 


  

	5.	 Contact the following agencies: 


  

			
	 State Licensing Authority
	 	Ombudsman
		
	 Department of Public Health
	 	Colorado Long Term Care Ombudsman
		
	 Telephone Number: (303)692-2035
	 	Phone Number: (303) 722-0300
		
		 	Adult Protective Services
		 	
		 	 
		 	Phone
Number:                                        
                        


  
 19 









 Another way to air grievances is through the monthly Resident Council meetings. 

At no time will any team member of the Community take any improper action against a resident for making a complaint, whether or not the
complaint is valid. The Community will consider dismissing any employee who is found to be threatening, ignoring, humiliating, retaliating, or discriminating against residents who voice complaints. 

Whenever any team member observes what appears to be a violation of resident rights or a violation of any of the laws and regulations
under which the Community must operate, whether or not a resident has actually voiced a complaint, the team member is immediately expected to correct the situation, if possible. If the team member is unable to do so, he/she is to bring the problem
to the attention of the Executive Director or Administrative Team Member on Call who will ensure corrective action and, when required, notify authorities. 
  

					
	RESIDENT/ RESPONSIBLE PARTY:	 		 	SECOND RESIDENT/ RESPONSIBLE PARTY:
			
	  	 		 	  
	 (Signature)
	 		 	 (Signature)

			
	  	 		 	  
	 (Print Name)
	 		 	 (Print Name)

			
	  	 		 	  
	 (Date)
	 		 	 (Date)



  
 20 









 EXHIBIT 5 
 RESIDENT RIGHTS 
 This policy of resident’s rights shall not
exclude, take precedence over, or in any way abrogate legal and constitutional rights enjoyed by all adult citizens and shall include, but is not limited to the following: 

 

	 	1.	 The right to be treated with respect and dignity. 


  


	 	2.	 The right to privacy. 


  

	 	3.	 The right not to be isolated or kept apart from other residents. 



 

	 	4.	 The right not to be sexually, verbally, physically or psychologically abused, humiliated, intimidated, or punished. 



 

	 	5.	 The right to be free from neglect. 


  

	 	6.	 The right to live free from involuntary confinement, or financial exploitation and to be free from physical or chemical restraints as defined with
in these regulations except as otherwise provided in 27-10-101, et seq. C.R.S. for those facilities which are licensed to provide services specifically for the mentally ill. 



 

	 	7.	 The right to full use or the facility common areas, in compliance with the documented house rules. 



 

	 	8.	 The right to voice grievances and recommend changes in policies and services. 



 

	 	9.	 The right to communicate privately including but not limited to communicating by mail or telephone with anyone. 



 

	 	10.	 The right to reasonable use of the telephone, in accordance with house rules, which includes access to operator assistance for placing collect
telephone calls. 


  

	 	11.	 The right to have visitors, in accordance with house rules, including the right to privacy during such visits. 



 

	 	12.	 The right to make visits outside the facility in which case the operator and the Resident shall share responsibility for communicating with respect
to scheduling. 


  

	 	13.	 The right to make decisions and choices in the management of personal affairs, funds, or property in accordance with their abilities.



  

	 	14.	 The right to expect the cooperation of the provider in achieving the maximum degree of benefit from those services which are made available by the
facility. 


  

	 	15.	 The right to exercise choice in attending and participating in religious activities. 



  
 21 










	 	16.	 The right to be reimbursed at an appropriate rate for work performed on the premises for the benefit of the operator, staff, or other residents, in
accordance with the Resident’s board and care plan. 


  

	 	17.	 The right to 30 days written notice of changes in service provided by the facility, including but not limited to changes in charges for any or all
services. Exceptions to this notice are: 


  

	 	(i)	 changes in the resident’s medical acuity that result in a documented decline in condition and that constitute an increase in care necessary to
protect the health and safety of the resident; and 


  

	 	(ii)	 requests by the resident or the family for additional services to be added to the care plan. 



 

	 	18.	 The right to have advocates, including members of community organizations whose purposes include rendering assistance to the residents.



  

	 	19.	 The right to wear clothing of choice unless otherwise indicated in the Resident’s board and care plan and in accordance with reasonable house
rules. 


  

	 	20.	 The right to choose to participate in social activities, in accordance with the board and care plan. 



 

	 	21.	 The right to receive services in accordance with the resident agreement and the care plan. 



 

					
	RESIDENT/ RESPONSIBLE PARTY:	 		 	SECOND RESIDENT/ RESPONSIBLE PARTY:
			
	  	 		 	  
	 (Signature)
	 		 	 (Signature)

			
	  	 		 	  
	 (Print Name)
	 		 	(Print Name)
			
	  	 		 	  
	 (Date)
	 		 	 (Date)



  
 22 









 EXHIBIT 6 
 RESPONSIBLE PARTY CONTRACT 
 THIS CONTRACT is
entered into as of this              day of                     ,
            , by and among                      (hereinafter referred to as
the “Resident”);                      (the “Responsible Party”) and Sunrise Senior Living Management, Inc.,
(“Sunrise”), Manager for Owner. 
 WHEREAS, the Resident desires to live in the suite, or already
lives in the suite (the “Suite”) identified in an Contract between Sunrise and the Resident (the “Residency Agreement”), of which this Contract is made a part thereof; and 

WHEREAS, Sunrise is willing to enter into the Residency Agreement if the Resident identifies an individual who is willing
to provide certain assistance to or on behalf of the Resident in the event that such assistance is necessary, and who is willing to pay the Resident’s financial obligations to Sunrise under the Residency Agreement in the event that the Resident
does not make payments when due; and 
 WHEREAS, the Responsible Party has agreed to provide such assistance and
to pay such obligations if and as necessary. 
 In consideration of the foregoing, the parties agree as follows:

  

	 	1.	 In the event that the condition of the Resident makes such assistance necessary or advisable, the Responsible Party, upon the request of the
Community, will: 


  

	 	a)	 Participate as needed with the Community staff in evaluating the Resident’s needs and in planning and implementing an appropriate plan for the
Resident’s care; 


  

	 	b)	 Assist the Resident as necessary to maintain the Resident’s welfare and to fulfill the Resident’s obligations under the Residency
Agreement; 


  

	 	c)	 Assist the Resident in transferring to a hospital, nursing home, or other medical facility in the event that the Resident’s needs can no longer
be met by the Community; 


  

	 	d)	 Assist in removing the Resident’s personal property from the Apartment/Suite when the Resident leaves the Community;



  

	 	e)	 Make necessary arrangements, or assist the legally responsible person in making necessary arrangements, for funeral services and burial in the event
of death. 



  
 23 










	 	2.	 In the event that the Resident fails to pay any amount or amounts due to the Community under the Residency Agreement, the Responsible Party hereby
agrees to pay the Community all amounts due from the Resident under the Residency Agreement, as it may be amended from time to time, including any amounts resulting from increases in fees or charges authorized by the Residency Agreement. The
Responsible Party agrees to pay the Community within thirty (30) days of receiving each notice from the Community of nonpayment by the Resident. 


  

	 	3.	 The Responsible Party acknowledges that he/she has received and has reviewed a copy of the Residency Agreement, and has had an opportunity to ask
any questions the Responsible Party may have. 


 IN WITNESS WHEREOF, the undersigned have duly
executed this Contract, or have caused this Contract to be duly executed on their behalf, as of the day and year first above written. 
  

					
	 Sunrise Senior Living Management, Inc.,
 as Manager for Owner:
	 		 	Responsible Party
			
	  	 		 	  
	 Signature
	 		 	 Signature

			
	Executive Director	 		 	  
	 (Title)
	 		 	 (Print Name)

			
	  	 		 	  
	 (Name of Community)
	 		 	 (Address)

			
	  	 		 	  
	 (Date)
	 		 	 (Date)

			
	 	 		 	  
		 		 	Social Security Number
			
	 	 		 	  
		 		 	Resident’s Name


  
 24 









 EXHIBIT 7 
 SHARED SUITE ADDENDUM 
 THIS ADDENDUM is entered
into as of the              day of                     ,
20        , by and among                          (the
“Resident”) and the Community. 
 WHEREAS, upon considering the different living options at the
Community, the Resident has chosen to reside in a double occupancy Suite, and 
 WHEREAS, the Community desires
that the Resident acknowledge certain characteristics and accommodations regarding the Suite. 
 NOW, THEREFORE,
the Resident hereby agrees as follows: 
 1. If the Resident’s sleeping area is located nearest the door to
the Suite, the Resident acknowledges that this arrangement may result in a lack of privacy due to the fact that access to the other half of the Suite is through such sleeping area. 

2. If the Resident’s sleeping area is located away from the door to the Suite and near the windows in the Suite, the
Resident acknowledges that he or she shall provide for the other resident sharing the Suite a shared area of socialization in the window area of the Suite. 
 This Addendum is effective as of the date of the Agreement and shall be attached to the Agreement and made part thereof upon execution. 

 

	
	Sunrise
	
	  
	Signature
	
	  
	Executive Director
	
	  
	Date


  
 25 










					
	RESIDENT	 		 	RESPONSIBLE PARTY
			
	  	 		 	  
	 Signature
	 		 	 Signature

			
	  	 		 	  
	 Print Name
	 		 	Print Name
			
	  	 		 	  
	 Date
	 		 	 Date


  

					
	SECOND RESIDENT (if applicable)	 		 	RESPONSIBLE PARTY
			
	  	 		 	  
	 Signature
	 		 	 Signature

			
	  	 		 	  
	 Print Name
	 		 	Print Name
			
	  	 		 	  
	 Date
	 		 	 Date



  
 26 









 EXHIBIT 8 
 CONSENT TO PHOTOGRAPH 
 Sunrise was founded on the belief that human life
is sacred — each person deserves to be treated with the utmost dignity and respect. At times photographic images of residents are required to ensure their safety and / or enhance their Sunrise experience. 

Because Sunrise desires to ensure that each resident is able to exercise the right to make his or her own choices, this Consent to
Photograph authorizes Sunrise Senior Living Management, Inc. and/or Sunrise Senior Living Services, Inc. (collectively referred to herein as “Sunrise”) to act according to your wishes With respect to photographs. 

I,                      
                  , consent to photographs of
                                , being used for the following reason(s):

  

	 	 ̈	 Identification purposes intended to assist in the delivery of care and/or dietary services in order to ensure my best interests and needs are met. I
understand that these images will be treated by the Community as confidential. 


  

	 	 ̈	 Recognition of anniversary, birthday, celebrations and events attended while living as a Sunrise resident. I understand that these images may be
placed in a photo album and/or posted online at www.SunriseConnected or other Sunrise web site, to enable my family and others to enjoy seeing the celebrations and events provided. 



I release and hold harmless Sunrise and any affiliated companies and businesses as well as their employees, officers, directors and
agents from any and all claims arising from the use of                     ’s, photograph as authorized above. 

 

			
	  	 	  
	  	 	  
	Resident Name (please print)	 	
		
	 	 	
	Responsible Party, Attorney in Fact or Guardian Name — if applicable (please print)	 	


  
 27 









 CARE PROGRAMS AND SERVICES 
 ASSISTED LIVING 
 The Community’s Assisted Living Program
consists of reminders, supervision and/or hands on assistance with certain activities of daily living. Such services are offered at Assisted Living Plus, Assisted Living Plus Plus and Enhanced Care, depending on the nature and extent of services
provided. 
 REMINISCENCE PROGRAM 
 The Community’s Reminiscence Program (“Reminiscence Program”) is designed for residents who have a diagnosis of Alzheimer’s Disease, dementia or related disorders or who have similar
care needs. The Reminiscence Program is offered in a specially designed Reminiscence Neighborhood. The Reminiscence Program is offered at different levels, depending on the nature and extent of services provided. 

TERRACE CLUB 
 The
Terrace Club is a specially designed program for residents who have, or are concerned about, early memory loss. It is offered as an addition to the Assisted Living program and service levels. 
 AVON PLACE 
 Avon Place is a specially designed neighborhood in the
Community with programming designed for residents with early to mid stage memory loss usually associated with Alzheimer’s disease or related disorder such as dementia. It is offered at a “Base” level and a “Plus” level,
depending on the nature and extent of services provided. 
 EDNA’S PLACE 

Edna’s Place consists of a cluster of suites within the Reminiscence Neighborhood and incorporates design features, therapeutic
programs and closely supervised activities for residents who have higher level needs due to more severe cognitive impairment such as late stage memory loss or Alzheimer’s Disease. Edna’s Place is offered at a “Base” level, and a
“Plus” level, depending on the nature and extent of services provided. 
 MEDICATION ASSISTANCE PROGRAM 

The Medication Program is available to those residents who may require help with their medications. Medication assistance is subject to
state law but may include the following: a) reminding the resident of the time to take medication; b) reading the medication label to the resident; c) checking the dosage of self administered medication against the container label; and d) physically
assisting the resident in pouring or otherwise taking the medication. If the resident 

  
 28 









 
is able to self-administer his/her own medications, the medications must be kept in a locked box or area (at Resident’s expense) in the Resident’s Suite. 

The Community’s Medication Program requires the use of a uniform medication packaging system. The Resident may purchase medications
from a pharmacy that has contracted with the Community, or the Resident can provide written notice to the Community that he/she will obtain medications from another pharmacy. While the Resident is free to select any pharmacy, the pharmacy must
provide medications in a manner consistent with the Community’s system in order for the Resident to participate in the Medication Program. 

  
 29 









 REFERRAL DISCLOSURE ADDENDUM 

This is to advise you that, in the ordinary course of business, Sunrise communities develop relationships with local and national
organizations that may lead to referrals and move-ins. It is just one of many ways of ensuring that residents who need care locate the appropriate setting to meet their needs. In some cases, if allowed by law, the referral source may require
compensation from the Community if a resident whom they referred moves into the Community. The majority of move-ins are not the result of compensated referrals. Payment of a fee has no effect on a resident’s stay at our community. 

  
 30 









 RESPITE STAY ADDENDUM 

 
 THIS RESPITE
STAY ADDENDUM (this “Addendum”) is entered into as of this              day of
                    , 20            , by and between: (i) Sunrise
and (ii)
                                         
                                         
               (“you” or “Resident”). 
 WHEREAS, the Resident desires to reside at the Community for a temporary respite stay (the “Respite Stay”); and 

WHEREAS, the Resident and the Community have entered into a Residency Agreement dated
                    , 20     (the “Residency Agreement”), as amended herein. 

NOW THEREFORE, the Resident and the Community agree as follows: 

1. Article IV.A. of the Residency Agreement is hereby amended as follows: Resident shall reside at the Community for the
period commencing on                                     ,
20     and terminating no later than                     , 20__. 

2. The Move-in Fee referred to in Article III.B. of the Residency Agreement shall be waived during the Resident’s
Respite Stay. 
 3. Article III. of the Residency Agreement is amended to add the following: 

L. Respite Stay Daily Fee. During the Respite Stay, the Resident shall pay a daily fee in the amount of
$             (the “Respite Stay Daily Fee”). 
 4. In the event that Resident becomes a permanent resident of the Community, Resident shall be responsible for payment of the Move-in Fee upon the first day of such permanent residency. A portion of the
Respite Stay Daily Fee, in the amount of $            , is referred to as the Respite Premium Fee. Resident’s Move-In Fee shall be credited by the amount of the Respite Premium
Fee paid over the course of the Respite stay, up to the full amount of the Move-in Fee. For example, if the Resident pays a Respite Premium Fee of $25.00 to the standard room rate for a Respite Stay of 10 days, the Resident will receive a Respite
Premium credit of $250 towards the Move-in Fee. 
 5. Except as modified herein, all of the other terms and
conditions of the Residency Agreement remain in full force and effect. 
 (Signatures are on the following page) 

  
 31 









 IN WITNESS WHEREOF, the parties have executed this Addendum effective as of
the date first written above. 
  

	
	SUNRISE
	
	  
	 Signature

	
	  
	 Executive Director

	
	  
	 Date


  

					
	RESIDENT	 		 	RESPONSIBLE PARTY
			
	 	 		 	 
	 Signature
	 		 	 Signature

			
	 	 		 	 
	 Print Name
	 		 	 Print Name

			
	 	 		 	 
	 Date
	 		 	 Date

		 		 	


  
 32 









 PET ADDENDUM 

The Community consents to the Resident keeping in the Suite the household pet described as follows (the “Pet”): 

 

							
		  	 	  	 Kind and breed
	  	
		  	 	  	 Name
	  	
		  	 	  	 Color
	  	
		  	 	  	 Height (maximum height permitted is 18”)

		  	 	  	 Weight (maximum weight permitted is 30 lbs.)

		  	 	  	 Age
	  	

 The Resident will provide the Community a photograph of the Pet at the time this Addendum is executed.

 A. Responsibilities of the Resident. The Resident will keep the Pet in the Suite, except when
walking the Pet, if applicable, or transporting it to and from the Suite. The Resident will not allow the Pet in building lobbies or in common residential area, other than to transport the Pet to and from the Suite. The Resident will walk and curb
the Pet only in areas designated by the Community and will be responsible for cleaning up after the Pet. When the Pet is not in the Suite, the Resident will keep it on a leash no longer than five feet or in a cage or other appropriate closed and
ventilated container, and in the control of the Resident. If the Pet is a bird, the Resident will keep it caged both in and out of the Suite. If the Pet is a dog or cat, the Resident will ensure that it wears a collar with appropriate identification
(including the Resident’s telephone number) at all times that it is out of the Suite. 
 The Resident will
comply with all vaccination and licensing requirements applicable to the Pet, showing proof of this upon request, and will comply with appropriate standards of care, treatment, and grooming. The Resident will be responsible for the health, welfare,
and proper care of the Pet. The Resident will ensure that the Pet does not disturb the right of other residents to the peaceful enjoyment of their Suites and of the common areas. The Resident will not leave the Pet unattended when the Pet is not in
the Suite. 
 The Resident will be liable for any personal injury or property damage caused by the Pet that is
suffered by the Community, its employees or agents, other residents, guests, or invitees. The Resident will pay all costs and expenses, including reasonable attorneys’ fees and court costs incurred by the Community in enforcing any liability of
the Resident under this Addendum. 
 B. Term and Termination. This Addendum will continue until
the Residency Agreement between the Resident and the Community is terminated, unless either party terminates this Addendum for any reason by giving seven (7) days prior written notice to the other party. The Community may
terminate this Addendum upon twenty-four (24) hours notice in the event the Resident breaches any of the Resident’s obligations under this Addendum. In 

  
 33 









 
the event that the Pet is left unattended for more than twenty-four (24) hours, or if the Community determines that the Resident, for any reason, is unable to care for the Pet, the Community
reserves the right to arrange for the Pet to be delivered to: 

	
	
	  
	(Sponsor)

 or to such other individual or agency as the Community determines to be appropriate. The Resident will
pay all costs of delivery, feeding, care, treatment, and housing of the Pet. The Resident acknowledges that the Resident has no right to keep a pet except to the extent expressly permitted by this Addendum, and that the Community reserves the right
to withdraw its consent to the Resident keeping the Pet at any time by terminating this Addendum as permitted above. 
  

									
		 		 	 Community

				
	
Date:                      
	 		 	 By:
	 	 
		 		 		 	 Executive
Director                                       
                               

			
		 		 	 Resident / Responsible Party:

				
	
Date:                      
	 		 	 	 	 
		 		 		 	 Signature

				
		 		 	 	 	 
		 		 		 	 Title

			
		 		 	 Resident / Responsible Party:

				
	
Date:                      
	 		 	 	 	 
		 		 		 	 Signature

				
		 		 	 	 	 
		 		 		 	 Title



  
 34 









 MOTORIZED VEHICLE ADDENDUM  

RULES FOR MOTORIZED VEHICLES 
 This Exhibit is hereby attached to and becomes a part of the attached Residency Agreement by and between the Community and the Resident dated
                         20    . 

The Resident and the Community agree that the Resident shall be entitled to use a motorized vehicle in the Community so
long as this Residency Agreement remains in force upon the following terms. 
 Any Resident who wishes to
operate an electric wheelchair, motorized cart or similar device (a “Motorized Vehicle”) at the Community must register with the Community and follow the Rules presented below. The Rules governing Motorized Vehicle use are designed to
protect residents and staff. 
  

	 	1.	 To complete registration, the Resident must submit to the Executive Director a written statement indicating that the Resident’s need for use of
a Motorized Vehicle is due to the Resident’s disability. 


  

	 	2.	 Resident acknowledges responsibility for any damage or injury caused by use of the Motorized Vehicle. The Community encourages Residents to purchase
liability insurance that covers Residents for any injury or damaged caused by Residents’ Motorized Vehicles. Without such insurance, Residents may be personally liable for substantial amounts of money plus attorneys’ fees.



  

	 	3.	 The Community will review with the Resident how to properly operate the scooter, i.e start, stop, and understand the turning capabilities of the
scooter. The use of the Motorized Vehicle may be restricted, if it becomes evident to the Community’s leadership that the use of the Motorized Vehicle constitutes a direct threat to the health or safety of others or result in substantial
physical damage. 


  

	 	4.	 No Motorized Vehicle shall be operated at the Community at a speed that exceeds a normal walking pace, estimated at 2 miles per hour.



  

	 	5.	 The Resident must operate the Motorized Vehicle at the lowest possible speed and then transfer to a dining chair for the meal, due to the Motorized
Vehicle blocking ingress and egress. For the safety of residents and staff, staff will park the Motorized Vehicle in the dining room foyer during the meal. The Community will consider modifications of this Rule if the Resident’s medical
condition precludes transfer to a chair. 


  

	 	6.	 The Motorized Vehicle must be operated at all times in a safe manner and with due care to avoid causing any personal injury or property damage. The
Resident must be particularly careful to avoid persons who are entering or leaving their Suites. 



  
 35 










	 	7.	 The Motorized Vehicle should be driven in the center of the hallway. The Resident must stop at hallway intersections, look both ways and make sure
it is clear before slowly proceeding through the intersection. 


  

	 	8.	 The Motorized Vehicle must not be left unattended near any entrances, exits or intersections. When the Resident retires to his or her Suite, he or
she must also bring the Motorized Vehicle inside. 


  

	 	9.	 Residents requesting any reasonable accommodation in the Community’s Rules shall submit a written request to the Executive Director.



  

					
	DATED:
                                	  		  	
		  		  	Resident
			
		  		  	
	Executive Director	  		  	


  
 36 









 Exhibit A-3 
 Form of Residency Document (Delaware) 
 (see attached) 







 PREAMBLE 

The purpose of this Residency Agreement is to provide a statement of the services that will be provided to you and the
legal obligations that the Community will be assuming. This Residency Agreement also sets forth your obligations to the Community, both financial and non-financial. Your residence is identified by the suite number in Exhibit 1 of this Residency
Agreement. You may move into your suite (the “Suite”) as of the date (the “Occupancy Date”) listed in Exhibit 1. 
 ARTICLE I  
 Resident Evaluation 

A. Qualification for Residency. The Community may only accept or retain an individual to be a resident if
management determines, in its sole discretion, it is able to provide appropriate services and the individual meets the requirements set forth by state law. The Community is not required to admit or retain the Resident or to contract with the
Resident for services, if the Community determines, in its sole discretion, that it cannot meet the Resident’s needs or the Resident fails to meet the requirements as set forth by law. 

B. Physician’s Report. Prior to move-in, the Resident will provide the Community a completed
Physician’s Report (the “Physician’s Report”) on a form provided by the Community. This Report will include a physical examination conducted within thirty (30) days prior to move-in and must demonstrate that the Resident
meets criteria for residency. After move-in, the Community may require a Physician’s Report, acceptable to the Community, following any hospitalization, when the Community determines that the Resident’s health condition warrants, or as
required by law. 
 C. Psychiatric Examination. In addition to the Physician’s Report, the
Community may require a report of a current psychiatric examination (the “Psychiatric Examination”) prior to move-in if the Resident is taking psychotropic drugs, or has a history of aggressive behavior, to determine if the
Resident’s needs can be met in an Assisted Living Program and to assist in the Resident’s care plan. After move-in, the Community may require a psychiatric consultation when the Community, along with the Resident’s personal physician,
determines that the Resident’s health condition warrants. Failure to comply with the request for a consultation after move-in may result in a termination of this Residency Agreement. 

D. Assessment. The level of assisted living services required by the Resident is determined through an
assessment (“Assessment”) of the Resident. The Assessment is performed by designated team members and includes an evaluation of each Resident’s specific needs. It covers areas such as: mobility, skin care, eating habits, oral hygiene,
continence, cognitive behavior, and medication. This Assessment, along with the Physician’s Report, provides the basis for identifying the Resident’s Service Level. 

The Assessment is performed when the Resident desires to move into the Community, and is performed again (i) when
additional assisted living services may be needed, (ii) upon the Resident’s change in condition or (iii) upon a Resident’s return from the hospital or other care 







 
facility. The Resident, his/her family, and any Responsible Party named in this Residency Agreement will be informed of changes in the Resident’s condition and any additional assisted living
services needed, and are encouraged to participate in the review, assessment, and care plan process. 
 E.
Resident Service Plan. A Service Plan will be developed based on the Physician’s Report, the Psychiatric Examination (if applicable) and the Assessment. The Resident’s service plan will be developed with the Resident and/or any
individual the Resident designates, including any Responsible Party. The service plan will outline the services the Resident is to receive. 
 F. Change in Resident’s Condition. If the Resident’s condition changes so that the previously assessed level of services is no longer appropriate, the Community will reevaluate the
Resident’s needs to determine which level of service is appropriate and notify the Resident/Responsible Party of such reevaluation. The rate charged will vary according to the level of service provided. Should the Resident wish to decrease the
services received, prior approval from the Community is required. Changes in services provided will be reflected in a revised service plan. 
 G. Notification of Third Parties. In the event that the Resident requires emergency services or experiences a significant change in condition, the Community will attempt to contact the
Responsible Party or other individual designated by the Resident, within twelve (12) hours. The Resident is responsible for ensuring that the Community has current telephone numbers for the individuals to be notified. 

ARTICLE II  
 Responsibilities and Representations of the Resident 

A. The Resident will use the Suite only for residential dwelling purposes. 

B. Smoking is not allowed in any resident Suite. Smoking is only allowed in designated “Smoking Areas.”
Whether to designate any Smoking Areas is within the sole discretion of the Community. The Community may require residents to be supervised when smoking. 
 C. A live-in companion is considered an additional person living in the Suite and is required to pay the Base Fee associated with the Resident’s Suite. 

D. Resident agrees to maintain the Suite in a clean, sanitary and orderly condition. Resident will reimburse the
Community for the repair or replacement of furnishings and fixtures in the Suite beyond normal wear and tear. In addition, Resident will reimburse the Community for loss or damage to real or personal property of the Community caused by pets or the
negligence or willful misconduct of the Resident or the Resident’s agents, guests, or invitees. 

E. Any damage to carpeting in the Resident’s Suite, other than normal wear and tear, including stains and/or
odors due to incontinence or pets, will result in the carpet being professionally cleaned, repaired or replaced by the Community. The Community will have the 

  
 2 








 
right to determine whether the carpet needs to be repaired, cleaned, or replaced. The Resident shall be responsible for the cost of the repairing, cleaning, or replacing the carpet. 

F. The Resident will not alter or improve the Suite without the prior written consent of the Community. Upon the
termination of this Residency Agreement, the Resident will be required to return the Suite to the original condition at his/her own expense prior to the expiration of any applicable notice periods. 

G. The Resident will notify the Community promptly of any defects in the Suite, common areas or in the
Community’s equipment, appliances, or fixtures. 
 H. Community employees or agents may enter the
Suite at any reasonable time in order to provide services to the Resident, to perform building inspection and maintenance functions, to show the Suite to prospective residents, and otherwise to carry out the Community’s obligations under this
Residency Agreement. Resident shall allow entry into the Suite at any time to the Community’s employees or agents when they are responding to the medical alert system, fire alert system or other emergency. 

Community personnel will respect the Resident’s privacy and make their presence known (except in an emergency) when
entering the Suite and will schedule the entry in advance whenever possible. 
 I. The Resident will
vacate the Suite at the termination of this Agreement, remove all of the Resident’s property, and deliver possession of the Suite and any furniture, equipment, appliances, and fixtures supplied by the Community, to the Community in good
condition, ordinary wear and tear excepted. The Resident will pay the cost of removing and storing any property of the Resident remaining in the Suite after the termination of this Residency Agreement. 

J. The Resident will comply with all guidelines established by the Community regarding resident conduct in the
Community (the “Community Guidelines”), which shall be deemed incorporated herein. The Community Guidelines may be amended from time to time as the Community determines to be appropriate. 

K. The Resident will not keep a dog, cat, bird, fish, or other pet of any kind in the Suite unless the Resident
and Community have executed the Pet Addendum. 
 L. If at any time the Resident wishes to use a motorized
vehicle he/she must execute a Motorized Vehicle Addendum. 
 M. The Resident agrees to maintain his/her
own personal physician. 
 N. The Resident and Responsible Party understand and agree that the Executive
Director or designee may restrict an individual’s visitation rights or bar an individual from entering the Community if it is determined that the individual is disrupting the care of the Resident, the care of other residents or if the presence
of the individual has a negative effect on a resident’s physical or psychosocial well being. 

  
 3 








 ARTICLE III  

Financial Arrangements 
 A. Fees. The Resident will pay to the Community the fees indicated on Exhibit 1 and any Additional Amenities provided to the Resident at the fees indicated on Exhibit 3.

 B. Move-in Fee. The Resident will pay to the Community a non-refundable Move-in Fee (the
“Move-in Fee”) in an amount indicated on Exhibit 1, subject to the provisions of this Article III.B. The Move-in Fee covers administrative costs associated with the Resident’s move-in: the cost of performing the Resident’s
comprehensive service level assessment including nursing, physician, pharmacy and social/activity evaluations: and preparation of the Resident’s individualized service plan. In addition, the Move-in Fee covers expenses associated with the
upkeep and maintenance of the Community’s common areas and refurbishment of the Suite when the Resident vacates it upon termination of the Residency Agreement. 

C. Special Assessments. The Community reserves the right to assess charges for special circumstances
outside the Community’s control, such as sharp increases in costs of utilities or other necessary expenses. The Community shall provide the Resident at least thirty (30) days’ written notice (or such additional days’ notice as
may be required by law) prior to the imposition of such special assessments. 
 D.
Payment Schedule and Monthly Statement. Prior to or on the Occupancy Date, the Resident shall pay the Community an amount equal to the Total Daily Fee set forth in Exhibit 2. This payment shall be applied to Resident’s first
month’s residence in the Community. If the Occupancy Date is on a day other than the first day of the month, the advance payment shall be prorated accordingly and the residual amount will be credited to the following month’s payment.
Thereafter, the Community will provide to the Resident a monthly statement itemizing fees and charges and payments received, and showing the balance due. The Daily Fee shall be due in advance, on the first (1st) calendar day of each month. 

E. Late Payment Charge. If the Resident’s account is not paid in full by the first
of the month, a late payment charge will be assessed on the outstanding balance of one and one-quarter percent (1 1/4%) per month until paid. This periodic rate is equivalent to an annual percentage rate of fifteen percent (15%). The Resident will pay all costs and expenses, including
reasonable attorneys’ fees and court costs, incurred by the Community in collecting amounts past due under this Residency Agreement. 

F. Increases in Fees and Charges. Annual increases in the Resident’s then current
Fees will be implemented on January 1st of each year.
Notice of any increase in the fees in Exhibit 2 will be provided to the Resident in writing sixty (60) days prior to the effective date of the increase. The Resident will pay all applicable new or increased fees and charges, unless the
Resident terminates this Residency Agreement in accordance with Section IV of this Residency Agreement, effective prior to the effective date of the fee or charge increase. If the Community agrees at the request of the Resident to provide additional
services, no advance notice requirement will apply to any fees or charges relating to such services. 

  
 4 








 A change in the level of service is not considered a change of
fees or charges. Rather, it is an increase in services which are subject to the higher fees corresponding to those services. The Resident shall be responsible for the cost of the increased level of service when he/she begins receiving such
services. 
 G. Fees During Resident Absence. During an absence from the Community, the
Resident is responsible for payment of the Base Fee and all service level fees through the third day of absence. Beginning with the fourth day of absence, the Resident will not be responsible for service level fees above the Base Rate. 

H. Suite Hold. During an absence from the Community, the Resident’s suite will be held for the
Resident provided that, upon return, the Resident continues to meet the Community’s admission criteria and all fees and charges incurred by the Resident have been paid. 

I. Double Occupancy. If two individuals are parties to this Residency Agreement, the second person fees, as
listed in Exhibit 1-A, shall be applied. Both Residents shall be jointly and severally liable for all fees and charges incurred by each Resident. When two persons are parties to this Residency Agreement, and when one such person permanently
vacates the Suite, the remaining resident shall have the option of: 
  

	 	•	 	 Retaining the same Suite, with the understanding that a prospective resident may select that Suite for double occupancy; or



  

	 	•	 	 Retaining the same Suite and paying the fee applicable to private occupancy; or 



 

	 	•	 	 Relocating to a single occupancy Suite, if available. 



J. Refund Upon Closing. In the event the Community ceases to operate, the Resident will be entitled to a
pro rata refund of any prepaid amounts for services covering the period after the building has closed. 
 ARTICLE IV 

 Term and Termination 

A. Term of Residency Agreement. This Residency Agreement shall commence on the effective date set forth on
the Exhibits attached hereto (the “Effective Date”) and will continue on a month-to month basis. 

B. Non-Renewal. As a month-to-month Contract, Community may elect not to renew the Contract upon thirty
(30) days notice to Resident. 
 C. Termination. The Community may terminate this Residency
Agreement prior to the expiration of its term, upon thirty (30) days prior written notice (“Community Notice Period”) to the Resident and the Responsible Party for one of the following reasons, as determined by the Community:


  
 5 








 1. The Resident: 

 

	 	a.	 Does not meet the residency requirements established by the state; 



 

	 	b.	 Presents an imminent physical threat or danger to self or others; 



 

	 	c.	 Requires more than intermittent nursing care; 


  

	 	d.	 Require monitoring of a chronic medical condition that is not essentially stabilized through available medications and treatments;



  

	 	e.	 Is bedridden for more than 14 days; 


  

	 	f.	 Has stage three or four skin ulcers; 


  

	 	g.	 Requires a ventilator; 


  

	 	h.	 Has an unstable tracheostomy or a stable tracheostomy of less than six months duration; 



 

	 	i.	 Has an unstable peg tube; 


  

	 	j.	 Requires an IV or central line; 


  

	 	k.	 Wanders such that the Community is unable to provide adequate supervision and/or security arrangements; 



 

	 	l.	 Exhibits socially inappropriate behavior as determined by the Community such that the facility would be unable to manage the behavior after
documented, reasonable efforts such as clinical assessments and counseling for a period of not more than 60 days; 


  

	 	m.	 Requires skilled monitoring, testing, and aggressive adjustment of medications and treatments where there is the pressure of, or reasonable
potential of, an acute episode unless there is an RN to provide appropriate care; 


  

	 	n.	 Requires treatment for a disease or condition which requires more than contact isolation; 



 

	 	o.	 Exhibit behaviors that present a threat to the health or safety of themselves or others, such that the assisted living facility would be unable to
eliminate the threat either through immediate discharge or use of immediate appropriate treatment modalities with measurable documented progress within 45 days; 



 

	 	p.	 Fails to pay fees and charges when due, or breaches any representation, covenant, agreement, or obligation of the Resident under this Residency
Agreement; 



  
 6 









	 	q.	 Fails to accept additional services when it is in the best interest of the Resident to have these services provided to him/her;



  

	 	r.	 Has health care needs that cannot be met in the Community, for reasons such as licensure, design or staffing, as determined by the Community;



  

	 	s.	 Fails to comply with the Community Guidelines; 


  

	 	t.	 Is habitually disruptive, creates unsafe conditions, or is physically or verbally abusive to other residents or staff. 



2. If a Resident has one of the conditions listed above in 1 (c) – (o) and the Community and
the Resident believe that continued residency is appropriate, the Community may, but is not required to, request a waiver from the state licensing authority allowing the Resident to remain in the Community temporarily. 

3. The Resident’s family, guardian, Responsible Party, or guest is habitually disruptive,
creates unsafe conditions, or is physically or verbally abusive to the detriment of the welfare of the Resident, other residents or staff. 
 4. The Resident’s personal physician has determined that the Resident needs other services, not available at the Community; or 

5. The Community is closed. 

Notwithstanding the foregoing, the Community may terminate this Residency Agreement for health or safety reasons,
consistent with state law or in the event of a Community emergency or a Resident emergency, as determined by the Community. If this Residency Agreement is terminated for these reasons, the Community will not be required to provide prior written
notice. 
 D. Termination by Resident. The Resident may terminate this Residency Agreement, upon
thirty (30) days prior written notice to the Community (“Resident Notice Period”), for any reason. 
 1. In the event of the death of the Resident, this Residency Agreement will terminate on the first full day after all articles are removed from the suite. In the event of a medical emergency, as
determined by Sunrise, this Residency Agreement shall terminate effective fourteen (14) calendar days after Sunrise receives notice, provided all articles are removed from the suite by that date. 

E. Refunds. 

1. In the event the Community terminates this Residency Agreement and the Resident vacates the
Suite before the Community Notice Period is over, the Community shall refund the Resident a prorated amount of the paid Base Fee and the Additional Assisted Living Services Fees for the unused portion of the Community Notice Period. 

  
 7 








 2. In the event the Resident terminates this
Residency Agreement, the Resident will be liable for all charges accrued or incurred for the entire length of the Resident Notice Period, regardless of whether the Resident vacates the Suite prior to the expiration of the Resident Notice Period.

 F. Removal of Personal Property. Upon termination of this Residency Agreement, the
Resident’s personal property must be removed from the Suite. The Community shall continue to assess, and the Resident will be required to pay, the Base Fee on a prorated basis until the personal property is removed from the Suite. 

ARTICLE V  
 Miscellaneous Provisions 
 A. Choice of
Accommodations. In the event that the suite of the Resident’s choice is not immediately available, an alternate suite will be made available and the Resident will be charged the rate customarily associated with such suite. Once the
Resident’s desired suite becomes available the Resident will be allowed to move into the desired suite in accordance with the Community’s policy and the rate set forth in Exhibit 2, will apply. 

If, in the sole discretion of the Community, it is determined that there has been a change in Resident’s care
needs such that another suite or neighborhood in the Community is more suitable, Resident agrees to relocate to that suite or neighborhood, subject to availability. 

B. Grievance Procedure / Conflict Resolution / Waiver of Jury Trial. The Community’s Grievance
Procedure is set forth in Exhibit 4. While most issues can be resolved under the Grievance Procedures outlined in Exhibit 4, in the event that the parties are unable to resolve their differences short of litigation, the parties agree that any
trial shall be before a judge and not a jury. Accordingly: 
 WAIVER OF TRIAL BY JURY: THE PARTIES TO THIS RESIDENCY
AGREEMENT HEREBY KNOWINGLY AND UNCONDITIONALLY WAIVE ALL RIGHT TO A TRIAL BY JURY IN ANY LAWSUIT OR COUNTERCLAIM THAT MAY BE FILED BY EITHER PARTY IN CONTRACT, TORT, EQUITY OR BY STATUTE ARISING OUT OF OR RELATED TO THIS RESIDENCY AGREEMENT AND/OR
ANY SERVICES OR CARE PROVIDED BY THE COMMUNITY TO THE RESIDENT. THE “COMMUNITY” SHALL INCLUDE THE MANAGER, OWNER and/or TENANT, AND ALL OF THEIR RESPECTIVE AFFILIATES, SUBSIDIARIES, PARENT COMPANIES AND SISTER COMPANIES AND ALL OF THEIR
RESPECTIVE EMPLOYEES, AGENTS, CONTRACTORS, ASSIGNEES, OFFICERS AND DIRECTORS. IF THE UNDERSIGNED IS ANYONE OTHER THAN THE RESIDENT, THE UNDERSIGNED REPRESENTS THAT HE/SHE HAS FULL LEGAL AND EXPRESS AUTHORITY TO WAIVE THE RESIDENT’S, HIS/HER
HEIR’(S), BENEFICIARIES, AND/OR ESTATE’S RIGHT TO A TRIAL BY JURY. 
 C. Security and
Storage. The Community has a concierge during business hours. The main doors of the Community are open during business hours. All other doors are locked and alarmed at all times. The main doors are locked and alarmed after normal business
hours. 

  
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 The Suites have locking doors. Staff are trained to monitor the community at all times to
help ensure the security of the residents and their belongings. The Community does not provide additional storage. 
 D. Insurance. The Resident is responsible for maintaining at all times his or her own insurance coverage, including health, personal property, liability, automobile (if applicable), and
other insurance coverages in adequate amounts. This includes renter’s insurance. The Resident acknowledges that neither Sunrise nor the Owner is an insurer of the Resident’s person or property. 

E. Emergencies. The Community maintains a policy for dealing with emergencies including natural
emergencies. This policy includes measures to ensure the safety and well being of all residents and to allow continued operation in the event of an emergency. The policy also addresses the transfer of residents if required by the emergency.

 F. Maintenance and Repairs. The Resident acknowledges that he or she has had an opportunity to
inspect the Suite and the Resident accepts the Suite in its “as is” condition. The Community will deliver and maintain the Suite in a fit and habitable condition and will maintain all common areas in a clean and structurally safe
condition, and will maintain all equipment, appliances, and fixtures, other than the personal property of the Resident, and all electrical, plumbing, heating, ventilating, and air conditioning equipment in good and safe working order and condition.
Temporary interruption of such utility services may occur periodically due to factors outside of the Community’s control or due to repairs, maintenance or replacement of equipment. 

G. Notices. Any notices to be given under this Residency Agreement will be deemed to have been properly
given when delivered personally or when mailed by first class mail, postage prepaid, addressed as follows: 
 1. If to the Resident: addressed to the Suite or to such other address as the Resident may designate by notice. 

2. If to the Community: addressed to the Executive Director of the Community or to such other
address as the Community may designate in writing. 
 H. Assignment. The Resident’s rights
and obligations under this Residency Agreement are personal to the Resident and cannot be transferred or assigned, without the prior written consent of the Community. The rights and obligations of the Community may be assigned to any person or
entity, without the prior consent of the Resident. The Community may engage another person or entity to perform any or all of the services under this Residency Agreement. 

I. Ownership Rights. The Resident has no ownership interest or proprietary right to the Suite, nor to the
personal property, land, buildings, improvements or other Community facilities provided under this Residency Agreement. This Residency Agreement shall not be construed to be a lease or to confer any rights of tenancy or ownership in the Resident.
The Resident’s rights under this Residency Agreement are subject to all terms and conditions set forth herein and subordinate to any mortgage, financing deed, deed of trust, or financing lease on


  
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Community premises. Upon request, the Resident agrees to execute and deliver any instrument requested by the Community or the owner or holder of any such document to affect the sale, assignment,
or conveyance thereof, provided that by so doing the Resident shall not be required to prejudice his/her rights under this Residency Agreement. 
 J. Guests. The Resident’s guests shall at all times abide by the Community’s policies, including the Community Guidelines. The Community reserves the right to take appropriate
enforcement action if the Community determines that the guest is failing to follow such Community policies. The Resident shall be responsible for the charges incurred by any actions of any guest. The Resident may have guests stay overnight in the
Suite, in accordance with the Community Guidelines. 
 K. Weapons. No weapons, including, but not
limited to guns and knives, are to be brought into the Community at any time for the safety and well-being of all residents and staff. This policy applies to Resident guests as well. 

L. Arrangement for Guardianship or Conservatorship. If it appears that you may not be able to care properly
for yourself or your property, and if you have made no other designation of a person or legal entity to serve as guardian or conservator then Sunrise may apply to a court of law to appoint a legal guardian or conservator. Alternatively, if other
persons seek appointment as your legal guardian or conservator, Sunrise may be required to participate in such proceedings. You agree to pay all attorney’s fees and costs incurred by Sunrise in connection with such action(s). 

M. Resident Rights. The Resident and Responsible Party(s), have been advised of and have received a copy of
the “Statement of Resident Rights,” which is attached as Exhibit 8 and made part of this Residency Agreement. 
 N. Admission Policy. Residents are admitted to the Community without regard to race, color, creed, national origin, sex, religion or handicap. 

O. Assurance of Confidentiality. The Community acknowledges that the Resident’s personal and medical
information are confidential. The Community shall maintain the confidentiality of the Resident’s personal and medical information in compliance with state and federal law. 

P. Examination of Records. A representative of the agency responsible for licensing the Community, or any
agency acting under its guidance, may inspect the Resident’s records that are on file at the Community as a part of their evaluation of the Community. 
 Q. Amendment. Subject to any provision of this Residency Agreement to the contrary, no modification, amendment, or waiver of any provision of this Residency Agreement will be effective
unless set forth in writing and signed by the Sunrise area Director of Operations for the Region and the Resident. 
 R. Entire Agreement. This Residency Agreement, including the Exhibits hereto, and subject to Article V.V. below, constitutes the entire agreement between the parties and it


  
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supercedes all prior oral or written agreements, commitments, or understandings with respect to the matters provided for herein. 

S. Waiver. Neither delay nor failure in requiring strict compliance by the Resident with any of the terms
of this Residency Agreement shall be construed to be a waiver by the Community of such term, or of the right to insist upon strict compliance by the Resident with any of the other terms of this Residency Agreement. 

T. Severability. If any provision of this Residency Agreement is found invalid or otherwise unenforceable,
the other provisions of this Residency Agreement shall remain binding and enforceable. 
 U. Governing
Law. This Residency Agreement, its construction, performance, the obligations and duties of the parties, and any claims or disputes arising from it will be governed by and construed in accordance with the laws of the state in which the
Community is located. 
 V. Accuracy of Application Documents. As part of the Resident’s
application to the Community, the Resident has filed with the Community an application form. The Resident warrants that all information contained in these documents and any other document supplied to the Community as part of the application process
is true and correct, and the Resident understands that the Community has relied on this information in accepting the Resident for residency at the Community. Any misrepresentation or omission made by the Resident or on the Resident’s behalf,
whether written or verbal, shall be grounds for the Community’s termination of this Agreement upon thirty (30) days prior written notice to the Resident. 

W. Advance Directives. It is the policy of the Community to ask all prospective residents if they have
executed any “advance directives.” Advance directives can include a health care power of attorney, a living will, or other documents which describe the amount, level or type of health care the resident would want to receive at a time when
the resident can no longer communicate those decisions to a doctor or other health professional. It also includes documents in which the resident names another person who has the legal authority to make health care decisions for the Resident. If the
Resident has executed any such documents, or if the Resident executes any such documents while living at the Community, it is the Resident’s responsibility to advise the Community’s staff of these documents, and to provide copies to the
Community. If the Resident has such documents, and has provided copies of them to the Community, the Community will provide copies of the documents to other health care professionals who may be called to assist the Resident with his/her health care
needs. If the Resident executes such documents, and later changes or revokes them, it is the Resident’s responsibility to inform the Community, so that the Community can assist the Resident in communicating the Resident’s health care
choices to other professionals. 
 X. Review of Documents and Policies. The Resident and the
Responsible Party named in this Residency Agreement acknowledge(s) that they have received copies of, and have reviewed, this Residency Agreement between the Community and the Resident and all exhibits. The Resident and the Responsible Party further
acknowledge(s) that the Community has explained to him/them the Community’s policies and procedures for implementing residents’ rights and responsibilities, including the grievance procedure (attached as Exhibit 7) and the


  
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Resident has been offered the opportunity to execute advance directives. The Community recommends that the Resident have this Residency Agreement reviewed by an attorney or another third party
chosen by the Resident. 
 Y. Responsibility for Third Party Contractors/Health Services. The
Resident has the right to receive services from third-party contractors consistent with the Community’s policies and state law. All third-party contractors must comply with the Community’s rules and policies. The Community has no
responsibility to screen third party contractors and the Community is not responsible for care provided by third-party contractors to the Resident. The Resident shall indemnify the Community and its owners, directors, agents, employees and
contractors against any losses, costs, expenses, claims, liabilities, damages, or judgments, including without limitation, legal fees, court costs, expert fees, and similar expenses incurred, which may be asserted against, imposed upon or incurred
by the other party as a result of the negligence or intentional conduct of the third-party contractor. The Community reserves the right to bar any third-party contractor from the Community. 

The Resident hereby indemnifies, holds harmless and releases the Community and its owners, directors, agents, employees,
and contractors from any and all liability, cost, and responsibility for injury and damage, including attorneys’ fees, arising from the Resident’s failure to obtain, or from the failure of others to furnish, nursing, health care or
personal care services, and from all injury and damages which could have been avoided or reduced if such services had been obtained or furnished or as a result of the Resident/Responsible Party’s negligence, intentional wrongdoing or breach of
his/her contractual obligations. 
 Article VI 
 Services Available to Residents at the Community 

A. Services Available at the Community. The services and programs described in the following pages of this
Residency Agreement are available to residents, as determined by the Community following the Assessment process described in Article I. 
 B. Services Not Provided by The Community. The Community does not provide any services not described in this Residency Agreement. However, certain services such as eyeglasses, dentures,
podiatric care, psychiatric consultation, physical therapy, speech therapy, and occupational therapy, private duty care givers, prescription medications, physician services, prosthetic devices and mechanical aides in some cases may be arranged
through the Community. Any such services and items will be billed to the Resident by the third party provider. 

C. Emergency Services. The Resident authorizes the Community to obtain emergency health care services for
the Resident, at the Resident’s expense, whenever, in the Community’s sole discretion, such emergency services are deemed necessary. The Community shall notify any Responsible Party, as soon as possible after such emergency where health
care services have been provided. 
 D. Transfer to Facility Providing Higher Level of Care. If
the Resident needs care beyond what can be provided in the Community, the Resident and any Responsible Party shall, 

  
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upon written notification from the Community, make arrangements for transfer to an appropriate care setting. 
 Review of Documents and Policies. You acknowledge that you have received a copy of, and have reviewed, this Residency Agreement as well as the following specific information: 

1. The Resident Grievance Procedure (attached as Exhibit 4); 

2. The Community’s policies and procedures for implementing Resident Rights (attached as Exhibit
5); 
 3. The Community’s policy concerning Advance Directives, set forth in Article V,
paragraph U of this Residency Agreement; 
 4. Article V(B) of this Residency Agreement titled
“Grievance Procedure / Conflict Resolution / Waiver of Jury Trial”. 
 You acknowledge that the Community has
explained the terms of this Residency Agreement to you. You agree to the terms of this Residency Agreement by signing in the space provided below: 
  

					
	RESIDENT:	  		  	RESPONSIBLE PARTY:
			
	 	  		  	 
	Signature	  		  	Signature
			
	 	  		  	 
	Print Name	  		  	Print Name
			
	SECOND RESIDENT (if applicable):	  		  	RESPONSIBLE PARTY:
			
	 	  		  	 
	Signature	  		  	Signature
			
	 	  		  	 
	Print Name	  		  	Print Name
			
	SUNRISE:	  		  	
			
	 	  		  	
	Signature	  		  	
			
	 	  		  	


  
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 Executive Director 

  
 14 









 EXHIBIT 1 
 YOUR SUITE AND FEES 
 Name of Resident:
                                        

 Suite #:
                                         
                    Occupancy Date:
                                         
                    
  

			
	 Base Fees
	  	 
	 Assisted Living Suite
	  	$_______/ day
	 Reminiscence Suite
	  	$_______/ day
	 Edna’s Place Suite
	  	$_______/ day
	 Avon Place Suite
	  	$_______/ day
		
	 Service Level Fees
	  	 
	 Assisted Living Plus
	  	$_______/ day
	 Assisted Living Plus Plus
	  	$_______/ day
	 Reminiscence Program Fee
	  	$_______/ day
	 Reminiscence Plus
	  	$_______/ day
	 Reminiscence Plus Plus
	  	$_______/ day
	 Terrace Club Program Fee
	  	$_______/ day
	 Terrace Club Plus
	  	$_______/ day
	 Edna’s Place Program Fee
	  	$_______/ day
	 Edna’s Place Plus
	  	$_______/ day
	 Avon Place Program Fee
	  	$_______/ day
	 Avon Place Plus
	  	$_______/ day
	 Enhanced Care
	  	$_______/ day
		
	 Medication Management
	  	$_______  
	
	          Level 1
                              Level 2

		
	 Total Daily Fee:
	  	$_______/ day
	 Move-in Fee:
	  	$_______
	_______	  	

 Effective Date:
                                 

  
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 EXHIBIT 1-A 
 SECOND RESIDENT’S FEES 
 Name of Second Resident:
                                        

 Occupancy Date:
                     
  

			
	 Base Fees
	  	 
	 Assisted Living Suite
	  	$_______/ day
	 Reminiscence Suite
	  	$_______/ day
	 Edna’s Place Suite
	  	$_______/ day
	 Avon Place Suite
	  	$_______/ day
		
	 Service Level Fees
	  	 
	 Assisted Living Plus
	  	$_______/ day
	 Assisted Living Plus Plus
	  	$_______/ day
	 Reminiscence Program Fee
	  	$_______/ day
	 Reminiscence Plus
	  	$_______/ day
	 Reminiscence Plus Plus
	  	$_______/ day
	 Terrace Club Program Fee
	  	$_______/ day
	 Terrace Club Plus
	  	$_______/ day
	 Edna’s Place Program Fee
	  	$_______/ day
	 Edna’s Place Plus
	  	$_______/ day
	 Avon Place Program Fee
	  	$_______/ day
	 Avon Place Plus
	  	$_______/ day
	 Enhanced Care
	  	$_______/ day
		
	 Medication Management
	  	$_______
	
	          Level 1
                              Level 2

		
	 Total Daily Fee:
	  	$_______/ day
	 Move-in Fee:
	  	$_______

 Effective Date:
                                        


  
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 EXHIBIT 2 
 SCHEDULE OF COMMUNITY FEES 
 A. Schedule of
Fees. The fees for all of the various services and products offered by the Community are as follows: 
  

			
	 Base Fees (starting from)
	  	 
	 Assisted Living Suite
	  	$_______/ day
	 Reminiscence Suite
	  	$_______/ day
	 Edna’s Place Suite
	  	$_______/ day
	 Avon Place Suite
	  	$_______/ day
		
	 Service Level Fees
	  	 
	 Assisted Living Plus
	  	$_______/ day
	 Assisted Living Plus Plus
	  	$_______/ day
	 Reminiscence Program Fee
	  	$_______/ day
	 Reminiscence Plus
	  	$_______/ day
	 Reminiscence Plus Plus
	  	$_______/ day
	 Terrace Club Program Fee
	  	$_______/ day
	 Terrace Club Plus
	  	$_______/ day
	 Edna’s Place Program Fee
	  	$_______/ day
	 Edna’s Place Plus
	  	$_______/ day
	 Avon Place Program Fee
	  	$_______/ day
	 Avon Place Plus
	  	$_______/ day
	 Enhanced Care* (starting from)
	  	$_______/ day
		
	 Medication Management
	  	$_______
	
	          Level 1
                              Level 2

		
	 Move-in Fee:
                                         
                                   
	  	$_______

 Effective Date:
                                        

  

	*	 Enhanced Care fees are variable, depending on the needs of the resident as determined by the resident’s assessment score.




  
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 EXHIBIT 3  

SCHEDULE OF THE COMMUNITY’S ADDITIONAL AMENITIES 
 Additional Amenities 
  

			
	 (1)    Assistance with Resident requested special maintenance projects, such as hanging
pictures, furniture assembly, etc. beyond that maintenance required by this Residency Agreement. The use of outside contractors or handyman services is not permitted without prior written approval of Community.
	  	$                    /day
	 (2)    Housekeeping services in addition to those included as part of the Assisted Living
Services
	  	$                    /day
	 (3)    Transportation for personal trips, scheduled in advance by the Resident. The hours
that transportation is available for scheduling will be determined by Community.
	  	$                    /hour
	 (4)    Rental furniture
	  	$                    /month
	 (5)    Guest meals
	  	$                    /breakfast
		  	$                    /lunch
		  	$                    /dinner
	 (6)    Barber and Beauty services
	  	$                    
	 (7)    Dry cleaning
	  	$                    
	 (8)    Continence Products
	  	$                    
	          Level 1
                             Level 2
	  	
	          Level 3
	  	
	 (9)    The View Programming Fee
	  	$                    
	 (10)  
	  	$                    
	 (11)  
	  	$                    
	 (12)  
	  	$                    


  
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	 (13)  
	  	$                    


  
 19 









 EXHIBIT 4 
 RESIDENT GRIEVANCE PROCEDURE 
 The Community encourages all
residents and family members to express their complaints about the Community and to suggest remedies or improvements in its policies and services. Your Community will try to be responsive to reasonable concerns and suggestions. We also encourage
residents and family members to let staff know when services and policies are satisfactory and should continue unchanged. 

PROCEDURES: 
 The
Community team members are expected to listen courteously and respectfully to complaints. If team members are able to do so, they will attempt to explain the reason for the procedure or incident in question. If you are not satisfied, team members
will explain the Community’s steps for making a complaint which are as follows: 
  

	1.	 Discuss the concern or complaint with the Executive Director of the Community. If there is no resolution to the matter or you do not feel
comfortable discussing the matter with the Executive Director, then, 


  

	2.	 Discuss the concern or complaint with the area Director of Operations for the Community,
                    , whose voicemail number is
                    . If there is no satisfaction at that point, then, 



 

	3.	 Contact the Area Vice-President of Operations,
                     whose voicemail number is
                    . If there is no satisfaction at that point, then, 



 

	4.	 Contact the Sunrise Senior Living National Office Customer Service Center to express the complaint at 1-800-929-4124. If you are still unsatisfied
then, 


  

	5.	 Contact the following agencies: 


  

			
	 State Licensing Authority
	  	 Ombudsman

		
	 Delaware Department of Health and Social
	  	 Delaware Long Term Care Ombudsman

	 Services
	  	 Toll-Free Number: (877) 453-0012

	 Toll-Free Number: (800) 464-4357
	  	

 Another way to air grievances is through the monthly Resident Council meetings. 

At no time will any team member of the Community take any improper action against a resident for making a complaint, whether or not the
complaint is valid. The Community will consider dismissing any employee who is found to be threatening, ignoring, humiliating, retaliating, or discriminating against residents who voice complaints. 

Whenever any team member observes what appears to be a violation of resident rights or a violation of any of the laws and regulations
under which the Community must operate, whether or not a resident has actually voiced a complaint, the team member is immediately expected to correct the situation, if possible. If the team member is unable to do so, he/she is to bring the problem
to the attention of the Executive Director or Administrative Team Member on Call who will ensure corrective action and, when required, notify authorities. 

  
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	RESIDENT/ RESPONSIBLE PARTY:	 		 	SECOND RESIDENT/ RESPONSIBLE PARTY:
			
	  	 		 	  
	(Signature)	 		 	(Signature)
			
	  	 		 	  
	(Print Name)	 		 	(Print Name)
			
	  	 		 	  
	(Date)	 		 	(Date)


  
 21 









 EXHIBIT 5  

RESIDENT RIGHTS 
 Residents have rights, which shall include but not be limited to the following: 
 (1) Every resident shall have the right to receive considerate, respectful, and appropriate care, treatment and services, in compliance with relevant federal and state law and regulations, recognizing
each person’s basic personal and property rights which include dignity and individuality. 
 (2) Each
resident and the family of such resident shall, prior to or at the time of admission, receive a written statement of the services provided by the Community including those required to be offered on an “as needed” basis, and a statement of
related charges for services. 
 (3) After admission, the Community shall submit to the resident or legal
representative, on a monthly basis, a written, itemized statement detailing in language comprehensible to the ordinary layperson the charges and expenses the resident incurred during the previous month. The statement shall contain a description of
specific services, equipment and supplies received and expenses incurred for each such item. The statement shall include an explanation of any items identified by code or by initials. The Community shall make reasonable efforts to communicate the
contents of the individual written statement to persons who it has reason to believe cannot read the statement. 

(4) Each resident shall receive from his/her physician complete and current information concerning the resident’s
diagnosis, treatment and prognosis in terms and language the resident can reasonably be expected to understand, unless medically inadvisable. The resident shall participate in the planning of the resident’s medical treatment, including
attendance at care plan meetings, may refuse medication or treatment, be informed of the medical consequences of all medication and treatment alternatives and shall give prior informed consent to participation in any experimental research after a
complete disclosure of the goals, possible effects on the resident and whether or not the resident can expect any benefits or alleviation of the resident’s condition. In any instance of any type of experiment or administration of experimental
medicine, there shall be written evidence of compliance with this section, including the signature of the resident, or the signature of the resident’s guardian or representative if the resident has been adjudicated incompetent. A copy of signed
acknowledgment or informed consent, or both when required, shall be forwarded to each signer and a copy shall be retained by the Community. 
 (5) At the bedside of each resident, the Community shall place and maintain in good order the name, address and telephone number of the physician responsible for the resident’s care. 

(6) Each resident shall receive respect and privacy in the resident’s own medical care program. Case discussion,
consultation, examination and treatment shall be confidential, and shall be conducted discreetly. In the resident’s discretion, persons not directly involved in the resident’s care shall not be permitted to be present during such
discussions, consultations, examinations or treatment, except with the consent of the resident. Personal and medical records shall be treated confidentially, and shall not be made public without the consent of the resident, except such


  
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records as are needed for a resident’s transfer to another health care institution or as required by law or third party payment contract. No personal or medical records shall be released to
any person inside or outside the Community who has no demonstrable need for such records. 
 (7) Every resident
shall be free from chemical and physical restraints imposed for purposes of discipline and convenience, and not necessary to treat the resident’s medical condition. 

(8) Every resident shall receive from the Executive Director or staff of the Community a courteous, timely and reasonable
response to requests, and the Community shall make prompt efforts to resolve grievances. Responses to requests and grievances shall be made in writing upon written request by the resident. 

(9) Every resident shall be provided with information as to any relationship the Community has with other healthcare and
related institutions and/or service providers, including, but not limited to, pharmacy and rehabilitation services, to the extent the resident is offered care and/or services from these related entities. Such information shall be provided in writing
upon admission, and thereafter when additional services are offered. 
 (10) Every resident shall receive
reasonable continuity of care. 
 (11) Every resident may associate and communicate privately and without
restriction with persons and groups of the resident’s own choice (on the resident’s own or their initiative) at any reasonable hour; may send and shall receive mail promptly and unopened; shall have access at any reasonable hour to a
telephone where the resident may speak privately; and shall have access to writing instruments, stationery and postage. 
 (12) Each resident has the right to manage his/her financial affairs. If, by written request signed by the resident, or by the guardian or representative of a resident who has been adjudicated
incompetent, the Community manages the resident’s financial affairs, it shall have available for inspection a monthly accounting, and shall furnish the resident and his/her family or representative with a quarterly statement of the
resident’s account. The resident shall have unrestricted access to such account at reasonable hours. 

(13) If married, every resident shall enjoy privacy in visits by his/her spouse, and, if both are in-residents of the
Community, they shall be afforded the opportunity where feasible to share a room, unless medically contraindicated. 
 (14) Every resident has the right of privacy in his/her room, including a door that locks, consistent with the safety needs of the resident. Personnel of the Community shall respect this right by knocking
on the door before entering the resident’s room. 
 (15) Every resident has the right, personally or
through other persons or in combination with others, to exercise his/her rights; to present grievances; to recommend changes in Community policies or services on behalf of himself/herself or others; to present complaints or petitions to the
Community’s staff or Executive Director, to the Division of Services for Aging and Adults With Physical Disabilities or to other persons or groups without fear of reprisal, restraint, 

  
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interference, coercion or discrimination. 
 (16) A
resident shall not be required to perform services for the Community. 
 (17) Each resident shall have the right
to retain and use his/her personal clothing and possessions where reasonable, and shall have the right to security in the storage and use of such clothing and possessions. 

(18) No resident shall be transferred or discharged out of a Community except for medical reasons; the resident’s
own welfare or the welfare of the other residents; or for nonpayment of justified charges. If good cause for transferal is reasonably believed to exist, the resident shall be given at least 30 days’ advance notice of the proposed action,
together with the reasons for the decision, and the resident shall have the opportunity for an impartial hearing to challenge such action if he/she so desires. In emergency situations such notice need not be given. 

(19) Every resident shall have the right to inspect all records pertaining to him/her, upon oral or written request
within 24 hours of notice to the Community. Every resident shall have the right to purchase photocopies of such records or any portion of them, at a cost not to exceed the community standard, upon written request and two working days advance notice
to the Community. 
 (20) Every resident shall be fully informed, in language he/she can understand, of his/her
rights and all rules and regulations governing resident conduct and his/her responsibilities during the stay at the Community. 
 (21) Every resident shall have the right to choose a personal attending physician. 
 (22) Every resident shall have the right to examine the results of the most recent survey of the Community conducted by federal and/or state surveyors and any plan of correction in effect with respect to
the Community. Survey results shall be posted by the Community in a place readily accessible to residents. 

(23) Every resident shall have the right to receive information from agencies acting as client advocates and be afforded
the opportunity to contact those agencies. 
 (24) Every resident shall be free from verbal, physical or mental
abuse, cruel and unusual punishment, involuntary seclusion, withholding of monetary allowance, withholding of food and deprivation of sleep. 
 (25) Every resident shall be free to make choices regarding activities, schedules, health care and other aspects of his/her life that are significant to the resident, as long as such choices are
consistent with the resident’s interests, assessments and plan of care and do not compromise the health or safety of the individual or other residents within the Community. 

(26) Every resident has the right to participate in an ongoing program of activities designed to meet, in accordance with
his/her assessments and plan of care, the resident’s interests and 

  
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physical, mental and psychosocial well-being. 
 (27)
Every resident shall have the right to participate in social, religious and community activities that do not interfere with the rights of other residents. 
 (28) Every resident shall receive notice before the resident’s room or roommate is changed, except in emergencies. The Community shall endeavor to honor the room or roommate requests of the resident
whenever possible. 
 (29) Every resident shall be encouraged to exercise his/her rights as a citizen of the
State and the United States of America. 
 (30) Every resident shall have the right to request and receive
information regarding minimum acceptable staffing levels as it relates to his/her care. 
 (31) Every resident
shall have the right to request and receive the names and positions of staff members providing care to the resident. 
 (32) Every resident shall have the right to request and receive an organizational chart outlining the Community’s chain of command for purposes of making requests and asserting grievances.

 (33) Where a resident is adjudicated incompetent, is determined to be incompetent by his/her attending
physician, or is unable to communicate, his/her rights shall devolve to his/her next of kin, guardian or representative. 
  

					
	RESIDENT/ RESPONSIBLE PARTY:	 		 	SECOND RESIDENT/ RESPONSIBLE PARTY:
			
	  	 		 	  
	(Signature)	 		 	(Signature)
			
	  	 		 	  
	(Print Name)	 		 	(Print Name)
			
	  	 		 	  
	(Date)	 		 	(Date)


  
 25 









 EXHIBIT 6 
 RESPONSIBLE PARTY CONTRACT 
 THIS CONTRACT is
entered into as of this                      day of
                    ,             , by and among
                             (hereinafter referred to as the “Resident”);
                                        
(the “Responsible Party”) and Sunrise Senior Living Management, Inc., (“Sunrise”), Manager for Owner. 
 WHEREAS, the Resident desires to live in the suite, or already lives in the suite (the “Suite”) identified in an Contract between Sunrise and the Resident (the “Residency Agreement”),
of which this Contract is made a part thereof; and 
 WHEREAS, Sunrise is willing to enter into the Residency
Agreement if the Resident identifies an individual who is willing to provide certain assistance to or on behalf of the Resident in the event that such assistance is necessary, and who is willing to pay the Resident’s financial obligations to
Sunrise under the Residency Agreement in the event that the Resident does not make payments when due; and 

WHEREAS, the Responsible Party has agreed to provide such assistance and to pay such obligations if and as necessary.

 In consideration of the foregoing, the parties agree as follows: 

 

	 	1.	 In the event that the condition of the Resident makes such assistance necessary or advisable, the Responsible Party, upon the request of the
Community, will: 


  

	 	a)	 Participate as needed with the Community staff in evaluating the Resident’s needs and in planning and implementing an appropriate plan for the
Resident’s care; 


  

	 	b)	 Assist the Resident as necessary to maintain the Resident’s welfare and to fulfill the Resident’s obligations under the Residency
Agreement; 


  

	 	c)	 Assist the Resident in transferring to a hospital, nursing home, or other medical facility in the event that the Resident’s needs can no longer
be met by the Community; 


  

	 	d)	 Assist in removing the Resident’s personal property from the Apartment/Suite when the Resident leaves the Community;



  

	 	e)	 Make necessary arrangements, or assist the legally responsible person in making necessary arrangements, for funeral services and burial in the event
of death. 



  
 26 










	 	2.	 In the event that the Resident fails to pay any amount or amounts due to the Community under the Residency Agreement, the Responsible Party hereby
agrees to pay the Community all amounts due from the Resident under the Residency Agreement, as it may be amended from time to time, including any amounts resulting from increases in fees or charges authorized by the Residency Agreement. The
Responsible Party agrees to pay the Community within thirty (30) days of receiving each notice from the Community of nonpayment by the Resident. 


  

	 	3.	 The Responsible Party acknowledges that he/she has received and has reviewed a copy of the Residency Agreement, and has had an opportunity to ask
any questions the Responsible Party may have. 


 IN WITNESS WHEREOF, the undersigned have duly
executed this Contract, or have caused this Contract to be duly executed on their behalf, as of the day and year first above written. 
  

					
	 Sunrise Senior Living Management, Inc., as Manager for Owner:
	  		 	 Responsible Party

			
	  	  		 	  
	 Signature
	  		 	 Signature

			
	Executive Director	  		 	  
	 (Title)
	  		 	 (Print Name)

			
	  	  		 	  
	 (Name of Community)
	  		 	 (Address)

			
	  	  		 	  
	 (Date)
	  		 	 (Date)

			
		  		 	  
		  		 	 Social Security Number

			
		  		 	  
		  		 	 Resident’s Name



  
 27 









 EXHIBIT 7 
 CONSENT TO PHOTOGRAPH 
 Sunrise was founded on the belief that human life
is sacred — each person deserves to be treated with the utmost dignity and respect. At times photographic images of residents are required to ensure their safety and / or enhance their Sunrise experience. 

Because Sunrise desires to ensure that each resident is able to exercise the right to make his or her own choices, this Consent to
Photograph authorizes Sunrise Senior Living Management, Inc. and/or Sunrise Senior Living Services, Inc. (collectively referred to herein as “Sunrise”) to act according to your wishes With respect to photographs. 

I,                     , consent to
photographs of                     , being used for the following reason(s): 

 

	 	 ̈	 Identification purposes intended to assist in the delivery of care and/or dietary services in order to ensure my best interests and needs are met. I
understand that these images will be treated by the Community as confidential. 


  

	 	 ̈	 Recognition of anniversary, birthday, celebrations and events attended while living as a Sunrise resident. I understand that these images may be
placed in a photo album and/or posted online at www.SunriseConnected or other Sunrise web site, to enable my family and others to enjoy seeing the celebrations and events provided. 



I release and hold harmless Sunrise and any affiliated companies and businesses as well as their employees, officers, directors and
agents from any and all claims arising from the use of             ’s, photograph as authorized above. 

 

					
			
		 	 	  	
		 	 Resident Name (please print)
	  	
			
		 	 	  	
		 	Responsible Party, Attorney in Fact or Guardian Name — if applicable (please print)	  	


  
 28 









 CARE PROGRAMS AND SERVICES 
 ASSISTED LIVING 
 The Community’s Assisted Living Program
consists of reminders, supervision and/or hands on assistance with certain activities of daily living. Such services are offered at Assisted Living Plus, Assisted Living Plus Plus and Enhanced Care, depending on the nature and extent of services
provided. 
 REMINISCENCE PROGRAM 
 The Community’s Reminiscence Program (“Reminiscence Program”) is designed for residents who have a diagnosis of Alzheimer’s Disease, dementia or related disorders or who have similar
care needs. The Reminiscence Program is offered in a specially designed Reminiscence Neighborhood. The Reminiscence Program is offered at different levels, depending on the nature and extent of services provided. 

TERRACE CLUB 
 The
Terrace Club is a specially designed program for residents who have, or are concerned about, early memory loss. It is offered as an addition to the Assisted Living program and service levels. 
 AVON PLACE 
 Avon Place is a specially designed neighborhood in the
Community with programming designed for residents with early to mid stage memory loss usually associated with Alzheimer’s disease or related disorder such as dementia. It is offered at a “Base” level and a “Plus” level,
depending on the nature and extent of services provided. 
 EDNA’S PLACE 

Edna’s Place consists of a cluster of suites within the Reminiscence Neighborhood and incorporates design features, therapeutic
programs and closely supervised activities for residents who have higher level needs due to more severe cognitive impairment such as late stage memory loss or Alzheimer’s Disease. Edna’s Place is offered at a “Base” level, and a
“Plus” level, depending on the nature and extent of services provided. 
 MEDICATION ASSISTANCE PROGRAM 

The Medication Program is available to those residents who may require help with their medications. Medication assistance is subject to
state law but may include the following: a) reminding the resident of the time to take medication; b) reading the medication label to the resident; c) checking the dosage of self administered medication against the container label; and d) physically
assisting the resident in pouring or otherwise taking the medication. If the resident 

  
 29 









 
is able to self-administer his/her own medications, the medications must be kept in a locked box or area (at Resident’s expense) in the Resident’s Suite. 

The Community’s Medication Program requires the use of a uniform medication packaging system. The Resident may purchase medications
from a pharmacy that has contracted with the Community, or the Resident can provide written notice to the Community that he/she will obtain medications from another pharmacy. While the Resident is free to select any pharmacy, the pharmacy must
provide medications in a manner consistent with the Community’s system in order for the Resident to participate in the Medication Program. 

  
 30 









 REFERRAL DISCLOSURE ADDENDUM 

This is to advise you that, in the ordinary course of business, Sunrise communities develop relationships with local and national
organizations that may lead to referrals and move-ins. It is just one of many ways of ensuring that residents who need care locate the appropriate setting to meet their needs. In some cases, if allowed by law, the referral source may require
compensation from the Community if a resident whom they referred moves into the Community. The majority of move-ins are not the result of compensated referrals. Payment of a fee has no effect on a resident’s stay at our community. 

  
 31 









 RESPITE STAY ADDENDUM 

 
 THIS RESPITE
STAY ADDENDUM (this “Addendum”) is entered into as of this      day of             , 20    , by and between:
(i) Sunrise and (ii)                                  (“you”
or “Resident”). 
 WHEREAS, the Resident desires to reside at the Community for a temporary respite
stay (the “Respite Stay”); and 
 WHEREAS, the Resident and the Community have entered into a
Residency Agreement dated                     , 20     (the “Residency Agreement”), as amended herein.

 NOW THEREFORE, the Resident and the Community agree as follows: 

1. Article IV.A. of the Residency Agreement is hereby amended as follows: Resident shall reside at the Community for the
period commencing on                     , 20     and terminating no later than
                    , 20__. 
 2. The Move-in Fee referred to in Article III.B. of the Residency Agreement shall be waived during the Resident’s Respite Stay. 

3. Article III. of the Residency Agreement is amended to add the following: 

L. Respite Stay Daily Fee. During the Respite Stay, the Resident shall pay a daily fee in the amount of
$             (the “Respite Stay Daily Fee”). 
 4. In the event that Resident becomes a permanent resident of the Community, Resident shall be responsible for payment of the Move-in Fee upon the first day of such permanent residency. A portion of the
Respite Stay Daily Fee, in the amount of $            , is referred to as the Respite Premium Fee. Resident’s Move-In Fee shall be credited by the amount of the Respite Premium
Fee paid over the course of the Respite stay, up to the full amount of the Move-in Fee. For example, if the Resident pays a Respite Premium Fee of $25.00 to the standard room rate for a Respite Stay of 10 days, the Resident will receive a Respite
Premium credit of $250 towards the Move-in Fee. 
 5. Except as modified herein, all of the other terms and
conditions of the Residency Agreement remain in full force and effect. 
 (Signatures are on the following page) 

  
 32 









 IN WITNESS WHEREOF, the parties have executed this Addendum effective as of
the date first written above. 
  

	
	SUNRISE
	
	  
	 Signature

	
	  
	 Executive Director

	
	  
	 Date


  

					
	 RESIDENT
	 		 	 RESPONSIBLE PARTY

			
	  	 		 	  
	 Signature
	 		 	 Signature

			
	  	 		 	  
	 Print Name
	 		 	 Print Name

			
	  	 		 	  
	 Date
	 		 	 Date



  
 33 









 PET ADDENDUM 

The Community consents to the Resident keeping in the Suite the household pet described as follows (the “Pet”): 

 

			
	 	  	 Kind and breed

		
	 	  	 Name

		
	 	  	 Color

		
	 	  	 Height (maximum height permitted is 18”)

		
	 	  	 Weight (maximum weight permitted is 30 lbs.)

		
	 	  	 Age


 The Resident will provide the Community a photograph of the Pet at the time this Addendum is executed.

 A. Responsibilities of the Resident. The Resident will keep the Pet in the Suite, except when
walking the Pet, if applicable, or transporting it to and from the Suite. The Resident will not allow the Pet in building lobbies or in common residential area, other than to transport the Pet to and from the Suite. The Resident will walk and curb
the Pet only in areas designated by the Community and will be responsible for cleaning up after the Pet. When the Pet is not in the Suite, the Resident will keep it on a leash no longer than five feet or in a cage or other appropriate closed and
ventilated container, and in the control of the Resident. If the Pet is a bird, the Resident will keep it caged both in and out of the Suite. If the Pet is a dog or cat, the Resident will ensure that it wears a collar with appropriate identification
(including the Resident’s telephone number) at all times that it is out of the Suite. 
 The Resident will
comply with all vaccination and licensing requirements applicable to the Pet, showing proof of this upon request, and will comply with appropriate standards of care, treatment, and grooming. The Resident will be responsible for the health, welfare,
and proper care of the Pet. The Resident will ensure that the Pet does not disturb the right of other residents to the peaceful enjoyment of their Suites and of the common areas. The Resident will not leave the Pet unattended when the Pet is not in
the Suite. 
 The Resident will be liable for any personal injury or property damage caused by the Pet that is
suffered by the Community, its employees or agents, other residents, guests, or invitees. The Resident will pay all costs and expenses, including reasonable attorneys’ fees and court costs incurred by the Community in enforcing any liability of
the Resident under this Addendum. 
 B. Term and Termination. This Addendum will continue until
the Residency Agreement between the Resident and the Community is terminated, unless either party terminates this Addendum for any reason by giving seven (7) days prior written notice to the other party. The Community may
terminate this Addendum upon twenty-four (24) hours notice in the event the Resident breaches any of the Resident’s obligations under this Addendum. In 

  
 34 









 
the event that the Pet is left unattended for more than twenty-four (24) hours, or if the Community determines that the Resident, for any reason, is unable to care for the Pet, the Community
reserves the right to arrange for the Pet to be delivered to: 
  

	
	  
	(Sponsor)

 or to such other individual or agency as the Community determines to be appropriate. The Resident will
pay all costs of delivery, feeding, care, treatment, and housing of the Pet. The Resident acknowledges that the Resident has no right to keep a pet except to the extent expressly permitted by this Addendum, and that the Community reserves the right
to withdraw its consent to the Resident keeping the Pet at any time by terminating this Addendum as permitted above. 
  

							
	 	 	 	 	 Community

				
	 Date:  ___________
	 		 	 By:
	 	 
		 		 	 Title:
	 	 
			
		 		 	 Resident / Responsible Party:

			
	 Date:  ___________
	 		 	 
		 		 	 Signature

			
		 		 	 
		 		 	 Title

			
		 		 	 Resident / Responsible Party:

			
	 Date:  __________
	 		 	 
		 		 	 Signature

			
		 		 	 
		 		 	 Title



  
 35 









 MOTORIZED VEHICLE ADDENDUM 

RULES FOR MOTORIZED VEHICLES 
 This Exhibit is hereby attached to and becomes a part of the attached Residency Agreement by and between the Community and the Resident dated
                     20        . 

The Resident and the Community agree that the Resident shall be entitled to use a motorized vehicle in the Community so
long as this Residency Agreement remains in force upon the following terms. 
 Any Resident who wishes to
operate an electric wheelchair, motorized cart or similar device (a “Motorized Vehicle”) at the Community must register with the Community and follow the Rules presented below. The Rules governing Motorized Vehicle use are designed to
protect residents and staff. 
  

	 	1.	 To complete registration, the Resident must submit to the Executive Director a written statement indicating that the Resident’s need for use of
a Motorized Vehicle is due to the Resident’s disability. 


  

	 	2.	 Resident acknowledges responsibility for any damage or injury caused by use of the Motorized Vehicle. The Community encourages Residents to purchase
liability insurance that covers Residents for any injury or damaged caused by Residents’ Motorized Vehicles. Without such insurance, Residents may be personally liable for substantial amounts of money plus attorneys’ fees.



  

	 	3.	 The Community will review with the Resident how to properly operate the scooter, i.e start, stop, and understand the turning capabilities of the
scooter. The use of the Motorized Vehicle may be restricted, if it becomes evident to the Community’s leadership that the use of the Motorized Vehicle constitutes a direct threat to the health or safety of others or result in substantial
physical damage. 


  

	 	4.	 No Motorized Vehicle shall be operated at the Community at a speed that exceeds a normal walking pace, estimated at 2 miles per hour.



  

	 	5.	 The Resident must operate the Motorized Vehicle at the lowest possible speed and then transfer to a dining chair for the meal, due to the Motorized
Vehicle blocking ingress and egress. For the safety of residents and staff, staff will park the Motorized Vehicle in the dining room foyer during the meal. The Community will consider modifications of this Rule if the Resident’s medical
condition precludes transfer to a chair. 


  

	 	6.	 The Motorized Vehicle must be operated at all times in a safe manner and with due care to avoid causing any personal injury or property damage. The
Resident must be particularly careful to avoid persons who are entering or leaving their Suites. 



  
 36 










	 	7.	 The Motorized Vehicle should be driven in the center of the hallway. The Resident must stop at hallway intersections, look both ways and make sure
it is clear before slowly proceeding through the intersection. 


  

	 	8.	 The Motorized Vehicle must not be left unattended near any entrances, exits or intersections. When the Resident retires to his or her Suite, he or
she must also bring the Motorized Vehicle inside. 


  

	 	9.	 Residents requesting any reasonable accommodation in the Community’s Rules shall submit a written request to the Executive Director.



  

									
	 DATED:  
	 	 	  		  	 	  	
		 		  		  	Resident	  	
				
	 	  		  		  	
	 Executive Director
	  		  		  	


  

					
		 	37	 	









 Exhibit A-4 
 Form of Residency Document (Michigan) 
 (see attached) 

  








 PREAMBLE 

The purpose of this Residency Agreement is to provide a statement of the services that will be provided to you and the
legal obligations that the Community will be assuming. This Residency Agreement also sets forth your obligations to the Community, both financial and non-financial. Your residence is identified by the suite number in Exhibit 1 of this Residency
Agreement. You may move into your suite (the “Suite”) as of the date (the “Occupancy Date”) listed in Exhibit 1. 
 ARTICLE I 
 Resident Evaluation 

A. Qualification for Residency. The Community may only accept or retain an individual to be a resident if
management determines, in its sole discretion, it is able to provide appropriate services and the individual meets the requirements set forth by state law. The Community is not required to admit or retain the Resident or to contract with the
Resident for services, if the Community determines, in its sole discretion, that it cannot meet the Resident’s needs or the Resident fails to meet the requirements as set forth by law. 

B. Physician’s Report. Prior to move-in, the Resident will provide the Community a completed
Physician’s Report (the “Physician’s Report”) on a form provided by the Community. This Report will include a physical examination conducted within thirty (30) days prior to move-in and must demonstrate that the Resident
meets criteria for residency. After move-in, the Community may require a Physician’s Report, acceptable to the Community, following any hospitalization, when the Community determines that the Resident’s health condition warrants or as
required by law. 
 C. Psychiatric Examination. In addition to the Physician’s Report, the
Community may require a report of a current psychiatric examination (the “Psychiatric Examination”) prior to move-in if the Resident is taking psychotropic drugs, or has a history of aggressive behavior, to determine if the
Resident’s needs can be met in an Assisted Living Program and to assist in the Resident’s care plan. After move-in, the Community may require a psychiatric consultation when the Community, along with the Resident’s personal physician,
determines that the Resident’s health condition warrants. Failure to comply with the request for a consultation after move-in may result in a termination of this Residency Agreement. 

D. Assessment. The level of assisted living services required by the Resident is determined through an
assessment (“Assessment”) of the Resident. The Assessment is performed by designated team members and includes an evaluation of each Resident’s specific needs. It covers areas such as: mobility, skin care, eating habits, oral hygiene,
continence, cognitive behavior, and medication. This Assessment, along with the Physician’s Report, provides the basis for identifying the Resident’s Service Level. 

The Assessment is performed when the Resident desires to move into the Community, and is performed again (i) when
additional assisted living services may be needed, (ii) upon the Resident’s change in condition or (iii) upon a Resident’s return from the hospital or other care facility. The Resident, his/her family, and any Responsible Party
named in this Residency Agreement will be informed of changes in the Resident’s condition and any additional assisted 







 
living services needed, and are encouraged to participate in the review, assessment, and care plan process. 

E. Resident Service Plan. A Service Plan will be developed based on the Physician’s Report, the
Psychiatric Examination (if applicable) and the Assessment. The Resident’s service plan will be developed with the Resident and/or any individual the Resident designates, including any Responsible Party. The service plan will outline the
services the Resident is to receive. 
 F. Change in Resident’s Condition. If the
Resident’s condition changes so that the previously assessed level of services is no longer appropriate, the Community will reevaluate the Resident’s needs to determine which level of service is appropriate and notify the
Resident/Responsible Party of such reevaluation. The rate charged will vary according to the level of service provided. Should the Resident wish to decrease the services received, prior approval from the Community is required. Changes in services
provided will be reflected in a revised service plan. 
 G. Notification of Third Parties. In the
event that the Resident requires emergency services or experiences a significant change in condition, the Community will attempt to contact the Responsible Party or other individual designated by the Resident, within twelve (12) hours. The
Resident is responsible for ensuring that the Community has current telephone numbers for the individuals to be notified. 

ARTICLE II 

Responsibilities and Representations of the Resident 

A. The Resident will use the Suite only for residential dwelling purposes. 

B. Smoking is not allowed in any Resident Suite. Smoking is only allowed in designated “Smoking Areas.”
Whether to designate any Smoking Areas is within the sole discretion of the Community. The Community may require residents to be supervised when smoking. 
 C. A live-in companion is considered an additional person living in the Suite and is required to pay the Base Fee associated with the Resident’s Suite. 

D. Resident agrees to maintain the Suite in a clean, sanitary and orderly condition. Resident will reimburse the
Community for the repair or replacement of furnishings and fixtures in the Suite beyond normal wear and tear. In addition, Resident will reimburse the Community for loss or damage to real or personal property of the Community caused by pets or the
negligence or willful misconduct of the Resident or the Resident’s agents, guests, or invitees. 

E. Any damage to carpeting in the Resident’s Suite, other than normal wear and tear, including stains and/or
odors due to incontinence or pets, will result in the carpet being professionally cleaned, repaired or replaced by the Community. The Community will have the right to determine whether the carpet needs to be repaired, cleaned, or replaced. The
Resident shall be responsible for the cost of the repairing, cleaning, or replacing the carpet. 

  
 3 








 F. The Resident will not alter or improve the Suite without the prior
written consent of the Community. Upon the termination of this Residency Agreement, the Resident will be required to return the Suite to the original condition at his/her own expense prior to the expiration of any applicable notice periods.

 G. The Resident will notify the Community promptly of any defects in the Suite, common areas or in the
Community’s equipment, appliances, or fixtures. 
 H. Community employees or agents may enter the
Suite at any reasonable time in order to provide services to the Resident, to perform building inspection and maintenance functions, to show the Suite to prospective residents, and otherwise to carry out the Community’s obligations under this
Residency Agreement. Resident shall allow entry into the Suite at any time to the Community’s employees or agents when they are responding to the medical alert system, fire alert system or other emergency. 

Community personnel will respect the Resident’s privacy and make their presence known (except in an emergency) when
entering the Suite and will schedule the entry in advance whenever possible. 
 I. The Resident will
vacate the Suite at the termination of this Agreement, remove all of the Resident’s property, and deliver possession of the Suite and any furniture, equipment, appliances, and fixtures supplied by the Community, to the Community in good
condition, ordinary wear and tear excepted. The Resident will pay the cost of removing and storing any property of the Resident remaining in the Suite after the termination of this Residency Agreement. 

J. The Resident will comply with all guidelines established by the Community regarding resident conduct in the
Community (the “Community Guidelines”), which shall be deemed incorporated herein. The Community Guidelines may be amended from time to time as the Community determines to be appropriate. 

K. The Resident will not keep a dog, cat, bird, fish, or other pet of any kind in the Suite unless the Resident
and Community have executed the Pet Addendum. 
 L. If at any time the Resident wishes to use a motorized
vehicle he/she must execute a Motorized Vehicle Addendum. 
 M. The Resident agrees to maintain his/her
own personal physician. 
 N. The Resident and Responsible Party understand and agree that the Executive
Director or designee may restrict an individual’s visitation rights or bar an individual from entering the Community if it is determined that the individual is disrupting the care of the Resident, the care of other residents or if the presence
of the individual has a negative effect on a resident’s physical or psychosocial well being. 

  
 4 








 ARTICLE III  

Financial Arrangements 
 A. Fees. The Resident will pay to the Community the fees indicated on Exhibit 1 and any Additional Amenities provided to the Resident at the fees indicated on Exhibit 3.

 B. Move-in Fee. The Resident will pay to the Community a non-refundable Move-in Fee (the
“Move-in Fee”) in an amount indicated on Exhibit 1, subject to the provisions of this Article III.B. The Move-in Fee covers administrative costs associated with the Resident’s move-in: the cost of performing the Resident’s
comprehensive service level assessment including nursing, physician, pharmacy and social/activity evaluations: and preparation of the Resident’s individualized service plan. In addition, the Move-in Fee covers expenses associated with the
upkeep and maintenance of the Community’s common areas and refurbishment of the Suite when the Resident vacates it upon termination of the Residency Agreement. 

C. Special Assessments. The Community reserves the right to assess charges for special circumstances
outside the Community’s control, such as sharp increases in costs of utilities or other necessary expenses. The Community shall provide the Resident at least thirty (30) days’ written notice (or such additional days’ notice as
may be required by law) prior to the imposition of such special assessments. 
 D.
Payment Schedule and Monthly Statement. Prior to or on the Occupancy Date, the Resident shall pay the Community an amount equal to the Total Daily Fee set forth in Exhibit 2. This payment shall be applied to Resident’s first
month’s residence in the Community. If the Occupancy Date is on a day other than the first day of the month, the advance payment shall be prorated accordingly and the residual amount will be credited to the following month’s payment.
Thereafter, the Community will provide to the Resident a monthly statement itemizing fees and charges and payments received, and showing the balance due. The Daily Fee shall be due in advance, on the first (1st) calendar day of each month. 

E. Late Payment Charge. If the Resident’s account is not paid in full by the first
of the month, a late payment charge will be assessed on the outstanding balance of one and one-quarter percent (1 1/4%) per month until paid. This periodic rate is equivalent to an annual percentage rate of fifteen percent (15%). The Resident will pay all costs and expenses, including
reasonable attorneys’ fees and court costs, incurred by the Community in collecting amounts past due under this Residency Agreement. 

F. Increases in Fees and Charges. Annual increases in the Resident’s then current
Fees will be implemented on January 1st of each year.
Notice of any increase in the fees listed in Exhibit 1, will be provided to the Resident in writing thirty (30) days prior to the effective date of the increase. The Resident will pay all applicable new or increased fees and charges,
unless the Resident terminates this Residency Agreement in accordance with Article IV of this Residency Agreement, effective prior to the effective date of the fee or charge increase. If the Community agrees at the request of the Resident to provide
additional services, no advance notice requirement will apply to any fees or charges relating to such services. 

A change in the level of service is not considered a change of fees or charges. Rather, it is an increase in
services which are subject to the higher fees corresponding to 

  
 5 








 
those services. The Resident shall be responsible for the cost of the increased level of service when he/she begins receiving such services. 

G. Fees During Resident Absence. During an absence from the Community, the Resident is responsible for
payment of the Base Fee and all service level fees through the third day of absence. Beginning with the fourth day of absence, the Resident will not be responsible for service level fees above the Base Rate. 

H. Suite Hold. During an absence from the Community, the Resident’s suite will be held for the
Resident provided that, upon return, the Resident continues to meet the Community’s admission criteria and all fees and charges incurred by the Resident have been paid. 

I. Double Occupancy. If two individuals are parties to this Residency Agreement, the second person fees, as
listed in Exhibit 1-A, shall be applied. Both Residents shall be jointly and severally liable for all fees and charges incurred by each Resident. When two persons are parties to this Residency Agreement, and when one such person permanently
vacates the Suite, the remaining resident shall have the option of: 
  

	 	•	 	 Retaining the same Suite, with the understanding that a prospective resident may select that Suite for double occupancy; or



  

	 	•	 	 Retaining the same Suite and paying the fee applicable to private occupancy; or 



 

	 	•	 	 Relocating to a single occupancy Suite, if available. 



J. Refund Upon Closing. In the event the Community ceases to operate, the Resident will be entitled to a
pro rata refund of any prepaid amounts for services covering the period after the building has closed. 
 ARTICLE IV 

 Term and Termination 

A. Term of Residency Agreement. This Residency Agreement shall commence on the effective date set forth on
the Exhibits attached hereto (the “Effective Date”) and will continue on a month-to-month basis. 

B. Non-Renewal. As a month-to-month Contract, Community may elect not to renew the Contract upon thirty
(30) days written notice to the Resident. 
 C. Termination. The Community may terminate this
Residency Agreement prior to the expiration of its term, upon thirty (30) days prior written notice (“Community Notice Period”) to the Resident and the Responsible Party for one of the following reasons, as determined by the
Community: 
 1. For medical reasons pertinent to the Resident including, by way of
example, Resident: (a) does not meet the residency requirements established by the state; (b) has a communicable disease so that continued residency would be medically inappropriate; (c) requires nursing care beyond that provided by a
home health agency; 

  
 6 








 
(d) requires intensive nursing care or nursing care on a 24-hour basis; (e) has health care needs that cannot be met in the Community; or (f) the personal physician of Resident has
determined that Resident needs other services, not available at the Community. 
 2. To
safeguard the welfare of the resident or that of another resident, including by way of example, Resident (a) presents an imminent physical threat or danger to self or others; (b) fails to accept additional services when it is in the best
interest of the Resident to have these services provided to him/her; or (c) fails to comply with the Community Guidelines. 
 3. Resident or any individual financially responsible for Resident fails to pay fees and charges when due, or breaches any representation, covenant, agreement, or obligation of the Resident under
this Residency Agreement. 
 4. Upon a transfer or discharge that is sought by Resident or
Resident’s Responsible Party. 
 D. Termination by Resident. The Resident may terminate this
Agreement, upon thirty (30) days prior written notice to the Community (“Resident Notice Period”), for any reason. 
 1. In the event of the death of the Resident, this Residency Agreement will terminate on the first full day after all articles are removed from the suite. In the event of a medical emergency, as
determined by Sunrise, this Residency Agreement shall terminate effective fourteen (14) calendar days after Sunrise receives notice, provided all articles are removed from the suite by that date. 

E. Refunds. 

1. In the event the Community terminates this Residency Agreement and the Resident vacates the
Suite before the Community Notice Period is over, the Community shall refund the Resident a prorated amount of the paid Base Fee, Reminiscence Base Fee and the Additional Assisted Living Services Fees for the unused portion of the Community Notice
Period. 
 2. In the event the Resident terminates this Residency Agreement, the Resident
will be liable for all charges accrued or incurred for the entire length of the Resident Notice Period, regardless of whether the Resident vacates the Suite prior to the expiration of the Resident Notice Period. 

F. Removal of Personal Property. Upon termination of this Residency Agreement, the Resident’s personal
property must be removed from the Suite. The Community shall continue to assess, and the Resident will be required to pay, the Assisted Living Base Fee, Reminiscence Base Fee, or Avon Place Base Fee on a prorated basis until the personal property is
removed from the Suite. 

  
 7 








 ARTICLE V 
 Miscellaneous Provisions 
 A. Choice of
Accommodations. In the event that the suite of the Resident’s choice is not immediately available, an alternate suite will be made available and the Resident will be charged the rate customarily associated with such suite. Once the
Resident’s desired suite becomes available the Resident will be allowed to move into the desired suite in accordance with the Community’s policy and the rate set forth in Exhibit 2, will apply. 

If, in the sole discretion of the Community, it is determined that there has been a change in Resident’s care
needs such that another suite or neighborhood in the Community is more suitable, Resident agrees to relocate to that suite or neighborhood, subject to availability. 

B. Grievance Procedure / Conflict Resolution / Waiver of Jury Trial. The Community’s Grievance
Procedure is set forth in Exhibit 4. While most issues can be resolved under the Grievance Procedures outlined in Exhibit 4, in the event that the parties are unable to resolve their differences short of litigation, the parties agree that any
trial shall be before a judge and not a jury. Accordingly: 
 WAIVER OF TRIAL BY JURY: THE PARTIES TO THIS RESIDENCY
AGREEMENT HEREBY KNOWINGLY AND UNCONDITIONALLY WAIVE ALL RIGHT TO A TRIAL BY JURY IN ANY LAWSUIT OR COUNTERCLAIM THAT MAY BE FILED BY EITHER PARTY IN CONTRACT, TORT, EQUITY OR BY STATUTE ARISING OUT OF OR RELATED TO THIS RESIDENCY AGREEMENT AND/OR
ANY SERVICES OR CARE PROVIDED BY THE COMMUNITY TO THE RESIDENT. THE “COMMUNITY” SHALL INCLUDE THE MANAGER, OWNER and/or TENANT, AND ALL OF THEIR RESPECTIVE AFFILIATES, SUBSIDIARIES, PARENT COMPANIES AND SISTER COMPANIES AND ALL OF THEIR
RESPECTIVE EMPLOYEES, AGENTS, CONTRACTORS, ASSIGNEES, OFFICERS AND DIRECTORS. IF THE UNDERSIGNED IS ANYONE OTHER THAN THE RESIDENT, THE UNDERSIGNED REPRESENTS THAT HE/SHE HAS FULL LEGAL AND EXPRESS AUTHORITY TO WAIVE THE RESIDENT’S, HIS/HER
HEIR’(S), BENEFICIARIES, AND/OR ESTATE’S RIGHT TO A TRIAL BY JURY. 
 C. Liability and
Release. The Resident is responsible for maintaining at all times his or her own insurance coverage, including health, personal property, liability, automobile (if applicable), and other insurance coverages in adequate amounts. This includes
renter’s insurance. The Resident acknowledges that neither Sunrise nor the Owner is an insurer of the Resident’s person or property. 
 D. Maintenance and Repairs. The Resident acknowledges that he or she has had an opportunity to inspect the Suite and the Resident accepts the Suite in its “as is” condition. The
Community will deliver and maintain the Suite in a fit and habitable condition and will maintain all common areas in a clean and structurally safe condition, and will maintain all equipment, appliances, and fixtures, other than the personal property
of the Resident, and all electrical, plumbing, heating, ventilating, and air conditioning equipment in good and safe working order and condition. Temporary interruption of such utility services may occur


  
 8 








 
periodically due to factors outside of the Community’s control or due to repairs, maintenance or replacement of equipment. 

E. Notices. Any notices to be given under this Residency Agreement will be deemed to have been properly
given when delivered personally or when mailed by first class mail, postage prepaid, addressed as follows: 
 1. If to the Resident: addressed to the Suite or to such other address as the Resident may designate by notice. 

2. If to the Community: addressed to the Executive Director of the Community or to such other
address as the Community may designate in writing. 
 F. Assignment. The Resident’s rights
under this Residency Agreement are personal and obligations under this Contract are personal to the Resident and cannot be transferred or assigned, without the prior written consent of the Community. The rights and obligations of the Community may
be assigned to any person or entity, without the prior consent of the Resident. The Community may engage another person or entity to perform any or all of the services under this Contract. 

G. Ownership Rights. The Resident has no ownership interest or proprietary right to the Suite, nor to the
personal property, land, buildings, improvements or other Community facilities provided under this Residency Agreement. This Residency Agreement shall not be construed to be a lease or to confer any rights of tenancy or ownership in the Resident.
The Resident’s rights under this Residency Agreement are subject to all terms and conditions set forth herein and subordinate to any mortgage, financing deed, deed of trust, or financing lease on Community premises. Upon request, the Resident
agrees to execute and deliver any instrument requested by the Community or the owner or holder of any such document to affect the sale, assignment, or conveyance thereof, provided that by so doing the Resident shall not be required to prejudice
his/her rights under this Residency Agreement. 
 H. Guests. The Resident’s guests shall at
all times abide by the Community’s policies, including the Community Guidelines. The Community reserves the right to take appropriate enforcement action if the Community determines that the guest is failing to follow such Community policies.
The Resident shall be responsible for the charges incurred by any actions of any guest. The Resident may have guests stay overnight in the Suite, in accordance with the Community Guidelines. 

I. Weapons. No weapons, including, but not limited to guns and knives, are to be brought into the Community
at any time for the safety and well-being of all residents and staff. This policy applies to Resident guests as well. 
 J. Arrangement for Guardianship or Conservatorship. If it appears that you may not be able to care properly for yourself or your property, and if you have made no other designation of a
person or legal entity to serve as guardian or conservator then Sunrise may apply to a court of law to appoint a legal guardian or conservator. Alternatively, if other persons seek appointment as your legal guardian or conservator, Sunrise may be
required to participate in such proceedings. You agree to pay all attorney’s fees and costs incurred by Sunrise in connection with such action(s). 

  
 9 








 K. Resident Rights. The Resident and Responsible Party(s),
have been advised of and have received a copy of the “Statement of Resident Rights,” which is attached as Exhibit 8 and made part of this Residency Agreement. 

L. Admission Policy. Residents are admitted to the Community without regard to race, color, creed, national
origin, sex, religion or handicap. 
 M. Assurance of Confidentiality. The Community acknowledges
that the Resident’s personal and medical information are confidential. The Community shall maintain the confidentiality of the Resident’s personal and medical information in compliance with state and federal law. 

N. Examination of Records. A representative of the agency responsible for licensing the Community,
or any agency acting under its guidance, may inspect the Resident’s records that are on file at the Community as a part of their evaluation of the Community. 

O. Amendment. Subject to any provision of this Residency Agreement to the contrary, no modification,
amendment, or waiver of any provision of this Residency Agreement will be effective unless set forth in writing and signed by the Sunrise area Director of Operations for the Region and the Resident. 

P. Entire Agreement. This Residency Agreement, including the Exhibits hereto, and subject to Article V.T.
below, constitutes the entire agreement between the parties and it supersedes all prior oral or written agreements, commitments, or understandings with respect to the matters provided for herein. 

Q. Waiver. Neither delay nor failure in requiring strict compliance by the Resident with any of the terms
of this Residency Agreement shall be construed to be a waiver by the Community of such term, or of the right to insist upon strict compliance by the Resident with any of the other terms of this Residency Agreement. 

R. Severability. If any provision of this Residency Agreement is found invalid or otherwise unenforceable,
the other provisions of this Residency Agreement shall remain binding and enforceable. 
 S. Governing
Law. This Residency Agreement, its construction, performance, the obligations and duties of the parties, and any claims or disputes arising from it will be governed by and construed in accordance with the laws of the state in which the
Community is located. 
 T. Accuracy of Application Documents. As part of the Resident’s
application to the Community, the Resident has filed with the Community an application form. The Resident warrants that all information contained in these documents and any other document supplied to the Community as part of the application process
is true and correct, and the Resident understands that the Community has relied on this information in accepting the Resident for residency at the Community. 
 U. Advance Directives. It is the policy of the Community to ask all prospective residents if they have executed any “advance directives.” Advance directives can include a health
care power of attorney, a living will, or other documents which describe the amount, level 

  
 10 









 
or type of health care the Resident would want to receive at a time when the resident can no longer communicate those decisions to a doctor or other health professional. It also includes
documents in which the Resident names another person who has the legal authority to make health care decisions for the Resident. If the Resident has executed any such documents, or if the Resident executes any such documents while living at the
Community, it is the Resident’s responsibility to advise the Community’s staff of these documents, and to provide copies to the Community. If the Resident has such documents, and has provided copies of them to the Community, the Community
will provide copies of the documents to other health care professionals who may be called to assist the Resident with his/her health care needs. If the Resident executes such documents, and later changes or revokes them, it is the Resident’s
responsibility to inform the Community, so that the Community can assist the Resident in communicating the Resident’s health care choices to other professionals. 

V. Review of Documents and Policies. The Resident and the Responsible Party named in this Residency
Agreement acknowledge(s) that they have received copies of, and have reviewed, this Residency Agreement between the Community and the Resident and all exhibits. The Resident and the Responsible Party further acknowledge(s) that the Community has
explained to him/them the Community’s policies and procedures for implementing residents’ rights and responsibilities, including the grievance procedure (attached as Exhibit 5) and the Resident has been offered the opportunity to
execute advance directives. You acknowledge that you have received a copy of, and have reviewed, this Residency Agreement as well as the following specific information: 

W. Responsibility for Third Party Contractors/Health Services. The Resident has the right to receive
services from third-party contractors consistent with the Community’s policies and state law. All third-party contractors must comply with the Community’s rules and policies. The Community has no responsibility to screen third party
contractors and the Community is not responsible for care provided by third-party contractors to the Resident. The Resident shall indemnify the Community and its owners, directors, agents, employees and contractors against any losses, costs,
expenses, claims, liabilities, damages, or judgments, including without limitation, legal fees, court costs, expert fees, and similar expenses incurred, which may be asserted against, imposed upon or incurred by the other party as a result of the
negligence or intentional conduct of the third-party contractor. The Community reserves the right to bar any third-party contractor from the Community. 
 The Resident hereby indemnifies, holds harmless and releases the Community and its owners, directors, agents, employees, and contractors from any and all liability, cost, and responsibility for injury and
damage, including attorneys’ fees, arising from the Resident’s failure to obtain, or from the failure of others to furnish, nursing, health care or personal care services, and from all injury and damages which could have been avoided or
reduced if such services had been obtained or furnished or as a result of the Resident/Responsible Party’s negligence, intentional wrongdoing or breach of his/her contractual obligations. 

ARTICLE VI  
 Services Available to Residents at the Community 

  
 11 









 A. Services Available at the Community. The services and
programs described in the following pages of this Residency Agreement are available to residents, as determined by the Community following the Assessment process described in Article I. 

B. Services Not Provided by The Community. The Community does not provide any services not described in
this Residency Agreement. However, certain services such as eyeglasses, dentures, podiatric care, psychiatric consultation, physical therapy, speech therapy, and occupational therapy, private duty care givers, prescription medications, physician
services, prosthetic devices and mechanical aides in some cases may be arranged through the Community. Any such services and items will be billed to the Resident by the third party provider. 

C. Emergency Services. The Resident authorizes the Community to obtain emergency health care services for
the Resident, at the Resident’s expense, whenever, in the Community’s sole discretion, such emergency services are deemed necessary. The Community shall notify any Responsible Party, as soon as possible after such emergency where health
care services have been provided. 
 D. Transfer to Facility Providing Higher Level of Care. If
the Resident needs care beyond what can be provided in the Community, the Resident and any Responsible Party shall, upon written notification from the Community, make arrangements for transfer to an appropriate care setting. 

Review of Documents and Policies. You acknowledge that you have received a copy of, and have reviewed, this Residency
Agreement as well as the following specific information: 
 1. The Resident Grievance Procedure
(attached as Exhibit 4); 
 2. The Community’s policies and procedures for implementing
Resident Rights (attached as Exhibit 5); 
 3. The Community’s policy concerning
Advance Directives, set forth in Article V, paragraph U of this Residency Agreement; 
 4. Article
V(B) of this Residency Agreement titled “Grievance Procedure / Conflict Resolution / Waiver of Jury Trial”. 
 You acknowledge that the Community has explained the terms of this Residency Agreement to you. You agree to the terms of this Residency Agreement by signing in the space provided below: 

  
 12 










					
	RESIDENT:	 		 	RESPONSIBLE PARTY:
			
	  	 		 	  
	 Signature
	 		 	 Signature

			
	  	 		 	  
	 Print Name
	 		 	 Print Name

			
	SECOND RESIDENT (if applicable):	 		 	RESPONSIBLE PARTY:
			
	  	 		 	  
	 Signature
	 		 	 Signature

			
	  	 		 	  
	 Print Name
	 		 	 Print Name

			
	SUNRISE:	 		 	
	  	 		 	
	 Signature
	 		 	
			
	  	 		 	
	 Executive Director
	 		 	


  
 13 









 EXHIBIT 1 
 YOUR SUITE AND FEES 
 Name of Resident:
                                         
            
 Suite #:
                                         
            Occupancy Date:
                                     

 

			
	 Base Fees
	  	 
	 Assisted Living Suite
	  	$_____/ day
	 Reminiscence Suite
	  	$_____/ day
	 Edna’s Place Suite
	  	$_____/ day
	 Avon Place Suite
	  	$_____/ day
		
	 Service Level Fees
	  	 
	 Assisted Living Plus
	  	$_____/ day
	 Assisted Living Plus Plus
	  	$_____/ day
	 Reminiscence Program Fee
	  	$_____/ day
	 Reminiscence Plus
	  	$_____/ day
	 Reminiscence Plus Plus
	  	$_____/ day
	 Terrace Club Program Fee
	  	$_____/ day
	 Terrace Club Plus
	  	$_____/ day
	 Edna’s Place Program Fee
	  	$_____/ day
	 Edna’s Place Plus
	  	$_____/ day
	 Avon Place Program Fee
	  	$_____/ day
	 Avon Place Plus
	  	$_____/ day
	 Enhanced Care
	  	$_____/ day
		
	 Medication Management
	  	$________
		
	          Level
1                              Level 2
	  	
		
	 Total Daily Fee:
	  	$_____/ day
	 Move-in Fee:
	  	$_____

 Effective Date:
                                        


  
 14 









 EXHIBIT 1-A  

SECOND RESIDENT’S FEES 
 Name of Second Resident:
                                         
                        

Occupancy Date:
                                     

 

			
	 Base Fees
	  	 
	 Assisted Living Suite
	  	$ _____/ day
	 Reminiscence Suite
	  	$ _____/ day
	 Edna’s Place Suite
	  	$ _____/ day
	 Avon Place Suite
	  	$ _____/ day
		
	 Service Level Fees
	  	 
	 Assisted Living Plus
	  	$ _____/ day
	 Assisted Living Plus Plus
	  	$ _____/ day
	 Reminiscence Program Fee
	  	$ _____/ day
	 Reminiscence Plus
	  	$ _____/ day
	 Reminiscence Plus Plus
	  	$ _____/ day
	 Terrace Club Program Fee
	  	$ _____/ day
	 Terrace Club Plus
	  	$ _____/ day
	 Edna’s Place Program Fee
	  	$ _____/ day
	 Edna’s Place Plus
	  	$ _____/ day
	 Avon Place Program Fee
	  	$ _____/ day
	 Avon Place Plus
	  	$ _____/ day
	 Enhanced Care
	  	$ _____/ day
		
	 Medication Management
	  	$ _____
		
	          Level
1                              Level 2
	  	
		
	 Total Daily Fee:
	  	$ _____ /day
	 Move-in Fee:
	  	$ _____

 Effective Date:
                                        


  
 15 









 EXHIBIT 2  

SCHEDULE OF COMMUNITY FEES 
 A. Schedule of Fees. The fees for all of the various services and products offered by the Community are as follows: 

 

					
	 Base Fees (starting from)
	  	 	 
	 Assisted Living Suite
	  	$	 _____/ day	  
	 Reminiscence Suite
	  	$	 _____/ day	  
	 Edna’s Place Suite
	  	$	 _____/ day	  
	 Avon Place Suite
	  	$	 _____/ day	  
		
	 Service Level Fees
	  	 	 
	 Assisted Living Plus
	  	$	 _____/ day	  
	 Assisted Living Plus Plus
	  	$	 _____/ day	  
	 Reminiscence Program Fee
	  	$	 _____/ day	  
	 Reminiscence Plus
	  	$	 _____/ day	  
	 Reminiscence Plus Plus
	  	$	 _____/ day	  
	 Terrace Club Program Fee
	  	$	 _____/ day	  
	 Terrace Club Plus
	  	$	 _____/ day	  
	 Edna’s Place Program Fee
	  	$	 _____/ day	  
	 Edna’s Place Plus
	  	$	 _____/ day	  
	 Avon Place Program Fee
	  	$	 _____/ day	  
	 Avon Place Plus
	  	$	 _____/ day	  
	 Enhanced Care* (starting from)
	  	$	 _____/ day	  
		
	 Medication Management
	  	$	 _____/ day	  
		
	          Level
1                              Level 2
	  			

  

			
		
	 Move-in Fee:
	  	 $________


 Effective Date:
                                        

  

	*	 Enhanced Care fees are variable, depending on the needs of the resident as determined by the resident’s assessment score.




  
 16 









 EXHIBIT 3 
 SCHEDULE OF THE COMMUNITY’S ADDITIONAL AMENITIES 
 Additional Amenities

  

			
	 (1)    Assistance with Resident requested special maintenance projects, such as hanging
pictures, furniture assembly, etc. beyond that maintenance required by this Residency Agreement. The use of outside contractors or handyman services is not permitted without prior written approval of Community.
	  	$                    /day
		
	 (2)    Housekeeping services in addition to those included as part of the Assisted Living
Services
	  	$                    /day
		
	 (3)    Transportation for personal trips, scheduled in advance by the Resident. The hours
that transportation is available for scheduling will be determined by Community.
	  	$                    /hour
		
	 (4)    Rental furniture
	  	$                    /month
		
	 (5)    Guest meals
	  	$                    /breakfast
		
		  	$                    /lunch
		
		  	$                    /dinner
		
	 (6)    Barber and Beauty services
	  	$                    
		
	 (7)    Dry cleaning
	  	$                    
		
	 (8)    Continence Products
	  	$                    
	          Level
1                             Level 2
	  	
	          Level 3
	  	
		
	 (9)    The View Programming Fee
	  	$                    
		
	 (10)  
	  	$                    
		
	 (11)  
	  	$                    
		
	 (12)  
	  	$                    
		
	 (13)  
	  	$                    


  

					
		 	17	 	









 EXHIBIT 4  

RESIDENT GRIEVANCE PROCEDURE 
 The Community encourages all residents and family members to express their complaints about the Community and to suggest remedies or improvements in its policies and services. Your Community will try to
be responsive to reasonable concerns and suggestions. We also encourage residents and family members to let staff know when services and policies are satisfactory and should continue unchanged. 

PROCEDURES: 
 The
Community team members are expected to listen courteously and respectfully to complaints. If team members are able to do so, they will attempt to explain the reason for the procedure or incident in question. If you are not satisfied, team members
will explain the Community’s steps for making a complaint which are as follows: 
  

	1.	 Discuss the concern or complaint with the Executive Director of the Community. If there is no resolution to the matter or you do not feel
comfortable discussing the matter with the Executive Director, then, 


  

	2.	 Discuss the concern or complaint with the area Director of Operations for the Community,
                    , whose voicemail number is
                    . If there is no satisfaction at that point, then, 



 

	3.	 Contact the Area Vice-President of Operations,
                     whose voicemail number is
                    . If there is no satisfaction at that point, then 



 

	4.	 Contact the Sunrise Senior Living National Office Customer Service Center to express the complaint at 1-800-929-4124. If you are still unsatisfied
then, 


  

	5.	 Contact the following agencies: 


  

			
	State Licensing Authority	  	Ombudsman
		
	Department of Human Services	  	Michigan: Long Term Care Ombudsman
	Bureau of Adult and Children Licensing	  	Toll-Free Number: (866) 485-9393
	7109 W. Saginaw 2nd Floor	  	
	P.O. Box 30650	  	
	Lansing, MI 48909-8150	  	
	Toll-Free Number: (866) 856-0126	  	

 Another way to air grievances is through the monthly Resident Council meetings. 

At no time will any team member of the Community take any improper action against a resident for making a complaint, whether or not the
complaint is valid. The Community will consider dismissing any employee who is found to be threatening, ignoring, humiliating, retaliating, or discriminating against residents who voice complaints. 

Whenever any team member observes what appears to be a violation of resident rights or a violation of any of the laws and regulations
under which the Community must operate, whether or not a resident has actually voiced a complaint, the team member is immediately expected to 

  

					
		 	18	 	









 
correct the situation, if possible. If the team member is unable to do so, he/she is to bring the problem to the attention of the Executive Director or Administrative Team Member on Call who will
ensure corrective action and, when required, notify authorities. 
  

					
	RESIDENT/ RESPONSIBLE PARTY:	 		 	SECOND RESIDENT/ RESPONSIBLE PARTY:
			
	  	 		 	  
	(Signature)	 		 	(Signature)
			
	  	 		 	  
	(Print Name)	 		 	(Print Name)
			
	  	 		 	  
	(Date)	 		 	(Date)


  

					
		 	19	 	









 EXHIBIT 5 
 RESIDENT RIGHTS & RESPONSIBILITIES 
 This community is
licensed by the State of Michigan as a health facility designated as a 
 home for the aged. It is the policy and practice
of this community to disclose, respect and 
 honor the following resident rights and responsibilities: 

RESIDENT RIGHTS 
  

	1.	 A resident shall not be denied appropriate care on the basis of race, religion, color, national origin, sex, age, disability, marital status, sexual
preference, or source of payment. 


  

	2.	 An individual who is or has been a resident is entitled to inspect, or receive for a reasonable fee, a copy of his or her medical record upon
request in accordance with the medical records access act, 2004 PA 47, MCL 333.26261 to 333.26271. Except as otherwise permitted or required under the health insurance portability and accountability act of 1996, Public Law 104-191, or regulations
promulgated under that act, 45 CFR parts 160 and 164, a third party shall not be given a copy of the resident’s medical record without prior authorization of the resident. 



 

	3.	 A resident is entitled to confidential treatment of personal and medical records, and may refuse their release to a person outside the health
facility except as required because of a transfer to another health care facility, as required by law or third party payment contract, or as permitted or required under the health insurance portability and accountability act of 1996, Public Law
104-191, or regulations promulgated under that act, 45 CFR parts 160 and 164. 


  

	4.	 A resident is entitled to privacy, to the extent feasible, in treatment and in caring for personal needs with consideration, respect, and full
recognition of his or her dignity and individuality. 


  

	5.	 A resident is entitled to receive adequate and appropriate care, and to receive, from the appropriate individual within the health facility or
agency, information about his or her medical condition, proposed course of treatment, and prospects for recovery, in terms that the resident can understand, unless medically contraindicated as documented by the attending physician in the medical
record. 


  

	6.	 A resident is entitled to refuse treatment to the extent provided by law and to be informed of the consequences of that refusal. If a refusal of
treatment prevents a health facility or agency or its staff from providing appropriate care according to ethical and professional standards, the relationship with the resident may be terminated upon reasonable notice. 



 

	7.	 A resident is entitled to exercise his or her rights as a resident and as a citizen, and to this end may present grievances or recommend changes in
policies and services on behalf of himself or herself or others to the health facility or agency staff, to governmental officials, or to another person of his or her choice within or outside the health facility or agency, free from restraint,
interference, coercion, discrimination, or reprisal. A resident is entitled to information about the health facility’s or agency’s policies and procedures for initiation, review, and resolution of resident complaints.




  

					
		 	20	 	










	8.	 A resident is entitled to information concerning an experimental procedure proposed as a part of his or her care and has the right to refuse to
participate in the experimental procedure without jeopardizing his or her continuing care. 


  

	9.	 A resident is entitled to receive and examine an explanation of his or her bill regardless of the source of payment and to receive, upon request,
information relating to financial assistance available through the health facility or agency. 


  

	10.	 A resident is entitled to know who is responsible for and who is providing his or her direct care, is entitled to receive information concerning his
or her continuing health needs and alternatives for meeting those needs, and to be involved in his or her discharge planning, if appropriate. 


  

	11.	 A resident is entitled to associate and have private communications and consultations with his or her physician, attorney, or any other person of
his or her choice and to send and receive personal mail unopened on the same day it is received at the health facility, unless medically contraindicated as documented by the attending physician in the medical record. A resident’s civil and
religious liberties, including the right to independent personal decisions and the right to knowledge of available choices, shall not be infringed and the health facility or agency shall encourage and assist in the fullest possible exercise of these
rights. A resident may meet with, and participate in, the activities of social, religious, and community groups at his or her discretion, unless medically contraindicated as documented by the attending physician in the medical record.



  

	12.	 A resident is entitled to be free from mental and physical abuse and from physical and chemical restraints, except those restraints authorized in
writing by the attending physician for a specified and limited time or as are necessitated by an emergency to protect the resident from injury to self or others, in which case the restraint may only be applied by a qualified professional who shall
set forth in writing the circumstances requiring the use of restraints and who shall promptly report the action to the attending physician. In case of a chemical restraint, a physician shall be consulted within 24 hours after the commencement of the
chemical restraint. 


  

	13.	 A resident is entitled to be free from performing services for the health facility that are not included for therapeutic purposes in the plan of
care. 


  

	14.	 A resident is entitled to information about the health facility rules and regulations affecting resident care and conduct.



  

	15.	 A resident is entitled to adequate and appropriate pain and symptom management as a basic and essential element of his or her medical treatment.



  

	16.	 This policy shall be provided to each resident upon admission, and the staff of the facility shall be trained and involved in the implementation of
the policy. 


  

	18.	 A married resident is entitled to meet privately with his or her spouse in a room that assures privacy. If both spouses are residents in the same
facility, they are entitled to share a room 



  
 21 









 unless medically contraindicated and documented by the attending physician
in the medical record. 
  

	19.	 A resident is entitled to retain and use personal clothing and possessions as space permits, unless to do so would infringe upon the rights of other
residents, or unless medically contraindicated as documented by the attending physician in the medical record. Each resident shall be provided with reasonable space. 



 

	20.	 A resident is entitled to the opportunity to participate in the planning of his or her medical treatment. 



 

	21.	 A resident may be transferred or discharged only for medical reasons, for his or her welfare or that of other residents, or for nonpayment of his or
her stay, except as provided by Title XVIII or Title XIX of the Social Security Act. A resident is entitled to be given reasonable advance notice to ensure orderly transfer or discharge. Those actions shall be documented in the medical record.



  

	22.	 A resident is entitled to be fully informed before or at the time of admission and during stay of services available in the facility, and of the
related charges including any charges for services not covered under Title XVIII of the Social Security Act, or not covered by the facility’s basic per diem rate. The statement of services provided by the facility shall be in writing and shall
include those required to be offered on an as-needed basis. 


  

	23.	 A resident is entitled to manage his or her own financial affairs, or to have at least a quarterly accounting of personal financial transactions
undertaken in his or her behalf by the facility during a period of time the resident has delegated those responsibilities to the facility. In addition, a resident is entitled to receive each month from the facility an itemized statement setting
forth the services paid for by or on behalf of the resident and the services rendered by the facility. 


  

	24.	 A resident is entitled to be fully informed, as evidenced by the resident’s written acknowledgment, before or at the time of admission and
during stay, of the home for the aged’s policy on resident rights and responsibilities. If a resident is adjudicated incompetent and not restored to legal capacity, the resident’s rights and responsibilities shall be exercised by a person
designated by the resident. The health facility shall provide proper forms for the resident to provide for the designation of this person at the time of admission. 



  
 22 









 RESIDENT RESPONSIBILITIES 

 

	1.	 A resident is responsible for following the health facility rules and regulations affecting resident care and conduct. 



 

	2.	 A resident is responsible for providing a complete and accurate medical history. 



 

	3.	 A resident is responsible for making it known whether he or she clearly comprehends a contemplated course of action and the things he or she is
expected to do. 


  

	4.	 A resident is responsible for following the recommendations and advice prescribed in a course of treatment by the physician.



  

	5.	 A resident is responsible for providing information about unexpected complications that arise in an expected course of treatment.



  

	6.	 A resident is responsible for being considerate of the rights of other residents and health facility personnel and property.



  

	7.	 A resident is responsible for providing the health facility with accurate and timely information concerning his or her sources of payment and
ability to meet financial obligations. 


  

					
	RESIDENT/ RESPONSIBLE PARTY:	 		 	SECOND RESIDENT/ RESPONSIBLE PARTY:
			
	  	 		 	  
	 (Signature)
	 		 	 (Signature)

			
	  	 		 	  
	 (Print Name)
	 		 	 (Print Name)

			
	  	 		 	  
	 (Date)
	 		 	 (Date)



  
 23 









 EXHIBIT 6  

RESPONSIBLE PARTY CONTRACT 
 THIS CONTRACT is entered into as of this              day of
                    ,         , by and among
                     (hereinafter referred to as the “Resident”);
                                        
(the “Responsible Party”) and Sunrise Senior Living Management, Inc., (“Sunrise”), Manager for Owner. 
 WHEREAS, the Resident desires to live in the suite, or already lives in the suite (the “Suite”) identified in an Contract between Sunrise and the Resident (the “Residency Agreement”),
of which this Contract is made a part thereof; and 
 WHEREAS, Sunrise is willing to enter into the Residency
Agreement if the Resident identifies an individual who is willing to provide certain assistance to or on behalf of the Resident in the event that such assistance is necessary, and who is willing to pay the Resident’s financial obligations to
Sunrise under the Residency Agreement in the event that the Resident does not make payments when due; and 

WHEREAS, the Responsible Party has agreed to provide such assistance and to pay such obligations if and as necessary.

 In consideration of the foregoing, the parties agree as follows: 

 

	 	1.	 In the event that the condition of the Resident makes such assistance necessary or advisable, the Responsible Party, upon the request of the
Community, will: 


  

	 	a)	 Participate as needed with the Community staff in evaluating the Resident’s needs and in planning and implementing an appropriate plan for the
Resident’s care; 


  

	 	b)	 Assist the Resident as necessary to maintain the Resident’s welfare and to fulfill the Resident’s obligations under the Residency
Agreement; 


  

	 	c)	 Assist the Resident in transferring to a hospital, nursing home, or other medical facility in the event that the Resident’s needs can no longer
be met by the Community; 


  

	 	d)	 Assist in removing the Resident’s personal property from the Apartment/Suite when the Resident leaves the Community;



  

	 	e)	 Make necessary arrangements, or assist the legally responsible person in making necessary arrangements, for funeral services and burial in the event
of death. 


  

	 	2.	 In the event that the Resident fails to pay any amount or amounts due to the Community under the Residency Agreement, the Responsible Party hereby
agrees to pay the Community all amounts due from the Resident 



  
 24 










	 	 
under the Residency Agreement, as it may be amended from time to time, including any amounts resulting from increases in fees or charges authorized by the Residency Agreement. The Responsible
Party agrees to pay the Community within thirty (30) days of receiving each notice from the Community of nonpayment by the Resident. 


  

	 	3.	 The Responsible Party acknowledges that he/she has received and has reviewed a copy of the Residency Agreement, and has had an opportunity to ask
any questions the Responsible Party may have. 


 IN WITNESS WHEREOF, the undersigned have duly
executed this Contract, or have caused this Contract to be duly executed on their behalf, as of the day and year first above written. 
  

					
	Sunrise Senior Living Management, Inc., as Manager for Owner:	 		 	Responsible Party
			
	  	 		 	  
	 (Signature)
	 		 	 (Signature)

			
	 Executive Director
	 		 	  
	 (Title)
	 		 	 (Print Name)

			
	  	 		 	  
	 (Name of Community)
	 		 	(Address)
			
	  	 		 	  
	 (Date)
	 		 	 (Date)

			
	 	 		 	  
		 		 	Social Security Number
			
	 	 		 	  
		 		 	Resident’s Name


  
 25 









 EXHIBIT 7 
 CONSENT TO PHOTOGRAPH 
 Sunrise was founded on the belief that human life
is sacred — each person deserves to be treated with the utmost dignity and respect. At times photographic images of residents are required to ensure their safety and / or enhance their Sunrise experience. 

Because Sunrise desires to ensure that each resident is able to exercise the right to make his or her own choices, this Consent to
Photograph authorizes Sunrise Senior Living Management, Inc. and/or Sunrise Senior Living Services, Inc. (collectively referred to herein as “Sunrise”) to act according to your wishes With respect to photographs. 

I,                     ,
consent to photographs of                     , being used for the following reason(s): 

 

	 	 ̈	 Identification purposes intended to assist in the delivery of care and/or dietary services in order to ensure my best interests and needs are met. I
understand that these images will be treated by the Community as confidential. 


  

	 	 ̈	 Recognition of anniversary, birthday, celebrations and events attended while living as a Sunrise resident. I understand that these images may be
placed in a photo album and/or posted online at www.SunriseConnected or other Sunrise web site, to enable my family and others to enjoy seeing the celebrations and events provided. 



I release and hold harmless Sunrise and any affiliated companies and businesses as well as their employees, officers, directors and
agents from any and all claims arising from the use of
                                        
’s, photograph as authorized above. 
  

			
		 	 
		 	Resident Name (please print)
		
		 	 
		 	Responsible Party, Attorney in Fact or Guardian Name —if applicable (please print)


  
 26 









 CARE PROGRAMS AND SERVICES 
 ASSISTED LIVING 
 The Community’s Assisted Living Program
consists of reminders, supervision and/or hands on assistance with certain activities of daily living. Such services are offered at Assisted Living Plus, Assisted Living Plus Plus, and Enhanced Care, depending on the nature and extent of services
provided. 
 REMINISCENCE PROGRAM 
 The Community’s Reminiscence Program (“Reminiscence Program”) is designed for residents who have a diagnosis of Alzheimer’s Disease, dementia or related disorders or who have similar
care needs. The Reminiscence Program is offered in a specially designed Reminiscence Neighborhood. The Reminiscence Program is offered at different levels, depending on the nature and extent of services provided. 

TERRACE CLUB 
 The
Terrace Club is a specially designed program for residents who have, or are concerned about, early memory loss. It is offered as an addition to the Assisted Living program and service levels. 
 AVON PLACE 
 Avon Place is a specially designed neighborhood in the
Community with programming designed for residents with early to mid stage memory loss usually associated with Alzheimer’s disease or related disorder such as dementia. It is offered at a “Base” level and a “Plus” level,
depending on the nature and extent of services provided. 
 EDNA’S PLACE 

Edna’s Place consists of a cluster of suites within the Reminiscence Neighborhood and incorporates design features, therapeutic
programs and closely supervised activities for residents who have higher level needs due to more severe cognitive impairment such as late stage memory loss or Alzheimer’s Disease. Edna’s Place is offered at a “Base” level, and a
“Plus” level, depending on the nature and extent of services provided. 
 MEDICATION ASSISTANCE PROGRAM 

The Medication Program is available to those residents who may require help with their medications. Medication assistance is subject to
state law but may include the following: a) reminding the resident of the time to take medication; b) reading the medication label to the resident; c) checking the dosage of self administered medication against the container label; and d) physically
assisting the resident in pouring or otherwise taking the medication. If the resident is able to self-administer his/her own medications, the medications must be kept in a locked box or area (at Resident’s expense) in the Resident’s Suite.


  
 27 









 The Community’s Medication Program requires the use of a uniform medication packaging
system. The Resident may purchase medications from a pharmacy that has contracted with the Community, or the Resident can provide written notice to the Community that he/she will obtain medications from another pharmacy. While the Resident is free
to select any pharmacy, the pharmacy must provide medications in a manner consistent with the Community’s system in order for the Resident to participate in the Medication Program. 

  
 28 









 REFERRAL DISCLOSURE ADDENDUM 

This is to advise you that, in the ordinary course of business, Sunrise communities develop relationships with local and national
organizations that may lead to referrals and move-ins. It is just one of many ways of ensuring that residents who need care locate the appropriate setting to meet their needs. In some cases, if allowed by law, the referral source may require
compensation from the Community if a resident whom they referred moves into the Community. The majority of move-ins are not the result of compensated referrals. Payment of a fee has no effect on a resident’s stay at our community. 

  

					
		 	29	 	









 RESPITE STAY ADDENDUM 

 
 THIS RESPITE
STAY ADDENDUM (this “Addendum”) is entered into as of this              day of
                , 20    , by and between: (i) Sunrise and (ii)
                     (“you” or “Resident”). 

WHEREAS, the Resident desires to reside at the Community for a temporary respite stay (the “Respite Stay”); and

 WHEREAS, the Resident and the Community have entered into a Residency Agreement dated
                , 20     (the “Residency Agreement”), as amended herein. 

NOW THEREFORE, the Resident and the Community agree as follows: 

1. Article IV.A. of the Residency Agreement is hereby amended as follows: Resident shall reside at the Community for the
period commencing on                 , 20     and terminating no later than
                , 20    . 
 2. The Move-in Fee referred to in Article III.B. of the Residency Agreement shall be waived during the Resident’s Respite Stay. 

3. Article III. of the Residency Agreement is amended to add the following: 

L. Respite Stay Daily Fee. During the Respite Stay, the Resident shall pay a daily fee in the amount of
$             (the “Respite Stay Daily Fee”). 
 4. In the event that Resident becomes a permanent resident of the Community, Resident shall be responsible for payment of the Move-in Fee upon the first day of such permanent residency. A portion of the
Respite Stay Daily Fee, in the amount of $            , is referred to as the Respite Premium Fee. Resident’s Move-In Fee shall be credited by the amount of the Respite Premium
Fee paid over the course of the Respite stay, up to the full amount of the Move-in Fee. For example, if the Resident pays a Respite Premium Fee of $25.00 to the standard room rate for a Respite Stay of 10 days, the Resident will receive a Respite
Premium credit of $250 towards the Move-in Fee. 
 5. Except as modified herein, all of the other terms and
conditions of the Residency Agreement remain in full force and effect. 

  

					
		 	30	 	









 IN WITNESS WHEREOF, the parties have executed this Addendum effective as of
the date first written above. 
  

					
	SUNRISE	 		 	
			
	  	 		 	 
	 Signature
	 		 	
			
	  	 		 	 
	 Executive Director
	 		 	
			
	  	 		 	 
	 Date
	 		 	

  

					
	RESIDENT	 		 	RESPONSIBLE PARTY
			
	  	 		 	  
	 Signature
	 		 	 Signature

			
	  	 		 	  
	 Print Name
	 		 	 Print Name

			
	  	 		 	  
	 Date
	 		 	 Date



  

					
		 	31	 	









 PET ADDENDUM 

The Community consents to the Resident keeping in the Suite the household pet described as follows (the “Pet”): 

 

			
	 	  	 Kind and breed

		
	 	  	 Name

		
	 	  	 Color

		
	 	  	 Height (maximum height permitted is 18”)

		
	 	  	 Weight (maximum weight permitted is 30 lbs.)

		
	 	  	 Age


 The Resident
will provide the Community a photograph of the Pet at the time this Addendum is executed. 
 A.
Responsibilities of the Resident. The Resident will keep the Pet in the Suite, except when walking the Pet, if applicable, or transporting it to and from the Suite. The Resident will not allow the Pet in building lobbies or in common
residential area, other than to transport the Pet to and from the Suite. The Resident will walk and curb the Pet only in areas designated by the Community and will be responsible for cleaning up after the Pet. When the Pet is not in the Suite, the
Resident will keep it on a leash no longer than five feet or in a cage or other appropriate closed and ventilated container, and in the control of the Resident. If the Pet is a bird, the Resident will keep it caged both in and out of the Suite. If
the Pet is a dog or cat, the Resident will ensure that it wears a collar with appropriate identification (including the Resident’s telephone number) at all times that it is out of the Suite. 

The Resident will comply with all vaccination and licensing requirements applicable to the Pet, showing proof of this
upon request, and will comply with appropriate standards of care, treatment, and grooming. The Resident will be responsible for the health, welfare, and proper care of the Pet. The Resident will ensure that the Pet does not disturb the right of
other residents to the peaceful enjoyment of their Suites and of the common areas. The Resident will not leave the Pet unattended when the Pet is not in the Suite. 

The Resident will be liable for any personal injury or property damage caused by the Pet that is suffered by the
Community, its employees or agents, other residents, guests, or invitees. The Resident will pay all costs and expenses, including reasonable attorneys’ fees and court costs incurred by the Community in enforcing any liability of the Resident
under this Addendum. 
 B. Term and Termination. This Addendum will continue until the Residency
Agreement between the Resident and the Community is terminated, unless either party terminates this Addendum for any reason by giving seven (7) days prior written notice to the other party. The Community may terminate this
Addendum upon twenty-four (24) hours notice in the event the Resident breaches any of the Resident’s obligations under this Addendum. In the event that the Pet is left unattended for more than twenty-four (24) hours, or if the


  

					
		 	32	 	









 
Community determines that the Resident, for any reason, is unable to care for the Pet, the Community reserves the right to arrange for the Pet to be delivered to: 

					
	  	  	  	 	  
	  	  	  	 	  
	(Sponsor)	  		 	

 or to such other individual or agency as the Community determines to be appropriate. The Resident will
pay all costs of delivery, feeding, care, treatment, and housing of the Pet. The Resident acknowledges that the Resident has no right to keep a pet except to the extent expressly permitted by this Addendum, and that the Community reserves the right
to withdraw its consent to the Resident keeping the Pet at any time by terminating this Addendum as permitted above. 
  

									
		 		 	 Community

					
	 Date:
	 	 	 		 	By:	 	 
		 		 		 	Title:	 	 
				
		 		 		 	 Resident / Responsible Party:

				
	 Date:
	 	 	 		 	 
		 		 		 	 Signature

				
		 		 		 	 
		 		 		 	Title
				
		 		 		 	 Resident / Responsible Party:

				
	 Date:
	 	 	 		 	 
		 		 		 	 Signature

				
		 		 		 	 
		 		 		 	 Title



  

					
		 	33	 	










  

 MOTORIZED VEHICLE ADDENDUM  

RULES FOR MOTORIZED VEHICLES 
 This Exhibit is hereby attached to and becomes a part of the attached Residency Agreement by and between the Community and the Resident dated
             20    . 
 The Resident and the Community agree that the Resident shall be entitled to use a motorized vehicle in the Community so long as this Residency Agreement remains in force upon the following terms.

 Any Resident who wishes to operate an electric wheelchair, motorized cart or similar device (a
“Motorized Vehicle”) at the Community must register with the Community and follow the Rules presented below. The Rules governing Motorized Vehicle use are designed to protect residents and staff. 

 

	 	1.	 To complete registration, the Resident must submit to the Executive Director a written statement indicating that the Resident’s need for use of
a Motorized Vehicle is due to the Resident’s disability. 


  

	 	2.	 Resident acknowledges responsibility for any damage or injury caused by use of the Motorized Vehicle. The Community encourages Residents to purchase
liability insurance that covers Residents for any injury or damaged caused by Residents’ Motorized Vehicles. Without such insurance, Residents may be personally liable for substantial amounts of money plus attorneys’ fees.



  

	 	3.	 The Community will review with the Resident how to properly operate the scooter, i.e. start, stop, and understand the turning capabilities of the
scooter. The use of the Motorized Vehicle may be restricted, if it becomes evident to the Community’s leadership that the use of the Motorized Vehicle constitutes a direct threat to the health or safety of others or result in substantial
physical damage. 


  

	 	4.	 No Motorized Vehicle shall be operated at the Community at a speed that exceeds a normal walking pace, estimated at 2 miles per hour.



  

	 	5.	 The Resident must operate the Motorized Vehicle at the lowest possible speed and then transfer to a dining chair for the meal, due to the Motorized
Vehicle blocking ingress and egress. For the safety of residents and staff, staff will park the Motorized Vehicle in the dining room foyer during the meal. The Community will consider modifications of this Rule if the Resident’s medical
condition precludes transfer to a chair. 


  

	 	6.	 The Motorized Vehicle must be operated at all times in a safe manner and with due care to avoid causing any personal injury or property damage. The
Resident must be particularly careful to avoid persons who are entering or leaving their Suites. 



  

					
		 	34	 	










  


	 	7.	 The Motorized Vehicle should be driven in the center of the hallway. The Resident must stop at hallway intersections, look both ways and make sure
it is clear before slowly proceeding through the intersection. 


  

	 	8.	 The Motorized Vehicle must not be left unattended near any entrances, exits or intersections. When the Resident retires to his or her Suite, he or
she must also bring the Motorized Vehicle inside. 


  

	 	9.	 Residents requesting any reasonable accommodation in the Community’s Rules shall submit a written request to the Executive Director.



  

									
					
		 	DATED:                     	 		 		 	 
		 		 		 		 	Resident


	
	
	  
	Executive Director


  

					
		 	35	 	










  

 Exhibit A-5 

Form of Residency Document (Pennsylvania) 
 (see attached) 

  

					
		 		 	









 Residency Agreement 

Sunrise of Abington 
 1801 Susquehanna Road 
 Abington, PA 19001 

THIS RESIDENCY AGREEMENT (“Residency Agreement”) is made and entered into this
             day of             ,          (“Effective
Date”) by and between: 
  

	 	(i)	 SZR Abington Assisted Living, L.L.C. (“Owner”) acting through its manager, Sunrise Senior Living Management, Inc.
(“Sunrise”) d/b/a Sunrise of Abington (the “Community”), and 


  

	 	(ii)	 ____________________________________________________________________________________________________ “you” or “Resident”). (If
more than one person enters into this Residency Agreement, the word “you” as used herein shall include both persons unless otherwise stated.) 



The Community is managed by Sunrise. Sunrise’s corporate address is 7900 Westpark Drive, Suite T-900, McLean,
Virginia 22102. Sunrise can be contacted at (888) 434-4648. The Community is licensed as an Assisted Living Residence by the Commonwealth of Pennsylvania. 

Programs and services available in assisted living suites at this Community are checked below: 

x Assisted Living 
 x Reminiscence Program 
  ̈ Terrace Club 
  ̈ Avon Place 

 ̈ Edna’s Place 
 Notes (please initial and date): 
  

 
  

 
  

 
  

 
  

 








  

 PREAMBLE 

The Community is a senior living community that includes assisted living suites and may also include specialized settings
for memory-impaired individuals (please refer to the list on Page 2 for programs offered). The purpose of this Residency Agreement is to provide a statement of the services that will be provided to you and the legal obligations that the Community
will be assuming. This Residency Agreement also sets forth your obligations to the Community, both financial and non-financial. Your residence is identified by suite number in Exhibit 1 of this Residency Agreement. You may move into your suite (the
“Suite”) as of the date (the “Occupancy Date”) listed in Exhibit 1. 
 ARTICLE I  

Resident Evaluation 
 A. Qualification for Residency. The Community may only accept or retain an individual to be a resident if management determines, in its sole discretion, it is able to provide appropriate
services and the individual meets the requirements set forth by state law. The Community is not required to admit or retain the Resident or to contract with the Resident for services, if the Community determines, in its sole discretion that it
cannot meet the Resident’s needs or the Resident fails to meet the requirements as set forth by law. 

B. Physician’s Report. Prior to move-in, the Resident will provide the Community a completed
Physician’s Report (the “Physician’s Report”) on a form provided by the Community. This Report will include a physical examination conducted within thirty (30) days prior to move-in and must demonstrate that the Resident
meets criteria for residency. After move-in, the Community may require a Physician’s Report, acceptable to the Community, following any hospitalization, when the Community determines that the Resident’s health condition warrants, and as
required by law. 
 C. Psychiatric Examination. In addition to the Physician’s Report, the
Community may require a report of a current psychiatric examination (the “Psychiatric Examination”) prior to move-in if the Resident is taking psychotropic drugs, or has a history of aggressive behavior, to determine if the Resident’s
needs can be met in an Assisted Living Program and to assist in the Resident’s support plan. After move-in, the Community may require a psychiatric consultation when the Community, along with the Resident’s personal physician, determines
that the Resident’s health condition warrants. Failure to comply with the request for a consultation after move-in may result in a termination of this Residency Agreement. 

D. Assessment. The level of assisted living services required by the Resident is determined through an
assessment (“Assessment”) of the Resident. 
 The Assessment is performed when the Resident desires to
move into the Community, and is performed again (i) when additional assisted living services may be needed, (ii) upon the Resident’s change in condition or (iii) upon a Resident’s return from the hospital or other care
facility. The Resident, his/her family, and any Responsible Party named in this Residency Agreement will be informed of changes in the Resident’s condition and any additional assisted 

  

					
		 	4	 	









 living services needed, and are encouraged to participate in the review, assessment, and
support plan process. 
 The Assessment is performed by a designated team member and includes an evaluation of
each Resident’s specific needs. It covers areas such as: mobility, skin care, eating habits, oral hygiene, continence, cognitive behavior, and medication. This Assessment along with the Physician’s signed Medical Evaluation and
Pre-admission Screening provides the basis for identifying the Resident’s Service and Medications Levels. 

In addition to the Assessment, the Commonwealth of Pennsylvania requires that the Resident submit to an initial
standardized screening, including a mobility assessment, completed by the staff of the Community or a human service agency within thirty (30) days prior to move-in. This screening, including the mobility assessment, will be repeated annually or
upon a change in the Resident’s condition or at the request of the Department of Public Welfare of the Commonwealth. The Physician’s signed Medical Evaluation shall be completed sixty (60) days prior to or thirty (30) days after
your admission. 
 E. Resident Support Plan. A support plan will be developed based on the
Physician’s Medical Evaluation, the Psychiatric Examination (if applicable), screening, and the Assessment. The Resident’s support plan will be developed with the Resident and/or any individual the Resident designates, including any
Responsible Party within thirty (30) days after your admission. The support plan will outline the services the Resident is to receive. 
 F. Change in Resident’s Condition. If the Resident’s condition changes so that the previously assessed level of services is no longer appropriate, the Community will reevaluate the
Resident’s needs to determine which level of service is appropriate and notify the Resident/Responsible Party of such reevaluation. The rate charged will vary according to the level of service provided. Should the Resident wish to decrease the
services received, prior approval from the Community is required. Changes in services provided will be reflected in a revised support plan. 
 G. Notification of Third Parties. In the event that the Resident requires emergency services or experiences a significant change in condition, the Community will attempt to contact the
Responsible Party or other individual designated by the Resident, immediately. The Resident is responsible for ensuring that the Community has current telephone numbers for the individuals to be notified. 

ARTICLE II 

Responsibilities and Representations of the Resident 

A. The Resident will use the Suite only for residential dwelling purposes. 

B. Smoking is not allowed in any Resident Suite. Smoking is only allowed in designated “Smoking Areas.”
Whether to designate any Smoking Areas is within the sole discretion of the Community. The Community may require residents to be supervised when smoking. 

  

					
		 	5	 	









 C. A live-in companion is considered an additional person living in
the Suite and is required to pay the Base Fee associated with the Resident’s Suite. 
 D. Resident
agrees to maintain the Suite in a clean, sanitary and orderly condition. Resident will reimburse the Community for the repair or replacement of furnishings and fixtures in the Suite beyond normal wear and tear. In addition, Resident will reimburse
the Community for loss or damage to real or personal property of the Community caused by pets or the negligence or willful misconduct of the Resident or the Resident’s agents, guests, or invitees. 

E. Any damage to carpeting in the Resident’s Suite, other than normal wear and tear, including stains and/or
odors due to incontinence or pets, will result in the carpet being professionally cleaned, repaired or replaced by the Community. The Community will have the right to determine whether the carpet needs to be repaired, cleaned, or replaced. The
Resident shall be responsible for the cost of the repairing, cleaning, or replacing the carpet. 
 F. The
Resident will not alter or improve the Suite without the prior written consent of the Community. Upon the termination of this Residency Agreement, the Resident will be required to return the Suite to the original condition at his/her own expense
prior to the expiration of any applicable notice periods. 
 G. The Resident will notify the Community
promptly of any defects in the Suite, common areas or in the Community’s equipment, appliances, or fixtures. 
 H. Community employees or agents may enter the Suite at any reasonable time in order to provide services to the Resident, to perform building inspection and maintenance functions, to show the Suite
to prospective residents with the Resident’s permission and otherwise to carry out the Community’s obligations under this Residency Agreement. Resident shall allow entry into the Suite at any time to the Community’s employees or
agents when they are responding to the medical alert system, fire alert system or other emergency. 
 I.
The Resident will vacate the Suite at the termination of this Residency Agreement, remove all of the Resident’s property, and deliver possession of the Suite and any furniture, equipment, appliances, and fixtures supplied by the Community, to
the Community in good condition, ordinary wear and tear excepted. The Resident will pay the cost of removing and storing any property of the Resident remaining in the Suite after the termination of this Residency Agreement. 

J. The Resident will comply with all guidelines established by the Community regarding resident conduct in the
Community (the “Community Guidelines”), which shall be deemed incorporated herein. The Community Guidelines may be amended from time to time as the Community determines to be appropriate. If the Community has already adopted Guidelines,
they are attached as Exhibit 4. 
 K. The Resident will not keep a dog, cat, bird, fish, or other
pet of any kind in the Suite unless the Resident and Community have executed the Pet Addendum, available upon request. 

  

					
		 	6	 	









 L. If at any time the Resident wishes to use a motorized vehicle
he/she must execute a Motorized Vehicle Addendum, available upon request. 
 M. The Resident agrees to
maintain his/her own personal physician. 
 N. The Resident and Responsible Party understand and agree
that the Community may restrict an individual’s visitation rights or bar an individual from entering the Community if it is determined that the individual is disrupting the care of the Resident, the care of other residents or if the presence of
the individual has a negative effect on a resident’s physical or psychosocial well being. 
 ARTICLE III 

 Financial Arrangements 

A. Fees. The Resident will pay to the Community the fees indicated on Exhibit 1, and any
Additional Amenities provided to the Resident at the fees indicated on Exhibit 3. 
 B. Community
Fee. 
 1. The Resident will pay to the Community a one-time fee (the
“Community Fee”) in an amount indicated on Exhibit 1, subject to the provisions of this Article III. B. 
 2. If the Resident has previously paid a Community Fee to the Community, the Community Fee due upon the execution of this Residency Agreement is the Community Fee established for the Suite less the
Community Fee previously paid. If the Community Fee previously paid is greater than the Community Fee currently established for the Suite, no additional Community Fee will be due, and no portion of the Community Fee previously paid will be refunded.

 3. The Community Fee is non-refundable, except as specifically provided in this
paragraph, or in the Community Fee Addendum. The Community Fee is not a security deposit and is not intended to secure the performance of any obligation of the Resident under this Residency Agreement. 

a) If this Residency Agreement is terminated prior to the Resident taking possession of the Suite or
receiving any of the Assisted Living Program Services, the Community will refund the Community Fee paid under this Residency Agreement less an administrative charge set forth in Exhibit 1, unless the move-in does not take place for physician
documented medical reasons, in which case the entire Community Fee will be refunded. 
 b) In the
event the Resident terminates the Residency Agreement after move-in, the Community Fee will be refunded pursuant to the terms of the Community Fee Addendum attached hereto. 

C. Special Assessments. The Community reserves the right to assess charges for special circumstances
outside the Community’s control, such as sharp increases in costs of 

  

					
		 	7	 	









 
utilities or other necessary expenses. The Community shall provide the Resident at least thirty (30) days’ written notice (or such additional days’ notice as may be required by
law) prior to the imposition of such special assessments. 
 D. Payment Schedule and
Monthly Statement. Prior to or on the Occupancy Date, the Resident shall pay the Community an amount equal to the Total Daily Fee set forth in Exhibit 1 multiplied by the number of days in that month. This payment shall be applied to
Resident’s first month’s residence in the Community. If the Occupancy Date is on a day other than the first day of the month, the advance payment shall be prorated accordingly and the residual amount will be credited to the following
month’s payment. Thereafter, the Community will provide to the Resident a monthly statement itemizing fees and charges and payments received, and showing the balance due. The monthly statement will aggregate daily fees into a monthly amount,
which shall be due in advance, on the first
(1st) calendar day of each month. 

E. Resident Responsible for Managing Finances. Resident is responsible for managing his/her finances.
Resident is entitled to retain a minimum of Eighty Five Dollars ($85) of his or her funds to cover personal needs. This personal needs allowance may be revised by the Department of Public Welfare of the Commonwealth. The Resident is responsible for
all charges and fees incurred. 
 F. Late Payment Charge. If the
Resident’s account is not paid in full by the first of the month, a late payment charge will be assessed on the outstanding balance of one and one-quarter percent (1 1/4%) per month until paid. This periodic rate is equivalent to an
annual percentage rate of fifteen percent (15%). The Resident will pay all costs and expenses, including reasonable attorneys’ fees and court costs, incurred by the Community in collecting amounts past due under this Residency Agreement.

 G. Increases in Fees and Charges. The Community shall increase the
Base Fee on January 1st of each year. Notice of any
increase in the Schedule of Fees (see Exhibit 2), will be provided to the Resident in writing thirty (30) days prior to the effective date of the increase. The Resident will pay all applicable new or increased fees and charges, unless
the Resident terminates this Residency Agreement in accordance with article IV of this Residency Agreement, effective prior to the effective date of the fee or charge increase. If the Community agrees at the request of the Resident to provide
additional services or to expand services beyond those currently being furnished to the Resident, no advance notice requirement will apply to any fees or charges relating to such services. 

A change in the level of service (for example, a change from Assisted Living Base to Assisted Living Plus) is
not considered a change of fees or charges. The Resident shall be responsible for the cost of increased level of service when he/she begins receiving such services. 

H. Additional Assisted Living Services/Products Credit. In the event that the Resident is absent from the
Community for a period in excess of three (3) consecutive calendar days, the Community will credit the Resident’s account a daily amount as indicated in Exhibit 2, for each day after the third consecutive day that the resident is
absent. The Resident will remain 

  

					
		 	8	 	









 
responsible for the fees associated with the additional assisted living services/products listed on Exhibits 3 for the first three days of each period of absence. 

I. Meal Credits. In the event that the Resident is absent from the Suite for a period in excess of seven
(7) consecutive calendar days, the Community will credit the Resident’s account a daily amount (the “Meal Credit”) as indicated in Exhibit 2, for each day after the seventh day that the Resident is absent. 

J. Double Occupancy. If two individuals are parties to this Residency Agreement, a second person occupancy
fee, as listed in Exhibit 1-A, shall be applied. Both Residents shall be jointly and severally liable for all fees and charges incurred by each Resident. When two persons are parties to this Residency Agreement, and when one such person
permanently vacates the Suite, the remaining resident shall have the option of: 
  

	 	•	 	 Retaining the same Suite, with the understanding that a prospective resident may select that Suite for double occupancy; or



  

	 	•	 	 Retaining the same Suite and paying the fee applicable to private occupancy; or 



 

	 	•	 	 Relocating to a single occupancy Suite, if available. 



K. Suite Hold Policy. In the event that the Resident is absent from the Community for any reason, the
Resident will be required to pay the Base Fee, as it becomes due, less any credits to which the Resident is entitled under this Residency Agreement. The Resident is responsible for all charges and fees until this Residency Agreement is terminated in
accordance with Article IV. 
 L. Refund Upon Closing. In the event the Community ceases to
operate, the Resident will be entitled to a pro rata refund of any amounts paid under the Residency Agreement for services for that period after which the Community has closed. 
 ARTICLE IV  
 Term and Termination 

A. Term of Residency Agreement. This Residency Agreement shall commence on the date set forth on the first
page of this Residency Agreement (“Effective Date”) and will continue on a month-to-month basis, unless this Residency Agreement is terminated as provided below herein. 

B. Termination. The Community may terminate this Residency Agreement prior to the
expiration of its term, upon thirty (30) days’
prior written notice (“Community Notice Period”) to the Resident and the Responsible Party for one of the following reasons, as determined by the Community: 

1. The Resident 

  

					
		 	9	 	









 a) The Resident is a danger to himself or others; or

 b) The owner chooses to voluntarily close the Community, or a portion of the Community; or

 c) The Community determines that the Resident’s functional level has advanced or declined
so that the Resident’s needs cannot be met in the Community. If the Resident or the Resident’s designated person disagrees with the Community’s decision to discharge or transfer, consultation with an appropriate assessment agency or
the Resident’s physician shall be made to determine if the Resident needs a higher level of care. A plan for other placement shall be made as soon as possible by the administrator in conjunction with the Resident and the Resident’s
designated person, if any. If assistance with relocation is needed, the administrator shall contact the appropriate local agencies, such as the area agency on aging, county mental health/mental retardation program or drug and alcohol program, for
assistance. The administrator shall also contact the Department’s personal care home regional office; or 
 d) Meeting the Resident’s needs would require a fundamental alteration in the Community’s program or building site, or would create an undue financial or programmatic burden on the Community; or

 e) The Resident has failed to pay after reasonable documented efforts by the Community to
obtain payment; or 
 f) Closure of the Community is initiated by the department; or 

g) Documented repeated violations of the Community’s rules. 

Notwithstanding the foregoing, a 30-day advance written notice is not required if a delay in discharge or transfer would
jeopardize the health, safety or well-being of the Resident or others in the Community, as certified by a physician or the Pennsylvania Department of Public Welfare. 

C. Termination by Resident. The Resident may terminate this Residency Agreement, upon thirty (30) days
prior written notice to the Community (“Resident Notice Period”), for any reason. In the event of the death of the Resident, this Residency Agreement will terminate on the first full day after all articles are removed from the suite.
Notwithstanding the foregoing, a 30-day advance written notice is not required if a delay in discharge or transfer would jeopardize the health, safety or well-being of the Resident or others in the Community, as certified by a physician or the
Pennsylvania Department of Public Welfare. 
 D. Refunds. 

1. In the event the Community terminates this Residency Agreement and the Resident vacates the
Suite before the Community Notice Period is over, the Community shall refund the Resident a prorated amount of the paid Base Fee and the Additional 

  

					
		 	10	 	









 
Assisted Living Services Fees for the unused portion of the Community Notice Period. Such refund shall be issued within 30 days of the Resident’s move from the Community. 

2. In the event the Resident terminates this Residency Agreement, the Resident will be liable for
all charges accrued or incurred for the entire length of the Resident Notice Period, regardless of whether the Resident vacates the Suite prior to the expiration of the Resident Notice Period. 

3. In the event of the death of a resident sixty years and older, the Community will contact the
Resident’s Responsible Party within 24 hours to arrange for an inventory of the Resident’s personal property. The Community will refund the Responsible Party a prorated amount of the paid Base Fee and any Additional Assisted Living
Services Fees within 30 days from the date Services were last provided to the Resident. Under Pennsylvania Code, the Resident’s refund under this paragraph will reflect payment for only those Services provided to the Resident. The Community
will not be responsible for storing the Resident’s property. 
 E. Removal of Personal Property.
Upon termination of this Residency Agreement, the Resident’s personal property must be removed from the Suite. The Community shall continue to assess, and the Resident will be required to pay, the Base Fee on a prorated basis until the
personal property is removed from the Suite. 
 ARTICLE V 

Miscellaneous Provisions 
 A. Choice of Accommodations. In the event that the suite of the Resident’s choice is not immediately available, an alternate suite will be made available and the Resident will be
charged the rate customarily associated with such suite. Once the Resident’s desired suite becomes available the Resident will be allowed to move into the desired suite in accordance with the Community’s policy and the rate set forth in
Exhibit 2, will apply. 
 B. Grievance Procedure / Conflict Resolution / Waiver of Jury Trial.
The Community’s Grievance Procedure is set forth in Exhibit 5. While most issues can be resolved under the Grievance Procedures outlined in Exhibit 5, in the event that the parties are unable to resolve their differences short of
litigation, the parties agree that any trial shall be before a judge and not a jury. Accordingly: 
 WAIVER OF TRIAL BY
JURY: THE PARTIES TO THIS RESIDENCY AGREEMENT HEREBY KNOWINGLY AND UNCONDITIONALLY WAIVE ALL RIGHT TO A TRIAL BY JURY IN ANY LAWSUIT OR COUNTERCLAIM THAT MAY BE FILED BY EITHER PARTY IN CONTRACT, TORT, EQUITY OR BY STATUTE ARISING OUT OF OR
RELATED TO THIS RESIDENCY AGREEMENT AND/OR ANY SERVICES OR CARE PROVIDED BY THE COMMUNITY TO THE RESIDENT. THE “COMMUNITY” SHALL INCLUDE THE MANAGER, OWNER and/or TENANT, AND ALL OF THEIR RESPECTIVE AFFILIATES, SUBSIDIARIES, PARENT
COMPANIES AND SISTER COMPANIES AND ALL OF THEIR RESPECTIVE EMPLOYEES, AGENTS, CONTRACTORS, ASSIGNEES, OFFICERS AND DIRECTORS. IF THE UNDERSIGNED IS ANYONE OTHER THAN THE RESIDENT, THE UNDERSIGNED REPRESENTS THAT HE/SHE HAS FULL LEGAL AND EXPRESS


  

					
		 	11	 	









 
AUTHORITY TO WAIVE THE RESIDENT’S, HIS/HER HEIR’(S), BENEFICIARIES, AND/OR ESTATE’S RIGHT TO A TRIAL BY JURY. 

C. Insurance. The Resident is responsible for maintaining at all times his or her own insurance coverage,
including health, personal property, liability, automobile (if applicable), and other insurance coverages in adequate amounts. This includes renter’s insurance. The Resident acknowledges that neither Sunrise nor the Owner is an insurer of the
Resident’s person or property. 
 D. Maintenance and Repairs. The Resident acknowledges that
he or she has had an opportunity to inspect the Suite and the Resident accepts the Suite in its “as is” condition. The Community will deliver and maintain the Suite in a fit and habitable condition and will maintain all common areas in a
clean and structurally safe condition, and will maintain all equipment, appliances, and fixtures, other than the personal property of the Resident, and all electrical, plumbing, heating, ventilating, and air conditioning equipment in good and safe
working order and condition. Temporary interruption of such utility services may occur periodically due to factors outside of the Community’s control or due to repairs, maintenance or replacement of equipment. 

E. Notices. Any notices to be given under this Residency Agreement will be deemed to have been properly
given when delivered personally or when mailed by first class mail, postage prepaid, addressed as follows: 
 1. If to the Resident: addressed to the Suite or to such other address as the Resident may designate by notice. 

2. If to the Community: addressed to the Executive Director of the Community or to such other address as
the Community may designate in writing. 
 F. Assignment. The Resident’s rights under this
Residency Agreement are personal and cannot be transferred or assigned. The rights and obligations of the Community may be assigned to any person or entity, which person or entity will be responsible that the obligations of the Community under this
Residency Agreement are satisfied in full from and after the date that the Resident is notified of such assignment. The Community may engage another person or entity to perform any or all of the services under this Residency Agreement. 

G. Ownership Rights. The Resident has no ownership interest or proprietary right to the Suite, nor to the
personal property, land, buildings, improvements or other Community facilities provided under this Residency Agreement. This Residency Agreement shall not be construed to be a lease or to confer any rights of tenancy or ownership in the Resident.
The Resident’s rights under this Residency Agreement are subject to all terms and conditions set forth herein and subordinate to any mortgage, financing deed, deed of trust, or financing lease on Community premises. Upon request, the Resident
agrees to execute and deliver any instrument requested by the Community or the owner or holder of any such document to affect the sale, assignment, or conveyance thereof, provided that by so doing the Resident shall not be required to prejudice
his/her rights under this Residency Agreement. 

  

					
		 	12	 	









 H. Guests. The Resident’s guests shall at all times abide
by the Community’s policies, including the Community Guidelines. The Community reserves the right to bar any guest from the Community if the guest is determined by the Community to be a threat to the Resident or other residents, interferes with
residents’ care, and/or is abusive to staff. The Resident shall be responsible for the charges incurred by and actions of any guest. The Resident may have guests stay overnight in the Suite, in accordance with the Community Guidelines.

 I. Weapons. No weapons, including, but not limited to guns and knives, are to be brought into
the Community at any time for the safety and well-being of all residents and staff. This policy applies to Resident guests as well. 
 J. Arrangement for Guardianship or Conservatorship. If it appears that you may not be able to care properly for yourself or your property, and if you have made no other designation of a
person or legal entity to serve as guardian or conservator then Sunrise may apply to a court of law to appoint a legal guardian or conservator. Alternatively, if other persons seek appointment as your legal guardian or conservator, Sunrise may be
required to participate in such proceedings. You agree to pay all attorney’s fees and costs incurred by Sunrise in connection with such action(s). 
 K. Resident Rights. The Resident and Responsible Party(s) have been advised of and have received a copy of the “Statement of Resident Rights,” which is attached as Exhibit 6
and made part of this Residency Agreement. 
 L. Admission Policy. Residents are admitted to the
Community without regard to race, color, creed, national origin, sex, religion or handicap. 
 M.
Assurance of Confidentiality. The Community acknowledges that the Resident’s personal and medical information are confidential. The Community shall maintain the confidentiality of the Resident’s personal and medical information
in compliance with state and federal law. 
 N. Examination of Records. A representative of
the agency responsible for licensing the Community, or any agency acting under its guidance, may inspect the Resident’s records that are on file at the Community as a part of their evaluation of the Community. 

O. Amendment. Subject to any provision of this Residency Agreement to the contrary, no modification,
amendment, or waiver of any provision of this Residency Agreement will be effective unless set forth in writing and signed by the Sunrise Senior Vice President of Operations for the Region and the Resident. Under Pennsylvania Code, the Resident is
entitled to at least 30 days advance written notice of the Community’s request to amend this Residency Agreement. 
 P. Entire Agreement. This Residency Agreement, including the Exhibits hereto, constitutes the entire agreement between the parties and it supercedes all prior oral or written agreements,
commitments, or understandings with respect to the matters provided for herein. 
 Q. Waiver.
Neither delay nor failure in requiring strict compliance by the Resident with any of the terms of this Residency Agreement shall be construed to be a waiver by the 

  

					
		 	13	 	









 
Community of such term, or of the right to insist upon strict compliance by the Resident with any of the other terms of this Residency Agreement. 

R. Severability. If any provision of this Residency Agreement is found invalid or otherwise unenforceable,
the other provisions of this Residency Agreement shall remain binding and enforceable. 
 S. Governing
Law. This Residency Agreement, its construction, performance, the obligations and duties of the parties, and any claims or disputes arising from it will be governed by and construed in accordance with the laws of the state in which the
Community is located. 
 T. Accuracy of Application Documents. As part of the Resident’s
application to the Community, the Resident has filed with the Community an application form. The Resident warrants that all information contained in these documents and any other document supplied to the Community as part of the application process
is true and correct, and the Resident understands that the Community has relied on this information in accepting the Resident for residency at the Community. Any misrepresentation or omission made by the Resident or on the Resident’s behalf,
whether written or verbal, shall be grounds for the Community’s termination of this Residency Agreement upon thirty (30) days prior written notice to the Resident. 

U. Advance Directives. It is the policy of the Community to ask all prospective residents if they have
executed any “advance directives.” Advance directives can include a health care power of attorney, a living will, or other documents which describe the amount, level or type of health care the Resident would want to receive at a time when
the Resident can no longer communicate those decisions to a doctor or other health professional. It also includes documents in which the Resident names another person who has the legal authority to make health care decisions for the Resident. If the
Resident has executed any such documents, or if the Resident executes any such documents while living at the Community, it is the Resident’s responsibility to advise the Community’s staff of these documents, and to provide copies to the
Community. If the Resident has such documents, and has provided copies of them to the Community, the Community will provide copies of the documents to other health care professionals who may be called to assist the Resident with his/her health care
needs. If the Resident executes such documents, and later changes or revokes them, it is the Resident’s responsibility to inform the Community, so that the Community can assist the Resident in communicating the Resident’s health care
choices to other professionals. 
 V. Review of Documents and Policies. The Resident and the
Responsible Party named in this Residency Agreement acknowledge(s) that they have received copies of, and have reviewed, this Residency Agreement between the Community and the Resident and all exhibits. The Resident and the Responsible Party further
acknowledge(s) that the Community has explained to him/them the Community’s policies and procedures for implementing residents’ rights and responsibilities, including the grievance procedure (attached as Exhibit 4) and the Resident
has been offered the opportunity to execute advance directives. 
 W. Responsibility for Third Party
Contractors/Health Services. The Resident has the right to receive services from third-party contractors consistent with the Community’s policies and state law. All third-party contractors must comply with the Community’s rules and


  

					
		 	14	 	









 
policies. The Community has no responsibility to screen third party contractors and the Community is not responsible for care provided by third-party contractors to the Resident. The Resident
shall indemnify the Community and its owners, directors, agents, employees and contractors against any losses, costs, expenses, claims, liabilities, damages, or judgments, including without limitation, legal fees, court costs, expert fees, and
similar expenses incurred, which may be asserted against, imposed upon or incurred by the other party as a result of the negligence or intentional conduct of the third-party contractor. The Community reserves the right to bar any third-party
contractor from the Community. 
 The Resident hereby indemnifies, holds harmless and releases the Community and
its owners, directors, agents, employees, and contractors from any and all liability, cost, and responsibility for injury and damage, including attorneys’ fees, arising from the Resident’s failure to obtain, or from the failure of others
to furnish, nursing, health care or personal care services, and from all injury and damages which could have been avoided or reduced if such services had been obtained or furnished or as a result of the Resident/Responsible Party’s negligence,
intentional wrongdoing or breach of his/her contractual obligations. 
 X. Rescission. Under
Pennsylvania Code, the Resident has the right to rescind this Residency Agreement for up to 72 hours after the initial dated signature and pay only for the Services received. Pennsylvania Code requires that the Resident’s recession of the
Residency Agreement must be in writing and addressed to the Community. 
 ARTICLE VI  

Services Available to Residents at the Community 

A. Services Available at the Community. The services and programs described in the following pages of this
Residency Agreement are available to residents, as determined by the Community following the Assessment process described in Article I. 
 B. Services Not Provided by the Community. The Community does not provide any services not described in this Residency Agreement. However, certain services such as eyeglasses, dentures,
podiatric care, psychiatric consultation, physical therapy, speech therapy, and occupational therapy, private duty care givers, prescription medications, physician services, prosthetic devices and mechanical aides in some cases may be arranged
through the Community. Any such services and items will be billed to the Resident by the third party provider. 

C. Emergency Services. The Resident authorizes the Community to obtain emergency health care services for
the Resident, at the Resident’s expense, whenever, in the Community’s sole discretion, such emergency services are deemed necessary. The Community shall notify any Responsible Party, as soon as possible after such emergency where health
care services have been provided. 

  

					
		 	15	 	









 D. Transfer to Facility Providing Higher Level of Care. If the
Resident needs care beyond what can be provided in the Community, the Resident and any Responsible Party shall, upon written notification from the Community, make arrangements for transfer to an appropriate care setting. 

  

					
		 	16	 	









 Review of Documents and Policies. You acknowledge that you have received a
copy of, and have reviewed this Residency Agreement as well as the following specific information: 
  

	 	A.	 The Community’s policies and procedures for implementing Resident Rights (attached as Exhibit 6); 



 

	 	B.	 The Resident Grievance Procedure (attached as Exhibit 5); 



 

	 	C.	 The Community’s policy concerning Advance Directives, set forth in Article V, paragraph U of this Residency Agreement;



  

	 	D.	 Article V(B) of this Residency Agreement titled “Grievance Procedure/Conflict Resolution/Waiver of Jury Trial”.



 You acknowledge that the Community has explained the terms of this Residency Agreement to you. You agree to
the terms of this Residency Agreement by signing in the space provided below: 
  

					
	RESIDENT:	 		 	RESPONSIBLE PARTY:
			
	  	 		 	  
	 Signature
	 		 	 Signature

			
	  	 		 	  
	 Print Name
	 		 	 Print Name

			
	SECOND RESIDENT (if applicable):	 		 	RESPONSIBLE PARTY:
			
	  	 		 	  
	 Signature
	 		 	 Signature

			
	  	 		 	  
	 Print Name
	 		 	 Print Name


  

	
	SUNRISE:
	
	  
	 Signature

	
	  
	 Executive Director



 Please also execute all of the Exhibits to this Residency Agreement 

  
 17 









 EXHIBIT 1  

YOUR SUITE AND FEES 
 Name of Resident:
                                         
        
  

			
	 Suite #:
                                         
                                   
	  	Occupancy Date:                        


  

			
	 Assisted Living Base Fee
	  	$                /day
	 Reminiscence Base Fee
	  	$                /day
		
	 Assisted Living Plus (if applicable) 
	  	$                /day
	 Assisted Living Plus Plus (if applicable)
	  	$                /day
	 Reminiscence Program Fee (if applicable)
	  	$                /day
	 Reminiscence Plus Program Fee (if applicable)
	  	$                /day
	 Reminiscence Plus Plus Program Fee (if applicable)
	  	$                /day
	 Terrace Club
	  	$                /day
	 Enhanced Care Program Fee (If applicable)
	  	$                /day
	 Medication Assistance and Administration
	  	$                /day
	 Tier             
	  	
	 Incontinence Care Products
	  	$                /day
	 Level             
	  	
	 Tier             
	  	
		
	 Total Daily Fee:
	  	$                /day
	 Community Fee:
	  	$                (one-time fee)
	 Administrative Charge:
	  	$                

 Effective Date:
                                         
                
  

					
	COMMUNITY:	 		 	RESIDENT:
			
	  	 		 	  
	 Signature
	 		 	 Signature

			
	  	 		 	  
	 Title
	 		 	 Title

			
	  	 		 	  
	 Date
	 		 	 Date



  
 18 









 EXHIBIT 1-A  

SECOND RESIDENT’S FEES 
 Name of Second Resident:
                                        

 Occupancy Date:
                                 

 

			
	 Assisted Living Base Fee
	  	$            /day
	 Reminiscence Base Fee
	  	$            /day
		
	 Assisted Living Plus (if applicable)
	  	$            /day
	 Assisted Living Plus Plus (if applicable)
	  	$            /day
	 Reminiscence Program Fee (if applicable)
	  	$            /day
	 Reminiscence Plus Program Fee (if applicable)
	  	$            /day
	 Reminiscence Plus Plus Program Fee (if applicable)
	  	$            /day
	 Terrace Club
	  	$            /day
	 Enhanced Care Program Fee (If applicable)
	  	$            /day
	 Medication Assistance and Administration
	  	$            /day
	 Tier             
	  	
	 Incontinence Care Products
	  	$            /day
	 Level             
	  	
	 Tier             
	  	
		
	 Total Daily Fee:
	  	$            /day
	 Community Fee:
	  	$            (one-time fee)
	 Administrative Charge:
	  	$             

 Effective Date :
                                 

 

					
	COMMUNITY:	 		 	SECOND RESIDENT:
			
	  	 		 	  
	 Signature
	 		 	 Signature

			
	  	 		 	  
	 Title
	 		 	 Title

			
	  	 		 	  
	 Date
	 		 	 Date



  
 19 









 EXHIBIT 2  

SCHEDULE OF COMMUNITY FEES AND CREDITS 

1. Schedule of Fees. The fees for all of the various services and products offered by the Community are as
follows: 
  

			
	 Service or Product
	  	Fee Per Day
	 Assisted Living Base Fee
	  	$            /day
	 Assisted Living Plus
	  	$            /day
	 Assisted Living Plus Plus
	  	$            /day
	 Reminiscence Base Fee
	  	$            /day
	 Reminiscence Program Fee
	  	$            /day
	 Reminiscence Plus Program Fee
	  	$            /day
	 Reminiscence Plus Plus Program Fee
	  	$            /day
	 Enhanced Care Program Fee
	  	$            /day
	 Terrace Club
	  	$            /day
	 Medication Assistance and Administration
	  	Tier 1 $            
		  	Tier 2 $            
	 Incontinence Products
	  	Level I
$            Tier I $            
		  	Level II $             Tier II $        
    
		  	Level III $            

 Effective Date:
                                 

  
 20 









 2. Schedule of Credits. See Article IV of the Residency
Agreement for information about possible credits. 
  

			
	 Meal Credit
	  	 $            /day

	 Assisted Living Plus Credit
	  	 $            /day

	 Assisted Living Plus Plus Credit
	  	 $            /day

	 Reminiscence Program Credit
	  	 $            /day

	 Reminiscence Plus Program Credit
	  	 $            /day

	 Reminiscence Plus Plus Program Credit
	  	 $            /day

	 Terrace Club Program Credit
	  	 $            /day

	 Enhanced Care Program Credit
	  	 $            /day

	 Medication Assistance and
	  	 Tier 1    $            /day

	 Administration Credit
	  	 Tier 2    $            /day

	 Incontinence Products Credit
	  	 Level I   $                    Tier
I $            

		  	 Level II  $                    Tier II
$            

		  	 Level III $            


 Effective Date:
                             

  

					
		 	21	 	









 EXHIBIT 3  

SCHEDULE OF THE COMMUNITY’S ADDITIONAL AMENITIES 
 Additional Amenities 
  

					
	1.	  	 Assistance with Resident requested special maintenance projects, such as hanging pictures, furniture assembly, etc. beyond that maintenance required by
this Residency Agreement. The use of outside contractors or handyman services is not permitted without prior written approval of Community.
	  	 $            /day

			
	2.	  	 Housekeeping services in addition to those included as part of the Assisted Living Services
	  	 $            /day

			
	3.	  	 Transportation for personal trips, scheduled in advance by the Resident. The hours that transportation is available for scheduling will be determined by
Community.
	  	 $            /hour

			
	4.	  	 Rental furniture
	  	 $            /month

			
	5.	  	 Guest meals
	  	 $            /breakfast

			
		  		  	 $            /lunch

			
		  		  	 $            /dinner

			
	6.	  	 Barber and Beauty services
	  	 $            

			
	7.	  	 Dry cleaning
	  	 $            

			
	8.	  	 Other
	  	 $            



  

					
		 	22	 	









 EXHIBIT 4  

COMMUNITY GUIDELINES 

  

					
		 	3	 	









 EXHIBIT 5 
 55 Pa. Code Section 2600.44  
 COMPLAINT PROCEDURES

 A. Prior to admission, the home shall inform the resident and the resident’s designated person of the right to
file and the procedure for filing a complaint with the Department’s personal care home regional office, local ombudsman or protective services unit in the area agency on aging, Disability Rights Network of Pennsylvania, or law enforcement
agency. 
 B. The home shall permit and respond to oral and written complaints from any source regarding an alleged violation of
resident rights, quality of care or other matter without retaliation or the threat of retaliation. 
 C. If a resident indicates
that he or she wishes to make a written complaint, but needs assistance in reducing the complaint to writing, the home shall assist the resident in writing the complaint. 
 D. The home shall ensure investigation and resolution of complaints. The home shall designate the team member responsible for receiving complaints and determining the outcome of the complaint or
grievance. 
 E. Within 2 business days after the submission of a written complaint, a status report shall be provided by the
home to the complainant. If the resident is not the complainant, the resident and the resident’s designated person shall receive the status report unless contraindicated by the support plan. The status report must indicate the steps that the
home is taking to investigate and address the complaint. 
 F. Within 7 days after the submission of a written complaint, the
home shall give the complainant and, if applicable, the designated person, a written decision explaining the home’s investigation findings and the action the home plans to take to resolve the complaint. If the resident is not the complainant,
the affected resident shall receive a copy of the decision unless contraindicated by the support plan. If the home’s investigation validates the complaint allegations, a resident who could potentially be harmed or his designated person shall
receive a copy of the decision, with the name of the affected resident removed, unless contraindicated by the support plan. 

G. The telephone number of the Department’s personal care home regional office, the local ombudsman or protective services unit in
the area agency on aging, Disability Rights Network of Pennsylvania, the local law enforcement agency, the Commonwealth Information Center and the personal care home complaint hotline shall be posted in large print in a conspicuous and public place
in the Home. 

  
 4 








 EXHIBIT 5A  

COMPLAINT PROCEDURES 
 If the Resident is not comfortable addressing his/her complaint with the Community’s designated team member or Executive Director, he or she may contact the Area Operations Manager for the Community,
                     at
                    , or the Area Vice President of Operations,
                     at
                    
ext.                    . If you are unsatisfied, you may also call Sunrise Senior Living National Office Customer Service Center to express
the complaint at 1-800-929-4124. 
 AT ANY POINT IN TIME, THE RESIDENT HAS THE RIGHT TO CONTACT THE FOLLOWING WITH A GRIEVANCE
OR COMPLAINT: 
  

			
	 State Licensing Authority
	  	 Ombudsman

		
	 Pennsylvania Department of Public Welfare
 Health & Welfare Building, Room 533, PO
	  	 Pennsylvania Long Term Care
 Ombudsman

	 Box 2675, Harrisburg, PA 17105-2675
	  	 555 Walnut Street, 5th floor

	 Telephone Number: 717-787-3438
	  	 Harrisburg, Pa. 17101-1919

		  	 Telephone Number: (717) 783-7247

		
	 Pennsylvania Department of Public Welfare
	  	
	 Personal Care Home Regional Office
	  	
	 Telephone Number: _______________
	  	 Local Law Enforcement Agency

		  	 Telephone Number: ______________________



  
 5 








 EXHIBIT 6  

RESIDENT RIGHTS 
 Residents have the following rights: 
  

	 	(1)	 A resident may not be discriminated against because of race, color, religious creed, disability, handicap, ancestry, sexual orientation, national
origin, age or sex. 


  

	 	(2)	 A resident may not be neglected, intimidated, physically or verbally abused, mistreated, subjected to corporal punishment or disciplined in any way.



  

	 	(3)	 A resident shall be treated with dignity and respect. 



 

	 	(4)	 A resident shall be informed of the rules of the home and given 30 days’ written notice prior to effective date of a new home rule.



  

	 	(5)	 A resident shall have access to a telephone in the home to make calls in privacy. Nontoll calls shall be without charge to the resident.



  

	 	(6)	 A resident has the right to receive and send mail. 



 

	 	(a)	 Outgoing mail may not be opened of read by staff persons unless the resident requests. 



 

	 	(b)	 Incoming mail may not be opened or read by staff persons unless upon the request of the resident or the resident’s designated person.



  

	 	(7)	 A resident has the right to communicate privately with and access the local ombudsman. 



 

	 	(8)	 A resident has the right to practice the religion or faith of the resident’s choice, or not to practice any religion or faith.



  

	 	(9)	 A resident shall receive assistance in accessing health services. 



 

	 	(10)	 A resident shall receive assistance in obtaining and keeping clean, seasonal clothing. A resident’s clothing may not be shared with other
residents. 


  

	 	(11)	 A resident and the resident’s designated person, and other individuals upon the resident’s written approval shall have the right to
access, review and request corrections to the resident’s record. 


  

	 	(12)	 A resident has the right to furnish his room and purchase, receive, use and retain personal clothing and possessions. 



  
 6 









 EXHIBIT 6 (CONT.) 
  


	 	(13)	 A resident has the right to leave and return to the home at times consistent with the home rules and the resident’s support plan.



  

	 	(14)	 A resident has the right to relocate and to request and receive assistance, from the home, in relocating to another facility. The assistance shall
include helping the resident get information about living arrangements, making telephone calls and transferring records. 


  

	 	(15)	 A resident has the right to freely associate, organize and communicate with others privately. 



 

	 	(16)	 A resident shall be free from restraints. 


  

	 	(17)	 A resident shall be compensated in accordance with State and Federal labor laws for labor performed on behalf of the home. Residents may voluntarily
and without coercion perform tasks related directly to the resident’s personal space or common areas of the home. 


  

	 	(18)	 A resident has the right to receive visitors for a minimum of 12 hours daily, 7 days per week. 



 

	 	(19)	 A resident has the right to privacy of self and possessions. Privacy shall be provided to the resident during bathing, dressing, changing, and
medical procedures. 


  

	 	(20)	 A resident has the right to file complaints with any individual or agency and recommend changes in policies, home rules and services of the home
without intimidation, retaliation, or threat of discharge. 


  

	 	(21)	 A resident has the right to remain in the home, as long as it is operating with a license, except as specified in § 2600.228 (relating to
notification of termination). 


  

	 	(22)	 A resident has the right to receive services contracted for in the resident-home contract. 



 

	 	(23)	 A resident has the right to use both the home’s procedures and external procedures, if any, to appeal involuntary discharge.



  

	 	(24)	 A resident has the right to a system to safeguard a resident’s money and property. 



  
 7 









 EXHIBIT 6 (CONT.) 
  


	 	(25)	 A resident has the right to choose his own health care providers without limitation by the home. This includes the right to select the
resident’s own pharmacist provided that the pharmacy agrees to supply medication in a way that is compatible with the home’s system for handling and assisting with the self administration of resident medications.



  

	 	(26)	 The Resident has the right to question or refuse a medication if the resident believes there may be a medication error.



 THE RESIDENT AND/OR RESPONSIBLE PARTY SIGNATURE BELOW IS AN ACKNOWLEDGEMENT OF THE RESIDENT’S
EDUCATION OF THESE RTGHTS. 
  

	
	 RESIDENT/ RESPONSIBLE PARTY:

	
	  
	 (Signature)

	
	  
	 (Print Name)

	
	  
	 (Date)



  

					
		 	8	 	









 EXHIBIT 7 
 RESPONSIBLE PARTY ADDENDUM 
 THIS Addendum
(“Addendum”) is entered into as of this                      day of
                    ,         , by and among
                     (hereinafter referred to as the “Resident”),
                     (the “Responsible Party”) and Sunrise Senior Living Management/Services, Inc., (“Sunrise”), Manager
for Owner. 
 RECITALS 
 WHEREAS, the Resident desires to live in the suite, or already lives in the suite (the “Suite”) identified in a Residency Agreement between Sunrise and the Resident (the “Residency
Agreement”) of which this Addendum is made a part; and 
 WHEREAS, Sunrise is willing to enter into the
Residency Agreement if the Resident identifies an individual who is willing to provide certain assistance to or on behalf of the Resident in the event that such assistance is necessary, and who is willing to pay the Resident’s financial
obligations to Sunrise under the Residency Agreement in the event that the Resident does not make payments when due; and 
 WHEREAS, the Responsible Party has agreed to provide such assistance and to pay such obligations if and as necessary. 

In consideration of the foregoing, the parties agree as follows: 

B. In the event that the condition of the Resident makes such assistance necessary or advisable, the Responsible
Party, upon the request of the Community, will: 
  

	 	1.	 Participate as needed with the Community staff in evaluating the Resident’s needs and in planning and implementing an appropriate plan for the
Resident’s care; 


  

	 	2.	 Assist the Resident as necessary to maintain the Resident’s welfare and to fulfill the Resident’s obligations under the Residency
Agreement; 


  

	 	3.	 Assist the Resident in transferring to a hospital, nursing home, or other medical facility in the event that the Resident’s needs can no longer
be met by the Community; 


  

	 	4.	 Assist in removing the Resident’s personal property from the Apartment/Suite when the Resident leaves the Community;



  

	 	5.	 Make necessary arrangements, or assist the legally responsible person in making necessary arrangements, for funeral services and burial in the event
of death. 



  
 9 








 C. In the event that the Resident fails to pay any amount or amounts
due to the Community under the Residency Agreement, the Responsible Party hereby agrees to pay the Community all amounts due from the Resident under the Residency Agreement, as it may be amended from time to time, including any amounts resulting
from increases in fees or charges authorized by the Residency Agreement. The Responsible Party agrees to pay the Community within thirty (30) days of receiving each notice from the Community of nonpayment by the Resident. 

D. The Responsible Party acknowledges that he/she has received and has reviewed a copy of the Residency Agreement,
and has had an opportunity to ask any questions the Responsible Party may have. 
 E. The Recitals hereto
are incorporated in this Addendum as if set forth herein. 
 IN WITNESS WHEREOF, the undersigned have duly
executed this Addendum, or have caused this Addendum to be duly executed on their behalf, as of the day and year first above written. 
  

					
	 SUNRISE:
	 		 	 RESPONSIBLE PARTY:

			
	  	 		 	  
	 Signature
	 		 	 Signature

			
	 Executive Director
	 		 	  
	 Title
	 		 	 Print Name

			
	 	 		 	  
		 		 	 Address

			
	 	 		 	  
		 		 	 Resident’s Name



  
 10 









 EXHIBIT 8 
 FINANCIAL MANAGEMENT 
 This Pennsylvania Personal Care Home has the
following policy regarding financial management: 
  

	 ̈	 Resident Responsible for Managing Finances. The Resident is responsible for managing his/her finances. The Community does not provide
assistance with a resident’s financial management. 


  

	 ̈	 Community Provides Assistance with Managing Finances. 



The Community complies with Section 2600.20 of the Pennsylvania regulations concerning financial management for resident funds and
the following requirements apply: 
  

	 	•	 	 The Community shall keep a record of financial transactions with the resident, including the dates, amounts of deposits, amounts of deposits,
amounts of withdrawals and the current balance. 


  

	 	•	 	 The resident funds shall be disbursed during normal business hours within 24 hours of the resident’s request. 



 

	 	•	 	 The Community shall obtain a written receipt from the resident for case disbursements at the time of disbursement. 



 

	 	•	 	 Resident funds and property shall only be used for the resident’s benefit. 



 

	 	•	 	 Commingling of resident funds and Community funds is prohibited. 



 

	 	•	 	 If the Community is holding more than $200 for a resident for more than 2 consecutive months, the Executive Director shall notify the resident and
offer assistance in establishing an interest-bearing account in the resident’s name at a local Federally-insured financial institution. This does not include the resident’s Community Fee or a security deposit. 



 

	 	•	 	 The Community and its team members are prohibited from being assigned power of attorney or guardianship of a resident or a resident’s estate.



  

	 	•	 	 The Community shall give the resident and the resident’s responsible party an itemized account of financial transactions made on the
resident’s behalf on a quarterly basis. 


  

	 	•	 	 A copy of the itemized account shall be kept in the resident’s record. 



 

	 	•	 	 The Community shall provide the resident the opportunity to review his/her own financial record upon request during normal business hours.




  
 11 









 EXHIBIT 9 
 55 Pa.Code § 2600.25(d) - RENT REBATES 
  

	 ̈	 The Community WILL NOT collect a portion of the resident’s rent rebate funds as restricted under 62 P.S. § 1057.3(a)(7) (relating to rules
and regulations for personal care homes and assisted living residences) and 55 Pa.Code § 2600.25(d) (relating to resident-home contract). 


  

	 ̈	 If the home WILL collect a portion of the resident’s rent rebate funds, please answer the following: 



1. The dollar amount OR percentage of the rent rebate to be collected will be: 

________________________________________________________________ 

2. The home’s intended use of the revenue collected from the resident’s rent rebate is as follows:
                                        

  

	 ̈	 I have had the home’s rent rebate policy explained to me and have had the opportunity to ask questions about it. 



 

					
	  	 		 	  
	Resident Signature	 		 	Date Signed
			
	  	 		 	  
	Responsible Party Signature	 		 	Date Signed


  
 12 









 Exhibit B-1 
 Plan of Dissolution for AL U.S./Bonita Senior Housing, L.P. 
 (see attached)








 AGREEMENT TO DISSOLVE, WIND UP, AND TERMINATE 

AL U.S./BONITA SENIOR HOUSING, L.P., 
 a California limited partnership 
 This AGREEMENT TO DISSOLVE,
WIND UP AND TERMINATE AL U.S./BONITA SENIOR HOUSING, L.P., a California limited partnership (“Agreement”), is made effective as of
                    , 2011 (“Effective Date”), by and among AL CALIFORNIA GP, LLC, a Delaware limited liability company, as
the general partner (“General Partner”), and AL U.S. POOL ONE, LLC, a Delaware limited liability company, as the limited partner (“Limited Partner”). The General Partner and the Limited Partner are sometimes
collectively referred to herein as the “Partners.” The Partners agree as follows: 
 1. Recitals.
This Agreement is executed in reference to the following facts and circumstances: 
 1.1. AL U.S./BONITA
SENIOR HOUSING, L.P., a California limited partnership (“Limited Partnership”) was formed pursuant to that certain Certificate of Limited Partnership filed with California Secretary of State on December 17, 2002, as amended by
that certain Amendment to Certificate of Limited Partnership filed with the California Secretary of State on January 13, 2003 (collectively, the “Certificate of Limited Partnership”). Reference is also made to that certain
Amended and Restated Agreement of Limited Partnership of AL U.S./Bonita Senior Housing, L.P., a California Limited Partnership, dated December 23, 2002, as amended by that certain First Amendment to Amended and Restated Agreement of Limited
Partnership dated June 14, 2007 (collectively, the “Partnership Agreement”). Capitalized terms used herein and not otherwise defined shall have the meanings ascribed to them in the Partnership Agreement. 

1.2. The Limited Partnership is the owner of that certain senior living facility known as “Sunrise of Bonita”
(the “Facility”). 
 1.3. The Limited Partnership was dissolved as of December 31, 2009
pursuant to the provisions of the Partnership Agreement. Due to an oversight, the Partners did not become aware the Limited Partnership was dissolved until May 2011. Upon learning of the dissolution of the Limited Partnership effective as of
December 31, 2009, the Partners elected to enter into this Agreement to wind up the Limited Partnership’s activities, to ratify all past acts of the General Partner on behalf of the Limited Partnership as the acts of the Limited
Partnership and to authorize the General Partner to take all such actions as may be necessary to wind up the Limited Partnership’s activities, and upon completion thereof, to terminate the Limited Partnership by filing a Certificate of
Cancellation with the California Secretary of State. 
 1.4. The Partners now desire to dissolve, wind up and
terminate the Limited Partnership pursuant to the provisions and conditions of this Agreement. 
  

	2.	 Winding Up. 


 2.1. Winding up: Ratification of Past Acts: Powers of General Partner. The Limited Partnership shall forthwith wind up its activities, and shall continue only for the purpose of winding up
its activities. In connection with the foregoing, and to the extent permitted by 

  
 - 1 -









 
applicable law, the Partners hereby ratify, confirm and approve as the acts of the Limited Partnership, all acts and activities undertaken by the General Partner on behalf of the Limited
Partnership from December 31, 2009 until the present. In furtherance of winding up of the Limited Partnership’s activities, the General Partner may, on behalf of the Limited Partnership, preserve the Limited Partnership’s business and
property as a going concern for a reasonable time, prosecute and defend actions and proceedings, whether civil, criminal, or administrative, transfer the Limited Partnership’s property, settle disputes by mediation or arbitration, file a
certificate of cancellation as provided in California Corporations Code Section 15902.03, and perform other necessary acts in furtherance of the foregoing, and shall discharge the Limited Partnership’s liabilities, settle and close the
Limited Partnership’s activities, and marshal and distribute the assets of the Limited Partnership. Notwithstanding any other provision in this Agreement to the contrary, the Limited Partnership shall dissolve and wind up its activities in
compliance with the California Uniform Limited Partnership Act of 2008 (Cal. Corp. Code §§ 15900 et. seq.) 
 2.2. Transfer of Assets and Liabilities to Successor. 
 (a) Without limiting the foregoing, and to the extent permitted under applicable law, the Partners agree the Limited Partnership may continue for so long as necessary for it to transfer its assets and
liabilities to a new limited partnership formed by the Partners for the purpose of acquiring the Limited Partnership’s assets and liabilities and carrying on the business and affairs of the Limited Partnership. The new limited partnership will
have the same Partners with identical ownership interests as the Limited Partnership. In furtherance of the foregoing but to the extent permitted by applicable law, the Limited Partnership may do the following, without limitation, in connection with
the winding up of its activities: (a) transfer to the new successor limited partnership, all real property and personal property owned or otherwise used by the Limited Partnership; (b) transfer to the new successor limited partnership, all
of the Limited Partnership’s permits, licenses and other authorizations with respect to the ownership and operation of the Facility; (c) operate the business of the Limited Partnership in the ordinary course of business pending completion
of the winding up process; and (d) otherwise perform all of the covenants and other obligations to be performed by the Limited Partnership pursuant to those certain loan documents (as so amended and modified, collectively, the “Loan
Documents”) that evidence and secure that certain loan in the original principal amount of $370,500,000 made by HSH NORDBANK AG, acting through its New York Branch, a German banking corporation acting through its New York branch, as
administrative agent (together with its successors and assigns in such capacity as agent for Lenders, the “Administrative Agent”), to AL US DEVELOPMENT VENTURE, LLC, a Delaware limited liability company (the
“Borrower”), including, without limitation, that certain Third Amendment to Loan Agreement and Omnibus Amendment and Reaffirmation of Loan Documents (as may be amended from time to time, the “Loan Modification
Agreement”) dated of even date herewith, all of which obligations are hereby approved by the Partners as appropriate activities to complete the winding up of the Limited Partnership’s activities. 

(b) The Partners intend to preserve the value of the Limited Partnership’s assets and business during
the winding up period and intend to proceed with an orderly transition of the Limited Partner’s business and affairs to the new successor limited partnership. Due to the heavily regulated nature of the real property assets operated by the
Limited Partnership, the 

  
 - 2 -









 
Partners acknowledge that it may take 12 months or longer for the new successor limited partnership to acquire all of the permits, licenses and other authorizations necessary for it to succeed to
and carry on the business and activities of the Limited Partnership. Further, the new successor limited partnership will need to take such actions as are necessary for it to be in full compliance of the covenants of the existing Limited Partnership
under the Loan Documents. To maximize the value of the assets and business of the Limited Partnership until the successor limited partnership is qualified to acquire the Limited Partnership’s assets and liabilities, the Partners desire that the
Limited Partnership will carry on its affairs in the ordinary course of business to the extent permitted by applicable law. The Partners hereby acknowledge and agree that the continuation and preservation of the Limited Partnership’s assets,
contracts and business relationships for such 12-month (or longer) period is a reasonable time within which the Limited Partnership may continue its activities for purposes of winding up under the circumstances which require that the new successor
limited partnership obtain and maintain certain licenses, permits and other authorizations with respect to the ownership and operation of the Facility. 

(c) Without limiting the foregoing, but to the extent permitted under applicable law, the General Partner
is hereby authorized to cause the Limited Partnership to enter into and to be legally bound in such transactions as the General Partner may determine are necessary or desirable to carry out the foregoing plan of dissolution, including, without
limitation, entering into one or more assignments, purchase and sale agreements, lease agreements, guarantees, extensions and modifications of existing contracts and obligations, extensions of existing indebtedness (contingent or otherwise), and
entering into new agreements and obligations in furtherance of the foregoing or as otherwise may be necessary or desirable to carry out the foregoing plan of dissolution or as otherwise may be necessary or desirable to wind up the Limited
Partnership’s activities, including, without limitation, new contracts with third parties entered into in the ordinary course of business for the provision of goods and/or services to the Facility. 

2.3. Compliance with California Law. Notwithstanding anything herein to the contrary, neither the General
Partner nor the Limited Partnership shall take any actions following the execution of this Agreement that conflict with any of the provisions of the California Uniform Limited Partnership Act of 2008. 

3. Execution of Documents. In furtherance of the foregoing: 

3.1. Notice of Dissolution. The Limited Partnership may publish notice of its dissolution and request
persons having claims against the Limited Partnership to present them in accordance with the notice and other provisions of California Corporations Code Section 15908.07. 

3.2. Certificate of Cancellation. Upon the completion of the winding up of the affairs of the Limited
Partnership, the General Partner shall, on behalf of the Limited Partnership, execute a Certificate of Cancellation of Limited Partnership - Form LP-4/7 (“Certificate of Cancellation”) and cause the Certificate of Cancellation to be
filed with the California Secretary of State. 
 3.3. Power to Execute Documents. The General
Partner shall execute, acknowledge 

  
 - 3 -









 
and duly notarize all documents or instruments necessary or appropriate to carry out the plan of dissolution contemplated by this Agreement or as otherwise necessary or desirable to completely
wind up the Limited Partnership’s activities and to terminate and cancel the Limited Partnership. 
 4. Disposal of
Assets; Satisfaction of Obligations. In winding up the Limited Partnership’s activities, the assets of the Limited Partnership, including the contributions required by California Corporations Code Section 15908.09, if any, shall be
applied to satisfy the Limited Partnership’s obligations to creditors, including, to the extent permitted by law, Partners that are creditors. Any surplus remaining after the Limited Partnership complies with this paragraph shall be returned to
the Partners as they share in distributions. If the Limited Partnership’s assets are insufficient to satisfy all of its obligations pursuant to this paragraph, the General Partner shall comply with the provisions and conditions of California
Corporations Code Section 15908.09(c) to satisfy such remaining liabilities. 
 5. Tax Returns. The General
Partner shall cause the Limited Partnership’s final state and federal tax or information returns to be filed as necessary, and tax benefits or losses resulting therefrom shall be allocated among the Partners pursuant to the provisions and
conditions of the Partnership Agreement or as otherwise expressly agreed to by the Partners. The preparation cost of the Limited Partnership’s state and federal tax or information returns shall be borne by the Limited Partnership pursuant to
the provisions and conditions of the Partnership Agreement and this Agreement, or as otherwise expressly agreed to among the Partners. Until the termination of the Limited Partnership, the General Partner shall cause all other tax returns and tax
reporting documents to be prepared and delivered to the Partners in accordance with the Limited Partnership’s customary past practices or as otherwise required by the Partnership Agreement. 

6. General Provisions. 
 6.1. Books and Records. The General Partner shall make available to the other Partners for inspection or copying all records, books, documents, property, agreements or any other thing or
instrument of any kind or nature belonging to, pertaining to, or relating to the operation of the Limited Partnership. 
 6.2. Entire Agreement. This Agreement, and any other document executed contemporaneously herewith, memorializes and constitutes the final expression and the complete and exclusive statement
among the parties with respect to the subject matter hereof and thereof. 
 6.3. Amendments and
Waivers. No change in, amendment to, waiver or termination of this Agreement, or any part hereof, shall be valid unless signed by the Partners. 
 6.4. Headings. Paragraph headings have been inserted in this Agreement as a matter of convenience only; such paragraph headings are not a part of this Agreement and shall not be used in the
interpretation of this Agreement. 
 6.5. Severability. If any one or more of the provisions of
this Agreement are held to be invalid, illegal, or unenforceable in any respect for any reason, the validity, legality, and enforceability of any such provision or provisions in every other respect and of the remaining provisions of this Agreement
shall not be in any way impaired. In the event of a finding of partial invalidity, illegality, or unenforceability by a court of competent jurisdiction, such court is 

  
 - 4 -









 
hereby instructed to modify such provision to the minimum extent necessary to avoid such invalidity, illegality, or unenforceability (provided such modification does not alter the purpose or
intent of such provision). 
 6.6. Gender and Number. Wherever the context so requires, all words
used in the singular shall be construed to include the plural, and vice versa, and words of any gender shall include any other gender, or any entity. 
 6.7. Successors and Assigns. Except as otherwise expressly provided, this Agreement, and each of its provisions, covenants and conditions, shall apply to, bind and inure to the benefit of
the parties and their respective heirs, executors, administrators, legal representatives, transferees, successors-in-interest, and assigns. 
 6.8. Governing Law. The validity of this Agreement shall be interpreted and construed pursuant to and in accordance with the laws of the State of California. 

6.9. Counterparts. This Agreement may be executed in one or more counterparts, all of which together shall
constitute one original document. 

*    *    *    *    * 

  
 - 5 -









 IN WITNESS WHEREOF, the Partners have executed this AGREEMENT TO DISSOLVE,
WIND UP AND TERMINATE AL U.S./BONITA SENIOR HOUSING, L.P. effective as of the date first written above. 
  

									
	GENERAL PARTNER:
	
	AL CALIFORNIA GP, LLC,
	a Delaware limited liability company
		
	By:	 	 AL U.S. POOL ONE, LLC,
 a Delaware limited liability company
 Its: sole Member

			
		 	By:	 	 AL US DEVELOPMENT VENTURE, LLC,
 a Delaware limited liability company
 Its: sole Member

				
		 		 	By:	 	 SUNRISE SENIOR LIVING INVESTMENTS, INC.,
 a Virginia corporation
 Its: Administrative Managing Member

					
		 		 		 	By:	 	/s/ David Haddock
		 		 		 	Name:	 	David Haddock
		 		 		 	Title:	 	Vice President and Secretary


									
	
	LIMITED PARTNER:
	
	 AL U.S. POOL ONE, LLC,
 a Delaware limited liability company

		
	By:	 	 AL US DEVELOPMENT VENTURE, LLC,
 a Delaware limited liability company
 Its: sole Member

			
		 	By:	 	 SUNRISE SENIOR LIVING INVESTMENTS, INC.,
 a Virginia corporation
 Its: Administrative Managing Member

				
		 		 	By:	 	/s/ David Haddock
		 		 	Name:	 	David Haddock
		 		 	Title:	 	Vice President and Secretary


  
 - 6 -









 Exhibit B-2 
 Plan of Dissolution for AL U.S./LaPalma Senior Housing, L.P. 
 (see
attached) 







 AGREEMENT TO DISSOLVE, WIND UP, AND TERMINATE 

AL U.S./LAPALMA SENIOR HOUSING, L.P., 
 a California limited partnership 
 This AGREEMENT TO DISSOLVE,
WIND UP AND TERMINATE AL U.S./LAPALMA SENIOR HOUSING, L.P., a California limited partnership (“Agreement”), is made effective as of
                , 2011 (“Effective Date”) by and among AL CALIFORNIA GP, LLC, a Delaware limited liability company, as the general partner
(“General Partner”), and AL U.S. POOL ONE, LLC, a Delaware limited liability company, as the limited partner (“Limited Partner”). The General Partner and the Limited Partner are sometimes collectively referred to
herein as the “Partners.” The Partners agree as follows: 
 1. Recitals. This Agreement is
executed in reference to the following facts and circumstances: 
 1.1. AL U.S./LaPalma Senior Housing, L.P., a
California limited partnership (“Limited Partnership”) was formed pursuant to that certain Certificate of Limited Partnership filed with California Secretary of State on December 17, 2002, as amended by that certain Amendment
to Certificate of Limited Partnership filed with the California Secretary of State on January 13, 2003 (collectively, the “Certificate of Limited Partnership”). Reference is also made to that certain Amended and Restated
Agreement of Limited Partnership of AL U.S./LaPalma Senior Housing, L.P., a California Limited Partnership, dated December 23, 2002, as amended by that certain First Amendment to Amended and Restated Agreement of Limited Partnership dated
June 14, 2007 (collectively, the “Partnership Agreement”). Capitalized terms used herein and not otherwise defined shall have the meanings ascribed to them in the Partnership Agreement. 

1.2. The Limited Partnership is the owner of that certain senior living facility known as “Sunrise of La Palma”
(the “Facility”). 
 1.3. The Limited Partnership was dissolved as of December 31, 2009
pursuant to the provisions of the Partnership Agreement. Due to an oversight, the Partners did not become aware the Limited Partnership was dissolved until May 2011. Upon learning of the dissolution of the Limited Partnership effective as of
December 31, 2009, the Partners elected to enter into this Agreement to wind up the Limited Partnership’s activities, to ratify all past acts of the General Partner on behalf of the Limited Partnership as the acts of the Limited
Partnership and to authorize the General Partner to take all such actions as may be necessary to wind up the Limited Partnership’s activities, and upon completion thereof, to terminate the Limited Partnership by filing a Certificate of
Cancellation with the California Secretary of State. 
 1.4. The Partners now desire to dissolve, wind up and
terminate the Limited Partnership pursuant to the provisions and conditions of this Agreement. 
 2. Winding Up.

 2.1. Winding up; Ratification of Past Acts; Powers of General Partner. The Limited Partnership
shall forthwith wind up its activities, and shall continue only for the purpose of winding up its activities. In connection with the foregoing, the Partners hereby ratify, confirm 

  
 - 1 -









 and approve as the acts of the Limited Partnership, all acts and activities undertaken by
the General Partner on behalf of the Limited Partnership from December 31, 2009 until the present. In furtherance of winding up of the Limited Partnership’s activities, the General Partner may, on behalf of the Limited Partnership,
preserve the Limited Partnership’s business and property as a going concern for a reasonable time, prosecute and defend actions and proceedings, whether civil, criminal, or administrative, transfer the Limited Partnership’s property,
settle disputes by mediation or arbitration, file a certificate of cancellation as provided in California Corporations Code Section 15902.03, and perform other necessary acts in furtherance of the foregoing, and shall discharge the Limited
Partnership’s liabilities, settle and close the Limited Partnership’s activities, and marshal and distribute the assets of the Limited Partnership. Notwithstanding any other provision in this Agreement to the contrary, the Limited
Partnership shall dissolve and wind up its activities in compliance with the California Uniform Limited Partnership Act of 2008 (Cal. Corp. Code §§ 15900 et. seq.) 

2.2. Transfer of Assets and Liabilities to Successor. 

(a) Without limiting the foregoing, and to the extent permitted under applicable law, the Partners agree
the Limited Partnership may continue for so long as necessary for it to transfer its assets and liabilities to a new limited partnership formed by the Partners for the purpose of acquiring the Limited Partnership’s assets and liabilities and
carrying on the business and affairs of the Limited Partnership. The new limited partnership will have the same Partners with identical ownership interests as the Limited Partnership. In furtherance of the foregoing but to the extent permitted by
applicable law, the Limited Partnership may do the following, without limitation, in connection with the winding up of its activities: (a) transfer to the new successor limited partnership, all real property and personal property owned or
otherwise used by the Limited Partnership; (b) transfer to the new successor limited partnership, all of the Limited Partnership’s permits, licenses and other authorizations with respect to the ownership and operation of the Facility;
(c) operate the business of the Limited Partnership in the ordinary course of business pending completion of the winding up process; and (d) otherwise perform all of the covenants and other obligations to be performed by the Limited
Partnership pursuant to those certain loan documents (as so amended and modified, collectively, the “Loan Documents”) that evidence and secure that certain loan in the original principal amount of $370,500,000 made by HSH NORDBANK
AG, acting through its New York Branch, a German banking corporation acting through its New York branch, as administrative agent (together with its successors and assigns in such capacity as agent for Lenders, the “Administrative
Agent”), to AL US DEVELOPMENT VENTURE, LLC, a Delaware limited liability company (the “Borrower”), including, without limitation, that certain Third Amendment to Loan Agreement and Omnibus Amendment and Reaffirmation of
Loan Documents (as may be amended from time to time, the “Loan Modification Agreement”) dated of even date herewith, all of which obligations are hereby approved by the Partners as appropriate activities to complete the winding up
of the Limited Partnership’s activities. 
 (b) The Partners intend to preserve the value of
the Limited Partnership’s assets and business during the winding up period and intend to proceed with an orderly transition of the Limited Partner’s business and affairs to the new successor limited partnership. Due to the heavily
regulated nature of the real property assets operated by the Limited Partnership, the Partners acknowledge that it may take 12 months or longer for the new successor limited 

  
 - 2 -









 
partnership to acquire all of the permits, licenses and other authorizations necessary for it to succeed to and carry on the business and activities of the Limited Partnership. Further, the new
successor limited partnership will need to take such actions as are necessary for it to be in full compliance of the covenants of the existing Limited Partnership under the Loan Documents. To maximize the value of the assets and business of the
Limited Partnership until the successor limited partnership is qualified to acquire the Limited Partnership’s assets and liabilities, the Partners desire that the Limited Partnership will carry on its affairs in the ordinary course of business
to the extent permitted by applicable law. The Partners hereby acknowledge and agree that the continuation and preservation of the Limited Partnership’s assets, contracts and business relationships for such 12-month (or longer) period is a
reasonable time within which the Limited Partnership may continue its activities for purposes of winding up under the circumstances which require that the new successor limited partnership obtain and maintain certain licenses, permits and other
authorizations with respect to the ownership and operation of the Facility. 
 (c) Without
limiting the foregoing, but to the extent permitted under applicable law, the General Partner is hereby authorized to cause the Limited Partnership to enter into and to be legally bound in such transactions as the General Partner may determine are
necessary or desirable to carry out the foregoing plan of dissolution, including, without limitation, entering into one or more assignments, purchase and sale agreements, lease agreements, guarantees, extensions and modifications of existing
contracts and obligations, extensions of existing indebtedness (contingent or otherwise), and entering into new agreements and obligations in furtherance of the foregoing or as otherwise may be necessary or desirable to carry out the foregoing plan
of dissolution or as otherwise may be necessary or desirable to wind up the Limited Partnership’s activities, including, without limitation, new contracts with third parties entered into in the ordinary course of business for the provision of
goods and/or services to the Facility. 
 2.3. Compliance with California Law. Notwithstanding
anything herein to the contrary, neither the General Partner nor the Limited Partnership shall take any actions following the execution of this Agreement that conflict with any of the provisions of the California Uniform Limited Partnership Act of
2008. 
 3. Execution of Documents. In furtherance of the foregoing: 

3.1. Notice of Dissolution. The Limited Partnership may publish notice of its dissolution and request
persons having claims against the Limited Partnership to present them in accordance with the notice and other provisions of California Corporations Code Section 15908.07. 

3.2. Certificate of Cancellation. Upon the completion of the winding up of the affairs of the Limited
Partnership, the General Partner shall, on behalf of the Limited Partnership, execute a Certificate of Cancellation of Limited Partnership - Form LP-4/7 (“Certificate of Cancellation”) and cause the Certificate of Cancellation to be
filed with the California Secretary of State. 
 3.3. Power to Execute Documents. The General
Partner shall execute, acknowledge and duly notarize all documents or instruments necessary or appropriate to carry out the plan of 

  
 - 3 -









 dissolution contemplated by this Agreement or as otherwise necessary or desirable to
completely wind up the Limited Partnership’s activities and to terminate and cancel the Limited Partnership. 
 4.
Disposal of Assets; Satisfaction of Obligations. In winding up the Limited Partnership’s activities, the assets of the Limited Partnership, including the contributions required by California Corporations Code Section 15908.09, if
any, shall be applied to satisfy the Limited Partnership’s obligations to creditors, including, to the extent permitted by law, Partners that are creditors. Any surplus remaining after the Limited Partnership complies with this paragraph shall
be returned to the Partners as they share in distributions. If the Limited Partnership’s assets are insufficient to satisfy all of its obligations pursuant to this paragraph, the General Partner shall comply with the provisions and conditions
of California Corporations Code Section 15908.09(c) to satisfy such remaining liabilities. 
 5. Tax Returns. The
General Partner shall cause the Limited Partnership’s final state and federal tax or information returns to be filed as necessary, and tax benefits or losses resulting therefrom shall be allocated among the Partners pursuant to the provisions
and conditions of the Partnership Agreement or as otherwise expressly agreed to by the Partners. The preparation cost of the Limited Partnership’s state and federal tax or information returns shall be borne by the Limited Partnership pursuant
to the provisions and conditions of the Partnership Agreement and this Agreement, or as otherwise expressly agreed to among the Partners. Until the termination of the Limited Partnership, the General Partner shall cause all other tax returns and tax
reporting documents to be prepared and delivered to the Partners in accordance with the Limited Partnership’s customary past practices or as otherwise required by the Partnership Agreement. 

6. General Provisions. 
 6.1. Books and Records. The General Partner shall make available to the other Partners for inspection or copying all records, books, documents, property, agreements or any other thing or instrument
of any kind or nature belonging to, pertaining to, or relating to the operation of the Limited Partnership. 

6.2. Entire Agreement. This Agreement, and any other document executed contemporaneously herewith, memorializes
and constitutes the final expression and the complete and exclusive statement among the parties with respect to the subject matter hereof and thereof. 
 6.3. Amendments and Waivers. No change in, amendment to, waiver or termination of this Agreement, or any part hereof, shall be valid unless signed by the Partners. 

6.4. Headings. Paragraph headings have been inserted in this Agreement as a matter of convenience only; such
paragraph headings are not a part of this Agreement and shall not be used in the interpretation of this Agreement. 
 6.5. Severability. If any one or more of the provisions of this Agreement are held to be invalid, illegal, or unenforceable in any respect for any reason, the validity, legality, and enforceability
of any such provision or provisions in every other respect and of the remaining provisions of this Agreement shall not be in any way impaired. In the event of a finding of partial invalidity, illegality, or unenforceability by a court of competent
jurisdiction, such court is hereby instructed to modify such provision to the minimum extent necessary to avoid such 

  
 - 4 -









 invalidity, illegality, or unenforceability (provided such modification does not alter the
purpose or intent of such provision). 
 6.6. Gender and Number. Wherever the context so requires, all
words used in the singular shall be construed to include the plural, and vice versa, and words of any gender shall include any other gender, or any entity. 
 6.7. Successors and Assigns. Except as otherwise expressly provided, this Agreement, and each of its provisions, covenants and conditions, shall apply to, bind and inure to the benefit of the
parties and their respective heirs, executors, administrators, legal representatives, transferees, successors-in-interest, and assigns. 
 6.8. Governing Law. The validity of this Agreement shall be interpreted and construed pursuant to and in accordance with the laws of the State of California. 

6.9. Counterparts. This Agreement may be executed in one or more counterparts, all of which together shall
constitute one original document. 

*    *    *    *    * 

  
 - 5
- 








 IN WITNESS WHEREOF, the Partners have executed this AGREEMENT TO DISSOLVE,
WIND UP AND TERMINATE AL U.S./LAPALMA SENIOR HOUSING, L.P. effective as of the date first written above. 
  

											
	GENERAL PARTNER:
	
	 AL CALIFORNIA GP, LLC,
 a Delaware limited liability company

		
	By:	 	 AL U.S. POOL ONE, LLC,
 a Delaware limited liability company
 Its: sole Member

			
		 	By:	 	 AL US DEVELOPMENT VENTURE, LLC,
 a Delaware limited liability company
 Its: sole Member

				
		 		 	By:	 	 SUNRISE SENIOR LIVING INVESTMENTS, INC.,
 a Virginia corporation
 Its: Administrative Managing Member 

					
		 		 		 	By:	 	/s/ David Haddock
		 		 		 	Name:	 	 David Haddock

		 		 		 	Title:	 	 Vice President and Secretary


  

											
	LIMITED PARTNER:
	
	 AL U.S. POOL ONE, LLC
 a Delaware limited liability company

		
	By:	 	 AL U.S. POOL ONE, LLC
 a Delaware limited liability company

			
		 	By:	 	 AL US DEVELOPMENT VENTURE, LLC,
 a Delaware limited liability company
 Its: sole Member

				
		 		 	By:	 	 SUNRISE SENIOR LIVING
INVESTMENTS, INC.,
 a Virginia corporation Its: Administrative Managing Member 

					
		 		 		 	By:	 	/s/ David Haddock
		 		 		 	Name:	 	 David Haddock

		 		 		 	Title:	 	 Vice President and Secretary



  
 - 6 -









 Exhibit B-3 
 Plan of Dissolution for AL U.S./LaJolla Senior Housing, L.P. 
 (see
attached) 







 AGREEMENT TO DISSOLVE, WIND UP, AND TERMINATE 

AL U.S./LA JOLLA SENIOR HOUSING, L.P., 
 a California limited partnership 
 This AGREEMENT TO DISSOLVE,
WIND UP AND TERMINATE AL U.S./LA JOLLA SENIOR HOUSING, L.P., a California limited partnership (“Agreement”‘), is made effective as of
                 , 2011 (“Effective Date”), by and among AL CALIFORNIA GP, LLC, a Delaware limited liability company, as the general partner
(“General Partner”), and AL U.S. POOL ONE, LLC, a Delaware limited liability company, as the limited partner (“Limited Partner”). The General Partner and the Limited Partner are sometimes collectively referred to
herein as the “Partners.” The Partners agree as follows: 
 1. Recitals. This Agreement is
executed in reference to the following facts and circumstances: 
 1.1. AL U.S./La Jolla Senior Housing, L.P., a
California limited partnership (“Limited Partnership”) was formed pursuant to that certain Certificate of Limited Partnership filed with California Secretary of State on December 17, 2002, as amended by that certain Amendment
to Certificate of Limited Partnership filed with the California Secretary of State on January 13, 2003 (collectively, the “Certificate of Limited Partnership”). Reference is also made to that certain Amended and Restated
Agreement of Limited Partnership of AL U.S./La Jolla Senior Housing, L.P., a California Limited Partnership, dated December 23, 2002, as amended by that certain First Amendment to Amended and Restated Agreement of Limited Partnership dated
June 14, 2007 (collectively, the “Partnership Agreement”). Capitalized terms used herein and not otherwise defined shall have the meanings ascribed to them in the Partnership Agreement. 

1.2. The Limited Partnership is the owner of that certain senior living facility known as “Sunrise of La Jolla”
(the “Facility”). 
 1.3. The Limited Partnership was dissolved as of December 31, 2009
pursuant to the provisions of the Partnership Agreement. Due to an oversight, the Partners did not become aware the Limited Partnership was dissolved until May 2011. Upon learning of the dissolution of the Limited Partnership effective as of
December 31, 2009, the Partners elected to enter into this Agreement to wind up the Limited Partnership’s activities, to ratify all past acts of the General Partner on behalf of the Limited Partnership as the acts of the Limited
Partnership and to authorize the General Partner to take all such actions as may be necessary to wind up the Limited Partnership’s activities, and upon completion thereof, to terminate the Limited Partnership by filing a Certificate of
Cancellation with the California Secretary of State. 
 1.4. The Partners now desire to dissolve, wind up and
terminate the Limited Partnership pursuant to the provisions and conditions of this Agreement. 
  

	2.	 Winding UP. 


 2.1. Winding up; Ratification of Past Acts; Powers of General Partner. The Limited Partnership shall forthwith wind up its activities, and shall continue only for the purpose of winding up
its activities. In connection with the foregoing, the Partners hereby ratify, confirm and approve as the acts of the Limited Partnership, all acts and activities undertaken by the 

  
 - 1 -









 General Partner on behalf of the Limited Partnership from December 31, 2009 until the
present. In furtherance of winding up of the Limited Partnership’s activities, the General Partner may, on behalf of the Limited Partnership, preserve the Limited Partnership’s business and property as a going concern for a reasonable
time, prosecute and defend actions and proceedings, whether civil, criminal, or administrative, transfer the LP1imited Partnership’s property, settle disputes by mediation or arbitration, file a certificate of cancellation as provided in
California Corporations Code Section 15902.03, and perform other necessary acts in furtherance of the foregoing, and shall discharge the Limited Partnership’s liabilities, settle and close the Limited Partnership’s activities, and
marshal and distribute the assets of the Limited Partnership. Notwithstanding any other provision in this Agreement to the contrary, the Limited Partnership shall dissolve and wind up its activities in compliance with the California Uniform Limited
Partnership Act of 2008 (Cal. Corp. Code §§ 15900 et. seq.) 
 2.2. Transfer of Assets and
Liabilities to Successor. 
 (a) Without limiting the foregoing, and to the extent
permitted under applicable law, the Partners agree the Limited Partnership may continue for so long as necessary for it to transfer its assets and liabilities to a new limited partnership formed by the Partners for the purpose of acquiring the
Limited Partnership’s assets and liabilities and carrying on the business and affairs of the Limited Partnership. The new limited partnership will have the same Partners with identical ownership interests as the Limited Partnership. In
furtherance of the foregoing but to the extent permitted by applicable law, the Limited Partnership may do the following, without limitation, in connection with the winding up of its activities: (a) transfer to the new successor limited
partnership, all real property and personal property owned or otherwise used by the Limited Partnership; (b) transfer to the new successor limited partnership, all of the Limited Partnership’s permits, licenses and other authorizations
with respect to the ownership and operation of the Facility; (c) operate the business of the Limited Partnership in the ordinary course of business pending completion of the winding up process; and (d) otherwise perform all of the
covenants and other obligations to be performed by the Limited Partnership pursuant to those certain loan documents (as so amended and modified, collectively, the “Loan Documents”) that evidence and secure that certain loan in the
original principal amount of $370,500,000 made by HSH NORDBANK AG, acting through its New York Branch, a German banking corporation acting through its New York branch, as administrative agent (together with its successors and assigns in such
capacity as agent for Lenders, the “Administrative Agent”), to AL US DEVELOPMENT VENTURE, LLC, a Delaware limited liability company (the “Borrower”), including, without limitation, that certain Third Amendment to
Loan Agreement and Omnibus Amendment and Reaffirmation of Loan Documents (as may be amended from time to time, the “Loan Modification Agreement”) dated of even date herewith, all of which obligations are hereby approved by the
Partners as appropriate activities to complete the winding up of the Limited Partnership’s activities. 

(b) The Partners intend to preserve the value of the Limited Partnership’s assets and business during the winding up
period and intend to proceed with an orderly transition of the Limited Partner’s business and affairs to the new successor limited partnership. Due to the heavily regulated nature of the real property assets operated by the Limited Partnership,
the Partners acknowledge that it may take 12 months or longer for the new successor limited partnership to acquire all of the permits, licenses and other authorizations necessary for it to 

  
 - 2 -









 
succeed to and carry on the business and activities of the Limited Partnership. Further, the new successor limited partnership will need to take such actions as are necessary for it to be in full
compliance of the covenants of the existing Limited Partnership under the Loan Documents. To maximize the value of the assets and business of the Limited Partnership until the successor limited partnership is qualified to acquire the Limited
Partnership’s assets and liabilities, the Partners desire that the Limited Partnership will carry on its affairs in the ordinary course of business to the extent permitted by applicable law. The Partners hereby acknowledge and agree that the
continuation and preservation of the Limited Partnership’s assets, contracts and business relationships for such 12-month (or longer) period is a reasonable time within which the Limited Partnership may continue its activities for purposes of
winding up under the circumstances which require that the new successor limited partnership obtain and maintain certain licenses, permits and other authorizations with respect to the ownership and operation of the Facility. 

(c) Without limiting the foregoing, but to the extent permitted under applicable law, the General Partner
is hereby authorized to cause the Limited Partnership to enter into and to be legally bound in such transactions as the General Partner may determine are necessary or desirable to carry out the foregoing plan of dissolution, including, without
limitation, entering into one or more assignments, purchase and sale agreements, lease agreements, guarantees, extensions and modifications of existing contracts and obligations, extensions of existing indebtedness (contingent or otherwise), and
entering into new agreements and obligations in furtherance of the foregoing or as otherwise may be necessary or desirable to carry out the foregoing plan of dissolution or as otherwise may be necessary or desirable to wind up the Limited
Partnership’s activities, including, without limitation, new contracts with third parties entered into in the ordinary course of business for the provision of goods and/or services to the Facility. 

2.3. Compliance with California Law. Notwithstanding anything herein to the contrary, neither the General Partner
nor the Limited Partnership shall take any actions following the execution of this Agreement that conflict with any of the provisions of the California Uniform Limited Partnership Act of 2008. 

3. Execution of Documents. In furtherance of the foregoing: 

3.1. Notice of Dissolution. The Limited Partnership may publish notice of its dissolution and request persons
having claims against the Limited Partnership to present them in accordance with the notice and other provisions of California Corporations Code Section 15908.07. 

3.2. Certificate of Cancellation. Upon the completion of the winding up of the affairs of the Limited Partnership,
the General Partner shall, on behalf of the Limited Partnership, execute a Certificate of Cancellation of Limited Partnership—Form LP-4/7 (“Certificate of Cancellation”‘) and cause the Certificate of Cancellation to be
filed with the California Secretary of State. 
 3.3. Power to Execute Documents. The General Partner
shall execute, acknowledge and duly notarize all documents or instruments necessary or appropriate to carry out the plan of dissolution contemplated by this Agreement or as otherwise necessary or desirable to completely


  
 - 3 -









 
wind up the Limited Partnership’s activities and to terminate and cancel the Limited Partnership. 
 4. Disposal of Assets; Satisfaction of Obligations. In winding up the Limited Partnership’s activities, the assets of the Limited Partnership, including the contributions
required by California Corporations Code Section 15908.09, if any, shall be applied to satisfy the Limited Partnership’s obligations to creditors, including, to the extent permitted by law, Partners that are creditors. Any surplus
remaining after the Limited Partnership complies with this paragraph shall be returned to the Partners as they share in distributions. If the Limited Partnership’s assets are insufficient to satisfy all of its obligations pursuant to this
paragraph, the General Partner shall comply with the provisions and conditions of California Corporations Code Section 15908.09(c) to satisfy such remaining liabilities. 

5. Tax Returns. The General Partner shall cause the Limited Partnership’s final state and federal tax or information
returns to be filed as necessary, and tax benefits or losses resulting therefrom shall be allocated among the Partners pursuant to the provisions and conditions of the Partnership Agreement or as otherwise expressly agreed to by the Partners. The
preparation cost of the Limited Partnership’s state and federal tax or information returns shall be borne by the Limited Partnership pursuant to the provisions and conditions of the Partnership Agreement and this Agreement, or as otherwise
expressly agreed to among the Partners. Until the termination of the Limited Partnership, the General Partner shall cause all other tax returns and tax reporting documents to be prepared and delivered to the Partners in accordance with the Limited
Partnership’s customary past practices or as otherwise required by the Partnership Agreement. 
 6. General
Provisions. 
 6.1. Books and Records. The General Partner shall make available to
the other Partners for inspection or copying all records, books, documents, property, agreements or any other thing or instrument of any kind or nature belonging to, pertaining to, or relating to the operation of the Limited Partnership.

 6.2. Entire Agreement. This Agreement, and any other document executed contemporaneously
herewith, memorializes and constitutes the final expression and the complete and exclusive statement among the parties with respect to the subject matter hereof and thereof. 

6.3. Amendments and Waivers. No change in, amendment to, waiver or termination of this Agreement, or any
part hereof, shall be valid unless signed by the Partners. 
 6.4. Headings. Paragraph headings
have been inserted in this Agreement as a matter of convenience only; such paragraph headings are not a part of this Agreement and shall not be used in the interpretation of this Agreement. 

6.5. Severability. If any one or more of the provisions of this Agreement are held to be invalid, illegal,
or unenforceable in any respect for any reason, the validity, legality, and enforceability of any such provision or provisions in every other respect and of the remaining provisions of this Agreement shall not be in any way impaired. In the event of
a finding of partial invalidity, illegality, or unenforceability by a court of competent jurisdiction, such court is hereby instructed to modify such provision to the minimum extent necessary to avoid such invalidity, illegality, or unenforceability
(provided such modification does not alter the purpose 

  
 - 4 -









 
or intent of such provision). 
 6.6. Gender and
Number. Wherever the context so requires, all words used in the singular shall be construed to include the plural, and vice versa, and words of any gender shall include any other gender, or any entity. 

6.7. Successors and Assigns. Except as otherwise expressly provided, this Agreement, and each of its
provisions, covenants and conditions, shall apply to, bind and inure to the benefit of the parties and their respective heirs, executors, administrators, legal representatives, transferees, successors-in-interest, and assigns. 

6.8. Governing Law. The validity of this Agreement shall be interpreted and construed pursuant to and in
accordance with the laws of the State of California. 
 6.9. Counterparts. This Agreement may be
executed in one or more counterparts, all of which together shall constitute one original document. 

*    *    *    *    * 

  
 - 5 -









 IN WITNESS WHEREOF, the Partners have executed this AGREEMENT TO DISSOLVE,
WIND UP AND TERMINATE AL U.S./LA JOLLA SENIOR HOUSING, L.P. effective as of the date first written above. 
 GENERAL PARTNER: 

AL CALIFORNIA GP, LLC, 
 a Delaware limited
liability company 

									
		
	By:	 	 AL U.S. POOL ONE, LLC,
 a Delaware limited liability company
 Its: sole Member

			
		 	By:	 	 AL US DEVELOPMENT VENTURE, LLC,
 a Delaware limited liability company
 Its: sole Member

				
		 		 	 By:
	 	 SUNRISE SENIOR LIVING INVESTMENTS, INC.,
 a Virginia corporation
 Its: Administrative Managing Member

					
		 		 		 	By:	 	 /s/ David Haddock

		 		 		 	Name:	 	 David Haddock

		 		 		 	Title:	 	 Vice President and Secretary


 LIMITED PARTNER: 
 AL U.S. POOL ONE, LLC, 
 a Delaware limited liability company 

							
		
	By:	 	 AL US DEVELOPMENT VENTURE, LLC,
 a Delaware limited liability company
 Its: sole Member

			
		 	 By:
	 	 SUNRISE SENIOR LIVING INVESTMENTS, INC.,
 a Virginia corporation
 Its: Administrative Managing Member

				
		 		 	By:	 	 /s/ David Haddock

		 		 	Name:	 	 David Haddock

		 		 	Title:	 	 Vice President and Secretary



  
 - 6 -









 Exhibit B-4 
 Plan of Dissolution for AL U.S./Sacramento Senior Housing, L.P. 
 (see
attached) 







 AGREEMENT TO DISSOLVE, WIND UP, AND TERMINATE 

AL U.S./SACRAMENTO SENIOR HOUSING, L.P., 
 a California limited partnership 
 This AGREEMENT TO DISSOLVE,
WIND UP AND TERMINATE AL U.S./SACRAMENTO SENIOR HOUSING, L.P., a California limited partnership (“Agreement”), is made effective as of
                    , 2011 (“Effective Date”), by and among AL CALIFORNIA GP, LLC, a Delaware limited liability company, as
the general partner (“General Partner”), and AL U.S. POOL ONE, LLC, a Delaware limited liability company, as the limited partner (“Limited Partner”). The General Partner and the Limited Partner are sometimes
collectively referred to herein as the “Partners.” The Partners agree as follows: 
 1. Recitals.
This Agreement is executed in reference to the following facts and circumstances: 
 1.1. AL U.S./Sacramento
Senior Housing, L.P., a California limited partnership (“Limited Partnership”) was formed pursuant to that certain Certificate of Limited Partnership filed with California Secretary of State on September 9, 2002, as amended by
that certain Amendment to Certificate of Limited Partnership filed with the California Secretary of State on November 27, 2002, as amended by that certain Restated Certificate of Limited Partnership filed with the California Secretary of State
on December 3, 2002, as amended by that certain Amendment to Certificate of Limited Partnership dated January 23, 2003 (collectively, the “Certificate of Limited Partnership”). Reference is also made to that certain
Amended and Restated Agreement of Limited Partnership of AL U.S./Sacramento Senior Housing, L.P., a California Limited Partnership, dated December 23, 2002, as amended by that certain First Amendment to Amended and Restated Agreement of Limited
Partnership dated June 14, 2007 (collectively, the “Partnership Agreement”). Capitalized terms used herein and not otherwise defined shall have the meanings ascribed to them in the Partnership Agreement. 

1.2. The Limited Partnership is the owner of that certain senior living facility known as “Sunrise of
Sacramento” (the “Facility”). 
 1.3. The Limited Partnership was dissolved as of
December 31, 2009 pursuant to the provisions of the Partnership Agreement. Due to an oversight, the Partners did not become aware the Limited Partnership was dissolved until May 2011. Upon learning of the dissolution of the Limited Partnership
effective as of December 31, 2009, the Partners elected to enter into this Agreement to wind up the Limited Partnership’s activities, to ratify all past acts of the General Partner on behalf of the Limited Partnership as the acts of the
Limited Partnership and to authorize the General Partner to take all such actions as may be necessary to wind up the Limited Partnership’s activities, and upon completion thereof, to terminate the Limited Partnership by filing a Certificate of
Cancellation with the California Secretary of State. 
 1.4. The Partners now desire to dissolve, wind up and
terminate the Limited Partnership pursuant to the provisions and conditions of this Agreement. 
 2. Winding Up.

 2.1. Winding up; Ratification of Past Acts; Powers of General Partner. The


  
 - 1 -









 
Limited Partnership shall forthwith wind up its activities, and shall continue only for the purpose of winding up its activities. In connection with the foregoing, the Partners hereby ratify,
confirm and approve as the acts of the Limited Partnership, all acts and activities undertaken by the General Partner on behalf of the Limited Partnership from December 31, 2009 until the present. In furtherance of winding up of the Limited
Partnership’s activities, the General Partner may, on behalf of the Limited Partnership, preserve the Limited Partnership’s business and property as a going concern for a reasonable time, prosecute and defend actions and proceedings,
whether civil, criminal, or administrative, transfer the Limited Partnership’s property, settle disputes by mediation or arbitration, file a certificate of cancellation as provided in California Corporations Code Section 15902.03, and
perform other necessary acts in furtherance of the foregoing, and shall discharge the Limited Partnership’s liabilities, settle and close the Limited Partnership’s activities, and marshal and distribute the assets of the Limited
Partnership. Notwithstanding any other provision in this Agreement to the contrary, the Limited Partnership shall dissolve and wind up its activities in compliance with the California Uniform Limited Partnership Act of 2008 (Cal. Corp. Code
§§ 15900 et. seq.) 
 2.2. Transfer of Assets and Liabilities to Successor. 

(a) Without limiting the foregoing, and to the extent permitted under applicable law, the Partners agree
the Limited Partnership may continue for so long as necessary for it to transfer its assets and liabilities to a new limited partnership formed by the Partners for the purpose of acquiring the Limited Partnership’s assets and liabilities and
carrying on the business and affairs of the Limited Partnership. The new limited partnership will have the same Partners with identical ownership interests as the Limited Partnership. In furtherance of the foregoing but to the extent permitted by
applicable law, the Limited Partnership may do the following, without limitation, in connection with the winding up of its activities: (a) transfer to the new successor limited partnership, all real property and personal property owned or
otherwise used by the Limited Partnership; (b) transfer to the new successor limited partnership, all of the Limited Partnership’s permits, licenses and other authorizations with respect to the ownership and operation of the Facility;
(c) operate the business of the Limited Partnership in the ordinary course of business pending completion of the winding up process; and (d) otherwise perform all of the covenants and other obligations to be performed by the Limited
Partnership pursuant to those certain loan documents (as so amended and modified, collectively, the “Loan Documents”) that evidence and secure that certain loan in the original principal amount of $370,500,000 made by HSH NORDBANK
AG, acting through its New York Branch, a German banking corporation acting through its New York branch, as administrative agent (together with its successors and assigns in such capacity as agent for Lenders, the “Administrative
Agent”), to AL US DEVELOPMENT VENTURE, LLC, a Delaware limited liability company (the “Borrower”), including, without limitation, that certain Third Amendment to Loan Agreement and Omnibus Amendment and Reaffirmation of
Loan Documents (as may be amended from time to time, the “Loan Modification Agreement”) dated of even date herewith, all of which obligations are hereby approved by the Partners as appropriate activities to complete the winding up
of the Limited Partnership’s activities. 
 (b) The Partners intend to preserve the value of
the Limited Partnership’s assets and business during the winding up period and intend to proceed with an orderly transition of the Limited Partner’s business and affairs to the new successor limited partnership. Due to the


  
 - 2 -









 
heavily regulated nature of the real property assets operated by the Limited Partnership, the Partners acknowledge that it may take 12 months or longer for the new successor limited partnership
to acquire all of the permits, licenses and other authorizations necessary for it to succeed to and carry on the business and activities of the Limited Partnership. Further, the new successor limited partnership will need to take such actions as are
necessary for it to be in full compliance of the covenants of the existing Limited Partnership under the Loan Documents. To maximize the value of the assets and business of the Limited Partnership until the successor limited partnership is qualified
to acquire the Limited Partnership’s assets and liabilities, the Partners desire that the Limited Partnership will carry on its affairs in the ordinary course of business to the extent permitted by applicable law. The Partners hereby
acknowledge and agree that the continuation and preservation of the Limited Partnership’s assets, contracts and business relationships for such 12-month (or longer) period is a reasonable time within which the Limited Partnership may continue
its activities for purposes of winding up under the circumstances which require that the new successor limited partnership obtain and maintain certain licenses, permits and other authorizations with respect to the ownership and operation of the
Facility. 
 (c) Without limiting the foregoing, but to the extent permitted under applicable
law, the General Partner is hereby authorized to cause the Limited Partnership to enter into and to be legally bound in such transactions as the General Partner may determine are necessary or desirable to carry out the foregoing plan of dissolution,
including, without limitation, entering into one or more assignments, purchase and sale agreements, lease agreements, guarantees, extensions and modifications of existing contracts and obligations, extensions of existing indebtedness (contingent or
otherwise), and entering into new agreements and obligations in furtherance of the foregoing or as otherwise may be necessary or desirable to carry out the foregoing plan of dissolution or as otherwise may be necessary or desirable to wind up the
Limited Partnership’s activities, including, without limitation, new contracts with third parties entered into in the ordinary course of business for the provision of goods and/or services to the Facility. 

2.3. Compliance with California Law. Notwithstanding anything herein to the contrary, neither the General Partner
nor the Limited Partnership shall take any actions following the execution of this Agreement that conflict with any of the provisions of the California Uniform Limited Partnership Act of 2008. 

3. Execution of Documents. In furtherance of the foregoing: 

3.1. Notice of Dissolution. The Limited Partnership may publish notice of its dissolution and request persons
having claims against the Limited Partnership to present them in accordance with the notice and other provisions of California Corporations Code Section 15908.07. 

3.2. Certificate of Cancellation. Upon the completion of the winding up of the affairs of the Limited Partnership,
the General Partner shall, on behalf of the Limited Partnership, execute a Certificate of Cancellation of Limited Partnership - Form LP-4/7 (“Certificate of Cancellation”) and cause the Certificate of Cancellation to be filed with
the California Secretary of State. 

  
 - 3 -









 3.3. Power to Execute Documents. The General Partner shall
execute, acknowledge and duly notarize all documents or instruments necessary or appropriate to carry out the plan of dissolution contemplated by this Agreement or as otherwise necessary or desirable to completely wind up the Limited
Partnership’s activities and to terminate and cancel the Limited Partnership. 
 4. Disposal of Assets: Satisfaction
of Obligations. In winding up the Limited Partnership’s activities, the assets of the Limited Partnership, including the contributions required by California Corporations Code Section 15908.09, if any, shall be applied to satisfy
the Limited Partnership’s obligations to creditors, including, to the extent permitted by law, Partners that are creditors. Any surplus remaining after the Limited Partnership complies with this paragraph shall be returned to the Partners as
they share in distributions. If the Limited Partnership’s assets are insufficient to satisfy all of its obligations pursuant to this paragraph, the General Partner shall comply with the provisions and conditions of California Corporations Code
Section 15908.09(c) to satisfy such remaining liabilities. 
 5. Tax Returns. The General Partner shall cause
the Limited Partnership’s final state and federal tax or information returns to be filed as necessary, and tax benefits or losses resulting therefrom shall be allocated among the Partners pursuant to the provisions and conditions of the
Partnership Agreement or as otherwise expressly agreed to by the Partners. The preparation cost of the Limited Partnership’s state and federal tax or information returns shall be borne by the Limited Partnership pursuant to the provisions and
conditions of the Partnership Agreement and this Agreement, or as otherwise expressly agreed to among the Partners. Until the termination of the Limited Partnership, the General Partner shall cause all other tax returns and tax reporting documents
to be prepared and delivered to the Partners in accordance with the Limited Partnership’s customary past practices or as otherwise required by the Partnership Agreement. 
 6. General Provisions. 
 6.1. Books and
Records. The General Partner shall make available to the other Partners for inspection or copying all records, books, documents, property, agreements or any other thing or instrument of any kind or nature belonging to, pertaining to, or
relating to the operation of the Limited Partnership. 
 6.2. Entire Agreement. This Agreement,
and any other document executed contemporaneously herewith, memorializes and constitutes the final expression and the complete and exclusive statement among the parties with respect to the subject matter hereof and thereof. 

6.3. Amendments and Waivers. No change in, amendment to, waiver or termination of this Agreement, or any
part hereof, shall be valid unless signed by the Partners. 
 6.4. Headings. Paragraph headings
have been inserted in this Agreement as a matter of convenience only; such paragraph headings are not a part of this Agreement and shall not be used in the interpretation of this Agreement. 

6.5. Severability. If any one or more of the provisions of this Agreement are held to be invalid, illegal,
or unenforceable in any respect for any reason, the validity, legality, and enforceability of any such provision or provisions in every other respect and of the remaining provisions of this Agreement shall not be in any way impaired. In the event of
a finding of 

  
 - 4 -









 
partial invalidity, illegality, or unenforceability by a court of competent jurisdiction, such court is hereby instructed to modify such provision to the minimum extent necessary to avoid such
invalidity, illegality, or unenforceability (provided such modification does not alter the purpose or intent of such provision). 
 6.6. Gender and Number. Wherever the context so requires, all words used in the singular shall be construed to include the plural, and vice versa, and words of any gender shall include any
other gender, or any entity. 
 6.7. Successors and Assigns. Except as otherwise expressly
provided, this Agreement, and each of its provisions, covenants and conditions, shall apply to, bind and inure to the benefit of the parties and their respective heirs, executors, administrators, legal representatives, transferees,
successors-in-interest, and assigns. 
 6.8. Governing Law. The validity of this Agreement shall
be interpreted and construed pursuant to and in accordance with the laws of the State of California. 
 6.9.
Counterparts. This Agreement may be executed in one or more counterparts, all of which together shall constitute one original document. 
 *    *    *    *     * 

  
 - 5 -









 IN WITNESS WHEREOF, the Partners have executed this AGREEMENT TO DISSOLVE,
WIND UP AND TERMINATE AL U.S./SACRAMENTO SENIOR HOUSING, L.P. effective as of the date first written above. 
  

									
	GENERAL PARTNER:
	
	AL CALIFORNIA GP, LLC,
a Delaware limited liability company
		
	By:	 	AL U.S. POOL ONE, LLC,
a Delaware limited liability company
Its: sole Member
			
		 	By:	 	AL US DEVELOPMENT VENTURE, LLC,
a Delaware limited liability company
Its: sole Member
				
		 		 	By:	 	SUNRISE SENIOR LIVING INVESTMENTS, INC.,
a Virginia corporation
Its: Administrative Managing Member
					
		 		 		 	By:	 	/s/ David Haddock
		 		 		 	Name:	 	David Haddock
		 		 		 	Title:	 	Vice President and Secretary

  

							
	LIMITED PARTNER:
	
	AL U.S. POOL ONE, LLC,
a Delaware limited liability company
		
	By:	 	AL US DEVELOPMENT VENTURE, LLC,
a Delaware limited liability company
Its: sole Member
			
		 	By:	 	 SUNRISE SENIOR LIVING INVESTMENTS, INC.
a Virginia corporation
Its: Administrative Managing
Member

				
		 		 	By:	 	/s/ David Haddock
		 		 	Name:	 	David Haddock
		 		 	Title:	 	Vice President and Secretary


  
 - 6 -









 Exhibit 5.20 
 Organizational Structure 







 



 







 



 

  
 Page 2









 



 

  
 Page 3









 Exhibit 5.21 
 Accounts 
  

	1.	 Operating Account: Account No. **** at KeyBank. 


  

	2.	 FF&E Reserve Account: Account No. **** at KeyBank. 



 

	3.	 Liquidity Reserve Account: Account No. **** at KeyBank. 


 The portions of this document marked with “****” have been omitted pursuant to a confidential treatment request. The omitted portions have been filed separately with the Securities and Exchange
Commission. 







 Exhibit 6.07 
 Insurance Requirements 
 Borrower shall, and will cause Guarantors to,
secure, pay for and maintain without interruption, at its own expense, the following insurance policies including all specified coverages and limits during the term of this Loan Agreement: 

 

	 	A.	 PROPERTY INSURANCE - Borrower and Guarantors shall maintain a Special Causes of Loss (“All
Risk” ISO Form or Equivalent) perils policy covering the buildings and improvements, and any other permanent structures for one hundred percent (100%) of the actual replacement cost. The policy shall also provide a sub limit of Twenty-five
Million Dollars ($25,000,000) for the peril of Earthquake and a sublimit of Twenty-five Million Dollars ($25,000,000) for the peril of Flood in Zone “A” (In addition to maximum Federal Flood limit), and a limit of Twenty-five Million
Dollars ($25,000,000) for the peril of Flood outside of Zone A. Upon the request of Mortgagee, replacement cost for insurance purposes will be established by an independent appraiser mutually selected by Borrower and the Administrative Agent. The
policy will include Agreed Amount (waiving co-insurance), Replacement Cost Valuation and Building Ordinance coverages. The policy will include a standard Mortgagee Clause (ISO Form or Equivalent, i.e. Borrower’s acts will not impair
Lenders’ right to recover, exclusive payment of loss to the Administrative Agent and automatic cancellation notice to the Administrative Agent). The policy will require that all losses in excess One Million Dollars ($1,000,000) will be adjusted
with the Administrative Agent. The Mortgagor(s) waives any and all rights of subrogation against Mortgagee. 


  

	 	B.	 PERSONAL PROPERTY (including machinery, equipment, furniture, fixtures, stock)— Borrower and Guarantors
shall maintain a Special Causes of Loss perils Property policy for all Personal Property owned, leased or for which they are legally liable. The policy will include a Lender’s Loss Payable endorsement in favor of the Administrative Agent (ISO
Form CP1218 or Equivalent). 


 The policy providing Real Property and Personal Property
coverages, as specified in Sections (A) and (B) above, may include a deductible of no more than One Hundred Thousand Dollars ($100,000), provided that Earthquake, Flood, Named Storm Flood (Tier 1), and Named Windstorm (Tier 1
Florida) deductibles can not be greater than 5% of the insurable values for individual locations, subject to a minimum of $250,000 per occurrence except Flood Zone A which may have a minimum deductible equal to the maximum limits available in the
NFIP. 
  

	 	C.	 BUSINESS INCOME/RENTS/EXTRA EXPENSE - Borrower and
Guarantors shall maintain combined Business Income or Rents/Extra Expense coverage with a limit representing no less than one hundred percent (100%) of the projected annual net profit plus continuing expenses (including debt service) or gross
rents including all tenant charges of not less than one year for the operation. Such coverage shall 










	 	 
include extensions for Off Premises Power losses ($1,000,000) and an Extended Period of Indemnity of at least one hundred and eighty (180) days endorsements. These coverages may have a
deductible of Forty-eight (48) Hours, or One Hundred Thousand Dollars ($100,000), if a separate deductible applies. The policy shall be endorsed to include the Mortgagee as a Lender Loss Payee. 



Real, Personal Property and Business Income/Rents coverages may be written on a Blanket, Loss Limit or Specific basis but,
the limit of coverage must be sufficient to cover one hundred percent (100%) of the values required under this agreement. All Property coverage including Real Property, Personal Property and Business Income (Rents) cannot include any
exclusions/limitations regarding coverage for Terrorism or Terrorist Acts. 
  

	 	D.	 BOILER AND MACHINERY - Borrower and Guarantors shall maintain a Boiler and
Machinery policy for the operations/facilities written on a Comprehensive Form with a combined direct and indirect limit of no less than Twenty-Five Million Dollars ($25,000,000). The policy shall include a Standard Mortgagee endorsement. The policy
shall include extensions for Agreed Amount (waiving co-insurance) and Replacement Cost Valuation. The policy may contain deductibles of no greater than Twenty-five Thousand Dollars ($25,000) direct and Forty-eight (48) Hours indirect.



  

	 	E.	 COMMERCIAL GENERAL LIABILITY (2000 ISO Form or Equivalent) - Borrower and Guarantors shall
maintain a Commercial General Liability policy with a One Million Dollar ($1,000,000) each occurrence and aggregate limit for bodily injury and property damage, including Products Liability/Completed Operations, Personal/Advertising Injury,
Contractual Liability and all standard policy form extensions. The policy may be written on an “occurrence form” or a “claims made” form, provided that, if written on a “claims made” form, Borrower and Guarantors agree
to maintain such insurance for the period of time that its business operations continue and further provided that, if such “claims made” coverge is terminated, Borrower and Guarantors will purchase so-called “tail” or extended
reporting period coverage for a period of at least three (3) years following termination of the loan. The policy will include an extension for Sexual Abuse & Molestation coverage. The policy will include coverage for property damage or
injury caused by mold. Alternatively, mold coverage may be provided through a separate environmental liability policy. 


 The policy shall be endorsed to include HSH Nordbank, AG, acting through its New York Branch as an Additional Insured. Definition of Additional Insured shall include all Officers, Directors,
Employees, Agents and Representatives of the additional insured. The coverage for additional insured shall apply on a primary basis irrespective of any other insurance whether collectible or not (ISO Endorsement Form CG 20 26 11 85 Additional
Insured - Designated Person or Organization or equivalent). 








	 	F.	 PROFESSIONAL LIABILITY - Borrower and Guarantors shall maintain a Professional Liability policy
covering all acts, errors & omissions in providing Healthcare Services to any person with a limit of not less than Ten Million dollars ($10,000,000) each loss and Ten Million Dollars ($10,000,000) in the aggregate, which can be a
combination of primary and excess limits. The deductible under this policy shall be no greater than $250,000. Alternatively, this coverage can be provided as an endorsement to the General Liability coverage under Section (E) above.



  

	 	G.	 AUTOMOBILE - Borrower and Guarantor shall maintain a comprehensive Automobile Liability Insurance Policy
written under coverage “Symbol 1”, providing at least a One Million Dollar ($1,000,000) combined single limit for bodily injury and property damage covering all owned, non-owned and hired vehicles of the Borrower and Guarantors.



  

	 	H.	 WORKERS COMPENSATION AND EMPLOYERS LIABILITY
INSURANCE - Borrower and Guarantors shall maintain a standard Workers Compensation policy meeting all statutory requirements covering the state where the company is operating, including Employers Liability coverage
subject to a limit of no less than Five Hundred Thousand Dollars ($500,000) each employee, Five Hundred Thousand Dollars ($500,000) each accident, Five Hundred Thousand Dollars ($500,000) policy limit. 



 

	 	I.	 UMBRELLA - An Umbrella policy shall be purchased with a limit of not less than Fifty Million Dollars
($50,000,000) providing Excess coverage over all limits and coverages indicated in paragraphs (e), (f) and (g) above. The limits can be obtained by a combination of Primary and Excess Umbrella policies, provided that all layers follow form
with the underlying policies indicated in (e), (f) and (g) above. This policy shall be endorsed to include HSH Nordbank AG, New York Branch as an Additional Insured in the same manner as set forth under Section (E) above.



 All policies of insurance indicated above shall be written with insurance companies approved to do
business in the applicable state and shall be rated no lower than “A X” in the most recent edition of A.M. Best’s and “A-” in the most recent edition of Standard & Poor’s or such other carrier acceptable to
Administrative Agent at its sole discretion. In the event of a cancellation, non-renewal or material modification, Borrower and Guarantors shall provide HSH Nordbank AG, acting through its New York Branch, thirty (30) days prior written notice
by certified mail, return receipt requested. The Borrower shall furnish HSH Nordbank AG, acting through its New York Branch with Declaration Pages of each policy, copies of policy endorsements including HSH Nordbank AG, acting through its New York
Branch as Mortgagee, Lender’s Loss Payable and Additional Insured (as soon as such documentation is reasonably available) and Certificates of Insurance and binders of insurance if Declaration Pages and specified policy endorsements are not yet
available, executed by an authorized agent evidencing compliance with all insurance provisions discussed above prior to closing and on an annual basis prior to the expiration of each policy thereafter. The Borrower and Guarantors shall document that
all said policies are paid in full as of the closing date and annually for each renewal period. All documentation and other notices related to the insurance program shall be delivered to HSH Nordbank AG, acting through 







 its New York Branch concurrently with the delivery of such certificates or notices to such
carrier or to Mortgagors, or any of them, as applicable. 
 Any other insurance reasonably requested by Borrower and Guarantors
in such amounts and covering such risks as may be reasonably required and customary for the operation/facility of the Borrower and Guarantors. Approval of any insurance by the Administrative Agent shall not be a representation of the solvency of any
insurer or sufficiency of any coverage required under this agreement. All requirements set forth under Section 6.07 are considered minimums in terms of the purchase and maintenance of insurance under this agreement. 







 Exhibit 7.03(b) 

Minimum Release Payments 
  

											
	 Property Company
	  	 Facility
	  	Allocated Loan
Amount	 	  	Disposition
Amount	 
	 AL U.S./Bonita Senior Housing, L.P.
	  	Sunrise Assisted Living of Bonita	  	$	18,360,167.78	  	  	$	20,196,184.56	  
	 AL U.S./GP Woods II Senior Housing, LLC
	  	Sunrise on Vernier	  	$	8,944,583.66	  	  	$	9,839,042.03	  
	 AL U.S./Huntington Beach Senior Housing, L.P.
	  	Sunrise of Huntington Beach	  	$	32,682,531.73	  	  	$	35,950,784.90	  
	 AL U.S./LaJolla Senior Housing, L.P.
	  	Sunrise Assisted Living of La Jolla	  	$	26,297,116.46	  	  	$	28,926,828.11	  
	 AL U.S./LaPalma Senior Housing, L.P
	  	Sunrise Assisted Living at La Palma	  	$	11,203,525.62	  	  	$	12,323,878.18	  
	 AL U.S./Playa Vista Senior Housing, L.P.
	  	Sunrise of Playa Vista	  	$	27,225,602.37	  	  	$	29,948,162.61	  
	 AL U.S./Sacramento Senior Housing, L.P.
	  	Sunrise Assisted Living of Sacramento	  	$	17,247,034.53	  	  	$	18,971,737.98	  
	 AL U.S./San Gabriel Senior Housing, L.P.
	  	Sunrise Assisted Living at San Marino	  	$	17,348,162.81	  	  	$	19,082,979.09	  
	 AL U.S./Seal Beach Senior Housing, L.P.
	  	Sunrise of Seal Beach	  	$	60,000,000.00	  	  	$	66,000,000.00	  
	 AL U.S./Studio City Senior Housing, L.P.
	  	Sunrise Assisted Living of Studio City	  	$	25,963,831.94	  	  	$	28,560,215.13	  
	 AL U.S./Woodland Hills Senior Housing, L.P.
	  	Sunrise Assisted Living of Woodland Hills	  	$	16,326,003.99	  	  	$	17,958,604.39	  
	 Boulder Assisted Living, L.L.C.
	  	Sunrise Assisted Living of Boulder	  	$	27,387,807.10	  	  	$	30,126,587.81	  
	 G.P. Woods Assisted Living, LLC
	  	Grosse Pointe Woods	  	$	24,783,773.66	  	  	$	27,262,151.03	  
	 Newtown Square Assisted Living, L.L.C.
	  	Sunrise of Newton Square	  	$	14,000,000.00	  	  	$	15,400,000.00	  
	 Wilmington Assisted Living, L.L.C.
	  	Sunrise Assisted Living of Wilmington	  	$	12,019,944.63	  	  	$	13,221,939.09	  
		  		  	 	 	 	  	 	 	 
	 TOTAL:
	  		  	$	339,790,086.29	  	  	$	373,769,094.91