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EXTENDICARE REAL ESTATE INVESTMENT TRUST
6-K
03/29/2007
EXTENDICARE REAL ESTATE INVESTMENT TRUST
EXHIBIT INDEX
SIGNATURES
EX-99.1
EX-99.2
____________________________
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EXTENDICARE REAL ESTATE INVESTMENT TRUST
6-K
03/29/2007
EXTENDICARE REAL ESTATE INVESTMENT TRUST
Exhibit
Number Description of Exhibit
99.10 Form of Separation Agreement between Assisted
Living Concepts, Inc. and Extendicare
Real Estate Investment Trust
99.20 Form of Tax Allocation Agreement between
Extendicare Inc. and Assisted Living Concepts,
Inc.
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EXTENDICARE REAL ESTATE INVESTMENT TRUST
6-K
03/29/2007
NO TITLE
Section 1.01. Definitions 1
ARTICLE II
Tax Matters
ARTICLE III
Separation and Assumed Liabilities
Section 3.01. Separation 11
Section 3.02. Transfer and Assumption Documentation 11
Section 3.03. Disclaimer 11
Section 3.04. Intercompany Arrangements 11
ARTICLE IV
Other Agreements
Section 4.01. Use of Names 12
Section 4.02. Books and Records 13
Section 4.03. Further Assurances 13
Section 4.04. Cooperation 15
Section 4.05. Insurance 15
Section 4.06. Agreement Not to Solicit Employees 16
Section 4.07. Successors 17
Section 4.08. Retention of Records 18
Section 4.09. Confidentiality; Preservation of Privilege; 18
Access
Section 4.10. Novation of Liabilities 21
ARTICLE V
Indemnification
Section 5.01. Indemnification by ALC 23
Section 5.02. Indemnification by Extendicare 24
Section 5.03. Procedures Relating to Indemnification 24
Section 5.04. Certain Limitations 27
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EXTENDICARE REAL ESTATE INVESTMENT TRUST
6-K
03/29/2007
NO TITLE
Section 5.05. Contribution 27
Section 5.06. Exclusivity of Remedies 28
ARTICLE VI
Conditions
ARTICLE VII
Miscellaneous and General
Section 7.01. Modification or Amendment 28
Section 7.02. Termination 28
Section 7.03. Notices 29
Section 7.04. Interpretation 29
Section 7.05. Severability 30
Section 7.06. Counterparts 30
Section 7.07. Entire Agreement; Third Party Beneficiaries 30
Section 7.08. Certain Obligations 30
Section 7.09. Governing Law 30
Section 7.10. Assignment 31
Section 7.11. Dispute Resolution; Waiver of Jury Trial 31
Section 7.12. Limitation of Liability 32
Section 7.13. Extension; Waiver 32
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EXTENDICARE REAL ESTATE INVESTMENT TRUST
6-K
03/29/2007
NO TITLE
Schedule 1.01(a) ALC Litigation
Schedule 1.01(b) EHSI Assisted Living Facilities
Schedule 1.01(c) Excluded Assets
Schedule 3.01 Separation Transactions
Schedule 3.04 Continuing Intercompany Arrangements
Exhibit I Tax Allocation Agreement
Exhibit II Agreement for Payroll and Benefit Services
Exhibit III Reserved
Exhibit IV Agreement for Reimbursement Services
Exhibit V Technology Services Agreement
Exhibit VI EHSI Assisted Living Facility Purchase
and Sale Agreement
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EXTENDICARE REAL ESTATE INVESTMENT TRUST
6-K
03/29/2007
EHSI Assisted Living Facilities
FACILITY
NAME ADDRESS
1.00 Bell Oaks Terrace 4200 Wyntree Drive
(Assisted Living) Newburgh, IN 47630
2.00 Emerald House P.O. Box 519
(Assisted Living) 601 Bussard Road
Washington, IN 47501
3.00 Inwood Hills Estates 4010 South Ironwood Road
(Residential Care Facility) South Bend, IN 46614
4.00 Highlands (The) 225 Norfleet Drive
(Assisted Living) Somerset, KY 42501
5.00 Country Villa 7475 Country Club Drive
(Assisted Living) Golden Valley, MN 55427
6.00 Rockmill Springs 3682 Dolson Court, N.W.
(Assisted Living) Carroll, OH 43112
7.00 Gardens at Clyde 700 Helen Street
(Assisted Living) Clyde, OH 43410
8.00 Westwood Landing (Assisted 37950 Airport Road
Living) Woodsfield, OH 43793
9.00 Clairmont Retirement Center 151 North Williams Ave.
(Independent Living) Klamath Falls, OR 97601
10.00 Bayberry Court 101 Little Road
(Assisted Living) Lower Burrell, PA 15068
11.00 Statesman Woods 2619 Trenton Road
(Assisted Living) Levittown, PA 19056
12.00 Crestview Assisted Living 6680 Woodward Avenue
Amarillo, TX 79106
13.00 Laurel Park Assisted Living 1133 East Park Avenue
(Assisted Living) Port Angeles, WA 98362
14.00 Mission Ridge Assisted Living 12903 East Mission
For Independent Seniors Spokane, WA 99216
(Assisted Living)
15.00 Mountain View Meadows 1008 East Mountain View Ave.
(Assisted Living) Ellensburg, WA 98926
16.00 Prairie Springs Assisted Living 680 West Prairie Street
(Assisted Living) Sequim, WA 98382
17.00 West Woods 828 McPhee Road S.W.
(Assisted Living) Olympia, WA 98502
18.00 Brook Gardens 300 O Neil Street
(Assisted Living) Lake Mills, WI 53551
19.00 Cedar Gardens W56 N225 McKinley Blvd.
(Assisted Living) Cedarburg, WI 53012
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COUNTY STATE
Warrick IN
Daviess IN
St. Joseph IN
Pulaski KY
Hennepin MN
Fairfield OH
Sandusky OH
Monroe OH
Klamath OR
Westmoreland PA
Bucks PA
Potter TX
Clallam WA
Spokane WA
Kittitas WA
Clallam WA
Thurston WA
Jefferson WI
Ozaukee WI
EXTENDICARE REAL ESTATE INVESTMENT TRUST
6-K
03/29/2007
EHSI Assisted Living Facilities
FACILITY
NAME ADDRESS
20.00 Crest House 3829 South Chicago Ave.
( Assisted Living) South Milwaukee, WI 53172
21.00 Crystal House 1403 Churchill Street
(Assisted Living) Waupaca, WI 54981-0439
22.00 Lake View Assisted Living 545 Luco Road
Fond du Lac, WI 54935
23.00 Lake View Estates 517 Luco Road
(Independent and 15 Assisted Fond du Lac, WI 54935
Living Units)
24.00 Oak Gardens 342 Twin Oak Drive
(Assisted Living) Altoona, WI 54720
25.00 River Wood Estates (RCAC) 950 South Rapids Road
Manitowoc, WI 54220
26.00 Tamarack Place N84 W17147 Menomonee Ave.
(Independent and Assisted Menomonee Falls, WI 53051
Living)
27.00 Terrace Estates 1231 Eisner Avenue
(f/k/a Morningside Terrace) Sheboygan, WI 53083
(Independent and Assisted
Living)
28.00 Willowpark Residence 1318 Jordan Avenue
(Assisted Living) New Holstein, WI 53061
29.00 Wissota Springs (Assisted 2801 County Trunk I
Living) Chippewa Falls, WI 54729
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COUNTY STATE
Milwaukee WI
Waupaca WI
Fond du Lac WI
Fond du Lac WI
Eau Claire WI
Manitowoc WI
Waukesha WI
Sheboygan WI
Calumet WI
Chippewa WI
EXTENDICARE REAL ESTATE INVESTMENT TRUST
6-K
03/29/2007
Combined/Consolidated State Tax Allocation
Consolidated Taxable Income $250
State Apportionment 40.00 %
State Taxable Income $100
State Tax Rate 10 %
State Tax Liability $10
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EXTENDICARE REAL ESTATE INVESTMENT TRUST
6-K
03/29/2007
Combined/Consolidated State Tax Allocation
Apportionment Numerator Denominator Apportionment
EHI Group $350 $1,000
ALC Group $250 $500
Total $600 $1,500
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Apportionment %
23.33 %
16.67 %
40.00 %
EXTENDICARE REAL ESTATE INVESTMENT TRUST
6-K
03/29/2007
Combined/Consolidated State Tax Allocation
Subgroup Total
Allocation of Tax Numerator Denominator
EHI Group $350 $1,500
ALC Group $250 $1,500
Totals
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Federal Taxable State
Percentage Income Income
23.33 % $250 $58
16.67 % $250 $42
40.00 % $100
State Allocated
Tax Rate Tax Liability
10 % $5.83
10 % $4.17
$10.00
EXTENDICARE REAL ESTATE INVESTMENT TRUST
6-K
03/29/2007
Operations Checklist
No. ST Facility
1.00 56 River Wood Estates (RCAC)
2.00 405 Gardens At Clyde
3.00 14 Crystal House
4.00 38 Tamarack Place
5.00 42 Cedar Gardens
6.00 43 Wissota Springs
7.00 105 Lake View Assisted Living
8.00 107 Lake View Estates
9.00 108 Country Villa
10.00 134 Prairie Springs Assisted Living
11.00 138 Mountain View Meadows
12.00 139 Oak Gardens
13.00 148 Terrace Estates
14.00 186 Highlands (The)
15.00 230 Bayberry Court
16.00 257 Mission Ridge Assisted Living
For Independent Seniors
17.00 258 West Woods
18.00 267 Clairmont Retirement Center
19.00 269 Crestview Assisted Living
20.00 220 Bell Oaks Terrace
21.00 238 Emerald House
22.00 35 Willowpark Residence
23.00 40 Crest House
24.00 106 Brook Gardens
25.00 137 Laurel Park Assisted Living
26.00 213 Inwood Hills Estates
27.00 239 Rockmill Springs
28.00 404 Westwood Landing
29.00 417 Statesman Woods
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Date Operations
State Transferred
WI 4/1/2006
OH 4/1/2006
WI 4/1/2006
WI 4/1/2006
WI 4/1/2006
WI 4/1/2006
WI 4/1/2006
WI 4/1/2006
MN 4/1/2006
WA 7/1/2006
WA 7/1/2006
WI 4/1/2006
WI 4/1/2006
KY 4/1/2006
PA 5/1/2006
WA 7/1/2006
WA 7/1/2006
OR 4/1/2006
TX 4/1/2006
IN 4/1/2006
IN 4/1/2006
WI 4/1/2006
WI 4/1/2006
WI 4/1/2006
WA 7/1/2006
IN 4/1/2006
OH 4/1/2006
OH 4/1/2006
PA 4/1/2006
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