STRATEGY STUDIO / PUBLIC DATA EXPLORER

CYPRESS OF CHARLOTTE CLUB INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
CYPRESS OF CHARLOTTE CLUB INC (EIN 56-2103741)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-13
IRS object ID
201843179349306899
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-13T15:59:35-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN562103741EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE CYPRESS OF CHARLOTTE CLUB INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCYPRBusinessNameControlTxt
Phone7047145500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13442 CYPRESS CLUB DRAddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28210ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonVICTORIA DUVALLPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7047145500PhoneNum
Signature2018-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY BIBBYPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.25.12.224IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-13IPDt
IP Tm14:25:31IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD80274681E9CC1823A2CB70D0FAA557DD4368EADAtSubmissionCreationDeviceId
At Submission Filing Device Id3C4A73C7F70BFF54BAAC11A85090BDFB39FC8B01AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES COLEMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13442 CYPRESS CLUB DRAddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28210ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$17,455,871GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.THECYPRESSOFCHARLOTTE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTHE CYPRESS OF CHARLOTTE CLUB, INC WAS ESTABLISHED AS A NON-PROPIETARY, NON-SHAREHOLDER, NOT-FOR-PROFIT MUTUAL BENEFIT CORPORATION UNDER THE LAWS OF NC, EXCLUSIVELY TO MAINTAIN HOUSING FOR ELDERLY, TO DIRECTLY PROVIDE HEALTHCARE FOR THE PHYSICAL AND MENTAL WELL-BEING OF ITS RESIDENTS, TO PROVIDE FINANCIAL SECURITY FOR ITS RESIDENTS WITH POLICIES PERMITTING RESIDENTS TO REMAIN AT THE CYPRESS EVEN THOUGH THEY MAY RUN OUT OF FUNDS, AND TO OPERATE THE FACILITY AT ITS LOWEST FEASIBLE AND ACCEPTABLE COST.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee543TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$15,679,287PYProgramServiceRevenueAmt
CY Program Service Revenue$17,434,214CYProgramServiceRevenueAmt
PY Investment Income$6PYInvestmentIncomeAmt
CY Investment Income$4,578CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$17,079CYOtherRevenueAmt
PY Total Revenue$15,679,293PYTotalRevenueAmt
CY Total Revenue$17,455,871CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,763,879PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,956,471CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$9,621CYTotalFundraisingExpenseAmt
PY Other Expenses$6,519,085PYOtherExpensesAmt
CY Other Expenses$6,392,974CYOtherExpensesAmt
PY Total Expenses$16,282,964PYTotalExpensesAmt
CY Total Expenses$17,349,445CYTotalExpensesAmt
PY Revenues Less Expenses-$603,671PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$106,426CYRevenuesLessExpensesAmt
Total Assets BOY$4,751,377TotalAssetsBOYAmt
Total Assets EOY$5,394,267TotalAssetsEOYAmt
Total Liabilities BOY$4,577,436TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,384,348TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$173,941NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,009,919NetAssetsOrFundBalancesEOYAmt
MissionTHE CYPRESS OF CHARLOTTE, CHARLOTTE'S PREMIER CONTINUING CARE RETIREMENT COMMUNITY, IS COMMITTED TO ENHANCING THE LIVES OF OUR MEMBERS BY PROVIDING EXCEPTIONAL SERVICE AND PEACE OF MIND IN AN UPSCALE ENVIRONMENT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$13,956,419ExpenseAmt
Grant$0GrantAmt
Revenue$17,434,214RevenueAmt
DescTHE CYPRESS OF CHARLOTTE CLUB PROVIDES SERVICES TO ELDERLY RESIDENTS LIVING IN 310 PRIVATELY OWNED RESIDENTIAL UNITS. RESIDENTS RECEIVED ASSISTED LIVING, INCLUDING HEALTHCARE, FOR PHYSICAL AND MENTAL WELL BEING.Desc
Total Program Service Expenses$13,956,419TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document51IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee543EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VICTORIA DUVALLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7047145500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13442 CYPRESS CLUB DRAddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28210ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JAMES P COLEMAN
PRESIDENT5.00Yes (X)Yes (X)$0$0$0
SENA QUIST
EXECUTIVE DIRECTOR/TREASURER/SECRETARY40.00Yes (X)Yes (X)$0$0$0
MICHELLE FISH
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL J HARRISON
DIRECTOR1.00Yes (X)$0$0$0
DR ROBERT HIGGINS
DIRECTOR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
THE CYPRESS OF CHARLOTTE LLC
20 LADY SLIPPER LANEHILTON HEAD ISLANDSC29926CONTRACT SERVICES$1,318,643
LIFE CARE COMPANIES LLC
400 LOCUST STREET SUITE 820DES MOINESIA50309MANAGEMENT SERVICES$821,570
HERITAGE HEALTHCARE
536 OLD HOWELL ROADGREENVILLESC29615REHABILITATION SERVICES$481,202
LANDMARK LANDSCAPE INC
7319 IVY HILL LANEWAXHAWNC28173LANDSCAPING SERVICES$407,782
TOMMIE REYNOLDS
2370 EASTVIEW RDROCK HILLSC29730BEAUTY SALON SERVICES$203,047
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEMBER FEES623000$8,889,071$8,889,071
HOME HEALTH SERVICES621610$4,534,921$4,534,921
HEALTH CENTER SERVICES623000$4,010,222$4,010,222
FieldValueIRS element (for citing)
Total Program Service Revenue$17,434,214TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$403TotalRevenueColumnAmt
Exclusion$403ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$4,175OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$4,175OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,175TotalRevenueColumnAmt
Exclusion$4,175ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$17,079TotalRevenueColumnAmt
Exclusion$17,079ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$17,079OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,455,871TotalRevenueColumnAmt
Related Or Exempt Func Income$17,434,214RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$21,657ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$157,328TotalAmt
Program Services$39,332ProgramServicesAmt
Management And General$110,130ManagementAndGeneralAmt
Fundraising$7,866FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,764,832TotalAmt
Program Services$7,968,578ProgramServicesAmt
Management And General$796,254ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$69,485TotalAmt
Program Services$63,029ProgramServicesAmt
Management And General$6,400ManagementAndGeneralAmt
Fundraising$56FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,206,302TotalAmt
Program Services$1,079,269ProgramServicesAmt
Management And General$125,940ManagementAndGeneralAmt
Fundraising$1,093FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$758,524TotalAmt
Program Services$688,053ProgramServicesAmt
Management And General$69,865ManagementAndGeneralAmt
Fundraising$606FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,370,031TotalAmt
Management And General$1,370,031ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$28,812TotalAmt
Management And General$28,812ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$73,118TotalAmt
Management And General$73,118ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$665,903TotalAmt
Program Services$620,891ProgramServicesAmt
Management And General$45,012ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,579TotalAmt
Program Services$7,482ProgramServicesAmt
Management And General$97ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$690,118TotalAmt
Program Services$404,675ProgramServicesAmt
Management And General$285,443ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$60,409TotalAmt
Management And General$60,409ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$258,659TotalAmt
Program Services$224,019ProgramServicesAmt
Management And General$34,640ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$47,907TotalAmt
Program Services$12,419ProgramServicesAmt
Management And General$35,488ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$30,099TotalAmt
Program Services$8,524ProgramServicesAmt
Management And General$21,575ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$41,300TotalAmt
Program Services$24,688ProgramServicesAmt
Management And General$16,612ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$289,250TotalAmt
Program Services$289,250ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$277,995TotalAmt
Management And General$277,995ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD$1,601,645$1,601,645
SUPPLIES$566,438$550,667$15,771
ACTIVITIES$212,284$212,284
MEDICAL SUPPLIES$120,626$120,626

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$50,801TotalAmt
Program Services$40,988ProgramServicesAmt
Management And General$9,813ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,349,445TotalAmt
Program Services$13,956,419ProgramServicesAmt
Management And General$3,383,405ManagementAndGeneralAmt
Fundraising$9,621FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$148,015BOYAmt
EOY$633,801EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$53,910BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,235,839BOYAmt
EOY$1,284,546EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$79,912BOYAmt
EOY$72,313EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$272,982BOYAmt
EOY$272,197EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,241,147LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,451,990LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$634,371BOYAmt
EOY$789,157EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,326,348BOYAmt
EOY$2,312,624EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$29,629EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,751,377BOYAmt
EOY$5,394,267EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,824,021BOYAmt
EOY$3,319,072EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$15,073BOYAmt
EOY$65,276EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,738,342BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,577,436BOYAmt
EOY$3,384,348EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$173,941BOYAmt
EOY$2,009,919EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$173,941BOYAmt
EOY$2,009,919EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,751,377BOYAmt
EOY$5,394,267EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$106,426ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$1,729,552OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,169,530OtherCostOrOtherBasisAmt
Depreciation$2,397,810DepreciationAmt
Book Value$771,720BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$71,617OtherCostOrOtherBasisAmt
Depreciation$54,180DepreciationAmt
Book Value$17,437BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$789,157TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$19,168,344TotalRevEtcAuditedFinclStmtAmt
Other Revenue$1,738,343OtherRevenueAmt
Revenue Not Reported$1,738,343RevenueNotReportedAmt
Revenue Subtotal$17,430,001RevenueSubtotalAmt
Other Revenues Not Included$25,870OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$25,870RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$17,455,871TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$17,332,366TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$17,332,366ExpensesSubtotalAmt
Other Expenses Not Included$17,079OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$17,079ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$17,349,445TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE CLUB IS A NONPROFIT ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE. MANAGEMENT HAS EVALUATED THE CLUB'S TAX POSITIONS AND CONCLUDED THAT THE CLUB HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. THE CLUB FILES AS A TAX-EXEMPT ORGANIZATION. BECAUSE MANAGEMENT HAS NOT IDENTIFIED UNRELATED BUSINESS INCOME IN PAST YEARS, THE CLUB HAS NOT FILED FORM 990-T, EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS. MANAGEMENT IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THE TAX-EXEMPT STATUS OF THE CLUB. MANAGEMENT IS NOT AWARE OF ANY SIGNIFICANT ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES FOR THE CLUB.
PART XI, LINE 2D - OTHER ADJUSTMENTS:FORGIVENESS OF AMOUNT DUE TO ASSOCIATION 1,738,343.
PART XI, LINE 4B - OTHER ADJUSTMENTS:LOSS IN EQUITY INVESTMENT 8,791. MISCELLANEOUS INCOME IN EXPENSE 17,079.
PART XII, LINE 4B - OTHER ADJUSTMENTS:MISCELLANEOUS INCOME IN EXPENSE 17,079.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE CYPRESS OF CHARLOTTE CLUB ("CLUB") HAS CONTRACTED WITH LIFE CARE SERVICES, LLC TO PROVIDE SERVICES, INCLUDING MANAGEMENT SERVICES AND EMPLOYEES, TO THE CLUB. THE CLUB HAS AN AGREEMENT WITH THE CYPRESS OF CHARLOTTE, LLC ("COMPANY") TO PROVIDE SUPERVISION AND OVERSIGHT OF THOSE CONTRACTED ACTIVITIES AND EMPLOYEES. THE BOARD IS STILL ULTIMATELY RESPONSIBLE FOR THE CLUB AND MAY TERMINATE THE MANAGEMENT AGREEMENT WITH THE COMPANY SHOULD THE COMPANY BE IN DEFAULT. THE ORGANIZATION'S EXECUTIVE DIRECTOR IS COMPENSATED BY THE MANAGEMENT COMPANY AND RECEIVED $157,329 FOR SERVICES RENDERED IN 2017.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS REVIEWED BY MANAGEMENT PRIOR TO SUBMISSION. THE ORGANIZATION MADE THE FORM 990 AVAILABLE TO BOARD MEMBERS FOR THEIR PERSONAL REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CTHE CLUB REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCY WITH THE POLICY THROUGH THEIR CORPORATE COMPLIANCE PROGRAM.
FORM 990, PART VI, SECTION B, LINE 15ATHE PROCESS OF DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR AND HEALTHCARE ADMINISTRATION IS CONDUCTED BY THE ORGANIZATION'S MANAGEMENT COMPANY, LIFE CARE SERVICES, LLC OF DES MOINES, IOWA, SUBJECT TO THE APPROVAL OF THE BOARD. THE EXECUTIVE DIRECTOR AND HEALTHCARE ADMINISTRATOR ARE LIFE CARE SERVICES, LLC EMPLOYEES (I.E. THEY ARE NOT EMPLOYEES OF THE CYPRESS OF CHARLOTTE).
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990 PART VIITHE ORGANIZATION ACTS AS A PAYROLL PROCESSING AGENT FOR OTHER ENTITIES. THE FILING ORGANIZATION DOES NOT ISSUE ANY W-2S IN EXCESS OF $100,000 TO EMPLOYEES WHO ARE PROVIDING SERVICES TO THE FILING ORGANIZATION.
FORM 990, PART XI, LINE 9:LOSS IN EQUITY INVESTMENT -8,791. FORGIVENESS OF AMOUNT DUE TO ASSOCIATION 1,738,343.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1THE CYPRESS OF CHARLOTTE OWNERS' ASSOCIATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13442 CYPRESS CLUB DRIVEAddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28210ZIPCd
FieldValueIRS element (for citing)
EIN562205827EIN
Primary ActivitiesHOME OWNERS' ASSOCIATIONPrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd
Entity TypeCEntityTypeTxt
Share Of Total Income$5,706,351ShareOfTotalIncomeAmt
Share Of EOY Assets$14,588,387ShareOfEOYAssetsAmt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd