2011-11-15T07:58:08-06:00 2010-12-31 ROBINSON GRANT & CO PA POST OFFICE DRAWER 22959 HILTON HEAD ISLAND SC 299252959 990 2010-01-01 570951170 THE CYPRESS CLUB INC CYPR 8436897000 20 LADY SLIPPER LANE HILTON HEAD ISLAND SC 299261372 CATHERINE JENKINS 8436897000 2011-11-14 1 MICHAEL R PUTICH CPA 8433425151 2010 2016-03-07 17:11:31Z CATHERINE JENKINS 20 LADY SLIPPER LANE HILTON HEAD SC 29926 17054520 0 X WWW.THECYPRESS.COM X 1992 SC THE CYPRESS CLUB, INC. WAS ESTABLISHED EXCLUSIVELY TO MAINTAIN HOUSING FOR THE ELDERLY, TO DIRECTLY PROVIDE HEALTH CARE, AND TO OPERATE THE FACILITY AT ITS LOWEST FEASIBLE AND ACCEPTABLE COST. 5 3 408 0 0 0 0 0 16688326 16950710 7346 7469 107059 96341 16802731 17054520 0 0 0 0 9907814 10166225 0 0 0 4843957 4959428 14751771 15125653 2050960 1928867 10853038 12863182 1208525 1292140 9644513 11571042 X THE CYPRESS CLUB, INC. WAS ESTABLISHED AS A NON-PROPRIETARY, NON- SHAREHOLDER, NOT-FOR-PROFIT MUTUTAL BENEFIT CORPORATION UNDER THE LAWS OF SOUTH CAROLINA, EXCLUSIVELY TO MAINTAIN HOUSING FOR THE ELDERLY, TO DIRECTLY PROVIDE HEALTH CARE 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. 0 0 5791317 9109188 AT DECEMBER 31, 2010, THE CYPRESS CLUB HAD APPROXIMATELY 322 UNITSOCCUPIED BY RESIDENTS. THE RESIDENTS RECEIVED ACCESS TO DINING,HOUSEKEEPING, EXERCISE, AND SOCIAL ACTIVITIES TO PROMOTE GENERALWELLBEING. 3566146 4014283 THE CYPRESS HAS AN ON-SITE HEALTH CARE CENTER WHICH IS LICENSED TOPERFORM NURSING CARE SERVICES. 3458256 3827239 THE CYPRESS OFFERS IN-HOME ASSISTED LIVING AND CLINIC SERVICES FORITS MEMBERS. 12815719 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 45 0 408 1 0 0 0 0 0 0 0 0 X 5 3 0 0 0 0 1 0 0 1 0 0 0 0 1 1 1 0 0 0 0 0 X LINDA HEISE 8436897000 20 LADY SLIPPER LANE HILTON HEAD ISLAND SC 299261372 JAMES P COLEMAN 8.00 X X 0 0 0 EVELYN JOHNSON 0.30 X 500 0 0 BOB RAEHN 0.30 X 500 0 0 CATHERINE JENKINS 40.00 X X 0 185304 0 SUE JAMES 0.30 X 500 0 0 LINDA HEISE 40.00 X 113521 0 0 ANN HARRISON 40.00 X 100167 0 0 215188 185304 0 2 0 1 1 MPP MICHAEL PARENT PAINTING 40 FULLER POINTE DR HILTON HEAD SC 29926 PAINTING 510463 REHAB THERAPY SERVICES PO BOX 503534 ST LOUIS MO 63150 CONTRACT THERAPY 478338 LIFE CARE SERVICES LLC 400 LOCUST ST STE 820 DES MOINES IA 50309 MANAGEMENT SERVICES 337548 FORTON & COMPANY LLC PO BOX 2135 BLUFFTON SC 29910 POWER WASHING 153879 MICHAEL BRITT PO BOX 2478 BLUFFTON SC 29910 PAINTING/STUCCO REPAIR 111400 5 MEMBERSHIP FEES 623990 9109188 9109188 HEALTH CENTER 623990 4014283 4014283 HOME HEALTH SERVICES 623990 3582632 3582632 CLINIC/RESPITECARE 623990 244607 244607 16950710 7469 7469 MISC. REVENUE-RELATED- 623990 96341 96341 96341 17054520 17047051 0 7469 700 700 7971774 7439241 532533 83983 67355 16628 1491814 1447255 44559 617954 595854 22100 1333788 1333788 2565 2565 15606 15606 190544 179871 10673 4087 4087 72048 72048 22846 12381 10465 19851 5441 14410 123213 123213 FOOD COSTS 1337768 1337768 THERAPY EXPENSE 515008 515008 OPERATING SUPPLIES 463596 463596 UTILITIES 378405 378405 REPAIRS AND MAINTENANCE 110731 99358 11373 369372 274185 95187 15125653 12815719 2309935 0 1161378 1621867 949292 1282438 8075920 9689792 83501 64371 574117 195884 8830 8830 10853038 12863182 976826 1126813 231699 165327 1208525 1292140 X 9644513 11571042 9644513 11571042 10853038 12863182 X 1928867 -2338 X 0 1 1 X 0 0 DUE TO AFFILIATES 83077 PREPAID SERVICE FEES 21461 SECURITY DEPOSITS 60789 165327 17054520 15125653 1928867 -2338 -2338 1926529 X 0 0 0 0 0 0 0 0 0 CATHERINE JENKINS 0 121980 0 63324 0 0 0 0 0 0 0 185304 0 0 SUPPLEMENTAL INFORMATION PART III COMPENSATION FROM AN UNRELATED ORGANIZATION 990, PART VII, SECTION A, LINE 5 COMPENSATION SHOWN FOR CATHERINE JENKINS, EXECUTIVE DIRECTOR, WAS FROM AN UNRELATED ORGANIZATION, LIFE CARE SERVICES, LLC. THE CYPRESS OF HILTON HEAD ASSOCIATES LP DEVELOPER 1193892 MANAGEMENT FEES 0 THE CYPRESS OF HILTON HEAD ASSOCIATES LP DEVELOPER 58106 ADMINISTRATIVE EXPENSES 0 FORM 990, PART VI, SECTION A, LINE 6 EACH PROPERTY OWNER AT THE CYPRESS IS A MEMBER. FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEES HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE TAX RETURN IS PROVIDED TO THE CONTROLLER OF THE ORGANIZATION FOR REVIEW BEFORE THE INCOME TAX RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C UPON ELECTION EACH DIRECTOR IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM WHICH IS MAINTAINED IN THE OFFICES OF THE ORGANIZATION AND WILL BE MADE AVAILABLE TO ANY MEMBERS UP0N WRITTEN REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST AND APPROVAL OF MANAGEMENT AND THE BOARD OF DIRECTORS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: PRIOR YEAR BOOK TO TAX DIFFERENCE -2,338. TOTAL TO FORM 990, PART XI, LINE 5: -2,338. THE CYPRESS OF HILTON HEAD OWNERS' ASSOC 20 LADY SLIPPER LANE HILTON HEAD ISLAND SC 29926 570951143 HOMEOWNERS ASSOC SC C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0