2011-08-08T16:41:28-05:00 2010-09-30 BURR PILGER MAYER INC 600 CALIFORNIA STREET SUITE 1300 SAN FRANCISCO CA 94108 990 2009-10-01 940416370 CYPRESS LAWN CEMETERY ASSOCIATION CYPR 6507550580 1370 EL CAMINO REAL COLMA CA 94014 RAYMOND SALA 6507550580 2011-08-03 1 Maga Kisriev 4154215757 2009 2016-02-24 21:20:13Z KENNETH E VARNER 1370 EL CAMINO REAL COLMA CA 94014 22023688 0 X WWW.CYPRESSLAWN.COM X 1894 CA CYPRESS LAWN MEMORIAL PARK WAS ESTABLISHED IN 1892 AS AN ANSWER TO A NEED FOR A PLACE WHERE PEOPLE COULD BURY THEIR LOVED ONES WITH DIGNITY AND RESPECT. BEAUTIFUL MONUMENTS AND STATUARY WERE CREATED TO MEMORIALIZE THE MEN AND WOMEN WHO HELPED SHAPE OUR GOLDEN STATE. UNIQUE STAINED GLASS WINDOWS WERE CREATED TO ADORN THE CEMETERY'S PRIVATE AND PUBLIC CHAPELS AND MAUSOLEUMS. WITH THE ADDITION OF A FUNERAL HOME, CREMATION FACILITIES, AND FLOWER SHOP, CYPRESS LAWN OFFERS FAMILIES THE CONVENIENCE OF TOTAL REMEMBERANCE SERVICES, ALL AT ONE LOCATION. 7 7 105 0 0 0 0 1897011 2758555 13608451 1752503 243279 14266827 15748741 18777885 154038 75520 0 8676510 9435603 0 0 5561050 6406754 14391598 15917877 1357143 2860008 120801785 114909480 52168138 43650368 68633647 71259112 CYPRESS LAWN MEMORIAL PARK WAS ESTABLISHED IN 1892 AS AN ANSWER TO A NEED FOR A PLACE WHERE PEOPLE COULD BURY THEIR LOVED ONES WITH DIGNITY AND RESPECT. BEAUTIFUL MONUMENTS AND STATUARY WERE CREATED TO MEMORIALIZE THE MEN AND WOMEN WHO HELPED SHAPE OUR GOLDEN STATE. UNIQUE STAINED GLASS WINDOWS WERE CREATED TO ADORN THE CEMETERY'S PRIVATE AND PUBLIC CHAPELS AND MAUSOLEUMS. WITH THE ADDITION OF A FUNERAL HOME, CREMATION FACILITIES, AND FLOWER SHOP, CYPRESS LAWN OFFERS FAMILIES THE CONVENIENCE OF TOTAL REMEMBERANCE SERVICES, ALL AT ONE LOCATION. 0 0 Cypress Lawn Cemetery Association is a non-profit public benefit organization operating a cemetery in Colma, California for 116 years. 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 86 0 1 105 1 0 0 0 0 0 0 0 0 0 7 7 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 CA X X Ron Lathouwers 6507550580 1370 EL CAMINO REAL COLMA CA 94014 CHARLES CROCKER 1.00 X 3600 0 0 JB MCINTOSH 2.00 X 13600 0 0 JAMES C FLOOD 1.00 X 3600 0 0 RICHARD TOBIN THIERIOT 1.00 X 3600 0 0 LEWIS COLEMAN 1.00 X 5000 0 0 PETER T POPE 1.00 X 5932 0 0 MICHAEL V WHITMAN 1.00 X 3600 0 0 KENNETH E VARNER 40.00 X 451522 0 9479 MARTIN JACOBS 40.00 X 1360 0 0 BARBARA DRYG 40.00 X 145925 0 3822 BOBBIE LAI 40.00 X 96396 0 2985 MICHAEL MATHIASEN 40.00 X 56177 0 0 RON LATHOUWERS 40.00 X 81486 0 0 RAYMOND J SALA 40.00 X 8448 0 0 880246 0 16286 2 0 1 0 V FONTANA 7600 EL CAMINO REAL COLMA CA 94014 MERCHANDISE 449342 ANTHEM BLUE CROSS 4553 LA TIENDA DRIVE THOUSAND OAKS CA 91362 MEDICAL INSURANCE PROVIDER 377142 KAISER PO BOX 60000 SAN FRANCISCO CA 94160 MEDICAL INSURANCE PROVIDER 357991 TRAVELERS CL REMITTANCE CENTER HARTFORD CT 06183 WORKER COMPENSATION INSURANCE 118728 BURR PILGER & MAYER INC 600 CALIFORNIA STREET SUITE 1300 SAN FRANCISCO CA 94108 ACCOUNTING SERVICES 115399 5 Affiliate payments 900099 2416519 2416519 Affiliate repair 900099 342036 342036 2758555 1752503 1752503 43601 43601 232578 232578 232578 232578 17236451 3245803 13990648 13990648 18777885 16981781 0 1796104 75520 926574 5995733 2127392 385904 351137 229869 215530 1133278 1928474 322193 INFLATION ON COST OF TR 567395 UTILITIES 394438 ORGANIZATION COST 252412 OTHER EXPENSES 226325 CEMETERY CARE EXPENSES 176731 608972 15917877 4518 1000 1942426 1457394 15509377 15003878 146949 79671 36576276 27403188 259099 165193 48990370 16826460 33274981 32163910 33088159 38635246 120801785 114909480 3085040 2556043 633281 622045 15571502 15092788 32878315 25379492 52168138 43650368 X 68633647 71259112 68633647 71259112 120801785 114909480 X 1 1 1 X 0 4763419 4763419 39567115 13899749 25667366 4405721 2926711 1479010 254115 254115 32163910 Interentity Receivables 38635246 38635246 MINIMUM PENSION LIABILITY 4428555 PRENEED LIABILITIES 16760217 LIABILITY FROM INTEREST RATE HEDGING 2564454 CAPITAL LEASE OBLIGATION 154789 LIABILITY TO BUILD 1471477 25379492 18777885 15917877 2860008 -141448 -93095 -234543 2625465 18777885 0 18777885 0 18777885 16152420 234543 234543 15917877 0 15917877 Part XI, Line 8 - Other Adjustments: PENSION-RELATED CHANGES: -93095. Part XIII, Line 2d - Other Adjustments: PENSION ADJUSTMENT: 93095. UNREALIZED HEDGE INTEREST: 141448. 1 CYPRESS LAWN HERITAGE FOUNDATION 943289523 501(c)(3) 75520 FMV HISTORICAL EDUCATION, PRESERVATION, AND OPERATING SUPPORT. 1 0 Other Information: Part IV: ALL RECIPIENT ORGANIZATIONS MUST BE EXEMPT UNDER IRC SECTION 501(C)(3), AND COMPLY WITH ALL CHARITABLE ACTIVITY REQUIREMENTS. X X 1 1 X X X X 0 0 0 KENNETH E VARNER 451522 0 0 0 0 0 0 0 0 0 451522 0 0 0 BARBARA DRYG 145925 0 0 0 0 0 0 0 0 0 145925 0 0 0 Part I, Line 1a First class or charter travel is provided occasionally. Per employment contract, travel companion is limited to three times a year. KENNETH E VARNER CEO CO TENANCY AGREEMENT REAL PROPERTY FUTURE IMPROVEMENTS X 79671 0 1 1 79671 Form 990, Part VI, Section B, line 11 Board members are sent a copy of the tax return prior to the filing date for review. If a board meeting is scheduled to occur before the filing, the return will be reviewed during the finance meeting. Form 990, Part VI, Section B, line 12c Officers, directors, trustees and key employees required to disclose or update annually interests that could give rise to conflicts such as a list of family members and substantial business and investments holdings. Form 990, Part VI, Section B, line 15a The board hired an economist to provide them with comparable compensation data for the CEO position. For all other officers and director positions, the review is done by the CEO and the board. Form 990, Part VI, Section C, line 19 Upon written request. The organization has an audit committee to assume responsibility of the audit, and oversee the whole audit. CYPRESS LAWN HERITAGE FOUNDATION 1370 EL CAMINO REAL COLMA CA 94014 943289533 Support non-endowed assets of the cemetery. CA 501(C)(3) Cypress Lawn Cemetery Association CYPRESS LAWN CEMETERY ASSOCIATION ENDOWMENT CARE FUND 1370 EL CAMINO REAL COLMA CA 94014 237135969 Care, maintenance, preservation and embellishment of cemetery. CA 501(C)(13) N/A Cypress Lawn Cemetery Association Cypress Funeral Services Inc 1370 El Camino Real Colma CA 94014 943289536 Funeral services CA Cypress Lawn Cemetery Association C -559240 4797957 1.00000 CYPRESS LAWN CEMETERY ASSOCIATION ENDOWMENT CARE FUND 1370 El Camino Real Colma CA 94014 237135969 CARE, MAINTENANCE, PRESERVATION AND EMBELLISHMENT OF CEMETERY CA Cypress Lawn Cemetery Association T 3982739 50798671 1.00000 1 1 0 1 0 0 1 0 1 0 0 0 1 0 0 1 0 1 Cypress Lawn Heritage Foundation B 75520 Cypress Lawn Cemetery Preneed Trust Fund R 1836963 Cypress Lawn Cemetery Association Endowment Care Fund P 961618 Cypress Lawn services Inc A 276179 Cypress Lawn services Inc R 850000