2012-11-15T15:36:39-06:00 2011-12-31 570735924 ROBINSON GRANT & CO PA POST OFFICE DRAWER 22959 HILTON HEAD ISLAND SC 299252959 990 2011-01-01 570951170 THE CYPRESS CLUB INC CYPR 8436897000 20 LADY SLIPPER LANE HILTON HEAD ISLAND SC 299261372 SANDY GRIFFIN-BUKOSKEY 8436897000 2012-11-15 1 MICHAEL R PUTICH CPA P00853466 8433425151 2011 2016-02-24 21:20:13Z SANDY GRIFFIN-BUKOSKEY 20 LADY SLIPPER LANE HILTON HEAD SC 29926 17030274 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 3 430 0 0 0 0 0 16950710 17022968 7469 3224 96341 4082 17054520 17030274 0 0 0 0 10166225 10344920 0 0 0 4959428 5348249 15125653 15693169 1928867 1337105 12863182 13986419 1292140 1078272 11571042 12908147 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, AND TO OPERATE THE FACILITY AT ITS LOWEST FEASIBLE AND ACCEPTABLE COST. 0 0 6017431 8941614 THE CYPRESS CLUB HAS 322 RESIDENTIAL UNITS. THE RESIDENTS RECEIVE ACCESS TO DINING, HOUSEKEEPING, EXERCISE, AND SOCIAL ACTIVITIES TO PROMOTE GENERAL WELLBEING. 3732628 3996110 THE CYPRESS HAS AN ON-SITE HEALTH CARE CENTER WHICH IS LICENSED TOPERFORM NURSING CARE SERVICES. 3521172 4085244 THE CYPRESS OFFERS IN-HOME ASSISTED LIVING AND CLINIC SERVICES FORITS MEMBERS. 13271231 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 50 0 430 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 1 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 300 0 0 BOB RAEHN 0.30 X 300 0 0 CATHERINE JENKINS 40.00 X X 0 177905 0 SUE JAMES 0.30 X 300 0 0 LINDA HEISE 40.00 X 111019 0 0 111919 177905 0 1 0 1 1 MPP MICHAEL PARENT PAINTING 40 FULLER POINTE DR HILTON HEAD SC 29926 PAINTING 581835 REHAB THERAPY SERVICES PO BOX 503534 ST LOUIS MO 63150 CONTRACT THERAPY 494291 LIFE CARE SERVICES LLC 400 LOCUST ST SUITE 820 DES MOINES IA 50309 MANAGEMENT 413355 FORTON & COMPANY PO BOX 2135 BLUFFTON SC 29910 WINDOW WASHING 175350 4 MEMBERSHIP INCOME 623990 8941614 8941614 HEALTH CENTER 623990 3996110 3996110 HOME HEALTH SERVICES 623990 3852698 3852698 CLINIC/RESPITECARE 623990 232546 232546 17022968 3224 3224 MISCELLANEOUS 623990 4082 4082 4082 17030274 17027050 0 3224 630 630 8178141 7674044 504097 78275 66045 12230 1425126 1373917 51209 662748 639706 23042 1358127 1358127 2001 2001 17252 17252 196669 182092 14577 5364 5364 81346 81346 23492 13301 10191 20045 3209 16836 205331 205331 FOOD COSTS 1404444 1404444 THERAPY EXPENSE 555987 555987 OPERATING SUPPLIES 521838 521838 UTILITIES 412514 412514 543839 424134 119705 15693169 13271231 2421938 0 1621867 1584814 1282438 1101721 9689792 10649112 64371 75140 195884 566802 0 0 8830 8830 12863182 13986419 1126813 998973 165327 79299 1292140 1078272 X 11571042 12908147 11571042 12908147 12863182 13986419 1337105 0 X 0 1 1 X 0 0 PREPAID FEES 34122 DEPOSIT - HC 45177 79299 17030274 15693169 1337105 1337105 X 0 0 0 0 0 0 0 0 0 CATHERINE JENKINS 0 137652 0 40253 0 0 0 0 0 0 0 177905 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 MANAGEMENT COMPANY OF THE CYPRESS CLUB. THE CYPRESS OF HILTON HEAD ASSOCIATES LP DEVELOPER 1193892 MANAGEMENT FEES 0 THE CYPRESS OF HILTON HEAD ASSOCIATES LP DEVELOPER 46031 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 UPON 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. 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