Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE 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. |
| FORM 990, PART VI, SECTION A, LINE 6 | ONE CLASS OF MEMBERS |
| FORM 990, PART VI, SECTION B, LINE 11 | NO REVIEW WILL BE CONDUCTED |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CLUB REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCY WITH THE POLICY THROUGH THEIR CORPORATE COMPLIANCE PROGRAM. |
| FORM 990, PART VI, SECTION C, LINE 19 | THESE DOCUMENTS ARE MADE AVAILABLE THROUGH THE ORGANIZATION'S ANNUAL DISCLOSURE STATEMENT, WHICH IS REQUIRED BY THE NC DEPARTMENT OF INSURANCE, WHICH REGULATES ALL CONTINUING CARE RETIREMENT COMMUNITIES IN THE STATE OF NORTH CAROLINA. ALL CYPRESS MEMBERS, ALL POTENTIAL CYPRESS MEMBERS, AND ANY OTHER INTERESTED PARTIES CAN RECEIVE A COPY OF THE DISCLOSURE STATEMENT UPON REQUEST. |
| FORM 990, PART VII, SECTION A, COLUMN F | THE ORGANIZATION, IN A FULL TRANSPARENCY POSTURE TO REPORTING, IS REPORTING ALL BENEFITS IN FULL IN COLUMN F, PART VII AND IS NOT APPLYING THE $10,000 PER ITEM EXCEPTION FOR CERTAIN BENEFITS. |
| FORM 990, PART XII, LINE 2C, AUDIT COMMITTEE:: | THE BOARD ITSELF SERVES AS THE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. THE BOARD IS MADE UP, IN THE MAJORITY, OF INDEPENDENT DIRECTORS WITH NO OTHER AFFILIATION WITH ANY OF THE CYPRESS ENTITIES. THE AUDIT COMMITTEE'S PROCESS OF EVALUATION HAS NOT CHANGED SINCE PRIOR YEAR. |
| FORM 990, PART I, LINE 6: | WE HAVE MEMBERS (RESIDENTS) WHO ARE ELECTED TO SERVE ON ADVISORY COMMITTEES AND OTHER MEMBERS WHO VOLUNTEER THEIR TIME AT OUR NURSING FACILITY READING TO AND VISITING THE SICK. |
| FORM 990, PAGE 6, LINE 3 | STEVEN KERLEY'S COMPENSATION IS 109,956.20. |
| FORM 990, PART VI, LINES 15A & B: | THE 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, SCHEDULE R, PART III AND PART IV: | THE NORTH CAROLINA DEPARTMENT OF INSURANCE ISSUED THE LICENSE TO OPERATE A CONTINUING CARE RETIREMENT COMMUNITY COLLECTIVELY TO THE CYPRESS OF CHARLOTTE CLUB ("CLUB"), THE CYPRESS OF CHARLOTTE OWNERS' ASSOCIATION ("OA"), AND THE CYPRESS OF CHARLOTTE, LLC ("COMPANY"). THE DEPARTMENT OF INSURANCE REQUIRES THESE THREE LEGAL ENTITIES WORK TOGETHER TO FULFILL THE MISSION OF THE CYPRESS OF CHARLOTTE. THIS STRUCTURE ALLOWS THE COMPANY TO CONTRIBUTE REAL AND PERSONAL PROPERTY TO THE PROJECT WITHOUT DEBT TO EITHER THE CLUB OR THE OA, ALLOWING FOR MUCH GREATER FINANCIAL SECURITY AND LOWER MEMBER FEES THAN ANY COMPARABLE COMMUNITIES. IN RETURN, THE COMPANY RECOVERS ITS INVESTMENT THROUGH THE OVERHEAD FEES PAID BY THE COMMUNITY. THE TERMS OF AND DETAILS OF THE OVERHEAD PAYMENT ARE PROVIDED TO AND ACKNOWLEDGED BY MEMBERS WHEN THEY JOIN THE COMMUNITY. THIS MODEL ALIGNS THE INTERESTS OF THE CLUB, OA, COMPANY AND MEMBERS TO ENSURE THE COMMUNITY CONTINUES TO GROW AND THRIVE. THE SUCCESS OF THIS STRUCTURE CAN BE SEEN IN A 95% MEMBER SATISFACTION RATE AND SIGNIFICANT INCREASES IN THE VALUE OF THE RESIDENCES UPON RESALE. |
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