THE CYPRESS CLUB OF CHARLOTTE, INC.'S HRA PLAN 401k Plan overview

THE CYPRESS CLUB OF CHARLOTTE, INC.'S HRA PLAN Benefits

401k Sponsoring company profile

Company Name:	THE CYPRESS CLUB OF CHARLOTTE, INC.
Employer identification number (EIN):	562103741
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2013-01-01	JAMES BARGER
502	2012-01-01	JAMES BARGER

Plan Statistics for THE CYPRESS CLUB OF CHARLOTTE, INC.'S HRA PLAN

Measure	Date	Value
2013: THE CYPRESS CLUB OF CHARLOTTE, INC.'S HRA PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	123
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	125
Total of all active and inactive participants	2013-01-01	125
Total participants	2013-01-01	0
2012: THE CYPRESS CLUB OF CHARLOTTE, INC.'S HRA PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	121
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	123
Total of all active and inactive participants	2012-01-01	123
Total participants	2012-01-01	0

Form 5500 Responses for THE CYPRESS CLUB OF CHARLOTTE, INC.'S HRA PLAN

Potentially related plans

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• THE CYPRESS 401K RETIREMENT SAVINGS PLAN [EIN = 570951170]
• THE CYPRESS OF RALEIGH CLUB 401K PLAN [EIN = 202818389]
• THE CYPRESS CENTER, A PHYSICAL THERAPY CORPORATION 401(K) PROFIT SHARING PLAN [EIN = 954887508]
• THE CYPRESS GROUP 401(K) PROFIT SHARING PLAN [EIN = 352172670]
• THE CYPRESS CENTER 401K PLAN [EIN = 954887608]
• THE CYPRESS COMPANIES, INC. WELFARE BENEFIT PLAN [EIN = 880342214]
• THE CYPRESS CLUB INC. EMPLOYEE BENEFIT PLAN [EIN = 570951170]
• THE CYPRESS OF RALEIGH CLUB, INC. HEALTH PLAN [EIN = 202818389]
• THE CYPRESS GROUP 401(K) PLAN [EIN = 133931704]
• THE CYPRESS CONDOMINIUM ASSOC. MCF BENEFIT PLAN [EIN = 455035212]
• THE CYPRESS GROUP 401(K) PROFIT SHARING PLAN [EIN = 852875160]
• THE CYPRESS AGENCY 401K [EIN = 611917520]
• THE CYPRESS PHYSICAL THERAPY CENTER 401K PLAN [EIN = 933265954]

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