CHEYENNE H A V E N INC: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CHEYENNE H A V E N INC (EIN 83-0306362)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-10
- IRS object ID
- 202321309349203962
- Schema version
- 2021v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-10T19:14:34-04:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 920549743 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RML & ASSOCIATES CPAS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 505 S 3RD ST STE 100 | AddressLine1Txt |
| City | LARAMIE | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 820703607 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830306362 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHEYENNE HAVEN INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHEY | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1780 WESTLAND RD | AddressLine1Txt |
| City | CHEYENNE | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82001 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFF GARDNER | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 3076378869 | PhoneNum |
| Signature | 2023-05-10 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JEFF | PersonFirstNm |
| Person Last | GARDNER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 888008888 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROLF PETERSON CPA | PreparerPersonNm |
| PTIN | P00297941 | PTIN |
| Phone | 3077551040 | PhoneNum |
| Preparation | 2023-05-10 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $38,366 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $20,664 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $17,700 | ProgramServiceRevenueAmt |
| Investment Income | $2 | InvestmentIncomeAmt |
| Total Revenue | $38,366 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $12,475 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $25,987 | OccupancyRentUtltsAndMaintAmt |
| Other Expenses Total | $13,893 | OtherExpensesTotalAmt |
| Total Expenses | $52,355 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$13,989 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $65,165 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $51,176 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,519 | BOYAmt |
| EOY | $2,127 | EOYAmt |
Land And Buildings LandAndBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,650 | BOYAmt |
| EOY | $28,784 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,058 | BOYAmt |
| EOY | $21,325 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,227 | BOYAmt |
| EOY | $52,236 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,062 | BOYAmt |
| EOY | $1,060 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,165 | BOYAmt |
| EOY | $51,176 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | HOUSING FOR HANDICAPPED ADULTS | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | HOUSING AND SERVICES FOR LOW INCOME HANDICAPPED ADULTS IN CHEYENNE, WYOMING | DescriptionProgramSrvcAccomTxt |
| Program Service Expenses | $65,165 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $65,165 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| JEFF GARDNER | ||
| PRESIDENT | 1.00 | $0 |
| WAYNE HANSEN | ||
| CHAIRMAN | 1.00 | $0 |
| BOB GODFREY | ||
| VICE CHAIRMA | 1.00 | $0 |
| TERRI LORENZON | ||
| SECRETARY/TR | 1.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MAGIC CITY ENTERPRISES | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1780 WESTLAND ROAD | AddressLine1Txt |
| City | CHEYENNE | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3076378869 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,848 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,424 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,070 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,891 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,664 | CurrentTaxYearAmt |
| Total | $97,897 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,066 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,176 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,402 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,816 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,702 | CurrentTaxYearAmt |
| Total | $87,162 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $34,914 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $36,600 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $36,472 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,707 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,366 | CurrentTaxYearAmt |
| Total | $185,059 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $185,059 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $34,914 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $36,600 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $36,472 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,707 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,366 | CurrentTaxYearAmt |
| Total | $185,059 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE EXPENSES 3,321 MISCELLANEOUS ADMIN EXPENSES 306 PROPERTY/ LIABILITY INSURANCE 2,400 NON-INVESTMENT DEPRECIATION 7,866 TOTAL 13,893 |
| FORM 990-EZ, PART II, LINE 24 | TENANT SECURITY DEPOSITS (D) 1,062 1,065 REPLACEMENT FOR RESERVE 12,556 5,751 RESIDUAL RECEIPTS RESERVE 11,440 14,509 TOTAL 25,058 21,325 |
| FORM 990-EZ, PART II, LINE 26 | TENANT SECURITY DEPOSITS 1,062 1,060 |
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