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CHEYENNE H A V E N INC: Form 990EZ, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CHEYENNE H A V E N INC (EIN 83-0306362)
Tax period
2020-07-01 to 2021-06-30
Filed
2021-12-15
IRS object ID
202113499349200131
Schema version
2020v4.1
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

FieldValueIRS element (for citing)
Return2021-12-15T17:49:19-06:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1505 South 3rd Street Ste 100AddressLine1Txt
CityLaramieCityNm
State AbbreviationWYStateAbbreviationCd
ZIP82070ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN830306362EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Cheyenne HAVEN IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MAGIC CITY ENTERPRISESInCareOfNm
Business Name ControlCHEYBusinessNameControlTxt
Phone3076378869PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11780 Westland RoadAddressLine1Txt
CityCheyenneCityNm
State AbbreviationWYStateAbbreviationCd
ZIP82001ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJeff GardnerPersonNm
Person TitlePresidnetPersonTitleTxt
Phone3076378869PhoneNum
Signature2021-11-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJeffPersonFirstNm
Person LastGardnerPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRolf Peterson CPAPreparerPersonNm
PTINP00297941PTIN
Phone3077551040PhoneNum

Additional Filer Information AdditionalFilerInformation

FieldValueIRS element (for citing)
Trusted CustomerTrustedCustomerGrp
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Gross Receipts$46,774GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$20,891ContributionsGiftsGrantsEtcAmt
Program Service Revenue$17,816ProgramServiceRevenueAmt
Investment Income$2InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Gain Or Loss From Sale Of Assets$0GainOrLossFromSaleOfAssetsAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$0SpecialEventsNetIncomeLossAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry$0GrossProfitLossSlsOfInvntryAmt
Other Revenue Total$8,065OtherRevenueTotalAmt
Total Revenue$46,774TotalRevenueAmt
Salaries Other Comp Empl Bnft$0SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$10,575FeesAndOtherPymtToIndCntrctAmt
Other Expenses Total$50,802OtherExpensesTotalAmt
Total Expenses$61,377TotalExpensesAmt
Excess Or Deficit For Year-$14,603ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$79,768NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$65,165NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$3,834BOYAmt
EOY$4,519EOYAmt

Land And Buildings LandAndBuildingsGrp

FieldValueIRS element (for citing)
BOY$48,429BOYAmt
EOY$36,650EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$28,567BOYAmt
EOY$25,058EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$80,830BOYAmt
EOY$66,227EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,062BOYAmt
EOY$1,062EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$79,768BOYAmt
EOY$65,165EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeTo provide disabled persons with housing facilities and services specially designed to meet their physical, social, and psychological needs, and to promote their health, security, happiness, and usefulness in longer living.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomTo provide disabled persons with housing facilities and services specially designed to meet their physical, social, and psychological needs, and to promote their health, security, happiness, and usefulness in longer living.DescriptionProgramSrvcAccomTxt
Program Service Expenses$61,377ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$61,377TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Jeff Gardner
President1.0$0$0$0
Wayne Hansen
Chairman1.0$0$0$0
Bob Godfrey
Vice Chairman1.0$0$0$0
Terri Lorenzon
Secretary/ Treasurer1.0$0$0$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMAGIC CITY ENTERPRISESPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11780 WESTLAND ROADAddressLine1Txt
CityCHEYENNECityNm
State AbbreviationWYStateAbbreviationCd
ZIP82001ZIPCd
FieldValueIRS element (for citing)
Phone3076378869PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,461CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,848CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,424CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,070CurrentTaxYearMinus1YearAmt
Current Tax Year$20,891CurrentTaxYearAmt
Total$99,694TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,461CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,848CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,424CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,070CurrentTaxYearMinus1YearAmt
Current Tax Year$20,891CurrentTaxYearAmt
Total$99,694TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$99,694PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,461CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,848CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,424CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,070CurrentTaxYearMinus1YearAmt
Current Tax Year$20,891CurrentTaxYearAmt
Total$99,694TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART V, INFORMATION REGARDING PERSONAL BENEFIT CONTRACTSTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY, OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT. THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY, OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.
FORM 990EZ PART I LINE 8Description:MISCELLANEOUS REVENUE Amount:8065
FORM 990EZ PART I LINE 16Description:OFFICE EXPENSES Amount:3240
FORM 990EZ PART I LINE 16Description:MANAGEMENT FEES Amount:2400
FORM 990EZ PART I LINE 16Description:MISCELLANEOUS ADMIN EXPENSES Amount:25
FORM 990EZ PART I LINE 16Description:UTILITIES Amount:7272
FORM 990EZ PART I LINE 16Description:CONTRACTS Amount:23686
FORM 990EZ PART I LINE 16Description:PROPERTY/LIABILITY INSURANCE Amount:2400
FORM 990EZ PART II LINE 24Description:REPLACEMENT RESERVES BOY Amount:9555 EOY Amount:12555
FORM 990EZ PART II LINE 24Description:RESIDUAL RECEIPTS BOY Amount:17950 EOY Amount:11441
FORM 990EZ PART II LINE 24Description:TENNANT DEPOSITS BOY Amount:1062 EOY Amount:1062
FORM 990EZ PART II LINE 24Description:OTHER DEPRECIABLE ASSETS BOY Amount:
FORM 990EZ PART II LINE 26Description:TENANT SECURITY DEPOSITS BOY Amount:1062 EOY Amount:1062
FORM 990EZ PART II LINE 26Description:ACCOUNTS PAYABLE

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