CHEYENNE SENIOR HOUSING INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
CHEYENNE SENIOR HOUSING INC (EIN 86-1101892)
Tax period
2013-07-01 to 2014-06-30
Filed
2014-12-10
IRS object ID
201413449349301011
Schema version
2013v3.1
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)
Return2014-12-10T14:23:20-06:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN411629155PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HINRICHS & ASSOCIATES LTDBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11000 SHELARD PARKWAY SUITE 110AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55426ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN861101892EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHEYENNE SENIOR HOUSING INCBusinessNameLine1
Business Name Line2C/O ACCESSIBLE SPACE INCBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlCHEYBusinessNameControlTxt
Phone6516457271PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12550 UNIVERSITY AVE WAddressLine1
Address Line2ROOM/SUITE 330NAddressLine2
CityST PAULCity
StateMNState
ZIP Code551141903ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEPHEN VANDER SCHAAFPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6516457271PhoneNum
Signature2014-10-23SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTHONY J HINRICHSPreparerPersonNm
PTINP01344453PTIN
Phone9525428010PhoneNum
Preparation2014-12-10PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEPHEN VANDER SCHAAFPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12550 UNIVERSITY AVE WESTAddressLine1
CityST PAULCity
StateMNState
ZIP Code551141903ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$216,608GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ACCESSIBLESPACE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateWYLegalDomicileStateCd
Activity Or MissionTO PROVIDE ACCESSIBLE HOUSING FOR ADULTS WITH DISABILITIES AND SENIORS. ALSO TO PROVIDE SUPPORTIVE CARE SERVICES FOR ADULTS WITH TRAUMATIC BRAIN INJURY AND MOBILITY IMPAIRMENT.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$63,599PYContributionsGrantsAmt
CY Contributions Grants$72,774CYContributionsGrantsAmt
PY Program Service Revenue$101,201PYProgramServiceRevenueAmt
CY Program Service Revenue$101,171CYProgramServiceRevenueAmt
PY Investment Income$384PYInvestmentIncomeAmt
CY Investment Income$411CYInvestmentIncomeAmt
PY Other Revenue$55,797PYOtherRevenueAmt
CY Other Revenue$42,252CYOtherRevenueAmt
PY Total Revenue$220,981PYTotalRevenueAmt
CY Total Revenue$216,608CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$41,154PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$41,352CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$223,999PYOtherExpensesAmt
CY Other Expenses$225,538CYOtherExpensesAmt
PY Total Expenses$265,153PYTotalExpensesAmt
CY Total Expenses$266,890CYTotalExpensesAmt
PY Revenues Less Expenses-$44,172PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$50,282CYRevenuesLessExpensesAmt
Total Assets BOY$3,921,815TotalAssetsBOYAmt
Total Assets EOY$3,831,777TotalAssetsEOYAmt
Total Liabilities BOY$100,014TotalLiabilitiesBOYAmt
Total Liabilities EOY$60,258TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,821,801NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,771,519NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE ACCESSIBLE HOUSING FOR ADULTS WITH DISABILITIES AND SENIORS. ALSO TO PROVIDE SUPPORTIVE CARE SERVICES FOR ADULTS WITH TRAUMATIC BRAIN INJURY AND MOBILITY IMPAIRMENT.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$215,554ExpenseAmt
DescTO PROVIDE ACCESSIBLE HOUSING FOR ADULTS WITH DISABILITIES AND SENIORS. ALSO TO PROVIDE SUPPORTIVE CARE SERVICES FOR ADULTS WITH TRAUMATIC BRAIN INJURY AND MOBILITY IMPAIRMENT.Desc
Total Program Service Expenses$215,554TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJUDY LEMKE-KLINEPersonNm
Phone6516457271PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12550 UNIVERSITY AVE WEST STE 330NAddressLine1
CityST PAULCity
StateMNState
ZIP Code551141903ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
MARK HAMEL
DIRECTOR0.10Yes (X)$0$0$0
MAYNARD BOSTROM
DIRECTOR0.10Yes (X)$0$0$0
KAY KNUTSON
DIRECTOR0.10Yes (X)$0$0$0
MARY LINDGREN
DIRECTOR0.10Yes (X)$0$0$0
STEVE WIGGINS
DIRECTOR0.10Yes (X)$0$0$0
VIRGINIA UPCHURCH CHASE
DIRECTOR0.10Yes (X)$0$0$0
JOHN W ADAMS
DIRECTOR0.10Yes (X)$0$0$0
STEPHEN VANDER SCHAAF
PRESIDENT/TR0.10$0$355,718$37,025Yes (X)
BRADLEY FULLER
VP /SECRETAR0.10$0$179,769$58Yes (X)
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$535,487TotReportableCompRltdOrgAmt
Total Other Compensation$37,083TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$72,774GovernmentGrantsAmt
Total Contributions$72,774TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT RENTS$98,865$98,865
LAUNDRY AND VENDING INC.$2,232$2,232
TENANT CHARGES$74$74
FieldValueIRS element (for citing)
Total Program Service Revenue$101,171TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$411TotalRevenueColumnAmt
Exclusion$411ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Total Revenue Column$42,252TotalRevenueColumnAmt
Related Or Exempt Func Income$42,252RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$42,252OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$216,608TotalRevenueColumnAmt
Related Or Exempt Func Income$143,423RelatedOrExemptFuncIncomeAmt
Exclusion$411ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$36,760TotalAmt
Program Services$19,456ProgramServicesAmt
Management And General$17,304ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,449TotalAmt
Program Services$1,449ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,143TotalAmt
Program Services$3,143ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,505TotalAmt
Management And General$7,505ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,215TotalAmt
Management And General$5,215ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$40,007TotalAmt
Program Services$40,007ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$112,343TotalAmt
Program Services$112,343ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
MANAGEMENT FEE$20,767$20,767
CONTRACTS$12,194$12,194
PROP AND LIABILITY INS$10,481$10,481
TRASH REMOVAL$4,594$4,594

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,432TotalAmt
Program Services$11,887ProgramServicesAmt
Management And General$545ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$266,890TotalAmt
Program Services$215,554ProgramServicesAmt
Management And General$51,336ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,855BOYAmt
EOY$6,131EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,758BOYAmt
EOY$863EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,497,065LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$784,472LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,812,246BOYAmt
EOY$3,712,593EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$104,956BOYAmt
EOY$112,190EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,921,815BOYAmt
EOY$3,831,777EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$89,249BOYAmt
EOY$49,468EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,765BOYAmt
EOY$10,790EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$100,014BOYAmt
EOY$60,258EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,821,801BOYAmt
EOY$3,771,519EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,821,801BOYAmt
EOY$3,771,519EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,921,815BOYAmt
EOY$3,831,777EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$50,282ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$49,002CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,044CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$60,482CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$63,599CurrentTaxYearMinus1YearAmt
Current Tax Year$72,774CurrentTaxYearAmt
Total$290,901TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$49,002CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,044CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$60,482CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$63,599CurrentTaxYearMinus1YearAmt
Current Tax Year$72,774CurrentTaxYearAmt
Total$290,901TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$290,901PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$104,122CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$104,072CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$95,859CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$101,585CurrentTaxYearMinus1YearAmt
Current Tax Year$101,582CurrentTaxYearAmt
Total$507,220TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,664CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,765CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$55,797CurrentTaxYearMinus1YearAmt
Current Tax Year$42,252CurrentTaxYearAmt
Total$132,478TotalAmt
FieldValueIRS element (for citing)
Total Support$930,599TotalSupportAmt
Gross Receipts Rltd Activities$143,423GrossReceiptsRltdActivitiesAmt
Public Support CY1700.31260PublicSupportCY170Pct
Public Support PY1700.30720PublicSupportPY170Pct
Ten Pct Facts Crcmstncs Test CYYes (X)TenPctFactsCrcmstncsTestCYInd
Facts And Circumstances TestCHEYENNE SENIOR HOUSING, INC. MAINTAINS A CONTINUOUS AND BONA FIDE PROGRAM FOR SOLICITATION OF FUNDS FROM THE GENERAL PUBLIC: THE ORGANIZATION RECEIVES GOVERNMENT GRANTS AND RENT FROM TENANTS. THE GOVERNING BODY IS A BOARD OF DIRECTORS WHICH REPRESENTS THE BROAD INTERESTS OF THE PUBLIC. THE ORGANIZATION PROVIDES FACILITIES AND SERVICES DIRECTLY FOR THE BENEFIT OF THE GENERAL PUBLIC ON A CONTINUING BASIS.FactsAndCircumstancesTestTxt

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, LINE 10MISCELLANEOUS REVENUE 132,478
PART II, LINE 17ACHEYENNE SENIOR HOUSING, INC. MAINTAINS A CONTINUOUS AND BONA FIDE PROGRAM FOR SOLICITATION OF FUNDS FROM THE GENERAL PUBLIC: THE ORGANIZATION RECEIVES GOVERNMENT GRANTS AND RENT FROM TENANTS. THE GOVERNING BODY IS A BOARD OF DIRECTORS WHICH REPRESENTS THE BROAD INTERESTS OF THE PUBLIC. THE ORGANIZATION PROVIDES FACILITIES AND SERVICES DIRECTLY FOR THE BENEFIT OF THE GENERAL PUBLIC ON A CONTINUING BASIS.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$200,147OtherCostOrOtherBasisAmt
Book Value$200,147BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,258,727OtherCostOrOtherBasisAmt
Depreciation$784,472DepreciationAmt
Book Value$3,474,255BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,715OtherCostOrOtherBasisAmt
Book Value$5,715BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,476OtherCostOrOtherBasisAmt
Book Value$32,476BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,712,593TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescTENANT SECURITY DEPOSITSDesc
Amt$10,790Amt
FieldValueIRS element (for citing)
Total Liability$10,790TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$216,608TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$216,608RevenueSubtotalAmt
Total Revenue Per Form990$216,608TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$266,890TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$266,890ExpensesSubtotalAmt
Total Expenses Per Form990$266,890TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEPHEN VANDER SCHAAF
PRESIDENT/TREASURER$355,718$23,000$14,025$392,743$380,536
BRADLEY FULLER
VP /SECRETARY$179,769$58$179,827$168,958

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 6MEMBERS
FORM 990, PAGE 6, PART VI, LINE 7ASECTION 2.2 OF THE ORGANIZATION'S BYLAWS PROVIDES THAT "THE BOARD OF DIRECTORS SHALL BE SELECTED BY THE VOTE OF A MAJORITY OF THE MEMBERS."
FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 WAS REVIEWED BY THE BOARD AND SIGNED BY THE PRESIDENT.
FORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES THE COMPLIANCE OF THE CONFLICT OF INTEREST POLICY WHICH WAS ADOPTED FOR ALL ENTITIES RELATED TO ACCESSIBLE SPACE, INC.
FORM 990, PAGE 6, PART VI, LINE 15ATHE PROCESS FOR DETERMINING THE COMPENSATION FOR THE ORGANIZATIONS PRESIDENT IS COMPRISED OF INPUT FROM AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY FOR SIMILAR ORGANIZATIONS AND INPUT AND APPROVAL BY THE BOARD.
FORM 990, PAGE 6, PART VI, LINE 19ALL GOVERNING DOCUMENTS OF THE ORGANIZATION, INCLUDING FEDERAL FORM 990, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS CAN BE REVIEWED BY CONTACTING: ACCESSIBLE SPACE, INC. AT 2550 UNIVERSITY AVE WEST, SUITE 330N, ST PAUL, MN 55114-1903

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodePrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ACCESSIBLE SPACE INC
2550 UNIVERSITY AVE WEST STE 330NST PAULMN551141903HOUSINGMN501C3N/Afalse
ASI AFFILIATES (SCHEDULE ATTACHED)
2550 UNIVERSITY AVE WEST STE 330NST PAULMN551141903HOUSINGMN501C3Yes (true)ASI
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
ACCESSIBLE SPACE INC
M$22,885
ACCESSIBLE SPACE INC
O$42,252

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