CHEYENNE SENIOR HOUSING INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: CHEYENNE SENIOR HOUSING INC (EIN 86-1101892)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2013-10-28
IRS object ID: 201333019349301063
Schema version: 2012v2.3
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
Form 990
Schedule A
Schedule D
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-10-28T15:03:20-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HINRICHS & ASSOCIATES LTD	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1000 SHELARD PARKWAY SUITE 110	AddressLine1
City	MINNEAPOLIS	City
State	MN	State
ZIP Code	55426	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	861101892	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CHEYENNE SENIOR HOUSING INC	BusinessNameLine1
Business Name Line2	C/O ACCESSIBLE SPACE INC	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	CHEY	NameControl
Phone	6516457271	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2550 UNIVERSITY AVE W	AddressLine1
Address Line2	ROOM/SUITE 330N	AddressLine2
City	ST PAUL	City
State	MN	State
ZIP Code	551141903	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	STEPHEN VANDER SCHAAF	Name
Title	PRESIDENT	Title
Phone	6516457271	Phone
Date Signed	2013-10-07	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	ANTHONY J HINRICHS	Name
Phone	9525428010	Phone
Date Prepared	2013-10-28	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	STEPHEN VANDER SCHAAF	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2550 UNIVERSITY AVE WEST	AddressLine1
City	ST PAUL	City
State	MN	State
ZIP Code	551141903	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	220981	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.ACCESSIBLESPACE.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2007	YearFormation
State Legal Domicile	WY	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE ACCESSIBLE HOUSING FOR ADULTS WITH DISABILITIES AND SENIORS. ALSO TO PROVIDE SUPPORTIVE CARE SERVICES FOR ADULTS WITH TRAUMATIC BRAIN INJURY AND MOBILITY IMPAIRMANT.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	60482	ContributionsGrantsPriorYear
Contributions Grants Current Year	63599	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	95485	ProgramServiceRevenuePriorYear
Program Service Revenue CY	101201	ProgramServiceRevenueCY
Investment Income Prior Year	374	InvestmentIncomePriorYear
Investment Income Current Year	384	InvestmentIncomeCurrentYear
Other Revenue Current Year	55797	OtherRevenueCurrentYear
Total Revenue Prior Year	156341	TotalRevenuePriorYear
Total Revenue Current Year	220981	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	38730	SalariesEtcPriorYear
Salaries Etc Current Year	41154	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	228768	OtherExpensePriorYear
Other Expenses Current Year	223999	OtherExpensesCurrentYear
Total Expenses Prior Year	267498	TotalExpensesPriorYear
Total Expenses Current Year	265153	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-111157	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-44172	RevenuesLessExpensesCY
Total Assets BOY	4021762	TotalAssetsBOY
Total Assets EOY	3921815	TotalAssetsEOY
Total Liabilities BOY	155789	TotalLiabilitiesBOY
Total Liabilities EOY	100014	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3865973	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	3821801	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE ACCESSIBLE HOUSING FOR ADULTS WITH DISABILITIES AND SENIORS. ALSO TO PROVIDE SUPPORTIVE CARE SERVICES FOR ADULTS WITH TRAUMATIC BRAIN INJURY AND MOBILITY IMPAIRMANT.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	219906	Expense
Description	TO PROVIDE ACCESSIBLE HOUSING FOR ADULTS WITH DISABILITIES AND SENIORS. ALSO TO PROVIDE SUPPORTIVE CARE SERVICES FOR ADULTS WITH TRAUMATIC BRAIN INJURY AND MOBILITY IMPAIRMENTS.	Description
Total Program Service Expense	219906	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	2	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	7	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	true	LocalChapters
Policies Reference Chapters	true	PoliciesReferenceChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JUDY LEMKE-KLINE	NamePerson
Telephone Number	6516457271	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2550 UNIVERSITY AVE WEST STE 330N	AddressLine1
City	ST PAUL	City
State	MN	State
ZIP Code	551141903	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
MARK HAMEL
DIRECTOR	0.10	X	0	0	0
MAYNARD BOSTROM
DIRECTOR	0.10	X	0	0	0
KAY KNUTSON
DIRECTOR	0.10	X	0	0	0
MARY LINDGREN
DIRECTOR	0.10	X	0	0	0
STEVE WIGGINS
DIRECTOR	0.10	X	0	0	0
STEVE SCHUGEL
DIRECTOR	0.10	X	0	0	0
JOHN W ADAMS
DIRECTOR	0.10	X	0	0	0
STEPHEN VANDER SCHAAF
PRESIDENT/TR	0.10		0	343879	36657	X
BRADLEY FULLER
VP /SECRETAR	0.10		0	168886	72	X

Field	Value	IRS element (for citing)
Total Reportable Comp Frm Rltd Orgs	512765	TotalReportableCompFrmRltdOrgs
Total Other Compensation	36729	TotalOtherCompensation
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Government Grants	63599	GovernmentGrants
Total Contributions	63599	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT RENTS	98922	98922
LAUNDRY AND VENDING INC.	2159	2159
TENANT CHARGES	120	120

Field	Value	IRS element (for citing)
Total Program Service Revenue	101201	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	384	TotalRevenueColumn
Exclusion	$384	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISCELLANEOUS REVENUE	Description
Total Revenue Column	55797	TotalRevenueColumn
Related Or Exempt Function Income	55797	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	55797	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	220981	TotalRevenueColumn
Related Or Exempt Function Income	156998	RelatedOrExemptFunctionIncome
Exclusion	$384	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	36538	Total
Program Services	23113	ProgramServices
Management And General	13425	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2182	Total
Program Services	2182	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2434	Total
Program Services	2434	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	7455	Total
Management And General	7455	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3965	Total
Management And General	3965	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	38356	Total
Program Services	38356	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	111156	Total
Program Services	111156	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
MANAGEMENT FEE	19984	19984
CONTRACTS	12310		12310
PROP AND LIABILITY INS	9305		9305
BAD DEBTS	5630		5630

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	15838	Total
Program Services	15420	ProgramServices
Management And General	418	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	265153	Total
Program Services	219906	ProgramServices
Management And General	45247	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	366	BOY
EOY	1855	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	6876	BOY
EOY	2758	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4484922	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	672676	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3917838	BOY
EOY	3812246	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	96682	BOY
EOY	104956	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	4021762	BOY
EOY	3921815	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	146314	BOY
EOY	89249	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	9475	BOY
EOY	10765	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	155789	BOY
EOY	100014	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3865973	BOY
EOY	3821801	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3865973	BOY
EOY	3821801	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4021762	BOY
EOY	3921815	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-44172	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	47675	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	49002	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	45044	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	60482	CurrentTaxYearMinus1Year
Current Tax Year	63599	CurrentTaxYear
Total	265802	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	47675	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	49002	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	45044	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	60482	CurrentTaxYearMinus1Year
Current Tax Year	63599	CurrentTaxYear
Total	265802	Total

Field	Value	IRS element (for citing)
Public Support Total170	265802	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	103459	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	104122	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	104072	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	95859	CurrentTaxYearMinus1Year
Current Tax Year	101585	CurrentTaxYear
Total	509097	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	18664	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	15765	CurrentTaxYearMinus2Years
Current Tax Year	55797	CurrentTaxYear
Total	90226	Total

Field	Value	IRS element (for citing)
Total Support	865125	TotalSupport
Gross Receipts From Admissions Etc	156998	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.30720	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.40310	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests PY170	X	ThirtyThreePercntTestsPY170

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	200147	OtherCostOrOtherBasis
Book Value	200147	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4253760	OtherCostOrOtherBasis
Depreciation	672676	Depreciation
Book Value	3581084	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5380	OtherCostOrOtherBasis
Book Value	5380	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	25635	OtherCostOrOtherBasis
Book Value	25635	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	3812246	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	TENANT SECURITY DEPOSITS	Description
Amount	$10,765	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	10765	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	220981	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	220981	RevenueSubtotal
Total Revenue Per Form990	220981	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	265153	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	265153	ExpensesSubtotal
Total Expenses Per Form990	265153	TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitle	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
STEPHEN VANDER SCHAAF
PRESIDENTTREASURER	343879	22500	14157	380536	375901
BRADLEY FULLER
VP SECRETARY	168886		72	168958	181406

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PAGE 6, PART VI, LINE 6	MEMBERS
ELECTION OF MEMBERS AND THEIR RIGHTS	FORM 990, PAGE 6, PART VI, LINE 7A	SECTION 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."
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE FORM 990 WAS REVIEWED BY THE BOARD AND SIGNED BY THE PRESIDENT.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITERS AND ENFORCES THE COMPLIANCE OF THE CONFLICT OF INTEREST POLICY WHICH WAS ADOPTED FOR ALL ENTITIES RELATED TO ACCESSIBLE SPACE, INC.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE PROCESS FOR DETERMINING THE COMPENSATION FOR THE ORGANIZATIONS PRESIDENT IS COMPRISED OF INPUT FROM AN INDEPENDANT COMPENSATION CONSULTANT, A COMPENSATION SURVEY FOR SIMILAR ORGANIZATIONS AND INPUT AND APPROVAL BY THE BOARD.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	ALL 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 2500 UNIVERSITY AVE WEST, SUITE 330N, ST PAUL, MN 55114-1903

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg
ACCESSIBLE SPACE INC
2550 UNIVERSITY AVE WEST STE 330N	ST PAUL	MN	551141903	HOUSING	MN	501C3	N/A	false
ASI AFFILIATES (SCHEDULE ATTACHED)
2550 UNIVERSITY AVE WEST STE 330N	ST PAUL	MN	551141903	HOUSING	MN	501C3	N/A	false

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
ACCESSIBLE SPACE INC
L	22832
ACCESSIBLE SPACE INC
O	42064

CHEYENNE SENIOR HOUSING INC: Form 990, tax year 2012

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990 IRS990

Address Principal Officer US AddressPrincipalOfficerUS

The Books Are In Care Of TheBooksAreInCareOf

Address US AddressUS

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

Program Service Revenue ProgramServiceRevenue (3 entries)

Investment Income InvestmentIncome

Other Revenue Misc OtherRevenueMisc

Total Revenue TotalRevenue

Other Salaries And Wages OtherSalariesAndWages

Other Employee Benefits OtherEmployeeBenefits

Payroll Taxes PayrollTaxes

Fees For Services Accounting FeesForServicesAccounting

Office Expenses OfficeExpenses

Occupancy Occupancy

Depreciation Depletion DepreciationDepletion

Other Expenses OtherExpenses (4 entries)

All Other Expenses AllOtherExpenses

Total Functional Expenses TotalFunctionalExpenses

Cash Non Interest Bearing CashNonInterestBearing

Accounts Receivable AccountsReceivable

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Other Assets Total OtherAssetsTotal

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Other Liabilities OtherLiabilities

Total Liabilities TotalLiabilities

Unrestricted Net Assets UnrestrictedNetAssets

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FS Audited Basis FSAuditedBasis

Schedule A IRS990ScheduleA

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Total170 Total170

Gross Investment Income170 GrossInvestmentIncome170

Other Income170 OtherIncome170

Schedule D IRS990ScheduleD

Land Land

Buildings Buildings

Equipment Equipment

Other Land Buildings OtherLandBuildings

Other Liabilities OtherLiabilities

Schedule J IRS990ScheduleJ

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

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