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  5. CHEYENNE VILLAGE, INC.

CHEYENNE VILLAGE, INC.

Company Details

Name: CHEYENNE VILLAGE, INC.
Jurisdiction: Colorado
Legal type: Domestic nonprofit corporation
Status: Good Standing
Date of registration: 30 Nov 1967 (57 years ago)
Entity Number: 19871234097
ZIP code: 80918
County: El Paso County
Place of Formation: COLORADO
Principal Address: 6275 Lehman Drive Colorado Springs CO 80918 US

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
CCW8FC4L9RN6 2024-10-01 6275 LEHMAN DR, COLORADO SPRINGS, CO, 80918, 1433, USA 6275 LEHMAN DR, COLORADO SPRINGS, CO, 80918, 1433, USA

Business Information
Doing Business As CHEYENNE VILLAGE INC
Congressional District 05
State/Country of Incorporation CO, USA
Activation Date 2023-10-03
Initial Registration Date 2020-03-12
Entity Start Date 1971-04-01
Fiscal Year End Close Date Jun 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MARY DICE
Role CFO
Address 6275 LEHMAN DRIVE, COLORADO SPRINGS, CO, 80918, USA
Government Business
Title PRIMARY POC
Name MARY DICE
Role CFO
Address 6275 LEHMAN DRIVE, COLORADO SPRINGS, CO, 80918, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE SAFE HARBOR 401(K) PROFIT SHARING PLAN OF CHEYENNE VILLAGE, INC. 2023 846051921 2024-08-08 CHEYENNE VILLAGE, INC. 89
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-06-01
Business code 624100
Sponsor’s telephone number 7195920200
Plan sponsor’s address 6275 LEHMAN DR, COLORADO SPRINGS, CO, 80918

Signature of
Role Plan administrator
Date 2024-08-08
Name of individual signing MARY DICE
Valid signature Filed with authorized/valid electronic signature
THE TAX DEFERRED ANNUITY PLAN OF CHEYENNE VILLAGE, INC. 2018 846051921 2019-10-02 CHEYENNE VILLAGE, INC. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-03-01
Business code 624100
Sponsor’s telephone number 7195920200
Plan sponsor’s address 6275 LEHMAN DR, COLORADO SPRINGS, CO, 809181433

Signature of
Role Plan administrator
Date 2019-10-02
Name of individual signing MARY DICE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-02
Name of individual signing MARY DICE
Valid signature Filed with authorized/valid electronic signature
THE TAX DEFERRED ANNUITY PLAN OF CHEYENNE VILLAGE, INC. 2017 846051921 2018-09-06 CHEYENNE VILLAGE, INC. 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-03-01
Business code 624100
Sponsor’s telephone number 7195920200
Plan sponsor’s address 6275 LEHMAN DR, COLORADO SPRINGS, CO, 809181433

Signature of
Role Plan administrator
Date 2018-09-06
Name of individual signing BARBARA SOLZE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-06
Name of individual signing BARBARA SOLZE
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF CHEYENNE VILLAGE, INC. 2016 846051921 2017-10-11 CHEYENNE VILLAGE, INC. 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-03-01
Business code 624100
Sponsor’s telephone number 7195920200
Plan sponsor’s address 6275 LEHMAN DR, COLORADO SPRINGS, CO, 809181433

Signature of
Role Plan administrator
Date 2017-10-11
Name of individual signing B JEANNE SOLZE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-11
Name of individual signing B JEANNE SOLZE
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF CHEYENNE VILLAGE, INC. 2015 846051921 2016-10-14 CHEYENNE VILLAGE, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-03-01
Business code 624100
Sponsor’s telephone number 7195920200
Plan sponsor’s address 6275 LEHMAN DR, COLORADO SPRINGS, CO, 80918

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing B JEANNE SOLZE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing B JEANNE SOLZE
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF CHEYENNE VILLAGE, INC. 2014 846051921 2015-04-03 CHEYENNE VILLAGE, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-03-01
Business code 624100
Sponsor’s telephone number 7195920200
Plan sponsor’s address 6275 LEHMAN DR, COLORADO SPRINGS, CO, 80918

Signature of
Role Plan administrator
Date 2015-04-03
Name of individual signing B JEANNE SOLZE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-03
Name of individual signing B JEANNE SOLZE
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF CHEYENNE VILLAGE, INC. 2013 846051921 2014-03-27 CHEYENNE VILLAGE, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-03-01
Business code 624100
Sponsor’s telephone number 7195920200
Plan sponsor’s address 6275 LEHMAN DR, COLORADO SPRINGS, CO, 80918

Signature of
Role Plan administrator
Date 2014-03-27
Name of individual signing B JEANNE SOLZE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-27
Name of individual signing B JEANNE SOLZE
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF CHEYENNE VILLAGE, INC. 2012 846051921 2013-07-09 CHEYENNE VILLAGE, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-03-01
Business code 624100
Sponsor’s telephone number 7195920200
Plan sponsor’s address 6275 LEHMAN DR, COLORADO SPRINGS, CO, 80918

Signature of
Role Plan administrator
Date 2013-07-09
Name of individual signing B. JEANNE SOLZE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-09
Name of individual signing B. JEANNE SOLZE
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF CHEYENNE VILLAGE, INC. 2011 846051921 2012-03-28 CHEYENNE VILLAGE, INC. 105
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-03-01
Business code 624100
Sponsor’s telephone number 7195920200
Plan sponsor’s address 6275 LEHMAN DR, COLORADO SPRINGS, CO, 80918

Plan administrator’s name and address
Administrator’s EIN 846051921
Plan administrator’s name CHEYENNE VILLAGE, INC.
Plan administrator’s address 6275 LEHMAN DR, COLORADO SPRINGS, CO, 80918
Administrator’s telephone number 7195920200

Signature of
Role Plan administrator
Date 2012-03-28
Name of individual signing B. JEANNE SOLZE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-28
Name of individual signing B. JEANNE SOLZE
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF CHEYENNE VILLAGE, INC. 2010 846051921 2011-10-11 CHEYENNE VILLAGE, INC. 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-03-01
Business code 624100
Sponsor’s telephone number 7195920200
Plan sponsor’s address 6275 LEHMAN DR, COLORADO SPRINGS, CO, 80918

Plan administrator’s name and address
Administrator’s EIN 846051921
Plan administrator’s name CHEYENNE VILLAGE, INC.
Plan administrator’s address 6275 LEHMAN DR, COLORADO SPRINGS, CO, 80918
Administrator’s telephone number 7195920200

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing B. JEANNE SOLZE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-06
Name of individual signing B. JEANNE SOLZE
Valid signature Filed with authorized/valid electronic signature

Transaction History

Transaction ID Type Date Effective date Name Comment
20248161558 File Report 2024-10-29 2024-10-29 No data Change in registered agent information
20241101359 File Report 2024-01-24 2024-01-24 No data Principal address changed, Change in registered agent information
20228061260 File Report 2022-10-27 2022-10-27 No data Principal address changed, Change in registered agent information
20218180587 File Report 2021-12-20 2021-12-20 No data No data
20201975169 File Report 2020-11-13 2020-11-13 No data No data
20198047478 File Report 2019-12-27 2019-12-27 No data Change of Registered Agent
20191099039 File Report 2019-01-31 2019-01-31 No data No data
20181082613 File Report 2018-01-26 2018-01-26 No data No data
20161807211 File Report 2016-11-29 2016-11-29 No data Change of Registered Agent
20151688939 File Report 2015-10-26 2015-10-26 No data No data

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
109571059 0830600 1995-10-27 2418 LARK DRIVE, COLORADO SPRINGS, CO, 80905
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 1995-10-27
Case Closed 1996-07-10

Related Activity
Type Complaint
Activity Nr 75072835
Health Yes

Violation Items
Citation ID 01001A
Citaton Type Serious
Standard Cited 19101030 C02 IB
Issuance Date 1996-01-18
Abatement Due Date 1996-02-04
Current Penalty 750.0
Initial Penalty 3500.0
Contest Date 1996-02-07
Final Order 1996-07-08
Nr Instances 3
Nr Exposed 10
Related Event Code (REC) Complaint
Gravity 10
Citation ID 01001B
Citaton Type Serious
Standard Cited 19101030 C02 IC
Issuance Date 1996-01-18
Abatement Due Date 1996-02-04
Contest Date 1996-02-07
Final Order 1996-07-08
Nr Instances 3
Nr Exposed 10
Related Event Code (REC) Complaint
Gravity 10
Citation ID 01002
Citaton Type Serious
Standard Cited 19101030 D04 IIIC
Issuance Date 1996-01-18
Abatement Due Date 1996-01-22
Current Penalty 1750.0
Initial Penalty 1750.0
Contest Date 1996-02-07
Final Order 1996-07-08
Nr Instances 1
Nr Exposed 8
Gravity 03
Citation ID 01003A
Citaton Type Serious
Standard Cited 19101030 F02 IV
Issuance Date 1996-01-18
Abatement Due Date 1996-01-22
Current Penalty 1000.0
Initial Penalty 1400.0
Contest Date 1996-02-07
Final Order 1996-07-08
Nr Instances 6
Nr Exposed 30
Gravity 02
Citation ID 01003B
Citaton Type Serious
Standard Cited 19101030 F05 I
Issuance Date 1996-01-18
Abatement Due Date 1996-01-22
Contest Date 1996-02-07
Final Order 1996-07-08
Nr Instances 6
Nr Exposed 30
Gravity 02
Citation ID 01004
Citaton Type Serious
Standard Cited 19101030 G02 IIC
Issuance Date 1996-01-18
Abatement Due Date 1996-01-28
Current Penalty 750.0
Initial Penalty 1750.0
Contest Date 1996-02-07
Final Order 1996-07-08
Nr Instances 7
Nr Exposed 30
Gravity 03
Citation ID 02001A
Citaton Type Willful
Standard Cited 19101030 D04 IIIA1
Issuance Date 1996-01-18
Abatement Due Date 1996-01-23
Current Penalty 25000.0
Initial Penalty 25000.0
Contest Date 1996-02-07
Final Order 1996-07-08
Nr Instances 2
Nr Exposed 7
Related Event Code (REC) Complaint
Gravity 10
Citation ID 02001B
Citaton Type Willful
Standard Cited 19101030 D04 IIIA3
Issuance Date 1996-01-18
Abatement Due Date 1996-01-23
Contest Date 1996-02-07
Final Order 1996-07-08
Nr Instances 2
Nr Exposed 7
Related Event Code (REC) Complaint
Gravity 10
Citation ID 02001C
Citaton Type Willful
Standard Cited 19101030 D04 IIIA4
Issuance Date 1996-01-18
Abatement Due Date 1996-01-23
Contest Date 1996-02-07
Final Order 1996-07-08
Nr Instances 2
Nr Exposed 7
Related Event Code (REC) Complaint
Gravity 10
Citation ID 02002
Citaton Type Unclassified
Standard Cited 19101030 D04 IIIA1
Issuance Date 1996-01-19
Abatement Due Date 1996-01-22
Current Penalty 7000.0
Initial Penalty 7000.0
Final Order 1996-07-08
Nr Instances 1
Gravity 10
Citation ID 02003
Citaton Type Unclassified
Standard Cited 19101030 D04 IIIA3
Issuance Date 1996-01-19
Abatement Due Date 1996-01-22
Current Penalty 7000.0
Initial Penalty 7000.0
Final Order 1996-07-08
Nr Instances 1
Gravity 10
217838226 0830500 1983-08-15 183 CRYSTAL PARK RD, Manitou Spgs, CO, 80829
Inspection Type Complaint
Scope Partial
Safety/Health Safety
Close Conference 1983-08-15
Case Closed 1983-09-15

Related Activity
Type Complaint
Activity Nr 321977308

Violation Items
Citation ID 01001
Citaton Type Other
Standard Cited 19040002 A
Issuance Date 1983-08-19
Abatement Due Date 1983-08-30
Nr Instances 1

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
84-6051921 Corporation Unconditional Exemption 6275 LEHMAN DR, COLORADO SPGS, CO, 80918-1433 1968-01
In Care of Name % THE ORGANIZATION
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-06
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 13247967
Income Amount 10136500
Form 990 Revenue Amount 9794163
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name CHEYENNE VILLAGE
EIN 84-6051921
Tax Period 202306
Filing Type E
Return Type 990
File View File
Organization Name CHEYENNE VILLAGE
EIN 84-6051921
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name CHEYENNE VILLAGE
EIN 84-6051921
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name CHEYENNE VILLAGE
EIN 84-6051921
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name CHEYENNE VILLAGE
EIN 84-6051921
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name CHEYENNE VILLAGE
EIN 84-6051921
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name CHEYENNE VILLAGE
EIN 84-6051921
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name CHEYENNE VILLAGE
EIN 84-6051921
Tax Period 201606
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2272837304 2020-04-29 0811 PPP 6275 Lehman Dr., COLORADO SPRINGS, CO, 80918-1433
Loan Status Date 2021-02-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 763300
Loan Approval Amount (current) 763300
Undisbursed Amount 0
Franchise Name -
Lender Location ID 15169
Servicing Lender Name ANB Bank
Servicing Lender Address 3033 E 1st Ave, Ste 200, DENVER, CO, 80206-5618
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address COLORADO SPRINGS, EL PASO, CO, 80918-1433
Project Congressional District CO-05
Number of Employees 108
NAICS code 813219
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 15169
Originating Lender Name ANB Bank
Originating Lender Address DENVER, CO
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 768569.91
Forgiveness Paid Date 2021-01-07

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 10 Mar 2025

Sources: Colorado's Secretary of State

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