'` For�, 990 Return of Organization Exempt From Income Tax Under section 601(c), 627, or 4947(a)(1) of the Internal Revenue Code (except black

lung benefit trust or private foundaUon) Department 0f the Treasury Internal Revenue Service " The organization f118 have to use e co of this return to satisfy elate reporting re uirer

A For the 2004 calendar year, or tax year beginning , 2004, and ending 20 Chock aqoIIcaIbla : Please C Name of organization use IRS HS-Cedar Canyon Inc . Addroaaohonpo label or

Name change r Numbarond street (or P.O . box II mall In not delivered to street address)

' Initial return V000 059 East 900 South Final return Spooiflo City or town, state or country, and ZIP + 4 Amended return ~iio s~ alt Lake Cit UT 84105 Application pending 9 Section 0 0 organ i zations an 4947(a)(1) nonoxomp

charitable trusts must attach a completed Schedule A

a wubalto: iii. N/A (Form 990 or 990-E~ .

J Organization type (ohoakonly ono) " 501 (c)(3 " (Ineortno .) 4847(0)(1) or 827 K Check here Ii. It the organization's gross receipts are normall y not more than

$2&,000 . The organization need not file a return with the IRS ; but II the organization received a Form 890 Package In the mall, It should file a return without financial data . Some states require a complete return.

H(d) to this a separate return filed by nn n Y08 ~ NO orpanl:atloncovorad byagroup

rulinpT

I Group Exemption Number

M Check It organization Is not required to (Form 990, 980-EZ, or 990-PFD. eipts : Add lines 8b, eb, eb, and 10b to line 12 . 79,192 1 attach Sch .

Revenue, Expenses, and Changes In Net Assets or Fund Balances (see in; Contributions, gifts, grants, and similar amounts received : Direct public support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . la Indirect public support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. 1b

Government contributions (grants) . . . . . . . . . . . . . . . . . . . . . . . tc Total (add lines 1a through 1c) (cash $ 0 noncash $ 0 ) Program service revenue Including government lees and contracts (from Part VII, line 93) . . . . . Membership dues end assessments . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . Interest on savings and temporary cash Investments . . . . . . . . . . . . . . . . . . . . . . . . . . Dividends and Interest from securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6a 78,464 Less:rental expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6b

a ̀̀~ti~

~~k\\

1d 0 2 3 a 62 6

g`

sc 78,464

7

Bid }c :s

~,".Y

9c

10c 11 666 12 79,192 is 189,839 14 29,064

a b c d 2 3 4 b 6a b

e or o s) (subtract line 8b from line eat . . . . . . . . . . . . . . . . . . . . . . vestment in (describe ' `

11 a a' Gross amount from q~ 01 assets other A Securities B) Other oar Alter 1v81iit505. . . ~ . . . . . . . . . . . . . ee

b Less : cost or other & sales expenses 8b -~ ~~cFfCC edule) . . . . . . . 80

ne line Bc, columns (A) and (B)) 9 Special events end actIvIUes (attach schedule) . It any amount Is from gaming, check here" a Gross revenue (not Including $ of

contributions reported on line 1 a) . . . . . . . . . . . . . . . . . . . . . . . 9a V,j b Less : direct expenses other than fundralsing expenses . . .

.. . . . . 9b

c Net Income or (loss) from special events (subtract line 9b from line 9a) . . . . . . . . . . . . . . . . . 10a Gross sales o1 inventory, less returns and allowances , . . . . . 10a b Less : cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . .

.. . . . . . 10b

c Gross profit or (loss) horn sales of Inventory (attach schedule) (subtract line 10b from line 10a) . . 11 Other revenue (from Pert VII, line 103) . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . .

12 Total revenue (add lines 1 d, 2, 3, 4, 5, 6c, 7, 8d, 9c, 1oc, and 11) . . . , . . . . . , . E 13 Program services (from line 44, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p 14 Management and general (from line 44, column (C)) . . . . . . . . . , , , , , . E 15 Fundraising (from line 44, column (D)) . . . . . . . . . . S 16 Payments to affiliates (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . , , E s 17 Total expenses add lines 16 and 44, column A A 18 Excess or (deficit) for the year (subtract line 17 from line 12) . , , . . . , . .

E S 19 Net assets or fund balances at beginning of year (from line 73, column (A)) . . . . . T E 20 Other changes in net assets or fund balances (attach explanation) . . . . , # 1 T S 21 Net assets or fund balances at end of year (combine lines 18, 19, and 20)

For Privacy Act and Paperwork Reduction Act Notice, see the separate Instructions . JVA 4 99012 TWF 12281 Copyright Forms (Software Only)- 2004 TW

17 218,903 1s -139,711 1s -58,681 20 -51 21 -198,443

Form 990 (2004)

g~3 X

2004

D Employee Identification number 1-0714863

ouq o E Telephone number (801)328-1050 F ACOtg . method : Cash N Aooruai

Other (sp ecif y) H & I are not applicable to suction 827 organizations. H(U) la thin o group return for affiliates?

0 Y08

0 NO

H(b) if --yoo.'- enter number of affiliates 01

H(C) Aroollaffiliates lnoludod7 Yes No (If "NO,"ottaeh D list, See Instructions .)

L Gross

2 Form eso complete c end section Statement of

Functional M ere requires toy section s to but optional for others .

no (C nnmTalnoomarorz (D) I Do not include amounts reported online Bb . Bb . Bb, tOb, or 18 of Part I . A Total B ~ °~coa rom

22 Grants and allocations (attach schedule) . . . . . . . . . (cash $ noncash $ ) 22

23 Specific assistance to Individuals (attach schedule) 23 24 Benefits paid to or for members (attach schedule) . . 24 26 Compensation o1 officers, directors, etc . . . . . . . . . . 26 Te Other salaries and wages . . . . . . . . . . . . . . . . . . . . 28 40 , 606 11,542 29,064 27 Pension plan contributions . . . . . . . . . . . . . . . . . . . . 27 28 Other employee benefits . . . . . . . . . . . . . . . . . . . . . 28 29 Payroll taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 30 Professional lundrolslng fees . . . . . . . . . . . . . . . . . 30 31 Accountlng fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 6,888 6,888 32 Legal fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 33 Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 7,124 7,124 34 Telephone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 5,603 5,603 35 Postage and shipping . . . . . . . . . . . . . . . . . . . . . . . 3b 36 Occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 37 Equipment rental and maintenance . . . . . . . . . . . . . 37 38 Printing and publications . . . . . . . . . . . . . . . . . . . . . 38 39 Travel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 40 Conferences, conventions, and meetings . . . . . . . . . 40 41 Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 42 DepreciaUon, depletion, etc. (attach schedule) . . $$.2 42 87, 298 87, 298 43 Other

above p<eexpenses not covered 8 Advertising a3a 1,138 1,138

b Bank charges a3b 135 135 c Legal 43c 1,522 1,522 d Management fees aid 13,339 13,339 eSee attachment 7 sae 55,250 55,250

44 018 UI1C Ofla expenses (add lines 22 throug h 43). Organizations completing columns (B)-(D~, carry these totals to lines t3-16 . . . . . . . . . . . . . . 44 218,903 189,839 29,064

Joint Costs. Check " II you are following SOP 98-2 . Are any joint costs from a combined educational campaign and fundraising solicitation reported In (B) Program services? . . 0. Yes It "Yes," enter (I) aggregate amount o1 these joint costs $ ; (II) the amount allocated to Program services $ (111) the amount allocated to Management and general $ ; and (Iv) the amount allocated to Fundraising$

No

i U ' r4 m t u ose9 , Low Income Hous txpenses (Required ie number o c ants ~o~ soi(cX3)s (a)ores ., organizations and gaea7(aKt)trunte,but

o p tional for others .)

-o! ect

~ to . . . & V " 0 P, -.jy - 1, V , P. . . . . Os must describe their exempt purpose achievements In a clear i-n blications Issued etc . Discuss achievements that are not measurable. nonexempt charitable trusts must also enter the amount of grants and entity operates a 36 unit low incc Lichfield, Utah .

501 ns 1

haws n

189,839 (Grants and allocations $ b

(Grants and allocations $ c

(Grants and allocations $ d

(Grants and allocations $ e Other program services (attach schedule) (Grants and allocations $ ) f Total of Program Service Expenses (should equal line 44, column (B), Program services) " 189,839

JVA 4 99012 TWF 12282 Copyright Forms (Software Only) - 2004 TW Form 990 (2004)

0

What Is All ergs

a

Note : VVhere required, attached schedules end amounts within the description (A) (B) column should be for end-of-year amounts only . Beginning of year End of year

45 Cash -- non-Interest-bearing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 228 4s 136

Savings 46 and temporary cash Investments . . . . . . . . . . . . . . . . . . . . . . . . 10 , 148 4s 19,570

478 Accounts receivable . . . . . . . . . . . . . . . . . . . . 47a , b Lass : allowance for doubtful accounts . . . , . 47b 470

t 48a Pledges receivable . . . . . . . . . . . . . . . . . . . . . 48a b Lose: allowance for doubtful accounts . . . . . . 48b 48o

49 Grants receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 50 Recelvoble9lrom officers, directors, trusteos, and key employees

(attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . so 6ta Other notes and loons receivable (attach 1

schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sts g b Less : allowance for doubtful accounts . . . . . . Sib SIC E 52 Inventories for sale or use . . . . . . . . . . . . . . . 52 T g 53 Prepaid expenses and deterred charges . . . . . . . . . . . . . . . . . . . . . . . . 53

54 Investment -- securities (attach schedule) . . . . . , " Cost 0 FMV 54 55a Investments -- land, buildings, and +`~'

equipment: basis . . . . . . . . . . . . . . . . . . . . . . 65a b Less: accumulated depreciaUon (attach all

schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ebb SSc 56 Investment -- other (attach schedule) . . . . . . . . . . . . . . . . . . . . . . .

. . . . 58

:~ 57a Land, buildings, and equipment: basis . . . $#.3 67e 21393,721 b Less : accumulated depreciation (attach

schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . s7b 122,637 2,339,451 s7 c 2,271,084 SO Other ~ See attachment #4 ~ 2 , 861 ss casotn~doacribo 4 , 869

59 Total assets add lines 4& through se must equal line 74) . . . . . . . . . . . . . 2,352,688 SO 2 , 295,659 60 Accounts payable and accrued expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . 52,061 80 110,747

L 61 Grants payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 62 Deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82 A

g 63 Loans from officers, directors, trustees, and key employees (attach schedule), . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

j 64a Tax-exempt bond liabilities (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . 64a T b Mortgages and other notes payable (attach schedule) . . . . . . . . . . . . . . #.6 2,356,534 64b 2,378,500

ss Other IIObIIItiau(doecribo , See attachment #5 > 2,774 ss 4,855

66 Total IIabIIRles add lines 60 through BS . . . . . . . . . . . . . . . . . . . . . 2 , 411 , 369 66 2 , 494 , 102 Organizations that follow SFAS 117, check here " U and complete lines 67 . x,

through 69 and lines 73 and 74 . .,

N F 67 Unrestricted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -58,681 67 -198,443 E U 68 Temporarily restricted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. 68

T N 69 Permanently restricted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 D q Organizations that do not follow SFAS 117, check here " 0 and complete

lines 70 through 74 S A E L 70 Capital stock, trust principal, or current funds . . . . . . . . . . . . . . . . . . . 70 T A 71 Paid-in or capital surplus, or land, building, and equipment fund . . . . . 71 S N

C 72 Retained earnings, endowment, accumulated income, or other funds . 72 O E 73 Total net assets or fund balances (add lines 67 through 69 or lines R S 70 through 72, r"

column (A) must equal line 19 ; column (B) must equal line 21) , . . -58,681 73 -198 , 443 74 Total liabilities and net assets / fund balances (add lines 66 and 73) 2,352,688 74 2,29-5,659

Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular organization How the public perceives an organization in such cases may be determined by the information presented on its return . Therefore, please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments JVA 4 99034 TWF 12283 Copyright Forms (Software Only)- 2004 TW

' Form eso (2004) CHS - Cedar Canyon Inc . 01-0714863 Page 3

P~rtl>Vf Balance Sheets see Specific Instructions .)

CHS-Cedar Canyon Inc . Reconciliation of Revenue per Audited Financial Statements with Revenue per Return (See Specific Instructions.)

4 01-0714863 Form 890 ~8~t 1Y~B ; Reconciliation of Expenses per Audited

Financial Statements with Expenses per Return

a Total expenses and losses per audited financial statements . . . . . . . . . . . . . . . . P. a 218 , 903

b Amounts included on line a but not on line 17, Form 880:

(1) Donated services & use of facilities $

(2) Prior year odJuat-monta roportod on line 20, Form 980 $

(3) Losses reported on ~~ . line 20, Form 890 $

(4) Other (specify) :

a Total revenue, gains, and other support per audited financial statements . . . . . .

b Amounts included on line a but not on line 12, Form 890 :

(1) Not unrealized gains on Investments $

(2) Donated servlcos & use of facilities $

(3) Recoveries o1 prior year grants . . . . . $

(4) Other (specify) :

79,192

JvA 4 99034 TWF 12284 Copyright Forms (Software Only)- 2004 Tw Form 990 (2004)

Add amounts on lines (1) through (4) . , " b Add amounts on lines (1) through (4) . . " b

c Line a minus line b . . . . . . . . . . . . . . . . oo c 79,192 c Line a minus line b . . . . . . . . . . . . . . . . t c 218, 903 d Amounts Included on line 12, d Amounts included on line 17, w~ "; ew~ ~ ; : �

-M 0

Form 890 but not on line a : Form 990 but not on line a : YF+n~2 , W',';s} t~, ~ ,~ks',l2 ~ri~ h

S :v 2C"

s

>~ ~ v (1) Investment expenses (1) Investment expenses r~ ̀ c" , a c ~ ;:~ not included on not included on line 8b, Form 990 $ ` ~{ 'c line 8b, Form 980 $

k` ' s~+ v

(2) Other (specify) : ";# ` ' `" `~k ~`" (2) Other (specify): ~N

Add amounts on lines (1) end (2) . . . . . " d Add amounts on lines (1) and (2) . . . . . 0, d e Total revenue per line 12, Form 890 e Total expenses per line 17, Form 990

( line c plus line d 0- e 79 t 192 ( line c plus line d t l e 218 , 90 3 ,7 1~ Y' List of Officers, Directors, Trustees, and Key Employees dust each one even a not compensated ; see Specific

Instructions .)

(B) T1Ue and average hours (C) Compensation (If %"~ `^""""""""' "' (E) Expense account (A) Name and address per week devoted to position not paid, enter -0-,) imp o~eee

deferred and other allowances 8~ Phillip Carroll President Salt Lake City UT 0 Carlisle Carroll Vice President Salt Lake City UT 0 Kenneth Patterson Sec/Treasurer Salt Lake Citv UT I 0

75 Did any officer, director, trustee, or key employee receive aggregate compensation of more than $100,000 from your organization and all related organizations, of which more than $10,000 was provided by the related organizations? . , I N- 0 Yes e No Ii "Yes," attach schedule -- see Specific Instructions .

' Form eso(2ooa CHS-Cedar Canyon Inc . 01-0714863 Page 5

P8i" Y ' Other Information (see specific Instructions. ) Yes No

76 Did tho organization engage In any activity not previously reported to IRS? If "You,* attach detailed description of oath aetivhy , . , , . . . . . . , 76

77 WerQ any changes made in the organizing or governing documents but not reported to the IRS7. . . . . . . . . . . . . . . . . . . . 77

Ii "Yes," attach a conformed copy of the changes.

788 " Did the organization have unrelated business gross Income of $1,000 or more during the year covered by this return? . , 780

b II "Yes," has It filed e tax return on Form 890-T for this year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78b

78 Was there e liquidation, dissolution, termination, or substantial contraction during the year? H "Yes," attach a statement , . 79

80a Is the organization related (other than by association with o statewide or nationwide organization) through common a membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization? . . . . . . . . . . . . . 80n

b It "Yes," enter the name of the organization " Community Housing Services

and chock whether It Is exempt or nonexempt.

stn Enter direct and Indirect political expendltures . See line 87 Instructions . . . . . .

.

. . . . . . . . 81n N

b Did the organization file Form 1120-POL for this year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81b

82a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or of

substantially less then fair rental value? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82a

b If "Yes, you may Indicate the value of these Items here. Do not Include this amount n, ,~;, ;. ww

as revenue in Port I or as an expense In Part II . (See Instructions In Part III . ~~`` ) . . . . . . . . . . . e2b N/ ~N":

83a Did the organization comply with the public Inspection requirements for returns and exemption applications? . . . . . . . . . . 83e

b Did the organization comply with the disclosure requirements relating to quid pro quo conVibutlons?. . . . . . . . . . . . . . . . 83b

84a Did the organization solicit any contributions or gifts that were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84a

b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not 3111. 110 11%,.ti

tax deductible? . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84b

85 501(c)(4), (S), or (6) organizations. a Were subslenUally all dues nondeductible by members? . . . . . . . . . . . . . . . . . . . . . . 85a

b Did the orgenizeUon make only in-house lobbying expenditures of $2,000 or less?. . . . . . . . . . . . . . . . . . . . . . . .

.

. . . . . . 85b

It "Yes" was answered to either 85a or 85b, do not complete BSc through 85h below unless the organization received a

waiver for proxy tax owed for the prior year .

c Dues, assessments, and similar amounts from members . . . . . . . . . . . . . . . . . . . . . . . 85C NIA ti.. . ~. d Section 162(e) lobbying end political expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85d

e Aggregate nondeductible amount of section 6033(e)(1)(A) dues noUcea . . . . . . . . . . . . . BSe N ~<` ~

f Taxable amount of lobbying and political expenditures (line e5d less ese) . . . . . . . . . . . 6bf N

g Does the organization elect to pay the section 6033(e) tax on the amount on Ilne 851? . . . . . . . . . . . . . . . . . . . . . . . . . ... 85g

h If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f to Its

reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year? . . . 85h -----: :-

86 501(c)(7) ergs, Enter: a Initiation lees and capital contributions included on line 12 . . . . . . . 86a N/A ii ~ . ss~+

{ ,s tiY b Gross receipts, included on line 12, for public use of club facilities . . . . . . . . . . . . . . . . . . . . 86b N /A

87 501 (c)(1 2) ergs. Enter, a Gross Income from members or shareholders . . . . . . . . . . . . . . . . 87a N ,, { ̀ , s b Gross Income from other sources. (Do not net amounts due or paid to other sources r~

against amounts due or received from them .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87b N/A 2~

BB At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or 's ' ` `

partnership, or en entity disregarded as separate from the organization under Regulations sections .~;`'w<

301 .7701-2 and 301.7701-3? If "Yes," complete Part IX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88

89a 501(c)(3) or9anizeUons . Enter: Amount of tax Imposed on the organization during the year under: e.F ; ~,. section 4911 " N/A ; section 4912 " N/A ; section 4955 " N/ 'ir'

b 501 (c)(3) and 501 (c)(4) ergs. Did the organization engage in any section 495 excess benefit transaction

during the year or did it become aware of an excess benefit transaction from a prior year? If "Yes," attach

a statement explaining each transaction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89b

c Enter: Amount of tax imposed on the organization managers or disqualified persons during the year under

sections 4912, 4955, and 4958 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " N/A

d Enter: Amount of tax on line 89c, above, reimbursed by the organization . . . . . . . . . . . . . . . . . . . . . . N/A

90a List the states with which e copy of this return is filed " N/A

b Number of employees employed in the pay period that includes March 12, 2004 (See instructions .) . . . . 190b I N/A

91 The books are in care of " Community Hous ing Services Telephone no 0- (801) 328 - 1050

Located at P. 1059 E 900 S SLC UT zlP+at 84105

92 Section 4947(a)(1) nonexempt charitable trusts tiling Form 990 m lieu of Form 1041 -- Check here . , , . . t u

and enter the amount of tax-exempt interest received or accrued during the tax year. . . , . , . . . , . " I 92 .I . N/A

JVA 4 99056 TWF 12285 Copyright Forms (Software Only) - 2004 TW Form 990 (2ooa)

Form sso (2004 ) CHS - Cedar Canyon Inc . 01-0714863 Fait YII" Anal sls of Income-Producing Activities See Specific inscrucnons . Note : Enter gross amounts unless Unrelated business Income Excluded by section 612 . 613, or 514 otherwise Jndicated . A (B) I (C) I (D) Business E " c~~ Amount 93 Program service revenue : code Amount eedn

L

0 b a d 0 f Medicare/Medicaid payments . . . . . . . . . . . g Fogs & contracts from govt . agencies . . . . . .

94 Membership duos & aseoasmonte . . . . . . . . 9& interest on savings and temporary pooh Investments 98 Dividends & Interest from securities . . . . . . . 97 Net rental Income or (loss) from real estate :

a debt-financed property . . . . . . . . . . . . . . . b not debt-financed property . . . . . . . . . . . . .

98 Not rental income or (lose) from personal property. , , 99 Other Investment Income . . . . . . . . . . . . . . . 100 Gain or (loss) from sales of assets other than inventory 101 Net Income or (loss) from special events . . . 102 Gross profit/(loss) from sales of Inventory. . . 103 Other revenue : a Laundry & VEII bother c d e

104 Subtotal (add columns (B), (D), end (E)) ' ; +,, , W1os Total (add line 104, columns (B), (D), and (E)) . . . . . . . . . . . . . . . . . . Note : Une 105 plus line id, Part I, should equal the amount on line 12, Part 1 .

1

503 163

I ~~~~;;,''1 62 ~ 79,130 0 x, . . . . . . . . . . . . . . . . . . . . . . 11111. 79,192

) of Activities to the Accomplishment of Exam Une No. I Explain how each activity for which Income la reported in column (E) of Part VII contributed Importantly to the accomplishment of the

oraanizotien's eYAmet eurneses (other then by erevidina funds for such ouroosesl.

Instructions

assets

1 Information Regarding Transfers Associated with Personal Benefit Contracts Instructions . (a) Did organization, during the year, receive any funds, directly or

(b) Did the organization, during the ye , pay premiu directly or Note : Ii "Yes" to (b ,file Form and Form 472 s in trucUoi

Under p enaFties of p ury, eclar t Vat I hav i ex e his recur belief . It is true, co c comp

Please Decl u n o payer (oth

Sign 01, Signature of ofiicer Here 111, L,.J _ Pa-

/ Type or not name and title . Preparer's'

Paid signature Preparer's Firm's name (or yours Child Van Wagon Use Only if self-employed), ' 1284 W FLINT ME. address, and ZIP + 4

Ka sville UT 84 JVA 4 99056 TWF 72288A Copyright Forms (Software Only)-201

(E) Related or exempt funcUon Income

78,464

A~irY#IX Information Regarding Taxable Subsidiaries and Disregarded Entitles (sE Name, address, end EIN of corporation, Percentage of Nature of activities Total

partnership , or disregarded ant ownership int.

1 °

OMB No . X545-0047 SCHEDULE A Organization Exempt Under Section 501(c)(3) (Forth 990 or 990-EZ) (Except Private Foundation) and Section 601(e), 601(n, 601(k),

S01(n), or Section 4947(a)(1) Nonexempt Charitable Trust

Department o1 the Tromury Supplementary Information -- (See separate Instructions.)

internal Revenue Service " MUST be completed by the above organizations and attached to their Form 980 or 980-EZ

2004

Nam of the organization CHS-Cedar Canyon Inc .

Employee Identification number )1-0714863

Total number of other employees paid over "

' ~~ ~~d` - , mm

;P '¬!!~ Compensation of the Five Highest Paid Independent Connectors for Professional Services (See the Instructions . Ust each one (whether Individuals or firms) . If there ere none, enter "None.")

For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form 990-EZ. Schedule A (Form 990 or 990-EZ) 2004

JVA 4 990A72 TWF8918 Copyright Forms (Software Only)- 2004 TW

Compensation of the Five Highest Paid Employees Other Then Officers, Directors, and Trustees (See the Instructions . Uat each one. If there are none, enter "None:"

(a) Name and address o1 each employee paid more (b) Titlo and ovurogo hours (d) Contrlbutlono to (o) txponeo (c) Compensation ampl. bonotlt piano a account and

than $50,000 I per woek devoted to position I Idoforrod aomponentlonl othor allowono

None

Provide the following Information about the supported organizations (See the instructions.)

(b) Line number from above (a) Name(s) of supported organization(s)

14 n An organization organized and operated to test for public safely . Section 509(a)(4) (See the instructions .) Jvn 4 990A72 TWF 8917 Copyright Forms (Software Only) - 2004 Tw Schedule A (Form 990 or 990-EZ) 2004

schedule A Form eso or 990-ez 2004 CHS - Cedar Canyon Inc . 01-0714863 Page 2

" P~irtlll~' Statements About Activities (see one Instructions .) vas No

1 During the year, has the organization attempted to Influence national, elate, or local legislation, Including any attempt to Influence public opinion on a IegIsIoUve matter or referendum? It "Yes," enter the total expenses paid or Incurred In connection with the lobbying activities . . . . 0- $ (Must equal amounts on line 38, Part VI-A, or line I of Part VI-B .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Organizations that made an election under section 801(h) by tiling Form 5788 must complete Port VI-A . Other organizations checking "Yes" must complete Part VI-B AND attach o statement giving a detailed description of the S lobbying activities .

2 During the year, has the organization, either directly or Indirectly, engaged In any of the following acts with any

substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or with any

taxable organization with which any such person is affiliated as nn officer, director, trustee, majority owner, or principal

beneficiary? (If the answer to any question Is "Yes," attach v detailed etotoment explaining the transactions .)

a Sate, exchange, or lousing of property? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a

b Lending of money or other extension of credit? . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Furnishing of goods, services, or facilities? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Payment o1 compensation (or payment or reimbursement of expenses If more than $x,000)? . . . . . . . . . . . . . . . . . . . . . . 2d

e Transfer of any pert o1 Its Income or assets? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2e 3a Do you make grants for scholarships, fellowships, student loans, etc .7 (Ii "Yes;" attach an explanation of how

you determine that recipients qualify to receive payments .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a b Do you have a section 403(b) annuity plan for your employees? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b 4a Did you maintain any separate account for participating donors where donors have the right to provide advice

on the use or distribution of funds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4a b Do you provide credit counseling, debt management, credit repair, or debt negotiation services? . . . . . . . . . . . . . . . . 4b

Reason for Non-Private Foundation Status (Seethe Instructions .)

The organization Is not e private foundation because It Is : (Please check only ONE applicable box .)

5 A church, convention of churches, or association o1 churches . Section 170(b)(1)(A)(I) . 6 A school . Section 170(b)(1)(A)(ii) . (Also complete Part V .) 7 A hospital or n cooperative hospital service organization. Section 170(b)(1)(A)(iil) . 8 A Federal, state, or local government or governmental unit . Section 170(b)(1)(A)(v) .

8 U A medical research organization operated in conjunction with e hospital . Section 170(b)(1)(A)(iil) . Enter the hospital's name, city,

and state 10 0 An organIzAUon operated toy the benefit of o college or university owned or operated by a governmental unit . Section 170(b)(1)(A)(iv) .

(Also complete the Support Schedule In Part IV-A .) 11a 171 An organization that normally receives a substantial part of Its support from a governmental unit or from the general public .

Section 170(b)(1)(A)(vi) . (Also complete the Support Schedule In Pert IV-A.) jib B A community trust Section 170(b)(1)(A)(vl) . (Also complete the Support Schedule In Pert IV-A .)

12 An organization that normally receives : (1) more than 331/39b of its support from contributions, membership tees, and gross

receipts tom activities related to Its charitable, etc ., functions -- subject to certain exceptions, and (2) no more than 33 1/3% of Its

support from gross Investment Income and unrelated business taxable income (less section 511 tax) from businesses acquired by the

organization after June 30, 1975 . See section 508(a)(2) . (Also complete the Support Schedule In Part IV-A.) 13 F]An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations

described In : (1) lines 5 through 12 above ; or (2) section 501(c)(4), (5), or (6), if they meet the test of section 509(x)(2) . (See section 509(a)(3) .)

c Add, Amounts from column (e) for lines : 15 16 17 20 21 Po. 27c

d Add Une 27a total and line 27b total . . . . . . lo- 27d a Public support (line 27C total minus line 27d total) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ili- 27e I Total support for section 509(a)(2) test, Enter amount from line 23, column (e). Bi- I 27f I g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) . . . . . . Do, 27g % h Investment Income percentage (line 18, column (e) (numerator) divided by line 27f (denominator)) . lo- 27h %

28 Unusual Grants : For an organization described in line 10, 11 . or 12 that received any unusual grants dunng 2000 through 2003, prepare a list for your records to show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant . Do not file this list with your return . Do not include these grants in line 15

JVA 4 990A34 TWF 8918 Copyright Forms (software Only)- 2004 TW Schedule A (Form 990 or 990-EZ) 2004

Schedule A (Form 990 or 990-EZ) 2004 CHS -Cedar Canyon Inc . 01-0714863 Page 3

r-RAM, Support Schedule (Complete only R you chocked a box on line 10, 11, or 12.) Use cash method of accounting. Note : You may use the worksheet In the Instructions for converting from the accrual to the cash method of accounting.

Calendar yoar,(or fiscal year beginning lob, (b) 2002 (C) 2001 (d) 2000 (a) Total

16 Gifts, grants, and contributions received . (Do not Include unusual

, grants . Sao line 28 .) . . . . . . . . .

16 Membership fees received . . . .

or furnishing of F.0.r11101tr1=-any activity that Is related to t

h a organization's

charitable, ote .

purpose . . . . . . 18,241 18,241

18 Grace Income from Interest, dividends, amounts received from payments on securities loans (section 012(aXS)), rents, royalties, and unrelated business taxable Income action 611 taxes) from busi=oacquirod

7 b the organization after Juno 30,

715 . . . . . . . . . . . . . . . . . . .

19 Not Income from unrelated business activities not Included In line 18 . . . . . . . . . . . . . . . . . .

20 Tax revenues levied for the organization's benefit and either paid to It or expanded on Its behalf . . . . . . . . . . . . . . . . . .

21 The value of services or facilities furnished to the organization by a governmental

u nit without

charge . Do not Include the value of

a ervices or facilities generally

furnished to the public without charge . . . . . . . . . . . . . . . . .

22 Other income. Attach a schedule . Do not Include gain or (loss) from sale of capital assets . . . . . . . .

23 Total of lines 15 through 22 . . . . 18,252 0 0 0 18,252

24 Line 23 minus line 17 . . . . . . . . . 11

25, Enter 1% of line 23 . . . . . . . . . . 183

26 Organizations described on lines 10 or 11 : a Enter 2% of amount In column (e), line 24 . . . . . lo- 26a

b Prepare a list for your records to show the name of and amount contributed by each person (other than a

governmental unit or publicly supported organization) whose total gifts for 2000 through 2003 exceeded the

amount shown In line 26a. Do not file thIs list Wth your return. Enter the total of all these excess amounts Do- 26b

c Total support for section 509(a)(1) test : Enter line 24, column (6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0, 26c

d Add : Amounts from column (e) for lines : . . . 18 19 w.

22 26b 26d

e Public support (line 26c minus line 26d total) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10- 1 25e I Public support percentage (line 26e (numerator) divided by line 26c (denominator)) . . . . . . . . . . . . . . . * 1261 %

27 Organizations described on line 12 : a For amounts Included In lines 15, 16, and 17 that were received from a "disqualified person," prepare a list for your records to show the name of, and total amounts received In each year from, each "disqualified person ." Do not file this Ilat with your return. Enter the sum of such amounts for each year.

(2003) (2002) (2001) (2000)

b For any amount Included In line 17 that was received from each person (other than "disqualified persons'), prepare a list for your records to show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5.000 .

(include In the list organizations described In lines 5 through 11, as well as Individuals.) Do not file this list wtth your return . After computing the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year: (2003) (2002) (2001) (2000)

33 Does the organizaton discriminate by race In any way with respect to :

a Students' rights or privileges? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L~~

b Has the organization's right to such aid ever been revoked or suspended? . . . . . . . . . . . . . . . . . . . . . . . . . . 34b

If you answered "Yes" to either 34a or b, please explain using an attached statement.

35 Does the organization certify that It has complied with the applicable requirements of sections 4 01 through 4.05 of Rev Proc 75-50. 1975-2 C B 587 . covenna racial nondiscrimination? If "No," attach an exr)lanation . 1 35 1 1

Schedule A (Form 990 or 990-EZ) 2004 JVA 4 99OA34 TWF 8919 Copyright Forms (Software Only) - 2004 TW

Schedule A (Form 990 or 990-EZ) 2004 CHS-Cedar Canyon Inc . 01-0714863 Page 4 8gLWjVA Private School Questionnaire (See the Instructions .)

(To be completed ONLY by schools that chocked the box on line 6 In Part IV) PAGE N/A 29 Does,the organization have a racially nondiscriminatory policy toward students by statement In Its charter, bylaws, other Yes No

governing Instrument, or In a resolution of Its governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 30 - Does the organization Include a statement of Its racially nondiscriminatory policy toward students In all Its brochures,

catalogues, and other written communications with the public dealing with student admissions, programs, and scholarships? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

31 Has the organization publicized Its racially nondiscriminatory policy through newspaper or broadcast media during tho parlod of solicitation for students, or during the registration period If 11 has no solicitation program, In a way that makes loom the policy known to all parts of the gonerall community It serves? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

It "Yes," please describe ; 11 "No," ploase oxplain . (If you neod more spaco, attach a separate statement.) 91 M M1

32 Does the organization maintain the following : M a Records Indicating the racial composition of the student body, faculty, and administraflve staff? . . . . . . . . . . . . . . . . 32a

b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory basis? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32b

c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing with student admissions, programs, and scholarships? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I 32c

d Copies of all material used by the organization or on Its behalf to solicit contributions? . . . . . . . . . . . . . . . . . . . . . . . . . . . F32d

It you answered "No" to any of the above, please explain. (If you need more space, attach a separate statement.)

b Admissions policies? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b

c Employment of faculty or administrative staff? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33c

d Scholarships or other financial assistance? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33d

e Educallonal policies? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.

.

.

. . r33 0

f Use of facilities? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1331

g Athletc programs? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Other extracurricular activities? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33h

It you answered "Yes" to any of the above, please explain . (If you need more space, attach a separate statement)

34a Does the organization receive any financial aid or assistance from a governmental agency? . . . . . . . . . . . . . . . . . . I 34a

47 t IoLbty'lf Ing expenditures

48 Grassroots nontaxable amount

u 49 Grassroots ceiling amount (1505 to

wpm of line 48(e)) . . . . . . 50 Grassroots lobbying

expenditures

. . . . . Lobbying Activity by Nonelecting Public Charities (For reporting only by organizations that did not complete Part VI-A) (See the Instructions .)

During the year, did the organization attempt to Influence national, state or local legislation, including any Yes No Amount

attempt to Influence public opinion on a legislative matter or referendum, through the use at : a Volunteers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Paid staff or management (include compensation In expenses reported on lines c through h .) . . . . . . . c Media advertisements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Mailings to members, legislators, or the public . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e Publications, or published or broadcast statements . . . . . . . . . . . . . . . . . . . . . . .

. . . . . f Grants to other organizations for lobbying purposes . . . . . . . . . . . . . . . . . . . . . . . . . . g Direct contact with legislators, their stafis, government officials, or a legislative body h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means I Total lobbying expenditures (Add lines c through h .) . . . , . . . . . . . . I . . . . . . . . . . . . . .

If "Yes" to any of the above, also attach a statement giving a detailed description of the lobbying activities. JVA 4 990A56 TWF 8920 Copyright Forms (Software Only) - 2004 TW Schedule A (Form 990 or 990-EZ) 2004

Schedule A (Form 990 or 990-EZ) 2004 CHS-Cedar Ca-myon Inc . 01-0714863 Page

ftLlkMtj~& Lobbying Expenditures by Electing Public Charities (Seethe Instructions) (To be completed ONLY by an eligible organization that filed Form 5768) N/A

Check lo, p I Tif the organization belongs to an affiliated group . Check 0. b It you chocked "a" and "limited control" provisions apply, (a) (b)

Limits on Lobbying Expenditures Aff Illated group To be completed totals for ALL electing

(The term "expenditures!' means amounts paid or Incurred .) organizations 36 Total lobbying expenditures to Influence public opinion (grassroots lobbying) . . . . . . . . 36 37 Total lobbying expenditures to Influence a legislative body (direct lobbying) . . . . . . . 37 38 Total lobbying expenditures (add lines 36 and 37) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 39 Other exempt purpose expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

* .. . . 39

40 Total exempt purpose expondituros (add lines 38 and 39) . . . . . . . . . . . . . . . . . . . . 40 41 Lobbying nonlaxablo amount . Enter the amount from the following table -- 4. 1

. .

If the amount on line 40 Is -- The lobbying nontaxable amount Is Not over $500,000 . . . . . . . . . . . . . . . . . . 20% of the amount on line 40 . . . Over $500,000 but not over $1,000,000 . . $100,000 plus 15% of the oxcesis over ssoo,ooo Over $1,000,000 but not over $1,500,ODO $17S,000 plus 10% of the excess over si,ooo,ooo No 41 Over $1,500,000 but not over $17,000,000 $225,000 plus S%of the excess over si,soo,ooo - cz, Over $17,000,000 . . . . . . . . . . . . . . . . . . . $1,000,000 . . . . . . . . . . . . . . 1, "-zo omw, ;,Mwl

42 Grassroots nontaxable amount (enter 25% of line 41) . . . . . . . . . . . . . . . . . . . . . . . 42 43 Subtract line 42 from line 36. Enter -0- It line 42 Is more than line 36 . . . . . . . .

. , . . . 43

44 Subtract line 41 from line 38 . Enter -0- If line 41 Is more than line 38 . . . . . . . . . . . . . . 44 '6,J % 13 . 01-,.0~,

m 4720 . Caution : If there Is an amount on either line 43 or line 44, you must file For .. . . . . . . . . . . . . . 1 . 4-Year Averaging Period Under Section 501(h)

(Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the Instructions for lines 45 through 50 .)

Lobbying Expenditures During 4-Year Averaging Period

Calendar year (or fiscal (a) (b) (c) (d) (e) year beginning In) P. 2004 2003 2002 2001 Total

45 Lobbying nontaxable amount

Schedule A ~Forrn 990 or 990-EZ) 2004 CHS-Cedar Canyon Inc . 01-0714863 Page 6 Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations (Seethe Instructions)

61 Did the reporting organization directly or Indirectly engage In any of the following with any other organization described In section 501(c) of

the Code (other than section 501 (c)(3) organizations) or In section 527, relallng to political organizations?

a .~Transfers from the reporting organization to a noncharitable exempt organization of : 0

(1) Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(11) Other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001)

b Other transactions :

(1) Sales or exchanges of assets with a noncharltable oxompt organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b(l)

(11) Purchases of assets from a nonchadtablo exompi organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b(II)

(111) Rental of facIlIllos, oquIpment, or othor assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b(III)

(Iv) ReImbursoment arrongemonte . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b(Iv)

(v) Loans or loan guarantoos . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b(v)

(vi) Performance of services or membership or fundralsIng solicitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b(vI)

c Sharing of facilities, equipment, malling lists, other assets, or paid employees . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .

c

d If the answer to any of the above Is "Yes," complete the following schedule Column (b) should always show the fair market value of the

goods, other assets, or services given by the reporfing organization . If the organization received less than fair market value In any transaction

or sharinq arrannement, show In column (d) the value of the goods, other assets, or services received :

62a Is the organization directly or Indirectly affiliated with, or related to, one or more tax-exempt organizations described In section 501(c) of the Code (other than section 501(c)(3)) or In section 527? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No

JVA 4 990A56 TWF 8921 Copyright Forms (Software Only) - 2004 TW Schedule A (Form 990 or 990-EZ) 2004

(a) A m 0 u n(tbi)

M I

(d) Line no . I nvolved I Name of noncharltable exempt organization Description of transfers, transactons, & sharing arrangements

I ISECTION NFA I

SCHEDULE OF OTHER CHANGES IN NET ASSETS OR FUND BALANCES

JVA Copyright Forms (Software Only) - 2004 TW L0814F 4_EOGR36

and endIng

Employer Identification Number 1-0714863

Depreciation Allowed or Method of Computation Allowable in

Page Total 87,298 Total 87,298

4_EOGRi2 JVA Copyright Forms (Software Only) - 2004 TW L0614F

SCHEDULE OF DEPRECIATION AND DEPLETION Attachment 2 : page 1 990 Page 2, Part II, Line 42 Open to Public Inspection For Calendar year 2004, or tax year period beginning

Name of Organization CHS-Cedar Canyon Inc .

Item] Date Cost or 0 No Description of Property Acquired I Other Basis

0

Rate (%) Depreciation or Ufe (Years) This Year

87 .298

SCHEDULE OF OTHER EXPENSES 1 - 990 Paqe 2, Part II, Line 43 Attachment 7 : r)aqi

Open to Public Inspection . I For calendar Name of Organization

2004 or tax

Page Total TotaH

JVA Copyright Forms (Software Only) - 2004 TW L0614F 4-EOGR13

CHS,Cedar Canyon Inc .

Other Expenses

Utilities Trash Removal Repair contract Payroll taxes Workers comp Cleaning Grounds Misc . Tax & Lic . Insurance

Dglnnlng and ending

I Employer Identification Number 01-0714863

(A) Total (B) Program (C) Management

(D) Fundralsing ServIces and General

2,172 2,172 21,334 21,334 1, 913 1,913 9,127 9,127 3,289 3,289

899 899 2,285 2,285 5,466 5,466

7 7 8,758 8,758

SS,250 55,250 55,250 55,250

SCHEDULE OF LAND, BUILDING & EQUIPMENT

Attachment 3 : paq 1 - 990 Page 3, Part IV, Line 57a-c Open to Public Ins action I For calendar year 2004 or tax period beginning and ending Name of Organization Employer Identification Number CHS-Cedar Canyon Inc . 101-0714863

Description of Property Cost or Accumulated

Book Value Fair Market Value

Other Basis Depreciation (Form 990ft2p~ Land 91,000 91,000 Buildings 2,279,383 2,279,383 Furniture -Project admin 19,558 19,558 Furnishings 3,780 3,780 Accumlated depreciation 122,637 -122,637

Total 1 2,393,721 122,637 2,271,084 JVA Copyright Forms 2003 (Software Only) - 2004 TW L0614F 4_EOGR18

SCHEDULE OF OTHER ASSETS

JVA Copyright Forms (Software Only) - 2004TW L0614F 4-EOGR05

SCHEDULE OF MORTGAGES AND OTHER NOTES PAYABLE Attachment 6 : page 1 990 Page 3, Part IV, Line 64b Open to Public Inspection For Calendar year 2004, or tax year period beginning Name of Organization CHS-Cedar Canyon In

Lender's Name Lender's Tide original Amount I Balance Due I Date of Note Mortgage 12, 378, 500 1

and endIng

Employer Iderittfication Number 1-0714863 vlaturitv Date I Reo . Terrns

. JVA Copyright Forms (Software Only) - 2004 TW L0814F 4_EOGR22

Int Rate I Security Provided bv Borrower I PurDose of Loan I Desc . & Fair Market Value of Consideration bv Lender

Total Balance Due 8,5

SCHEDULE OF OTHER LIABLILITIES

JVA Copyright Forms (Software Only) - 2004 TW L0614F 4-EOGRO6

if you-are filing for an Automatic 3-Month Extension, complete only Part I and check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . No. II.you are filing for an Additional (not automate) 3-Month Extension, complete only Part 11 (on page 2 of this form) .

Do not complete Part 11 unless you have already been granted an automatic 3-month extension on a previously filed Form 8868 . 810 Automatic 3-Month Extension of Time-Only submit original (no copies needed) Form 990-T corporations requesting an automatic 6-month extension -- check this box and complete Part I only . . . . . . . . . . . . . . . . . . . No 0 All other corporations (including Form 990-C filors) must use Form 7004 to requosl an extension of time to file Income tax returns . Partnerships, REMIC9, and trusts must use Form 8736 to roquesl an extension of time to file Form 1065, 1068, or 1041 .

Electronic Filing (o-filo) . Form 8888 can be filod olectronically 11 you want a 3-monlh automatic extension of timo to file ono of the returns noted bolow (6 months for corporate Form 990-T filers). However, you cannot file 11 electronically 11 you want the additional (not automatic) 3-month extonslon, Instead you must submit the fully completed signed page 2 (Part 11) of Form 8888 For moro details on the oloctronic filing of this form, visit www.irs .gov/ofile .

Name of Exempt Organization .IHS-Cedar Canyon Inc .

Typo or print File by the due date for filing your return . See Instructions.

Employer Identification number 01-0714863

Number, street, and room or suite no . If a P.O . box, see Instructions . L059 East 900 South City, town or post office, state, and ZIP code . For a foreign address, see Instructions . 31alt Lake City UT 84105

2 If this tax year Is for less than 12 months, check reason : 11 Initial return nFinal return 0 Change In accounting period

3a If this application Is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits . See Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0

b If this application Is for Form 990-PF or 990-T, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . $ 0

c Balance Due . Subtract line 3b from line 3a . Include your payment with this form, or, if required, deposit with FTD coupon or, If required, by using EFTPS (Electronic Federal Tax Payment System) See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0

Caution . It you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EO for payment instructions. For Privacy Act and Paperwork Reduction Act Notice, see Instructions . Form 8868 (Rev . 12-2004)

JVA 4 88681 TWF 12148A Copyright Forms(Software Only)- 2004 TW

Form 8868 Application for Extension of Time To File an (Rev . December 2w4) Exempt Organization Return OMB No. 1545-1709

Departmont of tho Troanury Intornal Royonuo Sorvico 10 File a separate application for each return.

Check type of return to be 11 [led (file a separate application for each return): X Form 990 Form 990-T (corporation) Form 4720

Form 990-BL Form 990-T (sec . 401 (a) or 408(a) trust) Form 5227 Form 990-EZ Form 990-T (trust other than above) Form 6069 Form 990-PF Form 1041 -A Form 8870

* The books are In the care of P. Community Housing Services

TelephoneNo.p. (801)328-1050 FAX No . P. " If the organizalion does not have an office or place of business In the United Slates, check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . 0-0 " If this Is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) If this Is for the whole group, check this box 11. 0 - It It Is for part of the group, check this box pp. 0 and attach a list with the names and EINs of all members the extension will cover.

I I request an automatic 3-month (6-months for a Form 990-T corporation) extension of time until AUGUST 15 .2004 to file the exempt organization return for the organization named above . The extension Is for the organization's return for : 0- M calendar year 20 0 4 or lo- tax year beginning -.20 and ending - .20