﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" returnVersion="2023v5.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-11-13T14:27:40-05:00</ReturnTs>
    <TaxPeriodEndDt>2023-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>274248955</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>Cunningham Stauring &amp; Associates</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>91 Washington St</AddressLine1Txt>
        <CityNm>Hornell</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>14843</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990EZ</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>271961204</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>ALLEGANY COUNTY CANCER SERVICES INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>ALLE</BusinessNameControlTxt>
      <USAddress>
        <AddressLine1Txt>PO BOX 534</AddressLine1Txt>
        <CityNm>WELLSVILLE</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>14895</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>KATHY HAMLIN</PersonNm>
      <PersonTitleTxt>TREASURER</PersonTitleTxt>
      <PhoneNum>5858084820</PhoneNum>
      <SignatureDt>2024-11-15</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>JOEL STAURING</PreparerPersonNm>
      <PTIN>P00804218</PTIN>
      <PhoneNum>6073245293</PhoneNum>
      <PreparationDt>2024-11-13</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2024-10-15 13:58:12Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="4">
    <IRS990EZ documentId="IRS990EZ">
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <ScheduleBNotRequiredInd>X</ScheduleBNotRequiredInd>
      <Organization501c3Ind referenceDocumentId="990A">X</Organization501c3Ind>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <GrossReceiptsAmt>65542</GrossReceiptsAmt>
      <InfoInScheduleOPartIInd>X</InfoInScheduleOPartIInd>
      <ContributionsGiftsGrantsEtcAmt>34269</ContributionsGiftsGrantsEtcAmt>
      <ProgramServiceRevenueAmt>3146</ProgramServiceRevenueAmt>
      <InvestmentIncomeAmt>10595</InvestmentIncomeAmt>
      <FundraisingGrossIncomeAmt>17532</FundraisingGrossIncomeAmt>
      <SpecialEventsDirectExpensesAmt>5809</SpecialEventsDirectExpensesAmt>
      <SpecialEventsNetIncomeLossAmt>11723</SpecialEventsNetIncomeLossAmt>
      <TotalRevenueAmt>59733</TotalRevenueAmt>
      <GrantsAndSimilarAmountsPaidAmt>29070</GrantsAndSimilarAmountsPaidAmt>
      <FeesAndOtherPymtToIndCntrctAmt>3069</FeesAndOtherPymtToIndCntrctAmt>
      <OccupancyRentUtltsAndMaintAmt>183</OccupancyRentUtltsAndMaintAmt>
      <PrintingPublicationsPostageAmt>909</PrintingPublicationsPostageAmt>
      <OtherExpensesTotalAmt>1680</OtherExpensesTotalAmt>
      <TotalExpensesAmt>34911</TotalExpensesAmt>
      <ExcessOrDeficitForYearAmt>24822</ExcessOrDeficitForYearAmt>
      <NetAssetsOrFundBalancesBOYAmt>401365</NetAssetsOrFundBalancesBOYAmt>
      <OtherChangesInNetAssetsAmt>-325</OtherChangesInNetAssetsAmt>
      <NetAssetsOrFundBalancesEOYAmt>425862</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIInd>X</InfoInScheduleOPartIIInd>
      <CashSavingsAndInvestmentsGrp>
        <BOYAmt>397620</BOYAmt>
        <EOYAmt>417312</EOYAmt>
      </CashSavingsAndInvestmentsGrp>
      <LandAndBuildingsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LandAndBuildingsGrp>
      <OtherAssetsTotalDetail>
        <BOYAmt>3745</BOYAmt>
        <EOYAmt>8550</EOYAmt>
      </OtherAssetsTotalDetail>
      <Form990TotalAssetsGrp>
        <BOYAmt>401365</BOYAmt>
        <EOYAmt>425862</EOYAmt>
      </Form990TotalAssetsGrp>
      <SumOfTotalLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </SumOfTotalLiabilitiesGrp>
      <NetAssetsOrFundBalancesGrp>
        <BOYAmt>401365</BOYAmt>
        <EOYAmt>425862</EOYAmt>
      </NetAssetsOrFundBalancesGrp>
      <PrimaryExemptPurposeTxt>PROVIDE SUPPORT TO ALLEGANY CANCER PATIE</PrimaryExemptPurposeTxt>
      <ProgramSrvcAccomplishmentGrp>
        <DescriptionProgramSrvcAccomTxt>PROVIDE GRANTS TO CANCER PATIENTS TO DEFRAY COSTS OF CANCER CARE</DescriptionProgramSrvcAccomTxt>
        <GrantsAndAllocationsAmt>29070</GrantsAndAllocationsAmt>
        <ProgramServiceExpensesAmt>29471</ProgramServiceExpensesAmt>
      </ProgramSrvcAccomplishmentGrp>
      <ProgramSrvcAccomplishmentGrp>
        <DescriptionProgramSrvcAccomTxt>PROVIDE SUPPORT AND REFFERALS TO OTHER RESOURCES FOR CANCER PATIENTS</DescriptionProgramSrvcAccomTxt>
      </ProgramSrvcAccomplishmentGrp>
      <ProgramSrvcAccomplishmentGrp>
        <DescriptionProgramSrvcAccomTxt>CREATE AWARENESS AND EDUCATE THE COMMUNITY OF THE SIGNS AND SYMPTOMS OF CANCER</DescriptionProgramSrvcAccomTxt>
      </ProgramSrvcAccomplishmentGrp>
      <TotalProgramServiceExpensesAmt>29471</TotalProgramServiceExpensesAmt>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>DIANE WILSON</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>5.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>KATHY HAMLIN</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>2.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <ActivitiesNotPreviouslyRptInd>false</ActivitiesNotPreviouslyRptInd>
      <ChgMadeToOrgnzngDocNotRptInd>false</ChgMadeToOrgnzngDocNotRptInd>
      <OrganizationHadUBIInd>false</OrganizationHadUBIInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <OrganizationDissolvedEtcInd>false</OrganizationDissolvedEtcInd>
      <Form1120PolFiledInd>false</Form1120PolFiledInd>
      <MadeLoansToFromOfficersInd>false</MadeLoansToFromOfficersInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <BooksInCareOfDetail>
        <PersonNm>KATHY HAMLIN</PersonNm>
        <USAddress>
          <AddressLine1Txt>PO BOX 534</AddressLine1Txt>
          <CityNm>WELLSVILLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14895</ZIPCd>
        </USAddress>
        <PhoneNum>5856097300</PhoneNum>
      </BooksInCareOfDetail>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <DonorAdvisedFndsInd>false</DonorAdvisedFndsInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <TanningServicesProvidedInd>false</TanningServicesProvidedInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd>false</TransactionWithControlEntInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <PartVIOfCompOfHghstPdEmplTxt>NONE</PartVIOfCompOfHghstPdEmplTxt>
      <PartVIHghstPdCntrctProfSrvcTxt>NONE</PartVIHghstPdCntrctProfSrvcTxt>
      <FiledScheduleAInd>true</FiledScheduleAInd>
    </IRS990EZ>
    <IRS990ScheduleA documentId="990A">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>42877</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>24994</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>33723</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>40857</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>45993</CurrentTaxYearAmt>
        <TotalAmt>188444</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsNonUnrltBusGrp>
        <CurrentTaxYearMinus4YearsAmt>27707</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7500</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>33263</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3146</CurrentTaxYearAmt>
        <TotalAmt>71616</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>70584</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>24994</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>41223</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>74120</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>49139</CurrentTaxYearAmt>
        <TotalAmt>260060</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>260060</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>6770</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4347</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>28531</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>-17418</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10595</CurrentTaxYearAmt>
        <TotalAmt>32825</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>6770</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4347</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>28531</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>-17418</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10595</CurrentTaxYearAmt>
        <TotalAmt>32825</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>77354</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>29341</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>69754</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>56702</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>59734</CurrentTaxYearAmt>
        <TotalAmt>292885</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.88790</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.91700</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.11000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.08000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleG documentId="990G">
      <FundraisingEventInformationGrp>
        <Event1Nm>DINNER</Event1Nm>
        <GrossReceiptsEvent1Amt>17532</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>17532</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>4926</NonCashPrizesEvent1Amt>
        <FoodAndBeverageEvent1Amt>883</FoodAndBeverageEvent1Amt>
        <GrossReceiptsTotalAmt>17532</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>17532</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>4926</NonCashPrizesTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>883</FoodAndBeverageTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>5809</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>11723</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of grants and similar amounts paid Part I line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>ACTIVITY GAS CARDS GRANTEE CANCER PATIENTS AMOUNT 29,070</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Description of other expenses Part I line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION AMOUNTINSURANCE 1,154PROGRAM SUPPLIES 401TAX 125</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other changes in net assets or fund balances Part I line 20</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION AMOUNTCORRECTION OF ENDING INVENTORY (325)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Description of other assets Part II line 24</FormAndLineReferenceDesc>
        <ExplanationTxt>CATEGORY BEGINNING OF YEAR END OF YEARINVENTORY 3,745 8,550</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Business income not reported on 990-T Part V line 35</FormAndLineReferenceDesc>
        <ExplanationTxt>RAFFLES/GAMING INCOME CONDUCTED ENTIRELY BY VOLUNTEER STAFF AND EXEMPT FROM UNRELATED BUSINESS INCOME AND FILING 990T.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>