2020-05-11T09:57:20-05:00 2019-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2019-01-01 383697192 INDIANA CENTER FOR NURSING INC INDI 3175741325 9302 NORTH MERIDIAN ST 365 INDIANAPOLIS IN 46260 KIMBERLY HARPER CHIEF EXECUTIVE OFFICER 3175741325 2020-05-11 1 NATHAN A RODGERS CPA P01568275 3176334705 2020-05-11 47.227.233.166 2020-05-11 09:13:41 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 CF253C16AA79457DBB141110F0942FA5491417DB 2019 2020-09-23 17:36:50Z KIMBERLY HARPER 9302 NORTH MERIDIAN ST 365 INDIANAPOLIS IN 46260 674314 0 X WWW.IC4N.ORG X 2007 IN TO PURSUE AND ALIGN STRATEGIES TO ADDRESS NURSING RESOURCE REQUIREMENTS FOR THE STATE OF INDIANA. 57 57 1 181 0 0 627724 652339 0 0 2586 2084 819 -2459 631129 651964 0 107500 0 0 201730 211818 0 0 0 319216 361493 520946 680811 110183 -28847 510763 483944 3585 5613 507178 478331 THE INDIANA CENTER FOR NURSING UNITES STATEWIDE NURSING EDUCATION AND PRACTICE LEADERS TO AFFECT CHANGE, THROUGH ONE VOICE, TO ENSURE A HIGHLY QUALIFIED NURSING WORKFORCE THAT MEETS THE NEEDS OF INDIANA'S HEALTHCARE CONSUMERS. 0 0 241932 107500 TO ASSURE THE FUTURE OF INDIANA'S NURSING WORKFORCE AND PROMOTE INDIANA AS A DESTINATION STATE FOR NURSING PRACTICE. EXPAND AND ENHANCE OUR CURRENT SERVICES AND SECURE THE FUTURE OF INDIANA'S LICENSED NURSING WORKFORCE. CAREER INFORMATION REPOSITORY FOR INDIVIDUALS PURSUING OR ADVANCING NURSING CAREER. PHILANTHROPIC PROGRAM TO RAISE SCHOLARSHIPS FOR NURSING STUDENTS. 241932 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 X 57 57 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 0 0 1 1 0 IN X KIMBERLY HARPER 3175741325 9302 NORTH MERIDIAN ST 365 INDIANAPOLIS IN 46260 KAREN CLARK PRESIDENT 4.00 X X 0 0 0 JUDY BOERGER VICE PRESIDENT 3.00 X X 0 0 0 KRISTEN EDWARDS SECRETARY-TERM BEGAN FEB'19 3.00 X X 0 0 0 JEWEL DILLER TREASURER 3.00 X X 0 0 0 JEAN PUTNAM IMM. PAST PRESIDENT 1.00 X 0 0 0 KAREN ALLEN BOARD MEMBER 1.00 X 0 0 0 LORENE ARNOLD BOARD MEMBER-TERM BEGAN DEC'19 1.00 X 0 0 0 CHRISTIE ARTUSO BOARD MEMBER 1.00 X 0 0 0 CHRISTOPHER BELL BOARD MEMBER 1.00 X 0 0 0 MICHELLE BISESI BOARD MEMBER 1.00 X 0 0 0 LEE ANN BLUE BOARD MEMBER 1.00 X 0 0 0 MARY BROWNING BOARD MEMBER-TERM BEGAN JAN'19 1.00 X 0 0 0 MARY CARNEY BOARD MEMBER 1.00 X 0 0 0 CARLA CHANCE BOARD MEMBER-TERM BEGAN OCT'19 1.00 X 0 0 0 CHRISTOPHER COLEMAN BOARD MEMBER 1.00 X 0 0 0 KIM COOPER BOARD MEMBER 1.00 X 0 0 0 LISA CRANE BOARD MEMBER 1.00 X 0 0 0 YVONNE CULPEPPER BOARD MEMBER 1.00 X 0 0 0 LINDA DELUNAS BOARD MEMBER 1.00 X 0 0 0 DEBORAH DEMEESTER BOARD MEMBER-TERM BEGAN SEP'19 1.00 X 0 0 0 RUTH EBY BOARD MEMBER 1.00 X 0 0 0 JODI ECKERT BOARD MEMBER-TERM BEGAN JUN'19 1.00 X 0 0 0 JACKIE EITEL BOARD MEMBER 1.00 X 0 0 0 KIRSTEN EMMONS BOARD MEMBER 1.00 X 0 0 0 KATHERINE FELEY BOARD MEMBER-TERM BEGAN OCT'19 1.00 X 0 0 0 MICHELLE GERRETY BOARD MEMBER 1.00 X 0 0 0 DEBORAH GILLUM BOARD MEMBER 1.00 X 0 0 0 STACI GLICK BOARD MEMBER-TERM BEGAN DEC'19 1.00 X 0 0 0 DOROTHY GOMEZ BOARD MEMBER 1.00 X 0 0 0 CHERONA HAJEWSKI BOARD MEMBER 1.00 X 0 0 0 LEA HALL BOARD MEMBER 1.00 X 0 0 0 NORMA HALL BOARD MEMBER 1.00 X 0 0 0 REBECCA HANCOCK BOARD MEMBER 1.00 X 0 0 0 TONYA HEIM BOARD MEMBER 1.00 X 0 0 0 SUSAN HENDRICKS BOARD MEMBER 1.00 X 0 0 0 LISA HOPP BOARD MEMBER 1.00 X 0 0 0 PAMELA KARAGORY BOARD MEMBER-TERM BEGAN JAN'19 1.00 X 0 0 0 JASON KING BOARD MEMBER 1.00 X 0 0 0 ANGIE KOLLER BOARD MEMBER 1.00 X 0 0 0 AMANDA LEFFLER BOARD MEMBER-TERM BEGAN JAN'19 1.00 X 0 0 0 ANGELA LOGAN BOARD MEMBER-TERM BEGAN AUG'19 1.00 X 0 0 0 ELIZABETH MADIGAN BOARD MEMBER 1.00 X 0 0 0 RONDA MCKAY BOARD MEMBER 1.00 X 0 0 0 MARCIA MILLER BOARD MEMBER 1.00 X 0 0 0 LINDA PASKIEWICZ BOARD MEMBER 1.00 X 0 0 0 LYNN SCHMIDT BOARD MEMBER 1.00 X 0 0 0 NATALIE SEABER BOARD MEMBER-TERM BEGAN MAY'19 1.00 X 0 0 0 BETH SHARER BOARD MEMBER 1.00 X 0 0 0 LINDA SIKTBERG BOARD MEMBER 1.00 X 0 0 0 RACHEL SPALDING BOARD MEMBER-TERM BEGAN DEC'19 1.00 X 0 0 0 BRENDA SROF BOARD MEMBER 1.00 X 0 0 0 JENNIFER TAYLOR BOARD MEMBER-TERM BEGAN AUG'19 1.00 X 0 0 0 AGNES THERADY BOARD MEMBER 1.00 X 0 0 0 TRISH WEBER BOARD MEMBER 1.00 X 0 0 0 ANN WHITE BOARD MEMBER 1.00 X 0 0 0 BARBARA WHITE BOARD MEMBER-TERM BEGAN FEB'19 1.00 X 0 0 0 MARILYN WIDEMAN BOARD MEMBER 1.00 X 0 0 0 CINDY ADAMS SECRETARY-TERM ENDED JAN'19 3.00 X X 0 0 0 TERESA DOBRYZKOWSKI BOARD MEMBER-TERM ENDED JAN'19 1.00 X 0 0 0 MARGARET WINTER BOARD MEMBER-TERM ENDED JUN'19 1.00 X 0 0 0 JAMES BALLARD BOARD MEMBER-TERM ENDED JUL'19 1.00 X 0 0 0 TINA DARLING BOARD MEMBER APR-SEP'19 1.00 X 0 0 0 JENNIFER EMBREE BOARD MEMBER-TERM ENDED SEP'19 1.00 X 0 0 0 DIANE VON AH BOARD MEMBER-TERM ENDED SEP'19 1.00 X 0 0 0 KAREN HAAK BOARD MEMBER-TERM ENDED OCT'19 1.00 X 0 0 0 MINDY YODER BOARD MEMBER-TERM ENDED NOV'19 1.00 X 0 0 0 HOLLY CHEEK BOARD MEMBER-TERM ENDED NOV'19 1.00 X 0 0 0 KIMBERLY HARPER CEO/COO 40.00 X 211818 0 0 211818 0 0 1 0 1 0 0 473822 62944 115573 652339 2084 2084 18191 62944 22350 -4159 -4159 1700 1700 1700 651964 0 0 -375 X 107500 107500 211818 211818 3250 3250 148697 148697 2666 172 2494 1089 1089 56651 56651 21544 21544 71342 63182 8160 3566 3566 STRATEGIC PLAN 49534 49534 3154 3154 680811 241932 438879 0 445453 418115 60562 60575 122037 116783 4748 5254 510763 483944 3585 5613 3585 5613 X 0 0 0 0 507178 478331 507178 478331 510763 483944 -28847 0 X 0 0 0 X 565350 648092 590866 627724 652339 3084371 565350 648092 590866 627724 652339 3084371 187685 2896686 929 979 2371 2586 2084 8949 7648 5652 2027 5390 1700 22417 3115737 0.92970 0.92320 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2015 AMOUNT: $ 7,648. 2016 AMOUNT: $ 5,652. 2017 AMOUNT: $ 2,027. 2018 AMOUNT: $ 5,390. 2019 AMOUNT: $ 1,700. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 122037 116783 5254 5254 ICN SCHOLARSHIP GALA - INDIANAPOLIS 63303 46857 16446 2998 16445 ICN SCHOLARSHIP GALA - EVANSVILLE 17832 16087 1745 1162 1745 81135 62944 18191 4160 18190 22350 -4159 0 NURSING SCHOLARSHIP 28 107500 PART III, COLUMN (A), NURSING SCHOLARSHIPS: TWENTY-FIVE $4,060 SCHOLARSHIPS AND THREE $2,000 SCHOLARSHIPS WERE GIVEN OUT TO NURSING SCHOOLS IN THE STATE OF INDIANA THAT ARE MEMBERS OF THE ICN. X 0 0 0 0 0 0 0 0 0 KIMBERLY HARPER CEO/COO 211818 0 0 0 0 0 0 0 0 0 211818 0 0 0 PART I, LINE 3 AN ANNUAL PERFORMANCE REVIEW AND APPROVAL IS MADE BY THE INDIANA CENTER FOR NURSING OFFICERS WHO SERVE THIS FUNCTION. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS FOUR CLASSES OF MEMBERSHIPS: TIER 1, TIER 2, TIER 3, AND TIER 4. TIER 1 MEMBERS EACH HAVE ONE VOTE AND PAY MEMBERSHIP FEES. TIER 2 MEMBERS HAVE A MAX OF EIGHT VOTES AND PAY MEMBERSHIP FEES. TIER 3 MEMBERS HAVE ONE REPRESENTATIVE PER GEOGRAPHIC REGION WITH ONE VOTE AND PAY MEMBERSHIP FEES. TIER 4 MEMBERS WILL NOT PAY MEMBERSHIP FEES AND WILL NOT HAVE ANY VOTING RIGHTS. FORM 990, PART VI, SECTION A, LINE 7A TIER 1 MEMBERS WILL EACH APPOINT ONE DIRECTOR TO THE BOARD. TIER 2 MEMBERS WILL EACH APPOINT ONE DIRECTOR TO THE BOARD UP TO A MAXIMUM OF EIGHT DIRECTORS. TIER 3 MEMBERS WILL APPOINT ONE DIRECTOR PER REGION. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE A COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 INCLUDES A DETAILED REVIEW OF THE FORM BY THE ORGANIZATION'S ACCOUNTING PERSONNEL. THE GOVERNING BODY RECEIVES AN ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE ASKED ANNUALLY TO SUBMIT A NEW CONFLICT OF INTEREST QUESTIONNAIRE FORM. FORM IS REVIEWED BY THE CHIEF EXECUTIVE OFFICER. SHOULD QUESTIONS ARISE, THEY WOULD BE TAKEN TO THE OFFICERS OF THE BOARD FOR DECISION-MAKING PURPOSES. FORM 990, PART VI, SECTION B, LINE 15 OFFICERS OF THE BOARD OF DIRECTORS REVIEW THE CHIEF EXECUTIVE OFFICER'S SALARY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 148,697. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 148,697.