2019-06-19T07:25:00-05:00 2018-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2018-01-01 383697192 INDIANA CENTER FOR NURSING INC INDI 3175741325 9302 NORTH MERIDIAN ST 365 INDIANAPOLIS IN 46260 KIMBERLY HARPER CHIEF EXECUTIVE OFFICER 3175741325 2019-06-18 1 MARGOT BURKE P01588992 3176334705 2019-06-18 38.109.186.2 2019-06-18 08:50:13 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 B19D0506B86ED19F1A0FD2AFEEB91090E576B51F 2018 2019-02-21 02:37:17Z KIMBERLY HARPER 9302 NORTH MERIDIAN ST 365 INDIANAPOLIS IN 46260 659423 0 X WWW.IC4N.ORG X 2007 IN TO PURSUE AND ALIGN STRATEGIES TO ADDRESS NURSING RESOURCE REQUIREMENTS FOR THE STATE OF INDIANA. 54 54 1 207 0 0 590866 627724 0 0 2371 2586 -21812 819 571425 631129 98436 0 0 0 191346 201730 0 0 0 332589 319216 622371 520946 -50946 110183 499014 510763 102019 3585 396995 507178 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 99598 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. 99598 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 X 54 54 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 JEAN PUTNAM PRESIDENT 4.00 X X 0 0 0 KAREN CLARK VICE PRESIDENT 3.00 X X 0 0 0 CINDY ADAMS SECRETARY 3.00 X X 0 0 0 JEWEL DILLER TREASURER 3.00 X X 0 0 0 JANE KIRKPATRICK IMM. PAST PRESIDENT 1.00 X 0 0 0 LEE ANN BLUE BOARD MEMBER 1.00 X 0 0 0 KAREN ALLEN BOARD MEMBER 1.00 X 0 0 0 CHRISTIE ARTUSO BOARD MEMBER TERM BEGAN OCT'18 1.00 X 0 0 0 JAMES BALLARD BOARD MEMBER TERM BEGAN FEB'18 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 JUDY BOERGER BOARD MEMBER 1.00 X 0 0 0 MARY CARNEY BOARD MEMBER 1.00 X 0 0 0 HOLLY CHEEK BOARD MEMBER 1.00 X 0 0 0 CHRISTOPHER COLEMAN BOARD MEMBER TERM BEGAN AUG'18 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 TERESA DOBRYZKOWSKI BOARD MEMBER 1.00 X 0 0 0 RUTH EBY BOARD MEMBER 1.00 X 0 0 0 JACKIE EITEL BOARD MEMBER TERM BEGAN JAN'18 1.00 X 0 0 0 JENNIFER EMBREE BOARD MEMBER 1.00 X 0 0 0 KIRSTEN EMMONS BOARD MEMBER 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 DOROTHY GOMEZ BOARD MEMBER 1.00 X 0 0 0 KAREN HAAK 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 JASON KING BOARD MEMBER 1.00 X 0 0 0 ANGIE KOLLER BOARD MEMBER 1.00 X 0 0 0 DEBORAH LYONS BOARD MEMBER 1.00 X 0 0 0 ELIZABETH MADIGAN BOARD MEMBER TERM BEGAN AUG'18 1.00 X 0 0 0 RONDA MCKAY BOARD MEMBER TERM BEGAN AUG'18 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 SUSAN SEIBERT BOARD MEMBER 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 BRENDA SROF BOARD MEMBER 1.00 X 0 0 0 AGNES THERADY BOARD MEMBER TERM BEGAN JAN'18 1.00 X 0 0 0 DIANE VON AH BOARD MEMBER TERM BEGAN JUN'18 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 MARILYN WIDEMAN BOARD MEMBER TERM BEGAN AUG'18 1.00 X 0 0 0 MARGARET WINTER BOARD MEMBER TERM BEGAN AUG'18 1.00 X 0 0 0 MINDY YODER BOARD MEMBER 1.00 X 0 0 0 MARY BOURKE BOARD MEMBER TERM ENDED JUN'18 1.00 X 0 0 0 CINDY FARRIS BOARD MEMBER TERM ENDED AUG'18 1.00 X 0 0 0 ROBIN NEWHOUSE BOARD MEMBER TERM ENDED MAY'18 1.00 X 0 0 0 CYNTHIA KNIPE BOARD MEMBER TERM ENDED AUG'18 1.00 X 0 0 0 DIANA SHENEFIELD BOARD MEMBER TERM ENDED JUL'18 1.00 X 0 0 0 KIMBERLY HARPER CEO/COO 40.00 X 201730 0 0 201730 0 0 1 0 1 0 0 433720 87968 106036 627724 2586 2586 23723 87968 28294 -4571 -4571 5390 5390 5390 631129 0 0 3405 X 201730 201730 2875 2875 141319 141319 5385 206 5179 2141 2141 54530 54530 15298 15298 45330 36948 8382 1557 1557 STRATEGIC PLAN 47146 47146 3635 3635 520946 99598 421348 0 433899 445453 60549 60562 114399 109651 4566 4748 499014 510763 931 3585 101088 0 102019 3585 X 0 0 0 0 396995 507178 396995 507178 499014 510763 110183 0 X 0 0 0 X 509414 565350 648092 590866 627724 2941446 509414 565350 648092 590866 627724 2941446 190403 2751043 606 929 979 2371 2586 7471 10202 7648 5652 2027 5390 30919 2979836 0.92320 0.92780 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2014 AMOUNT: $ 10,202. 2015 AMOUNT: $ 7,648. 2016 AMOUNT: $ 5,652. 2017 AMOUNT: $ 2,027. 2018 AMOUNT: $ 5,390. 114399 109651 4748 4748 ICN SCHOLARSHIP GALA - INDIANAPOLIS 58858 43182 15676 2898 15676 ICN SCHOLARSHIP GALA - BLUE CHIP 27597 23080 4517 4517 383 1 25236 21706 3530 350 3530 940 111691 87968 23723 3248 23723 1323 28294 -4571 X 0 0 0 0 0 0 0 0 0 KIMBERLY HARPER CEO/COO 201730 0 0 0 0 0 0 0 0 0 201730 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 141,319. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 141,319.