2017-05-01T10:27:49-05:00 2016-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2015-07-01 237243247 THE BLAKE SCHOOL BLAK 9529883451 110 BLAKE ROAD SOUTH HOPKINS MN 55343 ANNE E STAVNEY HEAD OF SCHOOL 9529883451 2017-04-26 1 AMY HENDLEY P01300654 6123764500 2015 2017-02-10 21:41:12Z ANNE E STAVNEY 110 BLAKE ROAD SOUTH HOPKINS MN 55343 124558627 0 X WWW.BLAKESCHOOL.ORG X 1900 MN TO PROVIDE STUDENTS WITH AN EXCELLENT, ACADEMICALLY CHALLENGING EDUCATION. 24 23 662 450 -13711 -16970 19132907 15386688 37709581 39224598 6798367 4620968 91616 108087 63732471 59340341 5939149 7127027 0 0 26383854 27788169 0 0 2144431 10684555 10048144 43007558 44963340 20724913 14377001 125650976 134390804 16641095 16638799 109009881 117752005 X THE BLAKE SCHOOL PROVIDES STUDENTS WITH AN EXCELLENT, ACADEMICALLY CHALLENGING EDUCATION IN A DIVERSE AND SUPPORTIVE COMMUNITY COMMITTED TO A COMMON SET OF VALUES. STUDENTS ARE EXPECTED TO PARTICIPATE IN AN INTEGRATED PROGRAM OF ACADEMIC, ARTISTIC AND ATHLETIC ACTIVITIES IN PREPARATION FOR COLLEGE, LIFE-LONG LEARNING, COMMUNITY SERVICE AND LIVES AS RESPONSIBLE WORLD CITIZENS. 0 0 38809990 7127027 39222798 THE BLAKE SCHOOL IS AN INDEPENDENT PRE-KINDERGARTEN THROUGH GRADE 12 SCHOOL SERVING STUDENTS THROUGHOUT THE TWIN CITIES WITH CAMPUSES LOCATED IN MINNEAPOLIS, HOPKINS AND WAYZATA. ENROLLMENT IN 2015-2016 WAS 1,379 STUDENTS. IN SUPPORT OF ITS COMMITMENT TO CULTURAL AND SOCIOECONOMIC DIVERSITY AS BEING AN ESSENTIAL PART OF ITS EDUCATIONAL GOALS, THE SCHOOL GRANTED $7,127,027 IN FINANCIAL AID TO 343 STUDENTS. 38809990 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 1 0 1 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 1 1 0 0 0 1 98 0 662 1 1 1 0 0 0 0 1 1 0 0 0 0 X 24 23 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X RAJ MALLAWAARATCHY FINANCE DIRECTO 9529883459 110 BLAKE ROAD SOUTH HOPKINS MN 55343 ANNE E STAVNEY HEAD OF SCHOOL 60.00 0.00 X X 424418 0 105906 DARREN ACHESON CHAIR ELECT 1.00 0.00 X X 0 0 0 FORREST G BURKE CHAIR 5.00 0.00 X X 0 0 0 JOAN ATWATER NOLAN SECRETARY 1.00 0.00 X X 0 0 0 JAMES LESLIE TREASURER 1.00 0.00 X X 0 0 0 PETER AHN TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL BLUM TRUSTEE 1.00 0.00 X 0 0 0 JASON BOWLES TRUSTEE 1.00 0.00 X 0 0 0 ALEYA CHAMPLIN TRUSTEE 1.00 0.00 X 0 0 0 MOLLY CRONIN TRUSTEE 1.00 0.00 X 0 0 0 MAE DAYTON TRUSTEE 1.00 0.00 X 0 0 0 HEMA GUNASEKARAN TRUSTEE 1.00 0.00 X 0 0 0 RICHARD HIGGINS TRUSTEE 1.00 0.00 X 0 0 0 SUSAN HITCHNER TRUSTEE 1.00 0.00 X 0 0 0 MARGARET O'BRIEN JONES TRUSTEE 1.00 0.00 X 0 0 0 BRIAN LIPSCHULTZ TRUSTEE 1.00 0.00 X 0 0 0 CHERYL MAYBERRY TRUSTEE 1.00 0.00 X 0 0 0 LARKIN MCPHEE PERESE TRUSTEE 1.00 0.00 X 0 0 0 SALVADOR MENDOZA TRUSTEE 1.00 0.00 X 0 0 0 MARK MITCHELL TRUSTEE 1.00 0.00 X 0 0 0 JOHN L MORRISON JR TRUSTEE 1.00 0.00 X 0 0 0 MATTHEW PETERSON TRUSTEE 1.00 0.00 X 0 0 0 BRYAN PHILLIPS TRUSTEE 1.00 0.00 X 0 0 0 ELLIE PIDOT TRUSTEE 1.00 0.00 X 0 0 0 UZI ROSHA TRUSTEE 1.00 0.00 X 0 0 0 AMY SALDANHA TRUSTEE 1.00 0.00 X 0 0 0 STEPHANIE SIMON TRUSTEE 1.00 0.00 X 0 0 0 JAMIE WILSON TRUSTEE 1.00 0.00 X 0 0 0 ROB ZEASKE TRUSTEE 1.00 0.00 X 0 0 0 MARC G BOGURSKY DIRECTOR OF BUSINESS & FINANCE - THRU 7/15 50.00 0.00 X 132296 0 18783 DANIEL KELLEY CHIEF FINANCIAL & OPERATIONS OFFICER - AS OF 8/15 50.00 0.00 X 80011 0 12667 ALISON TOWNLEY CHIEF ADVANCEMENT OFFICER 50.00 0.00 X 207151 0 78980 ANNE GRAYBEAL ASSOCIATE HEAD OF SCHOOL 50.00 0.00 X 173260 0 34050 DAVID BOXER DIRECTOR OF ISS 50.00 0.00 X 150106 0 40430 PATRICIA FRASHER CONTROLLER 50.00 0.00 X 146349 0 20435 RAYMOND J YU LOWER SCHOOL DIRECTOR 50.00 0.00 X 137894 0 43315 1451485 0 354566 20 0 1 0 TAHER INC PO BOX 44719 MADISON WI 53744 FOOD SERVICE 1467264 NEW LOOK CONTRACTING INC 14045 NORTHDALE BOULEVARD ROGERS MN 55374 CONSTRUCTION 361491 U B ARCHITECTURE & DESIGN 2609 ALDRICH AVENUE SOUTH SUITE 10 MINNEAPOLIS MN 55408 ARCHITECTURAL CONSULTING 314954 FIVE STAR H ENTERPRISES INC PO BOX 14612 MINNEAPOLIS MN 55414 JANITORIAL 219116 LARSON ENGINEERING INC 3524 LABORE ROAD WHITE BEAR LAKE MN 55110 CONSTRUCTION ENGINEERING 195635 7 50405 15336283 1172804 15386688 TUITION 611600 36759199 36759199 AUXILIARY SERVICES 611710 2171761 2171761 OTHER PROGRAM REVENUE 611710 278625 276825 1800 FEES 611600 15013 15013 39224598 1644968 -12995 1657963 266908 269424 -2516 -2516 -2516 67794845 64818845 2976000 2976000 2976000 165278 50405 102205 63073 63073 24020 27812 -3792 -3792 PARENT ASSOCIATION REV 611710 51322 51322 51322 59340341 39222798 -13711 4744566 7127027 7127027 818966 57667 472965 288334 21650130 18879810 1679805 1090515 1541527 1393603 84524 63400 2173746 1935084 152148 86514 1603800 1345992 157152 100656 63920 63920 37174 37174 115418 115418 2147112 1921435 150093 75584 129826 28025 86477 15324 422252 215776 84977 121499 428072 428072 1253413 1183051 63268 7094 331054 309489 15257 6308 317146 85396 140925 90825 358956 343521 13281 2154 2360117 2257431 88358 14328 158280 29481 128799 INSTRUCTIONAL EXPENSES 973619 971137 1086 1396 PROF. DEVELOPMENT 228318 170123 57070 1125 FUNDRAISING EXPENSE 136869 136869 DUES AND SUBSCRIPTIONS 121159 10223 102935 8001 465439 117647 313287 34505 44963340 38809990 4008919 2144431 6439156 7958111 4012363 1289850 13359542 20768053 281368 393203 30000 20000 44207 36089 210908 374816 77795330 34387911 41861946 43407419 46827365 50823692 12347278 9165420 236843 154151 125650976 134390804 3661907 4263021 2598090 3117457 9532416 8537984 848682 720337 16641095 16638799 X 64188653 64541584 12246372 21014203 32574856 32196218 109009881 117752005 125650976 134390804 X 14377001 -4584765 -1050112 X 0 1 X 1 0 X 5683241 4965137 5460674 19132907 15386688 50628647 5683241 4965137 5460674 19132907 15386688 50628647 17822546 32806101 1328605 2241504 2527826 2155770 1644912 9898617 2591 24993 3363 45835 0 76782 287086 151485 356556 87561 240620 1123308 61727354 180991870 0.53150 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: PARENT ASSOCIATION REVENUE - 2011 AMOUNT: $ 97,154. 2012 AMOUNT: $ 151,485. 2013 AMOUNT: $ 97,787. 2014 AMOUNT: $ 75,641. 2015 AMOUNT: $ 51,322. SPECIAL EVENT REVENUE - 2011 AMOUNT: $ 189,932. 2013 AMOUNT: $ 258,769. 2014 AMOUNT: $ 11,920. 2015 AMOUNT: $ 189,298. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 60549885 2858658 -739636 2889020 59779887 58857768 2692928 1674962 2675773 60549885 52881200 1213026 7310924 2547382 58857768 48132149 524093 6294431 2069473 52881200 48877435 540547 611413 1897246 48132149 0.47030 0.42110 0.10860 1 1 1 1420428 3177214 4597642 60358778 28216290 32142488 1175022 215938 959084 8018486 5955683 2062803 3645402 3645402 43407419 INTEREST IN CHARITABLE REMAINDER TRUST 200901 F INTEREST IN PERPETUAL TRUST 2165640 F HEDGE FUNDS 5549424 F PRIVATE EQUITY 1249455 F 9165420 ASSET RETIREMENT OBLIGATION 409889 SPLIT-INTEREST AGREEMENTS PAYABLE 82809 CAPITAL LEASE OBLIGATION 227639 720337 X 46862459 -4584765 -650672 -5235437 52097896 115418 7127027 7242445 59340341 38120335 399440 399440 37720895 115418 7127027 7242445 44963340 PART V, LINE 4: THE SCHOOL'S ENDOWMENT CONSISTS OF APPROXIMATELY 300 FUNDS THAT ARE USED TO PROVIDE FINANCIAL AID AND INSTRUCTIONAL PROGRAMS FOR STUDENTS, TO PROVIDE DEVELOPMENT OPPORTUNITIES FOR FACULTY, AND TO SUPPORT SCHOOL OPERATIONS. PART X, LINE 2: THE SCHOOL QUALIFIES AS A TAX-EXEMPT NONPROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SIMILAR STATUTES OF MINNESOTA LAW. ACCORDINGLY, INCOME TAXES HAVE NOT BEEN RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE SCHOOL HAS NOT TAKEN ANY UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION UNDER APPLICABLE ACCOUNTING GUIDANCE. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN TRUST -1,049,068. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS -1,044. RENTAL EXPENSES 269,424. FUNDRAISING EVENT EXPENSE 130,016. PART XI, LINE 4B - OTHER ADJUSTMENTS: FINANCIAL AID 7,127,027. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 269,424. FUNDRAISING EVENT EXPENSE 130,016. PART XII, LINE 4B - OTHER ADJUSTMENTS: FINANCIAL AID 7,127,027. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 SCHEDULE E, PART I, LINE 3 THE SCHOOL'S NONDISCRIMINATION POLICY IS PUBLISHED IN MULTIPLE MEDIA AT BLAKE, INCLUDING ON ITS WEBSITE, IN PUBLICATIONS, ESPECIALLY MEDIA MATERIALS, AND ON POSTERS AT ALL THREE CAMPUSES. SCHEDULE E, PART I, LINE 6 THE BLAKE SCHOOL RECEIVES FEDERAL AND STATE FUNDING. EUROPE (INCLUDING ICELAND & GREENLAND) - 0 0 INVESTMENTS N/A 1377259 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS N/A 3304493 0 0 0 0 0 0 4681752 0 4681752 1 0 1 1 1 0 PART I, LINE 3: ACCRUAL METHOD BLAKE CLASSIC 185320 32145 153175 21014 11660 29447 5950 24050 GREATER BLAKE OPEN GOLF OUTING 30363 18260 12103 8895 12 1177 215683 50405 165278 21014 20555 29459 5950 25227 102205 63073 24020 27812 0 0.00000 24020 27812 27812 -3792 MN 1 0 1 0 0.00000 1.00000 RAJ MALLAWAARATCHY 110 BLAKE ROAD SOUTH HOPKINS MN 55343 0 RAJ MALLAWAARATCHY 0 OVERSIGHT OF RAFFLE HELD AT BLAKE CLASSIC FUNDRAISING EVENT. X 0 1 STUDENT FINANCIAL AID 344 7127027 0 N/A N/A PART I, LINE 2: STUDENT FINANCIAL AID IS APPLIED DIRECTLY TO STUDENT ACCOUNTS FOR TUITION, FEES, BOOKS, AND MISCELLANEOUS STUDENT EXPENSES. FINANCIAL AID CONSISTS OF AWARDS BASED ON FINANCIAL NEED AS WELL AS TUITION REMISSION FOR THE ENROLLED CHILDREN OF EMPLOYEES. X X X 1 1 X X X X 0 1 0 0 0 0 0 0 0 ANNE E STAVNEY HEAD OF SCHOOL 325862 0 40000 0 58556 0 75213 0 30693 0 530324 0 0 0 MARC G BOGURSKY DIRECTOR OF BUSINESS & FINANCE - THRU 7/15 132215 0 0 0 81 0 10851 0 7932 0 151079 0 0 0 ALISON TOWNLEY CHIEF ADVANCEMENT OFFICER 207013 0 0 0 138 0 15170 0 63810 0 286131 0 0 0 ANNE GRAYBEAL ASSOCIATE HEAD OF SCHOOL 173205 0 0 0 55 0 26410 0 7640 0 207310 0 0 0 DAVID BOXER DIRECTOR OF ISS 150051 0 0 0 55 0 12474 0 27956 0 190536 0 0 0 PATRICIA FRASHER CONTROLLER 146091 0 0 0 258 0 11928 0 8507 0 166784 0 0 0 RAYMOND J YU LOWER SCHOOL DIRECTOR 137804 0 0 0 90 0 11853 0 31462 0 181209 0 0 0 PART I, LINE 1A ANNE E. STAVNEY: HOUSING ALLOWANCE, FAMILY TRAVEL, AND HEALTH CLUB DUES - ALL INCLUDED IN TAXABLE COMPENSATION. PART I, LINE 1B THE HOUSING ALLOWANCE PROVIDED TO THE HEAD OF SCHOOL IS DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE AS PART OF THE COMPENSATION PACKAGE AND IS NOT GOVERNED BY REIMBURSEMENT POLICIES. PART I, LINE 4B ANNE E. STAVNEY: PARTICIPATES IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. TOTAL CONTRIBUTIONS OF $50,000. ANNE GRAYBEAL: PARTICIPATES IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. TOTAL CONTRIBUTIONS OF $12,500. A CITY OF HOPKINS 416005247 43988PCD0 2007-08-02 5310013 REFUNDING/REFINANCE 0 0 0 B CITY OF WAYZATA 416005630 946826AK0 2005-06-23 1985134 FACILITIES CONSTRUCTION 0 0 0 C CITY OF MINNEAPOLIS 416005375 603876GB4 2010-05-19 7761234 REFUNDING/REFINANCE 0 0 0 A 2175013 5310013 105900 5204113 2008 1 0 1 1 B 795134 1985134 40000 1945134 2006 0 0 1 1 C 3548250 7761234 149450 7611784 2011 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 0 0 0 0 0 B 0 0 0 1 0 0 0 0 0 C 0 0 1 0 0 0 0 0 0 A 0 B 0 C 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF HOPKINS DATE THE REBATE COMPUTATION WAS PERFORMED: 10/18/2012 ISSUER NAME: CITY OF WAYZATA DATE THE REBATE COMPUTATION WAS PERFORMED: 09/03/2009 ANNE E STAVNEY HEAD OF SCHOOL OFFICER HOUSING LOAN X 50000 20000 0 1 1 20000 31838 SCHOLARSHIP FINANCIAL AID X 52 1035580 STOCK MARKET QUOTES X AUCTION ITEMS 215 125436 ESTIMATED VALUE X SCHOOL MATERIALS 7 6408 ESTIMATED VALUE X SPECIAL EVENT EXPENSES 3 5380 ESTIMATED VALUE 0 0 1 0 PART I, COLUMN (B): COLUMN (B) REPORTS THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF THE OFFICERS OF THE BOARD OF TRUSTEES AND SHALL SERVE AS THE HEAD OF SCHOOL COMPENSATION AND EVALUATION COMMITTEE. WHEN COMPLETION OF THE HEAD OF SCHOOL EVALUATION EXTENDS BEYOND JUNE 30, FOR THE PURPOSES OF COMPLETING THIS TASK THE COMMITTEE'S WORK MAY EXTEND INTO THE THREE MONTHS FOLLOWING THEIR FORMAL YEAR OF SERVICE. FORM 990, PART VI, SECTION B, LINE 11 PRIOR TO ITS FILING, THE FORM 990 WAS REVIEWED BY THE CHIEF FINANCIAL AND OPERATING OFFICER, THE HEAD OF SCHOOL, AND THE FINANCE COMMITTEE BEFORE BEING PROVIDED TO ALL TRUSTEES FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE SCHOOL'S CONFLICT OF INTEREST POLICY APPLIES TO ITS TRUSTEES, OFFICERS, ADMINISTRATORS, FACULTY AND OTHER EMPLOYEES. WHEN A POTENTIAL CONFLICT OF INTEREST EXISTS, THE PERSON WITH THE CONFLICT NOTIFIES THE CHAIR OF THE BOARD OF TRUSTEES OR THE HEAD OF SCHOOL, SO THAT THEY MAY TAKE APPROPRIATE ACTIONS. A TRUSTEE WHO IS DIRECTLY OR INDIRECTLY INVOLVED IN A POTENTIAL CONFLICT OF INTEREST IS NOT ALLOWED TO VOTE ON ANY ACTION OF THE BOARD REGARDING THE POTENTIAL CONFLICT AND IS NOT COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM AT ANY MEETING OF THE BOARD WHERE THE POTENTIAL CONFLICT IS CONSIDERED. PROCEEDINGS RELATED TO CONFLICTS OF INTEREST ARE DOCUMENTED IN THE MEETING MINUTES OR AS OTHERWISE APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION PACKAGES FOR THE HEAD OF SCHOOL AND OTHER SIGNIFICANT POSITIONS DESIGNATED BY THE SCHOOL (INCLUDING CHIEF FINANCIAL AND OPERATING OFFICER; DIRECTOR OF INSTITUTIONAL ADVANCEMENT; ASSOCIATE HEAD OF SCHOOL; AND DIRECTOR OF ADMISSIONS AND FINANCIAL ASSISTANCE) ARE EACH REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD ANNUALLY. THE COMMITTEE IS COMPRISED ENTIRELY OF INDEPENDENT PERSONS AND UTILIZES SALARY AND BENEFIT SURVEY DATA OBTAINED FROM VARIOUS LOCAL, REGIONAL AND NATIONAL SOURCES. MINUTES FROM THE MEETING ARE MAINTAINED AND APPROVED BY THE COMMITTEE. THIS PROCESS WAS MOST RECENTLY UNDERTAKEN DURING THE 2015-2016 SCHOOL YEAR FOR THE HEAD OF SCHOOL, A. STAVNEY; AND OTHER OFFICERS AND HIGHLY COMPENSATED EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE SCHOOL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN TRUST -1,049,068. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS -1,044. OAKLEAF ENDOWMENT TRUST FOR THE BLAKE SCHOOL 80 S 8TH ST NO 1800 MINNEAPOLIS MN 55402 416469031 ENDOWMENT MN 501(C)(3) LINE 11A, I THE BLAKE SCHOOL 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 OAKLEAF ENDOWMENT TRUST FOR THE BLAKE SCHOOL R 125436 CASH DRAW