2016-04-29T10:30:09-05:00 2015-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2014-07-01 237243247 THE BLAKE SCHOOL BLAK 9529883451 110 BLAKE ROAD SOUTH HOPKINS MN 55343 ANNE E STAVNEY HEAD OF SCHOOL 9529883451 2016-04-12 1 MATTHEW STOWELL P01587994 6123764500 2014 2016-08-17 19:52:53Z ANNE E STAVNEY 110 BLAKE ROAD SOUTH HOPKINS MN 55343 110740123 0 X WWW.BLAKESCHOOL.ORG X 1900 MN TO PROVIDE STUDENTS WITH AN EXCELLENT, ACADEMICALLY CHALLENGING EDUCATION. 23 21 633 450 55380 45835 5460674 19132907 35880023 37709581 3098623 6798367 92482 91616 44531802 63732471 5094154 5939149 0 0 25824744 26383854 0 0 1796638 10999423 10684555 41918321 43007558 2613481 20724913 111391609 125650976 18145845 16641095 93245764 109009881 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 36749265 5939149 37709581 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 2014-15 WAS 1,363 STUDENTS. IN SUPPORT OF ITS COMMITMENT TO CULTURAL AND SOCIOECONOMIC DIVERSITY AS BEING AN ESSENTIAL PART OF ITS EDUCATIONAL GOALS, THE SCHOOL GRANTED $5,939,149 IN FINANCIAL AID TO 305 STUDENTS. 36749265 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 0 0 0 1 1 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 1 1 0 0 0 1 98 0 633 1 1 1 0 0 0 0 1 1 0 0 0 0 X 23 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X PATRICIA FRASHER CONTROLLER 9529883459 110 BLAKE ROAD SOUTH HOPKINS MN 55343 ANNE E STAVNEY HEAD OF SCHOOL 60.00 X X 377574 0 111488 FORREST G BURKE CHAIR 5.00 X X 0 0 0 JAMES LESLIE VICE CHAIR 1.00 X X 0 0 0 PETER AHN TREASURER 1.00 X X 0 0 0 STEPHANIE SIMON SECRETARY 1.00 X X 0 0 0 DARREN ACHESON TRUSTEE 1.00 X 0 0 0 MICHAEL BLUM TRUSTEE 1.00 X 0 0 0 ALEYA CHAMPLIN TRUSTEE 1.00 X 0 0 0 MOLLY CRONIN TRUSTEE 1.00 X 0 0 0 MAE DAYTON TRUSTEE 1.00 X 0 0 0 RICHARD HIGGINS TRUSTEE 1.00 X 0 0 0 SUSAN HITCHNER TRUSTEE 1.00 X 0 0 0 ANDREW HUMPHREY TRUSTEE 1.00 X 0 0 0 MARGARET O'BRIEN JONES TRUSTEE 1.00 X 0 0 0 MICHELLE M KEELEY TRUSTEE 1.00 X 0 0 0 LOCKIE MARKUSEN TRUSTEE 1.00 X 0 0 0 CHERYL MAYBERRY TRUSTEE 1.00 X 0 0 0 LARKIN MCPHEE TRUSTEE 1.00 X 0 0 0 SALVADOR MENDOZA TRUSTEE 1.00 X 0 0 0 MARK MITCHELL TRUSTEE 1.00 X 0 0 0 JOHN L MORRISON JR TRUSTEE 1.00 X 0 0 0 KATE MORTENSON TRUSTEE 1.00 X 0 0 0 JOAN ATWATER NOLAN TRUSTEE 1.00 X 0 0 0 MATTHEW PETERSON TRUSTEE 1.00 X 0 0 0 BRYAN PHILLIPS TRUSTEE 1.00 X 0 0 0 DEAN PHILLIPS TRUSTEE 1.00 X 0 0 0 ELLISON PIDOT TRUSTEE 1.00 X 0 0 0 JAMIE WILSON TRUSTEE 1.00 X 0 0 0 SUSAN WOLF TRUSTEE 1.00 X 0 0 0 ROB ZEASKE TRUSTEE 1.00 X 0 0 0 MARC G BOGURSKY DIRECTOR OF BUSINESS AND FINANCE 50.00 X 216236 0 63933 ANNE GRAYBEAL ASSOCIATE HEAD OF SCHOOL 50.00 X 158680 0 31900 RAYMOND YU LOWER SCHOOL DIRECTOR 50.00 X 130567 0 25476 PAUL R MENGE INTERIM UPPER SCHOOL DIRECTOR 50.00 X 137684 0 19876 PATRICIA FRASHER CONTROLLER 50.00 X 138264 0 19467 DAVID BOXER DIRECTOR OF INFORMATION SUPPORT 50.00 X 139797 0 35670 1298802 0 307810 18 0 1 0 TAHER INC PO BOX 44719 MADISON WI 53744 FOOD SERVICE 1462208 FIVE STAR H ENTERPRISES INC PO BOX 14612 MINNEAPOLIS MN 55414 JANITORIAL 267840 HBM SERVICES INC PO BOX 3903 MINNEAPOLIS MN 55403 CLEANING SERVICES 194199 U B ARCHITECTURE & DESIGN 2609 ALDRICH AVENUE SOUTH SUITE 10 MINNEAPOLIS MN 55408 ARCHITECTURAL CONSULTING 170503 PARALLEL TECHNOLOGIES VB 147 MINNEAPOLIS MN 55480 TECHNOLOGY/SECURITY UPDATES 170450 12 1997 19750 19111160 1098355 19132907 TUITION 611600 33291989 33291989 AUXILIARY SERVICES 611710 2265850 2265850 FEES 611600 1875666 1875666 OTHER PROGRAM REVENUE 611710 276076 266776 9300 37709581 2180140 24370 2155770 275115 253405 21710 21710 21710 51354819 46736592 4618227 4618227 4618227 11920 19750 17655 -5735 -5735 PARENT ASSOCIATION REV 611710 75641 75641 75641 63732471 37700281 55380 6843903 5939149 5939149 835509 53785 512799 268925 20441639 18152241 1440484 848914 1438916 1274837 106588 57491 2140264 1860844 163987 115433 1527526 1312104 136661 78761 124409 124409 36404 36404 115630 115630 2185901 1834891 221557 129453 141625 23624 103809 14192 415561 225196 86182 104183 462809 462809 1385106 1296058 81290 7758 440987 392322 30040 18625 322168 97415 145098 79655 394896 377916 14611 2369 2222400 2125913 83024 13463 168230 25434 142796 INSTRUCTIONAL EXPENSES 981062 977680 810 2572 RECRUITING EXPENSE 308379 308379 BAD DEBT 259848 259848 PROF. DEVELOPMENT 182181 130853 45129 6199 536959 186194 302120 48645 43007558 36749265 4461655 1796638 2668244 6439156 37815 4012363 2820701 13359542 315206 281368 40000 30000 28595 44207 107432 210908 74703723 32841777 42428760 41861946 45576665 46827365 17167307 12347278 200884 236843 111391609 125650976 4515710 3661907 2690042 2598090 10495804 9532416 444289 848682 18145845 16641095 X 58030554 64188653 10301543 12246372 24913667 32574856 93245764 109009881 111391609 125650976 X 20724913 -4844473 -116323 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 58857768 2692928 1674962 2675773 60549885 52881200 1213026 7310924 2547382 58857768 48132149 524093 6294431 2069473 52881200 48877435 540547 611413 1897246 48132149 41226620 902899 8463944 1716028 48877435 0.49600 0.38000 0.12400 1 1 1 1420428 3177214 4597642 60249779 26592109 33657670 530897 218133 312764 8477625 6031535 2446090 847780 847780 41861946 INTEREST IN CHARITABLE REMAINDER TRUST 207739 F INTEREST IN PERPETUAL TRUST 3214708 F HEDGE FUNDS 7274221 F DIVERSIFIED EQUITY FUND 373265 F PRIVATE EQUITY 1277345 F 12347278 ASSET RETIREMENT OBLIGATION 390370 SPLIT-INTEREST AGREEMENTS PAYABLE 88604 CAPITAL LEASE OBLIGATION 369708 848682 X 52987956 -4844473 154737 -4689736 57677692 115630 5939149 6054779 63732471 37223839 271060 271060 36952779 115630 5939149 6054779 43007558 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 -127,860. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 11,537. RENTAL EXPENSES 253,405. FUNDRAISING EVENT EXPENSE 17,655. PART XI, LINE 4B - OTHER ADJUSTMENTS: FINANCIAL AID 5,939,149. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 253,405. FUNDRAISING EVENT EXPENSE 17,655. PART XII, LINE 4B - OTHER ADJUSTMENTS: FINANCIAL AID 5,939,149. 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 1311178 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS N/A 4614493 0 0 0 0 0 0 5925671 0 5925671 1 0 1 1 1 0 GREATER BLAKE OPEN GOLF OUTING 31670 19750 11920 11518 4578 1559 31670 19750 11920 11518 4578 1559 17655 -5735 1 STUDENT FINANCIAL AID 305 5939149 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 285000 0 35000 0 57574 0 82300 0 29188 0 489062 0 0 0 MARC G BOGURSKY DIRECTOR OF BUSINESS AND FINANCE 216098 0 0 0 138 0 18075 0 45858 0 280169 0 0 0 ANNE GRAYBEAL ASSOCIATE HEAD OF SCHOOL 158542 0 0 0 138 0 24480 0 7420 0 190580 0 0 0 RAYMOND YU LOWER SCHOOL DIRECTOR 130429 0 0 0 138 0 11234 0 14242 0 156043 0 0 0 PAUL R MENGE INTERIM UPPER SCHOOL DIRECTOR 137546 0 0 0 138 0 10975 0 8901 0 157560 0 0 0 PATRICIA FRASHER CONTROLLER 138126 0 0 0 138 0 11366 0 8101 0 157731 0 0 0 DAVID BOXER DIRECTOR OF INFORMATION SUPPORT 139659 0 0 0 138 0 11715 0 23955 0 175467 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 $60,000. ANNE GRAYBEAL: PARTICIPATES IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. TOTAL CONTRIBUTIONS OF $12,000. 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 1885000 5310013 105900 5204113 2008 1 0 1 1 B 715000 1985134 40000 1945134 2006 0 0 1 1 C 2725000 7761234 149450 7611784 2011 0 1 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 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 HOUSING LOAN X 50000 30000 0 1 1 30000 46428 SCHOLARSHIP FINANCIAL AID FAEGRE BAKER DANIELS LLP BOARD TRUSTEE IS PRINCIPAL OF FAEGRE BAKER DANIELS LLP 124583 LEGAL SERVICES 0 X 974 ESTIMATED VALUE X 15 1091496 STOCK MARKET QUOTES X CAMERA EQUIPMENT 12 3500 ESTIMATED VALUE X COMPUTER SOFTWARE 1 2385 ESTIMATED VALUE 0 0 1 0 PART I, COLUMN (B): THE SCHOOL REPORTS THE NUMBER OF CONTRIBUTORS FOR ALL NON-CASH GIFTS. 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 DIRECTOR OF BUSINESS AND FINANCE, DIRECTOR OF INSTITUTIONAL ADVANCEMENT, ASSISTANT HEAD OF SCHOOL, UPPER SCHOOL DIRECTOR, MIDDLE SCHOOL DIRECTOR AND LOWER SCHOOL DIRECTOR) 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 SOURCES. MINUTES FROM THE MEETING ARE MAINTAINED AND APPROVED BY THE COMMITTEE. THIS PROCESS WAS MOST RECENTLY UNDERTAKEN DURING THE 2014-2015 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 -127,860. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 11,537. 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