2013-03-14T13:42:48-05:00 2012-06-30 954749365 STANISLAWSKI & HARRISON CPAS 301 N LAKE AVE SUITE 900 PASADENA CA 91101 990 2011-07-01 951641456 POLYTECHNIC SCHOOL POLY 6263966300 1030 E CALIFORNIA BLVD PASADENA CA 91106 KEITH HUYSSOON 6263966300 2013-03-11 1 BARED DILACAR P00157338 6267933600 2013-03-08 2011 2016-02-25 16:41:14Z KEITH HUYSSOON 1030 E CALIFORNIA BLVD PASADENA CA 91106 47990142 0 X WWW.POLYTECHNIC.ORG X 1907 CA POLYTECHNIC IS AN INDEPENDENT, COEDUCATIONAL, DAY SCHOOL FOR APPROXIMATELY 860 STUDENTS. 21 21 330 150 0 0 10961726 7809301 21260567 22289697 1185422 1518188 121002 127879 33528717 31745065 3420963 3454813 0 0 17082245 17724874 240261 55933 2138950 7866035 9986438 28609504 31222058 4919213 523007 149270018 149942989 32757123 33345091 116512895 116597898 X THE MISSION OF POLYTECHNIC SCHOOL IS TO DEVELOP THE INTELLECT, TALENTS, AND CHARACTER OF EACH STUDENT IN A COMMUNITY OF LEARNING DEDICATED TO PRINCIPLES OF ACADEMIC EXCELLENCE THAT VALUES THE UNIQUENESS AND DIGNITY OF EACH MEMBER AND FOSTERS PERSONAL RESPONSIBLITY AND SERVICE TO OTHERS. 0 0 26431711 3454813 22289697 POLYTECHNIC SCHOOL IS AN INDEPENDENT, COEDUCATIONAL DAY SCHOOL FOR APPROXIMATELY 860 STUDENTS IN KINDERGARTEN THROUGH GRADE TWELVE. THE SCHOOL WAS ESTABLISHED IN 1907 AND IS LOCATED ON A 15 ACRE CAMPUS IN PASADENA, CALIFORNIA. THE SCHOOL OFFERS A STRONG ACADEMIC PROGRAM, ACTIVITIES BEYOND THE CLASSROOM INCLUDING ATHLETICS, OUTDOOR EDUCATION, COMMUNITY SERVICE, AND THE VISUAL AND PERFORMING ARTS. THE SCHOOL STRIVES TO REFLECT THE CULTURAL, ETHNIC AND ECONOMIC DIVERSITY PRESENT IN THE PASADENA AREA. THE SCHOOL OFFERS SMALL CLASSES WHICH ENCOURAGE DEEP STUDENT-FACULTY INTERACTION, FACILITIES THAT ENHANCE THE ABILITY OF THE FACULTY TO TEACH, AND OPPORTUNITIES FOR FACULTY DEVELOPMENT. 26431711 1 1 0 0 0 0 0 0 1 1 1 1 0 0 1 1 1 0 1 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 117 0 1 330 1 0 0 0 0 0 1 1 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X BUSINESS OFFICE 6263966300 1030 E CALIFORNIA BLVD PASADENA CA 91106 ANNICK NANCY 5.00 X 0 0 0 BABCOCK JOHN 5.00 X 0 0 0 BOYLE PETER 5.00 X 0 0 0 CASTRO JORGE 5.00 X 0 0 0 EDWARDS DREW E 5.00 X 0 0 0 FRANK JOHN 5.00 X X 0 0 0 GUERRA JR RODRIGO 5.00 X 0 0 0 HARVEY J DALE 5.00 X X 0 0 0 HUNT MELANY 5.00 X 0 0 0 JAFFER SAEED 5.00 X 0 0 0 LAMB AMY 5.00 X 0 0 0 LAURANCE DALE 5.00 X 0 0 0 LEE SCOTT 5.00 X 0 0 0 MUNGER WENDY 5.00 X 0 0 0 MURPHY ANN 5.00 X X 0 0 0 PERKINS LAWRENCE 5.00 X 0 0 0 POMERANTZ GLENN 5.00 X 0 0 0 POOLE CHRISTOPHER 5.00 X X 0 0 0 ROGERS B VICKY 5.00 X 0 0 0 SAMUELS THEODORE 5.00 X 0 0 0 SHUBIN DOROTHY 5.00 X 0 0 0 STEINBRECHER ALAN K 5.00 X 0 0 0 REED DEBORAH E 60.00 X 250372 0 205491 HUYSSOON KEITH 50.00 X 167196 0 30543 RODRIGUEZ CARMELLA 50.00 X 131031 0 33006 BINNEY DIANE M 50.00 X 130086 0 31547 DAMASCO TERESA 50.00 X 126336 0 31108 KOPLEY ELIZABETH A 50.00 X 126242 0 25811 FISHBECK PAULA M 50.00 X 123444 0 28546 1054707 0 386052 13 0 1 0 D W CONSTRUCTION 7482 HOOPER BAY ROAD EASTVALE CA 92880 CONSTRUCTION CONTRACTOR 408668 DHK PLUMBING & PIPING 125 E SANTA CLARA AVE ARCADIA CA 91006 PLUMBING CONTRACTOR 252395 THE CENTURION GROUP 5435 CAHUENGA BLVD SUITE B NORTH HOLLYWOOD CA 91601 SECURITY CONTRACTOR 187637 APOLLO ELECTRIC 330 N BASSE LANE BREA CA 92821 ELECTRICIAN CONTRACTOR 130299 KRISTIN FOGDALL STUDIO 285 JERSEY WAY MORRISVILLE NY 05661 MARKETING CONSULTANT 109852 5 7809301 290075 7809301 TUITION AND FEES 611710 22213807 22213807 SUMMER SCHOOL 611710 75890 75890 22289697 1184872 1184872 84991 83563 1428 1428 1428 16479276 16145960 333316 333316 333316 60756 15554 45202 45202 PANTHER CLUB REVENUE 611710 42866 42866 38383 38383 81249 31745065 22289697 0 1646067 3454813 3454813 670973 182968 396521 91484 13370325 11600310 732698 1037317 894335 787443 46607 60285 1815556 1630851 50948 133757 973685 846139 56456 71090 34449 34449 50500 50500 55933 55933 50000 50000 431803 326465 69366 35972 261006 208805 46981 5220 2249871 2010712 153688 85471 1179597 943678 212327 23592 2611135 2088908 470004 52223 255172 204138 45931 5103 STUDENT ACTIVITIES (TRI 419013 419013 CLASSROOM EXPENSES 255055 255055 ATHLETIC DEPARTMENT EXP 245187 245187 SKILLS ENRICHMENT PROGR 213207 213207 1730443 1014019 234921 481503 31222058 26431711 2651397 2138950 873956 1161700 24958310 12713885 4786324 3551928 80021 111475 1093924 1241134 87279018 10522975 63939021 76756043 30663303 30445434 22368364 23538164 506795 423226 149270018 149942989 4396354 4458167 1931782 2510500 25000000 25000000 101538 106070 1327449 1270354 32757123 33345091 X 85794162 85159121 10782157 10705167 19936576 20733610 116512895 116597898 149270018 149942989 X 523007 -438004 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 54629591 1514397 1044253 1997172 50000 55141069 45311775 1597578 9675404 1905166 50000 54629591 42223433 447659 4662743 1972060 50000 45311775 50235135 867675 -6238637 2590740 50000 42223433 0.52000 0.38000 0.10000 0 0 6887598 6887598 51619419 5840295 45779124 6329937 1541482 4788455 10264679 3141198 7123481 12177385 12177385 76756043 GLOBAL BOND FUND 4674881 F LARGE CAP EQUITY FUND 18863283 F 23538164 TAX EXEMPT BOND PREMIUM 1270354 1270354 31745065 31222058 523007 -354435 -83569 -438004 85003 27901365 -3892817 -3892817 31794182 50000 -99117 -49117 31745065 27816362 99117 99117 27717245 50000 3454813 3504813 31222058 PART IV, LINE 2B: CUSTODIAN ACCOUNTS INCLUDE STUDENT AND PARENT ASSOCIATION ACCOUNTS. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE SCHOOL'S ENDOWMENT IS COMPRISED OF INDIVIDUAL FUNDS WHICH ARE HELD IN INVESTMENTS FOR THE PURPOSE OF PROVIDING SUPPORT FOR FINANCIAL AID, FACULTY RELATED PROGRAMS AND OTHER SCHOOL PROGRAMS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE SCHOOL HAS BEEN GRANTED TAX-EXEMPT STATUS BY THE INTERNAL REVENUE SERVICE UNDER IRC 501 (C)(3), AND THE STATE OF CALIFORNIA. THE SCHOOL BELIEVES THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT IMPACT THE SCHOOL'S FINANCIAL POSITION OF STATEMENT OF ACTIVITIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN VALUE OF TRUST -83,569. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF TRUST -83,569. FINANCIAL AID -3,454,813. UNREALIZED LOSS -354,435. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENT EXPENSE -83,563. SPECIAL EVENTS EXPENSES -15,554. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSE 83,563. SPECIAL EVENTS EXPENSES 15,554. PART XIII, LINE 4B - OTHER ADJUSTMENTS: FINANCIAL AID 3,454,813. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 EXPLANATION OF NONDISCRIMINATORY POLICY PUBLICATION SCHEDULE E, PART I, LINE 3 THE NON DISCRIMINATORY POLICY IS PUBLISHED YEARLY IN THE PASADENA WEEKLY. X X X X X X 1 JACQUES & COMPANY 254 BAY ROAD SOUTH HAMILTON MA 01982 CAMPAIGN CONSULTANT 0 0 55933 -55933 55933 -55933 CA AK AR CO KY MD MA MI SC WA AL AR CT DE FL GA HI IL KS LA ME MN MS MO NJ NM NY NC ND OH OK OR PA RI TN UT VA WV WI FRIDAY NIGHT LIGHTS 60756 60756 1650 6643 7261 60756 60756 1650 6643 7261 15554 45202 1 FINANCIAL AID. 212 3454813 FINANCIAL AID AWARDS ARE GRANTED IN FURTHERANCE OF THE SCHOOL'S PROGRAMS AND ARE MADE IN ACCORDANCE WITH POLICIES ESTABLISHED BY THE SCHOOL'S ADMINISTRATION AND GOVERNING BOARD. THE FINANCIAL AID RECIPIENTS ARE ADEQUATELY INVESTIGATED TO ENSURE THAT THEY ARE QUALIFIED BASED UPON FINANCIAL NEED AND OTHER SIMILAR STANDARDS. DETERMINATION OF FINANCIAL AID AWARDS: FINANCIAL AID IS OFFERED TO ADMITTED APPLICANTS OR RETURNING STUDENTS BASED ON FINANCIAL NEED. THE SCHOOL DOES NOT OFFER LOANS OR SCHOLARSHIPS BASED ON MERIT. FAMILIES ARE SENT A PACKET OF INFORMATION AND FORMS UPON ENROLLMENT. FAMILIES ARE ASKED TO COMPLETE A PARENT'S FINANCIAL STATEMENT TO BE SENT TO THE EDUCATIONAL TESTING SERVICES (ETS) IN PRINCETON, NEW JERSEY. ETS CALCULATES THE EXPECTED FAMILY CONTRIBUTION BASED ON, AMONG OTHER FACTORS: THE FAMILY'S INCOME, ASSETS AND LIABILITIES, UNUSUAL EXPENSES AND FAMILY SIZE. THE SCHOOL THEN REVIEWS THE RESULTS FROM ETS TOGETHER WITH THE FAMILY'S LATEST TAX RETURN. EVERY REQUEST IS REVIEWED CAREFULLY, AND A DECISION IS MADE BASED ON ALL AVAILABLE INFORMATION. X X X 1 1 X X X X 0 1 0 0 0 0 0 0 0 REED DEBORAH E 250372 0 0 0 0 0 181715 0 23776 0 455863 0 0 0 HUYSSOON KEITH 167196 0 0 0 0 0 10980 0 19563 0 197739 0 0 0 RODRIGUEZ CARMELLA 131031 0 0 0 0 0 13399 0 19607 0 164037 0 0 0 BINNEY DIANE M 130086 0 0 0 0 0 7950 0 23597 0 161633 0 0 0 DAMASCO TERESA 126336 0 0 0 0 0 12962 0 18146 0 157444 0 0 0 KOPLEY ELIZABETH A 126242 0 0 0 0 0 7698 0 18113 0 152053 0 0 0 FISHBECK PAULA M 123444 0 0 0 0 0 7849 0 20697 0 151990 0 0 0 PART I, LINE 1A THE SCHOOL PROVIDES A HEAD'S DISCRETIONARY SPENDING ACCOUNT TO CAPTURE NECESSARY BUSINESS EXPENSES SUCH AS CONFERENCES, RESIDENCE EXPENSES, MEMBERSHIP DUES, ETC. AS PER HER CONTRACT, THE HEAD OF THE SCHOOL IS REQUIRED TO OCCUPY SCHOOL OWNED HOUSING ADJACENT TO THE SCHOOL WHERE SHE ALSO REGULARLY CONDUCTS SCHOOL RELATED FUNCTIONS. THE SCHOOL PAYS FOR THE HEAD OF SCHOOL'S MEMBERSHIP IN A UNIVERSITY FACULTY CLUB WHERE SHE REGULARLY ATTENDS SCHOOL RELATED FUNCTIONS. PART I, LINE 4B FOR CALENDAR YEAR 2011, AS PART OF A CONTRACT AGREEMENT, THE HEAD OF THE SCHOOL PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (457F) ESTABLISHED BY THE SCHOOL. DURING 2011 $167,915 WAS DEFERRED. CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITIES 680164610 130795L88 2009-10-06 26427365 NEW CONSTRUCTION OF BUILDINGS. 0 0 0 26427365 528547 25989817 2011 0 0 1 1 0 0 0 0 1 0 0 0 NA 0 0 0 NA 0 0 1 3000 FINANCIAL AID FOR A CHILD OF A MEMBER OF THE BOARD OF TRUSTEES X 16 290075 FMV 0 1 1 THIRD PARTY USE: PART I, LINE 32B: STOCK BROKER HIRED TO SELL STOCK CONTRIBUTIONS. FORM 990, PART VI, SECTION B, LINE 11 AUDIT COMMITTEE IS DELEGATED RESPONSIBILITY TO REVIEW THE 990 PRIOR TO FILING. THE BOARD OF TRUSTEES RECEIVES A COPY OF THE RETURN PRIOR TO FILING AND IS PRESENTED A SUMMARY OF PROCESS AND KEY ITEMS BY THE AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C THE POLYTECHNIC SCHOOL BOARD OF TRUSTEES HAS A CONFLICT OF INTEREST POLICY TO ENSURE THAT BOARD ACTIONS ARE FREE FROM ANY ACTUAL OR APPEARANCE OF CONFLICT OF INTEREST. ANNUALLY, EACH BOARD MEMBER SIGNS OFF ON COMPLIANCE WITH THIS POLICY. FOLLOWING DISCLOSURE TO THE BOARD PRESIDENT OF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE BOARD PRESIDENT SHALL DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS AND, IF SO, THE BOARD PRESIDENT SHALL REFER THE MATTER TO THE EXECUTIVE COMMITTEE WHICH SHALL DETERMINE HOW BEST TO PROTECT THE SCHOOL'S INTEREST. IN ADDITION KEY EMPLOYEES PARTICIPATE IN AN ANNUAL CONFLICT OF INTEREST SIGN-OFF. FORM 990, PART VI, SECTION B, LINE 15 THE HEAD OF SCHOOL'S COMPENSATION IS REVIEWED AND AUTHORIZED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, WHICH INCLUDES COMPARISON TO PEER SCHOOLS AND OTHER RELEVANT PERFORMANCE FACTORS. CFO COMPENSATION IS DETERMINED ANNUALLY BY THE HEAD OF SCHOOL AND REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THIS REVIEW CONSIDERS COMPARISON TO PEER SCHOOLS AND OTHER RELEVANT PERFORMANCE FACTORS AS WELL. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND OTHER GOVERNANCE POLICIES ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -354,435. CHANGE IN VALUE OF TRUST -83,569. TOTAL TO FORM 990, PART XI, LINE 5: -438,004.