2012-11-13T07:43:23-06:00 2012-06-30 561434747 GREER & WALKER LLP 227 WEST TRADE STREET SUITE 1100 CHARLOTTE NC 28202 990 2011-07-01 560952382 PROVIDENCE DAY SCHOOL INC PROV 7048876014 5800 SARDIS ROAD CHARLOTTE NC 28270 PAUL IBSEN 7048876014 2012-11-08 1 PAULA P TILLEY P00051456 7043770239 2012-11-08 2011 2016-02-24 21:20:13Z GLYN COWLISHAW 5800 SARDIS ROAD CHARLOTTE NC 28270 31644755 0 X WWW.PROVIDENCEDAY.ORG X 1971 NC PROVIDENCE DAY SCHOOL EXISTS TO INSPIRE IN ITS STUDENTS A PASSION FOR LEARNING, A COMMITMENT TO PERSONAL INTEGRITY AND A SENSE OF SOCIAL RESPONSIBILITY. 21 21 579 785 0 0 1326447 1832690 27662025 29580029 267262 -70309 0 0 29255734 31342410 0 0 0 0 21378297 22515219 0 0 916304 9123600 8133974 30501897 30649193 -1246163 693217 60692329 61981688 30028773 30819541 30663556 31162147 X PROVIDENCE DAY SCHOOL EXISTS TO INSPIRE IN ITS STUDENTS A PASSION FOR LEARNING, A COMMITMENT TO PERSONAL INTEGRITY AND A SENSE OF SOCIAL RESPONSIBILITY. PDS CENTERS ALL GOALS AND EFFORTS ON THE COMPREHENSIVE DEVELOPMENT OF THE STUDENT. THE SCHOOL PROVIDES A STRONG COLLEGE PREPARATORY EDUCATION AND GUIDES GROWTH THROUGH AN APPRECIATION FOR AESTHETIC, CULTURAL, AND MORAL VALUES. THE SCHOOL CREATES AN ENVIRONMENT THAT ENCOURAGES THE IMPORTANCE OF EDUCATION AND THE VALUE OF APPROACHING LIFE WITH CONFIDENCE AND ENTHUSIASM. PARENT INVOLVEMENT AND SUPPORT OF THE EFFORTS OF THE SCHOOL ARE ESSENTIAL TO EACH STUDENT'S SUCCESS. IN ADDITION, THE SCHOOL RELIES ON THE LARGER PDS FAMILY, INCLUDING TRUSTEES, PARENTS, PARENTS OF ALUMNI, STUDENTS, ALUMNI, AND FRIENDS OF THE SCHOOL AS A POWERFUL TEAM TO ACHIEVE ITS GOALS. 0 0 19505293 27502310 TUITION AND FEES PROGRAMS - PROVIDENCE DAY SCHOOL IS AN INDEPENDENT TRANSITIONAL KINDERGARTEN (TK) THROUGH GRADE 12 COLLEGE PREPARATORY SCHOOL LOCATED IN SOUTHEAST CHARLOTTE ON A FORTY-FIVE ACRE CAMPUS. IN 2003, PROVIDENCE DAY WAS RECOGNIZED AS A BLUE RIBBON SCHOOL OF EXCELLENCE BY THE UNITED STATES DEPARTMENT OF EDUCATION. PROVIDENCE DAY SCHOOL EXISTS TO INSPIRE IN ITS STUDENTS A PASSION FOR LEARNING, A COMMITMENT TO PERSONAL INTEGRITY AND A SENSE OF SOCIAL RESPONSIBILITY. 1126240 826841 SUMMER SCHOOL PROGRAM - SUMMER PROGRAMS ARE AVAILABLE TO ALL GRADES. PDS OFFERS A VARIETY OF COURSES IN ARTS, CRAFTS, ACTING, SPORTS, COOKING AND MUSIC. ADDITIONALLY, STUDENTS MAY ENROLL IN SUMMER ACADEMIC COURSES SUCH AS "BUILDING THE READING FOUNDATION THROUGH PHONICS" FOR LOWER SCHOOL STUDENTS TO EARNING A SEMESTER CREDITS FOR UPPER SCHOOL STUDENTS (IN AREAS SUCH AS MATH AND ENGLISH). 1078660 764168 EXTENDED DAY PROGRAM - THE EXTENDED DAY PROGRAM HAS DEVELOPED INTO A PROGRAM DEEMED ONE OF THE TOP 10 IN THE NATION. THE PROGRAM CREATES AFTERNOONS THAT PROVIDE AN EXPERIENCE UNLIKE ANY OTHER. THE TEACHERS' RELATIONSHIP WITH STUDENTS PROVIDES A WONDERFUL FOUNDATION OF SECURITY AND ENCOURAGEMENT, AND THEIR ENTHUSIASM BUILDS ON MOTIVATING STUDENTS TO TRY SOMETHING NEW. EXTENDED DAY PROGRAM INCLUDES TEACHING PIANO, GUITAR, THEATER, KARATE, GYMNASTICS, ICE SKATING, DANCE, CHEERLEADING, CHESS, LACROSSE AND TENNIS. 532536 486710 532536 486710 22242729 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 108 0 1 579 1 0 0 0 0 0 0 0 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X MR PAUL IBSEN 7048876014 5800 SARDIS ROAD CHARLOTTE NC 28270 ROSALYN ALLISON-JACOBS 20.00 X 0 0 0 WALTER BRIDGEMAN 20.00 X 0 0 0 ROBERT BRINKLEY 20.00 X X 0 0 0 WALTER DAVIS 20.00 X 0 0 0 STEPHEN DE MAY 20.00 X 0 0 0 THOMAS DUNCAN 20.00 X 0 0 0 ANDY FINK 20.00 X 0 0 0 SCOTT GORELICK 20.00 X 0 0 0 PEYTON HOWELL 20.00 X X 0 0 0 WILLIAM IVES 20.00 X 0 0 0 JAMES JACOBSON JR 20.00 X 0 0 0 CLARK KINLIN 20.00 X 0 0 0 WILLIAM LORENZ 20.00 X 0 0 0 LISA MONTGOMERY 20.00 X 0 0 0 SAMIR PATEL 20.00 X 0 0 0 DR BENJAMIN E ROBINSON III 20.00 X 0 0 0 DAVID RAVIN 20.00 X 0 0 0 LAURA MEYER WELLMAN 20.00 X 0 0 0 WYATT L SMITH 20.00 X X 0 0 0 DR KATHLEEN STEWART 20.00 X 0 0 0 ROBERT TOTH 20.00 X X 0 0 0 PAUL IBSEN 40.00 X 190371 0 23728 BEN TOPHAM 40.00 X 171287 0 22675 GLYN COWLISHAW 40.00 X 144702 0 34692 JEFF APPEL 40.00 X 91630 0 26659 SAM CAUDILL 40.00 X 121018 0 23603 CYNTHIA GIBBS-WILBORN 40.00 X 118181 0 16190 BRUCE HARDIN 40.00 X 106360 0 4874 TOM BEGGS 40.00 X 100019 0 37087 STEPHEN BARKER 40.00 X 133823 0 0 JACK CREEDEN 0.00 X 175237 0 0 1352628 0 189508 9 1 1 0 0 1832690 6400 1832690 TUITION AND FEES 611600 27502310 27502310 SUMMER SCHOOL 611710 826841 826841 EXTENDED DAY PROGRAMS 611710 764168 764168 SCHOOL STORE 611710 227107 227107 TRANSPORTATION 611710 113210 113210 146393 146393 29580029 214686 214686 17350 302345 -284995 -284995 -284995 31342410 29580029 0 -70309 1000912 709262 270948 20702 16333253 11573937 4421489 337827 664548 470909 179894 13745 3274116 2320088 886309 67719 1242390 880376 336317 25697 57962 57962 39815 39815 67725 67725 164913 164913 385157 376199 8322 636 524331 524331 1109654 786318 300385 22951 334035 320674 12413 948 758418 537427 205305 15686 1447690 1025856 391892 29942 87118 61733 23583 1802 STUDENT AUXILIARY ACTIV 1453400 1453400 TEXTBOOKS & SUPPLIES 972316 954207 18109 ADMISSIONS/RECRUITMENT 140968 140968 PROFESSIONAL DEVELOPMEN 115640 115640 474832 248012 128724 98096 30649193 22242729 7490160 916304 16622040 12463966 5367694 1011262 1345052 239788 201828 118141 54863 600485 861740 51615728 19911161 31107018 31704567 10753151 9741534 240444 240444 60692329 61981688 1638452 2460370 12430719 12698909 15790000 15525000 169602 135262 30028773 30819541 X 26627954 26887414 1914849 2362334 2120753 1912399 30663556 31162147 60692329 61981688 X 693217 -194625 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5497201 244201 104133 415028 5430507 4493450 238459 828457 63165 5497201 3865455 129086 498959 50 4493450 4335267 214554 -721009 -36603 3865415 0.59200 0.35210 0.05590 0 0 4727734 4727734 33697642 11751895 21945747 4183936 3325545 858391 9006416 4833721 4172695 31704567 ENDOWMENT FUNDS 5430507 F UNRESTRICTED FUNDS 4311027 F 9741534 AGENCY FUNDS 135262 135262 31342410 30649193 693217 -196502 1877 -194625 498592 31430903 -196502 -196502 31627405 -284995 -284995 31342410 30932311 283118 283118 30649193 0 30649193 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED FOR THE FOLLOWING: FINANCIAL AID FOR STUDENTS, TEACHER OF THE YEAR AWARDS, HUMANITIES AWARD, TEACHER PROFESSIONAL DEVELOPMENT, LEARNING SPECIALIST SALARY, RECRUITMENT EXPENSE FOR DIVERSE BACKGROUND APPLICANTS, AND SCHOLARSHIP FOR TUITION FOR PDS SENIOR STUDENT. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION RECORDS LIABILITIES FOR INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN WHEN THOSE POSITIONS ARE DEEMED UNCERTAIN TO BE UPHELD IN AN EXAMINATION BY TAXING AUTHORITIES. AS OF JUNE 30, 2012, THE TAX YEARS ENDED JUNE 30, 2009 THROUGH 2012 WERE OPEN FOR POTENTIAL EXAMINATION BY TAXING AUTHORITIES. NO LIABILITIES FOR UNCERTAIN INCOME TAX POSITIONS WERE RECORDED AS OF JUNE 30, 2012 AND 2011. PART XII, LINE 4B - OTHER ADJUSTMENTS: GAIN/LOSS ON SALE OF ASSETS RECORDED AS EXPENSE ITEM FOR AUDIT PURPOSES -284,995. PART XIII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF DERIVATIVE INSTRUMENT -1,877. GAIN/LOSS ON SALE OF ASSETS RECORDED AS EXPENSE ITEM FOR AUDIT PURPOSES 284,995. 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 STATEMENT IS PLACED IN SCHOOL CATALOGS AND BROCHURES. IN ADDITION AN ADVERTISEMENT HAS BEEN PLACED IN THE CHARLOTTE OBSERVER (THE LARGEST NEWSPAPER IN THE CHARLOTTE, NC AREA). X X X 1 1 X X 1 0 0 0 0 0 0 0 0 PAUL IBSEN 178909 0 0 0 11462 0 12524 0 11204 0 214099 0 0 0 BEN TOPHAM 164493 0 0 0 6794 0 11515 0 11160 0 193962 0 0 0 GLYN COWLISHAW 140000 0 0 0 4702 0 7000 0 27692 0 179394 0 0 0 STEPHEN BARKER 133823 0 0 0 0 0 0 0 0 0 133823 0 0 0 JACK CREEDEN 175237 0 0 0 0 0 0 0 0 0 175237 0 0 0 PART I, LINE 1A HOUSING ALLOWANCE: A HOUSING ALLOWANCE WAS PROVIDED TO GLYN COWLISHAW WHO IS HEADMASTER OF PROVIDENCE DAY SCHOOL, INC. THE HOUSING ALLOWANCE WAS PROVIDED IN THE AMOUNT OF $15,000. HOUSE CLEANING SERVICE: A HOUSE CLEANING SERVICE WAS PROVIDED TO GLYN COWLISHAW WHO IS THE HEADMASTER OF PROVIDENCE DAY SCHOOL, INC. THE HOUSE CLEANING SERVICE WAS PROVIDED IN THE AMOUNT OF $4,550. HEALTH OR SOCIAL CLUB DUES: COUNTRY CLUB DUES WERE PAID ON BEHALF OF GLYN COWLISHAW WHO IS THE HEADMASTER OF PROVIDENCE DAY SCHOOL, INC. THE COUNTRY CLUB DUES PAID ON HIS BEHALF WERE IN THE AMOUNT OF $1,811. PART I, LINE 4A SEVERANCE PAYMENT: FORMER HEADMASTER JOHN CREEDEN RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $35,483. THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF PIMA 860445981 721901JR8 2010-09-23 15471825 REFINANCE OF CURRENT BOND AND FUNDS FOR IMPROVEMENTS AND OPERATIONS 0 0 0 254394 15471031 1021031 10340000 309437 2065536 1735822 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 A COPY OF FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY FOR REVIEW PRIOR TO FILING. HOWEVER, THIS COPY DID NOT INCLUDE THE NAMES AND ADDRESSES OF CONTRIBUTORS ON SCHEDULE B. THE FORM 990 IS SIGNED BY ASSISTANT HEAD OF SCHOOL FOR FINANCE AND MANAGEMENT. FORM 990, PART VI, SECTION B, LINE 12C PROVIDENCE DAY SCHOOL MAINTAINS A WRITTEN CONFLICT OF INTEREST POLICY. EACH TRUSTEE AND EMPLOYEE IS REQUIRED TO CERTIFY HIS COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY EACH YEAR. THE COMPANY REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 COMPARABLE DATA FROM 51 SCHOOLS THAT ARE SUBSTANTIALLY THE SAME (INDEX) IS USED IN DETERMINING COMPENSATION. THE BOARD USES COMPARABLE DATA FOR COMPENSATION FOR THE HEADMASTER. THE HEADMASTER USES THE DATA FOR COMPENSATION OF MANAGEMENT AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -196,502. CHANGE IN VALUE OF DERIVATIVE INSTRUMENT 1,877. TOTAL TO FORM 990, PART XI, LINE 5: -194,625.