2020-06-22T10:44:57-05:00 2019-06-30 561750124 BATCHELOR TILLERY & ROBERTS LLP 3605 GLENWOOD AVENUE SUITE 350 RALEIGH NC 27612 990 2018-07-01 562201186 PDYF SUCCESS INSTITUTE PDYF 7048810441 1424 RICKERT STREET STATESVILLE NC 28677 MARVIN NORMAN BOARD CHAIR 7048810441 2020-06-22 1 WM JAMES BLACK JR P00175233 9197878212 204.16.136.178 2020-06-22 10:35:48 ED P 09731CB1BCC794E42577689C733EBDB1DA8F801C 75E4A1E82340665F22A7A7FC450FD07D1F3A81F5 2018 2021-01-29 14:40:06Z MARVIN NORMAN 1424 RICKERT STREET STATESVILLE NC 28677 1064549 0 X WWW.SUCCESSINSTITUTECHARTERSCHOOL.COM X 2000 NC PROVIDING EDUCATION OF STUDENTS IN GRADES K THROUGH 8 10 7 10 0 0 0 969539 1064509 1088 40 0 0 0 0 970627 1064549 0 0 0 0 518633 522750 0 0 0 407142 512531 925775 1035281 44852 29268 265206 283585 120934 110045 144272 173540 EDUCATION OF STUDENTS IN GRADES K THROUGH 8 0 0 619173 OPERATED AS A CHARTER SCHOOL IN STATESVILLE, NC SERVING APPROXIMATELY 100 STUDENTS IN GRADES K THROUGH 8 619173 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 22 0 10 1 0 0 0 0 0 0 0 0 0 0 X 10 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 X ACADIA NORTHSTAR LLC 9199547040 5029 FALLS OF NEUSE RD RALEIGH NC 27609 X MARVIN NORMAN BOARD CHAIR 2.00 X X 0 0 0 STEPHANIE DAVIS BOARD MEMBER 1.00 X 0 0 0 MARLIN TATE BOARD MEMBER 1.00 X 0 0 0 CHANIKA GRAHAM BOARD MEMBER 1.00 X 0 0 0 ISHA HOLMES BOARD MEMBER 1.00 X 0 0 0 PAMELA ROGERS BOARD MEMBER 1.00 X 0 0 0 STEPHANIE HARDY BOARD MEMBER 1.00 X 0 0 0 GLENN USRY ADVISORY NON-VOTING MEMBER 1.00 X 0 0 0 0 0 0 1 0 0 0 0 1064509 1064509 STUDENT ACTIVITIES 40 40 40 1064549 40 0 0 152761 106996 45765 276396 239525 36871 26744 16674 10070 23627 20131 3496 43222 34728 8494 5800 2900 2900 134 134 7758 2983 4775 81508 69282 12226 3484 1742 1742 17333 17333 FOOD SERVICE 157868 157868 CONTRACTED SERVICES 121387 71007 50380 CLEANING/MAINTENANCE 38423 32660 5763 VEHICLE EXPENSE 36446 36446 42390 20545 21845 1035281 619173 416108 0 155170 151618 9824 37446 82148 79941 53955 39375 18064 14580 265206 283585 103191 92641 17743 17404 120934 110045 X 144272 173540 144272 173540 265206 283585 29268 0 X 0 1 X 1 0 X 4201 4201 0 49754 35174 14580 14580 1064549 0 1064549 0 1064549 1035281 0 1035281 0 1035281 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 NONDISCRIMINATION POLICY IS DISCLOSED ON THE SCHOOL WEBSITE AND IN WRITTEN COMMUNICATION. SCHEDULE E, PART I, LINE 6 USDA SCHOOL LUNCH PROGRAM FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN IS MADE AVAILABLE FOR REVIEW TO THE BOARD MEMBERS VIA EMAIL. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER COMPLETES A CONFLICT OF INTEREST QUESTIONNAIRE ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR KEY EMPLOYEES IS DETERMINED BY THE BOARD ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE SCHOOL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.