2018-04-23T10:14:55-05:00 2017-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2016-07-01 237243247 THE BLAKE SCHOOL BLAK 9529883451 110 BLAKE ROAD SOUTH HOPKINS MN 55343 ANNE E STAVNEY HEAD OF SCHOOL 9529883451 2018-04-18 1 SARAH REICHLING P01587996 6123764500 67.137.57.251 2018-04-18 09:29:52 CD P F3F329DFBA37A4C14C73FD596159B47BC051605F 977139128611A4E36F514149905081B6C9A4065F 2016 2021-01-29 14:40:06Z ANNE E STAVNEY 110 BLAKE ROAD SOUTH HOPKINS MN 55343 99041572 0 X WWW.BLAKESCHOOL.ORG X 1900 MN TO PROVIDE STUDENTS WITH AN EXCELLENT, ACADEMICALLY CHALLENGING EDUCATION. 24 23 665 502 404865 383105 15386688 10953280 39224598 41019155 4620968 5899926 108087 -3376 59340341 57868985 7127027 7470528 0 0 27788169 28660489 0 0 2418379 10048144 10820776 44963340 46951793 14377001 10917192 134390804 147411111 16638799 16972076 117752005 130439035 THE BLAKE SCHOOL PROVIDES STUDENTS WITH AN EXCELLENT EDUCATION IN A DIVERSE AND SUPPORTIVE COMMUNITY. STUDENTS PARTICIPATE IN ACADEMIC, ARTISTIC AND ATHLETIC ACTIVITIES IN PREPARATION FOR COLLEGE, LIFE-LONG LEARNING, COMMUNITY SERVICES AND LIVES AS RESPONSIBLE WORLD CITIZENS. 0 0 39510290 7470528 41016755 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 2016-2017 WAS 1,365 STUDENTS. IN SUPPORT OF ITS COMMITMENT TO CULTURAL AND SOCIOECONOMIC DIVERSITY AS BEING AN ESSENTIAL PART OF ITS EDUCATIONAL GOALS, THE SCHOOL GRANTED $7,470,528 IN FINANCIAL AID TO 343 STUDENTS. 39510290 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 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 6 1 665 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 475765 0 93810 DARREN ACHESON CHAIR 1.00 0.00 X X 0 0 0 JOAN ATWATER NOLAN TREASURER 1.00 0.00 X X 0 0 0 CHAD ABRAHAM TRUSTEE 1.00 0.00 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 COLBERT BOYD TRUSTEE 1.00 0.00 X 0 0 0 MOLLY CRONIN 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 ALENE GROSSMAN SUSSMAN 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 DANIEL KELLEY CHIEF FINANCIAL & OPERATIONS OFFICER 50.00 0.00 X 200984 0 31682 ALISON TOWNLEY CHIEF ADVANCEMENT OFFICER 50.00 0.00 X 193750 0 82240 ANNE GRAYBEAL ASSOCIATE HEAD OF SCHOOL 50.00 0.00 X 185480 0 34909 DAVID BOXER DIRECTOR OF ISS 50.00 0.00 X 152887 0 44170 JOSEPH RUGGIERO UPPER SCHOOL DIRECTOR 50.00 0.00 X 191622 0 23618 JOSEPH SILVESTRI DIRECTOR OF ADMISSIONS 50.00 0.00 X 174675 0 73882 1575163 0 384311 7 0 1 0 MA MORTENSON COMPANY 700 MEADOW LANE NORTH MINNEAPOLIS MN 55422 CONSTRUCTION 5371264 TAHER INC PO BOX 44719 MADISON WI 53744 FOOD SERVICE 1456441 U B ARCHITECTURE & DESIGN 2609 ALDRICH AVENUE SOUTH SUITE 10 MINNEAPOLIS MN 55408 ARCHITECTURAL CONSULTING 505592 FIVE STAR H ENTERPRISES INC PO BOX 14612 MINNEAPOLIS MN 55414 JANITORIAL 224704 ABSOLUTE JANITORIAL & PLOWING LLC PO BOX 27205 GOLDEN VALLEY MN 55427 JANITORIAL 170105 9 20700 10932580 810334 10953280 TUITION 611600 38345610 38345610 AUXILIARY SERVICES 611710 2386269 2386269 OTHER PROGRAM REVENUE 611710 270916 268516 2400 FEES 611600 16360 16360 41019155 1186776 453622 733154 250854 302011 -51157 -51157 -51157 45563831 8685 40848866 10500 4714965 -1815 4713150 4713150 11580 20700 11210 370 370 PARENT ASSOCIATION REV 611710 47411 47411 47411 57868985 41016755 404865 5494085 7470528 7470528 835969 58746 483495 293728 22225247 18790769 2171458 1263020 1512848 1372890 128113 11845 2478729 2114736 229025 134968 1607696 1299074 194979 113643 77460 77460 42054 42054 90834 90834 2170493 1921571 160192 88730 140059 24590 115469 489711 273405 80394 135912 504334 504334 1222800 1173361 42051 7388 414486 372444 33249 8793 536653 71005 155598 310050 311809 298401 11537 1871 2534611 2424350 94876 15385 224368 35103 189265 INSTRUCTIONAL EXPENSES 901639 901639 RECRUITING EXPENSE 275506 275506 PROF. DEVELOPMENT 230554 226812 3742 UNCOLLECTIBLE ACCOUNTS 127063 127063 526342 176532 320506 29304 46951793 39510290 5023124 2418379 7958111 9257095 1289850 10646263 20768053 21947351 393203 554148 20000 0 36089 41239 374816 330668 82814806 36485729 43407419 46329077 50823692 48109015 9165420 10059728 154151 136527 134390804 147411111 4263021 5452549 3117457 3441099 8537984 7496254 720337 582174 16638799 16972076 X 64541584 66565759 21014203 24022559 32196218 39850717 117752005 130439035 134390804 147411111 X 10917192 1468209 301629 X 0 1 X 1 0 X 4965137 5460674 19132907 15386688 10953280 55898686 4965137 5460674 19132907 15386688 10953280 55898686 18321360 37577326 2241504 2527826 2155770 1644912 733154 9303166 24993 3363 45835 74191 151485 356556 87561 240620 58991 895213 66171256 188224723 0.56790 0.53150 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 59779887 2890866 7177787 3270182 66578358 60549885 2858658 -739636 2889020 59779887 58857768 2692928 1674962 2675773 60549885 52881200 1213026 7310924 2547382 58857768 48132149 524093 6294431 2069473 52881200 0.45000 0.42000 0.13000 1 1 1 1420428 3177214 4597642 62539713 29862093 32677620 4962193 372753 4589440 8078273 6250883 1827390 2636985 2636985 46329077 INTEREST IN CHARITABLE REMAINDER TRUST 222266 F INTEREST IN PERPETUAL TRUST 2434482 F HEDGE FUNDS 7046911 F PRIVATE EQUITY 356069 F 10059728 ASSET RETIREMENT OBLIGATION 406384 SPLIT-INTEREST AGREEMENTS PAYABLE 71387 CAPITAL LEASE OBLIGATION 104403 582174 X 52390682 1468209 614850 2083059 50307623 90834 7470528 7561362 57868985 39703652 313221 313221 39390431 90834 7470528 7561362 46951793 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 268,842. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 32,787. RENTAL EXPENSES 302,011. FUNDRAISING EVENT EXPENSE 11,210. PART XI, LINE 4B - OTHER ADJUSTMENTS: FINANCIAL AID 7,470,528. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 302,011. FUNDRAISING EVENT EXPENSE 11,210. PART XII, LINE 4B - OTHER ADJUSTMENTS: FINANCIAL AID 7,470,528. 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 1233270 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS N/A 3227067 0 0 0 0 0 0 4460337 0 4460337 0 0 0 0 0 0 PART I, LINE 3: ACCRUAL METHOD GREATER BLAKE OPEN GOLF OUTING 32280 20700 11580 8304 580 2326 32280 20700 11580 8304 580 2326 11210 370 1 STUDENT FINANCIAL AID 343 7470528 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 364750 0 40000 0 71015 0 79180 0 14630 0 569575 0 0 0 DANIEL KELLEY CHIEF FINANCIAL & OPERATIONS OFFICER 200984 0 0 0 0 0 17052 0 14630 0 232666 0 0 0 ALISON TOWNLEY CHIEF ADVANCEMENT OFFICER 193750 0 0 0 0 0 15773 0 66467 0 275990 0 0 0 ANNE GRAYBEAL ASSOCIATE HEAD OF SCHOOL 185480 0 0 0 0 0 27384 0 7525 0 220389 0 0 0 DAVID BOXER DIRECTOR OF ISS 152887 0 0 0 0 0 13030 0 31140 0 197057 0 0 0 JOSEPH RUGGIERO UPPER SCHOOL DIRECTOR 191622 0 0 0 0 0 15428 0 8190 0 215240 0 0 0 JOSEPH SILVESTRI DIRECTOR OF ADMISSIONS 174675 0 0 0 0 0 14551 0 59331 0 248557 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 $11,500. 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 2465013 5310013 105900 5204113 2008 1 0 1 1 B 895134 1985134 40000 1945134 2006 0 0 1 1 C 4193391 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 OFFICER HOUSING X 50000 6667 0 1 1 6667 X 2 805276 STOCK MARKET QUOTES X SCHOOL MATERIALS 12 5058 ESTIMATED VALUE 0 0 1 0 PART I, COLUMN (B): NUMBER OF CONTRIBUTIONS IS DETERMINED BY THE NUMBER OF CONTRIBUTIORS. 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 11B 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 2016-2017 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 268,842. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 32,787. OAKLEAF ENDOWMENT TRUST FOR THE BLAKE SCHOOL 80 S 8TH ST NO 1800 MINNEAPOLIS MN 55402 416469031 ENDOWMENT MN 501(C)(3) LINE 12A, 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 128850 CASH DRAW