2015-04-30T15:14:12-05:00 2014-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2013-07-01 237243247 THE BLAKE SCHOOL BLAK 9529883451 110 BLAKE ROAD SOUTH HOPKINS MN 55343 ANNE E STAVNEY HEAD OF SCHOOL 9529883451 2015-04-14 1 JENNIFER TINGLEY P01485570 6123764500 2013 2016-03-07 17:11:31Z ANNE E STAVNEY 110 BLAKE ROAD SOUTH HOPKINS MN 55343 56755826 0 X WWW.BLAKESCHOOL.ORG X 1900 MN TO PROVIDE STUDENTS WITH AN EXCELLENT, ACADEMICALLY CHALLENGING EDUCATION. 23 20 635 450 10943 3363 4965137 5460674 34406681 35880023 4151896 3098623 172829 92482 43696543 44531802 4619038 5094154 0 0 24286282 25824744 0 0 1997266 9438381 10999423 38343701 41918321 5352842 2613481 104649812 111391609 18929093 18145845 85720719 93245764 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 35648692 5094154 35880023 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 2013-2014 WAS 1,383 STUDENTS. IN SUPPORT OF ITS COMMITMENT TO CULTURAL AND SOCIOECONOMIC DIVERSITY AS BEING AN ESSENTIAL PART OF ITS EDUCATIONAL GOALS, THE SCHOOL GRANTED $5,094,154 IN FINANCIAL AID TO 305 STUDENTS. 35648692 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 1 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 91 0 635 1 1 1 0 0 0 0 1 1 0 0 0 0 X 23 20 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 354846 0 98538 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 MAE DAYTON TRUSTEE 1.00 X 0 0 0 ANDREW HUMPHREY 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 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 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 ROGER SIT TRUSTEE 1.00 X 0 0 0 SANDRA VARGAS TRUSTEE 1.00 X 0 0 0 JAMIE WILSON TRUSTEE 1.00 X 0 0 0 FREDERICK WINSTON 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 200727 0 61029 RANDAL R HARRINGTON ASSISTANT HEAD OF SCHOOL 50.00 X 156040 0 27106 CHRISTOPHER A CLARK DIR. OF INSTITUTIONAL ADVANCEMENT 50.00 X 151822 0 57928 ANNE GRAYBEAL UPPER SCHOOL DIRECTOR 50.00 X 140957 0 18741 PATRICIA FRASHER CONTROLLER 50.00 X 136253 0 15997 DAVID BOXER DIRECTOR OF INFORMATION SYSTEMS 50.00 X 126465 0 28883 1267110 0 308222 20 0 1 0 MA MORTENSON 700 MEADOW LANE NORTH MINNEAPOLIS MN 55422 BUILDING CONSTRUCTION 2700906 TAHER INC PO BOX 44719 MADISON WI 53744 FOOD SERVICE 1481003 FIVE STAR H ENTERPRISES INC PO BOX 14612 MINNEAPOLIS MN 55414 JANITORIAL 295464 PARALLEL TECHNOLOGIES VB 147 MINNEAPOLIS MN 55480 TECHNOLOGY/SECURITY UPDATES 250092 NEUSTADT CREATIVE MARKETING 1714 EASTERN AVENUE BALTIMORE MD 21231 MARKETING 217988 16 4723 34700 5421251 307337 5460674 TUITION 611600 31896382 31896382 AUXILIARY SERVICES 611710 2069829 2069829 FEES 611600 1795617 1795617 OTHER PROGRAM REVENUE 611710 118195 118195 35880023 2536901 9075 2527826 266022 267904 -1882 -1882 -1882 12252650 3000 11690928 3000 561722 0 561722 561722 221689 34700 236065 -14376 3750 -18126 37080 26127 10953 10953 PARENT ASSOCIATION REV 611710 97787 97787 97787 44531802 35880023 10943 3180162 5094154 5094154 763838 96664 522178 144996 20159800 17679892 1491211 988697 1317096 1210011 78946 28139 2087995 1840216 146592 101187 1496015 1277481 138694 79840 113960 113960 38192 38192 121428 121428 2320520 1774394 367835 178291 175462 19244 140835 15383 417629 233126 69352 115151 613699 613699 1530506 1460267 61415 8824 465061 428553 16557 19951 286209 86835 140221 59153 427239 408868 15808 2563 1987951 1901553 74342 12056 231782 28036 203746 INSTRUCTIONAL EXPENSES 1175462 1157994 17468 RECRUITING EXPENSE 201633 201633 PROF. DEVELOPMENT 173969 162632 7335 4002 DUES AND SUBSCRIPTIONS 109532 3912 94402 11218 609189 171161 227681 210347 41918321 35648692 4272363 1997266 5739144 2668244 301297 37815 2472431 2820701 225418 315206 50000 40000 58559 28595 121628 107432 74282327 31853567 39618394 42428760 39714108 45576665 16104193 17167307 244640 200884 104649812 111391609 4329897 4515710 2735802 2690042 11422334 10495804 441060 444289 18929093 18145845 X 52054585 58030554 11342977 10301543 22323157 24913667 85720719 93245764 104649812 111391609 X 2613481 4371751 539813 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 52881200 1213026 7310924 2547382 58857768 48132149 524093 6294431 2069473 52881200 48877435 540547 611413 1897246 48132149 41226620 902899 8463944 1716028 48877435 36502932 1618409 4827806 1722527 41226620 0.52230 0.34510 0.13260 1 1 1 1420428 3177214 4597642 60129820 24969884 35159936 525518 172801 352717 8011121 6710882 1300239 1018226 1018226 42428760 INTEREST IN CHARITABLE REMAINDER TRUST 200860 F INTEREST IN PERPETUAL TRUST 3342568 F HEDGE FUNDS 12637389 F DIVERSIFIED EQUITY FUND 271193 F PRIVATE EQUITY 715297 F 17167307 ASSET RETIREMENT OBLIGATION 356923 SPLIT-INTEREST AGREEMENTS PAYABLE 87366 444289 X 44644100 4371751 956129 5327880 39316220 121428 5094154 5215582 44531802 37119055 416316 416316 36702739 121428 5094154 5215582 41918321 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. THE SCHOOL'S TAX RETURNS ARE SUBJECT TO REVIEW FOR INCOME TAX PURPOSES FOR FISCAL YEARS ENDED JUNE 30, 2011 THROUGH 2013. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN TRUST 512,575. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 27,238. RENTAL EXPENSES 267,904. FUNDRAISING EVENT EXPENSE 148,412. PART XI, LINE 4B - OTHER ADJUSTMENTS: FINANCIAL AID 5,094,154. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 267,904. FUNDRAISING EVENT EXPENSE 148,412. PART XII, LINE 4B - OTHER ADJUSTMENTS: FINANCIAL AID 5,094,154. 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. CENTRAL AMERICA AND THE CARIBBEAN - 0 0 INVESTMENTS N/A 9598834 EUROPE (INCLUDING ICELAND & GREENLAND) - 0 0 INVESTMENTS N/A 675352 0 0 0 0 0 0 10274186 0 10274186 1 0 1 1 1 0 BLAKE CLASSIC 256389 34700 221689 113780 53823 4000 64462 256389 34700 221689 113780 53823 4000 64462 236065 -14376 37080 26127 0 37080 26127 26127 10953 MN 1 0 0 0 0.00000 1.00000 PATRICIA FRASHER 110 BLAKE ROAD SOUTH HOPKINS MN 55343 0 NA 0 1 STUDENT FINANCIAL AID 305 5094154 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 0 1 0 0 0 0 0 0 0 ANNE E STAVNEY HEAD OF SCHOOL 260000 0 30000 0 64846 0 70800 0 27738 0 453384 0 0 0 MARC G BOGURSKY DIRECTOR OF BUSINESS AND FINANCE 200589 0 0 0 138 0 16974 0 44055 0 261756 0 0 0 RANDAL R HARRINGTON ASSISTANT HEAD OF SCHOOL 155902 0 0 0 138 0 13248 0 13858 0 183146 0 0 0 CHRISTOPHER A CLARK DIR. OF INSTITUTIONAL ADVANCEMENT 151684 0 0 0 138 0 12710 0 45218 0 209750 0 0 0 ANNE GRAYBEAL UPPER SCHOOL DIRECTOR 140819 0 0 0 138 0 11320 0 7421 0 159698 0 0 0 PATRICIA FRASHER CONTROLLER 136115 0 0 0 138 0 10886 0 5111 0 152250 0 0 0 DAVID BOXER DIRECTOR OF INFORMATION SYSTEMS 126327 0 0 0 138 0 10899 0 17984 0 155348 0 0 0 PART I, LINE 1A ANNE E. STAVNEY: HOUSING ALLOWANCE, FAMILY TRAVEL, AND HEALTH AND SOCIAL 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 - HEAD OF SCHOOL - 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN CONTRIBUTION - $50,000 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 1620000 5310013 105900 5204113 2008 1 0 1 1 B 625000 1985134 40000 1945134 2006 0 0 1 1 C 2150000 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 HEAD OF SCHOOL HOUSING LOAN X 50000 40000 0 1 1 40000 44078 SCHOLARSHIP FINANCIAL AID MA MORTENSON THE SPOUSE OF A BOARD TRUSTEE IS PRESIDENT OF M.A. MORTENSON 2700906 DESIGN AND RENOVATE UPPER SCHOOL SCIENCE AND MEDIA WING 0 FAEGRE BAKER DANIELS LLP BOARD TRUSTEE IS PRINCIPAL OF FAEGRE BAKER DANIELS LLP 101978 LEGAL SERVICES 0 SCHEDULE L, PART IV BLAKE ENGAGED M.A. MORTENSON CONSTRUCTION AS GENERAL CONTRACTOR TO RENOVATE OUR UPPER SCHOOL SCIENCE AND MEDIA WING. IN FISCAL YEAR 2014, BLAKE PAID MORTENSON $2,700,906. DAVID MORTENSON (PRESIDENT OF MORTENSON CONSTRUCTION) IS MARRIED TO ANOTHER BLAKE TRUSTEE (KATE MORTENSON). WHILE THE BLAKE SCHOOL'S BOARD APPROVED THE RENOVATION PROJECT, MANAGEMENT WAS SOLELY RESPONSIBLE FOR SELECTING THE PROJECT VENDORS. FURTHERMORE, KATE MORTENSON DID NOT HAVE ANY ROLE ON THE BUILDINGS & GROUNDS COMMITTEE, WHICH HAD OVERSIGHT RESPONSIBILITY FOR THIS PROJECT. X 3608 ESTIMATED VALUE X 11 158441 STOCK MARKET QUOTES X AUCTION ITEMS 470 113780 ESTIMATED VALUE X EVENT IN-KIND 11 30387 ESTIMATED VALUE X OTHER 4 1122 ESTIMATED VALUE 0 0 1 0 PART I, COLUMN (B): THE SCHOOL REPORTS THE NUMBER OF CONTRIBUTORS FOR ALL NON-CASH GIFTS EXCEPT FOR DONATED AUCTION ITEMS. THE SCHOOL REPORTS THE NUMBER OF ITEMS CONTRIBUTED FOR DONATED AUCTION ITEMS. FORM 990, PART VI, SECTION B, LINE 11 PRIOR TO ITS FILING, THE FORM 990 WAS REVIEWED BY THE DIRECTOR OF BUSINESS AND FINANCE, 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 2013-2014 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 512,575. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 27,238. 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 CHARITABLE REMAINDER TRUSTS (2) INVESTMENTS MN N/A T 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1