STRATEGY STUDIO / PUBLIC DATA EXPLORER

SURRY VILLAGE CHARTER SCHOOL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SURRY VILLAGE CHARTER SCHOOL (EIN 20-4802176)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-21
IRS object ID
201421419349300312
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-21T10:17:19-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1VACHON CLUKAY & COMPANY PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1608 CHESTNUT STAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03104ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN204802176EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SURRY VILLAGE CHARTER SCHOOLBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSURRNameControl
Phone6033579700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1499 ROUTE 12AAddressLine1
CitySURRYCity
StateNHState
ZIP Code03431ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePATRICIA GALLUPName
TitleBOARD CHAIRMANTitle
Phone6033579700Phone
Date Signed2014-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGARY G BOISVERTName
Phone6036227070Phone
Date Prepared2014-05-21DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPATRICIA GALLUPNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1499 ROUTE 12AAddressLine1
CitySURRYCity
StateNHState
ZIP Code03431ZIPCode
FieldValueIRS element (for citing)
Gross Receipts823917GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteSURRYVILLAGECHARTERSCHOOL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2006YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE A HIGH QUALITY ELEMENTARY AND MIDDLE SCHOOL FOR STUDENTS IN THE MONADNOCK REGION OF NEW HAMPSHIRE.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees45TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year685311ContributionsGrantsPriorYear
Contributions Grants Current Year724061ContributionsGrantsCurrentYear
Program Service Revenue Prior Year78921ProgramServiceRevenuePriorYear
Program Service Revenue CY99805ProgramServiceRevenueCY
Investment Income Prior Year100InvestmentIncomePriorYear
Investment Income Current Year51InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year764332TotalRevenuePriorYear
Total Revenue Current Year823917TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year539200SalariesEtcPriorYear
Salaries Etc Current Year608052SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year11329TotalFundrsngExpCurrentYear
Other Expense Prior Year195264OtherExpensePriorYear
Other Expenses Current Year230907OtherExpensesCurrentYear
Total Expenses Prior Year734464TotalExpensesPriorYear
Total Expenses Current Year838959TotalExpensesCurrentYear
Revenues Less Expenses Prior Year29868RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-15042RevenuesLessExpensesCY
Total Assets BOY187368TotalAssetsBOY
Total Assets EOY219304TotalAssetsEOY
Total Liabilities BOY73326TotalLiabilitiesBOY
Total Liabilities EOY107589TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY114042NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY111715NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE A HIGH QUALITY ELEMENTARY AND MIDDLE SCHOOL FOR STUDENTS IN THE MONADNOCK REGION OF NEW HAMPSHIRE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense715760Expense
DescriptionTO PROVIDE A HIGH QUALITY ELEMENTARY AND MIDDLE SCHOOL FOR STUDENTS IN THE MONADNOCK REGION OF NEW HAMPSHIRE.Description
Total Program Service Expense715760TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchooltrueSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees45NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSTEVE D'ALESSIONamePerson
Telephone Number6033521000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1543 WEST STREETAddressLine1
CityKEENECity
StateNHState
ZIP Code03431ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
MATORA FIOREY
DIRECTOR40.000.00X5212800
PATRICIA GALLUP
BOARD CHAIR1.00X000X
RAYMOND MACLEAN
TREASURER1.00X000X
JANE MACLACHLAN
TRUSTEE1.00X000
JUDE BISCHOFF
SECRETARY1.00X000X
FRANK DONATO
TRUSTEE1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org52128TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants538921GovernmentGrants
All Other Contributions185140AllOtherContributions
Noncash Contributions5000NoncashContributions
Total Contributions724061TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionSPECIAL PGMS, FEE FOR SERVICEDescription
Total Revenue Column99805TotalRevenueColumn
Related Or Exempt Function Income99805RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue99805TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column51TotalRevenueColumn
Related Or Exempt Function Income51RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column823917TotalRevenueColumn
Related Or Exempt Function Income99856RelatedOrExemptFunctionIncome

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total52128Total
Program Services26064ProgramServices
Management And General26064ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total449028Total
Program Services409863ProgramServices
Management And General39165ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total31774Total
Program Services28829ProgramServices
Management And General2945ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total31164Total
Program Services21644ProgramServices
Management And General9520ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total43958Total
Program Services38017ProgramServices
Management And General5941ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total16414Total
Program Services5608ProgramServices
Management And General10806ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total13702Total
Management And General2373ManagementAndGeneral
Fundraising11329Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6222Total
Program Services4581ProgramServices
Management And General1641ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4884Total
Program Services3663ProgramServices
Management And General1221ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total100039Total
Program Services95037ProgramServices
Management And General5002ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total9918Total
Program Services9104ProgramServices
Management And General814ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7415Total
Program Services7415ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total227Total
Management And General227ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total16953Total
Program Services16953ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total6928Total
Program Services6405ProgramServices
Management And General523ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
EDUCATIONAL SERVICES2046820468
DUES AND FEES1125656285628
SUPPLIES94719471
STUDENT AID70107010

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total838959Total
Program Services715760ProgramServices
Management And General111870ManagementAndGeneral
Fundraising11329Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10598BOY
EOY35286EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY127177BOY
EOY131219EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY3688EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6917BOY
EOY8712EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis150498LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec110099LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY42676BOY
EOY40399EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY187368BOY
EOY219304EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY19771BOY
EOY18934EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY9100BOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY44455BOY
EOY38655EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY50000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY73326BOY
EOY107589EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY99876BOY
EOY100942EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY14166BOY
EOY10773EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY114042BOY
EOY111715EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY187368BOY
EOY219304EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-15042ReconcilationRevenueExpenses
Reconcilation Prior Adjustment12715ReconcilationPriorAdjustment
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
School170b1 AiiXSchool170b1Aii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis150498OtherCostOrOtherBasis
Depreciation110099Depreciation
Book Value40399BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings40399TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt823917TotRevenueEtcAuditedFinclStmt
Revenue Subtotal823917RevenueSubtotal
Total Revenue Per Form990823917TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt838959TotExpensesEtcAuditedFinclStmt
Expenses Subtotal838959ExpensesSubtotal
Total Expenses Per Form990838959TotalExpensesPerForm990

Schedule E IRS990ScheduleE

FieldValueIRS element (for citing)
Nondiscriminatory Policy StmttrueNondiscriminatoryPolicyStmt
Policy Statement In Brochures EtctruePolicyStatementInBrochuresEtc
Policy Publ Via Broadcast MediatruePolicyPublViaBroadcastMedia
Maint Racial Composition RecordstrueMaintRacialCompositionRecords
Maint Scholarships RecordstrueMaintScholarshipsRecords
Maint Copies Of Brochures EtctrueMaintCopiesOfBrochuresEtc
Maint Copies Of All SolicitationstrueMaintCopiesOfAllSolicitations
Discriminate Race Students RightsfalseDiscriminateRaceStudentsRights
Discriminate Race Admiss PoliciesfalseDiscriminateRaceAdmissPolicies
Discriminate Race Emplmn FacultyfalseDiscriminateRaceEmplmnFaculty
Discriminate Race ScholarshipsfalseDiscriminateRaceScholarships
Discriminate Race Educ PoliciesfalseDiscriminateRaceEducPolicies
Discriminate Race Use Of FcltsfalseDiscriminateRaceUseOfFclts
Discriminate Race Athletic ProgfalseDiscriminateRaceAthleticProg
Discriminate Race Other ActyfalseDiscriminateRaceOtherActy
Government Financial Aid ReceivedtrueGovernmentFinancialAidReceived
Government Financial Aid RevokedfalseGovernmentFinancialAidRevoked
Compliance With Rev Proc7550trueComplianceWithRevProc7550

Form990 Schedule E Part II Form990ScheduleEPartII

FieldValueIRS element (for citing)
IdentifierFINANCIAL AID OR GOVERNMENT ASSISTANCE EXPLANATIONIdentifier
Return ReferenceSCHEDULE E LINE 6ReturnReference
ExplanationTHE SCHOOL RECEIVES AID FROM THE NH DEPARTMENT OF EDUCATION UNDER THE EQUITABLE AID PROGRAMExplanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonLOAN PAYABLE - INDIVIDUALSNamePerson
Loan To OrganizationXLoanToOrganization
Balance Due38655BalanceDue
DefaultfalseDefault
Approved By BoardfalseApprovedByBoard
Written AgreementfalseWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due38655TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE BOARD OF TRUSTEES IS CHARGED WITH THE RESPONSIBILITY FOR SETTING PROFESSIONAL SALARIES AND ADMINISTERING THE COMPENSATION PROGRAM.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC