2013-03-27T13:00:36-05:00 2012-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2011-07-01 237243247 THE BLAKE SCHOOL BLAK 9529883451 110 BLAKE ROAD SOUTH HOPKINS MN 55343 ANNE E STAVNEY 9529883451 2013-03-14 1 XIAOYAN LUO P01305207 6123764500 2011 2016-02-25 16:41:14Z ANNE E STAVNEY 110 BLAKE ROAD SOUTH HOPKINS MN 55343 51010088 0 X WWW.BLAKESCHOOL.ORG X 1900 MN TO PROVIDE STUDENTS WITH AN EXCELLENT, ACADEMICALLY CHALLENGING EDUCATION. 25 24 584 450 13014 2591 3675566 5683241 32772790 33782087 1542326 2192979 85000 18178 38075682 41676485 4185575 4377206 0 0 23509008 23988894 0 0 1228226 9728077 10032290 37422660 38398390 653022 3278095 96189207 96856490 20117924 19204670 76071283 77651820 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 32528585 4377206 33782087 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 2011-2012 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 $4,377,206 IN FINANCIAL AID TO 275 STUDENTS. 32528585 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 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 58 0 584 1 1 1 1 CJ 0 0 0 1 1 0 0 0 0 X 25 24 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X X PATRICIA FRASHER NELSON CONTROLLER 9529883459 110 BLAKE ROAD SOUTH HOPKINS MN 55343 JOHN C GULLA 60.00 X X 678117 0 140775 MICHELLE M KEELEY 5.00 X X 0 0 0 ELIZABETH EPPES WINTON 1.00 X X 0 0 0 MARTHA B DAYTON 1.00 X X 0 0 0 LOCKIE B MARKUSEN 1.00 X X 0 0 0 AJAY GUPTA 1.00 X X 0 0 0 DARREN ACHESON 1.00 X 0 0 0 PETER AHN 1.00 X 0 0 0 KARI ALLDREDGE 1.00 X 0 0 0 MICHAEL BLUM 1.00 X 0 0 0 MICHAEL M BOARDMAN 1.00 X 0 0 0 FORREST G BURKE 1.00 X 0 0 0 SHELLEY CARTHEN WATSON 1.00 X 0 0 0 SUSAN A HOROVITZ 1.00 X 0 0 0 ANDREW G HUMPHREY 1.00 X 0 0 0 HARSOHENA KAUR 1.00 X 0 0 0 JAMES LESLIE 1.00 X 0 0 0 LARKIN MCPHEE 1.00 X 0 0 0 KATE MORTENSON 1.00 X 0 0 0 JOAN NOLAN 1.00 X 0 0 0 DEAN PHILLIPS 1.00 X 0 0 0 HUSSEIN SAMATAR 1.00 X 0 0 0 STEPHANIE SIMON 1.00 X 0 0 0 ROGER J SIT 1.00 X 0 0 0 SANDRA VARGAS 1.00 X 0 0 0 FREDERICK WINSTON 1.00 X 0 0 0 SUSAN M WOLF 1.00 X 0 0 0 ROB ZEASKE 1.00 X 0 0 0 MARC BOGURSKY 50.00 X 173256 0 59738 ANNE GRAYBEAL 50.00 X 118800 0 16858 JAMES LINDSAY 50.00 X 121707 0 17338 PAUL R MENGE 50.00 X 119191 0 10936 PATRICIA FRASHER NELSON 50.00 X 127013 0 11451 JULIE VANG 50.00 X 122246 0 26347 JOSEPH SEIVOLD 50.00 X 131306 0 11256 1591636 0 294699 14 1 1 0 TAHER INC 5570 SMETANA DR MINNETONKA MN 55343 FOOD SERVICES 1474647 FIVE STAR H ENTERPRISES INC PO BOX 14612 MINNEAPOLIS MN 55414 JANITORIAL 274530 HBM SERVICES INC PO BOX 3903 MINNEAPOLIS MN 55403 JANITORIAL 161336 VISIONS INC PO BOX 9438 MINNEAPOLIS MN 55440 PRINTING/PUBLICATIONS 155240 SCHMITTY AND SONS SCHOOL BUSES 22750 PILLSBURY AVENUE SOUTH LAKEVILLE MN 55044 BUSING SERVICES 154825 9 5370 138675 5539196 305934 5683241 TUITION 611600 30160437 30160437 FEES 611600 1691331 1691331 AUXILIARY SERVICES 611710 1612872 1612872 OTHER STUDENT REVENUE 611710 317447 317447 33782087 1328619 14 1328605 9910705 5350 9051695 0 859010 5350 864360 864360 189932 138675 281908 -91976 -91976 PARENT ASSOCIATION REV 611710 97154 97154 ADVERTISING 541800 13000 13000 110154 41676485 33782087 13014 2198143 4377206 4377206 524831 509467 15364 18743620 16632761 1549277 561582 1294681 1155697 96831 42153 2025091 1713347 288888 22856 1400671 1215209 144038 41424 108101 108101 36298 36298 127721 127721 1823210 1706738 99644 16828 231532 20719 196422 14391 474250 221539 126978 125733 461655 461655 1261628 1206499 48673 6456 437232 412064 18080 7088 281520 67148 166715 47657 492551 462850 29701 1810525 1534963 179061 96501 141550 11468 130082 INSTRUCTIONAL EXPENSES 1024540 1004153 1133 19254 UNCOLLECTIBLE ACCOUNTS 206290 206290 ADVANCEMENT EXPENSE 198695 198695 PROF. DEVELOPMENT 157457 146716 8972 1769 757535 177853 569207 10475 38398390 32528585 4641579 1228226 2598018 4523302 625472 698999 1258015 2450471 179419 197501 0 50000 57102 48516 56983 93817 67807408 30266953 38766277 37540455 48117793 36122947 4260720 14884167 269400 246313 8 2 96189207 96856490 3755705 3744221 2658435 2660566 13195501 12322524 33812 0 474471 477359 20117924 19204670 X 48712660 48609288 5620435 7226150 21738188 21816382 76071283 77651820 96189207 96856490 X 3278095 -1697558 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 48877435 540547 611413 1897246 48132149 41226620 902899 8463944 1716028 48877435 36502932 1618409 4827806 1722527 41226620 43257326 1660971 -9689723 2738931 -4013289 36502932 0.53000 0.39000 0.08000 1 0 3181287 3181287 56800317 23903611 32896706 233669 89616 144053 7476836 6273726 1203110 115299 115299 37540455 2605468 F REAL ESTATE INVESTMENTS 1420428 C HEDGE FUNDS 10697094 F DIVERSIFIED EQUITY FUND 161177 F 14884167 ASSET RETIREMENT OBLIGATION 383063 SPLIT-INTEREST AGREEMENTS PAYABLE 94296 477359 41676485 38398390 3278095 -1697203 -355 -1697558 1580537 35666368 -1697203 192013 -1505190 37171558 127721 4377206 4504927 41676485 34085831 192368 192368 33893463 127721 4377206 4504927 38398390 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2009 THROUGH 2012. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS -355. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS -355. SPECIAL EVENT EXPENSES 192,368. PART XII, LINE 4B - OTHER ADJUSTMENTS: FINANCIAL AID 4,377,206. PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 192,368. PART XIII, LINE 4B - OTHER ADJUSTMENTS: FINANCIAL AID 4,377,206. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 EXPLANATION OF NONDISCRIMINATORY POLICY PUBLICATION 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. EXPLANATION OF GOVERNMENT FINANCIAL ASSISTANCE SCHEDULE E, PART I, LINE 6 THE BLAKE SCHOOL RECEIVES FEDERAL AND STATE FUNDING. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS N/A 8381653 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INVESTMENTS N/A 202230 0 0 0 0 0 0 8583883 0 8583883 1 0 1 1 0 0 DERBY CLASSIC 328607 138675 189932 500 162052 10608 51032 19982 37734 328607 138675 189932 500 162052 10608 51032 19982 37734 281908 -91976 1 STUDENT FINANCIAL AID 275 4377206 0 N/A N/A PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 X 1 1 0 0 0 0 0 0 0 JOHN C GULLA 275000 0 55000 0 348117 0 127467 0 13308 0 818892 0 238875 0 MARC BOGURSKY 173256 0 0 0 0 0 18440 0 41298 0 232994 0 0 0 JOSEPH SEIVOLD 86306 0 0 0 45000 0 8250 0 3006 0 142562 0 0 0 PART I, LINE 1A JOHN C. GULLA - HOUSING ALLOWANCE - $50,000 - INCLUDED IN TAXABLE COMPENSATION. JOHN C. GULLA - SOCIAL CLUB DUES - $4,049 - NOT INCLUDED IN TAXABLE COMPENSATION. JOHN C. GULLA - SPOUSAL TRAVEL - $808 - INCLUDED IN TAXABLE COMPENSATION. PART I, LINE 1B THE HOUSING ALLOWANCE PROVIDED TO JOHN C. GULLA IS DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE AS PART OF HIS COMPENSATION PACKAGE AND IS NOT GOVERNED BY REIMBURSEMENT POLICIES. PART I, LINES 4A-B JOHN GULLA - HEAD OF SCHOOL - 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN - $83,500 - THE AMOUNT IS DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. JOHN GULLA - HEAD OF SCHOOL - 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DISBURSEMENT - $238,875 JOSEPH SEIVOLD - MIDDLE SCHOOL DIRECTOR - SEVERANCE PAYMENT - $45,000 CITY OF HOPKINS 416005247 43988PCD0 2007-08-01 5295000 REFUNDING/REFINANCE 0 0 0 CITY OF WAYZATA 415005630 946826AK0 2005-06-23 2000000 FACILITIES CONSTRUCTION 0 0 0 CITY OF MINNEAPOLIS 416005375 603876GB4 2010-05-19 7445000 REFUNDING/REFINANCE 0 0 0 1130000 5310013 105900 4541 2008 1 0 1 1 450000 1985134 40000 2006 0 0 1 1 1065000 7761234 149450 6827997 5896 2011 1 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 ANNE E STAVNEY INCOMING HEAD OF S HOUSING LOAN X 50000 50000 0 1 1 50000 68935 FIN AID FAEGRE BAKER DANIELS MANAGING PARTNER, FAEGRE BAKER DANIELS/TRUSTEE, BLAKE SCHOOL 108101 ANDREW G. HUMPHREY IS THE MANAGING PARTNER AT FAEGRE BAKER DANIELS AND A TRUSTEE OF THE BLAKE SCHOOL. THE BLAKE SCHOOL UTILIZED FAEGRE BAKER DANIEL FOR LEGAL SERVICES. 0 X 14 56601 STOCK MARKET QUOTES X AUCTION/RAFFLE ITEMS 466 188958 ESTIMATED FMV X EVENT ITEMS 6 32873 ESTIMATED FMV X MISCELLANEOUS 100 27502 ESTIMATED FMV 0 0 1 1 THIRD PARTY USE: PART I, LINE 32B: UBS FINANCIAL SERVICES PROCESS ALL STOCK CONTRIBUTIONS. 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 2011-2012 SCHOOL YEAR FOR THE INCOMING HEAD OF SCHOOL, A. STAVNEY (WHO WAS OFFICIAL IN HER POSITION AS OF JULY 1, 2012); AND OTHER OFFICERS AND HIGHEST 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -1,697,203. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS -355. TOTAL TO FORM 990, PART XI, LINE 5: -1,697,558.