Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
INDIANA BLACK EXPO INC
Employer identification number
35-1406245
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
1,075,260
2,960,017
2,364,826
2,188,571
2,146,971
10,735,645
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
4,991,246
3,461,323
4,240,291
2,918,790
2,791,797
18,403,447
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
151
151
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
0
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
6
Total. Add lines 1 through 5.
6,066,506
6,421,340
6,605,117
5,107,512
4,938,768
29,139,243
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
612,500
1,007,500
1,021,250
972,500
1,087,500
4,701,250
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
0
c
Add lines 7a and 7b..
612,500
1,007,500
1,021,250
972,500
1,087,500
4,701,250
8
Public Support (Subtract line 7c from line 6.)
24,437,993
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
6,066,506
6,421,340
6,605,117
5,107,512
4,938,768
29,139,243
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
43,314
17,996
17,849
6,048
5,865
91,072
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
0
c
Add lines 10a and 10b.
43,314
17,996
17,849
6,048
5,865
91,072
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
4,827
3,479
2,599
10,905
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
110,392
120,987
125,776
53,355
6,842
417,352
13
Total support (Add lines 9, 10c, 11 and 12.).
6,220,212
6,560,323
6,753,569
5,170,394
4,954,074
29,658,572
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
82.400 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
96.146 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
0.310 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
0.328 %
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
OTHER INCOME, SCHEDULE A, PART III, LINE 12, 2006 $110,392 2007 $120,987 2008 $125,776 2009 $ 53,355 2010 $ 6,842 TOTAL $417,352,
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
10000128
Software Version:
v2010.1.0
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
INDIANA BLACK EXPO INC
Employer identification number
35-1406245
Identifier
Return Reference
Explanation
Description of other program services
Form 990, Part III, Line 4d
OTHER PROGRAMS INCLUDE ACTIVITIES SUCH AS WE CAN FEED THE HUNGRY AT CHRISTMAS WHICH ANNUALLY SERVES OVER 700 FAMILIES WITH A FOCUS ON RESIDENTS FROM LOW-INCOME HOUSING AGENCIES, ASSISTED LIVING FACILITIES AND REFERRALS FROM VARIOUS SOCIAL SERVICE ORGANIZATIONS. THE PROGRAM PROVIDES FAMILIES WITH GROCERIES TO FEED THEIR FAMILIES A TRADITIONAL HOLIDAY DINNER.
PROGRAM SERVICE DESCRIPTION
FORM 990, PART III, LINE 4C
(CONTINUED FROM PART III) THE YOUTH AND FAMILY PROGRAMS STRIVE TO SERVE AS A CATALYST THROUGHOUT INDIANA TO ADDRESS (1) EDUCATION, (2) HEALTH AND (3) ECONOMIC EMPOWERMENT ISSUES REGARDING YOUTH AND FAMILIES. THESE PROGRAMS FOSTER RELATIONSHIPS BETWEEN BUSINESSES, GOVERNMENT AGENCIES, EDUCATIONAL INSTITUTIONS, YOUTH SERVICE AGENCIES, CHURCHES AND OTHER COMMUNITY-BASED ORGANIZATIONS. THE PROGRAMS SERVE AS A CLEARINGHOUSE FOR QUALITY CHAPTER PROGRAMS AND COMMUNITY OUTREACH ACTIVITIES THAT ADDRESS ISSUES AFFECTING YOUTH AND FAMILIES STATEWIDE. THE PROGRAMS ALSO ACTIVELY INVOLVE THE ORGANIZATION'S STAFF AND VOLUNTEERS IN PROGRAM ADMINISTRATION TO KEEP THEM ABREAST OF ISSUES AND TRENDS AFFECTING AFRICAN-AMERICAN FAMILIES AND YOUTH. THE YOUTH AND FAMILY PROGRAMS PROVIDE YEAR-ROUND EDUCATIONAL YOUTH PROGRAMS, SERVICES AND EVENTS AS WELL AS IMPORTANT HEALTH AWARENESS CAMPAIGNS AND ECONOMIC DEVELOPMENT INITIATIVES. THE ORGANIZATION PLAYED A CRUCIAL ROLE IN THE ESTABLISHMENT OF THE ANDREW J. BROWN ACADEMY. THIS CHARTER SCHOOL HAS COMPLETED ITS FOURTH FULL-YEAR OF OPERATION AND CURRENTLY SERVES APPROXIMATELY 570 STUDENTS IN KINDERGARTEN THROUGH SEVENTH GRADE AND HAS ALREADY SEEN SIGNIFICANT INCREASES IN STUDENT STATE-WIDE TESTING SCORES. THE ORGANIZATION'S SIGNATURE PROGRAM, THE YOUTH VIDEO INSTITUTE, OFFERS COMPREHENSIVE AFTER-SCHOOL CAREER EXPLORATION AND TECHNOLOGY-ORIENTED TRAINING TO MIDDLE AND HIGH SCHOOL STUDENTS.
Documentation of meetings held by committees of governing body
Form 990, Part VI, Section A, Line 8b
THIS QUESTION IS NOT APPLICABLE BECAUSE THE ORGANIZATION HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. THEREFORE, ACCORDING TO THE 990 INSTRUCTIONS, THIS QUESTION HAS BEEN ANSWERED NO.
Review of form 990 by governing body
Form 990, Part VI, Section B, Line 11b
THE EXECUTIVE MANAGEMENT TEAM REVIEWS IN DETAIL THE FORM 990 BEFORE IT IS FILED WITH THE IRS.
Conflict of interest policy
Form 990, Part VI, Section B, Line 12c
EVERY OFFICER AND BOARD MEMBER ARE REQUIRED TO SIGN ANNUALLY A CONFLICT OF INTEREST STATEMENT. THE FINANCE COMMITTEE REVIEWS EACH CONFLICT OF INTEREST STATEMENT. IF THERE ARE ANY POTENTIAL CONFLICTS, THE FINANCE COMMITTEE REPORTS THOSE POTENTIAL CONFLICTS TO THE BOARD CHAIR. IF A POTENTIAL CONFLICT ARISES AT A BOARD MEETING THE BOARD CHAIR WILL ENSURE THAT THE PERSON WITH THE POTENTIAL CONFLICT EXCUSES THEMSELVES FROM THE VOTE.
Public Disclosure
Form 990, Part VI, Section C, Line 19
THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
COMPENSATION PROCESS OF PRESIDENT/CEO
FORM 990, PART VI, SECTION B, LINE 15A
THE COMPENSATION OF THE PRESIDENT IS DETERMINED BY THE BOARD OF DIRECTORS. THEIR DECISIONS ARE DOCUMENTED IN THE BOARD MINUTES. THE BOARD DOES NOT USE COMPARABILITY DATA. THEY BOARD APPROVES COST OF LIVING ADJUSTMENTS.
COMPENSATION PROCESS OF OFFICERS OR KEY EMPLOYEES
FORM 990, PART VI, SECTION B, LINE 15B
THERE ARE NO OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION. THEREFORE, LINE 15B IS NOT APPLICABLE AND HAS BEEN ANSWERED AS "NO" PER THE 990 INSTRUCTIONS.
Other changes in net assets or fund balances
Form 990, Part XI, Line 5
PRIOR PERIOD ADJUSTMENTS - -29787;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.