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
2011
Open to Public Inspection
Name of the organization
THE MEADOWS SCHOOL
Employer identification number
94-2795420
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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—2011.
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—2010.
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—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
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......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
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.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
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 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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
Schedule A (Form 990 or 990-EZ) 2011
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE E(Form 990 or 990-EZ) Department of the TreasuryInternal Revenue Service
SchoolsComplete if the organization answered "Yes" to Form 990, Part IV, line 13,or Form 990-EZ, Part VI, line 48. Attach to Form 990 or Form 990-EZ.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
THE MEADOWS SCHOOL
Employer identification number
94-2795420
Part I
YES
NO
1
Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws,
other governing instrument, or in a resolution of its governing body?
......................
1
Yes
2
Does the organization include a statement of its racially nondiscriminatory policy toward students in all its
brochures, catalogues, and other written communications with the public dealing with student admissions,
programs, and scholarships?
......................................
2
Yes
3
Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during
the period of solicitation for students, or during the registration period if it has no solicitation program, in a way
that makes the policy known to all parts of the general community it serves? If "Yes," please describe. If "No,"
please explain. If you need more space use Part II.
.............................
3
Yes
4
Does the organization maintain the following?
a
Records indicating the racial composition of the student body, faculty, and administrative staff?
..........
4a
Yes
b
Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory
Other extracurricular activities?
.....................................
5h
No
If you answered "Yes" to any of the above, please explain. If you need more space, use Part II.
6a
Does the organization receive any financial aid or assistance from a governmental agency?
...........
6a
No
b
Has the organization's right to such aid ever been revoked or suspended?
...................
6b
No
If you answered "Yes" to either line 6a or line 6b, explain on Part II.
7
Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05
of Rev. Proc. 75-50, 1975-2 C.B. 587, covering racial nondiscrimination? If "No," explain on Part II.
7
Yes
Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50085D
Schedule E (Form 990 or 990-EZ) 2011
Schedule E (Form 990 or 990EZ) 2011
Page 2
Part II
Supplemental Information
Complete this part to provide the explanations required by Part I, lines 3, 4d, 5h, 6b, and 7, as applicable. Also complete this part to provide any other additional information (see instructions).
Identifier
Return Reference
Explanation
Schedule E (Form 990 or 990-EZ) 2011
Additional Data
Software ID:
Software Version:
-
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
2011
Open to Public Inspection
Name of the organization
THE MEADOWS SCHOOL
Employer identification number
94-2795420
Identifier
Return Reference
Explanation
COMPENSATION DETERMINATION PROCESS FOR CEO, OFFICERS, AND KEY EMPLOYEES
FORM 990 PART VI, SECTION B, QUESTION 15
SALARY AND BENEFITS FOR OFFICERS AND KEY EMPLOYEES IS APPROVED BY THE RELATED BOARD COMMITTEE. NO SALARY WAS PAID TO THE CHAIRMAN FOR THE YEAR ENDED JUNE 30, 2012.
AVAILABILITY OF DOCUMENTS, FINANCIAL STATEMENTS, AND POLICIES TO PUBLIC
FORM 990 PART VI, SECTION C, QUESTION 19
THE MEADOWS SCHOOL DOES NOT GENERALLY MAKE GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
REVIEW BY ALL MEMBERS OF GOVERNING BODY
FORM 990, PART VI, SECTION B, LINE 11A
NO REVIEW WAS OR WILL BE CONDUCTED.
RECONCILIATION OF NET ASSETS
FORM 990 PART XI, LINE 5 - OTHER CHANGES IN NET ASSETS OR FUND BALANCES
BOOK TAX DIFFERENCE DEPRECIATION 165,461 UNREALIZED GAINS (LOSSES) (14,794) 50% NONDEDUCTIBLE MEALS & ENT. (11,326) --------- TOTAL LINE 5 139,341
COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, ETC.
FORM 990, PART VII, SECTION A
MANY OF THE BOARD OF TRUSTEE POSITIONS ARE HELD BY COUPLES. EACH TRUSTEE POSITION THAT IS HELD BY A COUPLE ONLY HAS ONE VOTE WITH THE BOARD. IN TOTAL THERE ARE 14 TRUSTEES.
REASON FOR AMENDING TAX RETURN
2011 FORM 990
THE MEADOWS SCHOOL IS AMENDING THE 2011 FORM 990 TO CORRECT THE FOLLOWING ITEMS: FORM 990, PART VII, SECTION A - COMPENSATION OF OFFICER, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES AND INDEPENDENT CONTRACTORS. -------------------------------------------------------------------- THE AMOUNTS ORIGINALLY REPORTED IN COLUMNS D WERE UNINTENTIONALLY REPORTED FOR A PERIOD COVERING MORE THAN 12 MONTHS. AS A RESULT, THE ORIGINAL AMOUNTS REPORTED WERE OVERSTATED. AS SUCH, THE MEADOWS SCHOOL HAS CORRECTED THE AMOUNTS REPORTED TO PROPERLY AGREE TO THE RESPECTIVE 2011 FORMS W-2 FOR EACH LISTED INDIVIDUAL. FORM 990, SCHEDULE D, PART V - ENDOWMENT FUNDS -------------------------------------------------------------------- SCHEDULE D, PART V, AS ORIGINALLY FILED, UNINTENTIONALLY OMITTED THE DISCLOSURE OF CURRENT AND PRIOR YEAR INCREASES AND DECREASES TO THE SCHOOL'S ENDOWMENT FUNDS. THE MEADOWS SCHOOL IS INCLUDING A COMPLETED SCHEDULE D, PART V, WITH THIS AMENDED 2011 FORM 990.
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:REPAIRS & MAINTENANCE TOTAL EXPENSES:642982 PROGRAM SERVICES:82266 MANAGEMENT AND GENERAL:560716
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:TUITION DISCOUNTS TOTAL EXPENSES:270875 PROGRAM SERVICES:270875
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:PUBLICATIONS TOTAL EXPENSES:129177 PROGRAM SERVICES:68613 FUNDRAISING:60564
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:SUPPLIES TOTAL EXPENSES:88221 PROGRAM SERVICES:32712 MANAGEMENT AND GENERAL:46820 FUNDRAISING:8689
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:ANNUAL FUND TOTAL EXPENSES:19344 FUNDRAISING:19344
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:AWARDS TOTAL EXPENSES:29731 PROGRAM SERVICES:29731
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:BAD DEBT TOTAL EXPENSES:60400 MANAGEMENT AND GENERAL:400 FUNDRAISING:60000
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:BANK FEES TOTAL EXPENSES:978 MANAGEMENT AND GENERAL:978
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:BOARD OF TRUSTEES TOTAL EXPENSES:7953 MANAGEMENT AND GENERAL:7953
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:COACHING TOTAL EXPENSES:22671 PROGRAM SERVICES:22671
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:EQUIPMENT RENTAL TOTAL EXPENSES:23964 PROGRAM SERVICES:23964
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:SCHOOL EVENTS TOTAL EXPENSES:44302 FUNDRAISING:44302
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:FOOD SERVICE TOTAL EXPENSES:18406 PROGRAM SERVICES:18406
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:FUEL TOTAL EXPENSES:41860 PROGRAM SERVICES:41860
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:LICENSES TOTAL EXPENSES:43763 MANAGEMENT AND GENERAL:43763
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:MEALS & ENTERTAINMENT (50%) TOTAL EXPENSES:11326 PROGRAM SERVICES:6785 MANAGEMENT AND GENERAL:4541
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:MEMBERSHIPS TOTAL EXPENSES:60394 MANAGEMENT AND GENERAL:60394
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:POSTAGE / SHIPPING TOTAL EXPENSES:24134 MANAGEMENT AND GENERAL:24134
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:RECRUITING TOTAL EXPENSES:38027 PROGRAM SERVICES:38027
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:REGISTRATIONS TOTAL EXPENSES:9527 PROGRAM SERVICES:9527
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:RELOCATION TOTAL EXPENSES:25168 PROGRAM SERVICES:25168
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:PROFESSIONAL DEVELOPMENT TOTAL EXPENSES:30252 PROGRAM SERVICES:20632 MANAGEMENT AND GENERAL:9620
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:SECURITY TOTAL EXPENSES:215509 MANAGEMENT AND GENERAL:215509
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:SMALLWARES TOTAL EXPENSES:4780 PROGRAM SERVICES:4033 MANAGEMENT AND GENERAL:747
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:TEACHER ACTIVITIES TOTAL EXPENSES:31105 PROGRAM SERVICES:31105
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:TESTING TOTAL EXPENSES:46966 PROGRAM SERVICES:46966
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.