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
2012
Open to Public Inspection
Name of the organization
THE SNAKE RIVER MONTESSORI SCHOOL INC
Employer identification number
82-0488508
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 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 monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
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 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2012.
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—2011.
If the organization did not check a 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—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012
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
2012
Open to Public Inspection
Name of the organization
THE SNAKE RIVER MONTESSORI SCHOOL INC
Employer identification number
82-0488508
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) 2012
Schedule E (Form 990 or 990EZ) 2012
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) 2012
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
2012
Open to Public Inspection
Name of the organization
THE SNAKE RIVER MONTESSORI SCHOOL INC
Employer identification number
82-0488508
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
THE MISSION OF THE SNAKE RIVER MONTESSORI SCHOOL IS TO PROVIDE A CAREFULLY PREPARED MONTESSORI ENVIRONMENT THAT EDUCATES AND STIMULATES CHILDREN TO DEVELOP HABITS, ATTITUDES, AND SKILLS FOR A LIFETIME OF CREATIVE THINKING AND LEARNING.
RELATED PARTY INFORMATION AMONG OFFICERS
FORM 990, PAGE 6, PART VI, LINE 2
MARK HOLBROOK SUSAN WILSON BOARD MEMBER BOARD MEMBER FAMILY RELATIONSHIP BRANDY JANZEN STEVE JANZEN BOARD MEMBER BOARD MEMBER FAMILY RELATIONSHIP
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
AFTER THE FORM 990 HAS BEEN PREPARED, THE FORM IS REVIEWED AT A REGULAR BOARD MEETING BY ALL THE DIRECTORS PRESENT. THE PREPARER EXPLAINS THE FORM AND PROVIDES ACCOMPANYING SOURCE DOCUMENTATION. THE DIRECTORS ARE FREE TO ASK QUESTIONS AND MAKE SUGGESTIONS. ALL DOCUMENTS ARE PROVIDED AS A HARD COPY OR SENT VIA E-MAIL TO THE DIRECTORS FOR REVIEW. THE FORM AND SCHEDULES ARE AGAIN ADDRESSED AT THE NEXT BOARD MEETING, ALLOWING TIME FOR QUESTIONS, CLARIFICATIONS, ETC. IF ANY CHANGES ARE NEEDED, THE PREPARER WILL MAKE THE REQUESTED CHANGES AND THEN RESUBMIT THE FORM TO THE DIRECTORS FOR FINAL APPROVAL. IF NEEDED, THE PROCESS CAN BE REPEATED UNTIL THE DIRECTORS HAVE VOTED TO APPROVE THE FORM AND IT IS SUBMITTED TO THE IRS. ANY DIRECTOR WHO IS NOT IN ATTENDANCE AT THE BOARD MEETING RECEIVES THE FORM, SCHEDULES AND SOURCE DOCUMENTATION. HE/SHE ALSO HAS THE OPPORTUNITY TO ASK QUESTIONS AND/OR OFFER SUGGESTIONS. ALL PARTS OF FORM 990 AND ALL SCHEDULES ARE PROVIDED TO THE DIRECTORS FOR REVIEW.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
ON AN ANNUAL BASIS, EACH DIRECTOR, OFFICER, AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A "CONFLICT OF INTEREST DISCLOSURE STATEMENT". THE STATEMENT REQUIRES EACH SIGNER TO ATTEST THAT HE/SHE HAS READ AND UNDERSTANDS THE "SRMS CONFLICT OF INTEREST POLICY" AND TO ATTEST THAT NEITHER HE/SHE OR ANY MEMBER OF HIS/HER FAMILY HAS IN THE PAST, IS PRESENTLY, OR PLANS TO ENGAGE IN ANY ACTIVITY THAT CONTRAVENES SAID POLICY. THE QUESTIONNAIRE ALSO INCLUDES SPECIFIC QUESTIONS TO FACILITATE THE DISCLOSURE OF ANY ACTIVITY OR RELATIONSHIP THAT MIGHT BE A CONFLICT OF INTEREST OR APPEARANCE OF A CONFLICT OF INTEREST BETWEEN HIS/HER PERSONAL INTEREST AND THE INTERESTS OF SRMS. THE "SRMS CONFLICT OF INTEREST POLICY" STATES THOSE PERSONS AFFECTED BY THE POLICY, DEFINITIONS OF KEY WORDS AND PHRASES, A PROCEDURE OUTLINING THE ANNUAL DISCLOSURE REQUIREMENT, HOW TO DETERMINE IF A CONFLICT OF INTEREST EXISTS, HOW TO ADDRESS THE CONFLICT OF INTEREST, WHAT TO DO WHEN A VIOLATION OF THE CONFLICT OF INTEREST POLICY IS DISCOVERED, WHAT IS REQUIRED WHEN RECORDING ALL PROCEEDINGS, AND THE NEED FOR PERIODIC REVIEWS TO ENSURE THAT SRMS OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX- EXEMPT STATUS. DIRECTORS OF OTHER INTERESTED PERSONS WITH A POTENTIAL CONFLICT OF INTEREST MAY MAKE A PRESENTATION TO THE BOARD OF DIRECTORS, BUT ARE ASKED TO LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
WHEN DETERMINING COMPENSATION, THE FINANCE COMMITTEE OBTAINS LOCAL COMPARISON INFORMATION, AS WELL AS, STATE PAY SCHEDULES, AND AMERICAN MONTESSORI SOCIETY PAY SCHEDULES. BENEFITS ARE ALSO SUBSTANTIATED BY THESE METHODS. PAY RAISES MAY ALSO BE DETERMINED BY THE COLA AS DETERMINED BY THE US DOL. THE FINANCE COMMITTEE USES COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION AND RECORD KEEPING IN PREPARING A PROPOSED PAYROLL FOR THE BOARD OF DIRECTORS. THE REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS DOES NOT INCLUDE PERSONS WITH A CONFLICT OF INTEREST REGARDING COMPENSATION ARRANGEMENTS WHICH INVOLVE THE DIRECTOR, A FAMILY MEMBER OF THE DIRECTOR, A BUSINESS RELATIONSHIP WITH THE DIRECTOR, OR ANY OTHER PERSON INVOLVED IN A COMPENSATION ARRANGEMENT WITH THE DIRECTOR. THE DETERMINING OF COMPENSATION FOR ALL POSITIONS AT SRMS IS SUBJECT TO THESE PROCEDURES AND IS USED IN ALL COMPENSATION ARRANGEMENTS.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
WHEN DETERMINING COMPENSATION, THE FINANCE COMMITTEE OBTAINS LOCAL COMPARISON INFORMATION, AS WELL AS, STATE PAY SCHEDULES, AND AMERICAN MONTESSORI SOCIETY PAY SCHEDULES. BENEFITS ARE ALSO SUBSTANTIATED BY THESE METHODS. PAY RAISES MAY ALSO BE DETERMINED BY THE COLA AS DETERMINED BY THE US DOL. THE FINANCE COMMITTEE USES COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION AND RECORD KEEPING IN PREPARING A PROPOSED PAYROLL FOR THE BOARD OF DIRECTORS. THE REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS DOES NOT INCLUDE PERSONS WITH A CONFLICT OF INTEREST REGARDING COMPENSATION ARRANGEMENTS WHICH INVOLVE THE DIRECTOR, A FAMILY MEMBER OF THE DIRECTOR, A BUSINESS RELATIONSHIP WITH THE DIRECTOR, OR ANY OTHER PERSON INVOLVED IN A COMPENSATION ARRANGEMENT WITH THE DIRECTOR. THE DETERMINING OF COMPENSATION FOR ALL POSITIONS AT SRMS IS SUBJECT TO THESE PROCEDURES AND IS USED IN ALL COMPENSATION ARRANGEMENTS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
ALL GOVERNING DOCUMENTS, POLICIES, FINANCIAL STATEMENTS, AND BOARD MEETING MINUTES ARE AVAILABLE AT THE SCHOOL'S OFFICE. REQUESTS CAN BE MADE THROUGH THE OFFICE PERSONNEL TO REVIEW THE DOCUMENTS ON THE SCHOOL PREMISES OR TO HAVE COPIES MAILED TO THEM.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.