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. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
TILTON SCHOOL
Employer identification number
02-0222239
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
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—2012.
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—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
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) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE E(Form 990 or 990-EZ) Department of the Treasury Internal 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. Information about Schedule E (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
TILTON SCHOOL
Employer identification number
02-0222239
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 or Form 990-EZ.
Cat. No. 50085D
Schedule E (Form 990 or 990-EZ) 2013
Schedule E (Form 990 or 990EZ) 2013
Page 2
Part II
Supplemental Information. 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).
Return Reference
Explanation
SCHEDULE E, PART I, LINE 3
THE SCHOOL'S NON-DISCRIMINATION POLICY IS CLEARLY STATED IN ITS PROMOTIONAL CATALOG AND IS AVAILABLE ON THE WEBSITE.
Schedule E (Form 990 or 990-EZ) 2013
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.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
TILTON SCHOOL
Employer identification number
02-0222239
Return Reference
Explanation
FORM 990, PART I, LINE 1
TILTON SCHOOL CHALLENGES STUDENTS TO EMBRACE AND NAVIGATE A WORLD MARKED BY DIVERSITY AND CHANGE. THROUGH THE QUALITY OF HUMAN RELATIONSHIPS, THE TILTON SCHOOL COMMUNITY CULTIVATES IN ITS STUDENTS THE CURIOSITY, THE SKILLS, THE KNOWLEDGE AND UNDERSTANDING, THE CHARACTER AND THE INTEGRITY REQUISITE FOR THE PASSIONATE PURSUIT OF LIFELONG PERSONAL SUCCESS AND SERVICE.
FORM 990, PART III, LINE 1
TILTON SCHOOL CHALLENGES STUDENTS TO EMBRACE AND NAVIGATE A WORLD MARKED BY DIVERSITY AND CHANGE. THROUGH THE QUALITY OF HUMAN RELATIONSHIPS, THE TILTON SCHOOL COMMUNITY CULTIVATES IN ITS STUDENTS THE CURIOSITY, THE SKILLS, THE KNOWLEDGE AND UNDERSTANDING, THE CHARACTER AND THE INTEGRITY REQUISITE FOR THE PASSIONATE PURSUIT OF LIFELONG PERSONAL SUCCESS AND SERVICE.
FORM 990, PART VI, SECTION A, LINE 2
BOARD MEMBERS SARAH BIRD AND ROBERT RORISTON HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11
POLICY: TILTON SCHOOL RECOGNIZES THAT THE GOVERNANCE ROLE OF ITS BOARD OF TRUSTEES INCLUDES THE ANNUAL REVIEW OF FORM 990(RETURN OF ORGANIZATIONS EXEMPT FROM TAXATION). ACCORDINGLY, TILTON SCHOOL REQUIRES REVIEW OF THE FORM 990 BY THE BOARD OF TRUSTEES PRIOR TO ITS FILING ON AN ANNUAL BASIS. SCHEDULE B IS RECEIVED BY THE AUDIT COMMITTEE ONLY. THIS COMMITTEE RECOMMENDS APPROVAL TO THE FULL BOARD. PROCEDURES: 1. SENIOR MANAGEMENT OF TILTON SCHOOL IS RESPONSIBLE FOR THE TIMELY PREPARATION OF FORM 990. 2. THE COMPLETED FORM 990 WILL BE PROVIDED TO THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES SUFFICIENTLY IN ADVANCE OF THE FILING DEADLINE TO ENABLE A DETAILED AND CONSCIENTIOUS REVIEW BY ALL MEMBERS OF THE COMMITTEE. ALL QUESTIONS, CONCERNS, ETC. OF THE AUDIT COMMITTEE WILL BE ADDRESSED BY THE DIRECTOR OF FINANCE & OPERATIONS AND INCORPORATED INTO THE FORM 990 AS APPROPRIATE. 3. ALL MEMBERS OF THE BOARD OF TRUSTEES WILL BE INVITED TO REVIEW THE COMPLETED FORM 990 IN ADVANCE OF FILING DEADLINE VIA THE TRUSTEE PORTAL OF THE SCHOOL'S WEBSITE AT WWW.TILTONSCHOOL.ORG. SHOULD A TRUSTEE NOT HAVE WEBSITE ACCESS, THEY MAY REQUEST AN ELECTRONIC COPY VIA EMAIL OR HARD COPY VIA US MAIL TO REVIEW. ALL QUESTIONS, CONCERNS, ETC. OF THE MEMBERS OF THE BOARD OF TRUSTEES WILL BE ADDRESSED BY THE DIRECTOR OF FINANCE & OPERATIONS AND INCORPORATED INTO THE FORM 990 AS APPROPRIATE. 4. AFTER ALL OF THE INPUT FROM THE BOARD OF TRUSTEES AND THE AUDIT COMMITTEE HAS BEEN APPROPRIATELY ADDRESSED, SENIOR MANAGEMENT OF TILTON SCHOOL WILL FILE THE FINAL FORM 990 AS REQUIRED.
FORM 990, PART VI, SECTION B, LINE 12C
THE BOARD OF TRUSTEES REVIEW AND EXECUTE A CONFLICT OF INTEREST POLICY ANNUALLY. THE BOARD CHAIR IS CHARGED WITH ENSURING COMPLIANCE.
FORM 990, PART VI, SECTION B, LINE 15
THE POLICY ON THE PROCESS OF DETERMINING COMPENSATION OF TILTON SCHOOL APPLIES TO THE COMPENSATION OF THE FOLLOWING PERSONS EMPLOYED BY TILTON SCHOOL: 1. TILTON SCHOOL EMPLOYED EXECUTIVE BY TITLE: HEAD OF SCHOOL 2. OTHER OFFICERS OR KEY EMPLOYEES OF TILTON SCHOOL BY TITLE: (N/A) THE PROCESS OF DETERMINING COMPENSATION INCLUDES THE FOLLOWING ELEMENTS: (1) REVIEW AND APPROVAL BY THE BOARD OF TRUSTEES AS RECOMMENDED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES; (2) USE OF INDUSTRY DATA AS TO COMPARABLE COMPENSATION; (3) REVIEW AND APPROVAL BY AN INDEPENDENT COMPENSATION SPECIALIST; (4) CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING. 1. REVIEW AND APPROVAL: THE COMPENSATION OF THE PERSON IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES AS RECOMMENDED AND PRESENTED BY THE COMPENSATION COMMITTEE. ANY BOARD MEMBER WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT IS NOT INVOLVED IN THIS REVIEW AND APPROVAL. 2. USE OF INDUSTRY DATA AS TO COMPARABLE COMPENSATION: ANNUALLY THE COMPENSATION COMMITTEE REQUESTS INDUSTRY DATA ON COMPARABLE SALARY THAT IS PROVIDED BY THE DIRECTOR OF FINANCE AND OPERATIONS. THE SCHOOL PARTICIPATES IN SALARY SURVEYS OF ITS NATIONAL AND LOCAL INDEPENDENT SCHOOL ASSOCIATIONS ANNUALLY IN ORDER TO OBTAIN COMPARABLE DATA AND REMAIN CURRENT IN THE INDUSTRY TRENDS. 3. REVIEW AND APPROVAL BY AN INDEPENDENT COMPENSATION SPECIALIST: THE BOARD OF TRUSTEES FROM TIME-TO-TIME MAY HIRE AN INDEPENDENT COMPENSATION SPECIALIST TO REVIEW AND APPROVE THE COMPENSATION PACKAGE OF THE CHIEF EMPLOYED EXECUTIVE (HEAD OF SCHOOL) AND OTHER KEY EMPLOYEES WHEN APPROPRIATE AND NOT REQUIRED ANNUALLY. THIS REVIEW HELPS TO ENSURE THAT APPROPRIATE COMPARABLE DATA IS USED AND THE WRITTEN SALARY ARRANGEMENT IS PROPERLY MANAGED BY THE SCHOOL. 4. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING: THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING BY THE BOARD OF TRUSTEES WITH RESPECT TO MEETINGS, CONVERSATIONS, DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT. THE COMPENSATION ARRANGEMENT DOES RESULT IN A WRITTEN, FORMAL CONTRACT SIGNED BY THE CHAIR OF THE BOARD OF TRUSTEES AND THE CHIEF EXECUTIVE OFFICER.
FORM 990, PART VI, SECTION C, LINE 19
TILTON SCHOOL'S 990 IS AVAILABLE ON-LINE AT WWW.GUIDESTAR.ORG. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS AND THE FORM 990 ARE AVAILABLE FOR INSPECTION AT THE SCHOOL.
FORM 990, PART XI, LINE 9:
CURRENT YEAR INCREASE IN CSV OF LIFE INSURANCE 175. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT 45,609. CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT -16,971.
FORM 990, PART XI, LINE 2C
THE SCHOOL'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND RECOMMENDS THE INDEPENDENT AUDITOR. THE FULL BOARD OF TRUSTEES VOTES TO ACCEPT THE AUDIT AND THE INDEPENDENT AUDITOR. THERE HAVE BEEN NO CHANGES IN THIS PROCESS FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.