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
THE PARK THEATRE INC
Employer identification number
20-3053280
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.") .
53,836
173,593
157,139
153,185
343,659
881,412
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......
23,461
5,612
7,534
2,928
7,318
46,853
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.
77,297
179,205
164,673
156,113
350,977
928,265
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.)
928,265
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...
77,297
179,205
164,673
156,113
350,977
928,265
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
20
131
67
111
207
536
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
20
131
67
111
207
536
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.)..
77,317
179,336
164,740
156,224
351,184
928,801
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
99.940 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
99.940 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
0 %
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 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
THE PARK THEATRE INC
Employer identification number
20-3053280
Return Reference
Explanation
FORM 990, PAGE 2, PART III, LINE 4A
CUTLER MEMORIAL BUILDING, HOME TO ONE OF THE THEATRE'S PARTNERS, THE JAFFREY WOMAN'S CLUB. TRUSTEES CONTINUED THEIR COLLABORATION WITH THE PERFORMING ARTISTS IN THE REGION TO MOUNT THEATRICAL PROGRAMS, AND IN APRIL, THE THEATRE JOINED WITH THE MONADNOCK INTERNATIONAL FILM FESTIVAL, A NONPROFIT ORGANIZATION BASED IN KEENE, TO PRESENT A RARELY-SEEN RUSSIAN SILENT FILM ACCOMPANIED BY A LIVE, VIRTUOSO INSTRUMENTAL PERFORMANCE ON THE SITE OF THE FUTURE FACILITY. IN THE AUTUMN, THE PARK THEATRE OFFERED ITS FAMILY FILM SERIES - SATURDAYS AT THE CINEMA - DURING THE THREE MONTHS, SEPTEMBER THROUGH NOVEMBER. THE FIRST TWO EVENINGS SCREENED THE STING AND SUPERMAN - THE MOVIE. THE THEATRICAL SEASON CONCLUDED WITH THE ANNUAL SALUTE TO VETERANS WITH THE SHOWING OF "OBJECTIVE BURMA", THE ACTION STORY DEPICTING THE UNITED STATES FORWARD BASED SOLDIERS IN THE SOUTH PACIFIC. AS ALWAYS, SPECIAL ENTERTAINMENT WAS PROVIDED AS PART OF THE THEATRE'S RECOGNITION OF THE SERVICE TO OUR COUNTRY BY AREA VETERANS. THE THEATRE'S ANNUAL MOVIES AND COLLABORATIVE PROGRAMS HAVE BROUGHT OVER 10,006 PATRONS TO DOWNTOWN JAFFREY SOLELY FOR PROGRAMS PRESENTED BY THE PARK THEATRE SINCE 2007. THE THEATRE ALSO CONTINUED TO PARTICIPATE IN THE TOWN'S ANNUAL COMMUNITY CELEBRATION, RIVERFEST, WHICH DRAWS HUNDREDS OF PEOPLE INTO THE DOWNTOWN AREA. DURING RIVERFEST, TRUSTEES CONDUCTED TOURS OF THE FACILITY WITH LECTURES ON HISTORY OF THE BUILDING. THE PARK THEATRE HELD ITS ANNUAL MEETING IN DECEMBER TO REPORT TO THE COMMUNITY ABOUT ITS PLANS AND PROGRESS, WHICH THIS YEAR INCLUDED A SPECIAL THEATRICAL READING OF A RECENTLY-PUBLISHED LETTERS BETWEEN TWO JAFFREY SISTERS SEPARATED BY MARRIAGE AND THE CIVIL WAR. LOUISE CURRAN AND BERNIE WATSON, HUSBAND AND WIFE PIANISTS FROM JAFFREY, PERFORMED HOLIDAY MUSIC FOR THE STANDING-ROOM-ONLY CROWD. TRUSTEES CONTINUED TO WORK THE TOWN'S PLANNING BOARD AND ZONING BOARD OF ADJUSTMENT TO INSTITUTE NECESSARY MODIFICATIONS TO THE BUILDING AND SITE PLANS TO MEET LOCAL AND STATE ORDINANCES. APPROVAL OF THE PROJECT'S SITE PLAN WAS ISSUED IN JUNE. WITH THIS IN HAND, TRUSTEES MOVED FORWARD TO MITIGATE THE SITE AND SECURE THE BALANCE OF FUNDS FOR CONSTRUCTION. THE SOUTHWEST REGION PLANNING COMMISSION REMOVED THE BURIED OIL TANK NEXT TO THE BUILDING AND REPORTED THAT ITS ENGINEERS HAD FOUND NO FURTHER CONTAMINATION OF THE SITE. TRUSTEES ALSO COMMISSIONED A SERIES OF ENVIRONMENTAL STUDIES OF THE INTERIOR OF THE BUILDING AND SURROUNDING PROPERTY AND UNDERTOOK NECESSARY REMEDIATION. IN SEPTEMBER, USDA'S RURAL DEVELOPMENT APPROVED THE PROJECT FOR A LONG-TERM, LOW-INTEREST LOAN FOR CONSTRUCTION. WITH APPROVALS IN HAND AND HAVING SECURED THE EARLY DISTRIBUTION OF CDFA FUNDS, TRUSTEES MET WITH HUTTER CONSTRUCTION CORPORATION, TOWN OFFICIALS AND ABUTTERS TO WORK OUT A SCHEDULE FOR DEMOLITION OF THE FACILITY AND PREPARATION OF THE SITE FOR CONSTRUCTION. ON DECEMBER 10, 2013 AND ACCOMPANIED BY REPRESENTATIVES FROM FEDERAL, STATE AND LOCAL ELECTED OFFICIALS ALONG WITH 260 SUPPORTERS AND SCHOOL CHILDREN, HUTTER CONSTRUCTION CORPORATION LEVELED THE BUILDING, REMOVED THE DEBRIS AND CLEARED THE SITE. THIS STEP PAVED THE WAY FOR THE FINAL LEG OF THE PROJECT'S CAPITAL CAMPAIGN AND CONSTRUCTION OF A NEW FACILITY. THE CORPORATION'S ANNUAL REPORT WAS DISTRIBUTED IN EARLY FEBRUARY AND CONTAINED, AMONG OTHER ITEMS, THE CORPORATION'S 990. THE VISION FOR THE PARK THEATRE IS THAT IT WILL BE "A REGIONAL CENTER FOR THE ARTS AND ENTERTAINMENT, A MEETING PLACE FOR THE COMMUNITY AND A DYNAMIC FORCE IN THE REGION'S ECONOMIC VITALITY AND QUALITY OF LIFE". (ADOPTED MAY 2006)
FORM 990, PAGE 6, PART VI, LINE 11B
THE PRESIDENT IS GIVEN A DRAFT OF THE TAX RETURN AND GOES OVER IT WITH THE BOARD OF TRUSTEES AND THE ACCOUNTANT BEFORE IT IS FILED.
FORM 990, PAGE 6, PART VI, LINE 12C
THE BOARD MEMBERS PROVIDE A LIST OF THEIR ASSOCIATIONS ANNUALLY
FORM 990, PAGE 6, PART VI, LINE 19
WHEN REQUESTED, THE ORGANIZATION MAKES THE REQUESTED DOCUMENTS AVAILABLE UPON PICK UP OR MAIL, WHICHEVER IS MORE CONVENIENT FOR THE REQUESTOR.
FORM 990, PART IX, LINE 11G
CAP EXP:CAPITAL EXP:PROFESSIO 0 0 1,653 CAP EXP:DONOR MGMNT:DATA MGMT 0 0 1,774 CAP EXP:DONOR MANAGEMENT:GIFT 0 0 40 CAPITAL EXP:ENVIRONMENTAL SER 0 0 425 OPER EXP:MARKETING EXP:PROFES 0 2,825 0 OPER EXP:MARKETING EXP:WEBSIT 0 1,839 0 OPER EXP:ADMIN EXP: PAYPAL FE 0 617 0 CAPITAL EXPENSE: CDFA EXPENSE 0 0 5,736