Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Return Reference | Explanation |
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| SCHEDULE E, PART I, LINE 3 | A STATEMENT OF THE NONDISCRIMINATORY POLICY OF ST. ANNE'S BELFIELD, INC. IS PRINTED ON ALL CATALOGUES, APPLICATIONS, NOTIFICATIONS AND OTHER SIGNIFICANT PUBLICATIONS OF THE SCHOOL. IN ORDER TO ASSIST IN RECRUITING A STUDENT BODY WHICH REFLECTS A BROAD SOCIAL AND ECONOMIC BACKGROUND, ALL SUCH MATERIALS CONTAIN A CLEAR STATEMENT OF THE SCHOOL'S NONDISCRIMINATORY POLICIES AS APPLIED TO ALL ASPECTS OF SCHOOL LIFE. A SPECIAL EMPHASIS IS MADE OF THESE POLICIES IN THE AREAS OF ADMISSIONS AND FINANCIAL AID. |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS THOROUGHLY REVIEWED BY THE SCHOOL'S CHIEF FINANCIAL OFFICER PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ON AN ANNUAL BASIS, EACH MEMBER OF THE BOARD OF TRUSTEES SIGNS A STATEMENT WHICH AFFIRMS THAT HE/SHE HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, THAT HE/SHE HAS READ AND UNDERSTANDS THE POLICY, THAT HE/SHE AGREES TO COMPLY WITH THE POLICY, AND THAT HE/SHE UNDERSTANDS THAT THE SCHOOL MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSE. PERIODIC REVIEWS ARE CONDUCTED TO DETERMINE IF POTENTIAL CONFLICTS OF INTEREST EXIST AND SHOULD BE EVALUATED. THE CONFLICT OF INTEREST POLICY CONTAINS SPECIFIC PROCEDURES TO ADDRESS PROPOSED TRANSACTIONS OR ARRANGEMENTS THAT MIGHT GIVE RISE TO A CONFLICT OF INTEREST AND SPECIFIC PROCEDURES TO ADDRESS POTENTIAL VIOLATIONS OF THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15A | A COMMITTEE WAS FORMED BY THE BOARD TO PREPARE A LONG-TERM EMPLOYMENT CONTRACT FOR THE HEAD OF THE SCHOOL. THIS COMMITTEE, IN CONSULTATION WITH VARIOUS PROFESSIONALS, DESIGNED THE CONTRACT AND PRESENTED IT TO THE FULL BOARD. THE CONTRACT WAS APPROVED BY THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE SCHOOL'S 1023, 990, AND 990-T CAN BE DISTRIBUTED TO THE PUBLIC UPON REQUEST. HOWEVER, ALL REQUESTS ARE SUBJECT TO THE APPROVAL OF THE HEAD OF SCHOOL AND THE SCHOOL'S CONSIDERATION OF THE INTENDED USE OF THE DOCUMENTS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE SCHOOL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS CAN BE DISTRIBUTED TO THE PUBLIC UPON REQUEST. HOWEVER, ALL REQUESTS ARE SUBJECT TO THE APPROVAL OF THE HEAD OF SCHOOL AND THE SCHOOL'S CONSIDERATION OF THE INTENDED USE OF THE DOCUMENTS. |
| FORM 990, PART XI, LINE 9: | FAIR MARKET CHANGE IN SWAP AND SPLIT INTEREST AGREEMENT -3,527,767. CHANGE IN PLEDGE VALUATION AND UNCOLLECTIBLE PLEDGES FROM PRIOR YEARS 581,325. |
| FORM 990, PAGE 12, LINE 2C | THE SCHOOL'S FINANCIAL RESOURCES COMMITTEE IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. |
| SCHEDULE E, LINE 3: | A STATEMENT OF THE NONDISCRIMINATORY POLICY OF ST. ANNE'S BELFIELD, INC. IS PRINTED ON ALL CATALOGUES, APPLICATIONS, NOTIFICATIONS AND OTHER SIGNIFICANT PUBLICATIONS OF THE SCHOOL. IN ORDER TO ASSIST IN RECRUITING A STUDENT BODY WHICH REFLECTS A BROAD SOCIAL AND ECONOMIC BACKGROUND, ALL SUCH MATERIALS CONTAIN A CLEAR STATEMENT OF THE SCHOOL'S NONDISCRIMINATORY POLICIES AS APPLIED TO ALL ASPECTS OF SCHOOL LIFE. A SPECIAL EMPHASIS IS MADE OF THESE POLICIES IN THE AREAS OF ADMISSIONS AND FINANCIAL AID. |
| 990 PAGE 2, PART III, LINE 1 | AS AN INDEPENDENT SCHOOL PROVIDING SECONDARY EDUCATION TO A DIVERSE STUDENT BODY, ST. ANNE'S BELFIELD FOSTERS AN EDUCATION COMMUNITY THAT NURTURES THE DEVELOPMENT OF ADVANCED SKILLS, ABILITIES AND KNOWLEDGE, SUPPORTS HIGH PERSONAL ASPIRATION, AND DEVELOPS EXEMPLARY ETHICAL, AND ENGAGED CITIZENS WHO POSITIVELY IMPACT THE WORLD. |
| SCHEDULE K | PART I. LINE A, COLUMN (D): THE ECONOMIC DEVELOPMENT AUTHORITY OF ALBEMARLE COUNTY, VIRGINIA'S VARIABLE RATE EDUCATIONAL FACILITIES REVENUE REFUNDING BONDS (ST. ANNE'S BELFIELD, INC.) SERIES 2009 (THE "SERIES 2009 BONDS) WERE ORIGINALLY ISSUED ON AUGUST 11, 2009. ON DECEMBER 1, 2010 (THE "REISSUANCE DATE"), THE SERIES 2009 BONDS WERE DEEMED REISSUED FOR FEDERAL TAX PURPOSES UNDER SECTION 1001 OF THE INTERNAL REVENUE CODE. PART I, LINE A, COLUMN (F): THE PAR AMOUNT OF THE SERIES 2009 BONDS WAS DEEMED SPENT ON THE REISSUANCE DATE TO REFUND THE SERIES 2009 BONDS THAT WERE OUTSTANDING ON THAT DATE. THE SERIES 2009 BONDS WERE ORIGINALLY ISSUED TO CURRENTLY REFUND THE OUTSTANDING PRINCIPAL AMOUNT OF THE ECONOMIC DEVELOPMENT AUTHORITY OF ALBEMARLE COUNTY , VIRGINIA'S VARIABLE RATE EDUCATIONAL FACILITIES REVENUE BONDS (ST. ANNE'S BELFIELD, INC.), SERIES 2008 (THE "SERIES 2008 BONDS"). THE PROCEEDS OF THE SERIES 2008 BONDS WERE USED TO FINANCE CERTAIN CAPITAL IMPROVEMENTS AT ST. ANNES' BELFIELD'S ("THE BORROWER") FACILITIES, PRIMARILY CONSISTING OF THE ACQUISITION, CONSTRUCTION AND EQUIPPING OF A NEW ACADEMIC VILLAGE FOR STUDENTS IN PRE-SCHOOL THROUGH 8TH GRADE AND TO FINANCE COSTS OF ISSUING THE SERIES 2008 BONDS. PART II, COLUMN A, LINE 3: THIS AMOUNT REPRESENTS THE PAR AMOUNT OF THE REISSUED SERIES 2009 BONDS, WHICH WERE DEEMED SPENT ON THE REISSUANCE DATE TO REFUND THE SERIES 2009 BONDS THAT WERE OUTSTANDING ON THAT DATE. SEE NOTE RELATED TO PART I, LINE A, COLUMN (F). PART II, COLUMN A, LINE 11: THIS AMOUNT REPRESENTS THE PAR AMOUNT OF THE REISSUED 2009 BONDS, WHICH WERE DEEMED SPENT ON THE REISSUANCE DATE TO REFUND THE SERIES 2009 BONDS THAT WERE OUTSTANDING ON THAT DATE. SEE NOTE RELATED TO PART I, LINE A. COLUMN (F). PART I, LINE B, COLUMN (F): THE PROCEEDS OF THE 2013 SERIES BONDS WERE USED TO FINANCE CERTAIN CAPITAL IMPROVEMENTS AT ST. ANNE'S-BELFIELD, INC. ("THE BORROWER") UPPER SCHOOL FACILITIES. THE SERIES 2013 BONDS WERE ISSUED AS DRAW-DOWN BONDS; THEREFORE, PART II, COLUMN B WILL NOT REFLECT ANY INVESTMENT EARNINGS ON THE SERIES 2013 BOND PROCEEDS. |
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