Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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 2019 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-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| SCHEDULE E, PART I, LINE 3 | THE SCHOOL'S NONDISCRIMINATORY POLICIES ARE INCLUDED IN ANY PRINTED MATERIAL FROM THE SCHOOL INCLUDING ENROLLMENT FORMS, JOB APPLICATIONS, BROCHURES AND PAMPHLETS DISSEMINATED BY THE SCHOOL. |
| SCHEDULE E, PART I, LINE 6 | THE SCHOOL RECEIVED FEDERAL AND STATE FUNDING. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SCHOOL'S VOTING MEMBERSHIP CONSISTS OF THREE DESIGNATED MEMBER CATEGORIES: 1) ENROLLEE MEMBERS - ENROLLMENT OF A CHILD IN THE SCHOOL SHALL QUALIFY THE PARENT(S) OR LEGAL GUARDIAN(S) OF SUCH CHILD FOR MEMBERSHIP DURING THE CHILD'S ENROLLMENT 2) EMPLOYEE MEMBERS - PAID EMPLOYMENT BY THE SCHOOL SHALL QUALIFY THE EMPLOYEE FOR MEMBERSHIP DURING THE TERM OF THEIR EMPLOYMENT 3) COMMUNITY MEMBERS - VOLUNTEER SERVICE OF 20 HOURS OF WORK PER YEAR FOR GHES SHALL QUALIFY THAT PERSON AS A COMMUNITY MEMBER FOR ONE YEAR AFTER A RECOGNITION OF MEMBERSHIP ACTION (INDICATING EXPIRATION DATE IN 12 MONTHS) BY THE BOARD OF DIRECTORS AN INDIVIDUAL MAY SERVE IN ONLY ONE DESIGNATION FOR THE PURPOSE OF VOTING MEMBERSHIP PARTICIPATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SCHOOL'S BOARD OF DIRECTORS IS ELECTED BY THE SCHOOL'S VOTING MEMBERSHIP AT THE ANNUAL MEETING. THE BOARD OF DIRECTORS MUST BE COMPOSED OF AT LEAST FIVE NONRELATED MEMBERS AND INCLUDE: (I) AT LEAST ONE LICENSED TEACHER EMPLOYED AT THE SCHOOL OR A LICENSED TEACHER PROVIDING INSTRUCTION UNDER A CONTACT BETWEEN THE SCHOOL AND A COOPERATIVE; (II) THE PARENT OR LEGAL GUARDIAN OF A STUDENT ENROLLED IN THE SCHOOL; AND (III) AN INTERESTED COMMUNITY MEMBER WHO IS NOT EMPLOYED BY THE SCHOOL AND DOES NOT HAVE A CHILD ENROLLED IN THE SCHOOL. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BOARD OF DIRECTORS MAY MAKE RECOMMENDATIONS TO THE VOTING MEMBERSHIP TO ELIMINATE ONE OF THE THREE DESIGNATED MEMBER CATEGORIES; BUT THE DECISION TO ELIMINATE A CATEGORY SHALL BE BUSINESS OF THE VOTING MEMBERSHIP. THE BOARD OF DIRECTORS MAY CHANGE THE SCHOOL'S GOVERNANCE MODEL ONLY: (1) BY A MAJORITY VOTE OF THE BOARD OF DIRECTORS AND THE LICENSED TEACHERS EMPLOYED BY THE SCHOOL, INCLUDING LICENSED TEACHERS PROVIDING INSTRUCTION UNDER A CONTRACT BETWEEN THE SCHOOL AND A COOPERATIVE; AND (2) WITH THE AUTHORIZER'S APPROVAL. A MAJORITY VOTE OF THE VOTING MEMBERSHIP IS NEEDED TO ADOPT, AMEND, OR REPEAL THE SCHOOL'S BYLAWS. |
| FORM 990, PART VI, SECTION A, LINE 8B | THERE ARE NO OTHER COMMITTEES THAT MAKE DECISIONS ON BEHALF OF THE SCHOOL BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | ALL MEMBERS OF THE BOARD OF DIRECTORS HAVE BEEN PROVIDED WITH FORM 990 PRIOR TO FILING. THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING INFORMATION PROVIDED BY THE SCHOOL'S BUSINESS OFFICE. ONCE COMPLETED, THE FORM 990 IS REVIEWED IN DETAIL BY MANAGEMENT AND A COPY IS PROVIDED TO THE FULL BOARD PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ARE PROHIBITED FROM SERVING AS A MEMBER OF THE BOARD IF THEY SERVE AS AN EMPLOYEE OR AGENT OF OR A CONTRACTOR WITH ANY FOR-PROFIT ENTITY WITH WHOM THE SCHOOL CONTRACTS, DIRECTLY OR INDIRECTLY, FOR PROFESSIONAL SERVICES, GOODS OR FACILITIES AS REQUIRED IN LAW IN MINNESOTA STATUTES, SECTION 317 A.2SS. EACH DIRECTOR MUST COMPLETE A CONFLICT-OF-INTEREST STATEMENT FOR REVIEW BY THE SCHOOL AND PLACED INTO BOARD PUBLIC RECORD AT THE BEGINNING FIRST MEETING OF THE BOARD WHEN SEATED AND SHALL ANNUALLY COMPLETE SUCH A STATEMENT ON THE ANNIVERSARY OF THE ELECTION OR ON SUCH AN ANNUAL DATE THAT THE BOARD MAY SELECT. THE INTERESTED DIRECTOR MAY BE PRESENT AT THE BOARD MEETING TO ANSWER QUESTIONS, BUT MAY NOT ADVOCATE FOR THE ACTION TO BE TAKEN AND SHALL LEAVE THE ROOM WHILE A VOTE IS TAKEN FOR THE NON-INTERESTED MEMBERS TO DETERMINE IF A CONFLICT EXISTS. THE MINUTES OF ALL ACTIONS TAKE ON SUCH MATTERS SHALL BE CONSISTENT WITH MINNESOTA STATUTE 1240.10. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE SCHOOL'S BOARD OF DIRECTORS MET AND DETERMINED THE EXECUTIVE DIRECTOR AND BUSINESS MANAGER'S COMPENSATION WHICH WAS NEGOTIATED WITH THE EMPLOYEES BEFORE HIRED. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE SCHOOL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC IN THE SCHOOL'S OFFICE. |
| FORM 990, PART XI, LINE 9: | CHANGE IN PENSION LIABILITY -124,653. CAPITAL OUTLAYS -3,400. |
| FORM 990, PART XII, LINE 1: | THE SCHOOL FOLLOWS A MODIFIED ACCRUAL METHOD OF ACCOUNTING AS PRESCRIBED BY THE MINNESOTA DEPARTMENT OF EDUCATION. THE SCHOOL-WIDE FINANICAL STATEMENTS ARE REPORTED USING RESOURCES MEASUREMENT FOCUS AND THE ACCRUAL BASIS OF ACCOUNTING. GRANTS AND SIMILAR ITEMS ARE RECOGNIZED WHEN ALL ELIBILITY REQUIREMENTS IMPOSED BY THE PROVIDER HAVE BEEN MET. |
| Software ID: | |
| Software Version: |