HomeMy WebLinkAboutBpw-04-01-15-11 - Indiana Ballet ConservatoryRESOLUTION NO. BPW- 04- 01 -15 -11
RESOLUTION OF THE CITY OF CARMEL BOARD OF PUBLIC WORKS AND SAFETY
ACKNOWLEDGING RECEIPT OF CONTRACT
WHEREAS, pursuant to Indiana Code 36 -I -4 -7, the City of Carmel, Indiana ( "City "), is authorized to
enter into contracts; and
WHEREAS, pursuant to Indiana Code 36- 4 -5 -3, the City's mayor may enter into contracts on behalf of the
City; and
WHEREAS, pursuant to his authority under Indiana law, the City's mayor, the Honorable James C.
Brainard, has caused to be signed the City contract attached hereto as Exhibit A (the "Contract "); and
WHEREAS, Mayor Brainard now wishes to present the contract to the City's Board of Public Works and
Safety for it to be publicly acknowledged, filed in the Clerk- Treasurer's Office, and made available to the public for
review.
follows:
NOW, THEREFORE, BE IT RESOLVED by the City of Carmel Board of Public Works and Safety as
1. The foregoing Recitals are incorporated herein by this reference.
2. The receipt of the Contract is hereby acknowledged.
3. The Contract shall be promptly filed in the office of the Clerk- Treasurer and thereafter made available to
the public for review.
1
SO RESOLVED this day of A ?f ti . 2015.
CITY OF CARMEL, INDIANA
By and through its Board of Public Works and Safety
BY:
Mary Ann urke, e bej
Date: / ' /1/45"
Lori Si Watso' Member
Date: Y / ,
Di. na Cordray, IM A, Clerk, 1 'reasurer
Date: 1�
SAE BasslMy Documents\ BPW- Resolutions12015 \INDIANA BALLET CONSERVATORY Resolution- Acknowledge Arts Grant Program Agreement - 2015.docx3/1g,20151:01 PM
ARTS GRANT PROGRAM
AGREEMENT
This Grant Agreement (herein referred to as "Agreement ") entered into by and between the City
of Carmel (the "City ") and 1 ND iktIN nJA ;q-iDL (the
"Grantee "), is executed pursuant to the terms and conditions set forth herein. In consideration of
those mutual undertakings and covenants, the parties agree as follows:
1. That on behalf of Grantee, a not - for - profit corporation, I,j C,Of\
an authorized representative of Grantee, have applied for a City of Carmel
( "Grantor ") Arts Grant, said application attached hereto and made a part hereof as
Exhibit "A."
2. Grant Agreement. The City, after review and recommendation by the Mayor and by
the City Council, agrees to grant $ 18 , 6 0 0 . 0 0 to the Grantee for
the eligible costs of the project (the "Project ") or services as described in Exhibits
"A" and "B" of this Agreement. The funds shall be used exclusively in accordance
with the provisions contained in this Agreement.
3. Design and Implementation of Project. The Grantee agrees to use any and all grant
funds in accordance with the proposal contained within this agreement and any
documents attached to this Agreement, which are incorporated by reference.
4. Warranty of non - profit status. Grantee hereby represents and warrants that it is a
not - for -profit entity with a determination letter from the Internal Revenue Service
declaring that it is exempt from Federal income tax.
5. Payment of Grant Funds by the City. The payment of this Grant by the City to the
Grantee shall be made in accordance with the following conditions:
A. This Agreement must be fully executed and signed by both Grantee and Grantor.
B. Grantee has attached all the following information, which it represents and warrants
to be true and accurate, all which have been incorporated fully by reference:
1. An application and description of the proposed use of the grant funds (EXHIBIT
A);
2. A budget for the calendar or fiscal year for which the grant is requested
(EXHIBIT B);
3. Certified copies of incorporation as a not - for - profit corporation under state law
(EXHIBIT C);
4. A not - for - profit application or determination letter from the U.S. Internal Revenue
Service identifying that it is a not - for -profit corporation that is exempt from
Federal income tax (EXHIBIT D);
5. Any audits, reviews or compilations available describing the financial condition
of the Grantee, including most recent available IRS Form 990, and the attached
Affidavit (EXHIBIT E);
6. A list of the Grantee's board of directors and officers listed (EXHIBIT F);
7. A Year End Report from the previous year IF Grantee received an Arts Grant
from the City of Carmel in the previous calendar year, pursuant to paragraph 7
herein (EXHIBIT G).
C. Any other grant conditions that City requires to be met by Grantee, specifically:
6. Grantor's right to request audit or review. Grantee shall submit to an audit or
review by an independent Certified Public Accountant of funds at the City's request,
and shall make all books, accounting records and other documents available at all
reasonable times during the term of this Grant Agreement, and for a period of three
(3) years after final payment of funds under this Agreement, for the purpose of an
audit by the City of Carmel, the State of Indiana, or their designees.
7. Year end review. Grantee agrees to provide the City of Carmel a year -end report
( "Year End Report") for each year, describing how the grant was used and the impact
of the dollars received. This Grant award may not exceed one third (1/3) of Grantee's
combined contributed income, revenue of sales, and/or ticket revenue from the
2
previous year. If the Grant amount is in excess of sixty thousand dollars
($60,000.00), the Grantee agrees to provide, at Grantee's cost, a review or audit of the
grantee. Said review or audit shall be performed by a Certified Public Accountant
( "CPA ") who is neither an employee of Grantee nor a member of the Grantee's Board
of Directors, to be provided to the City of Carmel by March 31 of the following year.
8. Funding Credit. Grantee agrees to credit the City of Carmel in the printed materials
associated with a funded program or project. The City of Carmel will supply, upon
request, Grantee with the graphics /logos necessary for compliance.
9. Statutory Authority of Grantee. The Grantee expressly represents and warrants to
the State that it is statutorily eligible to receive these monies and it expressly agrees to
repay all monies paid to it under this Grant, should a legal determination of its
ineligibility be made by any Court of competent jurisdiction.
10. Use of Grant Funds by Grantee. The funds received by the Grantee pursuant to this
Agreement shall be used only to implement the Project or provide the services in
conformance with the Budget and for no other purpose. If it is detei ined by the
City that misappropriation of funds have occurred, the Grantee must return all funds
received by Grantor and individuals who misuse Grant funds may also be subject to
civil and/or criminal liability under Indiana or Federal law.
11. Employment Eligibility Verification. The Grantee affirms under the penalties of
perjury that he /she /it does not knowingly employ an unauthorized alien.
The Grantee affirms under the penalties of perjury that he /she /it has enrolled and is
participating in the E- Verify program as defined in IC 22- 5 -1.7. The Grantee agrees
to provide documentation to the City that he /she /it has enrolled and is participating in
the E- Verify program.
The City may terminate for default if the Grantee fails to cure a breach of this
provision no later than thirty (30) days after being notified by the State.
12. Governing Law; Lawsuits. This Agreement is to be construed in accordance with
and governed by the laws of the State of Indiana, except for its conflict of laws
provisions. The parties agree that, in the event a lawsuit is filed hereunder, they
waive their right to a jury trial, agree to file any such lawsuit in an appropriate court
in Hamilton County, Indiana only, and agree that such court is the appropriate venue
for and has jurisdiction over same.
13. Relationship of Parties. The relationship of the parties hereto shall be as provided
for in this Agreement, and neither Grantee nor any of its compensated officers,
employees, contractors, subcontractors and/or agents are employees of City. The
3
Grant amount set forth herein shall be the full and maximum compensation and
monies required of City to be paid to Grantee under or pursuant to his Agreement.
14. Severability. If any term of this Agreement is invalid or unenforceable under any
statute, regulation, ordinance, executive order or other rule of law, such term shall be
deemed reformed or deleted, but only to the extent necessary to comply with same,
and the remaining provision of this Agreement shall remain in full force and effect.
15. Entire Agreement. This Agreement, together with any exhibits attached hereto or
referenced herein, constitutes the entire agreement between Grantee and City with
respect to the subject matter hereof, and supersedes all prior oral or written
representations and agreements regarding same. Notwithstanding any other term or
condition set forth herein, but subject to paragraph 15 hereof, to the extent any term
or condition contained in any exhibit attached to this Agreement or in any document
referenced herein conflicts with any term or condition contained in this Agreement,
the term or condition contained in this Agreement shall govern and prevail. This
Agreement may only be modified by written amendment executed by both parties
hereto, or their successors in interest.
IN WITNESS WHEROF, the parties hereto have made and executed this Agreement as follows:
kovoutr PoaLtEr 6 1--D\Y
By:
( "Grantee ")
Printed Name of Officer: bitliU.E i\11 C r..--.IA}J Title: 61\Adr S C4,-14110;
Date: VI /1 5 BO W (f1Y- fJikt: to )
ATTEST:
Date:
3/17/2015
CITY OF CARMEL ( "Grantor ")
By: ars.k %
James Brainard, Mayor
Date: 3/17/2015
If you have any question concerning the City of Cannel's 2015 Arts Grant Program, grant writing, guidelines or application materials, contact:
Sharon Kibbe, City of Carmel, One Civic Square, Carmel, IN 46032, Phone: 317 -571 -2483, skibberuscarntel.in.gov.
4
Exhibit "A"
9
An application and description
of the proposed use of the grant
funds
Exhibit "A"
An Application and Description of the Proposed Use of the Grant Funds
APPLICANT:
Name of organizati n: 1 JOI iA RA--1-1-1" COQ VA-T-0 Y
Address: 2 9 Vu
Telephone: ') i `1-- 9 V5 -2.... 3 Fax:
Contact Person: CJ 11 i i
Email: C -Av 11-4- 6 \ V'CfJPr - C=QiJe B 1/A- 7O-4
APPLICATION AMOUNT: $ /'6°
Not to exceed 1/3 of previous year revenue /income
DESCRIPTION OF THE PROPOSED USE OF THE GRANT FUNDS:
ATM—
By:
Printed Name of Officer: Q. -fl Its.%-. MI LZ DEJ- -- ...s
Title: -3 C'i ? -i tL; ( L D Q)F iii (U
Date: 1 . I '3 --I
(Additional pages may be added to Exhibit "A ")
5
ND A\AB
CONSERVATORY
Honoring Tradition. Inspiring innovation.
Indiana Ballet Conservatory — 2015 Grant Application — Exhibit A
Indiana Ballet Conservatory is a 501c3 not - for - profit organization situated in Carmel that is
dedicated to supporting and furthering the arts through the teaching of dance and ballet,
producing ballet productions and performances of dance and music including new
choreography created by the Artistic Staff, and engaging in outreach to the artistically
underserved through free performances, workshops and other events.
IBC has three primary and complementary missions:
- To provide premiere dance instruction to a growing community of youth through
education of the highest excellence by unparalleled instructional methodology and renowned
instructors;
To provide professional performance opportunities for talented students that will reach
an ever - broadening audience of those who appreciate art in Indiana;
- To connect with the community through free performances and educational
opportunities for everyone including the underserved, the elderly, and those with disabilities or
special needs.
IBC is the only organization in Indianapolis that meets certain specific dance education needs
and it is the only dance school that provides community outreach and free performances to the
extent that it does each year in Indianapolis and Carmel. IBC is the only ballet school in Indiana
that exclusively teaches the Vaganova method of Ballet instruction, which is a unique method
taught at the famed Vaganova Academy in St. Petersburg, Russia and passed down through
graduates of the school, who include IBC faculty. IBC's instructors have qualifications to teach
in this area that are not matched by any other school or instructors in Indianapolis. IBC, and its
students, competing against other dance schools from Indiana and from across the country in
international competitions such as the Youth America Grand Prix have won numerous awards,
including Outstanding School, 1st place in Choreography, 1st place in Ensembles, and many 1st
place awards in other categories. Attached is a copy of IBC's 2014 YAGP achievements. In
addition, IBC is the only Indiana dance school that provides each year hundreds of free tickets
to its performances to needy children with economic and medical challenges, distributed
through local charitable organizations including the Gary Brackett Foundation, the Children's
Bureau, and Gleaners. IBC makes a significant number of appearances throughout Carmel and
Indianapolis each year to enrich and share the arts with the artistically underserved, and it is
Page 1 of 3
also developing a program specifically to assist children fighting cancer through dance and
music therapy workshops.
This grant will enable IBC to continue providing unparalleled artistic instruction to Indiana
dancers, to continue creating and sharing with the community dance productions of the highest
caliber, and to share art with the artistically underserved throughout Indiana.
Indiana Ballet Conservatory seeks a Grant in the amount of $75,000 to maintain and expand its
arts programs. These funds would be spent in the following way:
- Productions: 27% or $20,250 would be spent to support the costs associated with IBC's
professional ballet productions, and the cost of creating new and innovative productions,
including costs to upgrade or purchase new costumes and sets for IBC's productions. These
funds would enable IBC to continue its efforts to share the beauty of traditional ballets and the
excitement of new and innovative choreography with Indiana audiences, consistent with IBC's
philosophy of "Honoring Tradition & Inspiring Innovation." As was the case during the 2014
Grant Year, IBC would allocate production funds from a Carmel Arts Grant to its Carmel
performances only.
- Scholarships: 13% or $9,750 would be spent to support scholarships for highly talented
students at the Conservatory who are economically - challenged. These funds would enable IBC
to keep very talented students who have developed through the Conservatory's training over
the years and who show professional promise even when such student's family situation makes
it difficult or impossible for them to continue paying tuition. Both the Conservatory and the
student would benefit immensely in such cases by the continuity in training.
- Faculty Compensation and General Operating: 40% or $30,000 of the funds would go
towards Faculty Compensation and other operating expenses to enable IBC to continue its
three -part mission including the provision of dance classes and Master Classes in Carmel and
the development of its Carmel productions. IBC's Artistic Faculty is unparalleled anywhere in
the Midwest in the scope of their performance careers, their academic training, and their
results measured by choreography awards and the success of graduates of the Conservatory.
(See Attached Faculty Bios). Notwithstanding their credentials, the small annual budget of IBC
has kept Faculty salaries very low in relation to comparable professionals. These funds would
enable IBC to retain its current quality Faculty which is a critical component of IBC's artistic
value to the Carmel community.
Page 2 of 3
Outreach: 20% or $15,000 would be spent in outreach, by providing access to IBC
performances to children and families in need who are underserved artistically. The funds
would cover the costs of tickets to productions and enable IBC to bring its art to students and
members of the community in Carmel in a variety of venues. These funds would make a
significant contribution to bringing the art of dance to those who might otherwise never have
that introduction. IBC commits to using these funds for its Carmel productions and outreach
to include and encompass Carmel families and children.
Page 3 of 3
,0CERS nFT 7„
d
o I� Congratulations to Indiana Ballet Conservatory Students & Teachers!
q.
14,1 tRIC
• It is with great pleasure that we announce the results of the Youth America Grand
Prix (YAGP) 2014 Indianapolis Regional Competition in which IBC took part
this weekend at the IU Auditorium in Bloomington. YAGP is the largest student ballet
competition in the world and its regional competitions in the United States and abroad
serve as qualifying rounds for the international New York City Finals held annually in
April. Forty -seven schools attended from as far away as Florida, Pennsylvania, North
Carolina, and even Canada. The Indiana Ballet Conservatory took home several of
the top honors at the Indianapolis regional competition, including the following:
• Outstanding School (tied) - Indiana Ballet Conservatory
• Outstanding Choreographer - Sergey Sergiev
• 1st Place Ensembles (All Pieces)
• 2nd Place Pas de Deux - Julia Rust & Kohlton Perdue
• 1st Place Senior Classical (Women) - Olivia Behrmann
• 1st Place Senior Classical (Men) - Glenn Kelich
• 3rd Place Senior Classical (Men) - Mark Pecar
• Top 6 Senior Classical (Men) - Sterling Manka
• 1st Place Senior Contemporary (Men) - Mark Pecar
• 2nd Place Senior Contemporary (Men) - Sterling Manka
• 2nd Place Senior Contemporary (Women) - Olivia Behrmann
• Top 6 Senior Contemporary (Men) - Glenn Kelich
• Top 12 Senior Contemporary (Women) - Lily Wessel
• 1st Place Junior Classical - Julia Rust
• 3rd Place Junior Classical - Noah Motter
• 3rd Place Junior Contemporary - Noah Motter
• Top 12 Junior Contemporary - Daria Afshar
• Top 12 Junior Contemporary - Julia Rust
• 1st Place Pre - Competitive - Ethan Holder
• Top 12 Pre - Competitive - Jaden Perdue
• Top 12 Pre - Competitive - Samara Sharp
IBC wishes to extend warm congratulations to its students, faculty, staff, and parents for
the tremendous amount of sacrifice, time, and energy that went into making this year's
YAGP competition such a successful endeavor.
Qualifying students from IBC will compete on an international stage and represent IBC
and Indiana amongst top ballet schools from around the world at the YAGP NYC Finals
in April. IBC is thankful to YAGP and the Indianapolis City Ballet for bringing this
opportunity to Indiana once again.
,ct
I\
D
CON 3E3 VAT O Y
D
NSER\,ATOR.
Honoring Tradition. Inspiring Innovation.
Alyona Yakovleva- Randall, Founding Artistic Director and Master Teacher &
Coach
Ms. Yakovleva - Randall is a highly degreed, award - winning ballet dancer, choreographer,
teacher, and artistic director. She began her training at the Academy of Ballet in
Novosibirsk and continued to St. Petersburg State University of Culture and Art in
Russia, graduating in 1999 with a degree certifying her in Professional Ballet Dance
Performance; Choreography; and Ballet, Character; and Historical Dance Instruction. In
the summers of 2006. 2007, and 2010. she completed seminars at the Vaganova Ballet
Academy of St. Petersburg, Russia. on the preservation and uniformity of the Vaganova
Method of ballet instruction.
As a Professor of Performance Arts at Dong Duk's Women's University in Seoul, Korea,
Ms. Yakovleva - Randall performed, taught, and choreographed for such renowned
organizations as Universal Ballet Company, Chong -Dong Theatre and MadelnDance
Company. In 2001, Ms. Yakovleva - Randall began teaching for the Clara R. Noyes
Academy of Ballet Internationale for four years. In 2005, Ms. Yakovleva - Randall was
named Artistic Director of the Russian Ballet Academy of Indiana (RBAI) and the
Indiana Ballet Company. Under her leadership, RBAI won "Outstanding School" at
Youth America Grand Prix (YAGP) Regional in 2007, 2009, and 2010. She was also
awarded "Outstanding Teacher" in 2006. Ms. Yakovleva - Randall, along with a host of
business and legal minds, foamed Indiana Ballet Conservatory in 2010.
Under Ms. Yakovleva - Randall's Directorship, IBC has won "Outstanding School" at the
YAGP Regional in 2011, 2013, & 2014. She has also coached students who have won top
International awards at YAGP- NY, Moscow International Ballet Competition, and the
International Ballet Competition - Varna. She is currently guiding IBC into the future as
the school is flourishing and gaining worldwide recognition as a premier training ground
for young dancers.
Ms. Yakovleva - Randall's Awards:
2014 Outstanding School & 1st Place Ensembles, Indiana Ballet Conservatory, Youth
America Grand Prix
2013 Outstanding School, Indiana Ballet Conservatory, Youth America Grand Prix
1
2011 Outstanding School &
America Grand Prix
2010 Outstanding School &
America Grand Prix
2009 Outstanding School &
America Grand Prix
1st Place Ensembles, Indiana Ballet Conservatory, Youth
1st Place Ensembles, Russian Ballet Academy of IN, Youth
1st Place Ensembles, Russian Ballet Academy of IN, Youth
2007 Outstanding School & 1st Place Ensembles, Russian Ballet Academy of IN, Youth
America Grand Prix
2006 Outstanding Teacher, Youth America Grand Prix
1999 Grand Ballerina of Russian Conference for Young Scientists and Specialists
Tatiana Pali, Academy Principal & Ballet Mistress
Ms. Pali is one of only a handful of world - renowned prima ballerinas teaching ballet full -
time in the United States, bringing her talents and set of achievements to a very fortunate
Indiana Ballet Conservatory. Ms. Pali honors IBC and its students by bringing an
incredible history of performance, achievements and awards to IBC's upper level
students.
Ms. Pali achieved stardom as a Prima Ballerina with the Moscow Classical Ballet,
garnering numerous international awards for her performances in Swan Lake, Don
Quixote, Giselle, Romeo & Juliet, The Creation of the World, Paquita, and many others.
She won the Gold Medal at the prestigious International Ballet Competition in Varna,
Bulgaria, received the August Bournonville prize from the Paris Ballet Academy, was
acclaimed with the title "Honored Artist of Russia" and was named as "Best Ballerina of
the Year in Moscow" in 1991.
Ms. Pali has been regularly featured in international galas and participated with other
gold medalists in the "Russian All -Stars Super Gala" in Tokyo. Indianapolis audiences
have enjoyed Ms. Pali in many leading roles in Coppelia, La Sylphide, Giselle, The
Creation of the World, and many others. In April 2000, Ms. Pali retired as Principal
Dancer with Ballet Internationale by offering a magnificent and unforgettable
performance as Scheherazade in A Thousand and One Nights. She continued to assist in
the artistic direction of the company and was a member of the Clara R. Noyes Academy,
and was a senior instructor with the Russian Ballet Academy of Indiana from 2005 -2010.
In 2004 and 2007 she was named Outstanding Teacher at the Youth America Grand Prix
Competition. Ms. Pali brings years of experience, credibility, and a worldwide reputation
to her position as Academy Principal of the Indiana Ballet Conservatory.
2
Alexei Moskalenko, Master Teacher and Coach
A former dancer with the famed Bolshoi Ballet, Mr. Moskalenko has also had 20+ years
of teaching experience in classical ballet, technique, pointe technique, men's ballet
technique, variations, pas de deux, contemporary dance, character dance, and
choreography. He is committed to delivering excellence in dance training and education
through the Russian Vaganova Method while also adapting to each student's individual
needs and abilities. He has a proven record in advising and guiding students through
career options and choices, and has mentored students who have continued their dance
training at colleges, universities, and professional companies.
Mr. Moskalenko also holds the distinct honor of being the New York Director of
Rehearsals, Master Teacher. Judge, and Tour Director for the world's largest ballet
scholarship competition — the Youth America Grand Prix.
Sergey Sergiev, Gentlemen's & Contemporary Choreographer and Instructor
Born in Bulgaria's capitol, Mr. Sergiev studied ballet at the State Choreographic Institute
in Sofia. Following graduation, he joined the National Ballet of Bulgaria where he
danced until 2000. In that same year, he joined Ballet Internationale in Indianapolis. His
repertoire with the National Ballet of Bulgaria includes featured roles in Swan Lake,
Giselle, Zorba the Greek, The Nutcracker and Dracula, and featured roles in Sleeping
Beauty, Marz, Interzone, Peter Pan and One Thousand and One Nights with Ballet
Internationale.
He has toured internationally in Germany, France, Greece, South Korea, China, Canada,
Spain, and other countries. Peter Koldamov, Iasen Valchanov, Irina Kolpakova, Vladilen
Semenov, and Eldar Aliev have all played an instrumental role in shaping Mr. Sergiev as
an artist.
Mr. Sergiev received the honor of Outstanding Choreographer at the 2009, 2012, and
2014 Youth America Grand Prix competition, as well as the Choreography Award at the
2010 World Ballet Competition.
3
Hailey Agran, Administrative Director & Head of Preparatory Division
Ms. Agran began her ballet training with Aimee Jennings and Dawn George in Waterloo,
Iowa, where she was a member of the student performing company, Andante. She
completed her training at the Clara R. Noyes Academy of Ballet Internationale, and later,
the Russian Ballet Academy of Indiana. She has trained under the instruction and
guidance of Alyona Yakovleva, Tatiana Pali, Vladilen Semenov, Irina Kolpakova, Vera
Solovyeva, Nikolai Levitskiy, and Maria Gribanova, among others, and has attended
summer programs with the Classical Dance Alliance (on scholarship), Kirov Academy of
Ballet of Washington, D.C., Ballet Chicago, Cincinnati Ballet, Joffrey Ballet, Ballet
Internationale, and Russian Ballet Academy of Indiana.
Ms. Agran competed in the 2006 Russian Pointe USA National Youth Ballet
Competition, where she was offered scholarships to two universities. She became an
apprentice with the Indiana Ballet Company in the fall of 2006 and joined the Company
in 2009 upon graduation from RBAI. Ms. Agran has performed in Indiana Ballet
Company's productions of The Nutcracker, Paquita, Love and Gravity, Chopiniana, On
Earth We Stand, From Shakespeare with Love, and Phantom of the Opera. Her additional
repertoire includes Pas de Quatre, La Ellie mal Gardee, Flames of Paris, Le Corsaire,
and Don Quixote, as well as multiple contemporary works by Sergey Sergiev and Alyona
Yakovleva.
In addition to instructing the young children's classes at RBAI, Ms. Agran also served as
the Assistant to the Artistic Director from 2006 -2009, as well as the Academy Director
for the 2009 -2010 academic year, and she currently holds the positions of Administrative
Director and Head of the Preparatory Division at the Indiana Ballet Conservatory. Her
individual and caring approach to teaching young children, as well as her strong
administrative and communication skills, make her an invaluable asset to IBC. In 2013,
Ms. Agran was named a "gamechanger... creating the future of ballet" by the online
publication Dressing Room Writers. She is also currently working towards a degree in
English from Indiana University- Purdue University Indianapolis.
4
Exhibit "B"
A budget for the calendar or
fiscal year for which the grant is
requested
Indiana Ballet Conservatory, Inc.
Annual Operating Budget
For the Period August 1, 2014 through July 31, 2015
2015 budget
Revenue:
Tuition - classes 230000
Registration Fees 10000
Total tuition - classes 240000
Expenses:
Summer program 64000
Summer audition 1500
Summer Japan 34400
Total summer program 99900
Private Lessons 85000
Master classes 1500
Total tuition revenue 426400
Philanthropy
Donations 12000
Corporate Donations 7000
Grants 40000
Board 9000
Fundraising 500
Total Philanthropy 68500
Performances
Nutcracker 126000
Spring performance 30000
PttC 60000
Competition 20000
Total Performances 236000
Interest Income 50
Miscellaneous 12000
Total Revenue 742950
Payroll
Salary 215000
Reserve for future benefits 10000
Private Lessons 68000
Payroll Fee 2000
Independent Contractors 15000
Admin. Personnel 40000
Payroll Taxes 19000
Total Payroll 369000
Facilities
Rent 60000
Utilities 9000
Misc 2000
Construction & Improvements 15000
Total Facilities 86000
Performances
Fairs /Festivals /Outreach
Competitions 26000
Nutcracker 95000
Spring performance 15000
Master Class 1000
PTTC 50000
Costumes /Sets
Total Performances 187000
Marketing & Development 14500
Scholarship 6000
Summer program expenses 20000
Fundraisers 10000
Office Expense 7500
Audit Fees 4900
Insurance &taxes 4000
Credit Card expenses 13000
Miscellaneous 7000
Total Administrative 86900
Total Expenses 728900
Net Income /(Loss) 14050
Exhibit "C"
Certified copies of
incoiuoration as snot- for -profit
corporation under state law
State of Indiana
Office of the Secretary of State
CERTIFICATE OF INCORPORATION
of
INDIANA BALLET CONSERVATORY, INC.
1, TODD ROKITA, Secretary of State of Indiana, hereby certify that Articles of Incorporation
of the above Non -Profit Domestic Corporation have been presented to me at my office,
accompanied by the fees prescribed by law and that the documentation presented conforms to
law as prescribed by the provisions of the Indiana Nonprofit Corporation Act of 1991.
Indiana Secretary of State
Packet: 2010062900221
Filing Date: 06/28/2010
Effective Date: 06/28/2010
NOW, THEREFORE, with this document I certify that said transaction will become effective
Monday, June 28, 2010.
In Witness Whereof, I have caused to be
affixed my signature and the seal of the
State of Indiana, at the City of Indianapolis,
June 28, 2010.
TODD ROKITA,
SECRETARY OF STATE
2010062900221/2010062909430
1 1 All 1 IeBLU1 S N1 SVS LSVE1RVICES V1 J 1 M 1 L
DIVISION
CORPORATIONS CERTIFIED COPIES
INDIANA SECRETARY OF STATE
BUSINESS SERVICES DIVISION
302 West Washington Street, Room E018
Indianapolis, IN 46204
http: / /www.sos.in.gov
February 21, 2013
Company Requested: INDIANA BALLET CONSERVATORY, INC.
Control Number: 2010062900221
Date
06/28/2010
Transaction
Articles of Incorporation
# Pages
5
eice‘sfi
Connie Lawson
Secretary of State
State of Indiana
Office of the Secretary of State
I hereby certify that this is a true and
complete copy of this 5 page
document filed in this office.
Dated: February 21, 2013
Certification Number: 2013022186109
Indiana Secretary of State
Packet: 2010062900221
Filing Date: 06/2812010
Effective Date: 06/28/2010
ARTICLES OF INCORPORATION
OF
INDIANA BALLET CONSERVATORY, INC.
2r'' rLl,: 23 II: 33
The undersigned incorporator, desiring to form a corporation ( "Corporation ") pursuant to the
provisions of the Indiana Nonprofit Corporation Act of 1991, as amended (the "Act "), executes the
following Articles of Incorporation (these "Articles "):
ARTICLE I
NAME
The name of the Corporation is Indiana Ballet Conservatory, Inc.
ARTICLE 11
CLASSIFICATION OF CORPORATION
The Corporation is a public benefit corporation.
ARTICLE III
PURPOSES AND POWERS
Section 3.1 The specific purposes and powers of this Corporation are as follows:
(a) This Corporation is organized and is to be operated exclusively for charitable
and educational purposes within the meaning of Section 501(c)(3) of the United States Internal
Revenue Code of 1986, as amended (hereinafter referred to as the "Code "), including (i) the
education of the general public in ballet and other forms of dance; (ii) the instruction, choreography
and performance of ballet and other forms of dance; (iii) the creation of programs and performances
for underserved youth in the greater Indianapolis, Indiana area in order that such youth develop a
greater awareness of ballet and other forms of dance; and (iv) the transaction of any and all lawful
business for which corporations may be incorporated under the Act; provided that such business is
not inconsistent with the Corporation being organized and operated exclusively for educational and
charitable purposes within the meaning of Section 501(c)(3) of the Code. All references to the Code
contained in these Articles are deemed to include corresponding provisions of any future United
States Internal Revenue law.
(b) In furtherance of the purposes set forth in this Article III, the Corporation
may exercise all the rights and powers conferred on nonprofit public benefit corporations under the
laws of the State of Indiana.
Section 12 No substantial part of the activities of the Corporation shall consist, except as
otherwise provided in Section 501(h) of the Code, of carrying on propaganda, or otherwise
attempting to influence legislation, nor shall the Corporation participate in, or intervene in (including
the publishing or distributing of statements or otherwise), any political campaign on behalf of or in
opposition to any candidate for public office.
44 10')3 v3 /I2.l:
Indiana Secretary of State
Packet: 2010062900221
Filing Date: 06/28/2010
Effective Date: 06/28/2010
Section 3.3 Notwithstanding any other provision of these Articles, this Corporation shall
not engage in any activities or exercise any powers, whether express or implied, so as to disqualify
the Corporation from exemption from federal income tax under Section 50l (a) of the Code by reason
of being an organization described in section 501(c)(3) of the Code.
ARTICLE IV
TERM OF EXISTENCE
The Corporation shall have perpetual existence.
ARTICLE V
REGISTERED AGENT; REGISTERED OFFICE; PRINCIPAL OFFICE
The address of the Corporation's initial registered office in the State of Indiana and the initial
registered agent are as follows:
Melissa Rust
484 E. Carmel Drive, Suite 215
Cannel, IN 46032
The address of the Corporation's principal office in the State of Indiana is as follows:
484 E. Carmel Drive, Suite 215
Carmel, IN 46032
ARTICLE VI
NO MEMBERS
The Corporation shall have no members.
ARTICLE VII
DIRECTORS
Upon incorporation, the initial Board of Directors shall consist of three (3) directors.
Thereafter, the number of directors shall be specified in or fixed in accordance with the Bylaws of
the Corporation; provided, however, that the minimum number of directors shall be three (3). The
Board of Directors is expressly empowered to adopt, amend or repeal the Bylaws of the Corporation.
ARTICLE VIII
NAME AND ADDRESS OF INCORPORATOR
The name and address of the incorporator of the Corporation is as follows:
445093 v3 /RE
Bobbi Milliken
Cooky LLP
2.
Indiana Secretary of State
Packet: 2010062900221
Filing Date: 06/28/2010
Effective Date: 06/28/2010
11951 Freedom Drive
Reston, VA 20190
ARTICLE IX
DISTRIBUTION OF ASSETS UPON DISSOLUTION
Section 9.1 The property of the Corporation is irrevocably dedicated to charitable and
educational purposes and no part of the net earnings, net income, property or assets of the
Corporation shall ever inure to the benefit of or be distributed to, its members, directors, officers, or
any private persons, except that the Corporation shall be authorized and empowered to pay
reasonable compensation for services rendered and to make payments and distributions in
furtherance of the purposes set forth in Article 111 hereof. No part of the net earnings or of the
property or assets of the Corporation shall be used other than for the purposes of the Corporation as
set forth in Article 111 hereof or as provided in this Article IX.
Section 9.2 In the event of liquidation, dissolution, termination, or winding up of the
Corporation (whether voluntary, involuntary or by operation of law), the Board of Directors shall,
after paying or making adequate provisions for the payment of all of the liabilities of the Corporation,
transfer all of the remaining property and assets of the Corporation to one or more Qualified
Organizations, as defined below, as the Board of Directors shall determine. For purposes of this
Article IX, "Qualified Organization" shall mean a corporation or other organization organized and
operated exclusively for charitable, educational or scientific purposes, which corporation or other
organization at the time qualifies as exempt from income tax under section 501(a) of the Code by
reason of being an organization described in Section 501 (c)(3) of the Code.
445093 v3 /RE
Signature Page Follows]
3.
Indiana Secretary of State
Packet: 2010062900221
Filing Date: 06/28/2010
Effective Date: 06/28/2010
IN WITNESS WHEREOF, the undersigned incorporator executes these Articles of Incorporation
and verifies subject to penalties of perjury that the facts contained herein are true.
Dated this 23`d day of June, 2010.
4.
445093 v3 /RE
0
illiken
Exhibit "D"
IRS Determination Letter
INTERNAL REVENUE SERVICE
P, O. BOX 2508
CINCINNATI, OH 45201
Date: MAY 0 9 2011
INDIANA BALLET CONSERVATORY INC
C/0 DAUBY OCONNOR & ZALESKI LLC
THADDEUS B ZALESKI
501 CONGRESSIONAL BLVD STE 300
CARMEL, IN 46032
DEPARTMENT OF THE TREASURY
Employer Identification Number:
27- 2928161
DLN:
17053299355000
Contact Person:
JOANN DUNHAM
Contact Telephone Number:
(877) 829 -5500.
Accounting Period Ending:
July 31
Public Charity Status:
509(a)(2)
Form 990 Required:
Yes
Effective Date of Exemption:
June 28, 2010
Contribution Deductibility:
Yes
Addendum Applies:
No
ID# 95215
Dear Applicant:
We are pleased to inform you that upon review of your application for tax
exempt status we have determined that you are exempt from Federal income tax
under section 501(c)(3) of the Internal Revenue Code. Contributions to you are
deductible under section 170 of the Code. You are also qualified to receive
tax deductible bequests, devises, transfers or gifts under section 2055, 2106
or 2522 of the Code. Because this letter could help resolve any questions
regarding your exempt status, you should keep it in your permanent records.
Organizations exempt under section 501(c)(3) of the Code are further classified
as either public charities or private foundations. We determined that you are
a public charity under the Code section(s) listed in the heading of this
letter
Please see enclosed Publication 4221 -PC, Compliance Guide for 501(c)(3) Public
Charities, for some helpful information about your responsibilities as an
exempt organization.
Letter 947 (DO /CG)
-2-
INDIANA BALLET CONSERVATORY INC
We have sent a copy of this letter to your representative as indicated in your
power of attorney.
Sincerely,
Enclosure: Publication 4221 -PC
Lois G. Lerner
Director, Exempt Organizations
Letter 947 (DO /CG)
Exhibit "E"
Any audits, reviews or
compilations available
describing the financial
condition of the Grantee,
inclu.ing most recent available
IRS Form 990, and the
Affidavit
STATE OF INDIANA )
) SS:
COUNTY OF HAMILTON )
AFFIDAVIT
1, Ci7 / Li. E C'.O4Lt1 CAS , an authorized representative
of /400-4(4- i$4 L r lA)A 9l,V.4— -0/0%( "Grantee "), being first duly sworn upon
my oath, state that pursuant to paragraph 7 of the City of Carmel Arts Grant Program Agreement,
all income of Grantee, including a City of Carmel arts grant, if applicable, revenue of sales,
and/or ticket revenue, etc., in the Grantee's year ending in 2014 totaled $ 1705,,
Signature
Printed Name /Ll�. M /a _
Subscribed and sworn to before me, the undersigned Notary Public, this I 34\ day of
J.t����r `� , 20 I S .
e\e E. pd ,
o �•
z g�EpFIN01PP+. i ° =
\CN\P\C\\\k.
Signature - Notary Public
Printed Name MC Q `�. t _
Resident of *1pjALi' ,\y County, Indiana
My Commission Expires: (rc 1 a 3c 1(p
F. 990
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung
benefit trust or private foundation)
The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No 1545 -0047
2012
A For the 2012 calendar year, or tax year beginning AUG 1, 2012 and ending JUL 31, 2013
Opento Public,
- Inspection'. "! _
B Check if
applicable:
r I
I1
Address
change
Name
change
Initial
return
Termin-
ated
Amended
return
Applica-
tion
pending
C Name of organization
INDIANA BALLET CONSERVATORY, INC.
Doing Business As
D Employer identification number
27- 2928161
Number and street (or P.O. box if mail is not delivered to street address)
849 W. CARMEL DRIVE
Room /suite E Telephone number
317 - 379 -1188
City, town, or post office, state, and ZIP code
CARMEL, IN 46032
G Gross receipts $
451,265.
F Name and address of principal officer:JEFFREY GODDARD
SAME AS C ABOVE
1 Tax - exempt status: 501(c)(3) U 501(c) ( )44 (insert no.) Li 4947(a)(1) or Li
J Website: • WWW . INDIANABALLETCONSERVATORY . ORG
K Form of organization: 1 X 1 Corporation 1 1 Trust L_f Association 1 1 Other
;Part.11 Summary
H(a) Is this a group return
for affiliates? 1 Yes 1 x 1 No
H(b) Are all affiliates included? 1 1 Yes 1 I No
527 If "No," attach a list. (see instructions)
- H(c) Group exemption number I■
L Year of formation: 2 0101 M State of legal domicile: IN
1 Activities & Governance
1 Briefly describe the organization's mission or most significant activities: INDIANA BALLET CONSERVATORY ,
INC. IS A NOT —FOR— PROFIT CORPORATION (THE "CORPORATION ") ORGANIZED
2 Check this box I I if the organization discontinued its operations or disposed
of more than 25% of its net
; °s• ->
assets.
3
8
3 Number of voting members of the governing body (Part VI, line la)
4 Number of independent voting members of the governing body (Part VI, line lb
5 Total number of individuals employed in calendar year 2012 (Part V, line 2a),
6 Total number of volunteers (estimate if necessary) :.
7 a Total unrelated business revenue from Part VIII, column (C), line 12 %,
YR: a
b Net unrelated business taxable income from Form 990 -T, line 34., ., •
4
8
5
4
6
0
7a
0 .
7b
0 .
Revenue
8 Contributions and grants (Part VIII, line 1h)
9 Program service revenue (Part VIII, line 2g) >.; .
10 Investment income (Part VIII, column (A), lines 3, 4, and'7d))jI ;.'
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c and 11 e)
12 Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12)
Prior Year
Current Year
66,536.
, 38,499.
311,679.
405,661.
0 .
0 .
3,971.
7 ,10 5 .
382,186.
4 51 , 2 6 5 .
sl Expenses
13 Grants and similar amounts paid (Part IX, column'`(A), lies 1 -3)
14 Benefits paid to or for members (Part IX, column (A), Tine 4)
15 Salaries, other compensation, employee benefits (Part IX; column (A), lines 5 -10)
16a Professional fundraising fees (Part IX, column (A), line 11 e)
b Total fundraising expenses (Part IX, column (D), line 25) •
0
0 .
0 .
0 .
0 .
216,857.
209,222.
0 .
0 .
_,_ ,
`'
.•
17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e)
18 Total expenses. Add lines 13 -17 (must equal Part IX, column (A), line 25)
19 Revenue less expenses. Subtract line 18 from line 12
146,859.
157,292.
363,716.
3 6 6 , 514 .
18,470.
84,751.
Net Assets or
Fund Balance
20 Total assets (Part X, line 16)
21 Total liabilities (Part X, line 26)
22 Net assets or fund balances. Subtract line 21 from line 20
Beginning of Current Year
End of Year
67,403.
13 0 , 8 31.
42,535.
2 6, 8 9 8.
24,868.
10 3 , 9 3 3 .
I;Pa1t 11 Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is
true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign
Here
Signature of officer
ika JEFFREY GODDARD, BOARD PRESIDENT
r I ype or print name and title
LDate
Paid
Preparer
Use Only
Print/Type preparer's name
STEVEN C. LEVY
Preparer's signature
Firm's name ® DAUBY 0' CONNOR & ZALESKI , LLC
[0aTe
check 1 1 PTIN
self - employed P00229331
Firm'SEIN® 35- 1750664
Firm's address o, 501 CONGRESSIONAL BLVD, STE 300
CARMEL, IN 46032 Phone no
May the IRS discuss this return with the preparer shown above? (see instructions)
232001 12 -10 -12 LHA For Paperwork Reduction Act Notice, see the separate instructions.
SEE SCHEDULE 0 FOR ORGANIZATION MISSION STATEMENT CONTINUATION
(317) 848 -5700
LXJ Yes LJ No
Form 990 (2012)
Form 990 22) INDIANA BALLET CONSERVATORY, INC.
l Part�ltl_,� 01 Statement of Program Service Accomplishments
Check if Schedule 0 contains a response to any question in this Part III
1 Briefly describe the organization's mission:
INDIANA BALLET CONSERVATORY, INC. IS A NOT -FOR- PROFIT CORPORATION (THE
"CORPORATION ") ORGANIZED AND EXISTING UNDER THE PROVISIONS OF THE
INDIANA NONPROFIT CORPORATION ACT OF 1991 AS AMENDED. THE CORPORATION
WAS INCORPORATED IN INDIANA ON JUNE 28, 2010. THE CORPORATION IS
2 Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990 -EZ? I Yes No
If "Yes," describe these new services on Schedule 0.
3 Did the organization cease conducting, or make significant changes in how it conducts, any program services? I I Yes 1 X 1 No
If "Yes," describe these changes on Schedule 0.
4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses.
Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and
revenue, if any, for each program service reported.
4a (Code: ) (Expenses $ 337,778. including grants of $ ) (Revenue $ 405,661.
INDIANA BALLET CONSERVATORY, INC. IS A NOT -FOR- PROFIT CORPORATION (THE
"CORPORATION ") ORGANIZED AND EXISTING UNDER THE PROVISIONS OF THE
INDIANA NONPROFIT CORPORATION ACT OF 1991 AS AMENDED. THE CORPORATION
WAS INCORPORATED IN INDIANA ON JUNE 28, 2010. THE CORPORATION IS
ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES,
WHICH INCLUDE THE EDUCATION OF THE GENERAL PUBLIC IN BALLET AND OTHER
FORMS OF DANCE; THE INSTRUCTION, CHOREOGRAPHY AND PERFORMANCE OF BALLET
AND OTHER FORMS OF DANCE; AND THE CREATION`OFJPROGRAMS AND PERFORMANCES
FOR UNDERSERVED YOUTH IN THE GREATERWNDIANAPOLIS, INDIANA AREA IN
ORDER THAT SUCH YOUTH DEVELOP A GREATERgAWARENESS OF BALLET AND OTHER
FORMS OF DANCE.
27- 2928161 Page2
IX
IXI
4b (Code: ) (Expenses $
incltidinggrantsi
) (Revenue $
4c (Code: ) (Expenses $
including grants of $
) (Revenue $
4d Other program services (Describe in Schedule 0.)
(Expenses $ including grants of $
4e Total program service expenses ® 337,778.
) (Revenue $
232002
12 -10 -12
Form 990 (2012)
2
16020606 134463 DOZP.SM022 2012.05090 INDIANA BALLET CONSERVATORY DOZP_SV1
Form 990 2012) INDIANA BALLET CONSERVATORY, INC.
(``Part IV Checklist of Required Schedules
27- 2928161 Page3
1 Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?
If "Yes," complete Schedule A
2 Is the organization required to complete Schedule 8, Schedule of Contributors?
3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for
public office? If "Yes," complete Schedule C, Part I
4 Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect
during the tax year? If "Yes," complete Schedule C, Part 11
5 Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or
similar amounts as defined in Revenue Procedure 98 -19? If "Yes," complete Schedule C, Part III
6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to
provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I
7 Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic and areas, or historic structures? If "Yes," complete Schedule D, Part II
8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete
Schedule D, Part Ill
9 Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for
amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services?
If "Yes," complete Schedule D, Part IV
10 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent
endowments, or quasi- endowments? If "Yes," complete Schedule D, Part V
11 If the organization's answer to any of the following questions is "Yes," then completeSchedule D, Parts VI, VII, VIII, IX, or X
as applicable.
a Did the organization report an amount for land, buildings, and equipment in Part X itne-Ac? If "Yes," complete Schedule D,
Part VI
b Did the organization report an amount for investments - other securities in Part %Xt line 12 that is 5% or more of its total
assets reported in Part X, line 16? If "Yes," complete Schedule D Part 01
c Did the organization report an amount for investments - program elated to Part' X, line 13 that is 5% or more of its total
assets reported in Part X, line 16? If "Yes," complete Schedule D'Parqlll
d Did the organization report an amount for other assets in,Part40,1ine 154hat is 5% or more of its total assets reported in
Part X, line 16? If "Yes," complete Schedule D, Part
f„
e Did the organization report an amount for other liabilities in Part X line 25? If "Yes," complete Schedule D, Part X
f Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses
the organization's liability for uncertain tax positions under Ft J 48 (ASC 740)? If "Yes," complete Schedule D, Part X
12a Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
b Was the organization included in consolidated, independent audited financial statements for the tax year?
If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional
13 Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
14a Did the organization maintain an office, employees, or agents outside of the United States?
b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business,
investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000
or more? If "Yes, " complete Schedule F, Parts I and IV
15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization
or entity located outside the United States? If "Yes," complete Schedule F, Parts 11 and IV
16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals
located outside the United States? If "Yes," complete Schedule F, Parts Ill and IV
17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX,
column (A), lines 6 and 11 e? If "Yes," complete Schedule G, Part I
18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines
1 c and 8a? If "Yes," complete Schedule G, Part II
19 Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes,"
complete Schedule G, Part 111
20a Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H
b If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
Yes
No
1
X
X
3
X
4
X
5
X
6
X
7
X
8
X
9
X
10
X
11a
X
11b
X
11c
X
11d
11e
X
X
11f
X
12a
X
12b
13
14a
X
X
X
14b
X
15
X
16
X
17
X
18
X
19
20a
X
X
20b
Form 990 (2012)
232003
12 -10 -12
3
16020606 134463 DOZP.SM022 2012.05090 INDIANA BALLET CONSERVATORY DOZP_SV1