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HomeMy WebLinkAboutResolution_BPW_02-03-21-24; Arts Grant; ($10,000.00); Janus Development ServicesRESOLUTION NO. BPW02-03-21-24 RESOLUTION OFTHECITYOFCARMELBOARDOFPUBLICWORKSANDSAFETY ACKNOWLEDGING ARTSGRANTPROGRAMAGREEMENT WHEREAS, pursuant toIndianaCode36-1-4-7, theCityofCarmel, Indiana (“City”), isauthorized toenter intocontracts; and WHEREAS, pursuant toIndianaCode36-4-5-3, theCity’smayormayenterintocontractsonbehalfofthe City; and WHEREAS, pursuant tohisauthority under Indiana law, theCity’smayor, theHonorable JamesC. Brainard, hascausedtobesignedtheArtsGrantattachedheretoasExhibitA the (“Contract”); and WHEREAS, MayorBrainard nowwishestopresentthecontracttotheCity’sBoardofPublicWorksand Safety forittobepubliclyacknowledged, filedintheClerk’sOffice, andmadeavailabletothepublicforreview. NOW, THEREFORE, BEITRESOLVED bytheCityofCarmelBoardofPublicWorksandSafetyas follows: 1. TheforegoingRecitalsareincorporated hereinbythisreference. 2. ThereceiptoftheContractisherebyacknowledged. 3. TheContractshallbepromptlyfiledintheofficeoftheClerkandthereaftermadeavailabletothepublic forreview. SORESOLVED this dayof , 2021. CITYOFCARMEL, INDIANA ByandthroughitsBoardofPublicWorksandSafety BY: James Brainard, Presiding Officer Date: MaryAnnBurke, Member Date: LoriS. Watson, Member Date: ATTEST: SueWolfgang, Clerk Date: S:EBass\\\ MyDocuments\\ BPW-\Resolutions\2021\\AcknowledgeArtsGrantJanusDevelopmental \ Services.docx1/27/202110:27AM DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F 2/3/2021 2/3/2021 2/3/2021 2/3/2021 2/3/2021 ARTS GRANT PROGRAM AGREEMENT This Grant Agreement ( herein referred to as " Agreement") entered into by and between the City of Carmel ( the " City") and _ Janus Development Services ( 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: That on behalf of Grantee, a not -for -profit corporation, 1, Christina Sorensen 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, agrees to grant $ 10 , 000. 00 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. Generally, the Grant award may not exceed one third 1/ 3) of Grantee' s combined contributed income, revenue of sales, and/or ticket revenue from the previous year. The City of Carmel may, however, make exceptions for start- up organizations that have been in existence for three ( 3) years or less. 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. DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F 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, unaudited Balance Sheet and Income Statement, most recent available IRS Form 990,_and_the attachedAffidavit( EXHIBIT E)6. ; A list of the Grantee'sboardofdirectorsand 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 paragraph8hereinEXHIBIT G)C. . Any other grant conditions that City requires to be met by Grantee, specifically: 6. Grantor' sright to request audit or review. Grantee shall submit to an audit or review by an independent Certified Public AccountantoffundsattheCity'srequest, 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. Said review or audit, if requested, shall be performed by a Certified Public Accountant ("CPA") who 7 DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F 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. 7. Quarterly financial statements. Grantee agrees to provide the City of Carmel quarterly financial statements within 45 days after each quarter -end for Grant awards in excess of sixty thousand dollars ($60,000). 8. 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. 9. 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. 10. Statutory Authority of Grantee. The Grantee expressly represents and warrants to the City 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. 11. 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 determined 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 and Federal law. 12. 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. 13. 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. 3 DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F 14. 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 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. 15. 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. 16. 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: anus Development Services Printed Name of Officer: Christina Sorensen Title: CEO Date: 11/ 10/ 2020 CITY OF CARMEL ("Grantor") By: A - James Brainard, Mayor Date: 1- 13- 2021 ATTEST: l 6) Date: 1- 13- 2021 If you have any question concerning the City of Carmel' s 2021 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, . skibbencarmel. in. eov. 4 DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F Exhibit "A" An Application and Description of the Proposed Use of the Grant Funds APPLICANT: Name of organization: Janus Development Services Address:_ 1555 Westfield Road Noblesville, IN 46062 Telephone: 317- 773- 8781 Fax: Contact Person: Christina Sorensen Email: CSorensen@janus- inc.org APPLICATION AMOUNT: $ 10,000 DESCRIPTION OF THE PROPOSED USE OF THE GRANT FUNDS: Janus Developmental Services is requesting funding of $10, 000 from the the City of Carmel to purchase needed items for our new Art- preneur and Exploratory Art programs serving individuals with disabilities: Art-preneur - Janus is evolving the art commission program to allow participants to take the next step and start their own art studio and business. This is often referred to as a micro -enterprise. We hope that this program will inspire clients to become artistic entrepreneurs. It is intended that participants would learn basic business skills, purchase their own supplies, and sell their own product to the public. Janus would serve as an " incubator" to foster this entrepreneurial activity. We hope to serve at least five clients through this program each year. Exploratory Art - this program will allow us to expand our art program to a significantly larger portion of our clients. We see art and creativity as being a staple of programming for all participants, not just a few. This expanded role for the arts will replace more traditional programming such as sheltered work and generic day services activity that has occurred for years through programs such as Janus. The result will be a significant increase in quality of life across all Janus participants. We intend to serve around 50 clients through this program each year. Items needed to carry out this project include the following: Art supplies for Exploratory Art — includes brushes, canvases, paints, mixed media materials, smocks, and other related supplies Plexiglas partitions for the art studio to comply with social distancing guidelines Storage cubbies for both programs — allowing clients to keep their art projects secure between sessions Funds to cover staffing to manage Additional both pro pa es ams may be added to Exhibit " A") See Exhibit A for more information Printed Name of Officer: Christina Sorensen Title: CEO Date: 11/ 10/ 2020 DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F EXHIBIT A — Janus Development Services Janus has been serving individuals with disabilities for over 40 years. Our mission is to provide individuals with disabilities the opportunity to participate and contribute to the community. Janus is committed to fulfilling our mission every day as we provide programs and services which focus on assisting those we serve to acquire the life skills needed to live fulfilled and self- sufficient lives. The individuals whom we serve have a variety of diagnoses including Down syndrome, autism, cerebral palsy, mobility concerns, intellectual challenges, developmental disabilities, genetic disorders, vision concerns and hearing impairments. In order to assist them, Janus provides several programs and services at our center as well as programs that take place out in our community. Janus Developmental Services is requesting funding to purchase needed items for our new Art-preneur and Exploratory Art programs serving individuals with disabilities: Art-preneur - Janus is evolving the art commission program to allow participants to take the next step and start their own art studio and business. This is often referred to as a micro -enterprise. We hope that this program will inspire clients to become artistic entrepreneurs. It is intended that participants would learn basic business skills, purchase their own supplies, and sell their own product to the public. Janus would serve as an incubator" to foster this entrepreneurial activity. We hope to serve at least five clients through this program each year. Exploratory Art - this program will allow us to expand our art program to a significantly larger portion of our clients. We see art and creativity as being a staple of programming for all participants, not just a few. This expanded role for the arts will replace more traditional programming such as sheltered work and generic day services activity that has occurred for years through programs such as Janus. The result will be a significant increase in quality of life across all Janus participants. We intend to serve around 50 clients through this program each year. Items needed to carry out this project include the following: Art supplies for Exploratory Art — includes brushes, canvases, paints, mixed media materials, smocks, and other related supplies Plexiglas partitions for the art studio to comply with social distancing guidelines Storage cubbies for both programs — allowing clients to keep their art projects secure between sessions Funds to cover staffing to manage both programs Providing arts and other creative outlets provides incredible benefits for those with disabilities. At Janus we have seen the growth and prosperous attitudes from those who participate in our arts DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F EXHIBIT A — Janus Development Services programs. We believe by offering additional options to our clients will offer both short and long- term advantages including: Access to an arts program specifically designed for those with disabilities Physical benefits for participants including increased muscle strength, flexibility, balance and coordination Psychological benefits include reduced anxiety and stress and mental wellness Increased opportunities for socialization and inclusion Opportunity for clients to become more self-sufficient by preparing and supporting the establishment of their own art based business At Janus, we are excited to see how this program can integrate into our existing offerings for our clients. It is important that we emphasize strategic planning and adapting to include our community needs. We continue to collaborate with community school corporations, local organizations and actively participate in numerous community initiatives and events. As long- time providers of essential services to our community, Janus continues to be greatly invested in the well-being of the community and committed to seeking ways to assist residents of all abilities to fully participate in their community. Thank you for this opportunity to submit this grant request for your consideration. Additional Details Janus is currently the only non- profit in Hamilton County offering developmental disability offerings. Noble of Indiana has a small satellite office in the area offering one community based program. Janus has strong community ties with elected officials, local businesses, service groups, and other non- profit. Currently we have 54 volunteers serving approximately 1, 620 hours with several of these volunteers excited to assist in these new programs. DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F Exhibit B Janus Developmental Services, Inc. 2021 Proposed Budget Ordinary Income/ Expense Income 4000 • Government Funding - Federal 4010 • Federal FTA 5311/ Cares Act Total 4000 • Government Funding - Federal 4100 - Government Funding - State 4110 • PMTF Allocation 4130 • Medicaid Waiver 4140 • DDRS State Line 4150 • Vocational Rehab Total 4100 • Government Funding - State 4200 • Government Funding - Local 4210 • Hamilton County 4220 • Tipton County 4250 • Townships Total 4200 • Government Funding - Local 4300 • Group Homes & Private Pay 4310 • Group Homes 4350 • Private Pay Total 4300 • Group Homes & Private Pay 4500 • Client Work Programs 4510 • Contract Manufacturing 4520 • GBC Sales 4530 • Hidden Talents Sales 4540 • Doorways Project Sales 4660 • Cafe - GBC 4560 • Vending Machine Sales -In- house 4570 • Cafe - Courthouse Sales Total 4600 • Client Work Programs 4600 • Service Revenue 4610 • Fares & Passes 4630 • Shepherd' s Center Fares 4650 • Janus Transportation Total 4600 • Service Revenue 4800 • Fundraising Income 4810 • Donations/ Contributions 4850 • The CCC Breakfast 4870 • Giving Tuesday Donations 4890 • Private Grants Total 4800 • Fundraising Income 4900 • Other Income 2021 Proposed Budget 1, 567, 199. 33 1, 567, 199. 33 0. 00 707, 249. 00 19, 842. 00 83. 448. 00 810, 539. 00 775, 000. 00 16, 000. 00 10, 500. 00 801, 500. 00 139, 134. 00 26. 202. 00 165, 336. 00 109, 607. 00 4910 • Advertising Revenue 4930 • Space Leasing & Rent 4950 • Vehicle & Equipment Sales 4970 • Interest & Endowment Income 4990 • Other Miscellaneous Income Total 4900 • Other Income Total Income Gross Profit Expense 5000 • Cost of Goods Sold - Labor 5010 • Client Payroll - WE 5020 • Client Payroll - Cafe 5030 • Client Commissions- Doorways 5040 • Employer FICA - WE 5050 • Employer FICA - Cafe 6080 • Workers Comp - Client Payroll 5090 • Processing Client Payroll Total 6000 • Cost of Goods Sold - Labor 5600 • Cost of Goods Sold - Materials 5510 - Manufacturing Expenses 5530 • Hidden Talents Expenses 5540 • Commission Projects Materials 5550 - GBC Cafe' Expenses 5560 • In House Cafe Expenses 5570 • Courthouse Cafe Expenses 6680 • Cash Over & Short - Cafe 6690 • Shipping & Freight Total 6500 • Cost of Goods Sold - Materials 6000 • Personnel Expenses 6010 • Staff Salaries & Wages 6020 • Employer Payroll Taxes 6030 • Health, Dental & Life Insurance 6040 • Workers Comp Insurance 6050 • 401K Company Match 6070 • Unemployment 6080 • Fringe Benefits Total 6000 • Personnel Expenses 6100 • Purchased Services 6110 • IT & Software Services 6130 • Accounting Services 6150 • Legal Services 6170 • Payroll & Benefits Admin. 6180 • EE Screenings, Checks & Testing 6190 • Other Professional Services 6199 • Allocated Professional Services Total 6100 • Purchased Services 6300 • Facility Expenses 40, 000. 00 7, 409. 00 12, 000. 00 5, 700. 00 16, 250. 00 81, 359. 00 4, 461, 297. 33 4,461, 297. 33 49, 898. 00 16, 627. 00 1, 440. 00 4, 394. 00 707. 00 6310 • Utilities 6330 • Phones, Internet & Cable 6350 • Facility Repairs & Maintenance 6360 • Facility Purchases 6370 - Custodial Supplies & Services 6399 • Allocated Facility Expense Total 6300 • Facility Expenses 6400 • Vehicles, Equipment & Supplies 6410 • Gas & Oil 6415 • Shepherd' s Center Gas Expense 6420 • Vehicle Cleaning 6430 • Vehicle Repairs & Maintenance 6440 • Parts & Supplies Total 6400 • Vehicles, Equipment & Supplies 6450 • Office & Program Supplies 6460 • Furniture & Equipment Purchase 6470 - Equipment Repairs & Maintenance 6480 • Program Supplies 6485 • Client Purchases 6488 • Client Activities & Events 6490 • Office Supplies 6499 - Allocated Office Supplies Total 6450 • Office & Program Supplies 6500 • Business Development 6510 • Printing & Advertising 6530 • Fundraising Expense 6550 • Dues & Memberships 6560 • Community Mtgs/ Networking 6570 • Conferences & Seminars 6590 • Publications & Subscriptions 6599 • Allocated Business Devlop. Exp. Total 6500 - Business Development 6600 • Staff Travel, Meetings & Events 6610 • Staff Travel 6650 • Meals & Entertainment 6660 • Staff Meetings & Workshop 6690 • Special Events & Recognition Total 6600 • Staff Travel, Meetings & Events 6700 • Administrative Expenses 6710• Insurance 6730 • Taxes - UBIT 6760 • Interest & Fees 6770 • Postage & Shipping 9874 • Licenses and Permits Total 6700 • Administrative Expenses 6735 • Property Tax Assessment 6800 • Grant Funded Purchases 4, 697. 00 40, 370. 00 29, 349. 00 10, 550. 00 3, 906. 00 83, 548. 00 172, 420. 00 226, 541. 00 840. 00 19, 547. 00 32, 750. 00 55, 942. 00 335, 620. 00 6900 • Depreciation Total Expense Net Ordinary Income Other Income/ Expense Other Income 7600 • Capital Project Funds Received Total Other Income Net Other Income Net Income 318, 784. 00 4, 546, 046. 33 84, 749. 00 229, 000. 00 229, 000. 00 229, 000. 00 144, 261. 00 DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F Exhibit C 3SW2' STATE OF INDIANA OFFICE OF THE SECRETARY OF STATE To Whom There Presents Come, Greeting: CERTIFICATE OF INCORPORATION EDWIN J SIMCOX 1, XXRXXYZXXS} TJ Secretary of State of the State of Indiana, hereby certify that Articles of Incorporation of the above not -for -profit corporation, in the form prescribed by this Office, prepared and signed in duplicate by the Incorporator( s) and acknowledged and verified by the same before a Notary Public, have been presented to me at this office accompanied by the fees prescribed by law; that I have found such Articles conform to law; that I have endorsed my approval upon the duplicate copies of such Articles; that allfees have been paid as required by law; that one copy ofsuch Articles has been filed in this office; and that the remaining copy( ies) ofsuch Articles bearing the endorsement of my approval and filing has ( have) been returned by me to the incorporator( s) or his ( their) representatives; all as prescribed by the Indiana Not -For -Profit Corporation Act of 1971. NOW, THEREFORE, I hereby issue to such Corporation this Certificate of Incorporation, and further certify that its corporate existance has begun. In Witness Whereof, I have hereunto set my hand and affixed the seal of the State of Indiana, at the City of Indianapolis, this 4th day of April In 79 of State Deputy DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F INSTRiffCTION' S. Corporate Form No. 364- 1( Sept. 1977) Use 8% x 11 Inch Paper for Inserts Page One Present 2 Executed Copies to Secretary of ARTICLES OF INCORPORATION State, Room 155, State House, Indianapolis, ( Not for Profit) Indiana 46204 Prescribed by Edwin J. Simcox, The recording of a third executed copy with Secretary of State of Indiana the County Recorder is no longer statutorily requFILL APPROVED ed. FILING FEE is $ 26. 00 AND FILED APR 4 1979 SECRETARY OF, STATE OF INDIANA ARTICLES OF INCORPORATION OF JANUS. DEVELOPMENTAL SERVICES, INC. The undersigned incorporator or incorporators, desiring to form a corporation ( hereinafter referred to as the " Corporation") pursuant to the provisions of the Indiana Not -For -Profit Corporation Act of 1971, hereinafter referred to as the " Act"), execute the following Articles of Incorporation: ARTICLE I Name The name of the Corporation is , JANUS DEVELOPMENTAL SERVICES,. INC. , .. ... _ , . , The name shall include the word " Corporation" or " Incorporated", or one of the abbreviations thereof.) ARTICLE II Purposes The purposes for which the Corporation is formed are: SECTION I - To provide services and programs to habilitate, rehabilitate, or educate, and to provide training and/ or employment for individuals who are mentally retarded, developmentally disabled and/ or physically handicapped regardless of age, race, creed, color, sex, marital status, degree or' type of retardation or disability, to enable them to function to their fullest potential. SECTION Ih - JANUS DEVELOPMENTAL SERVICES, INC, is a non- profit, nonpolitical, non- sectarian, organization and is organized exclusively for charitable, educa- tional and scientific purposes, including for such purposes, the making of distributions that qualify as exempt organizations under Section 501 ( c) ( 3) of the Internal Revenue Code of 1954 ( or corresponding provisions of any future United States Internal Revenue Law). No part of any earnings shall inure to the benefit of any member, or individual, and no officer or director of JANUS DEVELOPMENTAL SERVICES, INC. shall receive any compensation for his/ her services as an officer or director. NOTE. " Not -for -Profit" as applied to corporations means, ".. , any corporation which does not engage in any activities for the profit of its members and which is organized and conducts its affairs for the purposes other than the pecuniary gain of its members". ( Indiana Code, 23- 7- 1. 1- 2[ d]) Smte Form 4162 DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F ARTICLES OF INCORPORATION Not for Profit) Page Two ARTICLE III Period of Existence The period during which the Corporation shall continue is .? eP@eTp ......... . ... . . . . . . . ......... . either " Perpetual", or, if limited, some definite period of time.) ARTICLE 1V Resident Agent and Principal Office Section 1. Resident Agent. The name and address of the Corporation' s Resident Agent for service of process is .....,,,.. Richard DeTar .................. Name) 9780 Wild, Qhpi ry ,Lpje, Indianapolis. , , , , , ... INDIANA 46M. Number and Street or Building) ( City) ( State) ( Zip Code) Section 2. Principal Office. The post office address of the principal office of the Corporation is ... . 836 Cherry Street Noblesville INDIANA 46060 Number and Street or Building) ( City) ( State) ( Zip Codc) ARTICLE V Membership A minimum of three ( 3) persons shall have signed the membership list. ( Directors or Trustees or Incorporators may be included in the Membership.) Section 1. Classes ( if any): There are to be no classes of membership — Membership shall be open to all parents, relatives, guardians, and handicapped persons themselves, and to other persons sympathetic to the purposes of JANUS DEVELOPMENTAL SERVICES, INC Section 2. Rights, Preferences, Limitations, and Restrictions of Classes: Not Applicable Section 3. Voting Rights of Classes: Each member is entitled to serve as a director and to have one vote at all general meetings and at the annual meeting. a NOTE: The Corporation shall confer upon every member a. certificate signed by the President ( or Vice -President) and Secretary (or Assistant Secretary), stating that he or she is a member of the Corporation. DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F ARTICLES OF INCORPORATION . Not for Profit) Page Three ARTICLE VI Directors Section 1. Number of Directors: The initial Board of Directors is composed of.. FIFTEEN..( 15J... members. If the exact number of Directors is not stated, the minimum number shall be and the maximum number shall be .. , ................. Provided, however, that the exact number of directors shall be prescribed from time to time in the By -Laws of the Corporation; AND PROVIDED FURTHER THAT UNDER NO CIRCUMSTANCES SHALL THE MINIMUM NUMBER BE LESS THAN THREE ( 8). Section 2. Names and Post Office Addresses of the initial Board of Directors are: Name Number and Street or Building City State Zip Code Hayes O' Brien 209 Wesley Circle Noblesville Indiana 46060 Jack Simmons R. R. 1 Kempton Indiana 46049 Jack Roland 600 Howard Street Arcadia Indiana 46030 Ellen Gill 19275 Edgewood Court Noblesville Indiana 46060 Dick DeTar 9780 Wild Cherry Lane Indianapolis Indiana 46280 Bill King 422 North Mill Creek Rd. Noblesville Indiana 46060 0. T. Goad 473 North 17th Street Noblesville Indiana 46060 Jack Davis 895 North loth Street Noblesville Indiana 46060 Niles Daggy 11809 Pebblebrook Lane Carinelv ".` Indiana 46032 Marge Norris 605 High Drive Carmel Indiana 4603.2 Wayne Hilton 1127 Central Avenue Noblesville Indiana 46060 Glenna Ellis R. R. 3 Sheridan Indiana 46069 Don Fields 121 First Avenue NW Carmel Indiana 46032 Jim Delpb 238 Maple Street Tipton Indiana 46072 Arthur Smelser R. R. 4 Tipton Indiana 46072 ARTICLE VII Incorporator( s) Section 1. Names and Post Office Address( es) of the incorporator( s) of the Corporation is ( are) as follows; Name Number and Street or Building City State Zip Code Hayes O' Brien 109 Wesley Circle Noblesville Indiana 46060 Jack Simmons R. R. 1 Kempten Indiana 46049 Jack Roland 600 Howard ' Street Arcadia Indiana 46030 Ellen Gill 19275 Edgewood Court Noblesville Indiana 46060 6 DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F ARTICLES OF INCORPORATION Not for Profit) Page Four ARTICLE Vill Statement of Property ( If any) A statement of the property, and an estimate of the value thereof, to be taken over bythe Corporation at or upon its incorporation are as follows: All properties and equipment which are presently owned by the Hamilton County Association for Special Citizens, Inc. and the Tipton County Association for Retarded Citizens, Inc, will transfer to the ownership of JANUS DEVELOPMENTAL SERVICES, INC, per agreement ( see attachment A). A list of these properties and estimated values is attached ( Attachment B). ARTICLE IX Provisions for Regulation and Conduct Of the Affairs of Corporation Can be the " By Laws") Other previsions, consistent with the laws of this state, for the regulation and conduct of the affairs of the Corporation, and creating, defining, limiting or regulating the powers of the Corporation, the directors or the members of any class or classes of members are as follows: See attached By -Laws DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F ARTICLES OF INCORPORATION Not for Profit) Page Five The undersigned, being one or more persons, do hereby adopt these Articles of Incorporation, representing beforehand to the Secretary of State of the State of Indiana and all persons whom it may concern that a membership list or lists of the above named corporation for which a Certificate of Incorporation is hereby applied for, have heretofore been opened in accordance with the law and that at least three ( 3) persons have signed such membership list. IN WITNESS WHEREOF, I ( we) the undersigned do hereby execute these Articles of Incorporation and certify the truth of the facts herein stated, this . . 3 . . . day of . A,pril . . . . . . . . . . , 19. 79 . cv .ty(Wrltten, signature) . Hayes T. 4tBrien Printed signature) . l/ t t REGC ( Written Signature) Written Signature) Mack Roland Printed Signature) NOTARY ACKNOWLEDGEMENT required) State of Indiana ) SS: County of JIAMILTQN. . . . ) Before me, PANIi LA k.. LEW7 S . . . . . . . . . . . . . a Notary Public in and for said county and State, personally appeared the above incorporator( s) and ( severally) acknowledged the execution of the foregoing Articles of Incorporation. Notary Seal Required Written Signature) PQMELA . K, LUIS. . . , Notary Public Printed Signature) My commission expires: CQtc)bev 9Q, . 1982 Commission # 16946 WITNESS my hand and Notarial Seal this. "... day of Q.'/ ii._Q_, 1939 This instrument was prepared by . David Ray. Kiely,. Executive Director Nae)m ( . . . . 836 Cherry Street Noblesville Indiana 46060 Number and Street or Building) ( City) ( State) ( Zip Code) DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F Exhibit D pep7 Sjjy 1 . 1 LJ.\ 1J C Internman[ Interpol revenue venu Treaeury Service P. O. Box 2508 Cincinnati OH 45201 JANUS DEVELOPMENTAL SERVICES INC 1555 WESTFIELD RD NOBLESVILLE IN 46062- 6826 Nu N{ F 037829 In reply refer to: 0248344558 July 12, 2012 LTR 4168C E0 31- 0963175 000000 00 00025858 BODC: TE Employer Identification Number: 31- 0963175 Person to Contact: Mr. Burns Toll Free Telephone Number: 1- 877- 829- 5500 Dear Taxpayer: This is in response to your July 03, 2012, request for information regarding your tax- exempt status. Our records indicate that you were recognized as exempt under section 501( c)( 3) of the Internal Revenue Code in a determination letter issued in June 1981. Our records also indicate that you are not a private foundation within the meaning of section 509( a) of the Code because you are described in section( s) 509( a)( 1) and 170( b)( 1)( A) Cvi). Donors may deduct contributions to you as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to you or for your use are deductible for Federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. Please refer to our website www. irs. gov/ ec for information regarding filing requirements. Specifically, section 6033( j) of the Code provides that failure to file an annual information return for three consecutive years results in revocation of tax- exempt status as of the filing due date of the third return for organizations required to file. We will publish a list of organizations whose tax- exempt status was revoked under section 6033( j) of the Code on our website beginning in early 2011. DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F STATE OF INDIANA SS: COUNTY OF HAMILTON AFFIDAVIT I, Christina Sorensen , an authorized representative of Janus Development Services (" Grantee"), being first duly swom upon my oath, state that pursuant to paragraph 2 ofthe City of Carmel Arts Grant Program Agreement, all income of Grantee, including a City of Carmel arts grant, ifapplicable, revenue of sales, and/ or ticket revenue, etc., in calendar year ending 2019 totaled $ •40,ee9- N` y61rjf g 16 r G AAs IWX, kai- Signature Printed Name Christina SorensenJ Subscribed and sworn to before me, the undersigned Notary Public, this 2 3 day of DV& m 6t 2020. .SEAL] aREGORY L. DITLINGER Notary Public State of Indiana Commission No. NP0723644 My Commission Expires November 21, 2027 Plnt d Name G G Ct Z/ ( J Z Resident of l &! L7- 01 County, Indiana My Commission Expires: I IL7— J ZOZ% DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F Janus Developmental Services, Inc. Balance Sheet As of October 31, 2020 ASSETS Current Assets Checking/ Savings 1000 • KeyBank - General Checking 1010 • KeyBank - Restricted Checking 1040 • First Internet Bank - 12 Mo CD 1050 • First Internet Bank - 6 Mo CD 1061 • For the Love of Janus Guild 1080 • Cash On Hand - Cafe 1085 • Cash On Hand - GBC 1090 • Petty Cash & Gift Cards Total Checking/ Savings Accounts Receivable 1200 • Accounts Receivable 1220 • Pledges Receivable 1225 • EE Pledge Receivable 1220 • Pledges Receivable - Other Total 1220 • Pledges Receivable Total Accounts Receivable Other Current Assets 1100 • Undeposited Funds 1300 • Prepaid Expenses 1330 - Prepaid Other 1350 • Prepaid Insurance 1360 • Prepaid EE Benefits 1362 • Guardian Total 1360 • Prepaid EE Benefits Total 1300 • Prepaid Expenses 1400 • Inventory 1430 • Consumables Inventory 1470 • Cafe Inventory Total 1400 • Inventory Total Other Current Assets Total Current Assets Fixed Assets 1500 • Fixed Assets 1510 • Land 1520 • Building 1540 • Automotive Equipment 1560 • Office & Other Equipment Total 1500 • Fixed Assets 1600 • Accumulated Depreciation 1620 • Acum Depr - Building 1640 • Acum Depr - Automotive Equip, 10: 41 AM 11/ 24/ 2020 Accrual Basis Oct 31, 20 Sep 30, 20 % Change 999, 996. 53 1, 377, 111. 63 27. 38% 18, 180. 45 18, 180. 45 0. 0% 136, 499. 83 136, 389. 78 0. 08% 134, 590. 11 134, 515. 85 0. 06% 4, 164. 27 4, 384. 43 5. 02% 280. 00 280. 00 0. 0% 50. 00 50. 00 0. 0% 50. 00 50. 00 0. 0% 1, 293, 811. 19 1, 670, 962. 14 22. 57% 1660 • Acum Depr - Office/ Other Equip. Total 1600 • Accumulated Depreciation Total Fixed Assets TOTAL ASSETS LIABILITIES & EQUITY Liabilities Current Liabilities Accounts Payable 2000 • Accounts Payable Total Accounts Payable Credit Cards 2110 • KeyBank Credit Cards 2116 • Key Bank - 1419 2117 • Key Bank - 1899 2119 • Key Bank - 6993 2121 • Key Bank - 1252 2126 • Key Bank - 7722 Total 2110 • KeyBank Credit Cards Total Credit Cards Other Current Liabilities 2200 • Payroll Liabilities 2210 • Salaries & Wages Payable 2220 • Payroll Taxes Payable 2230 • Insurance Payable 2233 • EE Deduct - AFLAC Total 2230 • Insurance Payable 2280 • Accrued Vacation Total 2200 • Payroll Liabilities 2300 • Deferred Income 2310 • Foundation Grants 2315 • Government Total 2300 • Deferred Income 2410 • Accrued Interest Payable 2470 • Accrued UBIT Payable Total Other Current Liabilities Total Current Liabilities Long Term Liabilities 2600 • Long Term Loans Payable Total Long Term Liabilities Total Liabilities Equity 3000 • Unrestricted Net Assets Net Income Total Equity TOTAL LIABILITIES & EQUITY 319, 439. 95- 316. 777. 18 0. 84% 2, 325, 920. 70- 2, 301, 60& 39 1. 06% 2, 683, 016. 60 2, 586, 742. 86 3. 72% 4,778,349. 22 4,926, 585. 79 3. 01% 21, 073. 20 204, 558. 55 - 89. 7% 21, 073. 20 204, 558. 55 - 89. 7% 0. 00 40.00 100. 0% 333. 05 222. 59 49.63% 0. 00 31. 31 100. 0% 22. 14 63. 53 65. 15% 71. 10 56. 68 25. 44% 426. 29 414. 11 2. 94% 426. 29 414. 11 2. 94% 80, 593. 00 67, 001. 00 20. 29% 8, 968. 13 7, 528. 82 19. 12% Janus Developmental Services, Inc. Profit & Loss Budget Performance October 2020 Ordinary IncomelExpense Income 4000 • Government Funding - Federal 4010 - Federal FTA 5311 Total 4000 • Government Funding - Federal 4100 - Government Funding - State 4110 • PMTF Allocation 4130. Medicaid Waiver 4140 • DDRS State Line 4150 • Vocational Rehab Total 4100 • Government Funding - State 4200 • Government Funding - Local 4210 • Hamilton County 4220• Tipton County 4250 • Townships Total 4200 • Government Funding - Local 4300 • Group Homes & Private Pay 4310 • Group Homes 4350 • Private Pay Total 4300 • Group Homes & Private Pay 4500 - Client Work Programs 4510 • Contract Manufacturing 4520 - GBC Sales 4530 • Hidden Talents Sales 4540 - Doorways Project Sales 4550 • Cafe - GBC 4560 - Vending Machine Sales -In- house 4570 • Cafe - Courthouse Sales Total 4500 • Client Work Programs 4600 • Service Revenue 4610• Fares & Passes 4630 • Shepherd's Center Fares 4650 • Janus Transportation Total 4600 • Service Revenue 4800 • Fundraising Income 4810 • Donations/ Contributions 4850 • The CCC Breakfast 4870 • Giving Tuesday Donations 4890 • Private Grants Total 4800 • Fundraising Income 4900 - Other Income 4910• Advertising Revenue 4930 • Space Leasing & Rent 4950 • Vehicle & Equipment Sales 4970 • Interest & Endowment Income 4990 • Other Miscellaneous Income Total 4900 - Other Income Total Income Gross Profit Expense 5000 • Cost of Goods Sold - Labor 5010. Client Payroll - WE 5020 • Client Payroll - Cafe 5030. Client Commissions- Doorways 5040 • Employer FICA - WE 5050 - Employer FICA - Cafe 5080 • Workers Comp - Client Payroll 5090• Processing Client Payroll 433. 45 372. 00 2, 499. 20 3, 724. 00 4, 468. 00 Total 5000 • Cost of Goods Sold - Labor 7, 365.13 6,475.00 58,821. 71 64,765. 00 77, 715. 00 5500 • Cost of Goods Sold - Materials 5510 • Manufacturing Expenses 59. 88 254. 00 1, 549. 82 2,544. 00 3, 052. 00 5530 • Hidden Talents Expenses 14. 35 116. 00 443. 93 1, 159. 00 1, 391. 00 5540 • Commission Projects Materials 0. 00 33. 00 216. 70 334. 00 400. 00 5550 • GBC Cafe' Expenses 0. 00 65. 00 813. 18 1, 075. 00 1, 076. 00 5560 • In House Cafe Expenses 254. 52 254. 00 1, 916. 02 2, 540. 00 3, 048. 00 5570 - Courthouse Cafe Expenses 2, 071. 13 2, 111. 00 21, 545. 75 21, 110. 00 25, 332. 00 5580 • Cash Over & Short - Cafe 0. 63 210. 38 5590 • Shipping & Freight 0. 00 37. 00 141. 26 376. 00 450. 00 Total 5500 • Cost of Goods Sold - Materials 2,400. 51 2, 870.00 26, 837.04 29, 138.00 34, 748.00 6000- Personnel Expenses 6010 - Staff Salaries & Wages 172, 894. 74 133, 934. 00 1, 223, 102. 58 1, 344, 152. 00 1, 610, 820. 00 6020 • Employer Payroll Taxes 12, 394.38 12, 401. 00 122, 500.68 124, 716.00 149. 348. 00 6030 • Health, Dental & Life Insurance 31, 744. 72 32, 725. 00 320, 133. 18 327, 246. 00 392, 696. 00 6040 • Workers Comp Insurance 2, 363.36 2,588. 00 27, 301. 32 26, 269.00 31, 433. 00 6050 • 401K Company Match 2, 611. 03 3. 178. 00 29, 277. 81 31, 784. 00 38, 140. 00 6070 - Unemployment 1, 424. 11 1, 336. 00 9, 409. 90 13, 366. 00 16, 038. 00 6080 • Fringe Benefits 774.87 848. 00 8, 733.47 8, 475.00 10, 171. 00 Total 6000 • Personnel Expenses 224, 207. 21 187, 010. 00 1, 740, 458. 94 1, 876, 008. 00 2,248, 646. 00 6100 • Purchased Services 6110- IT & Software Services 1, 500. 00 2, 366. 00 23, 458. 13 24, 101. 00 40, 016. 00 6130 - Accounting Services 300. 00 916. 00 22, 300. 00 20, 918. 00 22, 750. 00 6150 • Legal Services 0. 00 166. 00 0. 00 1, 666. 00 2, 000. 00 6170 • Payroll & Benefits Admin. 1, 596.00 1, 883. 00 17,675. 15 18,832. 00 22, 598. 00 6180 • EE Screenings, Checks & Testing 270. 00 578. 00 4, 357. 05 5, 665. 00 6, 739.00 6190 • Other Professional Services 0. 00 1, 050. 00 2, 697. 06 10, 884. 00 12, 984. 00 6199• Allocated Professional Services 149.25 358. 00 7, 701. 32 3,586. 00 4, 302. 00 Total 6100 • Purchased Services 3, 814. 25 7, 317. 00 78, 188. 71 85,652. 00 111, 389. 00 6300 • Facility Expenses 6310 • Utilities 88.38 324. 00 2, 626. 76 3, 235. 00 3, 885. 00 6330• Phones, Internet & Cable 3, 175. 88 3, 314.00 32, 090. 20 33, 158. 00 39, 788. 00 6350 • Facility Repairs & Maintenance 0. 00 2, 050. 00 23, 050. 42 20, 517. 00 24, 617. 00 6360 • Facility Purchases 0. 00 879.00 4,416. 99 8,790. 00 10, 550. 00 6370 • Custodial Supplies & Services 315. 59 341. 00 3, 287. 25 3,412. 00 4, 094. 00 6399 • Allocated Facility Expense 6, 100. 81 6, 890.00 68, 471. 22 68,920. 00 82, 700.00 Total 6300 • Facility Expenses 9,680. 66 13, 798.00 133, 942. 84 138,032. 00 165,634.00 6400 • Vehicles, Equipment & Supplies 6410 • Gas & Oil 10, 627. 40 9, 128. 00 94, 914. 15 91, 233. 00 109, 439. 00 6415 - Shepherd' s Center Gas Expense 0. 00 0.00 0. 00 0. 00 0. 00 6420 • Vehicle Cleaning 1, 330. 00 1, 367. 00 10, 270. 15 13, 683. 00 16, 417. 00 6430 • Vehicle Repairs & Maintenance 1, 425. 34 2, 681. 00 3, 905. 70 26, 813. 00 32, 175.00 6440 • Parts & Supplies 826. 47 4, 575. 00 21, 508. 34 45, 592. 00 54, 584. 00 Total 6400 • Vehicles, Equipment & Supplies 14, 209. 21 17, 751. 00 130, 598. 34 177, 321. 00 212, 615. 00 6450 • Office & Program Supplies 6460 - Furniture & Equipment Purchase 0. 00 77. 00 329. 95 1, 171. 00 1, 325. 00 6470 • Equipment Repairs & Maintenance 6,424.54 5,435. 00 62, 600.27 54, 343.00 66,213. 00 6480 • Program Supplies 634.58 331. 00 3, 451. 63 3, 326. 00 3, 988.00 6485 • Client Purchases 0.00 11. 00 63. 02 108. 00 130.00 6488 • Client Activities & Events 0. 00 27. 00 0. 00 276. 00 330. 00 6490 • Office Supplies 154. 62 347. 00 1, 995. 16 3, 472.00 4, 168. 00 6499 • Allocated Office Supplies 1, 429.06 1, 235. 00 12, 091. 08 12, 362.00 14, 832. 00 Total 6460 • Office & Program Supplies 8, 642.80 7,463. 00 70,531. 11 75, 058.00 89,986. 00 6500 • Business Development 6510 • Printing & Advertising 27. 82 388. 00 2, 298. 54 3, 837. 00 4, 561. 00 6630 - Fundraising Expense 228. 85 912. 00 6, 478. 24 9, 114.00 10, 936. 00 6650 • Dues & Memberships 823. 66 1, 066. 00 10, 064. 58 10, 680. 00 12, 812. 00 6560 • Community Mtgs/ Networking 25. 00 156. 00 766. 42 1, 556. 00 1, 868.00 6570 • Conferences & Seminars 0.00 212. 00 2, 345.00 2, 119. 00 2,543.00 6600 • Staff Travel, Meetings & Events 6610 • Staff Travel 6650 • Meals & Entertainment 6660 • Staff Meetings & Workshop 6690 • Special Events & Recognition Total 6600 • Staff Travel, Meetings & Events 6700 • Administrative Expenses 6710• Insurance 6730 • Taxes - UBIT 6750 • Interest & Fees 6770 • Postage & Shipping 9874 • Licenses and Permits Total 6700 • Administrative Expenses 6735 • Property Tax Assessment 6800 • Grant Funded Purchases 6900 • Depreciation Total Expense Net Ordinary Income Other lncomelExpense Other Income 7000 • Gain/( Loss) on Fixed Assets 7600 • Capital Project Funds Received Total Other Income Net Other Income Net Income 210.97 407. 00 2, 795. 12 4, 077. 00 4, 891. 00 0. 00 83. 00 72. 81 819. 00 975. 00 0. 00 152. 00 160. 19 1, 527. 00 1, 819. 00 243.67 432. 00 2, 163. 26 4, 330. 00 5, 194. 00 454. 64 1, 074. 00 5, 191. 38 10, 753. 00 12,879. 00 8,666. 77 7, 895. 00 77, 782. 52 78, 962. 00 94, 752. 00 0. 00 0.00 7, 915. 00 6, 776. 00 9,035. 00 834. 46 1, 623. 00 10, 719. 67 16, 545. 00 19, 789. 00 67. 80 190. 00 1, 821. 55 1, 893. 00 2,263. 00 45. 00 10.00 45. 00 100. 00 120. 00 9,614. 03 9, 718.00 98, 283.74 104,276.00 125, 959. 00 0. 00 0.00 215. 55 250.00 500. 00 6, 017. 03 39, 065. 00 548, 834. 54 414, 243. 00 492, 373. 00 24, 314. 31 24. 946. 00 219, 973. 31 249, 490. 00 299, 380. 00 311, 925. 11 320, 882. 00 3, 134, 799. 99 3, 258, 882. 00 3, 912, 457. 00 46, 169. 45 41, 514. 00 525, 920. 38 390, 558. 00 484, 687. 00 0. 00 671. 35 78, 239. 15 0. 00 250, 979. 15 168, 600. 00 168, 600. 00 78, 239. 15 0. 00 250, 307. 80 168, 600. 00 168, 600.00 78,239.15 0. 00 250, 307. 80 168, 600. 00 168, 600. 00 32, 069. 70 41, 514. 00 776, 228. 18 559, 158. 00 653, 287. 00 DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F Exhibit E Return of Organization Exempt From Income Tax Form 99 Under section 501( c), 527, or 49471a)( 1) of the Internal Revenue Code (except private foundations) Rev. January 020) Do not enter social security numbers on this form as it may be made public. A For the 2019 calendar year, or tax year beginning and coding B checx oce° ebm.e : C Name of organization JANUS DEVELOPMENTAL SERVICES D Employer identification number Doing business as 31- 0963175 7Meal eN° w Number and street ( or P. O. box It mail is not delivered to street address) 1555 WESTFIELD RD. Room/ suite E Telephone number 317- 773- 8781 oted lam n- ro'"iv "etl QMft° potl°" City or town, state or province, country, and ZIP or foreign postal code NOBLESVILLE IN 46062 G I3° ssrecepes 4, 264, 193. H( a) Is this a group return for subordinates? ,,,, QYes QNo H( b) ae. e. ubomilema md,geei EDYes [::] No If " No," attach a list. ( see instructions) FName and address of principal ogicer. CHRI STINA SORENSEN SAME AS C ABOVE 1 Tax -exam status: M 501 e 3 501 a Insert no. 4947( a 1 or 527 Other 0 1 Briefly describe the organization' s mission or most significant activities: THE ORGANIZATION PROVIDES INDIVIDUALS WITH DISABILITIES THE OPPORTUNITY TO BECOME Ea e Dy... 2 Check this box if the organization discontinued its operations or disposed of more than 25. o 5 of its net 3 Number of voting members of the governing body (Part VI, line 1 a) ,,,, 4 Number of independent voting members of the governing body (Part VI, line 1 b) _ ........................ I.. 5 Total number of individuals employed in calendar year 2019 ( 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 ....... ....... .. to Net unrelated business taxable income from Form 990- T line 39............... ....._.... .... .. .... _........... assets. 3 14 4 14 5 229 5 a 45839 74 29 242. 0 u9 s y 8 10 11 12 Contributions and grants ( Part VIII, line lh) _.............. ,..,_.... ___,.._ Program service revenue ( PartVill, line 2g) ,. Investment income ( Part Vlll, column ( A), lines 3, 4 and 7d) Exhibit F JANUS DEVELOPMENTAL SERVICES, INC. BOARD MEMBER LIST BOARD OF DIRECTORS 2019- 2020 CHAIR: Matthew Snyder VICE CHAIR: Mary Jane Coffing TREASURER: Kevin Smith SECRETARY: Regina DelaRosa BOARD MEMBERS Adam Aasen Leigh Ann Clayton Michael Fogarty Tony Murray Alex Pinegar Chrissy Pogue Cindy Spoljaric Selina Stoller Mary Paris, Ex- Officio PRINCIPAL OFFICERS PRESIDENT/ CEO: Christina Sorensen DB Engineering, Clay Township Board Director, Roche Diagnostics Officer, First Merchants Bank Retired Attorney, Community Member Co- owner, Donatello' s Italian Restaurant VP, Union Savings Bank Retired, City of Carmel Police Chief Noblesville Fire Department Partner, Church, Church, Hittle & Antrim Transition Specialist, Special Education City of Westfield Council City of Fishers Council/ Parent Community Member, Philanthropist SENIOR VP/ DEVELOPMENT: Debbie Laird VP/ CLIENT SERVICES: Tim White DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F Exhibit G YEAR END REPORT FOR CARMEL ARTS GRANT - 2020 The generous funding provided by the City of Carmel Arts Grant in the amount of $10,000 has enabled Janus artists to continue to explore their unique talents and create artwork to share with others in our community despite a tough year filled with uncertainty. The grant funds were used to purchase Zoom meeting art kits, which were needed due to the sudden onset of COVID and a need to shut down our facility for several months. These Zoom art kits included paint, canvasses and other art supplies which were distributed to our clients for participation at their own homes. The clients absolutely loved these kits and being able to continue to interact with our staff during this pandemic. Now that we are back to in - person attendance, we continue to use funds for art supplies. Due to the significant service interruption between March and July this year, many of our funds are still needing to be spent. We intend to use the remaining funds for needed equipment in our art space. This includes art tables, storage cubbies, partitions, and additional supplies as we transform the traditional workshop program area into more of a dedicated art space. These funds will be spent by December 2151, 2020. The grant expenditures are listed on the page attached to this report. Traditionally, Janus hosts several fundraisers to support that we provide. However, COVID restricted our fundraising options. Our staff decided on hosting an open house style Art Store featuring all of the creative items our clients have created. In one weekend the Art Store raised over $ 4, 000! Clients received a commission on the art that they created individually, which is giving the artists great pride and excitement over their creations. We intend to restock the Art Store and host another open house by the end of this year. The important impact provided by the Carmel Arts grant can be seen in the way the funding has enhanced the lives of the Janus artists and in turn, our community. The funding provided by the City of Carmel Arts grant to the Janus art programs has allowed our talented artists to continue to realize their hopes and dreams. The ability to be involved in the planning and design aspects of the various art projects and to have the art supplies needed to create the art continues to provide life -enhancing opportunities for our artists. Being able to share their art with the community as well as sell their art and take home a paycheck is a great source of pride for every artist. Our clients take great pride in the art that they create. Theresa continues to thrive with creating art, for both enjoyment and selling it. The above mentioned store allowed Theresa to dramatically increase her total amount of sales. The opportunity to be able to express herself and share her love of life through her artwork is important to our clients like Theresa. Art has truly made a life changing impact in her life and in the lives of everyone who has experienced her artwork. Community members who visit the Janus facility are very interested in learning more about our various programs and services. The art programs demonstrate that people with disabilities are very capable of achieving their goals and living happy and fulfilled lives. It DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F is obvious that our visitors from the community recognize the artistic talents displayed by the Janus artists and enjoy having the opportunity to see and purchase the art that they created. The City of Carmel Arts grant funding has very positively impacted the Janus art programs and the Janus artists in many ways. We value the City of Carmel' s support and are excited about the many ways that our art programs continue to evolve and produce such positive effects that enhance the lives of the people we serve. ITEMIZED LIST OF EXPENDITURES Paint/ canvasses/ supplies 4,000. 00 Art tables 1, 640. 00 Stora a cubbies 4,232. 00 Storage for drill & wood burner 76. 00 Easels and Laminating Sheets 52. 00 DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F Other revenue ( Part VIII, column ( A), lines 5, So, 8c, 9c, 1Oc, and 11 e) ...................... Total revenue • add lines 8 through 11 must equal Part VIII column line 12 ........ Prior Year Current Year 2, 505, 176. 2, 425, 352. 1, 604, 284. 1, 608, 559. 27, 572. 16, 293. 189, 127. 196, 942. 4 3 2 6 15 9 . 4, 247, 146. 13 Grants and similar amounts paid ( Part IX, column (A), lines 13)................................. 14 Benefits paid to or for members ( Part IX, column (A), line 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 fundralsing expenses ( Part IX, column ( D), line 25) No- 183, 440. 17 Other expenses ( Part IX, column ( A), lines 11a• 11d, 11F24e) ....................................... 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 .............................. .. 0. 0. 0 . 0. 3 134 836 . 3 054 758. 0. 0. 1, 071, 625, 1, 077, 014. 4, 206, 461. 4 131 772 . 119, 698. 115 37 . d a22 20 21 Total assets (PartX, line l6).......................................................... Total liabilities( PartX, line26),,,,,,,,,,,,,,,,,,,,,,,,,,,,,__-,,.,_._,,.,.,,.._._.,_,,....._.._.,.__.. Not assets or fund balances, Subtract line 21fromline 20......................................... Beginning of CurrandYear End of Year 4 026 099. 4 092 758. 557 909. 509 194. 1 3 468 190. 3, 583, 564.. I rat r u 1 JIVIIMUF V OIVVR 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 Sign Here I / 1• Printrrype preparer' s name Paid UKE SPARKS Preparar I Firm' s name KEMI Use Only Flrm' s address 1701 Preparer' s signature tl GM1eci 0201 01- 20- 20 LHA For Paperwork Reduction Act Notice, see the separate Instructions. Form SEE SCHEDULE 0 FOR ORGANIZATION MISSION STATEMENT CONTINUATION DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F 6590 • Publications & Subscriptions 0.00 17. 00 210. 00 170. 00 205.00 6599 • Allocated Business Devlop. Exp. 100. 00 644. 00 760.00 6, 420.00 7,708.00 Total 6600 • Business Development 1, 205. 33 3, 395. 00 22, 922. 78 33, 896. 00 40,633. 00 DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F 10: 19 AM 11/ 2412020 Accrual Basis Oct 20 Budget Jan - Oct 20 YTD Budget Annual Budget 33,431. 88130,600.00 652, 807. 94 816,840. 00 1, 078, 040. 00 33,431. 88130, 600.00 652,807. 94 816,840. 00 1, 078, 040. 00 84, 274. 00 0. 00 248, 987. 00 164, 713. 00 164, 713. 00 41, 513. 50 39, 620. 00 429, 388. 43 396, 202. 00 475, 442. 00 1, 284. 01 1, 094.00 9, 690. 20 10, 943.00 13, 131. 00 6, 345. 13 4, 762. 00 43, 699. 31 47, 621. 00 57, 145. 00 133,416. 64 45, 476.00 731, 764. 94 619, 479.00 710,431. 00 64, 583. 33 64, 584. 00 838, 880. 82 838, 879. 00 968, 047. 00 1, 333. 33 1, 334. 00 13, 333. 30 13, 332. 00 16, 000. 00 8, 250. 00 3, 125.00 30, 500.00 31, 250.00 37, 500. 00 74, 166. 66 69, 043.00 882, 714. 12 883, 461. 00 1, 021, 547. 00 7, 325. 92 3, 834. 00 34, 969. 94 38, 712. 00 46, 380. 00 0. 00 663. 00 5, 621. 71 6, 633. 00 7, 959. 00 7, 325. 92 4, 497. 00 40, 591. 65 45, 345. 00 54, 339. 00 11, 626.96 15, 382. 00 137, 390.66 153, 825.00 184, 589. 00 0. 00 3, 511. 00 31, 735. 79 37, 328. 00 37, 328. 00 205. 00 400. 00 1, 695. 50 3, 997. 00 4, 797. 00 0. 00 87. 00 220. 00 864. 00 1, 038. 00 0.00 33. 00 738.00 955. 00 955. 00 186.00 223. 00 2, 352.00 2, 228.00 2, 674. 00 3, 064.68 2,440. 00 22, 405. 84 24,400. 00 29, 280. 00 15, 082. 64 22, 076. 00 196, 537. 79 223, 597. 00 260, 661. 00 8, 101. 00 6, 576. 00 66, 209. 67 65, 759. 00 78, 911. 00 0.00 0. 00 0. 00 0. 00 0. 00 35, 163. 00 35, 163. 00 351, 630. 00 351, 630. 00 421, 956. 00 43, 264. 00 41, 739. 00 417,839. 67 417,389. 00 500, 867. 00 2, 750. 00 3, 750. 00 18, 526. 18 37, 500. 00 45, 000. 00 50. 00 0. 00 77, 346. 99 130, 000. 00 130, 000. 00 0. 00 0. 00 0. 00 0. 00 30, 000. 00 8, 529. 19 39, Q65. 00 573, 405. 37 414, 243. 00 492, 373. 00 11, 329. 19 42, 815.00 669,278. 54 581, 743. 00 697, 373. 00 830. 83 3, 075. 00 35, 851. 68 30, 745. 00 36, 895. 00 617. 40 618.00 6, 174. 00 6, 173. 00 7, 409. 00 4,500. 00 750.00 9, 000. 00 7,500. 00 9, 000. 00 184. 31 474. 00 5, 348. 67 4, 742. 00 5, 690. 00 8, 469. 95 1, 233. 00 12, 811. 37 12, 426. 00 14, 892. 00 14, 602. 49 6, 150. 00 69, 185. 72 61, 586. 00 73, 886. 00 265,755. 66 362, 396.00 3,660, 720. 37 3, 649,440. 00 4, 397, 144. 00 265,755. 66 362, 396.00 3,660, 720. 37 3, 649,440. 00 4, 397, 144. 00 5, 737. 84 4, 953.00 46, 605. 99 49, 532. 00 59, 438. 00 545. 66 563. 00 4, 717. 52 5, 632. 00 6, 758. 00 0. 00 52. 00 99. 60 519. 00 623. 00 408. 40 372. 00 3, 408. 74 3, 723. 00 4, 467. 00 72. 54 49.00 517. 99 490. 00 588. 00 167. 24 114.00 972.67 1, 145. 00 1, 373. 00 DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F 111. 27 123. 15 190. 35% 111. 27 123. 15 190. 35% 31, 372. 54 31, 372. 54 0. 0% 120, 822. 40 106, 025. 51 13. 96% 17, 182. 91 25, 555. 32 32. 76% 23, 704. 33 27,444. 44 13. 63% 40, 887. 24 52, 999. 76 22. 85% 2, 182. 32 1. 454. 88 50. 0% 2, 037. 00 2, 037. 00 0. 0% 165, 928. 96 162. 517. 15 2. 1 % 187, 428. 45 367, 489. 81 49. 0% 231, 125. 54 231, 370. 45 - 0. 11% 231. 125. 54 231, 370. 45 - 0. 11% 418, 553. 99 598, 860.26- 30. 11% 3, 583, 567. 05 776, 228. 18 3, 583, 567. 05 744, 158.48 0. 0% 4. 31% 4, 359, 795.23 4, 327, 725. 53 0. 74% 4, 778, 349. 22 4, 926, 585. 79 3. 01% DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F 766, 399. 15 624, 919. 85 22. 64% 125. 00 150. 00 16. 67% 5, 019. 34 5. 019. 34 0.0% 5, 144. 34 5, 169. 34 0.48% 771, 543.49 630, 089. 19 22. 45% 57. 82 206.60 72. 01 % 22, 634. 70 23, 873. 89 5. 19% 2, 394. 31 10, 169. 08 76.46% 603. 67 550. 03 9. 75% 603. 67 550. 03 9. 75% 25, 632. 68 34, 593. 00 25.9% 922. 69 922. 69 0. 0% 3, 364. 75 3, 069. 31 9. 63% 4, 287.44 3, 992. 00 7. 4% 29, 977. 94 38, 791. 60 22. 72% 2, 095, 332. 62 2, 339, 842. 93 10. 45% 769, 674. 85 769, 674. 85 0. 0% 2, 079, 673. 98 1, 959, 434. 83 6. 14% 1, 764, 183. 64 1, 764, 183. 64 0. 0% 395, 404. 83 395, 055. 93 0. 09% 5, 008, 937. 30 4, 888, 349. 25 2. 47% 1, 113, 215. 60- 1, 106, 999. 86 - 0. 56% 893, 265. 15- 877, 829. 35 - 1. 76% DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F 1, 250. 00 59, 976. 00 4, 984. 00 430. 00 6. 457. 00 14, 549. 00 87, 646. 00 6, 242. 00 21, 029. 00 13, 233. 00 3, 332. 00 5, 447. 00 200. 00 11, 420. 00 60, 903. 00 6, 422. 00 1, 255. 00 2, 064. 00 5, 563. 00 15, 304. 00 95, 228. 00 7, 500. 00 17, 102. 00 2, 544. 00 120. 00 122, 494. 00 500. 00 55, 850. 00 DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F 914. 00 5, 184. 00 79, 164. 00 3, 223. 00 3, 250. 00 800. 00 1, 329. 00 5, 817. 00 38, 545. 00 900. 00 53, 864. 00 2, 368, 804. 00 170, 448. 00 462, 210. 00 44, 759. 00 46, 485. 00 5, 971. 00 10, 455. 00 3, 109, 132. 00 44, 842. 33 21, 480. 00 2, 000. 00 25, 758. 00 7, 647. 00 28, 230. 00 4, 408. 00 134, 365. 33 DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F 32, 800. 00 10, 208. 00 2, 400. 00 1, 080. 00 6, 220. 00 44, 950. 00 207. 265. 00 123, 854. 00 4, 000. 00 430, 395. 00 558, 249. 00 45, 000. 00 130, 000. 00 30, 000. 00 64, 850. 00 269, 850. 00 DocuSign Envelope ID: AEF88DE6-E12A-4394-AE83-A1C012CE171F