HomeMy WebLinkAboutResolution_BPW_01-19-22-24_Redacted_Arts Grant_8900.00_International Talent AcademyRESOLUTION NO. BPW 01-19-22-24
RESOLUTION OF THE CITY OF CARMEL BOARD OF PUBLIC WORKS AND SAFETY
ACKNOWLEDGING ARTS GRANT PROGRAM AGREEMENT
WHEREAS, pursuant to Indiana Code 36-1-4-7, the City of Carmel, Indiana (“City”), is authorized to enter
into contracts; and
WHEREAS, pursuant to Indiana Code 36-4-5-3, the City’smayor may enter into contracts on behalf ofthe
City; and
WHEREAS, pursuant to his authority under Indiana law, the City’smayor, the Honorable James C. Brainard,
has caused to be signed the Arts Grant attached hereto as Exhibit A (the “Contract”); and
WHEREAS, Mayor Brainard now wishes to present the contract to the City’sBoard of Public Works and
Safety for it to be publicly acknowledged, filed in the Clerk’sOffice, and made available to the public for review.
NOW, THEREFORE, BE IT RESOLVED by the City of Carmel Board of Public Works and Safety as
follows:
1. The foregoing Recitals are incorporated herein by this reference.
2. The receipt ofthe Contract is hereby acknowledged.
3. The Contract shall be promptly filed in the office of the Clerk and thereafter made available to the public
for review.
SO RESOLVED this day of , 2022.
CITY OF CARMEL, INDIANA
By and through its Board of Public Works and Safety
BY:
James Brainard, Presiding Officer
Date:
Mary Ann Burke, Member
Date:
Lori S. Watson, Member
Date:
ATTEST:
Sue Wolfgang, Clerk
Date:
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ARTS GRANT PROGRAM
16 AGREEMENT
This Grant Agreement (herein referred to as "Agreement") entered into by and between the City
of Carmel (the "City") and Jh 0&al( 7,4 622&,-7 y (the
Grantee"), is executed pursuant to the terms and conditions set forth herein. consideration of
those mutual undertakings and covenants, the parties agree as follows:
1 /, 1. That on behalf of Grantee, a not -for -profit corporation, I, QZ G )pyv/!'vk,ova
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 $ 8,900.00 to the Grantee for the eligible costs
of the project (the "Project") or services as described in Exhibits "A" and `13" 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.
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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 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 8 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 tern 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
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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.
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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 W/ HEROF, the parties hereto have made and executed this Agreement as follows:
77Pii'iI G 7 mW Il--ale1y/ AcaalP 7("Grantee")
By: (Signature)
Printed Name of Officer: %Iy441-2 1{ 9P7 Gt I`07VA Title:
Date: 11 29 Z9d I
CITY OF CARMEL ("Grantor")
Un
James Brainard, Mayor
Date: 12/29/2021
Date: 12/29/2021
If you have any question concerning the City of Carmel's 2022 Arts Grant Program, grant writing, guidelines or application materials, contact:
Sharon Kibbe, City of Carmel, One Civic Square, Carmel, W 46032, Phone: 317-571-2483, skibbe(alcarmel in eov.
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INTERNATIONAL TALENT ACADEMY REPORT 2021
EXHIBIT A
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Exhibit "A"
An Application and Description of the Proposed Use of the Grant Funds
APPLICANT:
Fax:
Contact Person: a. * ` e? n-6;L !-Oni e
Email: rin' eA7 cc.
APPLICATION AMOUNT: $ % j, UG'
DESCRIPTION OF THE PROPOSED USE OF THE GRANT FUNDS:
Pleq'se:p see a—/A?C-4-C/
Additional pages may be added to Exhibit "A")
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INTERNATIONAL TALENT ACADEMY
ftOmnq cZL%6ffdArUScfooCfnrTonng Cfddren
Mayor Jim Brainard
Carmel Arts Advisory Committee
City Hall, Third floor
One Civic Squire, Carmel, IN 46032
November 29, 2021
International Talent Academy
11398 Regency Ln,
Carmel, IN 46033
Dear Mayor Brainard and Carmel Arts Advisory Committee:
I am writing on behalf of the International Talent Academy (ITA), a 501 (c) (3) non-profit organization.
ITA is dedicated to promote the arts programs in Carmel and raise intelligent and committed generation of
young leaders who would build a strong future in our society.
For 15 years ITA has been growing arts programs, serving Carmel and surrounding cities.
This year ITA planned and organized online Carmel Arts Rising Star competition for kids ages 5-18,
which gone international in the first year of existence.
We are sincerely asking to consider increasing our grant amount, so we can sustain successful year-
round operations of our growing organization.
Additionally, please, look inside for a proposed new live Carmel Rising Star Competition which will
take place in Carmel on March 5-6, 2022.
Enclosed, in this proposal:
2021 annual report
a copy of the IRS 501 c3 letter
2022 budget
2020 financial statements, IRS forms
articles of incorporation
an application form & agreement
To support ITA's mission and vision as well as 1500+ volunteer hrs we collectively worked this year, we
respectfully request $10,000.00 in support of the organization's operations, growth development and $3,000
seed money for the new Carmel Rising Star Competition we are planning to run in March, 2022.
The funds will be allocated as follows:
6,000.00 — Current Program Operations, Organization and Programs development
1,500.00 — Website, computer services
2,500.00 — Programs, Marketing, Insurance
3,000 — Carmel Arts Rising Star competition
Thank you and the Carmel Arts Advisory Committee for your consideration of this good faith request from
the International Talent Academy. If you require any further information, I would be happy to provide it.
Your support is greatly appreciated!
Sincerely, OA_1 1
Tatyana Komarova, Executive Director
Board of Directors, International Talent Academy
TeVFax (317) 815-9381 E-mail: ITA@Intemationaltalentacademy.org www.Intemationa]TalentAcademy.org
ITA is a 501 (c) (3) non-profit organization. Tax ID H2O-4369460.
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ITA's Carmel Arts grant use proposal - 2022
Salaries & Operations 6,000.00
Website & computer services 1,500.00
Programs & Marketing 1,500.00
Insurance 1,000.00
Carmel Arts competition 3,000.00
Total 2021 grant use proposal 13,000.00
7,000.00
6,000.00
5,000.00
4,000.00
3,000.00
2,000.00
1,000.00
0.00
ITA Carmel Arts Grant use proposal - 2022
Salaries & Operations Website & computer
services
a
Programs & Marketing Insurance Carmel Arts competition
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INTERNATIONAL TALENT ACADEMY REPORT2021
EXHIBIT B
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International Talent Academy: 2022 BUDGET
Grant Support: Government (city/state) $13,000.00
Grant Support: Private foundations $25,000.00
Donations: Individuals/Fundraisers $2,000.00
Service: Direct Service $20,000.00
In -kind Donation: services and fees $8,100.00
r'fotalRevenue $68,100.00
EXPENSES: Staff and Professional Fees
Executive Director $27,000.00
Teachers 9,000.00
Accountant 600.00
Grant writer $5,000.00
Sub -Total Employee '° $41,600.00
EXPENSE: Programs
Program supplies and materials 4,560.00
Space and equipment rental 8,100.00
Contracted artists 5,000.00
Sub -Total Program Expences 22,460.00
EXPENSE: Administrative expences
G&A: Insurance 1,700.00
G&A: IT: internet, phone, website, accounting software 2,100.00
G&A: Dues and Subscriptions $240.00
Sub -Total: Administrative expences $4,040.00
Total Expenses $68,100.00
Total Revenue $68,100.00
Total Expenses $68,100.00
Surplus/Deficit 0.0
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INTERNATIONAL TALENT ACADEMY REPORT 2021
EXHIBIT C
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State of Indiana
Office of the Secretary of State
CERTIFICATE OF INCORPORATION
of
INTERNATIONAL TALENT ACADEMY, INC.
I, 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.
NOW, THEREFORE, with this document I certify that said transaction will become effective
Wednesday, February 01, 2006.
In Witness Whereof, I have caused to be
affixed my signature and the seal of the
State of Indiana, at the City of Indianapolis,
February 1, 2006.
TODD ROKITA,
SECRETARY OF STATE
2006020300323 /2006020336003
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f
XTIS F PCOR0
OF
INTERNATIONAL TALENT ACADEMY, YN Jq
S4
The undersigned incorporator, desiring to form a nonprofit corporation
hereinafter referred to as the "Corporation"), pursuant to the provisions of the
Indiana Nonprofit Corporation Act of 1991 (hereinafter referred to as the "Act"),
executes the following Articles of Incorporation:
ARTICLE I
The name
The name of the Corporation is International Talent Academy, Inc.
hereinafter referred to as the "Corporation").
ARTICLE II
Purposes
The Corporation is a public benefit corporation organized exclusively for the
charitable and educational purposes within the meaning of Section 501(c)(3) of the
Internal Revenue Code of 1986, as the same may be amended from time to time, or
the corresponding provisions of any future United States Revenue law. As thus
limited, the purpose for which the Corporation is organized is to educate parents
about early brain development and the importance of the first years of a child's life,
and to exercise their children's mental and physical capabilities so that they may
have the opportunity to reach their fullest potential through the educational programs
of the Academy, which include performing arts, language arts, gymnastics,
arithmetic, computers, and science.
ARTICLE III
Period of Existence
The period during which the Corporation shall continue is perpetual.
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ARTICLE IV
Registered Agent and Registered Office.
The name of the Registered Agent is Tatyana Komarova, and the address of
the Registered Office at which the Registered Agent may be reached is 1153
Aqueduct way, Indianapolis, IN 46280.
ARTICLE V
Membershia
The Corporation shall have no members.
ARTICLE VI
Directors
Section 6.1. Number of Directors. The initial number of Directors is six (6).
Hereafter, the number of Directors of the Corporation and their election shall be
fixed by the Code of By -Laws of the Corporation, but in no event shall the number
be less than three (3).
Section 6.2. Names and Post Office Addresses of the Directors. The names
and post office addresses of the initial Board of Directors are:
Name
Tatyana Komarova
Alexander Keddie
Irina Gorin
Tamatha A. Stevens
Mary Beth Plummer
Amy Canute
Number and Street City and State Zip Code
Indianapolis, IN 46280
Carmel, IN 46032
Cannel, IN 46033
Indianapolis, IN 46240
Indianapolis, IN 46240
Zionsville, IN 46077
Section 6.3. Terms of Directors. Directors of the Corporation shall be elected
for such terms as may be fixed by the Code of By -Laws of the Corporation and shall,
if the By -Laws shall so provide, be divided into as many groups whose terms of
office expire at different times as the By -Laws shall provide; provided, however, that
no term of office shall continue longer than five (5) years.
Section 6.4. Removal of Directors. Any or all members of the Board of
Directors of the Corporation may be removed at any time with or without cause by a
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vote of the majority of all the members of the Board of Directors held during any
meeting of the Board of Directors called expressly for that purpose.
ARTICLE VII
Incorporator
The name and post office - address of the incorporator of the Corporation is
Tatyana Komarova, 1153 Aqueduct way, Indianapolis, IN 46280.
ARTICLE VIII
Provisions for the Regulation and
Conduct of the Affairs of the Corporation
Section 8.1. Powers. To carry out the purposes set forth above, the
Corporation shall have the powers enumerated in the Indiana Nonprofit Corporation
Act of 1991, as the same may be amended from time to time; provided, however,
that notwithstanding any other provision of these Articles or any provision of said
Act or any other law, the Corporation shall not in any manner or to any extent
participate in, or intervene in (including the publishing or distribution of statements),
any political campaign on behalf of any candidate for public office; nor shall a
substantial part of its activities consist of carrying on propaganda or otherwise
attempting to influence legislation; nor shall it carry on any other activities not
permitted to be carried on by a corporation exempt from federal income tax under
Section 501(c)(3) of the Internal Revenue Code of 1986 (or the corresponding
provision of any future United States revenue law) or by a corporation, contributions
to which are deductible under Section 170(c)(2) of the Internal Revenue Code of
1986 (or the corresponding provision of any future United Stated revenue law).
Section 8.2. Restriction Upon Inurement of Net Earnings. No part of the net
earnings of the Corporation shall inure to the benefit of, or be distributed to, its
members, directors, officers, or other private individuals, 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 II hereof.
Section 8.3. Restriction Upon Acceptance of Gifts. No gifts or other
contributions to the Corporation shall be accepted by the Corporation if the use or
expenditure of such gift or other contribution is subject to any condition which is
inconsistent with the purposes of the Corporation as stated herein.
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Section 8.4. Dissolution. Upon dissolution, the net assets of the Corporation
shall be transferred to such nonprofit corporation or corporations which are in
existence at such time, and which are organized at such time for purposes
substantially the same as those of the Corporation, and which qualify at such time as
exempt organizations under Section 501(c)(3) of the Internal Revenue Code of 1986
or the corresponding provisions of any h e United States revenue law), as the Board
of Directors of the Corporation may determine.
Section 8.5. Distribution of Income. The Corporation shall distribute its
income for each taxable year at such time and in such manner as not to become
subject to the tax on undistributed income imposed by Section 4942 of the Internal
Revenue Code of 1986 (or the corresponding provision of any future United States
revenue law).
Section 8.6. Prohibited Transactions. If at any time it is determined by the
Internal Revenue Service that the Corporation is determined to be a private
foundation within the meaning of Section 509(a) of the Internal Revenue Code of
1986 (or the corresponding provision of any future United States revenue law), it
shall not, for so long as it continues to be a private foundation within such meaning,
engage in any of the following transactions or do any of the following acts:
1) Engage in any act of self -dealing as defined in Section 4941 (d) of the Intemal
Revenue Code of 1986 (or the corresponding provision of any future United
States revenue law);
2) Retain any excess business holdings as defined in Section 4943(c) of the
Internal Revenue Code of 1986 (or the corresponding provision of any fixture
United States revenue law);
3) Make any investments in such manner as to subject it to tax under Section
4944 of the Intemal Revenue Code of 1986 (or the corresponding provision of
any future United States revenue law);
4) Make any taxable expenditures as defined in Section 4945(d) of the Internal
Revenue Code of 1986 (or the corresponding provision of any fixture United
States revenue law).
Section 8.7. Interest of Directors in Contracts. Any contract or other
transaction between the Corporation and one or more of its Directors, or between the
Corporation and any firm of which one or more of its Directors are members or
employees, or in which they are interested, or between the Corporation and any
corporation or association of which one or more of its Directors are shareholders,
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IN WITNESS WHEREOF, the undersigned does hereby execute these
Articles of Incorporation as of this 25`h day of January, 2006.
Tatyana Komarova, Incorporator
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members, directors or employees, or in which they are interested, shall be valid for
all purposes, notwithstanding the presence of such Director or Directors at the
meeting of the Board of Directors of the Corporation which acts upon or in reference
to such contract or transaction, and notwithstanding such Director's participation in
such action, if the fact of such interest shall be disclosed or known to the Board of
Directors and the Board of Directors shall, nevertheless, authorize, approve and
ratify such contract or transaction by a vote of a majority of the Directors present,
such interested Director or Directors to be counted in determining whether a quorum
is present, but not to be counted in calculating the majority of such quorum
necessary to cant' such vote; provided, however, that such contract or transaction
shall be at arm's length and not violative of the proscriptions of these Articles
against the Corporation's use or application of its funds for private benefit.
Section 8.8. Indemnification of Directors, Officers and Employees. The
Corporation shall indemnify any individual made a party to any action, suit or
proceeding by reason of the fact that such individual is or was a director, officer,
employee or agent of the Corporation against all liability and reasonable expense
incurred or suffered by such individual in connection therewith, if:
a) the individual's conduct was in good faith; and
b) the individual reasonably believed:
i) in the case of conduct in the individual's official capacity with the
Corporation, that the individual's conduct was in its best interests; and
ii) in all other cases, that the individual's conduct was at least not opposed
to the Corporation's best interests; and
c) in the case of any criminal proceeding, the individual either:
i) had reasonable cause to believe the individual's conduct was lawful; or
ii) had no reasonable cause to believe the individual's conduct was
unlawful.
The terms used in this Article VIII shall have the same meaning as set forth in IC 23-
17 et seq. Nothing contained in this Section shall limit or preclude the ability of the
Corporation to otherwise indemnify or to advance expenses to any director, officer,
employee or agent.
The rights of indemnification, reimbursement and advance payments set forth above
shall not be deemed exclusive of any other rights to which such individual may be
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entitled apart from the provisions of this Article, and shall inure to the benefit of the
heirs and legal representatives of such individual. This section shall be construed in a
manner consistent with the proscriptions of these Articles against the Corporation's
use or application of its funds for private benefits.
Section 8.9. Code of By Laws. The Board of Directors of the Corporation
shall have the power to make, alter, amend or repeal a Code of By -Laws providing
for the internal regulation and conduct of the affairs of the Corporation, provided
that a number of Directors equal to a majority of the Board of Directors votes
affirmatively for such action.
Section 8.10. Amendment. These Articles may be amended by the affirmative
vote of a majority of the Directors, provided that a number of Directors equal to a
majority of the Board of Directors votes affirmatively for such action.
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INTERNATIONAL TALENT ACADEMY REPORT2021ye
EXHIBIT D
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INTERNAL REVENUE SERVICE
P. O. BOX 2508
CINCINNATI, OH 45201
Date: SE.i 2 2 2-0116
INTERNATIONAL TALENT ACADEMY INC
INDIANAPOLIS, IN 46280
Dear Applicant:
DEPARTMENT OF THE TREASURY
Employer Identification Number:
20-4369460
DLN:
17053167046006
Contact Person:
DONNA ELLIOT-MOORE IDt 50304
Contact Telephone Number:
877) 829-5500
Accounting Period Ending:
December 31
Public Charity Status:
170(b)(1)(A)(vi)
Form 990 Required:
Yes
Effective Date of Exemption:
February 1, 2006
Contribution Deductibility:
Yes
Advance Ruling Ending Date:
December 31, 2010
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. During your advance ruling
period, you will be treated as a public charity. Your advance ruling period
begins with the effective date of your exemption and ends with advance ruling
ending date shown in the heading of the letter.
Shortly before the end of your advance ruling period, we will send you Form
8734, Support Schedule for Advance Ruling Period. You will have 90 days after
the end of your advance ruling period to return the completed form. We will
then notify you, in writing, about your public charity status.
Please see enclosed Information for Exempt Organizations Under Section
501(c)(3) for some helpful information about your responsibilities as an exempt
organization.
Letter 1045 (DO/CG)
DocuSign Envelope ID: 15E0B74B-0FAA-491E-A7BC-00BB8A086FBF
2-
INTERNATIONAL TALENT ACADEMY INC
Sincerely,
4" &
F
YznerLoisG.
Director, Exempt Organizations
Rulings and Agreements
Enclosures: Information for Organizations Exempt Under Section 501(c) M
Statute Extension
Letter 1045 (DO/CG)
DocuSign Envelope ID: 15E0B74B-0FAA-491E-A7BC-00BB8A086FBF
4
a INTERNATIONAL TALENT ACADEMY REPORT2021
F
EXHIBIT E.
DocuSign Envelope ID: 15E0B74B-0FAA-491E-A7BC-00BB8A086FBF
STATE OF INDIANA
COUNTY OF HAMILTON
1, 7 a,
of
SS:
AFFIDAVIT
1 , an authorized representative
being first duly sworn upon
my oath, state that pursuant to paragraph 2 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 previous year totaled $ 40,780.00
Signature Jj
Printed Name a,
subscribed and sworn to before me, the undersigned Notary Public, this --4
day of
2021.
SEAL]
DONNA L. FIENE
Notary Public. State of Indiana
3 Carrmission Number 721462
My Commission Expires
July 24, 2027
Signature - NotaryPublic Printed
Name r`-- <pv'^ L Resident
of t o County, India`n7a My
Commission Expires: l Z r"c>'2 I
DocuSign Envelope ID: 15E0B74B-0FAA-491E-A7BC-00BB8A086FBF
International Talent Academy Profit & Loss
January 1 - November 28, 2021
Income
Total
4000 Contributed support
4010 Individual/Business Donations
4020 Board Donations & Match
4510 Agency (government) grants
4540 Local government grants
Total 4000 Contributed support
5000 Earned revenues
2,167.69
380.80
3,000.00
10,000.00
15,648.49
5180 Program service fees
2,225.00
5185 Programs . Online Classes
5186 Public Speaking
5187 French Classes
351.18
546.48
5188 Young Authors
Total 5185 Programs -Online Classes
Total 5180 Program service fees
5700 Rising Star Competition
117.06
1,014.72
3,239.72
5701 IRS Piano
5702 IRS Voice
5703 RS Theater Arts
Total 5700 Rising Star Competition
5800 Special events
2,963.74
577.11
154.98
3,695.83
5802 Fundraisers
Total 5800 Special events
5900 Interest-savings/short-term inv
Total 5000 Earned revenues
Total Income
Gross Profit
Expenses
720.00
720.00
4.01
7,659.56
23,208.05
23,208.05
7200 Salaries & related expenses
7210 Officers & directors salaries
20,000.00
7220 Contracted Teachers
Total 7200 Salaries & related expenses
7500 Contracted services
1,564.96
21,564.96
7530 Legal fees
7550 Rising Star contracted artists
Total 7500 Contracted services
8100 Office expenses
22.00
675.00
697.00
8130 Telephone & telecommunications
8140 Postage, shipping, delivery
8195 Computer services
Total 8100 Office expenses
8110 Office Supplies
824.89
13.50
666.95
1,505.34
8180 Books and Classes material 188.47
DocuSign Envelope ID: 15E0B74B-0FAA-491E-A7BC-00BB8A086FBF
Total 8110 Office Supplies
8502 Misc expenses
8542 gitts{510}
Total 8502 Misc expenses
8900 Membership dues - organization
9000 Advertising expenses
9030 Marketing Services
Total 9000 Advertising expenses
Total Expenses
Net Operating Income
Net Income
188.47
SUIOOP:
100.00
240.00
139.55
139.55
24,235.32
1,027.27
1,027.27
Monday, Nov 29, 2021 08:28:52 AM GMT-8
DocuSign Envelope ID: 15E0B74B-0FAA-491E-A7BC-00BB8A086FBF
International Talent Academy
Balance Sheet
As of November 29, 2021
ASSETS
Current Assets
Bank Accounts
5170 PayPal
Operating - Bank of Indianapoll
Regions Bank Checking 9066
Savings - Bank of Indianapolis
Total Bank Accounts
Other Current Assets
1299 Undeposited Funds
Total Other Current Assets
Total Current Assets
TOTAL ASSETS
LIABILITIES AND EQUITY
Liabilities
Total Liabilities
Equity
3001 Opening Bal Equity
32000 Retained Earnings
Net Income
Total Equity
TOTAL LIABILITIES AND EQUITY
Total
383.02
3,884.11
0.00
7,087.32
10,588.41
0.00
0.00
10,588.41
10,588.41
870.50
10,745.18
1,027.27
10,588.41
10,588.41
Monday, Nov 29, 2021 08:29:23 AM GMT-8
DocuSign Envelope ID: 15E0B74B-0FAA-491E-A7BC-00BB8A086FBF
EXTENDED TO NOVEMBER 15, 2021
990—EZ
Short Form OMB No.1545-0047
Form Return of Organization Exempt From Income Tax
2U2 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Do not enter social security numbers on this form, as it may be made public. k ,TfigDepartmentofthelrersury
Internal Revenue Service Go to vvvnu.irs.gov/Form990EZ for instructions and the latest information.
C
return I city or town, state or
G Accounting Method: U Cash
I Website: WWW.INTERt
L TALENT ACADEMY INC
delivered to street address)
e, country, and ZIP or foreign
46033
Accrual Other (specify),
code F Group Exemption
Number
H Check 0 if the organization is
not required to attach Schedule B
LJ - u G III501 t IIu. LJ s41d Or Olt I-Orm 88U Bull-CL 0r eaU-Fr . K
Form of organization: XCorporation 0 Trust 0 Association 0 Other L Add
lines 5b, 6c, and 7b to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets (Part ll, column B
are 500 000 or more file form 990 instead of Form 990-EZ........................................................................ 40,780. Revenue, Expenses,
and hanges in Net Assets or Fund Ba antes (see the instructions for Part 1) Check if
thp nrnn ni7otinn , cod Snhod,dn n fin r end fn o oofino in fhi, Doa I FY 1 1 Contributions,
gifts, grants, and similar amounts received ..,..,._._._,... 22,756. 2 17,
073. 2 Programservicerevenueincludinggovernmentfeesandcontracts33
Membershipduesandassessments...__........._..._......................__..........._........._......_. _.. 4 6.
4 Investmentincome.............._.._......_......._.........._..._........_..................S.F-,.Fr....$.CH.ED.U.I,E....Q......... 5a Gross
amount from sale of assets other than inventory" b Less:
cost or other basis and sales expenses _... .............. 56 5c c
Gainor (loss) from sale of assets other than inventory (subtract line 5b from line 5a) ....... „ ..................... 6 Gaming
and fundraising events: u a
Gross Income from gaming (attach Schedule G if greater than a$15,
000) Ba b Gross
income from fundraising events (not including $ of contributions from fundraising
events reported on line 1) (attach Schedule G if the sum of such Y gross income
and contributions exceeds $15,000) ..... 6b 945 i>af_ c Less:
direct expenses from gaming and fundraising events ........ __.__.... 6c Kam: 6d If
Netincomeor (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c) .................... 945. 7a Gross
sales of inventory, less returns and allowances _._. 7a ra y A b Less:
cost of goods sold c Gross
profit or (loss) from sales of inventory (subtract line 7b from line 7a) 8 Other
revenue (describe in Schedule 0)..................................... 9 40,
780. 9 Totalrevenue. Add lines 1 2 3 4 5c 6tl 7c and 8................................................................................. 10 Grants
and similar amounts paid (list in Schedule 0) . 10 11 11
Benefitspaidtoorformembers1224
001. v 12Salaries, other compensation, and employee benefits 13 Professional
fees and other payments to independent contractors ..,_ _ 13 4 , 411 . K14 Occupancy,
rent, utilities, and maintenance 14 m 15
Printing, publications, postage, and shipping ...... 15 63 . 16 5 ,
088. 16 Otherexpenses (describe in Schedule 0) ......................... SEE SCHED. ULE.......... ,_ 17 33 , 563.
17 Total expenses. Add lines 10 through 16 ......... - 18 Excess or (
deficit) for the year (subtract line 17 from line 9) 18 7 , 217 . n m 19
Net
assets or fund balances at beginning of year (from line 27, column (A)) must agree with
end -of -year figure reported on prior year's return) ._.__.., _..................19 4 694. z20 Other changes
in net assets or fund balances (explain in Schedule O) .._._. _._.. ...,,... ,,,, 20 0. 11 911. 21
Netassetsorfundtalancesatendof ear. Combine lines l8throuh20..........._...................._.............._.._ LHA For Paperwork
Reduction Act Notice, see the separate instructions. Form 990-EZ (2020) 032171 01-08-
21 2 15141105 757887
99000.
074504 2020.05000 INTERNATIONAL TALENT ACAD 99000.01
DocuSign Envelope ID: 15E0B74B-0FAA-491E-A7BC-00BB8A086FBF
INTERNATIONAL TALENT ACADEMY REPORT 2021
EXHIBIT F
DocuSign Envelope ID: 15E0B74B-0FAA-491E-A7BC-00BB8A086FBF
STE&, Growing ToungiMinds,DeveropingBig Tarents! INTERNATIONAL
TALENT ACADEMY fM
ALAS Performing aZ Li6erafArts Schooffor Children ITA
Board of Directors 2020-21 ADA
YEUNG - President Sr.
Technical Manager, Vanderbilt University Medical Center 13922
l, IN 46033 SHARON
GANNON — Vice president Retired,
Teacher 3385
IN 46033 ELISA
LUCCHI-RIESTER - Secretary Butler
University, Spanish Professor 256
In 46280 IRINA
HERSTEIN — Board member IU
Health Methodist Hospital, Neurodiagnostic specialist 203
IN 46032 TATYANA
KOMAROVA ITA
Executive Director and Founder 11398
l, IN 46033 Tel/
Fax (317) 815-9381 E-mail:Tatyana@lnternationaltalentacademy.org www.IntemationalTalentAcademy.org ITA
is a 501 (c) (3) non-profit organization. Tax ID #20-4369460.
DocuSign Envelope ID: 15E0B74B-0FAA-491E-A7BC-00BB8A086FBF
INTERNATIONAL TALENT ACADEMY REPORT 2021
nnaP35
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