HomeMy WebLinkAboutResolution BPW 01-18-23-17; ($7,120.00); International Talent Academy; Arts GrantRESOLUTION NO. BPW 01-18-23-17
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 , 2023.
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:
S:\\EBass\\MyDocuments\\BPW-Resolutions\\2023\\Acknowledge ArtsGrant International Talent Academy.docx1/9/202312:09PM
18th January
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1/19/2023
Not Present
1/19/2023
1/19/2023
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ARTS GRAN° T PROGRAM
AGREEMENT
This Grant Agreement (herein referred to as "Agreement") entered into by and between the City
of Carmel (the "City") and International Talent Academy (the
Grantee"), is executed pursuant to the terms and conditions set forth herein. In consideration of
those mutual undertakings and covenants, the parties agree as follows:
1. That on behalf of Grantee, a not -for -profit corporation, I, Tatyana Komarova
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 $ 7 ,12 0.0 0 to the Grantee for the eligible costs
of the project (the "Project") or services as described in Exhibits "A" and `B" of this
Agreement. The funds shall be used exclusively in accordance with the provisions
contained in this Agreement. 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); and
2. A budget for the calendar or fiscal year for which the grant is requested
EXHIBIT B); and
3. Certified copies of incorporation as a not -for -profit corporation under state law
EXHIBIT C); and
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); and
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); and
6. A list of the Grantee's board of directors and officers listed (EXHIBIT F); and
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 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
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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 WHEROF, the parties hereto have made and executed this Agreement as follows:
International Talent Academy Grantee")
By: (Signature)
Printed Name of Officer: Tatyana Komarova Title: Executive Director
Date: jj—
CITY OF CARMEL ("Grantor")
By: _ yd—
James Brainard, Mayor
Date: 1/3/2023
ATTEST:
r
Date: 1/3/2023
If you have any question concerning the City of Carmel's 2023 Arts Grant Program, grant writing, guidelines or application materials, contact:
Sharon Kibbe, City of Carmel, One Civic Square, Carmel, rN 46032, Phone: 317-571-2483, sRibix i earn,e€Jn.aov.
n
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INTERNATIONAL TALENT ACADEMY CITY GRANT REPORT 2022
EXHIBIT A
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Exhibit "A"
An Application and Description of the Proposed Use of the Grant Funds
APPLICANT:
Name of organization: International Talent Academy
Address: 11398 Regency Ln, Carmle IN 46033
Telephone: 317-815-9381 Fax:
Contact Person: Ta ana Komarova
Email: Tatyanakl3@gmail.com
APPLICATION AMOUNT: $13,000.00
DESCRIPTION OF THE PROPOSED USE OF THE GRANT FUNDS:
o support ITA ' s mission and vision as well as 600+ volunteer hrs we collectively workeditsyear, we respectfully request $13.000.00 in support of the organization's operations, rowth development and new Carmel Arts Rising Star Competition we successfullyunchedlastyear.
e are sincerely asking you to consider increasing our grant amount, so we can sustainccessfulyear-round operations of our growing organization.
funds will be allocated as follows:
6,000.00 — Current Program Operations, Organization and Programs development1,500.00 — Website, computer services
2,500.00 — Programs, Marketing, Insurance
3,000 — Carmel Arts Rising Star competition
Additional pages may be added to Exhibit "A")
Signature:
Printed Name of Officer: Tatyana komarova
Title: Executive Director
Date: /I 13 o 2
11398 Regency Ln, Carmel, IN 46033
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INTERNATIONAL TALENT ACADEMY CITY GRANT REPORT 2022
EXHIBIT B
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r. International Talent Academy: 2023 BUDGET
I N COME.
i
Grant Support: Government (city/state) 13,000.00GrantSupport: Private foundations w $
5,000.00Donations: IndividualsjFundraisers 3,000.00Service: Direct Service
19,000.00SpecialEvents
100.00In -kind Donation: services and fees - 8,100.00TotalRevenue
45,000.00EXPENSES: staff and Professional Fees
Executive Director
27,000.00Teachers
4,000.00Accountant
Marketing Assistant
i~ $ 000.00
Contracted artists 3,000.00
Sub -Total Employee 2,000.00
EXPENSE: Programs 34,600.00
Program supplies and materials
10500.00Spaceandequipmentrental3,000.00Marketing --
Sub -Total Program Expences 1,800.00
EXPENSE: Administrative expences 6,300.00
G&A: Insurance
1,700.00
G&A: IT: internet, phone, website, accounting software $2,100.00G&A: Dues and Subscriptions
250.00Sub -Total: Administrative expences 4,050.00TotalExpenses
44,950.00
Total Revenue
Total Expenses $45.000.00
5urplus/Defrz€t -- --- - $44,950.00
o.oa
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INTERNATIONAL TALENT ACADEMY CITY GRANT REPORT 2022
EXHIBIT C
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State of Indiana
Office of the Secretary of State
CERTIFICATE OF INCORPORATION
of
INTERNATIONAL TALENT ACADEME', INC.
I, TODD ROMA, Secretary of State of fndiana, hereby certify that Articles ofIncorporation
of the above Non-profit Domestic Corporation have been presented to me at my office.
accompanied by the fc;es prescribed by law and that the documentation presented conforms tolawasprescribedbytheprovisionsoftheIndTanaNonprofitCorporationActof1991.
NOW, THEREFORE, with this document I certify that said transaction will become effectiveWednesday, Febn ary 01, 20o6.
XAC
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In Witness Whereof, I have caused to be
affixed my signature and the seal of the
State of Indian a, at the City of Indianapolis,
February 1, 2006_
lrp,-- 0.0"
000
TODD ROKITA.
SECRETARY OF STATE
2006020300323/2006020336008
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T1 E- F . 'CO PO . .
OFt
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INTERNATIONAL TALENT ACADEMY, rl\T,Cf,
c :• t, v
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
TliP n2mP
The name of the Corporation is Irit: -national 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 541(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 irnportance 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 perfbrmin g, 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, M 46280.
ARTICLE V
Membershit
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 Koniarova
Alexander Keddie
Irina Gorin
Tainatha A. Stevens
Mary Beth Plummer
Amy Canute
Number and Street
1153 Aqueduct way
2862 Brook Vista
5807 Sedgeorass Crossing
3755 E. 82WStreet, Suite 200
3755 E. 82'd Street, Suite 200
10121 Oak Ridge
City and State Zip Code
Indianapolis, IN 46280
Carmel, IN 46032
Carmel, 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 info 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 K.omarova, 1153 Aqueduct way. Indianapolis, IN 46280.
ARTICLE V lII
Provisions for the Regulation and
Conduct of the Affairs of the Co oration
Section 8.1. Powers. To cant' 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 541(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. Restn uon U12on Inurement of Net l ar; :_ . I`Jo 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 setforthinArticleIIhereof.
Section 8.3. Restriction Upon Accc tanc_ 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:
I) Engage in any act of self -dealing as defined in Section 4941 (d) of the Internal
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 future
United States revenue law);
3) Make any investments in such manner as to subject it to tax under Section
4944 of the Internal Revenue Code of t986 (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 future 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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INN WITNESS WHEREOF, the undersigned does hereby execute these
Articles of Incorporation as of this 251h 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 carry 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 Em to ees. The
Corporation shall indemnify any individual rnade 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:
1) 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:
had .reasonable cause to believe the individual's conduct was lawful; or
ii) had no reasonable cause to believe the individual's conduct was
unIawful.
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,
eiriployee 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 inw-e 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 S.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 CITY GRANT REPORT 2022
1:011:3M d--ol
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INTERNAL REVENUE SERVICE
P. 0, BOAC 2508
CINCINNATI, OH 45201
Date; S E D 2 2 2-0106
INTERNATIONAL TALENT ACADEMY INC
1153 AQUEDUCT WAY
INDIANAPOLIS: IN 46280
Dear Applicant:
DEPARTMENT OF' THE TREASURY
Employer Identification Number:
20--4369460
DLN:
17053167046006
Contact Person:
DONNA ELLIOT-MOORE ID# 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 10,15 (DO/CG)
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INTERNATIONAL TALENT AC,%PEMY INC
2-
Sincerely,
CAC 0 &Zvp-4
Lois G. Infer
Director, Exempt Organizations
Rulings and Agreements
Enclosures_ Information for Organizations Exempt Under Section 501(c)(3) Statute Extension
Letter 104S (DO/CG)
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y.11a
INTERNATIONAL TALENT ACADEMY CITY GRANT REPORT 2022
s
EXHIBIT E
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STATE OF INDIANA
COUNTY OF 4a"
I, Tatyana Komarova
of Tatyana Komarova jwte r h it,
r
SS:
AFFIDAVIT
an authorized representative
Grantee"), 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 $ 2 , 26 2 • o'O
Signature
Printed Name Tatyana Komarova
Su bscribed and sworn to before me, the undersigned Notary Public, this day of
9v%-)C r— _ 202 .
SEAL]
DONNA L. FIENE
q Notary Public. State of Indiana
r
Commission Number 72t 452
My Commission Expires
July 24, 2027
Signature - Notary Public
Printed Name.L
Resident of A l )--Z=
County, Indiana
My Commission Expires:
0
DocuSign Envelope ID: E35D61E6-7B79-45EC-933E-FA86BEAE9A57
International Talent Academy
Profit and LossA-- January 1 - November 29, 2022
Total
Income
4000 Contributed support
4010 Individual/Business Donations 2,710.86
4230 Foundation/trust grants 1,466.00
4510 Agency (government) grants 2,925.00
4540 Local govemment grants 17,400.00
Total 4000 Contributed support $ 24,501.86
5000 Earned revenues
5180 Program service fees 16,641.00
5190 Purchase Refunds 558.45
5700 Rising Star Competition LIVE 2,850.00
5750 Rising Star Competition ONLINE 3,120.00
5800 Special events
5802 Fundraisers
5802.1 Ticket Sales 575.00
Total 5802 Fundraisers $ 575.00
Total 5800 Special events $ 575.00
5900 Interest-savings/short-term inv 8.13
Total 5000 Earned revenues $ 23,752.58
Total Income $ 48,254.44
Gross Profit $ 48,254.44
Expenses
7200 Salaries & related expenses 20.00
7210 Officers & directors salaries 24,870.00
7220 Contracted Teachers 2,250.00
Total 7200 Salaries & related expenses $ 27,140.00
7500 Contracted services
7550 Rising Star contracted artists 1,400.00
Total 7500 Contracted services $ 1,400.00
8100 Office expenses
8105 Equipment 1,688.99
8130 Telephone & telecommunications 749.90
8140 Postage, shipping, delivery 57.75
8195 Computer services 2,084.54
Total 8100 Office expenses $ 4,581.18
8110 Office Supplies
8180 Books and Classes material 623.09
8190 RS supplies 1,054.35
Total 8110 Office Supplies $ 1,677.44
8200 Rent
8210 Rent, parking, other occupancy 2,358.00
DocuSign Envelope ID: E35D61E6-7B79-45EC-933E-FA86BEAE9A57
8211 Piano rental
Total 8210 Rent, parking, other occupancy
Total 8200 Rent
8300 Travel & meetings expenses
8330 Food expenses
8340 International travel expense
Total 8300 Travel & meetings expenses
9000 Advertising expenses
9010 Advertising/Marketing Supplies
9020 Marketing events(461)
9030 Marketing Services
Total 9000 Advertising expenses
Total Expenses
Net Operating Income
Net Income
450.00
2,808.00
2,808.00
288.46
130.00
418.46
100.00
463.43
75.00
150.00
788.43
38,813.51
9,440.93
9,440.93
Tuesday, Nov 29, 2022 11:15:29 AM GMT-8 - Cash Basis
DocuSign Envelope ID: E35D61E6-7B79-45EC-933E-FA86BEAE9A57
International Talent Academy
Balance Sheet
As of November 30, 2022
Total
ASSETS
Current Assets
Bank Accounts
Operating - Bank of Indianapoli 13,706.56
Regions Bank Checking 9066 0.00
Savings - Bank of Indianapolis 6,090.86
Total Bank Accounts $ 19,797.42
Other Current Assets
1299 Undeposited Funds 0.00
Total Other Current Assets $ 0.00
Total Current Assets $ 19,797.42
TOTAL ASSETS $ 19,797.42
LIABILITIES AND EQUITY
Liabilities
Total Liabilities
Equity
3001 Opening Bal Equity 870.50
32000 Retained Earnings 9,496.17
Net Income 9,430.75
Total Equity $ 19,797.42
TOTAL LIABILITIES AND EQUITY $ 19,797.42
Wednesday, Nov 30, 2022 05:24:20 AM GMT-8 - Accrual Basis
DocuSign Envelope ID: E35D61E6-7B79-45EC-933E-FA86BEAE9A57
Form 8879-TE
Department of the Treasury
Internal Revenue Service
IRS a -file Signature Authorization
for a Tax Exempt Entity
For calendar year 2021, or fiscal year beginning , 2021, and ending , 20 _
Do not send to the IRS. Keep for your records.
Go to www.irs.gov/Form8879TE for the latest information.
Name of filer I EIN or SSN
OMB No. 1545-0047
TIONAL TALENT ACADEMY INC 1 20-4369460
Name and title of officer or person subject to tax TATYANA KOMAROVA
EXECUTIVE DIRECTOR
Part I I Type of Return and Return Information
Check the box for the return for which you are using this Form 8879-TE and enter the applicable amount, if any, from the return. Form 8038-CP and
Form 5330 filers may enter dollars and cents. For all other forms, enter whole dollars only. If you check the box online 1a, 2a, 3a, 4a, 5a, 6a, 7a, 8a, 9a,
or 10a below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, 5b, 6b, 7b, 8b, 9b, or 10b,
whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more
than one line in Part I.
is Form 990 check here ......... E:1 b Total revenue, if any (Form 990, Part VIII, column (A), line 12) ...... ,- __-. 1b
2a Form 990-EZ check here ... b Total revenue, if any (Form 990-EZ, line 9) .............. 2b 24,862.
3a Form 1120-POL check here 0 b Total tax (Form 1120-POL, line 22) ........... .. ... _„_...,,...................... 3b
4a Form 990-PF check here ... 0 b Tax based on investment income (Form 990-PF, Part V, line 5) 4b
5a Form 8868 check here ..... 0 b Balance due (Form 8868, line 3c) ...................
6a Form 990-T check here ...... 0 b Total tax (Form 990-T, Part III, line 4) .....................................
7a Form 4720 check here ..... 0 b Total tax (Form 4720, Part III, line 1)...................................................... 7b
8a Form 5227 check here ...... 0 b FMV of assets at end of tax year (Form 5227, Item D) 8b
9a Form 5330 check here ...... 0 b Tax due (Form 5330, Part II, line 19) 9b
10a Form 8038-CP check here b Amount of credit a ent re uested(Form 8038•CP Part III line 22 lob
Part II 1 Declaration and Signature Authorization of Officer or Person Subject to Tax
Under penalties of perjury, I declare that 0 I am an officer of the above entity or 0 I am a person subject to tax with respect to (name
of entity) , (EIN) and that I have examined a copy of the
2021 electronic return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and
complete. I further declare that the amount in Part I above is the amount shown on the copy of the electronic return. I consent to allow my
intermediate service provider, transmitter, or electronic return originator (ERO) to send the return to the IRS and to receive from the IRS (a) an
acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date
of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit)
entry to the financial institution acccunt indicated in the tax preparation software for payment of the federal taxes owed on this return, and the
financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1.888.353.4537 no
later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions Involved in the processing of the electronic
payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a
personal identification number (PIN) as my signature for the electronic return and, if applicable, the consent to electronic funds withdrawal.
PIN: check one box only
E] I authorize
ERO firm name
to enter my PIN
Enter five numbers, but
do not enter all zeros
as my signature on the tax year 2021 electronically filed return. If I have indicated within this return that a copy of the return is being filed
with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN
on the return's disclosure consent screen.
OX As an officer or person subject to tax with respect to the entity, I will enter my PIN as my signature on the tax year 2021 electronically filed
return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the
IRS Fed/State program, I will enter my PIN on the return's disclosure consent screen.
Si Lure of orrice or person sub ject to tax III, Date DO -
Part III I Certification and Authentication
ERO's EFIN/PIN. Enter your six -digit electronic filing identification
number (EFIN) followed by your five -digit self-selected PIN. 355485 8 0 0 9 6
Do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature on the 2021 electronically filed return indicated above. I confirm that I am
submitting this return in accordance with the requirements of Pub. 4163, Modernized a -File (MeF) Information for Authorized IRS a -file Providers for
Business Returns.
ERO's signature KSM BUSINESS SERVICES, INC Date 11/04/22
ERO Must Retain This Form - See Instructions
Do Not Submit This Form to the IRS Unless Requested To Do So
LHA For Privacy act and Paperwork Reduction Act Notice, see instructions. Form 8879-TE (2021)
102521 01-11-22
15151104 757887 99000.074504 2021.05000 INTERNATIONAL TALENT ACAD 99000.01
DocuSign Envelope ID: E35D61E6-7B79-45EC-933E-FA86BEAE9A57
Form 8868 f Application for Automatic Extension of Time To File an
Organization Return dRev. January 2022) + Exempt g OMB No. 1545.0047
Department of the Treasury
File a separate application for each return.
Internal Revenue Service Go to www.irs.gov/Form8868 for the latest information.
Electronic filing (e-file). You can electronically file Form 8868 to request a 6-month automatic extension of time to file any of the
forms listed below with the exception of Form 8870, Information Return for Transfers Associated With Certain Personal Benefit
Contracts, for which an extension request must be sent to the IRS in paper format (see instructions). For more details on the electronic
filing of this form, visit www.irs.gov/e-file-providers/e-file-for-charities-and-non-profits.
Automatic 6-Month Extension of Time. Only submit original (no copies needed).
All corporations required to file an income tax return other than Form 990-T (including 1120-C filers), partnerships, REMICs, and trusts
must use Form 7004 to request an extension of time to file income tax returns.
Type or Name of exempt organization or other filer, see instructions. Taxpayer identification number (TIN)
print
INTERNATIONAL TALENT ACADEMY INC 20-4369460
File by the
due date for Number, street, and room or suite no. If a P.O. box, see instructions.
filing your 11398 REGENCY LANE
return. See
instructions. City, town or post office, state, and ZIP code. For a foreign address, see instructions.
CARMEL, IN 46033
Enter the Return Code for the return that this ar-nAcation is for Mis a seDarate aDplication for each return) 1
Application
Is For
Return
Code
Application
Is For
Return
Code
Form 990 or Form 990-EZ 01 Form 1041-A 08
Form 4720 individual 03 Form 4720 (other than individual) 09
Farm 990-PF 04 Form 5227 10
Form 990-T sec. 401 a or 408 a trust) 05 1 Form 6069 11
Form 990-T trust other than above 06 Form 8870 12
Form 990•T (corporation) 07
TATYANA KOMAROVA
The books are in the care of 113 9 8 REGENCY LANE CARMEL , IN 46033
Telephone No. 317 — 815 — 9 3 81 Fax No.
If the organization does not have an office or place of business in the United States, check this box ............................................... 0
a If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) . If this is for the whole group, check this
box 0 . If it is for part of the group, check this box and attach a list with the names and TINS of all members the extension is for.
1 I request an automatic 6-month extension of time until NOVEMBER 15, 2022
the organization named above. The extension is for the organization's return for:
XO calendar year 2 0 21 or
0 tax year beginning and ending
to file the exempt organization return for
2 If the tax year entered in line 1 is for less than 12 months, check reason: 0 Initial return 0 Final return
Change in accounting period
3a If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less
any nonrefundable credits. See instructions. 3a I S 0 •
b If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits and
estimated tax payments made. Include any priar ear overpayment atlowed as a credit. 3b S 0
c Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required, by
using EFTPS Electronic Federal Tax Payment System). See instructions. 3c S 0
Caution: If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-TE and Form 8879-TE for payment
instructions.
LHA For Privacy Act and Paperwork Reduction Act Notice, see instructions. Form 8868 (Rev. 1-2022)
123841 01-12-22
1
15151104 757887 99000.074504 2021.05000 INTERNATIONAL TALENT ACAD 99000.01
DocuSign Envelope ID: E35D61E6-7B79-45EC-933E-FA86BEAE9A57
Form 990-EZ
Department of the Treasury
Internal Revenue Service
EXTENDED TO NOVEMBER 15, 2022
Short Form
Return of Organization Exempt From Income Tax
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.
Go to www.irs.gov/Form990EZ for instructions and the latest information.
We No. 1545-0047
2021
Open to Public
Inspection
A For the 2021 calendar year, or tax year beginning and ending
chetliG ` C Name of organization D Employer identification numbera¢oGcal7le:
Address change
O Name change INTERNATIONAL TALENT ACADEMY INC 2 0- 4 3 6 9 4 6 0
Initial return Number and street (or P.O. box if mail is not delivered to street address) Room/suite E Telephone number
Ilinatedreturn/
terminated 11398 REGENCY LANE 317 — 815 — 9 3 81
Amended return City or town, state or province, country, and ZIP or foreign postal code F Group Exemption
R Pcation dnI CARMEL , IN 46033 Number Pip-
G Accounting Method: 0 Cash L] Accrual Other (specify) H Check 0 if the organization is
I Website: WWW . INTERNATIONALTALENTACADEMY . ORG not required to attach Schedule B
J Tax-exempt status check only one - X 501c 3 501 c insert no. 4947 a 1 or = 527 (Form 990'+. K
Form of organization: 0 Corporation 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 II, column
8 are $500,000 or more file Form 990 instead of Form 990-EZ................. -................... --- ........... .... - ......... 24,862. Part
I I Revenue, Expenses, and Changes In Net Assets or Fund Ba anOSS (see the instructions for Part 1) 1
Contributions, gifts, grants, and similar amounts received .............................• 1 16,371. 2
7,126. 2Programservicerevenueincludinggovernmentfeesandcontracts. 14
3
3Membershipduesandassessments4
5. 4Investmentincome _.................... ......... -.—I....., ..-. SEE-_. . ....... 5a
Gross amount from sale of assets other than inventory .............. ................... ....... 5a b
Less: cost or other basis and sales expenses ................................................... 5b c
Gain or (loss) from sale of assets other than inventory (subtract line 5b from line 5a) ......... 5c 6
Gaming and fundraising events: m
w
a
b
Gross
income from gaming (attach Schedule G if greater than 15,
000) Gross
income from fundraising events (not including $ from
fundraising events reported on line 1) (attach Schedule G if the sum of such of
contributions gross
income and contributions exceeds $15,000)................. 6b 1,360. c
d
Less:
direct expenses from gaming and fundraising events ,- _........_„.- ...--.-•--„ 6c Net
income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c) ., 6d 1,360. 7a
Gross sales of inventory, less returns and allowances - ,,,,,,,,,,,,,,, ,, "*....... 7, b
Less: cost of goods sold ...... ...................... .............-..-..._..-..._..._._.......... . 7b c
Gross profit or (loss) from sales of inventory (subtract line 7b from line 7a) ............... r......................... • 7c
8
8Otherrevenue (describe in Schedule 0) ...... ....... •.,,,,.,,,,-„-,,,............................ 4.._.,,,,_._,,,-,,,_....
9
1 24,862. 9Totalrevenue. Add lines 1.2. 3, 4.5c, 6d. 7c. and 8 10
Grants and similar amounts paid (list in Schedule 0),,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,„r 10
11
11Benefitspaidtoorformembers „............_............ 12
21, 000. x
W
12
13
14
15
Salaries,
other compensation, and employee benefits .... Professional
fees and other payments to independent contractors ......... Occupancy,
rent, utilities, and maintenance ...„„ Printing,
publications, postage, and shipping 4........
13
2, 627 . 14
15
14 16
2,469 . 16Otherexpenses (describe in Schedule 0) ........ 4...,,_ ...
SEE SCHEDULE 0 17
26,110 . 17Totalexpenses. Add lines 10 through 16 .............. -- y
a
z20
18
19
21
Excess
or (deficit) for the year (subtract line 17 from line 9) ..............4..... 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) .........,,___ Other
changes in net assets or fund balances (explain in Schedule 0) ............. Netassets
or fund balances at end of year. Combine lines 18 throuoh 20----------- 18
1 , 2 4 8 . 19
11 911. 20
0 21
10,663 . LHA
For Paperwork Reduction Act Notice, see the separate instructions. Form 990-EZ (2021) 132171
12-08-21 15151104
757887 99000.074504 2
2021.
05000 INTERNATIONAL TALENT ACAD 99000.01
DocuSign Envelope ID: E35D61E6-7B79-45EC-933E-FA86BEAE9A57
i0ils' INTERNATIONAL TALENT ACADEMY CITY GRANT REPORT 2022
EXHIBIT F
DocuSign Envelope ID: E35D61E6-7B79-45EC-933E-FA86BEAE9A57
Growing Toung 9Kinds, Developing Big Talents!
4
INTERNATIONAL TALENT ACADEMY
CAT , fimmGe gati6alAruScfr<w for Toung Chddnn ITA Board
of Directors 2022 ELISA LUCCHI-
RIESTER — President Spanish Professor,
Butler University 256 Pam
Rd, Indianapolis, In 46280 SHARON GANNON —
Vice president Retired, English
Teacher 3385 Eden
Village Dr., Carmel, IN 46033 ADA YEUNG -
Treasurer Sr. Technical
Manager, Vanderbilt University
Medical Center 13922 Salmon
Drive, Carmel, IN 46033 IRINA HERSTEIN -
Secretary Neurodiagnostic specialist,
IU Health
Methodist Hospital 6144 Burleigh
Pl., Noblesville, IN 46064 TATYANA KOMAROVA —
Board Member ITA Executive
Director and Founder 11398 Regency
Ln, Carmel, IN 46033 Tel/Fax (
317) 815-9381 E-mail:ITA@Internationaltalentacademy.org www.InternationalTalentAcademy.org ITA is
a 501 (c) (3) non-profit organization. Tax ID #20-4369460.
DocuSign Envelope ID: E35D61E6-7B79-45EC-933E-FA86BEAE9A57
a.u.
INTERNATIONAL TALENT ACADEMY CITY GRANT REPORT 2022
md
EXHIBIT G
DocuSign Envelope ID: E35D61E6-7B79-45EC-933E-FA86BEAE9A57
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