HomeMy WebLinkAbout214483 11/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00351326 Page 1 of 1
0 ONE CIVIC SQUARE CARMEL CLAY HISTORICAL SOCIETY
CARMEL, INDIANA 46032 211 FIRST STREET SW CHECK AMOUNT: $10,000.00
? CARMEL IN 46032 CHECK NUMBER: 214483
<ION 0
CHECK DATE: 11/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
504 4355101 10, 000 . 00 2012 CONTRIBUTION
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ARTS GRANT PROGRAM
AGREEMENT
This Grant Agreement(herein referred to as "Agreement") ent,er�e,d into by and between The City
of Carmel (the City) and CQr Ga �1S Mkat(t elU�'ratitee), is executed pursuant to the
terms and conditions set forth herein. In consideration of those mutual undertakings and
covenants, the parties agree as follows:
1. That on behalf of Grantee, a not-for-profit corporation, I,
Q.M.eI7}4e L) , an authorized representative of Grantee, am
applying for a City of Carmel ("Grantor") Arts Grant.
2. Purpose of this Grant Agreement. The purpose, q tth' greement is to enable the
City to award a grant of$ 1o'°tot � ntee for the eligible costs of
the project (the "Project") or services as described in Exhibits A and B of this
Agreement. The funds shall be used exclusively in accordance with the provisions
contained in this Agreement.
3. Design and Implementation of Project. The Grantee agrees to use any and all grant
funds in accordance with the proposal contained within this agreement and any
documents attached to this Agreement, which are incorporated by reference.
4. Warranty of non-profit status. Grantee hereby represents and warrants that it is a
not-for-profit entity with a determination letter from the Internal Revenue Service
declaring that it is exempt from Federal income tax.
5. Payment of Grant Funds by the City. The payment of this Grant by the City to the
Grantee shall be made in accordance with the following conditions:
A. This Agreement must be fully executed and signed by both Grantee and Grantor.
B. Grantee has attached all the following information, which it represents and warrants
to be true and accurate, all which have been incorporated fully by reference:
1. A 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 (EXHIBIT E);
6. A list of the Grantee's board of directors and officers listed(EXHIBIT F).
C. Any other grant conditions that City requires to be met by Grantee, specifically:
6. Grantor's right to request audit or review. Grantee shall submit to an audit or
review by an independent Certified Public Accountant of funds at the City's request,
and shall make all books, accounting records and other documents available at all
reasonable times during the term of this Grant Agreement, and for a period of three
(3) years after final payment of funds under this Agreement, for the purpose of an
audit by the City of Carmel, the State of Indiana, or their designees.
7. Year end review. Grantee agrees to provide the City of Carmel a year-end report for
each year, describing how the grant was used and the impact of the dollars received.
This Grant award may not exceed one third (1/3) of Grantee's combined contributed
income, revenue of sales, and/or ticket revenue from the previous year. If the Grant
amount is in excess of sixty thousand dollars ($60,000.00), the Grantee agrees to
provide, at Grantee's cost, a review or audit of the grantee. Said review or audit shall
be performed by a Certified Public Accountant ("CPA") who is neither an employee
of Grantee nor a member of the Grantee's Board of Directors, to be provided to the
City of Carmel by March 31 of the following year.
2
8. Funding Credit. Grantee agrees to credit the City of Carmel in the printed materials
associated with a funded program or project. The City of Carmel will supply Grantee
with the graphics/logos necessary for compliance.
9. Statutory Authority of Grantee. The Grantee expressly represents and warrants to
the State that it is statutorily eligible to receive these monies and it expressly agrees to
repay all monies paid to it under this Grant, should a legal determination of its
ineligibility be made by any Court of competent jurisdiction.
10. Use of Grant Funds by Grantee. The funds received by the Grantee pursuant to this
Agreement shall be used only to implement the Project or provide the services in
conformance with the Budget and for no other purpose. If it is 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 or Federal law.
11. Employment Eligibility Verification. The Grantee affirms under the penalties of
perjury that he/she/it does not knowingly employ an unauthorized alien.
The Grantee affirms under the penalties of perjury that he/she/it has enrolled and is
participating in the E-Verify program as defined in IC 22-5-1.7. The Grantee agrees
to provide documentation to the City that he/she/it has enrolled and is participating in
the E-Verify program. Additionally, the Grantee is not required to participate if the
Grantee is self employed and does not employ any employees.
The City may terminate for default if the Grantee fails to cure a breach of this
provision no later than thirty (30) days after being notified by the State.
12. Governing Law; Lawsuits. This Agreement is to be construed in accordance with
and governed by the laws of the State of Indiana, except for its conflict of laws
provisions. The parties agree that, in the event a lawsuit is filed hereunder, they
waive their right to a jury trial, agree to file any such lawsuit in an appropriate court
in Hamilton County, Indiana only, and agree that such court is the appropriate venue
for and has jurisdiction over same.
13. Relationship of Parties. The relationship of the parties hereto shall be as provided
for in this Agreement, and neither Grantee nor any of its 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.
14. Severability. If any term of this Agreement is invalid or unenforceable under any
statute, regulation, ordinance, executive order or other rule of law, such term shall be
3
deemed reformed or deleted, but only to the extent necessary to comply with same,
and the remaining provision of this Agreement shall remain in full force and effect.
15. Entire Agreement. This Agreement, together with any exhibits attached hereto or
referenced herein, constitutes the entire agreement between Grantee and City with
respect to the subject matter hereof, and supersedes all prior oral or written
representations and agreements regarding same. Notwithstanding any other term or
condition set forth herein, but subject to paragraph 15 hereof, to the extent any term
or condition contained in any exhibit attached to this Agreement or in any document
referenced herein conflicts with any term or condition contained in this Agreement,
the term or condition contained in this Agreement shall govern and prevail. This
Agreement may only be modified by written amendment executed by both parties
hereto, or their successors in interest.
IN WITNESS WHEROF, the parties hereto have made and executed this Agreement as follows:
�grN�e/ C10V 1TI. Ca/ ("Grantee")
By:
Printed Name of Officer: ka1erlpe �)// Title: �fC�CU�iKe- L�Jr�C7�j-
Date: zlp / /5-,
CITY OF CARMEL ("Grantor")
By:
James Brainard, Mayor
Date: z7 � /1 Z O' Z
ATTEST:
Date:
If you have any question concerning the City of Carmel's 2012 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,skibbc ;carmel.in.go`'.
4
pISTOBICAL SOCIETY
Katherine Dill
Carmel Clay Historical Society
211 V St. SW
Carmel, IN 46032
April 15, 2012
Mayor James Brainard
City of Carmel
One Civil Square
Carmel, IN 46032
Dear Mayor Brainard,
Please find enclosed the Carmel Clay Historical Society's application for the Carmel Arts Grant in the
amount of$10,624. Should you have any questions, please don't hesitate to contact me.
Cheers,
Katherine Dill
Enclosures
Compelling Stories—Fascinating People—Interesting Places
Exhibit A
Carmel Clay Historical Society
Arts Grant Narrative 2012
The Carmel Clay Historical Society is dedicated to enriching the lives of the
residents of Clay Township and the city of Carmel, Indiana, by collecting,preserving, and
interpreting the history of the Monon Train Depot, the city of Carmel and Clay Township,
and the people who have lived here. To meet this mission the CCHS hosts temporary and
permanent exhibits in its Monon Depot Museum, offers public programs about aspects of
Carmel history, hosts an annual home tour showcasing local structures, provides
classroom and curriculum material to Carmel Clay schools, and speaks to local service
organizations about local history.
The Carmel Clay Historical Society requests $10,624 from the City of Carmel for
the support of exhibits and arts programs. Funds will be used for four main purposes: the
development and creation of a new permanent exhibit about Carmel, the digitization of
the society's photograph collection, the Holiday Home Tour, and the improvement of
CCHS grounds to make them more suitable for arts programming.
We are fortunate to have two beautiful new exhibit cases at the Monon Depot
Museum. In one of those double-sided cases, we would like to feature a new permanent
exhibit about Carmel as it is today—the people, the religions, the ethnic cultures—and
trace the history back to the settling of the area by Quakers. This would be part of this
year's celebration of Carmel's 175' anniversary. This exhibit will help current residents
understand how they contribute to and are a critical part of Carmel and Clay Township,
which is not just a bedroom community of Indianapolis, but a city with a valuable
cultural and history in its own right. It is a culture and history they have helped make by
choosing to live and work here. In order to develop that exhibit,we will host a series of
town hall meetings at local organizations and schools to gather information from the
people who call Carmel home. We will gather photographs and artifacts from these
groups, share their stories, and compare them to the founding Quakers with whom they
many of the same values. $3,624 of requested funds will support this project.
The CCHS also requests funds to digitize its photograph collection, which will
ensure permanent preservation of the images as well as enable us to share them online.
We recently contracted with a professional photograph historian to continue the
digitization project carried out until now by volunteers.A member donated money to
support the initiation of this project, and further funds from the City of Carmel would
allow us to expand the project and digitize even more photographs. While our volunteers
have made progress digitizing our photographs, it has been slow. Hiring a historian to
continue the work would ensure the project is completed professionally and in a timely
manner. In addition, the photo historian will be able to help us date unidentified
photographs and determine locations in images previously unknown. Once our images
are digitized and made available online, the public will be able to search our collection
from their homes and order copies of the prints, which will, in-turn, develop a larger
revenue stream than we currently have. This is one step we are taking to be more
financially solvent. Digitization of our photographs is one of the elements of our strategic
plan.
The Holiday Home Tour enters its 16`'year in 2012. The event involves a series
of tours over two days and through four residences. The tour highlights the importance of
preserving Carmel's historic homes and antiques. Historic biographies of each home are
published in the tour program so participants can appreciate the different architectural
and historic aspects of the homes and where the structures and/or the antiques fit into the
cultural landscape of Carmel's history.
Finally, our grounds have been groomed beautifully by a local Master Gardner
chapter and we continue to add amenities to make our property more useful and
attractive. We use our grounds for arts programs, art exhibit receptions, and general
public use. We are requesting funds to improve the grounds by building a new handicap
ramp off the end of our deck (our current handicap ramp was made by volunteers years
ago and is too steep for use by a wheelchair). The funds will also be used to erect a
plaque explaining the significance of the concrete base in our front lawn: it was the base
to Carmel's—and one of the nation's—first traffic signals.Next year, we plan to work
with a local artist to create an artistic rendering of a traffic signal that will celebrate the
local innovation. The piece of art will be placed on top of the base. The plaque for which
we are requesting funds will be the first step in interpreting this local treasure and will
give context to what is now a large piece of concrete.
Projects in these areas would help the CCHS further develop its cultural and arts
programs. Thank you for your consideration.
Compelling Stories Fascinating People Interesting Places
Carmel Clay Historical Society Grant Request Budget
Item Quantity Cost per item 'Total
Carmel Permanent Exhibit
Facilitator for town hall meetings 5 $500.00 $23500.00
Photograph printing $500.00
Crescent board for mounting 2 $42.00 $84.00
Mounting adhesive 2 $260.00 $540.00
Digitization Initiative
Project Fee 200 $10/hour $29000.00
hours
Dome Tour* $39500.00
Grounds Improvement
Wheelchair Ramp $19000.00
Plaque for traffic signal base $500.00
TOTAL REQUEST $109624.00
* See separate Home Tour budget for cost break down
Carmel Clay Historical Society Holiday Home Tour Budget
Expenses
IMBP Catering/Food $1,000.00
Advertising $150.00
Martha Wagoner-art for host homes $250.00
,Regal Printing HHT Program Printing $500.00
!Decorations $100.00
'Transportation $1,300.00
Carmel Christian Church (facility use fee) $200.00
!TOTAL $31500.00
Sheet1
Carmel Clay Historical Society 2012 Budget
Exhibit B
--- -- Income----- - ---- --
Memberships
_ Individual $1,400.00
Family $1,200.00
Life $_
Donations
-- -------- --- -- - - - -- -- -- -
Annual Campaign $7,500.00
Matching Gifts $500.00
Memorials $100.00
Clay Township Grant $12,500.00
--------------------------
Misc_Grants _
Event Revenue
------------ — -----------
175 Anniversary Sponsors
May Luncheon Sponsors $1,500.00
May Luncheon Reservations $3,500.00
Holiday_Home Tour Sponsorships $5,000.00
Home Tour Reservations $5,000.00
------------------Holiday------------ -------------------
Other Events: Teas, etc $60.00
Tours/Programs
School Tours $400.00
_ Scout Tours $30_.00
Appraisal Program $50.00
Program door fees $50.00
Classes $50.00
Earned Income Depot Retail
Retail Sales $750.00
175th Anniversary Poster sales $2,000.00
De-accessioning sales
$-
_
Total Income $_4.1,590:00
Expenses
Payroll
_ _Salary $11,000.00
Payroll Taxes $1,000.00
Workman's Comp $750.00
Insurance Fire & Casualty $2,000.00
Security $540.00
Utilities - - ---- -------
Electric- Depot 7000-3295-01-8 $700.00
Pagel
Sheetl
Electric- Cottage 8000-3295-01-3 __$700.00
Electric/Yard Light 1460-3717-01-6 _$155.00
Vectren/Gas_ $1,400.00
Phone/ATT Internet $1,200.00
Water/Sewer Carmel City $600.00
Trash Service
Building/Grounds Maintenance $2,000.00
Office
ce -- -------------------
Office Equipment $100.00
Office Supplies $1,200.00
Archival Supplies
Computer Software $100.00
Postage -Annual Bulk Permit_ $90.00
Stamps+ bulk mailings $910.00
Printing $2,000.00
Dues, Fees, Memberships
Annual Credit Card fee_ $29.00
Chamber of Commerce annual dues '$100.00
AIM annual dues $35.00
_ IN Business Entity Annual Filing $10.00
Computer backup annual $50.00
AASLH Dues-everyother year
Special Event Expense
May Luncheon Expense $_2,400.00
HHT Expense $3,500.00
Board Expense_
Carmel Christian Church $200.00
Annual Volunteer Plaque $35.00
_ Refreshments_ $100.00
CarmelFest Parade entry fee $50.00
Advertising/Marketing $200.00
Advisory Committee $300.00
Contractors
---- ------- _--- -- Intern $6,500A0
Newsletter support $300.00
IT Support $500.00
Brochure layout $300.0_0_
Grant Expenses
Earned Income Depot Retail Expense $300.00
State
Sal-es-Tax-for 2011
Total Expenses $41,354.00
Page 2
STATE OF INDIANA
OFFICE OF THE SECRETkky OF STATE
Alk
To Whom These Presents,.-Come, Greeting:
RTIFIC:4, QFJN:OQRPORATION .
-:9ARMBL-CLAY' RJCAIr- SOCIETY, INC ..
1, LARRY A. CONR'AD, Secretary of State of.the.,State.pf-Indiana, hereby certify, that Articles of
Incorporation of th&above trot for-profit corperatior, in the form prescribed by this Office, prepared and
signed in duplicate by the Incorporator(s) and ocknowledged 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 1 have
found such Articles conform,to law; theft I Dave endorsed my approval upon the duplicate copies of such
Articles;that all feeshave been paid as.required by law;thdt one copy,of such A-rticles has been filed in this
office;and that theremiaining.copy(ies).ofsurh A.r cles eying the endorsement of my approval and filing
has(have)been returned ky me to the.incorporatorf s)or his`(their:):representatives;all as prescribed by the
MML Indiana Not-For-Profit'Corporation Act'of 1971.
NOW, THEREFORE,-`t- reby Certificate of Incorporation, and Further
certify that its wporare..4xistance has., guts. '
In Witness Whereof, I have hereunto set my hand and
axed the seal.of the State of Indiana, at the City of
Indiaiapolis this,. 2 8th day of
9.77
RRY CONRAD, S� tary
By, .
p
�. De Wy
V OTAR BOARD of ACCOVMTf-1s9S �'
INDIANA SECRETARY OF STATE Ci N2 72506
CORPORATION DIVISION
ff ,I 1
wD1ANAPOLIS, INDIANA, March 31 19 77 CODE AMOUNT S 26_ •00 f
RECEIVED FROM —4k&4-p" 7 immerrman
i
OHE SUM OF Twenty-six and no/cents
=0F3 CARMEL-CLAY HISTORICAL SOCIETY , INC.
'
art. of Inc.
HECK ® A. 'Marlett Larry a. Conrad f
=ASH � ORIGINAL ®senaTAnY OF eTATS
1
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',C;'•ti. ,.,. :,, ..!!.•., ••Lt;.. Its( ,', ;{®lur:'. ,t„j�) _:Iyp�O) •�.�U�' "• .. 0�0�
Sol To DATE t
SALESMAN
RALPH H. ZIMMERMAN j
3003 EAST 96th STREET 2-2277 1p
INDIANAPOLIS, INDIANA - 4.6240 INVOICE NUMBER
262329
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I
POSITIVELY NO DISCOUNTS ALLOWED
k-protit" as applied to corporations lorporate Form No. 304-1 ti%pni iyrvj
.. . . . any corporation which does not Page One
pge in any activities for the profit of its ARTICLES OF INCORPORATION
,embers and which is organized and conducts (Not for Profit)
.it affairs for the purposes other than the
pecuniary gain of its members". (Indiana R Prescribed by Larry A.Conrad,
Code, 23-7-I.1-2[d)) ' �N�(1 Secretary of State of Indiana
INSTRUCTIONS:
Use 8'h x 11 Inch Paper for inserts
vO Present 2 Executed Copies to Secretary of
op State, Room 155, State House, Indianapolis,
Q R,p�pNp Indiana 46204
SEGR
61 PSf' The recording of a third executed copy with the
County Recorder is no longer statutorily
required.
FILING FEE is$26.00
ARTICLES OF INCORPORATION
OF
. . . . . . . . . . .CAMIEL-CLAY HISTORICAL. S4QI9TY1. .IFQ•. . . . . . . . . . . .
The undersigned incorporator or incorporators, desiring to form a corporation (hereinafter referred to
as the "Corporation") pursuant to the provisions of the Indiana Not-For-Profit Corporation Act of 1971,
(hereinafter referred to as the "Act"),execute the following Articles of Incorporation:
ARTICLE I
Name
The name of the Corporation is .Carmel-Clay Historical. Society,. Inc. . . . . . .
(The name shall include the word "Corporation" or "Incorporated", or one of the abbreviations thereof.)
ARTICLE II
Purposes
The purposes for which the Corporation is formed are: The purposes of this society
are to make an organised effort ;
a. To preserve local , county, state and national landmarks;
b" To identify historical sites;
C. To gather and chart materials relating the past ;
d. To kindle pride in the wda.lth of historic lore ;
e. To purchase, acquire and preserve property, both real and personal
and to sell and dispose of property both real and personal ;
f. To operate a museum and to do all things necessary pertaining
thereto;
g. To acquire homes with a hts-orical background and to operate
the same;
h. To do all other acts to accomplish the above aims.
Prescribed by Larry A. Conrad,
Secretary of State (April 1976)
M
ARTICLE III
Period of Existence
The period during which the Corporation shall continue is . Pe xrPQtual . . . . . . . . . . . . . .
(will either be "Perpetual", or, if to be limited, some definite period of time.)
ARTICLE IV
Resident Agent and Principal Office
Section 1. Resident Agent. The name and address of the Resident Agent in charge of the Corporation's
principal office is . Balph .$.. 2tnMerMAn. . . . . . . . . . . . . . . . . . . . . . . . . .
(Name)
3QQ g4pt 9Gt4 Street, . . . Indianapolis . . . . . . . . . INDIANA 46240
. . . . . . . . . . . . . . . .
(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 . . . .
30Q3 East 96th Street. , Indianapolis , . INDIANA 4624
(Number and Street or Building) (City) (State) (Zip Code)
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)
Annual membership
Sustaining membership
Life membership
Student membership
Honorary membership
Section 2. Rights, Preferences, Limitations, and.Restrictions of Classes.
All classes shall have equal rights
Section 3. Voting Rights of Classes.
Each membership shall be entitled to one vote
PLEASE 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 is a member of the Corporation.
Corporate Form No. 364-1 Page "Three
Prescribed by Larry A. Conrad,
Secretary of State (April 1976)
ARTICLE VI
Directors
Section 1. Number of Directors. The initial Board of Directors is composed of thirteen_ ( 13)
members. If the exact number of Directors is not stated, the minimum number shall be Tour (4)
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
FTJRTHER THAT UNDER NO CIRCUMSTANCES SHALL THE MINIMUM NUMBER BE LESS THAN
THREE (3).
Section 2. Names and Post Office Addresses of the Directors. The name and post office addresses of
the initial Board of Directors are:
Name Number and Street or Building City State Zip Code
Ineva Chapman 117 Rolling Hill Dr. , Carmel , IN 46032
Jack Edwards 10475 Cornell , Indianapolis, IN 462£0
Esta Farenbach R. R. 1, Box 183 , Carmel , IN 46032
Raymond Hinshaw 5645 North Primrose , Indianapolis, IN 46220
John Holmes 411 Jenny Lane , Carmel , IN 40032
Sharon Holmes 411 Jenny Lane, Carmel , IN 46032
Phyllis Morrow 1010 West 131st Street , Carmel , IN 96032
Suzanne Norman 505 Lexington , Carmel , IN 46032
Arthur Pursel R. R. 1, Carmel , IN 46032
Carol Skinner 655 Emerson Road , Carmel , IN 46032
Dottie Smith 1525 East 106th Street , Carmel , IN 46032
Marjorie Stubbs 10000 Westfield Blvd. , Indianapolis, IN 46280
`.Virginia Thompson 10680 Highland, Carmel , IN 46032
ARTICLE VII
Incorporator(s)
Section 1. Names and Post Office Addresses, The 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
Ralph H. Zimmerman, 3003 East 96th St . , Indianapolis , Ind. 46240
Corporate Form No. 364-1 lade Four
r' Prescribed by Larry A. Conrad,
Secretary of State (April 1976)
i
i
ARTICLE VIII
✓ Statement of Property (If any)
A statement of the property and an estimate of the value thereof, to be taken over by this corporation
at or upon its incorporation are as follows:
B,,nk deposits as of February 13, 1977 Union State Bank $690.62
ARTICLE IX
Provisions for Regulation and Conduct
Of the Affairs of Corporation
(Can be the `By Laws")
Other provisions, consistent with the laws of this state, for the regulation and conduct of the affairs of
this corporation, and creating, defining, limiting or regulating the powers of this corporation, of the
directors or of the members or any class or classes of members are as follows:
All business of the corporation shall be conducted in accordance
with the Constitution (By-Laws) of said corporation as passed and
amended by the membership of said corporation.
Corporate Form No. 364-1 Page Five
Prescribed by Larry A. Conrad,
Secretary of State (April 1976)
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 . ° day of . . �. . . . . . . . . .,
. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .
(Written Signature) itten Signature)
Ralph H. rmnerman
(Printed Signature) (Printed Signature)
. . . . . . . . . . . . . . . . . . . . .
(Written Signature)
. . . . . . . . . . . . . . . . . . . . .
(Printed Signature)
---------------------------------------------------------------
NOTARY ACKNOWLEDGEMENT
A (required)
State of Indiana
SS:
County of Ma ion. . . . . .
Before me, JA4i.c9 L.. .Blackie . . . . . . . , 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
(Writtcn Signature)
Janice, L. . F,,Iao%ie, , Notary Public
(Printed Signature)
My commission expires: ,1�. . . 4 , . .
WITNESS my hand and Notarial
Seal this . . . . . . day of . . . . . . ,
i 19. . . .
This instrument was prepared by Rall?h I1. Zimmerman , Attorney
(Name)
3003 East 96th Street , Indianapolis, Indiana 46240
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Number and Street or Building) (City) (State) (Zip code)
f ,
37
CONSTITUTION
Article I - Nasae of Organization
Section 1. the name of this organisation shell be the Carmel-Clay
Historical Society.
Article II - Purpose of Organisation
Section 1. The purpose of this society is to make an organised efforts
a. To preserve our local, county,, state, and national landmarks.
be To identify its historic sites.
c. To gather and chant materials relating to its past.
d. To kindle pride in the wealth of its historic lore.
e. To purchase, acquire and preserve property, both
real and personal, and to sell end dispose of property,
both real and personal.
f. To operate a museum and to do all things necessary
pertaining thereto.
g. To acquire homes with a historical background and to
operate the same.
he To do all other acts to accomplish the above aims.
AM
1 Article III - Membersh32 and Dues.
Section 1. The membership of this organization shall be open
to anyone interested in its purposes.
Section 2e Anyone joining this organization prior to January 1, 1976
shall be counted a charter member.
Section 3. Types of membership and dues are as followss
a. Annual membership - $2.50 one (1) year.
be Sustaining membership - $10.00.
o. Life membership - $100.00.
de Student membership - $1.00 - student membership may be
granted to any student who is enrolled in full time schoolwork.
8. Honorary membership may be granted by the membership, at its
annual meeting, to any persons who have made outstanding
contributions to the purposes of this organization. Honorary
members shall pay no dues.
Section 4. Any member whose payment of dues are delinquent more than
60 days shall be notified by the Secretary by a letter of ordinary mail
addressed to their last and usual place of residence and should such
delinquency continue 30 days after the mailing of such letter, the name
of said member shall be dropped from the rolls.
Acle IV - pr anisation
section 1. Tae officers of this society shall be a President, Vice-
President, secretary and Treasurer each of whom shall bold office
for a period of not more than two 12) years fron their election and a board
of aim (9) directors who shall Hold office for a period of three (3) years
from their election, except at the first election only the three directors
rocel" the highest number of votes shall serve for 3 yea=, the
three rraceiving the newt highest number of votes shall serve for 2 years
wM the remaining three dull serve for one year. No President or Vice-
President X11 hold the sake office for t*o sW*Gssiv® Ball t®r"t and
no =tuber of the Board of Directors shall hold office for sore than two
G acessive full term.
section 2. The President shall appoint a nominating committee of three
(3) persons at least 30 days prior to the annual meting which shall be
hold in the month of October of each year, said nominating comittee to
present its names of candidmt®a to be voted on at the annual meeting and
election. Voting shall be done on pepper ballots by the membership of
this organisation and the oandidate with the highest number of votes shall
be declared elected. Additional nominations for any office W be made
from the floor at the annual meeting prior to such election.
section 3• There shall be a maximum of six (6) meetings each year, one
in each quarter of the yeaar, the annual mwting being the meeting designated
as hold in the 4th quarter. The exact date and place of the greeting should
be ted by the officer or officers calling the same. Regular 009tings
dw shall be so called by the President or dice-President and special meetings may
be called as needed by the Pr®sident, Vios-President or a majority of the
Board of Directors and notice thereof sh&3 3 be given in the newspaper
minted in Hmilton County having the largest circulation therein.
Section 4. The Vice-President shall act as Program Chairman. Other committees
wA chairmen thereof shall be appointed by the President as needed, such
as Publicity, Membership and Research.
Article V. - Ameendm0�nts
Section 1. Amendments to this constitution my be made by a two-thirds vote
of the members at any regular meeting but notice of such proposed amendment
shall be given at the previous regular westing.
Article VI.
Section 1. The terra of the first officers elected shall take effect immedi-
ately and contimca for their stated period as from January 1, 19W The
beginning of the_ term of all officers elected thereafter shall begin January
lot of the ensuing Tear except as to officers elected to fill an unexpired
tern thereof.
1. The President, or in his absence the Vice-President,
shall pmvsids at all meetings of the Society. He shell also preside
at nestings of the Board of Directors, but shall not be entitled to
vote in meetings of the Board. He shrill also have the right to meet
with other Committees of the Society as an ex officio member.
2. The Secretary shall keep minutes of all meetings of
the Society and shall attend and keep minutes of the meetings of the
Board of Directors but sha13. not be entitled to vote at meetings of
the Board. The Secretary shall keep the past records of the Society
as well as a list of items belonging to the Society and all additions
thereto.
3. The President may appoint a Corresponding Secretary
who shall be responsible for providing notice to the membership as
required, for the editing of a newsletter and such other duties as
may be determined by the Prosidenit and/or the Board of Directors.
4. The Treasurer shall have eharge of the financial records
of the Society and shall receive the income and pay the proper expenses
thereof. The Treasurer shall have discretion an to the propriety of
all expenses involving amounts less than $100.00. For expenses of
$100.00 or more the Treasurer shall first obtain the consent of a
majority of the Board of Directors prior to payment thereof. The
Treasurer shall at all times keep an up-to-date list of c nt members.
5• Meetings of the Board of Directors shall be called by the
$rte.��r1._.{1Y�...__.*►.���.A�_.�1 �_...._.-�_ i.L"" ___ _. . � _.. ..�_ _ �_
Constitution of the Carmel Clay Historical Society, Inc.
Adopted as Amended February 14, 2010
Article I. Name and Organization
Section 1. The name of the Corporation shall be the Carmel Clay Historical Society, Inc.
and is at times hereinafter referred to as "Society".
Section 2. Organization: The Corporation is a tax-exempt Indiana not-for-profit
corporation.
Article II. Purpose and Responsibilities of Organization
Section 1. History: The Society was founded in 1975 as a not-for-profit, private
educational organization dedicated to perpetuating the history of Carmel and surrounding
Clay Township.
Section 2. Mission: The Society's mission is;
A. To foster appreciation and a deeper understanding for the history of Carmel and
Clay Township by encouraging the study and dissemination of knowledge of that
history.
B. To identify and preserve Carmel-Clay historical sites and structures.
C. To gather, catalog, and preserve appropriate materials and objects interpreting and
illuminating the Carmel Clay history.
D. To augment the above purposes through appropriate exhibitions, through
conferences, publications, awards, educational programs, and related historical
activities.
E. To sustain a general interest in history by coordinating and furthering the
programs of other historical societies, historians, organizations, and institutions by
functioning as a service organization and communication network.
F. To accept the donations of money, real property, or other property for the above
purposes.
Article III. Membership
Section 1. Name: The Corporate membership shall be known and designated collectively
as the Carmel Clay Historical Society, Inc.
Section 2. Eligibility: Membership shall be open to anyone interested in the purposes of
the organization.
Section 3. Meetings: The members shall meet not less frequently than annually and at
such other times as appropriate as stated in the Bylaws.
1
Section 4. Financial Requirements: Financial requirements for membership shall be as
designated in the Bylaws.
Section 5. Charter Members: Anyone joining the Society prior to January 1, 1976 shall be
counted as a charter member.
Article IV. Board of Trustees
Section 1. Powers: The Board of Trustees shall be the governing body of the Corporation
and shall be responsible and responsive to the general membership for the government of
the Society, the management of its affairs, and the regulation of its procedures, except as
otherwise provided in the this Constitution or in the Articles of Incorporation.
Section 2. Selections and Operation: Election of trustees, terms of office, duties and
responsibilities, and meetings of the board shall be governed by the Bylaws. Trustees
shall serve without pay.
Article V. Officers
Section 1. Enumeration: The officers of the Society shall be President, Vice President,
Secretary, Treasurer, and Corresponding Secretary
Section 2. Selection: Selection of the officers and eligibility to serve shall be governed by
the Bylaws.
Article VI. Amendments
Section 1. Procedure: Any proposed amendments to this constitution shall be submitted
to the membership of the Society in writing at least thirty days prior to voting at a regular
membership meeting or special called membership meeting for that purpose.
Amendments may be submitted in writing either by the Board of Trustees after it adopts
an amendment resolution, or in writing by the President of the Society after adoption of
an amendment resolution signed by not less than two-thirds of the members of the
Society.
Section 2. Adoption: Two-thirds vote of all members present and voting shall be required
for adoption of an amendment.
Article VII. Distribution of Assets Upon Dissolution
In the event of dissolution of the Society, all assets shall be distributed to such one or
more organizations which have purposes and objects similar to those of the CCHS and
are exempt from United States income taxes under provisions of Section 501 (c)(3) of the
Internal Revenue Code of 1986, or corresponding section of any future Federal tax code,
2
or shall be distributed to the Federal government, or to a state or local government for a
public purpose. Any such assets not so disposed of shall be disposed of by a Court of
Competent Jurisdiction of Hamilton County Indiana, exclusively for such purposes, or to
such organization or organizations as said Court shall determine, which are organized and
operated exclusively for such purposes.
Adopted this 14 day of February, 2010 by the Carmel Clay Historical Society, Inc,
Signed:
Fred Swift, President, Carmel Clay Historical Society, Inc.
Signed:
Chuck Hazelrigg, Vice President, Carmel Clay Historical Society, Inc.
Signed:
Ethel Folger, Secretary, Carmel Clay Historical Society, Inc.
Signed:
Judy Hagan, Treasurer, Carmel Clay Historical Society, Inc.
3
Internal Revenue Service Department of the Treasury
District Director
Date: JUL 2 z 1986 Employer Identlficatlon Number.
31-
C l)908428
ase umber:
310001531
Person to Contact:
Cindy Perry
p
Carmel-Clay Historical Society, Inc. Contact Telephone Number.
201 Belden Drive 513-684-3578
Carmel, IN 46032 Caveat Applies:
No
Dear Sir or Madam;:
Basod on the information you recently submitted, we have classified your organization
as one that is not a private foundation within the meaning of section 509 (a) of the
Internal Revenue Code because you are an organization described in section 509(a) (1) and
170(b) (1) (A) (vi) .
Your exempt status under section 501(c) (3) of the Code is still in effect.
This classification is based on the assumption that your operations will continue as
you have stated. If your sources of support, or your purposes, character, or method of
operation change, please let us know so we can consider the effect of the change on your
exempt status and foundation status :
This supersedes our letter dated May 1, 1979 .
If the above heading indicates that a caveat applies, the caveat 'below is an integrnl
part of the letter.
Because this letter could help resolve any questions about your foundation status ,
you should keep it in your permanent records.
If vote have any questions, please contact the person whose natr.e and telephone number
are shown above.
Sincerely yours ,
District Director
P.O. Box 2506 ('Inrinnrtl OH e5?m -- - - _
L,r'r t/r f ---
1 05/11/2011 3 03 PM
Short Form OMB No 1545-11 50
Return of Organization Exempt From Income Tax 2®�
orm 990-EZ Under section 501(c),527,or 4947(a)(1)of the Internal Revenue Code
(except black lung benefit trust or private foundation)
I, Sponsonng organizations of donor advised funds,organizations that operate one or more hospital facilities,
and certain controlling organizations as defined in section 512(b)(13)must file Form 990(see instructions). .
All other organizations with gross receipts less than$200,000 and total assets less than$500,000
at the end of the year may use this form
iternal,epartment
Revenue the Treasury / The organization may have to use a co of this return to satin state reporting requirements rternal Revenue Service 9 Y PY h' po g �
t For the 2010 calendar year,or tax year beginning and ending
3 Check If applicable C Name of organization D Employer identification number
Address change
Name change CARMEL—CLAY HISTORICAL SOCIETY INC 31-0908428
Initial return Number and street(or P O box,it mail is not delivered to street address) Roomisuite E Telephone number
Terminated 211 1ST ST SW 317-846-7117
Amended return City or town,state or country.and ZIP f 4 F Group Exemption
Application pendtri, I CARMEL IN 46032-2003 a Number ►
Accounbng Method' 1K] Cash E Accrual Other(specify)► H Check► i if the organization is not
Website: 10, earmelelayhi s tory. org equired to attach Schedule B
J Tax-exempt status(check only on — 1501(c)(3) ; j 501(c)( )/(insert no) 1 1ii494 a)(1)or i 1 527 Form 990 990-EZ or 990-PF.
K Check► Imo. if the organization is not a section 509(a)(3)supporting organization and its gross receipts are normally not more than$50,000 A
Form 990-EZ or Form 990 return is not required though Form 990-N(e-postcard)may be required(see instructions) But if the organization chooses
_ to file a return be sure to file a complete return
L Add lines 5b,5c,and 7b,to line 9 to determine gross receipts If gross receipts are$200 000 or more,or it total assets(Part 11.
line 25 column(B)below)are$500,000 or more file Form 990 Instead of Form 990-EZ ► $ 45 , 997
Pali;t' . Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part l.)
Check if the organization used Schedule O to respond to any question in this Part I ll
1 Contributions,gifts,grants,and similar amounts received 1 22 ,214
2 Program service revenue including government fees and contracts 2 18 , 700
3 Membership dues and assessments 3
4 Investment income 4 1 4 60
f 5a Gross amount from sale of assets other than inventory 5.
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) Sc
6 Gaming and fundraising events
a Gross income from gaming (attach Schedule G if greater than
$15,000) 6a
m b Gross income from fundraising events(not including$ of contributions
from fundraising events reported on line 1)(attach Schedule G if the I
sum of such gross Income and contributions exceeds $15.000) 6b
c Less:direct expenses from gaming and fundraising events 6c
d Net income or(loss)from gaming and fundraising events(add Imes 6a and 6b and subtract
line 6c) 6d
7a Gross safes of inventory, less returns and allowances 7a 3 , 215 :
b Less:cost of goods sold 7b 1 , 931
c Gross profit or(loss)from sales of inventory(Subtract line 7b from line 7a) 7c 1, 284
8 Other revenue (describe in Schedule 0) 8 408
9 Total revenue.Add lines 1 2, 3, 4, 5c 6d, 7c, and 8 ► 9 44 066
10 Grants and similar amounts paid (list in Schedule 0) 10 550
11 Benefits paid to or for members 11
H 12 Salaries, other compensation, and employee benefits 12 16 746
m 13 Professional fees and other payments to Independent contractors 13 50
c
a 14 Occupancy, rent,utilities, and maintenance i4 5 97
w 15 Printing,publications, postage, and shipping 15 7 918
16 Other expenses(describe in Schedule 0) 16 19 401
17 Total ex nses.Add lines 10 through 16 ► 17 50 643
18 Excess or(deficit)for the year(Subtract line 17 from line 9) 18 —6 5 7 7
N
y19 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 80 313
a 20
V 20 Other changes in net assets or fund balances(explain In Schedule 0) 73 , 736
21 Net assets or fund balances at end of ear.Combine Imes 18 through 20 ► 21
Form 990-EZ(2010)
For Paperwork Reduction Act Notice,see the separate instructions.
11 05/11/x011 3 03 PM
Form 9� 90-EZ(2010) CARMEL—CLAY HISTORICAL SOCIETY INC 31-0908428 Page 2
Fk Balance Sheets. (see the instructions for Part II.)
Check if the organization used Schedule O to respond to any question in this Part II X'
(A) Beginning of year (B) End of year
22 Cash, savings,and investments 77 , 647 22 72 , 064
23 Land and buildings 0 23
24 Other assets(describe in Schedule O) 3 883 24 2 655
25 Total assets 81 530 25 74 , 719
26 Total liabilities(describe in Schedule O) 1 217 26 983
27 Net assets or fund balances line 27 of column B must agree with line 21 80 , 313 27 73, 736
P . Statement of Program Service Accomplishments (see the instructions for Part LII.) Expenses
Check if the organization used Schedule 0 to respond to any question in this Part III iX, (Required for section
What is the organization's primary exempt purpose? 501(c)(3)and 501(c)(4)
Local History Documentation & Education organizations and section
Describe what was achieved in carrying out the organization's exempt purposes In a clear and concise manner, describe 4947(a)(1)trusts; optional
the services provided, the number of persons benefited, or other relevant information for each program title, for others.)
28 Historical Home Tour: Touring Local Historic Sites
Number of Persons Benefited: Unknown
Services Provided: Local Historical Education
Grants 5 If this amount includes foreign grants, check here ► !� 28a 4 , 441
29 Geneology Research: Meetings and Programs on Geneology.
Number of Persons Benefited: Unknown
Services_ Provided: Geneology
Grants$ 2 62 O If this amount includes foreign grants, check here ► 29a 2 , 620
30 Civil War Round Table: Meetings and Programs to Discuss the Civil War
Number of Persons Benefited: Unknown (changes every meeting)
Services Provided: Civil War Education and Reenactments.
Grants 919 If this amount includes foreign grants,check here ► i 30a 1, 063
31 Other program services(describe in Schedule 0)
Grants$ If this amount includes foreign grants,check here ► i^ 31a 2 , 370
32 Total program service expenses add lines 28a through 31 a ► 32 1 10 , 494
Par'lV List of Officers,Directors,Trustees,and Key Employees. List each one even if not compensated. (seethe instructions for Part IVj
Check if the organization used Schedule 0 to respond to any uestion in this Part IV .
(a)Title and average (c)Compensation (d)Contributions to (e)Expense
(a)Name and address hours per week (If not paid, employee benefit plans& account and
devoted to position enter-0 deferred oompehsat other allowances
Fred Swift Carmel President
627 Kinzer Ave IN 46033 3.00 0 0 0
Jim Garretson Carmel Vice President
55 York Dr IN 46032 2.00 0 0 0
Stephanie Curtis Carmel Secretary
10771 Crooked Stick Lane IN 46032 2.00 0 0 0
Judith F. Hagan Carmel Treasurer
10946 Spring Mill Ln IN 46032 5.00 0 0 0
Betty Sanford Indianapolis Corresponding Sec
8905 Evergreen Ave #163 IN 46240 1.00 0 0 0
Danny O'Malia Carmel Director
4613 Somerset S Way IN 46033 G.00 0 0 0
Karl Swain Carmel Director
11001 Timber Lane IN 46032 0.00 0 0 0
Matt Snyder Carmel Director
3620 Chadwick Dr IN 46033 0.00 0 0 0
Kathy Venable Carmel Director
111 Beechmont Dr IN 46032 0.00 0 0 0
Cathie Reamer Carmel Director
1098 Timber Creek Dr#4 IN 46032 0.00 0 0 0
Chuck Duke Carmei Director
4000 W 106th Suite 160-326 IN 46032 0.00 0 0 0
Joan Wischmeyer Carmel Director
14003 Colville Cir IN 46033 1 0.00 0 0 0
Nancy Childs Carmel Director
5059 Morton P1 IN 46033 0.00 0 0 0
Form 990-E:Z(2o1o)
1 05111/,2071 3 03 PM
"orm 990 EZ(2010) CA IaL-CLAY HISTORICAL SOCIETY INC 31-0908428 Page 2
FBt tl Balance Sheets. (see the instructions for Part 11 )
Check if the organization used Schedule 0 to respond to any question.In this Part II
(A) Beginning of year (B) End of year
22 Cash, savings,and investments 0 22
23 Land and buildings 0 23
24 Other assets(describe in Schedule O) 0 24
25 Total assets 0 25 0
26 Total liabilities(describe in Schedule O) 0 26 0
27 Net assets or fund balances line 27 of column B must agree with line 21 0 27 0
Pa # Statement of Program Service Accomplishments (see the Instructions for Part 111.) Expenses
Check if the organization used Schedule 0 to respond to any question In this Part III (Required for section
What is the organization's primary exempt purpose? 501(c)(3)and 501(c)(4)
organizations and section
Describe what was achieved in carrying out the organization's exempt purposes In a clear and concise manner,describe 4947(a)(1)trusts;optional
the services provided,the number of persons benefited,or other relevant information for each program title. for others.
28
Grants$ If this amount includes foreign grants, check here ► 28a
29
Grants$ If this amount includes foreign grants, check here ► 29a
30
Grants$ If this amount includes foreign grants, check here ► 30a
31 Other program services(describe in Schedule 0) _
Grants$ if this amount includes foreign grants,check here 0 I 31 al
32 Total ro ram service expenses add lines 28a through 31 a _. ® 32
PiI? List of Officers,Directors,Trustees,and Key Employees. List each one even if not compensated. (see the instructions for Part I�L)
Check if the or anization used Schedule 0 to respond to any uestion in this Part IV ....... .... .... ..
(a)Tale and average (c)Compensation (d)Conti lions to (e)Expense
(a)Name and address tours per week (If not paid, employee benefit plans& account and
devoted to positi on enter-0-. deferred compensation other allowances
Jane Randall Carmel Director
1539 Copperwood. P1 IN 46033 0.00 0 0 0
Form 990-EZ(2010)
2'.'. 05/11/2011 3.03 PM
Form 990-EZ(2010) CARMEL-CLAY HISTORICAL SOCIETY INC 31-0908428 Page
:v Other Information (Note the statement requirements In the instructions for Part V.) —
Check if the organization used Schedule 0 to respond to any question In this Part V
Yes No
33 Did the organization engage in any activity not previously reported to the IRS If"Yes,"provide a detailed
description of each activity in Schedule 0 33 X
34 Were any significant changes made to the organizing or governing documents? If"Yes,"attached a conformed
copy of the amended documents if they reflect a change to the organization's name Otherwise, explain the
change on Schedule 0(see instructions) 34 X
35 If the organization had income from business activities,such as those reported on Imes 2,6a,and 7a(among others),but not reported
on Form 990.7,explain in Schedule 0 why the organization did not report the income on Form 990•T
a Did the organization have unrelated business gross income of$1,000 or more or was it a section 501(c)(4),
501(c)(5),or 501(c)(6)organization subject to section 6033(e)notice, reporting, and proxy tax requirements? 35a X
b If"Yes,"has it filed a tax return on Form 990-T for this year(see instructions)'? 35b X
36 Did the organization undergo a liquidation, dissolution,termination,or significant disposition of net assets
during the year?If"Yes,"complete applicable parts of Schedule N 36 X
37a Enter amount of political expenditures, direct or indirect, as described in the instructions ► 37a
b Did the organization file Form 1120-POL for this year? 37b X
38a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return? 38a X
b If"Yes,"complete Schedule L, Part II and enter the total amount involved 38b
39 Section 501(c)(7)organizations. Enter
a Initiation fees and capital contributions included on line 9 39a
b Gross receipts. included on line 9, for public use of club facilities 39b
40a Section 501(c)(3)organizations. Enter amount of tax imposed on the organization during the year under
section 4911 ► section 4912► section 4955►
b Section 501(c)(3)and 501(c)(4)organizations. Did the organization engage in any section 4958 excess benefit
transaction during the year,or did it engage in an excess benefit transaction in a prior year, that has not been
reported on any of its prior Forms 990 or 990-EZ? If"Yes,"complete Schedule L, Part I 40b X
c Section 501(c)(3)and 501(c)(4)organizations. Enter amount of tax imposed on
organization managers or disqualified persons during the year under sections 4912,
4955. and 4958 ►
d Section 501(c)(3)and 501(c)(4)organizations Enter amount of tax on line 40c
reimbursed by the organization ►
e All organizations.At any time during the tax year,was the organization a party to a prohibited tax shelter
transaction?If'Yes,'complete Form 8886-T 40e X
41 List the states with which a copy of this return is filed. ► IN
42a The organization's books are in care of► Judith F Hagan Telephone no. ► 317-846-7117
10946 Spring Mill Ln
Located at► Carmel IN ZIP + 4 ► 46032
b At any time during the calendar year, did the organization have an interest in or a signature or other authority
over a financial account in a foreign country(such as a bank account, securities account, or other financial Yes No
account)' 42b X
If"Yes,"enter the name of the foreign country: ►
See the instructions for exceptions and filing requirements for Form TD F 90-22.1,Report of Foreign Bank
and Financial Accounts.
c At any time during the calendar year, did the organization maintain an office outside of the U S ? 42c X
If"Yes,"enter the name of the foreign country ►
43 Section 4947(a)(1)nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041 —Check here ►
and enter the amount of tax-exempt interest received or accrued during the tax year ► 43
Yes No
44a Did the organization maintain any donor advised funds during the year? if"Yes,"Form 990 must be
completed instead of Form 990-EZ 44a X
b Did the organization operate one or more hospital facilities during the year?If"Yes," Form 990 must be
completed instead of Form 990-EZ 44b X
c Did the organization receive any payments for indoor tanning services during the year? 44c X
d If"Yes,"to line 44c, has the organization filed a Form 720 to report these payments? If"No," provide an
explanation in Schedule 0 44d
Form 990-EZ(2010)
Daa
11 0511 11201 1 4 23 PM
Form 990-EZ 2010 CARMEL-CLAY HISTORICAL SOCIETY INC 31-0908428 Pa e4
Yes No
45 Is any related organization a controlled entity of the organization within the meaning of section 512(b)(13)? 45 X
a Did the organization receive any payment from or engage in any transaction with a controlled entity within the
meaning of section 512(b)(13)? If"Yes,"Form 990 and Schedule R may need to be completed instead of
Form 990-EZ(see instructions) 45a X
46 Did the organization engage, directly or Indirectly, In political campaign activities on behalf of or in opposition
to candidates for public office?If"Yes."complete Schedule C Part 1 46 X
Pit 1 : Section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts only.All section
501(c)(3)organizations and section 4947(a)(1) nonexempt charitable trusts must answer questions 47-49b
and 52, and complete the tables for lines 50 and 51
Check if the organization used Schedule 0 to respond to any question In this Part VI
Yes No
47 Did the organization engage in lobbying activities? If"Yes,"complete Schedule C Part 11 47 X
48 Is the organization a school as described in section 1 70(b)(1)(A)(ii)? If"Yes,"complete Schedule E 48 X
49a Did the organization make any transfers to an exempt non-charitable related organization? 49a X
b if'Yes,'was the related organization a section 527 organization? 49b
50 Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key
employees)who each received more than $100,000 of compensation from the orclanization If there is none enter"None.'
(a)Name and address of each employee pad more (b)Title and average (c)Compensation (d)Contributions to (e)Expense
than$100,000 hours per week employee benefit plans& account and
devoted to position deterred owperisaticht other allowances
None
f Total number of other employees paid over$100,000 A
51 Complete this table for the organization's five highest compensated independent contractors who each received more than
$100,000 of compensation from the organization if there is none enter"None"
(a) Name and address of each independent contractor paid more than$100,000 (b) Type of service (c) Compensation
None
d Total number of other independent contractors each receiving over 5100,000
52 Did the organization complete Schedule A?Note:All section 501(c)(3)organizations and 4947(a)(1)
nonexempt charitable trusts must attach a completed Schedule A Yes No
Under oenalbes of pepury,I declare that I have examined this retum,including accompanying schecules and statements.and to the best of my knowledge and belief,it is
(rue,correct,and comp) pig er than officer)is based on all information of which preparer has any knowledge.I
Sign Signature of officer 1J Date
Here Judith F. Hagan Treasurer
Type or print name and title
Pnnt/Type preparer's name Preparer's signature Date �v PTIN
Check
Paid Judy A Dunlap r �{ ^ -� r' :/ 7� 0 5/11/11 self-employE P00101157
Preparer Firm's name ll� Judy A. Dunla P .A , Firm's EtN/ 35-1598939
Use Only Firm's address ll� 410 N Rangeline Ad
Carmel IN 46032-1749 Phoneno 317-848-9938
May the IRS discuss this return with the preparer shown above?See Instructions P n Yes j � No
DA.A Form 990-EZ(2010)
1 05/11/2011 3 03 PM
5CHEDULEA Public Charity Status and Public Support OMB No 1545.0047
Form 990 or 990-EZ) 2®1 ®
Complete if the organization is a section 501(c)(3)organization or a section
4947(a)(1)nonexempt charitable trust.
Department of the Treasury
ntemal Revenue Service > Attach to Form 990 or Form 990-EZ. ® See separate instructions.
Name of the organization Employer identification number
CARMEL-CLAY HISTORICAL SOCIETY INC 131-0908428
Pa€tC Reason for Public Charity Status (AI( organizations must complete this part.) See instructions.
The organization is not a private foundation because it is (For lines 1 through 11, check only one box.)
1 A church,convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)
3 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
4 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(id). Enter the hospital's name,
city,and state:
5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
_ section 170(b)(1)(A)(iv). (Complete Part II.)
6 A federal,state, or local government or governmental unit described in section 170(b)(1)(A)(v).
7 An organization that normally receives a substantial part of its support from a governmental unit or from the general public
described in section 170(b)(1)(A)(vi). (Complete Part II )
8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part II)
9 )X An organization that normally receives: (1)more than 33 1/3%of its support from contributions, membership fees,and gross
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3%of its
support from gross investment income and unrelated business taxable income(less section 511 tax)from businesses
acquired by the organization after June 30. 1975 See section 509(a)(2). (Complete Part III )
10 An organization organized and operated exclusively to test for public safety. See section 509(a)(4).
11 An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the
purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section
509(a)(3).Check the box that describes the type of supporting organization and complete lines 11 e through 11 h.
a I Type I b ! i Type II c Type III—Functionally integrated d ! i Type III—Other
e J By checking this box. I certify that the organization is not controlled directly or indirectly by one or more disqualified persons
other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1)
or section 509(a)(2)
f If the organization received a written determination from the IRS that it is a Type I. Type li, or Type III supporting
organization, check this box
g Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?
(i) A person who directly or indirectly controls,either alone or together with persons described in (it) and Yes No
(iii)below.the governing body of the supported organization? 11 i
(ii) A family member of a person described in(i)above? 11 ii
(iii)A 35%controlled entity of a person described in(i)or(u)above? 11 iii
h Provide the following information about the supported organization(s).
(i)Name of supported (ii)EIN (iii)Type of organization (iv)Is(he organization (v)Did you notify (vi)Is the (vii)Amount of
organization (described on lines 1-9 in col (i)listen in your the organization in organization m cot support
above or IRC section govemng dccumenl? cot (i)of your (i)organized in the
(see instructions)) support? U.S.
Yes No Yes No Yes No
(A)
(B)
(C)
(D)
(E)
Total
For Paperwork Reduction Act Notice,see the Instructions for Schedule A(Form 990 or 990-EZ)2010
Form 990 or 990-EZ.
DAA
05:11/2011 3 03 PM
Schedule A(Form990or990-EZ)2010 CARMEL-CLAY HISTORICAL SOCIETY INC 31-0908428 Paget
P40,11 Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under
_ Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)► (a)2006 (b)2007 (c) 2008 (d) 2009 (e)2010 (f)Total
1 Gifts,grants,contributions, and
membership fees received. (Do not
include any"unusual grants"}
2 Tax revenues levied for the
organization's benefit and either paid
to or expended on its behalf
3 The value of services or facilities
furnished by a governmental unit to the
organization without charge
4 Total,Add lines 1 through 3
5 The portion of total contributions by
each person(other than a
governmental unit or publicly
supported organization)included on
line 1 that exceeds 2%of the amount -
shown on line 11.column(f)
6 Public support.Subtract line 5 from line 4
Section B. Total Support
Calendar year(or fiscal year beginning in)► (a)2006 (b)2007 (c)2008 (d)2009 (e)2010 (f)Total
7 Amounts from line 4
8 Gross income from interest, dividends,
payments received on securities loans.
rents, royalties and income from similar
sources
9 Net income from unrelated business
activities.whether or not the business
is regularly earned on
10 Other income. Do not include gain or
loss from the sale of capital assets
(Explain in Part IV)
11 Total support.Add lines 7 through 10
12 Gross receipts from related activities, etc (see instructions) 12
13 First five years.If the Form 990 is for the organization's first, second. third, fourth, or fifth tax year as a section 501(c)(3)
organization,check this box and stop here ►
Section C. Computation of Public Support Percentage
14 Public support percentage for 2010(line 6, column (f)divided by line 11,column(f}} 14
15 Public support percentage from 2009 Schedule A, Part 11, line 14 15
16a 33 1/3%support test-2010. If the organization did not check the box on line 13, and line 14 is 33 1/3%or more,check this
box and stop here.The organization qualifies as a publicly supported organization ►
b 33 1/3%support test-2009. If the organization did not check a box on line 13 or 16a. and line 15 is 33 1/3% or more,
check this box and stop here.The organization qualifies as a publicly supported organization ►
17a 10%-facts-and-circumstances test-2010. If the organization did not check a box on line 13, 16a or 16b, and line 14 is
10%or more,and if the organization meets the "facts-and-rircumstances"test check this box and stop here. Explain in
Part IV how the organization meets the"facts-and-circumstances"test The organization qualifies as a publicly supported
organization ►
b 10%-facts-and-circumstances test--2009. if the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10%or more, and if the organization meets the"facts-and-circumstances"test, check this box and stop here.
Explain in Part IV how the organization meets the"facts-and-circumstances"test The organization qualifies as a publicly _
supported organization ►
18 Private foundation.If the organization did not check a box on line 13. 16a, 16b, 17a, or 17b, check this box and see
instructions ►
Schedule A(Form 990 or 990-F-Z)2010
DA.P
1 05/11/2011 3 03 PM
Schedule A(Form 990 or 990-EZ)2010 CARMEL-CLAY HISTORICAL SOCIETY INC 31-0908428 Page
Mitt of ' Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part 11.
If the organization fails to qualify under the tests listed below, please complete Part I1.)
Section A. Public Support
Calendar year(or fiscal year beginning in)► (a) 2006 (b) 2007 (c)2008 (d)2009 (e)2010 (f)Total
1 Gifts,grants,contributions,and membership
fees received (Do not include any'unusual
grants') 29 625 38 660 16,992 28,931 21,771 135,979
2 Gross receipts from admissions,merchandise
sold or services performed,or facilities
fumished in any activity that is related to the
organization's tax-exempt purpose 17 615 22,568 8,553 20 172 19,140 88,048
3 Gross receipts from activities that are not an
unrelated trade or business under section 513
4 Tax revenues levied for the
organization's benefit and either paid
to or expended on its behalf
5 The value of services or facilities
furnished by a governmental unit to the
organization without charge
6 Total.Add lines 1 through 5 47,240 61,228. 25,545. 49,103 40,911 224,027
7a Amounts included on tines 1, 2. and 3
received from disqualified persons
b Amounts included on lines 2 and 3
received from other than disqualified
persons that exceed the greater of 55,000
or I%of the amount on line 13 for the year
c Add lines 7a and 71b
8 Public support(Subtract line 7c from
line 6.) ..
224,027
Section B. Total Support
Calendar year(or fiscal year beginning in)► (a)2006 (b)2007 (c) 2008 (d)2009 (e)2010 (f)Total
9 Amounts from line 6 47,240 61,228 25,545 49 103 40 911 224 027
10a Gross income from interest,dividends,
payments received on securities loans,rents,
royalties and income from similar sources . 1,237 131 1 402 1,460 4,230
b Unrelated business taxable income (less
section 511 taxes)from businesses
acquired after June 30, 1975
c Add lines 10a and 1 Ob 1,237 131 1,402 1,460 4,230
11 Net income from unrelated business
activities not included in line t 01b,whether
or not the business is regularly carried on 0
12 Other income.Do not include gain or
loss from the sale of capital assets
(Explain in Part IV) 4 045 6,774 10,819
13 Total support.(Add lines 9. 10c, 11,
and 12.) 47,2401 66,5101 25 676 57,2791 42,3711 239,076
14 First five years.If the Form 990 is for the organization's first, second,third, fourth, or fifth tax year as a section 501(c)(3) _
organization,check this box and stop here `
Section C. Computation of Public Support Percentage
15 Public support percentage for 2010(line 8, column(f)divided by line 13, column(0) 15 93.71
16 Public support percentage from 2009 Schedule A, Part III, line 15 16 94.19%
Section D. Computation of Investment Income Percentage
17 Investment income percentage for 2010(line t Oc, column (f)divided by line 13, column (f)) 17 2
18 Investment income percentage from 2009 Schedule A. Part III, line 17 18 2%
19a 33 113%support tests-2010. If the organization did not check the box on line 14, and Ime 15 is more than 33 1/3%, and line
17 Is not more than 33 113%. check this box and stop here. The organization qualifies as a publicly supported organization ► X!
b 33 113%support tests-2009. If the organization did not check a box on line 14 or line 19a. and line 16 is more than 33 1/3%, and
line 18 is not more than 33 1/3%, check this box and stop here.The organization qualifies as a publicly supported organization ►
20 Private foundation. if the organ zat on did not check a box on line 14, 19a, or 19b, check this box and see instructions I►
Schedule A(Form 990 or 990-EZ)2010
DAA
211 05111/2011 3 03 PM
Schedule A(Form 990 or 990-EZ)2010 CARMEL-CLAY HISTORICAL SOCIETY INC 31-0908428 Page a
Par'a1 Supplemental Information. Complete this part to provide the explanations required by Part II, line 10;
Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See
instructions).
Part III , Line 12 - Other Income Detail
Other income $ 10 , 819
Supplemental Information
2007 : Copier Rebate 50
2007 : Insurance Alarm Settlement 3995
2009 : Refund of Prior Year Expenses 6642
2009 : Current Expense Reimbursement 132
p,:,;, Schedule A(Form 990 or 990-EZ)2010
11 05/1112011 3 03 PM
Schedule B Schedule of Contributors OMB No 1545-0047
(Form 990,990-EZ,
or 990-PF) ► 2010
Department of the Treasury Attach to Form 990,990 EZ,or 990-PF.
Internal Revenue Service
Name of the organization Employer identification number
CARMEL—CLAY HISTORICAL SOCIETY INC 31-0908428
Organization type(check one):
Filers of: Section:
Form 990 or 990-EZ XI 501(c)( 3 )(enter number)organization
4947(a)(1) nonexempt charitable trust not treated as a private foundation
527 political organization
Form 990-PF — 501(c)(3)exempt private foundation
4947(a)(1) nonexempt charitable trust treated as a private foundation
501(c)(3)taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or(10)organization can check boxes for both the General Rule and a Special Rule. See
instructions
General Rule
For an organization filing Form 990. 990-EZ, or 990-PF that received.during the year. $5,000 or more (in money or
property)from any one contributor Complete Parts I and II
Special Rules
:XI For a section 501(c)(3)organization filing Form 990 or 990-EZ that met the 33 1/3%support test of the regulations under
sections 509(a)(1)and 170(b)(1)(A)(vi), and received from any one contributor.during the year, a contribution of the
greater of(1)$5,000 or(2)2%of the amount on(i) Form 990, Part VIII, line 1h or(ii) Form 990-EZ. line 1. Complete Parts
I and 11.
For a section 501(c)(7), (8). or(10)organization filing Form 990 or 990-EZ that received from any one contributor, during
the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable, scientific, literary,or
educational purposes,or the prevention of cruelty to children or animals Complete Parts I, II. and III
For a section 501(c)(7), (8), or(10)organization filing Form 990 or 990-EZ that received from any one contributor, during
the year,contributions for use exclusively for religious, charitable, etc.. purposes, but these contributions did not
aggregate to more than$1,000. If this box is checked, enter here the total contributions that were received during the
year for an exclusively religious, charitable, etc.,purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious,charitable,etc., contributions of$5,000 or more
during the year $
Caution.An organization that is not covered by the General Rule andlor the Special Rules does not file Schedule B(Form 990,
990-EZ, or 990-PF), but it must answer`No"on Part IV, line 2 of its Form 990,or check the box on line H of its Form 990-EZ,or on
line 2 of its Form 990-PF,to certify that It does not meet the filing requirements of Schedule B(Form 990, 990-EZ, or 990-PF).
For Paperwork Reduction Act Notice,see the Instructions for Form 990,990-EZ,or 990-PF. Schedule B(Form 990,990-EZ,or 990-PF)(2010)
DAA
11 05/11'2011 3 03 PM
Schedule B Form 990 990-EZ or 990-PF 2010 Page 1 of 1 of Part I
Name of organization Employer identification number
CARMEL-CLAY HISTORICAL SOCIETY INC 31-0908428
PaT4[ Contributors (see instructions)
(a) (b) (c) (d)
No. Name address and ZiP+4 Aggregate contributions Type of contribution
1 Clay Township Person X
10701 N College Payroll
$ 10 , 000 Noncash _
Indianapolis IN 46280 (Complete Part 11 If there is
a noncash contribution)
(a) (b) (c) (d)
No. Name address and ZIP +4 A qreqate contributions I Type of contribution
Person
Payroll
S Noncash
(Complete Part 11 if there is
a noncash contribution)
(a) (b) (c) (d)
No. Name address and ZIP+4 Aggregate contributions Type of contribution
Person
Payroll
S Noncash
(Complete Part 11 if there is
a noncash contribution)
(a) (b) (c) (d)
No. Name address and ZIP+4 Aggregate contributions Type of contribution
Person
Payroll
$ Noncash
(Complete Part 11 if there)s
a noncash contribution.)
(a) (b) (c) (d)
No. Name address and ZIP+4 Aggregate contributions Type of contribution
Person
Payroll
S Noncash
(Complete Part 11 If there 1s
a noncash contribution )
(a) (b) (c) (d)
No. Name address and ZIP+4 A re ate contributions Type of contribution
Person
Payroll
5 Noncash
(Complete Part II if there 1s
a noncash contribution.)
Schedule 8(Form 990,990-EZ,or 990-PF)(2090)
DP.A
211 05/11/2011 3:03 PM
SCHEDULE 0 Supplemental Information to Form 990 or 990-EZ OMB No.1545-0047
(Form 990 or 990-EZ) Complete to provide information for responses to specific questions on 2010
Department of the Treasury Form 990 or 990-EZ or to provide any additional information.
fl�et#:ats_.;Ptfbl#e
internal Revenue Service ► Attach to Form 990 or 990-EZ. ;
Name of the organization Employer identification number
CARMEL-CLAY HISTORICAL SOCIETY INC 131-0908428
Form 990-EZ , Part I , Line 8 - Other Revenue
Description Amount
Sales of Donated Items $ 408
Total $ 408
Form 990-EZ , Part I , Line 16 - Other Expenses
Description Amount
Expenses
Office Supplies $ 1 , 528
Archival Supplies $ 478
Dues & Subscriptions $ 654
Program Exp: Home Tour $ 4 , 441
Program Exp : Geneology $ 2 , 620
Program Exp : May Day Tea $ 2 , 370
Insurance $ 1 , 537
Internet & Website Fees $ 458
Telephone $ 1 , 045
Sales taxes $ 419
Payroll Tax $ 1 , 766
Planning Workshop $ 350
Office Expense $ 604
Prog Exp: Civil War Table $ 1 , 063
Miscellaneous $ 68
Total $ 19 , 401
For Paperwork Reduction Act Notice,see the Instructions for Form 990 or 990-EZ. Schedule 0(Form 990 or 990-EZ)(2010)
oAA
!11 05il V2011 3'03 PM
Schedule 0 Form 990 or 990-EZ 2010 Page 2
Name of the organization Employer identification number
CARMEL-CLAY HISTORICAL SOCIETY INC 31-0908428
Form 990-EZ , Part II , Line 24 - Other Assets
Description Beg . of Year End of Year
Inventories for Sale or Use $ 3 , 883 $ 2 , 655
Total $ 3 , 883 $ 2 , 655
Form 990-EZ , Part II , Line 26 - Other Liabilities
Description Beg. of Year End of Year
Sales Tax & Payroll Tax Payable $ 1 , 217 $ 983
Form 990-EZ , Part III , Line 31 - All Other Achievements
May Day Tea
Schedule O(Form 990 or 990-EZ)(2010)
DAA
2
Exhibit F
Carmel Clay Historical Society 2012 Board Members
Fred Swift, President
Jim Garretson, Vice President
Judy Hagan, Treasurer
Stephanie Curtis
Jennifer Hershberger, Corresponding Secretary
Board Members
Nancy Childs
Danny O'Malia
Jan Randall
Cathie Reamer
Matt Snyder
Karl Swain
Kathy Venable
Rosemary Waters
Joan Wischmeyer
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/14/12 Agreement $10,000.00
1 hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
Carmel Clay Historical Society ALLOWED 20
IN SUM OF $
211 1st Street, S.W.
Carmel, IN 46032
$10,000.00
ON ACCOUNT OF APPROPRIATION FOR
Support For The Arts
PO#/Dept. INVOICE NO. ACCT#(TITLE AMOUNT Board Members
504 Agreement 43-551.01 $10,000.00
I hereby certify that the attached invoice(s), or
I I
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, November 13, 2012
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund