214485 11/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00352659 Page 1 of 1
Q � ONE CIVIC SQUARE CARMEL FOUNTAIN SQUARE COMMITTENECK AMOUNT: $2,500.00
CARMEL, INDIANA 46032 Po Box 4155
CARMEL IN 46082 CHECK NUMBER: 214485
CHECK DATE: 11/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
504 4355101 2, 500 . 00 2012 CONTRIBUTION
1
Q�TN6
0
ARTS GRANT PROGRAM
AGREEMENT
This Grant Agreement (herein referred to as "Agreement") entered into by and between the City
of Carmel (the City) and the Carmel Fountain Square Committee (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, Ramona Hancock, an
authorized representative of Grantee, am applying for a City of Carmel ("Grantor")
Arts Grant.
2. Purpose of this Grant Agreement. The purpose of this Agreement is to enable the
City to award a grant of Twenty-Five Hundred Dollars ($2.500.00) to the Grantee
for the eligible costs of the project (the "Project") or services as described in Exhibits
A and B of this Agreement. The funds shall be used exclusively in accordance with
the provisions contained in this Agreement.
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:
Carm ountain Square Committee ("Grantee")
By:
Prin ed Name of Officer: Ramona Hancock Title: President
Date: April 11, 2012
CITE' OF CARMEL ("Grantor")
By:
James Brainard, Mayor
Date: /c �� � ���ca
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,skibbe(a carmel.in.gov.
4
IT A
Description ®f the r®posed Use ®f the
Grant Funds
/ I J
www carmeleazeboconcerts.orz
a 501(c)(3) not-for-profit organization
April 5, 2012
The Honorable James Brainard
City of Carmel
One Civic Square
Carmel, IN 46032
Dear Mayor Brainard:
The Carmel Fountain Square Committee met last fall to plan the 2012 Summer Concert Series at the
Gazebo. We reviewed feedback from concert-goers about the 2011 performers and made appropriate
changes to reduce performance costs. We also decided to work towards increasing our sponsor base.
The Carmel Fountain Square Committee is appreciative of previous annual support in the amount of
$15,000 from the City of Carmel or the 4CDC and is aware that the city's budget for arts funding has
been substantially reduced in recent years.
While we're fortunate to have funds in reserve to offset our anticipated losses for the 2012 Summer
Concert Series, we respectfully request a $2,500 grant from the City of Carmel for the 2012
season. This grant would show the community that the City of Carmel continues its support of the
Summer Concert Series on the grounds of Carmel City Hall. Our reserves will sustain us for only a
short time, so we will likely increase our request for funding in 2013.
Thank you for your consideration. If you have any questions, please call me at 571-2412.
Sin' rely,
amona Hancock
President
P.0, Fax 41.5.5 6um , X72 46092
EXHIBIT
Profit & Loss Budget Overview
Calendar Year 2012
2012 Gazebo Concert Series
Carmel Fountain Square Committee
Profit& Loss Budget Overview
January 1 - December 31, 2012
Income
Contributions from Sponsors
Bose McKinney& Evans $1,100
Carmel Auto Contours $550
Carmel Glass $525
Carmel Lions Club $500
David Kristoff, DDS $100
Flanner& Buchanan $500
Gene B. Glick Company, Inc. $1,100
Gradex, Inc. $100
Horton, Inc. $1,000
Indiana Vein Specialists $1,001
Jones & Henry, Ltd. $1,100
Nelson & Frankenberger $525
Pedcor Companies $550
Regions Bank $525
St. Vincent Carmel Hospital $525
Vine& Branch $250
Waneta Dunkerly $250
Whitham, Hebenstreit&Zubek, LLP $501
$10,702
Expenses
Performers Fees for 2012
6/6/2012 Circle City Sound $1,000
6/13/2012 Rick K& The All Nighters $2,700
6/20/2012 Ruditoonz/Pre-Show Children's Program $400
6/20/2012 Flying Toasters $2,750
6/27/2012 U.S. Air Force Band of Flight $0
7/11/2012 Cornfields and Crossroads $1,300
7/18/2012 Blair& Company $2,100
7/25/2012 Indianapolis Jazz Orchestra $2,400
8/1/2012 Zanna Doo $2,000
$14,650
Adminstrative Costs
Accounting/Tax Prepration $385
Advertising (hand-held fans) $460
Contract Services $110
Event Prep/Clean-up &Custodial $1,650
Insurance $1,100
Postage and Mailing $450
Printing and Copying $670
Supplies $250
Telephone, Telecommunications $45
$5,120
$19,770
Net Loss -$9,068
EXHIBIT C
Certified. Copy of Incorporation as
Not-for-Profit Corporation under
Indiana Law
State of Indiana
Office of the Secretary of Mate
CERTIFICATE OF INCORPORATION
of
CARMEL FOUNTAIN SQUARE COMMI'T'TEE, INC.
I,TODD ROIQTA,Secretary of State of Indiana, hereby certify that Articles of Incorporation
of the above Non-Profit Domestic Corporation have been presented to me at my office,
accompanied by the fees prescribed by law and that the documentation presented conforms to
law as prescribed by the provisions of the Indiana Nonprofit Corporation Act of 1991.
NOW,THEREFORE,with this document I certify that said transaction will become effective
Wednesday,April 23, 2005.
In Witness Whereof,I have caused to be
affixed my signature and the seal of the
t0000000000e0000°oee
State of Indiana, at the City of Indianapolis,
April 23,2005.
oVw
O � °
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TODD ROKITA,
SECRETARY OF STATE
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2008042300524/2008042325458
IND ,$�r.RE ARv
ARTICLES OF INCORPORA'g')fOl�1 . "rArE
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CAME L FOUNTAIN SQUARE COMMITTEE, INC.
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
Name
The name of the Corporation is Carmel Fountain Square Committee, Inc.
ARTICLE II
Purposes
The Corporation is a public benefit corporation organized exclusively for charitable purposes
within the meaning of Section 501(c)(3) of the Internal Revenue Code of 1986, as the same may be
amended from time to time..or the corresponding provisions of any future United States revenue law.
As thus limited,the purpose for which the Corporation is organized is to promote and support the arts
and art education through choral, instrumental and other musical performances provided free of
admission charge, or for a nominal fee to help defray operating expenses, to the general public in a
public parr gazebo located in the City of Carmel, Indiana, and to transact any and all other lawful
business for which a non-profit corporation may be incorporated and operate under the Act.
ARTICLE III
Period of Existence
The period during which the Corporation shall continue is perpetual.
ARTICLE IV
Registered Agent and Registered Office
The name of the Registered Agent is Douglas C. Haney, and the address of the Registered
Office at which the Registered Agent may be reached is 49 Hawthorne Drive,Carmel,Indiana 46033.
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ARTICLE V
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The Corporation shall have no members.
ARTICLE VI
Directors
Section 6.1. Number of Directors. The initial number of Directors is thirteen (13).
Thereafter,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 five(5).
Section 6.2. Names and Addresses of the Directors. The names and addresses of the initial
Board of Directors are,
Name Address
Sue Coy 168 Aspen Way, Carmel, Indiana 46032
Veronica Dolan 1059 Timber Creek Drive, Carmel,Indiana 46032
Bill Fecht 12751 Plum Creek Boulevard,Carmel, Indiana 46033
Ramona Hancock 12838 Wembly Road, Carmel,Indiana 46033
Sharon Kibbe 827 Winter Court, Carmel, Indiana 46032
Michelle Kremery 433 Autumn Drive,Carmel, Indiana 46032
Melanie Lentz 9272 Tower Bridge, Apt.B, Indianapolis, Indiana 46240
Connie May 14326 Avian Way, Carmel,Indiana 46033
Phyllis Morrissey 12750 Plum Creek Boulevard, Carmel, Indiana 46033
Darrell Norris 1012 d Avenue SW, Suite 2C, Carmel, Indiana 46032
Ted Spearman 8291 Courtney Drive, Fishers, Indiana 46038
Barb Storey 9945 Hamblin Court, Indianapolis, Indiana 46280
Connie Tingley 14580 Adios Pass, Carmel, Indiana 46032
Section 6.3. Terms of Directors. Directors of the Corporation shall be elected for such terms
as are established by the Code of By-Laws of the Corporation and, if the By-Laws so provide, be
elected for terms of office that are of different lengths and/or that expire at different tines,provided,
however,that no term of office shall continue longer than two (2)years in length.
Section 6.4. Removal of Directors. A Director of the Corporation may be removed at any
time,with or without cause,by the affirmative vote of the majority of the Directors at a meeting called
expressly for that purpose,provided that the number of Directors equal to a majority of the Board of
Directors votes affirmatively for such action.
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ARTICLE VII
Incorporator
The name and address of the incorporator of the Corporation is Douglas C. Haney, 49
Hawthorne Drive, Carmel, Indiana 46033.
ARTICLE VIII
Provisions for the Regulation and
Conduct of the Affairs of the Corporation
Section 8.1. Powers. To carry out the purposes set forth above,the Corporation shall have the
powers enumerated in the Indiana Nonprofit Corporation Act of 1991,as the same may be amended
from time to time;provided, however,that notwithstanding any other provision of these Articles or
any provision of said Act or any other law, the Corporation shall not in any manner or to any extent
participate in,or intervene in(including the publishing or distribution of statements), any political
campaign on behalf of any candidate for public office; nor shall a substantial part of its activities
consist of carrying on propaganda or otherwise attempting to influence legislation; nor shall it carry
on any other activities not permitted to be carried on by a corporation exempt from federal income tax
under Section 501(c)(3)of the Internal Revenue Code of 1986(or the corresponding provision of any
future United States revenue law) or by a corporation, contributions to which are deductible under
Section 170(c)(2)of the Internal Revenue Code of 1986(or the corresponding provision of any future
United States revenue law).
Section 8.2. Restriction Upon Inurement of Net Earnings. No part of the net earnings of the
Corporation shall inure to the benefit of,or be distributed to,its members,directors,officers,or other
private individuals,except that the Corporation shall be authorized and empowered to pay reasonable
expenses incurred,and to otherwise make payments and distributions in furtherance of the purposes
set forth in Article Il hereof.
Section 8.3. Restriction Upon Acceptance of Gifts. No gifts or other contributions to the
Corporation shall be accepted by the Corporation if the use or expenditure of such gift or other
contribution is subject to any condition which is inconsistent with the purposes of the Corporation as
stated herein.
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 future United States revenue law),as the Board
of Directors of the Corporation may determine.
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Section 8.5. Distributions 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:
(a) 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);
(b) 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);
(c) Make any investments in such manner as to subject it to tax under Section 4944 of
the Internal Revenue Code of 1986 (or the corresponding provision of any future
United States revenue law); or
(d) 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,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. Notwithstanding the above,it is expressly disclosed and understood that one or more of the
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initial Directors is an employee of the City of Carmel,Indiana("City"),that the Corporation,through
such Directors,may enter into contractual transactions with the City and/or with other municipal and
nonprofit corporations, agencies and entities to further the Corporation's charitable purposes, that
such Directors shall be counted in determining whether a quorum is present and in calculating the
majority of such quorum necessary to carry the vote on such transactions,and that such transactions.
if any, shall be valid if they are otherwise lawful and do not constitute the use or application of
Corporation funds for private benefit.
Section 8.8. Indemnification of Directors, Officers and Employees. The Corporation shall
indemnify any individual made a party to any action,suit or proceeding by reason of the fact that such
individual is or was a director,officer,employee or agent of the Corporation against all liability and
reasonable expense incurred or suffered by such individual in connection therewith, if:
(a) the individual's conduct was in good faith; and
(b) the individual reasonably believed:
(i)in the case of conduct in the individual's official capacity with the
Corporation,that the individual's conduct was in its best interests;and
(ii) in all other cases, that the individual's conduct was at least not
opposed to the Corporation's best interests; and
(c) in the case of any criminal proceeding, the individual either:
(i) had reasonable cause to believe the individual's conduct was
lawful; or
(ii) had no reasonable cause to believe the individual's conduct was
unlawful.
The terms used in this Article VIII shall have the same meaning as set forth in IC 23-17 et.
se . Nothing contained in this Section shall limit or preclude the ability of the Corporation to
otherwise indemnify or to advance expenses to any director, officer, employee or agent.
The rights of indemnification,reimbursement and advance payments set forth above shall not
be deemed exclusive of any other rights to which such individual may be entitled apart from the
provisions of this Article,and shall inure to the benefit of the heirs and legal representatives of such
individual. This Section shall be construed in a manner consistent with the proscriptions of these
Articles against the Corporation's use or application of its funds for private benefits.
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Section 8.9. Code of By-Laws. The Board of Directors of the Corporation shall have the
power to make, alter, amend or repeal a Code of By-Laws providing for the internal regulation and
conduct of the affairs of the Corporation,provided that a number of Directors equal to a majority of
the Board of Directors votes affirmatively for such action.
Section 8.10. Amendment. These Articles may be amended by the affirmative vote of a
majority of the Directors, provided that a number of Directors equal to a majority of the Board of
Directors votes affirmatively for such action.
IN WITNESS WHEREOF, the undersigned does hereby execute these Articles of
Incorporation as of this a I day of April, 2008.
ou las . Haney
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X I 1T D
®t® ®r®Profit IRS Determination
Letter
INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY
P. 0. BOX 2508
CINCINNATI, OH 45201
Employer Identification Number:
Date: �} 41-2277254
FEB I ? 2009 DLN:
17053324304008
CARMEL FOUNTAIN SQUARE COMMITTEE Contact Person:
INC GARY L BOTKINS ID# 31463
PO BOX 4155 Contact Telephone Number:
CARMEL, IN 46082-4155 (877) 829-5500
Accounting Period Ending:
December 31
Public Charity Status:
170 (b) (1) (A) (vi)
Form 990 Required:
Yes
Effective Date of Exemption:
April 23, 2008
Contribution Deductibility:
Yes
Addendum Applies:
No
Dear Applicant:
We are pleased to inform you that upon review of your application for tax
exempt status we have determined that you are exempt from Federal income tax
under section 501(c) (3) of the Internal Revenue Code. Contributions to you are
deductible under section 170 of the Code. You are also qualified to receive
tax deductible bequests, devises, transfers or gifts under section 2055, 2106
or 2522 of the Code. Because this letter could help resolve any questions
regarding your exempt status, you should keep it in your permanent records.
Organizations exempt under section 501 (c) (3) of the Code are further classified
as either public charities or private foundations. We determined that you are
a public charity under the Code section(s) listed in the heading of this
letter.
Please see enclosed Publication 4221-PC, Compliance Guide for 501(c) (3) Public
Charities, for some helpful information about your responsibilities as an
exempt organization.
Letter 947 (DO/CG)
CARMEL FOUNTAIN SQUARE COMMITTEE
We have sent a copy of this letter to your representative as indicated in your
power of attorney.
Sincerely,
d
Robert Choi
Director, Exempt Organizations
Rulings and Agreements
Enclosures: Publication 4221-PC
Letter 947 (DO/CG)
E IIT E
Bank Statement as ®f 3/31/212
2 011 Form 90®EZ
(T® comply with request f®r any
audits, reviews or compilations
available describing the financial
conditi®n ®f the Grantee)
THE HUNTINGTON NATIONAL BANK
PO BOX nki t n
4321
COLUMBUS US OH H 4321 6-1558
fl
CARMEL FOUNTIAN SQUARE COMMITTE INC Have a Question or Concern?
PO BOX 4155
CARMEL IN 46082-4155 Stop by your nearest
Huntington office or
contact us at:
1-800480-2001
www.huntington.com/
businessresources
Huntington Free Business Checking Account Account: 01400823323
Statement Activity From: Beginning Balance $56,107.70
03/01112 to 03/31/12 Credits (+) 3,976.00
Regular Deposits 3,976.00
Days in Statement Period 31 Debits (-) 499.09
Regular Checks Paid 390.00
Average Ledger Balance` 56,579.88 Other Debits 109.09
Average Collected Balance' 56,451.63 Total Service Charges (-) 0.00
' The above balances correspond to the Ending Balance $59,584.61
service charge cycle for this account.
Deposits (+) Account: 01400823323
Date Amount Serial # Type Date Amount Serial # Type
03/26 3,976.00 Brch/ATM
Checks (-) Account: 01400823323
Date Amount Check # Date Amount Check #
03/12 390.00 1066
(-)Indicates the prior sequentially numbered check(s)may have 1)been voided by you 2)not yet been presented 3)appeared on a previous
statement or 4)been included in a list of checks.
Other Debits (-) Account: 01400823323
Date Amount Description
03/19 109.09 NON-PIN PURCHASE DLX FOR SMALLBU 3680 Victoria St N 800-865-1913 MN 5347402400031315
Service Charge Summary Account: 01400823323
Previous Month Service Charges (-) $0.00
Total Service Charges (-) $0.00
Investments are offered through the Huntington Investment Company,Registered Investment Advisor,member FINRA/SIPC,a wholly-owned
subsidiary of Huntington Bancshares Inc.
The Huntington National Bank is Member FDIC. 101 ®and Huntington®are federally registered service marks of Huntington Bancshares
Incorporated. 02012 Huntington Bancshares Incorporated.
Statement Period from 03/01/12 to 03/31/12 Page 1 of 2
PDF created with FinePrint DdfFactory trial version httr)://www.finearint.com
$-p Huntington
Balance Activity Account: 01400823323
Date Balance Date Balance Date Balance
02/29 56,107.70 03/19 55,608.61
03/12 55,717.70 03/26 59,584.61
In the Event of Errors or Questions Concerning Electronic Fund Transfers (electronic deposits, withdrawals, transfers,
payments, or purchases), please call either 1-614-480-2001 or call toll free 1-800-480-2001, or write to The Huntington National Bank Research
- EA4W61, P.O. Box 1558, Columbus, Ohio 43216 as soon as you can, if you think your statement or receipt is wrong or if you need more
information about an electronic fund transfer on the statement or receipt. We must hear from you no later than 60 days after we sent you the
FIRST statement on which the error or problem appeared.
1.Tell us your name, your business's name (if appropriate) and the Huntington account number(if any).
2. Describe the error or the transaction you are unsure about, and explain as clearly as you can why you believe there is an error or why
you need more information.
3.Tell us the dollar amount of the suspected error.We will investigate your complaint or question and will correct any error promptly.
Verification of Electronic Deposits If you authorized someone to make regular electronic fund transfers of money to your account at
least once every sixty days, you can find out whether or not the deposit has been received by us, call either 1-614-480-2001 or call toll free
1-800-480-2001.
Balancing Your Statement-For your convenience,a balancing page is available on our web site https://www.huntington.com/pdf/balancing.pdf
and also available on Huntington Business Online.
Statement Period from 03/01/12 to 03/31/12 Page 2 of 2
PDF created with FinePrint I,dfFactory trial version htto://www.finer)rint.com
Short Form OMB No.1545-1150
Foy 990°�� Return of Organization Exempt From Income Tex 2 � 1
Under section 501(c),527,or 4947(ax1)of the Internal Revenue Code
(except black lung benefit trust or private foundation)
0 Sponsoring organizations of donor advised funds,organizations that operate one or more hospital facilities,
and certain controlling organizations as defined in section 612(bx13)must file Form 990(see instructions).
€Iir;
All other organizations with gross receipts less than$200,000 and total assets less than$500,000 ..::..::::.::: •.•.�::::::;;;;;:;;.
Department of the Treasury at the end of the year may use this form.
Internal Revenue Service ►The organization may have to use a copy of this return to satisfy state reporting requirements.
A For the 2011 calendar ar,or tax y2ar beginning ,and ending
B check if applicable: C Name of organization D Employer identification number
Address change CARMEL FOUNTAIN SQUARE COMMITTEE
Name charge C.F. S.C. , INC. 41-2277254
Initial return Number and street(or P.O.box,if malt is not delivered to street address) Room/suite E Telephone number
Terminated —P.O. BOX 4155
Amended return City or town,state or country,and ZIP+4 F Group Exemption
Application pending CARMEL IN 46082-4155 Number
G Accounting Method: X Cash Accrual Other(specify)® H Check 11- ® if the organization is not
1 Website: ® N/A required to attach Schedule B
J Tax-exempt status check only one — X 501 c 3 501 c 4 insert no. 4947 a 1 or p 527 Form 990,990-EZ,or 990-PF .
K Check® Lj if the organization is not a section 509(a)(3)supporting organization or a section 527 organization and its gross receipts are normally
not more than$50,000.A Form 990-EZ or Form 990 return is not required though`tom 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. o�'�-���y.
L Add fines 5b,6c,and 7b,to line 9 to determine gross receipts.If gross rec y*_ e� 0"p or if total assets(Part II,
fine 25,column(B below)are$500,000 or more,file Form 990 i S Yof �� .._,.,•••, 0. $ 26, 125
<;: k O Revenue, Expenses, and Chan s or Fund Balances(see the instructions for Part I.)
Check if the organization used Schedules and to an uestion in this Part I ............................................
1 Contributions,gifts,grants,and similar amounts receiv 1 26, 125
.................................................................
2 Program service revenue including government fees and contracts _ .. 2
3 Membership dues and assessments 3
..........................................
4 Investment income................................................................................................. 4
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
a Gross income from gaming(attach Schedule G if greater than
$15,000) 6a
.................................................................
b Gross income from fundraising events(not including $ of contributions
from fundraising events reported on line 1)(attach Schedule G if the
sum of such 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 lines 6a and 6b and subtract
line 6c) ..................... 6d
....................................................................
7a Gross sales of inventory, less returns and allowances 7a
b Less:cost of goods sold 7b
c Gross profit or(loss)from sales of inventory(Subtract line 7b from line 7a) 7c
...................................
8 Other revenue(describe in Schedule O) ................ ...... ... . .......• 8
................................
9 Total revenue.Add lines 1,2,3,4,5c,6d,7c,and 8 ...................................... ................... 6' 9 26,125
10 Grants and similar amounts paid(list in Schedule O) 10
11 Benefits paid to or for members 11
m 12 Salaries,other compensation,and employee benefits 12
= 13 Professional fees and other payments to independent contractors 13 21152
...............................
5. 14 Occupancy,rent,utilities,and maintenance ...... .................... ........... 14
......... ....
15 Printing,publications,postage,and shipping . 15 1,107
...............................................
16 Other expenses(describe in Schedule 0) . 16 27 , 924
........................................................................
17 Total expenses.Add lines 10 through 16 .....................................................I................ ® 17 31,183
H 18 Excess or(deficit)for the year(Subtract line 17 from line 9) _, .... ..... .. 18 -5,058
U9 19 Net assets or fund balances at beginning of year(from line 27,column(A))(must agree with :.
end-of-year figure reported on prior year's return) . 19 59,547
................................................................
20 Other changes in net assets or fund balances(explain in Schedule O) 20
21 Net assets or fund balances at end of year.Combine lines 18 through 20 ..................................... ® 21 54,489
Ir Paperwork Reduction Act Notice,see the separate instructions. '-
,A
Form 990-EZ(2011) CARMEL FOUNTAIN SQUARE COMMITTEE 41-2277254 Page 2
ai Balance Sheets.(see the instructions for Part II.)
:....:.: ......
Check if the organization used Schedule O to respond to any question in this Part 11 ...........................................
(A) Beginning of year (B) End of year
-22 Cash,savings,and investments 59, 547 22 54,489
23 Land and buildings ............................................................................. 0 23
....
24 Other assets(describe in Schedule O) 0 24
................................. ..................
25 Total assets 59, 547 25 54,489
26 Total liabilities describe in Schedule O
27 Net assets or fund balances line 27 of column B must a ree with line 21 ............:... 5 9,5 4 7 27 54,489
Statement of Program Service Accomplishments(see the instructions for Part lll.) Expenses
Check if the organization used Schedule O 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(cx4)
SEE SCHEDULE o organizations and section
Describe the organization's program service accomplishments for each of its three largest program services, 4947(a)(1)trusts;optional
as measured by expenses. In a dear and concise manner,describe the services provided,the number of for others.)
persons benefited,and other relevant information for each program title.
28 TO PROVIDE A FAMILY CONCERT SERIES AT THE GAZEBO TART ENCOURAGES COMMUNITY
. ...............................................................................................................................
VITALITY BY PROVIDING A FREE VENUE FOR FAMILIES TO ENJOY ARTS AND CULTURE
.........................................................................................................................
IN OUR LOCAL COMMUNITY.
. ..........................................................................................................................
Grants$ If this amount includes foreign grants,check here ....................... ® 28a 27, 267
29
. ...............................................................................................................................
. ..................................................................................................I............................
. ............................................................................................ ........ .............. .........
Grants$ If this amount includes forei .
n rants,check here ..........................® 29a
30
. ...............................................................................................................................
. .......................................................................................................I..................
.....
. ................I................... ...................................................................................... ..
Grants$ If this amount includes foreign grants,check here ...........I........... IN- 30a
31 Other program services(describe in Schedule O).
Grants$ If this amount includes foreign grants,check here ....................... ® 31a
32 Total program service expenses add lines 28a through 31a ........................................................ ® 32 27 ,267
List of Officers,Directors,Trustees,and Key Employees.List each one even if not compensated.(see the instructions for Part IV.)
Check if the organization used Schedule 0 to respond to an uestion in this Part IV ..................................... ...
(b)Title and average (c)Reportable d)Heath benefits,
(a)Name and address hours per week compensation on�fl) lions to employ (e)Estimated amount of
devoted to position (Forms W-2/1099-MISC) benefit plans,and other compensation
WILLIAM .. FECHT (If not paid,enter-0- deferred compensaton
...................................................................................
PRESIDENT 0.00 0 0 0
SUE. COY
..... .............................................................................
VICE PRESIDENT 0.00 0 0 0
MARK STULTS
.............................................. ....................................
TREASURER 0.00 0 0 0
SHELLEY RAPP
..................................................................................
SECRETARY 0.00 0 0 0
...................................................................................
.............................................. ....................................
...................................................................................
...............................................................I......I............
................ .............................. ....
...................................................................................
MA
_ nnn w
Form 990-EZ(2011) CARMEL FOUNTAIN SQUARE COMMITTEE 41-2277254 Page 3
0
Other Information(Note the Schedule A and personal benefit contract 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 significant activity not previously reported to the IRS?If"Yes,*provide a
detailed description of each activity in Schedule 0................. .....................I...I...I....I.—................... 33 X
34 Were any significant changes made to the organizing or governing documents?If"Yes,"attach 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
35a Did the organization have unrelated business gross income of$1,000 or more during the year from business
activities(such as those reported on lines 2,6a,and 7a,among others)?....*............................... ................ 35a X
b If"Yes,"to line 35a,has the organization filed a Form 99D-T for the year?If No,"provide an explanation in Schedule 0 .... 35b
c Was the organization a section 501(c)(4),501(c)(5),or 501(c)(6)organization subject to section 6033(e)notice,
reporting,and proxy tax requirements during the year?If"Yes,"complete Schedule C,Part III... .......... ............... 35c 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. ...... 110- 37a
b Did the organization file Form 1120-POL for this year? ............ ....................................... ....... 3-7b 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 11 and enter the total amount involved 38b .. ...
..............
..........
39 Section 501(cX7)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 4912 10, section 4955 t> ...... .....
section 4911> ......... . .........
b Section 501(c)(3)and 501(cX4)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. NONE
42a The organization's books are in care of 0. ...... ........I.............. ......................... Teiephone no. to--.... ........... ......
Located at 10. ......... ZIP+4 0, 1 .....
b At any time during the calendar year,did the organization have an interest in or a signature or other authority over Yes No
a financial account in a foreign country(such as a bank account,securities account,or other financial account)? ............ ....... 42b X
If"Yes,"enter the name of the foreign country:
See the instructions for exceptions and filing requirements for Form TD F 90-221,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:10-
43 Section 4947(aX1)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
XX .....
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 MMM
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
45a Did the organization have a controlled entity within the meaning of section 512(b)(13)? 45a X
''*.....*''*''*............. ..................
45b 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) .............................................................. .......................................... 45b X
DAA
Form 990-EZ(2011) CARMEL FOUNTAIN SQUARE COMMITTEE 41-2277254 Pa e
Yes No
46 Did the organization engage,directly or Indirectly,in political campaign activities on behalf of or in-opposition
4
to candidates for public office?If"Yes,"complete Schedule C,Part I ................ ........... ........... ..... N6 X
Section 501(c)(3)organizations and section 4947(a)(1) non"X ;;i�i'�Aaritable trusts only.All section
501(c)(3)organizations and section 4947(aX 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 guestion in this Part VI ..........................................
Yes No
47 Did the organization engage in lobbying activities or have a section 501(h)election in effect during the tax 4T X
year?If"Yes,"complete Schedule C,Part 11 ................................I....I..........................I..................
48 Is the organization a school as described in section 170(b)(I)(A)(h)?It"Yes,"complete Schedule E 48 X
49a Did the organization make any transfers to an exempt non-charitable related organization? ......I.......I.............I. 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 organization. If there is none,enter"None."
(a)Name and address of each employee (b)Title and average (c)Reportable (d)Health benefits. (0)Estimated mated amount of
hours pat week compensation contributions to oe
paid more than$100.0W devoted to position (Forms W-2/1099.MISC)benefit plans,and employee other compensation
compensation
NONE
.....I.............................I—...................... ....I........
..............I.......I...................I................ ..............
................. ................................................ ..................
....................................................I.......
.............1..................:................. ......................................
f Total number of other employees paid over$100,000 ......**....... ...... ........
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
................................ ........................ ................
.............................. ......... ..................11.....
............................................. .......I................................
............................ ................ ...........................................
............ ......................... ...............I.......... ..............
d Total number of other independent contractors each receiving over$100,000
52 Did the organization complete Schedule A?Note:All section 501(cX3)organizations and 4947(a)(1)
nonexempt charitable trusts must attach a completed Schedule A ................................I�.......................... Yes P No
Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief,it is
true,correct,and complete.Declaration of preparer(other than officer)is based on all information of which preparer has any knowledge.
Sign Signature of oMjc_er Dale
.4&W 4
Z
Here Typ-..r print Wme and title
Printrrype preparers name Preparer's signature Date Check []if
PTIN
Paid JOHN A. JOHNSTON, CPA �JOHN A. JOHNSTON, CPA 03/05/12 1 self-ern I ed IP00040239
preparer Firm's name� JOHNSTON & COMPANY, PC Firm's EIN 35-2058958
Use Only Firm's address 298 S 10TH ST STE 500
NOBLESVILLE, IN 46060 Phnnano, 317-774-9410
May the IRS discuss this return with the preparer shown above?See instructions.... ................. ....... 10- JXJ Yes I I No
Form 990-EZ(2oi i)
DAA
SCHEDULE A Public Charity Status and Public Support OMB No.1545-0047
1Form 990 or 990-EZ) 2011
Complete if the organization is a section 501(c)(3)organization or a section
4947(a)(1)nonexempt charitable trust.
Department of the Treasury ®Attach to Form 990 or Form 990-F-Z. ®See separate instructions.
tntemal Revenue Service
Name of the organization CARMEL FOUNTAIN SQUARE COMMITTEE Employer idernlfication number
C.F. S.C. , INC. 41-2277254
Reason for Public Charity Status (All 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 H A school described In section 170(b)(1)(A)(fi).(Attach Schedule E.)
3 A hospital or a cooperative hospital service organization described in section 170(bx1)(A)(Iii).
4 D A medical research organization operated in conjunction with a hospital described in section 170(b)(1NA)(lii).Enter the hospital's name,
city,and state:
............................................................................................................................................
5 D 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 I1.)
8 A federal,state,or local government or governmental unit described in section 170(b)(1)(Axv).
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 It.)
8 H A community trust described in section 170(bx1)(A)(vi).(Complete Part II.)
9 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 111.)
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 11e through 11h.
a F] Type I b n Type Il c [] Type III–Functionally integrated d F] Type III–Other
e u 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 1,Type 11,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?
(1) A person who directly or indirectly controls,either alone or together with persons described in(ii)and Yes No
(iii)below,the governing body of the supported organization?.. 11 i
...............................................................
(ff) A family member of a person described in(i)above? ..... 11 ii
.. ..... .. . .. ....... . .
(iii)A 35%controlled entity of a person described in(i)or.(ii).above?. ... ........... .............. ......... .. 11 ii
.............................................................
h Provide the following information about the supported organization(s).
11)Name of supported (h)EIN (if I)Type of organization (v)Is the organization (v)Did you notify (v7 Is the (vif)Amount of
organization (described on lines 1-9 in col.(1)listed in your the organization in organization in cot. support
above or IRC section governing document? cot.(1)of your (1)organized in the
(see Instructions)) support? U.S'?
Yes No Yes No Yes No
(A)
(D)
(E)
Total
For Paperwork Reduction Act Notice,see the Instructions for Schedule A(Form 990 or 990-EZ)2011
Form 990 or 990-EZ.
nAA
Schedule A(Form 990 or 990-EZ)2011 CARREL FOUNTAIN SQUARE COMMITTEE 41-2277254 Page 2
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(Iv)and 170(b)(1)(A)(vl)
(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 111 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)P (a)2007 (b)2008 (c)2009 (d)2010 (e)2011 ( Total
1 Gifts,grants,contributions,and
membership fees received.(Do not
include any"unusual grants.") 92,782 25,050 26,125 143,957
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
fumished by a governmental unit to the
organization without charge.............
4 Total.Add lines 1 through 3 92,782 25,050 26,125 143,957
5
The portion of total contributions nsb
Y
each A rson(other othe
r tha n a
governmental m me ntal
unit
o r publicly
Y
supported organization)niza t' n)included
on
o I line 1 that exceeds 2/o of the amount ;% s[i!i '``2 "t < i) > t!2' i c »;aci'>si? ij`iG 'Sa' 3i?5iEr
1 column
on Ii 1
shown line
, (fl
143,957 Public support S u b tract li n e 5 from line 4
Section B.Total Support
Calendar year(or fiscal year beginning in)I> (a)2007 (b)2008 (c)2009 (d)2010 (e)2011 (f)Total
7 Amounts from line 4 92,782 25,050 26,125 143,957
8 Gross income from interest,dividends,
payments received on securities bans,
rents,royalties and income from similar
sources..................................
9 Net income from unrelated business
activities,whether or not the business
is regularly carried on ...................
10 Other income.Do not include gain or
loss from the sale of capital assets
(Explain in Part IV.) .....................
143,957
7 h10
su .Ad
Add line throw
11
Total support. s
PP 9 7777= MUTIMM1777771-2
12 Gross receipts from related activities,etc.(see instructions) .. ................. .......... ..................................... L12
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 2011 (line 6,column(f)divided by line 11,column(f)) ... .. .... . ....... 14 100.00%
15 Public support percentage from 2010 Schedule A,Part II,line 14 ............................................... 15 100.oo%o
16a 33113%support test-2011.If the organization did not check the box on line 13,and line 14 is 33 1/3%or more,check this M.
box and stop here.The organization qualifies as a publicly supported organization.............. 01
b 33113%support test-2010.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--2011.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-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 I> ❑
b 10 4/6-factsand-circumstances test-2010.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-EZ)2011
MA
Schedule A(Form 990 or 990-EZ)2011 CARMEL FOUNTAIN SQUARE COMMITTEE 41-2277254 Page 3
Support Schedule for Organizations Described in Section 509(x)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part It.
If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)® (a)2007 (b)2008 (c)2009 (d)2010 (e)2011 (f)Total
1 Gifts,grants,contributions,and membership
fees received.(Do not include any"unusual
grants,") ..................................
2 Gross receipts from admissions,merchandise
sold or services performed,or facilities
furnished in any activity that is related to the
organization's tax-exempt purpose ._........
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 _. ...._..
Ta Amounts included on lines 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$5,400
or 11%of the amount on line 13 for the year
c Add lines 7a and 7b
8 Public support rt S u btrac t line 7
from
line 6.
......................
Section B.Total Support
Calendar year(or fiscal year beginning in)® a)2007 (b)2008 c)2009 (d)2010 (9)2011 (f)Total
9 Amounts from line 6
10a Gross income from interest,dividends,
payments received on securities loans,rents,
royalties and income from similar sources ....
b Unrelated business taxable income(less
section 511 taxes)from businesses
acquired after June 30, 1975
c Add lines 10a and 10b
11 Net Income from unrelated business
activities not included in line 10b,whether
or not the business is regularly carried on ....
12 Other income. Do not include gain or
loss from the sale of capital assets
(Explain in Part IV.) ..... ............ ..
13 Total support.(Add lines 9,10c, 11,
and 12.) .................................
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 ...........................................I.............................. ® ❑
Section C. Computation of Public Support Percentage
15 Public support percentage for 2011 (line 8,column(f)divided by line 13,column(f)) 15 %
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16 Public support percentage from 2010 Schedule A,Part III,line 15 ............................................................... 16
Section D.Computation of Investment Income Percentage
1T Investment income percentage for 2011 (line 10c,column(f)divided by line 13,column(f)) 1T %
...................................
18 Investment income percentage from 2010 Schedule A,Part III,line 17 .............. 18 %
19a 33 1/3%support tests-2011.If the organization did not check the box on line 14,and line 15 is more than 33 1/3%°,and line
17 is not more than 33 1/3%,check this box and stop here.The organization qualifies as a publicly supported organization is ❑
.. ..
. ................
b 33 1/3%support tests-2010.If the organization did not check a box on line 14 or line 19a,and line 16 is more than 33 1/3°/x,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 organization did not check a box on line 14 19a or 19b check this box and see instructions .. .. ® ❑
Schedule A(Form 990 or 990-EZ)2011
nan
Schedule A(Form 990 or 990-EZ)2011 CARMEL FOUNTAIN SQUARE COMMITTEE 41-2277254 Page 4
'< 83> ': Supplementai information. Complete this part to provide the explanations required by Part 11, line 10;
Part Ii, line 17a or 17b; and Part 111, line 12. Also complete this part for any additional information. (See
instructions).
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SCHEDULE o 1 supplemental Information to Form 990 or 990-EZ QMB No.,545-°°47
(Form 990 or 990-EZ) Complete to provide information for responses to specific questions on �01
Department of the Treasury Form 990 or 990-EZ or to provide any additional information. ��. ''
® Attach to Form 990 or 990-EZ. ,,
Internal Revenue Service 'r z�fi �ti3t': ..
Name of the organization CARMEL FOUNTAIN SQUARE COMMITTEE Employer identification number
C.F.S.C. , INC. 141-2277254
FORH 990-EZ, PART I, LINE 1.6 - OTH$R EXPENSES
DESCRIPTIOAT APIP NT
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EXPENSES
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ADVERTISING AND PROMOTION $ 1, 061
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OFFICE EXPENSES $ 295
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INSURANCE $ 1, 068
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PERFORMER FEES $ 25, 500
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TOTAL $ 27, 924
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FORM 990-EZ, PART III - PRIMARY EXEMPT PURPOSE
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TO PROVIDE A FAMILY CONCERT SERIES AT THE GAZEBO THAT ENCOURAGES COMMODITY
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VITALITY BY PROVIDING I A FREE VENUE FOR FAMILIES TO ENJOY 1.ARTS I AND CULTURE
.-IN OUR..LOCAL COMMUNITY.
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For Paperwork Reduction Act Notice,see the Instructions for Form 990 or 990-EZ. Schedule O(Form 990 or 990-EZ)(2011)
DAA
E007 Carmel Fountain Square Committee 3/5/2012 9:47 AM
41-2277254 Federal Statements
FYE: 12/31/2011
Schedule A. Part 11, Lime 1(e)
Description Amount
OTHER $ 26, 125
TOTAL $ 26, 125
EXHIBIT F
List ®f current Board ®f Directors
Carmel Fountain Square Committee
2012 Officers and Board of Directors
Ramona Hancock, President
Mark Stults, 'treasurer
Jennie Butler, Secretary
Candy Martin
Julia Butler
Bill Fecht
Shelley Rapp
Sharon Kibbe
Melanie Lentz
Michelle Krcmery
Election of Officers and Directors occurred 813112011
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carmel Fountain Square Committee
IN SUM OF $
P. O. Box 4155
Carmel, IN 46032
$2,500.00
ON ACCOUNT OF APPROPRIATION FOR
Support For The Arts
PO#/Dept. INVOICE NO. I ACCT#/-rITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
504 I Agreement I 43-551.01 $2,500.00
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
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 $2,500.00
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