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214913 11/28/2012 CITY OF CARMEL, INDIANA VENDOR: 358997 Page 1 of 1 ONE CIVIC SQUARE INTERNATIONAL TALENT ACADEMY CARMEL, INDIANA 46032 1153 AQUEDUCT WAY CHECK AMOUNT: $15,000.00 INDIANAPOLIS IN 46280 CHECK NUMBER: 214913 CHECK DATE: 11/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 504 4355101 2012 15, 000 . 00 2012 SUPPORT A��1tiC1Gk5l��A R, a ARTS GRANT PROGR AM AGREEMENT This Grant Agreement (herein referred to as "Agreement") entered into by and between The City of'Carmel (the City) and1ltQ►'t�ti�i�/tack�Tl�.tl �, AC�the Grantee), is executed pursuant to the terms and conditions set forth herein. In consideration of those mutual undertakings and covenants, the parties agree as follows: 1. That on behalf of Grantee, a not-for-profit corporation, I, T�-t yC"Ic-, Koi,17PJ-t')v4z— , an authorized representative of Grantee, am applying for a City of Carmel ("Grantor") Arts Grant. 2. Purpose of this Grant Agreement1. The pur e of his Agreement is to enable the City to award a grant o , ' Uo-11a�rs�an Cents ($XXX XXX,XXX) to the Grantee for the eligible costs of the project (the "Project") or services as described in Exhibits A and E of this Agreement. The funds shall be used exclusively in accordance with the provisions contained in this Agreement. I 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 G,-ant 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 (113) 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 S. 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. q. 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 Gi-ant 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. 7"1. Employment Eligibility Verification. The Grantee affirms under the penalties of perjury that he/she/it does not knowingly employ an unauthorized alien. 'File 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 22-5-1-7.3. 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. I2. 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: 'Grantee") By: Printed Name of Officer: itle: � `� � �' Date: 7//U CITY OF CARMEL ("Grantor") By: James Brainard, Mayor Date: it Z A TEST: I 1 Date: `t Z II Nou have all question concerning the City ofCarmel's 2012 Arts Giant Program,gruu writing,guidelines or application nrueriaIs,contact: Shaaon Kibbe,City of Carmel,One Civic Square,Camel,IN 46032.Phone:317-571-248 3,ski bbe((—t)carmeI.in.ilov. 4 E%HINT A T�J INTERNATIONAL TALENT ACADEMY Performing Arts Schooffor Young Chiffren and gheir rParents 0 �F,\'T AcP April 12, 2012 Mayor Jim Brainard International Talent Academy Carmel Arts Advisory Committee 1153 Aqueduct Way City Hall, Third floor Indianapolis, IN 46250 One Civic Squire Carmel, IN 46032 Dear Mayor Brainard and Carmel Arts Advisory Committee: I am writing on behalf of the International Talent Academy (ITA), a 501 (c) (3) non-profit organization. We are dedicated to performing arts education of young children and their parents through uniquely designed international programs with emphasis on early brain development. Enclosed, please find our mission statement and a description of the organization, a 2011 annual report, a copy of the IRS letter confirming our non-profit status, 2012 budget and a letter requesting funds specifically for our organizational and teaching development. ITA respectfully requests $25,000.00 in support of the organization's growth and development. Thank you and the Carmel Arts Advisory Committee for your consideration of this good faith request from the International Talent Academy. If you require any further information, I would be happy to provide it. �f Sincerely, � Tatyana Komarova, Executive Director Board of Directors of the International "Talent Academy Tel/Fax(317)815-9381 E-mail:Tatyana( Internationaltalentaeademy.org www.lnternationalTalentAcademy.org ITA is a 501 (e)(3) non-profit organization.Tax ID#20-4369460. s The international Talent Academy (ITA) is a non-profit educational organization that was established in Carmel, Indiana in 2006 by its Executive Director and founder, Tatyana Komarova. ITA mission: to promote awareness of early brain development and provide advanced learning opportunities to young children and their parents through internationally acclaimed programs in music, art, theater, dance and liberal arts, all in ONE location. ITA is dedicated to elevating performing arts and early childhood education to world-class standards, and helping children to discover their talents and reach their fullest potential. As 'I part of our scholarship program, from 2007 to 2012 we supported: • 4 students to perform at Carnegie Hall as winners of the World Piano Competition in Cincinnati. • 1 student to compete at the Rotary International Children's Music Competition in Moscow, Russia. • Youth ballroom dance Couple for a two month intensive international training program in Ukraine. We awarded 8 full and 10 half scholarships to the Orchard Park Elementary School students to attend our "Lights, Camera, Acting"SLllllmer Calllp Ill 2010. • Many piano students have earned awards by performing at local events for a variety of organizations. • In 2012 we plan to run 5 summer camps for children ages 3-12. The camps would include 25 full and half scholarships for underprivileged children. We greatly appreciate the grant 17A received last yeas-front the 4CUC, and would like to report what was accomplished with its help during the last year: ITA 2011 Report: • 22 different performing and liberal art programs for children and adults have been running at the Carmel Monon Community Center, CMC Office Center, Chyten Educational Services, Primrose schools, and private piano studios during the year of 201 I. • 434 students went through the ITA programs in 2011. • 5 new teachers have been trained and hired to run additional programs. • New materials and equipment was bought to support the programs. • New theater program was developed for children with disabilities. • ITA piano Students had individual and group performances at local retirement communities and schools. • ITA Ballroom dance and piano students participated at the Opening of the Tarkington Theater and other community events such as CarnlelFest, Carmel Arts Festival, Young Performers Showcase and other non-profit organizations' fundraisers. • To support local art organizations' fundraisers, ITA has provided 20 gift certificates for various lessons and performances. Tel/Fax(317)515-9381 E-mails Tatyana((i'Internationaltalentacademy.org www.InternationalTalentAcademy.org ITA is a 501 (c)(3)non-profit oreanization.Tax ID#20-4369460. 3 Current programs include: Early Development and Liberal Arts Programs — for children ages 3-10 L Piano Adventures 2. Music for Little Mozarts: Level 1 and 2. 3. Green Theater Improv 4. Stage Adventures 5. Etiquette for Little Ones 6. Learning Through Play (Train the Brain) 7. Puppet Play 8. Fun Kingdom Summer Camp Talent Development Programs — for children ages 3-17 9. Etiquette Kingdom 10. Latin Dance 11. Lights, camera, acting 12. Musical Math 13. American Girls 14. Stage Acting 15. Musical Theater 16. Show Dance Adoptive programs (ages 8-25) 17. Come Act with Me! Parents' School 18. Dancing as the Stars: beginner and intermediate classes 19. Stage Acting Workshop 20. Can you Improvise'? 21. Early Brain Development 101 22. Positive Parenting 23. Individual consultations for parents: How to challenge and motivate your child'? Our Goals for 2012 are to: • Solidify public awareness of the ITA's mission. • Open more programs at the Monon Center and other locations, including local preschools. • Design and execute programs and summer camps for underprivileged children in the Carmel area, focusing on Orchard Park elementary school children and others in need. • Expand course offerings by purchasing additional program equipment. • Hire and train additional teachers for music, drama, etiquette and `train the brain' programs. • Continue promoting young students and provide scholarships. • Participate in the Carmel community and Arts and Design District events. • Sponsor fundraising events at local schools and non-profit organizations. • Establish connections with other educational organizations nationally. • Set up a program For higher training for teachers and administration. • Develop new marketing and financial strategies for ITA. • Explore additional sponsors and grant opportunities. • Recruit more Board members and volunteers. • Develop new Board strategy and training. Tel/Fax(317)415-9381 E-mail:Tmyana@HnwmadomhOemacademy.org www.InternationalT<tlentAcademy.org ITA is a 501 (c)(3)non-profit organization.Tax ID#20-4369460. 4 We respectfully request your financial assistance: $15,000.00—Current Program Operations/Continued Markeiing/Hiring and training new teachers $5,000.00—New Program Development (and purchase of necessary materials). $3,000.00 - New summer camp programs and scholarships for underprivileged children. $21000.00— Facility rent, lease of 2 pianos, and other necessary technology equipment. TOTAL: $2 ,000.00 Your support is greatly appreciated! Sincerely, Tatyana Komarova, Executive Director Board of Directors International Talent Academy Tel/Fax(317)315-9381 E-mail:TatyanaC(�>Internationattalentacademy.org www.InternationalTalentAcademy.org ITA is a 501 (c)(3)non-profit organization.Tax ID#20-4369460. E%IiIBI'I' B International Talent Academy 2012 Ordinary Income/Expense Budget Income Contributed support Individual/business contribution $ 800 Split-interest agreement contribution $ 400 Local government grants $ 25,000 Total -Contributed support $ 26,200 ,r t Earned revenues Program Service Fees $ 32,000 Interest on Savings& Investments $ 75 Total-Earned revenues $ 32,075 Special events Fundraiser 2012 $ 7,500 Total-Special events $ 7,500 Total Income $ 65,775 Expense Fundraiser Fundraiser 2012 $ 4,500 Total Fundraiser $ 4,500 Grant&contract expense Grants to other organizations $ 300 Awards&grants to Individuals $ 2,500 Total-Grant&contract expense $ 2,800 Salaries&related expenses Officers&directors salaries $ 25,000 Salaries&wages-other $ 4,000 Fundraising/Marketing Help $ 1,000 Professional fees-Grant writing $ 1,000 Professional fees-Administrative contractor $ 500 Contractual help $ 17,500 Total-Personnel expenses $ 49,000 Non-personnel expenses Equipment $ 500 Supplies $ 500 Donated materials&supplies $ 500 Postage,shipping,delivery $ 200 Phone and Internet $ 1,000 Printing &copying $ 300 Books, Material for Classes $ 300 New Program Development $ 2,500 Total-Non-personnel expenses $ 5,800 Occupancy expenses Rent,parking,other occupancy $ 200 Piano rent $ 800 Total-Occupancy expenses $ 1,000 Travel&meetings expenses Conference,convention,meeting $ 500 Total-Travel &meetings expenses $ 500 Miscellaneous expenses Meals $ 300 Insurance-non-employee $ 425 Membership dues-organization $ 350 Advertising expenses $ 1,000 Misc expenses-Other $ 100 Total-Misc expenses $ 2,175 Total Expense $ 65,775 Net Income $ EXHdBd'T C State of Indiana Office of the Secretary of State CERTIFICATE OF INCORPORATION of IN'TERNA'TIONAL TALENT ACADEMY, INC. IJTODD ROKITA, Secretary of State of Indiana, hereby certify that Articles of Incorporation of the above Non-Profit Domestic Corporation have been presented to me at my office, accompanied by the fees prescribed by law and that the documentation presented conforms to law, as prescribed by the provisions of the Indiana Nonprofit Corporation Act of 1991. NOW,THEREFORE,with this document I certify that said transaction will become effective Wednesday,February 01, 2006. t In Witness Whereof,I have caused to be affixed my signature and the seal of the feN•••e•• ••° State of Indiana, at the City of Indianapolis, �;' __\`II�✓��. '� °.�•® February 1,2006. e K e e e • 0 0 e yy}} a 6(;iw •e 1S•L-� e b TODD ROKITA ° `f`° SECRETARY OF STATE 200602030032312006020336008 r VTCRVq, 1 c ARTICLES OF INCORPORATION T J .YT AA O OF '4<fA INTERNATIONAL TALENT ACADEMY, 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 The name The name of the Corporation is International Talent Academy, Inc. (hereinafter referred to as the "Corporation"). ARTICLE II Purposes The Corporation is a public benefit corporation organized exclusively for the charitable and educational purposes within the meaning of Section 501(c) (3) of the Internal Revenue Code of 1986, as the same may be amended from time to time or the corresponding provisions of any future United States Revenue law. As thus limited, the purpose for which the Corporation is organized is to educate parents about early brain development and the importance of the first years of a child's life, and to exercise their children's mental and physical capabilities so that they may have the opportunity to reach their fullest potential through the educational programs of the Academy, which include performing arts, language arts, gymnastics, arithmetic, computers, and science. ARTICLE III Period of Existence The period during which the Corporation shall continue is perpetual. ARTICLE IV Registered Agent and Registered Office. The name of the Registered Agent is Tatyana Komarova, and the address of the Registered Office at which the Registered Agent may be reached is 1153 Aqueduct way, Indianapolis, IN 46280. ARTICLE V Membership The Corporation shall have no members. ARTICLE VI Directors Section 6.1. Number of Directors. The initial number of Directors is six (6). Hereafter, the number of Directors of the Corporation and their election shall be fixed by the Code of By-Laws of the Corporation, but in no event shall the number be less than three (3). Section 6.2. Names and Post Office Addresses of the Directors. The names and post office addresses of the initial Board of Directors are: Name Number and Street City and State Zip Code Tatyana Komarova 1153 Aqueduct way Indianapolis, IN 46280 Alexander Keddie 2862 Brook Vista Carmel, IN 46032 Irina Gorin 5807 Sedge rass Crossing Carmel, IN 46033 Tamatha A. Stevens 3755 E. 821 Street, Suite 200 Indianapolis, IN 46240 Amy Canute 10121 Oak Ridge Zionsville, IN 46077 Malisa Minetree 11324 Green St. Carmel, IN 46033 Section 6.3. Terms of Directors. Directors of the Corporation shall be elected for such terms as may be fixed by the Code of By-Laws of the Corporation and shall, if the By- Laws shall so provide, be divided into as many groups whose terms of office expire at different times as the By-Laws shall provide; provided, however, that no term of office shall continue longer than five (5) years. Section 6.4. Removal of Directors. Any or all members of the Board of Directors of the Corporation may be removed at any time with or without cause by a vote of the majority of all the members of the Board of Directors held during any meeting of the Board of Directors called expressly for that purpose. ARTICLE VII Incorporator The name and post office - address of the incorporator of the Corporation is Tatyana Komarova, 1153 Aqueduct way, Indianapolis, IN 46280. 2 ARTICLE VIII Provisions for the Regulation and Conduct of the Affairs of the Corporation Section 8.1. Powers. To carry out the purposes set forth above, the Corporation shall have the powers enumerated in the Indiana Nonprofit Corporation Act of 1991, as the same may be amended from time to time; provided, however, that notwithstanding any other provision of these Articles or any provision of said Act or any other law, the Corporation shall not in any manner or to any extent participate in, or intervene in (including the publishing or distribution of statements), any political campaign on behalf of any candidate for public office; nor shall a substantial part of its activities consist of carrying on propaganda or otherwise attempting to influence legislation; nor shall it carry on any other activities not permitted to be carried on by a corporation exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code of 1986 (or the corresponding provision of any future United States revenue law) or by a corporation, contributions to which are deductible under Section 170(c)(2) of the Internal Revenue Code of 1986 (or the corresponding provision of any future United Stated revenue law). Section 8.2. Restriction Upon Inurement of Net Earnings. No part of the net earnings of the Corporation shall inure to the benefit of, or be distributed to, its members, directors, officers, or other private individuals, except that the Corporation shall be authorized and empowered to pay reasonable compensation for services rendered and to make payments and distributions in furtherance of the purposes set forth in Article II hereof. Section 8.3. Restriction Upon Acceptance of Gifts. No gifts or other contributions to the Corporation shall be accepted by the Corporation if the use or expenditure of such gift or other contribution is subject to any condition which is inconsistent with the purposes of the Corporation as stated herein. Section 8.4. Dissolution. Upon dissolution, the net assets of the Corporation shall be transferred to such nonprofit corporation or corporations which are in existence at such time, and which are organized at such time for purposes substantially the same as those of the Corporation, and which qualify at such time as exempt organizations under Section 501(c)(3) of the Internal Revenue Code of 1986 (or the corresponding provisions of any h e United States revenue law), as the Board of Directors of the Corporation may determine. Section 8.5. Distribution of Income. The Corporation shall distribute its income for each taxable year at such time and in such manner as not to become subject to the tax on undistributed income imposed by Section 4942 of the Internal Revenue Code of 1986 (or the corresponding provision of any future United States revenue law). 3 Section 8.6. Prohibited Transactions. If at any time it is determined by the Internal Revenue Service that the Corporation is determined to be a private foundation within the meaning of Section 509(a) of the Internal Revenue Code of 1986 (or the corresponding provision of any future United States revenue law), it shall not, for so long as it continues to be a private foundation within such meaning, engage in any of the following transactions or do any of the following acts: 1) Engage in any act of self-dealing as defined in Section 4941 (d) of the Internal Revenue Code of 1986 (or the corresponding provision of any future United States revenue law); 2) Retain any excess business holdings as defined in Section 4943(c) of the Internal Revenue Code of 1986 (or the corresponding provision of any future United States revenue law); 3) Make any investments in such manner as to subject it to tax under Section 4944 of the Internal Revenue Code of 1986 (or the corresponding provision of any future United States revenue law); 4) Make any taxable expenditures as defined in Section 4945(d) of the Internal Revenue Code of 1986 (or the corresponding provision of any 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. Section 8.8. Indemnification of Directors, Officers and Employ. The Corporation shall indemnify any individual made a party to any action, suit or proceeding by reason of 4 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: (1) had reasonable cause to believe the individual's conduct was lawful; or (ii) had no reasonable cause to believe the individual's conduct was unlawful. The terms used in this Article VIII shall have the same meaning as set forth in IC 23-17 et seq. Nothing contained in this Section shall limit or preclude the ability of the Corporation to otherwise indemnify or to advance expenses to any director, officer, employee or agent. The rights of indemnification, reimbursement and advance payments set forth above shall not be deemed exclusive of any other rights to which such individual may be entitled apart from the provisions of this Article, and shall inure to the benefit of the heirs and legal representatives of such individual. This section shall be construed in a manner consistent with the proscriptions of these Articles against the Corporation's use or application of its funds for private benefits. Section 8.9. Code of By-Laws. The Board of Directors of the Corporation shall have the power to make, alter, amend or repeal a Code of By-Laws providing for the internal regulation and conduct of the affairs of the Corporation, provided that a number of Directors equal to a majority of the Board of Directors votes affirmatively for such action. Section 8.10. Amendment. These Articles may be amended by the affirmative vote of a majority of the Directors, provided that a number of Directors equal to a majority of the Board of Directors votes affirmatively for such action. 5 IN WITNESS WHEREOF, the undersigned does hereby execute these Articles of Incorporation as of this 25th day of January, 2006. Tatyana Komarova, Incorporator 6 EXFIIBIT I) INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY P. O. BOX 2508 CINCINNATI, OA 45201 Employer Identification Number: Date: SP ��Q� 20-4369460 DLN: 17053167046006 INTERNATIONAL TALENT ACADEMY.:INC Contact Person: 1153 AQUEDUCT WAY DONNA ELLIOT-MOORE ID# 50304 INDIANAPOLIS, IN 46280 Contact Telephone Number: j (877) -829-5500 Account ing. Period Ending: December. .31 Public Charity Status: 1 170 (b) (1) (A).(vi) Form 990 Required: i Yes Effective Date of Exemption: February 1, 2006 Contribution Deductibility: I Yes t Advance..:Ruling Ending Date: December _31-, .2010 _ 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 taxydeductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your permanent records. Organizations exempt under section 501(c) (3) of the Code are further classified as either public charities or private foundations. During your advance ruling period, you will be treated as a public charity. Your_ advance.:ruling_period begins with the effective date of your exemption. and. ends .with ,advan-ce ruling ending date shown in the heading of the letter. Shortly before the end of your advance ruling period, we will send you Form 87341, Support Schedule for Advance Ruling Period. You will have 90 days after the 'end of your advance ruling period to return the completed form. We will .then! notify you, in writing, about your public charity status. Please see enclosed Information for Exempt Organizations Under Section 501(c) (3) for some helpful information about your responsibilities as an exempt organization. i Letter 1045 (DO/CG) i EXIIIBI'f' E 4:12 PM International Talent Academy 01/09/12 Profit & LOSS Accrual Basis January through December 2011 Jan-Dec 11 Ordinary Income/Expense Income 4•Contributed support 4010-Indiv/business contribution 883.00 4110-Donated pro services-GAAP 1,650.00 4310-Split-interest agreement contrl 358.08 4540-Local government grants 15,000.00 Total 4-Contributed support 17,891.08 5-Earned revenues 5180•Program service fees 31,449.76 5310-Interest-savings/short-term inv 65.59 Total 5- Earned revenues 31,515.35 Total Income 49,406.43 Expense 7100-Fundraiser 7103-Fundraiser 2012 597.47 Total 7100-Fundraiser 597,47 7200-Salaries&related expenses 7210•Officers&directors salaries 27,680.00 7220-Salaries&wages-other 3,867.00 Total 7200-Salaries&related expenses 31,547.00 7500-Other personnel expenses 7520-Accounting fees 1,650.00 7550-Contracted Teachers 17,545.43 Total 7500-Other personnel expenses 19,195.43 8100-Non-personnel expenses 8110-Office Supplies 477.11 8130-Telephone&telecommunications 1,041.08 8170-Printing&copying 150.94 8180-Books and Classes material 310.50 Total 8100-Non-personnel expenses 1,979.63 8200.Occupancy expenses 8210-Rent,parking,other occupancy 8211 - Piano rental 754.00 Total 8210-Rent,parking,other occupancy 754.00 Total$200.Occupancy expenses 754.00 8500•Misc expenses 8505-Meals 302.32 8520•Insurance-non-employee 425.00 8530•Membership dues-organization 340.00 8540-Staff development 99.00 8570-Advertising expenses 552.00 8590-Other expenses 233.42 8500•Misc expenses-Other 53.31 Total 8500•Misc expenses 2,005.05 8600-Business expenses 8660-Fines, penalties,Judgements 4.00 8661 •Bank fees 24.00 8670-Organizational(corp)expenses 7.14 Total 8600-Business expenses 35.14 Total Expense 56,113.72 Net Ordinary Income -6,707.29 Net Income -6,707.29 Paqe 1 4:12 PM International Talent Academy 01/09/12 Profit & Loss Accrual Basis January through December 2011 Jan-Dec 11 Jan-Dec 10 %Change Ordinary Income/Expense Income 4•Contributed support 4010• Indiv/business contribution 883.00 300.00 194.3% 4110•Donated pro services-GAAP 1,650.00 1,725.00 -4.4% 4130•Gifts in kind-goods 0.00 1,425.00 -10011% 4310-Split-interest agreement contra 358.08 456.44 -21.6% 4540•Local government grants 15,000.00 15,000.00 0.0% Total 4•Contributed support 17,891.08 18,906.44 -5.4% 5•Earned revenues 5150-Program-related sales-other 0.00 100.00 -100.0% 5180•Program service fees 31,449.76 34,255.00 -8.2% 5310•Interest-savings/short-term Inv 65.59 377.98 -82.7% Total 5- Earned revenues 31,515.35 34,732.98 -9.3% 5800•Special events 5802•Fundraiser 2010 5802.1 Ticket Sales 0.00 4,830.00 -100.0% 5802.2 Donations 0.00 680.00 -100.0% 5803.3-Silent Auction 0.00 4,465.00 -100.0% Total 5802• Fundraiser 2010 0.00 9,975.00 -100.0% Total 5800•Special events 0.00 9,975.00 -100.0% Total Income 49,406.43 63,614.42 -22.3% Expense 7000-Grant&contract expense 7040-Awards&grants-individuals 0.00 1,775.00 -100.0% Total 7000•Grant&contract expense 0,00 1,775.00 -100.0% 7100•Fundraiser 7102•Fundralser 2010 0.00 5,347.32 -100.0% 7103•Fundraiser 2012 597.47 0.00 100.0% Total 7100•Fundraiser 597.47 5,347.32 -88.8% 7200-Salaries&related expenses 7210•Officers&directors salaries 27,680.00 13,640.00 102.9% 7220•Salaries&wages-other 3,867.00 6,909.00 -44.0% Total 7200•Salaries&related expenses 31,547.00 20,549.00 53.5% 7500•Other personnel expenses 7510•Fundralsing fees 0.00 3,553.17 -100.0% 7520-Accounting fees 1,650.00 1,725.00 -4.4% 7540•Professional fees-other 7541 •Grant writing 0.00 106.66 -100.0% 7542•Executive Assistant 0.00 1,663.26 -100.0% Total 7540•Professional fees-other 0.00 1,769.92 -100.0% 7550-Contracted Teachers 17,545.43 14,618.91 20.0% Total 7500•Other personnel expenses 19,195.43 21,667.00 -11.4% 8100•Non-personnel expenses 8110•Office Supplies 477.11 1,056.94 -54,9% 8130•Telephone&telecommunications 1,041.08 779.79 33.5% 8140 Postage,shipping,delivery 0.00 237.60 -100,0% 8170 Printing&copying 150.94 248.72 -39.3% 8180•Books and Classes material 310.50 303.68 2.3% Total 8100•Non-personnel expenses 1,979.63 2,626.73 -24.6% 8200-Occupancy expenses 8210•Rent,parking,other occupancy 8211 •Piano rental 754.00 254.00 196.9% 8210-Rent,parking,other occupancy-Other 0.00 1,490.00 -100.0% Total 8210•Rent,parking,other occupancy 754.00 1,744.00 -56.8% Total 8200-Occupancy expenses 754.00 1,744.00 -56.8% Paae 1 4:12 PM International Talent Academy 01/09/12 Profit & Loss Accrual Basis January through December 2011 Jan-Dec 11 Jan-Dec 10 %Change 8500-Misc expenses 8505-Meals 302.32 233.67 29.4% 8520•Insurance-non-employee 425,00 350.00 21.4% 8530•Membership dues-organization 340.00 380.00 -10.5% 8540•Staff development 99.00 389.44 -74.6% 8560-Outside computer services 0.00 216.97 -100.0% 8570•Advertising expenses 8571 -Advertising/Marketing Supplies 0.00 292.98 -100.0% 8570-Advertising expenses-Other 552.00 1,494.37 -63.1% Total 8570-Advertising expenses 552.00 1,787.35 -69.1% 8590-Other expenses 233.42 0.00 100.0% 8500-Misc expenses-Other 53.31 84.95 -37.3% Total 8500-Misc expenses 2,005.05 3,442,38 -41.8% 8600•Business expenses 8660-Fines,penalties,judgements 4.00 0.00 100.0% 8661 -Bank fees 24.00 0.05 47,900.0% 8670-Organizational(corp)expenses 7.14 7.14 0.0% Total 8600• Business expenses 35.14 7.19 388.7% Total Expense 56,113.72 57,158.62 -1.8% Net Ordinary Income -6,707.29 6,455.80 -203.9% Net Income -6,707.29 6,455.80 -203.9% Pace 2 3:41 PM International Talent Academy 01/09/12 Balance Sheet Accrual Basis As of December 31,2011 Dec 31, 11 Dec 31,10 %Change ASSETS Current Assets Checking/Savings Money Market Business-Amazon 113.08 100.00 13.1% Operating-Bank of Indianapoli 2,709.15 0.00 100.0% Operating Account-First March 0.00 15,540.67 -100.0% Savings-Bank of Indianapolis 22,034.05 0.00 100.0% Scholarship Account 589.77 589.77 0.0% Total Checking/Savings 25,446.05 16,230.44 56.8% Other Current Assets 1580-Investments-other 5,311.73 21,234.63 -75.0% Total Other Current Assets 5,311.73 21,234.63 -75.0% Total Current Assets 30,757.78 37,465.07 -17.9% TOTAL ASSETS 30,757.78 37,465.07 -17.9% LIABILITIES&EQUITY Equity 3001 -Opening Bal Equity 870.50 870.50 0.0% 3010• Unrestrict(retained earnings) 36,594.57 30,138.77 21.4% Net Income -6,707:29 6,455.80 -203.9% Total Equity 30,757.78 37,465.07 -17.9% TOTAL LIABILITIES&EQUITY 30,757.78 37,465.07 -17.9% Paae 1 IRS a-file Signature Authorization OMB No.1545-1878 Form 8879-EO for an Exempt Organization For calendar year 2010,or fiscal year beginning 2010,and ending 20 IN 14 Department of the Treasury ® Do not send to the IRS.Keep for your records. Zulu Internal Revenue Service See instructions. Name of exempt organization Employer identification number INTERNATIONAL TALENT ACADEMY INC 20-4369460 Name and title of officer TATYANA KOMAROVA EXECUTIVE DIRECTOR Part I Type of Return and Return Information (Whole Dollars Only) Check the box for the return for which you are using this Form 8879-EO and enter the applicable amount,if any,from the return.If you check the box on line la,2a,3a,4a,or 5a,below,and the amount on that line for the return being filed with this form was blank,then leave line 1b,2b,3b,4b,or 5b, whichever is applicable,blank(do not enter-0-).But,if you entered-0-on the return,then enter-0-on the applicable line below.Do not complete more than 1 line in Part I. fa Form 990 check here ®Q b Total revenue,if any(Form 990,Part VIII,column(A),line 12)..................... 1b 2a Form 990-EZ check here ®® b Total revenue,if any(Form 990-EZ,line 9) .......................................... 2b 63614 3a Form 1120-POL check here ® 0 b Total tax(Form 1120-POL,line 22) ................. 3b 4a Form 99D-PF check here ®E] b Tax based on investment income(Form 990-PF,Part VI,line 5) .. 4b 5a Form 8868 check here ®0 b Balance Due(Form 8868,Part I,line 3c or Part 11,line 8c) ........................ 5b Part II 1 Declaration and Signature Authorization of Officer Under penalties of perjury,I declare that I am an officer of the above organization and that I have examined a copy of the organization's 2010 electronic return and accompanying schedules and statements and to the best of my knowledge and belief,they are true,correct,and complete.I further declare that the amount in Part I above Is the amount shown on the copy of the organization's electronic return.I consent to allow my intermediate service provider,transmitter,or electronic return originator(ERO)to send the organization's return to the IRS and to receive from the IRS (a)an acknowledgement of receipt or reason for rejection of the transmission,(b)the reason for any delay in processing the return or refund,and(c) the date of any refund.If applicable, I authorize the U.S.Treasury and its designated Financial Agent to initiate an electronic funds withdrawal(direct debit)entry to the financial institution account indicated in the tax preparation software for payment of the organization's federal taxes owed on this return,and the financial institution to debit the entry to this account.To revoke a payment,I must contact the U.S.Treasury Financial Agent at 1.888.353.4537 no later than 2 business days prior to the payment(settlement)date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment.I have selected a personal identification number(PIN)as my signature for the organization's electronic return and,if applicable,the organization's consent to electronic funds withdrawal. Officer's PIN:check one box only 1 authorize to enter my PIN ERO firm name Enter five numbers,but do not enter all zeros as my signature on the organization's tax year 2010 electronically filed return.If I have indicated within this return that a copy of the return is being filed with a state agency(ies)regulating charities as part of the IRS Fed/State program,I also authorize the aforementioned ERO to enter my PIN on the return's disclosure consent screen. ®As an officer of the organization,I will enter my PIN as my signature on the organization's tax year 2010 electronically filed return.If I have indicated within this return that a copy of the return is being filed with a state agency(ies)regulating charities as part of the IRS Fed/State program,I will enter m N on tgerfeturn's disclosure consent screen. Officer's signature J Date to- Part III I Certification and Authentication ERO's EFIN/PIN.Enter your six-digit electronic filing identification number(EFIN)followed by your five-digit self-selected PIN. 35548.507451 do not enter all zeros I certify that the above numeric entry is my PIN,which is my signature on the 2010 electronically filed return for the organization indicated above.I confirm that I am submitting this return in accordance with the requirements of Pub.4163,Modernized a-File(MeF)Information for Authorized IRS e-file Providers for Business Returns. ERO's signature ® Date ERO Must Retain This Form -See Instructions Do Not Submit This Form To the IRS Unless Requested To Do So LHA For Paperwork Reduction Act Notice,see instructions. Form 8879-EO(2010) 023051 12-27-10 15 01"1C1 1 AQ 71Z,7007 o0nn0rC7A r.1 on1 n nAnA1 TTTTriT�7T]1TTnWhT. MAT.MJI'll Arl21nrm QQnnlr-Al Short Form OMB No.1545-1150 Return of Organization Exempt From Income Tax ,� Form 990-EZ Under section 501(c),527,or 4947(a)(1)of the Internal Revenue Code(except black lung benefit trust or oginte foundation) I*Sponsoring organizations of donor advised funds, an zations that operate one or more hospital facilities,and certain controlling Department of the Treasury organizations as deflned In section 512(bX13)must file Form 900.All other organizations with gross receipts less than$200,000 and total Open to'P ubllc Internal Revenue Service as eta les then$500 000 at t e Od of e e r ma Us thl f rm. Theo anization ma �1ave>go use a�o o tRfs r6 ur�i o s�trsY safe re ortin requirements. Inspection A For the 2010 calendar year,or tax year beginning and ending B pp le; C Name of organization D Employer identification number Address change Name change INTERNATIONAL TALENT ACADEMY INC 20-4369460 Initial return Number and street(or P.O.box,if mail is not delivered to street address) Room/suite E Telephone number =Terminated 1153 AQUEDUCT WAY 317-815-9381 =Amended return City or town,state or country,and ZIP+4 F Group Exemption [=IAPPIlcation pending- INDIANAPOLIS IN 46280 Number G Accounting Method: ® Cash F1 Accrual Other(specify)® H Check 0- f the organization is not I Website: ® WWW.INTERNATI ONALTALENTACADEMY.ORG required to attach Schedule B J Tax-exempt status check only one — ® 501(c)(3)0 501(c) )4(insert no. 0 4947(a)(1)or 0 527 Form 990 990-EZ,or 990-PF. K Check® [:11 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,6c,and 7b,to line 9 to determine gross receipts.If gross receipts are$200,000 or more,or if total assets(Part 11, line 25 column B below)are$500,000 or more file Form 990 instead of Form 990-EZ ................................................... 0, $ 63 , 614 . part:l Revenue, Expenses, and Changes in Net Assets or Fund Balances(see the instructions for Part I.) Check if the organization used Schedule 0 to respond to any question in this Part I .................................................................................... I Contributions,gifts,grants,and similar amounts received ................................................................................. 1 18 , 906 . 2 Program service revenue including government fees and contracts .............................................I....................... 2 44, 330 . 9 Membership dues and assessments............................................................................................................... 3 4 Investment income .................................................................................S.EE...S.CHEDULE...0......... 4 378 . 5a Gross amount from sale of assets other than inventory,,.,,,., 5a b Less:cost or other basis and sales expenses .................... 5b c Gain or(loss)from sale of assets other than inventory(Subtract line 5b from line 5a) ............................................. 5c 6 Gaming and fundraising events m a Gross income from gaming(attach Schedule G if greater than $15,000) a b Gross income from fundraising events(not including$ of contributions from fundraising events reported on line 1)(attach Schedule G if the sum of such gross income and contributions exceeds$15,000) ........... 6b c Less:direct expenses from gaming and fundraising events 6c d Net income or(loss)from gaming and fundraising events(add lines 6a and 6b and subtract line 6c) ........................... 6d 7a Gross sales of inventory,less returns and allowances ........ 7a b Less:cost of goods sold .............................................................................. 7b c Gross profit or(loss)from sales of inventory(Subtract-line 7b from line 7a) ......................................................... 7c 8 Other revenue(describe in Schedule 0) ......... 8 ................................................................................................ 9 Total revenue.Add lines 1 2 3 4 5c 6d 7c and 8 ................................................................................. 9 63 , 614 . 10 Grants and similar amounts paid(list in Schedule 0).......................................UEI...5CHEOW.LE... .,.,,,.,.. 10 1 775 . 11 Benefits paid to or for members..................................................................................................................... 11 m 12 Salaries,other compensation,and employee benefits ....................................................................................... 12 13 640 . c 13 Professional fees and other payments to independent contractors ......................................... 13 28 793 . L� 14 Occupancy,rent,utilities,and maintenance. ......... ..... .... ......... ............... 14 1 744. u7 16 Printing,publications,postage,and shipping ......... 15 487. ............................................................. 16 Other expenses(describe in Schedule 0) ...................................................$EE.,.,�.CHEDiJLE,..O,.,.,..,. 16 10 720 . 17 Total expenses.Add lines 10 through 16 ...... ......... ......... ............... ® 17 57 159 . 18 Excess or(deficit)for the year(Subtract line 17 from line 9) .............................................................................. 18 6 455. m 19 Net assets or fund balances at beginning of year(from line 27,column(A)) (must agree with end-of-year figure reported on prior year's return) ...................................... 19 31 366 . d 20 Other changes in net assets or fund balances(explain in Schedule 0) ......., Z 20 0 . 21 Net assets or fund balances at end of year.Combine lines 18 throw h 20 21 3 7 8 21 . LHA For Paperwork Reduction Act Notice,see the separate instructions. Form 990-EZ(2010) 032171 02.02-11 1 19061108 757887 99000GS7451 2010 . 04041 INTERNATIONAL TALENT ACADEM 99001G41 Form 8868(Rev,1-2011) Pape 2 • If you are filing for an Additional(Not Automatic)3-Month Extension,complete only Part Ii and check this box Note.Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868, 0 If you are filing for an Automatic 3-Month Extension,complete only Part I on page 1). Part.11 Additional (Not Automatic)3-Month Extension of Time. Only file the original(no copies needed). Type or Name of exempt organization Employer identification number print INTERNATIONAL TALENT ACADEMY INC 20-4369460 File by the extended Number,street,and room or suite no. If a P.O.box,see instructions. due date for 1153 A UEDUCT WAY filing your relum.see City,town or post office,state,and ZIP code.For a foreign address,see instructions. Instructions. INDIANAPOLIS IN 46280 Enter the Return code for the return that this application Is for(file a separate application for each return) .................FO 3 Application Return Application Return Is For Code Is For Code Form 990 01 Form 990-BL 02 Form 1041-A 08 Form 990-EZ 03 1 Form 4720 09 Form 990-PF 04 Form 5227 10 Form 990-T sec.401 a or 408(a)trust 05 Form 6069 11 Form 990-T trust other than above 06 Form 8870 12 STOPI Do not complete Part 11 if You were not already granted an automatic 3-month extension on a previously filed Form 8868 TATYANA KOMAROVA a The books are in the care of ® 1153 AQUEDUCT WAY - INDIANAPOLIS , IN 46280 Telephone No.)o,- 33-7-815—938 1 FAX No. 0 If the organization does not have an office or place of business in the United States,check this box 0 If this Is for a Group Return,enter the organization's four digit Group Exemption Number(GEN) If this is for the whole group,check this box ® D.If it is for part of the group,check this box ® ED and attach a list with the names and EINs of all members the extension is for 4 1 request an additional 3-month extension of time until NOVEMBER 15 , 2011. 5 For calendar year 2 010 ,or other tax year beginning ,and ending 6 If the tax year entered in line 5 is for less than 12 months,check reason: E] Initial return C] Final return 0 Change in accounting period 7 State in detail why you need the extension TAXPAYER IS REQUESTING ADDITIONAL 3-MONTH EXTENSION NEEDED TO COMPILE INFORMATION NECESSARY TO VERIFY RETURN IS CORRECTLY COMPLETED. 8a If this application is for Form 990-BL,990-PF,990-T,4720,or 6069,enter the tentative tax,less any nonrefundable credits.See instructions. Sa 0. b if this application Is for Form 990-PF,990-T,4720,or 6069,enter any refundable credits and estimated tax payments made.Include any prior year overpayment allowed as a credit and any amount paid previously with Form 8868, Bb 0 . c Balance due.Subtract line 8b from line 8a.Include your payment with this form,if required,by using EFTPS Electronic Federal Tax Payment System).See instructions. 8c 0. Signature and Verification Under penalties of perjury,I declare that I have examined this form,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correc a complet ,and th I am authorized to prepare this form. SI nature Title CPA Date 10. Form 8868(Rev.1.2011) 023842 01-24-11 Form 990-EZ 2010 INTERNATIONAL TALENT ACADEMY INC 20-4369460 Page 2 Part II Balance Sheets. (see the instructions for Part II.) 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. *.........._. *.................................................................... 31 , 366 . 22 37 , 821 . 23 Land and buildings ...................... ..... ............. .............................................................. 23 24 Other assets(describe in Schedule 0) .............................................................................. 24 25 Total assets .................................................... 31 , 366 . 25 37 , 821 . 26 Total liabilities(describe in Schedule 0) ........................................................................ 0 . 26 0 . 27 Net assets or fund balances line 27 of column B must a ree with line 21 31 , 366 . 27 37 , 821. Part III' Statement of Program Service Accomplishments (see the instructions for Part III.) Expenses Check if the organization used Schedule 0 to respond to any question in this Part III ...................................... ® (Required for section 501(c)(3)and 501(c)(4) What is the organization's primary exempt purpose7SEE SCHEDULE 0 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,and other relevant information for each program title. for others.) 28 TO PROVIDE PERFORMING ARTS EDUCATION FOR CHILDREN AND ADULTS INCLUDING EARLY DEVELOPMENT PROGRAMS , TALENT DEVELOPMENT AND PARENTS ' ACADEMY. Grants$ If this amount includes foreign grants,check here ................................. 28a 21 , 832. 29 SEE SCHEDULE 0 Grants$ If this amount includes foreign grants,check here ................................. ® F-1 29a 1 , 775. 30 Grants$ If this amount includes foreign grants,check here ................................. 0-= 30a 31 Other program services(describe in Schedule O) ...................................................................................................... Grants If this amount includes foreign grants,check here ................................. 0 31a 32 Total program service expenses add lines 28a through 31a) .............................................................................. 00, 32 23 , 607 . :Part IV: 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 any question in this Part IV ................................................................................. ED (b)Title and average hours (c)Compensation (d)contributions (e)Expense per week devoted to If not aid,enter to employee account and (a)Name and address p ( paid, benefit plans& position -0-.) deterred other allowances comoensation TATYANA KOMAROVA 1153 AQUEDUCT WAY XECUTIVE DIRECTOR INDIANAPOLIS IN 46280 25 . 00 13 , 640 . 0 . 0 . RICH TAYLOR 10621 RUCKLE STREET RESIDENT INDIANAPOLIS IN 46280 5. 00 0 . 0 . 0 . HEATHER JUDY TREASURER 14110 WARBLER WAY N CARMEL IN 46033 5. 00 0 . 0 . 0 . JEANNIE BOOK 12550 SPRINGMILL ROAD BOARD MEMBER CARMEL IN 46032 2 . 00 0 . 0 . 0. BRYAN STEFFEN 1006 E KESSLER BLVD BOARD MEMBER INDIANAPOLIS IN 46220 2 . 00 0 . 0 . 0. 02.02-11 Form 990-EZ(2010) 2 19061108 757887 99000GS7451 2010 . 04041 INTERNATIONAL TALENT ACADEM 99001G41 Form 990-EZ(2010) INTERNATIONAL TALENT ACADEMY INC. 20-4369460 Page 3 Part V I 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 ................................................................................. Yesl 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,"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 35 If the organization had income from business activities,such as those reported on lines 2,6a,and 7a(among others),but not reported on Form 990-T,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?....... ........ 35b N 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 ............................ 37a Enter amount of political expenditures,direct or indirect,as described in the instructions. ® 37a 0 . b Did the organization file Form 1120-POL for this year? ...................... ...... 37b X ..................................................................................... 38a Did the organization borrow from,or make any loans lo,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 ,,,,,,,,,,,„ ,I........................... 38b N/A 39 Section 501(c)(7)organizations.Enter: a Initiation fees and capital contributions included on line 9 ........................................ . . ...... 39a N/A b Gross receipts,included on line 9,for public use of club facilities ......... ........ 39b N/A 40 a Section 501(c)(3)organizations.Enter amount of tax imposed on the organization during the year under: section 4911® 0 . ;section 4912 ® 0 . ;section 4955 ® 0 . 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 ® 0. d Section 501(c)(3)and 501(c)(4)organizations.Enter amount of tax on line 40c reimbursed by the organization ....................................................................................................................® 0 . 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 .............................................................................................................................I 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 ®TATYANA KOMAROVA Telephone no.® 317-815-9381 Locatedat® 1153 AQUEDUCT WAY, INDIANAPOLIS, IN ZIP+4 ® 46280 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 JYesJ 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.? 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 ................................. ................................ ® E-1 and enter the amount of tax-exempt interest received or accrued during the tax year ........................................... . .. j>1 43 I N/A IYOSI No 44a Did the organization maintain any donor advised funds during the year?If'Yes,'Form 990 must be completed instead of Form990-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 c Did the organization receive any payments for indoor tanning services during the year? ......................................... 440 X d If"Yes"to line 44c,has the organization filed a Form 720 to report these payments?ff"No,"provide an explanation inSchedule O ..................................................................................................................................................................... 44d Form 990-EZ(2010) 032173 02-02-11 3 9061108 757887 99000GS7451 2010 . 04041 INTERNATIONAL TALENT ACADEM 99001G41 Form 990-EZ(2010) INTERNATIONAL TALENT ACADEMY INC 20-4369460 Page 4 IYesl No 45 Is any related organization a controlled entity of the organization within the meaning of section 512(b)(13)? ..... 46 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 ...........................................I............................ 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 I .......................................................................................................................................... 46 X Part VI 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 ................................................................................. Yesl No 47 Did the organization engage in lobbying activities?If"Yes,"complete Schedule C,Part II ................................ 47 X 48 Is the organization a school as described In section 170(b)(1)(A)(ii)?If"Yes,"complete Schedule E ,..„..„ ......... .... * ...,,,,,... 48 X 49a Did the organization make any transfers to an exempt non-charltable 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 organization.If there is none enter"None." (b)Title and average hours (c)Compensation (d)contributions (e)Expense (a)Name and address of each employee paid more p er week devoted to to employee account and plans& than$100,000 NONE position deterred other allowances compensation f Total number of other employees paid over$100,000 ................................................ 61 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.' NONE a Name and address of each independent contractor paid more than$100,000 b Type of service c Compensation d Total number of other independent contractors each receiving over$100,000 ...................... 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 E] No under pane es Or perjury,I declare a eve examined s re urn, nc u mg accompany ng e u ea an statements,an o e es oTmy know a gl d e and 6elie1,It Is e, correct and oom lets.Declar her than officer Is based on ell Information of which preparer has any knowledge. // /o I/ Sign ® Signature of officer Date Here TATYANA KOMAROVA, EXECUTIVE DIRECTOR Type or print name and title Print/Type preparer's name Preparer's signature Date Check if PTIN Paid self-employed Preparer Use Only Firm's name ®KSM BUSINESS SERVICES INC. Firm's EIN Firm's address 0-P"0. BOX 4 0 8 5 7 Phone no. ( 317) 580-2000 INDIANAPOLIS IN 46240-0857 Ma the IRS discuss this return with the preparer shown above?See instructions ................................................................................. ® ®Yes 0 No 03-04-11 Form 990-EZ(2010) 4 19061108 757887 99000GS7451 2010 . 04041 INTERNATIONAL TALENT ACADEM 99001G41 SCHEDULE A OMB No.1545-0047 (Form 990 or 890-EZ) Public Charity Status and Public Support Complete if the organization is a section 501(c)(3)organization or a section 0 10 Department of the Treasury 4947(a)(1)nonexempt charitable trust. Open to Public Internal Revenue Service ®Attach to Form 990 or Form 990-EZ. ®See separate instructions. Inspection Name of the organization Employer identification number INTERNATIONAL TALENT ACADEMY INC 1 20-4369460 Part I I 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)(1). 2 A school described in section 170(b)(1xA)(ii).(Attach Schedule E.) 3 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 4 CJ A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii).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 F-1 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 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 331/3% 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 508(a)(2).(Complete Part III.) 100 An organization organized and operated exclusively to test for public safety.See section 509(a)(4). 11 [l 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 0 Type I b 0 Type II c 0 Type III-Functionally integrated d 0 Type III.Other e El 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 II,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(ii)and(!it)below, Yes No the governing body of the supported organization? .......................................................................................... 11 i (ii) A family member of a person described in(!)above?................... (iii) A 35% controlled entity of a person described in 0)or(ii)above?..... .............. ---....................,......................... 11 iii h Provide the following information about the supported organization(s). (iii)Type of iv Is the organization v Did ou notify the (vi)Is the (1)Name of supported (ii)EIN organization ) ( ) y organization in col. (W)Amount of organization (described iz Tines 1 9 n col.(1)listed in your organization in col. (I)organized in the support above or Ion section governing document? (I)of your support? U.S.? (see instructions)) Yes No Yes No Yes No Total LHA For Paperwork Reduction Act Notice,see the Instructions for Schedule A(Form 990 or 990-EZ)2010 Form 990 or 990-EZ. 032021 12-21-10 5 9061108 757887 99000GS7451 2010 . 04041 INTERNATIONAL TALENT ACADEM 99001G41 Schedule A Form 990 or 990-EZ 2010 INTERNATIONAL TALENT ACADEMY INC 20-4369460 Pa e 2 Part Ili 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 a 2010 f Total 1 Gifts,grants,contributions,and membership fees received.(Do not include any"unusual grants.") ...... 1 , 228 . 14 5 7 3 . 18 , 228 . 18 ,900 . 18 , 906 . 71 , 835. 2 Tax revenues levied for the organ. ization'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 ......... 1 , 228 . 14 5 7 3 . 18 , 228 . 18 , 900 18 , 906 . 71 , 35 . 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 Subtraol line 5 from line 4. 1 71 , 835 . Section B. Total Support Calendar year(orfiscal year beginning in)® a 2006 b 2007 c 2008 d 2009 a 2010 Total 7 Amounts from line 4 ..................... 1 , 2286 14, 573 . 18 228 . 18 , 900 . 18 , 906 . 71 , 835. 8 Gross Income from interest, dividends,payments received on securities loans,rents,royalties and income from similar sources 365 . 4 2 3 . 449 . 3 7 8 . 1, 61-5 . 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.) ............ 11 Total support.Add lines 7 through 10 73 , 450 . 12 Gross receipts from related activities,etc.(see instructions) ..................................................................... 1 121 112 , 368 . 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 ....................................................................................................................................... ®0 Section C. Computation of Public Support Percentage 14 Public support percentage for 2010(line 6,column(f)divided by line 11,column(f)).................................... 141 97 . 80 % 15 Public support percentage from 2009 Schedule A,Part II,.Iine 14 ....................................... ....................... 151 97. 72 % 16a 331/3% support test-MO.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 ,,,,,,,,,,,,,,,,,,, ,,,,, ®0 ............................ 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-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 .............................. b 101/6 -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 ........................ 0.Q 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)2010 032022 12-21-10 6 19061108 757887 99000GS7451 2010 . 04041 INTERNATIONAL TALENT ACADEM 99001G41 Schedule A Form 990 or 990-EZ 2010 Page 3 Part III I 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 II.If the organization fails to qualify under the tests listed below,please complete Part II.) Section A. Public Support Calendaryear(or fiscal year beginning in)® a 2006 b 2007 c 2008 d 2009 a 2010 Total 1 Gifts,grants,contributions,and membership fees received.(Do not include any"unusual grants.") 2 Gross receipts from admissions, merchandise sold or services per- formed,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 bus- iness under section 513 I.............. 4 Tax revenues levied for the organ- ization'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 .....••.. 7a Amounts included on lines 1,2,and 3 received from disqualified persons b Amounts Included on lines 2 and 3 recelved from other than disqualified persons that exceed the greater of$5,000 or 1%of the amount on line 13 for the year c Add lines 7a and 7b 8 Public support Subtract One 7c from Une6. Section B. Total Support Calendar year(or fiscal year beginning in)® a 2006 b 2007 c 2008 d 2009 a 2010 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 9,10o,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, checkthis box and stop here ............................................................................ ............. ... Section C. Computation of Public Su ort Percenta e 15 Public support percentage for 2010 Qine 8,column(f)divided byline 13,column(f)), 15 % ........... 16 Public support percentage from 2009 Schedule A,Part 111,line 15 ............................................................ 116 1 % Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2010(line 10c,column(f)divided byline 13,column(f)) 117 1 % 18 Investment income percentage from 2009 Schedule A,Part III,line 17 .............................................. 18 19a 33 1/3% support tests-2010. 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 * 0 .............................. b 33 1/3% 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...... ®0 20 Private foundation.If the organization did not check a box on line 14,19a or 19b check this box and see instructions 032023 12-21-10 Schedule A(Form 990 or 990-EZ)2010 7 9061108 757887 99000GS7451 2010 . 04041 INTERNATIONAL TALENT AMDEM 9901711C41 Schedule 6 Schedule of Contributors OMB No.1545-0047 (Form 990,990-EZ, or 990-PF) ® Attach to Form 990,990-EZ,or 990-PF. Department of the Treasury Internal Revenue Service Name of the organization Employer identification number INTERNATIONAL TALENT ACADEMY INC 20-4369460 Organization type(check one): Filers of: Section: Form 990 or 990-EZ ® 501(c)( 3 )(enter number)organization 0 4947(a)(1)nonexempt charitable trust not treated as a private foundation Q 527 political organization Form 990-PF E-1 501(c)(3)exempt private foundation 0 4947(a)(1)nonexempt charitable trust treated as a private foundation El 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 0 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 anyone contributor.Complete Parts I and II. Special Rules ® 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. 71 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 1, 11,and Ill. 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 and/or 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). LHA For Paperwork Reduction Act Notice,seethe Instructions for Form 990,990-EZ,or 990-PF. Schedule B(Form 990,990-EZ,or 990-PF)(2010) 023451 12-23-10 Schedule B(Form 990,990-EZ,or BBD-PF)(2010) Page I of 1 of Part I Name of organization Employer identification number INTERNATIONAL TALENT ACADEMY INC 20-4369460 Part I Contributors (see instructions) (a) (b) (c) (d) No. Name,address,and ZIP+4 Aggregate contributions Type of contribution 1 CITY OF CARMEL Person Eil Payroll 0 1 CIVIC SQUARE $ 15 , 000 . Noncash 0 (Complete Part II if there CARMEL, IN 46032 is a noncash contribution.) (a) (b) (c) (d) No. Name,address,and ZIP+4 Aggregate contributions Type of contribution Person 0 Payroll $ Noncash (Complete Part II if there is a noncash contribution.) (a) (b) (c) (d) No. Name,address,and ZIP+4 Aggregate contributions Type of contribution Person F7 Payroll 71 $ Noncash 0 (Complete Part II if there is a noncash contribution.) (a) (b) (c) (d) No. Name,address,and ZIP+4 Aggregate contributions Type of contribution Person Payroll $ Noncash Q (Complete Part II if there is a noncash contribution.) (a) (b) (c) (d) No. Name,address,and ZIP+4 Aggregate contributions Type of contribution Person Payroll Q $ Noncash (Complete Part II if there is a noncash contribution.) (a) (b) (c) (d) No. Name,address,and ZIP+4 Aggregate contributions Type of contribution Person Payroll 0 $ Noncash 0 (Complete Part II if there is a noncash contribution.) 023452 12-23-10 Schedule B(Form 990,990-EZ,or 990-PF)(20f0) 9 Af)ti1 1 (1R 79;7RR7 ggnonr,G7Aq1 7111 n . f14n41 TNTRRNATTnNAT, TAT,RNT A('!AflRM 99(1(11(:141 Schedule B(Form 990,990-EZ,or 990-PF)(2010) Page of of Part II Name of organization Employer identification number INTERNATIONAL TALENT ACADEMY INC 20-4369460 Part II Noncash Property (see instructions) (a) (c) No. (b) d FMV(or estimate) ( ) from Description of noncash property given (see instructions) Date received Part 1 (a) (c) No. (b) FMV(or estimate) (d) from Description of noncash property given (see instructions) Date received Part 1 (a) (c) No, (b) FMV(or estimate) (d) from Description of noncash property given (see instructions) Date received Part I (No. (b) FMV(or estimate) (d) from Description of noncash property given (see instructions) Date received Part 1 (a) (c) No. (b) FMV(or estimate) (d) from Description of noncash property given (see instructions) Date received Part 1 (a) (c) No. (b) FMV(or estimate) (d) from Description of noncash property given (see instructions) Date received Part l $ 023453 12-23-10 Schedule a(Form 990,990-EZ,or 990-PF)(2010) 10 1 9nAl 1 nR 7r;7RR7 9Annnr,R74S1 9.ni n . n4n41 TNTFRNATTONAT, TAT,FNT ACADFM 99001641 Schedule B(Form 900,990-EZ,or 990-PF)(20 10) Page of of Part III Name of organization Employer identification number INTERNATIONAL TALENT ACADEMY INC 20-4369460 Part {I Exclusively religious,charitable,etc.,individual contributions to section 501(c)(7),(8),or(10)organizations aggregating more than$1,000 for the year.Complete columns(a)through(e)and the following line entry,For organizations completing Part III,enter the total of exclusively religious,charitable,etc.,contributions of $1.000 or less for the year. Enter this information once.See instructions. $ (a) No. from (b)Purpose of gift (c)Use of gift (d)Description of how gift is held Part I (e)Transfer of gift Transferee's name address and ZIP+4 Relationship of transferor to transferee (a) No. from (b)Purpose of gift (c)Use of gift (d)Description of how gift is held Part I (e)Transfer of gift Transferee's name address and ZIP+4 Relationship of transferor to transferee (a)No. from (b)Purpose of gift (c)Use of gift (d)Description of how gift is held Part I (e)Transfer of gift Transferee's name address and ZIP+4 Relationship of transferor to transferee (a) No. from (b)Purpose of gift (c)Use of gift (d)Description of how gift is held Part I (e)Transfer of gift Transferee's name address and ZIP+4 Relationship of transferor to transferee 023454 12-23-10 Schedule B(Form 990,990-EZ,or 990-PF)(2010) 11 gf1F1 1 OR 7F7RR7 gg(lfl(1f,C74R1 ).ni n - f14f141 TMTF.RM4TT0NAT. TAT,FMT ArAnT?m gg(1f11 r41 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 Department of the Treasury Form 990 or 990-EZ or to provide any additional information. Open to Public Internal Revenue Service ®Attach to Form 990 or 990-EZ. Inspection Name of the organization Employer identification number INTERNATIONAL TALENT ACADEMY INC 20-4369460 FORM 990-EZ, PART I , LINE 4, OTHER INVESTMENT INCOME: DESCRIPTION OF PROPERTY: AMOUNT: INTEREST INCOME 378 • FORM 990-EZ, PART I , LINE 10 , GRANTS AND ALLOCATIONS: ACTIVITY CLASSIFICATION: SCHOLARSHIP GRANTEE RELATIONSHIP: NONE DATE OF GIFT• 03/28/10 AMOUNT GIVEN: 200 . ACTIVITY CLASSIFICATION: SCHOLARSHIP GRANTEE RELATIONSHIP: NONE DATE OF GIFT: 05/_06/10 AMOUNT GIVEN: 150 . ACTIVITY CLASSIFICATION: SCHOLARSHIP GRANTEE RELATIONSHIP: NONE DATE OF GIFT: 12/02/10 AMOUNT GIVEN: 1 , 425 . TOTAL INCLUDED ON FORM 990-EZ, LINE 10 1 ,775 . FORM 990-EZ, PART I , LINE 16 , OTHER EXPENSES : DESCRIPTION OF OTHER EXPENSES: AMOUNT: ADVERTISING/MARKETING SUPPLIES 1 , 787. BOARD INSURANCE 350 . LHA For Paperwork Reduction Act Notice,see the Instructions for Form 990 or 990-EZ. Schedule O(Form 990 or 990-EZ)(2010) 032211 01-24-11 12 1 ongi 1 nA 7G7RR7 ggnnnr..q7dq1 ).ni it . nanA1 TNTR.RTQATTnT\TAT. TAT,FNT ArAnRm ggnn1 r;41_ 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 Department of the Treasury Form 990 or 990-EZ or to provide any additional information. Open to Public Internal Revenue Service ®Attach to Form 990 or 990-EZ. Inspection Name of the organization Employer identification number INTERNATIONAL TALENT ACADEMY INC 20-4369460 MEALS 234. MEMBERSHIP DUES - OTHER ORGANIZATIONS 380 . OTHER EXPENSES 481. PROGRAM SERVICE MATERIAL 304. SUPPLIES 1, 057. TELEPHONE AND TELECOMMUNICATIONS 780 . FUNDRAISER EXPENSES 5, 347 . TOTAL TO FORM 990-EZ LINE 16 10 , 720. FORM 990-EZ PART III PRIMARY EXEMPT PURPOSE - TO PROVIDE AFFORDABLE PERFORMING ARTS EDUCATION. FORM 990-EZ, PART III, LINE 29 , PROGRAM SERVICE ACCOMPLISHMENTS : TO PROVIDE SCHLOARSHIP OPPORTUNITIES FOR ADVANCED MUSIC AND DANCE STUDENTS FOR ADVANCED TRAINING ALONG WITH PARTICIPATION IN LOCAL, NATIONAL, AND INTERNATIONAL MUSIC AND DANCE COMPETITIONS. FORM 990-EZ, PART V, INFORMATION REGARDING PERSONAL BENEFIT CONTRACTS : THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS , DIRECTLY, OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT. THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY, OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. LHA For Paperwork Reduction Act Notice,seethe Instructions for Form 990 or 990-EZ. Schedule 0(Form 990 or 990-EZ)(2010) 032211 01-24-11 13 QnAllna 7;7RR7 9gnnnf.R7451 2010 . 04041 INTERNATIONAL TALENT ACADEM 99001G41 Check if: 0 Change of Address Indiana Department of Revenue Amended Report Indiana Nonprofit Organization's Annual Report [:1 Final Report:Indicate Date For the Calendar Year or Fiscal Year Closed MP-20 Beginning 01/01/2010 and Ending 12/31/2010 MM/DD/YYYY MM/DD/YYYY State Form 51082 (R3/3-10) Due on the 15th day of the 5th month following the end of the tax year. NO FEE REQUIRED. Name of Organization Telephone Number INTERNATIONAL TALENT ACADEMY INC 317-815-9381 Address County Indiana Taxpayer Identification Number 1153 AQUEDUCT WAY City State ZIP Code Federal Identification Number INDIANAPOLIS IN 46280 20-4369460 Printed Name of Person to Contact Contact's Telephone Number ATYANA KOMAROVA 317-815-9381 If you are filing a federal return,attach a completed copy of Form 990,990EZ,or 990PF. Note:If your organization has unrelated business income of more than$1,000 as defined under Section 513 of the Internal Revenue Code,you must also file Form IT-20NP. Current Information 1. Have any changes not previously reported to the Department been made in your governing instruments,(e.g.)articles of incorporation,bylaws, or other instruments of similar importance?If yes,attach a detailed description of changes. NO 2. Indicate number of years your organization has been in continuous existence. 5 3. Attach a schedule,listing the names,titles and addresses of your current officers. SEE STATEMENT 1 4. Briefly describe the purpose or mission of your organization below. TO PROVIDE .AFFORDABLE- PERFORMING ARTS EDUCATION. Email Address: 1 declare under the penalties of perjury that 1 have examined this return,including all attachments,and to the best of my knowledge and belief,it is true,complete,and correct-- +r' EXECUTIVE DIRECTOR Signature oTbTficer or Trustee Title Date la,fvowlof eollicirviAct �J -8I5-y3�J Name of Pe sons)to Contact Daytime Telephone Number Important:Please submit this completed form and/or extension to: Indiana Department of Revenue,Tax Administration P.O.Box 7147 Indianapolis, IN 46207.7147 Telephone:(317)233.4015 Extensions of Time to File The Department recognizes the Internal Revenue Service application for automatic extension of time to file,Form 8868.Please forward a copy of your federal extension,identified with your Nonprofit Taxpayer Identification Number(TID),to the Indiana Department of Revenue, Tax Administration by the original due date to prevent cancellation of your sales tax exemption.Always indicate your Indiana Taxpayer Identification number on your request for an extension of time to file. Reports post marked within thirty(30)days after the federal extension due date,as requested on Federal Form 8868,will be considered as timely filed.A copy of the federal extension must also be attached to the Indiana report.In the event that a federal extension is not needed,a taxpayer may request in writing an Indiana extension of time to file from the:Indiana Department of Revenue,Tax Administration,P.O.Box 7147, Indianapolis,IN 46207.7147,(317)233.4015. If Form NP-20 or extension is not timely filed,the taxpayer will be notified by the Department pursuant to I.C.6.2.5.5-21(d),to file Form NP-20.If within sixty 60 days after receiving such notice the taxpayer does not file Form NP-20,the taxpayer's exemption from sales tax will be canceled. 050981 12-01-10 1019 Form 8868(Rev.1.2011) Page 2 0 If you are filing for an Additional(Not Automatic)3-Month Extension,complete only Part II and check this box Note.Only complete Part II If you have already been granted an automatic 3-month extension on a previously filed Form 8868. ® If you are filing for an Automatic 3-Month Extension complete only Part I(on page 1). Part.11 Additional (Not Automatic) 3-Month Extension of Time. Only file the original(no copies needed). Type or p y Name of exempt organization Employer er identification number print File by the INTERNATIONAL TALENT ACADEMY INC 20-4369460 extended Number,street,and room or suite no. If a P.O.box,see instructions. due date for 115 3 AQUEDUCT WAY filing your return.see City,town or post office, state,and ZIP code.For a foreign address,see instructions. Instructions. INDIANAPOLIS IN 46280 Enter the Return code for the return that this application is for(file a separate application for each return) , Q 3 Application Return Application Return Is For Code Is For Code Form 990 01 Form 990-BL 02 Form 1041-A 08 Form 990-EZ 03 Form 4720 09 Form 990-PF 04 [Form orm 5227 10 Form 990-T sec.401 a or 408(a)trust 05 6069 11 Form 990-T trust other than above 06 orm 8870 12 STOPI Do not complete Part 11 if you were not already granted an automatic 3-month extension on a previously filed Form 8868 TATYANA KOMAROVA D The books are in the care of lo- 1153 AQUEDUCT WAY - INDIANAPOLIS , IN 46280 Telephone No> 317-815-9381 FAX No, © If the organization does not have an office or place of business in the United States,check this box.... ® 0 C If this is for a Group Return,enter the organization's four digit Group Exemption Number(GEN) . If this is for the whole group,check this box ® 0.If it is for part of the group,check this box® 0 and attach a list with the names and EINs of all members the extension is for 4 1 request an additional 3-month extension of time until _NOVEMBER 15 , 2011. 5 For calendar year 2 010 ,or other tax year beginning ,and ending 6 If the tax year entered In line 5 is for less than 12 months,check reason: 0 initial return ED Final return ED Change in accounting period 7 State In detail why you need the extension TAXPAYER IS REQUESTING ADDITIONAL 3-MONTH EXTENSION NEEDED TO COMPILE INFORMATION NECESSARY TO VERIFY RETURN IS CORRECTLY COMPLETED. 8a If this application is for Form 990-BL,990-PF,990-T,4720,or 6069,enter the tentative tax,less any nonrefundable credits.See Instructions, ea 0. b If this application is for Form 990-PF,990-T,4720,or 6069,enter any refundable credits and estimated tax payments made.Include any prior year overpayment allowed as a credit and any amount paid previously with Form 8868, Bb 0 c Balance due.Subtract line 8b from line 8a. Include your payment with this form,if required,by using EFTPS Electronic Federal Tax Payment System).See instructions. 8c 0 . Signature and Verification Under penalties of perjury,I declare that i have examined this form,Including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct a complei ,and that I am authorized to prepare this form. Signature Title CPA Date bo. Form 8868(Rev.1.2011) 023842 01-24-11 INTERNATIONAL TALENT ACADEMY INC 20-4369460 FORM NP-20 LIST OF OFFICERS , DIRECTORS AND TRUSTEES STATEMENT 1 DAME AND ADDRESS TITLE TATYANA KOMAROVA EXECUTIVE DIRECTOR 1153 AQUEDUCT WAY INDIANAPOLIS , IN 46280 RICH TAYLOR PRESIDENT 10621 RUCKLE STREET INDIANAPOLIS, IN 46280 HEATHER JUDY TREASURER 14110 WARBLER WAY N CARMEL, IN 46033 JEANNIE BOOK BOARD MEMBER 12550 SPRINGMILL ROAD CARMEL, IN 46032 BRYAN STEFFEN BOARD MEMBER 1006 E KESSLER BLVD INDIANAPOLIS, IN 46220 STATEMENT(S) 1 ]EXHIBIT F Crowing`Young SIIinds, [Developing [Big 7afews! . J INTERNATIONAL TALENT ACADEMY Performing Arts School for Toung ChiZren and g&ir(Parents `�'0' FIrT ALP Board of Directors 2011-2012 Tatyana Komarova, ITA Executive Director and Founder Stephanie Anderson - Board Presiclent 2011-2012 Property Manager, CMC Office Center Heather Jucly - Treasurer CPA, Manager, Katz, Sapper & Miller, LLP Jeanne Book - Board Member Carmel Symphony League Paul McCarthy - Database Development Owner/Director, Clhyten Educational Services Dave Duca- Board Member- Lower Forty Video, Owner Schafer Matthew- Board Member Drewry Simmons Vornehm, LLP, Attorney Becky Lukovic - Board Member Bella Travel & Event Planning, Owner Eric Bell- Board Member Bussell Family Funerals, Co-Owner Kristin Wagenhouser - Board Member Silent Auction Authority, Owner Tel/Fax(317)815-9381 E-mail:TatyanaC(t>Internationaltalentacademy.org www.InternationalTalentAcademy.org 1TA is a 501 (c)(3) non-profit organization.Tax ID#20-4369460. VOUCHER NO. WARRANT NO. ALLOWED 20 International Talent Academy IN SUM OF $ 1153 Aqueduct Way Carmel, IN 46280 $15,000.00 ON ACCOUNT OF APPROPRIATION FOR Support For The Arts PO#/Dept. INVOICE NO. ACCT#(TITLE AMOUNT Board Members 504 Agreement 43-551.01 $15,000.00 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 t 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 $15,000.00 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