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42324
12/31
time of quarterly submittal leave the 'REVISED' Column(s) COMPLETELY BLANK.columns for the affected quarter(s) must be completed on tabs 2, 3 and 4.
COMMUNITY PARTNERSHIP CHARTER SCHOOL Budget / Operating Plan
2018-19
Total Revenue
Total Expenses Net Income Actual Student Enrollment
-
---
1,807,012 - - 1,807,012 -
2,374,325 - - 1,836,515 -(567,313) - - (29,503) -
368 - - 368 -
Prior Year Actual
2017-18 Revenue Per Pupil
1st Quarter - 7/1 - 9/30
OriginalBudget
Revised Budget Variance
2nd Quarter - 10/1 -
OriginalBudget
Revised Budget
REVENUE REVENUES FROM STATE SOURCES 2018-19
Per Pupil Revenue Per Pupil Rate NYC CHANCELLOR'S OFFICE 15,307 - -- -- -- -- -- -- -- -- -- -- -- -- -- -ALL OTHER School Districts: ( Weighted Avg ) -
TOTAL Per Pupil Revenue (Weighted Average Per PupilFunding) 15,307
Special Education Revenue Grants
Stimulus DYCD (Department of Youth and Community Development) Other
NYC DoE Rental Assistance Other
TOTAL REVENUE FROM STATE SOURCES
REVENUE FROM FEDERAL FUNDING IDEA Special Needs Title I Title Funding - Other School Food Service (Free Lunch) Grants
Allocate Per Pupil Revenue by
Quarter *NOTE: If there are NO budget revisions at the
If budget revisions ARE made, the entire "REVISED" budget
PPR %/Qtr-> 25.0% 25.0% 25.0% 25.0% 1,408,244 - - 1,408,244 -
- - - - -- - - - -- - - - -- - - - -- - - - -- - - - -- - - - -- - - - -- - - - -- - - - -- - - - -- - - - -- - - - -- - - - -- - - - -
- 1,408,244 - - 1,408,244 -
207,806 - 207,806
-75,600 - 75,600
-
41,584 - 41,584 - 1,733,234 - - 1,733,234 -
11,648 - 11,648 45,348 - 45,348 9,281 - 9,281
-
Page 1 of 41
12/31
COMMUNITY PARTNERSHIP CHARTER SCHOOL Budget / Operating Plan
2018-19
Total Revenue
Total Expenses Net Income Actual Student Enrollment
-
---
1,807,012 - - 1,807,012 -
2,374,325 - - 1,836,515 -(567,313) - - (29,503) -
368 - - 368 -
Prior Year Actual
2017-18 Revenue Per Pupil
1st Quarter - 7/1 - 9/30
OriginalBudget
Revised Budget Variance
2nd Quarter - 10/1 -
OriginalBudget
Revised Budget
Charter School Program (CSP) Planning & Implementation Other
Other TOTAL REVENUE FROM FEDERAL SOURCES
LOCAL and OTHER REVENUE Contributions and Donations Fundraising Erate Reimbursement Earnings on Investments Interest Income Food Service (Income from meals) Text Book OTHER
TOTAL REVENUE FROM LOCAL and OTHER SOURCES
TOTAL REVENUE
--
- - -- 66,278 - - 66,278 -
----
7,500 - 7,500 --
- - -- 7,500 - - 7,500 -
- 1,807,012 - - 1,807,012 -
Page 2 of 41
12/31
Page 3 of 41
COMMUNITY PARTNERSHIP CHARTER SCHOOL Budget / Operating Plan
2018-19
Total Revenue
Total Expenses Net Income Actual Student Enrollment
-
---
1,807,012 - - 1,807,012 -
2,374,325 - - 1,836,515 -(567,313) - - (29,503) -
368 - - 368 -
Prior Year Actual
2017-18 Revenue Per Pupil
1st Quarter - 7/1 - 9/30
OriginalBudget
Revised Budget Variance
2nd Quarter - 10/1 -
OriginalBudget
Revised Budget
EXPENSES
ADMINISTRATIVE STAFF PERSONNEL COSTS
Executive Management Instructional Management Deans, Directors & Coordinators CFO / Director of Finance Operation / Business Manager Administrative Staff
TOTAL ADMINISTRATIVE STAFF
INSTRUCTIONAL PERSONNEL COSTS Teachers - Regular Teachers - SPED Substitute Teachers Teaching Assistants Specialty Teachers Aides Therapists & Counselors Other
TOTAL INSTRUCTIONAL
NON-INSTRUCTIONAL PERSONNEL COSTS Nurse Librarian Custodian Security Other
TOTAL NON-INSTRUCTIONAL
SUBTOTAL PERSONNEL SERVICE COSTS
PAYROLL TAXES AND BENEFITS Payroll Taxes Fringe / Employee Benefits
Avg. No. ofPositions
-2.00 5.00
-2.00 2.50
11.50
23.00 9.00
-4.00
10.00 6.00 2.00 7.00
61.00
------
72.50
-73,183 - 73,183 125,706 - 125,706
-43,032 - 43,032 33,264 - 33,264
- 275,184 - - 275,184 -
443,459 - 443,459 185,577 - 185,577
-51,083 - 51,083 179,534 - 179,534 45,471 - 45,471 40,121 - 40,121 66,600 - 66,600
- 1,011,845 - - 1,011,845 -
-----
- - - - - -
- 1,287,029 - - 1,287,029 -
106,679 - 106,679 169,810 - 169,810
12/31
COMMUNITY PARTNERSHIP CHARTER SCHOOL Budget / Operating Plan
2018-19
Total Revenue
Total Expenses Net Income Actual Student Enrollment
-
---
1,807,012 - - 1,807,012 -
2,374,325 - - 1,836,515 -(567,313) - - (29,503) -
368 - - 368 -
Prior Year Actual
2017-18 Revenue Per Pupil
1st Quarter - 7/1 - 9/30
OriginalBudget
Revised Budget Variance
2nd Quarter - 10/1 -
OriginalBudget
Revised Budget
Retirement / Pension TOTAL PAYROLL TAXES AND BENEFITS
TOTAL PERSONNEL SERVICE COSTS
CONTRACTED SERVICES Accounting / Audit Legal Management Company Fee Nurse Services Food Service / School Lunch Payroll Services Special Ed Services Titlement Services (i.e. Title I)
Other Purchased / Professional / Consulting TOTAL CONTRACTED SERVICES
72.50
18,405 - 18,405 - 294,894 - - 294,894 -
- 1,581,922 - - 1,581,922 -
7,500 - 7,500 1,250 - 1,250
209,343 - 209,343 --
2,500 - 2,500 --
19,375 - 19,375 - 239,968 - - 239,968 -
Page 4 of 41
12/31
COMMUNITY PARTNERSHIP CHARTER SCHOOL Budget / Operating Plan
2018-19
Total Revenue
Total Expenses Net Income Actual Student Enrollment
-
---
1,807,012 - - 1,807,012 -
2,374,325 - - 1,836,515 -(567,313) - - (29,503) -
368 - - 368 -
Prior Year Actual
2017-18 Revenue Per Pupil
1st Quarter - 7/1 - 9/30
OriginalBudget
Revised Budget Variance
2nd Quarter - 10/1 -
OriginalBudget
Revised Budget
SCHOOL OPERATIONS Board Expenses Classroom / Teaching Supplies & Materials Special Ed Supplies & Materials Textbooks / Workbooks Supplies & Materials other Equipment / Furniture Telephone Technology Student Testing & Assessment Field Trips Transportation (student) Student Services - other Office Expense Staff Development Staff Recruitment Student Recruitment / Marketing School Meals / Lunch Travel (Staff) Fundraising
Other TOTAL SCHOOL OPERATIONS
FACILITY OPERATION & MAINTENANCE Insurance Janitorial Building and Land Rent / Lease / Facility Finance Interest Repairs & Maintenance Equipment / Furniture Security
Utilities TOTAL FACILITY OPERATION & MAINTENANCE
DEPRECIATION & AMORTIZATION RESERVES / CONTINGENCY DEFERRED RENT
1,250 -199,360 -4,000 -
--
30,000 -7,500 -
22,500 -30,000 -40,000 -
-5,000 -
27,000 -85,000 -38,000 -35,500 -5,000 -1,200 -
-6,500 -
- 537,810 - - - -
12,500 - 12,500 250 - 250
-1,875 - 1,875
--
- - -- 14,625 - - 14,625 -
--
Page 5 of 41
12/31
TOTAL EXPENSES - 2,374,325 - - 1,836,515 -
NET INCOME - (567,313) - - (29,503) -
COMMUNITY PARTNERSHIP CHARTER SCHOOL Budget / Operating Plan
2018-19
Total Revenue - 1,807,012 - - 1,807,012 -
Total Expenses - 2,374,325 - - 1,836,515 -Net Income - (567,313) - - (29,503) -Actual Student Enrollment - 368 - - 368 -
Prior Year Actual 1st Quarter - 7/1 - 9/30 2nd Quarter - 10/1 -
2017-18 Revenue Per Pupil
OriginalBudget
Revised Budget Variance
OriginalBudget
Revised Budget
Page 6 of 41�
12/31
12/31
368.0
--------------
-
COMMUNITY PARTNERSHIP CHARTER SCHOOL Budget / Operating Plan
2018-19
2018-19
Total Revenue
Total Expenses Net Income Actual Student Enrollment
-
---
1,807,012 - - 1,807,012 -
2,374,325 - - 1,836,515 -(567,313) - - (29,503) -
368 - - 368 -
2nd Quarter - 10/1 -
Prior Year Actual
2017-18 Revenue Per Pupil
1st Quarter - 7/1 - 9/30
OriginalBudget
Revised Budget Variance
2nd Quarter - 10/1 -
OriginalBudget
Revised Budget
ENROLLMENT - *School Districts Are Linked To Above Entries* Number of Districts:
NYC CHANCELLOR'S OFFICE --------------ALL OTHER School Districts: ( Weighted Avg )
TOTAL ENROLLMENT
REVENUE PER PUPIL
EXPENSES PER PUPIL
- 1 - - 1 -- 368 - - 368 -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- 368 - - 368 -
- 4,910 - - 4,910 -
- 6,452 - - 4,991 -
Page 7 of 41
6/30
COMMUNITY PARTNERSHIP CHARTER SCHOOLBudget / Operating Plan
2018-19
2nd Quarter - 10/1
*NOTE: If there are NO budget revisions at theIf budget revisions ARE made, the entire "REVISED"
15,307 ---------------
15,307
- -- 75,600 - 75,600 - -
- 41,584 - 41,584 - 1,733,234 - - 1,733,234 -
-Total Revenue 1,807,012 - - 1,807,012 -- -Total Expenses 1,836,515 - 1,836,515 -
Net Income - (29,503) - - (29,503) -Actual Student Enrollment - 368 - - 368 -
- 12/31 3rd Quarter - 1/1 - 3/31 4th Quarter - 4/1 -
Original Revised Original Revised Variance Budget Budget Variance Budget Budget
time of quarterly submittal leave the 'REVISED' Column(s) COMPLETELY BLANK.REVENUE budget columns for the affected quarter(s) must be completed on tabs 2, 3 and 4.
REVENUES FROM STATE SOURCES 2018-19 Per Pupil Revenue Per Pupil Rate 25.0% 25.0%
NYC CHANCELLOR'S OFFICE 25.0% 25.0%
- 1,408,244 - - 1,408,244 -- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - -ALL OTHER School Districts: ( Weighted Avg ) - - - - - -
TOTAL Per Pupil Revenue (Weighted Average Per Pupil - 1,408,244 - - 1,408,244 -Funding) Special Education Revenue - 207,806 - 207,806 Grants
Stimulus DYCD (Department of Youth and Community Development) Other
NYC DoE Rental Assistance Other
TOTAL REVENUE FROM STATE SOURCES
REVENUE FROM FEDERAL FUNDING IDEA Special Needs Title I Title Funding - Other School Food Service (Free Lunch) Grants
Page 8 of 41
- 11,648 - 11,648 - 45,348 - 45,348 - 9,281 - 9,281 - -
6/30
COMMUNITY PARTNERSHIP CHARTER SCHOOLBudget / Operating Plan
2018-19
2nd Quarter - 10/1
- -- -- -- -- 7,500 - 7,500 - -- -- - - -- 7,500 - - 7,500 -
- -- -- - - -- 66,278 - - 66,278 -
- 1,807,012 - - 1,807,012 -
Total Revenue
Total Expenses Net Income Actual Student Enrollment
Charter School Program (CSP) Planning & Implementation Other
Other TOTAL REVENUE FROM FEDERAL SOURCES
LOCAL and OTHER REVENUE Contributions and Donations Fundraising Erate Reimbursement Earnings on Investments Interest Income Food Service (Income from meals) Text Book OTHER
TOTAL REVENUE FROM LOCAL and OTHER SOURCES
TOTAL REVENUE
- 1,807,012 - - 1,807,012 -- 1,836,515 - - 1,836,515 -- (29,503) - - (29,503) -- 368 - - 368 -
3rd Quarter - 1/1 - 3/31 4th Quarter - 4/1 -
Variance OriginalBudget
Revised Budget Variance
OriginalBudget
Revised Budget
- 12/31
Page 9 of 41�
6/30
COMMUNITY PARTNERSHIP CHARTER SCHOOLBudget / Operating Plan
2018-19
2nd Quarter - 10/1
Page 10 of 41
Total Revenue
Total Expenses Net Income Actual Student Enrollment
--
--
1,807,012
1,836,515 (29,503)
368
-
---
--
--
1,807,012
1,836,515 (29,503)
368
-
---
- 12/31 3rd Quarter - 1/1 - 3/31 4th Quarter - 4/1 -
Variance OriginalBudget
Revised Budget Variance
OriginalBudget
Revised Budget
EXPENSES
ADMINISTRATIVE STAFF PERSONNEL COSTS Avg. No. ofPositions
-2.00 5.00
-2.00 2.50
11.50
- -- 73,183 - 73,183 - 125,706 - 125,706 - -- 43,032 - 43,032 - 33,264 - 33,264 - 275,184 - - 275,184 -
Executive Management Instructional Management Deans, Directors & Coordinators CFO / Director of Finance Operation / Business Manager Administrative Staff
TOTAL ADMINISTRATIVE STAFF
INSTRUCTIONAL PERSONNEL COSTS 23.00 9.00
-4.00
10.00 6.00 2.00 7.00
61.00
- 443,459 - 443,459 - 185,577 - 185,577 - -- 51,083 - 51,083 - 179,534 - 179,534 - 45,471 - 45,471 - 40,121 - 40,121 - 66,600 - 66,600 - 1,011,845 - - 1,011,845 -
Teachers - Regular Teachers - SPED Substitute Teachers Teaching Assistants Specialty Teachers Aides Therapists & Counselors Other
TOTAL INSTRUCTIONAL
NON-INSTRUCTIONAL PERSONNEL COSTS ------
- -- -- -- -- -- - - - - -
Nurse�Librarian�Custodian�Security�Other�
TOTAL NON-INSTRUCTIONAL
- 1,287,029 - - 1,287,029 -SUBTOTAL PERSONNEL SERVICE COSTS 72.50
PAYROLL TAXES AND BENEFITS Payroll Taxes Fringe / Employee Benefits
- 106,679 - 106,679 - 169,810 - 169,810
6/30
COMMUNITY PARTNERSHIP CHARTER SCHOOLBudget / Operating Plan
2018-19
2nd Quarter - 10/1
Page 11 of 41
- 1,581,922 - - 1,581,922 -
- 18,405 - 18,405 - 294,894 - - 294,894 -
- 7,500 - 7,500 - 1,250 - 1,250 - 209,343 - 209,343 - -- -- 2,500 - 2,500 - -- -- 19,375 - 19,375 - 239,968 - - 239,968 -
Total Revenue
Total Expenses Net Income Actual Student Enrollment
Retirement / Pension TOTAL PAYROLL TAXES AND BENEFITS
TOTAL PERSONNEL SERVICE COSTS 72.50
CONTRACTED SERVICES Accounting / Audit Legal Management Company Fee Nurse Services Food Service / School Lunch Payroll Services Special Ed Services Titlement Services (i.e. Title I)
Other Purchased / Professional / Consulting TOTAL CONTRACTED SERVICES
- 1,807,012 - - 1,807,012 -- 1,836,515 - - 1,836,515 -- (29,503) - - (29,503) -- 368 - - 368 -
3rd Quarter - 1/1 - 3/31 4th Quarter - 4/1 -
Variance OriginalBudget
Revised Budget Variance
OriginalBudget
Revised Budget
- 12/31
6/30
COMMUNITY PARTNERSHIP CHARTER SCHOOLBudget / Operating Plan
2018-19
2nd Quarter - 10/1
Total Revenue
Total Expenses Net Income Actual Student Enrollment
--
--
1,807,012
1,836,515 (29,503)
368
-
---
--
--
1,807,012
1,836,515 (29,503)
368
-
---
- 12/31 3rd Quarter - 1/1 - 3/31 4th Quarter - 4/1 -
Variance OriginalBudget
Revised Budget Variance
OriginalBudget
Revised Budget
SCHOOL OPERATIONS Board Expenses Classroom / Teaching Supplies & Materials Special Ed Supplies & Materials Textbooks / Workbooks Supplies & Materials other�Equipment / Furniture�Telephone�
Technology�Student Testing & Assessment�Field Trips�Transportation (student)�Student Services - other�
Office Expense Staff Development�Staff Recruitment�Student Recruitment / Marketing�School Meals / Lunch�Travel (Staff)�Fundraising�
Other TOTAL SCHOOL OPERATIONS
- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- - - - - -
FACILITY OPERATION & MAINTENANCE Insurance Janitorial Building and Land Rent / Lease / Facility Finance Interest Repairs & Maintenance Equipment / Furniture Security
Utilities TOTAL FACILITY OPERATION & MAINTENANCE
- 12,500 - 12,500 - 250 - 250 - -- 1,875 - 1,875 - -- -- - - -- 14,625 - - 14,625 -
DEPRECIATION & AMORTIZATION RESERVES / CONTINGENCY DEFERRED RENT
- -- -
Page 12 of 41
6/30
COMMUNITY PARTNERSHIP CHARTER SCHOOLBudget / Operating Plan
2018-19
2nd Quarter - 10/1
COMMUNITY PARTNERSHIP CHARTER SCHOOLBudget / Operating Plan
2018-19
2nd Quarter - 10/1
- 1,836,515 - - 1,836,515 -
- (29,503) - - (29,503) -
Total Revenue
Total Expenses Net Income Actual Student Enrollment
TOTAL EXPENSES
NET INCOME
- 1,807,012 - - 1,807,012 -- 1,836,515 - - 1,836,515 -- (29,503) - - (29,503) -- 368 - - 368 -
3rd Quarter - 1/1 - 3/31 4th Quarter - 4/1 -
Variance OriginalBudget
Revised Budget Variance
OriginalBudget
Revised Budget
- 12/31
- 12/31
Page 13 of 41�
6/30
2018-19
2nd Quarter - 10/1
COMMUNITY PARTNERSHIP CHARTER SCHOOLBudget / Operating Plan
2018-19
2nd Quarter - 10/1
6/30
368.0
--------------
-
- 1 - - 1 -- 368 - - 368 -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- - - - - -- 368 - - 368 -
- 4,910 - - 4,910 -
- 4,991 - - 4,991 -
Total Revenue
Total Expenses Net Income Actual Student Enrollment
ENROLLMENT - *School Districts Are Linked To Above Entries* Number of Districts:
NYC CHANCELLOR'S OFFICE --------------ALL OTHER School Districts: ( Weighted Avg )
TOTAL ENROLLMENT
REVENUE PER PUPIL
EXPENSES PER PUPIL
- 1,807,012 - - 1,807,012 -- 1,836,515 - - 1,836,515 -- (29,503) - - (29,503) -- 368 - - 368 -
3rd Quarter - 1/1 - 3/31 4th Quarter - 4/1 -
Variance OriginalBudget
Revised Budget Variance
OriginalBudget
Revised Budget
- 12/31
- 12/31
4th Quarter - 4/1 -
Page 14 of 41�
*NOTE: If there are NO budget revisions at the time of quarterly submittal leave the 'REVISED' Column(s) COMPLETELY BLANK.If budget revisions ARE made, the entire "REVISED" budget columns for the affected quarter(s) must be completed on tabs 2, 3 and 4.
4th Quarter - 4/1
--
--
Variance
----------------
-
-
---
--
----
- 6/30
15,307 ---------------
15,307
Total Revenue
Total Expenses Net Income Actual Student Enrollment
REVENUE REVENUES FROM STATE SOURCES 2018-19
Per Pupil Revenue Per Pupil Rate NYC CHANCELLOR'S OFFICE --------------ALL OTHER School Districts: ( Weighted Avg )
TOTAL Per Pupil Revenue (Weighted Average Per PupilFunding) Special Education Revenue Grants
Stimulus DYCD (Department of Youth and Community Development) Other
NYC DoE Rental Assistance Other
TOTAL REVENUE FROM STATE SOURCES
REVENUE FROM FEDERAL FUNDING IDEA Special Needs Title I Title Funding - Other School Food Service (Free Lunch) Grants
Page 15 of 41�
4th Quarter - 4/1
----
---------
-
Total Revenue
Total Expenses Net Income Actual Student Enrollment
Charter School Program (CSP) Planning & Implementation Other
Other TOTAL REVENUE FROM FEDERAL SOURCES
LOCAL and OTHER REVENUE Contributions and Donations Fundraising Erate Reimbursement Earnings on Investments Interest Income Food Service (Income from meals) Text Book OTHER
TOTAL REVENUE FROM LOCAL and OTHER SOURCES
TOTAL REVENUE
--
--
Variance
- 6/30
Page 16 of 41�
4th Quarter - 4/1
Page 17 of 41
-------
---------
------
-
--
-2.00 5.00
-2.00 2.
23.00 9.00
-4.00
10.00 6.00 2.00 7.00
61.00
Total Revenue
Total Expenses Net Income Actual Student Enrollment
EXPENSES
ADMINISTRATIVE STAFF PERSONNEL COSTS Avg. No. ofPositions
Executive Management Instructional Management Deans, Directors & Coordinators CFO / Director of Finance Operation / Business Manager Administrative Staff 50
TOTAL ADMINISTRATIVE STAFF 11.50
INSTRUCTIONAL PERSONNEL COSTS Teachers - Regular Teachers - SPED Substitute Teachers Teaching Assistants Specialty Teachers Aides Therapists & Counselors Other
TOTAL INSTRUCTIONAL
NON-INSTRUCTIONAL PERSONNEL COSTS Nurse -Librarian -Custodian -Security -Other -
TOTAL NON-INSTRUCTIONAL -
SUBTOTAL PERSONNEL SERVICE COSTS 72.50
PAYROLL TAXES AND BENEFITS Payroll Taxes Fringe / Employee Benefits
--
--
Variance
- 6/30
4th Quarter - 4/1
Total Revenue
Total Expenses Net Income Actual Student Enrollment
Retirement / Pension TOTAL PAYROLL TAXES AND BENEFITS
TOTAL PERSONNEL SERVICE COSTS
CONTRACTED SERVICES Accounting / Audit Legal Management Company Fee Nurse Services Food Service / School Lunch Payroll Services Special Ed Services Titlement Services (i.e. Title I)
Other Purchased / Professional / Consulting TOTAL CONTRACTED SERVICES
Page 18 of 41
--
--
- 6/30
Variance
72.50
--
-
----------
4th Quarter - 4/1
Page 19 of 41
---------------------
--------
--
Total Revenue
Total Expenses Net Income Actual Student Enrollment
SCHOOL OPERATIONS Board Expenses Classroom / Teaching Supplies & Materials Special Ed Supplies & Materials Textbooks / Workbooks Supplies & Materials other Equipment / Furniture Telephone Technology Student Testing & Assessment Field Trips Transportation (student) Student Services - other Office Expense Staff Development Staff Recruitment Student Recruitment / Marketing School Meals / Lunch Travel (Staff) Fundraising
Other TOTAL SCHOOL OPERATIONS
FACILITY OPERATION & MAINTENANCE Insurance Janitorial Building and Land Rent / Lease / Facility Finance Interest Repairs & Maintenance Equipment / Furniture Security
Utilities TOTAL FACILITY OPERATION & MAINTENANCE
DEPRECIATION & AMORTIZATION RESERVES / CONTINGENCY DEFERRED RENT
--
--
Variance
- 6/30
4th Quarter - 4/1
4th Quarter - 4/1
Total Revenue
Total Expenses Net Income Actual Student Enrollment
--
--
- 6/30
TOTAL EXPENSES -Variance- 6/30
NET INCOME -
Page 20 of 41
4th Quarter - 4/1
4th Quarter - 4/1
368.0
--------------
-
-----------------
-
-
-
Total Revenue
Total Expenses Net Income Actual Student Enrollment
ENROLLMENT - *School Districts Are Linked To Above Entries* Number of Districts:
NYC CHANCELLOR'S OFFICE --------------ALL OTHER School Districts: ( Weighted Avg )
TOTAL ENROLLMENT
REVENUE PER PUPIL
EXPENSES PER PUPIL
--
--
Variance
- 6/30
- 6/30
Page 21 of 41�
SCHOOL
COMMUNITY PARTNERSHIP CHARTER Budget / Operating Plan
2018-19
Total Revenue
Total Expenses Net Income Actual Student Enrollment
7,228,046
7,883,869 (655,823)
7,228,046 - 7,228,046 7,228,046
7,883,869 - (7,883,869) (7,883,869) (655,823) - (655,823) (655,823)
OriginalBudget
Total Year
Revised Budget Variance
VARIANCE
OriginalBudget vs. PY
Budget
Revised Budget vs. PY
Budget
REVENUE REVENUES FROM STATE SOURCES 2018-19
Per Pupil Revenue Per Pupil Rate NYC CHANCELLOR'S OFFICE 15,307 - -- -- -- -- -- -- -- -- -- -- -- -- -- -ALL OTHER School Districts: ( Weighted Avg ) -
TOTAL Per Pupil Revenue (Weighted Average Per PupilFunding) 15,307
Special Education Revenue Grants
Stimulus DYCD (Department of Youth and Community Development) Other
NYC DoE Rental Assistance Other
TOTAL REVENUE FROM STATE SOURCES
REVENUE FROM FEDERAL FUNDING IDEA Special Needs Title I Title Funding - Other School Food Service (Free Lunch) Grants
5,632,976 5,632,976 - 5,632,976 5,632,976 - - - - -- - - - -- - - - -- - - - -- - - - -- - - - -- - - - -- - - - -- - - - -- - - - -- - - - -- - - - -- - - - -- - - - -- - - - -
5,632,976 5,632,976 - 5,632,976 5,632,976
831,224 831,224 - 831,224 831,224
- - - - -302,400 302,400 - 302,400 302,400
- - - - -- - - - -
166,336 166,336 - 166,336 166,336 6,932,936 6,932,936 - 6,932,936 6,932,936
46,592 46,592 - 46,592 46,592 181,393 181,393 - 181,393 181,393 37,125 37,125 - 37,125 37,125
- - - - -
Page 22 of 41
SCHOOL
- - - - -- - - - -- - - - -
265,110 265,110 - 265,110 265,110
- - - - -- - - - -- - - - -- - - - -
30,000 30,000 - 30,000 30,000 - - - - -- - - - -- - - - -
30,000 30,000 - 30,000 30,000
7,228,046 7,228,046 - 7,228,046 7,228,046
Total Revenue
Total Expenses Net Income Actual Student Enrollment
Charter School Program (CSP) Planning & Implementation Other
Other TOTAL REVENUE FROM FEDERAL SOURCES
LOCAL and OTHER REVENUE Contributions and Donations Fundraising Erate Reimbursement Earnings on Investments Interest Income Food Service (Income from meals) Text Book OTHER
TOTAL REVENUE FROM LOCAL and OTHER SOURCES
TOTAL REVENUE
COMMUNITY PARTNERSHIP CHARTER Budget / Operating Plan
2018-19
7,228,046 7,228,046 - 7,228,046 7,228,046
7,883,869 7,883,869 - (7,883,869) (7,883,869) (655,823) (655,823) - (655,823) (655,823)
Total Year VARIANCE
OriginalBudget
Revised Budget Variance
OriginalBudget vs. PY
Budget
Revised Budget vs. PY
Budget
Page 23 of 41�
SCHOOL
Page 24 of 41
COMMUNITY PARTNERSHIP CHARTER Budget / Operating Plan
2018-19
Total Revenue
Total Expenses Net Income Actual Student Enrollment
7,228,046
7,883,869 (655,823)
7,228,046 - 7,228,046 7,228,046
7,883,869 - (7,883,869) (7,883,869) (655,823) - (655,823) (655,823)
OriginalBudget
Total Year
Revised Budget Variance
VARIANCE
OriginalBudget vs. PY
Budget
Revised Budget vs. PY
Budget
EXPENSES
ADMINISTRATIVE STAFF PERSONNEL COSTS
Executive Management Instructional Management Deans, Directors & Coordinators CFO / Director of Finance Operation / Business Manager Administrative Staff
TOTAL ADMINISTRATIVE STAFF
INSTRUCTIONAL PERSONNEL COSTS Teachers - Regular Teachers - SPED Substitute Teachers Teaching Assistants Specialty Teachers Aides Therapists & Counselors Other
TOTAL INSTRUCTIONAL
NON-INSTRUCTIONAL PERSONNEL COSTS Nurse Librarian Custodian Security Other
TOTAL NON-INSTRUCTIONAL
SUBTOTAL PERSONNEL SERVICE COSTS
PAYROLL TAXES AND BENEFITS Payroll Taxes Fringe / Employee Benefits
Avg. No. ofPositions
-2.00 5.00
-2.00 2.50
11.50
23.00 9.00
-4.00
10.00 6.00 2.00 7.00
61.00
------
72.50
- - - - -292,730 292,730 - (292,730) (292,730) 502,822 502,822 - (502,822) (502,822)
- - - - -172,128 172,128 - (172,128) (172,128) 133,055 133,055 - (133,055) (133,055)
1,100,735 1,100,735 - (1,100,735) (1,100,735)
1,773,836 1,773,836 - (1,773,836) (1,773,836) 742,307 742,307 - (742,307) (742,307)
- - - - -204,332 204,332 - (204,332) (204,332) 718,135 718,135 - (718,135) (718,135) 181,884 181,884 - (181,884) (181,884) 160,485 160,485 - (160,485) (160,485) 266,400 266,400 - (266,400) (266,400)
4,047,379 4,047,379 - (4,047,379) (4,047,379)
- - - - -- - - - -- - - - -- - - - -- - - - -- - - - -
5,148,114 5,148,114 - (5,148,114) (5,148,114)
426,717 426,717 - (426,717) (426,717) 679,239 679,239 - (679,239) (679,239)
SCHOOL
Page 25 of 41
73,618 73,618 - (73,618) (73,618) 1,179,574 1,179,574 - (1,179,574) (1,179,574)
6,327,688 6,327,688 - (6,327,688) (6,327,688)
30,000 30,000 - (30,000) (30,000) 5,000 5,000 - (5,000) (5,000)
837,371 837,371 - (837,371) (837,371) - - - - -- - - - -
10,000 10,000 - (10,000) (10,000) - - - - -- - - - -
77,500 77,500 - (77,500) (77,500) 959,871 959,871 - (959,871) (959,871)
Total Revenue
Total Expenses Net Income Actual Student Enrollment
Retirement / Pension TOTAL PAYROLL TAXES AND BENEFITS
TOTAL PERSONNEL SERVICE COSTS 72.50
CONTRACTED SERVICES Accounting / Audit Legal Management Company Fee Nurse Services Food Service / School Lunch Payroll Services Special Ed Services Titlement Services (i.e. Title I)
Other Purchased / Professional / Consulting TOTAL CONTRACTED SERVICES
COMMUNITY PARTNERSHIP CHARTER Budget / Operating Plan
2018-19
7,228,046 7,228,046 - 7,228,046 7,228,046
7,883,869 7,883,869 - (7,883,869) (7,883,869) (655,823) (655,823) - (655,823) (655,823)
Total Year VARIANCE
OriginalBudget
Revised Budget Variance
OriginalBudget vs. PY
Budget
Revised Budget vs. PY
Budget
SCHOOL
COMMUNITY PARTNERSHIP CHARTER Budget / Operating Plan
2018-19
Total Revenue
Total Expenses Net Income Actual Student Enrollment
7,228,046
7,883,869 (655,823)
7,228,046 - 7,228,046 7,228,046
7,883,869 - (7,883,869) (7,883,869) (655,823) - (655,823) (655,823)
OriginalBudget
Total Year
Revised Budget Variance
VARIANCE
OriginalBudget vs. PY
Budget
Revised Budget vs. PY
Budget
SCHOOL OPERATIONS Board Expenses Classroom / Teaching Supplies & Materials Special Ed Supplies & Materials Textbooks / Workbooks Supplies & Materials other Equipment / Furniture Telephone Technology Student Testing & Assessment Field Trips Transportation (student) Student Services - other Office Expense Staff Development Staff Recruitment Student Recruitment / Marketing School Meals / Lunch Travel (Staff) Fundraising
Other TOTAL SCHOOL OPERATIONS
FACILITY OPERATION & MAINTENANCE Insurance Janitorial Building and Land Rent / Lease / Facility Finance Interest Repairs & Maintenance Equipment / Furniture Security
Utilities TOTAL FACILITY OPERATION & MAINTENANCE
DEPRECIATION & AMORTIZATION RESERVES / CONTINGENCY DEFERRED RENT
Page 26 o
1,250 1,250 - (1,250) (1,250) 199,360 199,360 - (199,360) (199,360) 4,000 4,000 - (4,000) (4,000)
- - - - -- - - - -
30,000 30,000 - (30,000) (30,000) 7,500 7,500 - (7,500) (7,500) 22,500 22,500 - (22,500) (22,500) 30,000 30,000 - (30,000) (30,000) 40,000 40,000 - (40,000) (40,000)
- - - - -5,000 5,000 - (5,000) (5,000) 27,000 27,000 - (27,000) (27,000) 85,000 85,000 - (85,000) (85,000) 38,000 38,000 - (38,000) (38,000) 35,500 35,500 - (35,500) (35,500) 5,000 5,000 - (5,000) (5,000) 1,200 1,200 - (1,200) (1,200)
- - - - -6,500 6,500 - (6,500) (6,500)
537,810 537,810 - (537,810) (537,810)
50,000 50,000 - (50,000) (50,000) 1,000 1,000 - (1,000) (1,000)
- - - - -7,500 7,500 - (7,500) (7,500)
- - - - -- - - - -- - - - -
58,500 58,500 - (58,500) (58,500)
- - - - -- - - - -
f 41
SCHOOL
7,883,869 7,883,869 - (7,883,869) (7,883,869)
(655,823) (655,823) - (655,823) (655,823)
Total Revenue
Total Expenses Net Income Actual Student Enrollment
TOTAL EXPENSES
NET INCOME
COMMUNITY PARTNERSHIP CHARTER Budget / Operating Plan
2018-19
7,228,046 7,228,046 - 7,228,046 7,228,046
7,883,869 7,883,869 - (7,883,869) (7,883,869) (655,823) (655,823) - (655,823) (655,823)
Total Year VARIANCE
OriginalBudget
Revised Budget Variance
OriginalBudget vs. PY
Budget
Revised Budget vs. PY
Budget
Page 27 of 41�
SCHOOL
368.0
--------------
-
Total Revenue
Total Expenses Net Income Actual Student Enrollment
ENROLLMENT - *School Districts Are Linked To Above Entries* Number of Districts:
NYC CHANCELLOR'S OFFICE --------------ALL OTHER School Districts: ( Weighted Avg )
TOTAL ENROLLMENT
REVENUE PER PUPIL
EXPENSES PER PUPIL
COMMUNITY PARTNERSHIP CHARTER Budget / Operating Plan
2018-19
7,228,046 7,228,046 - 7,228,046 7,228,046
7,883,869 7,883,869 - (7,883,869) (7,883,869) (655,823) (655,823) - (655,823) (655,823)
Total Year VARIANCE
OriginalBudget
Revised Budget Variance
OriginalBudget vs. PY
Budget
Revised Budget vs. PY
Budget
2018-19
7,228,046
(7,883,869) (655,823)
Page 28 of 41�
COMMUNITY PARTNERSHIP
2018-19
7,228,046
(7,883,869)(655,823)
DESCRIPTION OF ASSUMPTIONS
CHARTER SCHOOL
Total Revenue
Total Expenses Net Income Actual Student Enrollment
REVENUE REVENUES FROM STATE SOURCES 2018-19
Per Pupil Revenue Per Pupil Rate NYC CHANCELLOR'S OFFICE 15,307 - -- -- -- -- -- -- -- -- -- -- -- -- -- -ALL OTHER School Districts: ( Weighted Avg ) -
TOTAL Per Pupil Revenue (Weighted Average Per PupilFunding) 15,307
Special Education Revenue Grants
Stimulus DYCD (Department of Youth and Community Development) Other
NYC DoE Rental Assistance Other
TOTAL REVENUE FROM STATE SOURCES
REVENUE FROM FEDERAL FUNDING IDEA Special Needs Title I Title Funding - Other School Food Service (Free Lunch) Grants
Page 29 of 41
COMMUNITY PARTNERSHIP
2018-19
7,228,046
(7,883,869)(655,823)
DESCRIPTION OF ASSUMPTIONS
CHARTER SCHOOL
Total Revenue
Total Expenses Net Income Actual Student Enrollment
Charter School Program (CSP) Planning & Implementation Other
Other TOTAL REVENUE FROM FEDERAL SOURCES
LOCAL and OTHER REVENUE Contributions and Donations Fundraising Erate Reimbursement Earnings on Investments Interest Income Food Service (Income from meals) Text Book OTHER
TOTAL REVENUE FROM LOCAL and OTHER SOURCES
TOTAL REVENUE
Page 30 of 41
COMMUNITY PARTNERSHIP
2018-19
7,228,046
(7,883,869)(655,823)
Page 31 of 41
DESCRIPTION OF ASSUMPTIONS
CHARTER SCHOOL
Total Revenue
Total Expenses Net Income Actual Student Enrollment
EXPENSES
ADMINISTRATIVE STAFF PERSONNEL COSTS
Executive Management Instructional Management Deans, Directors & Coordinators CFO / Director of Finance Operation / Business Manager Administrative Staff
TOTAL ADMINISTRATIVE STAFF
INSTRUCTIONAL PERSONNEL COSTS Teachers - Regular Teachers - SPED Substitute Teachers Teaching Assistants Specialty Teachers Aides Therapists & Counselors Other
TOTAL INSTRUCTIONAL
NON-INSTRUCTIONAL PERSONNEL COSTS Nurse Librarian Custodian Security Other
TOTAL NON-INSTRUCTIONAL
SUBTOTAL PERSONNEL SERVICE COSTS
PAYROLL TAXES AND BENEFITS Payroll Taxes Fringe / Employee Benefits
Avg. No. ofPositions
-2.00 5.00
-2.00 2.50
11.50
23.00 9.00
-4.00
10.00 6.00 2.00 7.00
61.00
------
72.50
COMMUNITY PARTNERSHIP
2018-19
7,228,046
(7,883,869)(655,823)
DESCRIPTION OF ASSUMPTIONS
CHARTER SCHOOL
Total Revenue
Total Expenses Net Income Actual Student Enrollment
Retirement / Pension TOTAL PAYROLL TAXES AND BENEFITS
TOTAL PERSONNEL SERVICE COSTS
CONTRACTED SERVICES Accounting / Audit Legal Management Company Fee Nurse Services Food Service / School Lunch Payroll Services Special Ed Services Titlement Services (i.e. Title I)
Other Purchased / Professional / Consulting TOTAL CONTRACTED SERVICES
72.50
Page 32 of 41
COMMUNITY PARTNERSHIP
2018-19
7,228,046
(7,883,869)(655,823)
DESCRIPTION OF ASSUMPTIONS
CHARTER SCHOOL
Total Revenue
Total Expenses Net Income Actual Student Enrollment
Page 33 of 41
SCHOOL OPERATIONS Board Expenses Classroom / Teaching Supplies & Materials Special Ed Supplies & Materials Textbooks / Workbooks Supplies & Materials other Equipment / Furniture Telephone Technology Student Testing & Assessment Field Trips Transportation (student) Student Services - other Office Expense Staff Development Staff Recruitment Student Recruitment / Marketing School Meals / Lunch Travel (Staff) Fundraising
Other TOTAL SCHOOL OPERATIONS
FACILITY OPERATION & MAINTENANCE Insurance Janitorial Building and Land Rent / Lease / Facility Finance Interest Repairs & Maintenance Equipment / Furniture Security
Utilities TOTAL FACILITY OPERATION & MAINTENANCE
DEPRECIATION & AMORTIZATION RESERVES / CONTINGENCY DEFERRED RENT
COMMUNITY PARTNERSHIP
2018-19
7,228,046
(7,883,869)(655,823)
COMMUNITY PARTNERSHIP
2018-19
7,228,046
(7,883,869)(655,823)
DESCRIPTION OF ASSUMPTIONS
CHARTER SCHOOL
CHARTER SCHOOL Total Revenue
Total Expenses Net Income Actual Student Enrollment
TOTAL EXPENSES
NET INCOME
Page 34 of 41
2018-19
7,228,046
(7,883,869)(655,823)
COMMUNITY PARTNERSHIP
2018-19
7,228,046
(7,883,869)(655,823)
368.0
--------------
-
DESCRIPTION OF ASSUMPTIONS
CHARTER SCHOOL
Total Revenue
Total Expenses Net Income Actual Student Enrollment
ENROLLMENT - *School Districts Are Linked To Above Entries* Number of Districts:
NYC CHANCELLOR'S OFFICE --------------ALL OTHER School Districts: ( Weighted Avg )
TOTAL ENROLLMENT
REVENUE PER PUPIL
EXPENSES PER PUPIL
Page 35 of 41
12/31
- - - - - -- - - - - -- - - - - -
CASH FLOW ADJUSTMENTS OPERATING ACTIVITIES {enter descriptions below}
Example - Add Back Depreciation Other
Total Operating Activities INVESTMENT ACTIVITIES {enter descriptions below}
Example - Subtract Property and Equipment Expenditures - - - - - -Other - - - - - -
Total Investment Activities - - - - - -FINANCING ACTIVITIES {enter descriptions below}
Example - Add Expected Proceeds from a Loan or Line of Credit - - - - - -Other - - - - - -
Total Financing Activities - - - - - -
Total Cash Flow Adjustments - - - - - -
NET INCOME - (567,313) - - (29,503) -
Beginning Cash Balance - - - - (567,313) -
ENDING CASH BALANCE - (567,313) - - (596,817) -
COMMUNITY PARTNERSHIP CHARTER SCHOOL Budget / Operating Plan
2018-19
Total Revenue - 1,807,012 - - 1,807,012 -
Total Expenses - 2,374,325 - - 1,836,515 -Net Income - (567,313) - - (29,503) -Actual Student Enrollment - 368 - - 368 -
Prior Year Actual 1st Quarter - 7/1 - 9/30 2nd Quarter - 10/1 -
2017-18 Revenue Per Pupil
OriginalBudget
Revised Budget Variance
OriginalBudget
Revised Budget
Page 36 of 41�
6/30
COMMUNITY PARTNERSHIP CHARTER SCHOOLBudget / Operating Plan
2018-19
2nd Quarter - 10/1
- - - - - -- - - - - -- - - - - -
- - - - - -
- (29,503) - - (29,503) -
- (596,817) - - (626,320) -
- - - - - -- - - - - -- - - - - -
- - - - - -- - - - - -- - - - - -
- (626,320) - - (655,823) -
Total Revenue
Total Expenses Net Income Actual Student Enrollment
CASH FLOW ADJUSTMENTS OPERATING ACTIVITIES {enter descriptions below}
Example - Add Back Depreciation Other
Total Operating Activities INVESTMENT ACTIVITIES {enter descriptions below}
Example - Subtract Property and Equipment Expenditures Other
Total Investment Activities FINANCING ACTIVITIES {enter descriptions below}
Example - Add Expected Proceeds from a Loan or Line of Credit Other
Total Financing Activities
Total Cash Flow Adjustments
NET INCOME
Beginning Cash Balance
ENDING CASH BALANCE
- 1,807,012 - - 1,807,012 -- 1,836,515 - - 1,836,515 -- (29,503) - - (29,503) -- 368 - - 368 -
3rd Quarter - 1/1 - 3/31 4th Quarter - 4/1 -
Variance OriginalBudget
Revised Budget Variance
OriginalBudget
Revised Budget
- 12/31
Page 37 of 41�
4th Quarter - 4/1
---
---
---
-
-
-
-
Total Revenue
Total Expenses Net Income Actual Student Enrollment
CASH FLOW ADJUSTMENTS OPERATING ACTIVITIES {enter descriptions below}
Example - Add Back Depreciation Other
Total Operating Activities INVESTMENT ACTIVITIES {enter descriptions below}
Example - Subtract Property and Equipment Expenditures Other
Total Investment Activities FINANCING ACTIVITIES {enter descriptions below}
Example - Add Expected Proceeds from a Loan or Line of Credit Other
Total Financing Activities
Total Cash Flow Adjustments
NET INCOME
Beginning Cash Balance
ENDING CASH BALANCE
--
--
Variance
- 6/30
Page 38 of 41�
SCHOOL
COMMUNITY PARTNERSHIP CHARTER Budget / Operating Plan
2018-19
Total Revenue
Total Expenses Net Income Actual Student Enrollment
7,228,046
7,883,869 (655,823)
7,228,046 - 7,228,046 7,228,046
7,883,869 - (7,883,869) (7,883,869) (655,823) - (655,823) (655,823)
OriginalBudget
Total Year
Revised Budget Variance
VARIANCE
OriginalBudget vs. PY
Budget
Revised Budget vs. PY
Budget CASH FLOW ADJUSTMENTS
OPERATING ACTIVITIES {enter descriptions below} Example - Add Back Depreciation Other
Total Operating Activities INVESTMENT ACTIVITIES {enter descriptions below}
Example - Subtract Property and Equipment Expenditures Other
Total Investment Activities FINANCING ACTIVITIES {enter descriptions below}
Example - Add Expected Proceeds from a Loan or Line of Credit Other
Total Financing Activities
Total Cash Flow Adjustments
NET INCOME
Beginning Cash Balance
ENDING CASH BALANCE
- - - - -- - - - -- - - - -
- - - - -- - - - -- - - - -
- - - - -- - - - -- - - - -
- - - - -
(655,823) (655,823) - (655,823) (655,823)
- - - - -
(655,823) (655,823) - (655,823) (655,823)
Page 39 of 41
COMMUNITY PARTNERSHIP
2018-19
7,228,046
(7,883,869)(655,823)
DESCRIPTION OF ASSUMPTIONS
CHARTER SCHOOL
Total Revenue
Total Expenses Net Income Actual Student Enrollment
CASH FLOW ADJUSTMENTS OPERATING ACTIVITIES {enter descriptions below}
Example - Add Back Depreciation Other
Total Operating Activities INVESTMENT ACTIVITIES {enter descriptions below}
Example - Subtract Property and Equipment Expenditures Other
Total Investment Activities FINANCING ACTIVITIES {enter descriptions below}
Example - Add Expected Proceeds from a Loan or Line of Credit Other
Total Financing Activities
Total Cash Flow Adjustments
NET INCOME
Beginning Cash Balance
ENDING CASH BALANCE
Page 40 of 41
Board Member Name J A S O N D J F M A M J Mary Jilek James Zika Ibrahim Yusuf Chris Buffum Kate McGovern Peter Kaufman Tope Yusuf Annie Flores Kenita Lloyd Robert Moser Aditya Jeet
________________________________________________________________
________________________________________________________________
DocuSign Envelope ID: 7388D97C-7C76-4BBD-8B65-6F54179DBA4C
X
None
Community Partnership Education Corporation
Chief Schools Officer, $130,000, 11/9/2017
X
Amy Kolz
Chair
Disclosure of Financial Interest by a Current or Proposed Charter School Education Corporation Trustee
Trustee Name:
Name of Charter School Education Corporation (for an unmerged school, this is the Charter School Name):
1. List all positions held on the education corporation board (e.g., president, treasurer, parent representative).
2. Is the trustee an employee of any school operated by the Education Corporation? ____Yes ____No
If Yes, for each school, please provide a description of the position(s) you hold, your responsibilities, your salary and your start date.
3. Is the trustee an employee or agent of the management company or institutional partner of the charter school(s) governed by the Education Corporation?
____Yes ____No
If Yes, for each school, please provide a description of the position(s) you hold, your responsibilities, your salary and your start date.
4. Identify each interest/transaction (and provide the requested information) that you or any of your immediate family members or any persons who live with you in your house have held or engaged in with the charter school(s) governed by the Education Corporation during the time you have served on the board, and in the six-month period prior to such service. If there has been no such financial interest or transaction, write None. Please note that if you answered Yes to Questions 2-4 above, you need not disclose again your employment status, salary, etc.
Date(s) Nature of Financial Interest/Transaction
Steps taken to avoid a conflict of interest,
(e.g., did not vote, did not participate in
discussion)
Name of person holding interest or
engaging in transaction and relationship to
yourself
P l e a s e w r i t e “ N o n e ” i f a p p l i c a b l e . D o n o t l e a v e t h i s s p a c e b l a n k .
________ _________________________ _______________________________
DocuSign Envelope ID: 7388D97C-7C76-4BBD-8B65-6F54179DBA4C
7/13/2018 8:43:26 PM EDT
None
5. Identify each individual, business, corporation, union association, firm, partnership, committee proprietorship, franchise holding company, joint stock company, business or real estate trust, non-profit organization, or other organization or group of people doing business with the school(s) governed by the Education Corporation and in which such entity, during the time of your tenure as a trustee, you and/or your immediate family member(s) or person(s) living in your house had a financial interest or other relationship. If you are a member, director, officer or employee of an organization formally partnered with the school(s) that is/are doing business with the school(s) through a management or services agreement, please identify only the name of the organization, your position in the organization, and the relationship between such organization and the school(s). If there was no financial interest, write None.
Organization conducting
business with the school(s)
Nature of business
conducted
Approximate value of the
business conducted
Name of Trustee and/or immediate family member of household holding an
interest in the organization conducting business with
the school(s) and the nature of the interest
Steps Taken to Avoid
Conflict of Interest
P l e a s e w r i t e “ N o n e ” i f a p p l i c a b l e . D o n o t l e a v e t h i s s p a c e b l a n k .
Signature Date
Please note that this document is considered a public record and as such, may be made available to members of the public upon request under the Freedom of Information Law. Personal contact information provided below will be redacted.
Business Telep ______
Business Addr _____
E-mail Address _____
Home Telephon ______
Home Address: ____
________________________________________________________________
________________________________________________________________
DocuSign Envelope ID: 4A1496E2-6754-4915-9770-EB62DDB9F9DC
Community Partnership Education Corporation
Greg Whitten
X
none
Senior Director of External and Legal Affairs, $105,000, 9/7/2017
Executive Board Treasurer, Legal Committee, Nominations Committee; Resigned from Board in December 2017.
X
Disclosure of Financial Interest by a Current or Proposed Charter School Education Corporation Trustee
Trustee Name:
Name of Charter School Education Corporation (for an unmerged school, this is the Charter School Name):
1. List all positions held on the education corporation board (e.g., president, treasurer, parent representative).
2. Is the trustee an employee of any school operated by the Education Corporation? ____Yes ____No
If Yes, for each school, please provide a description of the position(s) you hold, your responsibilities, your salary and your start date.
3. Is the trustee an employee or agent of the management company or institutional partner of the charter school(s) governed by the Education Corporation?
____Yes ____No
If Yes, for each school, please provide a description of the position(s) you hold, your responsibilities, your salary and your start date.
4. Identify each interest/transaction (and provide the requested information) that you or any of your immediate family members or any persons who live with you in your house have held or engaged in with the charter school(s) governed by the Education Corporation during the time you have served on the board, and in the six-month period prior to such service. If there has been no such financial interest or transaction, write None. Please note that if you answered Yes to Questions 2-4 above, you need not disclose again your employment status, salary, etc.
Date(s) Nature of Financial Interest/Transaction
Steps taken to avoid a conflict of interest,
(e.g., did not vote, did not participate in
discussion)
Name of person holding interest or
engaging in transaction and relationship to
yourself
P l e a s e w r i t e “ N o n e ” i f a p p l i c a b l e . D o n o t l e a v e t h i s s p a c e b l a n k .
________ _________________________ _______________________________
DocuSign Envelope ID: 4A1496E2-6754-4915-9770-EB62DDB9F9DC
7/13/2018 1:48:39 PM EDT
none
5. Identify each individual, business, corporation, union association, firm, partnership, committee proprietorship, franchise holding company, joint stock company, business or real estate trust, non-profit organization, or other organization or group of people doing business with the school(s) governed by the Education Corporation and in which such entity, during the time of your tenure as a trustee, you and/or your immediate family member(s) or person(s) living in your house had a financial interest or other relationship. If you are a member, director, officer or employee of an organization formally partnered with the school(s) that is/are doing business with the school(s) through a management or services agreement, please identify only the name of the organization, your position in the organization, and the relationship between such organization and the school(s). If there was no financial interest, write None.
Organization conducting
business with the school(s)
Nature of business
conducted
Approximate value of the
business conducted
Name of Trustee and/or immediate family member of household holding an
interest in the organization conducting business with
the school(s) and the nature of the interest
Steps Taken to Avoid
Conflict of Interest
P l e a s e w r i t e “ N o n e ” i f a p p l i c a b l e . D o n o t l e a v e t h i s s p a c e b l a n k .
Signature Date
Please note that this document is considered a public record and as such, may be made available to members of the public upon request under the Freedom of Information Law. Personal contact information provided below will b
Business Telep _
Business Addre
E-mail Address:
Home Telephon _
Home Address:
________________________________________________________________
________________________________________________________________
DocuSign Envelope ID: BA70390C-BCA7-4311-AF0A-A66F6F447647
Joan Walrond
None
X
X
Chair
Community Partnership Education Corporation
Disclosure of Financial Interest by a Current or Proposed Charter School Education Corporation Trustee
Trustee Name:
Name of Charter School Education Corporation (for an unmerged school, this is the Charter School Name):
1. List all positions held on the education corporation board (e.g., president, treasurer, parent representative).
2. Is the trustee an employee of any school operated by the Education Corporation? ____Yes ____No
If Yes, for each school, please provide a description of the position(s) you hold, your responsibilities, your salary and your start date.
3. Is the trustee an employee or agent of the management company or institutional partner of the charter school(s) governed by the Education Corporation?
____Yes ____No
If Yes, for each school, please provide a description of the position(s) you hold, your responsibilities, your salary and your start date.
4. Identify each interest/transaction (and provide the requested information) that you or any of your immediate family members or any persons who live with you in your house have held or engaged in with the charter school(s) governed by the Education Corporation during the time you have served on the board, and in the six-month period prior to such service. If there has been no such financial interest or transaction, write None. Please note that if you answered Yes to Questions 2-4 above, you need not disclose again your employment status, salary, etc.
Date(s) Nature of Financial Interest/Transaction
Steps taken to avoid a conflict of interest,
(e.g., did not vote, did not participate in
discussion)
Name of person holding interest or
engaging in transaction and relationship to
yourself
P l e a s e w r i t e “ N o n e ” i f a p p l i c a b l e . D o n o t l e a v e t h i s s p a c e b l a n k .
________ _________________________ _______________________________
DocuSign Envelope ID: BA70390C-BCA7-4311-AF0A-A66F6F447647
None
7/12/2018 3:12:27 PM EDT
5. Identify each individual, business, corporation, union association, firm, partnership, committee proprietorship, franchise holding company, joint stock company, business or real estate trust, non-profit organization, or other organization or group of people doing business with the school(s) governed by the Education Corporation and in which such entity, during the time of your tenure as a trustee, you and/or your immediate family member(s) or person(s) living in your house had a financial interest or other relationship. If you are a member, director, officer or employee of an organization formally partnered with the school(s) that is/are doing business with the school(s) through a management or services agreement, please identify only the name of the organization, your position in the organization, and the relationship between such organization and the school(s). If there was no financial interest, write None.
Organization conducting
business with the school(s)
Nature of business
conducted
Approximate value of the
business conducted
Name of Trustee and/or immediate family member of household holding an
interest in the organization conducting business with
the school(s) and the nature of the interest
Steps Taken to Avoid
Conflict of Interest
P l e a s e w r i t e “ N o n e ” i f a p p l i c a b l e . D o n o t l e a v e t h i s s p a c e b l a n k .
Signature Date
Please note that this document is considered a public record and as such, may be made available to members of the public upon request under the Freedom of Information Law. Personal contact information provided below will
Business Telep __________
Business Addr _________
E-mail Address _________
Home Telepho __________
Home Address ________
________________________________________________________________
________________________________________________________________
DocuSign Envelope ID: 13CE5D5D-3197-4592-BF72-23ABEDB30B26
X
X
Kiisha Morrow
Community Partnership Charter School Education Corp
Secretary
None
Disclosure of Financial Interest by a Current or Proposed Charter School Education Corporation Trustee
Trustee Name:
Name of Charter School Education Corporation (for an unmerged school, this is the Charter School Name):
1. List all positions held on the education corporation board (e.g., president, treasurer, parent representative).
2. Is the trustee an employee of any school operated by the Education Corporation? ____Yes ____No
If Yes, for each school, please provide a description of the position(s) you hold, your responsibilities, your salary and your start date.
3. Is the trustee an employee or agent of the management company or institutional partner of the charter school(s) governed by the Education Corporation?
____Yes ____No
If Yes, for each school, please provide a description of the position(s) you hold, your responsibilities, your salary and your start date.
4. Identify each interest/transaction (and provide the requested information) that you or any of your immediate family members or any persons who live with you in your house have held or engaged in with the charter school(s) governed by the Education Corporation during the time you have served on the board, and in the six-month period prior to such service. If there has been no such financial interest or transaction, write None. Please note that if you answered Yes to Questions 2-4 above, you need not disclose again your employment status, salary, etc.
Date(s) Nature of Financial Interest/Transaction
Steps taken to avoid a conflict of interest,
(e.g., did not vote, did not participate in
discussion)
Name of person holding interest or
engaging in transaction and relationship to
yourself
P l e a s e w r i t e “ N o n e ” i f a p p l i c a b l e . D o n o t l e a v e t h i s s p a c e b l a n k .
________ _________________________ _______________________________
DocuSign Envelope ID: 13CE5D5D-3197-4592-BF72-23ABEDB30B26
None
7/24/2018 6:49:21 AM EDT
5. Identify each individual, business, corporation, union association, firm, partnership, committee proprietorship, franchise holding company, joint stock company, business or real estate trust, non-profit organization, or other organization or group of people doing business with the school(s) governed by the Education Corporation and in which such entity, during the time of your tenure as a trustee, you and/or your immediate family member(s) or person(s) living in your house had a financial interest or other relationship. If you are a member, director, officer or employee of an organization formally partnered with the school(s) that is/are doing business with the school(s) through a management or services agreement, please identify only the name of the organization, your position in the organization, and the relationship between such organization and the school(s). If there was no financial interest, write None.
Organization conducting
business with the school(s)
Nature of business
conducted
Approximate value of the
business conducted
Name of Trustee and/or immediate family member of household holding an
interest in the organization conducting business with
the school(s) and the nature of the interest
Steps Taken to Avoid
Conflict of Interest
P l e a s e w r i t e “ N o n e ” i f a p p l i c a b l e . D o n o t l e a v e t h i s s p a c e b l a n k .
Signature Date
Please note that this document is considered a public record and as such, may be made available to members of the public upon request under the Freedom of Information Law. Personal contact information provided below wil
Business Tele ___________________
Business Add ___________________
E-mail Addres ___________________
Home Teleph ___________________
Home Addres _________________
________________________________________________________________
________________________________________________________________
DocuSign Envelope ID: B0864D29-BEC3-43BC-B301-4A45DB0E1889
Board Member, Treasurer, Executive Committee Member
X
None
Rebecca Baneman
X
Community Partnership Charter School Education Corporation
Disclosure of Financial Interest by a Current or Proposed Charter School Education Corporation Trustee
Trustee Name:
Name of Charter School Education Corporation (for an unmerged school, this is the Charter School Name):
1. List all positions held on the education corporation board (e.g., president, treasurer, parent representative).
2. Is the trustee an employee of any school operated by the Education Corporation? ____Yes ____No
If Yes, for each school, please provide a description of the position(s) you hold, your responsibilities, your salary and your start date.
3. Is the trustee an employee or agent of the management company or institutional partner of the charter school(s) governed by the Education Corporation?
____Yes ____No
If Yes, for each school, please provide a description of the position(s) you hold, your responsibilities, your salary and your start date.
4. Identify each interest/transaction (and provide the requested information) that you or any of your immediate family members or any persons who live with you in your house have held or engaged in with the charter school(s) governed by the Education Corporation during the time you have served on the board, and in the six-month period prior to such service. If there has been no such financial interest or transaction, write None. Please note that if you answered Yes to Questions 2-4 above, you need not disclose again your employment status, salary, etc.
Date(s) Nature of Financial Interest/Transaction
Steps taken to avoid a conflict of interest,
(e.g., did not vote, did not participate in
discussion)
Name of person holding interest or
engaging in transaction and relationship to
yourself
P l e a s e w r i t e “ N o n e ” i f a p p l i c a b l e . D o n o t l e a v e t h i s s p a c e b l a n k .
________ _________________________ _______________________________
DocuSign Envelope ID: B0864D29-BEC3-43BC-B301-4A45DB0E1889
None
7/12/2018 2:52:24 PM EDT
5. Identify each individual, business, corporation, union association, firm, partnership, committee proprietorship, franchise holding company, joint stock company, business or real estate trust, non-profit organization, or other organization or group of people doing business with the school(s) governed by the Education Corporation and in which such entity, during the time of your tenure as a trustee, you and/or your immediate family member(s) or person(s) living in your house had a financial interest or other relationship. If you are a member, director, officer or employee of an organization formally partnered with the school(s) that is/are doing business with the school(s) through a management or services agreement, please identify only the name of the organization, your position in the organization, and the relationship between such organization and the school(s). If there was no financial interest, write None.
Organization conducting
business with the school(s)
Nature of business
conducted
Approximate value of the
business conducted
Name of Trustee and/or immediate family member of household holding an
interest in the organization conducting business with
the school(s) and the nature of the interest
Steps Taken to Avoid
Conflict of Interest
P l e a s e w r i t e “ N o n e ” i f a p p l i c a b l e . D o n o t l e a v e t h i s s p a c e b l a n k .
Signature Date
Please note that this document is considered a public record and as such, may be made available to members of the public upon request under the Freedom of Information Law. Personal contact information provided below will b
Business Telep _____________
Business Addr _____________
E-mail Address _____________
Home Telepho _____________
Home Address ___________
________________________________________________________________
________________________________________________________________
DocuSign Envelope ID: C6E37FE8-5743-41C5-AFC8-15D82A19E1DC
Community Partnership Beginning with Children Charter School
None
X
Rebecca Spotts
Board member
X
Disclosure of Financial Interest by a Current or Proposed Charter School Education Corporation Trustee
Trustee Name:
Name of Charter School Education Corporation (for an unmerged school, this is the Charter School Name):
1. List all positions held on the education corporation board (e.g., president, treasurer, parent representative).
2. Is the trustee an employee of any school operated by the Education Corporation? ____Yes ____No
If Yes, for each school, please provide a description of the position(s) you hold, your responsibilities, your salary and your start date.
3. Is the trustee an employee or agent of the management company or institutional partner of the charter school(s) governed by the Education Corporation?
____Yes ____No
If Yes, for each school, please provide a description of the position(s) you hold, your responsibilities, your salary and your start date.
4. Identify each interest/transaction (and provide the requested information) that you or any of your immediate family members or any persons who live with you in your house have held or engaged in with the charter school(s) governed by the Education Corporation during the time you have served on the board, and in the six-month period prior to such service. If there has been no such financial interest or transaction, write None. Please note that if you answered Yes to Questions 2-4 above, you need not disclose again your employment status, salary, etc.
Date(s) Nature of Financial Interest/Transaction
Steps taken to avoid a conflict of interest,
(e.g., did not vote, did not participate in
discussion)
Name of person holding interest or
engaging in transaction and relationship to
yourself
P l e a s e w r i t e “ N o n e ” i f a p p l i c a b l e . D o n o t l e a v e t h i s s p a c e b l a n k .
________ _________________________ _______________________________
DocuSign Envelope ID: C6E37FE8-5743-41C5-AFC8-15D82A19E1DC
7/18/2018 5:34:35 PM EDT
None
5. Identify each individual, business, corporation, union association, firm, partnership, committee proprietorship, franchise holding company, joint stock company, business or real estate trust, non-profit organization, or other organization or group of people doing business with the school(s) governed by the Education Corporation and in which such entity, during the time of your tenure as a trustee, you and/or your immediate family member(s) or person(s) living in your house had a financial interest or other relationship. If you are a member, director, officer or employee of an organization formally partnered with the school(s) that is/are doing business with the school(s) through a management or services agreement, please identify only the name of the organization, your position in the organization, and the relationship between such organization and the school(s). If there was no financial interest, write None.
Organization conducting
business with the school(s)
Nature of business
conducted
Approximate value of the
business conducted
Name of Trustee and/or immediate family member of household holding an
interest in the organization conducting business with
the school(s) and the nature of the interest
Steps Taken to Avoid
Conflict of Interest
P l e a s e w r i t e “ N o n e ” i f a p p l i c a b l e . D o n o t l e a v e t h i s s p a c e b l a n k .
Signature Date
Please note that this document is considered a public record and as such, may be made available to members of the public upon request under the Freedom of Information Law. Personal contact information provided below will be redacted.
Business Telep ______________
Business Addr _____________
E-mail Address _____________
Home Telepho ______________
Home Address: ____________
________________________________________________________________
________________________________________________________________
DocuSign Envelope ID: 69914EC4-D652-410C-BF74-612C949C1EE9
Trustee
X
Community Partnership Education Corporation
Sharon Madison
None
Disclosure of Financial Interest by a Current or Proposed Charter School Education Corporation Trustee
Trustee Name:
Name of Charter School Education Corporation (for an unmerged school, this is the Charter School Name):
1. List all positions held on the education corporation board (e.g., president, treasurer, parent representative).
2. Is the trustee an employee of any school operated by the Education Corporation? ____Yes ____No
If Yes, for each school, please provide a description of the position(s) you hold, your responsibilities, your salary and your start date.
3. Is the trustee an employee or agent of the management company or institutional partner of the charter school(s) governed by the Education Corporation?
____Yes ____No
If Yes, for each school, please provide a description of the position(s) you hold, your responsibilities, your salary and your start date.
4. Identify each interest/transaction (and provide the requested information) that you or any of your immediate family members or any persons who live with you in your house have held or engaged in with the charter school(s) governed by the Education Corporation during the time you have served on the board, and in the six-month period prior to such service. If there has been no such financial interest or transaction, write None. Please note that if you answered Yes to Questions 2-4 above, you need not disclose again your employment status, salary, etc.
Date(s) Nature of Financial Interest/Transaction
Steps taken to avoid a conflict of interest,
(e.g., did not vote, did not participate in
discussion)
Name of person holding interest or
engaging in transaction and relationship to
yourself
P l e a s e w r i t e “ N o n e ” i f a p p l i c a b l e . D o n o t l e a v e t h i s s p a c e b l a n k .
________ _________________________ _______________________________
DocuSign Envelope ID: 69914EC4-D652-410C-BF74-612C949C1EE9
7/13/2018 1:35:25 PM EDT
None
5. Identify each individual, business, corporation, union association, firm, partnership, committee proprietorship, franchise holding company, joint stock company, business or real estate trust, non-profit organization, or other organization or group of people doing business with the school(s) governed by the Education Corporation and in which such entity, during the time of your tenure as a trustee, you and/or your immediate family member(s) or person(s) living in your house had a financial interest or other relationship. If you are a member, director, officer or employee of an organization formally partnered with the school(s) that is/are doing business with the school(s) through a management or services agreement, please identify only the name of the organization, your position in the organization, and the relationship between such organization and the school(s). If there was no financial interest, write None.
Organization conducting
business with the school(s)
Nature of business
conducted
Approximate value of the
business conducted
Name of Trustee and/or immediate family member of household holding an
interest in the organization conducting business with
the school(s) and the nature of the interest
Steps Taken to Avoid
Conflict of Interest
P l e a s e w r i t e “ N o n e ” i f a p p l i c a b l e . D o n o t l e a v e t h i s s p a c e b l a n k .
Signature Date
Please note that this document is considered a public record and as such, may be made available to members of the public upon request under the Freedom of Information Law. Personal contact information provided below will
Business Tele __
Business Addr _
E-mail Addres _
Home Telepho __
Home Address
________________________________________________________________
________________________________________________________________
DocuSign Envelope ID: F9196555-7E28-49BC-BAD4-818A2C3D5D3E
X
Community Partnership Education Corporation
Sonia Gulardo
Director Community outreach /special projects
X
none
Board Member
Disclosure of Financial Interest by a Current or Proposed Charter School Education Corporation Trustee
Trustee Name:
Name of Charter School Education Corporation (for an unmerged school, this is the Charter School Name):
1. List all positions held on the education corporation board (e.g., president, treasurer, parent representative).
2. Is the trustee an employee of any school operated by the Education Corporation? ____Yes ____No
If Yes, for each school, please provide a description of the position(s) you hold, your responsibilities, your salary and your start date.
3. Is the trustee an employee or agent of the management company or institutional partner of the charter school(s) governed by the Education Corporation?
____Yes ____No
If Yes, for each school, please provide a description of the position(s) you hold, your responsibilities, your salary and your start date.
4. Identify each interest/transaction (and provide the requested information) that you or any of your immediate family members or any persons who live with you in your house have held or engaged in with the charter school(s) governed by the Education Corporation during the time you have served on the board, and in the six-month period prior to such service. If there has been no such financial interest or transaction, write None. Please note that if you answered Yes to Questions 2-4 above, you need not disclose again your employment status, salary, etc.
Date(s) Nature of Financial Interest/Transaction
Steps taken to avoid a conflict of interest,
(e.g., did not vote, did not participate in
discussion)
Name of person holding interest or
engaging in transaction and relationship to
yourself
P l e a s e w r i t e “ N o n e ” i f a p p l i c a b l e . D o n o t l e a v e t h i s s p a c e b l a n k .
________ _________________________ _______________________________
DocuSign Envelope ID: F9196555-7E28-49BC-BAD4-818A2C3D5D3E
None
7/12/2018 4:19:16 PM EDT
5. Identify each individual, business, corporation, union association, firm, partnership, committee proprietorship, franchise holding company, joint stock company, business or real estate trust, non-profit organization, or other organization or group of people doing business with the school(s) governed by the Education Corporation and in which such entity, during the time of your tenure as a trustee, you and/or your immediate family member(s) or person(s) living in your house had a financial interest or other relationship. If you are a member, director, officer or employee of an organization formally partnered with the school(s) that is/are doing business with the school(s) through a management or services agreement, please identify only the name of the organization, your position in the organization, and the relationship between such organization and the school(s). If there was no financial interest, write None.
Organization conducting
business with the school(s)
Nature of business
conducted
Approximate value of the
business conducted
Name of Trustee and/or immediate family member of household holding an
interest in the organization conducting business with
the school(s) and the nature of the interest
Steps Taken to Avoid
Conflict of Interest
P l e a s e w r i t e “ N o n e ” i f a p p l i c a b l e . D o n o t l e a v e t h i s s p a c e b l a n k .
Signature Date
Please note that this document is considered a public record and as such, may be made available to members of the public upon request under the Freedom of Information Law. Personal contact information provided below
Business T _______________
Business A ______________
E-mail Add ______________
Home Tele _______________
Home Addr _____________
________________________________________________________________
________________________________________________________________
DocuSign Envelope ID: B464A69F-D3F4-4654-ACE4-39CFAE181CBD
None
X
Vice Chair
Travis Baird
CPEC
X
Disclosure of Financial Interest by a Current or Proposed Charter School Education Corporation Trustee
Trustee Name:
Name of Charter School Education Corporation (for an unmerged school, this is the Charter School Name):
1. List all positions held on the education corporation board (e.g., president, treasurer, parent representative).
2. Is the trustee an employee of any school operated by the Education Corporation? ____Yes ____No
If Yes, for each school, please provide a description of the position(s) you hold, your responsibilities, your salary and your start date.
3. Is the trustee an employee or agent of the management company or institutional partner of the charter school(s) governed by the Education Corporation?
____Yes ____No
If Yes, for each school, please provide a description of the position(s) you hold, your responsibilities, your salary and your start date.
4. Identify each interest/transaction (and provide the requested information) that you or any of your immediate family members or any persons who live with you in your house have held or engaged in with the charter school(s) governed by the Education Corporation during the time you have served on the board, and in the six-month period prior to such service. If there has been no such financial interest or transaction, write None. Please note that if you answered Yes to Questions 2-4 above, you need not disclose again your employment status, salary, etc.
Date(s) Nature of Financial Interest/Transaction
Steps taken to avoid a conflict of interest,
(e.g., did not vote, did not participate in
discussion)
Name of person holding interest or
engaging in transaction and relationship to
yourself
P l e a s e w r i t e “ N o n e ” i f a p p l i c a b l e . D o n o t l e a v e t h i s s p a c e b l a n k .
________ _________________________ _______________________________
DocuSign Envelope ID: B464A69F-D3F4-4654-ACE4-39CFAE181CBD
7/17/2018 7:16:44 PM EDT
None
5. Identify each individual, business, corporation, union association, firm, partnership, committee proprietorship, franchise holding company, joint stock company, business or real estate trust, non-profit organization, or other organization or group of people doing business with the school(s) governed by the Education Corporation and in which such entity, during the time of your tenure as a trustee, you and/or your immediate family member(s) or person(s) living in your house had a financial interest or other relationship. If you are a member, director, officer or employee of an organization formally partnered with the school(s) that is/are doing business with the school(s) through a management or services agreement, please identify only the name of the organization, your position in the organization, and the relationship between such organization and the school(s). If there was no financial interest, write None.
Organization conducting
business with the school(s)
Nature of business
conducted
Approximate value of the
business conducted
Name of Trustee and/or immediate family member of household holding an
interest in the organization conducting business with
the school(s) and the nature of the interest
Steps Taken to Avoid
Conflict of Interest
P l e a s e w r i t e “ N o n e ” i f a p p l i c a b l e . D o n o t l e a v e t h i s s p a c e b l a n k .
Signature Date
Please note that this document is considered a public record and as such, may be made available to members of the public upon request under the Freedom of Information Law. Personal contact information provided below will b
Business Telep ___________________________
Business Addr ___________________________
E-mail Address ___________________________
Home Telephon ___________________________
Home Address: ________________________
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8 9 10 11 12 13 14 0
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Su M Tu W Th F Sa
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NYS Math Exam (3-8)
December 18
All Leader Retreat
Beginning with Children
2018-19
School Year Calendar July 18 Legend
School Days: 177 First and Last Day
Rev. 4.21.17
Science Performance Test (4,8)
Science Written (4,8)
End of Term Dates
Parent/Teacher Conference
Report Cards Due
August 18
Su M Tu W Th F Sa
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Mail Report Cards
January 19
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April 19
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