annual report 2016-17 - p-12 : nysed · 2017. 12. 27. ·...

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    http://www.p12.nysed.gov/psc/AuditGuide.html

  • New York State Education Department Request for Proposals to Establish Charter Schools Authorized by the

    Board of Regents

    2017-18 Budget & Cash Flow Template

    General Instructions and Notes for New Application Budgets and Cash Flows Templates

    1 Complete ALL SIX columns in BLUE 2 Enter information into the GRAY cells

    3 Cells containing RED triangles in the upper right corner in columns B through G contain guidance on that particular item

    4

    Funding by School District information for all NYS School district is located on the State Aid website at https://stateaid.nysed.gov/charter/. Refer to this website for per-pupil tuition funding for all school districts. Rows may be inserted in the worksheet to accomodate additional districts if necessary.

    5

    The Assumptions column should be completed for all revenue and expense items unless the item is self-explanatory. Where applicable, please reference the page number or section in the application narrative that indicates the assumption being made. For instance, student enrollment would reference the applicable page number in Section I, C of the application narrative.

  • - - - -

    - - -

    - - -

    - - - -

    - - -

    Washington Heights PCS, LLCPROJECTED BUDGET FOR 2017-2018

    July 1, 2017 to June 30, 2018Please Note: The student enrollment data is entered below in the Enrollment Section beginning in row 155. This will populate the data in row 10.

    Total Revenue Total Expenses

    Net Income Actual Student Enrollment

    Total Paid Student Enrollment

    REGULAR EDUCATION

    SPECIAL EDUCATION

    15,545,447 2,026,965 13,717,137 1,432,933

    1,828,311 594,032 831 149 823 148

    OTHER

    ---

    FUNDRAISING MANAGEMENT & GENERAL - -- 1,960,986 - (1,960,986)

    TOTAL

    17,572,412 17,111,055

    461,357 -

    970

    PROGRAM SERVICES

    REGULAR EDUCATION

    SPECIAL EDUCATION OTHER

    SUPPORT SERVICES

    FUNDRAISING MANAGEMENT &

    GENERAL TOTAL

    REVENUE REVENUES FROM STATE SOURCES

    Per Pupil Revenue CY Per Pupil Rate New York City $14,457.00 School District 2 (Enter Name) School District 3 (Enter Name) School District 4 (Enter Name) School District 5 (Enter Name)

    14,385,155 -- -- -- -- -

    14,385,155

    -----

    - -- -- -- -- -

    14,385,155 ----

    14,385,155

    Special Education Revenue Grants

    Stimulus Other

    Other State Revenue TOTAL REVENUE FROM STATE SOURCES

    REVENUE FROM FEDERAL FUNDING IDEA Special Needs Title I Title Funding - Other School Food Service (Free Lunch) Grants

    Charter School Program (CSP) Planning & Implementation Other

    Other Federal Revenue TOTAL REVENUE FROM FEDERAL SOURCES

    LOCAL and OTHER REVENUE Contributions and Donations, Fundraising Erate Reimbursement Interest Income, Earnings on Investments, NYC-DYCD (Department of Youth and Community Developmt.) Food Service (Income from meals) Text Book Other Local Revenue

    TOTAL REVENUE FROM LOCAL and OTHER SOURCES

    TOTAL REVENUE

    - 1,919,846

    - -

    - -14,385,155 1,919,846

    - 107,118 490,000 -

    - -77,384 -

    100,000 -

    58,500 -725,884 107,118

    59,629 -84,734 -

    - -280,628 -

    - -- -

    9,417 -434,408

    15,545,447 2,026,965

    -

    -

    -

    ----

    -

    -

    -------

    - -

    - -

    - -

    - -- -- -- -

    - -

    - -

    - -- -- -- -- -- -- -

    1,919,846

    ---

    16,305,002

    107,118 490,000

    -77,384

    100,000 -

    58,500 833,002

    59,629 84,734

    -280,628

    --

    9,417 434,408

    17,572,412

    EXPENSES ADMINISTRATIVE STAFF PERSONNEL COSTS No. of Positions

    Executive Management 0.82 158,957 - - - - 158,957 Instructional Management 5.19 651,856 - - - - 651,856 Deans, Directors & Coordinators 11.08 1,144,061 - - - - 1,144,061 CFO / Director of Finance - - - - - - -

  • - - - -

    - - -

    - - - -

    - - -

    - - - -

    - - -

    - -

    Washington Heights PCS, LLC PROJECTED BUDGET FOR 2017-2018

    July 1, 2017 to June 30, 2018 Please Note: The student enrollment data is entered below in the Enrollment Section beginning in row 155. This will populate the data in row 10.

    REGULAR EDUCATION

    SPECIAL EDUCATION OTHER FUNDRAISING

    MANAGEMENT & GENERAL

    Total Revenue 15,545,447 2,026,965 - - -Total Expenses 13,717,137 1,432,933 - - 1,960,986

    Net Income 1,828,311 594,032 - - (1,960,986) Actual Student Enrollment 831 149

    Total Paid Student Enrollment 823 148

    TOTAL

    17,572,412 17,111,055

    461,357 -

    970

    PROGRAM SERVICES SUPPORT SERVICES

    REGULAR EDUCATION

    SPECIAL EDUCATION OTHER FUNDRAISING

    MANAGEMENT & GENERAL TOTAL

    Operation / Business Manager 7.48 556,288 - - - -Administrative Staff - - - - - -

    TOTAL ADMINISTRATIVE STAFF 25 2,511,162

    INSTRUCTIONAL PERSONNEL COSTS Teachers - Regular 47.76 4,022,992 - - - -Teachers - SPED 17.68 - 1,413,659 - - -Substitute Teachers - - - - - -Teaching Assistants 7.50 353,055 - - - -Specialty Teachers 9.63 769,840 - - - -Aides - - - - - -Therapists & Counselors 8.78 781,702 - - - -Other - Instructional 2.25 167,476 - - - -

    TOTAL INSTRUCTIONAL 94 6,095,065 1,413,659

    NON-INSTRUCTIONAL PERSONNEL COSTS Nurse - - - - - -Librarian - - - - - -Custodian - - - - - -Security - - - - - -Other - Non-Instructional 0.27 233,081 - - - -

    TOTAL NON-INSTRUCTIONAL 0 233,081

    SUBTOTAL PERSONNEL SERVICE COSTS 118 8,839,309 1,413,659

    PAYROLL TAXES AND BENEFITS Payroll Taxes 800,870 - - - -Fringe / Employee Benefits 1,107,439 - - - -Retirement / Pension 368,607 - - - -

    TOTAL PAYROLL TAXES AND BENEFITS 2,276,916

    TOTAL PERSONNEL SERVICE COSTS 11,116,224 1,413,659

    CONTRACTED SERVICES Accounting / Audit 14,865 - - - -Legal - - - - -Management Company Fee - - - - 1,960,986 Nurse Services - - - - -Food Service / School Lunch - - - - -Payroll Services 21,789 - - - -Special Ed Services - 12,050 - - -Titlement Services (i.e. Title I) - - - - -Other Purchased / Professional / Consulting 284,380 - - - -

    TOTAL CONTRACTED SERVICES 321,035 12,050 1,960,986

    SCHOOL OPERATIONS Board Expenses - - - - -Classroom / Teaching Supplies & Materials 15,933 - - - -

    556,288 -

    2,511,162

    4,022,992 1,413,659

    -353,055 769,840

    -781,702 167,476

    7,508,724

    ----

    233,081 233,081

    10,252,967

    800,870 1,107,439

    368,607 2,276,916

    12,529,883

    14,865 -

    1,960,986 --

    21,789 12,050

    -284,380

    2,294,070

    -15,933

  • - - -

    - - - -

    - -

    Washington Heights PCS, LLC

    REGULAR EDUCATION

    SPECIAL EDUCATION

    TOTAL ENROLLED

    831 149 980 ----

    831 149 980

    Special Ed Supplies & Materials - - - - - -Textbooks / Workbooks 225,612 7,224 - - - 232,836 Supplies & Materials other 96,647 - - - - 96,647 Equipment / Furniture 44,122 - - - - 44,122 Telephone 78,119 - - - - 78,119 Technology 563,346 - - - - 563,346 Student Testing & Assessment 24,834 - - - - 24,834 Field Trips 161,638 - - - - 161,638 Transportation (student) 27,603 - - - - 27,603 Student Services - other 72,603 - - - - 72,603 Office Expense 102,859 - - - - 102,859 Staff Development 186,985 - - - - 186,985 Staff Recruitment 3,483 - - - - 3,483 Student Recruitment / Marketing 9,100 - - - - 9,100 School Meals / Lunch 76,088 - - - - 76,088 Travel (Staff) 4,002 - - - - 4,002 Fundraising - - - - - -Other 48,176 - - - - 48,176

    TOTAL SCHOOL OPERATIONS 1,741,149 7,224 1,748,373

    FACILITY OPERATION & MAINTENANCE Insurance 148,253 - - - - 148,253 Janitorial 35,724 - - - - 35,724 Building and Land Rent / Lease - - - - - -Repairs & Maintenance 18,078 - - - - 18,078 Facilities Equipment / Furniture 890 - - - - 890 Security - - - - - -Utilities 86,000 - - - - 86,000

    TOTAL FACILITY OPERATION & MAINTENANCE 288,944 288,944

    DEPRECIATION & AMORTIZATION 249,784 - - - - 249,784 DISSOLUTION ESCROW & RESERVES / CONTIGENCY - - - - - -

    TOTAL EXPENSES 13,717,137 1,432,933 1,960,986 17,111,055

    NET INCOME 1,828,311 594,032 - - (1,960,986) 461,357

    ENROLLMENT - *School Districts Are Linked To Above Entries*

    New York City Enrollment School District 2 (Enter Name) School District 3 (Enter Name) School District 4 (Enter Name) School District 5 (Enter Name)

    TOTAL ENROLLMENT

    REVENUE PER PUPIL 15,863 13,604 -

    PROJECTED BUDGET FOR 2017-2018 July 1, 2017 to June 30, 2018

    Please Note: The student enrollment data is entered below in the Enrollment Section beginning in row 155. This will populate the data in row 10. REGULAR

    EDUCATION SPECIAL

    EDUCATION OTHER FUNDRAISING MANAGEMENT &

    GENERAL TOTAL

    Total Revenue 15,545,447 2,026,965 - - - 17,572,412 Total Expenses 13,717,137 1,432,933 - - 1,960,986 17,111,055

    Net Income 1,828,311 594,032 - - (1,960,986) 461,357 Actual Student Enrollment 831 149 -

    Total Paid Student Enrollment 823 148 970

    PROGRAM SERVICES SUPPORT SERVICES

    REGULAR EDUCATION

    SPECIAL EDUCATION OTHER FUNDRAISING

    MANAGEMENT & GENERAL TOTAL

  • Washington Heights PCS, LLC

    EXPENSES PER PUPIL 13,997 9,617 -

    PROJECTED BUDGET FOR 2017-2018 July 1, 2017 to June 30, 2018

    Please Note: The student enrollment data is entered below in the Enrollment Section beginning in row 155. This will populate the data in row 10. REGULAR

    EDUCATION SPECIAL

    EDUCATION OTHER FUNDRAISING MANAGEMENT &

    GENERAL TOTAL

    Total Revenue 15,545,447 2,026,965 - - - 17,572,412 Total Expenses 13,717,137 1,432,933 - - 1,960,986 17,111,055

    Net Income 1,828,311 594,032 - - (1,960,986) 461,357 Actual Student Enrollment 831 149 -

    Total Paid Student Enrollment 823 148 970

    PROGRAM SERVICES SUPPORT SERVICES

    REGULAR EDUCATION

    SPECIAL EDUCATION OTHER FUNDRAISING

    MANAGEMENT & GENERAL TOTAL

  • Assumptions DESCRIPTION OF ASSUMPTIONS - Please note assumptions when applicable

    Assumes paid enrollment that is 1% less than actual enrollment.

    2% increase in rate, per NY State

    Assumes $972 per student (year -2), consistent with expected 2017 funding. Assumes $500 per student, consistent with 2017 funding.

    High School food program.

    Private and internal grants, and cash collections (student uniforms, supplies, field trips, other).

    List exact titles and staff FTE"s ( Full time eqiuilivalent)

    see "Staff List" tab; fractional staff are shared across multiple charters see "Staff List" tab; fractional staff are shared across multiple charters see "Staff List" tab; fractional staff are shared across multiple charters see "Staff List" tab; fractional staff are shared across multiple charters

  • Assumptions DESCRIPTION OF ASSUMPTIONS - Please note assumptions when applicable

    Assumes paid enrollment that is 1% less than actual enrollment.

    see "Staff List" tab; fractional staff are shared across multiple charters see "Staff List" tab; fractional staff are shared across multiple charters

    see "Staff List" tab; fractional staff are shared across multiple charters see "Staff List" tab; fractional staff are shared across multiple charters see "Staff List" tab; fractional staff are shared across multiple charters see "Staff List" tab; fractional staff are shared across multiple charters see "Staff List" tab; fractional staff are shared across multiple charters see "Staff List" tab; fractional staff are shared across multiple charters see "Staff List" tab; fractional staff are shared across multiple charters Includes Part-time staff in dollar total but not headcount total

    see "Staff List" tab; fractional staff are shared across multiple charters see "Staff List" tab; fractional staff are shared across multiple charters see "Staff List" tab; fractional staff are shared across multiple charters see "Staff List" tab; fractional staff are shared across multiple charters Includes Part-time staff in dollar total but not headcount total

    8% of total salary costs.

    Fee paid to independent auditor.

    Includes KIPP licensing fee and management fee (11% of gov. revs)

    Includes instructional consultants, tech and other consultants.

    Board expenses generally covered by the Board. Includes instructional and student materials including enrichment supplies/materials.

  • Assumptions DESCRIPTION OF ASSUMPTIONS - Please note assumptions when applicable

    Assumes paid enrollment that is 1% less than actual enrollment.

    Software licenses, infrastructure maintenance, network&internet services, photocopier. Test booklets and grading. Both local and end of year out of state trips.

    Uniforms, athletic and extracurricular supplies and student performances. General office supplies and postage. Conferences and other staff development.

    High School food program.

    Memberships / Subscriptions, bank fees, other.

    $75K for dissolution has been set aside in previous years and remains in an escrow account.

    Enrollment based on a rollforward of FY 17 actual assuming attrition and holdover rates consistent with historical trends. Enrollment increase due to students entering KIPP College Prep High School - 10th grade enters in 2018.

  • Assumptions DESCRIPTION OF ASSUMPTIONS - Please note assumptions when applicable

    Assumes paid enrollment that is 1% less than actual enrollment.

  • CountWH ES WH MS WH HS Total WH

    Teacher 18.0 20.0 9.8 47.8Specialty Teacher 5.0 3.0 1.6 9.6Counselor 3.0 3.0 1.6 7.6SPED 7.0 8.0 2.7 17.7AP/Director 0.0 1.0 0.7 1.7Teaching Fellow 2.9 2.9 0.7 6.5College Advisory 0.0 0.0 1.3 1.3Regional Student Services 0.0 0.0 0.1 0.1Dean 5.0 3.0 1.3 9.3Principal 1.0 1.0 0.3 2.3School Operations 1.0 1.0 0.9 2.9Program Director 0.0 0.9 0.0 0.9Instructional Leader 0.0 2.0 0.9 2.9DOO 1.0 1.0 0.1 2.1School Operations Administrator 1.0 1.0 0.4 2.4Instructional Assistant 1.0 0.0 0.0 1.0Superintendent/MDs 0.8 0.2 0.0 1.0Building Managers 0.3 0.5 0.0 0.8Speech Therapists 0.0 0.0 0.3 0.3 Total 47.1 48.5 22.9 118.4

  • Disclosure of Financial Interest by a Current or Proposed Charter School Education Corporation Trustee

    Trustee Name: Brian Zied Name of Charter School Education Corporation (for an unmerged school, this is the Charter School Name):

    KIPP NYC Public Charter Schools

    1. List all positions held on the education corporation board (e.g., president, treasurer, parent representative).

    Treasurer

    2. Is the trustee an employee of any school operated by the Education Corporation? ____Yes X 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 X 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

    DocuSign Envelope ID: 00A59130-5816-48C9-9B38-19F8F901C547

  • 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.

    ________________________________________________________________ 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 Tele Business Addr E-mail Addres Home Telepho Home Address

    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

    N o n e

    N o n e

    DocuSign Envelope ID: 00A59130-5816-48C9-9B38-19F8F901C547

    7/10/2017

  • 2016-17 KIPP NYC Annual Disclosure of Potential Conflicts of Interest

    KIPP NYC Public Charter Schools

    1. Trustee Name: Deborah Dauman

    2. Office(s) held (e.g., Board Chair, Treasurer): N/A

    3. Please respond below regarding any financial interest or transaction that you or your immediate family members (or

    any persons who live with you in your house) have held or engaged in with KIPP NYC or any of its Schools during the 2016-17 school year. This includes any organization doing business with KIPP NYC or any of its Schools in which you or your immediate family members (or any persons who live with you in your house) had a financial interest or other relationship over the school year. Has there been such financial interest or transaction?

    4. Please sign and date below. ___________________________________ _________________________________________ Signature Date Note: in addition to this disclosure form, the Trustee will also complete the New York State Education Department Financial Disclosure Form, an annual reporting requirement from the State.

    DocuSign Envelope ID: E2586E80-E9FA-4840-A1CF-11725C2C79A6

    7/18/2017

    No

  • 2016-17 Affirmation of Receipt of KIPP NYC Conflict of Interest Policy

    KIPP NYC Public Charter Schools

    Deborah Dauman, Trustee of KIPP NYC Public Charter Schools, affirms that during the 2016-17 school year (s)he:

    a. Received a copy of KIPP NYC’s Conflict of Interest Policy;

    b. Read and understands this Policy; and

    c. Agreed to comply with this Policy.

    Office(s) held (e.g., Board Chair, Treasurer): N/A ______________________________________________________________ Signature Date

    DocuSign Envelope ID: E2586E80-E9FA-4840-A1CF-11725C2C79A6

    7/18/2017

  • KIPP NYC Public Charter Schools Conflicts of Interest Policy

    Purpose:

    KIPP NYC Public Charter Schools, KIPP Academy Charter School, KIPP Infinity Charter School, and KIPP AMP Charter School have adopted a Code of Ethics setting forth for the guidance of trustees, officers and employees the standards of conduct expected of them, including standards with respect to disclosure of conflicts of interest regarding any matter brought or required to be brought before their respective Boards. The Conflict of Interest Policy is part of the Codes of Ethics adopted by each of the Corporations. It provides procedures for addressing, disclosing, and documenting conflicts of interest as such term in used in §§ 800 through 806 of the New York State General Municipal Law (hereafter “the Municipal Law”) and in § 715-a of the Not-for-Profit Corporation Law. It also includes procedures for addressing Related Party Transactions, as such term is defined in § 102 (24) of the Not-for-Profit Corporation Law. The Policy supplements, and does not replace any applicable provisions of the General Municipal Law and other state and federal laws governing conflicts of interest. It applies to all Trustees, Officers and Key Employees of each of the Corporations. The Schools will be referred to herein, individually, as “the Corporation.”

    Definitions:

    “Affiliate” means an entity controlled by, in control of, or under common control with the Corporation.

    “Audit & Finance Committee” means the Audit & Finance Committee of the Corporation, as described in the

    By-laws of the Corporation. The Audit & Finance Committee is comprised of at least three Trustees who are

    Independent Directors as defined in § 102 (21) of the Not-for-Profit Corporation Law and in this Policy.

    “Board” means the Board of Trustees.

    “Compensation” means direct or indirect remuneration, as well as gifts or favors. A gift or favor that is valued at $75 or more is expressly prohibited by the Municipal Law when offered to a Trustee, Officer or Key Employee in connection with official duties, but gifts of lesser value may also be subject to this policy.

    “Corporation” refers to each of the KIPP Charter Schools which have adopted this policy and which are Education Corporations and, as such, subject to provisions of the Not-for-Profit Corporation Law made applicable to education corporations by § 216-a of the Education Law. Each Corporation, as a chartered entity, is also subject to the Conflict of Interest Provisions of §§ 800 through 806 of the General Municipal Law,

    “Financial Interest”: A person has a “Financial Interest” in a transaction if such person would receive an economic benefit, directly or indirectly, from such transaction or compensation agreement.

    “Independent Director” means a Trustee who (i) is not, and has not been within the last three years, an

    employee of the Corporation or an Affiliate and does not have a Relative who is, or has been within the last

    three years, a Key Employee of the Corporation or of an Affiliate; (ii) has not received, and does not have a

    Relative who has received, in any of the last three fiscal years, more than $10,000 in direct compensation from

    the Corporation or from an Affiliate (other than reimbursement for expenses reasonably incurred as a Trustee,

    DocuSign Envelope ID: E2586E80-E9FA-4840-A1CF-11725C2C79A6

  • Officer or Key Employee); and (iii) is not a current employee of, or does not have a substantial financial interest

    in, and does not have a Relative who is a current officer of or who has a substantial financial interest in, any

    entity that has made payments to, or received payments from the Corporation or from an Affiliate for property

    or services in an amount which, in any of the last three fiscal years, exceeds the lesser of $25,000 or 2 % of such

    entity’s consolidated gross revenues. For these purposes, “payment” does not include charitable contributions.

    “Key Employee” includes but is not limited to any person who is in a position to exercise substantial influence

    over the Corporation, as defined from time to time by the Corporation, or who has or shares authority to control

    or determine a substantial portion of the operating budgets of the Corporation or the schools or compensation

    for employees.

    “Related Party” means: (1) any Trustee, Officer, or Key Employee of the Corporation or an Affiliate; (2) A Relative of any Trustee, Officer, or Key Employee of the Corporation or an Affiliate or (3) any entity in which any individual described in clause (1) or (2) of this definition has a 35% or greater ownership or beneficial interest, except that in the case of a partnership or professional corporation, a Related Party will include an entity in which any individual described in clause (1) or (2) above has a direct or indirect ownership interest in excess of 5%.

    “Related Party Transaction” means any transaction or agreement or other kind of arrangement between the Corporation and a Related Party or an entity in which the Related Party has an interest. Related Party Transactions are subject to special provisions for disclosure, evaluation and documentation. In addition, certain Related Party Transactions are subject to limitations described in the Municipal Law. These special provisions and limitations are summarized in this Policy.

    “Relative” means an individual’s spouse or domestic partner, as defined in Public Health Law §2994-a, ancestors, siblings (whether whole or half-blood), children (whether natural or adopted), grandchildren, great grandchildren and spouses or domestic partners of ancestors, siblings, children, grandchildren, and great-grandchildren. Children of siblings and their spouses and partners will also be considered Relatives under this Policy.

    “School” any school managed by the Corporation.

    “Trustees” and “Officers” are the elected individuals responsible for managing the affairs of the Corporation as described in the By-laws.

    What is a Conflict of Interest?

    For purposes of this Policy, a “Conflict of Interest” arises when the personal, professional or financial interests of a Trustee, Officer or Key Employee diverge or may potentially diverge from the interests of the Corporation. A conflict of interest will arise when a transaction involving the Corporation could financially harm or benefit a person covered by this Policy, but a conflict of interest does not always involve financial interests. A conflict may also involve the use of the services or facilities of the Corporation or may involve the use of staff assistance for purposes other than carrying out professional or fiduciary duties.

    DocuSign Envelope ID: E2586E80-E9FA-4840-A1CF-11725C2C79A6

  • Conflicts may also arise if a Trustee, Officer or Key Employee is asked to communicate on behalf of a person or firm with the Corporation. Accordingly, a Trustee, Officer or Key Employee may not communicate with the Board or a School on behalf of a person or a firm, unless requested to do so by the Corporation, and shall avoid engaging in activities that would appear to be unduly influenced by other persons who have a special interest in matters under consideration by the Trustee of the Corporation or employees of one of the Schools. If a Trustee, Officer or Key Employee inadvertently engages in such activities, he/she shall promptly notify the Board in writing of such activities and shall disclose all known facts prior to participating in a Board discussion of these matters.

    Disclosure of Conflicts of Interest:

    Written disclosure of all potential Conflicts of Interest is required of Trustees, Officers and Key Employees prior to election or appointment and annually thereafter. However, Conflicts of Interest may arise between annual updates and, accordingly, an individual with a duality of interest shall disclose the potential Conflict (a) prior to voting on or otherwise discharging his or her duties with respect to any matter involving the potential Conflict; (b) prior to entering into any contract or transaction involving the Corporation; and (c) as soon as possible after he or she learns of an actual or potential Conflict of Interest. Disclosure of the material facts surrounding the Conflict of Interest shall be made to the Chairperson of the Board and the Chairperson of the Audit & Finance Committee. The interested Trustee or Officer shall thereafter refrain from participating in deliberations and decisions relating to the matter unless he or she is asked for information by the Chairperson of the Board or the Audit & Finance Committee.

    The existence and resolution (as applicable) of any reported Conflict of Interest shall be documented in the appropriate records of the Corporation, including in the minutes of any meeting at which the Conflict of Interest was discussed and voted upon.

    A Key Employee who wishes to use staff assistance, services or facilities for purposes other than carrying out professional responsibilities will disclose the Conflict to the Principal of the School who will exercise discretion in allowing or disallowing the proposed use in accordance with this Policy.

    Annual Statements:

    Without limiting the general and continuing disclosure obligation set forth in the preceding section, the Chairperson of the Audit & Finance Committee shall distribute annually to all Trustees, Officers and Key Employees, a form soliciting the disclosure of all potential Conflicts of Interests, including specific information concerning the terms of any contract or transaction with the Corporation and whether the applicable processes set forth in this Policy were used. Each Trustee, Officer and Key Employee shall also annually sign a statement included with the form distributed by the Corporation which affirms such person:

    a. has received a copy of this Policy;

    b. has read and understands this Policy, and

    c. has agreed to comply with this Policy.

    DocuSign Envelope ID: E2586E80-E9FA-4840-A1CF-11725C2C79A6

  • Written disclosures shall be submitted to and reviewed by the Chairperson of the Board and the Chairperson of the Audit & Finance Committee.

    Related Party Transactions:

    A Related Party Transaction is a transaction in which the Corporation is a party and a Related Party (as defined above) has a financial interest or another material interest. All rules and principles related to disclosure of Conflicts of Interest apply to Related Party Transactions, but in addition, the Trustees must initiate a formal Audit & Finance Committee review or a review by a quorum of the Board consisting of Independent Trustees.

    Any Trustee, Officer or Key Employee with an interest in a Related Party Transaction shall make a good faith disclosure of all material facts related to such interest to the Audit & Finance Committee. The Audit & Finance Committee shall review all the material facts related to the proposed Related Party Transaction and request any additional information that it deems necessary to complete such review.

    The Municipal Law prohibits transactions between Charter Schools and for-profit business entities in which a member of the Board of Trustees or a Key Employee has an interest if such Trustee or Key Employee has certain enumerated responsibilities. Accordingly, the Audit & Finance Committee will first determine whether or not the Trustee, Officer or Key Employee who has an interest in any proposed contract with a for-profit entity, has the power or duty, individually or as a member of the Board, to (1) negotiate, prepare, authorize or approve the contract or authorize payment thereunder; (2) audit bills or claims under the contract; or (3) appoint an officer or employee who has any of these powers or duties. If the interested Trustee, Officer or Key Employee does not have any of the enumerated responsibilities or if the proposed contract is with a not-for-profit entity, or is otherwise authorized by § 802 of the Municipal Law, the Committee may continue its review.

    If a Related Party Transaction is otherwise authorized and the Related Party has a “substantial” financial interest or other material interest in such transaction, as assessed by the Audit & Finance Committee, the Audit & Finance Committee shall consider alternative transactions to the proposed transaction and the Chairperson of the Committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives. The Committee, after reviewing any such alternatives, shall determine whether the Corporation can obtain, with reasonable efforts, a more advantageous transaction or arrangement from a person or entity that would not give rise to a conflict of interest.

    The Audit & Finance Committee shall after considering alternative transactions and/or comparability data, determine whether the transaction or arrangement is fair, reasonable, and in the best interest of the Corporation at the time of its decision.

    Following its review the Audit & Finance Committee may approve the transaction, or may refer the matter to the Board of Trustees for approval by the Board.

    Upon receiving a recommendation from the Audit & Finance Committee, the Board may accept the recommendation or make an independent determination as to whether the proposed transaction is fair, reasonable and in the best interests of the Corporation. Upon the affirmative vote of not less than a majority of independent Trustees present, the Trustees may authorize the transaction.

    DocuSign Envelope ID: E2586E80-E9FA-4840-A1CF-11725C2C79A6

  • At the time of any deliberation or decision by the Audit & Finance Committee or the Board concerning the authorization of a proposed Related Party Transaction, the interested Trustee, Officer or Key Employee shall not be present and shall not attempt to improperly influence any deliberations or voting, provided that the Board, or Audit & Finance Committee, may request such individual to provide information regarding the Related Party Transaction prior to the commencement of deliberations or voting.

    The minutes of the meeting of the Board and the Audit & Finance Committee that conducted the initial review shall provide contemporaneous documentation of the basis for approval, including the Board’s consideration of any alternative transactions. The minutes shall also contain the names of the persons who were present for discussions and votes relating to the transaction or arrangement, the content of the discussion, and a record of any votes taken in connection with the proceedings.

    The Corporation shall not enter into a Related Party Transaction unless it is approved in accordance with this Policy. Any Related Party Transaction that is approved without complying with the procedure set forth in this section shall be void.

    Periodic Reviews

    To ensure that the KIPP Schools operate in a manner consistent with charitable purposes and do not engage in

    activities that could jeopardize tax-exempt status, periodic reviews shall be conducted by the Audit & Finance

    Committee of each Corporation. The Audit & Finance Committee shall report to the Board of Trustees. The

    periodic reviews shall, at a minimum, include the following subjects:

    a. Whether compensation arrangements and benefits are fair and reasonable, based on competent survey information, and in the best interests of the Corporation.

    b. Whether any related party transactions or arrangements with or on behalf of the Corporation are properly recorded, reflect reasonable investment or payments for goods and services, further

    charitable purposes and do not result in inurement, impermissible private benefit or in an excess

    benefit transaction.

    Violations of the Conflicts of Interest Policy:

    If the Board has reasonable cause to believe that a Trustee, Officer or Key Employee has failed to disclose an actual or possible Conflict of Interest, it shall inform the individual of the basis for such belief and afford that person an opportunity to explain the alleged failure to disclose. If, after hearing the response and after making further investigation as warranted by the circumstances, the Board determines that the Trustee, Officer or Key Employee has failed to disclose an actual or possible Conflict of Interest, it shall take appropriate disciplinary and corrective action.

    DocuSign Envelope ID: E2586E80-E9FA-4840-A1CF-11725C2C79A6

  • Disclosure of Financial Interest by a Current or Proposed Charter School Education Corporation Trustee

    Trustee Name: Erica Dewan Name of Charter School Education Corporation (for an unmerged school, this is the Charter School Name):

    KIPP NYC Public Charter Schools

    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 X 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 X 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

    DocuSign Envelope ID: 6FAFEF55-54C3-4517-AA4D-97E21A80B854

  • 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.

    ________________________________________________________________ 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 Telephone: Business Ad E-mail Addr Home Telep Home Addre

    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

    N o n e

    N o n e

    DocuSign Envelope ID: 6FAFEF55-54C3-4517-AA4D-97E21A80B854

    7/11/2017

  • Disclosure of Financial Interest by a Current or Proposed Charter School Education Corporation Trustee

    Trustee Name: Gwendolyn Brunson Name of Charter School Education Corporation (for an unmerged school, this is the Charter School Name):

    KIPP NYC Public Charter Schools

    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 X 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 X 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

    DocuSign Envelope ID: 899FA53C-1FD5-4474-8FF4-B4CF890C17E3

  • 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.

    ________________________________________________________________ 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 Telephone: Business Ad E-mail Addre Home Telep Home Addre

    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

    N o n e

    N o n e

    DocuSign Envelope ID: 899FA53C-1FD5-4474-8FF4-B4CF890C17E3

    7/10/2017

  • Disclosure of Financial Interest by a Current or Proposed Charter School Education Corporation Trustee

    Trustee Name: Rafael Mayer Name of Charter School Education Corporation (for an unmerged school, this is the Charter School Name):

    KIPP NYC Public Charter Schools

    1. List all positions held on the education corporation board (e.g., president, treasurer, parent representative).

    Board Chair

    2. Is the trustee an employee of any school operated by the Education Corporation? ____Yes X 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 X 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

    DocuSign Envelope ID: A30F12B8-C0E0-408C-A372-443AEAF2DA6A

  • 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.

    ________________________________________________________________ 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 Tele Business Add E-mail Addres Home Teleph Home Addres

    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

    N o n e

    N o n e

    DocuSign Envelope ID: A30F12B8-C0E0-408C-A372-443AEAF2DA6A

    7/10/2017

  • Disclosure of Financial Interest by a Current or Proposed Charter SchoolEducation Corporation Trustee

    Trustee Name:

    Richard Taft

    Name of Charter School Education Corporation (for an unmerged school, this isthe Charter School Name):

    KIPP NYC Public Charter Schools

    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 X No

    If Yes, for each school, please provide a description of the position(s) you hold, yourresponsibilities, your salary and your start date.

    3. Is the trustee an employee or agent of the management company or institutionalpartner of the charter school(s) governed by the Education Corporation?

    ____Yes X No

    If Yes, for each school, please provide a description of the position(s) you hold, yourresponsibilities, your salary and your start date.

    4. Identify each interest/transaction (and provide the requested information) that you orany of your immediate family member