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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.

- - - -

- - -

- - -

- - - -

- - -

AMP 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

14,928,855 1,821,745 12,848,238 1,039,004

2,080,617 782,741 798 157 790 155

OTHER

---

FUNDRAISING MANAGEMENT & GENERAL - -- 1,890,534 - (1,890,534)

TOTAL

16,750,600 15,777,777

972,824 -

945

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)

14,018,187 -- -- -- -- -

14,018,187

-----

- -- -- -- -- -

14,018,187 ----

14,018,187

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

- 1,700,885

- -

- -14,018,187 1,700,885

- 120,860 477,500 -

- -75,584 -

- -

- -553,084 120,860

6,807 -57,780 -

- -284,288 -

- -- -

8,709 -357,584

14,928,855 1,821,745

-

-

-

----

-

-

-------

- -

- -

- -

- -- -- -- -

- -

- -

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

1,700,885

---

15,719,072

120,860 477,500

-75,584

---

673,944

6,807 57,780

-284,288

--

8,709 357,584

16,750,600

EXPENSES ADMINISTRATIVE STAFF PERSONNEL COSTS No. of Positions

Executive Management 1.34 252,184 - - - - 252,184 Instructional Management 3.16 284,249 - - - - 284,249 Deans, Directors & Coordinators 9.03 1,007,006 - - - - 1,007,006 CFO / Director of Finance - - - - - - -

- - - -

- - -

- - - -

- - -

- - - -

- - -

- -

AMP 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 14,928,855 1,821,745 - - -Total Expenses 12,848,238 1,039,004 - - 1,890,534

Net Income 2,080,617 782,741 - - (1,890,534) Actual Student Enrollment 798 157

Total Paid Student Enrollment 790 155

TOTAL

16,750,600 15,777,777

972,824 -

945

PROGRAM SERVICES SUPPORT SERVICES

REGULAR EDUCATION


MANAGEMENT & GENERAL TOTAL

Operation / Business Manager 7.45 493,414 - - - -Administrative Staff 1.00 51,000 - - - -

TOTAL ADMINISTRATIVE STAFF 22 2,087,854

INSTRUCTIONAL PERSONNEL COSTS Teachers - Regular 58.54 4,428,380 - - - -Teachers - SPED 12.62 119,022 1,009,332 - - -Substitute Teachers - - - - - -Teaching Assistants 4.57 191,838 - - - -Specialty Teachers 7.59 618,051 - - - -Aides - - - - - -Therapists & Counselors 5.74 485,670 - - - -Other - Instructional 2.30 168,460 - - - -

TOTAL INSTRUCTIONAL 91 6,011,419 1,009,332

NON-INSTRUCTIONAL PERSONNEL COSTS Nurse - - - - - -Librarian - - - - - -Custodian - - - - - -Security - - - - - -Other - Non-Instructional 0.26 209,838 - - - -

TOTAL NON-INSTRUCTIONAL 0 209,838

SUBTOTAL PERSONNEL SERVICE COSTS 114 8,309,111 1,009,332

PAYROLL TAXES AND BENEFITS Payroll Taxes 717,397 - - - -Fringe / Employee Benefits 881,661 - - - -Retirement / Pension 384,654 - - - -

TOTAL PAYROLL TAXES AND BENEFITS 1,983,712

TOTAL PERSONNEL SERVICE COSTS 10,292,823 1,009,332

CONTRACTED SERVICES Accounting / Audit 17,005 - - - -Legal - - - - -Management Company Fee - - - - 1,890,534 Nurse Services - - - - -Food Service / School Lunch - - - - -Payroll Services 18,222 - - - -Special Ed Services - 15,500 - - -Titlement Services (i.e. Title I) - - - - -Other Purchased / Professional / Consulting 309,829 - - - -

TOTAL CONTRACTED SERVICES 345,056 15,500 1,890,534

SCHOOL OPERATIONS Board Expenses - - - - -Classroom / Teaching Supplies & Materials 41,348 - - - -

493,414 51,000

2,087,854

4,428,380 1,128,354

-191,838 618,051

-485,670 168,460

7,020,751

----

209,838 209,838

9,318,443

717,397 881,661 384,654

1,983,712

11,302,155

17,005 -

1,890,534 --

18,222 15,500

-309,829

2,251,090

-41,348

- - -

- - - -

- -

AMP PCS, LLC

REGULAR EDUCATION

SPECIAL EDUCATION

TOTAL ENROLLED

798 157 955 ----

798 157 955

Special Ed Supplies & Materials - - - - - -Textbooks / Workbooks 178,086 14,172 - - - 192,259 Supplies & Materials other 141,729 - - - - 141,729 Equipment / Furniture 64,817 - - - - 64,817 Telephone 81,100 - - - - 81,100 Technology 464,829 - - - - 464,829 Student Testing & Assessment 31,313 - - - - 31,313 Field Trips 86,018 - - - - 86,018 Transportation (student) 29,310 - - - - 29,310 Student Services - other 63,810 - - - - 63,810 Office Expense 107,307 - - - - 107,307 Staff Development 157,565 - - - - 157,565 Staff Recruitment 4,948 - - - - 4,948 Student Recruitment / Marketing 17,200 - - - - 17,200 School Meals / Lunch 74,714 - - - - 74,714 Travel (Staff) 3,620 - - - - 3,620 Fundraising - - - - - -Other 54,962 - - - - 54,962

TOTAL SCHOOL OPERATIONS 1,602,678 14,172 1,616,851

FACILITY OPERATION & MAINTENANCE Insurance 133,765 - - - - 133,765 Janitorial 42,172 - - - - 42,172 Building and Land Rent / Lease - - - - - -Repairs & Maintenance 31,983 - - - - 31,983 Facilities Equipment / Furniture 869 - - - - 869 Security - - - - - -Utilities 84,000 - - - - 84,000

TOTAL FACILITY OPERATION & MAINTENANCE 292,789 292,789

DEPRECIATION & AMORTIZATION 314,892 - - - - 314,892 DISSOLUTION ESCROW & RESERVES / CONTIGENCY - - - - - -

TOTAL EXPENSES 12,848,238 1,039,004 1,890,534 15,777,777

NET INCOME 2,080,617 782,741 - - (1,890,534) 972,824

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 15,632 11,603 -

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 14,928,855 1,821,745 - - - 16,750,600 Total Expenses 12,848,238 1,039,004 - - 1,890,534 15,777,777

Net Income 2,080,617 782,741 - - (1,890,534) 972,824 Actual Student Enrollment 798 157 -

Total Paid Student Enrollment 790 155 945


REGULAR EDUCATION



AMP PCS, LLC

EXPENSES PER PUPIL 13,454 6,618 -

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 14,928,855 1,821,745 - - - 16,750,600 Total Expenses 12,848,238 1,039,004 - - 1,890,534 15,777,777

Net Income 2,080,617 782,741 - - (1,890,534) 972,824 Actual Student Enrollment 798 157 -

Total Paid Student Enrollment 790 155 945


REGULAR EDUCATION



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



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.



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. Increase due to growing Elementary School.

CountAMP ES AMP MS AMP HS Total AMP

Teacher 30.0 19.0 9.5 58.5Specialty Teacher 4.0 2.0 1.6 7.6Counselor 1.0 2.0 1.6 4.6SPED 4.0 6.0 2.6 12.6AP/Director 1.0 2.0 0.7 3.7Teaching Fellow 1.9 1.0 0.7 3.6College Advisory 0.0 0.0 1.3 1.3Regional Student Services 0.0 0.0 0.1 0.1Dean 3.0 1.0 1.3 5.3Principal 1.0 1.0 0.3 2.3School Operations 1.0 0.0 0.9 1.9Program Director 0.0 1.0 0.0 1.0Instructional Leader 0.0 0.0 0.9 0.9DOO 1.0 1.0 0.1 2.1Office Manager/Admin 1.0 0.0 0.0 1.0School Operations Administrator 1.0 1.0 0.4 2.4Teaching Assistant 1.0 0.0 0.0 1.0School Operations Admin 0.0 1.0 0.0 1.0Superintendent/MDs 0.8 0.2 0.0 1.0Building Managers 0.8 0.5 0.0 1.3Speech Therapists 0.0 0.0 0.3 0.3 Total 52.5 38.7 22.4 113.6

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 Telep Business Addre E-mail Address Home Telephon 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


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


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


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,


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.


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.


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.


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.



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










discussion)



yourself

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



Business Telephone: Business Addr E-mail Addres Home Telepho Home Address



Nature of business

conducted


business conducted






N o n e

N o n e

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

7/11/2017


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










discussion)



yourself

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



Business Telephone: Business Add E-mail Addres Home Telepho Home Addres



Nature of business

conducted


business conducted






N o n e

N o n e

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

7/10/2017


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



Board Chair








discussion)



yourself

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



Business Telep Business Addr E-mail Address Home Telepho Home Address



Nature of business

conducted


business conducted






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):


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 members or any persons who live with you in yourhouse have held or engaged in with the charter school(s) governed by the EducationCorporation during the time you have served on the board, and in the six-monthperiod prior to such service. If there has been no such financial interest ortransaction, write None. Please note that if you answered Yes to Questions 2-4above, you need not disclose again your employment status, salary, etc.

Date(s) Nature of FinancialInterest/Transaction

Steps taken to avoida conflict of interest,

(e.g., did not vote,did not participate in

discussion)

Name of personholding interest or

engaging intransaction andrelationship to

yourself

5. Identify each individual, business, corporation, union association, firm, partnership,committee proprietorship, franchise holding company, joint stock company, businessor real estate trust, non-profit organization, or other organization or group of peopledoing business with the school(s) governed by the Education Corporation and inwhich such entity, during the time of your tenure as a trustee, you and/or yourimmediate family member(s) or person(s) living in your house had a financial interestor other relationship. If you are a member, director, officer or employee of anorganization formally partnered with the school(s) that is/are doing business with theschool(s) through a management or services agreement, please identify only thename of the organization, your position in the organization, and the relationshipbetween such organization and the school(s). If there was no financial interest, writeNone.

________________________________________________________________Signature Date

Please note that this document is considered a public record and as such, may be made available tomembers of the public upon request under the Freedom of Information Law. Personal contact inf

Documents

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