TY 2012 Form 990 Schedule O

efile Public Visual Render ObjectId: 201400229349300440 - Submission: 2014-01-22 TIN: 65-0828272

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

ADOPT-A-CLASSROOM INC

Employer identification number

65-0828272

Identifier	Return Reference	Explanation
	FORM 990, PART VI, SECTION B, LINE 11	A DRAFT OF THE FORM 990 IS PROVIDED TO THE PRESIDENT BY THE RETURN PREPARER. AFTER REVIEW BY THE BOARD, THE PREPARER MAKES ANY NECESSARY CHANGES AND PROVIDES THE COMPLETED RETURN TO THE ORGANIZATION FOR FILING.
	FORM 990, PART VI, SECTION B, LINE 12C	ONCE A YEAR, ADOPT-A-CLASSROOM REVIEWS THE CONFLICT OF INTEREST POLICY WITH EMPLOYEES AND THE BOARD OF DIRECTORS. WE REQUEST EACH EMPLOYEE AND BOARD MEMBER TO ACKNOWLEDGE THAT HE HAS READ AND UNDERSTANDS THE POLICY AND HAS AGREED TO COMPLY WITH THE POLICY. ADOPT-A-CLASSROOM ASKS EACH EMPLOYEE AND BOARD MEMBER WHETHER HE HAS AN ACTUAL OR POSSIBLE CONFLICT AND TO DESCRIBE ANY RELATIONSHIPS, TRANSACTIONS, OR OTHER CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT OF INTEREST. IF AN ACTUAL OR POSSIBLE CONFLICT ARISES, ADOPT-A-CLASSROOM REFERS SUCH MATTERS TO ITS OUTSIDE LEGAL COUNSEL FOR DETERMINATION, AND RELIES ON LEGAL COUNSEL TO DETERMINE WHETHER A CONFLICT EXISTS, AND WHAT RESTRICTIONS MAY APPLY TO THE RELATED PARTIES.
	FORM 990, PART VI, SECTION B, LINE 15A	THE PROCESS INDLUDES AN ANNUAL REVIEW AND COMPARABLE SALARY STUDIES. IT IS THEN REVIEWED AND DISCUSSED AT A BOARD MEETING AND APPROVED BY THE BOARD.
	FORM 990, PART VI, SECTION C, LINE 19	FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE CONTAINED WITHIN THE BY-LAWS.
CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC	FORM 990, PART VII	JAMES ROSENBERG - 4141 NE 2ND AVENUE, SUITE 203B, MIAMI, FL 33137. JOHN OXENDINE - 2727 N. OCEAN BLVD., A-506, BOCA RATON, FL 33429. DOUG LEVINE - 2760 N. BAY ROAD, MIAMI BEACH, FL 33140. BEN POWELL - 15908 SW 92ND AVENUE, MIAMI, FL 33157. MARJORIE KEAN - 1000 VENETIAN WAY, #108, MIAMI BEACH, FL 33139. MAX HOLTZMAN - 1610 W. 21ST STREET, MIAMI BEACH, FL 33140. DAVE LEYRER - 7652 FISHER ISLAND DRIVE, FISHER ISLAND, FL 33109. MELISSA RUBIN - 10 SOUTH RIVER DRIVE, MIAMI, FL 33130. DEBORAH C. YOUNG - 2699 S. BAYSHORE DRIVE, MIAMI, FL 33133. AMI ANDERSON - 7801 W. 96TH STREET, BLOOMINGTON, MN 55438. JULIE KRUEGER - 20 W. KINZIE, 13TH FLOOR, CHICAGO, IL 60654. SCOTT PANSKY - 2001 WILSHIRE BLVE, SUITE 504, SANTA MONICA, CA 90403. DOUG SPONG - 110 NORTH FIFTH STREET, MINNEAPOLIS, MN 55403.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 9:	CHANGE IN PRESENT VALUE OF ENDOWMENT FUND 11,618.

Identifier

Return Reference

Explanation

FORM 990, PART VI, SECTION B, LINE 11

A DRAFT OF THE FORM 990 IS PROVIDED TO THE PRESIDENT BY THE RETURN PREPARER. AFTER REVIEW BY THE BOARD, THE PREPARER MAKES ANY NECESSARY CHANGES AND PROVIDES THE COMPLETED RETURN TO THE ORGANIZATION FOR FILING.

FORM 990, PART VI, SECTION B, LINE 12C

ONCE A YEAR, ADOPT-A-CLASSROOM REVIEWS THE CONFLICT OF INTEREST POLICY WITH EMPLOYEES AND THE BOARD OF DIRECTORS. WE REQUEST EACH EMPLOYEE AND BOARD MEMBER TO ACKNOWLEDGE THAT HE HAS READ AND UNDERSTANDS THE POLICY AND HAS AGREED TO COMPLY WITH THE POLICY. ADOPT-A-CLASSROOM ASKS EACH EMPLOYEE AND BOARD MEMBER WHETHER HE HAS AN ACTUAL OR POSSIBLE CONFLICT AND TO DESCRIBE ANY RELATIONSHIPS, TRANSACTIONS, OR OTHER CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT OF INTEREST. IF AN ACTUAL OR POSSIBLE CONFLICT ARISES, ADOPT-A-CLASSROOM REFERS SUCH MATTERS TO ITS OUTSIDE LEGAL COUNSEL FOR DETERMINATION, AND RELIES ON LEGAL COUNSEL TO DETERMINE WHETHER A CONFLICT EXISTS, AND WHAT RESTRICTIONS MAY APPLY TO THE RELATED PARTIES.

FORM 990, PART VI, SECTION B, LINE 15A

THE PROCESS INDLUDES AN ANNUAL REVIEW AND COMPARABLE SALARY STUDIES. IT IS THEN REVIEWED AND DISCUSSED AT A BOARD MEETING AND APPROVED BY THE BOARD.

FORM 990, PART VI, SECTION C, LINE 19

FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE CONTAINED WITHIN THE BY-LAWS.

CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC

FORM 990, PART VII

JAMES ROSENBERG - 4141 NE 2ND AVENUE, SUITE 203B, MIAMI, FL 33137. JOHN OXENDINE - 2727 N. OCEAN BLVD., A-506, BOCA RATON, FL 33429. DOUG LEVINE - 2760 N. BAY ROAD, MIAMI BEACH, FL 33140. BEN POWELL - 15908 SW 92ND AVENUE, MIAMI, FL 33157. MARJORIE KEAN - 1000 VENETIAN WAY, #108, MIAMI BEACH, FL 33139. MAX HOLTZMAN - 1610 W. 21ST STREET, MIAMI BEACH, FL 33140. DAVE LEYRER - 7652 FISHER ISLAND DRIVE, FISHER ISLAND, FL 33109. MELISSA RUBIN - 10 SOUTH RIVER DRIVE, MIAMI, FL 33130. DEBORAH C. YOUNG - 2699 S. BAYSHORE DRIVE, MIAMI, FL 33133. AMI ANDERSON - 7801 W. 96TH STREET, BLOOMINGTON, MN 55438. JULIE KRUEGER - 20 W. KINZIE, 13TH FLOOR, CHICAGO, IL 60654. SCOTT PANSKY - 2001 WILSHIRE BLVE, SUITE 504, SANTA MONICA, CA 90403. DOUG SPONG - 110 NORTH FIFTH STREET, MINNEAPOLIS, MN 55403.

CHANGES IN NET ASSETS OR FUND BALANCES:

FORM 990, PART XI, LINE 9:

CHANGE IN PRESENT VALUE OF ENDOWMENT FUND 11,618.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

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