TY 2015 Form 990 Schedule O

efile Public Visual Render ObjectId: 201633079349301468 - Submission: 2016-11-02 TIN: 03-0225997

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 990-EZ or to provide any additional information.
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Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

BURKE MOUNTAIN ACADEMY INC

Employer identification number

03-0225997

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	RENNY SMITH IS THE FATHER TO DIRECTOR WARREN SMITH - TRACE.
FORM 990, PART VI, SECTION B, LINE 11	A COPY OF THE 990 IS PROVIDED TO THE AUDIT/FINANACE COMMITTEE OF THE BOARD OF TRUSTEES PRIOR TO FILING. HOWEVER, A PREVIEW BY THE FULL BOARD DOES NOT OCCUR.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTERST POLICY IS REVIEWED ANNUALLY FOR COMPLIANCE AND RELEVANCE.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD OF TRUSTEES EXECUTIVE COMMITTEE REVIEWS THE COMPENSATION OF THE KEY EMPLOYEE AND APPROVES ANNUAL COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS AND ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS ALSO AVAILABLE.
FORM 990, PART VII	WILLIAM BOOKER - 2 PROSPECT ST., HANOVER, NH 03755. WILLIAM CURTIS - 575 UNION BLVD SUITE 205, LAKEWOOD, CO 80228. JOHN DATOR - 45 NORTH MAIN ST 2ND FLOOR, FALL RIVER, MA 02720. JAYNE MULLEN-SAMPSON - PO BOX 754, EAST DENNIS, MA 02641. WARREN SMITH - TRACE - 38 COOLIDGE LANE, DEDHAM, MA 02026. KIRK DWYER - 60 ALPINE LANE, EAST BURKE, VT 05832. KIMBERLY BUTLER - 8 SOUTH PARK STREET; PO BOX 1911, LEBANON, NH 03766. KEN GRAHAM - 415 VALLEY PARK ROAD, PHOENIXVILLE, PA 19460. ANNE-MARIE REGAN - 5 KING STREET, NEWTON, MA 02466. THOMAS ROLFS - 4978 N. MAPLE LANE, NASHOTAH, WI 53058. WARREN SMITH - RENNY - 38 COOLIDGE LANE, DEDHAM, MA 02026. ALEXANDER WILLIAMS - 96 GROSVENOR ROAD, ROCHESTER, NY 14610. CHARLES CHRISTIANSON - 1503 BYRNE HALL, HANOVER, NH 03755. JONATHAN KATZ - 36 LOWELL LANE, BROOKLINE, MA 02445. JONATHAN BIELE - 17 RIVER ST, WOODSTOCK, VT 05091. CORINNE PREVOT - 161 AUSTIN DRIVE #126, BURLINGTON, VT 05401. GEORGE MACOMBER - 60 ALPINE LANE, EAST BURKE, VT 05832.
FORM 990, PART X11, LINE 2C	THE FINANCE COMMITTEE SELECTS THE AUDIT FIRM AND OVERSEES THE AUDIT.

Return Reference

Explanation

FORM 990, PART VI, SECTION A, LINE 2

RENNY SMITH IS THE FATHER TO DIRECTOR WARREN SMITH - TRACE.

FORM 990, PART VI, SECTION B, LINE 11

A COPY OF THE 990 IS PROVIDED TO THE AUDIT/FINANACE COMMITTEE OF THE BOARD OF TRUSTEES PRIOR TO FILING. HOWEVER, A PREVIEW BY THE FULL BOARD DOES NOT OCCUR.

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

THE CONFLICT OF INTERST POLICY IS REVIEWED ANNUALLY FOR COMPLIANCE AND RELEVANCE.

FORM 990, PART VI, SECTION B, LINE 15

THE BOARD OF TRUSTEES EXECUTIVE COMMITTEE REVIEWS THE COMPENSATION OF THE KEY EMPLOYEE AND APPROVES ANNUAL COMPENSATION.

FORM 990, PART VI, SECTION C, LINE 19

GOVERNING DOCUMENTS AND ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS ALSO AVAILABLE.

FORM 990, PART VII

WILLIAM BOOKER - 2 PROSPECT ST., HANOVER, NH 03755. WILLIAM CURTIS - 575 UNION BLVD SUITE 205, LAKEWOOD, CO 80228. JOHN DATOR - 45 NORTH MAIN ST 2ND FLOOR, FALL RIVER, MA 02720. JAYNE MULLEN-SAMPSON - PO BOX 754, EAST DENNIS, MA 02641. WARREN SMITH - TRACE - 38 COOLIDGE LANE, DEDHAM, MA 02026. KIRK DWYER - 60 ALPINE LANE, EAST BURKE, VT 05832. KIMBERLY BUTLER - 8 SOUTH PARK STREET; PO BOX 1911, LEBANON, NH 03766. KEN GRAHAM - 415 VALLEY PARK ROAD, PHOENIXVILLE, PA 19460. ANNE-MARIE REGAN - 5 KING STREET, NEWTON, MA 02466. THOMAS ROLFS - 4978 N. MAPLE LANE, NASHOTAH, WI 53058. WARREN SMITH - RENNY - 38 COOLIDGE LANE, DEDHAM, MA 02026. ALEXANDER WILLIAMS - 96 GROSVENOR ROAD, ROCHESTER, NY 14610. CHARLES CHRISTIANSON - 1503 BYRNE HALL, HANOVER, NH 03755. JONATHAN KATZ - 36 LOWELL LANE, BROOKLINE, MA 02445. JONATHAN BIELE - 17 RIVER ST, WOODSTOCK, VT 05091. CORINNE PREVOT - 161 AUSTIN DRIVE #126, BURLINGTON, VT 05401. GEORGE MACOMBER - 60 ALPINE LANE, EAST BURKE, VT 05832.

FORM 990, PART X11, LINE 2C

THE FINANCE COMMITTEE SELECTS THE AUDIT FIRM AND OVERSEES THE AUDIT.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

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