990 Under section 501(c), 527, or 4947(a)(1) of the Internal … · 2019-01-31 · 990 return of...

93
Check if self-employed OMB No. 1545-0047 Department of the Treasury Internal Revenue Service Check if applicable: Address change Name change Initial return Final return/ termin- ated Gross receipts $ Amended return Applica- tion pending Are all subordinates included? 732001 11-28-17 Beginning of Current Year Paid Preparer Use Only Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) | Do not enter social security numbers on this form as it may be made public. Open to Public Inspection | Go to www.irs.gov/Form990 for instructions and the latest information. A For the 2017 calendar year, or tax year beginning and ending B C D Employer identification number E G H(a) H(b) H(c) F Yes No Yes No I J K Website: | L M 1 2 3 4 5 6 7 3 4 5 6 7a 7b a b Activities & Governance Prior Year Current Year 8 9 10 11 12 13 14 15 16 17 18 19 Revenue a b Expenses End of Year 20 21 22 Sign Here Yes No For Paperwork Reduction Act Notice, see the separate instructions. (or P.O. box if mail is not delivered to street address) Room/suite ) 501(c)(3) 501(c) ( (insert no.) 4947(a)(1) or 527 | Corporation Trust Association Other Form of organization: Year of formation: State of legal domicile: | | Net Assets or Fund Balances Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge. Signature of officer Date Type or print name and title Date PTIN Print/Type preparer’s name Preparer’s signature Firm’s name Firm’s EIN Firm’s address Phone no. Form Name of organization Doing business as Number and street Telephone number City or town, state or province, country, and ZIP or foreign postal code Is this a group return for subordinates? Name and address of principal officer: ~~ If "No," attach a list. (see instructions) Group exemption number | Tax-exempt status: Briefly describe the organization’s mission or most significant activities: Check this box if the organization discontinued its operations or disposed of more than 25% of its net assets. Number of voting members of the governing body (Part VI, line 1a) Number of independent voting members of the governing body (Part VI, line 1b) Total number of individuals employed in calendar year 2017 (Part V, line 2a) ~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~ Total number of volunteers (estimate if necessary) Total unrelated business revenue from Part VIII, column (C), line 12 Net unrelated business taxable income from Form 990-T, line 34 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~ Contributions and grants (Part VIII, line 1h) ~~~~~~~~~~~~~~~~~~~~~ Program service revenue (Part VIII, line 2g) ~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~ Investment income (Part VIII, column (A), lines 3, 4, and 7d) Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) ~~~~~~~~ Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12) Grants and similar amounts paid (Part IX, column (A), lines 1-3) Benefits paid to or for members (Part IX, column (A), line 4) Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) ~~~~~~~~~~~ ~~~~~~~~~~~~~ ~~~ Professional fundraising fees (Part IX, column (A), line 11e) Total fundraising expenses (Part IX, column (D), line 25) ~~~~~~~~~~~~~~ Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) Revenue less expenses. Subtract line 18 from line 12 ~~~~~~~~~~~~~ ~~~~~~~ Total assets (Part X, line 16) Total liabilities (Part X, line 26) Net assets or fund balances. Subtract line 21 from line 20 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~ May the IRS discuss this return with the preparer shown above? (see instructions) LHA Form (2017) Part I Summary Signature Block Part II 990 Return of Organization Exempt From Income Tax 990 2017 § = = 9 9 9 OCT 1, 2017 SEP 30, 2018 JACOB BURNS FILM CENTER, INC. 13-4038441 405 MANVILLE RD 914-773-7663 27,343,860. PLEASANTVILLE, NY 10570-2117 EDITH DEMAS X SAME AS C ABOVE X WWW.BURNSFILMCENTER.ORG X 1998 NY OPERATION OF A CULTURAL ARTS FILM AND FILM EDUCATION CENTER IN WESTCHESTER COUNTY, NEW YORK. 27 27 193 0 0. 0. 1,877,184. 2,382,617. 3,363,205. 3,507,177. 742,695. 1,396,811. 850,777. 1,278,922. 6,833,861. 8,565,527. 0. 0. 0. 0. 4,527,331. 4,697,107. 0. 0. 609,458. 3,774,226. 4,138,049. 8,301,557. 8,835,156. -1,467,696. -269,629. 55,726,702. 54,377,919. 8,084,131. 7,068,071. 47,642,571. 47,309,848. DOMINICK BALLETTA, MANAGING DIRECTOR ANTHONY PENNELLA 01/08/19 P00834560 D’ARCANGELO & CO., LLP 13-2550103 800 WESTCHESTER AVE, SUITE N-400 RYE BROOK, NY 10573-1301 914-694-4600 X

Transcript of 990 Under section 501(c), 527, or 4947(a)(1) of the Internal … · 2019-01-31 · 990 return of...

Page 1: 990 Under section 501(c), 527, or 4947(a)(1) of the Internal … · 2019-01-31 · 990 return of organization exempt from income tax 2017 € € € € € € € € € € §

Checkifself-employed

OMB No. 1545-0047

Department of the TreasuryInternal Revenue Service

Check ifapplicable:

AddresschangeNamechangeInitialreturn

Finalreturn/termin-ated Gross receipts $

AmendedreturnApplica-tionpending

Are all subordinates included?

732001 11-28-17

Beginning of Current Year

Paid

Preparer

Use Only

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

| Do not enter social security numbers on this form as it may be made public. Open to Public Inspection| Go to www.irs.gov/Form990 for instructions and the latest information.

A For the 2017 calendar year, or tax year beginning and ending

B C D Employer identification number

E

G

H(a)

H(b)

H(c)

F Yes No

Yes No

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Website: |

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For Paperwork Reduction Act Notice, see the separate instructions.

(or P.O. box if mail is not delivered to street address) Room/suite

)501(c)(3) 501(c) ( (insert no.) 4947(a)(1) or 527

|Corporation Trust Association OtherForm of organization: Year of formation: State of legal domicile:

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Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is

true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Signature of officer Date

Type or print name and title

Date PTINPrint/Type preparer's name Preparer's signature

Firm's name Firm's EIN

Firm's address

Phone no.

Form

Name of organization

Doing business as

Number and street Telephone number

City or town, state or province, country, and ZIP or foreign postal code

Is this a group return

for subordinates?Name and address of principal officer: ~~

If "No," attach a list. (see instructions)

Group exemption number |

Tax-exempt status:

Briefly describe the organization's mission or most significant activities:

Check this box if the organization discontinued its operations or disposed of more than 25% of its net assets.

Number of voting members of the governing body (Part VI, line 1a)

Number of independent voting members of the governing body (Part VI, line 1b)

Total number of individuals employed in calendar year 2017 (Part V, line 2a)

~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~

Total number of volunteers (estimate if necessary)

Total unrelated business revenue from Part VIII, column (C), line 12

Net unrelated business taxable income from Form 990-T, line 34

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~

����������������������

Contributions and grants (Part VIII, line 1h) ~~~~~~~~~~~~~~~~~~~~~

Program service revenue (Part VIII, line 2g) ~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~Investment income (Part VIII, column (A), lines 3, 4, and 7d)

Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) ~~~~~~~~

Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12) ���

Grants and similar amounts paid (Part IX, column (A), lines 1-3)

Benefits paid to or for members (Part IX, column (A), line 4)

Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10)

~~~~~~~~~~~

~~~~~~~~~~~~~

~~~

Professional fundraising fees (Part IX, column (A), line 11e)

Total fundraising expenses (Part IX, column (D), line 25)

~~~~~~~~~~~~~~

Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e)

Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25)

Revenue less expenses. Subtract line 18 from line 12

~~~~~~~~~~~~~

~~~~~~~

����������������

Total assets (Part X, line 16)

Total liabilities (Part X, line 26)

Net assets or fund balances. Subtract line 21 from line 20

~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~

��������������

May the IRS discuss this return with the preparer shown above? (see instructions) ���������������������

LHA Form (2017)

Part I Summary

Signature BlockPart II

990

Return of Organization Exempt From Income Tax990 2017

    

      

       §    

       

 

 

   

==

999

OCT 1, 2017 SEP 30, 2018

JACOB BURNS FILM CENTER, INC.13-4038441

405 MANVILLE RD 914-773-766327,343,860.

PLEASANTVILLE, NY 10570-2117EDITH DEMAS X

SAME AS C ABOVEX

WWW.BURNSFILMCENTER.ORGX 1998 NY

OPERATION OF A CULTURAL ARTSFILM AND FILM EDUCATION CENTER IN WESTCHESTER COUNTY, NEW YORK.

27271930

0.0.

1,877,184. 2,382,617.3,363,205. 3,507,177.742,695. 1,396,811.850,777. 1,278,922.

6,833,861. 8,565,527.0. 0.0. 0.

4,527,331. 4,697,107.0. 0.

609,458.3,774,226. 4,138,049.8,301,557. 8,835,156.-1,467,696. -269,629.

55,726,702. 54,377,919.8,084,131. 7,068,071.47,642,571. 47,309,848.

DOMINICK BALLETTA, MANAGING DIRECTOR

ANTHONY PENNELLA 01/08/19 P00834560D'ARCANGELO & CO., LLP 13-2550103800 WESTCHESTER AVE, SUITE N-400RYE BROOK, NY 10573-1301 914-694-4600

X

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Code: Expenses $ including grants of $ Revenue $

Code: Expenses $ including grants of $ Revenue $

Code: Expenses $ including grants of $ Revenue $

Expenses $ including grants of $ Revenue $

732002 11-28-17

1

2

3

4

Yes No

Yes No

4a

4b

4c

4d

4e

Form 990 (2017) Page

Check if Schedule O contains a response or note to any line in this Part III ����������������������������

Briefly describe the organization's mission:

Did the organization undertake any significant program services during the year which were not listed on the

prior Form 990 or 990-EZ?

If "Yes," describe these new services on Schedule O.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization cease conducting, or make significant changes in how it conducts, any program services?

If "Yes," describe these changes on Schedule O.

~~~~~~

Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses.

Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and

revenue, if any, for each program service reported.

( ) ( ) ( )

( ) ( ) ( )

( ) ( ) ( )

Other program services (Describe in Schedule O.)

( ) ( )

Total program service expenses |

Form (2017)

2Statement of Program Service AccomplishmentsPart III

990

 

   

   

JACOB BURNS FILM CENTER, INC. 13-4038441

THE MISSION OF THE JACOB BURNS FILM CENTER (JBFC) IS TO PRESENT THEBEST OF INDEPENDENT, DOCUMENTARY, AND WORLD CINEMA. JBFC IS DEDICATEDTO TEACHING PEOPLE OF ALL AGES TO DISCOVER, EXPLORE, AND LEARN THROUGHTHE POWER OF FILM, MEDIA AND 21ST-CENTURY TECHNOLOGY.

X

X

7,625,791. 3,898,246.AN EDUCATION AND CULTURAL INSTITUTION DEDICATED TO PRESENTING THE BESTOF INDEPENDENT, DOCUMENTARY, AND WORLD CINEMA; PROMOTING 21ST CENTURYLITERACY; AND MAKING FILM A VIBRANT PART OF THE COMMUNITY. THE FILMCENTER HOUSES A STATE-OF-THE-ART THEATER COMPLEX, A 27,000 SQUARE-FOOTMEDIA ARTS LAB, AND A RESIDENCE FOR INTERNATIONAL FILMMAKERS. THE FILMCENTER PROVIDES OPPORTUNITIES FOR PEOPLE OF ALL AGES TO DISCOVER,EXPLORE, AND LEARN THROUGH THE POWER OF FILM, MEDIA, AND 21ST CENTURYTECHNOLOGY.

7,625,791.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 2

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732003 11-28-17

Yes No

1

2

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1

2

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Section 501(c)(3) organizations.

a

b

c

d

e

f

a

b

11a

11b

11c

11d

11e

11f

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12b

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b

If "Yes," complete Schedule ASchedule B, Schedule of Contributors

If "Yes," complete Schedule C, Part I

If "Yes," complete Schedule C, Part II

If "Yes," complete Schedule C, Part III

If "Yes," complete Schedule D, Part I

If "Yes," complete Schedule D, Part IIIf "Yes," complete

Schedule D, Part III

If "Yes," complete Schedule D, Part IV

If "Yes," complete Schedule D, Part V

If "Yes," complete Schedule D,Part VI

If "Yes," complete Schedule D, Part VII

If "Yes," complete Schedule D, Part VIII

If "Yes," complete Schedule D, Part IXIf "Yes," complete Schedule D, Part X

If "Yes," complete Schedule D, Part XIf "Yes," complete

Schedule D, Parts XI and XII

If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optionalIf "Yes," complete Schedule E

If "Yes," complete Schedule F, Parts I and IV

If "Yes," complete Schedule F, Parts II and IV

If "Yes," complete Schedule F, Parts III and IV

If "Yes," complete Schedule G, Part I

If "Yes," complete Schedule G, Part IIIf "Yes,"

complete Schedule G, Part III

Form 990 (2017) Page

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Is the organization required to complete ?

Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for

public office?

~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization engage in lobbying activities, or have a section 501(h) election in effect

during the tax year?

Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or

similar amounts as defined in Revenue Procedure 98-19?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~

Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to

provide advice on the distribution or investment of amounts in such funds or accounts?

Did the organization receive or hold a conservation easement, including easements to preserve open space,

the environment, historic land areas, or historic structures?

Did the organization maintain collections of works of art, historical treasures, or other similar assets?

~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization report an amount in Part X, line 21, for escrow or custodial account liability, serve as a custodian for

amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services?

Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent

endowments, or quasi-endowments?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~

If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X

as applicable.

Did the organization report an amount for land, buildings, and equipment in Part X, line 10?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization report an amount for investments - other securities in Part X, line 12 that is 5% or more of its total

assets reported in Part X, line 16?

Did the organization report an amount for investments - program related in Part X, line 13 that is 5% or more of its total

assets reported in Part X, line 16?

~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in

Part X, line 16?

Did the organization report an amount for other liabilities in Part X, line 25?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~

Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses

the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?

Did the organization obtain separate, independent audited financial statements for the tax year?

~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Was the organization included in consolidated, independent audited financial statements for the tax year?

~~~~~

Is the organization a school described in section 170(b)(1)(A)(ii)?

Did the organization maintain an office, employees, or agents outside of the United States?

~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~

Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business,

investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000

or more? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any

foreign organization?

Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to

or for foreign individuals?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX,

column (A), lines 6 and 11e? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines

1c and 8a? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?

�����������������������������������������������

Form (2017)

3Part IV Checklist of Required Schedules

990

JACOB BURNS FILM CENTER, INC. 13-4038441

XX

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X

X

X

XX

X

X

XXX

X

X

X

X

X

X

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 3

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732004 11-28-17

Yes No

20

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Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations.

a

b

c

a

b

Section 501(c)(3) organizations.

Note.

(continued)

If "Yes," complete Schedule H

If "Yes," complete Schedule I, Parts I and II

If "Yes," complete Schedule I, Parts I and III

If "Yes," completeSchedule J

If "Yes," answer lines 24b through 24d and completeSchedule K. If "No", go to line 25a

If "Yes," complete Schedule L, Part I

If "Yes," completeSchedule L, Part I

If "Yes,"complete Schedule L, Part II

If "Yes," complete Schedule L, Part III

If "Yes," complete Schedule L, Part IVIf "Yes," complete Schedule L, Part IV

If "Yes," complete Schedule L, Part IVIf "Yes," complete Schedule M

If "Yes," complete Schedule M

If "Yes," complete Schedule N, Part IIf "Yes," complete

Schedule N, Part II

If "Yes," complete Schedule R, Part IIf "Yes," complete Schedule R, Part II, III, or IV, and

Part V, line 1

If "Yes," complete Schedule R, Part V, line 2

If "Yes," complete Schedule R, Part V, line 2

If "Yes," complete Schedule R, Part VI

Form 990 (2017) Page

Did the organization operate one or more hospital facilities? ~~~~~~~~~~~~~~~~

If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? ~~~~~~~~~~

Did the organization report more than $5,000 of grants or other assistance to any domestic organization or

domestic government on Part IX, column (A), line 1? ~~~~~~~~~~~~~~

Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on

Part IX, column (A), line 2? ~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current

and former officers, directors, trustees, key employees, and highest compensated employees?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the

last day of the year, that was issued after December 31, 2002?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?

Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease

any tax-exempt bonds?

Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?

~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~

Did the organization engage in an excess benefit

transaction with a disqualified person during the year?

Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and

that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?

~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or

former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial

contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member

of any of these persons? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV

instructions for applicable filing thresholds, conditions, and exceptions):

A current or former officer, director, trustee, or key employee? ~~~~~~~~~~~

A family member of a current or former officer, director, trustee, or key employee?

An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer,

director, trustee, or direct or indirect owner?

~~

~~~~~~~~~~~~~~~~~~~~~

Did the organization receive more than $25,000 in non-cash contributions?

Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation

contributions?

~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization liquidate, terminate, or dissolve and cease operations?

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization own 100% of an entity disregarded as separate from the organization under Regulations

sections 301.7701-2 and 301.7701-3?

Was the organization related to any tax-exempt or taxable entity?

~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization have a controlled entity within the meaning of section 512(b)(13)?

If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity

within the meaning of section 512(b)(13)?

~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~

Did the organization make any transfers to an exempt non-charitable related organization?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization conduct more than 5% of its activities through an entity that is not a related organization

and that is treated as a partnership for federal income tax purposes? ~~~~~~~~

Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19?

All Form 990 filers are required to complete Schedule O �������������������������������

Form (2017)

4Part IV Checklist of Required Schedules

990

JACOB BURNS FILM CENTER, INC. 13-4038441

X

X

X

X

X

X

X

X

X

XX

XX

X

X

X

X

XX

X

X

X

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 4

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732005 11-28-17

Yes No

1

2

3

4

5

6

7

a

b

c

1a

1b

1c

a

b

2a

Note.

2b

3a

3b

4a

5a

5b

5c

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7a

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a

b

a

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a

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Organizations that may receive deductible contributions under section 170(c).

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e

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h

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Sponsoring organizations maintaining donor advised funds.

Sponsoring organizations maintaining donor advised funds.

a

b

Section 501(c)(7) organizations.

a

b

10a

10b

Section 501(c)(12) organizations.

a

b

11a

11b

a

b

Section 4947(a)(1) non-exempt charitable trusts. 12a

12b

Section 501(c)(29) qualified nonprofit health insurance issuers.

Note.

a

b

c

a

b

13a

13b

13c

14a

14b

e-file

If "No," to line 3b, provide an explanation in Schedule O

If "No," provide an explanation in Schedule O

Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?

Form (2017)

Form 990 (2017) Page

Check if Schedule O contains a response or note to any line in this Part V ���������������������������

Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ~~~~~~~~~~~

Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable ~~~~~~~~~~

Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming

(gambling) winnings to prize winners? �������������������������������������������

Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements,

filed for the calendar year ending with or within the year covered by this return ~~~~~~~~~~

If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

If the sum of lines 1a and 2a is greater than 250, you may be required to (see instructions)

~~~~~~~~~~

~~~~~~~~~~~

Did the organization have unrelated business gross income of $1,000 or more during the year?

If "Yes," has it filed a Form 990-T for this year?

~~~~~~~~~~~~~~

~~~~~~~~~~

At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a

financial account in a foreign country (such as a bank account, securities account, or other financial account)?~~~~~~~

If "Yes," enter the name of the foreign country:

See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?

Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

~~~~~~~~~~~~

~~~~~~~~~

If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit

any contributions that were not tax deductible as charitable contributions?

If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts

were not tax deductible?

~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

If "Yes," did the organization notify the donor of the value of the goods or services provided?

Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required

to file Form 8282?

~~~~~~~~~~~~~~~

����������������������������������������������������

If "Yes," indicate the number of Forms 8282 filed during the year

Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?

~~~~~~~~~~~~~~~~

~~~~~~~

~~~~~~~~~Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?

~

Did a donor advised fund maintained by the

sponsoring organization have excess business holdings at any time during the year? ~~~~~~~~~~~~~~~~~~~

Did the sponsoring organization make any taxable distributions under section 4966?

Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?

~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~

Enter:

Initiation fees and capital contributions included on Part VIII, line 12

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

~~~~~~~~~~~~~~~

~~~~~~

Enter:

Gross income from members or shareholders

Gross income from other sources (Do not net amounts due or paid to other sources against

amounts due or received from them.)

~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Is the organization filing Form 990 in lieu of Form 1041?

If "Yes," enter the amount of tax-exempt interest received or accrued during the year ������

Is the organization licensed to issue qualified health plans in more than one state?

See the instructions for additional information the organization must report on Schedule O.

~~~~~~~~~~~~~~~~~~~~~

Enter the amount of reserves the organization is required to maintain by the states in which the

organization is licensed to issue qualified health plans

Enter the amount of reserves on hand

~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization receive any payments for indoor tanning services during the tax year?

If "Yes," has it filed a Form 720 to report these payments?

~~~~~~~~~~~~~~~~

����������

5Part V Statements Regarding Other IRS Filings and Tax Compliance

990

 

J

JACOB BURNS FILM CENTER, INC. 13-4038441

660

X

193X

X

X

XX

X

XX

X

X

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 5

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732006 11-28-17

Yes No

1a

1b

1

2

3

4

5

6

7

8

9

a

b

2

3

4

5

6

7a

7b

8a

8b

9

a

b

a

b

Yes No

10

11

a

b

10a

10b

11a

12a

12b

12c

13

14

15a

15b

16a

16b

a

b

12a

b

c

13

14

15

a

b

16a

b

17

18

19

20

For each "Yes" response to lines 2 through 7b below, and for a "No" responseto line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.

If "Yes," provide the names and addresses in Schedule O(This Section B requests information about policies not required by the Internal Revenue Code.)

If "No," go to line 13

If "Yes," describein Schedule O how this was done

(explain in Schedule O)

If there are material differences in voting rights among members of the governing body, or if the governing

body delegated broad authority to an executive committee or similar committee, explain in Schedule O.

Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:

Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts?

Form (2017)

Form 990 (2017) Page

Check if Schedule O contains a response or note to any line in this Part VI ���������������������������

Enter the number of voting members of the governing body at the end of the tax year

Enter the number of voting members included in line 1a, above, who are independent

~~~~~~

~~~~~~

Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other

officer, director, trustee, or key employee? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization delegate control over management duties customarily performed by or under the direct supervision

of officers, directors, or trustees, or key employees to a management company or other person? ~~~~~~~~~~~~~~

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?

Did the organization become aware during the year of a significant diversion of the organization's assets?

Did the organization have members or stockholders?

~~~~~

~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or

more members of the governing body?

Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or

persons other than the governing body?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

The governing body?

Each committee with authority to act on behalf of the governing body?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~

Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the

organization's mailing address? �����������������

Did the organization have local chapters, branches, or affiliates?

If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates,

and branches to ensure their operations are consistent with the organization's exempt purposes?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~

Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?

Describe in Schedule O the process, if any, used by the organization to review this Form 990.

Did the organization have a written conflict of interest policy? ~~~~~~~~~~~~~~~~~~~~

~~~~~~

Did the organization regularly and consistently monitor and enforce compliance with the policy?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization have a written whistleblower policy?

Did the organization have a written document retention and destruction policy?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~

Did the process for determining compensation of the following persons include a review and approval by independent

persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

The organization's CEO, Executive Director, or top management official

Other officers or key employees of the organization

If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).

~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a

taxable entity during the year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation

in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's

exempt status with respect to such arrangements? ������������������������������������

List the states with which a copy of this Form 990 is required to be filed

Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (Section 501(c)(3)s only) available

for public inspection. Indicate how you made these available. Check all that apply.

Own website Another's website Upon request Other

Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial

statements available to the public during the tax year.

State the name, address, and telephone number of the person who possesses the organization's books and records: |

6Part VI Governance, Management, and Disclosure

Section A. Governing Body and Management

Section B. Policies

Section C. Disclosure

990

 

J

       

JACOB BURNS FILM CENTER, INC. 13-4038441

X

27

27

X

XXXX

X

X

XX

X

X

X

XX

XXX

XX

X

NY

X

DOMINICK BALLETTA - 914-773-7663405 MANVILLE RD, PLEASANTVILLE, NY 10570

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 6

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Indi

vidu

al tr

uste

e or

dire

ctor

Inst

itutio

nal t

rust

ee

Offi

cer

Key

empl

oyee

Hig

hest

com

pens

ated

empl

oyee

Form

er

(do not check more than onebox, unless person is both anofficer and a director/trustee)

732007 11-28-17

current

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1a

current

current

former

former directors or trustees

(A) (B) (C) (D) (E) (F)

Form 990 (2017) Page

Check if Schedule O contains a response or note to any line in this Part VII ���������������������������

Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year.

¥ List all of the organization's officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation.Enter -0- in columns (D), (E), and (F) if no compensation was paid.

¥ List all of the organization's key employees, if any. See instructions for definition of "key employee."¥ List the organization's five highest compensated employees (other than an officer, director, trustee, or key employee) who received report-

able compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations.

¥ List all of the organization's officers, key employees, and highest compensated employees who received more than $100,000 ofreportable compensation from the organization and any related organizations.

¥ List all of the organization's that received, in the capacity as a former director or trustee of the organization,more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees; and former such persons.

Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.

PositionName and Title Average hours per

week (list any

hours forrelated

organizationsbelowline)

Reportablecompensation

from the

organization(W-2/1099-MISC)

Reportablecompensationfrom related

organizations(W-2/1099-MISC)

Estimatedamount of

othercompensation

from theorganizationand related

organizations

Form (2017)

7Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated

Employees, and Independent Contractors

990

 

 

JACOB BURNS FILM CENTER, INC. 13-4038441

X

(1) JANET MASLIN 2.00PRESIDENT X X 0. 0. 0.(2) BARRY SHENKMAN 2.00SECRETARY X X 0. 0. 0.(3) JANET BENTON 2.00CHAIR X X 0. 0. 0.(4) DAVID BARBER 2.00DIRECTOR X 0. 0. 0.(5) DAVID ALEXANDER 2.00DIRECTOR X 0. 0. 0.(6) ROBERT GOLDBERG 2.00DIRECTOR X 0. 0. 0.(7) RON HOWARD 2.00DIRECTOR X 0. 0. 0.(8) STEVEN SPIELBERG 2.00DIRECTOR X 0. 0. 0.(9) LYNN SOBEL 2.00VICE CHAIR X 0. 0. 0.(10) STEPHEN APKON 2.00FOUNDER X 0. 0. 0.(11) JOSEPH P. CARLUCCI 2.00DIRECTOR X 0. 0. 0.(12) CAROLINE BRECKER 2.00DIRECTOR X 0. 0. 0.(13) ELIZABETH FRANKEL 2.00DIRECTOR X 0. 0. 0.(14) VIRGINIA GOLD 2.00DIRECTOR X 0. 0. 0.(15) MARK HARRIS 2.00DIRECTOR X 0. 0. 0.(16) THERESA BEACH KILMAN 2.00DIRECTOR X 0. 0. 0.(17) PATRICE SOBECKI 2.00DIRECTOR X 0. 0. 0.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 7

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Form

er

Indi

vidu

al tr

uste

e or

dire

ctor

Inst

itutio

nal t

rust

ee

Offi

cer

Hig

hest

com

pens

ated

empl

oyee

Key

empl

oyee

(do not check more than onebox, unless person is both anofficer and a director/trustee)

732008 11-28-17

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

(B) (C)(A) (D) (E) (F)

1b

c

d

Sub-total

Total from continuation sheets to Part VII, Section A

Total (add lines 1b and 1c)

2

Yes No

3

4

5

former

3

4

5

Section B. Independent Contractors

1

(A) (B) (C)

2

(continued)

If "Yes," complete Schedule J for such individual

If "Yes," complete Schedule J for such individual

If "Yes," complete Schedule J for such person

Page Form 990 (2017)

PositionAverage hours per

week(list any

hours forrelated

organizationsbelowline)

Name and title Reportablecompensation

from the

organization(W-2/1099-MISC)

Reportablecompensationfrom related

organizations(W-2/1099-MISC)

Estimatedamount of

othercompensation

from theorganizationand related

organizations

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |

~~~~~~~~~~ |

������������������������ |

Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable

compensation from the organization |

Did the organization list any officer, director, or trustee, key employee, or highest compensated employee on

line 1a? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization

and related organizations greater than $150,000? ~~~~~~~~~~~~~

Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services

rendered to the organization? ������������������������

Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from

the organization. Report compensation for the calendar year ending with or within the organization's tax year.

Name and business address Description of services Compensation

Total number of independent contractors (including but not limited to those listed above) who received more than

$100,000 of compensation from the organization |

Form (2017)

8Part VII

990

JACOB BURNS FILM CENTER, INC. 13-4038441

(18) FRANK WILLIAMS, JR. 2.00DIRECTOR X 0. 0. 0.(19) JOHN NONNA 2.00DIRECTOR X 0. 0. 0.(20) HEIDI RIEGER 2.00DIRECTOR X 0. 0. 0.(21) RAY SANCHEZ 2.00DIRECTOR X 0. 0. 0.(22) RICHARD ABRAMOWITZ 2.00DIRECTOR X 0. 0. 0.(23) DORIAN GOLDMAN 2.00DIRECTOR X 0. 0. 0.(24) NOAH HUTTON 2.00DIRECTOR X 0. 0. 0.(25) MICHAEL LOMBARDI 2.00DIRECTOR X 0. 0. 0.(26) STEPHANIE LYNN 2.00DIRECTOR X 0. 0. 0.

0. 0. 0.505,248. 0. 0.505,248. 0. 0.

7

X

X

X

TWENTIETH CENTURY FOX, 5799 COLLECTIONSCENTER DRIVE, CHICAGO , IL 60693

FILMDISTRIBUTION/RENTAL 186,281.

UNIVERSAL/FOCUS FEATURESP.O. BOX 848270, DALLAS, TX 75284-8270

FILMDISTRIBUTION/RENTAL 167,654.

TESSITURA NETWORKP.O. BOX 203410, DALLAS, TX 75320-3410

I.T./DATABASEMANAGEMENT 147,376.

A24 FILMSP.O. BOX 8297, PASADENA, CA 91109-8297

FILMDISTRIBUTION/RENTAL 124,681.

D.P. WOLFF143 BEDFORD ROAD, KATONAH, NY 10536 ELECTRICAL/HVAC 112,335.

5SEE PART VII, SECTION A CONTINUATION SHEETS

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 8

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Indi

vidu

al tr

uste

e or

dire

ctor

Inst

itutio

nal t

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ee

Offi

cer

Key

empl

oyee

Hig

hest

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em

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Form

er

73220104-01-17

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

(A) (B) (C) (D) (E) (F)

(continued)Form 990

Name and title Average hours per

week(list any

hours forrelated

organizationsbelowline)

Position (check all that apply)

Reportablecompensation

from the

organization(W-2/1099-MISC)

Reportablecompensationfrom related

organizations(W-2/1099-MISC)

Estimatedamount of

othercompensation

from theorganizationand related

organizations

Total to Part VII, Section A, line 1c �������������������������

Part VII

JACOB BURNS FILM CENTER, INC. 13-4038441

(27) DORI BERINSTEIN 2.00DIRECTOR X 0. 0. 0.(28) JIM KILMAN 2.00ACTING TREASURER X 0. 0. 0.(29) DOMINICK BALLETTA 37.50MANAGING DIRECTOR X 152,115. 0. 0.(30) BRIAN ACKERMAN 35.00PROGRAMMING DIRECTOR X 152,115. 0. 0.(31) EDITH DEMAS 37.50EXECUTIVE DIRECTOR X 201,018. 0. 0.

505,248.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 9

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Noncash contributions included in lines 1a-1f: $

732009 11-28-17

Total revenue.

(A) (B) (C) (D)

1 a

b

c

d

e

f

g

h

1

1

1

1

1

1

a

b

c

d

e

f

Co

ntr

ibu

tio

ns

, G

ifts

, G

ran

tsa

nd

Oth

er

Sim

ila

r A

mo

un

ts

Total.

Business Code

a

b

c

d

e

f

g

2

Pro

gra

m S

erv

ice

Re

ven

ue

Total.

3

4

5

6 a

b

c

d

a

b

c

d

7

a

b

c

8

a

b

9 a

b

c

a

b

10 a

b

c

a

b

Business Code

11 a

b

c

d

e Total.

Oth

er

Re

ven

ue

12

Revenue excludedfrom tax under

sections512 - 514

All other contributions, gifts, grants, and

similar amounts not included above

See instructions.

Form (2017)

Page Form 990 (2017)

Check if Schedule O contains a response or note to any line in this Part VIII �������������������������

Total revenue Related orexempt function

revenue

Unrelatedbusinessrevenue

Federated campaigns

Membership dues

~~~~~~

~~~~~~~~

Fundraising events

Related organizations

~~~~~~~~

~~~~~~

Government grants (contributions)

~~

Add lines 1a-1f ����������������� |

All other program service revenue ~~~~~

Add lines 2a-2f ����������������� |

Investment income (including dividends, interest, and

other similar amounts)

Income from investment of tax-exempt bond proceeds

~~~~~~~~~~~~~~~~~ |

|

Royalties ����������������������� |

(i) Real (ii) Personal

Gross rents

Less: rental expenses

Rental income or (loss)

Net rental income or (loss)

~~~~~~~

~~~

~~

�������������� |

Gross amount from sales of

assets other than inventory

(i) Securities (ii) Other

Less: cost or other basis

and sales expenses

Gain or (loss)

~~~

~~~~~~~

Net gain or (loss) ������������������� |

Gross income from fundraising events (not

including $ of

contributions reported on line 1c). See

Part IV, line 18 ~~~~~~~~~~~~~

Less: direct expenses~~~~~~~~~~

Net income or (loss) from fundraising events ����� |

Gross income from gaming activities. See

Part IV, line 19 ~~~~~~~~~~~~~

Less: direct expenses

Net income or (loss) from gaming activities

~~~~~~~~~

������ |

Gross sales of inventory, less returns

and allowances ~~~~~~~~~~~~~

Less: cost of goods sold

Net income or (loss) from sales of inventory

~~~~~~~~

������ |

Miscellaneous Revenue

All other revenue ~~~~~~~~~~~~~

Add lines 11a-11d ~~~~~~~~~~~~~~~ |

|�������������

9Part VIII Statement of Revenue

990

 

JACOB BURNS FILM CENTER, INC. 13-4038441

193,729.

2,188,888.

2,382,617.

FILM TICKET SALES 900099 2,254,361. 2,254,361.MEMBERSHIP REVENUE 900099 834,533. 834,533.EDUCATION PROGRAM REVENUE 900099 280,468. 280,468.FILM SERIES 900099 137,815. 137,815.

3,507,177.

629,603. 629,603.

19,353,050.

18,585,842.767,208.

767,208. 767,208.

685,039.88,354.

596,685. 596,685.

395,305.104,137.

291,168. 291,168.

OTHER INCOME 900099 383,861. 383,861.FACILITIES RENTAL 532000 7,208. 7,208.

391,069.8,565,527. 3,898,246. 0. 2,284,664.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 10

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Check here if following SOP 98-2 (ASC 958-720)

732010 11-28-17

Total functional expenses.

Joint costs.

(A) (B) (C) (D)

1

2

3

4

5

6

7

8

9

10

11

a

b

c

d

e

f

g

12

13

14

15

16

17

18

19

20

21

22

23

24

a

b

c

d

e

25

26

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).

Grants and other assistance to domestic organizations

and domestic governments. See Part IV, line 21

Compensation not included above, to disqualified

persons (as defined under section 4958(f)(1)) and

persons described in section 4958(c)(3)(B)

Pension plan accruals and contributions (include

section 401(k) and 403(b) employer contributions)

Professional fundraising services. See Part IV, line 17

(If line 11g amount exceeds 10% of line 25,

column (A) amount, list line 11g expenses on Sch O.)

Other expenses. Itemize expenses not covered above. (List miscellaneous expenses in line 24e. If line24e amount exceeds 10% of line 25, column (A)amount, list line 24e expenses on Schedule O.)

Add lines 1 through 24e

Complete this line only if the organization

reported in column (B) joint costs from a combined

educational campaign and fundraising solicitation.

Form 990 (2017) Page

Check if Schedule O contains a response or note to any line in this Part IX ��������������������������

Total expenses Program serviceexpenses

Management andgeneral expenses

Fundraisingexpenses

~

Grants and other assistance to domestic

individuals. See Part IV, line 22 ~~~~~~~

Grants and other assistance to foreign

organizations, foreign governments, and foreign

individuals. See Part IV, lines 15 and 16 ~~~

Benefits paid to or for members ~~~~~~~

Compensation of current officers, directors,

trustees, and key employees ~~~~~~~~

~~~

Other salaries and wages ~~~~~~~~~~

Other employee benefits ~~~~~~~~~~

Payroll taxes ~~~~~~~~~~~~~~~~

Fees for services (non-employees):

Management

Legal

Accounting

Lobbying

~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~

Investment management fees

Other.

~~~~~~~~

Advertising and promotion

Office expenses

Information technology

Royalties

~~~~~~~~~

~~~~~~~~~~~~~~~

~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~

Occupancy ~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~Travel

Payments of travel or entertainment expenses

for any federal, state, or local public officials

Conferences, conventions, and meetings ~~

Interest

Payments to affiliates

~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~

Depreciation, depletion, and amortization

Insurance

~~

~~~~~~~~~~~~~~~~~

All other expenses

|

Form (2017)

Do not include amounts reported on lines 6b,

7b, 8b, 9b, and 10b of Part VIII.

10Part IX Statement of Functional Expenses

990

 

 

JACOB BURNS FILM CENTER, INC. 13-4038441

3,952,469. 3,167,070. 337,986. 447,413.

438,000. 335,201. 44,238. 58,561.306,638. 234,670. 30,970. 40,998.

3,459. 3,164. 295.22,500. 20,582. 1,918.

337,052. 318,570. 16,732. 1,750.100,400. 94,661. 3,945. 1,794.

352,721. 344,951. 7,770.

249,240. 227,990. 21,250.

1,028,466. 967,283. 61,183.125,074. 119,148. 5,926.

PROGRAMMING & SCREENING 1,167,269. 1,167,188. 81.SUPPLIES 164,745. 159,371. 3,890. 1,484.RENTAL AND MAINTENANCE 156,789. 144,090. 12,699.AMORTIZATION OF DEFERRE 132,452. 121,160. 11,292.

297,882. 200,692. 39,732. 57,458.8,835,156. 7,625,791. 599,907. 609,458.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 11

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732011 11-28-17

(A) (B)

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

1

2

3

4

5

6

7

8

9

10c

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

a

b

10a

10b

As

se

ts

Total assets.

Lia

bil

itie

s

Total liabilities.

Organizations that follow SFAS 117 (ASC 958), check here and

complete lines 27 through 29, and lines 33 and 34.

27

28

29

Organizations that do not follow SFAS 117 (ASC 958), check here

and complete lines 30 through 34.

30

31

32

33

34

Ne

t A

ss

ets

or

Fu

nd

Ba

lan

ce

s

Form 990 (2017) Page

Check if Schedule O contains a response or note to any line in this Part X �����������������������������

Beginning of year End of year

Cash - non-interest-bearing

Savings and temporary cash investments

Pledges and grants receivable, net

~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~

Accounts receivable, net ~~~~~~~~~~~~~~~~~~~~~~~~~~

Loans and other receivables from current and former officers, directors,

trustees, key employees, and highest compensated employees. Complete

Part II of Schedule L ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Loans and other receivables from other disqualified persons (as defined under

section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing

employers and sponsoring organizations of section 501(c)(9) voluntary

employees' beneficiary organizations (see instr). Complete Part II of Sch L ~~

Notes and loans receivable, net

Inventories for sale or use

Prepaid expenses and deferred charges

~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~

Land, buildings, and equipment: cost or other

basis. Complete Part VI of Schedule D

Less: accumulated depreciation

~~~

~~~~~~

Investments - publicly traded securities

Investments - other securities. See Part IV, line 11

Investments - program-related. See Part IV, line 11

Intangible assets

~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~

~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Other assets. See Part IV, line 11 ~~~~~~~~~~~~~~~~~~~~~~

Add lines 1 through 15 (must equal line 34) ����������

Accounts payable and accrued expenses

Grants payable

Deferred revenue

~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Tax-exempt bond liabilities

Escrow or custodial account liability. Complete Part IV of Schedule D

~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~

Loans and other payables to current and former officers, directors, trustees,

key employees, highest compensated employees, and disqualified persons.

Complete Part II of Schedule L ~~~~~~~~~~~~~~~~~~~~~~~

Secured mortgages and notes payable to unrelated third parties ~~~~~~

Unsecured notes and loans payable to unrelated third parties ~~~~~~~~

Other liabilities (including federal income tax, payables to related third

parties, and other liabilities not included on lines 17-24). Complete Part X of

Schedule D ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Add lines 17 through 25 ������������������

|

Unrestricted net assets

Temporarily restricted net assets

Permanently restricted net assets

~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~

|

Capital stock or trust principal, or current funds

Paid-in or capital surplus, or land, building, or equipment fund

Retained earnings, endowment, accumulated income, or other funds

~~~~~~~~~~~~~~~

~~~~~~~~

~~~~

Total net assets or fund balances ~~~~~~~~~~~~~~~~~~~~~~

Total liabilities and net assets/fund balances ����������������

Form (2017)

11Balance SheetPart X

990

 

 

 

JACOB BURNS FILM CENTER, INC. 13-4038441

160,405. 34,261.

3,085,044. 2,518,465.

189,366. 299,773.

34,902,645.11,617,531. 23,973,558. 23,285,114.

28,318,329. 28,240,306.0. 0.

55,726,702. 54,377,919.795,228. 527,481.

553,476. 542,899.

5,203,696. 5,447,691.

1,531,731. 550,000.8,084,131. 7,068,071.

X

17,609,123. 19,116,383.4,588,448. 2,518,465.25,445,000. 25,675,000.

47,642,571. 47,309,848.55,726,702. 54,377,919.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 12

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732012 11-28-17

1

2

3

4

5

6

7

8

9

10

1

2

3

4

5

6

7

8

9

10

Yes No

1

2

3

a

b

c

2a

2b

2c

a

b

3a

3b

Form 990 (2017) Page

Check if Schedule O contains a response or note to any line in this Part XI ���������������������������

Total revenue (must equal Part VIII, column (A), line 12)

Total expenses (must equal Part IX, column (A), line 25)

Revenue less expenses. Subtract line 2 from line 1

Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A))

~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~

Net unrealized gains (losses) on investments

Donated services and use of facilities

Investment expenses

Prior period adjustments

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Other changes in net assets or fund balances (explain in Schedule O)

Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33,

column (B))

~~~~~~~~~~~~~~~~~~~

�����������������������������������������������

Check if Schedule O contains a response or note to any line in this Part XII ���������������������������

Accounting method used to prepare the Form 990: Cash Accrual Other

If the organization changed its method of accounting from a prior year or checked "Other," explain in Schedule O.

Were the organization's financial statements compiled or reviewed by an independent accountant? ~~~~~~~~~~~~

If "Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed on a

separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

Were the organization's financial statements audited by an independent accountant? ~~~~~~~~~~~~~~~~~~~

If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis,

consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit,

review, or compilation of its financial statements and selection of an independent accountant?~~~~~~~~~~~~~~~

If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.

As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit

Act and OMB Circular A-133? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit

or audits, explain why in Schedule O and describe any steps taken to undergo such audits ����������������

Form (2017)

12Part XI Reconciliation of Net Assets

Part XII Financial Statements and Reporting

990

 

 

     

     

     

JACOB BURNS FILM CENTER, INC. 13-4038441

8,565,527.8,835,156.-269,629.

47,642,571.-63,094.

0.

47,309,848.

X

X

X

X

X

X

X

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 13

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(iv) Is the organization listedin your governing document?

OMB No. 1545-0047

Department of the TreasuryInternal Revenue Service

732021 10-06-17

(i) (iii) (v) (vi)(ii) Name of supported

organization

Type of organization (described on lines 1-10 above (see instructions))

Amount of monetary

support (see instructions)

Amount of other

support (see instructions)

EIN

(Form 990 or 990-EZ)Complete if the organization is a section 501(c)(3) organization or a section

4947(a)(1) nonexempt charitable trust.| Attach to Form 990 or Form 990-EZ.

| Go to www.irs.gov/Form990 for instructions and the latest information.

Open to PublicInspection

Name of the organization Employer identification number

1

2

3

4

5

6

7

8

9

10

11

12

section 170(b)(1)(A)(i).

section 170(b)(1)(A)(ii).

section 170(b)(1)(A)(iii).

section 170(b)(1)(A)(iii).

section 170(b)(1)(A)(iv).

section 170(b)(1)(A)(v).

section 170(b)(1)(A)(vi).

section 170(b)(1)(A)(vi).

section 170(b)(1)(A)(ix)

section 509(a)(2).

section 509(a)(4).

section 509(a)(1) section 509(a)(2) section 509(a)(3).

a

b

c

d

e

f

g

Type I.

You must complete Part IV, Sections A and B.

Type II.

You must complete Part IV, Sections A and C.

Type III functionally integrated.

You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated.

You must complete Part IV, Sections A and D, and Part V.

Yes No

Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule A (Form 990 or 990-EZ) 2017

(All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in

A school described in (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in

A medical research organization operated in conjunction with a hospital described in Enter the hospital's name,

city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

(Complete Part II.)

A federal, state, or local government or governmental unit described in

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

(Complete Part II.)

A community trust described in (Complete Part II.)

An agricultural research organization described in operated in conjunction with a land-grant college

or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or

university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from

activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment

income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975.

See (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or

more publicly supported organizations described in or . See Check the box in

lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving

the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting

organization.

A supporting organization supervised or controlled in connection with its supported organization(s), by having

control or management of the supporting organization vested in the same persons that control or manage the supported

organization(s).

A supporting organization operated in connection with, and functionally integrated with,

its supported organization(s) (see instructions).

A supporting organization operated in connection with its supported organization(s)

that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness

requirement (see instructions).

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III

functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Provide the following information about the supported organization(s).

LHA

SCHEDULE A

Part I Reason for Public Charity Status

Public Charity Status and Public Support 2017

    

 

  

  

 

  

 

 

 

 

 

JACOB BURNS FILM CENTER, INC. 13-4038441

X

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Subtract line 5 from line 4.

732022 10-06-17

Calendar year (or fiscal year beginning in)

Calendar year (or fiscal year beginning in) |

2

(a) (b) (c) (d) (e) (f)

1

2

3

4

5

Total.

6 Public support.

(a) (b) (c) (d) (e) (f)

7

8

9

10

11

12

13

Total support.

12

First five years.

stop here

14

15

14

15

16

17

18

a

b

a

b

33 1/3% support test - 2017.

stop here.

33 1/3% support test - 2016.

stop here.

10% -facts-and-circumstances test - 2017.

stop here.

10% -facts-and-circumstances test - 2016.

stop here.

Private foundation.

Schedule A (Form 990 or 990-EZ) 2017

|

Add lines 7 through 10

Schedule A (Form 990 or 990-EZ) 2017 Page

(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization

fails to qualify under the tests listed below, please complete Part III.)

2013 2014 2015 2016 2017 Total

Gifts, grants, contributions, and

membership fees received. (Do not

include any "unusual grants.") ~~

Tax revenues levied for the organ-

ization's benefit and either paid to

or expended on its behalf ~~~~

The value of services or facilities

furnished by a governmental unit to

the organization without charge ~

Add lines 1 through 3 ~~~

The portion of total contributions

by each person (other than a

governmental unit or publicly

supported organization) included

on line 1 that exceeds 2% of the

amount shown on line 11,

column (f) ~~~~~~~~~~~~

2013 2014 2015 2016 2017 Total

Amounts from line 4 ~~~~~~~

Gross income from interest,

dividends, payments received on

securities loans, rents, royalties,

and income from similar sources ~

Net income from unrelated business

activities, whether or not the

business is regularly carried on ~

Other income. Do not include gain

or loss from the sale of capital

assets (Explain in Part VI.) ~~~~

Gross receipts from related activities, etc. (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~

If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)

organization, check this box and ��������������������������������������������� |

~~~~~~~~~~~~Public support percentage for 2017 (line 6, column (f) divided by line 11, column (f))

Public support percentage from 2016 Schedule A, Part II, line 14

%

%~~~~~~~~~~~~~~~~~~~~~

If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and

The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |

If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box

and The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |

If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more,

and if the organization meets the "facts-and-circumstances" test, check this box and Explain in Part VI how the organization

meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~ |

If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or

more, and if the organization meets the "facts-and-circumstances" test, check this box and Explain in Part VI how the

organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ~~~~~~~~ |

If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions ��� |

Part II Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)

Section A. Public Support

Section B. Total Support

Section C. Computation of Public Support Percentage 

 

 

 

  

JACOB BURNS FILM CENTER, INC. 13-4038441

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 15

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(Subtract line 7c from line 6.)

Amounts included on lines 2 and 3 received

from other than disqualified persons that

exceed the greater of $5,000 or 1% of the

amount on line 13 for the year

(Add lines 9, 10c, 11, and 12.)

732023 10-06-17

Calendar year (or fiscal year beginning in) |

Calendar year (or fiscal year beginning in) |

Total support.

3

(a) (b) (c) (d) (e) (f)

1

2

3

4

5

6

7

Total.

a

b

c

8 Public support.

(a) (b) (c) (d) (e) (f)

9

10a

b

c11

12

13

14 First five years.

stop here

15

16

15

16

17

18

19

20

2017

2016

17

18

a

b

33 1/3% support tests - 2017.

stop here.

33 1/3% support tests - 2016.

stop here.

Private foundation.

Schedule A (Form 990 or 990-EZ) 2017

Unrelated business taxable income

(less section 511 taxes) from businesses

acquired after June 30, 1975

Schedule A (Form 990 or 990-EZ) 2017 Page

(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to

qualify under the tests listed below, please complete Part II.)

2013 2014 2015 2016 2017 Total

Gifts, grants, contributions, and

membership fees received. (Do not

include any "unusual grants.") ~~

Gross receipts from admissions,merchandise sold or services per-formed, or facilities furnished inany activity that is related to theorganization's tax-exempt purpose

Gross receipts from activities that

are not an unrelated trade or bus-

iness under section 513 ~~~~~

Tax revenues levied for the organ-

ization's benefit and either paid to

or expended on its behalf ~~~~

The value of services or facilities

furnished by a governmental unit to

the organization without charge ~

~~~ Add lines 1 through 5

Amounts included on lines 1, 2, and

3 received from disqualified persons

~~~~~~

Add lines 7a and 7b ~~~~~~~

2013 2014 2015 2016 2017 Total

Amounts from line 6 ~~~~~~~Gross income from interest, dividends, payments received on securities loans, rents, royalties, and income from similar sources ~

~~~~

Add lines 10a and 10b ~~~~~~Net income from unrelated businessactivities not included in line 10b, whether or not the business is regularly carried on ~~~~~~~Other income. Do not include gainor loss from the sale of capitalassets (Explain in Part VI.) ~~~~

If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,

check this box and ���������������������������������������������������� |

Public support percentage for 2017 (line 8, column (f) divided by line 13, column (f))

Public support percentage from 2016 Schedule A, Part III, line 15

~~~~~~~~~~~~ %

%��������������������

Investment income percentage for (line 10c, column (f) divided by line 13, column (f))

Investment income percentage from Schedule A, Part III, line 17

~~~~~~~~ %

%~~~~~~~~~~~~~~~~~~

If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not

more than 33 1/3%, check this box and The organization qualifies as a publicly supported organization ~~~~~~~~~~ |

If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and

line 18 is not more than 33 1/3%, check this box and The organization qualifies as a publicly supported organization ~~~~ |

If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions �������� |

Part III Support Schedule for Organizations Described in Section 509(a)(2)

Section A. Public Support

Section B. Total Support

Section C. Computation of Public Support Percentage

Section D. Computation of Investment Income Percentage

 

 

  

JACOB BURNS FILM CENTER, INC. 13-4038441

8,583,135. 14,328,117. 13,236,594. 2,317,601. 2,979,302. 41,444,749.

2,789,358. 2,886,593. 3,421,640. 3,611,191. 3,805,625. 16,514,407.

11,372,493. 17,214,710. 16,658,234. 5,928,792. 6,784,927. 57,959,156.

0.

0.0.

57,959,156.

11,372,493. 17,214,710. 16,658,234. 5,928,792. 6,784,927. 57,959,156.

-8,260.-208,236. 1,586,672. 2,050,592. 1,333,717. 4,754,485.

-8,260.-208,236. 1,586,672. 2,050,592. 1,333,717. 4,754,485.

86,029. 103,411. 127,678. 162,374. 383,861. 863,353.11,450,262. 17,109,885. 18,372,584. 8,141,758. 8,502,505. 63,576,994.

91.1693.19

7.485.65

X

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 16

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732024 10-06-17

4

Yes No

1

2

3

4

5

6

7

8

9

10

Part VI

1

2

3a

3b

3c

4a

4b

4c

5a

5b

5c

6

7

8

9a

9b

9c

10a

10b

Part VI

a

b

c

a

b

c

a

b

c

a

b

c

a

b

Part VI

Part VI

Part VI

Part VI

Part VI,

Type I or Type II only.

Substitutions only.

Part VI.

Part VI.

Part VI.

Part VI.

Schedule A (Form 990 or 990-EZ) 2017

If "No," describe in how the supported organizations are designated. If designated byclass or purpose, describe the designation. If historic and continuing relationship, explain.

If "Yes," explain in how the organization determined that the supportedorganization was described in section 509(a)(1) or (2).

If "Yes," answer(b) and (c) below.

If "Yes," describe in when and how theorganization made the determination.

If "Yes," explain in what controls the organization put in place to ensure such use.If

"Yes," and if you checked 12a or 12b in Part I, answer (b) and (c) below.

If "Yes," describe in how the organization had such control and discretiondespite being controlled or supervised by or in connection with its supported organizations.

If "Yes," explain in what controls the organization usedto ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B)purposes.

If "Yes,"answer (b) and (c) below (if applicable). Also, provide detail in including (i) the names and EINnumbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action;(iii) the authority under the organization's organizing document authorizing such action; and (iv) how the actionwas accomplished (such as by amendment to the organizing document).

If "Yes," provide detail in

If "Yes," complete Part I of Schedule L (Form 990 or 990-EZ).

If "Yes," complete Part I of Schedule L (Form 990 or 990-EZ).

If "Yes," provide detail in

If "Yes," provide detail in

If "Yes," provide detail in

If "Yes," answer 10b below.(Use Schedule C, Form 4720, to

determine whether the organization had excess business holdings.)

Schedule A (Form 990 or 990-EZ) 2017 Page

(Complete only if you checked a box in line 12 on Part I. If you checked 12a of Part I, complete Sections A

and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete

Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Are all of the organization's supported organizations listed by name in the organization's governing

documents?

Did the organization have any supported organization that does not have an IRS determination of status

under section 509(a)(1) or (2)?

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)?

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and

satisfied the public support tests under section 509(a)(2)?

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B)

purposes?

Was any supported organization not organized in the United States ("foreign supported organization")?

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign

supported organization?

Did the organization support any foreign supported organization that does not have an IRS determination

under sections 501(c)(3) and 509(a)(1) or (2)?

Did the organization add, substitute, or remove any supported organizations during the tax year?

Was any added or substituted supported organization part of a class already

designated in the organization's organizing document?

Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to

anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class

benefited by one or more of its supported organizations, or (iii) other supporting organizations that also

support or benefit one or more of the filing organization's supported organizations?

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor

(defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with

regard to a substantial contributor?

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7?

Was the organization controlled directly or indirectly at any time during the tax year by one or more

disqualified persons as defined in section 4946 (other than foundation managers and organizations described

in section 509(a)(1) or (2))?

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which

the supporting organization had an interest?

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit

from, assets in which the supporting organization also had an interest?

Was the organization subject to the excess business holdings rules of section 4943 because of section

4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated

supporting organizations)?

Did the organization have any excess business holdings in the tax year?

Part IV Supporting Organizations

Section A. All Supporting Organizations

JACOB BURNS FILM CENTER, INC. 13-4038441

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732025 10-06-17

5

Yes No

11

a

b

c

11a

11b

11cPart VI.

Yes No

1

2

Part VI

1

2

Part VI

Yes No

1

Part VI

1

Yes No

1

2

3

1

2

3

Part VI

Part VI

1

2

3

(see instructions).

a

b

c

line 2

line 3

Part VI

Answer (a) and (b) below. Yes No

a

b

a

b

Part VI identify

those supported organizations and explain

2a

2b

3a

3b

Part VI

Answer (a) and (b) below.

Part VI.

Part VI

Schedule A (Form 990 or 990-EZ) 2017

If "Yes" to a, b, or c, provide detail in

If "No," describe in how the supported organization(s) effectively operated, supervised, orcontrolled the organization's activities. If the organization had more than one supported organization,describe how the powers to appoint and/or remove directors or trustees were allocated among the supportedorganizations and what conditions or restrictions, if any, applied to such powers during the tax year.

If "Yes," explain in how providing such benefit carried out the purposes of the supported organization(s) that operated,

supervised, or controlled the supporting organization.

If "No," describe in how controlor management of the supporting organization was vested in the same persons that controlled or managedthe supported organization(s).

If "No," explain in howthe organization maintained a close and continuous working relationship with the supported organization(s).

If "Yes," describe in the role the organization'ssupported organizations played in this regard.

Check the box next to the method that the organization used to satisfy the Integral Part Test during the yearComplete below.

Complete below.Describe in how you supported a government entity (see instructions).

If "Yes," then in how these activities directly furthered their exempt purposes,

how the organization was responsive to those supported organizations, and how the organization determinedthat these activities constituted substantially all of its activities.

If "Yes," explain in thereasons for the organization's position that its supported organization(s) would have engaged in theseactivities but for the organization's involvement.

Provide details in

If "Yes," describe in the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2017 Page

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c)

below, the governing body of a supported organization?

A family member of a person described in (a) above?

A 35% controlled entity of a person described in (a) or (b) above?

Did the directors, trustees, or membership of one or more supported organizations have the power to

regularly appoint or elect at least a majority of the organization's directors or trustees at all times during the

tax year?

Did the organization operate for the benefit of any supported organization other than the supported

organization(s) that operated, supervised, or controlled the supporting organization?

Were a majority of the organization's directors or trustees during the tax year also a majority of the directors

or trustees of each of the organization's supported organization(s)?

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the

organization's tax year, (i) a written notice describing the type and amount of support provided during the prior tax

year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the

organization's governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization's officers, directors, or trustees either (i) appointed or elected by the supported

organization(s) or (ii) serving on the governing body of a supported organization?

By reason of the relationship described in (2), did the organization's supported organizations have a

significant voice in the organization's investment policies and in directing the use of the organization's

income or assets at all times during the tax year?

The organization satisfied the Activities Test.

The organization is the parent of each of its supported organizations.

The organization supported a governmental entity.

Activities Test.

Did substantially all of the organization's activities during the tax year directly further the exempt purposes of

the supported organization(s) to which the organization was responsive?

Did the activities described in (a) constitute activities that, but for the organization's involvement, one or more

of the organization's supported organization(s) would have been engaged in?

Parent of Supported Organizations.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or

trustees of each of the supported organizations?

Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each

of its supported organizations?

(continued)Part IV Supporting Organizations

Section B. Type I Supporting Organizations

Section C. Type II Supporting Organizations

Section D. All Type III Supporting Organizations

Section E. Type III Functionally Integrated Supporting Organizations

   

JACOB BURNS FILM CENTER, INC. 13-4038441

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732026 10-06-17

6

1 See instructions.

Section A - Adjusted Net Income

1

2

3

4

5

6

7

8

1

2

3

4

5

6

7

8Adjusted Net Income

Section B - Minimum Asset Amount

1

2

3

4

5

6

7

8

a

b

c

d

e

1a

1b

1c

1d

2

3

4

5

6

7

8

Total

Discount

Part VI

Minimum Asset Amount

Section C - Distributable Amount

1

2

3

4

5

6

7

1

2

3

4

5

6

Distributable Amount.

Schedule A (Form 990 or 990-EZ) 2017

Schedule A (Form 990 or 990-EZ) 2017 Page

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI.) All

other Type III non-functionally integrated supporting organizations must complete Sections A through E.

(B) Current Year(optional)(A) Prior Year

Net short-term capital gain

Recoveries of prior-year distributions

Other gross income (see instructions)

Add lines 1 through 3

Depreciation and depletion

Portion of operating expenses paid or incurred for production or

collection of gross income or for management, conservation, or

maintenance of property held for production of income (see instructions)

Other expenses (see instructions)

(subtract lines 5, 6, and 7 from line 4)

(B) Current Year(optional)(A) Prior Year

Aggregate fair market value of all non-exempt-use assets (see

instructions for short tax year or assets held for part of year):

Average monthly value of securities

Average monthly cash balances

Fair market value of other non-exempt-use assets

(add lines 1a, 1b, and 1c)

claimed for blockage or other

factors (explain in detail in ):

Acquisition indebtedness applicable to non-exempt-use assets

Subtract line 2 from line 1d

Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount,

see instructions)

Net value of non-exempt-use assets (subtract line 4 from line 3)

Multiply line 5 by .035

Recoveries of prior-year distributions

(add line 7 to line 6)

Current Year

Adjusted net income for prior year (from Section A, line 8, Column A)

Enter 85% of line 1

Minimum asset amount for prior year (from Section B, line 8, Column A)

Enter greater of line 2 or line 3

Income tax imposed in prior year

Subtract line 5 from line 4, unless subject to

emergency temporary reduction (see instructions)

Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see

instructions).

Part V Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations  

 

JACOB BURNS FILM CENTER, INC. 13-4038441

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732027 10-06-17

7

Section D - Distributions Current Year

1

2

3

4

5

6

7

8

9

10

Part VI

Total annual distributions.

Part VI

(i)

Excess Distributions

(ii)Underdistributions

Pre-2017

(iii)Distributable

Amount for 2017Section E - Distribution Allocations (see instructions)

1

2

3

4

5

6

7

8

Part VI

a

b

c

d

e

f

g

h

i

j

Total

a

b

c

Part VI.

Part VI

Excess distributions carryover to 2018.

a

b

c

d

e

Schedule A (Form 990 or 990-EZ) 2017

Schedule A (Form 990 or 990-EZ) 2017 Page

Amounts paid to supported organizations to accomplish exempt purposes

Amounts paid to perform activity that directly furthers exempt purposes of supported

organizations, in excess of income from activity

Administrative expenses paid to accomplish exempt purposes of supported organizations

Amounts paid to acquire exempt-use assets

Qualified set-aside amounts (prior IRS approval required)

Other distributions (describe in ). See instructions.

Add lines 1 through 6.

Distributions to attentive supported organizations to which the organization is responsive

(provide details in ). See instructions.

Distributable amount for 2017 from Section C, line 6

Line 8 amount divided by line 9 amount

Distributable amount for 2017 from Section C, line 6

Underdistributions, if any, for years prior to 2017 (reason-

able cause required- explain in ). See instructions.

Excess distributions carryover, if any, to 2017

From 2013

From 2014

From 2015

From 2016

of lines 3a through e

Applied to underdistributions of prior years

Applied to 2017 distributable amount

Carryover from 2012 not applied (see instructions)

Remainder. Subtract lines 3g, 3h, and 3i from 3f.

Distributions for 2017 from Section D,

line 7: $

Applied to underdistributions of prior years

Applied to 2017 distributable amount

Remainder. Subtract lines 4a and 4b from 4.

Remaining underdistributions for years prior to 2017, if

any. Subtract lines 3g and 4a from line 2. For result greater

than zero, explain in See instructions.

Remaining underdistributions for 2017. Subtract lines 3h

and 4b from line 1. For result greater than zero, explain in

. See instructions.

Add lines 3j

and 4c.

Breakdown of line 7:

Excess from 2013

Excess from 2014

Excess from 2015

Excess from 2016

Excess from 2017

(continued) Part V Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

JACOB BURNS FILM CENTER, INC. 13-4038441

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732028 10-06-17

8

Schedule A (Form 990 or 990-EZ) 2017

Schedule A (Form 990 or 990-EZ) 2017 Page

Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12;Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C,line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V,Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information.(See instructions.)

Part VI Supplemental Information.

JACOB BURNS FILM CENTER, INC. 13-4038441

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OMB No. 1545-0047

Department of the TreasuryInternal Revenue Service

723451 11-01-17

Schedule B (Form 990, 990-EZ, or 990-PF) (2017)

(Form 990, 990-EZ,or 990-PF)

| Attach to Form 990, Form 990-EZ, or Form 990-PF.| Go to www.irs.gov/Form990 for the latest information.

Name of the organization Employer identification number

Organization type

Filers of: Section:

not

General Rule Special Rule.

Note:

General Rule

Special Rules

(1) (2)

General Rule

Caution:

must

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

exclusively

exclusively exclusively

nonexclusively

(check one):

Form 990 or 990-EZ 501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust treated as a private foundation

527 political organization

Form 990-PF 501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the or a

Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or

property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33 1/3% support test of the regulations under

sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from

any one contributor, during the year, total contributions of the greater of $5,000; or 2% of the amount on (i) Form 990, Part VIII, line 1h;

or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the

year, total contributions of more than $1,000 for religious, charitable, scientific, literary, or educational purposes, or for

the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the

year, contributions for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box

is checked, enter here the total contributions that were received during the year for an religious, charitable, etc.,

purpose. Don't complete any of the parts unless the applies to this organization because it received

religious, charitable, etc., contributions totaling $5,000 or more during the year ~~~~~~~~~~~~~~~ | $

An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990, 990-EZ, or 990-PF),

but it answer "No" on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to

certify that it doesn't meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).

LHA

Schedule B Schedule of Contributors

2017

 

 

 

 

 

 

 

 

 

 

JACOB BURNS FILM CENTER, INC. 13-4038441

X 3

X

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723452 11-01-17

Name of organization Employer identification number

Schedule B (Form 990, 990-EZ, or 990-PF) (2017)

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

Schedule B (Form 990, 990-EZ, or 990-PF) (2017) Page

(see instructions). Use duplicate copies of Part I if additional space is needed.

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

2

Part I Contributors

   

   

   

   

   

   

JACOB BURNS FILM CENTER, INC. 13-4038441

1 X

50,000.

2 X

45,000.

3 X

225,000.

4 X

32,500.

5 X

220,000.

6 X

60,000.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 23

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723452 11-01-17

Name of organization Employer identification number

Schedule B (Form 990, 990-EZ, or 990-PF) (2017)

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

Schedule B (Form 990, 990-EZ, or 990-PF) (2017) Page

(see instructions). Use duplicate copies of Part I if additional space is needed.

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

2

Part I Contributors

   

   

   

   

   

   

JACOB BURNS FILM CENTER, INC. 13-4038441

7 X

40,000.

8 X

248,000.

9 X

150,000.

10 X

42,000.

11 X

50,000.

12 X

150,000.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 24

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723452 11-01-17

Name of organization Employer identification number

Schedule B (Form 990, 990-EZ, or 990-PF) (2017)

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

Schedule B (Form 990, 990-EZ, or 990-PF) (2017) Page

(see instructions). Use duplicate copies of Part I if additional space is needed.

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

2

Part I Contributors

   

   

   

   

   

   

JACOB BURNS FILM CENTER, INC. 13-4038441

13 X

30,000.

14 X

250,000.

15 X

80,000.

16 X

165,196.

17 X

100,000.

18 X

55,000.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 25

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723452 11-01-17

Name of organization Employer identification number

Schedule B (Form 990, 990-EZ, or 990-PF) (2017)

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

(a)

No.

(b)

Name, address, and ZIP + 4

(c)

Total contributions

(d)

Type of contribution

Person

Payroll

Noncash

Schedule B (Form 990, 990-EZ, or 990-PF) (2017) Page

(see instructions). Use duplicate copies of Part I if additional space is needed.

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

$

(Complete Part II fornoncash contributions.)

2

Part I Contributors

   

   

   

   

   

   

JACOB BURNS FILM CENTER, INC. 13-4038441

19 X

65,000.

20 X

35,000.

21

148,525. X

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 26

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723453 11-01-17

Name of organization Employer identification number

Schedule B (Form 990, 990-EZ, or 990-PF) (2017)

(a)

No.

from

Part I

(c)

FMV (or estimate)

(See instructions.)

(b)

Description of noncash property given

(d)

Date received

(a)

No.

from

Part I

(c)

FMV (or estimate)

(See instructions.)

(b)

Description of noncash property given

(d)

Date received

(a)

No.

from

Part I

(c)

FMV (or estimate)

(See instructions.)

(b)

Description of noncash property given

(d)

Date received

(a)

No.

from

Part I

(c)

FMV (or estimate)

(See instructions.)

(b)

Description of noncash property given

(d)

Date received

(a)

No.

from

Part I

(c)

FMV (or estimate)

(See instructions.)

(b)

Description of noncash property given

(d)

Date received

(a)

No.

from

Part I

(c)

FMV (or estimate)

(See instructions.)

(b)

Description of noncash property given

(d)

Date received

Schedule B (Form 990, 990-EZ, or 990-PF) (2017) Page

(see instructions). Use duplicate copies of Part II if additional space is needed.

$

$

$

$

$

$

3

Part II Noncash Property

JACOB BURNS FILM CENTER, INC. 13-4038441

1359 SHARES OF WALT DISNEY CO. @$109.29 PER SHARE.21

148,525. 01/10/18

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 27

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(Enter this info. once.)

For organizations

completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year.

723454 11-01-17

Name of organization Employer identification number

religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 forthe year from any one contributor. (a) (e) and

Schedule B (Form 990, 990-EZ, or 990-PF) (2017)

(a) No.fromPart I

(b) Purpose of gift (c) Use of gift (d) Description of how gift is held

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

(a) No.fromPart I

(b) Purpose of gift (c) Use of gift (d) Description of how gift is held

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

(a) No.fromPart I

(b) Purpose of gift (c) Use of gift (d) Description of how gift is held

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

(a) No.fromPart I

(b) Purpose of gift (c) Use of gift (d) Description of how gift is held

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

Complete columns through the following line entry.

Schedule B (Form 990, 990-EZ, or 990-PF) (2017) Page

| $

Use duplicate copies of Part III if additional space is needed.

Exclusively

4

Part III

JACOB BURNS FILM CENTER, INC. 13-4038441

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 28

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OMB No. 1545-0047

Department of the TreasuryInternal Revenue Service

732051 10-09-17

Held at the End of the Tax Year

(Form 990) | Complete if the organization answered "Yes" on Form 990,Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.

| Attach to Form 990.|Go to www.irs.gov/Form990 for instructions and the latest information.

Open to PublicInspection

Name of the organization Employer identification number

(a) (b)

1

2

3

4

5

6

Yes No

Yes No

1

2

3

4

5

6

7

8

9

a

b

c

d

2a

2b

2c

2d

Yes No

Yes No

1

2

a

b

(i)

(ii)

a

b

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule D (Form 990) 2017

Complete if the

organization answered "Yes" on Form 990, Part IV, line 6.

Donor advised funds Funds and other accounts

Total number at end of year

Aggregate value of contributions to (during year)

Aggregate value of grants from (during year)

Aggregate value at end of year

~~~~~~~~~~~~~~~

~~~~

~~~~~~

~~~~~~~~~~~~~

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds

are the organization's property, subject to the organization's exclusive legal control?~~~~~~~~~~~~~~~~~~

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only

for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring

impermissible private benefit? ��������������������������������������������

Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education)

Protection of natural habitat

Preservation of open space

Preservation of a historically important land area

Preservation of a certified historic structure

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last

day of the tax year.

Total number of conservation easements

Total acreage restricted by conservation easements

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~

Number of conservation easements on a certified historic structure included in (a)

Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure

listed in the National Register

~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax

year |

Number of states where property subject to conservation easement is located |

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of

violations, and enforcement of the conservation easements it holds? ~~~~~~~~~~~~~~~~~~~~~~~~~

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year

|

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year

| $

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i)

and section 170(h)(4)(B)(ii)? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, and

include, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for

conservation easements.

Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art,

historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII,

the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical

treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts

relating to these items:

Revenue included on Form 990, Part VIII, line 1

Assets included in Form 990, Part X

~~~~~~~~~~~~~~~~~~~~~~~~~~~~ | $

$~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide

the following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1

Assets included in Form 990, Part X

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ | $

$����������������������������������� |

LHA

Part I Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts.

Part II Conservation Easements.

Part III Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.

SCHEDULE D Supplemental Financial Statements 2017

   

   

       

   

   

JACOB BURNS FILM CENTER, INC. 13-4038441

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 29

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732052 10-09-17

3

4

5

a

b

c

d

e

Yes No

1

2

a

b

c

d

e

f

a

b

Yes No

1c

1d

1e

1f

Yes No

(a) (b) (c) (d) (e)

1

2

3

4

a

b

c

d

e

f

g

a

b

c

a

b

Yes No

(i)

(ii)

3a(i)

3a(ii)

3b

(a) (b) (c) (d)

1a

b

c

d

e

Total.

Schedule D (Form 990) 2017

(continued)

(Column (d) must equal Form 990, Part X, column (B), line 10c.)

Two years back Three years back Four years back

Schedule D (Form 990) 2017 Page

Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its collection items

(check all that apply):

Public exhibition

Scholarly research

Preservation for future generations

Loan or exchange programs

Other

Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets

to be sold to raise funds rather than to be maintained as part of the organization's collection? ������������

Complete if the organization answered "Yes" on Form 990, Part IV, line 9, orreported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included

on Form 990, Part X?

If "Yes," explain the arrangement in Part XIII and complete the following table:

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Amount

Beginning balance

Additions during the year

Distributions during the year

Ending balance

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided on Part XIII

~~~~~

�������������

Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

Current year Prior year

Beginning of year balance

Contributions

Net investment earnings, gains, and losses

Grants or scholarships

~~~~~~~

~~~~~~~~~~~~~~

~~~~~~~~~

Other expenditures for facilities

and programs

Administrative expenses

End of year balance

~~~~~~~~~~~~~

~~~~~~~~

~~~~~~~~~~

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment

Permanent endowment

Temporarily restricted endowment

The percentages on lines 2a, 2b, and 2c should equal 100%.

| %

| %

| %

Are there endowment funds not in the possession of the organization that are held and administered for the organization

by:

unrelated organizations

related organizations

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

If "Yes" on line 3a(ii), are the related organizations listed as required on Schedule R?

Describe in Part XIII the intended uses of the organization's endowment funds.

~~~~~~~~~~~~~~~~~~~~

Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property Cost or otherbasis (investment)

Cost or otherbasis (other)

Accumulateddepreciation

Book value

Land

Buildings

Leasehold improvements

~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~

~~~~~~~~~~

Equipment

Other

~~~~~~~~~~~~~~~~~

��������������������

Add lines 1a through 1e. |�������������

2Part III Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets

Part IV Escrow and Custodial Arrangements.

Part V Endowment Funds.

Part VI Land, Buildings, and Equipment.

       

   

   

    

JACOB BURNS FILM CENTER, INC. 13-4038441

25,445,000. 25,460,000. 15,425,000. 5,475,000. 480,176.280,000. 35,000. 10,085,000. 10,000,000. 5,050,000.

1,333,550. 2,050,485. 1,586,443. -209,124. -9,608.

-50,000. -50,000. -50,000. -50,000. -50,000.-1,333,550. -2,050,485. -1,586,443. 209,124. 4,432.25,675,000. 25,445,000. 25,460,000. 15,425,000. 5,475,000.

XX

1,985,232. 1,985,232.26,614,379. 7,416,848. 19,197,531.

6,264,173. 4,200,683. 2,063,490.38,861. 38,861.

23,285,114.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 30

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(including name of security)

732053 10-09-17

Total.

Total.

(a) (b) (c)

(1)

(2)

(3)

(a) (b) (c)

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(a) (b)

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

Total.

(a) (b) 1.

Total.

2.

Schedule D (Form 990) 2017

(Column (b) must equal Form 990, Part X, col. (B) line 15.)

(Column (b) must equal Form 990, Part X, col. (B) line 25.)

Description of security or category

(Col. (b) must equal Form 990, Part X, col. (B) line 12.) |

(Col. (b) must equal Form 990, Part X, col. (B) line 13.) |

Schedule D (Form 990) 2017 Page

Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

Book value Method of valuation: Cost or end-of-year market value

Financial derivatives

Closely-held equity interests

Other

~~~~~~~~~~~~~~~

~~~~~~~~~~~

(A)

(B)

(C)

(D)

(E)

(F)

(G)

(H)

Complete if the organization answered "Yes" on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.Description of investment Book value Method of valuation: Cost or end-of-year market value

Complete if the organization answered "Yes" on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

Description Book value

���������������������������� |

Complete if the organization answered "Yes" on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

Description of liability Book value

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

Federal income taxes

����� |

Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the

organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

3Part VII Investments - Other Securities.

Part VIII Investments - Program Related.

Part IX Other Assets.

Part X Other Liabilities.

 

JACOB BURNS FILM CENTER, INC. 13-4038441

MONEY MARKET FUNDS -ENDOWMENT 1,383,942. END-OF-YEAR MARKET VALUEPUBLICLY TRADED DEBTSECURITIES 9,178,825. END-OF-YEAR MARKET VALUEPUBLICLY TRADED EQUITYSECURITIES 16,075,442. END-OF-YEAR MARKET VALUEREAL ESTATE FUNDS 543,033. END-OF-YEAR MARKET VALUEPRIVATE EQUITY FUNDS 213,267. END-OF-YEAR MARKET VALUECOMMODITIES FUNDS 845,797. END-OF-YEAR MARKET VALUE

28,240,306.

LINE OF CREDIT 550,000.

550,000.

X

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 31

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732054 10-09-17

1

2

3

4

5

1

a

b

c

d

e

2a

2b

2c

2d

2a 2d 2e

32e 1

a

b

c

4a

4b

4a 4b

3 4c.

4c

5

1

2

3

4

5

1

a

b

c

d

e

2a

2b

2c

2d

2a 2d

2e 1

2e

3

a

b

c

4a

4b

4a 4b

3 4c.

4c

5

Schedule D (Form 990) 2017

(This must equal Form 990, Part I, line 12.)

(This must equal Form 990, Part I, line 18.)

Schedule D (Form 990) 2017 Page

Complete if the organization answered "Yes" on Form 990, Part IV, line 12a.

Total revenue, gains, and other support per audited financial statements

Amounts included on line 1 but not on Form 990, Part VIII, line 12:

~~~~~~~~~~~~~~~~~~~

Net unrealized gains (losses) on investments

Donated services and use of facilities

Recoveries of prior year grants

Other (Describe in Part XIII.)

~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~

Add lines through ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtract line from line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Amounts included on Form 990, Part VIII, line 12, but not on line 1:

Investment expenses not included on Form 990, Part VIII, line 7b

Other (Describe in Part XIII.)

~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~

Add lines and

Total revenue. Add lines and

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

�����������������

Complete if the organization answered "Yes" on Form 990, Part IV, line 12a.

Total expenses and losses per audited financial statements

Amounts included on line 1 but not on Form 990, Part IX, line 25:

~~~~~~~~~~~~~~~~~~~~~~~~~~

Donated services and use of facilities

Prior year adjustments

Other losses

Other (Describe in Part XIII.)

~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~

Add lines through

Subtract line from line

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Amounts included on Form 990, Part IX, line 25, but not on line 1:

Investment expenses not included on Form 990, Part VIII, line 7b

Other (Describe in Part XIII.)

~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~

Add lines and

Total expenses. Add lines and

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

����������������

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI,

lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

4Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return.

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return.

Part XIII Supplemental Information.

JACOB BURNS FILM CENTER, INC. 13-4038441

8,502,433.

-63,094.

-63,094.8,565,527.

0.8,565,527.

8,835,156.

0.8,835,156.

0.8,835,156.

PART X, LINE 2:

THE ORGANIZATION EVALUATES THE EFFECT OF UNCERTAIN TAX POSITIONS IN

ACCORDANCE WITH THE PROVISIONS OF GAAP. THE ORGANIZATION DICLOSES MATERIAL

ADJUSTMENTS RESULTING FROM TAX EXAMINATIONS, IF ANY, AND REPORTS INTEREST

AND PENALTIES RESULTING FROM SUCH ADJUSTMENTS AS INTEREST EXPENSE OR OTHER

EXPENSE. THERE WERE NO TAX EXAMINATIONS OR ADJUSTMENTS RELATING THEREFROM.

TAX RETURNS FOR THE YEARS 2015 THROUGH 2017 ARE SUBJECT TO AUDIT BY THE

APPLICABLE TAXING JURISDICTION.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

ADJUSTMENT (BOOK/TAX DIFFERENCE) FOR REALIZED GAINS/LOSSES

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 32

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732055 10-09-17

5

Schedule D (Form 990) 2017

(continued)Schedule D (Form 990) 2017 Page Part XIII Supplemental Information

JACOB BURNS FILM CENTER, INC. 13-4038441

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 33

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OMB No. 1545-0047

Department of the TreasuryInternal Revenue Service

Didfundraiser

have custodyor control of

contributions?

732081 09-13-17

Go to

(Form 990 or 990-EZ)Complete if the organization answered "Yes" on Form 990, Part IV, line 17, 18, or 19, or if the

organization entered more than $15,000 on Form 990-EZ, line 6a.| Attach to Form 990 or Form 990-EZ. Open to Public

Inspection| for the latest instructions.Employer identification number

1

a

b

c

d

a

b

e

f

g

2

Yes No

(i) (ii)

(iii) (iv)

(v)

(i)

(vi)

Yes No

Total

3

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule G (Form 990 or 990-EZ) 2017

Name of the organization

Complete if the organization answered "Yes" on Form 990, Part IV, line 17. Form 990-EZ filers are notrequired to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

Mail solicitations

Internet and email solicitations

Phone solicitations

In-person solicitations

Solicitation of non-government grants

Solicitation of government grants

Special fundraising events

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees, or

key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be

compensated at least $5,000 by the organization.

Name and address of individualor entity (fundraiser)

ActivityGross receipts

from activity

Amount paidto (or retained by)

fundraiserlisted in col.

Amount paidto (or retained by)

organization

�������������������������������������� |

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registrationor licensing.

LHA

www.irs.gov/Form990

SCHEDULE GSupplemental Information Regarding Fundraising or Gaming Activities

Part I Fundraising Activities.

2017

          

   

JACOB BURNS FILM CENTER, INC. 13-4038441

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 34

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732082 09-13-17

2

(d)

(a)

(c)

(a) (b) (c)

1

2

3

4

5

6

7

8

9

10

11

(a) (b)

(c) (d)

(a) (c)

1

2

3

4

5

6

7

8

Yes Yes Yes

No No No

9

10

a

b

Yes No

a

b

Yes No

Schedule G (Form 990 or 990-EZ) 2017

Pull tabs/instantbingo/progressive bingo

Schedule G (Form 990 or 990-EZ) 2017 Page Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000

of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

Total events

(add col. through

col. )

Re

ven

ue

Event #1 Event #2 Other events

(event type) (event type) (total number)

Gross receipts

Less: Contributions

~~~~~~~~~~~~~~

~~~~~~~~~~~

Gross income (line 1 minus line 2)

Dir

ec

t E

xpe

nse

s

����

Cash prizes

Noncash prizes

~~~~~~~~~~~~~~~

~~~~~~~~~~~~~

Rent/facility costs ~~~~~~~~~~~~

Food and beverages

Entertainment

~~~~~~~~~~

~~~~~~~~~~~~~~

Other direct expenses ~~~~~~~~~~

Direct expense summary. Add lines 4 through 9 in column (d)

Net income summary. Subtract line 10 from line 3, column (d)

~~~~~~~~~~~~~~~~~~~~~~~~ |

������������������������ |Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than

$15,000 on Form 990-EZ, line 6a.

Re

ven

ue Bingo Other gaming

Total gaming (addcol. through col. )

Dir

ec

t E

xpe

nse

s

Gross revenue ��������������

Cash prizes

Noncash prizes

~~~~~~~~~~~~~~~

~~~~~~~~~~~~~

Rent/facility costs

Other direct expenses

~~~~~~~~~~~~

����������

% % %

Volunteer labor ~~~~~~~~~~~~~

Direct expense summary. Add lines 2 through 5 in column (d)

Net gaming income summary. Subtract line 7 from line 1, column (d)

~~~~~~~~~~~~~~~~~~~~~~~~ |

��������������������� |

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states?

If "No," explain:

~~~~~~~~~~~~~~~~~~~~

Were any of the organization's gaming licenses revoked, suspended, or terminated during the tax year?

If "Yes," explain:

~~~~~~~~~

Part II Fundraising Events.

Part III Gaming.

          

   

   

JACOB BURNS FILM CENTER, INC. 13-4038441

NONEANNUAL GALA

685,039. 685,039.

685,039. 685,039.

38,910. 38,910.

49,444. 49,444.88,354.596,685.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 35

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732083 09-13-17

3

11

12

13

14

15

Yes No

Yes No

a

b

13a

13b

Yes Noa

b

c

16

17

a

b

Yes No

Supplemental Information.

Schedule G (Form 990 or 990-EZ) 2017

Schedule G (Form 990 or 990-EZ) 2017 Page

Does the organization conduct gaming activities with nonmembers?

Is the organization a grantor, beneficiary or trustee of a trust, or a member of a partnership or other entity formed

to administer charitable gaming?

~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Indicate the percentage of gaming activity conducted in:

The organization's facility

An outside facility

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ %

%~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name |

Address |

Does the organization have a contract with a third party from whom the organization receives gaming revenue?

If "Yes," enter the amount of gaming revenue received by the organization |

~~~~~~

$ and the amount

of gaming revenue retained by the third party | $

If "Yes," enter name and address of the third party:

Name |

Address |

Gaming manager information:

Name |

Gaming manager compensation |

Description of services provided |

$

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the

organization's own exempt activities during the tax year | $

Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b,

15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Part IV

   

   

   

     

   

JACOB BURNS FILM CENTER, INC. 13-4038441

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732084 04-01-17

4

Schedule G (Form 990 or 990-EZ)

(continued)Schedule G (Form 990 or 990-EZ) Page

Part IV Supplemental Information

JACOB BURNS FILM CENTER, INC. 13-4038441

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OMB No. 1545-0047

Department of the TreasuryInternal Revenue Service

732111 10-17-17

For certain Officers, Directors, Trustees, Key Employees, and HighestCompensated Employees

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.Open to Public

InspectionAttach to Form 990.

| Go to www.irs.gov/Form990 for instructions and the latest information.Employer identification number

Yes No

1a

b

1b

2

2

3

4

a

b

c

4a

4b

4c

Only section 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

5

5a

5b

6a

6b

7

8

9

a

b

6

a

b

7

8

9

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule J (Form 990) 2017

||

Name of the organization

Check the appropriate box(es) if the organization provided any of the following to or for a person listed on Form 990,

Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel

Travel for companions

Housing allowance or residence for personal use

Payments for business use of personal residence

Tax indemnification and gross-up payments

Discretionary spending account

Health or social club dues or initiation fees

Personal services (such as, maid, chauffeur, chef)

If any of the boxes on line 1a are checked, did the organization follow a written policy regarding payment or

reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain~~~~~~~~~~~

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all directors,

trustees, and officers, including the CEO/Executive Director, regarding the items checked on line 1a? ~~~~~~~~~~~~

Indicate which, if any, of the following the filing organization used to establish the compensation of the organization's

CEO/Executive Director. Check all that apply. Do not check any boxes for methods used by a related organization to

establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee

Independent compensation consultant

Form 990 of other organizations

Written employment contract

Compensation survey or study

Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing

organization or a related organization:

Receive a severance payment or change-of-control payment?

Participate in, or receive payment from, a supplemental nonqualified retirement plan?

Participate in, or receive payment from, an equity-based compensation arrangement?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation

contingent on the revenues of:

The organization?

Any related organization?

If "Yes" on line 5a or 5b, describe in Part III.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation

contingent on the net earnings of:

The organization?

Any related organization?

If "Yes" on line 6a or 6b, describe in Part III.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed payments

not described on lines 5 and 6? If "Yes," describe in Part III

Were any amounts reported on Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the

initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe in Part III

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in

Regulations section 53.4958-6(c)? ���������������������������������������������

LHA

SCHEDULE J(Form 990)

Part I Questions Regarding Compensation

Compensation Information

2017

    

    

   

   

JACOB BURNS FILM CENTER, INC. 13-4038441

XXX

XX

XX

X

X

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732112 10-17-17

2

Part II Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees.

Note:

(B) (C) (D) (E) (F)

(i) (ii) (iii) (A)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

Schedule J (Form 990) 2017

Schedule J (Form 990) 2017 Page

Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the instructions, on row (ii).Do not list any individuals that aren't listed on Form 990, Part VII.

The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

Breakdown of W-2 and/or 1099-MISC compensation Retirement andother deferredcompensation

Nontaxablebenefits

Total of columns(B)(i)-(D)

Compensationin column (B)

reported as deferredon prior Form 990

Basecompensation

Bonus &incentive

compensation

Otherreportable

compensation

Name and Title

JACOB BURNS FILM CENTER, INC. 13-4038441

(1) DOMINICK BALLETTA 152,115. 0. 0. 0. 0. 152,115. 0.MANAGING DIRECTOR 0. 0. 0. 0. 0. 0. 0.(2) BRIAN ACKERMAN 152,115. 0. 0. 0. 0. 152,115. 0.PROGRAMMING DIRECTOR 0. 0. 0. 0. 0. 0. 0.(3) EDITH DEMAS 201,018. 0. 0. 0. 0. 201,018. 0.EXECUTIVE DIRECTOR 0. 0. 0. 0. 0. 0. 0.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01

39

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732113 10-17-17

3

Part III Supplemental Information

Schedule J (Form 990) 2017

Schedule J (Form 990) 2017 Page

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

JACOB BURNS FILM CENTER, INC. 13-4038441

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40

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OMB No. 1545-0047

Department of the TreasuryInternal Revenue Service

Loan to orfrom the

organization?

732131 10-18-17

(Form 990 or 990-EZ) | Complete if the organization answered "Yes" on Form 990, Part IV, line 25a, 25b, 26, 27, 28a,28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.

Open To PublicInspection

| Attach to Form 990 or Form 990-EZ. | Go to www.irs.gov/Form990 for instructions and the latest information.

Employer identification number

1 (b) (d) (a) (c)

Yes No

2

3

(a) (c) (e) (g) (h) (i) (d) (b) (f)

Yes No Yes No Yes No

Total

(b) (a) (c) (d) (e)

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule L (Form 990 or 990-EZ) 2017

Approvedby board orcommittee?

Writtenagreement?

Relationshipwith organization

Name of the organization

(section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).

Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

Relationship between disqualifiedperson and organization

Corrected?Name of disqualified person Description of transaction

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under

section 4958 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |

|

$

$Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ~~~~~~~~~~~~~~~~

Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a or Form 990, Part IV, line 26; or if the organization

reported an amount on Form 990, Part X, line 5, 6, or 22.

Name ofinterested person

Purposeof loan

Originalprincipal amount

Indefault?

Balance due

To From

���������������������������������������� | $

Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

Relationship betweeninterested person and

the organization

Name of interested person Amount ofassistance

Type ofassistance

Purpose ofassistance

LHA

SCHEDULE L

Part I Excess Benefit Transactions

Part II Loans to and/or From Interested Persons.

Part III Grants or Assistance Benefiting Interested Persons.

Transactions With Interested Persons2017

JACOB BURNS FILM CENTER, INC. 13-4038441

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732132 10-18-17

2

(e) (a) (b) (c) (d)

Yes No

Schedule L (Form 990 or 990-EZ) 2017

Schedule L (Form 990 or 990-EZ) 2017 Page

Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.Sharing of

organization'srevenues?

Name of interested person Relationship between interestedperson and the organization

Amount oftransaction

Description oftransaction

Provide additional information for responses to questions on Schedule L (see instructions).

Part IV Business Transactions Involving Interested Persons.

Part V Supplemental Information

JACOB BURNS FILM CENTER, INC. 13-4038441

ROME ENTERPRISES LLC COMMON BOARD MEMBER 1,141,573.DEBT REPAYM X

SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:

(A) NAME OF PERSON: ROME ENTERPRISES LLC

(D) DESCRIPTION OF TRANSACTION: DEBT REPAYMENT AND RELIEF

LISTTOTAL 1075614

;LISTTOTAL 1093147

;LISTTOTAL 1110965

;LISTTOTAL 1131731

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OMB No. 1545-0047

Department of the TreasuryInternal Revenue Service

732211 09-07-17

Complete to provide information for responses to specific questions onForm 990 or 990-EZ or to provide any additional information.

| Attach to Form 990 or 990-EZ.| Go to www.irs.gov/Form990 for the latest information.

(Form 990 or 990-EZ)

Open to PublicInspection

Employer identification number

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule O (Form 990 or 990-EZ) (2017)

Name of the organization

LHA

SCHEDULE O Supplemental Information to Form 990 or 990-EZ 2017

JACOB BURNS FILM CENTER, INC. 13-4038441

FORM 990, PART VI, SECTION A, LINE 2:

THERESA KILMAN, DIRECTOR, AND JIM KILMAN, ACTING TREASURER, ARE RELATED BY

MARRIAGE.

FORM 990, PART VI, SECTION B, LINE 11B:

DURING THE REGULARLY SCHEDULED PERIODIC BOARD OF DIRECTORS MEETING PRIOR TO

FILING THE 990 RETURN, A DRAFT COPY OF THE 990 RETURN IS REVIEWED AND

APPROVED BY THE DELEGATED BOARD MEMBERS.

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

SALARY SURVEYS FOR THE EXECUTIVE DIRECTOR FOR NOT FOR PROFIT ORGANIZATIONS

ARE REVIEWED AS REQUIRED BY BOARD MEMBERS. SURVEY DATA AND INDIVIDUAL

PERFORMANCE EVALUATIONS ARE USED BY THE BOARD TO DETERMINE COMPENSATION.

FORM 990, PART VI, SECTION C, LINE 19:

THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, AUDITED FINANCIAL

STATEMENTS, GOVERNING DOCUMENTS, WHISTLEBLOWER POLICY AND RECORDS RETENTION

AND DESTRUCTION POLICY IS MADE AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE

OFFICE OF THE ORGANIZATION.

FORM 990, PART XI, LINE 2C

THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE

AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT

AUDITOR.

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OMB No. 1545-0047

Department of the TreasuryInternal Revenue Service

Section 512(b)(13)

controlled

entity?

732161 09-11-17

SCHEDULE R(Form 990) Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.

Attach to Form 990. Open to PublicInspection| Go to www.irs.gov/Form990 for instructions and the latest information.

Employer identification number

Part I Identification of Disregarded Entities.

(a) (b) (c) (d) (e) (f)

Identification of Related Tax-Exempt Organizations. Part II

(a) (b) (c) (d) (e) (f) (g)

Yes No

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule R (Form 990) 2017

|

|

Name of the organization

Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

Name, address, and EIN (if applicable)of disregarded entity

Primary activity Legal domicile (state or

foreign country)

Total income End-of-year assets Direct controllingentity

Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related tax-exemptorganizations during the tax year.

Name, address, and EINof related organization

Primary activity Legal domicile (state or

foreign country)

Exempt Codesection

Public charitystatus (if section

501(c)(3))

Direct controllingentity

LHA

Related Organizations and Unrelated Partnerships

2017

JACOB BURNS FILM CENTER, INC. 13-4038441

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44

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Disproportionate

allocations?

Legaldomicile(state orforeigncountry)

General ormanagingpartner?

Section512(b)(13)controlled

entity?

Legal domicile(state orforeigncountry)

732162 09-11-17

2

Identification of Related Organizations Taxable as a Partnership. Part III

(a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k)

Yes No Yes No

Identification of Related Organizations Taxable as a Corporation or Trust. Part IV

(a) (b) (c) (d) (e) (f) (g) (h) (i)

Yes No

Schedule R (Form 990) 2017

Predominant income(related, unrelated,

excluded from tax undersections 512-514)

Schedule R (Form 990) 2017 Page

Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more relatedorganizations treated as a partnership during the tax year.

Name, address, and EINof related organization

Primary activity Direct controllingentity

Share of totalincome

Share ofend-of-year

assets

Code V-UBIamount in box20 of ScheduleK-1 (Form 1065)

Percentageownership

Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more relatedorganizations treated as a corporation or trust during the tax year.

Name, address, and EINof related organization

Primary activity Direct controllingentity

Type of entity(C corp, S corp,

or trust)

Share of totalincome

Share ofend-of-year

assets

Percentageownership

JACOB BURNS FILM CENTER, INC. 13-4038441

ROME ENTERPRISES, LLC -13-4013190, 39 RAY CLIFFDRIVE, ACCORD, NY 12404 NY N/A N/A N/A N/A N/A N/A N/A N/A

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01

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732163 09-11-17

3

Part V Transactions With Related Organizations.

Note: Yes No

1

a

b

c

d

e

f

g

h

i

j

k

l

m

n

o

p

q

r

s

(i) (ii) (iii) (iv) 1a

1b

1c

1d

1e

1f

1g

1h

1i

1j

1k

1l

1m

1n

1o

1p

1q

1r

1s

2

(a) (b) (c) (d)

(1)

(2)

(3)

(4)

(5)

(6)

Schedule R (Form 990) 2017

Schedule R (Form 990) 2017 Page

Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

Receipt of interest, annuities, royalties, or rent from a controlled entity ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Gift, grant, or capital contribution to related organization(s)

Gift, grant, or capital contribution from related organization(s)

Loans or loan guarantees to or for related organization(s)

Loans or loan guarantees by related organization(s)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Dividends from related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Sale of assets to related organization(s)

Purchase of assets from related organization(s)

Exchange of assets with related organization(s)

Lease of facilities, equipment, or other assets to related organization(s)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Lease of facilities, equipment, or other assets from related organization(s)

Performance of services or membership or fundraising solicitations for related organization(s)

Performance of services or membership or fundraising solicitations by related organization(s)

Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Sharing of paid employees with related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Reimbursement paid to related organization(s) for expenses

Reimbursement paid by related organization(s) for expenses

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Other transfer of cash or property to related organization(s)

Other transfer of cash or property from related organization(s)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

��������������������������������������������������������

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

Name of related organization Transactiontype (a-s)

Amount involved Method of determining amount involved

JACOB BURNS FILM CENTER, INC. 13-4038441

XXXXX

XXXXX

XXXXX

XX

XX

ROME ENTERPRISES, LLC R 891,573.ACCRUAL BASIS

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46

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Are allpartners sec.

501(c)(3)orgs.?

Dispropor-tionate

allocations?

General ormanagingpartner?

732164 09-11-17

Yes No Yes No Yes N

4

Part VI Unrelated Organizations Taxable as a Partnership.

(a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k)

o

Schedule R (Form 990) 2017

Predominant income(related, unrelated,

excluded from tax undersections 512-514)

Code V-UBIamount in box 20of Schedule K-1

(Form 1065)

Schedule R (Form 990) 2017 Page

Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue)that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

Name, address, and EINof entity

Primary activity Legal domicile(state or foreign

country)

Share oftotal

income

Share ofend-of-year

assets

Percentageownership

JACOB BURNS FILM CENTER, INC. 13-4038441

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Conv

AssetNo.

LineNo.

728111 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus%

Excl

Section 179Expense

Reduction In Basis

Basis ForDepreciation

BeginningAccumulatedDepreciation

CurrentSec 179Expense

Current YearDeduction

EndingAccumulatedDepreciation

Description Method Life

*

(D) - Asset disposed * ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

FORM 990 PAGE 10 990

BUILDINGS

67 CAPITALIZED R/E TAXES 06/15/01 SL 40.00 16 29,155. 29,155. 11,904. 729. 12,633.

68 THEATER BUILD'G PURCHASE 06/15/01 SL 40.00 16 1,047,900. 1,047,900. 427,820. 26,198. 454,018.

69CAPITALIZED INTEREST-364THEATRE 06/15/01 SL 40.00 16 174,368. 174,368. 71,184. 4,359. 75,543.

116BUILD'G-405 MANVILLE RD.-G/L1501 09/01/08 SL 40.00 16 13228445. 13228445.2,997,477. 330,711.3,328,188.

118 BUILDING-3 GRANT-G/L 1523 09/01/08 SL 40.00 16 49,525. 49,525. 11,245. 1,238. 12,483.

121CAPITALIZEDINTEREST-EDUCATION BUILDG 09/01/08 SL 40.00 16 162,325. 162,325. 35,021. 4,058. 39,079.

245CAPITALIZEDINTEREST-MICROTHEATERS 4 &5 03/06/15 SL 40.00 16 25,562. 25,562. 1,651. 639. 2,290.* 990 PAGE 10 TOTALBUILDINGS 14717280. 14717280.3,556,302. 367,932.3,924,234.

MACHINERY & EQUIPMENT

127 AUDIO VISUAL EQUIP 07/15/08 SL 5.00 16 2,358. 2,358. 2,358. 0. 2,358.

143 AV EQUIPMENT 03/31/09 SL 5.00 16 165,435. 165,435. 165,435. 0. 165,435.

154 A/V EQUIPMENT G/L 1561 03/31/10 SL 5.00 16 86,601. 86,601. 86,601. 0. 86,601.

178 A/V EQUIPMENT G/L 1561 02/15/11 SL 5.00 16 20,272. 20,272. 20,272. 0. 20,272.

179 A/V EQUIPMENT G/L 1561 12/31/11 SL 5.00 16 64,990. 64,990. 64,990. 0. 64,990.

213 CAMERAS AND SOUND SYST 03/31/13 SL 5.00 16 29,449. 29,449. 26,505. 2,944. 29,449.

225 EDUC CENTER VIDEO EQUIPMENT 03/15/14 SL 5.00 16 14,274. 14,274. 10,230. 2,855. 13,085.

244 CAMERAS/PROJECTORS 02/15/15 SL 5.00 16 56,045. 56,045. 29,891. 11,209. 41,100.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01

47.1

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Conv

AssetNo.

LineNo.

728111 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus%

Excl

Section 179Expense

Reduction In Basis

Basis ForDepreciation

BeginningAccumulatedDepreciation

CurrentSec 179Expense

Current YearDeduction

EndingAccumulatedDepreciation

Description Method Life

*

(D) - Asset disposed * ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

FORM 990 PAGE 10 990

254EDUC CENTER-A/V EQUIPMENT/PROJECTOR 02/29/16 SL 5.00 16 145,081. 145,081. 45,942. 29,016. 74,958.

260 A/V EQUIPMENT G/L 1561 09/15/17 SL 5.00 16 12,644. 12,644. 211. 2,529. 2,740.

272 A/V EQUIPMENT G/L 1561 06/15/18 SL 5.00 16 69,069. 69,069. 4,605. 4,605.* 990 PAGE 10 TOTALMACHINERY & EQUIPMENT 666,218. 666,218. 452,435. 53,158. 505,593.

BUILDINGS

117BUILDING-401-405MANVILLE-G/L 1521 09/01/08 SL 40.00 16 1,947,241. 1,947,241. 442,186. 48,681. 490,867.

134 MEA BUILD'G IMPROV. G/L 1521 03/31/09 SL 40.00 16 226,657. 226,657. 48,161. 5,666. 53,827.

149IMPROVEMENTS-MANVILLE RD G/L1521 03/31/10 SL 20.00 16 27,091. 27,091. 10,162. 1,355. 11,517.

170 EDUC. CENTER SECURITY CAMERA 10/31/10 SL 10.00 16 985. 985. 684. 99. 783.

171EDUC CENTER DUCT WORK G/L1521 02/28/11 SL 20.00 16 3,750. 3,750. 1,237. 188. 1,425.

191 NEW LOCKS-G/L 1521 06/30/12 SL 10.00 16 1,550. 1,550. 814. 155. 969.

241ELECTRICAL EQUIP.-405MANVILLE 07/28/15 SL 10.00 16 2,217. 2,217. 481. 222. 703.

253 EDUC CENTR-BALLASTS 01/21/16 SL 10.00 16 7,562. 7,562. 1,260. 756. 2,016.

256EDUC CENTER -IMPROVGL1521NEW BALLAST 05/01/17 SL 10.00 16 1,469. 1,469. 61. 147. 208.

257EDUC CENTER-RECONFIG ADMINSEATING 01/31/17 NC 10.00 HY 4,400. 4,400. 0.

271EDUC CENTER ELECTRICAL WORKG/L 1521 07/15/18 SL 10.00 16 22,113. 22,113. 553. 553.* 990 PAGE 10 TOTALBUILDINGS 2,245,035. 2,245,035. 505,046. 57,822. 562,868.

* 990 PAGE 10 TOTAL - 17628533. 17628533.4,513,783. 478,912.4,992,695.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01

47.2

Page 50: 990 Under section 501(c), 527, or 4947(a)(1) of the Internal … · 2019-01-31 · 990 return of organization exempt from income tax 2017 € € € € € € € € € € §

Conv

AssetNo.

LineNo.

728111 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus%

Excl

Section 179Expense

Reduction In Basis

Basis ForDepreciation

BeginningAccumulatedDepreciation

CurrentSec 179Expense

Current YearDeduction

EndingAccumulatedDepreciation

Description Method Life

*

(D) - Asset disposed * ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

FORM 990 PAGE 10 990

BUILDINGS

122 5 GRANT ST. BUILDING 09/01/08 SL 40.00 16 420,409. 420,409. 95,466. 10,510. 105,976.

135 FURN. 5 GRANT ST GL 1524 03/31/09 SL 5.00 16 6,362. 6,362. 6,362. 0. 6,362.

136BUILD'G IMPRO. 5GRANT GL1524 03/31/09 SL 40.00 16 44,305. 44,305. 9,418. 1,108. 10,526.

183 NEW WINDOWS-5 GRANT 04/30/12 SL 15.00 16 20,641. 20,641. 7,453. 1,376. 8,829.

243RENOVATIONS AND NEW TILING-5GRANT ST.GL 1524 03/31/15 SL 15.00 16 22,151. 22,151. 3,692. 1,477. 5,169.* 990 PAGE 10 TOTALBUILDINGS 513,868. 513,868. 122,391. 14,471. 136,862.

* 990 PAGE 10 TOTAL - 513,868. 513,868. 122,391. 14,471. 136,862.

BUILDINGS

8 BUILDING 06/15/01 SL 40.00 16 4,775,432. 4,775,432.1,949,717. 119,386.2,069,103.

66 2002 ADDITIONS 03/31/02 SL 40.00 16 57,317. 57,317. 22,286. 1,433. 23,719.* 990 PAGE 10 TOTALBUILDINGS 4,832,749. 4,832,749.1,972,003. 120,819.2,092,822.

* 990 PAGE 10 TOTAL - 4,832,749. 4,832,749.1,972,003. 120,819.2,092,822.

BUILDINGS

70 PROJECTION RM FLOORING 09/01/03 SL 40.00 16 7,008. 7,008. 2,465. 175. 2,640.

71 THEATER 3RD FLOOR FLOOR 09/09/03 SL 40.00 16 500. 500. 183. 13. 196.

72 LOBBY FLOORING 05/31/03 SL 40.00 16 12,828. 12,828. 4,601. 321. 4,922.

80 PEDIMENT STEEL BRACKET 03/01/04 SL 10.00 16 2,780. 2,780. 2,780. 0. 2,780.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01

47.3

Page 51: 990 Under section 501(c), 527, or 4947(a)(1) of the Internal … · 2019-01-31 · 990 return of organization exempt from income tax 2017 € € € € € € € € € € §

Conv

AssetNo.

LineNo.

728111 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus%

Excl

Section 179Expense

Reduction In Basis

Basis ForDepreciation

BeginningAccumulatedDepreciation

CurrentSec 179Expense

Current YearDeduction

EndingAccumulatedDepreciation

Description Method Life

*

(D) - Asset disposed * ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

FORM 990 PAGE 10 990

81 ROOFING 11/30/03 SL 10.00 16 3,225. 3,225. 3,225. 0. 3,225.

82NEW THEATER UPPER LEVELOFFICE SPACE 08/01/04 SL 20.00 16 33,753. 33,753. 22,225. 1,688. 23,913.

95 2005 ADDITIONS 08/25/05 SL 20.00 16 41,276. 41,276. 24,940. 2,064. 27,004.

102 HANDICAP RAMP 03/15/06 SL 20.00 16 45,728. 45,728. 26,480. 2,286. 28,766.

103 CONCESSION EQUIPMENT 09/16/06 SL 10.00 16 8,000. 8,000. 8,000. 0. 8,000.

115 WALL PREP WORK 09/01/07 SL 10.00 16 1,500. 1,500. 1,500. 0. 1,500.

132 THEATER BUILD IMPROV G/L1511 07/31/09 SL 40.00 16 246,996. 246,996. 50,429. 6,175. 56,604.

133 THEATER FIXT G/L 1511 03/31/09 SL 5.00 16 7,800. 7,800. 7,800. 0. 7,800.

147 THEATER BUILD IMPROV G/L1511 03/31/10 SL 40.00 16 39,532. 39,532. 7,410. 988. 8,398.

148 THEATER FIXT G/L 1511 03/31/10 SL 20.00 16 15,923. 15,923. 5,970. 796. 6,766.

158 THEATER BUILD IMPROV G/L1511 11/15/10 SL 40.00 16 13,336. 13,336. 2,304. 333. 2,637.

159THEATER HVAC PROJECT G/L1511 02/28/11 SL 20.00 16 5,849. 5,849. 1,923. 292. 2,215.

188 THEATER FACADE ADDITION 02/29/12 SL 20.00 16 30,119. 30,119. 8,408. 1,506. 9,914.

189 HEARING LOOP-THEATER BUILDG 06/30/12 SL 10.00 16 11,365. 11,365. 5,969. 1,137. 7,106.

190 FLOORING-THEATER 04/30/12 SL 5.00 16 2,315. 2,315. 2,315. 0. 2,315.

198 THEATER FACADE ADDITION 08/01/13 SL 20.00 16 98,137. 98,137. 20,446. 4,907. 25,353.

199AIR CONDITIONING-PROJECTIONROOM 04/22/13 SL 10.00 16 15,120. 15,120. 6,678. 1,512. 8,190.

200 LED LIGHTING SYSTEM 08/01/13 SL 10.00 16 45,314. 45,314. 18,879. 4,531. 23,410.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01

47.4

Page 52: 990 Under section 501(c), 527, or 4947(a)(1) of the Internal … · 2019-01-31 · 990 return of organization exempt from income tax 2017 € € € € € € € € € € §

Conv

AssetNo.

LineNo.

728111 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus%

Excl

Section 179Expense

Reduction In Basis

Basis ForDepreciation

BeginningAccumulatedDepreciation

CurrentSec 179Expense

Current YearDeduction

EndingAccumulatedDepreciation

Description Method Life

*

(D) - Asset disposed * ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

FORM 990 PAGE 10 990

201 BATH RENOVATION 07/29/13 SL 10.00 16 2,400. 2,400. 1,000. 240. 1,240.

220MICROTHEATERS 4 AND 5HARDCOSTS 03/06/15 SL 40.00 16 3,055,306. 3,055,306. 197,323. 76,383. 273,706.

221THEATER 3RD FLOOR- THEATER 4AND 5 FIXTURES 03/06/15 SL 20.00 16 425,680. 425,680. 54,984. 21,284. 76,268.

246 THEATER FIXT & EQUIP. 01/15/16 SL 10.00 16 12,942. 12,942. 2,265. 1,294. 3,559.

258THEATER BUILD IMPROVG/L1511-RAILING 08/31/17 SL 10.00 16 11,803. 11,803. 98. 1,180. 1,278.* 990 PAGE 10 TOTALBUILDINGS 4,196,535. 4,196,535. 490,600. 129,105. 619,705.

* 990 PAGE 10 TOTAL - 4,196,535. 4,196,535. 490,600. 129,105. 619,705.

BUILDINGS

172RECORDING STUDIO SYST. G/L1522-09 11/30/10 SL 10.00 16 16,663. 16,663. 11,385. 1,666. 13,051.

186RECORDING STUDIO EQUIP G/L1522-09 04/15/12 SL 5.00 16 4,256. 4,256. 4,256. 0. 4,256.

216PIANO AND OTHER MUSICALINSTRUMENTS 09/30/13 SL 5.00 16 26,985. 26,985. 21,588. 5,397. 26,985.

231 BOOM STANDS-EDU. CENTER 01/24/14 SL 5.00 16 982. 982. 719. 196. 915.

242 A/V EQUIPMENT G/L 1522-09 04/01/15 SL 5.00 16 904. 904. 452. 181. 633.

263RECORDING STUDIO EQUIP G/L1522-09 12/31/16 SL 5.00 16 25,640. 25,640. 3,846. 5,128. 8,974.* 990 PAGE 10 TOTALBUILDINGS 75,430. 75,430. 42,246. 12,568. 54,814.

* 990 PAGE 10 TOTAL - 75,430. 75,430. 42,246. 12,568. 54,814.

BUILDINGS

173SOUND STAGE EQUIP G/L1522-14 11/30/10 SL 10.00 16 3,371. 3,371. 2,303. 337. 2,640.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01

47.5

Page 53: 990 Under section 501(c), 527, or 4947(a)(1) of the Internal … · 2019-01-31 · 990 return of organization exempt from income tax 2017 € € € € € € € € € € §

Conv

AssetNo.

LineNo.

728111 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus%

Excl

Section 179Expense

Reduction In Basis

Basis ForDepreciation

BeginningAccumulatedDepreciation

CurrentSec 179Expense

Current YearDeduction

EndingAccumulatedDepreciation

Description Method Life

*

(D) - Asset disposed * ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

FORM 990 PAGE 10 990

187SOUND STAGE EQUIP G/L1522-14 03/15/12 SL 7.00 16 10,880. 10,880. 8,677. 1,554. 10,231.

217 SPEAKER SYST UPGRADE 04/15/13 SL 7.00 16 716. 716. 459. 102. 561.

232SOUND STAGE EQUIP G/L1522-14 03/31/14 SL 7.00 16 9,786. 9,786. 4,893. 1,398. 6,291.* 990 PAGE 10 TOTALBUILDINGS 24,753. 24,753. 16,332. 3,391. 19,723.

* 990 PAGE 10 TOTAL - 24,753. 24,753. 16,332. 3,391. 19,723.

BUILDINGS

182 SCREENING RM SOUND EQUIP 02/15/12 SL 10.00 16 8,733. 8,733. 4,947. 873. 5,820.* 990 PAGE 10 TOTALBUILDINGS 8,733. 8,733. 4,947. 873. 5,820.

* 990 PAGE 10 TOTAL - 8,733. 8,733. 4,947. 873. 5,820.

OTHER

233(D)DEFERRED FINANCINGCOSTS-CHASE MTGE 06/01/15 180M HY43 156,007. 156,007. 26,000. 130,007. 156,007.

264DEFERRED FINANCINGCOSTS-WEST. BANK 12/31/17 240M HY42 65,207. 65,207. 2,445. 2,445.

* 990 PAGE 10 TOTAL OTHER 221,214. 221,214. 26,000. 132,452. 158,452.

* 990 PAGE 10 TOTAL - 221,214. 221,214. 26,000. 132,452. 158,452.

MACHINERY & EQUIPMENT

137FURN/FIXT 405 MANVILLE GL1522-01 03/31/09 SL 7.00 16 90,835. 90,835. 90,832. 0. 90,832.

150 MANVILLE FURN-G/L 1522-01 03/31/10 SL 7.00 16 17,759. 17,759. 17,759. 0. 17,759.

174FURN. & FIXT-405 MANVILLEG/L 1522-01 02/28/11 SL 7.00 16 17,077. 17,077. 16,063. 1,014. 17,077.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01

47.6

Page 54: 990 Under section 501(c), 527, or 4947(a)(1) of the Internal … · 2019-01-31 · 990 return of organization exempt from income tax 2017 € € € € € € € € € € §

Conv

AssetNo.

LineNo.

728111 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus%

Excl

Section 179Expense

Reduction In Basis

Basis ForDepreciation

BeginningAccumulatedDepreciation

CurrentSec 179Expense

Current YearDeduction

EndingAccumulatedDepreciation

Description Method Life

*

(D) - Asset disposed * ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

FORM 990 PAGE 10 990

192FURN. & FIXT-405 MANVILLEG/L 1522-01 06/15/12 SL 7.00 16 6,558. 6,558. 4,997. 937. 5,934.

259EDUC CENTER FURNISHINGS GL1522-01 03/30/17 SL 7.00 16 2,718. 2,718. 194. 388. 582.* 990 PAGE 10 TOTALMACHINERY & EQUIPMENT 134,947. 134,947. 129,845. 2,339. 132,184.

* 990 PAGE 10 TOTAL - 134,947. 134,947. 129,845. 2,339. 132,184.

MACHINERY & EQUIPMENT

83 DATA EQUIP-405 MANVILLE RD. 07/23/04 SL 10.00 16 2,576. 2,576. 2,576. 0. 2,576.

104 CAMERA/DVDS 03/31/06 SL 5.00 16 3,860. 3,860. 3,860. 0. 3,860.

119405 MANVILLEEQUIP/FIXTURES-G/L 1522 09/01/08 SL 7.00 16 682,351. 682,351. 682,351. 0. 682,351.

138EQUIP/FIXT 405 MANVILLE GL1522 12/31/08 SL 5.00 16 242,424. 242,424. 242,424. 0. 242,424.

163 SOUND BARRIER SYST.-G/L 1522 10/01/10 SL 20.00 16 26,575. 26,575. 9,303. 1,329. 10,632.

164 EDUC. CENTER CONF. ROOM TV 11/22/10 SL 5.00 16 808. 808. 808. 0. 808.

165HP PRINTER EDUC CENTER G/L1522 12/23/10 SL 5.00 16 1,746. 1,746. 1,746. 0. 1,746.

185 JBFC BANNER 12/21/11 SL 5.00 16 1,200. 1,200. 1,200. 0. 1,200.* 990 PAGE 10 TOTALMACHINERY & EQUIPMENT 961,540. 961,540. 944,268. 1,329. 945,597.

* 990 PAGE 10 TOTAL - 961,540. 961,540. 944,268. 1,329. 945,597.

MACHINERY & EQUIPMENT

175 ANIMATION EQUIP G/L 1522-12 03/31/11 SL 7.00 16 22,418. 22,418. 20,819. 1,599. 22,418.

208 MOBILE ANIMATION KIT 06/30/13 SL 3.00 16 756. 756. 756. 0. 756.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01

47.7

Page 55: 990 Under section 501(c), 527, or 4947(a)(1) of the Internal … · 2019-01-31 · 990 return of organization exempt from income tax 2017 € € € € € € € € € € §

Conv

AssetNo.

LineNo.

728111 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus%

Excl

Section 179Expense

Reduction In Basis

Basis ForDepreciation

BeginningAccumulatedDepreciation

CurrentSec 179Expense

Current YearDeduction

EndingAccumulatedDepreciation

Description Method Life

*

(D) - Asset disposed * ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

FORM 990 PAGE 10 990

209 5 IPADS APPLE 07/15/13 SL 5.00 16 3,990. 3,990. 3,392. 598. 3,990.* 990 PAGE 10 TOTALMACHINERY & EQUIPMENT 27,164. 27,164. 24,967. 2,197. 27,164.

* 990 PAGE 10 TOTAL - 27,164. 27,164. 24,967. 2,197. 27,164.

MACHINERY & EQUIPMENT

218EDUC CENTER EDIT STUDIOSOFTWRE 07/31/13 SL 3.00 16 3,483. 3,483. 3,483. 0. 3,483.

222 EDIT STUDIO EQUIPMENT 08/01/14 SL 5.00 16 16,926. 16,926. 10,719. 3,385. 14,104.* 990 PAGE 10 TOTALMACHINERY & EQUIPMENT 20,409. 20,409. 14,202. 3,385. 17,587.

* 990 PAGE 10 TOTAL - 20,409. 20,409. 14,202. 3,385. 17,587.

MACHINERY & EQUIPMENT

177VIRTUAL LEARNINGPLATFORM-LUMIERE 10/01/14 SL 20.00 16 1,198,087. 1,198,087. 179,712. 59,904. 239,616.* 990 PAGE 10 TOTALMACHINERY & EQUIPMENT 1,198,087. 1,198,087. 179,712. 59,904. 239,616.

* 990 PAGE 10 TOTAL - 1,198,087. 1,198,087. 179,712. 59,904. 239,616.

MACHINERY & EQUIPMENT

1 RAISER'S EDGE SOFTWARE 03/13/00 SL 5.00 16 12,000. 12,000. 12,000. 0. 12,000.

28 COMPUFIT SFTWRE 03/15/02 SL 3.00 16 1,264. 1,264. 1,264. 0. 1,264.

30 RAISER'S EDGE SFTWR UPGRADE 07/15/02 SL 5.00 16 6,535. 6,535. 6,535. 0. 6,535.

31 VARIOUS SFTWR 07/15/02 SL 3.00 16 2,574. 2,574. 2,574. 0. 2,574.

73SOFTWARE LICENSE-RAISERSEDGE 08/28/03 SL 5.00 16 8,544. 8,544. 8,544. 0. 8,544.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01

47.8

Page 56: 990 Under section 501(c), 527, or 4947(a)(1) of the Internal … · 2019-01-31 · 990 return of organization exempt from income tax 2017 € € € € € € € € € € §

Conv

AssetNo.

LineNo.

728111 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus%

Excl

Section 179Expense

Reduction In Basis

Basis ForDepreciation

BeginningAccumulatedDepreciation

CurrentSec 179Expense

Current YearDeduction

EndingAccumulatedDepreciation

Description Method Life

*

(D) - Asset disposed * ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

FORM 990 PAGE 10 990

84 THEATER PROG.SOFTWARE 06/01/04 SL 3.00 16 5,346. 5,346. 5,346. 0. 5,346.

96 SOFTWARE ADDITIONS 2005 09/30/05 SL 3.00 16 7,600. 7,600. 7,600. 0. 7,600.

105 WEBSITE SOFTWARE 01/31/06 SL 3.00 16 2,900. 2,900. 2,900. 0. 2,900.

124 UNSCRIPTED COMP. EQUIP. 07/31/08 SL 5.00 16 1,911. 1,911. 1,911. 0. 1,911.

139 SOFTWARE ADDITIONS 2008-09 03/31/09 SL 5.00 16 23,418. 23,418. 23,418. 0. 23,418.

151 WEBSITE/SOFTWARE-G/L 1530 03/31/10 SL 5.00 16 10,256. 10,256. 10,256. 0. 10,256.

166 COMPUTER EQUIP G/L 1530 02/15/11 SL 5.00 16 6,366. 6,366. 6,366. 0. 6,366.

193 TITAN TICKETING SYST-1530 04/30/12 SL 10.00 16 69,459. 69,459. 37,624. 6,946. 44,570.

194 MS SOFTWARE-1530 01/15/12 SL 5.00 16 13,364. 13,364. 13,364. 0. 13,364.

210 TITAN SOFTWARE 09/15/13 SL 5.00 16 29,275. 29,275. 23,908. 5,367. 29,275.

211 ADOBE CREATIVE SUITE 03/29/13 SL 3.00 16 1,265. 1,265. 1,265. 0. 1,265.

212 PLURAL EYES SOFTWARE 07/31/13 SL 5.00 16 5,197. 5,197. 4,329. 868. 5,197.

223 ADOBE EDUCATION SOFTWARE 01/01/14 SL 3.00 16 17,443. 17,443. 17,443. 0. 17,443.

224 COMPUTER SOFTWARE/UPGRADES 03/15/14 SL 3.00 16 11,625. 11,625. 11,625. 0. 11,625.

237 TITAN SALLEABLES REPORTS 06/17/15 SL 3.00 16 1,991. 1,991. 1,494. 497. 1,991.

268 SOFTWARE ADDITIONS 2018 07/31/18 SL 3.00 16 6,484. 6,484. 360. 360.* 990 PAGE 10 TOTALMACHINERY & EQUIPMENT 244,817. 244,817. 199,766. 14,038. 213,804.

* 990 PAGE 10 TOTAL - 244,817. 244,817. 199,766. 14,038. 213,804.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01

47.9

Page 57: 990 Under section 501(c), 527, or 4947(a)(1) of the Internal … · 2019-01-31 · 990 return of organization exempt from income tax 2017 € € € € € € € € € € §

Conv

AssetNo.

LineNo.

728111 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus%

Excl

Section 179Expense

Reduction In Basis

Basis ForDepreciation

BeginningAccumulatedDepreciation

CurrentSec 179Expense

Current YearDeduction

EndingAccumulatedDepreciation

Description Method Life

*

(D) - Asset disposed * ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

FORM 990 PAGE 10 990

MACHINERY & EQUIPMENT

123 COMPUTERS-5 GRANT 11/15/07 SL 5.00 16 4,769. 4,769. 4,769. 0. 4,769.

236 EQUIP-5 GRANT ST.-2015 03/31/15 SL 5.00 16 1,399. 1,399. 700. 280. 980.

249 OIL TANK-5 GRANT 10/15/15 SL 10.00 16 2,400. 2,400. 480. 240. 720.* 990 PAGE 10 TOTALMACHINERY & EQUIPMENT 8,568. 8,568. 5,949. 520. 6,469.

* 990 PAGE 10 TOTAL - 8,568. 8,568. 5,949. 520. 6,469.

MACHINERY & EQUIPMENT

2 GATEWAY COMPUTER 11/23/99 SL 5.00 16 1,822. 1,822. 1,822. 0. 1,822.

3 COMPUTER 02/03/00 SL 5.00 16 1,656. 1,656. 1,656. 0. 1,656.

4 COMPUFIT 04/25/00 SL 5.00 16 19,498. 19,498. 19,498. 0. 19,498.

11 OFFICE COMPUTERS 01/01/01 SL 5.00 16 5,773. 5,773. 5,773. 0. 5,773.

12 GATEWAY COMPUTERS 07/11/01 SL 5.00 16 4,292. 4,292. 4,292. 0. 4,292.

14 VIDEO SYSTEM 08/20/01 SL 5.00 16 1,256. 1,256. 1,256. 0. 1,256.

32 COMPUFIT- 2 COMPTRS 12/15/01 SL 5.00 16 3,607. 3,607. 3,607. 0. 3,607.

33 COMPUSA COMPTRS 05/30/02 SL 5.00 16 3,985. 3,985. 3,985. 0. 3,985.

37 COMPUFIT-COMPTR 01/15/02 SL 5.00 16 996. 996. 996. 0. 996.

39 COMPUSA PRINTER 08/15/02 SL 5.00 16 700. 700. 700. 0. 700.

74 COMPUTERS 07/01/03 SL 5.00 16 5,888. 5,888. 5,888. 0. 5,888.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01

47.10

Page 58: 990 Under section 501(c), 527, or 4947(a)(1) of the Internal … · 2019-01-31 · 990 return of organization exempt from income tax 2017 € € € € € € € € € € §

Conv

AssetNo.

LineNo.

728111 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus%

Excl

Section 179Expense

Reduction In Basis

Basis ForDepreciation

BeginningAccumulatedDepreciation

CurrentSec 179Expense

Current YearDeduction

EndingAccumulatedDepreciation

Description Method Life

*

(D) - Asset disposed * ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

FORM 990 PAGE 10 990

76 COMPUTER EQUIP 02/01/03 SL 5.00 16 3,205. 3,205. 3,205. 0. 3,205.

85VARIOUS COMPUTEREQUIP-THEATER 03/31/04 SL 5.00 16 13,389. 13,389. 13,389. 0. 13,389.

97 APPLE G5-GRAPHIC DESIGN 10/31/04 SL 5.00 16 2,190. 2,190. 2,190. 0. 2,190.

98 COMPUTER EQUIP 2005 07/31/05 SL 5.00 16 12,444. 12,444. 12,444. 0. 12,444.

106 UNSCRIPTED CPU 07/15/06 SL 5.00 16 3,477. 3,477. 3,477. 0. 3,477.

108 COMPUTER EQUIP 06/15/06 SL 5.00 16 6,276. 6,276. 6,276. 0. 6,276.

112 APPLE COMPUTERS 05/31/07 SL 5.00 16 8,953. 8,953. 8,953. 0. 8,953.

113 5G RAM 11/30/06 SL 5.00 16 538. 538. 538. 0. 538.

125 DELL AND APPLE COMPUTERS 07/31/08 SL 5.00 16 21,900. 21,900. 21,900. 0. 21,900.

126 THEATER EQUIP 2008 07/15/08 SL 5.00 16 10,218. 10,218. 10,218. 0. 10,218.

140 EDUC.CENTER COMPUTER EQUIP 03/31/09 SL 5.00 16 98,625. 98,625. 98,625. 0. 98,625.

142 COMPUTER EQUIP GL 1560 03/31/09 SL 5.00 16 30,501. 30,501. 30,501. 0. 30,501.

152 COMPUTERS G/L 1535 03/31/10 SL 5.00 16 31,329. 31,329. 31,329. 0. 31,329.

167 COMPUTER EQUIP G/L 1535 03/31/11 SL 5.00 16 54,114. 54,114. 54,114. 0. 54,114.

180 COMPUTER EQUIP 03/31/12 SL 5.00 16 30,940. 30,940. 30,940. 0. 30,940.

214 ADMIN COMPUTER EQUIP 03/31/13 SL 5.00 16 4,965. 4,965. 4,469. 496. 4,965.

226ADMIN COMPUTER EQUIP-FISCAL2014 03/31/14 SL 5.00 16 45,248. 45,248. 31,675. 9,050. 40,725.

238 COMPUTERS-ADMIN 03/31/15 SL 5.00 16 26,086. 26,086. 13,043. 5,217. 18,260.

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Conv

AssetNo.

LineNo.

728111 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus%

Excl

Section 179Expense

Reduction In Basis

Basis ForDepreciation

BeginningAccumulatedDepreciation

CurrentSec 179Expense

Current YearDeduction

EndingAccumulatedDepreciation

Description Method Life

*

(D) - Asset disposed * ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

FORM 990 PAGE 10 990

250 COMPUTERS-ADMIN 06/30/16 SL 5.00 16 5,831. 5,831. 1,458. 1,166. 2,624.

261 ADMIN COMPUTER EQUIP 02/15/17 SL 5.00 16 12,122. 12,122. 1,616. 2,424. 4,040.

269 ADMIN COMPUTER EQUIP 08/28/18 SL 5.00 16 64,494. 64,494. 1,075. 1,075.* 990 PAGE 10 TOTALMACHINERY & EQUIPMENT 536,318. 536,318. 429,833. 19,428. 449,261.

* 990 PAGE 10 TOTAL - 536,318. 536,318. 429,833. 19,428. 449,261.

MACHINERY & EQUIPMENT

34 FAX MACHINE 02/12/02 SL 3.00 16 280. 280. 280. 0. 280.

35 AMEX CARD PRINTER 03/27/02 SL 5.00 16 2,686. 2,686. 2,686. 0. 2,686.

36 CATSKILL SUPPLIES 02/28/02 SL 3.00 16 1,222. 1,222. 1,222. 0. 1,222.

75 DVD PLAYER-FOR EDUC PROG 09/19/03 SL 3.00 16 2,925. 2,925. 2,925. 0. 2,925.

86 LASER PRINTER-OFFICE 07/31/04 SL 5.00 16 1,380. 1,380. 1,380. 0. 1,380.

87 3 DESKS 09/01/04 SL 7.00 16 993. 993. 993. 0. 993.

107 FOLDING MACHINE 06/18/06 SL 3.00 16 934. 934. 934. 0. 934.

141 TASK LIGHTING 03/18/09 SL 5.00 16 3,960. 3,960. 3,960. 0. 3,960.

153 OFFICE EQUIPMENT G/L 1545 11/01/09 SL 5.00 16 3,053. 3,053. 3,053. 0. 3,053.

169 OFFICE EQUIPMENT G/L 1545 03/15/11 SL 5.00 16 8,417. 8,417. 8,417. 0. 8,417.

219 ADMIN. PRINTERS 06/30/13 SL 5.00 16 4,350. 4,350. 3,698. 652. 4,350.

228 LASER PRINTER-ADMIN 12/15/13 SL 5.00 16 2,294. 2,294. 1,759. 459. 2,218.

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Conv

AssetNo.

LineNo.

728111 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus%

Excl

Section 179Expense

Reduction In Basis

Basis ForDepreciation

BeginningAccumulatedDepreciation

CurrentSec 179Expense

Current YearDeduction

EndingAccumulatedDepreciation

Description Method Life

*

(D) - Asset disposed * ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

FORM 990 PAGE 10 990

240 ART DEPT. PRINTER 07/31/15 SL 5.00 16 1,195. 1,195. 518. 239. 757.* 990 PAGE 10 TOTALMACHINERY & EQUIPMENT 33,689. 33,689. 31,825. 1,350. 33,175.

* 990 PAGE 10 TOTAL - 33,689. 33,689. 31,825. 1,350. 33,175.

MACHINERY & EQUIPMENT

168 COMPUTER EQUIP G/L 1536 04/28/11 SL 5.00 16 5,511. 5,511. 5,511. 0. 5,511.

181 COMPUTER EQUIP-IT 08/01/12 SL 5.00 16 18,958. 18,958. 18,958. 0. 18,958.

215 ADMIN SERVERS 02/28/13 SL 5.00 16 22,908. 22,908. 21,001. 1,907. 22,908.

227 IT COMPUTER EQUIP 05/31/14 SL 5.00 16 48,464. 48,464. 32,310. 9,693. 42,003.

239 COMPUTERS-IT 03/31/15 SL 5.00 16 85,778. 85,778. 42,890. 17,156. 60,046.

251 COMPUTERS-IT 03/15/16 SL 5.00 16 17,706. 17,706. 5,607. 3,541. 9,148.

270 IT COMPUTER EQUIP 08/31/18 SL 5.00 16 14,382. 14,382. 240. 240.* 990 PAGE 10 TOTALMACHINERY & EQUIPMENT 213,707. 213,707. 126,277. 32,537. 158,814.

* 990 PAGE 10 TOTAL - 213,707. 213,707. 126,277. 32,537. 158,814.

MACHINERY & EQUIPMENT

5 TELEPHONE SYSTEM 05/10/00 SL 5.00 16 5,953. 5,953. 5,953. 0. 5,953.

13 OFFICE TELEPHONES 07/15/01 SL 5.00 16 2,743. 2,743. 2,743. 0. 2,743.

16 THEATER TELEPHONE SYST. 06/15/01 SL 5.00 16 9,720. 9,720. 9,720. 0. 9,720.

40 CORDLESS PHONES 10/15/01 SL 5.00 16 1,474. 1,474. 1,474. 0. 1,474.

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Conv

AssetNo.

LineNo.

728111 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus%

Excl

Section 179Expense

Reduction In Basis

Basis ForDepreciation

BeginningAccumulatedDepreciation

CurrentSec 179Expense

Current YearDeduction

EndingAccumulatedDepreciation

Description Method Life

*

(D) - Asset disposed * ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

FORM 990 PAGE 10 990

77 PHONE JACKS 10/09/02 SL 5.00 16 629. 629. 629. 0. 629.

89 TELEPHONE PUB ACCESS LINE 04/01/04 SL 3.00 16 850. 850. 850. 0. 850.

90 TELEPH-405 MANVILLE 05/15/04 SL 5.00 16 243. 243. 243. 0. 243.

109 PHONE UPGRADES 12/31/05 SL 3.00 16 2,712. 2,712. 2,712. 0. 2,712.

128 TELEPH-405 MANVILLE 05/20/08 SL 5.00 16 1,617. 1,617. 1,617. 0. 1,617.

144 TELEPH-405 MANVILLE 09/18/09 SL 5.00 16 2,059. 2,059. 2,059. 0. 2,059.

252 ADMIN TELEPHONE SYSTEM 07/31/16 SL 5.00 16 16,710. 16,710. 3,899. 3,342. 7,241.* 990 PAGE 10 TOTALMACHINERY & EQUIPMENT 44,710. 44,710. 31,899. 3,342. 35,241.

* 990 PAGE 10 TOTAL - 44,710. 44,710. 31,899. 3,342. 35,241.

MACHINERY & EQUIPMENT

9 CONCESSION EQUIPMENT 06/15/01 SL 5.00 16 2,368. 2,368. 2,368. 0. 2,368.

17 PROJECTOR 06/15/01 SL 5.00 16 12,000. 12,000. 12,000. 0. 12,000.

18 COFFEE MAKER 06/15/01 SL 5.00 16 10,000. 10,000. 10,000. 0. 10,000.

19 SOUND LIGHTING-RMS 06/15/01 SL 25.00 16 125,177. 125,177. 81,781. 5,007. 86,788.

20 RMS-THEATER EQUIP 06/15/01 SL 25.00 16 105,157. 105,157. 68,698. 4,206. 72,904.

21 CONCESSION EQUIPMENT 06/15/01 SL 5.00 16 73,097. 73,097. 73,097. 0. 73,097.

22 IRWIN SEATING 06/15/01 SL 10.00 16 79,464. 79,464. 79,464. 0. 79,464.

23 WELLINGTON SEATS 06/15/01 SL 10.00 16 4,000. 4,000. 4,000. 0. 4,000.

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Conv

AssetNo.

LineNo.

728111 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus%

Excl

Section 179Expense

Reduction In Basis

Basis ForDepreciation

BeginningAccumulatedDepreciation

CurrentSec 179Expense

Current YearDeduction

EndingAccumulatedDepreciation

Description Method Life

*

(D) - Asset disposed * ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

FORM 990 PAGE 10 990

24 GALLERY 17 SCREENS 06/15/01 SL 25.00 16 36,542. 36,542. 23,879. 1,462. 25,341.

25 BATHROOM EQUIP 06/15/01 SL 10.00 16 12,431. 12,431. 12,431. 0. 12,431.

26 SECURITY SYST 06/15/01 SL 10.00 16 983. 983. 983. 0. 983.

41 SAFE 10/03/01 SL 10.00 16 1,050. 1,050. 1,050. 0. 1,050.

42 MIXER-SAM ASH 10/12/01 SL 3.00 16 900. 900. 900. 0. 900.

44 CATSKILL SUPPLIES 10/25/01 SL 3.00 16 368. 368. 368. 0. 368.

45 COFFEE MKR CONNECT. 11/02/01 SL 5.00 16 480. 480. 480. 0. 480.

46 MAIN LOBBY UPGRADE-BORG 03/31/02 SL 10.00 16 8,259. 8,259. 8,259. 0. 8,259.

47 LENS EQUIPMENT 11/08/01 SL 10.00 16 1,870. 1,870. 1,870. 0. 1,870.

48 BAR CODE SCANNER 11/12/01 SL 5.00 16 950. 950. 950. 0. 950.

49 LAWRENCE METAL 01/15/02 SL 5.00 16 667. 667. 667. 0. 667.

50 B&H MICROPHONES 01/30/02 SL 5.00 16 1,820. 1,820. 1,820. 0. 1,820.

51 BETA PLAYER 02/07/02 SL 10.00 16 6,500. 6,500. 6,500. 0. 6,500.

52 ROBERT SCULLY 02/21/02 SL 10.00 16 1,250. 1,250. 1,250. 0. 1,250.

53 BOSTON LIGHT 03/01/02 SL 25.00 16 2,500. 2,500. 1,558. 100. 1,658.

54 RMS-THEATER EQUIP 03/21/02 SL 25.00 16 40,000. 40,000. 24,800. 1,600. 26,400.

55 THEATER SIGNS &EQUIP 05/31/02 SL 25.00 16 31,631. 31,631. 19,397. 1,265. 20,662.

56 MEMBERSHIP STAT. EQUIP 06/15/02 SL 10.00 16 6,000. 6,000. 6,000. 0. 6,000.

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Conv

AssetNo.

LineNo.

728111 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus%

Excl

Section 179Expense

Reduction In Basis

Basis ForDepreciation

BeginningAccumulatedDepreciation

CurrentSec 179Expense

Current YearDeduction

EndingAccumulatedDepreciation

Description Method Life

*

(D) - Asset disposed * ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

FORM 990 PAGE 10 990

57 DVD PLAYER 05/20/02 SL 3.00 16 358. 358. 358. 0. 358.

59 FREEZER 08/01/02 SL 5.00 16 469. 469. 469. 0. 469.

60 CINEMA TECH. EQUIP. 09/01/02 SL 5.00 16 4,714. 4,714. 4,714. 0. 4,714.

61 CLEANING SYST. 10/15/01 SL 5.00 16 4,020. 4,020. 4,020. 0. 4,020.

62 3 SEAT BENCH 10/19/01 SL 5.00 16 3,073. 3,073. 3,073. 0. 3,073.

63 THEATER CARPETING 03/15/02 SL 5.00 16 1,825. 1,825. 1,825. 0. 1,825.

64 GALLERY 17 SCREENS 02/15/02 SL 25.00 16 8,305. 8,305. 5,201. 332. 5,533.

65 BENTLEY PRINCE 03/12/02 SL 5.00 16 3,006. 3,006. 3,006. 0. 3,006.

78 THEATER FIXT & EQUIP. 03/31/03 SL 25.00 16 193,283. 193,283. 112,100. 7,731. 119,831.

79 THEATER FURN. 03/01/03 SL 10.00 16 1,987. 1,987. 1,987. 0. 1,987.

91 VARIOUS THEATER ELECTRONICS 05/15/04 SL 5.00 16 30,609. 30,609. 30,609. 0. 30,609.

92 OFFICE FURNITURE 08/01/04 SL 7.00 16 5,971. 5,971. 5,971. 0. 5,971.

99 THEATER EQUIP 2005 07/31/05 SL 5.00 16 17,003. 17,003. 17,003. 0. 17,003.

100 THEATER F&F 2005 09/30/05 SL 5.00 16 9,408. 9,408. 9,408. 0. 9,408.

110 PANASONIC CAMERA 06/16/06 SL 5.00 16 3,715. 3,715. 3,715. 0. 3,715.

114 THEATER EQUIP.-D. KIRTLEY 06/08/07 SL 5.00 16 5,682. 5,682. 5,682. 0. 5,682.

129 THEATER EQUIP 2008-G/L 1575 09/15/08 SL 5.00 16 253,810. 253,810. 253,810. 0. 253,810.

130 THEATER FIXT. G/L 1580 09/05/08 SL 5.00 16 1,067. 1,067. 1,067. 0. 1,067.

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Conv

AssetNo.

LineNo.

728111 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus%

Excl

Section 179Expense

Reduction In Basis

Basis ForDepreciation

BeginningAccumulatedDepreciation

CurrentSec 179Expense

Current YearDeduction

EndingAccumulatedDepreciation

Description Method Life

*

(D) - Asset disposed * ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

FORM 990 PAGE 10 990

145 THEATER EQUIP 2008-09 03/31/09 SL 5.00 16 52,454. 52,454. 52,454. 0. 52,454.

146 PROJECTOR CART 02/26/09 SL 3.00 16 792. 792. 792. 0. 792.

155 THEATER EQUIP G/L 1575 03/31/10 SL 5.00 16 8,228. 8,228. 8,228. 0. 8,228.

156 THEATER FURN G/L 1580 11/30/09 SL 7.00 16 2,995. 2,995. 2,995. 0. 2,995.

160 ROOFTOP UNIT-HVAC G/L 1575 12/31/10 SL 20.00 16 82,785. 82,785. 27,938. 4,139. 32,077.

161THEATER ESPRESSO MACHINE G/L1575 11/18/10 SL 5.00 16 8,500. 8,500. 8,500. 0. 8,500.

162 THEATER FIXT. G/L 1580 12/31/10 SL 7.00 16 5,278. 5,278. 5,090. 188. 5,278.

184 WATER HEATER 02/28/12 SL 7.00 16 2,698. 2,698. 2,150. 385. 2,535.

195 NEW SOUND EQUIPMENT-1575 06/01/12 SL 10.00 16 52,580. 52,580. 28,043. 5,258. 33,301.

196 THEATER EQUIPM-1575 03/31/12 SL 5.00 16 44,909. 44,909. 44,909. 0. 44,909.

202 WIRELESS MICROPHONE SYSTEM 12/01/12 SL 7.00 16 5,208. 5,208. 3,596. 744. 4,340.

203 DIGITAL PROJECTION SYSTEM 04/01/13 SL 10.00 16 265,747. 265,747. 119,587. 26,575. 146,162.

204 THEATER SCREENS 05/15/13 SL 5.00 16 9,880. 9,880. 8,727. 1,153. 9,880.

205 CONCESSION EQUIPMENT 05/15/13 SL 5.00 16 800. 800. 707. 93. 800.

206TITAN POS TICKETINGEQUIPMENT 09/15/13 SL 10.00 16 35,707. 35,707. 14,582. 3,571. 18,153.

207 EXHAUST FAN 07/25/13 SL 7.00 16 8,610. 8,610. 5,125. 1,230. 6,355.

229 THEATER EQUIP 2014 03/31/14 SL 5.00 16 20,632. 20,632. 14,441. 4,126. 18,567.

230 THEATER FURN G/L 1580 03/31/14 SL 7.00 16 10,195. 10,195. 5,096. 1,456. 6,552.

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Conv

AssetNo.

LineNo.

728111 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus%

Excl

Section 179Expense

Reduction In Basis

Basis ForDepreciation

BeginningAccumulatedDepreciation

CurrentSec 179Expense

Current YearDeduction

EndingAccumulatedDepreciation

Description Method Life

*

(D) - Asset disposed * ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

FORM 990 PAGE 10 990

234 THEATER EQUIP 2015 05/01/15 SL 5.00 16 8,410. 8,410. 4,065. 1,682. 5,747.

235 BENCHES-UPPER LOBBY THEATER 06/02/15 SL 7.00 16 2,344. 2,344. 782. 335. 1,117.

247 THEATER EQUIPM-1575 03/30/16 SL 5.00 16 23,343. 23,343. 7,171. 4,669. 11,840.

248 THEATER LOBBY BENCHES 02/28/16 SL 7.00 16 2,345. 2,345. 530. 335. 865.

255 TESSITURA NETWORK 10/01/16 SL 7.00 16 230,931. 230,931. 32,990. 32,990. 65,980.

262 THEATER EQUIP G/L 1575 04/01/17 SL 5.00 16 11,380. 11,380. 1,138. 2,276. 3,414.

265TESSITURA NETWORK-SOFTWAREUPGRADE 03/31/18 SL 7.00 16 41,025. 41,025. 2,930. 2,930.

266 THEATER EQUIP G/L 1575 03/31/18 SL 5.00 16 114,953. 114,953. 11,495. 11,495.

267 NEW SIGNAGE-THEATER 02/21/18 SL 7.00 16 7,503. 7,503. 625. 625.* 990 PAGE 10 TOTALMACHINERY & EQUIPMENT 2,174,001. 2,174,001.1,308,224. 127,958.1,436,182.

* 990 PAGE 10 TOTAL - 2,174,001. 2,174,001.1,308,224. 127,958.1,436,182.

LAND

27 SCULPTURE 08/01/01 L 12,550. 12,550. 0.

157 DONATED BOOKS 12/31/09 L 14,311. 14,311. 0.

197DONATED PAINTING-ROGERPOLLAK 09/30/12 L 12,000. 12,000. 0.

* 990 PAGE 10 TOTAL LAND 38,861. 38,861. 0. 0. 0.

* 990 PAGE 10 TOTAL - 38,861. 38,861. 0. 0. 0.

LAND

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Conv

AssetNo.

LineNo.

728111 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus%

Excl

Section 179Expense

Reduction In Basis

Basis ForDepreciation

BeginningAccumulatedDepreciation

CurrentSec 179Expense

Current YearDeduction

EndingAccumulatedDepreciation

Description Method Life

*

(D) - Asset disposed * ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone

FORM 990 PAGE 10 990

7 LAND 06/26/00 L 285,000. 285,000. 0.

94 LAND - 3 GRANT STREET 02/25/05 L 560,000. 560,000. 0.

101 LAND - 405 MANVILLE 03/05/04 L 1,000,000. 1,000,000. 0.

111 ADJACENT LAND-405 MANVILLE 10/27/06 L 13,232. 13,232. 0.

131 LAND-5 GRANT 09/01/08 L 127,000. 127,000. 0.

* 990 PAGE 10 TOTAL LAND 1,985,232. 1,985,232. 0. 0. 0.

* 990 PAGE 10 TOTAL - 1,985,232. 1,985,232. 0. 0. 0.* GRAND TOTAL 990 PAGE 10DEPR & AMORT 35123865. 35123865. 10615069. 1,160,918. 11775987.

CURRENT YEAR ACTIVITY

BEGINNING BALANCE 34718635. 0. 34718635. 10615069. 11751659.

ACQUISITIONS 405,230. 0. 405,230. 0. 24,328.

DISPOSITIONS 156,007. 0. 156,007. 26,000. 156,007.

ENDING BALANCE 34967858. 0. 34967858. 10589069. 11619980.ENDING ACCUM DEPR LESS

DISPOSITIONS 11619980.

ENDING BOOK VALUE 23347878.

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OMB No. 1545-0172

Form

AttachmentSequence No.

Department of the TreasuryInternal Revenue Service (99)

Name(s) shown on return Business or activity to which this form relates Identifying number

Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions

(a) Description of property (b) Cost (business use only) (c) Elected cost

If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here

(c) Basis for depreciation(business/investment use

only - see instructions)

(b) Month andyear placedin service

(d) Recoveryperiod

(a) Classification of property (e) Convention (f) Method (g) Depreciation deduction

716251 01-25-18

Election To Expense Certain Property Under Section 179 Note:

| Attach to your tax return.

179| Go to www.irs.gov/Form4562 for instructions and the latest information.

1

2

3

4

5

1

2

3

4

5

6

7

8

9

10

11

12

13

smaller

7

8

9

10

11

12

13

Note:

Special Depreciation Allowance and Other Depreciation (Don't )

14

15

16

14

15

16

MACRS Depreciation (Don't )

Section A

1717

18

Section B - Assets Placed in Service During 2017 Tax Year Using the General Depreciation System

19a

b

c

d

e

f

g

h

i

Section C - Assets Placed in Service During 2017 Tax Year Using the Alternative Depreciation System

20a

b

c

Summary

21 21

22

23

Total.

22

23

4562 For Paperwork Reduction Act Notice, see separate instructions.

If you have any listed property, complete Part V before you complete Part I.

Maximum amount (see instructions)

Total cost of section 179 property placed in service (see instructions)

Threshold cost of section 179 property before reduction in limitation

Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0-

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~

����������

Listed property. Enter the amount from line 29

Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7

Tentative deduction. Enter the of line 5 or line 8

~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Carryover of disallowed deduction from line 13 of your 2016 Form 4562

Business income limitation. Enter the smaller of business income (not less than zero) or line 5

Section 179 expense deduction. Add lines 9 and 10, but don't enter more than line 11

Carryover of disallowed deduction to 2018. Add lines 9 and 10, less line 12

~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~

�������������

����Don't use Part II or Part III below for listed property. Instead, use Part V.

include listed property.

Special depreciation allowance for qualified property (other than listed property) placed in service during

the tax year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Property subject to section 168(f)(1) election

Other depreciation (including ACRS)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

�������������������������������������

include listed property. (See instructions.)

MACRS deductions for assets placed in service in tax years beginning before 2017 ~~~~~~~~~~~~~~

���

3-year property

5-year property

7-year property

10-year property

15-year property

20-year property

25-year property 25 yrs. S/L

S/L

S/L

S/L

S/L

27.5 yrs.

27.5 yrs.

MM

MM

MM

MM

/

/

/

/

Residential rental property

39 yrs.Nonresidential real property

Class life

12-year

40-year

S/L

S/L

S/L

12 yrs.

40 yrs. MM/

(See instructions.)

Listed property. Enter amount from line 28 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21.

Enter here and on the appropriate lines of your return. Partnerships and S corporations - see instr. �������

For assets shown above and placed in service during the current year, enter the

portion of the basis attributable to section 263A costs����������������

Form (2017)LHA

(Including Information on Listed Property)

Part I

Part II

Part III

Part IV

Depreciation and Amortization4562 2017

J  

9

990

JACOB BURNS FILM CENTER, INC. FORM 990 PAGE 10 13-4038441

510,000.

2,030,000.

1,028,466.

1,028,466.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 48

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Date amortizationbegins

Amortizationperiod or percentage

Basis for depreciation(business/investment

use only)

Description of costs Amortizableamount

Codesection

Amortizationfor this year

716252 01-25-18

don't

2Listed Property

Note: only

Section A - Depreciation and Other Information (Caution:

24a Yes No 24b Yes No

25

(b) (c) (i)(e) (f) (g) (h)(a) (d)

25

26

27

2828

29 29

Section B - Information on Use of Vehicles

(a) (b) (c) (d) (e) (f)

30

31

32

33

34

35

36

Yes No Yes No Yes No Yes No Yes No Yes No

Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees

aren't

37

38

39

40

41

Yes No

Note:

Amortization

(a) (b) (c) (d) (e) (f)

42

43

44

43

44 Total.

4562

Do you have evidence to support the business/investment use claimed?

Dateplaced inservice

Business/investment

use percentage

Electedsection 179

cost

Recoveryperiod

Depreciationdeduction

Type of property(list vehicles first)

Method/Convention

Cost orother basis

Total business/investment miles driven during the

year ( include commuting miles)

Vehicle Vehicle Vehicle Vehicle Vehicle Vehicle

Form (2017)

Form 4562 (2017) Page (Include automobiles, certain other vehicles, certain aircraft, certain computers, and property used for entertainment,

recreation, or amusement.)For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete 24a, 24b, columns

(a) through (c) of Section A, all of Section B, and Section C if applicable.

See the instructions for limits for passenger automobiles.)

If "Yes," is the evidence written?

Special depreciation allowance for qualified listed property placed in service during the tax year and

used more than 50% in a qualified business use�����������������������������

Property used more than 50% in a qualified business use:

%

%

%

Property used 50% or less in a qualified business use:

%

%

S/L -

S/L -

S/L -%

Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1 ~~~~~~~~~~~~

Add amounts in column (i), line 26. Enter here and on line 7, page 1 ���������������������������

Complete this section for vehicles used by a sole proprietor, partner, or other "more than 5% owner," or related person. If you provided vehicles

to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles.

~~~~~~~

Total commuting miles driven during the year ~

Total other personal (noncommuting) miles

driven~~~~~~~~~~~~~~~~~~~~~

Total miles driven during the year.

Add lines 30 through 32~~~~~~~~~~~~

Was the vehicle available for personal use

during off-duty hours? ~~~~~~~~~~~~

Was the vehicle used primarily by a more

than 5% owner or related person? ~~~~~~

Is another vehicle available for personal

use? ���������������������

Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who more than 5%

owners or related persons.

Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by your

employees?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your

employees? See the instructions for vehicles used by corporate officers, directors, or 1% or more owners ~~~~~~~~~~~~

Do you treat all use of vehicles by employees as personal use? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Do you provide more than five vehicles to your employees, obtain information from your employees about

the use of the vehicles, and retain the information received? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Do you meet the requirements concerning qualified automobile demonstration use? ~~~~~~~~~~~~~~~~~~~~~~~

If your answer to 37, 38, 39, 40, or 41 is "Yes," don't complete Section B for the covered vehicles.

Amortization of costs that begins during your 2017 tax year:

Amortization of costs that began before your 2017 tax year ~~~~~~~~~~~~~~~~~~~~~~~~~~

Add amounts in column (f). See the instructions for where to report �������������������

Part V

Part VI

       

! !! !! !! !! !! !!

! !! !

JACOB BURNS FILM CENTER, INC. 13-4038441

DEFERRED FINANCINGCOSTS-WEST. BANK 123117 65,207. 240M 2,445.

130,007.132,452.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 49

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AssetNo.

LineNo.

728102 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus %Excl

Reduction In Basis

Basis ForDepreciation

AccumulatedDepreciation

CurrentSec 179

Current YearDeductionDescription Method Life

*

(D) - Asset disposed * ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction

- CURRENT YEAR FEDERAL - JACOB BURNS FILM CENTER, INC.

BUILDINGS

67CAPITALIZED R/ETAXES 061501SL 40.0016 29,155. 29,155. 11,904. 729.

68THEATER BUILD'GPURCHASE 061501SL 40.0016 1,047,900. 1,047,900. 427,820. 26,198.

69CAPITALIZEDINTEREST-364 THEATR061501SL 40.0016 174,368. 174,368. 71,184. 4,359.

116BUILD'G-405MANVILLE RD.-G/L 15090108SL 40.0016 13,228,445. 13,228,445. 2,997,477. 330,711.

118BUILDING-3GRANT-G/L 1523 090108SL 40.0016 49,525. 49,525. 11,245. 1,238.

121CAPITALIZEDINTEREST-EDUCATION 090108SL 40.0016 162,325. 162,325. 35,021. 4,058.

245CAPITALIZEDINTEREST-MICROTHEAT030615SL 40.0016 25,562. 25,562. 1,651. 639.* 990 PAGE 10 TOTALBUILDINGS 14,717,280. 0. 14,717,280. 3,556,302. 367,932.MACHINERY &EQUIPMENT

127AUDIO VISUAL EQUIP 071508SL 5.00 16 2,358. 2,358. 2,358. 0.

143AV EQUIPMENT 033109SL 5.00 16 165,435. 165,435. 165,435. 0.

154A/V EQUIPMENT G/L1561 033110SL 5.00 16 86,601. 86,601. 86,601. 0.

178A/V EQUIPMENT G/L1561 021511SL 5.00 16 20,272. 20,272. 20,272. 0.

179A/V EQUIPMENT G/L1561 123111SL 5.00 16 64,990. 64,990. 64,990. 0.

213CAMERAS AND SOUNDSYST 033113SL 5.00 16 29,449. 29,449. 26,505. 2,944.

225EDUC CENTER VIDEOEQUIPMENT 031514SL 5.00 16 14,274. 14,274. 10,230. 2,855.

244CAMERAS/PROJECTORS 021515SL 5.00 16 56,045. 56,045. 29,891. 11,209.

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AssetNo.

LineNo.

728102 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus %Excl

Reduction In Basis

Basis ForDepreciation

AccumulatedDepreciation

CurrentSec 179

Current YearDeductionDescription Method Life

*

(D) - Asset disposed * ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction

- CURRENT YEAR FEDERAL - JACOB BURNS FILM CENTER, INC.

254EDUC CENTER-A/VEQUIPMENT/ PROJECTO022916SL 5.00 16 145,081. 145,081. 45,942. 29,016.

260A/V EQUIPMENT G/L1561 091517SL 5.00 16 12,644. 12,644. 211. 2,529.

272A/V EQUIPMENT G/L1561 061518SL 5.00 16 69,069. 69,069. 4,605.* 990 PAGE 10 TOTALMACHINERY & EQUIPM 666,218. 0. 666,218. 452,435. 53,158.

BUILDINGS

117BUILDING-401-405MANVILLE-G/L 1521 090108SL 40.0016 1,947,241. 1,947,241. 442,186. 48,681.

134MEA BUILD'G IMPROV.G/L 1521 033109SL 40.0016 226,657. 226,657. 48,161. 5,666.

149IMPROVEMENTS-MANVILLE RD G/L 1521 033110SL 20.0016 27,091. 27,091. 10,162. 1,355.

170EDUC. CENTERSECURITY CAMERA 103110SL 10.0016 985. 985. 684. 99.

171EDUC CENTER DUCTWORK G/L 1521 022811SL 20.0016 3,750. 3,750. 1,237. 188.

191NEW LOCKS-G/L 1521 063012SL 10.0016 1,550. 1,550. 814. 155.

241ELECTRICALEQUIP.-405 MANVILLE072815SL 10.0016 2,217. 2,217. 481. 222.

253EDUC CENTR-BALLASTS012116SL 10.0016 7,562. 7,562. 1,260. 756.

256EDUC CENTER-IMPROVGL1521 NEW B050117SL 10.0016 1,469. 1,469. 61. 147.

257EDUCCENTER-RECONFIG ADM013117NC 10.00 4,400. 4,400. 0.

271EDUC CENTERELECTRICAL WORK G/L071518SL 10.0016 22,113. 22,113. 553.* 990 PAGE 10 TOTALBUILDINGS 2,245,035. 0. 2,245,035. 505,046. 57,822.* 990 PAGE 10 TOTAL- 17,628,533. 0. 17,628,533. 4,513,783. 478,912.

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AssetNo.

LineNo.

728102 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus %Excl

Reduction In Basis

Basis ForDepreciation

AccumulatedDepreciation

CurrentSec 179

Current YearDeductionDescription Method Life

*

(D) - Asset disposed * ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction

- CURRENT YEAR FEDERAL - JACOB BURNS FILM CENTER, INC.

BUILDINGS

1225 GRANT ST.BUILDING 090108SL 40.0016 420,409. 420,409. 95,466. 10,510.

135FURN. 5 GRANT ST GL1524 033109SL 5.00 16 6,362. 6,362. 6,362. 0.

136BUILD'G IMPRO.5GRANT GL 1524 033109SL 40.0016 44,305. 44,305. 9,418. 1,108.

183NEW WINDOWS-5 GRANT043012SL 15.0016 20,641. 20,641. 7,453. 1,376.

243RENOVATIONS AND NEWTILING-5 GRANT ST. 033115SL 15.0016 22,151. 22,151. 3,692. 1,477.* 990 PAGE 10 TOTALBUILDINGS 513,868. 0. 513,868. 122,391. 14,471.* 990 PAGE 10 TOTAL- 513,868. 0. 513,868. 122,391. 14,471.

BUILDINGS

8BUILDING 061501SL 40.0016 4,775,432. 4,775,432. 1,949,717. 119,386.

662002 ADDITIONS 033102SL 40.0016 57,317. 57,317. 22,286. 1,433.* 990 PAGE 10 TOTALBUILDINGS 4,832,749. 0. 4,832,749. 1,972,003. 120,819.* 990 PAGE 10 TOTAL- 4,832,749. 0. 4,832,749. 1,972,003. 120,819.

BUILDINGS

70PROJECTION RMFLOORING 090103SL 40.0016 7,008. 7,008. 2,465. 175.

71THEATER 3RD FLOORFLOOR 090903SL 40.0016 500. 500. 183. 13.

72LOBBY FLOORING 053103SL 40.0016 12,828. 12,828. 4,601. 321.

80PEDIMENT STEELBRACKET 030104SL 10.0016 2,780. 2,780. 2,780. 0.

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AssetNo.

LineNo.

728102 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus %Excl

Reduction In Basis

Basis ForDepreciation

AccumulatedDepreciation

CurrentSec 179

Current YearDeductionDescription Method Life

*

(D) - Asset disposed * ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction

- CURRENT YEAR FEDERAL - JACOB BURNS FILM CENTER, INC.

81ROOFING 113003SL 10.0016 3,225. 3,225. 3,225. 0.

82NEW THEATER UPPERLEVEL OFFICE SPACE 080104SL 20.0016 33,753. 33,753. 22,225. 1,688.

952005 ADDITIONS 082505SL 20.0016 41,276. 41,276. 24,940. 2,064.

102HANDICAP RAMP 031506SL 20.0016 45,728. 45,728. 26,480. 2,286.

103CONCESSIONEQUIPMENT 091606SL 10.0016 8,000. 8,000. 8,000. 0.

115WALL PREP WORK 090107SL 10.0016 1,500. 1,500. 1,500. 0.

132THEATER BUILDIMPROV G/L1511 073109SL 40.0016 246,996. 246,996. 50,429. 6,175.

133THEATER FIXT G/L1511 033109SL 5.00 16 7,800. 7,800. 7,800. 0.

147THEATER BUILDIMPROV G/L1511 033110SL 40.0016 39,532. 39,532. 7,410. 988.

148THEATER FIXT G/L1511 033110SL 20.0016 15,923. 15,923. 5,970. 796.

158THEATER BUILDIMPROV G/L1511 111510SL 40.0016 13,336. 13,336. 2,304. 333.

159THEATER HVACPROJECT G/L 1511 022811SL 20.0016 5,849. 5,849. 1,923. 292.

188THEATER FACADEADDITION 022912SL 20.0016 30,119. 30,119. 8,408. 1,506.

189HEARINGLOOP-THEATER BUILDG063012SL 10.0016 11,365. 11,365. 5,969. 1,137.

190FLOORING-THEATER 043012SL 5.00 16 2,315. 2,315. 2,315. 0.

198THEATER FACADEADDITION 080113SL 20.0016 98,137. 98,137. 20,446. 4,907.

199AIRCONDITIONING-PROJEC042213SL 10.0016 15,120. 15,120. 6,678. 1,512.

200LED LIGHTING SYSTEM080113SL 10.0016 45,314. 45,314. 18,879. 4,531.

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AssetNo.

LineNo.

728102 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus %Excl

Reduction In Basis

Basis ForDepreciation

AccumulatedDepreciation

CurrentSec 179

Current YearDeductionDescription Method Life

*

(D) - Asset disposed * ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction

- CURRENT YEAR FEDERAL - JACOB BURNS FILM CENTER, INC.

201BATH RENOVATION 072913SL 10.0016 2,400. 2,400. 1,000. 240.

220MICROTHEATERS 4 AND5 HARDCOSTS 030615SL 40.0016 3,055,306. 3,055,306. 197,323. 76,383.

221THEATER 3RD FLOOR-THEATER 4 AND 5 FIX030615SL 20.0016 425,680. 425,680. 54,984. 21,284.

246THEATER FIXT &EQUIP. 011516SL 10.0016 12,942. 12,942. 2,265. 1,294.

258THEATER BUILDIMPROV G/L1511-RAIL083117SL 10.0016 11,803. 11,803. 98. 1,180.* 990 PAGE 10 TOTALBUILDINGS 4,196,535. 0. 4,196,535. 490,600. 129,105.* 990 PAGE 10 TOTAL- 4,196,535. 0. 4,196,535. 490,600. 129,105.

BUILDINGS

172RECORDING STUDIOSYST. G/L 1522-09 113010SL 10.0016 16,663. 16,663. 11,385. 1,666.

186RECORDING STUDIOEQUIP G/L 1522-09 041512SL 5.00 16 4,256. 4,256. 4,256. 0.

216PIANO AND OTHERMUSICAL INSTRUMENTS093013SL 5.00 16 26,985. 26,985. 21,588. 5,397.

231BOOM STANDS-EDU.CENTER 012414SL 5.00 16 982. 982. 719. 196.

242A/V EQUIPMENT G/L1522-09 040115SL 5.00 16 904. 904. 452. 181.

263RECORDING STUDIOEQUIP G/L 1522-09 123116SL 5.00 16 25,640. 25,640. 3,846. 5,128.* 990 PAGE 10 TOTALBUILDINGS 75,430. 0. 75,430. 42,246. 12,568.* 990 PAGE 10 TOTAL- 75,430. 0. 75,430. 42,246. 12,568.

BUILDINGS

173SOUND STAGE EQUIPG/L 1522-14 113010SL 10.0016 3,371. 3,371. 2,303. 337.

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AssetNo.

LineNo.

728102 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus %Excl

Reduction In Basis

Basis ForDepreciation

AccumulatedDepreciation

CurrentSec 179

Current YearDeductionDescription Method Life

*

(D) - Asset disposed * ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction

- CURRENT YEAR FEDERAL - JACOB BURNS FILM CENTER, INC.

187SOUND STAGE EQUIPG/L 1522-14 031512SL 7.00 16 10,880. 10,880. 8,677. 1,554.

217SPEAKER SYSTUPGRADE 041513SL 7.00 16 716. 716. 459. 102.

232SOUND STAGE EQUIPG/L 1522-14 033114SL 7.00 16 9,786. 9,786. 4,893. 1,398.* 990 PAGE 10 TOTALBUILDINGS 24,753. 0. 24,753. 16,332. 3,391.* 990 PAGE 10 TOTAL- 24,753. 0. 24,753. 16,332. 3,391.

BUILDINGS

182SCREENING RM SOUNDEQUIP 021512SL 10.0016 8,733. 8,733. 4,947. 873.* 990 PAGE 10 TOTALBUILDINGS 8,733. 0. 8,733. 4,947. 873.* 990 PAGE 10 TOTAL- 8,733. 0. 8,733. 4,947. 873.

OTHER

233(D)DEFERREDFINANCING COSTS-CHA060115 180M 43 156,007. 156,007. 26,000. 130,007.

264DEFERRED FINANCINGCOSTS-WEST. BANK 123117 240M 42 65,207. 65,207. 2,445.* 990 PAGE 10 TOTALOTHER 221,214. 0. 221,214. 26,000. 132,452.* 990 PAGE 10 TOTAL- 221,214. 0. 221,214. 26,000. 132,452.MACHINERY &EQUIPMENT

137FURN/FIXT 405MANVILLE GL 1522-01033109SL 7.00 16 90,835. 90,835. 90,832. 0.

150MANVILLE FURN-G/L1522-01 033110SL 7.00 16 17,759. 17,759. 17,759. 0.

174FURN. & FIXT-405MANVILLE G/L 1522-0022811SL 7.00 16 17,077. 17,077. 16,063. 1,014.

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AssetNo.

LineNo.

728102 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus %Excl

Reduction In Basis

Basis ForDepreciation

AccumulatedDepreciation

CurrentSec 179

Current YearDeductionDescription Method Life

*

(D) - Asset disposed * ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction

- CURRENT YEAR FEDERAL - JACOB BURNS FILM CENTER, INC.

192FURN. & FIXT-405MANVILLE G/L 1522-0061512SL 7.00 16 6,558. 6,558. 4,997. 937.

259EDUC CENTERFURNISHINGS GL 1522033017SL 7.00 16 2,718. 2,718. 194. 388.* 990 PAGE 10 TOTALMACHINERY & EQUIPM 134,947. 0. 134,947. 129,845. 2,339.* 990 PAGE 10 TOTAL- 134,947. 0. 134,947. 129,845. 2,339.MACHINERY &EQUIPMENT

83DATA EQUIP-405MANVILLE RD. 072304SL 10.0016 2,576. 2,576. 2,576. 0.

104CAMERA/DVDS 033106SL 5.00 16 3,860. 3,860. 3,860. 0.

119405 MANVILLEEQUIP/FIXTURES-G/L 090108SL 7.00 16 682,351. 682,351. 682,351. 0.

138EQUIP/FIXT 405MANVILLE GL 1522 123108SL 5.00 16 242,424. 242,424. 242,424. 0.

163SOUND BARRIERSYST.-G/L 1522 100110SL 20.0016 26,575. 26,575. 9,303. 1,329.

164EDUC. CENTER CONF.ROOM TV 112210SL 5.00 16 808. 808. 808. 0.

165HP PRINTER EDUCCENTER G/L 1522 122310SL 5.00 16 1,746. 1,746. 1,746. 0.

185JBFC BANNER 122111SL 5.00 16 1,200. 1,200. 1,200. 0.* 990 PAGE 10 TOTALMACHINERY & EQUIPM 961,540. 0. 961,540. 944,268. 1,329.* 990 PAGE 10 TOTAL- 961,540. 0. 961,540. 944,268. 1,329.MACHINERY &EQUIPMENT

175ANIMATION EQUIP G/L1522-12 033111SL 7.00 16 22,418. 22,418. 20,819. 1,599.

208MOBILE ANIMATIONKIT 063013SL 3.00 16 756. 756. 756. 0.

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AssetNo.

LineNo.

728102 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus %Excl

Reduction In Basis

Basis ForDepreciation

AccumulatedDepreciation

CurrentSec 179

Current YearDeductionDescription Method Life

*

(D) - Asset disposed * ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction

- CURRENT YEAR FEDERAL - JACOB BURNS FILM CENTER, INC.

2095 IPADS APPLE 071513SL 5.00 16 3,990. 3,990. 3,392. 598.* 990 PAGE 10 TOTALMACHINERY & EQUIPM 27,164. 0. 27,164. 24,967. 2,197.* 990 PAGE 10 TOTAL- 27,164. 0. 27,164. 24,967. 2,197.MACHINERY &EQUIPMENT

218EDUC CENTER EDITSTUDIO SOFTWRE 073113SL 3.00 16 3,483. 3,483. 3,483. 0.

222EDIT STUDIOEQUIPMENT 080114SL 5.00 16 16,926. 16,926. 10,719. 3,385.* 990 PAGE 10 TOTALMACHINERY & EQUIPM 20,409. 0. 20,409. 14,202. 3,385.* 990 PAGE 10 TOTAL- 20,409. 0. 20,409. 14,202. 3,385.MACHINERY &EQUIPMENT

177VIRTUAL LEARNINGPLATFORM-LUMIERE 100114SL 20.0016 1,198,087. 1,198,087. 179,712. 59,904.* 990 PAGE 10 TOTALMACHINERY & EQUIPM 1,198,087. 0. 1,198,087. 179,712. 59,904.* 990 PAGE 10 TOTAL- 1,198,087. 0. 1,198,087. 179,712. 59,904.MACHINERY &EQUIPMENT

1RAISER'S EDGESOFTWARE 031300SL 5.00 16 12,000. 12,000. 12,000. 0.

28COMPUFIT SFTWRE 031502SL 3.00 16 1,264. 1,264. 1,264. 0.

30RAISER'S EDGE SFTWRUPGRADE 071502SL 5.00 16 6,535. 6,535. 6,535. 0.

31VARIOUS SFTWR 071502SL 3.00 16 2,574. 2,574. 2,574. 0.

73SOFTWARELICENSE-RAISERS EDG082803SL 5.00 16 8,544. 8,544. 8,544. 0.

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AssetNo.

LineNo.

728102 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus %Excl

Reduction In Basis

Basis ForDepreciation

AccumulatedDepreciation

CurrentSec 179

Current YearDeductionDescription Method Life

*

(D) - Asset disposed * ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction

- CURRENT YEAR FEDERAL - JACOB BURNS FILM CENTER, INC.

84THEATERPROG.SOFTWARE 060104SL 3.00 16 5,346. 5,346. 5,346. 0.

96SOFTWARE ADDITIONS2005 093005SL 3.00 16 7,600. 7,600. 7,600. 0.

105WEBSITE SOFTWARE 013106SL 3.00 16 2,900. 2,900. 2,900. 0.

124UNSCRIPTED COMP.EQUIP. 073108SL 5.00 16 1,911. 1,911. 1,911. 0.

139SOFTWARE ADDITIONS2008-09 033109SL 5.00 16 23,418. 23,418. 23,418. 0.

151WEBSITE/SOFTWARE-G/L 1530 033110SL 5.00 16 10,256. 10,256. 10,256. 0.

166COMPUTER EQUIP G/L1530 021511SL 5.00 16 6,366. 6,366. 6,366. 0.

193TITAN TICKETINGSYST-1530 043012SL 10.0016 69,459. 69,459. 37,624. 6,946.

194MS SOFTWARE-1530 011512SL 5.00 16 13,364. 13,364. 13,364. 0.

210TITAN SOFTWARE 091513SL 5.00 16 29,275. 29,275. 23,908. 5,367.

211ADOBE CREATIVESUITE 032913SL 3.00 16 1,265. 1,265. 1,265. 0.

212PLURAL EYESSOFTWARE 073113SL 5.00 16 5,197. 5,197. 4,329. 868.

223ADOBE EDUCATIONSOFTWARE 010114SL 3.00 16 17,443. 17,443. 17,443. 0.

224COMPUTERSOFTWARE/UPGRADES 031514SL 3.00 16 11,625. 11,625. 11,625. 0.

237TITAN SALLEABLESREPORTS 061715SL 3.00 16 1,991. 1,991. 1,494. 497.

268SOFTWARE ADDITIONS2018 073118SL 3.00 16 6,484. 6,484. 360.* 990 PAGE 10 TOTALMACHINERY & EQUIPM 244,817. 0. 244,817. 199,766. 14,038.* 990 PAGE 10 TOTAL- 244,817. 0. 244,817. 199,766. 14,038.

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AssetNo.

LineNo.

728102 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus %Excl

Reduction In Basis

Basis ForDepreciation

AccumulatedDepreciation

CurrentSec 179

Current YearDeductionDescription Method Life

*

(D) - Asset disposed * ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction

- CURRENT YEAR FEDERAL - JACOB BURNS FILM CENTER, INC.

MACHINERY &EQUIPMENT

123COMPUTERS-5 GRANT 111507SL 5.00 16 4,769. 4,769. 4,769. 0.

236EQUIP-5 GRANTST.-2015 033115SL 5.00 16 1,399. 1,399. 700. 280.

249OIL TANK-5 GRANT 101515SL 10.0016 2,400. 2,400. 480. 240.* 990 PAGE 10 TOTALMACHINERY & EQUIPM 8,568. 0. 8,568. 5,949. 520.* 990 PAGE 10 TOTAL- 8,568. 0. 8,568. 5,949. 520.MACHINERY &EQUIPMENT

2GATEWAY COMPUTER 112399SL 5.00 16 1,822. 1,822. 1,822. 0.

3COMPUTER 020300SL 5.00 16 1,656. 1,656. 1,656. 0.

4COMPUFIT 042500SL 5.00 16 19,498. 19,498. 19,498. 0.

11OFFICE COMPUTERS 010101SL 5.00 16 5,773. 5,773. 5,773. 0.

12GATEWAY COMPUTERS 071101SL 5.00 16 4,292. 4,292. 4,292. 0.

14VIDEO SYSTEM 082001SL 5.00 16 1,256. 1,256. 1,256. 0.

32COMPUFIT- 2 COMPTRS121501SL 5.00 16 3,607. 3,607. 3,607. 0.

33COMPUSA COMPTRS 053002SL 5.00 16 3,985. 3,985. 3,985. 0.

37COMPUFIT-COMPTR 011502SL 5.00 16 996. 996. 996. 0.

39COMPUSA PRINTER 081502SL 5.00 16 700. 700. 700. 0.

74COMPUTERS 070103SL 5.00 16 5,888. 5,888. 5,888. 0.

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AssetNo.

LineNo.

728102 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus %Excl

Reduction In Basis

Basis ForDepreciation

AccumulatedDepreciation

CurrentSec 179

Current YearDeductionDescription Method Life

*

(D) - Asset disposed * ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction

- CURRENT YEAR FEDERAL - JACOB BURNS FILM CENTER, INC.

76COMPUTER EQUIP 020103SL 5.00 16 3,205. 3,205. 3,205. 0.

85VARIOUS COMPUTEREQUIP-THEATER 033104SL 5.00 16 13,389. 13,389. 13,389. 0.

97APPLE G5-GRAPHICDESIGN 103104SL 5.00 16 2,190. 2,190. 2,190. 0.

98COMPUTER EQUIP 2005073105SL 5.00 16 12,444. 12,444. 12,444. 0.

106UNSCRIPTED CPU 071506SL 5.00 16 3,477. 3,477. 3,477. 0.

108COMPUTER EQUIP 061506SL 5.00 16 6,276. 6,276. 6,276. 0.

112APPLE COMPUTERS 053107SL 5.00 16 8,953. 8,953. 8,953. 0.

1135G RAM 113006SL 5.00 16 538. 538. 538. 0.

125DELL AND APPLECOMPUTERS 073108SL 5.00 16 21,900. 21,900. 21,900. 0.

126THEATER EQUIP 2008 071508SL 5.00 16 10,218. 10,218. 10,218. 0.

140EDUC.CENTERCOMPUTER EQUIP 033109SL 5.00 16 98,625. 98,625. 98,625. 0.

142COMPUTER EQUIP GL1560 033109SL 5.00 16 30,501. 30,501. 30,501. 0.

152COMPUTERS G/L 1535 033110SL 5.00 16 31,329. 31,329. 31,329. 0.

167COMPUTER EQUIP G/L1535 033111SL 5.00 16 54,114. 54,114. 54,114. 0.

180COMPUTER EQUIP 033112SL 5.00 16 30,940. 30,940. 30,940. 0.

214ADMIN COMPUTEREQUIP 033113SL 5.00 16 4,965. 4,965. 4,469. 496.

226ADMIN COMPUTEREQUIP-FISCAL 2014 033114SL 5.00 16 45,248. 45,248. 31,675. 9,050.

238COMPUTERS-ADMIN 033115SL 5.00 16 26,086. 26,086. 13,043. 5,217.

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AssetNo.

LineNo.

728102 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus %Excl

Reduction In Basis

Basis ForDepreciation

AccumulatedDepreciation

CurrentSec 179

Current YearDeductionDescription Method Life

*

(D) - Asset disposed * ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction

- CURRENT YEAR FEDERAL - JACOB BURNS FILM CENTER, INC.

250COMPUTERS-ADMIN 063016SL 5.00 16 5,831. 5,831. 1,458. 1,166.

261ADMIN COMPUTEREQUIP 021517SL 5.00 16 12,122. 12,122. 1,616. 2,424.

269ADMIN COMPUTEREQUIP 082818SL 5.00 16 64,494. 64,494. 1,075.* 990 PAGE 10 TOTALMACHINERY & EQUIPM 536,318. 0. 536,318. 429,833. 19,428.* 990 PAGE 10 TOTAL- 536,318. 0. 536,318. 429,833. 19,428.MACHINERY &EQUIPMENT

34FAX MACHINE 021202SL 3.00 16 280. 280. 280. 0.

35AMEX CARD PRINTER 032702SL 5.00 16 2,686. 2,686. 2,686. 0.

36CATSKILL SUPPLIES 022802SL 3.00 16 1,222. 1,222. 1,222. 0.

75DVD PLAYER-FOR EDUCPROG 091903SL 3.00 16 2,925. 2,925. 2,925. 0.

86LASERPRINTER-OFFICE 073104SL 5.00 16 1,380. 1,380. 1,380. 0.

873 DESKS 090104SL 7.00 16 993. 993. 993. 0.

107FOLDING MACHINE 061806SL 3.00 16 934. 934. 934. 0.

141TASK LIGHTING 031809SL 5.00 16 3,960. 3,960. 3,960. 0.

153OFFICE EQUIPMENTG/L 1545 110109SL 5.00 16 3,053. 3,053. 3,053. 0.

169OFFICE EQUIPMENTG/L 1545 031511SL 5.00 16 8,417. 8,417. 8,417. 0.

219ADMIN. PRINTERS 063013SL 5.00 16 4,350. 4,350. 3,698. 652.

228LASER PRINTER-ADMIN121513SL 5.00 16 2,294. 2,294. 1,759. 459.

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AssetNo.

LineNo.

728102 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus %Excl

Reduction In Basis

Basis ForDepreciation

AccumulatedDepreciation

CurrentSec 179

Current YearDeductionDescription Method Life

*

(D) - Asset disposed * ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction

- CURRENT YEAR FEDERAL - JACOB BURNS FILM CENTER, INC.

240ART DEPT. PRINTER 073115SL 5.00 16 1,195. 1,195. 518. 239.* 990 PAGE 10 TOTALMACHINERY & EQUIPM 33,689. 0. 33,689. 31,825. 1,350.* 990 PAGE 10 TOTAL- 33,689. 0. 33,689. 31,825. 1,350.MACHINERY &EQUIPMENT

168COMPUTER EQUIP G/L1536 042811SL 5.00 16 5,511. 5,511. 5,511. 0.

181COMPUTER EQUIP-IT 080112SL 5.00 16 18,958. 18,958. 18,958. 0.

215ADMIN SERVERS 022813SL 5.00 16 22,908. 22,908. 21,001. 1,907.

227IT COMPUTER EQUIP 053114SL 5.00 16 48,464. 48,464. 32,310. 9,693.

239COMPUTERS-IT 033115SL 5.00 16 85,778. 85,778. 42,890. 17,156.

251COMPUTERS-IT 031516SL 5.00 16 17,706. 17,706. 5,607. 3,541.

270IT COMPUTER EQUIP 083118SL 5.00 16 14,382. 14,382. 240.* 990 PAGE 10 TOTALMACHINERY & EQUIPM 213,707. 0. 213,707. 126,277. 32,537.* 990 PAGE 10 TOTAL- 213,707. 0. 213,707. 126,277. 32,537.MACHINERY &EQUIPMENT

5TELEPHONE SYSTEM 051000SL 5.00 16 5,953. 5,953. 5,953. 0.

13OFFICE TELEPHONES 071501SL 5.00 16 2,743. 2,743. 2,743. 0.

16THEATER TELEPHONESYST. 061501SL 5.00 16 9,720. 9,720. 9,720. 0.

40CORDLESS PHONES 101501SL 5.00 16 1,474. 1,474. 1,474. 0.

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AssetNo.

LineNo.

728102 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus %Excl

Reduction In Basis

Basis ForDepreciation

AccumulatedDepreciation

CurrentSec 179

Current YearDeductionDescription Method Life

*

(D) - Asset disposed * ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction

- CURRENT YEAR FEDERAL - JACOB BURNS FILM CENTER, INC.

77PHONE JACKS 100902SL 5.00 16 629. 629. 629. 0.

89TELEPHONE PUBACCESS LINE 040104SL 3.00 16 850. 850. 850. 0.

90TELEPH-405 MANVILLE051504SL 5.00 16 243. 243. 243. 0.

109PHONE UPGRADES 123105SL 3.00 16 2,712. 2,712. 2,712. 0.

128TELEPH-405 MANVILLE052008SL 5.00 16 1,617. 1,617. 1,617. 0.

144TELEPH-405 MANVILLE091809SL 5.00 16 2,059. 2,059. 2,059. 0.

252ADMIN TELEPHONESYSTEM 073116SL 5.00 16 16,710. 16,710. 3,899. 3,342.* 990 PAGE 10 TOTALMACHINERY & EQUIPM 44,710. 0. 44,710. 31,899. 3,342.* 990 PAGE 10 TOTAL- 44,710. 0. 44,710. 31,899. 3,342.MACHINERY &EQUIPMENT

9CONCESSIONEQUIPMENT 061501SL 5.00 16 2,368. 2,368. 2,368. 0.

17PROJECTOR 061501SL 5.00 16 12,000. 12,000. 12,000. 0.

18COFFEE MAKER 061501SL 5.00 16 10,000. 10,000. 10,000. 0.

19SOUND LIGHTING-RMS 061501SL 25.0016 125,177. 125,177. 81,781. 5,007.

20RMS-THEATER EQUIP 061501SL 25.0016 105,157. 105,157. 68,698. 4,206.

21CONCESSIONEQUIPMENT 061501SL 5.00 16 73,097. 73,097. 73,097. 0.

22IRWIN SEATING 061501SL 10.0016 79,464. 79,464. 79,464. 0.

23WELLINGTON SEATS 061501SL 10.0016 4,000. 4,000. 4,000. 0.

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AssetNo.

LineNo.

728102 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus %Excl

Reduction In Basis

Basis ForDepreciation

AccumulatedDepreciation

CurrentSec 179

Current YearDeductionDescription Method Life

*

(D) - Asset disposed * ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction

- CURRENT YEAR FEDERAL - JACOB BURNS FILM CENTER, INC.

24GALLERY 17 SCREENS 061501SL 25.0016 36,542. 36,542. 23,879. 1,462.

25BATHROOM EQUIP 061501SL 10.0016 12,431. 12,431. 12,431. 0.

26SECURITY SYST 061501SL 10.0016 983. 983. 983. 0.

41SAFE 100301SL 10.0016 1,050. 1,050. 1,050. 0.

42MIXER-SAM ASH 101201SL 3.00 16 900. 900. 900. 0.

44CATSKILL SUPPLIES 102501SL 3.00 16 368. 368. 368. 0.

45COFFEE MKR CONNECT.110201SL 5.00 16 480. 480. 480. 0.

46MAIN LOBBYUPGRADE-BORG 033102SL 10.0016 8,259. 8,259. 8,259. 0.

47LENS EQUIPMENT 110801SL 10.0016 1,870. 1,870. 1,870. 0.

48BAR CODE SCANNER 111201SL 5.00 16 950. 950. 950. 0.

49LAWRENCE METAL 011502SL 5.00 16 667. 667. 667. 0.

50B&H MICROPHONES 013002SL 5.00 16 1,820. 1,820. 1,820. 0.

51BETA PLAYER 020702SL 10.0016 6,500. 6,500. 6,500. 0.

52ROBERT SCULLY 022102SL 10.0016 1,250. 1,250. 1,250. 0.

53BOSTON LIGHT 030102SL 25.0016 2,500. 2,500. 1,558. 100.

54RMS-THEATER EQUIP 032102SL 25.0016 40,000. 40,000. 24,800. 1,600.

55THEATER SIGNS&EQUIP 053102SL 25.0016 31,631. 31,631. 19,397. 1,265.

56MEMBERSHIP STAT.EQUIP 061502SL 10.0016 6,000. 6,000. 6,000. 0.

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AssetNo.

LineNo.

728102 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus %Excl

Reduction In Basis

Basis ForDepreciation

AccumulatedDepreciation

CurrentSec 179

Current YearDeductionDescription Method Life

*

(D) - Asset disposed * ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction

- CURRENT YEAR FEDERAL - JACOB BURNS FILM CENTER, INC.

57DVD PLAYER 052002SL 3.00 16 358. 358. 358. 0.

59FREEZER 080102SL 5.00 16 469. 469. 469. 0.

60CINEMA TECH. EQUIP.090102SL 5.00 16 4,714. 4,714. 4,714. 0.

61CLEANING SYST. 101501SL 5.00 16 4,020. 4,020. 4,020. 0.

623 SEAT BENCH 101901SL 5.00 16 3,073. 3,073. 3,073. 0.

63THEATER CARPETING 031502SL 5.00 16 1,825. 1,825. 1,825. 0.

64GALLERY 17 SCREENS 021502SL 25.0016 8,305. 8,305. 5,201. 332.

65BENTLEY PRINCE 031202SL 5.00 16 3,006. 3,006. 3,006. 0.

78THEATER FIXT &EQUIP. 033103SL 25.0016 193,283. 193,283. 112,100. 7,731.

79THEATER FURN. 030103SL 10.0016 1,987. 1,987. 1,987. 0.

91VARIOUS THEATERELECTRONICS 051504SL 5.00 16 30,609. 30,609. 30,609. 0.

92OFFICE FURNITURE 080104SL 7.00 16 5,971. 5,971. 5,971. 0.

99THEATER EQUIP 2005 073105SL 5.00 16 17,003. 17,003. 17,003. 0.

100THEATER F&F 2005 093005SL 5.00 16 9,408. 9,408. 9,408. 0.

110PANASONIC CAMERA 061606SL 5.00 16 3,715. 3,715. 3,715. 0.

114THEATER EQUIP.-D.KIRTLEY 060807SL 5.00 16 5,682. 5,682. 5,682. 0.

129THEATER EQUIP2008-G/L 1575 091508SL 5.00 16 253,810. 253,810. 253,810. 0.

130THEATER FIXT. G/L1580 090508SL 5.00 16 1,067. 1,067. 1,067. 0.

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AssetNo.

LineNo.

728102 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus %Excl

Reduction In Basis

Basis ForDepreciation

AccumulatedDepreciation

CurrentSec 179

Current YearDeductionDescription Method Life

*

(D) - Asset disposed * ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction

- CURRENT YEAR FEDERAL - JACOB BURNS FILM CENTER, INC.

145THEATER EQUIP2008-09 033109SL 5.00 16 52,454. 52,454. 52,454. 0.

146PROJECTOR CART 022609SL 3.00 16 792. 792. 792. 0.

155THEATER EQUIP G/L1575 033110SL 5.00 16 8,228. 8,228. 8,228. 0.

156THEATER FURN G/L1580 113009SL 7.00 16 2,995. 2,995. 2,995. 0.

160ROOFTOP UNIT-HVACG/L 1575 123110SL 20.0016 82,785. 82,785. 27,938. 4,139.

161THEATER ESPRESSOMACHINE G/L 1575 111810SL 5.00 16 8,500. 8,500. 8,500. 0.

162THEATER FIXT. G/L1580 123110SL 7.00 16 5,278. 5,278. 5,090. 188.

184WATER HEATER 022812SL 7.00 16 2,698. 2,698. 2,150. 385.

195NEW SOUNDEQUIPMENT-1575 060112SL 10.0016 52,580. 52,580. 28,043. 5,258.

196THEATER EQUIPM-1575033112SL 5.00 16 44,909. 44,909. 44,909. 0.

202WIRELESS MICROPHONESYSTEM 120112SL 7.00 16 5,208. 5,208. 3,596. 744.

203DIGITAL PROJECTIONSYSTEM 040113SL 10.0016 265,747. 265,747. 119,587. 26,575.

204THEATER SCREENS 051513SL 5.00 16 9,880. 9,880. 8,727. 1,153.

205CONCESSIONEQUIPMENT 051513SL 5.00 16 800. 800. 707. 93.

206TITAN POS TICKETINGEQUIPMENT 091513SL 10.0016 35,707. 35,707. 14,582. 3,571.

207EXHAUST FAN 072513SL 7.00 16 8,610. 8,610. 5,125. 1,230.

229THEATER EQUIP 2014 033114SL 5.00 16 20,632. 20,632. 14,441. 4,126.

230THEATER FURN G/L1580 033114SL 7.00 16 10,195. 10,195. 5,096. 1,456.

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AssetNo.

LineNo.

728102 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus %Excl

Reduction In Basis

Basis ForDepreciation

AccumulatedDepreciation

CurrentSec 179

Current YearDeductionDescription Method Life

*

(D) - Asset disposed * ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction

- CURRENT YEAR FEDERAL - JACOB BURNS FILM CENTER, INC.

234THEATER EQUIP 2015 050115SL 5.00 16 8,410. 8,410. 4,065. 1,682.

235BENCHES-UPPER LOBBYTHEATER 060215SL 7.00 16 2,344. 2,344. 782. 335.

247THEATER EQUIPM-1575033016SL 5.00 16 23,343. 23,343. 7,171. 4,669.

248THEATER LOBBYBENCHES 022816SL 7.00 16 2,345. 2,345. 530. 335.

255TESSITURA NETWORK 100116SL 7.00 16 230,931. 230,931. 32,990. 32,990.

262THEATER EQUIP G/L1575 040117SL 5.00 16 11,380. 11,380. 1,138. 2,276.

265TESSITURANETWORK-SOFTWARE UP033118SL 7.00 16 41,025. 41,025. 2,930.

266THEATER EQUIP G/L1575 033118SL 5.00 16 114,953. 114,953. 11,495.

267NEW SIGNAGE-THEATER022118SL 7.00 16 7,503. 7,503. 625.* 990 PAGE 10 TOTALMACHINERY & EQUIPM 2,174,001. 0. 2,174,001. 1,308,224. 127,958.* 990 PAGE 10 TOTAL- 2,174,001. 0. 2,174,001. 1,308,224. 127,958.

LAND

27SCULPTURE 080101L 12,550. 12,550. 0.

157DONATED BOOKS 123109L 14,311. 14,311. 0.

197DONATEDPAINTING-ROGER POLL093012L 12,000. 12,000. 0.* 990 PAGE 10 TOTALLAND 38,861. 0. 38,861. 0. 0.* 990 PAGE 10 TOTAL- 38,861. 0. 38,861. 0. 0.

LAND

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AssetNo.

LineNo.

728102 04-01-17

2017 DEPRECIATION AND AMORTIZATION REPORT

DateAcquired

UnadjustedCost Or Basis

Bus %Excl

Reduction In Basis

Basis ForDepreciation

AccumulatedDepreciation

CurrentSec 179

Current YearDeductionDescription Method Life

*

(D) - Asset disposed * ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction

- CURRENT YEAR FEDERAL - JACOB BURNS FILM CENTER, INC.

7LAND 062600L 285,000. 285,000. 0.

94LAND - 3 GRANTSTREET 022505L 560,000. 560,000. 0.

101LAND - 405 MANVILLE030504L 1,000,000. 1,000,000. 0.

111ADJACENT LAND-405MANVILLE 102706L 13,232. 13,232. 0.

131LAND-5 GRANT 090108L 127,000. 127,000. 0.* 990 PAGE 10 TOTALLAND 1,985,232. 0. 1,985,232. 0. 0.* 990 PAGE 10 TOTAL- 1,985,232. 0. 1,985,232. 0. 0.* GRAND TOTAL 990PAGE 10 DEPR & AMOR 35,123,865. 0. 35,123,865. 10,615,069. 1,160,918.

CURRENT YEARACTIVITY

BEGINNING BALANCE 34,718,635. 0. 34,718,635. 10,615,069.

ACQUISITIONS 405,230. 0. 405,230. 0.

DISPOSITIONS 156,007. 0. 156,007. 26,000.

ENDING BALANCE 34,967,858. 0. 34,967,858. 10,589,069.

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70094104-01-17

~~~~~~~~~~~~~~~~~

FOR THE YEAR ENDING

Prepared for

Prepared by

Amount dueor refund

Make checkpayable to

Mail tax returnand check (ifapplicable) to

Return must bemailed onor before

SpecialInstructions

TAX RETURN FILING INSTRUCTIONSNEW YORK FORM CHAR500

SEPTEMBER 30, 2018

MR. DOMINICK BALLETTA, MANAGING DIRECTORJACOB BURNS FILM CENTER, INC.405 MANVILLE ROADPLEASANTVILLE, NY 10570

D'ARCANGELO & CO., LLP800 WESTCHESTER AVE, SUITE N-400RYE BROOK, NY 10573-1301

BALANCE DUE OF $775.00

DEPARTMENT OF LAW

NYS OFFICE OF ATTORNEY GENERALCHARITIES BUREAU REGISTRATION SECTION28 LIBERTY STREETNEW YORK, NY 10005

FEBRUARY 15, 2019

THE REPORT SHOULD BE SIGNED AND DATED BY THE AUTHORIZEDINDIVIDUAL(S).

THE ATTACHED COPY OF FEDERAL FORM 990 MUST BE PROPERLY SIGNEDAND DATED.

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768451 04-27-18

"Department of Law"

We certify under penalties of perjury that we reviewed this report, including all attachments, and to the best of our knowledge and belief,they are true, correct and complete in accordance with the laws of the State of New York applicable to this report.

Confirm your Registration Category in theCharities Registry at www.CharitiesNYS.com.

Send with fee and attachments to:

NYS Office of the Attorney General

Charities Bureau Registration Section

28 Liberty Street

New York, NY 10005

and Ending (mm/dd/yyyy)For Fiscal Year Beginning (mm/dd/yyyy)

Check if Applicable: Name of Organization: Employer Identification Number (EIN):

Address Change

Name Change

Initial Filing

Final Filing

Amended Filing

Mailing Address: NY Registration Number:

Telephone:City / State / ZIP:

Email:Reg ID Pending Website:

Check your organization's

registration category: 7A only EPTL only DUAL (7A & EPTL) EXEMPT*

See instructions for certification requirements. Improper certification is a violation of law that may be subject to penalties. The certification requires

two signatories.

President or Authorized Officer:

Signature Print Name and Title Date

Chief Financial Officer or Treasurer:

Signature Print Name and Title Date

Check the exemption(s) that apply to your filing. If your organization is claiming an exemption under one category (7A or EPTL only filers) or both

categories (DUAL filers) that apply to your registration, complete only parts 1, 2, and 3, and submit the certified Char500. No fee, schedules, or

additional attachments are required. If you cannot claim an exemption or are a DUAL filer that claims only one exemption, you must file applicable

schedules and attachments and pay applicable fees.

3a. 7A filing exemption: Total contributions from NY State including residents, foundations, government agencies, etc. did notexceed $25,000 and the organization did not engage a professional fund raiser (PFR) or fund raising counsel (FRC) to solicitcontributions during the fiscal year.

3b. EPTL filing exemption: Gross receipts did not exceed $25,000 and the market value of assets did not exceed $25,000 at any timeduring the fiscal year.

See the following page

for a checklist of

schedules and

attachments to

complete your filing.

Yes No 4a. Did your organization use a professional fund raiser, fund raising counsel or commercial co-venturer

for fund raising activity in NY State? If yes, complete Schedule 4a.

Yes No 4b. Did the organization receive government grants? If yes, complete Schedule 4b.

See the checklist on the

next page to calculate your

fee(s). Indicate fee(s) you

are submitting here:

7A filing fee: EPTL filing fee: Total fee:Make a single check or money order

payable to:

CHAR500 Annual Filing for Charitable Organizations (Updated April 2018)

*The "Exempt" category refers to an organization's NYS registration status. It does not refer to its IRS tax designation.

1019 Page 1

Open to PublicInspection

1.General Information

2. Certification

3. Annual Reporting Exemption

4. Schedules and Attachments

5. Fee

NYS Annual Filing for Charitable Organizationswww.CharitiesNYS.com

$ $ $

2017CHAR500

      

       

 

 

   

   

10/01/2017 09/30/2018

JACOB BURNS FILM CENTER, INC. 13-4038441

405 MANVILLE RD 06-36-48

PLEASANTVILLE, NY 10570-2117 914 773-7663

WWW.BURNSFILMCENTER.ORG

X

DOMINICK BALLETTAMANAGING DIRECTOR

JIM KILMANTREASURER

X

X

25. 750. 775.

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 2

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76846104-27-18

7A

EPTL

DUAL

EXEMPTSchedule E - Registration

Exemption for Charitable Organizations

Need Assistance?

Professional Fund Raisers (PFR), Fund Raising Counsel (FRC), Commercial Co-Venturers (CCV)

Simply submit the certified CHAR500 with no fee, schedule, or additional attachments IF:

- Your organization is registered as 7A only and you marked the 7A filing exemption in Part 3.

- Your organization is registered as EPTL only and you marked the EPTL filing exemption in Part 3.

- Your organization is registered as DUAL and you marked both the 7A and EPTL filing exemption in Part 3.

Check the schedules you must submit with your CHAR500 as described in Part 4:

If you answered "yes" in Part 4a, submit Schedule 4a:

If you answered "yes" in Part 4b, submit Schedule 4b: Government Grants

Check the financial attachments you must submit with your CHAR500:

IRS Form 990, 990-EZ, or 990-PF, and 990-T if applicable

All additional IRS Form 990 Schedules, including Schedule B (Schedule of Contributors). Schedule B of public charities is exempt fromdisclosure and will not be available for public review.

Our organization was eligible for and filed an IRS 990-N e-postcard. Our revenue exceeded $25,000 and/or our assets exceeded $25,000 in thefiling year. We have included an IRS Form 990-EZ for state purposes only.

If you are a 7A only or DUAL filer, submit the applicable independent Certified Public Accountant's Review or Audit Report:

Review Report if you received total revenue and support greater than $250,000 and up to $750,000.

Audit Report if you received total revenue and support greater than $750,000

No Review Report or Audit Report is required because total revenue and support is less than $250,000

We are a DUAL filer and checked box 3a, no Review Report or Audit Report is required

Organizations are assigned a Registration Category upon

registration with the NY Charities Bureau: For 7A and DUAL filers, calculate the 7A fee:

$0, if you checked the 7A exemption in Part 3a filers are registered to solicit contributions in New York

under Article 7-A of the Executive Law ("7A")$25, if you did not check the 7A exemption in Part 3a

filers are registered under the Estates, Powers & TrustsLaw ("EPTL") because they hold assets and/or conductactivities for charitable purposes in NY.

For EPTL and DUAL filers, calculate the EPTL fee:

$0, if you checked the EPTL exemption in Part 3b filers are registered under both 7A and EPTL. $25, if the NET WORTH is less than $50,000

$50, if the NET WORTH is $50,000 or more but less than $250,000 filers have registered with the NY Charities Bureau and meet conditions in

. These organizations are not required to file annual financial reports but may do so voluntarily.

$100, if the NET WORTH is $250,000 or more but less than $1,000,000

$250, if the NET WORTH is $1,000,000 or more but less than $10,000,000

$750, if the NET WORTH is $10,000,000 or more but less than $50,000,000

$1500, if the NET WORTH is $50,000,000 or more

Confirm your Registration Category and learn more about NYlaw at www.CharitiesNYS.com.

NET WORTH for fee purposes is calculated on:Send your CHAR500, all schedules and attachments, and total fee to:

- IRS Form 990 Part I, line 22- IRS Form 990 EZ Part I, line 21- IRS Form 990 PF, calculate the difference between Total Assets at Fair Market Value (Part II, line 16(c)) and Total Liabilities (Part II, line 23(b)).

NYS Office of the Attorney General

Charities Bureau Registration Section

28 Liberty Street

New York, NY 10005

Visit:

Call:

Email:

www.CharitiesNYS.com

(212) 416-8401

[email protected]

1019 CHAR500 Annual Filing for Charitable Organizations (Updated April 2018) Page 2

Is my Registration Category 7A, EPTL, DUAL or EXEMPT?

Where do I find my organization's NET WORTH?

Checklist of Schedules and Attachments

Calculate Your Fee

Send Your Filing

Annual Filing Checklist

CHAR500

  

  

 

    

  

       

JACOB BURNS FILM CENTER, INC.

X

XX

X

X

X

12280108 759717 43550.000 2017.05020 JACOB BURNS FILM CENTER, IN 43550_01 3

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