ࡱ> !` 0bjbj\\ 8>>?T  ggg8@gDg hhhhhhk\rl-///R""ŕ$thܚd q~hhq~q~ hhv---q~p h h--q~--- -hxh PhSg~-Q0-@@-@ -$"mpr-tvy"m"m"mՀX"m"m"mq~q~q~q~ .8. 8   Iowa Department of Cultural Affairs Iowa Arts Council 600 E Locust, Des Moines, IA 50319-0290 End of Year Report: General Operating Support Programs The End of Year Report is a contractual obligation of all organizations receiving general operating support from the Iowa Department of Cultural Affairs or any of its divisions. This report is due 60 days after your operating year ends. Extensions may be requested in advance and in writing if you need additional time to complete a major financial audit. This form replaces all previous CEP/OSP report forms and interim reports. What you need to do. 1. Review this report and collect the information requested. 2. Type the information into this document and save it on your computer. Print a copy for your files. 3. Submit the report and all support materials via email to the Iowa Department of Cultural Affairs. What you need to submit. 1. End of Year Report 2. Support Materials: a. Current strategic plan (refer to Section 4B) b. Images (optional - refer to Section 4F) How to submit this report. 1. Email this report and all requested support materials to [Linda.Lee@iowa.gov]. Type End of Year Report in the subject line of the email. 2. If you cannot email the report or requested support materials, you can mail it to: Operating Support Programs, Grants Office, Iowa Department of Cultural Affairs, 600 E Locust St, Des Moines, IA 50319-0290. This form is a Microsoft Word documents (MS Word 2000/MS Word 6.0/95). It is also available in a MAC compatible form. Despite our best efforts, Word documents and forms do not always function well for users. The variables of operating systems, versions of Word, and the idiosyncrasies of individual computers and printers raise the probability of something going wrong. Contact staff if you have difficulties opening or using the documents. Questions " How to email this report and supporting materials: Linda Lee at [Linda.Lee@iowa.gov]. " How to complete this report: Bruce Williams at [bruce.williams@iowa.gov]. SECTION 1: INFORMATION ABOUT YOUR ORGANIZATION Name of Organization: This report reflects the organizations operating year (mm/dd/yyyy): Beginning Date: Ended Date: Operating Support Program (check only one): Operating Support Partnership Program for Arts Organizations (OSP) Cultural Enrichment Partnership Program (CEP) Contacts: Name TitleEmailPrimary person in charge of the organization   * Other person to contact regarding CEP/OSP (other than the director)   * Person in charge of development    * = Encouraged but optional section 2: Assurrances By submitting this report to the Iowa Department of Cultural Affairs, the director or person in charge of the organization listed below certifies that the information contained in it, including all support materials, is true and correct to the best of your knowledge. The director or person in charge is legally authorized by the organization specified to submit the report to the Iowa Department of Cultural Affairs. Name of person in charge: Title: Name of person completing this report: Title: SECTION 3: VERIFICATION OF ELIGIBILITY Verify that you met ALL of the eligibility requirements of the operational support program during your operating year. The Iowa Department of Cultural Affairs reserves the right to request information to verify the eligibility of organizations. Refer to Section 8 for eligibility requirements. Current OSP organizations who do not meet the current eligibility requirements have until June 30, 2007 to meet them in order to continue to receive operating support funding. Beginning July 1, 2007, all OSP organizations must meet ALL of the current eligibility requirements. Yes, we continued to meet all of the current eligibility requirements of the -CEP -OSP Program. No, we did not meet all of the current eligibility requirements of the -CEP -OSP Program. List all requirements you did not meet and what you are doing to meet them. Not sure if we met all of the current eligibility requirements. List all requirements you are not sure you met. SECTION 4: NARRATIVE REPORT A. Did the overall operation of your organization occur as planned? Yes, skip to B No. Describe any substantial changes (up to 250 words): B. Strategic Plan Submit your current strategic plan with this report. It will be submitted by: -Email -Mail " Does the plan include measurable goals? -No -Yes Status of the plan submitted: -New plan -Plan is the same plan submitted last year. -Plan has been updated from the plan submitted last year. -Plan is the same as last year but will be updated this year. -Other: Describe any significant changes that occurred from the plan you submitted last year (up to 200 words): C. How successful were you in meeting the goals you set for yourself in your strategic plan? (check only one) H" Not SuccessfulVery Successful "Not SuccessfulBelow AverageAverageAbove AverageVery Successful12345678910 Briefly describe what contributed to your success, and/or what barriers there were. (up to 200 words each) Success: Barriers: D. Success Stories (optional). Share one or two good success stories you had this year with your colleagues (up to 350 words each) 1: 2: E. Comments and Suggestions (optional). Please suggest ways the IAC can improve and/or strengthen our operational support programs. F. Photographic Images (optional). In addition to your strategic plan requested in Section 3B, yYou have the option of sending us photographic images the IAC/DCA can use for reports and promotional purposes. Examples include photographs you featured in your printed publications and website. By submitting photographic images with your report, you are certifying that you give permission to the Iowa Department of Cultural and its divisions to use them for non-commercial purposes. The DCA/IAC reserves the right to determine whether or not to use any images you submit. Do not send us printed photographs, reports, publications, programs, CDs, newspaper articles, etc. Submit photographic images via email to Linda.Lee@iowa.gov. Format: TIFF or JPEG file (the image should measure at least 4 inches on the shortest side, 300 dots per inch). Provide the following information on for each photo: " Describe what the viewer sees in the image, year taken, and name of event (if applicable). " Name of person taking photo (optional) " Image credit (if required). Image 1 description: Image 2 description: Image 3 description: Image 4 description: Photo 5 description: SECTION 5: CONSTITUENTS SERVED A. Race/Ethnicity of the Organization. Check ONE of the following that best represents at least 50 percent of your employees, board or membership. Asian (A) Black/African American (B) Hispanic/Latino (H) American Indian/Alaska Native (N) Native Hawaiian/Pacific Islander (P) White (W) General no single group above represents 50% or more (99) B. Race/Ethnicity of Organizations Programs and Services. If the majority of the programs and services involve or act as a clear expression or representation of the cultural traditions of one particular group, OR deliver services to a designated population listed below, please check that group. If your programs and services were not designated to represent or reach any one particular group, please check 99. Asian (A) Black/African American (B) Hispanic/Latino (H) American Indian/Alaska Native (N) Native Hawaiian/Pacific Islander (P) White (W) No single group (99) C. Estimated Number of Individuals Served during your operating year. Whenever possible, DO NOT double-count repeat attendees. Include audience members based on paid/free admissions or seats filled. Avoid inflated numbers. Of this total number, how many were: IOWANS Children/youth Artists (living artists who actively participated in programs and services). Do not include employees/staff that are considered technical, managerial, or administrative support. How many were Iowa artists? D. Program and Services Descriptors. Mark any of the following that comprised 50% or more of your programs and services. Accessibility (A): Services related to ADA/504 compliance or other activities designed to increase access to the arts for persons with disabilities. International (I): Any of the following activities: foreign artists visiting the USA, any cultural exchange program, linkages with artists or institutions in other countries, or establishing/administering international programs in your own agency. Presenting/Touring (P): Activities involving movement of artists/artworks for performances, readings, screenings, exhibits, etc., in different geographic areas. Includes either hosting/presenting of works originating outside your community OR fees paid to support your own individual or organizational touring to different areas. Technology (T): Use of technology for creation or dissemination of artworks or for organizational management purposes. Youth at Risk (Y): Activities designed primarily to serve at-risk youth, including arts-related intervention programs (for violence, drug/alcohol abuse and crime) as well as other creative programming specifically involving at-risk youth as primary project participants or beneficiaries. E. Iowa Counties Served. Check only the primary Iowa counties you significantly served during your operating year. 1, Adair 2, Adams 3, Allamakee 4, Appanoose 5, Audubon 6, Benton 7, Black Hawk 8, Boone 9, Bremer 10, Buchanan 11, Buena Vista 12, Butler 13, Calhoun 14, Carroll 15, Cass 16, Cedar 17, Cerro Gordo 18, Cherokee 19, Chickasaw 20, Clarke 21, Clay 22, Clayton 23, Clinton 24, Crawford 25, Dallas 26, Davis 27, Decatur 28, Delaware 29, Des Moines 30, Dickinson 31, Dubuque 32, Emmet 33, Fayette 34, Floyd 35, Franklin 36, Fremont 37, Greene 38, Grundy 39, Guthrie 40, Hamilton 41, Hancock 42, Hardin 43, Harrison 44, Henry 45, Howard 46, Humboldt 47, Ida 48, Iowa 49, Jackson 50, Jasper 51, Jefferson 52, Johnson 53, Jones 54, Keokuk 55, Kossuth 56, Lee 57, Linn 58, Louisa 59, Lucas 60, Lyon 61, Madison 62, Mahaska 63, Marion 64, Marshall 65, Mills 66, Mitchell 67, Monona 68, Monroe 69, Montgomery 70, Muscatine 71, O'Brien 72, Osceola 73, Page 74, Palo Alto 75, Plymouth 76, Pocahontas 77, Polk 78, Pottawattamie 79, Poweshiek 80, Ringgold 81, Sac 82, Scott 83, Shelby 84, Sioux 85, Story 86, Tama 87, Taylor 88, Union 89, Van Buren 90, Wapello 91, Warren 92, Washington 93, Wayne 94, Webster 95, Winnebago 96, Winneshiek 97, Woodbury 98, Worth 99, Wright SECTION 6: NUMBER OF BOARD OF DIRECTORS & EMPLOYEES / STAFF Total number of board of directors How many were newly appointed this year?  How many will end their term after this year? How many will continue to serve next year? How many are between the age of 18 and 35?  Total number of full and part-time paid personnel/staff/employees Total number of contracted paid personnel/staff/employees Total number of volunteers Estimated number of hours volunteered  SECTION 7: OPERATING BUDGET This information should be the same information you submit to the IRS in your annual IRS 990 or 990 EZ Tax Form for the same period. If you did not submit one to the IRS or your organization is part of a governmental entity, you must provide similar information. Refer to IRS 990/990 EZ instruction booklets for guidance. Total Revenue (line 12 of Form 990; line 9 of Form 990 EZ)$ Total Expenses (line 17 of Forms 990 & 990 EZ)$ Net Assets or Fund Balances at End of Year (line 21 of Forms 990 & 990 EZ)$ Total Employee Payroll. Includes full and part-time positions and contracted positions.$  SECTION 8: ELIGIBILITY REQUIRMENTS Operational Support Program for Arts Organizations (osp) Organizations must meet ALL of the following eligibility requirements to be eligible to receive OSP funding. A) The primary mission and purpose of the organization shall be the arts. B) The organization shall be 1) incorporated in Iowa under the Iowa nonprofit act and hold federal taxexempt status, OR 2) be organized as a department or division of municipal government. Applicants in states bordering shall be located in cities whose boundaries border Iowa. C) At least fifty percent of the individuals benefiting from the organization's programs and services must be Iowans. D) The organization shall have at least one paid staff member who is employed year-round and is responsible for managing the organization. E) The organization shall have a current strategic plan. F) The organization shall have an annual cash operating budget of $150,000 or more. This amount shall not include any funding received through current or previous Iowa Arts State operational support programs. G) The organization shall provide arts programs and services year-round to the citizens of Iowa. Organizations not Eligible: H) The organization has a late final report or end of year report for a previously funded grant from the Department of Cultural Affairs or any of its divisions. I) The organization may not use the Iowa nonprofit or federal tax-exempt status of another organization. J) The organization cannot receive funding through the OSP Program the same fiscal year they receive a Cultural Enrichment Grant from the Iowa Department of Cultural Affairs. K) The organization is a for-profit organization or business, religious organization, political party, agency or division of county, state or federal government, a recreation or parks department or division of municipal government, or a national service organization. L) The organization is an auditorium, theatre, convention center, civic center or other similar facility or space that primary serves as a venue for arts activities produced by other individuals, business or organizations. M) The organization is affiliated with or attached to an educational institution or organization, or organizations whose primary orientation, mission and purpose is education and awards academic credits. Cultural Enrichment Partnership Program (CEP) Organizations must meet ALL of the following eligibility requirements to be eligible to receive CEP funding. 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C) The organization shall have an annual cash operating budget of no less than $150,000 for at least each of the three years prior to renewing their CEP agreement. D) The organization shall operate on a yearround basis, own or operate a facility, and employ at least one fulltime, paid professional staff member. E) The organization shall have a current strategic plan. Organizations Not Eligible F) At the time of renewing an agreement, the organization has a late final report or end-of-year report for a previously funded grant from the Department of Cultural Affairs or any of its divisions. G) The organization uses the Iowa nonprofit or federal tax-exempt status of another organization. H) The organization receives other operating support grant programs administered by the department or its divisions. 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