N.H. Admin. Code § Rev 3205.01 - Form ED-05, Scholarship Organization Report
(a) The scholarship
organization shall complete and submit Form ED-05, "Scholarship Organization
Report," to the department within 30 days following the end of each program
year by providing:
(1) The number of
scholarships granted under
RSA
77-G:1,VIII(a)(1), and the
percentage of these students who were eligible for the federal free and
reduced-price meal program in the prior year;
(2) The number of scholarships granted under
RSA
77-G:1,VIII(a)(2), and the
percentage of these students who were eligible for the federal free and
reduced-price meal program in the prior year;
(3) The number of scholarships granted under
RSA
77-G:1,VIII(a)(3), and the
percentage of these students who were eligible for the federal free and
reduced-price meal program in the prior year;
(4) The total dollar amount of:
a. Donations received;
b. Donations carried forward from prior
program years;
c. Donations used
for scholarships;
d. Donations
spent on administrative expenses pursuant to
RSA
77-G:5, I(f); and e.
Donations not used for scholarships;
(5) The total dollar amount of all
scholarships granted;
(6) The
number of scholarships granted;
(7)
The number of scholarships granted to homeschool students;
(8) The total dollar amount of scholarships
granted to homeschool students;
(9)
The number of scholarships distributed by the scholarship organization, per
school, and the dollar range of those scholarships. All home educated students
shall be totaled together as a single school;
(10) The number of students receiving a
scholarship under RSA 77-G by zip code;
(11) The aggregated results from the NH
Education Tax Credit Survey designed by the department under
RSA
77-G:1, XIX(k);
(12) The aggregated results from the survey
designed by the department of education under
RSA
77-G:1, XIX(l);
(13) The number of participating students who
graduated from high school in the previous year, and the number that dropped
out of school;
(14) An explanation
of information omitted from the report because it would reveal private data
about an individual student;
(15)
The name of any other scholarship organizations who have agreed to combine
their data with the scholarship organization data for the purposes set forth in
RSA
77-G:2, II. The agreement
shall only be considered valid if each scholarship organization lists the other
scholarship organizations in the agreement. If the scholarship organization has
an agreement to combine data with another scholarship organization, an
indication whether this report reflects the combined data or just the data for
the scholarship organization that prepared this report; and
(16) The dated signature in ink and printed
name of an authorized signatory, certifying to the following:
"Under penalties of perjury, I declare that I have examined this document and to the best of my belief the information herein is true, correct, and complete. I do hereby attest that the scholarship organization is in full compliance with the provisions of RSA 77-G, the Education Tax Credit statute."
(b)
The department shall review each Report ED-05 to ensure that:
(1) The administrative expenses requirement
set forth in RSA
77-G:5, I(f) is not
exceeded;
(2) The number of
scholarships issued under
RSA
77-G:1, VIII(a)(1) and (2)
meets the requirements of RSA 77-G; and
(3) The average scholarship size does not
exceed the amount allowed.
Notes
#10236, eff 11-28-12
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