JANSEN FAMILY FOUNDATION: Form 990PF, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- JANSEN FAMILY FOUNDATION (EIN 20-8688482)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-05-06
- IRS object ID
- 201141299349100314
- Schema version
- 2010v3.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Schedule B
- General Explanation Attachment
- Investments Corp Stock Schedule
- Other Expenses Schedule
- Other Professional Fees Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-06T11:03:30-00:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 Walls Drive | AddressLine1 |
| City | Fairfield | City |
| State | CT | State |
| ZIP Code | 06824 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208688482 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jansen Family Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | JANS | NameControl |
| Phone | 8008391754 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | c/o Foundation Source 501 Silversid | AddressLine1 |
| City | Wilmington | City |
| State | DE | State |
| ZIP Code | 198091377 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Michael J Jansen | Name |
| Title | President | Title |
| Date Signed | 2011-05-06 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jeffrey D Haskell | Name |
| Phone | 8008391754 | Phone |
| Date Prepared | 2011-05-06 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exempt PF | X | ExemptPF |
| FMV Assets EOY | 4084065 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Received Rev And Expnss | 652870 | ContriReceivedRevAndExpnss |
| Dividends Rev And Expnss | 6380 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 6380 | DividendsNetInvstIncm |
| Net Gain Sale Assets Rev And Expnss | -3339 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 200222 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 0 | CapitalGainNetIncmNetInvstIncm |
| Total Revenue And Expenses | 655911 | TotalRevenueAndExpenses |
| Total Net Investment Income | 6380 | TotalNetInvestmentIncome |
| Other Prof Fees Rev And Expnss | 11648 | OtherProfFeesRevAndExpnss |
| Other Prof Fees Net Invst Incm | 11648 | OtherProfFeesNetInvstIncm |
| Other Expenses Rev And Expnss | 18276 | OtherExpensesRevAndExpnss |
| Other Expenses Dsbrs Chrtbl Prps | 18276 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 29924 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 11648 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 18276 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 636000 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 636000 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 665924 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 11648 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 654276 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | -10013 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 0 | NetInvestmentIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Savings And Temp Cash Invst BOY | 3889186 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 3695649 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 3695649 | SavingsAndTempCashInvstEOYFMV |
| Investments Govt Oblig BOY | 203351 | InvestmentsGovtObligBOY |
| Investments Corp Stock BOY | 211 | InvestmentsCorpStockBOY |
| Investments Corp Stock EOY | 387086 | InvestmentsCorpStockEOY |
| Investments Corp Stock EOYFMV | 388416 | InvestmentsCorpStockEOYFMV |
| Total Assets BOY | 4092748 | TotalAssetsBOY |
| Total Assets EOY | 4082735 | TotalAssetsEOY |
| Total Assets EOYFMV | 4084065 | TotalAssetsEOYFMV |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Do Not Follow SFAS117 | X | OrgThatDoNotFollowSFAS117 |
| Retained Earnings BOY | 4092748 | RetainedEarningsBOY |
| Retained Earnings EOY | 4082735 | RetainedEarningsEOY |
| Total Net Assets BOY | 4092748 | TotalNetAssetsBOY |
| Total Net Assets EOY | 4082735 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 4092748 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 4082735 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 4092748 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | -10013 | ExcessOfRevenueOverExpenses |
| Subtotal | 4082735 | Subtotal |
| Total Net Assets Fund Balances EOY | 4082735 | TotalNetAssetsFundBalancesEOY |
Capital Gains And Losses CapitalGainsAndLosses
Capital Gains And Losses Info CapitalGainsAndLossesInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Asset | Publicly-traded Securities | DescriptionOfAsset |
| Gross Sales Price | 200222 | GrossSalesPrice |
| Cost Or Other Basis | 203561 | CostOrOtherBasis |
| Gain Or Loss | -3339 | GainOrLoss |
| Gains Minus Excess Or Losses | -3339 | GainsMinusExcessOrLosses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | -3339 | CapitalGainNetIncome |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | false | LiableFor4942Tax |
| Qualifying Distributions Year1 | 804115 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 4365100 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 000.184215 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 292292 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 5065617 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 000.057701 | DistributionRatioYear2 |
| Noncharitable Assets Year3 | 246250 | NoncharitableAssetsYear3 |
| Total Distribution Ratio | 000.241916 | TotalDistributionRatio |
| Average Distribution Ratio | 000.080639 | AverageDistributionRatio |
| Net Noncharitable Assets | 3968444 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 320011 | AdjustedNoncharitableAssets |
| Adj Nonchrtbl Assets And One | 320011 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 654276 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | X | DomesticOrgMeetingSect4940e |
| Investment Income Excise Tax | 0 | InvestmentIncomeExciseTax |
| Est Tax Payments And Overpayment | 1187 | EstTaxPaymentsAndOverpayment |
| Total Credits And Payments | 1187 | TotalCreditsAndPayments |
| Tax Paid Original Return | 1187 | TaxPaidOriginalReturn |
| Overpayment | 1187 | Overpayment |
| Amount Credited To Next Year | 1187 | AmountCreditedToNextYear |
Statements Regarding Activities StatementsRegardingActivities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Activities | false | LegislativePoliticalActivities |
| More Than100 Spent | false | MoreThan100Spent |
| Form1120 POL Filed | false | Form1120POLFiled |
| Activities Not Prev Reported | false | ActivitiesNotPrevReported |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylaws |
| Unrelated Bus Income Over1000 | false | UnrelatedBusIncomeOver1000 |
| Termination Etc | false | TerminationEtc |
| Requirements Of Sect508e | true | RequirementsOfSect508e |
| At Least5000 In Assets | true | AtLeast5000InAssets |
| Form990 PF Filed With AG | true | Form990PFFiledWithAG |
| Private Operating Foundation | false | PrivateOperatingFoundation |
| New Substantial Contributors | false | NewSubstantialContributors |
| Interest In Controlled Entity | false | InterestInControlledEntity |
| Applicable Insurance Contract | false | ApplicableInsuranceContract |
| Comply With Public Inspection Rqr | true | ComplyWithPublicInspectionRqr |
Books In Care Of Business Name BooksInCareOfBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Books In Care Of Phone Number | 8008391754 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Silverside Road Suite 123 | AddressLine1 |
| City | Wilmington | City |
| State | DE | State |
| ZIP Code | 198091377 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Bank | false | ForeignBank |
Statements Regarding Acty4720 StatementsRegardingActy4720
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exchange With Dsqfly Person | false | SaleOrExchangeWithDsqflyPerson |
| Borrow Or Lend With Dsqfly Person | false | BorrowOrLendWithDsqflyPerson |
| Furnished Goods With Dsqfly Person | false | FurnishedGoodsWithDsqflyPerson |
| Pay Compensation To Dsqfly Person | false | PayCompensationToDsqflyPerson |
| Transfer Assets To Dsqfly Person | false | TransferAssetsToDsqflyPerson |
| Payment To Government Offical | false | PaymentToGovernmentOffical |
| Uncorrected Prior Acts | false | UncorrectedPriorActs |
| Undistributed Income Prior Years | false | UndistributedIncomePriorYears |
| Business Holdings | false | BusinessHoldings |
| Jeopardy Investments | false | JeopardyInvestments |
| Uncorrected Jeopardy Investments | false | UncorrectedJeopardyInvestments |
| Influence Legislation | false | InfluenceLegislation |
| Influence Election | false | InfluenceElection |
| Grants To Individuals | false | GrantsToIndividuals |
| Grants To Organizations | false | GrantsToOrganizations |
| Noncharitable Purpose | false | NoncharitablePurpose |
| Pay Premiums Prsnl Bnft Contract | false | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | false | ProhibitedTaxShelterTransactn |
| Proceeds Or Net Income | true | ProceedsOrNetIncome |
Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo
Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person Name | Michael J Jansen | PersonName |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | c/o Foundation Source 501 Silversid | AddressLine1 |
| City | Wilmington | City |
| State | DE | State |
| ZIP Code | 19809 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | President / Director / Secretary | Title |
| Avg Hours Per Wk Devoted To Position | 001.00 | AvgHoursPerWkDevotedToPosition |
| Compensation | 0 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Highest Paid Empl NONE | NONE | CompOfHighestPaidEmplNONE |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 167349 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 3861528 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 0 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 4028877 | TotalFMVOfUnusedAssets |
| Adj Total FMV Of Unused Assets | 4028877 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 60433 | CashDeemedCharitable |
| Net Noncharitable Assets | 3968444 | NetNoncharitableAssets |
| Minimum Investment Return | 198422 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 198422 | MinimumInvestmentReturn |
| Distributable Amount Before Adj | 198422 | DistributableAmountBeforeAdj |
| Distributable Amount Before Ded | 198422 | DistributableAmountBeforeDed |
| Distributable Amount As Adjusted | 198422 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 654276 | ExpensesAndContributions |
| Qualifying Distributions | 654276 | QualifyingDistributions |
| Adj Qualifying Distributions | 654276 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 198422 | DistributableAmountAsAdjusted |
| Excess Distri Carryover Year2 | 31394 | ExcessDistriCarryoverYear2 |
| Excess Distri Carryover Year1 | 587152 | ExcessDistriCarryoverYear1 |
| Total Excess Distri Carryover | 618546 | TotalExcessDistriCarryover |
| Qualifying Distributions | 654276 | QualifyingDistributions |
| Applied To Current Year | 198422 | AppliedToCurrentYear |
| Remaining Distri From Corpus | 455854 | RemainingDistriFromCorpus |
| Total Corpus | 1074400 | TotalCorpus |
| Undistributed Income CY | 0 | UndistributedIncomeCY |
| Excess Distri Cyov To Next Year | 1074400 | ExcessDistriCyovToNextYear |
| Excess From Year2 | 31394 | ExcessFromYear2 |
| Excess From Year1 | 587152 | ExcessFromYear1 |
| Excess From Current Year | 455854 | ExcessFromCurrentYear |
Supplementary Information SupplementaryInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | Michael J Jansen | ContributingManager |
| Only Contributes To Preselected | X | OnlyContributesToPreselected |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (8 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| CAMP KUDZU INC | |||||||
| 5885 GLENRIDGE DR NE STE 160 | ATLANTA | GA | 30328 | N/A | 509(a)(1) | Charitable Event | $5,000 |
| CLASSIC CITY COMMUNITY CHURCH INC | |||||||
| PO BOX 329 | ATHENS | GA | 30603 | N/A | 509(a)(1) | Robert Thrasher Ministry Intern Liberia Mission/J Wright Athens PBJ Proj | $6,000 |
| CLEMSON UNIVERSITY FOUNDATION | |||||||
| PO BOX 1889 | CLEMSON | SC | 29633 | N/A | 509(a)(1) | Nursing Prog Perform Arts Prog Tiger Band Baseball Prog | $25,000 |
| GATEWOOD SCHOOLS INC | |||||||
| 139 PHILLIPS DR | EATONTON | GA | 31024 | N/A | 509(a)(1) | The Gator Fund | $5,000 |
| GERRY BERTIER NUMBER 42 FOUNDATION | |||||||
| PO BOX 2601 | SPOTSYLVANIA | VA | 22553 | N/A | 509(a)(1) | General Unrestricted | $10,000 |
| JUV DIABETES RSRCH FDN INTRNTL-GA C | |||||||
| 3525 PIEDMONT RD NE BLDG 6 STE 300 | ATLANTA | GA | 30305 | N/A | 509(a)(1) | Charitable Event | $50,000 |
| MONASTERY OF THE HOLY GHOST INC | |||||||
| 2625 HWY 212 SW | CONYERS | GA | 30094 | N/A | 509(a)(1) | Monastery Capital Campaign | $500,000 |
| PULMONARY HYPERTENSION ASSOCIATION | |||||||
| 801 ROEDER RD STE 1000 | SILVER SPRING | MD | 20910 | N/A | 509(a)(1) | Kerry Bardorf Family Support Program | $35,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 636000 | TotGrantOrContriPaidDuringYear |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $6,380 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 18 | ExclusionCode |
| Exclusion | -$3,339 | ExclusionAmount |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $3,041 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 3041 | TotalPartXVIA |
Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Noncharitable EO | false | TrnsfrOfCashToNoncharitableEO |
| Trnsfr Oth Assets Noncharitable EO | false | TrnsfrOthAssetsNoncharitableEO |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssets |
| Purchase Assets Noncharitable EO | false | PurchaseAssetsNoncharitableEO |
| Rental Of Facilities Etc | false | RentalOfFacilitiesEtc |
| Reimbursement Arrangements | false | ReimbursementArrangements |
| Loans Or Loan Guarantees | false | LoansOrLoanGuarantees |
| Performance Of Services Etc | false | PerformanceOfServicesEtc |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtc |
| Relationships Noncharitable E Os | false | RelationshipsNoncharitableEOs |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | X | Organization501c3ExemptPF |
| General Rule | X | GeneralRule |
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | 0001 | ContributorNumber |
| Contributor Name Individual | Jansen Michael J | ContributorNameIndividual |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1011 Shoals Drive | AddressLine1 |
| City | Athens | City |
| State | GA | State |
| ZIP Code | 30606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | 652870 | AggregateContributions |
| Person Contribution Type | X | PersonContributionType |
| Noncash Contribution Type | X | NoncashContributionType |
Noncash Property NoncashProperty
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number From Part I | 0001 | ContributorNumberFromPartI |
| Noncash Property Description | STREETTRACKS GOLD SHARES | NoncashPropertyDescription |
| Fair Market Value | 387086 | FairMarketValue |
| Date Received | 2010-12-31 | DateReceived |
General Explanation Attachment GeneralExplanationAttachment
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corp Stock InvestmentsCorpStock
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Stock | 2800 shares of STREETTRACKS GOLD SHARES GLD | NameOfStock |
| EOY Book Value | 387086 | EOYBookValue |
| EOYFMV | 388416 | EOYFMV |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|
| Administrative Fees | 18251 | 18251 |
| State or Local Filing Fees | 25 | 25 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees OtherProfessionalFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Investment Management Services | Category |
| Amount | $11,648 | Amount |
| Net Investment Income | 11648 | NetInvestmentIncome |