2022-11-15T13:43:04-06:00 2021-12-31 841210311 SPICER JEFFRIES LLP 4601 DTC BOULEVARD SUITE 700 DENVER CO 80237 990PF 2021-01-01 271291216 THE PREM & SANDHYA JAIN FAMILY FOUNDATION INC PREM 5107700503 801 E CHARLESTON ROAD PALO ALTO CA 94303 PREM JAIN CHIEF EXECUTIVE OFFICER 5107700503 2022-11-15 1 PREM JAIN 999009999 MICHAEL W CALLAHAN P00286130 3037531959 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z X 1909673 X X 12460 12460 12460 531768 657951 531768 65290 65290 65290 609518 544228 77750 0 0 0 0 48110 0 0 0 2200 2200 0 0 2289 2289 0 0 468 468 0 0 53067 4957 0 0 447476 447476 500543 4957 0 447476 108975 539271 77750 539 3728 3728 108185 238306 238306 231354 231902 912685 650399 523185 652623 0 102331 102331 990477 1099452 1909673 0 0 X 990477 1099452 0 0 0 0 990477 1099452 990477 1099452 990477 108975 0 1099452 0 1099452 UNCOVERED ST GAIN (LOSS) - UBS #1209 2021-01-01 2021-12-31 9809 7686 2123 2123 UNCOVERED ST GAIN (LOSS) - UBS #1211 2021-01-01 2021-12-31 26926 21677 5249 5249 UNCOVERED LT GAIN (LOSS) - UBS #0988 2020-01-01 2021-12-31 247760 1680 246080 246080 UNCOVERED LT GAIN (LOSS) - UBS #0988 2020-01-01 2021-12-31 253529 4954 248575 248575 UNCOVERED LT GAIN (LOSS) - UBS #1209 2020-01-01 2021-12-31 33010 23425 9585 9585 UNCOVERED LT GAIN (LOSS) - UBS #1211 2020-01-01 2021-12-31 86917 66761 20156 20156 531768 7372 7496 0 7496 0 7496 2172 0 0 0 2172 0 5324 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 N/A FRANCIS LA POLL 6504938070 801 E CHARLESTON ROAD PALO ALTO CA 94303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PREM JAIN 2479 E BAYSHORE ROAD STE 220 PALO ALTO CA 94303 CHIEF EXECUTIVE OFFICER 24.00 0 0 0 MOHIT JAIN 2479 E BAYSHORE ROAD STE 220 PALO ALTO CA 94303 SECRETARY 24.00 0 0 0 ANKIT K JAIN 2479 E BAYSHORE ROAD STE 220 PALO ALTO CA 94303 CHIEF FINANCIAL OFFICER 30.00 0 0 0 NONE 0 NONE 0 0 1019585 229741 0 1249326 0 0 1249326 18740 1230586 61529 61529 7496 7496 54033 0 54033 0 54033 447476 0 447476 54033 0 0 280760 426501 707261 447476 0 0 447476 0 0 54033 54033 1100704 0 0 0 0 0 0 0 1100704 226727 426501 447476 X ANKIT JAIN - DAF 1022 WELLESLEY AVENUE LOS ANGELES CA 90049 SON NC DONOR-ADVISED FUND 17500 CALPOLY POMONA PO BOX 3121 POMONA CA 91769 NONE EOF EDUCATION 84100 JAIN ASSOCIATIONS IN NORTH AMERICA 722 S MAIN ST MILPITAS CA 95035 NONE EOF EDUCATING YOUTH 15876 MOHIT JAIN - DAF 611 SANTA CLARA AVENUE VENICE CA 90291 SON NC DONOR-ADVISED FUND 10000 REGENTS OF THE UNIVERSITY OF CALIFORNIA DAVIS ONE SHIELDS AVENUE DAVIS CA 95616 NONE EOF UC DAVIS CHAIR 300000 UNIVERSITY OF WISCONSIN FOUNDATION 1848 UNIVERSITY AVE MADISON WI 53726 NONE EOF EDUCATION 10000 JAIN CENTER OF NORTHERN CALIFORNIA 722 S MAIN ST MILPITAS CA 95035 NONE EOF EDUCATING YOUTH 5000 JAIN INTERNATIONAL TRADE ORGANIZATION USA CHARITABLE TRUST 2960 MOTHER WELL COURT HERNDON VA 20171 NONE EOF COVID RELIEF 5000 447476 0 12460 531768 65290 0 0 609518 609518 N/A N/A 0 0 0 0 0 0 0 0 0 0 TAX PREPARATION FEE. 2200 2200 0 0 UNDER REGULATIONS SECTION 53.4942(A)-3(D),(2), THE PREM & SANDHYA JAIN FAMILY FOUNDATION ELECTS TO APPLY ALL OF THE REMAINING QUALIFYING DISTRIBUTIONS TO ANY UNDISTRIBUTED INCOME REMAINING TO CORPUS. UBS STOCKS 231902 912685 MGG AT COST 523185 652623 DUE FROM BROKER 0 102331 102331 INVESTMENT EXPENSES 2289 2289 0 0 FOREIGN TAXES PAID 468 468 0 0