JBS FOUNDATION: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: JBS FOUNDATION (EIN 38-3713152)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-08-12
IRS object ID: 201322249349100147
Schema version: 2012v2.1
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
Accounting Fees Schedule
Investments Corp Stock Schedule
Other Assets Schedule
Other Expenses Schedule
Taxes Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-12T16:06:08-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	362787513	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHUNOWITZ TEITELBAUM & MANDEL LTD	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	302 SAUNDERS ROAD SUITE 300	AddressLine1
City	RIVERWOODS	City
State	IL	State
ZIP Code	60015	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	383713152	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	JBS FOUNDATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	JBSF	NameControl
Phone	8473170677	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	150 ASPEN WAY	AddressLine1
City	DEERFIELD	City
State	IL	State
ZIP Code	60015	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	RONALD LAVIN	Name
Title	PRESIDENT	Title
Phone	8473170677	Phone
Date Signed	2013-08-01	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	SCOTT P WEINGART CPA	Name
PTIN	P00047723	PTIN
Phone	8474441040	Phone
Date Prepared	2013-08-01	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	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	3644995	FMVAssetsEOY
Method Of Accounting Cash	X	MethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Not Required To Attach Schedule B	X	NotRequiredToAttachScheduleB
Interest On Savings Rev And Expnss	12	InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm	12	InterestOnSavingsNetInvstIncm
Dividends Rev And Expnss	116900	DividendsRevAndExpnss
Dividends Net Invst Incm	114872	DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss	65592	NetGainSaleAssetsRevAndExpnss
Gross Sales Price	2839246	GrossSalesPrice
Capital Gain Net Incm Net Invst Incm	65592	CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses	182504	TotalRevenueAndExpenses
Total Net Investment Income	180476	TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss	0	CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm	0	CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps	0	CompOfcrDirTrstDsbrsChrtblPrps
Accounting Fees Rev And Expnss	2150	AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm	2150	AccountingFeesNetInvstIncm
Accounting Fees Dsbrs Chrtbl Prps	0	AccountingFeesDsbrsChrtblPrps
Taxes Rev And Expnss	22	TaxesRevAndExpnss
Taxes Net Invst Incm	0	TaxesNetInvstIncm
Taxes Dsbrs Chrtbl Prps	0	TaxesDsbrsChrtblPrps
Other Expenses Rev And Expnss	62239	OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm	15332	OtherExpensesNetInvstIncm
Other Expenses Dsbrs Chrtbl Prps	0	OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss	64411	TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm	17482	TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps	0	TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss	213520	ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps	213520	ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss	277931	TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm	17482	TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps	213520	TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses	-95427	ExcessOfRevenueOverExpenses
Net Investment Income	162994	NetInvestmentIncome

Balance Sheets BalanceSheets

Field	Value	IRS element (for citing)
Savings And Temp Cash Invst BOY	22459	SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY	43727	SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV	43727	SavingsAndTempCashInvstEOYFMV
Investments Corp Stock BOY	3541037	InvestmentsCorpStockBOY
Investments Corp Stock EOY	3433979	InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV	3601079	InvestmentsCorpStockEOYFMV
Other Assets BOY	9826	OtherAssetsBOY
Other Assets EOY	189	OtherAssetsEOY
Other Assets EOYFMV	189	OtherAssetsEOYFMV
Total Assets BOY	3573322	TotalAssetsBOY
Total Assets EOY	3477895	TotalAssetsEOY
Total Assets EOYFMV	3644995	TotalAssetsEOYFMV
Total Liabilities BOY	0	TotalLiabilitiesBOY
Total Liabilities EOY	0	TotalLiabilitiesEOY
Org That Do Not Follow SFAS117	X	OrgThatDoNotFollowSFAS117
Capital Stock BOY	0	CapitalStockBOY
Capital Stock EOY	0	CapitalStockEOY
Paid In Or Capital Surplus BOY	0	PaidInOrCapitalSurplusBOY
Paid In Or Capital Surplus EOY	0	PaidInOrCapitalSurplusEOY
Retained Earnings BOY	3573322	RetainedEarningsBOY
Retained Earnings EOY	3477895	RetainedEarningsEOY
Total Net Assets BOY	3573322	TotalNetAssetsBOY
Total Net Assets EOY	3477895	TotalNetAssetsEOY
Total Liabilities Net Assets BOY	3573322	TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY	3477895	TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

Field	Value	IRS element (for citing)
Total Net Assets Fund Balances BOY	3573322	TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses	-95427	ExcessOfRevenueOverExpenses
Other Increases	0	OtherIncreases
Subtotal	3477895	Subtotal
Other Decreases	0	OtherDecreases
Total Net Assets Fund Balances EOY	3477895	TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (3 entries)

Description Of AssetDescriptionOfAsset	How AcquiredHowAcquired	Date AcquiredDateAcquired	Date SoldDateSold	Gross Sales PriceGrossSalesPrice	Cost Or Other BasisCostOrOtherBasis	Gain Or LossGainOrLoss	Gains Minus Excess Or LossesGainsMinusExcessOrLosses
WELLS FARGO - SHORT TERM	P	2012-01-01	2012-12-31	2046786	2081620	-34834	-34834
WELLS FARGO - LONG TERM	P	2011-12-31	2012-12-31	755153	692034	63119	63119
CAPITAL GAINS DIVIDENDS	P			37307		37307	37307

Field	Value	IRS element (for citing)
Capital Gain Net Income	65592	CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

Field	Value	IRS element (for citing)
Liable For4942 Tax	0	LiableFor4942Tax
Qualifying Distributions Year1	185667	QualifyingDistributionsYear1
Noncharitable Assets Year1	3706058	NoncharitableAssetsYear1
Distribution Ratio Year1	0.050098	DistributionRatioYear1
Qualifying Distributions Year2	198247	QualifyingDistributionsYear2
Noncharitable Assets Year2	3771432	NoncharitableAssetsYear2
Distribution Ratio Year2	0.052565	DistributionRatioYear2
Qualifying Distributions Year3	149397	QualifyingDistributionsYear3
Noncharitable Assets Year3	3163456	NoncharitableAssetsYear3
Distribution Ratio Year3	0.047226	DistributionRatioYear3
Qualifying Distributions Year4	140840	QualifyingDistributionsYear4
Noncharitable Assets Year4	3706607	NoncharitableAssetsYear4
Distribution Ratio Year4	0.037997	DistributionRatioYear4
Qualifying Distributions Year5	152399	QualifyingDistributionsYear5
Noncharitable Assets Year5	3948286	NoncharitableAssetsYear5
Distribution Ratio Year5	0.038599	DistributionRatioYear5
Total Distribution Ratio	0.226485	TotalDistributionRatio
Average Distribution Ratio	0.045297	AverageDistributionRatio
Net Noncharitable Assets	3559692	NetNoncharitableAssets
Adjusted Noncharitable Assets	161243	AdjustedNoncharitableAssets
One Percent Net Investment Income	1630	OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One	162873	AdjNonchrtblAssetsAndOnePct
Qualifying Distributions	213520	QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

Field	Value	IRS element (for citing)
Domestic Org Meeting Sect4940e	X	DomesticOrgMeetingSect4940e
Investment Income Excise Tax	1630	InvestmentIncomeExciseTax
Tax Under Section511	0	TaxUnderSection511
Subtotal	1630	Subtotal
Subtitle A Tax	0	SubtitleATax
Tax Based On Investment Income	1630	TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment	305	EstTaxPaymentsAndOverpayment
Tax Paid With Extension	1400	TaxPaidWithExtension
Total Credits And Payments	1705	TotalCreditsAndPayments
Penalty For Underpayment	28	PenaltyForUnderpayment
Overpayment	47	Overpayment
Amount Credited To Next Year	47	AmountCreditedToNextYear
Amount To Be Refunded	0	AmountToBeRefunded

Statements Regarding Activities StatementsRegardingActivities

Field	Value	IRS element (for citing)
Legislative Political Activities	0	LegislativePoliticalActivities
More Than100 Spent	0	MoreThan100Spent
Form1120 POL Filed	0	Form1120POLFiled
Sect4955 Tax On Organization	0	Sect4955TaxOnOrganization
Sect4955 Tax On Managers	0	Sect4955TaxOnManagers
Reimbursement Of Tax	0	ReimbursementOfTax
Activities Not Prev Reported	0	ActivitiesNotPrevReported
Changes To Articles Or Bylaws	0	ChangesToArticlesOrBylaws
Unrelated Bus Income Over1000	0	UnrelatedBusIncomeOver1000
Termination Etc	0	TerminationEtc
Requirements Of Sect508e	0	RequirementsOfSect508e
At Least5000 In Assets	1	AtLeast5000InAssets
States Filed With	IL	StatesFiledWith
Form990 PF Filed With AG	1	Form990PFFiledWithAG
Private Operating Foundation	0	PrivateOperatingFoundation
New Substantial Contributors	0	NewSubstantialContributors
Interest In Controlled Entity	0	InterestInControlledEntity
Applicable Insurance Contract	0	ApplicableInsuranceContract
Comply With Public Inspection Rqr	1	ComplyWithPublicInspectionRqr
Website Address	N/A	WebsiteAddress

Books In Care Of Business Name BooksInCareOfBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RONALD AND LISA LAVIN	BusinessNameLine1

Field	Value	IRS element (for citing)
Books In Care Of Phone Number	8473170677	BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

Field	Value	IRS element (for citing)
Address Line1	150 ASPEN WAY	AddressLine1
City	DEERFIELD	City
State	IL	State
ZIP Code	60015	ZIPCode

Field	Value	IRS element (for citing)
Foreign Bank	0	ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

Field	Value	IRS element (for citing)
Sale Or Exchange With Dsqfly Person	0	SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person	0	BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person	0	FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person	0	PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person	0	TransferAssetsToDsqflyPerson
Payment To Government Offical	0	PaymentToGovernmentOffical
Uncorrected Prior Acts	0	UncorrectedPriorActs
Undistributed Income Prior Years	0	UndistributedIncomePriorYears
Business Holdings	0	BusinessHoldings
Jeopardy Investments	0	JeopardyInvestments
Uncorrected Jeopardy Investments	0	UncorrectedJeopardyInvestments
Influence Legislation	0	InfluenceLegislation
Influence Election	0	InfluenceElection
Grants To Individuals	0	GrantsToIndividuals
Grants To Organizations	0	GrantsToOrganizations
Noncharitable Purpose	0	NoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft Contract	0	RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract	0	PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn	0	ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	TitleTitle	Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition	CompensationCompensation	Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc	Expense Account Other AllowancesExpenseAccountOtherAllowances
RONALD LAVIN
150 ASPEN WAY	DEERFIELD	IL	60015	PRESIDENT	1.00	0	0	0
LISA LAVIN
150 ASPEN WAY	DEERFIELD	IL	60015	TREASURER AND SECRETARY	1.00	0	0	0
NELIDA BERNHEIM
117 CARY AVENUE	HIGHLAND PARK	IL	60035	DIRECTOR	1.00	0	0	0

Field	Value	IRS element (for citing)
Comp Of Highest Paid Empl NONE	NONE	CompOfHighestPaidEmplNONE
Tot Number Of Oth Empl Paid Over50k	0	TotNumberOfOthEmplPaidOver50k
Comp Of Hghst Paid Cntrct NONE	NONE	CompOfHghstPaidCntrctNONE
Tot Number Of Cntrct Paid Over50k	0	TotNumberOfCntrctPaidOver50k

Sum Of Program Related Investments SumOfProgramRelatedInvestments

Field	Value	IRS element (for citing)
Total	0	Total

Minimum Investment Return MinimumInvestmentReturn

Field	Value	IRS element (for citing)
Avg Monthly FMV Of Securities	3575801	AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances	33093	AvgMonthlyCashBalances
FMV All Other Noncharitable Assets	5007	FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets	3613901	TotalFMVOfUnusedAssets
Reduction Claimed	0	ReductionClaimed
Acquisition Indebtedness	0	AcquisitionIndebtedness
Adj Total FMV Of Unused Assets	3613901	AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable	54209	CashDeemedCharitable
Net Noncharitable Assets	3559692	NetNoncharitableAssets
Minimum Investment Return	177985	MinimumInvestmentReturn

Distributable DistributableAmount

Field	Value	IRS element (for citing)
Minimum Investment Return	177985	MinimumInvestmentReturn
Tax Based On Investment Income	1630	TaxBasedOnInvestmentIncome
Total Tax	1630	TotalTax
Distributable Amount Before Adj	176355	DistributableAmountBeforeAdj
Recoveries Qlfy Distributions	0	RecoveriesQlfyDistributions
Distributable Amount Before Ded	176355	DistributableAmountBeforeDed
Deduction Fr Distributable	$0	DeductionFrDistributableAmount
Distributable Amount As Adjusted	176355	DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

Field	Value	IRS element (for citing)
Expenses And Contributions	213520	ExpensesAndContributions
Program Related Investments Total	0	ProgramRelatedInvestmentsTotal
Qualifying Distributions	213520	QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm	1630	OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions	211890	AdjQualifyingDistributions

Undistributed Income UndistributedIncome

Field	Value	IRS element (for citing)
Distributable Amount As Adjusted	176355	DistributableAmountAsAdjusted
Undistributed Income Prior Year	149618	UndistributedIncomePriorYear
Total For Prior Years	0	TotalForPriorYears
Total Excess Distri Carryover	0	TotalExcessDistriCarryover
Qualifying Distributions	213520	QualifyingDistributions
Applied To Year1	149618	AppliedToYear1
Applied To Prior Years	0	AppliedToPriorYears
Treated As Distri From Corpus	0	TreatedAsDistriFromCorpus
Applied To Current Year	63902	AppliedToCurrentYear
Remaining Distri From Corpus	0	RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus	0	ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY	0	ExcessDistriCyovAppliedCY
Total Corpus	0	TotalCorpus
Prior Year Undistributed Income	0	PriorYearUndistributedIncome
Prior Year Deficiency Or Tax	0	PriorYearDeficiencyOrTax
Taxable Amount1	0	TaxableAmount1
Taxable Amount2	0	TaxableAmount2
Undistributed Income CY	112453	UndistributedIncomeCY
Distri From Corpus170b1 E Or4942g3	0	DistriFromCorpus170b1EOr4942g3
Excess Distri Cyov From Year5	0	ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year	0	ExcessDistriCyovToNextYear

Supplementary Information SupplementaryInformation

Field	Value	IRS element (for citing)
Contributing Manager	RONALD LAVIN	ContributingManager
Contributing Manager	LISA LAVIN	ContributingManager
Only Contributes To Preselected	X	OnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (55 entries)

Address Line1RecipientUSAddress/AddressLine1	CityRecipientUSAddress/City	StateRecipientUSAddress/State	ZIP CodeRecipientUSAddress/ZIPCode	Recipient RelationshipRecipientRelationship	Recipient Foundation StatusRecipientFoundationStatus	Purpose Of Grant Or ContributionPurposeOfGrantOrContribution	AmountAmount
A SAFE PLACE
220 E CHICAGO AVE	CHICAGO	IL	60606	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$500
AUTISM SPEAKS
2 PARK AVENUE 11TH FLOOR	NEW YORK	NY	10016	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$2,100
BEAR HUGS
PO BOX 2116	VENICE	FL	342842116	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$1,200
BUILD INC
3100 DUNDEE RD SUITE 508	NORTHBROOK	IL	60062	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$1,000
CAMP RAMAH SCHOLARSHIP FUND
65 E WACKER PLACE STE 1200	CHICAGO	IL	60601	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$1,800
CHICAGO SCHOLARS
55 EAST JACKSON BOULEVARD 1010	CHICAGO	IL	60604	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION;LISTTOTAL 0	$4,000
CONWAY FARMS FOUNDATION
425 S CONWAY FARM DR	LAKE FOREST	IL	60045	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$400
DHS BOOSTER CLUB
P O BOX 1355	DECATUR	AL	35602	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$300
DHS SCHOOL CHEST
1959 WAUKEGAN RD	DEERFIELD	IL	60015	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$3,500
FRIENDS OF THE IDF
29 E MADISON	CHICAGO	IL	60602	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$20,000
FRIENDSHIP CIRCLE
2095 LANDWEHR ROAD	NORTHBROOK	IL	60062	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$1,800
JEWISH CHILD & FAMILY
216 W JACKSON BLVD SUITE 800	CHICAGO	IL	60606	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$2,000
KESHET
30 S WELLS	CHICAGO	IL	60606	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION;LISTTOTAL 3500	$3,500
KESHET SCHOOL
3210 DUNDEE RD	NORTHBROOK	IL	60062	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$2,000
MISERCORDIA
6300 N RIDGE AVE	CHICAGO	IL	60660	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$4,100
NORTHWESTERN UNIVERSITY
633 CLARK STREET	URBANA	IL	61801	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$1,000
RELAY FOR LIFE
PO BOX 22718	OKLAHOMA CITY	OK	731231718	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$1,200
RILEY CHILDRENS HOSPITAL
30 S MERIDIAN STREET	INDIANAPOLIS	IN	46204	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$700
SHALVA
1610 W HIGHLAND AVE 9	CHICAGO	IL	60660	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION;LISTTOTAL 9000	$6,000
TEMPLE BETH-EL
3610 DUNDEE ROAD	NORTHBROOK	IL	60062	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION;LISTTOTAL 5820	$15,350
THE ARK
6450 N CALIFORNIA	CHICAGO	IL	60645	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION;LISTTOTAL 9500	$5,000
THE CHILDRENS PLACE
1436 W RANDOLPH ST	CHICAGO	IL	60602	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$3,000
THE FIRST TEE
425 SOUTH LEGACY TRAIL	ST AUGUSTINE	FL	32092	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$1,000
THE LEUKEMIA LYMPHOMA
1311 MAMARONECK AVENUE	WHITE PLAINS	NY	10605	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$2,000
THE TREASURE VALLEY YMCA
1050 W STATE STREET	BOISE	ID	83702	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION;LISTTOTAL 3000	$3,500
WEST DEERFIELD TWP FOOD
601 DEERFIELD ROAD	DEERFIELD	IL	60015	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$7,000
ALEX GERRARD CHARITABLE - CO KESHET
30 S WELLS STREET	CHICAGO	IL	60606	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$1,000
AMERICAN CANCER SOC RELAY
250 WILLIAMS STREET NW	ATLANTA	GA	30303	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$901
RELAY FOR LIFE
PO BOX 22718	OKLAHOMA CITY	OK	731231718	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$1,200
CHYOLAND JEWISH HS
1095 LAKE COOK RD	DEERFIELD	IL	60015	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$1,000
DANNY DID ORG
PO BOX 46576	CHICAGO	IL	60646	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$1,000
DEERFIELD PARENT NETWORK (DHS)
1959 N WAUKEGAN RD	DEERFIELD	IL	60015	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$100
FOUR DIAMONDS FUND
600 CENTERVIEW DRIVE STE 1103	HERSHEY	PA	17033	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$1,000
FRIENDS OF THE ARTS DHS
1959 N WAUKEGAN ROAD	DEERFIELD	IL	60015	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$249
FURNISHING HOPE
3857 BIRCH STREET 503	NEWPORT BEACH	CA	92660	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$4,000
JACK JABLONSKI FUND
3001 LOUISIANA AVE NORTH	MINNEAPOLIS	MN	55427	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$3,000
JDRF (JUVENILE DIABETES RESEARCH FOUNDATION)
26 BROADWAY	NEW YORK	NY	10004	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$550
JOE WORKER PROGRAM KASHE
617 LANDWEHR RD	NORTHBROOK	IL	60062	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$2,000
JUF - JEWISH UNITED FUND
30 S WELLS STREET	CHICAGO	IL	60606	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$26,000
LYONS CLUB
300 WEST 22ND STREET	OAK BROOK	IL	60523	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$500
MAXWELLS FAMILY
1504 SANTA FE STREET	LEAVENWORTH	KS	66048	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$500
NU ATHLETICS (NORTHWESTERN UNIVERSITY)
1501 CENTRAL STREET	EVANSTON	IL	60205	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$23,000
NU HILLEL (NORTHWESTERN UNIVERSITY)
629 FOSTER STREET	EVANSTON	IL	60201	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$1,000
POLARIS PROJECT
PO BOX 53315	WASHINGTON	DC	20009	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$2,500
RILEY CHILDREN HOSPITAL
705 RILEY HOSPITAL DRIVE	INDIANAPOLIS	IN	46202	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$500
ROHA 99 EAGLES
1403 LEXINGTON BLVD	ROYAL OAK	MI	48073	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$500
SALVATION ARMY
615 SLATERS LANE	ALEXANDRIA	VA	22313	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$1,300
SHAARE ZEDEK
829 N HANLEY RD	UNIVERSITY CITY	MO	63130	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$10,000
SHALVA
1610 W HIGHLAND AVE 9	CHICAGO	IL	60660	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$3,000
SOO EAGLE BOOSTER INC
PO BOX 1432	SAULT SAINTE MARIE	MI	49783	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$2,500
PA STATE UNIVERSITY
2986 N SECOND STREET	HARRISBURG	PA	17110	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$4,000
THON 4 DIAMOND
201 HUB	UNIVERSITY PARK	PA	16802	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$1,270
THON HERSHEY MEDICAL CENTER
500 UNIVERSITY DR	HERSHEY	PA	17033	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$20,000
TRIBUNE
435 MICHIGAN AVENUE	CHICAGO	IL	60611	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$3,000
VARSITY S CLUB PENN STATE UNIVERSITY
157 BRYCE JORDAN CENTER	UNIVERSITY PARK	PA	16802	NONE	501(C)(3)	TO FURTHER GOALS OF THE CHARITABLE ORGANIZATION	$4,000

Field	Value	IRS element (for citing)
Tot Grant Or Contri Paid During Year	213520	TotGrantOrContriPaidDuringYear
Tot Grant Or Contri Approved Future	0	TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

Field	Value	IRS element (for citing)
Related Or Exempt Function Income	12	RelatedOrExemptFunctionIncome

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

Field	Value	IRS element (for citing)
Related Or Exempt Function Income	116900	RelatedOrExemptFunctionIncome

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

Field	Value	IRS element (for citing)
Related Or Exempt Function Income	65592	RelatedOrExemptFunctionIncome

Subtotals Part XVIA SubtotalsPartXVIA

Field	Value	IRS element (for citing)
Unrelated Business Income	$0	UnrelatedBusinessIncomeAmount
Exclusion	$0	ExclusionAmount
Related Or Exempt Function Income	182504	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Part XVIA	182504	TotalPartXVIA

Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps

Field	Value	IRS element (for citing)
Line Number	3&4	LineNumber
Relationship Statement	THE FOUNDATION INVESTS ITS ASSETS IN VARIOUS SECURITIES AND MONEY MARKET FUNDS IN ORDER TO GENERATE REVENUE FROM WHICH FURTHER GRANTS AND CONTRIBUTIONS CAN BE MADE.	RelationshipStatement

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

Field	Value	IRS element (for citing)
Trnsfr Of Cash To Noncharitable EO	0	TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO	0	TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets	0	SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO	0	PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc	0	RentalOfFacilitiesEtc
Reimbursement Arrangements	0	ReimbursementArrangements
Loans Or Loan Guarantees	0	LoansOrLoanGuarantees
Performance Of Services Etc	0	PerformanceOfServicesEtc
Sharing Of Facilities Etc	0	SharingOfFacilitiesEtc
Relationships Noncharitable E Os	0	RelationshipsNoncharitableEOs

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

Field	Value	IRS element (for citing)
Category	ACCOUNTING	Category
Amount	$2,150	Amount
Net Investment Income	2150	NetInvestmentIncome
Disbursements Charitable Prps	0	DisbursementsCharitablePrps

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock

Field	Value	IRS element (for citing)
Name Of Stock	SECURITIES	NameOfStock
EOY Book Value	3433979	EOYBookValue
EOYFMV	3601079	EOYFMV

Other Assets Schedule OtherAssetsSchedule

Other Assets OtherAssets (2 entries)

DescriptionDescription	BOY Book ValueBOYBookValue	EOY Book ValueEOYBookValue	EOYFMVEOYFMV
DIVIDENDS RECEIVABLE	5669	189	189
CASH SURRENDER VALUE	4157	0	0

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	Revenue And Expenses Per BooksRevenueAndExpensesPerBooks	Net Investment IncomeNetInvestmentIncome
BANK AND FILING FEES	25	25
INVESTMENT ADVISORY FEES	15307	15307
INSURANCE EXPENSE	46907	0

Taxes Schedule TaxesSchedule

Taxes Taxes

Field	Value	IRS element (for citing)
Category	INCOME TAX	Category
Amount	$22	Amount
Net Investment Income	0	NetInvestmentIncome
Disbursements Charitable Prps	0	DisbursementsCharitablePrps

JBS FOUNDATION: Form 990PF, tax year 2012

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990-PF IRS990PF

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Balance Sheets BalanceSheets

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (3 entries)

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

Statements Regarding Activities StatementsRegardingActivities

Books In Care Of Business Name BooksInCareOfBusinessName

Books In Care Of US Address BooksInCareOfUSAddress

Statements Regarding Acty4720 StatementsRegardingActy4720

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (3 entries)

Sum Of Program Related Investments SumOfProgramRelatedInvestments

Minimum Investment Return MinimumInvestmentReturn

Distributable DistributableAmount

Qualifying Distributions QualifyingDistributions

Undistributed Income UndistributedIncome

Supplementary Information SupplementaryInformation

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (55 entries)

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

Subtotals Part XVIA SubtotalsPartXVIA

Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps

Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock

Other Assets Schedule OtherAssetsSchedule

Other Assets OtherAssets (2 entries)

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (3 entries)

Taxes Schedule TaxesSchedule

Taxes Taxes

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