990 -PF Return ofPrivate...

41
l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93491129014253 OMB No 1545-0052 Form 990 -PF Return of Private Foundation or Section 4947 (a)(1) Nonexempt Charitable Trust Treated as a Private Foundation 2012 Department of the Treasury Note . The foundation may be able to use a copy of this return to satisfy state reporting requirements Internal Revenue Service . For calendar year 2012, or tax year beginning 01 - 01-2012 , and ending 12-31-2012 Name of foundation A Employer identification number JANE AND JOHN JUSTIN FOUNDATION 75-2442749 Number and street ( or P 0 box number if mail is not delivered to street address ) Room / suite U ieiepnone number (see instructions) 1300 S UNIVERSITY (817) 335-1500 City or town, state, and ZIP code C If exemption application is pending, check here F FORT WORTH, TX 76107 G Check all that apply r'Initial return r'Initial return of a former public charity D 1. Foreign organizations , check here F r-Final return r'Amended return 2. Foreign organizations meeting the 85% test, r Address change r'Name change check here and attach computation H Check type of organization FSection 501( c)(3) exempt private foundation r'Section 4947( a)(1) nonexempt charitable trust r'Other taxable private foundation I Fair market value of all assets at end J Accounting method F Cash F Accrual E If private foundation status was terminated d 507 b 1 A h kh F of ye a r (from Part 77, col. (c), Other ( specify) un er section ( )( )( ), c ec ere line 108,484 ,281 _ (Part I column (d) must be on cash basis .) F If the foundation is in a 60-month termination F , under section 507 b 1 B, check here 0- Analysis of Revenue and Expenses ( The (a) Revenue and ( d) Disbursements tota l of amounts in co lumns ( b), (c), and (d) may not expenses per (b ) Net investment ( c) Adjusted net for charitable necessanly equal the amounts in column ( a) (see books income income purposes instructions) ) (cash basis only) 1 Contributions , gifts, grants , etc , received ( attach schedule) 2 Check F if the foundation is not required to attach Sch B 3 Interest on savings and temporary cash investments 1,632,575 1,632,575 4 Dividends and interest from securities . . . 1,018,388 1,018,388 5a Gross rents . . . . . . . . . . . b Net rental income or (loss) c, 6a Net gain or (loss ) from sale of assets not on line 10 3,349,530 75 b Gross sales price for all assets on line 6a 25,055,623 7 Capital gain net income ( from Part IV, line 2) . . 3,349,532 8 Net short-term capital gain . . . . . . 80,033 9 Income modifications . . . . . . . . 10a Gross sales less returns and allowances b Less Cost of goods sold . c Gross profit or (loss) (attach schedule) . . 11 Other income ( attach schedule) . . . . 12 Total . Add lines 1 through 11 . . . . . 6,000,493 6,000,495 80,033 13 Compensation of officers , directors , trustees , etc 60,000 60,000 14 Other employee salaries and wages . . . 15 Pension plans employee benefits , 16a Legal fees (attach schedule ) . . . . . . . . . . 4,415 4,415 b Accounting fees ( attach schedule ) . . . . . . . . 257,855 128 ,928 128,927 W co c Other professional fees ( attach schedule) . . . . 95 15,500 11 ,625 3,875 `'' C5 17 Interest 18 Taxes ( attach schedule ) ( see instructions) 70,573 17,672 19 Depreciation (attach schedule ) and depletion . . 3,673 3,673 + 1 20 Occupancy . . . . . . . . . . . 73,510 73,510 21 Travel, conferences , and meetings . . . . 5,698 5,698 22 Printing and publications . . . . . . . 1,629 1,629 23 Other expenses ( attach schedule ) . . . . . . . . 386,821 386,821 s 24 Total operating and administrative expenses. Add lines 13 through 23 . . . . . . . 879,674 689,556 137,217 25 Contributions , gifts, grants paid . . . . . 16,093 ,336 4,943,336 26 Total expenses and disbursements . Add lines 24 and 25 16,973 ,010 689,556 5,080,553 27 Subtract line 26 from line 12 a Excess of revenue over expenses and disbursements -10,972,517 b Net investment income ( if negative , enter -0- ) 5,310,939 c Adjusted net income (if negative , enter -0- ) 80,033 For Paperwork Reduction Act Notice, see instructions . Cat No 11289X Form 990-PF (2012)

Transcript of 990 -PF Return ofPrivate...

Page 1: 990 -PF Return ofPrivate Foundation990s.foundationcenter.org/990pf_pdf_archive/752/752442749/75244… · 1 Contributions, gifts, grants, etc , received ( attach schedule) 2 Check

l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93491129014253

OMB No 1545-0052

Form990-PF Return of Private Foundationor Section 4947 (a)(1) Nonexempt Charitable Trust

Treated as a Private Foundation2012Department of the Treasury

Note . The foundation may be able to use a copy of this return to satisfy state reporting requirementsInternal Revenue Service • .

For calendar year 2012, or tax year beginning 01 - 01-2012 , and ending 12-31-2012

Name of foundation A Employer identification numberJANE AND JOHN JUSTIN FOUNDATION

75-2442749

Number and street ( or P 0 box number if mail is not delivered to street address ) Room / suite U ieiepnone number (see instructions)

1300 S UNIVERSITY(817) 335-1500

City or town, state, and ZIP code C If exemption application is pending, check here FFORT WORTH, TX 76107

G Check all that apply r'Initial return r'Initial return of a former public charity D 1. Foreign organizations , check here F

r-Final return r'Amended return 2. Foreign organizations meeting the 85% test,

r Address change r'Name change check here and attach computation

H Check type of organization FSection 501( c)(3) exempt private foundation

r'Section 4947( a)(1) nonexempt charitable trust r'Other taxable private foundation

I Fair market value of all assets at end J Accounting method F Cash F Accrual E If private foundation status was terminatedd 507 b 1 A h k h F

of y e a r (from Part 77, col. (c), Other ( specify)un er section ( )( )( ), c ec ere

line 108,484 ,281_

(Part I column (d) must be on cash basis .)F If the foundation is in a 60-month termination

F, under section 507 b 1 B, check here 0-

Analysis of Revenue and Expenses (The (a) Revenue and ( d) Disbursements

tota l of amounts in co lumns (b), (c), and (d) may not expenses per(b ) Net investment ( c) Adjusted net for charitable

necessanly equal the amounts in column (a) (see booksincome income purposes

instructions) ) (cash basis only)

1 Contributions , gifts, grants , etc , received ( attach schedule)

2 Check F if the foundation is not required to attach Sch B

3 Interest on savings and temporary cash investments 1,632,575 1,632,575

4 Dividends and interest from securities . . . 1,018,388 1,018,388

5a Gross rents . . . . . . . . . . .

b Net rental income or (loss)

c, 6a Net gain or (loss ) from sale of assets not on line 10 3,349,530

75b Gross sales price for all assets on line 6a 25,055,623

7 Capital gain net income ( from Part IV, line 2) . . 3,349,532

8 Net short-term capital gain . . . . . . 80,033

9 Income modifications . . . . . . . .

10a Gross sales less returns and allowances

b Less Cost of goods sold .

c Gross profit or (loss) (attach schedule) . .

11 Other income ( attach schedule) . . . .

12 Total . Add lines 1 through 11 . . . . . 6,000,493 6,000,495 80,033

13 Compensation of officers , directors , trustees , etc 60,000 60,000

14 Other employee salaries and wages . . .

15 Pension plans employee benefits,

16a Legal fees (attach schedule ) . . . . . . . . . . 4,415 4,415

b Accounting fees ( attach schedule ) . . . . . . . . 257,855 128 ,928 128,927W

co c Other professional fees ( attach schedule) . . . . 95 15,500 11 ,625 3,875

`''C5 17 Interest

18 Taxes ( attach schedule ) ( see instructions) 70,573 17,672

19 Depreciation (attach schedule ) and depletion . . 3,673 3,673

+1 20 Occupancy . . . . . . . . . . . 73,510 73,510

21 Travel, conferences , and meetings . . . . 5,698 5,698

22 Printing and publications . . . . . . . 1,629 1,629

23 Other expenses ( attach schedule ) . . . . . . . . 386,821 386,821

s 24 Total operating and administrative expenses.

Add lines 13 through 23 . . . . . . . 879,674 689,556 137,217

25 Contributions , gifts, grants paid . . . . . 16,093 ,336 4,943,336

26 Total expenses and disbursements . Add lines 24 and 25 16,973 ,010 689,556 5,080,553

27 Subtract line 26 from line 12

a Excess of revenue over expenses and disbursements -10,972,517

b Net investment income ( if negative , enter -0- ) 5,310,939

c Adjusted net income (if negative , enter -0- ) 80,033

For Paperwork Reduction Act Notice, see instructions . Cat No 11289X Form 990-PF (2012)

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Form 990-PF (2012) Panes 2

Attached schedules and amounts in the description column Beginning of year End of yearBalance Sheets should be for end-of - ear amounts onl (See instructions ) B k V l b B k V l F M k V ly y (a) oo a ue ( ) oo a ue (c) air ar et a ue

1 Cash-non-interest-bearing . . . . . . . . . . . . 44,012 106,440 106,440

2 Savings and temporary cash investments . . . . . . . 19,031,223 10,105,970 10,105,970

3 Accounts receivable ►

Less allowance for doubtful accounts Oil

4 Pledges receivable ►

Less allowance for doubtful accounts Oil

5 Grants receivable . . . . . . . . . . . . . .

6 Receivables due from officers, directors, trustees, and other

disqualified persons (attach schedule) (see page 15 of the

instructions) . . . . . . . . . . . . . . . . .

7 Other notes and loans receivable (attach schedule) Ilk,

Less allowance for doubtful accounts Oil

8 Inventories for sale or use . . . . . . . . . . . .

9 Prepaid expenses and deferred charges .

10a Investments-U S and state government obligations (attach schedule) 33,452,852 39,214,142 39,214,142

b Investments-corporate stock (attach schedule) . . . . . 44,774,942 48,071,979 58,776,507

c Investments-corporate bonds (attach schedule). . . . .

11 Investments-land, buildings, and equipment basis Oil 254,100

Less accumulated depreciation (attach schedule) Ilk, 254,100 303

12 Investments-mortgage loans . . . . . . . . . . .

13 Investments-other (attach schedule) . . . . . . . .

14 Land, buildings, and equipment basis Oil

Less accumulated depreciation (attach schedule) ►

15 Other assets (describe ► ) 306,532 281,222 281,222

16 Total assets (to be completed by all filers-see the

instructions Also, see page 1, item I) 97,609,864 97,779,753 108,484,281

17 Accounts payable and accrued expenses . . . . . . . 100,772 89,806

18 Grants payable . . . . . . . . . . . . . . . . 770,000 11,150,000

19 Deferred revenue . . . . . . . . . . . . . . .

20 Loans from officers, directors, trustees, and other disqualified persons

qu 21 Mortgages and other notes payable (attach schedule)

22 Other liabilities (describe ►

23 Total liabilities (add lines 17 through 22) . . . . . . . 870,772 11,239,806

Foundations that follow SFAS 117, check here ' F

and complete lines 24 through 26 and lines 30 and 31.w14) 24 U nrestricted . . . . . . . . . . . . . . . . . 96,739,092 86,539,947

25 Temporarily restricted

26 Permanently restricted

Foundations that do not follow SFAS 117, check here F-

and complete lines 27 through 31.U-

27 Capital stock, trust principal, or current funds . . . . . .

28 Paid-in or capital surplus or land bldg and equipment fund, , ,

n 29 Retained earnings, accumulated income, endowment, or other funds

30 Total net assets or fund balances (see page 17 of the

instructions) . . . . . . . . . . . . . . . . . 96,739,092 86,539,947

31 Total liabilities and net assets/fund balances (see page 17 of

the instructions) . . . . . . . . . . . . . . . 97,609,864 97,779,753

UTIM Analysis of Changes in Net Assets or Fund Balances

1 Total net assets or fund balances at beginning of year-Part II, column (a), line 30 (must agree

with end-of-year figure reported on prior year's return) . . . . . . . . . . . . 1 96,739,092

2 Enter amount from Part I, line 27a . . . . . . . . . . . . . . . . . . 2 -10,972,517

3 Other increases not included in line 2 (itemize) IN 3 773,372

4 Add lines 1, 2, and 3 . . . . . . . . . . . . . . . . . . . . . . . 4 86,539,947

5 Decreases not included in line 2 (itemize) Oil 5

6 Total net assets or fund balances at end of year (line 4 minus line 5)-Part II, column (b), line 30 6 86,539,947

Form 990-PF (2012)

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Form 990-PF (2012) Page 3

Ca ital Gains and Losses for Tax on Investment Income

(a) List and describe the kind(s) of property sold (e g , real estate,2-story brick warehouse, or common stock, 200 shs MLC Co

(b) How acquiredP-PurchaseD-Donation

(c) Date acquired(mo , day, yr

(d) Date sold(mo , day, yr

1 a Short Term - schedule attached P 2012-12-31 2012-12-31

b Long Term - scheule attached P 2011-01-01 2012-12-31

C

d

e

(e) Gross sales price(f) Depreciation allowed

(or allowable)(g) Cost or other basisplus expense of sale

(h) Gain or (loss)(e) plus (f) minus (g)

a 12,854,194 0 12,774,161 80,033

b 12,201,430 0 8,931,931 3,269,499

C

d

e

Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (I) Gains (Col (h) gain minus

(i) F M V as of 12/31/69(j) Adjusted basisas of 12/31/69

(k) Excess of col (i)over col (j), if any

col (k), but not less than -0-) orLosses (from col (h))

a 0 0 0 80,033

b 0 0 0 3,269,499

C

d

e

2If gain, also enter in Part I, line 7

Capital gain net income or (net capital loss) If (loss), enter -0- in Part I, line 72 3,349,532

3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6)

If gain, also enter in Part I, line 8, column (c) (see instructions) If (loss), enter -0-in Part I, line 8 3 80,033

t1 Qualification Under Section 4940 ( e) for Reduced Tax on Net Investment Income

(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income )

f section 4940( d)(2) applies, leave this part blank

Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? fl Yes F NoIf "Yes," the foundation does not qualify under section 4940 ( e) Do not complete this part

1 Enter the appropriate amount in each column for each year, see page 18 of the instructions before making any entries

Base period years Calendaryear (or tax year beginning in)

Adjusted qualifying distributions Net value of noncharitable-use assets

(d)Distribution ratio

(col (b) divided by col (c))

2011 5,195,594 106,544,194 0 048765

2010 5,171,272 105,020,634 0 049241

2009 4,039,035 101,356,690 0 039850

2008 6,260,947 121,240,555 0 051641

2007 6,717,174 136,631,326 0 049163

2 Total of line 1, column (d) . . . . . . . . . . . . . . . . . . . . . . 2 0 238660

3 Average distribution ratio for the 5-year base period-divide the total on linethe number of years the foundation has been in existence if less than 5 years

2 by 5, or by3 0 047732

4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5. . . . . 4 104,739,194

5 Multiply line 4 by line 3 . . . . . . . . . . . . . . . . . . . . . . .5 4,999,411

6 Enter 1% of net investment income (1% of Part I, line 27b). . . . . . . . . . . 6 53,109

7 Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . . . . . 7 5,052,520

8 Enter qualifying distributions from Part XII, line 4 . . . . . . . . . . . . . . 8 5,080,553

If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate Seethe Part VI instructions

Form 990-PF (2012)

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Form 990-PF (2012) Page 4

FEMEWExcise Tax Based on Investment Income ( Section 4940(a), 4940(b), 4940( e), or 4948-see page 18 of the instructions)

la Exempt operating foundations described in section 4940(d)(2), check here Oil F_ and enter "N/A" on line 1

Date of ruling or determination letter ( attach copy of letter if necessary-seeinstructions)

b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 53,109

here ► Rand enter 1% of Part I, line 27b . . . . . . . . . . . . . . . . . . .

c All other domestic foundations enter 2% of line 27b Exempt foreign organizations enter 4% of Part I, line 12, col (b)

2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) 2 0

3 Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 53,109

4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) 4

5 Tax based on investment income . Subtract line 4 from line 3 If zero or less, enter -0- . . . . . 5 53,109

6 Credits/Payments

a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 97,125

b Exempt foreign organizations-tax withheld at source . . . . 6b

c Tax paid with application for extension of time to file (Form 8868) 6c

d Backup withholding erroneously withheld . . . . . . . . . . . 6d

7 Total credits and payments Add lines 6a through 6d . . . . . . . . . . . . . . 7 97,125

8 Enter any penalty for underpayment of estimated tax Check here F if Form 2220 is attached 8

9 Tax due . If the total of lines 5 and 8 is more than line 7, enter amount owed . . . . . . . ► 9

10 Overpayment . If line 7 is more than the total of lines 5 and 8, enter the amount overpaid . . . 10 44,016

11 Enter the amount of line 10 to be Credited to 2013 estimated tax Or 44,016 Refunded' 11

Statements Re g arding Activities

la During the tax year, did the foundation attempt to influence any national, state, or local legislation or did Yes No

it participate or intervene in any political campaign? . . . . . . . . . . . . . . . . . . . . la No

b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of

the instructions for definition)? . . . . . . . . . . . . . . . . . . . . . . . . . lb No

If the answer is "Yes" to la or 1b, attach a detailed description of the activities and copies of any materials

published or distributed by the foundation in connection with the activities.

c Did the foundation file Form 1120-POL for this year? . . . . . . . . . . . . . . . . . . . . . 1c No

d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year

(1) O n the foundation $ (2) O n foundation managers Ik- $

e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers ► $

2 Has the foundation engaged in any activities that have not previously been reported to the IRS? . . . . 2 No

If "Yes,"attach a detailed description of the activities.

3 Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles

of incorporation, or bylaws, or other similar instruments? If "Yes,"attach a conformed copy of the changes . . 3 No

4a Did the foundation have unrelated business gross income of $1,000 or more during the year? . . . . . . . . 4a No

b If "Yes," has it filed a tax return on Form 990-T for this year? . . . . . . . . . . . . . . . . . . . 4b No

5 Was there a liquidation, termination, dissolution, or substantial contraction during the year? . . . . . . 5 No

If "Yes,"attach the statement required by General Instruction T.

6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either

• By language in the governing instrument, or

• By state legislation that effectively amends the governing instrument so that no mandatory directions

that conflict with the state law remain in the governing instrument? . . . . . . . . . . . . . 6 No

7 Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col (c), and Part XV 7 Yes

8a Enter the states to which the foundation reports or with which it is registered (see instructions)

'TX

b If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney

General (or designate) of each state as required by General Instruction G? If "No,"attach explanation . 8b Yes

9 Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)

or 4942(j)(5) for calendar year 2012 or the taxable year beginning in 2012 (see instructions for Part XIV )7

If "Yes,"complete Part XIV . . . . . . . . . . . . . . . . . . . . . . . . . . 9 No

10 Did any persons become substantial contributors during the tax year? if "Yes," attach a schedule listing their names and addresses 10 No

Form 990-PF (2012)

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Form 990-PF (2012) Page 5Statements Re g arding Activities (continued)

11 At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the

meaning of section 512(b)(13)? If "Yes," attach schedule (see instructions) . . . . . . . . . . . . . 11 No

12 Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had

advisory privileges? If "Yes," attach statement (see instructions ) . . . . . . . . . . . . . . . . . 12 No

13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? 13 Yes

Website address J N/A

14 The books are in care of ' ROY TOPHAM Telephone no ' (817) 335-1500

Located at 1111 1300 S UNIVERSITY STE 400 FORT WORTH TX ZIP+4 X76107

15 Section 4947( a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 -Check here . . . . . . . . . lllk^ F

and enter the amount of tax - exempt interest received or accrued during the year . . . . . . . I 15

16 At any time during calendar year 2012, did the foundation have an interest in or a signature or other authority over

a bank, securities, or other financial account in a foreign country? . . . . . . . . . . . . . . . 16 No

See instructions for exceptions and filing requirements for Form TD F 90-22 1 If "Yes ", enter the name of the foreigncountry ►

Statements Re g arding Activities for Which Form 4720 Ma y Be Re q uired

File Form 4720 if any item is checked in the "Yes" column, unless an exception applies. Yes No

la During the year did the foundation (either directly or indirectly)

(1) Engage in the sale or exchange, or leasing of property with a disqualified person? fl Yes F No

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person? . . . . . . . . . . . . . . . . . . . . . . . . . fl Yes F No

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? 1 Yes F No

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? fl Yes F No

(5) Transfer any income or assets to a disqualified person (or make any of either available

for the benefit or use of a disqualified person)? . . . . . . . . . . . . . . . . . fl Yes F No

(6) Agree to pay money or property to a government official? ( Exception . Check "No"

if the foundation agreed to make a grant to or to employ the official for a period

after termination of government service, if terminating within 90 days ). . . . . . . . . fl Yes F No

b If any answer is "Yes" to la(1 )-(6 ), did any of the acts fail to qualify under the exceptions described in Regulations

section 53 4941 (d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions) ?. . . lb No

Organizations relying on a current notice regarding disaster assistance check here. . . . . . . . F

c Did the foundation engage in a prior year in any of the acts described in 1 a, other than excepted acts,

that were not corrected before the first day of the tax year beginning in 2012? . . . . . . . . . . . . . 1c No

2 Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private

operating foundation defined in section 4942(j)(3) or4942(j)(5))

a At the end of tax year 2012, did the foundation have any undistributed income (lines 6d

and 6e, Part XIII) for tax year(s) beginning before 2012? . . . . . . . . . . . . . . . fl Yes F No

If "Yes," list the years ► 20 , 20 , 20 , 20

b Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)

(relating to incorrect valuation of assets) to the year's undistributed income? (If applying section 4942(a)(2)

to all years listed, answer "No" and attach statement-see instructions ) . . . . . . . . . . . . . . 2b No

c If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here

' 20 , 20 , 20 , 20

3a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year? . . . . . . . . . . . . . . . . . . . . . . . . . F Yes fl No

b If "Yes," did it have excess business holdings in 2012 as a result of (1) any purchase by the foundation

or disqualified persons after May 26, 1969, (2) the lapse of the 5-year period (or longer period approved

by the Commissioner under section 4943(c)(7 )) to dispose of holdings acquired by gift or bequest, or (3)

the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine

if the foundation had excess business holdings in 2012.) . . . . . . . . . . . . . . . . . . . . 3b No

4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes? 4a No

b Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its

charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2012? 4b No

Form 990-PF (2012)

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Form 990-PF (2012) Page 6

Statements Re g arding Activities for Which Form 4720 Ma y Be Re q uired (continued)

5a During the year did the foundation pay or incur any amount to

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? fl Yes F No

(2) Influence the outcome of any specific public election (see section 4955), or to carry

on, directly or indirectly, any voter registration drive? . . . . . . . . . . . . . . . fl Yes F No

(3) Provide a grant to an individual for travel, study, or other similar purposes? 1 Yes F No

(4) Provide a grant to an organization other than a charitable, etc , organization described

in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions). . . . . . . . (- Yes F No

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals?. . . . . . . .(- Yes F No

b If any answer is "Yes" to 5a(1 )-(5 ), did any of the transactions fail to qualify under the exceptions described i n

Regulations section 53 4945 or in a current notice regarding disaster assistance (see instructions )? . . . . . . 5b No

Organizations relying on a current notice regarding disaster assistance check here. . . . . . . . (-

c If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the

tax because it maintained expenditure responsibility for the grant?. . . . . . . . . . . . 1 Yes (- No

If "Yes,"attach the statement required by Regulations section 53.4945-5(d).

6a Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract? . . . . . . . . . . . . . . . . . . . . . . . . fl Yes F No

b Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . . 6b No

If "Yes"to 6b, file Form 8870.

7a At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? 1 Yes F No

b If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? . . . . 7b No

Information About Officers , Directors, Trustees , Foundation Managers, Highly Paid Employees,and Contractors

1 List all officers , directors , trustees , foundation managers and their compensation (see instructions).

(b) Title, and average ( c) Compensation ( d) Contributions to(e) Expense account,

(a) Name and address hours per week ( If not paid , enter employee benefit plansother allowances

devoted to position -0-) and deferred compensation

SEE ATTACHED LIST None 60,000 0 0

SEE ATTACHED LIST 20 00

FORT WORTH,TX 76107

2 Compensation of five highest -paid employees ( other than those included on line 1-see instructions ). If none, enter "NONE."

(a) Name and address of each employeepaid more than $50,000

(b) Title, and averagehours per week

devoted to position(c) Compensation

(d) Contributions toemployee benefitplans and deferredcompensation

(e) Expense account,other allowances

NONE

Total number of other employees paid over $50,000 . . . . . . . . . . . . . . . . . . . ► 0

Form 990-PF (2012)

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Form 990-PF (2012) Page 7Information About Officers, Directors, Trustees , Foundation Managers , Highly Paid Employees,and Contractors (continued)

3 Five highest -paid independent contractors for professional serv ices (see instructions ). If none, enter " NONE".

(a) Name and address of each person paid more than $50,000 ( b) Type of service ( c) Compensation

KEENUM &TOPHAM Accounting 257,855

1300 S UNIVERSITY STE 409FORT WORTH,TX 76107

PINNACLE ADVISORS Investment advice 82,210

335 MADISON AVENEWYORK,NY 10103

RENAISSANCE Investment advice 82,963

50 EAST RIVERCENTER BLVD STE 1200COVINGTON,KY 41011

NEUMEIER POMA INVESTMENT COUNSEL Investment advice 99,491

26435 CARMEL RANCHO BLVD SUITE 200CARMEL,CA 939238852

WEDGE CAPITAL MANAGEMENT Investment advice 90,962

301 COLLEGE STREET SUITE 2920CHARLOTTE,NC 28202

Total number of others receiving over $ 50,000 for professional services. 0

Summary of Direct Charitable Activities

List the foundation's four largest direct charitable activities during the tax year Include relevant statistical information such as the number ofExpensesorganizations and other beneficiaries served, conferences convened, research papers produced, etc

1

2

3

4

Summary of Prog ram - Related Investments ( see instructions )Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2 A mount

1

2

All other program-related investments See page 24 of the instructions

3

Total . Add lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . . ►Form 990-PF (2012)

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Form 990-PF (2012) Page 8

Minimum Investment Return (All domestic foundations must complete this part. Fo reign foundations,see instructions. )

1 Fair market value of assets not used (or held for use) directly in carrying out charitable, etc ,

purposes

a Average monthly fair market value of securities . . . . . . . . . . . . . . . . . . . la 105,922,211

b Average of monthly cash balances . . . . . . . . . . . . . . . . . . . . . . . lb 131,627

c Fair market value of all other assets (see instructions) . . . . . . . . . . . . . . . . 1c 280,369

d Total (add lines la, b, and c) . . . . . . . . . . . . . . . . . . . . . . . . . ld 106,334,207

e Reduction claimed for blockage or other factors reported on lines la and

1c (attach detailed explanation ) . . . . . . . . . . . . . le

2 Acquisition indebtedness applicable to line 1 assets . . . . . . . . . . . . . . . 2

3 Subtract line 2 from line ld . . . . . . . . . . . . . . . . . . . . . . . . . 3 106,334,207

4 Cash deemed held for charitable activities Enter 1 1/2% of line 3 (for greater amount, see

instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 1,595,013

5 Net value of noncharitable -use assets . Subtract line 4 from line 3 Enter here and on Part V, line 4 5 104,739,194

6 Minimum investment return . Enter 5% of line 5 . . . . . . . . . . . . . . . . . . 6 5,236,960

Distributable Amount (see instructions) (Section 49420)(3) and 0)(5) private operating foundations andcertain forei g n org anizations check here f and do not com p lete this p art. )

1 Minimum investment return from Part X, line 6 . . . . . . . . . . . . . . . . . . . . 1 5,236,960

2a Tax on investment income for 2012 from Part VI, line 5. . . . . . 2a 53,109

b Income tax for 2012 (This does not include the tax from Part VI ). . 2b

c Add lines 2a and 2b . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c 53,109

3 Distributable amount before adjustments Subtract line 2c from line 1. . . . . . . . . . . . 3 5,183,851

4 Recoveries of amounts treated as qualifying distributions . . . . . . . . . . . . . . . . 4

5 Add lines 3 and 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 5,183,851

6 Deduction from distributable amount (see instructions ) . . . . . . . . . . . . . . . . . 6

7 Distributable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII,

line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 5,183,851

Qualifying Distributions (see instructions)

1 Amounts paid (including administrative expenses) to accomplish charitable, etc , purposes

a Expenses, contributions, gifts, etc -total from Part I, column (d), line 26. . . . . . . . . . la 5,080,553

b Program-related investments-total from Part IX-B . . . . . . . . . . . . . . . . . . lb

2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc ,

purposes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Amounts set aside for specific charitable projects that satisfy the

a Suitability test (prior IRS approval required ) . . . . . . . . . . . . . . . . . . . . 3a

b Cash distribution test (attach the required schedule ) . . . . . . . . . . . . . . . . . 3b

4 Qualifying distributions . Add lines la through 3b Enter here and on Part V, line 8, and Part XIII, line 4 4 5,080,553

5 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment

income Enter 1% of Part I, line 27b (see instructions) . . . . . . . . . . . . . . . . . 5 53,109

6 Adjusted qualifying distributions . Subtract line 5 from line 4 . . . . . . . . . . . . . . 6 5,027,444

Note : The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies forthe section 4940(e) reduction of tax in those years

Form 990-PF (2012)

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Form 990-PF (2012) Page 9« Undistributed Income (see instructions)

1 Distributable amount for 2012 from Part XI, line 7

2 Undistributed income, if any, as of the end of 2012

a Enter amount for 2011 only. . . . . . .

b Total for prior years 20_ , 20_ , 20_

3 Excess distributions carryover, if any, to 2012

a From 2007. . . . .

b From 2008. . . . 219,491

c From 2009. . . . . . .

d From 2010. . . . 13,668

e From 2011. . . . 17,748

f Total of lines 3a through e. . . . . . . . .

4 Qualifying distributions for 2012 from Part

XII, line 4 11111 $ 5,080,553

a Applied to 2011, but not more than line 2a

b Applied to undistributed income of prior years(Election required-see instructions). . .

c Treated as distributions out of corpus (Electionrequired-see instructions). . . . . .

d Applied to 2012 distributable amount. . . . .

e Remaining amount distributed out of corpus

5 Excess distributions carryover applied to 2012

(If an amount appears in column (d), thesame amount must be shown in column (a).)

6 Enter the net total of each column asindicated below:

a Corpus Add lines 3f, 4c, and 4e Subtract line 5

b Prior years' undistributed income Subtractline 4b from line 2b . . . . . . . . . . .

c Enter the amount of prior years' undistributedincome for which a notice of deficiency hasbeen issued, or on which the section 4942(a)tax has been previously assessed. . . . . .

d Subtract line 6c from line 6b Taxable amount-see instructions . . . . . . . . . . .

e Undistributed income for 2011 Subtract line4a from line 2a Taxable amount-seeinstructions . . . . . . . . . . . . .

f Undistributed income for 2012 Subtractlines 4d and 5 from line 1 This amount mustbe distributed in 2013 . . . . . . . . . .

7 Amounts treated as distributions out ofcorpus to satisfy requirements imposed bysection 170(b)(1)(F) or4942(g)(3) (seeinstructions) . . . . . . . . . . . . .

8 Excess distributions carryover from 2007 notapplied on line 5 or line 7 (see instructions) . . .

9 Excess distributions carryover to 2013.Subtract lines 7 and 8 from line 6a . . . . . .

10 Analysis of line 9

a Excess from 2008. . . .

b Excess from 2009. . . .

c Excess from 2010. . . .

d Excess from 2011. . . .

e Excess from 2012. . . . 148,272

(a) (b) (c) (d)

Corpus Years prior to 2011 2011 2012

5,183,851

250,907

4,932,281

148,272

250,907 250,907

148,272

663

148, 272

Form 990-PF (2012)

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Form 990-PF (2012) Page 10

« Private Operatin g Foundations ( see instructions and Part VII-A q uestion 9 )

la If the foundation has received a ruling or determination letter that it is a private operatingfoundation, and the ruling is effective for 2012, enter the date of the ruling. . . . . .

b Check box to indicate whether the organization is a private operating foundation described in section F 4942(j)(3) or F 4942(j)(5)

2a Enter the lesser of the adjusted net Tax year Prior 3 years( e) Totalincome from Part I or the minimum

(a) 2012 (b) 2011 (c) 2010 (d) 2009investment return from Part X for eachyear listed . . . . . . . . . .

b 85% of line 2a . . . . . . . . .

c Qualifying distributions from Part XII,line 4 for each year listed . . . . .

d Amounts included in line 2c not used directlyfor active conduct of exempt activities .

e Qualifying distributions made directlyfor active conduct of exempt activitiesSubtract line 2d from line 2c . . . .

3 Complete 3a, b, or c for thealternative test relied upon

a "Assets" alternative test-enter

(1) Value of all assets . . . . . .

(2) Value of assets qualifyingunder section 4942(j)(3)(B)(i)

b "Endowment" alternative test- enter 2/3of minimum investment return shown inPart X, line 6 for each year listed. . .

c "Support" alternative test-enter

(1) Total support other than grossinvestment income (interest,dividends, rents, paymentson securities loans (section512(a)(5)), or royalties) . . . .

(2) Support from general publicand 5 or more exemptorganizations as provided insection 4942(j)(3)(B)(iii). . . .

(3) Largest amount of supportfrom an exempt organization

(4) Gross investment income

Supplementary Information (Complete this part only if the organization had $5,000 or more inassets at any time during the year-see instructions.)

1 Information Regarding Foundation Managers:a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation

before the close of any tax year (but only if they have contributed more than $5,000) (See section 507(d)(2) )

NONE MORE THAN 5000

b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of theownership of a partnership or other entity) of which the foundation has a 10% or greater interest

NONE

2 Information Regarding Contribution, Grant , Gift, Loan, Scholarship, etc., Programs:

Check here F if the foundation only makes contributions to preselected charitable organizations and does not acceptunsolicited requests for funds If the foundation makes gifts, grants, etc (see instructions) to individuals or organizations underother conditions, complete items 2a, b, c, and d

a The name, address, and telephone number of the person to whom applications should be addressed

b The form in which applications should be submitted and information and materials they should include

c Any submission deadlines

d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or otherfactors

Form 990-PF (2012)

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Form 990-PF (2012) Page 11Supplementary Information (continued)

3 Grants and Contributions Paid During the Year or Approved for Future Payment

RecipientIf recipient is an individual ,

Foundationshow any relationship to

fPurpose of grant or

any foundation managerstatus o

contributionAmount

Name and address ( home or business)or substantial contributor

recipient

a Paid during the year

See Additional Data Table

Total . 3a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 ,943,336

b Approved for future payment

TEXAS CHRISTIAN UNIVERSITY 501(c )( 3) Building fund 11,150,000P 0 BOX 297620FORT WORTH,TX 76133

Total . ► 3b ^ 11,150,000. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Form 990-PF (2012)

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Form 990-PF (2012) Page 12

Anal y sis of Income-Producin g Activities

Enter gross amounts unless otherwise indicated Unrelated business income Excluded by section 512, 513, or 514 (e)Related or exempt

(a) (b) (c) (d ) function income

1 Program service revenue Business code Amount Exclusion code Amount(See

instructions

a

b

c

d

e

f

g Fees and contracts from government agencies

2 Membership dues and assessments. . . .

3 Interest on savings and temporary cash investments 523100 14 1,632,575

4 Dividends and interest from securities. 523100 14 1,018,388

5 Net rental income or (loss) from real estate

a Debt-financed property. . . . . .

b Not debt-financed property. . . . .

6 Net rental income or (loss) from personal property

7 Other investment income. . . . .

8 Gain or (loss) from sales of assets other than inventory 523100 19 3,349,530

9 Net income or (loss) from special events

10 Gross profit or (loss) from sales of inventory.

11 Otherrevenue a

b

c

d

e F12 Subtotal Add columns (b), (d), and (e). 1 6,000,493

13 Total . Add line 12, columns (b), (d), and (e) . . . . . . . . . . . . . . . . . . 1 3 6,000,493

(See worksheet in line 13 instructions to verify c alculations )

nshi p of Activities to the Accom plishment of Exem pt Pur poses

Line No .Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly tothe accomplishment of the foundation's exempt purposes (other than by providing funds for such purposes) (Seeinstructions

Form 990-PF (2012)

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Form 990-PF (2012) Page 13Information Regarding Transfers To and Transactions and Relationships WithNoncharitable Exempt Organizations

1 Did the organization directly or indirectly engage in any of the following with any other organization described in section Yes No

501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

a Transfers from the reporting foundation to a noncharitable exempt organization of

(1) Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . la(1)

(2) Other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . la(2)

b Other transactions

(1) Sales of assets to a noncharitable exempt organization . . . . . . . . . . . . . . . . . . . . lb(1)

(2) Purchases of assets from a noncharitable exempt organization . . . . . . . . . . . . . . . . . . lb(2)

(3) Rental of facilities, equipment, or other assets . . . . . . . . . . . . . . . . . . . . . . . lb(3)

(4) Reimbursement arrangements . . . . . . . . . . . . . . . . . . . . . . . . . . . lb(4)

(5) Loans or loan guarantees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . lb(5)

(6) Performance of services or membership or fundraising solicitations . . . . . . . . . . . . . . . . lb(6)

c Sharing of facilities, equipment, mailing lists, other assets, or paid employees . . . . . . . . . . . . 1c

d If the answer to any of the above is "Yes," complete the following schedule Column (b) should always show the fair market valueof the goods, other assets, or services given by the reporting foundation If the foundation received less than fair market valuein any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received

No

No

No

No

No

No

No

No

No

(a) Name of organization ( b) Type of organization ( c) Description of relationship

SignHere

aid

Under penalties of perjury , I declare that I have examined this return , including accompanying schedules and statements, and tothe best of my knowledge and belief, it is true, correct , and completebased on all information of which preparer has any knowledge

****** 2013-05-06

Signature of officer or trustee Date

Print/Type preparer ' s name Preparer ' s Signature

ROYTOPHAM ROYTOPHAM

Preparer I Firm's name 0.

Use Only

KEENUM &TOPHAM CPA'S

1300 S UNIVERSITY DR STE

Firm's address 0- FORT WORTH, TX 76107

2a Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations

described in section 501 ( c) of the Code ( other than section 501 ( c)(3)) or in section 5277. . . . . . . . . . .f Yes FNo

b If"Yes," complete the following schedule

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Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment

Recipient If recipient is an Foundation Purpose of grant or Amountindividual, status of contribution

Name and address (home or show any relationship to recipient

business ) any foundation manageror substantial contributor

a Paid during the year

CHILD STUDY CENTER 1300 501(c)(3) improvements Capita IBuilding 515,000WEST LANCASTERFORT WORTH,TX 76102

SPECIAL OLYMPICS 6707 501( c)(3) medals forFurnishGames 80,682BRENTWOOD STAIR RD SUITE218FORT WORTH,TX 76112

MARBRIDGE FOUNDATION P 0 501( c)(3) General FundEducation 350,000BOX 2250MANCHACA,TX 78652

TEXAS CHRISTIAN UNIVERSITY 501(c)(3) Athletics 20,000P 0 BOX 297620FORT WORTH,TX 76129

HOPE FARM INC 865 E RAMSEY 501(c )( 3) forFurnishingBuilding 301,136AVEFORT WORTH,TX 76104

COOK CHILDREN'S MEDICAL 501( c)(3) Building FundBuilding Fund 750,000CENTER 801 SEVENTH AVEFORT WORTH,TX 761042796

TEXAS CHRISTIAN UNIVERSITY 501(c )( 3) Stadium & LockerBuilding 2,201,518P 0 BOX 297021 FundRoom & Weight roomFORT WORTH,TX 76129

WOMEN'S CENTER OFTARRANT 501(c )(3) Videos - ChildPlay it SafeAbuse 125,000COUNTY 1723 HEMPHILL PreventionFORT WORTH,TX 76110

RONALD MCDONALD HOUSE 501 (c)(3) BuildingConstructionlmprovements 500,0001004 7TH AVEFORT WORTH,TX 76104

DOWNTOWN FORT WORTH 501(c)(3) JFK MemorialConstruction 100,000INITIATIVES INC 777 TAYLORSTREETFORT WORTH,TX 76102

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a 4,943,336

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l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93491129014253

TY 2012 Accounting Fees Schedule

Name : JANE AND JOHN JUSTIN FOUNDATION

EIN: 75-2442749

Category Amount Net Investment Adjusted Net Disbursements forIncome Income Charitable

Purposes

Keenum &Topham 257,855 128,928 128,927Accounting and Tax

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defile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN: 93491129014253

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

TY 2012 Gain/ Loss from Sale of Other Assets Schedule

Name : JANE AND JOHN JUSTIN FOUNDATION

EIN: 75-2442749

Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation

All property sales Purchased 25,055,623 21,706,093 3,349,530

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l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93491129014253

TY 2012 Investments CorporateStock Schedule

Name : JANE AND JOHN JUSTIN FOUNDATION

EIN: 75-2442749

Name of Stock End of Year BookValue

End of Year FairMarket Value

Mutual Funds - EuroPacific see schedule 9,641,074 11,417,181

Renaissance Capital see schedule 9,336,074 11,374,708

WEDGE Capital see schedule 15,436,095 17,561,373

Pinnacle Associates see schedule 4,899,566 7,936,385

Neumeier Poma see schedule 8,359,170 9,386,860

H Bank Stock 400,000 1,100,000

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l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93491129014253

TY 2012 Investments GovernmentObligations Schedule

Name : JANE AND JOHN JUSTIN FOUNDATION

EIN: 75-2442749

US Government Securities - End ofYear Book Value:

US Government Securities - End ofYear Fair Market Value:

State & Local GovernmentSecurities - End of Year Book

Value:

State & Local GovernmentSecurities - End of Year Fair

Market Value:

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l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93491129014253

TY 2012 Legal Fees Schedule

Name : JANE AND JOHN JUSTIN FOUNDATION

EIN: 75-2442749

Category Amount Net Investment Adjusted Net Disbursements forIncome Income Charitable

Purposes

Kelly, Hart Hallman Legal fees 4,415 4,415

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l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93491129014253

TY 2012 Other Assets Schedule

Name : JANE AND JOHN JUSTIN FOUNDATION

EIN: 75-2442749

Description Beginning of Year -Book Value

End of Year - BookValue

End of Year - FairMarket Value

Prepaid excise taxes 68,807 43,497 43,497

Works of Art 237,725 237,725 237,725

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l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93491129014253

TY 2012 Other Assets Schedule

Name : JANE AND JOHN JUSTIN FOUNDATION

EIN: 75-2442749

Description Beginning of Year -Book Value

End of Year - BookValue

End of Year - FairMarket Value

Prepaid excise taxes 68,807 43,497 43,497

Works of Art 237,725 237,725 237,725

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l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93491129014253

TY 2012 Other Assets Schedule

Name : JANE AND JOHN JUSTIN FOUNDATION

EIN: 75-2442749

Description Beginning of Year -Book Value

End of Year - BookValue

End of Year - FairMarket Value

Prepaid excise taxes 68,807 43,497 43,497

Works of Art 237,725 237,725 237,725

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l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93491129014253

TY 2012 Other Expenses Schedule

Name : JANE AND JOHN JUSTIN FOUNDATION

EIN: 75-2442749

Description Revenue and Expensesper Books

Net InvestmentIncome

Adjusted Net Income Disbursements forCharitable Purposes

Investment fees 355,625 355,625

Consulting fees 20,400 20,400

Office expenses 6,416 6,416

D&O Insurance 4,380 4,380

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l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93491129014253

TY 2012 Other Increases Schedule

Name : JANE AND JOHN JUSTIN FOUNDATION

EIN: 75-2442749

Description Amount

Rounding 2

Tax over book depreciation 3,370

Grants paid this year included last year 770,000

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l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93491129014253

TY 2012 Other Professional Fees Schedule

Name : JANE AND JOHN JUSTIN FOUNDATION

EIN: 75-2442749

Category Amount Net Investment Adjusted Net Disbursements forIncome Income Charitable

Purposes

Acker & Co Audit 15,500 11,625 3,875

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l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93491129014253

TY 2012 Taxes Schedule

Name : JANE AND JOHN JUSTIN FOUNDATION

EIN: 75-2442749

Category Amount Net InvestmentIncome

Adjusted NetIncome

Disbursements forCharitablePurposes

Federal excise taxes 48,310

Foreign taxes on invst 13,082 13,082

Property taxes 4,591

Payroll taxes 4,590 4,590

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Jane and John Justin FoundationSummary of Investments

December 31, 2012

Page 2, Part II Balance Sheets, line 10(a):

December 31, 2012Description Book Value Market ValueCorporate StocksGlobal portfolio statement 49,449,800 59,454,135HBank stockLess cash includedOther FMV changes to Europ

400,000 1,100, 000-1,777,820 -1,777,820

192

Total 48.071.979 58.776.507

Agency Bonds 39 .214.142 39,214.142

Supporting Schedule

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May 8, 2013

Global Portfolio StatementAs of 12/31/2012

Set' All accounts for Foundation (Foundation)

Cost Unit Current Current UnrealizedWeight Description Symbol Quantity Basis Cost Value P i G i Lr ce a n ( oss) % GIL

Jane & John Justin Foundation 479-437697 Euro Pacfic Fund100.0% Europacitic Growth Class A AEPGX 276,976 939 9,641,074 18 34 808 11,416,989.43 41.220 1,775,915 25 18 4%0.0% Fidelity Cash Reserves FDRXX 1 39 1 39

1000% 9,641,075 57 11,416,990 82 1,775,915 25 184%

100.0% Portfolio Totals 9,641,075.57 11,416,990 82 1,775,915 25 184%

Jane & John Justin Foundation 479-437751 Renaissance Large Cap Growth20% Blackrock Inc BLK 1,119 210,552.05 188 161 231,308.49 206.710 20,756 44 9.9%20% Cbs Corp New CI B CBS 6,074 152,028.88 25 029 231,115 70 38.050 79,086.82 520%2.0% Celgene Corp CELG 2,974 189,585.34 63.748 233,369 78 78 470 43,784 44 23 1%2 0% Cooper Companies Inc COO 2,519 198,269 89 78 710 232,957 12 92 480 34,687 23 17 5%1 8% Expedia Inc Del Corn EXPE 3,418 99,501.29 29 1 1 1 210,001 92 61.440 110,500 63 I 1 1 1 °b12% Fidelity Cash Reserves FDRXX 133,297.36 133,297.361 7°a Macys Inc M 5,005 163,010.75 32 570 195,295 10 39.020 32,284 35 198%1.9% Mylan Inc MYL 7,759 200,247 88 25 808 212,984 55 27 450 12,736 67 6 4°%017% O'Reilly Automotive ORLY 2,183 201,489.09 92.299 195,203 86 89 420 (6,285 23) 3 1%20% Roper Inds Inc ROP 2,070 164,607.97 79 521 230,763 60 111.480 66,155 63 40.2%1.7% Scripps Networks Interactive Inc Cl A SNI 3.421 204,371.99 59 740 198,144 32 57 920 (6,227 67) -3 0%1 8% Syniosys, Inc SNPS 6,568 217,384 78 33.098 209,092 29 31 835 (8,292 50) -3 81%1 8% Teradata Corp Del Corn TDC 3,340 174,773.25 52.327 206.712 60 61 890 31,939.35 18 3%

236% 2.309.120.52 2.720,246.68 411,126.16 17 8%

Consumer Goods15% Coach Inc COH 3,144 116,632.62 37.097 174,523 44 55 510 57,890 82 49 6%

Healthcare Services2 1% Amensourcebergen Corp ABC 5,575 149,873 28 26.883 240,728 50 43 180 90,855.22 606%1 7% Bard C R Inc BCR 1,945 196.195 20 100.872 190,104 30 97 740 (6,090 90) -3 1%1 8% Gilead Sciences Inc GILD 2,755 118,040 32 42.846 202,354 75 73.450 84,314 43 71 4%2.0% Mckesson Corp MCK 2,321 182,116 33 78 465 225,044 16 96.960 42,927.83 236%1 9% Medtronic Inc Nfs Is A Specialist MDT 5,429 207,921.33 38.298 222,697 58 41 020 14,776 25 7.1%1 9% Stryker Corp Nfs Lie Is A SYK 3,996 197,365 04 49.391 219,060 72 54 820 21,695 68 11 0°/01 6% Unitedhealth Group Nfs Is A Specials UNH 3,457 983364 97 28 454 187,507.68 54.240 89,142 71 906%

12.9% 1,149,876 47 1,487,497 69 337,621 22 29.4%

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May 8, 2013

Global Portfolio StatementAs of 12/3112012

Set All accounts for Foundation (Foundation)

Cost Unit Current Current UnrealizedWeight Description Symbol Quantity Basis Cost Value Price G i (L ) % GILa n oss

Jane & John Justin Foundation 479-437751 Renaissance Large Cap GrowthSoftware

1 7% Intuit Inc Nfs Lie Is A Market INTU 3,368 152,891 90 45 395 200,311 80 59.475 47,419.90 31 0%1 5% Microsoft Corp Nfs Lie Is A Market MSFT 6,440 181,458 99 28 177 172,012 40 26.710 (9,446 59) -52%1.8% Oracle Corporation N£s Lie Is A Mark ORCL 6,357 145,052 78 22 818 211,815 24 33 320 66,762 46 460%1 8% Symantec Corp SYMC 11,083 205,507.79 18.543 208,582 06 18 820 3,074.27 1. 5%69% 684,91 1 46 792,721 50 107,810 04 15.7%

Consumer Services

1 5% Bed Bath & Beyond Inc BBBY 3,060 187,886.56 61.401 171,084 60 55 910 (16,801 96) -8 9%1.7% Cvs Corp Del Nfs Lie Is A CVS 4,120 157,546 14 38 239 199,202.00 48 350 41,655 86 264%17% Foot Locker Inc FL 5,974 195,999 96 32.809 191,884 88 32 120 (4,115.08) -2.10,/02.0% Home Depot Inc Nfs Is A Specialis HD 3,637 200,657.75 55 171 224,948.45 61 850 24,290 70 12.1%1 7% Petsmart Inc PETM 2,909 111,379.76 38 288 198,801 06 68.340 87,421 30 78.5%1 8% Ross Stores Inc ROST 3,836 116,314 99 30 322 207,489 24 54 090 91,174 25 78 4%1.6% Tjx Companies Inc TJX 4,456 188,085 64 42 210 189,157 20 42 450 1,071 56 06%

120% 1,157,870.80 1.382,567.43 224,696.63 19 4%

Hardware1 6% Agilent Tech Inc Nfs Is A Specialist A 4,584 176,970 50 38 606 187,668 96 40 940 10,698 46 6 0%1 8% Apple Computer Inc AAPL 400 104,123 66 260 309 212,869.20 532 173 108,745 54 1044%1 6% Broadcom Corp CIA BRCM 5,411 188,290 19 34.798 179,699.31 33 210 (8,590 88) -4 6%1 3% Cisco Sys Inc Nfs Lie Is A Market CSCO 7,520 175,948 16 23 397 147,760 48 19 649 (28,187.68) -16 0%1.7% E M C Corp Mass Nfs Is A Speciali EMC 7,729 136,227 41 17 625 195,543 70 25 300 59,316 29 43 5"%b1 4% Intel Corp Nfs Lie Is A Market INTC 8,026 153,761 47 19 158 165,496 12 20 620 11,734 65 7 6401 6% Intl Business Mach Nfs Is A Specialis IBM 979 126,694.36 129.412 187,527.45 191.550 60,833 09 48 0%1.6% Ma-Tencor Corp Frmly Kla Instrumen KLAC 3,968 195,268 71 49 211 189.511 68 47.760 (5,757 03) -29%o19% Netapp Inc Coin NTAP 6,431 203,280 99 31 610 215,7000- 33 550 12,479.06 6.10,61.6% Qualcomm Inc Nfs Lie Is A Market QCOM 3,013 103,364 15 54 220 186,384.18 61 860 23,020 03 14 1%1.8% Western Digital Corpdel WDC 4,820 166,520 24 34 548 204,801 80 42.490 38,281 56 23 0%

18.0% 1,790,449 84 2,073,022 93 282,573 09 15 8%

Industrial materials

1.8% Boeing Co Nfs Is A Specialist BA 2,698 187,607 61 69 536 203,321.28 75.360 15,713 67 8.4%2.1% Monsanto Co New MON 2,524 187,778 10 74 397 238,896 60 94 650 51,118.50 272%19% Ppg Industries PPG 1,577 163,579 47 103 728 213,446 95 135.350 49,867.48 30 5%

5.7% 538,965.18 655,664 83 116,699 65 21 7%

Page 2

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May 8,2013

Global Portfolio StatementAs of 12/31/2012

Set All accounts for Foundation ( Foundation)

Cost Unit Current Current UnrealizedWeight Descri ption S-,mbol Quantity Basis Cost Value Price Gain (Loss) % GIL

Jane & John Justin Foundation 479-437751 Renaissance Large Cap GrowthBusiness Services

1.8% Accenture Ltd Bermuda Cl A ACN 3,133 197,756.64 63 121 208,344 50 66 500 10.587.86 54%1.8% Autozone Inc Nev AZO 599 83,229 18 138.947 212,303 57 354 430 129,074.39 155 1%1.9% Equifax Inc EFX 4,009 200,653.39 50.051 216,967.08 54 120 16,313 69 8 1%20% Google Inc CIA GOOG 319 184,760.01 579 185 225,654 22 707 380 40,894.21 22 1 %2 1% Union Pacific Corp Nfs LIc Is A UNP 1,886 146.202.18 77 520 237,107 92 125.720 90.905.74 622%

Energy2 0°,o Danaher Corp DHR

Media

2 0% Discovery Hldg Co Com Ser A DISCA21% Time Warner Cable Inc Com TWC

4.2%

Financial Services

1.80/0 American Express Co Nfs Is A Special AXP

19% Franklin Res Inc BEN

36%

100 0% Portfolio Totals

Jane & John Justin Foundation 479437778 WEDGE Capital

03% A;rium Inc Com Npv [sin #ca008916 AGU1 5% Alliance Data Sys Corp ADS

3.0% Cbs Corp New Cl B CBS0 7% Diamond Offshore Drilling Inc DO

1 1% Dr Pepper Snapple Group Inc Com DPS1 3% Fidelity Cash Reserves FDRXX

03% Ingredion Inc Corn Usd0 01 1NGR0.8% Keycorp New KEY

0 9% Phillips Van Heusen PVH

1 0% Polaris Ends Inc PII

0 8% Principal Financial Group PFG0 8% Regions Fml Corp RP1 3% Safeway Inc Com New SWY09% Timken Co TKR

287.775.89 354%

4,015 210,690.46 52.476 224.438 50

3,713 168,358.36 45.343 235,701.242,536 191,747 50 75.610 246,473 84

360,105 86 482,175 08

3,507 142,276 90

1,696 195,869 93

55 900 13,748 04

63 480 67,342.8897 190 54,726.34

122,069 22

40 569 201,582 36 57.480115 489 213,187 20 125 700

414,769.56

11,508,004.93

59,305 46

17,317 27

76,622.73

6 5%

400%

28.5%

33 9%

41.7%

8.8%

227%

2,038,633 49 21.5%

500 44,946 56 89 893 49,935.50 99 871 4,99894 1 1 1 %1,800 179.695 82 99 831 260.568.00 144 760 80.872.18 45.0%4,700 125,619 31 26 728 178,835 00 38 050 53,215 69 424%1,900 329,358 69 68.084 129,124 00 67 960 (234 69) -02%4,500 196,287 25 43 619 198.810 00 44.180 2,522 75 1 3°%a

228,552 08 228.552 08700 33,597 36 47 996 45,101 00 64 430 11,503 64 342%

16,200 € 36,326 35 8 415 136,404 00 8 420 77.65 0 11,01,500 116,490.95 77.661 166,515 00 111 010 50,024 05 429%2,100 €27,487 07 60 708 176.715.00 84 150 49,227 93 386%4,700 135,720 26 28 877 134,044 00 28.520 (1,676.26 ) -1 2%19,400 121,009 43 6.238 138,322 00 7 130 17,312 57 14.3%12.400 240,697.14 19 411 224,316.00 18 090 (16,381 14) -6 8%3,500 140,217 21 40 062 167,405.00 47 830 27,187.79 u194%

Page 3

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May 8.2013

Global Portfolio StatementAs of 12/31/2012

Set All accounts for Foundation (Foundation)

Cost Unit Current Current UnrealizedWeight Description Symbol Ouantitr Basis Cost V l P ia ue r ce Gain (Loss) % GIL

Jane & John Justin Foundation 479-437778 WEDGE Capital1 0% Trw Automotive Hldgscorp TRW 3,200 133,580.22 41 744 171,552 00 53 610 37,971 78 28 4°e0.7% Unum Group UNM 6,400 140,412 27 21 939 133,248 00 20 820 (7,164 27) -5.1 °,o14.3% 2,229,997 97 2,539.446 58 309,448 61 13 9%

Consumer Goods

03% Archer Daniels Midland ADM 1,800 53,984.30 29 991 49,302.00 27 390 (4,682 30) -8 7°1603% Ball Corp BLL 1,200 38,133 58 31 778 53,700.00 44.750 15,566 42 40.8%03% Bunge Limited Com BG 700 40,078 84 57 255 50,883.00 72.690 10,804 16 270%03% Intl Paper Co Nfs Is A Specialist EP 1,400 27,290 73 19.493 55,776.00 39 840 28,485.27 104.4%1 1% Kimberly Clark Corp Nfs Is A Speciali KMB 2,400 189,947 82 79 145 202,632 00 84 430 12,684.18 6.7%0.9% Mattel Inc Nfs Is A Specialist MAT 4,200 146,489 26 34 878 153,804.00 36 620 7,31474 5 0%08% Pitney Bowes Inc Nfs Is A Specialist PBI 13,800 230,171 53 16 679 146,832.00 10.640 (83,339 53) -36 20,04 ° 726,09606 712.929.00 (13,16706 ) -1.8°,•0

Healthcare Services1 2% Abbott Laboratories Nfs Is A Specialis ABT 3,200 177,897 62 55 593 209,600.00 65 500 31,702.38 17.8%1 2% Aetna Inc New Com AET 4,600 169,033 43 36.746 213,026.00 46.310 43,992 57 26 0%1 2% Amerisourcebergen Corp ABC 5,100 151,954.99 29 795 220,218.00 43 180 68,263 01 44 9%1.2% Amgen Inc Nfs Lic Is A Market AMGN 2,400 143,580 58 59 825 206,880 00 86 200 63,299 42 44 1°01 1% Bristol Myers Squihbnfs Llc Is A BMY 5,900 188,047 47 31 872 192,281 00 32 590 4,233.53 2.3%1 1% Cardinal Health Inc Nfs LIc Is A CAH 4,700 183,256 55 38,991 193,546.00 41 180 10,289.45 5.6%1 1% Johnson &. Johnson Nfs Is A Specialist JNJ 2,900 191,102.81 65 898 203,290.00 70.100 12,187 19 6.4°o1 2% Lilly Ell & Co Nfs Is A Specialist LLY 4,300 180,513 71 41 980 212,076 00 49 320 31,562 29 17 5%12% Mckesson Corp MCK 2.200 178,831 94 81 287 213,312 00 96 960 34,480 06 193%1 19/0 Merck & Co Inc Nfs Is A Specialist MRK 4,700 201,737 64 42 923 192,418.00 40 940 (9,319.64) -4.6%1.2% Pfizer Inc Nfs Is A Specialist PFE 8,400 163,133 74 19.421 210,663.60 25 079 47,529 86 29.1%1 2% Sanofi-Aventis Sponsored Adr SNY 4,400 155,438 98 35 327 208,472 00 47 380 53,033 02 34 1 °o1 1 °,/° Unitedhealth Group Nfs Is A Speciah UNH 3.600 137,332 26 38 148 195,264,00 54 240 57,931 74 422%1.2% Zimmer Hldgs Inc ZMH 3,200 197,855 89 61 830 213,312.00 66 660 15,456 11 7 8%

162% 2,419,717.61 2,884,358.60 464,640,99 19 2%

Software

16°o Amphenol Corp Cl A APFI 4,400 217,614 06 49 458 284,680 00 64 700 67,065 94 30 8%1 5% Computer Assoc Intl Nfs Is A Speciah CA 12.100 262,986 34 21 734 265,958 00 21 980 2.971 66 1 1%14% Intuit Inc Nfs Llc Is A Market INTU 4,300 207,932 33 48.356 255,742.50 59 475 47,810 17 23 t1%•%1 5% Microsoft Corp Nfs Llc Is A Market MSFT 10,000 309,680 34 30 968 267,100 00 26 710 (42,580 34) -13.7%1 4% Oracle Corporation Nfs LIc Is A Mark ORCL 7,600 258,817 24 34.055 253,232 00 33.320 (5.585.24) -2 2%

Page 4

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May 8, 2013

Global Portfolio StatementAs of 12/31/2012

Set All accounts for Foundation (Foundation)

Weight Description Symbol QuantityCost

BasisUnit

CostCurrentV l

Current Unrealizeda ue Price Gain (Loss) % GIL

Jane & John Justin Foundation 479-437778 WEDGE CapitalSoftware

1 4% Sap Ag Spon Adr SAP 3,200 179,007.48 55.940 257,216 00 80 380 78,208.52 43 7%8.9% 1,436,037 79 1,583,928 50 147,890 71 103%

Consumer Services

0 9% American Eagle Outfitters AEO 8.100 163,951.53 20 241 166,131 00 20 510 2,179 47 1 3%09% Cvs Corp Del Nfs Lie Is A CVS 3,200 156,785.60 48 996 154,720 00 48.350 (2,065.60) -130100.9% Dillard Inc DDS 1,900 119,395 79 62 840 159,163.00 83.770 39,767 21 33 3%0.9% Foot Locker Inc FL 5,000 112,583 15 22 517 160,600 00 32.120 48,016 85 42 70,60 9% Gap Inc Del Nfs Is A Specialist GPS 4,900 139,884 66 28 548 152,096 00 31 040 12,211 34 8.7%0.9% Home Depot Inc Nfs Is A Specialis HD 2,600 122,666 63 47 179 160,810 00 61.850 38,143 37 31 1 %0.9% Iac/Interactivecorp IACI 3,300 138,035 61 41 829 155,898.60 47.242 17,862.99 12 9%09% Lennar Corp CIA LIEN 4,000 125,729 00 31 432 154,680.00 38.670 28,951 00 23 0%0.9% Pulte Homes Inc Nfs LIc Is A PHM 8,500 143,723 88 16 909 154,360 00 18.160 10,636 12 74%1.0% Wyndham Worldwide Corp Com WYN 3,300 123,100.15 37 303 175,593 00 53 210 52,492 85 42 6%

9.0% 1,345,85600 1,594,051 60 248,195 60 18.4%

Hardware

1.5% Apple Computer Inc AAPL 500 233,265.13 466 530 266.086 50 532.173 32,821 37 141%1.4% Intl Business Mach Nfs Is A Specialis IBM 1,300 229,578.69 176.599 249,015 00 191.550 19,436 31 8 5%29% 462,843 82 515,101 50 52,257 68 11 3%

Industrial materials

09% Abb Ltd Sponsored Adr ABB 8,000 147,476 63 18 435 166,320 00 20 790 18,843 37 12 8%1.0% Autoliv Inc ALV 2,700 133,372 21 49 397 181,953 00 67 390 48,580 79 36 4%0.3% Celanese Corp Del Com Ser A CE 1,152 41,351.72 35 896 51,298.56 44.530 9,94684 24 1%0.3% Cf Inds Hldgs Inc Corn CF 300 47,618.31 158 728 60,948 00 203.160 13,329 69 28.00-00.4% Cliffs Natural Resources CLF 1.700 77,398 19 45 528 65,569 00 38.570 (11.829 19) -15 3%1 0% Cummins Inc Fonnerlycummms Engi CMI 1,700 117,610 10 69 182 184,195 00 108 350 66,584 90 566%0 3% Dow Chemical Co Nfs LIc Is A DOW 1,600 46,424.79 29 015 51,726,40 32 329 5,301 61 114%0.3% Du Pont E I De Nemours & Co DD 1,100 46,420.39 42 200 49,476 90 44.979 3,056 51 66%0.3% Eastman Chem Co **see Bmnd For In EMN 800 29,948 63 37,436 54,440 00 68.050 24,491 37 81 8%1 0% Eaton Corp Nfs Is A Specialist ETN 3,200 105,494 07 32 967 173,376 00 54 180 67,881 93 6430,o09% Minnesota Mug & Mfg Nfs Is A Speci MMM 1,700 127,551 99 75 031 157,845 00 92 850 30,293 01 23 7%1.5% Northrop Grumman Corp Holding C NOC 4,000 250,814 99 62 704 270,320.00 67.580 19,505 01 7 8 o0.8% Parker Hannifin Corp PH 1,750 107,905 58 61.660 148,855 00 85.060 40,949 42 37 9%03% Ppg Industries PPG 400 25,191.58 62.979 54,140 00 135.350 28,948 42 114.9%1 5% Raytheon Co Cum New RTN 4.600 258,437 94 56 182 264.776 00 57 560 6,33806 2 5%0.3% Reliance Steel And Aluminum Co RS 800 34,267 95 42 835 49,680 00 62 100 15.412 05 45 00%

Page 5

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May 8, 2013

Global Portfolio StatementAs of 12/31,'2012

Set All accounts for Foundation (Foundation)

Cost Unit Current Current UnrealizedWeight Descri p tion Symbol Quantity Basis Cost Value P i G ir ce a n (Loss) %GIL

Jane & John Justin Foundation 479-437778 WEDGE CapitalIndustrial materials

0 3% Teck Resources Limited Class B S TCK 1,400 49,273.09 35.195 50,890 00 36.350 1,616.91 3 3%11.4% 1,646,558.16 2,035,808 86 389,250.70 23 6°0

Business Services

1.4% Accenture Ltd Bermuda Cl A ACN 3,700 255,682 95 69.104 246,050.00 66 500 (9,632 95) -3 8%0 3% Air Products & Chem APD 600 47,832 12 79.720 50,412 00 84 020 2,579.88 5 4%09% Autozone Inc Nev AZO 400 144,143.10 360.358 141,772 00 354 430 (2,371.10) -1 6%1 0% Kbr Inc Corn KBR 5,700 134,364.82 23 573 170,544 00 29.920 36.179.18 269%1001/0 Moodys Corp MCO 3,500 161,588 42 46.168 176.120 00 50 320 14.531.58 90%4 4% 743,611.41 784.898 00 41,286 59 5 6%

Energy

07% Apache Corp APA 1.600 156,346 76 97.717 125,60000 78.500 (30,746.76) -19 7%0.7% Bp Plc Spon Adr Repsntg BP 3,000 134,145.95 44.715 124,920,00 41 640 (9,225.95) -6 9%07% Chevrontexaco Corp CVX 1.200 95,792.66 79.827 129.768.00 108 140 33.975.34 35.5%0 7% Conocophillips Nfs LIc Is A COP 2,200 100,333 17 45 606 127,578 00 57 990 27,244 83 272%0.6% Encana Corporation Corn Npv ECA 5,600 144,906 11 25.876 110,656 00 19.760 (34,250.11) -23 6%07% Eni Spa Adr E 2,650 120,131 40 45.333 130,221 00 49.140 10.089.60 8.4%07% Exxon Mobil Corp Nfs Is A Speciah XOM 1,500 116,459 08 77.639 129,825.00 86 550 13.365.92 11 5%0 8% lielmench & Payne Nfs Llc Is A Speci HP 2,400 138.520 80 57 717 134,424 00 56 010 (4,096 80) -3 0%07% Nabors Inds Inc Nfs Is A Specialist NBR 8300 154, 381.41 18.600 119,935 00 14 450 (34,446.41) -22 3%0 7% Occidental Petroleumcorp OXY 1,600 113,919 04 71.199 122,576 00 76.610 8,656.96 7 6%0.7% Royal Dutch Shell Plc Spon Adr Rep RDSA 1,900 110.965 77 58.403 131.005.00 68 950 20.039.23 18 1%0 7% Talisman Energy Inc Corn Npv TLM 10,700 177,492 07 16 588 121,231 00 11 330 (56,261 07) -31 7%08% Total S A Spon Adr TOT 2,600 147,746.19 56.825 135,226 00 52 010 (12,520 19) -8.5%07% Transocean Sedco Forex Inc RIG 2,700 137,094 13 50.776 120,582 00 44.660 (16,512.13) -120%0 80,a Valero Energy Corp VLO 4,000 91.564 70 22.891 136,480.00 34 120 44,915.30 49 1%

107% 1,939.799 24 1,900,027 00 (39.772.24) -2.1%

Media

07% Sunu'ust Banks Inc Nfs Lie Is A STI 4.700 129,613 31 27 577 133,245 00 28 350 3.631 69 2 8°.a

Financial Services08% Ace Ltd Ord Usd0.125 ACE 1,800 90,877.08 50.487 143,640 00 79 800 52,762 92 58.1%08% Amenpnse Fin] Inc Com AMP 2,200 75,894 60 34.498 137,786 00 62 630 61.891.40 81 5%07% Assurant Inc AIZ 3,800 114,815 65 30.215 131,860 00 34 700 17,044 35 14 8%08% Chubb Corp CB 1,800 94,387.74 52.438 135.576 00 75 320 41,188.26 43.6%07% Discover Fml Svcs DFS 3,300 78,643.11 23.831 127,215 00 38 550 48.571.89 61 8%09% Fifth Third Bancorp FITS 9,200 117,545.27 12.777 139,840 00 15 200 22.294 73 190%

Page 6

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May 8, 2013

Global Portfolio StatementAs of 12131/2012

Set All accounts for Foundation (Foundation)

Cost Unit Current Current UnrealizedWeight Description Symbol Ouantitri Basis Cost Value Price Gain (Loss) % G/I.

Jane & John Justin Foundation 479-437778 WEDGE CapitalFinancial Services

07% Franklin Res Inc BEN 1,000 91,756 83 91 757 125,700 00 125.700 33,943 17 37.0%0.8% Goldman Sachs Group Inc GS 1,100 140,355 14 127 596 140,316 00 127 560 (39 14) 0 0%0.8% Hartford Fml Svcs Group Inc H1G 6,300 149,980.03 23 806 141,372 00 22.440 (8,608 03) -57%0.8% J P Morgan Chase & Co JPM 3,400 126,251.40 37 133 149,494,60 43.969 23,243 20 18 4%0.8% Lincoln National Corp Ind LNC 5,400 129,115.65 23 910 139,860 00 25.900 10,744 35 83%08% Methfe Inc Com MET 4,200 102,339 32 24 367 138,348 00 32.940 36,008 68 35 2%0.8% Prudential Finl Inc PRU 2,700 104,203 92 38 594 143,991.00 53 330 39,787 08 38 2%0.8% Travelers Cos Inc Com TRV 1,900 95,444 89 50.234 136.458.00 71 820 41,013 11 43.0%08% Usa Ed Inc SLM 7,800 105,505 50 13 526 133,614 00 17.130 28,108.50 26 6°1a

11 6% 1,617,116.13 2.065,070 60 447,954.47 27 7°,a

Utilities

0 6% Anieren Corp AEE 3,200 90,111 32 28.160 98,304.00 30 720 8.19268 91%05% American Elec Pwr Co AEP 2,200 87,166 54 39 621 93.896.00 42 680 6.72946 7 7°,•u0.5% Dte Energy Holding Co DTE 1,600 88,639 96 55 400 96,080.00 60.050 7,440,04 8 40,.0 5% Edison Intl EIX 2,100 76,434 30 36 397 94,899 00 45.190 18.464 70 242%0.5% Entergy Corp New ETR 1,500 103,63162 69.088 95.625 00 63 750 (8,006 62) -7 7%0.5% Firstenergy Corp FE 2,200 89,355 55 40.616 91,872 00 41 760 2,51645 2 8°1006% Nrg Energy Inc Com New NRG 4,400 92,674.68 21 062 101,156 00 22 990 8,481 32 9 2°i°0.5% Nv Energy Inc Com NVE 4,800 62,286 71 12 976 87,072 00 18.140 24,785.29 39 8°b0.5% Pinnacle West Cap Cp PNW 1,800 83,645 09 46 469 91,764.00 50.980 8.118.91 9 7%05% Public Service Enterprise Group In PEG 3,100 94,000.23 30 323 94,860.00 30 600 859 77 09%0.5% Teco Energy Inc TE 5,700 99.453 88 17 448 95,532 00 16 760 (3,921 88) -3 90/10

59% 967,399 88 1,041,060 00 73,660 12 7.6%

100.0% Portfolio Totals 2,125,277.86 136%

Jane & John Justin Foundation 479-437794 Pinnacle Sm Equity0.7% Arne Networks Inc ComusdO 01 Cl A AMCX 1,216 16,215 38 13.335 60,192 00 49.500 43,976 62 271 2°00.0% CASH CASH 65.51 65.512 6% Fidelity Cash Reserves FDRXX 214,975 63 214,975.630 8% Interxion Holdi Ng Com EurO 10 Sed INXN 2,600 31,032 30 11 936 61,776 00 23 760 30.743 70 99 1%0.7% Jds Umphase Corp Com Par SO 001 JDSU 4,400 58,571 92 13 312 59,400 00 13 500 828 08 14%1 6% Liberty Media Corp New Liberty CAp LMCA 1,100 17,686 56 16.079 127,611.00 116 010 109,924 44 0215%0 5% Mcdermott International Inc Com Stk MDR 3,800 41,826.60 11 007 41,876.00 11 020 4940 0 1%0.5% Medicines Co MDCO 1.600 34,742 29 21 714 38,352.00 23 970 3,609.71 10.4°002% North American Energy Partners C NOA 4,500 46,808 45 10 402 15,300 00 3 400 (31.508.45) -67.3%

Page 7

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May 8, 2013

Global Portfolio StatementAs of 12/31/2012

Set All accounts for Foundation (F)undation)

Cost Unit Current Current UnrealizedWeight Description Symbol Ouantitv Basis Cost Value Price G i (L ) % GILa n oss

Jane & John Justin Foundation 479-437794 Pinnacle Sm Equity1.3% Shaw Group Inc SHAW 2,200 73,177 94 33 263 102,542 00 46 610 29,364 06 40.1%89% 535,102 58 722,090 14 186,987 56 34.9%

Consumer Goods

3.5% Precision Castparts Corp PCP 1,500 71,398 49 47 599 284,130.00 189.420 212,731.51 297 9%0.6% Unifi Inc UFI 3,666 45,633 55 12 448 47,694 66 13 010 2.061 11 45%2.4% Valspar Corp VAL 3,200 70,387 86 21 996 199,680 00 62 400 129.292 14 193 7%6.5% 187.419 90 531,504 66 344,084 76 183.6%

Healthcare Services

0.5% Immunogen Inc IMGN 3,200 25,814 72 8 067 40,800.00 12.750 14,985.28 58 0%0 8% Isis Pharmaceuticals ISIS 6,100 79,279.57 12 997 63,684 00 10 440 (15,595 57) -19 7%1 4% Myriad Genetics Inc MYGN 4,100 85,557 46 20 868 111,725 00 27.250 26,167 54 30 6°'02.4% ONYX Pharmaceuticals ONXX 2,600 74,226 31 28 549 196,378.00 75.530 122,151 69 1646%2.4% Pall Corp Nfs Is A Specialist PLL 3,250 79,837.13 24 565 195,845 00 60.260 116,007 87 145.3°a4.4% Regeneron Pharmaceuticals REGN 2,100 46,608 96 22 195 359,247 00 171.070 312,638 04 6708%1.3% Seattle Genetics Inc SGEN 4,600 55,009.88 11 959 106,582 00 23 170 51,572 12 93 8%

132% 446,334.03 1,074,261.00 627,926 97 1407%

Software

1.0% Seachange Intl Inc SEAC 8,700 62,007 89 7 127 84,129 00 9 670 22,121.;1 35 7%

Consumer Services

0.9% lac/lnteractivecorp TACI 1,600 27,788 20 17 368 75,587 20 47 242 47,799.00 172 0%3.2% Las Vegas Sands Corp LVS 5,600 46,449.68 8.295 258.496 00 46 160 212,046.32 456.5%2 1% Orient Express Hotels Ltd Class A OEH 14,500 147,156.74 10.149 169,505 00 11 690 22,348 26 15 2%23% Royal Carribbean Cruises Ltd RCL 5,600 127.272.87 22.727 190,400 00 34.000 63,127.13 49 6%0.8% Saks Inc SKS 6.100 61,582 98 10 096 64,111 00 ]Oslo 2,528.02 4 1%1 2% Sothebys Hldgs Inc Delaware 13 ID 2,800 90,131 78 32.190 94,136 00 33 620 4,004.22 44%

10 5% 500,382 25 852,235 20 351,852 95 70 3%

Hardware

10% Ams Group Inc ARRS 5,400 53,210 76 9.854 80.676 00 14 940 27,465.24 51 6%1 7% Atmel Corp Nfs Llc Is A Market ATML 21,750 95,977.73 4.413 142,462 50 6 550 46,484.77 48 4%08% Cognex Corp CGNX 1,800 30,514.90 16.953 66222 00 36 790 35,707 10 117.0%0.5% Diebold Inc DBD 1,400 38,541.22 27.529 42,854.00 30.610 4,312 78 11 2%0 8% Harmonic Inc HLFT 12,100 94,349 56 7 797 61.347 00 5 070 (33,002.56) -35 0%2.9°10 Lam Research Corp Nfs LIc Is A Mark LRCX 6,650 147,302 83 22 151 240,264 50 36 130 92,961.67 63 1%1 1% Lsi Corp LSI 12,800 55,917.00 4.369 90,496 00 7 070 34,579 00 61 80,10

Page 8

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May 8, 2013

Global Portfolio StatementAs of 12/31?2012

Set: All accounts for Foundation (Foundation)

Cost Unit Current Current UnrealizedWeight Description Symbol Ouantity Basis Cost Value Price G i (L ) % GILa n oss

Jane & John Justin Foundation 479-437794 Pinna cle Sm EquityHard-Aare

09% Rf Micro Devices lncnfs Llc Is A Mar RFMD 17,050 83,170 12 4,878 76,384 00 4 480 (6,786 12) -8 2%3.2% Tumble Nav Ltd TRMB 4,400 130,820 47 29 732 263,032 00 59.780 132,211 53 101 10/007% Triquint Semiconductor Inc TQNT 12,000 71,647.22 5971 57,960.00 4 830 (13.687.22) -19 1°a09% Vishay Intertech [nenfs Is A Specialist VSH 6,950 69,066 10 9 938 73,878.50 10 630 4,812 40 7 0%147% 870,517 91 1,195.576.50 325,058 59 37 3%

Industrial materials

1 1% Cae Inc Ism #ca1247651088 CAE 8,700 52,436.64 6 027 88,305 00 10 150 35.868 36 68.4%2,0016 Cameco Corp CCJ 8,100 144,112 69 17 792 159,732 00 19 720 15,619.31 10 8%3 1% Cummins Inc Formerlycutnmins Engi CMI 2,300 69,455 08 30.198 249,205.00 108 350 179,749 92 258 8%23% Foster Wheeler Ag Ord Chf3 FWLT 7,700 166,499.06 21 623 187,264.00 24 320 20.764 94 125%1 5% Hexcel Corp Corn New HXL 4,400 77,544 97 17 624 118,624 00 26 960 41,079 03 53 0%1.0% Meadwestvaco Corp MWV 2,461 55,996 82 22 754 78,432 07 31 870 22,435 25 40 1%23% Mosaic Co MOS 3,300 162,239 59 49 164 186,879.00 56 630 24,639 41 15.2%10% Rti Intl Metals RTI 3,000 72,818 77 24.273 82.680.00 27 560 9,861.23 13 5%0.4% Usx U S Stl Nfs Is A Specialist x 1,450 78.483.52 54 127 34.582.50 23.850 (43,901 02) -55 9°-b

14.5% 879,587 14 1,185,703 57 306,11643 348%

Business Services

15% Avnet Inc AVT 4,000 114,671 64 28.668 122,440 00 30.610 7,768.36 68%07% Brinks Co BCO 1,900 39,173 99 20 618 54.207 00 28 530 15.033 01 384%22% Kansas City Southern KSU 2,100 37,875 98 18 036 175,308.00 83.480 137,432 02 3628%0.9% Robert Half Intl Inc RHI 2,300 64,008 84 27.830 73,186 00 31.820 9,177 16 143%

52% 255,730.45 425,141 00 169,410 55 66.2%

Energy

1 9% Helmerich & Payne Nfs Llc Is A Speci HP 2,700 56,434 24 20.902 151,227 00 56.010 94,792 76 168 0°,00.5% Input/Output Inc 10 6,500 57,964 90 8 918 42,315 00 6.510 (15,649.90) -27 0%1.4% Rowan Cos inc RDC 3,700 98,148.68 26 527 115,699 00 31.270 17,550 32 17.90,61 3% Stillwater Mining Company SWC 8.200 70,696.40 8 622 104,796 00 12 780 34,099.60 48.2°6

5 1% 28-1,244.22 414,0 37.00 130,792 78 462%

Media

1.1% Belo A H Corp Del Ser A Frmly Com BLC 11,300 60,903 63 5 390 86,671 00 7.670 25,767 37 42.3%1.4% Cablevision Sys Corpny Group Cl A C CVC 7,564 83,500 30 11 039 113.006 16 14 940 29,505 86 35 3%3 3% Discovery Communications Inc DISCK 4,616 106,395 57 23 049 270,036.00 58 500 163,640 43 153 8°'023% Gannett Co Inc GCI 10,300 146,802.98 14,253 185,503.00 18.010 38.700 02 26 4%0.7% Madison Square Garden Inc Cl A MSG 1,216 11,452 50 9 418 53.929.60 44.350 42,477 10 370 9%

Page 9

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May 8, 2013

Global Portfolio StatementAs of 12/31/2012

Set All accounts for Foundation ( Foundation)

Cost Unit Current Current Unrealized^^'eieht Description Srmbol Quantity Basis Cost V la ue Price Gain (Loss) %CIL

Jane & John Justin Foundation 479-437794 Pinnacle Sm EquityMedia

1 2 Sinclair Broadcast Group Inc Cl A SBGI 8,000 35,448.62 4.431 100,960 00 12 620 65,51 1 38 184 8°),9.9% 444,503.60 810.105,76 365,602 16 82 2%

Financial Services

0.7% Janus Cap Group Inc Nfs Llc Is A JNS 7,000 53,759 70 7 680 59,640 00 8 520 5,880.30 109%0.7% Lazard Ltd Shs -A - LAZ 1,900 71,117.98 37 431 56,696 00 29.840 (14,421 98) -20 3%1.2% Raymond James Ftnl Inc RJF 2,500 48,004.83 19.202 96325 00 38.530 48,320 17 1007%1.2% Waddell & Reed Fin] Cl A WDR 2,800 52,961 12 18 915 97,496.00 34.820 44,534 88 84 1 %38% 225,843 63 310,157 00 84,313 37 373%

Telecommunication2.1°% Cincinnati Bell Inc New CBB 31,100 95,608.10 3 074 170,428.00 5.480 74,819.90 783%1.1% Level 3 Communications Inc LVLT 3,926 58,219 21 14 829 90,729 86 21.110 32.510 65 558%0.4% Nn Hldgs Inc New N11TID 4,900 80,454 51 16 419 34,937 00 7 130 (45,517 51) -56 6%0 7% Telephone & Data Sysinc Delaware TDS 2,400 58,957 44 24.566 53,136 00 22 140 (5,821 44) -9 90'01.7% Time Warner Telecom Inc TWTC 5,600 79,794 22 14 249 142,632.00 25.470 62,837 78 78 7%0.7% United States Cellular Corp USM 1,550 50,899 99 32 839 54,622.00 35.240 3,722.01 7 3%67% 423,933 47 546,484 86 122.551 39 28 9%

100.0% Portfolio Totals 5,114,607.07 8,151.425 69 3,036,818 62 594%

Jane & John Justin Foundation 614-1I5355 Neumeier Poma2 7% Acacia Resh Corp Ar Acacia Technol ACTG 11,000 340,707 80 30 973 282,249 00 25.659 (58,458 80) -17.2%3 4% Allied Nevada Gold Corp Com Stk Us ANV 11,800 381,445 92 32.326 355.534 00 30.130 (25,911.92} -680,103.5% Bank Of The Ozarks OZRK 10,975 332.554 39 30 301 367,333 25 33 470 34,778 86 10 5%-07% CASH CASH (73,182 73) (73.182 73)0.5% Cash FCASH 54,660 53 54,660.531.4% Chart Inds Inc Com Par SO 01 GTLS 2,300 130,547 37 56.760 153,384 70 66.689 22,837 33 17,5%3.3% Coherent Inc COHR 7,000 341,166.28 48 738 354,424 00 50.632 13,257.72 3.9%00% Collateral Delv To Wells Fargo Bank LOC990030 171,413 0 00 0 000 0 00 0 000 0 00 0 0%32% Dresser Rand Group Inc Corn DRC 6,100 319.007 58 52 296 342,454 00 56 140 23,446 42 7 3%0.8016 Ebix Inc New EBIX 5,300 117,506 51 22 171 85,436 00 16 120 (32.070 51) -27 3%1 5% Enersys ENS 4,300 126,992 71 29.533 161,809.00 37 630 34,816.29 27 4o%o29% Fei Company FEIC 5,625 248,832 03 44 237 312,018 75 55.470 63,186 72 25.4%11.7% Fidelity Cash Reserves FDRXX 1,237,972 61 1,237,972 612 6% First Financial Bancorp Inc Ohio FFBC 19,000 323,985 50 17 052 277,780 00 14 620 (46.205 50) -14 3%21% Haemonetics Corp Mass HAE 5.400 172,253 79 31.899 220,536 00 40,840 48,282.21 280%

Pate 10

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May 8, 2013

Global Portfolio StatementAs of 12'3112012

Set All accounts for Foundation (Foundation)

Cost Unit Current Current UnrealizedWei2h Description Symbol Quantity Basis Cost Value Pri G i Lce a n oss % GIL

Jane & John Justin Foundation 614-115355 Neumeier Poma3.9% Henry Jack & Assoc Inc JKfIY 10,600 355,797 70 33 566 416,156.00 39.260 60,358 30 17 0%2.2% Herbalife Ltd Corn UsdO.002 HLF 6,975 367,061.68 52 625 229,756 50 32.940 (137.305 18) -3740,,,09% Innophos Hldgs Inc IPHS 2,025 101,733 12 50 239 94,162 50 46.500 (7,570 62) -74%0.7% lnnospec Inc Corn IOSP 2,100 70,762 26 33 696 72,429 00 34.490 1,666 74 2 4%3.0% lpg Photonics Corp Com IPGP 4,700 202,064 99 42 993 313,255 00 66.650 111,190 01 55 0%3 9% Madden Steven Ltd SHOO 9,725 340,081 02 34 970 411.075.75 42.270 70,994.73 20 9%3.1% Maximus Inc MMS 5,225 255,599 17 48 919 330,324 50 63.220 74,725 33 292%2.9% Pier I Imports Inc PIR 15,600 216,588 67 13 884 312,000 00 20.000 95,411 33 44 1%2 6% Questcor Phar Inc QCOR 10,150 290,700 11 28 640 271.208 00 26 720 (19,49 29,492 11) °•'-6 7,03.8% Sirona Dental Sys Inc Com SIRO 6,300 283,135 20 44 942 406,098 00 64.460 122,962 80 43.4%4.5% Snap On Inc SNA 6,000 334,805 61 55 801 473,940.00 78.990 139,134 39 41 6%2 9% Steelcase Inc SCS 23,800 236,390 32 9 932 303,212 00 12.740 66,821.68 28 30a2.3% Thor Inds Inc THO 6,600 213,456.48 32 342 247,038 00 37.430 33.581 52 157%3.9% Ultratech Inc UTEK 11,000 325,164 40 29 560 410,300 00 37 300 85,135 60 26 2%1.2% Veeco Instruments Inc VECO 4,350 132,164 48 30 383 128,281.50 29.490 (3,882 98) -2 9%3.8% Wabtec WAS 4,600 353,582.08 76 866 402,684.00 87.540 49,101 92 13.9%

84 6% 8,133,537.58 8,954,329 86 820,792.28 10 11,10

Consumer Goods3 8% Tupperware Brands Corp TUP 6,200 350,420.63 56 519 397,420 00 64 100 46,999 37 13 4%

Consumer Services40% Station Casinos Inc STN 10,600 296,205.38 27.944 425,060 00 40 100 128,854 62 43 5%

Financial Services40% Oriental Financial Group Inc Com St OFG 31,370 420,389 88 13 401 418,789 50 13 350 (1,600 38) -0.4%3 7% Umb Fin] Corp UMBF 8,950 359,544.66 40.173 392,189 00 43 820 32,644.34 9 1%

77% 779,934.54 810,978.50 31,043.96 409/6

100 0% Portfolio Totals 9,560,098 13 10,587,788.36 1,027,690.23 10.7%

Page 1 I

Managed/UJnmanaged Totals

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Jane and John Justin FoundationOfficers and DirectorsDecember 31, 2012

Page 6 , Part VIII, line 1

Name Title Hours worked Compensation

J. T. Dickenson President 20 per week $60,000Mary Justin Director NoneRobert Watt Director NoneDee J. Kelly Director NoneRoy Topham Secretary Treasurer None

Executive Director

Supporting Schedule

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Federal Basis Jane and John Justin Foundation 05/07/13

Depreciation Schedule by Category 02.58PM

For the 12 Months Ended 12/31/12

Asset Date Accum Depr Current Accum DeprNo. Asset Description Acquired Method Life Sold? Cost 01/01/12 Depreciation 12/31/12

Furniture and fixtures

1 Refrigerator w/bottom freezer 02/26/01 200% DB 07/00 N 1,10476 1,10475 0.00 1,10475

2 Fisher and Paykel Dish Washer 02/26/01 200% DB 07/00 N 1,07876 1,078 75 0.00 1,07875

4 Halogen Radiant Stovetop 02/26/01 200% DB 07/00 N 522.87 522 87 0 00 522 87

5 Microwave 02/26/01 200% DB 07/00 N 213.50 213 50 0 00 213 50

6 3 Amaretto Walnut Quaker Chairs 02/26/01 200% DB 07/00 N 2,762 54 2,762.54 0 00 2,762 54

7 2 Quaker Walnut Tables - Recept i 02/26/01 200% 06 07100 N 1,02622 1,026.22 0 00 1,026.22

8 1 Chair w/Ergo Arms - Black Leat 02/26/01 200% DB 07/00 N 734 24 734 24 0.00 734.24

9 1 Wingate Custom Desk - Mr J's 02/26/01 200% DB 07100 N 5,060 70 5,060 70 0.00 5,060.70

10 1 Classic Walnut/Black leather Ex 02/26/01 200% DB 07100 N 1,848 76 1,84876 0 00 1,848 76

12 1 3-seat Black Leather Couch - 02/26/01 200% DB 07100 N 2,591 50 2,591 50 0 00 2,591 50

13 2 Dark Brown Chairs - Mr J's Offi 02/26/01 200% DB 07100 N 1,969.06 1,969 06 0 00 1,969 06

14 1 Corner Walnut Table 02/26/01 200% DB 07!00 N 500 11 500 11 0.00 500 11

15 1 Walnut Cocktail Table - Mr J's Of 02/26/01 200% DB 07100 N 610 55 610 55 0 00 610 55

16 1 Conference Table w/granite top 02/26/01 200% DB 07/00 N 4,658.01 4,658.01 0 00 4,658 01

17 8 Black Leather Chairs - Confere 02/26/01 200% 09 07/00 N 12,903 40 12,903 40 0 00 12,903.40

18 1 Black Leather Exec Chair - JT's 02/26/01 200% DB 07/00 N 1,848 76 1,848 76 0 00 1,848 76

19 1 Walnut Exec Desk - JT's Office 02/26/01 200% DB 07100 N 3,10476 3,10476 0 00 3,104 76

20 1 Dark Brown Chair - JT's Office 02/26/01 200% DB 07100 N 984 53 984 53 0 00 984 53

21 1 3-Cushion Couch - JT's Office 02/26/01 200% DB 07/00 N 2,591 50 2,591 50 0.00 2,591 50

22 2 Novikoff Corner tables - JT's Off 02/26/01 200% DB 07100 N 1,000 23 1,000.23 0.00 1,000 23

23 1 Black Leather Chair (like Conf R 02/26/01 200% DB 07/00 N 1,612 93 1,612.93 0.00 1,61293

24 2 Amaretto Walnut Quaker Chairs 02/26/01 200% DB 07100 N 285 75 285 75 0.00 285.75

25 1 Amaretto Walnut Quaker Chair - 02/26/01 200% DB 07100 N 142 87 142.87 0 00 142.87

26 1 Amaretto Walnut Manager's De 02/26/01 200% DB 07100 N 2,000.62 2.00062 0 00 2,000 62

27 1 Relax-the-Back Comfort Chair - 02/26/01 200% DB 07100 N 1,515.50 1,515 50 0 00 1,515.50

28 Dishes and Kitchen Items 02/26/01 200% DB 07/00 N 1,026 21 1,026 21 0 00 1,026.21

29 National Telesystems - Telephone 02/26/01 200% DB 05/00 N 6,400 83 6,400 83 0 00 6,400.83

30 File Shelving in J&J CRT Office 02/26/01 200% DB 07100 N 2,465 92 2,465 92 0 00 2,465 92

32 1 HP Laser Jet Printer - Melba's 02/26/01 200% DB 05/00 N 2,086.66 2,086 66 0 00 2,086 66

33 2 Black Leather charts (like Conf 02/26/01 200% DB 07100 N 1,653 52 1,653 52 0 00 1,653 52

34 Cabinets from DeMoss - J&J CRT 02/26/01 200% DB 07/00 N 30,000 00 30,000 00 0 00 30,000 00

37 Epson PowerLite Projector 02/26/01 200% DB 05100 N 3,480 00 3,48000 0 00 3,480 00

39 Computer table/David Pearce Offi 06/19/03 200% DB 05/00 N 638 68 638 68 0 00 638 68

41 Keyboard and mouse 12/28/04 200% DB 05100 N 170 92 170 92 0.00 170 92

43 Keyboard and mouse 12/28/04 200% DB 05100 N 170 92 170 92 0.00 170 92

45 Ikon fax and printing system 01/01/05 200% DB 05100 N 3,344 93 3,344 93 0.00 3,344 93

46 Shredder 12/08/06 200% DB 05100 N 731.94 731.94 0 00 731 94

47 U-line Ice Machine 08/26/07 200% DB 07/00 N 2,59665 2,01884 231 92 2,25076

48 HP Color Laser Jet CP4025 11/28/11 200% DB 05/00 N 1,092.23 1,092 23 0 00 1,092 23

49 2 Dell Computers Front desk, Presi 11/28/11 200% DB 05/00 N 2, 6 17 96 2.61796 0 00 2,617 96

Total for (Furniture and fixtures) 111,151.78 110,571.97 231 92 110,803 89

Leasehold improvements

35 Leasehold Improvements - J&J CR 02/26/01 SL REAL 39/00 N 134,218.50 37,426.31 3,441 50 40,867.81

36 Architectural Service 02/26/01 200% DB 05100 N 8,730 15 8,730 15 0 00 8,730.15

Page 1

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Federal Basis Jane and John Justin Foundation 05/07/13Depreciation Schedule by Category 02-58PM

For the 12 Months Ended 12/31/12

Asset Date Accum Depr Current Accum Depr

No Asset Description Acquired Method Life Sold? Cost 01/01/12 Depreciation 12/31/12

Leasehold improvements

Total for ( Leasehold improvements ) 142,948 65 46,156 46 3,441 50 49,597.96

Client Subtotal Before Sales

Less Assets Sold

Total

254,100 43 156,728.43 3,673.42 160,401 85

0 00 0 00

254,100 43 156,728 43 3,67342 160,401 85

Page 2