Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0052
2011
For calendar year 2011, or tax year beginning 01-01-2011 , and ending 12-31-2011
G
Check all that apply:
Name of foundation
THE DANIEL P AMOS FAMILY FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)POST OFFICE BOX 5346   Room/suite
City or town, state, and ZIP code
COLUMBUS, GA31906
A Employer identification number

58-2005391
B Telephone number (see page 10 of the instructions)

C bullet
D 1. bullet
H Check type of organization:
2. bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$118,816,484J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see page 11 of the instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 5,182,540
2 Check bullet
3 Interest on savings and temporary cash investments 156,062 156,062 156,062
4 Dividends and interest from securities...... 2,335,931 2,335,931 2,335,931
5a Gross rents.............. 11,820 11,820 11,820
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 996,209
b Gross sales price for all assets on line 6a 9,885,179
7 Capital gain net income (from Part IV, line 2)... 996,209
8 Net short-term capital gain.........  
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)....... Click to see attachment 173,154 173,154  
12 Total. Add lines 1 through 11........ 8,832,076 3,649,536 2,480,173
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 6,006 6,006    
b Accounting fees (attach schedule)....... Click to see attachment 13,445 13,445    
c Other professional fees (attach schedule)....        
17 Interest............... 84,984 84,984    
18 Taxes (attach schedule) (see page 14 of the instructions) Click to see attachment 65,051 38,243    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see list of attachments 872,686 831,031    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,042,172 973,709   0
25 Contributions, gifts, grants paid........ 5,626,397 5,626,397
26 Total expenses and disbursements. Add lines 24 and 25 6,668,569 973,709   5,626,397
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 2,163,507
b Net investment income (if negative, enter -0-) 2,675,827
c Adjusted net income (if negative, enter -0-)... 2,480,173
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (2011)
Form 990-PF (2011)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing...............      
2 Savings and temporary cash investments.......... 648,531 757,171 757,171
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
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) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges........... 11,377 23,153 23,153
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........ 54,183,691 Click to see attachment36,815,861 36,815,861
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 77,615,759 Click to see attachment81,220,299 81,220,299
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 132,459,358 118,816,484 118,816,484
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................... 132,459,358 118,816,484
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 132,459,358 118,816,484
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 132,459,358 118,816,484
Part III 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)............... 1 132,459,358
2 Enter amount from Part I, line 27a..................... 2 2,163,507
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 970
4 Add lines 1, 2, and 3.......................... 4 134,623,835
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 15,807,351
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 118,816,484
Form 990-PF (2011)
Form 990-PF (2011)
Page 3
Part IV
Capital 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 acquired
P—Purchase
D—Donation 		(c) Date acquired
(mo., day, yr.) 		(d) Date sold
(mo., day, yr.)
1a
b
c
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 996,209
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 pages 13 and 17 of the instructions).
If (loss), enter -0- in Part I, line 8 . . . . . . . . . . . . . 		Bracket 3 -79,183
Part V
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.)

If 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?
If “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.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2010 4,190,510 113,522,038 0.03691
2009 5,627,477 85,950,738 0.06547
2008 4,821,591 111,339,405 0.04331
2007 3,899,746 100,950,177 0.03863
2006 2,982,085 77,085,783 0.03869
2 Total of line 1, column (d) ...................... 2 0.22301
3 Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years. . . 		3 0.04460
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 125,290,752
5 Multiply line 4 by line 3....................... 5 5,588,093
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 26,758
7 Add lines 5 and 6......................... 7 5,614,851
8 Enter qualifying distributions from Part XII, line 4.............. 8 5,626,397
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. See
the Part VI instructions on page 18.
Form 990-PF (2011)
Form 990-PF (2011)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A” on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 26,758
hereBulletand 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  
3 Add lines 1 and 2............................ 3 26,758
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 26,758
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a 50,000
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 50,000
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8 89
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 23,153
11 Enter the amount of line 10 to be: Credited to 2012 estimated taxBullet23,153 Refunded Bullet 11  
Part VII-A
Statements Regarding Activities
1a
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? ....................
1a
 
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)?............................
1b
 
No
If the answer is “Yes” to 1a 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) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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
    Yes
     
    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 page 19 of the
    instructions)bulletGA
    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 2011 or the taxable year beginning in 2011 (see instructions for Part XIV on
    page 27)? 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
    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 page 20 of the instructions) .......
    11
     
    No
    12
    Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletJEANNIE CHOBOTIUK Telephone no.bullet
    Located atbulletPO BOX 5566COLUMBUSGA ZIP+4bullet31906
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2011, 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 page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    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?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (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)?.................
    (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.).........
    b
    If any answer is “Yes” to 1a(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)?...
    1b
     
    No
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2011?.............
    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) or 4942(j)(5)):
    a
    At the end of tax year 2011, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2011?...............
    If “Yes,” list the years bullet20, 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 page 20 of the 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.
    bullet20, 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?.....................
    b
    If “Yes,” did it have excess business holdings in 2011 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 2011.)....................
    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 2011?
    4b
     
    No
    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))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (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 page 22 of the instructions)...
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
    5b
     
    No
    .........bullet
    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?............
    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?....................
    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?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
    No
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to
    employee benefit plans
    and deferred compensation     		(e) Expense account,
    other allowances
    DAVID B PLYLER Secret/Asst Tr
    0.00     		0    
    3715 NS PKWY NC 200 SUITE 600
    ATLANTA,GA30327
    LAUREN A AMOS VICE CHAIRMAN
    0.00     		0    
    PO BOX 5346
    COLUMBUS,GA31906
    MORTON A HARRIS ASSISTANT SEC
    0.00     		0    
    2854 CROMWELL DRIVE
    COLUMBUS,GA31906
    DANIEL P AMOS President
    0.00     		0    
    PO BOX 5566
    COLUMBUS,GA31906
    2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    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 of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see page 23 of the instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 of the 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...................
    1a
    126,122,842
    b
    Average of monthly cash balances.......................
    1b
    1,075,891
    c
    Fair market value of all other assets (see page 24 of the instructions)............
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    127,198,733
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    127,198,733
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    1,907,981
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    125,290,752
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    6,264,538
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    6,264,538
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    26,758
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    26,758
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    6,237,780
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    6,237,780
    6
    Deduction from distributable amount (see page 25 of the instructions)...........
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    6,237,780
    Part XII
    Qualifying Distributions (see page 25 of the 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 ..........
    1a
    5,626,397
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    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 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    5,626,397
    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 page 26 of the instructions)............
    5
    26,758
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    5,599,639
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 8
    Part XIII
    Undistributed Income (see page 26 of the instructions)
    (a)
    Corpus     		(b)
    Years prior to 2010     		(c)
    2010     		(d)
    2011
    1 Distributable amount for 2011 from Part XI, line 7 6,237,780
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only....... 5,600,351
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2011:
    a From 2006.......  
    b From 2007.......  
    c From 2008.......  
    d From 2009.......  
    e From 2010.......  
    fTotal of lines 3a through e.........  
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 5,626,397
    a Applied to 2010, but not more than line 2a 5,600,351
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)    		  
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...     		0
    d Applied to 2011 distributable amount..... 26,046
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2011.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...     		 
    e Undistributed income for 2010. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........     		 
    f Undistributed income for 2011. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........     		6,211,734
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........     		 
    8Excess distributions carryover from 2006 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............     		 
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......     		 
    10 Analysis of line 9:
    a Excess from 2007....  
    b Excess from 2008....  
    c Excess from 2009....  
    d Excess from 2010....  
    e Excess from 2011....  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 9
    Part XIV
    Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2011, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2011 (b) 2010 (c) 2009 (d) 2008
             
    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 directly
    for active conduct of exempt activities ....     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see page 27 of the instructions.)
    1Information Regarding Foundation Managers:
    aList 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).)
    DANIEL P AMOS
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    AFLAC - CIFK
    1602 WYNNTON ROAD
    COLUMBUS,GA31909     		NONE NA FINANCIAL SUPPORT 2,500
    HIGHLANDS-CASHIERS HOSPITAL
    190 HOSPITAL DRIVE
    HIGHLANDS,NC28741     		NONE NA FINANCIAL SUPPORT 1,000
    MISSION AMERICA COALITION
    PO BOX 13930
    PALM DESERT,CA92255     		NONE NA FINANCIAL SUPPORT 10,000
    RESTORED HOPE MINISTRIES
    5964 VETERANS PKWY
    COLUMBUS,GA31909     		NONE NA FINANCIAL SUPPORT 150,000
    MERCYMED
    PO BOX 1491
    COLUMBUS,GA31902     		NONE NA FINANCIAL SUPPORT 60,000
    GWINNETT CHURCH
    4350 NORTH POINT PKWY
    ALPHARETTA,GA30022     		NONE NA FINANCIAL SUPPORT 25,000
    ROSE HILL UNITED METHODIST CHURCH
    2101 HAMILTON ROAD
    COLUMBUS,GA31904     		NONE NA FINANCIAL SUPPORT 10,000
    KIDS ACROSS AMERICA
    PO BOX 930
    BRANSON,MO65615     		NONE NA FINANCIAL SUPPORT 25,000
    WORD OF TRUTH FAMILY MINISTRIES
    1112 WYNNTON ROAD
    COLUMBUS,GA31907     		NONE NA FINANCIAL SUPPORT 10,000
    GOOD SHEPHERD HEALTHCARE
    3679 STEAM MILL ROAD
    COLUMBUS,GA31906     		NONE NA FINANCIAL SUPPORT 10,000
    CENTER FOR PUPPETRY
    1404 SPRING STREET NW AT 18TH
    ATLANTA,GA30309     		NONE NA FINANCIAL SUPPORT 10,000
    HABITAT FOR HUMANITY
    723 SPRING STREET
    AMERICUS,GA31709     		NONE NA FINANCIAL SUPPORT 1,137
    GIRLS INC
    3007 CLOVER LANE
    COLUMBUS,GA31903     		NONE NA FINANCIAL SUPPORT 65,000
    NATIONAL INFANTRY MUSEUM
    3800 SOUTH LUMPKIN ROAD
    COLUMBUS,GA31903     		NONE NA BENEFACTOR 2,500
    COLUMBUS BAPTIST ASSOCIATION
    4650 VETERANS PARKWAY
    COLUMBUS,GA31904     		NONE NA FINANCIAL SUPPORT 3,000
    ST THOMAS DAY SCHOOL
    830 WHITNEY AVENUE
    NEW HAVEN,CT06511     		NONE NA FINANCIAL ASSISTANCE 25,000
    OPEN DOOR COMMUNITY HOUSE
    2405 2ND AVENUE
    COLUMBUS,GA31902     		NONE NA FINANCIAL ASSISTANCE 45,000
    UNITED WAY OF CHATTAHOOCHEE VALLEY
    PO BOX 1157
    COLUMBUS,GA31902     		NONE NA VARIOUS UNITED CHARITIES 5,000
    THE STUDY HALL INC
    1010 CREW STREET
    ATLANTA,GA30315     		NONE NA FINANCIAL ASSISTANCE 50,000
    FOUNDATION OF WESLEY WOODS
    1817 CLIFTON ROAD NE
    ATLANTA,GA30329     		NONE NA FINANCIAL ASSISTANCE 25,000
    KINGDOM CATALYSTS
    585 SOUTH GREER STREET 700
    MEMPHIS,TN38111     		NONE NA FINANCIAL ASSITANCE 50,000
    RANSOMED HEART MINISTRIES
    PO BOX 51065
    COLORADO SPRINGS,CO80949     		NONE NA FINANCIAL ASSISTANCE 50,000
    LAUSANNE COMMITTEE FOR WORLD EVANGE
    PO BOX 9020
    SAN DIMAS,CA31773     		NONE NA FINANCIAL ASSISTANCE 40,000
    WELLSPRING LIVING INC
    140 HOWELL ROAD STE C-2
    TYRONE,GA30290     		NONE NA FINANCIAL ASSISTANCE 50,000
    GOOD SAMARITAN HEALTH CENTER
    1015 DONALD LEE HOLLOWELL PKWY
    ATLANTA,GA30318     		NONE NA FINANCIAL ASSISTANCE 50,000
    COLUMBIA INTERNATIONAL
    7435 MONTICELLO ROAD
    COLUMBIA,SC29203     		NONE NA FINANCIAL ASSISTANCE 50,000
    THE MAILBOX CLUB INTERNATIONAL
    404 EAGER RD
    VALDOSTA,GA31602     		NONE NA FINANCIAL ASSISTANCE 10,000
    EMORY UNIVERSITY
    201 DOWMAN DRIVE
    ATLANTA,GA30307     		NONE NA FINANCIAL ASSISTANCE 1,200,000
    MIDTOWN INC
    1236 WILDWOOD AVE
    COLUMBUS,GA31906     		NONE NA FINANCIAL ASSISTANCE 2,500
    HISTORIC COLUMBUS FOUNDATION
    PO BOX 5312
    COLUMBUS,GA31906     		NONE NA FINANCIAL ASSISTANCE 6,250
    SCAD -ATLANTA
    1600 PEACHTREE ST NW
    ATLANTA,GA30309     		NONE NA FINANCIAL ASSISTANCE 15,000
    NORTH POINT MINISTRIES
    4350 NORTHPOINT PARKWAY
    ALPHARETTA,GA30022     		NONE NA FINANCIAL ASSISTANCE 10,000
    ALZHEIMERS ASSOCIATION
    1214 1ST AVE STE 160
    COLUMBUS,GA31901     		NONE NA FINANCIAL SUPPORT 500
    HOPE HARBOUR INC
    PO BOX 4182
    COLUMBUS,GA31914     		NONE NA FINANCIAL ASSISTANCE 10,000
    COLUMBUS REGIONAL MEDICAL FOUNDATIO
    707 Center Street
    COLUMBUS,GA31901     		NONE N/A FINANCIAL SUPPORT 7,860
    ATLANTA YOUTH ACADEMIES FOUNDATION
    2120 Forrest Park Road
    Atlanta,GA30315     		NONE NA FINANCIAL ASSISTANCE 20,000
    BROOKSTONE SCHOOL
    440 Bradley Park Drive
    COLUMBUS,GA31904     		NONE NA FINANCIAL ASSISTANCE 5,000
    ST THOMAS EPISCOPAL CHURCH
    2100 Hilton Ave
    COLUMBUS,GA31906     		NONE NA FINANCIAL ASSISTANCE 10,000
    SALVATION ARMY
    3126 VETERANS PKWY
    COLUMBUS,GA31904     		NONE NA FINANCIAL ASSISTANCE 150,000
    ATLANTA YOUTH PROJECT
    680 W PEACHTREE ST NW
    ATLANTA,GA30308     		NONE NA FINANCIAL ASSISTANCE 76,000
    DUKE DIVINITY SCHOOL
    PO BOX 90968
    DURHAM,NC30097     		NONE NA FINANCIAL ASSISTANCE 100,000
    ST FRANCIS FOUNDATION
    2122 COLUMBUS MANCHESTER EXPW
    COLUMBUS,GA31904     		NONE NA FINANCIAL ASSISTANCE 7,500
    STEWART COMMUNITY HOME INC
    1125 15th STREET
    COLUMBUS,GA31901     		NONE NA FINANCIAL ASSISTANCE 10,000
    MUSCOGEE COUNTY LIBRARY FD
    3000 MACON ROAD
    COLUMBUS,GA31906     		NONE NA FINANCIAL ASSISTANCE 5,000
    FELLOWSHIP CHRISTIAN-UGA
    1080 Milledge Avenue
    ATHENS,GA30605     		NONE NA FINANCIAL SUPPORT 65,400
    COLUMBUS MUSEUM
    1251 Wynnton Road
    COLUMBUS,GA31906     		NONE NA BENEFACTOR 23,750
    SAMARITAN'S PURSE
    PO Box 3000
    BOONE,NC28607     		NONE NA MEDICAL DIAGN TB 100,000
    ASIAN ACCESS
    PO Box 200
    SAN DIMAS,CA91773     		NONE NA JAPAN MINISTRIES 2,000,000
    JOHNS HOPKINS CIM
    4940 EASTERN AVENUE
    BALTIMORE,MD21224     		NONE NA FINANCIAL SUPPORT IN HONOR OF DR.HELLMANN 50,000
    TEEN CHALLENGE OF GA
    2021 SIXTH AVENUE
    COLUMBUS,GA31904     		NONE NA YUCCHI PROJECT 100,000
    AFLAC CANCER CENTER
    1687 TULLIE CIRCLE
    ATLANTA,GA30329     		NONE NA CANCER RESEARCH 51,000
    HOUSE OF MERCY
    PO BOX 641
    COLUMBUS,GA31902     		NONE NA CARE OF THE HOMELESS 41,500
    VALLEY RESCUE MISSION
    PO BOX 1232
    COLUMBUS,GA31902     		NONE NA CARE OF THE HOMELESS 208,000
    FOCUS ON TRUTH
    1252 CEDAR AVENUE
    COLUMBUS,GA31906     		NONE NA YOUTH IN CRISIS 50,000
    UNIVERSITY OF GEORGIA-ARCH FOUNDATI
    824 SOUTH MILLEDGE AVENUE
    ATHENS,GA30602     		NONE NA CHAPLAIN'S PROGRAM 251,000
    ST LUKE UM CHURCH
    PO BOX 867
    COLUMBUS,GA31902     		NONE NA CAPITAL BUILDING FUND 215,000
    Total .................................bullet 3a 5,626,397
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See page 28 of
    the instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 156,062  
    4 Dividends and interest from securities....     14 2,335,931  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6Net rental income or (loss) from personal property          
    7 Other investment income.....       173,154  
    8Gain or (loss) from sales of assets other than inventory         996,209
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   2,665,147 996,209
    13Total. Add line 12, columns (b), (d), and (e)..................
    133,661,356
    (See worksheet in line 13 instructions on page 28 to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the organization’s exempt purposes (other than by providing funds for such purposes). (See
    page 28 of the instructions.)
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable 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...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    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 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    SignHere
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    Signature of officer or trustee Date Title
    PaidPreparersUseOnly Preparer's SignatureBullet Date PTIN
    Firm's namebullet



    Firm's addressbullet







         		Firm's EINbullet
    Phone no.
    Form 990-PF (2011)
    Additional Data


    Software ID: 11000144
    Software Version: 2011v1.2


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    OMB No. 1545-0047
    2011
    Name of organization
    THE DANIEL P AMOS FAMILY FOUNDATION
     
    Employer identification number

    58-2005391
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......................... Arrow Bullet   $    
    Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

    Page 2
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
    Name of organization
    THE DANIEL P AMOS FAMILY FOUNDATION
          		Employer identification number

    58-2005391
    Part I
    Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
    		     
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
     
     

    THE PAUL S JEAN R AMOS CLAT    
    3715 NORTHSIDE PARKWAY
       
    ATLANTA, GA   30327

    		$2,230,790




    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    DANIEL P AMOS    
    PO BOX 5566
       
    COLUMBUS, GA   31906

    		$2,951,750




    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is a noncash contribution.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

    Page 3
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
    Name of organization
    THE DANIEL P AMOS FAMILY FOUNDATION
          		Employer identification number

    58-2005391
    Part II
    Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
    		     
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
    1
    		 50000 SHARES AFLAC STOCK   $2,951,750 2011-02-18
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions).     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

    Page 4
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
    Name of organization
    THE DANIEL P AMOS FAMILY FOUNDATION
          		Employer identification number

    58-2005391
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
    For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
    contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
    Use duplicate copies of Part III if additional space is needed
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

    Additional Data


    Software ID: 11000144
    Software Version: 2011v1.2

    TY 2011 AccountingFeesSchedule
    Name:
    THE DANIEL P AMOS FAMILY FOUNDATION
    EIN: 58-2005391
    Software ID:11000144
    Software Version:2011v1.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    WITT CALLIER & PRESTLEY, CPAS 13,445 13,445 0 0

    TY 2011 InvestmentsCorpStockSchedule
    Name:
    THE DANIEL P AMOS FAMILY FOUNDATION
    EIN: 58-2005391
    Software ID:11000144
    Software Version:2011v1.2
    Name of Stock End of Year Book Value End of Year Fair Market Value
    AFLAC, INC. COMMON STOCK 36,815,861 36,815,861

    TY 2011 InvestmentsOtherSchedule2
    Name:
    THE DANIEL P AMOS FAMILY FOUNDATION
    EIN: 58-2005391
    Software ID:11000144
    Software Version:2011v1.2
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    SOMA FOUNDATION INVESTMENTS FMV 81,220,299 81,220,299

    TY 2011 LegalFeesSchedule
    Name:
    THE DANIEL P AMOS FAMILY FOUNDATION
    EIN: 58-2005391
    Software ID:11000144
    Software Version:2011v1.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    HATCHER & STUBBS 6,006 6,006 0 0


    TY 2011 OtherDecreasesSchedule
    Name:
    THE DANIEL P AMOS FAMILY FOUNDATION
    EIN: 58-2005391
    Software ID:11000144
    Software Version:2011v1.2
    Description Amount
    UNREALIZED GAIN FROM AFLAC SECURITIES 15,802,495
    OTHER DECREASES FROM K-1 3,640
    NON-DEDUCTIBLE EXPENSES FROM SOMA INVESTMENTS 1,216


    TY 2011 OtherExpensesSchedule
    Name:
    THE DANIEL P AMOS FAMILY FOUNDATION
    EIN: 58-2005391
    Software ID:11000144
    Software Version:2011v1.2
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    SOMA OTHER PORTFOLIO 22,199 22,199    
    SOMA OTHER 55,022 55,022    
    SOMA - SEC 59 220,097 220,097    
    SOMA - SEC 179 40 40    
    SOMA - ROYALTY 795 795    
    SOMA - PORTFOLIO 513,985 513,985    
    SOMA - CHARITABLE DEDS 192 192    
    POSTAGE EXPENSE 154      
    PENALTIES 89      
    OFFICE EXPENSE 1,412      
    MANAGEMENT FEES 600 600    
    INVESTMENT FEES 18,069 18,069    
    CONSULTING FEES 40,000      
    BANK CHARGES 32 32    


    TY 2011 OtherIncomeSchedule2
    Name:
    THE DANIEL P AMOS FAMILY FOUNDATION
    EIN: 58-2005391
    Software ID:11000144
    Software Version:2011v1.2
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Other Investment Income 173,154 173,154  


    TY 2011 OtherIncreasesSchedule
    Name:
    THE DANIEL P AMOS FAMILY FOUNDATION
    EIN: 58-2005391
    Software ID:11000144
    Software Version:2011v1.2
    Description Amount
    TAX EXEMPT INCOME FROM SOMA INVESTMENTS 970


    TY 2011 TaxesSchedule
    Name:
    THE DANIEL P AMOS FAMILY FOUNDATION
    EIN: 58-2005391
    Software ID:11000144
    Software Version:2011v1.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    STATE REGISTRATION FEES 50      
    FOREIGN TAX 38,243 38,243    
    EXCISE TAX 26,758