Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ARPAN FOUNDATION INC
Employer identification number
20-5593243
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here........................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2012.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2011.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
223,382
396,840
452,779
544,259
556,767
2,174,027
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
0
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
0
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
0
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
6
Total. Add lines 1 through 5.
223,382
396,840
452,779
544,259
556,767
2,174,027
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
0
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
2,174,027
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
9
Amounts from line 6...
223,382
396,840
452,779
544,259
556,767
2,174,027
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
3,607
3,920
3,246
3,596
3,969
18,338
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
0
c
Add lines 10a and 10b.
3,607
3,920
3,246
3,596
3,969
18,338
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
0
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
0
13
Total support. (Add lines 9, 10c, 11, and 12.)..
226,989
400,760
456,025
547,855
560,736
2,192,365
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
99.160 %
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
98.960 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
0.840 %
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
1.040 %
19a
33 1/3% support tests—2012.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2011.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
12000229
Software Version:
2012v2.0
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ARPAN FOUNDATION INC
Employer identification number
20-5593243
Identifier
Return Reference
Explanation
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
A COPY OF THE FORM 990 IS SUBMITTED TO ATTORNEY GENERAL OF CALIFORNIA, CHARITABLE TRUSTS ALONGWITH FORM RRF-1 SO ANYONE WHO IS INTERESTED MAY ASK FOR COPY.BESIDES INTEREST PARTIES FROM GENERAL PUBLIC, CAN CONTACT THE OFFICE, DIRECTORS FOR ANY SPECIFIC INFORMATION RELATING TO DONATIONS GIVEN ETC.AS A POLICY MATTER, THIS CHARITABLE ORGANIZATION DOES NOT SUPPORT ANY POLOTICAL ORGANIZATION NOR CONDUCT ANY POLITICAL ACTIVITIES.
Form 990, Part VI, Line 15b
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees
NO COMPENSATION IS PAID TO DIRECTORS OR ANY VOLUNTEERS.
Form 990, Part VI, Line 11b
Form 990, Part VI, Line 11b: Form 990 Review Process
A COPY OF THE FORM 990 IS SUBMITTED TO ATTORNEY GENERAL OF CALIFORNIA, CHARITABLE TRUSTS ALONGWITH FORM RRF-1 SO ANYONE WHO IS INTERESTED MAY ASK FOR COPY.BESIDES INTERESTED PARTIES FROM GENERAL PUBLIC, CAN CONTACT THE OFFICE, DIRECTORS FOR ANY SPECIFIC INFORMATION RELATING TO DONATIONS GIVEN ETC.AS A POLICY MATTER, THIS CHARITABLE ORGANIZATION DOES NOT SUPPORT ANY POLOTICAL ORGANIZATION NOR CONDUCT ANY POLITICAL ACTIVITIES.
Form 990, Part VI, Line 2
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et
BOTH THE DIRECTORS ARE REAL BROTHERS AND ALSO THEIR FAMILY MEMBERS RUN IT CONSULTING BUSINESS FOR MORE THAN 10 YEARS.
Client Note 3 - ARPAN FOUNDATION, INC.GRANTS - DONATIONS GIVEN FOR $1000.00 AND MORE Sr. Institution NameInstitution Street1Institution Street2Institution CityState Zip Code SumOfCreditCause1 ADR B-35, 4th Floor, Kiwani's Centre, (Near Rockland Hospital), Qutub Institutional Area, New Delhi110 016 India $5100Spreading Awareness& development2AID, Inc.5011 Tecumseh Street College ParkMD20740USA $2500Spreading Awareness &Development3Amrapali Utkarsh SanghVimlashram Gharkul, 59, Shrikrishna Nagar, Nagpur India $9500Education4Atmashakti Trust101a Friends Colony East, New Delhi110 065 India $25300Upliftment of the poor in rural5Dilasa SansthaIstari Nagar GhatanjiDist-Yavatmal-(M.S.)India-445301 445 301 India $4000Drought Relief6GoonjJ-93 Sarita Vihar New Delhi110 078 India $6510 disaster relief7Helpers of the Handicapped235 / 11 E, Tarabai Park, Kolhapur 416 003 India $2000Welfare of physi. challenged8IIT Roorkee Heritage Foundation4353 La Cosa Ave, Fremont, CA94536USA $1000Education9JeevantirthJuna KOBA, Gandhinager 382 009 India $5000Education10Mahan Trust (Dharni)Mahatma Gandhi Tribal HospitalKarmagram, Utavali,Tal Dharni, Amravati444 702 India $17250Upliftment of poor rural areas11Maharogi Seva SamitiAt Post Anandwan Tah: Warora, Dist: Chandrapur 442 914 India $38365Welfare of leprosy affec. people12Parivaar Education SocietyVillage BarkalikapurP O Bakhrahat West Bengal India $215497 Education ($115497) Infrastructure $100,00013Samaritan Help Mission127 NoorMd. Munshi Lane Howrah 711 101 India $6780Education14SamparcSocial Action for Manpower CreationFlat No-9, Varad AppttsTalegaon Dabhade410 507 India $2500Education15Sanskriti Samvardhan MandalPramod DeshmukhSagroli, Dist. NandedIndia 431 731 431 731 India $10000Education16SearchP O Shodhgram 442605Dist. Gadhiroli Maharastra 442 605India $1000Upliftment of poor rural areas17Snehalaya - AhmednagarNear Mahatma Gandhi MaidanOpp Chitra CinemaAhmednagar442 605India $51373Education and healthcare18Snehalaya -SolapurAt Post Karamba 413222Solapur Barsi RoadDist Solapur 413 222India $2000Education19SRUTIQ - 1, 1st Floor, Hauz Khas Enclave, New Delhi 110 016India $5000Spread Awareness,Rural Develop.20Thane SPCA305, Gangotri, Jangid Complex, Mira Road East, Thane 401 107India $2000Animal protection21The Action NortheastUdangshri Dera, RowmariP O Khagrabari, Dist Chirang (BTAD)AssamIndia $21778Upliftment of poor in tribalareas22Unnati- SGBS TrustTemple Road, Sadananda Nagar, NGEF East, Bangalore560 038India $66475Vocational training23Vidyadhiraj Charitable TrustDwarkanath Bhavan, Katrak Rd., Mumbai 400 031India $44000Education
Client Note 2 - ARPAN FOUNDATION INC.ONORS LIST $5000.00 AND ABOVE ( JUL 2012 TO JUNE 30, 2013)Sr. No.NameComplete AddressStreet1Street2CityStateName ZipAmount1Anita Edmund30482 Marbella Vista San Juan Capistrano, CA 92675 30482 Marbella VistaSan Juan CapistranoCA92675$50002Bharat & Mira Gandhi1026 Broken Trail Ct. Sugar Land, TX 77479 1026 Broken Trail Ct.Sugar LandTX77479$200003Chaitanya Kanojia141 Prince St Newton, MA 02465 141 Prince St Newton MA02465$500004Dr. Tushar K. Desai267 S. San Pedro St. Los Angeles, CA 90012-3883 San Pedro St.Los AngelesCA90012$50005Fidelity Charitable Gift FundPO Box 770001 Cincinnati, OH 45277-0053 PO Box 770001CincinnatiOH45277$120006Fidelity Charitable Gift Fund:Seema and Sudhakar BhatPO Box 770001 Cincinnati, OH 45277-0053 CincinnatiOH45277$330007Ganesh MoorthyGanesh Moorthy 15802 N. 71st St. #751, Scottsdale, AZ 85254Ganesh Moorthy#751, ScottsdaleAZ85254$549258Google Matching Gift ProgramPO Box 8809 Princeton, NJ 08543 PO Box 8809 PrincetonNJ8543$53509Greater Houston Community Foundation5120 Woodway Dr. Ste. # 6000 Houston, TX 77056 # 6000Houston TX77056$1305010Harsha Thatte1545 Countryside Dr. Buffalo Grove, IL 60089-3270 1545 Countryside Dr.Buffalo GroveIL60089$550011Katherine & Kamal AgarwalFamily Foundation 8632 Brook Rd. McLean, VA XXX-XX-XXXX Brook Rd.McLean VA22102$2500012Manjari Agarwal3435 Lebon Dr. Apt. #1128 San Diego, CA 92122 3435 Lebon Dr. Apt. #1128San DiegoCA92122$700013Microsoft Matching Gifts ProgramUSA $662814Morgan Stanley Smith Barney Global Impact787 Seventh Ave. 32nd Flr, New York, NY 10019 New YorkNY10019$500015Network For Good1140 Connecticut Ave. NW. Ste 700 Washington, DC 20036 ve. NW. Ste 700WashingtonDC20036$1212016P.A.N.I Foundation, Inc.201 N Franklin St. Ste. 2000 Tampa, FL 33602 St. Ste. 2000Tampa FL33602$500017PR3 Systems, Inc.1444 N. Farnsworth Ave. Ste. 200 Aurora, IL 60505 1444 N. FarnswoAurora IL60505$1489218Prof. Surendra Mansinghka2752 Harrisburg Ave. Fremont, CA 94536 2752 Harrisburg Ave.Fremont CA94536$500019Radhika & Ambarish Malpani Foundation Inc877 Northampton Dr. Palo Alto, CA 94303 Palo AltoCA94303$1000020Satish V. KulkarniMadhuri S. Kulkarni 816 N Oakland St. Apt. # 313, Arlington, VA 22203# 313, ArlingtonVA22203$500121SCA Charitable FoundationMike Pollack 326 Round Hill Road Greenwich, CT 06831 GreenwichCT6831$2500022Shabbir S Bahora706 Gervaise Ct Brentwood, TN 37027 706 Gervaise Ct BrentwoodTN37027$57300.23Sumit Banerjee2127 Kings Mill Ct Falls Church, VA 22043 United States2127 Kings Mill CtFalls ChurchVA22043$550024The Sita Foundation19384 Chablis CT Saratoga, CA 95070 19384 Chablis CT SaratogaCA95070$1000025Varun Sharma221 W 70th St. Apt. # 3 New York, NY 10023 221 W 70th St. Apt. # 3 New YorkNY10023$700026Vivek Sharma15 Canterbury Hill Rd. Acton, MA 01720 15 Canterbury Hill Rd. Acton MA01720$500127YourCause, LLC.2508 Highlander Way, Ste 210 Carrollton, TX 75006 2508 Highlander Way, CarrolltonTX75006$15645
Client Note 1 - NONE OF THE DONEES (GRANTS GIVEN TO ORGANIZATIONS) BY ARPAN FOUNDATION ARE RELATED TO ANY OF THE OFFICERS -DIRECTORS.BESIDES, IT IS THE GOAL OF THE ORGANIZATION TO HAVE MINIMAL/LOW ADMINISTRATIVE OVERHEADS. THE ORGANIZATION PLANS TO COVER THE ADMINISTRATIVE COSTS FROM THE INCOME DERIVED FROM SHORT TERM INVESTMENTS. THEREFORE, ALL DONATIONS RECEIVED ARE BEING USED FULLY TO MEET THE MAIN OBJECTIVE OF THE EXEMPT ORGANIZATION TO PROVIDE HUMANITARIAN AND REHABILITATION SERVICES AND BASIC NECESSITY ITEMS INCLUDING SHELTER, EDUCATION TO THE POOREST PEOPLE.THE FOUNDATION WAS INCORPORATED TO PROVIDE ASSISTANCE, GRANTS TO PROMOTE EDUCATION, BASIC INFRASTRUCTURE AS WELL AS HUMANITARIAN AND REHABILITATION ACTIVITIES FOR POOR, NEEDY AND NEGLECTED CLASS OF PEOPLE IN CERTAIN DEVELOPING COUNTRIES INCLUDING INDIA, EAST AFRICA ETC.THE ORGANIZATION HAS STARTED COLLECTING AND ALSO IT HAS STARTED CONTRIBUTING GRANTS - DONATIONS.GRANTS WERE MAINLY GIVEN TO CHARITABLE ORGANIZATIONS - EXEMPT ORGANIZATIONS, WHOSE MAIN GOAL IS TO PROVIDE BASIC NECESSITY ITEMS INCLUDING SHELTER, EDUCATION TO POOREST PEOPLE IN THE REMOTE VILLAGES OF INDIA. DURING JULY- JUNE 2013 FOUNDATION HAD DONATED ABOUT $545978.00, OUT OF THE CONTRIBUTION RECEIVED WHICH IS $556768.00)
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.