Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 602,568 | 620,279 | 1,136,179 | 692,437 | 593,965 | 3,645,428 |
| 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...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | 602,568 | 620,279 | 1,136,179 | 692,437 | 593,965 | 3,645,428 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| 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. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support (Subtract line 7c from line 6.) | 3,645,428 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 602,568 | 620,279 | 1,136,179 | 692,437 | 593,965 | 3,645,428 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 8,165 | 5,000 | 3,240 | 3,380 | 3,224 | 23,009 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 8,165 | 5,000 | 3,240 | 3,380 | 3,224 | 23,009 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 700,145 | 612,888 | 667,076 | 729,496 | 444,331 | 3,153,936 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 1,310,878 | 1,238,167 | 1,806,495 | 1,425,313 | 1,041,520 | 6,822,373 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| PART III, LINE 12 | 3,153,936 |
| SUPPLEMENTAL INFORMATION | OTHER INCOME REPRESENTS GROSS INCOME FROM SPECIAL EVENTS AS SHOWN ON FORM 990, PART VIII LINE 8A. IN ADDITION TO THIS AMOUNT, REIMBURSEMENT REVENUE RECEIVED AND OTHER MISCELLANEOUS INCOME MAKE UP THE REMAINDER OF THIS LINE AMOUNT. |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE JASON FOUNDATION'S CORE MISSION IS FOR THE AWARENESS AND PREVENTION OF YOUTH SUICIDE. PLEASE REFER TO (SCHEDULE O) FOR OUR FORMAL MISSION STATEMENT AND FURTHER DESCRIPTION OF OUR UNIQUE ORGANIZATIONAL MODULE. THE JASON FOUNDATION, INC. (JFI) IS DEDICATED TO THE PREVENTION OF THE "SILENT EPIDEMIC" OF YOUTH SUICIDE THROUGH EDUCATIONAL AND AWARENESS PROGRAMS THAT EQUIP YOUNG PERSONS, EDUCATORS / YOUTH WORKERS AND PARENTS WITH THE TOOLS AND RESOURCES TO HELP IDENTIFY AND ASSIST AT-RISK YOUTH. YOUTH SUICIDE IS THE 2ND LEADING CAUSE OF DEATH FOR OUR YOUTH AGES 10-24. ONE OUT OF EVERY 13 YOUNG PEOPLE IN OUR NATION REPORTED IN THE 2013 CDC YOUTH RISK BEHAVIORAL SURVEY THAT THEY HAD "ATTEMPTED SUICIDE" IN THE PREVIOUS TWELVE MONTHS - THAT EQUATES TO AN AVERAGE OF OVER 5400 ATTEMPTS EACH DAY IN OUR NATION. FOUNDED IN 1997 AFTER THE TRAGIC SUICIDE DEATH OF JASON FLATT - AGE 16 (JFI'S CURRENT PRESIDENT'S YOUNGEST SON), THE JASON FOUNDATION, INC. HAS BECOME ONE OF THE NATION'S LEADERS IN YOUTH SUICIDE AWARENESS AND PREVENTION. JFI'S SUCCESS COMES FROM ITS UNIQUE UTILIZATION OF MAJOR IN- KIND RESOURCES THAT HELPS PROVIDE A "GRASS-ROOTS" COMMUNITY TYPE OF DELIVERY OF PROGRAMS AND SERVICES ON A LOCAL / STATE LEVEL. SYMBOLICALLY SPEAKING, JFI'S IN-KIND RESOURCES PROVIDE THE "VEHICLE" FOR DELIVERY OF OUR PROGRAMS AND SERVICES NATIONALLY. JFI, THROUGH THE EFFORTS OF OUR OTHER FUNDING PARTNERS/RESOURCES, IS ABLE TO KEEP THE "VEHICLE" MOVING FORWARD TO PROVIDE OUR SERVICES AND PROGRAMS AT THE LOCAL AND STATE LEVELS. AS A NATIONAL SUICIDE AWARENESS AND PREVENTION ORGANIZATION, THE ABILITY TO PROVIDE PROGRAMS DIRECTLY TO PARENTS, SCHOOLS, CHURCHES AND OTHER GROUPS IN A LOCAL COMMUNITY SETTING CREATES MORE ACCEPTANCE FROM THE COMMUNITIES WE SERVE. |
| FORM 990, PAGE 6, PART VI, LINE 2 | CLARK FLATT CONNIE FLATT MARRIED CLARK FLATT JOHN FLATT FATHER - SON CONNIE FLATT JOHN FLATT MOTHER - SON CLARK FLATT CHAD FITZHUGH UNCLE - NEPHEW MICHELE RAY DEANNE RAY MOTHER-IN-LAW-DAUGHTER-IN-LAW PAUL SUMMERS ISAAC SUMMERS FATHER - SON |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE INDEPENDENT AUDITOR REVIEWED THE FORM 990 WITH MANAGEMENT. THE PRESIDENT AND THE CEO, BOTH OFFICERS OF THE BOARD, ARE GIVEN COPIES TO REVIEW PRIOR TO FILING. AFTER THE REVIEW, THE RETURN IS FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THERE IS A MEMBER OF THE BOARD THAT SERVES AS THE CORPORATE ATTORNEY FOR THE FOUNDATION. THIS INDIVIDUAL MONITORS AND ENSURES THAT THE CONFLICT OF INTEREST POLICY IS FOLLOWED. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE PRESIDENT AND VP/CEO IN CONSULTATION DEVELOP A PROPOSED PERSONNEL BUDGET THAT IS PRESENTED TO THE EXECUTIVE BOARD FOR REVIEW/CHANGES AND APPROVAL. THIS PROPOSED PERSONNEL BUDGET EXCLUDES THE SALARY OF THE PRESIDENT WHICH CAN ONLY BE PROPOSED BY THE EXECUTIVE BOARD AND CONFIRMED BY THE FULL BOARD OF DIRECTORS. THE APPROVED PERSONNEL BUDGET BY THE EXECUTIVE BOARD (INCLUDING THE PROPOSED SALARY FOR THE PRESIDENT) IS THEN PRESENTED TO THE FULL BOARD OF DIRECTORS FOR CONSIDERATION/CHANGES AND APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE PRESIDENT AND VP/CEO IN CONSULTATION DEVELOP A PROPOSED PERSONNEL BUDGET THAT IS PRESENTED TO THE EXECUTIVE BOARD FOR REVIEW/CHANGES AND APPROVAL. THIS PROPOSED PERSONNEL BUDGET EXCLUDES THE SALARY OF THE PRESIDENT WHICH CAN ONLY BE PROPOSED BY THE EXECUTIVE BOARD AND CONFIRMED BY THE FULL BOARD OF DIRECTORS. THE APPROVED PERSONNEL BUDGET BY THE EXECUTIVE BOARD (INCLUDING THE PROPOSED SALARY FOR THE PRESIDENT) IS THEN PRESENTED TO THE FULL BOARD OF DIRECTORS FOR CONSIDERATION/CHANGES AND APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 17 | IDAHO, ILLINOIS, INDIANA, KENTUCKY, LOUISIANA, NEVADA, NEW JERSEY, NEW MEXICO, OHIO, OKLAHOMA, OREGON, PENNSYLVANIA, SOUTH CAROLINA, TENNESSEE, TEXAS, UTAH, VIRGINIA, WASHINGTON, WEST VIRGINIA, WYOMING, NORTH DAKOTA, MONTANA, RHODE ISLAND |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS OF THE FOUNDATION ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VII | CLARK FLATT COLUMN F: HEALTH INSURANCE 3,790; RETIREMENT CONTRIBUTION 4,500; DEFERRED COMPENSATION 16,933 MICHELE RAY COLUMN F: HEALTH INSURANCE 3,790; RETIREMENT CONTRIBUTION 2,850; DEFERRED COMPENSATION 5,233 |
| FORM 990, PART XI, LINE 9 | SPECIAL EVENTS EXPENSE 51,009 SPECIAL EVENT EXPENSE -51,009 |
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