Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 11-01-2021 , and ending 10-31-2022
Name of foundation
KJS FAMILY FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)11700 W CHARLESTON BLVD STE 170-215
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAS VEGAS, NV89135
A Employer identification number

14-1942475
B Telephone number (see instructions)

(702) 255-0706
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$11,584,418
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
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 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) 2,016,731
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 71,239 71,239  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 3,921,774
b Gross sales price for all assets on line 6a 5,001,556
7 Capital gain net income (from Part IV, line 2)... 3,921,774
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).......      
12 Total. Add lines 1 through 11........ 6,009,744 3,993,013  
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)......... 200      
b Accounting fees (attach schedule)....... 4,500      
c Other professional fees (attach schedule).... 1,088      
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 43,605      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 40      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 49,433 0   0
25 Contributions, gifts, grants paid....... 249,825 249,825
26 Total expenses and disbursements. Add lines 24 and 25 299,258 0   249,825
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 5,710,486
b Net investment income (if negative, enter -0-) 3,993,013
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
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............. 941,505 5,485,616 5,485,615
2 Savings and temporary cash investments.........      
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 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..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 1,151,495 Click to see attachment2,317,870 6,098,803
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)..........      
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) 2,093,000 7,803,486 11,584,418
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 Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds 2,093,000 7,803,486
29 Total net assets or fund balances (see instructions)..... 2,093,000 7,803,486
30 Total liabilities and net assets/fund balances (see instructions). 2,093,000 7,803,486
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 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
2,093,000
2
Enter amount from Part I, line 27a .....................
2
5,710,486
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
7,803,486
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
7,803,486
Form 990-PF (2021)
Form 990-PF (2021)
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.)
1 a UNITED PARCEL SERVICE INC CL B P 2020-11-06 2021-11-01
b JPMORGAN CHASE & CO P 2020-10-13 2022-01-19
c NOVARTIS AG SPON ADR P 2020-10-12 2022-02-14
d CME GROUP INC P 2020-10-13 2022-03-22
e ROCKWELL AUTOMATION INC P 2021-05-06 2022-05-04
CONOCOPHILLIPS P 2020-10-13 2022-06-22
INTEL CORP P 2020-10-13 2022-07-25
EMERSON ELECTRIC CO P 2021-01-12 2022-09-20
UNITED PARCEL SERVICE INC CL B P 2020-11-09 2022-09-06
HOME DEPOT INC P 2020-10-12 2021-11-01
EOG RESOURCES INC P 2021-03-23 2022-01-18
NOVARTIS AG SPON ADR P 2020-11-06 2022-02-14
GOLDMAN SACHS GROUP INC P 2020-10-13 2022-03-22
VF CORP P 2021-06-10 2022-05-06
LOCKHEED MARTIN CORP P 2020-10-13 2022-06-22
ANALOG DEVICES INC P 2021-01-12 2022-07-21
EMERSON ELECTRIC CO P 2021-01-12 2022-09-21
UNITED PARCEL SERVICE INC CL B P 2020-11-09 2022-09-07
HOME DEPOT INC P 2020-10-12 2021-11-02
EOG RESOURCES INC P 2021-03-24 2022-01-19
NOVARTIS AG SPON ADR P 2020-11-06 2022-02-15
MORGAN STANLEY P 2020-10-13 2023-03-22
VF CORP P 2021-06-10 2022-05-06
RAYTHEON TECHNOLOGIES CORP P 2020-10-13 2022-06-22
ANALOG DEVICES INC P 2021-01-12 2022-07-25
VF CORP P 2020-10-13 2022-09-20
DISCOVER FINANCIAL SERVICES P 2021-04-28 2022-10-14
MICROSOFT CORP P 2020-10-12 2021-11-01
EOG RESOURCES INC P 2021-03-25 2022-01-19
NOVARTIS AG SPON ADR P 2020-11-09 2022-02-15
RAYTHEON TECHNOLOGIES CORP P 2020-10-13 2022-03-22
VF CORP P 2021-06-10 2022-05-10
SYSCO CORP P 2021-01-12 2022-06-22
JPMORGAN CHASE & CO P 2020-10-12 2022-07-21
VF CORP P 2020-10-13 2022-09-21
DISCOVER FINANCIAL SERVICES P 2021-04-29 2022-10-17
UNION PACIFIC CORP P 2020-10-12 2021-11-01
EOG RESOURCES INC P 2021-03-26 2022-01-20
UNITED PARCEL SERVICE INC CL B P 2020-11-06 2022-02-10
JPMORGAN CHASE & CO P 2020-10-12 2022-03-15
VF CORP P 2021-06-10 2022-05-11
ANALOG DEVICES INC P 2021-01-08 2022-06-03
MEDTRONIC PLC P 2021-09-30 2022-08-12
VF CORP P 2020-10-13 2022-09-22
EOG RESOURCES INC P 2021-03-26 2022-10-14
NOVARTIS AG SPON ADR P 2020-10-13 2021-12-08
JOHNSON & JOHNSON COM P 2020-10-12 2022-01-20
UNITED PARCEL SERVICE INC CL B P 2020-11-09 2022-02-11
TRUIST FINL CORP P 2020-10-12 2022-03-15
AMGEN INC P 2020-10-12 2022-05-02
ANALOG DEVICES INC P 2021-01-11 2022-06-06
MEDTRONIC PLC P 2021-12-08 2022-08-12
VF CORP P 2020-10-13 2022-09-23
EOG RESOURCES INC P 2021-06-10 2022-10-17
PROCTER & GAMBLE CO P 2020-10-13 2021-12-08
LOCKHEED MARTIN CORP P 2020-10-12 2022-01-05
VF CORP P 2020-10-12 2022-02-10
EMBECTA CORP P 2021-06-18 2022-04-04
AMGEN INC P 2020-10-12 2022-05-03
AUTOMATIC DATA PROCESSING INC P 2021-02-24 2022-06-03
INTEL CORP P 2020-10-13 2022-08-12
MORGAN STANLEY P 2021-10-15 2022-09-20
PHILLIPS 66 P 2020-10-12 2022-10-14
VF CORP P 2020-10-13 2021-12-08
LOCKHEED MARTIN CORP P 2020-10-12 2022-01-06
VF CORP P 2020-10-12 2022-02-11
AMER EXPRESS CO P 2020-10-13 2022-04-27
AMGEN INC P 2020-10-12 2022-05-04
AUTOMATIC DATA PROCESSING INC P 2021-02-25 2022-06-06
INTEL CORP P 2021-03-10 2022-08-12
MORGAN STANLEY P 2021-10-18 2022-09-21
PHILLIPS 66 P 2020-10-12 2022-10-17
AUTOMATIC DATA PROCESSING INC P 2021-02-23 2021-12-06
LOCKHEED MARTIN CORP P 2020-10-12 2022-01-07
VF CORP P 2020-10-12 2023-02-14
CONOCOPHILLIPS P 2020-10-13 2022-04-27
RAYTHEON TECHNOLOGIES CORP P 2020-10-12 2022-05-02
CHUBB LTD CHF P 2020-10-12 2022-06-21
INTEL CORP P 2021-05-27 2022-08-12
AUTOMATIC DATA PROCESSING INC P 2021-05-05 2022-09-06
PHILLIPS 66 P 2020-10-12 2022-10-18
HOME DEPOT INC P 2020-10-12 2021-12-06
UNITED PARCEL SERVICE INC CL B P 2021-06-18 2022-02-02
BOYD GAMING CORP D 2015-02-27 2022-03-14
EMBECTA CORP P 2020-10-13 2022-04-01
RAYTHEON TECHNOLOGIES CORP P 2020-10-12 2022-05-03
COCA COLA CO COM P 2020-10-12 2022-06-03
AUTOMATIC DATA PROCESSING INC P 2021-05-05 2022-08-11
DISCOVER FINANCIAL SERVICES P 2021-04-27 2022-09-20
REPUBLIC SERVICES INC P 2020-10-12 2022-10-14
HOME DEPOT INC P 2020-10-12 2021-12-07
GOLDMAN SACHS GROUP INC P 2020-10-13 2022-02-16
BOYD GAMING CORP D 2015-02-27 2022-03-15
EMBECTA CORP P 2020-10-13 2022-04-04
ROCKWELL AUTOMATION INC P 2022-05-02 2022-05-02
COCA COLA CO COM P 2020-10-12 2022-06-06
DISCOVER FINANCIAL SERVICES P 2021-04-23 2022-08-11
MEDTRONIC PLC P 2020-10-12 2022-09-06
UNION PACIFIC CORP P 2020-10-12 2021-12-06
LOCKHEED MARTIN CORP P 2020-10-13 2022-02-16
BOYD GAMING CORP D 2015-02-27 2022-03-16
NORFOLK STHN CORP P 2020-10-13 2022-04-27
VF CORP P 2020-10-12 2022-05-02
MEDTRONIC PLC P 2020-10-12 2022-06-03
DISCOVER FINANCIAL SERVICES P 2021-04-26 2022-08-12
MEDTRONIC PLC P 2020-10-12 2022-09-07
VF CORP P 2020-10-12 2021-12-06
MORGAN STANLEY P 2020-10-13 2022-02-16
BOYD GAMING CORP D 2015-02-27 2022-03-16
TRAVELERS COS INC/THE P 2020-10-13 2022-04-27
VF CORP P 2020-10-12 2022-05-03
MEDTRONIC PLC P 2020-10-12 2022-06-06
MEDTRONIC PLC P 2020-10-12 2022-08-11
MEDTRONIC PLC P 2020-10-12 2022-09-08
VF CORP P 2020-10-12 2021-12-07
NOVARTIS AG SPON ADR P 2020-10-12 2022-02-10
BOYD GAMING CORP D 2016-02-12 2022-03-14
AMER EXPRESS CO P 2020-10-13 2022-05-20
VF CORP P 2020-10-12 2022-05-04
REPUBLIC SERVICES INC P 2020-10-12 2022-06-03
VF CORP P 2021-10-07 2022-09-23
MEDTRONIC PLC P 2020-10-12 2022-09-09
CONOCOPHILLIPS P 2020-10-13 2022-01-19
NOVARTIS AG SPON ADR P 2020-10-12 2022-02-11
ABBVIE INC COM P 2020-10-13 2022-03-22
ROCKWELL AUTOMATION INC P 2021-05-06 2022-05-03
VF CORP P 2020-10-12 2022-05-05
CONOCOPHILLIPS P 2020-10-13 2022-07-25
VF CORP P 2021-10-07 2022-09-26
MEDTRONIC PLC P 2020-10-12 2022-09-12
(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 211   167 44
b 753   504 249
c 171   177 -6
d 248   167 81
e 219   268 -49
648   245 403
468   647 -179
467   467  
194   163 31
368   287 81
213   139 74
86   85 1
341   210 131
48   79 -31
414   389 25
164   158 6
235   235  
195   163 32
368   287 81
106   72 34
86   85 1
280   151 129
48   79 -31
275   179 96
161   158 3
193   385 -192
92   92  
657   446 211
211   142 69
86   85 1
399   238 161
47   79 -32
314   315 -1
229   205 24
344   694 -350
93   93  
239   207 32
211   149 62
222   167 55
132   102 30
46   79 -33
166   157 9
1,318   1,777 -459
146   308 -162
122   74 48
1,057   1,140 -83
333   305 28
216   163 53
173   130 43
230   242 -12
166   158 8
282   337 -55
36   77 -41
122   86 36
303   288 15
360   390 -30
63   78 -15
18   17 1
232   242 -10
221   174 47
966   1,455 -489
261   261  
190   105 85
387   385 2
359   390 -31
123   156 -33
357   211 146
234   242 -8
221   176 45
215   379 -164
87   87  
96   52 44
232   172 60
721   779 -58
60   78 -18
362   140 222
188   121 67
189   123 66
215   346 -131
239   196 43
96   52 44
416   287 129
229   198 31
85,415   18,533 66,882
24   22 2
191   121 70
252   205 47
251   196 55
100   100  
129   94 35
416   287 129
362   210 152
1,434,856   306,278 1,128,578
12   11 1
249   246 3
126   102 24
109   102 7
173   218 -45
246   207 39
384   389 -5
1,688,427   345,250 1,343,177
256   216 40
156   234 -78
288   327 -39
109   106 3
346   436 -90
152   156 -4
307   150 157
1,348,911   276,200 1,072,711
346   227 119
156   234 -78
96   109 -13
283   327 -44
263   327 -64
154   156 -2
261   265 -4
412,435   103,550 308,885
308   211 97
207   312 -105
134   94 40
107   207 -100
179   218 -39
609   245 364
344   353 -9
318   176 142
216   268 -52
50   78 -28
356   140 216
106   207 -101
92   109 -17
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       44
b       249
c       -6
d       81
e       -49
      403
      -179
       
      31
      81
      74
      1
      131
      -31
      25
      6
       
      32
      81
      34
      1
      129
      -31
      96
      3
      -192
       
      211
      69
      1
      161
      -32
      -1
      24
      -350
       
      32
      62
      55
      30
      -33
      9
      -459
      -162
      48
      -83
      28
      53
      43
      -12
      8
      -55
      -41
      36
      15
      -30
      -15
      1
      -10
      47
      -489
       
      85
      2
      -31
      -33
      146
      -8
      45
      -164
       
      44
      60
      -58
      -18
      222
      67
      66
      -131
      43
      44
      129
      31
      66,882
      2
      70
      47
      55
       
      35
      129
      152
      1,128,578
      1
      3
      24
      7
      -45
      39
      -5
      1,343,177
      40
      -78
      -39
      3
      -90
      -4
      157
      1,072,711
      119
      -78
      -13
      -44
      -64
      -2
      -4
      308,885
      97
      -105
      40
      -100
      -39
      364
      -9
      142
      -52
      -28
      216
      -101
      -17
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 3,921,774
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 ...................
Bracket 3 -565
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) 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 55,503
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 55,503
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 23,080
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 23,080
8 Enter any penalty for underpayment of estimated tax. Check here 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.......Bullet 9 32,423
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet   RefundedBullet 11  
Part VI-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 the instructions
for the 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
 
 
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 XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletNV
    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 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. Click to see attachment...............................
    10
    Yes
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding 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
     
    No
    Website addressbulletN/A
    14
    The books are in care ofbulletJEANNE SMITH Telephone no.bullet (702) 255-0706

    Located atbullet25 PAINTED FEATHER WAYLAS VEGASNV ZIP+4bullet89135
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-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? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    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)? ......................
    1a(5)
     
    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.) ...............
    1a(6)
     
    No
    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 instructions ..........
    1b
     
     
    c
    ........bullet
    d
    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 2021? .............
    1d
     
     
    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 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    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 instructions.) ..............
    2b
     
     
    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? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 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 2021.) .....................
    3b
     
     
    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 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    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? .............
    5a(5)
     
    No
    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 instructions ........
    5b
     
     
    c
    .........bullet
    d
    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? .................
    5d
     
     
    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? .............................
    6a
     
    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?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    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
    (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
    JEANNE SMITH PRES/SEC/DIR
    1.00
    0 0 0
    25 PAINTED FEATHER WAY
    LAS VEGAS,NV89135
    DANIEL J SMITH DIRECTOR
    1.00
    0 0 0
    2369 GREEN MOUNTAIN COURT
    LAS VEGAS,NV89135
    MEGHANN E SMITH DIRECTOR
    3.00
    0 0 0
    25 PAINTED FEATHER WAY
    LAS VEGAS,NV89135
    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 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  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see 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 VIII-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  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign 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...................
    1a
    6,071,421
    b
    Average of monthly cash balances.......................
    1b
    3,943,665
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    10,015,086
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    10,015,086
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    150,226
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    9,864,860
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    493,243
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    493,243
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    55,503
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    55,503
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    437,740
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    437,740
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    437,740
    Part XI
    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 ..........
    1a
     
    b
    Program-related investments—total from Part VIII-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 XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2020
    (c)
    2020
    (d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 437,740
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 9,030
    b From 2017...... 2,780
    c From 2018......  
    d From 2019......  
    e From 2020...... 1,469,345
    f Total of lines 3a through e ........ 1,481,155
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 249,825
    a Applied to 2020, 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 (Election
    required—see instructions)........
     
    d Applied to 2021 distributable amount..... 249,825
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2021. 187,915 187,915
    (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 1,293,240
    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 instructions ...........
     
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
     
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...
     
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    1,293,240
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020.... 1,293,240
    e Excess from 2021....  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-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 2021, 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) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    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 IX, 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 XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see 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).)
    JEANNE SMITH
    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 or email address 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 (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    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
    GOLDEN RETRIEVER RESCUE OF SOUTHERN
    7065 W ANN ROAD
    LAS VEGAS,NV89130
      501C3 ANNUAL CONTRIBUTION 2,250
    HEAVEN CAN WAIT ANIMAL SANCTUARY
    PO BOX 30158
    LAS VEGAS,NV89130
      501C3 ANNUAL CONTIRIBUTION 2,575
    CLEARWATER FOR YOUTH INC
    1501 N BELCHER RD 711
    CLEARWATER,FL33765
      501C3 ANNUAL CONTRIBUTION 1,500
    DOCTORS WITHOUT BORDERS USA
    40 RECTOR ST 16TH FLOOR
    NEW YORK,NY10006
      501C3 ANNUAL CONTRIBUTION 50,000
    UNICEF
    125 MAIDEN LANE
    NEW YORK,NY10038
      501C3 ANNUAL CONTRIBUTION 125,000
    WORLD CENTRAL KITCHEN INCORPORATED
    200 MASSACHUSETSS AVE NW
    7TH FLOOR
    WASHINGTON,DC20001
      501C3 ANNUAL CONTRIBUTION 50,000
    MOJAVE EDUCATIONAL FOUNDATION INC
    6710 COLEY AVE
    LAS VEGAS,NV89146
      501C3 ANNUAL CONTRIBUTION 18,500
    Total .................................bullet 3a 249,825
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-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 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 ....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot 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 ............
        18 3,921,774  
    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) ..   3,993,013  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    3,993,013
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-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 XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    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 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    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) (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
    Sign Here
    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) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    KJS FAMILY FOUNDATION
     
    Employer identification number

    14-1942475
    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 isn't covered by the General Rule and/or the Special Rules doesn't 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 its Form 990PF, Part I, line 2, to certify that it doesn't 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) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    KJS FAMILY FOUNDATION
     
    Employer identification number
    14-1942475
    Part I
    Contributors
    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
    1
    KEITH AND JEANNE SMITH
    25 PAINTED FEATHER WAY
     
    LAS VEGAS, NV89135

    $ 2,016,731


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

    $  


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

    $  


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

    $  


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

    $  


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

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    KJS FAMILY FOUNDATION
     
    Employer identification number

    14-1942475
    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
    15,000 SHARES BYD STOCK $ 1,057,200 2022-02-25
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
    1
    38,399 SHARES BYD STOCK $ 2,706,362 2022-02-25
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
    1
    2,372 SHARES BYD STOCK $ 167,178 2022-02-25
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
    1
    44,229 SHARES BYD STOCK $ 3,117,260 2022-02-25
    (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) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    KJS FAMILY FOUNDATION
     
    Employer identification number

    14-1942475
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    KJS FAMILY FOUNDATION
    EIN:
    14-1942475
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 4,500      

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    KJS FAMILY FOUNDATION
    EIN:
    14-1942475
    Name of Stock End of Year Book Value End of Year Fair Market Value
    BEGININING BALANCE    
    100,000 SHARES BOYD GAMING CORP 2,016,732 5,776,000
    51 SHARES ABBVIE INC COM 6,342 7,466
    27 SHARES AMER EXPRESS CO 3,553 4,008
    81 SHARES ASTRAZENECA PLC SPON ADR 4,740 4,764
    27 SHARES BECTON DICKINSON & CO 6,167 6,371
    12 SHARES BROADCOM INC 4,970 5,641
    27 SHARES CME GROUP INC 4,797 4,679
    70 SHARES CONOCOPHILLIPS 6,436 8,826
    33 SHARES CROWN CASTLE INC REIT 4,661 4,398
    75 SHARES CVS HEALTH CORP 6,985 7,103
    46 SHARES EMERSON ELECTRIC CO 3,882 3,984
    84 SHARES EXXON MOBIL CORP 8,197 9,308
    16 SHARES GOLDMAN SACHS GROUP INC 4,430 5,512
    40 SHARES JPMORGAN CHASE & CO 4,462 5,035
    21 SHARES LINDE PLC EUR 5,621 6,245
    12 SHARES LOCKHEED MARTIN CORP 5,121 5,840
    28 SHARES MCDONALDS CORP 6,812 7,634
    66 SHARES MORGAN STANLEY 4,429 5,423
    75 SHARES NEXTERA ENERGY INC COM 5,500 5,813
    21 SHARES NORFOLK STHN CORP 4,545 4,789
    44 SHARES PROCTER & GAMBLE CO 5,925 5,925
    42 SHARES PROLOGIS INC COM 4,509 4,652
    68 SHARES RAYTHEON TECHNOLOGIES CORP 5,375 6,448
    62 SHARES SYSCO CORP 4,850 5,367
    27 SHARES TARGET CORP 4,332 4,435
    26 SHARES TARVERLERS COS INC/THE 3,905 4,796
    28 SHARES UNITED PARCEL SERVICE INC 4,891 4,698
    53 SHARES WALMART INC 7,302 7,543
    139 SHARES WELLS FARGO & CO NEW 6,757 6,393
    37 SHARES ABBOTT LABS 3,708 3,661
    38 SHARES ABBVIE INC COM 5,503 5,563
    15 SHARES ACCENTURE PLC IRELAND CL A 3,988 4,259
    40 SHARES MER ELECTRIC POWER CO 3,479 3,517
    12 SHARES AMGEN INC 2,942 3,244
    26 SHARES ANALOG DEVICES INC 3,979 3,708
    11 SHARES AUTOMATIC DATE PROCESSING 2,457 2,659
    6 SHARES BLACKROCK INC 3,580 3,875
    10 SHARES BROADCOM INC 4,602 4,701
    24 CHUBB LTD CHF 4,072 5,157
    91 SHARES COCA COLA CO COM 4,905 5,446
    23 SHARES DIAGEO PLC NEW GB SPON ADR 3,582 3,840
    23 SHARES DISCOVER FINANCIAL SERVICE 2,462 2,403
    41 SHARES EOG RESOURCES INC 4,756 5,597
    15 SHARES HOME DEPOT INC 4,289 4,442
    19 SHARES HONEYWELL INTL INC 3,551 3,876
    40 SHARES JOHNSON & JOHNSON COM 6,430 6,959
    34 SHARES JPMORGAN CHASE & CO 3,921 4,280
    18 SHARES LINDE PLC EUR 4,920 5,352
    24 SHARES MARSH & MCLENNAN COS INC 3,411 3,876
    23 SHARES MCDONALDS CORP 5,592 6,271
    57 SHARES MICROSOFT CORP 13,615 13,231
    32 SHARES MORGAN STANLEY 2,820 2,629
    61 SHARES NEXTERA ENERGY INC COM 4,446 4,728
    40 SHARES PHILLIPS 66 3,525 4,172
    38 SHARES PROCTER & GAMBLE CO 5,121 5,117
    28 SHARES PROLOGIS INC COM 3,137 3,101
    61 SHARES RAYTHEON TECHNOLOGIES CORP 5,046 5,784
    20 SHARES REPUBLIC SERVICES INC 2,397 2,652
    50 SHARES STARBUCKS CORP 4,768 4,330
    26 SHARES TEXAS INSTRUMENTS 4,045 4,176
    84 SHARES TRUIST FINL CORP 3,840 3,762
    16 SHARES UNION PACIFIC CORP 3,170 3,154
    21 SHARES UNITED PARCEL SERVICE INC 3,538 3,523
    12 SHARES UNITEDHEALTH GROUP INC 6,045 6,662

    TY 2021 LegalFeesSchedule
    Name:
    KJS FAMILY FOUNDATION
    EIN:
    14-1942475
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 200      


    TY 2021 OtherExpensesSchedule
    Name:
    KJS FAMILY FOUNDATION
    EIN:
    14-1942475
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    ADMIN EXPENSES 40      


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    KJS FAMILY FOUNDATION
    EIN:
    14-1942475
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MANAGEMENT FEES 1,088      


    TY 2021 SubstantialContributorsSch
    Name:
    KJS FAMILY FOUNDATION
    EIN:
    14-1942475
    Name Address
    KEITH AND JEANNE SMITH 25 PAINTED FEATHER WAY
    LAS VEGAS,NV89135


    TY 2021 TaxesSchedule
    Name:
    KJS FAMILY FOUNDATION
    EIN:
    14-1942475
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAX 43,605