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GRANTED
Return of Private Foundation 0MB No 1545-0052
Form,990-PF or Section 4947(a)(1) Nonexempt Charitable Trust
Department
of theTreasury
Internal Revenue SeMce
Treated as a Private Foundation
Note. The foundation ma be able to use a co of this return to sat1s state re ortm re uirements ~10
. .
G Check all that apply H
For calendar year 2010, or tax year be!:!innin!:I
Initial return
Amended return
LJ Initial
n
JANUARY 1 2010 , an d en d"mg
return of a fonner public charity
Address change n Name change
DECEMBER 31
LJ Final return
20 10
:r=1
appllcaOon
1s
City or town, state, and ZIP code
pending,
checkhere ......
D 1 Foreignorgamzaoons,
checkhere
WICHITA, KS 67201-2256 2. Foreign
orgamzaoons
meeting
the
H Check type of organization
n
W Section 501(cflexempt private foundation
85% test,checkhereandattach
computaOon ........ .....
o
I
Section 4947(al(1l nonexempt charitable trust
Fair market value of all assets at end J Accounting
Other taxable
method
private foundation
LJ Cash lJ9 Accrual E If pnvatefoundation
undersec:lJon
statuswasterminated
check here IIJ,-
507(b)(1)(A),
D
of year (from Part II, col (c), /me D Other (specify) ______________________ F If the foundatJOnIS ana 60-month temunat1on n
16) IIJ,-$ 32,315,105. (Part I, column (d) must be on cash basis) )(B). check here . IIJ,-
undersection507(b)(1
::r.r
Analysis of Revenue and Expenses (The
total of amounts m columns (b), (c), and (d) (a) Revenue and (b) Net investment (c) AdJusted net
(d) Disbursements
for chantable
may not necessanly equal the amounts m expenses per income income purposes
column (a) (see oaae 11 of the mstructlonsJ J books
leash basis onlvl
1 .
Contnbut1on grants.etc . received (attachschedule) 291,000.
2
Ch k IIJ,-
ec 0 If the foundation rs not requiredto
attach Sch B . . . . .
Intereston savingsand temporarycash investments 121,185. 121,185.
3
4 D1v1dendsand interest from secunt1es 1,005,033. 1,005,033.
Sa Gross rents
b Net rental incomeor (loss)
GI 6a Net gain or (loss) from sale of assets not on hne 1O 166,294.
:, b Gross sales price for all
C: 3,355,027.
GI assets on line 6a
>
GI 7 Capital gain net income (from Part IV, line 2) 166,294.
ct:
8 Net short-term capital gain
9 Income mod1ficat1ons ..
10 a Gross sales less returns I
and allowances
b Less Cost of goods sold .I
c Gross profit or (loss) (attach schedule)
11 Other income (attach schedule) ...
12 Total. Add Imes 1 throuah 11 .... 1,583,512. 1,292,512.
13 Compensationof officers, directors,trustees, etc
14 Other employee salaries and wages
U)
GI
U)
15 Pension plans, employee benefits ....
C: 16 a Legal fees (attach schedule)
GI
CL 30,241. 8,166. 0. 25,437
>< b Accounting fees (attach schedule) ';T_C~ .1.
w
GI c Other orofess1onal fees (attach schedule) -i: 19,282. 17,603. 2,428
>
17 lnteresp C.0 Et/~ D..
I 18 IL~ eoul&)(See
T~jiettachSC
J
\L_ page-14 rae ~ nstruc:tJons)
*" 12,667.
i
Cl0 20
19 DeJjrec1at1on(attach schedule) andldeplet1on
&Jupart'~Y . J~J...
.2.l .2.011.
<C
~ 21
fr:'
I conferences,
avel, and meet1ng'f I
I (j 2,388. 2,388
~Cl22 Pnn~1i@janc1
rj;uoiicat1bns
>--H,JI nj.
I" JT
p
. . J . . . 231. 231
23 Other-expenses (attach schedule)-F;. ~C.H. 4 2,387. 2,387
G
Ul2 24 Total operating and administrative expenses.
~
:a5 25
Add lines 13 through 23 .......... 67,196. 25,769. 0. 32,871
Contnbut1ons, gifts, grants paid ....... 1,482,963. 1,881,297
<3
..
UJ
26 TotalexoensesanddisbursementsAdd Imes24 and 25 1,550,159. 25,769. 0. 1,914,168
27 Subtract line 26 from line 12
a Excess of revenue over expenses and disbursements 33,353.
b Net investment income (1fnegative, enter -0-) 1,266,743.
c Adiusted net income /1f neaat1ve, enter -0-)
For Paperwork Reduction Act Notice, see page 30 of the instructions.
14101000
*ATCH 2 JSA ** ATCH 3 Form 990-PF (2010) 1
OE 97492F K932 8/4/2011 4:42:27 PM V 10-7.1 85653
t .. .
Form 9!1-PF (2010) -
Attachedschedulesand amounts 1nthe Beginning of year
48-6113560
End of year
Page2
1112111
Balance Sheets descnpboncolumn should be for end-of-year
amountsonly (See 1nstructJons
) (a) Book Value (b) Book Value (c) Fair Market Value
1 Cash - non-interest-bearing .. ..
2 Savings and temporary cash investments .. .. 20,084,609. 6,038,752. 6,038,752.
3 Accounts receivable ~ 0. -- -
------------------------ - - --
Less: allowance for doubtful accounts ~ 0. 0. 0
-------------
4 Pledges receivable ~
------------------------ - -
Less. allowance for doubtful accounts ~
-------------
5 Grants receivable .... . . . . .. . . . ....
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attachschedule)(see page 15 of the mstruct1ons)
7 Other notes and loans receivable (attach schedule) ~ - - --- -- ~- - - --
Less. allowance for doubtful accounts ~
-------------
.. . ... . . .
-Ill
G)
Ill
8
9
Inventories for sale or use
Prepaid expenses and deferred charge
.. . . .
.. . . . - ..
~ 10 a Investments- U S and stategovernmentobhgabons(attachschedule) .
4,282. 0. 0
11
C Investments - corporate bonds (attach schedule)
Investments- land, buildings,
.. ..
and equipment basis ~ -- - - --
Less accumulateddeprec1at1on~
------------------ -- ~-- - --
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.
Form 990-PF (2010) 48-6113560 Page3
(For optional use by domestic private foundations subJect to the section 4940(a) tax on net investment income )
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? D YesW No
If "Yes," the foundation does not qualify under section 4940(e) Do not complete this part
1 Ent er th e appropria t e amoun t in eac h co Iumn f oreac h year, see page 18 of t he mstruc ions before ma k 1ngany entries
(a) (d)
(b) (c)
Base period years D1stnbubon ratio
Calendar year (or tax year beginning 1n) Adjusted qualifying d1stnbut1ons Net value of nonchantable-use assets (col (b) d1v1dedby col (c))
2009 1,508,261. 30,901,951. 0.048808
2008 1,637,628. 33,807,502. 0.048440
2007 1,627,052. 35,306,398. 0.046084
2006 1,589,777. 33,772,998. 0.047072
2005 1,410,192. 33,234,254. 0.042432
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5 .......... 4 31,460,360.
6 Enter 1% of net investment income (1% of Part I, line 27b) .................... 6 12,667.
10 D1d any persons become substantial contributors dunng the tax year? If "Yes," attach a schedule hstmg their
names and addresses 10 X
Form 990-PF (2010)
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Form 9Pi0-PF (2010) 48-6113560 Page5
.. :.l:Tii .,,. l""J.l-
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 page 20 of the instructions) . . . . . ............. 11 X
12 Did the foundation acquire a direct or indirect interest in any applicable insurance contract before
August 17, 2008? . . . . . . . . .. 12 X
13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? 13 X
Website address .... ____ WWW.FMKFOUNDATION. ORG ---------------------------------------------------
14 The books are in care of ...,.HEATHER LOVE _______________________ Telephone no ...,._____ ( 316) 828-8286 ____ _
Located at ....jlll_E._37TH_ST. _N. WICHITA, KS _______________________ ZIP+ 4 .... 67220 ________ _
15 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here IT
...,.
and enter the amount of tax-exempt interest received or accrued during the year ...,.1~1_5_~1
______ _
16 At any time dunng calendar year 2010, did the foundation have an interest 1n or a signature or other authority Yes No
over a bank, secunt1es,or other financial account in a foreign country? 16 X
\
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 fore1an countrv ...,.
~lilam 111: Statements Regarding Activities for Which Form 4720 May Be Reauired
File Fonn 4720 if any item is checked in the "Yes" column, unless an exception applies. Yes No
1 a Dunng the year did the foundation (either directly or indirectly)
(1) Engage in the sale or exchange, or leasing of property with a disqualified person? 0Yes ~No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept 1tfrom) 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? ~
Yes
Yes
Yes
No
No
No
(5) Transfer any income or assets to a disqualified person (or make ar1yof either available for
the benefit or use of a disqualified person)? 0Yes ~No
(6) Agree to pay money or property to a government official? (Exception. Check "No" 1f the
foundation agreed to make a grant to or to employ the official for a period after
term1nat1onof government service, 1fterminating within 90 days). D Yes ~ No
b If any answer 1s "Yes" to 1a(1)-(6), did any of the acts fail to qualify under the exceptions described 1n Regulations
X
~:~:~~z:: 0::
4
;
r:~::~: 0 ~nc~:~~~~:t~~1:g::~::1: 1~a~~:s~:: 1:::~s:::~:e~;:ge. 2~ ~f.th.e:n~t~u~t1~n~)~ .,: [j ...
1b
c Did the foundation engage in a prior year in any of the acts described 1n 1a, other than excepted acts, that
were not corrected before the first day of the tax year beginning in 201O? . 1c X
2 Taxes on failure to d1stnbute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined 1nsection 4942{])(3) or 4942{])(5))
a At the end of tax year 2010, did the foundation have any undistributed income (Imes 6d and
6e, Part XIII) for tax year(s) beginning before 2010? . 0Yes ~No
lf"Yes,"listtheyears ...,.__________ , _________ , ________ , _______ _
b Are there any years listed in 2a for which the foundation 1s not applying the prov1s1ons 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 22 of the instructions ) 2b
c If the prov1s1onsof section 4942(a)(2) are being applied to any of the years listed 1n2a, list the years here
....__________
--------- -------- --------
3a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise
at any time during the year? . . . . . . 0Yes ~No
b If "Yes," did 1t have excess business holdings in 2010 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 penod approved by the
Comm1ss1oner 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 penod? (Use Schedule C, Fonn 4720, to detennine rf the
foundation had excess business holdings in 2010) . . . . . . . . . . . . . . . 3b
4a Did the foundation invest during the year any amount 1na manner that would Jeopardize its charitable purposes? 1--4"'a'-+--1---X-
b Did the foundation make any investment 1n a pnor year (but after December 31, 1969) that could Jeopardize its
charitable ouroose that had not been removed from 1eooardv before the first dav of the tax vear bemnnina in 2010? 4b X
Form 990-PF (2010)
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Form 9!)0-PF (2010) 48-6113560 Page6
l::r.Tiill'jll"I: Statements Regarding Activities for Which Form 4720 Mav Be Required (continued)
sa During the year did the foundation pay or incur any amount to
(1) Carry on propaganda, or otherwise attempt to influence leg1slat1on(section 4945(e))? ...... 0Yes Q No
(2) Influence the outcome of any specific public election (see section 4955), or to carry on,
directly or 1nd1rectly,any voter reg1strat1ondnve? .................. ...... @Yes ~No :
(3) Provide a grant to an 1nd1v1dual
for travel, study, or other s1m1larpurposes? ....... ..... Yes No
(4) Provide a grant to an orgamzat1on other than a charitable, etc , organization described 1n
section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions) .. . . . . . [i!Yes 0No
(5) Provide for any purpose other than religious, charitable, scientific, literary, or educational
purposes, or for the prevention of cruelty to children or animals? . . . . . . . . . . . . ..... 0Yes QNo
b If any answer 1s "Yes" to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions descnbed in
Regulations section 53.4945 or 1na current notice regarding disaster assistance (see page 22 of the 1nstruct1ons)? t-5_b_+- _ _,__x_
Orgamzat1ons relying on a current notice regarding disaster assistance check here . ..,. D
c If the answer 1s''Yes" to question 5a(4), does the foundation claim exemot1on from the tax
because 11maintained expenditure respons1b11ity
for the grant? SEE ATTACHMENT 14 QYes 0No
If "Yes, attach the statement required by Regulations section 53 494~5(d).
6a D1dthe foundation, during the year, receive any funds, directly or indirectly, to pay premiums
on a personal benefit contract? 0Yes QNo
b D1dthe foundation, dunng the year, pay premiums, directly or indirectly, on a personal benefit contract? 6b X
If "Yes" to 6b, file Fom1 8870
7 a At any time dunng the tax year, was the foundation a party to a proh1b1tedtax shelter transaction? .. 0Yes
b If "Yes," did the foundation receive any proceeds or have any net income attributable to the transaction? . 7b
-;. .. .-,~11 Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1 L.1sta II 0 ffi1cers, d"1rectors, trustees, f oun d ation
. managers an d t h e1r
. compensation see pa ge 22 0 f t h e .mstruct1ons .
(b) Title. and average ~c) Compensation (d) Contnbubonsto (e) Expense accoun~
(a) Name and address hours per week ( f not paid, enter employeebenefitplans other allowances
devoted to nos1bon -0-1 and deferredcomnensabon
SEE ATTACHMENT 11
------------------------------------- -0- -0- -0-
-------------------------------------
-------------------------------------
-------------------------------------
2 Compensation of five highest-paid employees (other than those included on line 1 - see page 23 of the instructions).
If none, enter "NONE."
(d) Contnbut1ons to
(b) Title. and average employee benefit (e) Expense account,
(a) Name and address of each employee paid more than $50,000 hours per week (c) Compensation
plans and deferred other allowances
devoted to pos1bon comoensat1on
NONE
JSA
OE14601000
NONE
............... ~ NONE
1@1&Q Summary of Direct Charitable Activities
List the foundation's four largest direct charitable acbv1bes dunng the tax year Include relevant stabsbcal informabon such as the number of
Expenses
organizabons and other benefic1anes served, conferences convened, research papers produced, etc
3 NONE
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Form990-PF(2010) 48-6113560 Page8
@ti 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 m carrying out charitable, etc,
purposes
a Average monthly fair market value of securities .... 1a 18,678,061.
b Average of monthly cash balances ... 1b 13,261,391.
c Fair market value of all other assets (see page 25 of the instructions) 1c 0.
d Total (add Imes 1a, b, and c) ...... 1d 31,939,452.
e Reduction claimed for blockage or other factors reported on Imes 1a and
1c (attach detailed explanation) ...... l.__1e----"l'-------------1
2 Acqu1s1t1onindebtedness applicable to line 1 assets 2 o.
3 Subtract line 2 from line 1d . .
. . ......... . 3 31,939,452 .
4 Cash deemed held for charitable act1v1t1esEnter 1 1/2 % of line 3 (for greater amount, see page 25 of
the 1nstruct1ons).............. 4 479,092.
5 Net value of noncharitable-use assets. Subtract line 4 from line 3 Enter here and on Part V, line 4 5 31,460,360.
6 Minimum investment return. Enter 5% of line 5 . . . . . . . . . . . 6 1,573,018.
Distributable Amount (see page 25 of the instructions) (Section 4942(1)(3) and (J)(5) private operating
foundations and certain foreign organizations check here ~ D
and do not complete this part )
1 Minimum investment return from Part X, line 6 . .. ...
.. .
.......... ..... 1 1,573,018.
2a Tax on investment income for 2010 from Part VI, line 5 ..2a. j
12,667. j
b Income tax for 2010 (This does not include the tax from Part VI ) I 2b I .. h ~ t.. "'
JSA
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Form 990-PF(2010) 48-6113560 Page9
:r.---~11
Undistributed Income (see page 26 of the instructions)
(a) (b) (c) (d)
1 D1stnbutable amount for 2010 from Part XI, Corpus Years pnor to 2009 2009 2010
line 7 ..................... 1,560,351.
2 Und1stnbutedincome, If any, as of the end of 2010 .. :,.,_,._,,,. -- ~
JSA
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, Fonn 99P-PF (2010) 48-6113560 Page 10
l::E=-r:tu Private Operatinq Foundations (see paqe 27 of the instructions and Part VII-A, question 9) NOT APPLICABL E
1 a If the foundation has received a ruling or determination letter that 1t 1s a pnvate operating I
foundation, and the ruling 1seffective for 2010, enter the date of the ruling ~
b Check box to indicate whether the foundation 1sa pnvate operating foundation described 1nsection I I 4942(])(3) or I I 4942(JH5l
Tax year Pnor 3 years
2a Enter the lesser of the ad- (e) Total
Justed net income from Part (a) 2010 (b) 2009 (c) 2008 (d) 2007
I or the minimum investment
return from Part X for each
year hsted .......
b 85% of hne 2a .....
C Qualifying distnbut1onsfrom Part
XII, line 4 for each year listed
d Amounts included ,n hne 2c not
used directly for active conduct
of exempt act1V1t1es
e Quahfy1ng d1stnbubons made
directly for active conduct of
exempt activities Subtract line
3
2d from line 2c ......
Complete 3a, b, or c for the
altemabve test rahed upon
a Assets" alternative test - enter
(1) Value of all assets ...
(2) Value of assets quahfy1ng
under secbon
49420)(3)(8)(1).
b "Endowment'' alternative test-
enter 2/3 of minimum invest-
ment return shown in Part X,
hne 6 for each year listed ..
C "Support" alternative test - enter
(1) Total support other than
gross investment n1Come
(interest, d1V1dends,rents,
payments on secunbes
loans (section 512(a)(5)),
or royalbes)
(2) Support from general
public and 5 or more
exempt orgarnzabons as
proV1ded in secbon 4942
0)(3)(8)(111)
(3) Largest amount of sup-
port from an exempt
organization .....
4 Gross investment income
. Supple'!'entary Information (Complete this part only if the foundation had $5,000 or more in assets
at any time during the year - see page 28 of the instructions.)
1 Information Regarding Foundation Managers:
a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only 1fthey have contributed more than $5,000) (See section 507(d)(2) )
NONE
b List 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
NONE
2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here ~ D
1f the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds If the foundation makes gifts, grants, etc (see page 28 of the instructions) to md1v1dualsor
organizations under other cond1t1ons,complete items 2a, b, c, and d
a The name, address, and telephone number of the person to whom applications should be addressed
ATTACHMENT R
b The form m which applications should be submitted and information and materials they should include
NONE
c Any subm1ss1ondeadlines
NONE
d Any restrictions or l1m1tat1onson awards, such as by geographical areas, charitable fields, kinds of mstitut1ons, or other
factors
ATTACHMENT q
JSA
OE14901 000 Form 990-PF (2010)
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Form 990-PF (2010) 4 8-61135 60 Page 11
1:fHE\*I
Supplementary Information (continued)
3 Grants and Contributions Paid During the Year or Approved for Future Payment
If reap1ent1san md1V1dual,
Rec1p1ent show any relabonsh,pto
Foundabon Purpose of grant or
status of Amount
any foundabon manager contnbubon
Name and address (home or business) or substantialcontnbutor rec1p1ent
a Paid during the year
ATTACHMENT 10
Total ~ 3a 1,881,297.
b Approved for future payment
Total ~ 3b
Form 990-PF (2010)
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... ..
Form 990-PF (2010)
,,,.., Analysis of Income-Producing Activities
Enter gross amounts unless othe1W1seindicated Unrelated business income
48-6113560
Related or exempt
(a) (b) (c) (d) function income
Businesscode Amount Exclusioncode Amount ~ee page 28 of
1 Program service revenue e 1nstruct1ons)
a
b
C
d
e
f
g Fees and contracts from government agencies
2 Membership dues and assessments ....
3 Interest on savings and temporary cash investments 14 121,185.
4 D1v1dendsand interest from securities .. 14 1,005,033.
s Net rental income or (loss) from real estate
a Debt-financed property .
b Not debt-financed property .......
6 Net rental income or (loss) from personal property
7 Other investment income ........
8 Gain or (loss) from sales of assets other than inventory 18 166,294.
9 Net income or (loss) from speaal 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) .... 1,292,512.
13 Total. Add line 12, columns (b), (d), and (e) .. 13 1,292,512.
(See worksheet m line 13 instructions on page 29 to verify calculations)
:r.1 :..,u : Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
.. Explain below how each act1v1tyfor which income 1s reported in column (e) of Part XVI-A contributed importantly to the
accomplishment of the foundation's exempt purposes (other than by providing funds for such purposes) (See page 29 of the
1nstruct1ons)
NOT APPLICABLE
2a Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described 1nsection 501(c) of the Code (other than section 501(c)(3)) or in section 527?. D Yes [] No
b If "Yes" com lete the followin schedule
(a) Name of orgamzat,on (b) Type of organization (c) Descnptton of relattonsh,p
Sign
Here
JSA
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Schedule B Schedule of Contributors 0MB No 1545-0047
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue S8fVlce
~ Attach to Form 990, 990-EZ, or 990-PF.
~@10
Name of the organization Employer identification number
FRED C. & MARY R. KOCH FOUNDATION, INC.
48-6113560
Organization type (check one)
General Rule
UUFor an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (tn money or
property) from any one contributor Complete Parts I and II
Special Rules
0 For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33 113 % support test of the regulations under
sections 509(a)(1) and 170(b)(1)(A)(vt), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (1)Form 990, Part VIII, line 1h or (11)Form 990-EZ, line 1 Complete Parts
I and II
0 For a section 501 (c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during
the year, aggregate contributions of more than $1,000 for use exc/us,velyfor religious, charitable, sc1ent1fic,literary, or
educational purposes, or the prevention of cruelty to children or animals Complete Parts I, II, and Ill
0 For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during
the year, contributions for use exc/us,vely for religious, charitable, etc , purposes, but these contributions dtd not
aggregate to more than $1,000 If this box 1schecked, enter here the total contributions that were received during the
year for an exclus,vely religious, charitable, etc , purpose Do not complete any of the parts unless the General Rule
applies to this organization because 1treceived nonexclus1vely rel1g1ous,charitable, etc , contributions of $5,000 or more
during the year . . . . . . . . . . . . . . . . . . . . ~ $ ________ _
Caution. An organization that 1snot 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
line 2 of its Form 990-PF, to certify that 1tdoes 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. Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
JSA
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Schedule B (Form 990, 990-EZ, or 990-PF) (201 O) Page __ of __ of Part I
Nanteoforganization FRED C. & MARY R. KOCH FOUNDATION, INC. Employer 1denbfication number
48-6113560
1:ffl11
Contributors (see instructions)
$ _______________ _
Person
Payroll
Noncash
(Complete Part II 1fthere 1s
a noncash contribution )
$ _______________ _
Person
Payroll
Noncash
(Complete Part II 1fthere 1s
a noncash contribution )
$ _______________ _
Person
Payroll
Noncash
(Complete Part II 1fthere 1s
a noncash contribution )
$ _______________ _
Person
Payroll
Noncash
(Complete Part II 1fthere 1s
a noncash contribution )
$ _______________ _
Person
Payroll
Noncash
(Complete Part II 1fthere 1s
a noncash contribution )
OE12531 000
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FRED C. & MARY R. KOCH FOUNDATION, INC. 48-6113560
ATTACHMENT 1
REVENUE
AND NET ADJUSTED
EXPENSES INVESTMENT NET CHARITABLE
DESCRIPTION PER BOOKS INCOME INCOME PURPOSES
ATTACHMENT 1
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FRED C. & MARY R. KOCH FOUNDATION, INC. 48-6113560
ATTACHMENT 2
REVENUE
AND NET
EXPENSES INVESTMENT CHARITABLE
DESCRIPTION PER BOOKS INCOME PURPOSES
ATTACHMENT 2
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~RED~- & MARY R. KOCH FOUNDATION, INC. 48-6113560
ATTACHMENT 3
REVENUE
AND
EXPENSES
DESCRIPTION PER BOOKS
TOTALS 12 667.
ATTACHMENT 3
97492F K932 8/4/2011 4:42:27 PM V 10-7.1 85653
FRED C. & MARY R. KOCH FOUNDATION, INC. 48-6113560
ATTACHMENT 4
REVENUE
AND
EXPENSES CHARITABLE
DESCRIPTION PER BOOKS PURPOSES
INSURANCE 913. 913.
MISCELLANEOUS 1,474. 1,474.
ATTACHMENT 4
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FRED C. & MARY R. KOCH FOUNDATION, INC. 48-6113560
ATTACHMENT 5
ENDING ENDING
DESCRIPTION BOOK VALUE FMV
ATTACHMENT 5
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FRED C. & MARY R. KOCH FOUNDATION, INC. 48-6113560
ATTACHMENT 6
ENDING ENDING
DESCRIPTION BOOK VALUE FMV
ATTACHMENT 6
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FRED C. & MARY R. KOCH FOUNDATION, INC. 48-6113560
ATTACHMENT 7
ENDING ENDING
DESCRIPTION BOOK VALUE FMV
ATTACHMENT 7
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~RED~- & MARY R. KOCH FOUNDATION, INC. 48-6113560
ATTACHMENT8
ATTACHMENT 8
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F-RED G. ,& MARY R. KOCH FOUNDATION, INC. 48-6113560
ATTACHMENT9
ATTACHMENT 9
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FRED C & MARYR KOCH FOUNDATION, INC 48-6113560
ATTACHMENT
10
RELATIONSHIP TO SUBSTANTIALCONTRIBUTOR
AND
RECIPIENT NAMEAND ADDRESS FOUNDATIONSTATUS OF RECIPIENT PURPOSE OF GRANTOR CONTRIBUTION AMOUNT
SEE ATTACHMENT
12 FOR PROGRAMGRANTS 1,592,547
SEE ATTACHMENT
13 FOR INDIVIDUAL SCHOLARSHIPS 288,750
ATTACHMENT10
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FRED C. and MARY R. KOCH FOUNDATION
EIN 48-6113560
SCHEDULE OF INFORMATION FOR FORM 990 (2010)
PART VIII - LIST OF OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES: ATTACHMENT 11
!PART XV, LINE 3A, GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR: ATTACHMENT12
RECIPIENT NAME FOUNDATION PURPOSE
AND ADDRESS STATUS OF GRANT AMOUNT
PROGRAM GRANTS:
Bill of Rights Institute Public Kansas Education Initiative 187,000
Arlington, VA 22203
Friends University Public Fine Arts Program Support 20,000
Wichita, KS 67213
Gilder Lehrman Inst. of American History Public Kansas Education Programs 78,000
New York, NY 10036-5900
Kansas State University Foundation Public College for a Day Program 55,000
Manhattan, KS 66502-2911 Kansas Faculty Grant Program 18,368
Kansas University Endowment Association Public Kansas Economic Reform Initiative 100,000
Lawrence, KS 66044-0928
Kansas Cultural Trust Private Program & Operational Support 111,000
Wichita, KS 67208
The Nature Conservancy Public Tallgrass Prairie National Preserve 343,334
Topeka.KS 66603
Newman University Public lnvest1gat1ve Science Program 10,000
Wichita, KS 67213
Salvation Army Public Civic Event Sponsor 5,000
Wichita, KS 67202
Symphony in the Flint Hills Public Symphony in the Flint Hills Sponsor 15,000
Wichita, KS 67260
Wichita Center for the Arts Public Pastel National Exhib1t1on 19,800
Wichita, KS 67206 National pmall Oil Exhibition 19,800
Holiday Card Support 3,000
90th Anniversary Support 90,000
Youth Entrepreneurs of Kansas Public General Operating Support 510,745
Wichita, KS 67220
YMCA Public Youth Job Prep Program 6,500
W1ch1ta, KS 67220
!PART XV, LINE 3A, GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR: ATTACHMENT 13,
INDIVIDUAL SCHOLARSHIPS:
Agarwal, Shivani None Educational Scholarship 1,500
Columbia, SC 29229
Agee, Dana None Educational Scholarship 1,500
Pine Hill, AL 36769
Agrawal, Millie None Educational Scholarship 1,500
Kershaw, SC 29067
Allexan, Sarah None Educational Scholarship 1,500
Englewood, CO 80111
Alwert, Garrett None Educational Scholarship 1,500
Fainnont, OK 73736
Barnett, Don None Educational Scholarship 1,500
Goliad, TX 77963
Basnight, Caitlin None Educational Scholarship 1,500
Columbia, SC 29223
Baukal, Chnstine None Educational Scholarship 1,500
Tulsa, OK 74137
Berbert, Georgia None Educational Scholarship 1,500
Wilmington, DE 19803
jPART XV, LINE 3A, GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR: ATTACHMENT131
RECIPIENTNAME RECIPIENT PURPOSE
AND ADDRESS RELATIONSHIP OF GRANT AMOUNT
---
FRED C. AND MARY R. KOCH FOUNDATION
" EIN 48-6113560
SCHEDULE OF INFORMATION FOR 2010 FORM 990-PF
IPART xv,LINE 3A, GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR: ATTACHMENT 131
RECIPIENT NAME RECIPIENT PURPOSE
AND ADDRESS RELATIONSHIP OF GRANT AMOUNT
!PART XV, LINE 3A, GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR: ATTACHMENT 131
RECIPIENTNAME RECIPIENT PURPOSE
AND ADDRESS RELATIONSHIP OF GRANT AMOUNT
!PART XV, LINE 3A, GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR: ATTACHMENT 131
RECIPIENTNAME RECIPIENT PURPOSE
AND ADDRESS RELATIONSHIP OF GRANT AMOUNT
!PART XV, LINE 3A, GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR: ATTACHMENT 131
RECIPIENTNAME RECIPIENT PURPOSE
AND ADDRESS RELATIONSHIP OF GRANT AMOUNT
-~---
-------
FRED C. AND MARY R. KOCH FOUNDATION
4 I w
EIN 48-6113560
SCHEDULE OF INFORMATION FOR 2010 FORM 990-PF
!PART XV, LINE3A, GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR: ATTACHMENT 131
RECIPIENTNAME RECIPIENT PURPOSE
AND ADDRESS RELATIONSHIP OF GRANT AMOUNT
!PART XV, LINE 3A, GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR: ATTACHMENT 131
RECIPIENT NAME RECIPIENT PURPOSE
AND ADDRESS RELATIONSHIP OF GRANT AMOUNT
Pursuant to IRC Regulation section 53.4945-5(d)(2), the FRED C. AND MARY R. KOCH FOUNDATION
provides the following information:
(tti) Purpose of Grant: General operating support for the Kansas Cultural Trust, an educational foundation which
provides grants to young visual and performing artists to allow them to take advantage of
key opportunities arising early in their careers.
(iv) Amounts expended: Report received from the Kansas Cultural Trust shows the following expenditures:
$42,704 of the remaining March, 2009 grant was spent for providing enabling grants to artists.
$100,225 of the January, 2010 grant was spent for providing enabling grants to artists.
(v) Diversions: To the knowledge of this grantor foundation, no funds have been diverted to any
activity other than the activity for which the grant was originally made.
(v1) Date of Reports: On March 30, 2011, Kansas Cultural Trust submitted a full and complete report of its
expenditures of the March 2009 and January 2010 operating support grant.
(vi) Verification: The grantor has no reason to doubt the accuracy or reliability of the report from
the grantee; therefore, no independent verification of the reports were made.
, FREO C. & MARY R. KOCH FOUNDATION, INC. 48-6113560
FORM 990-PF - PART IV
CAPITAL GAINS AND LOSSES FOR TAX ON INVESTMENT
p
INCOME
Kind of Property Descnpt,on pr Date Date sold
ID acquired
Gross sale
pnceless
I Depreciation
allowed/
Cost or
other
FMV
as of
AdJ bas,s
as of
Excessof
FMVover
Gain
or
exoensesof sale allow"h'" h~~~ I 1')/'C\11"0 I 1.,,.,1,ao I ad1 basis /loss)
TOTAL GAIN (LOSS) ....... ... . .. . ... .... .. ... . . .. . .. .. ... ... .. ... . 166,294.
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Form 8868 (Rev 1-2011)
lfi you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part II and check this box
Note. Only complete Part II 1fyou have already been granted an automatic 3-month extension on a previously filed Form 8868
If vou are filina for an Automatic 3-Month Extension, comolete onlv Part I ( on oaoe 1)
::.t:1
Additional (Not Automatic) 3-Month Extension of Time. Only file the original (no copies needed).
Type or Name of exempt organization IEmployer identification number
print FRED C. & MARY R. KOCH FOUNDATION, INC. 48-6113560
File by the Number, street, and room or suite no If a PO box, see instructions
extended
due date for P.O. BOX 2256
f1hngyour City, town or post office, state, and ZIP code For a foreign address, see instructions
return See
instruc:!Jons WICHITA, KS 67201-2256
Enter the Return code for the return that this application 1sfor (file a separate application for each return) ............ [QIIJ
Application Return Application Return
Is For Code Is For Code
Form 990 01 i
Sa If this appl1cat1on 1s for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any
nonrefundable credits See 1nstruct1ons Sa$ 0.
b If this application IS for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and
estimated tax payments made Include any prior year overpayment allowed as a credit and any ~ !I
amount paid previously with Form 8868 Sb$ 0.
C Balance Due. Subtract line 8b from line 8a Include your payment with this form, 1frequired, by using EFTPS
(Electronic Federal Tax Payment System) See 1nstruct1ons Sc$ 0.
Signature and Verification
Under penalties of perJury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and behef,
1t 1strue, correct, and complete, and that I am authorized to prepare this form
JSA
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