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... (!I.

EXTENSION
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

Name of foundation A Employer identification number

FRED C. & MARY R. KOCH FOUNDATION, INC. 48-6113560


Number and street (or P O box number rf marlrs not dehveredto street address) Room/suite B Telephone
number(seepage10of theinstructions)

P.O. BOX 2256 (316) 828-8286


C If exempoon

: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

b Investments - corporate stock (attach schedule) AT.C.H. . 5 3,718,851. 3,718,851. 3,744,445.

11
C Investments - corporate bonds (attach schedule)
Investments- land, buildings,
.. ..
and equipment basis ~ -- - - --
Less accumulateddeprec1at1on~
------------------ -- ~-- - --

(attach schedule) -------------------


12 Investments - mortgage loans ...
13
14
Investments - other (attach schedule)
Land, buildings,and
.. ~'fCl:I 6 . . 7,521,293. 21,152,092. 22,479,408.
equipment basis ~ - -
Less accumulateddeprec1auon~
(attach schedule) - ------ - -- -- -- ----
15 Other assets (describe ~ __________AT.CH__7 --- ) 0. 52,500. 52,500.
16 Total assets (to be completed by all filers - see the
instructions Also, see page 1, item I) 31,329,035. 30,962,195. 32,315,105.
17 Accounts payable and accrued expenses 10,648. 8,789.
18 Grants payable ..... . . 398,334. 0.
Ill
G) 19 Deferred revenue .... . . . .
;g20 Loans from officers,directors,trustees,and other disqualifiedpersons
:c
ca 21 Mortgages and other notes payable (attach schedule)
::::i
22 Other hab1ht1es(describe ~ ___________________
)

23 Total liabilities (add lines 17 through 22) .. 408,982. 8,789.


Foundations that follow SFAS 117, check here
and complete lines 24 through 26 and lines 30 and 31.
~w
: 24
(,)
Unrestricted ... 30,920,053. 30,953,406.
C:
ca 25 Temporarily restricted .... . . . . .
ca
m 2s Permanently restncted ..
"C
C:
::::,
u..
...
Foundations that do not follow SFAS 117,
check here and complete lines 27 through 31. ~o
0 27 Capital stock, trust pnnc1pal, or current funds ...
J!l
G)
28 Pa1d-mor capital surplus,or land, bldg , and equipmentfund
: 29 Retainedearnings,accumulatedincome,endowment,or other funds
~ 30 Total net assets or fund balances (see page 17 of the
G)
z instructions) ....... . .. . .. .. 30,920,053. 30,953,406.
31 Total liabilities and net assets/fund balances (see page 17
ofthe1nstruct1ons)...................... 31,329,035. 30,962,195.
IHIID
Analvsis of Chanaes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year - Part II, column (a), line 30 (must agree with
end-of-year figure reported on prior year's return) . 1 30,920,053.
2 Enter amount from Part I, line 27a .. . .. 2 33,353
3 Other increases not included in line 2 (1tem1ze) ~ 3
-------------------------------------
4 Add Imes 1, 2, and 3 .... . .. . .. .. . . ... . . ... . .. . .. 4 30,953,406.
5 Decreases not included in line 2 (1tem1ze) ~ 5
----------------------------------------
6 Total net assets or fund balances at end of vear (line 4 minus line 5) - Part II, column /bl. hne 30 .. 6 30,953,406.
Form 990-PF (2010)

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Form 990-PF (2010) 48-6113560 Page3

~l- Capital Gains and Losses for Tax on Investment Income


(a) List and descnbethe kind(s)of property sold (e g , real estate,
(D)How
acquired
(c) Date
acquired ~d) Date sold
P-Purchase
(mo , day, yr) mo, day, yr)
2-storv bnckwarehouse,or commonstock, 200 shs MLC Co ) n."--"at,on
1a SEE PART IV SCHEDULE
b
C
d
e
(f) Deprec1at1on
allowed (g) Cost or other basis {h) Gain or (loss)
(e) Gross sales pnce
(or allowable) plus expenseof sale (e) plus (I) minus (g)
a
b
C
d
e
Completeonly for assets showinggain m column(h) and owned b the foundationon 12/31/69 (I) Gains (Col (h) gain minus
(j) Adjustedbasis (k) Excessof col (1) col (k), but not less than -0-) or
(i) FM V as of 12/31/69 Losses(from col (h))
as of 12/31/69 over col (J), 1fany
a
b
C
d
e
If gain, also enter in Part I, line 7
2 Capital gain net income or (net capital loss) {
If (loss), enter -0- in Part I, line 7 }2 166,294.
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6)
If gain, also enter in Part I, line 8, column (c) (see pages 13 and 17 of the 1nstruct1ons)
}
..If (loss), enter -0- in Part I, line 8 ....... __ ............ __ .
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
.... 3

(For optional use by domestic private foundations subJect to the section 4940(a) tax on net investment income )

If section 4940(d)(2) applies, leave this part blank

Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? 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

2 Total of line 1, column (d) ................................... .. 2 0.232836


3 Average d1stribut1onratio for the 5-year base period - d1v1dethe total on line 2 by 5, or by the
number of years the foundation has been in existence 1fless than 5 years ......... .. 3 0.046567

4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5 .......... 4 31,460,360.

5 Multiply line 4 by line 3 .................. .................... 5 1,465,015.

6 Enter 1% of net investment income (1% of Part I, line 27b) .................... 6 12,667.

7 Add Imes 5 and 6 . . . . . . . . . . . . . . . . ......................... 7 1,477,682.

8 Enter qualifying d1stribut1onsfrom Part XII, line 4 ......................... 8 1,966,668.


If line 8 1s equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate See the
Part VI instructions on page 18
JSA Form 990-PF (2010)
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Form 95)0-PF (2010) 48-6113560 Page4
l:im&'.f Excise Tax Based on lnvesbnent Income (Section 4940(a), 4940(b), 4940(e), or 4948 - see page 18 of the instructions)
1a' Exempt operating foundations descnbed in section 4940(d)(2), check here ~ LJ and enter "N/A" on hne 1 }
Date of ruling or determinabon letter ____________ (attach copy of ruhng letter 1fnecessary. see instrucbons) _ __ __ __ _
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 12, 6 67.
here ~ lliJ and enter 1% of Part I, line 27b
c All other domestic foundations enter 2% of line 27b Exempt foreign organizations enter 4% of __ _ _. ..
Part I, line 12, col (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) 2
3 Add lines 1 and 2 3 12,667.
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) 4 0.
5 Tax based on investment income. Subtract line 4 from line 3 If zero or less, enter -0- 5 12,667.
6 Credits/Payments
a 2010 estimated tax payments and 2009 overpayment credited to 2010 1---'S~a'--+
_____ 1_4~,
_4_2_9_.--i
b Exempt foreign organizations-tax withheld at source 1--S_b
_________ O_._,
c Tax paid with apphcat1onfor extension of time to file (Form 8868) l---'6c.cc-+
________ O_.-1
d Backup withholding erroneously withheld Gd . - --
7 Total credits and payments Add Imes 6a through 6d .. 7 14,429.
8 Enter any penalty for underpayment of estimated tax Check here 8
9 Tax due. If the total of Imes 5 and 8 1smore than line 7, enter amount owed . . . . . . . . . . ~ 9
10 Overpayment If line 7 1smore than the total of Imes 5 and 8, enter the amount overpaid ~ 10 1,762.
11 Enter the amount of line 10 to be Credited to 2011 estimated tax ~ 1 , 7 62 . Refunded ~ 11
1::r.r.aWl'f Statements Regarding Activities
1a Dunng the tax year, did the foundation attempt to influence any national, state, or local leg1slat1on or did 11 Yes No
part1c1pateor intervene in any political campaign? 1---'1-=a-+
____ x_
b D1d 1t spend more than $100 dunng the year (either directly or 1nd1rectly) for political purposes (see page 19
of the instructions for definition)?
. . . f---'-1=-b-t-----1-x-
If the answer 1s "Yes to 1a or 1b, attach a detailed descnpt1on of the act1v,t1esand copies of any matenals
published ord1stnbuted by the foundation m connection with the act1v1t1es
c D1dthe foundation file Form 1120-POL for this year? 1c
1--~+-----+--
X
d Enter the amount (1fany) of tax on political expenditures (section 4955) imposed dunng the year
. (1) On the foundation ~$ ___________ (2) On foundabon managers ~ $ __________ _
e Enter the reimbursement (1f any) paid by the foundation dunng the year for political expenditure tax imposed
on foundation managers ~ $ ___________ _
2 Has the foundation engaged 1nany act1v1tiesthat have not previously been reported to the IRS? . . 1----'2=--+----+--x-
If "Yes, attach a detailed descnpt,on of the activities
3 Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles of
1ncorporat1on,or bylaws, or other s1m1larinstruments? If "Yes, attach a conformed copy of the changes
3
t--~+-----+--
X
4a D1dthe foundation have unrelated business gross income of $1,000 or more dunng the year? 4a X
b If "Yes," has 1tfiled a tax return on Form 990-T for this year? 4b
5 Was there a liqu1dat1on,terrninat,on, d1ssolut1on,or substantial contraction dunng the year? 5 X
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 leg1slat1on that effectively amends the governing instrument so that no mandatory directions that
conflict with the state law remain 1nthe governing instrument? 6 X
7 D1dthe foundation have at least $5,000 1nassets at any time dunng the year? If "Yes, complete Part II, col. (c), and Part XV 7 X
Sa Enter the states to which the foundation reports or with which 1t 1s registered (see page 19 of the
mstruct1ons) ~ KS, _________________________ ---------------------------------------
b If the answer 1s "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 Genera/Instruction G?lf "No," attach explanation l-"S=b-+_X_-t---
9 Is the foundation claiming status as a private operating foundation within the meaning of section 4942())(3) or
4942())(5) for calendar year 2010 or the taxable year beginning 1n 2010 (see mstruct1ons for Part XIV on page
27)? If "Yes," complete Part XIV 9 X

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)

JSA

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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

Total number of other employees paid over $50,000 .... ~I


Form 990-PF (2010)

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Form990-PF(2010) 48-6113560 Page 7
1:fhi@IInformation About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors (continued)
3 Five highest-paid independent contractors for professional services (see pa~e 23 of the instructions). If none, enter "NONE."
(a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation

NONE

............... ~ 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

1 SCHOLARSHIP AWARDS: 194 INDIVIDUALS WHO WERE ENROLLED IN A COLLEGE OR


UNIVERSITY IN THE UNITED STATES OR CANADA WERE AWARDEDSCHOLARSHIPS.
EACH FULL TIME STUDENT IS WORKING TOWARDS AN UNDERGRADUATEDEGREE. 288,750.
2

l:r.u-= Summary of Program-Related Investments (see page 24 of the instructions)


Descnbe the two largest program-related investments made by the foundation dunng the tax year on lines 1 and 2 Amount

1 PROVIDE A LOW-INTEREST LOAN TO GOODWILL INDUSTRIES OF KANSAS


TO EXPAND A MISSION-BASED SOCIAL ENTERPRISE THAT PROVIDES
JOB OPPORTUNITIES FOR INDIVIDUALS WITH SPECIAL NEEDS 52,500.
2

All other program-related investments See page 24 of the 1nstrucbons

3 NONE

Total. Add lines 1 through 3 ................................. ~ 52,500.


Form 990-PF (2010)

JSA

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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.. "'

C Add lines 2a and 2b .. .. .. . .. .... . ........ .. . 2c 12,667.


3 Distributable amount before adjustments Subtract line 2c from line 1 ............. ... 3 1,560,351.
4 Recoveries of amounts treated as qualifying d1stribut1ons ... .. . ... .... .... 4
5 Add lines 3 and 4 ... .... .. ..... . .. ........ 5 1,560,351.
6 Deduction from distributable amount (see page 25 of the instructions) ...... . ..... ... 6
7 Distributable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII,
line 1 .. .. .. .. .... .. .. .... . ..... 7 1,560,351.
1@f:ji1Qualifying Distributions(see page 25 of the instructions)
1 Amounts paid (including admm1strat1veexpenses) to accomplish charitable, etc, purposes
a Expenses, contributions, gifts, etc - total from Part I, column (d), line 26 . . . . . . . . . . ....... 1a 1,914,168.
b .
Program-related investments - total from Part IX-B . . . .. . . . . . . . . . . . . . . . . . ....... 1b 52,500.
2 Amounts paid to acquire assets used (or held for use) directly m carrying out charitable, etc,
purposes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................ 2 0.
3 Amounts set aside for specific charitable projects that satisfy the
a Su1tab11ity
test (prior IRS approval required) ................................ 3a 0.
b Cash d1stribut1ontest (attach the required schedule) ........................ 3b 0.
4 ... 4
Qualifying distributions. Add lines 1a through 3b Enter here and on Part V, line 8, and Part XIII, line 4 1,966,668. ...
5 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment income
Enter 1% of Part I, line 27b (see page 26 of the instructions) 5 12,667.
6 Adjusted qualifying distributions. Subtract line 5 from line 4 .................... 6 1,954,001.
Note: The amount on line 6 will be used m Part V, column (b), m subsequent years when calculating whether the foundation
qualifies for the section 4940(e) reduction of tax m those years
Form 990-PF (2010)

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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 .. :,.,_,._,,,. -- ~

a Enter amount for 2009 only .......... 990,993.


b Totalfor pnor years 20 ~. 20 __!}_]_,20 __Q__ '
3 Excess d1stnbulions carryover, 1f any, to 2010
a From 2005
b From 2006 0. '
C From 2007 0.
0. , ". 1
d From 2008
e From 2009 0. ...
f Total of Imes 3a through e ......... .. 0.
4 Qualifying d1stnbut1ons for 2010 from Part XII,
1,966,668. ' I
l1ne4 ~ $
a Applied to 2009, but not more than line 2a ... 990,993.
b Applied to und1stnbutedincome of pnor years (Elecbon . 't~
. . ~
required- see page26 of the instrucnons) ...... .
Treated as d1stnbut1ons out of corpus (Election
'Ct
C
required - see page 26 of the 1nstruct1ons) :ti ..1
d Applied to 2010 d1stnbutable amount .. .
;;
975,675.
e Remaining amount d1stnbuted out of corpus 0.
5 Excess d1stnbut1ons carryover applied to 2010 0. o.
(If an amount appears m column (d), the same / :
amount must be shown m column (a))
6 Enter the net total of each column as f
indicated below: - .. t
;
a Corpus Add lines 3f, 4c, and 4e. Subtract line 5 0. Y
y

b Pnor years' und1stnbuted income Subtract


line 4b from line 2b . .. . . . . . . .....
C Enter the amount of pnor years' und1stnbuted
income for which a notice of deficiency has been
issued, or on which the section 4942(a) tax has
been previously assessed. . .
d Subtract line 6c from line 6b Taxable
amount - see page 27 of the 1nstruct1ons
e Undistributed income for 2009 Subtract line
....
4a from line 2a Taxable amount - see page
27 of the instructions .............
f Und1stnbuted income for 2010 Subtract Imes
4d and 5 from line 1 This amount must be
distributed 1n 2011 ............... 584,676.
7 Amounts treated as d1stnbut1ons out of corpus
to satisfy requirements imposed by section
170(b)(1)(F) or 4942(9)(3) (see page 27 of the
instructions) ..................
8 Excess d1stnbut1ons carryover from 2005 not
applied on line 5 or line 7 (see page 27 of the
1nstruct1ons) .............. ....
9 Excess distributions carryover to 2011.
Subtract Imes 7 and 8 from line 6a . . . .. . . 0.
10 Analysis of line 9
a Excess from 2006 0.
l
b Excess from 2007 0.
C Excess from 2008 0.
d Excess from 2009 0.
e Excess from 2010 0.
Form 990-PF (2010)

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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)
97492F K932 8/4/2011 4:42:27 PM V 10-7.1 85653
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

Excluded b section 512 513 or 514 (e)


Page 12

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

Form 990-PF (201 O)


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Form 9~-PF (2010) 48-6113560 Page 13
:tfit\'411 Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations
1 D1d the organization directly or indirectly engage in any of the following with any other organization described Yes No
1n section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to poht1cal
organizations?
a Transfers from the reporting foundation to a noncharitable exempt organization of I

(1) Cash 1a(1l X


(2) Other assets 1al21 X
b Other transactions
(1) Sales of assets to a noncharitable exempt organization 1bl11 X
(2) Purchases of assets from a nonchantable exempt organization 1b(21 X
(3) Rental of fac1ht1es,
equipment, or other assets 1b(3) X
(4) Reimbursement arrangements 1bl4l X
(5) Loans or loan guarantees 1b(S) X
(6) Performance of services or membership or fundra1singsohc1tat1ons 1bl61 X
c Shanng of facil11Jes,
equipment, ma1hnghsts, other assets, or paid employees 1c X
d If the answer to any of the above 1s "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 anv transaction or shanna arranaement show in column ldl the value of the noods other assets or services received
(a) Line no (b) Amount involved (c) Name of nonchantable exempt orgamzabon (d) Descnpbon of transfers, transacbons, and shanng arrangements
N/A N/A

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

PnnVType preparer's name PTIN


CheckD1f
Paid
self-employed POOO513 9 2
Preparer Firm's name ~ BKD, LLP Firm's EIN ~ 4 4-01602 60
Use Only Firm's address ~ 1551 N WATERFRONT PKWY, STE 300
WICHITA, KS 67206-6601 Phone no 316-2 65-2811
Form 990-PF (2010)

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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)

Filers of: Section:

Form 990 or 990-EZ D 501(c)( ) (enter number) organization

D 4947(a)(1) nonexempt charitable trust not treated as a private foundation

D 527 political organization

Form 990-PF ~ 501(c)(3) exempt private foundation

D 4947(a)(1) nonexempt charitable trust treated as a private foundation

D 501(c)(3) taxable private foundation

Check tf your organization ts 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

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)

(a) (b) (c) (d)


No. Name, address, and ZIP + 4 Aggregate contributions Type of contribution

1 _!<9~~-INDUSTRIES,_INC. ____________________ _ Person


Payroll
P.O. BOX 2256 $ ________ 291,000. Noncash

(Complete Part II 1fthere 1s


WICHITA, KS 67201-2256
------------------------------------------ a noncash contribution )

(a) (b) (c) (d)


No. Name, address, and ZIP + 4 Aggregate contributions Type of contribution

$ _______________ _
Person
Payroll
Noncash

(Complete Part II 1fthere 1s
a noncash contribution )

(a) (b) (c) (d)


No. Name, address, and ZIP + 4 Aggregate contributions Type of contribution

$ _______________ _
Person
Payroll
Noncash

(Complete Part II 1fthere 1s
a noncash contribution )

(a) (b) (c) (d)


No. Name, address, and ZIP + 4 Aggregate contributions Type of contribution

$ _______________ _
Person
Payroll
Noncash

(Complete Part II 1fthere 1s
a noncash contribution )

(a) (b) (c) (d)


No. Name, address, and ZIP + 4 Aggregate contributions Type of contribution

$ _______________ _
Person
Payroll
Noncash

(Complete Part II 1fthere 1s
a noncash contribution )

(a) (b) (c) (d)


No. Name, address, and ZIP + 4 Aggregate contributions Type of contribution

$ _______________ _
Person
Payroll
Noncash

(Complete Part II 1fthere 1s
a noncash contribution )

JSA Schedule B (Fonn 990, 990-EZ, or 990-PF) (2010)

OE12531 000
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FRED C. & MARY R. KOCH FOUNDATION, INC. 48-6113560

ATTACHMENT 1

FORM 990PF, PART I - ACCOUNTING FEES

REVENUE
AND NET ADJUSTED
EXPENSES INVESTMENT NET CHARITABLE
DESCRIPTION PER BOOKS INCOME INCOME PURPOSES

ACCOUNTING FEES 18,975. 22,337.


INVESTMENT ACCOUNTING SERVICES 8,166. 8,166.
TAX PREPARATION FEES 3,100. 3,100.

TOTALS 30 241. 8 166. 0 25 437.

ATTACHMENT 1
97492F K932 8/4/2011 4:42:27 PM V 10-7.1 85653
FRED C. & MARY R. KOCH FOUNDATION, INC. 48-6113560

ATTACHMENT 2

FORM 990PF, PART I - OTHER PROFESSIONAL FEES

REVENUE
AND NET
EXPENSES INVESTMENT CHARITABLE
DESCRIPTION PER BOOKS INCOME PURPOSES

INVESTMENT FEES 17,603. 17,603.


PROFESSIONAL FEES 1,679. 2,428.

TOTALS 19,282 17,603. 2,428.

ATTACHMENT 2
97492F K932 8/4/2011 4:42:27 PM V 10-7.1 85653
~RED~- & MARY R. KOCH FOUNDATION, INC. 48-6113560

ATTACHMENT 3

FORM 990PF, PART I - TAXES

REVENUE
AND
EXPENSES
DESCRIPTION PER BOOKS

EXCISE TAX 12,667.

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

FORM 990PF, PART I - OTHER EXPENSES

REVENUE
AND
EXPENSES CHARITABLE
DESCRIPTION PER BOOKS PURPOSES
INSURANCE 913. 913.
MISCELLANEOUS 1,474. 1,474.

TOTALS 2 r 387. 2,387.

ATTACHMENT 4
97492F K932 8/4/2011 4:42:27 PM V 10-7.1 85653
FRED C. & MARY R. KOCH FOUNDATION, INC. 48-6113560

ATTACHMENT 5

FORM 990PF, PART II - CORPORATE STOCK

ENDING ENDING
DESCRIPTION BOOK VALUE FMV

KOCH INDUSTRIES, INC.


PREFERRED STOCK 3,718,851. 3,744,445.

TOTALS 3,718,851. 3,744,445.

ATTACHMENT 5
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FRED C. & MARY R. KOCH FOUNDATION, INC. 48-6113560

ATTACHMENT 6

FORM 990PF, PART II - OTHER INVESTMENTS

ENDING ENDING
DESCRIPTION BOOK VALUE FMV

FIFTH AVENUE GLOBAL EQUITY FD 2,500,000. 2,855,260.


GLEACHER DIVERSIFIED STRATEGIES FUND LTD. 361,399. 373,389.
ZAZOVE BOND FUND 2,485,875. 2,694,433.
PIMCO EMERGING LOCAL BOND 15,804,818. 16,556,326.

TOTALS 21,152,092. 22,479408,

ATTACHMENT 6
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FRED C. & MARY R. KOCH FOUNDATION, INC. 48-6113560

ATTACHMENT 7

FORM 990PF, PART II - OTHER ASSETS

ENDING ENDING
DESCRIPTION BOOK VALUE FMV

NOTES RECEIVABLE - PROGRAM RELATED INVESTMENT 52,500. 52,500.

TOTALS 52,500. 52,500.

ATTACHMENT 7
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~RED~- & MARY R. KOCH FOUNDATION, INC. 48-6113560

ATTACHMENT8

FORM 990PF, PART XV - NAME, ADDRESS AND PHONE FOR APPLICATIONS

FRED & MARY KOCH FON, GRANT ADM


P.O. BOX 2256
WICHITA, KS 67201
316-828-6083

ATTACHMENT 8
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F-RED G. ,& MARY R. KOCH FOUNDATION, INC. 48-6113560

ATTACHMENT9

990PF, PART XV - RESTRICTIONS OR LIMITATIONS ON AWARDS

NEW SCHOLARSHIPS LIMITED TO DEPENDENTS OF FULL-TIME EMPLOYEES OF KOCH


INDUSTRIES, INC. AND ITS SUBSIDIARIES. GRANTS GENERALLY LIMITED TO
TAX-EXEMPT PUBLIC CHARITIES IN KANSAS.

ATTACHMENT 9
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FRED C & MARYR KOCH FOUNDATION, INC 48-6113560

EOBM990PE PART XV - GRANTSAND CGNTBIBTJTTONS


PAID DI!BTNGTHE YEAR

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

TOTAL CONTRIBUTIONS PAID a.8l,.2.S.1

ATTACHMENT10
97492F K932 8/4/2011 4 42 27 PM V 10-7 1 85653
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

(D) Contnbut1onsto (E) Expense


(B) Title and average hours per (C) Compensation (1f employeebenefitplans& account and other
(A) Name and Address week devoted to pos1t1on not paid, enter -0-) deferredcompensation allowances
Elizabeth 8. Koch President/ Director -0- -0- -0-
PO Box 2256 1 hour per week
Wichita, KS 67201
Heather Love Treasurer -0- -0- -0-
PO Box 2256 04/28/1 Oto 12/31/1 O
Wichita, KS 67201 1 hour per week
Vonda Holliman Treasurer -0- -0- -0-
PO Box 2256 01 /01 /10 to 04/28/1 O
Wichita, KS 67201 1 hour per week
Susan Addington Secretary & -0- -0- -0-
PO Box 2256 Grants Administrator
Wichita, KS 67201 5 hours per week
Charles G. Koch Director -0- -0- -0-
PO Box 2256 Less than 1 hour per week
Wichita, KS 67201
David H. Koch Director -0- -0- -0-
667 Madison Avenue Less than 1 hour per week
New York, NY 10021
Richard Fink Director -0- -0- -0-
1515 N. Courthouse Road #200 Less than 1 hour per week
Arlington, VA 22201
FRED C. AND MARY R. KOCH FOUNDATION
EIN 48-6113560
SCHEDULE OF INFORMATION FOR 2010 FORM 990-PF

!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

TOTAL PROGRAM GRANTS PAID 1,592,547

Grants Paid - Page 1 of 1


FRED C. AND MARY R. KOCH FOUNDATION
EIN 48-6113560
SCHEDULE OF INFORMATION FOR 2010 FORM 990-PF

!PART XV, LINE 3A, GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR: ATTACHMENT 13,

RECIPIENT NAME RECIPIENT PURPOSE


AND ADDRESS RELATIONSHIP OF GRANT AMOUNT

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

Berry, William None Educational Scholarship 1,500


Chadds Ford, PA 19317
Bitonte, Kendall None Educational Scholarship 1,500
Wichita, KS 67206
Bohm, Carol-Ann None Educational Scholarship 1,500
Toronto, ON M5V 1P2
Bonorden, James None Educational Scholarship 1,500
Victoria, TX 77905
Bose, Priyanka None Educabonal Scholarship 1,500
Plainfield, IL 60585
Bouchouev, Vladislav None Educational Scholarship 1,500
Westfield, NJ 07090
Boyce.John None Educational Scholarship 1,500
Apple Valley, MN 55124
Bromley, Chelsey None Educational Scholarship 1,500
Orange, TX 77630
Sunman, Brittany None Educational Scholarship 1,500
Forest City, NC 28043
Campbell, Kara None Educational Scholarship 1,500
Morrisburg,ON KOC1XO
Camper, Tyrek None Educational Scholarship 1,500
Bridgeville, DE 19933
Carrier, Ehzabeth None Educational Scholarship 1,500
Victoria, TX 77904
Carrier, Kimberly None Educational Scholarship 1,500
Victoria, TX 77904
Chang, Gary None Educational Scholarship 1,500
Victoria, TX 77904
Clark, Benjamin None Educational Scholarship 1,500
Chadds Ford, PA 19317
Coble, Joshua None Educational Scholarship 1,500
Martinsville, VA 24112

Scholarships Paid - Page 1 of 8


FRED C. AND MARY R. KOCH FOUNDATION
EIN 48-6113560
SCHEDULE OF INFORMATIONFOR 2010 FORM 990-PF

jPART XV, LINE 3A, GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR: ATTACHMENT131
RECIPIENTNAME RECIPIENT PURPOSE
AND ADDRESS RELATIONSHIP OF GRANT AMOUNT

Cole.Adam None Educational Scholarship 1,500


Wichita, KS 67205
Collins, Daniel None Educational Scholarship 1,500
Andover, KS 67002
Collins, Katherine None Educational Scholarship (750)
Andover, KS 67002
Colven, William None Educational Scholarship 1,500
Waxhaw, NC 28173
Copeland, Ethan None Educational Scholarship 1,500
Peck, KS 67120
Covelli, Curtis None Educational Scholarship 1,500
Chadds Ford, PA 19317
Crawshaw, Tate None Educational Scholarship 1,500
Wichita, KS 67205
Cross, Caroline None Educational Scholarship 1,500
Columbia, SC 29209
Cross, Philip None Educational Scholarship 1,500
Columbia, SC 29209
Cuthbert, Alyssa None Educational Scholarship 1,500
Brandon, MB R7B 3H1
DeGarmo, Lydia None Educational Scholarship 1,500
Valley Center, KS 67147
Denton, Andrew None Educational Scholarship 1,500
Dodge City, KS 67801
DeWitt, Dane None Educational Scholarship 1,500
Braman, OK 74632
Dewitt, Katherine None Educational Scholarship 1,500
Andover, KS 67002
Diehl, Kevin None Educational Scholarship 1,500
Wichita, KS 67204
Dodson, Jill None Educational Scholarship 1,500
Kennesaw, GA 30144
Dolechek, Deborah None Educational Scholarship 1,500
Bel Aire, KS 67220
Donnelly, Erin None Educational Scholarship 1,500
Hopedale, MA 01747
Dort, Tyler None Educational Scholarship 1,500
Valley Center, KS 67147
Duea, Sarah None Educational Scholarship 1,500
Hastings, MN 55033 .
Dula, Jonathon None Educational Scholarship 1,500
Beaumont. TX 7n06
Dunlap, Jessica None Educational Scholarship 1,500
Camden, SC 29020
Edie, Heather None Educational Scholarship 1,500
Fairbanks, AK 99712
Egerton, William None Educational Scholarship 1,500
Middletown, DE 19709
Farmer, Emily None Educational Scholarship 1,500
Wilmington, NC 28407

Scholarships Paid - Page 2 of 8

---
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

Finlen, Ryan None Educational Scholarship 1,500


Easley, SC 29642
F,sher, Miranda None Educational Scholarship 1,500
Derby, KS 67037
Flax, Caleb None Educational Scholarship 1,500
Rose Hill, KS 67133
Franssen, Nicholas None Educational Scholarship 1,500
Andover, KS 67002
Fritz, Kailey None Educational Scholarship 1,500
Prescott, WI 54021
Gibson, Robert None Educational Scholarship 1,500
Lugoff, SC 29078
Ginther, Elizabeth None Educational Scholarship 1,500
Dodge City, KS 67801
Glenn, Emily None Educational Scholarship 1,500
Wichita, KS 67230
Gorcyca, Katherine None -Educational Scholarship 1,500
Kennett Square, PA 19348
Graeff, Benjamin None Educational Scholarship 1,500
Canton, OH 44718
Gregory, Logan None Educational Scholarship 1,500
Victona, TX 77905
Guillemette, Shayn None Educational Scholarship 1,500
Benton, KS 67017
Hardeman, Matthew None Educational Scholarship 1,500
Rock Spring, GA 30739
Harris; Holly None Educabonal Scholarship 1,500
Ooltewah, TN 37363
Hawes, David None Educabonal Scholarship 1,500
PowderSprings,GA 30127
Highfill, Adam None Educational Scholarship 1,500
Wichita, KS 67228
Holliman, Krista None Educational Scholarship 1,500
Wichita, KS 67235
Howard, Michael None Educational Scholarship 1,500
Avondale, PA 19311
Jamison, Olivia None Educational Scholarship 1,500
Boiling Springs, SC 29316
Janssens, Nicholas None Educational Scholarship 1,500
Charlottesville, VA 22911
Jayakaran, Jacob None Educational Scholarship 1,500
Tulsa, OK 74137
Jenny, Matthew None Educational Scholarship 1,500
Waynesboro, VA 22980
Johnson, Anna None Educational Scholarship 1,500
Wichita, KS 67220
Johnson, Kelly None Educational Scholarship 1,500
Ramona, CA 92065
Juarez, Joseph None Educational Scholarship 1,500
Odem, TX 78370

Scholarships Paid - Page 3 of 8


----

. FRED C. AND MARY R. KOCH FOUNDATION


EIN 48-6113560
SCHEDULE OF INFORMATION FOR 2010 FORM 990-PF

!PART XV, LINE 3A, GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR: ATTACHMENT 131
RECIPIENTNAME RECIPIENT PURPOSE
AND ADDRESS RELATIONSHIP OF GRANT AMOUNT

Kaiser, Brianna None Educational Scholarship 1,500


Valley Center, KS 67147
Kaiser, Katelyn None Educational Scholarship 1,500
Emporia, KS 66801
Kaufmann, Peter None Educational Scholarship 1,500
Silver Spring, MD 20910
Keller, John None Educabonal Scholarship 1,500
Wichita, KS 67205
Keller, Jordan None Educabonal Scholarship 1,500
'Nichita,KS 67205
Kilburg, Tara None Educational Scholarship 1,500
LaMotte, IA 52054
Kimpton, Kelly None Educational Scholarship 1,500
Seaford, DE 19973
Kissick, Kyle None Educational Scholarship 1,500
Highlands Ranch, CO 80129
Kohn, Taylor None Educational Scholarship 1,500
Wichita, KS 67216
Kopf, Kevin None Educational Scholarship 1,500
Blythewood, SC 29016
Lambert, Jenna None Educational Scholarship 1,500
Harrowsmith,ON KOH1VO
Latta, Amy None Educational Scholarship 1,500
Wichita, KS 67206
Latta, Jennifer None Educational Scholarship 1,500
Wichita, KS 67206
Lauridsen, Kaitlin None Educational Scholarship 1,500
Brockville, ON K6V6V2
Lee, Charlene None Educational Scholarship 1,500
Edison, NJ 08820
Lee, Daniel None Educational Scholarship 1,500
Houston, TX 77070
Liberatore, Anthony None Educational Scholarship 1,500
Wilmington, MA 01887
Liddle, David None Educational Scholarship 1,500
Bogart, GA 30622
Liddle, Peter None Educational Scholarship 1,500
Bogart, GA 30622
Lindwall, Tyler None Educational Scholarship 1,500
Eagan, MN 55123
Longoria, Joel None Educational Scholarship 1,500
Corpus Christi, TX 78413
Loomis, Ryan None Educational Scholarship 1,500
Waynesboro, VA 22980
Lukhard, Melissa None Educational Scholarship 1,500
Greer, SC 29650
Mainz, Emilie None Educational Scholarship 1,500
Goddard, KS 67052
Malone, Kyle None Educational Scholarship 1,500
Wichita, KS 67206

Scholarships Paid - Page 4 of 8


"
.. FRED C. AND MARY R. KOCH FOUNDATION
EIN 48-6113560
SCHEDULE OF INFORMATION FOR 2010 FORM 990-PF

!PART XV, LINE 3A, GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR: ATTACHMENT 131
RECIPIENTNAME RECIPIENT PURPOSE
AND ADDRESS RELATIONSHIP OF GRANT AMOUNT

Manor, Gregory None Educational Scholarship 1,500


Waynesboro, VA 22980
Marcinkowski-Desmond, Dana None Educational Scholarship 1,500
Derry, NH 03038
Martin, Kaitlin None Educational Scholarship 1,500
Andale, KS 67001
Martyn, Matthew None Educational Scholarship 1,500
Oglesby, IL 61348
Mason, Christa None Educational Scholarship 1,500
Dayton, TX 77535
Massa, Maria None Educational Scholarship 1,500
Gallatin, TN 37066
McCarthy, Shelsea None Educational Scholarship 1,500
Lakeville, MN 55044
McClymont, Kaitlin None Educational Scholarship 1,500
Corpus Christi, TX 78418
McDonald, Emily None Educational Scholarship 1,500
Rosemount, MN 55068
McGreevy, John None Educational Scholarship 1,500
Wichita, KS 67206
McIntosh, Kelsey None Educational Scholarship 1,500
Beaumont, TX 77702
Miller, Meagan None Educational Scholarship 1,500
Wichita, KS 67235
Miller, Nathan None Educational Scholarship 1,500
Houston, TX 77096
Mitchell, Kayla None Educational Scholarship 1,500
Wichita, KS 67208
Monroe, Alexandra None Educational Scholarship 1,500
Inman, SC 29349
Moore, David None Educational Scholarship 1,500
Spartanburg, SC 29301
Morgan, Tessa None Educational Scholarship 1,500
Ochelata, OK 74051
Morgan, Ton None Educational Scholarship 1,500
Ochelata, OK 74051
Mortimer, Melissa None Educational Scholarship 1,500
Hixson. TN 37343
Murphy, Christina None Educational Scholarship 1,500
Eden, NC 27288
Murray, Megan None Educational Scholarship 1,500
Wichita, KS 67208
Niehaus, Taylor None Educabonal Scholarship 1,500
Elgin, SC 29045
Niemtschk, Kelsey None Educational Scholarship 1,500
Andover, KS 67002
N1euwoudt, Claudia None Educational Scholarship 1,500
Wichita, KS 67206
N1euwoudt, Stephan None Educational Scholarship 1,500
Cleveland, OH 44106

Scholarships Paid - Page 5 of 8


. . .. FRED C. AND MARY R. KOCH FOUNDATION
EIN 48-6113560
SCHEDULE OF INFORMATION FOR 2010 FORM 990-PF

!PART XV, LINE 3A, GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR: ATTACHMENT 131
RECIPIENTNAME RECIPIENT PURPOSE
AND ADDRESS RELATIONSHIP OF GRANT AMOUNT

Nix, Anna None Educational Scholarship 1,500


Jefferson, GA 30549
O'Sullivan, Tierney None Educational Scholarship 1,500
Roswell, GA 30075
Papadelis, Efstratios None Educational Scholarship 1,500
Wichita, KS 67230
Penciak, Matej None Educational Scholarship 1,500
Wichita, KS 67205
Pinnell, Anne None Educational Scholarship 1,500
Wichita, KS 67226
Poinsatte, Joanna None Educational Scholarship 1,500
Hixson, TN 37343
Polasek, Sarah None Educational Scholarship 1,500
Taft, TX 78390
Poole, Danielle None Educational Scholarship 1,500
Sugarland,TX 77479
Porter, Piritta None Educational Scholarship 1,500
Wichita, KS 67212
Potcinske, Haley None Educational Scholarship 1,500
Yorktown.TX 78164
Potts, Claire None Educational Scholarship 1,500
Columbia, SC 29223
Pringle, Jennifer None Educational Scholarship 1,500
Lewes, DE 19958
Puetz, Jacob None Educational Scholarship 1,500
Garden Plain, KS 67050
Quinn, Molly None Educational Scholarship 1,500
Edna, TX 77957
Rach, Kayla None Educational Scholarship 1,500
Corpus Christi, TX 78410
Rajendran, Dhevi None Educational Scholarship 1,500
League City, TX 77573
Raman, Vineet None Educational Scholarship 1,500
Houston, TX 77059
Ramseyer, Ryan None Educational Scholarship 1,500
Wichita, KS 67226
Ratskoff, Benjamin None Educational Scholarship 1,500
Buffalo Grove, IL 60089
Ray, Caitlin None Educabonal Scholarship 1,500
Augusta, KS 67010
Reese.Todd None Educational Scholarship 1,500
Wilmington, DE 19808
Reese, Zachary None Educational Scholarship 1,500
Wilmington, DE 19808
Reilly, Maegan None Educational Scholarship 1,500
Corpus Christi, TX 78410
Reinecke, Teneal None Educational Scholarship 1,500
Vidoria, TX 77904
Rethwiscll, Samuel None Educational Scholarship 1,500
Lakevtlle, MN 55044

Scholarships Paid - Page 6 of 8

-~---
-------
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

Richey, Preston None Educational Scholarship 1,500


Wichita, KS 67220
Rodriguez, Adriana Iturbide None Educational Scholarship 1,500
Charlotte, NC 28277
Rohleder. Joshua None Educational Scholarship 1,500
Wichita, KS 67212
Rudat. Alexander None Educational Scholarship 1,500
Woodstock, GA 30189
Ruiz, Sandra None Educational Scholarship 1,500
Tulsa, OK 74137
Rye, Rachel None Educational Scholarship 1,500
The Woodlands, TX 77382
Salisbury, Jason None Educational Scholarship 1,500
Cartersville, GA 30120
Schmidt, Cartlin None Educational Scholarship 1,500
Wichita, KS 67212
Schmitt, Laura None Educational Scholarship 1,500
Concord, NC 28027
Schroeder, Amy None Educational Scholarship 1,500
De Witt, NE 68341
Schroeder, Thomas None Educational Scholarship 1,500
De Witt, NE 68341
Schumann, Matthew None Educational Scholarship 1,500
Statham, GA 30666
Searle, Paul None Educational Scholarship 1,500
Wichita, KS 67226
Selle,' Christopher None Educational Scholarship 1,500
Sugarland,TX 77479
Sheck, Stacie None Educational Scholarship 1,500
Hastings, MN 55033
Shectman. Andrew None Educational Scholarship 1,500
Newark, DE 19711
Simonsen, Kelsey None Educational Scholarship 1,500
Waynesboro, VA 22980
Stevens, Francis None Educational Scholarship 1,500
Wilmington, MA 01887
Stewart, Michael None Educational Scholarship 1,500
Wilmington, MA 01887
Strate. Justin None Educational Scholarship 1,500
Fairmont, OK 73736
Sun. Sharon None Educational Scholarship 1,500
Wilmington, DE 19808
Sweigart, Eric None Educational Scholarship 1,500
Newark, DE 19711
Taylor, Allison None Educational Scholarship 1,500
Calgary, AB T3H2Z4
Taylor, Robert None Educational Scholarship 1,500
Kingston, ON K7P 1M2
Teerlink, Christopher None Educational Scholarship 1,500
Waynesboro, VA 22980

Scholarships Paid - Page 7 of 8


---- -
- --

- .. FRED C. AND MARY R. KOCH FOUNDATION


EIN 48-6113560
SCHEDULE OF INFORMATION FOR 2010 FORM 990-PF

!PART XV, LINE 3A, GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR: ATTACHMENT 131
RECIPIENT NAME RECIPIENT PURPOSE
AND ADDRESS RELATIONSHIP OF GRANT AMOUNT

Thraen, Linnea None Educational Scholarship 1,500


Hastings, MN 55033
Treat, Meredith None Educational Scholarship 1,500
West Palm Beach, FL 33401
Trerotola, Tyler None Educational Scholarship 1,500
Chadds Ford, PA 19317
Vancleave, Kelly None Educational Scholarship 1,500
Victona, TX 77904
VanDyke, Courtney None Educational Scholarship 1,500
Pond Creek, OK 73766
Voth.Anna None Educational Scholarship 1,500
Wichita, KS 67235
Weeks, Savannah None Educational Scholarship 1,500
Cartersville, GA 30120
Wilkes, Katherine None Educational Scholarship 1,500
Crystal Lake, IL 60012
Williams, Robert None Educational Scholarship 1,500
Camden, SC 29020
Williams, Thomas None Educational Scholarship 1,500
Columbia, SC 29223
Wilson, Amanda None Educational Scholarship 1,500
Waynesboro, VA 22980
Wofford, Ashley None Educational Scholarship 1,500
Wellford, SC 29385
Yerkes, Daniel None Educational Scholarship 1,500
River Forest, IL 60305
Yerkes, Theresa None Educational Scholarship 1,500
Rrver Forest, IL 60305
Young, Kevin None Educational Scholarship 1,500
Bridge City, TX 77611
Young.Shannon None Educational Scholarship 1,500
Bridge City, TX n611
Zakrewsky, Michael None Educational Scholarship 1,500
Seaford, DE 19973
Zemanick, Knsten None Educational Scholarship 1,500
Wichita, KS 67212
Zuiss, Edward None Educational Scholarship 1,500
Andove~KS 67002

TOTAL INDMDUAL SCHOLARSHIPS PAID 288,750

Scholarships Paid - Page 8 of 8


. -
'

FRED C. AND MARY R. KOCH FOUNDATION


EIN 48-6113560
ATTACHMENT TO FORM 990-PF TO REPORT
EXPENDITURE RESPONSIBILITY GRANT
For the Year Ended 12/31/10

PART Vll-8, Question on Line Sc: ATTACHMENT 14

Expenditure Responsibility Statement for the Year 2010

Pursuant to IRC Regulation section 53.4945-5(d)(2), the FRED C. AND MARY R. KOCH FOUNDATION
provides the following information:

(i) Name & Address Kansas Cultural Trust


of Grantee: 255 N. Roosevelt
W1ch1ta,KS 67208

(11) Date and Amount March 19, 2009 $152,080


of Grant: January 22, 201 O $111,000

(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)

ZAZOVE BOND FUND p VARIOUS VARIOUS


PROPERTY TYPE: SECURITIES
775,226. 720,634. 54,592.

GLEACHER DIVERSIFIED STRATEGIES FUND LTD p VARIOUS VARIOUS


PROPERTY TYPE: SECURITIES
2,579,800. 2,468,098. 111,702.

TOTAL GAIN (LOSS) ....... ... . .. . ... .... .. ... . . .. . .. .. ... ... .. ... . 166,294.

JSA
OE1730 1 000
97492F K932 8/4/2011 4:42:27 PM V 10-7.1 85653
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

Form 990-BL 02 Form 1041-A 08


Form 990-EZ 03 Form 4720 09
Form 990-PF 04 Form 5227 10
Form 990-T (sec 401(a) or 408(a) trust) 05 Form 6069 11
Form 990-T (trust other than above) 06 Form 8870 12
STOP! Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868.
The books are in the care of ~ _H_E_A_T_H_E_R
__ L_O_V_E
_______________________ _
Telephone No ~ 316 828-8286 FAX No ~
If the organization does not have an office or place of business in the United St-a-te_s_,_c_h_e_c_k-th_1_s_b_o_x
____ .-.-. -.- .... ~ D
If this 1sfor a Group Return, enter the organization's four d1g1tGroup Exemption Number (GEN) If this 1s
for the whole group, check this box .. ~ D If 1t1sfor part of the group, check this box ~ . D
and attach a
list with the names and EINs of all members the extension 1sfor
4 I request an add1t1onal3-month extension of time until ____________ , 20 .ll._
1_1~/_1_5
5 For calendar year 2010 , or other tax year beginning , 20 , and endm,...~.....,_
_______ , 20
6 If the tax year entered in line 5 1sfor less than 12 months, check reason D
Initial return LJ
Final return
D Change in accounting period
7 State in detail why you need the extension
ADDITIONAL TIME IS REQUIRED TO ACCUMULATE THE INFORMATION NECESSARY TO
FILE A COMPLETE AND ACCURATE RETURN.

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

Signature~ Tide ~ Date~


Form 8868 (Rev 1-2011)

JSA

OF8055 3 000
97492F K932 8/9/2011 10:33:17 AM V 10-7.2 85653

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