Professional Documents
Culture Documents
990-PF
Form
Department
ot lhef,easury
InternalRevenue
service
[E~'fENS~O~
~~Jf D
~@OS
4947(a)(1) Nonexempt
Charitable Trust
Treated as a Private Foundation
Note: The or amzat,on ma "tJe'able to use a
of this return to sat,s state re
__
I I Final
I I Amended
return
I I
return
Address
Name of organization
Use the IRS
label.
I,
'
Otherwise,
print
or type.
SeeSpecific
Instructions.
KS
o12
934
501(c~
I I Other
taxable
Contnbut1ono1fts.
grants,etc. rece1wd
(attachschedule)
Ch k ..._
if the foundation1snot requiredto
ec .....attachSch B
Interest on savingsand temporarycash investments
c:
CII
>
CII 7
a:::
LJ
LxJ
30,020
2 61,
6 71
2 61
6 71
401
7 42
401
7 42
(.)
..... \!\\UV, ,
In
--11 l.UUOJ
-
. - -.
(/)'
_!,:!;;
OliU ~N. U !
17,996.
STMT
17.996.
663.656.
261
295.
NONE
35
541.
NONE
26,537.
in
~,vr2:a
- 84 , 47 6 .
Compensationof officers,directors,trustees,etc
:J:15
c:
(d) Disbursements
for charitable
purposes
(cash basis onlv)
REC
r-----:-:-:---:-::--::-t---------r---t-,=!;;!!=;!::~;!;;:===~~f--
UI
11
.....-
12~4[;3L_J.
'-------JC==:::;;~~~~~~~==+-
.f_2_14]3l.,.+_____
9 Income mod1f1cat1ons
1 O a Gioss salesless returns
and allowances 1---------+---------+-----------+----------+---------b Less Costof goodssold l~-------+---------+-----------+----------t---------c Gross profit or (loss) (attach schedule)
12
13
14
760.
tj
828-5552
If exemption
appllcatlon
1s
computat100 .
onvate foundation
48-0918408
Telephone number(seepage 10 of
the mstructJons)
method
Cash
Accrual
undersectionso?(b)(i)(Al.
checkhere. ~
Other (specify) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ F If the foundation IS In a 60-month termination
undersection
507(b)(1)(8),
checkhere ~
(Part I, colurm (d) must be on cash basis)
J Accounting
~Analysis
of Revenue and Expenses
(The total of amounts m columns (b), (c), and
(d) may not necessan/y equal the amounts m
column (a) (see page 11 of the mstruct,ons) )
change
pending,
checkhere . . . .
0 1. Fore1gn
organizat1ons,
checkhere
2 Foreignorganizat1ons
meeting
the
85o/o
test,checkhereandattach
67201-2256
lxJ Section
(316)
C
16) ~ $
Room/suite
P.O.
BOX 2256
City or town, state, and ZIP code
WICHITA
I I Name
change
A Employer1denbficationnumber
CHARLES
G. KOCH CHARITABLE
FOUNDATION
Number and street (or PO box number 1fma1l1snot delivered to street address)
wrements
L 843.
5. 720.
CII
360.110.
35.465.
>
.::;
17
18
rsJZ.
- 19
~
20
{;'II
"C 21
22
~ 23
I'll 24
183.198.
a
..
-
5.575.
26,279.
t
~
25
26
27
)
a
b Net investment
t---~~~~~~~t----------+---------+---------
620
513.
17.996.
* * STMT
For Privacy Act and Paperwork Reduction Act Notice, see the instructions.
JSA
j 5E14102000
16733H
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85646
Irr
---------------------
---
Form 990-PF120051
1::1:Tillll
Balance
1
2
3
Sheets
Cash - non-mterest-beanng .
Beammna of vear
Grants receivable
16
..
731.
30.995.569.
47.697.
------------....------------------------
649
30
995
569.
8 6 L007.
End of vear
..
Page2
48-0918408
Attached schedulesand amountsin the
descriptioncolumnshouldbe for
end-of-vearamountsonlv !SeeinstructJons
l
86.007.
86.007.
-------------
... 9
Ill
a,
Ill
Ill
<
------------..
30,544.
NONE
438.
12.500.000.
2.438.
12
566.775.
11
....
16
17
18
Grants payable
19
Deferred revenue
Ill
a,
~ 20
21
:J 22
23
lx.J
..
..
Permanently restncted
::::I
Organizations
that do not follow SFAS 117,
check here and complete lines 27 through 31.
c527
~
a, 28
~a,
744.
52
353.
84.016.
1 185
000.
25.000.
1 237
353.
72
000.
788
297.
355.000.
76.012.934.
109
016.
45
672
391.
72.679
281.
45
672
391.
72.679.281.
46
909
744
72,788
....
o
..
30
31
909
355
..
u..
::l29
000.
Unrestricted
c:
355
26.937.145.
..
Temporarily restncted
26
471.589.
....-------------------)
Other hab1ht1es(descnbe
; 25
"tl
25
5.070.000.
~ 24
..
3.377.694.
26.449.078.
46
Organizations
and complete
Ill
..
..
3.377.694.
.. . .
instructions)
.. ..
the instructions)
1@1111
Analysis
297.
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
..
1
2
3
27,006,890.
..
72
679.281.
5
6
72
679
..
45. 672,
SE 1420 1 000
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281.
Form990-PF (2005)
JSA
16733H
391.
85646
~1-llCapital
Gains
and Losses
Income
(b) How
acquired
P-Purttlase
0-Donation
1a
b
c
d
SEE PART IV
Page 3
48-0918408
(c) Date
acquired
(mo , day, yr)
SCHEDULE
e
(g) Cost or other basis
plus expenseof sale
(or allowable)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(i)F M.V as of 12/31/69
U) AdJustedbasis
as of 12/31/69
a
b
c
d
e
If gain, also enter in Part I, line 7
If (loss). enter -0- 1nPart I, line 7
3 Net short-term capital gain or (loss) as defined 1nsections 1222(5) an::I(6)
If gain, also enter in Part I, line 8, column (c) (see pages 13 and 17 of the 1nstruct1ons)
2 Capital gain net income or (net capital loss)
.....
1:r.1-
...
Tax on Net Investment
}
}3
-84,477.
Income
(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 organization liable for the section 4942 tax on the distributable amount of any year 1nthe base perod?. . . .
If "Yes," the organization does not qualify under section 4940(e) Do not complete this part
Yes~
No
1 Enter the appropriate amount in each column for each year, see page 18 of the instructions before making any entries
(a)
Base penod years Calendar year
(or tax year beginning in)
(b)
AdJusted qualifying d1stnbut1ons
2004
2003
2002
2001
2000
2
3
0.08790792073
0.12662425535
0 .11598407797
0.15524636956
0.14856488822
784.
33.959
25.930.498.
28. 571 232.
27.673
813.
33.847
015.
2.985.334.
3.283.430.
808.
3.313
4 296 259.
478.
5.028
... ......
..
.. .
. ..
0.63432751183
. . . . . . . ..
0.12686550237
Enter the net value of noncharitable-use assets for 2005 from Part X, line 5
(d)
D1stnbut1on ratio
(col (bl divided by col (cl)
(c)
Net value of nonchantable-use assets
..........
. . . . . . . . . . . . . . . . . . . ...................
...................
.................
4
5
47.843.504.
6 069.690.
6 205.
6
7
6 075
895.
4 64 6 986.
If line 8 1s equal to or greater than line 7, check the box 1n Part VI, hne 1b, and complete that part using a 1% tax rate See the Part VI instructions on page 18
JSA
5E1430 1 000
Form
16733H
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85646
990-PF
(2005)
4 8-0
II
1a
.....
. }
Page 4
918 4 0 8
Income (Section 4940(a), 49401b , 4940(e), or 4948 - see paQe 18 of the instructions)
.
1
12
41 O
12
410.
c All other domestic orgamzabons enter 2% of line 27b Exempt foreign organizations enter 4% of Part I, hne 12. col (b)
Tax under section 511 (domestic section 494 7(a)(1) trusts and taxable foundations only Others enter -0-)
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-)
Tax based on investment income. Subtract line 4 from line 3 If zero or less, enter -O-
12
- . .
14.848.
4
5
NONE
410.
Cred1ts/Payments
Sa
Sb
NONE
c Tax paid with application for extension of time to file (Form 8868).
Sc
NONE
6d
. . .
Tax due. If the total of Imes 5 and 8 1s more than line 7, enter amount owed
1o
11
848.
..... 9
Overpayment If line 7 1s more than the total of Imes 5 and 8, enter the amount overpaid
Enter the amount of line 10 to be Credited to 2006 estimated tax..,..
2
14
..,..,__1_0-+
_______
Refunded..... 11
4 38.
2_~,4_3_8_.
1 a During the tax year, did the orgamzat1on attempt to influence any national, state, or local leg1slat1onor did
11part1c1pateor intervene in any political campaign? . . .
No
. . . . . . . . . l---'1-"a'--+---1---"x'-
b Did 11spend more than $100 during the year (either directly or indirectly) for poht1calpurposes (see page
19 of the instructions for definition)?
. . . .
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and ccp1es of any matenals
. . . . . . . _ . t-'-1""-b-+----1-=x'-
Did the orgamzat1on file Form 1120-POL for this year? ...........
. . . . ,__1_c-+---+-~x'd Enter the amount (1f any) of tax on political expenditures (section 4955) imposed dunng the year
(1) On the organization ..... $
(2) On orgarnzabon managers ..... $ __________
_
e Enter the reimbursement (1f any) paid by the orgamzat1on during the year for poht1calexpenditure tax imposed
on orgamzat1on managers
..,.. $ _________
Has the orgamzat1on engaged in any act1v1t1esthat have not preV1ouslybeen reported to the IRS? . .
Has the orgamzat1on made any changes, not previously reported to the IRS, in its governing instrument, articles
of mcorporat1on, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes
4a
4a
Did the organization have unrelated business gross income of $1,000 or more dunng the year?
4b
b If "Yes," has 11filed a tax return on Form 990-T for this year? ...........
N/A
x
Was there a liqu1dat1on, termination, d1ssolullon, or substantial contraction dunng the year? ..
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either
. . . . . . . . .
Did the orgamzat1on have at least $5,000 in assets at any time dunng the year? lf"Yes," complete Part II, col (c), and Part XV
7
Sa
Enter the states to which the foundation reports or with which 111sregistered (see page 19 of the
...
Is the organization claiming status as a private operating foundation w1th1nthe meaning of section 4942(])(3)
x
......... ,-.....c~--Sb
or 4942(])(5) for calendar year 2005 or the taxable year beginning in 2005 (see 1nstruct1onsfor Part XIV on
page 26)? If "Yes," complete Part XIV
Did any persons become substantial contributors dunng the tax year? If "Yes, attach a schedule hstmg the,r names and addresses
10
11
Did the orgamzat1on comply with the public inspection requirements for its annual returns and exemption apphcat1on? ...
11
12
13
_E. _37TH_ST.
_N. _vHCHITA_,_
KS -----------------
Section 4947(a)(1) nonexempt charitable trusts fihng Form 990-PF in lieu of Form 1041 Check here .......
and enter the amount of tax-exempt interest received or accrued dunng the year . . . . . . . . . . ..,.., 13
. . . . . . . . .
10
J 3161828-5552
x
x
______
________________
N/A
.......
Form
..,..
990-PF
JSA
5E1440 1 000
16733H
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85646
(2005)
~.m11:Statements
Regarding Activities
48-0918408
for Which Form 4720 May Be Required
Page5
Yes
File For:'jl'l 4720 if any item is checked in the "Yes" column, unless an exception applies.
1a During the year did the organization (either directly or indirectly)
Ci] No
0Yes
(1i Engage in the sale or exchange, or leasing of property with a disqualified person? ..
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept 1tfrom)
a disqualified person? . . . . . . . . . . . . . . . . . . . . . .
Yes
Yes
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ..
Yes
No
No
No
(5) Transfer any income or assets to a disqualified person (or make any of either available
No
Ci] No
DYes
(6) Agree to pay money or property to a government official? (Exception. Check "No"
1f the organization agreed to make a grant to or to employ the official for a period
after termination of government service, 1f terminating within 90 days ) . . . . . . D
b
Ci] No
Yes
If any answer 1s''Yes" to 1a(l )-(6), did any of the acts fail to qualify under the exceptions descnbed 1nRegulations
section 53 4941 (d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?. .
Organizations relying on a current notice regarding disaster assistance check here . . . . . . .
.:
1b
1c
c Did the organization engage in a prior year in any of the acts descnbed 1n1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2005?
. . . . .
Taxes on failure to distribute income (section 4942) (does not apply for years the organization was a private
Ci] No
Yes
~ ---------------------------------lf"Yes,"listtheyears
b Are there any years listed in 2a for which the organization 1snot applying the prov1s1onsof section 4942(a)(2)
(relating to incorrect valuation of assets) to the year's und1stnbutedincome? (If applying section 4942(a)(2)
to all years listed, answer "No" and attach statement - see page 20 of the instructions)
. .
2b
NIA
3b
NIA
c If the prov1s1onsof section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here
~
3a
----------
---------
---------
---------
Did the organization hold more than a 2% direct or indirect interest in any business
Ci] No
Yes
or d1squahf1edpersons after May 26, 1969, (2) the lapse of the 5-year period (or longer penod approved
by the Comm1ss1onerunder section 4943(c)(7)) to dispose of holdings acquired by gift or bequest, or (3)
the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
if the organization had excess business hddings in 2005)
4a
. . . . . . . . . . . . . . . .
Did the organization invest during the year any amount in a manner that would Jeopardizeits charitable purposes? . .
4a
4b
5b
Sb
b Did the organization make any investment in a prior year (but after December 31, 1969) that could Jeopardizeits chantable
purpose that had not been removed from Jeopardy before the first day of the tax year beginning 1n2005?
Sa During the year did the organization pay or incur any amount to
(1) Carry on propaganda, or otherwise attempt to influence leg1slat1on
(section 4945(e))?
0Yes
(2) Influence the outcome of any spec1f1cpublic election (see section 4955), or to carry
on, directly or indirectly, any voter reg1strat1ondnve? .
(3) Provide a grant to an md1v1dualfor travel, study, or other similar purposes? . .
0Yes
Ci] No
0Yes
~No
Ci] Yes
0No
Ci] No
(4) Provide a grant to an organization other than a charitable, etc, organization descnbed
in section 509(a)(1), (2), or (3), or section 4940(d)(2)? ...............
(5) Provide for any purpose other than rehg1ous,chantable, sc1ent1fic,literary, or
educational purposes, or for the prevention of cruelty to children or animals? . . .
Yes
b If any answer 1s''Yes" to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions descnbed 1n
Regulations section 53 4945 or in a current notice regarding disaster assistance (see page 20 of the instructions)?
Organizations relying on a current notice regarding disaster assistance check here
. . . .
c If the answer 1s"Yes" to question 5a(4), does the organization claim exemption from the
for the grant? ?lj:F; .S.Tf,.TF;t1E.N'.['.
~O. . .
tax because 1t maintained expenditure respons1b11ity
CiJYes
~D
D
No
Sa Did the organ1zat1on,during the year, receive any funds, directly or indirectly, to pay
premiums on a personal benefit contract? . . . . . . . . . . . . . . . . . . . D
Yes
on a personal benefit contract? .
b Did the organization, during the year, pay premiums, directly or 1nd1rectly,
If you answered ''Yes" to 6b, also file Form 8870
Ci] No
Form
990-PF
JSA
5E1450 1 000
16733H
K932 11/15/2006
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V05-8
85646
(2005)
48-0918408
Form 990-PF (2005)
Page
i:ifil'1hi Information
(c) Compensation
(If not paid, enter
-0-1
(d) Contnbu~ons to
employee benefit plans
and deferred comoensa~on
261. 295.
NONE
NONE
---------------------------------------------------------------------------------------------------------------2
Compensation of five highest-paid employees (other than those included on line 1 - see page 21 of the instructions).
If none, enter "NONE."
(a) Name and address of each employee paid more than $50,000
(c) Compensation
(d) Contnbut1ons to
employee benefit
plans and deferred
com pensat1on
NONE
(c) Compensation
_
MANAGEMENTSERVICES
263.151.
---------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------~ INONE
ifil&f4iSummary
1_DURING_2005L_THE_FOUNDATION_CONDUCTED AN EDUCATIONAL_____________________
Expenses
_ CONFERENCE_FOCUSING_ON_PHILANTHROPIC GIVING.-----------------------------145.831.
2
Form
990-PF
JSA
5E14601000
16733H
K932 11/15/2006
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V05-8
85646
(2005)
Form 990-PF(2005)
1:..
-=Summary
of Program-Related
Investments
48-0918408
(see page 22 of the instructions)
Page
Amount
Describe the two largest program-related investments made by the foundation dunng the tax year on hnes 1 and 2
1 _NONE-------------------------------------------------------------------2
::l;Ti.
1
a
b
c
d
e
2
3
4
Fair market value of assets not used (or held for use) directly 1ncarrying out charitable, etc.
purposes
Average monthly fair market value of secunt1es ............
Average of monthly cash balances_ ...................
Fair market value of all other assets (see page 23 of the 1nstruct1ons)
.
Total (add lines 1a, b, ard c) ........................
Reduction claimed for blockage or other factors reported on lines 1a ard
1c (attach detailed explanation) . . . . . . . . . . . . . . . . . . . . . 1 e
Acqu1s1t1on
indebtedness applicable to line 1 assets
...
...................
Subtract line 2 from line 1d .........................................
Cash deemed held for charitable actMt1es Enter 1 112 % of line 3 (for greater amount, see page 23
1a
1b
1c
1d
36,404.363.
7.097.722.
5 070.000.
48 572.085.
2
3
48 572.085.
4
of the instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .....
Net value of noncharitable-use assets. Subtract line 4 from line 3 Enter here and on Part V, line 4 ..
5
6
Minimum investment return. Enter 5% of line 5 ..............................
1:1.fli:HDistributable Amount (see page 23 of the instructions) (Section 4942{])(3) and (J)(5) private operatng
and do not complete this part)
foundations and certain foreign organizations check here
1
Minimum investment return from Part X, line 6 . . . . .............
. . . . . . . . ......
1
2a Tax on investment income for 2005 from Part VI, line 5 . . . . . . . . 2a
12.410 .
I 2b I
b Income tax for 2005 (This does not include the tax from Part VI) ...
c Add Imes 2a and 2b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .............
2c
Distributable amount before adjustments Subtract line 2c from line 1
3
......... ...... 3
Recoveries of amounts treated as qualifying d1Stribut1ons.........................
4
4
Add Imes 3 and 4 ..............................................
5
5
6
6
Deduction from distributable amount (see page 24 of the instructions) ..................
Distributable amount as adjusted Subtract line 6 from line 5 Enter here ard on Part XIII,
7
7
line 1 .....................................................
5
6
iffEJiiQualifying
a
b
2
3
a
b
4
5
728 581.
47 843.504.
2 392.175.
~n
I
NONE
Distributions
2.392
175.
12 410.
2.379
765 .
2.379
765.
2.379
765.
4 646
986.
1a
1b
NONE
2
NONE
purposes ...............................
. . . . . . . . . . . . . . . .....
Amounts set aside for spec1f1ccharitable projects that satJSfythe
Su1tab11ity
test (prior IRS approval required) ............................
NONE
. . . . 3a
Cash d1stribut1ontest (attach the required sct'edule) .......................
3b
NONE
Qualifying distributions.Add Imes 1a through 3b Enter here andon PartV, hne8, andPartXIII, hne4 .. . . . . 4
4 646.986.
Organizations 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 24 of the 1nstruct1ons)
NIA
.... ...
.. 5
Adjusted qualifying distributions. Subtract line 5 from line 4 . . . .
6
4 646.986.
. . . . . ...
..
Note: The amount on f,ne 6 will be used ,n Part V, colurm (b), ,n subsequent years vhen ca/cu/at,ng w,ether the foundation
quaflfles for the section 4940(e) reduction of tax ,n those years
Form
990-PF
JSA
SE1470 1 000
16733H
K932
11/15/2006
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V05-8
85646
(2005)
1:.ffll3jj1
Undistributed
1
Page 8
48-0918408
.............
(b)
Years pnor to 2004
(c)
2004
(d)
2005
.......
2 379
765.
.........
NONE
2003
NONE
3.380.679.
2.919
590.
1.893.383.
1. 991 823.
1.297.997.
a From 2000
b From 2001
c From 2002
d From 2003
e From 2004
f
. . .........
XII, hne4 ~ $
11
483 472.
from Part
4,646,986_
NONE
..
2.379.765.
..
2.267.221.
13 750
693.
..............
NONE
....
NONE
Und,stnbuted
income
for 2004
Subtract line
4a from line 2a Taxable amount - see page
25 of the instructions
...............
Excess distributions
3.380
679.
carryover to 2006.
NONE
10.370.014.
......
2 919.590.
1 893.383.
1. 991. 823.
1 297.997.
2.267.221.
Form
990-PF
JSA
5E14801000
16733H
K932
11/15/2006
14:39:08
V05-8
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10
(2005)
Form 990-PF
-~
..... ~41111.'
1a
b
2a
48-0918408
(2005)
Page9
Private Operating Foundations (see page 26 of the 1nstruct1onsand Part VII-A, question 9)
If the fouf\dat1on has received a ruling or determination letter that 111sa pnvate operating
foundation, and the ruling 1seffective for 2005, enter the date of the ruling
-.
Check box to indicate whether the orgamzat1on 1s a private operating foundation described in section
Enter the lesser of the
adJusted net income from
Part I or the minimum
investment return from Part
X for each year hsted
85% of line 2a
Qualifying d1stnbut1ons
from Part
NOT APPLICABLE
4942(J)(3) or
I I
4942(J)(5)
Prior 3 years
Tax year
(a) 2005
(b) 2004
(c) 2003
(e) Total
(d) 2002
..
(1)
( 2)
b
(1)
(2)
from
general
Support
public and 5 or more
exempt organizations as
prov,ded in secuon 4942
OX3)(B)(111)
(3)
14l
:.r.
1
..
1.1111119_
.... ~-
Supplementary Information (Complete this part only if the organization had $5,000 or more in
assets at any time during the year - see page 26 of the instructions.)
Information
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 secton 507(d)(2))
CHARLES G. KOCH
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,
Check here~
1f the organization only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds If the organization makes gifts, grants, etc (see page 26 of the instructions) to 1nd1v1dualsor
organizations under other cond1t1ons,complete items 2a, b, c, ard d
a The name, address, and telephone number of the person to whom apphcat1onsshould be addressed
SEE STATEMENT 11
b The form in which applications should be submitted and information and materials they should include
SEE STATEMENT 12
c Any subm1ss1ondeadlines
NONE
d Any restrictions or llm1tat1ons on awards, such as by geographical areas, charitable fields, kinds of 1nst1tut1ons,or other
factors
SEE ATTACHMENTD
JSA
Fonm
SE 1490 1 000
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990-PF
11
(2005)
4 8-0 918 4 08
Supplementary Information (continued)
Grants and Contributions Paid During the Year or Approved for Future Payment
Page
10
1@f:(fj
3
Rec1p1ent
Name and address (tome or business)
If ree1p1entIS an indMdUal,
or substantial contnbutor
Foundauon
status of
rec,p,ent
Purpose of grant or
contnbuuon
Amount
SEE ATTACHMENT E
3,785,950.
..,..3a
Total .
3.785.950.
SEE ATTACHMENT E
25,000.
Total .
.... 3b
25 000.
Form 990-PF (2005)
JSA
5E1491 1 000
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12
85646
---------
l::r.,~-.,Jil'fW
(a)
PROG.
REL.
(b)
Business
code
11
Activities
Unrelated business income
Page
48-0918408
Analysis of Income-Producing
ExcluJ1on
co e
Amount
(d)
Amount
(e)
Related or exempt
function income
~ee page 26 of
t e instructions )
INVSTMT
17.996.
b
c
d
e
f
...
14
261
14
401,742.
671.
16
-3,587.
........
......
Debt-financed property
.........
18
-84
4 76.
d
e
575.350.
17
996.
13 Total. Add hne 12, columns (b), (d), and (e) ......
(See worksheet in line 13 instructions on page 27 to venfy calculations )
l::r.,~AJI
Line No.
...
lA
Relationship
of Exempt Purposes
Explain below how each act1v1tyfor which income 1s reported in column (e) of Part XVI-A contributed importantly to
the accomplishment of the organization's exempt purposes (other than by providing funds for such purposes) (See
page 27 of the instructions )
INCOME
FROM LOAN
EDUCATIONAL
IMAX
MADE
FOR PURPOSE
OF PRODUCING
AN
FILM
Fenn
JSA
990-PF
SE 1492 1 000
16733H
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(2005)
4 8 - 0 91 8 4 0 8
2005
Page 1 2
and Relationships
With Noncharitable
Did the organization directly or indirectly engage in any of the following with any other organization descnbed in section
No
Yes
50'1(c) of the Code (other than section 501 (c)(3) organizations) or in section 527, relating to polil1calorganizations?
a Transfers from the reporting organization to a nonchantable exempt organization of
x
x
1a(1l
(1) Cash .
(2) Other assets
..
1al21
b Other transactions
(1) Sales of assets to a noncharitable exempt organization
1bl11
1b(2)
1b(31
1b(4)
1bl51
1b(61
x
x
x
x
x
x
x
1c
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 organization If the organization received less than fair
market value in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services
received
(b) Amount involved
(a) Line no
NIA
NIA
2 a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?
b If "Yes," complete the f oIlowinQscheduIe
(b) Type of organization
..
Yes
[iJ
No
Under penalties of periury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and
belief, 1t 1s true, correct, and complete Declaration of preparer (other than taxpayer or fiduciary) 1sbased on all information of which preparer has any knowledge
... ~
Q)
of~~
lf-15-o,
~ Trt:.fJ..S..rJ.t:.er
Title
Date
Q)
:::c
c:
. .An. ~
Preparer's
-~:E ~ c5signature
~ ~-~J\
-~ 2'
Cl)
~~
g: F1rm'snameforyours1~
a::::,self-employed), address,
and ZIP code
Date
,,f;.ljfa
Check1f
self-employed ~
~~~ P
1551
N WATERFRONT
WICHITA.
PKWY,
STE
P00248403
EIN ~ 44-0160260
300
67206-6601
KS
Phone no
316-265-2811
Form
990-PF
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14
(2005)
Schedule B
OMB No 1545-0047
Schedule of Contributors
~05
Name of organization
Section:
Form 990-PF
Check 1fyour organization 1scovered 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 -
CiJFor organrzat1ons filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (1nmoney or
property) from any one contributor (Complete Parts I and II )
Special Rules -
D
D
For a section 501(c)(3) organization filing Form 990, or Form 990-EZ, that met the 33 1/3% support test under Reguat1ons
sections 1 509(a)-3/1 170A-9(e) and received from any one contributor, during the year, a contribution of the greater of
$5,000 or 2% of the amount on line 1 of these forms (Complete Parts I and II)
For a section 501(c)(7), (8), or (10) organrzat1on filing Form 990, or Form 990-EZ, that received from any one contributor,
during the year, aggregate contributions or bequests of more than $1,000 for use exclusively for religious, charitable,
sc1ent1f1c,
literary, or educational purposes, or the prevention of cruelty to children or animals (Complete Parts I, II, and Ill)
For a section 501(c)(7), (8), or (10) organization filing Form 990, or Form 990-EZ, that received from any one contributor,
during the year, some contributions for use exclusively for religious, charitable, etc. purposes, but these contributions did
not aggregate to more than $1,000 (If this box 1schecked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc . purpose Do not complete any of the Parts unless the General Rule
applies to this organ1zat1onbecause it received nonexclus1velyreligious, charitable, etc . contributions of $5,000 or more
during the year) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..,. $ _______
Caution: Organizations that are not covered by the General Rule and/or the Special Rules do not file Schedule B (Fon1J90,
990-EZ, or 990-PF), but they must check the box m the headmg of thetr Form 990, Form 990-EZ, or on /me 2 of their Form
990-PF, to certify that they do not meet the filmg requirerrents of Schedule B (Form 990, 990-EZ, or 990-PF)
For Paperwork Reduction Act Notice, see the Instructions
Schedule
JSA
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16
or ~PF)
(2005)
Page
Employer
of
identification
of Part I
number
48-0918408
UtfHiContributors
(b)
Name, address, and ZIP + 4
(a)
No.
__ 1_
(c)
Aggregate contributions
CHARLES G. KOCH
4111
E.
WICHITA. KS
(a)
No.
30,020,760.
37TH STREET N.
67220
(c)
Aggregate contributions
(b)
Name, address, and ZIP+ 4
(d)
Type of contribution
Person
Payroll
Noncash
(Complete Part II 1fthere
a noncash contribution )
IS
(d)
Type of contribution
Person
Payroll
Noncash
(Complete Part II 1fthere
a noncash contribution )
---
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
IS
(d)
Type of contribution
Person
Payroll
Noncash
(Complete Part II 1fthere
a noncash contribution )
---
(b)
Name, address, and ZIP+ 4
(a)
No.
(c)
Aggregate contributions
IS
(d)
Type of contribution
Person
Payroll
Noncash
(Complete Part II 1fthere 1s
a noncash contribution )
---
(b)
Name, address, and ZIP + 4
(a)
No.
(c)
Aggregate contributions
(d)
Type of contribution
Person
Payroll
Noncash
(Complete Part II 1fthere 1s
a noncash contribution )
---
(a)
No.
(b)
Name, address, and ZIP+ 4
(c)
Aggregate contributions
(d)
Type of contribution
Person
Payroll
Noncash
(Complete Part II 1fthere
a noncash contribution )
---
IS
JSA
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17
ATIACHMENTA
Expenditure Responsibility Statement for the Year 2005
Pursuant to IRC Regulation section 53 4945-5(d)(2), the CHARLES G. KOCH CHARITABLE FOUNDATION
provides the following information:
(i)
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.
(1v)
(v)
Amounts expended.
Report received from the Kansas Cultural Trust shows the following expenditures:
$27,553 of the remaining September 2004 grant was spent for providing enabling grants to
artists and for professional fees
Diversions:
To the knowledge of this granter foundation, no funds have been diverted to any
activity other than the activity for which the grant was originally made.
On April 24, 2006, the Kansas Cultural Trust submitted a full and complete report of its
expenditures of the September 2004 operating support grant
(vi) Verification:
The granter has no reason to doubt the accuracy or reliability of the report from
the grantee; therefore, no independent verification of the reports were made
ATIACHMENTB
Support for the Journalism Fellowship Program run by the Phillips Foundation
(1v)
(v)
$37,500
Amounts expended:
Report received from The Phillips Foundation shows the following expenditures:
$31, 176 of the June, 2005 grant was spent directly for providing grants through
their Journalism Fellowship Program
Diversions.
To the knowledge of this granter foundation, no funds have been diverted to any
activity other than the activity for which the grant was originally made.
(v1) Verification:
The granter has no reason to doubt the accuracy or rehab1htyof the report from
the grantee, therefore, no independent verification of the reports were made
ATTACHMENT C
c} ComQensation
(d) Contributions
to employee
benefit ~lans
(e) Expense
account, other
allowances
Richard Fink
655 15th Street, NW, Suite 445
Washington, DC 20005
President I Director
1 hour per week average
Kelly Young
655 15th Street, NW, Suite 445
Washington, DC 20005
Vice President
111105to 717105
5 hours per week average
Kevin L. Gentry
655 15th Street, NW, Suite 445
Washington, DC 20005
Vice President
10 hours per week average
Logan Moore
655 15th Street, NW, Suite 445
Washington, DC 20005
Secretary
10/12/05 to 12131105
29 hours per week average
Mark Humphrey
PO Box2256
Wichita, KS 67201
Secretary
111105to 10/12/05
Less than 1 hour per week
Vonda Holliman
PO Box 2256
Wichita, KS 67201
Treasurer
1O hours per week average
Charles G. Koch
P.O Box 2256
Wichita, KS 67201
Director
Less than 1 hour per week
Elizabeth B. Koch
P 0. Box 2256
Wichita, KS 67201
Director
Less than 1 hour per week
Director
Less than 1 hour per week
Director
Less than 1 hour per week
Not Applicable
(Payment for management
services of officers above)
232,605
Not Applicable
(Payment for management
services of officers above)
28,690
TOTAL
261,295
ATTACHMENT D
The foundation primarily supports research and education programs that analyze the impact of free soc1et1es,in
particular how they advance the well-being of mankind. Building on this knowledge, the Charles G. Koch Charitable
Foundation fosters the partnership of scientists and practitioners in order to integrate theory and practice.
By doing so, the Foundation strives to develop market-based tools that enable individuals, institutions and societies
to strive and prosper.
Grants from the Foundation are restricted to charitable organizations as defined in section 501 (c)(3) of the Internal
Revenue Code. The Charles G. Koch Charitable Foundation does not make grants to ind1v1duals
Charles G. Koch Charitable Foundation focuses on a select number of programs where it believes it is best positioned to support
positive social change. The Foundation encourages organizations seeking support to first familiarize themselves with those domains
by examining the Foundation's Areas of Interest In addition, the Foundation places several limitations on the requests it considers
1. The Foundation primarily makes grants to Section 501 (c)(3) public charities. The Charles G. Koch Charitable Foundation
does not support for-profit corporations or individuals.
2. The Foundation discourages grant proposals for capital construction, debt reduction, or general fundraising drives or
events. The Foundation does not make grants intended to support lobbying activities or candidates for political office. The
Foundation rarely funds endowments.
Organizations seeking grants from the Foundation and which meet the aforementioned criteria should submit a short letter (no more
than three pages) outlining their request. The letter should clearly and succinctly state:
1. Prospective grantee's mission and goals;
2. Specific project for which support is being sought,
3 Amount of funding requested;
4 Name, title, address, telephone number, and e-mail address of the primary contact person; and,
5 Current annual budget or audited financial statements
If applicable, please also include a list of other support (e.g , funding, in-kind contributions) secured for the project. Because the
Foundation only supports Section 501 (c)(3) public charities, 1talso reqwres that you submit verification from the IRS that your
organization 1sexempt from federal income tax as a Section 501 (c)(3) organization and is classified as a public charity under Section
509(a) of the Internal Revenue Code The Foundation kindly requests that no materials beyond what are described above be
included Please send all required materials to
Grant Administrator
Charles G. Koch Charitable Foundation
655 15th Street NW, Suite 475
Washington, DC 20005
Other Contact Information
Phone 202-393-2354
Fax 202-393-2355
email @ cgkfoundat1on com
Rec1p1ent
Name and address (home or business)
a Paid during
ATTACHMENT E
Foundation
status of
Purpose of grant
rec1p1ent
or contribution
Amount
or substanbal contnbutor
the year
Public
100,000
Public
25,000
Public
10,000
8111
of Rights Institute
Arlington, VA
Public
300,000
Public
5,000
Public
50,000
Public
75,000
Public
15,000
Public
30,000
Public
1, 102,500
Goldwater Institute
Phoenix, AZ
Public
Educallonal Programs
43,647
Independence Institute
Golden, CO
Pub he
56,661
Pub he
380,000
Public
10,000
Mercatus Center
Arlington, VA
Pub he
800,000
215,000
Public
90,000
Philanthropy Roundtable
Washington, DC
Public
25,000
Private
37,500
Public
25,000
Sm1thson1an lnst1tut1on
Cambridge, MA
Pub he
55,000
Public
Educational Programs
35,642
Public
1 of 2
300,000
Rec1p1ent
Foundation
status of
rec1p1ent
ATIACHMENTE
Purpose of grant
or contnbut1on
Amount
or subslanbal conlnbutor
3,785,950
Pubhe
25,000
2 of2
25,000
FORM 990PF,
48-0918408
DESCRIPTION
INTEREST FROM PROGRAM-RELATED INVESTMENT
TOTALS
16733H
K932 11/15/2006
14:39:08
V05-8
85646
ADJUSTED
NET
INCOME
17,996.
17,996.
17,996.
17,996.
18
STATEMENT 1
FORM 990PF,
48-0918408
DESCRIPTION
LEGAL FEES-INVESTMENT
LEGAL FEES-ADMIN
TOTALS
16733H
K932 11/15/2006
14:39:08
V05-8
NET
INVESTMENT
INCOME
1,843.
38,269.
1,843.
40,112.
1,843.
85646
ADJUSTED
NET
INCOME
CHARITABLE
PURPOSES
35,541.
NONE
19
35,541.
STATEMENT 2
FORM 990PF,
48-0918408
DESCRIPTION
ACCOUNTING FEES
INVESTMENT ACCTG SERVICES FEES
TAX PREPARATION FEES
26,541.
5,720.
4,783.
5,720.
TOTALS
37,044.
5,720.
16733H
K932 11/15/2006
14:39:08
V05-8
85646
ADJUSTED
NET
INCOME
NET
INVESTMENT
INCOME
CHARITABLE
PURPOSES
23,129.
3,408.
NONE
20
26,537.
STATEMENT 3
48-0918408
FORM 990PF,
DESCRIPTION
PROFESSIONAL CONSULTING FEES
INVESTMENT MANAGEMENTFEES
GRANT ADMINISTRATION FEES
LAND MAINTENANCE FEES
WEBSITE FEES
OTHER PROFESSIONAL FEES
TOTALS
16733H
K932 11/15/2006
14:39:08
V05-8
NET
INVESTMENT
INCOME
118,201.
30,763.
263,151.
3,715.
2,300.
545.
987.
30,763.
418,675.
35,465.
85646
CHARITABLE
PURPOSES
122,012.
235,553.
3,715.
2,000.
545.
360,110.
21
STATEMENT 4
48-0918408
FORM 990PF,
PART I - TAXES
REVENUE
AND
EXPENSES
PER BOOKS
DESCRIPTION
FEDERAL EXCISE TAX
REAL ESTATE TAXES
TOTALS
16733H
K932 11/15/2006
14:39:08
V05-8
NET
INVESTMENT
INCOME
12,410.
115.
115.
12,525.
115.
85646
22
STATEMENT 5
FORM 990PF,
48-0918408
DESCRIPTION
CHARITABLE
PURPOSES
INSURANCE
7,230.
7,230.
4,271.
3,856.
BANK FEES
328.
328.
SUPPLIES
3,558.
5,184.
TELEPHONE
6,222.
5,984.
3,630.
3,658.
MISCELLANEOUS
39.
TOTALS
16733H
K932 11/15/2006
14:39:08
39.
25,278.
VOS-8
85646
26,279.
23
STATEMENT 6
48-0918408
PART II
- U.S.
16733H
ENDING
FMV
ENDING
BOOK VALUE
DESCRIPTION
K932 11/15/2006
14:39:08
V05-8
85646
12,500,000.
12,566,775.
12,500,000.
12,566,775.
24
STATEMENT 7
48-0918408
ARDEN ENDOWMENTFUND
ZAZOVE CONVERTIBLE BONDS
MESIROW ABSOLUTE RETURN FUND
EXCELSIOR ABSOLUTE FUND
TCW SENIOR BANK/LOAN STRGY
TOTALS
16733H
ENDING
FMV
ENDING
BOOK VALUE
DESCRIPTION
K932 11/15/2006
14:39:08
V05-8
85646
5,000,000.
5,471,589.
5,000,000.
5,000,000.
5,000,000.
5,768,046.
5,375,653.
5,555,303.
5,154,503.
5,083,640.
25,471,589.
26,937,145.
25
STATEMENT 8
48-0918408
PART II
- OTHER ASSETS
'-
167338
ENDING
FMV
ENDING
BOOK VALUE
DESCRIPTION
K932
11/15/2006
14:39:08
V05-8
85646
355,000.
355,000.
355,000.
355,000.
26
STATEMENT
-CHARLES
'
G.
)
FORM '990PF,
PART VII-B,
48-0918408
STATEMENT
GRANTEE'S NAME:
SEE ATTACHMENTS A & B
GRANTEE'S ADDRESS:
CITY, STATE & ZIP:
GRANT DATE:
GRANT AMOUNT:
GRANT PURPOS~:
AMOUNT EXPENDED:
NO
ANY DIVERSION?
DATES OF REPORTS:
VERIFICATION DATE:
RESULTS OF VERIFICATION:
STATEMENT 10
16733H
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27
..
FORM 990PF,
48-0918408
----==========================================================
G~ANT ADMINISTRATOR.
STATEMENT 11
16733H
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28
990PF,
48-0918408
-----=========================-=============================
STATEMENT 12
16733H
K932 11/15/2006
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V05-8
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29
or
D
Descnpt1on
Deprec1at1on
allowed/
allowable
Cost or
other
h,,c,c
FMV
as of
1?n11nq
AdJ basis
as of
1?n11nq
Excess of
FMVover
ad1 basis
IE VAR
1,980,978.
11149240.
~,700,000.
Date
acquired
Gain
or
(loss)
Date sold
VAR
233,253.
p VAR
CORPORATE BONDS
PROPERTY TYPE: SECURITIES
2,700,000.
p VAR
...............................................
VAR
-317,730.
VAR
-84,477.
JSA
5E1730 1 000
167338
K932 11/15/2006
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V05-8
85646
15
If you are f1hng for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box .......
.
Note: O~ly complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868.
If ou are film for an Automatic 3-Month Extension, com lete onl Part I on a e 1 .
Additional
not automatic
r: -
Type or
print
-~~'
48-0918408
For IRS use only
:..'~
Filabythe
extended
due datefor PO BOX 2256
filing the
City, town or post office, state, and ZIP code. For a foreign address,see instructions
returnSee
Instructions WICHITA
KANSAS
67201
~r-'::.,}
-,,~~-.;--;-~
:~
---"~}
I
f~:;~
---
_ :.-L.
Check type of return to be filed (File a se arate application for each return):
Form 990-T(sec. 401(a) or 408(a) trust)
X
Form 990
Form 990-T (trust other than above)
Form 990-BL
Form 1041-A
Form 990-EZ
Form 990-PF
Form 4720
STOP: Do not complete Part II If you were not already granted an automatic 3-month extension
, i:"l' ,_,,_::_._
.,,
Form 5227
Form 6069
Form 8870
on a previously filed Form 8868.
LJ
LJ
Ba
b
LJ
State 1ndetail why you need the extension --------------------------------THE TAXPAYER REQUESTS ADDITIONAL
TIME IN ORDER TO GATHER
FOR A COMPLETE AND ACCURATE RETURN.
THE NECESSARY
If this appl1cat1on 1s for Form 990-BL, 990-PF, 990-T, 4 720, or 6069, enter the tentative tax, less any
nonrefundable credits See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If this application 1s 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 amount paid
previously with Form 8868 ...........................................
Balance Due. Subtract line 8b from line Ba Include your payment with this form, or, 1f required, deposit
with FTD coupon or, 1f required, by using EFTPS (Electronic Federal Tax Payment System) See
instructions ....................................................
INFORMATION
-'-$
_______
-'--$
_______
ID)
(0
Notice
fJ}!{/o
(o
We have approved this application. Please attach this form to the organization'sreturn
We have not approved this application. However, we have granted a 10-day grace period from the later of the date shown below or the due
date of the organization's return (including any prior extensions). This grace period is considered to be a valid extension of time for elections
otherwise required to be made on a timely return. Please attach this form to the organization'sreturn.
We have not approved this application. After considering the reasons stated in item 7, we cannot grant your request for an extension of lime
to file We are not granting a 10-daygrace period
We cannot consider this application because it was filed after the extended due date of the return for which an extensionwas requested
Other
Director
Date
Alternate Mailing Address - Enter the address if you want the copy of this application for an a(Ji~L3-month
returned to an address different than the one entered above
t:N,
Name
Type or
print
BKD, LLP
Number and street (Include suite, room, or apt. no.) or a P.O. box number
1551 NORTH WATERFRONT PARKWAY, SUITE
300
City or town, province or state, and country (Including postal or ZIP code)
WICHITA
JSA
5F8055 1 000
KANSAS
r-
extension
VVo
6 zoo
6
67206
8 (Rev 12-2004)