lefile I As GRAPHIC print - DO NOT PROCESS For calendar G Check I DLN:934913200200621 OMB No 1545-0052 Return of Private Foundation Form990-PF Department of theTreasury InternalRevenue Service Filed Data - or Section 4947(a)(1) Nonexempt Charitable Treated as a Private Foundation Trust 2011 Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements year 2011, or tax year beginning r In1t1al return r A mended return all that apply 01-01-2011 , and ending 12-31-2011 r In1t1al return of a former public charity r Final return r Address change r Name change A Employer identification Name of foundation CLAUDER LAMBECHARITABLEFOUNDATION number 48-0935563 % HEATHERLOVE Number and street (or PO box number 1fma1l 1snot delivered to street address) PO BOX2256 B Telephone number (see page 10 of the instructions) Room/suite (316) 828-8286 City or town, state, and ZIP code WICHITA, KS 672012256 H Check P"Section type of organ1zat1on r Section 494 7(a)(l) nonexempt I Fair market value of all assets of year (from Part II, col. (c), !me 16),..$ 4,331,707 l:a-11 t and Expenses (The Sa Gross [7 Net rental and temporary income cash investments from sale of assets gain net income 9 capital ·I Cost of goods sold c Gross profit or (loss) (attach 11 Other income schedule) 12 Total. Add lines 1 through 13 Compensation 14 Other 15 Pension (attach 11 of officers, directors, salaries and wages employee plans, employee Legal fees (attach b Accounting c Other schedule) trustees, 20 151,403 149,289 0 benefits schedule). fees (attach professional schedule). fees (attach schedule) t.-: 19 Deprec1at1on (attach schedule) ~ 24,657 319 ~ 38,818 38,818 ~ 2,203 0 800 800 1,540 1,540 0 22,706 0 and depletion Occupancy Travel, conferences, ,:::; 22 Printing -.., .!::' ,:::; 23 Other 24 Total operating t 2,134 etc Interest 0 154 71,670 I Gross sales less returns and allowances Taxes (attach schedule) (see page 14 of the instructions) :..... 154 71,670 77,445 18 !:: (c) Adjusted net income gain Less -:::::: 21 ~ (d) Disbursements for charitable purposes ( cash basis only) mod1f1cat1ons b 20 (b) Net investment income check here 1,234,003 17 ...:r If the foundation 1sin a 60-month temnmat1on under section 507(b)(l)(Bl, (from Part IV, line 2) :..... E -:::::: F ~ 77,445 not on line 10 p ,:::; i:: E If private foundation status was terminated under section 507( b)( l)(A), check here 0 from securities. Gross sales price for all assets on line 6a Net short-term > P"Accrual or (loss) Net gain or (loss) Income 4' Cash ~ rents 8 Li.I 2. Foreign organizations meeting the 85% test, check here and attach computation '' ' ' ' 1fthe foundation 1snot required to attach Sch B on savings Capital 16a ~ foundation (a) Revenue and expenses per books total of amounts m columns (b), (c), and (d) may not necessanly equal the amounts m column (a) (see page 11 of the mstmctwns) ) 4 )( r private - D1v1dends and interest 10a !:: of Revenue ~ D 1. Foreign organizations, check here foundation taxable Other (specify) (Part I, column (d) must be on cash basis.) Interest ~ ,fl r 3 b private method Check .... 7 4' J Accounting at end 2 4' ,fl exempt r Other Contributions, gifts, grants, etc, received (attach schedule) b Ci:: trust 1 6a ; :r; Analysis 501(c)(3) charitable C If exemption application 1spending, check here and meetings. and publ1cat1ons expenses (attach schedule) and administrative Add lines 13 through gifts, ~ • expenses. 68,018 23 grants 39,137 0 25,046 1,179,180 25 Contributions, paid. 26 Total expenses and disbursements. Add Imes 24 and 25 27 Subtract 1,179,180 1,247,198 39,137 0 1,204,226 line 26 from line 12 a Excess of revenue over expenses and disbursements b Net investment c Adjusted income (1f negative, net income (1f negative, For Privacy Act and Paperwork -1,095, 795 110,152 enter -0-) enter -0-) Reduction Act Notice, see page 30 of the instructions. Cat No 11289X Form 990-PF (2011) Page 2 End of year (b) Book Value (c) Fair Market Value Form 9 9 O- P F ( 2 O 11 ) l:F-TillU Balance Sheets 1 Cash-non-interest-bearing. 2 Savings and temporary Accounts 3 Less Pledges 4 Less receivable allowance receivable 5 Grants 6 Receivables 2,920 2,401,826 cash investments 132,228 132,228 1,069,593 1,069,593 0 .... for doubtful allowance Beginning of year (a) Book Value Attached schedules and amounts in the description column should be for end-of-year amounts only (See instructions ) accounts .... accounts .... 0 0 0 .... for doubtful receivable due from officers, d1squal1f1ed persons (attach directors, trustees, schedule) and other (see page 15 of the 1nstruct1ons). 7 '-"" m 8 '-"" '-"" ~ Other notes and loans receivable Less allowance Inventories Prepaid 9 10a expenses and deferred 6,035 charges S and state government obl1gat1ons (attach Investments-corporate stock (attach schedule). Investments-corporate bonds (attach schedule). Investments-land, bu1ld1ngs, and equipment Less deprec1at1on (attach accumulated 12 Investments-mortgage 13 Investments-other 14 Land, bu1ld1ngs, and equipment 15 Other assets 16 Total assets (to be completed accumulated schedule) .... 2,874,209 schedule) 18 Grants 19 Deferred 20 Loans from officers, ',!;! 2,984,999 3,126,054 4,190,652 4,331, 707 basis .... schedule) .... .... ) by all filers-see the 5,284,990 Also, see page 1, item I) payable 3,832 basis .... schedule) deprec1at1on (attach (describe Accounts 3,832 loans (attach 17 and accrued expenses 1,725 3,182 1,725 3,182 payable revenue .3 ,:::; 21 Mortgages .::i 22 Other 23 .... b 1nstruct1ons -e .... for sale or use Investments-Li Less 4' accounts schedule) c 11 ,fl for doubtful (attach directors, trustees, and other notes payable l1ab1l1t1es (describe and other d1squal1f1ed persons (attach schedule) .... ) Total liabilities (add lines 17 through 22) Foundations that follow SFAS 117, check here .... p- and complete lines 24 through 26 and lines 30 and 31. ,fl 4' 24 u Unrestricted ,:::; 25 Temporarily ,:::; Permanently ::::! u.. and complete lines 27 through 31. ~ - ca 26 !::: :..... 0 ,fl 4) ,fl ,fl ci • 27 Capital 28 Pa1d-1n or capital trust earnings, principal, surplus, or current .... or land, bldg, accumulated income, funds and equipment 29 Retained 30 Total net assets or fund balances (see page 1 7 of the 4) endowment, 31 1 Total liabilities and net assets/fund Total of Changes net assets with end-of-year 2 4,187,470 5,284,990 4,190,652 fund or other funds balances (see page 1 7 of the 1nstruct1ons) hlfllOI Analysis 5,283,265 ' 1nstruct1ons). z 4,187,470 restricted Foundations that do not follow SFAS 117, check here stock, 5,283,265 restricted in Net Assets or Fund Balances or fund balances figure reported at beg1nn1ng of year-Part on prior year's II, column (a), line 30 (must agree return) Enter amount from Part I, line 27a 3 Other 4 Add lines 1, 2, and 3 5 Decreases 6 Total increases not included not included net assets 1 5 ,2 8 3 ,2 6 5 2 -1,0 9 5 ,7 9 5 3 1n line 2 (1tem1ze) .... 4 5 1n line 2 (1tem1ze) .... or fund balances at end of year (line 4 minus line 5)-Part 4,187,470 II, column (b), line 30. 6 4,187,470 Form 990-PF (2011) Form 9 9 O- P F ( 2 O 11 ) Page Gams an d Losses f or Tax on Investment l:F-Til•l"t Capita (b) How acquired (a) List and describe the k1nd(s) of property sold (e g, real estate, brick warehouse, or common stock, 200 shs M LC Co) 2-story ZAZOVE la ASSOCIATES, 3 Income (d) Date sold (c) Date acquired P-Purchase D-Donat1on (mo, day, yr) (mo, day, yr) p LLC b c d e (g) Cost or other basis (f) Deprec1at1on allowed (or allowable) (e) Gross sales price plus expense 1,234,003 a (h) Gain or (loss) (e) plus (f) minus (g) of sale 1,156,558 77 ,445 b c d e Complete only for assets showing gain 1n column (h) and owned by the foundation (j) AdJusted basis asof12/31/69 (i) FM V asof12/31/69 on 12/31/69 (I) Gains (Col (h) gain minus col (k), but not less than -0-) or Losses (from col (h)) (k) Excess of col (1) over col (J), 1f any 77 ,445 a b c d e 2 Capital 3 Net short-term gain net income or (net capital capital gain or (loss) as defined If gain, also enter 1n Part I, line 8, column If (loss), enter -0- 1n Part I, line 8 .. •ifliA"4 Quahf1cat1on Under Section (For optional use by domestic private If section 4940(d)(2) applies, { loss) 1n sections 1222(5) } } for Reduced Tax on Net Investment subJect to the section 77 ,445 2 and (6) (c) (see pages 13 and 17 of the 1nstruct1ons) 4940(e) foundations If gain, also enter 1n Part I, line 7 If (loss), enter -0- 1n Part I, line 7 4940(a) tax on net investment 3 Income income) leave this part blank I amount of any year 1n the base period7 Was the foundation liable for the section 4942 tax on the distributable If"Yes," the foundation does not qualify under section 4940(e) Do not complete this part 1 Enter the appropriate amount 1n each column (a) for each year, see page 18 of the 1nstruct1ons (b) Base period years Calendar year (or tax year beginning in) Adjusted qualifying d1stnbut1ons before making P- Yes No any entries (d) (c) Net value of nonchantable-use assets D1stnbut1onratio (col (b) d1v1dedby col (c)) 2010 1,973,852 6 ,6 51,3 20 0 296761 2009 2,730,340 8,7 82,8 57 0 310872 2008 2,456,244 11,492,4 2007 4 ,085 ,883 15,540,497 0 262918 2006 4,231,735 17,229,773 0 245606 27 0 213727 2 Total of line 1, column 2 1 329884 3 Average d1stribut1on ratio for the 5-year base period-d1v1de the total on line 2 by 5, or by the number of years the foundation has been 1n existence 1f less than 5 years 3 0 265977 4 Enter the net value ofnoncharitable-use 4 5,068,581 5 Multiply 5 1,348,126 6 Enter 1% of net investment 7 Add lines 5 and 6. 8 Enter qual1fy1ng d1stribut1ons (d). assets for 2011 from Part X, line 5. line 4 by line 3. income (1% of Part I, line 27b). from Part XII, line 4. If line 8 1s equal to or greater than line 7, check the box 1n Part VI, line 1 b, and complete the Part VI 1nstruct1ons on page 18 6 1,10 2 7 1,349,228 8 1,204,226 that part using a 1 % tax rate Form See 990-PF (2011) Form 9 9 O- P F ( 2 O 11 ) l:J.fiifJI page Excise Tax Based on Investment Income (Section 4940(a), 4940(b), Exempt operating foundations described in section 4940(d)(2), check here ,... I la Date of ruling or determ1nat1on instructions) letter (attach 4940(e), or 4948-see page 18 of the instructions) . and enter "N/A" on line 1 copy of letter if necessary-see b Domestic c All other domestic foundations enter 2% of line 27b Exempt foreign organizations enter 4% of Part I, line 12, col (b) foundations 1 here,... that meet the section Tax under section 511 (domestic section 4947(a)(l) 3 Add lines 1 and 2. 4 Subtitle A (income) tax (domestic section 4947(a)(l) 5 Tax based on investment 6 Credits/Payments estimated 2011 Exempt tax payments c Tax paid with appl1cat1on for extension Backup w1thhold1ng erroneously trusts and taxable foundations only Others enter -0-) and payments overpayment withheld credited Enter any penalty for underpayment Tax due. If the total ofl1nes 6d. tax Check here 1 1f Form 2220 1s attached 11 Enter the amount of line 10 to be Credited to 2012 estimated tax,... 1t part1c1pate or intervene 9 I 3,832 ,... 10 Refunded,... 3,832 11 Act1v1t1es attempt to influence any national, state, Yes or local leg1slat1on or did 1n any pol1t1cal campa1gn7 Did 1t spend more than $100 the 1nstruct1ons 6,035 8 If line 7 1s more than the total of lines 5 and 8, enter the amount overpaid. Overpayment. b 7 6c 6d of estimated During the tax year, did the foundation 2,203 6,035 5 and 8 1s more than line 7, enter amount owed. Regarding 5 6b oft1me to file (Form 8868) 10 Statements 2,203 4 6a withheld. s la to 2011 at source Add lines 6a through 9 Part VII-A 2 line 4 from line 3 If zero or less, enter -0-. and 2010 foreign organ1zat1ons-tax credits 2,203 . trusts and taxable foundations only Others enter -0-) income. Subtract b Total 1 3 a d 1n Part V, check and enter 1% of Part I, line 27b 2 7 4940 (e) requirements during the year (either directly or 1nd1rectly) for pol1t1cal purposes No la No lb No le No 2 No 3 No 4a No (see page 19 of for def1n1t1on)7 If the answer is "Yes" to la or lb, attach a detailed descnptJOn of the act1v1t1es and copies of any matenals published or d1stnbuted c D 1d the foundation d Enter the amount (1fany) (1) On the foundation e 2 by the foundatJOn connection 1n with the act1v1t1es. file Form 1120-POL for this yea r7. of tax on pol1t1cal expenditures Enter the reimbursement (1f any) paid by the foundation on foundation ,... $ -------- managers Has the foundation engaged (section (2) On foundation ,... $ 4955) imposed managers during the year ,... $ -------- during the year for pol1t1cal expenditure 1n any act1v1t1es that have not previously been reported tax imposed to the IRS7 If "Yes," attach a detailed descnpt1on of the act1v1t1es. 3 Has the foundation of 1ncorporat1on, 4a b 5 made any changes, Did the foundation have unrelated business reported to the IRS, 1n its governing instrument, articles If "Yes," attach a conformed copy of the changes gross income of$1,000 or more during the year7. If "Yes," has 1t f1led a tax return on Form 990-T for this yea r7. Was there a l1qu1dat1on, term1nat1on, If "Yes," attach the statement 6 not previously or bylaws, or other s1m1lar 1nstruments7 Are the requirements • By language • By state of section 508(e) with the state (relating instrument, leg1slat1on that effectively that conflict d1ssolut1on, or substantial required by General Instruct/On 1n the governing 4b contraction 5 during the year7 to sections 4941 through 4945) sat1sf1ed either or amends the governing law remain 1n the governing instrument so that no mandatory d1rect1ons instrument? 7 Did the foundation have at least $5,000 in assets at any time during the year7 If "Yes," complete Part II, col (c), and Part XV Sa Enter the states to which the foundation reports orw1th which 1t 1s registered 1nstruct1ons) ,..._K_S,~V_A ________________________________________ b If the answer 1s "Yes" to line 7, has the foundation General 9 (or designate) Is the foundation of each state cla1m1ng status or 4 9 4 2 (J)(5) for calendar as required as a private furnished by General operating year 2 O 11 or the taxable a copy of Form 990-PF Instruction foundation 6 Yes 7 Yes Sb Yes (see page 19 of the _ to the Attorney G7 If "No," attach explanation. w1th1n the meaning of section year beg1nn1 ng In 2 O 11 (see I nstruct1ons 4942(J)(3) for Pa rt XIV on page 2 7 )7 If "Yes," complete Part XIV 10 No T. Did any persons become substantial contributors during the tax year7 If "Yes," attach a schedule /Jstmg their names and addresses 9 10 Form 990-PF No No (2011) 4 Form 9 9 O- P F ( 2 O 11 ) 11 Regarding Activities At any time during the year, did the foundation, meaning of section 512(b)(13)7 If"Yes," (continued) directly attach or 1nd1rectly, own a controlled schedule Did the foundation acquire a direct 13 Did the foundation comply with the public 1nspect1on requirements 14 The books are 1n care of ,.._H_E_A_T_H_E_R_L_O_V_E _____________________ Located at ....4111 E 37TH STREETNORTH WICHITA KS Section 494 7(a)(l) nonexempt and enter the amount 16 or 1nd1rect interest At any time during calendar a bank, securities, charitable of tax-exempt trusts interest year 2011, See the 1nstruct1ons for exceptions foreign country .... Statements 1n any applicable insurance or accrued 1n a foreign 1n lieu of Form 1041-Check directly or leasing appl1cat1on7 (5) Transfer to, or pay or reimburse for the benefit If any answer 1s "Yes" to la(l 53 4941(d)-3 1n or a signature Did the foundation or other authority 1 If "Yes", credit to (or accept a foundation If"Yes," b 3a Yes , 20 __ , disaster disaster 4942) 4942(J)(3) under the exceptions assistance Yes F No I F F Yes No Yes F I I I Yes F No 1 Yes F No Yes No No assistance described 1n Regulations (see page 20 of the 1nstruct1ons)7. check , 20 __ 4942(a)(2) 20 __ (does not apply for years the foundation , 20 __ by the Comm1ss1oner business to the year's No was a private income (lines 6d F Yes No 20 __ 1s not applying undistributed statement-see the prov1s1ons of section 1ncome7 (If applying section 4942(a)(2) 4942(a)(2) page 20 of the 1nstruct1ons). are being applied to any of the years listed 2b 1n 2a, list the years here 20 __ or 1nd1rect interest 1n any business 1n 2011 of (1) any purchase 1 holdings after May 26, 1969, under section le acts, I , the foundation of assets) No or4942(J)(5)) have any undistributed , lb here. 1n 1 a, other than excepted at any time during the year7. as a result (2) the lapse of the 5-year 4943(c)(7 )) to dispose of holdings F Yes No by the foundation period (or longer period approved acquired by gift or bequest, or (3) 15-, or 2 0-yea r f1rst phase hold1 ng period7 (Use Schedule C, Form 4720, to determme had excess busmess holdmgs m 2011.). Did the foundation invest Did the foundation make any investment charitable that had not been removed purpose I Check "No" beg1nn1ng before 20117. hold more than a 2% direct the lapse of the 10-, b (section answer "No" and attach or d1squal1f1ed persons 4a regarding 1n 2a forwh1ch valuation If "Yes," did 1t have excess If the foundation No 1t from) of, a d1squal1f1ed person? off1c1al7 (Exception. regarding did the foundation for tax year(s) to incorrect Did the foundation enterprise b income defined 1n section If the prov1s1ons of section .... 20 __ IYes I No I I No May Be Require d 1f term1nat1ng w1th1n 90 days ). notice notice list the years .... 20 __ to all years listed, c over before the first day of the tax year beg1nn1ng 1n 20117. Are there any years listed (relating the expenses service, on a current At the end of tax year 2011, and 6e, Part XIII) ' ,.. applies. them from) a d1squal1f1ed person? )-(6 ), did any of the acts fail to qualify on failure to distribute operating _ enter the name of the with a d1squal1f1ed person? engage 1n a prior year 1n any of the acts described that were not corrected Taxes 828-8286 16 for Form TD F 90-22 extend to a government or 1n a current O rgan1zat1ons relying 2 Yes agreed to make a grant to or to employ the off1c1al for a period after term1nat1on of government c 13 15 or use of a d1squal1f1ed person)?. 1f the foundation section No to a d1squal1f1ed person (or make any of either available (6) Agree to pay money or property b No 12 or 1nd1rectly) or fac1l1t1es to (or accept any income or assets 11 here. a d1squal1f1ed person?. (4) Pay compensation no ,..(316) country?. of property (2) Borrow money from, lend money to, or otherwise (3) Furnish goods, services, 17, 20087 • .... Act1v1t1es for Which Form 4720 (either and exemption during the year. File Form 4720 if any item is checked in the "Yes" column, unless an exception (1) Engage 1n the sale or exchange, before August Telephone have an interest and f1l1ng requirements la During the year did the foundation contract for its annual returns f1l1ng Form 990-PF did the foundation Regarding w1th1n the ZIP +4 ... .;;..6.;;..7...;c2;..;;2;;..0;;._ _______ received or other f1nanc1al account entity (see page 20 of the 1nstruct1ons). 12 15 5 Page I :F-TilI'd9~1 Statements during the year any amount 3b 1n a manner that would Jeopardize 1n a prior year (but after December from Jeopardy 31, 1969) its charitable purposes? that could Jeopardize 4a No its before the first day of the tax year beg1nn1ng 1n 20117 4b Form 990-PF No (2011) Form 9 9 O- P F ( 2 O 11 ) I :F-TilI'd!I:I Sa Page Statements Regarding During the year did the foundation (1) Carry on propaganda, (2) Influence for Which Form 4720 attempt to influence of any spec1f1c public election or 1nd1rectly, any voter reg1strat1on study, leg1slat1on (section (see section a grant to an 1nd1v1dual for travel, (4) Provide a grant to an organ1zat1on other than a charitable, 5 O9 (a )(1 ), (2 ), or (3 ), or section b purposes, Regulations section 53 4945 Did the foundation, premiums notice of cruelty Did the foundation, notice regarding sc1ent1f1c, literary, to children benefit regarding disaster I Yes [7 No I I Yes [7 [7 No No P- Yes I fail to qualify .1 under the exceptions disaster assistance assistance check claim exemption No or or animals 7. [7 Yes described No 1n (see page 22 of the 1nstruct1ons)7 here. Sb No 6b No .Jrr-' from the P- Yes I No sectJOn 53.4945-S(d). any funds, directly or 1nd1rectly, to pay I contract?. during the year, pay premiums, Yes organ1zat1on described respons1b1l1ty for the grant?. required by Regulations during the year, receive on a personal (continued) carry 4 9 4 O (d )(2 )7 (see page 2 2 of the 1nstruct1ons ). 5a(4 ), does the foundation 1t ma1nta1ned expenditure If "Yes," attach the statement b or 1n a current on a current If the answer 1s "Yes" to question tax because 6a etc, If any answer 1s "Yes" to 5a(l )-(5 ), did any of the transactions O rgan1zat1ons relying c or for the prevention orto or other s1m1lar purposes? (5) Provide for any purpose other than rel1g1ous, charitable, educational 4955), 4945(e))7 drive 7. (3) Provide 1n section May Be Required pay or incur any amount to or otherwise the outcome on, directly Activities directly or 1nd1rectly, on a personal Yes P- No benefit contract?. If "Yes" to 6b, file Form 8870. 7a b At any time during the tax year, was the foundation If yes, did the foundation lifliia,.IU• 1 receive any proceeds Information About Officers, and Contractors List all officers, directors, trustees, foundation a party to a proh1b1ted tax shelter or have any net income attributable Directors, Foundation managers and their compensation (b) Title, and average hours per week devoted to pos1t1on (a) Name and address Trustees, transact1on7 I Yes P- No to the transact1on7. Managers, 7b Highly Paid Employees, (see page 22 of the instructions). (c) Compensation (If not paid, enter -0-) (d) Contributions to employee benefit plans and deferred compensation (e) Expense account, other allowances See Add1t1onal Data Table 2 Compensation of five highest-paid If none, enter "NONE." employees (a) Name and address of each employee paid more than $50,000 Total number of other employees (other than those included on line 1-see (b) Title, and average hours per week devoted to pos1t1on paid over $50,000. (c) Compensation page 23 of the instructions). (d) Contributions to employee benefit plans and deferred compensation (e) Expense account, other allowances ,,.. Form 990-PF (2011) 6 Form 9 9 O- P F ( 2 O 11 ) lifliia"IU• 3 page Information About Officers, and Contractors (continued) Five highest-paid independent (a) Name and address Total number of others i:ifilf!d.;I of each rece1v1ng Summary Directors, Trustees, Foundation Managers, contractors for professional services (see page 23 of the instructions). person paid more than over $50,000 for professional of Direct Charitable (b) Type $50,000 Highly Paid Employees, If none, enter "NONE". of service (c) Compensation .... services. Activities List the foundation's four largest direct charitable act1v1t1esduring the tax year Include relevant stat1st1calinformation such as the number of organizations and other benef1c1ariesserved, conferences convened, research papers produced, etc Expenses 1 2 3 4 •:r.•·••.,;;ii:t1 Summary of Program-Related Describe the two largest program-related Investments (see paqe 23 of the instructions) investments made by the foundation during the tax year on Imes 1 and 2 A mount 1NONE 2 All other program-related investments See page 24 of the 1nstruct1ons 3 Total. Add lines 1 through 3. .... I Form 990-PF (2011) 7 Pa e Minimum Investment Return (All domestic foundations see paqe 24 of the instructions.) 1 Fair market value of assets not used (or held for use) directly 1n carrying 8 must complete this part. Foreign foundations, out charitable, etc, purposes a Average monthly b Average of monthly fair market value of securities. cash balances. c Fair market d Total (add lines la, b, and c). e Reduction claimed for blockage le (attach detailed explanation). value of all other assets 2 Acqu1s1t1on indebtedness 3 Subtract 4 Cash deemed or other factors reported I 2 to line 1 assets. held for charitable act1v1t1es Enter 1 1/2% of line 3 (for greater amount, Minimum investment see page 25 assets. Subtract Add lines 2a and 2b. Distributable amount 4 Recoveries of amounts Deduction 7 Distributable 1 I 2a I I 2b I from Part VI, line 5. the tax from Part VI ). before adJustments treated Subtract amount Subtract b Program-related 2 Distributions Amounts contributions, line 6 from line 5 Enter here and on Part XIII, paid to acquire assets expenses) to accomplish from Part I, column charitable, etc, from Part IX-B. used (or held for use) directly Amounts set aside for spec1f1c charitable a Su1tab1l1ty test (prior IRS approval b Cash d1stribut1on 4 Qualifying 5 Foundations 6 Adjusted income test (attach distributions. that qualify 1n carrying out charitable, la 1,204,226 proJects that satisfy 4940(e) 3b Enter here and on Part V, line 8, and Part XIII, for the reduced 2 0 3a 0 3b 0 line 4 4 1,204,226 rate of tax on net investment 5 Enter 1% of Part I, line 27b (see page 26 of the 1nstruct1ons). Subtract 0 the schedule). Add lines la through under section lb etc, required). the required qualifying distributions. 251,226 purposes (d), line 26. purposes. 3 7 (see page 25 of the instructions) gifts, etc -total investments-total 251,226 6 (see page 25 of the 1nstruct1ons). paid (1nclud1ng adm1n1strat1ve Expenses, 251,226 4 as qual1fy1ng d1stribut1ons. amount as adJusted •:ffll!.+•Qualifying Amounts 2,203 3 line 2c from line 1. 5 from distributable a 25 3,42 9 2,203 line 1. 1 25 3,42 9 2c 3 Add lines 3 and 4. 5,068,581 r (This does not include 5 5 Amount (see page 25 of the instructions) (Section 4942(J)(3) and (J)(5) private operating and certain fore1qn orqarnzat1ons check here,... and do not complete this part.) income for 2011 c 77,187 6 return from Part X, line 6. Incometaxfor2011 6 line 4 from line 3 Enter here and on Part V, line 4 return. Enter 5% of line 5. M 1n1mum investment Tax on investment 5,145,768 4 Net value of noncharitable-use b 0 3 5 2a 0 5,145,768 on lines 1 a and I 1e applicable 6 1 1,946,082 ld of the 1nstruct1ons ). foundations 3,199,686 lb le (see page 24 of the 1nstruct1ons). line 2 from line ld. l:J.t.iS!u Distributable la line 5 from line 4. Note: The amount on line 6 will be used 1n Part V, column (b), 1n subsequent the section 4940(e) reduction of tax 1n those years 6 years when calculating whether 1,204,226 the foundation qual1f1es for Form 990-PF (2011) Form 9 9 O- P F ( 2 O 11 ) Page 9 Undistributed •:F-Til1:.n• Income (see paqe 26 of the instructions) (a) Corpus 1 Distributable 2 U nd1stributed a Enter amount for 2010 amount for 2011 income, Excess d1stribut1ons 2009 , carryover, 2008 , 2007 1f any, to 2011 3,384, 774 3,348,840 From 2008. 1,896,993 From 2009. 2,293,087 From 2010. 1,645,368 Total of lines 3a through 4 Q ual1fy1ng d1stribut1ons a Applied 251,226 only. From 2007. line 4 (d) 2011 from Part XI, line 7 From 2006. XII, (c) 2010 1f any, as of the end of 2011 b Total for prior years 3 a b c d e f (b) Years prior to 2010 12,569,062 e. for 2011 ..... $ from Part 1,204,226 to 2010, but not more than line 2a b A ppl1ed to undistributed (Election required-see income of prior years page 26 of the 1nstruct1ons) c Treated as d1stribut1ons out of corpus (Election required-see page 26 of the 1nstruct1ons). d Applied to 2011 distributable e Rema1n1ng amount 5 Excess distributed d1stribut1ons carryover 251,226 amount. 953,000 out of corpus applied to 2011 (If an amount appears 1n column (d), the same amount must be shown 1n column (a).) 6 Enter the net total of each column as indicated below: a Corpus Add lines 3f, 4c, and 4e Subtract line 5 13,522,062 income Subtract b Prior years' undistributed line 4b from line 2b. c Enter the amount of prior years' undistributed income for which a notice of def1c1ency 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 U nd1stributed income for 2010 Subtract line 4a from line 2a Taxable amount-see page 27 of the 1nstruct1ons • f U nd1stributed income for 2 O 11 Subtract lines 4d and 5 from line 1 This amount must be distributed 1n 2011. 7 A mounts treated as d1stribut1ons out of corpus to satisfy requirements imposed by section 170(b)(l)(F) or4942(g)(3) (see page 27 of the 1nstruct1ons). 8 Excess d1stribut1ons carryover from 2006 not applied on line 5 or line 7 (see page 27 of the 1nstruct1ons). 9 Excess distributions carryover to 2012. Subtract lines 7 and 8 from line 6a. 10 Analysis ofl1ne 9 3,348,840 a Excess from 2 OO7. 1,896,993 b Excess from 2008. 2,293,087 c Excess from 2009. 1,645,368 d Excess from 2010. 953,000 e Excess from 2 O 11. 0 3,384, 774 10, 137,288 Form 990-PF (2011) Form 9 9 O- P F ( 2 O 11 ) Page M:ifli:u*M Private la see Foundations O If the foundation has received a ruling or determ1nat1on letter that 1t 1s a private foundation, and the ruling 1s effective for 2011, enter the date of the ruling. b Check box to 1nd1cate whether the organ1zat1on IS a private 2a 3 a e 27 of the instructions Enter the lesser of the adJusted net income from Part I or the m1n1mum investment return from Part X for each year listed. b 85% c Q ual1fy1ng d1stribut1ons from Part XII, line 4 for each year listed. d Amounts included in line 2c not used directly for active conduct of exempt act1v1t1es. e Q ual1fy1ng d1stribut1ons made directly for active conduct of exempt act1v1t1es Subtract line 2d from line 2c. operating and Part VII-A operating ...-~----------------- foundation described In section r 4942(J)(3) or r Prior 3 years Tax year (b) 2010 (a)2011 10 uest1on 9 (c) 2009 4942(J)(5) (e) Total (d) 2008 ofl1ne 2a. Complete 3a, b, or c for the alternative test relied upon test-enter a "Assets" alternative b c (1) (2) Value of all assets. (1) Total support other than gross investment income (interest, d1v1dends, rents, payments on securities loans (section 512(a)(5)), or royalties). (2) Support from general public and 5 or more exempt organ1zat1ons as provided 1n section 4942(J)(3)(B)(111). (3) Largest amount of support from an exempt organ1zat1on (4) Gross investment Value of assets qual1fy1ng under section 4942(J)(3 )(B)(1) "Endowment" alternative testenter 2/3 of m1n1mum investment return shown 1n Part X, line 6 for each year listed. "Support" alternative test-enter I :r-P •:t'fJ 1 a income Supplementary Information (Complete assets at any time during the year-see this part only if the organization page 27 of the instructions.) had $5,000 or more in Information Regarding Foundation Managers: List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation more than $5,000) (See section 507(d)(2)) before the close of any tax year (but only 1fthey have contributed NONE b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally ownership of a partnership or other entity) of which the foundation has a 10% or greater interest large portion of the NONE 2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs: r Check here ... 1fthe foundation only makes contributions to preselected charitable organ1zat1ons and does not accept unsol1c1ted requests for funds If the foundation makes gifts, grants, etc (see page 28 of the 1nstruct1ons) to 1nd1v1duals ororgan1zat1ons under other cond1t1ons, complete items 2a, b, c, and d a The name, address, and telephone GRANT ADMINISTRATOR 1515 N COURTHOUSE RD SUITE ARLINGTON,VA 22201 (703) 875-1600 number of the person to whom appl1cat1ons PROJECT be addressed 200 b The form 1n which appl1cat1ons should be submitted LETTER EXPLAINING EXEMPTION should AND AMOUNT and 1nformat1on and materials REQUESTED, they should include PLUS A COPY OF THE IRS DETERMINATION LETTER SHOWING c Any subm1ss1on deadlines NONE d Any restrictions or l1m1tat1ons on awards, such as by geographical areas, charitable fields, kinds of 1nst1tut1ons, or other factors GRANTS A RE GEN ERA LLY RESTRICTED TO PUBLIC CHARITY O RGA NIZATIO NS AS DEF! NED IN SECTION 501 (C )(3) 0 F THE INTERNAL REVENUE CODE THE FOUNDATION DOES NOT MAKE GRANTS TO INDIVIDUALS OR FOR-PROFIT CORP O RAT IO NS Form 990-PF (2011) Form 9 9 O- P F ( 2 O 11 ) Page 11 1:)ffii:tfJ Supplementary Information (continued) 3 Grants and Contributions Paid During the Year or Approved Rec1p1ent Name and address (home or business) If rec1p1ent 1s an 1nd1v1dual, show any relat1onsh1p to any foundation manager contributor or substantial for Future Foundation status of rec1p1ent Payment Purpose of grant or contribution A mount a Paid dunng the year See Add1t1onal Data Table Total. .....3a 1,179,180 b Approved for future payment Total. .....3b Form 990-PF (2011) Form 9 9 O- P F ( 2 O 11 ) I :F-Til•;i"~ !lit~J Ana Page Of IYSIS Enter gross amounts unless 1 Program service revenue Income-Pro otherwise 12 d ucmg Act1v1t1es 1nd1cated Unrelated business (a) Business code income (b) A mount (e) Related or exempt function income (See page 28 of the 1nstruct1ons ) Excluded by section 512, 513, or 514 (d) (c) Exclusion code A mount a b c d e 2 3 4 5 f g Fees and contracts from government agencies Membership dues and assessments. Interest on savings and temporary cash investments D1v1dends and interest from securities. Net rental income or (loss) from real estate a Debt-financed 154 14 71,670 18 77,445 01 2,134 property. b Not debt-financed 6 7 8 9 10 11 14 property. Net rental income or (loss) from personal property Other investment income. Gain or ( loss) from sales of assets other than inventory Net income or (loss) from special events Gross profit or (loss) from sales of inventory. Other revenue aOTHERINCOME b c d e 12 Subtotal Add columns 151,403 (b), (d), and (e). 13 Total. Add line 12, columns (b), (d), and (e). (See worksheet 1n line 13 1nstruct1ons on page 28 to verify Part XVI-B .. Line No. Relationshi of Activities calculations) to the Aecom Explain below how each act1v1ty for which income the accomplishment of the organ1zat1on's exempt page 28 of the 1nstruct1ons) lishment of Exem t Pur oses 1s reported 1n column (e) of Part XVI-A contributed importantly to purposes (other than by prov1d1ng funds for such purposes) (See Form 990-PF (2011) Form 9 9 O- P F ( 2 O 11 ) l:ifll:tf,il 1 13 Page Information Regarding Transfers To and Transactions Noncharitable Exempt Organizations and Relationships With Did the organ1zat1ondirectly or indirectly engage in any of the following with any other organization described in section Yes No SOl(c) of the Code (other than section 501(c)(3) organ1zat1ons)or in section 527, relating to political organ1zat1ons7 a Transfers from the reporting foundation to a noncharitable exempt organ1zat1on of (1) Cash. 1a(1) No (2) Other assets. 1a(2) No 1b(1) No 1b(2) No 1b(3) No 1b(4) No lb(S) No 1b(6) No le No b Other transactions (1) Sales of assets (2) Purchases (3) Rental of fac1l1t1es, equipment, (4) Reimbursement (5) Loans or loan guarantees. (6) Performance c Sharing to a noncharitable of assets exempt from a noncharitable organ1zat1on. exempt organ1zat1on. or other assets. arrangements. of services or membership of fac1l1t1es, equipment, or fundra1s1ng sol1c1tat1ons. ma1l1ng lists, other assets, or paid employees. 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 show 1n column (d) the value of the goods, other assets, or services received 1n any transaction or sharing arrangement, (a) Line No (b) Amount involved 2a Is the foundation described b If"Yes," directly 1n section (c) Name of nonchantable exempt organ1zat1on or 1nd1rectly aff1l1ated with, or related 5 O 1 (c) of the Code (other than section complete the following schedule (a) Name of organ1zat1on (d) Description of transfers, transactions, and sharing arrangements to, one or more tax-exempt 5 O 1 (c )(3 )) or 1n section organ1zat1ons .I 5 2 7 7. (b) Type of organ1zat1on Yes (c) Description of relat1onsh1p schedules and statements, and to Under penalties of perJury, I declare that I have examined this return, 1nclud1ng accompanying the best of my knowledge and belief, 1t 1s true, correct, and complete Declaration of preparer (other than taxpayer or f1duc1ary) 1s based on all 1nformat1on ofwh1ch preparer has any knowledge ~ i 2012-11-15 ****** Signature of officer or trustee Date Date ~ -:l) :::c c ::r.:, v.i ~ ****** Title ii) '":..- >, -fC .::.:,i::o i::f:::. t ,t, o.:i Preparer's Signature Firm's ~ name ELIZABETH May the IRS discuss ~ this return with the preparer Firm's BKD LLP 1551 ,j) Firm's address ~r S HOGAN ~ PTIN Check 1f selfemployed N WATERFRONT WICHITA, EIN ~ PKWY STE 300 KS 672066601 shown above7 See 1nstruct1ons Phone no (316) 265-2811 .,..p-Yes I No Form 990-PF (2011) Additional Data Software Software ID: Version: EIN: Name: Form I 990PF - Special Condition 48-0935563 CLAUDE R LAMBE CHARITABLE FOUNDATION Description: Special Condition Description Form 990PF Part VIII compensation Line 1 - List all officers, (a) Name and address RICHARD H FINK RD SUITE 1515 N COURTHOUSE 200 ARLINGTON,VA 22201 LOGAN MOORE RD SUITE 1515 N COURTHOUSE 200 ARLINGTON,VA 22201 VONDA HOLLIMAN PO BOX 2256 WICHITA, KS 67201 CHARLES G KOCH PO BOX 2256 WICHITA, KS 67201 ELIZABETH B KOCH PO BOX 2256 WICHITA, KS 67201 ELIZABETH R KOCH PO BOX 2256 WICHITA, KS 67201 CHARLES C KOCH PO BOX 2256 WICHITA, KS 67201 directors, (b) Title, and average hours per week devoted to pos1t1on trustees, foundation (c) Compensation (If not paid, enter -0-) managers and their (d) Contributions to employee benefit plans and deferred compensation (e) Expense account, other allowances 0 0 0 0 0 0 0 0 0 DIRECTOR 0 25 0 0 0 DIRECTOR 0 25 0 0 0 DIRECTOR 0 25 0 0 0 DIRECTOR 0 25 0 0 0 PRESIDENT /DIRECTOR 1 0 SECRETARY 1 0 TREASURER 1 0 Form 990PF Part XV Line 3 - Grants Rec1p1ent Name and address (home or business) and Contributions If rec1p1ent 1s an 1nd1v1dual, show any relat1onsh1p to any foundation manager or substantial contributor Paid During the Year or Approved Foundation status of rec1p1ent Purpose of grant or contribution for Future Payment A mount a Paid dunng the year Allen-Lambe House Foundat1on255 North Roosevelt W1ch1ta, KS 67208 Private General O perat1ng Support 116,480 American Leg1s lat1ve E xc ha nge Councill 101 Vermont Ave NW FI 11 Washington, DC 20005 P ubl1c General O perat1ng Support 150,000 Ayn Rand Inst1tute2121 Parkway Suite 250 I rv1ne, CA 92606 P ubl1c General O perat1ng Support 50,000 Center For Independent Thought1420 Walnut St Suite 1011 P h1ladelph1a, PA 19102 P ubl1c General O perat1ng Support 40,000 Compet1t1ve Enterprise Inst1tute1899 L Street NW Floor 12 Washington, DC 20005 P ubl1c General O perat1ng Support 9,200 Council for National Pol1cy1411 Street NW Ste 601 Washington, DC 20005 P ubl1c General O perat1ng Support 2 5,000 P ubl1c General O perat1ng Support Free Congress Foundat1on1423 Powhatan St 2 Alexandria,VA 22314 P ubl1c General O perat1ng Support George C Marshall Inst1tutel60l North Kent St Suite 802 Arl1ngton,VA 22209 P ubl1c Educational Hudson Inst1tute1015 15th Street NW 6th Floor Washington, DC 20005 P ubl1c General Josiah Bartlett Center for Public Policy? South State Street PO Box 897 Concord, NH 03302 P ubl1c Educational Manhattan Institute for Policy Research Inc52 Vanderbilt Ave 3rd Floor New York, NY 10017 P ubl1c General Pac1f1c Research Inst1tuteO ne Embarcadero Center Suite 350 San Francisco, CA 94111 P ubl1c Educational Support Reason Foundat1on3415 Sepulveda Suite 400 Los Angeles, CA 90034 South P ubl1c Educational Support Reason Foundat1on3415 Sepulveda Suite 400 Los Angeles, CA 90034 South P ubl1c General O perat1ng Support 50,000 P ubl1c General O perat1ng Support 10,000 Federalist Soc1ety1015 Stu1te425 Washington, DC 20036 State Policy Ste250 Arl1ngton,VA Total. Network2020 Alton K 18th St NW N 14th St Support 260,000 2 5,000 40,000 O perat1ng Support 2 5,000 Support 3,500 O perat1ng Support 200,000 100,000 7 5,000 22201 .....3a 1,179,180 lefile GRAPHIC print - DO NOT PROCESS TY 2011 Accounting I As Filed DLN:934913200200621 Data - Fees Schedule Name: CLAUDE R LAMBE CHARITABLE FOUNDATION EIN: 48-0935563 Category ACCOUNTING FEES INVESTMENT ACCTG SERVICE FEES Amount Net Investment Income 24,338 319 Adjusted Net Income 0 319 Disbursements Charitable Purposes for 22,706 lefile GRAPHIC print Note: To capture - DO NOT PROCESS the full content TY 2011 Depreciation I As Filed of this document, Data - I please select DLN:93491320020062 landscape mode (11" x 8.5") when printing. Schedule Name: CLAUDE R LAMBE CHARITABLE FOUNDATION EIN: 48-0935563 Description Property of Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate/ Life(# of years) Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included lefile GRAPHIC print Note: To capture - DO NOT PROCESS the full content TY 2011 Expenditure I As Filed of this document, Responsibility Name: Data - I please select DLN:93491320020062 landscape mode (11" x 8.5") when printing. Statement CLAUDE R LAMBE CHARITABLE FOUNDATION EIN: 48-0935563 Grantee's Name ALLEN-LAMBE HOUSE FOUNDATION Grantee's Address Grant Date 255 N ROOSEVELT WICHITA, KS 67208 2011-03-02 Grant Amount 116,480 Grant Purpose GENERAL PROGRAM SUPPORT FOR EDUCATIONAL FOUNDATION OPERATING A MUSEUM AND STUDY CENTER Amount Expended By Grantee 116,480 Any Diversion By Grantee? NO Dates of Reports By Grantee FULL & COMPLETE REPORT SUBMITTED MARCH 9, 2012 Date of Verification Results of Verification THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELJABILITY OF THE REPORT FROM THE GRANTEE, THEREFORE, NO INDEPENDENT VERIFICATION OF THE REPORT WERE MADE lefile GRAPHIC print - DO NOT PROCESS TY 2011 Investments I As Filed DLN:934913200200621 Data - - Other Schedule Name: CLAUDE R LAMBE CHARITABLE FOUNDATION EIN: 48-0935563 Category/ ZAZOVE BOND FUND Item Listed at Cost or FMV Book Value 2,984,999 End of Year Fair Market Value 3,126,054 lefile GRAPHIC print - DO NOT PROCESS I As Filed DLN:934913200200621 Data - TY 2011 Land, Etc. Schedule Name: CLAUDE R LAMBE CHARITABLE FOUNDATION EIN: 48-0935563 Category Item I Cost/ Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value lefile GRAPHIC print - DO NOT PROCESS I As Filed DLN:934913200200621 Data - TY 2011 Other Expenses Schedule Name: CLAUDE R LAMBE CHARITABLE FOUNDATION EIN: 48-0935563 Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes INSURANCE 983 983 SUPPLIES 477 477 BANK FEES 80 80 lefile GRAPHIC print - DO NOT PROCESS TY 2011 Other Professional I As Filed DLN:934913200200621 Data - Fees Schedule Name: CLAUDE R LAMBE CHARITABLE FOUNDATION EIN: 48-0935563 Category INVESTMENT FEES MANAGEMENT Amount Net Investment Income 38,818 38,818 Adjusted Net Income Disbursements Charitable Purposes for 0 lefile GRAPHIC print - DO NOT PROCESS I As Filed DLN:934913200200621 Data - TY 2011 Taxes Schedule Name: CLAUDE R LAMBE CHARITABLE FOUNDATION EIN: 48-0935563 Category FEDERAL EXCISE TAX Amount 2,203 Net Investment Income Adjusted Net Income Disbursements Charitable Purposes for 0