"

~.c-·-·b·}{ ~

l

r,~~.

fl er-,s

lf1.·

r •--:-r;--·-,.
/I )/ 11
, .
\1 ,.DI],

Return
omrdyi{~'f~~~~·~t\9.p~li~l
Iltl/

ii '

OMB

'; Form.990-PF

or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation

Departmenl of the Treasury
Internal Revenue Service

Note: The foundation ma be able to use a co

, 2006, and ending

I I

I I Final

G Check all that apply
1nit1al return
Name of foundation

I I Amended

return

I I

return

CHARLES
G. KOCH CHARITABLE
FOUNDATION
Number and street (or PO box number 1fma1l1snot delivered to street address)

I I

Address change
Name change
A Employer 1dent1ficatron
number

48-0918408
B Telephonenumber(see page 11 of
the instructions)

Room/suite

( 316 l

P.O.
BOX 2256
City or town, state. and ZIP code

C

n

I

67201-2256

lxJ Section

501(ct@l.exempt

taxable private foundation

LJ Cash

J Accounting

D

o

method
Other (specify)

I

u

I

E

L...XJ
Accrual

_ __ _____ ___ _ __ __ ___ F

(a) Revenue and
expenses per
books

1

Contnbut1onsofts,

grants etc received (attach schedule)

•

3

.....
11the foundation,s not requiredto
Cheek ....attachSch B
Intereston savingsand temporarycash investments

4

D1v1dendsand interest from secunt1es

2

40

021

911.

1 808

260.

46

580.

6a Net gain or (loss)from sale of assetsnot on lone10
b Grosssalespricefor all
assetson lone6a
12 , 2 64 , 2 6 8 .
7
Capital gain net income (from Part IV, line 2)

a,
:::,

c:
a,
>
a,

a:

~

•

tJ

...,....

(b) Net investment
income

1

If pnvate foundation status was terrrnnated
1)(A). check
here

~

If the foundation IS 1na 6Q.monlh len11inat1on

undersection507(b)(
(c) AdJusted net
income

D

n

checkhere • ~
(d) Disbursements
for chantable
purposes
(cash basis only)

1)(B),

808.260.
46

580.
243.

243.

5 a Gross rents . . • . . . . . • . . • • • • • •

•

undersec11on
507(b)(

(Part I, column (d) must be on cash basts.)
l::.F.Ti•• Analysis of Revenue and Expenses (The
total of amounts m columns (b}, (c}, and (d)
may not necessanly equal the amounts m
column (a) (see page 11 of the mstructions) )

•

orgarnzat1ons, check here

2 Foreign orgarnzat1ons meeting the
85% lest. check here and attach
computation
• • • • • • • •

private foundation

I I Other

Secllon 4947(a)(1) nonexemot charitable trust

Fair market value of all assets at end
of year (from Part II, col (c), /me
16) ~ $
114
99 226 .

828-5552

II exempllon
apphcallon
,s
pending, check here
• • •

D 1 Foreign

WICHITA
KS
H Check type of organization

No 1545-0052

~©06

of this return to sat1sf state re ortm re wrements

For calendar year 2006, or tax year beginning

Use the IRS
label.
Otherwise,
print
or type.
See Specific
Instructions.

r,..,....1,.

~

),r-,11 11

1:'•

1.715.

Nn\f 2 ij lUUf
1

715.

Net short-term capital gain

8

9
Income mod1ficalions · •
10 a Grosssaleslessreturns
and allowances • • • • • >----------+----------+----------+---------0---------b Less Costof goodssold • l~--------+----------+----------t---------1---------c Gross profit or (loss) (attach schedule)

I

';;;;;

...
....

17

11

Other income (attach schedule)

12

Total. Add lines 1 throuah 11

a:,

13

Compensationof officers,directors,trustees,etc

IN

14

Other employee salaries and wages

15

Pension plans, employee benefits

~

~

z

0

ll.l

IJI

a,

IJI

...
...

c:
a, 16 a Legal fees (attach schedule) . . . S.TJ'-1:r. 4
c.

997.

896

706.

17
1

856

798.

139

719.

004.

806

004.

169

276.

170

921.

35

111.

18

493.

50

732.

193

891.

NONE

49

237.

8

385.

c Other professional fees (attach schecfiM!T • 4

190

310.

62

017.

35

840.

-·e
nl

"Cl

<(
"Cl

17,997

.

NONE

Interest ...•••.•••••••••.•
Taxes(attachschedule)(seepage14 oftheinstructions)*•
Deprec1at1on(attach schedule) and depletion

114.

272.

..

20

Occupancy •••••••••

21

Travel, conferences, and meetings

165

.. . .

33

8 94.

34

65

533.

63.743.

c: 22
nl

Printing and publications

Cl

c: 23

Other expenses (attach schedule) S.TMl'. 6

~ 24

Total operating and administrative expenses.

c.

Add Imes 13 through 23

~

a,

0

1

719.

b Accounting fees (attach schedule) S.T.M:r. ~
17

STMT

139

a,

~

997.

17.997.

806

><

w

z >..
18
.!!.!
~
c: 19
()
(/)

41

.......
....

...

1

690

402.

...

6

699

802.

8

390

204.

33

506

502.

25

Contnbullons, gifts, grants paid

26
27

Totalexpenses
anddisbursements
Add lines 24 and 25
Subtract line 26 from hne 12

a

Excess of revenue over expenses and disbursements

• •

160.725.

206.

70.516.
70,516.

b Net investment income (1fnegative, enter -0-)

1 786
->*STMT

JSA
6E14103000

11/15/2007

14:44:27

997.

1

638

906.

6

637

302.

8

276

208.

-0-

For Privacy Act and Paperwork Reduction Act Notice, see the instructions.
K932

17

997.

282.

c Adjusted net income (1fneoat1ve, enter -0-).

16733H

17

678.

V06-8.3

85646

5

\]

Form990-PF (2006)

 Form 99aPF 120061

lilmlllBa1ance Sheets
1
2
3

Cash - non-interest-bearing

(a) Book Value

.

~

30 995

________________

Pledges receivable

5

Grants receivable

Less allowance

(b) Book Value

(c) Fair Market Value

2, 84 4.
38 112 711.

569.

2 844.
38 112.711.

66L056.

~

-----------------------------------for doubtful accounts ~
-------------

4

End or year

NONE

Less allowance for doubtful accounts

6

Beginning of year

Savings and temporary cash investments
Accounts receivable

Paae 2

48-0918408

' schedulesand amounts1nlhe
Attached
descriptioncolumnshould be for end-of-year
amountsonly (See instructions)

86 007.

66 056.

66 056.

2 438.
000.

3 370.
33 800 000.

3 370.
030.764.
34

~

Receivables due from officers, directors, trustees. and other
disqualified persons (attach schedule)(see page 16 of the 1nstruct1ons)

7

Other notes and loans receivable (attach schedule)
Less· allowance for doubtful accounts

J!l
Cl)
II)
II)

<

~

~

- - -

--

-------------

..

8 Inventories for sale or use
9 Prepaid expenses and deferred charges •
10 a lnveslments- US and state governmentobligations(attachschedule) *;

12,500

b Investments - corporate stock (attach schedule)
c Investments - corporate bonds (attach schedule) .
Investments- land, buildings,
~ ________
3L377L694.
and equipment basis
Less accumulateddeprec1at1on~
(attachschedule)
------------------Investments - mortgage loans
12

11

13
14
15
16
17

18
19
20
~
.c
C1I 21
::.i 22
II)
Cl)

23

..

u

24

c: 25
C1I

-;;;26
m
"O

c:
:::,
u..

..

0 27
28
J!l
Cl)
II)
II) 29

~ 30

25 471

31

589 .

30.551

694.

6 530.000.

660.

34 993.568.
STMT 9
4 913.
355 000.

4 913.
355 000.

NONE

Total assets (to be completed by all filers - see page 17 of
the 1nstruct1ons Also, see page 1, ,tern I)

72,788
297.
84 016.
25 000.

Accounts payable and accrued expenses
Grants payable

106

274 248.
30,180.
50.000.

114

099.226.

Deferred revenue
Loans from officers.directors,trustees,and other d1squal1fied
persons
Mortgages and other notes payable (attach schedule)
Other hab1ht1es(descnbe

~

___________________)

Total liabilities (add lines 17 through 22)

109

016.

72 679

281.

~w

80 180.

that follow SFAS 117, check here
lines 24 through 26 and lines 30 and 31.

Unrestricted

106.194

068.

72, 679, 281.

106, 194

068.

72 788,297.

106,274

248.

Temporarily restricted
Permanently restncted

~o

Organizations
that do not follow SFAS 117,
check here and complete lines 27 through 31.

. . ..

Capital stock, trust pnnc,pal, or current funds

Pa1d-mor capitalsurplus.or land, bldg , and equipmentfund
Retainedearnings,accumulatedincome.endowment,or other funds
Total net assets or fund balances

(see page 18 of the

instructions) •
Total liab11it1esand net assets/fund balances

(see page 18 of

the instructions)

•:~r-•11•
Analysis

of Changes in Net Assets or Fund Balances

1 Total net assets or fund balances
end-of-year

figure reported

Enter amount from Part I, line 27a

3

Other increases

4

Add lines 1, 2, and 3

5 Decreases

not included

not included

at beginning

1

..

in line 2 (1tem1ze)

in line 2 (1tem1ze)

Total net assets or fund balances

at end of

..
~

K932

11/15/2007

2

11
SEE STATEMENT
-------------------------------------

..
---------------------------------------year (line 4 minus line 5) - Part II, column (b),

3

4

14:44:27

7

V06-8.3

85646

679.281.
33 506.502.
8 285.
106 194 068.
72

5

~

**STMT

JSA
6E1420 3 000

16733H

of year - Part II, column (a), line 30 (must agree with

on prior year's return)

2

6

3 377

355.000.

Cl)

z

694.

. . ..

Investments - other (attach schedule)
:31'~1'..8.
Land, bu1ld1ngs,
and
5Ll85.
~ _____________
equipment basis
Less accumulateddepreciation ~
272
(attachschedule)
- - - - - - - - - - - - - - - - - - - -'STMT_lO)
Other assets (descnbe ~ _____________

Organizations
and complete
II)
Cl)

3 377

line 30

..

6

106, 194

068.

Form 990-PF

(2006)

 r

·~

48-0ql8408

Form 990-PF (2006)

1a
b

SEE

Caoital Gains and Losses

for Tax on Investment

(b)How

(a) List and descnbe the kind(s) of property sold (e g, real estate,
2-story bnck warehouse,or common stock, 200 shs MLC Co )
PART

IV

Page

3

Income
acquired

P-Purchase
D-Donat,on

(c) Date
acquired
(mo . day, yr)

(d) Date sold
(mo. day, yr)

SCHEDULE

c
d

e
(g) Cost or other basis
plus expenseof sale

(f) Deprec1at1on
allowed

(e) Gross sales pnce

(or allowable)

(h) Gain or (loss)
(e) plus (f) minus (g)

a
b

c
d

e
Complete onlv for assets showing gain 1ncolumn (h) and owned by the foundation on 12/31/69
U) AdJustedbasis
(k) Excess of col (1)
(i) FM V as of 12/31/69
as of 12/31/69
over col (J), 1fany

(I) Gains (Col (h) gain minus
col (k), but not less than -0-) or
Losses (from col (h))

a
b

c
d

e
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
3 Net short-term capital gain or (loss) as defined 1nsections 1222(5) and (6)
If gain, also enter in Part I, line 8, column (c) (see pages 13 and 18 of the instructions).

2 Capital gain net income or (net capital loss)

.....

{

....

If (loss), enter -0- in Part I, line 8 ..•.•.•......................

I:..

Qualification

}2
}

1.715.

3

Under Section 4940(e) for Reduced Tax on Net Investment 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

O

Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e) Do not complete this part

Yes[x]

No

1 Enter the appropriate amount in each column for each year, see page 19 of the instructions before making any entries
(a)
Base perrod years Calendar year
(or tax year begrnnrng rn)

(b)
Ad1usted quahfyrng drstnbutrons

2005
2004
2003
2002
2001

2
3

4
2
3
3
4

646 986.
985,334.
283 430.
313 808.
296 259.

47
33
25
28
27

........ .... ............

843 504.
959,784.
930 4 98.
571,232.
673,813.

0.09712888086
0.08790792073
0.12662425535
0.11598407797
0.15524636956

. . . . ....

2

0.58289150447

. . . . . ....

3

0.11657830089

..........

4

................ ......................

5

.............. .... .

6

. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .

7

8 954

297.

8

8 276

208.

Total of line 1, column (d)
.
.
..
.
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 1nexistence 1fless than 5 years

4

Enter the net value of noncharitable-use assets for 2006 from Part X, line 5

5

Multiply line 4 by line 3

6

Enter 1% of net investment income (1% of Part I, line 27b)

7

Add Imes 5 and 6

8

(d)
Drstrrbutron ratro
(col (b) drvrded by col (c))

(c)
Net value of noncharrtable-use assets

.........

Enter qualifying d1stribut1onsfrom Part XII, line 4

...................

......

76

656

070 .

8 936

4 34 .

17.863

.

If hne 8 rs equal to or greater than hne 7, check the box rn Part VI, lrne 1b, and complete that part usrng a 1% tax rate See the Part VI rnstructrons on page 19

ii~430 3 000
16733H

Form

K932

11/15/2007

14:44:27

V06-8.3

85646

990-PF

(2006)

 48-0918408

..,, Form 990l°'F (2006)
•::r.1.iill•J•

~xcise Tax Based on Investment

Page4

Income (Section 4940(a), 4940(b), 4940(e), or 4948 - see page 19 of the instructions)

2

2

Tax under secbon 511 (domestic sect1m 4947(a)(1) trusts and taxable foundations only Others enter -0-)

3

Add hnes 1 and 2

3

4

Subtltle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-)

4

5

Tax based on investment income. Subtract line 4 from hne 3 If zero or less. enter -0-

5

35 726.
NONE
35 726.

G

Credits/Payments

36,438.

36 438.
NONE
NONE

Ga
Gb
Ge
Gd

a 2006 estimated tax payments and 2005 overpayment credited to 2006
b Exempt foreign orgarnzabons-tax withheld at source
c Tax paid with application for extension of time to file (Form 8868)
d Backup w1thhold1ngerroneously withheld

7

Total credits and payments Add Imes 6a through 6d

7

8
9

Enter any penalty for underpayment of estimated tax Check here

8

Tax due. If the total of hnes 5 and 8 1s more than line 7, enter

1o
11

~

amount owed

1::r.r.••~I"'·• Statements
1a

Regarding

9

7_1_2_.

~

Overpayment. If hne 7 1smore than the total of hnes 5 and 8, enter the amount overpaid
Enter the amount of hne 10 to be Credited to 2007 estimated tax
~

712.

,__1_0--+
_________
~ 11

Refunded

Activities

During the tax year, did the foundation

Yes

attempt to influence any national, state, or local leg1slat1on or did 11

part1c1pateor intervene m any poht1calcampaign?

••

No

1a

X

1b

X

1c

X

2

x

3

x

b Did 1t spend more than $100 during the year (either directly or indirectly) for poht1cal purposes (see page 20
of the mstruct,ons for defirnt1on)?

• •

If the answer is "Yes" to 1a or 1b, attach

a detailed descnpt1on of the activities and copies of any matenals

published or d1stnbuted by the foundation m connection with the activities
c

Did the foundation file Form 1120-POL for this year?

d Enter the amount (1fany) of tax on political expenditures (secbon 4955) imposed during the year
(1) On the foundation
~$
(2) On foundation managers ~ $ __________

_

e Enter the reimbursement (1f any) paid by the organization during the year for poht1cal expenditure tax imposed on
~

foundation managers

$ ___________

_

Has the foundation engaged m any actlv1t1esthat have not previously been reported to the IRS?

2

If "Yes," attach

3

a detailed descnpt1on of the act1v1t1es

Has the foundation made any changes, not previously reported to the IRS, 1n ,ts governing instrument, articles of
incorporation, or bylaws, or other s1m1larinstruments?

4a

If "Yes," attach a conformed copy of the changes

b If "Yes," has 11filed a tax return on Form 990-T for this year?

N/A

4b

x

5

Was there a hqu1dat1on,term1nat1on,d1ssolut1on,or substantial contraction during the year?

5

x

4a

Did the foundation have unrelated business gross income of $1.000 or more during the year?

If "Yes," attach the statement reqwred by General Instruction T

G

Are the requirements of secbon 508(e) (relating to secbons 4941 through 4945) sabslied either
• By language in the governing instrument, or
• By state leg1slat1on that effectively

amends the governing

instrument

so that no mandatory

d1recbons that

conflict with the state law remain in the governing instrument?
7

Did the foundation have at least $5,000 m assets at any time during the year?

Ba Enter

the

states

to

which

the

foundation

reports

or with

1nstruct1ons) ~ DC, KS, ___________________________
b If the answer ,s "Yes" to line 7, has the foundation

which

If "Yes," complete Part II, col (c), and Part XV
1t 1s registered

(see page

20

Is the

foundation

or 4942(J)(5)

claiming

for calendar

status as a pnvate
year 2006

a copy of Form 990-PF to the Attorney

Did any persons become
names and addresses

substantial

Bb

x

General

operating

foundation

year beginning

within
,n 2006

the

meaning

of secbon 4942(J)(3)

(see instructions

for Part XIV on

page 28)? If "Yes," complete Part XIV
10

x

---------------------------------furnished

or the taxable

x

7

of the

(or designate) of each state as required by General Instruction G? If "No," attach explanation
9

G

9
contributors

during

the tax year? If "Yes," attach

a schedule fisting the,r
10
Form

JSA
6E 1440 3 000

16733H

K932

11/15/2007

14:44:27

V06-8.3

85646

x

990-PF

x
(2006)

 ,. Form990jPF.(2•0r0~6)'--~~~~~~~-~~~~~~~--:-~~~~~~~~~~~~---'4~8~--0=-=-9~1~8~4~0=-=8~~~~~~~~~~~~P-a~ge_5_

Statements Regarding Activities

Continued

11a '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 1nstrucllons)
b

x

11a

• . . . . . . . . . . .

If "Yes," did the foundation have a binding written contract 1neffect on August 17, 2006. covenng the interest,
rents. royalties. and annuities described m the attachment for line 11a?

. . . . . . . . . . . . . . . . . .

12 Did the foundation acquire a direct or 1nd1rectinterest many applicable insurance contract?

11b

. • . . . . . .

13 Did the foundation comply with the public inspection requirements for its annual returns and exemption applicatlon?
13
Website address .... _____ WWW. CGKfOUNDATION.
ORG __________________
------________________
14 The books are 1ncare of .,..__ '{_Q[:!Q~_liQ1=.1=.11".1)1t'i
____________________
Locatedat

.... 4111

E._ 37TH

ST._

N._ WICHITA..1_

Telephone no

.... ____

KS ______________________

N A

12

ZIP+4

J ].!§ Hif

~

X

X
------

=222f

__

_____ _

-----------i--i-

....67220

15 Section 4947(a)(1) nonexempt charitable trusts filing Fonn 990-F 1nlieu of
Form 1041 - Check here • . . • . • • • • • NI A · · · · · · .... L_J
and enter the amount of tax-exempt interest received or accrues during the year
. . . . . . . . . . . • • . • • • • .... 1s

I I

1::r.11a•Jll"I:•

Statements Regarding Activities

File Form 4720 if any item is checked

for Which Form 4720 May Be Required

in the "Yes" column,

unless an exception

Yes

applies.

No

1a During the year did the foundation (either directly or indirectly).
(1) Engage m the sale or exchange, or leasing of property with a disqualified person?

.......

[x]No

0Yes

§y"§"•

(2) Borrow money from, lend money lo, or otherwise extend credit to (or accept 1tfrom)
a disqualified person? . . • . . • . • • • • . . . . . . . . • • • • • • • • . •
(3) Furnish goods, services, or fac11it1es
to (or accept them from) a disqualified person?
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?

Yes

No

Yes

No

(5) Transfer any income or assets to a disqualified person (or make any of either available
(6) Agree to pay money

[x]No

0Yes

for the benefit or use of a disqualified person)? ••••••••••..•..••••

or property to a government official? ( Exception. Check "No"

11the foundation agreed to make a grant to or to employ the official for a period
after termmat1onof government service, 11termmat1ngwithin 90 days )

. • • • • • • • • • • • •

D

Yes

CJNo

b If any answer 1s"Yes" to 1a( 1}-(6), did any of the acts fail to qualify under the excepbons descnbed m Regulations
secbon 53 4941(d}-3 or ma current notice regarding disaster assistance (see page 22 of the mstrucllons)?

1b

x

1c

x

Organizallons relying on a current notice regarding disaster assistance check here

c Did the foundation engage 1na prior year in any of the acts described m 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning 1n2006?
2

• • • • • • • • • • • •

Taxes on failure to d1stnbuteincome (secbon 4942) (does not apply for years the foundation was a private
operating foundation defined m section 4942(1)(3) or 4942(1)(5))

a At the end of tax year 2006, did the foundation have any und1stnbutedincome (Imes 6d
and 6e, Part XIII) for tax year(s) beginning before 2006?
• . . • . • . . • . . . • • • • • • • • • •

D
Yes

[x)No

lf"Yes,"llsttheyears
.... ---------·--------·--------·--------b Are there any years listed m 2a for which the foundation 1s not applying the prov1s1onsof section 4942(a)(2)
(relating to incorrect valuation of assets) to the year's und1stnbutedincome? (If applying section 4942(a)(2)
2b

N/A

,rthe foundation had excess business holdings in 2006)

lb

N/A

Did the foundation invest during the year any amount m a manner that would Jeopardize its charitable purposes?

4a

x

4b

x

to all years listed, answer "No" and attach statement - see page 22 of the instructions )

c If the prov1s1onsof section 4942(a)(2) are being applied to

....---------Ja

·---------

·---------

. • • • . . . .

any of the years listed m 2a, list the years here

·---------

Did the foundation hold more than a 2% direct or indirect interest 1nany business
0Yes

enterprise at any time during the year? • • • • • • • • • • . • • • • • • • • .
b If "Yes," did 1thave excess business holdings m 2006 as a result of (1) any purchase by the foundation
or disqualified persons after May 26, 1969;

[x]No

(2) the lapse of the 5-year period (or longer period 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
4a

• •

b Did the foundation make any investment 1na prior year (but after December 31, 1969) that could Jeopardize its charitable
purpose that had not been removed from Jeopardy before the first day of the tax year beginning 1n2006?
. . . . . . • . • • •

Form 990-PF (2006)

JSA
6E1450 3 000

16733H

K932

11/15/2007

14:44:27

V06-8.3

85646

 ,, Form 990,PF (2006)

Statements Regarding Activities

1=,,r.•·~11!1:•

48-0918408
for Which Form 4720 May Be Required Continued

5 a '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))?

Oves

[i!No

Oves
Oves

[x]No
[x]No

Qves

0No

Oves

[i!No

Page6

(2) Influence the outcome of any specific pubhc election (see section 4955). or to carry

on, directly or indirectly, any voter registration drive?

..........•.•.•.

(3) Provide a grant to an 1nd1v1dual
for travel. study, or other s1m1larpurposes?

.....

(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)? (see instructions)

••••••.

(5) Provide for any purpose other than rehg1ous, charitable, scientific. literary. or

educational purposes. or for the prevention of cruelty to children or animals?

If any answer 1s"Yes" to 5a(1 )-(5), did any of the transactions fail to qualify under the exceptions described in

b

Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 23 of the instructions)?

~·d . . . .

1-s'--'-b--+----+--'x~

Organiza!Jons relying on a current notice regarding disaster assistance check here

c

If the answer 1s"Yes" to ques!Jon 5a(4 ), does the foundation claim exemption from the
tax because 1tmaintained expenditure respons1b1l1tyfor the grant?

? ~E;

.S.Tf.TE;ME.NJ'.

~ 2.

Qves

0No

Oves

[i!No

If "Yes," attach the statement reqwred by Regulaflons sectJon 53 4945-S(d)
Ga Did the foundation, during the year, receive any funds, directly or indirectly, to pay
premiums on a personal benefit contract? . • • . • • • • . • • • • • • . • • • • • • • • • • • • •
b Did the foundation, during the year. pay premiums, direcUy or mdirecUy, on a personal benefit contract?
If you answered "Yes" to 6b, also file Form 8870
7 a At any time during the tax year, was the foundation a party to a proh1b1tedtax shelter transaction?
b If yes, did the foundation receive any proceeds or have any net income attributable to the transaction?

•::.,.;
1

x

Gb

D

Yes [i] No

• . . . . • . . • . • . •

7b

NI A

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
List all officers, directors, trustees, foundation

managers and their compensation
(b) Title, and average
• hours per week
devoted to oos1t1on

(a) Name and address

SEE

B -------------------

ATTACHMENT

(see page 23 of the instructions).

(c) Compensation
(If not paid, enter

-0·1

(d) Conlnbut,onslo
employeebenefitplans
and deferredcompensation

(e) Expense account,
other allowances

_
139

719.

8 715.

925.

---------------------------------------------------------------------------------------------------------------2

Compensation of five highest-paid
If none, enter "NONE."

employees (other than those included on line 1 - see page 24 of the instructions).

(a) Name and address of each employee paid more than $50,000

SEE

STATEMENT

(b) Title and average
hours per week
devoted to position

13

(c) Compensation

312

829.

(d) Contnbut1ons to
employee benefit
plans and deferred
compensation

(e) Expense account,
other allowances

4 818.

28 989.

. ... -~ I NONE

Total number of other employees paid over $50,000

Form

JSA
6Et460 4 000

16733H

K932

11/15/2007

14:44:27

V06-8.3

85646

990-PF

(2006)

 48-0918408

, Form990y.°F(2006)

. Information About Officers,
and Contractors
Continued
3 Five highest-paid

independent

Directors,

contractors

Trustees,

for professional

Foundation

Managers,

Highly

Page

7

Paid Employees,

services (see page 24 of the instructions).

If none, enter

"NONE."
(a) Name and address of each person paid more than $50,000

(b) Type of service

KOCH BUSINESS_ HOLDINGSJ_ LLC ----------------------------WICHITA
KS

Total number of others rece1v1naover $50,000 for professional services

1:fCif:QSummary

of Direct Charitable

(c) Compensation

ACCNTG & LEGAL SRVC

.......................

89 503.

-~I

NONE

Activities

List the foundation's four largest direct charitable act1v1t1esduring the tax year Include relevant statistical information such as the number
of organizations and other beneficiaries served, conferences convened. research papers produced etc

1_SEE_ATTACHMENT_D _________________________________________________________

Expenses

_

2

3

4

l:.F.T••~ ..

=•Summary

of Program-Related

Investments

(see page 24 of the instructions)

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

Amount

1_NONE---------------------------------------------------------------------2

All other program-related investments See page 25 of the 1nstruct1ons

3_NONE _____________________________________________________________________

Total. Add lines 1 throuah 3 . . . . . . • . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •.

_

~

Form

JSA

6E1465 3 000

16733H

K932

11/15/2007

14:44:27

V06-8.3

8564 6

990-PF

(2006)

 ,.
Form990-PF(2006)

Ufftf:j· Minimum

Investment
Return (All domestic
see page 25 of the instructions )

1

foundations

must complete

48-0918408
this part Foreign foundations,

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc ,
purposes
a Average monthly fair market value of securities
.. . . . . . . . . .
b Average of monthly cash balances . . . . . . . .....
.
..
c Fair market value of all other assets (see page 25 of the instructions)
d Total (add lines 1a, b, and c) .......
e Reduction claimed for blockage or other factors reported on lines 1a and

1a
1b
1c
1d

...

...............

I

...................
. . . . ..........................

.. ..

..............

5
6

1
2a
b
c

3
4
5
6
7

a
b
2

:j

j

a
b

4
5

6

.

823

..
..

1 167
76 656
3 832

351.
070.
804.

1

3.832

804.

2c
3
4

35.726.
3 797 078.

5
6

3 797

078.

7

3 7 97

078.

1a
1b

8 276.208.

35.726.

..

..
Distributions(see

page 26 of the instructions)

Amounts paid (including adm1rnstrat1veexpenses) to accomplish charitable, etc, purposes
Expenses, contributions, gifts, etc - total from Part I, column (d), line 26
Program-related investments - total from Part IX-B
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc,
purposes ..............................
......
Amounts set aside for spec1f1ccharitable projects that satisfy the
Su1tab1htytest (prior IRS approval required)
.....
.
Cash d1stribut1ontest (attach the required schedule)
Qualifying distributions. Add Imes 1a through 3b Enter here and on Part V, line 8, and Part XIII, line 4
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 27 of the 1nstruct1ons)
Adjusted qualifying distributions. Subtract line 5 from line 4

..........
. . . . . . . . . . . . ..........
........

3

NONE

D

line 1

1

738.
183.
500.
421.

421.

...........................

Minimum investment return from Part X, line 6
2a.
Tax on investment income for 2006 from Part VI, line 5
Income tax for 2006 (This does not include the tax from Part VI )
I 2b I
Add Imes 2a and 2b
Distributable amount before adjustments Subtract line 2c from line 1
Recoveries of amounts treated as qualifying d1stnbut1ons
...
Add Imes 3 and 4
Deduction from distributable amount (see page 26 of the instructions)
Distributable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII,

1:.ffiji31i
Qualifying

759
716
347
823

77

.......... ..... ... ....

•::r.•·····

64
6
6
77

I

1c (attach detailed explanation) .....................
1e
Acqu1s1t1onindebtedness applicable to line 1 assets
2
Subtract hne 2 from hne 1d
.
...
. 3
Cash deemed held for charitable act1v1t1es.Enter 1 1/2 % of hne 3 (for greater amount, see page 26
of the 1nstruct1ons)
.
.
.
.... .. 4
Net value of noncharitable-use assets. Subtract hne 4 from line 3 Enter here and on Part V, hne 4
5
Minimum investment return. Enter 5% of hne 5
6
Distributable
Amount (see page 26 of the instructions)
(Section 4942(J)(3) and (J)(5) private operating
and do not complete this part )
foundations and certain foreign organizations check here ~

2
3
4

Page8

.

. .....

............
. . . . . . . ..
. . . . . . ..............

NONE

2

NONE

Ja
Jb
4

NONE
NONE
8 276

208.

5
NIA
6
8 276
...
Note: The amount on /me 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 ,n those years

208.

Form

JSA
6E1470 3 000

16733H

K932

11/15/2007

14:44:27

V06-8.3

85646

990-PF

(2006)

 48-0918408

1ifl£JjjiUndistributed

Income (see page 27 of the instruct1ons)

D1stnbutable amount for 2006

1

line 7
a

from Part XI.

(a)

(b)

Corpus

Years pnor to 2005

(c)
2005

(d)
2006

....................

Und1stnbuted income

2

Page9

3 797.078.

1f any as of the end of 2005

Enter amount for 2005 only

.........
NONE

b Total for prior years

Excess d1stnbulions carryover, 1f any, to 2006

3
a

2
1
1
1
2

From 2001

b From 2002

c From 2003
d From 2004

e From 2005
f

Total of Imes 3a through e

919.590.
893 383.
991 823.
297 997.
267 221.

. . . ...

.....

Qualifying d1stnbut1ons for 2006

4

10 370

014.

4 479

130.

from Part

8 276.208.

XII. line 4 ..... $

...

a Applied to 2005. but not more than line 2a

b Applied to und1stnbuted income of pnor years
(Election required • see page 27 of the instructions)

..

c Treated as d1stnbulions out of corpus (Eleclion
required - see page 27 of the 1nstruct1ons)

3 7 97 078.

d Applied to 2006 d1stnbutable amount

e Remaining amount distributed out of corpus
5

Excess d1stnbut1ons carryover applied to 2006
(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
indicated below:
a

Corpus Add lines 3f, 4c, and 4e Subtract line 5

14 849.144.

b Pnor years'

und1stnbuted income Subtract
line 4b from line 2b
.....
c Enter the amount of pnor years' und1stnbuted
income for which a nolice of deficiency has
been issued, or on which the secbon 4942(a)
tax has been previously assessed • • • • • . . .

........

NONE

d Subtract line 6c from line 6b Taxable
amount - see page 27 of the instructions

...

e

Und1stnbuted income
for 2005
Subtract
line
4a from line 2a Taxable amount
see page
27 of the instructions

f

Undistributed
income for 2006
Subtract
Imes 4d and 5 from line 1 This amount must
be d1stnbuted m 2007 ..........
Amounts treated as d1stnbut1ons out of
corpus to satisfy requirements imposed by
secbon 170(b)(1 )(E) or 4942(g)(3) (see page
28 of the instructions)
Excess d1stnbut1ons carryover from 2001 not
applied on line 5 or line 7 (see page 28 of
the 1nstruclions)

NONE

..............

...

7

.............

8

...............

9

Excess distributions carryover to 2007.

0

Analysis of line 9

..

Subtract Imes 7 and 8 from line 6a
a

Excess from 2002

b Excess from 2003

c

Excess from 2004

d Excess from 2005
e Excess from 2006

1
1
1
2
4

. . ..

893
991
297
267
479

2 919

590.

11. 92 9 554.

383.
823.
997.
221.
130.
Form

JSA
6E1480 3 000

16733H

K932

11/15/2007

14:44:27

V06-8.3

85646

990-PF

(2006)

 • Form990-f'F (2006)
'
I ::.F.r.•·u,• private Operating Foundations(see
1a

b
2a

page

28 of the instructions

48-0918408
VII-A, question

and Part

Page10

9)

NOT APPLICABLE

It the foundation has received a ruling or determination letter that 11 IS a private operating
foundation. and the ruling 1seffective for 2006, enter the date of the ruling

...

Check box to indicate whether the foundation 1sa private operating foundation descnbed in section
Enter the lesser of the
adJustednet income from
Part I or the m1rnmum
investmentreturn from Part
X for eachyearhsted

b

65%of line 2a

c

Ouallfymg d1stnbut1ons
from Part

d

Amounts included rn llne 2c not

Tax year

I

4942(J)(3) or

I I

Prior 3 years

(a) 2006

(b)2005

(c) 2004

4942(J)(5)

(e) Total

(d) 2003

XII hne 4 for each year hsled

used directly for active conduct

of exempt act1v1tres•

e Qual1fy1ng
d1stnbut1ons
directlyfor
exempl

active

made

of
Subtract

conducl

act1v1t1es

..

line 2d from hne 2c •

Complete3a, b, or c for the

3

allemat1vetest relied upon

a

"Assets• alternative test - enter

(1) Value of all assets
(2) Valueof assetsqualifying
under section

4942())(3)(6)(1).
b

"Endowment" allemat1ve

enter 213 of

minimum

test-

invest-

ment return shown m Part X

hne 6 for each year llsled

c

"Support"alternative test - enter

(1) Total supportother

than

gross investment income
(interest dividends, rents,
payments on secunt1es
loans (section 512(a)(5))

orroyalties)
(2) Support from

general
public and 5 or more

exempt orgarnzauons as
provided in section 4942

..

0)(3)(6)(111)
•..

I amount of sup(3) Larges

port from an

exempt

organ1zat1on

(4) Gross rnvestmentincome .
• :.f:lli,.

1

.. , ....

Supplementary Information (Complete this part only if the organization had $5,000 or more in assets
at any time during the year - see page 28 of the instructions.)

Information Regarding Foundation Managers:
who have contributed more than 2% of the total contributions
received
before the close of any tax year (but only 1fthey have contributed more than $5,000) (See section 507(d)(2))

a List any managers of the foundation

by the foundation

CHARLES G. KOCH
b List any managers of the foundation

who own 10% or more of the stock of a corporation
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.

(or an equally large portion

of the

NONE
2

Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:

0

Check here .,.
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 ind1v1duals or
organizations under other cond1t1ons, complete items 2a, b, c, and d

a The name, address, and telephone number of the person to whom appl1cat1ons should be addressed

SEE STATEMENT 14
b The form 1n which applications should be submitted and information and materials they should include

SEE ATTACHMENT E
c

Any subm1ss1on deadlines

NONE
d Any restrictions
factors

or hm1tat1ons on awards,

such

as by geographical

areas,

charitable

fields,

kinds

of inst1tut1ons, or other

SEE ATTACHMENT E
JSA
6E1490 3 000

16733H

Form990-PF (2006)

K932

11/15/2007

14:44:27

V06-8.3

85646

 4 8- O918 4 O8
Information (continued)
Grants and Contributions Paid During the Year or Approved for Future Payment

Page

Form 990-PF (2006)

1:1ffif!\i
. Supplementary
3

Rec1p1ent
Name and address (home or business)

If reap1ent is an 1nd1V1dual

show any re\at1onsh1p
to
any foundationmanager
or substantialcontnbutor

Foundation
status of
rec1p1ent

Purpose of grant or
contribution

Amount

a Paid dunng the year
SEE ATTACHMENT A

6,674,802.

IJI,,3a

Total
b Approved for future payment

6 674.802.

SEE ATTACHMENT A

50,000.

IJI,,3b

Total

Form
JSA
6E1491 3 000

16733H

K932

11/15/2007

11

14:44:27

V06-8.3

85646

50 000.
990-PF (2006)

 Form990-PF(2006)

I:,.:, •• _.,..,..,.

1 Program service revenue

REL.

PROG.

Excluded b1 section 512, 513, or 514

Unrelated business income

Enter gross amounts unless otherwise 1nd1cated

a

Page 12

48-0918408

Analysis of Income-Producing Activities
(a)

(b)

(c)

BusrnessCode

Amount

Excius1on code

(d)
Amount

(e)
Related or exempt
function income
ee page 29 of
t e instructions )

f:f

17

INVSTMT

997.

b

c
d

e

f
Feesand contractsfromgovernmentagencies

g

2 Membership dues and assessments

....
1

808

260.

3 Intereston savingsand temporarycash investments

14

. . ..

14

46

580.

16

-3

888.

4 D1v1dendsand interest from secunt1es

5 Net rental income or (loss) from real estate

.......
....

a

Debt-financed property

b

Not debt-financed property

6 Net rental,ncomeor (loss)from personalproperty

.........

7 Other investment income

8 Gain or (loss)from salesof assetsother than inventory
9 Net income or (loss) from special events

1

18

715.

..

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

•!.J:'t••...
,f.lP
Line No.

...

lA

:•

17

667.

852
13

13 Total. Add hne 12, columns (b), (d), and (e) ••.•.•••••••
(See worksheet in hne 13 instructions on page 29 to venfy calculations)

1

870

997.
664.

Relationship of Activities to the Accomplishment of Exempt Purposes

importantly
to
Explain below how each act1v1ty for which income 1s reported
1n column (e) of Part XVI-A contributed
(See
purposes
(other than by prov1d1ng funds for such purposes)
the accomplishment
of the foundation's
exempt
page 29 of the instructions )
INCOME

F'ROM LOAN

EDUCATIONAL

IMAX

MADE

F'OR PURPOSE

OF' PRODUCING

AN

F'ILM

Form 990-PF

JSA
6E1492 3000

16733H

K932

11/15/2007

14:44:27

V06-8.3

85646

(2006)

 48-0918408

Information Regarding Transfers
Exempt Organizations
1

To and Transactions

and Relationships

Page 13
With Noncharitable

Did the organization directly or indirectly engage in any of the following with any other orgarnzabon descnbed 1nsection

Yes

No

501(c) of the Code (other than section 501(c)(3) organizations) or in secbon 527. relating to poht1cal organizations?
a Transfers from the reporting foundation to a nonchantable exempt organization of
(1) Cash.

1a(1)

(2) Other assets

1al21

x
x

b Other transactions
(1) Sales of assets to a nonchantable exempt organization

1b(1)

(2) Purchases of assets from a nonchantable exempt organization

1b(2)

(3) Rental of fac11it1es,
equipment. or other assets

1b(31

(4) Reimbursement arrangements

1b(4)

(5) Loans or loan guarantees

1b(5)

(6) Performance of services or membership or fundra1sing sohc1tat1ons

1b(6)

c Sharing of fac1ht1es,equipment, ma1hng hsts, other assets, or paid employees
d

x
x
x
x
x
x
x

1c

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
arrangement, show in column

(a) Line no

If the foundation received less than fair market value 1n any transaction or sharing

(d) the value of the goods, other assets, or services received

(b) Amountinvolved

(c) Nameof nonchantableexemptorganization

N/A

2a

(d) Descnptmnof transfers,transactions,and sharingarrangements

N/A

Is the foundation directly or indirecUy affiliated with, or related to, one or more tax-exempt orgarnzabons descnbed in
secbon 501(c) of the Code (other than section 501(c)(3)) or in section 527?

b If "Yes. complete the followinq schedule
(a) Nameof organization

. • . . . • • • • . • • • • • • . • • • . . . . .

(b) Type of organization

D

Yes

Q

No

(c) Descnpt1onof relat1onsh1p

Under penalties of pe!]ury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and
Declarationof preparer(other than taxpayeror fiduciary)1sbasedon all mfonnat1onof which preparerhas any knowledge
behef,1t1strue, correct,~lete

of~-/~- "~Pl.'_

1111,.

~
Cl)

:c
;~

v,

,..

I //-/ .f-.;UJ~7

---, '-

Signatureof officer or trustee

Date

1111,.

,..

Trev ttre.,

Title

Preparer's SSN or PTIN
(SeeSignature on page 31
Check if
-o -~
Prepatrer's ~
C'//
I
J 1 /, :S- !J.4J'7 self-employed ~
of the 1nstruct1ons
)
; ~ o~s=1~gn~a=--=ur~e:___~~~-..;;;,;:<-~D.c~:____:_~~~~~'~:___~_'-..J-=-~-L~~~~~-·.L-1...L_~~~-.-~~~..LE:P~0~0~2~4~8~4~0Llec......~~~~~
a. ~
~ ::,:ll Firm's name (or youral'l"
~ BKD
LLP
EIN ~ 44-0160260
le,''
self-employed),address,
1551
N WATERFRONT PKWY, STE 300
and ZIP code
WICHITA
Phone no 3 1 6 - 2 6 5 - 2 8 11
67206-6601
KS
Form 990-PF (2006)

o

?

Date

) {:. b'n

J

ff'

JSA
6E1493 3 000

16733H

K932

11/15/2007

14:44:27

V06-8.3

85646

O

 Schedule B

OMS No 1545-0047

Schedule of Contributors

(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Name of organization

~@06

Supplementary Information for
line 1 of Form 990, 990-EZ, and 990-PF (see instructions)

Employer 1dentif1cation number

CHARLES G. KOCH CHARITABLE FOUNDATION
48-0918408
Organization type (check one)
Filers of:

Section:

Form 990 or 990-EZ

Form 990-PF

D
D

4947(a)(1) nonexempt charitable trust

D

527 political organization

Q

501(c)(3) exempt private foundation

D
D

501 (c)(

) (enter number) organization
not treated as a private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation
501(c)(3) taxable private foundation

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 -

CxJFor organizations filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor (Complete Parts I and II.)
Special Rules -

D
D
D

For a section 501(c)(3) organization filing Form 990, or Form 990-EZ, that met the 33 1/3% support test of the regulations
under sections 509(a)(1 )/1?0(b )(1 )(A)(v1), 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) organization 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 organization because 1treceived nonexclus1vely religious, 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 (Form 990,
990-EZ, or 990-PF), but they must check the box m the heading of the,r Form 990, Form 990-EZ, or on /me 2 of the,r Form
990-PF, to certify that they do not meet the filing reqwrements of Schedule B (Form 990, 990-EZ, or 990-PF)
For Papeiwork Reduction Act Notice, see the Instructions
for Fonn 990, Form 990-EZ, and Form 990-PF

Schedule B (Fonn 990, 990-EZ, or 990-PF) (2006)

JSA

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 Schedule B (Form 990 990-EZ or 990-PF) (2006)

Name pf organization

CHARLES G.

Page

of

of Part I

Employer 1dent1ficat1on number

KOCH CHARITABLE FOUNDATION

48-0918408

1:zjjj1Contributors

(See Spec1f1c Instructions )

(a)
No.

__

l_

(b)
Name, address, and ZIP+ 4

CHARLES G.
4111

E.

WICHITA
(a)
No.

(c)
Aggregate contributions

KOCH

37TH STREET N.
KS

40 021

911.

67220
(c)
Aggregate contributions

(b)
Name, address, and ZIP + 4

(d)
Type of contribution

§

Person
Payroll
Non cash
(Complete Part II 1fthere 1s
a noncash contnbut,on )
(d)
Type of contribution

§

Person
Payroll
Non cash
(Complete Part II 1fthere 1s
a noncash contnbut1on )

---

(a)
No.

(c)
Aggregate contributions

(b)
Name, address, and ZIP + 4

(d)
Type of contribution

§

Person
Payroll
Non cash
(Complete Part II 1fthere 1s
a noncash contnbut1on )

---

(a)
No.

(b)
Name, address, and ZIP + 4

(c)
Aggregate contributions

(d)
Type of contribution

§

Person
Payroll
Noncash
(Complete Part II 1fthere 1s
a noncash contnbut1on )

---

(a)
No.

(b)
Name, address, and ZIP + 4

(c)
Aggregate contributions

(d)
Type of contribution

§

Person
Payroll
Non cash
(Complete Part II 1fthere 1s
a noncash contnbut1on )

---

(a)
No.

(c)
Aggregate contributions

(b)
Name, address, and ZIP + 4

(d)
Type of contribution

§

---

Person
Payroll
Non cash
(Complete Part II 1fthere 1s
a noncash contnbut1on )
Schedule B (Form 990, 990-EZ, or 990-PF) (2006)

JSA

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85646

 C, .. ,RLES G. KOCH CHARITABLE FOUNDA. ,JN
EIN 48-0918408
SCHEDULE OF INFORMATION FOR 2006 FORM 990-PF

[PART I, Line 19 -- DEPRECIATION

SL De~r Method Used·

Description of Property
Office Equipment
Office Furniture
TOTALS

Date
Acquired
2006
2006

Cost
Basis

Accumulated
Depreciation

Book
Value

1,307
3,878

143
129

1,164
3,749

5, 185

272

4,913

Useful
Life
5
15

Depree. Exp
12/31/2006
143
129
272

 CHARLES G. KOCH CHARITABLE FOUNDATION
EIN 48-0918408
SCHEDULE OF INFORMATION FOR 2006 FORM 990 PF
Part XV, Line 3a & b - Grants and Contributions Paid During the Year or Approved for Future Payment
If recipient1san md1v1dual,

Rec1p1ent
Name and address (home or business)

ATIACHMENTA

Foundation

show any relallonsh1pto

status of

Purpose of grant

any foundationmanager

rec1p1ent

or contribution

Amount

or substantialcontnbutor

a Paid during the year
The Acton Institute
Grand Rapids, Ml

Public

General Operating Support

25,000

Atlas Economic Research Foundation
Arlington, VA

Public

General Operating Support

3,800

American Enterprise Institute
Washington, DC

Public

General Operating Support

100,000

Assoc1at1onof Private Enterprise
Chattanooga, TN

Public

Education Programs

8111
of Rights Institute
Arlington, VA

Public

General Operating Support

300,000

Cato Institute
Washington, DC

Public

General Operating Support

8,400

Center for Excellence 1nEducation
Vienna, VA

Public

Educational and Research
Programs

5,000

Environmental Literacy Council
Washington, DC

Public

General Operating Support

50,000

The Federalist Society
Washington, DC

Public

General Operating Support

75,000

Fund for American Studies
Washington, DC

Public

General Operating Support

25,000

Grove City College
Grove City, PA

Public

General Operating Support

20,000

Hampden-Sydney College
Hampden-Sydney, VA

Public

General Operating Support

25,000

Independence Institute
Golden, CO

Public

General Operating Support

18,339

Institute for Humane Studies
Arlington, VA

Public

General Operating Support

1,082,000

George Mason University Foundation
Fairfax, VA

Public

Educational and Research
Programs

350,000

Goldwater Institute
Phoenix, AZ.

Public

Educational Programs

26,780

Mackinac Center for Public Polley
Midland, Ml

Public

General Operating Support

10,000

Mercatus Center
Arlington, VA

Public

General Operating Support
Educational Programs

3,900,000

National Salvation Army
Alexandria, VA

Public

General Operating Support

100,000

Phrlanthropy Roundtable
Washington, DC

Public

General Operating Support

100,000

The Phillips Foundation
Washington, DC

Private

General Operating Support

37,500

10,000

 CHARLES G. KOCH CHARITABLE FOUNDATION
EIN 48-0918408
SCHEDULE OF INFORMATION FOR 2006 FORM 990 PF
Part XV, Line 3a & b - Grants and Contributions Paid During the Year or Approved for Future Payment
If recipient1san md1v1dual,

Rec1p1ent
Name and address (home or business)

ATTACHMENT A

Foundation

show any relatJonsh,p
to

status of

Purpose of grant

any foundationmanager

rec1p1ent

or contribution

Amount

or substantialcontnbutor

a Paid during the year·
San Jose State University Foundation
San Jose, CA

Public

General Operating Support

Students 1nFree Enterprise
Springfield, MO

Public

General Operating Support

Texas Public Policy Foundation
Austin, TX

Public

Educational Programs

22,983

University of Kansas School of Business
Lawrence, KS

Public

General Operating Support

25,000

West Virginia University Foundation
Morgantown, WV

Public

General Operating Support

15,000

Youth Entrepreneurs of Kansas
W1ch1ta,KS

Public

General Operating Support

300,000

TOTAL GRANTS PAID TO ORGANIZATIONS

b Approved

25,000

15,000

$

6,674,802

for future payment

University of Kansas School of Business

Public

General Operating Support

50,000

Lawrence, KS

TOTAL GRANTS APPROVED FOR FUTURE PAYMENT

$

50,000

 CHARLES G. KOCH CHARITABLE FOUNDATION
EIN 48-0918408
SCHEDULE OF INFORMATION FOR 2006 FORM 990 PF

ATTACHMENT B

PART VIII, Line 1 - Officers, Directors.Trustees, Managers. Etc.

(a) Name and Address

(b) Title, and average
hours per week
devoted to position

(d) Contributions
to employee
(c) Compensation
benefit plans

(e) Expense
account, other
allowances

Richard Fink
655 15th Street, NW, Suite 445
Washington, DC 20005

President I Director
1 hour per week average

0

0

0

Kevin L Gentry
655 15th Street. NW, Suite 445
Washington, DC 20005

Vice President
10 hours per week average

0

0

0

Logan Moore
655 15th Street. NW, Suite 445
Washington, DC 20005

Secretary
40 hours per week average

100,000

8,715

925

Vonda Holliman
P 0. Box 2256
Wichita, KS 67201

Treasurer
15 hours per week average

0

0

0

Charles G Koch
P.O Box 2256
W1ch1ta,KS 67201

Director
Less than 1 hour per week

0

0

0

Elizabeth B. Koch
P.O Box 2256
Wichita, KS 67201

Director
Less than 1 hour per week

0

0

0

Elizabeth Robinson Koch
P.O. Box 2256
W1ch1ta.KS 67201

Director
Less than 1 hour per week

0

0

0

Charles Chase Koch
P 0. Box 2256
W1ch1ta,KS 67201

Director
Less than 1 hour per week

0

0

0

Koch Business Holdings, LLC
P.O. Box 2256
Wichita, KS 67201

Not Applicable
(Payment for management
services of officers above)

39,719

0

0

TOTAL

139,719

8,715

925

 CHARLES G. KOCH CHARITABLE FOUNDATION
EIN 48-0918408
ATTACHMENT TO FORM 990-PF TO REPORT
EXPENDITURE RESPONSIBILITY GRANT
For the Year Ended 12/31/06

PART VII-B, Question on Line 5c:

ATTACHMENT C

Expenditure Responsibility Statement for the Year 2006
Pursuant to IRC Regulation section 53.4945-5(d)(2), the CHARLES G. KOCH CHARITABLE FOUNDATION
provides the following information:

(i)

Name & Address
of Grantee.

The Phillips Foundation
One Massachusetts Avenue, NW, Suite 620
Washington, DC 20001

(ii)

Date and Amount
of Grant·

July 31, 2006

$37,500

(iii) Purpose of Grant:

Support for the Journalism Fellowship Program run by the Phillips Foundation

(1v) Amounts expended:

Report received from The Phillips Foundation shows the following expenditures:
$37,500 of the July, 2006 grant was spent directly for providing grants through
their Journalism Fellowship Program.

(v)

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.

Diversions:

(vi) Date of Reports:

On November 15, 2007, The Phillips Foundation submitted a full and complete
report of its expenditures of the July 2006 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.

 CHARLES G. KOCH CHARITABLE FOUNDATION
EIN 48-0918408
SCHEDULE OF INFORMATION FOR 2006 FORM 990 PF
PART IX-A, - Summary of Direct Charitable Activities
CHARITABLE ACTIVITY DESCRIPTION:
KOCH ASSOCIATES PROGRAM:

ATTACHMENT D

I

Expenses

640,620

During 2006 the Charles G. Koch Charitable Foundation had 16 individuals participate in it's Associate Program.
Four Washington, D.C area non-profit organizations were partners 1nthe program.
The Koch Associate Program was established to identify up-and-coming leaders and entrepreneurs interested in
liberty and help them develop the knowledge, skills, and experience necessary for careers with market-oriented
think tanks, policy institutes, and other non-profit organizations.
For more information on this program, please visit the Foundation's website at: www.cgkfoundation org

KOCH INTERNSHIP PROGRAM:

During 2006 the Charles G Koch Charitable Foundation had 26 individuals participate in it's Internship Program.
The Charles G. Koch Charitable Foundation Internship Program was established to develop the next generation
of liberty-minded leaders and entrepreneurs. Over the course of the program, Interns engage 1nkey non-profit
projects while learning and applying Market-Based Management® (MBM®).
For more information on this program, please visit the Foundation's website at: www cgkfoundallon.org

230,423

 CHARLES G. KOCH CHARITABLE FOUNDATION
EIN 48-0918408
SCHEDULE OF INFORMATION FOR 2006 FORM 990 PF
PART XV, LINE 20, INFORMATION REGARDING GRANTS- LIMITATIONS ON AWARDS

ATTACHMENT E

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.

The 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 1tconsiders:
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 act1v1t1es
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 proiect Because the
Foundation only supports Section 501(c)(3) public charities, it also requires 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 Chantable Foundation
655 15th Street NW, Suite 825
Washington, DC 20005
Other Contact Information:
Phone: 202-393-2354
Fax: 202-393-2355
email @ cgkfoundat1on.com

 FORM 990-PF - PART IV
CAPITAL GAINS AND LOSSES FOR TAX ON INVESTMENT INCOME
p

Kindof Property
Gross sale
priceless
exnenses of sale

I

Descnpllon

Depreciation
allowed/
allowable

Cost or
other

h~···

I

FMV
as of
17/11/1'0

I

AdJ basis
as of

I

1?/11/1'0

Excess of
FMVover
ad1basis

pr
D

Date
acquired
Gain
or
llossl

Date sold

p

504,426.

ZAZOVE ASSOC. CONVERTIBLE BONDS - ST
PROPERTY TYPE: SECURITIES
559,422.

p

934,960.

ZAZOVE ASSOC. CONVERTIBLE BONDS - LT
PROPERTY TYPE: SECURITIES
903, 131.

p

VAR

VAR

10100000.

STATE GOV'T BONDS - ST
PROPERTY TYPE: SECURITIES
10100000.

E

VAR

VAR

700,000.

STATE GOV'T BONDS - LT
PROPERTY TYPE: SECURITIES
700,000.
ZAZOVE CONVERTIBLE BOND EXCHANGE
PROPERTY TYPE: SECURITIES

E

VAR

VAR

24,882.

VAR

VAR

-54,

996.

VAR

VAR

31,829.

24,882.

TOTAL GAIN(LOSS)

. . . .. . . . . . .. .. ... . .. .. .. .. .. .. .. .. .. . .. . .. .... ..

---------1, 715 .

----------

JSA

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85646

 CHARLES G. KOCH CHARITABLE FOUNDATION

FORM 990PF,

48-0918408

PART I - OTHER INCOME
REVENUE
AND
EXPENSES
PER BOOKS

DESCRIPTION
INTEREST FROM PROGRAM-RELATED INVESTMENT
TOTALS

16733H

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85646

ADJUSTED
NET
INCOME

1 7, ·997.

17,997.

17,997.

17,997.

STATEMENT

1

 CHARLES G. KOCH CHARITABLE FOUNDATION

FORM 990PF,

48-0918408

PART I - LEGAL FEES
REVENUE
AND
EXPENSES
PER BOOKS

DESCRIPTION

20,107.
15,004.

LEGAL FEES-PROGRAM INVESTMENT
LEGAL FEES-ADMIN

35,111.

TOTALS

16733H

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NET
INVESTMENT
INCOME

V06-8.3

85646

NONE

ADJUSTED
NET
INCOME

CHARITABLE
PURPOSES

17,997.

2, 110.
16,383.

17,997.

18,493.

STATEMENT

2

 CHARLES G. KOCH CHARITABLE FOUNDATION

FORM 990PF,

48-0918408

PART I - ACCOUNTING FEES
REVENUE
AND
EXPENSES
PER BOOKS

DESCRIPTION

--------ACCOUNTING FEES
INVESTMENT ACCTG SERVICES
TAX PREPARATION FEES

FEES

TOTALS

16733H

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V06-8.3

NET
INVESTMENT
INCOME

------

37,726.
8,385.
3,126.

8,385.

49,237.

8, 385.

85646

ADJUSTED
NET
INCOME

------

CHARITABLE
PURPOSES

-------46, 231.
4,501.
NONE

50,732.

STATEMENT

3

 CHARLES G. KOCH CHARITABLE FOUNDATION

FORM 990PF,

48-0918408

PART I - OTHER PROFESSIONAL FEES
REVENUE
AND
EXPENSES
PER BOOKS

DESCRIPTION
PROFESSIONAL CONSULTING FEES
INVESTMENT MANAGEMENTFEES
GRANT ADMINISTRATION FEES
LAND MAINTENANCE FEES
WEBSITE FEES
OTHER PROFESSIONAL FEES-ADMIN
RECRUITING FEES
TEMP HELP
PAYROLL FEES
CORPORATE FILING & AGENT FEES
INVESTMENT APPRAISAL FEES

78,600.
55,200.
NONE
4,017.
8,850.
3,296.
24,169.
10,398.
2,938.
42.
2,800.

TOTALS

16733H

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190,310.

V06-8.3

85646

NET
INVESTMENT
INCOME

CHARITABLE
PURPOSES
79,095.

55,200.
65,303.
4,017.
8 t 650.
3,296.
24,169.
10,398.
2 I 938.
42.
2,800.
62,017.

193,891.

STATEMENT

4

 48-0918408

CHARLES G. KOCH CHARITABLE FOUNDATION

•

FORM 990PF,

PART I - TAXES
REVENUE
AND
EXPENSES
PER BOOKS

DESCRIPTION
FEDERAL EXCISE TAX
REAL ESTATE TAXES
TOTALS

16733H

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V06-8.3

NET
INVESTMENT
INCOME

35,726.
114.

114.

35,840.

114.

85646

STATEMENT

5

 CHARLES G. KOCH CHARITABLE FOUNDATION

48-0918408

•

FORM 990PF,

PART I - OTHER EXPENSES
REVENUE
AND
EXPENSES
PER BOOKS

CHARITABLE
PURPOSES

11,889.

11,889.

POSTAGE & DELIVERY

5,226.

5,076.

BANK FEES

2,824.

2,824.

34,983.

33,608.

TELEPHONE

5,362.

5,097.

MEMBERSHIP & DUES

5,249.

5,249.

65,533.

63,743.

DESCRIPTION
INSURANCE

SUPPLIES

TOTALS

16733H

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STATEMENT

6

 48-0918408

CHARLES G. KOCH CHARITABLE FOUNDATION
FORM 990PF,

PART II

- U.S.

AND STATE OBLIGATIONS

•
ENDING
BOOK VALUE

DESCRIPTION
FEDERAL & STATE GOV'T BONDS
US OBLIGATIONS TOTAL

16733H

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V06-8.3

85646

ENDING
FMV

33,800,000.

34,030,764.

33,800,000.

34,030,764.

STATEMENT 7

 CHARLES G. KOCH CHARITABLE FOUNDATION
FORM 990PF,

PART II

48-0918408

•

- OTHER INVESTMENTS

•
ENDING
BOOK VALUE

DESCRIPTION
ARDEN ENDOWADVISERS, LTD SHRS
ZAZOVE ASSOC CONVERTIBLE BONDS
MESIROW ABSOLUTE RETURN FUND
EXCELSIOR ABSOLUTE FUND
TCW SR SEC FLOAT RATE LOAN FD
THIRTEEN PARTNERS, LTD SHARES

5,000,000.
5,551,660.
5,000,000.
5,000,000.
5,000,000.
5,000,000.
30,551,660.

TOTALS

16733H

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85646

ENDING
FMV
6,282,520.
6,186,560.
6,127,912.
5,670,388.
5, 413, 615.
5, 312, 573.
34,993,568.

STATEMENT

8

 48-0918408

CHARLESG KOCHCHARIT/lBLEFOUNDATION

LAND, BUILDINGS, EQUIPMENT
NOT HELDFOR INVESTMENT

ACCUMULJ..TED
DEPRECIPTIONDET.n
IL

FIXED ASSET DETAIL

ASSET DESCRIPTION

METHOD/

BEGINNING

CLASS

BALANCE

ADDITIONS

DISPOSALS

ENDING

BEGINNING

BilLANCE

BALANCE

ElsDING
ADDITIONS

DISPOSALS

BAL8.NCE

OFFICE EQUIPMENT

SL

1, 307

1, 307.

143.

143.

OFFICE FURNITURE

SL

3, 878.

3, 878.

129.

129.

5, 185.

TOTALS

16733H K932 11/15/2007

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85646

272.

STATEMENT9

 CHARLES G. KOCH CHARITABLE FOUNDATION
FORM 990PF,

PART II

48-0918408

_,

- OTHER ASSETS
c

ENDING
BOOK VALUE

DESCRIPTION
NOTES RECEIVABLE - PROGRAM
RELATED INVESTMENTS
TOTALS

16733H

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V06-8.3

85646

ENDING
FMV

355,000.

355,000.

355,000.

355,000.

STATEMENT

10

 ~HARL.ES G.

.

48-0918408

KOCH CHARITABLE
FOUNDATION
.

FORM 990PF,

PART III

- OTHER INCREASES IN NET WORTH OR FUND BALANCES
AMOUNT

DESCRIPTION

8,285.

PRIOR PERIOD AMORTIZATION ADJUSTMENT
TOTAL

8,285.

STATEMENT
16733H

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85646

11

 €HARI£S

G.

.

KOCH CHARITABLE
fOUNDATION
.

FORM 990Pf,

PART VII-B,

GRANTEE'S NAME:
GRANTEE'S ADDRESS:
CITY, STATE & ZIP:
GRANT DATE:
GRANT AMOUNT:
GRANT PURPOSE:

LINE

48-0918408

SC-EXPENDITURE

RESPONSIBILITY

STATEMENT

SEE ATTACHMENT C

AMOUNT EXPENDED:
ANY DIVERSION?
NO
DATES Of REPORTS:
VERifICATION
DATE:
RESULTS Of VERifICATION:

STATEMENT
16733H

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12

 CHARLES G. KOCH CHARITABLE FOUNDATION
990PF,

PART VIII

48-0918408

;.

- COMPENSATION OF THE FIVE HIGHEST PAID EMPLOYEES

"
TITLE AND TIME
DEVOTED TO POSITION

NAME AND ADDRESS

CONTRIBUTIONS EXPENSE ACCT
TO EMPLOYEE
AND OTHER
COMPENSATION
BENEFIT PLANS ALLOWANCES

----------------

-------------------

CLAIRE KITTLE
655 15TH STREET, NW, SUITE 825
WASHINGTON, DC 20005

OFFCR TALENT DVLPMNT
40.00

RYAN STOWERS
655 15TH STREET, NW, SUITE 825
WASHINGTON, DC 20005

OFFCR UNVRSTY PRGRM
40.00

90,000.

12,016.

ELIZABETH BRANNEN
655 15TH STREET, NW, SUITE 825
WASHINGTON, DC 20005

HUMANRESOURCE COORD
40.00

60,329.

7,559.

IAN IVEY
655 15TH STREET, NW, SUITE825
WASHINGTON, DC 20005

OFFCR MRKT-BSD MGMT
40.00

52,500.

TOTAL COMPENSATION

16733H

K932 11/15/2007

14:44:27

V06-8.3

85646

-----------110,000.

----------

312,829.
----------

-------------

----------

9, 414.

1,880.

923 ..

135.

NONE

----------

28,989.
----------

1,880.

----------

4, 818.
----------

STATEMENT

13

 G.HARI~S G.

KOCH CHARITABLE FOUNDATION

FORM 990PF,

48-0918408

PART XV - NAME, ADDRESS AND PHONE FOR APPLICATIONS

SEE ATTACHMENT E

STATEMENT
16733H

K932

11/15/2007

14:44:27

V06-8.3

85646
-----~~~~~~-

14

 ·-·

Form 8868 (Rev 4,-2007)

• If you are f1hng 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 you are f1hng for an Automatic 3-Month Extension, complete only Part I (on paoe 1)

Additional (not automatic)
·~111•1•
Name of Exempt Organization

Type or
print

3-Month Extension of Time. You must file original and one copy_
Employer Identification nµmber

CHARLES G. KOCH CHARITABLE FOUNDATION

Number, street, and room or suite no If a P 0. box, see 1nstruct1ons.
File bythe
extended
P.O. BOX 2256
due datefor
City, town or post office, state, and ZIP code For a foreign address,see instructions
filing the
return See
mstruct1ons WICHITA, '.1(5 67201-2256
Check type of return to be flled (File a separate apphcat1on for each return)
Form 990
X
Form 990-PF
Form 990-BL
Form 990-EZ
STOPI
Do not complete

48-0918408
For IRS use only

-

D
D

Form 1041-A

--I

Form 6069

Form 8870
Form 4720
Form 990-T (sec 401(a) or 408(a) trust)
Form 990-T trust other than above
Form 5227
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 ..... VONDA HOLLIMAN
Te Ie phone No ..... 316-828-5552

~------------------------------FAXNo .....

• If the organization does not have an office or place of business in the United States. check this box. . . . . . . . . . . . .
• If this is for a Group Return, enter the orgaTzat1on's four d1g1tGroup Exemption Number (GED
. If this IS
for the whole group, check this box ...,.
If 11is for part of the group, check this box ...,.
and attach a hst with the

.......
o

names and EINs of all members the extension is for.

NOVEMBER 15

4
5
6

LJ

·
,20
,and ending
Initial return
D""'f:inal return

,20_0_7__

_
,20 __
in accounting period

LJ Change

7

IN ORDER
TO GATHER
THENECESSARY
INFORMATION
Sa

b

c

If this application 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 app1tcat1on 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
reviousl with Form 8868
Balance Due. Subtract line 8b from line 8a 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.

Sa$

.•.'

Sb $

Sc$

Signature and Verification
Under penaltiesof per1ury,I declarethat I have examinedthis form, mcludmgaccompanyingschedulesand statements,and to the best of my knowledgeand belief.
it is true,correct,andcompl , andthat I
Signature.....

B
D

B

Date .....

to Applicant. (To Be Completed by the IRS)
We have approved this application Pleas ttach this form to the organization's return
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 1sconsidered 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's return
We have not approved this apphcat1on After considering the reasons stated 1n item 7, we cannot grant your request for an extension of time
to file. We are not granting a 10-day grace period
We cannot consider this application because 1twas hied after the extended due date of the return for which an extensionwas requested
Other

Director

Date

Alternate Malling Address. Enter the address if you want the copy of this apphcat1on for an add1!1onal 3-month extension
returned to an address different than the one entered above.
Name

BKD, LLP
Type or
print

Number and street (Include suite, room, or apt. no.) or a P.O. box number

1551

N. WATERFRONT PARKWAY, SUITE

300

City or town, province or state, and country (Including postal or ZIP code)

WICHITA,

KS 67206-6601
Form

JSA
6F8055 4 000

8868

(Rev 4-2007)