David H Koch Charitable Foundation 480926946 2009 0689FA5B

..
"
EXTENSION
GRANTED
Return of Private Foundation
Form990-PF
Department
ol theTreasury
or Section
4947(a)(1) Nonexempt Charitable

Treated as a Private Foundation
Note: The foundabon ma be able to use a co of this return to sails
Internal Rever,'le Service
G Check all that apply
LJ
Initial return
Amended return
Name of foundabon
Use the IRS

label.
Otherwise,
print
or type.
See Specific
lnstrucbons.
DAVID
H.
E.
ST.
LJ
Final return
Name change
A Employer ldentlflcatlon number
KOCH CHARITABLE
37TH
Address chanae
FOUNDATION
48-0926946
Number and street (or PO box numberIf ma1l1snot dehveredto streetaddress)

4111
20
en mg
Initial return of a former public charity
~@09
.
rt1n re u1rements
2009 ,an
For ca en d ar year 2009 , or tax year b eamnma
OMB No 1545-0052
Trust
Room/suite
Telephone number (1ee page 10
If exemptJonappllcallon 1s
pending check here
N.
(316)
City or town, state, and ZIP code
orthe tnstruetJons)
828 -5552
......
check here
D 1 Foreign organ1zat1ons,
WICHITA,
llS.J
Section
H Check type of organization
67220-3203
KS
501 (cfli
Section 4947(alC1l nonexempt chantable trust
2 Foreign orgamzations meet.Ing the

85% tes~cheek
hereandattach
computatJon
........
exempt private foundation

Other taxable private foundation
LJ Cash
J Accounting method
of year (from Part II, col (c), /me

16) ... $
95,264,998.
Other (specify)
(Part I, column (d) must be on cash basis)
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 oage 1k>f the mstrucllons) J
1
3
ContnbubonLJ grants,etc, received

(attachschedule)
Ch k ...
If the foundation1s not requiredto
ec
attachSch B , , , , , ,
Intereston savingsand temporarycash investments
D1v1dendsand interest from securities
Fair market value of all assets at end
Accrual
______________________
(a) Revenue and

expenses per
books
:o
....o
...on
If pnvate foundation status was tennanated
undersecbon
507(b)(1)(A),
checkhere
F
If the foundation
1$
In 8 60-month terrmnatJon
undersecbon
507(b)(1
)(B) checkhere , ...
(b) Net investment

income
(d) Disbursements
for chantable
purposes
leash basis onlvl
(c) AdJusted net

income
10,000,000.
986
ATCH
986.
5a Gross rents
b Net rentalincomeor (loss)
QI
:::,
c:
QI
>
QI
6a Net gain or (loss)from sale of assetsnot on hne1O

b Grosssales pnce for all
assetson line 6a
7
Capital gain net income ~om PartlV..JJne.21
~ 8
c:,
~
cc
~
>
l1!ei!'&e.
\VEO ... i
Net sh6rt-term
9
lncom~ mod1ficat1ons_!...-!-,-"--.-.--a
10 a GrosssaJesl~ss re1ums
and allowffis
,
b Less colltofboodsl~V.
1>.'),
101 or (loss)
(attach scheduleL
c Gross piofit
(:)
\ <;Q\
-.
11
a
UJ
12
Other in ;ome1aomm
Total. Aid lrnes
13
Compensationof officers,directors,trustees,etc
14
Other employee salaries and wages
15
Pension plans, employee benefits
z:
z
CII
QI
() c: 16 a
LJ\ ....
:1'. t :
CII
QI
CJ;,Q,
)(
w
..
...
..
QI
>
C'CI
CII
7_01U\ '!.\
j 0:::
....
Legal fees (attach schedule)
c Other professional fees (attach schedule) *.

Interest ...
18
*
Taxes(attachschedule)(seepage14orthe,nstrucbons,*
-c 21
c:
C'CI 22
Travel, conferences, and meebngs
0.
0.
825
17
e
-c 20
9,695
1,245
20
Occupancy .
<(
Pnnbng and publrcabons
.........
23
Other expenses (attach schedule) ~.'T:C.H. ?
24
Total operating and administrative expenses
QI
Q,
11,770.
b Accounting fees (attach schedule) ~T.c~ .2.
Depreciabon (attach schedule) and deplebon
~
l!!
986.
0
19
Cl)
10,000,986.
Add lrnes 13 through 23
..........
.......
1,033.
1,033
13,648.
0.
0.
11,
13,648.
0.
0.
11, 973
973
Contnbubons. gifts, grants paid
25
26
Totalexoensesanddisbursements
Add lines 24 and 25
27
Subtract lrne 26 from line 12
Excess of revenue over expenses and disbursements
9,987,338.
986.
b Net investment income (1fnegabve, enter -0-)
-0-
c Ad1usted net income (1fneoabve, enter -0-l. .

For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
9 14102000
E
14352G
K932
11/11/2010
4: 33: 09 PM
V 09-8.
5
* ATCH
3 JSA
85652
**
ATCH
Form 990-PF (2009)
48-0926946
Form 990-PF (2009)
Attachedschedulesand amounts111the
descnpt1oncolumnshould be for end--0f-year
amountsonly (See 1nstruct1ons
)
lilnlllBalance Sheets
(a) Book Value
..
Cash - non-1nterest-beanng
Savings and temporary cash investments
Accounts receivable
Page 2
End of year
Beginning of year
...
-----------------------...------------75,000,000
.
...-----------------------...-------------
(c) Fair Market Value
(b) Book Value
3,697.
272,255.
5,224.
20,259,741.
5,224
20,259,741.
75,000,000.
75,000,000
Less allowance for doubtful accounts
Pledges receivable
85,000,000.
..
..
Grants receivable
Receivables due from officers, directors, trustees, and other

d1squahfied persons (attach schedule)(see page 16 of the instructions)
...- - - - ...-------------
Other notes and loans receivable (attach schedule)
J!l
QI
Cl)
Cl)
<
.. . .
..
lnventones for sale or use
33.
53.
Prepaid expenses and deferred charges AT.CB..6.

9
10 a Investments- U S and state governmentobllgat1ons(attachschedule)
33
b Investments - corporate stock (attach schedule)
. . ..
...
-----------------...-------------------
c Investments - corporate bonds (attach schedule)

11
Investments- land, buildings,
and equipment basis
Less accumulateddepreciation
(attachschedule)
Investments - mortgage loans
12
13
14
Investments - other (attach schedule)

Land, buildings,and
equipment basis
Less accumulateddeprec1at1on
...
(attachschedule)
________
15
Other assets (describe
16
Total assets (to be completed by all filers - see the

1nstruct1ons Also, see page 1, item I)
17
Accounts payable and accrued expenses
18
Grants payable
...------------------
...____________________
)
..
..
-------
_____
Deferred revenue
; 20
Loansfrom officers,directors,trustees,and other d1squallfiedpersons
'.g21
Mortgages and other notes payable (attach schedule)
~ 22
Other hab1ht1es(describe
85,001,545.
85,003,200.
95,264,998
)
...___________________
..
Total liabilities (add Imes 17 through 22)
23
95,264,998.
3,200.
85,000,000.
xi 19
85,276,005.
1,545.
85,000,000.
Foundations
that follow SFAS
and complete lines 24 through
...w
117, check here

26 and lines 30 and 31.
xi
24
u
Unrestricted
; 25
ia 26
Temporanly restricted
"ti
c:
::,
Foundations
that do not follow SFAS 117,
check here and complete lines 27 through
0 27
Capital stock, trust principal, or current funds
J!l 28
Paid-inor caprtalsurplus,or land, bldg . and equipmentfund
29
~ 30
Total net assets or fund balances (see page 17 of the
274,460.
10,261,798.
274,460.
10,261,798.
Permanently restncted
u..
QI
...o
31.
Retainedearnings,accumulatedincome,endowment,or other funds
::l
QI
..
mstrucllons)
Total liabilities and net assets/fund balances
31
(see page 17
.. . .
of the instructions)
.. ..
85,276,005.
95,264,998.
,.. m Analysis of Chanaes in Net Assets or Fund Balances
=
1 Total
net assets or fund balances
end-of-year
2
3
4
5
6
at beginning
..
Enter amount from Part I, hne 27a

Other increases
not included
Add Imes 1, 2, and

Decreases
of year - Part
II, column
(a), line
30 (must
agree with
figure reported on pnor year's return)
.. . .
not included
..
in hne 2 (1tem1ze)
in hne 2 (1tem1ze)
Total net assets or fund balances
...
....-----------------------------------..
.. ..
.
at end of vear (line
4 minus line 5) - Part II. column (bl, line 30
..
..
1
2
3
4
5
6
274,460
9,987,338
10,261,798
10,261,798
Form 990-PF
JSA
9E14201 000
14352G
K932
11/11/2010
4: 33: 09 PM
V 09-8.5
85652
(2009)
,.
...
48-0926946
Fonn 990-PF (2009)
~lT.
Pagel
Cal>ital Gains and Losses for Tax on Investment Income

\D)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 )
acquired
P-Purdlase
"-""""b~n
(c) Date
acquired
(mo, day, yr)
ld) Date sold

mo, day, yr)
1a
c
d
e
(g) Cost or other basis
plus expense of sale
(f) Depreciationallowed
(e) Gross sales pnce
(or allowable)
(h) Gain or (loss)

(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h} and owned bv the foundation on 12/31/69
(k) Excess of col (1)
U) AdJustedbasis
(i) FM V as of 12/31/69
over col (J), 1fany
as of 12/31/69
(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 1n Part I, line 8, column (c) (see pages 13 and 17 of the instructions)
2 Capital gain net income or (net capital loss}
.....
}
}
.....
If (loss), enter -0- in Part I, line 8 .............................
::E:Ti- Qualification 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
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[K]
No
1 Enter the appropriate amount in each column for each year, see page 18 of the instructions before making any entries
(a)
Base penod years
Calendar year (or tax year beginning 1n)
(b)
AdJusted qualifying d1stnbut1ons
18,657,783.
10,106.
4,350,615.
11,518.
8,899.
2008
2007
2006
2005
2004
2
3
(d)
D1stnbut1onratio
(col (b) d1v1dedby col (cl)
(c)
Net value of nonchantable-use assets
12.178789
0.002704
1,531,990.
3,737,419.
982,416.
218,181.
13,600.
...................................
0.654338
..
17.317107
. . . ..
3.463421
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 in existence 1fless than 5 years
.... .
4.428485
0.052791
..........
1,087,431.
. . . . . . . . . . . . . . . . . . ....................
3, 766,231.
....................
Enter the net value of noncharitable-use assets for 2009 from Part X, line 5
Multiply line 4 by line 3
Enter 1% of net investment income (1% of Part I, line 27b)
Add Imes 5 and 6
11,973.
Enter qualifying d1stribut1onsfrom Part XII, line 4
8
If line 8 1s equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate See the
PartVI instructions on page 18
. . . . . . . . . . . . . . . . . .........................
10.
3,766,241.
.........................
JSA
9E1430 1 000
14352G
Fonn
K932
11/11/2010
4: 33: 09
PM
V 09-8.5
85652
990-PF
(2009)
48-0926946
Form990-PF(2009)
Excise Tax Based on Investment
Page4
Income (Section 4940(a), 4940(b), 4940(e), or 4948 - see page 18 of the instructions)
LJ
and enter"N/A"on hne1 . __ }

1a Exemptoperai1ngfounda~onsdescnbedin section4940(d)(2), check here ~
(attach copy of ruling letter If necessary- see Instructions)
DateOf ruhngor determinationletter ____________
b Domesbc foundations that meet the secbon 4940(e) requirements m Part V, check
here ~
and enter 1% of Part I, hne 27b . . . . . . . .
c All other domestic foundations enter 2% of hne 27b Exempt foreign organizations enter 4%
of Part I, hne 12, col (b)
2_0_.
t---1-t _________
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundabons only Others enter -0-)
Add Imes 1 and 2
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter-0-)
Tax based on investment income. Subtract line 4 from hne 3 If zero or less, enter -O-
20.
0.
20.
Cred1ts/Payments
53.
a 2009 estimated tax payments and 2008 overpayment credited to 2009
Sa
53.
b Exempt foreign organizations-tax withheld at source
Sb
0.
0.
c Tax paid with application for extension of time to file (Form 8868)
Sc
d Backup w1thhold1ngerroneously withheld
Sd
Total credits and payments Add Imes Sa through Sd
7
8
Enter any penalty for underpayment of estimated tax Check here
Tax due. If the total of Imes 5 and 8 1smore than hne 7, enter
amount owed
Overpayment. If hne 7 1smore than the total of Imes 5 and 8, enter the amount overpaid
Enter the amount of hne 10 to be Credited to 2010 estimated tax ~
10
11
10
Refunded ~
11
33.
33.
Statements Reaarding Activities

Yes
1a Dunng the tax year, did the foundation attempt to influence any national, state, or local leg1slat1onor did 11
1a
. . . . . . !----+----<,.--b Did 11spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19
part1e1pateor intervene m any political campaign?
. .
. .
of the instructions for defin1t1on)? . .

.
If the answer is ""Yes"to 1a or 1b, attach a detailed descnpt1on of the act1v1t1esand copies of any matenals
No
1b
1c
published or d1stnbuted by the foundation m connection with the act1v1ties
c Did the foundation file Form 1120-POL for this year?

d Enter the amount (1fany) of tax on political expenditures (section 4955) imposed during the year
(1) On thefoundation ~ $
(2) On foundationmanagers ~ $ __________
e Enter the reimbursement (1f any) paid by the foundation during the year for poht1cal expenditure tax imposed
on foundation managers ~ $ ___________
_
2
Has the foundation engaged 1nany act1V1t1es

that have not previously been reported to the IRS?
. . . . . . . . . . . . . . . . f--'2=---+---+--x-
If "Yes," attach a detailed descnption of the activities
Has the foundation made any changes, not previously reported to the IRS, 1n its governing instrument, articles of
4a
3
incorporation, or bylaws, or other s1m1larinstruments? If "Yes,'' attach a conformed copy of the changes . . . . . . . . -~+-----,l--4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
b If "Yes," has 11filed a tax return on Form 990-T for this year?
4b
Was there a hqu1dat1on,term1nat1on.d1ssolut1on,or substantial contraction during the year?
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either
If "Yes, attach the statement required by General Instruction T
By language 1nthe governing instrument, or

By state leg1slat1on that effectively amends the governing instrument so that no mandatory d1rect1ons that
conflict with the state law remain m the governing instrument?
7
Ba Enter the states to which
the foundabon
reports or with
which
x
x
Sb
Did the foundation have at least $5,000 m assets at any time during the year?
If "Yes, complete Part II, col (c}, and Part XV
1t 1s registered (see page 19 of the
instructions) ~ KS, ________________

------_____ -----------------------------------b If the answer 1s "Yes" to hne 7, has the foundation furnished a copy of Form 990-PF to the Attorney General
(or designate) of each state as required by Genera/Instruction G?lf "No, attach explanation
9
. . . . .
Is the foundation da1mmg status as a private operating foundabon w1th1n the meaning of secbon 4942(1)(3) or
4942(1)(5) for calendar year 2009 or the taxable year beginning m 2009 (see mstrucbons for Part XIV on page
27)? If "Yes, "complete Part XIV.
10
Did any persons become substantial contributors

names and addresses
10
during the tax year? If "Yes," attach a schedule llstmg their
Form 990-PF (2009)
JSA
9E14401 ODO
14352G K932
11/11/2010
4: 33: 09 PM
V 09-8.5
85652
48-0926946
Form990.PF(2009)
~-41...-,
....Statements
Page5
Rei:1ardini:1Activities (continued)
11 At any time during the year, did the foundation, directly or indirectly, own a controlled entity w1th1nthe
. .............
11
. . . . . . . . ..
12
....
meai<11ng
of section 512(b)(13)? If "Yes," attach schedule (see page 20 of the instrucllons)
12 Did the foundation acquire a direct or indirect interest in any applicable insurance contract before
August 17, 2008? ..
13
13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
Website address ... ____ ~~~~ ___________________________________________________________________
______________________
Telephone no ... _____
14 The books are in care of ""-'~:C2~~~-li.~1=_1=_I_M_A_N
Locatedat ...jlll_E._37TH_ST._N.
WICHITA, KS _______________________
ZIP+ 4 ...
x
x
x
_
~~~-=-~~~-=._5_~5-~
_____ _
67220-3203
____
11
15 Section 4947(a)(1) nonexempt chantable trusts filing Form 990-PF in lieu of Form 1041 - Check here
and enter the amount of tax-exempt interest received or accrued during the year
. "" 15
I I
""L..J
::r.111.4111!1:
Statements Regarding Activities for Which Form 4720 May Be Required
Yes
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
1a Dunng the year did the foundation (either directly or indirectly)
.......
(1) Engage in the sale or exchange, or leasing of property with a disqualified person?
G]
0Yes
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept 11from) a
disqualified person? . . . .
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
~No No
Yes
No
(5) Transfer any income or assets to a disqualified person (or make any of either available for
GJNo
0Yes
the benefit or use of a disqualified person)? .
No
~y~
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
No
(6) Agree to pay money or property to a government official? ( Exception. Check "No" 1f
the foundation agreed to make a grant to or to employ the official for a period after
term1nat1onof government service, 1fterminating within 90 days )
Yes
GJNo
b If any answer 1s"Yes" to 1a(1)-(6), did any of the acts fail to qualify under the exceptions described 1nRegulations
section 53 4941(d)-3 or 1na current notice regarding disaster assistance (see page 20 of the 1nstruct1ons)?
Organizations relying on a current notice regarding disaster assistance check here
1b
1c
c Did the foundation engage in a pnor year 1nany of the acts described 1n 1a, other than excepted acts, that
were not corrected before the first day of the tax year beginning 1n2009?
Taxes on failure to d1stnbute income (section 4942) (does not apply for years the foundation was a pnvate
operating foundation defined in section 4942(])(3) or 4942(])(5))
a At the end of tax year 2009, did the foundation have any undistributed income (lines 6d and
6e, Part XIII) for tax year(s) beginning before 2009? . . .
If "Yes," list the years ... __________
. _________
. ________
, _______
_
Yes
b Are there any years listed in 2a for which the foundation 1s not applying the prov1s1onsof section 4942(a)(2)
(relating to incorrect valuation of assets) to the year's undistributed income? (If applying section 4942(a)(2)
2b
to all years listed, answer "No" and attach statement see page 20 of the instructions )
c
If the prov1s1onsof section 4942(a)(2) are being applied to
---------
""---------3a
--------
any of the years listed 1n2a, list the years here
--------
Did the foundation hold more than a 2% direct or indirect interest in any business
enterprise at any time dunng the year? . . . .
Yes
GJNo
b If "Yes," did 1t have excess business holdings in 2009 as a result of (1) any purchase by the foundation or
disqualified persons after May 26, 1969, (2) the lapse of the 5-year period (or longer period approved by the
Comm1ss1oner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest, or (3) the lapse
of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine if the
foundation had excess businessholdings in 2009)

4a
. . . . . . . . .
Did the foundation invest during the year any amount in a manner that would Jeopardize its charitable purposes?
b Did the foundation make any investment in a pnor 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 in 2009?
3b
4a
4b
Form 990-PF (2009)
JSA
9E14501000
14352G
K932
11/11/2010
4: 33: 09 PM
V 09-8.5
85652
48-0926946
Form 990-PF (2009)
~l"I=
Statements
Page6
Regarding Activities for Which Form 4720 Mav Be Required (continued)
5 a Dunng the y;ar did the foundabon pay or incur any amount to
(1) Carry on propaganda, or otherwise attempt to influence leg1slat1on(secbon 4945(e))?
Yes
[fil No
Yes
tili
Yes
[fil No
(2) Influence the outcome of any specific public electJon (see sechon 4955), or to carry on,
directly or indirectly, any voter reg1strat1ondnve?
. ....
....
...
(3) Provide a grant to an ind1v1dualfor travel, study, or other s1m1larpurposes?
(4) Provide a grant to an orgamzabon other than a charitable, etc , orgamzahon described in
section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructJons)
BYes
..... D
No
No
(5) Provide for any purpose other than religious, charitable, sc1ent1fic,literary, or educational
purposes, or for the prevenhon of cruelty to children or animals?
.....
[fil No
0Yes
b If any answer 1s "Yes" to 5a(1)-(5), did any of the transactions fall to qualify under the excephons described in
Regulations section 53 4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
Orgamzat1ons relying on a current nobce regarding disaster assistance check here
. . ....
Sb
c If the answer 1s"Yes" to question 5a(4), does the foundation claim exemption from the tax
for the grant?
because 11maintained expenditure respons1b11ity
0Yes
0No
If "Yes, attach the statement reqwred by Regulations section 53 4945-S(d)

6 a Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums
0Yes
on a personal benefit contract?

b Did the foundation, dunng the year, pay premiums, directly or 1nd1rectly,on a personal benefit contract?
6b
. . . . . . . I-'-~+--+---
If "Yes" to 6b, 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?
~ .-.,.,,.
[fil
No
0Yes
.
7b
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
(b) Trtle, and average
dehv~~~~~~r
~:~i~n
0
(a) Name and address
(c) Compensation
(II not
enter
ATTACHMENT 7
(e) Expense account,

other allowances
(d) Contnbu~onsto
an~":i~:~:db:~:~~~;;on
P]'.1
0.
0.
0.
Compensation of five highest-paid employees (other than those included on line 1 - see page 23 of the instructions).
If none, enter "NONE."
(b) Trtle, and average
hours per week
devoted to posrt1on
(a) Name and address of each employee paid more than $50,000
(c) Compensation
(d) Contnbut1onsto
employee benefrt
plans and deferred
compensation
(e) Expense account,

other allowances
........ I
Total number of other employees paid over $50,000
NONE
Form 990-PF (2009)
JSA
9E14601000
14352G
K932
11/11/2010
4:33:09
PM
V 09-8.5
85652
Form 990-PF (2009)
iffC,)01and
Information About Officers, Directors,
Contractors (continued)
4 8-092 694 6
Trustees, Foundation Managers, Highly Paid Employees,
Page7
3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE."
(a) Name and address of each person paid more than $50,000
(c) Compensation
(bl Type of service
NONE
..............................
iffii
NONE
Summary of Direct Charitable Activities
List the foundation's four largest direct chantable act1vrt1esdunng the tax year Include relevant stallst1cal information such as the number
of organizations and other benefic1anes served, conferences convened, research papers produced, etc
Expenses
1 N/A
~,.e:
Summarv of Proc:1ram-RelatedInvestments (see oacie 23 of the rnstruct1ons)
Descnbe the two largest program-related investments made by the foundation dunng the tax year on Imes 1 and 2
Amount
NONE
All other program-rela1ed investments See page 24 of the mstruct1ons
NONE
Total. Add Imes 1 throucih 3 ...............................................
....
Form
JSA
9E14651000
14352G
K932
11/11/2010
4: 33: 09 PM
V 09-8.5
85652
990-PF
(2009)
4 8-092 694 6
Form 990-PF (2009)
UiflQ
1
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 24 of the instructions)
1a
1b
1c
1d
d Total (add Imes 1a, b, and c) . . . . . . . . . . . . . . . . . . . ..

e Reduction claimed for blockage or other factors reported on Imes 1a and
1c (attach detailed explanation) . . . . . . . . . .
Acqu1s1t1onindebtedness applicable to line 1 assets
Subtract line 2 from line 1d
Enter 1 .
Cash deemed held for charitable ~ct1v"1t1es
2
3
4
Page8
Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
se~ page 24 of the 1nstruct1ons)
~~~~~~~~~~~--1
2
3
0
~r
1
2a
b
c
3
4
.. . .
line 1
a
b
2
a
b
4
o.
16, 5 6
4 31 .
54, 372.
o8 7,
..
..
..
54,372.
2c
3
4
20.
54,352.
5
6
54,352.
54,352.
1a
1b
11,973.
20.
..
..
..
. . ..
..
..
..
Distributions(see page 25 of the instructions)
Amounts paid (including adm1nistrat1veexpenses) 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 specific charitable proiects that satisfy the
Su1tab11ity
test (prior IRS approval required)
.
Cash d1stribut1ontest (attach the required schedule)
..........
.
Qualifying distributions. Add lines 1a through3b 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 26 of the instructions)
Adjusted qualifying distributions. Subtract line 5 from line 4
......
.. . .
..
..
#1311Qualifying
1
1,
Minimum investment return from Part X, line 6

;a
Tax on investment income for 2009 from Part VI, line 5
..
..
Income tax for 2009 (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 d1stribut1ons
Add lines 3 and 4
..
.
Deduction from distributable amount (see page 25 of the instructions)
Distributable amount as adJusted Subtract line 6 from line 5 Enter here and on Part XIII,
.. . . . .
5
6
0.
1,103,991.
1/2/o0fline 3(fo r greater amount: see page 25
4
of the instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1--~1--~~~~~~......;.~~
Net value of noncharitable-use assets. Subtract line 4 from line 3 Enter here and on Part V, line 4
5
1--~1--~~~~-'-~---'-~~
Minimum investment return. Enter 5% of line 5 . . . . . . . . . . . . . . . . . . . . . . . . . .
6
Distributable Amount (see page 25 of the 1nstruct1ons)(Section 4942(!)(3) and (J)(5) private operating
foundations and certain foreign organizations check here ..,..
and do not complete this part )
5
6
0.
1,103,991.
I 1e I
. .........
1,103,991.
.
.
..
........................
. . . . . . . . . . ..........
.....
....
. .........
.. ......
. . ...
0.
0.
3a
3b
4
0.
0.
11,973.
N/A
5
6
11,973.
Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation
qualifies for the section 4940(e) reduction of tax 1nthose years
...............
.....
Form
JSA
9E1470 1 000
14352G
K932
11/11/2010
4: 33: 09 PM
V 09-8.
85652
990-PF
(2009)
48-0926946
Form 990-PF (2009) '
Page9
Undistributed Income (see page 26 of the instructions)

D1stnbutable
line 7
amount
for 2009
from
Part XI,
(b)
Years pnor to 2008
(a)
Corpus
.....................
(c)
2008
(d)
2009
54,352.
Und1stnbutedincome, If any, as of the end of 2009
..........
a Enter amount for 2008 only

b Total for pnor years
20 __
,20 __
,20 __
Excess d1stnbut1ons carryover, 1f any, to 2009

a From 2004
b From 2005
c
4,165,825.
From 2006
d From 2007
18,582,189.
e From 2008
f
Qualifying
line 4
d1stnbut1ons for 2009
22,748,014.
..........
Total of lines 3a through e
from Part XII,
11,973.
...
a Applied to 2008, but not more than line 2a
b Applied to und1stnbutedincome of pnor years (Election

required - see page 26 of the instructions)
......
Treated as d1stnbubons out of corpus (Election

required - see page 26 of the instructions)
..
d Applied to 2009 distributable amount
11,973.
0.
e Remaining amount d1stnbuted out of corpus

5
42,379.
Excess d1stnbutions carryover applied to 2009

(If an amount appears m column (d), the same
42,379.
amount must be shown m column (a) J

6
Enter the net total

indicated
below:
of
each
column
as
a Corpus Add lines 3f, 4c, and 4e Subtract line 5
22,705,635.
income
Subtract
b Prior years' und1\,tributed
line 4b from line 2b
c Enter the amount of prior years' undistributed
income for which a notice of deficiency has been
issued, or on which the section 4942(a) tax has
been previously assessed. . .
...
. . . . . . .....
line 6b
Taxable
line 6c from
d Subtract
amount - see page 27 of the 1nstruct1ons
e Undistributed income for 2008 Subtract lme
4a from line 2a Taxable amount - see page
27 of the 1nstruct1ons
....
.............
Undistributed income for 2009 Subtract Imes

4d and 5 from line 1 This amount must be
d1stnbuted m 2010
Amounts treated as d1stnbubons out of corpus
imposed by section
to satisfy requirements
170(bl(1l(F) or 4942(gl(3) (see page 27 of the
1nstruct1ons) . . .
Excess d1stribut1ons carryover from 2004 not
applied on line 5 or line 7 (see page 27 of the
instructions) ...
...............
....
Excess
distributions
carryover
2010.
... . . . .
Subtract Imes 7 and 8 from line 6a

10
to
22,705,635.
Analysis of line 9
a Excess from 2005

b Excess from 2006
c
4,123,446.
Excess from 2007
d Excess from 2008
18,582,189.
e Excess from 2009

Form 990-PF
JSA
9E1480 1 000
14352G
K932
11/11/2010
4:33:09
PM
V 09-8.5
85652
(2009)
48-0926946
Form 990-PF (2009)
!-.,~-Private
1a
If the
Operating Foundations
found'abon
has received
a ruling
or determmabon
letter
that
found.abon, and the ruling 1seffecbve for 2009, enter the date of the ruling
b
2a
Page 10
see page 27 of the instructions and Part VII-A, question 9)

1t 1s a pnvate
operabng
....
I I
Check box to indicate whether the foundabon 1sa pnvate operallng foundation descnbed in section
Enter the lesser of the adJustednet income from Part
I or the minimum investment
return from Part X for each
year listed
85% of line 2a
Quahfy,ng d1stnbut1ons from Part
(a) 2009
4942@3) or
Pnor 3 years
Tax year
(b) 2008
NOT APPLICABLE
I I
4942~)(5)
(e) Total
(c) 2007
(d) 2006
XI I, hne 4 for each year listed
1n line
Amounts 1nduded
2c not
used d1rectty for actJve conduct
of exempt acllv1tJes
d1stnbutJons made
Quahfy1ng
directly
for
act.Jve conduct
exempt actMlles
2d from line 2c
of
Subtract line
......
Complete 3a, b, or c for the

alternative test rehed upon
"Assets altemabve test - enter
(1)
(2)
...
Value of all assets
Value of assets quahfy1ng
under section
4942~)(3)(8)!1).
,
alternative
"Endowmenr
test-
enter 213 of minimum invest-
ment return shown
Part X,
in
..
hne 6 for each year hsted
RSupportRalternative test - enter
(1)
Total support other than

gross 1nvesbnent income
(interest, d1v1dends, rents,
payments
on
secuntJes
loans (section 512(a)(5)),
or royalties)
(2)
Support
from
general
public
and 5 or more
exempt organizations
as
provided 1n section 4942
@3)(8)(111) ,
(3)
Largest amount
port
from
an
organrzation
(4)
Gross investment income
:r.
of supexempt
Supplementary Information (Complete this pa~ only 1f the foundation

at any time during the year - see page 28 of the instructions.)
had $5,000
or more in assets
Information Regarding Foundation Managers:

a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only 1fthey have contributed more than $5,000) (See section 507(d)(2) )
DAVID
H.
KOCH
b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest
N/A
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here ..,.

1f the foundation only makes contributions to preselected charitable organizations and does not accept
unsohated requests for funds If the foundation makes gifts, grants. etc (see page 28 of the instructions) to md1v1dualsor
organizations under other cond11ions.complete items 2a, b, c. and d
a The name, address, and telephone number of the person to whom applications should be addressed
b The form m which applications should be submitted and information and materials they should include
c Any subm1ss1ondeadlines
d Any restrictions or hm1tat1ons on awards, such as by geographical areas, charitable fields, kinds of mst1tut1ons, or other
factors
JSA
9E1490 1 000
Form 990-PF (2009)
14352G
K932
11/11/2010
4: 33: 09 PM
V 09-8.5
85652
4 8-092 694 6
lnfonnation (continued)
3 Grants and Contributions Paid During the Year or Approved for Future Payment
Form 990-PF (2009)
Page
1:idf:\*j
Supplementary
Rec1p1ent
Name and address (home or business)
If rec:1p:1ent
as an ind1Y1dual,
show any relatJonsh1pto
any foundation manager
or substantJal contnbutor
Foundation
status of
recipient
Purpose of grant or
contnbut1on
11
Amount
a Paid dunng the year
Total.
b Approved for future payment
Total.
3a
3b
Form
JSA
9E14911000
14352G
K932
11/11/2010
4: 33: 09 PM
V 09-8.5
85652
990-PF
(2009)
48-0926946
Form990-PF(2009)
Page 12
Analysis of Income-Producing Activities
'!.t-:
Enter gross. amounts unless otherwise indicated
Exduded b, section 512 513 or 514
Unrelated business income
1 Program service revenue
(a)
(b)
(c)
Businesscode
Amount
E.xdusJOn
code
(d)
Amount
(e)
Related or exempt
function income
~ee page 28 of
e instructions )
a
b
c
d
e
f
Fees and contractsfrom governmentagencies
2 Membership dues and assessments
....
3 Intereston savingsand temporarycash investments

4 D1v1dendsand interest from securities
14
..
986.
5 Net rental income or (loss) from real estate
.......
.....
Debt-financed property
Not debt-financed property
6 Net rental incomeor (loss)from personalproperty

7 Other investment income
........
8 Ga,nor (loss)from salesof assetsother than inventory

9 Net income or (loss) from special events ..
10 Gross profit or (loss) from sales of inventory
11 Other revenue a
b
c
d
e
12 Subtotal Add columns (b), (d), and (e)
....
986.
13 Total. Add line 12, columns (b), (d), and (e) ..

(See worksheet in line 13 instructions on page 28 to verify calculations)
13
986.
:1:1--'f.U'
Line No.
Relationship of Activities to the Accomplishment of Exempt Purposes

=Explain
below how each act1v1ty for which income 1s reported
in column (e) of
the accomplishment
of the
page 29 of the instructions )
foundation's
exempt
purposes
(other
than
by
Part XVI-A contributed

providing
funds for such
importantly
to
purposes)
(See
NOT APPLICABLE
Form 990-PF (2009)

JSA
9E14921000
14352G
K932
11/11/2010
4: 33: 09 PM
V 09-8.5
85652
48-0926946
Form 990-PF (2009)
HffiNII
1
Page13
Information Regarding Transfers To and Transactions and Relationships With Noncharitable

Exempt Organizations
Did the organization directly or indirectly engage 1n any of the following with any other organization descnbed
in section 501(c) of the Code (other than secbon 501(c)(3) organizations) or 1n secbon 527, relabng to polibcal
orgam..zat1ons?
a Transfers from the reporting foundation to a nonchantable exempt organization ot
Yes
(1) Cash
1al1l
(2) Other assets
1al21
No
x
x
b Other transactions
(1) Sales of assets to a noncharitable exempt organization
1bl1l
(2) Purchases of assets from a nonchantable exempt organization
1bl2l
(3) Rental of facilibes. equipment. or other assets
1bl31
(4) Reimbursement arrangements
1bl41
(5) Loans or loan guarantees
1b(5)
(6) Perfonnance of services or membership or fundra1s1ngsolic1tat1ons
1b(6)
c Sharing of facilities, equipment, mailing lists. other assets. or paid employees

d If the answer to
any of the
value of the goods. other

value 1n any transacbon
(a) Line no
above 1s "Yes," complete
assets, or services given
or sharing
(b) Amountinvolved
arrangement,
the
by the
show
1c
following
schedule
reporting
foundation
1n column
(d) the
(c) Nameof noncharrtableexemptorganization
N/A
2a
x
x
x
x
x
x
x
Column
(b) should
If the foundation
always
received
value of the goods. other
show
the
less than
fair
market
fair market
assets. or services received
(d) Descnpt1on
of transfers.transactions,and sharingarrangements
N/A
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations descnbed 1n
section 501 (c) of the Code (other than section 501 (c)(3)) or in section 527? .
b If "Yes" comolete the followina schedule

(a) Nameof organization
(b) Type of organization
Yes
[29 No
(c) Descnpt1on
of relat1onsh1p
Under penalties of pe~ury, I declare that I have exam111ed

this return. includ111g
accompanying schedulesand statements. and to the best of my knowledge and
belief, rt 1strue, correct, and complete Declarationof preparer (other than taxpayer or fiduciary) 1sbased on all information of which preparer has any knowledge
'1/~
e~
I J/-/5-~0/..Q
Date
Signatureof officeror trustee
I r~q_ J
Cl)
Date
:I:
Cl
-~~ Preparer's
Q>
signature
en;:;a. 0c
,:,
D..
Q>
Ill
D..::::,
~~A,
Firm's name (or yours 1f

self-employed). address,
and ZIP code
u/12.Ju;10
JSA
9E1493 1 000
14352G
K932
11/11/2010
4: 33: 09 PM
V 09-8.5
Preparer's identifying
number (SeeSignature on
page 30 of the instructions)
Check1f
self-employed ....
~BKD, LLP
1551 N WATERFRONT PKWY, STE 300
WICHITA,
KS
67206-6601
85652
':!.C.e_r'
Trtle
EIN ....
P00770702
44-0160260
Phone no
316-265-2811
Form 990-PF
(2009)
Schedule B'
Schedule of Contributors
(Form 990,.990-EZ,
or 990-PF)
..,. Attach to Fonn 990, 990-EZ, or 990-PF.
OMB No 1545-0047
~@09
Department ol the Treasury
InternalRevenueService
Name of the organization
Employer identification number
DAVID H. KOCH CHARITABLE FOUNDATION

48-0926946
Organization type (check one)
Filers of:
Section:
Form 990 or 990-EZ
Form 990-PF
D
D
D
4947(a)(1) nonexempt charitable trust
501(c)(3) exempt private foundation
D
D
501(c)(
) (enter number) organization

not treated as a private foundation
527 political organization
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) organ1zat1oncan check boxes for both the General Rule and a Special Rule See
instructions
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (1nmoney or
property) from any one contributor Complete Parts I and II
Special Rules
D
D
For a section 501 (c)(3) organization filing Form 990 or 990-EZ that met the 33
113 % support test of the regulations under
sections 509(a)(1) and 170(b)(1 )(A)(v1), and received from any one contributor, during the year, a contnbut1on of the greater
of (1) $5,000 or (2) 2% of the amount on (1)Form 990, Part VIII, line 1h or (11)Form 990-EZ, line 1 Complete Parts I and
II
For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during
the year, aggregate contributions of more than $1,000 for use
exclus,vely for rel1g1ous,charitable, sc1ent1fic,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 990-EZ that received from any one contributor, during
the year, contributions for use exclus1velyfor religious, charitable, etc, purposes, but these contnbut1ons 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 exclus,vely religious, charitable, etc , purpose Do not complete any of the parts unless the General Rule
applies to this organization because 11received nonexclus1vely religious, charitable, etc , contributions of $5,000 or more
during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..,. $ ________
Caution. An organization that 1snot covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but 1t must answer "No" on Part IV, line 2 of its Form 990, or check the box on line H of its Fonn 990-EZ,
or on line 2 of its Form 990-PF, to certify that 1tdoes not meet the filing requirements of Schedule B (Form 990, 990-EZ, or
990-PF)
For Privacy Act and Paperwork ReducUon Act NoUce, see the lnstrucUons
for Form 990, 990-EZ, or 990-PF
Schedule B (Form 990, 990-EZ, or 990-PF) (2009)
JSA
9E12512000
14352G
K932
11/11/2010
4:33:09
PM
V 09-8.5
85652
Schedule B (Form 990, 99D-EZ, or 99D-PF) (2009)
Page__
Name of organization
of __
of Part I
Employer ldentlflcatlon number
48-0926946
lmll
Contributors (see instructions)

(b)
Name, address, and ZIP + 4
(a)
No.
--- 1
(c)
Aggregate contributions
DAVID H. KOCH
667 MADISON AVENUE
NEW YORK, NY
Person
Payroll
Noncash
(Complete Part II 1fthere 1s

a noncash contribution )
10021
(b)
Name, address, and ZIP+ 4
(a)
No.
10,000,000.
(d)
Type of contribution
(c)
(d)
Person
Payroll
Noncash
---

(b)
(a)
No.
(c)
(d)
Person
Payroll
Noncash
--$

a noncash contnbulion )
(b)
(a)
No.
(c)
(d)
Person
Payroll
Noncash
---

(c)
(b)
(a)
No.
(d)
Person
Payroll
Noncash
---

(c)
(b)
(a)
No.
(d)
Person
Payroll
Noncash
---

Schedule B (Form 990, 990-EZ, or 990-PF) (2009)
JSA
9E12531000
14352G
K932
11/11/2010
4:33:09
PM
V 09-8.5
85652
48-0926946
ATTACHMENT 1
FORM 990PF,
PART I - DIVIDENDS AND INTEREST FROM SECURITIES

REVENUE
AND
EXPENSES
PER BOOKS
DESCRIPTION
GOLDMANSACHS FUNDS
TOTAL
NET
INVESTMENT
INCOME
986.
986.
986.
986.
ATTACHMENT 1
14352G
K932
11/11/2010
4:33:09
PM V 09-8.5
85652
48-0926946
ATTACHMENT 2
FORM 990PF,
PART I - ACCOUNTING FEES
DESCRIPTION
REVENUE
AND
EXPENSES
PER BOOKS
ACCOUNTING
11,770.
TOTALS
lL
NET
INVESTMENT
INCOME
ADJUSTED
NET
INCOME
CHARITABLE
PURPOSES
9,695.
770.
_O_.
O_.
9.695.
ATTACHMENT 2
14352G
K932
11/11/2010
4:33:09
PM V 09-8.5
85652
48-0926946
ATTACHMENT 3
FORM 990PF,
PART I - OTHER PROFESSIONAL FEES

REVENUE
AND
EXPENSES
PER BOOKS
DESCRIPTION
GRANT ADMINISTRATION FEES
TOTALS
CHARITABLE
PURPOSES
825.
1,245.
_8_2_5~
1.245.
ATTACHMENT 3
14352G
K932
11/11/2010
4:33:09
PM V 09-8.5
85652
48-0926946
ATTACHMENT 4
FORM 990PF,
PART I - TAXES
REVENUE
AND
EXPENSES
PER BOOKS
DESCRIPTION
20.
EXCISE TAX
20.
TOTALS
ATTACHMENT 4
14352G
K932
11/11/2010
4:33:09
PM V 09-8.5
85652
-48-0926946
ATTACHMENT 5
FORM 990PF,
PART I - OTHER EXPENSES
DESCRIPTION
INSURANCE
BANK FEES
CORPORATION REGISTRATION FEES
REVENUE
AND
EXPENSES
PER BOOKS
875.
69.
89.
CHARITABLE
PURPOSES
875.
69.
89.
L 033.
1. 033.
TOTALS
ATTACHMENT 5
14352G
K932
11/11/2010
4:33:09
PM V 09-8.5
85652

FORM 990PF,
PART II
48-0926946
PREPAID EXPENSES AND DEFERRED CHARGES

ATTACHMENT 6
ENDING
BOOK VALUE
DESCRIPTION
PREPAID EXPENSES
TOTALS
ENDING
FMV
33.
33.
33.
3_3
__
.
ATTACHMENT 6
14352G
K932
11/11/2010
4:33:09
PM V 09-8.5
85652
48-0926946

FORM 990PF,
PART VIII
- LIST OF OFFICERS,
TITLE AND AVERAGE HOURS PER

WEEK DEVOTED TO POSITION
NAME AND ADDRESS
ATTACHMENT 7
DIRECTORS, AND TRUSTEES
COMPENSATION
CONTRIBUTIONS
TO EMPLOYEE
BENEFIT PLANS
EXPENSE ACCT
AND OTHER
ALLOWANCES
DAVID H. KOCH
667 MADISON AVE
NEW YORK, NY 10021
PRESIDENT/DIRECTOR
1. 00
0.
0.
0.
RUTHE. WILLIAMS
PO BOX 2256
WICHITA, KS 67201
SECRETARY
1. 00
0.
0.
0.
VONDA HOLLIMAN
PO BOX 2256
WICHITA, KS 67201
TREASURER
1. 00
0.
0.
0.
0.
0.
GRAND TOTALS
__Q.
ATTACHMENT 7
14352G
K932
11/11/2010
4:33:09
PM V 09-8.5
85652
Form 8868 (Rev 4-2009)
If you are filin!J for an Additional (Not Automatic) 3-Month Extension, complete only Part II and check this box , , .
Note. Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868.
If you are fihnQ for an Automatic 3-Month Extension, complete only Part I (on DaQe 1).
~u-Additional
Type or
print
Filebythe
extended
due detefor
filingthe
return. See
{Not Automatic) 3-Month Extension of Time. Onlv file the oriainal {no copies needed).
Name of Exempt Organization
Employer Identificationnumber
48-0926946
Number. street, and room or suiteno. If a P.O. box, see instructions.
For IRS use ally
4111 EAST 37TH STREET NORTH

City, town or post office, state, and ZIP code For a foreignaddress,see instructions
inatrucbona WICHITA, KS
67220-3203
Check type of return to be filed (File a separate application for each return)
Form 6069
Form 1041-A
Form 990
X
Form 990-PF
Form 4720
Form 8870
Form 990-BL
Form 990- T (sec. 401 (a) or 408(a) trust)
Form 990-EZ
Form 990- T trust other than above
Form 5227
STOPI Do not complete Part II if you were not already granted an automatic 3-month extension on a previously flled Form 8868.
The books are in the care of .,. _v_o_N_D_A_H_O_L_L_I_MA_N
_____________________
_
O
D
Telephone No .,. 316 828-5552

FAX No. .,.
If the organization does not have an office or place of business m the United States, check this box . . . . . . . . .,.
If this 1sfor a Group Return, enter the organization's four digit Group Exemption Number (GEN)
If this 1s
for the whole group, check this box ..
.,.
If 1t1sfor part of the group, check this box . .,.
and attach a
list with the names and EINs of all members the extension is for.
4 I request an additional 3-month extension of time until
NOVEMBER15, 201 O
D.
-r--.------~-
5
6
For calendar year 2 OO9 , or other tax year beginning

If this tax year is for less than 12 months, check reason:
State in detail why you need the extension ------------------------------
Initial return
and ending
F mal return
0
-r-~----------
Change 1naccounting period
THE TAXPAYERREQUESTS ADDITIONAL TIME IN ORDER TO GATHER THE NECESSARY INFORMATION

FOR A COMPLETEAND ACCURATERETURN.
Sa If this application is for Form 990-BL, 990-PF. 990-T, 4 720, or 6069, enter the tentative tax. less any
b
nonrefundable credits. See instructions

If this application 1s for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated
tax payments made Include any prior year overpayment allowed as a credit and any amount paid
previouslv with Form 8868.
Balance Due. Subtract llne Sb from line Sa Include your payment with this form, or, 1f required, deposit
with FTDcoupon or, 1frequired, by using EFTPS (Electronic Federal Tax Pavment Svstem) See instructions.
Ba $
Sb $
Be $
Signature and Verification

Underpenaltiesof perjury,I declarethat I hllll8 examinedthis form, includingaccompanying
schedules
end statements,
end to the best of my knowledge
and belief,
1tis true,correct,andcomplete,
andthatI ameulhonzed
to preparethisform.
nt1e ...
S111netura...
C.P.A.
Form8868 (Rev 42009)
BKD,LLP
1551N.'INIJlataJIIDrfroirfnmtnl
PllklllJlull 800
Wk:hlla.
KSe72DlMIIDI
44-01801:80
JSA
9FBOS5 3 000

David H Koch Charitable Foundation 480926946 2009 0689FA5B

Diunggah oleh

Informasi Dokumen

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

David H Koch Charitable Foundation 480926946 2009 0689FA5B

Diunggah oleh

Hak Cipta:

Format Tersedia

..

4947(a)(1) Nonexempt Charitable

Internal Rever,'le Service

G Check all that apply

Use the IRS

Number and street (or PO box numberIf ma1l1snot dehveredto streetaddress)

Initial return of a former public charity

For ca en d ar year 2009 , or tax year b eamnma

Telephone number (1ee page 10

City or town, state, and ZIP code

H Check type of organization

Section 4947(alC1l nonexempt chantable trust

2 Foreign orgamzations meet.Ing the

exempt private foundation

of year (from Part II, col (c), /me

Analysis of Revenue and Expenses (The

ContnbubonLJ grants,etc, received

D1v1dendsand interest from securities

Fair market value of all assets at end

(a) Revenue and

If pnvate foundation status was tennanated

(b) Net investment

(c) AdJusted net

6a Net gain or (loss)from sale of assetsnot on hne1O

Other employee salaries and wages

Pension plans, employee benefits

Legal fees (attach schedule)

c Other professional fees (attach schedule) *.

Travel, conferences, and meebngs

Pnnbng and publrcabons

Other expenses (attach schedule) ~.'T:C.H. ?

Total operating and administrative expenses

b Accounting fees (attach schedule) ~T.c~ .2.

Depreciabon (attach schedule) and deplebon

Add lrnes 13 through 23

Contnbubons. gifts, grants paid

Subtract lrne 26 from line 12

Excess of revenue over expenses and disbursements

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

c Ad1usted net income (1fneoabve, enter -0-l. .

Form 990-PF (2009)

Form 990-PF (2009)

(a) Book Value

Savings and temporary cash investments

(c) Fair Market Value

(b) Book Value

Less allowance for doubtful accounts

Less allowance for doubtful accounts

Receivables due from officers, directors, trustees, and other

Other notes and loans receivable (attach schedule)

Less allowance for doubtful accounts

lnventones for sale or use

Prepaid expenses and deferred charges AT.CB..6.

b Investments - corporate stock (attach schedule)

c Investments - corporate bonds (attach schedule)

Investments - other (attach schedule)

Other assets (describe

Total assets (to be completed by all filers - see the

Accounts payable and accrued expenses

Loansfrom officers,directors,trustees,and other d1squallfiedpersons

Mortgages and other notes payable (attach schedule)

Total liabilities (add Imes 17 through 22)

117, check here

Capital stock, trust principal, or current funds