Form990-PF

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0052
2010
For calendar year 2010, or tax year beginning 06-01-2010 , and ending 05-31-2011
G
Check all that apply:
Name of foundation
JOHN & RUTH KLOSS CHARITABLE TRUST
 

Number and street (or P.O. box number if mail is not delivered to street address)US BANK NA P O BOX 2043   Room/suite
City or town, state, and ZIP code
MILWAUKEE, WI532019668
A Employer identification number

39-6790033
B Telephone number (see page 10 of the instructions)

(414) 765-6420
C bullet
D 1. bullet
H Check type of organization:
2. bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$9,161,577J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see page 11 of the instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet
3 Interest on savings and temporary cash investments 2 2  
4 Dividends and interest from securities...... 236,047 237,070  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 134,874
b Gross sales price for all assets on line 6a 1,321,202
7 Capital gain net income (from Part IV, line 2)... 134,980
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 370,923 372,052  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 116,347 104,713   11,635
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... Click to see attachment 855 0 0 855
b Accounting fees (attach schedule)....... Click to see attachment 1,500 0 0 1,500
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see page 14 of the instructions) Click to see attachment 4,348 5,498   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment 670 670    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 123,720 110,881 0 13,990
25 Contributions, gifts, grants paid........ 394,500 394,500
26 Total expenses and disbursements. Add lines 24 and 25 518,220 110,881 0 408,490
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -147,297
b Net investment income (if negative, enter -0-) 261,171
c Adjusted net income (if negative, enter -0-)... 0
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (2010)
Form 990-PF (2010)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............... 575 198 198
2 Savings and temporary cash investments.......... 76,805 473,648 473,648
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule) 657,656 Click to see attachment617,106 651,687
b Investments—corporate stock (attach schedule)........ 2,837,741 Click to see attachment2,821,606 4,351,425
c Investments—corporate bonds (attach schedule)........ 2,045,116 Click to see attachment1,854,535 1,945,473
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 1,444,004 Click to see attachment1,147,496 1,739,146
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 7,061,897 6,914,589 9,161,577
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds......... 7,061,897 6,914,589
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 7,061,897 6,914,589
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 7,061,897 6,914,589
Part III Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year’s return)............... 1 7,061,897
2 Enter amount from Part I, line 27a...................... 2 -147,297
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 6,914,600
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 11
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30.. 6 6,914,589
Form 990-PF (2010)
Form 990-PF (2010)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.) 		(b) How acquired
P—Purchase
D—Donation 		(c) Date acquired
(mo., day, yr.) 		(d) Date sold
(mo., day, yr.)
1 a 100000. ABBOTT LABORATORIES 5.150% 11/30/12   2007-12-11 2010-08-10
b .9991 AIR LIQUIDE S A A D R   2009-09-11 2010-07-06
c .371 ALLEGHENY TECHNOLOGIES INC   2009-05-19 2011-05-23
d 3551.136 AMERICAN CENTY INTL BOND FUND INV   2009-06-03 2010-11-29
e 3594.536 AMERICAN CENTY INTL BOND FUND INV   2009-03-30 2011-02-04
150000. AMER EXPRESS CR MTN 5.000% 12/02/10   2006-07-25 2010-12-02
.3846 BANCO SANTANDER CENT HISPANO A D R   2008-12-04 2010-11-19
120. COMMSCOPE INC   2009-07-08 2011-01-14
.485 EXXON MOBIL CORP   2008-11-10 2010-06-30
100000. F N M A M T N 4.750% 11/19/12   2007-11-16 2010-06-29
5649.718 FIRST AMER HIGH INCOME BOND FD CL Y   2009-05-19 2010-11-29
8196.721 FIRST AMER HIGH INCOME BOND FD CL Y   2009-05-19 2011-02-04
.354 FIRST ENERGY CORP   2009-02-27 2011-03-17
.1265 FRONTIER COMMUNICATIONS CORP   2009-02-27 2010-07-13
.3335 FURIEX PHARMACEUTICALS   2009-05-19 2010-06-23
71. GENZYME CORP   2008-09-03 2011-04-05
126. HAWK CORP CL A   2009-04-17 2010-12-01
249. HERLEY INDS INC DEL   2009-03-30 2011-03-24
5396. ISHARES MSCI EMERGING MKTS E T F   2009-11-12 2011-02-04
314. J CREW GROUP INC   2008-12-04 2011-03-08
.5 JOS A BANK CLOTHIERS INC   2009-03-30 2010-08-24
.6 KEPPEL CORP LTD SPONS A D R   2009-03-18 2011-05-23
352. LADISH CO INC   2011-05-10 2011-05-10
.1427 MOTOROLA SOLUTIONS INC   2009-11-12 2011-02-23
.25 MOTOROLA MOBILITY HOLDINGS I   2009-11-12 2011-02-23
25. N B T Y INC   2009-01-23 2010-10-01
.1184 NOVARTIS AG A D R   2009-04-27 2011-04-28
206. PACTIV CORP   2009-04-17 2010-11-16
167. SUPERIOR WELL SERVICES INC   2009-04-17 2010-09-08
.89 TOOTSIE ROLL INDS INC   2009-04-17 2011-04-14
.6667 TREASURY WINE ESTATES LTD A D R   2011-05-23 2011-05-31
60. COMPANHIA DE BEBIDAS P R RT 6/07/10   2009-07-23 2010-06-07
221. COMPANHIA DE BEBIDAS P R RT 6/07/10   2008-12-04 2010-06-07
65. NATIONAL GRID PLC ADR 6/11/10   2009-02-27 2010-06-25
150000. U S TREASURY NT 3.125% 5/15/19   2009-10-15 2011-03-31
50000. U S TREASURY NT 3.625% 8/15/19   2009-11-09 2010-06-14
50000. U S TREASURY NT 3.375% 11/15/19   2010-01-25 2010-06-14
150000. WACHOVIA CORP 5.350% 3/15/11   2007-02-22 2011-03-15
128. ALCON INC   2009-09-11 2011-04-12
. SECURITIES LITIGATION PROCEEDS FROM MERRILL LYNCH & CO     2010-07-01
CAPITAL GAIN DIVIDENDS P    
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a 109,801   102,496 7,305
b 21   21  
c 24   9 15
d 49,538   48,449 1,089
e 49,712   48,454 1,258
150,000   150,000  
4   3 1
3,780   2,858 922
28   36 -8
109,021   101,798 7,223
49,887   38,531 11,356
75,082   55,279 19,803
13   13  
1   1  
4   3 1
5,254   4,923 331
6,300   1,522 4,778
4,731   2,854 1,877
249,129   205,795 43,334
13,662   3,694 9,968
19   9 10
11   3 8
8,448     8,448
5   5  
7   7  
1,375   408 967
7   4 3
6,850   3,089 3,761
3,694   1,654 2,040
25   20 5
2   2  
       
1     1
275     275
150,281   146,242 4,039
51,535   50,604 931
50,439   48,975 1,464
150,000   151,047 -1,047
21,503   17,414 4,089
81     81
      50
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a       7,305
b        
c       15
d       1,089
e       1,258
       
      1
      922
      -8
      7,223
      11,356
      19,803
       
       
      1
      331
      4,778
      1,877
      43,334
      9,968
      10
      8
      8,448
       
       
      967
      3
      3,761
      2,040
      5
       
       
      1
      275
      4,039
      931
      1,464
      -1,047
      4,089
      81
       
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 134,980
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see pages 13 and 17 of the instructions).
If (loss), enter -0- in Part I, line 8 . . . . . . . . . . . . . 		Bracket 3  
Part V
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.
1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2009 381,745 7,866,650 0.048527
2008 449,015 7,422,656 0.060492
2007 450,816 9,499,738 0.047456
2006 12,056 8,918,055 0.001352
2005 0 0 0.0
2 Total of line 1, column (d) ...................... 2 0.157827
3 Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years. . . 		3 0.031565
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4 8,556,312
5 Multiply line 4 by line 3....................... 5 270,083
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 2,612
7 Add lines 5 and 6......................... 7 272,695
8 Enter qualifying distributions from Part XII, line 4.............. 8 408,490
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions on page 18.
Form 990-PF (2010)
Form 990-PF (2010)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A” on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 2,612
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2............................ 3 2,612
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 2,612
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a 1,347
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,347
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 1,265
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2011 estimated taxBullet   Refunded Bullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?.............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see page 19 of the
    instructions)bulletWI
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2010 or the taxable year beginning in 2010 (see instructions for Part XIV on
    page 27)? If “Yes,” complete Part XIV...........................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see page 20 of the instructions) .......
    11
     
    No
    12
    Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletUS BANK NA
    MK-WI-TWPT     Telephone no.bullet (414) 765-6420
    Located atbullet777 E WISCONSIN AVEMILWAUKEEWI ZIP+4bullet53202
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2010, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
    No
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2010?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2010, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2010?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see page 20 of the instructions.) .........
    2b
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business
    enterprise at any time during the year?.....................
    b
    If “Yes,” did it have excess business holdings in 2010 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner 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 business holdings in 2010.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a 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 in 2010?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)...
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    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, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to
    employee benefit plans
    and deferred compensation     		(e) Expense account,
    other allowances
    US BANK NA TRUSTEE
    40     		116,347    
    777 E WISCONSIN AVE
    MILWAUKEE,WI53202
    MARY PLUNKETTJOHN & RUTH KLOSS
    CHARITABLE TR     		BOARD MEMBER
    1     		0    
    US BANK NA 777 E WISCONSIN AVE
    MILWAUKEE,WI53202
    JOHN ANTARAMIANJOHN & RUTH KLOSS
    CHARITABLE TR     		BOARD MEMBER
    1     		0    
    US BANK NA 777 E WISCONSIN AVE
    MILWAUKEE,WI53202
    BRYAN ALBRECHTJOHN & RUTH KLOSS
    CHARITABLE TR     		BOARD MEMBER
    1     		0    
    US BANK NA 777 E WISCONSIN AVE
    MILWAUKEE,WI53202
    JANE HARRINGTON-HEIDEJOHN & RUTH
    KLOSS CHARITABLE TR     		BOARD MEMBER
    1     		0    
    US BANK NA 777 E WISCONSIN AVE
    MILWAUKEE,WI53202
    2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    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 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see page 23 of the instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3...........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 of the instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    8,485,879
    b
    Average of monthly cash balances.......................
    1b
    200,732
    c
    Fair market value of all other assets (see page 24 of the instructions)............
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    8,686,611
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) ..............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d..........................
    3
    8,686,611
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    130,299
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    8,556,312
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    427,816
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    427,816
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
    2,612
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,612
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    425,204
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4.............................
    5
    425,204
    6
    Deduction from distributable amount (see page 25 of the instructions)...........
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1.................................
    7
    425,204
    Part XII
    Qualifying Distributions (see page 25 of the instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    408,490
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes................................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    408,490
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see page 26 of the instructions)............
    5
    2,612
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4...............
    6
    405,878
    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 in those years.
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 8
    Part XIII
    Undistributed Income (see page 26 of the instructions)
    (a)
    Corpus     		(b)
    Years prior to 2009     		(c)
    2009     		(d)
    2010
    1 Distributable amount for 2010 from Part XI, line 7 425,204
    2 Undistributed income, if any, as of the end of 2010:
    a Enter amount for 2009 only....... 366,582
    b Total for prior years:2008, 20, 20 0
    3 Excess distributions carryover, if any, to 2010:
    a From 2005....... 0
    b From 2006....... 0
    c From 2007....... 0
    d From 2008....... 0
    e From 2009....... 0
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$ 408,490
    a Applied to 2009, but not more than line 2a 366,582
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)    		 0
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...     		0
    d Applied to 2010 distributable amount..... 41,908
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2010. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		0
    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......     		0
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...     		0
    e Undistributed income for 2009. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........     		0
    f Undistributed income for 2010. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........     		383,296
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........     		0
    8Excess distributions carryover from 2005 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............     		0
    9Excess distributions carryover to 2011.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2006.... 0
    b Excess from 2007.... 0
    c Excess from 2008.... 0
    d Excess from 2009.... 0
    e Excess from 2010.... 0
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 9
    Part XIV
    Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2010, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2010 (b) 2009 (c) 2008 (d) 2007
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see page 27 of the instructions.)
    1Information Regarding Foundation Managers:
    aList 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 if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    US BANK NA FOUNDATION TEAM
    777 E WISCONSIN AVE - MK-WI-TWPT
    MILWAUKEE,WI53202
    (414) 765-6420
    bThe form in which applications should be submitted and information and materials they should include:
    APPLICANTS SHOULD COMPLETE A GRANT APPLICATION FORM WHICH CAN BE OBTAINED BY WRITING TO: THE JOHN J AND RUTH F KLOSS CHARITABLE TRUST % U.S. BANK, N.A., FOUNDATION TEAM, AT THE ABOVE ADDRESS.
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    GRANTS TO CHARITABLE ORGANIZATIONS IN THE SOUTHEASTERN WISCONSIN AREA, PRIMARILY BUT NOT EXCLUSIVELY KENOSHA COUNTY AND THE SURROUNDING AREA FOR THE ORGANIZATIONS' OPERATIONS AND ACTIVITIES.
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    AMERICAN RED CROSS
    2600 W WISCONSIN AVE
    MILWAUKEE,WI53233     		N/A PUBLIC OPERATING SUPPORT 5,000
    BIG BROTHERS & BIG SISTERS OF
    RACINE & KENOSHA INC
    2302 DE KOVEN AVE
    RACINE,WI53403     		N/A PUBLIC OPERATING SUPPORT 6,000
    BOYS & GIRLS CLUB OF KENOSHA
    1715 52ND ST
    KENOSHA,WI53140     		N/A PUBLIC CAPITAL FUNDS CAMPAIGN - NEW BUILDING 50,000
    CITY OF KENOSHA - PARKS DIVISION
    625 52ND ST
    KENOSHA,WI53143     		N/A PUBLIC BICYCLE PATH MAPPING 12,500
    CITY OF KENOSHA - PARKS DIVISION
    625 52ND ST
    KENOSHA,WI53143     		N/A PUBLIC FREE CONCERT SERIES - SUMMER 2011 6,000
    GATEWAY TECHNICAL COLLEGE
    FOUNDATION INC
    3520 30TH AVE
    KENOSHA,WI53144     		N/A PUBLIC DENTAL ASSISTANTS PROG-CHILDREN'S SCREENING 25,000
    GATEWAY TECHNICAL COLLEGE
    FOUNDATION INC
    3520 30TH AVE
    KENOSHA,WI53144     		N/A PUBLIC SUPPORT STUDENT PARTICIPATION - NEW CNTY PARK 25,000
    GATEWAY TECHNICAL COLLEGE
    FOUNDATION INC
    3520 30TH AVE
    KENOSHA,WI53144     		N/A PUBLIC WGTD-EDUCATION MATTERS PROGRAMMING 5,000
    HAWTHORN HOLLOW NATURE SANCTUARY
    800 GREEN BAY RD
    KENOSHA,WI53144     		N/A PUBLIC OPERATING SUPPORT 5,000
    KENOSHA ACHIEVEMENT CENTER INC
    1218 79TH ST
    KENOSHA,WI53143     		N/A PUBLIC SPECIALIZED TRANSPORTATION VEHICLES 25,000
    KENOSHA CEMETERY ASSOCIATION
    GREEN RIDGE CEMETERY
    6604 7TH AVE
    KENOSHA,WI53143     		N/A PUBLIC OPERATING SUPPORT - DEBT REDUCTION 50,000
    KENOSHA SYMPHONY
    723 58TH ST 301
    KENOSHA,WI53140     		N/A PUBLIC OPERATING SUPPORT 5,000
    KINDRED KITTIES LTD
    614 59TH ST
    KENOSHA,WI53140     		N/A PUBLIC OPERATING SUPPORT-NEEDS OF CATS RESCUED 3,000
    LAW ENFORCEMENT AVIATION COALITION
    WINTHROP HARBOR POLICE DEPT
    830 SHERIDAN RD
    WINTHROP HARBOR,IL60096     		N/A PUBLIC OPERATING SUPPORT 5,000
    PRINGLE NATURE CENTER
    9800 160TH AVE
    BRISTOL,WI53104     		N/A PUBLIC OPERATING SUPPORT 15,000
    LAKESIDE PLAYERS INC
    RHODE OPERA HOUSE
    5036 6TH AVE
    KENOSHA,WI53140     		N/A PUBLIC ROOF REPAIRS 10,000
    SAFE HARBOR HUMANE SOCIETY
    7811 60TH AVE
    KENOSHA,WI53142     		N/A PUBLIC SPAY/NEUTER PROGRAM FOR LOW-INCOME RESIDENTS 3,000
    THE SALVATION ARMY
    RED SHIELD CLINIC
    3116 75TH ST
    KENOSHA,WI53142     		N/A PUBLIC OPERATING SUPPORT 5,000
    THE SALVATION ARMY
    FOOD PANTRY
    3116 75TH ST
    KENOSHA,WI53142     		N/A PUBLIC OPERATING SUPPORT 11,000
    SHALOM CENTER - KENOSHA COUNTY INTERFAITH
    HUMAN CONCERNS NETWORK INC
    1713 62ND ST
    KENOSHA,WI53143     		N/A PUBLIC EMERGENCY FAMILY SHELTER PROGRAM 11,000
    SHARING CENTER INC
    7001 236TH AVE
    SALEM,WI53168     		N/A PUBLIC OPERATING SUPPORT 11,000
    ST JOSEPH CATHOLIC ACADEMY
    2401 69TH ST
    KENOSHA,WI53143     		N/A PUBLIC ONE ON ONE LAPTOP PROGRAM-START UP COSTS 5,000
    TWIN LAKES AREA FOOD PANTRY INC
    701 N LAKE AVE
    TWIN LAKES,WI53181     		N/A PUBLIC OPERATING SUPPORT 11,000
    UNIVERSITY OF WISCONSIN-EXTENSION
    YOUTH AS RESOURCES
    19600 75TH ST
    BRISTOL,WI57104     		N/A PUBLIC OPERATING SUPPORT 2,000
    UNITED WAY OF KENOSHA COUNTY
    3601 30TH AVE 202
    KENOSHA,WI53144     		N/A PUBLIC OPERATING SUPPORT 10,000
    WESTOSHA SENIOR CENTER
    19200 93RD ST
    BRISTOL,WI53104     		N/A PUBLIC REMAINING ROOF REPAIRS 35,000
    WISCONSIN WOMEN'S BUSINESS
    INITIATIVE
    2745 N DR MARTIN LUTHER KING DR
    MILWAUKEE,WI53212     		N/A PUBLIC OPERATING SUPPORT 20,000
    WOMEN AND CHILDREN'S HORIZON
    INC
    2525 63RD ST
    KENOSHA,WI53143     		N/A PUBLIC BATTERER'S TREATMENT OF CHANGE PROGRAM 15,000
    YOUTH EMPLOYMENT IN THE ARTS
    5500 1ST AVE
    KENOSHA,WI53140     		N/A PUBLIC SUPPORT FOR SUMMER 2011 PROGRAM 3,000
    Total .................................bullet 3a 394,500
    bApproved for future payment
    Total ..................................bullet 3b  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See page 28 of
    the instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 2  
    4 Dividends and interest from securities....     14 236,047  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8Gain or (loss) from sales of assets other than inventory     18 134,874  
    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)..   370,923  
    13Total. Add line 12, columns (b), (d), and (e)...................
    13370,923
    (See worksheet in line 13 instructions on page 28 to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the organization’s exempt purposes (other than by providing funds for such purposes). (See
    page 28 of the instructions.)
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash....................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements............................
    1b(4)
     
    No
    (5) Loans or loan guarantees..............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    SignHere
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    Signature of officer or trustee Date Title
    PaidPreparersUseOnly Preparer's SignatureBullet Date PTIN
    Firm's namebullet



    Firm's addressbullet







         		Firm's EINbullet
    Phone no.
    Form 990-PF (2010)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2010 AccountingFeesSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    U.S. BANK, TAX PREP FEES 1,500     1,500

    TY 2010 InvestmentsCorpBondsSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    Name of Bond End of Year Book Value End of Year Fair Market Value
    AMER EXPRESS CR 5.00 12/02/10    
    WACHOVIA CORP 5.35 3/15/11    
    CREDIT SUISSE 6.125 11/15/11 153,885 153,821
    MORGAN STANLEY 5.625 01/09/12 201,410 206,124
    INTL LEASE FIN 4.75 01/13/12 193,600 203,000
    BANK ONE CORP 5.25 01/30/13 200,000 212,582
    ABBOTT LABS 5.15 11/30/12    
    BEAR STEARNS NT 5.70 11/15/14 149,321 166,890
    MCGRAW HILL 5.90 11/15/17 100,747 113,005
    IBM CORP 4.75 11/29/12 79,334 79,641
    DISNEY WALT CO 4.50 12/15/13 102,933 108,795
    GENERAL DYNAMICS 5.25 02/01/14 101,875 111,199
    EMERSON ELEC 4.875 10/15/19 101,118 110,276
    DU PONT DE NEMOUR 3.25 1/15/15 102,404 105,797
    XTRA FIN CORP 5.15 04/01/17 157,930 167,209
    CISCO SYSTEMS 4.45 01/15/20 52,990 52,367
    LOWES COMPANIES 4.625 04/15/20 54,193 53,658
    TARGET CORP 3.875 07/15/20 102,795 101,109

    TY 2010 InvestmentsCorpStockSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ASTRAZENECA PL SPDS ADR REPSTG 1,140 1,572
    DIAGO PLC SPSD ADR NEW 3,149 5,106
    KOMATSU LTD ADR REPSTG ORD 15,364 24,840
    MITSUBISHI UFJ FINL GRP ADR 1,515 1,147
    NESTLE SA SPSD ADR REPSTG REG 27,475 48,312
    NOKIA CORP SPSD ADR REPSTG 17,934 8,136
    NOVARTIS AG ADR REPSTG ORD 24,751 31,100
    TOTAL SA ADR REPSTG ORD 5,297 6,335
    UNILEVER PLC SPSD ADR 9,454 14,731
    BOSTON PPTYS INC 2,258 5,743
    DOVER CORP 8,588 15,530
    HOST HOTELS & RESORT INC 4,005 8,685
    PEABODY ENERGY CORP 4,024 8,406
    PEOPLES UNITED FINANCIAL INC 3,433 2,764
    RALCORP HLDGS INC 17,862 25,766
    ABBOTT LABS 2,734 2,717
    ABERCROMBIE & FITCH CO 3,319 10,002
    APACHE CORP 3,897 6,355
    AT&T INC 4,661 4,986
    AVALONBAY CMNTYS INC 1,327 3,327
    BANK OF AMERICA CORP 4,596 4,676
    BEST BUY COMPANY INC 9,092 9,369
    CVS/CAREMARK CORP 3,699 5,494
    CAPITAL ONE FINL CORP 1,164 3,423
    CEPHALON INC 4,559 5,897
    CIENA CORP 2,537 8,105
    COACH INC 3,337 10,568
    COMCAST CORP CL A 2,838 5,427
    DEERE & CO 890 2,755
    EDISON INTL 4,751 6,298
    FREEPORT-MCMORAN COPPER & GOLD 1,510 3,512
    GENERAL DYNAMICS CORP 1,867 2,672
    GENZYME CORP    
    GOLDMAN SACHS GROUP INC 6,926 11,962
    HALLIBURTON CO 13,841 24,273
    HESS CORP 3,355 4,821
    HEWLETT PACKARD CO 41,008 38,763
    INTL BUSINESS MACHINES CORP 26,400 44,935
    J P MORGAN CHASE & CO 4,282 6,572
    JOHNSON & JOHNSON 38,072 41,518
    KANSAS CITY SOUTHERN 5,002 18,079
    KROGER CO 1,535 1,837
    LABORATORY CORP OF AMERICA HLD 5,239 8,066
    MCDONALDS CORP 26,053 39,302
    MERCK & CO INC 2,770 4,079
    METLIFE INC 4,469 7,321
    N I I HOLDINGS INC 5,521 15,892
    NATIONAL OILWELL VARCO INC 11,071 27,000
    NIKE INC 15,906 26,940
    NRG ENERGY INC 721 1,015
    NUCOR CORP 1,542 1,905
    OCCIDENTAL PETE CORP 4,435 8,412
    SIMON PROPERTY GROUP INC 102 354
    ST JUDE MED INC 851 1,419
    STAPLES INC 6,350 6,627
    TRAVELERS COS INC 2,969 5,028
    UNIT CORP 3,273 5,932
    UNITED TECHNOLOGIES CORP 4,568 8,426
    VERIZON COMMUNICATIONS INC 4,396 6,020
    WAL MART STORES INC 17,682 19,658
    WELLS FARGO & CO 4,965 7,007
    XTO ENERGY INC    
    AXA ADR 1,348 1,910
    ABB LTD ADR REPSTG ORD 15,429 22,273
    AGRIUM INC 779 1,937
    ANGLO AMERICAN PLC ADR REPSTG 1,607 3,440
    ATLAS COPCO AB ADR REPSTG ORD 24,856 52,041
    BANCO SANTANDER CENT HISPANO 2,147 3,175
    BRITISH AMERICAN TOB PLC ADR 3,751 6,686
    DBS GROUP HLDGS LTD 16,063 17,930
    ERSTE BK SER OESTER ADR REPSTG 12,114 14,315
    FOMENTO ECON MEX SA ADR REPSTG 818 1,672
    FRANCE TELCOM SPSD ADR 1,610 1,627
    HONDA MTR LTD 1,465 2,014
    KEPPEL CORP LTD SPONS ADR REPS 1,159 4,012
    KONINKLIJKE KPN NV SP ADR REPS 4,018 4,605
    MITSUBISHI ESTATE ADR REPSTG 11,376 12,080
    NATIONAL GRID PLC SP ADR REPST 2,917 3,381
    PETROLEO BRASILERIO SPONS ADR 19,346 20,421
    ROCHE HLDG LTD SPON ADR 20,986 23,058
    RWE AG SPONS ADR 833 758
    TELEFONICA DE ESPANA SA ADR 1,805 2,336
    TOYOTA SA ADR REPSTG ORD 1,504 1,832
    TRANSOCEAN INC 1,665 1,733
    TURKCELL ILETISIM HIZMET ADR 835 1,013
    AECOM TECHNOLOGY CORP 18,139 17,804
    AFLAC INC 1,119 2,007
    AGCO CORP 6,661 12,401
    AIR PRODS CHEMICALS INC 5,866 9,985
    ALLEGHENY ENERGY INC    
    ALLERGAN INC 19,142 34,250
    AMERICAN ELECTRIC POWER CO INC 6,424 9,283
    AMERICAN TOWER CORP 3,974 7,212
    AMGEN INC 21,841 24,882
    ANADARKO PETE CORP 4,211 8,191
    APPLE INC 22,402 59,479
    APTAR GROUP INC 12,395 22,214
    ARCH COAL INC 627 1,495
    ATRION CORP 1,493 3,512
    BADGER METER INC 1,816 2,382
    BALCHEM CORP 5,524 15,405
    BAR HBR BANKSHARES 1,509 1,792
    BARD C R INC 17,899 23,138
    BIOGEN IDEC INC 16,222 32,492
    BLACKROCK INC 457 822
    BOSTON SCIENTIFIC CORP 2,576 2,527
    BRISTOL MYERS SQUIBB CO 3,503 4,860
    BROADCOM CORP 1,058 2,483
    BRUSH ENGINEERED MATERIALS INC    
    BUCKLE INC 1,485 1,836
    CABELAS INC 1,436 3,880
    CABOT MICROELECTRONICS CORP 3,064 5,427
    CAMERON INTL CORP 15,570 23,925
    CARBO CERAMICS INC 2,428 13,224
    CERNER CORP 9,407 28,584
    CHESAPEAKE ENERGY CORP 1,545 2,789
    CHEVRON CORP 5,399 9,127
    CISCO SYS INC 47,907 40,471
    CITRIX SYS INC 13,889 49,242
    CLOROX CO 12,489 16,140
    COGNIZANT TECH SOLUTIONS CORP 8,997 29,275
    COLGATE PALMOLIVE CO 1,260 1,838
    COLUMBUS MCKINNON CORP NY 707 1,541
    CONTINENTAL RESOURCES INC 3,873 10,728
    CROWN CASTLE INTL CORP 6,284 12,879
    CUBIC CORP 2,782 5,585
    CULLEN FROST BANKERS INC 2,876 3,902
    DANAHER CORP 27,144 47,768
    DARDEN RESTAURANTS INC 13,990 19,855
    DAVITA INC 1,524 2,774
    DAWSON GEOPHYSICAL CO 966 2,517
    DIAMOND FOODS INC 2,707 7,741
    DIAMOND OFFSHORE DRILLING INC 2,076 2,431
    DIRECTV GROUP INC 14,763 31,262
    DISCOVER FINL SVCS 1,238 3,266
    DOLBY LABS INC 7,955 11,919
    DOMINION RESOURCES INC 1,385 2,195
    DRIL QUIP INC 2,586 6,083
    DUFF & PHELPS CORP 1,471 1,428
    EMC CORP 13,637 32,541
    EAGLE MATERIALS INC 3,050 3,832
    ECOLAB INC 16,166 22,995
    EMERSON ELEC CO 2,628 5,291
    ENERGIZER HOLDINGS INC 17,860 22,190
    ENTERGY CORP 1,549 1,636
    ERIE INDEMNITY CO 1,481 3,062
    ESPEY MGF & ELECTRONICS CORP 1,947 3,676
    EXPRESS SCRIPTS INC 14,682 29,423
    EXXON MOBIL CORP 16,252 22,453
    FTI CONSULTING INC 1,134 1,183
    FACTSET RESH SYS INC 15,395 37,027
    FAMILY DOLLAR STORES 2,394 5,017
    FIRST ENERGY CORP 1,465 1,829
    FIRST LONG ISLAND CORP 3,535 4,203
    FISERV INC 3,526 5,807
    FLIR SYSTEMS INC 1,724 2,458
    FLOWER FOODS INC 7,615 11,232
    FLOWSERVE CORP 8,279 17,942
    FOREST LABS INC 2,812 4,178
    FOSTER L B CO 5,272 7,832
    FUJIFILM HLDGS CORP 2,515 3,961
    GAMESTOP CORP 5,837 7,331
    GOODRICH CORP 1,236 3,230
    GOOGLE INC 38,650 52,373
    GORMAN RUPP CO 8,941 18,043
    GRAHAM CORP 1,389 3,672
    GRANITE CONSTR INC 12,945 9,704
    GULF IS FABRICATION INC 2,159 7,956
    GULFMARK OFFSHORE INC 2,539 4,376
    HARDINGE INC 1,035 3,931
    HARRIS CORP DEL 10,250 11,964
    HARTFORD FINANCIAL SERVICES GR 2,511 5,223
    HAWK CORP    
    HAWKINS INC 3,033 8,231
    HERLEY INDS INC    
    HOLOGIC INC 6,104 9,869
    HUNT J B TRANS SVCS INC 3,008 5,823
    ICU MED INC 3,322 4,293
    INTEL CORP 32,872 41,081
    INTERCONTINENTALEXCHANGE INC 759 1,206
    J & J SNACK FOODS CORP 9,084 13,756
    J CREW GROUP INC    
    JACOBS ENGR GROUP INC 8,831 10,870
    JANUS CAPITAL GROUP INC 14,630 11,869
    JOS A BANK CLOTHIERS INC 8,691 27,123
    KMG CHEMICALS INC 1,441 4,847
    KBR INC 701 1,829
    KBW INC 2,073 2,126
    KEY TECHNOLOGY INC 1,266 2,606
    KINDER MORGAN MANAGEMENT LLC 1,214 2,415
    KINDER MORGAN MGMT FRAC CUSIP 5 18
    KOSS CORP 1,986 1,724
    LSI INDS INC 1,751 2,497
    LADISH CO INC    
    LAKELAND INDUSTRIES INC 5,444 6,926
    LANDSTAR SYS INC 4,451 5,868
    LEGG MASON INC 14,454 18,409
    LUFKIN INDS INC 3,323 16,146
    MARTEN TRANSPORTATION LTD 2,265 2,783
    MASTERCARD INC 15,331 26,122
    MAXIM INTERGRATED PRODS INC 16,753 29,158
    MCGRAW HILL COMPANIES INC 1,489 3,185
    MERIT MED SYS INC 3,052 6,082
    MICROSOFT CORP 21,666 27,536
    MINE SAFETY APPLICANCES CO 1,394 2,706
    MOLEX INC 14,592 21,677
    MONARCH CASINO & RESORT INC 1,745 2,824
    MONSANTO CO 11,712 9,661
    MURPHY OIL CORP 10,440 11,091
    NBTY INC    
    NATIONAL PRESTO INDS INC 9,250 16,461
    NEWELL RUBBERMAID INC 20,044 26,359
    NORTHERN TR CORP 13,241 12,100
    O N SEMICONDUCTOR CORP 4,304 10,479
    O REILLY AUTOMOTIVE INC 926 1,683
    ORACLE CORP 15,578 27,889
    OWENS III INC 4,119 8,576
    PNC FINANCIAL SERVICE GROUP IN 6,165 9,613
    PACTIV CORP    
    PEPSICO INC 22,630 31,648
    PETROHAWK ENERGY CORP 5,729 6,697
    PFIZER INC 4,972 7,121
    PHARMACEUTICAL PROD DEV INC 3,638 5,308
    PHILLIPS VAN HEUSEN CORP 3,116 9,961
    POWELL INDS INC 4,241 4,225
    PRAXAIR INC 18,392 31,434
    PRICELINE COM INC 5,889 43,791
    PROCTER & GAMBLE CO 20,384 24,790
    PRUDENTIAL FINANCIAL INC 4,771 10,715
    PUBLIC SVC ENTERPRISE GROUP IN 941 1,072
    QUALCOMM INC 24,140 32,459
    RANGE RESOURCES CORP 3,390 4,362
    RED HAT INC 7,946 21,538
    REGAL ENTERTAINMENT GROUP A 4,526 5,095
    RUDDICK CORP 6,234 11,779
    SANDERSON FARMS INC 1,981 2,327
    SCHEIN HENRY INC 19,590 29,662
    SCHWAB CHARLES CORP 1,524 2,107
    SOUTHWESTERN ENERGY CO 10,722 16,195
    SPAN AMERICA MEDICAL SYS INC 2,425 4,131
    STANLEY FURNITURE COMPANY INC 3,056 1,485
    STARBUCKS CORP 1,559 6,401
    STARRETT L S CO 1,185 2,133
    STARWOOD HOTELS & RESORTS 20,898 42,076
    STATE STR CORP 7,379 12,678
    STURM RUGER & CO INC 6,502 12,067
    SUN HYDRAULICS CORP 1,990 6,877
    SUNTRUST BKS INC 8,169 16,203
    SUPERIOR WELL SERVICES INC    
    SYSCO CORP 9,738 13,755
    TJX COS INC 3,111 7,052
    T ROWE PRICE GROUP INC 19,856 28,105
    TEXAS INSTRUMENTS INC 17,138 28,770
    THERMO FISHER SCIENTIFIC INC 12,971 20,420
    TIME WARNER CABLE INC 23 77
    TOOTSIE ROLL INDS INC 1,464 1,878
    TOTAL SYSTEM SERVICES INC 1,516 2,158
    UNION DRILLING INC 1,366 3,560
    UNION PAC CORP 14,811 27,607
    UNITED FIRE & CASUALTY CO 1,461 1,498
    UNITED HEALTH GROUP INC 13,686 29,370
    URBAN OUTFITTERS INC 3,662 6,427
    UTAH MED PRODS INC 10,011 12,190
    V F CORP 16,209 27,409
    VALUE LINE INC 1,596 837
    VARIAN MED SYS INC 15,299 22,626
    VISA INC CL A 8,674 11,349
    WALGREEN CO 8,077 14,354
    WASTE MGMT INC 6,614 9,176
    WEIS MKTS INC 4,652 5,905
    WERNER ENTERPRISES INC 3,144 5,292
    WESTERN DIGITAL CORP 13,427 13,670
    WHITING PETROLEUM CORP 1,341 7,247
    XILINX INC 12,231 20,195
    YUM BRANDS INC 3,008 5,477
    ZEP INC 1,348 2,552
    ACCENTURE LTD 10,209 16,356
    ACE LTD 7,180 10,805
    AEGON N V NY REG DUTCH 3,157 4,935
    BHP BILLITON LTD ORD 2,037 5,248
    BOC HONG KONG HLDGS ADR 920 2,718
    CARNIVAL CORP 30,134 39,237
    COVIDIEN LTD 1,308 2,035
    FOSTERS GROUP LTD ADR 5,589 7,183
    GLAXO SMITHKLINE PLC ADR 3,706 5,302
    HONGKONG ELEC HLDGS LTD ADR    
    INGERSOLL RAND CO 15,081 27,545
    INVESCO LTD 2,144 3,627
    MARVELL TECHNOLOGY GROUP LTD 1,051 2,923
    MILLICOM INTL CELLULAR SA 4,956 11,306
    PROMISE CO LTD ADR 1,450 763
    SANOFI AVENTIS ADR 2,506 3,644
    SAP AG ADR 37,180 51,290
    SCHLUMBERGER LTD 25,623 35,317
    TOKIO MARINE HOLDINGS ADR 1,518 1,828
    ULTRA PETROLEUM CORP 6,053 6,418
    VALE SA SP ADR 755 1,934
    ZURICH FINANCIAL SERVICES ADR 1,468 2,141
    ALPHA NATURAL RESOURCES INC 4,024 6,410
    BRADY CORP CL A 980 1,206
    CBS CORP CL B 3,225 6,988
    CELANESE CORP SER A 1,448 3,594
    CHICOS FAS INC 7,211 8,384
    CLIFFS NATURAL RESOURCES INC 2,031 6,077
    COMERICA INC 3,257 4,117
    COMMSCOPE INC    
    CON WAY INC 1,495 1,818
    CONSTELLATION BRANDS INC A 4,609 6,368
    EQUITABLE CORP 1,447 2,167
    EXCO RESOURCES INC 4,582 5,418
    FMC CORP 1,738 2,784
    GAP INC 13,122 12,009
    HUNTSMAN CORP 3,528 7,599
    KEYCORP NEW 6,391 8,978
    KNIGHT CAP GROUP INC 2,708 1,592
    LAS VEGAS SANDS CORP 2,960 15,162
    MARSHALL ILSLEY CORP NEW 1,218 1,792
    MCKESSON CORP 8,006 11,900
    MOTOROLA INC    
    PROLOGIS 4,339 5,498
    RADIOSHACK CORP 3,336 3,278
    REGIONS FINL CORP 3,337 6,065
    SMITHFIELD FOODS INC 3,409 5,154
    VERISIGN INC 4,846 7,529
    WMS INDS INC 4,792 3,744
    ZIMMER HOLDINGS INC 1,565 2,439
    ZIONS BANCORPORATION 5,031 7,816
    AIR LIQUIDE SA ADR 28,992 38,642
    ALCON INC    
    ALLIANZ SE ADR 19,702 22,485
    AMERICA MOVIL ADR 15,175 18,498
    B G GROUP PLC ADR 17,411 22,779
    BUNGE LTD 21,846 25,760
    CANON INC SPONS ADR 1,292 1,823
    CENOVUS ENERGY INC 6,701 9,050
    CHINA RES ENTERPRISE LTD ADR 8,273 9,700
    COMPANHIA DE BEBIDAS PR ADR 14,644 44,314
    DASSAULT SYSTEMES SA ADR 22,678 34,847
    ENCANA CORP 7,115 8,320
    ERICSSON LM TEL SP ADR 2,705 4,096
    FANUC LTD 15,748 28,010
    FOSTER WHEELER LTD 14,161 15,074
    FRESENIUS MED CARE ADR 10,022 14,966
    H D F C BK LTD ADR 9,271 13,189
    HOYA CORP ADR 18,751 16,485
    HSBC HOLDINGS PLC SPONS ADR 9,417 8,640
    HUTCHINSON WHAMPOA LTD UNSP AD 18,999 30,177
    IMPERIAL OIL LTD 12,839 16,659
    INTESA SANPAOLO ADR 809 590
    JUPITER TELECOM ADR 17,723 20,707
    KUBORA LTD ADR 16,738 18,528
    LOREAL CO UNSPONS ADR 23,583 30,236
    LVMH MOET HENNESSY LOU VUITT 27,051 47,080
    NOMURA HOLDINGS INC ADR 4,432 3,348
    NOVO NORDISK AS ADR 15,064 30,242
    OAO GAZPROM SPON ADR 18,476 23,777
    PT TELEKOMUNIKASI INDONESIA AD 14,503 14,860
    PANASONIC CORP ADR 15,767 12,453
    QIAGEN NV 14,396 13,416
    SASOL LTD SPONS ADR 5,064 7,239
    SCHNEIDER ELECT SA UNSP ADR 9,097 14,968
    TAIWAN SEMICONDUCTOR ADR 28,279 35,967
    TESCO PLC ADR 12,896 14,082
    TEVA PHARMACEUTICAL INDS LTD A 13,010 13,030
    WAL MART DE MEXICO SAB DE CV A 21,398 37,405
    WPP PLC SPONS ADR 18,315 26,195
    BIO RAD LABS INC 2,208 3,733
    ALLEGHENY TECHNOLOGIES INC 2,781 10,720
    FRONTIER COMMUNICATIONS CORP 287 345
    FURIEX PHARMACEUTICALS 129 255
    MATERION CORP 1,430 4,245
    MOTOROLA MOBILITY HOLDINGS 5,252 4,550
    MOTOROLA SOLUTIONS INC 7,184 9,909
    POWER ASSETS HLDGS ADR 1,528 1,841
    TREASURY WINE ESTATES LTD ADR 1,708 1,782
    SANOFI AVENTIS SA CVR RIGHTS 1 170

    TY 2010 InvestmentsGovtObligationsSch
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    US Government Securities - End of Year Book Value:

    617,106
    US Government Securities - End of Year Fair Market Value:

    651,687
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2010 InvestmentsOtherSchedule2
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    NUVEEN SMALL CAP GRWTH OPP AT COST 212,902 335,485
    NUVEEN MID CAP GRWTH OPP AT COST 455,343 708,493
    ISHARES MSCI EMERGING MKTS AT COST 294,495 485,300
    AMERICAN CENTURY INTL BOND AT COST 48,278 52,367
    ISHARES MSCI EMERGING MKTS IND      
    NUVEEN HIGH INCOME BOND FD AT COST 36,478 50,783
    CREDIT SUISSE COMM RET ST AT COST 100,000 106,718

    TY 2010 LegalFeesSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 855     855


    TY 2010 OtherDecreasesSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    Description Amount
    ADJ FOR KINDER MORGAN DIST 11


    TY 2010 OtherExpensesSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADR PAYING AGENT FEES 670 670   0


    TY 2010 TaxesSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES PD ON DIVIDENDS 3,451 3,451   0
    ESTIMATE TAX PYMTS 990-PF 897 0   0
    FOREIGN TAXES PD ON DIVIDENDS   1,980   0
    FOREIGN TAXES PD ON DIVIDENDS   67   0