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
2011
For calendar year 2011, or tax year beginning 06-01-2011 , and ending 05-31-2012
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) 765-5672
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$8,344,363
J 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      
4 Dividends and interest from securities...... 211,325 214,563  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 336,790
b Gross sales price for all assets on line 6a 2,606,533
7 Capital gain net income (from Part IV, line 2)... 337,224
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........ 548,115 551,787  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 105,147 94,632   10,515
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... 133 0 0 133
b Accounting fees (attach schedule)....... 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) 6,680 5,037   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)....... 602 602    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 114,062 100,271 0 12,148
25 Contributions, gifts, grants paid........ 400,000 400,000
26 Total expenses and disbursements. Add lines 24 and 25 514,062 100,271 0 412,148
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 34,053
b Net investment income (if negative, enter -0-) 451,516
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 (2011)
Form 990-PF (2011)
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............... 198    
2 Savings and temporary cash investments.......... 473,648 293,328 293,328
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) 617,106 Click to see attachment618,857 683,085
b Investments—corporate stock (attach schedule)........ 2,821,606 Click to see attachment1,864,751 2,872,717
c Investments—corporate bonds (attach schedule)........ 1,854,535 Click to see attachment1,312,485 1,394,019
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 1,147,496 Click to see attachment2,859,221 3,101,214
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) 6,914,589 6,948,642 8,344,363
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......... 6,914,589 6,948,642
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).................... 6,914,589 6,948,642
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 6,914,589 6,948,642
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 6,914,589
2 Enter amount from Part I, line 27a..................... 2 34,053
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 6,948,642
5 Decreases not included in line 2 (itemize) bullet 5 0
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 6,948,642
Form 990-PF (2011)
Form 990-PF (2011)
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 200000. INTL LEASE FINANCE 4.750% 1/13/12   2006-09-13 2011-06-02
b 150000. U S TREASURY NT 3.500% 5/15/20   2010-06-29 2011-06-02
c 1405. COMPANHIA DE BEBIDAS P R ADR RIGHTS     2011-06-15
d .75 GORMAN RUPP CO   2009-03-30 2011-06-21
e .205 PROLOGIS INC   2009-11-12 2011-06-21
52. ABBOTT LABS   2007-08-24 2011-06-24
132. ABERCROMBIE & FITCH CO CL A   2009-07-08 2011-06-24
621. AECOM TECHNOLOGY CORP   2009-09-11 2011-06-24
705. AEGON N V NY REG SHR   2009-01-23 2011-06-24
73. AIR PRODS CHEMICALS INC   2008-10-09 2011-06-24
31. ALLEGHENY TECHNOLOGIES INC   2009-05-19 2011-06-24
117. ALPHA NATURAL RESOURCES INC   2009-10-01 2011-06-24
59. AMERICA MOVIL A D R   2009-11-12 2011-06-24
332. AMGEN INC   2009-11-12 2011-06-24
40. APPLE INC   2009-09-11 2011-06-24
30. ASTRAZENECA P L C SPSD A D R   2008-12-04 2011-06-24
648. ATLAS COPCO AB SPONS A D R   2009-11-12 2011-06-24
89. AXA A D R   2009-01-23 2011-06-24
2.3846 BANCO SANTANDER CENT HISPANO A D R   2010-11-10 2011-06-24
263.6154 BANCO SANTANDER CENT HISPANO A D R   2008-12-04 2011-06-24
398. BANK OF AMERICA CORP   2009-06-03 2011-06-24
194. BARD C R INC   2009-09-11 2011-06-24
295. BEST BUY CO INC   2009-02-27 2011-06-24
57. BIOGEN IDEC INC   2008-09-03 2011-06-24
4. BLACKROCK INC   2009-03-18 2011-06-24
352. BOSTON SCIENTIFIC CORP   2009-02-27 2011-06-24
35. BRADY CORPORATION CL A   2009-10-01 2011-06-24
134. BRISTOL-MYERS SQUIBB CO   2009-04-27 2011-06-24
45. BRITISH AMERN TOB PLC ADR   2009-02-27 2011-06-24
244. CENOVUS ENERGY INC   2009-10-01 2011-06-24
74. CEPHALON INC   2009-07-23 2011-06-24
556. CHICOS FAS INC   2009-11-12 2011-06-24
54. CIENA CORP   2008-10-17 2011-06-24
170. CIENA CORP   2009-07-08 2011-06-24
2311. CISCO SYS INC   2009-07-23 2011-06-24
187. CITRIX SYS INC   2008-09-16 2011-06-24
67. CLIFFS NATURAL RESOURCES INC   2009-10-01 2011-06-24
143. CLOROX CO   2009-09-11 2011-06-24
55. COACH INC   2008-04-17 2011-06-24
268. COMPANHIA DE BEBIDAS P R A D R   2009-07-23 2011-06-24
46. CON WAY INC   2009-11-12 2011-06-24
48. CONSTELLATION BRANDS INC A   2009-11-12 2011-06-24
71. CONTINENTAL RESOURCES INC   2008-10-17 2011-06-24
86. CROWN CASTLE INTL CORP   2009-05-01 2011-06-24
67. CULLEN FROST BANKERS INC   2009-03-30 2011-06-24
161. DBS GROUP HLDGS LTD   2008-09-10 2011-06-24
168. DARDEN RESTAURANTS INC   2009-04-27 2011-06-24
90. DARDEN RESTAURANTS INC   2009-09-11 2011-06-24
22. DARDEN RESTAURANTS INC   2009-10-01 2011-06-24
33. DIAMOND OFFSHORE DRILLING INC   2009-03-18 2011-06-24
255. DOLBY LABORATORIES INC CL A   2009-09-11 2011-06-24
97. DUFF & PHELPS CORP CL A   2009-03-30 2011-06-24
40. EQUITABLE CORP   2009-06-03 2011-06-24
269. EXCO RESOURCES INC   2009-10-01 2011-06-24
292. ECOLAB INC   2009-07-23 2011-06-24
160. EDISON INTL   2009-02-27 2011-06-24
114. ENERGIZER HOLDINGS INC   2008-09-24 2011-06-24
24. ENTERGY CORPORATION   2009-04-27 2011-06-24
276. ERICSSON (LM)TEL SP A D R   2009-07-23 2011-06-24
44. ERSTE GROUP BANK AG A D R   2009-11-12 2011-06-24
36. EXPRESS SCRIPTS INC   2008-09-24 2011-06-24
26. EXPRESS SCRIPTS INC   2009-10-01 2011-06-24
54. EXXON MOBIL CORP   2008-11-10 2011-06-24
68. FLIR SYSTEMS INC   2009-05-01 2011-06-24
31. F T I CONSULTING INC   2009-02-27 2011-06-24
22. FACTSET RESEARCH SYSTEMS INC   2009-07-23 2011-06-24
90. FISERV INC   2008-10-09 2011-06-24
41. FIRST ENERGY CORP   2009-02-27 2011-06-24
46. FOREST LABS INC   2008-09-24 2011-06-24
919. FOSTERS GROUP LIMITED A D R   2008-12-04 2011-06-24
70. FRANCE TELECOM SPSD ADR   2009-02-27 2011-06-24
39. FRONTIER COMMUNICATIONS CORP   2009-02-27 2011-06-24
188. GAMESTOP CORP CL A   2008-12-04 2011-06-24
619. GAP INC   2009-10-01 2011-06-24
933. OAO GAZPROM SPON A D R   2009-10-01 2011-06-24
122. GLAXO SMITHKLINE P L C A D R   2009-02-27 2011-06-24
44. GOLDMAN SACHS GROUP INC   2009-02-27 2011-06-24
28. GOOGLE INC CL A   2009-07-23 2011-06-24
81. H D F C BK LTD A D R   2009-11-12 2011-06-24
165. HSBC HOLDINGS PLC SPONS A D R   2009-11-12 2011-06-24
242. HARRIS CORP DEL   2009-01-23 2011-06-24
39. HARTFORD FINANCIAL SERVICES GRP INC   2009-11-12 2011-06-24
1037. HEWLETT PACKARD CO   2009-02-27 2011-06-24
211. HOLOGIC INC   2009-06-03 2011-06-24
53. HONDA MOTOR CO LTD A D R   2009-04-27 2011-06-24
306. HOYA CORP A D R   2009-11-12 2011-06-24
54. HUNT J B TRANS SVCS INC   2009-05-01 2011-06-24
287. HUNTSMAN CORP   2009-10-01 2011-06-24
524. HUTCHISON WHAMPOA LTD UNSP ADR   2009-10-01 2011-06-24
1320. INTEL CORP   2008-09-24 2011-06-24
10. INTERCONTINENTAL EXCHANGE INC   2008-09-24 2011-06-24
38. INTESA SANPAOLO A D R   2009-06-03 2011-06-24
3114. ISHARES MSCI EMERGING MKTS E T F   2009-07-23 2011-06-24
25. J P MORGAN CHASE CO   2008-09-16 2011-06-24
1037. JANUS CAPITAL GROUP INC   2009-11-12 2011-06-24
191. JOHNSON & JOHNSON   2007-08-24 2011-06-24
94. JOHNSON & JOHNSON   2008-09-24 2011-06-24
48. JOHNSON & JOHNSON   2008-10-09 2011-06-24
114. JUPITER TELECOM A D R   2009-10-01 2011-06-24
100. KBW INC   2009-03-30 2011-06-24
31. KANSAS CITY SOUTHERN   2009-02-27 2011-06-24
409. KEYCORP NEW   2009-10-01 2011-06-24
129. KNIGHT CAPITAL GROUP INC CL A   2009-09-11 2011-06-24
828. KOMATSU LTD A D R REPSTG 4 ORD SHS   2009-10-01 2011-06-24
74. KROGER CO   2009-02-27 2011-06-24
412. KUBOTA LTD A D R   2009-10-01 2011-06-24
59. LOREAL CO UNSPONSORED ADR   2009-09-11 2011-06-24
823. LVMH MOET HENNESSY LOU VUITT A D R   2009-10-01 2011-06-24
30. LABORATORY CORP OF AMERICA HOLDINGS   2007-10-25 2011-06-24
123. LAKELAND INDUSTRIES INC   2009-09-11 2011-06-24
79. LANDSTAR SYS INC   2009-11-12 2011-06-24
314. LAS VEGAS SANDS CORP   2009-07-23 2011-06-24
544. LEGG MASON INC   2009-11-12 2011-06-24
224. MARSHALL ILSLEY CORP NEW   2009-11-12 2011-06-24
28. MASTERCARD INC   2009-07-23 2011-06-24
38. MATERION CORP   2009-03-30 2011-06-24
245. MAXIM INTEGRATED PRODS INC   2009-09-11 2011-06-24
139. MCKESSON CORPORATION   2009-09-11 2011-06-24
365. MICROSOFT CORP   2008-10-09 2011-06-24
68. MITSUBISHI ESTATE LTD A D R   2009-10-01 2011-06-24
251. MITSUBISHI UFJ FINL GRP A D R   2009-07-23 2011-06-24
670. MOLEX INC   2009-07-23 2011-06-24
136. MONSANTO CO   2009-02-27 2011-06-24
206. MOTOROLA SOLUTIONS INC   2009-11-12 2011-06-24
181. MOTOROLA MOBILITY HOLDINGS I   2009-11-12 2011-06-24
82. MURPHY OIL CORP   2008-09-10 2011-06-24
74. N I I HOLDINGS INC   2009-03-18 2011-06-24
74. N I I HOLDINGS INC   2009-06-03 2011-06-24
41. NRG ENERGY INC   2009-03-18 2011-06-24
146. NATIONAL OILWELL VARCO INC   2009-07-08 2011-06-24
1117. NEWELL RUBBERMAID INC   2009-07-23 2011-06-24
1159. NOKIA CORP SPSD A D R   2009-10-01 2011-06-24
671. NOMURA HOLDINGS INC A D R   2009-11-12 2011-06-24
248. NORTHERN TR CORP   2009-02-27 2011-06-24
45. NUCOR CORP   2009-03-18 2011-06-24
808.285 NUVEEN MID CAP GRWTH OPP FD CL I   2006-07-17 2011-06-24
1254.076 NUVEEN MID CAP GRWTH OPP FD CL I   2006-08-14 2011-06-24
621.845 NUVEEN MID CAP GRWTH OPP FD CL I   2009-09-11 2011-06-24
934. ON SEMICONDUCTOR CORPORATION   2009-04-27 2011-06-24
106. OWENS ILL INC   2009-05-19 2011-06-24
116. P N C FINANCIAL SERVICES GROUP INC   2009-06-03 2011-06-24
1068. PANASONIC CORP A D R   2009-10-01 2011-06-24
53. PEABODY ENERGY CORP   2008-10-09 2011-06-24
207. PEOPLES UNITED FINANCIAL INC   2009-05-01 2011-06-24
413. P T TELEKOMUNIKASI INDONESIA A D R   2009-11-12 2011-06-24
100. PETROHAWK ENERGY CORP   2008-09-24 2011-06-24
225. PETROLEO BRASILEIRO S A A D R   2009-07-23 2011-06-24
259. POWER ASSETS HLDGS A D R   2009-01-23 2011-06-24
187. T ROWE PRICE GROUP INC   2008-10-09 2011-06-24
22. PRICELINE COM INC   2009-01-23 2011-06-24
370. PROCTER & GAMBLE CO   2009-06-03 2011-06-24
148. PROLOGIS INC   2009-11-12 2011-06-24
218. PROMISE CO LTD A D R   2009-02-27 2011-06-24
39. PRUDENTIAL FINANCIAL INC   2009-11-12 2011-06-24
32. PUBLIC SVC ENTERPRISE GROUP INC   2008-12-04 2011-06-24
173. QUALCOMM INC   2009-07-23 2011-06-24
13. RWE AG A D R   2009-02-27 2011-06-24
208. RADIOSHACK CORPORATION   2009-10-01 2011-06-24
42. RANGE RESOURCES CORP   2009-06-03 2011-06-24
433. RED HAT INC   2009-04-27 2011-06-24
222. REGAL ENTERTAINMENT GROUP A   2009-04-17 2011-06-24
267. REGIONS FINL CORP   2009-06-03 2011-06-24
134. ROCHE HLDG LTD A D R   2007-08-24 2011-06-24
312. KONINKLIJKE (ROYAL) KPN NV SP ADR   2009-02-27 2011-06-24
92. SANOFI A D R   2009-04-27 2011-06-24
228. SAP AG A D R   2009-09-11 2011-06-24
82. SAP AG A D R   2009-10-01 2011-06-24
117. SCHWAB CHARLES CORP   2009-02-27 2011-06-24
246. SMITHFIELD FOODS INC   2009-11-12 2011-06-24
346. SOUTHWESTERN ENERGY CO   2008-12-04 2011-06-24
290. STANLEY FURNITURE COMPANY INC   2009-07-23 2011-06-24
394. STAPLES INC   2009-02-27 2011-06-24
617. STARWOOD HOTELS & RESORTS   2009-11-12 2011-06-24
138. STATE STR CORP   2009-05-01 2011-06-24
113. SUNTRUST BKS INC   2009-07-08 2011-06-24
427. SYSCO CORP   2009-05-19 2011-06-24
1010. TAIWAN SEMICONDUCTOR A D R   2009-09-11 2011-06-24
137. TAIWAN SEMICONDUCTOR A D R   2009-10-01 2011-06-24
96. TELEFONICA SA SPON A D R   2009-02-27 2011-06-24
186. TESCO PLC A D R   2009-09-11 2011-06-24
202. TESCO PLC A D R   2009-10-01 2011-06-24
85. THERMO FISHER SCIENTIFIC INC   2008-09-24 2011-06-24
67. TOKIO MARINE HOLDINGS A D R   2008-12-04 2011-06-24
110. TOTAL S A A D R   2009-02-27 2011-06-24
116. TOTAL SYSTEM SERVICES INC   2009-07-08 2011-06-24
22. TOYOTA MTR CORP A D R   2008-11-10 2011-06-24
46. TRAVELERS COS INC   2009-02-27 2011-06-24
72. TURKCELL ILETISIM HIZMET A D R   2009-03-18 2011-06-24
46. ULTRA PETROLEUM CORP   2008-09-24 2011-06-24
211. URBAN OUTFITTERS INC   2009-06-03 2011-06-24
202. V F CORP   2008-10-17 2011-06-24
59. VALUE LINE INC   2009-03-30 2011-06-24
215. VERISIGN INC   2009-10-01 2011-06-24
140. VISA INC CLASS A SHARES   2009-10-01 2011-06-24
119. WMS INDS INC   2009-11-12 2011-06-24
185. WAL MART STORES INC   2009-02-27 2011-06-24
236. WASTE MGMT INC   2009-04-27 2011-06-24
336. WESTERN DIGITAL CORP   2009-11-12 2011-06-24
537. XILINX INC   2009-11-12 2011-06-24
44. YUM! BRANDS INC COM   2009-05-19 2011-06-24
36. ZIMMER HLDGS INC   2009-07-23 2011-06-24
80. ZURICH FINANCIAL SVCS A D R   2008-12-04 2011-06-24
248. BUNGE LIMITED   2009-10-01 2011-06-24
138. INGERSOLL RAND PLC   2008-09-03 2011-06-24
30. INGERSOLL RAND PLC   2008-09-10 2011-06-24
44. INVESCO LTD   2009-04-17 2011-06-24
440. FOSTER WHEELER AG   2009-11-12 2011-06-24
25. TRANSOCEAN LTD   2009-07-08 2011-06-24
99. MILLICOM INTL CELLULAR SA   2009-03-18 2011-06-24
275. QIAGEN NV   2009-09-11 2011-06-24
68.728 AMERICAN CENTY INTL BOND FUND INV   2011-06-24 2011-06-28
18. AMGEN INC   2008-10-09 2011-06-28
100. ATLAS COPCO AB SPONS A D R   2009-11-12 2011-06-28
1. BANCO SANTANDER CENT HISPANO A D R   2010-11-10 2011-06-28
35. BRISTOL-MYERS SQUIBB CO   2009-04-27 2011-06-28
25. CAMERON INTL CORP   2008-09-10 2011-06-28
98. CISCO SYS INC   2009-07-23 2011-06-28
15. CLOROX CO   2009-02-27 2011-06-28
51. ECOLAB INC   2009-09-11 2011-06-28
21. EXXON MOBIL CORP   2009-05-19 2011-06-28
112. JANUS CAPITAL GROUP INC   2008-09-24 2011-06-28
51. LAS VEGAS SANDS CORP   2009-07-23 2011-06-28
29. MATERION CORP   2009-03-30 2011-06-28
1. MOTOROLA SOLUTIONS INC   2009-10-01 2011-06-28
163. REGIONS FINL CORP   2009-06-03 2011-06-28
116. TAIWAN SEMICONDUCTOR A D R   2009-10-01 2011-06-28
521. TREASURY WINE ESTATES LTD A D R   2008-12-04 2011-06-28
56. WAL MART STORES INC   2009-02-27 2011-06-28
38. INTESA SANPAOLO A D R 7/06/11   2009-06-03 2011-07-06
.5 FLOWERS FOODS INC   2009-03-30 2011-07-14
153. PETROHAWK ENERGY CORP   2009-06-03 2011-08-19
. SECURITIES LITIGATION PROCEEDS FROM BANK OF AMERICA CORP     2011-09-19
100000. EMERSON ELECTRIC 4.875% 10/15/19   2009-01-15 2011-10-14
. SECURITIES LITIGATION PROCEEDS FROM PMI GROUP INC     2011-11-03
150000. CREDIT SUIS USA 6.125% 11/15/11   2006-08-03 2011-11-15
184. PHARMACEUTICAL PROD DEV INC   2009-11-12 2011-12-05
646. FOSTERS GROUP LIMITED A D R   2008-12-04 2011-12-06
200000. MORGAN STANLEY 5.625% 1/09/12   2006-08-22 2012-01-09
314. J CREW GROUP ESC   2011-03-07 2012-01-19
.5 POST HOLDINGS INC   2008-09-16 2012-02-14
75000. U S TREASURY NT 3.125% 5/15/21   2011-06-02 2012-04-04
.92 TOOTSIE ROLL INDS INC   2009-04-17 2012-04-13
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 205,000   199,259 5,741
b 158,408   153,963 4,445
c 17     17
d 24   13 11
e 7   6 1
2,681   2,734 -53
8,621   3,319 5,302
16,475   18,139 -1,664
4,350   3,157 1,193
6,784   4,375 2,409
1,876   748 1,128
5,039   4,024 1,015
2,991   2,760 231
19,027   17,844 1,183
13,072   6,496 6,576
1,474   1,140 334
15,312   8,731 6,581
1,816   1,348 468
25   27 -2
2,802   2,108 694
4,167   4,596 -429
20,876   16,882 3,994
9,461   9,092 369
5,850   2,869 2,981
735   457 278
2,401   2,576 -175
1,094   980 114
3,887   2,780 1,107
3,822   2,305 1,517
8,269   6,701 1,568
5,910   4,559 1,351
8,379   7,211 1,168
963   429 534
3,031   1,480 1,551
34,595   45,750 -11,155
14,320   5,122 9,198
5,808   2,031 3,777
9,508   8,288 1,220
3,254   1,761 1,493
8,504   3,820 4,684
1,703   1,495 208
1,000   802 198
4,329   1,896 2,433
3,484   2,062 1,422
3,714   2,876 838
7,457   8,576 -1,119
8,155   6,431 1,724
4,369   3,175 1,194
1,068   732 336
2,254   2,076 178
10,669   7,955 2,714
1,238   1,471 -233
1,978   1,447 531
5,090   4,582 508
15,867   11,584 4,283
6,206   4,751 1,455
7,969   9,809 -1,840
1,633   1,549 84
3,641   2,705 936
1,017   1,021 -4
1,913   1,311 602
1,382   994 388
4,171   3,978 193
2,181   1,724 457
1,131   1,134 -3
2,164   1,222 942
5,504   3,526 1,978
1,767   1,465 302
1,815   1,299 516
4,953   2,638 2,315
1,410   1,588 -178
306   287 19
4,897   4,313 584
10,925   13,122 -2,197
13,043   10,821 2,222
5,050   3,706 1,344
5,805   4,036 1,769
13,264   12,662 602
13,338   9,271 4,067
7,946   9,417 -1,471
10,699   10,250 449
937   984 -47
36,232   41,008 -4,776
4,212   3,010 1,202
1,980   1,465 515
6,753   7,485 -732
2,475   1,503 972
5,008   2,525 2,483
27,829   18,999 8,830
28,155   25,655 2,500
1,186   759 427
549   809 -260
141,466   111,130 30,336
988   964 24
9,219   12,072 -2,853
12,476   11,761 715
6,140   6,415 -275
3,135   2,930 205
8,442   7,188 1,254
1,830   2,073 -243
1,723   562 1,161
3,215   2,536 679
1,402   2,708 -1,306
25,378   15,364 10,014
1,802   1,535 267
17,571   16,738 833
1,434   1,189 245
27,002   16,583 10,419
2,843   2,231 612
1,031   990 41
3,549   2,903 646
12,249   2,432 9,817
16,967   14,454 2,513
1,685   1,218 467
7,655   5,204 2,451
1,308   508 800
5,929   4,559 1,370
11,372   8,006 3,366
8,844   8,809 35
11,466   11,376 90
1,142   1,515 -373
17,333   13,037 4,296
8,992   11,712 -2,720
9,346   7,150 2,196
4,194   5,252 -1,058
5,167   5,528 -361
2,993   1,109 1,884
2,993   1,425 1,568
941   721 220
10,421   5,046 5,375
17,470   17,100 370
6,803   17,934 -11,131
3,154   4,432 -1,278
11,187   13,241 -2,054
1,775   1,542 233
37,399   32,000 5,399
58,026   50,000 8,026
28,773   19,725 9,048
9,452   4,305 5,147
2,711   2,218 493
6,539   4,730 1,809
12,486   15,767 -3,281
3,044   1,765 1,279
2,650   3,433 -783
13,745   14,503 -758
2,346   2,519 -173
7,175   9,126 -1,951
1,865   1,528 337
10,579   8,923 1,656
10,656   1,524 9,132
23,136   20,384 2,752
5,107   4,333 774
800   1,450 -650
2,313   1,871 442
1,010   941 69
9,411   8,243 1,168
684   833 -149
2,646   3,336 -690
2,193   1,859 334
19,503   6,988 12,515
2,633   2,941 -308
1,586   1,095 491
5,487   5,926 -439
4,405   4,018 387
3,431   2,506 925
13,290   11,732 1,558
4,780   4,002 778
1,839   1,524 315
5,370   3,409 1,961
14,262   10,070 4,192
1,264   3,056 -1,792
6,037   6,350 -313
32,960   19,524 13,436
5,955   4,617 1,338
2,808   1,712 1,096
13,139   9,738 3,401
12,473   11,027 1,446
1,692   1,456 236
2,196   1,805 391
3,540   3,601 -61
3,844   3,824 20
5,306   4,632 674
1,805   1,518 287
5,938   5,297 641
2,058   1,516 542
1,787   1,504 283
2,599   1,686 913
985   835 150
2,018   2,737 -719
6,014   3,662 2,352
21,056   12,460 8,596
799   1,596 -797
7,054   4,846 2,208
10,384   8,674 1,710
3,588   4,792 -1,204
9,705   9,217 488
8,666   6,614 2,052
12,005   12,936 -931
18,763   11,646 7,117
2,373   1,520 853
2,223   1,565 658
1,940   1,468 472
16,485   15,827 658
5,995   5,049 946
1,303   1,048 255
972   693 279
12,874   14,161 -1,287
1,515   1,665 -150
10,048   4,956 5,092
5,250   5,881 -631
1,001   999 2
1,054   958 96
2,456   1,498 958
11   12 -1
999   723 276
1,185   1,000 185
1,470   2,158 -688
994   733 261
2,793   2,156 637
1,661   1,492 169
1,025   2,558 -1,533
2,142   528 1,614
1,012   388 624
46   34 12
961   668 293
1,471   1,233 238
1,761   1,094 667
2,929   2,790 139
27     27
11   8 3
5,929   3,209 2,720
29     29
113,833   101,118 12,715
41     41
150,000   153,885 -3,885
6,118   3,638 2,480
3,423   1,855 1,568
200,000   201,410 -1,410
83     83
14   10 4
81,460   75,873 5,587
20   20  
      331
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       5,741
b       4,445
c       17
d       11
e       1
      -53
      5,302
      -1,664
      1,193
      2,409
      1,128
      1,015
      231
      1,183
      6,576
      334
      6,581
      468
      -2
      694
      -429
      3,994
      369
      2,981
      278
      -175
      114
      1,107
      1,517
      1,568
      1,351
      1,168
      534
      1,551
      -11,155
      9,198
      3,777
      1,220
      1,493
      4,684
      208
      198
      2,433
      1,422
      838
      -1,119
      1,724
      1,194
      336
      178
      2,714
      -233
      531
      508
      4,283
      1,455
      -1,840
      84
      936
      -4
      602
      388
      193
      457
      -3
      942
      1,978
      302
      516
      2,315
      -178
      19
      584
      -2,197
      2,222
      1,344
      1,769
      602
      4,067
      -1,471
      449
      -47
      -4,776
      1,202
      515
      -732
      972
      2,483
      8,830
      2,500
      427
      -260
      30,336
      24
      -2,853
      715
      -275
      205
      1,254
      -243
      1,161
      679
      -1,306
      10,014
      267
      833
      245
      10,419
      612
      41
      646
      9,817
      2,513
      467
      2,451
      800
      1,370
      3,366
      35
      90
      -373
      4,296
      -2,720
      2,196
      -1,058
      -361
      1,884
      1,568
      220
      5,375
      370
      -11,131
      -1,278
      -2,054
      233
      5,399
      8,026
      9,048
      5,147
      493
      1,809
      -3,281
      1,279
      -783
      -758
      -173
      -1,951
      337
      1,656
      9,132
      2,752
      774
      -650
      442
      69
      1,168
      -149
      -690
      334
      12,515
      -308
      491
      -439
      387
      925
      1,558
      778
      315
      1,961
      4,192
      -1,792
      -313
      13,436
      1,338
      1,096
      3,401
      1,446
      236
      391
      -61
      20
      674
      287
      641
      542
      283
      913
      150
      -719
      2,352
      8,596
      -797
      2,208
      1,710
      -1,204
      488
      2,052
      -931
      7,117
      853
      658
      472
      658
      946
      255
      279
      -1,287
      -150
      5,092
      -631
      2
      96
      958
      -1
      276
      185
      -688
      261
      637
      169
      -1,533
      1,614
      624
      12
      293
      238
      667
      139
      27
      3
      2,720
      29
      12,715
      41
      -3,885
      2,480
      1,568
      -1,410
      83
      4
      5,587
       
       
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 2 337,224
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))
2010 405,878 8,556,312 0.047436
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
2 Total of line 1, column (d) ...................... 2 0.205263
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 0.041053
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 8,544,382
5 Multiply line 4 by line 3....................... 5 350,773
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 4,515
7 Add lines 5 and 6......................... 7 355,288
8 Enter qualifying distributions from Part XII, line 4.............. 8 412,148
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 (2011)
Form 990-PF (2011)
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 4,515
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 4,515
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 4,515
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a 2,612
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 2,612
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 1,903
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 2012 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 2011 or the taxable year beginning in 2011 (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) 765-5672
    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 2011, 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 (2011)
    Form 990-PF (2011)
    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 2011?.............
    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 2011, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2011?...............
    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 2011 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 2011.)....................
    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 2011?
    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 (2011)
    Form 990-PF (2011)
    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
    105,147    
    777 E WISCONSIN AVE
    MILWAUKEE,WI53202
    BRYAN ALBRECHT JOHN & RUTH KLOSS
    CHARITABLE TRUST
    BOARD MEMBER
    1
    0    
    US BANK NA 777 E WISCONSIN AVE
    MILWAUKEE,WI53202
    JANE HARRINGTON-HEIDE JOHN & RUTH
    KLOSS CHARITABLE TRUST
    BOARD MEMBER
    1
    0    
    US BANK NA 777 E WISCONSIN AVE
    MILWAUKEE,WI53202
    MARY PLUNKETT JOHN & RUTH KLOSS
    CHARITABLE TRUST
    BOARD MEMBER
    1
    0    
    US BANK NA 777 E WISCONSIN AVE
    MILWAUKEE,WI53202
    JOHN ANTARAMIAN JOHN & RUTH KLOSS
    CHARITABLE TRUST
    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 (2011)
    Form 990-PF (2011)
    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
    8,238,008
    b
    Average of monthly cash balances.......................
    1b
    436,491
    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
    8,674,499
    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
    8,674,499
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    130,117
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    8,544,382
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    427,219
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    427,219
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    4,515
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,515
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    422,704
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    422,704
    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
    422,704
    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
    412,148
    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
    412,148
    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
    4,515
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    407,633
    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 (2011)
    Form 990-PF (2011)
    Page 8
    Part XIII
    Undistributed Income (see page 26 of the instructions)
    (a)
    Corpus
    (b)
    Years prior to 2010
    (c)
    2010
    (d)
    2011
    1 Distributable amount for 2011 from Part XI, line 7 422,704
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only....... 383,296
    b Total for prior years:2009, 20, 20 0
    3 Excess distributions carryover, if any, to 2011:
    a From 2006....... 0
    b From 2007....... 0
    c From 2008....... 0
    d From 2009....... 0
    e From 2010....... 0
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 412,148
    a Applied to 2010, but not more than line 2a 383,296
    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 2011 distributable amount..... 28,852
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2011. 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 2010. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........
    0
    f Undistributed income for 2011. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........
    393,852
    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 2006 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............
    0
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2007.... 0
    b Excess from 2008.... 0
    c Excess from 2009.... 0
    d Excess from 2010.... 0
    e Excess from 2011.... 0
    Form 990-PF (2011)
    Form 990-PF (2011)
    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 2011, 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) 2011 (b) 2010 (c) 2009 (d) 2008
             
    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) 765-5672
    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 (2011)
    Form 990-PF (2011)
    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
    BOYS & GIRLS CLUB OF KENOSHA
    1715 52ND ST
    KENOSHA,WI53141
    N/A PUBLIC PROVIDE HEALTHY PHYSICAL ACTIVITIES 5,000
    BOY SCOUTSCAMP OH-DA-KOTA
    SOUTHEAST WISC COUNCIL
    2319 NORTHWESTERN AVE
    RACINE,WI53404
    N/A PUBLIC OPERATING SUPPORT-DELIVER PROGRAM TO YOUTH 5,000
    CITY OF KENOSHACRIME PREVENTION
    PRODUCTION STUDIO
    1000 55TH ST
    KENOSHA,WI53140
    N/A PUBLIC PURCHASE LIGHTS FOR TV STUDIO 3,000
    CITY OF KENOSHA PUBLIC LIBRARY
    UPTOWN TECHNOLOGY PROJECT
    812 56TH ST
    KENOSHA,WI53141
    N/A PUBLIC PURCHASE FURNITURE FOR UPTOWN LIBRARY 26,000
    ELCA-URBAN OUTREACH CENTER
    2006 60TH ST
    KENOSHA,WI53140
    N/A PUBLIC PRESCRIPTION CO-PAY VOUCHER PROGRAM 5,000
    ELCA-URBAN OUTREACH CENTER
    2006 60TH ST
    KENOSHA,WI53140
    N/A PUBLIC ENGLISH GED PREPARATION CLASSES 5,000
    GATEWAY TECHNICAL COLLEGE
    FOUNDATION INC
    3520 30TH AVE
    KENOSHA,WI53144
    N/A PUBLIC DEVELOPMENT OF OUTDOOR CLASSROOM 25,000
    HOPE COUNCIL ON ALCOHOL & OTHER
    DRUG ABUSE
    5942 6TH AVE
    KENOSHA,WI53140
    N/A PUBLIC SUPPORT FOR ANNUAL CONFERENCE 5,000
    HOSPICE ALLIANCE
    10220 PRAIRIE RIDGE BLVD
    PLEASANT PRAIRIE,WI53158
    N/A PUBLIC SUPPORT OF PALLIATIVE CARE PROGRAM 5,000
    KEMPER CENTER INC
    6501 3RD AVE
    KENOSHA,WI53143
    N/A PUBLIC OPERATING SUPPORT FOR 2012 50,000
    KENOSHA ACHIEVEMENT CENTER INC
    1218 79TH ST
    KENOSHA,WI53143
    N/A PUBLIC SPECIALIZED TRANSPORTATION VEHICLES 5,000
    KENOSHA SPORTFISHING ASSOCIATION
    8920 58TH PL 800
    KENOSHA,WI53144
    N/A PUBLIC YOUTH FISHING PROGRAM 5,000
    KENOSHA AREA FAMILY AND
    AGING SERVICES INC
    7730 SHERIDAN RD
    KENOSHA,WI53143
    N/A PUBLIC PURCHASE OF BACK-UP GENERATOR 8,000
    KENOSHA COMMUNITY FOUNDATION
    ARTS FUND-SCULPTURE WALK
    600 52ND ST STE 110
    KENOSHA,WI53140
    N/A PUBLIC 2 YEAR SPONSORSHIP FOR OUTDOOR SCULPTURES 5,000
    KENOSHA COMMUNITY HEALTH
    CENTER
    4536 22ND AVE
    KENOSHA,WI53140
    N/A PUBLIC IDENTIFY INDIVIDUALS NEEDING CARE 10,000
    KENOSHA HARBORMARKET
    HARBORMARKET COOKING SHOW
    PO BOX 580316
    PLEASANT PRAIRIE,WI53158
    N/A PUBLIC PRODUCE CABLE-ACCESS TELEVISION SHOW 5,000
    KENOSHA COUNTY YOUTH EMPLOYMENT
    SUMMER JOBS
    1010 56TH ST
    KENOSHA,WI53140
    N/A PUBLIC SUMMER YOUTH EMPLOYMENT PROGRAM 5,000
    KENOSHA HISTORY CENTER
    LIGHTHOUSE KEEPERS HOUSE
    220 51ST PL
    KENOSHA,WI53140
    N/A PUBLIC COMPLETION OF SECOND FLOOR-SOUTHPORT STATION 10,000
    KENOSHA UNIFIED SCHOOL DISTRICT
    SIMMONS FIELD
    3600 52ND ST
    KENOSHA,WV53144
    N/A PUBLIC IN-GROUND IRRIGATION SYSTEM 25,000
    LAKESIDE PLAYERS INC
    RHODE OPERA HOUSE
    5036 6TH AVE
    KENOSHA,WI53140
    N/A PUBLIC ROOF REPAIRS-CENTER FOR THE ARTS 20,000
    PRINGLE NATURE CENTER INC
    9800 160TH AVE
    BRISTOL,WI53104
    N/A PUBLIC OPERATING SUPPORT 5,000
    THE SALVATION ARMY
    3116 75TH ST
    KENOSHA,WI53142
    N/A PUBLIC OPERATING SUPPORT-BASIC NEEDS SERVICES 12,500
    SHALOM CENTER
    FAMILY SHELTER PROGRAM
    1713 62ND ST
    KENOSHA,WI53143
    N/A PUBLIC EMERGENCY FAMILY SHELTER PROGRAM 5,000
    SHALOM CENTER
    1713 62ND ST
    KENOSHA,WI53143
    N/A PUBLIC OPERATING SUPPORT 12,500
    SHARING CENTER INC
    7001 236TH AVE
    SALEM,WI53168
    N/A PUBLIC MOVING ASSISTANCE 25,000
    SHARING CENTER INC
    7001 236TH AVE
    SALEM,WI53168
    N/A PUBLIC OPERATING SUPPORT FOR FOOD PANTRY 12,500
    TWIN LAKES AREA FOOD PANTRY INC
    701 N LAKE AVE
    TWIN LAKES,WI53181
    N/A PUBLIC OPERATING SUPPORT 12,500
    UNITED WAY OF KENOSHA COUNTY
    3601 30TH AVE 202
    KENOSHA,WI53144
    N/A PUBLIC FUNDING FOR 211 PHONE RESOURCE PROGRAM 10,000
    WESTOSHA LAKES CHURCH FOOD
    PANTRY
    24823 74TH ST
    SALEM,WI53168
    N/A PUBLIC OPERATING SUPPORT 2,000
    WISCONSIN WOMEN'S BUSINESS
    INITIATIVE
    2745 N DR MARTIN LUTHER KING DR
    MILWAUKEE,WI53212
    N/A PUBLIC OPERATING SUPPORT TO ADVANCE PROGRAMS 10,000
    WOMEN AND CHILDREN'S HORIZON
    INC
    2525 63RD ST
    KENOSHA,WI53143
    N/A PUBLIC OPERATING SUPPORT 40,000
    YMCA
    7101 53RD ST
    KENOSHA,WI53144
    N/A PUBLIC FUNDING OF SCHOLARSHIP PROGRAM 15,000
    YOUTH EMPLOYMENT IN THE ARTS
    KENOSHA PUBLIC MUSEUM
    5500 1ST AVE
    KENOSHA,WI53140
    N/A PUBLIC FUNDING SUSTAINABLE SHELTER EXHIBIT 6,000
    Total .................................bullet 3a 400,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2011)
    Form 990-PF (2011)
    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          
    4 Dividends and interest from securities....     14 211,325  
    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     18 336,790  
    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)..   548,115  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13548,115
    (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 (2011)
    Form 990-PF (2011)
    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 (2011)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2011 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 2011 CompensationExplanation
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    Person Name Explanation
    US BANK NA TRUSTEE FEES

    TY 2011 InvestmentsCorpBondsSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    Name of Bond End of Year Book Value End of Year Fair Market Value
    BANK ONE CORP 5.25 01/30/13 200,000 205,836
    BEAR STEARNS NT 5.70 11/15/14 149,320 161,994
    MCGRAW HILL 5.90 11/15/17 100,747 117,094
    IBM CORP 4.75 11/29/12 79,334 76,686
    DISNEY WALT CO 4.50 12/15/13 102,933 105,786
    GENERAL DYNAMICS 5.25 02/01/14 101,875 107,568
    EMERSON ELEC 4.875 10/15/20 107,964 115,802
    DU PONT DE NEMOUR 3.25 1/15/15 102,404 106,664
    XTRA FIN CORP 5.15 04/01/17 157,930 171,465
    CISCO SYSTEMS 4.45 01/15/20 52,990 57,767
    LOWES COMPANIES 4.625 04/15/20 54,193 56,624
    TARGET CORP 3.875 07/15/20 102,795 110,733

    TY 2011 InvestmentsCorpStockSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ASTEC INDUSTRIES INC 2,163 1,702
    DIAGO PLC SPSD ADR NEW 3,149 5,720
    MNT GROUP LTD ARD 11,274 9,009
    NESTLE SA SPSD ADR REPSTG REG 27,475 42,694
    NOVARTIS AG ADR REPSTG ORD 24,751 25,078
    UNILEVER PLC SPSD ADR 9,454 14,274
    BOSTON PPTYS INC 2,258 5,455
    DOVER CORP 8,588 13,065
    HOST HOTELS & RESORT INC 4,005 7,538
    PEABODY ENERGY CORP 2,258 1,962
    RALCORP HLDGS INC 15,147 18,620
    APACHE CORP 3,897 4,150
    AT&T INC 4,661 5,399
    AVALONBAY CMNTYS INC 1,327 3,494
    CVS/CAREMARK CORP 3,699 6,381
    CAPITAL ONE FINL CORP 1,164 3,236
    CELGENE CORP 7,776 9,009
    CIENA CORP 628 1,070
    COACH INC 1,576 7,487
    COMCAST CORP CL A 2,838 6,216
    DEERE & CO 890 2,364
    E BAY INC 12,067 16,381
    FREEPORT-MCMORAN COPPER & GOLD 1,510 2,179
    GENERAL DYNAMICS CORP 1,867 2,304
    GOLDMAN SACHS GROUP INC 2,890 3,924
    HALLIBURTON CO 13,841 14,549
    HESS CORP 3,355 2,666
    INTL BUSINESS MACHINES CORP 26,400 51,311
    J P MORGAN CHASE & CO 3,318 4,210
    JOHNSON & JOHNSON 16,965 17,730
    KANSAS CITY SOUTHERN 4,439 18,210
    LABORATORY CORP OF AMERICA HLD 3,009 4,164
    MCDONALDS CORP 26,053 43,062
    MERCK & CO INC 2,770 4,171
    METLIFE INC 4,469 4,849
    N I I HOLDINGS INC 2,988 2,488
    NATIONAL OILWELL VARCO INC 6,025 15,086
    NIKE INC 15,907 34,509
    NVIDIA CORP 2,568 2,014
    OCCIDENTAL PETE CORP 4,435 6,183
    SIMON PROPERTY GROUP INC 102 443
    ST JUDE MED INC 851 1,076
    TRAVELERS COS INC 1,283 2,187
    UNIT CORP 8,831 8,038
    UNITED TECHNOLOGIES CORP 4,568 7,115
    VERIZON COMMUNICATIONS INC 4,396 6,787
    WAL MART STORES INC 5,675 7,569
    WELLS FARGO & CO 4,965 7,916
    ARM HLDGS PLC ADR 14,473 12,003
    ABB LTD ADR REPSTG ORD 15,429 13,091
    AGRIUM INC 779 1,719
    ANGLO AMERICAN PLC ADR REPSTG 1,607 2,095
    ATLAS COPCO AB ADR REPSTG ORD 14,627 24,762
    BRITISH AMERICAN TOB PLC ADR 1,445 2,728
    DBS GROUP HLDGS LTD 7,487 8,699
    ERSTE GROUP BANK ADR REPSTG 11,093 4,606
    FOMENTO ECON MEX SA ADR REPSTG 818 2,128
    FRANCE TELCOM SPSD ADR 23 13
    KEPPEL CORP LTD SPONS ADR REPS 1,159 3,311
    NATIONAL GRID PLC SP ADR REPST 2,917 3,269
    PETROLEO BRASILERIO SPONS ADR 10,220 7,636
    ROCHE HLDG LTD SPON ADR 15,060 15,315
    TURKCELL ILETISIM HIZMET ADR 11,530 8,228
    AFLAC INC 11,273 10,741
    AGCO CORP 6,661 9,650
    AIR PRODS CHEMICALS INC 1,491 2,529
    ALLERGAN INC 19,142 37,363
    AMERICAN ELECTRIC POWER CO INC 6,424 9,358
    AMERICAN TOWER CORP 3,974 8,434
    AMGEN INC 3,040 4,241
    ANADARKO PETE CORP 4,211 6,283
    APPLE INC 15,906 75,683
    APTAR GROUP INC 12,395 21,079
    ARCH COAL INC 627 317
    ATRION CORP 1,493 3,817
    BADGER METER INC 1,816 2,311
    BALCHEM CORP 5,524 10,367
    BAR HBR BANKSHARES 1,509 2,205
    BARD C R INC 1,017 1,263
    BIOGEN IDEC INC 13,353 37,395
    BORG WARNER INC 7,850 7,175
    BROADCOM CORP 1,058 2,232
    BUCKLE INC 1,485 1,683
    CABELAS INC 1,436 5,584
    CABOT MICROELECTRONICS CORP 3,064 3,385
    CAMERON INTL CORP 14,569 21,794
    CARBO CERAMICS INC 2,428 7,160
    CERNER CORP 9,407 37,109
    CHESAPEAKE ENERGY CORP 1,545 1,504
    CHEVRON CORP 5,399 8,553
    CITRIX SYS INC 8,768 27,405
    CLOROX CO 3,468 4,885
    COGNIZANT TECH SOLUTIONS CORP 8,997 22,426
    COLGATE PALMOLIVE CO 1,260 2,064
    COLUMBUS MCKINNON CORP NY 707 1,220
    CONTINENTAL RESOURCES INC 1,976 6,630
    CROWN CASTLE INTL CORP 4,221 12,285
    CUBIC CORP 2,782 4,731
    CPI AEROSTRUCTURES INC 1,109 1,238
    DANAHER CORP 27,144 45,526
    DARDEN RESTAURANTS INC 3,653 5,794
    DAVITA INC 1,524 2,681
    DAWSON GEOPHYSICAL CO 966 1,612
    DIAMOND FOODS INC 2,707 2,194
    DIRECTV GROUP INC 14,763 27,648
    DISCOVER FINL SVCS 1,238 4,536
    DOMINION RESOURCES INC 1,385 2,394
    DRIL QUIP INC 2,586 4,968
    EMC CORP 13,637 27,261
    EAGLE MATERIALS INC 3,050 4,269
    ECOLAB INC 2,426 4,804
    EMERSON ELEC CO 2,628 4,537
    ENERGIZER HOLDINGS INC 8,050 12,686
    ERIE INDEMNITY CO 1,481 3,090
    ESPEY MGF & ELECTRONICS CORP 1,947 3,320
    EXPRESS SCRIPTS HLDGS 12,377 22,546
    EXXON MOBIL CORP 10,782 15,254
    FACTSET RESEARCH SYS INC 14,173 32,894
    FAMILY DOLLAR STORES 2,394 6,098
    FIRST LONG ISLAND CORP 3,535 4,206
    FLOWER FOODS INC 7,607 11,120
    FLOWSERVE CORP 8,279 15,211
    FOREST LABS INC 1,513 2,450
    FOSTER L B CO 6,303 6,882
    FUJIFILM HLDGS CORP 2,515 2,499
    GAMESTOP CORP 1,524 1,419
    GOODRICH CORP 1,236 4,653
    GOOGLE INC 25,988 41,241
    GORMAN RUPP CO 9,943 15,209
    GRAHAM CORP 1,389 3,101
    GRANITE CONSTR INC 12,944 8,091
    GULF IS FABRICATION INC 2,159 5,850
    GULFMARK OFFSHORE INC 2,539 3,819
    HARDINGE INC 1,035 3,385
    HARRIS TEETER SUPERMARKETS INC 6,234 10,058
    HARTFORD FINANCIAL SERVICES GR 1,527 2,641
    HAWKINS INC 3,033 6,239
    HERBALIFE LTD 7,626 6,226
    HOLOGIC INC 3,094 4,156
    HUNT J B TRANS SVCS INC 1,505 4,170
    ICU MED INC 3,322 5,094
    INTEL CORP 7,217 13,049
    J & J SNACK FOODS CORP 9,084 14,704
    JACOBS ENGR GROUP INC 13,710 12,503
    JABIL CIRCUIT INC 7,319 7,346
    JOS A BANK CLOTHIERS INC 18,627 30,254
    KMG CHEMICALS INC 1,441 4,475
    KBR INC 701 1,248
    KEY TECHNOLOGY INC 1,266 1,397
    KINDER MORGAN MANAGEMENT LLC 1,193 2,770
    KINDER MORGAN MGMT FRAC CUSIP 26 58
    KOSS CORP 1,986 1,680
    LSI INDS INC 1,751 2,032
    LACROSSE FOOTWEAR INC 4,182 3,074
    LAKELAND INDUSTRIES INC 4,454 5,412
    LANDSTAR SYS INC 1,548 2,372
    LUFKIN INDS INC 3,323 10,230
    MARTEN TRANSPORTATION LTD 2,265 2,538
    MASTERCARD INC 10,127 25,610
    MAXIM INTERGRATED PRODS INC 12,194 20,757
    MCGRAW HILL COMPANIES INC 1,489 3,254
    MERIT MED SYS INC 3,052 4,030
    MICROSOFT CORP 12,856 21,484
    MINE SAFETY APPLICANCES CO 1,394 2,958
    MOLEX INC 1,555 2,815
    MONARCH CASINO & RESORT INC 1,745 2,809
    MURPHY OIL CORP 4,912 3,683
    NETEASE IND ADR 3,455 4,926
    NATIONAL PRESTO INDS INC 9,250 10,528
    NEWELL RUBBERMAID INC 2,943 6,679
    O REILLY AUTOMOTIVE INC 926 2,682
    ORACLE CORP 15,578 21,573
    OWENS III INC 1,901 3,146
    PNC FINANCIAL SERVICE GROUP IN 1,435 2,334
    PEPSICO INC 22,630 30,193
    PFIZER INC 4,972 7,261
    PIONEER NAT RES CO 10,470 11,894
    POWELL INDS INC 4,241 4,524
    PRAXAIR INC 18,392 31,553
    PRICELINE COM INC 4,365 39,406
    PRUDENTIAL FINANCIAL INC 2,901 5,992
    PVH CORP 3,116 12,231
    QUALCOMM INC 15,897 21,835
    RANGE RESOURCES CORP 1,532 2,068
    RED HAT INC 958 3,134
    REGAL ENTERTAINMENT GROUP A 1,585 2,118
    SANDERSON FARMS INC 1,981 2,912
    SCHEIN HENRY INC 19,590 30,690
    SOUTHWESTERN ENERGY CO 652 673
    SPAN AMERICA MEDICAL SYS INC 2,425 4,918
    STARBUCKS CORP 1,559 9,551
    STARRETT L S CO 1,185 1,880
    STARWOOD HOTELS & RESORTS 1,375 3,858
    STATE STR CORP 2,762 5,728
    STURM RUGER & CO INC 6,502 21,356
    SUN HYDRAULICS CORP 1,990 4,969
    SUNTRUST BKS INC 6,458 10,612
    TJX COS INC 3,111 11,294
    T ROWE PRICE GROUP INC 10,934 14,801
    TEXAS INSTRUMENTS INC 17,138 23,211
    THERMO FISHER SCIENTIFIC INC 8,338 11,459
    TIME WARNER CABLE INC 23 75
    TOOTSIE ROLL INDS INC 1,443 1,453
    UNION DRILLING INC 1,366 1,579
    UNION PAC CORP 14,811 29,298
    UNITED FIRE & CASUALTY CO 1,461 1,679
    UNITED HEALTH GROUP INC 13,686 33,462
    UTAH MED PRODS INC 10,011 14,936
    V F CORP 3,749 10,296
    VARIAN MED SYS INC 15,299 19,651
    WALGREEN CO 8,077 10,041
    WEIS MKTS INC 4,652 6,415
    WERNER ENTERPRISES INC 3,143 5,136
    WESTERN DIGITAL CORP 491 1,161
    WHITING PETROLEUM CORP 1,341 4,667
    XILINX INC 585 927
    YUM BRANDS INC 1,488 3,870
    ZEP INC 1,348 1,921
    ACCENTURE LTD 10,209 16,273
    ACE LTD 7,180 11,356
    BHP BILLITON LTD ORD 2,037 3,384
    BOC HONG KONG HLDGS ADR 920 2,453
    CARNIVAL CORP 30,134 32,443
    COVIDIEN LTD 1,308 1,916
    GILEAD SCIENCES INC` 3,872 4,845
    INGERSOLL RAND CO 8,984 15,863
    INVESCO LTD 1,451 2,240
    MARVELL TECHNOLOGY GROUP LTD 1,051 2,255
    MFRI INC 1,748 1,593
    SAP AG ADR 21,446 29,520
    SCHLUMBERGER LTD 28,426 28,209
    ULTRA PETROLEUM CORP 3,317 1,593
    VALE SA SP ADR 755 1,196
    AMAZON COM INC 3,077 3,407
    CBS CORP CL B 4,248 9,193
    CELANESE CORP SER A 1,448 2,747
    CNOOC LTD ARD REG 9,059 7,174
    COMERICA INC 3,257 3,468
    CSI LIMITED ADR REPSTG 7,316 7,970
    CONSTELLATION BRANDS INC A 3,807 4,668
    FMC CORP 1,738 3,364
    HUNTSMAN CORP 1,003 1,459
    KEYCORP NEW 3,855 4,883
    LAUDER ESTEE COS INC 2,724 2,924
    LONZA GROUP AG UNSPON ADR 3,124 1,486
    MONSTER BEVERAGE CORP 11,468 21,054
    REGIONS FINL CORP 1,574 2,698
    SIFCO INDS INC 3,229 3,703
    ZIONS BANCORPORATION 5,031 6,242
    AIR LIQUIDE SA ADR 28,992 30,421
    ALLIANZ SE ADR 19,702 14,581
    AMERICA MOVIL ADR 12,415 13,759
    B G GROUP PLC ADR 17,411 18,885
    BUNGE LTD 6,019 5,831
    CANON INC SPONS ADR 6,927 6,309
    CAL MAINE FOODS INC 2,104 2,488
    CHINA RES ENTERPRISE LTD ADR 8,273 7,482
    COMPANHIA DE BEBIDAS PR ADR 10,823 43,604
    DASSAULT SYSTEMES SA ADR 22,678 37,271
    ENCANA CORP 7,115 4,853
    FANUC LTD 15,748 31,197
    FRESENIUS MED CARE ADR 10,022 13,724
    HOYA CORP ADR 11,265 10,535
    ICICI BANK LIMITED ADR 14,505 8,811
    IMPERIAL OIL LTD 12,839 13,490
    JUPITER TELECOM ADR 10,536 11,892
    LOREAL CO UNSPONS ADR 22,394 25,662
    LVMH MOET HENNESSY LOU VUITT 10,467 15,596
    NOVO NORDISK AS ADR 15,064 32,110
    OAO GAZPROM SPON ADR 7,656 5,962
    QIAGEN NV 8,515 6,480
    SASOL LTD SPONS ADR 5,064 5,735
    SCHNEIDER ELECT SA UNSP ADR 14,780 13,644
    TAIWAN SEMICONDUCTOR ADR 14,562 18,810
    TESCO PLC ADR 5,471 4,081
    TEVA PHARMACEUTICAL INDS LTD A 14,008 10,856
    WAL MART DE MEXICO SAB DE CV A 21,398 29,461
    WPP PLC SPONS ADR 18,315 25,129
    BIO RAD LABS INC 2,208 2,988
    ALLEGHENY TECHNOLOGIES INC 2,033 4,143
    FURIEX PHARMACEUTICALS 129 301
    MATERION CORP 535 884
    POST HOLDINGS INC 2,705 4,390
    SANOFI AVENTIS SA CVR RIGHTS 1 97

    TY 2011 InvestmentsGovtObligationsSch
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    US Government Securities - End of Year Book Value:

    618,857
    US Government Securities - End of Year Fair Market Value:

    683,085
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2011 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 212,902 298,195
    NUVEEN MID CAP GRWTH OPP AT COST 372,350 556,560
    ISHARES MSCI EMERGING MKTS AT COST 183,366 259,602
    AMERICAN CENTURY INTL BOND AT COST 147,119 149,224
    IPATH DOW JONES UBS COMMODITY AT COST 177,870 144,362
    NUVEEN HIGH INCOME BOND FD AT COST 51,614 61,509
    CREDIT SUISSE COMM RET ST AT COST 160,465 132,058
    NUVEEN DIVIDEND VALUE FD AT COST 275,780 278,008
    NUVEEN REAL ESTATE SECS FD AT COST 402,613 452,014
    OPPENHEIMER DEVELOPING MKTS FD AT COST 167,912 144,818
    SPDR DJ WILSHIRE INTERNATIONAL AT COST 172,429 152,712
    TFS MARKET NEUTRAL FD AT COST 176,171 173,638
    VANGUARD INTL GROWTH FD AT COST 358,630 298,514

    TY 2011 LegalFeesSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 133     133


    TY 2011 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 602 602   0


    TY 2011 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 2,803 2,803   0
    BALANCE DUE PRIOR YR 990-PF 1,265 0   0
    ESTIMATE TAX PYMTS 990-PF 2,612 0   0
    FOREIGN TAXES PD ON DIVIDENDS   1,829   0
    FOREIGN TAXES PD ON DIVIDENDS   405   0