Form990-PF

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter Social Security numbers on this form as it may be made public. By law, the IRS cannot redact the information on the form.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2013
Open to Public Inspection
For calendar year 2013, or tax year beginning 06-01-2013 , and ending 05-31-2014
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 or province, country, and ZIP or foreign postal code
MILWAUKEE, WI532019668
A Employer identification number

39-6790033
B Telephone number (see instructions)

(414) 765-5672
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$9,462,575J Accounting method:
 
(Part I, column (d) must be on cash basis.)
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 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 6 7  
4 Dividends and interest from securities...... 215,500 213,860  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 256,771
b Gross sales price for all assets on line 6a 2,994,045
7 Capital gain net income (from Part IV, line 2)... 258,218
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........ 472,277 472,085  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 92,453 83,208   9,245
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 784 0 0 784
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 instructions) Click to see attachment 22,574 5,281   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings....... 7 0 0 7
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment 591 591    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 117,909 89,080 0 11,536
25 Contributions, gifts, grants paid........ 428,500 428,500
26 Total expenses and disbursements. Add lines 24 and 25 546,409 89,080 0 440,036
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -74,132
b Net investment income (if negative, enter -0-) 383,005
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2013)
Form 990-PF (2013)
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...............      
2 Savings and temporary cash investments.......... 371,784 44,456 44,456
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 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) 619,226 Click to see attachment462,134 493,400
b Investments—corporate stock (attach schedule)........ 1,434,216 Click to see attachment1,311,978 3,130,298
c Investments—corporate bonds (attach schedule)........ 1,032,239 Click to see attachment929,307 951,060
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 3,655,067 Click to see attachment4,288,284 4,843,361
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) 7,112,532 7,036,159 9,462,575
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......... 7,112,532 7,036,159
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).................... 7,112,532 7,036,159
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 7,112,532 7,036,159
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 7,112,532
2 Enter amount from Part I, line 27a..................... 2 -74,132
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 7,038,400
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 2,241
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 7,036,159
Form 990-PF (2013)
Form 990-PF (2013)
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 25. AVALONBAY CMNTYS INC   2009-01-23 2013-06-03
b 53. BOSTON PPTYS INC   2009-01-23 2013-06-03
c 3. SIMON PROPERTY GROUP INC   2009-03-18 2013-06-03
d .9 ITAU UNIBANCO HOLDINGS SA A D R   2012-10-23 2013-06-12
e 12508.935 AMERICAN CENTY INTL BOND FD INSTL   2013-05-03 2013-06-13
. KOSS CORP     2013-06-13
13227.513 NUVEEN INFLATION PRO SEC CL I   2013-05-03 2013-06-13
1530. AIR LIQUIDE S A A D R   2009-10-01 2013-06-28
26686.969 AMERICAN CENTY INTL BOND FD INSTL   2013-05-03 2013-06-28
354. CITRIX SYS INC   2009-03-18 2013-06-28
1095. FANUC CORPORATION A D R   2009-10-01 2013-06-28
42468.569 PIMCO TOTAL RETURN FUND INST   2013-05-03 2013-06-28
1317. TURKIYE GARANTI BANKASI A S A D R   2012-10-23 2013-06-28
2501. TURKIYE GARANTI BANKASI A S A D R   2011-06-24 2013-06-28
138. UNITED TECHNOLOGIES CORP   2013-01-14 2013-06-28
96. UNITED TECHNOLOGIES CORP   2008-12-04 2013-06-28
178. LUFKIN INDS INC   2009-07-08 2013-07-01
.5 FLOWERS FOODS INC   2009-03-30 2013-07-10
.184 ZOETIS INC   2008-11-10 2013-07-12
150000. F H L M C DEB 4.500% 7/15/13   2008-02-13 2013-07-15
15572.062 TFS MARKET NEUTRAL FUND   2012-10-23 2013-07-23
5390.296 TFS MARKET NEUTRAL FUND   2011-06-24 2013-07-23
1672.335 INV BALANCE RISK COMM STR Y   2013-01-14 2013-07-24
6289. IPATH GSCI TOTAL RETURN   2013-06-13 2013-07-24
. AMERICAN CAPITAL LTD     2013-08-19
22. AGRIUM INC   2009-02-27 2013-08-27
32. AIR PRODS CHEMICALS INC   2009-02-27 2013-08-27
70. ASTRONICS CORP   2013-01-14 2013-08-27
19. ATRION CORPORATION   2009-03-30 2013-08-27
64. BADGER METER INC   2009-03-30 2013-08-27
30. BIO RAD LABS INC CL A   2009-07-23 2013-08-27
38. LABORATORY CORP OF AMERICA HOLDINGS   2009-04-17 2013-08-27
36. LINCOLN ELEC HLDGS INC   2012-10-23 2013-08-27
28. METLIFE INC   2009-01-23 2013-08-27
28. O REILLY AUTOMOTIVE INC   2009-02-27 2013-08-27
16. OCCIDENTAL PETROLEUM CORPORATION   2007-08-24 2013-08-27
38. P N C FINANCIAL SERVICES GROUP INC   2009-05-01 2013-08-27
16. RANGE RESOURCES CORP   2009-05-19 2013-08-27
19. RED HAT INC   2009-03-18 2013-08-27
1. TIME WARNER CABLE INC   2009-02-27 2013-08-27
16. WAL MART STORES INC   2009-01-23 2013-08-27
19264.379 NUVEEN INTERMEDIATE GOVT BD FD CL I   2013-05-03 2013-08-28
16627.686 NUVEEN INFLATION PRO SEC CL I   2013-05-03 2013-08-28
. BEAR STEARNS COS INC     2013-09-23
100000. DISNEY WALT CO 4.500% 12/15/13   2009-01-08 2013-10-01
35. TRAVELERS COS INC   2009-02-27 2013-11-27
122. MOLEX INC   2009-03-18 2013-12-09
.5 GORMAN RUPP CO   2009-03-30 2014-01-02
866. SPDR DJ WILSHIRE INTERNATIONAL   2013-01-14 2014-01-09
1611. SPDR DJ WILSHIRE INTERNATIONAL   2012-10-23 2014-01-09
3967.467 NUVEEN MID CAP GRWTH OPP FD CL I   2009-09-11 2014-01-10
2969.121 OPPENHEIMER SENIOR FLOATING RATE Y   2013-11-13 2014-01-10
.6667 ALLEGION PLC   2009-05-19 2014-01-10
268. HARRIS TEETER SUPERMARKETS I   2009-05-01 2014-01-29
.98 TOOTSIE ROLL INDS INC   2009-04-17 2014-04-30
.5 BAR HBR BANKSHARES   2009-04-17 2014-05-23
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 3,375   1,327 2,048
b 5,704   2,258 3,446
c 499   102 397
d 13   11 2
e 176,001   176,751 -750
322     322
150,397   158,466 -8,069
37,622   28,990 8,632
360,274   377,087 -16,813
21,167   8,190 12,977
26,170   15,748 10,422
456,962   480,320 -23,358
5,531   6,203 -672
10,504   11,530 -1,026
12,794   11,840 954
8,900   4,568 4,332
15,753   3,323 12,430
11   5 6
6   3 3
150,000   157,091 -7,091
246,194   237,630 8,564
85,221   82,472 2,749
15,034   17,259 -2,225
208,164   200,720 7,444
297     297
1,965   779 1,186
3,285   1,491 1,794
3,174   1,682 1,492
4,641   1,493 3,148
3,000   1,816 1,184
3,467   2,208 1,259
3,647   2,262 1,385
2,223   1,423 800
1,312   754 558
3,434   926 2,508
1,399   910 489
2,771   1,435 1,336
1,222   681 541
963   298 665
108   23 85
1,166   775 391
168,371   172,994 -4,623
183,902   199,200 -15,298
53     53
100,818   102,933 -2,115
3,043   1,283 1,760
4,719   1,555 3,164
17   7 10
34,932   35,913 -981
64,982   64,091 891
200,992   125,848 75,144
25,000   24,881 119
29   9 20
13,234   6,234 7,000
27   21 6
13   8 5
      159,221
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       2,048
b       3,446
c       397
d       2
e       -750
      322
      -8,069
      8,632
      -16,813
      12,977
      10,422
      -23,358
      -672
      -1,026
      954
      4,332
      12,430
      6
      3
      -7,091
      8,564
      2,749
      -2,225
      7,444
      297
      1,186
      1,794
      1,492
      3,148
      1,184
      1,259
      1,385
      800
      558
      2,508
      489
      1,336
      541
      665
      85
      391
      -4,623
      -15,298
      53
      -2,115
      1,760
      3,164
      10
      -981
      891
      75,144
      119
      20
      7,000
      6
      5
       
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 2 258,218
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 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))
2012 426,074 8,694,556 0.049005
2011 407,633 8,544,382 0.047708
2010 405,878 8,556,312 0.047436
2009 381,745 7,866,650 0.048527
2008 449,015 7,422,656 0.060492
2 Total of line 1, column (d) ...................... 2 0.253168
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 0.050634
4 Enter the net value of noncharitable-use assets for 2013 from Part X, line 5..... 4 9,105,136
5 Multiply line 4 by line 3....................... 5 461,029
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 3,830
7 Add lines 5 and 6......................... 7 464,859
8 Enter qualifying distributions from Part XII, line 4.............. 8 440,036
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.
Form 990-PF (2013)
Form 990-PF (2013)
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 7,660
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 7,660
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 7,660
6 Credits/Payments:
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a 11,930
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 11,930
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  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 4,270
11 Enter the amount of line 10 to be: Credited to 2014 estimated taxBullet4,270 RefundedBullet 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 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 2013 or the taxable year beginning in 2013 (see instructions for Part XIV)?
    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 instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    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 2013, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See 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 (2013)
    Form 990-PF (2013)
    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 2013?.............
    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 2013, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2013?...............
    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 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 2013 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 2013.)....................
    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 2013?
    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 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 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 (2013)
    Form 990-PF (2013)
    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 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     		92,453    
    777 E WISCONSIN AVE-MK-WI-TWPT
    MILWAUKEE,WI53202
    BRYAN ALBRECHT KLOSS CHARITABLE
    TRUST-MK-WI-TWPT     		ADVISORY BOARD MEMBER
    1     		0    
    US BANK NA 777 E WISCONSIN AVE
    MILWAUKEE,WI53202
    JANE HARRINGTON-HEIDE
    %KLOSS CHARITABLE TR-MK-WI-TWPT     		ADVISORY BOARD MEMBER
    1     		0    
    US BANK NA 777 E WISCONSIN AVE
    MILWAUKEE,WI53202
    MARY PLUNKETT KLOSS CHARITABLE
    TRUST-MK-WI-TWPT     		ADVISORY BOARD MEMBER
    1     		0    
    US BANK NA 777 E WISCONSIN AVE
    MILWAUKEE,WI53202
    JOHN ANTARAMIAN KLOSS CHARITABLE
    TRUST-MK-WI-TWPT     		ADVISORY 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 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 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 (2013)
    Form 990-PF (2013)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see 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 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
     
    b
    Average of monthly cash balances.......................
    1b
     
    c
    Fair market value of all other assets (see instructions)................
    1c
     
    d
    Total (add lines 1a, b, and c).........................
    1d
     
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
     
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
     
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
     
    6
    Minimum investment return. Enter 5% of line 5..................
    6
     
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    455,257
    2a
    Tax on investment income for 2013 from Part VI, line 5......
    2a
    7,660
    b
    Income tax for 2013. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    7,660
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    447,597
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    447,597
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    447,597
    Part XII
    Qualifying Distributions (see 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
     
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
     
    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 instructions).................
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
     
    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 (2013)
    Form 990-PF (2013)
    Page 8
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2012     		(c)
    2012     		(d)
    2013
    1 Distributable amount for 2013 from Part XI, line 7 447,597
    2 Undistributed income, if any, as of the end of 2013:
    a Enter amount for 2012 only....... 390,577
    b Total for prior years:2011, 20, 20 0
    3 Excess distributions carryover, if any, to 2013:
    a From 2008....... 0
    b From 2009....... 0
    c From 2010....... 0
    d From 2011....... 0
    e From 2012....... 0
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2013 from Part
    XII, line 4: bullet$ 440,036
    a Applied to 2012, but not more than line 2a 390,577
    b Applied to undistributed income of prior years
    (Election required—see instructions)......     		0
    c Treated as distributions out of corpus (Election
    required—see instructions).........     		0
    d Applied to 2013 distributable amount..... 49,459
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2013. 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 instructions ...........     		0
    e Undistributed income for 2012. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2013. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2014 ..........     		398,138
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............     		0
    8Excess distributions carryover from 2008 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2014.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2009.... 0
    b Excess from 2010.... 0
    c Excess from 2011.... 0
    d Excess from 2012.... 0
    e Excess from 2013.... 0
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 9
    Part XIV
    Private Operating Foundations (see 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 2013, 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) 2013 (b) 2012 (c) 2011 (d) 2010
             
    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 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 or e-mail address of the person to whom applications should be addressed:
    U S BANK N A 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 (2013)
    Form 990-PF (2013)
    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
    CARTHAGE COLLEGE
    2001 ALFORD PARK DR
    KENOSHA,WI53140     		N/A PUBLIC GREENHOUSE IN NEW SCIENCE 85,000
    CITY OF KENOSHA
    625 52ND ST
    KENOSHA,WI53140     		N/A PUBLIC BIKE PATH AT KEMPER CENTER 15,000
    CITY OF KENOSHA
    625 52ND ST
    KENOSHA,WI53140     		N/A PUBLIC BIKE PATH AT ANDERSON ARTS 15,000
    GATEWAY TECHNICAL COLLEGE
    FOUNDATION INC
    3520 30TH AVE
    KENOSHA,WI53144     		N/A PUBLIC YOUTH TRAINING BOOT CAMP 30,000
    JUST LIVE INC
    8003 328TH AVE
    BURLINGTON,WI53105     		N/A PUBLIC GENERAL OPERATING SUPPORT 5,000
    KENOSHA ACHIEVEMENT CENTER INC
    1218 79TH ST
    KENOSHA,WI53143     		N/A PUBLIC DESIGN & BUILD KENOSHA 75,000
    KENOSHA COMMUNITY FOUNDATION
    ARTS FUND-SCULPTURE WALK
    600 52ND ST STE 110
    KENOSHA,WI53140     		N/A PUBLIC 2 YEAR SPONSORSHIP FOR 5,000
    KENOSHA LITERACY COUNCIL
    2419 63RD ST
    KENOSHA,WI53143     		N/A PUBLIC GENERAL OPERATING SUPPORT 10,000
    KENOSHA LEADERSHIP PROJECT
    10902 75TH ST 202
    KENOSHA,WI53142     		N/A PUBLIC EDUCATION MATTERS 30,000
    KENOSHA HARBORMARKET
    PO BOX 580316
    PLEASANT PRAIRIE,WI53158     		N/A PUBLIC FEASABILITY STUDY 20,000
    KINDRED KITTIES LTD
    614 59TH ST
    KENOSHA,WI53140     		N/A PUBLIC GENERAL OPERATING SUPPORT 5,000
    OPEN WINGS LEARNING COMMUNITY
    2001 80TH ST
    KENOSHA,WI53143     		N/A PUBLIC GENERAL OPERATING SUPPORT 10,000
    SAFE HARBOR HUMANE SOCIETY
    7811 60TH AVE
    KENOSHA,WI53142     		N/A PUBLIC GENERAL OPERATING SUPPORT 7,500
    THE SALVATION ARMY
    3116 75TH ST
    KENOSHA,WI53142     		N/A PUBLIC GENERAL OPERATING SUPPORT 12,500
    SHALOM CENTER OF INTERFAITH
    NETWORK
    1713 62ND ST
    KENOSHA,WI53143     		N/A PUBLIC GENERAL OPERATING SUPPORT 12,500
    SHARING CENTER INC
    25700 WILMOT ROAD
    TREVOR,WI53179     		N/A PUBLIC GENERAL OPERATING SUPPORT 12,500
    TWIN LAKES AREA FOOD PANTRY INC
    701 N LAKE AVE
    TWIN LAKES,WI53181     		N/A PUBLIC GENERAL OPERATING SUPPORT 12,500
    UNIVERSITY OF WISCONSIN PARKSIDE
    FOUNDATION INC
    900 WOOD RD
    KENOSHA,WI53144     		N/A PUBLIC RANGER LINK PROGRAM 24,000
    WESTOSHA LAKES CHURCH FOOD
    PANTRY
    24823 74TH ST
    SALEM,WI53168     		N/A PUBLIC GENERAL OPERATING SUPPORT 2,000
    WESTOSHA CENTRAL HIGH SCHOOL
    24617 75TH ST
    SALEM,WI53168     		N/A PUBLIC SUPPORT OF HABITAT FOR 5,000
    WISCONSIN WOMEN'S BUSINESS
    INITIATIVE
    2745 N DR MARTIN LUTHER KING DR
    MILWAUKEE,WI53212     		N/A PUBLIC SUPPORT OF PROGRAM-JOB 10,000
    WISCONSIN HUMANE SOCIETY
    RACINE CAMPUS
    2706 CHICORY ROAD
    RACINE,WI53403     		N/A PUBLIC GENERAL OPERATING SUPPORT 7,500
    WOMEN AND CHILDREN'S HORIZON
    INC
    2525 63RD ST
    KENOSHA,WI53143     		N/A PUBLIC PROGRAM SUPPORT IN KENOSHA 7,500
    YMCA-CALLAHAN BRANCH KENOSHA
    7101 53RD ST
    KENOSHA,WI53144     		N/A PUBLIC FRANK NEIGHBORHOOD PROJECT 10,000
    Total .................................bullet 3a 428,500
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2013)
    Form 990-PF (2013)
    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 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....          
    3
    Interest on savings and temporary cash investments ............     		    14 6  
    4 Dividends and interest from securities....     14 215,500  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property .............     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory .............     		    18 256,771  
    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)..   472,277  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13472,277
    (See worksheet in line 13 instructions 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 foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2013)
    Form 990-PF (2013)
    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 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political
    Yes
    No
    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
    Sign Here
    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
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







         		Firm's EINbullet
    Phone no.
    Form 990-PF (2013)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2013 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 2013 InvestmentsCorpBondsSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    Name of Bond End of Year Book Value End of Year Fair Market Value
    BEAR STEARNS NT 5.70 11/15/14 149,321 153,570
    EMERSON ELEC 4.25 11/15/20 107,964 109,193
    DU PONT DE NEMOUR 3.25 1/15/15 102,404 101,846
    XTRA FIN CORP 5.15 04/01/17 157,931 165,666
    CISCO SYSTEMS 4.45 01/15/20 52,990 55,694
    LOWES COMPANIES 4.625 04/15/20 54,193 55,494
    TARGET CORP 3.875 07/15/20 102,795 108,355
    NATL BK CANADA 1.50 06/26/15 50,803 50,629
    INTEL CORP 1.35 12/15/17 50,112 50,073
    BHP BILLITON FIN 1.00 02/24/15 100,794 100,540

    TY 2013 InvestmentsCorpStockSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    Name of Stock End of Year Book Value End of Year Fair Market Value
    DIAGO PLC SPSD ADR 13,224 19,318
    NESTLE SA SPSD ADR REPSTG REG 27,475 59,010
    NOVARTIS AG ADR REPSTG ORD 3,905 9,636
    UNILEVER PLC SPSD ADR 9,453 20,326
    DOVER CORP 3,351 10,462
    HOST HOTELS & RESORT INC 3,462 9,578
    CAPITAL ONE FINL CORP 1,164 4,970
    CELGENE CORP 7,776 20,200
    COACH INC 1,576 4,519
    COMCAST CORP CL A 2,838 11,223
    DEERE & CO 890 2,917
    E BAY INC 12,067 21,205
    GOLDMAN SACHS GROUP INC 699 1,598
    HALLIBURTON CO 1,507 5,818
    INTL BUSINESS MACHINES CORP 23,808 44,799
    J P MORGAN CHASE & CO 5,923 10,558
    JOHNSON OUTDOORS INC 1,073 1,248
    KANSAS CITY SOUTHERN 2,027 14,085
    MCDONALDS CORP 9,175 17,750
    MERCK & CO INC 2,770 6,422
    NATIONAL OILWELL VARCO INC 4,416 13,836
    NIKE INC 8,067 28,764
    UNIT CORP 3,273 6,543
    VERIZON COMMUNICATIONS INC 4,396 8,143
    WELLS FARGO & CO 4,965 12,543
    ARM HLDGS PLC ADR 12,141 19,820
    ABB LTD ADR REPSTG ORD 2,110 4,060
    ATLAS COPCO AB ADR CL B 1,048 4,402
    BRITISH AMERICAN TOB PLC ADR 1,445 3,517
    DBS GROUP HLDGS LTD 9,037 13,316
    FOMENTO ECON MEX SA ADR REPSTG 818 2,565
    KEPPEL CORP LTD SPONS ADR REPS 1,159 3,646
    ROCHE HLDG LTD SPON ADR 21,269 38,218
    AFLAC INC 5,792 8,940
    AGCO CORP 1,474 3,831
    ALLERGAN INC 19,142 69,328
    AMERICAN ELECTRIC POWER CO 6,424 12,964
    AMERICAN TOWER CORP 3,974 11,652
    AMGEN INC 2,442 5,684
    ANADARKO PETROLEUM CORP 4,211 10,595
    APPLE INC 15,906 82,923
    APTAR GROUP INC 12,395 27,701
    BALCHEM CORP 5,524 19,685
    BAR HBR BANKSHARES 1,501 2,388
    BIOGEN IDEC INC 1,899 14,372
    BORG WARNER INC 6,537 11,446
    BROADCOM CORP 1,028 2,199
    CABELAS INC 1,436 9,674
    CAMERON INTL CORP 14,569 30,504
    CARBO CERAMICS INC 2,428 12,106
    CERNER CORP 9,407 51,456
    CHEVRON CORP 5,399 10,683
    CLOROX CO 3,468 6,363
    COGNIZANT TECH SOLUTIONS CORP 8,997 37,430
    COLGATE PALMOLIVE CO 1,260 2,873
    COLUMBUS MCKINNON CORP NY 707 2,225
    CONTINENTAL RESOURCES INC 1,522 10,387
    CROWN CASTLE INTL CORP 2,569 11,126
    CUBIC CORP 2,782 5,303
    DANAHER CORP 27,144 68,705
    DAVITA HEALTHCARE PARTNERS INC 1,524 4,659
    DAWSON GEOPHYSICAL CO 966 1,862
    DIRECTV 14,763 51,278
    DISCOVER FINL SVCS 1,238 8,101
    DOMINION RESOURCES INC 1,385 3,172
    DRIL QUIP INC 2,586 8,382
    EMC CORP 13,637 30,358
    EAGLE MATERIALS INC 3,050 11,567
    ECOLAB INC 2,426 8,298
    EMERSON ELEC CO 2,629 6,473
    ENERGIZER HOLDINGS INC 2,036 5,684
    ERIE INDEMNITY CO 1,481 3,256
    ESPEY MGF & ELECTRONICS CORP 1,947 3,424
    EXPRESS SCRIPTS HLDGS 12,377 30,875
    EXXON MOBIL CORP 9,189 16,889
    FACTSET RESEARCH SYS INC 2,280 6,000
    FAMILY DOLLAR STORES 2,394 5,274
    FIRST LONG ISLAND CORP 3,535 6,017
    FLOWER FOODS INC 7,602 15,783
    FLOWSERVE CORP 8,279 32,741
    FOREST LABS INC 5,663 18,103
    FOSTER L B CO 6,303 12,719
    GOOGLE INC CL A 10,380 33,727
    GORMAN RUPP CO 8,799 20,041
    GRAHAM CORP 1,389 4,798
    GULF IS FABRICATION INC 2,159 4,612
    GULFMARK OFFSHORE INC 2,539 4,966
    HARDINGE INC 1,035 4,623
    HARTFORD FINANCIAL SERVICES GR 1,070 3,812
    HAWKINS INC 3,033 6,825
    HOLOGIC INC 1,308 2,664
    HUNT J B TRANS SVCS INC 1,505 5,669
    ICU MED INC 3,322 5,947
    INTEL CORP 5,147 10,791
    J & J SNACK FOODS CORP 9,084 25,010
    JACOBS ENGR GROUP INC 11,311 16,246
    JOS A BANK CLOTHIERS INC 8,691 30,851
    KMG CHEMICALS INC 1,441 4,218
    KBR INC 701 1,190
    KINDER MORGAN MANAGEMENT LLC 1,208 3,243
    LSI INDS INC 1,751 2,636
    MASTERCARD INC 8,111 38,990
    MAXIM INTERGRATED PRODS INC 2,679 7,158
    MCGRAW HILL FINANCIAL INC 1,488 6,133
    MONARCH CASINO & RESORT INC 1,745 4,960
    NATIONAL PRESTO INDS INC 9,250 11,051
    NEWELL RUBBERMAID INC 2,943 10,629
    ORACLE CORP 15,578 34,246
    OWENS III INC 1,370 3,855
    PEPSICO INC 11,091 20,139
    PFIZER INC 3,641 7,467
    PIONEER NAT RES CO 10,470 25,850
    POWELL INDS INC 4,241 7,605
    PRAXAIR INC 11,242 27,241
    PRICELINE COM INC 2,217 40,916
    PRUDENTIAL FINANCIAL INC 2,901 10,599
    PVH CORP 2,584 17,244
    QUALCOMM INC 8,430 17,779
    SANDERSON FARMS INC 1,981 4,903
    SCHEIN HENRY INC 19,590 49,415
    SPAN AMERICA MEDICAL SYS INC 2,425 5,746
    STARBUCKS CORP 1,559 12,744
    STARRETT L S CO 1,185 2,638
    STARWOOD HOTELS & RESORTS 1,375 5,829
    STATE STR CORP 2,762 9,073
    STURM RUGER & CO INC 5,572 28,491
    SUN HYDRAULICS CORP 1,990 7,864
    SUNTRUST BKS INC 8,037 19,888
    TJX COS INC 3,111 14,484
    TEXAS INSTRUMENTS INC 2,019 6,530
    THERMO FISHER SCIENTIFIC INC 8,338 26,539
    TOOTSIE ROLL INDS INC 1,402 1,950
    UNION PACIFIC CORP 14,811 52,408
    UNITED HEALTH GROUP INC 4,888 19,270
    UTAH MED PRODS INC 10,011 24,007
    V F CORP 3,749 18,402
    VARIAN MED SYS INC 7,138 16,655
    WALGREEN CO 8,077 23,658
    WEIS MKTS INC 4,652 6,963
    WERNER ENTERPRISES INC 3,143 5,570
    WHITING PETROLEUM CORP 1,341 7,760
    XINYI GLASS HOLDINGS LTS ADR 1,015 1,208
    YUM BRANDS INC 1,488 4,252
    ZEP INC 1,348 2,397
    ACCENTURE LTD 10,209 23,213
    ACE LTD 7,180 16,282
    BHP BILLITON LTD ADR 2,037 3,733
    BOC HONG KONG HLDGS ADR 920 2,655
    GILEAD SCIENCES INC 11,770 35,408
    INGERSOLL RAND PLC 3,831 15,553
    INVESCO LTD 944 2,459
    SAP AG ADR 21,446 39,398
    SCHLUMBERGER LTD 36,506 58,366
    CBS CORP CL B 4,248 17,168
    CELANESE CORP SER A 1,448 4,326
    CSL LIMITED ADR REPSTG 8,607 16,160
    CONSTELLATION BRANDS INC A 3,807 20,359
    FMC CORP 1,738 5,053
    HUNTSMAN CORP 1,003 3,043
    KEYCORP NEW 1,034 2,451
    LAUDER ESTEE COS INC 6,978 8,965
    LONZA GROUP AG UNSPON ADR 5,930 10,838
    REGIONS FINL CORP 1,574 4,372
    ZIONS BANCORPORATION 4,273 8,091
    ALLIANZ SE ADR 19,702 27,389
    BUNGE LTD 6,019 7,616
    CAL MAINE FOODS INC 2,104 4,883
    DASSAULT SYSTEMES SA ADR 22,678 51,914
    FRESENIUS MED CARE ADR 9,973 13,629
    IMPERIAL OIL LTD 12,839 16,541
    LOREAL CO UNSPONS ADR 22,394 39,511
    LVMH MOET HENNESSY LOU VUITT 10,467 21,008
    NOVO NORDISK AS ADR 9,068 30,864
    SASOL LTD SPONS ADR 5,064 7,599
    SCHNEIDER ELECT SA UNSP ADR 9,097 16,856
    TAIWAN SEMICONDUCTOR ADR 14,562 28,167
    WAL MART DE MEXICO SAB DE CV A 10,003 15,185
    WPP PLC SPONS ADR 18,315 45,347
    FURIEX PHARMACEUTICALS 129 1,550
    POST HOLDINGS INC 2,705 7,296
    SANOFI AVENTIS SA CVR RIGHTS 1 37
    ALLSTATE CORP 18,281 25,751
    DISNEY WALT CO 5,407 8,905
    FRAC CUSIP FOR KINDER MORGAN 11 28
    FRANKLIN RES INC 1,029 1,325
    LOWES CO INC 16,980 24,670
    OIL DRI CORP AMER 15,881 22,899
    PRECISION CASTPARTS CORP 5,362 8,348
    PROCTER & GAMBLE CO 15,317 17,693
    RALPH LAUREN CORP 6,385 6,293
    ROCKWELL AUTOMATION INC 11,500 20,099
    RPC ENERGY SVCS INC 974 1,856
    STEPAN CO 1,076 1,177
    AIA GROUP LTD ADR 12,332 15,780
    ATLAS COPCO AB SPON ADR 13,579 31,784
    EATON CORP PLC 1,745 2,505
    HSBC HOLDINGS PLC SPONS ADR 13,813 14,867
    ITAU UNIBANCO HLDS SA ADR 13,724 16,678
    POTASH CORP OF SASKATCHEWAN 1,342 1,199
    SVENSKA HANDELSBANKEN A UPSP 30,336 44,638
    SWATCH GROUP AG ADR 14,187 20,473
    GOOGLE INC CL C 10,347 33,034
    KNOWLES CORP 661 1,693
    MSA SAFETY INC 1,394 3,936
    ZOETIS INC 1,328 2,425
    ALLEGION PLC 976 4,506
    AMBEV SA SPN ADR 2,990 13,587
    ORANGE SPON ADR 23 16

    TY 2013 InvestmentsGovtObligationsSch
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    US Government Securities - End of Year Book Value:

    462,134
    US Government Securities - End of Year Fair Market Value:

    493,400
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2013 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 MID CAP GRWTH OPP AT COST 335,844 511,669
    ISHARES MSCI EMERGING MKTS AT COST 307,528 352,314
    NUVEEN DIVIDEND VALUE FD AT COST 275,780 352,362
    NUVEEN REAL ESTATE SECS FD AT COST 447,438 526,978
    SPDR DJ WILSHIRE INTERNATIONAL AT COST 126,723 143,708
    LOOMIS SAYLES ABS STRAT AT COST 969 969
    NUVEEN GLOBAL INFRSTR FD AT COST 206,609 243,997
    SCOUT INTERNATIONAL FD AT COST 451,122 479,817
    T ROWE PRICE INTL GR&INC FD AT COST 16,152 18,559
    MAINSTAY FLOATING RATE I AT COST 250,000 251,049
    OPPENHEIMER SR FLOATING RATE I AT COST 645,119 647,217
    NEUBERGER BERMAN LONG SH INC AT COST 500,000 537,228
    ROBECO BOSTON PARTNERS LS RSCH AT COST 475,000 533,867
    AQR MANANGED FUTURES STR I AT COST 250,000 243,627

    TY 2013 LegalFeesSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 784     784


    TY 2013 OtherDecreasesSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    Description Amount
    ADJUSTMENT FOR NONTAXABLE DIVIDENDS 2,241


    TY 2013 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 591 591   0


    TY 2013 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 3,231 3,231   0
    BALANCE DUE PRIOR YR 990-PF 7,413 0   0
    ESTIMATE TAX PYMTS 990-PF 11,930 0   0
    FOREIGN TAXES PD ON DIVIDENDS   1,410   0
    FOREIGN TAXES PD ON DIVIDENDS   640   0