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.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2014
Open to Public Inspection
For calendar year 2014, or tax year beginning 2014, and ending , 20
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, WI532010634
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$9,396,290J 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
Sch. B ...............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 233,437 230,459  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 579,162
b Gross sales price for all assets on line 6a 4,706,727
7 Capital gain net income (from Part IV, line 2)... 580,072
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........ 812,599 810,531  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 94,092 84,683   9,409
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 847 0 0 847
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 7,888 4,498   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... Click to see attachment 411 411    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 104,738 89,592 0 11,756
25 Contributions, gifts, grants paid........ 435,000 435,000
26 Total expenses and disbursements. Add lines 24 and 25 539,738 89,592 0 446,756
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 272,861
b Net investment income (if negative, enter -0-) 720,939
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2014)
Form 990-PF (2014)
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...............   687 687
2 Savings and temporary cash investments.......... 44,456 106,920 106,920
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) 462,134 Click to see attachment462,134 491,429
b Investments—corporate stock (attach schedule)........ 1,311,978 Click to see attachment1,533,812 3,269,400
c Investments—corporate bonds (attach schedule)........ 929,307 Click to see attachment1,476,788 1,429,943
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 4,288,284 Click to see attachment3,728,225 4,097,911
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) 7,036,159 7,308,566 9,396,290
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......... 7,036,159 7,308,566
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 instructions)...... 7,036,159 7,308,566
31 Total liabilities and net assets/fund balances (see instructions).. 7,036,159 7,308,566
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 7,036,159
2 Enter amount from Part I, line 27a..................... 2 272,861
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 7,309,020
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 454
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 7,308,566
Form 990-PF (2014)
Form 990-PF (2014)
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 791. AIA GROUP LTD A D R   2012-10-23 2014-06-04
b 1613. ALLIANZ SE A D R     2014-06-04
c 33. DBS GROUP HLDGS LTD   2013-01-14 2014-06-04
d 90. DIAGEO PLC SPONSORED A D R   2012-10-23 2014-06-04
e 282. HSBC HOLDINGS PLC SPONS A D R     2014-06-04
1296. ISHARES MSCI EMERGING MARKETS ETF   2013-09-03 2014-06-04
1076. ITAU UNIBANCO HOLDINGS SA A D R   2012-10-23 2014-06-04
166. JACOBS ENGR GROUP INC     2014-06-04
78. LAUDER ESTEE COS INC CL A   2013-01-14 2014-06-04
26232.949 MAINSTAY FLOATING RATE I   2013-06-28 2014-06-04
157. NATIONAL PRESTO INDS INC   2009-03-30 2014-06-04
8707.009 NUVEEN REAL ESTATE SECS I   2013-07-16 2014-06-04
643.872 NUVEEN REAL ESTATE SECS I   2011-11-29 2014-06-04
17691.691 NUVEEN GLOBAL INFRASTR FD CL I   2012-10-23 2014-06-04
2234.319 NUVEEN MID CAP GRWTH OPP FD CL I   2013-12-16 2014-06-04
77233.586 OPPENHEIMER SENIOR FLOATING RATE I     2014-06-04
33. POTASH CORP OF SASKATCHEWAN   2012-10-23 2014-06-04
17. PROCTER & GAMBLE CO   2013-01-14 2014-06-04
41. RALPH LAUREN CORP   2012-10-23 2014-06-04
3255. SPDR DOW JONES INTERNATIONAL ETF   2011-06-24 2014-06-04
26.427 SCOUT INTERNATIONAL FUND   2013-05-03 2014-06-04
22. STEPAN CO   2012-10-23 2014-06-04
87. XINYI GLASS HOLDINGS LTS A D R   2012-10-23 2014-06-04
98. BUNGE LIMITED   2009-10-01 2014-06-04
475. JOS A BANK CLOTHIERS INC   2009-03-30 2014-06-17
.25 NOW INC DE W I   2009-01-23 2014-06-23
1930. AMBEV SA SPN A D R     2014-06-25
191. FOREST LABS INC     2014-06-30
15. FURIEX PHARMACEUTICALS     2014-07-07
. CITIGROUP INC     2014-07-28
.2627 CBS OUTDOOR AMERICAS INC   2011-06-24 2014-07-29
7704.16 NEUBERGER BERMAN LONG SH INS   2013-07-23 2014-09-25
71. AGCO CORP   2008-12-04 2014-11-12
94. BAR HBR BANKSHARES   2009-04-17 2014-11-12
69. BROADCOM CORP CL A   2008-10-09 2014-11-12
93. CBS OUTDOOR AMERICAS INC     2014-11-12
111. COACH INC   2009-02-27 2014-11-12
42. COLGATE PALMOLIVE CO   2009-02-27 2014-11-12
79. COLUMBUS MCKINNON CORPORATION   2009-03-30 2014-11-12
71. DAWSON GEOPHYSICAL CO   2009-03-30 2014-11-12
32. DEERE CO   2009-02-27 2014-11-12
10. GOLDMAN SACHS GROUP INC   2008-12-04 2014-11-12
114. HUNTSMAN CORP   2009-10-01 2014-11-12
50. JOHNSON OUTDOORS INC CL A   2013-01-14 2014-11-12
49. KBR INC   2009-03-18 2014-11-12
179. KEYCORP   2009-11-12 2014-11-12
60. KNOWLES CORP     2014-11-12
42. NOW INC DE W I   2009-01-23 2014-11-12
4942.9 NUVEEN INFLATION PRO SEC CL I   2014-06-04 2014-11-12
84. RPC ENERGY SVCS INC   2012-10-23 2014-11-12
172. STARRETT L S CO   2009-03-30 2014-11-12
67. TOOTSIE ROLL INDS   2009-04-17 2014-11-12
137. ZEP INC   2009-03-30 2014-11-12
150000. BEAR STEARNS CO 5.700% 11/15/14   2007-06-06 2014-11-15
1567.235 CAMBIAR INTL EQUITY FUND INS   2014-06-04 2014-11-18
8438.819 GOLDMAN SACHS COMM STRAT INS   2014-06-04 2014-11-18
22970.904 NEUBERGER BERMAN LONG SH INS     2014-11-18
3507.014 NUVEEN GLOBAL INFRASTR FD CL I   2013-08-28 2014-11-18
2274.019 T ROWE PRICE GROWTH STOCK #40   2014-06-04 2014-11-18
610.999 T ROWE PRICE MID CAP GROWTH FD #64   2014-06-04 2014-11-18
1426.739 T ROWE PRICE MID CAP VALUE FD INC   2014-06-04 2014-11-18
12670.509 SCOUT INTERNATIONAL FUND   2013-05-03 2014-11-18
66. DAVITA HEALTHCARE PARTNERS INC   2008-12-04 2014-11-24
46. DOMINION RESOURCES INC   2009-02-27 2014-11-24
43. ERIE INDEMNITY CO   2009-04-17 2014-11-24
132. ESPEY MFG & ELECTRONICS CORP   2009-03-30 2014-11-24
66. F M C CORPORATION   2009-10-01 2014-11-24
24. FRANKLIN RES INC   2012-10-23 2014-11-24
107. GULFMARK OFFSHORE INC CL A   2009-03-30 2014-11-24
109. HOLOGIC INC   2009-05-19 2014-11-24
332. L S I INDUSTRIES INC   2009-03-30 2014-11-24
39. LAUDER ESTEE COS INC CL A   2011-06-24 2014-11-24
5592.841 NUVEEN DIVIDEND VALUE FUND CLASS I     2014-12-09
1850.824 NUVEEN MID CAP GRWTH OPP FD CL I     2014-12-09
4015.181 MORGAN DEMPSEY SMALL MICRO CAP VALUE   2014-06-04 2014-12-09
4316.017 GOLDMAN SACHS COMM STRAT INS   2014-06-04 2015-01-08
.468 KINDER MORGAN INC   2013-08-14 2015-01-14
100000. DUPONT EI NEMOUR 3.250% 1/15/15   2010-04-30 2015-01-15
5771.464 LS OPPORTUNITY   2014-06-04 2015-01-20
130. AMERICAN TOWER CORP     2015-01-21
434. HOST HOTELS RESORTS INC     2015-01-21
9124.088 AQR MANAGED FUTURES STR I   2013-07-24 2015-01-22
3918.495 NEUBERGER BERMAN LONG SH INS     2015-01-22
5852.094 NUVEEN INTERMEDIATE GOVT BD FD CL I   2014-06-04 2015-01-22
2319.127 PIMCO TOTAL RETURN FUND INST   2014-06-04 2015-01-22
. MERCK AND CO INC     2015-02-04
. VERIFONE SYSTEMS, INC     2015-02-17
55. B H P BILLITON LIMITED A D R   2009-02-27 2015-02-20
63. CAPITAL ONE FINANCIAL CORP   2009-04-17 2015-02-20
88. CARBO CERAMICS INC   2009-03-30 2015-02-20
69. CELANESE CORP SER A   2009-06-03 2015-02-20
71. CLOROX CO   2009-02-27 2015-02-20
148. CONTINENTAL RESOURCES INC   2009-03-18 2015-02-20
109. CUBIC CORP   2009-03-30 2015-02-20
137. DISCOVER FINL SVCS   2009-05-19 2015-02-20
82. DRIL QUIP INC     2015-02-20
27. FOMENTO ECONOMICO MEX SP A D R   2008-10-09 2015-02-20
161. GRAHAM CORP   2009-03-30 2015-02-20
234. GULF IS FABRICATION INC     2015-02-20
90. HALLIBURTON CO   2009-02-27 2015-02-20
362. HARDINGE INC   2009-03-30 2015-02-20
110. HARTFORD FINANCIAL SERVICES GRP INC   2009-04-27 2015-02-20
189. HAWKINS INC     2015-02-20
73. HUNT J B TRANS SVCS INC   2009-02-27 2015-02-20
129. JACOBS ENGR GROUP INC   2009-02-27 2015-02-20
6446.707 JOHN HANCOCK FDS III DISCPLN V I   2014-06-04 2015-02-20
262. K M G CHEMICALS INC   2009-03-30 2015-02-20
215. KEPPEL CORP LTD SPONS A D R   2009-03-18 2015-02-20
72. MSA SAFETY INC   2009-03-30 2015-02-20
209. MAXIM INTEGRATED PRODS INC   2009-03-18 2015-02-20
303. MONARCH CASINO & RESORT INC     2015-02-20
169. NATIONAL OILWELL VARCO INC   2009-01-23 2015-02-20
7246.636 NEUBERGER BERMAN LONG SH INS   2013-06-28 2015-02-20
2967.359 NUVEEN DIVIDEND VALUE FUND CLASS I   2011-06-24 2015-02-20
116. OWENS ILL INC   2009-03-18 2015-02-20
123. POWELL INDS INC   2009-03-30 2015-02-20
429. REGIONS FINL CORP   2009-07-23 2015-02-20
281. SPAN AMERICA MEDICAL SYS INC   2009-03-30 2015-02-20
103. UNIT CORP   2009-07-23 2015-02-20
34. EATON CORP PLC   2012-11-30 2015-02-20
67. INVESCO LTD   2009-04-27 2015-02-20
100000. BHP BILLITON FIN USA 1.000% 2/24/15   2013-01-11 2015-02-24
414. ALLERGAN INC   2015-03-17 2015-03-17
.4762 ACTAVIS PLC   2015-03-17 2015-04-01
. LAUDUS ROSENBERG FUNDS     2015-04-15
. MEDTRONIC, INC     2015-04-15
.162 GOOGLE INC CL C   2008-09-10 2015-05-06
1. ORANGE SPON A D R     2015-05-14
. E*TRADE FINANCIAL CORP     2015-05-19
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 15,922   12,332 3,590
b 27,033   19,702 7,331
c 1,780   1,550 230
d 11,487   10,075 1,412
e 14,669   13,813 856
55,234   49,961 5,273
16,280   13,724 2,556
9,166   6,863 2,303
5,931   5,011 920
251,049   250,000 1,049
10,844   9,250 1,594
200,610   199,393 1,217
14,835   11,212 3,623
203,808   171,609 32,199
113,950   108,074 5,876
647,990   645,119 2,871
1,175   1,342 -167
1,356   1,189 167
6,332   6,385 -53
143,282   126,723 16,559
1,000   939 61
1,123   1,076 47
1,212   1,015 197
7,376   6,019 1,357
30,875   8,691 22,184
9   3 6
1     1
16,581   5,663 10,918
1,425   129 1,296
207     207
9   3 6
99,230   93,066 6,164
3,160   1,474 1,686
2,819   1,501 1,318
2,828   1,003 1,825
2,881   1,085 1,796
3,856   1,576 2,280
2,874   1,260 1,614
2,296   707 1,589
1,125   966 159
2,800   890 1,910
1,895   699 1,196
2,821   1,003 1,818
1,548   1,073 475
928   701 227
2,388   1,034 1,354
1,152   661 491
1,213   444 769
54,965   55,311 -346
1,330   974 356
2,622   1,185 1,437
1,966   1,402 564
2,115   1,348 767
150,000   149,321 679
38,131   39,557 -1,426
39,747   49,030 -9,283
300,459   274,750 25,709
40,997   35,000 5,997
130,779   120,296 10,483
49,576   45,941 3,635
46,840   45,941 899
454,871   450,183 4,688
4,883   1,524 3,359
3,376   1,385 1,991
3,682   1,481 2,201
3,003   1,947 1,056
3,722   1,738 1,984
1,371   1,029 342
3,350   2,539 811
2,896   1,308 1,588
2,271   1,751 520
2,863   1,967 896
100,056   75,522 24,534
100,518   57,930 42,588
52,759   55,329 -2,570
16,142   25,076 -8,934
19   6 13
100,000   102,404 -2,404
72,605   74,106 -1,501
12,579   3,974 8,605
10,234   3,462 6,772
100,730   93,066 7,664
50,509   46,601 3,908
52,142   51,557 585
25,116   25,278 -162
72     72
141     141
2,772   2,037 735
4,976   1,164 3,812
3,422   2,428 994
3,933   1,448 2,485
7,713   3,468 4,245
7,009   1,522 5,487
5,828   2,782 3,046
8,151   1,238 6,913
5,928   2,586 3,342
2,366   818 1,548
3,561   1,389 2,172
3,880   2,159 1,721
3,910   1,507 2,403
4,181   1,035 3,146
4,498   1,070 3,428
7,269   3,033 4,236
6,117   1,505 4,612
5,633   4,449 1,184
124,164   120,296 3,868
5,502   1,441 4,061
2,763   1,159 1,604
3,561   1,394 2,167
7,194   2,679 4,515
5,433   1,745 3,688
9,059   3,970 5,089
95,148   85,583 9,565
50,237   40,059 10,178
3,003   1,370 1,633
4,120   4,241 -121
4,059   1,574 2,485
5,103   2,425 2,678
3,386   3,273 113
2,436   1,645 791
2,620   944 1,676
100,000   100,794 -794
100,002   19,142 80,860
140   145 -5
111     111
53     53
86   33 53
16   23 -7
65     65
      99,657
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       3,590
b       7,331
c       230
d       1,412
e       856
      5,273
      2,556
      2,303
      920
      1,049
      1,594
      1,217
      3,623
      32,199
      5,876
      2,871
      -167
      167
      -53
      16,559
      61
      47
      197
      1,357
      22,184
      6
      1
      10,918
      1,296
      207
      6
      6,164
      1,686
      1,318
      1,825
      1,796
      2,280
      1,614
      1,589
      159
      1,910
      1,196
      1,818
      475
      227
      1,354
      491
      769
      -346
      356
      1,437
      564
      767
      679
      -1,426
      -9,283
      25,709
      5,997
      10,483
      3,635
      899
      4,688
      3,359
      1,991
      2,201
      1,056
      1,984
      342
      811
      1,588
      520
      896
      24,534
      42,588
      -2,570
      -8,934
      13
      -2,404
      -1,501
      8,605
      6,772
      7,664
      3,908
      585
      -162
      72
      141
      735
      3,812
      994
      2,485
      4,245
      5,487
      3,046
      6,913
      3,342
      1,548
      2,172
      1,721
      2,403
      3,146
      3,428
      4,236
      4,612
      1,184
      3,868
      4,061
      1,604
      2,167
      4,515
      3,688
      5,089
      9,565
      10,178
      1,633
      -121
      2,485
      2,678
      113
      791
      1,676
      -794
      80,860
      -5
      111
      53
      53
      -7
      65
       
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 2 580,072
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 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))
2013 440,036 9,105,136 0.048328
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
2 Total of line 1, column (d) ...................... 2 0.241004
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 0.048201
4 Enter the net value of noncharitable-use assets for 2014 from Part X, line 5..... 4 9,317,464
5 Multiply line 4 by line 3....................... 5 449,111
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 7,209
7 Add lines 5 and 6......................... 7 456,320
8 Enter qualifying distributions from Part XII, line 4.............. 8 446,756
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 (2014)
Form 990-PF (2014)
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 14,419
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 14,419
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 14,419
6 Credits/Payments:
a 2014 estimated tax payments and 2013 overpayment credited to 2014 6a 7,660
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 7,660
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 6,759
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 2015 estimated taxBullet0 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 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 2014 or the taxable year beginning in 2014 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    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 2014, 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 FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 6
    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 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 2014?.............
    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 2014, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2014?...............
    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 2014 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 2014.)....................
    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 2014?
    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 4945(d)(4)(A)? (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 (2014)
    Form 990-PF (2014)
    Page 7
    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
    U S BANK N A TRUSTEE
    40     		94,092    
    777 E WISCONSIN AVE-MK-WI-TWPT
    MILWAUKEE,WI53202
    MARY PLUNKETT KLOSS CHARITABLE ADVISORY BOARD MEMBER
    1     		0    
    US BANK NA 777 E WISCONSIN AVE
    MILWAUKEE,WI53202
    JOHN ANTARAMIAN KLOSS CHARITABLE ADVISORY BOARD MEMBER
    1     		0    
    US BANK NA 777 E WISCONSIN AVE
    MILWAUKEE,WI53202
    BRYAN ALBRECHT KLOSS CHARITABL ADVISORY BOARD MEMBER
    1     		0    
    US BANK NA 777 E WISCONSIN AVE
    MILWAUKEE,WI53202
    JANE HARRINGTON-HEIDE KLOSS CHARI 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 (2014)
    Form 990-PF (2014)
    Page 8
    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 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
    9,245,583
    b
    Average of monthly cash balances.......................
    1b
    213,771
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    9,459,354
    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
    9,459,354
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    141,890
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    9,317,464
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    465,873
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    465,873
    2a
    Tax on investment income for 2014 from Part VI, line 5......
    2a
    14,419
    b
    Income tax for 2014. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    14,419
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    451,454
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    451,454
    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
    451,454
    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
    446,756
    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
    446,756
    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
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    446,756
    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 (2014)
    Form 990-PF (2014)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2013     		(c)
    2013     		(d)
    2014
    1 Distributable amount for 2014 from Part XI, line 7 451,454
    2 Undistributed income, if any, as of the end of 2014:
    a Enter amount for 2013 only....... 398,138
    b Total for prior years:2012, 20, 20 0
    3 Excess distributions carryover, if any, to 2014:
    a From 2009....... 0
    b From 2010....... 0
    c From 2011....... 0
    d From 2012....... 0
    e From 2013....... 0
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2014 from Part
    XII, line 4: bullet$ 446,756
    a Applied to 2013, but not more than line 2a 398,138
    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 2014 distributable amount..... 48,618
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2014. 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 2013. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2014. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		402,836
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8Excess distributions carryover from 2009 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2015.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2010.... 0
    b Excess from 2011.... 0
    c Excess from 2012.... 0
    d Excess from 2013.... 0
    e Excess from 2014.... 0
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 10
    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 2014, 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) 2014 (b) 2013 (c) 2012 (d) 2011
             
    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 (2014)
    Form 990-PF (2014)
    Page 11
    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 INC
    1330 52ND ST
    KENOSHA,WI53140     		N/A PUBLIC CHARITY OPERATIONS SUPPORT 12,500
    CARTHAGE COLLEGE
    2001 ALFORD PARK DR
    KENOSHA,WI53140     		N/A PUBLIC CHARITY GREENHOUSE IN NEW SCIENCE 85,000
    CITY OF KENOSHA
    625 52ND ST
    KENOSHA,WI53140     		N/A PUBLIC CHARITY BIKE PATH AT KEMPER CENTER 20,000
    GATEWAY TECHNICAL COLLEGE
    FOUNDATION INC
    3520 30TH AVE
    KENOSHA,WI53144     		N/A PUBLIC CHARITY OPERATIONS SUPPORT 25,000
    HAWTHORN HOLLOW NATURE SANCTUARY
    800 GREEN BAY RD
    KENOSHA,WI53144     		N/A PUBLIC CHARITY OPERATIONS SUPPORT 5,000
    KENOSHA ACHIEVEMENT CENTER INC
    1218 79TH ST
    KENOSHA,WI53143     		N/A PUBLIC CHARITY DESIGN & BUILD KENOSHA 25,000
    KENOSHA AREA FAMILY AND
    AGING SERVICES INC
    7730 SHERIDAN RD
    KENOSHA,WI53143     		N/A PUBLIC CHARITY OPERATIONS SUPPORT 7,500
    KINDRED KITTIES LTD
    614 59TH ST
    KENOSHA,WI53140     		N/A PUBLIC CHARITY OPERATIONS SUPPORT 1,250
    LEMON STREET GALLERY
    4601 SHERIDAN RD
    KENOSHA,WI53140     		N/A PUBLIC CHARITY UNION PARK SCULPTURE 5,000
    CHILDREN'S HOSPITAL OF WISCONSIN
    PO BOX 1997
    MILWAUKEE,WI53201     		NONE PUBLIC CHARITY OPERATIONS SUPPORT 10,000
    EDUCATION MATTERS INC
    7317 5TH AVENUE
    KENOSHA,WI53143     		NONE PUBLIC CHARITY OPERATIONS SUPPORT 35,000
    OPEN WINGS LEARNING COMMUNITY
    2001 80TH ST
    KENOSHA,WI53143     		N/A PUBLIC CHARITY OPERATIONS SUPPORT 15,000
    SAFE HARBOR HUMANE SOCIETY
    7811 60TH AVE
    KENOSHA,WI53142     		N/A PUBLIC CHARITY OPERATIONS SUPPORT 1,500
    THE SALVATION ARMY
    3116 75TH ST
    KENOSHA,WI53142     		N/A PUBLIC CHARITY OPERATIONS SUPPORT 12,500
    SHALOM CENTER OF INTERFAITH
    NETWORK
    1713 62ND ST
    KENOSHA,WI53143     		N/A PUBLIC CHARITY OPERATIONS SUPPORT 12,500
    SHARING CENTER INC
    7001 236TH AVE
    SALEM,WI53168     		N/A PUBLIC CHARITY OPERATIONS SUPPORT 12,500
    TWIN LAKES AREA FOOD PANTRY INC
    701 N LAKE AVE
    TWIN LAKES,WI53181     		N/A PUBLIC CHARITY OPERATIONS SUPPORT 12,500
    UNIVERSITY OF WISCONSIN PARKSIDE
    FOUNDATION INC
    900 WOOD RD
    KENOSHA,WI53144     		N/A PUBLIC CHARITY OPERATIONS SUPPORT 20,000
    UNITED WAY OF KENOSHA COUNTY
    5500 6TH AVE STE 210
    KENOSHA,WI53140     		N/A PUBLIC CHARITY OPERATIONS SUPPORT 25,000
    WESTOSHA SENIOR CENTER
    19200 93RD ST
    BRISTOL,WI53104     		N/A PUBLIC CHARITY OPERATIONS SUPPORT 15,250
    WESTOSHA LAKES CHURCH FOOD
    PANTRY
    24823 74TH ST
    SALEM,WI53168     		N/A PUBLIC CHARITY OPERATIONS SUPPORT 2,000
    WESTOSHA CENTRAL HIGH SCHOOL
    24617 75TH ST
    SALEM,WI53168     		N/A PUBLIC CHARITY OPERATIONS SUPPORT 5,000
    WISCONSIN WOMEN'S BUSINESS
    INITIATIVE
    2745 N DR MARTIN LUTHER KING DR
    MILWAUKEE,WI53212     		N/A PUBLIC CHARITY OPERATIONS SUPPORT 10,000
    WOMEN AND CHILDREN'S HORIZON
    INC
    2525 63RD ST
    KENOSHA,WI53143     		N/A PUBLIC CHARITY OPERATIONS SUPPORT 5,000
    ITEEA - TEACHER PROFESSIONAL
    3520 30TH AVENUE
    KENOSHA,WI53140     		NONE PUBLIC CHARITY OPERATIONS SUPPORT 10,000
    KENOSHA COUNTY
    1010 56TH STREET
    KENOSHA,WI53140     		NONE PUBLIC CHARITY OPERATIONS SUPPORT 20,000
    KENOSHA HISTORY CENTER
    220 51ST PLACE
    KENOSHA,WI53140     		NONE PUBLIC CHARITY OPERATIONS SUPPORT 5,000
    BRIDGES COMMUNITY CENTER INC
    PO BOX 157
    KENOSHA,WI53141     		N/A PUBLIC CHARITY OPERATIONS SUPPORT 5,000
    KENOSHA SYMPHONY ASSOC
    723 58TH STREET 301
    KENOSHA,WI53140     		NONE PUBLIC CHARITY OPERATIONS SUPPORT 5,000
    ROOT RIVER WATERSHED
    PO BOX 044164
    RACINE,WI53404     		NONE PUBLIC CHARITY OPERATIONS SUPPORT 10,000
    Total .................................bullet 3a 435,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2014)
    Form 990-PF (2014)
    Page 12
    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 ............     		         
    4 Dividends and interest from securities....     14 233,437  
    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 .............     		    18 579,162  
    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)..   812,599  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13812,599
    (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 (2014)
    Form 990-PF (2014)
    Page 13
    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) 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 (2014)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2014 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 2014 InvestmentsCorpBondsSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    Name of Bond End of Year Book Value End of Year Fair Market Value
    EMERSON ELEC 4.25 11/15/20 107,964 109,992
    XTRA FIN CORP 5.15 04/01/17 157,931 160,137
    CISCO SYSTEMS 4.45 01/15/20 52,990 55,564
    LOWES COMPANIES 4.625 04/15/20 54,193 55,485
    TARGET CORP 3.875 07/15/20 102,795 108,799
    NATL BK CANADA 1.50 06/26/15 50,803 50,041
    INTEL CORP 1.35 12/15/17 50,112 50,295
    BMO MED TERM NOTE 12/08/17 250,000 235,550
    BMO MED TERM NOTE 12/09/19 250,000 232,100
    BMO 3Y EN LEV 02/28/18 200,000 189,540
    BMO 5Y EN LEV 02/28/20 200,000 182,440

    TY 2014 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 3,149 6,658
    NESTLE SA SPSD ADR REPSTG REG 27,475 58,157
    NOVARTIS AG ADR REPSTG ORD 3,905 10,992
    UNILEVER PLC SPSD ADR 9,454 19,956
    DOVER CORP 3,351 9,048
    CELGENE CORP 7,776 30,212
    COMCAST CORP CL A 2,838 12,569
    E BAY INC 12,067 25,648
    INTL BUSINESS MACHINES CORP 23,808 41,225
    J P MORGAN CHASE & CO 5,923 12,498
    KANSAS CITY SOUTHERN 2,027 11,856
    MCDONALDS CORP 9,175 16,788
    MERCK & CO INC 2,770 6,759
    NIKE INC 8,067 38,025
    VERIZON COMMUNICATIONS INC 4,396 8,059
    WELLS FARGO & CO 4,965 13,822
    ARM HLDGS PLC ADR 12,141 22,853
    ABB LTD ADR REPSTG ORD 32,148 32,345
    ATLAS COPCO AB ADR CL B 1,048 4,336
    BRITISH AMERICAN TOB PLC ADR 1,445 3,211
    DBS GROUP HLDGS LTD 7,487 12,759
    ROCHE HLDG LTD SPON ADR 21,269 39,845
    AFLAC INC 5,792 9,084
    AMERICAN ELECTRIC POWER CO 6,424 13,678
    AMGEN INC 2,442 7,657
    ANADARKO PETROLEUM CORP 4,211 8,612
    APPLE INC 15,906 119,467
    APTAR GROUP INC 12,395 26,528
    BALCHEM CORP 5,524 20,156
    BIOGEN IDEC INC 1,899 17,865
    BORG WARNER INC 6,537 10,947
    CABELAS INC 1,436 8,058
    CAMERON INTL CORP 14,569 24,484
    CERNER CORP 9,407 64,060
    CHEVRON CORP 5,399 8,961
    COGNIZANT TECH SOLUTIONS CORP 8,997 49,834
    DANAHER CORP 27,144 75,616
    DIRECTV 14,763 56,627
    EMC CORP 13,637 30,107
    EAGLE MATERIALS INC 3,050 11,103
    ECOLAB INC 2,426 8,713
    EMERSON ELEC CO 2,629 5,850
    ENERGIZER HOLDINGS INC 2,036 6,943
    EXPRESS SCRIPTS HLDGS 12,377 37,644
    EXXON MOBIL CORP 9,189 14,314
    FACTSET RESEARCH SYS INC 2,280 9,250
    FAMILY DOLLAR STORES 2,394 6,977
    FIRST LONG ISLAND CORP 3,535 5,906
    FLOWER FOODS INC 7,602 17,002
    FLOWSERVE CORP 8,279 24,420
    FOSTER L B CO 6,303 9,499
    GOOGLE INC CL A 10,380 32,174
    GORMAN RUPP CO 8,799 17,715
    ICU MED INC 3,322 9,603
    INTEL CORP 5,147 13,612
    J & J SNACK FOODS CORP 9,084 28,783
    KINDER MORGAN MANAGEMENT LLC 1,213 4,813
    MASTERCARD INC 8,111 47,053
    MCGRAW HILL FINANCIAL INC 1,489 7,781
    NEWELL RUBBERMAID INC 2,943 14,349
    ORACLE CORP 15,578 35,444
    PEPSICO INC 11,091 21,986
    PFIZER INC 3,641 8,757
    PIONEER NAT RES CO 10,470 18,183
    PRAXAIR INC 11,242 25,309
    PRICELINE COM INC 2,217 37,505
    PRUDENTIAL FINANCIAL INC 2,901 10,915
    PVH CORP 2,584 13,708
    QUALCOMM INC 8,430 15,399
    SANDERSON FARMS INC 1,981 4,321
    SCHEIN HENRY INC 19,590 58,510
    STARBUCKS CORP 1,559 18,082
    STARWOOD HOTELS & RESORTS 1,375 6,041
    STATE STR CORP 2,762 10,832
    STURM RUGER & CO INC 5,572 25,258
    SUN HYDRAULICS CORP 1,990 7,962
    SUNTRUST BKS INC 8,037 22,151
    TJX COS INC 3,111 17,125
    TEXAS INSTRUMENTS INC 2,019 7,773
    THERMO FISHER SCIENTIFIC INC 8,338 29,426
    UNION PACIFIC CORP 14,811 53,079
    UNITED HEALTH GROUP INC 4,888 29,091
    UTAH MED PRODS INC 10,011 23,972
    V F CORP 3,749 20,566
    VARIAN MED SYS INC 7,138 17,493
    WALGREEN CO 8,077 28,241
    WEIS MKTS INC 4,652 6,346
    WERNER ENTERPRISES INC 3,143 5,807
    WHITING PETROLEUM CORP 1,341 3,563
    YUM BRANDS INC 1,488 4,956
    ACCENTURE LTD 10,209 27,371
    ACE LTD 7,180 16,717
    BOC HONG KONG HLDGS ADR 920 3,630
    GILEAD SCIENCES INC 11,770 48,950
    INGERSOLL RAND PLC 3,831 17,883
    SAP AG ADR 21,446 38,059
    SCHLUMBERGER LTD 36,506 50,922
    CBS CORP CL B 3,161 15,121
    CSL LIMITED ADR REPSTG 8,607 17,434
    CONSTELLATION BRANDS INC A 3,807 28,529
    LONZA GROUP AG UNSPON ADR 5,930 14,215
    ZIONS BANCORPORATION 4,273 8,173
    CAL MAINE FOODS INC 2,104 7,937
    DASSAULT SYSTEMES SA ADR 22,678 63,876
    FRESENIUS MED CARE ADR 9,973 17,625
    IMPERIAL OIL LTD 12,839 13,175
    LOREAL CO UNSPONS ADR 22,394 43,142
    LVMH MOET HENNESSY LOU VUITT 10,191 18,805
    NOVO NORDISK AS ADR 9,068 41,230
    SASOL LTD SPONS ADR 5,064 4,788
    SCHNEIDER ELECT SA UNSP ADR 8,993 13,629
    TAIWAN SEMICONDUCTOR ADR 14,562 33,264
    WAL MART DE MEXICO SAB DE CV A 10,003 14,801
    WPP PLC SPONS ADR 18,315 49,799
    FURIEX PHARMACEUTICALS 129 147
    POST HOLDINGS INC 2,705 6,316
    SANOFI AVENTIS SA CVR RIGHTS 1 52
    ALLSTATE CORP 18,281 29,755
    DISNEY WALT CO 5,407 11,699
    LOWES CO INC 16,980 36,670
    OIL DRI CORP AMER 15,881 21,818
    PRECISION CASTPARTS CORP 5,362 6,984
    PROCTER & GAMBLE CO 14,128 15,835
    ROCKWELL AUTOMATION INC 11,500 20,400
    ATLAS COPCO AB SPON ADR 13,579 33,012
    SVENSKA HANDELSBANKEN A UPSP 30,336 39,675
    SWATCH GROUP AG ADR 14,187 13,602
    GOOGLE INC CL C 10,313 31,394
    ZOETIS INC 1,328 3,932
    ALLEGION PLC 976 5,370
    AMBEV SA SPN ADR 2,990 11,098
    MATTHEWS ASIA GRWTH FD IS 400,000 415,264
    ACTAVIS PLC 46,365 46,635

    TY 2014 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:

    491,429
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2014 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 218,795 351,341
    ISHARES MSCI EMERGING MKTS AT COST 257,567 287,182
    NUVEEN DIVIDEND VALUE FD AT COST 160,199 199,477
    NUVEEN REAL ESTATE SECS FD AT COST 486,833 580,369
    T ROWE PRICE INTL GR&INC FD AT COST 46,152 50,464
    OPPENHEIMER SR FLOATING RATE I AT COST 470,000 459,881
    ROBECO BOSTON PARTNERS LS RSCH AT COST 475,000 565,440
    AQR MANANGED FUTURES STR I AT COST 181,934 197,171
    VANGUARD 500 INDEX AT COST 113,161 123,674
    CAUSEWAY EMRG MKTS INSTL AT COST 158,494 157,337
    CROWN CASTLE INTL CORP AT COST 2,569 11,825
    LOOMIS SAYLES STRGC ALPHA FD AT COST 174,080 172,370
    TCW EMRG MKTS INC FD AT COST 55,311 50,675
    T ROWE PRICE INTL BD FD AT COST 155,311 141,550
    NUVEEN HIGH INC BD FD CL I AT COST 395,618 372,192
    ISHARES SPUS PREF STCK AT COST 175,228 174,264
    ISHARES IBOXX INVST GRD BD AT COST 100,416 100,648
    BAIRD AGGREGATE BD FD AT COST 101,557 102,051

    TY 2014 LegalFeesSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 847     847


    TY 2014 OtherDecreasesSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    Description Amount
       
       


    TY 2014 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 411 411   0


    TY 2014 TaxesSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TRUST
    EIN: 39-6790033
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES PAID 4,498 4,498   0
    EXCISE TAX PAYMENTS 3,390 0   0