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
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 01-01-2015 , and ending 12-31-2015
Name of foundation
Jerry & Terri Kohl Family Foundation
 
% Foundation Source
Number and street (or P.O. box number if mail is not delivered to street address)Foundation Source 501 Silverside Rd
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Wilmington, DE198091377
A Employer identification number

20-4757707
B Telephone number (see instructions)

(800) 839-1754
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$10,409,652
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
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) 7,359,946
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 124 124  
4 Dividends and interest from securities... 69,620 69,620  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 204,774
b Gross sales price for all assets on line 6a 10,706,113
7 Capital gain net income (from Part IV, line 2)... 2,599,221
8 Net short-term capital gain.........  
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)....... 156    
12 Total. Add lines 1 through 11........ 7,634,620 2,668,965  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0      
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... 40,313 40,313    
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 13,138 2,739    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 24,826 18   24,808
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 78,277 43,070   24,808
25 Contributions, gifts, grants paid....... 2,215,510 2,215,510
26 Total expenses and disbursements. Add lines 24 and 25 2,293,787 43,070   2,240,318
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 5,340,833
b Net investment income (if negative, enter -0-) 2,625,895
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
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......... 146,166 357,108 357,108
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
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 bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 380,940    
b Investments—corporate stock (attach schedule)....... 2,448,563 Click to see attachment8,372,602 8,746,276
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 1,039,281 Click to see attachment626,073 1,306,268
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) 4,014,950 9,355,783 10,409,652
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........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 4,014,950 9,355,783
30 Total net assets or fund balances (see instructions)..... 4,014,950 9,355,783
31 Total liabilities and net assets/fund balances (see instructions). 4,014,950 9,355,783
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
4,014,950
2
Enter amount from Part I, line 27a .....................
2
5,340,833
3
Other increases not included in line 2 (itemize) bullet
3
 
4
Add lines 1, 2, and 3 ..........................
4
9,355,783
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
9,355,783
Form 990-PF (2015)
Form 990-PF (2015)
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 Publicly-traded Securities      
b NON-US EQUITY MANAGERS: PORTFOLIO 5 OFFSHORE L.P. P 2008-02-29 2015-02-27
c
d
e
(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 10,466,113   7,896,170 2,569,943
b 240,000   210,722 29,278
c
d
e
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       2,569,943
b       29,278
c
d
e
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 2,599,221
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))
2014 1,341,515 5,657,048 0.23714
2013 1,408,277 6,445,356 0.218495
2012 1,059,238 6,731,363 0.157359
2011 878,962 7,461,944 0.117793
2010 701,502 7,991,700 0.087779
2
Total of line 1, column (d) .....................
20.818566
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
0.163713
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
6,101,320
5
Multiply line 4 by line 3......................
5
998,865
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
26,259
7
Add lines 5 and 6........................
7
1,025,124
8
Enter qualifying distributions from Part XII, line 4.............
8
2,240,318
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 (2015)
Form 990-PF (2015)
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 Bullet and enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 26,259
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  
3 Add lines 1 and 2........................... 3 26,259
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 26,259
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 9,500
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 16,760
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 26,260
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8  
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 1
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet1 RefundedBullet 11  
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
Yes
 
If "Yes," attach the statement required by General Instruction T.Click to see attachment
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)
    bulletCA, DE
    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 2015 or the taxable year beginning in 2015 (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. Click to see attachment...............................
    10
    Yes
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    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 addressbullet  
    14
    The books are in care ofbulletFoundation Source Telephone no.bullet (800) 839-1754

    Located atbullet501 Silverside Road Suite 123WilmingtonDE ZIP+4bullet198091377
    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 2015, 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  
    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
     
     
    ........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 2015?.............
    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 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    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
     
     
    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 2015 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 2015.)..................
    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 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    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 (2015)
    Form 990-PF (2015)
    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
    Jerry Kohl Pres / Dir / Sec
    1.0
    0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    Karyn Kohl VP
    1.0
    0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    Matthew Kohl VP
    1.0
    0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    Terri Marilyn Kohl Dir / Sec / Treas
    1.0
    0 0 0
    Foundation Source 501 Silverside Rd
    Wilmington,DE198091377
    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
     
    Total number of other employees paid over $50,000...................bullet  
    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
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    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  
    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  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    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
    4,251,555
    b
    Average of monthly cash balances.......................
    1b
    598,274
    c
    Fair market value of all other assets (see instructions)................
    1c
    1,344,405
    d
    Total (add lines 1a, b, and c).........................
    1d
    6,194,234
    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
    0
    3
    Subtract line 2 from line 1d.........................
    3
    6,194,234
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    92,914
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    6,101,320
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    305,066
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    305,066
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    26,259
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    26,259
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    278,807
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    278,807
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    278,807
    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
    2,240,318
    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
    2,240,318
    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
    26,259
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    2,214,059
    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 (2015)
    Form 990-PF (2015)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2014
    (c)
    2014
    (d)
    2015
    1 Distributable amount for 2015 from Part XI, line 7 278,807
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only.......  
    b Total for prior years:2013, 2012, 2011  
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 308,641
    b From 2011...... 512,095
    c From 2012...... 728,686
    d From 2013...... 1,093,961
    e From 2014...... 1,068,105
    fTotal of lines 3a through e........ 3,711,488
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 2,240,318
    a Applied to 2014, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
     
    c Treated as distributions out of corpus (Election
    required—see instructions)........
     
    d Applied to 2015 distributable amount..... 278,807
    e Remaining amount distributed out of corpus 1,961,511
    5 Excess distributions carryover applied to 2015.    
    (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 5,672,999
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
    0
    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) .......
     
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...
    308,641
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......
    5,364,358
    10 Analysis of line 9:
    a Excess from 2011.... 512,095
    b Excess from 2012.... 728,686
    c Excess from 2013.... 1,093,961
    d Excess from 2014.... 1,068,105
    e Excess from 2015.... 1,961,511
    Form 990-PF (2015)
    Form 990-PF (2015)
    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 2015, 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) 2015 (b) 2014 (c) 2013 (d) 2012
             
    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).)
    Jerry Kohl
    Terri Marilyn Kohl
    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.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2015)
    Form 990-PF (2015)
    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
    ALZHEIMERS GREATER LOS ANGELES
    4221 WILSHIRE BLVD STE 400
    LOS ANGELES,CA90010
    N/A PC Charitable Event 25,000
    AMAZING GRACIES GIFT FOUNDATION
    5 HILLVIEW DR
    MOHAWK,NY13407
    N/A PC General & Unrestricted 1,000
    AMERICAN YOUTH SYMPHONY INC
    3424 WILSHIRE BLVD STE 830
    LOS ANGELES,CA90010
    N/A PC General & Unrestricted 20,000
    ANTAEUS COMPANY
    5114 LANKERSHIM BLVD
    N HOLLYWOOD,CA91601
    N/A PC New Performance Space Project in Glendale Fund 100,000
    ARMAND HAMMER MUSEUM OF ART AND CULTURAL CENTER IN
    10899 WILSHIRE BLVD
    LOS ANGELES,CA90024
    N/A SO III FI All the Instruments Agree Program 6,000
    ARMAND HAMMER MUSEUM OF ART AND CULTURAL CENTER IN
    10899 WILSHIRE BLVD
    LOS ANGELES,CA90024
    N/A SO III FI UH-OH: Frances Stark 1991-2015 Exhibition Project 50,000
    ART CENTER COLLEGE OF DESIGN
    1700 LIDA ST
    PASADENA,CA91103
    N/A PC General & Unrestricted 30,000
    ART CENTER COLLEGE OF DESIGN
    1700 LIDA ST
    PASADENA,CA91103
    N/A PC Art Center 100 Initiative 2,000
    ARTHRITIS FOUNDATION INC - SOUTHERN CALIFORNIA CHA
    800 W 6TH ST STE 1250
    LOS ANGELES,CA90017
    N/A PC In support of Vanessa Butler Classic Bike Ride - September 13 Program 1,000
    BROADWAY CARES-EQUITY FIGHTS AIDS INC
    165 W 46TH ST STE 1300
    NEW YORK,NY10036
    N/A PC General & Unrestricted 10,000
    CENTER THEATRE GROUP OF LOS ANGELES
    601 W TEMPLE ST
    LOS ANGELES,CA90012
    N/A PC Musical Investment Fund - Being Formed 500,000
    CONCERN FOUNDATION
    1026 S ROBERTSON BLVD STE 300
    LOS ANGELES,CA90035
    N/A PC General & Unrestricted 25,000
    DIA CENTER FOR THE ARTS INC
    535 W 22ND ST FL 4
    NEW YORK,NY10011
    N/A PC Real Light Project 25,000
    DIDI HIRSCH PSYCHIATRIC SERVICE
    4760 SEPULVEDA BLVD
    CULVER CITY,CA90230
    N/A PC General & Unrestricted 500
    FESTIVAL OF ARTS OF LAGUNA BEACH
    650 LAGUNA CANYON RD
    LAGUNA BEACH,CA92651
    N/A PC General & Unrestricted 2,500
    FIDM SCHOLARSHIP FOUNDATION INC
    919 S GRAND AVE
    LOS ANGELES,CA90015
    N/A PC Footwear Design Program 15,000
    FRACTURED ATLAS INC
    248 W 35TH ST 10TH FLR
    NEW YORK,NY10001
    N/A PC Wild Up Project 3,000
    GRAMMY MUSEUM FOUNDATION INC
    800 W OLYMPIC BLVD STE A245
    LOS ANGELES,CA90015
    N/A PC General & Unrestricted 24,000
    HARVEST EVANGELICAL CHURCH
    1235 WICKS LN W
    BILLINGS,MT59105
    N/A PC Rodd Z. Wohlfeil of the Ethiopia Hope Project 500
    HENRY E HUNTINGTON LIBRARY & ART GALLERY
    1151 OXFORD RD
    SAN MARINO,CA91108
    N/A PC General & Unrestricted 32,500
    HENRY E HUNTINGTON LIBRARY & ART GALLERY
    1151 OXFORD RD
    SAN MARINO,CA91108
    N/A PC Alex Israel at the Huntington Exhibition Project 100,000
    INTERNATIONAL MEDICAL CORPS
    12400 WILSHIRE BLVD STE 1500
    LOS ANGELES,CA90025
    N/A PC Nancy Aossey Discretionary Fund 100,000
    JEWISH FEDERATION OF THE GREATER SAN GABRIEL & POM
    550 S 2ND AVE
    ARCADIA,CA91006
    N/A PC General & Unrestricted 33,000
    JEWISH VOCATIONAL SERVICE
    6505 WILSHIRE BLVD STE 700
    LOS ANGELES,CA90048
    N/A PC As directed by Rick Powell Project 61,000
    JOHN F KENNEDY CENTER FOR THE PERFORMING ARTS
    2700 F ST NW
    WASHINGTON,DC20566
    N/A PC General & Unrestricted 100,000
    LIBRARY FOUNDATION OF LOS ANGELES
    630 W 5TH ST
    LOS ANGELES,CA90071
    N/A PC General & Unrestricted 400
    LIBRARY FOUNDATION OF LOS ANGELES
    630 W 5TH ST
    LOS ANGELES,CA90071
    N/A PC Literary feast Program 1,000
    LITTLE KIDS ROCK INC
    632 POMPTON AVE
    CEDAR GROVE,NJ07009
    N/A PC pasadena Program 100,000
    LOS ANGELES ARBORETUM FOUNDATION INC
    301 N BALDWIN AVE
    ARCADIA,CA91007
    N/A PC Children's Learning Patio and education programs 5,000
    LOS ANGELES PHILHARMONIC ASSOCIATION
    151 S GRAND AVE
    LOS ANGELES,CA90012
    N/A PC General & Unrestricted 50,000
    LOS ANGELES PHILHARMONIC ASSOCIATION
    151 S GRAND AVE
    LOS ANGELES,CA90012
    N/A PC Concertmasters dinner 2015 Project 50,000
    M JANET CHIN YOUTH FOUNDATION
    3592 ROSEMEAD BLVD 449
    ROSEMEAD,CA91770
    N/A PC General & Unrestricted 250
    MAK CENTER FOR ART AND ARCHITECTURE
    835 N KINGS RD
    LOS ANGELES,CA90069
    N/A PC Scott Benzel's Op. 21: Inner Experience Fellowship/ Friends of Crime 3,000
    MUSE-IQUE
    750 E GREEN ST STE 305
    PASADENA,CA91101
    N/A PC General & Unrestricted 76,764
    MUSE-IQUE
    750 E GREEN ST STE 305
    PASADENA,CA91101
    N/A PC Reserve Fund Program 200,000
    MUSEUM ASSOCIATES
    5905 WILSHIRE BLVD
    LOS ANGELES,CA90036
    N/A PC Charitable Event 1,596
    MUSEUM OF CONTEMPORARY ART
    250 S GRAND AVE
    LOS ANGELES,CA90012
    N/A PC Trinket Project 25,000
    MUSIC GUILD
    3637 MOTOR AVE STE 240
    LOS ANGELES,CA90034
    N/A PC General & Unrestricted 10,000
    PACIFIC SYMPHONY
    3631 S HARBOR BLVD STE 100
    SANTA ANA,CA92704
    N/A PC In Celebration of Carl St Clair Campaign 100,000
    PASADENA ARTS COUNCIL
    65 S GRAND AVE
    PASADENA,CA91105
    N/A PC Salastina Division 10,000
    PASADENA ARTS COUNCIL
    65 S GRAND AVE
    PASADENA,CA91105
    N/A PC 2015 Gold Crown Award Fund 1,000
    PASADENA CITY COLLEGE FOUNDATION INC
    1570 E COLORADO BLVD BLDG D
    PASADENA,CA91106
    N/A PC General & Unrestricted 25,000
    PASADENA CONSERVATORY OF MUSIC
    100 N HILL AVE
    PASADENA,CA91106
    N/A PC General & Unrestricted 10,000
    PASADENA ENTRETEC
    60 N SAN GABRIEL BLVD
    PASADENA,CA91107
    N/A PC General & Unrestricted 5,000
    PASADENA PLAYHOUSE STATE THEATRE OF CALIFORNIA INC
    39 S EL MOLINO AVE
    PASADENA,CA91101
    N/A PC Special End of Year Matching gift challenge Program 25,000
    PERFORMING ARTS CENTER OF LOS ANGELES COUNTY
    135 N GRAND AVE
    LOS ANGELES,CA90012
    N/A PC Blue Ribbon Fund and Childrens festival 4,000
    RX ART INC
    208 FORSYTH ST
    NEW YORK,NY10002
    N/A PC Cedars-Sinai Pediatric Ceiling Project - Laura Owens Room 10,000
    RYMAN CARROLL FOUNDATION
    1933 S BROADWAY 11TH FL STE 1138
    LOS ANGELES,CA90007
    N/A PC General & Unrestricted 5,000
    SIERRA SUMMER FESTIVAL OF THE PERFORMING ARTS INC
    PO BOX 1808
    MAMMOTH LAKES,CA93546
    N/A PC General & Unrestricted 5,000
    SOCIETY FOR THE ACTIVATION OF SOCIAL SPACE THROUGH
    PO BOX 411453
    LOS ANGELES,CA90041
    N/A PC General & Unrestricted 10,000
    SOLES 4 SOULS
    319 MARTINGALE DR
    OLD HICKORY,TN37138
    N/A PC General & Unrestricted 3,000
    TEMPLE BETH DAVID
    9677 LONGDEN AVE
    TEMPLE CITY,CA91780
    N/A PC General & Unrestricted 20,000
    THE COLBURN SCHOOL
    200 S GRAND AVE
    LOS ANGELES,CA90012
    N/A PC General & Unrestricted 60,000
    THE LOS ANGELES CHAMBER ORCHESTRA SOCIETY INC
    350 S FIGUEROA ST 183
    LOS ANGELES,CA90071
    N/A PC General & Unrestricted 25,000
    UNIVERSITY OF SOUTHERN CALIFORNIA
    3551 TROUSDALE PKWY ADM 160
    LOS ANGELES,CA90089
    N/A PC USC Thornton School of Music Kahane Fund 40,000
    UNIVERSITY OF SOUTHERN CALIFORNIA
    3551 TROUSDALE PKWY ADM 160
    LOS ANGELES,CA90089
    N/A PC USC Thornton School of Music Program 40,000
    VISTA DEL MAR CHILD AND FAMILY SERVICES
    3200 MOTOR AVE
    LOS ANGELES,CA90034
    N/A PC Music Program as outlined by Ashley Powell 25,000
    YOSEMITE FOUNDATION
    101 MONTGOMERY ST STE 1700
    SAN FRANCISCO,CA94104
    N/A PC Yosemite Conservancy 2,500
    Total .................................bullet 3a 2,215,510
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2015)
    Form 990-PF (2015)
    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 ...........
        14 124  
    4 Dividends and interest from securities....     14 69,620  
    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 ............
        18 204,774  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue:
    aFederal Tax Refund
        01 156  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   274,674  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13274,674
    (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 (2015)
    Form 990-PF (2015)
    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 organizations?
    Yes
    No
    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 name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2015)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2015
    Name of the organization
    Jerry & Terri Kohl Family Foundation
     
    Employer identification number

    20-4757707
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
    Name of organization
    Jerry & Terri Kohl Family Foundation
     
    Employer identification number
    20-4757707
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
     
     

    Jerry Kohl Living Trust  
    800 Holladay Road
     
    Pasadena, CA91106

    $ 7,359,946


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

       
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

       
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

       
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

       
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

       
     
     

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 3
    Name of organization
    Jerry & Terri Kohl Family Foundation
     
    Employer identification number

    20-4757707
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
    1
    CELGENE CORP CELG, 6000.00000000 sh. $ 703,860 2015-10-16
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
    1
    E*TRADE FINANCIAL CORP ETFC, 30000.00000000 sh. $ 790,200 2015-10-16
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
    1
    FACEBOOK INC FB, 8000.00000000 sh. $ 771,760 2015-10-16
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
    1
    INCYTE CORPORATION INCY, 8000.00000000 sh. $ 875,600 2015-10-16
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
    1
    KNOLL INC KNL, 30000.00000000 sh. $ 695,850 2015-10-16
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
    1
    PALO ALTO NETWORKS INC PANW, 8000.00000000 sh. $ 1,364,560 2015-10-16
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Name of organization
    Jerry & Terri Kohl Family Foundation
     
    Employer identification number

    20-4757707
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
    1
    RESTORATION HARDWARE RH, 7000.00000000 sh. $ 709,835 2015-10-16
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
    1
    UNDER ARMOUR INC UA, 5000.00000000 sh. $ 501,025 2015-10-16
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
    1
    VAIL RESORTS INC MTN, 8000.00000000 sh. $ 868,840 2015-10-16
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 4
    Name of organization
    Jerry & Terri Kohl Family Foundation
     
    Employer identification number

    20-4757707
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

    Additional Data


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    TY 2015 DepreciationSchedule
    Name:
    Jerry & Terri Kohl Family Foundation
    EIN:
    20-4757707
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)
    Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    Jerry & Terri Kohl Family Foundation
    EIN:
    20-4757707
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ABBOTT LABS 17,637 22,949
    ADOBE SYSTEMS, INC 11,417 13,058
    AIRBUS GROUP 211,252 202,080
    ALIBABA GROUP HOLDING LIMITED 166,709 162,540
    ALKERMES 217,227 238,140
    ALPHABET INC CL A 172,432 191,390
    ALPHABET INC CL C 7,675 18,213
    AMAZON COM 209,437 217,637
    AMER INTERNATIONAL GROUP INC 13,066 22,495
    APPLE INC 33,217 46,946
    AVAGO TECHNOLOGIES LIMITED 9,211 10,596
    BANK OF AMERICA CORP 207,988 201,960
    BAXALTA INCORPORATED 11,206 13,621
    BIOGEN INC 13,434 13,786
    BORG WARNER INC 15,435 13,055
    BOSTON SCIENTIFIC 5,629 17,370
    BRISTOL-MYERS SQUIBB CO 16,417 17,335
    CAPITAL ONE FINANCIAL CORP 17,492 15,952
    CELANESE CORPORATION 10,130 9,830
    CELGENE CORP 239,683 260,957
    CHARLES SCHWAB CORP 8,891 10,538
    CHARTER COMMUNICATIONS 2,958 3,113
    CIMAREX ENERGY CO 14,287 11,262
    CISCO SYSTEMS INC 15,029 18,357
    CITIGROUP INC 178,116 176,726
    COCA COLA ENTRPR INC 10,305 11,227
    COGNIZANT TECHNOLOGY SOLUTIONS 11,582 11,284
    COMCAST CORP 16,402 25,619
    CONSTELLATION BRANDS INC 10,940 16,523
    COOPER COMPANIES INC 5,736 8,723
    COSTCO WHOLESALE CORPORATION 7,068 10,821
    DANAHER CORP 189,841 185,760
    DELPHI AUTOMOTIVE PLC 11,042 13,717
    DOLLAR TREE INC 8,849 12,355
    DOW CHEMICAL PV 16,732 16,680
    E*TRADE FINANCIAL CORP 263,400 296,399
    EASTMAN CHEMICAL CO 7,128 6,211
    EOG RESOURCES INC 8,725 10,760
    EXPRESS SCRIPTS HOLDING CO 8,769 11,888
    FACEBOOK INC 299,055 334,911
    FRANKLIN RES INC 12,219 8,064
    GILEAD SCIENCES INC 215,882 202,380
    GODADDY INC 218,939 224,420
    GOLDMAN SACHS HIGH YIELD FUND 224,746 188,527
    GOLDMAN SACHS TACTICAL TILT IM 282,289 275,240
    GOODYEAR TIRE & RUBBER COMPANY 5,269 8,429
    GS LOCAL EMERGING MKTS DEBT FD 84,797 53,132
    HOME DEPOT INC 8,286 13,357
    HUNTINGTON INGALLS INDUSTRIES 129,054 126,850
    ILLINOIS TOOL WORKS 4,351 11,863
    INTERNATIONAL BUSINESS MACHINE 11,897 9,633
    ISHARES CURRENCY HEDGED MSCI E 299,124 286,131
    ISHARES RUSSELL 2000 88,282 208,347
    JAZZ PHARMACEUTICALS INC 20,163 17,992
    JD.COM, INC 151,994 161,325
    JP MORGAN CHASE 11,647 21,064
    JUNIPER NETWORKS 4,724 5,989
    KIMBERLY CLARK CORP 9,324 15,785
    KROGER CO 8,524 9,412
    LAM RESEARCH CORP 8,162 8,816
    LINEAR TECHNOLOGY CORP 6,905 8,409
    LOEWS CORP 8,339 8,563
    LOWES COMPANIES INC 235,330 244,088
    LPL FINANCIAL HOLDINGS INC 213,270 213,250
    MARSH AND MCLENNAN COMPANIES I 12,410 14,972
    MASTERCARD INC 9,872 11,099
    MEDTRONIC PLC 20,084 20,076
    METLIFE INC 17,426 16,584
    MICROSOFT CORP 19,230 27,296
    MORGAN STANLEY 13,351 19,181
    NETFLIX INC 5,175 6,291
    NEWELL RUBBERMAID INC 9,869 10,403
    NIELSEN HOLDINGS N.V 8,265 10,392
    OWENS CORNING 233,530 235,150
    PALO ALTO NETWORKS INC 347,994 359,853
    PARKER HANNIFIN CP 4,797 10,668
    PAYLOCITY CORP 169,217 202,750
    PFIZER INC 11,922 21,886
    PHILIP MORRIS INTL 10,841 10,198
    PNC FINANCIAL GROUP INC 5,458 8,387
    PRAXAIR INC 11,587 9,216
    PRICELINE.COM INCORPORATED 152,241 140,245
    PROCTER GAMBLE CO 17,882 22,473
    PROGRESSIVE CORP OHIO 9,298 13,006
    RESTORATION HARDWARE 202,810 158,900
    RINGCENTRAL INC 217,967 235,800
    ROYAL CARRIBEAN CRUISE 197,392 202,420
    SALESFORCE.COM 7,324 13,250
    SERVICE NOW 6,683 7,877
    STARBUCKS CORP COM 6,437 7,564
    STERIS PLC 11,147 12,431
    STRYKER CORPORATION 6,709 7,714
    SUNCOR ENERGY INC 9,733 9,030
    SYNCHRONY FINANCIAL 10,001 9,853
    SYSCO CORP 17,273 19,598
    TEGNA 6,517 7,222
    TENCENT HOLDINGS LIMITED 198,153 196,200
    TEVA PHARMACEUTICAL INDUSTRIES 14,690 19,626
    TEXTRON INC 9,966 9,662
    THERMO FISHER SCIENTIFIC INC 5,353 11,348
    TJX COMPANIES INC 20,342 26,804
    TWENTY FIRST CENTURY FOX COMPA 12,859 10,429
    TWENTY-FIRST CENTURY CL B 10,564 8,360
    UNION PACIFIC 9,423 8,446
    UNITED CONTINENTAL HOLDINGS IN 13,507 12,893
    UNITED PARCEL SERVICE 7,761 7,602
    UNITED TECHNOLOGIES CORP 10,346 19,886
    V F CORP 15,409 19,982
    VAIL RESORTS INC 337,441 383,969
    VALERO ENERGY CORP 7,739 11,314
    VANGUARD FTSE EMERGING MARKETS 204,776 157,989
    VANTIV INC - CLASS A 6,634 9,769
    VISA INC 166,987 173,092
    WALGREENS BOOTS ALLIANCE 168,708 170,310
    WALT DISNEY HOLDINGS CO 11,143 26,165
    WELLS FARGO & CO 8,467 8,535
    WHIRLPOOL CORP 169,509 159,060
    WORKDAY INC 207,317 199,200

    TY 2015 InvestmentsOtherSchedule2
    Name:
    Jerry & Terri Kohl Family Foundation
    EIN:
    20-4757707
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    GS HEDGE FUND OPPORTUNITIES LT   247,193 465,953
    GS VINTAGE FUND V LP   22,175 427,754
    NON-US EQUITY MANAGERS: PORTFO   356,705 412,561

    TY 2015 LiquidationExplanationStmt
    Name:
    Jerry & Terri Kohl Family Foundation
    EIN:
    20-4757707
    Statement:
    This statement is submitted to report the distribution of certain assets during the year. The distributions resulted in a substantial contraction of assets. The following information is submitted in accordance with Treasury Regulation Section 1.6043-3(a)(1) and the Form 990-PF instructions: During the taxable year ending December 31, 2015, the Foundation made distributions from assets from sources other than current income. Collectively, the distributions in excess of current income totaled $2,220,510. This amount represents over 25% of the Foundation's net assets of $5,337,294 (as measured by fair market value) at the beginning of the Foundation's taxable year ending December 31, 2015. Although the Foundation technically experienced a substantial contraction, it will continue in existence and has no plans for dissolution. The Foundation made distributions of cash to the grantees listed in the attachment to Part XV, Line 3a; each such grant was made solely for the charitable purpose specified therein.


    TY 2015 OtherExpensesSchedule
    Name:
    Jerry & Terri Kohl Family Foundation
    EIN:
    20-4757707
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Administrative Fees 19,783     19,783
    Bank Charges 18 18    
    State or Local Filing Fees 25     25
    FOUNDATION DUES & MEMBERSHIP 5,000     5,000


    TY 2015 OtherIncomeSchedule2
    Name:
    Jerry & Terri Kohl Family Foundation
    EIN:
    20-4757707
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Federal Tax Refund 156    


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    Jerry & Terri Kohl Family Foundation
    EIN:
    20-4757707
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Investment Management Services 40,313 40,313    


    TY 2015 SubstantialContributorsSch
    Name:
    Jerry & Terri Kohl Family Foundation
    EIN:
    20-4757707
    Name Address
    Jerry Kohl Living Trust 800 Holladay Road
    Pasadena,CA91106


    TY 2015 TaxesSchedule
    Name:
    Jerry & Terri Kohl Family Foundation
    EIN:
    20-4757707
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    990-PF Estimated Tax for 2015 4,700      
    990-PF Extension for 2014 5,699      
    Foreign Tax Paid 2,739 2,739