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 06-01-2015 , and ending 05-31-2016
Name of foundation
JOHN & RUTH KLOSS CHARITABLE TR UMA
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 0634
  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:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$8,549,016J 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)  
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 204,791 203,124  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 130,360
b Gross sales price for all assets on line 6a 5,604,363
7 Capital gain net income (from Part IV, line 2)... 130,360
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........ 335,151 333,484  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 89,670 80,703   8,967
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 777 0 0 777
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 15,848 3,673   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 958 958    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 108,753 85,334 0 11,244
25 Contributions, gifts, grants paid....... 435,000 435,000
26 Total expenses and disbursements. Add lines 24 and 25 543,753 85,334 0 446,244
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -208,602
b Net investment income (if negative, enter -0-) 248,150
c Adjusted net income (if negative, enter -0-)... 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............. 687 0  
2 Savings and temporary cash investments......... 106,920 583,651 583,651
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    
b Investments—corporate stock (attach schedule)....... 1,533,812 Click to see attachment1,337,079 2,634,213
c Investments—corporate bonds (attach schedule)....... 1,476,788 Click to see attachment818,021 702,462
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 3,728,225 Click to see attachment4,321,083 4,628,690
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) 7,308,566 7,059,834 8,549,016
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........ 7,308,566 7,059,834
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)..... 7,308,566 7,059,834
31 Total liabilities and net assets/fund balances (see instructions). 7,308,566 7,059,834
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
7,308,566
2
Enter amount from Part I, line 27a .....................
2
-208,602
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
7,099,964
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
40,130
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
7,059,834
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 50000. NATIONAL BANK M T N 1.500% 6/26/15   2013-02-19 2015-06-26
b 1. SECURITY LITIGATION   1911-11-11 2015-06-29
c 90. FAMILY DLR STORES INC COM   2008-11-10 2015-07-07
d 63. DIRECTV   2008-09-16 2015-07-24
e 40. DIRECTV   2009-09-11 2015-07-24
61. DIRECTV   2009-07-23 2015-07-24
89. DIRECTV   2008-11-10 2015-07-24
71. DIRECTV   2005-12-04 2015-07-24
106. DIRECTV   2009-02-27 2015-07-24
192. DIRECTV   2008-09-24 2015-07-24
1. SECURITY LITIGATION   1911-11-11 2015-08-19
.356 DOLLAR TREE INC   2015-07-07 2015-08-20
.824 ATT INC   2008-09-16 2015-09-04
41153.257 NUVEEN HIGH INCOME BOND FD CL I     2015-12-17
2997.602 NUVEEN HIGH INCOME BOND FD CL I   2015-01-08 2015-12-17
2385.496 AQR MANAGED FUTURES STR I     2016-01-28
44. BOC HONG KONG HLDGS LTD A D R   2009-03-30 2016-01-28
213. DBS GROUP HLDGS LTD     2016-01-28
416. EMC CORPORATION     2016-01-28
97. EMERSON ELECTRIC CO   2009-02-27 2016-01-28
234. FIRST LONG ISLAND CORP     2016-01-28
249. FOSTER L B CO CL A     2016-01-28
99. ICU MEDICAL INC     2016-01-28
3751.34 LOOMIS SAYLES STRATEGIC ALPHA FUND Y   2014-06-04 2016-01-28
1367.366 NUVEEN REAL ESTATE SECS I   2014-09-12 2016-01-28
3536.068 ROBECO BOSTON PARTNERS L S RSRCH   2013-07-23 2016-01-28
4819.277 T ROWE PRICE INTL BOND FUND   2014-06-04 2016-01-28
53. SANDERSON FARMS INC   2009-03-30 2016-01-28
213. SUN HYDRAULICS CORP   2009-03-30 2016-01-28
599. WAL MART DE MEXICO SAB DE CV A D R   2009-10-01 2016-01-28
147. WEIS MKTS INC   2009-03-30 2016-01-28
211. WERNER ENTERPRISES INC   2009-03-30 2016-01-28
283. ZIONS BANCORPORATION     2016-01-28
79. ZOETIS INC   2008-11-10 2016-01-28
86. ALLEGION PLC     2016-01-28
33. PRECISION CASTPARTS CORP   2012-10-23 2016-01-29
94. CAMERON INTERNATIONAL CORP   2008-09-10 2016-04-01
92. CAMERON INTERNATIONAL CORP   2008-09-16 2016-04-01
63. CAMERON INTERNATIONAL CORP   2008-11-10 2016-04-01
113. CAMERON INTERNATIONAL CORP   2009-02-27 2016-04-01
115. CAMERON INTERNATIONAL CORP   2009-07-23 2016-04-01
.532 SCHLUMBERGER LTD   2013-01-14 2016-04-28
200000. BMO 5Y EN LEV 2/28/20   2015-02-25 2016-05-27
200000. BMO 3Y EN LEV 2/28/18   2015-02-25 2016-05-27
250000. BMO 5Y EN LEV 12/09/19   2014-12-04 2016-05-27
250000. BMO 3Y EN LEV MTN 12/08/17   2014-12-04 2016-05-27
50000. CISCO SYSTEMS 4.450% 1/15/20   2010-06-29 2016-05-27
100000. EMERSON ELECTRIC 4.250% 11/15/20   2011-10-14 2016-05-27
150000. F H L M C M T N 5.125% 11/17/17   2007-11-16 2016-05-27
50000. INTEL CORP 1.350% 12/15/17   2013-02-19 2016-05-27
50000. LOWES COMPANIES INC 4.625% 4/15/20   2010-06-29 2016-05-27
100000. TARGET CORP 3.875% 7/15/20   2010-08-10 2016-05-27
150000. U S TREASURY NT 3.625% 2/15/21   2011-03-31 2016-05-27
75000. U S TREASURY NT 3.125% 5/15/21   2011-06-02 2016-05-27
80000. U S TREASURY NT 1.625% 8/15/22   2012-09-05 2016-05-27
150000. XTRA FIN CORP 5.150% 4/01/17   2010-01-26 2016-05-27
1481. ABB LTD A D R     2016-05-31
1854.5 AQR MANAGED FUTURES STR I   2013-07-24 2016-05-31
60. ANADARKO PETROLEUM CORP     2016-05-31
799. APPLE INC     2016-05-31
429. ARM HLDGS PLC A D R   2011-06-24 2016-05-31
1082. ATLAS COPCO AB SPONS A D R   2009-10-01 2016-05-31
182. BORG-WARNER AUTOMOTIVE INC COM   2013-01-14 2016-05-31
490. CSL LIMITED A D R     2016-05-31
21. CAL MAINE FOODS INC   2011-06-24 2016-05-31
12688.458 CAUSEWAY EMERGING MARKETS INSTL     2016-05-31
18. CELGENE CORPORATION COM   2011-06-24 2016-05-31
188. CERNER CORP COM   2008-09-16 2016-05-31
475. COGNIZANT TECHNOLOGY SOLUTIONS CORP     2016-05-31
148. DASSAULT SYSTEMES SA A D R   2009-09-11 2016-05-31
60. DOVER CORP   2009-11-12 2016-05-31
727. EMC CORPORATION     2016-05-31
61. EAGLE MATERIALS INC   2009-03-30 2016-05-31
74. EXPRESS SCRIPTS HLDGS C     2016-05-31
444. FLOWSERVE CORP     2016-05-31
270. GORMAN RUPP CO   2009-03-30 2016-05-31
336. IMPERIAL OIL LTD     2016-05-31
395. INTEL CORP     2016-05-31
243. INTERNATIONAL BUSINESS MACHINES CORP     2016-05-31
6753. ISHARES MSCI EMERGING MARKETS ETF     2016-05-31
4384. ISHARES S P U S PREFERRED STOCK ETF   2014-11-18 2016-05-31
17. KANSAS CITY SOUTHERN   2009-02-27 2016-05-31
46.544 KINDER MORGAN INC   2008-10-09 2016-05-31
10.456 KINDER MORGAN INC     2016-05-31
656. LOREAL UNSPONSORED A D R     2016-05-31
526. LVMH MOET HENNESSY A D R   2009-10-01 2016-05-31
308. LONZA GROUP AG UNSPON A D R   2013-01-14 2016-05-31
203. MASTERCARD INC   2009-03-18 2016-05-31
18285.527 MATTHEWS ASIA GROWTH FUND IS     2016-05-31
13417.008 LOOMIS SAYLES STRATEGIC ALPHA FUND Y     2016-05-31
56. NESTLE SA SPONSORED A D R   2007-08-24 2016-05-31
1578.03 NUVEEN REAL ESTATE SECS I   2014-09-12 2016-05-31
11866.568 NUVEEN DIVIDEND VALUE FUND CLASS I   2011-06-24 2016-05-31
4337.248 NUVEEN MID CAP GRWTH OPP FD CL I     2016-05-31
555.386 NUVEEN MID CAP GRWTH OPP FD CL I   2015-12-16 2016-05-31
1121.067 NUVEEN MID CAP GRWTH OPP FD CL I     2016-05-31
329.927 NUVEEN MID CAP GRWTH OPP FD CL I   2009-04-27 2016-05-31
56496.407 OPPENHEIMER SENIOR FLOATING RATE I     2016-05-31
81. ORACLE CORPORATION   2008-09-10 2016-05-31
224. ORACLE CORPORATION   2008-09-24 2016-05-31
9. PIONEER NAT RES CO COM W/RIGHTS ATTACHED EXP 7/31/2011   2011-06-24 2016-05-31
21. THE PRICELINE GROUP INC   2009-01-23 2016-05-31
221. QUALCOMM INC     2016-05-31
10857.554 ROBECO BOSTON PARTNERS L S RSRCH     2016-05-31
166. ROCKWELL AUTOMATION INC   2012-10-23 2016-05-31
11794.568 T ROWE PRICE INTL BOND FUND     2016-05-31
3344.211 T ROWE PRICE INTL GRINC FD     2016-05-31
55. SAP SE SPONSORED A D R   2009-03-18 2016-05-31
239. SAP SE SPONSORED A D R   2009-10-01 2016-05-31
135. SASOL LTD SPONSORED ADR     2016-05-31
295. SCHLUMBERGER LTD     2016-05-31
899. SCHNEIDER ELECT SE UNSP A D R     2016-05-31
324. STURM RUGER CO INC   2009-03-30 2016-05-31
5262. SVENSKA HANDELSBANKEN A UNSP A D R   2012-10-23 2016-05-31
694. SWATCH GROUP AG A D R   2012-10-23 2016-05-31
372. TAIWAN SEMICONDUCTOR A D R   2009-10-01 2016-05-31
356. UNION PACIFIC CORP     2016-05-31
111. UTAH MED PRODS INC   2009-03-30 2016-05-31
116. VARIAN MED SYS INC COM     2016-05-31
634.224 VANGUARD 500 IDX ADML   2014-06-04 2016-05-31
108. WHITING PETROLEUM CORP   2009-03-30 2016-05-31
152. ALLERGAN PLC     2016-05-31
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 50,000   50,803 -803
b 603     603
c 7,154   2,394 4,760
d 5,930   4,135 1,795
e 3,765   2,625 1,140
5,742   4,004 1,738
8,378   5,841 2,537
6,683   4,660 2,023
9,978   6,957 3,021
18,074   12,602 5,472
12     12
29   29  
27   11 16
283,957   370,618 -86,661
20,683   25,000 -4,317
24,976   25,895 -919
2,214   920 1,294
7,998   7,487 511
10,026   5,475 4,551
4,281   2,629 1,652
6,519   3,535 2,984
2,664   6,303 -3,639
9,395   3,322 6,073
35,075   38,189 -3,114
29,644   31,121 -1,477
49,894   47,454 2,440
40,145   46,934 -6,789
4,206   1,981 2,225
5,487   1,990 3,497
14,735   10,003 4,732
5,787   4,652 1,135
4,808   3,143 1,665
6,399   4,273 2,126
3,432   1,328 2,104
5,093   976 4,117
7,755   5,362 2,393
6,211   3,762 2,449
6,079   3,553 2,526
4,163   1,446 2,717
7,467   2,229 5,238
7,599   3,580 4,019
42   39 3
135,840   200,000 -64,160
141,140   200,000 -58,860
169,500   250,000 -80,500
176,350   250,000 -73,650
54,966   52,990 1,976
109,234   107,964 1,270
159,220   153,655 5,565
50,210   50,112 98
54,641   54,193 448
108,257   102,795 5,462
165,545   152,397 13,148
81,272   75,873 5,399
80,334   80,209 125
154,917   157,931 -3,014
30,656   32,148 -1,492
18,267   18,916 -649
3,121   2,682 439
79,802   14,404 65,398
18,431   12,141 6,290
27,915   13,579 14,336
6,166   6,537 -371
20,531   8,607 11,924
942   316 626
122,444   158,494 -36,050
1,925   530 1,395
10,481   2,147 8,334
29,136   6,202 22,934
11,662   4,182 7,480
4,001   2,067 1,934
20,152   8,161 11,991
4,789   1,399 3,390
5,571   2,693 2,878
21,471   8,279 13,192
7,856   3,759 4,097
10,816   12,839 -2,023
12,361   5,147 7,214
37,156   23,808 13,348
223,114   252,078 -28,964
173,079   175,228 -2,149
1,596   308 1,288
842   476 366
189   135 54
24,576   13,048 11,528
16,795   9,914 6,881
5,264   1,807 3,457
19,449   3,229 16,220
390,213   400,000 -9,787
128,937   135,892 -6,955
4,127   2,389 1,738
37,573   35,916 1,657
177,405   160,199 17,206
181,210   149,500 31,710
23,204   23,682 -478
46,838   30,341 16,497
13,784   8,565 5,219
438,977   470,000 -31,023
3,242   1,559 1,683
8,967   4,518 4,449
1,459   766 693
26,711   1,455 25,256
12,135   8,430 3,705
163,189   145,065 18,124
19,272   11,500 7,772
104,618   108,190 -3,572
43,709   46,152 -2,443
4,446   1,949 2,497
19,322   11,665 7,657
4,081   5,064 -983
22,541   20,577 1,964
11,498   8,720 2,778
21,603   3,864 17,739
32,887   30,336 2,551
10,097   14,187 -4,090
9,137   3,954 5,183
29,900   11,147 18,753
7,099   2,559 4,540
9,485   4,356 5,129
123,122   113,161 9,961
1,364   1,341 23
36,115   46,365 -10,250
      91,005
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       -803
b       603
c       4,760
d       1,795
e       1,140
      1,738
      2,537
      2,023
      3,021
      5,472
      12
       
      16
      -86,661
      -4,317
      -919
      1,294
      511
      4,551
      1,652
      2,984
      -3,639
      6,073
      -3,114
      -1,477
      2,440
      -6,789
      2,225
      3,497
      4,732
      1,135
      1,665
      2,126
      2,104
      4,117
      2,393
      2,449
      2,526
      2,717
      5,238
      4,019
      3
      -64,160
      -58,860
      -80,500
      -73,650
      1,976
      1,270
      5,565
      98
      448
      5,462
      13,148
      5,399
      125
      -3,014
      -1,492
      -649
      439
      65,398
      6,290
      14,336
      -371
      11,924
      626
      -36,050
      1,395
      8,334
      22,934
      7,480
      1,934
      11,991
      3,390
      2,878
      13,192
      4,097
      -2,023
      7,214
      13,348
      -28,964
      -2,149
      1,288
      366
      54
      11,528
      6,881
      3,457
      16,220
      -9,787
      -6,955
      1,738
      1,657
      17,206
      31,710
      -478
      16,497
      5,219
      -31,023
      1,683
      4,449
      693
      25,256
      3,705
      18,124
      7,772
      -3,572
      -2,443
      2,497
      7,657
      -983
      1,964
      2,778
      17,739
      2,551
      -4,090
      5,183
      18,753
      4,540
      5,129
      9,961
      23
      -10,250
       
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 2 130,360
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 446,756 9,317,464 0.047948
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
2
Total of line 1, column (d) .....................
20.240425
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
0.048085
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
8,687,946
5
Multiply line 4 by line 3......................
5
417,760
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
2,482
7
Add lines 5 and 6........................
7
420,242
8
Enter qualifying distributions from Part XII, line 4.............
8
446,244
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 2,482
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 2,482
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 2,482
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 3,721
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 3,721
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,239
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet1,239 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 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. ...............................
    10
     
    No
    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 addressbulletN/A
    14
    The books are in care ofbulletUS BANK NA , MK-WI-TWPT Telephone no.bullet (414) 765-5672

    Located atbulletPO BOX 2043MILWAUKEEWI ZIP+4bullet532010634
    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
     
    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 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
     
    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 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
    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
    US BANK NA TRUSTEE
    4     		89,670    
    777 E WISCONSIN AVE-MK-WI-TWPT
    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  
    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
    8,672,210
    b
    Average of monthly cash balances.......................
    1b
    148,040
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    8,820,250
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    8,820,250
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    132,304
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    8,687,946
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    434,397
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    434,397
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    2,482
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,482
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    431,915
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    431,915
    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
    431,915
    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
    446,244
    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
    446,244
    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
    2,482
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    443,762
    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 7 431,915
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 402,836
    b Total for prior years:2013, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 0
    b From 2011...... 0
    c From 2012...... 0
    d From 2013...... 0
    e From 2014...... 0
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 446,244
    a Applied to 2014, but not more than line 2a 402,836
    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 2015 distributable amount..... 43,408
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2015. 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 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		388,507
    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 2010 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2011.... 0
    b Excess from 2012.... 0
    c Excess from 2013.... 0
    d Excess from 2014.... 0
    e Excess from 2015.... 0
    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).)
    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 (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
    CARTHAGE COLLEGE
    2001 ALFORD PARK DR
    KENOSHA,WI53140     		NONE PC GENERAL OPERATING 91,500
    GATEWAY TECHNICAL COLLEGE
    FOUNDATION INC
    3520 30TH AVE
    KENOSHA,WI53144     		NONE PC GENERAL OPERATING 60,000
    HAWTHORN HOLLOW NATURE SANCTUARY
    800 GREEN BAY RD
    KENOSHA,WI53144     		NONE PC GENERAL OPERATING 7,500
    KENOSHA AREA FAMILY AND
    AGING SERVICES INC
    7730 SHERIDAN RD
    KENOSHA,WI53143     		NONE PC GENERAL OPERATING 5,000
    KINDRED KITTIES LTD
    614 59TH ST
    KENOSHA,WI53140     		NONE PC GENERAL OPERATING 2,000
    EVERY CHILD'S PLACE PLAYGROUND
    3520 30TH AVENUE
    KENOSHA,WI53140     		NONE PC GENERAL OPERATING 5,000
    FUSION-KENOSHA PERFORMING-ARTS ASSOCIATI
    5014 SEVENTH AVENUE
    KENOSHA,WI53140     		NONE PC GENERAL OPERATING 5,000
    JANE CREMER FOUNDATION
    1127 N SUNNYSLOPE DRIVE 204
    RACINE,WI53406     		NONE PC GENERAL OPERATING 2,500
    YMCA LEARN TO SWIM
    7101 53RD STREET
    KENOSHA,WI53144     		NONE PC GENERAL OPERATING 2,500
    KENOSHA COMMUNITY FOUNDATION-ARTS FUND
    SCULPTURE WALK
    600 52ND STREET SUITE 110
    KENOSHA,WI53140     		NONE PC GENERAL OPERATING 4,000
    KENOSHA LITERACY COUNCIL
    2419 63RD STREET
    KENOSHA,WI53143     		NONE PC GENERAL OPERATING 5,000
    KENOSHA PUBLIC MUSEUM
    5500 FIRST AVENUE
    KENOSHA,WI53140     		NONE PC GENERAL OPERATING 15,000
    MAKE A WISH
    13195 W HAMPTON AVENUE
    BUTLER,WI53007     		NONE PC GENERAL OPERATING 3,000
    RHODE CENTER FOR THE ARTS-LAKESIDE
    PLAYERS INC
    514 56TH STREET
    KENOSHA,WI53140     		NONE PC GENERAL OPERATING 5,000
    SHALOM CENTER
    1713 62ND STREET
    KENOSHA,WI53143     		NONE PC GENERAL OPERATING 40,000
    UNITED WAY-READERS ARE LEADERS
    5500 6TH AVENUE
    KENOSHA,WI53140     		NONE PC GENERAL OPERATING 5,000
    OPEN WINGS ACADEMY
    7951 36TH AVENUE
    KENOSHA,WI53142     		NONE PC GENERAL OPERATING 18,000
    LEMON STREET GALLERY
    4601 SHERIDAN RD
    KENOSHA,WI53140     		NONE PC GENERAL OPERATING 5,000
    SAFE HARBOR HUMANE SOCIETY
    7811 60TH AVE
    KENOSHA,WI53142     		N/A PC OPERATIONS SUPPORT 5,000
    SHARING CENTER INC
    7001 236TH AVE
    SALEM,WI53168     		N/A PC OPERATIONS SUPPORT 30,000
    TWIN LAKES AREA FOOD PANTRY INC
    701 N LAKE AVE
    TWIN LAKES,WI53181     		NONE PC GENERAL OPERATING 7,000
    UNIVERSITY OF WISCONSIN PARKSIDE
    FOUNDATION INC
    900 WOOD RD
    KENOSHA,WI53144     		N/A PC OPERATIONS SUPPORT 80,000
    WESTOSHA LAKES CHURCH FOOD
    PANTRY
    24823 74TH ST
    SALEM,WI53168     		N/A PC OPERATIONS SUPPORT 2,000
    WISCONSIN WOMEN'S BUSINESS
    INITIATIVE
    2745 N DR MARTIN LUTHER KING DR
    MILWAUKEE,WI53212     		NONE PC GENERAL OPERATING 10,000
    WOMEN AND CHILDREN'S HORIZON
    INC
    2525 63RD ST
    KENOSHA,WI53143     		NONE PC GENERAL OPERATING 10,000
    KENOSHA SYMPHONY ASSOC
    723 58TH STREET 301
    KENOSHA,WI53140     		NONE PC OPERATIONS SUPPORT 10,000
    Total .................................bullet 3a 435,000
    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 ...........     		         
    4 Dividends and interest from securities....     14 204,791  
    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 ............     		    18 130,360  
    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)..   335,151  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13335,151
    (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

    TY 2015 AccountingFeesSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TR UMA
    EIN:
    39-6790033
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 1,500     1,500

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TR UMA
    EIN:
    39-6790033
    Name of Bond End of Year Book Value End of Year Fair Market Value
    EMERSON ELEC 4.25 11/15/20    
    XTRA FIN CORP 5.15 04/01/17 157,931 155,256
    CISCO SYSTEMS 4.45 01/15/20 52,990 54,996
    LOWES COMPANIES 4.625 04/15/20 54,193 54,725
    TARGET CORP 3.875 07/15/20 102,795 108,425
    NATL BK CANADA 1.50 06/26/15    
    INTEL CORP 1.35 12/15/17 50,112 50,140
    BMO MED TERM NOTE 12/08/17    
    BMO MED TERM NOTE 12/09/19    
    BMO 3Y EN LEV 02/28/18 200,000 142,120
    BMO 5Y EN LEV 02/28/20 200,000 136,800

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TR UMA
    EIN:
    39-6790033
    Name of Stock End of Year Book Value End of Year Fair Market Value
    DIAGO PLC SPSD ADR 3,149 6,548
    NESTLE SA SPSD ADR REPSTG REG    
    NOVARTIS AG ADR REPSTG ORD    
    UNILEVER PLC SPSD ADR    
    DOVER CORP 3,351 8,010
    CELGENE CORP 7,776 27,857
    COMCAST CORP CL A 2,838 13,610
    E BAY INC 4,739 10,224
    INTL BUSINESS MACHINES CORP 23,808 37,359
    J P MORGAN CHASE & CO 5,923 12,401
    KANSAS CITY SOUTHERN 2,027 12,196
    MCDONALDS CORP 9,175 21,361
    MERCK & CO INC 2,770 6,245
    NIKE INC 8,067 41,305
    VERIZON COMMUNICATIONS INC 4,396 8,297
    WELLS FARGO & CO 4,965 12,528
    ARM HLDGS PLC ADR 12,141 18,490
    ABB LTD ADR REPSTG ORD 32,148 30,775
    ATLAS COPCO AB ADR CL B 1,048 3,831
    BRITISH AMERICAN TOB PLC ADR 1,445 3,528
    DBS GROUP HLDGS LTD    
    ROCHE HLDG LTD SPON ADR 21,269 34,064
    AFLAC INC 5,792 10,141
    AMERICAN ELECTRIC POWER CO 6,424 15,729
    AMGEN INC 2,442 7,740
    ANADARKO PETROLEUM CORP 4,211 5,342
    APPLE INC 15,906 91,572
    APTAR GROUP INC 12,395 32,140
    BALCHEM CORP 5,524 21,402
    BIOGEN IDEC INC 1,899 13,038
    BORG WARNER INC 6,537 6,193
    CABELAS INC 1,436 7,672
    CAMERON INTL CORP    
    CERNER CORP 9,407 52,941
    CHEVRON CORP 5,399 8,787
    COGNIZANT TECH SOLUTIONS CORP 8,997 47,309
    DANAHER CORP 27,144 86,163
    DIRECTV    
    EMC CORP 8,161 20,320
    EAGLE MATERIALS INC 3,050 10,417
    ECOLAB INC 2,426 8,910
    EMERSON ELEC CO 107,964 109,757
    ENERGIZER HOLDINGS INC 610 2,319
    EXPRESS SCRIPTS HLDGS 12,377 32,638
    EXXON MOBIL CORP 9,189 14,955
    FACTSET RESEARCH SYS INC 2,280 8,908
    FAMILY DOLLAR STORES    
    FIRST LONG ISLAND CORP    
    FLOWER FOODS INC 7,602 14,194
    FLOWSERVE CORP 8,279 21,370
    FOSTER L B CO    
    GOOGLE INC CL A    
    GORMAN RUPP CO 8,799 19,560
    ICU MED INC    
    INTEL CORP 5,147 12,478
    J & J SNACK FOODS CORP 9,084 28,169
    KINDER MORGAN MANAGEMENT LLC 1,213 2,097
    MASTERCARD INC 8,111 48,909
    MCGRAW HILL FINANCIAL INC    
    NEWELL RUBBERMAID INC    
    ORACLE CORP 15,578 32,763
    PEPSICO INC 11,091 23,067
    PFIZER INC 3,641 8,744
    PIONEER NAT RES CO 10,470 19,719
    PRAXAIR INC 11,242 22,631
    PRICELINE COM INC    
    PRUDENTIAL FINANCIAL INC 2,901 10,223
    PVH CORP 2,584 12,288
    QUALCOMM INC 8,430 12,137
    SANDERSON FARMS INC    
    SCHEIN HENRY INC 19,590 71,750
    STARBUCKS CORP 1,559 19,102
    STARWOOD HOTELS & RESORTS 1,375 5,360
    STATE STR CORP 2,762 8,765
    STURM RUGER & CO INC 5,572 31,128
    SUN HYDRAULICS CORP    
    SUNTRUST BKS INC 8,037 22,743
    TJX COS INC 3,111 20,248
    TEXAS INSTRUMENTS INC 2,019 8,423
    THERMO FISHER SCIENTIFIC INC 8,338 34,452
    UNION PACIFIC CORP 14,811 44,284
    UNITED HEALTH GROUP INC 4,888 32,348
    UTAH MED PRODS INC 10,011 28,663
    V F CORP 3,749 18,197
    VARIAN MED SYS INC 7,138 16,724
    WALGREEN CO    
    WEIS MKTS INC    
    WERNER ENTERPRISES INC    
    WHITING PETROLEUM CORP 1,341 1,334
    YUM BRANDS INC 1,488 4,515
    ACCENTURE LTD 10,209 33,906
    ACE LTD    
    BOC HONG KONG HLDGS ADR    
    GILEAD SCIENCES INC 11,770 37,958
    INGERSOLL RAND PLC 3,831 17,371
    SAP AG ADR    
    SCHLUMBERGER LTD 61,098 68,823
    CBS CORP CL B 3,161 13,524
    CSL LIMITED ADR REPSTG 8,607 20,521
    CONSTELLATION BRANDS INC A 3,807 37,062
    LONZA GROUP AG UNSPON ADR 5,930 17,389
    ZIONS BANCORPORATION    
    CAL MAINE FOODS INC 2,104 6,230
    DASSAULT SYSTEMES SA ADR 22,678 64,403
    FRESENIUS MED CARE ADR    
    IMPERIAL OIL LTD 12,839 10,695
    LOREAL CO UNSPONS ADR 22,394 42,812
    LVMH MOET HENNESSY LOU VUITT    
    NOVO NORDISK AS ADR 9,068 40,909
    SASOL LTD SPONS ADR 5,064 4,078
    SCHNEIDER ELECT SA UNSP ADR    
    TAIWAN SEMICONDUCTOR ADR    
    WAL MART DE MEXICO SAB DE CV A    
    WPP PLC SPONS ADR 18,315 48,691
    FURIEX PHARMACEUTICALS    
    POST HOLDINGS INC 2,705 11,097
    SANOFI AVENTIS SA CVR RIGHTS    
    ALLSTATE CORP 18,281 29,839
    DISNEY WALT CO 5,407 10,517
    LOWES CO INC 16,980 41,988
    OIL DRI CORP AMER 15,881 22,822
    PRECISION CASTPARTS CORP    
    PROCTER & GAMBLE CO 14,128 16,370
    ROCKWELL AUTOMATION INC 11,500 19,264
    ATLAS COPCO AB SPON ADR 13,579 27,970
    SVENSKA HANDELSBANKEN A UPSP    
    SWATCH GROUP AG ADR 14,187 10,202
    GOOGLE INC CL C    
    ZOETIS INC    
    ALLEGION PLC    
    AMBEV SA SPN ADR 2,990 10,152
    MATTHEWS ASIA GRWTH FD IS 400,000 390,213
    ACTAVIS PLC    

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    JOHN & RUTH KLOSS CHARITABLE TR UMA
    EIN:
    39-6790033
    US Government Securities - End of Year Book Value:

     
    US Government Securities - End of Year Fair Market Value:

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


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


     


    TY 2015 InvestmentsOtherSchedule2
    Name:
    JOHN & RUTH KLOSS CHARITABLE TR UMA
    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 242,477 319,331
    ISHARES MSCI EMERGING MKTS AT COST 257,567 231,310
    NUVEEN DIVIDEND VALUE FD AT COST 160,199 177,405
    NUVEEN REAL ESTATE SECS FD      
    T ROWE PRICE INTL GR&INC FD AT COST 46,152 43,709
    OPPENHEIMER SR FLOATING RATE I AT COST 470,000 438,977
    ROBECO BOSTON PARTNERS LS RSCH AT COST 427,546 486,102
    AQR MANANGED FUTURES STR I AT COST 156,040 150,685
    VANGUARD 500 INDEX AT COST 113,161 123,122
    CAUSEWAY EMRG MKTS INSTL AT COST 158,494 122,444
    CROWN CASTLE INTL CORP AT COST 2,569 13,167
    LOOMIS SAYLES STRGC ALPHA FD AT COST 135,892 128,937
    TCW EMRG MKTS INC FD AT COST 55,311 49,977
    T ROWE PRICE INTL BD FD AT COST 108,190 104,618
    NUVEEN HIGH INC BD FD CL I      
    ISHARES SPUS PREF STCK AT COST 175,228 173,606
    ISHARES IBOXX INVST GRD BD AT COST 100,416 101,601
    BAIRD AGGREGATE BD FD AT COST 101,557 102,616
    ALLERGAN PLC AT COST 46,365 35,834
    ALPHABET INC CL A AT COST 10,380 44,182
    ALPHABET INC CL C AT COST 10,313 43,407
    AT&T INC AT COST 14,751 46,040
    BMO 3Y EN LEV MTN 12/08/17 AT COST 250,000 177,550
    BMO 5Y EN LEV MTN 12/09/19 AT COST 250,000 170,650
    CHUBB LTD AT COST 7,180 19,878
    DOLLAR TREE INC AT COST 1,762 1,992
    EDGEWELL PERSONAL CARE CO AT COST 1,427 3,892
    FEDERATED INST HI YLD BD FD AT COST 305,524 320,699
    FRESENIUS AKTIENGESELLSCHAFT A AT COST 9,973 17,897
    INTERVAL LEISURE GROUP INC AT COST   452
    LVMH MOET HENNESSY A D R AT COST 9,914 16,879
    NESTLE SA SPONSORED A D R AT COST 27,475 55,499
    NEWELL BRANDS, INC AT COST 2,943 17,311
    NOVARTIS AG A D R AT COST 3,905 8,508
    NUVEEN REAL ESTATE SECS I AT COST 455,712 555,217
    PAYPAL HOLDINGS INC AT COST 7,328 15,796
    SP GLOBAL INC AT COST 1,489 8,386
    SANOFI CVR RT 12/31/20 AT COST 1 13
    SAP SE SPON A D R AT COST 21,446 41,751
    SCHNEIDER ELECT SE UNSP A D R AT COST 8,720 11,543
    SVENSKA HENDELSBANKEN A UNSP A AT COST 30,336 33,519
    TAIWAN SEMICONDUCTOR A D R AT COST 14,562 33,866
    THE PRICELINE GROUP INC AT COST 2,217 40,459
    UNILEVER PLC SPON A D R AT COST 9,454 20,593
    VANGUARD GLBL EX US REAL ESTAT AT COST 99,030 93,805
    WALGREENS BOOTS ALLIANCE INC AT COST 8,077 25,465

    TY 2015 LegalFeesSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TR UMA
    EIN:
    39-6790033
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 777     777


    TY 2015 OtherDecreasesSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TR UMA
    EIN:
    39-6790033
    Description Amount
    GAIN ON CY SALES NOT SETTLED AT YEAR END 39,274
    FURIEX WORTHLESS STOCK REMOVAL 129
    COST BASIS ADJUSTMENT 727


    TY 2015 OtherExpensesSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TR UMA
    EIN:
    39-6790033
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADR FEES 958 958   0


    TY 2015 TaxesSchedule
    Name:
    JOHN & RUTH KLOSS CHARITABLE TR UMA
    EIN:
    39-6790033
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAX WITHHELD 3,673 3,673   0
    PRIOR YEAR BALANCE DUE 6,759 0   0
    ESTIMATED EXCISE PAYMENTS 5,416 0   0