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
KIM FOUNDATION
C/O LARRY J COURTNAGE
Number and street (or P.O. box number if mail is not delivered to street address)13609 CALIFORNIA STREET NO 500
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
OMAHA, NE681545233
A Employer identification number

47-0837377
B Telephone number (see instructions)

(402) 891-0009
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$6,130,642J 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) 83,918
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 1,583 1,583  
4 Dividends and interest from securities... 144,227 144,227  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 200,822
b Gross sales price for all assets on line 6a 7,830,086
7 Capital gain net income (from Part IV, line 2)... 200,822
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)....... Click to see attachment 898 898  
12 Total. Add lines 1 through 11........ 431,448 347,530  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 34 0   34
b Accounting fees (attach schedule)....... Click to see attachment 2,058 0   2,058
c Other professional fees (attach schedule).... Click to see attachment 17,045 17,045   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 2,100 2,100   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 94,443 0   94,443
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 115,680 19,145   96,535
25 Contributions, gifts, grants paid....... 381,765 381,765
26 Total expenses and disbursements. Add lines 24 and 25 497,445 19,145   478,300
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -65,997
b Net investment income (if negative, enter -0-) 328,385
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.............   69,442 69,442
2 Savings and temporary cash investments......... 473,889 48,345 48,345
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)      
b Investments—corporate stock (attach schedule).......      
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).......... 5,418,207 Click to see attachment5,708,312 6,012,855
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) 5,892,096 5,826,099 6,130,642
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 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........ 0 0
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 5,892,096 5,826,099
30 Total net assets or fund balances (see instructions)..... 5,892,096 5,826,099
31 Total liabilities and net assets/fund balances (see instructions). 5,892,096 5,826,099
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
5,892,096
2
Enter amount from Part I, line 27a .....................
2
-65,997
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
5,826,099
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
5,826,099
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 P   2015-12-31
b PUBLICLY TRADED SECURITIES P   2015-12-31
c CAPITAL GAINS DIVIDENDS P    
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 2,843,739   3,132,571 -288,832
b 4,985,861   4,496,693 489,168
c 486     486
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       -288,832
b       489,168
c       486
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 2 200,822
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 468,275 6,388,467 0.073300
2013 378,779 5,641,830 0.067138
2012 535,075 5,378,396 0.099486
2011 316,594 5,087,808 0.062226
2010 289,832 4,898,036 0.059173
2
Total of line 1, column (d) .....................
20.361323
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
0.072265
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
6,624,985
5
Multiply line 4 by line 3......................
5
478,755
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
3,284
7
Add lines 5 and 6........................
7
482,039
8
Enter qualifying distributions from Part XII, line 4.............
8
478,300
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 6,568
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 6,568
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 6,568
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 6,945
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 6,945
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 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 10 377
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet377 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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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)
    bulletNE
    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 addressbulletWWW.THEKIMFOUNDATION.ORG
    14
    The books are in care ofbulletLARRY J COURTNAGE Telephone no.bullet (402) 891-0009

    Located atbullet13609 CALIFORNIA STREET STE 500OMAHANE ZIP+4bullet681545233
    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
     
     
    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
     
    No
    .........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). Click to see attachment
    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
    LARRY J COURTNAGE PRESIDENT
    1.00     		0 0 0
    13609 CALIFORNIA STREET
    OMAHA,NE681545233
    KATHLEEN A COURTNAGE VICE PRESIDENT/SECRETARY
    1.00     		0 0 0
    13609 CALIFORNIA STREET
    OMAHA,NE681545233
    VICKI F WITKOVSKI TREASURER
    1.00     		0 0 0
    766 GAVELLO AVE
    SUNNYVALE,CA94086
    CRAIG WOLF BOARD MEMBER
    1.00     		0 0 0
    13609 CALIFORNIA STREET
    OMAHA,NE681545233
    MARK WOLF BOARD MEMBER
    1.00     		0 0 0
    13609 CALIFORNIA STREET
    OMAHA,NE681545233
    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.........................bullet0
    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
    6,242,997
    b
    Average of monthly cash balances.......................
    1b
    482,876
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    6,725,873
    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
    6,725,873
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    100,888
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    6,624,985
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    331,249
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    331,249
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    6,568
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    6,568
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    324,681
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    324,681
    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
    324,681
    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
    478,300
    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
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    478,300
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    478,300
    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 7 324,681
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 48,041
    b From 2011...... 64,449
    c From 2012...... 272,083
    d From 2013...... 107,052
    e From 2014...... 152,307
    fTotal of lines 3a through e........ 643,932
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 478,300
    a Applied to 2014, but not more than line 2a 0
    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..... 324,681
    e Remaining amount distributed out of corpus 153,619
    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 5 797,551
    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 ..........     		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) .......     		0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		48,041
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		749,510
    10 Analysis of line 9:
    a Excess from 2011.... 64,449
    b Excess from 2012.... 272,083
    c Excess from 2013.... 107,052
    d Excess from 2014.... 152,307
    e Excess from 2015.... 153,619
    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).)
    LARRY J COURTNAGE
    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
    BRYAN MEDICAL CENTER
    1600 S 48TH STREET
    LINCOLN,NE68506     		  PC TO CONTINUE AS THE LEAD SPONSOR OF THE EVER-EXPANDING MENTAL ILLNESS AWARENESS WEEK ACTIVITIES IN OCTOBER. 25,000
    CATHOLIC CHARITIES OF OMAHA
    3300 N 60TH STREET
    OMAHA,NE68104     		  PC TO IMPLEMENT A TRANSITIONAL LIVING PROGRAM FOR THEIR OLDER CLIENTS (AGES 17 - 21) AND TO ASSIST THEM FROM GRADUATION TO BEING READY TO BE IN HOMES ON THEIR OWN. 20,000
    CENTER FOR HOLISTIC DEVELOPMENT
    6663 SORENSEN PARKWAY
    OMAHA,NE68152     		  PC TO ASSIST WITH OUTREACH AND EDUCATION IN NORTH OMAHA FOCUSING ON MENTAL ILLNESS AND SUICIDE PREVENTION. 3,500
    CENTERPOINTE
    2633 P ST
    LINCOLN,NE68503     		  PC TO PROVIDE CONSUMERS THE OPPORTUNITY FOR ART THERAPY IN AN ARTISTS ON THE EDGE & WRITER'S WORKSHOP. A MAJOR ART SHOW WILL BE HELD AND THEY WILL PRINT A POETRY BOOK. 15,000
    CHARLES DREW HEALTH CENTER
    2915 GRANT ST
    OMAHA,NE68111     		  PC TO PROVIDE FUNDING FOR EQUIPMENT AND TECHNOLOGY THAT WILL ASSIST THE COUNSELORS IN THEIR FOUR PUBLIC HOUSING CLINICS. 7,500
    CHILD SAVING INSTITUTE
    4545 DODGE STREET
    OMAHA,NE68132     		  PC TO PROVIDE EXPANSION OF THEIR CIRCLE OF SECURITY TRAINING, WHICH FOCUSES ON ATTACHMENT IN CHILDREN AND PARENTS, AND HOW THAT CAN IMPACT MENTAL ILLNESS IN THE FUTURE. THEY WILL COMPLETE FOUR EIGHT-WEEK SESSIONS. 5,000
    COMPLETELY KIDS
    2566 SAINT MARYS AVE
    OMAHA,NE68105     		  PC TO CONTINUE SUPPORTING THEIR LIBERTY ELEMENTARY THERAPY PROGRAM, WHICH PROVIDES FREE THERAPY SERVICES TO STUDENTS AND FAMILIES AT THE SCHOOL. THEY HAVE EXPANDED THIS PROGRAM TO WRAP AROUND SERVICES FOR THE FAMILY, FOCUSING ON STRENGTHENING THE FAMILY UNIT ALONG WITH THERAPY FOR THE CHILD. 15,000
    CREIGHTON UNIVERISTY MEDICAL CENTER
    601 N 30TH ST
    OMAHA,NE68131     		  PC CONTINUE A TRAINING MODULE TO IMPROVE THE CAPACITY OF PSYCHIATRIC RESIDENTS TO ENGAGE PATIENTS FACED WITH TRAUMATIC SITUATIONS. 5,000
    CREIGHTON UNIVERSITY CENTER FOR HEALTH AND COUNSELING
    2500 CALIFORNIA PLAZA
    OMAHA,NE68102     		  PC CREIGHTON UNIVERISTY ACTIVE MINDS EVENT SPONSORSHIP 500
    EARLY OPPORTUNITIES FOUNDATION INC
    17604 T ST
    OMAHA,NE68135     		  PC TRAIN TEACHERS AND OTHER COMMUNITY MEMBERS ON TCIT (TEACHER CHILD INTERACTIVE THERAPY), A TYPE OF EARLY INTERVENTION WITHIN THE CLASSROOM SETTING. 10,000
    HEARTLAND FAMILY SERVICE
    2101 S 42 ST
    OMAHA,NE68105     		  PC TO PROVIDE FUNDING TO PERFORM AN AUDIT OF THEIR THERAPEUTIC SERVICES FOR YOUTH TO ENSURE THE BEHAVIORAL HEALTH NEEDS ARE BEING ADDRESSED. 20,000
    LIFT UP SARPY COUNTY
    1210 GOLDEN GATE DRIVE
    PAPILLION,NE68046     		  GOV HELP MENTAL HEALTH DIVERSION PROGRAM MOVE TO A MORE SAFE FACILITY WHERE THE ADULTS AND CHILDREN IN MENTAL HEALTH DIVERSION AREN'T IN THE SAME LOCATION AND TO PURCHASE EQUIPMENT/TECHNOLOGY. 27,000
    LUTHERAN FAMILY SERVICES OF NEBRASKA
    124 S 24 ST SUITE 230
    OMAHA,NE68102     		  PC TO EXPAND THEIR QUALITY YOUTH MENTAL HEALTH SERVICES INTO LINCOLN, SINCE THEY HAVE STARTED PROVIDING MORE SERVICES THERE AND OPENED A 360 CLINIC WITH INTEGRATIVE CARE. 40,000
    MENTAL HEALTH ASSOCIATION OF NEBRASKA
    1645 N STREET
    LINCOLN,NE68508     		  PC TO CONTINUE DEVELOPING A PROGRAM THAT WORKS WITH SCHOOL DISTRICTS IMPLEMENTING WRAP (WELLNESS RECOVERY ACTION PLANS) FOR YOUTH, PROVIDING ONGOING WEEKLY SUPPORT SERVICES, AND IN-SERVICE TRAINING FOR TEACHERS/STAFF. 10,000
    METHODIST HOSPITAL FOUNDATION
    8401 WEST DODGE RD STE 225
    OMAHA,NE68114     		  PC TO CONTINUE PROVIDING FREE, PROFESSIONAL COUNSELING SERVICES TO TEENAGERS AND THEIR FAMILIES IN THE OMAHA COMMUNITY. CLINICS ARE IN MANY OF THE OMAHA PUBLIC MIDDLE SCHOOLS AND HIGH SCHOOLS, AS WELL AS SOME LOCAL CHURCHES. 20,000
    NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) NEBRASKA
    415 S 25TH ST
    OMAHA,NE68131     		  PC CIT SUPPLIES 1,950
    NEBRASKA CHILDREN'S HOME SOCIETY
    4939 S 118TH STREET
    OMAHA,NE68137     		  PC TO BUILD ON EXISTING MENTAL HEALTH SERVICES FOR LOW-INCOME YOUTH AND EXPAND MENTAL HEALTH CLINICAL CONSULTATION, PLUS STAFF TRAINING FOR ALL NCHS PROGRAMS. 30,000
    NEBRASKA FAMILY SUPPORT NETWORK
    3568 DODGE ST STE 2
    OMAHA,NE68131     		  PC ASSIST IN HIRING A YOUTH ADVOCATE WHO WILL COMPLIMENT THEIR STAFF AND FUNDING TO PROVIDE MORE PARENT EDUCATION ON TECHNIQUES AND STRATEGIES, AS WELL AS FUNDS FOR A STATEWIDE AWARENESS EVENT IN LINCOLN. 10,000
    NEBRASKA URBAN INDIAN HEALTH COALITION
    2240 LANDON COURT
    OMAHA,NE68102     		  PC HOOPS FOR LIFE EVENT SPONSORSHIP 250
    NOVA TREATMENT CENTER OMAHA HOME FOR BOYS
    8502 MORMAN BRIDGE ROAD
    OMAHA,NE68152     		  PC ASSIST WITH THEIR SECOND CHANCES PROGRAM, WHICH IS IN RESPONSE TO MEETING THE BASIC NEEDS OF THE ADULTS AND YOUTH POPULATION THEY SERVE. 7,000
    ONEWORLD COMMUNITY HEALTH CENTERS INC
    4920 S 30TH ST STE 103
    OMAHA,NE68107     		  PC EXPAND THEIR MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES. 20,000
    PROJECT HARMONY
    11949 Q STREET
    OMAHA,NE68137     		  PC TO EXPAND CRISIS COUNSELING USING THE CHILD & FAMILY STRESS INTERVENTION MODEL. 10,000
    RESPECT2
    820 S 75TH ST
    OMAHA,NE68114     		  PC EXPAND THEIR PERFORMANCES OUTSIDE OF THE OMAHA COMMUNITY WHERE MANY AREN'T RECEIVING THEIR MESSAGES ABOUT BULLYING, INTERNET SAFETY, CHILD ABUSE OR TEEN DATING VIOLENCE IN SUCH CREATIVE AND INNOVATIVE WAYS. 13,915
    THE BRIDGE BEHAVIORAL HEALTH INC
    721 K STREET
    LINCOLN,NE68508     		  PC EXPAND THEIR OUTPATIENT PROGRAM INTO A MORE WELCOMING SPACE FOR OUTPATIENT CLIENTS AND FAMILIES OF RESIDENTIAL CLIENTS. 10,150
    WOMEN'S CENTER FOR ADVANCEMENT
    222 S 29TH ST
    OMAHA,NE68131     		  PC SUPPORT THEIR COUNSELING PROGRAM FOR VICTIMS OF DOMESTIC VIOLENCE AND SEXUAL ASSAULT. THEY WILL OFFER SHORT TERM COUNSELING SESSIONS AND PEER-LED SUPPORT GROUPS. 5,000
    YOUTH EMERGENCY SERVICES
    2679 FARNAM STREET SUITE 205
    OMAHA,NE68131     		  PC TO PROVIDE SCHOLARSHIPS TO YOUTH FOR MENTAL HEALTH SERVICES IN THEIR STREET OUTREACH PROGRAM. 25,000
    YOUTH FOR CHRIST USA INC
    5062 S 108TH ST PMB 160
    OMAHA,NE68137     		  PC SUPPORT THE NON-DENOMINATIONAL COMMUNITY BASED ORGANIZATION WITH THEIR SCHOOL BASED CAMPUS LIFE MEETINGS, WEEKLY PROGRAMS IN LEADERSHIP DEVELOPMENT, BIBLE STUDIES, CHARACTER DEVELOPMENT TO HELP SERVE YOUTH WITH MENTAL HEALTH CHALLENGES AND SUICIDAL IDEATION, TUTORING AND COMMUNITY SERVICE/MISSION TRIPS. 25,000
    Total .................................bullet 3a 381,765
    bApproved for future payment
    Total .................................bullet 3b 0
    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 1,583  
    4 Dividends and interest from securities....     14 144,227  
    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.....     01 898  
    8
    Gain or (loss) from sales of assets other than inventory ............     		    18 200,822  
    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).. 0 347,530 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13347,530
    (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
    KIM FOUNDATION
    C/O LARRY J COURTNAGE
    Employer identification number

    47-0837377
    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
    KIM FOUNDATION
    C/O LARRY J COURTNAGE         		Employer identification number
    47-0837377
    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
    BRYAN MEDICAL CENTER
     

       
    1600 S 48TH ST
     
    LINCOLN, NE68506

    		$ 10,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    UNITED WAY OF THE MIDLANDS
     

       
    1805 HARNEY STREET
     
    OMAHA, NE68102

    		$ 17,424


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    3
    C & A INDUSTRIES INC
     

       
    13609 CALIFORNIA ST
     
    OMAHA, NE68154

    		$ 5,000


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

       
    11605 MIRACLE HILLS DRIVE
     
    OMAHA, NE68154

    		$ 5,000


    (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
    KIM FOUNDATION
    C/O LARRY J COURTNAGE         		Employer identification number

    47-0837377
    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
     
    		$    
    (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
     
    		$    
    (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
    KIM FOUNDATION
    C/O LARRY J COURTNAGE         		Employer identification number

    47-0837377
    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


    Software ID:  
    Software Version:  

    TY 2015 AccountingFeesSchedule
    Name:
    KIM FOUNDATION
     
    C/O LARRY J COURTNAGE
    EIN:
    47-0837377
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 2,058 0   2,058

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2015 ExpenditureResponsibilityStmt
    Name:
    KIM FOUNDATION
     
    C/O LARRY J COURTNAGE
    EIN:
    47-0837377
    Grantee's Name Grantee's Address Grant Date Grant Amount Grant Purpose Amount Expended By Grantee Any Diversion By Grantee? Dates of Reports By Grantee Date of Verification Results of Verification
    NEBRASKA ASSOCIATION OF BEHAVIORAL HEALTH ORGANIZATIONS
          		1141 H STREET STE B
    LINCOLN,NE68508     		2014-12-22 20,000 TO FUND TWO RESEARCH STUDIES THAT WILL EVALUATE ADEQUATE RATE INCREASES AND ACTUAL COST OF MENTAL HEALTH SERVICES. 20,000 NONE DECEMBER 31,2015   NO NEED FOR VERIFICATION HAS BEEN IDENTIFIED.

    TY 2015 InvestmentsOtherSchedule2
    Name:
    KIM FOUNDATION
     
    C/O LARRY J COURTNAGE
    EIN:
    47-0837377
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    NORTHWESTERN MUTUAL FINANCIAL NETWORK AT COST 5,696,721 6,001,264
    ACCRUED INTEREST AND DIVIDENDS RECEIVABLE AT COST 11,591 11,591

    TY 2015 LegalFeesSchedule
    Name:
    KIM FOUNDATION
     
    C/O LARRY J COURTNAGE
    EIN:
    47-0837377
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 34 0   34


    TY 2015 OtherExpensesSchedule
    Name:
    KIM FOUNDATION
     
    C/O LARRY J COURTNAGE
    EIN:
    47-0837377
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    DON'T BE SIDELINED CAMPAIGN 60,650 0   60,650
    COMMUNITY RELATIONS 1,849 0   1,849
    DUES & FEES 1,073 0   1,073
    PAYPAL TRANSACTION FEES 388 0   388
    OFFICE SUPPLIES 264 0   264
    TIME FOR HOPE AND HEALING 22,182 0   22,182
    MEALS & ENTERTAINMENT 182 0   182
    BANK SERVICE CHARGES 7 0   7
    INSURANCE 7,848 0   7,848


    TY 2015 OtherIncomeSchedule2
    Name:
    KIM FOUNDATION
     
    C/O LARRY J COURTNAGE
    EIN:
    47-0837377
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    ROYALTY INCOME 723 723 723
    HONORARIUM 175 175 175


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    KIM FOUNDATION
     
    C/O LARRY J COURTNAGE
    EIN:
    47-0837377
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEES 17,045 17,045   0


    TY 2015 TaxesSchedule
    Name:
    KIM FOUNDATION
     
    C/O LARRY J COURTNAGE
    EIN:
    47-0837377
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 2,100 2,100   0