Co hl C9 CD Z ^! y ccw' ^ 2939132100914 990-PF Return of Private Foundation OMB No 1545-0052 Form or Section 4947( a)(1) Trust Treated as Private Foundation ► Do not enter social security numbers on this form as it may be made public. 2017 nRet en even ue Service So- the Treasury Go to www.irs . 9 ov/Form990PF for instructions and the latest information. •. For calendar year 2017 or tax year beginning 7/1/2017 , and ending 6/30/2018 Name of foundation A Employer identification number KOCH , GWENDOLYN T U A #A IRREV VJ For Paperwork Reduction Act Notice , see instructions. HTA 00 0 CV Cq v w 0 0 W Z Z U NM55tsTand street (or P 0 box number if mail is not delivered to street address) Room /suite 84-6049291 Wells Farg o Bank N A Trust Tax De p t - 6325 S RAINBOW BLVD STE 300 B Telephone number ( see instructions) City or town. state or province, country, and ZIP or foreign postal code LAS VEGAS NV 89118 888-730-4933 Foreign country name Foreign province/ state/county Foreign postal code C If exemption application is pending, check here G Check all that apply q Initial return q Initial return of a former public charity Final return Amended return q q Address chan g e q Name chan a D 1. Foreign organizations, check here ► q o 2. Foreign organizations meeting the 85 % test, check here and attach computation ► q H Check type of organization ® Section 501 (c)(3) exempt private foundation O El Section 4947 ( a )( 1 ) nonexem p t charitable trust El Other taxable p rivate foundation If private foundation status was terminated under q section 507(b)(1)(A), check here ► I Fair market value of all assets at end of year (from Part II, col. (c), line 16 ) ► $ 2 , 175.851 J Accounting method ® Cash q Accrual! q Other (specify) (Part I, column (d) must be on cash basis ) F If the foundation is in a 60-month termination under section 507(b)( 1)(B), check here ► q 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 onl y) 1 Contributions, gifts, grants, etc, received (attach schedule) 2 Check if the foundation is not required to attach Sch B 3 Interest on savings and temporary cash investments 4 Dividends and interest from securities 50,937 50,937 5a Gross rents b Net rental income or (loss) - - 6a Net gain or (loss) from sale of assets not on line 10 44,354 b Gross sales price for all assets on line 6a 1 , 231 , 226 > 7 Capital gain net income (from Part IV, line 2) 44,3 W 8 Net short-term capital gain 9 Income modifications ( 10a Gross sales less returns and allowances /tt - cn ' 1 b Less Cost of goods sold 4 c Gross profit or (loss) (attach schedule) . 11 Other income (attach schedule) O 12 Total. Add lines 1 throu g h 11 95,291 9512 1 ' I to 13 Compensation of officers, directors, trustees, etc 32,418 24,313 8,104 u) 14 Other employee salaries and wages am 15 Pension plans, employee benefits x 16a Legal fees (attach schedule) b Accounting fees (attach schedule) - 1 , 137 1,137 c Other professional fees (attach schedule) T 17 Interest 18 Taxes (attach schedule) (see instructions) 5,316 785 E 19 Depreciation (attach schedule) and depletion j 20 Occupancy a 21 Travel, conferences, and meetings 22 Printing and publications 23 Other expenses (attach schedule) 16 16 116 24 Total operating and administrative expenses. Add lines 13 through 23 38 , 887 25 , 114 0 9 241 . 25 Contributions, gifts, grants paid 118,617 = • 118 , 617 O 26 Total expenses and disb ursements . Add l ines 24 and 25 157 , 504 25 , 114 0 127 , 858 27 Subtract line 26 from line 12 a Excess of revenue over expenses and disbursements -62,213 b Net investment income (if negative, enter -0-) 70,177 I c Adjusted net income (if negative, enter -0-) 0 8 Form 99U-PP (2017)
30
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ccw'^ 2939132100914
990-PFReturn of Private Foundation OMB No 1545-0052
Form or Section 4947(a)(1) Trust Treated as Private Foundation
► Do not enter social security numbers on this form as it may be made public.2017
nRet enevenue Service So-
the TreasuryGo to www.irs .9ov/Form990PF for instructions and the latest information. •.
For calendar year 2017 or tax year beginning 7/1/2017 , and ending 6/30/2018Name of foundation A Employer identification number
KOCH , GWENDOLYN T U A #A IRREV
VJ For Paperwork Reduction Act Notice , see instructions.HTA
000CV
Cq
vw0
0WZZ
U
NM55tsTand street (or P 0 box number if mail is not delivered to street address) Room/suite 84-6049291
Wells Fargo Bank N A Trust Tax Dept - 6325 S RAINBOW BLVD STE 300 B Telephone number ( see instructions)
City or town. state or province, country, and ZIP or foreign postal code
LAS VEGAS NV 89118 888-730-4933Foreign country name Foreign province/state/county Foreign postal code C If exemption application is pending, check here
G Check all that apply q Initial return q Initial return of a former public charityFinal return Amended returnq q
Address change q Name chan a
D 1. Foreign organizations, check here ► q
o2. Foreign organizations meeting the 85% test,
check here and attach computation ► q
H Check type of organization ® Section 501 (c)(3) exempt private foundation O
El Section 4947 (a )( 1 ) nonexem p t charitable trust El Other taxable private foundation
If private foundation status was terminated under
qsection 507(b)(1)(A), check here ►
I Fair market value of all assets atend of year (from Part II, col. (c),
line 16 ) ► $ 2 , 175.851
J Accounting method ® Cash q Accrual!
q Other (specify)(Part I, column (d) must be on cash basis )
F If the foundation is in a 60-month termination
under section 507(b)( 1)(B), check here ► q
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 onl y)
1 Contributions, gifts, grants, etc, received (attach schedule)
2 Check if the foundation is not required to attach Sch B3 Interest on savings and temporary cash investments4 Dividends and interest from securities 50,937 50,937
5a Gross rentsb Net rental income or (loss) - -
6a Net gain or (loss) from sale of assets not on line 10 44,354b Gross sales price for all assets on line 6a 1 , 231 , 226
> 7 Capital gain net income (from Part IV, line 2) 44,3
W 8 Net short-term capital gain
9 Income modifications (10a Gross sales less returns and allowances /tt - cn ' 1
b Less Cost of goods sold 4
c Gross profit or (loss) (attach schedule) .
11 Other income (attach schedule) O
12 Total. Add lines 1 throug h 11 95,291 9512 1 ' I
to 13 Compensation of officers, directors, trustees, etc 32,418 24,313 8,104
u) 14 Other employee salaries and wages
am 15 Pension plans, employee benefits
x 16a Legal fees (attach schedule)
b Accounting fees (attach schedule) - 1 , 137 1,137
c Other professional fees (attach schedule)
T 17 Interest18 Taxes (attach schedule) (see instructions) 5,316 785
E 19 Depreciation (attach schedule) and depletion j
20 Occupancya 21 Travel, conferences, and meetings
22 Printing and publications23 Other expenses (attach schedule) 16 16
116
24 Total operating and administrative expenses.Add lines 13 through 23 38 , 887 25 , 114 0 9 241.
25 Contributions, gifts, grants paid 118,617 = • 118 , 617O 26 Total expenses and disb ursements . Add l ines 24 and 25 157 , 504 25 , 114 0 127 , 858
27 Subtract line 26 from line 12a Excess of revenue over expenses and disbursements -62,213
b Net investment income (if negative, enter -0-) 70,177 I
c Adjusted net income (if negative, enter -0-) 0
8
Form 99U-PP (2017)
Form 990-PF (2017 ) KOCH, GWENDOLYN T U A #A IRREV 84-6049291 Page 2
Attached schedules and amounts in the description column Beginning of year End of yearBalance Sheets
should be for end-of-year amounts only (See instructions) (a) Book Value ( b) Book Value (c) Fair Market Value
I Cash-non-Interest-bearing2 Savings and temporary cash investments 332,021 52 , 644 52,644
20 Loans from officers, directors, trustees, and other disqualified persons
S 21 Mortgages and other notes payable (attach schedule)
22 Other liabilities (describe ►-----------------------------
23 Total liabilities (add lines 17 through 22) 0 0
W
CM
Foundations that follow SFAS 117, check here ► q
and complete lines 24 through 26 , and lines 30 and 31.
24 Unrestricted
m 25 Temporarily restricted
26 Permanently restricted
LL
o
Foundations that do not follow SFAS 117, check here ►and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds 1,981 236 1 ,919,273Wd 28 Paid-in or capital surplus, or land, bldg , and equipment fund(4 29 Retained earnings, accumulated income, endowment, or other funds
a 30 Total net assets or fund balances (see instructions) 1 , 981 , 236 1 1 919,273
Z 31 Total liabilities and net assets/fund balances (seeinstructions) 1 , 981 , 236 1 1 , 919 , 273 1Analysis 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 withend-of-year figure reported on prior year's return) 1 1,981,236
2 Enter amount from Part I, line 27a 2 -62,2133 Other increases not included in line 2 (itemize) ► MUTUA-L FUND TIMING DIFFERENCE
--
--------3 1,027
-4 Add lines 1, 2, and 3 4 1,920,050
--5 Decreases not included in line 2 (itemize) ► COST BASIS-ADJUSTMENT 5 777------------------------
6 Total net assets or fund balances at end of year (line 4 minus line 5)-Part II, column (b), line 30 6 1 , 919 , 273Form 990-PF (2017)
Form 990-PF (2017) KOCH, GWENDOLYN T U A #A IRREV 84-6049291 Page 3
MCM Capital Gains and Losses for Tax on Investment Income
a) List and describe the kind ( s) of property sold (for example , real estate,
2-sto ry brick warehouse , or common stock , 200 shs MLC Co
eComplete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (I) Gains (Col (h) gain minus
(Q F M V as of 12/31/69()) Adjusted basis
as of 12/31/69
(k) Excess of col (i)
over col (t), if any
col ( k), but not less than -0-) or
Losses (from col (h))
ab
cde
2 Capital gain net income or (net capital loss)j If gain, also enter in Part I, line 7
l If (loss), enter -0- in Part I, line 7 J 2 44,354
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 3 0
KUM 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'? q Yes NoIf "Yes," the foundation doesn't qualify under section 4940(e) Do not complete this part
1 Enter the app ropriate amount in each column for each year, see the instructions before making an entries
Base period yearsCalendar y ear (or tax year beg inning in
Adjusted qualifying distributions Net value of noncha)ntable use assetsDistribution ratio
2 Total of line 1, column (d) 2 02343763 Average distribution ratio for the 5-year base period--divide the total on line 2 by 5 0, or by
the number of years the foundation has been in existence if less than 5 years . . 3 0 046875
4 Enter the net value of noncharltable-use assets for 2017 from Part X, line 5 4 2,239,679
5 Multiply line 4 by line 3 . . 5 104,985
6 Enter 1 % of net investment income (1 % of Part I, line 27b) . . 6 702
7 Add lines 5 and 6 7 105,687
8 Enter qualifying distributions from Part XII, line 4 . . 8 127 , 858If line 8 is equal to or greater than line 7 , check the box in Part VI, line 1 b, and complete that part using a 1 % tax rate See the
Part VI Instructions
Form 990-PF (2017)
Form 990-P F (2017) KOCH, GWENDOLYN T U A #A IRREV 84-6049291 Page 4
Excise Tax Based on Investment Income (Section 4940 (a ), 4940 ( b ) , 4940 (e ) , or 4948-see instructions
1a Exempt operating foundations described in section 4940(d)(2), check here ► q and enter "N/A" on line 1
Date of ruling or determination letter (attach copy of letter if necessary-see instructions)
b
- - -
Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 702
chere ► ® and enter 1% of Part I, line 27bAll other domestic foundations enter 2% of line 27b Exempt foreign organizations, enter 4% of
2
Part I, line 12, col (b).
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 3 702
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only, others, enter -0-) 4
5 Tax based on investment income . Subtract line 4 from line 3 If zero or less, enter -0- 5 702
6
a
b
c
d
Credits/Payments
2017 estimated tax payments and 2016 overpayment credited to 2017 6a 3,150
Exempt foreign organizations-tax withheld at source 6b
Tax paid with application for extension of time to file (Form 8868) 6c
Backup withholding erroneously withheld 6d
7 Total credits and payments Add lines 6a through 6d 7 3,150
8 Enter any penalty for underpayment of estimated tax Check here El if Form 2220 is attached
9 Tax due . If the total of lines 5 and 8 is more than line 7, enter amount owed ► 9 0
10 Overpayment . If line 7 is more than the total of lines 5 and 8, enter the amount overpaid ► 10 2,44811 Enter the amount of line 10 to be Credited to 2018 estimated tax ► 702 1 Refunded ► 11 1 746
Statements Regarding Activities1a During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it
participate or intervene in any political campaign's
b Did it spend more than $100 during the year (either directly or indirectly) for political purposes' See the
instructions for the definition
If the answer is "Yes" to I a or I b, 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'sd Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year
(1) On the foundation ► $ (2) On foundation managers
e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers ► $
2 Has the foundation engaged in any activities that have not previously been reported to the IRS?
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
4a Did the foundation have unrelated business gross income of $1,000 or more during the year?
b If "Yes," has it filed a tax return on Form 990-T for this year?
5 Was there a liquidation, termination, dissolution, or substantial contraction during the year?
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 thatconflict with the state law remain in the governing instrument'?
7 Did the foundation have at least $5,000 in assets at any time during the year's If "Yes," complete Part II, col (c), and Part XV
8a Enter the states to which the foundation reports or with which it is registered See instructions ►
--C--O ---------------------------------------------------------------------------------------------------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 8b9 Is the foundation claiming status as a private operating foundation within the meaning of section 4942 0)(3) _
or 49420 )( 5) for calendar year 2017 or the tax year beginning in 2017 ? See the instructions for Part XIV If
"Yes," complete Part XIV
ri^i
10 Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing theirnames and addresses
Form
No
X
X
X
X
X
X
X
X
X(2017)
Form 990-PF (2017) KOCH, GWENDOLYN T U A #A IRREV 84-6049291 Page 5
Statements Regardin g Activities (continued)11 At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the Yes No
the meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions . 11 X12 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 X
13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? 13 X
14 The books are in care of ► WELLS FARGO BANK N A Telephone no. ► 888:730-4933
Located at ► 100 N MAIN ST MAC D4001-117 WINSTON SALEM NC ZIP+4 ► --------------- - 27101
15 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 -check here ► q
and enter the amount of tax-exempt interest received or accrued during the year . . . ► 15 N/A _
16 At any time during calendar year 2017, did the foundation have an interest in or a signature or other authority Yes No
over a bank, securities, or other financial account in a foreign country'? 16 X
See the instructions for exceptions and filing requirements for FinCEN Form 114 If "Yes," enter the
name of the foreign country ►M&PURM-- Statements Regarding Activities for Which Form 4720 May Be Req uired
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'? q Yes q No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) adisqualified person? . . q Yes No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? q Yes No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? . Yes q No
(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)? . . q Yes No
(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 aftertermination of government service, if terminating within 90 days) q Yes No
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 1 b XOrganizations relying on a current notice regarding disaster assistance, check here . . . ► q
c Did the foundation engage in a prior year in any of the acts described in 1 a, other than excepted acts, that
-were not corrected before the first day of the tax year beginning in 2017'? . . . 1 c X2 Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 49420)(3) or 4942(j)(5))
a At the end of tax year 2017, did the foundation have any undistributed income (lines 6d and6e, Part XIII) for tax year(s) beginning before 2017'? . . q Yes q No
If "Yes," list the years ► 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
► 20 20 , 20 20
3a Did the foundation hold more than a 2% direct or indirect interest in any business enterpriseat any time during the year? . . . , q Yes q No
b If "Yes," did it have excess business holdings in 2017 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 theCommissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest, or (3) the lapse
Jof the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine if thefoundation had excess business holdings in 2017 ) 3b N/A
4a Did the foundation invest during the year any amount m a manner that would jeopardize its charitable purposes' 4a X
b Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize itscharitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2017 4b X
Form 990-PF (2017)
Form 990-PF (2017) KOCH, GWENDOLYN T U A #A IRREV 84-6049291 Page 6
NUMNIM 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))? q Yes No
(2) Influence the outcome of any specific public election (see section 4955), or to carry on,
directly or indirectly, any voter registration drive? q Yes No
(3) Provide a grant to an individual for travel, study, or other similar purposes' q Yes No
(4) Provide a grant to an organization other than a charitable, etc, organization described insection 4945(d)(4)(A)? See instructions q Yes ® No
(5) Provide for any purpose other than religious, charitable, scientific, literary, or educational
purposes, or for the prevention of cruelty to children or animals' q Yes No
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 instructi ons 5b N/A
Organizations relying on a current notice regarding disaster assistance, check here ► q
c If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the taxbecause it maintained expenditure responsibility for the grant' N/A q Yes q No
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'? q Yes ® No
-b Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? 6b XIf "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? q Yes NoJI
b If "Yes," did the foundation receive any proceeds or have any net income attributable to the transaction? 7b N/A
EUT&TIHM Information About Officers, Directors, Trustees, Foundation Managers , Highly Paid Employees,and Contractors
I List all nfficarc dirpctnrc tructpps and fnundatinn mananPrs and their cmmnensation SPe instructinns
Total number of other employees paid over $50,000 ► 0
Form 990-PF (2017)
Form 990-PF (2017) KOCH, GWENDOLYN T U A #A IRREV 84-6049291 Page 7
Information About Officers, Directors, Trustees, Foundation Managers , Highly Paid Employees,and Contractors (continued)
3 Five hi g hest-paid inde pendent contractors for p rofessional services. See instructions . If none , enter "NONE."(a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
Total number of others receiving over $50,000 for professional services
Summary of Direct Charitable Activities
List the foundation's four largest direct chartable activities during the tax year Include relevant statistical information such as the number of I Expensesorganizations and other beneficiaries served, conferences convened, research papers produced, etc
Form 990-PF (2017) KOCH, GWENDOLYN T U A #A IRREV 84-6049291 Page 8
EMU Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions. )
I 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 2,086 899b Average of monthly cash balances lb 186,887
c Fair market value of all other assets (see instructions) 1cd Total (add lines 1a, b, and c) 1d 2,273,786
e Reduction claimed for blockage or other factors reported on lines 1a and1c (attach detailed explanation) 1e
2 Acquisition indebtedness applicable to line 1 assets . . 2
3 Subtract line 2 from line 1d . . 3 2 , 273,7864 Cash deemed held for charitable activities. Enter 11/2 % of line 3 (for greater amount, see
instructions) . . . . 4 34,107
5 Net value of noncharitable -use assets . Subtract line 4 from line 3 Enter here and on Part V, line 4 5 2,239,679
6 Minimum investment return . Enter 5% of line 5 6 111,984
Distributable Amount (see instructions) (Section 49420)(3) and 0)(5) private operating foundationsand certain foreign organizations, check here ► q and do not complete this part.)
I Minimum investment return from Part X, line 6 1 111,984
2a Tax on investment income for 2017 from Part VI, line 5 2a 702
b Income tax for 2017. (This does not include the tax from Part VI.) 2b
c Add lines 2a and 2b . . 2c 702
3 Distributable amount before adjustments Subtract line 2c from line 1 3 111,2824 Recoveries of amounts treated as qualifying distributions 45 Add lines 3 and 4 5 111,282
6 Deduction from distributable amount (see instructions) 6
7 Distributable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII,
line 1 7 111,282
ORM Qualifying Distributions (see instructions)
I Amounts paid (including administrative expenses) to accomplish charitable, etc, purposes _
a Expenses, contributions, gifts, etc -total from Part I, column (d), line 26 1a 127 , 858b Program-related investments-total from Part IX-B lb
2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes 23 Amounts set aside for specific charitable projects that satisfy the _
a Suitability test (prior IRS approval required) 3ab Cash distribution test (attach the required schedule) 3b
4 Qualifying distributions . Add lines la through 3b Enter here and on Part V, line 8, and Part XIII, line 4 4 127,858
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 5 702
6 Adjusted qualifying distributions . Subtract line 5 from line 4 6 127,156
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 (2017)
1
Form 990-PF (2017) KOCH, GWENDOLYN T U A #A IRREV 84-6049291 Page 9
IMIRTM Undistributed income (see instructions
(a) (b) (c) (d)
1 Distributable amount for 2017 from Part XI, Corpus Years pnor to 2016 2016 2017
line 7 111 , 282
2 Undistributed income, if any, as of the end of 2017
a Enter amount for 2016 only 101,233b Total for prior years 20 , 20 , 20_
3 Excess distributions carryover, if any, to 2017a From 2012
b From 2013c From 2014d From 2015e From 2016f Total of lines 3a through e 0
4 Qualifying distributions for 2017 from Part XII,line 4 ► $ 127,858
a Applied to 2016, but not more than line 2a 101,233
b Applied to undistributed income of prior years
(Election required-see instructions)c Treated as distributions out of corpus (Election
required-see instructions)
d Applied to 2017 distributable amount 26,625
e Remaining amount distributed out of corpus5 Excess distributions carryover applied to 2017
(If an amount appears in column (d), the sameamount must be shown in column (a) )
6 Enter the net total of each column asindicated below:
a Corpus Add lines 3f, 4c, and 4e Subtract line 5 0b Prior years' undistributed income. Subtract
line 4b from line 2b 0c Enter the amount of prior years' undistributed
income for which a notice of deficiency hasbeen issued, or on which the section 4942(a)
tax has been previously assessed
d Subtract line 6c from line 6b Taxable
amount-see instructionse Undistributed income for 2016 Subtract line
4a from line 2a Taxable amount-see
instructions 0f Undistributed income for 2017 Subtract lines
4d and 5 from line 1 This amount must be
distributed in 2018 84 , 6577 Amounts treated as distributions out of corpus
to satisfy requirements imposed by section170(b)(1)(F) or 4942(g)(3) (Election may be
required-see instructions) .8 Excess distributions carryover from 2012 not
applied on line 5 or line 7 (see instructions)9 Excess distributions carryover to 2018.
Subtract lines 7 and 8 from line 6a10 Analysis of line 9
a Excess from 2013b Excess from 2014c Excess from 2015d Excess from 2016e Excess from 2017
Form 990-PF (2017)
Form 990-PF (2017) KOCH, GWENDOLYN T U A #A IRREV 84-6049291 Pagel0
Private Operating Foundations (see instructions and Part VII-A, question 9) N/A
1a If the foundation has received a ruling or determination letter that it is a private operating
foundation , and the ruling is effective for 2017, enter the date of the ruling ► /b Check box to indicate whether the foundation is a private operating foundation described in section fl 4942j)(3) or 0 49420)(5)
2a Enter the lesser of the adjusted net Tax year Prior 3 yearsincome from Part I or the minimum (a) 2017 (b) 2016 (c) 2015 (d)
( e) Total
investment return from Part X for1 a
each year listed
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 thealternative test relied upon
a "Assets" alternative test-enter
(1) Value of all assets 0(2) Value of assets qualifying under
section 49420)(3)(8)(1) 0b "Endowment" alternative test-enter 2/3
of minimum investment return shown inPart X line 6 for each year listed . /
0,
/c "Support" alternative test-enter
(1) Total support other than grossinvestment income (interest,dividends, rents, payments onsecurities loans (section512(a)(5)), or royalties) 0
(2) Support from general publicand 5 or more exemptorganizations as provided insection 49420)(3)(8)(m) 0
(3) Largest amount of support froman exempt organization 0
4 Gross investment income 0
Supplementary Information (Complete this part only if the foundation had $5 , 000 or more in assets atany time during the year-see instructions.)
1 Information Regarding Foundation Managers:
a List 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
b List 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
Check here ► ® if the foundation only makes contributions to preselected charitable organizations and does not acceptunsolicited requests for funds If the foundation makes gifts, grants, etc , to individuals or organizations under other
conditions, complete items 2a, b, c, and d See instructions
a The name, address, and telephone number or email address of the person to whom applications should be addressed
b The form in which applications should be submitted and information and materials they should include
c Any submission deadlines
d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or otherfactors
Form 990-PF (20 1 7)
Form 990-PF (2017) KOCH, GWENDOLYN T U A #A IRREV 84-6049291 Page 11
90-TiltM. Supplementary Information (continued)3 Grants and Contributions Paid Durina the Year or Approved for Future Payment
RecipientIf recipient is an individual ,
Foundationshow any relationship to
status ofPurpose of grant or
Amount
and address (home or business)Nameany foundation manager
recipientcontribution
or substantial contributorr
a Paid during the yearSee Attached Statement
Total ► 3a 118 617
b Approved for future paymentNONE
Total ► 3bl 0Form 990-PF (2017)
Form 990-PF (2017) KOCH, GWENDOLYN T U A #A IRREV 84-6049291 Page 12
Analysis of Income-Producin ActivitiesEnter gross amounts unless otherwise indicated Unrelated business income Excluded by section 512, 513, or 514
Program service revenue
(a)
code(b)
Amount(C)
Exclusion code
(d)
Amount
(e)
Related or exempt
incomefunction(See instructions )
ab
cd
efg Fees 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 50,9375 Net rental income or (loss) from real estate I
a Debt-financed property
b Not debt-financed property6 Net rental income or (loss) from personal property
7 Other investment income
8 Gain or (loss) from sales of assets other than inventory 18 44,354
9 Net income or (loss) from special events .10 Gross profit or (loss) from sales of inventory11 Other revenue a
b
cd
e12 Subtotal Add columns (b), (d), and (e) 0 95,291 013 Total. Add line 12, columns (b), (d), and (e) 13 95,291
(See worksheet in line 13 instructions to veri fy calculationsRelationshi p of Activities to the Accomplishment of Exempt Purposes
Line No.
♦Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to theaccomplishment of the foundation's exempt purposes (other than by providing funds for such purposes) (See instructions )
Not ADt licable
Form yyu-rr (2017)
Form 990-PF (2017) KOCH, GWENDOLYN T U A #A IRREV 84-6049291 Page 13
Information Regarding Transfers to and Transactions and Relationships With Noncharitable
1 Did the organization directly or indirectly engage in any of the following with any other organization described Yes No
in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political
organizations'?a Transfers from the reporting foundation to a noncharltable exempt organization of
(1) Cash . . . . la ( l ) X
(2) Other assets la(2)1 X
b Other transactions _(1) Sales of assets to a nonchantable exempt organization 1b ( l ) X
(2) Purchases of assets from a noncharltable exempt organization lb (2) X
(3) Rental of facilities, equipment, or other assets . . . . . . 1b ( 3) X
(4) Reimbursement arrangements . . 1 b (4 ) X
(5) Loans or loan guarantees . . 1 b ( 5 ) X
(6) Performance of services or membership or fundraising solicitations . . 1 b ( 6 )1 X
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees 1c Xd 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 marketvalue in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
(a) Line no I (b) Amount involved I (c) Name of nonchantable exempt organization I (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 organizationsdescribed in section 501 ( c) (other than section 501 ( c)(3)) or in section 5277 q Yes ® No
b If "Yes," complete the following schedule
(a) Name of organization ( b) Type of organization (c) Description of relationship
Under penalties of perjury, I declare that I have examined this return , includ i ng accompanying schedules and statements , and to the best of my knowledge and belief, i s true
Sign cow, and complete Declaration of preparer (other than taxpayer ) is based on all informatio
Here Q&&" VP110/24/20
Signature of officer or trustee Date
Pnntlrype preparer ' s name Preparer ' s signaturePaid
JOSEPH J CASTRIANO ^^
KOCH, GWENDOLYN T U A #A IRREV 84-6049291 Page 1 of 2
Continuation of Part XV, Line 3a (990-PF ) - Grants and Contributions Paid During the YearRecipient( s) paid during the year
NameCOMMUNITY AND SENIOR CENTERSStreet
City State Zip Code Foreign CountryCOLORADO SPRINGS CO 80901Relationship Foundation Status
NONE PCPurpose of grant/contribution Amount
Name
UNITED WAY OF CENTRAL NEW MEXICOStreet
2340 ALAMO AVE SECity State Zip Code Foreign Country
Relationship Foundation Status
Purpose of grant/contribution AmountGENERAL SUPPORT GRANT 7,117
Name
DOMESTIC AND FOREIGN MISSIONARY SOCIETYStreet
City State Zip Code Foreign Country
NEW YORK NY 10017Relationship Foundation StatusNONE PCPurpose of grant/contribution AmountGENERAL SUPPORT GRANT I 32,027
Name
ORDER OF ST ANNEStreet
1600 BROADWAYCity State Zip Code Foreign Country
Relationship Foundation StatusNONE PCPurpose of grant/contribution Amount
Name
YWCA OF THE MIDDLE RIO GRANDEStreet
210 TRUMAN ST NE NO ACity State Zip Code Foreign Country
Relationship Foundation StatusNONE PCPurpose of grant/contribution AmountGENERAL SUPPORT GRANT 7.117
Name
DIOCESE OF THE RIO GRANDEStreet
6400 COORS BOULEVARD NWCity State Zip Code Foreign CountryALBUQUERQUE NM 87102Relationship Foundation StatusNONE PCPurpose of grant/contribution AmountGENERAL SUPPORT GRANT 8.303
KOCH. GWENDOLYN T U A #A IRREV 84-6049291 Paqe 2 of 2
Continuation of Part XV, Line 3a (990-PF ) - Grants and Contributions Paid During the YearRecipient(s) paid during the year
NameCOLORADO SPRINGS SCHOOLStreet21 BROADMOOR AVECity State Zip Code Foreign CountryCOLORADO SPRINGS CO 80906Relationship Foundation StatusNONE PCPurpose of grant/contribution Amount
GENERAL SUPPORT GRANT 1 , 535
Name
DISABILITY SERVICES INCStreet5640 N ACADEMY BLVDCity State Zip Code Foreign CountryCOLORADO SPRINGS CO 80918Relationship Foundation StatusNONE PCPurpose of grant/contribution AmountGENERAL SUPPORT GRANT 8.303
Name
YMCAStreet
303 ROMA AVE NW SUITE RBOOACity State Zip Code Foreign CountryALBUQUERQUE NM 87102Relationship Foundation StatusNONE PCPurpose of grant/contribution AmountGENERAL SUPPORT GRANT I 7.117
Name
CHILDFUND INTERNATIONALStreet
2821 EMERYWOOD PARKWAYCity State Zip Code Foreign CountryRICHMOND VA 23294
Relationship Foundation Status
NONE PCPurpose of grant/contribution Amount
GENERAL SUPPORT GRANT 8 , 303
Name
GRACE & ST STEPHENS EPISCOPAL CHURCHStreet601 N TEJON STCity State Zip Code Foreign CountryCOLORADO SPRINGS CO 80903Relationship Foundation StatusNONE PCPurpose of grant/contribution Amount
Name
Street
City State Zip Code Foreign Country
Relationship JFoundation Status
Purpose of grant/contribution Amount
Part I, Line 6 ( 990-PF ) - Gain/Loss from Sale of Assets Other Than Invento ryTotals
AmountGross
Sales
Cost or Other Basis. Expenses,
Dep reciation and Ad j ustments
Net Gainor Loss
Long Term CG Distributions 7 620 Capital Gains/Losses 1 , 231 , 226 1 , 186 , 872 44 , 354Short Term CG Distributions 0 Other sales 0 a a
escri p tion USIP #
Check "Xto includein Part IV urchaser
Check -X" ifPurchaser
is aBusiness
Acquisition
Method
Date
Acq uiredDate
SoldGross Sales
PriceCost or
Other Basis
Valuation
Method
Expense of Saleand Cost of
Im provements e p reciation d justmentsNet Gain
or Loss1 HOST HOTELS & RESORTS , 44107P104 X 10/31/2017 512512018 215 195 0 202 INVITATION HOMES INC 46187W107 X 10/31/2017 11/28/2017 15 14 0 13 INVITATION HOMES INC 46187W107 X 10/31/2017 3/29/2018 659 651 0 84 HOME DEPOT INC 437076102 X 4/4/2017 5/30/2018 1 , 114 878 0
61 MEDICAL PPTYS TR INC 58463J304 X 10/31/2017 3/29!2018 1 . 826 1.86 0 -42
62 MERCK 8 CO INC NEW 58933Y105 X 2/512016 2/13/2018 658 592 _---- 0 66
63 MERCK & CO INC NEW_
58933Y105_
X 2/5!2016 5/30/2018 649 543 0 10664 MICROSOFT CORP 594918104 X 12/18/2001 1 0/26/2017 1`42 760 0 98265 ELI LILLY & CO COM 532457108 X 10!3!2016 5/30/2018 837 807 0 3066 MICROSOFT CORP 594918104 X 12/18/2001 2/13/2018 716 276 0 440
67 MICROSOFT CORP 594918104 X 12/18/2001 5/30/2018 1,479 , 518 0 _ 961
68 MICROSOFT CORP 594918104 X 9/11!2006 5/30!2018 1 , 381 362 0 1,01969 MID AMERICA APARTMENT 59522J103 X_ 10/31/2017 3!29!2018 y643 5,192 0 --54970
Part I, Line 6 ( 990-PF ) - Gain/Loss from Sale of Assets Other Than Invento ryTotals
AmountGross
Sales
Cost or Other Basis , Expenses
De preciation and Ad j ustments
Net Gainor Loss
Long Term CG Distributions 7 , 620 Capital Gains/Losses 1 , 231 , 226 1 , 186 , 872 44 , 354Short Term CG Distributions 0 Other sales 0 0 0
escri ption USIP 8
Check "X"to include
in Part IV urchaser
Check "X" if
Purchaser
is aBusiness
Acquisition
Method
Date
Acq uiredDate
Sold
Gross Sales
Price
Cost or
Other Basis
Valuation
Method
Expense of Saleand Cost of
Im rovements e p reciation d j ust ents
Net Gainor Loss
145
146CORPORATE OFFICE PROP
CROWN CASTLE INTL CORP --
22002T108 ___
22822V101
_X____
X
_`___________ 10/31/201710/31/2017
3/29/20183/29/2018
1,854
5 929
___2,291
5 788
_______ ____-__ __ ______________ ____ ___ 0
0
_ _ ____ -.137141
147 DIAGEO PLC - AD R 252430205 X 9/24/2013 10/26/2017 813 778 35148 DIAGEO PLC - ADR 252430205 X 9/24/2013 5/30/2018 1 , 163 1. 038 0 125149 DIGITAL RLTY TR INC 253868103 X 10/31/2017 3/29/2018 1,895 2.117 0 -222150 WALT DISNEY CO 254687106 X 12/13/2007 10/2612017 794 258 0 536151 WALT DISNE Y CO 254687106 X 4/10/2018 5130/2018 896 910 0 - 14152 DODGE & COX INCOME FD 256210105 X 7/30/2014 11/812017 149 , 676 150 , 000 0 -324153 DODGE & COX INCOME FD 256210105 X 7/29/2016 11/8/2017 99 , 784 100 , 000 0 -216154 DODGE & COX INCOME F D 256210105 X 8/5/2016 11/8/2017 5
Cost or Other F M V Adjusted Basis Excess of FMV Gains Minus
Acquisition Date Date Gross Depreciation Basis Plus as of as of Over Excess FMV Over
Descri p tion of Pro perty Sold CUSIP # Method Ac uued Sotd Sales Price Allowed Ad ustments Expense of Sate Gain or Loss 12/31/69 12/31169 Ad j usted Basis Ad Basis or Losses
1 HOST HOTE L S & RE SORTS 44107P104 10/31/2017 5125/2018 215 0 - 195 _ 20 0 0 0 202 INVITATION HOMES INC 46187W107 10/31/2017 11/28/2017 15 0 14 1 0 0- 0 1
Part VIII Line 1 (990 -PF) - Compensation of Officers, Directors, Trustees and Foundation Managers32.418 0 01
Check "X" Avg Hrs Expense
Name if Business Street City State Zi p Code Forei gn Country Title Per Week Com pensation Benefits Account
Wells Fargo Bank N A Trust Tax X 6325 S RAINBOW BLVD STE 300 LAS VEGAS NV 89118 TRUSTEE 1 00 32,418
7
Part VI. Line 6a (990-PR - Estimated Tax PaymentsDate - Amount
1 Credit from prior year return -1 02 First quarter estimated tax payment . 11/9/2017 2 788
3 Second quarter estimated tax payment . 12/12/2017 3 7874 Third quarter estimated tax payment . . 3/8/2018 4 7885 Fourth quarter estimated tax payment 6/11/2018 5 7876 Other payments 6 07 Total 7 3,150
Part XIII. Line 2a. Column C (990-PF) - Prior Year Undistributed IncomeI Distributable amounts for 2016 that remained undistributed at the beginning of the 2017 tax year 1 4r 101,233