04fbe1bf - foundation center990s.foundationcenter.org/990pf_pdf_archive/364/... · i f ir rk t...

Farm 990-PFGppartfient of the TreasuryInternal Revenue Service Note: The

Returnor Section 494

able

of Private Foundation7(a)(1) Nonexempt Charitable Trust:ed as a Private Foundationuse a coov of this return to satisfy state rei

OMB No. 1545-0052

rements. I 2008

For calendar year 2008, or tax year beginning , 2008, and ending , 20

G Check all that apply: Initial return Final return Amended return Address change Name changeName of foundation A Employer identification number

Use the IRSlabel. THE SUSAN L KLIMAITIS FDN ENDOW 36-4152463

Otherwise, Number and street (or P.O box number if mail is not delivered to street address) Room/suite B Telephone number lose Me 10 of the instructions)

printor type.

See S ecific 231 S LASALLE ST ( 312 ) 923-1658p

Instructions . City or town, state, and ZIP code C If exemption application is ►pending , check here

. ►D I Foreign organizations , check here

CHICAGO , IL 6 0 6 9 7 2. Foreign organizations meeting the

H Check type of organization: X Section 501(c)(3) exempt private foundation85% test, check here and attachcomputation . . . . . . . • ►

Section 4947 ( a )( 1 ) nonexempt charitable trust Other taxable p rivate foundationiIf f dd

t value of all assets at endI F ir rk J Accrualmethod: Cash LAccountinprivate ation status was term nateounE

►qa ma eof year (from Part ll,'col. (c), line

_g

q Other (specify) _ _ _ _ _ _ _ _ _ _ _ _

under section 507(b)(1)Wl,check here .

F if the foundation is in a 60-month termination

16) ► $ 1 , 770 , 943. (Part 1, column (d) must be on cash basis.) under section 507(b)( 1)(B),check here . ►

Analysis of Revenue and Expenses (Thetotal of amounts in columns (b), (c), and (d) (a) Revenue and (b) Net investment (c) Adjusted net

(d) Disbursementsfor charitable

may not necessarily equal the amounts in expenses perbooks

income income purposescolumn (a) (see page 11 of the instructions).) (cash basis only)

1 Contributions rfb, grants, etc , received ( attach schedule)

2 Check ► if the foundation is not required toattach Sch B . .

3 Interest on savings and temporarycash investments

4 Dividends and interest from securities . . 68 , 742 . 68 , 742.

5a Gross rents • • . • • • • • . . • . . . • .

b Net rental income or ( loss)

CD 6a Net gain or (loss) from sale of assets not on line 10 -108 , 351b Gross sales price for all 1 , 280 , 024.assets on line 6a

v V}g

7 Capital gain net income (from Part IV, line 2) tL

c 8 Net short-term capital gain . . . . . . . .

9 Income modifications . . . . . . . .10 a Gross sales less returns

wad ll ncesan a o

b Less- Cost of goods sold

c Gross profit or (loss) (attach schedule) , . .

11 Other income (attach schedule) 2 , 627 . 2 , 627. STMT 1• .. • •

12 Total. Add lines 1 throw h 11 -36 , 982 . 71 , 369.

13 Compensation of officers, directors, trustees, etc. • •

14 Other employee salaries and wages . . . .

y 15 Pension plans, employee benefits . . . . .

a) 16a Legal fees (attach schedule)CL

, .

2b Accounting fees (attach schedule)STMT 890 NON NONE 890

d

_

c Other professional fees (attach schs1. 3 9 , 281 . 5 , 569. 3 , 713

17 Interest . . . . . . . . . . . . . . . . . .

18 Taxes (attach schedule) (see page 14 of ti tic4s) 33 , 767

19 Depreciation (attach schedule) and depletion .

0 20 Occupancy . . . . . . . . . . . . . . . .

6 21 Travel, conferences, and meetings . . . . .

io 22 Printing and publications . . . . . . . . .

23 Other expenses (attach schedule) ST T. 5 15 15

24 Total operating and administrative expenses.

Add lines 13 through 23 43 , 953 . 5 , 569. NON 4 , 618

25 Contributions, gifts, grants paid . ... . • . 48 , 500 . 48 , 500

il 26 Total expenses and diabwsements. Add lines 24 and 25 92 , 453 5 , 569. NON 53 , 118

03 27 Subtract line 26 from line 12:

a Excess of revenue over expenses and disbursements -129 , 435 .

b Net investment income (if negative, enter -0-) 65 , 800.

c Adjusted net income (if neg ative . enter -0-).

,

c1

}

For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.JSABE1410 1 000

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%Form 990-PF (2008)

4

Fnrm 9B0.PF 120081 36-4152463 Paoe 2Attached schedules and amounts in the Beginning of year End of year

Balance Sheets description column should be for end-of-yearamounts only. (See instructions .) (a) Book Value ( b) Book Value (c) Fair Market Value

1 Cash - non-interest-bearing , , , , , , , , , , , , , , , , NONE NON

2 Savings and temporary cash investments , , , ... , . , 521 , 043. 132 , 427 . 132 , 427

3 Accounts receivable ► ------------------------ -- --- -- -- - -- - -- -- - - - -- -- ------ - -Less: allowance for doubtful accounts ► --------------

4 Pledges receivable ►Less: allowance for doubtful accounts ► --------------

5 Grants receivable , , , , , , , , , , , , , , , , , , , , ,

6 Receivables due from officers, directors, trustees , and other

disqualified persons ( attach schedule ) ( see page 15 of the instructions)

7 Other notes and loans receivable ( attach schedule ) ► _* _ _ _ _ * NO

Less: allowance for doubtful accounts ► NONE NO NON.______________

8 Inventories for sale or useFA , , , , , , , , , , , , , , , , , ,

y 9 Prepaid expenses and deferred charges , , , .. . . . . . . ,

10 a Investments - US. and state govemmentobligations (attach schedule) , NONE NON] NON

b Investments - corporate stock (attach schedule) , , , , , , , 2 127 798. 2 386 979, 1 1 638 , 516

c Investments - corporate bonds (attach schedule), , , , NONE NON] NON:11 Investments - land, buildings, ► NONEand equipment : basis - - - - - - - - - - - - - - - - - - - - - - -- - - -

Less - accumulated depreciation ►( h h d l )tt

NONE NON]_ _ _ _ _ _ _ _------------a ac sc e u e

12 Investments - mortgage loans . . . . .. . . . . . . . . .. NONE NO

13 Investments - other (attach schedule) , , , , ... . . . . . NONE NO NON.14 Land, buildings,and ►

equipment: basis ------ -------------- --- - - - - - - - -- - -Less: accumulated depreciation ►(attach schedule) --------------------

15 Other assets (describe ► ) NONE NO NON._____________________

16 Total assets (to be completed by all filers - see the

instructions. Also, see page 1, item 1) , . 2 , 648 , 841. 2 519 , 406 1 , 770 , 943

17 Accounts payable and accrued expenses , , , , , . , , , , .

, , , , , , , , , , ,18 Grants payable

co

, , , , , , , , , , , ,

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 ►

23 Total liabilities (add lines 17 through 22) , .

Foundations that follow SFAS 117, check here ►and complete lines 24 through 26 and lines 30 and 31.

24 Unrestricted . . . . . . . . . . . . . . . . . .. . . . . .

W 25 Temporarily restricted , , , , , , , , , , , , , , , , , , , ,

m ,,,,26 Permanently restricted ,,,,,,,,,,,,,,,,

c Foundations that do not follow SFAS 117,

►l t li 27 th h 31h k h dLL .comp nes rougere an e ec ec

0 27 Capital stock, trust principal, or current funds . , , , . , , , . 2 , 648 , 841. 2 , 519 , 406 .

40 28 Paid-in or capital surplus , or land , bldg., and equipmentfund , , ,

'CAD 29 Retained earnings , accumulated income, endowment, or other funds , NONE NO

30 Total net assets or fund balances ( see page 17 of the

Z instructions) . . . . . . . . . . . . . . . . . . 2 , 648 , 841. 2 , 519 , 40631 Total liabilities and net assets/fund balances (see page 17

................. .....of the instructio ns) 2 648 841. 2 , 519 , 406 ,LEM Analysis of Changes in Net Assets or Fund Balances1 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 2,648 , 841.

, , , , , , , , , , , , , , , , , , , , , , , , , , , ,2 Enter amount from Part I, line 27a , , 2 -129 , 435., , , ,,

3 Other increases not included in line 2 (itemize) ► 3--------------------------------------4 Add lines 1, 2, and 3 4 2 , 5 9406 .

5 Decreases not included in line 2 (itemize ) ► 5

6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30 6 2,519,406.

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36-4152463

Form 990-PF (2008)

I'TRIFIF Canital Gains and Losses for Tax on Investment Income

( a) List and describe the kind ( s) of roe sold ( e.g., real estate ,

2-story brick warehouse; or common stock , 200 shs. MLC Co.)

acquiredP-Punatio

acquired(mo ., day, yr.)

!d) Date soldinto., day, yr.)

la SEE PART IV DETAILb

cd

e

(e) Gross sales price (f) Depreciation allowed( or allowable)

(g) Cost or other basisplus expense of sale

( h) Gain or (loss)( e) plus ( f) minus (g)

a

b

cd

eComplete only for assets showing gain in column ( h) and owned by the foundation on 12/31/69 (I) Gains (Col. (h) gain minus

(i) F.M.V. as of 12 /31/69 (1) Adjusted basisas of 12/31/69

( k) Excess of col. (iiover col. (j), if any

col. (k), but not less than -0-) orLosses (from col. (h))

a

bcd

e

2 Capital gain net income or (net capital loss) ..If gain, also enter in Part I, line 7

{ If ( loss), enter -0- in Part I, line 7 } 2 -108 , 351.3 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 pages 13 and 17 of the instructions).

If ( loss), enter -0- in Pa rt I , line 8. 3Qualification 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? . _ . . Yes © No

If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part

1 Enter the aonronriate amount in each column for each year: see oaae 18 of the instructions before makina any entries.Is)

Base period yearsCalendar year ( or tax year beginning in) n distributionsAd justed uality(b4 9 Net value of noncharitable^se assets

tiDistribution ratio( col. (b) divided by col. (c))

2007 50 , 528. 1 , 967 , 000. 0.025687849522006 43 , 847. 1 , 016 , 975. 0.043115120822005 44 , 871. 970 536. 0.046233215462004 53 , 586. 942 862. 0.056833343592003 53 , 650. 865 516. 0.06198614468

2 Total of line 1 , column (d) ,,._,,,,•,,,.,•,,,,,.,•,, 2 0.233855674073 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 0.04677113481

4 Enter the net value of noncharitable-use assets for 2008 from Part X, line 5 . .. _ . ... _ 4 2 , 227 , 917.

5 Multiply line 4 by line 3 , . , • , , , . , , , • , . _ , • . , , • , • • . • , , , , . . . .. .. 5 104 , 202.

6 Enter 1 % of net investment income 0% of Part I, line 27b ) . . .. .. .... . .... 6 658.

7 ... . . . .Addlines 5and6 _ , , _ • • . . . . ... ...... . .. .... . ... 7 104 860.

8

. ..

Enter qualifying distributions from Part XII, line 4 _ _ , • 8 53 , 118.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. Seethe Part VI instructions on page 18.

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Form 990-PF (2008)

6 -

Form 990-PF (2008 ) 36-4152463 J,J Excise Tax Based on Investment Income (Section 4940(a), 4940 (b), 4940(e), or 4948 - see page 18 of the instructions)

Is Exempt operating foundations described in section 4940 ( d)(2), check here ► and enter " N/A' on line 1. . . .

Date of ruling letter. _--------- (attach copy of ruling letter if necessary - see instructions) _

b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 1 , 316.here ► q and enter 1%of Part I , line 27b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12 , col. (b) - ____

2 Tax under section 511 (domestic section 4947( a)(1) trusts and taxable foundations only. Others enter -0-) . . 2

3 Add lines land 2 ............................................. 3 1 , 316.

4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) , , , 4 NONE

5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0. . . . . . . . . . . . . . 5 1 , 316.

6 Credits / Payments:

a 2008 estimated tax payments and 2007 overpayment credited to 2008 , . , , 6a 1 , 500.

b Exempt foreign organizations-tax withheld at source . . . . . . .. . . . . . 61b NONE

c Tax paid with application for extension of time to file (Form 8868 ). 6c NON

d Backup withholding erroneously withheld . . . . . . . . . . . ... . . . 6d

7 Total credits and payments . Add lines 6a through 6d . . . . . . . . . . . . . . . . . . . . . . . . . 7 1 500 .

8 Enter any penalty for underpayment of estimated tax. Check here © 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 . . .. .. . . . . . . . . . . ► 9

10 Overpayment . If line 7 is more than the total of lines 5 and 8, enter the amount overpaid . . . . . . . . . . ► 10 184.

11 Enter the amount of line 10 to be: Credited to 2009 estimated tax ► Refunded ► 11 184.

Statements Regarding Activities

1e During the tax year, did the foundation attempt to influence any national , state , or local legislation or did it Yes No

. .. . . . . . .. . . . . . . . . . . . . . . .. . . . .participate or intervene in any political campaign? 1a X. . . . . .

b Did it spend more than $ 100 during the year ( either directly or indirectly ) for political purposes (see page 19

. . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . .of the instructions for definition )? 1b X. . . . . . . . . . .

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 . J

. . . . . . . . . . ..c Did the foundation file Form 1120-POL for this year? 1c X. . . . . ... . . . . . . . . . . . . . .

d 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 . ► $

I

2 Has the foundation engaged in any activities that have not previously been reported to the IRS? . . . . . . . . . . . . . . . 2 X

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

or other similar instruments? If'Yes, 'attach a conformed copy of the changes . . . .. . . .. . . .or bylawsincorporation 3 X, ,

4a Did the foundation have unrelated business gross income of $1,000 or more during the year? . . . . . . . . . . . .. . . . 4a X

' has it filed a tax return on Form 990-T for this year?b If "Yes 4b. . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . .,

or substantial contraction during the year?termination dissolution5 Was there a liquidation 5 X. . . . . . . . . . . . .. . . .,, ,

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 _____j

conflict with the state law remain in the governing instrument? . . . . .... .. .. . . . . . . . . . . . . . . . . . . . 6 X

000 in assets at any time during the year? If 'Yes,' complete Part 11, col. (c), and Part XV. .7 Did the foundation have at least $5 7 X,

8a Enter the states to which the foundation reports or with which it is registered (see page 19 of the

instructions ) ► --------------------------------------------------STMT 6

-----------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? f'No,' attach explanation . . . . . . . . . . . ... . . . 8b X

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 2008 or the taxable year beginning in 2008 (see instructions for Part XIV on

page 27)? If 'Yes,' complete Part XIV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 X

10 Did any persons become substantial contributors during the tax year? If "Yes; attach a schedule listing their

names and addresses . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . 10 X

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Form 990-PF (2008)

7. -

Form 990-PF (2008) 36-4152463 Activities

•11 At any time during the year, did the foundation , directly or indirectly, own a controlled entity within the

meaning of section 512(b)(3)? If "Yes," attach schedule (see page 20 of the instructions ) . . . . . . . . . . . .. . . . . . . 11 X

12 Did the foundation acquire a direct or indirect interest in any applicable insurance contract before

August 17 , 2008? . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . 12 X

13 Did the foundation comply with the public inspection requirements for its annual returns and-exemption application ? . . . . 13

Website address ----------------------------------------------------------------------------14 The books are in care of ► _BdIIk- Of America, -N_A-------------- Telephone no. ► _-0312) 923_1658______ _

Located at ► 231_SOUTH_LASALLE STREET,-CHICAGO, _IL-------------- ZIP +4

15 Section 4947 ( a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here • • • • . • • • • • • • • ►and enter the amount of tax-exempt interest received or accrued during the year ► 115

Statements Reaardina 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? . . • • . . . . q Yes No

(2) Borrow money from , lend money to, or otherwise extend credit to (or accept it from) a

disqualified person? . . . . . . . . . . . .. .... . . . . . . . . . . . . . . . . . . . . Yes X No

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? . . . . . . . Yes X No

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? . . . . . . . . Yes X 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 after

termination 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 ----- ,I

section 53.4941 ( d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions )? • •

.

• • 1b N

Organizations relying on a current notice regarding disaster assistance check here . . . . . . . . . . . . . ►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 2008? . . . . .. . . . . . . . . .... . . . . . . . . . 1c X

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( )J3) or 4942 (j)(5)):

a At the end of tax year 2008, did the foundation have any undistributed income ( lines 6d and

6e, Part XIII ) for tax year( s) beginning before 2008? • • • • • • • • • • • • • • • • • • • • • • • • • q Yes EgNo

If "Yes," list the years ► ----------- •---------- •---------- •----------b Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)

-IV(relating to incorrect valuation of assets ) to the year's undistributed income? ( If applying section 4942(a)(2) A

to all years listed , answer "No" and attach statement - see page 20 of the 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.

► '---------------------'----------

3a Did the foundation hold more than a 2% direct or indirect interest in any business

enterprise at any time during the year? • • . . • . . . . . . . . . . . . . . . . . . . . . . . . . . q Yes EA No

b If "Yes," did it have excess business holdings in 2008 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 2008.) . . .. . . . . . . . . . . . .. . . . . . . . . .. . . . . .. .. . . •

r44a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes? . . . . . . .

b Did the foundation make any investment in a prior year ( but after December 31, 1969) that could jeopardize itscharitable ouroose that had not been removed from jeopardy before the first day of the tax year beginning in 2008? • • • • • X

Form 990-PF (2008)

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Form 990-PF (2008) 36-4152463

FUM&WEV Statements Regarding Activities for Which Form 4720 May Be Required (continued)

6a During the year did the foundation pay or incur any amount to:q Y N(1) Carry on propaganda , or otherwise attempt to influence legislation ( section 4945 ( e))? . . . . . . es o

(2) Influence the outcome of any specific public election ( see section 4955 ); or to carry on,

directly or indirectly, any voter registration drive? , , , , , , , , , , , , , , , , , , , , , , , Yes

q

X No

(3) Provide a grant to an individual for travel , study, or other similar purposes ? , , , , , , , , , , , Yes X No

(4) Provide a grant to an organization other than a charitable , etc., organization described in

q Y Nsection 509 ( a)(1), (2), or ( 3), or section 4940(d)(2)? (see page 22 of the instructions) . . . . . . es o

(5) Provide for any purpose other than religious , charitable , scientific, literary, or

? q Y q N. . . . . . . . . .educational purposes , or for the prevention of cruelty to children or animals es o

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 page 22 of the instructions )? . 5b..

►Organizations relying on a current notice regarding disaster assistance check here . . . .. . . . . . . . . . .

c If the answer is "Yes' to question 5a(4), does the foundation claim exemption from the tax

q Yes q Nobecause it maintained expenditure responsibility for the grant? . . . .. ... .. . . .. . . . . .

If "Yes,"attach the statement required by Regulations section 53.4945-5(d).

6a Did the foundation, during the year, receive any funds, directly or indirectly , to pay premiumsq Yes Noon a personal benefit contract? . .. . . . . . . . . . . . . . . . ..... . . . . . . . . . . . .

b Did the foundation, during the year, pay premiums , directly or indirectly , on a personal benefit contract ? . . . . . . . 6b

If you answered 'Yes' to 6b, also file Form 8870.

q7a At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction ? , Yes No

b If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? . 7b

Trustees, Foundation Managers, Highly

I 1 ict all nffieers direetnrs tnneteec fnundetion managers and their comnensation (see nano 22 of the instructions).

(e) Name and address(b) Title , and average

hours per weekdevoted to position

( c) Compensation(M not paid, enter

-0-)

(d) Contributions toemployee benefit plans

and deferred compensation

(e) Expense account,other allowances

--------------------------------------SEE STATEMENT 7 -0- -0- -0-

--------------------------------------

--------------------------------------

--------------------------------------

2 Compensation of five highest-paid employees (other than those included on line 1 - see page 23 of the instructions).If nnnn enter "NONE-"

(a) Name and address of each employee paid more than $50,000(b) Title, and average

hours per weekPedevoted to position

(c) Compensation

(d) Contributionstoemployee benefitplans and deferredcompensation

( e) Expense account,other allowances

--------------------------------------NONE NONE NONE NONE

--------------------------------------

--------------------------------------

--------------------------------------

--------------------------------------

Total number of other employees paid over $50,000 . NONE

Form 990-PF (2008)

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36-4152463Form 990-PF (2008)

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,and Contractors (continued)

3 Five highest aid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE."(a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation

----------------------------------------------------------NONE NONE

----------------------------------------------------------

----------------------------------------------------------

----------------------------------------------------------

----------------------------------------------------------

Total number of others receiving over $50,000 for professional services . . NONE

Summary of Direct Charitable Activities

List the foundation'sfour largest direct charitable activities during the tax year. Include relevant statistical information such as the number I Expensesof organizations and other beneficiaries served, conferences convened, research papers produced, etc.

1NOT-APPLICABLE--------------------------------------------------------- -------------------

2THE SOLE CHARITABLE ACTIVITY OF -THIS - ORGANIZATION -IS -THE--- -- -------------MAKING- OF CONTRIBUTIONS-AND GRANTS-TO-QUALIFIED-CHARITABLE----------------------------------- -- - ------------ORGANIZATIONS NO DIRECT CHARITABLE ACTIVITIES ARE CONDUCTED

3 -----------------------------------------------------------------------------

4

Summary of Program-Related Investments (see page 23 of the instructions)Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2 . Amount

1NOT-APPLICABLE------------------------------------------------------------------------------------------------------------------------------------------------

2

-----------------------------------------------------------------------------

All other program-related investments. See page 24 of the instructions.

3NONE----------------------------------------------------------------------------------------------------------------------------------------------------------

Total. Add lines 1 through 3 .Form 990-PF 12008)

JSA

8E1465 1 000

EH2O11 L720 04/21/2009 14:46:44_ -.10

Form 990-PF (2008) 36-4152463 Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see page 24 of the 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 , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 118 1 , 971 , 964.b Average of monthly cash balances , , , , , , , , , , , , , , , , , 1b 289 , 881.c Fair market value of all other assets (see page 24 of the instructions) , , , , , , , , , , , , , , , , ic NONEd Total (add lines 1a, b, and c) 1d 2 261 845 .e Reduction claimed for blockage or other factors reported on lines 1 a and

1c (attach detailed explanation ) 1e

2 Acquisition indebtedness applicable to line 1 assets ........................... 2 NONE3

.Subtract line 2 from line ld ......................... .....

.

3 2 , 261 , 845.4

........eCash deemed held for charitable activities. Enter 1 1/2°%of line 3 (for greater amount, see pag 25

of the instructions) . _ _ ... .. .... ...... .. ........ 4 33 , 928.55 Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4and 5 2 , 227 , 917.6 Minimum investment return . Enter 5% of line 5 6 111 , 396.FTRW Distributable Amount (see page 25 of the instructions) (Section 4942(j)(3) and (j)(5) private operating

foundations and certain foreign organizati o ns check here ► M and do not complete this part.)

1 Minimum investment return from Part X, line 6 . . . . .. ....... .... ... . . . .. . .

2a Tax on investment income for 2008 from Part VI, line 5 2a 1,316b Income tax for 2008. (This does not include the tax from Part VI.) , . 2b

c Add lines 2a and 2b .............................................3 Distributable amount before adjustments. Subtract line 2c from line 1 ..... ... ... . . . .. . .

4 Recoveries of amounts treated as qualifying distributions . . . ....... .. ...... . . . . . . .

5 Add lines 3 and 4

6 Deduction from distributable amount (see page 25 of the instructions) , , , , , , , , , ,

7 Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,

line 1 ... ....... ... ........................................

Qualifying Distributions (see page 25 of the instructions)

1

a

b

2

3

a

b

4

5

6

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc. - total from Part I, column (d), line 26 , , , , , , , , , , , , , 18

Program-related investments -total from Part IX-B ... , . .. . .lb

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes..... ............................................ 2Amounts set aside for specific charitable projects that satisfy the: _

Suitability test (prior IRS approval required) , , , , , , , , , , , , ,, , , , , , , , , , , , , , 3a

Cash distribution test (attach the required schedule) , , , , , ,,,, , , , , , , ,, , , , , , , 3b

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XII1, line 4 , , 4

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 page 26 of the instructions) , , , , , , , , , , , , , , , , , , , , , 5 N A

Adjusted qualifying distributions. Subtract line 5 from line 4 , , , , , , , , , , , , , , , , , , , , 6

Note : The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundationqualifies for the section 4940(e) reduction of tax in those years.

110,080.NONE

110,080.NONE

110,080.

53,118.

NONE

NONENONE

53,118.

53,118.

Form 990-PF (2008)

JSA

8E 1470 1 000

EH2O11 L720 04/21/2009 14:46:44 - - 11 -_

tc

3

4

5

6

7

Undistributed Income (see page

1 Distributable amount for 2008 from Part XI,

line7 .....................

2 Undistributed income , if any, as of the end of 2007:

a Enter amount for 2007 only . . . . . . . . ,

b Total for prioryears : 20 , 20 , 20

3 Excess distributions carryover , if any, to 2008:

a From 2003 NONE

b From 2004 NONE

c From 2005 NONE

d From 2006 , . . . . NONE

e From 2007 . . . . . NONE

f Total of lines 3a through e . . . . . . . . . . .

4 Qualifying distributions for 2008 from Part XII,

line4: ► $ 53,118.

a Applied to 2007, but not more than line 2a

b Applied to undistributed income of prior years ( Election

required - see page 26 of the instructions) . . . . ,

c Treated as distributions out of corpus (Electionrequired - see page 26 of the instructions) . . .

d Applied to 2008 distributable amount .. . . .

e Remaining amount distributed out of corpus . .

5 Excess distributions carryover applied to 2008 ,(If an amount appears in column (d), the someamount 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

b Prior years' undistributed income . Subtractline 4b from line 2b ,

c Enter the amount of prior years' undistributedincome for which a notice of deficiency has beenissued , or on which the section 4942 (a) tax hasbeen previously assessed . . . . . . . . .. .

d Subtract line 6c from line 6b. Taxable

amount - see page 27 of the instructions ,

e Undistributed income for 2007 . Subtract line4a from line 2a . Taxable amount - see page27 of the instructions . . . . . . . . . . . .

f Undistributed income for 2008 . Subtract lines4d and 5 from line 1. This amount must bedistributed in 2009

7 Amounts treated as distributions out of corpusto satisfy requirements imposed by section

170(b )( 1)(F) or 4942 (g)(3) (see page 27 of the

instructions ) . . . . . .8 Excess distributions carryover from 2003 not

applied on line 5 or line 7 (see page 27 of theinstructions ) . . . . . . . . . . . . . .. . .

9 Excess distributions carryover to 2009.

Subtract lines 7 and 8 from line 6a . . . . . . .

10 Analysis of line 9:

a Excess from 2004 . . NONE

b Excess from 2005 . . NONE

c Excess from 2006 . . NONE

d Excess from 2007 . . . NONE

e Excess from 2008 . NONE

36-4152463

of the instructions)

(a) (b)Corpus Years prior to 2007

9

(c) (d)2007 2008

110 080.

38 , 553.

38 553.

14,565.

NONE

95,515.

Form 990-PF (2008)

JSA

8E 1480 1 000

- EH2O11 L720 04/21/2009 14:46_:44 12

Form 990-PF (2008 ) 36-4152463

MillM Private Operatin g Foundations (see page 27 of the instructions and Part VII -A, q uestion 9) NOT APPLICABLE

1 a If the foundation has received a ruling or determination letter that it is a private operating

foundation , and the ruling is effective for 2008, enter the date of the ruling . . . , . . , , , , , , ►b Check box to indicate whether the foundation is a private operating foundation described in section I I 4942(j)(3) or 49420)(5)

2a Enter the lesser of the ad-Tax year Prior 3 years

(e) Totaldusted net income from Part (a) 2008 (b) 2007 (c) 2006 (d) 2005

I or the minimum investmentreturn from Part X for eachyear listed , , . , . , ,

b 85%of line 2a . . . . .

C Qualifying distributions from Part

XII, line 4 for each year listed .

d Amounts Included In line 2c notused 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 3s, b, or c for the

alternative lest 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 Invest-

merit return shown in Part X.

line 6 for each year listed , ,

C 'Support' alternative test - enter

(1) Total support other then

gross investment income

(interest , dividends, rents,

payments on securities

loans (section 512(a)(5)),

or royalties). . . . ,

(2) Support from generalpublic and 5 or moreexempt organizations asprovided in section 49420)(3)(B)Oii) . . . . . .

( 3) Largest amount of sup-port from an exemptorganization ,- ,

(4) Gross Investment income ,

CMEW Supplementary Information (Complete this part only if the foundation had $5,000 or more in assets at anytime during the year - see page 27 of the 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 foundationbefore the close of any tax year (but only if they have contributed more than $5,000). ( See section 507(d)(2).)

SUSAN L KLIMAITISb 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.

NONE

2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, eta, Programs:

Check here ► q if the foundation only makes contributions to preselected charitable organizations and does not accept

unsolicited requests for funds. If the foundation makes gifts , grants, etc. (see page 28 of the instructions) to individuals or

organizations under other conditions , complete items 2a, b, c, and d.

a The name, address, and telephone number of the person to whom applications should be addressed:

SEE STATEMENT 8

b The form in which applications should be submitted and information and materials they should include:

SEE ATTACHED STATEMENT FOR LINE 2

c Any submission deadlines:

SEE ATTACHED STATEMENT FOR LINE 2

d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions , or other

factors:

SEE ATTACHED STATEMENT FOR LINE 2J0A Form 990-PF (2008)

8E7490 1 000

EH2O11 L720 04/21/2009 14:46:44. 13- -

36-4152463Form 990-PF (2008) Page 'I 1

ORSTYS-upplementary Information (continued)

3 Grants and Contributions Paid During the Year or Approved for Future Payment

Reci pient H recipient Is an individual,show any relationship to

Foundationft t

Purpose of grant or Amount

Name and address (home or business ) any foundation manageror substantial contributo r

us os arecipient

contribution

a Paid during the year

SEE STATEMENT 13

Total ► 3a 48 , 500.b Approved for future payment

Total ► 3b

Form 990-PF (2008)

JSA

8E1491 1 000

EH2O11 L720 04/21/2009.14:46:44 .. 14

36-4152463Form 990-PF (2008 )

Analysis of Income-Producing Activities

Enter g

1 Pro

a

b

c

d

e

f

9

2 Men

3 Inter

4 Divi

5 Net

a

b

6 Net

loth8 Gain

9 Net

10 Gro

11 Oth

b

e

d

e

12 Su

oss amounts unless otherwise indicated . Unrelated business income Excluded b section 512, 513, or 514 R l t d (e)

service revenue :ram

(a)eusinesscode

(b)Amount

(c)Exclusion code

(d)Amount

Q a e exemptofunction income(See page 28 ofthe instructions.)

Fees and contracts from government agencies

bership dues and assessments . . . . .

eat on savings and temporary cash investments

Bends and interest from securities , , . 14 68 , 742.

rental income or (loss ) from real estate:

Debt-financed property . . . . . . . . .

Not debt-financed property . . . . . . .

ental income or (loss ) from personal property ,

er investment income ... .... . . 14 2 , 627.

or (loss ) from sales of assets other than invento ry 18 -108 , 351.

income or ( loss) from special events , , ,

ss profit or ( loss) from sales of inventory.

r revenue: a

total . Add columns (b), (d), and (e) . . . -36 , 982.

r

g

r

e

b

13 Total . Add line 12 , columns ( b), (d), and (e) . . . . . . .. . . . . . . ... . .. . . . . . . . . . . . . . . . 13 -36,982.

(See worksheet in line 13 instructions on page 28 to verify calculations.)

Relationship 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

. the accomplishment of the foundation' s exempt purposes (other than by providing funds for such purposes). (See

page 28 of the instructions.)

Form 990-PF (2008)JSA

8E 1492 1 000

- EH2O11 L720 04/21/2009 14:46:44 _ 15 -

Form 990-PF ( 2008) 36-4152463

Information Regarding Transfers To and Transactions and Relationships With NoncharitableExempt Organizations

Did the organization directly or indirectly engage in any of the following with any other organization described in section Yes No

501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

a Transfers from the reporting foundation to a noncharitable exempt organization of.-

(1) Cash ......................................................... 181 X

(2) Other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 a ( 2 ) X

b Other transactions:

(1) Sales of assets to a noncharitable exempt organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b( l ) X

(2) Purchases of assets from a noncharitable exempt organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b 2 X

(3) Rental of facilities, equipment, or other assets . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . 1b 3 X

(4) Reimbursement arrangements . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . 1b 4 X

(5) Loans or loan guarantees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b 5 X

(6) Performance of services or membership or fundraising solicitations . .. . . . . . . . . . . . . . . .. . . . . . . . . . 1b 6 X

c Sharing of facilities, equipment, mailing lists, other assets, or paid employees . . . . . . . . . . .. . .. . . . . . . . . . . 1c X

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) Name of organization (b) Type of organization (c) Description of relationship

Under penalties of perjury, I declare that I have examined this return , including accompanying schedules and statements, and to the best of my knowledge andbelief, it is tr correct , and complete . Declaration repa r (other han taxpayer or fiduciary) is baked on all information of which preparer has any knowledge.

0 Signature of officer or trustee

C2, Preparer's

y o Cc p signature

ANK OF AMERICA, Nd o a Firm 's name (or yours if 'self-employed), address, 231 S LASALLE ST.and ZIP code CHICAGO , IL

JSA

8E1493 1 000

EH2O11 L720 04/21/2009 14:46:44

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 5277 . . . . . . . . . . . . . . . . . . . . . . . . . q Yes © No

06-006

L I S T O F A C C O U N T A S S E T S

AS OF 12/31/08

KLIMAITIS FDN ENDOWMENT TRUST

UNITS ASSET S & P FEDERAL MARKET VALUE % OF ESTIMATED CURRENT UNREALIZEDDESCRIPTION MOODY'S TAX COST UNIT PRICE ACCOUNT ANNUAL INCOME YIELD GAIN/LOSS

CASH AND CASH EQUIVALENTS

MONEY MARKET FUNDS

929.720 COLUMBIA GOVERNMENT RESERVESTRUST CLASS(INCOME INVESTMENT)CUSIP NO : 19765K712

131,497. 570 COLUMBIA GOVERNMENT RESERVESTRUST CLASSCUSIP NO : 19765K712

TOTAL MONEY MARKET FUNDS

TOTAL CASH AND CASH EQUIVALENTS

FIXED INCOME

MUTUAL FUNDS-FIXED

56,373 . 943 PIMCO TOTAL RETURN FUNDINSTLCUSIP NO : 693390700

TOTAL MUTUAL FUNDS-FIXED

TOTAL FIXED INCOME

EQUITIES

MUTUAL FUNDS -EQUITY

2,800 . 195 COLUMBIA ACORN INTERNATIONALFUND CLASS Z SHARESCUSIP NO : 197199813

929.72 929.72 0.052 6.71 0.722 0.00

131,497.57 131,497.57 7.425 949.41 0.722 0.00

132,427.29 132,427.29 7.477 956.12 0.722 0.00

132,427.29 132,427.29 7.477 956.12 0.722 0.00

590,235.18

590,235.18

590,235.1

571,631.78 32.278 30,723.80 5.375 -18,603.4010.140

571,631.78 32.278 30,723.80 5.375 -18,603.40

571,631.78 32.278 30,723.80 5.375 -18,603.40

64,768.51 3.657 1,187.28 1.833 -43,988.7523.130

108,757.26

0002357 6 / 18 000057678

06-006

L I S T O F A C C O U N T A S

AS OF 12/31/08


S E T S

PAGE 4


5,678.970 COLUMBIA MARSICO INTERNATIONAL 87,349.66 45,261.39 2.556 1,135.79 2.509 -42,088.27OPPORTUNITIES FD CLASS Z SHARES 7.970CUSIP NO: 19765H636

4,447.117 COLUMBIA SMALL CAP VALUE FUND 62,873.39 39,312.51 2.220 622.60 1.584 -23,560.88II CLASS Z SHARES 8.840CUSIP NO: 19765J764

8,869.534 COLUMBIA MID CAP VALUE FUND 133,425.00 74,947.56 4.232 1,286.08 1.716 -58,477.44CLASS Z SHARES 8.450CUSIP NO: 19765J830

20,518.262 COLUMBIA DIVIDEND INCOME FUND 301,515.00 211,132.92 11.922 6,914.65 3.275 -90,382.08CLASS Z SHARES 10.290CUSIP NO: 19765N245

4,845.043 COLUMBIA MID CAP GROWTH FUND 126,250.00 69,090.31 3.901 218.03 0.316 -57,159.69CLASS Z SHARES 14.260CUSIP NO: 19765P232

2,042.100 COLUMBIA SMALL CAP GROWTH I FUND 58,342.80 35,716.33 2.017 0.00 0.000 -22,626.47CLASS Z SHARES 17.490CUSIP NO: 19765P596

11,472.039 COLUMBIA LARGE CAP GROWTH FUND 279,000.00 174,719.15 9.866 665.38 0.381 -104,280.85CLASS Z SHARES 15.230CUSIP NO: 19765P661

4,746.923 COLUMBIA VALUE AND RESTRUCTURING 277,975.00 140,176.64 7.915 2,577.58 1.839 -137,798.36FUND CLASS Z SHARES 29.530CUSIP NO: 19765Y514

23,445.378 COLUMBIA SELECT LARGE CAP GROWTH 279,000.00 163,414.28 9.228 0.00 0.000 -115,585.72FUND CLASS Z SHARES 6.970CUSIP NO: 19765Y688

0002357 7 / 18 000057679

06-006

L I S T O F A C C O U N T A S S E T S

AS OF 12/31/08



1,205. 010 HARBOR INTERNATIONAL FUNDINSTL CLCUSIP NO: 411511306

TOTAL MUTUAL FUNDS-EQUITY

TOTAL EQUITIES

TOTAL INVESTMENTS

82,256.00 48,345.00 2.730 936.29 1.937 -33,911.0040.120

1,796,744.11 1,066,884.60 60.244 15,543.68 1.457 -729,859.51

1,796,744.11 1,066,884.60 60.244 15,543.68 1.457 -729,859.51

2,519,406.58 1,770,943.67 100.000 47,223.60 2.667 -748,462.91

0002357 8 / 18 000057680

FORM 990-PF - PART IVCAPITAL GAINS AND LOSSES FOR TAX ON INVESTMENT INCOME

Kind of Property Description Dateacquired

Date sold

Gross sale Depreciation Cost or FMV Adj. basis Excess of Gainprice less allowed / other as of as of FMV over or

expenses of sale allowa ble adi basis ( loss )

TOTAL LONG-TERM CAPITAL GAIN DIVIDENDS 14,999.

2407.911 COLUMBIA INTERNATIONAL VALUE FU 12/05/2001 06/10/2008PROPERTY TYPE: SECURITIES

46,906.00 39,779.00 7,127.00

38701.429 COLUMBIA MARSICO 21ST CENTURY 12/07/2007 06/10/2008PROPERTY TYPE: SECURITIES

572,394.00 677,275.00 -104881.00

303.49 COLUMBIA SMALL CAP VALUE FUND II 06/10/2008 08/12/2008PROPERTY TYPE: SECURITIES

4,000.00 3,967.00 33.00

24545.653 COLUMBIA CORE BOND FUND CLASS 08/19/2005 07/18/2008PROPERTY TYPE: SECURITIES

248,157.00 263,097.00 -14,940.00


113,116.00 118,375.00 -5,259.00

4000. COLUMBIA CORE BOND FUND CLASS Z SH 05/03/2007 07/18/2008PROPERTY TYPE: SECURITIES

40,440.00 42,200.00 -1,760.00


160,820.00 164,160.00 -3,340.00

4977.963 COLUMBIA CORE BOND FUND CLASS Z 06/10/2008 07/18/2008PROPERTY TYPE: SECURITIES

50,327.00 50,825.00 -498.00

137.634 COLUMBIA SMALL CAP GROWTH I FUND 06/10/2008 08/12/2008PROPERTY TYPE: SECURITIES

3,840.00 3,932.00 -92.00

2365.312 PIMCO TOTAL RETURN FUND INSTL 07/18/2008 08/12/2008PROPERTY TYPE: SECURITIES

25,025.00 24,765.00 260.00

J5A8E 1730 1 000

EH2O11 L720 04/21/2009 14:46:44 17

FORM 990-PF - PART IVCAPITAL GAINS AND LOSSES FOR TAX ON INVESTMENT INCOME

Kind of Property Description Dateacquired

Date sold

Gross sale Depreciation Cost or FMV Adj. basis Excess of Gainprice less allowed/ other as of as of FMV over or

ex enses of sale I allowable haq*q 12/31/69 12/31 ad ' basis ( loss )

TOTAL GAIN(LOSS) ..... ....................................... -108,351.

JSA8E1730 1 000

EH2O11 L720 04/21/2009 14:46_:44 .18

THE SUSAN L KLIMAITIS FDN ENDOW

FORM 990PF, PART I - OTHER INCOME------------------------------------------------------------------

DESCRIPTION

NAT.FD.LEGL. SETLMTBEG DEF MUTUAL FDSEND DEF MUTUAL FDS

TOTALS

REVENUEAND

EXPENSESPER BOOKS

1,013.4,496.-2,882.

--------------2,627.

----------------------------

36-4152463

NETINVESTMENT

INCOME

1,013.4,496.

-2,882.--------------

2,627.----------------------------

- P54.901 1 T.720 n4/21 /20n9 14!46!44 77 RTATEMFNT 1


FORM 990PF, PART I - ACCOUNTING FEES------------------------------------------------------------------------

DESCRIPTION

B OF A TA X PREP FEE

TOTALS

36-4152463

REVENUEAND NET ADJUSTED

EXPENSES INVESTMENT NET CHARITABLEPER BOOKS INCOME INCOME PURPOSES--------- ------ ------ --------

890. 890.-------------- -------------- -------------- --------------

890. NONE NONE 890.-------------- -------------- -------------- ---------------------------- -------------- -------------- --------------

- FT-T2n11 T.72n 1)4/21 /2 )n9 14•4F.44 91 gTATFMP.NT 7

t- lxdwHLvLLS vG

-------------- ---------------------------- --------------

'£TL'£ '69S'S-------------- --------------'£TL'£ '69S'S

-------- ------

SSSOdUnd SWOONIS'IHKZIU H0 ZNSWZSSAMI

ZSN

----------------------------

'T8Z'6--------------'T8Z'6

SMOOS ^sdSSSNSdXSQNy

Sl1NaAs'd

VV-9D' L bUUG/LG/bU U6L'1 LLUGHd -

s'1Vzos

ZNSDV - YDINEWV dO ?1NVS

NOIZdI'dDSSC

----------------------------------------------------------------------------------------SSS9 'IYNOISSS302id 2ISH,LO - I L Yd '3d066 WUOd

£9:^ZSTV-9£ MOANS NCd SIJ.IVWI'ID 'I NVSf1S SHZ

THE SUSAN L KLIMAITIS FDN ENDOW 36-4152463

FORM 990PF, PART I - TAXES----------------------------------------------------

REVENUEAND

EXPENSESDESCRIPTION PER BOOKS----------- ---------

EXCISE TAX PAID 32,267.ESTIMATED TAX PAID 1,500.

--------------TOTALS 33,767.

----------------------------

STATEMENT 4

XD576 2000EH2O11 L720 04/21/2009 14:46:44 25 -


FORM 990PF, PART I - OTHER EXPENSES----------------------------------------------------------------------

DESCRIPTION

ILL ATTY GENL FILING FEE

REVENUEAND

EXPENSESPER BOOKS

15.--------------

TOTALS 15.----------------------------

36-4152463

CHARITABLEPURPOSES

15.--------------

15.----------------------------

- FT42nl 1 T.72n n4/91 /2nn9 14!4(;:44 2 F gTATF.MF.NT c,


-------------------------------------------STATE ( S) WHERE THE FOUNDATION IS REGISTERED--------------------------------------------------------------------------------------

IL

XD576 2000EH2O11 L720 04/21/2009 14:46:44

36-4152463

STATEMENT 6

27 -

THE SUSAN L KLIMAITIS FDN ENDOW 36-4152463

FORM 990PF, PART VIII - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES

OFFICER NAME:Susan L Klimaitis

ADDRESS:c/o Bk of Amer, 231 S LaSalle St.Chicago, IL 60697

TITLE:Director

OFFICER NAME:Leo Klimaitis

ADDRESS:c/o Bk of Amer, 231 S LaSalle StChicago, IL 60697

TITLE:Director

OFFICER NAME:Karla Green


TITLE:Director

OFFICER NAME:Kristina Klimaitis


TITLE:Director

STATEMENT 7

XD576 2000EH2O11 L720 04/21/2009 14: 46:44 28-- -

THE SUSAN L KLIMAITIS FDN ENDOWFORM 990PF, PART XV - LINES 2a - 2d----------------------------------------------------------------------

RECIPIENT NAME:Kristin C Vogen, c/o Bank of America

ADDRESS:231 S LaSalle St.Chicago, IL 60697

RECIPIENT'S PHONE NUMBER: 312-828-1029FORM, INFORMATION AND MATERIALS:No Formal Application Required

SUBMISSION DEADLINES:None

RESTRICTIONS OR LIMITATIONS ON AWARDS:None

36-4152463

STATEMENT 8

XD576 2000EH2O11 L720 04/21/2009 14:46:44 - 29 -

THE SUSAN L KLIMAITIS FDN ENDOW 36-4152463FORM 990PF, PART XV, LINE 3 - CONTRIBUTIONS, GIFTS, GRANTS PAID

---------------------------------------------------------------

RECIPIENT NAME:American Red Cross

ADDRESS:75 REMITTANCE DR.Chicago, IL 60675

RELATIONSHIP:N/A

PURPOSE OF GRANT:SUPPORT

FOUNDATION STATUS OF RECIPIENT:PUBLIC

AMOUNT OF GRANT PAID ............................................ 4,000.

RECIPIENT NAME:Children's MemorialFoundation

ADDRESS:2300 CHILDREN'S PLAZAChicago, IL 60614

RELATIONSHIP:N/A




RECIPIENT NAME:Fauberg Theatre Inc

ADDRESS:1114 LAKE ST.Hanover Park, IL 60103

RELATIONSHIP:N/A




STATEMENT 9

XD576 2000EH2O11 L720 04/21/2009 14:A6:44 --30

THE SUSAN L KLIMAITIS FDN ENDOW 36-4152463FORM 990PF, PART XV, LINE 3 - CONTRIBUTIONS, GIFTS, GRANTS PAID---=--------------------------------------------------------------------------------------------------------------------------

RECIPIENT NAME:Infant Welfare Society

ADDRESS:2200 MAIN ST.Evanston, IL 60202

RELATIONSHIP:N/A



AMOUNT OF GRANT PAID ............................................

RECIPIENT NAME:Little City Foundation

ADDRESS:P.O. BOX 8128Palatine , IL 60078

RELATIONSHIP:N/A



AMOUNT OF GRANT PAID ............

RECIPIENT NAME:Lithuanian WorldCommunity

ADDRESS:P.O. BOX 140796Grand Rapids, MI 49514

RELATIONSHIP:N/A



AMOUNT OF GRANT PAID ...........

3,000.

3,000.

1,000.

STATEMENT 10

XD576 2000EH2011 L720 04/21/2009 14:46:44 'Al -

. % .

THE SUSAN L KLIMAITIS FDN ENDOW 36-4152463FORM 990PF, PART XV, LINE 3 - CONTRIBUTIONS, GIFTS, GRANTS PAID---------------------------------------------------------------

RECIPIENT NAME:Mercy Home for Boys andGirls

ADDRESS:1140 W. JACKSON BLVD.Chicago, IL 60607

RELATIONSHIP:N/A




RECIPIENT NAME:St. Jude's Children'sResearch

ADDRESS:332 N. LAUDERDALEMemphis, TN 38105

RELATIONSHIP:N/A



AMOUNT OF GRANT PAID ..........

RECIPIENT NAME:The Salvation Army

ADDRESS:5040 N. PULASKI RD.Chicago, IL 60630

RELATIONSHIP:N/A




6,000.

7,500.

2,000.

STATEMENT 11

XD576 2 000T_. EH2O11 _L7.2.0_s_04/21/20.09_ .14:4.6_:44, 32..

r 1

THE SUSAN L KLIMAITIS FDN ENDOW 36-4152463FORM 990PF, PART XV, LINE 3 - CONTRIBUTIONS, GIFTS, GRANTS PAID------------------------------------------------------------------------------------------------------------------------------

RECIPIENT NAME:Valley of the KingsSanctuary

ADDRESS:W7593 TOWNHALL RD.Sharon, WI 53585

RELATIONSHIP:N/A




RECIPIENT NAME:Boys and Girls Club of Chicago

ADDRESS:550 W VAN BUREN ST., SUITE 350Chicago, IL 60607

RELATIONSHIP:N/A




RECIPIENT NAME:St. Marks Day School

ADDRESS:337 RIDGE RD.Barrington Hills, IL 60010

RELATIONSHIP:N/A




STATEMENT 12

X0576 2000EH2O11 L720 04/21/2009-14:4-6:44 33 -

. . 1

THE SUSAN L KLIMAITIS FDN ENDOW 36-4152463FORM 990PF, PART XV, LINE 3 - CONTRIBUTIONS, GIFTS, GRANTS PAID------------------------------------------------------------------------------------------------------------------------------

RECIPIENT NAME:Youth Haven Inc

ADDRESS:5867 WHITAKER ROADNAPLES, FL 34112

RELATIONSHIP:N/A

PURPOSE OF GRANT:GENERAL


AMOUNT OF GRANT PAID ............

TOTAL GRANTS PAID: 48,500.------------------------------

STATEMENT 13

............................... 5,000.

X0578 2000EH2O11 L720 04/21/2009 14:.46:44 ,34 E

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