Professional Documents
Culture Documents
990-PF
'Forro
Department
of !lie Treasury
Servoce
InternalRevenue
For calendar
I I Final
I I
lnitlal return
G Check all that aooly
Name of foundation
Use the IRS
label.
Otherwise,
print
or type.
See Specific
Instructions.
'
I I Amended
return
OMB No 154S-0052
Trust
~@07
2007 , an
I I
return
en d"mg
Address
I I Name
change
change
48-0926946
FOUNDATION
DAVID
H.
KOCH CHARITABLE
Number and street (or PO box number 1fma1l 1snot delivered to street address)
Room/suite
E.
37TH
ST.
N.
4111
City or town, state, and ZIP code
B Telephone
(316)
828-5552
exempbon
applicabon
IS
pending.
checkhere
......
If
:tj
WICHITA.
67220-3203
KS
ULJ
Section
2.
501(cAexempt
J Accounting
16) ~ $
Other (specify)
------------------
3.884,475.
~1Analysis
of Revenue and Expenses
(The
total of amounts m columns (b), (c), and (d)
may not necessar,ly equal the amounts m
column (a) (see page 11 of the mstruct,ons))
1
onvate foundation
LJ Cash LxJAccrual
method
~o
~o
n
........
pnvate foundation
Other taxable
Foreignorganizations
meebng
the
85% test,checkhereandattach
computatm
prrvate
foundation
status wasterminated
undersecbon
507(bX1XA), checkhere
If
If the
foundatm
IS Ina 60-month
term1nabon
undersectKln
507{bX1XB). checkhere , ~
(d) Disbursements
for chantable
purposes
(cash basis onlv)
NONE
193
958.
193
958.
STMT
5a Gross rents . .
b Net rental incomeor (loss)
Ill
::,
Ill
>
Ill
a::
tU::v
=ivc:u
Q
M
..
9
Income modifications
10 a Gross sales less returns
and allowances
b Less Cost of goods sold .
- -
I
I
.....
UAV
("}
'"'
- --
UljU
> 1 ?nna
.I.
L"""
en
~
-. . =1...., UI
...
....
11
12
13
193
958.
1
860.
315.
193
958.
1. 860.
14
Other employee salanes and wages
en
Pension plans, employee benefits
Ill 15
en
c 16 a Legal fees (attach schedule) . . ....
Ill
....
Cl.
)(
w
Ill
>
;::.
...17
18
-i.
Taxes (attachschedule)(seepage14 of the instructms)*
c 19
en
E
"C
20
Occupancy
c:(
"C
21
I'll
4.315.
1. 260.
22
....
~ 24
Ill
Cl.
:g
671.
13
985.
NONE
NONE
10
106.
13
985.
NONE
NONE
10
106.
.......
26
27
2, 671.
expenses.
..........
25
3,879.
.......
g>23
NONE
Interest ..
I'll
NONE
1.260.
179.973.
193.958.
-0-
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
JSA
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85652
**STMT
Form
990-PF
(2007)
g;--
li!!IIII
Balance Sheets
Cash - non-mterest-beanng
Accounts receivable
End of year
(b) Book Value
4 483.
3,879.936.
4,483.
3 879 936.
56.
56.
-----------------------~
-------------
Pledges receivable
Begmmng of year
3,003,843.
699 978.
Pa!'.)e2
48-0926946
J!l
CII
-----
-------------
9
Prepaid expenses and deferred charges
;;rl':;1~.6.
Ill
Ill
ct 10 a Investments- U S and state government obl1gabons(attach schedule)
840 .
------------------------------------
13
14
____________________
)
15
Ill
CII
16
17
18
Grants payable
19
Deferred revenue
3.704
~ 20
21
:::i 22
Other hab11illes(descnbe
661.
159.
3.884
475.
3 884.475.
NONE
Total liabilities
23
___________________
)
NONE
159.
~w
:!l
24
u
3.704
Unrestricted
c 25
..!!!
I'll
m 26
Permanently restricted
"C
::II
::, 27
28
J!l
CII
LL.
Ill
Ill
29
3.884.475.
~o
ct 30
CII
instructions)
31
:.
502.
Temporarily restricted
balances
of the 1nstruct1ons)
F.Tiiili...
3,704,502.
3,884,475.
3 704, 661.
3,884,475.
(see page 17
1 Total net assets or fund balances at beginning of year - Part II, column (a), line 30 (must agree with
end-of-year figure reported on pnor year's return)
2 Enter amount from Part I, line 27a
3 Other increases not included in line 2 (1tem1ze) ~
------------------------------------4 Add lines 1, 2, and 3
5 Decreases not included in line 2 (1tem1ze) ~
---------------------------------------6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30
3.704.502.
179,973.
3 884,475.
5
6
3 884,475.
Form 990-PF (2007)
JSA
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1
2
3
4
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Form990-PF120071
~J 1.T_...
Capital
Page3
48-0926946
(a) List and descnbe the kind(s) of property sold (e g , real estate,
2-story bnck warehouse; or common stock, 200 shs MLC Co )
acquired
P-Purchase
D-Donabon
t>Date
sold
day, yr)
(c) Date
acquired
mo,
1a
b
c
d
e
(g) Cost or other basis
plus expense of sale
(f) Deprec1allonallowed
(or allowable)
a
b
c
d
e
Complete only for assets showing gain m column (h) and owned by the foundation on 12/31/69
(i) F M V as of 12/31/69
(j) AdJustedbasis
as of 12/31/69
a
b
c
d
e
If gain, also enter m Part I, line 7
If (loss), enter -0- m Part I, hne 7
3 Net short-term capital gain or (loss) as defined m sections 1222(5) and (6)
If gain, also enter m Part I, hne 8, column (c) (see pages 13 and 17 of the instructions)
If (loss), enter -0- m Part I, hne 8 ___ . _____________
. _ ...
__ . ____ .....
:..: ,_
Qualification
.....
}2
}
3
(For optlonal use by domestic pnvate foundations subJect to the section 4940(a) tax on net investment income )
If section 4940(d)(2) apphes, leave this part blank.
Was the foundation liable for the section 4942 tax on the d1stnbutable amount of any year m the base period?
If "Yes," the foundation does not qualify under section 4940(e) Do not complete this part
Yes[x]
No
1 Enter the appropriate amount m each column for each year, see page 18 of the instructions before making any entnes
(a)
Basepenodyears
(b)
Adjustedqual1fy1ng
d1stnbut1ons
2006
2005
2004
2003
2002
2
3
4.350.615-
ratio
D1stnbut1on
(col (b)d1v1ded
by col (c))
4-42848548884
0_05279103130
0.65433823529
1.22594300401
0-45027914059
13.229.
13-308.
. . .
(d)
(c)
Netvalueof nonchantable-use
assets
29-555-
..
. ....
6_81183690003
....
1.36236738001
..
3.737.419_
. . . . . . . . . . . . . . . . . . ....................
5, 091,
...................
......
. . . . . . . . . . .........................
. .
JSA
7E1430 2 000
14352G
..........
.. .
738-
1,940_
5 093,678_
10,106
Form990-PF (2007)
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Form990-PF (2007)
:.r.r.a,~
Excise Tax Based on lnvesbnent
4 8-092694
LJ
Income (Section 4940(a), 4940(b), 4940(e), or 4948 -see page 18 of the instructions)
3. 8 7 9
c All other domestic foundations enter 2% of line 27b Exempt foreign orgamzabonsenter 4% of Part I, line 12, col (bl
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-)
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-)
Tax based on investment income. Subtract line 4 from line 3 If zero or less, enter -0-
3.879.
935.
Yes
No
3.879.
NONE
Credrts/Payments
1--'6'-"a'-+-------=3'-'--'9=--=3-=5'--.'-l
6b
NONE
6c
6d
NONE
Tax due. If the total of Imes 5 and 8 rs more than line 7, enter
amount owed
5 6 Refunded
11
Dunng the tax year, drd the foundation attempt to influence any national, state, or local leg1slat1on or did rt
part1c1pateor intervene rn any politlcal campaign?
~ ,___,1~0-+---------5~6~.
Overpayment. If line 7 rs more than the total of lines 5 and 8, enter the amount overpaid
Enter the amount of line 10 to be Credited to 2008 estimated tax
~
10
11
1a
1b
1c
x
x
Drd rt spend more than $100 dunng the year (either directly or 1nd1rectly) for politrcal purposes (see page 19
of the instructions for definrllon)?
If the answer is "Yes to 1a or 1b, attach a detailed descnption of the activities and copies of any matertals
published or d1strtbutedby the foundation m connection with the activities
c
Enter the amount (rf any) of tax on polrtrcal expenditures (section 4955) imposed dunng the year
(1) On the foundation ~ $ -----------
(2) On foundationmanagers
~ $ __________
e Enter the reimbursement (rf any) paid by the organrzatron dunng the year for polrt1cal expenditure tax imposed on
foundation managers
$ ___________
..
Has the foundation engaged rn any activ1t1esthat have not previously been reported to the IRS?
4a
Drd the foundation have unrelated business gross income of $1,000 or more dunng the year?
NI/A
4b
b If ''Yes," has rt filed a tax return on Form 990-T for !hrs year?
Was there a liquidation, termination, d1ssolut1on,or substantial contraction dunng the year?
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language 1nthe governing instrument, or
By state leg1slat1on that effecllvely
instrument
Did the foundation have at least $5,000 rn assets at any time during the year?
Ba
the foundation
reports
or with
which
rt rs registered
furnished
Is the foundation
or 4942(!)(5)
10
operating
foundation
substantial
contnbutors
dunng
Sb
-----------------
(or designate) of each state as required by Generallnstruct1on G?lf "No, attach explanation
9
x
x
within
,n 2007
the
meaning
General
of section
(see rnstructrons
4942(!)(3)
10
JSA
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~
....-
Page5
48-0926946
11a Al any llme dunng the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If ''Yes," attach schedule. (see page 20 of the instructions)
. .
. . . ....
........
11a
If "Yes," did the foundation have a binding written contract in effect on August 17, 2006, covenng the interest,
. . . . . . . . . . . . . . . . . . ...
........
...
rents, royalties, and annu1bes descnbed 1nthe attachment for line 11a?
VONDA
HOLLIMAN--------------------
Telephone no
12
13
x
_
~ _____
316-828-5552
_____
~ 4111
E ._ 37TH
ST._ N ._ WICHITA_1_ KS ----------------------ZIP+
4 ~ 67220-3203
15 Section 4947(a)(1) nonexempt chantable trusts filing Form 990-F 1nlieu of
Form 1041 - Check here ...
NI A.
and enter the amount of tax-exempt interest received or accrued dunng the year
. . . . . . . . . . ~ J 15 J
Located at
~1.a,,111!1:
N/A
11b
12 Did the foundation acquire a direct or indirect interest in any applicable insurance contract?
13 Did the foundation comply With the public inspection requirements for its annual returns and exemption application?
Website address ~ _____ NONE __________________________________________________________________
-----r--r
~ L_J
File Form 4720 if any item is checked in the ''Yes" column, unless an exception applies.
1a Dunng the year did the foundabon (either directly or indirectly)
0Yes
(1) Engage in the sale or exchange, or leasing of property with a disqualified person?
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept rt from) a
disqualified person? . . . . . . . . . .
(3) Furnish goods, services, or fac1lrt1esto (or accept them from) a disqualified person?
0Yes
G]No
No
Yes
No
Yes
No
Yes
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
No
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)? . . .
(6) Agree to pay money or property to a government official? ( Exception. Check "No" 1f
the foundation agreed to make a grant to or to employ the official for a penod after
termination of government service, 1fterminating within 90 days)
b
. . .
Yes
GJNo
If any answer 1s"Yes" to 1a(1)-(6), did any of the acts fail to qualify under the exceptions descnbed 1nRegulations
1b
section 53 4941 (d)-3 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
N/A
Did the foundation engage in a pnor year in any of the acts described 1n 1a, other than excepted acts, that
were not corrected before the first day of the tax year beginning 1n2007?
1c
. . . . . . .
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a pnvate
operating foundation defined in section 4942(1)(3) or 4942(1)(5))
a Al the end of tax year 2007, did the foundation have any und1stnbuted income (lines 6d and
Yes
GJNo
b Are there any years listed in 2a for which the foundation 1s not applying the prov1s1onsof 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 page 22 of the 1nstruct1ons)
~ ---------3a
---------
--------
2b
N,A
3b
N/IA
--------
Did the foundation hold more than a 2% direct or indirect interest in any business
0Yes
[i]No
b If ''Yes," did 11have excess business holdings 1n 2007 as a result of (1) any purchase by the foundation or
disqualified persons after May 26, 1969, (2) the lapse of the 5-year penod (or longer penod approved by the
Comm1ss1oner 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 penod? (Use Schedule C, Form 4720, to determine d the
foundation had excess business holdings m 2007)
. . . . . . . . . .
. . .
4a
b Did the foundation make any investment 1na prior year (but after December 31, 1969) that could Jeopardize its charitable
purpose that had not been removed from Jeopardy before the first day of the tax year beginning 1n2007?
. . . .
4b
4a
Did the foundation invest dunng the year any amount in a manner that would Jeopardize its charitable purposes?
Form
JSA
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990-PF
x
x
(2007)
~ ,,;a,J11!!1: Statements
5a
Regarding Activities
48-0926946
for Which Form 4720 May Be Required (continued)
Dunng the year did the foundabon pay or incur any amount to
(1) Carry on propaganda, or othel'Wlse attempt to influence leg1slat1on(section 4945(e))?
(2) Influence the outcome of any specific public election (see section 4955), or
0Yes
Page&
WNo
to carry on,
..
0Yes
[i]No
0Yes
[i}No
0Yes
G]No
(4) Provide a grant to an organization other than a chantable, etc , organizabon descnbed 1n
section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)
(5) Provide for any purpose other than religious, chantable, sc1ent1fic,literary, or
Yes
[x)No
If any answer 1s''Yes" to 5a(1}-(5), did a~y of the transactions fail to qualify under the exceptions descnbed in
. . . f-5"'-b--+--'N"-'-f'-'JA,___
Regulabons section 53 4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
Organizations relying on a current notice regarding disaster assistance check here
If the answer 1s"Yes'" to question 5a(4), does the foundation claim exemption from the tax
....
-(I:,. 0
Yes
0No
Did the foundation, dunng the year, receive any funds, directly or 1nd1rectly,to pay premiums
[x)No
0Yes
. . . . . . ,_s_b
____
b Did the foundation, dunng the year, pay premiums, directly or 1nd1rectly,on a personal benefit contract?
~a,~11 Information
Yes
~x~_
No
7b
List all officers, directors, trustees, foundation managers and their compensation (see page 23 of the instructions).
(b) Title, and average
hours per week
devotedto oos1t1on
------------------------------------SEE STATEMENT 7
~) Compensation
not paid, enter
-0-l
1 860.
(d) Contnbutlons to
employee benefrt plans
and deferred comoensabon
(e) Expenseaccount,
other allowances
NONE
NONE
------------------------------------------------------------------------------------------------------------2
Compensation of five highest-paid employees (other than those included on line 1 - see page 23 of the instructions). If none,
enter "NONE."
(a) Nameand addressof each employeepaid more than $50,000
(c) Compensation
(d) Contnbut1onsto
employeebenefit
plans and deferred
compensation
(e) Expenseaccount,
other allowances
NONE--------------------------------
....
Form
JSA
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85652
-~INONE
990-PF
(2007)
4 8- 0 92 694 6
h#ffl(~jil
Information
Page7
3 Five highest-paid
independent
contractors
for professional
(a) Name and address of each person paid more than $50,000
(c) Compensation
NONE----------------------------------------------------
.......................
Ufflif!fj
-~I
NONE
List the foundation's four largest direct charitable actMtres dunng the tax year Include relevant stabsbcal 1nformabon such as the number
of organrzabons and other benefic1anes served, conferences convened, research papers produced, etc
Expenses
1_N/A----------------------------------------------------------------------2
!s:i.ill
.. :
Descnbe the two largest program-related investments made by the foundatron dunng the tax year on lines 1 and 2
Amount
1_NONE---------------------------------------------------------------------2
l_NONE_____________________________________________________________________
Form
JSA
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990-PF
(2007)
4 8- 0 92 694 6
1:ZfutlMinimum
Page8
lnvesbnent Return (All domestic foundations must complete this part. Foreign foundations,
see page 24 of the instructions.)
Fair market value of assets not used (or held for use) directly m carrying out chantable, etc,
purposes
a Average monthly fair market value of securities
b Average of monthly cash balances . . . . ........
c Fair market value of all other assets (see page 25 of the instructions)
d Total (add Imes 1a, b, and c) ...................
e Reduction claimed for blockage or other factors reported on Imes 1a and
1c (attach detailed explanation) ...........
l.__1_e_..__l
_________
Acqu1s1tJonindebtedness applicable to line 1 assets
Subtract line 2 from line 1d
..
Cash deemed held for chantable actJv1tJesEnter 1 1/2 % of line 3 (for greater amount, see page 25
2
3
.... ......
of the instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net value of noncharitable-use assets. Subtract line 4 from line 3 Enter here and on Part V, line 4
5
6
=-1-
Distributable
foundations
Enter 5% of line 5 . . . . . . . . . . . . . . . . . . . . . . . .
check here ~
a
b
Distributions(see
56.915.
3,737,419.
186.871.
186,871.
2c
3
4
5
3.879.
182,992.
182.992.
6
182.992.
......................
..........
. . . . . . . . . . . ..............
. . . . . ..............
Qualifying distributions.
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)
Adjusted qualifying distributions. Subtract line 5 from line 4
4
5
6
NONE
3.879.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......
3.794.334
-1
1:Zfui31i
Qualifying
2
3
NONE
line 1
a
b
3.794.334.
3.794,334.
Amount (see page 25 of the instructions) (Section 4942(1)(3) and (J)(5) private operating
1a
1b
1c
1d
Add Imes 1a through 3b Enter here and on Part V, line 8, and Part XIII, line 4
1a
1b
10
106.
NONE
NONE
3a
3b
4
NONE
NONE
10
106.
5
NIA
6
10
Note: The amount on /me 6 will be used m Part V, column (b}, m subsequent years when calculating whether the foundation
qualifies for the section 4940(e) reduction of tax m those years
106.
Form
JSA
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85652
990-PF
(2007)
48-0926946
Undistributed
l:.f:Ti.1
Distributable
line 7
amount
Page9
for 2007
from
Part XI,
(b)
Years prior to 2006
(a)
Corpus
.....................
(c)
2006
(d)
2007
182.992.
..........
3
a
From 2002
From 2003
From 2004
From 2005
11.840.
15 560.
8.221.
637.
4,302,453.
From 2006
line 4
. . . ........
....$
10 106.
...
4.338.711.
......
..
10,106.
172,886.
4,165
172,886.
825.
...
..
.....
Taxable
line 6c from
line 6b
d Subtract
amount - see page 27 of the instructions
....
e Und1stnbuted income for 2006 Subtract line
4a from line 2a Taxable amount - see page
27 of the instructions
.............
f
................
..............
Excess
distributions
....
carryover
to
2008.
.......
4.165.825.
Analysis of line 9
0
a
d
e
4 165,825.
Form 990-PF (2007)
JSA
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85652
-----------------
,u
1 a'
If the
Private
b
2a
Operating
foundation
has
received
a ruling
or
determination
letter
that
1s a pnvate operating
foundation
.is.
descnbed
.p~v~t~
.o~e.ra~mg~
(a) 2007
I I
1n section
4942(j}(3} or
I I
4942(1}(5}
(e) Total
(c) 2005
(b)2006
NOT APPLICABLE
Pnor 3 years
Tax year
Page10
Foundations
and the ruling 1s effecbve for 2007, enter the date of the ruling
foundation,
48-0926946
1::r. .....
(d) 2004
..
65% of lme2a
Qualily1ngdistr1bu!Jons
from Part
XII, line 4 for eachyear listed
......
3
a
- ..
49420X3XBXQ.
"Endowmenr alternative testenter 213 of minimum investment return shown en Part X,
-.
"Support"alternativetest - enter
Investment
income
.
1
(4)
.....
~upple~entary
time
durmg
the
Information
year
- see
(Complete
th~s part o_nly
page
28 of the mstruct1ons.)
if the
foundation
had
$5,000
or
more
in assets
at any
DAVID H. KOCH
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
NA
Information Regarding Contribution,
Check here .,.. [i] 1f 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 md1v1duals or
organizations under other conditions, complete items 2a, b, c, and d
a The name, address, and telephone number of the person to whom apphcatlons should be addressed
b The form m which apphcatlons should be submitted and information and matenals they should include
c Any subm1ss1ondeadlines:
d Any restrictions
factors.
JSA
or other
Form 990-PF
7E14902 000
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(2007)
4 8-092694
Supplementary lnfonnation (continued)
Grants and Contributions Paid During the Year or Approved for Future Payment
Form990-PF (2007)
1:.1@Qj
3
Rec1p1ent
Name and address (home or business)
If
Foundation
status of
rec,p,ent
Page 11
Purpose ~rant or
contn ,on
Amount
Total
b Approved for future payment
Ja
~ 3b
Total
Form
JSA
7E14912000
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990-PF
(2007)
~
..-,. Form 990-PF (2007)
Page12
48-0926946
(a)
(b)
(c)
(d)
Business code
Amount
ExclUs,on code
Amount
(e)
Related or exempt
function income
~ee page 28 of
e instructions )
a
b
c
d
e
f
g
....
.. . .
14
193,958.
.......
.....
Debt-financed property
.........
..
c
d
e
12 Subtotal Add columns (b), (d), and (e)
....
193 958.
13
~1....
, = Relationship of Activities to the Accomplishment
Line No.
"'
193
958.
of Exempt Purposes
Explain below how each activity for which income 1s reported m column (e) of Part XVI-A contnbuted importantly to
the accomplishment of the foundabon's exempt purposes (other than by providing funds for such purposes) (See
page 29 of the mstrucbons )
NOT APPLICABLE
JSA
7E1492 2000
14352G
K932
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V07-6.2
85652