Form 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/446/... · 2017. 6. 21. · Form 990-PF Return of Private Foundation FMB No 1545-0052 Department

. Form 990-PF Return of Private Foundation FMB No 1545-0052

Department ormeTreasury or Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation ~oo imemai aevenue service Note : The organization ma be able to use a co of this return to sags state reporting requirements

For calendar ear 2004, or tax ear beginning , 2004, and ending G Check all that apply* . Initial return Final return Amended return Address change Name change

Name of organization A Employer Identification number

Use the IRS label . COMMRCE BANCSHARES FOUNDATION . 99-6012953

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

or type . See Specific 922 WALNUT STREET SUITE 200 816 239-2728

C If exemption application s Instructions . City or town, state, and ZIP code . . 1 pending, check here . . .

U 0 1 Foreign organizations . check here , 1

KANSAS CITY MO 6916-189 2 Foreign organizations meeting the . H Check type of organization : X Section 501 (c"3 exempt private foundation 85% tesc, check here and attach

computation . . . . . . . . Section 4947 (a )( 1 ) nonexempt charitable trust Other taxable private foundation

_ E If private foundation status was terminated I Fair market value of all assets at end J Accounting method : X Cash Accrual �rider section so7rox,)(A), check hem

of year (fromPart ll,col.(c),line Bother (specify)- ___________ F � cna foundation isma60-monMtertnmatron 16) " $ 2 ,849 , 221 . (Part l, column (d) must be on cash basis.) under section so7(b)(,)(e), check here ,

Analysis of Revenue and Expenses (d) Disbursements (The total of amounts m columns (b), (c), and (a) Revenue and (b) Net investment (c) Adjusted net for charitable (d) may not necessarily equal the amounts in expenses

books per income income purposes

column a see page 11 of the instructions cash basis on

1 Contnbutrons Ats, prams, eta, retained (attach schedule) . 348 851 . S'T'MT 1

2 Check 1 if the foundation is not required to attach Sch B

3 Interest on savings and temporary cash investments 180 . 180. STMT 2

4 Dividends and interest from securities , , _ 163 , 596 . 154 ,214 . STMT 3 5 a Gross rents . . , . , . . . . . . . . . . .

~1r1 b Net rental Income or (loss) VD

d 6 a Net gain or (loss) from sale of assets not on line 70 231 , 628 . ~ b Gross sales price for all y assets on line 6a 1 , 570 , 924 . w 7 Capital gain net income (from Part IV, line 2) . 231 ,628 .

8 Net short-term capital gam . . . . . . . .

9 Income modifications " " " - " 10a Gross sales less

Tins . and allowances b Less Cost of goods sold

c Gross profit a (loss) (attach schedule)

11 Other income (attach schedule) _ . , , , 12 Total. Add tines 1 through 11 . 744 , 255 . 386, 022 .

1 3 Compensation of officers, directors, trustees, etc

N 14 Other employee salaries and wages . , , , y 15 Pension plans, employees is

1 ~ 'L ~ ---!'-- Im~lule) . . . . . W b Ac ~~eac.(atta le}STMT .9 5 ,000 . 5 , 000 . NONE NONE

c that professional fees 1'a chedule) . , 1 ~I t'w. - M4

h 1 xes(attach schedule (see ~ rthemstructans) ** 6 , 683 .

19I ep c' t cf~~dule) rid depletion Q 20 OCC . . . . . . .

21 Travel, conferences, and meetings , , , , , c A 22 Printing and publications , , , , , , , , ,

c 23 Other expenses (attach schedule) STMT , fj . 24 , 056 . 16 , 919 . 7 , 137 . r. 24 Total operating and administrative expenses .

a Add lines 13 through 23 . . . , , . , , , 35 , 739 . 21 , 919 . NONE 7 , 137 . X 25 Contributions, gifts, grants paid , . , . . , 1 268 044 . 1 , 268 , 044 .

26 Total expenses aria disbursements Add lines 24 and 25 1 ,303 ,783 . 21 , 919 . NONE 1 , 275 ,181 . 27 Subtract line 26 from line 12-

Excess a ofrovanueovera:pensesanddisbunamentn . -559 ,528 . 1 b Net Investment Income (if negative, enter -0-) 364 ,103 . 1 c Adjusted net income (if negative, enter -0-) . . ~ -Q-

JSA For Privacy Act and Paperwork Reduction Act Notice, see the instructions. **STMT 5 Form 990-PF (2004)

4E1410 2 000

56T051 1505 05/11/2005 14 :02 :23 V09-6 .2 28292

q9-OV1G'l7 .7

nnin of ear End of

Book Value (b Book Value

48 275 . 211,958 . 568,842 .

I Fair Market Value

8,275 . 8,842 .

3,119,401

Organizations that follow SFAS 117, check here "U and complete lines 24 through 26 and lines 30 and 31 .

N X 24 Unrestricted , . , . , . . , , . . . . . . . . . . . . . . . . m 25 Temporarily restricted , , , . . . . . . , . . . . . . . . . m26 Permanently restricted """"""""""""""""""

Organizations that do not follow SFAS 117, ,i check here and complete lines 27 through 31 . t Ex

`0 27 Capital stock, trust principal, or current funds . . . . . . . .

28 Paid-in or capital surplus, or land, bldg , and equipment fund , . , , , 40 y 29 Retained earnings, accumulated income, endowment, or other funds ,

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

Z instructions) �� ., 3 , 325 , 859

31 Total liabilities and net assets/fund balances (see page 17 of

the instructions ~ - - 3 , 325 , 85 9

Analysis of Changes in Net Assets or Fund Balances 2,766,331 .

3,325,859 . -559,528 .

2,766,331 .

2,766,331 .

Form 990-PF (2004)

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Forth 990-PF (2004) Attached schedules and amounts in the

(~ Balance Sheets description column should be for end-of-year amounts on See instructions

1 Cash - non-interest-bearing , , , , , , , , , , , , , , , , . ,

2 Sarongs and temporary cash investments , , , , , , , , , , ,

3 Accounts receivable

Less' allowance for doubtful accounts 101

4 Pledges receivable

Less : allowance for doubtful accounts 01

5 Grants receivable � � . � � � � � � � � ,

6 Recervables 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)

Less allowance for doubtful accounts 1

~, 8 Inventones for sale or use , , , , , , , , , , . , , , , , , ..

9 Prepaid expenses and deferred charges , , , , , , , , , , , ,

Q 10 a Investments - U S and state government obligations (attach schedule)*

b Investments - corporate stock (attach schedule) , , , , , , , ,

c Investments - corporate bonds (attach schedule) , , , , , , , 1 1 Investments -land, buildings,

and equipment basis ___________________ Less: accumulated depreciation 10. (attach schedule) -------------------

12 Investments - mortgage loans , , , , . , , , , , , , , . , , 13 Investments - other (attach schedule) , , , , , , , , , , , , , 14 Land, buildings, and

equipment basis ___________________ Less accumulated depreciation pp. (attach schedule) --------------------

15 Other assets (describe " )

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

the instructions Also , see page 1 item I

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

18 Grants payable �� . ��

X 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 " )

2 , 149 , 214a 2 , 232 , 104 .

6

1 Total net assets or fund balances at beginning of year - Part II, column (a), line 30 (must agree with end-of-year figure reported on prior years return) , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

2 Enter amount from Part l,line 27a �� . �� . �� 3 Other increases not included in line 2 (itemize) 4 Add lines 1, 2, and 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Decreases not included in line 2 (itemize) 0~

----------------------------------------6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30 . . **STMT 7

JSA 4E1420 2 000

Capital Gains and Losses for Tax on Investment Income (a) List and describe the kind(s) of property sold (e g ,real estate, 2-story brick warehouse; or common stock, 200 shs MLC Co )

SEE PART IV SCHEDULE

(e) Gross sales price (f) Depreciation allowed (g) Cost or other basis (or allowable) plus expense of sale

)m lete only for assets showing gain in column h and owned b the foundation on 12/31/69

(I) F .M.V . as of 12131/69 U) Adjusted basis (k) Excess of col (Q as of 12131/69 over col 0), If any

(I) Gains (Col. (h) gain minus col . (k), but not less than -0-) or

Losses (from col (h))

c d

8 Enter qualifying distributions from Part XII, line 4 , , , , , _ , , , , , , , , , , , , , , , , , , , 1 8 1 1,275,181 . 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 7 % tax rate See the Part VI instructions on page 18

~ aEiaao z o0o Fom, 990-PF (2ooa) 56T05I 1505 05/11/2005 19 :02 :23 V09-6 .2 28292

., -

i 1a

b V

C

a e

a

c

e

3

U 170W I (c) Date I 1`41urchase acquired (d) Date sold

D.Denatron ~m0 , day, yf ~ (mo , day, yr )

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

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

f If (loss), enter-0-in Part I, line 7 } 2 231 , 628 . 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 Part I, line 8 ~ 3

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 organization liable for the section 4942 tax on the distributable amount of any year in the base period?. , , . F-1 Yes [ X No If "Yes," the organization does not qualify under section 4940(e). Do not complete this part .

1 Enter the appropriate amount in each column for each year ; see page 18 of the instructions before making any entries .

Base period years Calendar year (b) (<) Distribudt on ratio or tax ear beginning in Adjusted qualifying distributions Net value of nonchantable-use assets

col b drvlded b col c 2003 1 , 240 , 927 . 4 , 118 , 492 . 0 .30130615769 2002 1 , 167 , 444 . 4 , 292 , 649a 0 .27196353580 2001 1 , 271 270 . 2 , 677 , 412 . 0 .97981299105 2000 1 , 211 , 428 . 3 , 475 , 723* 0 .34853985775 1999 1,179,382 . 4 , 541,555 . 0 . 25968682533

2 Total of line 1, column (d) . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . , . . , . 2 1 . 65630936762 3 Average distribution ratio for the 5-year base period -divide the total online 2 by 5, or by

the number of years the foundation has been in existence if less than 5 years , , , , , , , , 3 0 .33126187352

4 Enter the net value of noncharitable-use assets for 2004 from Part X, line 5 4 2 , 983 , 889

5 Multiply line 4 by line 3 . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . I 5 I 988,449 .

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

7 Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 7 1 992

49-6012453 Page 4 se Tax Based on Investment Income Section 4940 (a ~ , 4940 (b ) , 4940 (e) , or 4948 - see page 18 of the instructio

1 a Exempt operating foundations described In section 4940(d)(2), check here 11~ and enter 'NIA' on line 1

Date of ruling letter : _ _ _ _ _ _ _ _ _ (attach copy of puling letter if necessary -see instructions) b Domestic organizations that meet the section 4940(e) requirements in Part V, check

here " f~] and enter 1 % of Part I, line 27b

t All other domestic organizations enter 2% of line 27b Exempt foreign organizations enter 4% of Part I, line 12, cot (b)

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

3 Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) , . , 5 Tax based on investment income . Subtract line 4 from line 3 If zero or less, enter -0- . , , . , , , , , , , , , 6 Credits/Payments

a 2004 estimated tax payments and 2003 overpayment credited to 2004 6a 6 , 408 .

b Exempt foreign organizations - tax withheld at source , , _ , , , , , , , , , 6b NONE

c Tax paid with application for extension of time to file (Form 8868), . . . . . . 6c NONE

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

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

" "

. . . . . . . . . . . . . . . . . . . . . . .

8 Enter any penalty for underpayment of estimated tax Check here El if Form 2220 is attached , , , _ , . , , . . ,

g Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed

10 Overpayment If line 7 is more than the total of lines 5 and 8, enter the amount overpaid , , , , , , , , , , 11 Enter the amount of line 10 to be: Credited to 2005 estimated tax 2 767 . Refunded

Statements 11110-

Regarding Activities

2

7 I 6,9

9

10 2 .767

56TO5I 1505 05/11/2005 14 :12 :29 V09-6.2 28292

1 a During the tax year, did the organization attempt to influence any national, state, or local legislation or did Yes No it participate or intervene in any political campaigns , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 1 a 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)? , , , , , , , , , , , , , , , , , , , , , , , , , , . , . , , , , , , , . . , . , , . 1 b X

If the answer is "Yes" to 1 a of 16, attach a detailed description of the activities and copes of any mafenals published or distnbufed by the organization in connection with the activities.

c Did the organization file Form 1120-POL for this years , . . , . _ , , , _ , , , . . . . . . . . . . . . . . . . . . . . . . 1 c X d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year'

(1) On the organization 10~ $ (2) On organization managers Po- $

e Enter the reimbursement (if any) paid by the organization during the year for political expenditure tax imposed on organization managers . jo~ $

Z Has the organization engaged in any activities that have not previously been reported to the IRS , , , , , , , , , , , . . . 2 X If 'Yes,' attach a detailed descnphon of the activities.

3 Has the organization made any changes, not previously reported to the IRS, in its governing instrument, articles of incorporation, or bylaws, a other similar instruments? If 'Yes,"attach a conformed copy of the changes , , , , , , , , . , 3 X

4a Did the organization have unrelated business gross income of $1,000 or more during the years , , , , , , , , , , , , , , , 4a X b If "Yes," has it filed a tax return on Form 990-T for this years , , , , , , , . , , _ , . . , , . , , . . _ . . . _ , . _ . . . 4 b A

5 Was there a liquidation, termination, dissolution, or substantial contraction dunng the year? , , , , , , , , . , , , , , , , , 5 X If 'Yes,' attach the statement required 6y General Instruction T.

6 Are the requirements of section 508(e) (elating to sections 4941 through 4945) satisfied either By language in the governing instrument, a

By state legislation that effectively amends the governing instrument so that no mandatory directions that conflict with the state law remain in the governing instrument? , , , . , , , , , , , , , , . , , , , , , , , , , , 6 X

7 Did the organization have at least $5,000 in assets at any time during the year? If 'Yes,' complete Part 11, cot (c), and Part XV. 7 X 8a Enter the states to which the foundation reports or with which it is registered (see page 19 of the

instructions) III,. MISSOURI ________________________________-____-b If the answer is 'Yes" to line 7, has the organization furnished a copy of Form 990-PF to the Attorney

General (or designate) of each state as required by General Instruction G7 !f 'No,' attach explanation . , , . , , , , , , , , , 8b X 9 Is the organization claiming status as a private operating foundation within the meaning of section 4942Q)(3)

or 4942(j)(5) for calendar year 2004 or the taxable year beginning in 2004 (see instructions for Part XIV on page 25)? If 'Yes,' complete Part XIV , , , , , , , , , , , , , , . , , , , , , , , _ . _ , , _ , , , , , , , , , . . , , , 9 X

10 Did any persons become substantial contributors during the tax years a 'Yes,' attach a schedule listing their names and addresses , , 10 X 11 Did the organization comply with the public inspection requirements for its annual returns and exemption application? , , , , , ~ 11 ~ X

Web site address " _____ N1A 12 The books are in care of jo. _ MICHAEL FIELDS _____-_________________Telephone no N o.816-234-2728

Located at jo-_922_WALNiJTl_2ND_FLOORl_KANSAS CITY, MO_______ZJP+4 .64106___________ 13 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here . . . . . . . N/8 . .

and enter the amount of tax-exempt interest received or accrued during the year . . " I 13 aEiaao 2 000 Form 990-PF (2004)

` Form 990-PF 2004 94-6012453 Statements Regarding Activities for Which Form 4720 Ma Be Required

File Form 4720 If any item is checked In the "Yes" column, unless an exception applies.

1a During the year did the organization (either directly or indirectly)-

(1) Engage in the sale or exchange, or leasing of property with a disqualified person? , , , , , , , , 1:1 Yes EONo

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

a disqualified persons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes X No

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

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified persons . , . , . , . . X Yes 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)? . . , . , , , . . , . , . , . , , . . . , . , , Yes X No

(6) Agree to pay money or property to a government official? (Exception. Check "No"

if the organization agreed to make a grant to or to employ the official for a period

after termination of government service, if terminating within 90 days ) . . . . . . . . . . . . . a yes ~X 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 page 20 of the instructions)? " " " " " a . " . . 1 b

Organizations relying on a current notice regarding disaster assistance check here , , , , , , , , , , ,

c Did the organization engage in a prior year in any of the acts described m 1a, other than excepted acts,

that were not corrected before the first day of the tax year beginning in 2004 , , . , , , , , , , , , , , , , , , , , , ,

2 Taxes on failure to distribute income (section 4942) (does not apply for years the organization was a private

operating foundation defined in section 49420(3) or 49420(5)):

a At the end of tax year 2004, did the organization have any undistributed income (lines 6d

and 6e, Part XIII) for tax year(s) beginning before 2004? . . . . . . . . . . . . . . . . . . . . .

. Yes X No

If "Yes," list the years 00 -

b Are there any years listed in 2a for which the organization is not applying the provisions of section 4942(a)(2)

(relating to incorrect valuation of assets) to the year's undistributed incomes (If applying section 4942(a)(2)

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

c If the provisions of section 4942(a)(2) are being applied to any of the years fisted in 2a, list the years here .

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

enterprise at any time during the years , , , , , , , , , , , , , , , , , , , , . , , , , . , , , , . El Yes X No

b If "Yes," did it have excess business holdings in 2004 as a result of (1) any purchase by the organization

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 organization had excess busyness holdings in 2004 .) � � � � . � � . , . � , . � � � � � � � 3 b

4a Did the organization invest during the year any amount m a manner that would jeopardize its charitable purposes? . . . . , , , 4a

b Did the organization make any investment in a prior year (but after December 31, 1969) that could jeopardize it charitable

purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2004 . , . . . . , . , , , 4 b

5 a During the year did the organization pay or incur any amount to' (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? , , , , , , E ] Yes aX No

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

on, directly or indirectly, any voter registration drives Yes X No

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

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

in section 509(a)(1), (2), or (3), or section 4940(d)(2)? . , , , , , , , , , , , , , , , , , , , , Yes aX 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? , , , , , , , , , , 1:1 Yes X No

b If any answer is 'Yes" to Sa(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 20 of the instructions)? "~ " " " . 5b

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

c If the answer is "Yes" to question Sa(4), does the organization claim exemption from the

tax because it maintained expenditure responsibility for the grant? , , , , . . , , . , , , , . , , , Yes No

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

6a Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? , , , , , , , , , , , , , , , , , , , , , . , , , , , , , Yes a No

b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . , . . . . . . . . 6b If you answered 'Yes' to 66, also file Form 8870

5

Form 990-PF (2004)

56T051 1505 05/11/2005 19 :02 :23 V04-6.2 28292

JSA 4E7450 2 000

56T051 1505 05/11/2005 14 :02 :23 V09-6 .2 28292

44-6012953 Form 990-PF(2004) Page 6

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors 1 List all officers, directors, trustees, foundation managers and their compensation see page 20 of the instructions ) .

(b) Title, and average (c) Compensation (a) Contributions to (e) Expense account, (a) Name and address hours per week (If not paid, enter employee bene~rt plans other allowances devoted to position -0-) and deferred compensation

w ------------------------------------- SEE STATEMENT 8 NONE NONE NONE

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2 Compensation of five highest-paid employees (other than those included on line 1 - see page 21 of the instructions). If none, enter "NONE."

b Tulle and average (d) Contributions to (a) Name and address of each employee paid more than $50,000 ( hours per week(c) CompensaUon employee benefit ~e) Expense account,

devoted to position pans and deferred other allowances compensation

NONE

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

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

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

Total number of other employees paid over $50,000 3 Five highest-paid independent contractors for professional services - (see page 21 of the instructions) . If none, enter .

"NONE." (a) Name and address of each person paid more than $50,000 (b) Type of service

NONE

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

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

13011 M, Summary of Direct Charitable Activities

List the foundation's four largest direct charitable activities during the tax year Include relevant statistical information such as the number Expenses of organizations and other beneficiaries served, conferences convened, research papers produced, etc

1 NONE

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2

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3

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4

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Fog 990-PF (2004) 4 E 7 460 2 .000

Page 7 Form 990-PF -601 see page ummary

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2 . 1 Amount

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

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

2

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

All other program-related investments See page 22 of the instructions

NONE

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lines 1 through 3 ~ Minimum Investment Return (All domestic foundations must complete this part . Foreign foundations,

see page 22 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 . . . . . . . . , . . . . . . . . . . . b Average of monthly cash balances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , c Fair market value of all other assets (see page 22 of the instructions) . . . . . . . . . d Total (add lines 1a, b, and c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e Reduction claimed for blockage or other factors reported on lines 1a and

1 c (attach detailed explanation) . . . . . . . . . . . . . I 1 e 2 Acquisition indebtedness applicable to line 1 assets 3 Subtract line 2 from line 1d 4 Cash deemed held for charitable activities . Enter "'I 1 l2 % of line 3 (for greater amount, see page 23

of the instructions) . . . . . 5 Net value of noncharitable-use assets . Subtract line 4 from line 3. Enter here and on Part V, line 4 6 Minimum investment return . Enter 5% of line 5 . , , _ _ , , , , _ , , , , , , , . , , , , , , . . . , , ,

1a 2 , 630 , 415 . 1b 398 919 . 1 c NONE 1d 3 , 029 , 329 .

NONE 3 , 029 , 329 .

45 , 440 . 2 , 983 , 889 .

149,194 . Distributable Amount (see page 23 of the instructions) (Section 4942(j)(3) and 0)(5) pnvate operating foundations and certain foreign organizations check here p. a and do not complete this part.)

1 Minimum investment return from Part X, line 6 . . . . . . . . , . . . . . . . . . , , , , , . . , . , . 1 2 a Tax on investment income for 2004 from Part VI, line 5 2a 3 , 641 . b Income tax for 2004 . (This does not include the tax from ~Part VI .) . . . 2b c Add lines 2a and 2b 2c

3 Distributable amount before adjustments . Subtract line 2c from line 1 . , . . . . . . . . . , . . . , . 3 4 Recoveries of amounts treated as qualifying distnbutions , , . , , , . . . . . , , . . . . . . . . . . . . 4 5 Add lines 3 and 4 5 6 Deduction from distributable amount (see page 23 of the instructions) . . . .

~ . . . . . . . 6

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

line 1 7

Qualifying Distributions (see page 23 of the instructions)

1 Amounts paid (including administrative expenses) to accomplish charitable, etc ., purposes : a Expenses, contributions, gifts, etc . - total from Part I, column (d), line 26 . . . . . . _ . . . . . . . . . . 1 a 1 , 275 , 181 . b Program-related investments - total from Part IX-B . . . , . . , . . . . 1 b NONE

2 Amounts paid to acquire assets used (or held for use) directly in cartying out charitable, etc., purposes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 NONE

3 Amounts set aside for specific charitable projects that satisfy the : a Suitability test (prior IRS approval required) . . , , . . . . . . . . , . . . , . . . . . . . . . . . . . . . 3a NONE b Cash distribution test (attach the required schedule) . . . . . . . . . . _ . . . . . . . . . . . . . . . 3b NONE

4 Qualifying distributions . Add lines 1a through 3b Enter here and on Part V, line S, and Part XIII, line 4 . . . . . 4 1 , 275 , 181 . 5 Organizations 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 24 of the instructions) . . . . . . . . . . . . . . . . . . 5 3 , 641 . 6 Adjusted qualifying distributions. Subtract line 5 from line 4

-"-**---' . , 6 1 , 271 , 540 .

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 (2004) JSA 4E1470 2 000

56T051 1505 05/11/2005 14 :02 :23 V04-6 .2 28292

7 NONE

JSA 4E1480 2 000

56TOSI 1505 05/11/2005 14 :02 :23 V09-6 .2 28292

Form 990-PF (2004) 44-6012953 Page 8

Undistributed Income (see page 24 of the instructions)

(a) (b) (c) (d) 1 Distnbutable amount for 2004 from Part XI, Corpus Years prior to 2003 2003 2004

line? ,,,,,,,,, _ 145 , 553 . 2 Undistributed income, d any, as of the end of 2003 a Enter amount for 2003 only . , , , , , , , , NONE b Total for prior years NONE

3 Excess distributions car over, if any, to 2004-

a From 1999 NO b From 2000 335 , 903 . c From 2001 . , , , , 1 , 273 , 632 . d From 2002 , , , , , 1 , 167 , 444 . e From 2003 , , , , , , 1 , 041 , 408 .

f Total of lines 3a through e , , , , , , , , , , 3 , 818 , 387 . 4 Qualifying distributions for 2004 from Part

XI 1, line 4~ " $ 1,275,181 . a Applied to 2003, but not more than line 2a , , NONE

b Applied to undistributed income of prior years (Election required - see page 24 of the instructions) , NONE

c Treated as distributions out of corpus (Election required - see page 24 of the instructions) , , , NO

d Applied to 2004 distnbutable amount, , , , . 145 , 553 . e Remaining amount distributed out of corpus , , 1 , 129 , 628 .

5 Excess distributions carryover applied to 2004 NONE NONE (If an amount appears in column (d), the same amount must be shown in column (a) )

s Enter the net total of each column as indicated below:

a Corpus Add lines 3f, 4c, and 4e Subtract line 5 4 , 948 , 015 . . --

b Prior years' undistributed income Subtract line 4b from line 2b , , , , , , , , , , , , NONE

c Enter the amount of prior years' undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed , . , , , , , NONE

d Subtract line 6c from tine 6b . Taxable amount - see page 25 of the instructions , , , , NONE

e Undistributed income for 2003 Subtract line 4a from line 2a Taxable amount - see page 25 of the instructions . . . . . . . . . . . . . . NONE

f Undistributed income for 2004 Subtract lines 4d and 5 from line 1 This amount must be distributed m 2005 . . . , . . . . NONE

7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(E) or 4942(8)(3) (see page 25 of the instructions) , , , , , , NO

8 Excess distributions carryover from 1999 not applied on line 5 or line 7 (see page 25 of the instructions) . . . . . . . . , , , . . . , NO

9 Excess distributions carryover to 2005. Subtract lines 7 and 8 from line 6a . . . . . . 4 , 948 , 015 J

10 Analysis of line 9: a Excess from 2000 . . 335, 903.

b Excess from 2001 , . 1 , 273 , 632 .

c Excess from 2002 . . . 1 , 167 , 444 . d Excess from 2003 . . 1 , 041,408 . e Excess from 2004 . r~1, 129 , 628 .

Fog, 990-PF (2ooa)

JSA - 4ei490 2 000 Form 990-PF (2004)

56T05I 1505 05/11/2005 19 :02 :23 V04-6 .2 28292

Form 990-PF (2004) 44-6012453 Page 9 Private Operating Foundations (see page 25 of the instructions and Part VII-A, question 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 2004, enter the date of the ruling . .

b Check box to indicate whether the organization is a private operating foundation described in section 49A20)(3) or 4942(j)(5)

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

adjusted net income from (a) 2004 (b) 2003 (c) 2002 (d) 2001 (e) Total ` Part I or the minimum

Investment return from Part X (or each year listed . . .

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

C Oualifying distributions from Part %1I, line 41or each year listed .

d Amounts included in line 2c not used directly far active conduct of exempt activities ,

8 Qualifying distributions made directly for active conduct of exempt activities Subtract line 2d from line 2c .

3 Complete 3a, b, a c for the alternative test relied upon

a "Assets' alternative lest - enter

Value of aft assets (2) Value of assets qualifying

under section 4942Q)(3)(B)oi .

b 'Endowment alternative test - enter 2/3 of minimum investment retain shown in Part X Mme 6 for each year listed . .

C 'Support' alternative test - enter

(1) Total support other than

grass investment income (interest, dividends. rents,

payments an securities loans (section 512(x)(5)), or royalties) ,

(2) Support from general public and 5 a more exempt organizations as provided in section 4942G)(3)(B)ffii)

(3) Largest amount of support from an exempt organization

Supplementary Information (Complete this part only if the organization had $5,000 or more in assets at any time during the year - see page 26 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 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

NONE

2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs: Check here 1 El it the organization only makes contributions to preselected charitable organizations and does not accept unsolicited requests (or funds

Ii the organization makes gifts, grants, etc (see page 26 of the msWchons) 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'

MICHAEL FIELDS, 922 WALNUT, K .C ., MO 64106 (816) 239-2728 b The form in which applications should be submitted and information and materials they should include :

INFORMATION TO DETERMINE CHARITABLE STATUS IN ACCORDANCE WITH SECTION 501(C)(3) .

c Any submission deadlines NONE

d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, a other factors' NONE

94-6012953 Form 990-PF (2004) pays 10

Supplementary Information (continued)

Form 990-PF (zooa)

JSA 4E1491 2 000

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JSA 4E1492 2 000

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Form 990-PF(200a) 99-6012953 Page

Analysis of Income-Producing Activities

Enter gross amounts unless otherwise indicated Unrelated business income Excluded b section 512, 513, or 514 (e) Related or exempt

Business (b) (C) (d) function income Exclu ion (See page 26 of

1 Program service revenue' code Amount code Amount the instructions a

b

c

d

e

f

g Fees and contracts from government agencies 2 Membership dues and assessments . , . . ,

3 Interest on savings and temporary cash investments 14 180.

4 Dividends and interest from securities , , , , 19 163 , 596.

5 Net rental income or (loss) from real estate

a Debt-financed property , , , , , . , ,

b Not debt-financed property , , , , , , ,

6 Net rental Income or (loss) from personal property

7 Other investment income

8 Gain or (loss) from sales of assets other than inventory 18 231 , 628 . 9 Net income or (loss) from special events . , ,

10 Gross profit or (loss) from sales of inventory. .

11 Other revenue' a

b c

d

e

12 Subtotal . Add columns (b), (d), and (e) , , , , 395, 404 . 13 Total. Add line 12, columns (b), (d), and (e) , , , , , , , , , , , , , _ , , , , , , , , , , , , , , , , , , , , , 13 395, 404 . (See worksheet in line 13 instructions on page 26 to verify calculations )

Relationship of Activities to the Accomplishment of Exempt Purposes

Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to Line No. the accomplishment of the organization's exempt purposes (other than by providing funds for such purposes). (See

page 27 of the instructions .)

Fog 990-PF (2ooa)

Form 990-PF 2004 94-6012453 Page 12

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

1 Did the organization directly or indirectly engage in any of the following with any other organization described in section 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 organization to a nonchantable exempt organization of

(1) Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1a1 X . . (2) Other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1a (2) X

b Other transactions,

(1) Sales of assets to a nonchantable exempt organization , , , , , , , , , , , , , , , , , , , , . , , , , , , , , , , , , 1 b(1 ) X

(2) Purchases of assets from a noncharrtable exempt organization , , , , , , , , , , , , , , , , , , , , . , , , , , _ , , 1 b 2 X

(3) Rental of facilities, equipment, or other assets , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , Sb 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 X

c Sharing of facilities, equipment, mailing lists, other assets, or paid employees , , , , , , , , , , , , , , , , , , , , , , , , , 1 c 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 organization If the organization 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 .

2 a Is the organization directly or indirectly affiliated with, or related to, one a more tax-exempt organizations described m section 501(c) of the Code (other than section 501(c)(3)) or in section 527? , , , , , , , , , , , , , , , , , , 0 Yes aX No

b If "Yes." complete the following schedule (c) Description of relationship of

that I ve examined this return, Including accompanying schedules and statements, and to the best of my knowledge and i Decl~atlon of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge

` / i lure of officer or trustee d Z

o> y Preparer's ' y ;o M p signature

v ~ Firm's name (or self-employed), and ZIP code

KPMG LLP 1000 WALNUT ST ., SU:

JSA 4E1493 2 000

56T05I 1505 05/11/2005 19 :02 :23 V04-6 .2

(a) Name of organization

U dq er penalties of penury, I ~d b 1, N Is true, correct, and cc

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

Idnd of Property Description Date Date sold p acquired

Gross sale Depreciation Cost or FMV Adj . basis 6acess of Gain price less allowed! other as of as of FMV over or

e e ses of sale a llowab le ad' basis

STATEMENT / / vAR Vp,R PROPERTY TYPE : SECURITIES

,570,429 . 1,338,796 . 231,628 .

TOTAL GAIN (LOSS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231,628 .

* The Merck stock shown on Statement 11 was donated .

The remainder of securities was purchased.

i

sa 4E1730 7 000

56T051 1505 05/11/2005 14 :02 :23 V04-6 .2 28292

OMB No 1545-0047

X004 mployer identification number

Filers of: Section :

Form 990 or 990-EZ 0 501(c)( ) (enter number) organization

56T05I 1505 05/11/2005 19 :02 :23 V04-6 .2 28292

Schedule B Schedule of Contributors (Form 990, 990-EZ, or 990-PF) Supplementary Information for Department of the Treasury line 1 of Form 990, 990-EZ, and 990-PF (see Instructions) Internal Revenue Sennce

Name of organization

COMMERCE BANCSHARES FOUNDATION

Organization type (check one) :

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF EA 501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule. (Note : Only a section 501(c)(7), (8), of (10) organization can check boxes for both the General Rule and a Special Rule - see instructions)

General Rule -

For organizations filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or property) from any one contributor. (Complete Parts I and II .)

Special Rules -

For a section 501(c)(3) organization filing Form 990, or Form 990-EZ, that met the 33 1/3% support test of we regulations under sections 509(a)(1)1170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the greater of $5,000 or 2% of the amount on line 1 of these forms. (Complete Parts I and II.)

For a section 501(c)(7), (8), or (10) organization filing Form 990, or Form 990-EZ, that received from any one contributor, during the year, aggregate contributions or bequests of more than $1,000 for use exclusively for religious, charitable, scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. (Complete Parts I, II, and III .)

For a section 501(c)(7), (8), or (10) organization filing Form 990, or Form 990-EZ, that received from any one contributor, during the year, some contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did not aggregate to more than $1,000 . (If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the Parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more during the year.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " $

Caution: Organizations that are not covered by the General Rule and/or the Special Rules do not file Schedule 8 (Form 990, 990-EZ, or 990-PF), but they must check the box in the heading of their Form 990, Form 990-EZ, or on line 2 of their Form 990-PF, to certify that they do not meet the filing requirements of Schedule 8 (Form 990, 990-EZ, or 990-PF) .

For Paperwork Reduction Act Notice, see the Instructions Schedule 8 (Form 990, 990-EZ, or 990-PF) (2004) for Forth 990, Form 990f2, and Form 990-PF .

JSA 4E1251 1 000

Schedule s (Form sso, sso-EZ, or ssaaF) (2004) rage or of Part I Name of organization COMMERCE SANCSFIARES FOUNDATION Employer Identification number

44-6012453

Contributors (See Specific Instructions .)

(a) (b) (c) (d) No . Name, address, and ZIP + 4 Aggregate contributions Type of contribution

1 COMERCE SANCSHARES , INC Person Payroll

348 , 851 . Noncash (Complete Part II if these is

KANSAS CITY, MISSOURI a noncash contribution .)

No . Name, address, and ZIP + 4 Aggregate contributions Type of contribution

Person Payroll Noncash (Complete Part 11 if there is a noncash contribution .)


Person Payroll Noncash (Complete Part N if there is a noncash contribution .)


Person Payroll Noncash (Complete Part II if there is a noncash contribution .)


Person Payroll Noncash (Complete Part II if there is a noncash contribution.)

(a) (b) (c) (d) No. Name, address, and ZIP + 4 Aggregate contributions Type of contribution

Person Payroll Noncash (Complete Part II if there is a noncash contribution .)

Schedule B (Forth 990, 990-EZ, or 990-PF) (2004) JSA

4 E 1253 1 000 56T05I 1505 05/11/2005 19 :02 :23 V09-6 .2 28292

Schedule B (Form 990, 990-EZ, or 990-PF) (2004) Page of of Part II Name of organization COMMERCE HANCSFIARES FOUNDATION Employer Identification number

99-6012453

Noncash Property (See Specific Instructions .)

(a No .

( from FMV (or estimate) Part 1 Description of noncash property given Date received

(see instructions)

20,000 SHARES MERCK 6 CO 1

551,300 . 11/09/2009

(a No . from FMV (or estimate) Part I Description of noncash property given Date received

(see instructions)

(a) No . (c from (b)

FMV (or estimate) Part 1 Description of noncash property given Date received

(see instructions)

(a) No. from, ~ ~ FMV (or estimate) Part I Description of noncash property given Date received

(see instructions)

(a) No. from (b)

FMV (or estimate) Part 1 Description of noncash property given Date received

(see instructions)

(a) No. from ()

FMV (or estimate) Part I Description of noncash property given

(see instructions) Date received

JSA Schedule B (Form 990,990-E7, or 990?F) (2004) 4 E 1254 1 000

56T051 1505 05/11/2005 14 :02 :23 V04-6 .2 28292

COMMERCE BANCSHARES FOUNDATION 44-6012453

FORM 990PF, PART I - CONTRIBUTIONS, GIFTS AND GRANTS RECEIVED

11/04/2004

20,000 SHARES MERCK & CO FMV $ 551,300, BASIS $ 348,851

------------348,851 .

56T05I 1505 05/11/2005 14 :02 :23 V04-6 .2 28292 STATEMENT 1

NAME AND ADDRESS --------------------------------

COMMERCE SANCSHARES, INC

KANSAS CITY, MISSOURI

COMMERCE BANCSFiARES FOUNDATION DID NOT PROVIDE ANY GOODS OR SERVICE FOR THE CONTRIBUTIONS LISTED .

DATE

TOTAL CONTRIBUTION AMOUNTS

DIRECT PUBLIC SUPPORT

348,851 .

1

FORM 990PF, PART I - INTEREST ON TEMPORARY CASH INVESTMENTS

REVENUE AND

EXPENSES PER BOOKS

CHECKING A/C INTEREST INCOME 180 .

TOTAL --------------180 .

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

180 .

56T05I 1505 05/11/2005 14 :02 :23 V04-6 .2 28292 STATEMENT 2

COMMERCE B,ANCSHARES FOUNDATION

DESCRIPTION

44-6012453

NE T INVESTMENT

INCOME

180 .

FORM 990PF, PART I - DIVIDENDS AND INTEREST FROM SECURITIES

REVENUE AND

EXPENSES DESCRIPTION PER BOOKS ----------- ---------

NET INVESTMENT

INCOME

TIPS BOND INTEREST : INFLATION/DEFLATION ADJ RECEIVED PURCHASED

MONEY NIICT ACCRUED AT 12/31/04 MONEY MKT ACCRUED AT 12/31/03 OTHER INTEREST RECEIVED

24,757 . 24,757 . 26,606 . 26,606 .

-10,043 . 812 .

-151 . 112,233 . 112,233 .

-------------- -------------- TOTAL 163,596 . 154,214 .

56T05I 1505 05/11/2005 14 :02 :23 V04-6 .2 28292 STATEMENT 3

COMMERCE BANCSFiARES FOUNDATION 44-6012453

I 44-6012453

REVENUE AND NET ADJUSTED

EXPENSES INVESTMENT NET CHARITABLE PER BOOKS INCOME INCOME PURPOSES --------- ------ ------ --------

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

5,000 . 5,000 . NONE NONE TOTALS

56T05I 1505 05/11/2005 14 :02 :23 V04-6 .2 28292 STATEMENT 4

COMIr1ERCE SANCSFiARES FOUNDATION

FORM 990PF, PART I - ACCOUNTING FEES

DESCRIPTION

KPMG

56T05I 1505 05/11/2005 14 :02 :23 V04-6 .2 28292

~COMMERCE BANCSHARES FOUNDATION 44-6012453

FORM 990PF, PART I - TAXES

REVENUE AND

EXPENSES DESCRIPTION PER BOOKS ----------- ---------

2003 TAXES 275 . 2004 ESTIMATED TAXES 6,408 .

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

TOTALS 6,683 .

STATEMENT 5

16,919 . 16,919 .

6,930 .

15,

192 . -------------- --------------

24,056 . 16,919 . TOTALS

56T05I 1505 05/11/2005 14 :02 :23 V04-6 .2 28292 STATEMENT 6

COMMERCE SANCSHARES FOUNDATION

FORM 990PF, PART I - OTHER EXPENSES

DESCRIPTION

CUSTODY FEES

CHARITABLE ADMIN SERVICES

MO SEC OF STATE FEES

SUPPLIES

44-6012453

REVENUE AND NET

EXPENSES INVESTMENT PER BOOKS INCOME --------- ------

CHARITABLE PURPOSES

6,930,

15 .

192 . --------------

7,137 .

STATEMENT 7

A R* nalk The Commerce Trust Company 19-3 7"IF A dtvuion of Commerce Bank, NA

Commerce Bancshares Foundation December 31, 2004

Fo R ~ 9 90 ~°F, ~~v,~e T ~i, uic/E /0a. TAX /c7 ~ y~-~oiz~S3

_ . _ --- - - -- - - -.= .-- - - _ __ . - - --- -- - - -- - _ -_~ -_~- - ~_ ." - --_- --__ -List of Assets - - ------ ---- -------- - - - Market Percent Of Projected Current

Description Shares Cost/ Value/ Total Market Annual Incorne Yield Per Unit Per Unit

Total Cash and Cash Equivalents $568,84216 $ 568,842.16 ;20.31 % $11,144.00 1.96

Equity Investments

Common Stocks

Merck and Co Inc 0.00 0.00 0.00% 0.00 0.00% 0.00 32.14

Total Common Stocks $0.00 S O.00 0.00% $0.00 0 .00%

Total Equity Investments $0.00 $0.00 0.00 S O.00 0.00

Fixed Income Investments

Federal Government Obligations

Federal Farm Credit Bank 250,000 251,330.00 255,468.75 9.12% 12,250 00 480% 4.9% Due 3/21/06 Dtd 3/21/02 100.53 102 .19 Federal National Mortgage Assoc Note 250,000 249,310.00 258,555.00 9.23% 12,500.00 4.83% 5% Due 1/15/07 Dtd 12/24/01 99.72 103 .42 Non-Callable Federal Home Loan Mortgage Assoc 250,000 247,960 .00 258,242.50 9.22% 12,18700 4.72% Debenture 4.875% Due 3/15/07 99.13 103 .30 Dtd 3/11/02 Non-Callable Federal National Mortgage Assoc Note 250,000 256,242.50 270,195.00 9.65% 17,812.00 6.59% 7.125% Due 3/15/07 Dtd 3/10/00 102 .50 108 .08 Non-Callable Federal Farm Credit Bank 250,000 252,992.50 271,718.75 9.70% 16,900.00 6.22%

6.76% Due 9/27/07 Dtd 9/27/00 101 .20 108.69

List of Assets Market Percent Of Projected Current

Description Shares Cost/ Value/ Total Market Annual Income Yield Per Unit Per Unit

United States Treasury 806,190 891,378.65 917,923 .90 32.77% 27,208 00 2.96% Inflation Index Note 110.57 113.86 3.375% Due 1/15/12 Dtd 1/15/02

Total Federal Government Obligations S 2,149,213 .65 S 2,232,103 .90 79.69% $98,857.00 4.43%

STATEMENT 7

Commerce Bancshares Foundation December 31, 2004

FO Rrr7 99o PA, ~~ T i/, ,L/NE /O 0-TAX AD * 4<1-6vi2-~1s.S

Total Fixed Income Investments $ 2,149,213.65 $ 2,232,103.90 79.69% $98,85700 4.43

56T05I 1505 05/11/2005 14 :02 :23 V04-6 .2 28292 STATEMENT 8

COMMERCE SANCSHARES FOUNDATION 44-6012453

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

TITLE AND TINS NAME AND ADDRESS DEVOTED TO POSITION ---------------- -------------------

MICHAEL D FIELDS PRES/DIR 1278 W 59 ST 1 HR/WK KANSAS CITY MO 64113

EDWARD J REARDON II VP/TREAS/D 12005 ENSLEY LANE 1 HR/MO SHAWNEE MISSION KS 66209

JONATHAN M KEMPER VP/A'SEC/D 836 W 57 TERRACE 1 HR/MO KANSAS CITY MO 64113

J DANIEL STINNETT SECRETARY 2511 WEST 97 ST < 1 HR/MO LEAWOOD KS 66206

DAVID W KEMPER DIRECTOR 7 WARRZDGE 1 < HR/MO LADUE, MO 63124

KEVIN G EARTH DIRECTOR 4548 W 131ST TERRACE < 1 HR/MO LEAWOOD, KS 66209

GRAND TOTALS

Page 1 of 74 STATEMENT 9

Charitable Trusts 8 Foundations Attachment of Fiscal Year Payments for IRS 990PF CBF I . .- . ~ --- -- D" ecembe '' . y_ . _ . , r_31, 2004-

Recipient Name & Address Fiscal Agent Purpose Payment Payment Payment Amount Number Date

A . Plus for Mexico Education Inc . EDU 1,500.00 1 of 1 3/23/2004 P.O . Box 403 Mexico, MO 65265

A. W . O . L . Animals With Our Love Inc . CIV 250.00 1 of 1 7/16/2004 P.O . Box 290 Independence, KS 67301

Adams School Community Center HUM 125.00 1 of 1 12/10/2004 4317 Vista Ave . St . Louis, MO 63110

Adequate Housing for Missourians HUM 500 .00 1 of 1 6/14/2004 2709 Woodson Rd . St . Louis, MO 63114

AFS Intercultural Programs Inc . EDU 100 .00 1 of 1 11/12/2004 2225 Stonepost Rd. Manhattan, KS 66502

AGC of St . Louis Education Foundation EDU 5,000 .00 1 of 1 1/14/2004 6330 Knox Industrial Dr. St . Louis, MO 63139-3025

Agriculture Future of America Inc . EDU 100.00 1 of 1 4/6/2004 P.O . Box 414838 Kansas City, MO 64141

Aim High-St . Louis EDU 100.00 1 of 1 2/20/2004 755 S . Price Rd . St . Louis, MO 63124

Albrecht-Kemper Museum of Art ART 2,500.00 1 of 1 12/10/2004 2818 Frederick Ave . St Joseph, MO 64506-9941

Page 2 of 74

Recipient Name 8 Address Fiscal Agent Purpose Payment Payment Payment Amount Number Date

Allied Arts Council of St . Joseph MO ART 5,000.00 1 of 1 3/2/2004 118 S. 8th St. St . Joseph, MO 64501

Allied Arts Council of St . Joseph MO ART 3,000.00 1 of 1 5/28/2004 118 S. 8th St. St . Joseph, MO 64501

Alzheimer's Disease and Related Disorders Association Inc . HEA 500.00 1 of 1 8/19/2004 (Manhattan, KS Chapter) 2823 Nelsons Landing Manhattan, KS 66502

AMC Foundation Inc . DBA Audrain Medical Center Foundation HEA 380.00 1 of 1 3/29/2004 620 E. Monroe Mexico, MO 65265

American Cancer Society Inc . (California, MO Area Office) HEA 200 .00 1 of 1 5/6/2004 P .O . Box 46 California, MO 65018

American Cancer Society Inc . (Columbia, MO Area Office) HEA 500 .00 1 of 1 4/6/2004 33 E . Broadway, Ste. 100 Columbia, MO 65203

American Cancer Society Inc . (Columbia, MO Area Office) HEA 600 .00 1 of 1 6/8/2004 33 E . Broadway, Ste . 100 Columbia, MO 65203

American Cancer Society Inc . (Columbia, MO Area Office) HEA 264 .00 1 of 1 10/22/2004 33 E . Broadway, Ste . 100 Columbia, MO 65203

American Cancer Society Inc . (Heartland Division) HEA 750.00 1 of 1 8/10/2004 6700 Antioch Rd ., Ste . 100 Merriam, KS 66204-1200

American Cancer Society Inc . (Joplin, MO Area Office) HEA 250.00 1 of 1 3/23/2004 2700 McClelland Blvd ., Ste . 110A Joplin, MO 64804

Page 3 of 74


American Cancer Society Inc . (Moberly, MO Area Office) HEA 200 .00 1 of 1 9113/2004 P.O . Box 373 Moberly, MO 65270

American Cancer Society Inc . (Moberly, MO Area Office) HEA 100.00 1 of 1 12/17/2004 P.O . Box 373 Moberly, MO 65270

American Cancer Society Inc . (Peoria, IL Area Office) HEA 750 .00 1 of 1 3/23/2004 4234 N. Knoxville Peoria, IL 61614

American Cancer Society Inc . (Poplar Bluff, MO Area Once) HEA 250 .00 1 of 1 3/2312004 2721 N . 10th St. Poplar Bluff, MO 63901

American Cancer Society Inc . (Tiptop, MO Area Office) HEA 200.00 1 of 1 5/6/2004 P.O . Box 338 Tiptop, MO 65081

American Heart Association Inc . (Columbia, MO Affiliate) HEA 100 .00 1 of 1 3/23/2004 P.O . Box 30638 Columbia, MO 65205-3638

American Heart Association Inc . (Springfield, MO Affiliate) HEA 1,000 .00 1 of 1 3/2/2004 2446 E . Madrid Springfield, MO 65804

American Heart Association Inc . (St . Louis, MO Affiliate) HEA 250 .00 1 of 1 4/19/2004 4643 Lindell Blvd . St . Louis, MO 63108

American Heart Association Inc . (Topeka, KS Affiliate) HEA 100 .00 1 of 1 3/2/2004 5375 S .W . 7th St . Topeka, KS 66606-2395

American Heart Association Inc . (Topeka, KS Affiliate) HEA 200 .00 1 of 1 3/23/2004 5375 S .W . 7th St . Topeka, KS 66606-2395

Page 4 of 74


American Heart Association Inc . (Topeka, KS Affiliate) HEA 250.00 1 of 1 12/10/2004 5375 S .W . 7th St . Topeka, KS 66606-2395

American Legion Auxiliary National Headquarters EDU 200.00 1 of 1 3/23/2004 (Girls State of Kansas) 56 Eastwood Dr . Hutchinson, KS 67502

American Legion Boys State of Kansas HUM 250.00 1 of 1 11/30/2004 P .O . Box 1651 Hutchinson, KS 67504-1651

American Legion Boys State of Missouri (St . Louis Office) HUM 300.00 1 of 1 3/29/2004 P.O . Box 667 Warrensburg, MO 64093-0677

American Legion Boys State of Missouri (St . Louis Office) HUM 50.00 1 of 1 3129/2004 P .O . Box 667 Warrensburg, MO 64093-0677

American National Red Cross (Bi-State Chapter) HUM 2,500 .00 2 of 2 8!6/2004 4050 Lindell Blvd . St . Louis, MO 63108

American National Red Cross (Bloomington, IL Chapter) HUM 750 .00 1 of 1 2/6/2004 1 Westport Ct . Bloomington, IL 61704

American National Red Cross (Bloomington, IL Chapter) HUM 1,000 .00 1 of 1 9/14/2004 1 Westport Ct . Bloomington, IL 61704

American National Red Cross (Mexico Missouri Chapter) HUM 200.00 1 of 1 11/18/2004 207 N . Washington Mexico, MO 65265

American National Red Cross (Midway-Kansas Chapter) HUM 2,500 .00 2 of 2 5/4/2004 P.O . Box 3726 Wichita, KS 67201

Page 5 of 74


American National Red Cross (Pioneer Chapter) HUM 100.00 1 of 1 12/10/2004 128 W. 8th Coffeyville, KS 67337

Angel Flight-Central HEA 1,200.00 1 of 1 4/8/2004 Kansas City Downtown Airport 10 Richards Rd. Kansas City, MO 64116

Angels Arms HUM 1,500.00 1 of 1 7/20/2004 P.O . Box 515281 St . Louis, MO 63151

Area Resources for Community and Human Services HUM 6,500 .00 1 of 1 10/20/2004 4236 Lindell Blvd., Ste. 400 St . Louis, MO 63108

Area Wide United Way HUM 500.00 1 of 1 10/20/2004 1858 Broadway Cape Girardeau, MO 63701-4553

Arnold Community Recreation Center City of Arnold, Missouri CIV 750.00 1 of 1 10/20/2004 c/o City of Arnold 2101 Jeffco Blvd . Arnold, MO 63010

Arnold Food Pantry HUM 190.00 1 of 1 11/30/2004 23 Village Plz. Arnold, MO 63010

Arts & Education Council of Greater St. Louis ART 2,500.00 1 of 1 4/16/2004 3526 Washington Ave . St . Louis, MO 63103

Arts & Education Council of Greater St. Louis ART 2,500.00 1 of 1 8/19/2004 3526 Washington Ave . St . Louis, MO 63103

Assistance League of Wichita Inc. HUM 275.00 1 of 1 12/10/2004 P.O. Box 8072 Wichita, KS 67208,

Page 6 of 74


Asthma & Allergy Foundation of America National HEA 1,000.00 1 of 1 1/14/2004 1500 S . Big Bend, Ste . 1 South St . Louis, MO 63117

Audrain County Historical Society CIV 1,500.00 1 of 1 7/16/2004 501 S . Muldrow Mexico, MO 65265

Audrain Medical Center Auxiliary Inc . HEA 500.00 1 of 1 3/29/2004 620 E . Monroe Mexico, MO 65265

Avenues Inc . HUM 1,200.00 1 of 1 3/23/2004 P.O . Box 284 Hannibal, MO 63401-0284

Baby Fold HUM 500 .00 1 of 1 9/14/2004 108 E . Willow P.O . Box 327 Normal, IL 61761

Bandstanders EDU 1,000 .00 1 of 1 10/7/2004 P.O. Box 270451 St . Louis, MO 63127

Barry County Senior Center Inc . HUM 1,000 .00 1 of 1 10/22/2004 1111 Fair St . Cassville, MO 65625

Beacon of Belleville HUM 500.00 1 of 1 8/10/2004 P O. Box 23468 Belleville, IL 62223

Beaumont High School Academy of Finance National Academy Foundation EDU 2,000.00 1 of 1 4/28/2004 3836 Natural Bridge St . Louis, MO 63107

Beyond Housing - Neighborhood Housing Services HUM 3,000.00 1 of 1 11/30/2004 7477 Delmar Blvd . St . Louis, MO 63130-8130

Page 7 of 74


Beyond the Books Educational Foundation EDU 2,500.00 2 of 4 10/1/2004 P.O . Box 908 Bloomington, IL 61702-0908

Big Brothers Big Sisters of Crawford County Kansas Big Brothers Big Sisters Inc . HUM 300 .00 1 of 1 12/10/2004 1100 N . Miles Pittsburg, KS 66762

Big Brothers Big Sisters of Eastern Missouri HUM 100 .00 1 of 1 2/6/2004 4625 Lindell Blvd ., Ste . 501 St . Louis, MO 63108-3310

Big Brothers Big Sisters of Eastern Missouri HUM 500 .00 1 of 1 8/10/2004 4625 Lindell Blvd ., Ste . 501 St . Louis, MO 63108-3310

Big Brothers Big Sisters of Eastern Missouri HUM 500 .00 1 of 1 9/3/2004 4625 Lindell Blvd ., Ste 501 St . Louis, MO 63108-3310

Big Brothers Big Sisters of the Ozarks Inc . HUM 2,500 .00 1 of 1 2/11/2004 1675 E . Seminole, Ste . 7 Springfield, MO 65804

Big Brothers-Big Sisters of Jasper and Newtown Counties HUM 500 .00 1 of 1 2/11/2004 1920 Delaware, Ste.2 Joplin, MO 64804

Big Brothers-Big Sisters of Southwestern Illinois HUM 1,200 .00 1 of 1 3/2/2004 6400 W. Main St ., Ste . 1 G Belleville, IL 62223

Big Brutus Inc . CIV 2,640 .00 1 of 1 11/18/2004 Box 25 West Mineral, KS 66782

BJC Health System - Barnes-Jewish St . Peters Hospital HEA 350.00 1 of 1 11/30/2004 10 Hospital Dr. St . Peters, MO 63376

Page 8 of 74


Blue Valley Educational Foundation EDU 5,000.00 1 of 1 11/12/2004 15020 Metcalf Overland Park, KS 66223-0901

Boone Center Foundation Inc . HUM 250.00 1 of 1 10/21/2004 200 Trade Center Dr . W . St . Peters, MO 63376

Boone Hospital Foundation HEA 1,000.00 1 of 1 10/22/2004 1600 E . Broadway Columbia, MO 65201 '

Boy Scouts of America - Coronado Area Council HUM 500 .00 1 of 1 2/25/2004 644 S . Ohio St . P.O . Box 912 Salina, KS 67402-0912

Boy Scouts of America - Coronado Area Council HUM 250.00 1 of 1 11/12/2004 644 S . Ohio St . P.O . Box 912 Salina, KS 67402-0912

Boy Scouts of America - Great Rivers Council HUM 1,500 .00 1 of 1 3/23/2004 1203 Fay St . P.O . Box 736 Columbia, MO 65201

Boy Scouts of America - Great Rivers Council HUM 200.00 1 of 1 3/23/2004 1203 Fay St . P .O . Box 736 Columbia, MO 65201



Page 9 of 74


Boy Scouts of America - Great Rivers Council HUM 125.00 1 of 1 6/11/2004 1203 Fay St . P.O. Box 736 Columbia, MO 65201

Boy Scouts of America - Great Rivers Council HUM 400.00 1 of 1 9/3/2004 1203 Fay St . P.O . Box 736 Columbia, MO 65201

Boy Scouts of America - Heart of America Council HUM 2,500.00 1 of 1 9/7/2004 10210 Holmes Rd . Kansas City, MO 64131-2412

Boy Scouts of America - Okaw Valley Council HUM 500.00 1 of 1 11/18/2004 707 Hunters Ct . Belleville, IL 62221

Boy Scouts of America - Ozark Trails Council HUM 2,500 .00 1 of 1 2/3/2004 1616 S . Eastgate Springfield, MO 65809

Boy Scouts of America - Ozark Trails Council HUM 250 .00 1 of 1 6/3/2004 1616 S . Eastgate Springfield, MO 65809

Boy Scouts of America - Ozark Trails Council HUM 1,000 .00 1 of 1 10/22/2004 1616 S. Eastgate Springfield, MO 65809

Boy Scouts of America - Ozark Trails Council HUM 2,500 .00 1 of 1 11/18/2004 1616 S . Eastgate Springfield, MO 65809

Boy Scouts of America - Pony Express Council HUM 1,000.00 1 of 1 2/20/2004 P.O . Box 8157 1704 Buckingham St . St . Joseph, MO 64508

Page 10 of 74


Boy Scouts of America - Quivira Council HUM 250 .00 1 of 1 3/23/2004 1555 E . 2nd St . P.O . Box 48166 Wichita, KS 67201-8166

Boy Scouts of America - Quivira Council HUM 1,000.00 1 of 1 3/3112004 1555 E. 2nd St . P.O . Box 48166 Wichita, KS 67201-8166

Boy Scouts of America - St . Louis Area Council HUM 500 .00 1 of 1 1/27/2004 Poplar Bluff 4568 W. Pine Blvd . St . Louis, MO 63108-2179

Boy Scouts of America - St . Louis Area Council HUM 1,000 .00 1 of 1 3/31/2004 4568 W. Pine Blvd . St . Louis, MO 63108-2179

Boy Scouts of America - St . Louis Area Council HUM 500 .00 1 of 1 5/11/2004 4568 W. Pine Blvd . St . Louis, MO 63108-2179

Boy Scouts of America - W.D . Boyce Council HUM 1,000 .00 1 of 1 1011/2004 614 N .E . Madison Peoria, IL 61603

Boy Scouts of America - W.D . Boyce Council HUM 5,000 .00 1 of 1 10/6/2004 614 N.E . Madison Peoria, IL 61603

Boys & Girls Club of Bloomington-Normal HUM 500.00 1 of 1 9/14/2004 1615 W. Illinois St . P.O . Box 4024 Bloomington, IL 61701

Boys & Girls Club of Manhattan Inc . HUM 500.00 1 of 1 12/10/2004 305 S . 4th St . Manhattan, KS 66505-1294


Boys & Girls Club of Poplar Bluff Missouri HUM 250.00 1 of 1 5/28/2004 P.O . Box 55 Poplar Bluff, MO 63902-0055

Boys & Girls Club of Poplar Bluff Missouri HUM 110.00 1 of 1 10/27/2004 P.O . Box 55 Poplar Bluff, MO 63902-0055

Boys & Girls Club of St. Charles HUM 750.00 1 of 1 6/14/2004 1400 Olive St . St . Charles, MO 63301

Boys & Girls Clubs of Springfield Inc HUM 10,000.00 3 of 3 4/5/2004 1300 Boonville Springfield, MO 65802

Boys and Girls Club of Eastern Jackson County HUM 1,000 .00 1 of 1 4/16/2004 315 S . Leslie St . Independence, MO 64050-0403

Boys and Girls Club of Hutchinson/Kids After School Inc. HUM 500.00 1 of 1 11/30/2004 P.O . Box 1967 Hutchinson, KS 67504-1967

Boys and Girls Club of Joplin Missouri HUM 500.00 1 of 1 3/2/2004 3rd & Comingo Joplin, MO 64801

Boys Club of St . Louis Inc . HUM 500.00 1 of 1 3/23/2004 2524 S. 11 th St . St . Louis, MO 63104

Boys Town of Missouri Inc. HUM 200.00 1 of 1 3129/2004 4485 Westminster St . Louis, MO 63108

Boys Town of Missouri Inc. HUM 350.00 1 of 1 11/30/2004 4485 Westminster St . Louis, MO 63108

Page 11 of 74


Brad Wamser Educational Fund for East St . Louisans Inc . EDU 300.00 1 of 1 9/9/2004 3975 Federer PI . St Louis, MO 63116

Breast Cancer Foundation of the Ozarks HEA 2,000.00 1 of 1 7/8/2004 330 N . Jefferson Springfield, MO 65806

Bridge Ministries Inc . HUM 1,000.00 1 of 1 11/10/2004 3411 N . Range Line Rd . Joplin, MO 64801

Burns Recovered Support Group Inc . HUM 250.00 1 of 1 11/18/2004 11710 Administration Dr., Ste . 2B St . Louis, MO 63146

Burrell Inc . HUM 3,334.00 1 of 3 1/6/2004 1300 Bradford Pkwy. Springfield, MO 65804

Butler County Community College Foundation EDU 1,500.00 1 of 1 12/10/2004 901 S . Haverhill Rd . El Dorado, KS 67042-3280

Butler County Community Resource Council HUM 100.00 1 of 1 3/23/2004 %Robert Sutton 644 Charles St. Poplar Bluff, MO 63901

Butler County R.S.V.P . Inc . HUM 100.00 1 of 1 2/11/2004 101 Oak St . P.O . Box 666 Poplar Bluff, MO 63902-0666

California Progress Incorporated CIV 1,50000 1 of 1 5/612004 501 S . Oak St . P.O . Box 42 California, MO 65018

California Youth Football Club Inc . CIV 300.00 1 of 1 9/3/2004 402 S . Oak St . California, MO 65018

Page 12 of 74

Page 13 of 74


Camp Woods Young Men's Christian Association HUM 500.00 1 of 1 5/28/2004 Rte . 1 P.O . Box 78 Elmdale, KS 66850

Cardinal Ritter Institute Inc . HEA 1,500.00 1 of 1 10/1/2004 4483 Lindell Blvd . St . Louis, MO 63108-2499

Carondelet Community Betterment Federation Inc . HUM 300.00 1 of 1 3/23/2004 6408 Michigan Ave . St . Louis, MO 63111

Cass Medical Center Foundation HEA 2,500.00 1 of 1 2/25/2004 1606 E . Elm St . Harrisonville, MO 64701

Catholic Charities HUM 3,500.00 1 of 1 11/18/2004 2220 Central Ave . Kansas City, KS 66102-4797

Catholic Charities of Wichita HUM 1,667.00 1 of 3 8/5/2004 437 N. Topeka Wichita, KS 67202-2413

Catholic Charities West HUM 1,250.00 1 of 1 7/7/2004 2900 W . Heading Ave . West Peoria, IL 61604

Catholic Day Care Center HUM 500.00 1 of 1 8/10/2004 617 Summit Ave. East St . Louis, MO 62201

Central Catholic High School EDU 1,400.00 4 of 5 10/1/2004 1201 Airport Rd . Bloomington, IL 61704

Central Christian College of the Bible EDU 1,000.00 1 of 1 3/3/2004 911 E . Urbandale Dr. Moberly, MO 65270

Page 14 of 74


Central Christian College of the Bible EDU 750.00 1 of 1 3/3/2004 911 E . Urbandale Dr . Moberly, MO 65270

Central Institute for the Deaf EDU 3,000.00 1 of 1 4/28/2004 4560 Clayton Rd. St . Louis, MO 63110

Central Missouri Food Bank Network Inc . HUM 2,000.00 1 of 1 4/28/2004 2101 Vandiver Dr., Ste . B Columbia, MO 65202

Central Missouri Food Bank Network Inc . HUM 1,000.00 1 of 1 10/22/2004 2101 Vandiver Dr ., Ste . B Columbia, MO 65202

Cerebral Palsy Research Foundation of Kansas Inc . EDU 2,500.00 3 of 4 4/512004 5111 E . 21 st St . N . P .O . Box 8217 Wichita, KS 67208-0217

Chamber of Commerce Focus on Farmington Foundation EDU 150 .00 1 of 1 10/15/2004 302 N . Washington Farmington, MO 63640

Chamber Restoration Fund Inc . CIV 200 .00 1 of 1 10/7/2004 100 W . Jackson Mexico, MO 65265

Chart Teen Task Force HUM 500 .00 1 of 1 3/23/2004 Hannibal Clinic

711 Grand Ave. Hannibal, MO 63401

Chesterfield Arts Inc . ART 500 .00 1 of 1 9/9/2004 16668 Chesterfield Airport Rd . Chesterfield, MO 63017

Child Abuse Prevention Association HUM 1,000 .00 1 of 1 9/13/2004 503 E. 23rd St . Independence, MO 64055

Page 15 of 74


Child Advocacy Center Inc. HUM 1,000.00 1 of 1 1/6/2004 1111 E. Walnut St . Springfield, MO 65806

Children's Advocacy Center Inc. HUM 1,000.00 1 of 1 12/10/2004 1700 N. Locust, Ste . 201 Pittsburg, KS 66762

Children's Haven Mineral Area Osteopathic Hospital Inc. HUM 240.00 1 of 1 11/30/2004 605 Wallace Rd . Farmington, MO 63640

Children's Therapy & Early Education School Inc. EDU 100 .00 1 of 1 12/17/2004 408 S. Missouri St . Mexico, MO 65265

Christian Family Day HUM 150.00 1 of 1 5/6/2004 Jo Beaman

1055 Briarhurst Dr . Manchester, MO 63021

Christmas in April-Peoria Inc. HUM 5,000.00 1 of 1 10127/2004 P.O . Box 6293 Peoria, IL 61601-6293

Churchill School EDU 1,000.00 1 of 1 212012004 1035 Price School Ln . St . Louis, MO 63124

Churchill School EDU 1,500.00 1 of 1 4119/2004 1035 Price School Ln . St . Louis, MO 63124

Circle of Concern HUM 500.00 1 of 1 9/9/2004 P.O . Box 444 Valley Park, MO 63088-0444

Circle of Concern HUM 300.00 1 of 1 11/4/2004 P.O . Box 444 Valley Park, MO 63088-0444

Page 16 of 74

Recipient Name & Address Fiscal Agent Purpose Payment Payment Payment ' Amount Number Date

Circle of Concern HUM 500.00 1 of 1 11/30/2004 P.O. Box 444 Valley Park, MO 63088-0444

Circus Art Foundation of Missouri ART 500.00 1 of 1 6/18/2004 634 N . Grand Blvd ., Ste . 100 St . Louis, MO 63103

Citizens for Missouri's Children HUM 500.00 1 of 1 11/30/2004 1 Campbell Plaza, Ste. 2A St . Louis, MO 63139-1781

City Academy Inc. EDU 100.00 1 of 1 5/28/2004 4175 N . Kingshighway Blvd . St . Louis, MO 63115

City Academy Inc. EDU 500.00 1 of 1 11/4/2004 4175 N . Kingshighway Blvd . St . Louis, MO 63115

City of Bonne Terre CIV 200.00 1 of 1 3/29/2004 1-A Northwood Dr. Bonne Terre, MO 63628

City of Bonne Terre HUM 200.00 1 of 1 1011512004 1-A Northwood Dr. Bonne Terre, MO 63628

City of Columbia CIV 1,667.00 1 of 3 312312004 PO.BoxN Columbia, MO 65205

City of Independence, Kansas CIV 500.00 1 of 1 10/1/2004 120 N . 6th Independence, KS 67301

City of Independence, Missouri ART 500.00 1 of 1 11/10/2004 111 E. Maple Independence, MO 64050

Page 17 of 74


City Vision Ministries Inc . HUM 2,500.00 1 of 1 4/8/2004 726 Armstrong Ave . Kansas City, KS 66101

Clay County Museum Assoc . CIV 1,000.00 1 of 1 12/10/2004 14 N. Main St . Liberty, MO 64068

Clayton Community Alliance for Healthy Kids HEA 500.00 1 of 1 2/20/2004 6500 Wydown Blvd . Clayton, MO 63105

COCA-Center of Creative Arts ART 500 .00 1 of 1 11/30/2004 524 Trinity Ave . University City, MO 63130

Columbia College EDU 1,000 .00 1 of 1 3/23/2004 1001 Rogers St. Columbia, MO 65216

Columbia Crime Stoppers Program Inc . CIV 250.00 1 of 1 4/28/2004 1801 Commerce Ct . Columbia, MO 65202

Columbia Missouri Area United Way Inc . HUM 6,525.00 1 of 1 3/23/2004 1209 E . Walnut Columbia, MO 65201

Columbia Public School District Foundation EDU 1,000.00 1 of 1 10/22/2004 P.O . Box 1234 Columbia, MO 65205

Common Place Inc . HUM 1,000.00 1 of 1 11/30/2004 514 S . Shelley St . Peoria, IL 61605-1837

Community Asset Management Company HUM 1,000.00 1 of 1 11/30/2004 707 N . 2nd St ., Ste . 308 St. Louis, MO 63102

Page 18 of 74


Community Health Care Clinic Inc . HEA 500 .00 1 of 1 9/14/2004 902 Franklin Ave . Normal, IL 61761

Community Health Clinic of Joplin HEA 1,000 .00 1 of 1 7/13/2004 701 S . Joplin St . Joplin, MO 64801

Community Helping Ministry HUM 200.00 1 of 1 7/16/2004 3770 McKelvey Rd . Bridgeton, MO 63044-2001

Community Linc HUM 800.00 1 of 1 3/2/2004 4016 Troost Kansas City, MO 64110

Community Living for the Handicapped Inc . HUM 150.00 1 of 1 11/30/2004 1040 St . Peters-Howell Rd . St . Peters, MO 63376

Community Services League HUM 1,000.00 1 of 1 9/13/2004 111 E . Maple Independence, MO 64050

Community Services League HUM 1,300 .00 1 of 1 11/10/2004 111 E . Maple Independence, MO 64050

Compton Heights Concert Band ART 500.00 1 of 1 11/30/2004 2335 S. Grand Blvd . St . Louis, MO 63104

Cor Jesu Academy EDU 3,500 .00 1 of 1 11/412004 10230 travois St . Louis, MO 63123

Corbin Theatre Company ART 1,000 .00 1 of 1 12/10/2004 15 N. Water Liberty, MO 64068

Page 19 of 74


Cornerstone Youth Ministries HUM 200.00 1 of 1 9/9/2004 15808 Manchester Rd . Ellisville, MO 63011

Cotillion for Achievement EDU 500.00 1 of 1 1/14J2004 P.O . Box 8323 St . Joseph, MO 64508

Cottonwood Foundation Inc . HUM 600.00 1 of 1 5/6/2004 2801 W. 31st St . Lawrence, KS 66046

Council to Prevent Family Violence of Laclede County Inc . HUM 1,000.00 1 of 1 10/22/2004 P.O . Box 1281 Lebanon, MO 65536

Court Appointed Special Advocates of Southwest Missouri HUM 500.00 1 of 1 2/11/2004 833 Boonville Springfield, MO 65802

Court Appointed Special Advocates of St . Louis County Inc . HUM 200.00 1 of 1 4/16/2004 121 Couth Meramec Ave., 2nd FI St . Louis, MO 63105

Covenant House Missouri HUM 500 .00 1 of 1 8/10/2004 11 S . Newstead St. Louis, MO 63108

Covenant House Missouri HUM 150 .00 1 of 1 9/912004 11 S . Newstead St. Louis, MO 63108

Crider Center for Mental Health Inc . HUM 500 .00 1 of 1 10/27/2004 1032 Crosswinds Ct . Wentzville, MO 63385

Crisis Resource Center Inc . HUM 500 .00 1 of 1 8/27/2004 669 S . 69 Hwy . Pittsburg, KS 66762

Page 20 of 74


Crisis Resource Center Inc . HUM 500.00 1 of 1 12/10/2004 669 S . 69 Hwy . Pittsburg, KS 66762

Crop Walk National Council of the Churches of HUM 100.00 1 of 1 4/6/2004 101 N. Oak Christ in the USA California, MO 65018

Crowder College Foundation Inc . EDU 500.00 1 of 1 10/22/2004 601 Laclede Ave. Neosho, MO 64850

Gushing Memorial Hospital Corporation DBA Hospice of HEA 500.00 1 of 1 10/1/2004 Leavenworth 920 6th Ave . Leavenworth, KS 66048

De Sales Community Housing Corp. HUM 5,000.00 1 of 1 4128/2004 2759 Russell Blvd . St . Louis, MO 63104-1743

Delta Economic Development Corporation HUM 500 .00 1 of 1 2/20/2004 1012 S . 15th St . East St . Louis, IL 62207

Developmental Center of the Ozarks HUM 500 .00 1 of 1 10/1/2004 1545 E . Pythian Springfield, MO 65802

Developmental Center of the Ozarks HUM 1,500 .00 1 of 1 10/1/2004 1545 E . Pythian Springfield, MO 65802

Discovery Center of Springfield Inc . EDU 2,500 .00 1 of 1 10/14/2004 438 E . St . Louis St . Springfield, MO 65806

Dorothea B Hoover Historical Museum Joplin Historical Society CIV 1,000.00 1 of 1 4/6/2004 Schiffer Decker Park P.O . Box 555 Joplin, MO 64802

Page 21 of 74


Douglass Community Services Inc. HUM 1,000.00 1 of 1 7/8/2004 1100 Broadway Hannibal, MO 63401

Dream Factory Inc. (Audrain County Chapter) HUM 225.00 1 of 1 11/18/2004 P.O . Box 622 Mexico, MO 65265

Drumm Foundation HUM 1,000 .00 1 of 1 9/13/2004 3210 Lee's Summit Rd. Independence, MO 64055-1943

Drury University EDU 3,000.00 4 of 5 4/5/2004 900 N. Benton Ave. Springfield, MO 65802

Ducks Unlimited Inc. (Bloomington, IL Chapter) CIV 200.00 1 of 1 2/6/2004 P.O . Box 6630 Chicago, IL 60666

Easter Seals Missouri Inc. (Columbia, MO Chapter) HUM 100.00 1 of 1 4/6/2004 P.O Box 327 Tipton, MO 65081

Ellis County Four H Club HUM 1,500.00 1 of 1 7/8/2004 601 Main St . Hays, KS 67601

Elm Acres Youth and Family Services Inc. HUM 500.00 1 of 1 5/11/2004 P.O. Box 1135 Pittsburg, KS 66762-1135

Elm Acres Youth and Family Services Inc. HUM 500 .00 1 of 1 12/10/2004 P.O . Box 1135 Pittsburg, KS 66762-1135

Everett McKinley Dirksen Endowment Fund CIV 1,000 .00 2 of 2 7/7/2004 301 S. 4th St . Pekin, IL 61554-4219

Page 22 of 74


Exeter Community Volunteer Fire Dept CIV 500.00 1 of 1 1/27/2004 P.O . Box 207 Exeter, MO 65647

Family Care Center of Carondelet HEA 500.00 1 of 1 12/10/2004 4352 Manchester Rd. St Louis, MO 63110

Family Violence Center Inc . HUM 250.00 1 of 1 11/18/2004 P.O . Box 5972 Springfield, MO 65801

Farmington Downtown Association CIV 100.00 1 of 1 6/18/2004 P.O . Box 203 Farmington, MO 63640

Farmington R-7 School District EDU 500.00 1 of 1 4/19/2004 Jefferson Elementary 9 Summit Dr . Farmington, MO 63640

Fellowship of Christian Athletes (Fenton, MO Chapter) HUM 1,000.00 1 of 1 9113/2004 1355 N . Highway Dr . Fenton, MO 63099

Fellowship of Christian Athletes (Poplar Bluff, MO Chapter) HUM 100.00 1 of 1 3/23/2004 P.O . Box 4178 Poplar Bluff, MO 63902-4178

Festus R-6 School District EDU 250.00 1 of 1 11/30/2004 Festus Intermediate School 1515 Mid Meadow Ln . Festus, MO 63028

Finney County 4-H HUM 2,275.00 1 of 1 8/27/2004 501 S . 9th Garden City, KS 67846

Finney County 4-H HUM 500.00 1 of 1 10/22/2004 501 S . 9th Garden City, KS 67846

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Finney County Kansas Historical Society Inc . CIV 700.00 2 of 2 1/6/2004 P.O . Box 796 Garden City, KS 67846

Finney County United Way HUM 1,500 .00 1 of 1 10/22/2004 P.O . Box 1268 Garden City, KS 67846

First Presbyterian Church Kirkwood CIV 2,500 .00 1 of 1 2/6/2004 100 E. Adams Ave. Kirkwood, MO 63122

First United Methodist Church HUM 1,500.00 1 of 1 11/9/2004 504 E . Hwy . 50 O'Fallon, IL 62269

Five Church Older Adults Center Inc . HUM 1,000.00 1 of 1 11/18/2004 2832 Arsenal St. St . Louis, MO 63118

Flint Hills Junior Service League CIV 500.00 1 of 1 8/19/2004 P.O . Box 192 Manhattan, KS 66605-0192

Flinthills Breadbasket Inc . HUM 140 .00 1 of 1 3/31/2004 905 Yuma Manhattan, KS 66502

Flinthills Breadbasket Inc . HUM 250 .00 1 of 1 11/4/2004 905 Yuma Manhattan, KS 66502

Florissant Old Town Partners Inc . CIV 1,500 .00 1 of 1 9/14/2004 601 Rue St . Charles St . Flonssant, MO 63031

Forest Park Forever Inc . CIV 1,000 .00 1 of 1 5/6/2004 Forest Park 5595 Grand Dr . St Louis, MO 63112-1095

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Fort Hays State University Endowment Association EDU 2,000 .00 1 of 1 5/6/2004 600 Park St . Hays, KS 67601-4010

Fort Hays State University Endowment Association EDU 3,000.00 1 of 1 10/1/2004 600 Park St . Hays, KS 67601-4010

Fort Zumwalt School District EDU 200.00 1 of 1 11/30/2004 110 N . Virgil St . O'Fallon, MO 63366

Foundation for Class Inc. HUM 300.00 1 of 1 3/23/2004 P.O . Box 266 Columbus, KS 66725-0266

Foundation for Class Inc. HUM 250.00 1 of 1 11/30/2004 P.O . Box 266 Columbus, KS 66725-0266

Foundry Art Centre ART 500.00 1 of 1 11/30/2004 520 N . Main Center St . Charles, MO 63301

Francis Howell School District EDU 200.00 1 of 1 11/30/2004 4545 Central School Rd . St . Charles, MO 63304

Friends of Chamber Music ART 4,500.00 1 of 1 11/18/2004 4643 Wyandotte, Ste. 201 Kansas City, MO 64112-1542

Friends of Clay County Casa Inc. HUM 500 .00 1 of 1 3/23/2004 351 E . Kansas Liberty, MO 64068

Friends of Jcds Inc. HUM 2,500 .00 1 of 1 9/9/2004 10501 Lackman Rd . Lenexa, KS 66219

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Friends of Riverside Park and Zoo Association Inc . CIV 100.00 1 of 1 4/28/2004 P.O . Box 1976 Independence, KS 67301

Friends of Riverside Park and Zoo Association Inc . CIV 400.00 1 of 1 10/7/2004 P .O . Box 1976 Independence, KS 67301

Friends of St . Avips Inc . ART 500.00 1 of 1 312/2004 1340 Northwidge Terr . Joplin, MO 64801

Friends of Sunset Zoo Inc . CIV 250.00 1 of 1 11/4/2004 2333 Oak St . Manhattan, KS 66502

Friends of the Maclay Home Inc . CIV 100.00 1 of 1 9/3/2004 P .O . Box 4 Tipton, MO 65081

Friends of the St . Charles City County Library EDU 250.00 1 of 1 10127/2004 425 Spencer Rd. St . Peters, MO 63376

Friends of Tower Grove Park Inc . CIV 250.00 1 of 1 3/23/2004 4256 Magnolia St . Louis, MO 63110

Garden City Community Junior College Endowment Assn . EDU 250.00 1 of 1 1/6/2004 801 Campus Dr . Garden City, KS 67846

Garden City Community Junior College Endowment Assn . EDU 1,250.00 2 of 3 5/19/2004 801 Campus Dr . Garden City, KS 67846

Garden City Community Junior College Endowment Assn . EDU 2,000.00 1 of 1 9/9/2004 801 Campus Dr . Garden City, KS 67846

Page 26 of 74


Garden City Quasquicentennial Committee Finney County Kansas Historical Society CIV 500.00 1 of 1 4/6/2004 P.O . Box 796 Inc. Garden City, KS 67846

General Council on Finance & Admins of the United Methodist HUM 1,000.00 1 of 1 6/14/2004 Church (Epworth Children and Family Services) 110 N . Elm Ave. Webster Groves, MO 63119

General Council on Finance and Admins . of the United Methodist HUM 570.00 1 of 1 12/10/2004 Church (First United Methodist Church) 411 E. 12th Pittsburg, KS 66762

George A. Spiva Center for the Arts ART 500.00 1 of 1 10/22/2004 222 W. 3rd St . Joplin, MO 64801

Girl Scout Council of Greater St . Louis HUM 1,00000 1 of 1 1/27/2004 2130 Kratky Rd . St . Louis, MO 63114

Girl Scouts of Dogwood Trails Council Inc. HUM 200.00 1 of 1 8/19/2004 210 S. Ingram Mill Rd . Springfield, MO 65802-6100

Girl Scouts of Mid-Continent Council Inc . HUM 1,500.00 1 of 1 2/6/2004 8383 Blue Pkwy Dr . Kansas City, MO 64133

Girl Scouts of Otahki Council HUM 347.00 1 of 1 9/3/2004 1432 Kurre Ln . Cape Girardeau, MO 63701

Girl Scouts of the Becky Thatcher Area Inc. HUM 200.00 1 of 1 7/8/2004 P O. Box 629 Hannibal, MO 63401-0629

Girl Scouts of the Golden Plains Council Inc. HUM 1,250.00 2 of 2 5/4/2004 360 Lexington Rd . Wichita, KS 67218

Page 27 of 74


Girl Scouts-Cotton Boll Area Council Inc. HUM 200.00 1 of 1 1/27/2004 201 S. New Madrid P.O . Box 684 Sikeston, MO 63801

Girls Incorporated of St . Louis HUM 1,000.00 1 of 1 11/4/2004 3801 Nelson Dr . St . Louis, MO 63121

Gladstone Economic Betterment Council EDU 1,000.00 1 of 1 10/1/2004 P.O . Box 10719 Gladstone, MO 64118-0719

Gladstone Economic Betterment Council HUM 1,000.00 1 of 1 10/1/2004 P.O . Box 10719 Gladstone, MO 64118-0719

Gladstone Theatre in the Park Gladstone Economic Betterment Council ART 500 .00 1 of 1 8/2712004 P.O . Box 10719 Gladstone, MO 64118

Good Samaritan Boys Ranch HUM 1,000.00 2 of 5 4/28/2004 P.O . Box 617 Brighton, MO 65617

Good Samaritan Boys Ranch HUM 1,000.00 1 of 1 11118/2004 P.O . Box 617 Brighton, MO 65617

Grand Oak Hill Community Corp . CIV 1,500.00 1 of 1 11/18/2004 4168 Juniata St . Louis, MO 63116

Greater Missouri Leadership Foundation Inc. CIV 1,250.00 1 of 1 8/27/2004 2624 Huntleigh PI . Jefferson City, MO 65109

Greater Peoria Family YMCA HUM 1,000.00 1 of 1 4119/2004 714 Hamilton Blvd . Peoria, IL 61603-3694

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Greater St . Joseph Crime Stoppers Inc . CIV 1,000 .00 1 of 1 8/19/2004 P.O . Box 8681 St . Joseph, MO 64508

Guardians Law Enforcement Officers and Firefighters CIV 333:00 2 of 3 1111/2004 P.O . Box 385 Cape Girardeau, MO 63702-0385

Habitat for Humanity Inc . (Crawford County, KS Affiliate) HUM 400 .00 1 of 1 12/10/2004 P .O . Box 724 Pittsburg, KS 66762

Habitat for Humanity Inc . (Lawrence, KS Affiliate) HUM 500.00 1 of 1 4/16/2004 412 E. 9th St . Lawrence, KS 66044

Habitat for Humanity Inc . (Lebanon, MO Affiliate) HUM 450.00 1 of 1 10/22/2004 P.O . Box 1315 Lebanon, MO 65536

Habitat for Humanity Inc (Lewis and Clark Affiliate) HUM 1,000 .00 1 of 1 312/2004 804 Claremont Ct . Collinsville, IL 62234

Habitat for Humanity Inc . (Manhattan, KS Affiliate) HUM 1,000.00 1 of 1 2/6/2004 P .O . Box 864 Manhattan, KS 66505

Habitat for Humanity Inc . (Mark Twain Area Affiliate) HUM 250 .00 1 of 1 11/30/2004 P .O . Box 1582 Hannibal, MO 63401-1582

Habitat for Humanity Inc . (South Barry County Affiliate) HUM 1,000.00 1 of 1 7/29/2004 101 E . 7th St . Cassville, MO 65625

Habitat for Humanity Inc . (St . Charles County, MO Affiliate) HUM 500 .00 1 of 1 6114/2004 407 First Capitol Dr . P.O . Box 1122 St . Charles, MO 63102

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Habitat for Humanity Inc . (St . Louis Affiliate) HUM 10,000.00 1 of 1 1/6/2004 3763 Forest Park Ave . St . Louis, MO 63108

Habitat for Humanity Inc . (Wichita Affiliate) HUM 2,500.00 1 of 1 116/2004 P.O . Box 114 Wichita, KS 67201

Habitat for Humanity Kansas City Inc . HUM 4,500.00 1 of 1 1/6/2004 1423 E. Linwood Blvd . Kansas City, MO 64109

Habitat for Humanity of McLean County, Inc . HUM 2,500.00 1 of 1 10/6/2004 410 N . Prairie St Bloomington, IL 61702-3432

Hannibal Arts Council ART 300.00 1 of 1 7/8/2004 1221 Market St . Hannibal, MO 63401

Hannibal Concert Association Inc . ART 250 .00 1 of 1 7/8/2004 401 N . 5th St . Hannibal, MO 63401

Hannibal Nutrition Center Hannibal Area Council of Aging HUM 500 .00 1 of 1 7/8/2004 125 S. 6th St . Hannibal, MO 63401

Hannibal Regional Healthcare System HEA 500 .00 1 of 1 9/14/2004 P.O . Box 551 Hannibal, MO 63401-0551

Hannibal Regional Hospital Foundation HEA 565.00 1 of 1 11/30/2004 109 Virginia St ., Ste . 157 Hannibal, MO 63401

Harrisonville Public School Foundation EDU 500.00 1 of 1 1/14/2004 P.O . Box 1000 Harrisonville, MO 64701

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Harrisonvilie Public School Foundation EDU 450.00 1 of 1 10/27/2004 P.O . Box 1000 Harrisonville, MO 64701

Haskell County 4-H HUM 500.00 1 of 1 8127/2004 P O. Box 580 Sublette, KS 67877

Haven House Inc . HUM 1,000.00 1 of 1 3/23/2004 P.O . Box 4875 Poplar Bluff, MO 63902-4875

Hays Area Children's Center Inc . HUM 1,800.00 1 of 3 1/6/2004 94 Lewis Dr . Hays, KS 67601

Hays Arts Council Inc . ART 1,000.00 1 of 1 4/28/2004 112 E . 11 th St . Hays, KS 67601

Hays Public Library Trust EDU 2,000.00 3 of 3 1/6/2004 1205 Main St . Hays, KS 67601

Health Care Access Inc . HEA 500 .00 1 of 1 11/4/2004 1920 Moodie Rd . Lawrence, KS 66046

Heart of America United Way Inc . HUM 30,050.00 1 of 4 1/6/2004 1080 Washington Kansas City, MO 64105



Page 31 of 74



Heart of Illinois United Way Inc . HUM 21,000.00 1 of 1 10/1/2004 509 W. High St . Peoria, IL 61606

Heart of Missouri Girl Scout Council HUM 100.00 1 of 1 9/3/2004 230 Metro Dr . Jefferson City, MO 65109

Heart of Missouri Girl Scout Council HUM 100.00 1 of 1 9/3/2004 230 Metro Dr . Jefferson City, MO 65109

Heartland Commerce & Economic Development Foundation CIV 3,000.00 1 of 1 11/30/2004 124 S .W . Adams, Ste . 300 Peoria, IL 61602

Heartland Partnership Heartland Commerce & Economic CIV 4,500 .00 1 of 1 11/30/2004 124 S.W . Adams, Ste . 300 Development Foundation Peoria, IL 61602

Heartland Regional Community Foundation HUM 2,500 .00 1 of 1 8/19/2004 801 Faraon St . St . Joseph, MO 64501-1892

Heartland Regional Community Foundation HUM 750 .00 1 of 1 917/2004 801 Faraon St . St . Joseph, MO 64501-1892

Helping Hand of Goodwill Industries HUM 750 .00 1 of 1 8/10/2004 1817 Campbell St . Kansas City, MO 64108-1794

Hillcrest Ministries Affiliate No 1 HUM 1,000 .00 1 of 1 7!16/2004 401 N . Spring Independence, MO 64050

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Hillcrest Ministries Affiliate No 1 HUM 1,000 .00 1 of 1 11/12/2004 401 N . Spring Independence, MO 64050

His Childrens Camp Inc . HUM 500.00 1 of 1 4/28/2004 P.O . Box 157 Seligman, MO 65745

Hispanic Economic Development Corporation of Greater Kansas CIV 500.00 1 of 1 2/25/2004 City 1427 W . 9th St ., Ste . 201 Kansas City, MO 64101

Hi-Tech Charities EDU 250.00 1 of 1 4/19/2004 1371 Hamilton Ave . St . Louis, MO 63112

Home Sweet Home Mission Inc . HUM 500.00 1 of 1 9/14/2004 303 E . Oakland Ave . Bloomington, IL 61701-5292

Homecare and Hospice Foundation Inc . HEA 250.00 1 of 1 10/26/2004 323 Poyntz Ave . Manhattan, KS 66502

Hope House Inc. HUM 2,500.00 1 of 1 7/16/2004 P.O . Box 520409 Independence, MO 64052-0409

Horses of Hope Riding Center HUM 250.00 1 of 1 11/30/2004 6968 S .E . 20th St . Baxter Springs, KS 66713

Huntington's Disease Society of America Inc . (St . Louis Chapter) HEA 250.00 1 of 1 3/23/2004 8039 Watson Rd., Ste . 132 Webster Groves, MO 63119

Hutchinson Community College Endowment Association EDU 500.00 1 of 1 7/8/2004 1300 N . Plum Hutchinson, KS 67501

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Hutchinson Community College Endowment Association EDU 1,200 .00 1 of 1 8/27/2004 1300 N. Plum Hutchinson, KS 67501

Hutchinson's Historic Fox Theater Inc . CIV 1,000 .00 1 of 1 8/6/2004 18 E . 1 st Ave. Hutchinson, KS 67504-0624

Illinois Central College Foundation EDU 1,500.00 1 of 1 8/10/2004 1 College Dr . East Peoria, IL 61635

Illinois Prairie Community Foundation Inc . HUM 700.00 1 of 1 8/12/2004 P.O . Box 423 Normal, IL 61761-0423

Illinois State University Foundation EDU 4,000.00 3 of 5 7/7/2004 Campus Box 3060 Normal, IL 61790

Illinois State University Foundation EDU 3,000.00 1 of 3 11/4/2004 Campus Box 3060 Normal, IL 61790

Illinois Symphony Orchestra Inc . ART 3,110.00 1 of 2 11/30/2004 P.O . Box 5023 Bloomington, IL 61702-5023

Illinois Valley Public Telecommunications Corporation EDU 1,000 .00 5 of 5 1/6/2004 1501 W . Bradley Ave . Peoria, IL 61625-0001

Immaculate Conception Church, Arnold EDU 250 .00 1 of 1 10/15/2004 2300 Church Rd . Arnold, MO 63010-2366

Independence Community Chest HUM 1,000 .00 1 of 1 10/7/2004 P.O . Box 13 Independence, KS 67301

Page 34 of 74


Independence Community College Foundation EDU 250.00 1 of 1 3/23/2004 P.O . Box 218 Independence, KS 67301

Independence Community College Foundation EDU 1,500.00 1 of 1 11/4/2004 P .O . Box 218 Independence, KS 67301

Independence High School Education Foundation EDU 500.00 1 of 1 8/27/2004 517 N . 10th St . Independence, KS 67301

Independence High School Education Foundation EDU 400.00 1 of 1 11/4/2004 517 N. 10th St . Independence, KS 67301

Independence High School Education Foundation EDU 2,000.00 1 of 1 11/4/2004 517 N . 10th St . Independence, KS 67301

Independence Historical Museum CIV 500.00 1 of 1 7/16/2004 123 N . 8th St . P .O . Box 294 Independence, KS 67301

Independence Historical Museum CIV 150.00 1 of 1 12/10/2004 123 N . 8th St . P .O . Box 294 Independence, KS 67301

Interfaith Community Services Inc . HUM 2,000.00 1 of 1 2/11/2004 200 Cherokee St . St . Joseph, MO 64504

Interfaith Housing Services Inc . HUM 750.00 1 of 1 11/30/2004 P.O . Box 1992 Hutchinson, KS 67504-1992

International Institute of Metropolitan St . Louis HUM 6,500.00 1 of 1 10/14/2004 3654 S . Grand Blvd . St . Louis, MO 63118


International Rett Syndrome Association Inc . HEA 125.00 1 of 1 11/12/2004 Linda Frohnmg

7750 Cornell St. Louis, MO 63130-2801

Irish Museum and Cultural Center CIV 500.00 1 of 1 8/10/2004 4550 Belleview, 2nd Fl . Kansas City, MO 64111

Jackie Joyner-Kersee Foundation HUM 2,000.00 1 of 1 11/29/2004 101 Jackie Joyner-Kersee Cir. East St . Louis, IL 62204

Jasper County Sheltered Facilities Association DBA Jasper HUM 1,000.00 1 of 1 7/13/2004 County Support Services 2312 Annie Baxter Ave. Joplin, MO 64804-0329

Jefferson College Foundation Incorporated EDU 285.00 1 of 1 3/2/2004 1000 Viking Dr . Hillsboro, MO 63050

Jefferson College Foundation Incorporated EDU 1,250.00 2 of 2 6/2/2004 1000 Viking Dr . Hillsboro, MO 63050



Jefferson County Library EDU 500.00 1 of 1 11/30/2004 3021 High Ridge Blvd . Arnold, MO 63010

Jefferson County Rescue Mission HUM 1,625.00 1 of 1 12/10/2004 8943 Commercial Blvd . P.O . Box 210 Pevely, MO 63070-0210

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John Burroughs School EDU 1,250.00 1 of 1 11/18/2004 755 S. Price Rd . St . Louis, MO 63124-1899

Junior Achievement Inc . (Hannibal Affiliate) EDU 200.00 1 of 1 9/13/2004 P.O . Box 1525 Hannibal, MO 63401-1525

Junior Achievement Inc . (Lawrence, KS Affiliate) EDU 175.00 1 of 1 2111/2004 P.O . Box 1081 Lawrence, KS 66044

Junior Achievement Inc . (Middle America Affiliate) EDU 500.00 1 of 1 1/27/2004 300 W . Linwood Blvd . Kansas City, MO 64111-1393

Junior League of Springfield Missouri Inc . CIV 1,000.00 1 of 1 2/3/2004 2574 E. Bennett Springfield, MO 65804

Kansas 4-H . Foundation Inc . HUM 100.00 1 of 1 5/6/2004 116 Umberger Hall Manhattan, KS 66506-3417

Kansas Big Brothers Big Sisters Inc . HUM 250.00 1 of 1 3/23/2004 P.O . Box 1026 Wichita, KS 67201-1026

Kansas Big Brothers Big Sisters Inc . HUM 500.00 1 of 1 5/11/2004 P.O . Box 1026 Wichita, KS 67201-1026

Kansas Big Brothers Big Sisters Inc . HUM 2,500 .00 1 of 1 12/10/2004 P.O . Box 1026 Wichita, KS 67201-1026

Kansas Children's Service League (Western Kansas Office) HUM 19000 1 of 1 10/22/2004 206 1/2 Fulton Garden City, KS 67846

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Kansas City Art Institute ART 5,000.00 1 of 1 3/3112004 4415 Warwick Blvd . Kansas City, MO 64111-1874

Kansas City Community Cancer Foundation HEA 1,000.00 1 of 1 3/23/2004 Compassionate Oncology Pharmaceutical Benefit Program 4320 Wornall Rd ., Ste . 212 Kansas City, MO 64112

Kansas City Community Development Initiative Fund Greater Kansas City Community CIV 10,000.00 1 of 1 11/1/2004 P.O . Box 412715 Foundation Kansas City, MO 64141-2715

Kansas City Neighborhood Alliance CIV 10,000.00 1 of 1 12/10/2004 3101 Broadway, Ste . 101 Kansas City, MO 64111

Kansas City Symphony ART 2,500.00 1 of 1 2/6/2004 1020 Central, Ste . 300 Kansas City, MO 64105-1672

Kansas Cosmosphere and Space Center Inc . EDU 2,000.00 1 of 1 3/2/2004 1100 N. Plum Hutchinson, KS 67501-1499

Kansas DARE Officers Association CIV 750 .00 1 of 1 8/27/2004 P.O . Box 1154 Salina, KS 67402-1154

Kansas Food Bank Warehouse Inc . HUM 200 .00 1 of 1 4/19/2004 806 E. Boston Wichita, KS 67211-3313

Kansas Food Bank Warehouse Inc . HUM 150 .00 1 of 1 10/26/2004 806 E. Boston Wichita, KS 67211-3313

Kansas Humane Society of Wichita Inc . CIV 2,500 .00 2 of 2 8/24/2004 4218 Southeast Blvd . Wichita, KS 67210


Kansas Independent College Fund EDU 1,250.00 1 of 1 3/31/2004 700 S . Kansas Ave., Ste . 511 Topeka, KS 66603-3823

Kansas State University Foundation EDU 150.00 1 of 1 2/1112004 College of Veterinary Medicine Foundation Office 2323 Anderson Ave., Ste . 500 Manhattan, KS 66502-2911

Kansas State University Foundation EDU 3,000.00 1 of 1 3/23/2004 Foundation Office 2323 Anderson Ave., Ste . 500 Manhattan, KS 66502-2911

Kansas State University Foundation EDU 500.00 1 of 1 3/23/2004 Department of Art Foundation Office 2323 Anderson Ave., Ste . 500 Manhattan, KS 66502-2911

Kansas State University Foundation EDU 500.00 3 of 5 4/5/2004 Friends of the Beach Museum Foundation Office 2323 Anderson Ave., Ste . 500 Manhattan, KS 66502-2911

Kansas State University Foundation EDU 3,500.00 1 of 1 4/6/2004 Foundation Office 2323 Anderson Ave ., Ste . 500 Manhattan, KS 66502-2911

Kansas State University Foundation EDU 100.00 1 of 1 5/28/2004 Friends of Konza Prairie Foundation Office 2323 Anderson Ave., Ste . 500 Manhattan, KS 66502-2911

Kansas State University Foundation EDU 75.00 1 of 1 6/8/2004 Foundation Office 2323 Anderson Ave., Ste. 500 Manhattan, KS 66502-2911

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Kansas State University Foundation CIV 300.00 1 of 1 10/26/2004 Foundation Office 2323 Anderson Ave., Ste . 500 Manhattan, KS 66502-2911

Kansas State University Foundation EDU 1,000.00 1 of 1 10/26/2004 Business School Advisory Council Foundation Office 2323 Anderson Ave., Ste . 500 Manhattan, KS 66502-2911

Kansas State University Foundation EDU 2,000.00 1 of 1 11!3/2004 Friends of McCain Foundation Office 2323 Anderson Ave., Ste . 500 Manhattan, KS 66502-2911

Kansas State University Foundation HEA 200.00 1 of 1 11/12/2004 Terry C . Johnson Center for Basic Cancer Research Foundation Office 2323 Anderson Ave., Ste . 500 Manhattan, KS 66502-2911

Kansas University Endowment Assoc . EDU 2,500.00 1 of 1 8/3/2004 Williams Educational Fund P.O . Box 928 Lawrence, KS 66044-0928

Kansas University Endowment Assoc . - Lied Center EDU 500.00 1 of 1 8/3/2004 Lawrence, KS 66045-0501

Kansas University Endowment Assoc . - Spencer Museum of Art ART 300.00 1 of 1 2/20/2004 Lawrence, KS 66045-2136

Kearny County 4-H CIV 1,000.00 1 of 1 8/6/2004 P.O . Box 85 Lakin, KS 67860

Kickapoo Council of Girl Scouts Inc . HUM 1,000.00 1 of 1 10/1/2004 1103 W. Lake Ave Peoria, IL 61614-5986

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Kitchen Inc . HUM 500 .00 1 of 1 11/18/2004 1630 N. Jefferson Springfield, MO 65803

Kiwanis Club of Bloomington III Charitable Foundation HUM 1,000 .00 1 of 1 11/4/2004 P.O . Box 1866 Bloomington, IL 61702-11866

Kiwanis Club of Lebanon Lebanon Area Foundation HUM 1,000 .00 1 of 1 10/22/2004 P.O . Box 170 Lebanon, MO 65536

KSDS Inc . HUM 350.00 1 of 1 10/26/2004 124 W . 7th St . Washington, KS 66968

Laclede County Hughes Senior Organization HUM 1,000 .00 1 of 1 1012212004 460 W. 5th St . Lebanon, MO 65536

Laclede Industries HUM 1,000 .00 1 of 1 10122/2004 941 Utah St . Lebanon, MO 65536

Laclede's Landing Foundation CIV 500.00 1 of 1 6/8/2004 505 N. 7th St ., Ste . 2405 St . Louis, MO 63102

Lafayette Work Center Inc . HUM 250.00 1 of 1 4/28/2004 179 Gaywood Dr . Manchester, MO 63021

Lakeview Museum of Arts & Sciences ART 2,500.00 1 of 1 11/4/2004 1125 W. Lake Ave. Peoria, IL 61614-5985

Lakeview Museum of Arts & Sciences ART 1,000.00 1 of 1 11/30/2004 1125 W. Lake Ave. Peoria, IL 61614-5985

Page 41 of 74


Landmarks Association of St . Louis Inc . CIV 1,000.00 1 of 1 4128/2004 917 Locust, 7th Fl . St . Louis, MO 63101-1413

Lansing Community Library EDU 500.00 1 of 1 10/26/2004 108 S . 2nd St . Lansing, KS 66043

Lawrence Arts Center Inc . ART 1,000.00 1 of 1 7/16/2004 940 New Hampshire Lawrence, KS 66044

Lawrence Civic Choir Inc . ART 100.00 1 of 1 3/23/2004 %Lawrence Arts Center P .O. Box 442104 Lawrence, KS 66044

Lawrence Memorial Hospital Endowment Association HEA 1,500.00 1 of 1 6/18/2004 325 Maine Lawrence, KS 66044

Lawrence Schools Foundation EDU 500.00 1 of 1 4/8/2004 110 McDonald Dr . Lawrence, KS 66044

Leavenworth County Assistance Corporation HUM 1,000.00 1 of 1 3/23/2004 426 Miami St . Leavenworth, KS 66048

Leavenworth County Council on Aging HUM 500.00 1 of 1 10/1/2004 109-A Delaware St . Leavenworth, KS 66048

Leavenworth Public Schools Education Foundation EDU 500.00 1 of 1 10/26/2004 200 N . 4th St . Leavenworth, KS 66048

Leawood Parks and Recreation Department CIV 2,500.00 1 of 1 11/12/2004 4800 Town Center Dr. Leawood, KS 66211

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Lebanon Humane Society CIV 1,500.00 1 of 1 1/14/2004 18719 Gateway Rd . Lebanon, MO 65536

Lee's Summit Concert Association ART 1,000.00 1 of 1 7116/2004 201 N.W . Craigmont Dr. Lee's Summit, MO 64081

Lee's Summit Social Services HUM 1,000.00 1 of 1 11/12/2004 108 S . E . 4th St . Lee's Summit, MO 64063

Lemay Child and Family Center HUM 750 .00 1 of 1 8/10/2004 9828 S. Broadway St . Louis, MO 63125

Lemay Child and Family Center HUM 200 .00 1 of 1 10/15/2004 9828 S. Broadway St . Louis, MO 63125

Lemay Housing Partnership Inc . CIV 500 .00 1 of 1 9/14/2004 P.O. Box 16356 St . Louis, MO 63125

Lester E . Cox Medical Centers HEA 1,000 .00 1 of 1 7/8/2004 3525 S. National Ave., Ste . 204 Springfield, MO 65807

Liberty Symphony Orchestra ART 1,000.00 1 of 1 8/30/2004 P .O . Box 30 Liberty, MO 64068

Life Skills Foundation HUM 200.00 1 of 1 3/29/2004 10176 Corporate Square Dr., Ste . 100 St . Louis, MO 63132-2924

Lincoln University EDU 1,000.00 1 of 1 12/10/2004 300 Keokuk St . Lincoln, IL 62656

Page 43 of 74


Lindbergh School District EDU 1,000.00 1 of 1 2/3/2004 4900 S . Lindbergh Blvd . St . Louis, MO 63126

Lindenwood College DBA Lindenwood University EDU 2,500.00 1 of 1 6114/2004 209 S. Kingshighway St . Charles, MO 63301-1695

Lindenwood College DBA Lindenwood University EDU 2,500.00 1 of 1 11/4/2004 209 S. Kingshighway St . Charles, MO 63301-1695

Link Inc . HUM 500 .00 1 of 1 7/16/2004 2401 E . 13th St . Hays, KS

Living Land Foundation (Dillon Nature Center) CIV 500.00 1 of 1 11/30/2004 3002 E . 30th Hutchinson, KS 67502

Logan College of Chiropractic Inc . EDU 5,000.00 3 of 3 5/4/2004 1851 Schoettler Rd . Chesterfield, MO 63065-1065

Logan College of Chiropractic Inc . EDU 500.00 1 of 1 9/9/2004 1851 Schoettler Rd . Chesterfield, MO 63065-1065

Make-A-Wish Foundation of Missouri HUM 500.00 1 of 1 1/14/2004 1510 W . Elfindale Springfield, MO 65807-1239

Manchester Center for Developmentally Disabled HUM 300.00 1 of 1 9/9/2004 129 Woods Mill Rd . Manchester, MO 63011

Manhattan - Ogden Unified School District #383 EDU 100.00 1 of 1 2/6/2004 2100 Poyntz Ave . Manhattan, KS 66502-3899

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Manhattan Catholic Schools EDU 175.00 1 of 1 5/28/2004 306 S . Juliette Manhattan, KS 66502

Manhattan Catholic Schools EDU 1,000.00 1 of 1 11/12/2004 306 S . Juliette Manhattan, KS 66502

Manhattan Catholic Schools EDU 500.00 1 of 1 11/12/2004 306 S . Juliette Manhattan, KS 66502

Manhattan Emergency Shelter Inc . HUM 500.00 1 of 1 11/12/2004 831 Leavenworth Manhattan, KS 66502

Manhattan High School Booster Club EDU 250 .00 1 of 1 7/16/2004 2100 Poyntz Ave . Manhattan, KS 66502-3899

Manhattan YES! Fund Robert R . McCormick Tribune HUM 2,000 .00 1 of 1 7/16/2004 P.O . Box 725 Foundation Manhattan, KS 66502

March of Dimes Birth Defects Foundation (Cape Girardeau, MO HEA 500 .00 1 of 1 3/23/2004 Chapter) 1028 N . Kingshighway Cape Girardeau, MO 63701

March of Dimes Birth Defects Foundation (Cape Girardeau, MO HEA 100 .00 1 of 1 8/9/2004 Chapter) 1028 N . Kingshighway Cape Girardeau, MO 63701

March of Dimes Birth Defects Foundation (Jefferson City, MO HEA 350 .00 1 of 1 3/23/2004 Chapter) 1804 Southwest Blvd ., Ste . D Jefferson City, MO 65109

Page 45 of 74


March of Dimes Birth Defects National Foundation (Topeka, KS HEA 500.00 1 of 1 4/28/2004 Chapter) 1133 S.W . Gage Topeka, KS 66604

Margaret Harwell Art Museum City of Poplar Bluff ART 400.00 1 of 1 10/112004 421 N . Main St . Poplar Bluff, MO 63901

Marygrove HUM 2,500 .00 1 of 1 10/1/2004 2705 Mullanphy Ln . Florissant, MO 63031

Maryland Heights Kiwanis Club HUM 250 .00 1 of 1 3/29/2004 Two Westbury Dr. St . Charles, MO 63301

Maryville University of St . Louis EDU 500.00 1 of 1 9/9/2004 13550 Conway Rd . St . Louis, MO 63141-7299

Mathews-Dickey Boys and Girls Club HUM 2,000.00 1 of 1 7/29/2004 4245 N. Kingshighway Blvd. St . Louis, MO 63115

Mathews-Dickey Boys and Girls Club HUM 2,000.00 1 of 1 11/29/2004 4245 N. Kingshighway Blvd. St . Louis, MO 63115

Maude Norton Memorial Hospital (MNMCH Inc .) HEA 1,357.24 1 of 1 4/28/2004 220 N . Pennsylvania St . Columbus, KS 66725

Meadowlark Hills Foundation HEA 500.00 1 of 1 11112/2004 2121 Meadowlark Rd . Manhattan, KS 66502-4569

Mercy Community Health Foundation Inc . HEA 1,250.00 1 of 1 3/23/2004 P.O . Box 13 Manhattan, KS 66505-0013

Page 46 of 74


Mercy Hospital Foundation of Independence Inc . HEA 500.00 1 of 1 5/28/2004 800 W . Myrtle St . Independence, KS 67301-3240

Mercy Hospital Foundation of Independence Inc . HEA 1,000.00 1 of 1 12/14/2004 800 W . Myrtle St . Independence, KS 67301-3240

Mercy Regional Health Foundation Inc . HEA 500.00 1 of 1 10/22/2004 1 St . John's Plaza Joplin, MO 64804

Metamora Community Nursing Home HEA 1,000 .00 1 of 1 11/30/2004 1200 E. Partridge R.R . 1 Metamora, IL 61548

Methodist Medical Center Foundation HEA 2,000 .00 1 of 1 10/1/2004 120 N .E . Glen Oak Ave., Ste . 209 Peoria, IL 61603

Mexico Area Family YMCA Inc . HUM 1,000 .00 1 of 1 7/8/2004 1127 Adams St . Mexico, MO 65265

Mexico Area Family YMCA Inc . HUM 3,333 .33 3 of 3 9/7/2004 1127 Adams St . Mexico, MO 65265

Mexico Area United Way HUM 750 .00 1 of 1 9/3/2004 222 S . Jefferson Mexico, MO 65265

Michael Jones Foundation Inc . CIV 200 .00 1 of 1 10/27/2004 11016 Sandistan St . Louis, MO 63146-5582

Mineral Area College Foundation Inc . EDU 350 .00 1 of 1 10/15/2004 P.O. Box 1000 Park Hills, MO 63601

Page 47 of 74


Missouri Colleges Fund Inc . EDU 13,000.00 1 of 1 1114/2004 3702 W . Truman Blvd ., Ste . 319 Jefferson City, MO 65109

Missouri Conservation Heritage Foundation CIV 1,250 .00 1 of 2 1/14/2004 P.O . Box 366 Jefferson City, MO 65102-0366

Missouri Historical Society Jefferson Memorial Building CIV 1,500 .00 1 of 1 11/18/2004 P.O . Box 11940 St . Louis, MO 63112-0040

Missouri Lions Eye Research Foundation HEA 60000 1 of 1 10/27/2004 Creve Coeur Lions Club

312 Whitehall Dr . Manchester, MO 63021

Missouri Military Academy EDU 2,000.00 1 of 1 5/28/2004 204 Grand Ave . Mexico, MO 65265

Missouri Prairie Foundation CIV 1,250.00 1 of 1 3/2312004 602 Edgewood Columbia, MO 65201

Missouri Southern Foundation EDU 500.00 1 of 1 3/23/2004 3950 E . Newman Rd . Joplin, MO 64801-1595

Missouri Southern Foundation EDU 400.00 1 of 1 11!10/2004 3950 E . Newman Rd . Joplin, MO 64801-1595

Missouri Southern International Piano Competition ART 1,500.00 1 of 1 4/6/2004 3950 E . Newman Rd. Joplin, MO 64801-1595

Moberly Area Junior College Foundation Inc . EDU 1,000.00 1 of 1 11/12/2004 101 College Ave . Moberly, MO 65270

Page 48 of 74


Moberly Council on the Arts ART 500.00 1 of 1 3/3/2004 101 College Ave. Moberly, MO 65270

Moberly Friends of the Park Foundation CIV 1,000.00 1 of 1 3/29/2004 109 N. Clark Moberly, MO 65270

Moniteau County Agricultural and Mechanical Society CIV 300.00 1 of 1 7/23/2004 57373 Oakgrove Rd . California, MO 65018



Moniteau County Nutrition Center HUM 115.00 1 of 1 10/14/2004 P.O . Box 459 Tipton, MO 65081

Moniteau County School District R-VI FBO: Tipton High School EDU 200.00 1 of 1 5/6/2004 P.O . Box P Tipton, MO 65081

Muscular Dystrophy Association (Cape Girardeau, MO Chapter) HEA 100.00 1 of 1 2/11/2004 BOA

2001 William St . Cape Girardeau, MO 63703

Nami of St . Louis HUM 250.00 1 of 1 10/1/2004 134 W. Madison Ave. St . Louis, MO 63122

National Audubon Society Inc. (Missouri Audubon Society) CIV 2,500.00 1 of 1 2/3/2004 2620 Forum Blvd . Ste. C-1 Columbia, MO 65203

Page 49 of 74


National Child Safety Council CIV 255.00 1 of 1 5/11/2004 P.O . Box 1368 Jackson, MI 49204-1368

National Fire Safety Council Inc . CIV 180.00 1 of 1 3/2/2004 P .O . Box 378 Michigan Center, MI 49254-0378

National Fire Safety Council Inc . CIV 500.00 1 of 1 5/28/2004 P .O . Box 378 Michigan Center, MI 49254-0378

National Fire Safety Council Inc . CIV 400.00 1 of 1 6/8/2004 P.O . Box 378 Michigan Center, MI 49254-0378

National Fire Safety Council Inc . CIV 288 .00 1 of 1 8/27/2004 P.O . Box 378 Michigan Center, MI 49254-0378

National Foundation for Credit Counseling Inc . HUM 1,500 .00 1 of 1 8/6/2004 (Consumer Credit Counseling Service of Nebraska) 8805 Indian Hills Dr ., Ste . 105 . Omaha, NE 68114

National Multiple Sclerosis Society (Gateway Area Chapter) HEA 100.00 1 of 1 7/13/2004 1867 Lackland Hill Pkwy. St . Louis, MO 63146

National Multiple Sclerosis Society (Springfield Chapter) HEA 500.00 1 of 1 9/3/2004 1675 E. Seminole Springfield, MO 65804

National Society of Hispanic MBA's EDU 500.00 1 of 1 2/25/2004 P.O . Box 45264 Kansas City, MO 64171

National Speaking of Womens Health Foundation HUM 2,500.00 1 of 1 10/22/2004 (Columbia, MO Affiliate) 711 W . Broadway Columbia, MO 65203

Page 50 of 74


National Wild Turkey Federation (Missouri Chapter) CIV 100.00 1 of 1 3/2/2004 22193 CR Mexico, MO 63960

Neighborhood Self Help Fund Greater Kansas City Community CIV 1,500 .00 1 of 1 12/10/2004 1055 Broadway, Ste . 130 Foundation Kansas City, MO 64105-1595

New Beginnings Inc. HUM 1,500 .00 1 of 1 10/20/2004 P.O. Box 2504 Hutchinson, KS 67504

Newton Healthcare Foundation Inc . HEA 2,500 .00 1 of 1 2/20/2004 600 Medical Center Dr . P.O . Box 548 Newton, KS 67114-0548

North County Senior High Memorial Scholarship Fund Inc . EDU 500.00 1 of 1 10/15/2004 c/o North County Public Schools 300 Berry Rd . Bonne Terre, MO 63628

Northside Community Center Inc . HUM 1,500.00 1 of 2 9/14/2004 4120 Maffitt Ave . St . Louis, MO 63113

Nurses for Newborns Foundation HEA 200.00 1 of 1 11/18/2004 9505 travois St . Louis, MO 63123

O'Fallon Community Food Pantry Inc . HUM 300 .00 1 of 1 12/10/2004 520 E. Highway 50 O'Fallon, IL 62269

Old Bonne Terre Inc . CIV 150 .00 1 of 1 6/8/2004 P .O . Box 105 Bonne Terre, MO 63628

Old North St . Louis Restoration Group Inc . HUM 200.00 1 of 1 11/30/2004 2800 N. 14th St . St . Louis, MO 63107

Page 51 of 74


Olsburg Pride CIV 2,500 .00 1 of 1 5/4/2004 P.O . Box 14 Olsburg, KS 66520

Omaha 100 Incorporated HUM 3,000 .00 1 of 1 8/6/2004 2414 Lake St. Omaha, NE 68111

Opera Theatre of Saint Louis ART 3,500 .00 1 of 1 4/6/2004 P.O . Box 191910 St . Louis, MO 63119-7910

Opera Theatre of Saint Louis ART 1,500 .00 1 of 1 11/18/2004 P.O . Box 191910 St . Louis, MO 63119-7910

Operation Food Search Inc . HUM 500.00 1 of 1 11/30/2004 6282 Olive Blvd . St . Louis, MO 63130

Operation Good Neighbor HUM 250 .00 1 of 1 8/912004 24110 S. Peculiar Dr . Peculiar, MO 64078

Opportunity Project - TOP Charitable - Trust EDU 1,500 .00 1 of 1 10/20/2004 4600 S. Clifton Wichita, KS 67216

Our Lady of Lourdes Church EDU 500.00 1 of 1 3/3/2004 916 N . Locust Pittsburg, KS 66762

Our Lady of Lourdes Church EDU 1,000 .00 1 of 1 12/10/2004 916 N . Locust Pittsburg, KS 66762

Our Little Haven HUM 500.00 1 of 1 9/9/2004 P .O . Box 23010 St . Louis, MO 63156-3010

Page 52 of 74


Ozark Area Girl Scout Council Inc . HUM 1,000.00 1 of 1 6/29/2004 P.O . Box 2400 Joplin, MO 64803-2400

Ozark Area Girl Scout Council Inc . HUM 250.00 1 of 1 12/10/2004 P .O . Box 2400 Joplin, MO 64803-2400

Ozark Counseling Center HUM 500.00 1 of 1 9/3/2004 309 N . Jefferson, Ste . 110 Springfield, MO 65806

Ozark Greenways Inc . CIV 5,000.00 4 of 5 4/5/2004 P.O. Box 50733 Springfield, MO 65805

Park Hill School District Education Foundation Inc. EDU 500 .00 1 of 1 3/29/2004 7703 N.W. Barry Rd . Kansas City, MO 64153

Park Hills Senior Center Inc . HUM 200.00 1 of 1 3/2/2004 P.O . Box 763 Park Hills, MO 63601

Pattonville Education Foundation EDU 300.00 1 of 1 6/11/2004 11097 St . Charles Rock Rd . St . Ann, MO 63074

People Helping People of Republic Missouri HUM 1,000.00 1 of 1 3/30/2004 P .O . Box 505 Republic, MO 65738

Peoria Alternative High School Peoria Public Schools - District 150 EDU 2,000.00 1 of 1 11/4/2004 3202 N . Wisconsin Peoria, IL 61603

Peoria Historical Society CIV 500.00 1 of 1 8/10/2004 611 S.W. Washington St . Peoria, IL 61602

Page 53 of 74


Peoria Symphony Orchestra ART 2,000 .00 1 of 1 11/4/2004 203 Harrison St . Peoria, IL 61602

Peoria Zoological Society CIV 3,334 .00 1 of 3 1/6/2004 2218 N. Prospect Rd . Peoria, IL 61603

Performing Arts Foundation of Kansas City DBA Folly Theater ART 1,000.00 1 of 1 5/28/2004 12th & Central P.O . Box 26505 Kansas City, MO 64196

Pirate Athletic Endowment Association EDU 500.00 1 of 1 8/27/2004 % Independence Community College P.O . Box 708 Independence, KS 67301

Pittsburg Area Chamber Foundation CIV 200 .00 1 of 1 1/27/2004 P .O . Box 1115 Pittsburg, KS 66762

Pittsburg Area Chamber Foundation CIV 425 .00 1 of 1 7/16/2004 P.O . Box 1115 Pittsburg, KS 66762

Pittsburg Area Chamber Foundation HUM 500.00 1 of 1 12/10/2004 P.O . Box 1115 Pittsburg, KS 66762

Pittsburg Area Community Foundation Greater Kansas City Community CIV 5,000.00 1 of 1 11/30/2004 117 W. 4th Foundation Pittsburg, KS 66762

Pittsburg Area Community Foundation Greater Kansas City Community EDU 1,000.00 1 of 1 12/10/2004 117 W . 4th Foundation Pittsburg, KS 66762

Pittsburg Community Theater Inc . ART 250.00 1 of 1 12/10/2004 P.O . Box 445 Pittsburg, KS 66762

Page 54 of 74


Pittsburg Festival Association Inc . ART 300.00 1 of 1 6/18/2004 P.O . Box 1933 Pittsburg, KS 66762

Pittsburg State University Foundation Inc . EDU 1,000.00 1 of 1 6/1812004 401 E . Ford Pittsburg, KS 66762

Pittsburg State University Foundation Inc . EDU 900.00 1 of 1 7/29/2004 401 E . Ford Pittsburg, KS 66762

Pittsburg State University Foundation Inc . EDU 2,800.00 1 of 1 11/30/2004 401 E. Ford Pittsburg, KS 66762

Poplar Bluff Downtown Development Corporation Civ 500.00 1 of 1 8/10/2004 213 S. Main St . Poplar Bluff, MO 63901

Poplar Bluff Public School Foundation EDU 300.00 1 of 1 5/11/2004 1110 N . Westwood Blvd . Poplar Bluff, MO 63901

Poplar Bluff R-1 School District EDU 100.00 1 of 1 1/14/2004 1300 Victory Ln . Poplar Bluff, MO 63901

Poplar Bluff R-1 School District EDU 165.00 1 of 1 5/28/2004 1300 Victory Ln. Poplar Bluff, MO 63901

Poplar Bluff R-1 School District EDU 325.00 1 of 1 1/27/2004 1300 Victory Ln . Poplar Bluff, MO 63901

Prairie Aviation Museum Inc . CIV tooom 1 of 1 10/6/2004 Central Illinois Regional Airport 2929 E. Empire Bloomington, IL 61704

Page 55 of 74


Presbyterian Church USA - First Presbyterian Church ART 400.00 1 of 1 10/5/2004 301 N . 7th St . St . Joseph, MO 64501

Presbyterian Church USA - West Presbyterian Church HUM 250.00 1 of 1 9/14/2004 5872 Maple Ave. St . Louis, MO 63112

Professional Housing Resources Inc . HUM 3,000.00 1 of 1 1/14/2004 225 S . Meramec, Ste . 206 St . Louis, MO 63`105

Progress & Action Through Community Effort CIV 500.00 1 of 1 10/22/2004 504 Main St . Cassville, MO 65265

Project Graduation of Olathe EDU 500.00 1 of 1 3/23/2004 P.O . Box 2253 Olathe, KS 66061

Rainbow Center for Communicative Disorders HUM 1,000.00 1 of 1 11/12/2004 900 N .W . Woods Chapel Rd. Blue Springs, MO 64015

Randolph Area Young Men's Christian Association Randolph County Caring Community Inc . HUM 1,000.00 1 of 1 3/3/2004 421 E . Logan Moberly, MO 65270

Randolph County Excel Inc . EDU 500.00 1 of 1 3/3/2004 P.O . Box 961 Moberly, MO 65270

Regional Housing and Community Development Alliance CIV 10,000.00 1 of 1 1/27/2004 611 Olive St ., Ste . 1641 St . Louis, MO 63101

Regional Housing and Community Development Alliance CIV 2,000.00 1 of 1 112712004 611 Olive St ., Ste . 1641 St . Louis, MO 63101

Page 56 of 74


Regional Housing and Community Development Alliance CIV 11,000 .00 3 of 3 6/2/2004 611 Olive St ., Ste . 1641 St . Louis, MO 63101

Repertory Theatre of St . Louis ART 1,500 .00 1 of 1 11/4/2004 P.O . Box 191730 St . Louis, MO 63119

Riley County Historical Society Civ 2,000.00 1 of 1 11/12/2004 P.O . Box 825 Manhattan, KS 66505

River Bluffs Girl Scout Council HUM 500.00 1 of 1 12/1012004 #4 Ginger Creek Pkwy. Glen Carbon, IL 62034

Rockhurst High School EDU 1,000.00 1 of 1 3/31/2004 9301 State Line Rd . Kansas City, MO 64114-3299

Rodgers Theatre Inc . ART 250.00 1 of 1 5/6/2004 P.O . Box 1656 Poplar Bluff, MO 63901

Rohan Woods School EDU 500 .00 1 of 1 11/18/2004 1515 Bennett Ave. Kirkwood, MO 63122

Russell Child Development Center Inc . EDU 500 .00 1 of 1 10/22/2004 714 Ballinger Garden City, KS 67846

S.E .M.O . Christian Restoration Center HUM 250.00 1 of 1 10/27/2004 338 Hazel St . Poplar Bluff, MO 63901

Safe Passage HUM 500.00 1 of 1 3/3/2004 P.O . Box 456 Moberly, MO 65270

Page 57 of 74


Safehome Inc . HUM 2,000.00 1 of 1 12/10/2004 P.O . Box 4563 6701 W. 64th St ., Bldg . #5, Ste . 310 Overland Park, KS 66204-0563

Saint Louis Symphony Orchestra ART 10,000.00 1 of 1 2/20/2004 718 N. Grand Blvd . St . Louis, MO 63103

Saint Louis Symphony Orchestra ART 2,000 .00 1 of 1 11/18/2004 718 N. Grand Blvd . St . Louis, MO 63103

Salvation Army of Cape Girardeau HUM 500.00 1 of 1 8/10/2004 701 Good Hope St . P.O . Box 802 Cape Girardeau, MO 63702-0802

Salvation Army of Hannibal, MO HUM 500 .00 1 of 1 11/30/2004 P.O . Box 896 Hannibal, MO 63401-0896

Salvation Army of Lawrence, KS HUM 300 .00 1 of 1 8/3/2004 P.O . Box 1177 Lawrence, KS 66044

Salvation Army of Lawrence, KS HUM 200 .00 1 of 1 11/4/2004 P.O. Box 1177 Lawrence, KS 66044

Salvation Army of Peoria HUM 1,000 .00 4 of 5 3/2/2004 P.O . Box 1468 Peoria, IL 61655

Salvation Army of Peoria HUM 1,000 .00 1 of 1 11/4/2004 P .O. Box 1468 Peoria, IL 61655

Salvation Army of Pittsburg, KS HUM 500 .00 1 of 1 12/10/2004 307 E. 5th Pittsburg, KS 66762

Page 58 of 74


Salvation Army of Springfield HUM 500.00 1 of 1 11/18/2004 1707 W . Chestnut Expwy. Springfield, MO 65802

Salvation Army of St . Charles, MO HUM 250.00 1 of 1 10/27/2004 #1 William Booth Dr . O'Fallon, MO 63366

Salvation Army of St . Joseph, MO HUM 500.00 1 of 1 11/30/2004 622 Messanie St . St . Joseph, MO 64501

Salvation Army of St . Joseph, MO HUM 200.00 1 of 1 12/10/2004 622 Messanie St . St . Joseph, MO 64501

Salvation Army of St . Louis, MO HUM 3,000.00 1 of 1 11/30/2004 1130 Hampton Ave . St . Louis, MO 63139

Scholarship Foundation of St . Louis EDU 250.00 1 of 1 7/23/2004 8215 Clayton Rd . St . Louis, MO 63117-1107

School Sisters of Notre Dame CIV 500.00 1 of 1 11/4/2004 320 E . Ripa St . Louis, MO 63125-2897

Scleroderma Foundation (Missouri Chapter) HEA 200.00 1 of 1 7/23/2004 36 Four Seasons Shopping Ctr . Chesterfield, MO 63017

Scottish Rite Foundation of Missouri Inc . HEA 250.00 1 of 1 11/18/2004 3633 Lindell Blvd . St . Louis, MO 63108

Second Act Inc . HUM 500.00 1 of 1 10/22/2004 R.R.1 P.O . Box 135 Exeter, MO 65647

Page 59 of 74


Sek Humane Society of Crawford County Kansas CIV 1,000 .00 1 of 2 10/1/2004 P.O. Box 783 Pittsburg, KS 66762

Senior Services Inc . of Wichita HUM 500.00 1 of 1 12/10/2004 200 S. Walnut Wichita, KS 67213-4777

SER-Jobs for Progress Inc . HUM 500.00 1 of 1 12/10/2004 1020 N. Main, Ste . B Wichita, KS 67203

Seven Dolors Catholic Church CIV 250.00 1 of 1 12/10/2004 731 Pierre Manhattan, KS 66502

Shakespeare Festival of St . Louis ART 2,500.00 1 of 1 3/31/2004 14 S. Euclid Ave . St . Louis, MO 63108

Shell Knob Senior Center Corporation HUM 500.00 1 of 1 10/22/2004 P.O . Box 225 Shell Knob, MO 65747

Shelter Inc . HUM 745.00 1 of 1 11/30/2004 P.O . Box 647 Lawrence, KS 66044

Shephard's Crossing HUM 210.00 1 of 1 12/10/2004 621 Humboldt Manhattan, KS 66502

Small Business Synergy Corporation CIV 500.00 1 of 1 6/14/2004 5988 Mid Rivers Mail Dr . St . Charles, MO 63304

Society of St . Vincent DePaul, Council of St . Louis HUM 125.00 1 of 1 11/30/2004 1203 S. Boyle St . Louis, MO 63110

Page 60 of 74


Soroptimist International of Joplin Community Fund Inc . HUM 250.00 1 of 1 10/1/2004 P.O . Box 1741 Joplin, MO 64802

South City Family YMCA Young Men's Christian Association of HUM 250.00 1 of 1 3/23/2004 3150 Sublette Greater St . Louis St . Louis, MO 63139

South City Family YMCA Young Men's Christian Association of HUM 6,500.00 1 of 1 10/14/2004 3150 Sublette Greater St . Louis St . Louis, MO 63139

South County Family YMCA Young Men's Christian Association of HUM 500.00 1 of 1 11/30/2004 12736 Southfork Rd . Greater St . Louis St . Louis, MO 63128

South Side Mission of Peoria HUM 1,500.00 1 of 1 3/29/2004 1127 S. Laramie St . Peoria, IL 61605

Southeast Missouri Council on the Arts Inc . ART 500.00 1 of 1 5/6/2004 P.O . Box 901 Cape Girardeau, MO 63702

Southeast Missouri Family Violence Council Inc . HUM 250.00 1 of 1 6/18/2004 P.O . Box 465 Bonne Terre, MO 63628

Southeast Missouri University Foundation EDU 1,500.00 1 of 1 8/27/2004 1 University Plaza, MS 7300 Cape Girardeau, MO 63701-4799

Southeast Missouri University Foundation EDU 5,000.00 1 of 1 10/27/2004 1 University Plaza, MS 7300 Cape Girardeau, MO 63701-4799

Southern Baptist Convention- Internationa I Mission Board CIV 200.00 1 of 1 11/12/2004 P.O . Box 6767 Richmond, VA 23230

Page 61 of 74


Southwest Arts & Humanities Council Inc . ART 1,000.00 2 of 2 10/14/2004 318 N . Main Garden City, KS 67846

Southwest Baptist University EDU 1,100.00 1 of 1 11/18/2004 1600 University Ave. Bolivar, MO 65613-2496

Special Olympics Missouri CIV 1,000.00 1 of 1 3/23/2004 1625 N . Kingshighway Cape Girardeau, MO 63701

Special Olympics Missouri CIV 105.00 1 of 1 5/11/2004 P.O. Box 111 Lebanon, MO 65536

Special Olympics Missouri (Headquarters) CIV 500.00 1 of 1 7/23/2004 P .O . Box 6673 Jefferson City, MO 65102

Springfield Community Center Inc . HUM 1,000.00 4 of 5 1/6/2004 618 N . Benton Springfield, MO 65802

Springfield Public Schools Foundation EDU 1,500 .00 1 of 1 11/12/2004 940 N . Jefferson Springfield, MO 65802

Springfield Symphony Association ART 3,000 .00 1 of 1 6/18/2004 1536 E . Division St . Springfield, MO 65803-3896

Springfield Victory Mission Inc . HUM 250.00 1 of 1 11/18/2004 203 W . Commercial P.O . Box 2884 Springfield, MO 65801

SSDN HUM 500.00 1 of 1 11/30/2004 2930 Iowa Ave. St . Louis, MO 63118

Page 62 of 74


SSM Cardinal Glennon Children's Hospital HEA 1,000.00 1 of 1 11/4/2004 1465 S. Grand Blvd. St . Louis, MO 63104

SSM St . Joseph Health Center HEA 5,000.00 1 of 1 1/14/2004 300 First Capitol Dr . St . Charles, MO 63301

SSM St . Joseph Health Center HEA 2,500.00 1 of 1 10/27/2004 300 First Capitol Dr . St . Charles, MO 63301

St . Andrew's School Foundation EDU 500.00 1 of 1 10/7/2004 c1o Timothy Emert 304 N . 6th Independence, KS 67301

St . Anthony of Padua HUM 250.00 1 of 1 11/18/2004 4235 S . Compton St . Louis, MO 63111

St . Catherine Hospital HEA 550.00 1 of 1 8/3/2004 P .O . Box 935 Garden City, KS 67846

St . Catherine Hospital HEA 3,000.00 3 of 5 12/9/2004 P .O . Box 935 Garden City, KS 67846

St . Charles County Community College Foundation Inc . EDU 500.00 1 of 1 6/14/2004 4601 Mid Rivers Mall Dr . St . Peters, MO 63376

St Charles Crime Stoppers Inc . CIV 250.00 1 of 1 10/27/2004 2020 Parkway Dr. St . Charles, MO 63303

St . Charles School District Foundation Inc . EDU 200.00 1 of 1 11/30/2004 P.O . Box 1544 St . Charles, MO 63302

Page 63 of 74


St . David Catholic Church EDU 250.00 1 of 1 10/14/2004 2334 Tenbrook Rd . Arnold, MO 63010-2366

St . Elizabeth Academy EDU 500 .00 1 of 1 11/30/2004 3401 Arsenal St . St . Louis, MO 63118

St . Elizabeth Ann Seton Catholic Church CIV 1,000 .00 1 of 1 8/10/2004 645 N . 11 9th St ., W . Wichita, KS 67235

St . Francis Medical Center HEA 1,000.00 1 of 1 6/14/2004 530 N .E . Glen Oak Ave . Peoria, IL 61603

St . John Children's Home HUM 500.00 1 of 1 8/10/2004 2620 Lebanon Ave . Belleville, IL 62221

St . Joseph School District Foundation EDU 2,500.00 1 of 1 10/11/2004 3401 Renick St . St . Joseph, MO 64507

St . Joseph Symphony Society Inc . ART 500.00 1 of 1 12/10/2004 120 S . 8th St . St . Joseph, MO 64501

St . Jude Children's Research Hospital HEA 500 .00 1 of 1 2/11/2004 501 St . Jude Pl . Memphis, TN 38101

St. Louis Area Food Bank Inc . HUM 500 .00 1 of 1 11/30/2004 1451 Page Industrial Dr . St . Louis, MO 63132

St Louis Association of Community Organizations CIV 6,000 .00 1 of 1 6/18/2004 3325 Olive St . Louis, MO 63103


St . Louis Chamber Orchestra at Maryville University ART 200 .00 1 of 1 9/9/2004 13550 Conway Rd . St . Louis, MO 63141

St . Louis City Court Appointed Special Advocates HUM 500 .00 1 of 1 11/30/2004 920 N . Vandeventer St . Louis, MO 63108

St . Louis County Fair Inc . CIV 5,000 .00 1 of 1 3/31/2004 18401 Edison Ave . P.O . Box 3032 Chesterfield, MO 63006

St . Louis Mens Group Against Cancer HEA 5,000 .00 1 of 1 7/13/2004 2155 Woodson Rd. St . Louis, MO 63114

St . Louis Military Academies Sports Foundation HUM 1,000.00 1 of 1 9/3/2004 500 N. Broadway, Ste . 2000 St . Louis, MO 63102

St . Louis Public Library EDU 6,500.00 1 of 1 10/14/2004 Carpenter Branch 1301 Olive St . St . Louis, MO 63103

St. Louis Public Library EDU 1,000.00 1 of 1 11/4/2004 1301 Olive St . St . Louis, MO 63103

St. Louis Public Schools Foundation EDU 6,500.00 1 of 1 10/14/2004 Fanning Middle School 1111 Olive St . St . Louis, MO 63101

St . Louis Public Schools Foundation EDU 100.00 1 of 1 10/27/2004 1111 Olive St . St . Louis, MO 63101

St . Louis Sports Foundation Inc . CIV 500.00 1 of 1 9/13/2004 21 1 N . Broadway, Ste . 1100 St . Louis, MO 63102

Page 64 of 74


St . Louis Walk of Fame CIV 500.00 1 of 1 4/19/2004 6504 Delmar Blvd . St . Louis, MO 63130

St . Pius X School Foundation EDU 500.00 1 of 1 11/12/2004 P .O . Box 112 Moberly, MO 65270

St . Raymond's Cathedral CIV 250.00 1 of 1 11/18/2004 931 Lebanon Dr. St . Louis, MO 63108

Stephens College EDU 1,500 .00 1 of 1 10/22/2004 1200 E . Broadway Columbia, MO 65215

Sts . Joachim and Ann HUM 250.00 1 of 1 10/27/2004 4112 McClay Rd . St . Charles, MO 63303

Stubbins Memorial Regional Family & Youth Center Children's Foundation of Mid-America HUM 600.00 1 of 1 3/3/2004 811 S. 5th St. Moberly, MO 65270

Sun Foundation for Advancement in the Environmental Sciences CIV 250.00 1 of 1 1127/2004 and Arts 1276 Sun Rd. Washburn, IL 61570

Sunflower Community Action Inc . HUM 500.00 1 of 1 12/10/2004 1540 N. Broadway, Ste . 103 Wichita, KS 67214

Sunset Zoological Park and Wildlife Conservation Trust Civ 400.00 1 of 1 8/3/2004 Foundation % Robert Haines 226 Fordharn Rd . Manhattan, KS 66503

Sunshine Center Inc . EDU 1,000.00 1 of 1 10/27/2004 607 W. Lexington Ave . Independence, MO 64050-3650

Page 65 of 74

Page 66 of 74

Recipient Name & Address Fiscal Agent Purpose Payment PaymZnt Payment Amount Number Date

Susan G . Komen Breast Cancer Foundation Inc . HEA 300.00 1 of 1 12/10/2004 41 0 E . Atkinson Pittsburg, KS 66762

Talking Tapes-Textbooks on Tape Inc . EDU 200.00 1 of 1 7/23/2004 16 Sunnen Dr., Ste . 162 St . Louis, MO 63143-3800

Thomas Jefferson Independent Day School EDU 2,000.00 1 of 1 10/22/2004 3401 E . Newman Rd. Joplin, MO 64801

Thomas Jefferson School EDU 250.00 1 of 1 10/27/2004 4100 S . Lindbergh Blvd . St . Louis, MO 63108

Timber Pointe Charitable Foundation Inc . HUM 2,500.00 2 of 3 1111/2004 20 Timber Pointe Ln . Hudson, IL 61748

Tipton Youth Football Club Inc . Civ 450.00 1 of 1 9/3/2004 P.O . Box 206 Tipton, MO 65081

Today and Tomorrow Education Foundation EDU 2,500 .00 1 of 1 11/4/2004 20 Archbishop May Dr . St . Louis, MO 63119

Tourette Syndrome Association Inc . (Greater Missouri Chapter) HEA 300.00 1 of 1 7/23/2004 9767 Wickstrom Terr. St . Louis, MO 63123

Town and County Symphony Orchestra ART 200.00 1 of 1 10/21/2004 1390 S. Mason Rd. Town & Country, MO 63131

Travelers Protective Association of America Scholarship Trust EDU 500.00 1 of 1 2/11/2004 3755 Lindell Blvd . St . Louis, MO 63108-3476

Page 67 of 74


Tri-County Urban League Inc . CIV 2,000.00 1 of 1 10/1/2004 317 S. MacArthur Hwy. Peoria, IL 61605

Turnbleweed Festival Inc . ART 250.00 1 of 1 8/17/2004 P.O. Box 296 Garden City, KS 67846-0296

Twin Rivers R-10 School District EDU 100.00 1 of 1 2/11/2004 301 McKinley Ave . Fisk, MO 63940

Twin Rivers R-10 School District EDU 50.00 1 of 1 10/1/2004 301 McKinley Ave . Fisk, MO 63940

United Cancer Assistance Network HEA 500.00 1 of 1 6/11/2004 2620 N . Westwood Blvd. Poplar Bluff, MO 63901

United Cerebral Palsy of Northwest Missouri HEA 150.00 1 of 1 12/10/2004 3303 Frederick Ave . St . Joseph, MO 64506

United Fund of Randolph County HUM 1,500.00 1 of 1 11/12/2004 P.O. Box 576 Moberly, MO 65270

United Gospel Rescue Mission Inc. HUM 200.00 1 of 1 10/27/2004 508 Cherry St . Poplar Bluff, MO 63901

United Negro College Fund Inc . EDU 1,000.00 1 of 1 11/4/2004 P.O. Box 300465 Kansas City, MO 64130-0465

United Services HUM 1,000.00 1 of 1 5/13/2004 4140 Old Mill Pkwy. St . Peters, MO 63376

Page 68 of 74


United Way of Crawford County HUM 1,062.50 1 of 4 1/27/2004 P .O . Box 27 Pittsburg, KS 66762-0027

United Way of Crawford County HUM 1,062.50 2 of 4 4/5/2004 P .O. Box 27 Pittsburg, KS 66762-0027

United Way of Crawford County HUM 1,062.50 3 of 4 7/7/2004 P.O . Box 27 Pittsburg, KS 66762-0027

United Way of Crawford County HUM 1,062.50 4 of 4 10/1/2004 P.O . Box 27 Pittsburg, KS 66762-0027

United Way of Douglas County Inc . HUM 1,600.00 1 of 1 10/1/2004 2518 Ridge Ct., Rm. 101 Lawrence, KS 66046-4079

United Way of El Dorado Kansas Inc . HUM 3,000-00 1 of 1 11/12/2004 P.O . Box 122 El Dorado, KS 67042

United Way of Greater St . Joseph Inc. HUM 4,750 .00 1 of 4 1/6/2004 118 S . 5th St . P.O . Box 188 St . Joseph, MO 64501

United Way of Greater St . Joseph Inc HUM 4,750 .00 2 of 4 4/5/2004 118 S . 5th St . P.O . Box 188 St . Joseph, MO 64501

United Way of Greater St . Joseph Inc . HUM 4,750 .00 3 of 4 7/7/2004 118 S . 5th St . P.O . Box 188 St Joseph, MO 64501

r . ' Recipient Name & Address Fiscal Agent Purpose Payment Payment Payment

Amount Number Date United Way of Greater St . Joseph Inc. HUM 750.00 1 of 1 9/7/2004 118 S. 5th St . P.O . Box 188 St . Joseph, MO 64501

United Way of Greater St . Joseph Inc. HUM 4,750.00 4 of 4 10/1/2004 118 S. 5th St . P.O . Box 188 St . Joseph, MO 64501

United Way of Greater St . Louis Inc. HUM 48,660.00 1 of 4 1/6/2004 1111 Olive St . St . Louis, MO 63101-1951




United Way of Leavenworth County Inc. HUM 1,200.00 1 of 1 10/1/2004 330 Shawnee St . Leavenworth, KS 66048

United Way of McLean County HUM 16,500.00 1 of 1 9/14/2004 201 E. Grove P.O . Box 3605 Bloomington, IL 61702-3605

United Way of Pekin HUM 2,500.00 1 of 1 10/1/2004 P.O . Box 324 Pekin, IL 61555-0324

United Way of Reno County HUM 3,500.00 1 of 1 11/30/2004 P.O . Box 2230 Hutchinson, KS 67504-2230

Page 69 of 74

Page 70 of 74


United Way of Riley County Inc . HUM 5,000 .00 2 of 2 1/6/2004 11 4 SAth St . Manhattan, KS 66502

United Way of Riley County Inc . HUM 250 .00 1 of 1 10/14/2004 11 4 SAth St . Manhattan, KS 66502

United Way of Southwest Mo HUM 5,000-00 1 of 1 9/3/2004 3510 E . 3rd St . Joplin, MO 64801

United Way of the Mark Twain Area HUM 1,815.00 1 of 1 9/14/2004 150 Shinn Ln . Hannibal, MO 63401

United Way of the Midlands HUM 200 .00 1 of 1 9/9/2004 1805 Harney St . Omaha, NE 68102

United Way of the Ozarks HUM 10,000.00 1 of 1 8/19/2004 320 N . Jefferson Springfield, MO 65806-1109

United Way of the Plains HUM 52,000.00 1 of 1 11/4/2004 245 N . Water Wichita, KS 67202

University City Loop Community Foundation ART 1,000.00 1 of 1 9/13/2004 6801 Delmar University City, MO 63130

University City Residential Service CIV 500.00 1 of 1 4/28/2004 630 Trinity Ave. St . Louis, MO 63130

University for Man Incorporated EDU 100.00 1 of 1 11/12/2004 1221 Thurston Manhattan, KS 66502-5299

Page 71 of 74


University of Illinois Extension University of Illinois Foundation EDU 500.00 1 of 1 6/29/2004 4810 N. Sheridan Rd. Peoria, IL 61614

University of Illinois Foundation HEA 1,826.00 1 of 1 12/10/2004 520 N.E . Glen Oak Ave . Peoria, IL 61637

University of Missouri-Columbia - Office of the Chancellor EDU 3,000.00 1 of 1 3/23/2004 105 Jesse Hall Columbia, MO 65211

University of Missouri-Columbia - Office of the Chancellor EDU 3,000.00 1 of 1 4/28/2004 105 Jesse Hall Columbia, MO 65211

Unlimited Play Inc . HUM 100.00 1 of 1 6/11/2004 41 N . Meadow Dr . O'Fallon, MO 63366

Variety Club of St . Louis HUM 2,500 .00 1 of 1 4/16/2004 2200 Westport Plaza Dr . St . Louis, MO 63146

Volunteers in Medicine Inc . HEA 1,500 .00 1 of 1 4/20/2004 2140 N. 4th St . St . Charles, MO 63301

We Always Swing Inc . ART 1,000.00 1 of 1 10/2212004 216-218 N. Eighth St . Columbia, MO 65201

Webb City R-7 Schools Foundation Inc . EDU 500.00 1 of 1 11/10/2004 411 N. Madison Webb City, MO 64870

Webster Groves Rotary Charities Inc . HUM 250.00 1 of 1 10/1/2004 520 Sherwood Dr . St . Louis, MO 63119

Page 72 of 74

r Recipient Name & Address Fiscal Agent Purpose Payment Payment Payment

Amount Number Date Wentzville R-IV School District EDU 200.00 1 of 1 11/30/2004 1 Campus Dr . Wentzville, MO 63385

Wesley House Association HUM 500.00 1 of 1 11/4/2004 4507 Lee Ave. St . Louis, MO 63115

West Bluff Neighborhood Housing Service Inc. HUM 2,000.00 1 of 1 11/30/2004 P.O . Box 1656 Peoria, IL 61656-1656

Western Avenue Community Center HUM 500 .00 1 of 1 9/14/2004 600 N . Western Ave. Bloomington, IL 61701

Westminster College EDU 1,400 .00 1 of 1 11/18/2004 501 Westminster Ave. Fulton, MO 65251-1299

Wichita State University Foundation EDU 5,000.00 1 of 3 1/6/2004 1845 Fairmount Wichita, KS 67260-0095

Wildwood Family YMCA Young Men's Christian Association of HUM 400.00 1 of 1 9/9/2004 P.O . Box 407 Greater St . Louis Wildwood, MO 63040-0407

Wildwood Family YMCA Young Men's Christian Association of HUM 500.00 1 of 1 9/13/2004 P.O . Box 407 Greater St . Louis Wildwood, MO 63040-0407

William Inge Festival Foundation ART 1,500.00 1 of 1 3/23/2004 P.O . Box 708 Independence, KS 67301

Women Aware Inc. HUM 100.00 1 of 1 7/13/2004 P.O . Box 1415 Poplar Bluff, MO 63902

Page 73 of 74


Wonders of Wildlife Foundation CIV 2,500.00 1 of 1 11/18/2004 500 W . Sunshine St . Springfield, MO 65807

Woodford County Heartline Association Incorporated HUM 2,000.00 1 of 1 11/4/2004 300 Reagan Dr . Eureka, IL 61530

Wyman Center Inc . HUM 300 .00 1 of 1 6/3/2004 600 Kiwanis Dr. Eureka, MO 63025

YMCA of Chesterfield/West County Young Men's Christian Association of HUM 300 .00 1 of 1 9/9/2004 16464 Burkhardt Pl . Greater St . Louis Chesterfield, MO 63017

YMCA of El Dorado Young Men's Christian Association of HUM 1,000 .00 1 of 1 3/23/2004 c/o Lane Enterprises Wichita 115 W. 6th El Dorado, KS 67042

YMCA of St . Charles County Young Men's Christian Association of HUM 500.00 1 of 1 3/23/2004 3900 EhImann Rd . Greater St . Louis St . Louis, MO 63376

YMCA of the Ozarks Young Men's Christian Association of HUM 1,500.00 1 of 1 10/14/2004 Rte . 2 Greater St . Louis P.O . Box 241 Potosi, MO 63664

Young Men Christian Association HUM 1,000.00 1 of 1 11/30/2004 1 YMCA Dr . Hannibal, MO 63401

Young Men's Christian Assn . HUM 2,500.00 1 of 1 4/6/2004 417 S. Jefferson Springfield, MO 65806

Young Men's Christian Assn . HUM 3,333 .00 3 of 3 4/28/2004 417 S . Jefferson Springfield, MO 65806

Page 74 of 74


Young Men's Christian Association HUM 500.00 1 of 1 1/27/2004 100 N . Miles Pittsburg, KS 66762

Young Men's Christian Association of Hutchinson & Reno County EDU 2,600.00 1 of 1 11/30/2004 716 E . 13th Ave. Hutchinson, KS 67501

Young Men's Christian Association of Wichita HUM 1,300.00 1 of 1 1/14/2004 3330 N . Woodlawn Wichita, KS 67220

Young Men's Christian Association of Wichita HUM 1,000.00 1 of 1 12/10/2004 3330 N . Woodlawn Wichita, KS 67220

Young People's Performing Arts Theatre Inc . ART 200 .00 1 of 1 10/15/2004 P .O . Box 315 Bonne Terre, MO 63628

Young Women's Christian Association HUM 1,000.00 3 of 3 1/14/2004 1013 W . Lake Ave . Peoria, IL 61614

Youth Entrepreneurs of Kansas Inc . EDU 1,500.00 1 of 1 12/10/2004 1845 Fairmount Wichita, KS 67260-0157

Youth in Need HUM 500.00 1 of 1 10/27/2004 516 Jefferson St . Charles, MO 63301

ZAP Fitness Foundation Inc . CIV 1,000.00 1 of 1 11/18/2004 P.O . Box 192 Blowing Rock, NC 28605

Total Contributions for the Year: 1,268,043.57

I

Jan Peoria fo_6_1ogical~o.-cie_ty`__ 3 yrs 3,333 3,333 Nelson-Kumar w/WTKF Mar Salvation Army of Peoria 5 yrs; 1,000 Nelson-Kumar wAVrKF

Sub-Total 4,333 3,333 7,666

New Sep S E ur;ae

S6ciety 2 yrs 1,000 Wilkinson Sub-Total 1,000 1,000

STATEMENT 10

12/31/2004 Commerce Bancshares Foundation - Outstanding Pledges Page

Officer i Due Organization Length 2004 2005 2006 2007 2008 - Contact Comments

Jul 117 inois State University 5 yrs 4,000 4,000 Nelson-Kumar wAVrKF Sep Central Catholic High School 5 yrs 1,400 Nelson-Kumar w/WTKF Oct Beyond the Books Educational Foundation 4 yrs 2.500 2,500 Nelson-Kumar w1WTKF

New Nov Illinois State University 3 yrs 3,000 3,000 Lakin New Nov Illinois Symphony Orchestra 1 yr 640 Lakin

Nov Timber Point Charitable Foundation 3 yrs 2.500 Nelson-Kumar wAVrKF Sub-Total 14,040 9,500 23,540

-d-6-6iii-tril N(Fis-Z-6-rf _Ri~di 6-n - - --- I Jan Phoenix Programs 2 yrs 1,250 1,250 Rice wA'VTKF Mar City of Columbia (Flatbranch Park) 3 yrs 1,667 1,666 Maledy

Sub-Total 2,917 2,916 5,833

CB Garidlen dity Dec St Cath~r_ine 5 yrs 3,000 3,000 Bennett w/WTKF

Sub-Total 3,000 3,000 6,000

tB 4;iys Jan Hays Area Children's Center 3 yrs 1,800 1,800 Thomas

Sub-Total 1,800 1,800 3,600

-7 --.Cg-Kiri-Siii-~frti- New Jan United Way 4 qtrs 30,952 Reardon New Apr United Way 4 qtrs 30,952 Reardon New Jul United Way 4 qtrs 30,952 Reardon New Oct United Way 4 qtrs 30,952 Reardon

Sub-Total 123,808 123,808

New Jan United Way of Riley County I yr 6,201 Giller Apr Kansas State University 5 yrs 500 500 Fields wAAITKF

New Apr Kansas State University 1 yr 3,500 Fields w/WTKF Sub-Total 10,201 500 10,701

12/31/2004 Commerce Bancshares Foundation - Outstanding Pledges Page ; Pledge Officer

Due Organization Length 2004 2005 2006 2007 2008 Contact Comments

Jan Missouri Conservation Heritage Foundation 2 yrs 1,250 Nelson w/W`TKF Nov Guardian's Law Enforcement Officers & Firefighters Fund 3 yrs 334 Tolliver

Sub-Total 1,584 1,584

M__S_p_rIn-gfl_eTd____ New Jan Boys & Girls Clubs of Springfield 1 yr 10,000 Bennett w/WTKF

Jan Burrell Behavioral Health 3 yrs 3,333 3,333 Bennett w/WTKF Jan Springfield Community Center 5 yrs 1,000 Hammerschmidt Apr Drury University 5 yrs 3,000 Harnmerschmidt Apr Good Samaritan Boys Ranch 5 yrs 1,000 1,000 1 .000 Himmel w/WTKF Apr Ozark Greenways 5 yrs 5,000 Hammerschmidt Oct YMCA, Springfield 3 yrs 3,333 3,334 Bennett wIWTKF

Sub-Total 26,666 7,667 1,000 35,333

____6B -StLouis i New Jan 0nJ_tecF_V4ay-___ 4 qtrs 50,120 Joyner New Apr United Way 4 qtrs 50,120 Joyner New Jul United Way 4 qtrs 50,120 Joyner New Oct United Way 4 qtrs 50,120 Joyner

Sub-Total 200,480 200,480

New Jan k~aii~as-Fo(~d-i~z~n-k-wai~~ouse---------- 2 yrs 2,500 2,500 Bennett wA/VTKF Jan Wichita State University 3 yrs 5,000 5,000 Pauly Apr Cerebral Palsy Research Foundation of Kansas 4 yrs 2,500 Fields w/WTKF Aug Catholic Charities of Wichita 3 yrs 1,667 1,666 Bennett wAA/TKF Oct Butler County Community College 2 yrs 2,500 2,500 Pauly wAVTKF

Sub-Total 14,167 11,666 25,833

-Grand Total 403,996 40,382 ____I,000 445,378

New Pledges made since last report (09/30/2004)

STATEMENT I I

Commerce Bank Page I of I Statement of Capital Gains and Losses From S;AIes 20112005 10:0018

(Does not Include capital gain distributions from mutual Adcount Id: 690014014 funds or CTF's - See Tax Transaction Detail)

COMMERCE BANCSHARES FOUNDATION Trust Year Ending 12131/2004

T;e Description Date Shares Price Fed Cost State Cost Fed Gain State Gain (Type)

3133MBM FED HOME LOAN BAW 5.89% 4130108 Sold 04/30104 250000 250,000.00 Acq 04/19/01 250000 - 250,000.00 250.000.00[] 250,000.00 0.00 0.00 L

Total for 413012004 250,000.00 250,000.00 0.00 0.00

3133MMLK7 FEDHOMELOANBANK 4.375% 2115105

Sold OW29/04 250000 256,717.50 Acq 04110102 250000 256,717.50 251,147.50[] 251,147.50 5,570.00 5,570.00 L

Total for 312912004 251,147.50 251,147.50 5.570 .00 5,570.00

3134AOSB9 FHLMC 5.98% 12/08105

Sold 10126/04 250000 254,035.85 Acq 09/29100 250000 254,035.85 243,260.00[ :] 243,260.00 10,775 .85 10,775.85 L

Total for 1012612004 243,260.00 243,260.00 10,775.85 10 .775.85

3l359MLH4 FNMA 4.375% 10115/06 Sold 02/13104 250000 261,983.38 - Acq 04123102 250000 261 .983 .38 245,537.500 245.537 .50 16.445 .88 16.445.88 L

Total for 211312004 245,537.50 245,537.50 16.445.88 16,445.88

589331107 MERCK AND 00 INC

Sold 11/08104 5000 128,946.97 Acq 02126/93 5000 128,946.97 87,212-790 87,212 .79 41,734.18 41,734 .18 L

Total for 111812004 87,212 .79 87,212.79 41,734.18 41,734 .18

58933liO7 MERCK AND 00 INC

Sold 11/15104 5000 134,546 .84 Acq 02126/93 5000 134.546.84 87,212.79[] 87,212.79 47,334.05 47,334 .05 L

Total for 1 ill 512004 87,212 .79 87,212.79 47,334 .05 47,334 .05

589331107 MERCK AND 00 INC

Sold 12/03104 10000 284,193 .33 Acq 02/26/93 '10000 284,193 .33 174,425.5io 174,425.58 109,767 .75 109,767 .75 L

Total for 12/3/2004 174.425.58 174,425.58 109,767 .75 109,767 .75

Total for Account : 690014014 1,338,796.16 1,338,796 .16 231,627 .71 231,627 .71

Total Proceeds : Fed State

1,670,423 .87 Srr Gain/Loss 0.00 0.00 LIT GaInfLoss 231,627 .71 231,627.71

Documents

Form 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/446/... · 2017. 6. 21. · Form 990-PF Return of Private Foundation FMB No 1545-0052 Department