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Table of Contents

Choices for aSustainable Future

2009 Sustainability Report

Sustainability at K-C ........................................... 3A.Message.from.Tom.Falk...................................... 5A.Message.from.Jan.Spencer................................ 7Our.Approach......................................................... 8Managing.Sustainability......................................... 10. Performance.2009.............................................. 13Governance............................................................ 15. Performance.2009.............................................. 16Our.Stakeholders.................................................... 17Economic.impacts.................................................. 20. Performance.2009.............................................. 21Public.Policy........................................................... 23. Performance.2009.............................................. 24K-C.international..................................................... 25Awards.and.Recognition.in.2009........................... 27

Products................................................................ 29Customers,.Shoppers.and.Users........................... 31Life-cycle.Thinking.................................................. 32. Performance.2009.............................................. 34Fiber.Procurement.................................................. 36. Performance.2009.............................................. 38Synthetic.Fibers...................................................... 41. Performance.2009.............................................. 42Packaging............................................................... 43. Performance.2009.............................................. 44Preventing.infection................................................ 45. Performance.2009.............................................. 46Product.Quality.and.Safety..................................... 48Animal.Welfare........................................................ 50

Operations............................................................ 51Environmental.Vision............................................... 52. Performance.2009.............................................. 53Environmental.Assessment.................................... 55. Performance.2009.............................................. 56Energy.................................................................... 57. Performance.2009.............................................. 59

Climate.Change...................................................... 61. Performance.2009.............................................. 63Waste...................................................................... 65. Performance.2009.............................................. 66Water...................................................................... 68. Performance.2009.............................................. 70Supplier.Relationships............................................ 72. Performance.2009.............................................. 73

Community............................................................ 75. Performance.2009.............................................. 76Supporting.Families................................................ 77. Performance.2009.............................................. 78Employee.involvement........................................... 80Environment............................................................ 81Being.a.Good.Neighbor......................................... 84

Employees............................................................ 86Talent.Management................................................ 88. Performance.2009.............................................. 89Employee.Relations................................................ 90. Performance.2009.............................................. 91Compensation.and.Benefits................................... 92Health.Services...................................................... 93. Performance.2009.............................................. 94Diversity.and.inclusion........................................... 96. Performance.2009.............................................. 97Occupational.Safety.and.Hygiene.......................... 98. Performance.2009.............................................. 100

Data Summary 2009............................................. 103

External Assessment........................................... 105

GRI Index.............................................................. 107

Independent Assurance Statement................... 115

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Two Tomorrows (North America) Inc, 100 Montgomery Street, Suite 1750, San Francisco, CA 94104, USA. P: +1 (415) 362-3630 F: +1 (415) 362-3634.

Registered Office: Corporation Trust Center, 1209 Orange Street, Wilmington, DE 19801, USA. Registered in Delaware. Federal Tax ID: 26-2749558

Csrnetwork Inc is part of the Two Tomorrows group of companies. www.twotomorrows.com

Independent Assurance Statement

Scope and ObjectivesTwo Tomorrows (North America) Inc. was retained by Kimberly-Clark Corporation to conduct an independent assurance of its 2009 Sustainability Report (‘the Report’), as published on the company’s website at http://www.kimberly-clark.com/aboutus/sus_2010/sustainability_home.aspx and in a printed Summary report.

Two Tomorrows conducted the assurance process in accordance with AA1000AS (2008), a globally recognized standard that provides a framework for assessing a company’s management, performance and reporting on sustainability issues. We were engaged to provide Type 2 assurance which included evaluating Kimberly-Clark’s voluntary adherence to the AA1000 Accountability Principles Standard (APS)(2008) of inclusivity, materiality and responsiveness (the Principles) as well as the reliability of specified sustainability performance information.

Informational key claims in the Report, with the exception of financial information related to Kimberly-Clark’s Annual Report, were included in the scope of our assurance engagement. We used the Global Reporting Initiative (GRI) Quality of Information Principles as Criteria for evaluating performance information.

Responsibilities of Kimberly-Clark Corporation’s Management and of the Assurance ProvidersTwo Tomorrows was not involved in the preparation of any part of the Report. We have no other contract with Kimberly-Clark and this is the first year we have provided an assurance statement. We adopt a balanced approach towards all stakeholders.

Our statement represents Two Tomorrows’ independent opinion and is intended to inform all stakeholders including Kimberly-Clark’s management who have sole responsibility for preparation of the Report.

Our team included Todd Cort, Doug Bannerman, Rob Pearson and Shyla Girvetz. Further information, including individual competencies relating to the team can be found at: www.twotomorrows.com

Basis of our opinionOur work was designed to gather evidence with the objective of providing moderate assurance as defined in AA1000AS (2008). We undertook the following activities:

Review of the current sustainability issues that could affect Kimberly-Clark and are of interest to stakeholders;

Interviews with senior executives and managers in Irving, TX, Neenah, WI and Roswell, GA, who are responsible for management of sustainability issues;

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Review of Kimberly-Clark’s approach to stakeholder engagement and materiality determination. This included interviews with senior managers responsible for engagement with key stakeholder groups, and specific investigation of stakeholder engagement activity during a site visit;

Review of information Kimberly-Clark provided to Two Tomorrows on its reporting and management processes relating to the Principles;

One site visit to the company’s Beech Island, SC, USA consumer products and tissue manufacturing facilities to assess the controls and processes present at the site in comparison to the claims made at Enterprise level; and

Review of supporting evidence for key claims and data in the report.

Findings We reviewed and provided feedback on the Report after its publication to the website. On the basis of the work conducted, and with the exceptions outlined below, nothing came to our attention to suggest that the Report does not properly describe Kimberly-Clark’s adherence to the Principles or its performance.

Observations Without affecting our assurance opinion we also provide the following observations on Kimberly-Clark’s adherence to the three Principles and on the published performance information:

1) Inclusivity: Inclusivity concerns the participation of stakeholders in developing and achieving an accountable and strategic response to sustainability.

Kimberly-Clark employs a variety of engagement efforts at the enterprise level to help it better understand and respond to stakeholder issues and concerns, and integrate them into its decision making processes. Of particular note: 1) the Sustainability Advisory Board (SAB), created in 2007 to help identify potential sustainability risks and opportunities; 2) Kimberly-Clark Professional’s engagement with customers regarding product sustainability, and; 3) enterprise-level engagement with NGOs such as Greenpeace and World Wildlife Fund (WWF) regarding its fiber procurement policy and practices. Looking forward, as the SAB is comprised primarily of industry experts, we believe Kimberly-Clark would benefit by expanding the composition of this group to be more representative of its stakeholders.

The Report includes a good description of enterprise-level stakeholders, primary interest areas and engagement methods. Further, executives and senior managers adequately demonstrated their efforts to engage with key stakeholders groups (e.g. investors, customers, NGOs) to better understand and respond to material issues. Future Reports would benefit by including more granularity regarding the specific organizations or individuals with whom Kimberly-Clark engages, the specific outcomes or decisions that result from the dialogue, and the inclusion of additional stakeholder voices to validate and speak to claims in its Report.

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2) Materiality: Material issues are those which are necessary for stakeholders to make informed judgments concerning Kimberly-Clark and its impacts.

The Report includes information on Kimberly-Clark’s material sustainability performance issues and should enable stakeholders to make informed judgments and decisions. While the business case for sustainability at Kimberly-Clark and its approach are clearly articulated, the company’s process for how it reviews materiality is not as clear. Procedures for initial identification of material issues and the criteria used to determine materiality could be more fully disclosed.

On specific material issues: Economic impacts: The Report provides a good account of Kimberly-Clark’s direct and indirect

economic impacts and acknowledges its “ripple effect” on local economies. Going forward, however, future reports would benefit from a value chain approach to explaining these impacts which would enable Kimberly-Clark to demonstrate its overall contributions to sustainable development. For instance, the company’s growing manufacturing and marketing presence in developing and emerging economies has the potential to lead to local job creation, the transfer of critical skills and knowledge, capacity building, and social and economic stability.

Sustainability context: The Kimberly-Clark International section of the Report provides anillustration of how the Company aims to balance sustainability and commercial objectives. Future Reports would benefit from the inclusion of a more robust analysis of how the Company achieves this balance, any potential trade-offs involved, the criteria used to integrate sustainability into Company decision-making, as well as an expanded discussion regarding the role of its products in improving health and living standards.

Fiber procurement: The Report provides a clear articulation of Kimberly-Clark’s approach to fiber procurement. We anticipate that discussion of this issue will continue to evolve as a result ofKimberly-Clark’s ongoing engagement with Greenpeace and WWF.

Climate change and water: We agree with the conclusions of the SAB that Kimberly-Clark should better explain its work in these areas. For instance, as a member of the U.S. Environmental Protection Agency SmartWay Transportation Partnership this year’s Report acknowledges the Company’s efforts to track emissions generated through finished product distribution in the U.S. We recommend, however, that future reports provide specific details to illustrate more clearly the actions employed to reduce emissions associated with transportation and logistics.

3) Responsiveness: Responsiveness concerns the extent to which an organization responds to stakeholder issues

The Report acknowledges the importance of stakeholder engagement to Kimberly-Clark as a management tool and the role of stakeholder dialogue in solving complex problems. Further, there is anecdotal evidence that stakeholder issues, concerns and priorities are reflected in Kimberly-Clark’sbusiness decisions; for instance product design and package sizes. That said, future Reports would

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benefit from the inclusion of stakeholder voices or testimonial to better demonstrate the two-way nature of stakeholder dialogue and to detail how stakeholders actually participate in these decision making processes.

Additionally, future reports would benefit from an overview of employee survey results along with interpretation to enable a better understanding of how the Company identifies, accounts for and responds to material employee-related issues.

Two Tomorrows (North America) IncSan FranciscoMay 2010

Todd Cort Doug BannermanProject Director Project Manager---------------------------------------------------------------------------------------------------------------------------*Two Tomorrows (North America) Inc The Two Tomorrows group of companies was formed in January 2009 following the merger between leading sustainability and corporate responsibility consultancies, Csrnetwork Ltd and Sd3 Ltd. Two Tomorrows (North America) is a subsidiary of Two Tomorrows Group Ltd. Two Tomorrows is an international consultancy that helps companies to perform better and create value by doing business in a sustainable way. www.twotomorrows.com