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Nathaniel Koch has a diverse work experience, starting in 2003 as an intern at Invesco Aim Global Holdings Inc. Nathaniel then worked as a freight broker at Expeditors International for six months in 2006. In the same year, they became the Chairperson of Louisville Orchestra's Charitable Gaming division, a position they held until 2012. From 2006 to 2012, they also served as the Executive Assistant & Office Administrator at Louisville Orchestra. In 2011, they joined Fund for the Arts as the Facilities Manager for the ArtSpace Building. Koch then held various roles at Louisville Orchestra, including Development Manager and Executive Assistant, before becoming the Executive Administrator in 2021. Currently, they serve as the Chief of Staff at Louisville Orchestra, a position they started in October 2022.

Nathaniel Koch attended Bedford-North Lawrence High School. After that, they pursued a Bachelor of Arts degree in Business Administration, Management and Operations at Indiana University Southeast.