990-PF ReturnofPrivate Foundation...

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Form 990-PF Return of Private Foundation or Section 4947(a)(1) Nonexempt Charitable Trust Department of the Treasury Treated as a Private Foundation Internal Revenue Service Note : The foundation may be able to use a copy y of this return to satisfy state report OMB No 1545-0052 2006 For calendar year 2008 , or tax year beginning , and ending G Check all that aoDM . E-1 Initial return n Final return n Amended return n Address chanoe n Name rhanna Use the IRS Name of foundation A Employer identification number label. Otherwise , R OY CHAMBERS FOUNDATION 55-6113902 print Number and street (or P 0 box number if mail is not delivered to street address) Room/swte B Telephone number ortype . 1358 NATIONAL ROAD 304.242.8410 See Specific Instructions . City or town, state, and ZIP code C if exemption application is pending , check here WH EELING , WV 26 003 D 1. Foreign organizations, check here H Check type of organization: ® Section 501 (c)(3) exempt private foundation an d rzahons meeting the 85% test, h 2. Forei gn o h h c tt t t 0 Section 4947(a)(1) nonexempt charitable trust 0 Other taxable private foundation ere compu ce k an e a ac a ion I Fair market value of all assets at end of year J Accounting method: ® Cash LI Accrual E If private foundation status was terminated under section 507(b)(1)(A), check here (from Part 11, col. (c), line 16) 0 Other (specify) F If the foundation is in a 60-month termination $ 14 0 4 38 2 . (Part 1, column (d) must be on cash basis.) under section 507 ( b )( 1 B ), check here Part I Analysis of Revenue and Expenses (The total of amounts in columns (b). (c), and (d) may not (a) Revenue and ex enses er books (b) Net investment income (c) Adjusted net ( d) Disbursements for charitable purposes necessarily equal the amounts in column (a)) p p income (cash basis only) 1 Contributions, gifts, grants, etc., received N / A 2 Check ® it the foundation Is not required to attach Sch B Interest on savings and temporary 3 cash investments 19 . 19 . S tatement 1 4 Dividends and interest from securities 16475. 16475. S tatement 2 5a Gross rents b Net rental income or (loss) - 6a Net gam or Qoss) from sale of assets not on Ime 10 2970. 7 c Gross sales puce for all b assets on line ea 2979. m 7 Capital gain net income (from Part IV, line 2) 2970. - IM 8 Net short-term capital gain 9 Income modifications L) Gross sales less returns 108 and allowances b Less Cost of goods sold MAY U ti I-Uuf jn c Gross profit or (loss) V - . - 11 Other income GGDr- 12 Total . Add lines 1 through 11 19464. 19464. 13 Compensation of officers , directors, trustees , etc 0. 0. 0. 14 Other employee salaries and wages 15 Pension plans, employee benefits 16a Legal fees b Accounting fees $ tmt 3 850. 0. 0. X c Other professional fees Stmt 4 50000. 0. 0. 9 17 Interest 18 Taxes Stmt 5 6062. 0. 0. 2 E 19 Depreciation and depletion E 20 Occupancy 21 Travel, conferences, and meetings t C 22 Printing and publications c 23 Other expenses Stmt 6 10. 0. 0. 0 24 Total operating and administrative expenses . Add lines 13 through 23 56922. 0. 0. 0 25 Contributions, gifts, grants paid 46614. 46614. 26 Total expenses and disbursements. Add lines 24 and 25 103536. 0. 46614. 27 Subtract line 26 from line 12: a Excess of revenue over expenses and disbursements -8 4 0 72 . b Net investment income (if negative, enter -0-) 19464. 1 c Adjusted net income (if negative , enter -0-) N / A L 2 2 823501 01-29-07 LHA For Privacy Act and Paperwork Reduction Act Notice , see the instructions. Form 990-PF (2006) C\

Transcript of 990-PF ReturnofPrivate Foundation...

Form 990-PF Return of Private Foundationor Section 4947(a)(1) Nonexempt Charitable Trust

Department of the Treasury Treated as a Private FoundationInternal Revenue Service

Note : The foundation may be able to use a copyy of this return to satisfy state report

OMB No 1545-0052

2006For calendar year 2008 , or tax year beginning , and ending

G Check all that aoDM. E-1 Initial return n Final return n Amended return n Address chanoe n Name rhanna

Use the IRS Name of foundation A Employer identification number

label.Otherwise , ROY CHAMBERS FOUNDATION 55-6113902

print Number and street (or P 0 box number if mail is not delivered to street address) Room/swte B Telephone numberortype . 1358 NATIONAL ROAD 304.242.8410

See SpecificInstructions .

City or town, state, and ZIP code C if exemption application is pending , check here

WHEELING , WV 2 6 0 0 3 D 1. Foreign organizations, check here ►H Check type of organization: ® Section 501 (c)(3) exempt private foundation an

drzahons meeting the 85% test,

h2. Foreign o

h hc tt t t

0 Section 4947(a)(1) nonexempt charitable trust 0 Other taxable private foundation

ere compuc e k ane a ac a ion

I Fair market value of all assets at end of year J Accounting method: ® Cash LI AccrualE If private foundation status was terminated

under section 507(b)(1)(A), check here ►(from Part 11, col. (c), line 16) 0 Other (specify) F If the foundation is in a 60-month termination

$ 14 0 4 3 8 2 . (Part 1, column (d) must be on cash basis.) under section 507 ( b )( 1 B ), check herePart I Analysis of Revenue and Expenses

(The total of amounts in columns (b). (c), and (d) may not(a) Revenue andex enses er books

(b) Net investmentincome

(c) Adjusted net ( d) Disbursementsfor charitable purposes

necessarily equal the amounts in column (a)) p p income (cash basis only)

1 Contributions, gifts, grants, etc., received N/A2 Check►® it the foundation Is not required to attach Sch B

Interest on savings and temporary3 cash investments 19 . 19 . Statement 14 Dividends and interest from securities 16475. 16475. Statement 25a Gross rents

b Net rental income or (loss) -

6a Net gam or Qoss) from sale of assets not on Ime 10 2970.7c

Gross sales puce for allb assets on line ea 2979.

m 7 Capital gain net income (from Part IV, line 2) 2970. -IM

8 Net short-term capital gain

9 Income modifications L)Gross sales less returns

108 and allowances

b Less Cost of goods sold MAY U ti I-Uuf jn

c Gross profit or (loss) V - . -

11 Other income GGDr-12 Total . Add lines 1 through 11 19464. 19464.13 Compensation of officers , directors , trustees , etc 0. 0. 0.

14 Other employee salaries and wages

15 Pension plans, employee benefits

16a Legal fees

b Accounting fees $ tmt 3 850. 0. 0.X c Other professional fees Stmt 4 50000. 0. 0.9 17 Interest

18 Taxes Stmt 5 6062. 0. 0.2E 19 Depreciation and depletion

E 20 Occupancy

21 Travel, conferences, and meetings

t C 22 Printing and publications

c 23 Other expenses Stmt 6 10. 0. 0.0 24 Total operating and administrative

expenses . Add lines 13 through 23 56922. 0. 0.0 25 Contributions, gifts, grants paid 46614. 46614.

26 Total expenses and disbursements.

Add lines 24 and 25 103536. 0. 46614.27 Subtract line 26 from line 12:

a Excess of revenue over expenses and disbursements - 8 4 0 7 2 .

b Net investment income (if negative, enter -0-) 19464. 1c Adjusted net income (if negative , enter -0-) N /A

L

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82350101-29-07

LHA For Privacy Act and Paperwork Reduction Act Notice , see the instructions. Form 990-PF (2006)

C\

Form 990-PF (20061 R[)V r"HnMRRR G FfT1NTI.TT(1AT RR-91 1 1 Q f12 Paae 2

schedules and amounts In the descriptionBalance Sheets 'u""'Beginning of year End of year

Part II column should be for end -o fiearamounts only (a) Book Value (b) Book Value (c Fair Market Value

1 Cash - non-interest-bearing

2 Savings and temporary cash investments -219. 19023. 19023.3 Accounts receivable ►

Less: allowance for doubtful accounts ►4 Pledges receivable ►

Less: allowance for doubtful accounts ►5 Grants receivable

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

disqualified persons

7 Other notes and loans receivable ►

Less: allowance for doubtful accounts ►

8 Inventories for sale or use

M 9 Prepaid expenses and deferred charges

a 10a Investments - U.S. and state government obligations

b Investments - corporate stock $ tmt 7 260094. 156780. 360479.c Investments - corporate bonds $ tmt 8 100000. 100000. 9 6595.

11 Investments - land, buildings , and equipment basis ►

Less accumulated depreciation

12 Investments - mortgage loans

13 Investments - other $tmt 9 700000. 700000. 928285.14 Land, buildings, and equipment basis ►

Less accumulated deprecation ►

15 Other assets (describe ►

16 Total assets to be com p leted b all filers 1059875. 975803. 1404382.17 Accounts payable and accrued expenses

18 Grants payable

u) 19 Deferred revenue

20 Loans from officers , directors , trustees , and other disqualified persons

21 Mortgages and other notes payable

22 Other liabilities (describe ►

23 Total liabilities (add lines 17 throw h 22 ) 0. 0.

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

24 Unrestricted

25 Temporarily restricted

m 26 Permanently restricted

Foundations that do not follow SFAS 117 , check here ►and complete lines 27 through 31.

27 Capital stock, trust principal, or current funds 521664 . 521664.j 28 Paid-1n or capital surplus, or land, bldg., and equipment fund 0. 0. -

a 29 Retained earnings, accumulated income, endowment, or other funds 538211. 454139aZ 30 Total net assets or fund balances 10 59 8 75. 975803.

31 Total liabilities and net assets/fund balances 1059875. 1 975803.

Part Ill Analysis of Changes in Net Assets or Fund Balances

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 year's return) 1 1059875 .

2 Enter amount from Part I, line 27a 2 - 8 4 0 7 2 .

3 Other increases not included in line 2 (itemize) ► 3 0 .

4 Add lines 1, 2, and 3 4 975803.

5 Decreases not included in line 2 (itemize) ► 5 0 .

6 Total net assets or fun d balan ces at end of year (line 4 minus line 5) - Part II, column (b), line 30 _ 6 9 7 5 8 0 3 .

823511Form 990-PF (2006)

01-29-07

Form 990-PF 2006 ROY CHAMBERS FOUNDATION 55-6113902 Page 3Part IV 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.)

(b How acquired- Purchase

D - Donation(c( Date acquired

mo., day, yr.)(d) Date sold(mo., day, yr.)

to CASH IN LIEU-IDEARC INC D 09 / 14 / 90 11 / 17 / 06b Capital Gains Dividendsc

d

e

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

(p) Cost or other basisplus expense of sale

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

a 9. 9. 0.b 2970. 2970.C

d

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

(i) FF.M.V. as of 12/31/69(j) Adjusted basisas of 12/31/69

(k) Excess of col. (i)over col. (j), if any

c ol. (k),but not

less than -0-) orLosses (from col. (h))

a 0.b 2970.Cd

e

2 C Iflain, also

enter -0enter

-inin

PartPart

II, lineline

77 }Capital gain net income or (net capital loss).

If?loss) 2 2 9 7 0 .

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).If (loss), enter -0- in Part I, line 8 3 N /A

I Part v - 1 ouaIftcation under section 4940(e) for Reduced Tax on Net Investment Income

(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.

Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? ® Yes 0 No

If 'Yes, the foundation does not qualify under section 4940 ( e). Do not complete this part.1 Enter the appropriate amount in each column for each year; see instructions before making any entries.

Base perod yearsCalendar year or tax year be g innin g in ) (b)qualifying distributions (c)Net value of nonchardable-use assets

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

2005

2004

2003

2002

2001

2 Total of line 1, column (d) 2

3 Average distribution ratio for the 5-year base period - divide the total on line 2 by 5, or by the number of years

the foundation has been in existence if less than 5 years 3

4 Enter the net value of noncharitable-use assets for 2006 from Part X, line 5 4

5 Multiply line 4 by line 3 5

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

7 Add lines 5 and 6 7

8 Enter qualifying distributions from Part XII, line 4 8

If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate.See the Part VI instructions.

623521/01-29-07 Form 990-PF (2006)

Form 990-PF (2006) ROY CHAMBERS FOUNDATION 55-611Part VI Excise Tax Based on Investment Income (Section 4940(a). 4940(b). 4940(e). or 4948 - seeto Exempt operating foundations described in section 4940(d)(2), check here ►U and enter'WA' on line 1.

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

b Domestic foundations that meet the section 4940(e) requirements in Part V, check here ►0 and enter 1%

of Part I, line 27b

c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2

3 Add lines 1 and 2 3

4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4

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

6 Credits/Payments:

a 2006 estimated tax payments and 2005 overpayment credited to 2006 6a 826.b Exempt foreign organizations - tax withheld at source 6bc Tax paid with application for extension of time to file (Form 8868) 6c

d Backup withholding erroneously withheld 6d

7 Total credits and payments. Add lines 6a through 6d 7 826.8 Enter any penalty for underpayment of estimated tax Check here Elf Form 2220 is attached 8

9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed ► 910 Overpayment . If line 7 is more than the total of lines 5 and 8, enter the amount overpaid ► 10 437.11 Enter the amount of line 10 to be: Credited to 2007 estimated tax 110, 4 3 7 . Refunded lop. 11 0.Part VII-A Statements Regarding Activities

Is During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene inany political campaign? is

b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see instructions for definition)? lbIf the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any matenals published ordistributed by the foundation in connection with the activities.

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

d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year.

(1) On the foundation. ► $ 0. (2) On foundation managers.► $ 0.

e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed on foundation

managers. ► $ 0.

2 Has the foundation engaged in any activities that have not previously been reported to the IRS? 2 XIf 'Yes,' attach a detailed description of the activities.

3 Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles of incorporation, or

bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes 3 X4a Did the foundation have unrelated business gross income of $1,000 or more during the year? 4a Xb If 'Yes, has it filed a tax return on Form 990-T for this year? N/A 4b

5 Was there a liquidation, termination, dissolution, or substantial contraction during the year? 5 XIf "Yes," attach the statement required by General Instruction T.

6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:

• By language in the governing instrument, or

• By state legislation that effectively amends the governing instrument so that no mandatory directions that conflict with the state law

remain in the governing instrument? 6 X

7 Did the foundation have at least $5,000 in assets at any time during the years 7 XIf "Yes," complete Part II, col. (c), and Part XV

8a Enter the states to which the foundation reports or with which it is registered (see instructions) ►WV

b If the answer is 'Yes' to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney General (or designate)

of each state as required by General Instruction G? If "No,' attach explanation

Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 4942(1)(5) for calendar

year 2006 or the taxable year beginning in 2006 (see instructions for Part XIV)? If "Yes, " complete Part XIV

Form 990-PF (2006)

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Form 990-PF

Activities Continued

11a At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?

If 'Yes, attach schedule. (see instructions)

b If 'Yes, did the foundation have a binding written contract in effect on August 17, 2006, covering the interest, rents, royalties, and

annuities described in the attachment for line 1 la? N/A

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

Page 5

13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? 13 I XWeb site address ► N/A

14 The books are in care of ► LINDA M BORDAS , TRUSTEE Telephone no. ► 3 0 4. 2 4 2. 8 410Located at ' 1358 NATIONAL ROAD , WHEELING , WV ZIP+4 '26003-5742

15 Section 4947( a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here ►=

Part VII-B I Statements Regarding Activities for Which Form 4720 May Be RequiredFile Form 4720 if any item is checked in the "Yes" column , unless an exception applies. Yes No

1a During the year did the foundation (either directly or indirectly):

(1) Engage in the sale or exchange, or leasing of property with a disqualified person? L1 Yes ® No

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

a disqualified person? =Yes ® No

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? Yes No(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? 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 No(6) Agree to pay money or property to a government official? ( Exception. Check 'No'

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

termination of government service, if terminating within 90 days.) Yes ® No

b If any answer is Yes' to la ( 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 22 of the instructions)?

Organizations relying on a current notice regarding disaster assistance check here ►0c Did the foundation engage in a prior year in any of the acts described in la, other than excepted acts , that were not corrected

before the first day of the tax year beginning in 2006?

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

defined in section 4942(l)(3) or 4942 (l)(5)):

a At the end of tax year 2006 , did the foundation have any undistributed income ( lines 6d and 6e, Part XIII ) for tax year( s) beginningbefore 2006? ® Yes No

If 'Yes,* list the years ► 2005 ,

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

valuation of assets ) to the year's undistributed income? ( If applying section 4942(a)(2) to all years listed, answer ' No'and attach

statement - see instructions.)

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

3a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any timeduring the year? LI Yes ® No

b It 'Yes,' did it have excess business holdings in 2006 as a result of (1) any purchase by the foundation or disqualified persons after

May 26, 1969 ; ( 2) the lapse of the 5-year period ( or longer period approved by the Commissioner under section 4943 (c)(7)) to dispose

of holdings acquired by gift or bequest; or (3) the lapse of the 10 -, 15-, or 20 -year first phase holding period? (Use Schedule C,

Form 4720, to determine if the foundation had excess business holdings in 2006) N/A

4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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

had not been removed from ieopardv before the first day of the tax year beaimmno in 20069

Form 990-PF (2006)

62354101-29-07

ulreI Continued

5a During the year did the foundation pay or incur any amount to:

(1) Carry on propaganda, or otherwise attempt to influence legislation ( section 4945(e))? 0 Yes ® No

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

any voter registration drive? 0 Yes ® No

(3) Provide a grant to an individual for travel, study, or other similar purposes? 0 Yes ® 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)? 0 Yes ® 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? 0 Yes ® No

b If any answer is 'Yes' to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described in Regulationssection 53 .4945 or in a current notice regarding disaster assistance (see instructions)? N/A

Organizations relying on a current notice regarding disaster assistance check here 0c If the answer is'Yes' to question 5a(4), does the foundation claim exemption from the tax because it maintained

expenditure responsibility for the grant? N/A L1 Yes [l No

If 'Yes,' attach the statement required by Regulations section 53 . 4945-5(d).

6a Did the foundation , during the year , receive any funds , directly or indirectly , to pay premiums on

a personal benefit contract? 0 Yes ® No

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

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

7a At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction ? O Yes ® No

pwr wu Information About Officers , Directors, Trustees, Foundation Managers , HighlyPaid Employees , and Contractors

I List all officers , directors , trustees , foundation managers and their compensation.

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

hours per week devotedto p osition

(c) Compensation(If not paid,enter -0-

(md' Contdbutionsto

° anddefeedPianscompensation

(e) Ex enseaccount otherallowances

LINDA M BORDAS TRUSTEE1358 NATIONAL ROADWHEELING WV 26003 0.00 0. 0. 0.JAMES G BORDAS TRUSTEE1358 NATIONAL ROADWHEELING WV 26003 0.00 0. 0. 0.

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

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

hours per weekdevoted to p osition

(c) Compensationd) Contnbubons to

e D anddeferrned^^nscompensation

(e) Expenseaccount, otherallowances

None

Total number of other employees paid over $50,000 1 0Form 990-PF (2006)

82355101-29-07

Form 990-PF (2006) ROY CHAMBERS FOUNDATION 55-6113902 Page 7

Part VIII Information About Officers , Directors , Trustees , Foundation Managers, HighlyPaid Employees, and Contractors continued

3 Five highest-paid independent contractors for professional services . If none, enter °NONE.°

(a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation

None

Total number of others receivin g over $50,000 for p rofessional services ► 0

Part IX-A I 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 I Expensesnumber of organizations and other beneficiaries served, conferences convened, research papers produced, etc.

Part IX-B I Summary of Program-Related InvestmentsDescribe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount

1N A

2

All other program-related investments. See instructions.

3

Total. Add lines 1 through 3 ► 0.

Form 990-PF (2006)

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Form 990-PF (2006) ROY CHAMBERS FOUNDATION 55-6113902 Page 8

Part X Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see 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

d Total (add lines la, b, and c)

e Reduction claimed for blockage or other factors reported on lines la and

1c (attach detailed explanation)

2 Acquisition indebtedness applicable to line 1 assets

3 Subtract line 2 from line 1d

4 Cash deemed held for charitable activities. Enter 1112% of line 3 (for greater amount, see 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 51.

Part X1Distributable Amount (see instructions) (Section 4942(j)(3) and (i)(5) private operating foundations and certainforeign organizations check here ► and do not complete this part.)

2

1 Minimum investment return from Part X, line 6 1 67355.2a Tax on investment income for 2006 from Part VI, line 5 2a 389.

b Income tax for 2006. (This does not include the tax from Part VI.) 2b

c Add lines 2a and 2b 2c 389 .3 Distributable amount before adjustments. Subtract line 2c from line 1 3 6 6 9 6 6 .4 Recoveries of amounts treated as qualifying distributions 4 0 .

5 Add lines 3 and 4 5 66966.6 Deduction from distributable amount (see instructions) 6 0 .7 Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 7 6 6 9 6 6 .

Part XII , Qualifying Distributions (see instructions)

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

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

Program-related investments - total from Part IX-B

2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc., purposes 2

3 Amounts set aside for specific charitable projects that satisfy the:

a Suitability test (prior IRS approval required) 3a

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

4 Qualifying distributions . Add lines la through 3b. Enter here and on Part V, line 8, and Part XIII, line 4 4 46614.

5 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment

income. Enter 1% of Part I, line 27b 5 0.

6 Adjusted qualifying distributions . Subtract line 5 from line 4 6 46614.

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 (2006)

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Form 990-PF (2006) ROY CHAMBERS FOUNDATION 55-6113902 Page 9

Part XIII Undistributed Income (see instructions)

(a) (b) (c) (d)Corpus Years prior to 2005 2005 2006

1 Distributable amount for 2006 from Part XI,

line? 66966.2 Undistributed income , if any , as of the and of 2005 . - -- y-. - -

a Enter amount for 2005 only 64424.b Total for prior years:

2004 , 40416.3 Excess distributions carryover, if any, to 2006:

a From 2001

b From 2002

c From 2003

d From 2004

e From 2005

f Total of lines 3a throu gh e 0.

4 Qualifying distributions for 2006 fromPart X I line 4: ► $ 46614.

a Applied to 2005, but not more than line 2a 46614.b Applied to undistributed income of prioryears (Election required - see instructions) 0.

c Treated as distributions out of corpus

(Election required - see instructions) 0.

d Applied to 2006 distributable amount - 0e Remaining amount distributed out of corpus 0.

5 Excess distributions carryover applied to 2008 0 0Of an amount appears in column (d), the same amount -must be shown in column (a).)

6 Enter the net total of each column as .indicated below:

a Corpus Add lines 3f , 4c, and 4e Subtract line 5 0.

b Prior years' undistributed income. Subtract

line 4b from line 2b 40416.c Enter the amount of prior years'undistributed income for which a notice of -deficiency has been issued, or on whichthe section 4942(a) tax has been previouslyassessed 40416.

d Subtract line 6c from line 6b. Taxableamount - see instructions 0

e Undistributed income for 2005. Subtract line4a from line 2a. Taxable amount - see instr. 17810.

f Undistributed income for 2006. Subtractlines 4d and 5 from line 1. This amount must

be distributed in 2007 66966.7 Amounts treated as distributions out of

corpus to satisfy requirements imposed by

section 170(b)(1)(E) or 4942(g)(3) 0.8 Excess distributions carryover from 2001

not applied on line 5 or line 7 0 .

9 Excess distributions carryover to 2007.Subtract lines 7 and 8 from line 6a 0

10 Analysis of line 9:

a Excess from 2002

b Excess from 2003

c Excess from 2004

d Excess from 2005

e Excess from 2006

Form 990-PF (2006)82358101-20-07

Form 990-PF 10Part XIV I Private Operating Foundations (see instructions and Part VII-A. question 9) N/A1 a If the foundation has received a ruling or determination letter that it is a private operating

foundation, and the ruling is effective for 2006, enter the date of the ruling 101.b Check box to indicate whether the foundation is a private operating foundation described in section

2 a Enter the lesser of the adjusted net Tax year

income from Part I or the minimum ( a) 2006

investment return from Part X for

each year listed

b 85% of line 2a

c Qualifying distributions from Part XII,

line 4 for each year listed

d Amounts included in line 2c not

used directly for active conduct of

exempt activities

e Qualifying distributions made directly

for active conduct of exempt activities.

Subtract line 2d from line 2cComplete 3a, b, or c for thealternative test relied upon:

a 'Assets' alternative test - enter(1) Value of all assets

(2) Value of assets qualifyingunder section 4942(I)(3)(B)(i)

b 'Endowment alternative test - enter2/3 of minimum investment returnshown in Part X, line 6 for each yearlisted

c 'Support' alternative test - enter:

(1) Total support other than grossinvestment income (interest,dividends, rents, payments onsecurities loans (section512(a)(5)), or royalties)

(2) Support from general publicand 5 or more exemptorganizations as provided insection 4942(j)(3)(B)(iii)

(3) Largest amount of support from

an exempt organization

Prior 3 yeas(b)2005 (c)2004

3 ) or 0 4942 (j)( 5 )

(d) 2003 ( e) Total

Part XV Supplementary Information (Complete this part only if the foundation had $5,000 or more in assetsat any time during the year-see page 28 of the instructions.)

I 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 taxyear (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 orother entity) of which the foundation has a 10% or greater interest

2 Information Regarding Contribution , Grant, Gift, Loan , Scholarship , etc., Programs:

Check here ►0 if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds. If

the foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under other conditions, complete items 2a, b, c, and d.

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

See Statement 10b The form in which applications should be submitted and information and materials they should include:

c Any submission deadlines:

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

823601/01-29-07 Form 990-PF (2006)

Form 990-PF

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

Recipient If recipient is an individual,show any relationship to Foundation Purpose of grant or

f d t status of contribution AmountName and address (home or business) ion managerany oun a

or substantial contributor recipient

a Paid dung the year

EE ATTACHEDSEE ATTACHED STATEMENT ONE ONE STATEMENT 46614.

Total ► 3a 46614.b Approved for future payment

None

Total ► 3b I U.

823811/01-29-07 Form 990-PF (2006)

Form 990-PF (2006) ROY CHAMBERS FOUNDATION 55-6113902 Pane 12

Part XVI-A Analysis of Income-Producing Activities

Enter gross amounts unless otherwise indicated. Unrelated business income FxGuded by section 512 , 513 , «514 (e)

(a) (b) Ei „_ (d) Related or exempt

1 Program service revenue: BcodersAmount s Amount function income

a

b

Cd

ef

g Fees and contracts from government agencies

2 Membership dues and assessments

3 Interest on savings and temporary cash

investments 14 19.4 Dividends and interest from securities 14 16475.5 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 otherthan inventory 14 2 9 7 0 .

9 Net income or (loss) from special events

10 Gross profit or (loss) from sales of inventory

11 Other revenue:

a

b

Cd

e

12 Subtotal. Add columns (b), (d), and (e) 0. 1 19464. 0.13 Total. Add line 12, columns (b), (d), and (e) 13 19464.(See worksheet in line 13 instructions to verify calculations.)

Part XVI-B Relationship of Activities to the Accomplishment of Exempt Purposes

Line No .y

Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the accomplishment ofthe foundation's exempt purposes (other than by providing funds for such purposes).

Form 990-PF (2006)

Form 990-PF (2006) ROY CHAMBERS FOUNDATION 55-6113902 Page 13Part XVII Information Regarding Transfers To and Transactions and Relationships With Noncharitable

Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of Yes No

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

Transfers from the reporting foundation to a noncharltable exempt organization of

(1) Cash

_

la" ) X

(2) Other assets 1a(2 ) X

Other transactions:

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

(2) Purchases of assets from a noncharitable exempt organization U12) X

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

(4) Reimbursement arrangements 1b 4 X

(5) Loans or loan guarantees 1b 5 X

(6) Performance of services or membership or fundraising solicitations lb 6 X

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

If the answer to any of the above is 'Yes, complete the following schedule. Column (b) should always show the fair market value of the goods, other assets,

or services given by the reporting foundation. If the foundation received less than fair market value in any transaction or sharing arrangement, show in

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

N/A

Under penalties of perjury, I declare that I have examined this return , including accompanying schedules and statements, and to the best of my knowledge and belief , it is true, correct.

and complet Declaration of preparer ( t er than taxpayer or fiduciary) is based on all inform

1,1111.4

SI ature of officer or t tee

Preparer's.9 -2a signature 4154a I rrm'sname ( oryours ABRAHAIC & COMPANY CPA

n sen-mployed ) , ' 4 0 0 MORTON AVENUEaddress , and ZIP code MOUNDSVILLE WV 26041

62362201-29-07

2a Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described

in section 501 ( c) of the Code ( other than section 501(c)(3 )) or in section 527? 0 Yes 0 No

b If 'Yes .' comp lete the followin schedule.

ROY CHAMBERS FOUNDATION 55-6113902

Form 990-PF Interest on Savings and Temporary Cash Investments Statement 1

Source

WESBANCO

Total to Form 990-PF, Part I, line 3, Column A

19.

19.

Form 990-PF Dividends and Interest from Securities Statement 2

Source Gross Amount

WACHOVIA SECURITIES 19445.

Total to Fm 990 -PF, Part I, In 4 19445.

Capital Gains Column (A)Dividends Amount

2970. 16475.

2970. 16475.

Form 990-PF Accounting Fees Statement 3

Description

ABRAHAM & COMPANY

(a)ExpensesPer Books

850.

To Form 990-PF, Pg 1, In 16b 850.

Amount

(b) (c) (d)Net Invest- Adjusted Charitablement Income Net Income Purposes

0. 0.

0. 0.

Form 990-PF Other Professional Fees Statement 4

Description

BORDAS & BORDAS PLLC -

(a)ExpensesPer Books

(b)Net Invest-ment Income

(c)Adjusted

Net Income

(d)CharitablePurposes

ADMINISTATION EXPENSE 50000. 0. 0.

To Form 990-PF, Pg 1, In 16c 50000. 0. 0.

Statement(s) 1, 2, 3, 4

ROY CHAMBERS FOUNDATION 55-6113902

Form 990- PF Taxes Statement 5

Description

TAX ON INVESTMENT INCOMETAX ON UNDISTRUBUTEDINCOME

To Form 990-PF, Pg 1, In 18

(c)Adjusted

Net Income

(d)CharitablePurposes

0.

0.

0.

(a)ExpensesPer Books

0.

6062. 0.

6062. 0.

(b)Net Invest-ment Income

0.

Form 990-PF Other Expenses Statement 6

Description

WACHOVIA SECURITIES -

(a)ExpensesPer Books

(b) (c) (d)Net Invest- Adjusted Charitablement Income Net Income Purposes

0. 0.

0. 0.

SERVICE FEES 10.

To Form 990 - PF, Pg 1, In 23 10.

Form 990-PF Corporate Stock Statement 7

DescriptionFair Market

Book Value Value

3578.4 SHS AFFILIATED FUND 38830. 54678.330 SHS AMERICAN ELETRIC POWER 8724. 14051.2000 SHS WYETH CORP 23719. 101840.832 SHS EXXON CORPORATION 10621 . 63756.347 SHS VERIZON COMMUNICATIONS 7396. 12922.800 SHS KIMBERLY CLARK 15162. 54360.

6 SHS WHX CORPORATION 185. 0.

400 SHS VERIZON CORPORATION 9167. 14896.

354 SHS QUEST COMMUNICATIONS INT'L 7579. 2963.33017.92 SHS EVERGREEN MONEY MARKET FUND 34752. 34752.

24 SHS NEENAH PAPER INC 0. 848.

68 SHS SCHWEITZER-MAUDUIT INT 0. 1771.

61 SHS COMCAST CORP 0. 2582.37 SHS IDEARC INC 645. 1060.

Total to Form 990 - PF, Part II, line 10b 156780 . 360479.

Statement(s) 5, 6, 7

ROY CHAMBERS FOUNDATION 55-6113902

Form 990-PF Corporate Bonds Statement 8

Fair MarketDescription Book Value Value

100000 GMAC SMART NOTES,4.75% DUE 10/15/08

Total to Form 990-PF, Part II, line 10c

100000. 96595.

100000. 96595.

Form 990-PF Other Investments Statement 9

Description

PACIFIC INNOVATIONS SELECT ANNUITY

Total to Form 990-PF, Part II, line 13

Fair MarketBook Value Value

700000. 928285.

700000. 928285.

Statement(s) 8, 9

.ROY CHAMBERS FOUNDATION 55-6113902

Form 990-PF Grant Application Submission Information Statement 10Part XV, Lines 2a through 2d

Name and Address of Person to Whom Applications Should be Submitted

LINDA M BORDAS,TRUSTEE, 1358 NATIONAL ROAD,WHEELING WV 26003-5742

Telephone Number

Form and Content of Applications

SEE ATTACHED

Any Submission Deadlines

APPLICATIONS ARE ACCEPTED AT ANY TIME

Restrictions and Limitations on Awards

THE PURPOSE OF THIS TRUST IS TO DEVOTE THE PROPERTY AND INCOME DERIVED

THEREFROM EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES FOR THE

BENEFIT OF THE FINANCIALLY DEPRIVED CHILDREN OF OHIO COUNTY WEST VIRGINIA.

Statement(s) 10

ROY CHAMBERS FOUNDATION2006 Recipients

Ohio County DHHRPO Box 6165Wheeling, WV 26003

1 Shaniqua Davis $92.88

Marie Amos125 Knorr LaneWheeling, WV 26003

2 Jay Amos $94613 Robbie Amos $97.68

Rebecca Armstrong104 Graham CourtWheeling , WV 26003

4 Nate Armstrong $96 36

Thomas Armstrong157 Idabell AveneueWheeling, WV 26003

5 Tommy Armstrong $96 366 Sean Armstrong $96.36

Shaya A. Augenstein1092 Hil-DarWheeling, WV 26003

7 Kristopher Augenstein $98.258 Annalise Augenstein $97.739 Damian Augenstein $98.96

10 Gage Augenstein $95.79

Darlena BalerRR 2 Box 312AChapel Hill RoadTriadelphia , WV 26059

11 Maggie Dillie $99.8112 Cody Baier $100.00

Rachel BaierRR 2 Box 312BChapel Hill RoadTriadelphia, WV 26059

13 Emily Baier $98 36

14 Mark Baier III $98.85

Page 1 of 16

Mickey & Karen BallardRR1 Box 133Valley Grove, WV 26060

15 Allison Ballard

Cortni Beasley90 New Jersey StreetWheeling , WV 26003

16 Christopher Stadler

17 Camren Beasley

Beth Beran258 Kruger Street Apt. 1Wheeling , WV 26003

18 Dylan Beran

Mary Biery5 Bae Mar PlaceWheeling , WV 26003

19 LaKeisha Jackson

Lisa Biggs421 N. WabashWheeling , WV 26003

20 Alleyah Hill

21 Jyair Biggs-McGhee

22 Anashia Hill

Kimberly Bird166 Station LaneWheeling , WV 26003

23 Alec Smith

Eliza Bowman112 N . 17th StreetWheeling , WV 26003

24 Wyatt Leppert

25 Max Leppert III

26 Alex Bowman

27 Skye Leppert

28 Eric Bowman

Eugene & Debra Brown40 Lounez AvenueWheeling, WV 26003

29 Nicholas Brown

$100.00

$100.00

$96.54

$96.36

$100.00

$98.47

$98.37

$96.06

$96.36

$100.00

$99.11

$99.30

$99.98

$98.46

$100.00

Page 2 of 16

Kyle Brown128 Grant AvenueWheeling, WV 26003

30 Austin Brown $99.43

Sharon Burkhalter2127 Marshall AvenueWheeling , WV 26003

31 Josh Dent $96.36

Brandie Burton445 Broadway StreetWheeling , WV 26003

32 DeVauna Burton $100.00

33 DeJauna Burton $100.00

Steven William CaldwellRD #1 Box 7Dallas, WV 26036

34 Tyler Caldwell $56.55

Janice Carenbauer2532 Lincoln AvenueWheeling , WV 26003

35 Janelle Carenbauer $98.91

36 Jaclyn Carenbauer $100.00

Carrie Chapman412 Sligar AvenueWheeling , WV 26003

37 Dana Becket $100.00

38 Chappy Chapman $100.00

39 Rebecca Chapman $100.00

Amanda Cole15 N. Penn StreetWheeling , WV 26003

40 Donevan Cole $10000

Carolyn Cooper20 Ohio StreetWheeling , WV 26003

41 Tre' Cooper $94 45

42 Kaneashia Cooper $94.41

Page 3 of 16

Kathleen CrockardRD I Box 107AValley Grove, WV 26060

43 Shailen Barnhart $110.00

44 Kylie Crockard $110.00

Bonnie Culp45 Virginia Park RoadWheeling , WV 26003

45 Ray Asbury $9636

Bobbi Danhart120 Peters Run RoadWheeling , WV 26003

46 Sean Danhart $96.36

Diana Darnley4354 Wood StreetWheeling , WV 26003

47 Davon Goudy $100.00

48 Destyne' Murry $99.04

Evelyn DeGennaroRR I Box 286Triadelphia , WV 26059

49 Emily DeGennaro $100.00

50 Jenna DeGennaro $100.00

51 Ryan Stewart $99.83

52 Jason Stewart $100.00

Sharon GillRR #2 Box 13BTriadelphia , WV 26059

53 Tequila Gill $99.28

Jamie GomezRR 2 Box 45 Apartment 2DTriadelphia, WV 26059

54 Trenton Heath $100.00

Carlotta Gooch118 Station LaneWheeling, WV 26003

55 Joshua Gooch $10000

Page 4 of 16

Timiska Grandstaff1090 Hildar StreetWheeling , WV 26003

56 Samadki Grandstaff $98.91

Zackary Griffith114 Baltimore StreetWheeling, WV 26003

57 Justice Brown $100.00

Edward GrouxRD #2 Box 36Valley Grove, WV 26060

58 Suzanne Groux $100.0059 Edward Groux III $96.36

Helen HallBox 31 Atkinson CrossingValley Grove, WV 26060

60 Kiya Kurri $98.2361 Alex Little $97 8962 Damieean Whiddon $98.6963 Samantha Brewer $100.0064 Kadie Whiddon $98.9665 Savon Morrison $99.25

Patty Hall17 Mt Wood RoadWheeling, WV 26003

66 Amanda Hall $98.7367 Joanna Hall $98.3568 Diane Hall $98.0569 Cheyanne Hall $95.2970 Sabrina Hall $98.21

Andrea Hartong12 Ark AvenueWheeling, WV 26003

71 Dakota Cintron $100.0072 Timothy Hartong $99.8173 Montana Hartong $100.0074 Sierra McNeil $100 00

Page 5 of 16

Michelle HeathPO Box 4Valley Grove, WV 26060

75 Ashton Heath $100.00

76 Devin Danehart $98.57

Amy Henderson520 South York StreetWheeling, WV 26003

77 Aiden Henderson $100.00

78 Nathaniel Henderson $100.00

79 Alexis Henderson $100.00

Erica Hicks517 Warwood AvenueWheeling, WV 26003

80 Jeremy Hicks $99.39

81 Allison Hall $100.00

82 Lexie Hall $100 00

Betty Jenkins405 Kenny StreetWheeling , WV 26003

83 Na-Kwaun Phillips $100.00

84 Na-Kwasia Phillips $100.00

Molly Kammer9 Maple LaneWheeling , WV 26003

85 Ciera Kammer $96.36

86 Cheyanne Kammer $96.36

Crystal KeirsRR 2 Box 55BTriadelphia , WV 26059

87 Garrett Keirs $100.00

88 Justin Keirs $100.00

Kathie King130 1 12 Grant AvenueWheeling , WV 26003

89 Jasmyn King $100 00

William KnightPO Box 244Dallas , WV 26036

90 Jonathon Knight $96.36

Page 6 of 16

Rosemarie Lally138 Serig DriveWheeling , WV 26003

91 Danyelle Williams $99.64

92 Loren Lally $100.00

93 Mary Lally $99.67

Alberta Lee23 Hawk CourtWheeling , WV 26003

94 Megan Palmer $100.00

Jennifer LeshukRD 2 Box 88Valley Grove, WV 26060

95 Blake Bailer $94.22

April Littleton1068 Hil-Dar StreetWheeling , WV 26003

96 Brittany Littleton $96.3897 Kayla Littleton $96.36

Stephanie Lyn LoewRD 2 Box 249 A-1Valley Grove , WV 26060

98 Amber Loew $100.00

99 Audrey Loew $100.00100 Andrea Loew $116.41101 Austin Loew $11067

Michell LuckettPO Box 474Triadelphia , WV 26059

102 Ashley Hoskins $96.36

Mellicha Mayfield111 1/2 Ohio StreetWheeling , WV 26003

103 Darjaiia Mayfield $100.00

Sharon McCarthy4043 Jacob StreetWheeling , WV 26003

104 Addison McCarthy $96.82

105 Casey McCarthy $10054

Page 7 of 16

Isaac McCombsRR#2Box157ATriadelphia, WV 26059

106 Doug Bonnell $100.00

Kara MeadorRD #1 Box 240Wheeling , WV 26003

107 Olivia Caldwell $98.08108 Karla Caldwell $96.35

Becky MencerRD I Box 208Triadelphia , WV 26059

109 Greg Mencer $96.36

Pam MilikenRt. #1 Box 143Valley Grove, WV 26060

110 Raelynn Milliken $100.00

Carl MillerRD 2 Box 267DValley Grove , WV 26060

111 Jomana Miller $96.36

Dawn Miller92 Lane 15Wheeling, WV 26003

112 Isaiah Selmon-Miller $98.61

113 Maurice Miller $100.00114 Davon Miller $98.18115 Bruce Selmon $100.00

Martha MillerRD 2 Box 267AValley Grove , WV 26059

116 Chris Shaler $96.36

117 Maxine Shaler $96 36

Paula Morris217 S. BroadwayWheeling, WV 26003

118 Matt Morris $200.00

119 Tim Morris $200.00

Page 8 of 16

Bessie Nash96 11215th StreetWheeling, WV 26003

120 Shelly Lynn Nash $98.90121 Santana Nash $98.02122 Cody Alan Nash $98.92

Jamie Neer13919th StreetWheeling, WV 26003

123 Mercedes Shirley $97.54

Jamie Neff40 Monroe AvenueWheeling , WV 26003

124 Jessica Sheets $96.36

Ericka Nickerson3413 Chapline StreetWheeling, WV 26003

125 Hayden Meeker $97.46

Helena O'BrienRD 1 Box 374Triadelphia, WV 26059

126 Eryk O'Brien $104.33

Richard Passarello844 Cherry Hill RoadWheeling, WV 26003

127 Makenna Passarello $100.00128 Seth Miridokis $100.00129 Victor Miridokis $99.78130 Jake Passarello $100.00131 Olivia Miridokis $100.00132 Josh Passarello $100.00

Crystal Peterman16th StreetWheeling, WV 26003

133 Carmensita Peterman $99.33

Page 9 of 16

Freda Plummer15 Baker StreetWheeling , WV 26003

134 Daniel Nightingale $100.00

135 Moesha Nightingale $98.08

136 Lance Plummer $100.00

Nicole Ponko146 East Bethlehem BoulevardWheeling , WV 26003

137 Zach Foster $98.49

Liz Porter128 Grant AvenueWheeling , WV 26003

138 Bailey Porter $95.30

Renee PostelwaitRD I Box 23 Lot 21Wheeling, WV 26003

139 Brandon Postelwait $100.00

140 Jennifer Postelwait $99 54

141 Kyle Posteiwait $100 00

142 Kelly Postelwait $100.00

143 Emily Postelwait $100.00

Heather Prager60 Indiana StreetWheeling , WV 26003

144 Heidi Prager $100 00

145 Dominic Prager $100.00

146 Christopher Dennison $100.00

Connie Prayear150 14th StreetWheeling, WV 26003

147 Lagara Prayear $10000

Starlet Prayear150 14th StreetWheeling , WV 26003

148 Ja'Lynn Prayear $100.00

149 Stormie Prayear $99.76

Page 10 of 16

Carol Rector2230 Eoff StreetWheeling , WV 26003

150 Shane Rector

Johnnie Reynolds1100 Chapline StreetWheeling , WV 26003

151 James Reynolds

152 Sarah Reynolds

Teresa Riggs105 Ohio StreetWheeling , WV 26003

153 Lindsey Mann

Cheryl Ripley375 West StreetWheeling, WV 26003

154 Erik Ripley

155 April Ripley

156 Jeremiah Ripley

Pandora Rodgers12 Maple LaneWheeling , WV 26003

157 Casey Rodgers

158 Katnna Rodgers

159 Brandon Rodgers

Lisa Rutan2387 Lumber AvenueWheeling , WV 26003

160 Corbin Rutan

Cathy Safreed492 1/2 Fairmont AvenueWheeling , WV 26003

161 Melissa Safreed

162 Earl Safreed

Becky ScarberryRD 2 Box 463DWheeling , WV 26003

163 Amanda Scarberry

$100.00

$99.03$98.21

$100.00

$103.70

$106.30

$101.29

$100.00

$99.78

$99.24

$99.41

$99 81

$100.00

$96.36

Page 11 of 16

Stephanie N. SeymourRD #3 Box 105112Wheeling , WV 26003

164 Kaylee Church $96.41

Wendy Shaw1010 Hil DarWheeling , WV 26003

165 Austin Shaw $99.70

Erin Shelek-Bachman2 Brookside DriveWheeling , WV 26003

166 Camdyn Bachman $99.76

Linda Showalter107 15th StreetWheeling , WV 26003

167 Shanice Showalter $100.00

Lorrie Snyder917 Main Street Apartment 12Wheeling , WV 26003

168 Jobey Snyder $10000

St. John's Home141 Key AvenueWheeling , WV 26003

169 David $99.90

170 Mike $98.03

171 Decoda $98.58

172 VaShean $8833

173 Austin $98.25

174 Chase $98.92

175 John Paul $98.03

176 Marc $10000

Candace Starcher415 Kenney StreetWheeling , WV 26003

177 Ayrik Starcher $100.00

Page 12 of 16

Debbie Steele' 60 Indiana Street

Wheeling , WV 26003

178 Kameron Prager

179 Brittany Prager

Nichole Sterling127 N . 17th StreetWheeling , WV 26003

180 Serenity Ward

181 Jacob Sterling

Jennifer Timko129 South Huron StreetWheeling , WV 26003

182 Ehtan Timko

183 Nicholas Timko

184 Elizabeth Timko185 Nya Timko

Susie Tolliver Hall133 Station LaneWheeling, WV 26003

186 Jonesha Tolliver

187 MacKenzie Tolliver

Ann Marie Vaughan1100 Chapline StreetWheeling, WV 26003

188 Chelsea Vaughan

189 Joel Vaughan

Laurey A. Vetanze121 North 19th StreetWheeling , WV 26003

190 Alyssa Vetanze

191 MichaVetanze

192 Laura' Lee Vetanze

Susan Watts2629 Eoff StreetWheeling , WV 26003

193 Antonio Miller

$100.00

$100.00

$100.00

$98.90

$101.83

$109.12

$91.12

$98.50

$99.50

$99.37

$100.00

$100.00

$100.00

$97.08

$98.43

$96.36

Page 13 of 16

Stephanie & Albert Wheeler30 Lava AvenueWheeling , WV 26003

194 Dominique Estep $99.81195 Jonah Nathaniel Estep $98.64196 Maiya Wheeler $96.23197 Orion Patrick Wheeler $96.74

Mellissa Wildem403 Kruger StreetWheeling, WV 26003

198 Carlie E.R. Terrell $99.94

199 Edgar Dunn $100.00

Ted & Sonja Williams1009 Vine StreetWheeling , WV 26003

200 Carolyn Williams $95.87

201 Tyler Williams $98.94

Hubert & Tina Woods441 Jones StreetWheeling , WV 26003

202 Adaline Woods $96.36

Jacquelynn Woods87 Virginia StreetWheeling , WV 26003

203 Mariah Aldridge $99.28

204 Christian Aldridge $99.84

205 Steven Aldridge $99.30

206 Jordan Aldridge $99.94

YMCA of Wheeling

Mike Panes

55 Lounez AvenueWheeling , WV 26003

206 Keiser M3 Indoor Cycle

8 Cycles, Freight & Training $9,000.00

St John Children's HomeKey AvenueWheeling , WV 26003

207 Television and Stand for children $630 00

$768.00

Page 14 of 16

• Wendy's RestaurantElm Grove CrossingWheeling , WV 26003

208 Lunch for Children on Bridge Street Trip $230.24

Betty Jenkins

209 Pizza Party for North Wheeling Children $100.00

Youth Services System, Inc.1000 Chapline Street

Wheeling , WV 26003

210 $2,760.00

Jeanne Dedo

211 Reimbursement for Candy for Children $565.75

Easter Seals Rehabilitation Center

1305 National Road

Wheeling , WV 26003

212 $11,200.13

Connie Woods

President Councel HiI-Dar

1069 Hil-Dar Street

Wheeling, WV 26003

213 Book bags $300.00

Alberta Lee

43 Hawk Court

Wheeling , WV 26003

214 Megan Palmer $105.48

Lorne Snyder1305 National Road

Wheeling , WV 26003

215 Jobey Snyder $101 89

Page 15 of 16

Terri ConawayRD I Box 408Wheeling , WV 26003

216 Shiann Conaway $100.00217 Nicole Conaway 89 85

Jamie Neer

13919th Street

Wheeling, WV 26003

218 Mercades Shirley $91.57

Total: $46,614.35

Page 16 of 16

ROY CHAMBERS FOUNDATION

APPLICATION FOR BENEFITS

Date of Application

NAME

ADDRESS

TELEPHONE NUMBER

BIRTH DATE

GRADE

SCHOOL

TEACHER

PARENT OR GUARDIAN'S NAME

WHAT YOU NEED

APPROXIMATE COST

WERE YOU & EFERRED BY ANY JNE? _ YES NO

IF YES, BY WHOM

The ROY CHAMBERS FOUNDATION is a charitable trust. Therefore,it is necessary that a parent or guardian of the child indicatethat the parent or guardian does not have the financial resourcesto purchase the requested item for the child at the present time.

I am financially unable to purchase the above requested itemat the present time.

NAME DATE

REIATIONSHIP TO CHILD

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ACTION TAKEN