Form990-PF

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0052
2011
For calendar year 2011, or tax year beginning 01-01-2011 , and ending 12-31-2011
G
Check all that apply:
Name of foundation
CORABELLE CHAPEL MEMORIAL FUND
 

Number and street (or P.O. box number if mail is not delivered to street address)1525 W WT HARRIS BLVD D1114-044   Room/suite
City or town, state, and ZIP code
CHARLOTTE, NC28288
A Employer identification number

23-7710777
B Telephone number (see page 10 of the instructions)

(336) 747-8187
C bullet
D 1. bullet
H Check type of organization:
2. bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$1,128,768
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see page 11 of the instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 27,878 27,878  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 38,457
b Gross sales price for all assets on line 6a 754,998
7 Capital gain net income (from Part IV, line 2)... 38,457
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 3,000    
12 Total. Add lines 1 through 11........ 69,335 66,335  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 14,792 11,094   3,698
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... 2,110 0 0 2,110
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see page 14 of the instructions) 689 36   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... 2,640     2,640
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 20,231 11,130 0 8,448
25 Contributions, gifts, grants paid........ 48,000 48,000
26 Total expenses and disbursements. Add lines 24 and 25 68,231 11,130 0 56,448
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,104
b Net investment income (if negative, enter -0-) 55,205
c Adjusted net income (if negative, enter -0-)... 0
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (2011)
Form 990-PF (2011)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing...............      
2 Savings and temporary cash investments.......... 115,284 55,540 55,540
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables 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) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule) 274,547 Click to see attachment326,488 336,843
b Investments—corporate stock (attach schedule)........ 591,430 Click to see attachment600,144 685,690
c Investments—corporate bonds (attach schedule)........ 50,518 Click to see attachment50,518 50,695
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........     0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,031,779 1,032,690 1,128,768
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
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 bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds......... 1,031,779 1,032,690
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 1,031,779 1,032,690
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 1,031,779 1,032,690
Part III 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 1,031,779
2 Enter amount from Part I, line 27a..................... 2 1,104
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 20
4 Add lines 1, 2, and 3.......................... 4 1,032,903
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 213
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 1,032,690
Form 990-PF (2011)
Form 990-PF (2011)
Page 3
Part 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
P—Purchase
D—Donation
(c) Date acquired
(mo., day, yr.)
(d) Date sold
(mo., day, yr.)
1 a 125. AFLAC INC COM   2011-01-20 2011-09-28
b 170. AFLAC INC COM   2011-01-20 2011-12-22
c 300. AMERICAN EXPRESS CO COM   2011-02-16 2011-10-17
d 18. AMERIPRISE FINANCIAL INC   2010-02-09 2011-09-28
e 312. AMERIPRISE FINANCIAL INC   2010-02-09 2011-12-22
22. AMGEN INC COM W/RTS ATTACHED EXP 03/21/2007   2008-12-15 2011-02-16
12. AMGEN INC COM W/RTS ATTACHED EXP 03/21/2007   2008-12-15 2011-12-22
4. APPLE COMPUTER INC COM   2011-09-13 2011-10-17
198. ASCENA RETAIL GROUP INC   2011-07-18 2011-09-28
330. BMC SOFTWARE INC COM RTS EXP 05/12/2005   2011-09-13 2011-12-22
21. BAKER HUGHES INC COM   2011-09-13 2011-12-22
25. BRISTOL-MYERS SQUIBB CO COM   2008-01-24 2011-12-22
85. CVS CORP COM   2010-08-26 2011-01-20
333. CVS CORP COM   2010-08-26 2011-09-13
4. CAPITAL ONE FINL CORP COM RTS EXP 11/29/2005   2011-01-20 2011-09-13
23. CAPITAL ONE FINL CORP COM RTS EXP 11/29/2005   2011-07-18 2011-09-13
10. CAPITAL ONE FINL CORP COM RTS EXP 11/29/2005   2011-01-20 2011-12-22
16. CARDINAL HLTH INC COM   2010-03-18 2011-07-18
30. CARDINAL HLTH INC COM   2010-03-18 2011-09-13
21. CARDINAL HLTH INC COM   2010-03-18 2011-09-28
26. CENTURYTEL INC COM   2011-09-13 2011-12-22
7. CHEVRONTEXACO CORP COM   2007-08-27 2011-05-26
17. CHEVRONTEXACO CORP COM   2007-08-27 2011-07-18
24. CHEVRONTEXACO CORP COM   2007-08-27 2011-12-22
36. CIMAREX ENERGY CO   2010-07-12 2011-07-18
129. CIMAREX ENERGY CO   2010-07-12 2011-09-13
3062. CITIGROUP INC COM   2010-05-04 2011-01-20
14. COCA-COLA CO COM   2011-09-13 2011-12-22
35. COMCAST CORP NEW CL A   2011-05-26 2011-09-28
10. CONOCOPHILLIPS COM   2003-04-29 2011-12-22
371. CONSTELLATION ENERGY GRP INC COM   2010-05-04 2011-01-20
693. CORNING INC COM W/RTS EXP 07/15/2006   2010-07-13 2011-07-18
12. DANAHER CORP COM   2011-07-18 2011-09-28
400. DOW CHEM CO COM   2011-02-16 2011-09-13
10. EXXON MOBIL CORP COM   2011-07-18 2011-12-22
30000. FED HOME LN MTG CORP 3.000% 4/20/15   2010-03-30 2011-04-20
40000. FED AGRIC MTG CORP 1.500% 12/30/13   2010-12-21 2011-12-30
20000. FED HOME LN BK 1.125% 5/18/12   2010-11-22 2011-09-28
25000. VR FED HOME LN MTG 2.250% 4/21/16   2011-03-30 2011-10-21
40000. FED NATL MTG ASSN 1.500% 12/30/13   2011-01-07 2011-06-30
30000. FED NATL MTG ASSN 1.300% 5/25/12   2010-05-04 2011-05-25
10. FORD MTR CO DEL COM   2010-07-12 2011-01-20
113. FORD MTR CO DEL COM   2011-07-18 2011-09-28
391. FOREST LABS CL A   2010-11-04 2011-01-20
575. GAP INC COM   2008-09-10 2011-01-20
46. GENERAL ELEC CO COM   2010-05-25 2011-09-28
23. GENERAL ELEC CO COM   2010-05-25 2011-12-22
11. GILEAD SCIENCES INC COM   2011-10-17 2011-12-22
416. HALLIBURTON CO COM W/RIGHTS EXP 12/15/2005   2010-11-04 2011-01-20
256. HEWLETT-PACKARD CO COM   2003-04-29 2011-05-26
25. HOME DEPOT INC COM   2009-03-30 2011-09-28
15. HOME DEPOT INC COM   2009-03-30 2011-12-22
23. HONEYWELL INTL INC COM   2011-09-13 2011-12-22
478. IAC/INTERACTIVECORP   2010-08-26 2011-09-13
24. INTEL CORP COM   2007-10-17 2011-09-13
18. INTEL CORP COM   2007-10-17 2011-12-22
15. INTL BUSINESS MACHINES CORP COM   2003-01-28 2011-01-20
266. INTL FLAVORS & FRAGRANCES INC COM   2010-04-16 2011-05-26
14. JP MORGAN CHASE & CO COM   2006-12-27 2011-07-18
21. JP MORGAN CHASE & CO COM   2006-12-27 2011-09-28
9. JOHNSON & JOHNSON COM   2011-07-18 2011-12-22
17. KRAFT FOODS INC-A COM   2011-01-20 2011-12-22
6. MCDONALDS CORP COM   2011-01-20 2011-12-22
24. MCKESSON HBOC INC COM   2009-10-19 2011-02-16
23. MCKESSON HBOC INC COM   2009-10-19 2011-09-13
11. MCKESSON HBOC INC COM   2009-10-19 2011-09-28
20. MEADWESTVACO CORP COM W/RTS EXP 1/29/200   2011-01-20 2011-07-18
80. MEADWESTVACO CORP COM W/RTS EXP 1/29/200   2011-01-20 2011-09-13
32. MEADWESTVACO CORP COM W/RTS EXP 1/29/200   2011-01-20 2011-09-28
15. MEDCO HEALTH SOLUTIONS INC   2011-07-18 2011-09-28
37. MEDCO HEALTH SOLUTIONS INC   2011-07-18 2011-10-17
218. MEDCO HEALTH SOLUTIONS INC   2010-07-12 2011-10-17
18. MICROSOFT CORP COM   1999-05-21 2011-12-22
91. NATIONAL OILWELL INC COM   2011-07-18 2011-09-28
20. NIKE INC CL B COM   2007-05-24 2011-01-20
173. NIKE INC CL B COM   2007-05-24 2011-05-26
25. OCCIDENTAL PETE CORP COM   2007-07-26 2011-05-26
10. OCCIDENTAL PETE CORP COM   2011-09-13 2011-10-17
6. OCCIDENTAL PETE CORP COM   2007-07-26 2011-12-22
1. OCCIDENTAL PETE CORP COM   2011-09-13 2011-12-22
36. ORACLE CORP COM   2010-07-12 2011-07-18
20. ORACLE CORP COM   2010-07-12 2011-09-13
214. PNC FINL SVCS GROUP INC COM W/RIGHTS ATTACHED EXP 5/25/2010   2010-04-16 2011-05-26
225. T ROWE PRICE GRP INC COM   2011-05-26 2011-09-13
15. PROCTER & GAMBLE CO COM   1999-08-06 2011-09-28
22. PUBLIC SVC ENTERPRISE GRP INC COM   2011-09-13 2011-12-22
17. QUALCOMM INC COM W/RTS ATTACHED   2011-05-26 2011-09-13
13. QUALCOMM INC COM W/RTS ATTACHED   2011-05-26 2011-09-28
68. ROSS STORES INC COM   2008-05-09 2011-01-20
201. ROSS STORES INC COM   2008-05-09 2011-07-18
589. SEALED AIR CORP NEW COM   2009-05-04 2011-02-16
7. TARGET CORP COM   2011-05-26 2011-12-22
59. TEXAS INSTRS INC COM   2009-07-01 2011-02-16
23. TEXAS INSTRS INC COM   2011-07-18 2011-09-13
26. TEXAS INSTRS INC COM   2009-07-01 2011-09-28
14. 3M CO COM   2009-11-09 2011-02-16
157. 3M CO COM   2009-11-09 2011-10-17
702. TYSON FOODS INC COM CL A   2010-07-12 2011-01-20
148. UNION PAC CORP COM   2010-11-10 2011-09-13
50000. U S TREASURY NOTE 4.750% 3/31/11   2006-10-16 2011-03-31
40000. U S TREASURY NOTES 4.500% 11/30/11   2011-01-24 2011-11-30
21. UNITED TECHNOLOGIES CORP COM   2011-07-18 2011-09-28
85. UNITEDHEALTH GRP INC COM   2011-01-20 2011-07-18
16. UNITEDHEALTH GRP INC COM   2011-01-20 2011-09-28
18. UNUMPROVIDENT CORP COM   2009-09-24 2011-07-18
37. UNUMPROVIDENT CORP COM   2009-09-24 2011-12-22
399. VERIZON COMMUNICATIONS COM   2010-11-04 2011-09-13
14. WAL MART STORES INC COM   2010-06-23 2011-09-28
235. WAL MART STORES INC COM   2010-06-23 2011-10-17
6. WYNN RESORTS LTD   2011-05-26 2011-09-28
23. PARTNERRE LTD COM   2010-01-15 2011-02-16
162. PARTNERRE LTD COM   2010-01-15 2011-05-26
10. ACE LIMITED   2006-12-27 2011-01-20
16. ACE LIMITED   2008-02-19 2011-12-22
447. TE CONNECTIVITY LTD   2010-02-09 2011-05-26
48. TYCO INTERNATIONAL LTD NEW   2009-09-24 2011-02-16
11. TYCO INTERNATIONAL LTD NEW   2011-07-18 2011-12-22
18. TYCO INTERNATIONAL LTD NEW   2009-09-24 2011-12-22
52. TYCO ELECTRONICS LTD F   2010-02-09 2011-02-16
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a 4,248   7,172 -2,924
b 7,196   9,754 -2,558
c 13,589   14,052 -463
d 727   681 46
e 15,585   11,811 3,774
1,154   1,273 -119
758   694 64
1,669   1,528 141
5,479   6,601 -1,122
10,874   13,170 -2,296
1,041   1,211 -170
880   577 303
3,002   2,386 616
12,168   9,346 2,822
171   189 -18
982   1,107 -125
426   473 -47
729   569 160
1,219   1,067 152
912   747 165
960   898 62
725   611 114
1,804   1,483 321
2,546   2,093 453
3,088   2,677 411
8,298   9,594 -1,296
14,545   13,327 1,218
967   967  
778   876 -98
716   250 466
11,910   13,351 -1,441
11,379   12,133 -754
519   629 -110
10,473   15,328 -4,855
843   823 20
30,000   30,000  
40,000   40,000  
20,119   20,190 -71
25,000   25,000  
40,000   40,000  
30,000   30,000  
177   110 67
1,132   1,450 -318
12,481   13,238 -757
11,632   11,132 500
718   713 5
415   356 59
426   437 -11
16,282   13,659 2,623
9,387   4,216 5,171
847   580 267
627   348 279
1,253   1,022 231
18,957   11,820 7,137
496   637 -141
432   478 -46
2,336   1,182 1,154
16,825   13,496 3,329
558   686 -128
654   1,004 -350
587   601 -14
634   532 102
592   451 141
1,910   1,471 439
1,703   1,410 293
828   674 154
656   531 125
2,117   2,123 -6
819   849 -30
727   805 -78
1,801   1,985 -184
10,613   12,422 -1,809
463   700 -237
4,944   6,659 -1,715
1,660   1,091 569
14,544   9,441 5,103
2,628   1,495 1,133
826   804 22
563   359 204
94   80 14
1,133   840 293
551   467 84
13,191   13,396 -205
11,316   14,010 -2,694
949   696 253
708   729 -21
888   974 -86
673   745 -72
4,426   2,380 2,046
15,529   7,034 8,495
16,665   12,086 4,579
359   346 13
2,126   1,282 844
609   702 -93
718   565 153
1,295   1,073 222
11,942   12,036 -94
12,110   12,353 -243
12,861   13,402 -541
50,000   49,988 12
40,000   41,428 -1,428
1,527   1,828 -301
4,385   3,423 962
773   644 129
446   382 64
780   786 -6
14,116   13,319 797
725   713 12
12,911   11,963 948
822   874 -52
1,869   1,689 180
12,046   11,895 151
607   611 -4
1,114   973 141
16,160   11,179 4,981
2,205   1,623 582
509   513 -4
833   609 224
1,960   1,300 660
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69
(k) Excess of col. (i)
over col. (j), if any
a       -2,924
b       -2,558
c       -463
d       46
e       3,774
      -119
      64
      141
      -1,122
      -2,296
      -170
      303
      616
      2,822
      -18
      -125
      -47
      160
      152
      165
      62
      114
      321
      453
      411
      -1,296
      1,218
       
      -98
      466
      -1,441
      -754
      -110
      -4,855
      20
       
       
      -71
       
       
       
      67
      -318
      -757
      500
      5
      59
      -11
      2,623
      5,171
      267
      279
      231
      7,137
      -141
      -46
      1,154
      3,329
      -128
      -350
      -14
      102
      141
      439
      293
      154
      125
      -6
      -30
      -78
      -184
      -1,809
      -237
      -1,715
      569
      5,103
      1,133
      22
      204
      14
      293
      84
      -205
      -2,694
      253
      -21
      -86
      -72
      2,046
      8,495
      4,579
      13
      844
      -93
      153
      222
      -94
      -243
      -541
      12
      -1,428
      -301
      962
      129
      64
      -6
      797
      12
      948
      -52
      180
      151
      -4
      141
      4,981
      582
      -4
      224
      660
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 38,457
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 . . . . . . . . . . . . .
Bracket 3  
Part V
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 foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
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 page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2010 55,980 1,108,990 0.050478
2009 63,625 1,080,983 0.058858
2008 78,342 1,281,222 0.061146
2007 74,759 1,453,293 0.051441
2006 52,181 2,179,783 0.023939
2 Total of line 1, column (d) ...................... 2 0.245863
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 0.049173
4 Enter the net value of noncharitable-use assets for 2011 from Part X, line 5..... 4 1,161,589
5 Multiply line 4 by line 3....................... 5 57,118
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 552
7 Add lines 5 and 6......................... 7 57,670
8 Enter qualifying distributions from Part XII, line 4.............. 8 56,448
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 on page 18.
Form 990-PF (2011)
Form 990-PF (2011)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A” on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 1,104
hereBulletand 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 0
3 Add lines 1 and 2............................ 3 1,104
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,104
6 Credits/Payments:
a 2011 estimated tax payments and 2010 overpayment credited to 2011 6a 416
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 416
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 688
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2012 estimated taxBullet   Refunded Bullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
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)?............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “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
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “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
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see page 19 of the
    instructions)bulletPA
    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 .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2011 or the taxable year beginning in 2011 (see instructions for Part XIV on
    page 27)? If “Yes,” complete Part XIV..........................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.
    10
     
    No
    11
    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 page 20 of the instructions) .......
    11
     
    No
    12
    Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbulletWELLS FARGO BANK NA Telephone no.bullet (336) 747-8187
    Located atbullet1 W 4TH ST D4000-062WINSTONSALEMNC ZIP+4bullet271013818
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2011, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File 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?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    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.).........
    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)?...
    1b
     
    No
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2011?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2011, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2011?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    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 page 20 of the instructions.) .........
    2b
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business
    enterprise at any time during the year?.....................
    b
    If “Yes,” did it have excess business holdings in 2011 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 2011.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    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 jeopardy before the first day of the tax year beginning in 2011?
    4b
     
    No
    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))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (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)? (see page 22 of the instructions)...
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(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 22 of the instructions)?
    5b
     
    No
    .........bullet
    c
    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?............
    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?....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 6
    Part VIII
    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 22 of the instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to
    employee benefit plans
    and deferred compensation
    (e) Expense account,
    other allowances
    Wells Fargo Bank NA TRUSTEE
    40
    14,792    
    1525 WEST WT HARRIS BLVD
    CHARLOTTE,NC282885709
    2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). 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 receiving over $50,000 for professional services.............bullet0
    Part IX-A
    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 of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see page 23 of the instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 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...................
    1a
    1,128,335
    b
    Average of monthly cash balances.......................
    1b
    50,943
    c
    Fair market value of all other assets (see page 24 of the instructions)............
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,179,278
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    1,179,278
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ...........................
    4
    17,689
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,161,589
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    58,079
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    58,079
    2a
    Tax on investment income for 2011 from Part VI, line 5......
    2a
    1,104
    b
    Income tax for 2011. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,104
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    56,975
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    3,000
    5
    Add lines 3 and 4............................
    5
    59,975
    6
    Deduction from distributable amount (see page 25 of the instructions)...........
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    59,975
    Part XII
    Qualifying Distributions (see page 25 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 ..........
    1a
    56,448
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    56,448
    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 (see page 26 of the instructions)............
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    56,448
    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 (2011)
    Form 990-PF (2011)
    Page 8
    Part XIII
    Undistributed Income (see page 26 of the instructions)
    (a)
    Corpus
    (b)
    Years prior to 2010
    (c)
    2010
    (d)
    2011
    1 Distributable amount for 2011 from Part XI, line 7 59,975
    2 Undistributed income, if any, as of the end of 2011:
    a Enter amount for 2010 only....... 45,876
    b Total for prior years:2009, 20, 20 0
    3 Excess distributions carryover, if any, to 2011:
    a From 2006....... 0
    b From 2007....... 0
    c From 2008....... 0
    d From 2009....... 0
    e From 2010....... 0
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2011 from Part
    XII, line 4: bullet$ 56,448
    a Applied to 2010, but not more than line 2a 45,876
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)
    0
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...
    0
    d Applied to 2011 distributable amount..... 10,572
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2011. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter 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 ...........
    0
    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......
    0
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...
    0
    e Undistributed income for 2010. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........
    0
    f Undistributed income for 2011. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........
    49,403
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........
    0
    8Excess distributions carryover from 2006 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............
    0
    9Excess distributions carryover to 2012.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2007.... 0
    b Excess from 2008.... 0
    c Excess from 2009.... 0
    d Excess from 2010.... 0
    e Excess from 2011.... 0
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 9
    Part XIV
    Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2011, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2011 (b) 2010 (c) 2009 (d) 2008
             
    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 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see page 27 of the instructions.)
    1Information Regarding Foundation Managers:
    aList 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).)
    bList 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.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    Center of Scholarship Adm
    4320-G Wade Hampton Blvd
    Taylors,SC29867
    (866) 608-0001
    bThe form in which applications should be submitted and information and materials they should include:
    www.csascholars.org
    cAny submission deadlines:
    February 7 Annually
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Must attend Keystone College, LaPlume, PA. High school seniors attending high school in Lackawanna County
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    CAS ADMIN INC
    PO BOX 1465
    TAYLORS,SC296870031
    NONE PUBLIC CHARITY SCHOLARSHIP 48,000
    Total .................................bullet 3a 48,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See page 28 of
    the instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments          
    4 Dividends and interest from securities....     14 27,878  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8Gain or (loss) from sales of assets other than inventory     18 38,457  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aRECOVERY     1 3,000  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   69,335  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1369,335
    (See worksheet in line 13 instructions on page 28 to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the organization’s exempt purposes (other than by providing funds for such purposes). (See
    page 28 of the instructions.)
    Form 990-PF (2011)
    Form 990-PF (2011)
    Page 12
    Part XVII
    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 foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    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 foundation. If the foundation 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.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    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?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    SignHere
    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 complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    Signature of officer or trustee Date Title
    PaidPreparersUseOnly Preparer's SignatureBullet Date PTIN
    Firm's namebullet



    Firm's addressbullet







    Firm's EINbullet
    Phone no.
    Form 990-PF (2011)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2011 AccountingFeesSchedule
    Name:
    CORABELLE CHAPEL MEMORIAL FUND
    EIN: 23-7710777
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 2,110     2,110

    TY 2011 InvestmentsCorpBondsSchedule
    Name:
    CORABELLE CHAPEL MEMORIAL FUND
    EIN: 23-7710777
    Name of Bond End of Year Book Value End of Year Fair Market Value
    084670AS7 BERKSHIRE HATHAWAY 50,518 50,695

    TY 2011 InvestmentsCorpStockSchedule
    Name:
    CORABELLE CHAPEL MEMORIAL FUND
    EIN: 23-7710777
    Name of Stock End of Year Book Value End of Year Fair Market Value
    345370860 FORD MOTOR CO 9,694 9,447
    364760108 GAP INC    
    437076102 HOME DEPOT INC 8,880 16,101
    654106103 NIKE INC CL B    
    778296103 ROSS STORES INC    
    126650100 CVS CAREMARK CORP    
    742718109 PROCTER & GAMBLE CO 10,202 14,676
    902494103 TYSON FOODS INC    
    931142103 WALMART STORES INC    
    166764100 CHEVRON CORP 11,252 13,726
    171798101 CIMAREX ENERGY CO    
    20825C104 CONOCOPHILLIPS 4,500 13,117
    30231G102 EXXON MOBIL CORP 9,151 16,189
    406216101 HALLIBURTON CO    
    674599105 OCCIDENTAL PETE CORP 8,373 13,118
    03076C106 AMERIPRISE FINL INC    
    172967101 CITIGROUP INC    
    46625H100 JPMORGAN CHASE & CO 10,892 9,909
    693475105 PNC FINANCIAL SVCS    
    91529Y106 UNUM GROUP 11,048 10,956
    031162100 AMGEN INC 9,318 10,338
    110122108 BRISTOL MYERS SQUIBB 11,723 17,655
    14149Y108 CARDINAL HEALTH INC 11,135 12,711
    345838106 FOREST LABS INC    
    478160104 JOHNSON & JOHNSON 13,131 15,018
    58155Q103 MCKESSON CORP 10,238 13,011
    58405U102 MEDCO HEALTH SOLUTNS    
    235851102 DANAHER CORP 13,520 14,206
    369604103 GENERAL ELECTRIC CO 11,279 13,038
    907818108 UNION PACIFIC CORP    
    913017109 UNITED TECHNOLOGIES 5,921 13,522
    88579Y101 3M CO    
    037833100 APPLE INC 15,230 22,275
    17275R102 CISCO SYSTEMS INC 10,484 9,980
    219350105 CORNING INC    
    428236103 HEWLETT PACKARD CO    
    44919P508 IAC INTERACTIVE CORP    
    458140100 INTEL CORP    
    459200101 IBM CORP    
    594918104 MICROSOFT CORP 17,710 12,097
    68389X105 ORACLE CORP 12,200 13,287
    882508104 TEXAS INSTRUMENTS 10,104 13,478
    459506101 INTERNATL FLAVORS    
    81211K100 SEALED AIR CORP    
    92343V104 VERIZON COMMUNICAT    
    210371100 CONSTELLATION ENERGY    
    H0023R105 ACE LIMITED 13,337 17,670
    G6852T105 PARTNERRE LTD    
    H8912P106 TYCO ELECTRONICS LTD    
    H89128104 TYCO INTERNATIONAL 10,990 15,181
    03524A108 ANHEUSER-BUSCH INBEV 14,032 14,333
    04351G101 ASCENA RETAIL GROUP 13,372 12,453
    057224107 BAKER HUGHES INC COM 12,051 10,166
    14040H105 CAPITAL ONE FINANCIA 16,115 14,421
    156700106 CENTURYLINK, INC 12,369 13,318
    191216100 COCA COLA CO 14,369 14,554
    20030N101 COMCAST CORP CLASS A 14,895 14,107
    22160K105 COSTCO WHOLESALE COR 13,650 13,831
    278865100 ECOLAB INC 13,693 14,048
    375558103 GILEAD SCIENCES INC 12,924 13,302
    438516106 HONEYWELL INTERNATIO 11,246 13,751
    458140100 INTEL CORP 15,043 13,750
    459200101 INTERNATIONAL BUSINE 7,772 17,469
    461202103 INTUIT COM 13,624 13,463
    50075N104 KRAFT FOODS INC 11,851 14,159
    580135101 MCDONALDS CORP 13,387 17,859
    583334107 MEADWESTVACO CORP 11,542 13,028
    637071101 NATIONAL OILWELL INC 12,357 11,898
    744573106 PUBLIC SVC ENTERPRIS 12,927 12,874
    747525103 QUALCOMM INC 14,681 14,058
    87612E106 TARGET CORP 11,522 11,934
    887389104 TIMKEN CO 13,148 13,200
    91324P102 UNITEDHEALTH GROUP I 11,557 14,545
    983134107 WYNN RESORTS LTD 14,864 11,270
    G1151C101 ACCENTURE PLC 13,404 14,053
    45865V100 INTERCONTINENTALEXCH 13,437 13,140

    TY 2011 InvestmentsGovtObligationsSch
    Name:
    CORABELLE CHAPEL MEMORIAL FUND
    EIN: 23-7710777
    US Government Securities - End of Year Book Value:

    326,488
    US Government Securities - End of Year Fair Market Value:

    336,843
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2011 OtherDecreasesSchedule
    Name:
    CORABELLE CHAPEL MEMORIAL FUND
    EIN: 23-7710777
    Description Amount
    MUTUAL FUND POSTING DATE AFTER TYE 0
    ACCRUED INTEREST PAID EFFECTIVE DATE AFTER TYE 207
    ROUNDING 6


    TY 2011 OtherExpensesSchedule
    Name:
    CORABELLE CHAPEL MEMORIAL FUND
    EIN: 23-7710777
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    CSA ADMIN FEES 2,640 0   2,640


    TY 2011 OtherIncomeSchedule2
    Name:
    CORABELLE CHAPEL MEMORIAL FUND
    EIN: 23-7710777
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    RECOVERY 3,000 0  


    TY 2011 OtherIncreasesSchedule
    Name:
    CORABELLE CHAPEL MEMORIAL FUND
    EIN: 23-7710777
    Description Amount
    MUTUAL FUND TAX EFFECTIVE DATE BEFORE TYE 15
    ACCRUED INTEREST PAID EFFECTIVE DATE BEFORE TYE 5


    TY 2011 TaxesSchedule
    Name:
    CORABELLE CHAPEL MEMORIAL FUND
    EIN: 23-7710777
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 36 36   0
    FEDERAL TAX PAYMENT - PRIOR YE 237 0   0
    FEDERAL ESTIMATES - PRINCIPAL 416 0   0