TY 2018 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do not enter social security numbers on this form as it may be made public.
bullet

Go to www.irs.gov/Form990PF for instructions and the latest information.

OMB No. 1545-0052

2018

Open to Public Inspection

For calendar year 2018, or tax year beginning 01-01-2018 , and ending 12-31-2018

Name of foundation
CHAMBERS MEDICAL FOUNDATION

Number and street (or P.O. box number if mail is not delivered to street address)1807 LAKE STREET
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
LAKE CHARLES, LA70601

A Employer identification number

72-6134893

B Telephone number (see instructions)

(337) 436-1600

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$3,270,280J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	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 instructions).)	(a) Revenue and expenses per books		(b) Net investment income	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check .............
3	Interest on savings and temporary cash investments	39,329		39,329
4	Dividends and interest from securities...	23,635		23,635
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		20,610
b	Gross sales price for all assets on line 6a 174,990
7	Capital gain net income (from Part IV, line 2)...			26,648
8	Net short-term capital gain.........
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).......		3,405	3,405
12	Total. Add lines 1 through 11........	86,979		93,017
13	Compensation of officers, directors, trustees, etc.	25,000
14	Other employee salaries and wages......
15	Pension plans, employee benefits.......
16a	Legal fees (attach schedule).........
b	Accounting fees (attach schedule).......		1,390	1,390
c	Other professional fees (attach schedule)....		25,125	25,125
17	Interest...............
18	Taxes (attach schedule) (see instructions)...		964	964
19	Depreciation (attach schedule) and depletion...
20	Occupancy..............
21	Travel, conferences, and meetings.......	941		941
22	Printing and publications..........
23	Other expenses (attach schedule).......		14,138	14,138
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	67,558		42,558	0
25	Contributions, gifts, grants paid.......	180,000			180,000
26	Total expenses and disbursements. Add lines 24 and 25	247,558		42,558	180,000
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-160,579
b	Net investment income (if negative, enter -0-)			50,459
c	Adjusted net income (if negative, enter -0-)...

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 11289X Form 990-PF (2018)

Form 990-PF (2018)

Page 2

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............
	2	Savings and temporary cash investments.........	569,180	354,882	354,882
	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 (attach schedule) (see instructions).....
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts
	8	Inventories for sale or use..............
	9	Prepaid expenses and deferred charges..........
	10a	Investments—U.S. and state government obligations (attach schedule)
	b	Investments—corporate stock (attach schedule).......	1,610,232	1,874,948	1,874,948
	c	Investments—corporate bonds (attach schedule).......	1,645,094	918,826	918,826
	11	Investments—land, buildings, and equipment: basis 69,000
		Less: accumulated depreciation (attach schedule)	69,000	69,000	92,000
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	1,524	1,524	1,524
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )	28,100	28,100	28,100
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	3,923,130	3,247,280	3,270,280
	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 )
	23	Total liabilities (add lines 17 through 22).........		0
		Foundations that follow SFAS 117, check here
		and complete lines 24 through 26 and lines 30 and 31.
	24	Unrestricted..................
	25	Temporarily restricted...............
	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........
	28	Paid-in or capital surplus, or land, bldg., and equipment fund
	29	Retained earnings, accumulated income, endowment, or other funds	3,923,130	3,247,280
	30	Total net assets or fund balances (see instructions).....	3,923,130	3,247,280
	31	Total liabilities and net assets/fund balances (see instructions).	3,923,130	3,247,280

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

3,923,130

Enter amount from Part I, line 27a .....................

-160,579

Other increases not included in line 2 (itemize) bullet

-515,271

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

3,247,280

Decreases not included in line 2 (itemize) bullet

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .

3,247,280

Form 990-PF (2018)

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.)
1a
b
c
d
e

(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
b
c
d
e

Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(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
b
c
d
e

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	26,648
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 instructions). If (loss), enter -0- in Part I, line 8 ...................		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? Yes 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.

(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))
2017	14,500	4,083,193	0.003551
2016	342,596	3,914,392	0.087522
2015	257,500	4,937,360	0.052153
2014	202,500	5,437,075	0.037244
2013	200,000	4,406,003	0.045393

Total of line 1, column (d) .....................

0.225863

Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years ......

0.045173

Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......

3,695,088

Multiply line 4 by line 3......................

166,918

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

505

Add lines 5 and 6........................

167,423

Enter qualifying distributions from Part XII, line 4,.............

180,000

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.

Form 990-PF (2018)

Page 4

Part VI

Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)

1a	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	Domestic foundations that meet the section 4940(e) requirements in Part V, check	1	505
	hereand 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	505
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	505
6	Credits/Payments:

a	2018 estimated tax payments and 2017 overpayment credited to 2018	6a	599
b	Exempt foreign organizations—tax withheld at source......	6b
c	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	599
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.		8
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	94
11	Enter the amount of line 10 to be: Credited to 2019 estimated tax94	Refunded	11

Part VII-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions

for definition).................................

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.

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

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

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

on foundation managers. bullet

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

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?................

Yes

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

Yes

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

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 .

Yes

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 2018 or the taxable year beginning in 2018? See the instructions for Part XIV.

If "Yes," complete Part XIV .............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2018)

Page 5

Part VII-A

Statements Regarding Activities (continued)

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

Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had

advisory privileges? If "Yes," attach statement. See instructions.................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

WWW.CHAMBERSMEDICALFOUNDATION.ORG

The books are in care of bullet

JASON CHAMBERS Telephone no. bullet

(404) 784-0925

Located at bullet

3796 PARIAN RIDGE ROAD NW3796 PARIAN RIDGE ROAD NWATLANTAGA ZIP+4 bullet

30327

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here ......... bullet

and enter the amount of tax-exempt interest received or accrued during the year ........ bullet

16 At any time during calendar year 2018, did the foundation have an interest in or a signature or other authority over YesNo

a bank, securities, or other financial account in a foreign country? .................

16 No

See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country bullet

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

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? YesNo

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

a disqualified person?......................YesNo

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? YesNo

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? YesNo

(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)?...............YesNo

(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.).......YesNo

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 instructions ........

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

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 2018?.............

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)):

At the end of tax year 2018, did the foundation have any undistributed income (lines 6d

and 6e, Part XIII) for tax year(s) beginning before 2018?.............YesNo

If "Yes," list the years bullet

20, 20, 20, 20

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.) ..............

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

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year?......................YesNo

If "Yes," did it have excess business holdings in 2018 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 2018.)..................

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

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 2018?

Form 990-PF (2018)

Page 6

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

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

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? YesNo

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

on, directly or indirectly, any voter registration drive?.............YesNo

(3) Provide a grant to an individual for travel, study, or other similar purposes? YesNo

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

in section 4945(d)(4)(A)? See instructions................YesNo

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals?.....YesNo

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 instructions ......

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

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?..........YesNo

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

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

a personal benefit contract?.....................YesNo

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

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? YesNo

If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....

Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or

excess parachute payment during the year? .................YesNo

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 instructions

(a) Name and address	(b) Title, and average hours per week devoted to position	(c) Compensation (If not paid, enter -0-)
EDWIN K HUNTER	TRUSTEE 000.00	25,000
1807 LAKE STREET LAKE CHARLES,LA70601	TRUSTEE 000.00	25,000
JASON R CHAMBERS	TRUSTEE 000.00	0
3796 PARIAN RIDGE ROAD NW ATLANTA,GA30327	TRUSTEE 000.00	0

2 Compensation of five highest-paid employees (other than those included on line 1—see 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...................

Form 990-PF (2018)

Page 7

Part VIII

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors (continued)

3 Five highest-paid independent contractors for professional services (see 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............. bullet

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

Part IX-B

Summary of Program-Related Investments (see instructions)

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


All other program-related investments. See instructions.
3

Total. Add lines 1 through 3......................... bullet

Form 990-PF (2018)

Page 8

Part X

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

3,597,984

Average of monthly cash balances.......................

31,750

Fair market value of all other assets (see instructions)................

121,624

Total (add lines 1a, b, and c).........................

3,751,358

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

3,751,358

Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see

instructions) .............................

56,270

Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4

3,695,088

Minimum investment return. Enter 5% of line 5..................

184,754

Part XI

Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet

and do not complete this part.)

Minimum investment return from Part X, line 6....................

184,754

Tax on investment income for 2018 from Part VI, line 5......

505

Income tax for 2018. (This does not include the tax from Part VI.)...

Add lines 2a and 2b............................

505

Distributable amount before adjustments. Subtract line 2c from line 1............

184,249

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

184,249

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...

184,249

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 ..........

180,000

Program-related investments—total from Part IX-B..................

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

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4

180,000

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 instructions.................

505

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

179,495

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 (2018)

Page 9

Part XIII

Undistributed Income (see instructions)

		(a) Corpus	(d) 2018
1 Distributable amount for 2018 from Part XI, line 7			184,249
2 Undistributed income, if any, as of the end of 2018:
a Enter amount for 2017 only.......
b Total for prior years:20, 20, 20
3 Excess distributions carryover, if any, to 2018:
a From 2013......
b From 2014......
c From 2015......	12,081
d From 2016......	148,684
e From 2017......
fTotal of lines 3a through e........		160,765
4Qualifying distributions for 2018 from Part
XII, line 4: $ 180,000
a Applied to 2017, but not more than line 2a
b Applied to undistributed income of prior years (Election required—see instructions).....
c Treated as distributions out of corpus (Election required—see instructions)........
d Applied to 2018 distributable amount.....			180,000
e Remaining amount distributed out of corpus
5 Excess distributions carryover applied to 2018.		4,249	4,249
(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		156,516
b Prior years’ undistributed income. Subtract line 4b from line 2b ..........
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......
d Subtract line 6c from line 6b. Taxable amount —see instructions ...........
e Undistributed income for 2017. Subtract line 4a from line 2a. Taxable amount—see instructions .............
f Undistributed income for 2018. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2019 ..........			0
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (Election may be required - see instructions) .......
8 Excess distributions carryover from 2013 not applied on line 5 or line 7 (see instructions) ...
9Excess distributions carryover to 2019. Subtract lines 7 and 8 from line 6a ......		156,516
10 Analysis of line 9:
a Excess from 2014....
b Excess from 2015....	7,832
c Excess from 2016....	148,684
d Excess from 2017....
e Excess from 2018....

Form 990-PF (2018)

Page 10

Part XIV

Private Operating Foundations (see 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 2018, enter the date of the ruling....... bullet

b Check box to indicate whether the organization is a private operating foundation described in section4942(j)(3) or4942(j)(5)

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) 2018	(b) 2017	(c) 2016	(d) 2015	(e) Total

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 foundation had $5,000 or more in
assets at any time during the year—see 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

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. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions

aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:

JASON R CHAMBERS
3796 PARIAN RIDGE ROAD NW
ATLANTA,GA30327
(404) 784-0925

bThe form in which applications should be submitted and information and materials they should include:

WRITTEN, INCLUDING BACKGROUND INFORMATION REGARDING THE REQUESTER.

cAny submission deadlines:

NONE.

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

ANY TAX EXEMPT ORGANIZATION IS ELIGIBLE FOR CONSIDERATION.

Form 990-PF (2018)

Page 11

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
ATLANTA MISSION PO BOX 1807 ATLANTA,GA303011807	NONE	501(C)(3)	TO FURTHER CHARITABLE PURPOSES	5,000
TRINITY SCHOOL OF ATLANTA 4301 NORTHSIDE PARKWAY NW ATLANTA,GA30327	NONE	501(C)3	TO FURTHER CHARITABLE PURPOSES	50,000
DANA-FARBER CANCER INSTITUTE 450 BROOKLINE AVENUE BOSTON,MA02215	NONE	501(C)3	TO FURTHER CHARITABLE PURPOSES	75,000
SALK INSTITUTE FOR BIOLOGICAL STUDI 10010 N TORREY PINES RD LA JOLLA,CA92037	NONE	501(C)3	TO FURTHER CHARITABLE PURPOSES	50,000
Total ................................. 3a				180,000

bApproved for future payment

Total ................................. 3b

Form 990-PF (2018)

Page 12

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 instructions.)
1Program service revenue:	(a) Business code	(b) Amount	(c) Exclusion code	(d) Amount	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments....
3 Interest on savings and temporary cash investments ...........			14	39,329
4 Dividends and interest from securities....			14	23,635
5 Net rental income or (loss) from real estate:
aDebt-financed property......
bNot debt-financed property.....
6 Net rental income or (loss) from personal property
7 Other investment income.....			14	3,405
8 Gain or (loss) from sales of assets other than inventory ............			14	20,610
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory
11 Other revenue: a
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e)..				86,979

13Total. Add line 12, columns (b), (d), and (e)..................

86,979

(See worksheet in line 13 instructions to verify calculations.)

Part XVI-B

Relationship of Activities to the Accomplishment of Exempt Purposes

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

Form 990-PF (2018)

Page 13

Part XVII

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

Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

Yes

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........Yes No

If "Yes," complete the following schedule.

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

Sign Here

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) is based on all information of which preparer has any knowledge.
				May the IRS discuss this return with the preparer shown below (see instr.)? Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Form 990-PF (2018)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

TY 2018 AccountingFeesSchedule

Name:

CHAMBERS MEDICAL FOUNDATION

EIN:

72-6134893

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
INDIRECT ACCOUNTING FEES	1,390	1,390

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

TY 2018 GainLossSaleOtherAssetsSch

Name:

CHAMBERS MEDICAL FOUNDATION

EIN:

72-6134893

Name	Date Acquired	How Acquired	Date Sold	Gross Sales Price	Basis	Total (net)
SEE ATTACHED-RAYMOND JAMES		PURCHASE		110,547	114,456	-3,909
SEE ATTACHED-RAYMOND JAMES	2017-10	PURCHASE	2018-12	3,851	3,967	-116
SEE ATTACHED-RAYMOND JAMES		PURCHASE		19,944	19,944
AMG SOUTHERNSUN SMALL CAP CL I		PURCHASE	2018-11	14,000	16,013	-2,013

- TIN:

TY 2018 InvestmentsCorpBondsSchedule

Name:

CHAMBERS MEDICAL FOUNDATION

EIN:

72-6134893

Name of Bond	End of Year Book Value	End of Year Fair Market Value
ABBOTT LABORATORIES 3.75% 11-30-26	1,975	1,975
AIRCASTLE LIMITED NTS ISIN US00928QA	2,935	2,935
AMERICAN WATER CAPITAL CORP 2.95% 9-	3,779	3,779
AMGEN INC 3.625% 5-22-24
ANHEUSER-BUSCH INBEV FINANCE INC 4.7
AON PLC 3.875% 02-17-26	4,930	4,930
APPLE INC. 4.25% 2-09-47	4,983	4,983
AT&T INC 4.125% 2-17-26	3,909	3,909
AUTONATION INC 3.5% 11-15-24
AUTOZONE, INC 3.125% 4-21-26
BAC CAP TR XIV FIXED TO FLT RT HYBRI
BANK OF AMERICA CORPORATION 3.875% 8
BANKUNITED INC 4.875% 11-17-25
BERKSHIRE HATHAWAY ENERGY CO 4.5% 2/	2,996	2,996
CBOE HOLDINGS INC 3.65% 1-12-27	4,866	4,866
CENTURYLINK INC FIXED RT SR NT SER P	79,000	79,000
CITIGROUP INC BOND 5.95% PERPTL MTY	68,445	68,445
CME GROUP INC 3.0% 3/15/25	3,895	3,895
COSTCO WHOLESALE CORPORATION 3.0% 5-	3,858	3,858
CREDIT AGRICOLE CORPORATE	94,313	94,313
CREDIT SUISSE AG LONDON BRH ME MTN
CVS CAREMARK CORPORATION 3.375% 8-12	5,819	5,819
DANA INC NOTE CALL MAKE WHOLE
DOMINION RESOURCES INC 2.85% 8-15-26	3,686	3,686
ERR PROPERTIES 4.75% 12-15-26	3,957	3,957
FANNIE MAE POOL AJ1441	5,763	5,763
FANNIE MAE POOL AL6306	6,050	6,050
FANNIE MAE POOL AS0907	7,890	7,890
FANNIE MAE POOL MA0908	6,475	6,475
FANNIE MAE POOL MA3120	14,625	14,625
FANNIE MAE POOL MA3209	7,353	7,353
FANNIE MAE POOL MA3238	3,746	3,746
FANNIE MAE POOL MA3277	2,830	2,830
FANNIE MAE POOL MA3279	3,698	3,698
FANNIE MAS POOL MA3057	5,378	5,378
FEDEX CORPORATION 3.3% 3-15-27	3,803	3,803
FHLMC REMIC SERIES K-048	5,160	5,160
FHLMC REMIC SERIES K-066	4,651	4,651
FHLMC REMIC SERIES K-076	5,216	5,216
FHLMC REMIC SERIES K-726	7,966	7,966
FIAT CHRYSLER AUTOMOBILES NV
FLIR SYSTEMS INC 3.125% 6-15-21
FNMA REMIC TRUST 2009-W1	2,940	2,940
FORD CREDIT AUTO OWN TR 2017-C 2.35%	7,869	7,869
FORD CREDIT FLRPLN TR A 2.16% 9-15-2	3,941	3,941
FREDDIE MAC GROUP A89385	7,172	7,172
FREDDIE MAC GROUP A97040	8,067	8,067
FREDDIE MAC GROUP G08614	6,469	6,469
FREDDIE MAC GROUP G08641	5,350	5,350
FREDDIE MAC GROUP G08669	6,209	6,209
FREDDIE MAC GROUP G15352	8,719	8,719
FREDDIE MAC GROUP G18592	9,445	9,445
GENWORTH FINANCIAL 6.15%	82,500	82,500
GINNIE MAE II POOL MA4838	5,402	5,402
GINNIE MAE II POOL MA5019	3,826	3,826
GINNIE MAE II POOL MA5076	4,721	4,721
GINNIE MAE II POOL MA5136	4,828	4,828
GINNIE MAE II POOL MA5137	3,944	3,944
GOLDMAN SACHS GROUP INC 3.85% 7-8-24
HEXCEL CORPORATION3.95% 2-15-27
HRT BOND
INTERCONTINENTIAL EXCHANGE INC 3.75%	4,001	4,001
INTERNATIONAL BUSINESS MACHINES CORP	4,863	4,863
JPMORGAN CHANSE & CO 2.55% 3-1-21
KELLOGG COMPANY 3.25% 4-1-26
LOCKHEED MARTIN CORPORATION 3.55%	3,969	3,969
MAGELLAN MIDSTREAM PARTNERS LP 5.0%
MARSH & MCLENNAN 4.8% 7/15/21	4,122	4,122
MCGRAW HILL FINANC 4.0% 6-15-25	4,073	4,073
MIDAMERICAN ENERGY HOLDINGS COMAPNY
MORGAN STANLEY FIN LLC MTN 10.00%	102,375	102,375
MORGAN STANLEY FIN LLC MTN 9.00%	112,875	112,875
MPLX LP NTS ISIN 4.8% 2/15/29	3,990	3,990
NASDAQ OMX GROUP INC 5.55% 1-15-20
NEWELL RUBBERMAID INC 4.0% 12-1-24
NVIDIA CORP 3.2% 9-16-26	3,794	3,794
OREILLY AUTOMOTIVE 3.55% 3-15-26	3,842	3,842
PNC FINANCIAL SERVICES GROUP 3.9% 4-	2,974	2,974
PRIVATE EXPORT FUNDING CORP 4.3% 12-	7,314	7,314
RPM INTERNATIONAL INC 3.75% 3-15-27
SEMPRA ENERGY 3.25% 6-15-27	2,756	2,756
SOUTHWEST AIRLINES CO 3.0% 11-15-26	4,666	4,666
TENESSEE VALLEY AUTHORITY DEBENTURE	6,036	6,036
THE CHARLES SCHWAB CORP 3.45% 2-13-2	2,973	2,973
THE INTERPUBLIC GROUP OF COMPANIES
THE PRICELINE GROUP INC 3.65% 3-15-2	4,869	4,869
TIME WARNER INC 3.875% 1-15-26
TRINITY ACQUISITION PLC 4.4% 3-15-26	4,985	4,985
UNION PACIFIC COPORATION 4.15% 1-15-	3,743	3,743
UNITED HEALTH GROUP 3.7% 12/15/25	3,030	3,030
UNITED TECHNOLOGIES 2.3% 5/4/22	3,837	3,837
US TREASURY BONDS 3.0% 2/15/48	3,979	3,979
US TREASURY BONDS 3.5% 2-15-39	7,657	7,657
US TREASURY NOTES 2.25% 11-15-2025	11,735	11,735
US TREASURY NOTES 2.25% 2-15-2027	3,884	3,884
US TREASURY NOTES 2.375% 8-5-24	5,945	5,945
US TREASURY NOTES 2.75% 2-15-24	4,043	4,043
US TREASURY NOTES 2.75% 2/15/28	18,093	18,093
US TREASURY NOTES 2.875% 8/15/28	4,062	4,062
VENTAS REALTY LP/VENTAS CAPITAL CORP
VERISIGN INC 4.625% 5-1-23
VISA INC 3.15% 12-14-25	3,931	3,931
WORLD OMNI AUTO REC 3.33% 4/15/24	5,058	5,058

- TIN:

TY 2018 InvestmentsCorpStockSchedule

Name:

CHAMBERS MEDICAL FOUNDATION

EIN:

72-6134893

Name of Stock	End of Year Book Value	End of Year Fair Market Value
AMG SOUTHERNSUN SMALL CAP CL I	12,705	12,705
BAUSCH HEALTH COMPANIES INC	18,470	18,470
BLACKBERRY LIMITED	35,550	35,550
DELAWARE VALUE FUND INST	36,308	36,308
DFA INTL CORE EQUITY PORT INST	31,617	31,617
DFA US CORE EQUITY 1 PORT INST	117,519	117,519
EATON VANCE ATLANTA CAP SMID CAP FD	33,870	33,870
FIDELITY ADVISOR EMERGING MKTS CL C	41,227	41,227
FIDELITY ADVISOR TECHNOLOGY CL C	34,189	34,189
FIDELITY CONTRAFUND	96,302	96,302
FRANKLIN GLOBAL LISTD INFRASTRUCTURE	45,249	45,249
GQG PARTNERS EMERGING MKTS EQUITY	34,304	34,304
ISHARES TR IBOXX HI YD ETF
JOHN HANCOCK INTL GROWTH FD CL I	40,691	40,691
KINDER MORGAN INCORP	123,040	123,040
MAINSTAY MACKAY HIGH YIELD CORP BD	56,791	56,791
MEDALLION FINCL CORP	23,450	23,450
MICRON SOLUTIONS INC COM	788,073	788,073
MILLER INTERMEDIATE BOND FD CL A	53,279	53,279
NAVIOS MARITIME HLDGS
NEWPARK RESOURCES	15,712	15,712
OAKMARK INTL FUND INVESTOR CL	37,177	37,177
PGIM JENNISON FOCUSED GROWTH FD CL Z	34,991	34,991
PIMCO STOCKSPLUS SMALL FUND CL I2	12,233	12,233
SILVERBOW RES INC COM	8,818	8,818
TEMPLETON EMERGING MKTS SM CAP FD AD	6,465	6,465
UBS AG LONDON BRH UNCAPPED TRIGGER
VALEANT PHARMACEUTICALS INTL
VANGUARD TOTAL STOCK MARKET ETF	105,295	105,295
WESTERN ASSET ADJ RATE INCOME CL C	19,823	19,823
YAMANA GOLD INC	11,800	11,800

- TIN:

TY 2018 InvestmentsLandSchedule2

Name:

CHAMBERS MEDICAL FOUNDATION

EIN:

72-6134893

Category/ Item	Cost/Other Basis	Accumulated Depreciation	Book Value	End of Year Fair Market Value
LAND	69,000		69,000	92,000

- TIN:

TY 2018 InvestmentsOtherSchedule2

Name:

CHAMBERS MEDICAL FOUNDATION

EIN:

72-6134893

Category/ Item	Listed at Cost or FMV	Book Value	End of Year Fair Market Value
RUST TO GOLD	FMV	1,524	1,524

- TIN:

TY 2018 OtherAssetsSchedule

Name:

CHAMBERS MEDICAL FOUNDATION

EIN:

72-6134893

Description	Beginning of Year - Book Value	End of Year - Book Value	End of Year - Fair Market Value
ARTWORK	28,100	28,100	28,100

- TIN:

TY 2018 OtherExpensesSchedule

Name:

CHAMBERS MEDICAL FOUNDATION

EIN:

72-6134893

Description	Revenue and Expenses per Books	Net Investment Income
EXPENSES
STORAGE	1,922	1,922
OTHER ROYALTY EXPENSES	723	723
OTHER ROYALTY EXPENSES - CALC	1,229	1,229
INVESTMENT MANAGEMENT FEES	9,509	9,509
INVESTMENT EXPENSE - RJ 9386	687	687
BANK FEES	68	68

- TIN:

TY 2018 OtherIncomeSchedule2

Name:

CHAMBERS MEDICAL FOUNDATION

EIN:

72-6134893

Description	Revenue And Expenses Per Books	Net Investment Income
RUST TO GOLD	219	219
GOLDRUS/PERMIAN AIR, LLC	284	284
CALCASIEU TV & RADIO, INC.	-2,575	-2,575
ENERVEST OPERATING, LLC	3,453	3,453
LEWIS PETRO PROPERTIES, INC.	557	557
CALCASIEU TV & RADIO, INC.	1,467	1,467

- TIN:

TY 2018 OtherIncreasesSchedule

Name:

CHAMBERS MEDICAL FOUNDATION

EIN:

72-6134893

Description	Amount
CHANGE IN UNREALIZED GAIN/LOSS	-515,271

- TIN:

TY 2018 OtherProfessionalFeesSchedule

Name:

CHAMBERS MEDICAL FOUNDATION

EIN:

72-6134893

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
CONSULTING FEES	25,000	25,000
OTHER PROFESSIONAL FEES	125	125

- TIN:

TY 2018 TaxesSchedule

Name:

CHAMBERS MEDICAL FOUNDATION

EIN:

72-6134893

Category	Amount	Net Investment Income
PROPERTY TAX - STELLULAR	443	443
US TAX PAID
FOREIGN TAX PAID-RJ J712	316	316
FOREIGN TAX PAID-NATL FIN 2400	205	205