2013-08-19T15:01:19-05:00 2012-12-31 540504608 Brown Edwards & Company LLP 124 Newman Avenue Harrisonburg VA 22801 990PF 2012-01-01 541770697 The Chase Foundation of Virginia CHAS 4342939104 300 Preston Avenue No 500 Charlottesville VA 229025096 Derwood S Chase Jr 4342939104 2013-08-12 1 Jeff Smith P00446095 5404346736 2013-08-08 2012 2016-02-24 21:20:13Z X 16455235 X 500000 606 606 162237 162237 431399 10022572 431399 -29752 0 1064490 594242 0 0 0 5150 0 5150 15 15 0 2870 0 2870 6534 6384 150 14569 6399 8170 913000 913000 927569 6399 921170 136921 587843 5620569 2084671 2084671 1133 1308 1133 1133 10000 88000 88000 4268994 6968108 6958567 614179 825155 995304 2815861 2851233 2833019 2301506 2958858 3494541 15632417 15777158 16455235 0 0 X 15632417 15777158 0 0 0 0 15632417 15777158 15632417 15777158 15632417 136921 11495 15780833 3675 15777158 Publicly Traded Securities P 9459347 9575943 -116596 -116596 Andor Technology Offshore Fund, Inc. - Settlement Proceeds P 1997-01-01 2012-10-26 7102 7102 7102 Gilead Sciences, Inc. - Class Action Suit Proceeds P 2003-08-21 2012-11-21 561 561 561 Ridgewood Energy K Fund, L.L.C. - Final Year Adj. (Unused Basis) P 2004-07-07 2012-10-09 3471 -3471 -3471 Ridgewood Energy M Fund, L.L.C. - Final Year Adj. (Unused Basis) P 2004-09-28 2012-06-15 10820 -10820 -10820 Western Wylie #1 (P'Ship) - Final Year Adj. (Unused Basis) P 2011-05-16 2012-10-26 939 -939 -939 Capital Gains Dividends P 555562 555562 555562 431399 0 901364 16093242 0.056009 679764 15775048 0.043091 758875 12757047 0.059487 529213 9784319 0.054088 521325 9792049 0.053240 0.265915 0.053183 16022305 852114 5878 857992 921170 X 5878 0 5878 0 5878 3255 7304 10559 2 4679 4679 0 0 0 0 0 0 0 0 0 0 0 1 1 VA 1 0 0 0 0 1 N/A Derwood S Chase Jr 4342939104 300 Preston Avenue Suite 500 Charlottesville VA 229025096 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Derwood S Chase Jr 400 Wellington Drive Charlottesville VA 22903 1.92 0 0 0 Johanna B Chase 400 Wellington Drive Charlottesville VA 22903 0.21 0 0 0 Stuart F Chase 645 Plantation Ct Charlottesville VA 22903 0.21 0 0 0 Stephen Moore 2011 Freedom Ln Falls Church VA 22043 0.21 0 0 0 Cheryl O Chase 4807 Ellensburg Dr Dallas TX 75244 0.21 0 0 0 Alejandro A Chafuen PhD 2000 N 14th Street St 550 Arlington VA 22201 1.92 0 0 0 John C Goodman 12770 Coit Rd St 800 Dallas TX 75251 0.21 0 0 0 Walter E Williams 4400 University Drive Fairfax VA 22030 0.21 0 0 0 NONE 0 NONE 0 0 14742126 1466545 57628 16266299 0 0 16266299 243994 16022305 801115 801115 5878 5878 795237 0 795237 0 795237 921170 0 921170 5878 915292 795237 0 0 46945 53199 125137 103214 328495 921170 0 0 0 795237 125933 0 0 454428 0 0 0 0 0 0 46945 407483 53199 125137 103214 125933 Derwood S Chase Jr Derwood S Chase Jr 300 Preston Avenue Suite 500 Charlottesville VA 229025096 4342939104 No form has been prescribed by the organization. None Charitable organizations must meet the criteria specified in Article 2, Paragraph C(a) of the foundation's trust agreement. Acton Institute for the Study of Religion and Liberty 161 Ottawa Avenue NW Suite 301 Grand Rapids MI 49503 None Other Public Charity To provide general support (charitable) 25000 American Friends of the Institute of Economic Affairs 2000 North 14th Street Suite 550 Arlington VA 22201 None Other Public Charity To provide general support (charitable) 10000 American Spectator Foundation Inc 1611 North Kent Street Suite 901 Arlington VA 22209 None Other Public Charity To provide general support (charitable) 5000 Americans for Prosperity (National Chapter) 2111 Wilson Blvd Ste 350 Arlington VA 22201 None Other Public Charity To provide general support (charitable) 70000 Atlas Economic Research Foundation 2000 North 14TH Street Suite 550 Arlington VA 22201 None Other Public Charity To provide general support (charitable) 40000 Atlas Society Center for Objectivism 1001 Connecticut Avenue Suite 425 Washington DC 20036 None Other Public Charity To provide general support (charitable) 10000 Buckeye Institute for Public Policy Solutions 88 East Broad Street Suite 1120 Columbus OH 432153506 None Other Public Charity To provide general support (charitable) 5000 Cascade Policy Institute 813 SW Alder Suite 450 Portland OR 97205 None Other Public Charity To provide general support (charitable) 12000 Cato Institute 1000 Massachusetts Ave NW Washington DC 20001 None Other Public Charity To provide general support (charitable) 25000 Committee for a Constructive Tomorrow PO Box 65722 Washington DC 20035 None Other Public Charity To provide general support (charitable) 10000 Competitive Enterprise Institute 1001 Connecticut Avenue NW Suite 1250 Washington DC 20036 None Other Public Charity To provide general support (charitable) 19000 Evergreen Freedom Foundation pO Box 552 Olympia WA 98507 None Other Public Charity To provide general support (charitable) 15000 Families Against Manatory Minimums 1612 K Street NW Suite 700 Washington DC 20006 None Other Public Charity To provide general support (charitable) 2000 Federalist Society for Law & Public Policy Studies 1015 18th Street NW Suite 425 Washington DC 200361480 None Other Public Charity To provide general support (charitable) 12000 Foundation for Economic Education 30 South Broadway IrvingtononHudson NY 10533 None Other Public Charity To provide general support (charitable) 12000 Foundation for Individual Rights in Education 601 Walnut Street Suite 510 Philadelphia PA 19106 None Other Public Charity To provide general support (charitable) 15000 Foundation for Research on Economics and the Environment 662 Ferguson Road Bozeman MT 59718 None Other Public Charity To provide general support (charitable) 15000 Fraser Institute 4th Floor 1770 Burrard Street Vancouver British Columbia CA V6J3G7 None Other Public Charity To provide general support (charitable) 17000 FreedomWorks 601 Pennsylvania Avenue NW North Bldg Ste 700 Washington DC 20004 None Other Public Charity To provide general support (charitable) 15000 Fund for American Studies 1706 New Hampshire Avenue NW Washington DC 20009 None Other Public Charity To provide general support (charitable) 14000 Future of Freedom Foundation 11350 Random Hills Road Suite 800 Fairfax VA 22030 None Other Public Charity To provide general support (charitable) 12000 Goldwater Institute 500 E Coronado Road Phoenix AZ 85018 None Other Public Charity To provide general support (charitable) 12000 Heartland Institute 19 South LaSalle Suite 903 Chicago IL 60603 None Other Public Charity To provide general support (charitable) 25000 Hispanic American Center for Economic Research 910 17th Street NW Suite 422 Washington DC 200062605 None Other Public Charity To provide general support (charitable) 10000 Independent Institute 100 Swan Way Oakland CA 946211428 None Other Public Charity To provide general support (charitable) 8000 Independent Women's Forum 1875 I Street NW Suite 500 Washington DC 20006 None Other Public Charity To provide general support (charitable) 2000 Institute for Energy Research 6524 San Felipe PMB 287 Houston TX 770572611 None Other Public Charity To provide general support (charitable) 5000 Institute for Health Freedom 1875 Eye Street NW Suite 500 Washington DC 20006 None Other Public Charity To provide general support (charitable) 5000 Institute for Humane Studies 3301 North Fairfax Drive Suite 440 Arlington VA 222014432 None Other Public Charity To provide general support (charitable) 12000 Institute for Justice 901 N Glebe Rd Ste 900 Arlington VA 22203 None Other Public Charity To provide general support (charitable) 35000 James Madison Institute PO Box 37460 Tallahassee FL 32315 None Other Public Charity To provide general support (charitable) 2000 John Locke Foundation 200 W Morgan 200 Raleigh NC 27601 None Other Public Charity To provide general support (charitable) 10000 Law Enforcement Against Prohibition 121 Mystic Avenue Medford MA 02155 None Other Public Charity To provide general support (charitable) 4000 Locke Institute 5188 Dungannon Road Fairfax VA 22030 None Other Public Charity To provide general support (charitable) 13000 Mackinac Center for Public Policy 140 West Main Street / PO Box 568 Midland MI 48640 None Other Public Charity To provide general support (charitable) 12000 Manhattan Institute for Policy Research 52 Vanderbilt Avenue New York NY 10017 None Other Public Charity To provide general support (charitable) 5000 Mercatus Center 3351 North Fairfax Drive 4th Floor Arlington VA 22201 None Other Public Charity To provide general support (charitable) 100000 Montreal Economic Institute 1010 Sherbrooke St West Suite 930 Montreal Quebec CA H3A 2R7 None Other Public Charity To provide general support (charitable) 10000 National Center for Policy Analysis 12770 Coit Rd Suite 800 Dallas TX 75251 None Other Public Charity To provide general support (charitable) 36000 National Journalism Center 110 Elden Street Suite A Herndon VA 20170 None Other Public Charity To provide general support (charitable) 10000 Pacific Legal Foundation 3900 Lennane Drive Suite 200 Sacramento CA 95834 None Other Public Charity To provide general support (charitable) 10000 Pacific Research Institute for Public Policy 755 Sansome Street Suite 450 San Francisco CA 94111 None Other Public Charity To provide general support (charitable) 15000 Philadelphia Society 11620 Rutan Circle Jerome MI 492499530 None Other Public Charity To provide general support (charitable) 1000 Property and Environment Research Center 2048 Analysis Drive Suite A Bozeman MT 597186829 None Other Public Charity To provide general support (charitable) 12000 Public Notice Research and Education Foundation 2111 Wilson Blvd Ste 210 Arlington VA 22201 None Other Public Charity To provide general support (charitable) 100000 Reason Foundation 3415 S Sepulveda Blvd Suite 400 Los Angeles CA 90034 None Other Public Charity To provide general support (charitable) 32000 Rio Grande Foundation P O Box 40336 Albuquerque NM 87196 None Other Public Charity To provide general support (charitable) 10000 State Policy Network 2020 North 14th Street Suite 250 Arlington VA 22201 None Other Public Charity To provide general support (charitable) 10000 Tax Foundation 529 14th Street NW Suite 420 Washington DC 200451000 None Other Public Charity To provide general support (charitable) 15000 Thomas Jefferson Institute for Public Policy 9035 Golden Sunset Lane Springfield VA 22153 None Other Public Charity To provide general support (charitable) 4000 Virginia Institute for Public Policy 7326 Early Marker Court Gainesville VA 201551865 None Other Public Charity To provide general support (charitable) 28000 913000 0 14 606 14 162237 18 1271 18 431399 Ridgewood Energy I Fund LLC ordinary loss 211110 -844 Ridgewood Energy K Fund LLC ordinary loss 211110 -3840 Ridgewood Energy L Fund LLC ordinary income 211110 285 Ridgewood Energy M Fund LLC ordinary loss 211110 -12044 Ridgewood Energy N Fund LLC ordinary income 211110 2010 Ridgewood Energy O Fund LLC ordinary loss 211110 -359 Ridgewood Energy P Fund LLC ordinary income 211110 5334 Ridgewood Energy Q Fund LLC ordinary loss 211110 -2543 Ridgewood Energy R Fund ordinary loss 211110 -601 Ridgewood Energy S Fund LLC ordinary income 211110 3009 Western Drilling Program 2008-B ordinary income 211110 867 Western Drilling Program 2010-B ordinary income 211110 2109 Western Drilling Program Badger/Bush ordinary income 211110 1010 Ridgewood Energy K Fund LLC Section 1231 loss 211110 -245 Ridgewood Energy M Fund LLC Section 1231 loss 211110 -1546 Western Drilling Program Wylie ordinary loss 211110 -17082 Portfolio America Asset Pool I LLC ordinary income 211110 52 Ridgewood Energy P Fund LLC Section 1231 income 211110 334 Ridgewood Energy Q Fund LLC Section 1231 income 211110 200 Ridgewood Energy BlueWater Qil Fund III LLC ordinary loss 211110 -7129 -31023 595513 0 564490 0 0 0 0 0 0 0 0 0 0 X X 1 Derwood S Chase Jr 300 Preston Avenue Suite 500 Charlottesville VA 229025096 500000 X Accounting Fees 5150 0 5150 Corporate Bonds 2851233 2833019 Common Stocks 825155 995304 6968108 6958567 0 0 Mutual Funds FMV 2420860 2819205 Ridgewood Energy I Fund, L.L.C. FMV 11675 5682 Ridgewood Energy K Fund, L.L.C. FMV 0 0 Ridgewood Energy L Fund, L.L.C. FMV 23696 11326 Ridgewood Energy M Fund, L.L.C. FMV 0 0 Ridgewood Energy N Fund, L.L.C. FMV 150 9850 Ridgewood Energy O Fund, L.L.C. FMV 57592 39969 Ridgewood Energy P Fund, L.L.C. FMV 33335 40781 Ridgewood Energy Q Fund, L.L.C. FMV 32536 28719 Ridgewood Energy R Fund, L.L.C. FMV 7110 3539 Ridgewood Energy S Fund, L.L.C. FMV 27644 14902 Western Drilling Program 2008-B FMV 4300 12834 Western Drilling Program 2010-B FMV 23248 101072 Western Drilling Program Badger & Bush FMV 1912 8469 333,333 shares Zounds, Inc. Series A2 preferred stock FMV 25000 23333 422,415 shares OurStage, Inc. Series B preferred stock FMV 106660 190087 Western Drilling Program Wylie FMV 0 0 Ridgewood Energy BlueWater Oil Fund III, L.L.C. FMV 83887 85520 Portfolio America Asset Pool I, L.L.C. FMV 99253 99253 2012 Estimated Federal Income Tax Payments 2460 2011 Federal Income Tax Payment - Extension 1215 Custody Fees 6384 6384 0 Credit Card Fees 150 0 150 STCG from Oil & Gas K-1 (Ridgewood Energy K Fund, L.L.C.) 9 0 9 LTCG from Oil & Gas K-1 (Western Drilling Program 2008-B) 1262 0 1262 Ridgewood Energy I Fund LLC ordinary loss -844 -844 Ridgewood Energy K Fund LLC ordinary loss -3840 -3840 Ridgewood Energy L Fund LLC ordinary income 285 285 Ridgewood Energy M Fund LLC ordinary loss -12044 -12044 Ridgewood Energy N Fund LLC ordinary income 2010 2010 Ridgewood Energy O Fund LLC ordinary loss -359 -359 Ridgewood Energy P Fund LLC ordinary income 5334 5334 Ridgewood Energy Q Fund LLC ordinary loss -2543 -2543 Ridgewood Energy R Fund ordinary loss -601 -601 Ridgewood Energy S Fund LLC ordinary income 3009 3009 Western Drilling Program 2008-B ordinary income 867 867 Western Drilling Program 2010-B ordinary income 2109 2109 Western Drilling Program Badger/Bush ordinary income 1010 1010 Ridgewood Energy K Fund LLC Section 1231 loss -245 -245 Ridgewood Energy M Fund LLC Section 1231 loss -1546 -1546 Western Drilling Program Wylie ordinary loss -17082 -17082 Portfolio America Asset Pool I LLC ordinary income 52 52 Ridgewood Energy P Fund LLC Section 1231 income 334 334 Ridgewood Energy Q Fund LLC Section 1231 income 200 200 Ridgewood Energy BlueWater Qil Fund III LLC ordinary loss -7129 -7129 Percentage Depletion 11493 Rounding 2 Foreign Taxes 15 15 0