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        <BusinessNameLine1>THE JOHN&amp;ELIZABETH VAN HORN FAMILY FOUNDATION</BusinessNameLine1>
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        <AddressLine1>C/O WAYNE BANK WEALTH MGMT DIVISION</AddressLine1>
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        <State>PA</State>
        <ZIPCode>18431</ZIPCode>
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    <Officer>
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      <Title>TRUSTEE</Title>
      <Phone>5702538509</Phone>
      <DateSigned>2013-05-09</DateSigned>
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    <Preparer>
      <Name>MAUREEN J KELLY CPA</Name>
      <Phone>5702538509</Phone>
      <DatePrepared>2013-05-09</DatePrepared>
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          <PersonName>JOHN VAN HORN</PersonName>
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            <ZIPCode>18431</ZIPCode>
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        <Description1>THE FOUNDATION PROVIDES FUNDING FOR CHARITABLE, RELIGIOUSSCIENTIFIC,LITERARY, &amp; EDUCATIONAL PURPOSES EITHER DIRECTLYOR BY MAKING CONTRIBUTIONS TO OTHER CHARITABLE ORGANIZATIONS.</Description1>
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            <State>NJ</State>
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        <GrantOrContriPaidDuringYear>
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        <GrantOrContriPaidDuringYear>
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            <BusinessNameLine1>ST JAMES BAPTIST CHURCH</BusinessNameLine1>
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            <City>HILTON HEAD ISLAND</City>
            <State>SC</State>
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            <State>NJ</State>
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          </RecipientUSAddress>
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        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>OCEAN FIRE COMPANY</BusinessNameLine1>
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          <RecipientUSAddress>
            <AddressLine1>400 ARNOLD AVE</AddressLine1>
            <City>POINT PLEASANT BEACH</City>
            <State>NJ</State>
            <ZIPCode>08742</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatus>CHAR.ORGAN.</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>MISSION OFTO FURTHERORGANIZATION</PurposeOfGrantOrContribution>
          <Amount>100</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>POINT PLEASANT BEACH FIRE CO #1</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>PO BOX 1305</AddressLine1>
            <City>POINT PLEASANT BEACH</City>
            <State>NJ</State>
            <ZIPCode>08742</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatus>CHAR.ORGAN.</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>MISSION OFTO FURTHERORGANIZATION</PurposeOfGrantOrContribution>
          <Amount>100</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>POINT PLEASANT FIRST AID &amp; EMERGENCY</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>611 LAUREL AVE</AddressLine1>
            <City>POINT PLEASANT BEACH</City>
            <State>NJ</State>
            <ZIPCode>08742</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatus>CHAR.ORGAN.</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>MISSION OFTO FURTHERORGANIZATION</PurposeOfGrantOrContribution>
          <Amount>100</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>WOMEN'S CLUB OF POINT PLEASANT</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>513 ST LOUIS AVENUE</AddressLine1>
            <City>POINT PLEASANT BEACH</City>
            <State>NJ</State>
            <ZIPCode>08742</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatus>CHAR.ORGAN.</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>MISSION OFTO FURTHERORGANIZATION</PurposeOfGrantOrContribution>
          <Amount>500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>WAYNE COUNTY HISTORICAL SOCIETY</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>PO BOX 446</AddressLine1>
            <City>HONESDALE</City>
            <State>PA</State>
            <ZIPCode>18431</ZIPCode>
          </RecipientUSAddress>
          <RecipientFoundationStatus>CHAR.ORGAN.</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>MISSION OFTO FURTHERORGANIZATION</PurposeOfGrantOrContribution>
          <Amount>100</Amount>
        </GrantOrContriPaidDuringYear>
        <TotGrantOrContriPaidDuringYear>5050</TotGrantOrContriPaidDuringYear>
      </SupplementaryInformation>
      <AnalysisIncomeProducingActy>
        <IntOnSavingsAndTempCashInvst>
          <ExclusionCode>14</ExclusionCode>
          <ExclusionAmount>340</ExclusionAmount>
        </IntOnSavingsAndTempCashInvst>
        <DividendsAndIntFromSecPartVII>
          <ExclusionCode>14</ExclusionCode>
          <ExclusionAmount>1108</ExclusionAmount>
        </DividendsAndIntFromSecPartVII>
        <GainSalesAssetsOthThanInvntry>
          <ExclusionCode>18</ExclusionCode>
          <ExclusionAmount>3838</ExclusionAmount>
        </GainSalesAssetsOthThanInvntry>
        <SubtotalsPartXVIA>
          <ExclusionAmount>5286</ExclusionAmount>
        </SubtotalsPartXVIA>
        <TotalPartXVIA>5286</TotalPartXVIA>
      </AnalysisIncomeProducingActy>
      <TrnsfrTrRlnWithNoncharitableEO>
        <TrnsfrOfCashToNoncharitableEO>false</TrnsfrOfCashToNoncharitableEO>
        <TrnsfrOthAssetsNoncharitableEO>false</TrnsfrOthAssetsNoncharitableEO>
        <SalesOrExchangesOfAssets>false</SalesOrExchangesOfAssets>
        <PurchaseAssetsNoncharitableEO>false</PurchaseAssetsNoncharitableEO>
        <RentalOfFacilitiesEtc>false</RentalOfFacilitiesEtc>
        <ReimbursementArrangements>false</ReimbursementArrangements>
        <LoansOrLoanGuarantees>false</LoansOrLoanGuarantees>
        <PerformanceOfServicesEtc>false</PerformanceOfServicesEtc>
        <SharingOfFacilitiesEtc>false</SharingOfFacilitiesEtc>
        <RelationshipsNoncharitableEOs>false</RelationshipsNoncharitableEOs>
      </TrnsfrTrRlnWithNoncharitableEO>
    </IRS990PF>
    <GainLossSaleOtherAssetsSch documentId="00000002">
      <GainLossSaleOtherAsset>
        <Name>50 SH BHP BILLITON</Name>
        <DateAcquired>2009-04</DateAcquired>
        <HowAcquired>Purchased</HowAcquired>
        <DateSold>2012-11</DateSold>
        <GrossSalesPrice>3506</GrossSalesPrice>
        <Basis>2395</Basis>
        <TotalNet>1111</TotalNet>
      </GainLossSaleOtherAsset>
      <GainLossSaleOtherAsset>
        <Name>25 ISHARES S&amp;P 600 SMALL CAP GROWTH</Name>
        <DateAcquired>2009-04</DateAcquired>
        <HowAcquired>Purchased</HowAcquired>
        <DateSold>2012-09</DateSold>
        <GrossSalesPrice>2117</GrossSalesPrice>
        <Basis>1084</Basis>
        <TotalNet>1033</TotalNet>
      </GainLossSaleOtherAsset>
      <GainLossSaleOtherAsset>
        <Name>100 PERKIN ELMER</Name>
        <DateAcquired>2007-12</DateAcquired>
        <HowAcquired>Purchased</HowAcquired>
        <DateSold>2012-11</DateSold>
        <GrossSalesPrice>3144</GrossSalesPrice>
        <Basis>2622</Basis>
        <TotalNet>522</TotalNet>
      </GainLossSaleOtherAsset>
      <GainLossSaleOtherAsset>
        <Name>25 PRUDENTIAL FINL</Name>
        <DateAcquired>2007-07</DateAcquired>
        <HowAcquired>Purchased</HowAcquired>
        <DateSold>2012-05</DateSold>
        <GrossSalesPrice>1173</GrossSalesPrice>
        <Basis>1</Basis>
        <TotalNet>1172</TotalNet>
      </GainLossSaleOtherAsset>
    </GainLossSaleOtherAssetsSch>
    <InvestmentsCorpBondsSchedule documentId="00000003">
      <InvestmentsCorpBonds>
        <NameOfBond>FEDERATED TOTAL RETURN BOND FUND</NameOfBond>
        <EOYBookValue>6502</EOYBookValue>
        <EOYFMV>6372</EOYFMV>
      </InvestmentsCorpBonds>
      <InvestmentsCorpBonds>
        <NameOfBond>GE CAP CORP</NameOfBond>
        <EOYBookValue>14592</EOYBookValue>
        <EOYFMV>15491</EOYFMV>
      </InvestmentsCorpBonds>
    </InvestmentsCorpBondsSchedule>
    <InvestmentsCorpStockSchedule documentId="00000004">
      <InvestmentsCorpStock>
        <NameOfStock>AT&amp;T</NameOfStock>
        <EOYBookValue>53</EOYBookValue>
        <EOYFMV>1686</EOYFMV>
      </InvestmentsCorpStock>
      <InvestmentsCorpStock>
        <NameOfStock>ANALOG DEVICES</NameOfStock>
        <EOYBookValue>2071</EOYBookValue>
        <EOYFMV>4206</EOYFMV>
      </InvestmentsCorpStock>
      <InvestmentsCorpStock>
        <NameOfStock>APPLIED MATERIALS</NameOfStock>
        <EOYBookValue>2744</EOYBookValue>
        <EOYFMV>1716</EOYFMV>
      </InvestmentsCorpStock>
      <InvestmentsCorpStock>
        <NameOfStock>AVERY DENNISON</NameOfStock>
        <EOYBookValue>2756</EOYBookValue>
        <EOYFMV>1746</EOYFMV>
      </InvestmentsCorpStock>
      <InvestmentsCorpStock>
        <NameOfStock>CATERPILLAR INC</NameOfStock>
        <EOYBookValue>1618</EOYBookValue>
        <EOYFMV>4480</EOYFMV>
      </InvestmentsCorpStock>
      <InvestmentsCorpStock>
        <NameOfStock>CHESAPEAKE ENERGY</NameOfStock>
        <EOYBookValue>2965</EOYBookValue>
        <EOYFMV>1247</EOYFMV>
      </InvestmentsCorpStock>
      <InvestmentsCorpStock>
        <NameOfStock>ISHARES S&amp;P SMALL GROWTH</NameOfStock>
        <EOYBookValue>5086</EOYBookValue>
        <EOYFMV>9665</EOYFMV>
      </InvestmentsCorpStock>
      <InvestmentsCorpStock>
        <NameOfStock>MSC INDUSTRIAL</NameOfStock>
        <EOYBookValue>2426</EOYBookValue>
        <EOYFMV>3769</EOYFMV>
      </InvestmentsCorpStock>
      <InvestmentsCorpStock>
        <NameOfStock>PEABODY ENERGY CORP</NameOfStock>
        <EOYBookValue>1256</EOYBookValue>
        <EOYFMV>1330</EOYFMV>
      </InvestmentsCorpStock>
      <InvestmentsCorpStock>
        <NameOfStock>STAPLES</NameOfStock>
        <EOYBookValue>3304</EOYBookValue>
        <EOYFMV>1710</EOYFMV>
      </InvestmentsCorpStock>
      <InvestmentsCorpStock>
        <NameOfStock>VANGUARD FTSE EMERG MKTS</NameOfStock>
        <EOYBookValue>5004</EOYBookValue>
        <EOYFMV>7570</EOYFMV>
      </InvestmentsCorpStock>
      <InvestmentsCorpStock>
        <NameOfStock>ZIMMER HOLDINGS</NameOfStock>
        <EOYBookValue>236</EOYBookValue>
        <EOYFMV>2333</EOYFMV>
      </InvestmentsCorpStock>
    </InvestmentsCorpStockSchedule>
    <TaxesSchedule documentId="00000005">
      <Taxes>
        <Category>4940(e)</Category>
        <Amount>9</Amount>
        <NetInvestmentIncome>9</NetInvestmentIncome>
      </Taxes>
    </TaxesSchedule>
  </ReturnData>
</Return>