Return of Private Foundation Section 4947(a)(1) Nonexempt Charitable Trust

Treated as a Private Foundation ~ganrzation may be able to use a copy of this return to satisfy state

reoortma reawrements

OMB No 1545 0052

2002 DeWrtnof Or Treasury Infer Rwerue San¢e

G Check all that apply Initial return Final return Amended return Use the Name of orgaruzation IRS label DAN CAMERON FAMILY FOUNDATION INC Otherwise, Number and atrwt (a P O boy rumor if =it is not delmenad to *beat address) faults

print or PO BOX 3649

See Specific ci ty or toxin state ZIP code Instru"ti WILMINGTON NC 28406 H Check type of organization ~Xf Section 501(c)(3) exempt private foundation

Employs, Identification number

C h exemption application is pending, check here lx~ I I D 1 Foreign organizations, check here

2 Foreign organizations meeting the 85% tell, check here and attach computation

av mar ket val ue o a et'

at end of year i Accounting method X Cash Accrual E If private foundation status was terminated (ban Part ll, column c, line 16)

0 Other (specify)

under section 507(bxlxA), check here

~

11 F II the foundation is in a 60 month termination

$ 2 820 848 art 1 column d must be on cash basis under section SW b) I)(B), check here !L U a Analysis 01 Revenue and (a) Revenue and (b) Net investment (c) Adjusted net I (~ Disbursements Expense

(The total of amounts m expenses per books income income for charitable columns b, c, and d may not neces- purposes sariy equal the amounts m column a ) (cash basis only)

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_77 7117 4[ 777 4S 117 12 Total Add lines 1 through 11 7 13 compensation of officers directors trustees et :

,y 14 Other employee salaries and wages y A 15 Pension plans, employee benefits CZC x 16a legal tees (attach schedule)

x b Accounting fees (attach sch) 5 c Other prof fees (attach sch) p 17 Interest A 18 Tam (attach schedule) FEDERAL TAX

19 Depreciation (attach schedule) and depletion w v 20 Occupancy

E 21 Travel, conferences, and meetings x 22 Printing and publications

o p 23 Other expenses (attach schedule) E x See Line 23 Strut E 24 Total operating end administrative s expenses Add lines 13 through 23

25 NnUibutions, arils, grants paid 26 Total expenses and disbursements

II~-

926 21,92

920 22 92,

920 22 92i ,

. i~_~.F 2.., m~."n F ° ,~ t o a Excess of revenue over expenses and disbursements

b met Investment income Cl mqabve . anW -0) k°.',.n r'&, xs~s

C "Afv~hle~llnsmr(1n~qaW~~nbr-0) �,"`,azr~n(RAP$;

BAA Fro Paperwork Reduction Act Notice, sea the Instructions. TEEA0301 10=" 9A7 RESPRT APR

For�* 990-PF

B

CanNbutcns gifts, grants, e1a. ncxved (aft sch) Ck - X .10. IounEn n out rp b aft SN B

2 Distributions from split-interest trusts 3 Interest on sarongs and temporary

cash investments Q1 4 Dividends and interest from secunU~~G~ 5a Gross rents b Mgt rental income a (bas)

~6 a Not gain/(loss) hero ul~ of assets not on ANT ycams °"'v""`a'n 173,822 m Wr E assets w

V 7 Capital pain pat income (horn Part Iy,~ E 8 Net short-term capital gain (~ L ~7C

9 Income modifications l0a Gross sales less

returns and allowances

b Less Cost of goods sold

c Cross profiV(lou) (aft uh) 11 Other income (attach schedule)

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087 7 , 087 "`K" 030 . 78 , 030 . t ~"s R P', %uo s°7

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Form 990-PF DAN CAMERON FAMILY FOUNDATION INC 56-2087335 Page 2 Amcn.a rnea.bs .m ..ti . n» anc~om Beginning of year End of year

a"~tJF~ Balance Sheets cohj= slh~bafor aid4tjnr&mounbmly (s .. ==e= > (a) Book Value (b) Book Value (c) Fair Market Value

1 Cash - non interest bearing 141 , 646 74 , 165 74 , 165 2 Sahngs and temporary cash investments 3 Accounts receivable ~ ---------- ~w c,~~ s"~ ' `<° ' " "r

Less allowance for doubtful accounts ~ 347 4 Pledges receivable ~ 1 -771111 _ _ _ _ _ _ _ _ _

Less allowance for doubtful accounts 5 Grants receivable 6 Recervables due from officers, directors, trustees, and other

disqualified persons (attach schedule) (see instructions) 7 Other notes and loans receivable (attach uh) ~ Y" ° ' ~°'°`° 7, ;;, � ~ ' `".t.°F ;a,'°

q Less allowance for doubtful accounts ~

S 8 Inventories for sale or use 9 Prepaid expenses and deferred charges T

S l0a Investments - U S and state government obligations (attach schedule)

bInvestments -corporate stock (attach schedule) L-lOb Stmt 3 , 026 , 516 2 , 923 , 315 2 , 662 , 211 cInvestments -corporate bonds (attach schedule) L-lOC Stmt 102,620 81 666 84 472 , . . . ° < ~ " °° 11 Investments -land, buildings, and equipment basis Less accumulated depreciation (attach schedule)

12 Investments - mortgage loans 13 Investments - other (attach schedule) 14 Land, buildings, and equipment basis

Las accumulated depreciation (attach schedule)

------- 15 Other assets describe 16 Total assets (to be completed by all filers -

see instructions Also, see page I, item I 3,271 , 129 3 079 .146 2,820,848 17 Accounts payable and accrued expenses 18 Grants payable

B 19 Deferred revenue (~; ~At> ;~" 20 Loans from officers, directors, trustees, 8 other disqualified persons

.yk.f 21 hbrtqaqes and olh& notes payable (attach schedule) " - 22 Other liabilities (describe w r`Zc~

S 23 Total liabilities (add lines 17 through Organizations that follow SFAS 117, check here and complete lines 24 through 26 and lines 30 and 31 . ~ ry .° . ;, ~i}°

V,cjm, <~,~ N F 24 Unrestricted E U T N 25 Temporarily restricted

26 Permanently restricted °'°'~ � ;~a OF rganizations that do not follow SFAS 117, check here ~ X cy`' ~^;c '', ~°; ̂̀ '~F� " ~` and complete lines Z7 through 31 . " +,=ty~' ;sa' y F

27 Capital stock, trust principal, or current funds 5 N y$ Paid-in or capital surplus, err land, building, and equipment fund 4 , 437 , 031 4 , 437 , 031 . '~o"~ ~ s"' ̀ ^ ~' < ~#

29 Retained earnings, accumulated inwme, endowment, or other funds -1 , 165 , 902 -1,357 885 °" R S 30 Total natassets orfund balances (seeinstructions) 3 , 271 , 129 3,079 146 0

31 Total liabilities end net assetsNund balances ; ~',§a!+,"« ~~ ;; see instructions 3,271 .129 3 .079 , 146 ~:,E : .'

arf I~~ 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 yew's rehun) 1 3 . 271 . 129

2 Enter amount from Part I, line 27a 2 -191 . 983 3 Other increases not included in line 2 (ilvnize) ~ 3 4 Add lines 1, 2, and 3 d 3 , 079 , 146 5 D :r::.;E: not mimed m line 2 (itemize) ~ 5 6 Total net assets a fund balances at end of year Qine 4 mews line 5) - Part II, column (b), line 30 6 3 .079 .146

BAA TEEAQ= io/23qt Form 990-PF (200

(e) List and describe the kind(s) of property sold (e g , real estate, 2-story brick warehouse, or common stock, 200 shares MLC Company) r - rurrnaw

o - o~

/30/

(e) price (Q Depreciation allowed (g) Cost or other basis (h) Gain or (loss) (or allowable) plus expense of sale (e) plus (Q minus (g)

2 , 699 5 900 -3 2,090 ~ ~ 5,700 . -3 1,809 3,800 -1 i ano z inn _

1

n Fair Market Va as of 12131/69

1 Adjusted bass I (IC) Excess of column Q) as of 12131/69 over column 0), if any

a b

2 Capital gain net income or (net capital low) J If gain, also enter in Part I, line 7 L If (loss), enter 0 in Part I, line 7

3 Net short term capital gain or QosS) 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

z I -112 .81

Was the organization liable far the section 4942 tax on the distributable amount of any year in the base periods O Yes O No If Yes; the organization does not qualify under section 4940(e) Do not complete this part

1 Enter the appropriate amount in earn column for earn year, see instructions before making any entries

(b) I (c) Adjusted qualifying distributions Net value of

nonchanlable-use assets

1997

6

7 Add fines 5 and 6

to303 1011Maz

PF

d

S

a iaryunw (0)DabfW7 clay. year) I (mmth day YWr)

(I) Gains (Column (h) gain minus column (k), but rot less

than 0 ) or losses (from column (h))

[7'BR,Y<,,5;'] Vtua1111CBLOII UOOBr JCCiIOII 4y4U(B) for KBOIJCBO I ax on Nex Investment: income (For optional use by domestic private foundations subbed to the section 4940(a) tax on net investment income )

If section 4940(d)('Z) applies, leave this part blank

Base period years Calendar year (or tax year

beginning in)

2 Total of line 1, column (d)

3 Average distribulion 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

4 Enter the net value of noncharitable use assets for 2002 from Part X, line 5

5 Multiply line 4 by line 3

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

Distribution ratio (column (b) divided by column (c))

4

8 Enter qiyii" clmtriy"~Aic;r, `om Fart nii, lure 4 1 8 1 0

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

BAA Form 990-PF (200

V -7 (20M DAN CAMERON FAMILY FOUNDATION, I

a~tt VV91-1077.7~1 Excise Tax Based on Investment Income t5enio 1 s Exempt operating foundations described in section 1960(dxn, check here ~ U and enter N/A' an line I

Date of ruling letter - (attach copy of ruling letter If necessary - sea Instructions) b Domestic organizations that meet the section 4940(e) requirements in Part V, check here 11~ E] and enter 1 % of Part I, line 27b

c All other domestic organizations enter 296 of line 27b Exempt foreign organizations sofa 1% of Part I, line 12, column (b) 2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only Others enter 0 ) 3 Add lines 1 and 2 4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0 ) 5 Tax based on investment Income. Subtract line 4 from line 3 If zero or less, enter 0 6 Credits/Payments a 2002 estimated tax pmts and 2001 overpayment credited to 2002 6a b Exempt foreign organizations -fax withheld at source 6b c Tax paid with applicaGOn for extension of time to tits (Form 8868) 6c d Backup withholding erroneously withheld 6d

7 Total credits and payments Add lines 6a through 6d 8 Enter any penalty for underpayment of es4mated tax Check here V1 d Form 2220 is attached 9 In due M the total of lines 5 and 8 is more than line 7, solo amount owed

10 Overpayment If line 7 is more than the total of lines S and B, sofa ft amount overpaid 11 Enter the amount on line 101o be Credited to 2003 estimated tai 11~ I Refunded

3 1 . 244 4 0 5 1 244 ,~

~ 4 ~50,~ r o0 090. x

q ~~ ^ v33

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7 8 0 9 1 , 244 0 1

1 a During the tax year, did the organization attempt to influence any national, state, or local legislation or aid it participate or intervene in any political campaign

b Did d spend more than $100 during the year (either directly or indirectly) for political purposes (see instructions for definition)?

11 the answer is 'Yes' to 1s or Ib, attach a detailed description of the activities and copes of any materials published or distributed by the organization in connection with the activities

c Did the organization tits Forth 1120-POL for this year d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year tt (1) On the organization W $ (2) On organization managers ii~ $

a Enter the reimbursement (if any) paid by the organization during the year far political expenditure tax imposed on organization managers ~ $

2 Has the organization engaged in any activities that have not previously been reported to the IRS 1/'Yes,' attach a detected description of the activities

3 Has the organization made any changes, not previously reported to the IRS, in its governing instrument, articles tt of incorporation, or bylaws, or other similar instruments If 'Yes ' attach a conformed copy o1 the changes

4a Did the organization have unrelated business gross income of 1,000 or more during the year b Ii 'Yes,' has it filed a tax return on Forth 990-T for this year

5 Was there a liquidation, termination, dissolution, or substantial contraction during the yrar7 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 0 By language in the governing instrument w

la X lb X

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44

tt 0 By state legisla4on that effectively amends the governing instrument so that no mandatory directions that conflict '`" "° with the state law remain in the governing instruments 6 X

7 Did the organization have at least :5,000 in assets at any time during the years If 'Yes,' complple Part ll, column (c), and Pan XV 7 X 8a Enter the states to which the foundation reports or with which it is registered (see instructions)

NORTH CAROLINA "'° "°~; ;` oe,

b If the answer is Yes'to line 7, has the organization furnished a copy of Form 990 PF to we Attorney General =- (or designate) of each slate as required by General Instruction G7 If 'Na,'aBach explanation �'8b ' X M

9 Is the organization claiming status as a private operatin p foundation within the meaning of section 1912x3) or 19420)(~ for calendar year 2(102 or the taxable year beginning in 2002 (see instructions for Part %1V)'+ If 'Yet,'tdnplde Part XIY ,~ 9� "X A

10 Did any persons become substantial contributors during the tax years 70X If 'Yes,' attach a schedule listing their names and addresses

11 Did the organization comply with the public inspection requirements for its annual returns and exemption applicaUOn7 11 X Web site address 11~

12 The books are in care of - NI L L IAM H CAMERON _ _ _ _ _ _ _ _ _ _ - _ _ _ _ Telephone no - (910)762-2676 Located at " 1201 GLEN MEAD E ROAD NILM3_NC_-___-________ ZIP +4~ 28401

13 Section 4Si7(a)(i) nonexempt charitable trusts filing Form 990 PF in lieu of Forth 7047 - Check here and enter the amount of tax-exempt interest received or accrued during the year 11~1 13

BAA

b Ii any answer is'Yes' to Sa(1)-(5), did any of the transactions fail to qualify under the exceptions described in Regulations section 53 490.5 or in a current notice regarding disaster assistance (see instructions) Organizations relying on a current notice regarding disaster assistance check here

c II the answer is 'Yes' to question Sa(4), does the organization claim exemption horn the tax because it maintained expenditure responsibility for the grants O Yes X No If 'Yes ' attach the statement required by Regulations section 534945-5(d)

6a Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contracts ElYcs X t:o

b Did the organization, during the year, pay premiums . directly or indirectly, on a personal benefit contract If you answered 'Yes'to 66 also file 8870

BAA Form 990-PF (20D2) TEEw0305 10123R2

335

File Form 4720 if any item Is checked in the 'Yes' column, unless an exception applies 1 a During the year did the organization (either directly or indirectly)

(1) Engage in the sale or exchange, or leasing of property with a disqualified persons E] Yes X No

(Z) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified persons Yes X No

(~ Furnish goods, services, w facilities to (or accept them horn) a disqualified persons Yes X No (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified persons ~ Yes X8 No

(5) Transfer any income or assets to a disqualified person (or make any of either available (or the benefit or use of a disqualified person) ~ Yes nX No

(6) Agree to pay money or property to a government officials (Exception. Check 'No' if the organization agreed to make a grant to or to employ the official for a period after termination of government service, if terminating within 90 days ) Yes X No

b If any answer is 'Yes' to 1a(1) (6), did any of the acts tail to qualify under the exceptions described in Regulations section 53 49410 3 or in a current notice regarding disaster assistance (see instructions) Organizations relying on a current notice regarding disaster assistance check here

c Did the organization engage in a prior year in any of the acts described in la, other than excepted acts, that were not corrected belore the first day of the tax year beginning in 2002

2 Taxes on failure to distribute income (section 4942) (does not apply for years the organization was a private operating foundation defined in section 4942Q)(3) w 44420(5))

a At the end of tax year 2W2, did the organization have any undistributed income (lines 6d and tie, Part XI II) for tax year(s) beginning before 2002 a Yes V] No If 'Yes,' list the years ii~ 20 , 20 , 19 , 19

b Are there any years listed in 2a for which the organization is not applying the provisions of section 4942(a)(2) (relating to incorrect valuation of assets) to the year's undistributed incomes (If applying section 4942(a)(2) to all years listed, answer 'No' and attach statement - see instructions )

c II the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list we years here X20 ,20 ,19 , 19

3a Did the organization hold more than a 2% direct or indirect interest in any business enterprise at any time during the years O Yes R] No

b If 'Yes,' did it have excess business holdings in 2002 as a result of (1) any purchase by the organization or disqualified persons after May 26, 1969,(~ the lapse of the 5 year period (or longer period approved b the Commissioner under section 4943(c)(~ ) to dispose of holdings acquired by gifl or bequesl, or (% the lapse of the 10 , 15-, or 20 year first phase holding periods (use Schedule C Form 472f! to determine A the organization had excess business holdings in 2002)

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

b Did the organization 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 me first day of the tax year beginning in 2002

5a During the year did the organization pay or incur any amount to (1) Carry on propaganda, or othervnse attempt to influence legislation (section 4945(e))? r~ Yes X~ No

(2) Influence the outcome of any specific public election (see section 4955), or to carry on, directly or indirectly, any voter registration drive' B Yes XB No

(~ Provide a grant to an individual for travel, study, or other similar purposes Yes No

(4) Provide a grant to an organization other than a charitable, etc, organization described in section 509(a)(1), (2), or (3), or section 4940(d)(2)? Yes No

(S) Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals ~ Yes 0 No

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990-PFt200T DAN CAMERON FAMILY FOUNDATION . IN 6 rounaanon managers, oyees,

1 List ell officers, directors, trustees, foundation managers and their com ensation see mstruclions (b) Title and average (c) Compensation (d) Contributions to (e) Expense account,

(a) Name and address hours per week Of not paid, enter -0.) employee benefit other allowances devoted to position plans and deferred

compensation WILLIAM H CAMERON DIR PO BOX 3649 NILM NC28406 PART 0 0 . 0 NILDA C DILL DIR PO BOX 3649 WILM NC28406 PART 0 0 . 0 DANIEL D _CAMERONIJR _-_-_--- DIR 1003 LAYMOND AVE DURHAM NONE 0 0 0 See Part VII f Line 1 Strnt

of service

Pdi'FIX~1; Summary of Direct Charitable Activities

List the foundation's four far 1 direct charitable activities during the tat year Include relevant slalisliwl information such as the number of organizations and other Mn iciaria saved, conferences convened, research papers produced, etc

7 -------------------------------------------------------

-------------------------------------------------------

Expenses

2

------------------------------------------------------

3

------------------------------------------------------

a ------------------------------------------------------

------------------------------------------------------

TEEAa306 lorrlA2 BAA

c wm nsauun v~ irvo rn nesr aye em w m wner loan tnvsa mciuaea on una i- see u (a) Name and address of each employee (b) Title and average (c) Compensation

paid more than 50,000 hours per week devoted to position

NONE N/A N/A

--------------------- N/A

-------------------------

------------------------

------------------------

------------------------

Total number of other employees paid over 50,000 3 Five highest-naid Indecendent contractors for professional services -

NONE

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

--------------------------------------

--------------------------------------

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

(d) Contributions to (e) Expense account . employee benefit other allowances plans and deferred

Form990-PF(2002) DAN CAMERON FAMILY FOUNDATION, INC 56-2087335 Page7

Rmit IX-B~ Summary of Program-Related Investments (see instructions)

Describe the two lar gest program related invesbnents made b the foundation during the tax ear on lines 1 and 2 Amount 1 NONE

------------------------------------------------------- 0

2

-------------------------------------------------------

All other program related investments See instructions 3

------------------------------------------------------

Total . Add lines 1 through 3 " None

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

1 Fair market value of assets not used (or held for use) directly in carrying out charitable, etc, purposes a Average monthly fair mantel value of securities 1 e 2 , 787 , 149 b Average of monthly cash balances 1 b 38 , 112 c Fair market value of all other assets (see instructions) 1 c dTotal (addlines la,bandc) 1d 2,825,261 e Reduction claimed for blockage or other factors reported on lines la and lc

(attach detailed explanation) I le i 2 Acquisition indebtedness applicable to line 1 assets 2 0 3 Subtract line 2 from line 1 d 3 2,825,261 4 Cash deemed held for charitable activities Enter I-12% of line 3 (for greater amount, see instructions) 4 42 , 379 5 Nat value of nonchanlable-use assets . Subtract line 4 from line 3 Enter here and on Part V, line 4 5 2 . 782 .882 6 Minimum Investment return . Enter 5% of line 5 6 139-144

~Distrlbutable Amount (see instructions) (Section 49420(3) and 0)(5) private operating foundations and certain foreign organizations check here 11~ X and do not complete this art

1 Minimum investment return horn Part X, line 6 1 2a Tax on investment income for 2002 horn Part VI, line 5 2, 1 b Income tax for 2(102 (This does not include the tax horn Part VI ) 2b c Add lines 2a and 2b

3 Distributable amount before adjustments Subtract line 2c horn line I 3 4a Recoveries of amounts treated as qualifying distributions 4e b Income distributions horn section 4947(a)(2) trusts 4b c Add lines 4a and 4b qc

5 Add lines 3 and 4c 5 6 Deduction horn distriDutabie amount (see instructions) 6 7 Distnbutable amount as adjusted Subtract line 6 horn line 5 Enter here and on Part XIII, line 1 7

Part XR . Qualifying Distributions (see instructions)

1 Amounts paid ( including administrative expenses) to accomplish charitable, etc, purposes a Expenses, contributions, gifts, etc - total horn Part I, column (a line 26 1 a b Program-related investments - Total horn Part IX B I lbi 0

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

3 Amounts set aside for specific charitable projects that sassy the a Suitability test (poor IRS approval require b Cash distribution test (attach the required schedule)

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

5 Organizahau that quality under section 4940(e) for the reduced rate of tax on net investment income Enter 1 % of Part I, line 27b (see instructions)

6 Adjusted qualifying distributions. Subtract line 5 from line 4

TEEAVi07 I OZA2

Note. The amount on line 6 will be used m Part V, column (b) m subsequent years when calculating wh_=Lhsr L ̂e !c .:nCc:icn ~.aLfes fur lire secLon dyA((e) reouctron of fax m thaw years

BAA Form 990-PF (200Z)

Form990-PF(2002) DAN CAMERON FAMILY FOUNDATION, INC 56-2087335 Page e

Part.~~l Undistributed Income (see instructions)

~0 22 (b)

Years prior to 2001 I

~~`a`. .

(a) Corpus

W cyo n ~^ 1 Distributable amount for 2002 from Part XI, Ga cq°oyr;y~~~~,

line 7 R9� ..~,~ ~ ,ur 2 Undistributed income, d any, as of the end 012001 a Enter amount for 2001 only b Total for poor years 20_, 19_ , 19 s ~s-r°'~ a"K°s°°= '~ ;. ~°

3 Excess distributions carryover, A any, to 2002 0 From 1997 O '3''F i

. EftF°;.o~`.` ;K~~

F..F4~J~.W. Z.o,~nioh,

b From 1998

c From 1999 a ~'.

d From 2000 a From 2001 0 ` ~` °' ̀ ~~ ~s 1 Total of lines 3a through e 0

'^k ;'a~8t°;Go' 4 Qualifying distributions for 2002 from Part ~ ~s~o~£~`~ k 3 b~( a `5 ~( & ~.. X~~~ line 4 11~ ~ 0

a Applied to 2001, but not more than line 2a

b A~ plied to undistributed income of prior years (tlec6on required - see instructions) +"s =: ,°~~

c Treated as distributions out of corpus (Election required - see instructions)

d Applied to 2002 distributable amount a Remaining amount distributed out of corpus 0

5 Excess distributions carryover applied to 2002 (flan amount appears in column (d), the same amount must be shown in column (a) )

141 . 360

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BAA Form 990-PF (200

6 Enter the net total of each column as Indicated below:

a Corpus Add lines 3f, k, and le Subtract line 5

b Prior years' undistributed income Subtract line 4b from line 2b

c Enter the amount of prior years' undistribut ed 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 Cx from line 6b Taxable amount - see instructions

e Undistributed income for 2001 Subtract line 4a from line 2a Taxable amount - see instructions

f Undistributed income for 2002 Subtract lines 4d and 5 from line I This amount must be distributed in 2003

7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(E) or 4942(g)(3) (see instructions)

B Excess distributions car ryover from 1997 not applied on line 5 or tine 7 (see instructions)

9 Excess distributions carryover l0 2003 Subtract lines 7 and 8 from line 6a

10 Analysis of line 9 e Excess from 1998 0 b Excess from 1999 0 c Excess from 2000 0 d Excess from 2001 0 a ExCees from ZGi[ 0

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d Arr, restracLOrs ur Ininlalions on awaros, such as by geographical areas, charitable fields, kinds of institutions, or other factors NONE

BAA teeAuaos iorz3AZ Form 990-PF (2002)

DAN CAMERON FAMILY FOUNDATION Ooeratina Foundations tree instructions

1 s If the foundation has received a ruling or determination letter that it is a private operating foundation, and the ruling is effective la 2002, enter the date of the ruling

b Check box to indicate whether the organization is a private opera6nq founda4on described in section n 4942(i)(3 2& Enter the lessee of the adjusted net Tax ear Prior 3 ears

income from Part I w the minimum 2002 2001 c2000 d 1999 a Total investrnent rehurn from Part X for a each year listed 62 , 197 . 49 723 . 175 , 249 207 , 157 494 , 326

b e5% of pine 2a 52 , 867 42 .265 . 148 , 962 176 . 083 420 , 177 c Qualifying distributions from Part X1 I,

line 4 for each year listed 0 0 0 0 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 0 0 0 Non

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 a942U)(d)(B)(i) b EndwmenY alternative lest - 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 exrem t organizations as provided m section P912Qx3xBxw)

(3) Largest amount of support from en exempt organiza4on

01 If the oramhallon hid 55 .000 or more In assets at anv time donna the

1 Information Regarding Foundation Managers

a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation before the close of any tax year (but only if they have contributed more than 5,000) (See section 507(d)(2) ) NONE

b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the ownership of a partnership or other entity) of which the foundation has a 10% or greater interest NONE

2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc, Programs : Check here 0 El if the organization only makes contributions to preselected charitable organizations and does not accept unsolicited requests for lands If the organization makes grits, grants, etc, (see instructions) to individuals or organizations under other conditions, complete items 2a, b, c, and d

a The name, address, and telephone number of the person to whom applications should be addressed WILLIAM H . CAMERON PO BOX 3649 WILMINGTON NC 28406 (910) 762-2676

b The form in which applications should be submitted and information and materials they should include N/A

c Any submission deadlines . N/A

I I Total ~ 3b 0

BAA TEeA03io iomuz Form 990-PF CM2)

rt Vj 'F M rm

99% PF(2oo2) DAN CAMERON FAMILY FOUNDATION, INC 56-2087335 Page 10 -~a

" Supplementary Information (continued)

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

Recipient If recipient is an individual, Foundation Purpose show anY relationship W any pose of grant or Amount tounaatwn manager or status of contribution

Name and address (home or business substantial contributor recipient a Paid during the year

WILMINGTON YOUNG LIFE NONE COMMUNITY SERV 3,000

ST ANDREWS COVENENT CHURCH NONE RELIGIOUS 11 .136

MANBITES DOG THEATRE NONE ARTS 1,500

DURHAM ARTS COUNCIL NONE ARTS 10,000

JFK SCHOOL PREFORM ARTS NONE ARTS 1,000

CAROLINA THEATRE DURHAM NONE ARTS 1,000

CHILDRENS MUSEUM NONE EDUCATIONAL 750

PRAYER/BIBLE CHURCH GOD NONE RELIGIOUS 500

NC ZOOLOGICAL SOCIETY NONE EDUCATIONAL 500

NEW HANOVER MEDICAL FOUND NONE EDUCATIONAL 500

LOWER CAPE FEAR HOSPICE NONE COMMUNITY SERV 1,000

CAPE FEAR ACADEMY ENDOWNMENT NONE EDUCATIONAL 500

GOOD SHEPHERD HOUSE NONE COMMUNITY $ERV 21,680

HUMANE SOCIETY NONE COMMUNITY SERV 500

WASHINGTON PERFORM ARTS NONE ARTS 2,000

See Line 3a statement 85,794

Total ~ 3a 141,360 b Approved for future payment

NONE NONE N/A 0

Enter gross amounts unless otherwise indented

EXclu-sm

(a) Business code

c d e f g Fees and contracts from government agencies

2 Membership dues and assessments 3 Interest m sannps and temporary rash imwhrients 4 Dividends and interest from securities 5 Net rental income or (loss) from real estate a Debt-financed property b Not debt-financed property

6 Net rental inrnne, a (loss) from personal property 7 Other investment income B Gain rc (Ion) from sales al assets other than urventory 9 Net income or (loss) from special events 10 Gross profit or Qoss) from sales of inventory 11 Other revenue

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

Form 990-PF (200 BM TEEA0501 01mu3

Form 990PF(2002) DAN CAMERON FAMILY FOUNDATION, INC 56-2087335 Page 11

artXYi-s; Analysis of Income-Producing Activities

1 Program service revenue

b

(b) Mroimt

7 .087

(d) Mrount

e Related o~ exempt function income

d e

12 Subtotal Add columns (b), (d), and (e) ~,'=='~°~"~= ] -27,703 ":t 13 Total . Add line 12, columns (b), (d), and (e) 13 -27,703

(See worksheet in the instructions for line 13 to verify calculations )

drt XVI=B ° Relationship of Activities to the Accomplishment of Exempt Purposes

Fortn990-PF DAN CAMERON FAMILY FOUNDATION, INC 56-2087335 f PE XVII>;t's 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 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizahons7 ak°'°~°`R}

a Transfers from the reporting organization to a noncharitable exempt organization of (1) Cash 1 a (1) (2) Other assets 1 a

b Other Transactions ° "~° (1) Sales of assets to a noncharitable exempt organization ~ 1 to7Y (2) Purchases of assets from a noncharitable exempt organization 1 b (3) Rental of facilities, equipment, or other assets 7 y (4) Reimbursement arrangements 7 y q (5) Loans or loan guarantees 1 b 5 (6) Performance of services or membership or fundraising solicitations 1 b 6

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

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 re PorGng organization If the organization received less than fair market value in any transaction or sharing arrangement, show in co umn (d) the value of the goods , other assets , or services received

(a) Line no (b) Amount involved (e) Name al nonchanfable exempt oroanrzation (d) Descnohon of transfers . transactions . and xlurinn arrannemel

X

2e Is the organization 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 oroanizalion (b) Twe of oraarnzation tee nosr

E ] Yes XQ No

BAA

TEEA0502

12

No

x

X X

V WaW

Hero I Paid I ~~N'w

hat 1 have eiumexed this nWm rticYdinp w preparer (other than taxpayer a IWwry) is

Form 990-PF Capital Gains and Losses for Tax 2002 Part iv, une 1 on Investment Income Statement Attach to return

Name Employer ID No DAN CAMERON FAMILY FOUNDATION, INC 56-2087335

Copy Number 1 of 4

(a) List and describe the kind(s) of property sold (b) How (c) Date (d) Dale (e g ,real estate, 2-story back warehouse, or acquired acquired sold common stock, 200 shares MLC Company) P-Purchase (month, (month,

D-Donation day, year) day, year)

1a APPLIED MICRO P 05/14/01 04/30/02 bAPPLIED MICRO P 05/29/01 05/15/02 cAPPLIED MICRO P 12/13/01 05/15/02 dBEA SYS P 11/28/00 04/30/02 e BEA SYS P 05/07/01 05/30/02 ( BEA SYS P 02/04/02 07/29/02 gBRANCH BANK & TR D 06/18/98 11/01/02 hCALPINE CORP P 01/14/02 05/30/02 I CALPINE CORP P 03/11/02 05/30/02 J CALPINE CORP P 04/04/02 05/30/02

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

-3,086 -2,958

-526 -4,675 -4,604 -2,156 12,020 -1,004

-352 -252

p) Gains (column (h) gain minus column (k), but not less than -0 )

or losses (from column (h))

-3,086 -2,958

-526 -4,675 -4,604 -2,156 12,020 -1,004

-352 -252

TEEw16015ai 1012iu2

(e) Gross sales price (p Deprecation allowed (g) Cost or other basis (or allowable) plus expense of sale

a 1,314 4,400 b 1,442 4,400 c 721 1,247 d 1,025 5,700 e 2,196 6,800 1 1,244 3,400 9 99,897 87,877 h 1,896 2,900 I 948 1,300 J 948 1,200

Complete only for assets showing gam in column (h) and owned by the foundation on 12131/69

Q) Fair Market Value Q) Adjusted basis (k) Excess of column (i) as of 12/31/69 as of 12/31/69 over column Q), if any

a b c d e

9 h I 1

Form 990-PF Capital Gains and Losses for Tax 2002 Part IV, Line 1 on Investment Income Statement Attach to return

Name Employer ID No DAN CAMERON FAMILY FOUNDATION, INC . 56-2087335

Copy Number 2 of 4

(b) How (c) Date (d) Dale acquired acquired sold

P Purchase (month, (month, D-Donation day, year) day, year)

(a) List and describe we kind(s) of property sold (e g , real estate, 2 story back warehouse, or common stock, 200 shares MLC Company)

1a CELESTICA P 02/07/01 04/30/02 bCELESTICA P 02/09/01 07/29/02 c CELESTICA P 03/26/01 07/29/02 dCI5C0 SYSTEMS P 01/25/00 11/27/02 e CI5C0 SYSTEMS P 01/31/00 11/27/02 f FLEXTRONICS P 04/29/02 06/27/02 gINTEI P 09/26/02 10/28/02 h JM SMUCKER D 06/]9/98 06/27/02 i MICROMUSE P 05/19/00 04/30/02 J MICROMUSE P 10/15/O1 05/30/02

(h) Gain or (loss) (e) plus (0 minus (g)

-4,030 -4,082 -1 .482 -3,907 -3,607 . -2,960 -5,178

-8 -6,220 -1,485

-4,030 -4,082 -1,482 -3,907 -3,607 -2,960 -5,178

-8 -6 .220 -1,485

TEEW1601 SCR 10/2102

(e) Gross sales price (Q Depreciation allowed (g) Cost or other basis (or allowable) plus expense of sale

a 2,730 6,760 b 2,018 6,100 c 2,018 3,500 d 1,493 5 .400 e 1,493 . 5,100 . 1 3,790 . 6,750 9 3 .422 8,600 h 338 346 I 1,680 7,900 J 2,094 3,579 .

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

() Fair Market Value Q) Adjusted basis (k) Excess of column (i) as of 12/31/69 as of 12/31169 over column 0), if any

a b c d e f 9 h I 1

p) Gains (column (h) gain minus column (k), but not less than -0-)

or losses (from column (h))

Form 990-PF Capital Gains and Losses for Tax 2002 Part IV, Line 1 on Investment Income Statement Attach to return

Name Employer ID No DAN CAMERON FAMILY FOUNDATION . INC 56-2087335

Copy Number 3 0l 4

(a) List and describe the kind(s) of property sold (b) How (c) Date (d) Date (e g , real estate, 2-story brick warehouse, or acquired acquired sold common stock, 200 shares MLC Company) P~Purchase (month, (month,

D-Donation day, year) day, year)

1a NOBLE P 01/30/02 08/26/02 bNOKIA P 10/17/00 09/30/02 cNOKIA P 06/14/01 09/30/02 dRF MICRO DEVICES P 08/10/00 03/28/02 eRF MICRO DEVICES P 08/10/00 06/27/02 f RF MICRO DEVICES P 09/18/00 06/27/02 gRF MICRO DEVICES P 05/30/01 06/27/02 hRF MICRO DEVICES P 03/13/02 06/27/02 I SIEBEL SYS P 02/09/01 04/30/02 J SIEBEL SYS P OS/11/O1 08/06/02

(e) Gross sales priced (Q Depreciation allowed (g) Cost or other basis (h) Gain or (loss) (or allowable) plus expense of sale (e) plus (0 minus (g)

a 6,590 b 5,340 c 1,335 d 1,791 e 668 1 1,336 g 668 h 668 I 2,372 J 900

6 .200 12,800 2,253 3,400 3,400 6,800 2,500 1,800 5,900 4,100 .

390 -7,460

-918 -1,609 -2,732 -5,464 -1,832 -1,132 -3,528 -3,200 .

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

Q) Gams (column (h) gain minus column (k), but not less than -0-)

or losses (from column (h))

() Fair Market Value 0) Adjusted basis as of 12/31/69 I as of 12/31/69

(k) Excess of over column

column (i) 0), d any

390 -7,460

-918 -1,609 -2,732 -5,464 -1,832 -1,132 -3,528 -3,200

h 1

TEEwisa1 spa iomuz

a b c

e r

Form 990-PF Capital Gains and Losses for Tax 2002 Part IV, line i on Investment Income Statement Attach to return

Name Employer ID No DAN CAMERON FAMILY FOUNDATION . INC 56-2087335

Copy Number 4 0(

(a) List and describe the kind(s) of property sold (e g , real estate, 2-story brick warehouse, or common stock, 200 shares MLC Company)

(b) How (c) Date (d) Dale acqwred

acquired sold

P Purchase (month, (month, D-Donation day, year) day, year)

laSIEBEI SYS bSIEBEI SYS cSIEBEL SYS dSUN MICRO eVERITAS fVERITAS

08/15/02 08/15/02 08/15/02 12/30/02 03/28/02 04/30/02 05/30/02 05/30/02 Various 10/28/02

P OS/11/O1 P 07/30/01 P 12/03/01 P O1/OS/00 P 01/25/00 P 01/25/00

ri

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

-3,278 -2,478 -1,350

-15,905 -2,648 -3,455 -1,585 -1,370

35 -2 .654

Q) Gains (column (h) gain minus column (k), but not less than -0~)

or losses (from column (h))

-3,278 -2,478 -1,350

-15,905 -2,648 -3,455 -1,585 -1,370

35 -2,654

TEEW1601 SCR 1012102

gVERITAS P hVERITAS P i FRAC SHRS P FORD MOTOR BOND P

(e) Gross sales price (Q Depreciation allowed (g) Cost or other basis (or allowable) plus expense of sale

a 822 4,100 b 822 3,300 c 822 2,172 . d 1,595 17,500 . e 2,219 4,867 f 1,412 4,867 g 1,115 2,700 h 2,230 3,600 I 35 0 J 18,300 . 20,954

Complete only for assets showing gain in column (h) and owned by the foundation on 12/31169

() Fair Market Value Q) Adjusted basis (k) Excess of column (i) as of 12/31/69 as of 12/31/69 over column 0), if any

a b c d e 1 9 h I 0 0 0 1

End of Year Line 10b -Investments - Corporate Stock : Book Far Market

Value Value

ABBOTT 16,170 12 .000 ABBOTT 5,150 4,000 AIRPRD 20 .190 . 21,375 AMER INTL GROUP 17,763 . 17,355 AMER INTL GROUP 8,200 8,678 AMGEN 12,400 38,672

N 13,200 9,668 1,129,650 1,043,550 299,000 278,280 497,969 565,947 15,300 3,930 9,500 6,550

32,400 3,684 19,171 2 .456 39,750 58,200 15,750 14,164 3,534 3,541 3,470 3,541

44,943 37,402 26,685 22,207 79,772 49,967 8,775 10,200 9,400 6,810 9,200 6,810 4,100 3,405 4,100 3,405

54,876 . 8,400 8,305 14,340 5,665 2,474

10,912 . 6 .634 4,445 3 .317 7,192 6,634

71,500 686 7,800 3,114 2,900 1,557 1,650 1,557 3,800 3,114

12,000 10,742 10,022 10,742 22,512 36,968

BRANCH BANK & TRUST

E

FIRST DATA FIRST DATA GENERAL ELEC

GENERAL ELEC GILEAD SCIENCES GOLDMAN SACHS GOLDMAN SACHS GOLDMAN SACHS GOLDMAN SACHS HEALTHSOUTH HOME DEPOT HOME DEPOT IDEC PHAR IDEC PHAR IDEC PHAR INTEGRATED HEALTH INTEL INTEL INTEL iNTEI JOHNSON & JOHNSON JOHNSON & JOHNSON MARSH & MCLENNAN

DAN CAMERON FAMILY FOUNDATION, INC 56-2087335

Form 990-PF, Page 1, Part I, Line 23 Llne 23 Stmt

Other expenses Rev/Ex Book Net lnvlnc Ad Net Inc INV MANAGEMENT FEES 21,394 21,394 21,394 FOREIGN TAXES 480 480 480 ADVERTISING 35 35 . 35 SUPPLIES 17 17 17

Total 21,926 21,926 21,926

Form 990-PF, Page 2, Part II, Line 10b L-1 0b Stmt

2

End of Year Book Fair Market Value Value

Line 10b - Investments - Corporate Stock:

8,650 6,552

42,970 12,980 11,724 18,940 1,555 1,555

28,722 73,757 17,961 8,152 8,152

10,102 . 10,102 5,051

49,210

PROVIDIAN RH DONNELLEY SCHLHB SUN MICRO

L B

W 4

2,923,315 2,662 211

Form 990-PF, Page 2, Part II, Line 10c L-10c Stmt

Form 990 PF, Page 6, Part VIII, Compensation Part VIII, Line 1 Stmt

(b) Title, and

average hours per week devoted to position

(a) Name and address

cC> Compensation p( not paid, enter -0 ")

(d) Contributions to employee benefit plans and deferred compensation

(e) Expense

account, other allowances

SWANNA C SALTIEL DIR 1002 VALLEY VIEW ANNARBR NONE CHARLOTTE CAMERON DIR 10202 ASPEN HILLON DR NONE

0

DAN CAMERON FAMILY FOUNDATION, INC 56.2087335

Form 990-PF, Page 2, Part II, Line 10b L-1 0b Stmt

Continued

WAL MART

Total

16,583 140

43,844 48,292 6,120 26,680 9,000 1,750

41,922 52,848 17 .985

1

End of Year LinelOc-Investments -Corporate Bonds: Book Fair Market

Value Value

FORD MOTOR DUE 2006 0 0 GMAC DUE 2004 20,004 20,394 GREENWOOD TRUST DUE 2004 20,004 20,542 MERRILL LYNCH DUE 2007 21,379 22,439 NATL RURAL UTIL DUE 2005 20,279 21,097

Total 81,666 84,472

3

Form 990~PF, Page 6, Part VIII, Compensation Part VIII, Line 1 Stmt

(e) Expense

account, other allowances

ro> Title, and

average hours per week devoted to position

(a) Name and address Compensation

Of not paid, enter -0-)

(d) Contributions to employee benefit plans and deferred compensation

0 0 0

Form 990-PF, Page 10, Part XV, line 3a Line 3a statement

If recipient is Foun- an individual, daLOn show any status

relationship to of re- any foundation cipient manager or substantial contributor

Purpose of grant or contribution

Name and address (home or business)

a Paid during the year

SALVATION ARMY NONE COMMUNITY SERV

DOHESTIC VIOLENCE NONE COMMUNITY SERV

CAPE FEAR LITERACY NONE EDUCATIONAL

GOOD FRIENDS OF WI LM NONE COMMUNITY SERV

AIDS SERVICES CARD NONE COMMUNITY SERV - - - - - - - - - - - - - - - -

DURHAM COMM LAND TTE NONE COMMUNITY SERV - ----------------- --------- ----- ------------HISTORIC PRIES SOCIETY NONE COMMUNITY SERV

UNC-N AQUATIC DEPT NONE EDUCATIONAL

COMMUNITY BOYS/GIRLS CLUB NONE COMMUNITY SERV

2,000

1,000

500

500

500

500

636

500

51,000

1,000

5,318

636

750

14,136

HOSPICE-NORTHERN VA

UNIQUE LEARNING CTR

CAMERON ART MUSEUM

THALIAN HALL

nivi~ ARBOn HEN DENIER

FIRST PRESBYTERIAN CHURCH

NONE COMMUNITY SERV

NONE EDUCATIONAL

NONE ART

NONE ART

-----------------NONE COMMUNITY SERV

NONE RELIGIOUS

DAN CAMERON FAMILY FOUNDATION, INC 56-2087335

Continued

Total

Recipient Amount

4 56-2087335

Form 990-PF, Page 10, Part XV, line 3a Line 3a statement

I( recipient is Foun- an individual, dalion show any status

relationship to of re- any foundation cipient manager or substantial contributor

Purpose of grant or contribution

Amount

Name and address (home or business)

BOYS/GORLS CLUB WASH DC ( NONE ( COMMUNITY SERV I 4,818

85,794 Total

DAN CAMERON FAMILY FOUNDATION, INC

Recipient

Continued

a Paid during the year

MAIL TO

AFFIDAVIT OF PUBLICATION

STATE OF NORTH CAROLINA COUNTY OF NEW HANOVER

Before the undersigned a Notary Public of Said County and State,

DIANE P. KEENAN r

Who, being duly sworn or firmed, according to the law, says that he/she is

CLASSIFIED ADVERTISING MANAGER

of THE WILMINGTON STAR-NEWS, INC, a corporation organized and doing business under the Laws of the State of North Carolina, and publistung a newspaper known as WILMINGTON

PUBLIC nonce MORNING STAR & SUNDAY STAR-NEWS m the City of Wilmington me annual report of me PUBLIC NOTICE The annual report o the Dan Cameron Family Foundation u avadab(e or Dan Cameron Family I 1' I Foundation is available inspection at the offrce of the undersigned during regular business hours by any citizen who !or inspection a[ [he of nce o~ the undersigned may request inspection within 180 days from the date ojthis notice, This dunnq regular business hours by any citizen who may request inspection within 180 days from the date of this notice

This Is the 2nd day of February 7003

w85 inserted in the aforesaid newspaper in space, and on dates as follows DAN CAMERON

FAMILY FOUNDATION 4o William x Cameron 212 Ix 1101 Glen Meade Road WllmlnQ[on NC 38401

1910) 762 7676

And at the time of such publication Wilmington Sear-News was a newspaper meeting all the requirements and qualifications prescribed by Sec o 1-597 G S of N C

Title CLASSIFIED ADVER MGR S rn or affirmed to, and subscribed before me this ea~/ day of

AD, ~uuuu~~np~~i

In Testimony hereof, 1 have hereunto set my d and affixed mXdl '9'LFa~the a ~Y year aforesaid ~.c Q.) . 6

, F, '.~

My commission expires _y__

day of ~, 20_1; v(14u g~

Upon reading the aforegoing affidavit with the advertisement thereto annexed it is adjudged by the Court that the said publication was duly and properly made, and that the summons has been duly and legally served on the defendant(s)

This day of

Clerk of Superior Court