STATE OF WEST VIRGINIA

UNIFIED REGISTRATION STATEMENT SUPPLEMENT

����������� This supplement must be completed in its entirety, attached to the Unified Registration Statement and filed with the Secretary of State.

1.      Actual amount of funds raised in West Virginia during the last fiscal reporting year [see �29-19- 5(a)(6)]:$____________________________________________.

2.      Amount disbursed for program services in West Virginia during the period covered in this report [see �29-19-5(a)(6)]:$_____________________________.

Explain:________________________________________________________.

3.      Amount disbursed for charitable purposes outside West Virginia during the same period:$______________________________________________________.

Explain:________________________________________________________.