MARY M PECKMAN TR FBO CHEN MEM HOSPITAL: Form 990PF, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- MARY M PECKMAN TR FBO CHEN MEM HOSPITAL (EIN 15-6017708)
- Tax period
- 2023-04-01 to 2024-03-31
- Filed
- 2024-08-07
- IRS object ID
- 202422209349100222
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Accounting Fees Schedule
- Investments Other Schedule2
- Other Decreases Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-08-07T14:01:15-05:00 | ReturnTs |
| Tax Period End | 2024-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 920460586 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PWC US TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 E CAMELBACK ROAD STE 475 | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85018 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2023-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 156017708 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY PECKHAM FBO CHENANGO MEM HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PECK | BusinessNameControlTxt |
| Phone | 6073376136 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O NBT BANK NA 52 S BROAD ST | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NBT BANK NA | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 6073376136 | PhoneNum |
| Signature | 2024-07-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JEFFREY E KUHLIN | PreparerPersonNm |
| PTIN | P00353001 | PTIN |
| Phone | 4123556000 | PhoneNum |
| Preparation | 2024-07-12 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-08-08 14:25:15Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $3,373,773 | FMVAssetsEOYAmt |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $98,986 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $98,986 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $20,030 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $499,288 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $20,030 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Other Income Rev And Expnss | $1,272 | OtherIncomeRevAndExpnssAmt |
| Total Rev And Expnss | $120,288 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $119,016 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $28,950 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $26,055 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $2,895 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $0 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $0 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Adj Net Incm | $0 | PensionEmplBnftAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $730 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $730 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $1,755 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $1,755 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $0 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Adj Net Incm | $0 | TravConfMeetingAdjNetIncmAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Adj Net Incm | $0 | PrintingAndPubAdjNetIncmAmt |
| Other Expenses Rev And Expnss | $250 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Dsbrs Chrtbl | $250 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $31,685 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $27,810 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $3,875 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $160,614 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $160,614 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $192,299 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $27,810 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $164,489 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$72,011 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $91,206 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $37,744 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $41,417 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $41,417 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl EOY | $0 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $0 | AcctRcvblEOYFMVAmt |
| Other Rcvbl Allwnc Dbtfl Acct | $0 | OtherRcvblAllwncDbtflAcctAmt |
| Other Investments BOY | $3,023,147 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $2,947,459 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $3,332,356 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $3,060,891 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,988,876 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $3,373,773 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $3,060,891 | CapitalStockBOYAmt |
| Capital Stock EOY | $2,988,876 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $3,060,891 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $2,988,876 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $3,060,891 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $2,988,876 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $3,060,891 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$72,011 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $2,988,880 | SubtotalAmt |
| Other Decreases | $4 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $2,988,876 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (116 entries)
| PropertyPropertyDesc | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | AcquiredAcquiredDt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|---|---|
| 243.77 INVESCO OPPENHEIMER INTL GROWTH Y | 2023-06-22 | $9,195 | $11,944 | -$2,749 | -$2,749 | ||
| 185.105 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO | 2023-06-22 | $3,430 | $4,156 | -$726 | -$726 | ||
| 172.179 DFA EMERGING MKTS PORTFOLIO | 2023-06-22 | $4,685 | $5,578 | -$893 | -$893 | ||
| 19.6 DIAMOND HILL SMALL-MID CAP FUND | 2023-06-22 | $470 | $452 | $18 | $18 | 2022-06-17 | |
| 287.949 DODGE & COX INTL STOCK FUND | 2023-06-22 | $13,620 | $10,909 | $2,711 | $2,711 | ||
| 38.863 DODGE & COX GLOBAL BOND FUND | 2023-06-22 | $410 | $459 | -$49 | -$49 | 2021-03-16 | |
| 191.121 FIDELITY 500 INDEX FUND | 2023-06-22 | $29,165 | $19,699 | $9,466 | $9,466 | ||
| 136.977 FIDELITY SMALL CAP INDEX FUND | 2023-06-22 | $3,145 | $2,862 | $283 | $283 | ||
| 310.811 FIDELITY EMERGING MKTS INDEX FUND | 2023-06-22 | $3,105 | $3,763 | -$658 | -$658 | ||
| 80. ISHARES MSCI EAFE GROWTH ETF | 2023-06-22 | $7,590 | $6,468 | $1,122 | $1,122 | 2019-09-17 | |
| 543.291 JPMORGAN LARGE CAP GROWTH I | 2023-06-22 | $29,680 | $31,112 | -$1,432 | -$1,432 | ||
| 20. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX | 2023-09-18 | $830 | $876 | -$46 | -$46 | 2022-12-21 | |
| 120. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX | 2023-09-18 | $4,979 | $4,504 | $475 | $475 | 2021-09-15 | |
| 287.418 COLUMBIA DIVIDEND INCOME INST3 | 2023-09-19 | $8,795 | $6,927 | $1,868 | $1,868 | 2020-09-16 | |
| 93.15 DODGE & COX INTL STOCK FUND | 2023-09-19 | $4,515 | $3,439 | $1,076 | $1,076 | 2018-12-19 | |
| 204.706 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND | 2023-09-19 | $1,740 | $2,025 | -$285 | -$285 | 2017-03-13 | |
| 45.046 FIDELITY 500 INDEX FUND | 2023-09-19 | $6,970 | $3,927 | $3,043 | $3,043 | 2018-12-19 | |
| 101.016 JPMORGAN LARGE CAP GROWTH I | 2023-09-19 | $5,570 | $4,973 | $597 | $597 | ||
| 49.296 INVESCO OPPENHEIMER INTL GROWTH Y | 2023-10-03 | $1,680 | $1,771 | -$91 | -$91 | 2023-09-19 | |
| 178.571 COLUMBIA DIVIDEND INCOME INST3 | 2023-10-03 | $5,200 | $5,305 | -$105 | -$105 | ||
| 71.47 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO | 2023-10-03 | $1,220 | $1,282 | -$62 | -$62 | ||
| 60.142 DFA EMERGING MKTS PORTFOLIO | 2023-10-03 | $1,530 | $1,575 | -$45 | -$45 | ||
| 139.269 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO | 2023-10-03 | $1,220 | $1,441 | -$221 | -$221 | 2022-11-15 | |
| 68.243 DIAMOND HILL SMALL-MID CAP FUND | 2023-10-03 | $1,530 | $1,617 | -$87 | -$87 | ||
| 73.359 DODGE & COX INTL STOCK FUND | 2023-10-03 | $3,365 | $2,708 | $657 | $657 | 2018-12-19 | |
| 18.555 DODGE & COX GLOBAL BOND FUND | 2023-10-03 | $187 | $190 | -$3 | -$3 | ||
| 42.021 DODGE & COX GLOBAL BOND FUND | 2023-10-03 | $423 | $497 | -$74 | -$74 | 2021-03-16 | |
| 602.224 DODGE & COX INCOME FUND | 2023-10-03 | $7,040 | $7,492 | -$452 | -$452 | 2023-06-22 | |
| 369.565 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND | 2023-10-03 | $3,060 | $3,119 | -$59 | -$59 | 2023-06-22 | |
| 35.295 FIDELITY 500 INDEX FUND | 2023-10-03 | $5,200 | $3,077 | $2,123 | $2,123 | 2018-12-19 | |
| 71.229 FIDELITY SMALL CAP INDEX FUND | 2023-10-03 | $1,530 | $1,566 | -$36 | -$36 | ||
| 162.593 FIDELITY EMERGING MKTS INDEX FUND | 2023-10-03 | $1,530 | $1,571 | -$41 | -$41 | ||
| 914.948 FIDELITY US BOND INDEX INSTL PREMIUM | 2023-10-03 | $8,875 | $9,387 | -$512 | -$512 | 2023-06-22 | |
| 623.303 FIDELITY INFLATION PROTECTED BOND INSTL PREM | 2023-10-03 | $5,510 | $5,869 | -$359 | -$359 | ||
| 60. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX | 2023-10-03 | $2,339 | $2,402 | -$63 | -$63 | 2023-06-22 | |
| 15. ISHARES MSCI EAFE GROWTH ETF | 2023-10-03 | $1,260 | $1,343 | -$83 | -$83 | 2023-09-18 | |
| 70.078 JPMORGAN LARGE CAP GROWTH I | 2023-10-03 | $3,670 | $3,125 | $545 | $545 | ||
| 88.856 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND | 2023-10-03 | $1,220 | $1,319 | -$99 | -$99 | 2023-06-22 | |
| 168.969 LOOMIS SAYLES BOND FUND | 2023-10-03 | $1,835 | $1,923 | -$88 | -$88 | 2023-06-22 | |
| 473.881 DFA EMERGING MKTS PORTFOLIO | 2023-12-18 | $12,700 | $12,846 | -$146 | -$146 | ||
| 165.179 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO | 2023-12-18 | $1,665 | $2,175 | -$510 | -$510 | 2021-09-15 | |
| 120.48 DIAMOND HILL SMALL-MID CAP FUND | 2023-12-18 | $3,065 | $2,675 | $390 | $390 | ||
| 27.752 DODGE & COX GLOBAL BOND FUND | 2023-12-18 | $300 | $328 | -$28 | -$28 | 2021-03-16 | |
| 6752.796 DODGE & COX INCOME FUND | 2023-12-18 | $84,545 | $98,350 | -$13,805 | -$13,805 | ||
| 156.518 FIDELITY SMALL CAP INDEX FUND | 2023-12-18 | $3,830 | $3,132 | $698 | $698 | ||
| 1514.315 FIDELITY EMERGING MKTS INDEX FUND | 2023-12-18 | $14,810 | $15,737 | -$927 | -$927 | ||
| 4916.586 FIDELITY US BOND INDEX INSTL PREMIUM | 2023-12-18 | $50,985 | $61,219 | -$10,234 | -$10,234 | ||
| 25. ISHARES MSCI EAFE GROWTH ETF | 2023-12-18 | $2,376 | $2,021 | $355 | $355 | 2019-09-17 | |
| 77.299 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND | 2023-12-18 | $1,185 | $1,255 | -$70 | -$70 | 2021-09-15 | |
| 2874.891 LOOMIS SAYLES BOND FUND | 2023-12-18 | $33,090 | $41,655 | -$8,565 | -$8,565 | ||
| 107.759 INVESCO OPPENHEIMER INTL GROWTH Y | 2024-03-19 | $4,000 | $5,141 | -$1,141 | -$1,141 | 2021-03-16 | |
| 406.808 COLUMBIA DIVIDEND INCOME INST3 | 2024-03-19 | $13,445 | $10,236 | $3,209 | $3,209 | ||
| 80.998 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO | 2024-03-19 | $1,590 | $1,584 | $6 | $6 | ||
| 93.884 DFA EMERGING MKTS PORTFOLIO | 2024-03-19 | $2,625 | $2,339 | $286 | $286 | ||
| 6.047 DIAMOND HILL SMALL-MID CAP FUND | 2024-03-19 | $160 | $143 | $17 | $17 | 2022-12-21 | |
| 112.899 FIDELITY 500 INDEX FUND | 2024-03-19 | $20,350 | $13,420 | $6,930 | $6,930 | ||
| 50. ISHARES MSCI EAFE GROWTH ETF | 2024-03-19 | $5,157 | $4,063 | $1,094 | $1,094 | ||
| 408.756 JPMORGAN LARGE CAP GROWTH I | 2024-03-19 | $28,290 | $18,287 | $10,003 | $10,003 | ||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P | |||||
| CAPITAL GAIN DIVIDENDS | $17,802 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $20,030 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,268 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,268 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,268 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $928 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $928 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $340 | TaxDueAmt |
| Applied To ES Tax | $0 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | NY | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NBT BANK NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6073376136 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 52 S BROAD STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (true) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NBT BANK NA | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 52 SOUTH BROAD STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | TRUSTEE | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 1 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $28,950 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $3,177,261 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $58,543 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $3,235,804 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $3,235,804 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $48,537 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $3,187,267 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $159,363 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $159,363 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,268 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,268 | TotalTaxAmt |
| Distributable Before Adj | $158,095 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $158,095 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $158,095 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $164,489 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $164,489 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $158,095 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $0 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $5,514 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $981 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $0 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $31,792 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $38,287 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $164,489 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $158,095 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $6,394 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $44,681 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $44,681 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $5,514 | ExcessFromYear4Amt |
| Excess From Year3 | $981 | ExcessFromYear3Amt |
| Excess From Year2 | $0 | ExcessFromYear2Amt |
| Excess From Year1 | $31,792 | ExcessFromYear1Amt |
| Excess From Current Year | $6,394 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHENANGO MEMORIAL HOSPITAL | BusinessNameLine1Txt |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Relationship | NONE | RecipientRelationshipTxt |
| Recipient Foundation Status | PC | RecipientFoundationStatusTxt |
| Grant Or Contribution Purpose | GENERAL OPERATING | GrantOrContributionPurposeTxt |
| Amt | $160,614 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $160,614 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp | |
| Int On Sav And Temp Cash Invst | IntOnSavAndTempCashInvstGrp |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $98,986 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Income | OtherInvestmentIncomeGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $20,030 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEDERAL TAX REFUND | Desc |
| Exclusion | 1 | ExclusionCd |
| Exclusion | $1,272 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $120,288 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $120,288 | TotalIncomeProducingActyAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Rln Of Acty To Accom Of Exmpt Prps | RlnOfActyToAccomOfExmptPrpsGrp |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREPARATION FEE (NON-ALLOC | CategoryTxt |
| Amt | $730 | Amt |
| Disbursements Charitable Prps | $730 | DisbursementsCharitablePrpsAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (20 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| DFA INTERNATIONAL SMALL CO POR | AT COST | $60,807 | $68,137 |
| DFA GLOBAL REAL ESTATE SEC POR | AT COST | $67,453 | $68,899 |
| DIAMOND HILL SMALL-MID CAP FD | AT COST | $54,409 | $87,377 |
| DFA EMERGING MKTS PORT | AT COST | $71,381 | $84,184 |
| DODGE & COX INCOME FD | AT COST | $420,596 | $386,019 |
| DODGE & COX INTL STOCK FD | AT COST | $119,370 | $187,668 |
| LOOMIS SAYLES BD FD | AT COST | $117,069 | $101,225 |
| LAZARD GLOBAL LISTED INFRASTRU | AT COST | $60,946 | $67,696 |
| FEDERATED INSTITUTIONAL HIGH Y | AT COST | $183,068 | $168,610 |
| FLEXSHARES MSTAR GLBL UPSTRM N | AT COST | $112,083 | $137,995 |
| FIDELITY US BOND INDEX INSTL P | AT COST | $547,308 | $490,993 |
| FIDELITY INFLATION PROECTED BO | AT COST | $325,166 | $305,127 |
| FIDELITY 500 INDEX FUND | AT COST | $140,166 | $291,392 |
| DODGE & COX GLOBAL BOND FUND | AT COST | $34,943 | $33,567 |
| JPMORGAN LARGE CAP GROWTH I | AT COST | $121,074 | $204,518 |
| INVESCO OPPENHEIMER INTL GROWT | AT COST | $86,920 | $92,668 |
| ISHARES MSCI EAFE GROWTH ETF | AT COST | $71,590 | $93,411 |
| FIDELITY EMERGING MKTS INDEX F | AT COST | $83,107 | $84,336 |
| COLUMBIA DIVIDEND INCOME INST3 | AT COST | $207,448 | $290,436 |
| FIDELITY SMALL CAP INDEX FUND | AT COST | $62,555 | $88,098 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ROUNDING | Desc |
| Amt | $4 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | STATE FILING FEE | Desc |
| Revenue And Expenses Per Books | $250 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $250 | DisbursementsCharitablePrpsAmt |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEDERAL TAX REFUND | Desc |
| Revenue And Expenses Per Books | $1,272 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES ON QUALIFIED FOR | $1,347 | $1,347 | $0 |
| FOREIGN TAXES ON NONQUALIFIED | $408 | $408 | $0 |