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MARY M PECKMAN TR FBO CHEN MEM HOSPITAL: Form 990PF, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
MARY M PECKMAN TR FBO CHEN MEM HOSPITAL (EIN 15-6017708)
Tax period
2022-04-01 to 2023-03-31
Filed
2023-08-10
IRS object ID
202302229349101100
Schema version
2022v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-08-10T21:00:17-05:00ReturnTs
Tax Period End2023-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN920460586PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PWC US TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11850 N CENTRAL AVE STE 700AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85004ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2022-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN156017708EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARY PECKHAM FBO CHENANGO MEM HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPECKBusinessNameControlTxt
Phone6073376191PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O NBT BANK NA 52 S BROAD STAddressLine1Txt
CityNORWICHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13815ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNBT BANK NAPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone6073376191PhoneNum
Signature2023-08-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrfalseIRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY E KUHLINPreparerPersonNm
PTINP00353001PTIN
Phone4123556000PhoneNum
Preparation2023-08-01PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

FieldValueIRS element (for citing)
Trusted CustomerTrustedCustomerGrp
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$3,207,917FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$95,079DividendsRevAndExpnssAmt
Dividends Net Invst Incm$95,079DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$8,667NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$345,426GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$86,412TotalRevAndExpnssAmt
Total Net Invst Incm$95,079TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$29,661CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$26,695CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$2,966CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$730AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$730AccountingFeesChrtblPrpsAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$6,291TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,651TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Other Expenses Rev And Expnss$250OtherExpensesRevAndExpnssAmt
Other Expenses Dsbrs Chrtbl$250OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$36,932TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$28,346TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$3,946TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$188,460ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$188,460ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$225,392TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$28,346TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$192,406TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$138,980ExcessRevenueOverExpensesAmt
Net Investment Income$66,733NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$38,406SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$37,744SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$37,744SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Other Investments BOY$3,161,482OtherInvestmentsBOYAmt
Other Investments EOY$3,023,147OtherInvestmentsEOYAmt
Other Investments EOYFMV$3,170,173OtherInvestmentsEOYFMVAmt
Total Assets BOY$3,199,888TotalAssetsBOYAmt
Total Assets EOY$3,060,891TotalAssetsEOYAmt
Total Assets EOYFMV$3,207,917TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$3,199,888CapitalStockBOYAmt
Capital Stock EOY$3,060,891CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$3,199,888TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,060,891TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,199,888TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,060,891TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,199,888TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$138,980ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$3,060,908SubtotalAmt
Other Decreases$17OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,060,891TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (148 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
91.392 COLUMBIA DIVIDEND INCOME INST32020-09-162022-06-17$2,495$2,203$292$292
143.841 DFA EMERGING MKTS PORTFOLIO2022-06-17$3,865$4,917-$1,052-$1,052
106.801 DODGE & COX INTL STOCK FUND2022-06-17$4,517$5,051-$534-$534
185.703 DODGE & COX INTL STOCK FUND2015-09-092022-06-17$7,853$7,192$661$661
146.139 DODGE & COX GLOBAL BOND FUND2022-06-17$1,495$1,706-$211-$211
1349.003 DODGE & COX INCOME FUND2021-09-152022-06-17$16,930$19,520-$2,590-$2,590
68.639 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND2021-08-262022-06-17$580$686-$106-$106
577.578 FIDELITY EMERGING MKTS INDEX FUND2022-06-17$5,770$7,395-$1,625-$1,625
1301.618 FIDELITY US BOND INDEX INSTL PREMIUM2021-09-152022-06-17$13,680$15,906-$2,226-$2,226
179.55 FIDELITY INFLATION PROTECTED BOND INSTL PREM2021-08-262022-06-17$1,835$2,058-$223-$223
5. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2020-03-132022-06-17$203$108$95$95
376.407 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND2021-09-152022-06-17$6,015$6,109-$94-$94
304.327 LOOMIS SAYLES BOND FUND2021-09-152022-06-17$3,585$4,215-$630-$630
. LITIGATION PROCEEDS2022-08-02$21$21$21
. LITIGATION PROCEEDS2022-08-02$41$41$41
. LITIGATION PROCEEDS2022-08-02$21$21$21
347.948 INVESCO OPPENHEIMER INTL GROWTH Y2022-09-15$11,030$15,842-$4,812-$4,812
57.004 COLUMBIA DIVIDEND INCOME INST32020-09-162022-09-15$1,640$1,374$266$266
75.259 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO2021-09-152022-09-15$800$991-$191-$191
137.715 DIAMOND HILL SMALL-MID CAP FUND2021-12-162022-09-15$3,451$3,790-$339-$339
129.244 DIAMOND HILL SMALL-MID CAP FUND2022-09-15$3,239$3,022$217$217
257.191 DODGE & COX INTL STOCK FUND2015-09-092022-09-15$10,730$9,961$769$769
377.654 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND2021-12-162022-09-15$3,187$3,735-$548-$548
3245.569 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND2022-09-15$27,393$32,126-$4,733-$4,733
49.238 FIDELITY 500 INDEX FUND2022-03-152022-09-15$6,690$7,302-$612-$612
356.291 FIDELITY SMALL CAP INDEX FUND2022-09-15$8,070$9,040-$970-$970
60. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2021-09-152022-09-15$2,484$2,252$232$232
100. ISHARES MSCI EAFE GROWTH ETF2022-09-15$7,899$9,431-$1,532-$1,532
276.584 LOOMIS SAYLES BOND FUND2022-09-15$3,239$3,730-$491-$491
2235.372 LOOMIS SAYLES BOND FUND2014-01-302022-09-15$26,176$33,821-$7,645-$7,645
179.438 INVESCO OPPENHEIMER INTL GROWTH Y2022-11-15$6,065$6,828-$763-$763
543.485 COLUMBIA DIVIDEND INCOME INST32020-09-162022-11-15$16,435$13,098$3,337$3,337
205.664 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO2021-12-162022-11-15$3,595$4,340-$745-$745
64.699 DIAMOND HILL SMALL-MID CAP FUND2013-07-192022-11-15$1,655$1,098$557$557
187.557 DODGE & COX INTL STOCK FUND2015-09-092022-11-15$8,185$7,264$921$921
16.24 DODGE & COX GLOBAL BOND FUND2022-03-152022-11-15$165$175-$10-$10
118.735 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND2017-03-132022-11-15$995$1,174-$179-$179
41.316 FIDELITY 500 INDEX FUND2022-03-152022-11-15$5,731$6,128-$397-$397
5.721 FIDELITY 500 INDEX FUND2021-08-262022-11-15$794$889-$95-$95
4.528 FIDELITY SMALL CAP INDEX FUND2022-03-152022-11-15$106$110-$4-$4
125.897 FIDELITY SMALL CAP INDEX FUND2022-11-15$2,959$3,564-$605-$605
45.408 FIDELITY EMERGING MKTS INDEX FUND2021-12-162022-11-15$440$543-$103-$103
260. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2021-09-152022-11-15$11,542$9,758$1,784$1,784
45. ISHARES MSCI EAFE GROWTH ETF2022-03-152022-11-15$3,841$4,072-$231-$231
60. ISHARES MSCI EAFE GROWTH ETF2022-11-15$5,121$5,454-$333-$333
63.471 JPMORGAN LARGE CAP GROWTH I2021-12-162022-11-15$3,065$3,837-$772-$772
49.367 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND2022-09-152022-11-15$780$783-$3-$3
553.933 DODGE & COX INCOME FUND2022-09-152022-12-21$6,830$6,880-$50-$50
96.564 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND2017-03-132022-12-21$815$955-$140-$140
927.74 FIDELITY US BOND INDEX INSTL PREMIUM2022-09-152022-12-21$9,565$9,611-$46-$46
163.306 FIDELITY INFLATION PROTECTED BOND INSTL PREM2022-09-152022-12-21$1,620$1,651-$31-$31
40.137 INVESCO OPPENHEIMER INTL GROWTH Y2022-03-152023-03-08$1,400$1,428-$28-$28
144.204 COLUMBIA DIVIDEND INCOME INST32022-12-212023-03-08$4,205$4,264-$59-$59
55.374 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO2022-03-152023-03-08$1,020$1,075-$55-$55
58.486 DFA EMERGING MKTS PORTFOLIO2022-03-152023-03-08$1,530$1,646-$116-$116
102.719 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO2022-06-172023-03-08$1,020$1,081-$61-$61
49.38 DIAMOND HILL SMALL-MID CAP FUND2013-07-192023-03-08$1,275$838$437$437
61.338 DODGE & COX INTL STOCK FUND2015-09-092023-03-08$2,805$2,376$429$429
49.853 DODGE & COX GLOBAL BOND FUND2023-03-08$510$520-$10-$10
378.837 DODGE & COX INCOME FUND2022-09-152023-03-08$4,656$4,705-$49-$49
202.123 DODGE & COX INCOME FUND2020-12-152023-03-08$2,484$3,024-$540-$540
242.568 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND2017-03-132023-03-08$2,040$2,399-$359-$359
30.284 FIDELITY 500 INDEX FUND2021-08-262023-03-08$4,205$4,706-$501-$501
54.91 FIDELITY SMALL CAP INDEX FUND2021-08-262023-03-08$1,275$1,542-$267-$267
157.895 FIDELITY EMERGING MKTS INDEX FUND2022-03-152023-03-08$1,530$1,622-$92-$92
805.528 FIDELITY US BOND INDEX INSTL PREMIUM2023-03-08$8,160$8,296-$136-$136
283.019 FIDELITY INFLATION PROTECTED BOND INSTL PREM2022-09-152023-03-08$2,550$2,861-$311-$311
45. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2022-12-212023-03-08$1,927$1,970-$43-$43
15. ISHARES MSCI EAFE GROWTH ETF2019-09-172023-03-08$1,331$1,213$118$118
59.847 JPMORGAN LARGE CAP GROWTH I2022-03-152023-03-08$2,805$3,115-$310-$310
45.257 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND2023-03-08$662$717-$55-$55
24.463 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND2021-09-152023-03-08$358$397-$39-$39
24.782 LOOMIS SAYLES BOND FUND2022-11-152023-03-08$284$285-$1-$1
153.229 LOOMIS SAYLES BOND FUND2014-01-302023-03-08$1,756$2,318-$562-$562
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
CAPITAL GAIN DIVIDENDS$20,400P
FieldValueIRS element (for citing)
Capital Gain Net Income-$8,667CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$928InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$928SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$928TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$3,128EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$3,128TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$2,200OverpaymentAmt
Applied To ES Tax$928AppliedToESTaxAmt
Refund$1,272RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateNYOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1NBT BANK NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6073376136PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line152 S BROAD STREETAddressLine1Txt
CityNORWICHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13815ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (true)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonNBT BANK NAPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line152 SOUTH BROAD STREETAddressLine1Txt
CityNORWICHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13815ZIPCd
FieldValueIRS element (for citing)
TitleTRUSTEETitleTxt
Average Hrs Per Wk Devoted To Pos1AverageHrsPerWkDevotedToPosRt
Compensation$29,661CompensationAmt
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$3,229,640AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$50,402AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,280,042TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,280,042AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$49,201CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,230,841NetVlNoncharitableAssetsAmt
Minimum Investment Return$161,542MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$161,542MinimumInvestmentReturnAmt
Tax Based On Investment Income$928TaxBasedOnInvestmentIncomeAmt
Total Tax$928TotalTaxAmt
Distributable Before Adj$160,614DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$160,614DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$160,614DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$192,406ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$192,406QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$160,614DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$0ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$5,514ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$981ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$6,495TotalExcessDistributionCyovAmt
Qualifying Distributions$192,406QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$160,614AppliedToCurrentYearAmt
Remaining Distri From Corpus$31,792RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$38,287TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$38,287ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$5,514ExcessFromYear3Amt
Excess From Year2$981ExcessFromYear2Amt
Excess From Year1$0ExcessFromYear1Amt
Excess From Current Year$31,792ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CHENANGO MEMORIAL HOSPITALBusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1179 NORTH BROAD STREETAddressLine1Txt
CityNORWICHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13815ZIPCd
FieldValueIRS element (for citing)
Recipient RelationshipNONERecipientRelationshipTxt
Recipient Foundation StatusPCRecipientFoundationStatusTxt
Grant Or Contribution PurposeGENERAL OPERATINGGrantOrContributionPurposeTxt
Amt$188,460Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$188,460TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp
Int On Sav And Temp Cash InvstIntOnSavAndTempCashInvstGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$95,079ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment IncomeOtherInvestmentIncomeGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$8,667ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$86,412ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$86,412TotalIncomeProducingActyAmt
FieldValueIRS element (for citing)
Rln Of Acty To Accom Of Exmpt PrpsRlnOfActyToAccomOfExmptPrpsGrp

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX PREPARATION FEE (NON-ALLOCCategoryTxt
Amt$730Amt
Disbursements Charitable Prps$730DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (20 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
DFA INTERNATIONAL SMALL CO PORAT COST$66,203$67,968
DFA GLOBAL REAL ESTATE SEC PORAT COST$65,915$64,546
DIAMOND HILL SMALL-MID CAP FDAT COST$58,591$81,007
DFA EMERGING MKTS PORTAT COST$92,928$99,537
DODGE & COX INCOME FDAT COST$494,768$446,149
DODGE & COX INTL STOCK FDAT COST$131,067$185,162
LOOMIS SAYLES BD FDAT COST$151,621$127,112
LAZARD GLOBAL LISTED INFRASTRUAT COST$56,204$58,915
FEDERATED INSTITUTIONAL HIGH YAT COST$146,362$126,734
FLEXSHARES MSTAR GLBL UPSTRM NAT COST$92,746$122,007
FIDELITY US BOND INDEX INSTL PAT COST$569,209$509,063
FIDELITY INFLATION PROECTED BOAT COST$159,025$148,306
FIDELITY 500 INDEX FUNDAT COST$177,464$280,464
DODGE & COX GLOBAL BOND FUNDAT COST$35,217$32,398
JPMORGAN LARGE CAP GROWTH IAT COST$166,961$188,413
INVESCO OPPENHEIMER INTL GROWTAT COST$96,176$95,735
ISHARES MSCI EAFE GROWTH ETFAT COST$81,007$95,554
FIDELITY EMERGING MKTS INDEX FAT COST$102,738$98,835
COLUMBIA DIVIDEND INCOME INST3AT COST$210,196$260,740
FIDELITY SMALL CAP INDEX FUNDAT COST$68,749$81,528

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescROUNDINGDesc
Amt$17Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescSTATE FILING FEEDesc
Revenue And Expenses Per Books$250RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$250DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (4 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL TAX PAYMENT - PRIOR YE$1,512$0$0
FEDERAL ESTIMATES - PRINCIPAL$3,128$0$0
FOREIGN TAXES ON QUALIFIED FOR$1,249$1,249$0
FOREIGN TAXES ON NONQUALIFIED$402$402$0