JEAN M NEWTON FBO CHENANGO MEMORIAL HOSPITAL: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- JEAN M NEWTON FBO CHENANGO MEMORIAL HOSPITAL (EIN 16-6247584)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-05-07
- IRS object ID
- 202201279349100900
- Schema version
- 2021v4.1
- 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 Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-07T10:00:22-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 134008324 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRICEWATERHOUSECOOPERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1850 N CENTRAL AVE STE 700 | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 166247584 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEAN M NEWTON FBO CHENANGO MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NEWT | BusinessNameControlTxt |
| Phone | 6073376191 | 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 | TIMOTHY J HANDY | PersonNm |
| Person Title | SENIOR VP | PersonTitleTxt |
| Phone | 6073376191 | PhoneNum |
| Signature | 2022-04-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JEFFREY E KUHLIN | PreparerPersonNm |
| PTIN | P00353001 | PTIN |
| Phone | 4123556000 | PhoneNum |
| Preparation | 2022-04-26 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | TrustedCustomerGrp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $2,869,452 | FMVAssetsEOYAmt |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $63,441 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $63,441 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $137,443 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $504,942 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $137,443 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Total Rev And Expnss | $200,884 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $200,884 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $18,321 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $16,489 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $1,832 | 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 | $1,276 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $676 | 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 | $20,577 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $17,165 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $2,812 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $123,030 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $123,030 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $143,607 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $17,165 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $125,842 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $57,277 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $183,719 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $62,539 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $52,200 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $52,200 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl EOY | $0 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $0 | AcctRcvblEOYFMVAmt |
| Other Rcvbl Allwnc Dbtfl Acct | $0 | OtherRcvblAllwncDbtflAcctAmt |
| Other Investments BOY | $2,292,130 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $2,359,216 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $2,817,252 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $2,354,669 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,411,416 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,869,452 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $2,354,669 | CapitalStockBOYAmt |
| Capital Stock EOY | $2,411,416 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $2,354,669 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $2,411,416 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $2,354,669 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $2,411,416 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $2,354,669 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $57,277 | ExcessRevenueOverExpensesAmt |
| Other Increases | $1,220 | OtherIncreasesAmt |
| Subtotal | $2,413,166 | SubtotalAmt |
| Other Decreases | $1,750 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $2,411,416 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (112 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|---|---|
| 521.182 COLUMBIA DIVIDEND INCOME INST3 | 2020-09-16 | 2021-03-16 | $14,640 | $12,560 | $2,080 | $2,080 | |
| 172.627 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO | 2014-09-08 | 2021-03-16 | $3,765 | $3,375 | $390 | $390 | |
| 161.37 DFA EMERGING MKTS PORTFOLIO | 2014-01-30 | 2021-03-16 | $5,585 | $3,908 | $1,677 | $1,677 | |
| 121.186 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO | 2021-03-16 | $1,390 | $1,260 | $130 | $130 | ||
| 524.936 DIAMOND HILL SMALL-MID CAP FUND | 2013-07-19 | 2021-03-16 | $14,420 | $8,908 | $5,512 | $5,512 | |
| 237.51 DODGE & COX INTL STOCK FUND | 2015-09-09 | 2021-03-16 | $11,315 | $9,199 | $2,116 | $2,116 | |
| 95.363 FIDELITY 500 INDEX FUND | 2021-03-16 | $13,140 | $9,853 | $3,287 | $3,287 | ||
| 488.261 FIDELITY SMALL CAP INDEX FUND | 2021-03-16 | $14,350 | $9,007 | $5,343 | $5,343 | ||
| 322.846 FIDELITY EMERGING MKTS INDEX FUND | 2019-09-17 | 2021-03-16 | $4,310 | $3,322 | $988 | $988 | |
| 180. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX | 2017-05-16 | 2021-03-16 | $6,719 | $5,301 | $1,418 | $1,418 | |
| 31.326 JPMORGAN LARGE CAP GROWTH I | 2019-12-16 | 2021-03-16 | $1,920 | $1,255 | $665 | $665 | |
| 28.657 INVESCO OPPENHEIMER INTL GROWTH Y | 2020-06-15 | 2021-06-15 | $1,464 | $1,195 | $269 | $269 | |
| 35.543 INVESCO OPPENHEIMER INTL GROWTH Y | 2014-01-30 | 2021-06-15 | $1,816 | $1,289 | $527 | $527 | |
| 302.618 COLUMBIA DIVIDEND INCOME INST3 | 2020-06-04 | 2021-06-15 | $9,130 | $6,994 | $2,136 | $2,136 | |
| 98.628 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO | 2014-09-08 | 2021-06-15 | $2,300 | $1,928 | $372 | $372 | |
| 21.842 DFA EMERGING MKTS PORTFOLIO | 2020-06-04 | 2021-06-15 | $785 | $552 | $233 | $233 | |
| 356.09 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO | 2020-06-04 | 2021-06-15 | $4,590 | $3,586 | $1,004 | $1,004 | |
| 79.752 DODGE & COX INTL STOCK FUND | 2015-09-09 | 2021-06-15 | $4,045 | $3,089 | $956 | $956 | |
| 25.063 FIDELITY 500 INDEX FUND | 2020-06-15 | 2021-06-15 | $3,703 | $2,675 | $1,028 | $1,028 | |
| 37.302 FIDELITY 500 INDEX FUND | 2020-03-13 | 2021-06-15 | $5,512 | $3,521 | $1,991 | $1,991 | |
| 20. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX | 2017-05-16 | 2021-06-15 | $795 | $589 | $206 | $206 | |
| 40. ISHARES MSCI EAFE GROWTH ETF | 2019-09-17 | 2021-06-15 | $4,373 | $3,234 | $1,139 | $1,139 | |
| 7.407 JPMORGAN LARGE CAP GROWTH I | 2020-06-15 | 2021-06-15 | $471 | $350 | $121 | $121 | |
| 13.024 JPMORGAN LARGE CAP GROWTH I | 2019-12-16 | 2021-06-15 | $829 | $522 | $307 | $307 | |
| 138.174 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND | 2019-03-19 | 2021-06-15 | $2,255 | $2,052 | $203 | $203 | |
| 50000. PEPSICO INC 3.0000% 08/25/21 | 2013-10-17 | 2021-08-25 | $50,000 | $49,755 | $245 | $245 | |
| 255.911 INVESCO OPPENHEIMER INTL GROWTH Y | 2021-09-15 | $13,855 | $9,186 | $4,669 | $4,669 | ||
| 129.027 COLUMBIA DIVIDEND INCOME INST3 | 2021-08-26 | 2021-09-15 | $3,968 | $4,005 | -$37 | -$37 | |
| 250.16 COLUMBIA DIVIDEND INCOME INST3 | 2020-06-04 | 2021-09-15 | $7,692 | $5,781 | $1,911 | $1,911 | |
| 63.025 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO | 2014-09-08 | 2021-09-15 | $1,500 | $1,232 | $268 | $268 | |
| 155.922 DODGE & COX INTL STOCK FUND | 2015-09-09 | 2021-09-15 | $7,570 | $6,039 | $1,531 | $1,531 | |
| 36.274 DODGE & COX GLOBAL BOND FUND | 2021-09-15 | $440 | $440 | ||||
| 180.735 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND | 2017-03-13 | 2021-09-15 | $1,820 | $1,787 | $33 | $33 | |
| 127.814 FIDELITY 500 INDEX FUND | 2021-09-15 | $19,930 | $11,730 | $8,200 | $8,200 | ||
| 180.492 FIDELITY INFLATION PROTECTED BOND INSTL PREM | 2020-09-15 | 2021-09-15 | $2,086 | $1,980 | $106 | $106 | |
| 8046.152 FIDELITY INFLATION PROTECTED BOND INSTL PREM | 2021-09-15 | $93,014 | $79,040 | $13,974 | $13,974 | ||
| 95. ISHARES MSCI EAFE GROWTH ETF | 2019-09-17 | 2021-09-15 | $10,704 | $7,680 | $3,024 | $3,024 | |
| 402.118 JPMORGAN LARGE CAP GROWTH I | 2020-09-15 | 2021-09-15 | $27,915 | $22,611 | $5,304 | $5,304 | |
| 83.5 COLUMBIA DIVIDEND INCOME INST3 | 2020-09-16 | 2021-10-05 | $2,510 | $2,012 | $498 | $498 | |
| 157.785 DIAMOND HILL SMALL-MID CAP FUND | 2021-10-05 | $4,530 | $2,794 | $1,736 | $1,736 | ||
| 45.493 DODGE & COX INTL STOCK FUND | 2021-08-26 | 2021-10-05 | $2,175 | $2,186 | -$11 | -$11 | |
| 39.076 DODGE & COX GLOBAL BOND FUND | 2021-08-26 | 2021-10-05 | $465 | $470 | -$5 | -$5 | |
| 579.888 DODGE & COX INCOME FUND | 2020-12-15 | 2021-10-05 | $8,275 | $8,675 | -$400 | -$400 | |
| 371.242 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND | 2021-06-15 | 2021-10-05 | $3,705 | $3,720 | -$15 | -$15 | |
| 94.843 FIDELITY SMALL CAP INDEX FUND | 2021-06-15 | 2021-10-05 | $2,685 | $2,788 | -$103 | -$103 | |
| 850.87 FIDELITY US BOND INDEX INSTL PREMIUM | 2020-12-15 | 2021-10-05 | $10,270 | $10,568 | -$298 | -$298 | |
| 194.952 FIDELITY INFLATION PROTECTED BOND INSTL PREM | 2018-12-19 | 2021-10-05 | $2,240 | $1,887 | $353 | $353 | |
| 90. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX | 2017-05-16 | 2021-10-05 | $3,389 | $2,651 | $738 | $738 | |
| 29.19 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND | 2021-08-26 | 2021-10-05 | $465 | $476 | -$11 | -$11 | |
| 251.46 LOOMIS SAYLES BOND FUND | 2021-09-15 | 2021-10-05 | $3,445 | $3,483 | -$38 | -$38 | |
| 381.87 COLUMBIA DIVIDEND INCOME INST3 | 2020-09-16 | 2021-12-16 | $12,090 | $9,203 | $2,887 | $2,887 | |
| 50.618 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO | 2021-09-15 | 2021-12-16 | $655 | $667 | -$12 | -$12 | |
| 119.695 FIDELITY 500 INDEX FUND | 2018-12-19 | 2021-12-16 | $19,375 | $10,434 | $8,941 | $8,941 | |
| 55. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX | 2017-05-16 | 2021-12-16 | $2,149 | $1,620 | $529 | $529 | |
| 5. ISHARES MSCI EAFE GROWTH ETF | 2021-08-26 | 2021-12-16 | $545 | $552 | -$7 | -$7 | |
| 174.613 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND | 2021-12-16 | $2,930 | $2,523 | $407 | $407 | ||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P | |||||
| CAPITAL GAIN DIVIDENDS | $48,928 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $137,443 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $2,554 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $2,554 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $2,554 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $924 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $924 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $1,630 | 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 | 6073376191 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| 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) |
|---|---|---|
| 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 | $18,321 | 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 | $2,789,351 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $55,634 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,844,985 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $2,844,985 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $42,675 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $2,802,310 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $140,116 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $140,116 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,554 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,554 | TotalTaxAmt |
| Distributable Before Adj | $137,562 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $137,562 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $137,562 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $125,842 | 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 | $125,842 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $137,562 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $11,706 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $0 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $0 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $0 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $0 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $0 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $125,842 | QualifyingDistributionsAmt |
| Applied To Year1 | $11,706 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $114,136 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $23,426 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $0 | ExcessFromYear4Amt |
| Excess From Year3 | $0 | ExcessFromYear3Amt |
| Excess From Year2 | $0 | ExcessFromYear2Amt |
| Excess From Year1 | $0 | ExcessFromYear1Amt |
| Excess From Current Year | $0 | 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 | ICU/OPER ROOM, PCHSE | GrantOrContributionPurposeTxt |
| Amt | $123,030 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $123,030 | 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 | $63,441 | 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 | $137,443 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $200,884 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $200,884 | 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 (21 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| DIAMOND HILL SMALL/MID CAP-I | AT COST | $45,154 | $73,137 |
| DODGE & COX INTL STK FD | AT COST | $122,290 | $172,092 |
| DODGE & COX INCOME FD | AT COST | $388,701 | $395,863 |
| LOOMIS SAYLES BOND FUND | AT COST | $148,493 | $143,207 |
| DFA INTERNATIONAL SMALL COMPAN | AT COST | $49,803 | $59,005 |
| DFA EMERGING MKTS POTFOLIO | AT COST | $69,131 | $86,769 |
| DFA GLOBAL REAL ESTATE SECS | AT COST | $44,506 | $59,325 |
| LAZARD GI LIST INFRASCTRUCTURE | AT COST | $48,657 | $56,063 |
| PEPSICO INC CORP BOND | |||
| FEDERATED INSTITUTIONAL HIGH Y | AT COST | $141,875 | $143,651 |
| FLEXSHARES MSTAR GLBL UPSTRM N | AT COST | $94,195 | $117,680 |
| FIDELITY INFLATION PROTECTED B | AT COST | $74,123 | $82,850 |
| FIDELITY US BOND INDEX INSTL | AT COST | $445,644 | $456,537 |
| FIDELITY 500 INDEX FUND | AT COST | $123,730 | $231,135 |
| JPMORGAN LARGE CAP GROWTH I | AT COST | $99,181 | $143,211 |
| ISHARES MSCI EAFE GROWTH ETF | AT COST | $64,712 | $88,232 |
| FIDELITY EMERGING MKTS INDEX F | AT COST | $75,049 | $86,604 |
| FIDELITY SMALL CAP INDEX FUND | AT COST | $51,761 | $73,138 |
| COLUMBIA DIVIDEND INCOME INST3 | AT COST | $170,173 | $232,744 |
| INVESCO OPPENHEIMER INTL GROWT | AT COST | $74,531 | $87,965 |
| DODGE & COX GLOBAL BOND FUND | AT COST | $27,507 | $28,044 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail (3 entries)
| DescDesc | AmtAmt |
|---|---|
| MF TIMING DIFFERENCE SUBTRACTION | $1,502 |
| ROUNDING | $5 |
| LAZARD GLOBAL LISTED INFR COST BASIS ADJ | $243 |
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 Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MF TIMING DIFFERENCE ADDITION | Desc |
| Amt | $1,220 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FEDERAL ESTIMATES - PRINCIPAL | $600 | $0 | $0 |
| FOREIGN TAXES ON QUALIFIED FOR | $485 | $485 | $0 |
| FOREIGN TAXES ON NONQUALIFIED | $191 | $191 | $0 |