STRATEGY STUDIO / PUBLIC DATA EXPLORER

MARY M PECKMAN TR FBO CHEN MEM HOSPITAL: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MARY M PECKMAN TR FBO CHEN MEM HOSPITAL (EIN 15-6017708)
Tax period
2020-04-01 to 2021-03-31
Filed
2021-07-28
IRS object ID
202112099349100121
Schema version
2020v4.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-07-28T17:00:40-05:00ReturnTs
Tax Period End2021-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN134008324PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PRICEWATERHOUSECOOPERS 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 Begin2020-04-01TaxPeriodBeginDt

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)
PersonTIMOTHY J HANDYPersonNm
Person TitleSENIOR VPPersonTitleTxt
Phone6073376191PhoneNum
Signature2021-06-22SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY E KUHLINPreparerPersonNm
PTINP00353001PTIN
Phone4123556000PhoneNum
Preparation2021-06-22PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

FieldValueIRS element (for citing)
Trusted CustomerTrustedCustomerGrp
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$3,712,902FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$75,700DividendsRevAndExpnssAmt
Dividends Net Invst Incm$75,566DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$68,683NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,033,151GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$68,683CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$144,383TotalRevAndExpnssAmt
Total Net Invst Incm$144,249TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$30,366CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$27,329CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$3,037CompOfcrDirTrstDsbrsChrtblAmt
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$2,722TaxesRevAndExpnssAmt
Taxes Net Invst Incm$870TaxesNetInvstIncmAmt
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$34,068TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$28,199TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$4,017TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$165,691ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$165,691ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$199,759TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$28,199TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$169,708TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$55,376ExcessRevenueOverExpensesAmt
Net Investment Income$116,050NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$38,367SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$51,296SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$51,296SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Other Investments BOY$3,166,896OtherInvestmentsBOYAmt
Other Investments EOY$3,098,591OtherInvestmentsEOYAmt
Other Investments EOYFMV$3,661,606OtherInvestmentsEOYFMVAmt
Total Assets BOY$3,205,263TotalAssetsBOYAmt
Total Assets EOY$3,149,887TotalAssetsEOYAmt
Total Assets EOYFMV$3,712,902TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$3,205,263CapitalStockBOYAmt
Capital Stock EOY$3,149,887CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$3,205,263TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,149,887TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,205,263TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,149,887TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,205,263TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$55,376ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$3,149,887SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,149,887TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (138 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
353.355 INVESCO OPPENHEIMER INTL GROWTH Y2014-01-302020-06-04$15,060$12,816$2,244$2,244
5959.494 AMERICAN BEACON LARGE CAP VALUE FUND2020-06-04$141,180$165,416-$24,236-$24,236
715.052 AMERICAN BEACON LARGE CAP VALUE FUND2019-09-172020-06-04$16,940$20,114-$3,174-$3,174
1522.158 DFA U.S. MICRO CAP PORTFOLIO2020-06-04$26,912$30,545-$3,633-$3,633
418.211 DFA U.S. MICRO CAP PORTFOLIO2020-06-04$7,394$6,640$754$754
56.777 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO2019-06-172020-06-04$930$983-$53-$53
352.46 DFA U.S. SMALL CAP VALUE PORTFOLIO2020-06-04$9,506$8,695$811$811
933.127 DFA U.S. SMALL CAP VALUE PORTFOLIO2020-06-04$25,166$32,092-$6,926-$6,926
300.299 DIAMOND HILL SMALL-MID CAP FUND2015-09-092020-06-04$5,628$5,697-$69-$69
183.692 DIAMOND HILL SMALL-MID CAP FUND2019-12-162020-06-04$3,442$4,170-$728-$728
194.229 DODGE & COX INTL STOCK FUND2019-06-172020-06-04$7,056$7,775-$719-$719
403.899 DODGE & COX INTL STOCK FUND2014-01-302020-06-04$14,674$16,701-$2,027-$2,027
277.988 FIDELITY 500 INDEX FUND2018-12-192020-06-04$30,095$24,232$5,863$5,863
315.816 FIDELITY EMERGING MKTS INDEX FUND2019-09-172020-06-04$3,095$3,250-$155-$155
720. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2020-06-04$20,495$21,263-$768-$768
5. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2019-12-162020-06-04$142$166-$24-$24
115. ISHARES MSCI EAFE GROWTH ETF2019-09-172020-06-04$9,640$9,297$343$343
684.205 JPMORGAN LARGE CAP GROWTH I2019-12-162020-06-04$31,795$27,416$4,379$4,379
177.552 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND2020-06-04$2,651$2,662-$11-$11
120.171 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND2020-06-04$1,794$1,830-$36-$36
23.265 DFA EMERGING MKTS PORTFOLIO2019-06-172020-06-15$580$626-$46-$46
35.933 DODGE & COX GLOBAL BOND FUND2020-06-042020-06-15$410$410
525.43 DODGE & COX INCOME FUND2017-06-152020-06-15$7,645$7,282$363$363
55.378 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND2019-09-172020-06-15$520$545-$25-$25
84.275 FIDELITY EMERGING MKTS INDEX FUND2019-09-172020-06-15$820$867-$47-$47
674.539 FIDELITY US BOND INDEX INSTL PREMIUM2018-12-192020-06-15$8,425$7,595$830$830
329.395 FIDELITY INFLATION PROTECTED BOND INSTL PREM2019-03-192020-06-15$3,485$3,192$293$293
169.781 LOOMIS SAYLES BOND FUND2014-01-302020-06-15$2,180$2,569-$389-$389
143.93 INVESCO OPPENHEIMER INTL GROWTH Y2014-01-302020-09-15$6,805$5,220$1,585$1,585
3125.228 AMERICAN BEACON LARGE CAP VALUE FUND2020-09-15$74,912$64,310$10,602$10,602
2730.883 AMERICAN BEACON LARGE CAP VALUE FUND2020-09-15$65,459$66,181-$722-$722
204.174 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO2014-09-082020-09-15$3,620$3,992-$372-$372
155.221 DFA EMERGING MKTS PORTFOLIO2019-06-172020-09-15$4,385$4,177$208$208
1007.284 DIAMOND HILL SMALL-MID CAP FUND2020-09-15$19,360$18,391$969$969
42.848 DODGE & COX INCOME FUND2020-09-15$635$592$43$43
31.815 FIDELITY 500 INDEX FUND2018-12-192020-09-15$3,765$2,773$992$992
547.085 FIDELITY EMERGING MKTS INDEX FUND2019-09-172020-09-15$6,100$5,630$470$470
2410. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2017-05-162020-09-15$71,753$70,975$778$778
60. ISHARES MSCI EAFE GROWTH ETF2020-09-15$5,468$4,869$599$599
1045.934 LOOMIS SAYLES BOND FUND2014-01-302020-09-15$13,890$15,825-$1,935-$1,935
1022.495 DODGE & COX INCOME FUND2014-04-162020-10-02$15,000$14,090$910$910
64.588 FIDELITY 500 INDEX FUND2019-09-172020-10-02$7,500$6,775$725$725
1196.172 FIDELITY US BOND INDEX INSTL PREMIUM2020-09-152020-10-02$15,000$15,060-$60-$60
132.932 JPMORGAN LARGE CAP GROWTH I2020-09-152020-10-02$7,500$7,475$25$25
217.415 INVESCO OPPENHEIMER INTL GROWTH Y2020-12-15$9,925$7,838$2,087$2,087
346.895 COLUMBIA DIVIDEND INCOME INST32020-09-162020-12-15$8,995$8,360$635$635
326.195 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO2014-09-082020-12-15$6,550$6,377$173$173
347.594 DFA EMERGING MKTS PORTFOLIO2020-12-15$11,050$8,586$2,464$2,464
30.249 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO2019-03-192020-12-15$329$341-$12-$12
121.545 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO2019-12-162020-12-15$1,321$1,495-$174-$174
523.663 DIAMOND HILL SMALL-MID CAP FUND2013-07-192020-12-15$11,950$8,887$3,063$3,063
672.638 DODGE & COX INTL STOCK FUND2020-12-15$29,825$27,603$2,222$2,222
44.854 FIDELITY 500 INDEX FUND2019-09-172020-12-15$5,740$4,705$1,035$1,035
794.302 FIDELITY SMALL CAP INDEX FUND2020-12-15$19,675$15,519$4,156$4,156
781.679 FIDELITY EMERGING MKTS INDEX FUND2019-09-172020-12-15$9,685$8,043$1,642$1,642
130. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2017-05-162020-12-15$4,285$3,829$456$456
50. ISHARES MSCI EAFE GROWTH ETF2019-09-172020-12-15$4,919$4,042$877$877
50000. COLGATE-PALM CO MTN 2.4500% 11/15/212012-09-132020-12-18$51,019$50,830$189$189
579.744 COLUMBIA DIVIDEND INCOME INST32020-09-162021-03-16$16,285$13,972$2,313$2,313
193.948 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO2014-09-082021-03-16$4,230$3,792$438$438
181.157 DFA EMERGING MKTS PORTFOLIO2014-01-302021-03-16$6,270$4,388$1,882$1,882
110.288 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO2021-03-16$1,265$1,156$109$109
663.633 DIAMOND HILL SMALL-MID CAP FUND2013-07-192021-03-16$18,230$11,262$6,968$6,968
263.224 DODGE & COX INTL STOCK FUND2021-03-16$12,540$10,202$2,338$2,338
102.838 FIDELITY 500 INDEX FUND2021-03-16$14,170$10,484$3,686$3,686
617.387 FIDELITY SMALL CAP INDEX FUND2020-06-042021-03-16$18,145$11,372$6,773$6,773
341.948 FIDELITY EMERGING MKTS INDEX FUND2019-09-172021-03-16$4,565$3,519$1,046$1,046
220. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2017-05-162021-03-16$8,212$6,479$1,733$1,733
5.14 JPMORGAN LARGE CAP GROWTH I2019-12-162021-03-16$315$206$109$109
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
CAPITAL GAIN DIVIDENDS$34,844P
FieldValueIRS element (for citing)
Capital Gain Net Income$68,683CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,613InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,613SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,613TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,560EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$1,560TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$53TaxDueAmt
Applied To ES Tax$0AppliedToESTaxAmt
Refund$0RefundAmt

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)
Phone6073376193PhoneNum

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$30,366CompensationAmt
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$3,395,057AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$63,617AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,458,674TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,458,674AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$51,880CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,406,794NetVlNoncharitableAssetsAmt
Minimum Investment Return$170,340MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$170,340MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,613TaxBasedOnInvestmentIncomeAmt
Total Tax$1,613TotalTaxAmt
Distributable Before Adj$168,727DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$168,727DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$168,727DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$169,708ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$169,708QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$169,708AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$168,727DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$9,929ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$0ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$0ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$9,379ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$7,145ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$26,453TotalExcessDistributionCyovAmt
Qualifying Distributions$169,708QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$168,727AppliedToCurrentYearAmt
Remaining Distri From Corpus$981RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$27,434TotalCorpusAmt
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$9,929ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$17,505ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$9,379ExcessFromYear2Amt
Excess From Year1$7,145ExcessFromYear1Amt
Excess From Current Year$981ExcessFromCurrentYearAmt

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$165,691Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$165,691TotalGrantOrContriPdDurYrAmt

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

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$75,700ExclusionAmt
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 Incm Part VIIOtherInvestmentIncmPartVIIGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$68,683ExclusionAmt
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$144,383ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$144,383TotalIncomeProducingActyAmt
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 (25 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
DFA INTERNATIONAL SMALL CO PORAT COST$62,446$74,448
DFA US S/C VALUE PORT
DFA GLOBAL REAL ESTATE SEC PORAT COST$45,739$56,749
AMERICAN BEACON L/C VALUE FD
DIAMOND HILL SMALL-MID CAP FDAT COST$56,482$89,404
DFA EMERGING MKTS PORTAT COST$78,446$111,509
DODGE & COX INCOME FDAT COST$449,878$460,453
DODGE & COX INTL STOCK FDAT COST$172,778$240,006
DFA US MICRO CAP PORT
LOOMIS SAYLES BD FDAT COST$146,501$138,346
LAZARD GLOBAL LISTED INFRASTRUAT COST$52,302$57,416
FEDERATED INSTITUTIONAL HIGH YAT COST$185,788$187,962
FLEXSHARES MSTAR GLBL UPSTRM NAT COST$49,190$72,561
FIDELITY US BOND INDEX INSTL PAT COST$518,083$533,544
COLGATE PALM CO MTN
PEPSICO INCAT COST$99,509$101,082
FIDELITY INFLATION PROECTED BOAT COST$205,367$226,081
FIDELITY 500 INDEX FUNDAT COST$199,006$312,379
DODGE & COX GLOBAL BOND FUNDAT COST$35,884$37,270
JPMORGAN LARGE CAP GROWTH IAT COST$144,178$204,184
INVESCO OPPENHEIMER INTL GROWTAT COST$94,701$120,724
ISHARES MSCI EAFE GROWTH ETFAT COST$97,199$122,059
FIDELITY EMERGING MKTS INDEX FAT COST$86,177$110,988
COLUMBIA DIVIDEND INCOME INST3AT COST$261,138$315,996
FIDELITY SMALL CAP INDEX FUNDAT COST$57,799$88,445

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$292$0$0
FEDERAL ESTIMATES - PRINCIPAL$1,560$0$0
FOREIGN TAXES ON QUALIFIED FOR$611$611$0
FOREIGN TAXES ON NONQUALIFIED$259$259$0