STRATEGY STUDIO / PUBLIC DATA EXPLORER

MARY M PECKMAN TR FBO CHEN MEM HOSPITAL: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
MARY M PECKMAN TR FBO CHEN MEM HOSPITAL (EIN 15-6017708)
Tax period
2019-04-01 to 2020-03-31
Filed
2020-08-03
IRS object ID
202022169349100322
Schema version
2019v5.0
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)
Return2020-08-03T19:00:14-05:00ReturnTs
Tax Period End2020-03-31TaxPeriodEndDt

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 Begin2019-04-01TaxPeriodBeginDt

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
Signature2020-05-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY E KUHLINPreparerPersonNm
PTINP00353001PTIN
Phone4123556000PhoneNum
Preparation2020-05-06PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$2,957,724FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$93,970DividendsRevAndExpnssAmt
Dividends Net Invst Incm$93,970DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$90,360NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,058,570GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$90,360CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$184,330TotalRevAndExpnssAmt
Total Net Invst Incm$184,330TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$30,600CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$27,540CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$3,060CompOfcrDirTrstDsbrsChrtblAmt
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$2,056TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,975TaxesNetInvstIncmAmt
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$33,636TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$29,515TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$4,040TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$168,795ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$168,795ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$202,431TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$29,515TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$172,835TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$18,101ExcessRevenueOverExpensesAmt
Net Investment Income$154,815NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$10,989SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$38,367SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$38,367SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Other Investments BOY$3,212,372OtherInvestmentsBOYAmt
Other Investments EOY$3,166,896OtherInvestmentsEOYAmt
Other Investments EOYFMV$2,919,357OtherInvestmentsEOYFMVAmt
Total Assets BOY$3,223,361TotalAssetsBOYAmt
Total Assets EOY$3,205,263TotalAssetsEOYAmt
Total Assets EOYFMV$2,957,724TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$3,223,361CapitalStockBOYAmt
Capital Stock EOY$3,205,263CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$3,223,361TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,205,263TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,223,361TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,205,263TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,223,361TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$18,101ExcessRevenueOverExpensesAmt
Other Increases$3OtherIncreasesAmt
Subtotal$3,205,263SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,205,263TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (93 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
141.92 AMERICAN BEACON LARGE CAP VALUE FUND2018-03-162019-04-02$3,785$4,154-$369-$369
26.012 DFA U.S. MICRO CAP PORTFOLIO2017-09-182019-04-02$540$558-$18-$18
60.811 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO2018-09-182019-04-02$1,080$1,249-$169-$169
25.109 DFA EMERGING MKTS PORTFOLIO2018-06-152019-04-02$709$734-$25-$25
60.909 DFA EMERGING MKTS PORTFOLIO2017-09-182019-04-02$1,721$1,807-$86-$86
13.897 DFA U.S. SMALL CAP VALUE PORTFOLIO2019-04-02$470$519-$49-$49
2.065 DFA U.S. SMALL CAP VALUE PORTFOLIO2019-03-192019-04-02$70$70
70.009 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO2018-03-162019-04-02$810$732$78$78
75.174 DIAMOND HILL SMALL-MID CAP FUND2015-09-092019-04-02$1,620$1,426$194$194
91.558 DODGE & COX INTL STOCK FUND2019-04-02$3,785$3,927-$142-$142
555.8 DODGE & COX INCOME FUND2016-09-282019-04-02$7,570$7,709-$139-$139
110.883 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND2017-03-132019-04-02$1,080$1,097-$17-$17
37.797 FIDELITY 500 INDEX FUND2018-12-192019-04-02$3,785$3,295$490$490
729.33 FIDELITY US BOND INDEX INSTL PREMIUM2018-12-192019-04-02$8,380$8,212$168$168
276.639 FIDELITY INFLATION PROTECTED BOND INSTL PREM2019-03-192019-04-02$2,700$2,681$19$19
80. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2017-05-162019-04-02$2,647$2,356$291$291
54.878 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND2019-03-192019-04-02$810$815-$5-$5
137.834 LAZARD EMERGING MARKETS PORTFOLIO2018-06-152019-04-02$2,430$2,498-$68-$68
180.669 LOOMIS SAYLES BOND FUND2014-01-302019-04-02$2,430$2,734-$304-$304
96.115 OPPENHEIMER INTERNATIONAL GROWTH FUND2018-09-182019-04-02$3,785$3,972-$187-$187
54.49 PRIMECAP ODYSSEY GROWTH FUND2017-09-182019-04-02$2,160$1,850$310$310
47.285 TEMPLETON GLBL BD ADV2019-03-192019-04-02$540$542-$2-$2
34.355 INVESCO OPPENHEIMER INTL GROWTH Y2018-09-182019-06-17$1,345$1,420-$75-$75
47.156 AMERICAN BEACON LARGE CAP VALUE FUND2018-03-162019-06-17$1,260$1,380-$120-$120
209.84 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO2018-03-162019-06-17$2,495$2,195$300$300
25.185 DIAMOND HILL SMALL-MID CAP FUND2015-09-092019-06-17$545$478$67$67
654.428 DODGE & COX INCOME FUND2016-09-282019-06-17$9,090$9,077$13$13
68.718 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND2017-03-132019-06-17$670$680-$10-$10
50.293 FIDELITY 500 INDEX FUND2018-12-192019-06-17$5,070$4,384$686$686
1156.699 FIDELITY US BOND INDEX INSTL PREMIUM2018-12-192019-06-17$13,545$13,024$521$521
471.803 FIDELITY INFLATION PROTECTED BOND INSTL PREM2019-03-192019-06-17$4,685$4,572$113$113
128.497 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND2018-03-162019-06-17$1,975$1,949$26$26
120.664 LOOMIS SAYLES BOND FUND2014-01-302019-06-17$1,635$1,826-$191-$191
50000. BANK OF AMER CRP MTN 6.4000% 08/15/192009-08-102019-08-15$50,000$50,000
3019.16 INVESCO OPPENHEIMER INTL GROWTH Y2014-01-302019-09-17$122,457$109,505$12,952$12,952
287.916 INVESCO OPPENHEIMER INTL GROWTH Y2018-09-182019-09-17$11,678$11,900-$222-$222
44.741 DFA U.S. MICRO CAP PORTFOLIO2017-09-182019-09-17$940$960-$20-$20
15.169 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO2019-09-17$270$309-$39-$39
318.559 DFA EMERGING MKTS PORTFOLIO2019-09-17$8,684$8,655$29$29
1543.51 DFA EMERGING MKTS PORTFOLIO2018-09-182019-09-17$42,076$42,570-$494-$494
21.654 DFA U.S. SMALL CAP VALUE PORTFOLIO2017-09-182019-09-17$715$802-$87-$87
43.689 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO2018-03-162019-09-17$540$457$83$83
106.416 DIAMOND HILL SMALL-MID CAP FUND2015-09-092019-09-17$2,405$2,019$386$386
465.598 DODGE & COX INTL STOCK FUND2018-09-182019-09-17$19,346$19,900-$554-$554
86.141 DODGE & COX INTL STOCK FUND2017-06-152019-09-17$3,579$3,712-$133-$133
930. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2017-05-162019-09-17$30,056$27,389$2,667$2,667
2874.445 LAZARD EMERGING MARKETS PORTFOLIO2019-09-17$49,038$48,415$623$623
6006.329 LAZARD EMERGING MARKETS PORTFOLIO2019-09-17$102,468$107,178-$4,710-$4,710
11.527 PRIMECAP ODYSSEY GROWTH FUND2017-09-182019-09-17$450$391$59$59
110. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2019-06-172019-09-25$3,444$3,552-$108-$108
5. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2017-05-162019-09-25$157$147$10$10
35. ISHARES MSCI EAFE GROWTH ETF2019-09-172019-09-25$2,813$2,830-$17-$17
74.724 INVESCO OPPENHEIMER INTL GROWTH Y2014-01-302019-09-26$2,980$2,710$270$270
264.685 AMERICAN BEACON LARGE CAP VALUE FUND2019-09-172019-09-26$7,345$7,446-$101-$101
44.765 DFA U.S. MICRO CAP PORTFOLIO2017-09-182019-09-26$915$961-$46-$46
56.454 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO2014-09-082019-09-26$994$1,104-$110-$110
47.807 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO2019-03-192019-09-26$841$851-$10-$10
101.773 DFA EMERGING MKTS PORTFOLIO2014-01-302019-09-26$2,755$2,465$290$290
28.276 DFA U.S. SMALL CAP VALUE PORTFOLIO2017-09-182019-09-26$915$1,047-$132-$132
110.265 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO2018-03-162019-09-26$1,375$1,153$222$222
123.321 DIAMOND HILL SMALL-MID CAP FUND2015-09-092019-09-26$2,755$2,339$416$416
145.452 DODGE & COX INTL STOCK FUND2019-09-26$5,965$6,049-$84-$84
913.646 DODGE & COX INCOME FUND2019-08-192019-09-26$12,855$12,910-$55-$55
374.108 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND2019-09-172019-09-26$3,670$3,681-$11-$11
70.673 FIDELITY 500 INDEX FUND2019-09-172019-09-26$7,345$7,413-$68-$68
270.895 FIDELITY EMERGING MKTS INDEX FUND2019-09-172019-09-26$2,755$2,788-$33-$33
1189.799 FIDELITY US BOND INDEX INSTL PREMIUM2019-08-192019-09-26$14,230$14,289-$59-$59
540.196 FIDELITY INFLATION PROTECTED BOND INSTL PREM2019-09-172019-09-26$5,510$5,494$16$16
89.635 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND2018-03-162019-09-26$1,375$1,360$15$15
301.901 LOOMIS SAYLES BOND FUND2019-09-172019-09-26$4,130$4,148-$18-$18
96.199 PRIMECAP ODYSSEY GROWTH FUND2019-06-172019-09-26$3,670$3,681-$11-$11
85.594 TEMPLETON GLBL BD ADV2019-03-192019-09-26$915$982-$67-$67
81.688 INVESCO OPPENHEIMER INTL GROWTH Y2014-01-302019-12-16$3,600$2,963$637$637
163.146 AMERICAN BEACON LARGE CAP VALUE FUND2018-03-162019-12-16$4,865$4,775$90$90
161.356 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO2014-09-082019-12-16$3,140$3,155-$15-$15
31.641 DFA EMERGING MKTS PORTFOLIO2014-01-302019-12-16$910$766$144$144
7.48 DFA U.S. SMALL CAP VALUE PORTFOLIO2017-09-182019-12-16$260$277-$17-$17
129.44 DODGE & COX INTL STOCK FUND2014-01-302019-12-16$5,830$5,352$478$478
30.108 FIDELITY 500 INDEX FUND2019-09-172019-12-16$3,330$3,158$172$172
7.47 FIDELITY EMERGING MKTS INDEX FUND2019-09-172019-12-16$80$77$3$3
35. ISHARES MSCI EAFE GROWTH ETF2019-09-172019-12-16$3,020$2,830$190$190
2933.963 PRIMECAP ODYSSEY GROWTH FUND2019-12-16$125,134$81,311$43,823$43,823
515.509 PRIMECAP ODYSSEY GROWTH FUND2019-12-16$21,986$17,944$4,042$4,042
418.516 TEMPLETON GLBL BD ADV2020-02-04$4,415$4,466-$51-$51
2869.301 TEMPLETON GLBL BD ADV2020-02-04$30,271$34,711-$4,440-$4,440
173.83 DODGE & COX GLOBAL BOND FUND2020-02-062020-03-13$1,820$1,956-$136-$136
2814.68 DODGE & COX INCOME FUND2020-03-13$39,237$39,035$202$202
1720.112 DODGE & COX INCOME FUND2020-03-13$23,978$24,345-$367-$367
659.371 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND2020-03-13$5,875$6,508-$633-$633
7009.086 FIDELITY US BOND INDEX INSTL PREMIUM2018-12-192020-03-13$84,810$78,922$5,888$5,888
2668.312 FIDELITY INFLATION PROTECTED BOND INSTL PREM2020-03-13$26,710$27,160-$450-$450
807.115 LOOMIS SAYLES BOND FUND2020-03-13$10,210$11,015-$805-$805
CAPITAL GAIN DIVIDENDS$29,456P
FieldValueIRS element (for citing)
Capital Gain Net Income$90,360CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$176,921AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$3,400,956NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.052021DistributionYr1Rt
Adjusted Qlfy Distri Yr2$170,374AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$3,530,791NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.048254DistributionYr2Rt
Adjusted Qlfy Distri Yr3$165,192AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$3,362,598NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.049126DistributionYr3Rt
Adjusted Qlfy Distri Yr4$180,937AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$3,231,894NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.055985DistributionYr4Rt
Adjusted Qlfy Distri Yr5$168,661AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$3,627,624NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.046494DistributionYr5Rt
Total Distribution0.25188TotalDistributionRt
Average Distribution0.050376AverageDistributionRt
Net Vl Noncharitable Assets$3,344,754NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$168,495AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,548NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$170,043AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$172,835QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$1,548InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,548SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,548TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,256EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$1,256TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$292TaxDueAmt
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$30,600CompensationAmt
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$3,315,429AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$80,260AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,395,689TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,395,689AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$50,935CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,344,754NetVlNoncharitableAssetsAmt
Minimum Investment Return$167,238MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$167,238MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,548TaxBasedOnInvestmentIncomeAmt
Total Tax$1,548TotalTaxAmt
Distributable Before Adj$165,690DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$165,690DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$165,690DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$172,835ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$172,835QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$1,548PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$171,287AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$165,690DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$9,929ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$0ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$0ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$9,379ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$19,308TotalExcessDistributionCyovAmt
Qualifying Distributions$172,835QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$165,690AppliedToCurrentYearAmt
Remaining Distri From Corpus$7,145RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$26,453TotalCorpusAmt
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$26,453ExcessDistriCyovToNextYrAmt
Excess From Year4$9,929ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$9,379ExcessFromYear1Amt
Excess From Current Year$7,145ExcessFromCurrentYearAmt

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$168,795Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$168,795TotalGrantOrContriPdDurYrAmt

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$93,970ExclusionAmt
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$90,360ExclusionAmt
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$184,330ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$184,330TotalIncomeProducingActyAmt
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 (28 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
DFA INTERNATIONAL SMALL CO PORAT COST$76,125$54,847
OPPENHEIMER INTL GROWTH FD
DFA US S/C VALUE PORTAT COST$40,787$26,920
DFA GLOBAL REAL ESTATE SEC PORAT COST$39,376$37,295
AMERICAN BEACON L/C VALUE FDAT COST$313,932$237,835
DIAMOND HILL SMALL-MID CAP FDAT COST$102,158$86,626
DFA EMERGING MKTS PORTAT COST$89,913$79,068
DODGE & COX INCOME FDAT COST$344,077$350,901
PRIMECAP ODYSSEY GROWTH FD
LAZARD EMERGING MKTS PORT
DODGE & COX INTL STOCK FDAT COST$232,145$199,281
DFA US MICRO CAP PORTAT COST$37,185$27,379
TEMPLETON GLOBAL BD FD
LOOMIS SAYLES BD FDAT COST$133,540$111,610
LAZARD GLOBAL LISTED INFRASTRUAT COST$50,244$47,435
FEDERATED INSTITUTIONAL HIGH YAT COST$132,613$115,636
FLEXSHARES MSTAR GLBL UPSTRM NAT COST$149,802$122,000
FIDELITY US BOND INDEX INSTL PAT COST$362,433$393,102
BANK OF AMER CORP MTN
COLGATE PALM CO MTNAT COST$50,997$50,212
PEPSICO INCAT COST$99,509$102,749
FIDELITY INFLATION PROECTED BOAT COST$171,759$181,675
FIDELITY 500 INDEX FUNDAT COST$244,370$247,556
DODGE & COX GLOBAL BOND FUNDAT COST$32,044$29,196
JPMORGAN LARGE CAP GROWTH IAT COST$141,130$126,635
INVESCO OPPENHEIMER INTL GROWTAT COST$102,616$102,993
ISHARES MSCI EAFE GROWTH ETFAT COST$112,655$100,265
FIDELITY EMERGING MKTS INDEX FAT COST$107,486$88,141

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

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescROUNDINGDesc
Amt$3Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL ESTIMATES - PRINCIPAL$81$0$0
FOREIGN TAXES ON QUALIFIED FOR$1,677$1,677$0
FOREIGN TAXES ON NONQUALIFIED$298$298$0