STRATEGY STUDIO / PUBLIC DATA EXPLORER

MARY M PECKMAN TR FBO CHEN MEM HOSPITAL: Form 990PF, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MARY M PECKMAN TR FBO CHEN MEM HOSPITAL (EIN 15-6017708)
Tax period
2018-04-01 to 2019-03-31
Filed
2019-08-01
IRS object ID
201932139349100618
Schema version
2018v3.0
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)
Return2019-08-01T17:00:29-05:00ReturnTs
Tax Period End2019-03-31TaxPeriodEndDt

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 Begin2018-04-01TaxPeriodBeginDt

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
Signature2019-07-18SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY E KUHLINPreparerPersonNm
PTINP00353001PTIN
Phone4123556000PhoneNum
Preparation2019-07-18PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.125.77IPv4AddressTxt
FieldValueIRS element (for citing)
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id92C96EC6C70EA0DE704877EFBEDC628DE56EBBA3AtSubmissionCreationDeviceId
At Submission Filing Device IdB6ADDBCE7D9586FA99668646C7B1D4CAA2401068AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$3,373,239FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$96,391DividendsRevAndExpnssAmt
Dividends Net Invst Incm$96,391DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$59,440NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,390,556GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$59,440CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$155,831TotalRevAndExpnssAmt
Total Net Invst Incm$155,831TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$30,776CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$27,698CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$3,078CompOfcrDirTrstDsbrsChrtblAmt
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$5,770TaxesRevAndExpnssAmt
Taxes Net Invst Incm$2,837TaxesNetInvstIncmAmt
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$37,526TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$30,535TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$4,058TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$174,116ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$174,116ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$211,642TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$30,535TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$178,174TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$55,811ExcessRevenueOverExpensesAmt
Net Investment Income$125,296NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$46,437SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$10,989SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$10,989SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Corporate Bonds BOY$200,804CorporateBondsBOYAmt
Other Investments BOY$3,031,932OtherInvestmentsBOYAmt
Other Investments EOY$3,212,372OtherInvestmentsEOYAmt
Other Investments EOYFMV$3,362,250OtherInvestmentsEOYFMVAmt
Total Assets BOY$3,279,173TotalAssetsBOYAmt
Total Assets EOY$3,223,361TotalAssetsEOYAmt
Total Assets EOYFMV$3,373,239TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$3,279,173CapitalStockBOYAmt
Capital Stock EOY$3,223,361CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$3,279,173TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,223,361TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,279,173TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,223,361TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,279,173TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$55,811ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$3,223,362SubtotalAmt
Other Decreases$1OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,223,361TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (80 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
147.457 AMERICAN BEACON LARGE CAP VALUE FUND2014-01-302018-06-15$4,344$4,113$231$231
77.933 AMERICAN BEACON LARGE CAP VALUE FUND2018-02-022018-06-15$2,296$2,345-$49-$49
130.814 DFA U.S. MICRO CAP PORTFOLIO2014-01-302018-06-15$3,150$2,540$610$610
40.282 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO2018-06-15$859$880-$21-$21
8.71 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO2014-09-082018-06-15$186$170$16$16
1.228 DFA U.S. SMALL CAP VALUE PORTFOLIO2017-06-152018-06-15$50$45$5$5
73.926 DFA U.S. SMALL CAP VALUE PORTFOLIO2014-01-302018-06-15$3,005$2,512$493$493
122.711 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO2017-10-022018-06-15$1,320$1,340-$20-$20
198.385 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO2018-06-15$2,135$2,094$41$41
155.386 DIAMOND HILL SMALL-MID CAP FUND2018-06-15$3,605$3,003$602$602
113.095 DODGE & COX INCOME FUND2018-06-15$1,520$1,558-$38-$38
137.666 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND2017-09-182018-06-15$1,345$1,390-$45-$45
395. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2017-05-162018-06-15$13,497$11,633$1,864$1,864
297.792 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND2014-04-112018-06-15$4,720$4,095$625$625
18.889 LOOMIS SAYLES BOND FUND2017-09-182018-06-15$255$270-$15-$15
63.317 OPPENHEIMER INTERNATIONAL GROWTH FUND2014-01-302018-06-15$2,810$2,297$513$513
83.766 PRIMECAP ODYSSEY GROWTH FUND2015-12-212018-06-15$3,550$2,266$1,284$1,284
353.026 VANGUARD TOTAL BOND MARKET INDEX INSTL2018-06-15$3,675$3,729-$54-$54
107.626 VANGUARD S/T INFL PROT-ADM2018-06-15$2,625$2,647-$22-$22
27.581 VANGUARD #94 INSTITUTIONAL INDEX2014-01-302018-06-15$6,985$4,537$2,448$2,448
360.613 AMERICAN BEACON LARGE CAP VALUE FUND2014-01-302018-09-18$11,060$10,058$1,002$1,002
46.247 DFA U.S. MICRO CAP PORTFOLIO2017-09-182018-09-18$1,140$992$148$148
7.004 DFA U.S. SMALL CAP VALUE PORTFOLIO2017-09-182018-09-18$285$259$26$26
1905.188 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO2018-09-18$21,300$18,436$2,864$2,864
73.024 DIAMOND HILL SMALL-MID CAP FUND2017-09-182018-09-18$1,700$1,625$75$75
1022.157 DODGE & COX INCOME FUND2018-09-18$13,728$13,922-$194-$194
2055.654 DODGE & COX INCOME FUND2014-11-262018-09-18$27,607$28,635-$1,028-$1,028
454.648 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND2018-09-18$4,446$4,501-$55-$55
3278.481 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND2017-03-132018-09-18$32,064$32,424-$360-$360
1072.251 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND2014-04-112018-09-18$16,770$14,743$2,027$2,027
147.97 LOOMIS SAYLES BOND FUND2018-09-18$2,005$2,038-$33-$33
60.817 PRIMECAP ODYSSEY GROWTH FUND2017-09-182018-09-18$2,620$2,065$555$555
402.473 TEMPLETON GLBL BD ADV2018-09-18$4,532$4,820-$288-$288
2622.838 TEMPLETON GLBL BD ADV2018-09-18$29,533$34,059-$4,526-$4,526
2353.159 VANGUARD TOTAL BOND MARKET INDEX INSTL2016-09-072018-09-18$24,355$26,167-$1,812-$1,812
1530.416 VANGUARD TOTAL BOND MARKET INDEX INSTL2018-09-18$15,840$16,051-$211-$211
176.764 AMERICAN BEACON LARGE CAP VALUE FUND2018-03-162018-11-21$4,960$5,174-$214-$214
6.201 DFA U.S. MICRO CAP PORTFOLIO2017-09-182018-11-21$134$133$1$1
26.468 DFA U.S. MICRO CAP PORTFOLIO2018-11-21$571$590-$19-$19
78.655 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO2018-09-182018-11-21$1,415$1,616-$201-$201
122.598 DFA EMERGING MKTS PORTFOLIO2018-11-21$3,190$3,609-$419-$419
19.589 DFA U.S. SMALL CAP VALUE PORTFOLIO2018-11-21$705$751-$46-$46
96.892 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO2014-01-302018-11-21$1,060$870$190$190
99.206 DIAMOND HILL SMALL-MID CAP FUND2018-11-21$2,125$2,230-$105-$105
123.352 DODGE & COX INTL STOCK FUND2018-11-21$4,960$5,484-$524-$524
749.622 DODGE & COX INCOME FUND2018-11-21$9,925$10,435-$510-$510
150.212 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND2017-03-132018-11-21$1,415$1,486-$71-$71
110. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2018-09-182018-11-21$3,441$3,677-$236-$236
70.479 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND2018-11-21$1,060$1,076-$16-$16
191.821 LAZARD EMERGING MARKETS PORTFOLIO2018-11-21$3,190$3,654-$464-$464
241.85 LOOMIS SAYLES BOND FUND2018-03-162018-11-21$3,190$3,311-$121-$121
136.677 OPPENHEIMER INTERNATIONAL GROWTH FUND2018-11-21$4,960$5,802-$842-$842
56.87 PRIMECAP ODYSSEY GROWTH FUND2018-11-21$2,143$2,230-$87-$87
18.368 PRIMECAP ODYSSEY GROWTH FUND2017-09-182018-11-21$692$624$68$68
60.88 TEMPLETON GLBL BD ADV2015-04-202018-11-21$705$740-$35-$35
98.723 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO2018-12-19$1,005$1,038-$33-$33
4523.019 DODGE & COX INCOME FUND2018-12-19$59,930$62,781-$2,851-$2,851
179.032 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND2017-03-132018-12-19$1,665$1,771-$106-$106
117.45 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND2018-03-162018-12-19$1,750$1,782-$32-$32
375.613 LAZARD EMERGING MARKETS PORTFOLIO2018-06-152018-12-19$6,130$6,806-$676-$676
89.193 LOOMIS SAYLES BOND FUND2018-03-162018-12-19$1,158$1,221-$63-$63
1525.984 LOOMIS SAYLES BOND FUND2014-01-302018-12-19$19,807$23,088-$3,281-$3,281
229.167 TEMPLETON GLBL BD ADV2015-04-202018-12-19$2,585$2,785-$200-$200
43592.022 VANGUARD TOTAL BOND MARKET INDEX INSTL2018-12-19$454,665$471,055-$16,390-$16,390
5760.299 VANGUARD S/T INFL PROT-ADM2018-12-19$138,074$142,704-$4,630-$4,630
1451.765 VANGUARD S/T INFL PROT-ADM2018-12-19$34,799$35,534-$735-$735
841.535 VANGUARD #94 INSTITUTIONAL INDEX2014-01-302018-12-19$191,407$138,416$52,991$52,991
93.041 VANGUARD #94 INSTITUTIONAL INDEX2018-09-182018-12-19$21,162$24,735-$3,573-$3,573
22.989 DFA U.S. MICRO CAP PORTFOLIO2017-09-182019-03-19$480$493-$13-$13
188.077 DFA EMERGING MKTS PORTFOLIO2018-06-152019-03-19$5,300$5,501-$201-$201
315.937 DIAMOND HILL SMALL-MID CAP FUND2019-03-19$6,780$6,250$530$530
127.038 DODGE & COX INTL STOCK FUND2018-06-152019-03-19$5,295$5,574-$279-$279
160.548 FIDELITY 500 INDEX FUND2018-12-192019-03-19$15,875$13,995$1,880$1,880
3224.561 FIDELITY US BOND INDEX INSTL PREMIUM2018-12-192019-03-19$36,760$36,309$451$451
105. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2017-05-162019-03-19$3,460$3,092$368$368
100. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2018-09-182019-03-19$3,295$3,343-$48-$48
133.751 LAZARD EMERGING MARKETS PORTFOLIO2018-06-152019-03-19$2,350$2,424-$74-$74
359.944 OPPENHEIMER INTERNATIONAL GROWTH FUND2018-09-182019-03-19$14,135$14,876-$741-$741
229.523 PRIMECAP ODYSSEY GROWTH FUND2017-09-182019-03-19$9,135$7,792$1,343$1,343
CAPITAL GAIN DIVIDENDS$32,796P
FieldValueIRS element (for citing)
Capital Gain Net Income$59,440CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$170,374AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$3,530,791NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.048254DistributionYr1Rt
Adjusted Qlfy Distri Yr2$165,192AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$3,362,598NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.049126DistributionYr2Rt
Adjusted Qlfy Distri Yr3$180,937AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$3,231,894NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.055985DistributionYr3Rt
Adjusted Qlfy Distri Yr4$168,661AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$3,627,624NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.046494DistributionYr4Rt
Adjusted Qlfy Distri Yr5$164,822AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$3,536,834NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.046602DistributionYr5Rt
Total Distribution0.246461TotalDistributionRt
Average Distribution0.049292AverageDistributionRt
Net Vl Noncharitable Assets$3,400,956NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$167,640AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,253NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$168,893AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$178,174QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$1,253InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,253SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,253TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2,428EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$2,428TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$1,175OverpaymentAmt
Applied To ES Tax$1,175AppliedToESTaxAmt
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$30,776CompensationAmt
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$3,388,194AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$64,553AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,452,747TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,452,747AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$51,791CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,400,956NetVlNoncharitableAssetsAmt
Minimum Investment Return$170,048MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$170,048MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,253TaxBasedOnInvestmentIncomeAmt
Total Tax$1,253TotalTaxAmt
Distributable Before Adj$168,795DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$168,795DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$168,795DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$178,174ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$178,174QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$1,253PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$176,921AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$168,795DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$0ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$9,929ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$0ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$9,929TotalExcessDistributionCyovAmt
Qualifying Distributions$178,174QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$168,795AppliedToCurrentYearAmt
Remaining Distri From Corpus$9,379RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$19,308TotalCorpusAmt
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$19,308ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$9,929ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$0ExcessFromYear1Amt
Excess From Current Year$9,379ExcessFromCurrentYearAmt

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$174,116Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$174,116TotalGrantOrContriPdDurYrAmt

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$96,391ExclusionAmt
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$59,440ExclusionAmt
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$155,831ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$155,831TotalIncomeProducingActyAmt
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 Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (3 entries)

BondBondNm
BANK OF AMERICA 6.4% 8-15-19
COLGATE- PALM 2.45% 11/15/2021
PEPSICO INC 3.0% 8/25/21

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (26 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
DFA INTERNATIONAL SMALL CO PORAT COST$74,232$67,979
OPPENHEIMER INTL GROWTH FDAT COST$223,671$238,939
DFA US S/C VALUE PORTAT COST$34,808$33,597
DFA GLOBAL REAL ESTATE SEC PORAT COST$41,989$52,765
AMERICAN BEACON L/C VALUE FDAT COST$241,907$238,363
DIAMOND HILL SMALL-MID CAP FDAT COST$83,675$102,041
DFA EMERGING MKTS PORTAT COST$139,001$153,433
DODGE & COX INCOME FDAT COST$399,898$401,732
PRIMECAP ODYSSEY GROWTH FDAT COST$99,637$135,417
VANGUARD INSTITUTIONAL INDEX F
LAZARD EMERGING MKTS PORTAT COST$154,510$152,144
DODGE & COX INTL STOCK FDAT COST$217,154$235,366
DFA US MICRO CAP PORTAT COST$33,024$33,736
TEMPLETON GLOBAL BD FDAT COST$36,276$33,965
LOOMIS SAYLES BD FDAT COST$141,342$131,065
VANGUARD SHORT-TERM INFLAT PRO
VANGUARD TOTAL BD MKT INDEX IN
LAZARD GLOBAL LISTED INFRASTRUAT COST$48,573$51,224
FEDERATED INSTITUTIONAL HIGH YAT COST$70,398$69,231
FLEXSHARES MSTAR GLBL UPSTRM NAT COST$153,405$170,628
FIDELITY US BOND INDEX INSTL PAT COST$433,386$443,778
BANK OF AMER CORP MTNAT COST$50,000$50,534
COLGATE PALM CO MTNAT COST$51,147$49,947
PEPSICO INCAT COST$99,509$100,759
FIDELITY INFLATION PROECTED BOAT COST$172,075$174,003
FIDELITY 500 INDEX FUNDAT COST$212,755$241,604

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescROUNDINGDesc
Amt$1Amt

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$505$0$0
FEDERAL ESTIMATES - PRINCIPAL$2,428$0$0
FOREIGN TAXES ON QUALIFIED FOR$2,723$2,723$0
FOREIGN TAXES ON NONQUALIFIED$114$114$0