STRATEGY STUDIO / PUBLIC DATA EXPLORER

MARY M PECKMAN TR FBO CHEN MEM HOSPITAL: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MARY M PECKMAN TR FBO CHEN MEM HOSPITAL (EIN 15-6017708)
Tax period
2017-04-01 to 2018-03-31
Filed
2018-08-09
IRS object ID
201812219349100211
Schema version
2017v2.2
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)
Return2018-08-09T11:00:29-05:00ReturnTs
Tax Period End2018-03-31TaxPeriodEndDt

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 Begin2017-04-01TaxPeriodBeginDt

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
Signature2018-07-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY E KUHLINPreparerPersonNm
PTINP00353001PTIN
Phone4123556000PhoneNum
Preparation2018-07-10PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$3,548,113FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$87,175DividendsRevAndExpnssAmt
Dividends Net Invst Incm$87,175DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$64,980NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$684,979GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$64,980CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$152,155TotalRevAndExpnssAmt
Total Net Invst Incm$152,155TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$31,806CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$28,626CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$3,181CompOfcrDirTrstDsbrsChrtblAmt
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$2,968TaxesRevAndExpnssAmt
Taxes Net Invst Incm$2,267TaxesNetInvstIncmAmt
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$35,754TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$30,893TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$4,161TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$166,213ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$166,213ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$201,967TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$30,893TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$170,374TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$49,812ExcessRevenueOverExpensesAmt
Net Investment Income$121,262NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$23,447SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$46,437SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$46,437SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Corporate Bonds BOY$200,948CorporateBondsBOYAmt
Corporate Bonds EOY$200,804CorporateBondsEOYAmt
Corporate Bonds EOYFMV$201,771CorporateBondsEOYFMVAmt
Other Investments BOY$3,104,588OtherInvestmentsBOYAmt
Other Investments EOY$3,031,932OtherInvestmentsEOYAmt
Other Investments EOYFMV$3,299,905OtherInvestmentsEOYFMVAmt
Total Assets BOY$3,328,983TotalAssetsBOYAmt
Total Assets EOY$3,279,173TotalAssetsEOYAmt
Total Assets EOYFMV$3,548,113TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$3,328,983CapitalStockBOYAmt
Capital Stock EOY$3,279,173CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$3,328,983TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,279,173TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,328,983TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,279,173TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,328,983TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$49,812ExcessRevenueOverExpensesAmt
Other Increases$2OtherIncreasesAmt
Subtotal$3,279,173SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,279,173TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (82 entries)

PropertyPropertyDescSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtAcquiredAcquiredDtHow AcquiredHowAcquiredCd
1402.422 AMERICAN BEACON LARGE CAP VALUE FUND2017-05-16$40,530$42,775-$2,245-$2,245
12319.218 CREDIT SUISSE COMMODITY RETURN STRATEGY FUND2017-05-16$59,995$84,989-$24,994-$24,994
1067.549 CREDIT SUISSE COMMODITY RETURN STRATEGY FUND2017-05-16$5,199$5,252-$53-$532016-09-28
838.052 DFA U.S. MICRO CAP PORTFOLIO2017-05-16$17,465$16,298$1,167$1,167
209.302 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO2017-05-16$4,140$4,092$48$482014-09-08
364.491 DFA EMERGING MKTS PORTFOLIO2017-05-16$9,885$9,729$156$156
447.16 DFA U.S. SMALL CAP VALUE PORTFOLIO2017-05-16$16,375$15,204$1,171$1,171
371.193 DODGE & COX INTL STOCK FUND2017-05-16$16,455$15,979$476$476
103.277 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND2017-05-16$1,040$1,021$19$192017-03-13
699.396 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND2017-05-16$11,575$9,726$1,849$1,849
546.976 LAZARD EMERGING MARKETS PORTFOLIO2017-05-16$10,130$10,575-$445-$445
451.192 OPPENHEIMER INTERNATIONAL GROWTH FUND2017-05-16$18,165$16,573$1,592$1,592
297.48 PRIMECAP ODYSSEY GROWTH FUND2017-05-16$9,680$8,062$1,618$1,6182014-11-26
609.501 TEMPLETON GLBL BD ADV2017-05-16$7,570$8,004-$434-$4342014-09-08
204.883 VANGUARD #94 INSTITUTIONAL INDEX2017-05-16$44,900$36,135$8,765$8,765
. LITIGATION PROCEEDS2017-06-07$9$9$9
21.799 AMERICAN BEACON LARGE CAP VALUE FUND2017-06-15$635$608$27$272014-01-30
7.102 DFA U.S. MICRO CAP PORTFOLIO2017-06-15$150$138$12$122014-01-30
50.933 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO2017-06-15$1,010$996$14$142014-09-08
272.52 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO2017-06-15$2,995$2,563$432$432
37.32 DIAMOND HILL SMALL-MID CAP FUND2017-06-15$830$708$122$1222015-09-09
199.473 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND2017-06-15$3,405$2,743$662$6622014-04-11
3745.41 LOOMIS SAYLES BOND FUND2017-06-15$53,035$56,668-$3,633-$3,6332014-01-30
58.699 OPPENHEIMER INTERNATIONAL GROWTH FUND2017-06-15$2,355$2,129$226$2262014-01-30
22.554 PRIMECAP ODYSSEY GROWTH FUND2017-06-15$740$611$129$1292014-11-26
7.798 VANGUARD #94 INSTITUTIONAL INDEX2017-06-15$1,735$1,283$452$4522014-01-30
17.988 AMERICAN BEACON LARGE CAP VALUE FUND2017-09-18$540$502$38$382014-01-30
105.052 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO2017-09-18$2,225$2,054$171$1712014-09-08
3227.273 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO2017-09-18$35,855$28,981$6,874$6,8742014-01-30
211.939 DODGE & COX INTL STOCK FUND2017-09-18$9,870$8,764$1,106$1,1062014-01-30
305. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2017-09-18$9,467$8,982$485$4852017-05-16
1871.326 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND2017-09-18$31,195$25,731$5,464$5,4642014-04-11
95.649 OPPENHEIMER INTERNATIONAL GROWTH FUND2017-09-18$4,045$3,469$576$5762014-01-30
4025.876 VANGUARD TOTAL BOND MARKET INDEX INSTL2017-09-18$43,560$44,647-$1,087-$1,0872016-09-28
4.276 VANGUARD #94 INSTITUTIONAL INDEX2017-09-18$980$703$277$2772014-01-30
222.006 AMERICAN BEACON LARGE CAP VALUE FUND2017-10-02$6,840$6,192$648$6482014-01-30
90.232 DFA U.S. MICRO CAP PORTFOLIO2017-10-02$2,060$1,752$308$3082014-01-30
35.714 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO2017-10-02$760$698$62$622014-09-08
48.354 DFA U.S. SMALL CAP VALUE PORTFOLIO2017-10-02$1,895$1,643$252$2522014-01-30
125. DIAMOND HILL SMALL-MID CAP FUND2017-10-02$2,860$2,371$489$4892015-09-09
50.761 DODGE & COX INTL STOCK FUND2017-10-02$2,370$2,099$271$2712014-01-30
72.628 FEDERATED INSTITUTIONAL HIGH YIELD BOND FUND2017-10-02$735$734$1$1
10. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2017-10-02$312$295$17$172017-05-16
16.736 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND2017-10-02$280$230$50$502014-04-11
5.599 LOOMIS SAYLES BOND FUND2017-10-02$80$802017-09-18
53.096 OPPENHEIMER INTERNATIONAL GROWTH FUND2017-10-02$2,255$1,926$329$3292014-01-30
103.945 PRIMECAP ODYSSEY GROWTH FUND2017-10-02$3,635$2,817$818$8182014-11-26
31.837 TEMPLETON GLBL BD ADV2017-10-02$390$3902017-06-15
8.071 VANGUARD S/T INFL PROT-ADM2017-10-02$200$201-$1-$12017-09-18
6.252 VANGUARD #94 INSTITUTIONAL INDEX2017-10-02$1,440$1,028$412$4122014-01-30
177.704 AMERICAN BEACON LARGE CAP VALUE FUND2017-11-30$5,619$4,956$663$6632014-01-30
260.796 DFA EMERGING MKTS PORTFOLIO2017-11-30$7,730$7,738-$8-$82017-09-18
301.946 LAZARD EMERGING MARKETS PORTFOLIO2017-11-30$5,897$5,8972017-09-18
199.679 OPPENHEIMER INTERNATIONAL GROWTH FUND2017-11-30$8,696$7,242$1,454$1,4542014-01-30
351.62 PRIMECAP ODYSSEY GROWTH FUND2017-11-30$13,242$9,512$3,730$3,730
44.632 VANGUARD #94 INSTITUTIONAL INDEX2017-11-30$10,801$7,341$3,460$3,4602014-01-30
150.266 AMERICAN BEACON LARGE CAP VALUE FUND2017-12-15$4,795$4,191$604$6042014-01-30
20.71 DFA U.S. MICRO CAP PORTFOLIO2017-12-15$455$402$53$532014-01-30
74.964 DFA INTERNATIONAL SMALL COMPANY PORTFOLIO2017-12-15$1,545$1,466$79$792014-09-08
9.205 DFA U.S. SMALL CAP VALUE PORTFOLIO2017-12-15$345$313$32$322014-01-30
259.598 DFA GLOBAL REAL ESTATE SECURITIES PORTFOLIO2017-12-15$2,840$2,331$509$5092014-01-30
25.322 DODGE & COX INCOME FUND2017-12-15$351$353-$2-$22014-11-26
323.381 DODGE & COX INCOME FUND2017-12-15$4,489$4,495-$6-$62017-09-18
185. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2017-12-15$5,910$5,448$462$4622017-05-16
45.131 LAZARD GLOBAL LISTED INFRASTRUCTURE FUND2017-12-15$760$621$139$1392014-04-11
250.464 VANGUARD TOTAL BOND MARKET INDEX INSTL2017-12-15$2,700$2,710-$10-$102017-06-15
39.346 VANGUARD S/T INFL PROT-ADM2017-12-15$975$978-$3-$32017-09-18
12.033 VANGUARD #94 INSTITUTIONAL INDEX2017-12-15$2,945$1,979$966$9662014-01-30
36.608 DFA EMERGING MKTS PORTFOLIO2018-03-16$1,159$1,170-$11-$112018-02-02
265.446 DFA EMERGING MKTS PORTFOLIO2018-03-16$8,401$6,529$1,872$1,872
125. DIAMOND HILL SMALL-MID CAP FUND2018-03-16$2,865$2,371$494$4942015-09-09
45.172 DODGE & COX INTL STOCK FUND2018-03-16$2,117$2,180-$63-$632018-02-02
52.972 DODGE & COX INTL STOCK FUND2018-03-16$2,483$2,190$293$2932014-01-30
155. FLEXSHARES MSTAR GLBL UPSTRM NAT RES IDX2018-03-16$5,104$4,773$331$331
55.293 LAZARD EMERGING MARKETS PORTFOLIO2018-03-16$1,152$1,170-$18-$182018-02-02
353.492 LAZARD EMERGING MARKETS PORTFOLIO2018-03-16$7,363$6,617$746$7462011-10-26
48.455 OPPENHEIMER INTERNATIONAL GROWTH FUND2018-03-16$2,160$2,180-$20-$202018-02-02
179.613 OPPENHEIMER INTERNATIONAL GROWTH FUND2018-03-16$8,005$6,515$1,490$1,4902014-01-30
435.916 PRIMECAP ODYSSEY GROWTH FUND2018-03-16$18,400$11,792$6,608$6,6082015-12-21
7.982 VANGUARD #94 INSTITUTIONAL INDEX2018-03-16$2,001$2,010-$9-$92018-02-02
20.543 VANGUARD #94 INSTITUTIONAL INDEX2018-03-16$5,149$3,379$1,770$1,7702014-01-30
CAPITAL GAIN DIVIDENDS$34,673P
FieldValueIRS element (for citing)
Capital Gain Net Income$64,980CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$165,192AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$3,362,598NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.049126DistributionYr1Rt
Adjusted Qlfy Distri Yr2$180,937AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$3,231,894NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.055985DistributionYr2Rt
Adjusted Qlfy Distri Yr3$168,661AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$3,627,624NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.046494DistributionYr3Rt
Adjusted Qlfy Distri Yr4$164,822AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$3,536,834NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.046602DistributionYr4Rt
Adjusted Qlfy Distri Yr5$161,012AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$3,291,618NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.048916DistributionYr5Rt
Total Distribution0.247123TotalDistributionRt
Average Distribution0.049425AverageDistributionRt
Net Vl Noncharitable Assets$3,530,791NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$174,509AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,213NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$175,722AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$170,374QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$2,425InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$2,425SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$2,425TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,920EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$1,920TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$505TaxDueAmt
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
Undistr Incm Sect4942a2 Not AppfalseUndistrIncmSect4942a2NotAppInd
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

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$31,806CompensationAmt
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$3,521,410AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$63,149AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,584,559TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,584,559AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$53,768CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,530,791NetVlNoncharitableAssetsAmt
Minimum Investment Return$176,540MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$176,540MinimumInvestmentReturnAmt
Tax Based On Investment Income$2,425TaxBasedOnInvestmentIncomeAmt
Total Tax$2,425TotalTaxAmt
Distributable Before Adj$174,115DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$174,115DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$174,115DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$170,374ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$170,374QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$170,374AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$174,115DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$0ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$0ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$13,670ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$13,670TotalExcessDistributionCyovAmt
Qualifying Distributions$170,374QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$170,374AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$3,741ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$3,741ExcessDistributionCyovAppCYAmt
Total Corpus$9,929TotalCorpusAmt
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$9,929ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$9,929ExcessFromYear2Amt
Excess From Year1$0ExcessFromYear1Amt
Excess From Current Year$0ExcessFromCurrentYearAmt

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 OPERATING SUPPORTGrantOrContributionPurposeTxt
Amt$166,213Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$166,213TotalGrantOrContriPdDurYrAmt

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$87,175ExclusionAmt
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$64,980ExclusionAmt
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$152,155ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$152,155TotalIncomeProducingActyAmt
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)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
BANK OF AMERICA 6.4% 8-15-19$50,000$51,886
COLGATE- PALM 2.45% 11/15/2021$51,295$49,361
PEPSICO INC 3.0% 8/25/21$99,509$100,524

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (21 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
DFA INTERNATIONAL SMALL CO PORAT COST$65,848$71,272
OPPENHEIMER INTL GROWTH FDAT COST$190,545$230,443
CREDIT SUISSE COMM RET
DFA US S/C VALUE PORTAT COST$33,690$35,252
DFA GLOBAL REAL ESTATE SEC PORAT COST$65,222$72,598
AMERICAN BEACON L/C VALUE FDAT COST$234,616$246,409
DIAMOND HILL SMALL-MID CAP FDAT COST$84,608$106,076
DFA EMERGING MKTS PORTAT COST$97,911$124,196
DODGE & COX INCOME FDAT COST$462,694$458,151
PRIMECAP ODYSSEY GROWTH FDAT COST$98,528$138,835
VANGUARD INSTITUTIONAL INDEX FAT COST$142,952$209,135
LAZARD EMERGING MKTS PORTAT COST$108,699$124,224
DODGE & COX INTL STOCK FDAT COST$185,153$227,640
DFA US MICRO CAP PORTAT COST$33,078$35,303
TEMPLETON GLOBAL BD FDAT COST$76,685$73,276
LOOMIS SAYLES BD FDAT COST$149,151$138,660
VANGUARD SHORT-TERM INFLAT PROAT COST$146,785$145,264
VANGUARD TOTAL BD MKT INDEX INAT COST$517,003$503,157
LAZARD GLOBAL LISTED INFRASTRUAT COST$66,419$72,001
FEDERATED INSTITUTIONAL HIGH YAT COST$109,870$108,171
FLEXSHARES MSTAR GLBL UPSTRM NAT COST$162,475$179,842

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$2Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL ESTIMATES - PRINCIPAL$701$0$0
FOREIGN TAXES ON QUALIFIED FOR$1,872$1,872$0
FOREIGN TAXES ON NONQUALIFIED$395$395$0