STRATEGY STUDIO / PUBLIC DATA EXPLORER

MARY M PECKMAN TR FBO CHEN MEM HOSPITAL: Form 990PF, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MARY M PECKMAN TR FBO CHEN MEM HOSPITAL (EIN 15-6017708)
Tax period
2013-04-01 to 2014-03-31
Filed
2014-08-04
IRS object ID
201422169349100407
Schema version
2013v3.1
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)
Return2014-08-04T08:08:31-06:00ReturnTs
Tax Period End2014-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line199 WOOD AVE SOUTHAddressLine1
CityISELINCity
StateNJState
ZIP Code08830ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2013-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN156017708EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARY PECKHAM FBO CHENANGO MEM HOSPITAL 003154BusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlPECKBusinessNameControlTxt
Phone6073376068PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O NBT BANK NA 52 S BROAD STAddressLine1
CityNORWICHCity
StateNYState
ZIP Code13815ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDONNA HARLANDERPersonNm
Person TitleVICE PRESIDENTPersonTitleTxt
Phone6073376068PhoneNum
Signature2014-07-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLOUIS J DEROSEPreparerPersonNm
Phone7327679100PhoneNum
Preparation2014-07-29PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-12-30 17:16:21ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$3,695,234FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$13InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$13InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$86,468DividendsRevAndExpnssAmt
Dividends Net Invst Incm$87,487DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$622,093NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$3,307,698GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$620,971CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$708,574TotalRevAndExpnssAmt
Total Net Invst Incm$708,471TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$22,129CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$19,916CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$2,213CompOfcrDirTrstDsbrsChrtblAmt
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$750AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$2,644TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,415TaxesNetInvstIncmAmt
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 Rev And Expnss$3PrintingAndPubRevAndExpnssAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Printing And Pub Dsbrs Chrtbl$3PrintingAndPubDsbrsChrtblAmt
Other Expenses Rev And Expnss$250OtherExpensesRevAndExpnssAmt
Other Expenses Dsbrs Chrtbl$250OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$25,776TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$21,331TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$2,466TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$162,356ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$162,356ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$188,132TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$21,331TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$164,822TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$520,442ExcessRevenueOverExpensesAmt
Net Investment Income$687,140NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash EOY$1,252CashEOYAmt
Cash EOYFMV$1,252CashEOYFMVAmt
Sav And Temp Cash Invst BOY$59,987SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$89,123SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$89,123SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
US Government Obligations BOY$469,066USGovernmentObligationsBOYAmt
US Government Obligations EOY$245,501USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$265,185USGovtObligationsEOYFMVAmt
Corporate Stock BOY$929,236CorporateStockBOYAmt
Corporate Bonds BOY$201,764CorporateBondsBOYAmt
Corporate Bonds EOY$301,273CorporateBondsEOYAmt
Corporate Bonds EOYFMV$309,214CorporateBondsEOYFMVAmt
Other Investments BOY$1,326,101OtherInvestmentsBOYAmt
Other Investments EOY$2,869,447OtherInvestmentsEOYAmt
Other Investments EOYFMV$3,030,460OtherInvestmentsEOYFMVAmt
Total Assets BOY$2,986,154TotalAssetsBOYAmt
Total Assets EOY$3,506,596TotalAssetsEOYAmt
Total Assets EOYFMV$3,695,234TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$2,986,154CapitalStockBOYAmt
Capital Stock EOY$3,506,596CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$2,986,154TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,506,596TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,986,154TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,506,596TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,986,154TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$520,442ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$3,506,596SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,506,596TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (142 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
5. GOOGLE INC CL AP2009-07-312013-04-02$4,064$2,220$1,844$1,844
355. HEINZ H J CO COMP2013-06-07$25,738$18,508$7,230$7,230
30. BERKSHIRE HATHAWAY INC-CL BP2011-06-212013-06-11$3,417$2,289$1,128$1,128
214. CVS CORP COMP2012-03-192013-06-11$12,579$9,708$2,871$2,871
31. GOLDMAN SACHS GROUP INC COMP2011-06-212013-06-11$5,125$4,194$931$931
355.388 HARTFORD MIDCAP FUND-YP2011-10-262013-06-11$9,162$7,971$1,191$1,191
107. HONEYWELL INTL INC COMP2012-07-272013-06-11$8,426$6,291$2,135$2,135
419. INTEL CORP COMP2009-07-312013-06-11$10,479$8,124$2,355$2,355
21. ISHARES NASDAQ BIOTECH ETFP2007-11-292013-06-11$3,774$1,767$2,007$2,007
48. JOHNSON & JOHNSON COMP2007-03-202013-06-11$4,068$2,940$1,128$1,128
36. LOWES COS INC COMP2007-03-202013-06-11$1,478$1,121$357$357
158. MICROSOFT CORP COMP2003-08-282013-06-11$5,533$4,195$1,338$1,338
27. NOVARTIS A G SPONSORED ADRP2011-10-242013-06-11$1,948$1,589$359$359
320. ORACLE CORP COMP2011-06-212013-06-11$10,880$10,314$566$566
99. PRUDENTIAL FINL INC COMP2007-03-202013-06-11$7,071$8,919-$1,848-$1,848
809.477 ROYCE PENNSYLVANIA MUT FUND-INP2011-10-262013-06-11$10,507$9,018$1,489$1,489
26. KBW REGIONAL BANKING ETFP2010-11-012013-06-11$854$572$282$282
1550. FINANCIAL SELECT SECTOR SPDRP2012-11-302013-06-11$30,627$24,459$6,168$6,168
44. UNION PAC CORP COMP2010-11-012013-06-11$6,895$3,909$2,986$2,986
69. UNITED TECHNOLOGIES CORP COMP2007-03-202013-06-11$6,514$4,486$2,028$2,028
60. UNITEDHEALTH GROUP INC COMP2013-02-212013-06-11$3,868$3,300$568$568
266.787 CRM MID CAP VALUE FD INSTLP2011-10-262013-06-11$9,380$7,174$2,206$2,206
215. XYLEM INCP2011-06-212013-06-11$5,877$6,973-$1,096-$1,096
.75 MALLINCKRODT PLCP2011-06-212013-07-12$32$29$3$3
535.461 HARTFORD MIDCAP FUND-YP2011-10-262013-07-17$14,382$12,010$2,372$2,372
3932.826 CRM MID CAP VALUE FD INSTLP2011-10-262013-07-17$143,587$105,754$37,833$37,833
1100.514 ROYCE PENNSYLVANIA MUT FUND-INP2011-10-262013-07-24$15,000$12,260$2,740$2,740
55. MALLINCKRODT PLCP2013-07-30$2,557$2,052$505$505
9. APPLE COMPUTERP2013-10-07$4,417$778$3,639$3,639
75. BED BATH & BEYOND INCP2012-11-272013-10-07$5,765$4,447$1,318$1,318
360. BED BATH & BEYOND INCP2011-06-212013-10-07$27,673$19,458$8,215$8,215
362. CHURCH & DWIGHT INCP2012-11-302013-10-07$21,597$19,579$2,018$2,018
106. CONOCOPHILLIPS COMP2012-11-272013-10-07$7,508$6,020$1,488$1,488
345. CONOCOPHILLIPS COMP2013-10-07$24,436$11,754$12,682$12,682
273. E M C CORP MASS COMP2013-10-07$6,929$6,782$147$147
880. E M C CORP MASS COMP2013-10-07$22,334$23,113-$779-$779
446. GENERAL MILLS INC COMP2013-06-112013-10-07$21,395$21,641-$246-$246
368. HONEYWELL INTL INC COMP2012-07-272013-10-07$30,588$21,635$8,953$8,953
471. INTEL CORP COMP2013-10-07$10,786$9,164$1,622$1,622
398. INTEL CORP COMP2012-11-272013-10-07$9,115$8,012$1,103$1,103
257. ISHARES DJ US TELCOM SECTOR ETFP2012-04-172013-10-07$7,122$5,633$1,489$1,489
124. LOWES COS INC COMP2013-10-07$5,873$3,449$2,424$2,424
140. MONSANTO COMPANY COMP2012-11-272013-10-07$14,772$12,835$1,937$1,937
395. NOVARTIS A G SPONSORED ADRP2013-10-07$29,798$23,071$6,727$6,727
84. PROCTER & GAMBLE CO COMP1992-11-242013-10-07$6,375$1,149$5,226$5,226
35. PRUDENTIAL FINL INC COMP2007-03-202013-10-07$2,719$3,153-$434-$434
434. KBW REGIONAL BANKING ETFP2013-10-07$15,403$10,289$5,114$5,114
88. ENERGY SELECT SECTOR SPDRP2013-06-112013-10-07$7,334$7,076$258$258
361. ENERGY SELECT SECTOR SPDRP2013-10-07$30,086$26,286$3,800$3,800
46. US BANCORPP2012-11-272013-10-07$1,667$1,488$179$179
350. US BANCORPP2012-05-252013-10-07$12,687$10,937$1,750$1,750
62. UNITEDHEALTH GROUP INC COMP2013-02-212013-10-07$4,481$3,410$1,071$1,071
300. VANGUARD REIT ETFP2013-10-07$19,881$18,853$1,028$1,028
71. VANGUARD REIT ETFP2013-06-112013-10-07$4,705$4,912-$207-$207
528. XYLEM INCP2013-10-07$14,779$14,165$614$614
75000. FFCB 4.710% 10/18/13P2013-10-18$75,000$73,700$1,300$1,300
5. GOOGLE INC CL AP2009-07-312013-10-21$5,067$2,220$2,847$2,847
17. APPLE COMPUTERP2007-03-202013-11-22$8,838$1,560$7,278$7,278
27. INTL BUSINESS MACHINES CORP COMP2004-08-252013-11-22$4,918$2,296$2,622$2,622
109. QUALCOMM INC COMP2011-06-212013-11-22$7,948$5,910$2,038$2,038
409.389 DIAMOND HILL SMALL/MID CAP-IP2013-07-192013-11-27$7,500$6,947$553$553
405.542 HARTFORD MIDCAP FUND-YP2011-10-262013-11-27$12,000$9,096$2,904$2,904
921.659 ROYCE PENNSYLVANIA MUT FUND-INP2011-10-262013-11-27$14,000$10,267$3,733$3,733
100000. FNMA 1.000% 12/30/15P2011-12-272013-12-30$100,000$100,000
50000. FNMA 5.125% 1/02/14P2007-01-192014-01-02$50,000$49,865$135$135
56.71716 FEDERATED TOTAL RETURN BOND FUND #328P2010-11-022014-01-02$618$648-$30-$30
3979.97984 FEDERATED TOTAL RETURN BOND FUND #328P2014-01-02$43,382$44,377-$995-$995
4122.723 VANGUARD GNMA FUND ADMP2009-10-232014-01-02$43,000$44,278-$1,278-$1,278
477. AMERICAN EXPRESS CO COMP2013-10-072014-01-28$40,921$34,987$5,934$5,934
407. APACHE CORP COMP2013-10-072014-01-28$32,962$35,340-$2,378-$2,378
86. APPLE COMPUTERP2014-01-28$43,700$22,493$21,207$21,207
187. BERKSHIRE HATHAWAY INC-CL BP2011-06-212014-01-28$20,942$14,268$6,674$6,674
124. BERKSHIRE HATHAWAY INC-CL BP2013-10-072014-01-28$13,887$14,062-$175-$175
130. CVS CORP COMP2013-10-072014-01-28$8,931$7,396$1,535$1,535
493. CVS CORP COMP2014-01-28$33,869$22,340$11,529$11,529
336. CATERPILLAR INC DEL COMP2013-10-072014-01-28$30,843$28,170$2,673$2,673
275. CHEVRONTEXACO CORP COMP2014-01-28$32,010$27,890$4,120$4,120
85. CHEVRONTEXACO CORP COMP2014-01-28$9,894$10,125-$231-$231
1146. CISCO SYS INC COMP2014-01-28$25,005$27,034-$2,029-$2,029
700. CISCO SYS INC COMP2014-01-28$15,274$10,908$4,366$4,366
486. DANAHER CORPP2014-01-28$36,809$16,781$20,028$20,028
1054.954 DIAMOND HILL SMALL/MID CAP-IP2013-07-192014-01-28$18,525$17,903$622$622
522. DISNEY WALT CO COM DISNEYP2014-01-28$37,929$13,588$24,341$24,341
129. DISNEY WALT CO COM DISNEYP2013-10-072014-01-28$9,373$8,377$996$996
7044.642 DODGE & COX INCOME FUNDP2014-01-28$96,371$91,713$4,658$4,658
361. EXXON MOBIL CORP COMP2014-01-28$34,255$22,867$11,388$11,388
131. EXXON MOBIL CORP COMP2014-01-28$12,431$11,453$978$978
9217.049 FEDERATED TOTAL RETURN BOND FUND #328P2014-01-28$101,019$104,358-$3,339-$3,339
1521. GENERAL ELEC CO COMP2014-01-28$38,648$31,022$7,626$7,626
97. GOLDMAN SACHS GROUP INC COMP2014-01-28$16,072$15,627$445$445
128. GOLDMAN SACHS GROUP INC COMP2014-01-28$21,208$15,295$5,913$5,913
45. GOOGLE INC CL AP2014-01-28$50,441$21,143$29,298$29,298
4429.594 HARTFORD MIDCAP FUND-YP2014-01-28$126,111$99,147$26,964$26,964
139. INTL BUSINESS MACHINES CORP COMP2014-01-28$24,640$13,777$10,863$10,863
65. INTL BUSINESS MACHINES CORP COMP2014-01-28$11,522$12,129-$607-$607
27. ISHARES NASDAQ BIOTECH ETFP2013-10-072014-01-28$6,582$5,644$938$938
204. ISHARES NASDAQ BIOTECH ETFP2014-01-28$49,732$18,853$30,879$30,879
289. ISHARES DJ US TELCOM SECTOR ETFP2014-01-28$8,376$6,412$1,964$1,964
313. J P MORGAN CHASE & CO COMP2014-01-28$17,377$11,927$5,450$5,450
540. J P MORGAN CHASE & CO COMP2014-01-28$29,980$27,811$2,169$2,169
105. JOHNSON & JOHNSON COMP2013-10-072014-01-28$9,474$9,126$348$348
382. JOHNSON & JOHNSON COMP2014-01-28$34,467$24,371$10,096$10,096
746. LOWES COS INC COMP2014-01-28$35,095$17,669$17,426$17,426
494. MARKET VECTORS AGRIBUSINESSP2014-01-28$25,565$22,605$2,960$2,960
63. MCDONALDS CORP COMP2013-06-112014-01-28$5,940$6,247-$307-$307
297. MCDONALDS CORP COMP2014-01-28$28,001$24,740$3,261$3,261
1011. MICROSOFT CORP COMP2014-01-28$36,608$26,844$9,764$9,764
240. THE MOSAIC COMPANYP2014-01-28$10,689$14,154-$3,465-$3,465
259. THE MOSAIC COMPANYP2013-10-072014-01-28$11,536$11,992-$456-$456
224. ORACLE CORP COMP2013-10-072014-01-28$8,214$7,400$814$814
842. ORACLE CORP COMP2014-01-28$30,876$26,092$4,784$4,784
445. PEPSICO INC COMP2013-10-072014-01-28$36,647$35,329$1,318$1,318
1046. PFIZER INC COMP2014-01-28$32,008$21,186$10,822$10,822
175. PFIZER INC COMP2013-10-072014-01-28$5,355$5,040$315$315
198. PRICE T ROWE GROUP INC COMP2014-01-28$15,888$14,510$1,378$1,378
296. PRICE T ROWE GROUP INC COMP2014-01-28$23,752$18,611$5,141$5,141
285. PROCTER & GAMBLE CO COMP2014-01-28$22,389$11,560$10,829$10,829
90. PROCTER & GAMBLE CO COMP2013-06-112014-01-28$7,070$7,061$9$9
49. PRUDENTIAL FINL INC COMP2013-11-222014-01-28$4,120$4,397-$277-$277
361. PRUDENTIAL FINL INC COMP2014-01-28$30,355$26,175$4,180$4,180
215. QUALCOMM INC COMP2014-01-28$15,589$13,580$2,009$2,009
301. QUALCOMM INC COMP2014-01-28$21,825$16,560$5,265$5,265
8631.184 ROYCE PENNSYLVANIA MUT FUND-INP2014-01-28$122,822$96,241$26,581$26,581
350. SCHLUMBERGER LTD COMP2014-01-28$30,810$19,021$11,789$11,789
122. SCHLUMBERGER LTD COMP2014-01-28$10,740$10,236$504$504
742. UTILITIES SELECT SECTOR SPDRP2014-01-28$28,256$25,843$2,413$2,413
66. UTILITIES SELECT SECTOR SPDRP2013-10-072014-01-28$2,513$2,459$54$54
629. TJX COS INC NEW COMP2013-10-072014-01-28$36,759$35,023$1,736$1,736
408. TARGET CORP COMP2014-01-28$23,598$13,116$10,482$10,482
39. TARGET CORP COMP2013-10-072014-01-28$2,256$2,462-$206-$206
166. UNION PAC CORP COMP2014-01-28$28,689$14,805$13,884$13,884
16. UNION PAC CORP COMP2013-10-072014-01-28$2,765$2,458$307$307
257. UNITED TECHNOLOGIES CORP COMP2014-01-28$29,141$18,504$10,637$10,637
388. UNITEDHEALTH GROUP INC COMP2013-02-212014-01-28$27,920$21,337$6,583$6,583
11622.52 VANGUARD TOTL BD MKT IDX INSP2014-01-28$124,012$122,755$1,257$1,257
9606.346 VANGUARD GNMA FUND ADMP2014-01-28$101,539$105,240-$3,701-$3,701
23. WAL MART STORES INC COMP2013-10-072014-01-28$1,706$1,668$38$38
366. WAL MART STORES INC COMP2014-01-28$27,146$20,626$6,520$6,520
467. WELLS FARGO & CO NEW COMP2014-01-28$21,496$19,582$1,914$1,914
350. WELLS FARGO & CO NEW COMP2012-03-142014-01-28$16,111$11,616$4,495$4,495
446. COVIDIEN PLCP2014-01-28$30,517$21,272$9,245$9,245
CAPITAL GAIN DIVIDENDSP$21,477
FieldValueIRS element (for citing)
Capital Gain Net Income$620,971CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$161,012AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$3,291,618NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.048916DistributionYr1Rt
Adjusted Qlfy Distri Yr2$159,469AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$3,238,521NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.049241DistributionYr2Rt
Adjusted Qlfy Distri Yr3$190,353AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$3,210,499NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.059291DistributionYr3Rt
Adjusted Qlfy Distri Yr4$127,424AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$2,991,204NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.0426DistributionYr4Rt
Adjusted Qlfy Distri Yr5$136,403AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$2,992,873NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.045576DistributionYr5Rt
Total Distribution0.245624TotalDistributionRt
Average Distribution0.049125AverageDistributionRt
Net Vl Noncharitable Assets$3,536,834NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$173,747AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$6,871NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$180,618AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$164,822QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$13,743InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$13,743SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$13,743TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2,248EstimatedPlusOvpmtIncmTxAmt
Applied To Es Tax$0AppliedToEsTaxAmt
Total Payments And Credits$2,248TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$11,495TaxDueAmt
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

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1NBT BANK NABusinessNameLine1
FieldValueIRS element (for citing)
Phone6073376497PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line152 S BROAD STREETAddressLine1
CityNORWICHCity
StateNYState
ZIP Code13815ZIPCode
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 STREETAddressLine1
CityNORWICHCity
StateNYState
ZIP Code13815ZIPCode
FieldValueIRS element (for citing)
TitleTRUSTEETitleTxt
Average Hrs Per Wk Devoted To Pos1AverageHrsPerWkDevotedToPosRt
Compensation$22,129CompensationAmt
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$3,476,972AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$113,722AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,590,694TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,590,694AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$53,860CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,536,834NetVlNoncharitableAssetsAmt
Minimum Investment Return$176,842MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$176,842MinimumInvestmentReturnAmt
Tax Based On Investment Income$13,743TaxBasedOnInvestmentIncomeAmt
Total Tax$13,743TotalTaxAmt
Distributable Before Adj$163,099DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$163,099DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$163,099DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$164,822ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$164,822QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$164,822AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$163,099DistributableAsAdjustedAmt
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$1,112ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$1,112TotalExcessDistributionCyovAmt
Qualifying Distributions$164,822QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$163,099AppliedToCurrentYearAmt
Remaining Distri From Corpus$1,723RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$2,835TotalCorpusAmt
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$2,835ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$1,112ExcessFromYear2Amt
Excess From Year1$0ExcessFromYear1Amt
Excess From Current Year$1,723ExcessFromCurrentYearAmt

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 MemorialBusinessNameLine1
Business Name Line2HospitalBusinessNameLine2

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1179 NORTH BROAD STREETAddressLine1
CityNorwichCity
StateNYState
ZIP Code13815ZIPCode
FieldValueIRS element (for citing)
Recipient RelationshipN/ARecipientRelationshipTxt
Recipient Foundation StatusPCRecipientFoundationStatusTxt
Grant Or Contribution PurposeGENERAL PURPOSES - MEMORYGrantOrContributionPurposeTxt
Amt$162,356Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$162,356TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$13ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$86,468ExclusionAmt
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$622,093ExclusionAmt
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$708,574ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$708,574TotalIncomeProducingActyAmt
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 FEESCategoryTxt
Amt$750Amt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (5 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
BANK OF AMERICA 6.4% 8-15-19$50,000$57,381
GE CAPITAL 4.4% 4/15/2014$50,000$50,047
GOLDMAN SACHS 3.625% 2/7/16$50,325$52,364
COLGATE- PALM 2.45% 11/15/2021$51,439$48,792
PEPSICO INC 3.0% 8/25/21$99,509$100,630

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$245,501USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$265,185USGovtObligationsEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (19 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
DFA INTERNATIONAL SMALL COAT COST$72,615$76,433
OPPENHEIMER INTL GROWTH FD-YAT COST$253,800$269,961
CREDIT SUISSE COMM RETAT COST$72,615$77,679
DFA US S/C VALUE PORTAT COST$36,410$38,403
DFA GLOBAL REAL ESTATE SECAT COST$217,640$230,485
AMERICAN BEACONAT COST$254,255$270,117
DIAMOND HILL SMALL MIDCAP-1AT COST$105,150$113,019
DFA EMERGING MKTS PORTAT COST$163,535$174,811
DODGE & COX INCOME FDAT COST$51,252$52,834
PRIMECAP ODYSSEY GROWTHAT COST$145,230$149,793
VANGUARD INSTITUTIONAL INDEXAT COST$254,255$265,107
LAZARD EMERGING MKTSAT COST$175,655$175,644
DODGE & COX INTL STOCK FDAT COST$211,967$270,825
DFA U S MICRO CAP PORTAT COST$36,410$37,910
TEMPLETON GLOBAL BD FDAT COST$149,085$148,592
LOOMIS SAYLES BD FDAT COST$326,755$333,848
BLACKROCK HIGH YIELD BD PORTAT COST$145,343$147,107
VANGUARD SHORT-TERM INFLATAT COST$145,230$145,054
VANGUARD TOTAL BD MKT INDEX FDAT COST$52,245$52,838

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescNYS EPTL FILING FEEDesc
Revenue And Expenses Per Books$250RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$250DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAX W/H$358$1,415$0
ESTIMATED EXCISE TAXES PAID$2,248$0$0
EXCISE TAX BALANCE DUE$38$0$0