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JEAN M NEWTON FBO CHENANGO MEMORIAL HOSPITAL: Form 990PF, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
JEAN M NEWTON FBO CHENANGO MEMORIAL HOSPITAL (EIN 16-6247584)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-05-12
IRS object ID
201441329349100504
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)
Return2014-05-12T07:15:54-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

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 Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN166247584EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEAN M NEWTON FBO CHENANGO MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlNEWTBusinessNameControlTxt
Phone6073376497PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDONNA HARLANDERPersonNm
Person TitleVICE PRESIDENTPersonTitleTxt
Phone6073376497PhoneNum
Signature2014-05-03SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLOUIS J DEROSEPreparerPersonNm
Phone7327679100PhoneNum
Preparation2014-05-03PreparationDt
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$2,724,031FMVAssetsEOYAmt

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$58,981DividendsRevAndExpnssAmt
Dividends Net Invst Incm$58,820DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$141,013NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$824,290GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$141,155CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Total Rev And Expnss$200,007TotalRevAndExpnssAmt
Total Net Invst Incm$199,988TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$14,710CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$13,239CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$1,471CompOfcrDirTrstDsbrsChrtblAmt
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$555AccountingFeesRevAndExpnssAmt
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$1,504TaxesRevAndExpnssAmt
Taxes Net Invst Incm$287TaxesNetInvstIncmAmt
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$17,019TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$13,526TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$1,721TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$122,773ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$122,773ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$139,792TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$13,526TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$124,494TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$60,215ExcessRevenueOverExpensesAmt
Net Investment Income$186,462NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$1,234CashBOYAmt
Cash EOY$441CashEOYAmt
Cash EOYFMV$441CashEOYFMVAmt
Sav And Temp Cash Invst BOY$64,143SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$93,624SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$93,624SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
US Government Obligations BOY$208,842USGovernmentObligationsBOYAmt
US Government Obligations EOY$134,293USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$133,419USGovtObligationsEOYFMVAmt
Corporate Stock BOY$750,896CorporateStockBOYAmt
Corporate Stock EOY$756,740CorporateStockEOYAmt
Corporate Stock EOYFMV$1,041,678CorporateStockEOYFMVAmt
Corporate Bonds BOY$220,032CorporateBondsBOYAmt
Corporate Bonds EOY$244,786CorporateBondsEOYAmt
Corporate Bonds EOYFMV$255,470CorporateBondsEOYFMVAmt
Other Investments BOY$1,021,041OtherInvestmentsBOYAmt
Other Investments EOY$1,096,519OtherInvestmentsEOYAmt
Other Investments EOYFMV$1,199,399OtherInvestmentsEOYFMVAmt
Total Assets BOY$2,266,188TotalAssetsBOYAmt
Total Assets EOY$2,326,403TotalAssetsEOYAmt
Total Assets EOYFMV$2,724,031TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$2,264,954CapitalStockBOYAmt
Capital Stock EOY$2,326,403CapitalStockEOYAmt
Retained Earning BOY$1,234RetainedEarningBOYAmt
Tot Net Ast Or Fund Balances BOY$2,266,188TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$2,326,403TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,266,188TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$2,326,403TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,266,188TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$60,215ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$2,326,403SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$2,326,403TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (88 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
16. CHEVRONTEXACO CORP COMP2011-07-072013-01-30$1,865$1,708$157$157
275.633 DODGE & COX INTL STOCK FUNDP2010-11-022013-01-30$10,000$9,763$237$237
55. HONEYWELL INTL INC COMP2012-07-272013-01-30$3,795$3,233$562$562
23. ISHARES NASDAQ BIOTECH ETFP2007-11-292013-01-30$3,340$1,935$1,405$1,405
36. J P MORGAN CHASE & CO COMP2008-08-252013-01-30$1,689$1,326$363$363
46. LOWES COS INC COMP2007-10-302013-01-30$1,756$1,245$511$511
178. THE MOSAIC COMPANYP2011-07-072013-01-30$10,959$12,278-$1,319-$1,319
166. PFIZER INC COMP2011-07-072013-01-30$4,551$3,358$1,193$1,193
493.827 ROYCE PENNSYLVANIA MUT FUND-INP2011-10-262013-01-30$6,000$5,501$499$499
14. UNION PAC CORP COMP2011-07-072013-01-30$1,844$1,490$354$354
153.941 CRM MID CAP VALUE FD INSTLP2011-10-262013-01-30$5,000$4,139$861$861
39. WELLS FARGO & CO NEW COMP2012-03-142013-01-30$1,351$1,294$57$57
112. XYLEM INCP2011-07-072013-01-30$3,140$3,743-$603-$603
426. TEVA PHARMACEUTICAL INDS ADRP2013-02-21$16,145$20,008-$3,863-$3,863
75. HEINZ H J CO COMP2012-04-172013-02-26$5,424$3,970$1,454$1,454
80.873 HARTFORD MIDCAP FUND-YP2011-10-262013-03-27$2,000$1,814$186$186
50. HONEYWELL INTL INC COMP2012-07-272013-03-27$3,738$2,940$798$798
10. ISHARES NASDAQ BIOTECH ETFP2007-11-292013-03-27$1,544$841$703$703
31. JOHNSON & JOHNSON COMP2007-04-102013-03-27$2,505$1,915$590$590
125. PFIZER INC COMP2011-07-072013-03-27$3,565$2,529$1,036$1,036
5. GOOGLE INC CL AP2010-01-042013-04-02$4,064$3,133$931$931
500. JP MOR 7.00%PFDP2002-02-052013-05-08$12,500$12,500
25000. CATERP FIN SERV MTN 4.550% 5/15/13P2008-04-282013-05-15$25,000$25,000
300. HEINZ H J CO COMP2012-04-172013-06-07$21,750$15,878$5,872$5,872
42. BERKSHIRE HATHAWAY INC-CL BP2011-07-072013-06-11$4,783$3,272$1,511$1,511
73. CVS CORP COMP2012-03-192013-06-11$4,291$3,312$979$979
57. DISNEY WALT CO COM DISNEYP2010-01-042013-06-11$3,653$1,829$1,824$1,824
49. GOLDMAN SACHS GROUP INC COMP2011-07-072013-06-11$8,101$6,631$1,470$1,470
5. GOOGLE INC CL AP2010-01-042013-06-11$4,422$3,133$1,289$1,289
277.272 HARTFORD MIDCAP FUND-YP2011-10-262013-06-11$7,148$6,219$929$929
76. HONEYWELL INTL INC COMP2012-07-272013-06-11$5,985$4,468$1,517$1,517
18. ISHARES NASDAQ BIOTECH ETFP2007-11-292013-06-11$3,235$1,514$1,721$1,721
48. JOHNSON & JOHNSON COMP2007-04-102013-06-11$4,068$2,965$1,103$1,103
51. LOWES COS INC COMP2007-10-302013-06-11$2,094$1,380$714$714
18. MICROSOFT CORP COMP2003-08-282013-06-11$630$475$155$155
20. NOVARTIS A G SPONSORED ADRP2011-10-242013-06-11$1,443$1,177$266$266
286. ORACLE CORP COMP2011-07-072013-06-11$9,724$9,758-$34-$34
497.079 ROYCE PENNSYLVANIA MUT FUND-INP2011-10-262013-06-11$6,452$5,537$915$915
27. KBW REGIONAL BANKING ETFP2011-07-072013-06-11$887$706$181$181
1190. FINANCIAL SELECT SECTOR SPDRP2012-11-302013-06-11$23,514$18,778$4,736$4,736
31. TARGET CORP COMP2007-10-302013-06-11$2,171$1,956$215$215
39. UNION PAC CORP COMP2011-07-072013-06-11$6,112$4,152$1,960$1,960
51. UNITED TECHNOLOGIES CORP COMP2007-10-302013-06-11$4,815$3,872$943$943
14. UNITEDHEALTH GROUP INC COMP2013-02-212013-06-11$903$770$133$133
209.092 CRM MID CAP VALUE FD INSTLP2011-10-262013-06-11$7,352$5,622$1,730$1,730
106. XYLEM INCP2013-06-11$2,897$3,409-$512-$512
.75 MALLINCKRODT PLCP2011-07-072013-07-12$32$29$3$3
401.585 HARTFORD MIDCAP FUND-YP2011-10-262013-07-17$10,787$9,008$1,779$1,779
2949.516 CRM MID CAP VALUE FD INSTLP2011-10-262013-07-17$107,687$79,312$28,375$28,375
733.676 ROYCE PENNSYLVANIA MUT FUND-INP2011-10-262013-07-24$10,000$8,173$1,827$1,827
44. MALLINCKRODT PLCP2013-07-30$2,046$1,654$392$392
10. APPLE COMPUTERP2007-04-112013-10-07$4,908$940$3,968$3,968
281. BED BATH & BEYOND INCP2011-07-072013-10-07$21,600$16,978$4,622$4,622
28. BED BATH & BEYOND INCP2013-06-112013-10-07$2,152$1,943$209$209
278. CHURCH & DWIGHT INCP2012-11-302013-10-07$16,586$15,036$1,550$1,550
87. CONOCOPHILLIPS COMP2013-06-112013-10-07$6,162$5,407$755$755
257. CONOCOPHILLIPS COMP2013-10-07$18,203$14,889$3,314$3,314
678. E M C CORP MASS COMP2013-10-07$17,207$18,576-$1,369-$1,369
164. E M C CORP MASS COMP2013-03-272013-10-07$4,162$3,893$269$269
92. GENERAL ELEC CO COMP1995-03-032013-10-07$2,207$818$1,389$1,389
333. GENERAL MILLS INC COMP2013-06-112013-10-07$15,974$16,158-$184-$184
274. HONEYWELL INTL INC COMP2012-07-272013-10-07$22,774$16,108$6,666$6,666
678. INTEL CORP COMP2010-01-042013-10-07$15,527$14,170$1,357$1,357
219. ISHARES DJ US TELCOM SECTOR ETFP2012-04-172013-10-07$6,069$4,803$1,266$1,266
104. LOWES COS INC COMP2007-10-302013-10-07$4,925$2,814$2,111$2,111
120. MONSANTO COMPANY COMP2013-01-302013-10-07$12,661$12,354$307$307
294. NOVARTIS A G SPONSORED ADRP2011-10-242013-10-07$22,179$17,305$4,874$4,874
68. PROCTER & GAMBLE CO COMP2004-09-012013-10-07$5,160$3,793$1,367$1,367
46. PRUDENTIAL FINL INC COMP2007-04-102013-10-07$3,574$4,221-$647-$647
322. KBW REGIONAL BANKING ETFP2013-10-07$11,428$8,099$3,329$3,329
65. ENERGY SELECT SECTOR SPDRP2013-06-112013-10-07$5,417$5,227$190$190
269. ENERGY SELECT SECTOR SPDRP2011-07-072013-10-07$22,418$20,871$1,547$1,547
315. US BANCORPP2012-05-252013-10-07$11,419$9,844$1,575$1,575
53. UNITEDHEALTH GROUP INC COMP2013-02-212013-10-07$3,830$2,915$915$915
228. VANGUARD REIT ETFP2013-10-07$15,109$14,288$821$821
43. VANGUARD REIT ETFP2013-06-112013-10-07$2,850$2,975-$125-$125
17. WELLS FARGO & CO NEW COMP2012-03-142013-10-07$684$564$120$120
394. XYLEM INCP2013-10-07$11,028$10,541$487$487
25000. FFCB 4.710% 10/18/13P2007-02-132013-10-18$25,000$24,549$451$451
3. GOOGLE INC CL AP2010-01-042013-10-21$3,040$1,880$1,160$1,160
12. APPLE COMPUTERP2007-04-112013-11-22$6,238$1,127$5,111$5,111
20. INTL BUSINESS MACHINES CORP COMP2004-09-012013-11-22$3,643$1,697$1,946$1,946
76. QUALCOMM INC COMP2011-07-072013-11-22$5,541$4,509$1,032$1,032
218.341 DIAMOND HILL SMALL/MID CAP-IP2013-07-192013-11-27$4,000$3,705$295$295
574.518 HARTFORD MIDCAP FUND-YP2011-10-262013-11-27$17,000$12,886$4,114$4,114
592.495 ROYCE PENNSYLVANIA MUT FUND-INP2011-10-262013-11-27$9,000$6,600$2,400$2,400
50000. FNMA 1.000% 12/30/15P2011-12-272013-12-30$50,000$50,000
CAPITAL GAIN DIVIDENDSP$15,858
FieldValueIRS element (for citing)
Capital Gain Net Income$141,155CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$120,774AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$2,422,228NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.049861DistributionYr1Rt
Adjusted Qlfy Distri Yr2$114,927AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$2,398,599NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.047914DistributionYr2Rt
Adjusted Qlfy Distri Yr3$103,765AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$2,296,431NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.045185DistributionYr3Rt
Adjusted Qlfy Distri Yr4$85,827AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$2,093,855NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.04099DistributionYr4Rt
Adjusted Qlfy Distri Yr5$99,308AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$2,360,846NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.042065DistributionYr5Rt
Total Distribution0.226015TotalDistributionRt
Average Distribution0.045203AverageDistributionRt
Net Vl Noncharitable Assets$2,589,466NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$117,052AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,865NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$118,917AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$124,494QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$1,865InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,865SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,865TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$904EstimatedPlusOvpmtIncmTxAmt
Applied To Es Tax$0AppliedToEsTaxAmt
Total Payments And Credits$904TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$961TaxDueAmt
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 SOUTH 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$14,710CompensationAmt
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$2,509,962AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$118,937AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$2,628,899TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$2,628,899AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$39,433CashDeemedCharitableAmt
Net Vl Noncharitable Assets$2,589,466NetVlNoncharitableAssetsAmt
Minimum Investment Return$129,473MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$129,473MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,865TaxBasedOnInvestmentIncomeAmt
Total Tax$1,865TotalTaxAmt
Distributable Before Adj$127,608DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$127,608DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$127,608DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$124,494ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$124,494QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$1,865PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$122,629AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$127,608DistributableAsAdjustedAmt
Undistributed Income PY$46,899UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$0ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$0ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$0ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$124,494QualifyingDistributionsAmt
Applied To Year1$46,899AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$77,595AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$50,013UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
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 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 RelationshipNONERecipientRelationshipTxt
Recipient Foundation StatusEXEMPTRecipientFoundationStatusTxt
Grant Or Contribution PurposeICU/OPER ROOM, PCHSEGrantOrContributionPurposeTxt
Amt$122,773Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$122,773TotalGrantOrContriPdDurYrAmt

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$58,981ExclusionAmt
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$141,013ExclusionAmt
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$200,007ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$200,007TotalIncomeProducingActyAmt
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$555Amt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (6 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
PEPSICO INC 3% 8/25/2021$49,754$49,306
BANK OF AMERICA 6.4% 8/15/19$50,000$56,934
GE CAPITAL 6.1% 4/15/15$25,000$26,565
GOLDMAN SACHS 3.625% 2/7/2016$50,325$52,474
IBM CORP 1.25% 2/6/2017$49,998$49,870
HEWLETT PACKARD 2.6% 9/15/2017$19,709$20,321

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (37 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
TJX COS INC$25,557$29,252
APPLE INC$15,378$35,344
WAL MART STORES INC$16,090$22,191
PEPSICO INC$25,802$26,956
DISNEY WALT CO$17,560$36,290
CHEVRON CORP$28,523$32,851
UNITEDHEALTH GROUP INC$15,563$21,310
CISCO SYSTEMS$28,176$30,236
APACHE CORP$26,049$25,782
PFIZER INC$18,935$27,322
DANAHER COR$10,446$27,406
EXXON MOBIL CORP$16,203$36,331
BERKSHIRE HATHAWAY INC CL-B$20,809$26,913
GENERAL ELECTRIC$15,792$30,132
GOOGLE INC CL A$19,263$36,983
GOLDMAN SACHS GROUP INC$22,216$29,071
COVIDIEN PLC$17,203$24,380
INTL BUSINESS MACHINES$19,159$27,948
JPMORGAN CHASE & CO$27,563$36,375
JOHNSON & JOHNSON$24,223$32,514
LOWES COS INC$13,955$27,005
MICROSOFT CORP$20,245$28,170
CVS CAREMARK CORP$21,655$32,564
UNION PAC CORP$14,727$22,512
PROCTER & GAMBLE CO$16,531$22,306
PRUDENTIAL FINL$24,896$27,574
SCHLUMBERGER LTD$19,147$31,088
MCDONALDS CORP$20,384$26,004
TARGET CORP$18,282$19,361
AMERICAN EXPRESS CO$25,672$31,756
UNITED TECHNOLOGIES$14,685$21,963
THE MOSAIC CO$20,022$17,443
WELLS FARGO$23,311$27,830
QUALCOMM INC$22,932$28,215
ORACLE CORP$24,888$29,804
T ROWE PRICE GROUP INC$24,273$30,157
CATERPILLAR INC$20,625$22,339

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$134,293USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$133,419USGovtObligationsEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (15 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
OPPENHEIMER INTL GROWTH FD-YAT COST$22,000$23,372
HARTFORD MIDCAP FD YAT COST$68,434$86,761
ROYCE PENNSYLVANIA MUT FDAT COST$74,249$98,177
ISHARES TR NASDAQ BIO ETFAT COST$17,583$38,373
DODGE & COX INCOME FDAT COST$120,296$123,005
FEDERATED TOTAL RETURN BOND FDAT COST$122,923$120,484
DIAMOND HILL SMALL/MID CAP-IAT COST$93,295$98,243
LAZARD EMERG MKTSAT COST$132,990$133,619
VANGUARD GNMA FUNDAT COST$113,663$109,768
ISHARES DJ US TELECOMMAT COST$4,759$6,451
MARKET VECTORS ETF AGRIBUSAT COST$18,610$20,052
DODGE & COX INTL STK FDAT COST$113,345$147,170
VANGUARD TOTAL BD MKT FDAT COST$50,000$50,000
UTILITIES SELECT SECTOR SPDRAT COST$16,872$18,377
TEMPLETON GLOBAL BD FDAT COST$127,500$125,547

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
FOREIN TAXES PAID$287$287$0
EXCISE TAX BALANCE DUE$313$0$0
ESTIMATED EXCISE TAXES PAID$904$0$0