JEAN M NEWTON FBO CHENANGO MEMORIAL HOSPITAL: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: JEAN M NEWTON FBO CHENANGO MEMORIAL HOSPITAL (EIN 16-6247584)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-05-09
IRS object ID: 201331299349100313
Schema version: 2012v2.1
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
Form 990-PF
Accounting Fees Schedule
Investments Corp Bonds Schedule
Investments Corp Stock Schedule
Investments Govt Obligations Sch
Investments Other Schedule2
Other Expenses Schedule
Taxes Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-09T07:34:55-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THOMSON REUTERS (TAX & ACCOUNTING)	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	343 THORNALL ST STE 710	AddressLine1
City	EDISON	City
State	NJ	State
ZIP Code	08837	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	166247584	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	JEAN M NEWTON FBO CHENANGO MEMORIAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	NEWT	NameControl
Phone	6073376497	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	C/O NBT BANK NA 52 SOUTH BROAD ST	AddressLine1
City	NORWICH	City
State	NY	State
ZIP Code	13815	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MARY ANN SCHEER	Name
Title	ASSISTANT VP	Title
Phone	6073376497	Phone
Date Signed	2013-05-06	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	LOUIS J DEROSE	Name
Phone	7327679100	Phone
Date Prepared	2013-05-06	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990-PF IRS990PF

Field	Value	IRS element (for citing)
Exempt PF	X	ExemptPF
FMV Assets EOY	2452316	FMVAssetsEOY

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Not Required To Attach Schedule B	X	NotRequiredToAttachScheduleB
Interest On Savings Rev And Expnss	12	InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm	10	InterestOnSavingsNetInvstIncm
Dividends Rev And Expnss	61560	DividendsRevAndExpnss
Dividends Net Invst Incm	61324	DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss	42750	NetGainSaleAssetsRevAndExpnss
Gross Sales Price	472523	GrossSalesPrice
Capital Gain Net Incm Net Invst Incm	42017	CapitalGainNetIncmNetInvstIncm
Net STCG Adj Net Incm	0	NetSTCGAdjNetIncm
Total Revenue And Expenses	104322	TotalRevenueAndExpenses
Total Net Investment Income	103351	TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss	13365	CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm	12028	CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps	1337	CompOfcrDirTrstDsbrsChrtblPrps
Oth Empl Slrs Wgs Net Invst Incm	0	OthEmplSlrsWgsNetInvstIncm
Oth Empl Slrs Wgs Adj Net Incm	0	OthEmplSlrsWgsAdjNetIncm
Oth Empl Slrs Wgs Dsbrs Chrtbl Prps	0	OthEmplSlrsWgsDsbrsChrtblPrps
Pension Empl Bnft Net Invst Incm	0	PensionEmplBnftNetInvstIncm
Pension Empl Bnft Adj Net Incm	0	PensionEmplBnftAdjNetIncm
Legal Fees Dsbrs Chrtbl Prps	0	LegalFeesDsbrsChrtblPrps
Accounting Fees Rev And Expnss	455	AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm	0	AccountingFeesNetInvstIncm
Accounting Fees Adj Net Incm	0	AccountingFeesAdjNetIncm
Accounting Fees Dsbrs Chrtbl Prps	0	AccountingFeesDsbrsChrtblPrps
Other Prof Fees Dsbrs Chrtbl Prps	0	OtherProfFeesDsbrsChrtblPrps
Interest Dsbrs Chrtbl Prps	0	InterestDsbrsChrtblPrps
Taxes Rev And Expnss	900	TaxesRevAndExpnss
Taxes Net Invst Incm	1184	TaxesNetInvstIncm
Taxes Dsbrs Chrtbl Prps	0	TaxesDsbrsChrtblPrps
Deprec And Depletion Rev And Expnss	0	DeprecAndDepletionRevAndExpnss
Deprec And Depletion Net Invst Incm	0	DeprecAndDepletionNetInvstIncm
Trav Conf Meeting Net Invst Incm	0	TravConfMeetingNetInvstIncm
Trav Conf Meeting Adj Net Incm	0	TravConfMeetingAdjNetIncm
Printing And Pub Rev And Expnss	1	PrintingAndPubRevAndExpnss
Printing And Pub Net Invst Incm	0	PrintingAndPubNetInvstIncm
Printing And Pub Adj Net Incm	0	PrintingAndPubAdjNetIncm
Printing And Pub Dsbrs Chrtbl Prps	1	PrintingAndPubDsbrsChrtblPrps
Other Expenses Rev And Expnss	250	OtherExpensesRevAndExpnss
Other Expenses Dsbrs Chrtbl Prps	250	OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss	14971	TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm	13212	TotOprExpensesNetInvstIncm
Tot Opr Expenses Adj Net Incm	0	TotOprExpensesAdjNetIncm
Tot Opr Expenses Dsbrs Chrtbl Prps	1588	TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss	120087	ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps	120087	ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss	135058	TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm	13212	TotalExpensesNetInvstIncm
Total Expenses Adj Net Incm	0	TotalExpensesAdjNetIncm
Total Expenses Dsbrs Chrtbl Prps	121675	TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses	-30736	ExcessOfRevenueOverExpenses
Net Investment Income	90139	NetInvestmentIncome
Adjusted Net Income	0	AdjustedNetIncome

Balance Sheets BalanceSheets

Field	Value	IRS element (for citing)
Cash EOY	1234	CashEOY
Cash EOYFMV	1234	CashEOYFMV
Savings And Temp Cash Invst BOY	133551	SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY	64143	SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV	64143	SavingsAndTempCashInvstEOYFMV
Accounts Receivable EOY	0	AccountsReceivableEOY
Accounts Receivable EOYFMV	0	AccountsReceivableEOYFMV
Allwnc For Dbtfl Acct Other Rcvbl	0	AllwncForDbtflAcctOtherRcvbl
Investments Govt Oblig BOY	217440	InvestmentsGovtObligBOY
Investments Govt Oblig EOY	208842	InvestmentsGovtObligEOY
Investments Govt Oblig EOYFMV	217597	InvestmentsGovtObligEOYFMV
Investments Corp Stock BOY	812687	InvestmentsCorpStockBOY
Investments Corp Stock EOY	750896	InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV	868771	InvestmentsCorpStockEOYFMV
Investments Corp Bonds BOY	100000	InvestmentsCorpBondsBOY
Investments Corp Bonds EOY	220032	InvestmentsCorpBondsEOY
Investments Corp Bonds EOYFMV	233009	InvestmentsCorpBondsEOYFMV
Investments Other BOY	1033246	InvestmentsOtherBOY
Investments Other EOY	1021041	InvestmentsOtherEOY
Investments Other EOYFMV	1067562	InvestmentsOtherEOYFMV
Total Assets BOY	2296924	TotalAssetsBOY
Total Assets EOY	2266188	TotalAssetsEOY
Total Assets EOYFMV	2452316	TotalAssetsEOYFMV
Total Liabilities EOY	0	TotalLiabilitiesEOY
Org That Do Not Follow SFAS117	X	OrgThatDoNotFollowSFAS117
Capital Stock BOY	2296924	CapitalStockBOY
Capital Stock EOY	2264954	CapitalStockEOY
Retained Earnings EOY	1234	RetainedEarningsEOY
Total Net Assets BOY	2296924	TotalNetAssetsBOY
Total Net Assets EOY	2266188	TotalNetAssetsEOY
Total Liabilities Net Assets BOY	2296924	TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY	2266188	TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

Field	Value	IRS element (for citing)
Total Net Assets Fund Balances BOY	2296924	TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses	-30736	ExcessOfRevenueOverExpenses
Other Increases	0	OtherIncreases
Subtotal	2266188	Subtotal
Other Decreases	0	OtherDecreases
Total Net Assets Fund Balances EOY	2266188	TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (104 entries)

Description Of AssetDescriptionOfAsset	How AcquiredHowAcquired	Date AcquiredDateAcquired	Date SoldDateSold	Gross Sales PriceGrossSalesPrice	Cost Or Other BasisCostOrOtherBasis	Gain Or LossGainOrLoss	Gains Minus Excess Or LossesGainsMinusExcessOrLosses
9. APPLE COMPUTER	P	2007-04-11	2012-03-05	4915	846	4069	4069
385. CITIGROUP INC	P	2011-07-07	2012-03-13	13916	16435	-2519	-2519
400. CITIGROUP INC	P		2012-03-19	14609	13432	1177	1177
12. WALGREEN CO COM	P	2011-10-24	2012-03-19	407	410	-3	-3
546. WALGREEN CO COM	P		2012-03-19	18532	19120	-588	-588
15. APPLE COMPUTER	P	2007-04-11	2012-04-17	9073	1409	7664	7664
18. BED BATH & BEYOND INC	P	2011-07-07	2012-04-17	1253	1088	165	165
55. BERKSHIRE HATHAWAY INC-CL B	P	2011-07-07	2012-04-17	4434	4285	149	149
95. CISCO SYS INC COM	P	2008-08-25	2012-04-17	1898	2306	-408	-408
40. DANAHER CORP	P	2004-09-01	2012-04-17	2189	1030	1159	1159
51. DISNEY WALT CO COM DISNEY	P	2010-01-04	2012-04-17	2167	1636	531	531
92. E M C CORP MASS COM	P	2011-07-07	2012-04-17	2687	2577	110	110
159. GENERAL ELEC CO COM	P	1995-03-03	2012-04-17	3048	1414	1634	1634
63. GOLDMAN SACHS GROUP INC COM	P	2008-08-25	2012-04-17	7398	9873	-2475	-2475
215. ITT CORP	P		2012-04-17	4724	4992	-268	-268
92. INTEL CORP COM	P	2010-01-04	2012-04-17	2626	1923	703	703
10. INTL BUSINESS MACHINES CORP COM	P	2004-09-01	2012-04-17	2056	848	1208	1208
84. ISHARES NASDAQ BIOTECH INDX	P	2007-11-29	2012-04-17	10078	7067	3011	3011
112. J P MORGAN CHASE & CO COM	P	2008-08-25	2012-04-17	4902	4126	776	776
81.905 LAZARD EMERGING MKTS PORT-IN	P	2011-10-26	2012-04-17	1579	1533	46	46
90. LOWES COS INC COM	P	2007-10-30	2012-04-17	2892	2435	457	457
207. MARKET VECTORS AGRIBUSINESS	P	2010-01-04	2012-04-17	10826	9286	1540	1540
80. MICROSOFT CORP COM	P	2003-08-28	2012-04-17	2516	2112	404	404
149. PFIZER INC COM	P	2011-07-07	2012-04-17	3304	3014	290	290
38. PRUDENTIAL FINL INC COM	P	2007-04-10	2012-04-17	2319	3487	-1168	-1168
66. QUALCOMM INC COM	P	2011-07-07	2012-04-17	4463	3916	547	547
239.814 ROYCE PENNSYLVANIA MUT FUND-IN	P	2011-10-26	2012-04-17	2804	2672	132	132
139. KBW REGIONAL BANKING ETF	P	2008-08-25	2012-04-17	3900	4278	-378	-378
53. SCHLUMBERGER LTD COM	P	2005-11-01	2012-04-17	3659	2396	1263	1263
633. SUNCOR ENERGY INC	P		2012-04-17	20154	24404	-4250	-4250
46. TEVA PHARMACEUTICAL INDS ADR	P	2011-07-07	2012-04-17	2096	2269	-173	-173
16. UNION PAC CORP COM	P	2011-07-07	2012-04-17	1736	1703	33	33
163.103 CRM MID CAP VALUE FD INSTL	P	2011-10-26	2012-04-17	4808	4386	422	422
98. WAL MART STORES INC COM	P	2011-07-07	2012-04-17	6039	5356	683	683
50. COVIDIEN PLC	P	2011-07-07	2012-04-17	2702	2714	-12	-12
10000. FNMA 4.875% 5/18/12	P	2007-05-16	2012-05-18	10000	9982	18	18
.5 PHILLIPS 66	P	2007-10-30	2012-05-23	16	20	-4	-4
3. GOLDMAN SACHS GROUP INC COM	P	2011-07-07	2012-05-25	291	406	-115	-115
17. GOLDMAN SACHS GROUP INC COM	P	2008-08-25	2012-05-25	1649	2664	-1015	-1015
150. J P MORGAN CHASE & CO COM	P	2008-08-25	2012-05-25	5064	5526	-462	-462
124. PHILLIPS 66	P		2012-06-04	3643	4556	-913	-913
8. PHILLIPS 66	P	2011-10-24	2012-06-04	235	278	-43	-43
73. CISCO SYS INC COM	P	2011-07-07	2012-07-26	1124	1169	-45	-45
427. CISCO SYS INC COM	P	2008-08-25	2012-07-26	6572	10363	-3791	-3791
636. FIRST TRUST ISE GLOBAL ENGIN	P		2012-07-27	22785	25937	-3152	-3152
125. FIRST TRUST ISE GLOBAL ENGIN	P	2011-10-24	2012-07-27	4478	4837	-359	-359
8. APPLE COMPUTER	P	2007-04-11	2012-08-28	5386	752	4634	4634
50000. FNMA 4.375% 9/15/12	P	2007-01-19	2012-09-15	50000	48616	1384	1384
2. APPLE COMPUTER	P	2007-04-11	2012-10-17	1291	188	1103	1103
9. BED BATH & BEYOND INC	P	2011-07-07	2012-10-17	545	544	1	1
8. BERKSHIRE HATHAWAY INC-CL B	P	2011-07-07	2012-10-17	713	623	90	90
8. CHEVRONTEXACO CORP COM	P	2011-07-07	2012-10-17	910	854	56	56
16. CISCO SYS INC COM	P	2011-07-07	2012-10-17	298	256	42	42
8. CONOCOPHILLIPS COM	P	2007-10-30	2012-10-17	455	503	-48	-48
11. DANAHER CORP	P	2004-09-01	2012-10-17	620	283	337	337
15. DISNEY WALT CO COM DISNEY	P	2010-01-04	2012-10-17	775	481	294	294
88.6 DODGE & COX INTL STOCK FUND	P	2010-11-02	2012-10-17	3000	3138	-138	-138
22. E M C CORP MASS COM	P	2011-07-07	2012-10-17	557	616	-59	-59
9. EXXON MOBIL CORP COM	P	1996-10-15	2012-10-17	831	197	634	634
133. GENERAL ELEC CO COM	P	1995-03-03	2012-10-17	3034	1183	1851	1851
5. GOLDMAN SACHS GROUP INC COM	P	2011-07-07	2012-10-17	609	677	-68	-68
2. GOOGLE INC CL A	P	2010-01-04	2012-10-17	1488	1253	235	235
120.12 HARTFORD MIDCAP FUND-Y	P	2011-10-26	2012-10-17	2800	2694	106	106
65. HONEYWELL INTL INC COM	P	2012-07-27	2012-10-17	4007	3821	186	186
22. INTEL CORP COM	P	2010-01-04	2012-10-17	468	460	8	8
4. INTL BUSINESS MACHINES CORP COM	P	2004-09-01	2012-10-17	796	339	457	457
7. ISHARES NASDAQ BIOTECH INDX	P	2007-11-29	2012-10-17	1011	589	422	422
14. ISHARES DJ US TELCOM SECTOR INDEX FD	P	2012-04-17	2012-10-17	345	307	38	38
14. J P MORGAN CHASE & CO COM	P	2008-08-25	2012-10-17	597	516	81	81
12. JOHNSON & JOHNSON COM	P	2007-04-10	2012-10-17	830	741	89	89
76.336 LAZARD EMERGING MKTS PORT-IN	P	2011-10-26	2012-10-17	1500	1429	71	71
24. LOWES COS INC COM	P	2007-10-30	2012-10-17	784	649	135	135
12. MARKET VECTORS AGRIBUSINESS	P	2010-01-04	2012-10-17	617	538	79	79
8. MCDONALDS CORP COM	P	2010-01-04	2012-10-17	741	503	238	238
25. MICROSOFT CORP COM	P	2003-08-28	2012-10-17	726	660	66	66
12. THE MOSAIC COMPANY	P	2011-07-07	2012-10-17	649	828	-179	-179
10. NOVARTIS A G SPONSORED ADR	P	2011-10-24	2012-10-17	626	589	37	37
30. ORACLE CORP COM	P	2011-07-07	2012-10-17	946	1024	-78	-78
34. PFIZER INC COM	P	2011-07-07	2012-10-17	867	688	179	179
6. PRICE T ROWE GROUP INC COM	P	2012-04-17	2012-10-17	385	382	3	3
10. PRUDENTIAL FINL INC COM	P	2007-04-10	2012-10-17	578	918	-340	-340
9. QUALCOMM INC COM	P	2011-07-07	2012-10-17	537	534	3	3
201.005 ROYCE PENNSYLVANIA MUT FUND-IN	P	2011-10-26	2012-10-17	2400	2239	161	161
28. KBW REGIONAL BANKING ETF	P	2008-08-25	2012-10-17	779	862	-83	-83
9. SCHLUMBERGER LTD COM	P	2005-11-01	2012-10-17	661	407	254	254
9. ENERGY SELECT SECTOR SPDR	P	2011-07-07	2012-10-17	662	698	-36	-36
16. UTILITIES SELECT SECTOR SPDR	P	2012-04-17	2012-10-17	583	558	25	25
11. TARGET CORP COM	P	2007-10-30	2012-10-17	696	694	2	2
14. TEVA PHARMACEUTICAL INDS ADR	P	2011-07-07	2012-10-17	561	691	-130	-130
10. US BANCORP	P	2012-05-25	2012-10-17	332	313	19	19
6. UNION PAC CORP COM	P	2011-07-07	2012-10-17	736	639	97	97
8. UNITED TECHNOLOGIES CORP COM	P	2007-10-30	2012-10-17	619	607	12	12
7. VANGUARD REIT ETF	P	2012-03-19	2012-10-17	447	442	5	5
92.348 CRM MID CAP VALUE FD INSTL	P	2011-10-26	2012-10-17	2800	2483	317	317
11. WELLS FARGO & CO NEW COM	P	2012-03-14	2012-10-17	380	365	15	15
118. XYLEM INC	P	2011-07-07	2012-10-17	2970	3944	-974	-974
12. COVIDIEN PLC	P	2011-07-07	2012-10-17	688	651	37	37
61. BERKSHIRE HATHAWAY INC-CL B	P	2011-07-07	2012-11-30	5366	4753	613	613
50. MCDONALDS CORP COM	P	2010-01-04	2012-11-30	4317	3143	1174	1174
72. PROCTER & GAMBLE CO COM	P	2004-09-01	2012-11-30	5009	4016	993	993
523. KBW REGIONAL BANKING ETF	P		2012-11-30	14393	15702	-1309	-1309
64. WAL MART STORES INC COM	P	2011-07-07	2012-11-30	4582	3498	1084	1084
3844.042 DODGE & COX INCOME FUND	P	2009-10-23	2012-12-27	53278	49703	3575	3575
1767.12 FEDERATED TOTAL RETURN BOND FUND #328	P	2009-10-23	2012-12-27	20516	19209	1307	1307

Field	Value	IRS element (for citing)
Capital Gain Net Income	42017	CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

Field	Value	IRS element (for citing)
Liable For4942 Tax	false	LiableFor4942Tax
Qualifying Distributions Year1	114927	QualifyingDistributionsYear1
Noncharitable Assets Year1	2398599	NoncharitableAssetsYear1
Distribution Ratio Year1	0.047914	DistributionRatioYear1
Qualifying Distributions Year2	103765	QualifyingDistributionsYear2
Noncharitable Assets Year2	2296431	NoncharitableAssetsYear2
Distribution Ratio Year2	0.045185	DistributionRatioYear2
Qualifying Distributions Year3	85827	QualifyingDistributionsYear3
Noncharitable Assets Year3	2093855	NoncharitableAssetsYear3
Distribution Ratio Year3	0.04099	DistributionRatioYear3
Qualifying Distributions Year4	99308	QualifyingDistributionsYear4
Noncharitable Assets Year4	2360846	NoncharitableAssetsYear4
Distribution Ratio Year4	0.042065	DistributionRatioYear4
Total Distribution Ratio	0.176154	TotalDistributionRatio
Average Distribution Ratio	0.044039	AverageDistributionRatio
Net Noncharitable Assets	2422228	NetNoncharitableAssets
Adjusted Noncharitable Assets	106672	AdjustedNoncharitableAssets
One Percent Net Investment Income	901	OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One	107573	AdjNonchrtblAssetsAndOnePct
Qualifying Distributions	121675	QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

Field	Value	IRS element (for citing)
Domestic Org Meeting Sect4940e	X	DomesticOrgMeetingSect4940e
Investment Income Excise Tax	901	InvestmentIncomeExciseTax
Tax Under Section511	0	TaxUnderSection511
Subtotal	901	Subtotal
Subtitle A Tax	0	SubtitleATax
Tax Based On Investment Income	901	TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment	588	EstTaxPaymentsAndOverpayment
Tax Paid With Extension	0	TaxPaidWithExtension
Total Credits And Payments	588	TotalCreditsAndPayments
Penalty For Underpayment	0	PenaltyForUnderpayment
Tax Due	313	TaxDue
Amount To Be Refunded	0	AmountToBeRefunded

Statements Regarding Activities StatementsRegardingActivities

Field	Value	IRS element (for citing)
Legislative Political Activities	false	LegislativePoliticalActivities
More Than100 Spent	false	MoreThan100Spent
Form1120 POL Filed	false	Form1120POLFiled
Activities Not Prev Reported	false	ActivitiesNotPrevReported
Changes To Articles Or Bylaws	false	ChangesToArticlesOrBylaws
Unrelated Bus Income Over1000	false	UnrelatedBusIncomeOver1000
Termination Etc	false	TerminationEtc
Requirements Of Sect508e	true	RequirementsOfSect508e
At Least5000 In Assets	true	AtLeast5000InAssets
States Filed With	NY	StatesFiledWith
Form990 PF Filed With AG	true	Form990PFFiledWithAG
Private Operating Foundation	false	PrivateOperatingFoundation
New Substantial Contributors	false	NewSubstantialContributors
Interest In Controlled Entity	false	InterestInControlledEntity
Applicable Insurance Contract	false	ApplicableInsuranceContract
Comply With Public Inspection Rqr	true	ComplyWithPublicInspectionRqr

Books In Care Of Business Name BooksInCareOfBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NBT BANK NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Books In Care Of Phone Number	6073376497	BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

Field	Value	IRS element (for citing)
Address Line1	52 SOUTH BROAD STREET	AddressLine1
City	NORWICH	City
State	NY	State
ZIP Code	13815	ZIPCode

Field	Value	IRS element (for citing)
Foreign Bank	false	ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

Field	Value	IRS element (for citing)
Sale Or Exchange With Dsqfly Person	false	SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person	false	BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person	false	FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person	true	PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person	false	TransferAssetsToDsqflyPerson
Payment To Government Offical	false	PaymentToGovernmentOffical
Acts Fail To Qualify As Exceptions	false	ActsFailToQualifyAsExceptions
Uncorrected Prior Acts	false	UncorrectedPriorActs
Undistributed Income Prior Years	false	UndistributedIncomePriorYears
Undistr Income4942a2 Not Applied	false	UndistrIncome4942a2NotApplied
Business Holdings	false	BusinessHoldings
Jeopardy Investments	false	JeopardyInvestments
Uncorrected Jeopardy Investments	false	UncorrectedJeopardyInvestments
Influence Legislation	false	InfluenceLegislation
Influence Election	false	InfluenceElection
Grants To Individuals	false	GrantsToIndividuals
Grants To Organizations	false	GrantsToOrganizations
Noncharitable Purpose	false	NoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft Contract	false	RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract	false	PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn	false	ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NBT BANK NA	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	52 SOUTH BROAD STREET	AddressLine1
City	NORWICH	City
State	NY	State
ZIP Code	13815	ZIPCode

Field	Value	IRS element (for citing)
Title	TRUSTEE	Title
Avg Hours Per Wk Devoted To Position	1	AvgHoursPerWkDevotedToPosition
Compensation	13365	Compensation

Field	Value	IRS element (for citing)
Comp Of Highest Paid Empl NONE	NONE	CompOfHighestPaidEmplNONE
Tot Number Of Oth Empl Paid Over50k	0	TotNumberOfOthEmplPaidOver50k
Comp Of Hghst Paid Cntrct NONE	NONE	CompOfHghstPaidCntrctNONE
Tot Number Of Cntrct Paid Over50k	0	TotNumberOfCntrctPaidOver50k

Field	Value	IRS element (for citing)
Summary Of Direct Charitable Acty		SummaryOfDirectCharitableActy
Sum Of Program Related Investments		SumOfProgramRelatedInvestments

Minimum Investment Return MinimumInvestmentReturn

Field	Value	IRS element (for citing)
Avg Monthly FMV Of Securities	2370590	AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances	88525	AvgMonthlyCashBalances
FMV All Other Noncharitable Assets	0	FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets	2459115	TotalFMVOfUnusedAssets
Reduction Claimed	0	ReductionClaimed
Acquisition Indebtedness	0	AcquisitionIndebtedness
Adj Total FMV Of Unused Assets	2459115	AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable	36887	CashDeemedCharitable
Net Noncharitable Assets	2422228	NetNoncharitableAssets
Minimum Investment Return	121111	MinimumInvestmentReturn

Distributable DistributableAmount

Field	Value	IRS element (for citing)
Minimum Investment Return	121111	MinimumInvestmentReturn
Tax Based On Investment Income	901	TaxBasedOnInvestmentIncome
Total Tax	901	TotalTax
Distributable Amount Before Adj	120210	DistributableAmountBeforeAdj
Recoveries Qlfy Distributions	0	RecoveriesQlfyDistributions
Distributable Amount Before Ded	120210	DistributableAmountBeforeDed
Deduction Fr Distributable	$0	DeductionFrDistributableAmount
Distributable Amount As Adjusted	120210	DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

Field	Value	IRS element (for citing)
Expenses And Contributions	121675	ExpensesAndContributions
Program Related Investments Total	0	ProgramRelatedInvestmentsTotal
Amounts Paid Acq Charitable Assets	0	AmountsPaidAcqCharitableAssets
Amounts Set Aside Suitability Test	0	AmountsSetAsideSuitabilityTest
Amounts Set Aside Cash Distri Test	0	AmountsSetAsideCashDistriTest
Qualifying Distributions	121675	QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm	901	OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions	120774	AdjQualifyingDistributions

Undistributed Income UndistributedIncome

Field	Value	IRS element (for citing)
Distributable Amount As Adjusted	120210	DistributableAmountAsAdjusted
Undistributed Income Prior Year	48364	UndistributedIncomePriorYear
Total For Prior Years	0	TotalForPriorYears
Excess Distri Carryover Year5	0	ExcessDistriCarryoverYear5
Excess Distri Carryover Year4	0	ExcessDistriCarryoverYear4
Excess Distri Carryover Year3	0	ExcessDistriCarryoverYear3
Excess Distri Carryover Year2	0	ExcessDistriCarryoverYear2
Excess Distri Carryover Year1	0	ExcessDistriCarryoverYear1
Total Excess Distri Carryover	0	TotalExcessDistriCarryover
Qualifying Distributions	121675	QualifyingDistributions
Applied To Year1	48364	AppliedToYear1
Applied To Prior Years	0	AppliedToPriorYears
Treated As Distri From Corpus	0	TreatedAsDistriFromCorpus
Applied To Current Year	73311	AppliedToCurrentYear
Remaining Distri From Corpus	0	RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus	0	ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY	0	ExcessDistriCyovAppliedCY
Total Corpus	0	TotalCorpus
Prior Year Undistributed Income	0	PriorYearUndistributedIncome
Prior Year Deficiency Or Tax	0	PriorYearDeficiencyOrTax
Taxable Amount1	0	TaxableAmount1
Taxable Amount2	0	TaxableAmount2
Undistributed Income CY	46899	UndistributedIncomeCY
Distri From Corpus170b1 E Or4942g3	0	DistriFromCorpus170b1EOr4942g3
Excess Distri Cyov From Year5	0	ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year	0	ExcessDistriCyovToNextYear
Excess From Year4	0	ExcessFromYear4
Excess From Year3	0	ExcessFromYear3
Excess From Year2	0	ExcessFromYear2
Excess From Year1	0	ExcessFromYear1
Excess From Current Year	0	ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

Field	Value	IRS element (for citing)
Only Contributes To Preselected	X	OnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHENANGO MEMORIAL	BusinessNameLine1
Business Name Line2	HOSPITAL	BusinessNameLine2

Recipient US Address RecipientUSAddress

Field	Value	IRS element (for citing)
Address Line1	179 NORTH BROAD STREET	AddressLine1
City	NORWICH	City
State	NY	State
ZIP Code	13815	ZIPCode

Field	Value	IRS element (for citing)
Recipient Relationship	NONE	RecipientRelationship
Recipient Foundation Status	EXEMPT	RecipientFoundationStatus
Purpose Of Grant Or Contribution	ICU/OPER ROOM, PCHSE	PurposeOfGrantOrContribution
Amount	$120,087	Amount

Field	Value	IRS element (for citing)
Tot Grant Or Contri Paid During Year	120087	TotGrantOrContriPaidDuringYear

Analysis Income Producing Acty AnalysisIncomeProducingActy

Field	Value	IRS element (for citing)
Fees Contracts From Govt Agencies		FeesContractsFromGovtAgencies
Membership Dues And Assessments		MembershipDuesAndAssessments

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

Field	Value	IRS element (for citing)
Exclusion Code	14	ExclusionCode
Exclusion	$12	ExclusionAmount

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

Field	Value	IRS element (for citing)
Exclusion Code	14	ExclusionCode
Exclusion	$61,560	ExclusionAmount

Field	Value	IRS element (for citing)
Net Rental Incm Re Debt Fincd Prop		NetRentalIncmReDebtFincdProp
Net Rntl Incm Re Not Debt Fincd Prop		NetRntlIncmReNotDebtFincdProp
Net Rental Incm Personal Property		NetRentalIncmPersonalProperty
Other Investment Income Part VII		OtherInvestmentIncomePartVII

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

Field	Value	IRS element (for citing)
Exclusion Code	18	ExclusionCode
Exclusion	$42,750	ExclusionAmount

Field	Value	IRS element (for citing)
Net Income Loss From Special Events		NetIncomeLossFromSpecialEvents
Gross Profit Loss Sales Of Invntry		GrossProfitLossSalesOfInvntry

Subtotals Part XVIA SubtotalsPartXVIA

Field	Value	IRS element (for citing)
Exclusion	$104,322	ExclusionAmount

Field	Value	IRS element (for citing)
Total Part XVIA	104322	TotalPartXVIA

Field	Value	IRS element (for citing)
Rln Of Acty To Accom Of Exempt Prps		RlnOfActyToAccomOfExemptPrps

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

Field	Value	IRS element (for citing)
Trnsfr Of Cash To Noncharitable EO	false	TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO	false	TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets	false	SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO	false	PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc	false	RentalOfFacilitiesEtc
Reimbursement Arrangements	false	ReimbursementArrangements
Loans Or Loan Guarantees	false	LoansOrLoanGuarantees
Performance Of Services Etc	false	PerformanceOfServicesEtc
Sharing Of Facilities Etc	false	SharingOfFacilitiesEtc
Relationships Noncharitable E Os	false	RelationshipsNoncharitableEOs

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

Field	Value	IRS element (for citing)
Category	TAX PREPARATION FEES	Category
Amount	$455	Amount

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corp Bonds InvestmentsCorpBonds (6 entries)

Name Of BondNameOfBond	EOY Book ValueEOYBookValue	EOYFMVEOYFMV
CATERPILLAR FIN 4.55% 5/15/13	25000	25287
BANK OF AMERICA 6.4% 8/15/19	50000	57208
GE CAPITAL 6.1% 4/15/15	25000	27577
GOLDMAN SACHS 3.625% 2/7/2016	50325	52926
IBM CORP 1.25% 2/6/2017	49998	50528
HEWLETT PACKARD 2.6% 9/15/2017	19709	19483

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock (43 entries)

Name Of StockNameOfStock	EOY Book ValueEOYBookValue	EOYFMVEOYFMV
BED BATH & BEYOND INC	16978	15711
APPLE INC	13758	40977
WAL MART STORES INC	14124	17467
CHURCH & DWIGHT INC	15036	14892
DISNEY WALT CO	15688	23650
CHEVRON CORP	25144	25521
HEINZ H J	19848	21630
CISCO SYSTEMS	7749	9510
CONOCOPHILLIPS	14889	14903
PFIZER INC	21452	26735
DANAHER COR	10445	19845
EXXON MOBIL CORP	10089	24926
BERKSHIRE HATHAWAY INC CL-B	14102	16236
INTEL CORP	14170	13980
GENERAL ELECTRIC	16611	24495
GOOGLE INC CL A	27409	32539
TEVA PHARMACEUTICAL INDS	20008	15907
GOLDMAN SACHS GROUP INC	17877	18496
COVIDIEN PLC	18886	20671
INTL BUSINESS MACHINES	11422	22794
JPMORGAN CHASE & CO	16981	19171
JPMORGAN 7% PFD	12500	12760
JOHNSON & JOHNSON	22759	25306
LOWES COS INC	19394	26498
MICROSOFT CORP	20720	20593
XYLEM INC	17694	16585
NOVARTIS A G	18482	19876
CVS CAREMARK CORP	19960	21274
UNION PAC CORP	18372	21875
PROCTER & GAMBLE CO	16009	19484
PRUDENTIAL FINL	25977	16532
SCHLUMBERGER LTD	14297	20166
MCDONALDS CORP	13641	17642
TARGET CORP	20238	19940
EMC CORP MASS	18576	17153
UNITED TECHNOLOGIES	18557	20010
THE MOSAIC CO	24475	21406
WELLS FARGO	11251	11587
QUALCOMM INC	17014	18001
ORACLE CORP	29657	30454
U S BANCORP	9844	10061
T ROWE PRICE GROUP INC	12064	12633
HONEYWELL INTL	26749	28879

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

Field	Value	IRS element (for citing)
US Govt Securities EOY Book Value	208842	USGovtSecuritiesEOYBookValue
US Govt Securities EOYFMV	217597	USGovtSecuritiesEOYFMV

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther (17 entries)

Category Or ItemCategoryOrItem	Listed At Cost Or FMVListedAtCostOrFMV	Book ValueBookValue	EOYFMVEOYFMV
ENERGY SELECT SECTOR SPDR	AT COST	20871	19212
HARTFORD MIDCAP FD	AT COST	98361	95921
ROYCE PENNSYLVANIA MUT FD	AT COST	100061	103295
ISHARES TR NASDAQ BIO INDEX FD	AT COST	18320	27856
DODGE & COX INCOME FD	AT COST	110297	115844
FEDERATED TOTAL RETURN BOND FD	AT COST	112407	115536
KBW REGL BKG ETF	AT COST	8804	9762
CRM MID CAP VALUE FD	AT COST	89074	101960
LAZARD EMERG MKTS	AT COST	113088	118383
VANGUARD GNMA FUND	AT COST	113663	114930
ISHARES DJ US TELECOMM	AT COST	9561	10577
MARKET VECTORS ETF AGRIBUS	AT COST	18610	19416
DODGE & COX INTL STK FD	AT COST	117864	123252
VANGUARD REIT ETF	AT COST	14410	15002
FINANCIAL SELECT SECTOR SPDR	AT COST	18778	19504
UTILITIES SELECT SECTOR SPDR	AT COST	16872	16901
TEMPLETON GLOBAL BD FD	AT COST	40000	40211

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses

Field	Value	IRS element (for citing)
Description	NYS EPTL FILING FEE	Description
Revenue And Expenses Per Books	250	RevenueAndExpensesPerBooks
Net Investment Income	0	NetInvestmentIncome
Disbursements Charitable Prps	250	DisbursementsCharitablePrps

Taxes Schedule TaxesSchedule

Taxes Taxes (2 entries)

CategoryCategory	AmountAmount	Net Investment IncomeNetInvestmentIncome	Disbursements Charitable PrpsDisbursementsCharitablePrps
EXCISE TAX	$507	0	0
FOREIGN TAX WITHHELD	$393	1184	0