MARY M PECKMAN TR FBO CHEN MEM HOSPITAL: Form 990PF, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MARY M PECKMAN TR FBO CHEN MEM HOSPITAL (EIN 15-6017708)
Tax period: 2011-04-01 to 2012-03-31
Filed: 2012-07-24
IRS object ID: 201202069349100505
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990-PF
Accounting Fees Schedule
Investments Corp Bonds Schedule
Investments Corp Stock Schedule
Investments Govt Obligations Sch
Investments Other Schedule2
Other Assets Schedule
Other Expenses Schedule
Taxes Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-07-24T10:09:30-06:00	Timestamp
Tax Period End Date	2012-03-31	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 SUITE 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	2011-04-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	156017708	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MARY PECKHAM FBO CHENANGO MEM HOSPITAL 003154	BusinessNameLine1

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	C/O NBT BANK NA 52 S 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	2012-07-09	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	LOUIS J DEROSE	Name
Phone	7327679100	Phone
Date Prepared	2012-07-09	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	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	3365817	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	23	InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm	23	InterestOnSavingsNetInvstIncm
Dividends Rev And Expnss	96791	DividendsRevAndExpnss
Dividends Net Invst Incm	99135	DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss	137162	NetGainSaleAssetsRevAndExpnss
Gross Sales Price	1684674	GrossSalesPrice
Capital Gain Net Incm Net Invst Incm	137604	CapitalGainNetIncmNetInvstIncm
Net STCG Adj Net Incm	0	NetSTCGAdjNetIncm
Total Revenue And Expenses	233976	TotalRevenueAndExpenses
Total Net Investment Income	236762	TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss	17892	CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm	16103	CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps	1789	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	595	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	312	TaxesRevAndExpnss
Taxes Net Invst Incm	1814	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	3	PrintingAndPubRevAndExpnss
Printing And Pub Net Invst Incm	0	PrintingAndPubNetInvstIncm
Printing And Pub Adj Net Incm	0	PrintingAndPubAdjNetIncm
Printing And Pub Dsbrs Chrtbl Prps	3	PrintingAndPubDsbrsChrtblPrps
Other Expenses Rev And Expnss	250	OtherExpensesRevAndExpnss
Other Expenses Dsbrs Chrtbl Prps	250	OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss	19052	TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm	17917	TotOprExpensesNetInvstIncm
Tot Opr Expenses Adj Net Incm	0	TotOprExpensesAdjNetIncm
Tot Opr Expenses Dsbrs Chrtbl Prps	2042	TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss	159615	ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps	159615	ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss	178667	TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm	17917	TotalExpensesNetInvstIncm
Total Expenses Adj Net Incm	0	TotalExpensesAdjNetIncm
Total Expenses Dsbrs Chrtbl Prps	161657	TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses	55309	ExcessOfRevenueOverExpenses
Net Investment Income	218845	NetInvestmentIncome
Adjusted Net Income	0	AdjustedNetIncome

Balance Sheets BalanceSheets

Field	Value	IRS element (for citing)
Cash BOY	531	CashBOY
Savings And Temp Cash Invst BOY	157864	SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY	116502	SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV	116502	SavingsAndTempCashInvstEOYFMV
Accounts Receivable EOY	0	AccountsReceivableEOY
Accounts Receivable EOYFMV	0	AccountsReceivableEOYFMV
Allwnc For Dbtfl Acct Other Rcvbl	0	AllwncForDbtflAcctOtherRcvbl
Investments Govt Oblig BOY	492576	InvestmentsGovtObligBOY
Investments Govt Oblig EOY	542576	InvestmentsGovtObligEOY
Investments Govt Oblig EOYFMV	594786	InvestmentsGovtObligEOYFMV
Investments Corp Stock BOY	877669	InvestmentsCorpStockBOY
Investments Corp Stock EOY	899872	InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV	1107909	InvestmentsCorpStockEOYFMV
Investments Corp Bonds BOY	200000	InvestmentsCorpBondsBOY
Investments Corp Bonds EOY	150325	InvestmentsCorpBondsEOY
Investments Corp Bonds EOYFMV	154723	InvestmentsCorpBondsEOYFMV
Investments Other BOY	1123062	InvestmentsOtherBOY
Investments Other EOY	1331069	InvestmentsOtherEOY
Investments Other EOYFMV	1391897	InvestmentsOtherEOYFMV
Other Assets BOY	133333	OtherAssetsBOY
Total Assets BOY	2985035	TotalAssetsBOY
Total Assets EOY	3040344	TotalAssetsEOY
Total Assets EOYFMV	3365817	TotalAssetsEOYFMV
Total Liabilities EOY	0	TotalLiabilitiesEOY
Org That Do Not Follow SFAS117	X	OrgThatDoNotFollowSFAS117
Capital Stock BOY	3045274	CapitalStockBOY
Capital Stock EOY	3040344	CapitalStockEOY
Retained Earnings BOY	-60239	RetainedEarningsBOY
Total Net Assets BOY	2985035	TotalNetAssetsBOY
Total Net Assets EOY	3040344	TotalNetAssetsEOY
Total Liabilities Net Assets BOY	2985035	TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY	3040344	TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

Field	Value	IRS element (for citing)
Total Net Assets Fund Balances BOY	2985035	TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses	55309	ExcessOfRevenueOverExpenses
Other Increases	0	OtherIncreases
Subtotal	3040344	Subtotal
Other Decreases	0	OtherDecreases
Total Net Assets Fund Balances EOY	3040344	TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (117 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
82. ABBOTT LABS COM	P	2007-02-01	2011-06-21	4280	4320	-40	-40
233. ABBOTT LABS COM	P	2007-03-20	2011-06-21	12162	12561	-399	-399
105. ABBOTT LABS COM	P	2007-10-30	2011-06-21	5481	5740	-259	-259
50. ABBOTT LABS COM	P	2009-07-31	2011-06-21	2610	2252	358	358
1000. BANK OF AMERICA CORPORATION COM	P	2010-08-23	2011-06-21	10610	13029	-2419	-2419
500. BANK OF AMERICA CORPORATION COM	P	2010-08-27	2011-06-21	5305	6360	-1055	-1055
144. BHP BILLITON LTD SPONS ADR	P	2006-04-24	2011-06-21	13029	6635	6394	6394
110. BHP BILLITON LTD SPONS ADR	P	2008-08-25	2011-06-21	9953	7517	2436	2436
160. CATERPILLAR INC DEL COM	P	2007-02-01	2011-06-21	16103	10401	5702	5702
280. CATERPILLAR INC DEL COM	P	2007-03-20	2011-06-21	28180	18211	9969	9969
115. CATERPILLAR INC DEL COM	P	2007-10-30	2011-06-21	11574	8455	3119	3119
15. CATERPILLAR INC DEL COM	P	2008-08-25	2011-06-21	1510	1032	478	478
100. CATERPILLAR INC DEL COM	P	2009-07-31	2011-06-21	10064	4410	5654	5654
310. COLGATE PALMOLIVE CO COM	P	2009-07-31	2011-06-21	27595	22511	5084	5084
170. CONOCOPHILLIPS COM	P	1997-04-28	2011-06-21	12468	3316	9152	9152
72. DANAHER CORP	P	2004-06-03	2011-06-21	3760	1694	2066	2066
419. DANAHER CORP	P	2004-08-25	2011-06-21	21880	10520	11360	11360
145. DISNEY WALT CO COM DISNEY	P	2009-07-31	2011-06-21	5551	3659	1892	1892
5. EXXON MOBIL CORP COM	P	2004-08-25	2011-06-21	402	226	176	176
352. FISERV INC COM	P	2007-03-20	2011-06-21	21686	18242	3444	3444
95. FISERV INC COM	P	2007-10-30	2011-06-21	5853	5228	625	625
133. FRONTIER COMMUNICATIONS CORP	P	2008-05-28	2011-06-21	1051	1300	-249	-249
610. GENERAL ELEC CO COM	P	1994-02-16	2011-06-21	11395	5560	5835	5835
530. GLAXOSMITHKLINE PLC SPONSORED ADR	P	2008-05-28	2011-06-21	21969	23303	-1334	-1334
30. GLAXOSMITHKLINE PLC SPONSORED ADR	P	2009-07-31	2011-06-21	1244	1151	93	93
499. HEWLETT PACKARD CO COM	P	2007-03-20	2011-06-21	17719	19949	-2230	-2230
267. LOWES COS INC COM	P	2007-03-20	2011-06-21	6216	8316	-2100	-2100
14. MARKET VECTORS AGRIBUSINESS	P	2009-07-31	2011-06-21	723	530	193	193
163. MONSANTO COMPANY COM	P	2004-08-25	2011-06-21	10894	2998	7896	7896
25. MONSANTO COMPANY COM	P	2008-08-25	2011-06-21	1671	2902	-1231	-1231
295. NOVARTIS A G SPONSORED ADR	P	2006-04-24	2011-06-21	17947	16948	999	999
150. NOVARTIS A G SPONSORED ADR	P	2007-10-30	2011-06-21	9126	7923	1203	1203
40. NOVARTIS A G SPONSORED ADR	P	2009-07-31	2011-06-21	2434	1829	605	605
330. PEPSICO INC COM	P	2003-08-28	2011-06-21	22763	14807	7956	7956
35. PEPSICO INC COM	P	2007-03-20	2011-06-21	2414	2206	208	208
15. PEPSICO INC COM	P	2007-10-30	2011-06-21	1035	1110	-75	-75
15. PEPSICO INC COM	P	2008-05-28	2011-06-21	1035	1022	13	13
335. PRICE T ROWE GROUP INC COM	P	2009-07-31	2011-06-21	19564	15635	3929	3929
64. SCHLUMBERGER LTD COM	P	2005-11-01	2011-06-21	5316	2894	2422	2422
411. MATERIALS SELECT SPDR FUND	P	2007-03-20	2011-06-21	15425	15556	-131	-131
15. MATERIALS SELECT SPDR FUND	P	2007-10-30	2011-06-21	563	651	-88	-88
120. MATERIALS SELECT SPDR FUND	P	2008-08-25	2011-06-21	4504	4656	-152	-152
274. UTILITIES SELECT SECTOR SPDR	P	2007-03-20	2011-06-21	9086	10659	-1573	-1573
70. UTILITIES SELECT SECTOR SPDR	P	2007-10-30	2011-06-21	2321	2945	-624	-624
245. UTILITIES SELECT SECTOR SPDR	P	2008-05-28	2011-06-21	8124	10074	-1950	-1950
25. UTILITIES SELECT SECTOR SPDR	P	2008-08-25	2011-06-21	829	938	-109	-109
367. SUNCOR ENERGY INC	P	2010-08-23	2011-06-21	14133	11421	2712	2712
54. TOYOTA MOTOR CORP SPONS ADR	P	2008-10-29	2011-06-21	4338	3923	415	415
65. TOYOTA MOTOR CORP SPONS ADR	P	2009-07-31	2011-06-21	5222	5482	-260	-260
765. US BANCORP	P	2008-08-25	2011-06-21	18872	23416	-4544	-4544
165. UNION PAC CORP COM	P	2010-11-01	2011-06-21	17041	14660	2381	2381
130. UNITED TECHNOLOGIES CORP COM	P	2007-02-01	2011-06-21	11149	8910	2239	2239
131. UNITED TECHNOLOGIES CORP COM	P	2007-03-20	2011-06-21	11234	8516	2718	2718
555. VERIZON COMMUNICATIONS COM	P	2008-05-28	2011-06-21	19946	19693	253	253
62. WALGREEN CO COM	P	2003-08-28	2011-06-21	2613	1994	619	619
346. WELLS FARGO & CO NEW COM	P	2004-08-25	2011-06-21	9415	10117	-702	-702
165. WELLS FARGO & CO NEW COM	P	2007-10-30	2011-06-21	4490	5628	-1138	-1138
119. WELLS FARGO & CO NEW COM	P	2008-05-28	2011-06-21	3238	3271	-33	-33
50000. FED NATL MTG ASSN STEP CPN 1.01 11-25-15 #	P	2010-11-09	2011-08-25	50000	50000
50000. CATERPILLAR FIN SERV CORP 5.75 10-15-11	P	2001-10-25	2011-10-15	50000	50000
6499.133 VANGUARD INTM TERM TREAS-ADM	P	2009-10-23	2011-10-20	77990	75000	2990	2990
13. APPLE COMPUTER	P	2007-02-01	2011-10-24	5254	1115	4139	4139
76. BED BATH & BEYOND INC	P	2011-06-21	2011-10-24	4754	4108	646	646
15. BERKSHIRE HATHAWAY INC-CL B	P	2011-06-21	2011-10-24	1155	1145	10	10
82. CHEVRONTEXACO CORP COM	P	2011-06-21	2011-10-24	8726	8294	432	432
626. CISCO SYS INC COM	P	2008-05-28	2011-10-24	10986	16006	-5020	-5020
5. CONOCOPHILLIPS COM	P	1997-04-28	2011-10-24	359	98	261	261
15. GOOGLE INC CL A	P	2009-07-31	2011-10-24	8994	6660	2334	2334
147. INTEL CORP COM	P	2009-07-31	2011-10-24	3618	2850	768	768
20. INTL BUSINESS MACHINES CORP COM	P	2004-08-25	2011-10-24	3650	1701	1949	1949
1707. ISHARES MSCI EMERGING MKT IN	P	2007-02-01	2011-10-24	68596	65625	2971	2971
295. ISHARES MSCI EMERGING MKT IN	P	2008-08-25	2011-10-24	11855	11682	173	173
541. ISHARES MSCI EAFE INDEX FUND	P	2005-07-25	2011-10-24	28543	28943	-400	-400
1802. ISHARES MSCI EAFE INDEX FUND	P	2007-02-01	2011-10-24	95072	134930	-39858	-39858
80. ISHARES MSCI EAFE INDEX FUND	P	2007-10-30	2011-10-24	4221	6800	-2579	-2579
360. ISHARES MSCI EAFE INDEX FUND	P	2008-08-25	2011-10-24	18993	22431	-3438	-3438
85. ISHARES MSCI EAFE INDEX FUND	P	2009-07-31	2011-10-24	4485	4281	204	204
274. ISHARES TRUST	P	2005-07-25	2011-10-24	20015	18457	1558	1558
760. ISHARES TRUST	P	2007-02-01	2011-10-24	55517	60736	-5219	-5219
155. ISHARES TRUST	P	2007-10-30	2011-10-24	11323	12589	-1266	-1266
1110. ISHARES TRUST	P	2009-07-31	2011-10-24	81084	62067	19017	19017
44. MCDONALDS CORP COM	P	2011-06-21	2011-10-24	4046	3637	409	409
144. MICROSOFT CORP COM	P	2003-08-28	2011-10-24	3931	3824	107	107
20. ORACLE CORP COM	P	2011-06-21	2011-10-24	655	645	10	10
18. PROCTER & GAMBLE CO COM	P	1992-11-24	2011-10-24	1171	246	925	925
360. RIO TINTO PLC SPONSORED ADR	P	2011-06-21	2011-10-24	19354	24559	-5205	-5205
456. SPDR S&P MIDCAP 400 ETF TRUST	P	2005-07-25	2011-10-24	73107	59567	13540	13540
600. SPDR S&P MIDCAP 400 ETF TRUST	P	2007-02-01	2011-10-24	96193	91694	4499	4499
125. SPDR S&P MIDCAP 400 ETF TRUST	P	2007-10-30	2011-10-24	20040	20325	-285	-285
445. SPDR S&P MIDCAP 400 ETF TRUST	P	2009-07-31	2011-10-24	71343	50920	20423	20423
74. ENERGY SELECT SECTOR SPDR	P	2011-06-21	2011-10-24	5143	5409	-266	-266
78. TARGET CORP COM	P	1997-09-16	2011-10-24	4296	1270	3026	3026
50000. HOUSEHOLD FINANCE MED TERM 6.15 11-15-11	P	2001-10-25	2011-11-15	50000	50000
.5 ITT CORP	P	2011-06-21	2011-11-22	10	12	-2	-2
529. EXELIS INC	P		2011-12-12	4507	6702	-2195	-2195
9. APPLE COMPUTER	P	2007-02-01	2012-02-07	4208	772	3436	3436
90. CISCO SYS INC COM	P	2008-05-28	2012-02-07	1814	2301	-487	-487
200. CITIGROUP INC	P	2011-06-21	2012-02-07	6642	7710	-1068	-1068
40. FIRST TRUST ISE GLOBAL ENGIN	P	2011-06-21	2012-02-07	1666	1753	-87	-87
136. GENERAL ELEC CO COM	P	1994-02-16	2012-02-07	2577	1240	1337	1337
70. GOLDMAN SACHS GROUP INC COM	P	2008-05-28	2012-02-07	8165	12228	-4063	-4063
264. ITT CORP	P		2012-02-07	5938	6054	-116	-116
23. INTEL CORP COM	P	2009-07-31	2012-02-07	603	446	157	157
100. ISHARES NASDAQ BIOTECH INDX	P	2007-11-29	2012-02-07	12117	8413	3704	3704
30. J P MORGAN CHASE & CO COM	P	2008-05-28	2012-02-07	1139	1280	-141	-141
125. LOWES COS INC COM	P	2007-03-20	2012-02-07	3387	3893	-506	-506
222. MARKET VECTORS AGRIBUSINESS	P	2009-07-31	2012-02-07	11733	8404	3329	3329
30. MICROSOFT CORP COM	P	2003-08-28	2012-02-07	910	797	113	113
234. PFIZER INC COM	P	2011-06-21	2012-02-07	4880	4755	125	125
100. KBW REGIONAL BANKING ETF	P	2008-08-25	2012-02-07	2698	3078	-380	-380
119. SCHLUMBERGER LTD COM	P	2005-11-01	2012-02-07	9343	5380	3963	3963
58. SUNCOR ENERGY INC	P		2012-02-07	2015	1842	173	173
10. APPLE COMPUTER	P	2007-02-01	2012-03-05	5461	858	4603	4603
385. CITIGROUP INC	P	2011-06-21	2012-03-13	13916	14841	-925	-925
380. CITIGROUP INC	P		2012-03-19	13879	12354	1525	1525
661. WALGREEN CO COM	P		2012-03-19	22435	24756	-2321	-2321
24. WALGREEN CO COM	P	2011-10-24	2012-03-19	815	820	-5	-5

Field	Value	IRS element (for citing)
Capital Gain Net Income	137604	CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

Field	Value	IRS element (for citing)
Liable For4942 Tax	false	LiableFor4942Tax
Qualifying Distributions Year1	190353	QualifyingDistributionsYear1
Noncharitable Assets Year1	3210499	NoncharitableAssetsYear1
Distribution Ratio Year1	0.059291	DistributionRatioYear1
Qualifying Distributions Year2	127424	QualifyingDistributionsYear2
Noncharitable Assets Year2	2991204	NoncharitableAssetsYear2
Distribution Ratio Year2	0.0426	DistributionRatioYear2
Qualifying Distributions Year3	136403	QualifyingDistributionsYear3
Noncharitable Assets Year3	2992873	NoncharitableAssetsYear3
Distribution Ratio Year3	0.045576	DistributionRatioYear3
Total Distribution Ratio	0.147467	TotalDistributionRatio
Average Distribution Ratio	0.049156	AverageDistributionRatio
Net Noncharitable Assets	3238521	NetNoncharitableAssets
Adjusted Noncharitable Assets	159193	AdjustedNoncharitableAssets
One Percent Net Investment Income	2188	OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One	161381	AdjNonchrtblAssetsAndOnePct
Qualifying Distributions	161657	QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

Field	Value	IRS element (for citing)
Domestic Org Meeting Sect4940e	X	DomesticOrgMeetingSect4940e
Investment Income Excise Tax	2188	InvestmentIncomeExciseTax
Tax Under Section511	0	TaxUnderSection511
Subtotal	2188	Subtotal
Subtitle A Tax	0	SubtitleATax
Tax Based On Investment Income	2188	TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment	1116	EstTaxPaymentsAndOverpayment
Tax Paid With Extension	0	TaxPaidWithExtension
Total Credits And Payments	1116	TotalCreditsAndPayments
Penalty For Underpayment	0	PenaltyForUnderpayment
Tax Due	1072	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 S 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

Field	Value	IRS element (for citing)
Person Name	NBT BANK NA	PersonName

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	17892	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	3070076	AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances	217763	AvgMonthlyCashBalances
FMV All Other Noncharitable Assets	0	FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets	3287839	TotalFMVOfUnusedAssets
Reduction Claimed	0	ReductionClaimed
Acquisition Indebtedness	0	AcquisitionIndebtedness
Adj Total FMV Of Unused Assets	3287839	AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable	49318	CashDeemedCharitable
Net Noncharitable Assets	3238521	NetNoncharitableAssets
Minimum Investment Return	161926	MinimumInvestmentReturn

Distributable DistributableAmount

Field	Value	IRS element (for citing)
Minimum Investment Return	161926	MinimumInvestmentReturn
Tax Based On Investment Income	2188	TaxBasedOnInvestmentIncome
Total Tax	2188	TotalTax
Distributable Amount Before Adj	159738	DistributableAmountBeforeAdj
Recoveries Qlfy Distributions	0	RecoveriesQlfyDistributions
Distributable Amount Before Ded	159738	DistributableAmountBeforeDed
Deduction Fr Distributable	$0	DeductionFrDistributableAmount
Distributable Amount As Adjusted	159738	DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

Field	Value	IRS element (for citing)
Expenses And Contributions	161657	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	161657	QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm	2188	OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions	159469	AdjQualifyingDistributions

Undistributed Income UndistributedIncome

Field	Value	IRS element (for citing)
Distributable Amount As Adjusted	159738	DistributableAmountAsAdjusted
Undistributed Income Prior Year	0	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	537	ExcessDistriCarryoverYear1
Total Excess Distri Carryover	537	TotalExcessDistriCarryover
Qualifying Distributions	161657	QualifyingDistributions
Applied To Year1	0	AppliedToYear1
Applied To Prior Years	0	AppliedToPriorYears
Treated As Distri From Corpus	0	TreatedAsDistriFromCorpus
Applied To Current Year	159738	AppliedToCurrentYear
Remaining Distri From Corpus	1919	RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus	0	ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY	0	ExcessDistriCyovAppliedCY
Total Corpus	2456	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	0	UndistributedIncomeCY
Distri From Corpus170b1 E Or4942g3	0	DistriFromCorpus170b1EOr4942g3
Excess Distri Cyov From Year5	0	ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year	2456	ExcessDistriCyovToNextYear
Excess From Year4	0	ExcessFromYear4
Excess From Year3	0	ExcessFromYear3
Excess From Year2	0	ExcessFromYear2
Excess From Year1	537	ExcessFromYear1
Excess From Current Year	1919	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	N/A	RecipientRelationship
Recipient Foundation Status	EXEMPT	RecipientFoundationStatus
Purpose Of Grant Or Contribution	GENERAL PURPOSES - MEMORY WM PECKHAM	PurposeOfGrantOrContribution
Amount	$159,615	Amount

Field	Value	IRS element (for citing)
Tot Grant Or Contri Paid During Year	159615	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	$23	ExclusionAmount

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

Field	Value	IRS element (for citing)
Exclusion Code	14	ExclusionCode
Exclusion	$96,791	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	$137,162	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	$233,976	ExclusionAmount

Field	Value	IRS element (for citing)
Total Part XVIA	233976	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	$595	Amount

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corp Bonds InvestmentsCorpBonds (3 entries)

Name Of BondNameOfBond	EOY Book ValueEOYBookValue	EOYFMVEOYFMV
BANK OF AMERICA 6.4% 8-15-19	50000	52835
GE CAPITAL 4.4% 4/15/2014	50000	51902
GOLDMAN SACHS 3.625% 2/7/16	50325	49986

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock (39 entries)

Name Of StockNameOfStock	EOY Book ValueEOYBookValue	EOYFMVEOYFMV
MCDONALDS CORP	26199	31098
UNION PAC CORP	21468	25903
SUNCOR ENERGY INC	23224	23544
BED BATH & BEYOND INC	20431	24861
APPLE INC	10234	59955
HEINZ H J CO	23414	24097
EMC CORP MASS	25569	29073
CISCO SYSTEMS	23598	26564
CONOCOPHILLIPS	13964	24703
DANAHER CORP	17107	27944
EXXON MOBIL CORP	22636	31656
CVS CAREMARK CORP	23816	23520
GENERAL ELECTRIC CO	33234	33236
GOLDMAN SACHS GROUP	28185	26864
BERKSHIRE HATHAWAY INC CL B	28765	30594
INTL BUSINESS MACHINES	14568	33593
JPMORGAN CHASE	34351	38853
JOHNSON & JOHNSON	29044	30210
LOWES COS	22984	29246
MICROSOFT CORP	27674	33739
THE MOSAIC COMPANY	25041	22116
WAL MART STORES INC	27479	31457
ORACLE CORP	23463	21228
CHEVRON CORP	28019	29697
NOVARTIS A G	23426	22053
PROCTER & GAMBLE CO	12081	29640
PRUDENTIAL FINL	36098	27828
SCHLUMBERGER LTD	16320	22168
DISNEY WALT CO	17197	29114
TARGET CORP	13442	24940
PFIZER INC	26347	29438
XYLEM INC	22395	20896
UNITED TECHNOLOGIES	21731	25711
TEVA PHARMACEUTICAL INDS	27346	26901
COVIDIEN PLC	27090	28215
WELLS FARGO & CO	11616	11949
GOOGLE INC CL A	27360	37833
INTEL	18452	26709
QUALCOMM INC	24504	30763

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

Field	Value	IRS element (for citing)
US Govt Securities EOY Book Value	542576	USGovtSecuritiesEOYBookValue
US Govt Securities EOYFMV	594786	USGovtSecuritiesEOYFMV

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther (15 entries)

Category Or ItemCategoryOrItem	Listed At Cost Or FMVListedAtCostOrFMV	Book ValueBookValue	EOYFMVEOYFMV
UTILITIES SELECT SECTOR SPDR	AT COST	25105	25267
ROYCE PENNSYLVANIA MUT FD	AT COST	128945	139595
ISHARES TR NASDAQ BIO INDEX	AT COST	23649	32181
HARTFORD MIDCAP FD-Y	AT COST	118430	120173
CRM MID CAP VALUE FD	AT COST	117859	131490
KBW REGL BKG ETF	AT COST	32452	33481
ENERGY SELECT SECTOR SPDR	AT COST	24923	24467
FIRST TRUST ISE GLOB ENGIN	AT COST	38667	36808
MARKET VECTORS AGRI	AT COST	22832	26415
DODGE & COX INCOME FD	AT COST	150000	155236
FEDERATED TOTAL RETURN BOND	AT COST	200000	203965
VANGUARD GNMA FD	AT COST	135000	136506
VANGUARD REIT ETF	AT COST	12615	12730
LAZARD EMERGING MKTS	AT COST	148865	156384
DODGE & COX INTL STOCK FD	AT COST	151727	157199

Other Assets Schedule OtherAssetsSchedule

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

Field	Value	IRS element (for citing)
Category	FOREIGN TAX W/H	Category
Amount	$312	Amount
Net Investment Income	1814	NetInvestmentIncome
Disbursements Charitable Prps	0	DisbursementsCharitablePrps