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JEAN M NEWTON FBO CHENANGO MEMORIAL HOSPITAL: Form 990PF, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
JEAN M NEWTON FBO CHENANGO MEMORIAL HOSPITAL (EIN 16-6247584)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-05-07
IRS object ID
201231289349100533
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-07T14:55:38-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1THOMSON REUTERS (TAX & ACCOUNTING)BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1343 THORNALL ST SUITE 710AddressLine1
CityEDISONCity
StateNJState
ZIP Code08837ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN166247584EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1JEAN M NEWTON FBO CHENANGO MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNEWTNameControl
Phone6073376497Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMARY ANN SCHEERName
TitleASSISTANT VPTitle
Phone6073376497Phone
Date Signed2012-05-05DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLOUIS J DEROSEName
Phone7327679100Phone
Date Prepared2012-05-05DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY2291812FMVAssetsEOY

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Not Required To Attach Schedule BXNotRequiredToAttachScheduleB
Interest On Savings Rev And Expnss19InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm17InterestOnSavingsNetInvstIncm
Dividends Rev And Expnss69207DividendsRevAndExpnss
Dividends Net Invst Incm70290DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss-15129NetGainSaleAssetsRevAndExpnss
Gross Sales Price1217292GrossSalesPrice
Capital Gain Net Incm Net Invst Incm0CapitalGainNetIncmNetInvstIncm
Net STCG Adj Net Incm0NetSTCGAdjNetIncm
Total Revenue And Expenses54097TotalRevenueAndExpenses
Total Net Investment Income70307TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss11113CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm10002CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps1111CompOfcrDirTrstDsbrsChrtblPrps
Oth Empl Slrs Wgs Net Invst Incm0OthEmplSlrsWgsNetInvstIncm
Oth Empl Slrs Wgs Adj Net Incm0OthEmplSlrsWgsAdjNetIncm
Oth Empl Slrs Wgs Dsbrs Chrtbl Prps0OthEmplSlrsWgsDsbrsChrtblPrps
Pension Empl Bnft Net Invst Incm0PensionEmplBnftNetInvstIncm
Pension Empl Bnft Adj Net Incm0PensionEmplBnftAdjNetIncm
Legal Fees Dsbrs Chrtbl Prps0LegalFeesDsbrsChrtblPrps
Accounting Fees Rev And Expnss450AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm0AccountingFeesNetInvstIncm
Accounting Fees Adj Net Incm0AccountingFeesAdjNetIncm
Accounting Fees Dsbrs Chrtbl Prps0AccountingFeesDsbrsChrtblPrps
Other Prof Fees Dsbrs Chrtbl Prps0OtherProfFeesDsbrsChrtblPrps
Interest Dsbrs Chrtbl Prps0InterestDsbrsChrtblPrps
Taxes Rev And Expnss284TaxesRevAndExpnss
Taxes Net Invst Incm1492TaxesNetInvstIncm
Taxes Dsbrs Chrtbl Prps0TaxesDsbrsChrtblPrps
Deprec And Depletion Rev And Expnss0DeprecAndDepletionRevAndExpnss
Deprec And Depletion Net Invst Incm0DeprecAndDepletionNetInvstIncm
Trav Conf Meeting Net Invst Incm0TravConfMeetingNetInvstIncm
Trav Conf Meeting Adj Net Incm0TravConfMeetingAdjNetIncm
Printing And Pub Rev And Expnss1PrintingAndPubRevAndExpnss
Printing And Pub Net Invst Incm0PrintingAndPubNetInvstIncm
Printing And Pub Adj Net Incm0PrintingAndPubAdjNetIncm
Printing And Pub Dsbrs Chrtbl Prps1PrintingAndPubDsbrsChrtblPrps
Other Expenses Rev And Expnss250OtherExpensesRevAndExpnss
Other Expenses Dsbrs Chrtbl Prps250OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss12098TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm11494TotOprExpensesNetInvstIncm
Tot Opr Expenses Adj Net Incm0TotOprExpensesAdjNetIncm
Tot Opr Expenses Dsbrs Chrtbl Prps1362TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss114153ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps114153ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss126251TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm11494TotalExpensesNetInvstIncm
Total Expenses Adj Net Incm0TotalExpensesAdjNetIncm
Total Expenses Dsbrs Chrtbl Prps115515TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses-72154ExcessOfRevenueOverExpenses
Net Investment Income58813NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Cash BOY3294CashBOY
Savings And Temp Cash Invst BOY74195SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY133551SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV133551SavingsAndTempCashInvstEOYFMV
Accounts Receivable EOY0AccountsReceivableEOY
Accounts Receivable EOYFMV0AccountsReceivableEOYFMV
Allwnc For Dbtfl Acct Other Rcvbl0AllwncForDbtflAcctOtherRcvbl
Investments Govt Oblig BOY216940InvestmentsGovtObligBOY
Investments Govt Oblig EOY217440InvestmentsGovtObligEOY
Investments Govt Oblig EOYFMV232045InvestmentsGovtObligEOYFMV
Investments Corp Stock BOY755227InvestmentsCorpStockBOY
Investments Corp Stock EOY812687InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV835512InvestmentsCorpStockEOYFMV
Investments Corp Bonds BOY115148InvestmentsCorpBondsBOY
Investments Corp Bonds EOY100000InvestmentsCorpBondsEOY
Investments Corp Bonds EOYFMV99578InvestmentsCorpBondsEOYFMV
Investments Other BOY1137606InvestmentsOtherBOY
Investments Other EOY1033246InvestmentsOtherEOY
Investments Other EOYFMV991126InvestmentsOtherEOYFMV
Other Assets BOY66668OtherAssetsBOY
Total Assets BOY2369078TotalAssetsBOY
Total Assets EOY2296924TotalAssetsEOY
Total Assets EOYFMV2291812TotalAssetsEOYFMV
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Do Not Follow SFAS117XOrgThatDoNotFollowSFAS117
Capital Stock BOY2365724CapitalStockBOY
Capital Stock EOY2296924CapitalStockEOY
Retained Earnings BOY3354RetainedEarningsBOY
Total Net Assets BOY2369078TotalNetAssetsBOY
Total Net Assets EOY2296924TotalNetAssetsEOY
Total Liabilities Net Assets BOY2369078TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY2296924TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY2369078TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses-72154ExcessOfRevenueOverExpenses
Other Increases0OtherIncreases
Subtotal2296924Subtotal
Other Decreases0OtherDecreases
Total Net Assets Fund Balances EOY2296924TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (74 entries)

Description Of AssetDescriptionOfAssetHow AcquiredHowAcquiredDate AcquiredDateAcquiredDate SoldDateSoldGross Sales PriceGrossSalesPriceCost Or Other BasisCostOrOtherBasisGain Or LossGainOrLossGains Minus Excess Or LossesGainsMinusExcessOrLosses
15000. GENL ELEC CAP CORP MED TERM 6.125 02-22-11P2001-08-062011-02-221500015148-148-148
85. TOYOTA MOTOR CORP SPONS ADRP2010-01-042011-03-1668567235-379-379
285. ABBOTT LABS COMP2007-04-102011-07-071523616291-1055-1055
55. ABBOTT LABS COMP2007-10-302011-07-0729403007-67-67
15. ABBOTT LABS COMP2010-01-042011-07-07802818-16-16
16. APPLE COMPUTERP2007-04-112011-07-075721150342184218
500. BANK OF AMERICA CORPORATION COMP2003-08-282011-07-07544519550-14105-14105
165. BANK OF AMERICA CORPORATION COMP2007-10-302011-07-0717977913-6116-6116
35. BANK OF AMERICA CORPORATION COMP2008-08-252011-07-073811042-661-661
195. BANK OF AMERICA CORPORATION COMP2010-01-042011-07-0721243069-945-945
105. BHP BILLITON LTD SPONS ADRP2006-04-242011-07-0710187483853495349
65. BHP BILLITON LTD SPONS ADRP2008-08-252011-07-076306444218641864
335. CATERPILLAR INC DEL COMP2007-10-302011-07-0737521246291289212892
290. COLGATE PALMOLIVE CO COMP2010-01-042011-07-07257522402617261726
156. CONOCOPHILLIPS COMP2007-10-302011-07-071199012900-910-910
161. DANAHER CORPP2004-09-012011-07-078869414447254725
73. EXXON MOBIL CORP COMP1996-10-152011-07-076019159644234423
470. FISERV INC COMP2007-10-302011-07-07306582586447944794
57.7889 FRONTIER COMMUNICATIONS CORPP2004-09-012011-07-07470566-96-96
67.2111 FRONTIER COMMUNICATIONS CORPP2008-08-252011-07-07547602-55-55
16. GENERAL ELEC CO COMP1995-03-032011-07-07309142167167
425. GLAXOSMITHKLINE PLC SPONSORED ADRP2008-08-252011-07-071863219529-897-897
25. GLAXOSMITHKLINE PLC SPONSORED ADRP2010-01-042011-07-07109610752121
440. HEWLETT PACKARD CO COMP2007-10-302011-07-071607822717-6639-6639
282. INTEL CORP COMP2010-01-042011-07-0765645894670670
39. INTL BUSINESS MACHINES CORP COMP2004-09-012011-07-076885330935763576
161. MONSANTO COMPANY COMP2004-09-012011-07-0712026297090569056
350. NOVARTIS A G SPONSORED ADRP2006-04-242011-07-07216052010814971497
390. PEPSICO INC COMP2007-10-302011-07-072753028864-1334-1334
435. PETROLEO BRASILEIRO SA SPONS ADRP2008-08-252011-07-071482022276-7456-7456
255. PRICE T ROWE GROUP INC COMP2010-01-042011-07-07157611388718741874
29. PROCTER & GAMBLE CO COMP2004-09-012011-07-0718841618266266
395. MATERIALS SELECT SPDR FUNDP2008-08-252011-07-071600615326680680
560. UTILITIES SELECT SECTOR SPDRP2008-08-252011-07-071896121006-2045-2045
32. TOYOTA MOTOR CORP SPONS ADRP2010-01-042011-07-0727112724-13-13
53. TOYOTA MOTOR CORP SPONS ADRP2010-01-042011-07-0744904511-21-21
600. US BANCORPP2008-08-252011-07-071535418366-3012-3012
65. UNITED TECHNOLOGIES CORP COMP2007-10-302011-07-075947493510121012
244. VERIZON COMMUNICATIONS COMP2004-09-012011-07-0791268680446446
280. VERIZON COMMUNICATIONS COMP2008-08-252011-07-0710472910813641364
104. WALGREEN CO COMP2003-08-282011-07-074590332712631263
500. WELLS FARGO & CO NEW COMP2004-09-012011-07-071434514715-370-370
415. YUM! BRANDS INC COMP2010-01-042011-07-07230121456684468446
13. BED BATH & BEYOND INCP2011-07-072011-10-248137852828
5. BERKSHIRE HATHAWAY INC-CL BP2011-07-072011-10-24385390-5-5
45. CHEVRONTEXACO CORP COMP2011-07-072011-10-2447894805-16-16
428. CISCO SYS INC COMP2008-08-252011-10-24751110387-2876-2876
5. GOOGLE INC CL AP2010-01-042011-10-2429983133-135-135
41. INTEL CORP COMP2010-01-042011-10-241009857152152
200. ISHARES MSCI EMERGING MKT INP2005-07-252011-10-248037508929482948
126. ISHARES MSCI EMERGING MKT INP2007-04-102011-10-2450635093-30-30
1050. ISHARES MSCI EMERGING MKT INP2007-10-302011-10-244219557165-14970-14970
280. ISHARES MSCI EMERGING MKT INP2008-08-252011-10-241125211088164164
285. ISHARES MSCI EAFE INDEX FUNDP2005-07-252011-10-241503615247-211-211
187. ISHARES MSCI EAFE INDEX FUNDP2007-04-102011-10-24986614666-4800-4800
1450. ISHARES MSCI EAFE INDEX FUNDP2007-10-302011-10-2476501123249-46748-46748
315. ISHARES MSCI EAFE INDEX FUNDP2008-08-252011-10-241661919628-3009-3009
250. ISHARES MSCI EAFE INDEX FUNDP2010-01-042011-10-241319014200-1010-1010
130. ISHARES TRUSTP2005-07-252011-10-2494968757739739
38. ISHARES TRUSTP2007-04-102011-10-2427763073-297-297
790. ISHARES TRUSTP2007-10-302011-10-245770864163-6455-6455
1025. ISHARES TRUSTP2010-01-042011-10-24748756544894279427
18. MCDONALDS CORP COMP2010-01-042011-10-2416551132523523
24. MICROSOFT CORP COMP2003-08-282011-10-246556332222
7. PROCTER & GAMBLE CO COMP2004-09-012011-10-244563906666
262. RIO TINTO PLC SPONSORED ADRP2011-07-072011-10-241408619331-5245-5245
179. SPDR S&P MIDCAP 400 ETF TRUSTP2005-07-252011-10-24286982338353155315
775. SPDR S&P MIDCAP 400 ETF TRUSTP2007-10-302011-10-24124249126014-1765-1765
405. SPDR S&P MIDCAP 400 ETF TRUSTP2010-01-042011-10-2464930542051072510725
32. ENERGY SELECT SECTOR SPDRP2011-07-072011-10-2422242483-259-259
43. TARGET CORP COMP2007-10-302011-10-2423682713-345-345
6932.409 VANGUARD INTM TERM TREAS-ADMP2009-10-232011-10-24830508000030503050
50000. FEDERAL NATL MTG ASSN 5.375 11-15-11P2002-01-312011-11-155000049500500500
430. EXELIS INCP2011-12-1236645518-1854-1854
FieldValueIRS element (for citing)
Capital Gain Net Income-14069CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 TaxfalseLiableFor4942Tax
Qualifying Distributions Year1103765QualifyingDistributionsYear1
Noncharitable Assets Year12296431NoncharitableAssetsYear1
Distribution Ratio Year10.045185DistributionRatioYear1
Qualifying Distributions Year285827QualifyingDistributionsYear2
Noncharitable Assets Year22093855NoncharitableAssetsYear2
Distribution Ratio Year20.04099DistributionRatioYear2
Qualifying Distributions Year399308QualifyingDistributionsYear3
Noncharitable Assets Year32360846NoncharitableAssetsYear3
Distribution Ratio Year30.042065DistributionRatioYear3
Total Distribution Ratio0.12824TotalDistributionRatio
Average Distribution Ratio0.042747AverageDistributionRatio
Net Noncharitable Assets2398599NetNoncharitableAssets
Adjusted Noncharitable Assets102533AdjustedNoncharitableAssets
One Percent Net Investment Income588OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One103121AdjNonchrtblAssetsAndOnePct
Qualifying Distributions115515QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eXDomesticOrgMeetingSect4940e
Investment Income Excise Tax588InvestmentIncomeExciseTax
Tax Under Section5110TaxUnderSection511
Subtotal588Subtotal
Subtitle A Tax0SubtitleATax
Tax Based On Investment Income588TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment669EstTaxPaymentsAndOverpayment
Tax Paid With Extension0TaxPaidWithExtension
Total Credits And Payments669TotalCreditsAndPayments
Penalty For Underpayment0PenaltyForUnderpayment
Overpayment81Overpayment
Amount Credited To Next Year81AmountCreditedToNextYear
Amount To Be Refunded0AmountToBeRefunded

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political ActivitiesfalseLegislativePoliticalActivities
More Than100 SpentfalseMoreThan100Spent
Form1120 POL FiledfalseForm1120POLFiled
Activities Not Prev ReportedfalseActivitiesNotPrevReported
Changes To Articles Or BylawsfalseChangesToArticlesOrBylaws
Unrelated Bus Income Over1000falseUnrelatedBusIncomeOver1000
Termination EtcfalseTerminationEtc
Requirements Of Sect508etrueRequirementsOfSect508e
At Least5000 In AssetstrueAtLeast5000InAssets
States Filed WithNYStatesFiledWith
Form990 PF Filed With AGtrueForm990PFFiledWithAG
Private Operating FoundationfalsePrivateOperatingFoundation
New Substantial ContributorsfalseNewSubstantialContributors
Interest In Controlled EntityfalseInterestInControlledEntity
Applicable Insurance ContractfalseApplicableInsuranceContract
Comply With Public Inspection RqrtrueComplyWithPublicInspectionRqr

Books In Care Of Business Name BooksInCareOfBusinessName

FieldValueIRS element (for citing)
Business Name Line1NBT BANK NABusinessNameLine1
FieldValueIRS element (for citing)
Books In Care Of Phone Number6073376497BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line152 SOUTH BROAD STREETAddressLine1
CityNORWICHCity
StateNYState
ZIP Code13815ZIPCode
FieldValueIRS element (for citing)
Foreign BankfalseForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly PersonfalseSaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly PersonfalseBorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly PersonfalseFurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly PersontruePayCompensationToDsqflyPerson
Transfer Assets To Dsqfly PersonfalseTransferAssetsToDsqflyPerson
Payment To Government OfficalfalsePaymentToGovernmentOffical
Acts Fail To Qualify As ExceptionsfalseActsFailToQualifyAsExceptions
Uncorrected Prior ActsfalseUncorrectedPriorActs
Undistributed Income Prior YearsfalseUndistributedIncomePriorYears
Undistr Income4942a2 Not AppliedfalseUndistrIncome4942a2NotApplied
Business HoldingsfalseBusinessHoldings
Jeopardy InvestmentsfalseJeopardyInvestments
Uncorrected Jeopardy InvestmentsfalseUncorrectedJeopardyInvestments
Influence LegislationfalseInfluenceLegislation
Influence ElectionfalseInfluenceElection
Grants To IndividualsfalseGrantsToIndividuals
Grants To OrganizationsfalseGrantsToOrganizations
Noncharitable PurposefalseNoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft ContractfalseRcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft ContractfalsePayPremiumsPrsnlBnftContract
Prohibited Tax Shelter TransactnfalseProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NBT BANK NABusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line152 SOUTH BROAD STREETAddressLine1
CityNORWICHCity
StateNYState
ZIP Code13815ZIPCode
FieldValueIRS element (for citing)
TitleTRUSTEETitle
Avg Hours Per Wk Devoted To Position1AvgHoursPerWkDevotedToPosition
Compensation11113Compensation
FieldValueIRS element (for citing)
Comp Of Highest Paid Empl NONENONECompOfHighestPaidEmplNONE
Tot Number Of Oth Empl Paid Over50k0TotNumberOfOthEmplPaidOver50k
Comp Of Hghst Paid Cntrct NONENONECompOfHghstPaidCntrctNONE
Tot Number Of Cntrct Paid Over50k0TotNumberOfCntrctPaidOver50k
FieldValueIRS element (for citing)
Summary Of Direct Charitable ActySummaryOfDirectCharitableActy
Sum Of Program Related InvestmentsSumOfProgramRelatedInvestments

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities2320847AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances114279AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets2435126TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets2435126AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable36527CashDeemedCharitable
Net Noncharitable Assets2398599NetNoncharitableAssets
Minimum Investment Return119930MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return119930MinimumInvestmentReturn
Tax Based On Investment Income588TaxBasedOnInvestmentIncome
Total Tax588TotalTax
Distributable Amount Before Adj119342DistributableAmountBeforeAdj
Recoveries Qlfy Distributions0RecoveriesQlfyDistributions
Distributable Amount Before Ded119342DistributableAmountBeforeDed
Deduction Fr Distributable$0DeductionFrDistributableAmount
Distributable Amount As Adjusted119342DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions115515ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Amounts Paid Acq Charitable Assets0AmountsPaidAcqCharitableAssets
Amounts Set Aside Suitability Test0AmountsSetAsideSuitabilityTest
Amounts Set Aside Cash Distri Test0AmountsSetAsideCashDistriTest
Qualifying Distributions115515QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm588OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions114927AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted119342DistributableAmountAsAdjusted
Undistributed Income Prior Year44537UndistributedIncomePriorYear
Total For Prior Years0TotalForPriorYears
Excess Distri Carryover Year50ExcessDistriCarryoverYear5
Excess Distri Carryover Year40ExcessDistriCarryoverYear4
Excess Distri Carryover Year30ExcessDistriCarryoverYear3
Excess Distri Carryover Year20ExcessDistriCarryoverYear2
Excess Distri Carryover Year10ExcessDistriCarryoverYear1
Total Excess Distri Carryover0TotalExcessDistriCarryover
Qualifying Distributions115515QualifyingDistributions
Applied To Year144537AppliedToYear1
Applied To Prior Years0AppliedToPriorYears
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year70978AppliedToCurrentYear
Remaining Distri From Corpus0RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus0ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY0ExcessDistriCyovAppliedCY
Total Corpus0TotalCorpus
Prior Year Undistributed Income0PriorYearUndistributedIncome
Prior Year Deficiency Or Tax0PriorYearDeficiencyOrTax
Taxable Amount10TaxableAmount1
Taxable Amount20TaxableAmount2
Undistributed Income CY48364UndistributedIncomeCY
Distri From Corpus170b1 E Or4942g30DistriFromCorpus170b1EOr4942g3
Excess Distri Cyov From Year50ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year0ExcessDistriCyovToNextYear
Excess From Year40ExcessFromYear4
Excess From Year30ExcessFromYear3
Excess From Year20ExcessFromYear2
Excess From Year10ExcessFromYear1
Excess From Current Year0ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Only Contributes To PreselectedXOnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CHENANGO MEMORIALBusinessNameLine1
Business Name Line2HOSPITALBusinessNameLine2

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1179 NORTH BROAD STREETAddressLine1
CityNORWICHCity
StateNYState
ZIP Code13815ZIPCode
FieldValueIRS element (for citing)
Recipient RelationshipN/ARecipientRelationship
Recipient Foundation StatusNONERecipientFoundationStatus
Purpose Of Grant Or ContributionICU/OPER ROOM, PCHSE EQUIP/HIRE NURSESPurposeOfGrantOrContribution
Amount$114,153Amount
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year114153TotGrantOrContriPaidDuringYear

Analysis Income Producing Acty AnalysisIncomeProducingActy

FieldValueIRS element (for citing)
Fees Contracts From Govt AgenciesFeesContractsFromGovtAgencies
Membership Dues And AssessmentsMembershipDuesAndAssessments

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$19ExclusionAmount

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$69,207ExclusionAmount
FieldValueIRS element (for citing)
Net Rental Incm Re Debt Fincd PropNetRentalIncmReDebtFincdProp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Incm Personal PropertyNetRentalIncmPersonalProperty
Other Investment Income Part VIIOtherInvestmentIncomePartVII

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

FieldValueIRS element (for citing)
Exclusion Code18ExclusionCode
Exclusion-$15,129ExclusionAmount
FieldValueIRS element (for citing)
Net Income Loss From Special EventsNetIncomeLossFromSpecialEvents
Gross Profit Loss Sales Of InvntryGrossProfitLossSalesOfInvntry

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Exclusion$54,097ExclusionAmount
FieldValueIRS element (for citing)
Total Part XVIA54097TotalPartXVIA
FieldValueIRS element (for citing)
Rln Of Acty To Accom Of Exempt PrpsRlnOfActyToAccomOfExemptPrps

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EOfalseTrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EOfalseTrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssets
Purchase Assets Noncharitable EOfalsePurchaseAssetsNoncharitableEO
Rental Of Facilities EtcfalseRentalOfFacilitiesEtc
Reimbursement ArrangementsfalseReimbursementArrangements
Loans Or Loan GuaranteesfalseLoansOrLoanGuarantees
Performance Of Services EtcfalsePerformanceOfServicesEtc
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtc
Relationships Noncharitable E OsfalseRelationshipsNoncharitableEOs

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
CategoryTAX PREPARATION FEESCategory
Amount$450Amount

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corp Bonds InvestmentsCorpBonds (3 entries)

Name Of BondNameOfBondEOY Book ValueEOYBookValueEOYFMVEOYFMV
CATERPILLAR FIN 4.55% 5/15/132500025760
BANK OF AMERICA 6.4% 8/15/195000047329
GE CAPITAL 6.1% 4/15/152500026489

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock (40 entries)

Name Of StockNameOfStockEOY Book ValueEOYBookValueEOYFMVEOYFMV
BED BATH & BEYOND INC1860917855
APPLE INC1085940095
WAL MART STORES INC2297824980
CITIGROUP INC2986720653
DISNEY WALT CO1780620288
CHEVRON CORP2413224046
SUNCOR ENERGY INC2440418249
CISCO SYSTEMS2184219798
CONOCOPHILLIPS2024619311
PFIZER INC2515427028
DANAHER COR1175819098
EXXON MOBIL CORP1028525174
BERKSHIRE HATHAWAY INC CL-B2376323272
INTEL CORP1655219206
GENERAL ELECTRIC1920826131
GOOGLE INC CL A2866231003
TEVA PHARMACEUTICAL INDS2296719615
GOLDMAN SACHS GROUP INC3149721070
COVIDIEN PLC2225218904
INTL BUSINESS MACHINES1260924456
JPMORGAN CHASE & CO2714923674
JPMORGAN 7% PFD1250012775
JOHNSON & JOHNSON2350024461
LOWES COS INC2247921827
MICROSOFT CORP2349122741
XYLEM INC1345311047
NOVARTIS A G1907118523
ITT CORP49924156
UNION PAC CORP2071420764
PROCTER & GAMBLE CO2002523949
PRUDENTIAL FINL3038117943
SCHLUMBERGER LTD1710024113
MCDONALDS CORP1728725885
TARGET CORP2093217825
EMC CORP MASS2176917060
UNITED TECHNOLOGIES1916418419
THE MOSAIC CO2203016440
WALGREEN CO1953018448
QUALCOMM INC2146420020
ORACLE CORP2020615210

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Securities EOY Book Value217440USGovtSecuritiesEOYBookValue
US Govt Securities EOYFMV232045USGovtSecuritiesEOYFMV

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther (13 entries)

Category Or ItemCategoryOrItemListed At Cost Or FMVListedAtCostOrFMVBook ValueBookValueEOYFMVEOYFMV
ENERGY SELECT SECTOR SPDRAT COST2156919218
HARTFORT MIDCAP FD -YAT COST9640483897
ROYCE PENNSYLVANIA MUT FDAT COST104972101391
ISHARES TR NASDAQ BIO INDEX FDAT COST2597630679
DODGE & COX INCOME FDAT COST160000162289
FEDERATED TOTAL RETURN BOND FDAT COST130000132361
KBW REGL BKG ETFAT COST2964725362
CRM MID CAP VALUE FDAT COST9594494445
LAZARD EMERG MKTSAT COST113050101455
VANGUARD GNMA FUND ADM SHSAT COST8000082458
FIRST TR ISE GLOBAL ENG & CAT COST3077527419
MARKET VECTORS ETF AGRIBUSAT COST2843527677
DODGE & COX INTER ST FDAT COST116474102475

Other Assets Schedule OtherAssetsSchedule

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionMYS EPTL FILING FEEDescription
Revenue And Expenses Per Books250RevenueAndExpensesPerBooks
Net Investment Income0NetInvestmentIncome
Disbursements Charitable Prps250DisbursementsCharitablePrps

Taxes Schedule TaxesSchedule

Taxes Taxes (2 entries)

CategoryCategoryAmountAmountNet Investment IncomeNetInvestmentIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
EXCISE TAX$5800
FOREIGN TAX WITHHELD$22614920