2019-05-10T09:25:21-05:00 2018-12-31 455012510 WAGNER DREESE ELSASSER & ASSOCIATES PC 1372 N SUSQUEHANNA TRL STE 210 SELINSGROVE PA 17870 990PF 2018-01-01 202033335 THE MIDDLESWARTH FOUNDATION MIDD 5708371431 DAVID MIDDLESWARTH 250 FURNACE ROAD MIDDLEBURG PA 17842 BRET I MIDDLESWARTH VICE PRESIDENT 5708371431 2019-05-09 1 JOSELYN Y O'CONNOR P00293590 5707432030 24.229.98.76 2019-05-10 10:25:15 ED P ABF3255876DA08D3D8E127354B22714B5E850EFA ABF3255876DA08D3D8E127354B22714B5E850EFA 2018 2019-02-21 02:37:17Z X 1088884 X X 28882 28882 39055 249912 39055 67937 67937 0 0 0 2000 1000 1000 16709 16709 0 5996 709 0 24705 18418 1000 96250 96250 120955 18418 97250 -53018 49519 11441 4665 4665 1282932 1084219 1084219 1294373 1088884 1088884 0 0 X 1294373 1088884 1294373 1088884 1294373 1088884 1294373 -53018 0 1241355 152471 1088884 PUBLICLY TRADED SECURITIES P 241464 210857 30607 30607 CAPITAL GAINS DIVIDENDS P 8448 8448 8448 39055 0 71717 1247475 0.057490 116024 1222705 0.094891 46000 1269658 0.036230 45517 1289210 0.035306 70438 1244487 0.056600 0.280517 0.056103 1250895 70179 495 70674 97250 X 495 0 495 0 495 3560 0 0 3560 0 3065 3065 0 0 0 0 0 0 0 0 0 0 0 1 1 PA 1 0 0 0 0 1 N/A DAVID B MIDDLESWARTH 5708371431 250 FURNACE ROAD MIDDLEBURG PA 17842 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 DAVID B MIDDLESWARTH 250 FURNACE ROAD MIDDLEBURG PA 17842 PRESIDENT 5.00 0 0 0 BRET I MIDDLESWARTH 250 FURNACE ROAD MIDDLEBURG PA 17842 VICE PRESIDENT 0.50 0 0 0 ROB D MIDDLESWARTH 250 FURNACE ROAD MIDDLEBURG PA 17842 SEC/TREAS 0.50 0 0 0 NONE 0 NONE 0 0 1262611 7333 0 1269944 0 0 1269944 19049 1250895 62545 62545 495 495 62050 0 62050 0 62050 97250 0 97250 495 96755 62050 0 0 27565 12874 40439 97250 0 0 0 62050 35200 0 0 75639 0 0 0 0 0 0 0 75639 27565 12874 35200 X AMERICAN RED CROSS OF CENTRAL PENNSYLVANIA 1804 N 6TH ST HARRISBURG PA 17102 N/A PC DISASTER RELIEF 500 BIG BROTHERS & BIG SISTERS 37 W MAIN ST PO BOX 126 BLOOMSBURG PA 17815 N/A PC MENTORING PROGRAM OF THE ORGANIZATION 250 CAMP MOUNT LUTHER CORP 335 MOUNT LUTHER LANE MIFFLINBURG PA 17844 N/A PC OUTDOOR MINISTRIES FOR WORSHIP, ENVIRONMENTAL EDUCATION 500 FAMILY PLANNING SERVICES OF SUN 4612 WESTBRANCH HIGHWAY LEWISBURG PA 17837 N/A PC PROVIDE EDUCATION AND RESOURCES RE REPRODUCTION AND FAMILY PLANNING 250 HAVEN MINISTRY INC 1040 SOUTH FRONT STREET SUNBURY PA 17801 N/A PC PROVIDE FOOD AND SHELTER TO THOSE IN NEED 1000 HEMLOCK COUNCIL OF THE GIRL SCOUTS 350 HALE AVENUE HARRISBURG PA 17104 N/A PC GENERAL PROGRAMS OF THE GIRL SCOUTS 500 MIDD-WEST QUARTERBACK CLUB PO BOX 76 MT PLEASANT MILLS PA 17853 N/A PC DEVELOPMENT OF A FOOTBALL PROGRAM FOR MIDD-WEST SCHOOL DISTRICT IN SNYDER COUNTY, PENNSYLVANIA 5000 MIDD-WEST SCHOOL DISTRICT 540 EAST MAIN STREET MIDDLEBURG PA 178421296 N/A PC $500 SCHOLARSHIPS EACH TO ONE MALE & ONE FEMALE GRADUATE OF THE HIGH SCHOOL TO BE DETERMINED BY THE SCHOOL'S SCHOLARSHIP COMMITTEE 1000 MIDDLEBURG COMMUNITY PROJECTS INC C/O SYLVIA HERBSTER 220 GRAND ST MIDDLEBURG PA 17842 N/A PC PROVIDE FUNDS FOR MIDDLEBURG AREA COMMUNITY FACILITIES AND PROJECTS 72000 MIDDLECREEK AREA COMMUNITY CENTER 67 ELM STREET BEAVER SPRINGS PA 17812 N/A PC COMMUNITY CENTER'S VARIOUS EXERCISE AND ATHLETIC PROGRAMS 2500 MOSTLY MUTTS INC C/O HENRY GROSS PO BOX 498 MILLVILLE PA 17846 N/A PC PROVIDE FOOD, MEDICAL CARE AND SHELTER TO NO-KILL ANIMAL SHELTER 250 NEEDY FAMILY FUND BBT BANK 400 MARKET STREET SUNBURY PA 17081 N/A PC PROVIDE FOOD, CLOTHING AND OTHER BASIC NECESSITIES TO THOSE IN NEED 500 PAXTONVILLE UNITED METHODIST CHURCH 1281 PAXTON ST PO BOX 275 PAXTONVILLE PA 17861 N/A PC SUPPORT THE GENERAL NEEDS OF THE CHURCH AND ITS MINISTRY 5000 SELINSGROVE AREA COMMUNITY FOUNDATION C/O JOHN FISCHER PO BOX 180 SELINSGROVE PA 17870 N/A PC FOUNDATION'S LOCAL STUDENTS SCHOLARSHIPS AND NON-PROFIT ORGANIZATIONS GRANTS PROGRAM 500 SELINSGROVE AREA SCHOOL DISTRICT 401 NORTH 18TH STREET SELINSGROVE PA 17870 N/A PC $500 SCHOLARSHIPS EACH TO ONE MALE & ONE FEMALE GRADUATE OF THE HIGH SCHOOL TO BE DETERMINED BY THE SCHOOL'S SCHOLARSHIP COMMITTEE 1000 SELINSGROVE PROJECTS INC PO BOX 377 SELINSGROVE PA 17870 N/A PC COMMUNITY SWIMMING POOL FUND 250 SHEETZ FAMILY CHARITIES 242 SHEETZ WAY CLAYSBURG PA 16625 N/A PC PROVIDE FUNDS FOR THE ORGANIZATION'S SCHOLARSHIPS 1000 SNYDER COUNTY COALITION FOR KIDS PO BOX 103 SELINSGROVE PA 17870 N/A PC MEALS 4 MUSTANGS 250 SUMMER SEALS DAY CAMP PO BOX 395 SELINSGROVE PA 17870 N/A PC SUMMER DAY CAMP FOR STUDENTS OF THE SELINSGROVE AREA 500 SUSQUEHANNA COUNCIL BOY SCOUTS OF AMERICA 815 NORTHWAY ROAD WILLIAMSPORT PA 17701 N/A PC GENERAL PROGRAMS OF THE BOY SCOUTS 500 SUSQUEHANNA UNIVERSITY 514 UNIVERSITY AVENUE SELINSGROVE PA 17870 N/A PC BUSINESS AND INDUSTRY CAMPAIGN 500 SUSQUEHANNA VALLEY WOMEN IN TRANSITION PO BOX 170 LEWISBURG PA 17837 N/A PC PROVIDE SHELTER FOR VICTIMS OF DOMESTIC VIOLENCE 500 THE PENNSYLVANIA SPCA 2801 BLOOM ROAD DANVILLE PA 17812 N/A PC NO-KILL SHELTER FOR DOGS, CATS AND OTHER DOMESTIC ANIMALS AND EDUCATION ON CRUELTY TO ANIMALS 250 THE SALVATION ARMY 40 SOUTH FOURTH STREET SUNBURY PA 17081 N/A PC PROVIDE FOOD, CLOTHING AND SHELTER TO PERSONS IN NEED 500 UNION-SNYDER HABITAT FOR HUMANITY PO BOX 64 SELINSGROVE PA 17870 N/A PC PROVIDE AFFORDABLE HOUSING TO LOW-INCOME PERSONS 250 WEST BEAVER TOWNSHIP VETERANS MEMORIAL POOL JANET WILL 34 E OHIO ST PO BOX 155 MCCLURE PA 17841 N/A PC PROVIDE FUNDS FOR THE REPAIRS NEEDED TO MAINTAIN THE NO-CHARGE COMMUNITY SWIMMING POOL 1000 96250 0 14 28882 18 39055 0 67937 0 67937 0 0 0 0 0 0 0 0 0 0 WAGNER DREESE ELSASSER & ASSOCS PC - 990-F PREPARATION AND ACCOUNTING 2000 1000 1000 ISHARES CORE US AGGREGATE BOND FMV 106277 106277 SPDR DJ GLOBAL REAL ESTATE ETF FMV 21909 21909 VANGUARD FTSE DEV MKTS ETF FMV 129331 129331 VANGUARD VALUE ETF FMV 107843 107843 VANGUARD LARG CAP ETF FMV 107049 107049 VANGUARD SMALL CAP ETF FMV 82626 82626 BRIDGE BUILDER CORE PLUS BOND FMV 82527 82527 BRIDGE BUILDER INTL EQUITY FMV 110231 110231 BRIDGE BUILDER LARGE GROWTH FMV 87375 87375 BRIDGE BUILDER LARGE VALUE FMV 74813 74813 BRIDGE BUILDER SMALLMID GROWTH FMV 32175 32175 BRIDGE BUILDER SMALLMID VALUE FMV 62518 62518 GOLDMAN FS GOVT FD INSTL FMV 11601 11601 H&W HIGH-YIELD I FMV 22243 22243 JPM EMERGING MARKETS EQUITY R6 FMV 45701 45701 ADJUSTMENT FOR DECREASE OF FMV FOR SFAS NO. 124 SECURITIES 152471 EDWARD JONES - INVESTMENT MGMT FEES 16709 16709 0 FOREIGN TAX W/H FROM DIVIDENDS 709 709 0 2017 EXCISE TAX ON NET INVESTMENT INCOME 1727 0 0 2018 ESTIMATED EXCISE TAX ON NET INVESTMENT INCOME 3560 0 0