2017-11-13T14:54:58-06:00 2016-12-31 161468002 CHIAMPOU TRAVIS BESAW & KERSHNER LLP 45 BRYANT WOODS NORTH AMHERST NY 14228 990PF 2016-01-01 311585491 THE LEWIS J AND CLELIA M SERVENTI FAMILY FOUNDATION LEWI 5852375292 PO BOX 30 PERRY NY 14530 ED RECHBERGER VP/TREASURER 5852372213 2017-11-13 1 LISA LAROUSSI P01257512 7166302400 2017-11-13 72.45.217.66 2017-11-13 15:52:39 ES P 76AEF17F9AB6C3C6A0A891E07C1E71CCB287301E CA7BA34DA419EE3F0C28CAE033C26E790D7FA320 2016 2018-03-14 21:41:22Z X 2744643 X X 90 90 53464 53464 101085 252974 101085 154639 154639 0 0 0 6294 597 250 24788 24788 0 31082 25385 250 97400 97400 128482 25385 97650 26157 129254 36928 92931 92931 2600735 2651712 2651712 2637663 2744643 2744643 0 0 X 0 0 0 0 2637663 2744643 2637663 2744643 2637663 2744643 2637663 26157 80823 2744643 0 2744643 MERRILL LYNCH P 194219 142663 51556 51556 CASH IN LIEU P 54 54 54 GAIN ON DISPOSAL OF MPLX P 32776 4708 28068 28068 GAIN ON DISPOSAL OF ENTERPRISE PRODUCTS PARTNERS P 17048 4518 12530 12530 CAPITAL GAINS DIVIDENDS P 8877 8877 8877 101085 0 148350 2800397 0.052975 90837 2730340 0.033269 98650 2476655 0.039832 125250 2347312 0.053359 172180 2305163 0.074693 0.254128 0.050826 2609367 132624 1293 133917 97650 2585 0 2585 0 2585 0 X 77 2662 0 0 0 0 0 0 0 0 0 0 1 1 NY 1 0 0 0 0 1 N/A EDWARD H RECHBERGER IV 5852375292 PO BOX 30 PERRY NY 14530 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 LEWIS J SERVENTI PO BOX 30 PERRY NY 14530 PRESIDENT 0.10 0 0 0 CLELIA M SERVENTI PO BOX 30 PERRY NY 14530 V. PRESIDENT 0.10 0 0 0 MARY MICHELE RECHBERGER PO BOX 30 PERRY NY 14530 DIRECTOR 0.10 0 0 0 EDWARD H RECHBERGER IV PO BOX 30 PERRY NY 14530 DIRECTOR 6.00 0 0 0 NONE 0 NONE 0 0 2552071 97033 0 2649104 0 0 2649104 39737 2609367 130468 130468 2585 1 2586 127882 0 127882 0 127882 97650 0 97650 0 97650 127882 0 0 173640 125250 12617 311507 97650 0 0 0 97650 0 30232 30232 281275 0 0 0 0 0 0 143408 137867 125250 12617 LEWIS J SERVENTI MARY MICHELE RECHBERGER X GOLISANO CHILDRENS HOSPITAL 601 ELMWOOD AVE ROCHESTER NY 14642 N/A EXEMPT GENERAL FUNDS DONATION 25000 IROQUOIS TRAIL COUNCIL BOY SCOUTS OF AMERICA 201 E MAIN ST BATAVIA NY 14020 N/A EXEMPT GENERAL FUNDS DONATION 400 PERRY VILLAGE FIRE DEPARTMENT 46 MAIN ST N 3 PERRY NY 14530 N/A EXEMPT GENERAL FUNDS DONATION. 2000 ROSWELL PARK CANCER INSTITUTE ELM CARLTON STREETS BUFFALO NY 14263 N/A EXEMPT PLEDGE TO PEDIATRIC CENTER 25000 ST JUDES CHILDREN'S RESEARCH HOSPITAL 501 ST JUDE PLACE MEMPHIS TN 38105 N/A EXEMPT GENERAL FUNDS DONATION. 15000 THE HIGHLAND FOUNDATION 1000 SOUTH AVE ROCHESTER NY 14620 N/A EXEMPT GENERAL FUNDS DONATION 5000 THE SALVATION ARMY 187 GRANT ST 193 BUFFALO NY 14213 N/A EXEMPT GENERAL FUNDS DONATION. 10000 WOMEN & CHILDREN'S HOSPITAL OF BUFFALO 219 BRYANT STREET BUFFALO NY 14222 N/A EXEMPT GENERAL FUNDS DONATION. 15000 97400 ROSWELL PARK CANCER INSTITUTE ELM CARLTON STREETS BUFFALO NY 14263 N/A EXEMPT PLEDGE TO PEDIATRIC CENTER 50000 50000 14 90 14 53464 18 101085 0 154639 0 154639 3 INTEREST FROM INVESTMENTS DONATED 4 DIVIDENDS FROM INVESTMENTS DONATED 8 GAIN/(LOSS) ON SALE OF INVESTMENTS DONATED 0 0 0 0 0 0 0 0 0 0 PURSUANT TO IRC SEC. 4942(H)(2) AND REG. 53.4942(A)-3(D)(2) , THE ABOVE REFERENCED FOUNDATION HEREBY ELECTS TO TREAT CURRENT YEAR QUALIFYING DISTRIBUTIONS IN EXCESS OF THE IMMEDIATELY PRECEDING TAX YEAR'S UNDISTRIBUTED INCOME AS BEING MADE OUT OF CORPUS. COMMON STOCK 2651712 2651712 MERRILL LYNCH AGENCY FEES 22989 22989 0 LOSS FROM K-1S 1799 1799 0 CHANGE IN VALUE OF INVESTMENTS 80823 FOREIGN TAXES PAID 472 472 0 PLAINS ALL AMERICAN PIPELINE, L.P. FOREIGN TAXES 125 125 0 NYS REGISTRATION 250 0 250 FEDERAL TAX 5447 0 0