JEAN M NEWTON FBO CHENANGO MEMORIAL HOSPITAL: Form 990PF, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
JEAN M NEWTON FBO CHENANGO MEMORIAL HOSPITAL (EIN 16-6247584)
Tax period
2010-01-01 to 2010-12-31
Filed
2009-10-15
IRS object ID
201131319349101328
Schema version
2010v3.2
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)
Timestamp2009-10-15T15:15:33+05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-05-07DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLOUIS J DEROSEName
Phone7327679100Phone
Date Prepared2011-05-07DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY2454469FMVAssetsEOY

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Not Required To Attach Schedule BXNotRequiredToAttachScheduleB
Interest On Savings Rev And Expnss76InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm70InterestOnSavingsNetInvstIncm
Dividends Rev And Expnss72383DividendsRevAndExpnss
Dividends Net Invst Incm73536DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss1074NetGainSaleAssetsRevAndExpnss
Gross Sales Price327637GrossSalesPrice
Capital Gain Net Incm Net Invst Incm1074CapitalGainNetIncmNetInvstIncm
Net STCG Adj Net Incm0NetSTCGAdjNetIncm
Total Revenue And Expenses73533TotalRevenueAndExpenses
Total Net Investment Income74680TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss7678CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm6910CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps768CompOfcrDirTrstDsbrsChrtblPrps
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 Expnss425AccountingFeesRevAndExpnss
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 Expnss1257TaxesRevAndExpnss
Taxes Net Invst Incm860TaxesNetInvstIncm
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 Expnss9611TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm7770TotOprExpensesNetInvstIncm
Tot Opr Expenses Adj Net Incm0TotOprExpensesAdjNetIncm
Tot Opr Expenses Dsbrs Chrtbl Prps1019TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss103415ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps103415ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss113026TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm7770TotalExpensesNetInvstIncm
Total Expenses Adj Net Incm0TotalExpensesAdjNetIncm
Total Expenses Dsbrs Chrtbl Prps104434TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses-39493ExcessOfRevenueOverExpenses
Net Investment Income66910NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Cash BOY4605CashBOY
Cash EOY3294CashEOY
Cash EOYFMV3294CashEOYFMV
Savings And Temp Cash Invst BOY139553SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY74195SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV74195SavingsAndTempCashInvstEOYFMV
Accounts Receivable EOY0AccountsReceivableEOY
Accounts Receivable EOYFMV0AccountsReceivableEOYFMV
Allwnc For Dbtfl Acct Other Rcvbl0AllwncForDbtflAcctOtherRcvbl
Investments Govt Oblig BOY237164InvestmentsGovtObligBOY
Investments Govt Oblig EOY216940InvestmentsGovtObligEOY
Investments Govt Oblig EOYFMV237082InvestmentsGovtObligEOYFMV
Investments Corp Stock BOY891319InvestmentsCorpStockBOY
Investments Corp Stock EOY755227InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV821685InvestmentsCorpStockEOYFMV
Investments Corp Bonds BOY115148InvestmentsCorpBondsBOY
Investments Corp Bonds EOY115148InvestmentsCorpBondsEOY
Investments Corp Bonds EOYFMV119031InvestmentsCorpBondsEOYFMV
Investments Other BOY887448InvestmentsOtherBOY
Investments Other EOY1137606InvestmentsOtherEOY
Investments Other EOYFMV1132514InvestmentsOtherEOYFMV
Other Assets BOY133334OtherAssetsBOY
Other Assets EOY66668OtherAssetsEOY
Other Assets EOYFMV66668OtherAssetsEOYFMV
Total Assets BOY2408571TotalAssetsBOY
Total Assets EOY2369078TotalAssetsEOY
Total Assets EOYFMV2454469TotalAssetsEOYFMV
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Do Not Follow SFAS117XOrgThatDoNotFollowSFAS117
Capital Stock BOY2406194CapitalStockBOY
Capital Stock EOY2365724CapitalStockEOY
Retained Earnings BOY2377RetainedEarningsBOY
Retained Earnings EOY3354RetainedEarningsEOY
Total Net Assets BOY2408571TotalNetAssetsBOY
Total Net Assets EOY2369078TotalNetAssetsEOY
Total Liabilities Net Assets BOY2408571TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY2369078TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY2408571TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses-39493ExcessOfRevenueOverExpenses
Other Increases0OtherIncreases
Subtotal2369078Subtotal
Other Decreases0OtherDecreases
Total Net Assets Fund Balances EOY2369078TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (43 entries)

Description Of AssetDescriptionOfAssetHow AcquiredHowAcquiredDate AcquiredDateAcquiredDate SoldDateSoldGross Sales PriceGrossSalesPriceCost Or Other BasisCostOrOtherBasisGain Or LossGainOrLossGains Minus Excess Or LossesGainsMinusExcessOrLosses
70. APPLE COMPUTERP2007-04-112010-01-0414997657784208420
1000. BAC CAP TRUST III 7.00% PFDP2002-08-052010-11-012475925000-241-241
160. BP PLC SPONSORED ADRP2004-09-012010-01-0494698699770770
282. BP PLC SPONSORED ADRP2004-09-012010-06-16860515332-6727-6727
75. BP PLC SPONSORED ADRP2008-08-252010-06-1622894250-1961-1961
115. BHP BILLITON LTD SPONSORED ADRP2006-04-242010-01-049132529938333833
120. CATERPILLAR INC DEL COMP2007-10-302010-01-0470268822-1796-1796
315. CISCO SYS INC COMP2008-08-252010-01-0477747645129129
1000. CORT-SHERWIN 7.25PFDP2002-01-292010-05-252500025000
60. DANAHER CORPP2004-06-032010-01-044511282316881688
75. DANAHER CORPP2004-09-012010-01-045638386117771777
65. EXXON MOBIL CORP COMP1996-10-152010-01-044492142130713071
10000. FEDERAL HOME LOAN BANKS 7.625 05-14-2010P2000-06-012010-05-141000010000
10000. FEDERAL HOME LOAN BANKS 4.375 09-17-10P2008-10-242010-09-171000010224-224-224
135. FISERV INC COMP2007-10-302010-01-0466637429-766-766
175. FORTUNE BRANDS INC COMP2004-06-032010-01-04758312330-4747-4747
100. FORTUNE BRANDS INC COMP2004-09-012010-01-0443336888-2555-2555
5. FORTUNE BRANDS INC COMP2008-08-252010-01-04217291-74-74
.7808 FRONTIER COMMUNICATIONS COMP2004-09-012010-08-0468-2-2
1000. GEORGIA POWER CO PFD 5.90%P2003-04-112010-06-242500025000
50. GOLDMAN SACHS GROUP INC COMP2008-08-252010-01-0486697836833833
225. HEWLETT PACKARD CO COMP2007-10-302010-01-041179211617175175
80. INTL BUSINESS MACHINES CORP COMP2004-09-012010-01-0410596678738093809
100. ISHARES TR MSCI EMERGMKTP2005-07-252010-01-044266254517211721
235. J P MORGAN CHASE & CO COMP2008-08-252010-01-0410077865714201420
45. LOWES COS INC COMP2007-10-302010-01-0410411218-177-177
380. MICROSOFT CORP COMP2003-08-282010-01-04117541003017241724
5. MONSANTO COMPANY COMP2004-09-012010-01-0441892326326
10. NOVARTIS A G SPONSORED ADRP2006-04-242010-01-04526575-49-49
35. PEPSICO INC COMP2007-10-302010-01-0421422590-448-448
125. PETROLEO BRASILEIRO SA PETROSPONSORED ADRP2008-08-252010-01-0460816401-320-320
20. PROCTER & GAMBLE CO COMP2004-09-012010-01-0412221116106106
25. PRUDENTIAL FINL INC COMP2007-04-102010-01-0412952294-999-999
65. SPDR SERIES TRUST KBW REGL BKGP2008-08-252010-01-0414682001-533-533
100. SELECT SECTOR SPDR TR SBI MATERIALSP2008-08-252010-01-0433923880-488-488
225. SELECT SECTOR SPDR TR SBI INT-UTILSP2008-08-252010-01-0469898440-1451-1451
925. SYSCO CORPP2007-10-302010-01-042597531320-5345-5345
15. TARGET CORP COMP2007-10-302010-01-04728946-218-218
75. US BANCORPP2008-08-252010-01-0417122296-584-584
210. UNITED TECHNOLOGIES CORP COMP2007-10-302010-01-041505015943-893-893
35. VERIZON COMMUNICATIONS COMP2004-09-012010-01-0411641327-163-163
165. WALGREEN CO COMP2003-08-282010-01-0461385278860860
220. WELLS FARGO & CO NEW COMP2004-09-012010-01-0459956475-480-480
FieldValueIRS element (for citing)
Capital Gain Net Income1074CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 TaxfalseLiableFor4942Tax
Qualifying Distributions Year185827QualifyingDistributionsYear1
Noncharitable Assets Year12093855NoncharitableAssetsYear1
Distribution Ratio Year10.04099DistributionRatioYear1
Qualifying Distributions Year299308QualifyingDistributionsYear2
Noncharitable Assets Year22360846NoncharitableAssetsYear2
Distribution Ratio Year20.042065DistributionRatioYear2
Total Distribution Ratio0.083055TotalDistributionRatio
Average Distribution Ratio0.041527AverageDistributionRatio
Net Noncharitable Assets2296431NetNoncharitableAssets
Adjusted Noncharitable Assets95364AdjustedNoncharitableAssets
One Percent Net Investment Income669OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One96033AdjNonchrtblAssetsAndOnePct
Qualifying Distributions104434QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eXDomesticOrgMeetingSect4940e
Investment Income Excise Tax669InvestmentIncomeExciseTax
Tax Under Section5110TaxUnderSection511
Subtotal669Subtotal
Subtitle A Tax0SubtitleATax
Tax Based On Investment Income669TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment1280EstTaxPaymentsAndOverpayment
Tax Paid With Extension0TaxPaidWithExtension
Total Credits And Payments1280TotalCreditsAndPayments
Penalty For Underpayment0PenaltyForUnderpayment
Overpayment611Overpayment
Amount Credited To Next Year611AmountCreditedToNextYear
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
Compensation7678Compensation
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 Securities2236572AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances94830AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets2331402TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets2331402AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable34971CashDeemedCharitable
Net Noncharitable Assets2296431NetNoncharitableAssets
Minimum Investment Return114822MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return114822MinimumInvestmentReturn
Tax Based On Investment Income669TaxBasedOnInvestmentIncome
Total Tax669TotalTax
Distributable Amount Before Adj114153DistributableAmountBeforeAdj
Recoveries Qlfy Distributions0RecoveriesQlfyDistributions
Distributable Amount Before Ded114153DistributableAmountBeforeDed
Deduction Fr Distributable$0DeductionFrDistributableAmount
Distributable Amount As Adjusted114153DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions104434ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Amounts Paid Acq Charitable Assets0AmountsPaidAcqCharitableAssets
Amounts Set Aside Suitability Test0AmountsSetAsideSuitabilityTest
Amounts Set Aside Cash Distri Test0AmountsSetAsideCashDistriTest
Qualifying Distributions104434QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm669OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions103765AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted114153DistributableAmountAsAdjusted
Undistributed Income Prior Year34818UndistributedIncomePriorYear
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 Distributions104434QualifyingDistributions
Applied To Year134818AppliedToYear1
Applied To Prior Years0AppliedToPriorYears
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year69616AppliedToCurrentYear
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 CY44537UndistributedIncomeCY
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$103,415Amount
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year103415TotGrantOrContriPaidDuringYear

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$76ExclusionAmount

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$72,383ExclusionAmount
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$1,074ExclusionAmount
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$73,533ExclusionAmount
FieldValueIRS element (for citing)
Total Part XVIA73533TotalPartXVIA
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 FEECategory
Amount$425Amount

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corp Bonds InvestmentsCorpBonds (4 entries)

Name Of BondNameOfBondEOY Book ValueEOYBookValueEOYFMVEOYFMV
CATERPILLAR FIN 4.55% 5/15/132500026434
BANK OF AMERICA 6.4% 8/15/195000050515
GE CAPITAL 6.125% 2/22/111514815110
GE CAPITAL 6.1% 4/15/152500026972

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock (42 entries)

Name Of StockNameOfStockEOY Book ValueEOYBookValueEOYFMVEOYFMV
ABBOTT LABS2011517008
APPLE INC1033435482
BANK OF AMERICA CORP3157411939
COLGATE PALMOLIVE CO2402623307
DISNEY WALT CO1444016879
BHP BILLITON LTD ADR928015796
CATERPILLAR INC2462931376
CISCO SYSTEMS2305619219
CONOCOPHILLIPS3198527581
FRONTIER COMMUNICATIONS11681216
DANAHER COR1307623962
EXXON MOBIL CORP666822302
FISERV INC2586427523
INTEL CORP2330323448
GENERAL ELECTRIC1577023045
GOOGLE INC CL A2193120789
GLAXOSMITHKLINE PLC2060417649
GOLDMAN SACHS GROUP INC1253713453
HEWLETT PACKARD2271718524
INTL BUSINESS MACHINES1591825243
JPMORGAN CHASE & CO1197313787
JPMORGAN 7% PFD1250012655
JOHNSON & JOHNSON1828418246
LOWES COS INC1664115424
MICROSOFT CORP1996220793
MONSANTO CO297011212
NOVARTIS A G2010720633
PEPSICO INC2886325479
PETROLEO BRASILEIRO SA2227616460
PROCTER & GAMBLE CO2203325410
PRUDENTIAL FINL2531815852
SCHLUMBERGER LTD1479726720
MCDONALDS CORP1446017655
TARGET CORP1893018039
US BANCORP1836616182
UNITED TECHNOLOGIES2087821648
VERIZON COMMUNICATION1778818749
WALGREEN CO2244725324
WELLS FARGO & CO1471515495
PRICE T ROWE GROUP INC1388716458
YUM BRANDS INC1456620356
TOYOTA MOTOR CORP1447113367

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Securities EOY Book Value216940USGovtSecuritiesEOYBookValue
US Govt Securities EOYFMV237082USGovtSecuritiesEOYFMV

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther (15 entries)

Category Or ItemCategoryOrItemListed At Cost Or FMVListedAtCostOrFMVBook ValueBookValueEOYFMVEOYFMV
ISHARES MSCI EMERG MKTSAT COST7843678895
ISHSRES MSCI EAFE INDEXAT COST186990144793
ISHARES RUSSELL 2000AT COST141441155150
SPDR S&P MIDCAP 400 ETF TRAT COST203602223800
ISHARES TR NASDAQ BIO INDEX FDAT COST1942921580
DODGE & COX INCOME FDAT COST8000081856
FEDERATED TOTAL RETURN BOND FDAT COST130000130836
SPDR SERIES TR KBW REGL BKGAT COST1862016002
SELECT SECTOR SPDR MATERIALSAT COST1532615172
SELECT SECTOR SPDR UTILITIESAT COST2100617551
VANGUARD GNMA FUND ADM SHSAT COST8000080000
VANGUARD INTER TM TREAS ADM CLAT COST8000078544
FIRST TR ISE GLOBAL ENG & CAT COST1952222132
MARKET VECTORS ETF AGRIBUSAT COST1323415794
DODGE & COX INTER ST FDAT COST5000050409

Other Assets Schedule OtherAssetsSchedule

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionCHENANGO MEM HOSP 6% 8/29/10Description
BOY Book Value133334BOYBookValue
EOY Book Value66668EOYBookValue
EOYFMV66668EOYFMV

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionNYS 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$1,05500
FOREIGN TAX WITHHELD$2028600

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