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Home My WebLink About02-09-07 (2) . . IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PA. ORPHANS' COURT DIVISION NO. OF 2007 FIRST AND FINAL ACCOUNT FOR THE TRUST ESTABLISHED UNDER TRUST DATED NOVEMBER 7, 2001 THE MAY M. MOORE FIVE YEAR CHARIT ABLE LEAD ANNUITY TRUST STATED BY - COMMUNITY TRUST COMPANY, TRUSTEE Federal Tax ID Number: Date of Trust: Date of First Receipt of Assets: Accounting for the period: 25-6811190 11/0712001 03/3012003 03/3012003 -to- 12/0812006 Purpose of Account: The Trustee offers this Account to acquaint interested parties with the transactions that have occurred during the administration of the Trust. It is important that the Account be carefully examined. Requests for additional information, questions or objections can be discussed with: Lowell R. Gates, Esquire Gates, Halbruner & Hatch, P.C. 1013 Mumma Road, Suite 100 Lemoyne, PAl 7043 Phone: (717) 731-9600 Facsimile: (717) 731-9627 Supreme Court J.D. No. 46779 Page 1 of 15 .-) = ~ --' -r'\ l" C? I \.0 -n :J~ r..f) co . . THE MAY M. MOORE FIVE-YEAR CHARITABLE LEAD ANNUITY TRUST SUMMARY OF ACCOUNT For the Period 03/30/2003 to 12/08/2006 PRINCIPAL I. Beginning Balance - Principal Principal Received Subsequent Receipts Net Gain/Loss on Sales or Dispositions Total Principal Receipts Less Disbursements: Taxes Paid General Disbursements Fiduciary Tax Preparation Fees Trustee Fees Administrative Fees Total General Disbursements Miscellaneous Disbursements Transfers from Principal to Income Total Principal Disbursements Principal Balance On Hand For Information: Investments Made Changes in Holdings Page 2 of 15 PAGE $ 0.00 4 4 4 511,733.99 40,996.41 -57.826.41 $494,903.99 5 -9,479.86 5 5-6 6 6 6 6 -1,200.00 -22,738.39 -21.94 -23,960.33 -9,479.86 -12.672.64 -55.592.69 $439.311.30 7 N/A . . THE MAY M. MOORE FIVE-YEAR CHARITABLE LEAD ANNUITY TRUST SUMMARY OF ACCOUNT For the Period 03/30/2003 to 12/08/2006 INCOME PAGE II. Beginning Balance - Income $ 0.00 Received from Government Agencies 8 $3,036.70 Insurance Annuity Payments 8 89,082.28 Dividends Received 8-9 553.21 , Transfers from Principal to Income 9 12.672.64 TOTAL INCOME RECEIPTS $ 105,344.83 Less Disbursements: Fees Paid - General 10 $1,152.45 Distributions to Charitable Beneficiaries 10-13 98,573.16 Taxes Paid 13-14 5.619.22 TOTAL INCOME DISBURSEMENTS 105.344.83 ENDING INCOME BALANCE $ 0.00 COMBINED BALANCE ON HAND 15 $439.311.30 ANNUITY TRUST STATEMENTS Schedule A VERIFICA nON Last Page Page 3 of 15 . . PRINCIPAL RECEIPTS Initial Principal Receipts: The following assets were received from the Estate of May M. Moore to fund the Trust upon completion of the estate administration: 03/31/03 07/18/03 04120/04 Received from the Executors of the Estate of May M. Moore $1,500.00 Received from the Estate of May M. Moore to Fund the Account 500,754.13 Received from the Estate of May M. Moore - loan for Tax Liability $9.479.86 $511,733.99 Subsequent Principal Receipts: 04120/04 12/30104 02/09/05 08/07/06 Partial Surrender of American Skandia APEX Annuity II #000631102 $16,000.00 Partial Surrender of American Skandia APEX Annuity II #000631102 6,161.14 Partial Surrender of American Skandia APEX Annuity II #000631102 10,000.00 Partial Surrender of American Skandia APEX Annuity II #000631102 8.835.27 TOTAL PRINCIPAL RECEIPTS $40.996.41 $552.730.40 PRINCIPAL GAINS OR LOSSES ON SALES OR OTHER DISPOSITIONS American Skandia APEX Annuity II #000631102 Market Value as of 12/08/06 438,577.72 Acquisition (Book) Value -496.404.13 TOTAL UNREALIZED LOSS -$57.826.41 Page 4 of 15 . . DISBURSEMENTS OF PRINCIPAL Taxes Paid: 04/20/04 United States Treasury $9.479.86 TOTAL TAXES PAID: $9.479.86 General Disbursements: Fiduciary Tax Preparation Fees 04/29/04 for Tax Year 2003 05/1 0/05 for Tax Year 2004 03/14/06 for Tax Year 2005 -350.00 -425.00 -425.00 TOTAL FIDUCIARY TAX PREP FEES -1,200.00 Trustee Fees 03/31/03 FOR THE YEAR ENDING 12/31/02 -1,500.00 07/22/03 FOR 6 MONTH(S) ENDING 06/30/03 -750.00 08/13/03 FOR 1 MONTH(S) ENDING 07/31/03 -562.49 09/15/03 FOR 1 MONTH(S) ENDING 08/31/03 -561.88 10/17/03 FOR 1 MONTH(S) ENDING 09/30/03 -566.80 11/12/03 FOR 1 MONTH(S) ENDING 10/31/03 -566.24 12/12/03 FOR 1 MONTH(S) ENDING 11/30/03 -565.67 01/12/04 FOR 1 MONTH(S) ENDING 12/31/03 -577.09 04/27/04 FOR 1 MONTH(S) ENDING 03/31/04 -568.39 05/13/04 FOR 1 MONTH(S) ENDING 04/30/04 -568.37 06/14/04 FOR 1 MONTH(S) ENDING 05/31/04 -567.81 07/13/04 FOR 1 MONTH(S) ENDING 06/30/04 -534.46 08/10/04 FOR 1 MONTH(S) ENDING 07/31/04 -533.88 09/09/04 FOR 1 MONTH(S) ENDING 08/31/04 -533.31 10/13/04 FOR 1 MONTH(S) ENDING 09/30/04 -519.51 11/10/04 FOR 1 MONTH(S) ENDING 10/31/04 -518.95 12/10/04 FOR 1 MONTH(S) ENDING 11/30/04 -518.39 01/12/05 FOR 1 MONTH(S) ENDING 12/31/04 -532.03 02/10/05 FOR 1 MONTH(S) ENDING 01/31/05 -531.43 03/10/05 FOR 1 MONTH(S) ENDING 02/28/05 -541.70 04/11/05 FOR 1 MONTH(S) ENDING 03/31/05 -499.80 05/10/05 FOR 1 MONTH(S) ENDING 04/30/05 -499.28 06/1 0/05 FOR 1 MONTH(S) ENDING 05/31/05 -500.87 07/12/05 FOR 1 MONTH(S) ENDING 06/30/05 -509.47 08/08/05 FOR 1 MONTH(S) ENDING 07/31/05 -508.95 09/09/05 FOR 1 MONTH(S) ENDING 08/31/05 -520.48 10/11/05 FOR 1 MONTH(S) ENDING 09/30/05 -523.47 Page 5 of 15 . . DISBURSEMENTS OF PRINCIPAL (Continued) 11/08/05 FOR 1 MONTH(S) ENDING 10/31/05 12/08/05 FOR 1 MONTH(S) ENDING 11/30/05 01/12/06 FOR 1 MONTH(S) ENDING 12/31/05 02/07/06 FOR 1 MONTH(S) ENDING 01/31/06 03/07/06 FOR 1 MONTH(S) ENDING 02/28/06 04/11/06 FOR 1 MONTH(S) ENDING 03/31/06 05/09106 FOR 1 MONTH(S) ENDING 04/30/06 06/08/06 FOR 1 MONTH(S) ENDING 05/31/06 07/11/06 FOR 1 MONTH(S) ENDING 06/30/06 08/07/06 FOR 1 MONTH(S) ENDING 07/31/06 09/08/06 FOR 1 MONTH(S) ENDING 08/31/06 10/11/06 FOR 1 MONTH(S) ENDING 09/30/06 11/06/06 FOR 1 MONTH(S) ENDING 10/31/06 12/07/06 FOR 1 MONTH(S) ENDING 11/30/06 -511.82 -511.30 -495.34 -494.82 -494.30 -504.14 -503.61 -503.07 -497.97 -497.44 -507.77 -506.93 -506.43 -522.73 TOTAL TRUSTEES FEES Administrative Fees 01/21/05 MAIL CHARGE, Check # 012670 21.94 TOTAL ADMINISTRATIVE FEES TOTAL GENERAL DISBURSEMENTS Miscellaneous Disbursements 04/28/04 ESTATE OF MAY MOORE; REPAYMENT OF LOAN FROM THE ESTATE OF MAY MOORE, AMANDA REED, EXEC. AND ARAMINTA FLEGEL, EXEC. FUNDS USED FOR THE PAYMENT OF FIDUCIARY TAX OWED ON FEDERAL RETURN. Check # 011395 -9.479.86 TOTAL MISCELLANEOUS DISBURSEMENTS TRANSFERS FROM PRINCIPAL TO INCOME Transfer Principal to Income 12/31/04 12/08/06 -6,161.14 -6.511.50 TOTAL TRANSFERS FROM PRINCIPAL TO INCOME Page 6 of 15 -22,738.39 -21.94 -23.960.33 -$9.479.86 -12.672.64 . . INFORMATIONAL SCHEDULES Investments Made: 07/22/03 Purchased 1 unit at $496,404.13 American Skandia APEX Annuity II Annuity #APEX 2- 000631102 Death Benefit as of 12/31/06 $445,531.47 Total Investments: Page 7 of 15 $-496,404.13 $-496,404.13 . . REPORT OF INCOME CASH ACCOUNT 2150002 COMMUNITY TRUST COMPN~, TRUSTEE MAY M MOORE FIVE YEAR CLAT DATED: 11/07/01 FOR DATES 03/30/03 TO 12/08/06 BEGItIDING BALAJ~CE INCOME CASH RECEIPTS 1. RECEIVED FROM GOVERNMENT AGENCIES Federal Income Tax Refund 05131/05 Total Federal Income Tax Refund State Income Tax Refund 09/10/04 RECEIVED FROM PA DEPARTMENT OF REVENUE PENALTY AND INTEREST PAID ON 2003 FIDUCIARY RETURN 06/03/05 TAX YEAR 2004 Total State Income Tax Refund TOTAL RECEIVED FROM GOVERNMENT AGENCIES 2. INSURANCE ANNUITY PAYMENTS Withdrawal from Annuity AMERICAN SKANDIA APEX ANNUITY II ANNUITY #APEX 2- 000631102 DEATH BENEFIT AS OF 12/31/06 $445,531.47 12/22/03 12/30/04 12/15/05 08/07/06 11/16/06 Total Withdrawal from Annuity TOTAL INSURANCE ANNUITY PAYMENTS 3. DIVIDENDS RECEIVED Dividend Receipt FEDERATED GOV'T OBLIGATIONS FD #395 07131/03 08131/03 09/30/03 10131/03 11130/03 12131/03 01131/04 02/29/04 03131/04 04/30/04 Page 8 of 15 0.00 2,370.00 2,370.00 20.70 646.00 666.70 3,036.70 32,000.00 18,622.23 21,795.32 1,164.73 15,500.00 89,082.28 89,082.28 0.58 1. 76 1. 42 1.19 0.82 0.66 4.04 3.63 3.44 2.63 . . REPORT OF INCOME CASH ACCOUNT 2150002 COMMUNITY TRUST COMPANY, TRUSTEE MAY M MOORE FIVE YEAR CLAT DATED: 11/07/01 FOR DATES 03/30/03 TO 12/08/06 04/3 0 / 04 05/31/04 06/30/04 07/31/04 08/31/04 09/30/04 10/31/04 11130/04 12/31/04 02/28/05 03/31/05 04/30/05 05/31/05 06/30/05 07/31/05 08/31/05 09130/05 10/31/05 11/30/05 12/31/05 01/31/06 02/28/06 03/31/06 04/30/06 05/31/06 06/30/06 07/31/06 08/31/06 09/30/06 10/31/06 11/30/06 Total Dividend Receipt TOTAL DIVIDENDS RECEIVED 4. TRfu~SFERS FROM PRINCIPAL TO INCOME Transfer Principal to Income 12/31/04 12/08/06 Total Transfer Principal to Income TOTAL TRANSFERS FROM PRINCIPAL TO INCOME TOTAL INCOME CASH RECEIPTS Page 9 of 15 0.63 3.04 2.88 3.33 3.46 3.29 3.32 2.92 2.71 11.70 18.68 18.60 19.36 24.43 25.97 26~59 25.74 26.71 25.91 43.40 15.19 12.67 11.69 9.70 8.31 6.31 5.00 32.09 11 n 01 "":::tv.....I...1.. 40.62 57.88 553.21 553.21 6,161.14 6,511.50 12,672.64 12,672.64 105,344.83 . . REPORT OF INCOME CASH ACCOm~T 2150002 COMMUNITY TRUST COMPM~, TRUSTEE MAY M MOORE FIVE YEAR CLAT DATED: 11/07/01 FOR DATES 03/30/03 TO 12/08/06 --------------- INCOME CASH DISBURSEMENTS 5. FEES PAID - GENERAL Trustee Fees - Regular 02/25/04 FOR 1 MONTH(S) ENDING 01/31/04 03/16/04 FOR 1 MONTH(S) ENDING 02/29/04 Total Trustee Fees - Regular TOTAL FEES PAID - GENERAL 6. INCOME DISTRIBUTIONS Distribution/Annuity Amount 12/29/03 ~~RP FOL~JDATION ATTN: "....,.""lT~7\ 'C'C1rT17\DUflflTTl:;t L..LV.L.......'-L"'1. .L.;JJ.J .LC"l..u.L\,\JVJ.\...L.:.l Check # 010743 12/29/03 AMERICAN FDN FOR AIDS RESEARCH ATTN: JOHN F. LOGAN Check # 010744 12/29/03 AMERICA'S SECOND HARVEST ATTN: JOHN PFEIFFER Check # 010745 12/29/03 AM SOCIETY OF ADDICTION MEDICINE Check # 010746 12/29/03 CYSTIC FIBROSIS FOUNDATION ATTN: DANIELLE R. EDWARDS Check # 010747 12/29/03 AMERICAN DIABETES ASSOCIATION ESTATE ADMINISTRATION Check # 010748 12/29/03 THE CENTER FOR ECOSYSTEM SURVIVAL ATTN: NORMAN GERSHENZ, DIRECTOR Check # 010749 12/29/03 GUIDE DOGS FOR THE BLIND, INC ATTN: THOMAS HORTON Check # 010750 12/29/03 HABITAT FOR HUMANITY OF FRANKLIN COUNTY Check # 010751 12/29/03 Hu~~ RIGHTS CAMPAIGN ATTN: TIMOTHY L MAHONEY Check # 010752 12/29/03 THE HUMANE FARMING ASSOCIATION ATTN: JILL MOUNTJOY Check # 010753 12/29/03 JUNGLE FRIENDS PRIMATE SANCTUARY ATTN: KARl BAGNALL Check # 010754 12/29/03 SUSAN G KOMEN BREAST CANCER FDN ATTN: LAUREL KRUGER Check # 010755 12/29/03 THE MICHAEL J. FOX FOUNDATION FOR PARKINSON'S RESEARCH Check # 010756 12/29/03 THE NATURE CONSERVANCY ATTN: BETH MCNALLY Check # 010757 Page 10 of 15 -576.51 -575.94 -1,152.45 -1,152.45 1 ""'l C" 1 () ("\ -..L/~-'.L.UJ -1,251.89 -1,251.89 -1,251.89 -1,251.89 -1,251.89 -1,251.89 -625.94 -1,251.89 -1,251.89 -1,251.88 -625.94 -1,251.88 -2,503.77 -1,251.88 . . REPORT OF INCOME CASH ACCOUNT 2150002 COMMUNITY TRUST COMPMTf, TRUSTEE MAY M MOORE FIVE YEAR CLAT DATED: 11/07/01 FOR DATES 03/30/03 TO 12/08/06 12/29/03 PREVENT CHILD ABUSE AMERICA ATTN: GIVING Check # 010758 12/29/03 m~ICEF ATTN: JUSTIN F. MARSH Check # 010759 12/29/03 WAMU AMERICAN UNIVERSITY ATTN: CAREY NEEDHAM Check # 010760 12/31/04 AARP FOUNDATION ATTN: MONICA ESTABROOKE Check # 012556 12/31/04 AMERICAN FDN FOR AIDS RESEARCH ATTN: JOHN F. LOGAN Check # 012557 12/31/04 ~_M~RICA'S SECOND H~~\~ST ATTN: JOHN PFEIFFER Check # 012558 12/31/04 M~ SOCIETY OF ADDICTION MEDICINE Check # 012559 12/31/04 CYSTIC FIBROSIS FOU1~DATION ATTN: D~~JIELLE R. EDW~~DS Check # 012560 12/31/04 AMERICAN DIABETES ASSOCIATION ESTATE ADMINISTRATION Check # 012561 12/31/04 THE CENTER FOR ECOSYSTEM SURVIVAL ATTN: NORMAN GERSHENZ, DIRECTOR Check # 012562 12/31/04 GUIDE DOGS FOR THE BLIND, INC ATTN: THOMAS HORTON Check # 012563 12/31/04 HABITAT FOR HUMANITY OF FRANKLIN COUNTY Check # 012564 12/31/04 HUMAN RIGHTS CAMPAIGN ATTN: TIMOTHY L MAHONEY Check # 012565 12/31/04 THE HUMANE FARMING ASSOCIATION ATTN: JILL MOUNTJOY Check # 012566 12/31/04 JUNGLE FRIENDS PRIMATE SANCTUARY ATTN: KARL BAGNALL Check # 012567 12/31/04 SUSAN G KOMEN BREAST CANCER FDN ATTN: LAUREL KRUGER Check # 012568 12/31/04 THE MICHAEL J. FOX FOUNDATION FOR PARKINSON'S RESEARCH Check # 012570 12/31/04 THE NATURE CONSERVANCY ATTN: BETH MCNALLY Check # 012571 12/31/04 PREVENT CHILD ABUSE AMERICA ATTN: GIVING Check # 012572 12/31/04 UNICEF ATTN: JUSTIN F. MARSH Check # 012573 12/31/04 WAMU AMERICAN UNIVERSITY ATTN: CAREY NEEDHAM Check # 012574 12/28/05 AARP FO~ATION ATTN: MONICA ESTABROOKE Check # 014637 Page 11 of 15 -2,503.77 -2,503.77 -1,251.88 -1,251.89 -1,251.89 -1,251.89 -1,251.89 -1,251.89 -1,251.89 -1,251.89 -625.94 -1,251. 89 -1,251.89 -1,251.88 -625.94 -1,251.88 -2,503.77 -1,251.88 -2,503.77 -2,503.77 -1,251.88 -1,251.89 . . REPORT OF INCOME CASH ACCOUNT 2150002 COMMUNITY TRUST COMPANY, TRUSTEE MAY M MOORE FIVE YEAR CLAT DATED: 11/07/01 FOR DATES 03/30/03 TO 12/08/06 12/28/05 AMERICAN FDN FOR AIDS RESEARCH ATTN: JOHN F. LOGAN Check # 014638 12/28/05 AMERICA'S SECOND HARVEST ATTN: JOHN PFEIFFER Check # 014639 12/28/05 AM SOCIETY OF ADDICTION MEDICINE Check # 014640 12/28/05 CYSTIC FIBROSIS FOUNDATION ATTN: DANIELLE R. EDWARDS Check # 014641 12/28/05 AMERICAN DIABETES ASSOCIATION ESTATE ~~MINISTF_~TION Check # 014642 12/28/05 THE CENTER FOR ECOSYSTEM SURVIVAL ATTN: NORMAN GERSHENZ, DIRECTOR Check # 014643 12/28/05 12/28/05 GUIDE DOGS FOR THE BLII\JD, I~JC ATT~J: THO~.1AS HORTC~J 12/28/05 12/28/05 12/28/05 12/28/05 12/28/05 12/28/05 12/28/05 12/28/05 12/28/05 12/08/06 12/08/06 12/08/06 Check # 12/08/06 Check # Check # 014644 HABITAT FOR HUMANITY OF FRANKLIN COUNTY Check # 014645 HUMAN RIGHTS CAMPAIGN ATTN: TIMOTHY L MAHONEY Check # 014646 THE HUMANE FARMING ASSOCIATION ATTN: JILL MOUNTJOY Check # 014647 JUNGLE FRIENDS PRIMATE SANCTUARY ATTN: KARl BAGNALL Check # 014648 SUSAN G KOMEN BREAST CANCER FDN ATTN: LAUREL KRUGER Check # 014649 THE MICHAEL J. FOX FOUNDATION FOR PARKINSON'S RESEARCH Check # 014650 THE NATURE CONSERVANCY ATTN: BETH MCNALLY Check # 014651 PREVENT CHILD ABUSE AMERICA ATTN: GIVING Check # 014652 UNICEF ATTN: JUSTIN F. MARSH Check # 014653 WAMU AMERICAN UNIVERSITY ATTN: CAREY NEEDHAM Check # 014654 AARP FOUNDATION ATTN: MONICA ESTABROOKE Check # 016776 AMERICAN FDN FOR AIDS RESEARCH ATTN: JOHN F. LOGAN Check # 016777 AMERICA'S SECOND HARVEST ATTN: JOHN PFEIFFER 016778 AM SOCIETY OF ADDICTION MEDICINE 016779 Page 12 of 15 -1,251.89 -1,251.89 -1,251.89 -1,251.89 -1,251.89 -1,251.89 c.....c nil -UL....J.;J&.;i: -1,251.89 -1,251.89 -1,251.88 -625.94 -1,251.88 -2,503.77 -1,251.88 -2,503.77 -2,503.77 -1,251.88 -1,173.00 -1,173.00 -1,173.00 -1,173.00 . . REPORT OF INCOME CASH ACCOUNT 2150002 COMMUNITY TRUST COMPANY, TRUSTEE ~~Y M MOORE FIVE YEAR CLAT DATED: 11/07/01 FOR DATES 03/30/03 TO 12/08/06 12/08/06 CYSTIC FIBROSIS FOUNDATION ATTN: DANIELLE R. EDWARDS Check # 016780 12/08/06 AMERICAN DIABETES ASSOCIATION ESTATE ADMINISTRATION Check # 016781 12/08/06 THE CENTER FOR ECOSYSTEM SURVIVAL ATTN: NORMAN GERSHENZ, DIRECTOR Check # 016782 12/08/06 GUIDE DOGS FOR THE BLIND, INC ATTN: THOMAS HORTON Check # 016783 12/08/06 HABITAT FOR HUMANITY OF FRANKLIN COUNTY Check # 016784 12/08/06 HUMAN RIGHTS CAMPAIGN ATTN: TIMOTHY L MAHONEY Check # 016785 12/08/06 THE HUM..~~JE F.~..RMI!'rG l\.SSOCI...7\...TIO~! }\..TT!-J: JILL MOLTIJTJOY Check # 016786 12/08/06 JUNGLE FRIENDS PRIMATE SANCTUARY ATTN: KARl BAGNALL Check # 016787 12/08/06 SUSAN G KOMEN BREAST CANCER FDN ATTN: LAUREL KRUGER Check # 016788 12/08/06 THE MICHAEL J. FOX FOUNDATION FOR PARKINSON'S RESEARCH Check # 016789 12/08/06 THE NATURE CONSERVANCY ATTN: BETH MCNALLY Check # 016790 12/08/06 PREVENT CHILD ABUSE AMERICA ATTN: GIVING Check # 016791 12/08/06 UNICEF ATTN: JUSTIN F. MARSH Check # 016792 12/08/06 WAMU AMERICAN UNIVERSITY ATTN: CAREY NEEDHAM Check # 016793 Total Distribution/Annuity Amount TOTAL INCOME DISTRIBUTIONS 7. TAXES Estimated Federal Fid Ine Tx 04/15/04 UNITED STATES TREASURY 25-6811190 Check # 011335 Total Estimated Federal Fid Ine Tx Page 13 of 15 -1,173.00 -1,173.00 -1,173.00 -586.50 -1,173.00 -1,173.00 _1 1""7-:) nn ...,..J...,-,.vv -586.50 -1,173.00 -2,346.00 -1,173.00 -2,346.00 -2,346.00 -1,173.00 -98,573.16 -98,573.16 -2,370.00 -2,370.00 . . REPORT OF INCOME CASH ACCOUNT 2150002 COMMUNITY TRUST COMPANY, TRUSTEE MAY M MOORE FIVE YEAR CLAT DATED: 11/07/01 FOR DATES 03/30/03 TO 12/08/06 Estimated State Fid Inc Tax 04/15/04 PA DEPT OF REVENUE 25-6811190 Check # 011332 Total Estimated State Fid Inc Tax State Fid Inc 04/15/04 Tax, Bal Due PA DEPT OF REVENUE 25-6811190 Check # 011329 Total State Fid Inc Tax, Bal Due TOT?\~L Tl'~ES TOTAL INCOME CASH DISBURSEMENTS INCOME CASH BALANCE Page 14 of 15 -646.00 -646.00 -2,603.22 -2,603.22 r. r., n ""l""'l -JfU..l..J.~~ -105,344.83 -------------- -------------- 0.00 . . MAY M. MOORE FIVE-YEAR CHARITABLE LEAD ANNUITY TRUST MISCELLANEOUS OTHER IN'lESTMENTS 1. AMERICAN SKANDIA APEX ANNUITY II ANNUITY #APEX 2- 000631102 DEATH BENEFIT AS OF 12/31/06 $445,531.47 REPORT OF ASSETS REMAINING ON HAND AS OF 12/08/06 Units Market Value 12/08/06 Book Value 496,404.13 TOTAL MISCELLANEOUS 438,577.72 ------------- ------------- ------------- ------------- 496,404.13 Current interest rate is 4.878481 percent. Page 15 of 15 496,404.13 0.00 733.58 497,137.71 *Income and principal cash are held in FEDERATED GOV'T OBLIGATIONS FD #395 Price 1 438,577.7200 438,577.72 TOTAL INVESTMENTS 438,577.72 * INCOME CASH ON HAND 0.00 *PRINCIPAL CASH ON HAND 733.58 TOTAL ASSETS ON HAND 12/08/06 439,311. 30 . . SCHEDULE A ANNUITY TRUST STATEMENTS TO FIRST AND FINAL ACCOUNT THE MAY M. MOORE FIVE-YEAR CHARITABLE LEAD ANNUITY TRUST UNDER AGREEMENT DATED AUGUST 24, 1999 Computation of and actual distributions to the charitable lead annuity trust (CLAT) beneficiaries From December 8, 2001 (Date of Death) through December 8, 2006 (Termination) Please see the attached Receipt and Release Agreement for Trust Funding whereby the CLAT was funded with twenty-five (25%) percent of the residuary estate of May M. Moore, deceased, which was equal to $500,754.13. Addendum "A" attached to the Receipt and Release Agreement, entitled "Five Year Charitable Lead Trust Distribution", more fully sets forth the CLA T calculations for year one through year six. Determined Annuity Value Per Full Calendar Year (Based on a 25% share ofthe residuary estate) $25,037.72 Please note that the Trust was not funded until July 18, 2003, per the Receipt and Release Agreement. The actual total distributions to the CLAT beneficiaries from December 8, 2001 through December 8,2006 totals $125,251.71, and were made as follows: Annual distributions to the beneficiaries for the year 2001 (23 days) and year 2002 (full calendar year) were paid by the Executrix of the Estate of May M. Moore from the estate checking account. Copies of the estate checks representing payments for the year 2001 in the amount of $1 ,640.83 to Habitat for Humanity, as the sole beneficiary prior to the execution of the Re-Designation of Beneficiaries on August 6,2002, and payments for the year 2002 totaling $25,037.72 to multiple beneficiaries are attached hereto. Annual distributions to the beneficiaries for the calendar years 2003, 2004, 2005 and 2006 are stated on pages 8-11 of the Account for a total of $98,573.166. Summary Year 2001 (Paid by the estate) Year 2002 (Paid by the estate) Years 2003-2006 (Pages 8-11) 1,640.83 25,037.72 98.573.16 Total Distributions $125.251.71 . . RECEIPT AND RELEASE AGREEMENT ... . IN RE: IN THE COURT OF COMMON PLEAS FRANKLIN COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF MAYM. MOORE, Deceased. FILE NO. 28-01-0686 RECEIPT AND RELEASE AGREEMENT FOR TRUST FUNDING THIS AGREEMENT is executed by COMMUNITY TRUST COMPANY, as Trustee as more fully described herein, (hereinafter "Releasor"), on this /f/l; day of July, in the year two thousand three (2003). WHEREAS, May M. Moore (hereinafter "Dececent") died on December 8, 2001 ; WHEREAS, Decedent died testate; WHEREAS, on December 19, 2001, the Register of Wills in and for Franklin County, Pennsylvania, admitted to probate Decedent's Last Will and Testament dated November 7,2001, and granted Letters Testamentary appointing Amanada B. Reed and Araminta Flegel (hereinafter "Co-Executrices") as Co-Executrices of Decedent's estate; WHEREAS, Article FOURTH(A) of Decedent's Last Will and Testament provides for distribution from Decedent's residuary estate as follows: "TWENTY -FIVE PERCENT (25%) of my estate shall be distributed to the then-current Trustee of the MAY M. MOORE FIVE YEAR CHARITABLE LEAD ANNUITY TRUST, to be held according to its terms. My executor shall make distributions of the annuity amount as defined by Article First of the MAY M. MOORE FIVE YEAR CHARITABLE LEAD ANNUITY TRUST, according to the listed charities therein, during the term of the estate administration until final distribution is made to the MAY M. MOORE FIVE YEAR CHARITABLE LEAD ANNUITY TRUST as full or partial satisfaction the annuity trust requirements. " . . WHEREAS, Releasor, Community Trust Company, is named to act as Trustee of the May M. Moore Five Year Charitable Lead Annuity Trust 01ereinafter "Five Year CLA Tn); WHEREAS, the Co-Executrices now desire to fund the Five YearCLA T in accordance with the terms of Decedent's Last Will and Testament and those of the Five Year CLAT; WHEREAS, all known and presented debts of the Decedent and funeral expenses have been paid; however, administration expenses are presently being incurred and may be incurred in the future as a result of a pending formal Court accounting; WHEREAS, it is believed there are funds sufficient to pay the remaining expenses of Decedent's estate; WHEREAS, twenty-five percent (25%) of the remainder of Decedent's estate, based upon the calculation attached at Addendum "A", is FIVE HUNDRED THOUSAND SEVEN HUNDRED FIFTY-FOUR AND 13/100 DOLLARS ($500,754.13); WHEREAS, the Co-Executrices are willing to make said distribution to the Trust pending the filing and approval of an account with the Franklin County, Pennsylvania, Orphans' Court Division; WHEREAS, Releasor, as Trustee of the Five Year CLAT, is willing to accept said distribution for the establishment and probable full funding of a Trust account in accordance with the terms of the Trust; WHEREAS, Releasor agrees to reimburse Decedent's estate for the amount equal to any adjustment made to the within distribution as a result of objections that may be filed to the account to be filed with the Franklin County, Pennsylvania, Orphans' Court Division; -2- . . NOW, THEREFORE, KNOW ALL MEN BY TH.ESE PRESENTS that Releasor, in consideration of the payment and delivery to Releasor of FIVE HUNDRED THOUSAND SEVEN HUNDRED FIFTY-FOUR AND 13/100 DOLLARS ($500,754.13) in cash, the receipt of which is hereby acknowledged, for Releasor, and the heirs, executors, administrators, personal representatives, successors and assigns of Releasor, does hereby remise, release, quitclaim and forever discharge Amanda B. Reed and Araminta Flegel, individually and as Co-Executrices aforesaid, and their heirs, executors, administrators, personal representatives, successors and assigns, of and from all actions, suits, payments, accounts, claims and demands whatsoever or by reason thereof, and from any suit, payment, claim or liability for the bequest contained in Decedent's Last Will and Testament or otherwise arising from the administration of Decedent's estate, or of any investment by the fiduciary or arising from any losses on investments by the fiduciary, and hereby agrees that any court having jurisdiction may by its decree discharge Amanda B. Reed and Araminta Flegel, individually and as Co-Executrices aforesaid. RELEASOR further agrees to indemnify and hold harmless Amanda B. Reed and Araminta Flegel, individually an as Co-Executrices aforesaid, and their heirs, executors, administrators, personal representatives, successors and assigns, from and against any and all claims, losses, damages or other liabilities which they may suffer or to which they may be subject by reason of the aforesaid distribution without prior approval of the court having jurisdiction thereof. In consideration of the aforesaid distribution, Releasor agrees to pay Amanda B. Reed and Araminta Flegel, as Co-Executrices, any amount up to the value of the aforesaid distribution that may be necessary in the future to discharge any liabilities of Decedent's estate. -3- . . IN WITNESS WHEREOF, and intending to be legally bound hereby, Releasor has hereunto set its hand and seal the day, month and year first above written. WITNESS: RELEASOR: COMMUNITY TRUST COMPANY: OMr/;ij, t L ;f- f I ~~~-= yJ BY: SUSAN A. R SSELL, SENIOR VICE PRESIDENT AND TRUST OFFICER COMMONWEALTH OF PENNSYLVANIA COUNTY OF C U 1""'1 \o-e..r- \ c... .... 0{ On this, the I <('\\oM day of July, 2003, before me, a Notary Public, the undersigned officer, personally appeared SUSAN A. RUSSELL, who acknowledged herself to be the Senior Vice President and Trust Officer of COMMUNITY TRUST COMPANY, a Pennsylvania trust company, and that she as such Senior Vice President and Trust Officer, being authorized to do so, executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by herself as Senior Vice President and Trust Officer. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public My Commission Expires: Notarial Seal Victoria M. Rankin, Notary Public Lemoyne BolO, Cwnberland County My CommissIon ExpIres Aug. 2:7, 2006 Member, Pennsylvania Assoclallon or Notaries -4- ., . . ADDENDUM "A" -5- . . Five Year Charitable Lead Trust Distribution At the death ofthe Taxpayer, her Will and Charitable Lead Trust provided that the value of assets to fund each Charitable Lead Trust would be twenty~five percent (25%) of the estate. The annuity value that was to be paid from Charitable Lead Trust was to be five percent (5%) of that value. The calculations which establish the funded value are attached and represent Interrelated Computations. The Executors of the WiU were required by the Will to make the payments of the annuity amount from the estate. Based upon the attached valuation calculations, the Executors determined that the charities entitled to the annuity from the date of death to the end ofthe first tax year were to receive $1,577.22. However, it was impossible to determine the value of the estate at the time the original payout was due. This was the result of having to obtain real estate appraisals, environmental evaluations and other ordinary delays of administration. As a result, the charities entitled to a distribution are also entitled to Pennsylvania Statutory Interest of six percent (6%). The calculations are shown below. Value Determination Date = Date of Death . . . . . . . . . . . . . . . . . . . . . . . . . .. December 8, 2001 Funded Value. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $500,754.13 Annuity Value Per Year .......................... Five Percent (5%) of Funded Value Amount of Distribution Each Year ........................................ $25,037.72 First Year (2001) (Short Tax Year) ....................................... $1,640.83 A. $25,037.72 x [23 days remaining in short year/365 days in year] = ... $1,577.72 B. Interest between January 1, 2002, and August 31,2002 Statutory Interest = Six Percent (6%) per annum Time Period = Eight (8) months .06 x [8 months before payment/12 of year] = .04 .04 x $1,577.72 = $63.11 Second Year (2002) through Fifth Year (2005) Amount of Distribution Each Year ........................... $25,037.72 Sixth Year (2006) (Short Tax Year) .... ... .......... .... ...... ..... $23,460.00 . . CHECKS FROM ESTATE OF MAY M. MOORE SHOWING CHARITABLE PAYMENTS . . :tjJ ESTATE OJ: MAY MOORE AMANDA REED EXEC. ARAMINTA FLEGEl. EXEC. 1 :2 ~ 3:120 WAYNECASru RD. I' / . (}() 6lI-usr.m GREENCAsTlE, PA 17225 Do.le (h'l I J 4317 g ~l9 J(aj., ~k- J:. /~m-A.IM h- I $ /) r'of/O, i3 I On" 7b",m",f. :;''x Jfwil.( f ') ;~~ L f3 /;nn ."on ~ =: ra~!!~I!! _lII'a 16~ For ':031.302QSSr: ~(J JAin) I, rJ ~LI ! fl1(l,< n5r ~... I Qa 300 70a t.t.u'O H.[;, ......- - , ~f)O\ ~ \~\R-\ ~\,)\'a'" U--~ V~~) .- E:ST~c""e OF MAY MOORE Ant )A REED EXEC. 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PA 17225 Dale "fJ,'J'G .J ,1\ l) . J . 4311 PAY~ r" . . \ _... . . C7LSord::'~r!J AAR..E Andrus toundJd:-~ J $ II JS(.~g . (},~;::.:/;-~ I!u,'d~dj:i;-O~ lLi- ~1t()(J 0.11." (il ~ I g ~""'--Iala......, Gn!en_ 0Ilice 211 For .:0:1 *:102QS5.: ~~dllx AP gB :l00 708 ....'-tu.o 2 ~ *) . 7; ~.~--~-__ _r _'_"'_"__~._._ _._....,_.._.~.__._ _. _._._......_.__ _._ _______..".._,. ..----. ....' ....-.-. . -.... ..' ~h_ _.' ._ wee ~OO&- ~\~~\h\.J-n~,; 1': ESTATE OF MAY MOca AMANDA REED EXEC._ ARAMINTA FlEGEL EXEC. 3320 WAYNECASTLE RD. GREENCASTLE, PA 17225 . \.:1" ~~. 208 a ~ ;/ il g Dille ~n 3 J003 ~ fiD-295/313 4317 G. eoncastlo Office For ':0:1 ~302qSS': tltillL0JulW_Q'li!.dCLA-l!: J q8 300 ?OB 1.1./110 20B "- ..~ -- -~- ...- . ..-...-..--...... ~._-~. -.- cc:.n.L.~JHr -. " "_. ", -. __. v. .....__...... _. _.. _.. _~ "__'_"." "_._ ,,,_. .... _"~. .__.. __'.,.'" Wte ESTATE OF MAY MOORE AMANDA REED EXEC. ARAMINTA FlEGa EXEC, 3320 WAYNECASTlE RD. GREENCASTlE, PA 17225 209 DateJQ-.n :3 ~OQ3 J ! ~!l~ Ik A~tfli,V) 0,~~~ ~\toci~. I $1,25(.g~~ . · OIM... ~ri- I~f:! Hof4uli.litty1ku. All!ll-cftlJoo Doll." (;) =- ~ FI!!!~ o.-CIStIe lIItU r22?"{1 J'dIil) A () !) d C'tJLllO X AI> qB~00?081.1.~020q ) 60-2951313 4317 :,' For ':03.302I1SS.: ~,...~ .. . '.........' . ,~. ~-.... -."- ..c--,__o '.' . ,-,: ..~ ':' :"':-"'. wee ESTATE OF MAY MOORE AMANDA REED EXEC. ARAMINTA FlEGa EXEc. 3320 WAYNECASTlE RD. GREENCASTlE, PA 17225 210 Date q,IJ.!tLJ ~ .J. L~Q :3 PAYio~ (' J' r. ,r / . ;.. .... .......... ! ~...~. Y [;T/ r:: h braSI" tf.lm,{'171 (If) i $ /,.JSr.~ 8' I OnIL / fa 1!Jil~ 1.1t (fr t'liJWI {;,/k -~~ i~';~ _ ref hOf<.OJIlln . A:::::.._ B 1ft M8lrB~ 7!(f I ::.M .S l!J ___ (;;I ~-1lIlloI""~ Or---. Qlfia, 60-295/313 4317 ,. For ':03~302'iSS': !k.1#~ fA~d I &e~dc~ liB 300 70B 1.1.,,10 2 ~O OQw"It~ -._- .--- - --. -. 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'1 j .), ~ tlurdre4. 1", ri' !d}-J:iJ&.) ,1!fJJi. . ~ q I I {(JQ Do"ors ti\ s:::- a 11~!~ G....costJolllfice 221 - ~. z For ':0 ~ ~ :10 2 '1551: ~HM.~ ~ liB 300 70B ~ 1."'0 2 2 ~ oo..~~ _.- '"w _"_ _ _ _ _ . .--- .'- .... -.... ~ .... --.~--- .-.- ..' -"._'~-'-';-'-'-"'-'~, .: wee \:'.V- ~ ESTATE OF MAY MOO AMANDA REED EXEC. ARAMINTA FlEGEL EXEC. 3320 WAYNECASTLE RD. GREENCASTLE, PA 17225 Dale 1011. ~j f~ 00 3 I ~~~ l1,Cl1Q.I .1. h,x h",,,,ID ~~ !:c ~rt,a;/V1 ~ I $ J, 503. 7& ~ I we( T roccaM ~"L t/Oflflfl uJ,-- J hrf;l!' o.r~ -- 7 ~ If (1 0 Dollars (D ==---= ~ 8 m ~[~I!! Gloon=Ie llIfi"" 60-295/313 4317 For 1:03 ~30 211551: d11\D.I:~_fJ:wJJLj~K.ef.dciL-!!: ) 118 300 70 a ... "'/110 2 2 2 OO~"""-lIOUJ - -~. . -, - "~.-,...~ .'-.- ~~-- .--.....-..,.- . .- -~ - -- -.- ,.-. . ~. ... . .' -- - ._---.-.-....,- .-..-.......- \YCC .....~~.:".~....... .,:,......_~...-......:.. "-" '. STATE OF MAY MOORE AMANDA REED EXEC. ARAMINTA FLEGEL EXEC. 3320 WAYNECASTlE RD. GREENCASTLE, PA 17225 PAY~ . n II ~order of ! n.n , ~ m~~~~ C,_Offi"" ~~ 223 -- Dale JGfj 60-2951313 4317 6J =~ For 1:03 Ir 30211551: /J d,!1 I ll1'.6' ,1.r( y M' U/j1t/iJr .4J..L.J.:.:~'JJl.--!.~l.!.L!.L.J._L:!"'______._ - J qa 300 7oB... "'1110 2 23 OOMkI'......~ .. . . _'u Vice 'e~~ /('1 ESTATE OF MAY MOORE AMANDA REED EXEC. ARAMINTA FlEGEL EXEC. 3320 WAYNECASTLE RD. q IJ. '1{]n '1 60-295/313 GREENCASTLE, PA 17225 Date . n n .J J rA )., J 4317 ! ~.r~l.Pre,wnf lhdd A6o:;12~ AMer'~.Q) I $ J"SG3.78 I ]i:~ I h"'>:'{).l)a. r;v~ #qrli <lei -Mrt'f, NI4 -7if /tOO 00110" Iil ~ B m~!!.~~ ~0If"", =cr-~' 7. 224 For I:O:l~3o21155': 11 0/, I. UtltfJ:J:.rioJ..JA.!1.!J.Ii._.l..X (i.C1J]D..X_~ I1B30070a.......022~ I cc..'IQr~ wce . . VERIFICA TION On this qtL day of February, 2007, I, Patricia A. Walter, Trust Officer of Community Trust Company, Trustee of the May M. Moore Five- Year Charitable Lead Annuiity Trust, Under Agreement dated November 7, 2001 and Amended on August 6, 2002, hereby declare under oath that said Trustee has fully and faithfully discharged the duties of its office; that the foregoing First and Final Account consisting of ~ pages, cover pages and exhibits is true and correct and fully discloses all significant transactions occurring during the accounting period; that all known claims against the Trust during the accounting period have been paid in full; that to its knowledge, as of December 8, 2006, there were no claims outstanding against the Trust; and that as of December 8, 2006, all taxes due from the Trust were paid. COMMUNITY TRUST COMPANY, TRUSTEE \^ Dated: February ~ , 2007 I. I I atricia A. W alt~, Trust Officer SWORN TO before me this <=1 t'" day of February, 2007 Notary Public ;:OMMONWEAL TH OF PENNSYlVANIA :---=--. Notarial Seal I Victoria M. Rankin, Notary Public iNormleYSb~ 80m, Cumberland County L~~~ Gommisslon Expires Aug. Z7, 2010 lvi"r' _",I P",,"sv'''snlll "noelallon of Notaries . . IN THE MATTER OF: THE MAY M. MOORE FIVE YEAR CHARITABLE LEAD ANNUITY TRUST UIA DATED NOVEMBER 7, 2001, AS AMENDED AUGUST 6, 2002 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY ORPHANS' COURT DIVISION NO: STATEMENT OF PROPOSED DISTRIBUTION The Accountant! Trustee proposes the following schedule of proposed distribution: TO: COMMUNITY TRUST COMPANY (1) $6,034.55 for Trustee's Termination Fee (2) $850.00 for preparation of calendar year 2006 and final 2007 Federal and Pennsylvania Fiduciary Income Tax Returns. TO: LAW FIRM OF GATES, HALBRUNER & HATCH, P.C. (3) $4,125.00 for legal fees incurred for preparation of the First and Final Account, the Petition for Approval of the Account and related documents for May M. Moore Five-Year CLAT. (4) $680.00 for Orphans' Court filing fees, advertising, postage and certified mail and photocopies. TO: AMANDA B. REED, as 50% Trust Remainder Beneficiary pursuant to Article FIRST (D) of the May M. Moore Five-Year Charitable Lead Annuity Trust Under Agreement dated November 7,2001. (5) $213,810.88 representing 50% of the balance of cash and securities on hand after the payment of the expenses of this account. TO: ARAMINTA FLEGEL, as 50% Trust Remainder Beneficiary pursuant to Article FIRST (D) of the May M. Moore Five-Year Charitable Lead Annuity Trust Under Agreement dated November 7,2001. (6) $213,810.87 representing 50% of the balance of cash and securities on hand after the payment of the expenses of this account. End of Statement 1 . . AFFIDA VIT COMMONWEALTH OF PENNSYL VANIA COUNTY OF CUMBERLAND SS: I hereby certify that on this (i15'l day ofF ebruary , 2007, before me, the subscriber, a Notary Public in and for the aforesaid Commonwealth and County, personally appeared the affiant, PATRICIA A. WALTER, who acknowledged herself to be a Trust Officer of COMMUNITY TRUST COMPANY, Trustee of the MAY M. MOORE FIVE-YEAR CHARITABLE LEAD ANNUITY TRUST Under Agreement dated November 7, 2001, who being duly sworn according to law, she as such Trust Officer, being authorized to do so, deposes and says that, to the best of her knowledge, the facts averred in the foregoing First and Final Account are true and correct and accurately state all the income, principal, debits and credits which came into her possession as Trust Officer of Community Trust Company, Trustee of the MAY M. MOORE FIVE-YEAR CHARITABLE LEAD ANNUITY TRUST or into the possession of any other agent(s) for said Trustee. The affiant further says that she gave written notice of the foregoing First and Final Account and Statement of Proposed Distribution to all beneficiaries, remaindermen and other parties interested in the MAY M. MOORE FIVE-YEAR CHARITABLE LEAD ANNUITY TRUST. ATTEST: COMMUNITY TRUST COMPANY: /J \ '\ ' \. O--J..OA.i-^ ~p SWORN TO and subscribed before me this C1 Y' day of February, 2007. -,/ ~ IItc~ / Notary Public My Commission Expires: COMMONWEALTH OF PENNSYLVANIA Notarial Seal Victoria M. Rankin, Notary Public Wonnleysbl1Q Boro, Cumberland County My Commi!lsion Expires Aug. 27, 2010 Member, Pennsvlvania Association of Notaries