HomeMy WebLinkAbout07-26-07
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G PNCBANK
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PA
ORPHANS' COURT DIVISION
NO. Dl~.m~~
TRUST AGREEMENT OF DOROTHY D KAUFMAN SETTLOR
DATED 5/30/85 AS AMENDED 2ND AMENDMENT DATED 11/2/05
FIRST AND FINAL ACCOUNT OF PNC BANK, NATIONAL ASSOCIATION
TRUSTEE
AND PROPOSED SCHEDULE OF DISTRIBUTION
ACCOUNTING MAY 14 2006 TO JULY 12 2007
~
PURPOSE OF ACCOUNT: THE TRUSTEE OFFERS THIS ACCOUNT TO ACQUAINT
INTERESTED PARTIES WITH THE TRANSACTIONS THAT HAVE OCCURRED DURING
ITS ADMINISTRATION OF THE TRUST.
IT IS IMPORTANT THAT THE ACCOUNT BE CAREFULLY EXAMINED. REQUESTS
FOR ADDITIONAL INFORMATION OR QUESTIONS OR OBJECTIONS CAN BE
DISCUSSED WITH:
PNC BANK, NATIONAL ASSOCIATION
C/O LINDA J LUNDBERG
VICE PRESIDENT
POBOX 308
4242 CARLISLE PIKE
CAMP HILL, PA 17001-0308
TELEPHONE (717) 730-2265
JOHN E SLIKE ESQUIRE
ATTORNEY I.D. #06262
SAIDUS FLOWER & q~DSAY
2109 MARKET STREEt:'
CAMP HILL PA 17011'
TELEPHONE (717) 737~~~5
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TRSNOI (10/02l
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DOROTHY KAUFMAN
PRINCIPAL
RECEIPTS
NET GAIN/LOSS ON CONVERSIONS
ADJUSTED BALANCE
LESS DISBURSEMENTS
BALANCE BEFORE DISTRIBUTIONS
DISTRIBUTIONS TO BENEFICIARIES
PRINCIPAL BALANCE ON HAND
INVESTMENTS MADE
CHANGES IN HOLDINGS
INCOME
RECEIPTS
LESS DISBURSEMENTS
BALANCE BEFORE DISTRIBUTIONS
DISTRIBUTIONS TO BENEFICIARIES
INCOME BALANCE ON HAND
COMBINED BALANCES REMAINING
VERIFICATION
~ PNCBANK
27-27-001-3119191
SUMMARY AND INDEX
PAGES
3 - 4
5 - 5
322,707.81
40.09-
322,667.72
50,904.73-
271,762.99
190,000.00-
81,762.99
6 - 6
7 - 8
9 - 9
.00
.00
.00
.00
.00
81,762.99
10 - 10
- 2 -
TRSNOI (10102)
PNC ADVISORS
DOROTHY KAUFMAN
5/14/06
5/14/06
5/14/06
5/14/06
5/14/06
5/14/06
5/14/06
5/14/06
6/01/06
6/01/06
RECEIPTS OF PRINCIPAL
BALANCE AS OF 5/14/06
DATE OF DEATH
311,443.76
----------
----------
COMPOSED OF
CASH
CASH PENDING RE SALE OF
50 SHS EXXON MOBIL CORP COMMON
12,387.682 UTS BLACKROCK FUNDS INTER GOVERNMENT
PORTFOLIO FUND 80
INSTITUTIONAL CLASS
7,650.391 UTS BLACKROCK FUNDS MANAGED INCOME
PORTFOLIO FUND 13
INSTITUTIONAL CLASS
450 SHS EXXON MOBIL CORP COMMON
700 SHS PPL CORPORATION COMMON
400 SHS PUBLIC SERVICE ENTERPRISE GROUP
INC COMMON
400 SHS SOUTHERN CO COMMON
OTHER RECEIPTS
BLACK ROCK FUNDS INTER GOVERNMENT
PORTFOLIO FUND 80
INCOME
BLACKROCK FUNDS MANAGED INCOME
PORTFOLIO FUND 13
INCOME
BLACKROCK LIQUIDITY FUNDS
ADMINISTRATION SHARES #H1
INCOME
6/01/06
7/03/06
8/02/06
9/01/06
10/02/06
11/01/06
12/01/06
1/02/07
2/01/07
3/01/07
4/02/07
5/01/07
6/01/07
7/02/07
- 3 -
TEMP FUND
113.95
1,219.62
1,308.14
1,248.66
1,166.77
1,208.63
616.71
394.36
395.46
328.92
355.72
345.23
357.58
346.94
o PNCBANK
27-27-001-3119191
22,923.52
3,173.40
123,876.82
74,973.83
28,056.38
20,702.50
25,188.31
12,549.00
346.51
242.78
9,406.69
TRSN02(10/02l
PNC ADVISORS
DOROTHY KAUFMAN
6/06/06
RECEIPTS OF PRINCIPAL
SOUTHERN CO COMMON
DIVIDEND
EXXON MOBIL CORP COMMON
DIVIDEND
AWARD PER FIRST AND FINAL ACCOUNT
OF PNC BANK NATIONAL ASSOCIATION
AND JOHN E SLIKE EXECUTORS OF THE
ESTATE OF DOROTHY KAUFMAN DECEASED
AS STATED AND ATTACHED 953.07
6/09/06
7/12/07
------
------
COMPOSED OF
PRINCIPAL CASH
INCOME CASH
726.25
226.82
TOTAL PRINCIPAL RECEIPTS
- 4 -
~ PNCBANK
27-27-001-3119191
155.00
160.00
953.07
322,707.81
------------
------------
TRSN02(10/02)
PNC ADVISORS
~ PNCBANK
DOROTHY KAUFMAN
5/26/06
5/26/06
5/31/06
5/31/06
5/31/06
5/31/06
GAINS AND LOSSES ON SALES AND OTHER DISPOSITIONS
GAIN
12,387.682 UTS BLACKROCK FUNDS INTER GOVERNMENT
PORTFOLIO FUND 80
INSTITUTIONAL CLASS
PROCEEDS: 124,124.57
ACQUISITION VALUE: 123.876.82
7,650.391 UTS BLACKROCK FUNDS MANAGED INCOME
PORTFOLIO FUND 13
INSTITUTIONAL CLASS
PROCEEDS: 75,203.34
ACQUISITION VALUE: 74.973.83
450 SHS EXXON MOBIL CORP COMMON
PROCEEDS: 27,705.64
ACQUISITION VALUE: 28.056.38
700 SHS PPL CORPORATION COMMON
PROCEEDS: 20,754.36
ACQUISITION VALUE: 20.702.50
400 SHS PUBLIC SERVICE ENTERPRISE GROUP
INC COMMON
247.75
229.51
51. 86
PROCEEDS:
ACQUISITION VALUE:
24,859.23
25.188.31
400 SHS SOUTHERN CO COMMON
PROCEEDS: 12,659.61
ACQUISITION VALUE: 12.549.00
TOTAL GAINS AND LOSSES
LESS GAIN
NET LOSS
110.61
639.73
- 5 -
27-27-001-3119191
LOSS
350.74-
329.08-
679.82-
639.73
40.09-
----------
----------
TRSN02 (10/02)
PNC ADVISORS
DOROTHY KAUFMAN
5/16/06
DISBURSEMENTS OF PRINCIPAL
ROLLING GREEN CEMETERY
FEE FOR OPENING AND CLOSING GRAVE
PNC BANK NATIONAL ASSOCIATION
AND JOHN E SLIKE ESQUIRE
EXECUTORS OF THE ESTATE OF
DOROTHY D KAUFMAN DECEASED
FOR ESTATE EXPENSES
6/07/06
7/17/06
8/11/06
2/06/07
7/12/07
5,000.00-
5,000.00-
25,000.00-
10,000.00-
2,000.00-
TRUSTEE'S COMPENSATION
PNC BANK NATIONAL ASSOCIATION
COMPENSATION BASED ON PRINCIPAL
MARKET VALUE
5/23/06
6/21/06
7/21/06
8/22/06
9/21/06
10/23/06
11/21/06
12/21/06
1/23/07
2/21/07
3/21/07
4/23/07
5/22/07
6/21/07
256.50-
280.47-
276.75-
254.77-
255.69-
256.52-
83.23-
83.72-
84.01-
75.12-
75.36-
75.61-
75.86-
76.12-
7/12/07
RESERVE FOR FILING FEE
TOTAL PRINCIPAL DISBURSEMENTS
- 6 -
o PNCBANK
27-27-001-3119191
1,195.00-
47,000.00-
2,209.73-
500.00-
50,904.73-
------------
------------
TRSN02(10/02)
DOROTHY KAUFMAN
PNC ADVISORS
DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES
ZION LUTHERAN CHURCH
11/09/06
CASH DISTRIBUTED
SHRINERS HOSPITAL FOR CHILDREN
11/09/06
CASH DISTRIBUTED
BETHESDA MISSION
11/09/06
CASH DISTRIBUTED
AMERICAN RED CROSS
11/09/06
CASH DISTRIBUTED
THE SALVATION ARMY
11/09/06
CASH DISTRIBUTED
MESSIAH VILLAGE
11/09/06
CASH DISTRIBUTED
DONALD M KOPPENHEFFER
11/09/06
CASH DISTRIBUTED
BETTE L GRANT
11/09/06
CASH DISTRIBUTED
- 7 -
G PNCBANK
27-27-001-3119191
11,875.00-
7,125.00-
7,125.00-
7,125.00-
7,125.00-
7,125.00-
57,000.00-
42,750.00-
11,875.00-
7,125.00-
7,125.00-
7,125.00-
7,125.00-
7,125.00-
57,000.00-
42,750.00-
TRSN02 (10/02)
DOROTHY KAUFMAN
PNC ADVISORS
~ PNCBANK
DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES
JEFFREY M GRANT
11/09/06
CASH DISTRIBUTED
TOTAL PRINCIPAL DISTRIBUTIONS
- 8 -
27-27-001-3119191
42,750.00-
42,750.00-
190,000.00-
----------
----------
TRSN02(10/02)
PNC ADVISORS
DOROTHY KAUFMAN
PRINCIPAL BALANCE ON HAND
INVESTED CASH
TOTAL PRINCIPAL
- 9 -
~ PNCBANK
27-27-001-3119191
VALUE
7/12/07
81,762.99
81,762.99
ACQUISITION
VALUE
81,762.99
81,762.99
------------ ------------
------------ ------------
TRSN02 (10/02)
PROPOSED SCHEDULE OF DISTRIBUTION
DOROTHY D. KAUFMAN TRUST
Balance Remaining per First and Final Account
$ 81.762.99
PNC Bank, NA, as Trustee of the Dorothy D. Kaufman Trust and as
Co-Executor with John E. Slike ofthe Dorothy D. Kaufman Estate
proposes to distribute the balance according to decedent's Trust under
Agreement dated 5/30/85 as amended 11/2/05 and the Last Will and
Testament in the following manner:
To: Zion Lutheran Church - 25% of 25%=6.25% Residue
Cash $ 7.341.62
To: Shriners' Hospitals for Children - 15% of25%=3.75% Residue
Cash $ 4,404.97
To: Bethesda Mission -15% of25%=3.75% Residue
Cash $ 4,404.97
To: PA Capital Region Chapter of the American Red Cross-
15% of25%=3.75% Residue
Cash $ 4,404.97
To: The Salvation Army -15% of25%=3.75% Residue
Cash $ 4,404.97
To: Messiah Village - 15% of25%=3.75% Residue
Cash $ 4,404.97
To: Donald Koppenheffer - 30% Residue
Cash $20,958.60
To: Bette L. Grant - 22.5% Residue
Cash $15,718.96
To: Jeffrey M. Grant - 22.5% Residue
Cash $15,718.96
Total
$81. 762.99
9A
PNC ADVISORS
~ PNCBANK
VERIFICATION
LINDA J LUNDBERG VICE PRESIDENT OF PNC BANK, NATIONAL ASSOCIATION
TRUSTEE UNDER THE DEED OF DOROTHY D KAUFMAN SETTLOR, HEREBY
DECLARES UNDER OATH THAT THE TRUSTEE HAS FULLY AND FAITHFULLY
DISCHARGED THE DUTIES OF HER OFFICE; THAT THE FOREGOING FIRST AND FINAL
ACCOUNT IS TRUE AND CORRECT AND FULLY DISCLOSES ALL SIGNIFICANT
TRANSACTIONS OCCURRING DURING THE ACCOUNTING PERIOD; THAT ALL KNOWN
CLAIMS AGAINST THE TRUST HAVE BEEN PAID IN FULL; THAT, TO HER
KNOWLEDGE THERE ARE NO CLAIMS NOW OUTSTANDING AGAINST THE TRUST;
AND THAT ALL TAXES PRESENTLY DUE FROM THE TRUST HAVE BEEN PAID.
THIS STATEMENT IS MADE SUBJECT TO THE PENALTIES OF 18 PA. C.S.A.
SECTION 4904 RELATING TO UNSWORN FALSIFICATION TO AUTHORITIES.
DATED:~L'<- \~I ~()l
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- 10 -
TRSN02(10/02l
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SAIDIS
lUFF, FLOWER
& LINDSAY
lTlURNE\'S'A T'LA W
109 Market Street
Camp Hill, PA
CODICIL
OF
DOROTHYD.KAUFMAN
I, DOROTHY D. KAUFMAN, the within named Testatrix, do hereby make and
.
publish this Codicil of my Last Will and Testament dated February 28, 1997.
I. I hereby revoke the provisions of Paragraph II relating to the disposition of my
tangible personal property, and provide that all of my tangible personal property shall be
given to my deceased niece's husband, DONALD KOPPENHEFFER, now of Camp Hill,
Pennsylvania.
II. I amend Paragraph III-C to provide as follows: 45% of said residue shall be
divided evenly between my niece, BETTE GRANT, and her son, JEFFREY GRANT. Should
either of them fail to survive me, their respective shares shall be divided evenly among the
organizations listed in Paragraph III-A.
ID. I hereby ratify and confirm the remaining provisions of my Last Will and
Testament dated February 28, 1997.
IV. I appoint PNC Bank, N.A. and John E. Slike, Esquire, as co-executors of my
estate.
IN WITNESS WHEREOF, I, Dorothy D. Kaufman, have hereunto set my hand and
seal to this Codicil to my Last Will and Testament this d Jd. day of November, 2005.
J2~)Jf~ (SEAL)
D~YD. Ka~an
SAIDIS
:IUFF, FLOWER
& LINDSAY
.\1TORNEYS'AT'!.A W
!I09 Market Street
Camp HilI. PA
Signed, sealed, published and declared by the above-named Dorothy D. Kaufman, as and for a
Codicil to her Last Will and Testament in the presence of us, who have hereunto subscribed
our names at her request as witnesses thereto, in the presence of said Testatrix and of each
other.
ADDRESS:
0w# )1;V;i1.
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ADDRESS: ~ ~ p~
COMMONWEALTH OF PENNSYL VANIA
: SS.
COUNTY OF CUMBERLAND
Dorothy D. ufman, I ~ c; ~If- , and
~o:; "Nt. , the TestatriX and witnesses, respectively, whose names
are signed to the fi egoing attached instrument, being first duly sworn, do hereby declare
to the undersigned authority that the Testatrix signed and executed the instrument as her
Codicil and that she signed willingly and that she executed it as her free and voluntary act for
the purposes therein expressed, and that each of the witnesses, m the presence and hearing of
the Testatrix, signed the Codicil as witness and that to the best of their knowledge the
Testatrix was at the time 18 or more years of age, of sound mind and under no constraint or
undue influence.
fl~,~
Dorothy D. Kaufm .
;\
Subscribed, sworn to and acknowledged before me by Dorothy D. Kaufman, the Testatrix,
and subscribed to and sworn or affirmed to before me by '1'Iil: Egpf
and 4p~' /J!. t&- 4,"; ,wi1nesses, this ~y of November, ~005.
. ( ~
COMMONWEALTH OF PENNSYLVANIA~:......::~.'C:'.-.. ....
Notarial Seal . _ _ . _
=~~=~~ ~'iT.';:~~:?~~~';:""-'.~';$)i~~~~::
MYCommissionExpiresClct.17,20Q9 :.::".._~ ...__ ..~u....:.":. ~.
Member Pennsylvania Associalion of Notarie. ,.....<J:t.,;i~""",:T:?:.,,.-,4_::~;::.i'.;
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\mIS, GUIDO,
SHUFF &
MASLAND
Zl09 Market Street
Camp Hill, PA
y- --
LAST WILL AND TESTAMENT
OF
DOROTHY D. KAUFMAN
I, DOROTHY D. KAUFMAN of Upper Allen Township, Cumberland
County, Pennsylvania, declare this to be my Last Will and Testa-
ment, hereby revoking any will previously made by me.
I - I direct the payment of all my just debts and
funeral expenses, if any remain unpaid, out of my estate as soon
as may be practical after my death.
II - I make the following bequests of my tangible
personal property:
A. I bequeath my diamond watch and my diamond
solitaire ring with basket-setting to my niece, Elaine D.
Koppenheffer.
B. I bequeath my Grandmother's clock to my
niece's husband, Donald Koppenheffer.
. _C. I bequeath my three-diamond ring and my four-
diamond wedding band to my niece, Bette Grant.
D. I direct that my execut . after named
divide my remaining tangible e B property, not including
Gash and securities, b my nieces, Elaine D. Koppenheffer
and Bette Gr , s they shall determine or that said property be
sold -and~ e proceeds thereof added to the residue of my estate.
III - I devise and bequeath all the rest, residue and
remainder of my estate of whatever nature and wherever situate in
the following manner:
l>iJ-/f
Page 1
A. 25% of said residue shall be divided among the
following organizations in the percentages indicated:
Zion Lutheran Church, Harrisburg, Pennsylvania - 25%
Shriners' Crippled Children's Hospitals - 15%
Bethesda Mission, Harrisburg, Pennsylvania - 15%
PA Capital Region Chapter of the American Red Cross - 15%
Harrisburg Area Salvation Army - 15%
Messiah Village, Upper Allen Township, Cumberland
County, Penr-sylvania - 15%
B. 30% of said residue shall be paid to my
niece, Elaine D. Koppenheffer, and her husband, Donald
Koppenheffer. Should they both be deceased, said amount shall
be divided evenly among the organizations indicated in Paragraph
III-A.
C.
45% of said residue shall J:>.~....pa.id to my
.-----
---
Should ~..aiJ.-'.-to survive me, one-half of
~er son, Jeffrey Grant, and the other
DO
Q? .. C;.
~ ,~'O~
--.;-<t:T
.....
niece, Bette ~rant.
one-half s
evenly among the organizations listed
in Paragraph ITI-A.
IV - I appoint John E. Slike, Esquire and Elaine D.
Koppenheffer, Executors of this, my Last Will and Testament.
UD~,GUIOO, Should either of my executors fail to qualify oi.cease to act as
SHUFF &
~LAND such, then I appoint PNC Bank, N.A. as substitute executor.
!l09 Market Street
DmpHill,PA None of my executors shall be required to post bond in this or
any jurisdiction.
j; ;:/(
I
Page 2
UDIS, GUIDO,
SHUFF &
MASLAND
H09 Market Street
Camp Hill, PA
_ _~_"_-'_c~_____________.. _ __~'____~__"__" ___..______._ ,'.__.,_._. ___
IN WITNESS WHEREOF, I have hereunto set my hand and seal on
this, the 79 ~'t5.- day of 7f ~ ' 1997.
.,
. __ /1 ( SEAL )
Signed, sealed, published and declared by DOROTHY D. KAUFMAN,
Testatrix therein named, on this and two (2) other sheets of
paper as and for her Last Will and Testament, in our presence,
who, in her presence, at her request, and in the presence of
each other, have hereunto subscribed our names as attesting
witnesses.
j
~
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Name .
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Name
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Page 3
- -". --- -- -'-~-.,~._-..~-_.,..~. "'-'-~'-.' ._"'....,.~_._~~~~.....,.-. . -'-"--'-"' .._-".-.-.----
COMMONWEALTH OF PENNSYLVANIA)
SS.
COUNTY
OF
CUMBERLAND)
WE, the undersigned, the testatrix and the witnesses,
respectively, whose names are signed to the foregoing instru-
ment, being first duly sworn, do hereby declare to the under-
signed authority that the testatrix signed and executed the
instrument as her Last Will and Testament' and that she signed
willingly (or willingly directed another to sign for her), and
that she executed it as her free will and voluntary act for the
purposes therein expressed, and that each of the witnesses, in
the presence and hearing of the testatrix signed the will as
witnesses and that to the best of their knowledge the testatrix
was at that time eighteen years of age or older, of sound mind,
and under no constraint or undue influence.
I rJ-tu..:ti I .J- ~! Idvl.~4( )
~ . Tty'tatrix J
AIDIS, GUIDO,
SHUFF &
ltfASLAND
Subscribed, sworn to and acknowledged before me by the
testatrix, andQ9~bscribed and~worn to before me by both wit-
nesses, this ....J~-tt\ day of '\--c.... , 1997.
NOTARIAL SEAL
JO SMITH, Notary Public
Camp Hill, Cumberland County
My Commission Expires May 6, 2000
1109 Market Street
Camp Hill, PA
..~...,:'. .
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SAIDIS
SHUFF, FLOWER
& LINDSAY
ATTORNEYS'AT'LAW
2109 Market Street
Camp Hill. PA
SECOND AMENDMENT TO TRUST AGREEMENT
THIS AGREEMENT made this
;J..;3:!.day of November, 2005, by
and between DOROTHY D. KAUFMAN, of Upper Allen Township,
Cumberland County, Pennsylvania, hereinafter called "Settlor",
and PNC BANK, NATIONAL ASSOCIATION, with a regional office in
Hampden Township, Cumberland County, Pennsylvania, hereinafter
called "Trustee", WITNESSETH;
WHEREAS, Settlor established a Funded Revocable Trust
Agreement dated May 30, 1985, with CCNB Bank, N.A./ which is
now merged into PNC Bank, National Association; and
WHEREAS, Settlor retained the power to amend the Trust in
whole or in part; and
WHEREAS, Settlor is desirous of amending certain
provisions of the Trust Agreement.
NOW, THEREFORE, in consideration of the mutual covenants
contained herein, it is agreed by and between the parties that
the aforesaid Trust Agreement dated May 30, 1985, is further
amended as follows:
I - Paragraph II-C of the Amendment dated February
28, 1997, is amended to read as follows:
SAIDIS
SHUFF, FLOWER
& LINDSAY
ATfORNEYS'AT'LAW
2109 Market Street
Camp Hill, PA
C. 45% of said residue shall be divided
evenly between my niece, Bette Grant, and
her son, Jeffrey Grant. Should either of
them fail to survive me, their respective
shares shall be divided evenly among the
organizations listed in Paragraph II-A.
IN WITNESS WHEREOF, the parties hereto, intending to be
legally bound hereby, have se.t their hands an.d seals on the
day and year first above written.
WITNESS:
%
ATTEST:
p~
-
PNC BANK, NATIONAL ASSOCIATION
Pat~~~, W
A"j5;~~. ~c..LL~
BY:tmuw~V~U ,(Jvf
- 2 -
-.
.
SAIDIS, GUIDO,
SHUFF &
MASLAND
2109 Market Street
Camp Hill, PA
AMENDMENT TO TRUST AGREEMENT
THIS AGREEMENT made this
ct':-:-
;;3 0 day of
?4:~
1997, by and between DOROTHY D. KAUFMAN, of Upper Allen Township,
Cumberland County, Pennsylvania, hereinafter called "Settlor,"
and PNe BANK, National Association, with a regional office in
Hampden Township, Cumberland County, Pennsylvania, hereinafter
called "Trustee," WITNESSETH;
WHEREAS, Settlor established a Funded Revocable Trust
Agreement dated May 30, 1985 with CCNB Bank, N.A. which is now
merged into PNC Bank, National Association; and
WHEREAS, Settlor retained the power to amend the Trust in
whole or in part; and
WHEREAS, Settlor is desirous of amending certain provisions
of the Trust Agreement.
NOW, THEREFORE, in consideration of the mutual covenants
contained herein, it is agreed by and between the parties that
the aforesaid Trust Agreement dated May 30, 1985 is amended as
follows:
I - Paragraph I is amended to provide a new subpara-
graph D as follows:
D. To continue making annual cash gifts of
$10,000 each to my niece Elaine Koppenheffer,
or if she is deceased, to her husband Donald
Koppenheffer, and my niece Bette Grant as I
have been doing in the past several years;
provided that my trustee believes there are
sufficient funds to continue making these
gifts and to provide for my needs.
II - Paragraph II lS amended to read as follows:
Upon the death of the Settlor, the balance In
my trust shall be distributed as follows:
A. 25% of said residue shall be divided among the
following organizations in the percentages indicated:
Zion Lutheran Church, Harrisburg, Pennsylvania - 25%
Shriners' Crippled Children's Hospitals - 15%
Bethesda Mission, Harrisburg, Pennsylvania - 15%
PA Capital Region Chapter of the American Red Cross-15%
Harrisburg Area Salvation Army - 15%
Messiah Village, Upper Allen Township, Cumberland
County, Pennsylvania - 15%
B. 30% of said residue shall be paid to my
niece, Elaine D. Koppenheffer, and her hus-
band, Donald Koppenheffer. Should they both
be deceased, said amount shall be divided
evenly among the organizations indicated in
Paragraph II-A above.
SAIDIS, GUIDO,
SHUFF &
MASLAND
C. 45% of said residue shall be paid to my
niece, Bette Grant. Should she fail to sur-
vive me, one-half of her share shall be paid
to her son, Jeffrey Grant, and the other
one-half shall be divided evenly among the
organizations listed in Paragraph II-A
above.
2109 Market Street
Camp Hill, PA
- 2 -
v
-",,,... ---,_.-~I.:t~9..L..b.~y ~U.I~:Y:~."A.&G.Wab~Y:e.r'Y.,J.UJ.4..,.A$_"g~a,..y_.,_...,..,
settlor may wish while settlor is living, the power to withdraw all or
part of the prinoipal, to add to the trust upon approval andacoeptance
by the trustee, and to revoke or alter this trust in whole or in part
by writings other than 8. Will delivered to the trustee, but not to
increase the responsibilities of the trustee without its written
consent.
VI
Any oorporation resulting from any merger, conversion or oon801i-
dation to which CCNB Bank, N.A. may be a p.artyor any oorporation
otherwise suoceeding generally to all or the great.er part of the
assets and business of COlD Bank, M.A. shall be the successor ,to it as
trustee hereunder without the exeoution or filing of any paper Or any
furtheractton on tnepart of any party hereto or beneficiary thereunder.
VII
-
'.l'his instrument shall be oonstrued and administered in accordance
with the laws of the Commonwealth of Pennsylvania. The validity of
the trust hereby created shall be determined in accordance with the
laws of the Commonwealth of Pennsylvania.
- -4 -
ARNOLD & SLIKE, ATIORNEYS-AT-LAW, 2109 MARKET STREET, CAMP HILL, PA 17011
VIII
The trustee shall have the fOllowing powers and duties in addition
~~lliW>~'~~.
-"t.O"~e ...!:readyveSi:ed-i'Zr*-br'"iaw-and~"""O't:'her't'rovinomJ"""af~--1:hi:'S.'__ .
trust:
A. To retain any or all of the assets of this trust, real
or persenal, including its awn steck, without regard to any principle
of diversification or risk.
B. To invest in all forms of preperty, including stock,
common trust funds and mortgage investment funds whether operated by
it or others, without restriction te investments authorized for Penn-
sylvania fiduciaries, as it deems proper, without regard toanyprincipl
of diversification or risk.
c. To sell at public or private sale, to exchange, 'Or to
lease fer any period of time, any real or personal property and to
give options for sales, exchanges or leases, for such prices and upon
such terms 'Or conditions as it deems proper.
D. To allocate reoeipts and expenses to principal .or income
or partly to each as it from time to time thinks praper in its sale
discretion.
E. To lend to, or purchase from, my executor even though
trustee may also be such executor.
P. '1'0 hold praperty in my name or in i te name ,'Or in the
name 'Of a nominee or unregistered.
IX
Trustee shall receive compensation for the performance of its
functions hereunder in accordance with its standard schedule of fees
in effect from time to time during the period over which its services
are performed.
- 5 -
ARNOLD & SLIKE, ATTORNEYS-AT-LAW, 2109 MARKET STREET, CAMP HILL, PA 17011
x
~1Il'i~,.~,...
The situs of this trust for administrative and acoountin9' purposes
,~IlQJ1Waa '-tb .,.of,,,1),ennsyl--.aa.a"-ff.,,
and all questions pertaining to the oonstruotion or validity of the
provisions of this instrument shall be governed by the laws Of that
Commonwealth.
IN WITNESSi'lHEREOF, the parties have hereunto set their hands and
seals the day and year first above appearing.
WITNESS:
,/J !{jk ? Lk
~20~ ifJ, ./!tt-,~
. .. D rotny J).K . fman . ..
CONS BANK I N.A.
ATTEST:
By:
- 6 -
ARNOLD & SLIKE, ATTORNEYS-AT-LAW, 2109 MARKET STREET, CAMP HILL. PA 17011
G 3 d~-'D'" .~I
l) ~ldd\~Cf1'
TRUST
COURT OF COMMON PLEAS OF
Cumberland COUNTY, PENNSYL VANIA
ORPHANS' COURT DIVISION
NAME OF TRUST
(TRUST UNDER WILL OF
or
TR UST UNDER DEED OF Dorothy D. Kaufman
DATED 5/30/1985 as amended )
No.
PETITION FOR ADJUDICATION /
STATEMENT OF PROPOSED DISTRIBUTION
PURSUANT TO Pa. O.c. Rule 6.9
This form may be used in all cases involving the Audit of Trust Accounts. If space is insufjicient,
riders may be attached.
INCLUDE ATTACHMENTS AT THE BACK OF THIS FORM.
Name of Counsel:
John E. Slike
Supreme Court I.D. No.: 6262
Name of Law Firm: Saidis, Flower & Lindsay
Address: 2109 Market Street, Camp Hill, P A 17011
Telephone: 717-737-3405
Fax: 717-737-3407
Form OC-02 rev 10.13.06
Page 1 of! 0
ADDENDUM TO PETITION
Attached to the accounting of this Trust is the accounting ofPNC Bank, National
Association and John E. Slike, Executors of the Decedent's Estate. The Estate and Trust
were administered in conjunction with each other. Estate assets were limited and funds
were advanced from the Trust to the Estate to pay necessary expenses and taxes.
The beneficiaries of the Trust are identified in name and amount as those in the
Estate and it is proposed that the distributions to the beneficiaries will be made form the
Trust as the only funds remaining in the State are monomial and were refunded to the
Trust.
Name of Trust: Trust Agreement of Dorothy K. Kaufman Settlor dated 5/30/85 as Amended
1. Name(s) and addressees) ofPetitioner(s):
Petitioner:
Petitioner:
Name:
PNC Bank, N.A.
Linda Lundberg, Vice President
Address:
4242 Carlisle Pike
Camp Hill, PA 17011
2. Check if any of the following issues are involved in this case:
A. Appointment of Trustee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " 0
B. Interpretation ................................................... 0
C. Discharge of Trustee ............................................. 0
D. Transfer of Situs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 0
E. Appointment of Ad Litem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 0
F. Minor, Unborn or Unascertained Beneficiary(ies) ...................... 0
G. Principal Distribution. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 0
H. Partial/Full Termination of Trust . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 0
1. Missing Beneficiary(ies) .......................................... 0
J. Cy Pres. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 0
K. Williamson Issue* ............................................... IZ]
L. Other Issues .................................................... 0
List:
Please note:
A detailed explanation of issues checked should be set forth at item 13 below.
* See Williamson Estate, 368 Pa. 343, 82 A.2d 49 (1951), if Trustee was also Executor of the settlor/decedent's estate and
received commissions in such capacity.
Form OC-02 rev 10.13.06
Page 2 of 10
Name of Trust: Trust Agreement of Dorothy K. Kaufman Settlor dated 5/30/85 as Amended
3. Testamentarv Trust:
Decedent's date of death:
Date of Decedent's Will:
Date(s) ofCodicil(s):
Date of probate:
or
Inter Vivos Trust:
Date of Trust: May 30, 1985
Date(s) of Amendment(s): November 2,2005
4. A. If any other Court has taken jurisdiction of any matter relating to this Trust, explain:
N/A
B. Identify all prior accountings and provide dates of adjudication.
N/A
5. A. State how each Trustee was appointed:
Trust instrument executed May 2, 1985.
B. If a Petitioner is not a Trustee, explain:
Form OC-02 rev 10.13.06
Page 3 of 10
Name of Trust: Trust Agreement of Dorothy K. Kaufinan Settlor dated 5/30/85 as Amended
6. State how and when the present fund was awarded to Trustee(s):
Settlor transferred the funds to Trustee from time to time.
7. Period covered by accounting: May 14,2006
to July 12, 2007
8. Current fair market value of the Trust principal is $ 81,767.99
9 of Account.)
. (See page
9. State concisely the dispositive provisions of the Trust:
The dispositive provisions divided the residue among nine (9) beneficiaries per the
Trust Agreement and the provisions in decedent's will. (See schedule attached.)
10. Explain the reason for filing this Account (if filed because of the death ofa party, state
name of person, relationship to Trust and date of death):
Dorothy D. Kaufman, Settlor and lifetime beneficiary died May 14,2006.
Form OC-02 rev 10.13.06
Page 4 of 10
Name of Trust: Trust Agreement of Dorothy K. Kaufinan Settlor dated 5/30/85 as Amended
11. State why a Petition for Guardian/Trustee Ad Litem has or has not been filed for this
Audit (see Pa. a.c. Rule 12.4):
N/A
12. A. State the amount of Pennsylvania Transfer Inheritance Tax and Pennsylvania Estate
Tax paid (including postponed tax on remainder interests), the dates of payment and
the interests upon which such amounts were paid:
Date
Payment
Interest
August 11, 2006
30,400.00
February 6, 2007
33.03
B. If any such taxes remain unpaid or are in dispute, explain:
None.
13. Describe any questions requiring Adjudication and state the position ofPetitioner(s) and
give details of any issues identified in item 2:
PNC Bank continued to charge its standard fees for the trust administration during the
period of accounting and a supplemental fee for acting as Co-Executor in the
administration of the Estate in the amount of $4,000.00. The Trust amount at the time of
death was $322,707.81 and the Trust and Estate were administered together.
Form OC-02 rev 10.13.06
Page 5 of 10
Name of Trust: Trust Agreement of Dorothy K. Kaufinan Settlor dated 5/30/85 as Amended
14. Written notice of the Audit as required by Pa. a.c. Rules 6.3, 6.7 and 6.8 has been or will
be given to all parties in interest listed in item 15 below. In addition, notice of any
questions requiring Adjudication as discussed in item 13 above has been or will be given
to all persons affected thereby.
A. If Notice has been given, attach a copy of the Notice as well as a list of the names
and addresses of the parties receiving such notice.
B. If Notice is yet to be given, a copy of the Notice as well as a list of the names and
addresses of the parties receiving such Notice shall be submitted at the Audit
together with a statement executed by Petitioner(s) or counsel certifying that such
Notice has been given.
C. If any such party in interest is not sui juris (e.g., minors or incapacitated persons),
Notice of the Audit has been or will be given to the appropriate representative on
such party's behalf as required by Pa. a.c. Rule 5.2.
D. If any charitable interest is involved, Notice of the Audit has been or will also be
given to the Attorney General as required under Pa. a.c. Rule 5.5. In addition,
the Attorney General's clearance certificate (or proof of service of Notice and a
copy of such Notice) must be submitted herewith or at the Audit.
15. List all parties of whom Petitioner(s) haslhave notice or knowledge, having or claiming
any interest in the Trust, whether such interest is vested or contingent, charitable or
non-charitable. This list shall:
A. State each party's relationship to the Settlor/Decedent and the nature of each
party's interest(s);
Name and Address of Each Partv in Interest
Relationshiv and Comments, if anv
Interest
Donald Koppenheffer
3511 Walnut Street, Apt. #3
Camp Hill, PA 17011
Decedent's niece's
husband.
Thirty percent
(30%)
Bette L. Grant
816 South 2l6th Street #236
Desmoines, W A 98198
Decedent's niece.
Twenty-two and
one-half percent
(22 1/2%)
Form DC-02 rev 10.13.06
Page 6 of 10
Name of Trust: Trust Agreement of Dorothy K. Kaufinan Settlor dated 5/30/85 as Amended
Name and Address of Each Partv in Interest
Relationshiv and Comments, if anv
Interest
Jeffrey M. Grant
2459 SW 172nd Street
Burien, W A 98166
Decedent's
grandnephew
Twenty-two and
one-half percent
(22 1/2%)
See attached listing for
remainder of beneficiaries.
B. Identify each party who is not sui juris (e.g., minors or incapacitated persons).
For each such party, give date of birth, the name of each Guardian and how each
Guardian was appointed. If no Guardian has been appointed, identify the next of
kin of such party, giving the name, address and relationship of each; and
N/A
C. If distribution is to be made to the personal representative of a deceased party,
state date of death, date and place of grant of Letters and type of Letters granted.
N/A
16. IfPetitioner(s) has/have knowledge that a Trust share has been assigned or attached,
provide a copy of the assignment or attachment, together with any relevant supporting
documentation.
17. If a trustee's principal commission is claimed:
A. If based on a written agreement, attach a copy thereof.
Form OC-02 rev 10.13.06
Page 7 of 10
Name of Trust: Trust Agreement of Dorothy K. Kaufman Settlor dated 5/30/85 as Amended
B. If a principal commission is claimed, state amount.
Fees were paid to Trustee totaling $2,209.73 from May 23,2006 through June 21,
2007 based on a percentage of principal market value. Also, a fee of $4,000 is
claimed as Co-Executor of the Decedent's Estate.
C. If a principal commission is claimed, state the amounts and dates of any principal
commissions previously paid in prior accounting periods.
Amount
Date Paid
18. If a reserve is requested, state amount and purpose.
Amount:
2,000.00
Purpose: For income taxes.
If a reserve is requested for counsel fees, has notice of the
amount of fees to be paid from the reserve been given to the
parties in interest? ........................................ D Yes DNo
If so, attach a copy of the notice.
19. Is the Court being asked to direct
the filing ofa Schedule of Distribution? .......................... IZJYes DNo
Form OC-02 rev 10.13.06
Page 8 of 10
Name of Trust: Trust Agreement of Dorothy K. Kaufman Settlor dated 5/30/85 as Amended
Wherefore, your Petitioner(s) ask(s) that distribution be awarded to the parties entitled
and suggest(s) that the distributive shares of income and principal (residuary shares being stated
in proportions, not amounts) are as follows:
A. Income:
Proposed Distributee(s)
Amount/Proportion
B. Principal:
Proposed Distributee(s)
Amount/Proportion
See schedule attached.
Submitted By:
(All petitioners must sign.
Add additional lines ifnecessary):
Name of Petitioner: PNC Bank, N.A.
~"'(~~
Name ofPetitione .
ice President
Form OC-02 rev 10.13.06
Page 9 of 10
Name of Trust: Trust Agreement of Dorothy K. Kaufman Settlor dated 5/30/85 as Amended
Verification of Petitioner
(Verification must be by at least one petitioner.)
The undersigned hereby verifies * [that he/she she
of the above-named name of corporation PNC Bank, N. A.
is title Vice President
and] that the facts set
forth in the foregoing Petition for Adjudication / Statement of Proposed Distribution which are
within the personal knowledge of the Petitioner are true, and as to facts based on the information
of others, the Petitioner, after diligent inquiry, believes them to be true; and that any false
statements herein are made subject to the penalties of 18 Pa. C.S. S 4904 (relating to unsworn
falsification to authorities).
~p~
* Corporate petitioners must complete bracketed information.
Certification of Counsel
The undersigned counsel hereby certifies that the foregoing Petition for Adjudication /
Statement of Proposed Distribution is a true and accurate reproduction of the form Petition
authorized by the Supreme Court, and that no changes to the form have been made beyond the
responses herein.
Signature of Counsel for Petitioner
Form DC-02 rev 10.13.06
Page 10 of 10
TRUST UNDER DEED OF DOROTHY D. KAUFMAN
15. A Continued
Name & Address of Interested Parties Relationshio and Comments, if any Interest
Messiah Village Three and seventy-five one
100 Mt. Allen Drive Charity hundreds percent
Mechanicsburg, PA 17055 (3.75%)
The Salvation Army Three and seventy-five one
P. O. Box 205 Charity hundreds percent
Harrisburg, P A 17105 (3.75%)
Zion Lutheran Church Six and twenty-five one
15 South Fourth Street Charity hundreds percent
Harrisburg, PA 17101-2202 (6.25%)
Sooners Hospitals for Three and seventy-five one
Children Charity hundreds percent
P. O. Box 31356 (3.75%)
Tampa, FL 33631-3356
Bethesda Mission Three and seventy-five one
P. O. Box 3041 Charity hundreds percent
Harrisburg, P A 171 05 (3.75%)
American Red Cross of the Three and seventy-five one
Susquehanna Valley Charity hundreds percent
P. O. Box 5740 (3.75%)
Harrisburg, PAl 711 0-0740