HomeMy WebLinkAbout02-1113PETITION FOR PROBATE and GRANT OF LETTERS
Estate of Joseph W. Caveny No. 02 / _ O ~ _ ~ J ~ 3
Social Security No. 159-16-0733
To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania.
The Petition of the undersigned respectfully represents that:
Your Petitioner is 18 years of age or older and is the Executor named in Paragraph 9 of the
last Will of the above decedent, dated October 12, 1995.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last address
at Manor Health Care Services, 1700 Market Street, Camp Hill, PA 17011. This is in the Borough
of Camp Hill, Cumberland County, PA.
Decedent, then 93 years of age, died December 4, 2002, at Manor Health Care Services,
1700 Market Street, Camp Hill, PA. Decedent did not marry, was not divorced and did not have
a child born or adopted after execution of the Will offered for probate, was not the victim of a
killing, and was never adjudicated incompetent.
Decedent at death owned property with estimated values as follows:
1. All personal property $ 910,000.00
2. Value of real estate in Pennsylvania None
WHEREFORE, petitioner respectfully requests the probate of the last will presented herewith
and the grant of letters testamentary thereon.
~~~~~
G. Cober
310 Somerset Drive
Shiremanstown, PA 17011
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA:
SS
COUNTY OF CUMBERLAND
Petitioner, John G. Cober, swears or affirms that the statements in the foregoing petition are
1--~ /
true and correct to the best of his knowledge and belief and that as personal representative of Joseph
W. Caveny, deceased, petitioner will well and truly administer the estate according to law.
Sworn to or affirmed before me,
this q +h day of December, 2002
C. ~ 5 / /
%% John G. Cober
ter
~~ C'~
2.
No. o2~-da.-~~~~
Estate of Joseph W. Caveny, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW December q +h , 2002, in consideration of the petition set forth on the two
preceding pages, satisfactory proof having been presented before me,
IT IS DECREED that the instrument dated October 12, 1995, described therein be admitted
to probate and filed of record as the last will of Joseph W. Caveny, deceased, and Letters
Testamentary are hereby granted to John G. Cober, Executor.
Register o~Wills
FEES
Probate, Letters, Etc.
Short Certificates (15)
Renmiei~ien ~~. ,~~
Other
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TOTAL
Filed: ja -c~ _ 0,2~
$~ I .r5 O Attorney: S. Berne Smith
Sup. Ct. I.D. No: 07254
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107 N. 24th Street
$ D Camp Hill, PA 17011-3602
$~p . n~> Phone: 717-737-6789
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;ey. z.~e7 COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
NAME OF DECEDENT (F~rst. Mttldte. Last SE% SGCIAL SECURITY NUMBER DATE OF DEATH tMCnm. Day. 'reap
,. Joseph W. Caveny 2. Male 3. 159 - 16 - 0733 e•December 4, 2002
AGE (Last B~rtnday) UNDER t YEAR UNDER, OAY DATE OF BIRTH BIyTTHPLACE ;C.ty era PLACE OF DEATH ICnecx only one -- ,ee msuuclxlns nn wha~ spel
Monma r Daya Houra . Minutes !Monet. Oay. 'reed Stareafcre~gnCwnuyl HOSPITAL: OTHER:
93 Yn. 9-13-09 Altoona, PA mpatNM^ ER70utpaneM U DOAC """"~ OIMr
Home ~ ResWenu ^ iSpeoN1 ^
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• COUNTY OF DErUH CITY, BORO. TWP OF DEATH FACILfTV NAME In n« ~nsptunon. give sueal and numbers WAS DECEDENT OF HISPANIC ORIGIN? RACE. Amsrtcan Indian, 04ck, Wh%e. stc.
No~ Ire. ^ II y«
spectN Cuban (SpecMl
Cumberland
• E. Pennsboro 'Itvp ManorCare Health Services .
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Mexican. Puerto Rion, ac. White
eb. ee. ed. 9. 10.
DECEDENT'S USUAL OCCUPQION KIND OF BUSINESS/INDUSTRY VMS DECEDENT EVER IN DECEDENT'S EDUCATION MARITAL STATUS. Marrwd SURVIVING SPOUSE
(Give tuntld work tlona dwelt most U. S. ARMED FORCE57 S ~ onl ni esl rada con. lend Newr Marr~stl. Widowed, (n w.te. give maven Hamel
of working aN; do nd use rduedl
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FATHER'S NAME (First, Mwde. Last) MOTHER'S NAME iFnsl. Mx7dle. Maiden Swnamel Frances Keller
to William Oscar Caveny
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INFORMANT'S NAME(TypaPrinl) INFO S (LING AODRE SI eet.GN Stets Zt Cotlel
PA 17011
ireSnanstown
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:a John Cober ,
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METHOD OF gSPOS1TK)N DATE OF DISPOSITION PUCE OF DISPOSITION. Name of Cemetery, Crematory LOCATION - CiN/TOwn, State, Zq Code
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' SIGNATURE OF FUNERAL S VICE LICE OR ACTING AS SUCH LICENSE NUMB
~~ NAME ANO ADDRESS OF FACILITY
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Compbu aems 23a<onN Mn ceniying To tM Dest of my krowNtlgs, death occurred at me bete, dale and place Hated LICENSE NUMBER DATE SMaNED
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COMPLETION OF CAUSE
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CERTIFIER (Check Dory onel SIGNATU TITLE OF CERTIFI '
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TolMbestolmYknowledge, death occurred due to the cause(s) erW manMfaa elated ........................ ........................ 3, ~ ~
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WILL
OF
JOSEPH W. CAVENY
a~-o~- 113
I, Joseph W. Caveny of Camp Hill, Cumberland County, Pennsylvania, declare this to be
my will and hereby revoke all prior wills and codicils made by me.
Personal I bequeath to my two nieces, BECKY FOREMAN STONER and
DOROTHY BOLLINGER ZIEGLER, provided they or either of them survives me, all the
contents of my residence, of whatever nature, except property used for the production of income,
including without limitation furniture, furnishings, clothing, jewelry, objects of art and decoration,
and the like, together with the insurance thereon, to be divided by them as they may decide. If
they cannot agree on the divisions, then my executor(s) shall make the division, and may sell any
items passing hereunder and distribute the proceeds.
2. Other Specific Bequests. I make the following other specific bequests, provided
that the individuals named do not predecease me:
a. To WEST SHORE LODGE NO. 681, F. & A. M. of Camp Hill, Pennsyl-
vania, the sum of Ten Thousand Dollars ($10,000.00).
b. To the MASONIC HOMES at Elizabethtown, Pennsylvania, the sum of
Ten Thousand Dollars ($10,000.00).
To my nephew, WALTER GLENN BROWN, the sum of Fifty Thousand
Dollars ($50,000.00).
d. To BECKY FOREMAN- STONER, the sum of Ten Thousand Dollars
($10,000.00).
e. To DOROTHY BOLLINGER ZIEGLER, the sum of Ten Thousand
Dollars ($10,000.00).
£ To CHARLENE STONER MADE, the sum of Ten Thousand Dollars
($10,000.00).
g. To KATHY STONER McLAUGHLIN, the sum of Ten Thousand Dollars
($10,000.00).
h. To SUZANNE CAVENY HUNTER, the sum of Ten Thousand Dollars
($10,000.00).
i. To MILDRED HEELER BUTLER, the sum of Ten Thousand Dollars
($10,000.00).
j. To SHIRLEY SOYSTER WHEELER, the sum of Ten Thousand Dollars
($10,000.00).
k. To PATTY SOYSTER HOMMEL, the sum of Ten Thousand Dollars
($10,000.00).
3. Residue. I bequeath, devise, and appoint all the rest of my property, of whatever
nature and wherever situated, including property over which I hold a power of appointment, to the
CAMP HILL PRESBYTERIAN CHURCH located at 101 North Twenty Third Street, Camp Hill,
Pennsylvania. I and my late wife, Mary, had a very long and loving relationship with our Church
2
over the decades, and for many years I was the Treasurer of the Church. Therefore, I leave this
residuary bequest to my Church in glory to God and my Savior, Jesus Christ, His Son.
4. Survival. If any beneficiary should die within sixty (60) days after me, then he
shall be deemed to have predeceased me for all purposes of this will.
5. Spendthrift Clause. No interest of any beneficiary hereunder shall be subject to
anticipation, pledge, assignment, sale or transfer in any manner, nor shall any beneficiary have
power in any manner to charge or encumber his interest, nor shall the interest of any beneficiary
be liable or subject in any manner while in the possession of my fiduciaries for any liability of
such beneficiary, whether such liability arises from his debts, contracts, torts, or other engage-
ments of any type.
6. Facility of Payment for Minors or Incompetents. Any amounts or assets which are
payable or distributable to a minor or incompetent hereunder may, at the discretion of my fiduci-
aries, be paid or distributed to the parent or guardian of such minor or incompetent, to the person
with whom such minor or incompetent resides, or directly to such minor or incompetent, or may
be applied for the use or benefit of such minor or incompetent.
7. Powers. In addition to such other powers and duties as may be granted elsewhere
herein or which may be granted by law, my fiduciaries hereunder shall have the following powers
and duties, without the necessity of notice to or consent of any court:
(a) To retain all or any part of my property, real or personal, in the
form in which it may be held at the time of its receipt, including any closely held
business in which I have an interest and the stock of any corporate fiduciary
hereunder, as long as in the exercise of their discretion it may be advisable so to
do, notwithstanding that said property may not be of a character authorized by law.
(b) To invest and reinvest any funds held hereunder in any property,
real or personal, including, but not by way of limitation, bonds, preferred stocks,
common stocks and other securities of domestic or foreign corporations or invest-
ment trusts, mortgages or mortgage participations, mutual funds with or without
sales or redemption charges, and common trust funds, even though such property
would not be considered appropriate or legal for a fiduciary apart from this
provision.
(c) To sell, convey, exchange, partition, give options to buy or lease
upon, or otherwise dispose of any property, real or personal, at the time held by
them, at public or private sale or otherwise, for cash or other consideration or on
credit, and upon such terms and for such price as they may determine, and to
convey such property free of all trusts.
(d) To borrow money ftom any person, including any fiduciary here-
under, for any purpose in connection with the administration hereof, to execute
promissory notes or other obligations for amounts so borrowed, to secure the
payments of such amounts by mortgages or pledges of any property, real or
personal, which may be held hereunder.
(e) To make loans, secured or unsecured, in such amounts, upon such
terms, at such rates of interest, and to such persons, firms, or corporations as they
may deem advisable.
(f) To renew or extend the time for payment of any obligation, secured
or unsecured, payable to or by them as fiduciaries, for as long a period or periods
of time and on such terms, as they may determine, and to adjust, settle, and
arbitrate claims or demands in favor of or against them.
(g) In dividing or distributing any property, real or personal, included
herein, to divide or distribute in cash, in kind, or partly in cash and partly in kind.
(h) Without limitation of powers elsewhere granted therein, to hold,
manage and develop any real estate which may be held by them at any time, to
mortgage any such property in such amounts and on such terms as they may deem
advisable, to lease any such property for such term or terms and upon such
conditions and rentals as they may deem advisable, whether or not the term of any
such lease shall exceed the period permitted by law or the probable period of
retention under this instrument; to make repairs, replacements and improvements,
structural or otherwise, in connection with any such property, to abandon any such
property which they may deem to be worthless or not of sufficient value to warrant
keeping or protecting, and to permit any such property to be lost by tax sale or any
other proceedings.
5
(i) To employ such brokers, banks, custodians, investment counsel,
attorneys, and other agents, and to delegate to them such duties, rights and powers
as they may determine, and for such periods as they think fit.
(j) To register any securities at any time in their own names, in their
names as fiduciary, or in the names of nominees, with or without indicating the
trust character of the securities so registered.
(k) With respect to any securities forming a part of the trust, to vote
upon any proposition or election at any meeting of the corporation issuing such
securities, and to grant proxies, discretionary or otherwise, to vote at any such
meeting; to join or become a parry to any reorganization, readjustment, merger,
voting trust, consolidation or exchange, and to deposit any such securities with any
committee, depository, trustee or otherwise, and to pay out of the assets held
hereunder, any fees, expenses and assessments incurred in connection therewith, to
exercise conversion, subscription or other rights, and to receive or hold any new
securities issued as a result of any such reorganization, readjustment, merger,
voting trust, consolidation, exchange or exercise of conversion, subscription or
other rights and generally to take all action with respect to any such securities as
could be taken by the absolute owner thereof.
(1) To engage in sales, leases, loans, and other transactions with the
estate of my wife or any trust established by either of us, even if they are fiducia-
ries or beneficiaries thereof.
(m) To exercise all elections which they may have with respect to
income, gift, estate, inheritance and other taxes, including without limitation
execution of joint income tax returns, election to deduct expenses in computing
one tax or another, election to split gifts, and election to pay or to defer payment of
any tax, in all events without their being bound to require contribution from any
other person.
(n) To operate, own, or develop any business or property held here-
under in any form, including without limitation sole proprietorship, limited or
general partnership, corporation, association, tenancy in common, condominium,
or any other, whether or not they have restricted or no management rights, as they
in their discretion think best.
8. Taxes. I direct that all estate, inheritance, and succession taxes that may be
assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed,
other than generation-skipping taxes, shall be paid out of the principal of my general estate to the
same effect as if said taxes were expenses of administration, except that any such additional taxes
(and interest and penalties thereon) imposed on account of my interest in or power over any trust
established by my wife shall be paid out of the property held in such trust, and all other property
includible in my taxable estate for federal or state tax purposes, whether or not passing under this
will, shall be free and clear thereof; provided, however, that my executor(s) may in the discretion
of my executor(s) request that any portion or all of said taxes (to be paid out of the principal of
my general estate) shall instead be paid out of the principal of any trust established by me, to the
extent expressly authorized under the terms of said trust.
9. Fiduciaries. I appoint as executor hereunder my long time friend, JOHN G.
COBER, 310 Somerset Drive, Shiremanstown, Pennsylvania. If JOHN G. COBER should be
unable or unwilling to serve or to complete the administration of my estate, then I appoint PNC
BANK, NA OF SOUTH CENTRAL PENNSYLVANIA to serve in his place. No individual
fiduciary shall be liable for the acts, omissions or defaults of any agent appointed and retained
with due care or of any co-fiduciary. No fiduciary named herein shall be required to furnish bond
or other security for the proper performance of his duties hereunder.
10. Gender. Unless the context indicates otherwise, any use of masculine gender
herein shall also include the feminine gender.
IN WITNESS WHEREOF, I, JOSEPH W. CAVENY, herewith set my hand to this, my
last Will, typewritten on nine (9) sheets of paper including the self-proving attestation clause
and signatures of witnesses, this /Z `day of October, 1995.
., ~~,.,~
~ ' ~
~~~ ~1 °'` --(SEAL)
-- ~=- --~-------------1--1-------~
' JOSEPH W. CAVNEY
Witnessed:
r'r~`.~~fL,e~,,_ ~~c~~~^~ residing at ,~s/~/l~~ ~/C l ~~
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~/ k~~z-~--~,.=~~~~~~.~~,K residing at ~`:~~=`,~;~ti~,c°~ f~ ~ ~2 ~- /-'~
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residing at .~Eei//~i/,c~r~u~~_;r~
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS:
JOSEPH W. CAVENY, (the testator), /"i`1 T~cc(.A ~`~ ! N k lc
S%~il/ AKA L t/ryGG NLC'K-E2 and ~`Ui~~v /~~ S~ryKG~ ~c ~ + -S~ (the witnesses), whose
names are signed to the foregoing instrument, being first duly sworn, each hereby declares to the
undersigned authority that the testator signed and executed the instrument as his last will in the
presence of the witnesses and that he had signed willingly, and that he executed it as his free and
voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence
and hearing of the testator, signed the will as witness and that to the best of his knowledge the
testator was at that time eighteen years of age or older, of sound mind and under no constraint or
undue influence.
WITNESS:
TESTATOR:
EPH W. CAVENY --
WITNESS:
WITNESS:
Subscribed, sworn to and acknowledged before me by JOSEPH W. CAVENY, the testator, and
subscribed and sworn to before me by ~~ t i~{ ~ ~,~ ~~ ~ ~~ I
S/iNDna L,un~GEiy~~K~~- ,and S~ ~ /i- /jcv~cn,'tc't~-~~ ,the witnesses, this
{h
day of October, 1995.
Notary Public
(SEAL)
9 NOTARIAL SEAL
MARIE A. FORTIN, PEat,~ry Public
Camp Hill, Cumberlartc! Co.
M Commission Expir?5 P~la~ 6, 19J7
CERTIFICATION OF NOTICE UNDER RULE 5.6 a
Name of Decedent: Joseph W. Caveny
Date of Death: December 4, 2002
File No. 2002-01113 PA File
Nl~~~°="~'t"~S
To the Register of Wills of Cumberland County, PA:
I certify that notice of beneficial interest required by Rule 5.6 (a) of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
January 3, 2003:
Name Address
Mr. Mark Pacella, Chief
Becky Foreman Stoner
Dorothy Bollinger Ziegler
Mildred Heller Butler, Deceased
Kathleen (Kathy) Stoner McLaughlin
Kathleen Stoner Milans
Charlene Stoner Maue, Deceased
Walter Glenn Brown, Deceased
Suzanne Caveny Hunter
Shirley Soyster Wheeler
Patty Soyster Hommel
Charitable Trust and Organization Division
Attorney General's Office
1400 Strawberry Square
Harrisburg, PA 17120
80 Cobblestone Drive
Wedowee, AL 36278
C/o Al Ziegler
1100 Edmonds Avenue
Drexel Hill, PA 19026-2615
C/o Mr. Rett G. Butler
5407 Montrose Ave.
Altoona, PA 16602
200 Broadhurst Drive Apt. 8
Wilmore, KY 40390
C/o Kathleen Stoner Milans
200 Broadhurst Drive Apt. 8
Wilmore, KY 40390
C/o William G. Henne, Executor
2906 Harvard Ave.
Camp Hill, PA 17011
1308 Pasadena Ave. South
South Pasadena, FL 33707
Box 134
Pine Grove Mills, PA 16868
712 N. 10th Street
Selinsgrove, PA 17870
Camp Hill Presbyterian Church
West Shore Lodge No. 681, F.&A.M.
MASONIC HOMES
C/o E. Thomas Kuhn, Treasurer
101 N. 23rd Street
Camp Hill, PA 17011
2215 Market Street
Camp Hill, PA 17011
C/o Administrator
One Masonic Drive
Elizabethtown, PA 17022-2199
Notice has now been given to all persons entitled under Rule 5.6 (a) except: None.
Date: January 3, 2003.
Signature:
Name:
Address:
Telephone:
Capacity:
S. Berne Smith
107 N. 24th Street
Camp Hill, PA 17011-3602
717-737-6789
Personal Representative
X Counsel for Personal Representative
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280607
HARRISBURG, PA 17128-0601
RECEIVED FROM:
REV-1162 EX(11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 002226
SMITH S BERNE ESQ
107 N 24TH ST
CAMP HILL, PA 1 701 1-3602
fold
ESTATE INFORMATION:
FILE NUMBER:
DECEDENT NAME;
DATE OF PAYMENT:
POSTMARK DATE:
COUNTY:
DATE OF DEATH:
SSN: 159-16-0733
2102-1113
CAVENY JOSEPH W
02/26/2003
02/25/2003
CUMBERLAND
12/04/2002
REMARKS: S BERNE SMITH
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
S 8, 000.00
TOTAL AMOUNT PAID:
CHECK#2017
INITIALS: AC
SEAL RECEIVED BY:
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
REV-1162 EX111-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 002887
SMITH S BERNE ESQ
107 N 24TH ST
CAMP HILL, PA 1 701 1-3602
fold
ESTATE INFORMATION:
FILE NUMBER:
DECEDENT NAME:
DATE OF PAYMENT:
POSTMARK DATE:
COUNTY:
DATE OF DEATH:
SSN: 159-16-0733
2102-1113
CAVENY JOSEPH W
08/11/2003
00/00/0000
CUMBERLAND
12/04/2002
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
52,078.95
TOTAL AMOUNT PAID:
REMARKS: JOHN C COBER C/O
S BERNE SMITH ESQUIRE
CHECK# 2024
INITIALS: VZ
SEAL RECEIVED BY:
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
l l-lOl-~
BUREAU OF INDIVIDUAL TAXES COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX DIVISION DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, Pa l~lza-obol NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
REV-1547 EX AFP (01-03)
DATE 09-29-2003
ESTATE OF CAVENY JOSEPH W
DATE OF DEATH 12-04-2002
FILE NUMBER 21 02-1113
JOHN G COBER - -. `_' COUNTY CUMBERLAND
WAGGONER ETAL ACN 101
310 SOMERSET DR Amount Remitted
SHIREMANSTOWN PA 17Q11
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CUT ALONG THIS LINE ~ CARLISLE, PA 17013
-------------- _ RETAIN LOWER PORTION FOR YOUR RECORDS
-------------------
REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CAVENY JOSEPH W FILE N0. 21 02-1113
ACN 101 DATE 09-29-2003
TAX RETURN WAS: (X) ACCEPTED AS FILED ( )CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B) (1) .00 NOTE: To insure
(2) 785,698 49 credit to proper
3. Closely Held Stock/Partnership Interest (Schedule C) Your account,
4. Mortgages/Notes Receivable (Schedule D) (3) .00 submit the u
pper portion
your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 294,690.05 tax this fore with
6. Jointly Owned Property (Schedule F) Payment.
7. Transfers (Schedule G) (6) .00
8. Totai Assets (~) 297,684 00
APPROVED DEDUCTIONS AND EXEMPTIONS: (8) 1,378,072.54
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 52,904.34
10. Debts/Mortgage Liabilities/Liens (Schedule Il
11. Total Deductions (10 ) 8 , 894 28
12 • Net Value of Tax Return (11) 61 _7 g g 6
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 1,246,273.92
14. Net Value of Estate Subject to Tax
NOTE: if an assessment was issued c14) 70,000.00
reflect figures that includepthe3total~oflALL returnsaassessed~to7date,and 19 will
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate (15) .00 X 00 = .00
17. Amount of Line 14 at Sibling rate (16) . 00 x 045 = . 00
18 . Amount of Line 14 taxable at Collateral/Class B rate (18) 7 0 , 0 0 0 . 0 0 X 15 = 10 5 0 0 . 0 0
19. Principal Tax Due ,
TAX CREDITS' (19)= 10,500.00
DATE "' uia~uunr [+)
NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
02-25-2003 CD002226
08-11-2003 CD002887 421.05 8,000.00
.00 2,078.95
TOTAL TAX CREDIT 10,500.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS TNAN 31, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A ''CREDIT'' (CR), YOU MAY BE DUE
A REFUND. SEE REVFrtsr: ernr ..~ ~..~,. _____ _
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
1l-I01-i
REV -1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFCIAL USE ONLY
~
EV-1500EX(6-00)
FILE NUMBER
21
- 2002 ~l1L _ _
YEAR NUMBER
COUNlY CODE
I-
Z
W
C
w
lil
c
DECEDENTS NAME (lAST, FIRST, AND MIDDLE INITIAL)
Caveny, Joseph W
DATE OF DEATH (MM-DO-YEAR) DATE OF BIRTH (MM-DD-YEAR)
12/04/2002 11/19/1907
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
SOCIAL SECURITY NUMBER
159-16-0733
THIS RETURN MUST BE FILED IN DU!)L.ICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURnY NUMBER
W
I-
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u"'"
wc.u
,,00
U"'-'
C.1Il
C.
'"
[XI 1.
D4
[XI 6
D9
limited Estate
Original Return
D 2. Supplemental Retum D 3. Remainder Retum (date old8ath prior to 12-13-82j
D 4a. Future Interest Compromise (date of death after 12-12-82) CXJ 5. Federal Estate Tax Return Required
D 7. Decedent Maintained a Living Trust (Attach copy of Trust) -9... 8. Total Number of Safe Deposit Boxes
D 10. Spousal PovertyCredtt l~ate Qr~uth Detween 12_31_91 and 1-1-95) D 11. Election to tax under Sec. 9113(A) (AttllchSQ!1 0)
Decedent Died Testate (Attach copy of Will)
Litigation Proceeds Received
I-
Z
W
o
z
o
c.
UI
w
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'"
8
THIS SECTION MUST BE COMPLETED, ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPLE1E MAILING ADDRESS
John G Cober
FIRM NAME (If Applicable)
Waggoner Frutiger & Daub
1ELEPHONE NUMBER
717/506-1222
310 Somerset Drive
Shiremanstown, PA 17011
o,o~
. ,
785,698,49"
0.00
0.00
294,690,05
0.00
OFFlClAl USE ONLY
d "r.
IN
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4. Mortgages & Notes Receivable (SChedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E) (5)
Z 6. JO Owned Property (Schedule F) (6)
0
i= Separate Billing Requested
:S 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
::l (Schedule G or L)
I-
0:: 8. Total Gross Assets (tola! Lines 1-7)
<(
U
W 9. Funeral Expenses & Administrative Costs (Schedule H) (9)
0::
10. Debts of Decedent, Mortgage Liabilities. & Liens (5d1edule I) (10)
11. Total Deductions (total Lines 9 & 10)
G",
C".)
,'_>.:1
297,684,00
<Ji
1,378,072,54
(8)
52,904,34
8,894,28
(13)
61,798,62
1,316,273,92
1,246,273,92
(11)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmenta! Bequests/See 91 13 Trusts for Vv'hich an election to tax has not been
made (Schedule J)
(12)
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SlOE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax 0,00
z rate, or transfers under Sec. 9116 (a)(1.2)
0
>= 16. Amount of Line 14 taxable at lineal rate 0,00
'"
I-
::> 0,00
c. 17. Amount of Line 14 taxable at sibling rate
:l;
0 70,000,00
U 18. Amount of Line 14 taxable at collateral rate
><
fO 19. Tax Due
(14)
70,000,00
(19)
0,00
0,00
0,00
10,500,00
10,500.00
x.OO_(15)
x .045--- (16)
x .12
(17)
x .15
(18)
20.
D
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE ANO RECHECK MATH < <
2W46451.000
t Add
Decedent's Comole e ress:
SlREET ADDRESS
209 South 24th Street
CITY I STATE I ZlP
CamD Hill PA 17011
Yes
[Xl
[Xl
D
[Xl
D
D
contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D IZJ
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of perjury, I declare that I hilve examined this return, including accompanying schedules end stllsmants, and to the best of my knowledge and belief, it is true, COlTllct
and complete.
Deela lion of preparer other than the personal representative is based on all information of whiCh preparer has any krlowledge
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
0.00
8,000.00
421. 05
Total Credits (A + 8 + C) (2)
3. Interest/Penalty if applicable
D. Interest
E. Penalty
0.00
0.00
TotallnterestlPena~y (D + E) (3)
4. If Line 2 is greater than line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
(4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
(5)
A. Enter the interest on the tax due.
(SA)
8. Enter the total of Line 5 + SA.
(58)
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred;. . . . . . . . . . . . . . .
b. retain the right to designate who shall use the property transferred or its income; .
c. retain a reversionary interest; or .......... . . . . . . . . . . . . . .
d. receive the promise for life of either payments, benefits or care? . . . . . . . . .
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
&?
ADORES
10,500.00
8,421.05
0.00
2,078.95
0.00
2,078.95
No
D
D
[Z]
D
IX]
IX]
DATE
g1 ~o3
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3%
[72 P.S. ~ 9916 (a) (1.1)(i)]
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S, ~ 9116 (a) (1.1) (lil]
The statute does not exempt a transfer to a surviVIng spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even jf
the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or forthe use of a natural parent, an adoptive parent,
or a stepparent of the child is 0% [72 P.S. ~ 9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's Jineal beneficlaries is 4.5%, except as noted in 72 P.S. [3 9116(1.2) [72 P.S. ~ 9116(a)(1)]
,
The tax rate imposed on the net value of transfers to orforthe use of the decedent's siblings is 12% {72 P.S. S 9116{a)(1.3}]. A Sibling is defined, under Sedion 9102, as an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
/46461.000
WILL
ill:
JOSEPH W. CA VENY
I, Joseph W. Caveny of Camp Hill, Cumberland County, Pennsylvania, declare this to be
my will and hereby revoke all prior wills and codicils made by me.
I. Personalty. I bequeath to my two nieces, BECKY FOREMAN STONER and
DOROTHY BOLLINGER ZIEGLER, provided they or either of them survives me, all the
contents of my residence, of whatever nature, except property used for the production of income,
including without limitation furniture, furnishings, clothing, jewelry, objects of art and decoration,
and the like, together with the insurance thereon, to be divided by them as they may decide. If
they cannot agree on the divisions, then my executor(s) shall make the division, and may sell any
items passing hereunder and distribute the proceeds.
2. Other Specific Bequests. I make the following other specific bequests, provided
that the individuals named do not predecease me:
a. To WEST SHORE LODGE NO. 681, F. & A. M. of Camp Hill, Pennsyl-
vania, the sum ofTen Thousand Dollars ($10,000.00).
b. To the MASONIC HOMES at Elizabethtown, Pennsylvania, the sum of
Ten Thousand Dollars ($10,000.00).
c. To my nephew, WALTER GLENN BROWN, the sum of Fifty Thousand
Dollars ($5000000).
d.
($10,00000).
e.
Dollars ($10,000.00).
f
($10,000.00).
g.
($10,000.00).
h
($10,000.00).
1.
($10,000.00).
J
($10.000.00).
k.
To BECKY FOREMAN STONER, the sum ofTen Thousand Dollars
To DOROTHY BOLLINGER ZIEGLER, the sum ofTen Thousand
To CHARLENE STONER MAUE, the sum ofTen Thousand Dollars
To KATHY STONER McLAUGHLIN, the sum ofTen Thousand Dollars
To SUZANNE CA VENY HUNTER, the sum ofTen Thousand Dollars
To MILDRED HELLER BUTLER, the sum ofTen Thousand Dollars
To SHIRLEY SOYSTER WHEELER, the sum ofTen Thousand Dollars
To PATTY SOYSTER HOMMEL, the sum ofTen Thousand Dollars
($10,000.00).
3. Residue. I bequeath, devise, and appoint all the rest of my property, of whatever
nature and wherever situated, including property over which I hold a power of appointment, to the
CAMP HILL PRESBYTERIAN CHURCH located at 101 North Twenty Third Street, Camp Hill,
Pennsylvania. [and my late wife, Mary, had a very long and loving relationship with our Church
2
over the decades, and for many years I was the Treasurer of the Church. Therefore, I leave this
residuary bequest to my Church in glory to God and my Savior, Jesus Christ, His Son.
4. Survival. Ifany beneficiary should die within sixty (60) days after me, then he
shall be deemed to have predeceased me for all purposes of this will.
5. Spendthrift Clause. No interest of any beneficiary hereunder shall be subject to
anticipation, pledge, assignment, sale or transfer in any manner, nor shall any beneficiary have
power in any manner to charge or encumber his interest, nor shall the interest of any beneficiary
be liable or subject in any manner while in the possession of my fiduciaries for any liability of
such beneficiary, whether such liability arises from his debts, contracts, torts, or other engage-
ments of any type.
6. Facility ofPavment for Minors or Incompetents. Any amounts or assets which are
payable or distributable to a minor or incompetent hereunder may, at the discretion of my fiduci-
aries, be paid or distributed to the parent or guardian of such minor or incompetent, to the person
with whom such minor or incompetent resides, or directly to such minor or incompetent, or may
be applied for the use or benefit of such minor or incompetent.
7. Powers. In addition to such other powers and duties as may be granted elsewhere
herein or which may be granted by law, my fiduciaries hereunder shall have the following powers
and duties, without the necessity of notice to or consent of any court:
(a) To retain all or any part of my property, real or personal, in the
form in which it may be held at the time of its receipt, including any closely held
business in which I have an interest and the stock of any corporate fiduciary
3
hereunder, as long as in the exercise of their discretion it may be advisable so to
do, notwithstanding that said property may not be of a character authorized by law.
(b) To invest and reinvest any funds held hereunder in any property,
real or personal, including, but not by way of limitation, bonds, preferred stocks,
common stocks and other securities of domestic or foreign corporations or invest-
ment trusts, mortgages or mortgage participations, mutual funds with or without
sales or redemption charges, and common trust funds, even though such property
would not be considered appropriate or legal for a fiduciary apart from this
proVISIOn.
(c) To sell, convey, exchange, partition, give options to buy or lease
upon, or otherwise dispose of any property, real or personal, at the time held by
them, at public or private sale or otherwise, for cash or other consideration or on
credit, and upon such terms and for such price as they may determine, and to
convey such property free of all trusts.
(d) To borrow money from any person, including any fiduciary here-
under, for any purpose in connection with the administration hereof, to execute
promissory notes or other obligations for amounts so borrowed, to secure the
payments of such amounts by mortgages or pledges of any property, real or
personal, which may be held hereunder.
4
(e) To make loans, secured or unsecured, in such amounts, upon such
terms, at such rates of interest, and to such persons, firms, or corporations as they
may deem advisable.
(f) To renew or extend the time for payment of any obligation, secured
or unsecured, payable to or by them as fiduciaries, for as long a period or periods
of time and on such terms, as they may determine, and to adjust, settle, and
arbitrate claims or demands in favor of or against them.
(g) In dividing or distributing any property, real or personal, included
herein, to divide or distribute in cash, in kind, or partly in cash and partly in kind.
(h) Without limitation of powers elsewhere granted therein, to hold,
manage and develop any real estate which may be held by them at any time, to
mortgage any such property in such amounts and on such terms as they may deem
advisable, to lease any such property for such term or terms and upon such
conditions and rentals as they may deem advisable, whether or not the term of any
such lease shall exceed the period permitted by law or the probable period of
retention under this instrument; to make repairs, replacements and improvements,
structural or otherwise, in connection with any such property, to abandon any such
property which they may deem to be worthless or not of sufficient value to warrant
keeping or protecting, and to permit any such property to be lost by tax sale or any
other proceedings.
5
(i) To employ such brokers, banks, custodians, investment counsel,
attorneys, and other agents, and to delegate to them such duties, rights and powers
as they may determine, and for such periods as they think fit.
(j) To register any securities at any time in their own names, in their
names as fiduciary, or in the names of nominees, with or without indicating the
trust character ofthe securities so registered.
(k) With respect to any securities forming a part of the trust, to vote
upon any proposition or election at any meeting of the corporation issuing such
securities, and to grant proxies, discretionary or otherwise, to vote at any such
meeting; to join or become a party to any reorganization, readjustment, merger,
voting trust, consolidation or exchange, and to deposit any such securities with any
committee, depository, trustee or otherwise, and to payout of the assets held
hereunder, any fees, expenses and assessments incurred in connection therewith, to
exercise conversion, subscription or other rights, and to receive or hold any new
securities issued as a result of any such reorganization, readjustment, merger,
voting trust, consolidation, exchange or exercise of conversion, subscription or
other rights and generally to take all action with respect to any such securities as
could be taken by the absolute owner thereof.
(I) To engage in sales, leases, loans, and other transactions with the
estate of my wife or any trust established by either of us, even if they are fiducia-
ries or beneficiaries thereof.
6
(m) To exercise all elections which they may have with respect to
income, gift, estate, inheritance and other taxes, including without limitation
execution of joint income tax returns, election to deduct expenses in computing
one tax or another, election to split gifts, and election to payor to defer payment of
any tax, in all events without their being bound to require contribution from any
other person.
(n) To operate, own, or develop any business or property held here-
under in any form, including without limitation sole proprietorship, limited or
general partnership, corporation, association, tenancy in common, condominium,
or any other, whether or not they have restricted or no management rights, as they
in their discretion think best.
8. Taxes. I direct that all estate, inheritance, and succession taxes that may be
assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed,
other than generation-skipping taxes, shall be paid out of the principal of my general estate to the
same effect as if said taxes were expenses of administration, except that any such additional taxes
(and interest and penalties thereon) imposed on account of my interest in or power over any trust
established by my wife shall be paid out of the property held in such trust, and all other property
includible in my taxable estate for federal or state tax purposes, whether or not passing under this
will, shall be free and clear thereof; provided, however, that my executor(s) may in the discretion
of my executor(s) request that any portion or all of said taxes (to be paid out of the principal of
7
my general estate) shall instead be paid out of the principal of any trust established by me, to the
extent expressly authorized under the terms of said trust.
9. Fiduciaries. I appoint as executor hereunder my long time friend, JOHN G.
COBER, 310 Somerset Drive, Shiremanstown, Pennsylvania. If JOHN G. COBER should be
unable or unwilling to serve or to complete the administration of my estate, then I appoint PNC
BANK, NA OF SOUTH CENTRAL PENNSYL VANIA to serve in his place. No individual
fiduciary shall be liable for the acts, omissions or defaults of any agent appointed and retained
with due care or of any co-fiduciary. No fiduciary named herein shall be required to furnish bond
or other security for the proper performance of his duties hereunder.
10. Gender. Unless the context indicates otherwise, any use of masculine gender
herein shall also include the feminine gender.
IN WITNESS WHEREOF, I, JOSEPH W. CA VENY, herewith set my hand to this, my
last Will, typewritten on nine ( 9 ) sheets of paper including the self-proving attestation clause
and signatures of witnesses, this /Z-TJtday of October, 1995.
~
(.)tr0~ 1l /';::;6~!:;:f1
/~.k.---1----------------_::;:-.~----~---t'---( SEAl)
~/ JOSEPH W. CAVNEY }
Witnessed:
/)
~t)iCL-"_'
yl /' /,
/ \.,L.w L/--)t!.(
residing at (/ /Ill!,!' /./ / (. ( / rl
I
--"~'
residing at /.;.//':-<.'#_4/'-" ,~' -1 /) :..k.' ,y-
;;:;r
.I.-.;'..-....._.;~'..:..:__ .,.~,T)c ,'"",-c..--_.,. ,;-<--
'-?~:4/ f .'
. //> /'
///-;--;/::?~~O/~;;/
"./
residing at
;f/ F-c.' il,~/C '/!/J//z'.
,
."
,:"J1-
-
,/
8
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF CUMBERLAND
JOSEPH W. CA VENY, (the testator), PI1TiZICf.q /-11'" Klc
5' rl# O/UI L [''licE 1','6::/:-0'- and -=ru fiN 11. I) C;~ KOJIC k I 3(1 (the witnesses), whose
names are signed to the foregoing instrument, being first duly sworn, each hereby declares to the
undersigned authority that the testator signed and executed the instrument as his last will in the
presence of the witnesses and that he had signed willingly, and that he executed it as his free and
voluntary act for the purposes there.in expressed, and that each of the witnesses, in the presence
and hearing of the testator, signed the will as witness and that to the best of his knowledge the
testator was at that time eighteen years of age or older, of sound mind and under no constraint or
undue influence.
WITNESS:
~) /~I~ :iL:;.J;~,..
TESTATOR:
WITNESS:
(J
WITNESS:
/7 , ' / "
. J' ,-' I ..
/v---4r- /7'~~~
,j
(/~~d
Subscribed, sworn to and acknowiedged before me by JOSEPH W. CA VENY, the testator, and
subscribed and sworn to before me by
PA rRI ['r' /-lINK-Ie
SAN ufUI
Lu.'l/GEI\I.o::cK.c"-
, and So Hiv A-
''YZ
6i/iirwICI"- ., the witnesses, this
f,
/J -day of October, 1995.
\
,
-
)\;'- OJIfl! G.',\ c.J'G c..",
Notary Public
(SEAL)
9
NOTARIAL SEAL
MARIE A. FORTIN, N'!Jbry PubliC
Camp Hill, Cumberland Co.
Mv Commission !::.xpim$ M;:''''-S. 1997
REV-1503EX.+(1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
Caveny, Joseph W
FILE NUMBER
21-2002-1113
All property jointly-owned with right of survivorship must be disclosed on Schedule F,
ITEM
NUMBER
1. 3M CO
CUSIP: 88579Y101
Shares/Par: 35
Exchange: NYSE
COM
Div: 0.62 Ex: 11/20/2002 Rec: 11/22/2002 Pay: 12/12/2002
DESCRJPllON
VALUE AT DATE
OF DEATH
4,502.05
2 ABN AMRO HLDG NY
CUSIP: 000937102
Shares/Par: 275
Exchange: NYSE
SPONSORED ADR
4,420. 63
3 ADOBE SYS INC
CUSIP: 00724F101
Shares/Par: 59
Exchange: NASDAQ
COM
1,579.14
4 AIR PRODS & CHEMS INC
CUSIP: 009158106
Shares/Par: 115
Exchange: NYSE
COM
5,022 . 62
5 ALBERTO CULVER CO
CUSIP: 013068101
Shares/Par: 35
Exchange: NYSE
CL B CONY
1,721.13
6 ALCOA INC
CUSIP: 013817101
Shares/Par: 175
Exchange: NYSE
COM
4,238.50
7 ALLIED IRISH BKS P L C
CUSIP: 019228402
Shares/Par: 115
Exchange: NYSE
SPON ADR ORD
3,142.38
Total from continuation pages. . . .
2W46963,OOO
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
761,072.04
785,698.49
Page 2
21-2002-1113
Estate of: CavenYf Joseph W
Item
No.
Schedule B -- Stocks & Bonds
Description
Value at
Date of Death
8
ALLSTATE CORP
CUSIP: 020002101
Shares/Par: 160
Exchange: NYSE
COM
D~v: 0.21 Ex: 11/26/2002 Rec: 11/29/2002 Pay: 01/02/2003
6,264.80
9
AMAZON COM INC
CUSIP; 023135106
Shares/Par: 119
Exchange: NASDAQ
COM
2,782.22
10
AMERICAN PWR CONVERSION CORP
CUSIP: 029066107
Shares/Par: 199
Exchange: NASDAQ
COM
2,950.18
11
1,870.34
APACHE CORP
CUSIP; 037411105
Shares/Par: 34
Exchange: NYSE
COM
12 APOLLO GROUP INC
CUSIP: 037604105
Shares/Par: 80
Exchange: NASDAQ
CL A
13 ASTRAZENECA PLC
CUSIP; 046353108
Shares/Par: 100
Exchange: NYSE
SPONSORED ADR
14 AUTOZONE INC
CUSIP: 053332102
Shares/Par: 32
Exchange: NYSE
COM
15 AVENTIS
3,273.20
3,786.50
2,432.00
2,995.30
Estate of: Caveny, Joseph W
Page 3
21-2002-1113
Schedule B -- Stocks & Bonds
Item
No.
Description
Value at
Date of Death
CUSIP: 053561106
Shares/Par: 55
Exchange: NYSE
SPONSORED ADR
16 AXA
CUSIP: 054536107
Shares/par: 300
Exchange: NYSE
SPONSORED ADR
4,425.00
17 AXP GLOBAL SER INC
CUSIP: 00245L702
Shares/Par: 2970.232
Exchange: NASDAQ
GLOBAL BD FD A
17,999.61
18 AXP HIGH YIELD BD FD
CUSIP: 00245J103
Shares/Par: 25603.577
Exchange: NASDAQ
CL A
62,372.39
19 AXP HIGH YIELD TAX EXEMPT FD
CUSIP: 00245N104
Shares/Par: 37072.308
Exchange: NASDAQ
CL A
162,569.28
20 AXP SHORT TERM U S GOVT FD
CUSIP: 00245K100
Shares/Par: 9584.019
Exchange: NASDAQ
CL A
47,004.20
21 AXP STRATEGY FD INC
CUSIP: 00246C107
Shares/Par: 6088.631
Exchange: NASDAQ
SM CAP ADVAN A
26,972.64
22 BANK OF AMERICA CORPORATION
CUSIP: 060505104
Shares/Par: 90
6,269.40
Estate of: Caveny, Joseph W
Page 4
21-2002-1113
Schedule B -- Stocks & Bonds
Item
No.
Des9ription
Value at
Date of Death
Exchange: NYSE
COM
23 BARCLAYS PLC
CUSIP: 06738E204
Shares/Par: 170
Exchange: NYSE
ADR
4,482.90
24 BAXTER INTL INC
CUSIP:071813109
Shares/Par: 155
Exchange: NYSE
COM
4,923.58
25 BELLSOUTH CORP
CUSIP: 079860102
Shares/Par: 150
Exchange: NYSE
COM
4,065.00
26 BP PLC
CUSIP: 055622104
Shares/Par: 75
Exchange: NYSE
SPONSORED ADR
Div: 0.36 Ex: 11/13/2002 Rec: 11/15/2002 Pay: 12/09/2002
2,952.00
27 C D W CORP
CUSIP: 125129106
Shares/Par: 50
Exchange: NASDAQ
COM
2,443.75
28 CADBURY SCHWEPPES PLC
CUSIP: 127209302
Shares/Par: 115
Exchange: NYSE
ADR
2,991.15
29 CANON INC
CUSIP: 138006309
Shares/Par: 60
Exchange: NYSE
2,264.70
Estate of: Caveny, Joseph W
Page 5
21-2002-1113
Schedule B -- Stocks & Bonds
Item
No.
Description
Value at
Date of Death
ADR
30 CHEVRONTEXACO CORP
CUSIP: 166764100
Shares/Par: 78
Exchange: NYSE
COM
Div: 0.7 Ex: 11/14/2002 Rec: 11/18/2002 Pay: 12/10/2002
5,301.27
31 COACH INC
CUSIP: 189754104
Shares/Par: 106
Exchange: NYSE
COM
3,578.56
32 COGNOS INC
CUSIP: 19244CI09
Shares/Par: 181
Exchange: NASDAQ
COM
4,081.64
33 CONAGRA FOODS INC
CUSIP: 205887102
Shares/Par: 245
Exchange: NYSE
COM
34 CONOCOPHILLIPS
CUSIP: 20825CI04
Shares/Par: 115
Exchange: NYSE
COM
35 DANSKE BK A/S
CUSIP: 236363107
Shares/Par: 130
Exchange: NQB
ADR
36 DENTSPLY INTL INC NEW
CUSIP: 249030107
Shares/Par: 62
Exchange: NASDAQ
COM
5,966.98
5,648.23
2,153.14
2,062.12
Estate of: Caveny, Joseph W
Page 6
21-2002-1113
Schedule B -- Stocks & Bonds
Item
No. Description
37 DEUTSCHE BANK AG NAMEN
CUSIP: D18190898
Shares/Par: 65
Exchange: NYSE
ORD
38 DIAGEO P L C
CUSIP: 25243Q205
Shares/Par: 80
Exchange: NYSE
SPON ADR NEW
39 DOMINION RES INC VA NEW
CUSIP: 25746U109
Shares/Par: 105
Exchange: NYSE
COM
Value at
Date of Death
3,307.85
3,444.40
5,423.26
D~v: 0.645 Ex: 11/27/2002 Rec: 12/02/2002 Pay: 12/20/2002
40 DOW CHEM CO
CUSIP: 260543103
Shares/Par: 145
Exchange: NYSE
COM
41 ELECTRONIC ARTS INC
CUSIP: 285512109
Shares/Par: 66
Exchange: NASDAQ
COM
42 ENDESA S A
CUSIP: 29258N107
Shares/Par: 320
Exchange: NYSE
SPONSORED ADR
43 ENERGIZER HLDGS INC
CUSIP: 29266R108
Shares/Par: 101
Exchange: NYSE
COM
4,312.30
4,337.52
3,889.60
2,922.44
Estate of: Caveny, Joseph W
Page 7
21-2002-1113
Schedule B -- Stocks & Bonds
Item
No.
Description
Value at
Date of Death
44
ENI SPA
CUSIP: 26874R108
Shares/Par: 55
Exchange: NYSE
SPONSORED ADR
3,947.08
45 EXPEDIA INC
CUSIP: 302125109
Shares/Par: 41
Exchange: NASDAQ
CL A
2,927.20
46 FRANKLIN CUSTODIAN FOS INC
CUSIP: 353496607
Shares/Par: 5971.223
Exchange: NASDAQ
US GOVT CL A
47 GENERAL ELEC CO
CUSIP: 369604103
Shares/Par: 130
Exchange: NYSE
COM
48 GENERAL MLS INC
CUSIP: 370334104
Shares/Par: 70
Exchange: NYSE
COM
41,440.29
3,485.95
3,107.30
49 GENERAL MTRS CORP
CUSIP: 370442105
Shares/Par: 75
Exchange: NYSE
COM
D~v: 0.5 Ex: 11/12/2002 Rec: 11/14/2002 Pay: 12/10/2002
2,900.63
50 GENUINE PARTS CO
CUSIP: 372460105
Shares/Par: 170
Exchange: NYSE
COM
5,235.15
51 GILEAD SCIENCES INC
2,343.68
Estate of: Caveny, Joseph W
Schedule B -- Stocks & Bonds
Item
No.
Description
CUSIP: 375558103
Shares/Par: 64
Exchange: NASDAQ
COM
52 GLAXOSMITHKLINE PLC
CUSIP: 37733W105
Shares/Par: 95
Exchange: NYSE
SPONSORED ADR
D~v: 0.27722 Ex: 10/30/2002 Rec: 11/01/2002 Pay: 01/03/2003
53 GOODRICH CORP
CUSIP: 382388106
Shares/Par: 130
Exchange: NYSE
COM
D~v: 0.2 Ex: 11/27/2002 Rec: 12/02/2002 Pay: 01/02/2003
54 HEINEKEN N V
CUSIP: 423012202
Shares/Par: 70
Exchange: NQB
ADR
55 HOTELS COM
CUSIP: 44147T108
Shares/Par: 57
Exchange: NASDAQ
COM
56 HSBC HLDGS PLC
CUSIP: 404280406
Shares/Par: 80
Exchange: NYSE
SPON ADR NEW
57 HUDSON CITY BANCORP
CUSIP: 443683107
Shares/Par: 231
Exchange: NASDAQ
COM
58 INTUIT
Page 8
21-2002-1113
Value at
Date of Death
3,563.67
2,302.30
2,583.00
3,995.42
4,620.00
4,316.23
2,602.88
Estate of: Caveny, Joseph W
Schedule B -- Stocks & Bonds
Item
No.
Description
Value at
Date of Death
CUSIP: 461202103
Shares/Par: 49
Exchange: N~SD~Q
COM
59 ITT INDS INC IND
CUSIP: 450911102
Shares/Par: 25
Exchange: NYSE
COM
Div: 0.15 Ex: 11/20/2002 Rec: 11/22/2002 Pay: 01/01/2003
60 KAO CORP
CUSIP: 485537203
Shares/Par: 15
Exchange: NQB
~R
Div: 1.00188 Ex: 09/25/2002 Rec: 09/27/2002 Pay: 12/17/2002
61 KELLOGG CO
CUSIP: 487836108
Shares/Par: 140
Exchange: NYSE
COM
Div: 0.2525 Ex: 11/26/2002 Rec: 11/29/2002 Pay: 12/13/2002
62 L-3 COMMUNIC~TIONS HLDGS INC
CUSIP: 502424104
Shares/Par: 48
Exchange: NYSE
COM
63 LEXMARK INTL NEW
CUSIP: 529771107
Shares/Par: 51
Exchange: NYSE
CL A
64 LINCARE HLDGS INC
CUSIP: 532791100
Shares/Par: 62
Exchange: N~SD~Q
COM
Page 9
21-2002-1113
1,419.38
3,177.10
4,739.35
2,073.60
3,311.69
2,077.31
Estate of: Caveny, Joseph W
Schedule B -- Stocks & Bonds
Item
No.
Description
6,488.35
65
MERCK & CO INC
CUSIP: 589331107
Shares/Par: 110
Exchange: NYSE
COM
66 MERCURY INTERACTIVE CORP
CUSIP: 589405109
Shares/Par: 58
Exchange: NASDAQ
COM
67 MICHAELS STORES INC
CUSIP: 594087108
Shares/Par: 60
Exchange: NYSE
COM
68 MOODYS CORP
CUSIP: 615369105
Shares/Par: 66
Exchange: NYSE
COM
D~v: 0.045 Ex: 11/18/2002 Rec: 11/20/2002 Pay: 12/10/2002
69 NESTLE S A
CUSIP: 641069406
Shares/Par: 75
Exchange: NQB
SPONSORED ADR
70 NOKIA CORP
CUSIP: 654902204
Shares/Par: 225
Exchange: NYSE
SPONSORED ADR
n NORTH FORK BANCORPORATION NY
CUSIP: 659424105
Shares/Par: 75
Exchange: NYSE
COM
n NOVARTIS A G
Page 10
21-2002-1113
Value at
Date of Death
1,792.20
2,223.90
2,897.73
3,837.94
4,257.00
2,584.50
3,693.00
Estate of: Caveny, Joseph W
Schedule B -- Stocks & Bonds
Item
~o.
Description
Value at
Date of Death
CUSIP: 66987V109
Shares/Par: 100
Exchange: NYSE
SPONSORED ADR
73 NVIDIA CORP
CUSIP: 67066G104
Shares/Par: 188
Exchange: NASDAQ
COM
74 OXFORD HEALTH PLANS INC
CUSIP: 691471106
Shares/Par: 60
Exchange: NYSE
COM
75 PATTERSON DENTAL CO
CUSIP: 703412106
Shares/Par: 50
Exchange: NASDAQ
COM
76 PETSMART INC
CUSIP: 716768106
Shares/Par: 153
Exchange: NASDAQ
COM
77 PIXAR
CUSIP: 725811103
Shares/Par: 67
Exchange: NASDAQ
COM
78 PRINCIPAL FINANCIAL GROUP INC
CUSIP: 74251VI02
Shares/Par: 850
Exchange: NYSE
COM
D~v: 0.25 Ex: 11/06/2002 Ree: 11/08/2002 Pay: 12/09/2002
79 QLOGIC CORP
CUSIP: 747277101
Page 11
21-2002-1113
2,719.42
2,163.00
2,008.75
2,794.55
3,889.35
24,909.25
3,131.17
Estate of: Caveny, Joseph W
Item
No.
Page 12
21-2002-1113
Schedule B -- Stocks & Bonds
Description
Value at
Date of Death
Shares/Par: 79
Exchange: NASDAQ
COM
80 ROSS STORES INC
CUSIP: 778296103
Shares/Par: 32
Exchange: NASDAQ
COM
81 ROYAL DUTCH PETE CO
CUSIP: 780257804
Shares/Par: 70
Exchange: NYSE
NY REG EUR .56
82 SAN PAOLO-IMI SPA
CUSIP: 799175104
Shares/Par: 175
Exchange: NYSE
SPONSORED ADR
83 SEMPRA ENERGY
CUSIP: 816851109
Shares/Par: 205
Exchange: NYSE
COM
84 SIEMENS A G
CUSIP: 826197501
Shares/Par: 90
Exchange: NYSE
SPONSORED ADR
85 SOCIETE GENERALE FRANCE
CUSIP: 83364L109
Shares/Par: 385
Exchange: NQB
SPONSORED ADR
86 STRONG EQUITY FDS INC
CUSIP: 862916723
Shares/Par: 2212.389
Exchange: NASDAQ
1,426.08
2,986.90
2,516.50
4,751.90
4,396.95
4,158.00
42,234.51
Estate of: Caveny, Joseph W
Schedule B -- Stocks & Bonds
Item
No.
Description
ADV S CP VAL A
87 STRONG GOVT SECS FD INC
CUSIP: 863344206
Shares/Par: 3637.16
Exchange: NASDAQ
ADVISOR SHS
88 SUPERVALU INC
CUSIP: 868536103
Shares/Par: 310
Exchange: NYSE
COM
Div: 0.1425 Ex: 11/26/2002 Rec: 12/01/2002 Pay: 12/16/2002
89 SYMANTEC CORP
CUSIP: 871503108
Shares/Par: 90
Exchange: NASDAQ
COM
90 TESCO PLC
CUSIP: 881575302
Shares/Par: 205
Exchange: NQB
SPONSORED ADR
Div: 0.0768 Ex: 09/25/2002 Rec: 09/27/2002 Pay: 12/09/2002
91 TICKETMASTER
CUSIP: 88633P203
Shares/Par: 109
Exchange: NASDAQ
CL B
92 TOTAL S A
CUSIP: 89151E109
Shares/Par: 45
Exchange: NYSE
SPONSORED ADR
93 UBS AG
CUSIP: H8920M855
Shares/Par: 90
Exchange: NYSE
Page 13
21-2002-1113
Value at
Date of Death
40,954.42
5,534.28
3,861.90
1,946.41
2,558.78
2,961.68
4,416.75
Estate of: Caveny, Joseph W
Schedule B -- Stocks & Bonds
Item
No.
Description
Value at
Date of Death
NAMEN AKT
94 UNILEVER PLC
CUSIP: 904767704
Shares/Par: 105
Exchange: NYSE
SPON ADR NEW
95 VULCAN MATLS CO
CUSIP: 929160109
Shares/Par: 100
Exchange: NYSE
COM
Div: 0.235 Ex: 11/22/2002 Rec: 11/26/2002 Pay: 12/10/2002
96 W!\CHOVIA CORP 2ND NEW
CUSIP: 929903102
Shares/Par: 135
Exchange: NYSE
COM
Div: 0.26 Ex: 11/26/2002 Rec: 11/29/2002 Pay: 12/16/2002
97 WESTWOOD ONE INC
CUSIP: 961815107
Shares/Par: 53
Exchange: NYSE
COM
98 WEYERHAEUSER CO
CUSIP: 962166104
Shares/Par: 105
Exchange: NYSE
COM
99 WILLIAMS SONOMA INC
CUSIP: 969904101
Shares/Par: 105
Exchange: NYSE
COM
100 WYETH
CUSIP: 983024100
Shares/Par: 110
Exchange: NYSE
Page 14
21-2002-1113
3,814.65
3,721.50
4,755.38
1,915.95
5,143.95
2,802.98
4,133.80
Estate of: Caveny, Joseph W
Page 15
21-2002-1113
Schedule B -- Stocks & Bonds
Item
No.
Description
Value at
Date of Death
COM
TOTAL. (Carry forward to main schedule) . . . .
761,072.04
Estate Valuation
Date of Death:
Valuation Date:
Processing Date:
12/04/2002
12/0412002
08/01/2003
Shares
or Par
securi ty
Description
1)
8259.23 AXP MONEY MKT SER INC (00245U108)
CASH MGMT C1 A
NASDAQ
No pricing information
2) 31012.30B AXP HIGH YIELD T~X EXEMP! FD I00245N104)
CL A
NASDAQ
12/04/2002
3) 9584.019 AXP SHORT TERV. U S GOVT fD (00245Kl00)
CL A
NAS DAQ
12/04/2002
4) 25603.577 AXP HIGH YIELD SO FD (00245J103)
CL A
NASDAQ
12/04/2002
5)
59 ADOBE SYS INC (00724F101)
COl'1
NASDAQ
12/04(2002
61
35 ALBERTO CULVER CO (013068101\
CL B CONV
NYSE
12/04/2002
7)
119 AMAZON COM INC (023135106)
COM
NASDAQ
12(04(2002
High/Ask
27.48000
49.60000
23.80000
81
199 AMERICAN PWR CONVERSION CORP (02906E~07)
COM
NASDAQ
12/04/2002 15.05000
91
34 APACHE CORP (037411105)
COM
NYSE
12104/2002
101
80 APOLLO GROUP INC (037604105)
CL A
NASDAQ
12!04!2002
111
32 AUTOZONE INC (OS3332102)
COM
NYSE
12/04/2002
121
50 COW CORP (125129106)
COM
NAS DAQ
12/04/2002
55.50000
4.l.92GOG
80.00000
49.61000
Page 1
'Low/Bid
Estate of: Joseph W caveny
Report Type: Date of Death
Number of Securities: 101
File ID: caveny
Mean and/or Div and Int Security
Adjustments Accruals Value
N/.P-.
/lCC'/<.:c.J-;;".2:l 6,',1 i 92..(7
4.38000 Bid
4.380000 162,376.7:'
J}cc f2-J~_b l;;{ 12..5'
4.90000 Bid
4.900000 46,961.69
1~6eciZ" !J:J iff.7D
2.43000 Bid
2.430000 62,216.69
26.05000 H!L
1,579.14
26.765000
46.75000 H!L
1,721.13
49.2.75000
22.96000 H/L
2,782.22
23.38000C
14.60000 filL
2,950.18
14.825000
54.52000 HIL
55.010000
1,870.34
39.91000 H/L
3,273.20
40.915000
72.00000 H/L
76.000000
2,432.00
48,14000 HIL
2,443."15
48,875000
Th~s report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions,
please contact EVP Systems at (818) 313-6300 or www.evpsys.com. {Revision 7.0.2)
Date of Death:
Valuation Date:
Processing Date:
1210'/2002
12/0'/2002
08/01/2003
Shares
or Par
security
Description
13)
106 COACH INC (189754104)
COM
!'lYSE
12/04/2002
14)
181 COGNOS INC (19244CI09)
COM
NASDAQ
12/0'/2002
15)
62 DENTSPLY INTL INC NEW (249030107)
COM
NASDAQ
12(0'(2002
16)
66 ELECTRDNIC ARTS INC (285512109)
COM
NASDAQ
12/04/2002
17)
101 ENERGIZER HLDGS INC (29266RI08)
COM
NYSE
12/04/2002
18)
41 EXPEDIA INC (302125109)
CL A
NASDAQ
12/04/2002
19)
64 GILEAD SCIENCES INC (375558103)
COM
NASDAQ
12/04/2002
20)
51 HOTELS COM \44147T106)
COM
NASDAQ
12/0'/2002
21)
231 HUDSON CITY BANCORP (443683107)
COM
NASDAQ
12/04/2002
22)
25 ITT INDS INC !ND (450911102)
COM
NYSE
12/04/2002
High/Ask
34.50000
23.48000
33.59000
66.59000
29.17000
72.74000
37,74000
72.66000
18.91000
58.00000
Low/Bid
33.02000 H/L
21.62100 H/L
32.93000 HIL
64.85000 H/L
28.70000 HIL
70.05000 H/L
35.50000 H/L
67.53000 H/L
18.46000 H/L
55.25000 H/L
23)
oiv: 0.15 Ex: 11/20/2002 Rec: 11/22/2002 Pay: 01/01/2003
~9 IN!Ul! (461202103)
COM
NASDAQ
12/04/2002
53.65000
24)
48 1-3 CO~~UNICATIONS ELDGS INC (502424104)
COM
NYSE
22/04/2002 44.05000
Page 2
52.39000 HIL
42.35000 H/L
Estate of: Joseph W caveny
Report Type: Date of Death
Number of Securities: i01
File 10: Caveny
Mean and/or Div and lnt Security
Adjustments Accruals Value
33.160000
3,57tL56
22.550500
4,081. 64
33.260000
2,062.12
65.720000
4,337.52
28.93500Q
2,922.44
71.395000
2,927,20
36.620000
2,343.66
70.095000
3,995.42
18.685000
4,316.24
56.62500D
1,415.63
3.75
53.120000
2,602.88
43.200000
2,073.60
This repo~t was produced with Esta~eVal, a product of Estate Valuations & pricing Systems, Inc. If you nave questions,
please contact EVP systems at (818) 313-6300 or w~'.evpsys.com. (Revision 7.0.2)
Date of Death:
Valuation Date:
Processing Date:
Shares
or Par
25)
26)
21)
28)
29)
30)
31)
32)
33)
34)
35)
36)
12/0'/2002
12/04/2002
08/01/2003
Security
Description
51 LEXMARK INT1 NEW (529771107)
C1 A
UYSE
12/0'/2002
62 LINCARE HLDGS INC (532791100)
COM
NASDAQ
12/0'/2002
58 MERCURY INTERACTIVE CORP (589405109)
COM
NASDAQ
12/0'/2002
60 MICHAELS STORES INC (594087108)
COM
NYSE
12/0'/2002
66 MOODYS CORP (615369105)
COM
NYSE
12/04/2002
High/ASk
66.28000
34.00000
31. S5000
37.88000
44.15000
Low/sid
63.59000 H/1
33.01000 HIL
3CL 25000 !ilL
36.25000 H/1
43.57000 H/L
Div: 0.04& Ex: 11/18/2002 Rec: 11/20/2002 Pay: 12/10/2002
75 NORTH FORK BANCORPORATION NY (659424105\
COM
NYSE
12/04/2002 34.82000
188 NVIDIA CORP (67066GI04)
COM
NASDAQ
12/04/2002
60 OXFORD HEALTH PLANS INC (691471105)
COM
NYSE
:2/04/2002
50 PATTERSON DENTAL CO (703412106)
COM
NASDAQ
12/04/2002
153 PETSMART INC (716768106)
COM
NASDAQ
12104/2002
67 PI~~ (725811103\
COM
NASDAQ
12/04/2002
79 Q10GIC CORP (747277101)
COM
NASD.r..Q
12/04/2002
15.00000
37.10000
40.60000
18.71000
59.00000
40.50000
Page 3
3~ .10000 H/L
13.93000 H/L
35.00000 H/L
39.75000 HIL
11.82000 H/L
57.18000 H/L
38.77000 H/L
Estate of: Joseph W caveny
Report Type: Date of Death
Number of Securities: 101
File 10: caveny
Mean and/or Div and lnt Security
Adjustments Accruals Value
64..935000
3,311.69
33.505000
2,077,31
30.900000
1,792,20
37.065000
2,223.90
43.860000
2,894,"'/6
2.97
34.4.60000
2,584.50
1.4.465000
2,719.42
36.050000
2,153,00
40.175000
2,008.75
18.265000
2,794,55
58.050000
3,889.35
39.635000
3,131.17
This report was produced with EstateVa1, a product of Estate Valuations & pricing Systems, Inc. If you have questions,
please contact EVP Systems at (818) 313-6300 or WWI;,' .evpsys. com. (Re17ision 7.0.2)
Shares
or Par
Security
Description
High/Ask
Low/Bid
Estate of: Joseph W Caveny
Report Type: Date of Death
Number of Securities: 101
File ID: Caveny
Mean and/or Div and lnt Security
Adjustments Accruals Value
Date of Death:
Valuation Date:
Processing Date:
12104/2002
12/0412002
08/01/2003
37)
32 ROSS STORES INC (778296103)
COM
NASDAQ
12/04/2002
45.31000
43.82000 H/L
44.565000
1,426.08
38) 90 SYMANTEC CORP (8i1503108)
COM
NASDAQ
12/04/2002 0.64000 42.18000 H/L
42.910000 3,861.90
39) 109 TICKETMASTER (88633P203j
C1 B
NASDAQ
12/04/2002 24.12000 22.83000 HIL
23.475000 2,558.78
40) 53 WESTWOOD ONE INC (961815107)
COM
NYSE
12/04/2002 36.84000 35.46000 H/L
36.150000 1,915.95
41) 105 WILLIAMS SONOMA INC 1969904101)
COM
NYSE
12/04/2002 27.78000 25.61000 HIL
26.695000 2,802.98
42) 115 AIR PRODS & CHEMS INC (009158106)
COM
NYSE
12/04/2002 44.35000 43,00000 HIL
43,675000 5,022,63
43) 175 ALCOA INC 10:3817101)
COM
NYSE
12/04/2002 24..52000 23,92000 HIlt
24.220000 4,238.50
441 160 A.L:'STA~E C03.P \0200021011
COM
NYSE
12/04/2002 39.30000 38,59000 H/L
38,945000 6,231.20
Div: 0.21 Ex: 11/26/2002 Rec: 11/29/2002 Pay: 01/02/2003 33.60
45) 90 BANK OF AMERICA CORPORATION (060505104)
COM
NYSE
12/04/2002 69.75000 68,29000 H/L
69.020000
Div: 0.64 Ex: 12/04/2002 Rec: l2/06/2002 Pay: 12/27/2002 + 0.640000
69.660000 6,269.40
46) 155 BAXTER INTL INC (071813109)
COM
N:.'SE
12/04/2002 32.50000 31. 03000 H/L
31. 765000 4,923.58
47) 150 BELL SOUTH CORP (079860102)
COM
NYSE
12/04/2002 27.10000 26.50000 H/L
27,100000 4,065.00
Page 4
This report was produced with EstateVal, a product of Estate Valuations & pricing Systems, Inc. If you have questions,
please contact EVP Systems at (81B) 313-6300 or w~w.evpsys.com. (Revision 7.0,2)
Date of Death:
Valuation Date:
Processing Date:
12/04/2002
12/0412002
08/01/2003
Estate of: Joseph W Caveny
Report Type: Date of Death
~umber of Securities: 101
File ID: caveny
Mean andlor Div and Int Security
Adjustments Accruals Value
481
49)
501
51)
Shares
or Par
Security
Description
High/Ask
Low/Bid
78 CHEVRON TEXACO CORP (166764100)
COM
NYSE
12/04/2002
66.55000 HIL
67.98000
5,246,67
67.265000
Div: 0.7 Ex: 11/14/2002 Rec: 11/18/2002 Pay: 12/10/2002
54.60
245 CONAGRA FOODS INC (205881102)
COM
NYSE
12/04/2002 24.59000 24,12000 HIL
24.355000 5,966.98
115 CONOCOPHILLIPS [20825C1041
COM
lHSE
12/04/2002 49,48000 48.75000 HIL
49,1150-00 S,648.23
105 DOMINION RES INC VA NEW (25746DI09)
COM
NYSE
12/04/2002 52.24000 49.77000 H/L
51. 005000 5,355.53
Div: 0.645 Ex: 11/27/2002 Rec: 12/02/2002 Pay: 12/20/2002 67.73
52) 145 DOW CHEM CO [2605431031
COM
NYSE
12/04/2002 30.38000 29.10000 H/L
29.740000 4,312.30
53) 130 GENERAL ELEC CO [369604103)
COM
NYSE
12/04/2002 27.20000 26.43000 HIL
26.815000 3,485.95
54[ 70 GENERAL MLS INC (370334104)
COM
NYSE
12104/2002 44.69000 44.10000 H/L
44.390000 3,107.30
551 75 GENERAL MTRS CORP (37044.2105)
COM
NYSE
1210412002 39.09000 37.26000 H/1
38.175000 2,863.13
Div: 0.5 Ex: 11/12/2002 Rec: 11/14/2002 Pay: 12/10/2002 37.50
561 170 GENUINE PARTS CO (372460105)
COM
NYSE
12/04/2002 30.71000 30.30000 H/1
3D.50500D
Dii.': 0.29 Ex: 12/04/2002 Rec: 12/06/2002 Pay: 01/02/2003 + 0.290000
30.795000 5,235.15
57) 130 GOOJRICH CORP (382388106)
COM
NYSE
12/04/2002 1~.B2000 17 .20000 H/L
17.510000 2,276.30
Civ: 0.2 Ex: 11/27/2002 Rec: 12/02/2002 Pay: 01/02/2003 26.00
58\ 140 KELLOGG CO ,4.81836108)
COM
NYSE
12/04/2002 33.85000 33.35000 H/L
33.600000 4,704.00
Div: 0.2525 Ex: 11/26/2002 Rec: E/29/2002 Pay: 12/13/2002 3<:-.3<:-
Page 5
This report was produced ~~th EstateVal, a prOduct of Estate Valuations & Pricing Systems, Inc. If you have questions,
please contact EVP systems at (818) 313-6300 or www.evpsY..:.com. (Revision 7.0.2)
Oa"C.e of Death:
Valuation Date:
Processing Date:
59)
12104/2002
12/04/2002
08/01/2003
Estate of: Joseph W caveny
Report Type: Date of Death
Number af Securities~ 101
File 10: Caveny
Mean and/or Div and lnt Security
Adjustments Accruals Value
Shares
or Par
Security
Pescriptian
High/Ask
Low/Bid
110 MERCK & CO INC (589331107)
COM
NYSE
12104/2002
59.20000
58.05000 H/L
58.625000
+ 0.360000
58.985000
6,488.35
Div: 0.36 Ex: 12/04/2002 Rec: 12/06/2002 Pay: 01/02/2003
60) 205 SEMPRF-_ ENERGY (816851109)
COM
NYSE
12/04/2002 23.60000 22.76000 H/L
23.180000 ~,751. 90
61) 310 SUPERVALU INC 1868536103)
COM
NYSE
12/0'/2002 17.98000 17.44000 H/L
11.710000 5,490,10
Div: 0.1425 Ex: 11/26/2002 Rec: 12/0112002 Pay: 12/16/2002 44.18
62) 35 3M CO (88579Y101)
COM
NYSE
12/0'/2002 128.92000 127.10000 H/L
128.010000 4,480.35
Div: 0.62 Ex: 11/20/2002 Rec: 11/22/2002 Pay: 12/1212002 21. 70
631 100 VULCAN MATLS CO 19291601091
COM
NYSE
12/04./20Q2 31.16000 36.BOOOO H/L
36.980000 3,698.00
Div: 0.235 Ex: 11/22/2002 Rec: 11/26/2002 Pay: 12/10/2002 23.50
64) 135 WACHOV:A CORP 2ND NEill (929903102)
COM
NYSE
12/04/2002 35.48000 34.45000 H/L
31l.9650DO 4,720.28
Div: 0.26 Ex: 11/26/2002 Rec: 11/29/2002 Pay: 12/16/2002 35.10
65)
661
671
68)
691
105 WEYERHAEUSER CO (962166104)
COM
NYSE
12/0!l/2002
48.60000 H/L
49.38000
5,H3.95
48.990000
110 WYETH (983024100)
COM
NYSE
~2/04/2002
36.93000 H/L
38.23000
4,133.80
37.580000
275 ABN AMRO HLDG NV (000931102)
SPONSORED ADR
NYSE
12/04/2002
15.85000 H/L
16.30000
4,420.63
15.(175000
115 ALLIED IRISH BKS P L C (019228402)
SPON J:>.DR ORD
NYSE
12/04/2002
27.55000
27.10QOO H/L
27.325000
3,H2,38
100 ASTRAZENECA PLC (046353108)
SPONSORED ADR
NYSE
l2/04./2002
38.13000
37.60000 HIL
37.865000
3,786.50
Th~s report was produced with Esta~eVal, a product of Estate Valuations & pricing Systems, Inc. If you have questions,
please contact EVP systems at (818) 313-6300 or www.evpsys.cam. (Revision 7.0.2)
Page 6
Date of Death:
Valuation Date:
Processing Date:
12/04/2002
12/04/2002
08/0112003
Shares
or Par
security
Description
70)
55 AVENTIS (053561106)
SPONSORED ADR
NYSE
12/04/2002
71)
300 AXA (054536107)
SPONSORED ADR
NYSE
12/04/2002
72)
15 BP PLC (G55ti22104i
SPONSORED ADR
NYSE
12/04/2002
High/Ask
55.15000
15.10000
39.30000
Low/Bid
53.77000 H/L
14.40000 P./L
38.70000 H/L
73)
Div: 0,36 Ex: 11/13/2002 Rec~ 11/15/2002 Pay: 12/09/2002
170 BARCLAYS PLC (06738E204)
ADR
NYSE
12/04/2002
74)
115 CADBURY SCHWEPPES PLC (127209302\
ADR
NYSE
12/0412002
15)
60 CANON !NC (138006309)
ADR
NYSE
12/0412002
76)
130 DANSKE BK AIS (236363107)
ADR
NQB
12/04/2002
77)
80 DIAGEO P L C (25243Q205)
S PON ADR NEW
J:\YSE
12/04/2002
78)
55 ENl SPA (26874RI08)
SPONSORED ADR
NYSE
12/04/2002
19\
320 ENDESA S A \2925SN10l)
SPONSORED ADR
NYSE
12/04/2002
80)
95 GLAXOSMlTHKLINE FLC (37733WI05)
SPONSORED ADR
NYSE
12/04/2002
26.75000
26.40000
38.05000
43.65000
72 ,15000
12.35000
37.59000
25.99000 H/L
25.62000 BIL
37.44000 Ii/L
16.56260 sid
42. ~ 6000 H/L
71,38000 R/L
11.96000 HIL
36.88000 H/L
81)
Div: 0.27722 Ex: 10/30/2002 Rec: 11/01/2002 Pay: 01/03/2003
80 HSBC HLDGS PLC (404280406)
S PON .i.\.DR NEI'.T
NYSE
12/0412002
S8.13000
Page 7
5,1.31000 R/L
Estate of: Joseph W Caveny
Report Type: Date of Death
~umber of Securities: 101
File ID: Caveny
Mean and/or Div and lnt security
Adjustments Accruals Value
54.460000
2,995.30
14.750000
4,425,00
39.000000
2,925.00
27,00
26.370000
4,482.90
26.010000
2,991.15
37.745000
2,264.70
16.562600
2,153,14
43.055000
3,444.40
71.765000
3,947.08
12.155000
3,889,60
37.235000
3,537.33
26.34
57,750000
4,620,00
This report was produced ~ith EstateVal, a product of Estate Valuations & pricing Systems, Inc, If you have questions,
please contClct EVP Systems at (818) 313-6300 or www.evpsYS.com. (Revision 7.0,2)
Date of Death~
Valuation Date:
Processing Date:
12104/2002
12/04/2002
08/01/2003
Shares
or Par
Security
Description
821
70 HEINEKEN N V (423012202)
AOR
NQB
12/04/2002
831
15 KAO CORP (485537203)
ADR
NQB
12/04/2002
HighlAsk
Estate of: Joseph W Caveny
Report Type: Date of Death
Number of Securities: 101
File 1D: Caveny
Low/Bid
Mean andlor Div and 1nt Security
Adjustments Accruals Value
36.90000 Bid
210.80480 Bid
841
Div: 1.00188 Ex: 09/25/2002 Rec: 09/27/2002 Pay: 12/17/2002
75 NESTLE S A (641069406)
SPONSORED ADR
NQB
12/04/2002
851
225 NOKIA CORP (654902204)
SPONSORED ADR
NYSE
12/04/2002
861
100 NOVARTIS A G (66987V109)
SPONSORED ADR
NYSE
12/04/2002
871
70 ROYAL DUTCH PETE CO (180257804)
NY REG EUR .56
NYSE
12/0'/2002
881
175 SAN PAOLO-IMI SPA (799175104)
SPONSORED ADR
NYSE
12/04/2002
89)
90 SIEMENS A G (826197501)
SPONSORED ADR
NYSE
12/04/2002
901
385 SOCIETE GENERAtE FRANCE (83364L109)
SPONSORED ADR
NQB
12/04/2002
92.)
205 TESCO PLC (881575302)
SPONSORED ADR
NQE
1210'/2002
19.29000
37.24000
42.89000
14.56000
49.40000
51.17250 Bid
18.55000 H/L
36.62000 HIL
42.45000 H/L
14 .20000 ElL
48.31000 H/L
10.80000 Bid
9.41790 Bid
921
Div: 0.0768 Ex: 09/25/2002 Rec: 09/27/2002 Pay: 12/09/2002
45 TOTAL S A (89151E109)
SPONSORED ADR
NYSE
12104/2002
931
105 UNILEVER PLC (904767704)
S PON ADR NEW
NYSE
12/04/2002
66.23000
36.66000
Page 8
65.40000 H/L
36.00000 H/L
3C.900000
210.804800
51.172500
18.920000
36.930000
42.670000
14 .380000
4B.8S500C
10.800000
9.417900
65.8}5000
36.330000
2,583.00
3,162.07
15.03
3,837.94
4,257.00
3,693.00
2,986.90
2,516.50
4,396.95
4,158.00
1,930.67
15.74
2,961.68
3,814.65
This report was p~oduced with EstateVal, a p~oduct of Estate Valuations & priCing Systems, Inc. It you have questions,
please contact EVP systems at (818) 313-6300 or wwW.evpsys.com. (Revision 7.0.21
Date of Death:
Valuation Date:
Processing Date:
12104/2002
12/04/2002
08/01/2003
Shares
or Par
securi ty
Description
High/Ask
941
65 DEUTSCHE BANK AG NAMEN (D18190898)
ORO
NYSE
12/04/2002
51.69000
95)
90 UBS AG (H8920M855)
NAM;EN AKT
NYSE
12/04/2002
49.46000
961
2970.232 AXP GLOBAL SER INC (00245L702)
GLOBAL BD FD A
NASDAQ
12104/2002
97)
GDSS.63l AXP STRATEGY FD ~NC (00246C10/)
8M CAP ADVAN A
NASDAQ
12/04/2002
981
5971.223 fRANKLIN CUSTODIAN FDS INC (353496607)
US GOVT CL A
NASDAQ
12/04/2002
991
2212.389 STRONG EQUITY FDS INC (862916723)
ADV S CP VAL A
NASDP,Q
12/04/2002
100)
3637.16 STRONG GOVT SECS FD INC (863344206)
ADVISOR SES
NASDAQ
12/04/2002
1(1)
85t} PRINCIPAL FINANCIAL GROUP INC (14251Vl02)
COM
NYSE
12/04/2002 29.42000
Estate of: Joseph W Caveny
Report Type: Date of Death
Number of Securities: 101
File 10: Caveny
Low/Bid
Mean and/or oiv and Int Security
Adjustments Accruals Value
50.09000 H/L,
48.69000 H/L
6.0600C Bid
4.43000 Bid
6.94000 Bid
19.09000 Bid
11. 26000 Bid
oiv: 0.25 Ex: 11/06/2002 Rec: 11/08/2002 Pay: 12/09/2002
28.69000 E/L
Total Value
Total Accrual
Total $185,307.13
310. 78
5t ~t;~f'''-51
Page 9
50.890000
49.075000
6.060000
4.430000
6.940000
19.090000
11.260000
29.055000
IPm.!Jn, D;v.
212.50
$682.59
;:9D,7S
s; /D73,!7
3,301.85
4,416.75
17,999.61
26,972.64
41,440.2.9
42,234.51
40,954.42
24,696.75
$784,625.14
This repo~t was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If YDU have questions,
please contact EVP Systems at (818) 313-6300 or ....wh..evpsys.com. (Revision 7.0.2)
REV-1508 EX + (1-97)
COMMONVVEAL TH OF PENN$YL VANIA
INHERITANCE TAX RE1URN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
CavenYr Joseph W
FILE NUMBER
21-2002-1113
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jolntly-owned with the right of survlvol'1lhlp must be disclosed on Schedule F.
ITEM
NUMBER
1. American Express MONEY
CUSIP: 00245U108
Shares/Par: 8259.23
Exchange: NASDAQ
CASH MGMT CL A
DESCRIPTION
MKT SER INC
VALUE AT DATE
OF DEATH
8,262.86
2 American Express Strategic Portfolio Services - Account
#47192695 Money Market
2,976.32
3 American Express Wealth Management Services - Account
#22572291 Money Market
7,690.66
4 American Express Wealth Management Services - Account
#22597090 Money Market
7,917.58
5 American Express Wealth Management Services - Account
#23139835 Money Market
8,209.48
6 PNC Bank - Money Market
Account # 50-80591121
13,255.80
7 PNC Bank - checking
Account # 51-40009958
35,946.22
8 HCR-ManorCare Nursing Home
Close out account and refund of $4,387, $59.13 and $24.25.
4,470.38
9 Highmark PA Blue Shield
Refund check for the unused portion of premium payment
315.94
10 U S Treasury
2002 1040 tax refund of $1,864,
2002 1040 tax refund of $1,288,
2001 1040 tax refund of $871.24
4,023.24
11 American Express Fixed Retirement Annuity
Account # 930049974957 004
Primary beneficiary Estate of Joseph Caveny
43,672.85
12 American Express Fixed Retirement Annuity
Account # 9300-3116890 7 004
Primary beneficiary Estate of Joseph
Caveny
69,025.7B
2W46AD 2_000
TOTAL (Also enter on line 5, Recaoitulationl $
(If more space is needed, insert additional sheets of the same size)
88,922.94
294,690.05
Total from continuation pages....
Estate of: Caveny, Joseph W
Schedule E -- Cash, Bank Deposits & ~sc. Personal Property
Page 2
21-2002-1113
Item
No. Description
Valu.e at
Date of Death
13 American Express Mode E Settlement
Account # 9300-41311117 004
Primary beneficiary Estate of Joseph Caveny
40,173.17
14 American Express Mode E Settlement
Account # 9300-62671308 004
Primary beneficiary Estate of Joseph Caveny
48,749.77
TOTAL. (Carry forward to main schedule)
88,922.94
JUL-09-03 11:08 AM BENKOVICH AND ASSOCIATES 7177616282
./ Nick C Stanoch
12/13/2002 02:28 PM
To: John A BenkovlcMieldtWHlAEFA@AMEX
cc:
Subject: Please Read. Estate Settlement Requirements for Joseph W Caveny 11049837 S 001
CERTIFICATE COMPANY
BROKERAGE
December 13, 2002
IDS LIFE INSURANCE COMPANY
AMERICAN EXPRESS FUNDS
AMERICAN EXPRESS
AMERICAN EXPRESS
70100 AXP Financial Center
Minneapolis, MN 55474
JOHN A BENKOVICH JR
WESTWOOD CENTER SUITE A
4661 TRINDLE ROAD
CAMP HILL, PA 17011-5603
Dear JOHN A BENKOVICH JR:
Thank you for your recent inquiry regarding JOSEPH W CA VENY's accounts.
These are the values of the accounts as of 12/0412002. At the end ofthis
letter, you will find a list of beneficiaries shown in our initial review of the
deceasedTs accounts.
Account Information
Mutual Funds
Account Number
01150449229 6 002
012404492295002
01250449229 4 002
031304492296002
Annuities. Post 1985
Account Number
930031168907004
93004131111 7 004 PIO
930049974957004
930062671308004 P/O
WMS
Account Number
Ownership
Individual
Individual
Individual
Individual
Ownership
Individual
Individual
Individual
Individual
Ownership
P.El2
JUL-0$-03 04:18 PM BENKQVICH AND ASSOCIATES 7177616282
P~03
000225722917 021
000225970904021
00023139835 5 021
Individual
Individual
Individual
BPS Advantage
Account Number
000471926956021
Ownership
Individual
Mutual Funds
Account Number
01250449229 4 002
Total Value # of shares
Asset Value Per Sbare
$162,569.28 37,072.308
$4.380
$47,004.2 9,584.019
$4.900
$62,372.38 25,603.577
$2.430
$8,262.86 8,259.230
$1.000
011504492296002
01240449229 5 002
03130449229 6 002
Annuities. Post 1985
Account Number
93003116890 7 004
93004997495 7 004
Total Value
$69,025.78
$40,173.17
$43,672.85
93004131111 7 004 PIO
930062671308 004 PIO
$48,749.77
WMS
Account Number
00022572291 7021
Total Value
$107,555.69
00022597090 4 021
$127,914.38
00023139835 5 021
$109,298.61
SPS Advantage
Account Number
000471926956021
Total Value
$172l577.78
,
The date of death values provideci are for estate tax purposes and are not
values to be paid. Accounts may be subject ro market fluctuation as governed
by each produ.ct. Please note that the values indicated for any Life Insurance
product(s! ref1ect the gross death benefit at date oi death. not the cash value.
JUL-09-B3 11:09 AM BENKOVICH AND ASSOCIATES 7177616282
P_04
Account Disposition
Account disposition is based on how an account is owned (the ownership type).
The following information will help you understand the process tbat will be
used to settle the accounts.
Disposition for Individual ownership
Upon the death of the owner, all mutual fund, certificate, brokerage, annuity
accounts issued before January 19, 1985 and life insurance accounts
registered in individual ownership become part of the estate for distribution.
If there is a contingent owner named on a life insurance or annuity account
ownership passes directly to the contingent owner.
Disposition for Individual ownership
The deceased was the annuitant on at least one annuity account previously
listed. Upon the death of the annuitant, account proceeds typically pass to
the beneficiaries named at the time of death. Ifno beneficiary was designated
the proceeds become part of the estate for distrihution. DEFERRED
ANNUITY NOTICE: The beneficiary(s) has the option of taking the annuity
death benefit either as a full distribution or under an annuity payment plan.
If the beneficiary(s) wishes to elect an annuity payment plan, we must receive
written notice of this election within 60 days of our receipt of due proof of
death. Due proof of death is considered to mean our receipt of a certified copy
of the death certificate, a completed death claim statement, and any other
required claim documents. If there are multiple beneficiaries, the 60 day
window for electing an annuity payment plan begins for ALL beneficiaries on
the date we receive complet!: requirements from the first claimant.
"
Payout Annuity, Mode E. Life Income or Joint Life Paying a .
Beneficiary .. ....
Account number 9300413111 7 004 is an annuity in payout. The first
payment was issued on 8/5/1994 and payments will continue according to the
terms of the contract until 7/5/2009. Therefore, all payments between the
date of death and the last payment date are now due to the named
beneficiary. The beneficiary has the option to continue receiving the payments
(if greater than $20.00 per installment) or to take a commuted lump sum of
the remaining payments using an interest rate determined by the Company.
If the beneficiary is considering a commuted lump sum, contact the corporate
office for an estimated value. To receive payment, submit the requirements
described in the Required Documents section of this letter.
Payout Annuity. Mode E. Life Income or Joint Life Paying a
Beneficiary
Account number 93006267130 8004 is an annuity in payout. The fll'st
payment was issued on 10/28/1998 and payments will continue according to
the terms of the contract until 9/28/2013. Therefore, all payments between
the date of death and the last payment date are now due to the named
beneficiary. The beneficiary has the option to continue receiving the payments
(if greater than $20.00 per installment) or to take a commuted lump sum of
tbe remaining payments using an interest rate determined by the Company.
JUL-09-03 11:10 AM BENKOVICH AND ASSOCIATES 7177616282
P.0S
If the beneficiary is considering a commuted lump sum, contact the corporate
office for an estimated value. To receive payment, submit the requirements
described in the Required Documents section of this letter.
Disposition for Individual ownership
Upon the death of the owner, all mutual fund, certificate, annuity and
brokerage accounts issued before January 19, 1985 and life insurance
accounts registered in individual ownership become part of the estate for
distribution. If there is a contingent owner named an a life insurance or
annuity account ownership passes directly to the contingent owner.
Disposition for Individual ownership
Upon the death of the owner, all mutual fund, certificate, SPS Advantage and
brokerage accounts, annuities issued before January 19, 1985 and life
insurance accounts registered in individual ownership become part of the
estate for distribution. If there is a contingent owner named on a life
insurance or annuity account ownership passes directly to the contingent
owner.
Required Documents
In order to take appropriate steps to settle the accounts we will need these
documents:
Certified Death Certificate
(For accounts: 00022572291 7021, 000225970904 021, 00023139835 5021,
000471926956021,011504492296002,012404492295 002, 012504492294
002, 03130449229 6 002, 93003116890 7 004, 93004131111 7 004,
930049974957004,930062671308004)
The death certificate must be an original document that bears certification
from the health department or local registrar and includes the cause of death.
,
-
Estate Settlement Form (3248F) .I
(Far accounts: 00022572291 7021, 00022597090 4 021, 00023139835 5 021,
000471926956021,011504492296002,012404492295 002, 01250449229 4
002,031304492296002)
To process a settlement on a Mutual Fund, Certificate or Brokerage account,
we need a completed Estate Settlement Farm 3248F from each claimant. A
separate farm should also be included far each ownership type. Sections I, 2,
4 and 10 must be completed. For instructions on completing this form, please
see page 6. Incomplete information would cause delay.
Death Claim Statement Form (33047P) v
(For accounts: 930031168907004,93004131111 7004, 93004997495 7 004,
93006267130 8 004)
To process a death claim on an annuity or life insurance account, we must
receive a completed Death Claim Statement Form (33047P) from each
claimant. If an older version of the form is used, the claimant must also fill
out a W-9 form with a revision date of at least 12/00. A completed death
claim statement must contain the following: The deceased's client information
and account number, an acceptable mode of settlement, and a completed
c1ai.mant information section. If any of this infDrmation is incomplete, the
form will be returned. If a tax withholding election is not selected, we will
'>
".
"
JUL-09-03 11 :11 AM BENKOVICH AND ASSOCIATES 7177616252
P.06
automatically withhold from the distribution 10% of the taxable amount for
federal income taxes.
/
Certified Letters of TestamentarylLetters of Administration
(For accounts: 00022572291 7021, 00022597090 4 021, 00023139835 5 021,
000471926956021,011504492296002,012404492295 002, 012504492294
002, 03130449229 6 002)
This document confirms who is appointed as the legal representative of the
estate. The document must be court certified and dated within 60 days of the
date the corporate office receives it. In Iowa, Montana, and New York, letters
must he dated within 180 days.
Certified Letters of TestamentarylLetters of Administration (estate)
(For accounts: 93003116890 7 004,930049974957004,930062671308004)
This document confirms who is appointed as the legal representative of the
estate. The document must be court certified and dated within 60 days of the
date the corporate office receives it (In Iowa, Montana, and New York, letters
must be dated within 180 days).
Form W -9, Request for Taxpayer Identification Number and
Certification
(For accounts: 93003116890 7 004, 93004997495 7004,930062671308004)
Rev. Rul. 84-73 and Reg. Section 301.6109-1 requires that the Taxpayer
Identification Number (TIN) used to identify estates and trusts of decedents
be an Employer Identification Number (EIN), rather than the Social Security
Number of the deceased. If the legal representative(s) or trustee(s) chooses
not to comply with this ruling, or if an EIN has not been assigned, a separate
W-9 must be completed in addition to entering the TIN on the Death Claim
Statement/Estate Settlement Fonn.
J
,
SPS Client Service Agreement Form (23443)
(For accounts: 00047192695 6 021)
This form must be submitted indicating that the client agrees to the tenns
and fees associated with the SPS Advantage account.
WMS Service Agreement Form (8164-11)
(For accounts: 00022572291 7 021, 00022597090 4 021, 00023139835 5 021)
This form must be submitted indicating that the client agrees to the terms
and fees associates with the WMS account.
In order to be compliant with fair claims practices of many states, we will also
be corresponding with the beneficiaries listed for any Life and Annuity
accounts held by the deceased client. Please contact us if you wish to see a
copy of these correspondences.
If you wish to complete settlement this tax year, all requirements
must be received by December 16, 2002. We will handle the
requests after this date as quickly as possible. However, we cannot .
guarantee that processing will be completed by year-end for this
year's tax reporting.
Additional information about death settlements can be found on Advisor
Connect at
JUL-09-03 11:11 AM BENKOVICH AND ASSOCIATES 71776162a2
P.07
www.internal.aexp.com/connect/acdoc!ib. nsf/webpageslDeath +Settlemen ts? op
endocumen t.
We appreciate the opportunity to be of service to you. Please contact us if you
have any questions.
In an effort to improve our process, we invite you to share your feedback with
us by sending a Lotus Note to: Settlements Feedback.
Sincerely,
Nick Stanoch
Brokerage/Wrap Estate Settlements
70310 AXP Financial Center
Minneapolis, MN 55474
888-723-8476, option 5, 85379
Attachment: Beneficiary Information
.
JUL-09-03 11:13 AM BEHKOVICH AND ASSOCIATES 7177616282
P.0:S
Beneficiary Information
We have the following beneficiaries on record for the deceased's accounts.
Account Number:
Designation:
No Beneficiary Designated
01150449229 6 002
Account Number:
Designation:
No Beneficiary Designated.
01240449229 5 002
Account Number:
Designation:
No Beneficiary Designated
012504492294002
Account Number:
Designation:
No Beneficiary Designated.
031304492296002
Account Number:
Designation:
PRIMARY BENEFICIARY
ANNUITANT'S ESTATE
,
930031168907004
Account Number: 930041311117004 PIO
Designation:
PRIMARY BENEFICIARY
SP6B8E 100.00%
SECONDARY BENEFICIARY
WqNG, bAWFUL CIYI n1;lFN TN FQT!~ 100.00%
Account Number:
Designation:
PRIMARY BENEFICIARY
ESTATE OF MR JOSEPH W CAVENY
,-
93004997495 7 004
100.00%
Account Number:
Designation:
PRIMARY BENEFICIARY
ANNUITANT'S ESTATE
93006267130 B 004 PIO
Account Number:
Designation:
<No Beneficiary Designated.>
000225722917021
JUL-09-03 11:13 AM BENKOVICH AND ASSOCIATES 7177616282
P.09
Accowit Number:
Designation:
< No Beneficiary Designated.>
00022597090 4 021
AccoWlt Number:
Designation:
< No Beneficiary Designated.>
000231398355021
Account Number:
Designation:
< No Beneficiary Designated.>
000471926956021
.
JUL-09-03 11:14 AM BENKOVICH AND ASSOCIATES 7177616282
P.10
Client Name:
Date of Death:
'-Dh wCavenv
1214102
Account
Valuation Date:
22572291
1214102
estimated Values
No. Socurllv p_ ,_I C..I. Sh_ Hloh Low FlIlr_VoIuo r...,
1 ACOBE SYSTEMS INCORPORATED ADBE 00724Fl01 18 $21.48 S2G.05 $2&. T1 $1579.1
2 ALBERTo.ctJLVER CO CV Cl B ACV 0130G8101 36 $49.80 $48.75 .... $11.18 $1,721.1
3 AMAZON-COM AMZN 023136106 119 $23.80 $22.98 $13.38 52.7I2.Z
4 AMERICAN POWER CONVERSION APCC 029066107 199 $16.06 $101.60 , $14.83 ., 980.1
5 APACHE CORPORAllON APA 037411105 34 $S5.50 $64.52 $86.01 $11170."
5 APOLLO GROUP INC Cl A . APOL 037504105 80 $41.92 $3Ul . '.' "".92.
7 AlITOZONE INC R!J 1l533!2102 32 $80.00 $72.00 $78.00 $2.432.1lll
8 CDWCOMPIlTER CENTERS INC CDWC 125129106 50 $49,51 $48.14 $48.88 tt4.3.7"
9 COACH INC COH 189754104 105 $34.50 533.02 $33.T8 $3,5T8.50
10 COGNOS INCORPORAllED COGN 19244Cl09 181 $Zl.48 $21.U 522.55 ","OBU.
11 OEIITSPL Y Itm:RNA'llONAL INC XRAY :A9030107 82 $33.59 $32.93 $33.28 52.052.1'
12 ELECTRONIC AR'IS ERTS' 281512109 so -- . ........ $88.72 .
13 ENERGIZER IIOLOINGS INC ENR 29265Rl08 101 $29.17 $28.70 'mM $2.922....
14 EXPEDlAINC. . . '. .. EXPE 302125109 . 41 m:14 . $10.0&' ., ".".. . $NAG . . $2.921."
15 GIlEAD SCIENCES INC GILD 3755S1l103 114 $37.14 mso $36.82 $2.343."
18 HOTElACOMClA' '.. . ........... ROOM "'471108 81 m:. $87.53' .,C ': C $10,10 .
11 HUDSON CITY BANCORP HCBK 443683107 231 $1U1 $18.04& "8.89 "'"31U'
.18 ITT INDUSTRIES JNC o. ITT _1102 '25 . SllII..lIO. $11.2&' . ";'c'!\';': $88.1a ' $1.41s.S3
19 INTlJIT INC INTIJ 481202103 ... $53.85 $aZ.31l sa,,2 .. S02."
20 L3 ~N1CAllONS HLDGS INC. w.. _'04 48 $44.~ $Q.3I' :'.!/~i1'~'.; $43.Z , .. 073."
21 LEXMAllK INTL GROUP INe CL A LXI< 52S171107 51 585.28 $53.59 $64.M $3 311."
22 UNCARE HOLIllNGSINC' LNCR 532791100' . . 82 ' 134.00, , . $33.01' ~;; :.;'{"~:' '$33.51 ". "'-071.31
23 MERCURY INTERACllVE CORP MERQ _'09 51 $31.51 $30.25 .....90 '1.1!l2.2l:
2A MlCHAEl..S STQREllINC . "'K _108 80 137.88 $3&;25 " '" ....- '-.W "
25 MOODYS CORPORA llON Mea 51535910S S& $44.15 $43.57 ~ ...-"
2B NOR11+.FORKIlANCORPORAllON NY NFB _105 15' 134.11% $34;10' .' ....... ........:.
21 NVIDIA CORP NVDA 87D58G1D4 185 $16.00 $13.93 $14..47 "'-7".....
2B OXFORD HEALTH PLAMSINC COM OHP .1471105 80 $37.10 S38;OO '. ' '. S3L08 "'-153....
2B PATTERSON DENTAL COMPANY POCO 703412105 50 $4!l.80 $39.75 $10.18 52.008.7&
30 PETSMART INC PEITIl 71&7&8105 153' $18.71' 517,82', .., $1UT .._u
31 PIlCAR IMe P1XR 725511103 57 $18.00 $87.10 $88.05
32 QLOGIC CORP QLGC 747277101 19 $4lI.50 $38.17' -.. "'-131.1
33 ROSS STORES INCORPORATED RaST m29S103 n $48.31 $43.82 $64.57 $1,o\2B.""
34. SYIIANTEC CORPORAllON lM!C 871503108 90 $43.&l $42.18' $Wl1
35 llCl<E'lYASTER CLASS B lMCS &8lI33P203 109 $24.12 $22.83 $23.4B "'-!188.19
38 VVES1\'IIOOll ONE INC WON 951815107 53 $38.54 aus $38.15 $1 91s.9!
:17 'IIIILUAMS-SONOMA INC WSM _'01 105 SZ7.78 525.81 $28.10 $2.8ll2.91
Total Seeurill.. Value t99 885.03
Cash 51 590.66
ESTlMATED ACCOUNTTOTAL
$101,555.69
.
JUL-09-03 11:14 AM BENKOVICH AND ASSOCIATES 7177616282
P.l1
Client Name:
Date of Death:
,,-ph W Cavenv
12/4102
Account
Valuation Date:
22597090
12/4102
estimated Values
No. '. _;;;;;- PoIItIan r_1 CusI" - HIGh LN' Fair_VIII.. TolOl
I AIR PRODUCTS & CHEMICALS INC APe 009158106 115 $44.35 $43.00 $43.58 Sl.022."'
, 2 ALCOA INC . .' . loA 013i'17101 175 SZ4.52 S23.t2 . . ..... $Z4.22
3 ALLSTATE CORP ALL _2101 150 $38.30 $38.58 $35.95 S8.231.2lI
~ BANK Of AMEIlICA CORPORA'TlON BAC 080505104 50 ".75 $llIl.29 ::. $89.02 lII.211.8l1
5 IIAlCTCR INTERNATIONAL IHC SAX OTla13109 155 $32.50 $31.03 $31.77 $ol.923.Sl
~ 1lEI.UlOU1lI CORP . BLS _02 150 $27.70 . $2UO ' '. $27.10 $ol.OI5.OC
1 CHEVRONTEXACO CORP fNX 186784100 11 $67.98 - $67.'ZF $1.246.'"
. CONAGRA FOODS INCORPORATED CAG _102 2Ali S24.59 $2412 ~
. CONOCOPHIWPS COP 2OB25C104 115 $48.48 $48.15 $48.12 Sl.648.2:!
10 OOMNION RESOURCES INC 0 %S744U109 106 ~ ....77 '. . $51;01 Sl.38Ul
" OOWCHEMCAL CO OOW 280543103 14& $30.35 sal0 $21.74 $ol.312.31
12 GENERAL ELECTRC,COMPAHY" . GE _103 130 . $44.58 $l4.10 ,.., ...... 5&.770.711
13 GENERAL 1Il.L.S tNC GIS 370334104 70 UL58 "''''"10 _39 S3.1OT.31
14 GENERAL MOTORS'CORPORA'TlON: . GI/' 370442106 78 $38.0S' 't07.za - '~Ny;.:m18 . t:L8CL1'
15 GENUINE PARTS CO GPC 3724lIOl05 170 $30.71 $30.311 $30.51 "'185."'
15 GOOORICHCCRP ;'::;,::":":-,'i<:::',".: GR' _106, 130 S1T.112 Y $17:20, ':;'" :;,;:Jrt:5't '-,_.
17 KEl.LOGG CO K _108 140 $33.85 ""... $33.80 14.704.01
I. MERCK'&:COINC: J,,'O,t"'> " ..- 581331107 110 $&11020 ....os. .. "-"si;:4oja,7
',-
I. SEMPRA ENERGY 8/I.J!S/!D'i SRE .1185109 %OS $%3.80 $21.11 $33.1. 14.781.91
'3J. SUPERVALUINC ..:" >:C';:"" SVlf _103 310 '. ... "'UII' $1T.A4- .),'~~:~':': '""7;7'1 .,' ...480.1'
21 3M COMPANIES - 88STllYl0l 35 5128.92 $127.10 $128.01 1oL480.3'
22 WLCAN MATERlALsCO .~, ., VWC 921180109: .' 100 137.18' :...... '. !II':':"
"
23 WACHOVIA CORP WB _102 135 $35.... $34M $34.91 IL720.2I!
'~ WE'IER!lAEIJSER CO .." '.'c', wy, 982188104 " 105 ' ....38' : ""80' '.' "'c .,...-..IC',SlI:l43;St
25 WI'El1l WYE ll83024100 110 $38.%3 $38.93 $37.58 $4, 133.81:
Total s.c_ Value S119.9116.1IlI
ICa.h '.' ' ".c" '. '. '. '. , . '" ,~;' $T,91Ul!
ESTIIIIArEo ACCOU';(~";I:AL ,
'; S1%7,91.(38'
.
JUL-09-03 11:15 AM BENKOVICH AND ASSOCIATtS 71776162S2
p ~ 12
Client Name:
Date of Death:
JooDOhWeavonv
12/4102
Account
Valuation OatIl:
23139835
12/4102
Estimated Values
No. s.cu.... Pooltlon -, CIIola . Sh_ HiGiI' ~"'" Fair MoIt<II VlIkle T....
1 ABN AMRO HOLDINGS ABN 000937102 276 $16.30 SI5.86 $16.08 SI,.4:O."
2 AlUED IRISH BANKS P~C A1B 0192211lO2 115 . $27.55 $27.10 . $27.33 dol"""
3 IlSTRAZENECA P~C AZJ/ 046363108 100 $36.13 $31.60 $31.87 a.786-:<<
. AIIEHTlS AVE 053551106 55 $66.15 S53.77 , ........
5 AXA AXA _'OT 300 $15.10 $1..40 $14.75 -$U25~
6 BP ~c.sPONS ADR BP 05562Z104 T5 $39.30 $3Il.711 ..OCI .., -'"
T BARC~YS~C 8CS 06T38E204 1711 $26.T5 $25.99 S2lI.3T "'"2."
6 CAD8URY SClMEPPES P~C . CSG 1272ll9302 11& "'uo 525.82 $21.01 12.991.1
9 CANON INC CAJ 136006309 60 $39.05 $31." $31.T6 07._....
10 DANSKE BANK ASS '. . . DNSKY 238363107 130 $16.58 '. 511.68 07.162.'"
11 OIAGEO P~ CEO 252430205 80 $013.66 S02.44\ ....0&
12 SIl SPA ~ 2I874Rl08 65 ' $72.16 STU8- ','" $71.77 . . S3.!MT~Ol
13 ENDESA SA ELE 29268Nl07 320 $12.36 SI1.96 $12.1& $3.669.60
1. G~K\JNEPLC;, GSK 3l733W105 95 '-=n.. S38.88 .... .c.Y"'S31:20 . . '.. S37.'"
16 HSBC HOUlINGS ~C HBC - 80 ....13 $5T.71 $5T.T5 ....,.;...,
18 1lEJNEJ<EN NY" " . IIINKY _2202 70 . S38.9O ' i,,"X ,~::';,!", :"~anl,. ,'Y',
.. .
IT KAO CORPORAl1ON-UNSPON AOR KAOCY 44\$537203 1& $2tO.8O 1210.60 ... t....
'16 NESTU!RI!G SA c; , NSRGY' &41089406, ' T5 " , . "1.7% ........ '." '.'do_"
19 NOI<IA CORP NOK 6&C9O:I204 22Ii $19.:19 518.5& S11.92 W-zs7.0l
20 NOVAR1lSAG .. .,' ' " NVS 86I8TV109 100' . $3T.24 ' S38.62.' "':.:,"'1\~;fS"'::: ~I'.'-,'~_~...J
21 ROY~ DUTCH PErROLEUMINE'M IUl 7l1025T904 70 S02.89 $aM S02.87 -S2.Hl.91
2% SAN P~Q.II111 SPA . " . 11III' '/991T6t~ 1T6 SIU8' $1<I.2lr . >~!"r:'/;'.:'su.3I '," 07.518."
2S illEMENS N3 ill ll2Ill97501 90 .....40 ~.31 -.88 "'395.9
:u. SOCIEI'E GEIlERALE' . SCG~ y 113364/..109 315 '. SIOJllt .,::, ."""5flJ.80 " U.15B.0l
25 TESCO ~C TllCDY 881875302 206 $1.42 $8.42 SI931.1
21 TOr~FlNAa.F9.A., . TOT BI161E109 44\' SI8.23 SI6AO' ,......,'. c, " .......1 .... S2.961.iii
27 UNILEVER~C U~ !I04T5T104 105 536.66 $36.00 536.33 11614.6
21' Dl!lIT'SCIf! BANK DB. 0161_ 66 SBU8 ' $IIl.09.' . S80.ei
28 UBS AG-REG UBS H6920MB55 90 $48.44\ ~.69 sa.08 !lUt5.T'
Talal Socurltl. Value ~101 089.1
Caoh . .' I
ESTIMAlCD ACCOUtn'TOTAL,
$109,298.61'
JUL-09-03 11:16 AM BENKOVICH AND ASSOCIATES 7177616262
P.13
Client Name: J_ Wc.venv
Date of O8a1l\: 1214102
Account
Valuation Date:
47192695
1214102
Estimated Values
NO. ::.. PoIltIon .... . ; CUIIb ';SII_ HIGh taw ~FlIIrMaiitc8tValu., .."'T....,.
1 AXP GLOElA1. BOND - A IGBfX 00Z46I. 702 297D.232 $&.06 $1.06 S17.999.61
. 2' AXPSIIAIJ.:.CAP'ADVANTGE - A' ,. ASAAX OO246C107' '&IlKS31 I"... . 'K43' ,-- :",~"f:~,"::,;, :,'saL43 ' ' S2& sn"
3 FRK us GOVT SECURI11ES - A FkUSX 3S3496607 5971.223 -114 SL9&1 ~
4: STROII6ADV SlCAPVALUE- A SMVAX 1IIl2916723 2212:389' '. 51!L0I . '.' ,O::'S1!LOI' ,51
5 ~ GOVERNMENT SECS ADV SGVDX - 3637.160 511.3 511.2& $40 9&4:4:
otal Saeunties Value t~,;'/h"~ I S159601.~
Cos~ '.'. ~.', '" . : ..:.... '. ..' ..': ....... ... . IOJI'7ll.3
. i:s'nMAiEo'li.CCiiitri TOTAL."
'''-1_''''4' ",.
, $172.m78
.
REV-1510 EX+ (1-B7)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Caveny, Joseph W
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
FILE NUMBER
21-2002-1113
This schedule must be completed and filed if the answer to any of questlons 1 through 4 on the reverse side of the REV~1500 COVER SHEET is yes.
DESCRIPTION OF PROPERTY %QF
I"!EM INCLUDE THE NAME OF THEl"RANSFEREE, THEIR RELATIONSH1'? TO DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE
NUMBE' DECEDENT AND THE ~TfrPfo1~~fs~A'i-1JACH A COPY Of THE VALUE OF ASSET INTEREST (If APPUCABLEl
1. Joseph W Caveny Charitable Tr, 297,684.00 100.00 0.00 297,684.00
U/A 12-27-95
See attached statements from
Renaissance Trust Services,
lnc for DOD values.
Remainder interest in trust
principal and income
transferred to Camp !lill
Presbyterian Church on
12-27-95, subject to
decedent's retained life
estate.
TOTAL (Also enter on line 7, Recapitulation) $ 297,684.00
(If more space Is needed, insert addrtional sheets of same size.)
2W46Af2,DDD
UNITRUST
THIS AGREEMENT OF TRUST is entered into by Joseph W. Caveny of 209
South 24th Street, Camp Hill, Pennsylvania 17011 (hereinafter referred to as the "Trustor")
and John G. Cober of 310 Somerset Drive, Shiremanstown, Pennsylvania 17011
(hereinafter referred to as the "Trustee"). This trust shall be known as the JOSEPH W.
CAVENY CHARITABLE TRUST. It shall be funded initially with the trust property
described in Schedule A, a copy of which is attached hereto and incorporated by
reference herein. If this trust is not funded on the date of its execution by the Trustor, it
shall not be deemed to exist until it is funded with the property described in Schedule A.
This Trust Agreement is intended to establish a charitable remainder unitrust within the
meaning of ~4 of Rev. Proc. 90-31 and ~664(d)(2) and (3) of the Internal Revenue Code
of 1986, as amended from time to time (hereinafter the "Code"), and shall be held for the
following uses and purposes:
ARTICLE 1
General Powers of the Trustee
The Trustee shall have the power to collect and receive the corpus and income
of the trust estate, to pay all lawful charges and other expenses properly incident to the
management of this trust, and to engage agents to carry out the management of this trust.
Such agents may include (by way of example and not limitation) a third-party administrator
(hereinafter the "Administrator") and an investment manager. The initial Administrator of
this trust shall be the entity described in Schedule B, a copy of which is attached hereto
and incorporated by reference herein.
ARTICLE 2
The Recipient
2.1. Taxable Year. The first taxable year of this trust begins with the date the
trust is first funded with property and shall end on December 31 of that year. Subsequent
taxable years shall be on a calendar year basis.
2.2. Payment of Income. In each taxable year of the trust, the Trustee shall
pay to Joseph W. Caveny (hereinafter "recipient") during his lifetime, a unitrust amount
(hereinafter the "unitrust amount") equal to the smaller of (i) the trust income for such
taxable year (as defined in ~643(b) ofthe Code and the Treasury Regulations thereunder),
and (ii) a fixed percentage amount (hereinafter the "fixed percentage amount") equal to
five percent (5%) of the net fair market value of the trust assets valued as of the first
business day in each taxable year of the trust (hereinafter "valuation date"), except, where
no valuation date occurs in a taxable year of the trust that is a short taxable year or that
is the taxable year in which the noncharitable interests terminate, the trust assets shall be
valued as of the earlier of the last day of such short taxable year or as of the day on which
such noncharitable interests terminate. In determining the amount to be paid under
Paragraphs 2.2 and 2.3, the Trustee shall prorate the same on a daily basis for a short
taxable year in accordance with Treasury Regulation ~1.664-3(a)(1 )(v)(a), and, for the
taxable year in which all noncharitable interests terminate, in accordance with Treasury
Regulation ~1.664-3(a)(1)(v)(b).
2.3. Deficiency Makeup Provision. Any income for any taxable year in
excess of the fixed percentage amount for such year shall be paid to the recipient to the
extent that the aggregate of the yearly amounts paid in prior years was less than the
aggregate ofthe fixed percentage amounts computed on the valuation dates. This amount
shall be referred to hereinafter as a "deficiency payable." Any income of the trust for a
taxable year shall be added to principal to the extent such income exceeds the sum of the
fixed percentage amount for such year and any deficiency payable.
2.4. Source and Frequency of Payments. The sum of the unitrust amount
plus any deficiency payable (hereinafter "the amount referred to in Paragraph 2.4") for
each taxable year shall be paid to the recipient from income in annual installments at the
end of each taxable year.
ARTICLE 3
The Charitable Remainder
3.1. Distribution of Remainder to Charity. Upon the death of the
noncharitable recipient, the Trustee shall distribute all of the principal and income of the
trust (hereinafter the "charitable remainder"), other than any amount then due to the
recipient (or such recipient's estate), to one or more charitable remaindermen, each of
which must be a type of charity described in each of ~~170(b)(1)(A), 170(c), 2055(a), and
2522(a) of the Code (hereinafter a "Qualified Organization"). The Trustor hereby
designates the following Qualified Organization to receive the designated share of the
charitable remainder:
A one hundred percent (100%) contingent remainder interestto CAMP HILL
PRESBYTERIAN CHURCH, 101 North 23rd Street, Camp Hill,
Pennsylvania 17011, free of this trust, to be used for such unrestricted
charitable purposes as its governing Board shall determine.
3.2. Power to Modify Charitable Beneficiary Designations. The above
charitable remainder beneficiary designation, except for any designation declared to be
2
"vested" either in Paragraph 3.1 or subsequently, pursuant to procedures established in
this Paragraph 3.2, is contingent and may be amended in any particular or eliminated
entirely by a specific written instrument (hereafter, "written instrumenf') provided by the
Trustor to the Trustee that, byway of example and not limitation: eliminates any previously
designated Qualified Organization; adds or substitutes other Qualified Organizations;
modifies the share of the charitable remainder to which a designated Qualified
Organization will be entitled; changes the specific uses to which a designated Qualified
Organization must place its share of the charitable remainder; or modifies the status of an
existing designation from "contingent" to "vested." A vested remainder interest, whether
designated in Paragraph 3.1 or subsequently, pursuant to procedures established in this
Paragraph 3.2, may be modified subsequently by a written instrument solely with respect
to any specific uses to which the Qualified Organization must place its vested share ofthe
charitable remainder. If more than one written instrument is so delivered to the Trustee,
the written instrument bearing the latest date shall control and shall be deemed to revoke
all prior written instruments unless the most recent written instrument shall provide
otherwise. If the written instrument is a Will, such Will shall refer to this Trust Agreement,
be admitted to probate and come to the attention of the Trustee and Administrator or any
successor thereto within six months of the death of the noncharitable recipient.
3.3. Contingent Power to Appoint Remaindermen. Upon the death of the
noncharitable recipient, if any portion of the charitable remainder has not been designated
(pursuant to either Paragraph 3.1 or 3.2 of this Trust Agreement) in favor of a Qualified
Organization, such portion shall be distributed as soon as it is practical in equal shares
to the remaining Qualified Organizations named in accordance with this Article 3; but, if
there is none, to one or more Qualified Organizations, the selection of which shall be in
the sole discretion of the Trustee. If the Trustee shall be unable or unwilling to make the
selection for any reason, the Administrator shall do so. The party making the selection
shall also have sole discretion to determine how much of the share at issue to which each
Qualified Organization designated under this Paragraph 3.3 shall be entitled.
ARTICLE 4
Valuation of Unitrust Assets
In computing the net fair market value of the trust assets, there shall be taken
into account all of the trust's assets and liabilities as of the date of such computation
without regard to whether particular items are taken into account in determining the
income or the principal of the trust. All such determinations of net fair market value shall
be made exclusively by the Trustee (other than any valuation required to be made by the
Independent Special Trustee of any trust asset pursuantto Paragraph 14.1), the decision
of whom, reached in good faith, shall be binding upon all persons interested in the trust.
If the net fair market value of the trust assets is incorrectly determined, the Trustee shall
pay to the recipient (or the estate of such recipient) in the case of an undervaluation, or
shall collect from the recipient (or the estate of such recipient) in the case of an
3
overvaluation, an amount equal to the difference between the amount that the Trustee
should have paid if the correct value had been used and the amount that the Trustee
actually paid, each such adjustment to be made within a reasonable period after the final
determination of such value.
ARTICLE 5
Additional Contributions to the Unitrust
5.1. Additional Contributions Permitted. Subject to the acceptance thereof
by the Trustee, the Trustor or any other person may, from time to time, assign. transfer,
deliver or bequeath and devise additional property to the Trustee to be held under and
subject to all of the terms, conditions and provisions of this Trust Agreement, which
property shall become a part ofthe trust estate upon its acceptance by the Trustee.
5.2. Contributions Made by Inter Vivos Transfer. In any taxable year in
which an additional contribution or contributions are made to the trust by an inter vivos
transfer, the amount to be paid (and valuation to be made) as described in Article 2 shall
be computed in accordance with Treasury Regulation ~1.664-3(b) and pursuant to the
method described in Rev. Proc. 90-31, 1990-1 C.B. 539, ~4, ~5.
5.3. Contributions Made by Testamentary Transfer. If any property is
added to the trust.as a result ofthe death of any person, the obligation to pay the amount
referred to in Paragraph 2.4 with respect to such additional contribution shall commence
with the date of death of the person who makes the additional contribution, but payment
of such amount may be deferred from such date of death until the end of the taxable year
of this trust in which occurs the complete funding of the additional contribution. Within a
reasonable period after such time, the Trustee must pay to the recipient (or the estate of
such recipient) in the case of an underpayment, or must receive from the recipient (or the
estate of such recipient) in the case of an overpayment, the difference between:
(A) the amount referred to in Paragraph 2.4 with respect to such additional
contribution that is actually paid, plus interest, compounded annually,
computed for any period at the rate of interest that the Treasury Regulations
under ~664 of the Code prescribe for the trust for such computation for such
period, and
(B) the amount referred to in Paragraph 2.4 with respect to such additional
contribution that is payable, determined under the method described in
~ 1.664-1 (a)(5)(ii) of the Treasury Regulations.
4
ARTICLE 6
Private Foundation Limitations
Except for distributions of the amount referred to in Paragraph 2.4 and
notwithstanding any other provision of this Trust Agreement, the Trustee and/or any
Independent Special Trustee (as defined below in Article 14) shall not engage in any act
of self-dealing as defined in ~4941 (d) of the Code nor make any taxable expenditure as
defined in ~4945(d) of the Code. If the trust is continued after the termination of all
noncharitable interests, there shall be distributed amounts at least sufficient to avoid
liability for the tax imposed by ~4942(a) of the Code.
ARTICLE 7
Limitations on Other Payments
No amount other than distributions of the amount referred to in Paragraph 2.4
or an amount transferred for full and adequate consideration may be paid to or for the use
of any person other than a Qualified Organization.
ARTICLE 8
Trustee's Powers of Administration
8.1. Scope of Powers. In administering this trust, the Trustee (including any
Independent Special Trustee, with respect to any asset subject to Article 14 or any duty
defined therein) shall have all of the Trustee powers and discretions conferred upon it by
this (or any other) Article of this Trust Agreement and, to the extent they do not conflict
with such powers. the statutory powers enumerated in 20 Pennsylvania Consolidated
Statutes Annotated (hereinafter PA. CONS. STAT. ANN.) ~~7131 through 7133, as amended
from time to time. The powers enumerated and referenced in this Article 8 shall be
interpreted and exercised as fiduciary powers. Subject only to the prohibitions contained
in Article 6 and with respect to any units in a limited liability company and/or stock in a
closely-held corporation (hereinafter a "Company") that comes to be held in this trust, the
powers enumerated and referenced herein shall not disqualify the possessor of such
powers from holding office in a Company, accepting remuneration from a Company, voting
any units or stock in favor of such possessor as director or officer of a Company, or
purchasing or selling units or stock of a Company.
8.2. Investment Authority. The Trustee (including any Independent Special
Trustee, with respect to any asset subject to Article 14 or any duty defined therein) may,
without liability: (a) invest and reinvest the funds of the trust in any kind of property, real
or personal, including (by way of example and not limitation) stocks of any class, units in
a limited liability company, shares of regulated investment companies ("mutual funds"),
5
bonds and debentures, zero coupon securities, real estate investment trusts, shares or
interests in common trust funds, and life insurance policies, all notwithstanding any laws
or rules of law that would otherwise require the diversification of trust investments, restrict
trust investments solely to types appearing on a statutory list, or prohibit the holding of
underproductive property; (b) sell, exchange or otherwise dispose of any asset held in the
trust at either public or private sale, for cash or on credit; (c) continue to hold any property
included in the trust at its creation or later added to the trust or acquired pursuant to the
proper authority; (d) continue the operation or management of any business or other
enterprise contributed to the trust at any time; (e) enter into contracts with one or more
individuals, stock brokerage firms, associations or corporations acting as broker,
, investment advisor or otherwise, in such form and on such terms as the Trustee in his,
her, its or their sole discretion shall determine; and (f) lawfully disregard any laws or rule
of law that, in the absence of contrary trust provisions, would limit the amount any Trustee
can invest in or pay for any life insurance policy. The investment decisions of a Trustee
and/or any Independent Special Trustee shall be evaluated not in isolation, but in the
context of the trust portfOliO as a whole and as pari of an overall investment strategy with
risk and return objectives reasonably suited to the trust.
8.3. Environmental Powers. The Trustee shall have the following special
powers:
(A) to inspect any trust property to determine compliance with any
environmental law affecting such property or to respond to any
environmenta/law affecting property held by the Trustee;
(8) to refuse to accept property as a trust asset if the Trustee determines
that there is a substantial risk that such property is contaminated by any
hazardous substance or is being used or has been used for any activities
directly or indirectly involving hazardous substances which could result in
liability to the trust or otherwise impair the value of trust assets;
(C) to take any action necessary to prevent, abate, clean up or otherwise
respond to any actual or threatened violation of any environmental law
affecting trust property prior to or after the initiation of enforcement action
by any governmental body;
(D) to disclaim or release any power granted or implied by any document,
statute, or rule of law which the Trustee determines may cause the Trustee
to incur personal liability under any environmental law; and
(E) to charge against trust property the cost of any inspection, review,
prevention, abatement, response, cleanup, or remedial action.
6
The Trustee shall not be personally liable to any beneficiary or other party for any
decrease in value of trust property by reason of such Trustee's compliance with any
environmental law, specifically including any reporting requirement under such Jaw.
Neither the acceptance by the Trustee of property nor a failure by the Trustee to inspect
property shall be deemed to create any inference as to whether there is or may be any
liability under any environmental law with respect to such property. For purposes of this
Paragraph 8.3, "environmental law" means any federal, state or local law , rule, regulation
or ordinance relating to protection of the environment or human health, and "hazardous
substance" means any substance defined as hazardous or toxic or otherwise regulated
by any environmental law. For purposes of this Paragraph 8.3, the term "Trustee" includes
any Independent Special Trustee to whom duties and responsibilities with respect to the
asset in question are assigned by Article 14.
8.4. Limitation on Powers. Notwithstanding anything to the contrary stated
in this Trust Agreement:
(A) the Trustee's powers and discretions referenced in this Article 8 or in
Article 9 shall not include any power or discretion that is in conflict with ~664
of the Code and the Treasury Regulations thereunder or any specific
provision of this Trust Agreement; and
(B) no provision of this Trust Agreement shall be construed to restrict the
Trustee (or an Independent Special Trustee, as the case may be) from
investing the property held in trust hereunder in a manner that could result
in the annual realization of a reasonable amount of income or gain from the
sale or disposition of such property.
ARTICLE 9
Principal and Income
9.1. Principal and Income Laws. Notwithstanding the general application of
Pennsylvania law to this trust, pursuant to the authority granted to the Trustor by virtue of
20 PA. CONS. STAT. ANN. ~8102 (as amended from time to time) and for administrative
convenience, the definitions of trust income and principal and the rules governing how and
when a given trust receipt or item of expense is to be allocated between income and
principal shall be governed by the following authorities in the following order of preference:
FIRST: any express provision of this Trust Agreement that is directly on point; however,
if there is no applicable provision, then
SECOND: the applicable trust principal and income laws (as amended from time to time)
or other relevant rules of law of the State or Commonwealth in which the trust is being
7
administered by the Administrator or any successor thereto; however, if there are no
applicable statutes or other rules of law directly on point, then
THIRD: 20 PA. CONS. STAT. ANN. 998101 through 8112 (as amended from time to time).
The rules above for governing such principal and income matters shall be
referred to hereinafter as "Principal and Income Laws." The trust principal and income
statutes of the state in which this trust is to be administered initially (as indicated in
Schedule B) as they exist on the date of the signing of this Trust Agreement appear in
Exhibit 1, a copy of which is attached hereto for administrative convenience.
9.2. Life Insurance Policy Premiums. Any premiums paid by the trust on a
trust-owned policy of life insurance shall be charged solely to the trust's principal account
and, notwithstanding any statute, rule or convention to the contrary, no part of any such
premiums shall be paid with trust income (as income is defined for purposes of 9677(a){3)
of the Code only).
9.3. Real Property Depreciation Reserves. If required by the Code or any
Treasury Regulations or rulings thereunder to maintain the status of the trust as a
charitable remainder unitrust, the Trustee shall set aside a reserve or allowance from trust
income for the depreciation of any depreciable real property transferred to or invested in
by the trust; otherwise, the Trustee shall have discretion whether or not to set aside such
a reserve.
9.4. Income from Zero Coupon Securities. In applying ~643{b) of the Code
and the Principal and Income Laws to the administration of this trust, any increase in the
value of any zero coupon security, including (by way of example and not limitation) zero
coupon bonds and any other types of zero coupon obligations for the payment of money
that are payable at a future time in accordance with a fixed, variable, or discretionary
schedule of appreciation in excess of the price at which they were issued shall be
considered income that is distributable only when said increase is realized by sale,
redemption or other disposition of such obligation.
ARTICLE 10
Appointment of Administrative Agent by the Trustee
If for any reason the Trustee is unwilling or unable to act with respect to any
specific trust asset, by way of example, real estate in another jurisdiction, the Trustee shall
appoint in writing a qualified person or corporation to act as Administrative Agent or
Ancillary Trustee as to that trust asset. Any person or corporation acting as Administrative
Agent or Ancillary Trustee may resign at any time by written notice to the Trustee. The
appointed Administrative Agent or Ancillary Trustee shall exercise only the powers as to
that asset that are specifically authorized by written appointment. Any Administrative
8
Agent or Ancillary Trustee shall provide the Trustee and the Administrator with
accountings at least quarter-annually showing all receipts, disbursements, and
distributions regarding any assets over which the Administrative Agent or Ancillary Trustee
has authority. If such asset is sold by direction of the Trustee, the Administrative Agent
or Ancillary Trustee shall promptly remit all proceeds of sale therefrom to the Trustee and
provide a final accounting. For purposes of this Article 10, the term "Trustee" includes any
Independent Special Trustee to whom duties and responsibilities with respect to the asset
in question are assigned by Article 14.
ARTICLE 11
Limited Power of Amendment
The provisions ofthis Trust Agreement are irrevocable and shall not be subject
to amendment, alteration, or revocation by anyone, except as follows:
(A) the Trustee shall have the power and duty, acting alone and without the
approval of any court, Trustor, recipient or remainderman, to amend the
Trust Agreement in any manner required for the sole purpose of ensuring
that the trust qualifies and continues to qualify as a charitable remainder
un/trust within the meaning of S664(d)(2) and (3) of the Code and the
corresponding Treasury Regulations; and
(6) to the extent Article 3 so allows, the Trustor shall have the power to
amend, alter or revoke the charitable remainder beneficiary designation as
provided therein.
ARTICLE 12
Governing Law
This Trust Agreement having been delivered in the Commonwealth of
Pennsylvania, subject to the exception for the applicable Principal and Income Laws
contained in Article 9 above, the law of the Commonwealth of Pennsylvania shall govern
the validity and interpretation of this trust, notwithstanding the residence in another
jurisdiction of the Trustor or of any of the persons who may have an interest in this trust.
For purposes of this Article 12, if any conflict occurs with 9664 of the Code and the
Treasury Regulations thereunder, that Code section and the corresponding Treasury
Regulations thereunder shall govern.
9
ARTICLE 13
The Trustees
13.1. Successor Trustees. Any Trustee or Independent Special Trustee shall
have the right to resign at any time upon thirty (30) days written notice to the recipient and
to any Administrator or other agent retained by the Trustee hereunder. Upon receipt of
such notice of resignation of the Trustee (but not the resignation of the Independent
Special Trustee), PNC Bank, NA, 2101 Market Street, Camp Hill, Pennsylvania 17011
shall serve as the successor Trustee. However, if PNC Bank, NA, Camp Hill,
Pennsylvania shall be unable or unwilling for any reason to serve as successor Trustee,
a successor Trustee shall be appointed by the recipient. If the recipient fails or is unable
to make such appointment as required by this Article 13, the Administrator may make the
appointment. If an Independent Special Trustee resigns at a time when one is required by
Article 14, the Trustee shall appoint a successor Independent Special Trustee who meets
the requirements of Article 14. If the Trustee fails or is unable to make such appointment
as required by Article 14, the Administrator may make the appointment. For purposes of
this Article 13, the following shall be considered a resignation for which no notification
shall be required: (1) the death or incompetence of a Trustee or an Independent Special
Trustee, and (2) as to the Independent Special Trustee, any act or event causing the
Independent Special Trustee to cease being "independent" as that term is defined in
Article 14.
13.2. Removal of Trustees. The recipient may at any time, with or without
cause, remove any Trustee (other than an Independent Special Trustee) upon written
notice to the Trustee. Such removal shall become effective upon the appointment of and
acceptance by the successor Trustee. The successor Trustee shall be appointed as
provided in Paragraph 13.1. On or before the effective date of removal, the Trustee being
removed shall file a final accounting and deliver all assets under his, her, its or their
charge and control to the successor Trustee.
13.3. Removal of Independent Special Trustee. The recipient may at any
time, with or without cause, remove any Independent Special Trustee upon written notice
to the Independent Special Trustee. Such removal shall become effective upon the
appointment of and acceptance by the successor Independent Special Trustee. Upon
such action, the Trustee shall appoint a successor Independent Special Trustee who
meets the requirements of Article 14. Ifthe Trustee fails to make such appointment as
required by Article 14, the Administrator may make the appointment. On or before the
effective date of removal, the Independent Special Trustee being removed shall file a final
accounting and deliver any trust assets under his, her, its or their charge and control to
the successor Independent Special Trustee.
13.4. Miscellaneous Trustee Provisions. With respect to any Trustee or
Independent Special Trustee, the following shall apply: (a) all rights, powers, authority,
immunity and discretion herein granted or conferred shall survive to and may be exercised
---~ nun -- - --- 1 e -- ~--- ~-- ~- --~ -- -- - ~ -- ~
or applied in the same manner and to the same extent by or for any successor or
substitute that may at any time be acting hereunder; (b) each shall be responsible only for
its own acts or omissions; (c) a successor fiduciary shall not be required to audit or
investigate the acts or administration of any predecessor and shall be relieved of all
liability for failing to do so; and (d) no bond or other security shall be required for the
faithful performance of fiduciary duties.
ARTICLE 14
Independent Special Trustee
14.1. Independent Special Trustee Functions. Notwithstanding anything
herein to the contrary, when no independent Trustee is acting with respect to this trust,
an Independent Special Trustee (as defined in this Article 14) shall be appointed
whenever the trust holds any asset that does not have an objectively and readily
ascertainable fair market value, including by way of example (but not limited to) real
estate, stock in a closely-held corporation, patents (or similar intangible property), to take
title to in behalf of the trust and make all valuations of such trust assets; which valuations
shall be made solely by the Independent Special Trustee, and any other Trustee then
serving shall have no power, obligation, duty or right with respect to such valuation.
Similarly, all investment decisions regarding any asset described in the preceding
sentence, including (but not limited to) the determination of whether to dispose of such
asset and, if so, under what terms, shall be made solely by the Independent Special
Trustee, and any other Trustee then serving shall have no power, obligation, duty or right
with respect to such investment decisions.
14.2. Appointment of Independent Special Trustee. At any time during the
term of this trust whenever a situation described in Paragraph 14.1 requires an
Independent Special Trustee and none is then serving, an Independent Special Trustee
shall be appointed by the Trustee (with the concurrence of the Administrator) in a separate
written document that expressly refers to Paragraph 14.1. The Independent Special
Trustee may consist of one or more appointees serving concurrently. When more than one
person is occupying this office, they need not be appointed to share all responsibilities and
duties of the office jointly. By way of example and not limitation, if a given appointee has
specialized or unique experience with respect to a given hard-to-value asset type, the sole
and exclusive responsibility for dealing with assets of this type while they are held in this
trust may be assigned to such appointee. Where such exclusivity is granted in the original
written appointment, no other Independent Special Trustee serving concurrently shall have
any power, obligation, right or duty with respect to the specified asset type or other
responsibility exclusively assigned.
14.3. Dismissal of an Independent Special Trustee. If any Independent
Special Trustee is serving at a time when an independent Trustee assumes the office of
Trustee, the independent Trustee, in its sole discretion, may either retain or dismiss any
11
existing Independent Special Trustee. On or before the date of a dismissal, the dismissed
Independent Special Trustee shall file a final accounting and deliver any trust assets
under his, her, its or their charge and control to the independent Trustee.
14.4. Accounting Requirements. The Independent Special Trustee shall
provide the Trustee and the Administrator with accountings at least quarter-annually (and
a final accounting upon resignation) showing all receipts, disbursements, and distributions
regarding any assets over which the Independent Special Trustee has authority. The
Independent Special Trustee may accept the accounting records of his, her or its
predecessor without further investigation and without incurring any liability to any person
claiming or having an interest in the trust. Any accounting required hereunder shall be
deemed settled and approved, and the Independent Special Trustee and the Independent
Special Trustee's estate shall be discharged and released from all liability, unless the
Trustee or the Administrator (acting in behalf of the Trustee) delivers a written objection
to the Independent Special Trustee or its legal representatives within ninety (90) days 01
receipt by the Trustee of the Independent Special Trustee's accounting.
14.5. Liability of Independent Special Trustee. No Independent Special
Trustee named in or in accordance with this trust document shall be liable to any
beneficiary or to any heir of the Trustor for the Independent Special Trustee's acts or
failures to act, except for intentional and willful misconduct, negligence, bad faith, or
reckless indifference to the beneficiaries' interests.
14.6. Employment of Experts. The Independent Special Trustee shall have
the power to employ and make reasonable use of appraisers, actuaries, accountants,
attorneys and other agents to assist the Independent Special Trustee in his, her or its
duties and the Independent Special Trustee shall be entitled to rely on such experts'
advice as long as the Independent Special Trustee does so in good faith. All reasonable
fees and costs of such experts shall be paid from the assets of the trust estate and shall
be charged in accordance with Paragraph 16.3.
14.7. Limitations on Role. The Independent Special Trustee shall have no
powers, duties, or liabilities hereunder, except with respect to matters described in this
Article 14. Pursuant to this Article 14, the powers of the Independent Special Trustee (and
certain limitations thereon) are described in Articles 8 and 10 and include (by way of
example and not limitation) the power to sell, exchange or otherwise dispose of any
property that is subjectto this Article 14 (either real or personal) at either public or private
sale, for cash or on credit. In no event may an Independent Special Trustee undertake his,
her or its duties in a manner that wiil jeopardize the continuing status of this trust as a
charitable remainder unitrust as defined in ~664 of the Code and clarified in related
Treasury Regulations and Revenue Rulings.
14.8. Definition of Independence. Any Independent Special Trustee must
be an "independent" Trustee. As used herein, an independent Trustee must be one or
12
more persons other than the Trustor, no more than half of whom are "Related or
Subordinate Parties" who are subservient to the wishes of the Trustor within the meaning
of ~674(c) ofthe Code. The definition in ~672(c) of the Code shall be used to define the
term, "Related or Subordinate Parties."
ARTICLE 15
Legal Disability
15.1. Definition. For all purposes under this Trust Agreement, a person shall
be deemed "incompetent" if and so long as:
(A) a guardian or conservator of his or her person or estate duly appointed
by a court of competent jurisdiction continues to serve, or
(B) two physicians (licensed to practice under the laws of the state where
the person is domiciled) certify that such person is unable properly to care
for his or her person or property.
15.2. Legal Disability of a Trustee. A determination that an individual
Trustee is incompetent shall be deemed a resignation by that individual Trustee as of the
date of the determination.
15.3. Legal Disability of the Recipient. If, at any time, the recipient is (or
becomes) incompetent (as that term is defined above in Paragraph 15.1) or is in the
Trustee's opinion incapable of properly managing his legal affairs, then the Trustee may
apply the amount referred to in Paragraph 2.4 exclusively for the benefit of the recipient
by paying it to any person who may hold from the recipient an effective durable Power of
Attorney (which is valid under the laws of the domicile of the recipient) or who may be
legally appointed by a court of competent jurisdiction to serve as guardian or conservator
of his person and/or estate. Any such application on behalf of the recipient in lieu of a
direct payment to the recipient shall fully release the Trustee from its obligation for such
payment hereunder.
ARTICLE 16
Fees
16.1. Fee Entitlements. Any Trustee, Administrator, Independent Special
Trustee or Ancillary Trustee, and any agents of or successors to any Trustee,
Administrator, Independent Special Trustee or Ancillary Trustee shall be entitled to
reasonable compensation for services rendered in connection with this trust. Any
corporate fiduciary shall be entitled to a reasonable fee which is ordinarily received for
13
similar services in the vicinity of the principal office of the Trustee (or an Independent
Special Trustee, as the case may be) at the time such compensation is to be determined.
16.2. Fee Waivers and Limitations. Any person or entity entitled to a fee
pursuant to Paragraph 16.1 may waive any fee at any time. Fee waivers must be provided
in writing to the Trustee and any Administrator serving the trust. Notwithstanding
Paragraph 16.1, no fee shall be paid to the Trustor while serving as a Trustee; however,
while serving in this capacity, the Trustor shall be entitled to reimbursement from trust
assets for reasonable expenses incurred in administering the trust.
16.3. Accounting for Fees. Any fees to be paid pursuant to Paragraph 16.1
or any other provision of this Trust Agreement shall be charged to income first; but if
income is insufficient, to principal. Notwithstanding the prior sentence, any fees charged
for a final accounting when the trust reaches the end of its term shall be charged solely
against principal.
ARTICLE 17
Non-Apportionment of Taxes
No gift, legacy, succession, inheritance, estate or generation-skipping transfer
taxes that may be assessed against the property of this trust by reason of the Trustor's
transfer to this trust or death shall be paid out of any property held in trust hereunder. The
Trustor agrees on behalf of himself, his heirs, legal representatives, successors and
assigns, to provide for payments of any such taxes from sources other than property held
by this trust and to indemnify and hold harmless the Trustee from any and all liability for
such taxes.
ARTICLE 18
Trustor has Read the "Trustmaker's Guide"
The Trustor hereby acknowledges that he has received and read the
Administrator's publication entitled A Trustmaker's Guide to Net Income With Makeup
Charitable Remainder Unitrusts.
ARTICLE 19
Miscellaneous Provisions
19.1. Matters of Interpretation. The terms "Trustor," "Trustee," "beneficiary,"
"recipient," "Qualified Organization" and the pronouns referring thereto shall be deemed
14
to be singular or plural in number and masculine, feminine or neuter in gender. as the
context may require.
19.2. Jurisdiction. This Trust Agreement shall not be administered under the
continuing jurisdiction of any court. Should a question or issue be submitted to a court of
competent jurisdiction at any time or from time to time, such court shall acquire jurisdiction
of only the question or issue submitted to it, and the jurisdiction of such court shall
terminate upon the conclusion or settlement of such question or issue.
19.3. Code or Statute. References to the Internal Revenue Code, Treasury
Regulations thereunder, and to state statutes shall include any sections of like or similar
import which replace the specific section as a result of changes made after the date
hereof.
19.4. Headings. Titles and headings in this Trust Agreement are added for
convenient reference, and shall not be deemed to alter or affect the meaning of any
proviSion hereof.
*****
15
IN WITNESS WHEREOF, the Trustor hereby executes the TRUST AGREEMENT of
the JOSEPH W. CAVENY CHARITABLE TRUST on this 7."1'''" day of
\)>:'Cf.Me~<J-
, 19"l5.
~A~PtJ_CI.
J"Joseph W. Caveny, Trustor
This document prepared by S. Berne Smith, Attorney at Law, 107 North 24th Street, Camp
Hill, Pennsylvania 17011-3602, Counsel for the Trustor:
By:
4 f5~ ~{
S. Berne Smith, Esq.
16
TRUSTEE'S ACCEPTANCE
In consideration of the foregoing, the Trustee accepts the JOSEPH W.
CAVENY CHARITABLE TRUST thus committed to him and agrees to actin accordance
with the terms above stated. Accepted this 1"1 "T.... day of b<:~N1 5i:.{'2.
, 19Cf~
by:
.~~~~
?!,o n G. c;lf€ir, rustee
~.
JOSEPH W. CAVENY CHARITABLE TRUST
SCHEDULE A
Page one of one
INITIAl ITEMS CONTRIBUTED:
s.H....rtES fr.-OM J6Se:PH w. C....VE-NyS. -:tDS i-<lc;H y,et.-D
.-A'x'.EYSM'P" FVNO oJ!:OIIS.C4-4-"l!.,-OJ -" VAL..lJEJ) A,.
,~CO ,COO."t.>
Accepted by Trustee:
~_ ~ (7'~;;;,/d"LC------
J6hn G. Caber. Trustee ' I
JOSEPH W. CA VENY CHARITABLE TRUST
SCHEDULE B
THIRD-PARTY ADMINISTRATOR APPOINTMENT NOTIGE
The initial third-party Administrator of the JOSEPH W. CA VENY CHARITABLE
TRUST, executed on the . 2iTII day of Di:CE:;v1~~\'2
, 19qr shall be Gift
Administration Services, Inc., an Indiana corporation, domiciled in Indiana and presently.
located at 11595 N. Meridian Street, Suite 250, Carmel, Indiana 46032.
Acknowledged by Trustee:
~~~~....*~-
JoH'n G. Cober, Trustee
ACKNOWLEDGMENT OF TRUSTOR'S SIGNATURE
COMMONWEALTH OF
COUNTY OF Q. L<-.._'=> ~!>\-.i~
?erJiVs, v\ \Uf'l.o,J;1\
\
)
) ss:
)
The Trust Agreement of the JOSEPH W. CA VENY CHARITABLE TRUST was executed
..~
and acknowledged before me on the ~1 day of "1>c:.c.e......\'" c.",- , 19..i?by
Joseph W. Caveny, Trustor.
[SEAL]
\,. A J.-rl/\ ,', "'~-~
-
Notary Public
Commonwealth of
~e..~ NOS", \\JIW" (\-
,
Notary's Name Printed:
"^ P-c<..,<:.- \'\. ~(t... -\...0
"5/~/9.1
I
Notary's Commission Expires:
NOT APIAL SEAL
MARl;: ". FOFiilN. NOll1ry Pub"c
Camp Hill, Cumberland Ca..
M" C':>ff.n"t!~l.ion f":<lJires M&" 6. 1991
ACKNOWLEDGMENT OF TRUSTEE'S ACCEPTANCE
COMMONWEALTH OF ~~rv';.'-'\\u~;"'"
\
COUNTY OF c.. ~I.." ..,,.,.....\..""'-1 c\
)
) ss:
)
The Trust Agreement of the JOSEPH W. CA VENY CHARITABLE TRUST was accepted
J " '"'"
before me on the.,;;)l day of \..)c::-c. ~':. ~'\...
,19 '15by John G. Cober, Trustee..
[SEAL]
\. ~Q~ ~.
Notary Public
Commonwealth of
\> e...N N ~'-< \1J"t\J,t.,.
\
Notary's Commission Expires:
~^-i'l<1.. "- ~. 'f"OQ.:\;,,)
s/c, ('i7
Notary's Name Printed:
t~OrA~IAL SEAL
MAR;;: 1\. FORTIN. Notary Pub6c
c~".:;, ~m. Cumb<Ol1ond Cc.
Mv Com:":~~;:,l e;-tr:'l:i"~~ Mav 6. 1997
MAR-14-03 11:37 AM
I '
BEHKOVICH AHD ASSOCIATES 7177616282
P.02
.J
.;1.).
AMENDMENT TO THE JOSEPH W. CA VENY CHARITABLE TRUST
This is an AMENDMENT to Paragraph 3.] of the provisions of the JOSEPH W. CAVENY
CHARITABLE TRUST (hereinafter referred to as The Trust), established December 27, 1995,
so as to modify the Charitable Remainder Beneficiary designation. This amendment is being made
in accordance with the provisions of Paragraph 32 ofThe Trust Agreement.
1. Paragraph 3.1 is hereby amended so that it shall now read as follows:
3.1 Distribution of Remainder to Charity. Upon the death of the noncharitab1e
recipieot, the Trustee shall distribute all of the principal and income of the trust (hereinafter
the "charitable remainder"), other than any amount then due to the recipient (or such
reci.pieot's estate), to one or more charitable remaindermen, each of which must be a type of
charity desaibed in each of Sections 170(b)(l)(A), 170(c), 2055(a), and 2522(a) of the Code
(hereinafter a "Qualified Organization"). The Trustor hereby designates the following
Qualified Organization to receive the designated share of the charitable remainder:
A one hundred percent (100%) contingent remainder interest to CAMP HILL
UNITED PRESBYTERIAN CHURCH ENDOWMENT FUND, 101 North 23rd
Street, Camp Hill, Pennsylvania 17011, free of this trust, to be used for such
unrestricted charitable pW'poses as is authorized by the Endowment Fund Trust
Agreement.
In the event that the CAMP HILL UNITED PRESBYTERIAN CHURCH
ENDOWMENT FUND is unable for any reason to receive the charitable remainder
upon the death of the noncharitable recipient, the Trustor hereby designates the
following Qualified Organization to receive the designated share of the charitable
remainder: A one hundred percent (100%) contingent remainder interest to CAMP
HILL PRESBYTERIAN CHURCH, 101 North 23rd Street, Camp Hill,
Pennsylvania] 701], free of this trust, to be used for such unrestricted charitable
pW'poses as its governing Board shall determine.
2. In all other respects, the provisions of the JOSEPH W. CA YENY CHARITABLE TRUST
established December 27, ]995, shall remain in full force and effect and are not changed by this
Amendment.
IN WITNESS WHEREOF, the Trustor hereby executes this AMENDMENT to the TRUST
AGREEMENT of the JOSEPB W. CA VENY CHARITABLE TRUST on this~ day of
February, 1996.
,) , rI~
Nr,0 (> .' 1.-' ;!::JrJ q;
'Joseph W. Caveny, Trustor
MAR-14-e3 11:38 AM BEHKQVICH AND ASSOCIATES 7177616282
P_B3
, .
~3
..J J
This document prepared by S. Berne Smith, attorney at Law, 107 North 24th Street, Camp Hill,
Pennsylvania 17011-3602, Counsel for the Trustor:
ByA&~4. '7(
S. Berne Smith, Esq.
MAR-14-03 11:38 AM
I '
BENKOVICH AND ASSOCIATES 7177616282
P.134
24
.../
TRUSTEE'S ACCEPTANCE OF AMENDMENT
In consideration of the foregoing, the Trustee accepts the Amendment to the JOSEPH
w. CAVENY CHARITABLE TRUST thus committed to him and agrees to act in accordance
with the terms as stated therein as amended. Accepted this I"). n day of February, 1996, by:
~A (fJJ~
JoI'in G. Cober, Trustee
.-
ACKNOWLEDGMENT OF TRUSTEE'S ACCEPTANCE
COMMONWEALTH OF PENNSYLVANIA)
) ss:
COUNTY OF CUMBERLAND )
The Amendment to the Trust Agreement of the JOSEPH W. CA VENY CHARITABLE
fI
TRUST was accepted before me on the ~day of February, 1996, by John G. Cober, Trustee.
(SEAL)
Notary's Name Printed:
LAt/iiE E. KA!/E
Notary's Commission Expires:
/I/0f/Dn/.-3[lc /s 17''1<1
,
Notarial Seal
Laure E. Kane, Notary Public
Camp Hill 80ro, Cumber(and Cnunty
My Commission Expires Nov_ 15. 19~9
Member. Pennsylvania.Association::' "J~-t?rje~
JUL-22-2003 TUE 11:56 AM RENAISSANCE-CLIENT SVCS
FAX NO, 3178435270
p, 01
Renai~ce
FACSIMILE TRANSMITTAL SHEET
Laurie Kane
PHON~ NuMBER:
FROM:
Jeff Allen
PHONE NUMBER:
800-479-5145 EXT. 5477
DATE:
7/21/03
TO:
FAX NUMBER:
717-761-6282
FAX NUMBER:
317-843-5417
E:MAIL ADDRESS:
AllP.Q,l@'t'Pf\int:.com
TOTAL NO. OF PAGES INCLUDINa cOVER:
RE:
15
_ Urgent
_ Please Reply
_ For Your Review
NOTES/COMMENTS:
Laurie,
The following i~ the date of death valuation requested. Please contact me if you need any additional
infonnation.
CONFlDENTlAlJTY NOTICE: Thi. Te1ecopy aan.mis.;oo contain. contidentW infoanalion belonging to Renaissance, Inc.. and! or
Renailisance Administration Sc:rvices. u..c., 0: its clients that is intended solely for the Jecipient rwned above. Renaissance hc:;eby expi"essly
presefi"CI and. lUlcrts all p.tivileges and immunitie5 applicable: to this tnnsmiss.ion.. Ifyo'U afe :Dot the intanclcd :reclpieA-t or agent: of the
intend.ed recipicDir, this triUI.,:n:rlssiott wu Bent to you in cncu:'. lwy review, examination, U8C~ c:Ueclolute, reprod'Action, or
distribution oC tbia tra:rl8missioQ Qr 1hc infotmatiotl hereill stated by anyone other than the intended recipient i5 STRl CTL Y
PROHIBITED. If you received this ttansmi:lIdo~ in eu~, please I~ad:no futtbet than this cover sheet and immedittely telephone thf;
sender fa ut2nDe for the: u:tum OfWlO. tr2m;nUlIsion to Renahoaance which will ~ all c::oRr.S of :return.
6100 West 96'" Street, Suite 100 elndianapolis, IN 46278
JUL-22-2003 TUE 11:56 AM RENAISSANCE-CLIENT SVCS
FAX NO, 3178435270
P. 02
.......u: 07/22/03 3.1159:31 (J-ll
PilS.1 1
RENAlSS,\N'C'E TRUST SERVICE, tHe.
~r&par.d forl JQ~eph W. caveny Cbaritabl. Trust, U/A 12-27-'5
T~at8.'3 Nama: Dr. John G. Cober
valuation Date: 12/04/02
'1'JN.St NOl <:AYENY'
SUMMM,'!( OP iNVSS'l'MiN'I'S
Secu.dt.y
TQtal
eo..
Tot.al
Market.
'TQtal tstimA~*d e~timateQ
'l"rUat I~Qome t Yi~ld
--_._.------- ._..~-------- -~._----- ----------
=
" 47 .0
237,010 2l2,386 71.4
lO2,a:u 78,712 26.'
5,833 5,833 '.0
------------. -------------
U5,'711 3;6,977 519.8
707 707 ..
735
.3
ACCOUNTS RECBIV.\aU
COMMON G'l'OCK
MU'I'tI1.L """"8
MONEY I1ARIOlT
'l'O'I'AL SBCUlI.I'l'rES
735
.2
~tl VALm: LIPE r)lS
TO'i'AL 'I'RUS'I' VALOil
3tG,U.'
:2;97,U4
100.1
735
.,
A11't Of EARNINQS INC. ABOva
JUL-22-2003 TUE 11:56 AM RENAISSANCE-CLIENT SVCS
FAX NO. 3178435270
P. 03
D1l.tCI 07/32/03 1.1:551:29 11-11
Page: ;;:
UNAISSAIll'cE TaUST SERVICE, INC.
Pt~pared tQ~: Joseph w. Cavcny charitable TruSt, U/A 12-27-95
ValUQ~!on Date; +2/04/02
unie Un1< Total 'I'~tal . 'l'oUl E$l;.lma.ted Pr.i.eing
~tity Secu:r!ty CoSt. r-c.rkst Co.e Mark.el;. Trust Income pat.e
-_....--- --...------_._..--------. ....------*.-- ....-----......- --......---- .-----_....-
ACCOUN'lS RECJ!i:IVABLiI
-------------------
lUiCBIV'ULE!" 1>1:$:'1'. <m. Ill'!'.
46.970 POJtE!GN PiV .Al< WH 1.00 1.00 4? 47 .0 12/04/0:1.
---_......---- ------....--- --_....,,----
'1'0''''' 4? 47 .0
........----_...... --....-------.... -.....-----....
TOO"" AC:COtlli'l'S QCEIVAm.K .7 .7 .0
CCtC<<J1q !ltQCl'
...--------_..
COMMON S7.'QCXS
45.000 API..AC' INC. 31.55 :lD.1! 1.120 1135' .S 12/04/0:/:
28. coo At1\ PRODUCTS rr. CHJ!lrqCA .....79 44.11 l,3Sg 1,237 .. 3.2/06/02
me
U.ooO ALLSTATE eolP 37.30 :n.6!5 1,30' 1,3$3 .S :).2/04/02
62,000 NI:'tSN' cottJON 50.4' 46.93 3,129 2,910 1.0 :1.2/04/02
31,000 ANALOG DiVICJ me 6".55 :n.Ei4 ~,4i2 1,023 .J 12/0",/02
52.000 ~ BUSCH cas 41.06 49.62 2,441 2,SBO .. 12/04/02
2., QDO AUTOMATlC DATA PROCaSS 66.50 43.37 1.3$6 1,041 .J 12/04/02
43,000 BANK 01m CQlUl 34.90 11.58 1,SO=. :t.,SM .. 12/04/02
2'.000 &Jl.NK or .MIEllICA COR.l? 54.83 68.n 1,4.211 1,790 .. 12/04/02
57.000 BAXTEll J:N'1'ZRNATIONAI. 43.56 12.09 :2.4rn 1,829 .. 1.2/04/02
INC.
158.000 CI-r GIlOUP IBC' 2J_U 21.24 3,706 3,35' 1.1 1.2/04/02
54.000 CAlllIrw.l. CORP 21.0) 21.30 1,460 ~,'U4 .. 12/04/02
32..000 CA'l'BRP:t:LLM, mc. filL 80 46.73 1,818 1,4~5 .S 3. 12/04/02
26.000 ~""lU' 87,25 "7.80 2,268 :a..'~3 ., 12/04/0:2
621.000 CISCO SYSTBMS nrc 25.85 14.43 16,055 a,9G:l. 3.0 12/04/02
168.QOO CITIGJ.OUP XNC 37.44 37.85 fi,290 ',35~ '.1 12/04/02
25.000 coo. COLA e<::JKPUY 51.84 "S.U 1,296 1,14l .. .. 12/04/02
83.000 CONMRA FQOps INC 21,23 26.3Q 1,7~2 2,011 .7 ., 12/04/02
,uLOOO COBCORD EFS. ,"0 :Hi.6S 1S.S0 1,~26 713 .2 12/04/02
4S_000 CONOCOPRILloIP$ !iii.56 '9.25 2,G36 2,:U6 .7 1;?/rH/02
4.3.0DO COS1'eo WHQU:SALE CORP 37,1~ 32..35 J.,!S9; 1,387 .S ~2/04/0Z
....
25.000 l)BER2 4 COMP~ iO.OO U.53 1,250 l,231l .. 35 12/04/02
55.000 DELL COMPQTZR CORP. 24.$8 2t.1S :j..,3S2 J..581- .S 12/04/02
36.000 PCMINION lESQURCES ~Ne 5'." SO.10 2,l!ii 1,804 .. 1.2/04/02
JUL-22-2003 TUE 11:56 AM RENAISSANCE-CLIENT SVCS
FAX NO, 3178435270
p, 04
"'-te: 07/22/03 11:5S1;n (3r1)
Poage: 3
RENAISS~ TRUlilT SERVl~. IJlC.
U.OOO ENGELHARtI CORP 26.92 23.25 1,319 1,139 .. 12/04/02
13'.000 BQt!I,PAX INO. 23.U 24.12 J,~97 3,JC4 1.1 ~2/04/02
94.000 EXXON MO~IL OORP U.U ,a(.77 3.39' 3,268 1.1 1.2/04/02-
24..000 ppt. GRotJP INC. S8,52 57. is. 1,60t 1,313 .5 .12/04/02
13.000 !"B.DERAL HOME LOAN M'l'G 6$.99- 57.9S 4.818 4,230 1.' 1:l/O4;O2
PREDO!:S MAC
JUL-22-2003 TUE 11:56 AM RENAISSANCE-CLIENT SVCS
FAX NO. 3178435270
p, 05
.......I;el 01/22/03 11159111 i3-1)
Page; 11
RFJNA!SSANCE TaUS'f 5lERVIC!i. INC.
prepared for: Joacph N. ~v~ny Ch~~1table T~t, U/A 12-27-95
V.luation D~t.: 1~/04/02
Unit unit Total Total t 'I'otal Betimatc4 Pr$.dng
Qu"nt.ity $ecudty Coot Ma.rll;~t. Cost Mark.et :r=.t InO:Qme ""to
___..o___ -------------.------..-. ----_.---_..- ------- --~..-- --------- -----~._--
63.000 FOX am'EK'i'AINMENT CROlJ 2.i.52 25.38 1,608 l,599 .. 12./04/02
Die ct. A
11.000 G1\NNE't"l' tNC 75.9~ 10.90 1,29'3. 1.205 .. 12/04/02
28.000 G5WSNTiCH INe. .... 69.3& JJ.6o 1,94:2 '41 ., 12/04/02
211.000 GQERAL BlBCTR.IC 12.15 2'.152 6,784 S,S9' 1.v 1:2/04/02
1~ . 000 GOIJ>>t\N SAOHS GItOUP IN 7S.U 76.35 V" '16 ., 12/0./02
39.000 APPL1Gt> H).TDtAI.S me:. 22.0 15.11 ... '8' .. 12/04/02
2S.000 ROtm DEPOT :we Jl.45 26.0:!. ". ... .. 12/04/02
:U..ooo IDBC P~ICALS 35.39 ]2.29 743 ". .. 12/04/02
CORP
JJ6.000 I)W!U. ClOJU'ORATION 21.4:4 1.9.74 7,203 ',633 '.2 12:/04/02
46.000 I~'L BUSI~SS ~ '6.31 13.6' ",4.33 ~,a5D 1.J 12/04./02
1'.000 IN'I'ERNATlow.L GAM2 70.33 75.57 l,196 1.,285 .. 12/04/02:
'n!:CRN(J!OOY
3.1.000 INTBJUrlA':t':;:05AL P-MER 43.4a 37.48 1,43.5 1,237 .. 1-2/0.a/02
COMO_
56.000 "'""u 45.65 M.24 2,556 2,ge1. I.. 12/04/02
u.s. 000 JORN&ON , JOHNSON 56.U 56.73 6,455 6,524 2.' LS7 12/04/02
18.000 KOHI.S COfUI' S7.2t Ei1.sa 1.,031 1,11.2 .. 12/04/02
17.000 eLt LILI..l' AND COMPANY " .:),7 67.49 ::l.,2gS 1..4'1 .' 12/0'/02
46.000 LONES 00& 43.70 4:1.60 2,010 1,914 .. 1:2/04/02
156.(100 MBNA CORPOUTION' 2:iL16 21..00 3,457' i,271S 1.1 12/04/0:0
36 . 000 MrJM GRAND INC 3'.13 33.40 l,i01. 1,202 .. 12/04/02
3~. DOO MAXIM :+:NTEClRATiD """0$ 40.50 39.07 1,296 1,250 .. 12/04/02
I.e
47.000 MCOORALI)5: CORP :30.3j 1.8.37 1,429 '.3 ., 12/04/02
32.00D NOQRAM HI~ INC. 60.l3 60.78 1,924 1,945 .7 12/04/02
4S.000 MClCUSOS HBOC !Nt 30.95 27.13 1.496 1,302 .. 12/04/02
5S.000 M!~lMMONE IRe 27.63 25.80 1.,520 1,419 .S ;1.2/04/02
'0.000 ~N1C INC "'.21 46.55 ",155 4,~'O I.' 12/04/02
41.000 MEReJC 4 c::oHPANY, INC. s!t.'75 5i.14 2,4.50 2,"12 .S 12/04/02
141.000 MICROSOFT CORPOlAT1ON 56.55 55.54 7,97] 7,912 '.7 31. 12/04/0:>-
n.ooo NORnmDP QR1JMQN CORP 13:! .61 U.1S 1,459 1,058 .. 12/04/02
99.000 OCBAN ENERGY INC .21.:U 19.23 2,10e 1,904 .. 12/04/02
307.000 ORACLB CORP 14.510 U.05 4,573 3,J92 1.1 12/04:/02
n.ooc on CORP J,9_"3 J:il:.3S 3,'27 2.916 I.. U/04/02
23 . 000 PATTERSON t)Jm'l'AL co 53.4J. 40.H 1,228 ... ., 12/04/02
80.000 PEfil:XCO INCORPOlUL'I'ED 43.40 43.:17 3,473 3.4'10 1.' .. l2/04/02
246.000 p'UBR PIC'. 38.1.9 30.94 9,J94 7,til1 2.' 12/04/02
22.000 PRAXAIIt INC 55.751 U.Sl3 1.221 1,252- .. 12/0'/02
6s.000 PROCTER ~ G~LE BIS.23 86.05 5.605 5.593 I.' 1.2/04/02
34.000 QUALCOMM lHe ]5.64 1'.Sle .,212 1,359 ., 12/04./02
JUL-22-2003 TUE 11:57 AM RENAISSANCE-CLIENT SVCS
FAX NO. 3178435270
P. 08
-"tel 0'/'2.2./0) UI59l31 U-l}
PaS~j S
uNA:tSSANCS n.UST SBRVlC!. IUC.
2.644 2,tiU .. 12/04/02
121.000 IKINAR COMPAll'IES INC 21.49 .1.1..0 12/04/02
5,138 l.7
Si1. 000 SiLK CORP 91.62 100.?5 4,673 1:;:/04/02
1,746 ..
65.000 QBe COMMUNICATIONS rNC 60.34 26.45 2,6iJ
'7' .. 12/04/02
33. 000 S~9CO CCRJ'OllA'1'101lil- 29.02 i~.S4 OS,
COfoM)K STOCX
JUL-22-2003 TUE 11:57 AM RENAISSANCE-CLIENT SVCS
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fl-l)
Page: i
~IS~Cil ~UST SBRVICE, INC.
Prcpar~d for; J08eph W. caV8ny Cbarita~le Tru*~. U/A 12.27-95
Valuati~ Date: 12/04/02
unit Un~t Totd 1'Otal , Tot.al 1l:sti\M,ted P;'idng
Quilotit:.y SllIcurit.)' COlt Nilrket eost Ma~l<.et. 'I'ruat Inoome: Oat=
_______0.. -----_.~-----_..------_. ..-..-----...--- .....------_.-- -......----- ----------
192.000 TJX COMPAIl"IES me 17.77 19.80 3,4:1.;3, 3,802 1.' :).2/04/02
46.000 TUAS 1I4S1'JI.'QMEN1'S 4l.!S' 18.23 1.;13 ". .. 12/04/02
11.000 3 H CQMfA!r.r 12:S.U 121!l.OO :',J77 1,408 .5 1.2/04/02
sa. OGO USA NM'W01UCS me 24.59 25.17 1,42' l,460 .S 12/04/02
24.000 URI't'ID PA!CVt, SERVla 60.87 n.n 1,461 1,534 .5 '-2/04/02
cu.s. .
13..000 ONIUDHBAL'rn GRO'm' INC U.U 83.0' 2,144 2,575 .. 12/04/02
41.000 UNlVISlOK OQMMgHlCAT!O 37.:U 27.H 1,522 1,123 .' 12/04/02
:me CL A
66. DOC VD.tzON o:'JtH;JNIl:A'1'IONIl: 40.S3 39.92 2,675 2,1.15 .. 12/04/02
14..000 vIACOM me CL li 50.80 44.64 "',4:1.7 6,S17 ... 12/0"/02
146.QOO WALMART S~ORBS, INe .s.U: 54.44. 6,743 7,5148 '.7 .. ~2/04/02
44.000 W"'T~1:'~ OOM?ANY 36.20 29.55 1,U3 1.,300 .. 12/04/02
47.000 WBLLS FARGO Ii. co NEW 4i.91 46.015 4,252 2,lIS:!J .1 12/04./0:il
""'.000 WYETH :i6.73 31.40 2,82g 2,880 1.0 12/04/02
]5.000 ZtO!fS BAN'COFJI 53.22 olO.BS 1,eu 1,431 .5 12/04/02
?i.OOO PITNEY 80KES INC 42.'5 34.00 3,12:1 2/482 .S 12/04./02
---~------- --_...------ -_.-------
TO'I'AL 2.14,oee 2l0,49) 70.7 13. ..
".000 ~SOCEAN INC )6.99 24.08 2,922 1,902 .s 12/04/02
~. ~_.-._.... .... ~.----_... _._______r
TO".. 2,'22 1,902 .s
---".------... -----..------ ----"._----
'I'OTAl.! COMMON' STOCK 231,010 :iI1.2,386 71.3 135 ..
~FllJlD'
-- ------. -~~
Mt1"l'{W, VDNDS .. QENE:JUU.
174C .41i) AXP 80UITY SELEer VTJNO 2.1.76 g.as 20,470 17,196 S.S :l.2/04/0~
a.ASS A
2319..77 AXP DIVB1UiIFIEO BOTJI'l'Y e.1l 15.'7 20,Ue: 16,377 S.S 12/04/02
Dl'CCM!!: tmm a..AS:S A
2118.668 Ai:P BQt1I'l'Y vALUE g.7S 7.U 20,655 :1.5,064 5.1 12/04/02
STJtA'rEltJ"( FUND CL A
4.127.877 UP S'I'KATliIGY SMALI.. CAP 4..97 3.1.6 20,500 n,044 ... 12/04/C2
GROW1'H mND CLASi I>.
3600.59) UP PMTNlilRlil SMALL CAP S.U 4_73 20,500 J.",O~1 5.1 12/04/02
V1\IiOlil PUN:' CLASS A
JUL-22-2003 TUE 11:57 AM RENAISSANCE-CLIENT SVCS
FAX NO. 3178435270
P. 08
-'t.e, Q7/22/03 Ll:5';3. (]-ll
fagal
7
RENAIBSA)lC! TRtfiT seRVICE. tHe.
Prepared for; JQupb N. caveny cnar1tablc Trus~. U/A 12.:n-9s
ValuDt~on Dilts; i~/Q4/02
~tity
S.~ity
Un:i.c
COst
tJlait 'rQt.a1. TotG.l . Total Estimat.eQ pdcing
Markee. Coat Market '1'ru~e Inc::oms Date
------..------ ----_.....---.- -----_....- .. --~.. -----
----..------ --_....------ ._-------- ----"...
lQ:A,821 78,"11::1: 26.4
-_......----... ---...------.... --_....------
102,821 78,712 26.4
TOT""
TOTAL MU't'tIAL FUHDS
MONEY MM.lCET
""""" ......,
S832.8iD AMBalCAN lXP.RESS MONEY 1.00
MUXET P1\:DW!.y PORT.
TOT""
1.00 5,133 S,UJ 2.0 12/04/02
--_....------ ----------- ---_...----
s,s:n, 5,833: 2.0
---_....------- ------_..----- ----_.....---
5,B3] 5,833 2.0
TO'1'4\+o ManY ~'I'
-----_....----- ....------.....-- ........--.__.
TOTAL seccatTIS$ 345,711 2~G. :!'I17 PSI.S 735 .2
CASH "7 '07 ..
('.MH V,um: t.tFJil 'HO
....-----........-- -~~..-----_..... ----.....----
'l'OTAL TRUST VALUE 346,418 297,684 lOO.1 735 .,
...." OF .....".,. INC. ","OVE
REV-1511 EX+ (1-9n
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
EST ATE OF
Caveny, Joseph W
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
21-2002-1113
Debts of decedent must be reDorted on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
Myers-Harner Funeral Home, Inc - funeral bill 2,584. 00
1.
2 An Olde Towne Flor~st & Greenery - arrangement 90.10
3 St John 1 s Cemetary - grave services 700.00
4 Myers-Harner Funeral Home, Inc - two cremation urns 300.00
5 Presbyterian Women CHPC - reception services 200.00
B. AOMINISTRATIVE COSTS:
1. Personal Representative's Commissions 14,000.00
Name of Personal Representative{s) John G Cober
Social Security Number{s} I EIN Number of Personal Representatll/e(s)
Street Address 310 Somerset Drive
City Shiremanstown State PA Zip 17011
Year(s) Commission Paid: 2003
2. Attorney Fees Name: S Berne Smith, Attorney at Law 14,000.00
3. Family Exemption: {If decedent's address \s not the same as claimant's, attach explanation) 0.00
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees 0.00
5. Accountant's Fees Name: Waggoner Frutiger & Daub 10,000.00
6. Tax Return Preparer's Fees 0.00
7. Linda Cober - reimbursement of expenses 42.46
8 American Express management fee 259.51
9 American Express WRAP fee 102.27
10 American Express management fee 1,379.48
11 American Express management fee 1,672.80
12 American Express management fee 1,427 . 03
~ota~ ~rom cori-Einuation pages.... 6,146.69
lOlAL(Also enter on line g, Recapitulation) $ 52, 90L 34
2W46AG 2000
(If more space is needed, insert additional sheets of same size)
Estate of: Caveny, Joseph W
Schedule H, Part A -- Funeral Expenses
Item
No. Description
6 James R Gingrich Memorials - granite memorial
TOTAL. (Carry forward to main schedule)
Page 2
21-2002-1113
Amount
2,652.00
2,652.00
Estate of: Caveny, Joseph W
Schedule H, Part B -- Administrative Costs
Item
No. Description
13
American Express WRAP fees
14
American Express WRAP fee
15
American Express WRAP fee
16
American Express WRAP fee
17
Souder Tax Service - preparation of 2002 income tax
returns
18 American Express WRA~ fee
19 John Cober - executor expenses
20 American Express WRAP fee
TOTAL. (Carry forward to main schedule) .
Page 2
21-2002-1113
Amount
254.92
253.02
253.78
520.86
500.00
764.26
181.00
766.85
3,494.69
REV_1512 EX + (1-97)
COMMONWEALTH OF PENNSYI. VANiA
INHERITANCE TAX RETURN
RE$1DENT DECEDENT
ESTATE OF
Caveny, Joseph W
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
FILE NUMBER
21-2002-1113
Include unreimbursed medical eXDenses.
ITEM
NUMBER
DESCRIPTION
AMOUNT
1. PA Dept of Revenue - 2002 PA40 balance due
31.00
2 U S Treasury - extension payment for 2002 1040
1,000.00
3 HCR-ManorCare - nursing care services
4,974.00
4 HCR-ManorCare - nursing care services
24.25
5 Neighborhood Care Pharmacy - medicine
238.03
6 U S Treasury - extension payment for 2002 1040
1,000.00
7 U S Treasury - balance due re: 2001 tax notice
1,627.00
2W46AH2.000
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
8,894.28
REV-1513 EX+ (9-00)
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
2" 2002 -111
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
Caven'
J-S-_h W
NUMBER
I.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal d'lslributions, and transfers
under Sec. 9116 (a) (1.2)]
West Shore Lodge No. 681, F & AM
2215 Market Street
Camp Hill, FA 17011
Fraternal soc~ety
,.
2
Stoner, Becky F
80 Cobblestone Drive
Wedowee, AL 36278
Niece
3
Ziegler, Dorothy B
C/O Al Ziegler
100 Edmonds Avenue
Drexel Hills, FA 19026-2615
Niece
4
McLaughlin, Kathleen S
200 Braodhurst Drive
Apt 8
Wilmore, KY 40390
Grand Niece
5
Hunter, Suzanne C
1308 Pasadena Avenue South
Niece
AMOUNT OR SHI.RE
OF ESTATE
10,000.00
10,000.00
10,000.00
10,000.00
10,000.00
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II, NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAl DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
,. Camp Hill Presbyterian Church
Camp Hill, FA
2 Joseph W Caveny Charitable Tr, U/A 12-27-95
See attached statements from Renaissance Trust
Services, Inc for 000 values.
Remainder interest in trust principal and income
transferred to Camp H~ll Presbyterian Church cn
12-27-95, subject to decedent's retained life estate.
2W46AI1,OOO
Total from continuation pages....
TOTAL OF PART Il _ ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
(If more space IS needed, Insert additional sheets of the same size)
938,589.92
297,684.00
$
10,000.00
1,246,273.92
Estate of: Caveny, Joseph W
Page 2
21-2002-1113
Schedule J Part 1 -- Beneficiaries
Item
~o. Name and Address of Person(s) repeiving property
Relationship
Amount or
Share of Estate
5 South Pasadena, FL 33707
6 Wheeler, Shirley S
Box 134
Pine Grove Mills, PA 16868
Niece
10,000.00
7 Hommel, Patty S
712 N 10th Street
Selinsgrove, PA 17870
Niece
10,000.00
Estate of: Caveny, Joseph W
Schedule J Part 2 -- Charitable and Governmental Distributions
Page 2
21-2002-1113
Item
No.
Description
Amount or
Share of Estate
3
Masonic Homes - Grand Lodge of PA
Elizabethtown, PA
10,000.00
TOTAL. (Carry forward to main schedule)
10,000.00
Estate of Joseph W Caveny
159-16-0733
Calculation of Estate Residue Before Taxes
Schedule 0, Item 1
Total reductions
1,378,072.54
297,684.00
L 61,798.62
10,000.00
10,000.00
10,000.00
10,000.00
10,000.00
10,000.00
10,000.00
10,000.00
(439,482.62)
938,589.92
100.0000%
938,589.92
Gross Estate (line 1, Form 706)
Less:
Lifetime transfers listed on Schedule G
Deductions listed on Schedules J, K, and
Preresiduary gifts:
West Shore Lodge No. 681, F & AM
Cash
Masonic Homes - Grand Lodge of PA
Cash
Becky F Stoner
Cash
Dorothy B Ziegler
Cash
Kathleen S McLaughlin
Cash
Suzanne C Hunter
Cash
Shirley S Wheeler
Cash
Patty S Hommel
Cash
Residue prior to payment of taxes
Percent passinq to...
Amount passing to...
In the COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
In re: ESTATE OF JOSEPH W. CAVENY, PA FILE NO. 21-02-1113
Deceased,
FIRST AND FINAL ACCOUNT OF
John G. Cober, Executor
for
Estate of Joseph W. Caveny, Deceased
Date of Death: December 4, 2002.
Date of Executor's Appointment: December 9, 2002.
Date of first advertisement of grant of letters
in the Cumberland Law Journal: December 27, 2002.
in The Sentinel December 19, 2002.
Accounting for Period December 4, 2002 to
November 30, 2003.
TO THE HONORABLE, THE JUDGES OF THE ORPHANS' COURT:
John G. Cober, Executor of the Estate of Joseph W. Caveny, deceased, respectfully submits
this first and final account as follows: The Account is attached hereto and made part hereof as
Exhibit A.
PURPOSE OF THE ACCOUNT:
John G. Cober, Executor, offers this account to acquaint interested parties with the
transactions that have occurred during his administration. The account also indicates distributions
made to date and the proposed final distribution and expenses of the estate. It is important that the
account be carefully examined. Requests for additional information or questions or objections can
be discussed with:
S. Berne Smith, Esq.
Counsel for John G. Cober, Executor,
107 N. 24th Street
Camp Hill, PA 17011-3602
Phone: 717-737-6789
FAX: 717-737-6783.
in ~cccrdance nv,ih propflee,d sched-
ule of distrit>ui~on herewith. r$Y the
SUMMARY OF THE ESTATE ADMINISTRATION AND OF THIS ACCOUNT:
Joseph W. Caveny died testate December 4, 2002. His estate at date of his death exceeded
$1,300,000.00. His Will made certain specific bequests to nine relatives, provided they survived him
by sixty (60) days, and to two named organizations. The remainder of his estate, which was the
major bulk of his assets, was bequeathed to his church, Camp Hill Presbyterian Church, 101 N. 23rd
Street, Camp Hill, PA. All of the specific bequests have been paid in full. Except as disclosed
hereinafter, all outstanding debts and expenses have also been paid. The remaining debts or
expenses, if any, will be paid at time of final distribution as proposed herein.
Three of the specific bequests to relatives lapsed because the named beneficiary failed to
survive Mr. Caveny by 60 days. Those were the bequests to Mildred Heller Butler, Charlene Stoner
Maue and Walter Glenn Brown. The remaining eight specific bequests for $10,000.00 each (a total
of $80,000.00) have been paid in full to the following beneficiaries:
1. Becky Foreman Stoner 80 Cobblestone Drive
Wedowee, AL 36278
2. Dorothy Bollinger Ziegler C/o Al Ziegler
1100 Edmonds Avenue
Drexel Hill, PA 19026-2615
3. Kathleen (Kathy) Stoner McLaughlin, 200 Broadhurst Drive Apt. 8
now, Kathleen Stoner Milans Wilmore, KY 40390
4. Suzanne Caveny Hunter 1308 Pasadena Ave. South
South Pasadena, FL 33707
5. Shirley Soyster Wheeler Box 134
Pine Grove Mills, PA 16868
6. Patty Soyster Hommel 712 N. 10th Street
Selinsgrove, PA 17870
7. West Shore Lodge No. 681, F.&A.M. 2215 Market Street
Camp Hill, PA 17011
C/o Administrator
8. MASONIC HOMES One Masonic Drive
Elizabethtown, PA 17022-2199
Copies of the "Receipt for Distribution and Release of Executor" forms executed by each of
the above beneficiaries are attached hereto and made a part hereof as Exhibit B.
2
Also, as required by law, because the remainder of the estate goes to a charitable
organization, Camp Hill Presbyterian Church, and because the amount of the bequest exceeds
$25,000.00, due and proper notice has been provided to the Attorney General's office. A copy of
the notice and correspondence related thereto is attached hereto and made a part hereof as Exhibit
C. Copies of the Will of Mr. Caveny and of the Charitable Remainder Trust of Mr. Caveny have
previously been provided to the Attorney General. The original notice was sent to the Attorney
General's Office January 2, 2003, as follows:
Mr. Mark Pacella, Chief Charitable Trust and Organization Division
Attorney General's Office
1400 Strawberry Square
Harrisburg, PA 17120
Camp Hill Presbyterian Church, in addition to being the residuary beneficiary of the Estate
of Joseph W. Caveny, was also the charitable remainder beneficiary of a Charitable Remainder Trust
established by Mr. Caveny in 1996. That charitable remainder amount was specifically designated
to the church's Endowment Fund, and it has been paid over to the church. All of the interim
distributions made to the church to date are reflected on the attached receipt from the church dated
December 16, 2003, which is made a part hereof as Exhibit D. The interim distributions to Camp
Hill Presbyterian Church made to date, as reflected on Exhibit D, total $1,209,024.94.
The data in Exhibit A includes all of the following:
1. A summary page of the Account.
2. Principal receipts (pp. 1-6).
3. Net gain or loss on sales or other disposition (pp. 7-30).
4. Less disbursements consisting of
Administrative expenses (pp. 31-32)
Funeral expenses (p. 32)
Other Expenses (pp.32-33).
5. Distributions to beneficiaries (pp. 34-36).
6. Principal balance on hand (p.37).
7. Changes in Investment Holdings (pp. 38-62).
8. Income receipts (pp. 63-74).
UNRESOLVED CLAIMS OR OTHER ISSUES WHICH MAY AFFECT THE VALUE OF
THE CHARITABLE INTEREST.
There are no unresolved claims or other issues which may affect the value of the charitable
interest. As is reflected in the receipts, all specific bequests have been satisfied, and some
$1,209,024.94 has already been distributed to the residuary beneficiary. There is a reserve of
$30,000.00 which has been held back and is in anon-interest bearing account, pending final action
on this account. That reserve will be used to pay any final estate income tax, pay final accountant
3
fees, pay final executor fees and expenses, and pay final attorney fees and expenses. The statute of
limitations on claims has expired. Any remaining balance after payment of the foregoing fees and
expenses will be distributed to Camp Hill Presbyterian Church, after which the Estate will be closed.
PROPOSED FINAL PAYMENT OF EXPENSES AND DISTRIBUTION OF BALANCE TO
THE CHURCH:
The Executor proposes to make the following expenditures and final distribution upon
confirmation and approval of the Account:
# ITEM AMOUNT
1. Waggoner, Frutiger & Daub, C.P.A.s, for final accounting
services in connection with this account and the final tax returns
of the Estate $4,000.00
(Estimated)
2. John G. Cober, Executor, for final executor expenses and fee: $1 000.00
3. S. Berne Smith, Esq. -expenses advanced $1,028.98
4. S. Berne Smith, Esq. -additional fees incurred to date $865.00
5. S. Berne Smith, Esq. - Reserve for attending Account
presentation, and closing estate. $450.00
6. Final state and federal income taxes due 0.00
7. Other Miscellaneous Expenses 0.00
ESTIMATED TOTAL ADDITIONAL EXPENSES $7,343.98
8. Proposed final distribution to Camp Hill Presbyterian Church $22,656.02
TOTAL FINAL EXPENSES AND DISTRIBUTION $30,000.00
CONCLUSION:
WHEREFORE, John G. Cober, Executor under the Last Will and Testament of Joseph W.
Caveny, deceased, hereby declares under oath and subject to the penalties of perjury that he has fully
and faithfully discharged the duties of his office; that the foregoing First and Final Account is true
and correct and fully discloses all significant transactions occurring during the accounting period;
4
that all known claims against the estate have been paid in full; that, to his knowledge, there are no
claims now outstanding against the Estate; and that all taxes presently due from the estate have been
paid.
Subscribed and sworn to
by John G. Cober before me this
Z a '~~ day of January , 2004.
J jJ
Notay Public
My Commission Expires:
Seal
ESTATE OF JOSEPH W. CAVENY
ohn G. ober, Executor
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Laura E. Kane, Notary Public
Camp H~ Boro, Cu-rtberlanA Coun
MY Commission E~in3s Nov. 15.2007
Member, Pennsylvania Association Of Notaries
CERTIFICATE OF SERVICE
I hereby certify that a copy of this FIRST AND FINAL ACCOUNT has been served on the
following person or parties by personal delivery or by certified mail, return receipt requested, postage
prepaid, this ~~- ~ - day of January, 2004:
Clerk of Orphans' Court
Cumberland County Court House
Carlisle, PA 17013
Roger G. Hummel, Clerk of Session
Camp Hill Presbyterian Church
101 N. 23rd Street
Camp Hill, PA 17011
John L. Downing, Esq. Deputy Attorney General
Charitable Trust and Organization Division
Attorney General's Office
1400 Strawberry Square
Harrisburg, PA 17120
PERSONAL DELIVERY (Original plus one copy)
PERSONAL DELIVERY
CERTIFIED MAIL, RRR.
/~ ~`.
,/~
~--~ ,~~
S. Berne Smith, Esq., Counsel for Executor
SUMMARY OF ACCOUNT
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
Principal
Receipts
Net Gain (or Loss) on Sales or
Other Dispositions
Other Receipts
Less Disbursements:
Administration Expenses (Prin)
Funeral Expenses (Prin)
Other Expenses (Prin)
Balance before Distributions
Distributions to Beneficiaries
Principal Balance on Hand
For Information:
Changes in Investment Holdings
Income
Receipts
Less Disbursements:
Other Taxes
Balance before Distributions
Distributions to Beneficiaries
Income Balance on Hand
Combined Balance on Hand
Page
Fiduciary
Acquisition
Value
1-6 $1, 378, 287.67
7-30 -36, 172.26
0.00
$l, 342, 115.41
31-32 512,547.69
32 6,526.10
32 8,000.00
27, 073.79
$1,315,041.62
33-34 80,000.00
35 $1,235,041.62
36-59
60-69 $ 14,478.41
70 3.00
$ 14,475.41
o.oc
$ 14,475.41
$1,249,517.03
RECEIPTS OF PRINCIPAL Page 1
Estate of Joseph W Caveny
As of 07/21/2003
Assets Lasted in Inventory Fiduciary
(Valued as of date of death) Acquisition
Value
Checking Accounts
PNC Bank - checking
$9.13 Accrued Interest $ 35,946.22
Money Market Accounts
American Express MONEY MKT SER INC $ 8
$3.63 Accrued Interest ,477.99
American Express SPS - 47192695
American Express WMS - 22572291 2,976.32
American Express WMS - 22597090 7,690.66
American Express WMS - 23139835 7,917.58
PNC Ba_n,k - Money Market 8,209.48
$4.36 Accrued Interest 13, 255.80
American Express Acccunt
3M CO
35 Units
$21.70 Accrued Dividend $ 4,502.05
ABN AMRO HLDG NV
275 Units 4,420.63
ADOBE SYS INC
59 Units 1,579 ~4
AIR PRODS & CHEMS INC
115 Units 5,022.62
ALBERTO CULVEP. CO
35 Ur.its 1,721.13
ALCOA INC
175 Units
4,238.50
P.LLIED IRISH BKS F L C
115 Units 3,142.38
ALLSTATE CORP
160 Units $33.60 Accrued Dividend 6,264.80
AMAZON COM INC
119 Units 2,782.22
AMERICAN PWR CONVERSION CORP
199 Units 2,950.18
APACHE CORP
34 Units
1,870.34
APOLLO GROUP INC
80 Units 3,273.20
ASTRAZENECA PLC
100 Units 3,786.50
AUTOZONE INC
32 Units 2,432.00
AVENTIS
55 Units 2,995.30
48,527.83
RECEIPTS OF PRINCIPAL
Estate of Joseph W Caveny
As of 07/21/2003
Assets Listed in Inventory
(Valued as of date of death)
AXA
300 Units $ 4,425.00
P.XP GLOBAL SER INC
2,970.232 Units 17,999.61
AXP HIGH YIELD BD FD
25,603.577 Units $155.70 Accrued Dividend 62,372.39
AXP HIGH YIELD TAX EXEMPT FD 162
569
28
37,072.308 Units $192.57 Accrued Dividend ,
.
AXP SHORT TERM U S GOVT FD
9,584.019 Units $42.51 Accrued Dividend 47,004.20
AXP STRATEGY FD INC
6,088.631 Units 26,972.64
BANK OF AMERICA CORPORATION
90 Units 6,269.40
BARCLAYS FLC
170 Units 4,482.90
BAXTER INTL INC
X55 Units 4,923.58
BELLSOUTH CORP
150 Units 4,065.00
BP PLC
75 Units ,. D•
$7.00 Ac._,rued ividend 2,952.00
C D W CORP
50 Units 2,443.75
CADBURY SCHWEPPES PLC
115 Ur.its 2,991.15
CANON INC
60 Units 2,264.70
CHEVRONTEXACO CORP
78 Units $54.60 Accrued Dividend 5,301.27
COACH INC
106 Units 3,578.56
COGNOS INC
181 Units 4,081.64
CONAG~A FOODS INC
245 Units 5,966.98
CONOCCPHILLIPS
il5 Units 5,648.23
DANSKE BK A/S
13C Units 2,153.14
DENTSPLY INTL INC NEW
62 Units 2,062.12
DEUTSCHE BANK AG NAMEN
65 Units 3,307.85
DIAGEO P L C
80 Units 3,444.40
DOMINION RES INC VA NEW
105 Units $67.73 Accrued Dividend 5,423.26
Page 2
Fiduciary
Acquisition
Value
RECEIPTS OF PRINCIPAL
Estate of Joseph W Caveny
As of 07/21/2003
Assets Listed in Inventory
(Valued as of date of death)
LINCARE HLDGS INC
62 Units $ 2,077.31
MERCK & CO INC
ll0 Units 6, 488.35
MERCURY INTERACTIVE CORP
58 Units 1,792.20
MICHAELS STORES INC
60 Units 2,223.90
MOODYS CORP
66 Units $2.97 Accrued Dividend 2,897.73
NESTLE S A
75 Units 3,837.94
NOKIA CORP
225 Ur.its 4,257.00
NORTH FORK BANCORPORATION NY
75 Ur.its 2,584.50
NOVARTIS A G
100 Units 3,693.00
NVIDIA CORP
188 L'nits 2,719.42
OXFORD HEALTH PLANS INC
60 Units 2,163.00
PATTERSON DENTAL CO
50 Units 2,008.75
PETSMART INC
153 Units 2,794.55
PIXAR
67 Units 3,889.35
PRINCIPAL FINANCIP.L GROUP INC
850 Ur.its $212.50 Accrued Dividend 24,909.25
QLOGIC CORD
79 Units 3,131.17
ROSS STORES INC
32 Units 1,426.08
ROYAL DUTCH PETE CO
70 Units 2,986.90
SAN PAOLO-IMI S P A
175 Units 2,516.50
SEMPRA ENERGY
205 Units 4,751.90
SIEMENS A G
90 Units 4,396.95
SOCIETE GENERALE FRANCE
385 Units 4,158.00
STRONG EQUITY FDS INC
2,212.389 Units 42,234.51
STRONG GOVT SECS FD INC
3,637.16 Units 40,954.42
Page 4
Fiduciary
Acquisition
Value
RECEIPTS OF PRINCIPAL
Estate of Joseph W Caveny
As of 07/21/2003
Assets Listed in Inventory
(Valued as of date of death)
DOW CHEM CO $ 4,312.30
145 Units
ELECTRONIC ARTS INC 4,337.52
66 units
ENDESA S A 3,889.60
320 Ur.its
ENERGIZER HLDGS INC 2,922.44
1G1 Units
ENI S P A 3,947.08
55 Units
EXPEDIA INC 2,927.20
41 Units
FRANKLIN CUSTODIAN FDS INC 41,440.29
5,971.223 Units
GENERAL ELEC CO 3,485.95
130 Units
GENERAL MLS INC 3,107.30
70 Units
GENERAL MTRS CORP 2,900.63
75 Units $37.50 Accrued Dividend
GENUINE PARTS CO 5,23s.i5
170 Ur.its
GILEAD SCIENCES INC 2,343.68
64 Units
GLAXOSMITHKLINE PLC 3,563.67
95 Units $26.34 Accrued Dividend
GOODRICH CORP 2,3C2.30
130 Units $26.00 Accrued Dividend
HEINEKEN N V 2,583.00
70 Units
HOTELS COM 3,995.42
57 U~:its
HSBC HLDGS PLC 4,620.OG
80 Units
HUDSON CITY BANCORP 4,316.23
231 Units
INTUIT 2,602.88
49 Units
ITT INDS INC IND 1,419.38
25 Units $3.75 Accrued Dividend
KAO CORP 3,177.10
15 Units $15.03 Accrued Dividend
KELLOGG CO 4,739.35
140 L'nits $35.35 Accrued Dividend
L-3 COMMUNICATIONS HLDGS INC 2,073.60
48 Units
LEXMARK INTL NEW 3,311.69
51 Units
Page 3
Fiduciary
Acquisition
Value
RECEIPTS OF PRINCIPAL Page 5
Estate of Joseph W Caveny
As of 07/21/2003
Assets Listed in Inventory Fiduciary
(Valued as of date of death) Acquisition
Value
SUPERVALU INC
$ 5,534.28 -----------
310 Units $44.18 Accrued Dividend
SYMANTEC CORP 3,861.90
90 Units
TESCO PLC 1,946.41
2G5 Units $15.74 Accrued Dividend
TICKETMASTER 2,558.78
109 Units
TOTP_L S A 2, 961.68
45 Units
UBS AG 4,416.75
90 Units
UNILEVER PLC 3,814.65
105 Units
VULCAN MATLS CO 3,721.50
100 Units $23.50 Accrued Dividend
WACHOVIA CORP 2ND NEW 4,755.33
135 Units $35.10 Accrued Dividend
6ti1ESTWOOD ONE INC 1, 915.95
53 Units
WEYERHAEUSER CO 5,143.95
1G5 Units
WILLIAMS SONOMA INC 2,802.98
105 Units
WYETH
4,133.80
110 Units
$785,698.49
Annuities
AE Fixed Retirement Annuity #495 $ 43,672.85
AE Fixed Retirement Annuity #890 69,025.78
AE Mcde E Settlement #117 40,173.17
AE Mode E Settlement #130 48,749.77
20_,621.57
Miscellaneous Property
Joseph W Caveny Charitable T r 297,684.00
Refunds
HCR-ManorCare Nursing Home $ 4,470.38
Highmark PA Blue Shield 315.94
U S Treasury - Refund 4,023.24
8, 809.56
Assets Listed in Inventory
(Valued as of date of death)
TOTAL INVENTORY
RECEIPTS OF PRINCIPAL
Estate of Joseph W Caveny
As of 07/21/2003
Page 6
Fiduciary
Acctuisition
Value
$1,378,287.67
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
12/11/2002 Sale of 85 shs of Supervalu Inc
85 Units
Net Proceeds $ 1,399.26
Fiduciary Acquisition Value 1,505.35
Net Loss
01/13/2003 Sale of Bank of America
10 Ur_its
Net Proceeds $ 721.14
Fiduciary Acquisition Value 696.60
Net Gain
01/13/2003 Sale of Conagra
20 Units
Net Proceeds $ 520.49
Fiduciary Acquisition Value 487.10
Net Gain
01/13/2003 Sale of Merck & Co
10 Units
Net Proceeds $ 597.65
Fiduciary Acquisition V"aloe 589.85
Net Gain
01/13/2003 Sale of Alberto Culver Co
35 Units
Net Proceeds $ 1,778.99
Fiduciary Acquisition Value 1,721.13
Net Gain
01/13/2003 Sale of Patterson Der_tal
50 Units
Net Proceeds $ 2,169.43
Fiduciary Acquisition Value 2,008.75
Net Gain
Gain
24.54
33.39
7.80
57.86
160.b8
Page 7
Loss
$ 106.09
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
01/13/2003 Sale of Ross Stores
32 Units
Net Proceeds $ 1,503.31
Fiduciary Acquisition Value 1,426.08
Net Gain
01/13/2003 Sale of Allstate
30 Units
Net Proceeds $ 1,136.29
Fiduciary Acquisition Value 1,168.35
Net Loss
Ol/13/2C03 Sale of Autozone
32 Units
Net Proceeds $ 2,145.53
Fiduciary Acquisition Value 2,432.00
?Vet Lcss
01/13/2003 Sale of Ticketmaster
1G9 Units
Net Proceeds $ 2,424.08
Fiduciary Acquisition Value 2,558.78
Net Loss
01/16/2003 Sale of 67 shs of Williams Sonoma
67 Units
Net Proceeds $ 1,691.69
Fiduciary Acquisition Value 1,788.57
Net Loss
Ol/16/20C3 Sale of 37 shs of Coach Inc
37 Units
Net Proceeds $ 1,144.91
Fiduciary Acquisition Va'_ue 1,249.12
Net Loss
Gain
77.23
Page 8
Loss
32.06
286.47
139.70
96.88
104.21
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21./2003
01/17/2003 Lump sum payout on Annuity #93006267130
Net Proceeds $ 45,607.53
Fiduciary Acquisition Value 48,749.77
Net Loss
01/17/2003 Lump sum payout on Annuity #93004131111
Net Proceeds $ 38,022.58
Fiduciary Acquisition Value 39,620.35
Net Loss
02/05/2063 Sale of 57 shs of Hotel.com
57 Units
Net Proceeds $ 2,428.12
Fiduciary Acquisition Value 3,995.42
Net Loss
02%05/2 ^u C3 Sale of 41 shs of Expedia Inc
41 Ur.its
Net Proceeds $ 2,403.49
rr^iduciary Acquisition Value 2,927.20
Net Lcss
02/07/2003 Sale of Sempra Energy
i0 Units
Net Preceeds $ 235.89
Fiduciary Acquisition Value 231.80
Net Gain
02/07/2003 Sale of Dominion Res
5 Units
Net Proceeds $ 270.69
Fiduciary Acquisition Value 255.03
Net Gain
Gain
4.09
15.66
Page 9
Loss
S 3,142.24
1,597.77
1, 567.30
523.71
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
02/07/2003 Sale of Weyerhaeuser
5 Units
Net Proceeds $ 253.00
Fiduciary Acquisition Value 244.95
Net Gain
02/07/2003 Sale of Wyeth
5 Ur.its
Net Proceeds $ 187.34
Fiduciary Acquisition Value 187.90
Net Loss
02/07/2003 Sale of Vulcan Matls
5 Units
Net Proceeds $ 158.89
Fiduciary Acquisition Value 184.90
Net Loss
02/07/2003 Sale of GE
10 Units
Net Proceeds $ 226.79
Fiduciary Acquisition Value 268.15
Net Loss
02/07/2003 Sale of Dow Chem
10 Units
Net Proceeds $ 282.79
Fiduciary Acquisition Value 297.40
Net Loss
02/07/2003 Sale of Ccnocophillips
10 Units
Net Proceeds $ 487.48
Fiduciary Acquisition Value 491.15
Net Loss
Gain
8.05
Page 10
Loss
0.56
26. Ol
41.36
14.61
3.67
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
02/07/2003 Sale of Bellsouth
10 Units
Net Proceeds
Fiduciary Acquisition Value
Net Loss
02/07/2003 Sale of Alcoa
15 Units
Net Proceeds
Fiduciary Acquisition Value
Net Loss
02/18/X03 Sale of Dominion Res
5 Units
$ 237.89
271.00
$ 295.04
363.30
Net Proceeds $ 274.56
Fiduciary Acquisition Value 255.03
Net Gain
02/18/2003 Sale of 53 shs of Westwood One Inc
53 Units
Net Proceeds $ 1,770.57
Fiduciary Acquisition Value 1,915.95
Net Loss
02/18/2003 Sale of 60 shs of Oxford Health Plans
60 Units
Net Proceeds $ 1,737.0,9
Fiduciary Acquisition Value 2,163.00
Net Loss
02/18/2003 Sale of 48 shs of L-3 Comm Hldgs
48 Units
Net Proceeds $ 1,795.16
Fiduciary Acquisition Value 2,073.60
Net Loss
Gain
19.53
Page 11
Loss
33.11
68.26
145.38
425.91
278.44
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS Page 12
Estate of Joseph W Caveny
For Period 12/04 /2002 Through 07/21/2003
Gain Los s
02/18/2003 Sale of 101 shs of Energizer Hldgs
101 Units
Net Proceeds $ 2,584.07
Fiduciary Acquisition Value 2,922.44
Net Loss
$ 338.37
02/18/2003 Sale of Merck
10 Units
Net Proceeds $ 550.98
Fiduciary Acquisition Value 589.85
Net Loss 38 87
02/18/2003 Sale of Conagra Foods
20 Units
Net Proceeds $ 487.03
Fiduciary Acquisition Value 487.10
Net Loss 0.07
02/18/2003 Sale of Allstate
15 Units
Net Proceeds $ 479.38
Fiduciary Acquisition Value 584.18
Net Loss 104.80
02/18/2003 Sale of Alcoa
20 Units
Net Proceeds $ 411.22
Fiduciary Acquisition Value 484.40
Net Loss 7~ 18
02/18/2603 Sale of Gilead Sci
23 Ur.its
Net Proceeds $ 738.18
Fiduciary Acquisition Value 842.26
Net Loss 104.08
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
02/25/2003 Sale of Deutsche Bank
65 Units
Net Proceeds $ 2,652.88
Fiduciary Acquisition Value 3,307.85
Net Loss
03/06/2003 Sale of Hudson City Bancorp
114 Units
Net Proceeds $ 2,160.23
Fiduciary Acquisition Value 2,130.09
Net Gain
03/06/20C3 Sale of Cegnos Inc
34 Units
Net Proceeds $ 780.95
Fiduciary Acquisition Value 766.72
Net Gain
C3/06/2003 Sale of Petsmart
153 Units
Net Proceeds $ 1,678.55
Fiduciary Acquisition Value 2,794.55
Net Loss
03/06/2003 Sale of Michaels Stores
6C Ur_its
Net Froceeds $ 1,272.07
Fiduciary Acquisition Value 2,223.90
Net Loss
03/06/2003 Sale of ITT INDS INC IND
25 Ur.its
Net Proceeds $ 1,317.23
Fiduciary Acquisition Value 1,415.63
Net Loss
Gain
30.14
14.23
Page 13
Los s
$ 654.97
1, 116.00
951.83
98.40
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
Gain
03/11/2003 Sale of Vulcan Matls
95 Units
Net Proceeds $ 2,818.90
Fiduciary Acquisition Value 3,513.10
Net Loss
03/11/2003 Sale of Supervalu
225 Units
Net Proceeds $ 2,863.04
Fiduciary Acquisition Value 3,984.75
Net Loss
03/11/2003 Sale of Goodrich
130 Units
Net Proceeds $ 1,771.79
Fiduciary Acquisition Value 2,276.30
Net Loss
03/13/2003 Sale of DENTSFLY INTL INC NEW
62 Units
Net Proceeds $ 2,070.11
Fiduciary Acquisition Value 2,062.12
Net Gain $ 7 99
03/13/2003 Sale of Storage Tech
77 Units
Net Proceeds $ 1,819.45
Fiduciary Acquisition Value 1,744.19
Net Gain 75.26
03/13/2003 Sale of Moody's Corp
66 Units
Net Proceeds $ 2,971.89
Fiduciary Acquisition Value 2,894.76
Net Gain 77.13
Page 14
Loss
$ 694.20
1, 121.71
5C4.51
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS Page 15
Estate of Joseph W Caveny
For Period 12/04 /2002 Through 07/21/2003
Gain Loss
03/13/2003
Sale of Mattel ---- ----
84 Units
Net Proceeds $ 1,754.70
Fiduciary Acquisition Value 1,736.75
Net Gain $ 17.95
03/13/2003 Sale of Intl Game Tech
27 Units
Net Proceeds $ 2,123.21
Fiduciary Acquisition Value 2,078.93
Net Gain 44.28
03/13/2003 Sale of Hudson City Bancorp
117 Units
Net Proceeds $ 2,256.86
Fiduciary Acquisition Value 2,186.14
Net Gain 70.72
03/13/2003 Sale of Garmir. Ltd
47 Units
Net Proceeds $ 1,556.12
Fiduciary Acquisition Value 1,550.90
Net Gain 5.22
03/13/2003 Sale of Cognos Inc
147 Units
Net Proceeds $ 3,439.69
Fiduciary Acquisition Value 3,314.92
Net Gain ~2a 77
03/"3/2003 Sale of Apollo Gr
41 Ur.i.ts
Net Proceeds $ 1,960.15
Fiduciary Acquisition Value 1,677.51
Net Gain 282 64
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS Page 16
Estate of Joseph W Caveny
Fcr Period 12/04/2002 Through 07/21/2003
Gain Loss
03/13/2003 Sale of Apache Corp
34 Units
Net Proceeds $ 2,052.51
Fiduciary Acquisition Value 1,870.34
Net Gain $ 182.17
03/13/2003 Sale of Psnazon Com Inc
119 Units
Net Proceeds $ 2,920.17
Fiduciary Acquisition Value 2,782.22
Net Gain 137.95
03/13/2003 Sale of Adobe Sys
59 Ur_i is
Net Proceeds $ 1,670.82
Fiduciary Acquisition Value 1,579.14
Net Gain 91.68
03/13/2003 Sale of Rcckwell Automation
190 Units
Net Proceeds $ 3,891.08
Fiduciary Acquisition Value 3,791.85
Net Gain 99.23
03/i3/2003 Sale of Northrop Grumman
25 Units
Net Proceeds $ 2,354.92
Fiduciary Acquisition Value 2,350.25
Net Gain 4.67
03/13/2003 Sale of Johnsor_ Controls
30 Units
Net Proceeds $ 2,276.93
Fiduciary Acquisition Value 2,243.80
Net Gain 33.13
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS Paae 17
Estate of Joseph W Caveny
For Period 12/04 /2002 Through 07/21/2003
Gain Loss
03/13/2003 Sale of Dominion Res
95 Units
Net Proceeds $ 5,126.04
Fiduciary Acquisition Value 4,845.47
Net Gain $ 280.57
03/13/2003 Sale of Conocophillips
105 Units
Net Proceeds $ 5,250.89
Fiduciary Acquisition Value 5,157.08
Net Gain 93.81
03/13/2003 Sale of Allied Irish
115 Units
Net Proceeds $ 3,176.20
Fiduciary Acquisition Value 3,142.38
Net Gain 33.82
03/13/2003 Sale of Mercury Interactive
58 Units
Net Proceeds $ 1,900.02
Fiduciary Acquisition Value 1,792.20
Net Gain 107.82
03/13/2003 Sale of 69 shs of Coach Inc
69 Units
Net Proceeds $ 2,599.84
Fiduciary Acquisition Value 2,329.44
Net Gain 270.40
03/13/2003 Sale of 199 shs of American PWR Conv
199 Units
Net Proceeds $ 2,982.92
Fiduciary Acquisition Value 2,950.18
Net Gain 32.74
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS Page 18
Estate of Joseph W Caveny
For Period 12/04 /2002 Through 07/21/2003
Gain Loss
03/13/2003 Sale of Rockwell Automation
73 Units
Net Proceeds $ 1,497.18
Fiduciary Acquisition Value 1,650.03
Net Loss $ X52 85
03/13/2003 Sale of Pixar
67 Units
Net Prcceeds $ 3,501.31
Fiduciary Acquisition Value 3,889.35
Net Loss 388.04
03/13/2003 Sale of Paccar Inc
42 Units
P1et Proceeds $ 2,038.61
Fiduciary Acquisition Value 2,041.70
Net Loss 09
03/13/2003 Sale cf NVIDIP_
188 Units
Net Proceeds $ 2,577.40
Fiduciary Acquisition Value 2,719.42
Net Loss 142.02
03/13/20C3 Sa'_e of North Fork Banc
75 Units
Net Prcceeds $ 2,276.93
Fiduciary Acquisition. Value 2,584.50
Net Loss 301.57
03/13/2003 Sale of Mylar. Labs
62 Units
Net Proceeds $ 1,673.32
Fiduciary Acquisition Value 1,736.13
Net Loss
62.81
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS Page 19
Estate of Joseph W Caveny
For Period 12/04 /2002 Through 07/21/2003
Gain Loss
03/13/2063 Sale of Lexmark Intl
51 Units
Net Proceeds $ 3,146.09
Fiduciary Acquisition Value 3,311.69
Net Loss
$ 165.60
03/13/2003 Sale of Lincare hldgs
62 Units
Net Proceeds $ 1,835.76
Fiduciary Acquisition Value 2,077.31
Net Loss 241.55
03/13/2003 Sale of Jacobs Engineering
55 Units
Net Proceeds $ 2,106.98
Fiduciary Acquisition Value 2,124.07
Net Loss 17 0°
03/13/2003 Sale of Intuit
49 Units
Net Proceeds $ 2,397.49
Fiduciary Acquisition Value 2,602.88
Net Loss
205.39
03/13/2003 Sale of Vircinia Banks
41 Ur.its
Net Proceeds $ 1,632.16
Fiduciary Acquisition Value 1,661.34
Ne'~ Loss 29.18
03/13/2003 Sale of Electronic Arts
66 units
Net Proceeds $ 3,722.28
Fiduciary Acquisition Value 4,337.52
Net Loss 615.24
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS Page 20
Estate of Joseph W Caveny
For Period 12/04 /2002 Through 07/21/2003
Gain Loss
03/13/2003
Sale of Citrix Sys ---- ----
202 Units
Net Proceeds $ 2,454.22
Fiduciary Acquisition Value 2,785.25
Net Loss
$ 331.03
03/13/2003 Sale of CDW Corp
50 Units
Net Proceeds $ 2,074.93
Fiduciary Acquisition Value 2,443.75
Net Loss
368.82
03/13/2003 Sale of Barr Labs
24 Units
Net Prcceeds $ 1,786.26
Fiduciary Acquisition Value 1,834.81
Net Lcss 48.55
03/13/2063 Sale cf Affiliated Ccmputer Srv
38 Units
Net Proceeds $ 1,682.58
Fiduciary Acquisition Value 1,870.04
Net Loss 187.46
03/13/2003 Sale of Wyeth
105 L'nits
Net Proceeds $ 3,688.53
Fiduciary P.cquisition Value 3,945.90
Net Loss 257.37
03/13/2003 Sale of 4v'eyerhaeuser
100 Units
Net Proceeds S 4,841.85
Fiduciary Acquisition Value 4,899.00
Net Loss 57.15
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS Page 21
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
Gain Loss
03/13/2003 Sale of Wachovia Corp
135 Units
Net Proceeds $ 4,535.86
Fiduciary Acquisition Value 4,720.28
Net Loss
$ 184.42
03/13/2003 Sale of Union Pacific
65 Units
Net Proceeds $ 3,403.94
Fiduciary Acquisition Value 3,883.98
Net Loss 480.04
03/13/2063 Sale of Sempra Energy
195 Units
Net Proceeds $ 4,459.51
Fiduciary Acquisiticn Value 4,520.10
Net Loss 60.59
03/13/2003 Sale of Pepsico
60 Units
Net Proceeds $ 2,321.33
Fiduciary Acquisition Value 2,406.91
Net Loss 85.58
03/13/2003 Sale of Merck
90 Units
Net Proceeds $ 4,573.66
Fiduciary Acquisition Value 5,308.65
Net Loss 734.99
03/13/2003 sale of 3M Co
35 Units
Net Proceeds $ 4,387.46
Fiduciary Acquisition Value 4,480.35
Net Loss 92 89
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS
Estate of Joseph W Caveny
For Period 12/04/X02 Through 07/21/2003
03/13/2003 Sale of Kellogg
140 Units
Net Proceeds $ 4,058.47
Fiduciary Acquisition Value 4,7C4.00
Net Loss
03/13/2003 Sale of Genuine Parts
170 units
Net Proceeds $ 4,814.25
Fiduciary Acquisition Value 5,235.15
Net Loss
C3/13/2003 Sale of G.Ni
75 Units
Net Proceeds $ 2,429.17
Fiduciary Acquisition Value 2,863.13
Net Loss
03/13/2003 Saie of Gen Mills
70 Units
Net Proceeds $ 3,016.90
Fiduciary Acquisition Value 3,107.30
Net Loss
03/13/20C3 Sale of GE
120 Units
Net Proceeds $ 3,604.70
Fiduciary Acquisition. Value 3,217.80
Net Loss
03/13/2003 Sale of FPL Group
4C Units
Net Proceeds $ 2,293.53
Fiduciary Acquisition Value 2,296.88
Net Loss
Gain
Page 22
Loss
$ 645.53
420.90
433.96
90.40
213.10
3.35
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
03/13/2003 Sale of Dow Chem
135 Units
Net Proceeds $ 3,605.74
Fiduciary Acquisition Value 4,014.90
Net Loss
03/13/2003 Sale of Chevrontexaco
78 Units
Net Proceeds $ 4,948.95
Fiduciary Acquisition Value 5,246.67
Net Lcss
03/13/2003 Sale of Conagra Foods
205 Units
Net Proceeds $ 4,177.77
Fiduciary Acquisition Value 4,992.78
Net Loss
03/13/2003 Sale of Bellsouth
140 Units
Net Proceeds $ 2,980.51
Fiduciary Acquisition Value 3,794.00
Net Loss
03/13/2003 Sale of Baxter Intl
~55 Units
Net Proceeds $ 3,301.40
Fiduciary Acquisition V"alue 4,923.58
Net Loss
03/13/2003 Sale of Bank of America
80 Units
Net Proceeds $ 5,414.23
Fiduciary Acquis_tion Value 5,572.80
Net Lcss
Gain
Page 23
Loss
$ 409.16
297.72
815. O1
813.49
1, 622.18
159.57
GAINS P_ND LOSSES ON SALES OR OTHER DISPOSITIONS
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
03/13/2003 Sale of Air Products
115 Units
Net Proceeds $ 4,484.86
Fiduciary Acquisition Value 5,022.62
Net Loss
03/13/2003 Sale of Allstate
115 Units
Net Proceeds $ 3,641.94
Fiduciary Acquisition Value 4,478.68
Net Loss
03/13/2003 Sale of Alcoa
140 Units
Net Proceeds $ 2,754.91
Fiduciary Acquisition Value 3,390.80
Net Loss
03/13/2003 Sale of Vodafone
~i0 Ur.its
Net Proceeds $ 1,973.34
Fiduciary Acquisition Value 2,081.84
Net Loss
03/13/2003 Sale of Unilever
105 Ur.its
Net Froceeds $ 3,535.04
Fiduciary Acquisition Value 3,814.55
Net Loss
03/13/2003 Sale of UBS AG
90 Units
Net Proceeds $ 3,534.09
Fiduciary Acquisition Value 4,416.75
Net Loss
Gain
Page 24
Loss
$ 537.76
835.74
625.89
108.50
X78.51
782.55
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS Page 25
Estate of Joseph W Caveny
For Period 12/04 /2002 Through 07/21/2003
Gain Loss
03/13/2003 Sale of Tesco
205 Units
Net Proceeds $ 1,660.45
Fiduciary Acquisition Value 1,930.67
Net Loss
$ 270.22
03/13/2003 Sale of Total Fin
45 Units
Net Proceeds $ 2,857.86
Fiduciary Acquisition Value 2,961.68
Net Loss 1C3.82
03/13/2003 Sale of Siemens AG
90 Units
Net Proceeds $ 3,456.79
Fiduciary Acquisition Value 4,396.95
Net Loss 94G.16
03/13/20C3 Sale of Societe Gen
385 L'nits
Net Proceeds $ 3,715.13
Fiduciary Acquisition Value 4,158.00
Net Loss 442 87
03/13/2003 Sale of Royal Dutch Pete
70 Units
Net Proceeds $ 2,711.71
Fiduciary Acquisition Value 2,986.90
Net Loss
275.19
03/13/2003 Sale of Compagnie Fin
125 Units
Net Proceeds $ 1,837.44
Fiduciary Acquisition Value 2,017.16
Net Loss 179.72
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS Page 26
Es tate of Joseph W Caveny
For Period 12/04 /2002 Through 07/21/2003
Gain Loss
03/13/2603 Sale of Novartis AG
100 Units
Net Proceeds $ 3,472.89
Fiduciary Acquisition Value 3,693.00
Net Loss $ 220.11
03/13/2003 sale of Nestle SA
75 Units
Net Proceeds $ 3,498.64
Fiduciary Acquisition Value 3,837.94
Net Loss ~~g 30
03%13/2003 Sale of Nokia
225 Units
Net Proceeds $ 3,194.90
Fiduciary Acquisition Value 4,257.C0
Net Loss 1,C62.10
03/13/2003 Sale of KAO
"~5 Units
Net Proceeds $ 2,984.91
Fiduciary Acquisition Value 3,162.07
1~et Loss 17 i.16
03/13/2003 Sale of San Paclo
175 Units
Net Proceeds $ 2,344.92
Fiduciary Acquisition Value 2,516.50
Net Loss 171.58
03/13/2003 Sale of Heineken
70 Units
Net Proceeds $ 2,449.92
Fiduciary Acquisition Value 2,583.00
Net Loss 133.08
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS Page 27
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
Gain Loss
03/13/2003 Sale of HSBC Hldgs
80 Units
Net Proceeds $ 4,264.67
Fiduciary Acquisition Value 4,620.00
Net Loss $ 355.33
03/13/2003 sale of Glaxosmithkline
95 Units
Net Proceeds $ 3,298.30
Fiduciary Acquisition Value 3,537.33
Net Loss 239.03
03/13/20C3 Sale of Endesa SA
320 Units
Net Proceeds $ 3,705.48
Fiduciary Acquisition Value 3,889.60
Net Lcss '_89.12
03/13/2003 Sale of ENI S PA
55 Units
Net Proceeds $ 3,712.93
Fiduciary Acquisition 'value 3,947.08
Net Loss 23~ i5
63/13/2003 Sale Danske BK
130 Units
Net Proceeds $ 1,969.44
Fiduciary Acquisition Value 2,153.14
Net Loss 183.70
03/13/2063 Saie of Diageo PLC
80 Units
Net Proceeds $ 3,305.50
Fiduciary Acquisition Value 3,444.40
Net Loss 138.90
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS Page 28
Estate of Joseph W Caveny
For Period 12/04 /2002 Through 07/21/2003
Gain Loss
03/13/2003 Sale of Cadburg Schweppes
115 Units
Net Proceeds $ 2,399.97
Fiduciary Acquisition Value 2,991.15
Net Loss $ 591.18
03/13/2003 Sale of Cancn
85 Units
Net Proceeds $ 2,943.46
Fiduciary Acquisition Value 3,233.45
Net Loss 289.99
03/13/2003 Sale of BP PLC
75 Units
Net Proceeds $ 2,872.41
Fiduciary Acquisition Value 2,925.00
Net Lcss 52.59
03/13/2003 Sale of Barclays
170 Units
Net Proceeds $ 3,744.98
Fiduciary Acquisition Value 4,482.90
Net Loss 737.92
03/13/2003 sale of Astrazeneca
100 Units
Net Proceeds $ 3,127.90
Fiduciary Acquisition Value 3,786.50
Net Loss 658.60
03/13/2003 Sale of P_XA
300 Units
Net Proceeds $ 3,398.89
Fiduc_ary Acquisition Value 4,425.00
Net Loss 1,026.11
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
Gain
03/13/20C3 Sale of Aventis
55 Units
Net Proceeds
Fiduciary Acquisition: Value
Net Loss
03/13/2003 Sale of ABN AMRO Hldgs
275 Units
Net Proceeds
Fiduciary Acquisition Value
Net Loss
03/13/2003 Sale of Williams Sonoma
38 Units
Net Proceeds
Fiduciary Acquisition. Value
Net Loss
03/13/2003 Sale of Sysmantec Corp
90 Units
Net Proceeds
Fiduciary Acquisition Value
Net Gair.
03/13/2003 Sale of Qlogic
79 Ur.its
Net Froceeds
Fiduciary Acquisition Value
Net Loss
03/13/2003 Sale of Gilead Sci
41 Units
Net Proceeds
Fiduciary Acquisition Value
Net Gain
$ 2,401.77
2,995.30
$ 3,973.63
4,420.63
$ 811.27
1,014.41
$ 4,006.67
3,861.90
$ 144.77
$ 3,067.47
3,131.17
$ 1,614.12
1,501.42
112.70
Page 29
Loss
$ 593.53
447.C0
203.14
63.70
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
Gain
Total Gains and Losses $2,784.62
Less Gain
Net Loss
Paae 30
Loss
$38,956.88
2, 784.62
$ 36, 172.26
DISBURSEMENTS OF PRINCIPAL
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
dministration Expenses (Prin)
12/05/2002 HCR-ManorCare - nursing home services
Check number 4629 $ 4,974.00
12/05/2002 Linda Cober - ????
Check number 4628 42.46
12/23/2002 American Express management fee 259.51
01/27/2003 American Express WRAP fee 102.27
02/03/2003 HCR-ManorCare - nursing care 24.25
C2/03/2003 Neighbcrhood Care Pharmacy - medicine 238.03
C2/03/2C03 American Express management fee 1,379.48
02/03/2003 American Express management fee 1,672.80
02/03/2003 American Express management fee x,427.03
02/04/2003 Foreign tax withheld on Siemens 20.40
02/24/X03 American Express WRAP fees 254.92
03/14/2003 American Express management fee rebate -1,154.37
03/14/X03 American Express management fee rebated -1,399.82
03/14/2003 American Express management fee rebated -1,194.16
03/24/2003 American Express WRAP fee 253.02
03/25/2003 Foreign tax withheld on BP dividend 3.12
04/08/2003 U S Treasury - extension payment for 20C2
1040 1,000.00
04/10/2003 U S Treasury - ???? 1,627.00
04/21/2003 Psnericar. Express WRAP fee 253.78
05/27/2003 American. Express WRAP fee 520.86
05/29/2003 PA Dept of Revenue - 2002 PA40 balance due 31.00
06/20/2003 Souder Tax Service - preparation of 2002
income tax returns 500.00
Page 31
DISBURSEMENTS OF PRINCIPAL Page 32
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
06/23/2003 American Express WRAP fee $ 764.26
07/11/2003 John Cober - executor expenses 181.00
07/21/2003 American Express WRAP fee 766.85
$ 12,547.69
Funeral Expenses (Prin)
01/31/2003 Myers-Harner Funeral Home, Inc - funeral bill $ 2,584.00
02/03/2003 P.n Olde Towne Florist & Greenery -
arrangement 9C.10
02/03/2003 St John's Cemetary - grave services 700.00
02/06/2003 Myers-Harner Funeral Home,. Inc - two
cremation urns 300.00
02/21/2003 Presbyterian Women CHPC - reception services X0.00
02/26/20C3 James R Gingrich Memorials - granite memorial 2,652.00
6, 526.10
Other Expenses (Prin)
02/28/2003 Register of Wills, Agent - PA Inheritance
deposit
8,000.00
TOTAL DISBURSEMENTS OF PRINCIPAL $ 27,073.79
DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES Page 33
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
To: West Shore Lodge No. 681, F & A M
Bequest of $10,000 cash on account of item 2 of the
will
01/29/2003 American Express - Estate checking
$ 10,000.00
Check number 2008
To: Masonic Homes - Grand Lodge of PA
Bequest of $l0,OC0 cash on account of item 2 of the
will
01/29/2003 American Express - Estate checking 1C,000.00
Check number 2016
To: Becky F Stoner
Bequest of $10,000 cash on account of item 2 of the
will
01/29/2003 American Express - Estate checking ?0,000.00
Check number 2010
To: Dorothy B Ziegler
Bequest of $10,006 cash on account of item 2 of the
will
01/29/2003 American Express- Estate checking 10,000.00
Check number 2011
To: Kathleen S McLaughlin
Bequest of $10,000 cash on account of item 2 of the
will
01/29/2003 American Express - Estate checking 10,000.00
Check number 2012
To: Suzanne C Hunter
Bequest of $10,000 cash on account of item 2 of the
will
01/29/2003 American Express - Estate checking 10,000.00
Check number 2613
DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
To: Shirley S Wheeler
Bequest of $10,000 cash on account of item 2 of the
will
01/29/2003 American Express - Estate checking
Check number 2014
To: Patty S Hommei
Bequest of $10,000 cash on account of item 2 of the
will
01/29/2003 American Express - Estate checking
Check number 2015
TOTAL DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES
Page 34
$ 10, 000.00
10,600.00
$ 80, 000.00
PRINCIPAL BALANCE ON HAND
Estate of Joseph W Caveny
As of 07/21/2003
Page 35
Current Carrying
Value Value
Checking Accounts ----- --------
American Express - Estate checking $ 10,586.67 $ 10,586.67
Money Market Accounts
American Express SPS - 471 92695 1,125.23 1,125.23
American Express Account
AXP CASH MANAGEMENT 214,622.98 214,622.98
214,622.98 Units
AXP GLOBAL SER INC 17,999.61 17,999.61
2,970.232 Units
AXP HIGH YIELD BD FD 65,011.40 65,011.40
26,711.753 Units
AXF HIGH YIELD TAX EXEMPT FD 166,733.63 166,733.63
38,047.947 Units
AXP SHORT TERM U S GOVT FD 47,590.90 47,596.90
9,711.617 Units
AXP STRATEGY FD INC 26,972.64 26,972.64
6,088.631 Units
CAL SHORT DUR INC 250,000.00 250,000.00
15,375.154 Units
FRANKLIN CUSTODIAN FDS INC 41,440.29 41,446.29
5,971.223 Units
PRINCIPAL FINANCIAL GROUP INC 24,696.75 24,696.75
850 Units
STRONG EQUITY FDS INC 42,234.51 42,234.51
2,212.389 Units
STRONG GOVT SECS FD INC 40,954.42 40,954.42
,637.16 Units
Miscellaneous Property
Joseph W Caveny Charit°able Tr 297,684.CO 297,684.00
Refunds
U S Treasury - Refund. 1,864.60 1,869.00
$1,249,517.03 $1,249,517.03
Less: Income balance on hand 14,475.41
------------- 14,475.41
PRINCIPAL BALANCE ON HAND
$1,235,041.62 -------------
$l, 235, C4'.. 62
INFORMATION SCHEDULES Page 36
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
Changes in Investment Holdings
3M CO $ 4,502.05
12/10/2002 Dividend -21.70
03/13/2003 sale of 3M Co
35 Units -4,480.35
$ 0.00
ABN AMRO HLDG NV $ 4,420.63
03/13/2003 Sale of ABN AMRO Hldgs
275 Units -4,420.63
O.CO
ADOBE SYS INC $ 1,579.14
03/13/X03 Sale of Adobe Sys
59 Units -1,579.14
0.00
AFFILIATED COMPUTER SERVICES $ O.OC
02/05/2003 Purchase of 38 shs of Affiliated Game
Services
38 Units 1,870.04
03/13/2003 Sale of Affiliated Computer Srv
38 Units -1,870.04
0.00
AIR PRODS & CHEMS INC $ 5,022.62
C3/13/X 03 Sale cf Air Products
115 Units -5,022.62
O.CO
ALBERTO CULVER CO $ 1,721.13
01/13/2003 Sale of Alberto Culver Co
35 Units -1,721.13
0.00
INFORMATION SCHEDULES Page 37
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
ALCOA INC $ 4,238.50
02/07/2003 Sale of Alcoa
15 Units -363.30
02/18/2003 Sale of Alcoa
20 Units _484,40
03/13/2003 Sale of Alcoa
140 Units -3,390.80
$ 0.00
ALLIED IRIS H BKS P L C $ 3,142.38
03/13/2003 Sale of Allied Irish
li5 Units -3,142.38
0.00
ALLSTATE CC RP $ 6,264.80
01/13/2003 Sale of Allstate
30 Units -1,168.35
01/13/2003 Dividend -33.59
02/18/2003 Sale of Allstate
15 Units _584.18
03/13/2003 Sale of Allstate
115 Ur,its -4,478.68
0.00
AMAZON COM INC $ 2,782.22
03/13/2003 Sale of Amazon Com Inc
119 Units -2,782.22
0.00
AMERICAN PWR CONVERSION CORP $ 2,950.18
01/13/2003 Purchase of 21 shs of AMERICAN PWR CONVERSION
CORP
21 Units 325.29
03/13/2003 Sale of 21 shs of American PWR Conv
21 Ur.its -325.29
INFORMATION SCHEDULES Page 38
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
03/13/2003 Sale of 199 shs of American PWR Conv
199 Units $ -2,950.18
$ 0.00
APACHE CORP $ 1,870.34
03/13/2003 Sale of Apache Corp
34 Units -1,870.34
0.00
APOLLO GROUP INC $ 3,273.20
C1/16/2003 Sale of 39 shs of Apollo Group Inc
39 Units -1,595.69
03/13/2003 Sale of Apollo Gr
41 Units -1,677.51
0.00
P.STRAZENECA PLC $ 3,786.50
03/13/2003 sale of Astrazeneca
100 Units -3,786.50
0.00
AUTOZONE INC
$
2,432.00
01/13/2003 Sale of Autozone
32 Units
-2,432.00
0.00
AVENTIS $ 2,995.30
03/13/X03 Sale of Aventis
55 Units -2,995.30
0.00
AXA $ 4,425.00
03/13/2003 Sale of AXA
300 Units -4,425.00
0.00
INFORMATION SCHEDULES Paae 39
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
AXP CASH MANAGEMENT $ 0.00
05/12/2003 Purchase of 65000 shs of AXP Cash Management
65,000 Units 65,000.00
05/12/2003 Purchase of 159543.67 shs of AXP Cash
Management
159,543.67 Units 159,543.67
05/22/2003 Sale of 10000 shs of AXP Cash Management
10,000 Units -10,000.00
05/27/2003 Reinvestment of AXP Cash Mgmt dividend
17.64 Units 17.64
06/24/2003 Reinvestment of AXP Cash Mgmt dividend
61.67 Units 61.67
$214,622.98
AXP HIGH YIELD BD FD $ 62,372.39
12/20/2002 Reinvested dividend
114.842 Units 276.77
12/20/2002 Reinvested dividend -155.70
12/20;2002 Reinvested dividend
64.606 Units 155.70
06/23/2003 Reinvestment of dividends from 1/1/C3 to
6/23/03
928.728 Units 2,362.24
65,611.40
AXP HIGH YIELD TAX EXEMPT FD $162,569.28
12/20/2002 Reinvested dividend
79.326 Units 352.21
12/20/2002 Reinvested dividend -192.57
12/20/2002 Reinvested dividend
43.372 Units 192.57
06/23/2003 Reinvestment of dividends from 1/1/03 to
6/23/03
852.941 Units 3,812.14
166, 733.63
INFORMATION SCHEDULES Page 40
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
AXP SHORT TERM U S GOVT FD $ 47,004.20
12/20/2002 Reinvested dividend
13.077 Units 64.34
12/20/2002 Reinvested dividend -42.51
12/20/2002 Reinvested dividend
8.64 Units 42.51
06/23/2003 Reinvestment of dividends from 1/1/03 to
6/23/03
105.881 Units 522.36
$ 47,590.90
BANK OF AMERICA CORPORATION $ 6,269.40
01/13/2003 Sale cf-Bank of America
10 Units -696 EO
03/i3/2003 Sale of Bark of America
80 Units -5,572.80
C.00
BARCLAYS PLC $ 4,482.90
03/13/2003 Sale of Barclays
170 Ur.its -4,482.90
0.00
BARR LABORAT ORIES INC $ 0.00
02/18/2003 Purchase of 24 shs Barr Laboratories Inc
24 Units 1,834.81
03/13/2003 Sale of Barr Labs
24 Units -1,834.81
0.00
BAXTER INTL INC $ 4,923.58
03/13/2003 Sale of Baxter Intl
155 Units -4,923.58
0.00
INFORMATION SCHEDULES Page 41
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
BELLSOUTH CORD $ 4,065.00
02/07/2003 Sale of Bellsouth
10 Units -271.00
03/13/2003 Sale of Bellsouth
140 Units -3,794.00
$ O.CO
BP PLC $ 2,952.00
i2/li/2002 Dividend -27.00
03/13/2003 Sale of BP PLC
75 Units -2,925.00
0.00
C D W CORD $ 2,443.75
03/13/2003 Sale of CDW Corp
50 Units -2,443.75
0.00
CADBURY SCHWEPPES PLC $ 2,991.15
03/13/2003 Sale of Cadburg Schweppes
115 Ur.its -2,991.15
0.00
CAL SHORT DU R INC $ C.00
05/12/2003 Purchase of 15375.154 shs of Cal Shor Dur
15,375.154 Units 250,000.00
250,000.00
CANON INC $ 2,264.70
12/12/2002 Purchase cf 25 shs of Canon Inc
25 Units 968.75
03/13/20G3 Sale of Canon
85 Units -3,233.45
0.00
INFORMATION SCHEDULES Page 42
Estate of Joseph W Caveny
Fo r Period 12/04/2002 Through 07/21/2003
CHEVRONTEXACO CORP $ 5,301.27
12/10/2002 Dividend -54.60
03/13/2003 Sale of Chevrontexaco
78 Units -5,246.67
$ 0.00
CITRIX SYSTEMS INC $ 0.00
01/16/2003 Purchase of 145 shs of Citrix Systems
145 Units 2,074.95
02/18/X03 Purchase of 57 shs of Citrix Systems
57 Units 710.30
03/13/2003 Sale of Citrix Sys
202 Units -2,785.25
0.00
COACH INC $ 3,578.55
01/13/2003 Purchase of 19 shs of Coach Inc
19 Units 615.03
01/16/2003 Sale of 19 shs of Coach Inc
19 Units -615.03
01/16/2003 Sale of 37 shs of Coach Inc
37 Units -1,249.12
03/13/2003 Sale of 69 shs of Coach Inc
69 Units -2,329.44
O.CO
COGNOS INC $ 4,081.64
03/06/2003 Sale of Cognos Inc
34 Units -766.72
03/13/2003 Sale of Cognos Inc
147 Units -3,314.92
0.00
INFORMATION SCHEDULES Page 43
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
COMPAGNIE FINANCIERE RICHEMONT $ 0.00
02/07/2003 Purchase of 125 shs Compagnie Fin
125 Units 2,017.16
03/13/2003 Sale of Compagnie Fin
125 Units -2,017.16
$ 0.00
CONAGRA FOODS INC $ 5,966.98
01/13/2003 Sale of Conagra
20 Units -487.10
02/18/2003 Sale cf Conagra Foods
20 Units -487.10
03/13/2003 Sale of Conagra Foods
205 Units -4,992.78
0.00
CONOCOPHILLIPS $ 5,648.23
02/07/2003 Sale of Conocophillips
10 Units -491.15
03/13/2003 Sale of Conocophillips
105 Ur.its
-5,157.08
0.00
DANSKE BK A/S $ 2,153.14
03/13/2003 Sale Danske BK
130 Units -2,153.14
0.00
DENTSPLY INTL INC NEW $ 2,062.12
03/13/2003 Sale of DENTSPLY INTL INC NEW
62 L'nits -2,062.12
0.00
INFORMATION SCHEDULES Page 44
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21 /2003
DEUTSCHE BANK AG NAMEN $ 3,307.85
02/25/2003 Sale of Deutsche Bank
65 Units -3,307.85
$ 0.00
DEVON ENERGY CORP $ 0.00
01/13/2003 Purchase of 49 shs of Devon Energy
49 Units 2,199.61
03/13/2003 Sale of Devon Energy
49 Units -2,199.61
0.00
DIAGEO P L C $ 3,444.40
03/13/2003 Sale of Diageo PLC
80 Units -3,444.40
0.00
DOMINION RES INC VA NEW $ 5,423.26
12/10/X02 Dividend -67.73
02/07/2003 Sale of Dominior_ Res
5 Units -255.03
02/18/2003 Sale of Dominion Res
5 Ur.its -255.03
03/13/2G03 Sale of Dominion Res
95 Units _4,845 ~7
0.00
DOW CHEM CO $ 4,312.30
02/07/2003 Sale of Dow Chem
10 Units -297.40
03/13/2003 Sale of Dow Chem
135 Units -4,014.90
0.00
INFORMATION SCHEDULES Page 45
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21 /2003
ELECTRONIC ARTS INC $ 4,337.52
03/13/2003 Sale of Electronic Arts
66 Units -4,337.52
$ 0.00
ENDESA S A $ 3,889.60
03/13/2003 Sale of Endesa SA
320 Units -3,889.60
0.00
ENERGIZER H LDGS INC $ 2,922.44
02/18/2003 Sale of 101 shs of Energizer Hldgs
101 Units -2,922.44
0.00
ENI S P A $ 3,947.08
03/13/2003 Sale of ENI S PA
55 Units -3, 947.08
0.00
EXPEDiA INC $ 2,927.20
02/05/2003 Sale of 41 shs of Expedia Inc
41 Units -2,927.20
0.00
FIP.ST VIRGINIA BANKS $ G.00
03/06/2003 Purchase of 41 shs of First Virginia Banks
41 Units 1,661.34
03/13/2003 Sale of Virginia Banks
41 Units -1,661.34
0.00
FPL GROUP INC $ C.00
03/11/2003 Purchase of 40 shs of FPL Group
40 Units 2,296.88
INFORMATION SCHEDULES
Estate of Joseph W Caveny Page 46
For Period 12/04/2002 Through 07/21/2G03
03/13/2003 Sale of FPL Group
40 Units
$ -2,296.88
$ 0.00
GARMIN LTD
$ 0.00
02/18/2003 Purchase of 47 shs of Garmin Ltd
47 Units
1,550.90
03/13/2003 Sale of Gar min Ltd
47 Units
-1,550.90
0.00
GENERAL ELEC CO
$ 3,485.95
02/07/2003 Sale of GE
10 Units
-268.15
03/13/2G03 Sale of GE
120 Units
-3,217.80
0.00
GENERAL MLS INC
$ 3,107.30
03/13/2003 Sale of Gen Mills
70 Units -3,107.30
0.00
GENERAL MTRS CORP $ 2,900.63
12/10/2002 Dividend
-37.50
C3/13/2003 Sale of GM
75 Units -2,863.13
O.CO
GENUINE PART S CO $ 5
23
,
5.15
03/13/2003 Sale of Genu ine Parts
170 Units -5,235.15
0.00
INFORMATION SCHEDULES Page 47
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
GILEAD SCIENCES INC $ 2,343.68
01/13/2003 Purchase of 26 shs of Gilead Sciences
26 Units 964.34
02/18/2003 Sale of Gilead Sci
26 Units -964.34
02/18/2003 Sale of Gilead Sci
23 Units -842.26
03/13/2003 Sale of Gilead Sci
41 Units -1,501.42
$ 0.00
GLAXOSMITHKL IN~, PLC $ 3,563.67
01/29/2003 Dividend -26 3~
03/13/2003 sale of Glaxosmithkline
95 Units
-3,537.33
0.00
GOODRICH COR D $ 2,302.30
01/13/2003 Dividend -26.OC
03/11/2003 Sale of Goodrich
130 Units -2,276.30
0.00
HEINEKEN N V $ 2,583.00
03/13/2003. Sale of Heineken
70 Units -2,583.00
0.00
HOTELS COM $ 3,995.42
02/05/2003 Sale of 57 shs of Hotel.com
57 Units -3,995.42
0.00
INFORMATION SCHEDULES Page 48
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
HSBC HLDGS PLC $ 4,620.00
03/13/2003 Sale of HSBC Hldgs
80 Units -4,620.00
$ 0.00
HUDSON CITY BANCORP $ 4,316.23
03/06/2003 Sale of Hudson City Bancorp
114 Ur.its -2,130.09
03/13/2003 Sale of Hudson City Bancorp
117 Units -2,186.14
0.00
INTERNATIONAL GAME TECHNOLOGY $ O.OC
02/05/2003 Purchase of 27 shs of International Game Tech
27 Units 2,078.93
C3/13/2003 Sale of Intl Game Tech
27 Units -2,078.93
0.00
INTUIT $ 2,602.88
03/13/2003 Sale of Intuit
49 Units -2,602.88
0.00
ITT INDS INC IND $ 1,419.38
01/13/2003 Dividend _3.75
03/06/2003 Sale cf ITT INDS INC IND
25 Units -1,415.63
0.00
JACOBS ENGINEERING GROUP INC $ 0.00
01/13/2003 Purchase of 55 shs of Jacobs Engineering
55 Units 2,124.07
03/13/2003 Sale of Jacobs Engineering
55 Units -2,124.07
0.00
INFORMATION SCHEDULES Page 49
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21 /2003
JOHNSON CONTROLS INC $ 0.00
03/11/2003 Purchase of 30 shs of Johnson Controls
30 Units 2,243.80
03/13/2003 Sale of Johnson Controls
30 Units -2,243.80
$ 0.00
KAO CORP
$
3,177.10
01/29/2003 Dividend -15.03
03/13/2003 Saie of KAO
i5 Units -3,162.07
0.00
KELLOGG CO $ 4,739.35
12/10/2002 Dividend -35.35
03/13/2003 Sale of Kellogg
140 Units
-4,704.00
0.00
L-3 COMMUNICATIONS HLDGS INC $ 2,073.60
02/18/2003 Sale of 48 shs of L-3 Comm Hldgs
48 Units -2,073.60
0.00
LEXMARK INTL NEW $ 3,311.69
03/13/2003 Saie of Lexmark Intl
51 Units -3,311.69
0.00
LINCARE HLDGS INC $ 2,077.31
03/13/2003 Sale of Lincare hldgs
62 Units -2,077.31
0.00
INFORMATION SCHEDULES Page 50
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
LINCOLN NAT IONAL CORP $ 0.00
01/13/2003 Purchase of 95 shs of Lincoln National
95 Units 3,311.01
03/13/2003 Sale of Lincoln National
95 Units -3,311.C1
$ 0.00
MATTEL INC $ 0.00
03/06/2003 Purchase of 84 shs of Mattel Inc
84 Units. ,736.75
03/13/2003 Sale of Mattel
84 Units -1,736.75
0.00
MERCK & CO INC $ 6,488.35
01/13/2003 Sale of Merck & Co
10 L'r.its -589.85
02/18/2003 Sale of Merck
10 Units _589 85
03/13/2003 Sale of Merck
90 Ur.its -5,308.65
O.GO
MERCURY INTERACTIVE CORD $ 1,792.20
01/13/2003 Purchase cf 32 shs of Mecurcury Interactive
32 Units 1, X2.88
03/13/2003 Sale of Mercury Interactive
32 Units -1,202.88
03/13/2003 Saie of Mercury Interactive
58 Units -1,792.20
0.00
MICHAELS STORES INC $ 2,223.90
03%06/2003 Sale of Michaels Stores
60 Units ~ _2,223 90
0.00
INFORMATION SCHEDULES Paqe 51
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
MOODYS CORP $ 2,897.73
12/1C/2002 Dividend -2 97
03/13/2003 Sale of Moody's Corp
66 Units -2,894.76
$ 0.00
Mylan Labs $ 0.00
02/18/2003 Purchase of 62 shs of Mylan Labs
62 Units 1,736.13
C3/13/2003 Sale of Mylan Labs
62 Ur_its -1,736.13
0.00
NESTLE S A $ 3,837.94
03/13/2003 sale of Nestle SA
75 Units -3,837.94
0.00
NOK.IA COP.P $ 4, 257.00
03/13/2003 Sale of Nokia
225 Units -4,257.60
O.GO
NCRTH FORK BANCORPORATION NY $ 2,584.50
03/13/20C3 Sale of North Fork Banc
75 Units -2,584.50
O.CO
NORTHROP GRUMMAN CORP $ 0.00
03/11/2003 Purchase of 25 shs of Northrop Grumman
25 Units 2,350.25.
03/13/2003 Saie of Northrop Grumman
25 Ur_its -2,350.25
0.00
INFORMATION SCHEDULES Page 52
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
NOVARTIS A G $ 3,693.00
03/13/2003 Sale of Novartis AG
100 Units -3,693.00
$ 0.00
NVIDIA CORP $ 2,719.42
03/13/2003 Sale of NVIDIA
188 Units -2,719.42
0.00
OXFORD HEAL TH PLANS INC $ 2,163.00
02/18/2003 Saie of 60 shs of Oxford Health Plans
60 Units -2,163.00
O.OC
PACCAR INC $ 0.00
02/18/2003 Purchase of 42 shs of Paccar Inc
42 Units 2,041.70
03/13/2003 Sale of Paccar Inc
42 Units -2, 041.70
0.00
PP.T"_'ERSON DENTAL CO $ 2, 008 .75
01/13/2003 Sale of Fatterson Dental
50 Units -2,008.75
C.^uC
PEPSICO iNC $ 0 OC
02/18/2003 Purchase of 60 shs of Pepsico
60 units 2,406.91
03/13/2003 Sale of Pepsico
6C U'nits -2,406.91
0.00
INFORMATION SCHEDULES Page 53
Estate of Joseph ~~ Caveny
For Period 12/04/2002 Through 07/21/2003
PETSMART INC $ 2,794.55
03/06/2003 Sale of Petsmart
153 Units -2,794.55
$ 0.00
PIXAR
$
3,889.35
03/13/2003 Sale of Pixar
67 Units -3,889.35
O.CO
PRINCIPAL FINANCIAL GROUP INC $ 24,909.25
01/30/2003 Dividend -212.50
24,696.75
QLOGIC CORP $ 3,131.17
01/13/2003 Purchase of 11 shs of Qlogic
11 Units 466.29
03/13/2003 Sale of Qlogic
11 Units -466.29
03/13/2003 Sale of Qlogic
79 Units -3,131.17
0.00
ROSS STORES INC $ 1,426.08
01/13/2003 Sale of Ross Stcres
32 Units -1,426.08
0.00
ROYAL DUTCH PETE CO
$
2,986.90
03/13/2003 Sale of Royal Dutch Pete
70 Units -2,986.90
0.00
INFORMATION SCHEDULES Dage 54
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
Rockwell Au tomation Inc $ 0.00
12/11/2002 Purchase of 190 shs of Rockwell Automation
190 Units 3,791.85
02/18/2003 Purchase of 73 shs of Rockwell Automation
73 Units 1,650.03
03/13/2003 Sale of Rockwell Automation
73 Units -1,650.03
03/13/2003 Sale of Rockwell Automation
190 Units -3,791.85
$ 0.00
SAN PAOLO-IMI S P A $ 2,516.50
C3/13/2003 Sale of San Paolo
175 Units -2,516.50
0.00
SEMPRA ENER GY $ 4,751.90
02/07/2003 Sale of Sempra Energy
10 Units -231.80
C3/13/2003 Sale of Sempra Energy
195 Units -4,520.10
0.00
SIEMENS A G $ 4,396.95
03/13/2003 Sale of Siemens AG
90 Units -4,396.95
O.CO
SCCIETE GEN ERALS FRANCE $ 4,158.00
03/13/2003 Sale of Societe Gen
385 Units -4,158.00
0.00
INFORMATION SCHEDULES Paae 55
Estate of Joseph W Caveny J
For Period 12/04/2002 Through 07/21/2003
STORAGE TECHNOLOGY CORP $ 0.00
03/06/2003 Purchase of 77 shs of Storage Technology Corp
77 Units 1,744.19
03/13/2003 Sale of Storage Tech
77 Units -1,744.19
$ o.oo
SUPERVALU INC
$
5,534.28
12/10/20C2 Dividend -44.18
12/11/2002 Sale of 85 shs of Supervalu Inc
85 Units -1,505.35
03/li/2003 Sale of Supervalu
225 Units -3,984.75
0.00
SYMANTEC CCRP $ 3,861.90
01/13/2003 Purchase of 10 shs cf Symantec
10 Units 467.60
03/06/2003 Purchase cf 2 shs of Symantec Group
2 Units 85.04
03/13/20C3 Sale of Sysmantec Corp
12 Units -552.64
03/13/2003 Sale of Sysmantec Corp
90 Units -3,861.90
0.00
TESCO PLC
$
1, 946.41
01/29/2003 Dividend -15.74
03/13/2003 Sale of Tesco
205 Units -1,930.67
0.00
INFORMATION SCHEDULES Page 56
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2.003
TICKETMASTER $ 2,558.78
01/13/2003 Sale of Ticketmaster
109 Units -2,558.78
$ 0.00
TCTAL S A $ 2,961.68
03/13/2003 Sale of Total Fin
45 Units -2,961.68
0.00
UBS AG
$
4,416.75
03/13/2603 Sale of UBS AG
90 Units -4,416.75
0.00
L'NILEVER PLC
$
3,814.65
03/13/2003 Saie of Unilever
105 Units -3,814.65
0.00
Union Pacific Corp $ 0.00
12/11/2002 Purchase of 65 shs of Union Pacific Corp
65 Units 3,883.98
03/13/2003 Sale of Unior. Pacific
65 Units -3,883.98
O.OG
VARIAN MEDICAL SYSTEMS INC $ 0.00
01/13/2003 Purchase of 58 shs of Varian Medical Systems
58 Units 2,978.30
03/13/2003 Sale of Varian Medical S_vs
58 Units ~ -2,978.30
0.00
INFORMATION SCHEDULES Page 57
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
VODAFONE GROUP PLC $ 0.00
02/21/2003 Purchase of 110 shs of Vodafone Gr
110 Units 2,081.84
03/13/20C3 Sale of Vodafone
110 Units -2,081.84
$ 0.00
VULCAN MATLS CO $ 3,721.50
12/10/2062 Dividend -23.50
02/07/2003 Sale of Vulcan Matls
5 Units -184.90
03/11/2003 Sale of Vulcan Matls
95 Units -3,513.10
0.00
WACHCVIA COR P 2ND NEW $ 4,755.38
12/10/2002 Dividend -35.10
03/13/2003 Sale of Wachovia Corp
135 Ur.its -4,720.28
0.00
WEBMD CORPOR ATION $ 0.00
O1/13/2C03 Purchase of 176 shs of Webmd Corp
176 Units 1,692.24
C3/13/2003 Sale of Webmd Corp
176 Units -1,692.24
0.00
WESTWOOD ONE INC $ 1,915.95
02/i8/2003 Sale of 53 shs of Westwood Cne Inc
53 Units -1,915.95
0.00
INFORMATION SCHEDULES Page 58
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
WEYERHAEUSE R CO $ 5,143.95
02/07/2003 Sale of Weyerhaeuser
5 Units -244.95
03/13/2003 Sale of Weyerhaeuser
100 Unit s -4,899.00
$ 0.00
WILLIAMS SO NOMA INC $ 2,802.98
01/13/2003 Purchase of 25 shs of Williams Sonoma
25 Units 610.25
01/16/2003 Sale of 67 shs of Williams Sonoma
67 Units -1,788.57
03/13/2003 Sale of Williams Sonoma
38 Units -1,014.41
03/13/2603 Sale of Williams Sonoma
25 Units -610.25
0.00
m
'YE_H
$
4,133.80
02/07/2003 Sale of Wyeth
5 Units -187.90
03/13/X03 Sale of Wyeth
105 Unit s -3,945.90
0.00
AE Fixed Re tirement Annuity #495 $ 43,672.85
01/27/2003 Lump scum payout on Annuity #93004997495 -43,672.85
0.00
AE Fixed Re tirement Annuity #890 $ 69,025.78
01/27/2003 Lump sum payout on Annuity #93003116890 -69,025.78
0.00
INFORMATION SCHEDULES
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
AE Mode E Settlement #117 $ 40,173.17
12/06/2002 Transfer to AXP MM -552.82
01/17/2003 Lump sum payout on Annuity #93004131111 -39,620.35
AE Mode E Settlement #130 $ 48,749.77
01/17/2003 Lump sum payout on Annuity #93006267130 -48,749.77
Page 59
0.00
0.00
HCR-ManorCare Nursing Home $ 4,470.38
03/25/2003 Refund from Highmark Blue Shield -4,387.C0
03/27/2003 Refund from Highmark Blue Shield -59.13
05/01/2003 Refund from Highmark Blue Shield -24.25
0.00
Highmark PA Blue Shield $ 315.94
02/14/2003 Collection of refund from Highmark PA Blue
Shield
-315.94
0.00
U S Treasury - Refund $ 4,023.24
05/08/2003 Coleection fo refund from US Treasury 2001 -871.24
07/03/2003 Collection of US Treasury refund for 20C2 -1,288.00
1,864.00
RECEIPTS OF INCOME
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
Dividends
3M CO
03/12/2003 Dividend
ALCOA INC
02/25/2003 Dividend
P.LLIED IRISH BKS P L C
04/25/2003 Dividend
04/29/2003 Dividend
ALLSTATE CORD
04/G1/2003 Dividend
APACHE CORP
02/18/2003 Dividend
C4/04/2003 Saie of stock dividend of 1 shs on Apache
04/07/2003 Dividend re Apache / Kelcar
P_STRAZENECA PLC
04/15/20C3 Dividend of 52.22 less foreign tax of 5.22
AXP CASH MANAGEMENT.
05/27/2003 Dividend
05/27/2003 Reinvestment of AXP Cash Mgmt dividend
06/23/20C3 Dividend
06/24/2003 Reinvestment of AXP Cash Mgmt dividend
$ 23.10
26.25
78.4°,
0.64
79.?3
$ 26.45
3.40
60.82
42.33
106.55
$ 47.00
g.gc
17.64
26.52
61.67
114.82
Page 60
RECEIPTS OF INCOME
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
AXP GLOBAL SER INC
12/23/2002 Dividend
03/24/2003 Dividend
06/23/2003 Dividend
AXP HIGH YIELD BD FD
12/20/2002 Reinvested dividend
06/23/2003 Reinvestment of dividends from 1/1/03 to
6/23/03
AXP HIGH YIELD TAX EXEMPT FD
12/20/2002 Reinvested dividend
06/23/20C3 Reinvestment of dividends from 1/1/03 to
6/23/03
AXP SHCRT TERM U S GOVT FD
12/20/2002 Reinvested dividend
06/23/2003 Reinvestment of dividends from 1/1/03 to
6/23/03
American Express - Estate checking
07/21/2003 Dividends
American Express MONEY MKT SER INC
12/20/2002 Dividend
Ol/O1/20C3 Interest
62/21/2003 Dividend
03/12/2003 Dividend
$ 203.34
122.37
123.12
448.83
$ 276.77
2,362.24
2,639.01
$ 352.21
3,812.14
4, 164.35
$ 64.34
522.36
536.70
$ 0.59
3.54
4.57
42.73
32.79
83.63
Page 61
RECEIPTS OF INCOME
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
American Express SPS - 47192695
12/23/2002 Dividend $ 1.41
01/13/2003 Dividend adjustment 68.70
07/21/2003 Dividends 43.23
113.34
American Express WMS - 22572291
12/31/20C2 Dividend MM $ 2 7~
Oi/i3/2003 Dividend unknown 5 09
O1/16/2C03 Dividend 0 74
01/31/2003 Dividend 1.04
02/28/2003 Dividend 1.42
03/28/2003 Dividend 0.92
04/25%2003 Dividend 0 Oi
05/30/2003 Dividend 0.02
11.95
American Express WMS - 22597090
12/10/2002 Dividend $ 1.49
O1/13/2C03 Dividend unknown 194.26
01/13/2003 Various dividends ?74.08
02/28/2003 Dividend 0.47
C3/12/2003 Dividend 24.15
03/28/2003 Dividend 0.41
04/25/2003 Dividend 0.05
05/30/2003 Dividend 0.05
394.96
Page 62
RECEIPTS OF INCOME
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
American Express WMS - 23139835
12/31/2002 Dividend $ 2.55
01/13/2003 Dividend 27.01
01/29/2003 Dividend unknown 17.56
01/31/2003 Dividend 1.09
02/25/2003 Dividend 1.03
03/28/2003 Dividend 0.56
04/15/2003 Dividend unknown 10.67
04/25;2003 Dividend 0.01
05/3C/2003 Dividend 0 0~
60.52
BANK OF AMERICA CORPORATION
12/10/2002 Dividend $ 57.60
03/28/2003 Dividend 51.20
108.80
BARCLAYS PLC
04/29/2003 Dividend of 143.12 less foreign. tax of 14.31 $ 128.8'
BP PLC
12/11/20C2 Dividend 3.00
03/25/2003 Dividend of 31.25 less foreign tax of 3.12 31.25
34.25
CAL SHORT DUR INC
05/29/2003 Dividend $ 548.43
06/27/20C3 Dividend 439.58
988.01
Page 63
RECEIPTS OF INCOME
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
CHEVRONTEXACO CORP
03/10/2003 Dividend $ 54.60
CONAGRA FOODS INC
03/03/2003 Dividend 55.69
CONOCOPHILLIPS
03/03/2003 Dividend 42.00
DEVON ENERGY CORP
03/31/2003 Dividend 2 45
DIAGEO P L C
04/15/2003 Dividend of 54.44 less foreign tax of 5.44 49.Op
DOMINION RES INC VA NEW
03/20/2003 Dividend 61.28
FRANKLIN CUSTODIAN FDS INC
12/23/2002 Dividend 177.94
02/03/2003 Dividend 177.94
03/03/2003 Dividend 177 94
04/01/2003 Dividend 177.94
05/02/2003 Dividend 177.94
C6/03/2003 Dividend '77 94
07/02/2003 Dividend X77 94
1,245.58
GENERAL ELEC CO
04/25/2003 Dividend $ 22.80
GENERAL MTRS CORP
03/10/2003 Dividend 37.50
Page 64
RECEIPTS OF INCOME
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
GENUINE PARTS CO
04/01/2003 Dividend
GLAXOSMITHKLINE PLC
04/15/2003 Dividend of 44.19 less foreign tax of 4.42
GOODRICH CORP
04/01/2003 Dividend
HUDSON CITY BANCORP
03/03/2003 Dividend
JOHNSON CONTROLS INC
03/31/2003 Dividend
KELLOGG CO
03/14/2003 Dividend
MERCK & CO INC
04/01/2003 Dividend
MCODYS CORD
03/06/2003 Dividend
NORTH FORK BANCORFORATION NY
02/18/20C3 Dividend
NOVARTIS A G
03/28/2003 Dividend of 70.55 less foreigh tax of 10.58
PEPSICC iNC
03/28/2003 Dividend
Rockwell Automation Inc
C3/1C/2003 Dividend
$ 50.15
39.77
26. CO
25.41
10.80
35.35
32.40
2.97
20.25
59.97
9.00
31.35
Page 65
RECEIPTS OF INCOME
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
SIEMENS A G
02/04/2603 Dividend $ 96.70
04/15/2003 Dividend 5.91
102.61
STRONG GOVT SECS FD INC
12/23/2002 Dividend $ 1,143.67
02/03/2003 Dividend
69 ~5
03/03/2003 Dividend
90.32
04/01/2003 Dividend
93.61
04/25/2003 Dividend
101.08
05/29/2003 Dividend
106.28
07/01/2003 Dividend 93.04
1, 692.45
SUFERV.ALU INC
03/17/2003 Dividend $ 32.C6
Union Pacific Corp
04/01/2003 Dividend
14 95
VULCAN MATLS CO
63/03/2003 Dividend 23.28
WACHOVIA CORP 2ND NEW
03/17/2003 Dividend 35.1C
WEYERHAEUSER CO
03/03/2003 Dividend
42.00
WYETH
03/03/2003 Dividend 24.15
Page 66
RECEIPTS OF INCOME
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
Total Dividends
Gains Allocable to Income
APOLLO GROUP INC
01/16/2003 Sale of 39 shs of Apollo Group Inc
DEVON ENERGY CORP
03/13/2003 Sale of Devon Energy
Total Gains Allocable to Income
Interest
American Express - Estate checkina
Oi/31/2003 MM Interest
02/28/2003 MM Interest
03/28/2CC3 MM Interest
04/25/2003 MM Interest
05/15/2003 MM Interest
05/30/2003 MM Interest
06/27/2003 MM Interest
American Express SPS - 47192695
01/31/2003 MM Interest
02/28/2003 MM Interest
03/28/X03 MM Interest
04/25/2003 MM Interest
05/29/2003 MM Interest
06/27/X03 MM interest
$ 112.45
144.96
49.01
77.38
73.19
85.66
51.82
0.14
0.76
337.96
$ 0.11
0.16
72.59
169.35
90.82
0.06
333.09
Page 67
$ 14,067.97
257.41
RECEIPTS OF INCOME
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
PNC Bank - Money Market
01/07/2003 PNC Bank Money Market - collection of
interest income c 4.79
Y
Ol/i3/2003 Interest 0.15
4.94
PNC Bank - checking
01/07/2003 PNC Bank - interest collected for January $ g,gg
01/09/2003 PNC Bank - collection of interest income 0,29
10.17
Total Interest
Losses Allocable to income
AMERICAN PWR CONVERSION CORP
03/13/2003 Sale of 21 shs of American PWR Conv $ _10.51
COACH INC
01/16/2003 Sale of 19 shs of Coach Inc -27.10
GILEAD SCIENCES iNC
02/18;2003 Sale of Gilead Sci
-129.87
LINCOLN NATIONAL CORD
03/i3/2003 Sale of Lincoln National
_784 09
MERCURY INTERACTIVE CORP
03/13/2003 Sale of Mercury Interactive -154.59
QLOGIC CORP
03/13/20C3 Sale of Qlogic
-39.17
SYMANTEC CORP
03/i3/2003 Sale of Sysmantec Corp
-18.41
Page 68
S E66.16
RECEIPTS OF INCOME
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
VARIAN MEDICAL SYSTEMS INC
03/13/2003 Sale of Varian Medical Sys
WEBMD CORPORATION
03/13/2003 Sale cf Webmd Corp
WILLIAMS SONOMA INC
03/13/2003 Sale of Williams Senema
Total Losses Allocable to Income
Tax Exempt Interest
AE Fixed Retirement Annuity #495
01/27/2003 Lump sum payout on Annuity #93004997495
AE Fixed Retirement Annuity #890
01/27/2003 Lump sum payout on Annuity #93003116890
Total Tax Exempt Interest
TOTAL RECEIPTS OF INCOME
$ -118.41
Page 69
-0.94
-76.52
$ -1,359.61
317.08
509.40
326.48
$ 14,978.41
DISBURSEMENTS OF INCOME
Estate of Joseph W Caveny
For Period 12/04/2002 Through 07/21/2003
ther Taxes
12/11/2002 Foreign tax withheld of BP dividend
TOTAL DISBURSEMENTS OF INCOME
Page 70
S 3.00
$ 3.00
1N THE COURT OF COMMON PLEAS
OF
CUMBERLAND COUNTY, PENNSYLVANIA
IN RE: ESTATE OF ORPHANS' COURT DIVISION
JOSEPH W. CAVENY, DECEASED
No. 21-02-1113
RECEIPT FOR DISTRIBUTION AND RELEASE OF EXECUTOR
TO THE HONORABLE, THE JUDGES OF SAID COURT:
Becky Foreman Stoner, being beneficially interested in the above titled estate, hereby
acknowledges to have received from Dr. John G. Cober, Executor of the Estate of Joseph W.
Caveny, Deceased:
• The sum of $10,000.00
and requests Your Honorable Court to charge the same to her in the Decree of Distribution to be
entered in said Estate.
In consideration of this distribution being made prior to the filing and audit of a Final
Account, Becky Foreman Stoner hereby agrees to refund on demand, all or any part of this
distribution which may be determined to have been improperly made. She further acknowledges that
the distribution made is in full and complete payment of the entire distribution to which she is
entitled under the Will of Joseph W. Caveny, Deceased; that she by signing this document does
hereby release and forever discharge John G. Cober, Executor, from any and all liability which may
from time to time arise in connection with his service as Executor of the Estate of Joseph W.
Caveny; and does further agree to indemnify and hold harmless said John G. Cober, Executor, from
any and all liability which may arise against the estate from creditors or other claimants to the extent
of the distribution made to her.
This release and declaration shall be made part of the final, informal or formal settlement or
account of the estate proceedings and indexed and recorded as such, and it shall be binding upon
her respective personal representatives, heirs, successors and assigns, and governed by the laws of
the Commonwealth of Pennsylvania.
Dated this ~/~~' day of c~J/N'~ 2003.
WITNESS: BECKY FOREMAN STONER
By: B
1N THE COURT OF COMMON PLEAS
OF
CUMBERLAND COUNTY, PENNSYLVANIA
IN RE: ESTATE OF ORPHANS' COURT DIVISION
JOSEPH W. CAVENY, DECEASED
No. 21-02-1113
RECEIPT FOR DISTRIBUTION AND RELEASE OF EXECUTOR
TO THE HONORABLE, THE JUDGES OF SAID COURT:
Dorothy Bollinger Ziegler, being beneficially interested in the above titled estate, hereby
acknowledges to have received from Dr. John G. Cober, Executor of the Estate of Joseph W.
Caveny, Deceased:
• The sum of $10,000.00
and requests Your Honorable Court to charge the same to her in the Decree of Distribution to be
entered in said Estate.
In consideration of this distribution being made prior to the filing and audit of a Final
Account, Dorothy Bollinger Ziegler hereby agrees to refund on demand, all or any part of this
distribution which maybe determined to have been improperly made. She further acknowledges that
the distribution made is in full and complete payment of the entire distribution to which she is
entitled under the Will of Joseph W. Caveny, Deceased; that she by signing this document does
hereby release and forever discharge John G. Cober, Executor, from any and all liability which may
from time to time arise in connection with his service as Executor of the Estate of Joseph W.
Caveny; and does further agree to indemnify and hold harmless said John G. Cober, Executor, from
any and all liability which may arise against the estate from creditors or other claimants to the extent
of the distribution made to her.
This release and declaration shall be made part of the final, informal or formal settlement or
account of the estate proceedings and indexed and recorded as such, and it shall be binding upon
her respective personal representatives, heirs, successors and assigns, and governed by the laws of
the Commonwealth of Pennsylvania.
Dated this i 3'~ day of nl(,~-t~,~,.L- , 2003.
wt
By:
DOROTHY BOLLINGER ZIEGLER
By: t-~.
IN THE COURT OF COMMON PLEAS
OF
CUMBERLAND COUNTY, PENNSYLVANIA
1N RE: ESTATE OF ORPHANS' COURT DIVISION
JOSEPH W. CAVENY, DECEASED
No. 21-02-1113
RECEIPT FOR DISTRIBUTION AND RELEASE OF EXECUTOR
TO THE HONORABLE, THE JUDGES OF SAID COURT:
Kathleen Stoner Milans, being beneficially interested in the above titled estate, hereby
acknowledges to have received from Dr. John G. Cober, Executor of the Estate of Joseph W.
Caveny, Deceased:
• The sum of $10,000.00
and requests Your Honorable Court to charge the same to her in the Decree of Distribution to be
entered in said Estate.
In consideration of this distribution being made prior to the filing and audit of a Final
Account, Kathleen Stoner Milans hereby agrees to refund on demand, all or any part of this
distribution which maybe determined to have been improperly made. She further acknowledges that
the distribution made is in full and complete payment of the entire distribution to which she is
entitled under the Will of Joseph W. Caveny, Deceased; that she by signing this document does
hereby release and forever discharge John G. Cober, Executor, from any and all liability which may
from time to time arise in connection with his service as Executor of the Estate of Joseph W.
Caveny; and does further agree to indemnify and hold harmless said John G. Cober, Executor, from
any and all liability which may arise against the estate from creditors or other claimants to the extent
of the distribution made to her.
This release and declaration shall be made part of the final, informal or formal settlement or
account of the estate proceedings and indexed and recorded as such, and it shall be binding upon
her respective personal representatives, heirs. successors and assigns, and governed by the laws of
the Commonwealth of Pennsylvania.
Dated this o2 ?r ~ day of ~,~~, , ;. , a ,~ ~ 2003.
WITNESS:
~ /
By. J,
KATHLEEN STONER MILANS
By: --~ .~
-~'-~.,~
1N THE COURT OF COMMON PLEAS
OF
CUMBERLAND COUNTY, PENNSYLVANIA
IN RE: ESTATE OF ORPHANS' COURT DIVISION
JOSEPH W. CAVENY, DECEASED
No. 21-02-1113
RECEIPT FOR DISTRIBUTION AND RELEASE OF EXECUTOR
TO THE HONORABLE, THE JUDGES OF SAID COURT:
Suzanne Caveny Hunter, being beneficially interested in the above titled estate, hereby
acknowledges to have received from Dr. John G. Cober, Executor of the Estate of Joseph W.
Caveny, Deceased:
• The sum of $10,000.00
and requests Your Honorable Court to charge the same to her in the Decree of Distribution to be
entered in said Estate.
In consideration of this distribution being made prior to the filing and audit of a Final
Account, Suzanne Caveny Hunter hereby agrees to refund on demand, all or any part of this
distribution which may be determined to have been improperly made. She further acknowledges that
the distribution made is in full and complete payment of the entire distribution to which she is
entitled under the Will of Joseph W. Caveny, Deceased; that she by signing this document does
hereby release and forever discharge John G. Cober, Executor, from any and all liability which may
from time to time arise in connection with his service as Executor of the Estate of Joseph W.
Caveny; and does further agree to indemnify and hold harmless said John G. Cober, Executor, from
any and all liability which may arise against the estate from creditors or other claimants to the extent
of the distribution made to her.
This release and declaration shall be made part of the final, informal or formal settlement or
account of the estate proceedings and indexed and recorded as such, and it shall be binding upon
her respective personal representatives, heirs, successors and assigns, and governed by the laws of
the Commonwealth of Pennsylvania.
~~
Dated this day of I - 2003.
WITNESS• ~ SUZANNE CAVEN~ HUNTER
- ~ ~ C~~ ~ ~
By: ~~. ,-~ Bye ~',: ~
~~~1PRYP~~~~ Vonna L. BalkoVfc
. o.: ^^...BG.
r ~~ COIT1II11SS10II ~ DD 059670
.~: ~Q= E fires Oct 28, 2D05
'9r'••....r'Q: ~ Bonded ~r-vu
,,~~~ii~N~~ Eltlantic Bonding Ca, IS1G
1N THE COURT OF COMMON PLEAS
OF
CUMBERLAND COUNTY, PENNSYLVANIA
iN RE: ESTATE OF ORPHANS' COURT DIVISION
JOSEPH W. CAVENY, DECEASED
No. 21-02-1113
RECEIPT FOR DISTRIBUTION AND RELEASE OF EXECUTOR
TO THE HONORABLE, THE JUDGES OF SAID COURT:
Shirley Soyster Wheeler, being beneficially interested in the above titled estate, hereby
acknowledges to have received from Dr. John G. Cober, Executor of the Estate of Joseph W.
Caveny, Deceased:
• The sum of $10,000.00
and requests Your Honorable Court to charge the same to her in the Decree of Distribution to be
entered in said Estate.
In consideration of this distribution being made prior to the filing and audit of a Final
Account, Shirley Soyster Wheeler hereby agrees to refund on demand, all or any part of this
distribution which may be determined to have been improperly made. She further acknowledges that
the distribution made is in full and complete payment of the entire distribution to which she is
entitled under the Will of Joseph W. Caveny, Deceased; that she by signing this document does
hereby release and forever discharge John G. Cober, Executor, from any and all liability which may
from time to time arise in connection with his service as Executor of the Estate of Joseph W.
Caveny; and does further agree to indemnify and hold harmless said John G. Cober, Executor, from
any and all liability which may arise against the estate from creditors or other claimants to the extent
of the distribution made to her.
This release and declaration shall be made part of the final, informal or formal settlement or
account of the estate proceedings and indexed and recorded as such, and it shall be binding upon
her respective personal representatives, heirs, successors and assigns, and governed by the laws of
the Commonwealth of Pennsylvania.
Dated this .~ ~` day of _ i/~~i~c ~ , 2003.
WITNESS:
SHIRLEY SOYSTER WHEELER
.„
,~ -_
~.
By: ~ l < . C ~.~~. ~~ r B .
1N THE COURT OF COMMON PLEAS
OF
CUMBERLAND COUNTY, PENNSYLVANIA
IN RE: ESTATE OF ORPHANS' COURT DIVISION
JOSEPH W. CAVENY, DECEASED
No. 21-02-1113
RECEIPT FOR DISTRIBUTION AND RELEASE OF EXECUTOR
TO THE HONORABLE, THE JUDGES OF SAID COURT:
Patty Soyster Hommel, being beneficially interested in the above titled estate, hereby
acknowledges to have received from Dr. John G. Cober, Executor of the Estate of Joseph W.
Caveny, Deceased:
• The sum of $10,000.00
and requests Your Honorable Court to charge the same to her in the Decree of Distribution to be
entered in said Estate.
In consideration of this distribution being made prior to the filing and audit of a Final
Account, Patty Soyster Hommel hereby agrees to refund on demand, all or any part of this
distribution which maybe determined to have been improperly made. She further acknowledges that
the distribution made is in full and complete payment of the entire distribution to which she is
entitled under the Will of Joseph W. Caveny, Deceased; that she by signing this document does
hereby release and forever discharge John G. Cober, Executor, from any and all liability which may
from time to time arise in connection with his service as Executor of the Estate of Joseph W.
Caveny; and does further agree to indemnify and hold harmless said John G. Cober, Executor, from
any and all liability which may arise against the estate from creditors or other claimants to the extent
of the distribution made to her.
This release and declaration shall be made part of the final, informal or formal settlement or
account of the estate proceedings and indexed and recorded as such, and it shall be binding upon
her respective personal representatives, heirs, successors and assigns, and governed by the laws of
the Commonwealth of Pennsylvania.
Dated this day of ~~~. , 2003.
WITNESS: PATTY SOYSTER HOMMEL
-,
,,
By' ~ By: ~ - ~ ,,~
IN THE COURT OF COMMON PLEAS
OF
CUMBERLAND COUNTY, PENNSYLVANIA
IN RE: ESTATE OF ORPHANS' COURT DIVISION
JOSEPH W. CAVENY, DECEASED :
No. 21-02-1113
RECEIPT FOR DISTRIBUTION AND RELEASE OF EXECUTOR
TO THE HONORABLE, THE JUDGES OF SAID COURT:
West Shore Lodge No. 681, F.&A.M. of Camp Hill, Pennsylvania, being beneficially
interested in the above titled estate, hereby acknowledges to have received from Dr. John G. Cober,
Executor of the Estate of'Joseph W. Caveny, Deceased:
• The sum of $10,000.00
and requests Your Honorable Court to charge the same to it in the Decree of Distribution to be
entered in said Estate.
In consideration of this distribution being made prior to the filing and audit of a Final
Account,West Shore Lodge No. 681, F.&A.M. hereby agrees to refund on demand, all or any part
of this distribution which maybe determined to have been improperly made. It further acknowledges
that the distribution made is in full and complete payment of the entire distribution to which it is
entitled under the Will of Joseph W. Caveny, Deceased; that it by signing this document does hereby
release and forever discharge John G. Cober, Executor, from any and all liability which may from
time to time arise in connection with his service as Executor of the Estate of Joseph W. Caveny; and
does further agree to indemnify and hold harmless said John G. Cober, Executor, from any and all
liability which may arise against the estate from creditors or other claimants to the extent of the
distribution made to it.
This release and declaration shall be made part of the fmal, informal or formal settlement or
account of the estate proceedings and indexed and recorded as such, and it shall be binding upon
its respective successors and assigns, and governed by the laws of the Commonwealth of
Pennsylvania.
Dated this ~" day of February, 2003.
ATTEST: WEST SHORE LODGE NO. 681, F.&A.M.
By: By.
Secreta Worship Master
IN THE COURT OF COMMON PLEAS
OF
CUMBERLAND COUNTY, PENNSYLVANIA
IN RE: ESTATE OF ORPHANS' COURT DIVISION
JOSEPH W. CAVENY, DECEASED
No. 21-02-1113
RECEIPT FOR DISTRIBUTION AND RELEASE OF EXECUTOR
TO THE HONORABLE, THE JUDGES OF SAID COURT:
Masonic Homes of the R.W. Grand Lodge F. & A.M. of Pennsylvania, One Masonic Drive,
Elizabethtown, PA 17022-2199, being beneficially interested in the above titled estate, hereby
acknowledges to have received from Dr. John G. Cober, Executor of the Estate of Joseph W.
Caveny, Deceased:
• The sum of $10,000.00
and requests Your Honorable Court to charge the same to it in the Decree of Distribution to be
entered in said Estate.
In consideration of this distribution being made prior to the filing and audit of a Final
Account, Masonic Homes of the R.W. Grand Lodge F. & A.M. of Pennsylvania hereby agrees to
refund on demand, all or any part of this distribution which may be determined to have been
improperly made. It further acknowledges that the distribution made is in full and complete payment
of the entire distribution to which it is entitled under the Will of Joseph W. Caveny, Deceased; that
it by signing this document does hereby release and forever discharge John G. Cober, Executor, from
any and all liability which may from time to time arise in connection with his service as Executor
of the Estate of Joseph W. Caveny; and does further agree to indemnify and hold harmless said John
G. Cober, Executor, from any and all liability which may arise against the estate from creditors or
other claimants to the extent of the distribution made to it.
This release and declaration shall be made part of the final, informal or formal settlement or
account of the estate proceedings and indexed and recorded as such, and it shall be binding upon
its respective successors and assigns, and governed by the laws of the Commonwealth of
Pennsylvania.
Dated this ~~ day of 2003.
ATTEST:
By:
MASONIC HOMES OF THE R.W. GRAND
LODGE F. & A.M. OF PENNSYLVANIA
By:
S. BERME SMITH
Attorney-at-Law
107 N. 24`" Street
Camp Hill, PA 17011-3602
PHONE: (717) 737-6789
FAX: (717) 737-6783
In re: Joseph W. Caveny; DOD December 4, 2002; SS# 159-16-0733
PA File No. 21-02-1113; File 2002-01113
My File: 2005
Mr. Mark Pacella, Chief
Charitable Trust Division
Office of the Attorney General
1400 Strawberry Square
Harrisburg, PA 17120
Dear Mr. Pacella,
CERTIFIED MAIL, RRR
January 2, 2003
I am counsel for Dr. John G. Cober, the Executor of the Estate of Joseph W. Caveny,
deceased. Pursuant to the provisions of the PEF Code, I am notifying your office that Mr. Caveny
has made charitable bequests in his Will which we expect will substantially exceed $25,000.00. The
primary charitable beneficiary is Camp Hill Presbyterian Church, 101 N. 23rd Street, Camp Hill, PA
17011. The church has been given the required notice of the Estate, and it is the residuary
beneficiary of the Will. There are also smaller charitable bequests. A copy of the Will is enclosed.
Please advise me what additional steps your office may require with respect to winding up
the Estate of Mr. Caveny. It is expected that all specific charitable bequests will be paid in full, as
well as all specific bequests to individuals. All beneficiaries have been notified. The residue under
the Will is expected to exceed half a million dollars.
In addition to the residuary bequest under the Will, the Church is the sole charitable
beneficiary of The Joseph W. Caveny Charitable Trust, a CRT which Mr. Caveny established in the
mid 1990's for the benefit of the Church. We are in the process of winding up that trust. John Cober
is the trustee of the trust. It is our best estimate that the trust will have a charitable residue of
somewhere in the neighborhood of $300.000.00. Do you need a copy of the Trust Agreement?
I look forward to hearing from you with respect to any additional steps we must take. Thank
you for your attention to this matter.
Sincerely yours,
S. Berne Smith
Enclosure:
Cc: Dr. John G. Cober, Executor and Trustee
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COMMONWEALTH OF PENNSYLVANIA
OFFICE OF ATTORNEY GENERAL
MIKE FISHER January 14, 2003
ATTORNEY GENERAL
Charitable Trusts and
Organizations Section
14th Flr., Strawberry Sq.
Harrisburg, PA 17120
Telephone: (717) 783-2853
Facsimile: (717) 787-1190
S. Berne Smith, Esquire
107 N. 24~h Street
Camp H i I I, PA 1 701 1-3602
Re: Estate of loseph W Caveny /File No 2002-01 1 1 3
Dear Mr. Smith:
This office is in receipt of your January 2, 2003 letter in the above-captioned estate.
Once the Account has been prepared, please forward a copy of the Account to my
attention.
Please note, if a formal audit will be held with the Orphans' Court, this office must
receive a copy of the Account and notice of the audit date 15 days prior to the audit in
order that a review can be conducted. Should the estate be settled on a receipt and release
basis, please be advised that we still will need to review the accounting. Please provide
me with a copy of the Joseph W. Caveny Charitable Trust.
Very truly yours,
John L. Downing
Deputy Attorney General
J LD/srh
S. BERME SMITH
Attorney-at-Law
107 N. 24"' Street
Camp Hill, PA 1.7011-3602
PHONE: (717) 737-6789
FAX: (717) 737-6783
In re: Joseph W. Caveny; DOD December 4, 2002; SS# 159-16-0733
PA File No. 21-02-1113; File 2002-01113
My File: 2005
John L. Downing, Deputy Attorney General
Charitable Trusts and Organizations Section
Office of the Attorney General
1400 Strawberry Square
Harrisburg, PA 17120
Dear Mr. Downing,
March 17, 2003
Thank you for your letter of January 14, 2003, with reference to the Estate of Joseph W.
Caveny, File No. 2002-01113. You requested that we provide you with a copy of the Joseph W.
Caveny Charitable Remainder Trust. We are happy to enclose it for your file, along with a copy of
the Amendment to the Trust. The original trust was set up December 27, 1995. The Amendment
was made February 12, 1996. We would have responded sooner, but it took longer to get a copy of
the amendment than we had expected.
In the original trust, Camp Hill Presbyterian Church was the named charitable beneficiary.
The Amendment names the Church's Endowment Fund as the charitable beneficiary. The
Endowment Fund was established in the 1970s to receive bequests on behalf of the church. If you
have any questions, please do not hesitate to contact me.
Once the account is prepared, a copy will be forwarded to you. It is not clear yet if formal
audit will be sought, our present thought being to settle the estate on a receipt and release basis.
Nonetheless, we will of course provide you with a copy of the proposed accounting. All of the
specific bequests have been made. We are waiting for the statute of limitations to run, which will
not occur until the beginning of 2004 before the estate is finally closed.
Thank you for your interest.
in~cerely yours, /~
S. Berne Smith
Enclosure:
Cc: Dr. John G. Cober, Executor and Trustee
Mr. John A. Benkovich
IN THE COURT OF COMMON PLEAS
OF
CUMBERLAND COUNTY, PENNSYLVANIA
IN RE: ESTATE OF ORPHANS' COURT DIVISION
JOSEPH W. CAVENY, DECEASED
No. 21-02-1113
RECEIPT FOR DISTRIBUTIONS AND RELEASE OF EXECUTOR
TO THE HONORABLE, THE JUDGES OF SAID COURT:
Casnp Hill Presbyterian Church, being beneficially interested in the above titled estate, hereby
acknowledges to have received from Dr. John G. Cober, Executor of the Estate of Joseph W.
Caveny, Deceased, and as Trustee of the Joseph W. Caveny Charitable Remainder Trust the
following interim distributions:
1. Date:4/1/03 CRT $ 275,212.92
2. Date: ?/27/03 CRT $ 216.03
3. Date: 10/21/03 Will $ 411,698.93
4. Date:ll/19/03 Will $ 521,897.06
and requests Your Honorable Court to charge the same to it in the Decree of Distribution to be
entered in said Estate.
In consideration of this distribution being made prior to the filing and audit of a Final
Account, Camp Hill Presbyterian Church hereby agrees to refund on demand, all or any part of this
distribution which may be determined to have been improperly made. It further acknowledges that
the distribution made is in full payment to which it is entitled under the Trust of Joseph W. Caveny
and in partial payment of the distribution to which it is entitled under the Will of Joseph W. Caveny,
Deceased; that it by signing this document does hereby release and forever discharge John G. Cober,
Executor, from any and all liability which may from time to time arise in connection with his service
as Trustee and Executor of the Estate of Joseph W. Caveny; and does further agree to indemnify and
hold harmless said John G. Cober, Executor, from any and all liability which may arise against the
estate from creditors or other claimants to the extent of the distribution made to it.
This release and declaration shall be made part of the final, informal or formal settlement or
account of the estate proceedings and indexed and recorded as such, and it shall be binding upon
its respective successors and assigns, and governed by the laws of the Commonwealth of
Pennsylvania.
L)ated this ~~ day of December, 2003.
ATTEST' CAMP HILL PRESBYTERIAN CHURCH
~._-
By' ~ ~ B
Rog~G. Hummel, Clerk of Session Y~
E. Thomas Kuhn, Treasurer
,~
./G f~
STATUS REPORT UNDER RULE 6.12
Name of Decedent: JOSEPH W. CAVENY
Date of Death: December 4, 2002
Will No. 2002-01113
Admin. No. 21-02-01113
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following
with respect to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete: Yes X No
2. If the answer is No, state when the personal representative reasonably believes that
the administration will be complete: Not applicable.
3. If the answer to No. 1 is Yes, state the following:
A. Did the personal representative file a final account with the Court?
Yes _X No
B. The separate Orphans' Court No. (if any) for the personal representative's
account is: There was no separate number.
C. Did the personal representative state an account informally to the parties in
interest? Yes No X
D. Copies of receipts, releases, joinders and approvals of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be attacked to this report.
Date: March 9, 2004
' ~I
t
_ ._.J ~ ~ /r '/
` ~ - Signature
S. Berne Smith Esq
~-- Name (Please type or print)
_.
`~ Address: 107 N. 24th Street
-~ o ~ 1 Camp Hill, PA 17011-3602
w ~ ~ t.>
Telephone No. 717-737-6789
Capacity: Personal Representative
_X_Counsel for personal representative
S. BERME SMITH
Attorney-at-Law
107 N. 24"' Street
Camp Hill, PA 17011-3602
PHONE: (717) 737-6789
FAX: (717) 737-6783
March 9, 2004
In re: Joseph W. Caveny; DOD December 4, 2002; SS# 159-16-0733
PA File No. 21-02-1113; File 2002-01113
My File: 2005
Ms. Glenda Farner Strasbaugh
Register of Wills
1 Courthouse Square
Carlisle, PA 17013-3387
Dear Ms. Strasbaugh:
Now that the final, formal account in the above case has been approved by the Court, we are
closing the Estate. Enclosed is the final Status Report Under Rule 6.12 to close out your file.
I have appreciated the fine help of all of your staff in settling this Estate. Thank you for all
of your assistance.
Sincerely yours,
S. Berne Smith
Enclosure:
cc: Dr. Jodi G. Cober, Executor
-.~ _. ,
.--
--
,
/ '~'
COMMONWEALTH OF PENNSYLVANIA
BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE
INHERITANCE TAX OIVISIUN
DEPT. 280601
HARRISBURG, PA I7IZS-obol NOTICE OF DETERMINATION AND
ASSESSMENT OF PENNSYLVANIA
ESTATE TAX BASED ON FEDERAL
CLOSING LETTER REV-736 ER AFP col-oz~
~~_ DATE 04-19-2004
ESTATE OF CAVENY JOSEPH W
DATE OF DEATH 12-04-2002
FILE NUMBER 21 02-1113
`9;_ ~~ ~~ COUNTY
~ CUMBERLAND
JOHN G COBER ACN 202
WAGGONER ETAL
Aeount Remitted
310 SOMERSET DR
SHIREMANSTOWN PA 1T911
,,
MAKE CHECK PAY ABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, subait the upper portion of this fora with your tax payeent.
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR FILES ~
----------------------------------------------------------------------------------------------------------------
REV-736 EX AFP (01-02) ~* NOTICE OF DETERMINATION AND ASSESSMENT
OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER ~~
ESTATE OF CAVENY JOSEPH W FILE N0.21 02-1113 ACN 202 DATE 04-19-2004
ESTATE TAX DETERMINATION
1. Credit For State Death Taxes as Verified
2. Pennsylvania Inheritance Tax Assessed 10,078.95
(Excluding Discount and/or Interest)
3. Inheritance Tax Assessed by Other States .00
or Territories of the United States
(Excluding Discount and/or Interest)
4. Total Inheritance Tax Assessed
5. Pennsylvania Estate Tax Due
6. Amount of Pennsylvania Estate Tax Previously Assessed
Based on Federal Estate Tax Return
7. Additional Pennsylvania Estate Tax Due
TAX CREDITS:
10,078.95
.00
00
.00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
*IF PAID AFTER THIS DATE, SEE REVERSE SIDE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
(IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED
IF TOTAL DUE IS REFLECTED AS A ''CREDIT" (CR), YOU MAY BE
DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.),,, ,.
.00
S. BERME SMITH
Attorney-at-Law
107 N. 24"' Street
Camp Hill, PA 17011-3602
PHONE: (717) 737-6789
FAX: (717) 737-6783
~ l- oa-- lll3
In re: Joseph W. Caveny; DOD December 4, 2002; SS# 159-16-0733
PA File:
File: 2005
Register of Wills
Courthouse
1 Courthouse Square
Carlisle, PA 17013-3387
Dear Register:
December 9, 2002
Accompanying this letter is a Petition for Probate and Grant of Letters Testamentary in the
Estate of Joseph W. Caveny, who died testate December 4, 2002. Submitted with the petition are
the following:
1. The original and one copy of the Will of Joseph W. Caveny.
2. The Estate Information Sheet for the PA Department of Revenue.
3. Death Certificate for Joseph W. Caveny.
The Will is aself-proving Will.
We believe that this covers everything that is required. We ask that we be provided with
fifteen (15) short certificates. Please send them and the actual letters testamentary to the undersigned
when they are prepared. Because we will be hand delivering all of the above materials to you, we
will be prepared to pay the fees by check at that time.
Thank you for your attention to this matter. If anything further is required, please advise.
Sincerely yours,
S. Berne Smith
Enclosures:
cc: Dr. John G. Cober, Executor
COMMONWEALTH OF PENNSYLVANIA
BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION NOTICE OF DETERMINATION AND
DEPT. 280681
HARRISBURG, PA 17128-0601
ASSESSMENT OF PENNSYLVANIA
ESTATE TAX BASED ON FEDERAL
ESTATE TAX RETURN REV-483 ER ~FP <81-83)
DATE 09-29-2003
ESTATE OF CAVENY JOSEPH W
DATE OF DEATH 12-04-2002
FILE NUMBER 21 02-1113
- ~ W`-- COUNTY CUMBERLAND
JOHN G COBER ACN 201
WAGGONER ETAL Amount Remitted
310 SOMERSET DR
SHIREMANSTOWN PA 17011
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR FILES ~
-------------------------------------------------------------------
------------- ------
REV-483 EX AFP (01-031 ------------------
~* NOTICE OF DETERMINATION AND ASSESSMENT
OF PENN SYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN **
ESTATE OF CAVENY JOSEPH W FILE N0.21 02-1113 ACN 201 DATE 09-29-2003
ESTATE TAX DETERMINATION
1. Credit For State Death Taxes as Verified
2. Pennsylvania Inheritance Tax Assessed
(Excluding Discount and/or Interest)
3. Inheritance Tax Assessed by Other States
or Territories of the United States
(Excluding Discount and/or Interest)
4. Total Inheritance Tax Assessed
5. Pennsylvania Estate Tax Due
TAX CREDITS:
.00
10,078.95
.00
10,078.95
.00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
*IF PAID AFTER THIS DATE, SEE REVERSE SIDE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
(IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE
DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
BUREAU OF ZNDZVZDUAL TAXES
TNHERTTANCE TAX DI'VTS]'ON
DEPT. Z80601
HARRISBURG, PA 171Z8-0601
JOHN G COBER
NAGGONER ETAL
310 SOHERSET DR
SHIREHANSTONN
CONNONNEALTH OF PENNSYLVANIA
DEPARTNENT OF REVENUE
NOTICE OF DETERHZNATZON AND
ASSESSNENT OF PENNSYLVANIA
ESTATE TAX BASED ON FEDERAL
CLOSING LETTER
'04 APR 20 i~i1:34
DATE 04-19-Z004
ESTATE OF CAVENY
DATE OF DEATH 12-04-Z00Z
FILE NUNBER Z1 02-1113
COUNTY CUHBERLAND
ACN Z0Z
Amount Remi~ed
REV-7$; EX AFP (01-02)
JOSEPH N
HAKE CHECK PAYABLE AND REHZT PAYHENT TO:
REGISTER OF WILLS
CUNBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credi~ to your account, subm/~c '[:he upper portion of this fore wi*h your ~:ex payment.
CUT ALONG TH'rS LINE ~ RETA'rN LONER PORTION FOR YOUR F'rLES *-~
REV-736 EX AFP (01-02) #~ NOTICE OF DETERNZNATZON AND ASSESSHENT
OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER s~
ESTATE OF CAVEHY JOSEPH N FZLE N0.21 02-1113 ACN 202 DATE 04-19-2004
ESTATE TAX DETERHZNATZON
1. Credit For State Death Taxes as Verified .00
2. Pennsylvania Inheritance Tax Assessed
(ExcZuding Discount and/or Interest)
3. Inheritance Tax Assessed by Other States
or Territories of the United States
(Excluding Discount and/or Interest)
Total Inheritance Tax Assessed
5. Pennsylvania Estate Tax Due
6. Amount of Pennsylvania Estate Tax Previously Assessed
Based on Federa! Estate Tax Return .00
7. Additional Pennsylvania Estate Tax Due .00
TAX CREDITS:
10,078.95
.00
10z078.95
.00
PAYHENT RECEIPT DISCOUNT (+)
DATE NUHBER INTEREST/PEN PAID (-) AHOUNT PAID
~ZF PAZD AFTER THIS DATE, SEE REVERSE SIDE
FOR CALCULATION OF ADD/TZONAL INTEREST.
TOTAL TAX CREDZT] .00
BALANCE OF TAX DUEl .00
INTEREST AND PEN. .00
TOTAL DUE .00
(IF TOTAL DUE TS LESS THAN $1, NO PAYHENT TS REQUIRED
TF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE
DUE A REFUND. SEE REVERSE STDE OF THTS FORN FOR INSTRUCTIONS.) ~ ~