HomeMy WebLinkAbout04-15-15 1505618627 310464710.000
pennsylvania
MPAWWWOF REVENUE FX(03-14)(TP) OFFICIAL USE ONLY
REV-1 500 County Code Year File Number
Bureau of Individual Taxes
PO BOX 280601 INHERITANCE TAX RETURN 21 14 0751
Harrisburg,PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
07182014 02011931
Decedent's Last Name Suffix Decedent's First Name MI
KAUFMAN-SCHILLE ELAINE i
(if Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouses First Name MI
SCHILLER LEE M
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
,F—vl 1. Original Return ❑ 2. Supplemental Returnn 3. Remainder Return(date of death El
F—] prior to 12-13-82)
4.Agriculture Exemption(date of ED 5. Future Interest Compromise(date of 6. Federal Estate Tax Return Required
death on or after 7-1-2012) death after 12-12-82)
FRI 7.Decedent Died Testate F-1 8. Decedent Maintained a Living Trust 9. Total Number of Safe Deposit Boxes
(Attach copy of will.) (Attach copy of trust.)
❑ 10.Litigation Proceeds Received El 11. Non-Probate Transferee Return F—] 12. Deferral/Election of Spousal Trusts
(Schedule F and G Assets Only)
E] 13.Business Assets El 14.Spouse is Sole Beneficiary
(No trust involved)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
BRIDGET M- WHITLEYi ESQ 717-233-1000
First Line of Address
SKARLATOSZONARICH LLC
Second Line of Address
17 S - 2ND ST- i 6TH FL
City or Post Office State ZIP Code
HARRISBURG PA 17101
Correspondent's email address: BMW@S KAR LATO S ZONARI CH-C OM
REGISTV�*WILLS USE&NVY ril
REGISTER OF WILLS USE ONLY
p
DATE FILED MMDDYYYY
C-)
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DATE,f ILr;D MP
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PLEASE USE ORIGINAL FORM ONLY
Side 1
1111111111 IN IN
1505618627 1505618627
i
I
1505618635
REV-1600 EX(TP) Decedent's Social Security Number
Decedents Name:KAUFMAN-SCHI LLE ELAINE J
RECAPITULATION
1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 0.00
2. Stocks and Bonds(Schedule B). . . . . . . . . . . . . . . . . . . . . . . . . 2. 43-1996-00
3. Closely field Corporation.Partnership or Sole-Proprietorship(Schedule C). , , , , 3, (1-00
4. Mortgages and Notes Receivable(Schedule D). . . . . . . . . . . . . . . 4. mo
0 0
5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E), , , , , , 5. 2-,213-00
6. Jointly Owned Property(Schedule F) F-1 Separate Billing Requested. . . . . 6. 0.00
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) F__J Separate Billing Requested. . . . . 7. 6 2 5,4 71.0 0
8. Total Gross Assets(total Lines 1 through 7) . , , , , , , , 8. 6 71,6 8 0.0 0
9. Funeral Expenses and Administrative Costs(Schedule H). . . . . . . . . . . . . 9. 30,813-00
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1). . . . . , . , , , 10, 2,816-00
11. Total Deductions(total Lines 9 and 10). . . . . . . . . . . . . . . . . . . . . 11. 331629-00
12. Net Value of Estate(Line 8 minus Line 11) , , , , , , , , , , , , , , , , , , , 12. 638-l051-00
13. Charitable and Governmental Bequests/Sec.9113 Trusts for which
an election to tax has not been made(Schedule J), , , , , , , , , , , , , , , , 13. 0.011
14. Net Value Subject to Tax(Line 12 minus Line 13), , , , , , , , , , , , , , , , 14. 638-,051.00
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers urger Sec.9116
(a)(1.2)X.0L (1-011 15. 0.011
16. Amount of Line��xable
at lineal rate X. 6381052.00 16. 28,712.00
17. Amount of Line 14 taxable
at sibling rate X.12 11-00 17. 0.110
18. Amount of Line 14 taxable
at collateral rate X.15 0.00 18. 0.0 0
19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 28-,712.00
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief,
it is true,correct and complete. Declaration of preparer other than the person responsible for filling the return is based on all information of which preparer has
any knowledge.
SIGNAWR OF P i ON RESPONSIBLE FOR FILING RETURN DATTC
ADDRESS
DAVID H- KAUFMAN - 110 SHIRE LANE SCHWENKSVILLE, PA 19473
SIG TUBE OF PREPARER O ER PERSON RESPONSIBLE FOR FILING THE RETURN DATE
DRESS
BRIDGET M- WHITL
EY, ESQ- - 17 S 2ND ST- , 6TH FL- , HARRISBURG, PA 17101
Side Z
1505618635
3M464810.000
REV-1500 EX(TP) Page 3 File Number
Decedent's Complete Address: 21 14 0?51
DECEDENTS NAME
KAUFMAN-SIHILLER ELAINE
STREETADDRESS
965 GRANDON WAY
CUMBERLAND
CITY STATE ZIP
ECHANICSBURGPA 1?050
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 28,712.00
2. CreditstPayments
A.Prior Payments 21A00 -00
B.Discount 1,ju0.0 0
(See instructions.) Total Credits(A+B) (2) 221050-00
3. Interest
(3) 0 .00
4. If Line 2 is greater than Line I+Line 3,enter the difference.This is the OVERPAYMENT.
Fill in oval on Page 2,Line 20 to request a refund. (4) 0.00
5. If Line I +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 61662- 00
Make check payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN"X"IN THE APPROPRIATE BLOCKS
i. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred . . . . . . . . . . . . . . . . . . . . . . . . . . . . El Dfl
b. retain the right to designate who shall use the property transferred or its income . . . . . . . . . . . . . . 0 1 X]
c. retain a reversionary interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F❑I FX_1
d, receive the promise for life of either payments,benefits or care? . . . . . . . . . . . . . . . . . . . . . . ❑
2. If death occurred after Dec. 12, 1982,did decedent transfer property within one year of death
without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FX1
❑
3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death? . . . . . 5X] El
4. Did decedent own an individual retirement account,annuity,or other non-probate property,which -1 M
contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FX
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1,1994,and before Jan.1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is 3 percent[72 P.S.§9116(a)(1.1)(1)1.
For dates of death on or after Jan. 1, 1995, the tax rate Imposed on the net value of transfers to or for the use of the surviving spouse Is 0 percent
172 P.S.§9116(a)(1.1)(0)].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 if 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 21 years of age or younger at death to or for the use of a natural parent, an
adoptive parent or a step-parent of the child is 0 percent[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 lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)).A sibling Is defined,
under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
3M4671 4.000
REV-1503 EX-(8-12)
pennsylvania SCHEDULE B
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN STOCKS & BONDS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Elaine J. Kaufman-Schiller 21 14 0751
All property jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIP*nON OF DEATH
1. 265.607 Shares
Vanguard - Wellington Fund INV - 0021-
88080983868 10,677
2 406.831 Shares
Vanguard - Wellesley Income Fund INV 0027-
88080983868 10,586
3 456.955 Shares
PIMCO Total Return Class A 4,999
4 950.067 Shares
Pimco Commodity Real Return Strategy 5,510
5 1,117.363 Shares
PIMCO Total Return CL C 12,224
TOTAL (Also enter on Line 2,Recapitulation) $ 43,996
2W4696 2.000 If more space Is needed,insert additional sheets of the same size
REV-15W EX-(OM12)
pennsylvania SCHEDULE E
DEPARTMENrOF REVENUE CASH, BANK DEPOSITS& MISC.
INHERITANCE TAX RE
RESIDENT MC ENTTURN PERSONAL PROPERTY
ESTATE OF: FILE NUMBER: I
Elaine J. Kaufman—Schiller 21 14 0751
Include the proceeds of litigation and the dale the proceeds were received by the estate.
All propertyjointlyowned with right of survivorshi must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
7. Benefit Concepts Cash Refund for health
insurance premium 165
2 Mass Mutual Commission checks 1,488
3 LPL Cash Account 560
TOTAL(Also enter on line 5,Recapitulation) $ 2,213
2W46AD 2.000 If more space is needed,use additional sheets of paper of the same size.
REV-1510 EX+(08-09) SCHEDULE G
pennsylvania
DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND
INHERITANCE TAX RETURN MISC.NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Elaine J. Kaufman-Schiller 21 14 0751
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
DESCRIPTION OF PROPERTY
ITEM PDLLDETHEWMEOFTFETRAMFEREE,THEIR RELATIOWHIPTODECEDENT AND DATE OF DEATH %OFDECD'S EXCLUSION TAXABLE
NUMBER TFEMTEOFTRMSERATTACHACOPYOFTHE DEED FOR REALESTATE VALUE OF ASSET INTEREST OFAPPUCABLE VALUE
1. Citizens Bank Circle
Gold Checking W/ Int
5474 26,523 100.0000 3,000 23,523
i
checking account made
joint with David Kaufman
(son) on 08/14/2013
Interest accrued to
7/18/2014 0 100.0000 0
2 Citizens Bank Green
Checking 0521 3,749 100.0000 0 3,749
Account held in trust
for David Kaufman (son)
3 Citizens Bank Circle
Gold Savings - 1437 5,001 100.0000 0 5,001
Savings account made
joint with David Kaufman
(son) on 08/14/2013
Interest accrued to
7/18/2014 0 100.0000 0
4 Citizens Bank Green
Savings 8925 335 100.0000 0 335
Held in trust for
Jessica Kaufman
(Grandaughter)
Interest accrued to
7/18/2014 0 100.0000 0
5 MassMutual Policy
#6274553 10,473 100.0000 0 10,473
Edward R. Kaufman (son)
is the insured and
successor owner. Form
712 attached
6 MassMutual Policy
#5953494 21,458 100.0000 0 21,458
Lee M. Schiller is the
insured. David Kaufman
(son) is the successor
owner. Form 712
attached.
Total from continuation sched les . . . . . . . 560,932
TOTAL(Also enter on line 7,Recapitulation)$ 625,471
If more space is needed,use additional sheets of paper of the same size.
9W46AF 2.000
Estate of: Elaine J. Kaufman-Schiller 21 14 0751
Schedule G (Page 2)
Item DOD Value Taxable
No. Description of Asset % Interest Exclusion Value
7 MassMutual Policy #6305960 52,746 100.0000 0 52,746
Lee M. Schiller is the
insured; David Kaufman
(son) is the successor
owner. Form 712 attached.
8 Mass Mutual Thrift Plan 67,023 100.0000 0 67,023
Mass Mutual Thrift Plan
(401[k]) : The
beneficiaries are David
Kaufman (son) , and a Trust
F/B/O Edward Kaufman (son)
The following assets were
held in a SEP-IRA account.
The beneficiaries are
David Kaufman (son) and
Trust F/B/O Edward Kaufman
(son)
9 1,025.436 Shares
American Fundamental
Investors Class A 55,784 100.0000 0 55,784
10 213.361 Shares
American Balanced Fund CL
A 5,454 100.0000 0 5,454
11 686.691 Shares
American Capital Income
Building Class 42,019 100.0000 0 42,019
12 496.051 Shares
American Capital World
Grth & Inc A 23,528 100.0000 0 23,528
13 2,544.983 Shares
American Income Fund of
America Class A 55,506 100.0000 0 55,506
14 359.245 Shares
American New Persepctive
Class A 13,982 100.0000 0 13,982
15 188.563 Shares
American Washington Mutual
Investors Cl A 7,910 100.0000 0 7,910
Total (Carry forward to main schedule) 323,952
Estate of: Elaine J. Kaufman-Schiller 21 14 0751
Schedule G (Page 3)
Item DOD Value Taxable
No. Description of Asset % Interest Exclusion Value
16 161.74 Shares
Thornburg Intl Value CL A 4,889 100.0000 0 4,889
17 1,475.755 Shares
American Bond Fund of
America Class A 18,845 100.0000 0 18,845
18 911.346 Shares
American Capital World
Bond Class A 19,166 100.0000 0 19,166
19 1,842.503 Shares
Amrican Intermediate Bond
of America Class A 24,984 100.0000 0 24,984
The following asset was
held in a Roth IRA
account. The beneficiary
is David Kaufman (son)
20 144.927 Shares
CB&T Cust Roth IRA New
World Fund 8,933 100.0000 0 8,933
The following assets were
held in a TOD account -
The beneficiaries are
David Kaufman (son) and
Trust F/B/O Edward Kaufman
(son)
21 407.149 Shares
ISHARES SELECT DIVIDEND
ETF 30,778 100.0000 0 30,778
, 22 Prime Fund Capital
Reserves Class 3,861 100.0000 0 3,861
23 667.529 Shares
PNC FINL SVCS GROUP 55,849 100.0000 0 55,849
24 283.148 Shares
American Capital Income
BLDR 17,326 100.0000 0 17,326
25 857.143 Shares
American Inc Fund of
America - 18,694 100.0000 0 18,694
Total (Carry forward to main schedule) 203,325
Estate of: Elaine J. Kaufman-Schiller 21 14 0751
Schedule G (Page 4)
Item DOD Value Taxable
No. Description of Asset Interest Exclusion Value
26 426.611 Shares
Vanguard Wellington Invstr 17,150 100.0000 0 17,150
27 609.718 Shares
Wellesley Inc Invstr 15,865 100.0000 0 15,865
28 63.911 Shares
American Short Term Bond
Fund 640 100.0000 0 640
Total (Carry forward to main schedule) 33,655
REV-1511 EX+(Og.13) SCHEDULE H
pennsylvania
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Elaine J Kaufman-Schiller 21 140751
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Hetrick-Bitner Funeral Home 7,968 I
I
Total from continuation schedules . . . . . . . . . 4,877
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Representative(s)
Street Address
City State ZIP
Year(s)Commission Paid:
2. Attorney Fees: 16,000
3. Family Exemption:(If decedent's address is not the same as claimant's,attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4. Probate Fees: 361
5. Accountant Fees:
6. Tax Return Preparer Fees:
7.
1 Cumberland Law Journal — Estate Notice 75
2 The Sentinel — Estate Notice 244
Total from continuation schedules . . . . . . . . . 1,288
TOTAL(Also enter on Line 9,Recapitulation) $ 30,813
3W46AG 2.000 If more space is needed,use additional sheets of paper of the same size.
Estate of: Elaine J. Kaufman-Schiller 21 14 0751
Schedule H Part 1 (Page 2)
Item
No. Description Amount
2 Temple Beth Shalom Service 1,900
3 Gingrich Memorials
Headstone and engraving 2,503
4 Edward Kaufman (son)
Airfare from Denver CO to Harrisburg PA
to attend funeral 474
I
I
I
Total (Carry forward to main schedule) 4,877
Estate of: Elaine J. Kaufman-Schiller 21 14 0751
Schedule H Part 7 (Page 2)
3 Register of Wills (Dauphin County) -
Oath of office fee 20
4 SkarlatosZonarich LLC - Costs 23
5 David Kaufman
Reimbursement for postage and shipping
costs 1,245
Total (Carry forward to main schedule) 1,288
t
REV-1512 EX+(12-12)
pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCETAX RETURN MORTGAGE LIABILITIES& LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Elaine J. Kaufman-Schiller 21 14 0751
Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Lifeways at Messiah Village 2,513
2 Citibank Credit Card 22
3 Center for Kidney Disease and Hypertension 14
4 Quantum Imaging and Therapeutic Associates 4
5 Community Life Team 62
6 Penn State Milton S. Hershey Medical Center 31
7 Capital Area Health Associates 142
8 Alert Pharmacy Services, Inc. 28
TOTAL(Also enter on Line 10,Recapitulation) $ 2,816
2w46AH 2.000 If more space is needed, insert additional sheets of the same size.
REV-1513 EX+(01-110) SCHEDULE J
pennsylvania
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT FILE NUMBER*
ESTATE OF, 211 0751
Blaine J. Kaufman-Schiller RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
LT Do Not List Trustee(s) OF ESTATE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY
IS IBUT 0 S outright
h spousal
u at
TAXABLE DISTRIBUTIONS[Include outright spousal distd6butions and transfers under
See.9116(a)(1,2).]
Eliana Kaufman
110 Shire Lane
SchwenkSville, PA 19473
Specific bequest 11,648 Granddaughter 11,648
2 Zachary Peak (a/k/a Kaufman)
6774 Harvell Street
Milton, FL 32570
Specific Bequest 466 Grandson 466
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
NON-TAXABLE DISTRIBUTIONS
A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART 11-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ 0
If more space is needed,use additional sheets of paper of the same size.
9W46AI 2.000
Estate of: Elaine J. Kaufman-Schiller 21 14,0751
Schedule J Part 1 (Page 2)
Item
No. Description Relation Amount
3 Jessica Kaufman
2321 Fourth Avenue #201
Seattle, WA 98121
Specific Bequest 466
Citizens Bank Green Savings
8925
Inventory Value: 335 Granddaughter 801
4 David Kaufman
110 Shire Lane
Schwenksv±lle, PA 19473
MassMutual Policy #6305960
Inventory Value: 52,746
MassMutual Policy #5953494
Inventory Value- 21,458
144.93 Shares
CB&T Cust Roth IRA New
World Fund
Inventory Value: 8,933
Citizens Bank Circle Gold
Checking W/ Int 5474
Inventory Value: 23,523
Citizens Bank Green
Checking 0521
Inventory Value: 3,749
Citizens Bank Circle Cold
Savings - 1437
Inventory Value: 5,001
One Half of Residue:
249,627 Son 365,037
Estate of: Elaine J. Kaufman-Schiller 21 14 0751
Schedule J Part 1 (Page 3)
Item
No. Description Relation Amount
5 Trust F/B/O Edward Kaufman
c/o David Kaufman, Trustee
110 Shire Lane
Schwenksville, PA 19473
MassMutual Policy #6274553
Inventory Value: 10,473
One Half of Residue to
Trust F/B/O Edward Kaufman:
249,627 Trust 260,100
WKS
' i z ns, Ba n k
Account Number 6261791437
Account Title ELAINE J KAUFMAN-SCHILLER/DAVID
KAUFMAN
Date Opened 8/14/2013
Account Tye Savings
Principal Balance as of DOD $5000.75
Interest from Last Posting to DOD $ .03
Account Balance as of DOD $5000.78
YTD Interest to DOD $ .39
*Account number 6261791437 was opened as a Joint account
T
cot
i izens
Bank!;.
Account Number 6214400521
Account Title ELAINE J KAUFMAN-SCHILLER TRUSTEE FOR
DAVID H KAUFMAN
Date Opened 7/5/2006
Account Tye Checking
Principal Balance as of DOD $3749.24
Interest from Last Posting to DOD $ .00
Account Balance as of DOD $3749.24
YTD Interest to DOD $ .00
*Automatic deposits were set up for account number 6214400521
*Account number 6214400521 was made Joint on 11/06/2012
�W
'.. . 'fizen, Bank
Account Number 625213 8925
Account Title ELAINE J KAUFMAN-SCHILLER TRUSTEE FOR
JESSICA KAUFMAN
Date Opened 2/15/2008
Account Tye Savings
Principal Balance as of DOD $334.51
Interest from Last Posting to DOD $ .01
Account Balance as of DOD .$334.52
YTD Interest to DOD $ .O1
*Account number 6252138925 was made Joint on 04/10/2008
Form 7.12
Livininsured
(File with Form 709,United States Gift(and Generation-Skipping Transfer)Tax Return.May also be flied with Form 706,United
States Estate(and Generation-Skipping Transfer)Tax Return,or Form 706-NA,United States Estate(and Generation-Skipping
Transfer)Tax Return, Estate of nonresident not a citizen of the United States,where decedent owned Insurance on life of another.)
SECTION A—General Information
36 First name and middle initial of donor(or dname 38 Social security
ity number
ELAINEJ MAN-SCHILLER
39 Date of gift for which valuation data submitted.,
40 Date of decedent's death for which valuation data submitted i 7/1812014
SECTION 13---Policy Information
41 Name of Insured 42 Sex 43 bate of birth
EDWARD R KAUFMAN MALE 912511957
44 Name and addreis 66f 1h'6urehce company
MassMutual Financial Group, 1295 State Street, Springfield, MA 01111
45 Type of policy 46 Policy number 47 Face amount 48 Issue date
6274553 )80
LIFE
49 Gross premium 50 Frequency of payment
$283.50 ANNUAL
51 Assignee's name 59 Date assigned
63 If Irrevocable designation of beneficiary made, name of 54 Sex :55"'bate of birth,, 56 Date
beneficiary if known designated
i.
67 If other than simple designation,quote in full.Attach additional sheets if necessary.
58 If policy is not paid up:
a Interpolated terminal reserve on date of death,assignment,or irrevocable $10,171.75
designation of beneficiary . . . . . . . . . . . . . . . . .
b Add proportion of gross premium paid beyond date of death, assignment,
58b
' 51.47,-'
or irrevocable designation of beneficiary . . . . . . . . . . . . .�i. $
T2Z99i
_ _J __
c Add adjustment on account of dividends to credit of policy . . . . .
d Total.Add lines 58a,b,and c. . . . . . . . . . . . . . . . .. . . . . . . . ssd 110.0.3.18
a Outstanding indebtedness against policy.
f Net total value of the policy(for gift or estate tax purposes).Subtract line 58e from line 58d 58f $10473..18..
69 If policy is either paid up or a single premium:
a Total cost, on data of death, assignment, Or irrevocable designation of zi
beneficiary,of a single-premium policy on life of insured at attained age,for
original face amount plus any additional paid-up insurance(additional face
amount$
(if a single-premium policy for the total face amount not have been
...... .............. ..........
issued on the life of the insured as of the date specified,nevertheless,assume
that such a policy could then have been purchased by the insured and state
the cost thereof,using for such purpose the same formula and basis employed,
on the date specified,by the company in calculating single premiums.)
------
b Adjustment on account of dividends to credit of policy 59b.
c Total.Add lines 59a and 59b . . . . . . . . . . . . . . . .. . 69C
d Outstanding indebtedness against policy. . . . . . . . . . . .
e.Nettote) or estate line 59d from line 59c. 59el
The uqdersignecl officer of the above-named Insurance company(or appropriate federal agency or retirement sy-jrem off;ciaQ hereov cert lies that th-s t;wip-new sets
forin true and correct information.
Date of
Title Vice President certification..I.
signature•
Forw'712 irisv.4-2006)
Farm 71 .4-2006). Page 2
Living Insured
(File with Form 709,United States Gift(and Generation-SWipping Transfer)Tax Return.May also be filed with Form 706,United
States Estate(and Generation-Skipping Transfer)Tax Return,or Form 706-NA,United States Estate(and Generation-Skipping
Transfer)Tax Return,Estate of nonresident not a citizen of the United States,where decedent owned Insurance on life of another.)
SECTION A—General Information
36 First name and middle Initial of donor(or decedent) 37 Last name 3f3 Social sei:iiiriV huinber
ELAINE J KAUFMAN-SCHILLER ..................
39 Date 7 of gift for which V a4f6ailon data submitted
40 Date of decedent's death for which valuation data submitted
SECTION B—Pollcy Information
41 Name of Insured 42 Sex 43 Date of birth
LEE M SCHILLER J,MALFE 1112/1920
44 Name and address of insurance company
MassMutual Financial Group, 1.295 State Street, Springfield, MA 0 .111
45 Type of policy 411 Policy number 47 Face amount '48 Issue date
LIFE _T 5953494 $25,0001 121111978
49 Gross premium 50 Frequency of payment
$998.50 ANNUAL
51 Akgrfie's name .'52 Date assigned
W If irrevocable—d-6-sig-naill6ii of beneficiary made,664ie of 54 Sex 55 We ofbirth, .56 Date
beneficiary If known designated
'57 Ifother'thdii4imple deilgridtiob,quote in full.Atta6h additional sheets It necessary,
V
58 If policy is not paid up:
a Interpolated terminal reserve on date of death,assignment,or irrevocable
designation of beneficiary . .. . . . . . . . . . . . . . . . 58a $19,734.50
b Add proportion of gross premium paid beyond date of death,assignment,
or irrevocable designation of beneficiary $372.04 ,
c Add adjustment on account of dividends to credit of policy . . . . . . $1,351.51
d Total.Add lines 58a,b,and c.
e Outstanding indebtedness against policy. . . . . . . . . . .
f Net total value of the policy(for gift or estate tax purposes).Subtract line 58e*from line 5*8d'
59 If policy is either paid up or a single premium:
a Total cost, on date of death, assignment, or irrevocable designation of
beneficiary,of a single-premium policy on life of insured at attained age,for
original face amount plus any additional paid-up Insurance(additional face
amount
(if a single-premium policy for the total face amount would not have been
issued on the life of the insured as of the date specified,nevertheless,assume
that such a policy could then have been purchased by the insured and state
the cost thereof,using for such purpose the same formula and basis employed,
on the date specified,by the company in calculating single premiums.)
b Adjustment on account of dividends to credit of policy '.59b,
c Total.Add lines 59a and 59b . . . . . . . . . . 59C
d Outstanding Indebtedness against policy. . . . . . . . . . . . . . .. . . . 59d
e Net total A�q!yq of po .5 e
b -pv Subtract line 59d from I
!q,qr estate tax
undersigned offirer of the above-named insurance company(or appropriate federal agency or retirerneil system offic-li 0 hereby ce.rililes that this statement sets
forth true and correct information.
Vice President Date of 1019/2014
signature P. Title► Certification ►
Form 712(Rev,'li.2oo6)
i.
Form 712 illey;4-200rjy,* 2
Living Insured
(File with Form 709,United States Gift(and Generation-Skipping Transfer)Tax Return.May also be filed with Form 706,United
States Estate(and Generation-Skipping Transfer)Tax Return,or Form 706-NA,United States Estate(and Generation-Skipping
Transfer)Tax Return.Estate of nonresident not a citizen of the United States,where decadent owned Insurance on life of another.)
SECTION A---General Information
36 First name and middle initial of donor(or 38 Social security number
ELAINE J HILLER
t I-
39 Date of gift for which valuation data submitted
40 Date of decedent's death for which valuation data submitted 17711812014
SECTION B—Policy Information
M Nah4df InWred42 'Sex 43 Date of birth i'
-
LEE M SCHILLER MALE 111211928
44 Name and address of Insurance company
MassMutual Financial Group, 1295 State Street, Springfield, MA 01111
46 Type of policy 46 Policy number 47 Face amount date
LIFE 6305960 180
49 Gross premium 50 Frequency of payment
ANNUAL
61 Assignee's name 62 Date assigned
63* If Irrevocable designation off-6enermary rfiade*,'name of '64""Sex 65 Date of birth, 66 Data
beneficiary if known designated
.L
b7 If other than&simple�de ignatlion-,-quote in'frill.Attach additional sheets If necessary.
58 If policy is not paid up:
q Interpolated terminal reserve on date of death,assignment, or irrevocable $50,294.25
designation of beneficiary . . . . . . . . . . . . . . . . . .58a
b Add proportion of gross premium paid beyond date of death,assignment,
or irrevocable designation of beneficiary . . . . . . . . . . . . 58b $2,451.32
o Add adjustment on account of dividends to credit of policy . . . . . .580 $0.00 _
d
58CId Total.Add lines 56a,b,and c. . . . . . . . . . . . . . . . . .. . . . . 1.1.58d. 02,745.57*
a Outstanding indebtedness against policy. . . . . . . . . . . . . . . 58e
. $0-M
f Net total value of the policy(for gift or estate tax purposes).Subtract line 58e from line 58d 50f, $$2 7.45.57.
59 If policy is either paid up or a single premium: %
-a Total cost, on date of death, assignment, or irrevocable designation of
beneficiary,of a single-premium policy on life of Insured at attained age,for
original face amount plus any additional paid-up insurance(additional face
amount$ . . . . . . . . . . .69a
(If a single-premium policy for the total face amount would not have been
issued on the life of the insured as of the date specified,nevertheless,assume
that such a policy could then have been purchased by the insured and state
the cost thereof,using for such purpose the same formula and basis employed,
on the date specified,by the company in calculating single premiums.)
b Adjustment on account of dividends to credit of policy . . . . . . . 59b
a Total.Add lines 59a and 59b . . . . . . . . . . . . . . . .. . . . 59c
d Outstanding Indebtedness against policy. . . . . . . . . . . . . . . . . . 59d
e,Net total value.of a
lipy.,yor9ift or ,p st te ta�
_2� AL(pi�sas,).�ubt�ra�tline 5Ld from line 59c.
The Undersigned officer of the above-named insurance company for appropriate federal agency or refiremeni system officiewo hereby certifies that thisstatementsets
forth true and correct information.
VicePresident Date of 1019/2014
Signature Tits P- cedwpation
Farril 712 JR09.4-2006)
THIS IS A CONFORMED COPY.
I r1E ORIGINAL OF TI 11'S DOCUMENT
IS IN SAFE f�EF-PING WITH
THE LAW OAF= IOES OF
NWAR ATO, & .70NARICH LLP
LAST WILL AND TESTAMENT
OF
ELAINE J. KAUFN AN-SCHILLER
I, ELAINE J. KAUFMAN-SCHILLER, of Cumberland County,Pennsylvania,being of
sound and disposing mind and memory, do make, publish and declare this to be my Last Will
and revoke any Wills and codicils previously made by me.
ARTICLE ONE
Specific Bequests of Cash and and Property
(A) I give and devise to my husband, Lee M. Schiller, if he survives me, any interest
which I may own at the time of my death in the house and lot located at 376 Merrimac Trail,
Williamsburg, Virginia 23185, and known as Unit 122 of Barclay Square. If my husband does
not survive me, I give and devise this real estate to my son, David, if he survives me.
(B) I give the sum of$25,000 to my granddaughter,Eliana Kaufman,to be paid to my
son, David Kaufman, and his wife,Mildred Lee Kaufman, as custodians under the Uniform
Transfers to Minors Act. It is my hope and desire that David and Mildred utilize these funds to
provide Eliana with exposure to the arts. This can take the form of musical instrument, voice,
dance, or acting lessons, art classes,the cost of purchasing a musical instrument or dance
equipment, as well as attending concerts, ballets,plays,musicals, and art museums. It is my hope
and desire that Eliana be enrolled in such lessons or classes prior to her tenth birthday. I believe
that it extremely important to expose children to the arts, and that by providing this gift to my
granddaughter,the costs of providing this exposure outside of the public or private school system
will never be a deterrent.
(C) I give and bequeath all of my tangible personal property,including, but not limited
to, all my automobiles, furniture, furnishings, books,pictures,jewelry, china, linen, silver, clothing,
household effects and personal effects, and other tangible personal property of like nature (not
including cash, securities and other property used for the production of income), together with any
existing insurance thereon as I may have provided in a memorandum kept with the original of this
Will, or to the extent not so provided or not effectively disposed of in any such memorandum or if
the law of my state does not permit the use of a memorandum, to my sons, Edward and David, in
approximately equal shares. If my sons do not agree to the division of the property among
themselves,my Personal Representative shall make such division between them, and the decision of
my Personal Representative shall be binding.
ARTICLE TWO
Residuary Estate
I give, devise and bequeath all the rest, residue and remainder of my property of every
kind and description (including lapsed legacies and devises) wherever situate and whether
acquired before or after the execution of this Will as follows:
SCANATOSMARM uE LAST WILL & TESTAMENT OF
ATTORNEYS AT LAW ELAINE J. KAUFMAN-SCHILLER
Page I of 8
(A) One-half(1/2) to the Trustee of the Edward R. Kaufman Trust Under Agreement
dated August 3, 2005, to be held, administered and distributed as provided in that Trust
Agreement.
(B) One-half to my son, David, otherwise to my granddaughter, Eliana, if she survives
me.
(C) In the event that neither my son, David, nor my granddaughter, Eliana, survives
me, then the share that would have passed under Paragraph (B) shall be divided and distributed
as follows:
(1) One-half (1/2) to Mildred Lee Kaufman, provided she was married to
David at the time of his death, and ,
(2) One-half(1/2) (or all, if Mildred Lee Kaufman was not married to David
at the time of his death) to the Trustee of the Edward R. Kaufman Trust Under
Agreement dated August 3, 2005, to be held, administered and distributed as provided in
that Trust Agreement.
ARTICLE THREE
Personal Representative to Act As Trustee of Minors
If any share or property hereunder becomes distributable to a beneficiary who has not
attained the age of Twenty-two (22) years at the time of my death,then such share or property shall
immediately vest in the beneficiary, but notwithstanding the provisions herein, my Personal
Representative acting as Trustee shall retain possession of the share or property, using so much of
the net income and principal of the share or property as my Personal Representative deems
necessary to provide for the medical care, education, support and maintenance in reasonable
comfort of the beneficiary, taking into consideration to the extent my Personal Representative
deems advisable any other income or resources of the beneficiary or his or her parents known to my
Personal Representative. Any income not so paid or applied shall be accumulated and added to
principal. The beneficiary's share or property shall be paid over, distributed and conveyed to the
beneficiary upon attaining the age of Twenty-two (22)years,or if he or she should sooner die,to his
or her personal representative. Whenever my Personal Representative determines it is appropriate
to pay any money for the benefit of a beneficiary for whom a trust is created hereunder, then the
amounts shall be paid out by my Personal Representative in such of the following ways as my
Personal Representative deems best: (1) directly to the beneficiary; (2) to the parent or legally
appointed guardian of the beneficiary; (3) to some other relative or friend of the beneficiary for the
beneficiary's care, support and education; (4) by my Personal Representative using such amounts
directly for the beneficiary's care, support and education; (5) to a custodian for the beneficiary
under the Uniform Transfer to Minors Act. My Personal Representative, acting as Trustee, shall
have with respect to each share or property so retained, all of the powers and discretions conferred
upon him as Personal Representative.
S(ANAT09-ONAHM nc LAST WILL &TESTAMENT OF
ATTORNEYS AT LAW ELAINE J. KAUFMAN-SCHILLER
Page 2 of 8
ARTICLE FOUR
Payment of Taxes,Debts and Administrative Expenses
I direct that all estate, inheritance and other death taxes (other than generation-skipping
transfer taxes), and all interest and penalties thereon imposed by reason of my death with respect
to property subject to such taxes by reason of my death, whether such property passes through
my probate estate or outside of my probate estate, and payable to any federal, state or foreign
taxing authority, whether payable by my estate or by any recipient of such property, and all my
legally enforceable debts, funeral expenses and,estate administration expenses, shall be paid to
the extent possible out of my residuary estate passing under ARTICLE TWO hereinabove, prior
to its division into shares for the beneficiaries.
ARTICLE FIVE
Protective Provisions
(A) The principal of my estate and the income therefrom, so long as the same are held
by my Personal Representative, shall not be subject to anticipation, assignment, pledge, sale or
transfer in any manner, nor shall any beneficiary have power in any manner to charge or
encumber his/her interest in my estate, nor shall the said interest of any beneficiary be liable or
subject in any manner while in the possession of my Personal Representative for any liability of
said beneficiary, whether such liability arises from said beneficiary's debts, contracts, torts, or
other engagements of any type.
(B) If any beneficiary in any manner, directly or indirectly, contests this Will or any
of its provisions, any interest in my Estate given to the beneficiary is revoked and shall be
disposed of in the same manner as if the beneficiary had predeceased me.
ARTICLE SIX
Powers of Personal Representative
In addition to and without limiting the powers conferred by case law, by statute, and by
other provisions hereof, my Personal Representative shall have the following rights and powers
exercisable without the need for court approval:
(A) Accept and Retain Investments. To accept and retain any form of real or
personal property received by transfer, devise, bequest or otherwise without being required to
diversify and without being limited to the types of investments in which fiduciaries are
authorized by law to invest. This authority shall specifically include the authority to accept and
retain any stock of a corporate fiduciary hereunder, or in any corporation which controls or is
controlled by it, or any other corporation in which it holds any ownership interest, together with
any stock dividends received thereon, or any stock acquired in the exercise of subscription rights,
or received by reason of any consolidation, merger or reorganization, without liability for such
retention.
(B) Invest. To invest and reinvest in any form of real or personal property without
limitation by any law applicable to investments by fiduciaries.
SKARATOMNAR(H u L LAST WILL& TESTAMENT OF
ATTORNEYS AT LAW ELAINE J. KAUFMAN-SCHILLER
Page 3 of 8
(C) Voting Rights. To vote a security in person or by proxy, to participate in or
consent to any merger, reorganization, dissolution, liquidation, voting trust plan, or other action
affecting any securities held hereunder, and; to exercise conversion, subscription, and other
rights of whatever nature.
(D) Title To Property. To register or hold securities and/or other property in the
name of a nominee or nominees, including that of a clearing corporation, a depository, in book
entry form, or to retain securities and/or other property unregistered or in a form permitting
transfer by delivery.
(E) Sale, Lease and Other Dealings with Property.., To sell, from time to time, at
public or private sale, exchange, lease, encumber,' option or otherwise dispose of all or any
portion of assets held hereunder; to make, execute and deliver deeds, mortgages, leases,
assignments and other documents necessary to carry out any of the powers granted hereunder,
which shall specifically include the authority to grant leases which extend beyond the period
authorized by law; and; to partition, subdivide, improve and impose any restrictions on real
estate held hereunder and enter into agreements concerning the partition, subdivision,
improvement,zoning or management of any such real estate.
(F) Borrow. To borrow money from any person or institution and pledge property
as security for repayment of funds.
(G) Distributions in Kind. To make distributions in cash or in kind, or partly in
each, and; to allot different kinds of property to different shares without regard to differences in
the income tax basis of such property. Any such designation, division, allocation, apportionment
or valuation of property shall be binding and conclusive on all parties.
(H) Power to Distribute Outright. In any instance where property would be
immediately distributable to a beneficiary of a trust, distribution may be made directly to such
beneficiary without funding such trust. The receipt of any such distribution by any such
beneficiary shall be a full acquittance of the fiduciary making such distribution as to any
amounts so distributed.
(1) Settle Claims. To institute,prosecute and defend any and all legal proceedings;
and compromise,release, adjust and/or settle any debt or claim.
(J) Employment of Agents. To employ agents including attorneys, accountants,
and others to perform administrative duties.
(K) Disclaimer. To disclaim any interest in property which would devolve to me or
to my estate by whatever means, including but not limited to the following means: as a
beneficiary under a will, as an appointee under the exercise of a power of appointment, as a
person entitled to take by intestacy, as a donee/beneficiary of an inter vivos transfer, as a
beneficiary under any insurance policy, as a beneficiary under an individual retirement account
or annuity, and as a beneficiary under any qualified or non-qualified retirement plan.
ARTICLE SEVEN
Fiduciaries
(A) Appointment of Personal Representative. I hereby nominate, constitute and
appoint as Personal Representative my son, David H. Kaufinan, and direct that he shall serve
without bond.
SMATOSZONANCH u c LAST WILL &TESTAMENT OF
ATTORNEYS AT LAW ELAMEJ KAUFMAN-SCHILLER
Page 4 of 8
(B) Successor Personal Representative. If David H. Kaufman should fail to qualify as
Personal Representative hereunder, or for any reason should ceased to act in such capacity, the
successor or substitute Personal Representatives,who shall also serve without bond, shall be Lee M.
Schiller and Mildred Lee Kaufman(provided she is married to David, or was married to him at the
time of his death,if he is deceased),or the survivor of them.
(C) Fee Schedule for Personal Representative. For its services as Personal
Representative, the individual Personal Representative shall receive reasonable compensation and
shall be entitled to reimbursement for reasonable expenses, but the Personal Representative may
decline to accept compensation.
ARTICLE EIGHT
Interpretation
(A) Child, Children, Grandchild Grandchildren and Issue. Whenever the terms
"child," "children," "grandchild," "grandchildren" and "issue" are used herein, such terms shall
be interpreted to include adopted persons as well as natural persons, provided in each instance
that the adoptee is under the age of eighteen (18) years at the time of adoption. Such terms are
also intended to include persons in gestation at any pertinent time under this Will,provided such
persons survive birth by thirty(30) days.
(1) Issue, per stupes. In applying any provision of this Will which refers to
a person's "issue, per stirpes", the children of such person are heads of their respective
stocks of issue, whether or not any child of such person is then living. For example, a
disposition in this Will to a person's "issue, per stirpes" shall be deemed to require a
division into a sufficient number of equal shares to make one share for each child of such
person living at the time such disposition becomes effective and one share for each then
deceased child of such person having one or more descendants then living, regardless of
whether any child of such person is then living, with the same principle to be applied in
any required further division of a share at a more remote generation.
(2) Issue, per capita. In applying any provision of this Will which refers
to a person's "issue,per capita", the phrase shall mean the division of an estate by giving
an equal share to each of a number of such person's descendants, all of whom stand in
equal degree to such person, without reference to their stocks or the right of
representation. Issue, per capita is the antithesis of issue, per stirpes. For example, a
disposition in this Will to a decedent's "issue, per capita", assuming that both of the
decedent's two children (X and Y)predecease the decedent,two grandchildren(A and B)
predecease the decedent(each with surviving issue) and three grandchildren (C, D and E)
are living at the time such disposition becomes effective, shall be deemed to require a
division into three equal shares for each grandchild (C, D and E) who are living at the
time such disposition becomes effective. In the previous example, if instead we assume
that one child (X) was living at the time such disposition becomes effective, that child
(X)would take the entire disposition even if the decedent is survived by issue of the other
child(I)who predeceased the decedent.
(B) Survival Clauses. If any beneficiary hereunder should die within thirty (30)
days after my death or within thirty (30) days after any other person the survival of whom
SKAHATC67DNANCH uc LAST WILL & TESTAMENT OF
ATTORNEYS AT LAW ELAINE J. KAUFMAN-SCHILLER
Page 5 of 8
determines such beneficiary's rights hereunder, then such beneficiary shall be deemed to have
predeceased me or such other person, as the case may be, for all purposes hereunder.
(C) Governing Law. This Will shall be construed and governed in all respects by
and in accordance with the laws of the Commonwealth of Pennsylvania.
(D) Gender and Number. Where appropriate except where the context otherwise
requires, whenever used herein, the singular includes and plural, the plural the singular and
words of any gender shall be applicable to all genders.
(E) Headings/Captions. The headings/captions of Articles, Sections and Paragraphs
used herein are for convenience of reference only and shall have no significance in the,,
construction or interpretation of this Will.
IN WITNESS WHEREOF, I have hereunto set my hand and seal and caused this my Last
Will and Testament, consisting of (,U typewritten pages, including this
attestation clause and the following AckAokledgment and Affidavit, to be executed, declared and
published this day of fA aq 2012,at Harrisburg,Pennsylvania.
EL J.IkA AN-SCHILLER
On this day of 2012, ELAINE J. KAUFMAN-
SCHILLER, the Testator, declared to 4, the undersigned, that the foregoing instrument was the
Testator's Last Will,and requested us to act as witnesses to the same and to the Testator's signature
thereon. The Testator thereupon signed said Will in our presence, we being present at the same
time. We now, at the Testator's request, in the Testator's presence, and in the presence of each of
us, hereby subscribe our names as witnesses thereto. By so doing, each of us declares that he/ she
believes the Testator to be of sound mind and memory.
Witnesses: Address:
Alt"AM, t s 2 s A). Fkzk. r ST
Witness 0 f4AgP-ts Aukq fA 17/.Of-
Pa
7/DZa �r
fitness
SKANATOSMARICH uc LAST WILL & TESTAMENT OF
ATTORNEYS AT LAW ELAINE J. KA.UFMAN-SCHILLER
Page 6 of 8
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA )
SS:
COUNTY OF DAUPHIN )
I, ELAINE J. KAUFMAN-SCMLLER, the Testator, whose name is signed to the attached
or foregoing instrument,having been duly qualified according to law, does hereby acknowledge that
I signed and executed the instrument as my Last Will;that I signed it willingly and that I signed it as
my free and voluntary act for the purposes therein expressed.
ELAEr J.KA -SCHILLER
Sworn or affirmed to and acknowledged before me by ELAINE J. KAUFMAN-
SCIULLER,the Testator this,_day of 2012.
(SEAL)
Notary Public
My Commission Expires:
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Debra L.Logan,Notary Public
City of Harrisburg,Dauphin county
My commission Expires June 11,2013
MEMBER,PENNSYLVANIA YON OF NOTARIES
SKARATUMNATRE uc LAST WILL &TESTAMENT OF
ATTORNEYS AT LAW ELAINE J. ICAUFMAN-SCHILLER
Page 7 of 8
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA }
SS:
COUNTY OF DAUPHIN )
We, W and4bwth (q)
witnesses, whose names are signed io the attached or folreg6ing ins e being duly qualified
according to law,,do depose and say that we were present and saw ELAINE J. KAUFMAN-
SCHILLER, the Testator, sign and execute the instrument as the Testator's free and voluntary act
for the purposes therein expressed;that each of us in the hearing and sight of the Testator signed the
Will as witnesses; and that to the best of our knowledge, the Testator was at the time eighteen (18)
or more years of age,of sound mind and under no constraint or undue influence.
Witness
Yltness,
rn or affed to and ac ovule e. before me by
LQj O etnesses,this ay �o ,2012.
(SAL)
Notary Public
My Commission Expires:
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Debra L.Logan,Notary Public
City of Harrisburg,Dauphin County
My Commission Expires June 11,2013
MEMBER,PENMISYI VANL4 ASSOCIATION OF NOTARIES
SKARATOMNAIKH ijL LAST WILL & TESTAMENT OF
ATTORNEYS AT LAW ELAINE J. KAUFMAN-SCHILLER
Page 8 of 8
FIRST CODICIL THIS IS A Ck__)tZFF C,MP I) COP'.
TO THE p~
'I`l°E. ORIGINAL OF' THIS 0�,UMEMT
IS IN SAFE
�dE:�PIr31C1 WITH
LAST WILL AND TESTAMENT THE 1_e���c 4J��,.FI�{L.S OF
OF SK��yR?...���'�OS & �OI��,I�il~�ICI� LLP
ELAINE J.KAUFMAN-SCHILLER
I, ELAINE J. KAUFMAN-SCHILLER, of Cumberland County, Pennsylvania, declare
this to be the First Codicil to my Last Will and Testament,dated May 3,2012.
FIRST: I hereby amend ARTICLE ONE, Specific Bequests of Cash and Property, by
adding a new paragraph,to read as follows:
(D) I give the sum of One Thousand Dollars ($1,000) to each of Jessica
Kaufman and Zachary Peak(also known as Zachary Kaufman), if they survive me.
SECOND: I hereby republish and reaffirm my Last Will and Testament dated May 3, 2012
as herein modified, amended and supplemented by this Codicil as if such Will were set out here in
full and do incorporate by reference thereto, and do hereby republish and declare my Last Will and
Testament as amended,modified and supplemented as my Last Will and Testament.
IN WITNESS WHEREOF, I have hereunto set my hand and seal and caused this First
Codicil to my Last Will and Testament, consisting of j�-bN (,3 )typewritten pages,
including this attestation clause and the following Acknowledgment and Affidavit, to be executed,
declared and published this jrS� day of p V,o f ►- ,2012, at Harrisburg,Pennsylvania.
ELAINE J.KATIE MAN-SCHILLER
On this 5 day of 2012, ELAINE J. KAUFMAN-
SCHILLER declared to us, the undersigned, that the foregoing instrument was her First Codicil to
her Last Will and Testament, and she requested us to act as witnesses to the same and to her
signature thereon. She thereupon signed said Codicil in our presence, we being present at the same
time. We now, at her request, in her presence, and in the presence of each of us, hereby subscribe
our names as witnesses thereto. By so doing, each of us declares that he or she believes this
Testator to be of sound mind and memory.
Witnesses: Address:
o 1 5 2 5 AJ. Frokd S-k .?v /
Witness s h cwq p l 716 L
l
vVJjovV AveAvC
Witness (-Amo dill, PA 17011
SCARLATOS ZC)NMI iw FIRST CODICIL TO THE LAST WILL AND TESTAMENT OF
ATTORNEYS AT LAW ELAINE J. KAUFMAN-SCHILLER.
Page I of 3
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA )
SS:
COUNTY OF DAUPHIN )
I, ELAINE J. KAUFMAN-SCHILLER, the Testator, whose name is signed to the attached
or foregoing instrument,having been duly qualified according to law, do hereby acknowledge that I
signed and executed the instrument as my First Codicil to my Last Will and Testament;that I signed
it willingly and that I signed it as my free and voluntary act for the purposes therein expressed.
ELAI (E J. KA MAN-SCHILLER
Sworn or affirmed to and acknowledgedefo e me by ELAINE J. KAUFMAN-
SCHILLER,the Testator this ISY-6 day of �e' i L(.Q�L.� ,2012.
�. - EAL)
Notary Public
My Commission Expires:
COMMONWEALTH OF PENNSYLVANIA_
Notarial Seal
Sharon K.Shaffer,Notary Public
City Of Harrisburg,Dauphin county
My commission Expires Sept.6,2016
MEMBER,PENNSYLVANIA ACS0aATI0N OF NOTARIES
MkMATOSZONARM uLc FIRST CODICIL TO THE LAST WILL AND TESTAMENT OF
ATTORNEYS AT LAW ELAINE J. KA UFMAN-SCHILLER.
Page 2 of 3
k + J
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA )
SS:
COUNTY OF DAUPHIN )
We, fir,dz o,�- R ��c f ( e y and �f lavl T Mvrre� the
witnesses, whose names are signed to the attached or foregoing instrument, being duly qualified
according to law, do depose and say that we were present and saw ELAINE J. KAUFMAN-
SCHILLER, sign and execute the instrument as the Testator's free and voluntary act for the
purposes therein expressed;that each of usin the hearing and sight of the Testator signed the Will as
witnesses; and that to the best of our knowledge, the Testator was at the time twenty-one (21) or
more years of age,of sound mind and under no constraint or undue influence.
Witness
'� "wta/,�
wil5ess
Sworn or affirmed to and acknowledged before me by Y'/cq e
and �.J; /j1��rren ,the witnesses,this L5 Mday of CO— 2012.
(—A&orx�- SEAL)
Notary Public
My Commission Expires:
COMMONIN�ALTM OF PENNSYL�/ANdA_
Notarlal Seal
Sharon K.Shaffer,Notary Public
City of Harrisburg,Dauphin County
My COMMISSlon Expires Sept.6,2016
MEMBER.PENNSYLVANIA ASSOCIATION OF NOTARIES
SKARAIMSZONANal u-c FIRST CODICIL TO THE LAST WILL AND TESTAMENT OF
ATTORNEYS AT LAW ELAINE J. KAUFMAN-SCHILLER.
Page 3 of 3
t f1
E"WARDIL KAUFMAN TRUST UNDER AGREEMENTAS
AWNDED AAD RESTATED
Preamble This Agreement is made,this-&Irk day of 2012,
between Elaine I Kaufman-Schiller,hereinafter referred to as the Settlor-,6d David H-Kaufman
and Bridget M.Whitley,hereinafter referred to as the Trustee.
Whereas,the Settlor and the Trustee entered into the Edward R. Kaufman Trust Under
Agreement on August 3,2005,and
Whereas,Article H of the Trust Agreement provided that the Settlor reserved the right to
amend in any manner or revoke in whole or in part the Trust Agreement,and,
Whereas,by instrument dated August 23,2005,the Settlor made various amendments to
the Trust Agreement,and
Whereas the Settlor is desirous of further modifying and amending the Trust Agreement
and the Trustee is agreeable to the modifications and amendments contained herein
NOW,THEREFORE,IT IS AGREED that the entire Trust Agreement(except
Schedules A which is not modified hereby)as modified and amended will read as follows:
The Trust Agreement shall be known as the Edward R Kaufman Trust Under Agreement
Dated August 3,2005.This Trust Agreement shall become effective upon the execution hereof
by the Settlor and any initial Trustee.
The Settlor desires to create an irrevocable trust to serve as the beneficiary of one or more
qualified pension,profit sharing,401K plans, individual retirement accounts("IRAs"),
Simplified Employee Pension("SEP")plans,Roth IRAs,annuity or mutual fund custodial
accounts-under section 403(b),or other types of qualified plans(referred to as "Retirement
Accounts"), as well as one or more policies of life insurance and a portion of the residue of her
Estate.
The Settlor is creating this Trust to control the distributions from such Retirement
Accounts and other assets forming the trust estate,and to manage those assets and the
distributions commg from such Retirement Accounts for the benefit of Edward R Kaufman
(hereinafter called the. "named beneficiary"),the named beneficiary,in accordance with the terms
of this Trust.
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ARTICLE I
Description of Prop=Transferred. The Settlor has paid over,assigned,granted,
conveyed,transferred and delivered,and by this Agreement does hereby pay over,assign,grant,
convey,transfer and deliver unto the Trustee the property described in Schedule A,annexed
hereto and made a part hereof This property and any other assets of any kind or character
whatever which may be'added to the Trust by the Settlor or anyone else,either during the
Settlor's lifetime or under the terms of the Settlor's Will or the terms of any trusts established by
the Settlor,or in any other manner,as invested or reinvested(hereinafter referred to as the"Trust
Estate"), shall be held,administered and distributed by the Trustee as hereinafter set forth.
ARTICLE H
Settlor's Rjebts to Amend.QlgWe or Revoke the Trust Agreement The Settlor may,by
signed instruments delivered to the Trustee during the Settlor's life:(1)withdraw property from
this Trust in any amount and at anylime upon giving reasonable notice in writing to the Trustee;
(2)add other property to the Trust;(3)change the beneficiaries,their respective shares and the
plan of distribution;(4)amend this Trust Agreement in any other respect, (5)revoke this Trust in
its entirety or any provision therein,provided,however,the duties or responsibilities of the
Trustee shall not be enlarged without the Trustee's consent nor without satisfactory adjustment of
the Trustee's compensation- Upon the Settlor's death,this trust shall become irrevocable.
ARTICLE M
Definition of Trust Term. The"Trust term" shall begin with the death of the Settlor and
shall end upon the death of Edward R.Kaufinan.
ARTICLE IV
Distributions. Upon the commencement of the Trust term,this Trust shall be held,
administered and distributed as set forth below:
(A) Distribution of Bqquired Minimum Distribution from Retirement Accounts.
Commencing with the death of the Settlor,the Trustee shall pay to or apply for the benefit of
Edward R.Kaufman the entire amount that is required to be distributed in each year of this Trust
as the required minimum distribution from the Retirement Accounts. In any year for which the
Internal Revenue Code does not require a minimum required distribution to be distributed,then
the Trustee shall,not request any such distribution from the Retirement Accounts. It is the
Settlor's intent that this Trust shall request and-receive from the Retirement Accounts in each
year just the minimum required distribution amount,thereby preserving and extending the
Retirement Accounts for the maximum extent possible.
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M} DisqpgmM Distributions to Edward R.Kaufman. The Trustee may pay to or
"'Lj
apply for the benefit of Edward R-Kaufman such sums from the income and principal of trust
assets(other than the Retirement Accounts),as the Trustee,,in its sole discretion,shall deem
necessary or advisable from time to time for his medical me,education,support and
maintenance in reasonable comfort,taking into consideration to the extent the Trustee deems
advisable,any other income or resources of Edward R. Kaufman known to the Trustee. Any
income not distributed during any calendar year shall be accumulated and added to principal.
(C) Additional Discretionary Payments of Principal. in h en
Anc I�al.Notwithstand g the above intent
to only distribute the required minimum distribution from the Retirement Amounts,the Trustee,
in its sole discretion,may request and receive distributions from the Retirement Accounts
amounts in excess of the required minimum distribution, as shall be necessary or advisable from
time to time for the medical care,education,support and maintenance in reasonable comfort of
Edward R.Kaufman,taking into consideration to the extent the Trustee deems advisable,any
other income or resources of Edward R.Kaufman known to the Trustee. Such payments shall
be paid to or for the benefit of Edward R.Kaufman.
ARTICLE V
Division and Distribution to Beneficiaries.Upon the termination of this Trust at the
expiration of the T=term the following distributions shall be made:
(A) Distribution of Trust to Defined Beneficiaries. The Trustee shall distribute this
Trust,as follows:
(1) Any and all Retirement Accounts,together with the right to receive and
control the beneficiary designation of any such Retirement Accounts,shall be distributed
to David H.Kaufman,if living;otherwise to his issue,per stirpes,and if he has no issue,
then to Settlor's daughter-in-law,Mildred Lee Kaufman,provided she was married to the
Settlor's son,David H.Kaufman,at the time of his death.
(2) Any remaining principal and income shall be distributed to David
Kaufman,if living;otherwise to his issue per stripes,and if David I-L Kaufman was not
survived by issue,then
(a)Fifty percent(50%)to Settlor's daughter-in law,Mildred Lee
Kaufman,provided she was married to the Settlor's son,David H.Kauftnan,at
the time of his death;and
(b)Fifty percent(50%)(or all,if Mildred Lee Kaufman was not marred to
the Settlor's son,David H.Kaufinan,at the time of his death),to be divided and
distributed as follows among the following beneficiaries:
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(i) one-fourth(1/4)to Jewish Family Service of Harrisburg,
PA,without restriction as to use;
(ii) one-fourth(1/4)to MAZON:A Jewish Response to Hunger
at 10495 Santa Monica Blvd-,Suite 100,Los Angeles,CA 90025,without
restriction as to use;and
(iii) one-half(1/2)to be divided and distributed to such of the
following individuals who are then-living: Settlor's nephew,Howard
Plattner;Settlor's niece,Arta Bowers; Settlor's niece, Barbara Stephens;
and Settlor's niece,Judy Asoleen.
ARTICLE VI
Additional Provisions Dealing With the Operation of the Trust. The following provisions
shall apply:
(A) Retirement Plan Beneficiary Elections. Upon the Settlor's death,the Trustee shall
have the right,in the Trustee's discretion,to elect to receive any retirement plan death proceeds,
whether under any retirement account in any manner permitted by the plan. The Trustee shall
not be liable to any beneficiary for such decision.
(B) Trust Designated Beneficiary. The Trust shall run for the benefit of the named
beneficiary,who shall be the"Designated Beneficiary" for each such Retirement Account.
(C) Restriction on Non-Individuals and Creditor's Claims. Commencing on the
September 30th after the year of the Settlor's death(herein referred to as the "Designation Date"),
no portion of any retirement plan account may be distributed to any charity or other non-
individual beneficiary. It is the Settlor's intent that after the Designation Date any such
distribution shall be paid only to the individual beneficiaries of this Trust After the Designation
Date no portion of any retirement plan distribution may be used to pay any creditor claim or debt
of the Settlor,nor any administration expense of the.estate or this Trust,nor any estate,
inheritance,or similar taxes.
(D) Accounting Provisions. Any Retirement Account made payable to this Trust shall
be deemed to be an asset of the Trust and allocated to principal. In cases where the Trustee
receives reporting information from the retirement plan to enable the Trustee to determine the
annual income earned by that Retirement Account on an annual basis,then the Trustee shall use
normal fiduciary accounting principles to allocate income and principal for the Retirement
Account In cases where the Trustee does not receive reporting information from the retirement
account,the Trustee has the discretion to allocate changes in the Retirement Amount value from
the original account value on a reasonable basis between income and principal. When
distributions are made from the Retirement Account,accrued income shall be deemed to be
Page 4
distributed first. The Trustee shall allocate to the net income of this Trust all the net income
earned by the Retirement Account and paid to this trust regardless of whether the Retirement
Account is allocated to principal for trust accounting purposes. The Trustee shall allocate to
principal of this Trust all other distributions from the Retirement Account. In calculating the
income earned by the Retirement Account,the Trustee shall allocate all Retirement Account
expenses,including income tax and retirement plan trustee fees,that are attributable to principal
distributions so that all income distributions from the retirement plan are n6t reduced. If a
Retirement Account becomes an asset of this Trust,the fair market value of the retirement
account at the date of the Settlor's death shall be deemed to be the"inventory value"for fiduciary
accounting purposes. The Principal and Income Act shall govern,the fiduciary accounting
treatment of any other assets of the Trust.
(E) Taxable Year. The taxable year ofthe trust shall be the calendar year.
(F) In Terrorem Provision. If any beneficiary in any manner,directly or indirectly,
contests this Trust or any of its provisions,any interest in the Trust given to the beneficiary is
revoked and shall be disposed of in the same manner as if the beneficiary predeceased the
Settlor.
ARTICLE VR
Trustee Successio,Trustee's Fees and Other Matters. The provisions for naming the
Trustee,Trustee succession,Trustee's fees and other matters are set forth below:
(A) Naming Individual Successor or Substitute Trustee. If either of the individual
Trustees should fail to qualify as Trustee hereunder, or for any reason should cease to act m such
capacity,the successor or substitute Trustee who shall also serve without bond shall be Lee M.
Schiller.
(B) Final Succession If Individual Successor Trustee Cannot Act. If Lee M. Schiller
should fail to qualify as Trustee hereunder,or for any reason should cease to act in such capacity,
the successor or substitute Trustee who shall also serve without bond shall.be Mildred Lee
Kaufman,provided she is married to David H.Kaufman or was married to him at the time of his
death,if he is deceased.
(C) Fee Schedule for Individual Trustee. For its services as Trustee,the individual
Trustees shall receive reasonable compensation for the services rendered and reimbursement for
reasonable expenses. provided,however,that the total annual amount of the Trustee fee to be
paid to such Trustees(regardless of number)shall not to exceed one and one-half percent 0 V2%)
of the fair market value of the Trust Estate,valued as of January 1 of each year,and a trustee
who is an attorney or accountant may receive a professional fee for services rendered,or a
trustee fee,but not both. David H.Kaufman may waive his share of the Trustee fee.
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(D) Fee'Schedule for CoWorate Trustee. For its services as Trustee,the corporate
_
Trustee shall receive an amount determined by its Standard Fee Schedule in effect and applicable
at the time of the performance of such services. If no such schedule shall be in effect at that
time,it shall be entitled to reasonable compensation for the services rendered.
(E) Change in Corporate Fiduciary-Method of Successor Selection. If any corporate
fiduciary hereunder is merged or combined into another corporation,then within sixty(60)days
after such merger or combination a successor or substitute corporate fiduciary(which shall be
some other bank or trust company qualified to do business in the State of the Settlor's domicile at
the time of the Settlor's death)may be named in a written instrument filed with the court having
jurisdiction over the Trust signed by Lee Schiller,or if Lee Schiller fails to act by Bridget A
Whitley, or if they fail to act,by the court having jurisdiction over this Trust If no successor is
named within the time specified,then the corporate successor resulting from the merger or
combination shall succeed to the capacity of its predecessor without conveyance or transfer.
(F) Trustee Voting Rights. If there is more than one Trustee serving,then the vote of
the Trustees for any action hereunder must be by unanimous vote of the Trustees. Provided,
however,that if only two Trustees shall be serving as co-Trustees,then the Trustees shall act
with unanimity on all actions,unless the co-Trustees shall have otherwise agreed in writing.
(G) Delegation Among Trustees- When there is more than one individual or entity
serving as Trustee,then any Trustee may delegate to any other Trustee the power to exercise any
or all of the powers granted to the Trustees in this Trust Agreement,including those powers,
which are discretionary,to the extent allowed by law. Any delegating Trustee may revoke any
such delegation with written notice to the other serving Trustees. The delegation of any such
power,as well as the revocation of any such delegation,shall be evidenced by an instrument in
writing signed by the delegating Trustee. As long as any such delegation is in effect,any of the
delegated powers may be exercised by the Trustee receiving such delegation with the same force
and effect as if the delegating Trustee had personally joined in the exercise of such power.
Provided,however,that if such Trustee,shall also be a current beneficiary and such delegation
shall be deemed to create in that Trustee a right that shall be deemed to be a general power of
appointment,then such individual Trustee shall not be vested with such right to delegate such
power.
(H) Limitations on Trustees_ No person who at any time is acting as Trustee
hereunder shall have any power or obligation to participate in any discretionary authority which
the Settlor has given to the Trustee to pay principal or income to such person,or for his or her
benefit or in relief of his or her legal obligations;provided,however,if an individual trustee
(who is also a beneficiary)is the sole trustee or at any time is acting as the sole trustee,and such
trustee has discretion to invade principal for himself or herself and such discretionary authority is
limited by an ascertainable standard,then such trustee may invade principal(if limited by such
standard)for himself or herself but not in relief of his or her legal obligations.
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) Trustee Removal and Replacement. During his life time,David H.Kaufman may,
at any time and from time to time,remove the then-serving Co-Trustee,provided that he
designates in a written instrument filed with the court having jurisdiction over the administration
of this Trust, some qualified person,including an attorney,accountant,trust company or bank
with trust powers,to serve as successor or substitute Co-Trustee.
4' ARTICLE VIII
Definition of Trustee. Whenever the word "Trustee"or any modifying or substituted
pronoun therefor is used in this Trust,such words and respective pronouns shall include both the
singular and the plural,the masculine,feminine and neuter gender thereof,and shall apply
equally to the Trustee.named herein and to any successor or substitute Trustee acting hereunder,
and such successor or substitute Trustee shall have 0 the rights,powers and duties,authority
and responsibility conferred upon the Trustee originally named herein.
ARTICLE IX
Powers for Trustee. The Trustee is authorized in its fiduciary discretion(which shall be
subject to the standard of reasonableness and good faith to all beneficiaries)with respect to any
property,real or personal,at any time held under any provision of this Trust Agreement and
without authorization by any court and in addition to any other rights,powers,authority and
privileges granted by any other provision of this Trust Agreement or by statute or general rules
of law:
(A) To retain in the form received any property or undivided interests in property
donated to,or otherwise acquired as a part of the Trust Estate,including residential property and
shares of the Trustee's own stock,regardless of any lack of diversification,risk or
nonproductiAty,as lung as it deems advisable,and to exchange any such security or property for
other securities or properties and to retain such items received in exchange,although such
property represents a large percentage of the total property of the Trust Estate or even the
entirety thereof
(B) To invest and reinvest all or any part of the Trust Estate in any property and
undivided interests in property,wherever located,including bonds,debentures,notes,secured or
unsecured,stocks of corporations regardless of class,interests in limited partnerships,limited
liability companies or similar entities,real estate or any interest in real estate whether or not
productive at the time of investment,interests in trusts,investment trusts,whether of the open
and/or closed fund types,and participation in common,collective or pooled trust funds of the
Trustee,insurance contracts on the life of any beneficiary or annuity contracts for any
beneficiary,without being limited by any statute or rule of law concerning investments by
fiduciaries.
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(C) To sell or dispose of or grant options to purchase any property,real or personal,
constituting a part of the Trust Estate,for cash or upon credit,to exchange any property of the
Trust Estate for other property,at such tunes and upon such term and conditions as it may deem
best,and no person dealing with it shall be bound to see to the application of any monies paid.
(D) , To hold any securities or other property in its own name as Trustee,in its own
-name,in the name of a nominee.(with or without disclosure of any fiduciary relationship)or in
bearer form.
(E) To keep,at any time and from time to time,all or any portion of the Trust Estate
in cash and uninvested for such period or periods of time as it may deem advisable,without
liability for any loss in income by reason thereof
(F) To sell or exercise stock subscription or conversion rights.
(G) To refrain from voting or to vote shares of stock which are a part of the Trust
Estate at shareholders'meetings'in person or by special,limited,or general proxy and in general
to exercise all the rights,powers and privileges of an owner in respect to any securities
constituting a part of the Trust Estate.
(H) To participate in any plan of reorganization or consolidation or merger involving
any company or companies whose stock or other securities sha.11.be part of the Trust Estate,and
to deposit such stock or other securities under any plan of reorganization or with any protective
committee and to delegate to such committee discretionary power with relation thereto,to pay a
proportionate part of the expenses of such committee and any assessments levied under any such
plan,to accept and retain new securities received by the Trustee pursuant to any such plan,to
exercise all conversion,subscription,voting and other rights,of whatsoever nature pertaining to
such property,and to pay any amount or amounts of money as it may deem advisable in
connection therewith.
(1) To borrow money and to encumber,mortgage or pledge any asset of the Trust
Estate for a term within or extending beyond the term of the uvst,in connection with the exercise
of any power vested in the Trustee.
(J) To enter for any purpose into a lease as lessor or lessee with or without option to
purchase or renew for a term within or extending beyond the term of the trust
(K) To subdivide,develop,or dedicate real property to public use or to make or obtain
the vacation of plats and adjust boundaries,to adjust differences in valuation on exchange or
partition by giving or receiving consideration,and to dedicate easements to public use without
consideration.
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(L) To make ordinary or extraordinary repairs or alterations in buildings or other
structures,to demolish any improvements,to raze existing or erect new party walls or buildings.
M To continue and operate any business owned by the Settlor at the Settlor's death
and to do any and all things deemed needful or appropriate by the Trustee,including the power
to incorporate the business and to put additional capital into the business,for such time as it shall
deem advisable,without liability for loss resulting from the continuance or operation of the
business except for its own negligence,and to close out,liquidate or sell the business at such
time and upon such terms as it shall deem best
(N) To collect,receive, and receipt for rents,issues,profits,and income of the Trust
Estate.
(0) To insure the assets of the Trust Estate against damage or loss and the Trustee
against liability with respect to third persons.
(P) In buying and selling assets,in lending and borrowing money,and in all other
transactions,irrespective of the occupancy by the same person of dual positions,to deal with
itself in its separate,or any fiduciary capacity.
(Q) To compromise,adjust,arbitrate,sue on or defend,abandon,or otherwise deal
with and settle claims in favor of or against the Trust Estate as the Trustee shall deem best.
(R) To employ and compensate agents,accountants,investment advisers,brokers,
attorneys-in fact,attorneys-at law,tax specialists,realtors,and other assistants and advisors
deemed by the Trustee needful for the proper administration of the Trust Estate,and to do so
without liability for any neglect,omission,misconduct,or default of any such agent or
professional representative provided such person was selected and retained with reasonable care.
(S) To determine what shall be fairly and equitably charged or credited to income and
what to principal.
(T) To hold and retain the principal of the Trust Estate undivided until actual division
shall become necessary in order to make distributions,to hold,manage,invest;and account for
the several shares or parts thereof by appropriate entries on the Trustee's books of account; and to
allocate to each share or part of share its proportionate part of all receipts and expenses;
provided,however,the carrying of several trusts as one shall not defer the vesting in title or in
possession of any share or part of share thereof.
(U) To make payment in cash or in kind,or partly in cash and partly in kind upon any
division or distribution of the Trust Estate(including the satisfaction of any pecuniary
distribution)without regard to the income tax basis of any specific property allocated to any
beneficiary and to value and appraise any asset and to distribute such asset in kind at its
Page 9
appraised value;and when dividing fractional interests in property among several beneficiaries to
allocate entire interests in some property to one beneficiary and entire interests in other property
to another beneficiary or beneficiaries.
(V) In general,to exercise all powers in the management of the Trust Estate which
any individual could exercise in his or her own right,upon such terms and conditions as it may
reasonably deem best,and to do all acts which itmay deem reasonably necessary or proper to
carry out the purposes of this Trust Agreement.
(W) To purchase property,real or personal,from the Settlor's general estate upon such
terms and conditions as to price and terms of payment as the Settlors personal representatives
and the Trustee shall agree,to hold the property so purchased as a part of the Trust Estate
although it may not qualify as an authorized trust investment except for this provision, and to
dispose of such property as and when the Trustee shall deem advisable.The fact that the Settlor's
personal representatives and the Trustee are the same shall in no way affect the validity of this
provision.
(X-) To lend funds to the Settlors general estate upon such terms and conditions as to
interest rates,maturities,and security as the Settlor's personal representatives and the Trustee
shall agree,the fact that they may be the same in no way affecting the validity of this provision.
(Y) To receive property bequeathed,devised or donated to the Trustee by the Settlor
or any other person;to receive the proceeds of any insurance policy which names the Trustee as
beneficiary-,to execute all necessary receipts and releases to Personal Representatives,donors,
insurance companies and other parties adding property to the Trust Estate
(Z) To combine assets of two or more trusts if the provisions and terms of each trust
are substantially identical,and to administer them as a single trust,if the Trustee reasonably
determines that the administration as a single trust is consistent with the Settlor's intent and
facilitates the trust's administration without defeating or impairing the interests of the
beneficiaries.
(AA) To divide any trust into separate shares or separate trusts or to create separate
trusts if the Trustee reasonably deems it appropriate and the division or creation is consistent
with the settioes intent;and facilitates the trust's administration without defeating or impairing
the interests of the beneficiaries.
(BB) To divide property in any trust being held hereunder with an inclusion ratio, as
defined in section 2642(a)(1)of the Internal Revenue Code of 1986,as from time to time
amended or under similar fixture legislation,of neither one nor zero into two separate trusts
representing two fractional shares of the property being divided,one to have an inclusion ratio of
one and the other to have an inclusion ratio of zero,to create trusts to receive property with an
inclusion ratio of either one or zero and if this cannot be done to refuse to accept property which
Page 10
does not have a matching inclusion ratio to the receiving trust's ratio,all as the Trustee in its sole
discretion deems best.
ARTICLE X
Provision for Trustee to Act as,Trustee for Beneficial Under Age Twenty-One. If any
share hereunder becomes distributable to a beneficiary who has not attained the age of Twenty-
one(21),such share shall immediately vest in the beneficiary,but notwithstanding e provisions
rovisions
herein,the Trustee shall retain possession of the share in trust for the beneficiary until the
beneficiary attains the age of Twenty-one(21),using so much of the net income and principal of
the share as the Trustee deems necessary to provide for the medical care,education,support and
maintenance in reasonable comfort of the beneficiary,taking into consideration to the extent the
Trustee deems advisable any other income or resources of the beneficiary or his or her parents
known to the Trustee. Any income not so paid or applied shall be accumulated and added to
principal. The beneficiarys share shall be paid over and distributed to the beneficiary upon
attaining age Twenty-one(21),or if he or she shall sooner die,to his or her personal
representatives.The Trustee shall have with respect to each share so retained all the powers
and
discretions it had with respect to the trusts created herein generally.
.7-
ARTICLE XI
Trustee's Discretion in Making Payments to a Person Under Age Twerity.-One,
Incompetent,or I—nc–apacitated Person- In case the income or principal payment under any trust
created hereunder or any share thereof shall become payable to a person under the age of
Twenty-one(21),or to a person under legal disability,or to a person not adjudicated
incompetent,but who,by reason of illness or mental or physical disability,is, in the opinion of
the Trustee unable properly to administer such amounts,then such amounts shall be paid out by
the Trustee in such of the following ways as the Trustee deems best:(1)directly to the
beneficiary;(2)to the legally appointed guardian of the beneficiary;(3)to some relative or friend
for the medical care,education,support and maintenance in reasonable comfort of the
beneficiary; (4)by the Trustee using such amounts directly for the beneficiary's care,support and
education;(5)to a custodian for the beneficiary under the Uniform Gifts or Transfers to Minors
Act
ARTICLE XII
Inclusion of Adopted Children. For purposes of this Trust,if a person,who at the time of
such legal adoption proceeding is commenced is then under the age of sixteen(16)years,has
been adopted,that person shall be considered a child of such adopting parent and such adopted
child and his or her issue shall be considered as issue of the adopting parent or parents and of
anyone who is by blood or adoption an ancestor of the adopting parent or either of the adopting
parents.
Page 11
ARTICLE X111
Simultaneous Death Provision Presuming Beneficiary Predeceases Settlor. If any
beneficiary and the Settlor should die under such circumstances as would make it doubtful
whether the beneficiary or the Settlor died first,then it shall be conclusively presumed for the
purposes of this Trust that the beneficiary predeceased the Settlor.
ARTICLE XrV
Spendthrift Provision. Except as otherwise provided herein,all payments of principal
and income payable,or to become payable,to the beneficiary of any trust created hereunder shall
not be subject to anticipation,assignment,pledge,sale or transfer in any manner,nor shall any
beneficiary have the power to anticipate or encumber such interest,nor shall such interest while
in the possession of the fiduciary hereunder,be liable for,or subject to,the debts,contracts,
obligations,liabilities or torts of any beneficiary.
ARTICLE XV
State Law to Govern. This Trust Agreement and the trusts created hereby shall be
construed,regulated and governed by and in accordance with the laws of the Commonwealth of
Pennsylvania
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ARTICIE XVI
Power of Court to Modify If by reason of any amendment to federal or
Pennsylvania law,or the issuance of applicable rules or regulations by administrative authorities,
including but not limited to tax authorities,or the decision of any court establishing new or
different principles of law applicable to this Trust Agreement,any of which occurring after the
effective date of this Trust Agreement the intentions of the Settlor and/or the purposes of this
Trust Agreement,as may be generally evident from other provisions of this Trust Agreement,
shall be defeated or seriously impaired,then the Trustee is directed to petition any court of
competent jurisdiction to reform this Trust Agreement in such manner as will most nearly
comply with the Setdor's intention and/or the purposes of this Trust Agreement Any such court
receiving such petition shall have authority to reform this Trust Agreement accordingly.
ARTICLE XVII
Discretion in Trustee to Terminate Small Trust and Distribute to Income BeneficiM If
at any time any trust created hereunder has a fair market value as determined by the Trustee of
Twenty-Five Thousand($25,000.00)Dollars or less,the Trustee,in its absolute discretion if it
determines that it is uneconomical to continue such trust,may terminate such trust and distribute,
the trust property to the person or persons then entitled to receive or have the benefit of the
income therefrom or the legal representative of such person. If there is more than one income
Page 12
beneficiary,the Trustee shall make such distribution to such income beneficiaries in the
proportion in which they are beneficiaries or if no proportion is designated in equal shares to
such beneficiaries.
Testimonium Clause. IN WITNESS WHEREOF,the Settlor and the Trustee have
executed this Trust Agreement.
EL .KA1%MAN-SCHILfEK DAVID H. KAUFMAN
SETTLOR INDIVIDUAL TRUSTEE
&-Avl- /K dk:JA
RID T M.WHITLE'Y
INDIVIDUAL TRUSTEE
WIT NE S:
Page 13
COMMONWEALTH OF PENNSYLVANIA
-'N MENT
COUNTY OF n�"-p 1+1 ) ACKNOWLEDGMENT
6
I. 1,a Notary Public,within and for the Commonwealth and County aforesaid,do hereby certify tat the
foregoing instrument of writing was this day produced to me in the above Commonwealth and County by Elaine J.
Kauftnan-Schiller,Settlor,party hereto and was executed and acknowledged by the Settlor to be the Settlof's free act
and voluntary deed.
,<
WITNESS my signature this day2012.
-m of PENNsYLVANM
Co4tMO,, r
Ur
Kiat Seat pub0c
bj�
3ej)ra L LOWn,"Otary
SO Dauphin Signature of Notary Public
ExFtrs OW(3f KatTLsburgi
M�IS
mL
June 11,2013
toy cam
COMMONWEALTH OF PENNSYLVANIA
ACKNOWLEDGMENT
COUNTY OF M&A-i emtr I
L a Notary Public,within and for the Commonwealth and County aforesaid,do hereby certify that the
foregoing instrument of writing was this day produced to me in the above Commonwealth and County by David H.
Kaufman,Trustee,party hereto and was executed and acknowledged to be his free act and voluntary deed.
WITNESS my signature this day of Mail 12012.
F W
Si "No 11 blit
YL
COMMONWEALTH OF PENNS r
ACKNOWLEDGMENT
COUNTY OF
'- 4
L a Notary Public,within and for the Commonwealth and County aforesaid,do hereby certify that the
foregoing instrument of writing was flus day produced to me in the above Commonwealth and County by Bridget
M.Whitley,Trustee,party hereto and was executed and acknowledged to be her free act and voluntary deed.
WITNESS mysignature this B-10 day of 2012.
tai%MWEALTH OF PENNSYLVANIA
NotuM sew Sigriat6re aff Notary Public
Debra L Loran,Notaq Public
City of fianisburg,Dauphin GDUntY
My dwmitsim a0m Tuna 11,2013
MEMBMIDEUNMAM ASSOCIATM OF MAIM
Page 14
SCHEDULE "A"
List of Assets
$1.00
Alz 0
Q,e
ELAINE .KA -SCHILLER
SETTLOR
fl�
DAVID H.KALYMAN
INDIVIDUAL'TRUSTEE
4c-4lvct - 4
�R GFa M.WHITLEY r
INDIVIDUAL TRUSTEE
Page 15
`-6
FIRSTAMENDMENT TO AMENDED AND RESTATED TRUSTAGREEMENT
Introductory Clause. This First Amendmept to the Amended and Restated Trust
Agreement made this t-A' day of , 2012, between Elaine J.
Kaufman-Schiller, hereinafter referred to as the Settlor, and David H. Kaufman and Bridget M.
Whitley,hereinafter referred to as the Trustee.
WHEREAS,the Settlor and the Trustee entered into the Edward R.Kaufman Trust Under
Agreement dated August 3,2005 (the"Trust Agreement"), and
WHEREAS,the Settlor and Trustee entered into an agreement dated May 3,2012, which
amended and restated the Trust Agreement,
WHEREAS,Article II of the Trust Agreement as amended and restated provided that the
Settlor reserved the right to amend in any manner or revoke in whole or in part the Trust
Agreement, and
WHEREAS, the Settlor is desirous of further modifying and amending the Trust
Agreement and the Trustee is agreeable to the modifications and amendments contained herein,
NOW,THEREFORE,IT IS AGREED:
FIRST
Amendment to Article. ARTICLE V is amended so that, after amendment,it will read as
follows:
ARTICLE V
Division and Distribution to Beneficiaries.Upon the termination of this Trust at the
expiration of the Trust tern,the following distributions shall be made:
(A) Distribution of Trust to Defined Beneficiaries. The Trustee shall distribute this
Trust,as follows:
(1) Any and all Retirement Accounts,together with the right to receive and
control the beneficiary designation of any such Retirement Accounts,shall be distributed
to David H. Kaufman,if living; otherwise to his issue,per stirpes;and if he has no issue,
then to Settlor's daughter-in-law,Mildred Lee Kaufman,provided she was married to the
Settlor's son,David H.Kaufman,at the time of his death.
(2) Any remaining principal and income shall be distributed as follows:
SKARLATOSZOMARICH LLC .First Amendment to Amended and Restated Trust Agreement
Aftomeys at Law Dated May 3,2012
Page 1 of 4
(a) The Trustee shall pay the sum of One Thousand Dollars($1,004)
annually for a period often(10)years to Jessica Kaufman. Should she not
survive until complete distribution of this annuity,the obligation to make such
payments shall lapse upon her death.
(b) The remaining principal and income remaining after the complete
payment or lapse of the annuity payment to Jessica Kaufman shall be distributed
to David Kaufman,if living;otherwise to his issue per stripes,and if David H.
Kaufman was not survived by issue,then
(i)Fifty percent(50%)to Settlor's daughter-iin law,Mildred Lee
Kaufman,provided she was married to the Settlor's son,David H.
Kaufinan,at the time of his death;and
(ii)Fifty percent(50%)(or all,if Mildred Lee Kaufman was not
married David H.Kaufman at the time of his death)to be divided and
distributed to such of the following individuals who are then-living.
Settlor's nephew,Howard Plattner; Settlor's niece,Arla Bowers; Settlor's
niece, Barbara Stephens?and Settlor's niece,Judy Azseleen. 1¢.S t.,
SECOND
Trust Agpm, ent shall Remain in Full Force and Effect. The Trust Agreement shall in all
other respects remain in full force and effect
Testimonium Clause. IN VMNESS WHEREOF, the Settlor and the Trustee have
executed this Second Amendment to Trust Agreement.
EL -SCHILLER., DAVID H.KA ,Trustee
Settlor
BRID4,7 M. WHITLE , Trustee
wmsmS
SKARLATOSZONARICH LLC FustAmendment toAmendedand Restated TrustAgmement
A#tomeys of Lav Dated Maya,202
Page 2 of 4
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF bAZj)01 IAI ss.
On this,the day of 2012,before me,a Notary Public,
the undersigned officer, personally appeared ELAINE J. KAUFMAN-SCHILLER,known to me
(or satisfactorily proven) to be the person whose name is subscribed to the within FIRST
AMENDMENT TO AMENDED AND RESTATED TRUST AGREEMENT,and acknowledged
that she executed the same for the purposes therein contained.
INWITNESS WHEREOF,I here-unto set my hand and official seal.
�Notary Public
CDMMONWEALTH OF PffiNSYLVX41A-
Notmw seal
Sham K.SWW,NoWy PWIc
aty of Hwrwmg,Dmom ommy
WCWwAWon&phwSept.6,2N6
SKARLATOSZONARICH LLC First Amendment to Amended and Restated Trust Agreement
AttomM at Law Bared May 3,2012
Page 3 of 4
COMMONWEALTH OF PENNSYLVANIA. }
} ss.
COUNTY OF _ }
On this,the day of C)C k ,2012,before me,a Notary Public,
the undersigned officer, personally appeared DAVID H. KAUFMAN, known to me (or
satisfactorily proven) to be the, person whose name is subscribed to the within-;FIRST
AMENDMENT TO AMENDED AND RESTATED TRUST AGREEMENT,and acknowledged
that.he executed the same for the purposes therein contained.
IN WITNESS WHEREOF;I hereunto set my hand and official seal_
Notary Pgffic
COMMONWEALTH OF PENNSYLVANIA ) EA44y
IA sal
M111/St'EWAAT
COUNTY OF�1.1�1/ill ss. o,Mob `Krsa�3CrKMV,wma Sep 2T,
On this,the / da of 2012,before me a No Public,
3t �Y
the undersigned officer, personally appeared BRiDGET M. WHITLEY, known to me (or
satisfactorily proven) to be the person whose name is subscribed to the within FIRST
AMENDMENT TO THE AMENDED AND RESTATED TRUST AGREEMENT and
acknowledged that she executed the same for the purposes therein.contained_
IN WITNESS WHEREOF,I hereunto set my hand and official seal_
Notary Public
C-OMMONWEALTHOFPEN--- ANL4_
Notarial Seal
Sharon K.Shaffer,Notary Public
City of Harrisburg,Dauphin Cmay
i�rhmtssserr ►� 6 2 16
IS
SKARLATOSZONARICH LLC First Amendment to Amended and Restated Trust Agreement
Attomays at taw Dated May 3,2012
Page 4 of4