HomeMy WebLinkAbout05-20-05
.
IN THE MATTER OF
THE TRUST OF CYNTHIA
LEE CRISPEN-MANGIARDI
D-I-O S-Ol/lot
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
RECEIPT, RELEASE, REFUNDING AND INDEMNITY AGREEMENT
CONCERNING TERMINATION OF THE CYNTHIA LEE CRISPEN-MANGIARDI"
TRUST UNDER AGREEMENT DATED NOVEMBER 2,1989
1f,..
THIS AGREEMENT, made this ~1 day of April 2005,
WITNESSETH:
r.)
THE CIRCUMSTANCES leading up to the execution of this Agreement are as follows~'
1. On November 2, 1989, James F. Crispen, MD., (the "Settlor"), established
an inter vivos funded life insurance trust (the "trust") by Trust Agreement with Heath L
Allen of Camp Hill, Cumberland, Pennsylvania, and Henry F. McKonly, Jr. of
Mechanicsburg, Cumberland County, Pennsylvania (the "Trustees"). An original of the
Trust Agreement is attached hereto as Exhibit "A".
2. Under the terms of Item First, Paragraph 7 of the Trust Agreement, upon
Cynthia Lee Crispen-Mangiardi attaining the age of forty-seventh (47) years, the Co-
Trustees were instructed to pay over and distribute to Beneficiary, absolutely and free of
all trusts, the assets and principal, together with any accumulated or undistributed
income, of the Trust
3. The Beneficiary was born on March 15, 1958 and accordingly attained the age
of forty-seven (47) on March 15,2005.
-1-
,
4. The Co-Trustees have administered the Trust for the benefit of the Beneficiary
in accordance with the terms of the Trust Agreement. As of November 26, 2004, the
assets of the Trust consisted of a $500,000 paid-up life insurance policy on the life of
the Settlor, with a total cash value of One Hundred Seventy-Two Thousand Two
Hundred Fifty-Four and 19/100 Dollars ($172,254.19). The Trust also contains Thirty-
Three Thousand (33,000) shares of Rite Aid Corporation stock (NYSE: RAD) valued at
$ 4.01 per share as of April 18, 2005. and Fourteen and 29/100 Dollars ($14.29) cash.
5. It is the desire of the Beneficiary that the Co-Trustees terminate the Trust in
accordance with Item First, Paragraph 7 by the distribution of the remaining assets,
principal and income of the Trust to the Beneficiary, and that such be done without the
formal approval by the Court of a petition to terminate the Trust pursuant to the
Pennsylvania Probate, Estates and Fiduciaries Code ~ 6102, 20 Pa.C.S.. ~ 6102.
6. In consideration of the indemnification and such other terms that are
hereinafter provided, the Co-Trustees are willing to terminate the Trust and to distribute
the assets, principal and income thereof as set forth below
NOW THEREFORE, in consideration of the foregoing and intending to be legally
bound hereby, the Beneficiary for herself, her heirs, personal representatives,
successors and assigns, does hereby agree as follows:
A. Statement of Accounts. The Beneficiary acknowledges receipt of copies of
the First and Final Account attached hereto as Exhibit "B", declares that she
has had the opportunity to review the Account and based upon an
examination (or on her decision not to make such an examination), she is
satisfied that she has sufficient information to make an informed waiver of her
right to a formal accounting with the Court, and does hereby waive the filing
and auditing of same.
-2-
B. Approval of Termination. The Beneficiary approves the termination of the
Trust and agrees to accept the assets, principal and income, list on Exhibit
"B" attached hereto and incorporated herein by reference, in full and
complete satisfaction of her interest in the Trust.
C. Receipt of Assets The Beneficiary acknowledges receipt of the asset,
principal and income of the Trust as indicated on Exhibit "B".
D. Releases. The Beneficiary, for herself, her heirs, personal
representatives, successors and assigns, hereby absolutely and
irrevocably remises, releases, quitclaims and forever discharges the
Co-Trustees (in their capacities as fiduciaries and in their individual
capacities) and each and every of the Co-Trustees' employees,
agents, attorneys, advisors and counselors, and their respective heirs,
personal representatives, successors and assigns, of and from any
and all actions, payments, accounts, reckonings, liabilities, claims and
demands relating in any way to the Co-Trustees' administration of the
Trust, including, but not limited to, the failure of the Co-Trustees' to file
an account of such administration with, and obtain the approval of, the
Court, and the termination of the Trust as provided herein.
E. Refunds. The Beneficiary, to the extent of the funds received by her
hereunder, covenants and agrees to refund upon demand by the Co-
Trustees all or any amount which may hereafter be determined by the
Co-Trustees or by the Court to have been erroneous or excess
distribution to her regardless of the cause of such erroneous
distribution, and agrees that any period of limitation of actions for the
collection of any erroneous distribution to her shall commence only at
such time as the Co-Trustees shall have obtained actual knowledge of
such erroneous distribution and that in no event shall the period for
collection of any erroneous distribution be less than two years after the
actual discovery thereof by the Co-Trustees.
F. Indemnifications. The Beneficiary agrees to indemnify and hold
harmless the Co-Trustees from and against any and all claims, loss,
liability or damage (whether or not related to the negligence of the Co-
Trustees) which they may suffer, or to which they may be subjected by
reason of their administration of the Trust based on the informal
accounting and not a formal accounting, and the distribution of the
assets, principal and income of the Trust without having the approval
of the Court.
-3-
G. Voluntarv Act. The Beneficiary agrees that this Agreement has been
freely and voluntarily executed, and that she has not relied on any
special inducement, promise, or representation other than those
representations set forth herein.
H. Riqht to Counsel The Beneficiary acknowledges that she understands
all of the terms and conditions of this Agreement, and that she has
been advised by legal counsel for the Co-Trustees that it may be in her
best interest to seek advice by legal counsel before executing this
Agreement, in order to fully understand the legal consequences of
such terms and conditions.
I. Consent to Jurisdiction The Beneficiary consents to the Court of Common
Pleas, Orphans' Court Division, Cumberland County, Pennsylvania,
exercising personal jurisdiction over her in any suit or action arising out of the
enforcement of this Agreement.
J. Governinq Law This Agreementshall be governed by the laws of the
Commonwealth of Pennsylvania.
IN WITNESS WHEREOF, the Beneficiary has set her hand and seal to the
Consents attached hereto, to be effective as of the date first above written.
-4-
IN THE MATTER OF
THE TRUST OF CYNTHIA
LEE CRSIPEN-MANGIARDI
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY.
PENNSYLVANIA
ORPHANS' COURT DIVISION
CONSENT TO RECEIPT, RELEASE, REFUNDING
AND INDEMNITY AGREEMENT CONCERNING
TERMINATION OF THE CYNTHIA LEE CRISPEN-MANGIARDI TRUST UNDER
AGREEMENT DATED November 2,1989
THE UNDERSIGNED, Cynthia ~Crisperb<Mangiardi. as a beneficiary of the
Agreement of Trust Agreement of James F. Crispen. MD, dated November 2. dated
November 2. 1989. hereby consents to and joins in the Receipt. Release. Refunding
and Indemnity Agreement Concerning Termination of the Cynthia Lee Crispen-
Mangiardi Trust, a copy which (including all exhibits thereto) has been provided to her.
foe the p"'po,e, e'prn~edlh"e;". C ___ _ _.....
ynthia ~Crispel1A'v1angiardi
STATE OF NEW YORK
SS.
COUNTY OF
On this, the '? ~ day Of~ .2005. before me, the undersigned
officer, personally appeareaCYNTH 'A ~CRISPEN>d'v1ANGIARDI, known to me (or
satisfactorily proven) to be the person whose name is subscribed to the within
instrument, and acknowledged that she executed the same as her free and voluntary
act for the purposes expressed therein.
IN WITNESS WHEREOF. I have hereunto se
MARTIN R. CRAMER
jIII.lTABY PUBLIC, STAT!! OF NEW YO;;'
No. 24.0792830
OaalWed.ln Xino. County
c.--f.........~.J4uch 30, teeS)
-fi-
-
THE CYNTHIA LEE CRISPEN-MANGIARDI TRUST
NOW, on JVO~~~&( ~, 1989, JAMES F. CRISPEN, M.D., of
Dauphin County, Pennsylvania, as Settlor, by this Agreement and
desiring to establish a Trust, hereby assigns to HEATH L. ALLEN,
of Camp Hill, Cumberland County, Pennsylvania, and HENRY F.
McKONLY, JR., of 22 Kensington Square, Mechanicsburg, Cumberland
County, Pennsylvania, as Co-Trustees, hereinafter referred to in
the singular neuter gender, the property described in Schedule A
to be held, together with such additional property as may be
transferred, devised or bequeathed hereto by Settlor or any other
person, upon the following terms of trust:
FIRST: DISPOSITIVE PROVISIONS
During the lifetime of Beneficiary:
1. Settlor's child, Cynthia Lee Crispen-Mangiardi,
(born: March 15, 1958) hereinafter referred to as "Beneficiary,"
during Beneficiary's lifetime, shall have the absolute right
(anything to the contrary appearing in Item THIRD hereof notwith-
standing), exercisable in Beneficiary's sole discretion, to
withdraw during each calendar year in which an addition or
additions are made to this Trust, an aggregate amount equal to
the lesser of the amount of the annual additions to this Trust up
to the date of such withdrawal or Ten Thousand Dollars ($10,000)
multiplied by the number of donors making addition(s) to this
Trust during such calendar year, and such right of withdrawal
shall be non-cumulative from year to year.
E'I \u:6~i
"A 1/
2. Trustee shall notify Beneficiary of any transfer
or other contribution to the Trust, and of the donor(s) thereof,
as soon as is practical after the contribution or transfer has
been made but not later than December 31 of the year in which the
contribution or transfer has been made.
3. All withdrawals shall be made by written demand
signed by Beneficiary and delivered to Trustee not more than
thirty (30) days after the date of Trustee's notification to
Beneficiary of any transfer or other contribution to the Trust.
withdrawals shall be paid by Trustee not more than sixty (60)
days after the date of such written demand. For purposes of this
special right of withdrawal, assets originally transferred to
this Trust shall be deemed to be an addition in the year in which
the transfer occurs.
4. Such rights of withdrawal shall constitute a first
charge against the principal of this Trust and during the contin-
uance of this Trust shall take precedence over all other dis-
tributions and all other beneficial interests hereunder.
5. In creating this power of withdrawal, it is the
intention of Settlor to create an annual non-cumulative power of
invasion which will qualify any transfer of property hereto as a
transfer of a present interest under section 2503(b) of the
Internal Revenue Code of 1986, as amended, and which will not be
treated as a release of such a power as that term is defined in
section 2514(e) of said Code.
-2-
6. Trustee shall pay to or apply for the benefit of
Beneficiary at such times as Trustee determines as much of the
net income and, if income shall be insufficient therefor, as much
of the principal, as Trustee, in its sole discretion both as to
income and principal, shall deem necessary for Beneficiary's
maintenance, support and education (including college and
graduate and professional studies); provided, however, that
before making any such payments of principal to Beneficiary,
Trustee shall take into account other property and income
available to Beneficiary, and in so doing the decision of Trustee
as to the amount of principal so used and the extent to which
other resources are considered shall be conclusive as to all
parties in interest. Any income not expended may be accumulated
and added to principal.
7. When Beneficiary attains the age of forty-seven
(47) years, Trustee shall pay over and distribute to Beneficiary,
absolutely and free of all trusts, such share or the then-
remaining principal, together with any accumulated or undis-
tributed income, of the Trust.
SECOND: DISPOSITIVE PROVISIONS UPON BENEFICIARY'S DEATH
In the event Beneficiary dies before Settlor, or in the
event that Beneficiary survives Settlor but dies before the
entire principal of the Trust has been withdrawn or distributed,
such share or the then-remaining principal, together with any
accumulated or undistributed income, of the Trust (as the case
may be) shall be distributed to or for the benefit of such person
-3-
or persons or corporation or corporations (including Bene-
ficiary's estate, Beneficiary's creditors or the creditors of
Beneficiary's estate) in such amounts or proportions and in such
lawful interests or estates, whether absolute or in trust, as
Beneficiary may direct by Beneficiary's Last Will, provided such
Last will contains a specific reference to this general power of
appointment, or in default of such appointment, or to the extent
it is not effectively exercised, then, to Beneficiary's estate.
THIRD: TERMINATION OF TRUSTS
1. Notwithstanding any other provisions hereof,
Trustee may, in its sole discretion, at any time after Settlor's
death, terminate any or all of the trusts created herein if the
amount thereof would make the continuing of said trust imprac-
tical. Upon such termination, Trustee shall pay the principal
and any accumulated or undistributed income of any such trust
share to the person or persons entitled to receive the income
therefrom in the proportions to which they were then entitled to
receive the income. If no such fixed proportions then exist
among beneficiaries, payment shall be made in equal shares, per
stirpes, among the persons to whom the income may then be paid,
and upon such termination the rights of all other persons who
might otherwise have interests as succeeding life tenants or
remaindermen shall cease.
2. Any and all trusts created herein shall terminate
in any event, and every final distribution or payment of the
principal of the trust estate shall be made, not later than
-4-
twenty-one (21) years after the death of the last to die of
Settlor's issue living on the date hereof, in the event that this
trust shall have not terminated previously in accordance with the
terms hereof. In the event of the termination of this trust as
provided for in this paragraph, Trustee shall pay over and
deliver the principal, together with any accumulated or undis-
tributed income, free and discharged of any trust, to the person
or persons then entitled to receive the income thereof in the
proportions to which he, she or they were then entitled to
receive the income.
FOURTH: MINORITY AND DISABILITY PROVISIONS
Unless otherwise provided for herein, any income or princi-
pal payable to any beneficiary who may be then a minor (for all
purposes of this Trust, a minor shall be deemed to be a person
who has not attained twenty-one (21) years of age) or, who may
then be, in the opinion of Trustee, mentally or physically
disabled, shall be held in a separate trust by Trustee during
such minority or disability unless the trust share is sooner
terminated as otherwise provided herein; said net income and/or
principal may be accumulated or expended for the maintenance,
support and education (including college and graduate and
professional studies) of such beneficiary, as Trustee, in its
sole discretion, may determine. Trustee, in the expenditure of
income and/or principal for such purposes, may, in its discre-
tion, apply the same directly without intervention of a guardian,
or pay the same to any person having care or control of said
-5-
beneficiary, or with whom the beneficiary resides, without the
duty on the part of Trustee to see to or inquire into the
application of the funds by any person to whom any payment is so
made. The balance of such income and/or principal shall be paid
to said beneficiary when the disability or minority ceases, or to
said beneficiary's estate in the event of death prior thereto.
FIFTH: PROTECTIVE PROVISION
All principal and income shall, until actual distribution to
a beneficiary, be free of the debts, contracts, alienations,
torts and anticipations of any beneficiary, and the same shall
not be liable to any levy, attachment, execution or sequestration
while in the possession of Trustee.
SIXTH: INSURANCE POLICIES
1. Trustee shall not be under any obligation to pay
premiums on insurance policies held hereunder, if any, and shall
have no responsibility to see that such policies are kept in
force.
2. No life insurance company shall be responsible to
see to the execution or performance of any trust created herein
or to the application of any insurance proceeds paid to any such
trust.
3. Trustee may, without incurring liability,
compromise and settle any questions relating to any insurance
policy upon such terms as it deems wise. Trustee need not
institute litigation to collect the proceeds of any policy unless
-6-
it is reasonably indemnified for costs, counsel fees and other
expenses of such litigation.
SEVENTH: POWERS OF TRUSTEE
In addition to the powers hereinbefore provided and those
given by law, Trustee, and any additional or successor Trustee,
without any order of court and in its sole discretion, may:
1. Hold and retain the property now or hereafter
comprising a part of this trust, for such length of time as in
its sole discretion it may deem wise, or sell any part thereof,
without liability of any kind by reason of such retention or sale
and invest and reinvest, alter, vary and change investments from
time to time, in such manner and in such property, real, personal
or otherwise, including any common or diversified trust funds
maintained by, or stock of, any bank or trust company or any
holding company or affiliate thereof, as Trustee may deem
prudent, without being confined to what are known as legal
investments under the laws of any state or jurisdiction and
without regard to whether such property (including but not
limited to Rite-Aid Corporation stock) does or does not represent
an overconcentration in one investment;
2. Repair, alter, improve or lease, for any period of
time (even for more than five (5) years) any property and give
options for leases;
3. Make distribution hereunder either in cash or in
kind or partly in each, and cause any share to be composed of
-7-
property different in kind from any other shares, without regard
to the basis of such property;
4. Purchase investments at a premium;
5. Vote in person, or by proxy, all stocks or other
securities held;
6. Exercise any rights or warrants to subscribe for
stocks or bonds or other allotments received by reason of
securities held, or sell them for such prices as it may deem
best;
7. Deposit, surrender or exchange stocks or pay any
assessments in connection with any reorganization or merger or
similar proceedings as it may deem best;
8. Exercise any option, right or privilege granted in
any insurance policy;
9. Sell any real or personal property at public or
private sale to any person or entity, or give options therefor
for cash or credit, without liability on the part of the pur-
chaser to see to the application of the purchase money; provided,
however, that no sale hereunder shall be made at a price less
than that which Trustee acting in good faith shall consider to
represent adequate and full consideration;
10. Borrow money from any source, including any
Trustee, mortgage or pledge any property;
11. After the death of Settlor, to merge any trust
created hereunder with any other trust or trusts created by
Settlor or by Settlor's spouse under will or trust, if the terms
-8-
of such trusts are then substantially similar and held for the
primary benefit of the same person;
12. Compromise claims;
13. Register securities in the name of a nominee in
such manner that title shall pass by delivery;
14. Employ attorneys, investment counsel, accountants
and agents in connection with the discharge of its duties, and
determine and pay to them reasonable compensation;
15. Pool the assets of all trusts created hereunder or
any of them for investment purposes, allocating to each trust an
undivided interest in all of the assets so held;
16. Add to the principal of any trust created here-
under any property received from any person by Deed, will or in
any other manner;
17. In the exercise of its discretion with respect to
the use of principal for any beneficiary, Trustee may take into
account other property and income available to such beneficiary;
in so doing, Trustee may conclusively rely on written represen-
tations made to it by such beneficiary, and the judgment of
Trustee as to the amount of principal so used and the extent to
which other resources are considered shall be conclusive as to
all parties in interest;
18. Anything herein to the contrary notwithstanding,
no individual Trustee hereunder shall make or participate in any
decision of Trustee required for the discretionary termination of
any trust hereunder or to authorize the discretionary payment of
-9-
income or principal in cases where such terminated trust or such
principal or income (as the case may be) would be distributable
to or for the benefit of himself, herself, or anyone such Trustee
is legally obligated to support;
19. Exercise all power, authority and discretion given
by this Trust after termination of any trust created herein until
the same is fully distributed;
20. Accept property or not, in Trustee's sole discre-
tion, by bequest or lifetime transfer from any person, estate or
trust, subject to the payment of, or liability for, state and/or
federal gift, estate, transfer, succession, inheritance or other
death taxes, including any interest or penalties thereon, and
sign any required consent or acknowledgement of liability for
such taxes and/or lien against such property;
21. Anything hereinbefore to the contrary notwith-
standing, Trustee shall not exercise any power, authority or
discretion if the exercise of such power, authority or discretion
would cause the assets of this trust to be included in the "gross
estate" of Settlor and/or Trustee, as such term is defined in the
Internal Revenue Code of 1986, as amended.
-10-
EIGHTH: APPOINTMENT OF ADDITIONAL AND SUCCESSOR TRUSTEES
1. If, during the term of this Trust, Heath L. Allen
shall be unable or unwilling to serve as an individual Co-
Trustee, then the law firm with which he is associated, or was
last associated shall designate an attorney residing in Cumber-
land County, Pennsylvania as his successor.
2. If, during the term of this Trust, Henry F.
McKonly, Jr. shall be unable or unwilling to serve as an indi-
vidual Co-Trustee, then the public accounting firm with which he
is associated, or was last associated, shall designate a cer-
tified public accountant as his successor.
3. At any time during the term of this Trust, the
then-serving individual Co-Trustees may designate a bank or trust
company with trust powers to serve with them, or with one of
them, or as sole Trustee. At all times prior to such designa-
tion, an attorney and a certified public accountant shall serve
as individual Co-Trustees so that two persons shall serve at all
times.
4. Any Trustee acting hereunder may resign at any
time without court approval, to become effective upon delivery to
any of the other then serving Trustees of a written instrument
signed by the resigning Trustee, or if there be no other Trustee
then serving then when filed with the clerk of the court having
jurisdiction of this Trust.
-11-
NINTH: WAIVER OF BOND
Settlor directs that Trustee and any alternates or succes-
sors thereto shall not be required to file a bond to secure the
faithful performance of the duties of their office in any
jurisdiction.
TENTH: IRREVOCABILITY
This Trust shall be irrevocable, and Settlor hereby ex-
pressly waives all rights and powers to alter, amend, revoke or
terminate the Trust or any of its terms in whole or in part.
Settlor hereby renounces any interest, either vested or contin-
gent, including any reversionary interest or possibility of
reverter, in the income or principal of this Trust.
ELEVENTH: SITUS
The situs of this Trust shall be Cumberland County, Pennsyl-
vania, and questions pertaining to the validity, construction and
administration of any trust hereunder shall be determined in
accordance with the laws of the Commonwealth of Pennsylvania.
TWELFTH: MISCELLANEOUS
1. Wherever the words "child," "children" or "issue"
are used in this instrument, they shall include those both
naturally born and legally adopted.
2. Throughout this Agreement of Trust, nouns,
pronouns and verbs shall be construed as masculine, feminine,
neuter, singular or plural, whichever shall be applicable.
3. Trustee, and any successors, shall receive
reasonable compensation for services rendered in such capacity.
-12-
IN WITNESS WHEREOF, the parties hereto have executed this
Agreement the day and year first above written.
WITNESS:
~~~tl I~. i~
/) 7
/-<, /1.
//'/ '
(~,( ll""L- (\,
~t'- /~~L-l""f/(SEAL)
~ ES/;F CRISPjN, M.D., Settlor
;JITrust e here~ accepts:
d'tlt / L. l<>'> ,'.-A______ (SEAL)
HEATH L. ALLEN, Trustee
!/
,/
,
. t .'
\ I..,. I' ,i ,: _.,
'-:::""-t-, 'IAvtt4!)
I ,
I (
/~
(SEAL)
Trustee
-13-
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF DAUPHIN
1 .I
On the CA",fj
day of ~ov. , 1989, before me, the subscriber,
a notary public in and for the Commonwealth of Pennsylvania,
personally appeared the above-named JAMES F. CRISPEN, M.D. and in
due form of law acknowledged the foregoing Agreement of Trust to
be his voluntary act and deed for the purposes expressed therein.
WITNESS my hand and notarial seal the day and year afore-
said.
hJCl\kMI'^-_ i' ,'.. ,'U. ,'.
Notary Public
NOTARIAL SEAL
KATHRYN C. HOLLINGER. Nolmy Public
Harr.isburg, DaulJllin County
My CommIssion Expire9: M~1(CIl 14 1991
--'-
-14-
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF DAUPHIN
On the ,:--\~,J day of J'.;o J. , 1989, before me, the subscriber,
a notary public in and for the Commonwealth of Pennsylvania,
personally appeared the above-named HEATH L. ALLEN, and in due
form of law acknowledged the foregoing Agreement of Trust to be
his voluntary act and deed for the purposes expressed therein.
WITNESS my hand and notarial seal the day and year afore-
said.
\. ;\ '<,j\".
i'___~,~ \,/ ,', ,', f
Notary Public
NOTAA"\L ;;:EJ\!.
KATHRYN C. HOLLINGER. Not.:1ry.Publ!c
Harrisuurg, OJup~lln C0unly
My Commission Expires March 14, 1991
-15-
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF DAUPHIN
On the )"'-i,l day of
~ I .
Ivcv, , 1989, before me, the subscrlber,
a notary public in and for the Commonwealth of Pennsylvania,
personally appeared the above-named HENRY F. McKONLY, JR., and in
due form of law acknowledged the foregoing Agreement of Trust to
be his voluntary act and deed for the purposes expressed therein.
WITNESS my hand and notarial seal the day and year afore-
said.
I ' 'I ' yl, \ I. ill ,I ',l',.I, "
',i _,.:. -'. 'J .1. _~ ."- ~ \. _ .
Notary Public
,',-. '-~
NOTARIAL SE>\L
KATHRYN C. HOLLINGER ;\!olary Public
I-hmisburg, DaUp!l!t"I Coun~y
My Commission Expires March 14, 1991
-16-
j
Item
1.
SCHEDULE A
Description
Value
8,250 shares Rite Aid Corporation
common @ 38\ per share
$317,625
COURT OF COMMON PLEAS OF, PA
ORPHANS' COURT DIVISION
FIRST AND FINAL ACCOUNTING OF
Heath L. Allen, Trustee
Henry F. McKonly, Jr., Trustee
For
Cynthia Lee Crispen TfU/ A
Start of Trust:
Date of Appointment:
Accounting for the Period:
November 02, 1989
November 02, 1989
November 02, 1989 to April 19, 2005
Purpose of Account: The above fiduciaries offer this account to acquaint interested parties with the
transactions that have occurred during their administration.
It is important that the account be carefully examined.
Requests for additional information, or questions, or objections,
can be discussed with:
Signatures:
, ~ 11. /I
Exhibit- [)
Cynthia Lee Crispen TIU/A
Summary of Account
Page
Receipts 2 $ 349,052.93
Receipts of Income 3 111,557.60
Net Gain on Sales or Other Dispositions 7 0.00
$ 460,610.53
Less Disbursements: 9
Administrative Expenses $ 522.62
Fees & Commissions 1,072.01
1 ,594.63
Balance Before Distributions $ 459,015.90
Less Distributions to Beneficiaries 11 0.93
Total Balance On Hand 12 $ 459,014.97
For Information:
Investments Made 13
Unpaid Expenses 23
Unrealized Gains and Losses 23
Page 1
(1)
Cynthia Lee Crispen T/U/A
Receipts
Cash and Cash Equivalents
2000 Cash gift to trust from
James F Crispen MD
Cash gift to trust
Jsmes F. Crispen - Initial
cash gift to Trust
Total Cash and Cash Equivalents
No. of
Shares
Stocks
8,250
$
Rite Aid Corporation
Total Stocks
Total INVENTORY
RECEIPTS SUBSEQUENT TO INVENTORY
08/15/1997
James F. Crispen - 1997 Cash
gift to Trust
$
10/10/2000
Northwestern Mutual Life
premium refund for paid-up
poley
Total RECEIPTS SUBSEQUENT TO INVENTORY
TRANSFERS FROM INCOME
08/20/2000
First Union National Bank -
Trust Checking Account
$
Total TRANSFERS FROM INCOME
Total Receipts of Principal
Page 1
(2)
Inventory Value
11/02/1989
$
1,996.62
4,992.56
22,923.53
$
Inventory Value
11/02/1989
317,625.00
$
1,500.00
14.29
0.93
$
29,912.71
317,625.00
347,537.71
1,514.29
0.93
349,052.93
Cynthia Lee Crispen T/U/A
Receipts of Income
Income Collected
First Union National Bank - Trust
Checking Account
01/02/1990 Interest
01/18/1990 Interest
02/15/1990 Interest
03/16/1990 Interest
04/13/1990 Interest
05/15/1990 Interest
06/19/1990 Interest
07/18/1990 Interest
08/17/1990 Interest
09/18/1990 Interest
10/18/1990 Interest
11/30/1990 Interest
12/14/1990 Interest
01/28/1991 Interest
02/28/1991 Interest
03/29/1991 Interest
04/30/1991 Interest
05/31/1991 Interest
06/28/1991 Interest
07/31/1991 Interest
08/30/1991 Interest
09/30/1991 Interest
10/31/1991 Interest
11/29/1991 Interest
12/31/1991 Interest
01/31/1992 Interest
02/28/1992 Interest
03/31/1992 Interest
04/30/1992 Interest
OS/29/1992 Interest
06/30/1992 Interest
07/31/1992 Interest
08/31/1992 Interest
09/30/1992 Interest
10/30/1992 Interest
11/30/1992 Interest
12/31/1992 Interest
01/29/1993 Interest
02/26/1993 Interest
03/31/1993 Interest
04/30/1993 Interest
OS/28/1993 Interest
06/30/1993 Interest
07/30/1993 Interest
08/31/1993 Interest
$
Page 1
(3)
0.67
4.42
4.59
7.14
9.09
16.47
13.73
6.83
11.45
6.67
6.16
9.87
6.61
1. 67
9.31
6.75
3.91
11. 90
0.41
0.41
10.19
6.07
6.85
15.74
11.01
10.22
14.57
6.75
6.90
11.28
3.92
4.24
8.25
1. 53
4.00
19.76
12.79
13.13
15.33
10.44
9.86
13.84
8.25
8.48
11.16
Receipts of Income (Continued)
First Union National Bank - Trust
Checking Account
09/30/1993 Interest
10/29/1993 Interest
11/30/1993 Interest
12/31/1993 Interest
01/31/1994 Interest
02/28/1994 Interest
03/31/1994 Interest
04/29/1994 Interest
05/31/1994 Interest
06/30/1994 Interest
07/29/1994 Interest
08/31/1994 Interest
09/30/1994 Interest
10/30/1994 Interest
10/31/1994 Interest
11/30/1994 Interest
01/31/1995 Interest
02/28/1995 Interest
03/31/1995 Interest
04/28/1995 Interest
05/31/1995 Interest
06/30/1995 Interest
07/31/1995 Interest
08/31/1995 Interest
09/29/1995 Interest
10/31/1995 Interest
11/30/1995 Interest
12/29/1995 Interest
01/31/1996 Interest
02/29/1996 Interest
03/29/1996 Interest
04/30/1996 Interest
05/31/1996 Interest
06/28/1996 Interest
07/31/1996 Interest
08/30/1996 Interest
09/30/1996 Interest
10/31/1996 Interest
11/29/1996 Interest
12/31/1996 Interest
01/31/1997 Interest
02/28/1997 Interest
03/31/1997 Interest
04/30/1997 Interest
05/30/1997 Interest
06/30/1997 Interest
07/31/1997 Interest
Page 2
$
(4)
6.71
7.56
10.80
9.65
5.93
9.10
5.40
4.96
7.00
3.23
3.52
6.69
2.36
2.93
2.90
6.77
2.94
6.60
1. 83
1. 40
4.32
0.87
0.90
5.59
1.73
2.81
7.24
2.27
2.55
7.52
4.47
2.23
5.71
2.06
2.13
6.11
1.77
1. 84
4.51
2.04
2.06
6.37
2.40
2.33
4.03
0.92
0.96
Receipts of Income (Continued)
First Union National Bank - Trust
Checking Account
08/29/1997 Interest $ 6.25
09/30/1997 Interest 3.71
10/31/1997 Interest 3.83
11/28/1997 Interest 6.45
12/31/1997 Interest 4.19
01/30/1998 Interest 4.20
02/27 /1998 Interest 7.03
03/31/1998 Interest 4.97
04/30/1998 Interest 4.82
OS/29/1998 Interest 8.11
06/30/1998 Interest 5.55
07/31/1998 Interest 5.75
08/31/1998 Interest 10.55
09/30/1998 Interest 6.32
10/30/1998 Interest 6.70
11/30/1998 Interest 10.04
12/31/1998 Interest 6.95
01/29/1999 Interest 6.52
02/26/1999 Interest 10.74
03/31/1999 Interest 8.17
04/30/1999 Interest 7.44
OS/28/1999 Interest 9.96
06/30/1999 Interest 9.33
07/30/1999 Interest 8.50
08/31/1999 Interest 13 .28
09/30/1999 Interest 9.55
10/29/1999 Interest 9.25
11/30/1999 Interest 14.57
12/31/1999 Interest 10.97
01/31/2000 Interest 10.96
02/29/2000 Interest 9.21
03/31/2000 Interest 6.31
04/28/2000 Interest 5.71
05/31/2000 Interest 5.53
06/30/2000 Interest 1. 61
07/31/2000 Interest 0.93
$ 842.60
Rite Aid Corporation
03/15/1990 Dividend payment $ 1,856.25
04/30/1990 Dividend payment 1,856.25
07/30/1990 Dividend payment 1,856.25
10/29/1990 Dividend payment 1,856.25
01/28/1991 Dividend payment 2,062.50
04/29/1991 Dividend payment 2,062.50
07/29/1991 Dividend payment 2,062.50
Page 3 (5)
Receipts ofIncome (Continued)
Rite Aid Corporation
10/28/1991 Dividend payment $ 2,062.50
01/27 /1992 Dividend payment 2,268.75
04/27/1992 Dividend payment 2,268.75
07/27 /1992 Dividend payment 2,268.75
10/26/1992 Dividend payment 2,268.75
01/25/1993 Dividend payment 2,475.00
04/26/1993 Dividend payment 2,475.00
07/26/1993 Dividend payment 2,475.00
10/25/1993 Dividend payment 2,475.00
01/24/1994 Dividend payment 2,475.00
04/25/1994 Dividend payment 2,475.00
07/25/1994 Dividend payment 2,475.00
10/24/1994 Dividend payment 2,475.00
01/23/1995 Dividend payment 2,805.00
05/01/1995 Dividend payment 2,805.00
07/31/1995 Dividend payment 2,805.00
10/30/1995 Dividend payment 2,805.00
01/29/1996 Dividend payment 3,052.50
04/29/1996 Dividend payment 3,052.50
07/29/1996 Dividend payment 3,052.50
10/28/1996 Dividend payment 3,052.50
11 /18 /1996 Redemption of rights @ 0.01 per 165.00
share
01/27 /1997 Dividend payment 3,300.00
04/28/1997 Dividend payment 3,300.00
07/28/1997 Dividend payment 3,300.00
10/27 /1997 Dividend payment 3,300.00
02/02/1998 Dividend payment 3,547.50
05/01/1998 Dividend payment 3,547.50
07/30/1998 Dividend payment 3,547.50
10/26/1998 Dividend payment 3,547.50
01/28/1999 Dividend payment 3,795.00
04/29/1999 Dividend payment 3,795.00
07/29/1999 Dividend payment 3,795.00
10/28/1999 Dividend payment 3,795.00
$ 110,715.00
Total Income Received $ 111,557.60
Page 4
(6)
Cynthia Lee Crispen T/U/A
Gains and Losses on Sales or Other Dispositions
Net Gain
Net Loss
11102/1989 Collection
Jsmes F. Crispen - Initial
cash gift to Trust
Deposit of initial gift to
Trust to checking account
Net Proceeds $
Carried at
22,923.53
22,923.53
12102/1989 Collection
Cash gift to trust
Net Proceeds
Carried at
$
4,992.56
4,992.56
05/17/1997 Collection
James F. Crispen - 1997 Cash
gift to Trust
Net Proceeds $
Carried at
1,500.00
1,500.00
08/20/2000 Sale
First Union National Bank -
Trust Checking Account
Final interest on 1st Union
checking account
Net Proceeds $
Carried at
0.93
0.93
09/20/2000 Collection
2000 Cash gift to trust from
James F Crispen MD
James F Crispen MD gift
Net Proceeds $
Carried at
1,996.62
1,996.62
10/10/2000 Collection
First Union National Bank -
Trust Checking Account
Net Proceeds $
Carried at
13.36
13.36
Page 1
(7)
Gains and Losses on Sales or Other Dispositions (Continued)
Net Gain
Net Loss
10/10/2000 Collection
First Union National Bank -
Trust Checking Account
Net Proceeds $ 0.93
Carried at 0.93
10/10/2000 Collection
Northwestern Mutual Life
premium refund for paid-up
poley
received refund of premium on
Northwestern Mutual paid-up
poliey
Net Proceeds $ 14.29
Carried at 14.29
Total Gains and Losses
No Gain or Loss
$
$
0.00 $
0.00
0.00
Page 2
(8)
Cynthia Lee Crispen T/U/A
Disbursements
Date Paid Amount Paid
Administration Expenses
Administration Expenses (Prin)
01/10/1990 Trust checking account - $ 8.10
check order
OS/20/1998 Trust checking account - 11.52
check order
Total Administration Expenses (Prin) $ 19.62
Income Taxes (Principal)
03/13/1991 Internal Revenue Service $ 439.00
- 1990 Form 1041
03/13/1991 PA Department of Revenue 64.00
- 1990 Form PA-41
Total Income Taxes (Principal) $ 503.00
Total Administration Expenses $ 522.62
Fees and Commissions
Fees and Commissions (Prin)
05/14/1997 Keefer Wood Allen & $ 128.63
Raha 1, LLP - attorneys'
disbursements
Total Fees and Commissions (Prin) $ 128.63
Fees and Commissions
05/14/1997 Keefer Wood Allen & $ 943.38
Rahal, LLP - attorneys'
fees for period 1/1/1996
through 3/31/1997
Total Fees and Commissions $ 943.38
$ 1,072.01
Page 1
(9)
Date Paid
Page 2
Disbursements (Continued)
Fees and Commissions
Total Fees and Commissions
Total Disbursements
Amount Paid
$
(10)
1 ,594.63
Cynthia Lee Crispen TIU/A
Distributions to Beneficiaries
Transfers
08/20/2000 Transfer From:
First Union National Bank -
Trust Checking Account
To:
First Union National Bank -
Trust Checking Account
Total Transfers
Total Distributions
Page 1
$
0.93
(11)
Distribution Value
$
0.93
$
0.93
No. of
Shares
33,000
Page 1
Cynthia Lee Crispen TIU/A
Balance On Hand
Valued as of April 19, 2005
Cash and Cash Equivalents
KWAR Escrow Account
Total Cash and Cash Equivalents
Stocks
Rite Aid Corporation
Total Stocks
Miscellaneous
$500,000 face value whole life
insurance policy. James F.
Crispen, the grantor of the
trust, is the insured.
Total Miscellaneous
Total Balance on Hand
(12)
Inventory Value
$
14.29
$
317,625.00
$
141,375.68
$
14.29
$
317,625.00
$
141,375.68
$
459,014.97
Cynthia Lee Crispen T/U/A
Information Schedules
New Investments
$500/000 face value whole life
insurance policy. James F.
Crispen, the grantor of the
trust, is the insured.
11/02/1989
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
12/20/1989
02/26/1990
OS/21/1990
08/21/1990
Inventory
Value
$
4,992.56
3,099.98
3,099.98
3,099.98
3,099.98
11/21/1990 Purchased 3,099.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
02/26/1991 Purchased 3,099.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
OS/22/1991 Purchased 3,099.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
08/20/1991 Purchased 3,099.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
11/19/1991 Purchased 3,099.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Page 1
(13)
Information Schedules (Continued)
New Investments
$500,000 face value whole life
insurance policy. James F.
Crispen, the grantor of the
trust, is the insured.
(Continued)
02/18/1992
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Premium on Northwestern
Mutual Life Insurance
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
05/19/1992
08/19/1992
11/19/1992
02/23/1993
OS/25/1993
08/17/1993
12/15/1993
02/21/1994
05/19/1994
Page 2
(14)
Inventory
Value
$
3,099.98
3,099.98
3,099.98
3,099.98
3,099.98
3,099.98
3,099.98
3,099.98
3,099.98
3,099.98
.
Information Schedules (Continued)
New Investments
$500,000 face value whole life
insurance policy. James F.
Crispen, the grantor of the
trust, is the insured.
(Continued)
08/23/1994
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
11/24/1994
02/22/1995
05/16/1995
08/16/1995
11/17/1995
02/23/1996
05/10/1996
08/22/1996
11/13/1996
Page 3
(15)
Inventory
Value
$
3,099,98
3,099.98
3,099.98
3,099.98
3,099.98
3,099.98
3,099.98
3,099.98
3,099.98
3,098.98
.
Information Schedules (Continued)
New Investments
Inventory
Value
$500,000 face value whole life
insurance policy. James F.
Crispen, the grantor of the
trust, is the insured.
(Continued)
02/18/1997
05/14/1997
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
$
3,098.98
3,098.98
08/18/1997 Purchased 3,098.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
11/12/1997 Purchased 3,098.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
02/20/1998 Purchased 3,098.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
05/13/1998 Purchased 3,098.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
08/18/1998 Purchased 3,098.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
11/16/1998 Purchased 3,098.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
02/12/1999 Purchased 3,098.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
05/10/1999 Purchased 3,098.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Page 4
(16)
.
.
Information Schedules (Continued)
New Investments
$500,000 face value whole life
insurance policy. James F.
Crispen, the grantor of the
trust, is the insured.
(Continued)
08/16/1999
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
preemium on Northwestern Life
Mutual policy
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
premium on life insurance
11/16/1999
02/14/2000
02/14/2000
05/17/2000
09/21/2000
Total New Investments
Exchanges and Stock Distributions
$500,000 face value whole life
insurance policy. James F.
Crispen, the grantor of the
trust, is the insured.
11/02/1989
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
12/20/1989
Page 5
(17)
Inventory
Value
$
3,098.98
3,098.98
970.99
2,127.99
3,098.98
3,098.98
$
141,375.68
Inventory
Value
$
4,992.56
3,099.98
.
.
Information Schedules (Continued)
Exchanges and Stock Distributions
$500,000 face value whole life
insurance policy. James F.
Crispen, the grantor of the
trust, is the insured.
(Continued)
02/26/1990
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
OS/21/1990
08/21/1990
11/21/1990
02/26/1991
OS/22/1991
08/20/1991
11/19/1991
02/18/1992
05/19/1992
Page 6
(18)
Inventory
Value
$
3,099.98
3,099.98
3,099.98
3,099.98
3,099.98
3,099.98
3,099.98
3,099.98
3,099.98
3,099.98
.
.
Information Schedules (Continued)
Exchanges and Stock Distributions
Inventory
Value
$500,000 face value whole life
insurance policy. James F.
Crispen, the grantor of the
trust, is the insured.
(Continued)
08/19/1992
11/19/1992
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
$
3,099.98
3,099.98
02/23/1993 Purchased 3,099.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
OS/25/1993 Purchased 3,099.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
08/17/1993 Purchased 3,099.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
12/15/1993 Purchased 3,099.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
02/21/1994 Purchased 3,099.98
Premium on Northwestern
Mutual Life Insurance
05/19/1994 Purchased 3,099.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
08/23/1994 Purchased 3,099.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
11/24/1994 Purchased 3,099.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Page 7
(19)
. .
Information Schedules (Continued)
Exchanges and Stock Distributions
$500,000 face value whole life
insurance policy. James F.
Crispen, the grantor of the
trust, is the insured.
(Continued)
02/22/1995
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
05/16/1995
08/16/1995
11/17/1995
02/23/1996
05/10/1996
08/22/1996
11/13/1996
02/18/1997
05/14/1997
Page 8
(20)
Inventory
Value
$
3,099.98
3,099.98
3,099.98
3,099.98
3,099.98
3,099.98
3,099.98
3,098.98
3,098.98
3,098.98
. .
Information Schedules (Continued)
Exchanges and Stock Distributions
$500,000 face value whole life
insurance policy. James F.
Crispen, the grantor of the
trust, is the insured.
(Continued)
08/18/1997
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
11/12/1997
02/20/1998
05/13/1998
08/18/1998
11/16/1998
02/12/1999
05/10/1999
08/16/1999
11/16/1999
Page 9
(21)
,
Inventory
Value
$
3,098.98
3,098.98
3,098.98
3,098.98
3,098.98
3,098.98
3,098.98
3,098.98
3,098.98
3,098.98
c
. .
Information Schedules (Continued)
Exchanges and Stock Distributions
Inventory
Value
$500,000 face value whole life
insurance policy. James F.
Crispen, the grantor of the
trust, is the insured.
(Continued)
02/14/2000
Purchased
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
$
970.99
02/14/2000 Purchased 2,127.99
Preemium on Northwestern Life
Mutual policy
05/17/2000 Purchased 3,098.98
Northwestern Mutual Life
Policy #11244311 - insurance
premium payment
09/21/2000 Purchased 3,098.98
premium on life insurance
On Hand $ 141,375.68
Rite Aid Corporation
11/02/1989 8,250 Shs. Received $ 317,625.00
07/08/1991 8,250 Shs. Received via split 0.00
2-for-l stock spl it
16,500 Shs. On Hand $ 317,625.00
02/02/1998 16,500 Shs. Received via split 0.00
2-for-l stock split
33,000 Shs. On Hand $ 317,625.00
Page 10
(22)
. - . ~ .
Cynthia Lee Crispen T/U/A
Unrealized Gains and Losses
Market Value Inventory Value Gain or (Loss)
$500,000 face value whole life $ 0.00 $ 30,762.39 $ (30,762.39)
insurance policy. James F.
Crispen, the grantor of the
trust, is the insured.
Rite Aid Corporation 0.00 317,625.00 (317,625.00)
33,000 Shares
$500,000 face value whole life 0.00 110,613.29 (110,613.29)
insurance policy. James F.
Crispen, the grantor of the
trust, is the insured.
Total Unrealized $ 0.00 $ 459,000.68 $ (459.000.68)
Page 1
(23)