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HomeMy WebLinkAbout01-1027 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT HATCH CRAIG A 1013 MUMMA ROAD SUTIE 100 LEMOYNE, PA 17043 -------- fold ESTATE INFORMATION: SSN: 172-01-8818 FILE NUMBER: 21 - 2001 - 1 027 DECEDENT NAME: KENNEDY ELLA MAE DA TE OF PAYMENT: 11/08/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 04/10/2001 NO. CD 000500 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $1,701.95 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: COMMUNITY TRUST CO C/O GRAIG A HATCH ESQUIRE CHECK# 7135 SEAL INITIALS: DO RECEIVED BY: $1,701.95 MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS \ ! 7 ~ /9- /--:B BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z8D6Dl HARRISBURG, PA 171Z8-D6Dl COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT~ ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 04-29-2002 KENNEDY 04-10-2001 21 01-1027 CUMBERLAND 101 '02 lii\Y -3 :2 1 CRAIG A HATCH ESQ GATES & ASSOCS 1013 MUMMA RD STE 10.;,::, LEMOYNE PA f)\.a.'iS,' n11 j-\; i *' REY-1547 EX AFP CUl-D!) ELLA M Allount Rellitted ) CHANGED ll) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 81.56 513.00 185,495.04 (8) MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE~ PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ R"E-Y-=is4,-ix-AFP--fo1-:oz1--Ncffici--oF-iNHiifiTANCE-"AX-APPRAisiirENT~--Ai:i-oWAN-CE-CrR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF KENNEDY ELLA M FILE NO. 21 01-1027 ACN 101 DATE 04-29-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts 14. Net Value of Estate Subject to Tax NOTE: If an assessment was issued previously, lines reflect figures that include the total of ALL ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: (9) llO) 5~791.56 .00 lll) (12) ll3) ll4) NOTE: To insure proper credit to your account~ subllit the upper portion of this forll with your tax paYllent. 186~089.6o 5.791 56 18o~298.o4 168~952.1o 11~346.3o 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. .00 .00 .00 1~701.95 1~701.95 ..." Tnc... ICC'-c~.... (+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-08-2001 CDo005oo .00 1~701.95 TOTAL TAX CREDIT 1~701.95 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 (Schedule J) . DO X DO = .00 X 045= . DO X 12 = 11,346.30 X 15 = ll9)= . IF PAID AFTER DATE INDICATED~ SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $l~ NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)~ YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) . r .~ REV-1500 EX + (6-00) - - OFFICIAL USE ONLY COMMONWEALTH OF PENNSYLVANIA REV-1500 DEPARTMENT OF REVENUE DEPT. 280601 INHERITANCE TAX RETURN FILE NUMBER HARRISBURG, PA 17128-0601 RESIDENT DECEDENT 21 2001 J D'dl COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Kermedy , Ella Mae 172-01-8818 DECE- DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE DENT 04/10/01 04/06/1911 WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER 3. Remainder Return CHECK ~ 1. Original Return r Supplemental Return B (date of death prior to 12-13-82) APPRO- 4. Limited Estate 4a. Future Interest Compromise 5. Federal Estate Tax Return Required (date of death atter 12-12-82) PRIATE 6. Decedent Died Testate 7. Decedent Maintained a Living Trust 00 8. Total Number of Safe Deposit Boxes (Attach copy of Will) (Attach a copy of Trust) BLOCKS 9. Litigation Proceeds Received 10. Spousal Poverty Credit (date of death between D 11. Election to tax under Sec. 9113(A) 12-31-91 and H-95) (Attach Sch 0) m$$tet@ijM9~igqQMP~P.A4WqQijjj$.PQ~_.QQijfljj#glAtj~J~fQjMAn0i$ijQij~imPtijl;mPIQ; NAME COMPLETE MAILING ADDRESS COR- Craig A. Hatch, Esquire 1013 Murrna Road, SUite 100 RE- FIRM NAME (If Applicable) Lem:Jyne , PA 17032 SPON DENT Gates & Associates, P.c. TELEPHONE NUMBER 717-731-9600 None OFFICIAL USE ONLY 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) None 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) None 4. Mortgages & Notes Receivable (Schedule D) (4) None 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 81.56 6. Jointly Owned Property (Schedule F) D Separate Billing Requested (6) 513.00 RECA- PITULA- 7. Inter-Vivos Transfers & Miscellaneous TION Non-Probate Property (Schedule G or L) (7) 185,495.04 8. Total Gross Assets (total Lines 1-7) (8) 186,089.60 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 5,791. 56 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) None 11. Total Deductions (total Lines 9 & 10) (11 ) 5,791. 56 12. Net Value of Estate (Line 8 minus Line 11) (12) 180,298.04 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax (13) 180,298.04 has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 0.00 SEE INSTRUCTIONS ON PAGE 2 FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0 (15) - TAX 16. Amount of Line 14 taxable at lineal rate 0.00 X .0 45 (16) 0.00 - COMPU- 17. Amount of Line 14 taxable at sibling rate 0.00 X .12 (17) 0.00 TATION 18. Amount of Line 14 taxable at collateral rate 11,346.30 X .15 (18) 1,701. 95 19. Tax Due (19) 1,701. 95 20. D Ip~KBtRl;ify'QijUI;8I$Qij~~A"sroijP'QfimQveRP#YMl$fttl \1 \~ ,'3 . ...........................................................................**.~l;..~ql'l~tOAN$WlUlAI$QUI$$:n$N$QNeA$~~ANPa~efll;OKMA1H@)>..........'.'."""" o PA15001 NTF 29755 Copyright 2000 Greatland/Nelco LP - Forms Sottware Only , f' Estate of: Ella Mae Kermedy 21-2001- stJM.1ARY OF ALLOCATIONS 'IO BENEFICIARIES Taxable at collateral rate Jill Peebles Jack Preston Janes & Pauline Kermedy Janes N. Coy John Kermedy Shirley A. Wright Ruth Miller Mary Wemtz ElnEr Coy, Jr. Virginia Pareroy Rebecca R. Hatch 1,083.33 1,083.33 1,083.33 1,083.33 1,083.33 1,083.33 1,083.33 1,083.33 1,083.33 1,083.33 513 .00 11,346.30 " PA REV-1500 EX (6-00) Page 2 Decedent's Complete Address: STREET ADDRESS Church of GOO. Hare 801 North Hanover Street CITY I STATE I ZIP Carlisle PA 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1 ) 1,701. 95 0.00 0.00 Total Credits (A + 8 + C) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty 0.00 0.00 Total Interest/Penalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. 8. Enter the total of Line 5 + SA. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; . , , . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . ~ I :: ~::::~ ~;e~~~~i~n:~:~~:r~s~:~ .S.h~~I.~~~ ~~~ ~~~~~~ ~r~~~~~r.r~~ .or,i~s. i~~~~~;. . . .' .' .' .. .. .. .. .. .' .. .. .. .. .. .. . . d. receive the promise for life of either payments, benefits or care? ."........................... 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ...........",........,............................ 0 ~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ~ 0 4, Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ",.,.,.................,...............,.,.."""...,. ~ 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perlury, 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 personal representative is based on information of which re arer has a knowled e, SIGN T E~OF PE N RE E F R FILlN RETURN DATE . cl Gt;V tJVt mbt/f ~ CJ2tJ() (3) 0.00 (4) (5) 1,701. 95 (SA) 0.00 (58) 1,701. 95 A 9ATE 'l/c:Jv ~ ~""'" e./' & r9t>o/ ADDRESS 1013 Murrrre. Road, SUite 100, l.emJyne, PA 17043 ..........................................................................................-.......-.................'.................................................................................. ,.....,..'...............................................................'............................................................................................................................. ................................................................................................................... ;:::;:;:::::::::::::::::;:;:::::;:::::;:::::::::::::::::;:;:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::;:;:::::::::::::::::::::::::::::::::::::::::;:::::::::::::::::::: ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ::::::::::::::::::::::::::::::::::::::::::::::::;::::::::::::::::::::::::::::::::::::::::::.:.:.:........ Fordates..ofdeatii.ohor.afteiJijiy....i;..1994ahd.before Jaii~a;y.l:i995;;iieia~..;ate.j~posedoh;heiiet~ai~e.~.i;aiisjers.ioor.io;.tiie~se.0f.iiies~Ni~iiig.spo~seis..3%....". [72 P.S. ~ 9116 (a) (1.1) (i)l For dates of death on or after January 1, 1995, the tax rate is imposed on the net value of transfers to or forthe use of the surviving spouse is 0"" [72 P.S. ~ 9116 (a) (1.1) (ii)]. The statute does not exemot 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 twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. ~9116(a)(1.2)]. The tax rate imposed on the net value oltransfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72.P.S. ~ 9116(1.2) [72 P.S. %9116(a)(1)]. The tax rate imposed on the net value of transfers to orforthe use olthe decedent's siblings is 12% [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. o PA15002 NTF 29756 Copyright 2000 Greatiand/Nelco LP - Forms Software Only " Estate of: Ella Mae Kennedy The following person (s) are signing the retUTIl as representative (s) of the estate: Carmunity Trust CaIpaIly, Trustee 3907 Market Street Carrp Hill, PA 17011 21-2001- r' REV-150B EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Ella Mae Kermedy SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21-2001- Include proceeds of litigation & date proceeds were received by the estate. All prop. Jointly-owned with right of survivorship must be disclosed on Sch. F. ITEM VALUE AT NO. DESCRIPTION DATE OF DEATH 1 Zi..mrErman-Auer F\meral Hare, Inc. - OVeIpayrren.t of funeral bill (see attached) 81.56 7 CPA81 NTF 10908 Copyright Forms Software Only, 1997 Nelco, Inc. TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 81.56 i REV-1509 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Ella Mae Kermedy SCHEDULE F JOINTL V-OWNED PROPERTY FILE NUMBER 21-2001- If an asset was made Joint within one year of the decedent's date of death, It must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME A Rebecca R. Hatch ADDRESS 424 Country Side Drive Ephrata, PA 17522-9628 RELATIONSHIP TO DECEDENT Collateral JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH Include name of financial institution and bank ITEM FOR MADE account number or similar identifying number. DATE OF DEATH DECD'S VALUE OF JOINT NO. TENANT JOINT Attach deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1 A 04/1997 Allfirst Bank 1,026.00 50.00% 513 . 00 Checking Account Acct. No. 00720-9416-7 TOTAL (Also enter on line 6, Recapitulation) $ 513 . 00 7 CPA91 NTF 10909 (If more space is needed, insert additional sheets of the same size) Copyright Forms Software Only, 1997 Nelco, Inc. .. REV-1510 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Ella Ma.e K.ermedy SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER 21-2001- This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NO. DESCRIPTION OF PROPERTY INCLUDE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECO & DATE OF TRANSFER. ATTACH COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF EXCLUSION DECO'S (IF INTEREST APPLICABLE) TAXABLE VALUE 1 On March 8, 1997, Ella Mae K.ermedy, by and through her attomey-in-fact, Rebecca R. Hatch, created Th.e K.ermedy Family (Irrevocable) Trust with herself as Settlor and Pennsylvania Fiduciary and Estate Services, Inc., n/k/a Ccmnunity Trust Canpany, as Trustee. Th.e follCMing is a surrrnaIY of the assets held by the Trust as valued on date of death. Th.e Trustee's periodic report is attached as an exhibit of the follCMing: 0.00 2 2,807.177 shares of Federated Incare Trust Fund #36; date of death average $10.29 per share. 28,885.85 3 2,624.68 shares of Federated U.S. Gove:r11IleIlt Securities 1-3 Year Fund #9; date of death average $10.55 per share. 27,656.80 4 2,858.042 shares of Federated Intennediate Incare Fund #303; date of death average $9.91 per share. 23,323.20 5 2,451.067 shares of Federated Managed Conservative GrCMth Portfolio Fund #357; date of death average $10.33 per share. 25,319.52 6 1,032.388 shares of Federated Managed IVbderate GrCMth Portfolio Fund #360; date of death average $11.17 per share. 11,531. 77 7 13,814.52 shares of Federated Governrrent Obligations Fund #395; date of death average $1.00 per share. 13,814.52 Total fran continuation paqe (s) 54,963.38 7 CPA01 NTF 10910 TOTAL (Also enter on line 7, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 185,495.04 Copyright Forms Software Only. 1997 Nelco. Inc. Estate of: Ella Mae Kennedy Page 2 21-2001- SCHEDULE G -- Inter-Vivos Transfers and Non-Probate Property Item No. Description 8 40 shares of MetLife, Inc., carm::m. stock; date of death average $29.95 per share. 9 f'lbrtgage Note on 28 North 28th Street, Harrisburg, Dauphin COllllty, Pennsylvania. 10 Carrrerce Bank. Checking AcCOllllt % Of Date of Death Deed IS Value of Asset Interest Exclusion Taxable Value 1,198.00 39,950.86 13,814.52 'IDI7U... (Carry forward to rrain schedule) . . . . . . 54,963.38 REV-1511 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Ella Mae Kermedy SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-2001- Debts of decedent must be reported on Schedule I. ITEM NO. DESCRIPTION A. FUNERAL EXPENSES: AMOUNT 1 zi.:rrrnennan -Aller Ftm.eral Hare, Ine . - fillleral goods and services (see attached) 1,766.56 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN No. of Personal Representative(s) Street Address City State 0.00 Zip Year(s) Commission Paid: 2. 3. Attorney Fees Narre: Gates & Associates, P. C . 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 4,000.00 0.00 4. Probate Fees 25.00 5. Accountant's Fees 0.00 6. Tax Return Preparer's Fees 0.00 None TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 5,791.56 7 CPA11 NTF 10911 Copyright Forms Software Only. 1997 Nelco. Inc. REV-1513 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER Ella Mae Kermedv 21-2001- RELATIONSHIP TO DECEDENT AMOUNT OR No. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not LIst Trustee(s) SHARE OF ESTATE I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) See Schedule attached ENTER DOLLAR AMTS. FOR DISTRIBS. SHOWN ABOVE ON LINES 15 THROUGH 17 AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE None B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS See Schedule attached Total fran continuation page (8) 180,298.04 TOTAL OF PART 11-- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 180,298.04 7 CPA13 NTF 10913 Copyright Forms Software Only, 1997 Nelco, Inc. (If more space is needed, insert additional sheets of the same size) Page 2 Estate of: Ella Mae Kennedy 21-2001- SCHEDULE J, Part 1 - - Taxable Distributions Item No. Narre and Address of Beneficiary Relationship Arrount 1 Jill Peebles P. o. Box 285 Chester, WV 26034 Collateral 1,083.33 2 Jack Preston 38642 Kunick Road Centerville, PA 16404 Collateral 1,083.33 3 Jarres & Pauline Kennedy 57 Poplar Place Ft. Myers, FL 33908 Collateral 1,083.33 4 Jarres N. Cay 540 Malmtain Road DillSburg, PA 17019 Collateral 1,083.33 5 Jolm Kennedy 566 Mill Road Annville, PA 17003 Collateral 1,083.33 6 Shirley A. Wright 801 Elizabeth Avenue Dauphin, PA 17018 7 Ruth Miller R. D. # 2 Box 2236 Dtmcannon, PA 17020 Collateral 1,083.33 Collateral 1,083.33 8 Mary Wemtz 8160 Evelyn Street Humrnelstown, PA 17036 Collateral 1,083.33 9 Elrrer Cay, Jr. 3706 Yale Way lDngrront, CO 80503 Collateral 1,083.33 10 Virginia Pc:treray 1421 Hillside Drive Los Lunas, NM 84031-9004 Collateral 1,083.33 11 Rebecca R. Hatch 424 Country Side Drive Ephrata, PA 17522-9628 Collateral 513 . 00 ~ Page 2 Estate of: Ella Mae Kermedy 21-2001- SCHEDULE J, Part 2 Charitable and GavernIIEI1tal Distributions Item No. Description Arrount 1 In Trust for Penbrook Church of God Camumity Trust Carpany, Trustee 3907 Market Street Camp Hill, PA 17011 178,131.38 2 Central Pennsylvania Literacy COilllcil, Inc. P. o. Box 60690 Harrisburg, PA 17106 1,083.33 3 Aurora Club 2114 North 3rd Street Harrisburg, PA 17110 1,083.33 'IOI7U... (Cany forward to main schedule) . . . . . . 180,298.04 DEATH CERTIFICATE .,,"""" "\,, .,,' h This is to cenitV that the information here given is correctly copied fro~ an original certificate of death dul~ filed wit LpcaJ Rq.isrr:u. The original certifIcate will be forwarded to the State Vital Records Office for permanent filmg. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 p 7296303 No, me as ~/7(~ Local Registrar APR 1 2 Z001 Date >3 Rey. 2187 COMMONWEALTH Of PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH NAME OF DECEOENT IFltSl, Middle. l_' ,. SEX 2, Female Ella Mae Kennedy UNDER , D~ -1"1nut.. IIlRTHl'I.Aa IC",,,,,, Stale or fCteq1 Co,nryJ Pl.ACE 01= DEATH fCf\edc 0I'lty oroe - ift If"IIIruct.ons on other _t OTHER: _ 0 E~_ 0 lXlo\ 0 ::::=v IXl oa... ~ i~Iy)U AGE tL_ 8lt1hOav) uNDER 1 YEAR -..... 0... YIO. 5. 90 COUNTY OF llERH ... Cumberland Ie. Carlisle Church of God Home DECEDENT'S USUAl OCCUIWlOH (~work~~C:::::z&~ . 11.. Bookkee er 11b. DECEDENT'S .....UNG ADOAESS (So... CIyfTown. Sla. z.o ~I 801 North Hanover Street Carlisle, PA 17013 WAS DECEDENT EIlER IN U.S. ARMED FOACES1 .....0 NolXl Retail DECEDENT'S ACTUAl RESIDENCE !See .............. on 0ChtN Stde) '2. 17.. Slate STAtE Fllf NUWllEA SOCIAl SECURITY NUMBER :L 172 - 01 - 8818 DAlE Of DEATH ,MCI'IItt. 0..... ....., .. April 10, 2001 RACE. Arnencan an.cun, 8Iack.. WMe ~ l~ ,& White SURVIVING SPOUSE ,,~. ~ ",**,NIT'lI' IolARlTAI.SWUS._ ---, -~ Widow CoIovo (1..<<$.., 2 14. '1c;o ....__.. ,.. FRMER'S NAMe Chll. MIdGIe. US) 'lb. DId - M... Cumberland _1 11..0 :.::::.-.:::.. MOTHER'S NAIoIE (F... _. _Sur......, ~ Carlisle Lewis Ma nard Rebecca R. Hatch ,.. _.....51...0 April 16, ZOOl LICENSE NUMBER FD013376-L 110. ...... 24-28 mull. blt c:omcMted by . .......no pranounc:ee..... 2:Ia. \WE OF DERH ORE PRONOUNCED llEAO(_. Dov. ~ A,.~. _.. Anri 1 ! 0, ?(I(l1 6:50 27. PART I: Ent... IN di....... inturies Of" compIlIealo-. wNch caused the dIi.th. 00 noI .,..,lhe modi 01 dying, such u c.rcNC 01 r....MOfY ."MI. shock or hdIt taU.. lill 0tt1It one c:.auM on MCh.... _"UCAUSE (F.... ~OI conddlQl1 '~"'0NIh)..--.... '*'-............. ....._10_ QUW. Enw UNDERLY.-G -(O..-........V I\M..... ....,.. r-....no '" dIMIh) LAST l: DUE 10 (OR AS A CONSEOUENCE 0fI: WOSAHAUlOPSY PERFORMED? WERE AUTOPSY FtNOINGS _LAlIl.E PRIOA 10 COMPLEllOH OF CAuse:: OF DERH1 ......NER OF DEATH DATE OF INJURV I......... Coy. _ o o o TIllE OF UoUUI!Y Burrell ...n .... ,_. '-- : onMI and.... I I I PART.: 00Il0r...,......._~1O_."'" .... rnuIJng in the undertying cauM giwtft in PART I. D~~k~ n.~ Q/v.-/-L- INJURY R WOAI<7 DESCRIBE HOW INJURY OCCUIlAED. -..... P_~l"" Coukt_ bedel~ o o o PLACE OIFINJUAY. AI holM. ........... loICIOrf.omc. Y. -..-- *. ........ _.. ,.. 0 NoD v.. 0 NoD -... 2aL .... CERTIflER CCheck on., onel "CERTIFYIMQ PMYSIQAH (Physo,in Ceftlytng QuW 011 dt'aU't wh., anoIher DhvllCoan nas pronounc.ecJ de.d'l ana c~ n.n 23) To the beMo,,,,, iIuIow~. ..111 oc:c......,.... 10"" C.Uae(.)..nd mannllr ................................................. ..0.......... ... '..ROHOUNQHQ ANOClRTIFYIHO PHYSICIAN CPhys.oan both O)IonouoclOQ ..,..Ih .,-.cIcen"ytnOlOc.luu 01 de..",) To"""'" of my Iutowtedgll, ...... OC:CUf'red ..IIM...... d.e.... and p4K..........\O \MI c.u....).nd manner.. ....ed .MEDIC"L EX..MINER/CORONER On Itte baaJa 01 e..min.llon andltw inv..lIga.ion, in my opinion, d...h occ;:urred .t.'" time. da.e, and place. and due to the c....(.) and ......ner.. .tated.. .. . . .. .. . . . . ., .. . .. . ..... .. . . . ..... . . " ... .. ........... .. . . . .. . . . .......................... ..... Jt.. AEGI 33. ~t-4/I~1 ,.. 0 NoD LOCATlONlSlo_.~._ o SIGNATURE AHD mLE o 34. LAST WILL AND TESTAMENT OF ELLA MAE KENNEDY :~';.~~~~f- :'~:"~';2i0,1~.~~~;~1t;!!~1:~~~ . ;f;'; MC;;NEES, WALt:;:riel!& NURICK "UJ(?:t> 10~.:.~:~stl~!~~';";;':, ' . ',:"HARRISBURG. PA'I7i 08 WILL OF ELLA MAE KENNEDY I, Ella Mae Kennedy, of Dauphin County, Pennsylvania, declare this to be my will and hereby revoke all prior wills and codicils made by me. 1. Specific Bequests. I bequeath to the Central Pennsylvania Literary Council, Inc., located at Market Square Presbyterian Church, any and all of my books which the Council deems useful to carry out its programs. I direct that all the rest of my property, of whatsoever kind and wheresoever situated, be sold and the amount of One Thousand Dollars ($1,000.00) be paid to each of those of the following individuals or couples, as the case may be, who survive me: (a) Mrs. Jill Peebles, 626 West Walnut Street, Titusville, Pennsylvania 16354. (b) Mr. Jack Preston, R.D. 2, Centerville, Pennsylvania 16404. (c) Mr. and Mrs. James (Pauline) Kennedy, Rt. 24, 57 Poplar, Ft. Myers, Florida 33908, or to the survivor of them. (d) Mr. James N. Coy, 540 Mountain Road, Dillsburg, Pennsylvania 17019. (e) Mr. John Kennedy, R.D. 2, Annville, Pennsylvania 17003. (f) Mrs. Shirley Hartman, 2208 Kensington Street, Harrisburg, Pennsylvania 17104. (g) Mr. William Dailey, Paxton Street Home, 2201 Paxton Street, Harrisburg, Pennsylvania 17111. (h) Mrs. Ruth Miller, R.D. 2, Duncannon, Pennsylvania 17020. ~;.J , ... J (i) Mrs. Mary Werntz, 8160 Evelyn street, Hummelstown, Pennsylvania 18354. HI Mr-s~ Haric.1I P'ieldl.ng, 611 Central-TowQJ:.fl_L_T1-t,uBville, \) 'I c... -c: c,- <.::: e...l Penn8y~vania~~54. \ (k) Mr. Elmer D. Coy, Jr., Jonestown, Pennsylvania 17038. (1) Mrs. Virginia Pomeroy, Centerville, Pennsylvania 16404. (m) Central Pennsylvania Literary Council, Inc., Market Square Presbyterian Church, Harrisburg, Pennsylvania 17103. (n) Aurora Club, 2114 North Third Street, Harrisburg, Pennsylvania 17110. 2. Residue. I bequeath, devise, and appoint all the rest of my property, of whatever nature and wherever situated, including property over which I hold a power of appointment, to Penbrook Church of God, presently located at 2735 Canby Street, Penbrook, Pennsylvania, or if not then in existence, to the successor Church of God for the geographical area of Penbrook. This bequest may be used for any purpose so designated by the governing board of said Church. 3. Survival. If any beneficiary should die within sixty (60) days after me, then he shall be deemed to have predeceased me for all purposes of this will. 4. Spendthrift Clause. No interest of any beneficiary hereunde~ shall be subject to anticipation, pledge, assignment, sale or transfer in any manner, nor shall any beneficiary have power in any manner to charge or encumber his interest, nor shall the interest of any beneficiary be liable or subject in any manner while in the possession of my fiduciaries for any - 2 - r:..,~ ,.'^......'... !'~Jl'~ ~."!...I ~: \ , liability of such beneficiary, whether such liability arises from his debts, contracts, torts, or other engagements of any type. -, 5. Facility of Payment for Minors or Incompetents. Any amounts or assets which are payable or distributable to a minor or incompetent hereunder may, at the discretion of my fiduciaries, be paid or distributed to the parent or guardian of such minor or incompetent, to the person with whom such minor or incompetent resides, or directly to such minor or incompetent, or may be applied for the use or benefit of such minor or incompetent. 6. Powers. In addition to such other powers and duties as may be granted elsewhere herein or which may be granted by law, my fiduciaries hereunder shall have the following powers and duties, without the necessity of notice to or consent of any court: (a) To retain all or any part of my property, real or personal, in the form in which it may be held at the time of its receipt, including any closely held business in which I have an interest and the stock of any corporate fiduciary hereunder, as long as in the exercise of their discretion it may be advisable so to do, notwithstanding that said property may not be of a character authorized by law. (b) To invest and r~; n'tTt?~t=.~~P f~nc:::; hc;ld. jlt:L.euncier , . J.n any property, real or personal, including, but not by way of limitation, bonds, preferred stocks, common stocks and other securities of domestic or foreign corporations or investment trusts, mortgages or mortgage participations, mutual funds with or without sales or redemption charges, and common trust funds, even though such property would not be considered appropriate or legal for a fiduciary apart from this provision. - 3 - ~' . I:~l '.(, '........'...'....... ":-:, . " ;..-.~, (c) To sell, convey, exchange, partition, give options to buy or lease upon, or otherwise dispose of any property, real or personal, at ~he time held by them, at public or private sale or otherwise, for cash or other consideration or on credit, and upon such terms and for such price as they may determine, and to convey such property free of all trusts. (d) To borrow money from any person, including any fiduciary hereunder, for any purpose in connection with the administration hereof, to execute promissory notes or other obligations for amounts so borrowed, to secure the payments of such amounts by mortgages or pledges of any property, real or personal, which may be held hereunder. (e) To make loans, secured or unsecured, in such amounts, upon such terms, at such rates of interest, and to such persons, firms, or corporations as they may deem advisable. (f) To renew or extend the time for payment of any obligation, secured or unsecured, payable to or by them as fiduciaries, for as long a period or periods of time and on such terms, as they may determine, and to adjust, settle, and arbitrate claims or demands in favor of or against them. (g) In dividing or distributing any property, real or personal, included herein, to divide or distribute in cash, in kind, or partly in cash and partly in kind. (h) Without limitation of powers elsewhere granted therein, to hold, manage and develop any real estate which may be held by them at any time, to mortgage any such property in such amounts and on such ....-.-.-.." terms as they may deem advisable, to lease any such property for such - 4 - term or terms and upon such conditions and rentals as they may deem advisable, whether or not the term of any such lease shall exceed the partod permltted by law or the probable period of retention under this instrument; to make repairs, replacements and improvements, structural or otherwise, in connection with any such property, to abandon any such property which they may deem to be worthless or not of sufficient value to warrant keeping or protecting, and to permit any such property to be lost by tax sale or any other proceedings. (i) To employ such brokers, banks, custodians, investment counsel, attorneys, and other agents, and to delegate to them such duties, rights and powers as they may determine, and for such periods as they think fit. (j) To register any securities at any time in their own names, in their names as fiduciary, or in the names of nominees, with or without indicating the trust character of the securities so reglstered. (k) With respect to any securities forming a part of the trust, to vote upon any proposition or election at any meeting of the corporation issuing such securities, and to grant proxies, discretionary or otherwise, to vote at any such meeting; to join or become a party to any reorganization, readjustment, merger, voting trust, consolidation or exchange, and to deposit any such securities with any committee, depository, trustee or otherwise, and to payout of the assets held hereunder, any fees, expenses and assessments incurred in connection therewith, to exercise conversion, subscription or other rights, and to receive or hold any new securities issued as a result of any such reorganization, readjustment, merger, voting trust, consolidation, - 5 - ~ , e~change or exercise of conversion, subscription or other rights and generally to take all action with respect to any such securities as could be taken by the absolute owner thereof. (1) To exercise all elections which they may have with respect to income, gift, estate, inheritance and other taxes, including without limitation execution of joint income tax returns, election to deduct expenses in computing one tax or another, election to split gifts, and election to payor to defer payment of any tax, in all events without their being bound to require contribution from any other person. (m) To operate, own, or develop any business or property held hereunder in any form, including without limitation sole proprietorship, limited or general partnership, corporation, association, tenancy in common, condominium, or any other, whether or not they have restricted or no management rights, as they in their discretion think best. 7. Taxes. I direct that all estate, inheritance, and succession taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, other than generation-skipping taxes, shall be paid out of the principal ot my general estat~ tv Lilt::: t:icilLlto ",[[.act as , .c ...... said taxes were expenses of administration; provided, however, that my executor(B) may in the discretion of my executor(s) request that any portion or all of Baid taxes (to be paid out of the principal of my general estate) shall instead be paid out of the principal of any trust established by me, to the extent expressly authorized under the terms of said trust. 8. Fiduciaries. I appoint as executor hereunder the partner of McNees, Wallace & Nurick designated by its Management Committee. No individual shall be liable for the acts, omissions or defaults of any agent - 6 - - ",,\' :'~ '"..'. ' .,..-' "-' I - ~ appointed and retained with due care or of any co-fiduciary. No fiduciary n~~ed herein shall be required to furnish bond or other security for the proper performance of his duties hereunder. 9. Gender. Unless the context indicates otherwise, any use of masculine gender herein shall also include the feminine gender. IN WITNESS WHEREOF, I, ELLA MAE KENNEDY, herewith set my hand to this, my last Will, typewritten on eight (8) sheets of paper including the self-proving attestation clause and signatures of witnesses, this:;?Jd day of _VprPI7//Y:>f/-, 1990. /~;;{ /Jla e I!e /7 /7 Pill Mae Kennedy (SEAL) WITNESSED: /1/ Rc l)(~ (-I. ~ s,*- /-s ! /,~/ Yaler/€. o. l{Lwsor> !-~/ {ldro/ /J. /{o//PJ1!7t1r {)tr~ residing at 1'77'(" ('/1 a //J(-s 6L.rC) J /9/1 residing at f!a 0/1 S- !/}f);'Cj , 10 r~ ~ residing at f1clin(O I-I//~ //9 COMM0!-!':JEAr.Tii 0~' PENNSYLVANIA S5: COUNTY OF DAUPHIN Ella Mae Kennedy, (the testatrix), I?o bPI;" {). S;k.'/s I/alf>f Ie Dr 1(1 wson and (la I C I /). X6p/-YJ Oha)f r (the witnesses), whose names are signed to the foregoing instrument, being first duly sworn, each hereby declares to the undersigned authority that the testatrix signed and executed the instrument as her last will in the presence of the witnesses and that she had signed willingly, and that she executed it as her free and - 7 - ';'"~':I voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the will as witness and that to the best of his knowledge the testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. WITNESS: TESTATRIX: jS / Roh(Jr+ D, Slet-'; / I . " J (~I / I/J1 1./ j l')j (-IIt'1 (/(af' 1'Ct!/taet7tf/ IEYla Mae Kennedy WITNESS: WITNESS: 11?/lIa/f'?/ ;(' D. / a ti' S ()J? /./ ,/I~( I oj I). 10 f-'?;t?P/) /lel)~ r . Subscribed, sworn to and acknowledged before me by Ella Mae Kennedy, the testatrix, and subscribed and sworn to before me by Jit'bff l J). Ski) &ro/ 1/ A~ff{-'f)haLfI, the witnesses, this 31'dday of , VO-Io'-;'e j) LOlliSOI), and ])'Pc~mbe(, 1990. Is) ,j iL d ," Hl I I (). fu o,d SfrGni Notary Public (SEAL) My Commission Expires: THE KENNEDY FAMILY TRUST -and- DISCLAIMERS OF POWER OF APPOINTMENT LAW OFFICES OF GATES St ASSOCIATES, P.C. 1013 MUMMA ROAD. SUITE 100. LEMOYNE, PENNSYLVANIA 17043 (717) 731-9600. FAX: (717) 731-9627 BRANCH OFFICE: 3 WEST MONUMENT SQUARE. SUITE 3C~ LEWISTOWN, PA 17044 (717) 248-6909 WEB SITE: www.GatesLawFirm.com LOWELL R. GATES Also Admrtted to Massachusetts Bar MARK E HALBRUNER Also Admitted to New Jersey Bar CRAIG A. HATCH CORY J. SNOOK ALBERT N. PETERLlN Also Admitted to Maryland Bar November 1,2001 Penbrook Church of God 2733 Canby Street Harrisburg, P A 17103 The Kennedy Family Trust Community Trust Company, Trustee 3907 Market Street Camp Hill, PA 17011 Pennsylvania Department of Revenue Bureau of Individual Taxes Inheritance Tax Division Department 280601 Harrisburg, PA 17128-0601 RE: The Kennedy Family Trust dated March 8, 1997 Dear Interested Parties: By this letter, I hereby indicate and affirm that since Ella Mae Kennedy passed away on April 10, 2001, I have not and will not exercise the General Power of Appointment under Paragraph 4.04 of The Kennedy Family Trust. By my signature, I further irrevocably waive and r'I;"f'l~;rn ~n" nnee;}'lp fllMJTP nnT\nrtlln;hr tn PVPTf';c!P tnp npnPT~l PI"I'~TPr nf A T\T\n;Tltrnpnt rrT~ntpr'I _______h_ --J r------- ------ -rr--------J -- -.------- ---- ------- - -.. -- -- - -rr----------- 0------ under the Trust. Sincerely, ./ ---- ..--:; ,.- /'" /// ~/,4C0 -- Craig A. Hatch NOV-02'Ol FRl :1:19 GATES & ASSOCIATES P.C. FAX NO. 7319627 P.02 Rebecca R J (ateh 424 Country Sid" nri\',,-~ Hphl'ftta. P A 17522 Nov~mber I, 2001 Pen brook Church \}f God 2733 Canby S1H:c:t Hnnisburg. PA J 7103 The Kcnnc:dy Family Trust (\lmmunity Trust Company, Trustce' 3907 Market Street / Camp Hill, PA 17011 Pcnn~ylvania Department of RC\'eT\uC BurCiiu of Il1djvid~MI Taxes Jnhel1tance Tax Division Department 280M) I 1If11Tisbtlrg. PA 1712S-0601 RE: Tht K~nnedy Family Trust dated Marcb 8,1997 lknr Jntcl'(;:J1cd Parties, By this letter. I hereby indiCRte and affirm tllat since EUa Mac Kennedy passed away {)ll Aplll 10. 200 I. ) hano: not and will not exercise the GeoeJ'al Power 0f Appointment unuc:r I~nra!;\mph 4,04 of The Kennedy Fatuil\' Trust By my si!(,na:ure. 1 funhel' in'evocahly WlUve <lod dwc\aic." imy pl)uibli rllture (Jp~<JliIm1tv to exercilie the General Power of Appointment granted unuer the Trust ~~~~ Rebecca A. Hatch . r)~i , . . 'll'; . l' . ~ . z::. ..~j. I r ,..}. {!~I ' ,~ l!.l '1; 'hi' IiI ~.:ii: .' .:' ~j. . r ' : f) l .': ~': ,1s:,j '\-;1 , i,"J ~~:, r~:j 'i';-;' : ~ ,'t'!- '. :J'q ~' ',., 1 .:.. li ' ~\~;'; ; ,"'''-j'' ~ : I ~~ ; . . ~ \.\: J I;; !-, :.j , " .:.: ;: ~ t J ~t-;. ~;.'! ~ ~ ., ; . ,: -:.} ~ ~' : ' ~ , , ,:,~: \ , ,t i,i:! ~ i, ".,l. 'I . z:,; I~ ~'" ~: .' j i';~:'l ; r \-'\ 1','ij , ~' :; ~ ~ ~: ' .( , r 9.J:'; r 7X~ ;'~ .' "l' '1;~~L . f,'ji;~.. f ,..1 I:, ;',! \' .. ~ ,', ,'r:i+ " lii\f1-1 " 1 ,y~- . : t....:.'.t'..:.:..L4 , ' '" \ \ " t::q t,.~j q i.'" .,r-,;i l,j 'j;- ,\~ : 'it.,. '" , I, J~, ' 1,."fS:' ")'~.'i'. "'.' l~" ..a' , "VitJ'. .rti;L: i{"'~~"l : ~t,..:.. .~!~" ~>~~' ~i;.n 'll', ',~.J ~' :'."" .:ri," 'h';tJ ~" ,?'t l'M-, 10 3Si\td H8.L\tH \t883e3Cl LZ8L-1U-L1L 0l:pl 100l/l0/11 THE KENNEDY FAMILY TRUST THIS TRUST AGREEMENT is executed in triplicate on this 8th day of March, 1997, by and between ELLA MAE KENNEDY, now of 28 North 28th Street, Harrisburg, Pennsylvania 17103, by and through her Attorney-in-Fact, REBECCA R. HATCH, now of 393 Irvin Hill Road, McVey town, Pennsylvania 17051 (hereinafter called "Settlor") and PENNSYLVANIA FIDUCIARY AND ESTATE SERVICES, Inc., now of 1013 Mumma Road, Suite 202, Lemoyne, Pennsylvania 17043 (hereinafter called "Trustee" or "Trustees"). ARTICLE I. TRUST ESTATE 1.01. Initial Principal. Settlor, desiring to establish an irrevocable trust, does hereby irrevocably transfer, assign and deliver to the Trustee, and its successors and assigns the assets listed on Schedule A, attached hereto and made a part hereof. As further evidence of such assignment, the Settlor has executed or will execute or cause to be executed such other instruments as may be required for the purposes of completing the assignment or transfer of title to such property to the Trustee. The Trustee accepts such transfer and assignment to itself as Trustee, and undertakes to hold, manage, invest and reinvest the assets of this Trust, and to distribute the income and principal of the Trust in accordance with the provisions of this Agreement. 1.02. Additional Principal. The Settlor and any other person or persons, with the consent of the Trustee, shall have the right at any time to make additions to the corpus of this Trust or any share thereof hereby established. All such additions shall be held, governed, and distributed by the Trustee in accordance with the terms and conditions of this Agreement'. AK~~C~E II. IRREVOCABILITY-OF ~Ru5~ 2.01. Irrevocabili tv. Settlor has been advised of the consequences of an irrevocable trust and hereby declares that this Trust shall be irrevocable and shall not be altered, amended, revoked, or terminated by Settlor or any other person or persons. ARTICLE III. LIFE INSURANCE POLICIES 3.01. General Provisions. If any insurance policies are transferred into this Trust, the Trustee shall be vested with all right, title, and interest in and to the transferred policies of insurance, and is authorized and empowered to exercise and enjoy, for the purposes of the Trust herein created and as absolute owners of such policies of insurance, all the options, benefits, rights and privileges under such policies, including the right to borrow upon and to pledge them for a loan or loans. The Trustee takes all rights, title, and interest in and to the above-stated insurance policies subject to any prior split-dollar life insurance agreement and assignments, which may be in effect at the time of transfer. The insurance companies which have issued policies are hereby authorized and directed to recognize the Trustee as absolute owner of such policies of insurance and as fully entitled to all options, rights , privileges, and interests under such policies, and any receipts, releases, and other instruments executed by the Trustee in connection with such policies shall be binding upon all persons interested in this Trust. The Settlor hereby relinquishes all rights, title, interest and powers in such policies of insurance which Settlor may own and which rights, title, interest and powers are not assignable, and will, at the request of the Trustee, execute all other instruments reasonably required to effectuate this relinquishment. 3.02. Payment of Premiums. The Trustee shall be under no obligation to pay the premiums which may become due and payable under the provisions of any policy of insurance which may be transferred or assigned to this Trust, or to make certain that such premiums are paid by the transferor of such policy, or to notify any persons of the nonpaYment of such premiums, and the Trustee shall be under no responsibility or liability of any kind in case such premiums are not paid, except the Trustee shall apply any di vidends received on such policies to the paYment of premiums thereon. Upon notice at any time during the continuance of this Trust that the premiums due upon such policies are in default, or that premiums which will become due will not be paid, either by the transferor or by any other person, the Trustee, within its sole discretion, may apply any cash values attributable to such policy to the purchase of paid-up insurance or of extended insurance, or may borrow upon such policy for the paYment of premiums due thereon, or may accept the cash values of such policy upon the policy's forfeiture. In the event that the Trustee receives the cash value of such policy upon its forfeiture for nonpaYment of premiums, the amount received shall be added to the l.:uqJu::; UL Lill::; Trust, and shall be administered according to the terms of this Agreement. If the insured under such policies of insurance, becomes totally and permanently disabled within the meaning of any policies and because thereof the payment of premiums, or any of them, shall during the pendency of such disability, be waived, the Trustee, upon receipt of such knowledge, shall promptly notify the insurance company which has issued such policies, and shall take any and all steps necessary to make such waiver of premium provision effective. 2 3.03. Duties of Trustees With Reqard to Life Insurance Policies. The Trustee shall be under no obligation or duty whatever except with respect to the safekeeping of such policies of insurance and the duty to receive such sums as may be paid to it, in accordance with the requirements of this Trust, by the companies issuing such policies, and to hold, manage and disburse such proceeds subject to the terms of this Agreement. Upon the death of the insured, the Trustee shall make reasonable efforts to carry out the provisions of this Agreement, including the maintenance or defense of any suit, provided, however, the Trustee shall be under no duty to maintain or enter into any litigation unless its expenses, including counsel fees and costs, have been advanced or guaranteed in an amount and in a manner reasonably satisfactory to the Trustee. The Trustee may repay any advances made by it or reimburse itself for any such fees and costs from any corpus or income of this Trust. ARTICLE IV. TRUST DISTRIBUTIONS 4.01. Trust Principal. The entire corpus of this Trust, including the assets initially transferred to this Trust, subsequent additions to this Trust, and the proceeds of any sale, exchange or investment of such Trust assets, shall be used for the purposes herein contained. 4.02. Income Distribution. During the Settlor's lifetime, the Trustee shall distribute all of the net income of the trust to, or for the benefit of, ELLA MAE KENNEDY. The Trustee shall make no distributions of principal to ELLA MAE KENNEDY. 4.03. Principal Distributions. Upon the death of the Settlor, the Trust shall terminate. Upon termination, the remaining trust estate shall be distributed as follows: (A) The Trustee shall distribute $ 1,000.00 to each of the following named individuals, couples, or institutions ($ 1,000.00 distribution to each below enumerated paragraph) : i. Mrs. Jill Peebles, 626 West Walnut Street, Ticusville-, Pennsylvania 1.6354. ii. Mr. Jack Preston, Pennsylvania 16404. R.D. 2, Centerville, , " -, iii. Mr. and Mrs. James (Pauline) Kennedy, Rt. 24, 57 Poplar, Ft. Myers, Florida 33908, or to the survivor of them. iv. Mr. James N. Coy, 540 Mountain Road, Dillsburg, Pennsylvania 17019. 3 v. Mr. John Pennsylvania 17003. Kennedy, R.D. 2, Annville, vi. Mrs. Shirley Hartman, 2208 Kensington Street, Harrisburg, Pennsylvania 17104. vii. Mr. William Dailey, Paxton Street Horne, 2201 Paxton Street, Harrisburg, Pennsylvania 17111. viii. Mrs. Ruth Pennsylvania 17020. Miller, R.D. Duncannon, ix. Mrs. Mary Werntz, 8160 Humrnelstown, Pennsylvania 18354. Evelyn Street, x. 17038. Mr. Elmer D. Coy, Jr., Jonestown, Pennsylvania xi. Mrs. Virginia Pennsylvania 16404. Pomeroy, Centerville, xii. Central Pennsylvania Literacy Council, Inc., Market Square Presbyterian Church, Harrisburg, Pennsylvania 17103. xiii. Aurora Club, 2114 North Harrisburg, Pennsylvania 17110. Third Street, If and in the event that any individual named in this subsection 4.03 (A) predeceases the Settlor, that predeceased individual's share shall be divided equally into as many shares as there are surviving named individuals, couples, or institutions in this subsection 4.03 (A). The Trustee shall then distribute the respective shares from the predeceased individual to the surviving named individuals, couples, or institutions in this subsection 4.03 (A) . (B) The remaining Trust estate shall be held IN FURTHER TRUST for the benefit of the PENBROOK CHURCH OF GOD, currently located at 2735 Canby Stn:~ei.., PeuuLuu:i\., Peu.u~ylvci.11ici, UL ..1..1. .110i... i...lll:::.1J. .L.11 existence, to the successor CHURCH OF GOD for the geographical area of Penbrook, in the county of Dauphin, Pennsylvania. The Trustee shall make annual distributions of all the income from this further Trust to the PENBROOK CHURCH OF GOD in the name of ELLA HAE KENNEDY for any purpose at the discretion of its governing body. 4.04. General Power of ADDointment. Settlor's friend, REBECCA R. HATCH, is hereby granted the general power to appoint some or all of the principal of this Trust to herself, her estate, her creditors, the creditors of her estate, in such proportions and 4 upon such terms (in trust, outright gifts, or in any other manner) as she deems advisable. This power shall only be exercised upon the written and joint agreement of Settlor's friend, REBECCA R. HATCH, and Settlor's attorney, LOWELL R. GATES. In the event that either of Settlor's friend, REBECCA R. HATCH, or Settlor's Attorney, LOWELL R. GATES, should predecease the Settlor or become incapacitated prior to the Settlor's death, then the Settlor's attorney, CRAIG A. HATCH, shall be granted, respectively, either the general power of appointment held by Settlor's friend, REBECCA R. HATCH, or the power of agreement to allow exercise of the power of appointment held by Settlor's attorney, LOWELL R. GATES, according to the terms hereunder. If Settlor's friend or attorneys fail, either in whole or in part, to exercise this general power of appointment herein granted, the unappointed principal shall continue in trust and shall be administered according to the terms of this Trust. 4.05. Broad Special Power of Appointment. ELLA MAE KENNEDY is hereby granted the special power to appoint, at any time and from time to time, the principal of this Trust, in whole or in part, and in any manner and in such proportions as she deems advisable to whomever she desires. This power shall be exercisable by her Will, specifically referring to this special power of appointment in this paragraph 4.05 of this Trust. This special power of appointment does not grant to ELLA MAE KENNEDY the power to appoint the principal of this trust to herself, her estate, her creditors, or the creditors of her estate. If ELLA MAE KENNEDY fails, either in whole or in part, to exercise this special power of appointment herein granted, the unappointed principal shall continue in trust and shall be administered according to the terms of this trust. ARTICLE V. POWERS OF Trustee 5.01. General Powers. In addition to such other powers and duties as may have been granted elsewhere in this Trust, but subject to any limitations contained elsewhere in this Trust, the Trustee shall have the following powers and duties: A. ln tne management, care and disposition of t:i:1il::) lI.Ul::)L, cue Trustee shall have the power to do all things and to execute such deeds, instruments, and other documents as may be deemed necessary and proper, including the following powers, all of which may be exercised without order of or report to any court: (1) To sell, exchange, or otherwise dispose of any property, real, personal or mixed, wheresoever located, at any time held or acquired hereunder, at public or private sale, for cash or on terms as may be determined by the Trustee, without advertisement, including the 5 right to lease for any term notwithstanding the period of the Trust, and to grant options, including an option for a period beyond the duration of the Trust. (2) To invest and reinvest all or any part of the Trust Estate in any common or preferred stocks, shares of investment trusts and investment companies, bonds, debentures, mortgages, deeds of trust, mortgage participations, notes, real estate, or other property the Trustee, in the Trustee's discretion, select in the manner that, under the circumstances then prevailing (specifically including, but not limited to, the general economic conditions and the anticipated needs of the Trust and its beneficiaries) , persons of skill, prudence, and diligence, acting in a similar capacity and familiar with those matters would use in the conduct of an enterprise of similar character and similar aims, to attain the Settlor's goals under this trust agreement. (3) To retain for investment any property deposited with the Trustee hereunder. (4) To vote in person or by proxy any corporate stock or other security and to agree to or take any other action in regard to any reorganization, merger, consolidation, liquidation, bankruptcy or other procedure or proceedings affecting any stock, bond, note or other security held by this Trust. (5) To use lawyers, real estate c brokers, accountants and any other agents, if such employment is deemed necessary or desirable, and to pay reasonable compensation for their services. (6) To compromise, settle or adjust any claim or demand by or against the Trust and to agree to any rescission or modification of any contact or agreement affecting the Trust. ( "/ ) TO renew any indebtednel:il:i, dl:i w~.L.L dl:i i:..u UUL :cow money, and to secure the same by mortgaging, pledging or conveying any property of the Trust, including the power to borrow from the Trustee (in the Trustee's individual capacity) at a reasonable rate of interest. (8) To retain and carryon any business in which the Trust may acquire any interest, to acquire additional interests in any such business, to agree to the liquidation in kind of any corporation in which the Trust may have any interest and to carryon the business 6 thereof, to join with other owners in adopting any form of management for any business or property in which the Trust may have an interest, to become or remain a partner, general or limited, in regard to any such business or property and to hold the stock or other securities as an investment, and to employ agents, and confer on them authority to manage and operate the business, property or corporation, without liability for the acts of any such agent of for any loss, liability or indebtedness of such business if the management is selected or retained with reasonable care. (9) To register any stock, bond or other security in the name of a nominee, without the addition of words indicating that such security is held in a fiduciary capacity, but accurate records shall be maintained showing that the stock, bond or other security is a trust asset and the Trustee shall be responsible for the acts of the nominee. B. Whenever the Trustee is directed to distribute any trust principal in fee simple to a person who is then under twenty-one (21) years of age, the Trustee shall be authorized to hold such property in trust for such person until he becomes twenty-one (21) years of age, and in the meantime shall use such part of the income and the principal of the trust as the Trustee may deem necessary to provide for the proper support and education of such person in the standard of living to which he has become accustomed. If such person should die before becoming twenty-one (21) years of age, the property then remaining in trust shall be distributed to the personal representative of such person's estate. C. In making distributions from the Trust to or for the benefit of any minor or other person under a legal disability, the Trustee need not require the appointment of a guardian, but shall be authorized to payor deliver the distribution to the custodian of such person, to payor deliver the distribution to such person without the intervention of a guardian, to payor deliver the distribution to the legal guardian of such person if a guardian has dln~du.y Ut::ell d1J1Juini...t::u., UL i...o u8t':: tllt':: di5tributiuiJ. fur tl1c bei1e-fit of such person. D. In the distribution of the Trust and any division into separate trusts and shares, the Trustee shall be authorized to make the distribution and division in money or in kind or in both, regardless of the basis for income tax purposes of any property distributed or divided in kind, and the distribution and division made and the values established by the Trustee shall be binding and conclusive on all persons taking hereunder. The Trustee may in making such distribution or division allot undivided interests in 7 the same property to several trusts or shares. E. If at any time after Settlor's death the total fair market value of the assets of any trust established or to be established hereunder is so small that the corporate Trustee's annual fee for administering the trust would be equal to or less than the minimum annual fee set forth in the Trustee's regularly published fee schedule, then the Trustee in its discretion shall be authorized to terminate such trust or to decide not to establish such trust, and in such event the property then held in or to be distributed to such trust shall be distributed to the persons who are then or would be entitled to the income of such trust. If the amount of income to be received by such persons is to be determined in the discretion of the Trustee, then the Trustee shall distribute the property among such of the persons to whom the Trustee is authorized to distribute income, and in such proportions, as the Trustee in its discretion shall determine. F. The Trustee shall be authorized to lend or borrow, including the right to lend to or borrow from the Settlor's estate, at an adequate rate of interest and with adequate security and upon such terms and conditions as the Trustee shall deem fair and equitable. G. The Trustee shall be authorized to sell or purchase, at the fair market value as determined by the Trustee, any property to or from Settlor's estate, the estate of Settlor's spouse, or any trust created by Settlor or Settlor's spouse during life or by will, even though the same person or corporation may be acting as executor of Settlor's estate or the estate of Settlor's spouse or as trustee of any other such trusts and as the Trustee of this Trust. H. The Trustee shall have discretion to determine whether items should be charged or credited to income or principal or allocated between income and principal as the Trustee may deem equitable and fair under all the circumstances, including the power to amortize or fail to amortize any part or all of any premium or discount, to treat any part or all of the profit resulting from the macuricy or sale of any assec, whet.her purchal:>ed. at. a !JLelll.LUlll UL dL- a discount, as income or principal or apportion the same between income and principal, to apportion the sales price of any asset between income and principal, to treat any dividend or other distribution on any investment as income or principal or to apportion the same between income or principal, to charge any expense against income or principal or apportion the same, and to provide or fail to provide a reasonable reserve against depreciation or obsolescence on any asset subject to depreciation or obsolescence, all as the Trustee may reasonably deem equitable and just under all of the circumstances. 8 I. The Trustee is hereby authorized and empowered to purchase such insurance policies as it deems appropriate. 5.02. Votinq bv Trustees. When the authority and power under this Trust is vested in two (2) or more Trustees, the authority and powers are to be exercised jointly or individually by the Trustees. Any of the Trustees may exercise any authority or power granted under this Trust Agreement or granted by law, and may act on behalf of the Trust. 5.03 Trustees Power to Deal with Environmental Hazards. The Trustee shall have the power to use and expend the trust income and principal to (i) conduct environmental assessments, audits, and site monitoring to determine compliance with any environmental law or regulation thereunder; (ii) take all appropriate remedial action to contain, clean up or remove any environmental hazard including a spill, release, discharge or contamination, either on its own accord or in response to an actual or threatened violation of any environmental law or regulation thereunder; (iii) institute legal proceedings concerning environmental hazards or contest or settle legal proceedings brought by any local, state, or federal agency concerned with environmental compliance, or by a private litigant; (iv) comply with any local, state or federal agency order or court order directing an assessment, abatement or cleanup of any environmental hazards; and (v) employ agents, consultants and legal counsel to assist or perform the above undertakings or actions. Any expenses incurred by the trustee under this paragraph may be charged against income or principal as the trustee shall determine. ARTICLE VI. SPENDTHRIFT PROVISION 6.01. General Provision. No beneficiary shall have the power to anticipate, encumber or transfer his interest in the Trust Estate in any manner other than by the valid exercise of a Power of Appointment. No part of the Trust Estate shall be liable for or charged with any debts, contracts, liabilities or torts of a beneficiary or subject to seizure or other process by any creditor of a beneficiary. ARTICLE VII. CON~TRuCTION OF TRuST 7.01. Choice of Law. This Trust shall be administered and interpreted in accordance with the laws of the Corrnnonwealth of Pennsylvania. 7.02. Code. Unless otherwise stated, all references in this Trust to section and chapter numbers are to those of the Internal Revenue Code of 1986, as amended, or corresponding provisions of any subsequent federal tax laws applicable to this Trust. 9 7 .03. Other Terms. Unless the context otherwise requires, the use of one or more genders in the text includes all other genders, and the use of either the singular or the plural in the text includes both the singular and the plural. 7.04. CaDtions. The captions set forth in this Agreement at the beginning of the various divisions hereof are for convenience of reference only and shall not be deemed to define or limit the provisions hereof or to affect in any way their construction and application. 7.05. Situs of Trust. The Trust shall have its legal situs in Cumberland County, Pennsylvania. ARTICLE VIII. COMPENSATION OF TRUSTEES AND APPOINTMENT OF SUCCESSOR TRUSTEES 8.01. Compensation. The Trustees shall receive as compensation for the services performed hereunder that sum of money, based on an hourly charge or percentage rate, which the Trustees normally and customarily charges for performing similar services during the time which it performs these services. 8.02. Removal of Trustees. Settlor may remove the Trustees, or any of them, at any time or times, with or without cause, upon thirty (30) days written notice given to the current Trustees. Upon the death of the Settlor, a majority of the current income beneficiaries may remove the Trustees, or any of them, at any time or times, with approval from a court of competent jurisdiction. Upon the removal of the Trustees, or any of them, a successor Trustee (s) shall be appointed in accordance with the terms set forth in Paragraph 8.03. 8.03. A'Opointment of Successor Trustees. The Trustees, or any of them, may resign at any time upon thirty (30) days written notice given to the Settlor if Settlor is living, or in the event of Settlor's death, upon thirty (30) days written notice given to the current income beneficiary or beneficiaries (including a 1.H:nl:I.icidIY'::; aaLuLal UL ll:~cll YUclLU.ia..11 or lE:ga.l L'E:f/.LE:l:it::.11LaLLVt::), hereunder. Upon the death, resignation, removal or incapacity of the named Trustee, a successor trustee(s) may be appointed by the Settlor during Settlor's lifetime, or, after Settlor's death, by a majority of the then-current income beneficiaries. Settlor prohibits the appointment of Settlor as Trustee and any attempt to do so shall be without authority under this Agreement. Any successor trustee(s) shall be a financially sound and competent corporate trustee or a trustee agreed to by written consent of all income beneficiaries. Any successor trustee(s) thus appointed, or, if the corporate trustee shall merge with or be consolidated with 10 another corporate fiduciary, then such corporate fiduciary, shall succeed to all the duties and to all the powers, including discretionary powers, herein granted to the Trustees. ARTICLE IX. PERPETUITIES CLAUSE 9.01. General Provision. Notwithstanding anything to the contrary in this Trust, each disposition the Settlor has made here, legal or equitable, to the extent it can be referred in its postponement of becoming a vested interest to a duration measured by some life or lives in being at the time of Settlor's death is definitely to vest in interest, although not necessarily in possession, not later that twenty-one (21) years after such lives (and any period of gestation involved); or, to the extent it cannot be referred in any such postponement to such lives, is to so vest not later than twenty-one (21) years from the time of Settlor's death. ARTICLE X. ACQUISITION OF UNITED STATES TREASURY BONDS ELIGIBLE FOR TAX PAYMENT; PAYMENT OF TAXES, FUNERAL EXPENSES, AND EXPENSES OF ADMINISTRATION 10.01. Acquisition of Bonds. The Trustees may, at any time, without the prior approval or direction of the Settlor and whether or not the Settlor is able to manage Settlor's own affairs, acquire United States Treasury Bonds selling at a discount, which bonds are redeemable at their par value plus accrued interest thereon for the purposes of applying the proceeds to the paYment of the United States estate tax on the Settlor's estate; and the Trustees may borrow from any lender, including themselves, with or without security, to so acquire these bonds. 10.02. Payment of United States Estate Tax by Bond Redemption. The Settlor directs that any United States Treasury Bonds which may be redeemed at their par value plus accrued interest thereon for the purpose of applying the proceeds to the paYment of the United States estate tax imposed on the Settlor's estate, and which are held by the Trustees, shall, to the extent of che amount dete:rmined tu be Lequ.i.Leu [UL pc:tYllle1!L U[ Lhe e::;LctLe Lc:tx, be distributed to the legal representative of the Settlor's estate to be used by the legal representative ahead of any other assets and to the fullest extent possible to pay the estate tax. 10.03. Payment of Death Taxes and Other Estate Settlement Costs. After the Trustees have complied with paragraph 10.02, above, and ascertained from the legal representative that all such bonds have been redeemed in payment of the United States estate tax, the Trustees shall also ascertain from the legal representative whether the legal representative has sufficient 11 assets to pay the remaining legacy, succession, inheritance, transfer, estate and other death taxes or duties (except the additional estate tax imposed by Section 2032(c), or corresponding provisions of the Internal Revenue Code of 1986 applicable to the Settlor's estate and imposing the tax) levied or assessed against the Settlor's estate (including all interest and penalties thereon), all of which taxes, interest and penalties are hereafter referred to as the death taxes, interest and penalties. If the legal representative advises the Trustees that insufficient funds exist to pay all the death taxes, interest and penalties, the Trustees shall then pay to the legal representative from the trust property, an amount equal to all the death taxes, interest and penalties in excess of the funds available to the legal representative for these purposes, which paYments are to be made without apportionment. If the Executor of the Settlor's estate, in such Executor's sole discretion, shall determine that appropriate assets of Settlor's estate are not available in sufficient amount to pay (1) the Settlor's funeral expenses, and (2) expenses of administering the Settlor's estate, the Trustees shall, upon the request of the Executor of the Settlor's estate, contribute from the principal of the trust estate the amount of such deficiency; and in connection with any such action the Trustees shall rely upon the written statement of the Executor of the Settlor's estate as to the validity and correctness of the amounts of any such expenses, and shall furnish funds to such Executor so as to enable such Executor to discharge the same, or to discharge any part or all thereof itself by making paYment directly to the person entitled or claiming to be entitled to receive paYment thereof. No consideration need be required by the Trustees from the Executor of Settlor's estate for any disbursement made by the Trustees pursuant hereto, nor shall there be any obligation upon such Executor to repay to the Trustees any of the funds disbursed by them hereunder, and all amounts disbursed by the Trustees pursuant to the authority hereby conferred upon them shall be disbursed without any right in or duty upon the Trustees to seek or obtain contribution or reimbursement from any person or property on account of such paYment. The Trustees shall not be responsible for the application ot any tunas aelivered by chern co che Executor of the Set-t-lm:-; s estate pursuant to the authority herein granted, nor shall the Trustees be subject to liability to any beneficiary hereunder on account of any paYment made by them pursuant to the provisions hereof. 12 IN WITNESS WHEREOF, the Settlor and Trustees have hereunto set their ands and seals as of the day and year first above written. ,'>......- 'v -- /// - /1 ~' 'I , d( {f c' /( ,'-') '/~ /Ii.:/t' -/t~ (SEAL) ELLA MAE KENNEDY, by and' through her attorney-in-fact, REBECCA R. HATCH, SETTLOR COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND On this, the 8th day of March, 1997, before me, a Notary Public, the undersigned officer, personally appeared LOWELL R. GATES, known to me (or satisfactorily proven) to be a member of the bar of the highest court. of said State and a subscribing witness to the within instrument, and certified that he was personally present when, ELLA MAE KENNEDY, by and through her attorney-in-fact, REBECCA R. HATCH, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within Trust Agreement, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have set my hand and official Seal. Notarial Seal Stacey L Naca, Notary Public Fermanagh Twp" Juniata County . My Commission Expires Oct 16, 1999 Member, Pennsylvania Association of Notaries Expires: The foregoing Trust Agreement was delivered, and is hereby accepted, at Lemoyne, Pennsylvania, on March 10, 1997. ATTEST PENNSYLVANIA FIDUCIARY AND ESTATE SERVICES, "'"......~ ...............,."..,'r.'t'r" ......&.'1\",0 ., .loA"'"',;) .L.&;a.l.:t /1 r ,/ I :!/';.....r L~4' / ;/ l,-~~ttllU..,l- JuJJlt{~} ARTHUR-TRESSLER, VICE- AND TRUST MANAGER /,:' / /; j / / I , / (/ 13 The following Periodic Report of Community Trust Company as Trustee of The Kennedy Family Trust is being submitted as exhibit to the assets and expenses reported on P A REV -1500. Additional exhibits for assets not listed on the Periodic Reports are also attached as labeled for the corresponding Schedules to P A REV -1500. THE KENNEDY FAMILY TRUST ASSETS AS OF APRIL 10,2001 # OF SHARES AND ASSET NAME PRICE PER SHARE 2807.177 Shares Federated Income Trust Fd #36 @10.29 per share 2624.680 Shares Federated US Govt Securities @1O.55 per share 1-3 Year Fd #9 2858.042 Shares Federated Intermediate Income @ 9.91 per share Fd #303 2451.067 Shares Federated Managed Conservative @10.33 per share Growth Portfolio Fd #357 1032.388 Shares Federated Managed Moderate Growth Portfolio Fd #360 @ 11.17 per share 13,814.52 Shares Federated Govt Obligations Fd.#395 @ 1.00 per share 40 Shares MetLife, Inc. Common Stock @29.95 per share Mortgage Note for 28 N. 28th Street, Hbg. Commerce Bank Metropolitan Life Insurance Policy #670449071 Prudential Life Insurance Policy #06317338 DOD VALUE $28,885.85 $27,656.80 $23,323.20 $25,319.52 $11,531.77 $13,814.52 $ 1,198.00 $39,950.86 $13,814.52 PERIODIC REPORT THE KENNEDY FAMILY TRUST 04/10/01 TO 10/17/01 Prepared for: CRAIG A. HATCH, ESQUIRE GATES & ASSOCIATES, PC 1013 MUMMA ROAD, SUITE 100 LEMOYNE, PA 17043 REPORT OF ASSETS FOR ACCOUNT 2100120 THE KENNEDY FAMILY TRUST AS OF 10/17/01 PAGE Units Price Market Value 10/17/01 Bock Va 1 1..:8 STOCKS COMMON STOCKS 1. METLIFE INC 40 29.7000 1,188.00 o.oc ------------- ------------- ------------- ------------- TOTAL STOCKS 1,188.00 o.ce REAL ESTATE MORTGAGES & LAND CONTRACTS 2. MORTGAGE NOTE FOR 39697 28 N. 28TH ST, HBG. 1.0000 39,696.61 39,696.6::' ------------- ------------- _____________ -----______0_- ~OTAL REAL ESTATE 39,696.61 39,696.6::' BANK ACCOUNTS DEMAND DEPOSITS - OTHER BANKS 3. COMMERCE BANK 3908 MONEY MARKET FUNDS 4. FEDERATED GOV'T 128763 OBLIGATIONS FD #395 1.0000 3,908.15 3,908.15 1.0000 128,762.55 128,762.55 ------------- ------------- ------------- ------------- TOTAL BANK ACCOUNTS 132,670.70 132,670.70 MISCELLANEOUS OTHER INVESTMENTS 5, MF.'T'R0P0LT'T'n.J\T T.Tl<'F. INSURANCE CO. 6. THE PRUDENTIAL (LIFE INSURANCE POLICY) POLICY #06 317338 1 , qhq ?qnn -,---.---- , qhQ ?Q -,---+-- 1 nLlQ nn -, ....,......... ,-,...., 1 3,137.3400 3,137.34 2,500.00 ------------- ------------- ------------- ------------- TOTAL MISCELLANEOUS 5,106.63 3,548.00 TOTAL INVESTMENTS 178,661.94 175,915.31 INCOME CASH ON HAND PRINCIPAL CASH ON HAND 0.00 0.00 0.00 0.00 TOTAL ASSETS 178,661.94 175,915.31 REPORT OF ASSETS PAGE 2 FOR ACCOUNT 2100120 THE KENNEDY FAMILY TRUST AS OF 10/17/01 Market Value Book Units Price 10/17/01 Value TOTAL CASH 0.00 REPORT OF INCOME CASH FOR ACCOUNT 2100120 THE KENNEDY FAMILY TRUST FOR DATES 04/10/01 TO 10/17/01 PAGE < BEGINNING BALANCE 299.3'; INCOME CASH RECEIPTS 1. ASSET SALES AND TRANSFERS Sale of an Income Asset FED MANAGED MODERATE GROWTH PORT FD #360 10/15/01 Sold 14.3870 units Purchased 04/10/01 Short-term loss of 8.06 152.65 TOTAL Sale of an Income Asset 152.65 TOTAL ASSET SALES AND TRANSFERS 152.6~ 2. DIVIDENDS RECEIVED Dividend Receipt FEDERATED INCOME TRUST FUND #36 04/30/01 DIVIDEND OF 05/31/01 DIVIDEND OF 06/30/01 DIVIDEND OF 07/31/01 DIVIDEND OF 08/31/01 DIVIDEND OF 09/30/01 DIVIDEND OF FEDERATED INTERMED. INCOME FUND #303 04/30/01 DIVIDEND OF 05/31/01 DIVIDEND OF 06/30/01 DIVIDEND OF 07/31/01 DIVIDEND OF 08/31/01 DIVIDEND OF 09/30/01 DIVIDEND OF FED MAN CONSERVATIVE GROWTH PORT IS #357 06/25/01 .097jSH ON 2451.067 SHS 09/24/01 .065jSH ON 2451.067 SHS FED MANAGED MODERATE GROWTH PORT FD #360 06/25/01 .07/SH ON 1032.388 SHS 09/24/01 .OS/SH ON 1032.388 SHS FED US GOV'T SEC 1-3 YEAR FUND #9 04/30/01 DIVIDEND OF 05/31/01 DIVIDEND OF 06/30/01 DIVIDEND OF 07/31/01 DIVIDEND OF 08/31/01 DIVIDEND OF 153.32 152.41 151.24 145.78 143.20 143.85 151.24 153.72 153.60 148.01 147.40 147.71 237.75 159.32 72.27 51.62 121.28 117.74 112.57 105.47 99.74 REPORT OF INCOME CASH FOR ACCOUNT 2100120 THE KENNEDY FAMILY TRUST FOR DATES 04/10/01 TO 10/17/01 PAGE 4 09/30/01 DIVIDEND OF FEDERATED GOV'T OBLIGATIONS FD #395 04/30/01 DIVIDEND OF 05/31/01 DIVIDEND OF 06/30/01 DIVIDEND OF 07/31/01 DIVIDEND OF 08/31/01 DIVIDEND OF 09/30/01 DIVIDEND OF 95.33 28.13 26.03 37.86 38.75 36.68 18.80 TOTAL Dividend Receipt 3,150.82 TOTAL DIVIDENDS RECEIVED 3,150.82 3. INTEREST RECEIVED Interest Receipt COMMERCE BANK 04/30/01 05/31/01 06/30/01 07/31/01 08/31/01 09/30/01 MORTGAGE NOTE FOR 28 N. 28TH ST, HBG. 04/30/01 05/31/01 06/25/01 07/30/01 08/28/01 10/01/01 7.57 7.37 4.85 5.54 5.69 3.45 249.69 249.43 249.17 248.91 248.64 248.37 TOTAL Interest Receipt 1,528.68 TOTAL INTEREST RECEIVED 1,528.68 TOTAL INCOME CASH RECEIPTS 4,832.15 INCOME CASH DISBURSEMENTS 4. FEES PAID - GENERAL Attorney's Fees REPORT OF INCOME CASH FOR ACCOUNT 2100120 THE KENNEDY FAMILY TRUST FOR DATES 04/10/01 TO 10/17/01 07/12/01 GATES & ASSOCIATES, P.C. STATEMENT NO. 16460 Check # 006693 08/14/01 GATES & ASSOCIATES, P.C. STATEMENT #16703 Check # 006792 09/17/01 GATES & ASSOCIATES, P.C. STATEMENT #16936 Check # 006913 10/12/01 GATES & ASSOCIATES, P.C. STATEMENT #17274 Check # 007039 TOTAL Attorney1s Fees -155.00 -428.50 -710.44 -102.57 -1,396.51 Trustee's Fees/Regular 04/11/01 FOR 1 MONTH(S) ENDING 03/31/01 05/09/01 FOR 1 MONTH(S) ENDING 04/30/01 06/14/01 FOR 1 MONTH(S) ENDING 05/31/01 07/13/01 FOR 1 MONTH(S) ENDING 06/30/01 08/10/01 FOR 1 MONTH(S) ENDING 07/31/01 09/13/01 FOR 1 MONTH(S) ENDING 08/31/01 10/11/01 FOR 1 MONTH(S) ENDING 09/30/01 -173.68 -174.57 -174.90 -174.30 -175.38 -175.50 -164.28 TOTAL Trustee's Fees/Regular -1,212.61 TOTAL FEES PAID - GENERAL TOTAL INCOME CASH DISBURSEMENTS NET CHANGE TO MONEY MARKET FUNDS NET CHANGE TO MONEY MARKET FUNDS INCOME CASH BALANCE PAGE -2,609.12 -2,609.12 -2,487.90 -34.47 -------------- --------~----- 0.00 REPORT OF PRINCIPAL CASH FOR ACCOUNT 2100120 THE KENNEDY FAMILY TRUST FOR DATES 04/10/01 TO 10/17/01 PAGE 6 BEGINNING BALANCE 0.2 = PRINCIPAL CASH RECEIPTS 1. CASH ADDITIONS Cash Addition 06/14/01 RECEIVED FROM ZIMMERMAN-AUER 81.56 FUNERAL HOME, INC. INSURANCE OVERPAYMENT FOR ELLA KENNEDY TOTAL Cash Addition 81.56 TOTAL CASH ADDITIONS 81.56 2. RECEIPTS OF MORTGAGE PRINCIPAL Payment for Mortgage Note MORTGAGE NOTE FOR 28 N. 28TH ST, HBG. 04/30/01 05/31/01 06/25/01 07/30/01 08/28/01 10/01/01 41.72 41.98 42.24 42.50 42.77 43.04 TOTAL Payment for Mortgage Note 254.25 TOTAL RECEIPTS OF MORTGAGE PRINCIPAL 254.25 < ASSET SALES ~~TD TPY~TSFERS Proceeds from Sale of Asset FEDERATED INCOME TRUST FUND #36 10/15/01 Sold 2,807.1770 units Purchased on multiple dates Short-term gain of 561.44 29,447.29 FEDERATED INTERMED. INCOME FUND #303 10/15/01 Sold 2,858.0420 units Purchased 04/10/01 Short-term gain of 600.19 28,923.39 FED MAN CONSERVATIVE GROWTH PORT IS #357 10/15/01 Sold 2,451.0670 units Purchased on multiple dates 24,608.71 REPORT OF PRINCIPAL CASH FOR ACCOUNT 2100120 THE KENNEDY FAMILY TRUST FOR DATES 04/10/01 TO 10/17/01 Short-term loss of 710.81 FED MANAGED MODERATE GROWTH PORT FD #360 10/15/01 Sold 1,018.0010 units Purchased 04/10/01 Short-term loss of 570.02 FED US GOV'T SEC 1-3 YEAR FUND #9 10/15/01 Sold 2,624.6800 units Purchased on multiple dates Short-term gain of 419.95 TOTAL Proceeds from Sale of Asset TOTAL ASSET SALES AND TRANSFERS TOTAL PRINCIPAL CASH RECEIPTS PRINCIPAL CASH DISBURSEMENTS 4. FEES Legal Fees OS/21/01 GATES & ASSOCIATES STATEMENT #15981 Check # 006506 GATES & ASSOCIATES, P.C. STATEMENT NO. 16212 Check # 006630 06/22/01 TOTAL Legal Fees TOTAL FEES 5. DISTRIBUTION OF PRINCIPAL Distribution 09/05/01 of Principal JACK PRESTON FINAL DISTRIBUTION PER 4.03 OF LEGAL DOCUMENT Check # 006852 PARAGRAPH 10,800.99 28,110.32 121,890.70 -377.34 -765.77 -1,143.11 -1,083.33 PAGE 121,890.7: 122,226.S=" -1,143.1=" REPORT OF PRINCIPAL CASH FOR ACCOUNT 2100120 THE KENNEDY FAMILY TRUST FOR DATES 04/10/01 TO 10/17/01 09/05/01 RUTH E. MILLER -1,083.33 FINAL DISTRIBUTION PER PARAGRAPH 4.03 OF LEGAL DOCUMENT Check # 006853 09/05/01 SHIRLEY A WRIGHT -1,083.33 FINAL DISTRIBUTION PER PARAGRAPH 4.03 OF LEGAL DOCUMENT Check # 006854 09/05/01 MARY WERNTZ -1,083.33 FINAL DISTRIBUTION PER PARAGRAPH 4.03 OF LEGAL DOCUMENT Check # 006855 09/05/01 AURORA CLUB -1,083.33 FINAL DISTRIBUTION PER PARAGRAPH 4.03 OF LEGAL DOCUMENT Check # 006856 09/05/01 JOHN KENNEDY -1,083.33 FINAL DISTRIBUTION PER PARAGRAPH 4.03 OF LEGAL DOCUMENT Check # 006857 09/05/01 JAMES N. COY -1,083.33 FINAL DISTRIBUTION PER PARAGRAPH 4.03 OF LEGAL DOCUMENT Check # 006858 09/05/01 PENNSYLVANIA LITERACY -1,083.33 COUNCIL INC FINAL DISTRIBUTION PER PARAGRAPH 4.03 OF LEGAL DOCUMENT Check # 006859 09/05/01 JAMES AND PAULINE KENNEDY -1,083.33 FINAL DISTRIBUTION PER PARAGRAPH 4.01 OF LEGAL DOCUMENT Check # 006860 09/21/01 JILL PEEBLES BRADLEY -1,083.33 FINAL DISTRIBUTION PER PARAGRAPH 4.03 OF LEGAL DOCUMENT Check # 006949 10/10/01 ELMER COY, JR. -1,083.33 FIINAL DISTRIBUTION PER PARAGRAPH 4.03 OF LEGAL DOCUMENT Check # 007021 TOTAL Distribution of Principal -11,916.63 TOTAL DISTRIBUTION OF PRINCIPAL PAGE 8 -11,916.63 REPORT OF PRINCIPAL CASH FOR ACCOUNT 2100120 THE KENNEDY FAMILY TRUST FOR DATES 04/10/01 TO 10/17/01 TOTAL PRINCIPAL CASH DISBURSEMENTS NET CHANGE TO MONEY MARKET FUNDS PRINCIPAL CASH BALANCE PAGE 9 -13/059.7~ -109/166.7~ -------------- -------------- 0.0: . .. I " .. REPORT OF NON-CASH ENTRIES FOR ACCOUNT 2100120 THE KENNEDY FAMILY TRUST FOR DATES 04/10/01 TO 10/17/01 PAGE 10 NON-CASH INCREASES 1. BOOK VALUE ADJUSTMENT Book Value Adjustment FEDERATED INCOME TRUST FUND #36 OS/21/01 ADJUST TO $10.29 PER SHARE; 04/10/01 DOD VALUE OS/21/01 ADJUST TO $10.29 PER SHARE; 04/10/01 DOD VALUE OS/21/01 ADJUST TO $10.29 PER SHARE; 04/10/01 DOD VALUE FEDERATED INTERMED. INCOME FUND #303 OS/21/01 ADJUST TO $ 9.91 PER SHARE; 04/10/01 DOD VALUE FED MAN CONSERVATIVE GROWTH PORT IS #357 OS/21/01 ADJUST TO $10.33 PER SHARE; 04/10/01 DOD VALUE OS/21/01 ADJUST TO $10.33 PER SHARE; 04/10/01 DOD VALUE FED MANAGED MODERATE GROWTH PORT FD #360 OS/21/01 ADJUST TO $11.17 PER SHARE; 04/10/01 DOD VALUE OS/21/01 ADJUST TO $11.17 PER SHARE; 04/10/01 DOD VALUE FED US GOV'T SEC 1-3 YEAR FUND #9 OS/21/01 ADJUST TO $10.55 PER SHARE; 04/10/01 DOD VALUE OS/21/01 ADJUST TO $10.55 PER SHARE; 04/10/01 DOD VALUE 597.01 -3.98 -13.28 971.74" -1,458.53 -271.96 -4.02 -285.10 606.80 33.57 TOTAL Book Value Adjustment 172.25 TOTAL BOOK VALUE ADJUSTMENT 172.25 TOTAL NON-CASH INCREASES 172.25 I III I ... PA REV-1500 SCHEDULE F JOINTL Y OWNED PROPERTY ~ allfJrst ELLA MAE KENNEDY OR REBECCA R HATCH 424 COUNTRY SIDE DR EPHRA TA PA 17522-9628 1,111111111,1.111,1.1.,1,11,111111111,1.11 111,"1,1,1111,,1.11 Page 1 of 3 Relationship With Interest Cila ftliae Kennedy Or Rebecca R Hatch Acct No 0072U-9716-1 March 21, 2001 thru April 19, 2001 " allfirsulom @ :i4-nDur Customer Service 1-800-533-4630 Activity Summary Annual percentage yield earned Avg. daily ledger balance Avg. daily collected balance Interest earned this statement Interest paid this statement Interest paid this year Days covered by this statement 0.9n $1,1157.110 $1,1157.110 $1.08 $1. 08 $6.57 30 Balance on 03/20 Deposits and additions Checks Other activity Balance on 04/19 $3,918.00 1,365.08 -11,256.00 -1,027.08 .00 Deposits and additions Date Description Amount 04/03 ACH CREDIT US TREASURY 303 sac SEC 172018818A SSA 3031036030ELLA MAE KENNEDY 20010920691638 04/19 INTEREST PAID $1,3611.00 1.08 $1,365.08 Checks · Denotes missing sequence number Number Date Amount Number Date Amount Number Date Amount We are safekeeping your checks far your convenience. 268 03/23 $1,3611.00 269 03/23 $1,528.00 270 04/09 $1,364.00 $4,256.00 009388 0011.98317497045 050 .. , iii allfirst Other activity Date Description Amount 04/19 CLOSING WITHDRAWAL -1,027.08 -1,027.08 End of Day Ledger Balance Account balances are updated in the section below on days when transactions posted to this account. Date Balance Date Balance Date Balance 03/20 03/23 $3,918.00 1,026.00 $2,390.00 04/19 1,026.00 04/03 04/09 "'Easy, fast, convenient...Turbo Tax online. To download, just go to allfirst.com and click on the Turbo Tax icon found in the Personal Finance and Internet Banking areas.'" "'Allfirst Internet Bill Payment is now available. To enroll online today, just go to allfirst.com, logon to Internet Banking, and click on Bill Payment! '" The annual percentage yield earned reflects the amount of interest earned on the account during the statement period and the average daily balance in the account for that period. The interest rate paid will fluctuate according to money market conditions. About your Relationship Checking with Interest account. When you maintain an average daily ledger balance of $1,000 in your checking account; or $2,500 in your checking, money market and savings accounts; or $7,500 in all related accounts you will not be assessed the $10 monthly maintenance fee. Balancing your checkbook. Look on the back of your first statement page for a fast and easy way to balance your checkbook. Wnai your icons mean 8 Customer Service e Credit to your account .. Important reminder e Charge to your account ~ Other banks' A TM transaction 009388 0011-98317497045 050 Page 3 of 3 .00 For questions about your statement or change of address information, please see page 2. ... ... PA REV-1500 SCHEDULE H FUNERAL EXPENSES and ADMINISTRATIVE COSTS ..... .... ZmmermMuer FUNERAL HOME. INC. 4100 JONESTOWN ROAD, HARRISBURG,.PA 17109 . 717 545-4001 · DALE A. AUER, PRESIDENT . SHAWN E. CARPER, S~'1EB~~R 4-11-2001 Rebecca R. Hatch 424 Countryside Drive Ephrata, PA 17522 Ella Mae Kennedy - Deceased X Professional Services $760.00 Limousine SUB TOTAL $760.00 x Casket Buriil Vault Suit Dress Underclothing Slippers Reglster Book Memorial Folders Thank You Cards Crucifix $250.00 SUB TOTAL $250.00 X Grave Opening Charge Ce~etery Equ~pment Obltuary Notlce Classifled Notice Long Di~tance Telephone Calls Honorarlum X 10.Certified Copies @ $2.00 Halrdresser Flowers Flowers X Cremation Authorization X Cremation Fee $495.00 $20.00 $25.00 $135.00SUB TOTAL $675.00 TOTAL 5-3-2001 PAID BALANCE DUE il,C8s.ao :;;1,766.56 -$81..56