Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2020
Open to Public Inspection
For calendar year 2020, or tax year beginning 01-01-2020 , and ending 12-31-2020
Name of foundation
THE TSB FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)1 N MAIN ST
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SPENCER, NY14883
A Employer identification number

82-3749132
B Telephone number (see instructions)

(607) 589-7600
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$103,544J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 195,690
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...      
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 195,690 0  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 1,200 0   1,200
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 50 0   0
19 Depreciation (attach schedule) and depletion... Click to see attachment 13,275 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 2,337 0   2,337
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 16,862 0   3,537
25 Contributions, gifts, grants paid....... 75,284 75,284
26 Total expenses and disbursements. Add lines 24 and 25 92,146 0   78,821
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 103,544
b Net investment income (if negative, enter -0-) 0
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............   103,544 103,544
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet13,275
Less: accumulated depreciation (attach schedule) bullet13,275      
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 0 103,544 103,544
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 0 103,544
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 0 103,544
30 Total liabilities and net assets/fund balances (see instructions). 0 103,544
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
0
2
Enter amount from Part I, line 27a .....................
2
103,544
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
103,544
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
103,544
Form 990-PF (2020)
Form 990-PF (2020)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1a
b
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2  
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved 		(b)
Reserved 		(c)
Reserved 		(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 0
c All other domestic foundations enter 1.39% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 0
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 0
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 0
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 0
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 0
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletNY
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2020 or the taxable year beginning in 2020? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletWWW.TIOGABANK.COM
    14
    The books are in care ofbulletJENNIFER BROCKNER Telephone no.bullet (607) 589-7600

    Located atbullet1 N MAIN STSPENCERNY ZIP+4bullet14883
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2020?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2020 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2020.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    ROBERT M FISHER PRESIDENT
    0.00     		0 0 0
    1 N MAIN
    SPENCER,NY14883
    JEAN G FISHER DIRECTOR
    0.00     		0 0 0
    1 N MAIN
    SPENCER,NY14883
    EMILY BARBER DIRECTOR
    0.00     		0 0 0
    1 N MAIN
    SPENCER,NY14883
    RALPH E KELSEY DIRECTOR
    0.00     		0 0 0
    1 N MAIN
    SPENCER,NY14883
    ANNE E MCKENNA VICE PRESIDENT
    0.00     		0 0 0
    1 N MAIN
    SPENCER,NY14883
    JOSEPH MEAGHER ESQ SECRETARY
    0.00     		0 0 0
    1 N MAIN
    SPENCER,NY14883
    JOHN MONDORF CPA TREASURER
    0.00     		0 0 0
    1 N MAIN
    SPENCER,NY14883
    LUCIANO PICCIRILLI DIRECTOR
    0.00     		0 0 0
    1 N MAIN
    SPENCER,NY14883
    WENDY WALSH DIRECTOR
    0.00     		0 0 0
    1 N MAIN
    SPENCER,NY14883
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    0
    b
    Average of monthly cash balances.......................
    1b
    147,277
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    147,277
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    147,277
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    2,209
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    145,068
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    7,253
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    7,253
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
     
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    0
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    7,253
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    7,253
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    7,253
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    78,821
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    78,821
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    78,821
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2019     		(c)
    2019     		(d)
    2020
    1 Distributable amount for 2020 from Part XI, line 7 7,253
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015......  
    b From 2016......  
    c From 2017......  
    d From 2018......  
    e From 2019......  
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 78,821
    a Applied to 2019, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2020 distributable amount..... 7,253
    e Remaining amount distributed out of corpus 71,568
    5 Excess distributions carryover applied to 2020. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 71,568
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		71,568
    10 Analysis of line 9:
    a Excess from 2016....  
    b Excess from 2017....  
    c Excess from 2018....  
    d Excess from 2019....  
    e Excess from 2020.... 71,568
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2020, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2020 (b) 2019 (c) 2018 (d) 2017
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    NOT SPECIFICALLY IDENTIFIED
    1 N MAIN ST
    SPENCER,NY14883
    (888) 303-4872
    TIOGABANK.COM
    bThe form in which applications should be submitted and information and materials they should include:
    ONLINE APPLICATION IS AVAILABLE ON TIOGABANK.COM AND WILL BE USED EXCLUSIVELY IN 2022. FOR 2021 EMAIL AND MAILED REQUESTS ARE ALSO ACCEPTED.
    cAny submission deadlines:
    NO
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    GEOGRAPHICAL AREAS: BROOME COUNTY, CHEMUNG COUNTY, TIOGA COUNTY AND TOMPKINS COUNTY IN NY. BRADFORD COUNTY IN PA. FOCUS AREAS: HEALTH & HUMAN SERVICES, YOUTH, SENIOR CITIZENS, COMMUNITY/SPORTS/RECREATION, CULTURE & ARTS GRANT CATEGORIES: PROGRAM SUPPORT, CAPITAL PROJECTS, OPERATING SUPPORT AND CAPACITY BUILDING. GRANT BUCKETS: SMALL GRANTS UP TO $250; MEDIUM GRANTS $251-$1,000; LARGE GRANTS OVER $1,000
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    SPENCER-VAN ETTEN HIGH SCHOOL
    16 DARTTS CROSSROAD
    SPENCER,NY14883     		NONE PUBLIC PROJECT GRADUATION 2020 100
    KIWANIS CLUB OF OWEGO
    PO BOX 335
    OWEGO,NY13827     		NONE PUBLIC TEAM TRIVIA NIGHT/RADIO DAY 2020 325
    BROOME CO SHERIFF'S LAW ENFORCEMENT ASSOCIATION
    PO BOX 3203
    BINGHAMTON,NY13902     		NONE PUBLIC PUBLIC SAFETY GUIDE AND YEARBOOK 295
    MAINE-ENDWELL CENTRAL SCHOOL DISTRICT
    712 FARM TO MARKET ROAD
    ENDWELL,NY13760     		NONE PUBLIC AFTER PROM PARTY 50
    GROTON AFTER PROM COMMITTEE
    400 PERU ROAD
    GROTON,NY13073     		NONE PUBLIC GROTON CENTRAL SCHOOL DISTRICT 50
    S-VE YOUTH ASSOCIATION
    PO BOX 162
    SPENCER,NY14883     		NONE PUBLIC 1/31 BLUE JEANS DAY DONATION MATCH - $3157/16 SPONSORSHIP - $100 415
    FOOD BANK OF THE SOUTHERN TIER
    388 UPPER OAKWOOD AVE
    ELMIRA,NY14903     		NONE PUBLIC CANSTRUCTION 100
    SOUTHERN TIER YOUNG PROFESSIONALS
    PO BOX 3248
    BINGHAMTON,NY13902     		NONE PUBLIC CANSTRUCTION 900
    MOM'S HOUSE
    770 HARRY L DRIVE
    JOHNSON CITY,NY13790     		NONE PUBLIC HART & HILLS MEMORIAL GOLF TEE SIGN 100
    HANDICAPPED CHILDRENS ASSOCIATION
    18 BROAD ST
    JOHNSON CITY,NY13790     		NONE PUBLIC 2/3 A TASTEFUL DAY FUNDRAISER - $10010/16 PRE-SCHOOL BUILDING - $500 600
    TIGERS SOFTBALL ASSOCIATION
    519 S GRIPPEN AVE
    ENDICOTT,NY13760     		NONE PUBLIC SPONSORSHIP AD 50
    VESTAL POLICE BENEVOLENT ASSOCIATION
    PO BOX 731
    VESTAL,NY13851     		NONE PUBLIC DONATION 285
    ADDICTION CENTER OF BROOME COUNTY
    30 WEST STATE ST
    BINGHAMTON,NY13901     		NONE PUBLIC DONATION 100
    BROOME COUNTY ARTS COUNCIL
    95 COURT ST
    BINGHAMTON,NY13901     		NONE PUBLIC UNITED CULTURAL FUND DONATION 100
    STRAY HAVEN HUMANE SOCIETY
    194 SHEPARD ROAD
    WAVERLY,NY14892     		NONE PUBLIC 2/5 PINS FOR PETS FUNDRAISER TSB TEAM - $2509/8 BLUE JEANS DAY DONATION MATCH 7/24/20 - $270 520
    CATHOLIC CHARITIES OF TIOGATOMPKINS
    139 ROKI BLVD
    NICHOLS,NY13812     		NONE PUBLIC 2/18 PASTA DINNER - PLATINUM SPONSOR - $10009/14 COMMUNITY CARE 100K - $1000 2,000
    OWEGO-APALACHIN SCHOOLS
    1 SHELDON GUILE BLVD
    OWEGO,NY13827     		NONE PUBLIC POST PROM PARTY 100
    AMERICAN HEART ASSOCIATION
    SOUTHERN TIER OFFICE
    SYRACUSE,NY13220     		NONE PUBLIC JEANS DAY DONATION 305
    WAVERLY LITTLE LEAGUE
    PO BOX 11
    WAVERLY,NY14892     		NONE PUBLIC COMPLETE SPONSORSHIP (TEAM/SIGN) 250
    VFW POST 8104
    206 BROAD ST
    WAVERLY,NY14892     		NONE PUBLIC WAVERLY - FLAG FUND 100
    S-VE MUSIC CLUB
    16 DARTTS CROSSROAD
    SPENCER,NY14883     		NONE PUBLIC MUSICAL PRODUCTION AT HIGH SCHOOL 50
    TIOGA COUNTY SWCD
    1029 NY-38
    OWEGO,NY13827     		NONE PUBLIC SUNDAES ON THE FARM SPONSORSHIP 500
    TIOGA CENTRAL HIGH SCHOOL
    PO BOX 241
    TIOGA CENTER,NY13845     		NONE PUBLIC YEARBOOK AD 140
    CANDOR CENTRAL SCHOOL
    PO BOX 145
    CANDOR,NY13743     		NONE PUBLIC 3/2 HIGH SCHOOL MUSIC DEPARTMENT - $5011/5 YEARBOOK AD - $170 220
    ST BALDERICK'S FOUNDATION
    876 ITHACA RD
    WILLSEYVILLE,NY13864     		NONE PUBLIC CANDOR EVENT 100
    WOUNDED WARRIORS IN ACTION NYB
    6576 DOLPHIN COVE DR
    APOLLO BEACH,FL33572     		NONE PUBLIC SPONSOR FISHING DERBY 250
    COMMUNITY FOUNDATION OF S CENTRAL NY
    520 COLUMBIA DR
    JOHNSON CITY,NY13790     		NONE PUBLIC 3/5 JEANS DAY - THE TINA FUND - $31512/31 DONATION - $1000 1,315
    OWEGO LITTLE LEAGUE
    PO BOX 2
    OWEGO,NY13827     		NONE PUBLIC SPONSORSHIP 200
    ARROWHEAD BIBLE CAMP
    122 ARROWHEAD COTTAGE RD
    BRACKNEY,PA18812     		NONE PUBLIC DONATION FOR SUMMER CAMP 250
    BREAD OF LIFE FOOD PANTRY
    1 WATER ST
    CANDOR,NY13743     		NONE PUBLIC 3/27 BLUE JEANS DAY DONATION MATCH - $2599/14 COMMUNITY CARE 100K - $1000 1,259
    NEWFIELD GOOD NEIGHBOR FUND
    PO BOX 311
    NEWFIELD,NY14867     		NONE PUBLIC 4/24 APOLOGY FOR FOOD IN PARKING LOT - $1009/8 BLUE JEANS DAY DONATION MATCH 8/28/20 - $223 323
    BINGHAMTON RESCUE MISSION
    56-58 WHITNEY AVE
    BINGHAMTON,NY13901     		NONE PUBLIC DONATION 250
    SOUTHERN TIER POLICE CANINE ASSOCATION
    3631 LORNE DR
    ENDWELL,NY13760     		NONE PUBLIC S. RAYLE REQUEST - JEAN & MARV FISHER 500
    NEWFIELD SCHOOL DISTRICT
    247 MAIN ST
    NEWFIELD,NY14867     		NONE PUBLIC SENIOR BANNERS 500
    S-VE FOOD CUPBOARD
    PO BOX 295
    NEWFIELD,NY14883     		NONE PUBLIC 5/13 DONATION - $1009/14 COMMUNITY CARE 100K - $1000 1,100
    COMMUNITY FIRE & RESCUE
    321 NY-224
    VAN ETTEN,NY14889     		NONE PUBLIC MEMORIAL - RUTH MANDEVILLE 100
    ST JUDE CHILDREN'S RESEARCH HOSPITAL
    262 DANNY THOMAS PLACE
    MEMPHIS,TN38105     		NONE PUBLIC DONATION FOR BECKY SMITH - MASK MAKER 250
    UHS FOUNDATION INC
    10-42 MITCHELL AVE
    BINGHAMTON,NY13903     		NONE PUBLIC DONATION 5,000
    LOURDES FOUNDATION
    169 RIVERSIDE DR
    BINGHAMTON,NY13905     		NONE PUBLIC DONATION 5,000
    GUTHRIE
    ONE GUTHRIE SQUARE
    SAYRE,PA18840     		NONE PUBLIC DONATION 5,000
    BROOME COUNTY COUNCIL OF CHURCHES CHOW
    3 OTSENINGO ST
    BINGHAMTON,NY13903     		NONE PUBLIC DONATION 250
    LOAVES & FISHES OF TOMPKINS COUNTY
    210 N CAYUGA ST
    ITHACA,NY14850     		NONE PUBLIC 6/8 DONATION-FOOD PANTRY - $2009/16 COMMUNITY CARE 100K - $250 450
    SVEC-YOUTH & CHEERLEADING
    823 LANGFORD CREEK RD
    VAN ETTEN,NY14889     		NONE PUBLIC FOOTBALL & CHEERLEADING SPONSORSHIP 250
    SAYRE HISTORICAL SOCIETY
    103 S LEHIGH AVE
    SAYRE,PA18840     		NONE PUBLIC DONATION 50
    SOUTHERN TIER INDEPENDENCE CENTER
    135 E FREDERICK ST
    BINGHAMTON,NY13904     		NONE PUBLIC GOALS FOR CHARITY - BING DEVILS - MARKETING 5,500
    BOROUGH OF SAYRE
    110 WEST PACKER AVE
    SAYRE,PA18840     		NONE PUBLIC JULY 4TH CELEBRATION 50
    RACKER
    3226 WILKINS RD
    ITHACA,NY14850     		NONE PUBLIC DONATION 1,000
    WAVERLY COMMUNITY CHEST
    PO BOX 844
    WAVERLY,NY14892     		NONE PUBLIC 7/6 DONATION - $1009/16 DONATION - $7512/31 DONATION - $750 925
    CHEMUNG VOLUNTEER FIRE DEPARTMENT
    PO BOX 138
    CHEMUNG,NY14825     		NONE PUBLIC DONATION 50
    TIOGA COUNTY RURAL MINISTRY
    143 NORTH AVE
    OWEGO,NY13827     		NONE PUBLIC 7/16 JEANS DAY MATCH - $1359/14 COMMUNITY CARE 100K ($500 BUFFIE) - $750 885
    LIONS CAMP BADGER
    725 LARUE RD
    SPENCER,NY14883     		NONE PUBLIC JEANS DAY MATCH 205
    GIGI'S PLAYHOUSE
    732 VESTAL PARKWAY E
    VESTAL,NY13850     		NONE PUBLIC JEANS DAY MATCH 195
    JOHNSON CITY SCHOOL DISTRICT
    666 REYNOLDS RD
    JOHNSON CITY,NY13790     		NONE PUBLIC DOLLARS FOR SCHOLARS 100
    OWEGO GYMNASTICS & ACTIVITY CENTER
    748 STATE ROUTE 38
    OWEGO,NY13827     		NONE PUBLIC GOLF TOURNAMENT SPONSORSHIP 500
    VESTAL LITTLE LEAGUE
    PO BOX 14
    VESTAL,NY13851     		NONE PUBLIC FIELD SIGN DONATION 200
    BIG BROTHERS BIG SISTERS
    10 PARK ST
    TOWANDA,PA18848     		NONE PUBLIC DONATION 100
    OWEGO KIWANIS CLUB
    PO BOX 335
    OWEGO,NY13827     		NONE PUBLIC GOLF SPONSORSHIP 400
    BROOME COUNTY COUNCIL OF CHURCHES
    3 OTSENINGO ST
    BINGHAMTON,NY13903     		NONE PUBLIC DICK'S OPEN 700
    GREATER VALLEY CHAMBER OF COMMERCE
    109 CHEMUNG ST
    WAVERLY,NY14892     		NONE PUBLIC GOLF TOURNAMENT SPONSORSHIP 125
    SPENCER FIRE DEPARTMENT
    41 N MAIN ST
    SPENCER,NY14883     		NONE PUBLIC GOLF TOURNAMENT SPONSORSHIP 120
    NATIONAL CHILD SAFETY COUNCIL
    32 ITHACA ST
    WAVERLY,NY14892     		NONE PUBLIC WAVERLY POLICE DEPT. CAMPAIGN 100
    OWEGO FALLEN FIREFIGHTERS
    87 NORTH AVE
    OWEGO,NY13827     		NONE PUBLIC GOLF SPONSORSHIP 100
    BROOME COUNTY HABITAT FOR HUMANITY
    103 ADAMS AVE
    ENDICOTT,NY13760     		NONE PUBLIC RAISING THE ROOF VIRTUAL 500
    BROOME COUNTY HUMANE SOCIETY
    167 CONKLIN AVE
    BINGHAMTON,NY13903     		NONE PUBLIC DONATION - SPLIT 200
    TIOGA COUNTY CHAMBER OF COMMERCE
    1 SHELDON GUILE BLVD
    OWEGO,NY13827     		NONE PUBLIC GOLF HOLE SPONSORSHIP 100
    VALLEY FOOD PANTRY
    418 WAVERLY ST
    WAVERLY,NY14892     		NONE PUBLIC COMMUNITY CARE 100K 1,000
    NEWFIELD KITCHEN CUPBOARD
    227 MAIN ST
    NEWFIELD,NY14867     		NONE PUBLIC COMMUNITY CARE 100K 1,000
    CATHOLIC CHARITIES OF BINGHAMTON
    232 MAIN ST
    BINGHAMTON,NY13905     		NONE PUBLIC COMMUNITY CARE 100K 850
    SPENCER CHRISTIAN ACADEMY
    721 ITHACA RD
    SPENCER,NY14883     		NONE PUBLIC FALL BANQUET 300
    OAK HILL IMPROVEMENT CORP
    109 ODELL AVE
    ENDICOTT,NY13760     		NONE PUBLIC LITTLE ITALY ENDICOTT GOLF TOURNY 100
    OPEN DOOR MISSION FOR LOCKWOOD PANTRY
    425 NORTH AVE
    OWEGO,NY13827     		NONE PUBLIC COMMUNITY CARE 100K 250
    INSPIRE S-VE
    PO BOX 600
    SPENCER,NY14883     		NONE PUBLIC 10/8 NICHOLS POND FOUNTAIN PROJECT - $500012/23 DONATION - $1000 6,000
    TIOGA COUNTY HISTORICAL SOCIETY
    110 FRONT ST
    OWEGO,NY13827     		NONE PUBLIC O'TANNENBAUM HOLIDAY CELEBRATION 250
    FRIENDS OF HOSPICE
    130 TEMPLE ST
    OWEGO,NY13827     		NONE PUBLIC BLUE JEANS DAY MATCH 282
    TI-AHWAGA COMMUNITY PLAYERS
    42 DELPHINE ST
    OWEGO,NY13827     		NONE PUBLIC DONATION TO PAY DOWN LOAN 5,000
    ENDWELL LEAGUE OF COMMUNITY ACTION
    325 BEAN HILL RD
    ENDICOTT,NY13760     		NONE PUBLIC BLUE JEANS DAY MATCH 245
    CHEMUNG COUNTY SPCA
    2435 ST RTE 352
    ELMIRA,NY14903     		NONE PUBLIC DONATION 100
    HILLEL ACADEMY
    4737 DEERFIELD PLACE
    VESTAL,NY13850     		NONE PUBLIC YEARBOOK AD 200
    MAKE A WISH
    5005 CAMPUSWOOD DR
    EAST SYRACUSE,NY13057     		NONE PUBLIC DONATION 100
    ALZHEIMERS ASSOCIATION
    441 WEST KIRKPATRICK ST
    SYRACUSE,NY13204     		NONE PUBLIC DONATION 75
    BUFFALO BILLS ALUMNI FOUNDATION INC
    PO BOX 118
    GETZVILLE,NY14068     		NONE PUBLIC 12/3 BLUE JEANS DAY MATCH - $31012/3 CURE THE BLUE DONATION - $2500 2,810
    A NEW HOPE CENTER
    20 CHURCH STT
    OWEGO,NY13827     		NONE PUBLIC DONATION 100
    OPEN DOOR MISSION
    425 NORTH AVE
    OWEGO,NY13827     		NONE PUBLIC BLUE JEANS DAY MATCH 225
    ANIMAL CARE COUNCIL
    131 WASHINGTON AVE
    ENDICOTT,NY13760     		NONE PUBLIC BLUE JEANS DAY MATCH 290
    ACHIEVE
    4733 VESTAL PARKWAY EAST
    VESTAL,NY13850     		NONE PUBLIC DONATION 500
    NEWFIELD PUBLIC LIBRARY
    198 MAIN ST
    NEWFIELD,NY14867     		NONE PUBLIC DONATION FOR EXPANSION 1,800
    TIOGA OPPORTUNITIES
    9 SHELDON GUILE BLVD
    OWEGO,NY13827     		NONE PUBLIC DONATION 500
    LITERACY VOLUNTEERS OF BROOME-TIOGA COUNTIES
    185 COURT ST
    BINGHAMTON,NY13901     		NONE PUBLIC DONATION 200
    TENNIS CHARITIES OF BINGHAMTON INC
    PO BOX 375
    CHENANGO BRIDGE,NY13745     		NONE PUBLIC SPONSORSHIP DONATION 750
    COMMUNITY FOUNDATION OF TOMPKINS COUNTY
    200 E BUFFALO ST
    ITHACA,NY14850     		NONE PUBLIC DONATION 1,000
    COMMUNITY FOUNDATION OF THE TWIN TIERS
    104 LOCKHART ST
    SAYRE,PA18840     		NONE PUBLIC DONATION 1,000
    TIOGA UNITED WAY
    24 STATE ROUTE 96
    OWEGO,NY13827     		NONE PUBLIC DONATION 3,250
    UNITED WAY OF BROOME COUNTY
    101 S JENSEN RD
    VESTAL,NY13850     		NONE PUBLIC DONATION 4,000
    UNITED WAY OF TOMPKINS COUNTY
    313 N AURORA ST
    ITHACA,NY14850     		NONE PUBLIC DONATION 1,000
    Total .................................bullet 3a 75,284
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		         
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 0 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    0
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2020)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2020
    Name of the organization
    THE TSB FOUNDATION INC
     
    Employer identification number

    82-3749132
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2
    Name of organization
    THE TSB FOUNDATION INC
          		Employer identification number
    82-3749132
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    TIOGA STATE BANK
     
    1 N MAIN STREET
     
    SPENCER, NY14883

    		$ 195,690


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Page 3
    Name of organization
    THE TSB FOUNDATION INC
          		Employer identification number

    82-3749132
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Page 4
    Name of organization
    THE TSB FOUNDATION INC
          		Employer identification number

    82-3749132
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2020 AccountingFeesSchedule
    Name:
    THE TSB FOUNDATION INC
    EIN:
    82-3749132
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING 1,200 0   1,200

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2020 DepreciationSchedule
    Name:
    THE TSB FOUNDATION INC
    EIN:
    82-3749132
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    SOFTWARE FOUNDATION 2020-01-31 13,275   SL 3.000000000000 13,275 0    

    TY 2020 OtherExpensesSchedule
    Name:
    THE TSB FOUNDATION INC
    EIN:
    82-3749132
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    SUPPLIES 2,337 0   2,337


    TY 2020 TaxesSchedule
    Name:
    THE TSB FOUNDATION INC
    EIN:
    82-3749132
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    NYS TAX 50 0   0