Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
right arrowDo not enter social security numbers on this form as it may be made public.
right arrowGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
For calendar year 2023, or tax year beginning 01-01-2023 , and ending 12-31-2023
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 right arrow
G Check all that apply:

D 1. Foreign organizations, check here............. right arrow
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
right arrow
E right arrow
H Check type of organization:
F right arrow
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)right arrow$725,860
J 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) 365,208
2 Check right arrow.............
3 Interest on savings and temporary cash investments 16,007 16,007  
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........ 381,215 16,007  
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)....... 2,800 0   2,800
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 100 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications.......... 521 0   521
23 Other expenses (attach schedule)....... 800 0   800
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 4,221 0   4,121
25 Contributions, gifts, grants paid....... 119,893 119,893
26 Total expenses and disbursements. Add lines 24 and 25 124,114 0   124,014
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 257,101
b Net investment income (if negative, enter -0-) 16,007
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2023)
Form 990-PF (2023)
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............. 468,759 4,853 4,853
2 Savings and temporary cash investments.........   721,007 721,007
3 Accounts receivable right arrow  
Less: allowance for doubtful accounts right arrow        
4 Pledges receivable right arrow  
Less: allowance for doubtful accounts right arrow        
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) right arrow  
Less: allowance for doubtful accounts right arrow        
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 right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis right arrow13,275
Less: accumulated depreciation (attach schedule) right arrow13,275      
15 Other assets (describe right arrow)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 468,759 725,860 725,860
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 right arrow)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here right arrow
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 468,759 725,860
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here right arrow
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)..... 468,759 725,860
30 Total liabilities and net assets/fund balances (see instructions). 468,759 725,860
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
468,759
2
Enter amount from Part I, line 27a .....................
2
257,101
3
Other increases not included in line 2 (itemize) right arrow
3
0
4
Add lines 1, 2, and 3 ..........................
4
725,860
5
Decreases not included in line 2 (itemize) right arrow
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
725,860
Form 990-PF (2023)
Form 990-PF (2023)
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
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 right arrow 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) 1 222
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) 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........................... 3 222
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- ..... 5 222
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 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.......right arrow 9 222
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...right arrow 10  
11 Enter the amount of line 10 to be: Credited to 2024 estimated taxright arrow   Refundedright arrow 11  
Form 990-PF (2023)
Form 990-PF (2023)
Page 4
Part VI-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. right arrow$ 0(2) On foundation managers.right arrow$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.right arrow$ 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:
round bullet By language in the governing instrument, or
round bullet 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 XIV..................................
7
Yes
 
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
right arrowNY
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 2023 or the taxable year beginning in 2023? See the instructions for Part XIII.
If "Yes," complete Part XIII .............................
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
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 addressright arrowWWW.TIOGABANK.COM
14
The books are in care ofright arrowJENNIFER BROCKNER Telephone no.right arrow (607) 589-7600

Located atright arrow1 N MAIN STSPENCERNY ZIP+4right arrow14883
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........right arrow
and enter the amount of tax-exempt interest received or accrued during the year ........right arrow
15
 
16 At any time during calendar year 2023, 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 right arrow
Form 990-PF (2023)
Form 990-PF (2023)
Page 5
Part VI-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? ...........
1a(1)
 
No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person? ..............................
1a(2)
 
No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
1a(3)
 
No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
1a(4)
 
No
(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)? ......................
1a(5)
 
No
(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.) ...............
1a(6)
 
No
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
 
 
c
Organizations relying on a current notice regarding disaster assistance check here ........right arrow
d
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 2023? .............
1d
 
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 2023, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2023?....................
2a
 
No
If "Yes," list the years right arrow20, 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.
right arrow20, 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? ..............................
3a
 
No
b
If "Yes," did it have excess business holdings in 2023 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 2023.) .....................
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 2023? ..
4b
 
No
Form 990-PF (2023)
Form 990-PF (2023)
Page 6
Part VI-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))? ..........
5a(1)
 
No
(2) Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive? ....................
5a(2)
 
No
(3) Provide a grant to an individual for travel, study, or other similar purposes? .............
5a(3)
 
No
(4) Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions ........................
5a(4)
 
No
(5) Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals? .............
5a(5)
 
No
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
 
 
c
Organizations relying on a current notice regarding disaster assistance check .........right arrow
d
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? .................
5d
 
 
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? .............................
6a
 
No
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?
7a
 
No
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? .........................
8
 
No
Part VII
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
LORI WELCH DIRECTOR
0.00
0 0 0
1 N MAIN
SPENCER,NY14883
MISSY JEWELL DIRECTOR
0.00
0 0 0
1 N MAIN
SPENCER,NY14883
MAUREEN ABBOTT DIRECTOR
0.00
0 0 0
1 N MAIN
SPENCER,NY14883
KIM DEPEW VICE PRESIDENT
0.00
0 0 0
1 N MAIN
SPENCER,NY14883
HABIBA SELIMOVIC SECRETARY
0.00
0 0 0
1 N MAIN
SPENCER,NY14883
JENNIFER BROCKNER TREASURER
0.00
0 0 0
1 N MAIN
SPENCER,NY14883
ERIC KNOLLES DIRECTOR
0.00
0 0 0
1 N MAIN
SPENCER,NY14883
SUSAN CHAFEE DIRECTOR
0.00
0 0 0
1 N MAIN
SPENCER,NY14883
KAREN MONBORNE 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...................right arrow 0
Form 990-PF (2023)
Form 990-PF (2023)
Page 7
Part VII
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.............right arrow0
Part VIII-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 VIII-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.........................right arrow0
Form 990-PF (2023)
Form 990-PF (2023)
Page 8
Part IX
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
234,357
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
234,357
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
234,357
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
3,515
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
230,842
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
11,542
Part X
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 IX, line 6..................
1
11,542
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
222
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
222
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
11,320
4
Recoveries of amounts treated as qualifying distributions................
4
0
5
Add lines 3 and 4............................
5
11,320
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 XII, line 1 ...
7
11,320
Part XI
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
124,014
b
Program-related investments—total from Part VIII-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 XII, line 4. .......
4
124,014
Form 990-PF (2023)
Form 990-PF (2023)
Page 9
Part XII
Undistributed Income (see instructions)
(a)
Corpus
(b)
Years prior to 2022
(c)
2022
(d)
2023
1 Distributable amount for 2023 from Part X, line 7 11,320
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only....... 0
b Total for prior years:20 , 20, 20 0
3 Excess distributions carryover, if any, to 2022:
a From 2018......  
b From 2019......  
c From 2020...... 71,568
d From 2021...... 82,127
e From 2022...... 96,247
f Total of lines 3a through e ........ 249,942
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 124,014
a Applied to 2022, 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 2023 distributable amount..... 11,320
e Remaining amount distributed out of corpus 112,694
5 Excess distributions carryover applied to 2023. 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 5 362,636
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 2022. Subtract line
4a from line 2a. Taxable amount—see
instructions .............
0
f Undistributed income for 2023. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2024 ..........
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 2018 not
applied on line 5 or line 7 (see instructions) ...
0
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ......
362,636
10 Analysis of line 9:
a Excess from 2019....  
b Excess from 2020.... 71,568
c Excess from 2021.... 82,127
d Excess from 2022.... 96,247
e Excess from 2023.... 112,694
Form 990-PF (2023)
Form 990-PF (2023)
Page 10
Part XIII
Private Operating Foundations (see instructions and Part VI-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 2023, enter the date of the ruling ...... right arrow
 
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 IX for each
year listed ..........
Tax year Prior 3 years (e) Total
(a) 2023 (b) 2022 (c) 2021 (d) 2020
         
b 85% (0.85) of line 2a .........          
c Qualifying distributions from Part XI,
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 IX, 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 XIV
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 right arrow
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.
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 (2023)
Form 990-PF (2023)
Page 11
Part XIV
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

A ROOM TO HEAL

PO BOX 503
VESTAL,NY13851
NONE PC BEDROOMS FOR ILL CHILDREN 1,000

ALL SAINTS CATHOLIC SCHOOL

1112 BROAD ST
ENDICOTT,NY13760
NONE PC WBNG TEACHER APPRECIATION CAMPAIGN 500

ADVOCACY CENTER OF TOMPKINS

PO BOX 164
ITHACA,NY14851
NONE PC BEDROOMS FOR ILL CHILDREN 200

AMERICAN CIVIC ASSOCIATION

131 FRONT ST
BINGHAMTON,NY13905
NONE PC ALL NATIONS EVENT 100

AMERICAN FOUNDATION FOR SUICIDE PREVENTION

PO BOX 74
FREEVILLE,NY13068
NONE PC GREATER ITHACA OUT OF THE DARKNESS WALK 250

AMERICAN RED CROSS

620 EAST MAIN ST
ENDWELL,NY13760
NONE PC REAL HEROES EVENT 1,000

AMERICAN HEART ASSOCIATION

FOUR GATEWAY CENTER
PITTSBURGH,PA15222
NONE PC BLUE JEANS DAY MATCH 230

APALACHIN UNITED METHODIST CHURCH

PO BOX 335
APALACHIN,NY13732
NONE PC CARNIVAL DONATION 150

APALACHIN ELEMENTARY SCHOOL

405 PENNSYLVANIA AVE
APALACHIN,NY13732
NONE PC WBNG TEACHER APPRECIATION CAMPAIGN 500

ARROWHEAD BIBLE CAMP

122 ARROWHEAD COTTAGE RD
BRACKNEY,PA18812
NONE PC SCHOLARSHIP DONATION 2,500

BOYS & GIRLS CLUB OF BINGHAMTON

90 CLINTON ST
BINGHAMTON,NY13905
NONE PC BIDS FOR KIDS 700

BREAD OF LIFE FOOD PANTRY

1 WATER ST
CANDOR,NY13743
NONE PC BLUE JEANS DAY DONATION MATCH 225

BROOME COUNTY COUNCIL OF CHURCHES

3 OTSENINGO ST
BINGHAMTON,NY13903
NONE PC 4/6 LIVES OF COMMITMENT SPONSORSHIP - $6002/2 CHOW - KIDS CAN BUILD FUNDRAISER - $50012/13 BLUE JEANS DAY MATCH - $136 1,236

BROOME COUNTY HABITAT FOR HUMANITY

103 ADAMS AVE
ENDICOTT,NY13760
NONE PC RAISING THE ROOF FUNDRAISER 600

BENEVOLENT & PROTECTIVE ORDER OF ELKS

PO BOX 6
OWEGO,NY13827
NONE PC UNRESTRICTED DONATION 400

BROOME COUNTY SHERIFF'S DEPT

PO BOX 3203
BINGHAMTON,NY13902
NONE PC UNRESTRICTED DONATION 295

BUFFALO BILLS ALUMNI FOUNDATION INC

PO BOX 118
GETZVILLE,NY14068
NONE PC 11/15 BLUE JEANS DAY MATCH - $27012/7 CURE THE BLUE DONATION - $2,500 2,770

CANDOR AMERICAN LEGION POST #907

90 SPENCER RD
CANDOR,NY13845
NONE PC KATE WHITTEMORE SCHOLARSHIP DONATION 1,000

CANDOR EMERGENCY SQUAD

58 MAIN ST
CANDOR,NY13743
NONE PC EMERGENCY ELECTRICAL REPAIRS 2,700

CANDOR HISTORICAL SOCIETY

25 MAIN ST
CANDOR,NY13743
NONE PC DONATION FOR RENOVATION PROJECT 1,500

CATHOLIC CHARITIES OF TIOGATOMPKINS

139 ROKI BLVD
NICHOLS,NY13812
NONE PC 7/20 UNRESTRICTED DONATION - $2,00010/24 YESS PROGRAM SUPPORT - $2,50012/29 BJD MATCH 4,642

BIG BROTHER BIG SISTER OF THE TWIN TIERS

10 PARK ST
TOWANDA,PA18848
NONE PC UNRESTRICTED DONATION 1,500

COMMUNITY FOUNDATION OF S CENTRAL NY

520 COLUMBIA DR
JOHNSON CITY,NY13790
NONE PC 10/24 YEAR END DONATION - $1,00012/19 MEMORIAL DONATION - $750 1,750

COMMUNITY FOUNDATION OF THE TWIN TIERS

104 LOCKHART ST
SAYRE,PA18840
NONE PC UNRESTRICTED DONATION 1,000

COMMUNITY FOUNDATION OF TOMPKINS COUNTY

200 E BUFFALO ST
ITHACA,NY14850
NONE PC UNRESTRICTED DONATION 1,000

CORNELL COOPERATIVE EXTENSION OF TIOGA COUNTY

343 CASS HILL RD
CANDOR,NY13743
NONE PC 4/4 3RD YEARLY INSTALLMENT OF $25K COMMITMENT - $5,000 5,000

DUCA DEGLI ABRUZZI #443

126 ODELL AVE
ENDICOTT,NY13760
NONE PC ITALIAN CELEBRATION 100

ENDICOTT PRESCHOOL

29 GRANT AVE
ENDICOTT,NY13760
NONE PC SUPPLIES DONATION 100

ENDWELL LEAGUE OF COMMUNITY ACTION

325 BEAN HILL RD
ENDICOTT,NY13760
NONE PC BLUE JEANS DAY MATCH 1,230

ENDWELL UNITED METHODIST CHURCH

3301 WATSON BLVD
ENDWELL,NY13760
NONE PC COMMUNITY MEAL PROGRAM ASSISTANCE 1,000

BINGHAMTON PHILHARMONIC

71 STATE ST LOWER LEVEL
BINGHAMTON,NY13901
NONE PC UNRESTRICTED DONATION 500

GIGI'S PLAYHOUSE

732 VESTAL PARKWAY E
VESTAL,NY13850
NONE PC GALA 1,000

GREATER OPPORTUNITIES INC

5 WEST STATE ST
BINGHAMTON,NY13901
NONE PC GOLF TOURNAMENT SPONSORSHIP 200

BINGHAMTON YOUTH SPORTS ASSOCIATION

226 CLINTON ST
BINGHAMTON,NY13905
NONE PC YOUTH SPORTS 1,000

HANDICAPPED CHILDRENS ASSOCIATION

840 UPPER FRONT ST
BINGHAMTON,NY13905
NONE PC SPONSORSHIP 700

HAVEN OF PEACE INC

2857 MONTROSE TURNPIKE
OWEGO,NY13827
NONE PC MAPLERIDGE RANCH CAMPER ASSISTANCE 1,250

BOCES OF BROOME-DELAWARE-TIOGA

435 GLENWOOD RD
BINGHAMTON,NY13905
NONE PC WBNG TEACHER APPRECIATION CAMPAIGN 500

INSPIRE S-VE

PO BOX 600
SPENCER,NY14883
NONE PC 2/2 NICHOLS PARK POND BEAUTIFICATION PROJECT - $5,0004/6 CHILDREN'S FUND COMMUNITY CONCERT - PT - $20012/7 YEAR-END DONATION - $1,000 6,200

JOHNSON CITY DOLLARS FOR SCHOLARS

PO BOX 100
JOHNSON CITY,NY13790
NONE PC UNRESTRICTED DONATION 250

BROOME COUNTY OFFICE FOR THE AGING

BROOME COUNTY OFFICE BLDG
BINGHAMTON,NY13903
NONE PC BJD MATCH - MEALS ON WHEELS OF BROOME 250

KIWANIS CLUB OF OWEGO

PO BOX 164
OWEGO,NY13827
NONE PC 3/7 TRIVIA FUNDRAISER - $2256/12 RADIO DAYS - $3007/20 GOLF TEAM AND HOLE - $400 925

CANDOR CHAMBER OF COMMERCE

PO BOX 323
CANDOR,NY13743
NONE PC 3/1 DAFFODIL DAY SPONSORSHIP - $2508/30 FALL FEST SPONSORSHIP - $200 450

LIONS CAMP BADGER

725 LARUE RD
SPENCER,NY14883
NONE PC 4/19 CAMP ABILITIES DONATION - $1,0006/1 JEANS DAY MATCH - $255 1,255

LITERACY VOLUNTEERS OF BROOME TIOGA COUNTIES

185 COURT ST
BINGHAMTON,NY13901
NONE PC PROGRAM SUPPORT 500

MAINE-ENDWELL CENTRAL SCHOOL DISTRICT

712 FARM TO MARKET ROAD
ENDWELL,NY13760
NONE PC STUDENT COUNCIL HOT COCOA DAY 100

CHENANGO FORKS SCHOOL DISTRICT

1 GORDON DR
BINGHAMTON,NY13901
NONE PC AFTER-PROM PARTY 100

MEALS ON WHEELS OF WESTERN BROOME

705 W MAIN ST
ENDICOTT,NY13760
NONE PC 5K RUN/WALK FUNDRAISER 300

CHENANGO VALLEY HIGH SCHOOL

221 CHENANGO BRIDGE RD
BINGHAMTON,NY13901
NONE PC ATHLETIC BOOSTER CLUB (AGNES) 50

MOM'S HOUSE

770 HARRY L DRIVE
JOHNSON CITY,NY13790
NONE PC 7/5 GOLF FUNDRAISER - $1007/20 DONATION FOR EXPANDED CHILDCARE - $250 350

NEWFIELD GOOD NEIGHBOR FUND

PO BOX 311
NEWFIELD,NY14867
NONE PC BLUE JEANS DAY MATCH 190

NEWFIELD PUBLIC LIBRARY

198 MAIN ST
NEWFIELD,NY14867
NONE PC NEWFIELD TREE LIGHTING 100

CHENANGO VALLEY LITTLE LEAGUE

C/O PORT DICKINSON TOWN HALL
BINGHAMTON,NY13901
NONE PC TEAM SPONSORSHIP 250

NORTH SPENCER CHRISTIAN ACADEMY

721 ITHACA RD
SPENCER,NY14883
NONE PC HARVEST BANQUET 300

NYS 4-H FOUNDATION

201 CALDWELL HALL
ITHACA,NY14850
NONE PC PATRON SPONSOR GOLF CLASSIC 850

CROHN'S AND COLITIS FOUNDATION

29 CALGARY LANE
BINGHAMTON,NY13901
NONE PC DONATION FOR LOCAL EVENT 200

CUB CARE CHILDREN'S CENTER

201 MAIN ST 2ND FLOOR
VESTAL,NY13850
NONE PC UNRESTRICTED DONATION 50

DISCOVERY CENTER OF THE SOUTHERN TIER

PO BOX6
OWEGO,NY13827
NONE PC 5/24 WINE & ROSES SPONSORSHIP - $5009/13 TRICK OR TRIVIA SPONSORSHIP - $500 1,000

ENDICOTT ELKS LODGE #1977

619 NANTICOKE AVE
ENDICOTT,NY13760
NONE PC UNRESTRICTED DONATION 125

OWEGO GYMNASTICS & ACTIVITY CENTER

748 STATE ROUTE 38
OWEGO,NY13827
NONE PC JIM & ALICE BOLAND MEMORIAL GOLF 525

OWEGO HOSE TEAMS INC

461 E MAIN ST
OWEGO,NY13827
NONE PC GOLF TOURNAMENT FUNDRAISER 125

OWEGO LITTLE LEAGUE

PO BOX 2
OWEGO,NY13827
NONE PC TEAM DONATION SPONSORSHIP 200

OWEGO POLICE BENEVOLENT ASSOCIATION

90 TEMPLE ST
OWEGO,NY13827
NONE PC VILLAGE OF OWEGO APPRECIATION EVENT 500

OWEGO-APALACHIN SCHOOLS

5 SHELDON GUILE BLVD
OWEGO,NY13827
NONE PC OA MUSIC BOOSTER CLUB 150

PEOPLE'S BAPTIST CHURCH

364 MAIN ST
NEWFIELD,NY14867
NONE PC COMMUNITY EASTER EGG HUNT 250

ENDICOTT HOLIDAY PARADE

1308 IRMA ST
ENDICOTT,NY13760
NONE PC ENDICOTT ANNUAL HOLIDAY PARADE & CELEBRATION 250

GLOVE HOUSE INC

460 WEST CHURCH ST
ELMIRA,NY14904
NONE PC UPGRADE CPR EQUIPMENT 1,000

SAYRE HISTORICAL SOCIETY

PO BOX 311
SAYRE,PA18840
NONE PC DONATION 350

GREATER VALLEY CHAMBER OF COMMERCE

109 CHEMUNG ST
WAVERLY,NY14892
NONE PC GOLF HOLE 150

SENIOR HOUSING CRIME PREVENTION FOUNDATION

518 LINCOLN ROAD
SAUK CENTER,MN56378
NONE PC SENIOR SECURE GRANT PROGRAM 7,000

HABITAT FOR HUMANITY

PO BOX 4683
ITHACA,NY14852
NONE PC WOMEN BUILD WEEKEND 3,000

SPENCER-VAN ETTEN SCHOOL DISTRICT

16 DARTTS CROSSROAD
SPENCER,NY14883
NONE PC SENIOR CITIZEN LUNCHEON 200

SPENCER-VAN ETTEN YOUTH ASSOCIATION

PO BOX 162
SPENCER,NY14883
NONE PC 6/2 SVEC FOOTBALL GOLF FUNDRAISER - $1007/5 DONATION - $100 200

ITHACA NEIGHBORHOOD HOUSING SERVICES

115 W CLINTON ST
ITHACA,NY14850
NONE PC 4/19 HOME REPAIR PROGRAM - LOW INCOME - $1,00010/19 HOME REPAIR PROGRAM - LOW INCOME - $1,000 2,000

STACHESTRONG

511 CASTLEMAN RD
VESTAL,NY13850
NONE PC 5K RUN/WALK FUNDRAISER 500

THE BRIDGE

PO BOX 202
SAYRE,PA18840
NONE PC BJD MATCH 145

JOHNSON CITY SENIOR CENTER

30 BROCKTON ST
JOHNSON CITY,NY13790
NONE PC UNRESTRICTED DONATION 250

TIOGA ARTS COUNCIL

179 FRONT ST
OWEGO,NY13827
NONE PC OWEGO MURAL RESTORATION 5,000

TIOGA COUNTY BOYS & GIRLS CLUB

201 ERIE ST
OWEGO,NY13827
NONE PC DONATION FOR TEEN CENTER 1,000

LOVE LIVING AT HOME

757 WARREN RD 4836
ITHACA,NY14850
NONE PC UNRESTRICTED DONATION 150

M-EALS AND LEADERSHIP

750 FARM TO MARKET RD
ENDWELL,NY13760
NONE PC FOOD PROGRAM DONATION 1,000

NEWFIELD HISTORICAL SOCIETY

PO BOX 114
NEWFIELD,NY14867
NONE PC DONATION FOR DISPLAYS 400

TIOGA COUNTY RURAL MINISTRY

143 NORTH AVE
OWEGO,NY13827
NONE PC BLUE JEANS DAY MATCH 410

TIOGA COUNTY SWCD

183 CORPORATE DR
OWEGO,NY13827
NONE PC SUNDAES ON THE FARM SPONSORSHIP 750

NICHOLS TIOGA LITTLE LEAGUE

PO BOX 323
NICHOLS,NY13812
NONE PC SIGN SPONSORSHIP 85

TIOGA UNITED WAY

24 STATE ROUTE 96
OWEGO,NY13827
NONE PC UNRESTRICTED DONATION YEAR END 3,500

TRI-CITIES OPERA

315 CLINTON ST
BINGHAMTON,NY13905
NONE PC DONATION - OPERA-GO-ROUND 2,500

UNION ENDICOTT SCHOOL DISTRICT

1200 E MAIN ST
ENDICOTT,NY13760
NONE PC SOFTBALL FUNDRAISER 100

UNITED WAY OF BROOME COUNTY

101 S JENSEN RD
VESTAL,NY13850
NONE PC 8/8 MINI GOLF FUNDRAISER - $20012/19 UNRESTRICTED DONATION YEAR END - $4,400 4,600

OPEN DOOR MISSION

425 NORTH AVE
OWEGO,NY13827
NONE PC BLUE JEANS DAY MATCH 220

UNITED WAY OF TOMPKINS COUNTY

313 N AURORA ST
ITHACA,NY14850
NONE PC UNRESTRICTED DONATION 1,200

VESTAL ELKS

2071 VESTAL PARKWAY WEST
VESTAL,NY13850
NONE PC GOLF TOURNAMENT FUNDRAISER 125

VESTAL HIGH SCHOOL

205 WOODLAWN DR
VESTAL,NY13850
NONE PC DONATION CHEM-FREE PROM PARTY 50

OWEGO CHURCH OF THE NAZARENE

3732 WAVERLY RD
OWEGO,NY13827
NONE PC GOLF HOLE 100

VESTAL POLICE BENEVOLENT ASSOCIATION

PO BOX 731
VESTAL,NY13851
NONE PC UNRESTRICTED DONATION 285

VETS IN NATURE INC

448 TAGGART RD
NEWFIELD,NY14867
NONE PC VETERANS TRIP 250

OXFORD MIDDLE SCHOOL

12 FORT HILL PARK
OXFORD,NY13830
NONE PC WBNG TEACHER APPRECIATION 500

WAVERLY COMMUNITY CHEST

PO BOX 844
WAVERLY,NY14892
NONE PC UNRESTRICTED DONATION 900

RETIRED PROFESSIONAL FIRE FIGHTERS

4 LORETTA DR
BINGHAMTON,NY13905
NONE PC HOCKEY GAME FUNDRAISER 100

WHITNEY POINT SCHOOL DISTRICT

2887 NYS ROUTE 11
WHITNEY POINT,NY13862
NONE PC WBNG TEACHER APPRECIATION 500

ROTARY CLUB OF WAVERLY

PO BOX 717
WAVERLY,NY14892
NONE PC 6/21 BEAUTIFICATION PROJECT - $25011/8 ELECTION DAY PANCAKE EVENT - $50 300

RURAL HEALTH NETWORK

455 COURT ST
BINGHAMTON,NY13905
NONE PC FARM TO SCHOOL PROGRAM 3,000

YWCA BINGHAMTON

80 HAWLEY ST
BINGHAMTON,NY13901
NONE PC SPONSORSHIP OF PROGRAMS 2,000

SARAH'S CAUSE

2520 VESTAL PKWY EAST 227
VESTAL,NY13850
NONE PC FUNDRAISER 150

SHADY STRONG INC

580 DR KNAPP RD N
NEWARK VALLEY,NY13811
NONE PC DONATION ALS AWARENESS EVENT 100

SOUTHERN TIER ANTIQUE TRACTOR CLUB

520 BOSWELL HILL RD
ENDICOTT,NY13760
NONE PC SUPPLIES FOR FOOD DISTRIBUTION PROGRAM 1,000

SOUTHERN TIER INDEPENDENCE CENTER (STIC)

135 FREDERICK ST
BINGHAMTON,NY13904
NONE PC UNRESTRICTED DONATION 2,000

SPENCER CANDOR LIONS CLUB

PO BOX 84
SPENCER,NY14883
NONE PC FISHING DERBY 50

SPENCER-VAN ETTEN FOOD CUPBOARD

91 ORCHARD ST
SPENCER,NY14883
NONE PC 7/20 UNRESTRICTED DONATION - $1,5009/25 BLUE JEANS DAY MATCH - $205 1,705

SPENCER-VAN ETTEN HIGH SCHOOL

16 DARTTS CROSSROAD
SPENCER,NY14883
NONE PC FFA DONATION 50

ST JAMES FOOD PANTRY

130 MAIN ST
JOHNSON CITY,NY13790
NONE PC BLUE JEANS DAY MATCH 190

ST MARY OF THE ASSUMPTION

15 DOUBLEDAY ST
BINGHAMTON,NY13901
NONE PC DONATION - BAZAAR 100

STAND WITH ME ASSISTANCE DOG TEAM TRAINING

650 HANCE RD
BINGHAMTON,NY13903
NONE PC DOG TRAINING PROGRAM DONATION 1,000

STRAY HAVEN HUMANE SOCIETY

194 SHEPARD RD
WAVERLY,NY14892
NONE PC 2/7 BLUE JEANS DAY MATCH - $2402/15 PINS FOR PETS - $100 340

S-VE FOOD CUPBOARD

91 ORCHARD ST
SPENCER,NY14883
NONE PC BLUE JEANS DAY MATCH 135

THE BANDERA FAMILY AND COMMUNITY ALLIANCE

3015 HOWLETT RD
CAMILLUS,NY13031
NONE PC HOLIDAY DINNER IN BINGHAMTON 100

THE SALVATION ARMY OF SAYRE

351 FULTON ST
SAYRE,PA18840
NONE PC DONATION CAMP SCHOLARSHIPS 2,500

TIOGA COUNTY CHAMBER OF COMMERCE

1 SHELDON GUILE BLVD
OWEGO,NY13827
NONE PC 2/2 GOLF HOLE - $1005/17 JR CHAMBER KICKBALL FUNDRAISER - $50 150

TIOGA COUNTY YOUTH SOCCER ASSOCIATION

4 SWARTWOOD RD
VAN ETTEN,NY14889
NONE PC SOCCER IN TIOGA COUNTY 150

TOWER TO TUNNEL FOUNDATION

2361 HYLAN BOULEVARD
STATEN ISLAND,NY10306
NONE PC BLUE JEANS DAY MATCH 230

TOWN OF CHEMUNG

PO BOX 138
CHEMUNG,NY14825
NONE PC 1ST OF 2 DONATIONS/2ND IN JAN. 2024 - REPAIRS 2,500

UNION VOLUNTEER EMERGENCY SQUAD

8 SOUTH AVE B
ENDWELL,NY13760
NONE PC GOLF FUNDRAISER 750

VESTAL VOLUNTEER EMERGENCY SQUAD

340 VESTAL PKWY EAST
VESTAL,NY13850
NONE PC GOLF TOURNAMENT FUNDRAISING EVENT 250

VFW POST #1371

207 MAIN ST
OWEGO,NY13827
NONE PC CANDOR JULY 4TH 500

VILLAGE OF SPENCER

41 N MAIN ST
WAVERLY,NY14892
NONE PC PANTHER PAK SUMMER PROGRAM 1,000

WAVERLY BUSINESS ASSOCIATION

PO BOX 676
WAVERLY,NY14892
NONE PC WAVERLY FALL FEST SPONSORSHIP 250

WAVERLY CHOW FOR CHILDREN

459 PARK AVE
WAVERLY,NY14892
NONE PC SERVING HUNGRY CHILDREN IN WAVERLY AREA 3,500

WAVERLY SCHOOL DISTRICT

1 FREDERICK ST
WAVERLY,NY14892
NONE PC WAVERLY BOYS BASKETBALL CLUB HOLE SPONSOR 100

WREATHS ACROSS AMERICA

PO BOX 249
COLUMBIA FALLS,ME04623
NONE PC DONATION FOR TIOGA CEMETERY 150

YMCA OF ITHACA TOMPKINS

50 GRAHAM RD WEST
ITHACA,NY14850
NONE PC 50 GRAHAM RD. WEST 500

WINDSOR FAIR INC

PO BOX 122
WINDSOR,NY13865
NONE PC UNRESTRICTED DONATION 500
Total .................................right arrow 3a 119,893
bApproved for future payment
Total ................................. right arrow 3b 0
Form 990-PF (2023)
Form 990-PF (2023)
Page 12
Part XV-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 ...........
    14 16,007  
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 16,007 0
13Total. Add line 12, columns (b), (d), and (e)..................
13
16,007
(See worksheet in line 13 instructions to verify calculations.)
Part XV-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 XV-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 (2023)
Form 990-PF (2023)
Page 13
Part XVI
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.
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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 Check if self-
employed right arrow
PTIN
Firm's name SmallBullet
Firm's EIN SmallBullet
Firm's address SmallBullet


Phone no.
Form 990-PF (2023)
Additional Data


Software ID:  
Software Version:  


Form 990PF - Special Condition Description:
Special Condition Description
Schedule B
(Form 990)
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
2023
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) (2023)
Schedule B (Form 990) (2023) 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

$ 365,208


(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) (2023)
Schedule B (Form 990) (2023)
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) (2023)
Schedule B (Form 990) (2023)
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) (2023)
Additional Data


Software ID:  
Software Version:  

TY 2023 AccountingFeesSchedule
Name:
THE TSB FOUNDATION INC
EIN:
82-3749132
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
ACCOUNTING 2,800 0   2,800

TY 2023 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 200 0   200
SOFTWARE EXPENSE 600 0   600


TY 2023 TaxesSchedule
Name:
THE TSB FOUNDATION INC
EIN:
82-3749132
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
NYS TAX 100 0   0