UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 13F

FORM 13F COVER PAGE

Report for the Calendar Year of Quarter Ended:  December 31, 2010

Check here if Amendment [ ]; Amendment Number:  _____

This Amendment (Check only one):	[ ] is a restatement
					[ ] adds new holding entries

Institutional Manager Filing this Report:

Name:		Sageworth Trust Company
Address:	160 North Pointe Blvd., Suite 200
		Lancaster, PA 17601

13F File Number: 028-13708

This institutional investment manager filing this report and the person by
whom it is signed represent that the person signing the report is
authorized to submit it, that all information contained herein is
true, correct and complete, and that it is understood that all required
items, statements, schedules, lists, and tables are considered integral
parts of this form.

Person signing this Report on Behalf of Reporting Manager:

Name:		Scott A. Shuck
Title:  	Chief Financial Officer
Phone:	        (717) 735-8000

Signature, Place and Date of Signing

/s/ Scott A. Shuck		Lancaster, PA		     February 11, 2011
	(Signature)		(City, State)			(Date)

Report Type (Check only one):

[ ] 13F HOLDINGS REPORT. (Check here if all holdings of this
reporting manager are reported in this report).

[ ] 13F NOTICE. (Check here if no holdings reported are in this
report, and all holdings are reported by other managers(s)).

[X] 13F COMBINATION REPORT.  (Check here if a portion of the
holdings for this reporting manager are reported in this
report and a portion are reported by other reporting managers(s)).

List of Other Managers Reporting for this Manager:

Form 13F File Number		Name

028-10562				AllianceBernstein, LP
028-00096				Capital Guardian Trust Co
028-00268				Cooke & Bieler LP
028-10968				Epoch Investment Partners, Inc
028-13573				Neuberger Berman Group LLC
028-02777				GW Capital, Inc
028-04458				Parametric Portfolio Associates
028-01669				Pinnacle Associates Ltd




FORM 13F SUMMARY PAGE

Report Summary:

Number of Other Included Managers:  NONE

FORM 13F Information Table Entry Total: 15

FORM 13F Information Table Value Total: $84,267 (thousands)

List of Other Included Managers:  NONE

Provide of numbered list of the name(s) and Form 13F file number(s) of
all institution investment managers with respect to which this report
is filed, other than the managers filing this form.





                                                                  FORM 13F INFORMATION TABLE
                                                           VALUE   SHARES/  SH/ PUT/ INVSTMT    OTHER          VOTING AUTHORITY
        NAME OF ISSUER          TITLE OF CLASS    CUSIP   (x$1000) PRN AMT  PRN CALL DSCRETN   MANAGERS     SOLE    SHARED    NONE
- ------------------------------ ---------------- --------- -------- -------- --- ---- ------- ------------ -------- -------- --------
                                                                                           
ADELPHIA COMMUNICATIONS CL ESC PFD                               1    50000 SH       Sole                    50000
ADELPHIA RECOVERY TR CVV ACC-7 COM              00685R870        0    50000 SH       Sole                    50000
ALLIED IRISH BKS P L C SPON AD COM              019228402       12    14033 SH       Sole                    14033
ETFS PLATINUM TR SH BEN INT    COM              26922V101     1092     6200 SH       Sole                     6200
ISHARES INC MSCI CDA INDEX     COM              464286509     2311    74550 SH       Sole                    74550
ISHARES TR MSCI EAFE IDX       COM              464287465    11688   200756 SH       Sole                   200756
ISHARES TR RUSSELL 2000        COM              464287655     3093    39534 SH       Sole                    39534
ISHARES TR S&P 500 INDEX       COM              464287200     7535    59686 SH       Sole                    59686
ISHARES TR S&P NTL AMTFREE     COM              464288414     2932    29567 SH       Sole                    29567
JOHNSON & JOHNSON CMN          COM              478160104      344     5564 SH       Sole                     5564
POWERSHARES ETF TR II BUILD AM COM              73937B407     1582    63085 SH       Sole                    63085
SPDR S&P 500 ETF TR UNIT SER 1 COM              78462F103    29701   236190 SH       Sole                   236190
SPDR SERIES TRUST BRCLY CP US  COM              78464A276     2480    51899 SH       Sole                    51899
VANGUARD INDEX FDS STK MRK ETF COM              922908769     5909    91000 SH       Sole                    91000
VANGUARD TAX-MANAGED EUROPE PA COM              921943858    15587   431171 SH       Sole                   431171