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

FORM 13F

FORM 13F COVER PAGE

Report for the Calendar Year of Quarter Ended:  March 31, 2011

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		     May 10, 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

028-00096				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: 17

FORM 13F Information Table Value Total: $133,966 (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        1    50000 SH       Sole                    50000
ETFS PLATINUM TR SH BEN INT    COM              26922V101     1705     9700 SH       Sole                     9700
ISHARES INC MSCI CDA INDEX     COM              464286509      447    13300 SH       Sole                    13300
ISHARES TR MSCI EAFE IDX       COM              464287465    14176   235960 SH       Sole                   235960
ISHARES TR RUSSELL 2000        COM              464287655     1969    23393 SH       Sole                    23393
ISHARES TR S&P 100 IDX FD      COM              464287101     5478    92300 SH       Sole                    92300
ISHARES TR S&P 500 INDEX       COM              464287200     7864    59121 SH       Sole                    59121
ISHARES TR S&P NTL AMTFREE     COM              464288414     5208    52367 SH       Sole                    52367
ISHARES TR US PFD STK IDX      COM              464288687      226     5691 SH       Sole                     5691
JOHNSON & JOHNSON CMN          COM              478160104      247     4164 SH       Sole                     4164
MARKET VECTORS ETF TR GBL ALTE COM              57060U407      561    24731 SH       Sole                    24731
SECTOR SPDR TR SBI INT-UTILS   COM              81369Y886      956    30000 SH       Sole                    30000
SPDR S&P 500 ETF TR UNIT SER 1 COM              78462F103    57289   432080 SH       Sole                   432080
SPDR SERIES TRUST BRCLY CP US  COM              78464A276     1065    22100 SH       Sole                    22100
VANGUARD INDEX FDS STK MRK ETF COM              922908769     6253    91000 SH       Sole                    91000
VANGUARD TAX-MANAGED EUROPE PA COM              921943858    30520   818011 SH       Sole                   818011