JOHN M AND GERTRUDE E PETERSEN FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
JOHN M AND GERTRUDE E PETERSEN FOUNDATION (EIN 25-1859031)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-11
IRS object ID
202221319349100202
Schema version
2021v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-11T05:28:01-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN251690617PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SCHAFFNER KNIGHT MINNAUGH & CO PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11545 WEST 38TH STREETAddressLine1Txt
CityERIECityNm
State AbbreviationPAStateAbbreviationCd
ZIP165082347ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN251859031EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN M & GERTRUDE E PETERSENBusinessNameLine1Txt
Business Name Line2FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlJOHNBusinessNameControlTxt
Phone8148707711PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 STATE STREET SUITE 700AddressLine1Txt
CityERIECityNm
State AbbreviationPAStateAbbreviationCd
ZIP165071459ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL P THOMASPersonNm
Person TitleSECRETARYPersonTitleTxt
Phone9896002098PhoneNum
Signature2022-05-10SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHAELPersonFirstNm
Person LastTHOMASPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDENNIS W GROW CPAPreparerPersonNm
PTINP00190259PTIN
Phone8144541997PhoneNum
Preparation2022-05-10PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$22,998,914FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$416,879DividendsRevAndExpnssAmt
Dividends Net Invst Incm$416,384DividendsNetInvstIncmAmt
Total Rev And Expnss$416,879TotalRevAndExpnssAmt
Total Net Invst Incm$416,384TotalNetInvstIncmAmt
Accounting Fees Rev And Expnss$3,500AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$3,500AccountingFeesNetInvstIncmAmt
Other Prof Fees Rev And Expnss$76,658OtherProfFeesRevAndExpnssAmt
Tot Opr Expenses Rev And Expnss$80,158TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$3,500TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$1,068,686ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$1,068,686ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,148,844TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$3,500TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$1,068,686TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$731,965ExcessRevenueOverExpensesAmt
Net Investment Income$412,884NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$19,681CashBOYAmt
Cash EOY$15,996CashEOYAmt
Cash EOYFMV$15,996CashEOYFMVAmt
Sav And Temp Cash Invst BOY$2,747,078SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$2,018,956SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$2,018,956SavAndTempCashInvstEOYFMVAmt
Prepaid Expenses BOY$176PrepaidExpensesBOYAmt
Prepaid Expenses EOY$18PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$18PrepaidExpensesEOYFMVAmt
Corporate Stock BOY$4,554,906CorporateStockBOYAmt
Corporate Stock EOY$4,554,906CorporateStockEOYAmt
Corporate Stock EOYFMV$20,963,944CorporateStockEOYFMVAmt
Total Assets BOY$7,321,841TotalAssetsBOYAmt
Total Assets EOY$6,589,876TotalAssetsEOYAmt
Total Assets EOYFMV$22,998,914TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Retained Earning BOY$7,321,841RetainedEarningBOYAmt
Retained Earning EOY$6,589,876RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$7,321,841TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$6,589,876TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$7,321,841TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$6,589,876TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$7,321,841TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$731,965ExcessRevenueOverExpensesAmt
Subtotal$6,589,876SubtotalAmt
Tot Net Ast Or Fund Balances EOY$6,589,876TotNetAstOrFundBalancesEOYAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$5,739InvestmentIncomeExciseTaxAmt
Subtotal$5,739SubtotalAmt
Tax Based On Investment Income$5,739TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$8,439EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$8,439TotalPaymentsAndCreditsAmt
Overpayment$2,700OverpaymentAmt
Applied To ES Tax$2,700AppliedToESTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StatePAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksRICHARD C PETERSENIndividualWithBooksNm
Phone9896002098PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line14765 KODIAK DRIVEAddressLine1Txt
CityTRAVERSE CITYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49685ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JOAN CHALIKIAN
6 HOVER CREEK ROADSAVANNAHGA31419PRESIDENT000.00$0$0$0
MICHAEL P THOMAS
100 STATE STREET SUITE 700ERIEPA16507SECRETARY000.00$0$0$0
RICHARD C PETERSEN JR
4765 KODIAK DRIVETRAVERSE CITYMI49685EXECUTIVE DI000.00$0$0$0
PATRICIA A RICKLOFF
16120 CASTLE PARK TERRACELAKEWOOD RANCHFL342025708DIRECTOR000.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$18,858,858AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$2,724,896AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$21,583,754TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$21,583,754AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$323,756CashDeemedCharitableAmt
Net Vl Noncharitable Assets$21,259,998NetVlNoncharitableAssetsAmt
Minimum Investment Return$1,063,000MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$1,063,000MinimumInvestmentReturnAmt
Tax Based On Investment Income$5,739TaxBasedOnInvestmentIncomeAmt
Total Tax$5,739TotalTaxAmt
Distributable Before Adj$1,057,261DistributableBeforeAdjAmt
Distributable Before Ded$1,057,261DistributableBeforeDedAmt
Distributable As Adjusted$1,057,261DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$1,068,686ExpensesAndContributionsAmt
Qualifying Distributions$1,068,686QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$1,057,261DistributableAsAdjustedAmt
Excess Distribution Cyov Yr4$124,215ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$100,751ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$203,062ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$77,168ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$505,196TotalExcessDistributionCyovAmt
Qualifying Distributions$1,068,686QualifyingDistributionsAmt
Applied To Current Year$1,057,261AppliedToCurrentYearAmt
Remaining Distri From Corpus$11,425RemainingDistriFromCorpusAmt
Total Corpus$516,621TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$516,621ExcessDistriCyovToNextYrAmt
Excess From Year4$124,215ExcessFromYear4Amt
Excess From Year3$100,751ExcessFromYear3Amt
Excess From Year2$203,062ExcessFromYear2Amt
Excess From Year1$77,168ExcessFromYear1Amt
Excess From Current Year$11,425ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerGERTRUDE E PETERSENContributingManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonRICHARD C PETERSENRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line14765 KODIAK DRIVEAddressLine1Txt
CityTRAVERSE CITYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49685ZIPCd
FieldValueIRS element (for citing)
Recipient Phone9896002098RecipientPhoneNum
Recipient Email AddressRZP0CM124@GMAIL.COMRecipientEmailAddressTxt
Form And Info And MaterialsREQUEST FOR FUNDING APPLICATION THE FOLLOWING ATTACHMENTS SHOULD BE INCLUDED WITH THE FUNDING APPLICATION: COPY OF IRS DETERMINATION LETTER REGARDING YOUR AGENCY'S TAX EXEMPT STATUS; ROSTER OF CURRENT BOARD OF DIRECTORS, TO INCLUDE ADDRESSES, PHONE NUMBERS AND OCCUPATIONS; AUDITED FINANCIAL STATEMENTS, IF APPLICABLE.FormAndInfoAndMaterialsTxt
Submission DeadlinesN/ASubmissionDeadlinesTxt
Restrictions On AwardsNONERestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (19 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2TxtBusiness Name Line2RecipientBusinessName/BusinessNameLine2Txt
BENEDICTINE SISTERS OF ERIE
6101 EAST LAKE ROADERIEPA16511NONEPUBLIC CHARIROOF REPAIR$12,686
BOYS AND GIRLS CLUB OF ERIE INC
1515 EAST LAKE ROADERIEPA16511NONEPUBLIC CHARIGENERAL SUPPORT$5,000
COMMUNITY COUNTRY DAY SCHOOL
5800 ZUCK ROADERIEPA16506NONEPUBLIC CHARIGENERAL SUPPORT$39,000
EMMAUS MINISTRIES INC
345 EAST 9TH STREETERIEPA16503NONEPUBLIC CHARIGENERAL SUPPORT$5,000
ERIE CITY MISSION
PO BOX 407ERIEPA16512NONEPUBLIC CHARIGENERAL SUPPORT$10,000
ERIE ZOO
423 WEST 38TH STREEETERIEPA16508NONEPUBLIC CHARCAPITAL CAMPAIGN$700,000
FAMILY HOUSE
5001 BAUM BLVDPITTSBURGHPA15213NONEPUBLIC CHARGENERAL SUPPORT$10,000SUITE 545
FAMILY SERVICES OF NWPA
5100 PEACH STREETERIEPA16509NONEPUBLIC CHARIBIG BROTHERS BIG SISTERS$5,000
GIRL SCOUTS OF WESTERN PA
503 MARTINDALE STREETPITTSBURGHPA15212NONEPUBLIC CHARIGENERAL SUPPORT$15,000SUITE 500
HARBORCREEK YOUTH SERVICES
5712 IROQUOIS AVENUEHARBORCREEKPA16421NONEPUBLIC CHARGENERAL SUPPORT$100,000
INNER CITY NEIGHBORHOOD ART HOUSE
201 EAST 10TH STERIEPA16503NONEPUBLIC CHARIGENERAL SUPPORT$5,000
MERCY CENTER FOR WOMEN
1039 EAST 27TH STERIEPA16504NONEPUBLIC CHARIGENERAL SUPPORT$50,000
MERCY CENTER FOR WOMEN
1039 EAST 27TH STERIEPA16504NONEPUBLIC CHARIGENERAL SUPPORT$50,000
SIGHT CENTER OF NW PA
2545 WEST 26TH STREETERIEPA16506NONEPUBLIC CHARIGENERAL SUPPORT$25,000
SAINT PAUL'S NEIGHBORHOOD FREE
1608 WALNUT STREETERIEPA16502NONEPUBLIC CHARIGENERAL SUPPORT$5,000CLINIC
SALVATION ARMY
1022 LIBERTY STREETERIEPA16502NONEPUBLIC CHARGENERAL SUPPORT$5,000
UNITED WAY OF ERIE COUNTY
420 WEST 6TH STERIEPA16507NONEPUBLIC CHARIGENERAL SUPPORT$10,000
YMCA OF ERIE
31 WEST 10TH STREETERIEPA16501NONEPUBLIC CHARIGENERAL SUPPORT$15,000
YOUTH FOR CHRIST OF NORTHWEST PA
519 WEST 10TH STERIEPA16502NONEPUBLIC CHARIGENERAL SUPPORT$2,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$1,068,686TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$416,879ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$416,879ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$416,879TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEECategoryTxt
Amt$3,500Amt
Net Investment Income$3,500NetInvestmentIncomeAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (15 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
2000 SH TAPESTRY INC$42,800$81,200
25000 SH ALTRIA GROUP INC$492,742$1,184,750
8200 SH PEPSICO$498,674$1,424,422
13000 SH BP PLC$498,411$346,190
8300 SH CHEVRON CORP NEW$703,046$974,005
15891 SH AMGEN INC$139,046$3,574,998
10000 SH EDWARDS LIFESCIENCES$258,319$7,773,000
20800 SH MERCK AND CO$675,098$1,594,112
2080 SH ORGANON CO$33,344$63,336
12000 SH TEREX CORP NEW$63,300$527,400
3800 SH MICROSOFT CORP$248,814$1,278,016
7000 SH WOLFSPEED INC$244,699$782,390
2000 SH FREEPORT MCMORAN$67,112$83,460
5500 SH STEEL DYNAMICS INC$80,619$341,385
18000 SH VERIZON COMMUNICATIONS$508,882$935,280

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (4 entries)

CategoryCategoryTxtAmtAmt
MANAGEMENT FEES$74,167
TRUSTEE FEES$1,133
FOREIGN CONVERSION FEE$260
LEGAL FEES$1,098

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