PETERSON FAMILY FOUNDATION: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
PETERSON FAMILY FOUNDATION (EIN 91-1746622)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-18
IRS object ID
201841389349100319
Schema version
2017v2.3
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)
Return2018-05-18T14:36:49-07:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN912016086PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1VIERCK & RAKOSKI CPAS PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1606 SE 117TH AVENUE SUITE 100AddressLine1Txt
CityVANCOUVERCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98683ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911746622EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE PETERSON FAMILY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPETEBusinessNameControlTxt
Phone3608161840PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12401 NW WALDEN DRIVEAddressLine1Txt
CityCAMASCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98607ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKENNETH D PETERSON JRPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3608821052PhoneNum
Signature2018-05-18SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSEPH G RAKOSKIPreparerPersonNm
PTINP00168178PTIN
Phone3603563805PhoneNum
Preparation2018-05-18PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$548,136FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$1,000,000ContriRcvdRevAndExpnssAmt
Total Rev And Expnss$1,000,000TotalRevAndExpnssAmt
Total Net Invst Incm$0TotalNetInvstIncmAmt
Accounting Fees Rev And Expnss$820AccountingFeesRevAndExpnssAmt
Accounting Fees Chrtbl Prps$820AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$35TaxesRevAndExpnssAmt
Taxes Dsbrs Chrtbl$35TaxesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$855TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$855TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$465,080ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$465,080ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$465,935TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$465,935TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$534,065ExcessRevenueOverExpensesAmt
Net Investment Income$0NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$14,071CashBOYAmt
Cash EOY$548,136CashEOYAmt
Cash EOYFMV$548,136CashEOYFMVAmt
Total Assets BOY$14,071TotalAssetsBOYAmt
Total Assets EOY$548,136TotalAssetsEOYAmt
Total Assets EOYFMV$548,136TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Retained Earning BOY$14,071RetainedEarningBOYAmt
Retained Earning EOY$548,136RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$14,071TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$548,136TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$14,071TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$548,136TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$14,071TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$534,065ExcessRevenueOverExpensesAmt
Subtotal$548,136SubtotalAmt
Tot Net Ast Or Fund Balances EOY$548,136TotNetAstOrFundBalancesEOYAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$6,035AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$18,557NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.325214DistributionYr1Rt
Adjusted Qlfy Distri Yr2$991AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$20,490NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.048365DistributionYr2Rt
Adjusted Qlfy Distri Yr3$1,064AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$20,245NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.052556DistributionYr3Rt
Adjusted Qlfy Distri Yr4$84,389AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$63,103NetVlNoncharitableAssetsYr4Amt
Distribution Yr41.337322DistributionYr4Rt
Adjusted Qlfy Distri Yr5$214,300AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$35,361NetVlNoncharitableAssetsYr5Amt
Distribution Yr56.060349DistributionYr5Rt
Total Distribution7.823806TotalDistributionRt
Average Distribution1.564761AverageDistributionRt
Net Vl Noncharitable Assets$637,732NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$997,898AdjNetVlNoncharitableAssetsAmt
Adj Nonchrtbl Net Invst Incm Pct$997,898AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$465,935QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$0InvestmentIncomeExciseTaxAmt
Estimated Plus Ovpmt Incm Tx$121EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$121TotalPaymentsAndCreditsAmt
Overpayment$121OverpaymentAmt
Applied To ES Tax$121AppliedToESTaxAmt

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 StateWAOrgReportOrRegisterStateCd
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 BooksKENNETH D PETERSON JRIndividualWithBooksNm
Phone3608161840PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line12401 NW WALDEN DRIVEAddressLine1Txt
CityCAMASCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98607ZIPCd
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

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
KENNETH D PETERSON JR
2401 NW WALDEN DRIVECAMASWA98607PRESIDENT000.00$0$0$0
CLAUDIA J PETERSON
2401 NW WALDEN DRIVECAMASWA98607SEC/TREAS000.00$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$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$647,444AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$647,444TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$647,444AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$9,712CashDeemedCharitableAmt
Net Vl Noncharitable Assets$637,732NetVlNoncharitableAssetsAmt
Minimum Investment Return$31,887MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$31,887MinimumInvestmentReturnAmt
Distributable Before Adj$31,887DistributableBeforeAdjAmt
Distributable Before Ded$31,887DistributableBeforeDedAmt
Distributable As Adjusted$31,887DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$465,935ExpensesAndContributionsAmt
Qualifying Distributions$465,935QualifyingDistributionsAmt
Adjusted Qualifying Distri$465,935AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$31,887DistributableAsAdjustedAmt
Excess Distribution Cyov Yr5$212,532ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$81,234ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$52ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr1$5,107ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$298,925TotalExcessDistributionCyovAmt
Qualifying Distributions$465,935QualifyingDistributionsAmt
Applied To Current Year$31,887AppliedToCurrentYearAmt
Remaining Distri From Corpus$434,048RemainingDistriFromCorpusAmt
Total Corpus$732,973TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$212,532ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$520,441ExcessDistriCyovToNextYrAmt
Excess From Year4$81,234ExcessFromYear4Amt
Excess From Year3$52ExcessFromYear3Amt
Excess From Year1$5,107ExcessFromYear1Amt
Excess From Current Year$434,048ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerKENNETH PETERSONContributingManagerNm
Contributing ManagerCLAUDIA PETERSONContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (27 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ACGIB UGANDA CHILDREN'S FUND
PO BOX 91639PORTLANDOR97219ON FILEEXEMPTGENERAL FUND$1,000
ADVENTIST FORUM
PO BOX 619047ROSEVILLECA95661ON FILEEXEMPTGENERAL FUND$3,000
ADVENTIST TODAY
PO BOX 683MILTON FREEWATEROR97862ON FILEEXEMPTGENERAL FUND$1,000
CASCADE POLICY INSTITUTE
4850 SW SCHOLLS FERRY RDPORTLANDOR97225ON FILEEXEMPTGENERAL FUND$1,000
CATO
1000 MASSACHUSETTS AVE NWWASHINGTONDC20001ON FILEEXEMPTGENERAL FUND$1,000
CITY SANCTUARY
0425 SW IOWAPORTLANDOR97239ON FILEEXEMPTGENERAL FUND$10,000
CLARK COUNTY FOOD BANK
6502 NE 47TH AVEVANCOUVERWA98661ON FILEEXEMPTGENERAL FUND$1,000
CYT PORTLAND
2816 SE HARRISON STPORTLANDOR97222ON FILEEXEMPTGENERAL FUND$250
DISCOVERY INSTUTUE
208 COLUMBIA STREETSEATTLEWA98104ON FILEEXEMPTGENERAL FUND$150,000
EPIKOS
PO BOX 820964VANCOUVERWA98682ON FILEEXEMPTGENERAL FUND$30,000
FREE THE PEOPLE
611 PENNSYLVANIA AVEWASHINGTONDC20003ON FILEEXEMPTGENERAL FUND$1,000
FREEDOM FOUNDATION
PO BOX 552OLYMPIAWA98507ON FILEEXEMPTGENERAL FUND$10,000
HERMISTON JR ACADEMY FOUNDATION
PO BOX 403HERMISTONOR97838ON FILEEXEMPTGENERAL FUND$10,000
INDEPENDENT INSTITUTE
100 SWAN WAYOAKLANDCA94621ON FILEEXEMPTGENERAL FUND$2,000
INTERNATIONAL CHILDREN'S CARE
PO BOX 820610VANCOUVERWA98682ON FILEEXEMPTGENERAL FUND$150,000
JANE GOODALL ENVIRONMENTAL MIDDLE S
999 LOCUST ST NESALEMOR97301ON FILEEXEMPTGENERAL FUND$50
LIVE WIRE
3606 N MISSISSIPPI AVEPORTLANDOR97227ON FILEEXEMPTGENERAL FUND$250
MISSION CATALYST
PO BOX 873520VANCOUVERWA98687ON FILEEXEMPTGENERAL FUND$52,500
PACIFIC LEGAL FOUNDATION
930 G STREETSACRAMENTOCA95814ON FILEEXEMPTGENERAL FUND$2,000
PORTLAND ADVENTIST COMMUNITY SERVIC
11020 NE HALSEY STPORTLANDOR97220ON FILEEXEMPTGENERAL FUND$1,000
PROJECT HOPE UGANDA
3615 TAHOMA STCOLUMBIA CITYOR97018ON FILEEXEMPTGENERAL FUND$9,000
REASON FOUNDATION
5737 MESMER AVELOS ANGELESCA90230ON FILEEXEMPTGENERAL FUND$1,000
SEVENTH-GAY ADVENTISTS
1730 MACHADO STOCEANSIDECA92054ON FILEEXEMPTGENERAL FUND$1,030
SHARED HOPE INTERNATIONAL
PO BOX 65337VANCOUVERWA98665ON FILEEXEMPTGENERAL FUND$1,000
ST JUDE'S HOSPITAL
501 ST JUDE PLACEMEMPHISTN38105ON FILEEXEMPTGENERAL FUND$1,000
THE IRELAND FUNDS
10 POST OFFICE SQUAREBOSTONMA02109ON FILEEXEMPTGENERAL FUND$10,000
VAN CITY CHURCH
1812 MAIN STVANCOUVERWA98660ON FILEEXEMPTGENERAL FUND$15,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$465,080TotalGrantOrContriPdDurYrAmt

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

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Contributor PersonKENNETH CLAUDIA PETERSONContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line12401 NW WALDEN DRIVEAddressLine1Txt
CityCAMASCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98607ZIPCd
FieldValueIRS element (for citing)
Total Contributions$1,000,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryINDIRECT ACCOUNTING FEESCategoryTxt
Amt$820Amt
Disbursements Charitable Prps$820DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategorySTATE FEESCategoryTxt
Amt$35Amt
Disbursements Charitable Prps$35DisbursementsCharitablePrpsAmt

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