HUGH E & MARJORIE S PETERSEN FOUNDATION INC: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HUGH E & MARJORIE S PETERSEN FOUNDATION INC (EIN 20-3757530)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-08-22
IRS object ID
201702349349100750
Schema version
2016v3.1
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)
Return2017-08-22T15:16:28-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Foundation SourceBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1One Hollow Ln Ste 212AddressLine1Txt
CityLake SuccessCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11042ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN203757530EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hugh E & Marjorie S Petersen FoundationBusinessNameLine1Txt
Business Name Line2IncBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% Foundation SourceInCareOfNm
Business Name ControlHUGHBusinessNameControlTxt
Phone8008391754PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Foundation Source 501 Silverside RdAddressLine1Txt
CityWilmingtonCityNm
State AbbreviationDEStateAbbreviationCd
ZIP198091377ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLYNNE M TAHMISIANPersonNm
Person TitlepresidentPersonTitleTxt
Phone8008391754PhoneNum
Signature2017-08-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeffrey D HaskellPreparerPersonNm
PTINP01345770PTIN
Phone8008391754PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.187.244.114IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id06391520172345000006FederalOriginalSubmissionId
Federal Original Submission Id2017-08-22FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6B1EFC400AF5C33D9B3602785388C863E4E2E7C3AtSubmissionCreationDeviceId
At Submission Filing Device Id259C731B7C7CCB55DA46458F0098BC0D5A2501CBAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$35,762FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$600,000ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$405InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$405InterestOnSavNetInvstIncmAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$600,405TotalRevAndExpnssAmt
Total Net Invst Incm$405TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Other Expenses Rev And Expnss$5,025OtherExpensesRevAndExpnssAmt
Other Expenses Dsbrs Chrtbl$5,025OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$5,025TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$5,025TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$635,500ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$635,500ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$640,525TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$640,525TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$40,120ExcessRevenueOverExpensesAmt
Net Investment Income$405NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$75,882SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$35,762SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$35,762SavAndTempCashInvstEOYFMVAmt
Total Assets BOY$75,882TotalAssetsBOYAmt
Total Assets EOY$35,762TotalAssetsEOYAmt
Total Assets EOYFMV$35,762TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Retained Earning BOY$75,882RetainedEarningBOYAmt
Retained Earning EOY$35,762RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$75,882TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$35,762TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$75,882TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$35,762TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$75,882TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$40,120ExcessRevenueOverExpensesAmt
Subtotal$35,762SubtotalAmt
Tot Net Ast Or Fund Balances EOY$35,762TotNetAstOrFundBalancesEOYAmt
FieldValueIRS element (for citing)
Cap Gains Loss Tx Invst Incm DetailCapGainsLossTxInvstIncmDetail

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$892,700AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$189,220NetVlNoncharitableAssetsYr1Amt
Distribution Yr14.717789DistributionYr1Rt
Adjusted Qlfy Distri Yr2$365,471AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$188,732NetVlNoncharitableAssetsYr2Amt
Distribution Yr21.936455DistributionYr2Rt
Adjusted Qlfy Distri Yr3$394,871AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$135,425NetVlNoncharitableAssetsYr3Amt
Distribution Yr32.915791DistributionYr3Rt
Adjusted Qlfy Distri Yr4$413,820AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$211,214NetVlNoncharitableAssetsYr4Amt
Distribution Yr41.959245DistributionYr4Rt
Adjusted Qlfy Distri Yr5$445,504AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$247,862NetVlNoncharitableAssetsYr5Amt
Distribution Yr51.797387DistributionYr5Rt
Total Distribution13.326667TotalDistributionRt
Average Distribution2.665333AverageDistributionRt
Net Vl Noncharitable Assets$81,430NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$217,038AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$4NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$217,042AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$640,525QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$4InvestmentIncomeExciseTaxAmt
Subtotal$4SubtotalAmt
Tax Based On Investment Income$4TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$575EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$575TotalPaymentsAndCreditsAmt
Overpayment$571OverpaymentAmt
Applied To ES Tax$100AppliedToESTaxAmt
Refund$471RefundAmt

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 EtcYes (true)OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateDEOrgReportOrRegisterStateCd
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

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1Foundation SourceBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8008391754PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1501 Silverside Road Suite 123AddressLine1Txt
CityWilmingtonCityNm
State AbbreviationDEStateAbbreviationCd
ZIP198091377ZIPCd
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
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Ruth Kovacs
Foundation Source 501 Silverside RdWilmingtonDE198091377VP / Dir / Sec1.0$0$0$0
Sharon Peck
Foundation Source 501 Silverside RdWilmingtonDE198091377VP / Dir1.0$0$0$0
Lynne Tahmisian
Foundation Source 501 Silverside RdWilmingtonDE198091377Pres / Dir1.0$0$0$0
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$82,670AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$82,670TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$82,670AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$1,240CashDeemedCharitableAmt
Net Vl Noncharitable Assets$81,430NetVlNoncharitableAssetsAmt
Minimum Investment Return$4,072MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$4,072MinimumInvestmentReturnAmt
Tax Based On Investment Income$4TaxBasedOnInvestmentIncomeAmt
Total Tax$4TotalTaxAmt
Distributable Before Adj$4,068DistributableBeforeAdjAmt
Distributable Before Ded$4,068DistributableBeforeDedAmt
Distributable As Adjusted$4,068DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$640,525ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$640,525QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$4PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$640,521AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$4,068DistributableAsAdjustedAmt
Prior Year12014PriorYear1Yr
Prior Year22013PriorYear2Yr
Prior Year32012PriorYear3Yr
Excess Distribution Cyov Yr5$438,767ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$403,269ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$392,652ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$364,642ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$890,889ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$2,490,219TotalExcessDistributionCyovAmt
Qualifying Distributions$640,525QualifyingDistributionsAmt
Applied To Current Year$4,068AppliedToCurrentYearAmt
Remaining Distri From Corpus$636,457RemainingDistriFromCorpusAmt
Total Corpus$3,126,676TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$438,767ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$2,687,909ExcessDistriCyovToNextYrAmt
Excess From Year4$403,269ExcessFromYear4Amt
Excess From Year3$392,652ExcessFromYear3Amt
Excess From Year2$364,642ExcessFromYear2Amt
Excess From Year1$890,889ExcessFromYear1Amt
Excess From Current Year$636,457ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerNONEContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (29 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
CAMPUS CRUSADE FOR CHRIST INTERNATIONAL
100 LAKE HART DRORLANDOFL32832N/APCDidier and Donna Heslon Project$5,000
CANCER SUPPORT COMMUNITY VALLEY- VENTURA-SANTA BAR
530 HAMPSHIRE RDWESTLAKE VLGCA91361N/APCGeneral & Unrestricted$50,000
CHRYSALIS MINISTRIES INC
311 W AVENIDA GAVIOTASAN CLEMENTECA92672N/APCGeneral & Unrestricted$2,000
FAMILY CARE NETWORK INC
1255 KENDALL RDSAN LUIS OBISPOCA93401N/APCGeneral & Unrestricted$10,000
FOODBANK OF SANTA BARBARA COUNTY
4554 HOLLISTER AVESANTA BARBARACA93110N/APCEnd Summer Hunger Program$5,000
GRACE COMMUNITY CHURCH
13248 ROSCOE BLVDSUN VALLEYCA91352N/APCGeneral & Unrestricted$10,000
HABITAT FOR HUMANITY INTERNATIONAL INC
PO BOX 176GOLETACA93116N/APCGeneral & Unrestricted$10,000
HAGGAI INSTITUTE FOR ADVANCED LEADERSHIP TRAINING
4725 PEACHTREE CORNERS CIR STE 1NORCROSSGA30092N/APCTraining program$12,000
HOPE AND HOME
4945 N 30TH STCOLORADO SPRINGSCO80919N/APCGeneral & Unrestricted$1,000
INTERVARSITY CHRISTIAN FELLOWSHIP- USA
PO BOX 7895MADISONWI53707N/APCCharles Barker Graduate Fund$6,000
JODI HOUSE INC
625 CHAPALA STSANTA BARBARACA93101N/APCGeneral & Unrestricted$1,000
JUBILEE ECONOMICS MINISTRIES
3512 BENTLEY DRSPRING VALLEYCA91977N/APCDan Swanson Ministry Fund$12,000
JUBILEE ECONOMICS MINISTRIES
3512 BENTLEY DRSPRING VALLEYCA91977N/APCDan Swanson Ministry Fund$12,000
LANGHAM PARTNERSHIP USA INC NFP
580A VALLEY WAYMILPITASCA95035N/APCGeneral & Unrestricted$15,000
MONTECITO COVENANT CHURCH SANTA BARBARA CA
671 COLD SPRINGS RDSANTA BARBARACA93108N/APCGeneral & Unrestricted$57,500
OPPORTUNITY INTERNATIONAL INC
550 W VAN BUREN STE 200CHICAGOIL60607N/APCColumbia Division$25,000
PRISON FELLOWSHIP MINISTRIES
44180 RIVERSIDE PKWYLANSDOWNEVA20176N/APCGeneral & Unrestricted$2,000
PROVIDENCE SBCS INC
3723 MODOC RDSANTA BARBARACA93105N/APCGeneral & Unrestricted$25,000
SAMARITANS PURSE
PO BOX 3000BOONENC28607N/APCGeneral & Unrestricted$1,000
SANTA BARBARA RESCUE MISSION
535 E YANONALI STSANTA BARBARACA93103N/APCGeneral & Unrestricted$30,000
SANTA BARBARA RESCUE MISSION
535 E YANONALI STSANTA BARBARACA93103N/APCMission of Hope Campaign$70,000
WESTMONT COLLEGE
955 LA PAZ RDSANTA BARBARACA93108N/APCGayle Beebe Internship Program$25,000
WESTMONT COLLEGE
955 LA PAZ RDSANTA BARBARACA93108N/APCEnd of year Scholarship fund$15,000
WESTMONT COLLEGE
955 LA PAZ RDSANTA BARBARACA93108N/APCInstitute for Global Learning and Leadership$145,000
WYCLIFFE BIBLE TRANSLATORS INC
PO BOX 628200ORLANDOFL32862N/APCWaller and Mary Tabb Fund$10,000
YOUNG LIFE
PO BOX 70065PRESCOTTAZ86304N/APCGold Coast, CA Division$5,000
YOUNG LIFE
PO BOX 70065PRESCOTTAZ86304N/APCSanta Barbara, CA 50 Division$18,000
YOUNG LIFE
PO BOX 70065PRESCOTTAZ86304N/APCCaperneum Ministries Training Fund$50,000
YOUNG LIFE
PO BOX 70065PRESCOTTAZ86304N/APCJaime Lisea AF56 Fund$6,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$635,500TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$405ExclusionAmt
FieldValueIRS element (for citing)
Div And Int From Sec Part VIIDivAndIntFromSecPartVIIGrp
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment Incm Part VIIOtherInvestmentIncmPartVIIGrp
Gain Sales Ast Oth Than InvntryGainSalesAstOthThanInvntryGrp
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$405ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$405TotalIncomeProducingActyAmt

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 PersonPetersen Marjorie SContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line11114 State Street Suite 243AddressLine1Txt
CitySanta BarbaraCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93101ZIPCd
FieldValueIRS element (for citing)
Total Contributions$600,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Depreciation Schedule DepreciationSchedule

Liquidation Explanation Stmt LiquidationExplanationStmt

FieldValueIRS element (for citing)
ExplanationAs explained below, the Foundation has no plans for dissolution. This statement is submitted to report the distribution of certain assets during the year. The distributions resulted in a substantial contraction of assets. The following information is submitted in accordance with Treasury Regulation Section 1.6043-3(a)(1) and the Form 990-PF instructions: During the taxable year ending December 31, 2016, the Foundation made distributions from assets from sources other than current income. Collectively, the distributions in excess of current income totaled $635,500. This amount represents over 25% of the Foundation's net assets of $75,882 (as measured by fair market value) at the beginning of the Foundation's taxable year ending December 31, 2016. Although the Foundation technically experienced a substantial contraction, it will continue in existence and has no plans for dissolution. The Foundation made distributions of cash to the grantees listed in the attachment to Part XV, Line 3a; each such grant was made solely for the charitable purpose specified therein.ExplanationTxt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
Administrative Fees$5,000$5,000
State or Local Filing Fees$25$25

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