2016-05-05T14:31:34-05:00 2015-12-31 Foundation Source One Hollow Ln Ste 212 Lake Success NY 11042 990PF 2015-01-01 203757530 Hugh E & Marjorie S Petersen Foundation Inc % Foundation Source HUGH 8008391754 Foundation Source 501 Silverside Rd Wilmington DE 198091377 LYNNE TAHMISIAN president 8008391754 2016-04-27 true Jeffrey D Haskell P01345770 8008391754 2015 2016-09-27 15:27:22Z X 75882 X 705033 978 978 -6603 598430 381541 699408 382519 0 4680 5550 25 5525 10230 25 5525 891000 891000 901230 25 896525 -201822 382494 277704 75882 75882 277704 75882 75882 0 X 277704 75882 277704 75882 277704 75882 277704 -201822 75882 75882 Publicly-traded Securities 598430 216889 381541 381541 381541 false 365471 188732 1.936455 394871 135425 2.915791 413820 211214 1.959245 445504 247862 1.797387 447657 640419 0.699006 9.307884 1.861577 189220 352248 3825 356073 896525 X 3825 3825 3825 4400 4400 X 575 575 false false false false false false true true true DE true false false false false true Foundation Source 8008391754 501 Silverside Road Suite 123 Wilmington DE 198091377 false false false false false false false false false false false false false false false false false false false false Ruth Kovacs Foundation Source 501 Silverside Rd Wilmington DE 198091377 VP / Dir / Sec 1.0 0 0 0 Sharon Peck Foundation Source 501 Silverside Rd Wilmington DE 198091377 VP / Dir 1.0 0 0 0 Lynne Tahmisian Foundation Source 501 Silverside Rd Wilmington DE 198091377 Pres / Dir 1.0 0 0 0 0 192102 0 192102 0 192102 2882 189220 9461 9461 3825 3825 5636 5636 5636 896525 0 0 0 0 896525 3825 892700 5636 2013 2012 2011 415772 438767 403269 392652 364642 2015102 896525 5636 890889 2905991 0 415772 2490219 438767 403269 392652 364642 890889 NONE X CAMPUS CRUSADE FOR CHRIST INTERNATIONAL 100 LAKE HART DR ORLANDO FL 32832 N/A PC Didier and Donna Heslon Project 5000 CANCER SUPPORT COMMUNITY VALLEY- VENTURA-SANTA BAR 530 HAMPSHIRE RD WESTLAKE VLG CA 91361 N/A PC General & Unrestricted 75000 CHRYSALIS MINISTRIES INC 311 W AVENIDA GAVIOTA SAN CLEMENTE CA 92672 N/A PC General & Unrestricted 2000 FAMILY CARE NETWORK INC 1255 KENDALL RD SAN LUIS OBISPO CA 93401 N/A PC General & Unrestricted 10000 GRACE COMMUNITY CHURCH 13248 ROSCOE BLVD SUN VALLEY CA 91352 N/A PC Grace Ministries International Division 10000 HABITAT FOR HUMANITY INTERNATIONAL INC PO BOX 176 GOLETA CA 93116 N/A PC General & Unrestricted 10000 HAGGAI INSTITUTE FOR ADVANCED LEADERSHIP TRAINING 4725 PEACHTREE CORNERS CIR STE 1 NORCROSS GA 30092 N/A PC General & Unrestricted 10000 HOPE AND HOME 4945 N 30TH ST COLORADO SPRINGS CO 80919 N/A PC General & Unrestricted 1000 INTERVARSITY CHRISTIAN FELLOWSHIP- USA 635 SCIENCE DR MADISON WI 53711 N/A PC Charles Barker Graduate Fund 6000 JODI HOUSE INC 625 CHAPALA ST SANTA BARBARA CA 93101 N/A PC General & Unrestricted 1000 LANGHAM PARTNERSHIP USA INC NFP 580A VALLEY WAY MILPITAS CA 95035 N/A PC Bible Commentary Project 15000 MONTECITO COVENANT CHURCH SANTA BARBARA CA 671 COLD SPRINGS RD SANTA BARBARA CA 93108 N/A PC General & Unrestricted 60000 OPPORTUNITY INTERNATIONAL INC 550 W VAN BUREN STE 200 CHICAGO IL 60607 N/A PC The Philippines: Cents for Life Project 42000 PALM MISSIONARY MINISTRIES INC 1315 CAMPO SANO AVE CORAL GABLES FL 33146 N/A PC Dan Swanson Ministry Fund 12000 PRISON FELLOWSHIP MINISTRIES 44180 RIVERSIDE PKWY LANSDOWNE VA 20176 N/A PC General & Unrestricted 2000 PROVIDENCE SBCS INC 3723 MODOC RD SANTA BARBARA CA 93105 N/A PC General & Unrestricted 25000 SAMARITANS PURSE PO BOX 3000 BOONE NC 28607 N/A PC General & Unrestricted 1000 SANTA BARBARA RESCUE MISSION 535 E YANONALI ST SANTA BARBARA CA 93103 N/A PC General & Unrestricted 30000 SANTA BARBARA RESCUE MISSION 535 E YANONALI ST SANTA BARBARA CA 93103 N/A PC Mision of Hope Campaign 70000 WESTMONT COLLEGE 955 LA PAZ RD SANTA BARBARA CA 93108 N/A PC Youth Internship Program: Montecito Covenant Church 25000 WESTMONT COLLEGE 955 LA PAZ RD SANTA BARBARA CA 93108 N/A PC Institute for Global Learning and Leadership Initiative 125000 WORLD VISION INTERNATIONAL 800 W CHESTNUT AVE MONROVIA CA 91016 N/A PC ERE Project in Zambia 25000 WYCLIFFE BIBLE TRANSLATORS INC PO BOX 628200 ORLANDO FL 32862 N/A PC Waller and Mary Tabb Fund 10000 YOUNG LIFE PO BOX 70065 PRESCOTT TX 86304 N/A PC Gold Coast, CA Division 5000 YOUNG LIFE PO BOX 70065 PRESCOTT TX 86304 N/A PC Santa Barbara, CA 50 Division 18000 YOUNG LIFE PO BOX 70065 PRESCOTT TX 86304 N/A PC Jaime Lisea AF56 Fund 6000 YOUNG LIFE PO BOX 70065 PRESCOTT TX 86304 N/A PC YL AF56 Fund 25000 YOUNG LIFE PO BOX 70065 PRESCOTT TX 86304 N/A PC Caperneum Ministry: Pam Harmon Program 15000 YOUNG LIFE PO BOX 70065 PRESCOTT TX 86304 N/A PC Woodleaf Camp Renovation Project 250000 891000 14 978 18 -6603 -5625 -5625 false false false false false false false false false false X X 1 Petersen Marjorie S 1114 State Street Suite 243 Santa Barbara CA 93101 705033 X X 1 ALPHABET INC CL A GOOGL, 135 sh. 99875 2015-11-02 1 APPLE INC AAPL, 800 sh. 105712 2015-04-27 1 BLACKROCK INC BLK, 130 sh. 48614 2015-04-27 1 CHINA MOBILE HGK LTD CHL, 700 sh. 52609 2015-04-27 1 GILEAD SCIENCES INC GILD, 950 sh. 98107 2015-04-27 1 POWERSHARES FTSE RAFI US 1500 SMALL MID PRFZ, 1400 sh. 148421 2015-04-27 1 WALGREENS BOOTS ALLIANCE WBA, 600 sh. 51696 2015-04-27 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, 2015, the Foundation made distributions from assets from sources other than current income. Collectively, the distributions in excess of current income totaled $891,000. This amount represents over 25% of the Foundation's net assets of $277,704 (as measured by fair market value) at the beginning of the Foundation's taxable year ending December 31, 2015. 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. Administrative Fees 5500 5500 Bank Charges 25 25 State or Local Filing Fees 25 25 990-PF Estimated Tax for 2015 4400 990-PF Excise Tax for 2014 280