PETERSON FAMILY FOUNDATION: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: PETERSON FAMILY FOUNDATION (EIN 91-1746622)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-05-08
IRS object ID: 201301289349100725
Schema version: 2012v2.1
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
Form 990-PF
Schedule B
Accounting Fees Schedule
Compensation Explanation
Taxes Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-08T11:22:26-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	VIERCK & RAKOSKI CPAS PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	606 SE 117TH AVENUE SUITE 100	AddressLine1
City	VANCOUVER	City
State	WA	State
ZIP Code	98683	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	911746622	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	THE PETERSON FAMILY FOUNDATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	PETE	NameControl
Phone	3608161840	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2401 NW WALDEN DRIVE	AddressLine1
City	CAMAS	City
State	WA	State
ZIP Code	98607	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	KENNETH D PETERSON JR	Name
Title	FOUNDATION MANAGER	Title
Phone	3608161840	Phone
Date Signed	2013-05-06	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JOSEPH G RAKOSKI	Name
Phone	3603563805	Phone
Date Prepared	2013-05-08	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990-PF IRS990PF

Field	Value	IRS element (for citing)
Exempt PF	X	ExemptPF
FMV Assets EOY	3598	FMVAssetsEOY
Method Of Accounting Cash	X	MethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Contri Received Rev And Expnss	176168	ContriReceivedRevAndExpnss
Total Revenue And Expenses	176168	TotalRevenueAndExpenses
Total Net Investment Income	0	TotalNetInvestmentIncome
Accounting Fees Rev And Expnss	1168	AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm	168	AccountingFeesNetInvstIncm
Accounting Fees Dsbrs Chrtbl Prps	1000	AccountingFeesDsbrsChrtblPrps
Taxes Rev And Expnss	75	TaxesRevAndExpnss
Taxes Dsbrs Chrtbl Prps	75	TaxesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss	1243	TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm	168	TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps	1075	TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss	213225	ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps	213225	ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss	214468	TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm	168	TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps	214300	TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses	-38300	ExcessOfRevenueOverExpenses
Net Investment Income	0	NetInvestmentIncome

Balance Sheets BalanceSheets

Field	Value	IRS element (for citing)
Cash BOY	41898	CashBOY
Cash EOY	3598	CashEOY
Cash EOYFMV	3598	CashEOYFMV
Total Assets BOY	41898	TotalAssetsBOY
Total Assets EOY	3598	TotalAssetsEOY
Total Assets EOYFMV	3598	TotalAssetsEOYFMV
Total Liabilities EOY	0	TotalLiabilitiesEOY
Org That Do Not Follow SFAS117	X	OrgThatDoNotFollowSFAS117
Retained Earnings BOY	41898	RetainedEarningsBOY
Retained Earnings EOY	3598	RetainedEarningsEOY
Total Net Assets BOY	41898	TotalNetAssetsBOY
Total Net Assets EOY	3598	TotalNetAssetsEOY
Total Liabilities Net Assets BOY	41898	TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY	3598	TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

Field	Value	IRS element (for citing)
Total Net Assets Fund Balances BOY	41898	TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses	-38300	ExcessOfRevenueOverExpenses
Subtotal	3598	Subtotal
Total Net Assets Fund Balances EOY	3598	TotalNetAssetsFundBalancesEOY

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

Field	Value	IRS element (for citing)
Liable For4942 Tax	false	LiableFor4942Tax
Qualifying Distributions Year1	158247	QualifyingDistributionsYear1
Noncharitable Assets Year1	147080	NoncharitableAssetsYear1
Distribution Ratio Year1	1.075925	DistributionRatioYear1
Qualifying Distributions Year2	146189	QualifyingDistributionsYear2
Noncharitable Assets Year2	269968	NoncharitableAssetsYear2
Distribution Ratio Year2	0.541505	DistributionRatioYear2
Qualifying Distributions Year3	146005	QualifyingDistributionsYear3
Noncharitable Assets Year3	149937	NoncharitableAssetsYear3
Distribution Ratio Year3	0.973776	DistributionRatioYear3
Qualifying Distributions Year4	154085	QualifyingDistributionsYear4
Noncharitable Assets Year4	310942	NoncharitableAssetsYear4
Distribution Ratio Year4	0.495543	DistributionRatioYear4
Qualifying Distributions Year5	306010	QualifyingDistributionsYear5
Noncharitable Assets Year5	97591	NoncharitableAssetsYear5
Distribution Ratio Year5	3.135638	DistributionRatioYear5
Total Distribution Ratio	6.222387	TotalDistributionRatio
Average Distribution Ratio	1.244477	AverageDistributionRatio
Net Noncharitable Assets	35361	NetNoncharitableAssets
Adjusted Noncharitable Assets	44006	AdjustedNoncharitableAssets
Adj Nonchrtbl Assets And One	44006	AdjNonchrtblAssetsAndOnePct
Qualifying Distributions	214300	QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

Field	Value	IRS element (for citing)
Domestic Org Meeting Sect4940e	X	DomesticOrgMeetingSect4940e
Investment Income Excise Tax	0	InvestmentIncomeExciseTax
Est Tax Payments And Overpayment	121	EstTaxPaymentsAndOverpayment
Total Credits And Payments	121	TotalCreditsAndPayments
Overpayment	121	Overpayment
Amount Credited To Next Year	121	AmountCreditedToNextYear

Statements Regarding Activities StatementsRegardingActivities

Field	Value	IRS element (for citing)
Legislative Political Activities	false	LegislativePoliticalActivities
More Than100 Spent	false	MoreThan100Spent
Form1120 POL Filed	false	Form1120POLFiled
Activities Not Prev Reported	false	ActivitiesNotPrevReported
Changes To Articles Or Bylaws	false	ChangesToArticlesOrBylaws
Unrelated Bus Income Over1000	false	UnrelatedBusIncomeOver1000
Termination Etc	false	TerminationEtc
Requirements Of Sect508e	true	RequirementsOfSect508e
At Least5000 In Assets	true	AtLeast5000InAssets
States Filed With	WA	StatesFiledWith
Form990 PF Filed With AG	true	Form990PFFiledWithAG
Private Operating Foundation	false	PrivateOperatingFoundation
New Substantial Contributors	false	NewSubstantialContributors
Interest In Controlled Entity	false	InterestInControlledEntity
Applicable Insurance Contract	false	ApplicableInsuranceContract
Comply With Public Inspection Rqr	true	ComplyWithPublicInspectionRqr
Website Address	N/A	WebsiteAddress
Books In Care Of Person Name	KENNETH D PETERSON JR	BooksInCareOfPersonName
Books In Care Of Phone Number	3608161840	BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

Field	Value	IRS element (for citing)
Address Line1	2401 NW WALDEN DRIVE	AddressLine1
City	CAMAS	City
State	WA	State
ZIP Code	98607	ZIPCode

Field	Value	IRS element (for citing)
Foreign Bank	false	ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

Field	Value	IRS element (for citing)
Sale Or Exchange With Dsqfly Person	false	SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person	false	BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person	false	FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person	false	PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person	false	TransferAssetsToDsqflyPerson
Payment To Government Offical	false	PaymentToGovernmentOffical
Undistributed Income Prior Years	false	UndistributedIncomePriorYears
Business Holdings	false	BusinessHoldings
Jeopardy Investments	false	JeopardyInvestments
Uncorrected Jeopardy Investments	false	UncorrectedJeopardyInvestments
Influence Legislation	false	InfluenceLegislation
Influence Election	false	InfluenceElection
Grants To Individuals	false	GrantsToIndividuals
Grants To Organizations	false	GrantsToOrganizations
Noncharitable Purpose	false	NoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft Contract	false	RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract	false	PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn	false	ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	TitleTitle	Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition	CompensationCompensation	Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc	Expense Account Other AllowancesExpenseAccountOtherAllowances
KENNETH D PETERSON JR
2401 NW WALDEN DRIVE	CAMAS	WA	98607	PRESIDENT	1.00	0	0	0
CLAUDIA J PETERSON
2401 NW WALDEN DRIVE	CAMAS	WA	98607	SEC/TREAS	1.00	0	0	0

Field	Value	IRS element (for citing)
Comp Of Highest Paid Empl NONE	NONE	CompOfHighestPaidEmplNONE
Comp Of Hghst Paid Cntrct NONE	NONE	CompOfHghstPaidCntrctNONE

Sum Of Program Related Investments SumOfProgramRelatedInvestments

Field	Value	IRS element (for citing)
Description1	N/A	Description1

Minimum Investment Return MinimumInvestmentReturn

Field	Value	IRS element (for citing)
Avg Monthly FMV Of Securities	0	AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances	35899	AvgMonthlyCashBalances
FMV All Other Noncharitable Assets	0	FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets	35899	TotalFMVOfUnusedAssets
Adj Total FMV Of Unused Assets	35899	AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable	538	CashDeemedCharitable
Net Noncharitable Assets	35361	NetNoncharitableAssets
Minimum Investment Return	1768	MinimumInvestmentReturn

Distributable DistributableAmount

Field	Value	IRS element (for citing)
Minimum Investment Return	1768	MinimumInvestmentReturn
Distributable Amount Before Adj	1768	DistributableAmountBeforeAdj
Distributable Amount Before Ded	1768	DistributableAmountBeforeDed
Distributable Amount As Adjusted	1768	DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

Field	Value	IRS element (for citing)
Expenses And Contributions	214300	ExpensesAndContributions
Qualifying Distributions	214300	QualifyingDistributions
Adj Qualifying Distributions	214300	AdjQualifyingDistributions

Undistributed Income UndistributedIncome

Field	Value	IRS element (for citing)
Distributable Amount As Adjusted	1768	DistributableAmountAsAdjusted
Excess Distri Carryover Year5	301846	ExcessDistriCarryoverYear5
Excess Distri Carryover Year4	140057	ExcessDistriCarryoverYear4
Excess Distri Carryover Year3	142212	ExcessDistriCarryoverYear3
Excess Distri Carryover Year2	133789	ExcessDistriCarryoverYear2
Excess Distri Carryover Year1	150893	ExcessDistriCarryoverYear1
Total Excess Distri Carryover	868797	TotalExcessDistriCarryover
Qualifying Distributions	214300	QualifyingDistributions
Applied To Current Year	1768	AppliedToCurrentYear
Remaining Distri From Corpus	212532	RemainingDistriFromCorpus
Total Corpus	1081329	TotalCorpus
Undistributed Income CY	0	UndistributedIncomeCY
Excess Distri Cyov From Year5	301846	ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year	779483	ExcessDistriCyovToNextYear
Excess From Year4	140057	ExcessFromYear4
Excess From Year3	142212	ExcessFromYear3
Excess From Year2	133789	ExcessFromYear2
Excess From Year1	150893	ExcessFromYear1
Excess From Current Year	212532	ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

Field	Value	IRS element (for citing)
Contributing Manager	KENNETH PETERSON	ContributingManager
Contributing Manager	CLAUDIA PETERSON	ContributingManager
Only Contributes To Preselected	X	OnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (23 entries)

Address Line1RecipientUSAddress/AddressLine1	CityRecipientUSAddress/City	StateRecipientUSAddress/State	ZIP CodeRecipientUSAddress/ZIPCode	Recipient Foundation StatusRecipientFoundationStatus	Purpose Of Grant Or ContributionPurposeOfGrantOrContribution	AmountAmount
ACHON UGANDA CHILDREN'S FUND
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$1,000
ADVENTIST FORUMSPECTRUM
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$2,500
AMERICAN CANCER SOCIETY
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$100
AMERICANS FOR PROSPERITY
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$1,000
CASCADE POLICY INSTITUTE
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$2,000
CATO INSTITUTE
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$2,000
CMFI
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$1,000
DISCOVERY INSTITUTE
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$1,000
DOWNTOWN EMERGENCY SRVCS
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$1,000
EPIKOS CHURCH
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$25,625
FREEDOM WORKS
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$2,000
JABEZ HUMANITARIAN FUND
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$1,000
THE LEUKEMIA AND LYMPHOMA FUND
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$50
MISSION CATALYST NETWORK
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$15,000
OREGON ADVENTIST MEN'S CHOIR
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$700
PAA COMMITTEE OF 100
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$1,000
PORTLAND ADVENTIST ACADEMY
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$100
PAA COMMUNITY SERVICES
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$1,000
PACIFIC LEGAL FDN
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$1,000
REASON FOUNDATION
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$1,000
SALEM CENTRAL SDA CHURCH
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$150
WA POLICY CENTER
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$3,000
WILLAMETTE UNIV COLLEGE OF LAW
ON FILE	ON FILE	WA	98607	EXEMPT	GENERAL FUND	$150,000

Field	Value	IRS element (for citing)
Tot Grant Or Contri Paid During Year	213225	TotGrantOrContriPaidDuringYear

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

Field	Value	IRS element (for citing)
Trnsfr Of Cash To Noncharitable EO	false	TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO	false	TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets	false	SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO	false	PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc	false	RentalOfFacilitiesEtc
Reimbursement Arrangements	false	ReimbursementArrangements
Loans Or Loan Guarantees	false	LoansOrLoanGuarantees
Performance Of Services Etc	false	PerformanceOfServicesEtc
Sharing Of Facilities Etc	false	SharingOfFacilitiesEtc
Relationships Noncharitable E Os	false	RelationshipsNoncharitableEOs

Schedule B IRS990ScheduleB

Field	Value	IRS element (for citing)
Organization501c3 Exempt PF	X	Organization501c3ExemptPF
General Rule	X	GeneralRule

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	1	ContributorNumber
Contributor Name Individual	KENNETH CLAUDIA PETERSON	ContributorNameIndividual

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	2401 NW WALDEN DRIVE	AddressLine1
City	CAMAS	City
State	WA	State
ZIP Code	98607	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	176168	AggregateContributions
Person Contribution Type	X	PersonContributionType

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

Field	Value	IRS element (for citing)
Category	ACCOUNTING FEES	Category
Amount	$1,168	Amount
Net Investment Income	168	NetInvestmentIncome
Disbursements Charitable Prps	1000	DisbursementsCharitablePrps

Compensation Explanation CompensationExplanation

Compensation Compensation (2 entries)

KENNETH D PETERSON JR
CLAUDIA J PETERSON

Taxes Schedule TaxesSchedule

Taxes Taxes

Field	Value	IRS element (for citing)
Category	STATE FEES	Category
Amount	$75	Amount
Disbursements Charitable Prps	75	DisbursementsCharitablePrps

PETERSON FAMILY FOUNDATION: Form 990PF, tax year 2012

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990-PF IRS990PF

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Balance Sheets BalanceSheets

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

Statements Regarding Activities StatementsRegardingActivities

Books In Care Of US Address BooksInCareOfUSAddress

Statements Regarding Acty4720 StatementsRegardingActy4720

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (2 entries)

Sum Of Program Related Investments SumOfProgramRelatedInvestments

Minimum Investment Return MinimumInvestmentReturn

Distributable DistributableAmount

Qualifying Distributions QualifyingDistributions

Undistributed Income UndistributedIncome

Supplementary Information SupplementaryInformation

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (23 entries)

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Contributor Address US ContributorAddressUS

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

Compensation Explanation CompensationExplanation

Compensation Compensation (2 entries)

Taxes Schedule TaxesSchedule

Taxes Taxes

Comments