2013-09-11T07:00:50-05:00 2012-12-31 251690617 SCHAFFNER KNIGHT MINNAUGH & CO PC 1001 STATE STREET SUITE 1300 ERIE PA 16501 990PF 2012-01-01 251859031 JOHN M AND GERTRUDE E PETERSEN FOUNDATION JOHN 8148360365 124 VOYAGEUR DRIVE ERIE PA 165055435 JOHN M PETERSEN 8148331778 2013-08-14 1 DENNIS W GROW CPA P00190259 8144541997 2012 2016-02-24 21:20:13Z X 14330619 X 139046 92 92 495772 495772 0 634910 495864 0 0 0 5000 0 0 1015 0 0 15556 0 0 21571 0 0 851900 851900 873471 0 851900 -238561 495864 675351 318844 318844 9845347 9984393 13559375 306978 306978 452400 10827676 10610215 14330619 0 0 X 0 0 0 0 10827676 10610215 10827676 10610215 10827676 10610215 10827676 -238561 21100 10610215 0 10610215 0 946227 12789800 0.073983 212984 12159446 0.017516 1000155 11708487 0.085421 0 13364595 0.000000 600 15198557 0.000039 0.176959 0.035392 13721847 485644 4959 490603 851900 X 4959 0 4959 0 4959 7280 7280 2321 2321 0 0 0 0 0 0 0 0 0 0 0 1 1 PA 1 0 0 0 0 1 N/A JOHN M PETERSEN 8148360365 124 VOYAGEUR DRIVE ERIE PA 165055435 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JOHN M PETERSEN 124 VOYAGEUR DRIVE ERIE PA 165055435 5.00 0 0 0 GERTRUDE PETERSEN 124 VOYAGEUR DRIVE ERIE PA 165055435 5.00 0 0 0 JAMES D CULLEN 100 STATE STREET SUITE 700 ERIE PA 165071498 1.00 0 0 0 NONE 0 NONE 0 0 13516691 414118 0 13930809 0 0 13930809 208962 13721847 686092 686092 4959 4959 681133 0 681133 0 681133 851900 0 851900 4959 846941 681133 0 0 30865 321277 352142 851900 0 0 0 681133 170767 0 0 522909 0 0 0 0 0 0 0 522909 30865 321277 170767 JOHN M PETERSEN GERTRUDE PETERSEN JOHN M PETERSEN 1550 EL CAMINO REAL APT 234 LADY LAKE FL 32159 8148360365 REQUEST 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 STATEMENT FOR THE MOST RECENT FISCAL YEAR; PROGRAM/AGENCY BUDGET; ANNUAL REPORT (IF AVAILABLE) FOR MOST RECENT FISCAL YEAR AS DISTRIBUTED TO YOUR MEMBERS OR BOARD OF DIRECTORS; AND ANY OTHER MATERIAL YOU FEEL MIGHT BE HELPFUL. 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