2012-11-12T11:54:35-00:00 2011-12-31 Foundation Source 55 Walls Drive Fairfield CT 06824 990PF 2011-01-01 203757530 Hugh E & Marjorie S Petersen Foundation Inc HUGH 8008391754 Foundation Source 501 Silverside Rd Wilmington DE 198091377 Lynne Tahmisian 2012-11-12 true Jeffrey D Haskell 8008391754 2012-11-12 2011 2016-02-24 21:20:13Z X 390542 X 398802 24 24 2084 2084 -5709 834802 281090 395201 283198 6682 350 6332 6682 350 6332 442000 442000 448682 350 448332 -53481 282848 4390 390534 390534 439633 8 8 444023 390542 390542 0 X 444023 390542 444023 390542 444023 390542 444023 -53481 390542 390542 Publicly-traded Securities 834802 553712 281090 281090 281090 false 447657 640419 000.699006 188972 1012883 000.186568 292646 1127659 000.259516 174067 858857 000.202673 147547 352281 000.418833 001.766596 000.353319 247862 87574 2828 90402 448332 X 2828 2828 2828 818 3229 4047 4047 X 1219 1219 false false false false false false true true true true false false false false true co 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 true Ruth Kovacs Foundation Source 501 Silverside Rd Wilmington DE 19809 001.00 0 Sharon Peck Foundation Source 501 Silverside Rd Wilmington DE 19809 001.00 0 Marjorie S Petersen Foundation Source 501 Silverside Rd Wilmington DE 19809 001.00 0 Lynne Tahmisian Foundation Source 501 Silverside Rd Wilmington DE 19809 001.00 0 NONE 215809 35828 0 251637 251637 3775 247862 12393 12393 2828 2828 9565 9565 9565 448332 448332 2828 445504 9565 134113 139959 238163 138492 415772 1066499 448332 9565 438767 1505266 0 134113 1371153 139959 238163 138492 415772 438767 Marjorie S Petersen X CAMPUS CRUSADE FOR CHRIST INTERNATI 100 LAKE HART DR ORLANDO FL 32832 N/A 509(a)(1) Didier and Donna Helson Project 2500 CAMPUS CRUSADE FOR CHRIST INTERNATI 100 LAKE HART DR ORLANDO FL 32832 N/A 509(a)(1) Didier and Donna Heslon Project 2500 CHRISTIAN LEADERSHIP CONCEPTS INC PO BOX 3645 BRENTWOOD TN 37024 N/A 509(a)(1) Mark Harmon Project 5000 CHRYSALIS MINISTRIES INC 311 W AVENIDA GAVIOTA SAN CLEMENTE CA 92672 N/A 509(a)(1) General Unrestricted 2000 EVANGELICAL COVENANT CHURCH 8303 W HIGGINS RD CHICAGO IL 60631 N/A 509(a)(1) Good Hope Academy in Sudan 25000 FIRST EVANGELICAL FREE CHURCH 1356 ALBANY ST LOS ANGELES CA 90015 N/A 509(a)(1) Restore and Renew Project 5000 GRACE COMMUNITY CHURCH 13248 ROSCOE BLVD SUN VALLEY CA 91352 N/A 509(a)(1) Bryan and Alex Tahmisian Program 5000 HOPE AND HOME 4945 N 30TH ST 3RD FL COLORADO SPRINGS CO 80919 N/A 509(a)(2) General Unrestricted 1000 INTERVARSITY CHRISTIAN FELLOWSHIP- 6400 SCHROEDER RD MADISON WI 53711 N/A 509(a)(2) Charles Barker Graduate Faculty Ministries Division 5000 JODI HOUSE INC 625 CHAPALA ST SANTA BARBARA CA 93101 N/A 509(a)(1) General Unrestricted 5000 JOHN STOTT MINISTRIES 1050 CHESTNUT ST STE 203 MENLO PARK CA 94025 N/A 509(a)(1) John Stott Memorial Fund 5000 LEADERSHIP FOUNDATIONS OF AMERICA 717 TACOMA AVE S A TACOMA WA 98402 N/A 509(a)(1) Bob Reeverts Division 10000 MONTECITO COVENANT CHURCH 671 COLD SPRINGS RD SANTA BARBARA CA 93108 N/A 509(a)(1) General Unrestricted 25000 OPPORTUNITY INTERNATIONAL INC 2122 YORK RD OAK BROOK IL 60523 N/A 509(a)(1) MbaleBranch in Eastern Uganda Fund 25000 PALM MISSIONARY MINISTRIES INC 1702 PARKS LAKE RD LAKE WALES FL 33898 N/A 509(a)(1) Daniel Swanson Fund 12000 PRISON FELLOWSHIP MINISTRIES 44180 RIVERSIDE PKWY LANSDOWNE VA 20176 N/A 509(a)(1) General Unrestricted 1000 PROVIDENCE HALL 27 W ANAPAMU ST NO 144 SANTA BARBARA CA 93101 N/A 509(a)(1) General Unrestricted 25000 PROVIDENCE HALL 27 W ANAPAMU ST NO 144 SANTA BARBARA CA 93101 N/A 509(a)(1) Challenge for Something Greater Campaign 25000 SAMARITANS PURSE PO BOX 3000 BOONE NC 28607 N/A 509(a)(1) General Unrestricted 1000 SANTA BARBARA RESCUE MISSION 535 E YANONALI ST SANTA BARBARA CA 93103 N/A 509(a)(1) General Unrestricted 30000 THE WELLNESS COMMUNITY VALLEY VENTU 530 HAMPSHIRE RD WESTLAKE VLG CA 91361 N/A 509(a)(1) General Unrestricted 25000 WESTMONT COLLEGE 955 LA PAZ RD SANTA BARBARA CA 93108 N/A 509(a)(1) General Unrestricted 60000 WHEATON COLLEGE 501 COLLEGE AVE WHEATON IL 60187 N/A 509(a)(1) Wheaton Associates Division 5000 WILLIAM CAREY HERITAGE FOUNDATION 4730 BRADY RD COLORADO SPGS CO 80915 N/A 509(a)(1) Ph.D Program in Christian Studies Sam Higginbottom Institute of Agriculture, Technology Sciences 50000 WORLD VISION INTERNATIONAL 800 W CHESTNUT AVE MONROVIA CA 91016 N/A 509(a)(1) Morpus Rescue Centre, Kenya Project 25000 YOUNG LIFE 420 N CASCADE AVE COLORADO SPRINGS CO 80903 N/A 509(a)(1) General Unrestricted 1000 YOUNG LIFE 420 N CASCADE AVE COLORADO SPRINGS CO 80903 N/A 509(a)(1) Gold Coast, CA Division 5000 YOUNG LIFE 420 N CASCADE AVE COLORADO SPRINGS CO 80903 N/A 509(a)(1) Santa Barbara, CA Division 3000 YOUNG LIFE 420 N CASCADE AVE COLORADO SPRINGS CO 80903 N/A 509(a)(1) Santa Barbara, CA Division 15000 YOUNG LIFE 420 N CASCADE AVE COLORADO SPRINGS CO 80903 N/A 509(a)(1) Gold Coast Region Rob Crawford Fund 25000 YOUNG LIFE 420 N CASCADE AVE COLORADO SPRINGS CO 80903 N/A 509(a)(1) Santa Barbara, CA Jaime Licea Fund 1000 YOUNG LIFE 420 N CASCADE AVE COLORADO SPRINGS CO 80903 N/A 509(a)(1) Capernaum Ministries Program 5000 YOUNG LIFE 420 N CASCADE AVE COLORADO SPRINGS CO 80903 N/A 509(a)(1) Ted Johnson/ Campership Legacy Program 5000 442000 14 24 14 2084 18 -5709 -3601 -3601 false false false false false false false false false false X X 0001 Petersen Marjorie S 1114 State Street Ste 243 Santa Barbara CA 93101 398802 X 0001 AMAZON COM 99411 2011-12-09 0001 APPLE INC. 149163 2011-12-09 0001 CHEVRON CORP 150227 2011-12-09 1 shares of PIMCO FUNDS SHORT TERM CLASS A FUND PSHAX 8 8 This statement is submitted to report the distribution of certain assets during the above-referenced year. The distributions resulted in a substantial contraction of assets. The following information is submitted in accordance with Treasury Regulation Section 1.6043-3a1 and the Form 990-PF instructions During the taxable year ending December 31, 2011, Hugh E. Marjorie S. Petersen Foundation Inc. the Foundation made distributions from assets from sources other than current income. Collectively, the distributions in excess of current income totaled 442,000. This amount represents over 25 of the Foundations net assets of 445,804 as measured by fair market value at the beginning of the Foundations taxable year ending December 31, 2011. 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 6307 6307 Bank Charges 350 350 State or Local Filing Fees 25 25